7,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 7,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 7,A000000,00300,0000,00300EMPLOYEE BENEFITS 7,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 7,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7,A000000,00700,0000,00700HOUSEKEEPING 7,A000000,00800,0000,00800DIETARY 7,A000000,00900,0000,00900NURSING ADMINISTRATION 7,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7,A000000,01100,0000,01100PHARMACY 7,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7,A000000,01300,0000,01300SOCIAL SERVICE 7,A000000,01350,0000,01500OTHER GENERAL SERVICES 7,A000000,01600,0000,01600SKILLED NURSING FACILITY 7,A000000,01800,0000,01800NURSING FACILITY 7,A000000,01900,0000,01900OTHER LONG TERM CARE 7,A000000,02100,0000,02100RADIOLOGY 7,A000000,02200,0000,02200LABORATORY 7,A000000,02500,0000,02500PHYSICAL THERAPY 7,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7,A000000,02700,0000,02700SPEECH PATHOLOGY 7,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 7,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 7,A000000,04800,0000,04800AMBULANCE 7,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 7,A000000,05300,0000,05300INTEREST EXPENSE 7,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 7,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 7,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 7,A000000,06100,0000,06100NONPAID WORKERS 7,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 7,A000000,06200,0000,06200PATIENTS LAUNDRY 7,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 7,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 7,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 7,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 7,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 7,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 7,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 7,B100000,00000,0800,00000MEALS SERVED DIETARY 7,B100000,00000,0900,00000DIRECT NRSING HRS NURSING ADM 7,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 7,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 7,B100000,00000,1200,00000GROSS REVENUE MEDICAL RECORD 7,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 7,B100000,00000,1500,00000NO STATISTICS OTHER GENER 7,S000000,00100,0200,11/28/2000 7,S200000,00100,0100,611 WEST MARKET STREET 7,S200000,00200,0100,ATHENS 7,S200000,00200,0200,AL 7,S200000,00200,0300,35611- 7,S200000,00300,0100,LIMESTONE 7,S200000,00400,0100,ATHENS CONVALESCENT CENTER 7,S200000,00400,0200,015016 7,S200000,00400,0300,08/01/1979 7,S200000,00400,0500,P 7,S200000,01600,0100,Y 7,S700003,00000,0200,X 40,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 40,A000000,00300,0000,00300EMPLOYEE BENEFITS 40,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 40,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40,A000000,00700,0000,00700HOUSEKEEPING 40,A000000,00800,0000,00800DIETARY 40,A000000,01300,0000,01300SOCIAL SERVICE 40,A000000,01600,0000,01600SKILLED NURSING FACILITY 40,A000000,02200,0000,02200LABORATORY 40,A000000,02500,0000,02500PHYSICAL THERAPY 40,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40,A000000,02700,0000,02700SPEECH PATHOLOGY 40,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 40,A000000,05300,0000,05300INTEREST EXPENSE 40,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 40,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 40,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 40,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 40,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 40,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 40,B100000,00000,0800,00000MEALS SERVEDDIETARY 40,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 40,S000000,00100,0200,10/31/2000 40,S200000,00100,0100,390 UNDERWOOD ROAD 40,S200000,00200,0100,RUSSELLVILLE 40,S200000,00200,0200,AL 40,S200000,00200,0300,35653 40,S200000,00300,0100,FRANKLIN 40,S200000,00300,0300,R 40,S200000,00400,0100,TERRACE MANOR INC. 40,S200000,00400,0200,015066 40,S200000,00400,0300,01/01/1967 40,S200000,00400,0500,P 40,S200000,01500,0100,Y 40,S700003,00000,0200,2 55,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 55,A000000,00300,0000,00300EMPLOYEE BENEFITS 55,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 55,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55,A000000,00700,0000,00700HOUSEKEEPING 55,A000000,00800,0000,00800DIETARY 55,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55,A000000,01300,0000,01300SOCIAL SERVICE 55,A000000,01600,0000,01600SKILLED NURSING FACILITY 55,A000000,01800,0000,01800NURSING FACILITY 55,A000000,02100,0000,02100RADIOLOGY 55,A000000,02200,0000,02200LABORATORY 55,A000000,02500,0000,02500PHYSICAL THERAPY 55,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55,A000000,02700,0000,02700SPEECH PATHOLOGY 55,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 55,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 55,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 55,A000000,06150,0000,06300GREENHOUSE 55,A81000A,00100,0100,Y 55,A81000B,00100,0300,PRESCRIPTION DRUGS 55,A81000C,00100,0100,A 55,A81000C,00100,0200,ROBERT SUMERFOR 55,A81000C,00100,0400,SUMMERFORD DRUG 55,A81000C,00100,0600,PHARMACY 55,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 55,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 55,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 55,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 55,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 55,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 55,B100000,00000,0800,00000MEALS SERVEDDIETARY 55,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 55,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 55,S000000,00100,0200,11/14/2000 55,S200000,00100,0100,4089 HIGHWAY 31 SW 55,S200000,00200,0100,FALKVILLE 55,S200000,00200,0200,AL 55,S200000,00200,0300,35622 55,S200000,00300,0100,MORGAN 55,S200000,00300,0300,U 55,S200000,00400,0100,SUMMERFORD NURSING HOME INC. 55,S200000,00400,0200,015075 55,S200000,00400,0300,01/01/1967 55,S200000,00400,0500,P 55,S200000,01600,0100,Y 55,S700003,00000,0200,2 74,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 74,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 74,A000000,00300,0000,00300EMPLOYEE BENEFITS 74,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 74,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74,A000000,00700,0000,00700HOUSEKEEPING 74,A000000,00800,0000,00800DIETARY 74,A000000,00900,0000,00900NURSING ADMINISTRATION 74,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74,A000000,01100,0000,01100PHARMACY 74,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74,A000000,01300,0000,01300SOCIAL SERVICE 74,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 74,A000000,01600,0000,01600SKILLED NURSING FACILITY 74,A000000,01800,0000,01800NURSING FACILITY 74,A000000,01900,0000,01900OTHER LONG TERM CARE 74,A000000,02100,0000,02100RADIOLOGY 74,A000000,02200,0000,02200LABORATORY 74,A000000,02300,0000,02300INTRAVENOUS THERAPY 74,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74,A000000,02500,0000,02500PHYSICAL THERAPY 74,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74,A000000,02700,0000,02700SPEECH PATHOLOGY 74,A000000,02800,0000,02800ELECTROCARDIOLOGY 74,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 74,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 74,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 74,A000000,03200,0000,03200SUPPORT SURFACES 74,A000000,03400,0000,03400CLINIC 74,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74,A000000,03500,0000,03500RURAL HEALTH CLINIC 74,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 74,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 74,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 74,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 74,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 74,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 74,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 74,A000000,04400,0000,04400DME RENTED - HHA 74,A000000,04500,0000,04500DME SOLD - HHA 74,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 74,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 74,A000000,04800,0000,04800AMBULANCE 74,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 74,A000000,05000,0000,05000CORF 74,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 74,A000000,05300,0000,05300INTEREST EXPENSE 74,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74,A000000,05500,0000,05500HOSPICE 74,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 74,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 74,A000000,06100,0000,06100NONPAID WORKERS 74,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74,A000000,06200,0000,06200PATIENTS LAUNDRY 74,A81000A,00100,0100,Y 74,A81000B,00100,0300,PENSION INSURANCE 74,A81000B,00200,0300,INSURANCE 74,A81000B,00300,0300,LEGAL 74,A81000B,00400,0300,PT SERVICES 74,A81000B,00500,0300,OT SERVICE 74,A81000B,00600,0300,ST SERVICES 74,A81000C,00100,0100,B 74,A81000C,00100,0200,CATHOLIC CHURCH 74,A81000C,00100,0600,CHURCH 74,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 74,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 74,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 74,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 74,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 74,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 74,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 74,B100000,00000,0800,00000PATIENT DAYSDIETARY 74,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 74,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 74,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 74,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 74,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 74,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 74,S000000,00100,0200,01/16/2001 74,S200000,00100,0100,733 SOUTH WASHINGTON AVE 74,S200000,00200,0100,MOBILE 74,S200000,00200,0200,ALABAMA 74,S200000,00200,0300,36603 74,S200000,00300,0100,MOBILE 74,S200000,00300,0300,U 74,S200000,00400,0100,ALLEN MEMORIAL HOME 74,S200000,00400,0200,015098 74,S200000,00400,0300,07/01/1967 74,S200000,00400,0500,P 74,S200000,01600,0100,Y 74,S700003,00000,0200,2 83,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83,A000000,00300,0000,00300EMPLOYEE BENEFITS 83,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83,A000000,00700,0000,00700HOUSEKEEPING 83,A000000,00800,0000,00800DIETARY 83,A000000,00900,0000,00900NURSING ADMINISTRATION 83,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83,A000000,01100,0000,01100PHARMACY 83,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83,A000000,01300,0000,01300SOCIAL SERVICE 83,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83,A000000,01600,0000,01600SKILLED NURSING FACILITY 83,A000000,01810,0000,01810ICF/MR 83,A000000,02100,0000,02100RADIOLOGY 83,A000000,02200,0000,02200LABORATORY 83,A000000,02500,0000,02500PHYSICAL THERAPY 83,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83,A000000,02700,0000,02700SPEECH PATHOLOGY 83,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83,A000000,03550,0000,03550FQHC 83,A000000,05000,0000,05000CORF 83,A000000,05010,0000,05010CMHC 83,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 83,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 83,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 83,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83,A81000A,00100,0100,Y 83,A81000B,00100,0300,HOME OFFICE COSTS 83,A81000B,00200,0300,HOME OFFICE COSTS 83,A81000B,00300,0300,RELATED PARTY EXPENS 83,A81000C,00100,0100,B 83,A81000C,00100,0200,THE GUYTON CO. 83,A81000C,00100,0400,ALTOONA HEALTH 83,A81000C,00100,0600,NURSING HOME 83,A81000C,00200,0100,B 83,A81000C,00200,0200,THE GUYTON CO. 83,A81000C,00200,0400,ST. CLAIR HEALT 83,A81000C,00200,0600,NURSING HOME 83,A81000C,00300,0100,A 83,A81000C,00300,0200,D. LEE GUYTON 83,A81000C,00300,0400,THE GUYTON CO. 83,A81000C,00300,0600,N HOME MGT 83,A81000C,00400,0100,D 83,A81000C,00400,0200,ALTOONA PROPERT 83,A81000C,00400,0400,D. LEE GUYTON 83,A81000C,00400,0600,PROPERTY LEASE 83,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 83,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 83,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 83,B100000,00000,0400,00000ACCUM COST ADMINISTRATIVE & 83,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 83,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 83,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 83,B100000,00000,0800,00000MEALS SERVED DIETARY 83,B100000,00000,0900,00000DIRECT NRSG HRS NURSING ADMIN 83,B100000,00000,1000,00000COSTED REQUIS CENTRAL SERVICE 83,B100000,00000,1100,00000COSTED REQUIS PHARMACY 83,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 83,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 83,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 83,S000000,00100,0200,02/05/2001 83,S200000,00100,0100,6532 WALNUT GROVE ROAD 83,S200000,00200,0100,ALTOONA 83,S200000,00200,0200,AL 83,S200000,00200,0300,35952 83,S200000,00300,0100,ETOWAH 83,S200000,00400,0100,ALTOONA HEALTH CARE CENTER 83,S200000,00400,0200,015101 83,S200000,00400,0300,08/01/1986 83,S200000,00400,0500,P 83,S200000,01500,0100,Y 83,S200000,04300,0100,Y 83,S700003,00000,0200,X 88,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88,A000000,00300,0000,00300EMPLOYEE BENEFITS 88,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88,A000000,00700,0000,00700HOUSEKEEPING 88,A000000,00800,0000,00800DIETARY 88,A000000,00900,0000,00900NURSING ADMINISTRATION 88,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88,A000000,01100,0000,01100PHARMACY 88,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88,A000000,01300,0000,01300SOCIAL SERVICE 88,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88,A000000,01600,0000,01600SKILLED NURSING FACILITY 88,A000000,01800,0000,01800NURSING FACILITY 88,A000000,01810,0000,01810ICF/MR 88,A000000,01900,0000,01900OTHER LONG TERM CARE 88,A000000,02100,0000,02100RADIOLOGY 88,A000000,02200,0000,02200LABORATORY 88,A000000,02300,0000,02300INTRAVENOUS THERAPY 88,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88,A000000,02500,0000,02500PHYSICAL THERAPY 88,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88,A000000,02700,0000,02700SPEECH PATHOLOGY 88,A000000,02800,0000,02800ELECTROCARDIOLOGY 88,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88,A000000,03200,0000,03200SUPPORT SURFACES 88,A000000,03400,0000,03400CLINIC 88,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 88,A000000,03500,0000,03500RURAL HEALTH CLINIC 88,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88,A000000,04400,0000,04400DME RENTED - HHA 88,A000000,04500,0000,04500DME SOLD - HHA 88,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88,A000000,04800,0000,04800AMBULANCE 88,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88,A000000,05000,0000,05000CORF 88,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88,A000000,05300,0000,05300INTEREST EXPENSE 88,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88,A000000,05500,0000,05500HOSPICE 88,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88,A000000,06100,0000,06100NONPAID WORKERS 88,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 88,A000000,06200,0000,06200PATIENTS LAUNDRY 88,A81000A,00100,0100,Y 88,A81000B,00100,0300,DEPRECIATION 88,A81000B,00200,0300,PROPERTY TAX INSURANCE 88,A81000B,00300,0300,ADMIN 88,A81000C,00100,0100,B 88,A81000C,00100,0200,COGBURN HOLDING 88,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 88,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 88,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 88,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 88,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 88,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 88,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 88,B100000,00000,0800,00000PATIENT DAYSDIETARY 88,B100000,00000,0900,00000GROSS SALARIESNURSING ADMINISTR 88,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 88,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 88,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 88,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 88,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 88,S000000,00100,0200,11/30/2000 88,S200000,00100,0100,148 TUSCALOOSA STREET 88,S200000,00200,0100,MOBILE 88,S200000,00200,0200,ALABAMA 88,S200000,00200,0300,36607 88,S200000,00300,0100,MOBILE 88,S200000,00300,0300,U 88,S200000,00400,0100,COGBURN HEALTH CENTER INC. 88,S200000,00400,0200,015103 88,S200000,00400,0300,07/01/1967 88,S200000,00400,0500,P 88,S200000,01500,0100,Y 88,S700003,00000,0200,2 109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 109,A000000,00300,0000,00300EMPLOYEE BENEFITS 109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 109,A000000,00700,0000,00700HOUSEKEEPING 109,A000000,00800,0000,00800DIETARY 109,A000000,00900,0000,00900NURSING ADMINISTRATION 109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 109,A000000,01100,0000,01100PHARMACY 109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 109,A000000,01300,0000,01300SOCIAL SERVICE 109,A000000,01350,0000,01500ACTIVITIES 109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 109,A000000,01600,0000,01600SKILLED NURSING FACILITY 109,A000000,01800,0000,01800NURSING FACILITY 109,A000000,01810,0000,01810ICF/MR 109,A000000,01900,0000,01900OTHER LONG TERM CARE 109,A000000,02100,0000,02100RADIOLOGY 109,A000000,02200,0000,02200LABORATORY 109,A000000,02300,0000,02300INTRAVENOUS THERAPY 109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 109,A000000,02500,0000,02500PHYSICAL THERAPY 109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 109,A000000,02700,0000,02700SPEECH PATHOLOGY 109,A000000,02800,0000,02800ELECTROCARDIOLOGY 109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 109,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 109,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 109,A000000,03200,0000,03200SUPPORT SURFACES 109,A000000,03400,0000,03400CLINIC 109,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 109,A000000,03500,0000,03500RURAL HEALTH CLINIC 109,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 109,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 109,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 109,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 109,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 109,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 109,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 109,A000000,04400,0000,04400DME RENTED - HHA 109,A000000,04500,0000,04500DME SOLD - HHA 109,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 109,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 109,A000000,04800,0000,04800AMBULANCE 109,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 109,A000000,05000,0000,05000CORF 109,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 109,A000000,05300,0000,05300INTEREST EXPENSE 109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 109,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 109,A000000,05500,0000,05500HOSPICE 109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 109,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 109,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 109,A000000,06100,0000,06100NONPAID WORKERS 109,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 109,A000000,06200,0000,06200PATIENTS LAUNDRY 109,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 109,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 109,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 109,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 109,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 109,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 109,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 109,B100000,00000,0800,00000MEALS SERVEDDIETARY 109,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 109,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 109,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 109,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 109,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 109,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 109,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 109,S000000,00100,0200,11/15/2000 109,S200000,00100,0100,950 SOUTH ST. ANDREWS STREET 109,S200000,00100,0300,1246 109,S200000,00200,0100,DOTHAN 109,S200000,00200,0200,AL 109,S200000,00200,0300,36302-1246 109,S200000,00300,0100,HOUSTON 109,S200000,00300,0300,U 109,S200000,00400,0100,EXTENDICARE INC. 109,S200000,00400,0200,015152 109,S200000,00400,0300,12/01/1979 109,S200000,00400,0500,P 109,S200000,01500,0100,Y 109,S700003,00000,0200,2 143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 143,A000000,00300,0000,00300EMPLOYEE BENEFITS 143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 143,A000000,00700,0000,00700HOUSEKEEPING 143,A000000,00800,0000,00800DIETARY 143,A000000,00900,0000,00900NURSING ADMINISTRATION 143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 143,A000000,01100,0000,01100PHARMACY 143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 143,A000000,01300,0000,01300SOCIAL SERVICE 143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 143,A000000,01600,0000,01600SKILLED NURSING FACILITY 143,A000000,01810,0000,01810ICF/MR 143,A000000,01900,0000,01900OTHER LONG TERM CARE 143,A000000,02100,0000,02100RADIOLOGY 143,A000000,02200,0000,02200LABORATORY 143,A000000,02500,0000,02500PHYSICAL THERAPY 143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 143,A000000,03050,0000,03300DENTAL SERVICES 143,A000000,03550,0000,03550FQHC 143,A000000,04800,0000,04800AMBULANCE 143,A000000,05000,0000,05000CORF 143,A000000,05010,0000,05010CMHC 143,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 143,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 143,A000000,06150,0000,06300OTHER COSTS 143,A81000A,00100,0100,Y 143,A81000B,00100,0300,DRUGS 143,A81000B,00200,0300,CONSULTANT FEES 143,A81000C,00100,0100,A 143,A81000C,00100,0200,BEN MAIN 143,A81000C,00100,0400,MAIN DRUG STORE 143,A81000C,00100,0600,PHARMACY 143,A81000C,00200,0100,B 143,A81000C,00200,0200,THOMAS MAIN 143,A81000C,00200,0400,MAIN DRUG STORE 143,A81000C,00200,0600,PHARMACY 143,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 143,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 143,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 143,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 143,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 143,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 143,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 143,B100000,00000,0800,00000MEALS SERVEDDIETARY 143,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 143,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 143,B100000,00000,1100,00000COSTED REQUISPHARMACY 143,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 143,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 143,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 143,S000000,00100,0200,01/03/2001 143,S200000,00100,0100,1000 SOUTHERN SPRINGS ROAD 143,S200000,00200,0100,UNION SPRINGS 143,S200000,00200,0200,AL 143,S200000,00200,0300,36089 143,S200000,00300,0100,BULLOCK 143,S200000,00300,0300,R 143,S200000,00400,0100,SOUTHERN SPRINGS NURSING HOME 143,S200000,00400,0200,015171 143,S200000,00400,0300,10/18/1994 143,S200000,00400,0500,P 143,S200000,01600,0100,Y 143,S200000,04100,0100,Y 143,S200000,04200,0100,Y 143,S700003,00000,0200,2 151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 151,A000000,00300,0000,00300EMPLOYEE BENEFITS 151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 151,A000000,00700,0000,00700HOUSEKEEPING 151,A000000,00800,0000,00800DIETARY 151,A000000,00900,0000,00900NURSING ADMINISTRATION 151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 151,A000000,01100,0000,01100PHARMACY 151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 151,A000000,01300,0000,01300SOCIAL SERVICE 151,A000000,01600,0000,01600SKILLED NURSING FACILITY 151,A000000,01800,0000,01800NURSING FACILITY 151,A000000,01810,0000,01801ICF/MR 151,A000000,01900,0000,01900OTHER LONG TERM CARE 151,A000000,02100,0000,02100RADIOLOGY 151,A000000,02200,0000,02200LABORATORY 151,A000000,02300,0000,02300INTRAVENOUS THERAPY 151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 151,A000000,02500,0000,02500PHYSICAL THERAPY 151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 151,A000000,02700,0000,02700SPEECH PATHOLOGY 151,A000000,02800,0000,02800ELECTROCARDIOLOGY 151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 151,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 151,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 151,A000000,03200,0000,03200SUPPORT SURFACES 151,A000000,03400,0000,03400CLINIC 151,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 151,A000000,03500,0000,03500RURAL HEALTH CLINIC 151,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 151,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 151,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 151,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 151,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 151,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 151,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 151,A000000,04400,0000,04400DME RENTED - HHA 151,A000000,04500,0000,04500DME SOLD - HHA 151,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 151,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 151,A000000,04750,0000,05100OTHER REIMBURSABLE COST 151,A000000,04800,0000,04800AMBULANCE 151,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 151,A000000,05000,0000,05000CORF 151,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 151,A000000,05300,0000,05300INTEREST EXPENSE 151,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 151,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 151,A000000,05500,0000,05500HOSPICE 151,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 151,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 151,A000000,06100,0000,06100NONPAID WORKERS 151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 151,A000000,06200,0000,06200PATIENTS LAUNDRY 151,A81000A,00100,0100,Y 151,A81000B,00100,0300,HONE OFFICE COST ADJUSTMENT 151,A81000C,00100,0100,A 151,A81000C,00100,0200,TED COOK 151,A81000C,00100,0400,COOKS HEALTHCA 151,A81000C,00100,0600,HOME OFFICE 151,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 151,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 151,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 151,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 151,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 151,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 151,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 151,B100000,00000,0800,00000MEALS SERVEDDIETARY 151,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 151,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 151,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 151,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 151,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 151,S000000,00100,0200,11/07/2000 151,S200000,00100,0100,426 PINEVIEW AVENUE 151,S200000,00200,0100,GLENCOE 151,S200000,00200,0200,AL 151,S200000,00200,0300,35905- 151,S200000,00300,0100,ETOWAH 151,S200000,00300,0300,U 151,S200000,00400,0100,COOSA VALLEY HEALTHCARE 151,S200000,00400,0200,015174 151,S200000,00400,0300,07/01/1977 151,S200000,00400,0500,P 151,S200000,01600,0100,Y 151,S200000,01900,0100,N 151,S700003,00000,0200,2 180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 180,A000000,00300,0000,00300EMPLOYEE BENEFITS 180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 180,A000000,00700,0000,00700HOUSEKEEPING 180,A000000,00800,0000,00800DIETARY 180,A000000,00900,0000,00900NURSING ADMINISTRATION 180,A000000,01300,0000,01300SOCIAL SERVICE 180,A000000,01600,0000,01600SKILLED NURSING FACILITY 180,A000000,01800,0000,01800NURSING FACILITY 180,A000000,02100,0000,02100RADIOLOGY 180,A000000,02200,0000,02200LABORATORY 180,A000000,02500,0000,02500PHYSICAL THERAPY 180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 180,A000000,02700,0000,02700SPEECH PATHOLOGY 180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 180,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 180,A000000,05300,0000,05300INTEREST EXPENSE 180,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 180,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 180,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 180,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 180,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 180,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 180,B100000,00000,0800,00000MEALS SERVEDDIETARY 180,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 180,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 180,S000000,00100,0200,11/08/2000 180,S200000,00100,0100,1945 DAVIS DRIVE 180,S200000,00200,0100,GADSDEN 180,S200000,00200,0200,AL 180,S200000,00200,0300,35901 180,S200000,00300,0100,ETOWAH 180,S200000,00300,0300,U 180,S200000,00400,0100,GADSDEN HEALTH CARE CENTER INC. 180,S200000,00400,0200,015180 180,S200000,00400,0300,01/01/1967 180,S200000,00400,0500,P 180,S200000,01600,0100,Y 180,S700003,00000,0200,2 200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 200,A000000,00300,0000,00300EMPLOYEE BENEFITS 200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 200,A000000,00700,0000,00700HOUSEKEEPING 200,A000000,00800,0000,00800DIETARY 200,A000000,01300,0000,01300SOCIAL SERVICE 200,A000000,01600,0000,01600SKILLED NURSING FACILITY 200,A000000,02200,0000,02200LABORATORY 200,A000000,02500,0000,02500PHYSICAL THERAPY 200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 200,A000000,02700,0000,02700SPEECH PATHOLOGY 200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 200,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 200,A000000,05300,0000,05300INTEREST EXPENSE 200,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 200,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 200,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 200,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 200,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 200,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 200,B100000,00000,0800,00000MEALS SERVEDDIETARY 200,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 200,S000000,00100,0200,11/10/2000 200,S200000,00100,0100,612 1/2 CALHOUN STREET 200,S200000,00200,0100,PIEDMONT 200,S200000,00200,0200,AL 200,S200000,00200,0300,36272 200,S200000,00300,0100,CALHOUN 200,S200000,00300,0300,U 200,S200000,00400,0100,PIEDMONT HEALTH CARE CENTER 200,S200000,00400,0200,015194 200,S200000,00400,0300,01/01/1967 200,S200000,00400,0500,P 200,S200000,01500,0100,Y 200,S700003,00000,0200,2 222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 222,A000000,00300,0000,00300EMPLOYEE BENEFITS 222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 222,A000000,00700,0000,00700HOUSEKEEPING 222,A000000,00800,0000,00800DIETARY 222,A000000,01300,0000,01300SOCIAL SERVICE 222,A000000,01600,0000,01600SKILLED NURSING FACILITY 222,A000000,02200,0000,02200LABORATORY 222,A000000,02500,0000,02500PHYSICAL THERAPY 222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 222,A000000,02700,0000,02700SPEECH PATHOLOGY 222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 222,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 222,A000000,05300,0000,05300INTEREST EXPENSE 222,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 222,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 222,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 222,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 222,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 222,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 222,B100000,00000,0800,00000MEALS SERVEDDIETARY 222,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 222,S000000,00100,0200,02/29/2000 222,S200000,00100,0100,877 CEDAR BLUFF ROAD 222,S200000,00200,0100,CENTRE 222,S200000,00200,0200,ALABAMA 222,S200000,00200,0300,35960 222,S200000,00300,0100,CHEROKEE 222,S200000,00400,0100,CHEROKEE COUNTY NURSING HOME 222,S200000,00400,0200,015200 222,S200000,00400,0300,01/01/1967 222,S200000,00400,0500,P 222,S200000,01500,0100,Y 222,S200000,02800,0100,Y 222,S700003,00000,0100,1 229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 229,A000000,00300,0000,00300EMPLOYEE BENEFITS 229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 229,A000000,00700,0000,00700HOUSEKEEPING 229,A000000,00800,0000,00800DIETARY 229,A000000,00900,0000,00900NURSING ADMINISTRATION 229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 229,A000000,01100,0000,01100PHARMACY 229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 229,A000000,01300,0000,01300SOCIAL SERVICE 229,A000000,01600,0000,01600SKILLED NURSING FACILITY 229,A000000,01800,0000,01800NURSING FACILITY 229,A000000,01810,0000,01801ICF/MR 229,A000000,01900,0000,01900OTHER LONG TERM CARE 229,A000000,02100,0000,02100RADIOLOGY 229,A000000,02200,0000,02200LABORATORY 229,A000000,02300,0000,02300INTRAVENOUS THERAPY 229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 229,A000000,02500,0000,02500PHYSICAL THERAPY 229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 229,A000000,02700,0000,02700SPEECH PATHOLOGY 229,A000000,02800,0000,02800ELECTROCARDIOLOGY 229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 229,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 229,A000000,03200,0000,03200SUPPORT SURFACES 229,A000000,03400,0000,03400CLINIC 229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 229,A000000,03500,0000,03500RURAL HEALTH CLINIC 229,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 229,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 229,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 229,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 229,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 229,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 229,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 229,A000000,04400,0000,04400DME RENTED - HHA 229,A000000,04500,0000,04500DME SOLD - HHA 229,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 229,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 229,A000000,04800,0000,04800AMBULANCE 229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 229,A000000,05000,0000,05000CORF 229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 229,A000000,05300,0000,05300INTEREST EXPENSE 229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 229,A000000,05500,0000,05500HOSPICE 229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 229,A000000,06100,0000,06100NONPAID WORKERS 229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 229,A000000,06200,0000,06200PATIENTS LAUNDRY 229,A81000A,00100,0100,Y 229,A81000B,00100,0300,HOME OFFICE COST ADJUSTMENT 229,A81000C,00100,0100,A 229,A81000C,00100,0200,TED COOK 229,A81000C,00100,0400,COOKS HEALTHCA 229,A81000C,00100,0600,HOME OFFICE 229,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 229,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 229,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 229,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 229,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 229,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 229,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 229,B100000,00000,0800,00000MEALS SERVEDDIETARY 229,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 229,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 229,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 229,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 229,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 229,S000000,00100,0200,11/14/2000 229,S200000,00100,0100,915 STEWART STREET S.E. 229,S200000,00200,0100,ATTALLA 229,S200000,00200,0200,AL 229,S200000,00200,0300,35954-9363 229,S200000,00300,0100,ETOWAH 229,S200000,00300,0300,U 229,S200000,00400,0100,ATTALLA HEALTHCARE 229,S200000,00400,0200,015203 229,S200000,00400,0300,01/06/1972 229,S200000,00400,0500,P 229,S200000,01600,0100,Y 229,S200000,01900,0100,N 229,S700003,00000,0200,2 258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 258,A000000,00300,0000,00300EMPLOYEE BENEFITS 258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 258,A000000,00700,0000,00700HOUSEKEEPING 258,A000000,00800,0000,00800DIETARY 258,A000000,00900,0000,00900NURSING ADMINISTRATION 258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 258,A000000,01100,0000,01100PHARMACY 258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 258,A000000,01300,0000,01300SOCIAL SERVICE 258,A000000,01600,0000,01600SKILLED NURSING FACILITY 258,A000000,01800,0000,01800NURSING FACILITY 258,A000000,01900,0000,01900OTHER LONG TERM CARE 258,A000000,02100,0000,02100RADIOLOGY 258,A000000,02200,0000,02200LABORATORY 258,A000000,02300,0000,02300INTRAVENOUS THERAPY 258,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 258,A000000,02500,0000,02500PHYSICAL THERAPY 258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 258,A000000,02700,0000,02700SPEECH PATHOLOGY 258,A000000,02800,0000,02800ELECTROCARDIOLOGY 258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 258,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 258,A000000,03200,0000,03200SUPPORT SURFACES 258,A000000,03400,0000,03400CLINIC 258,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 258,A000000,03500,0000,03500RURAL HEALTH CLINIC 258,A000000,04800,0000,04800AMBULANCE 258,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 258,A000000,05300,0000,05300INTEREST EXPENSE 258,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 258,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 258,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 258,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 258,A000000,06100,0000,06100NONPAID WORKERS 258,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 258,A000000,06200,0000,06200PATIENTS LAUNDRY 258,A81000A,00100,0100,Y 258,A81000B,00100,0300,NURSING SUPPLIES 258,A81000B,00200,0300,NURSING SUPPLIES 258,A81000C,00100,0100,A 258,A81000C,00100,0200,ARCHIE CHAPMAN 258,A81000C,00100,0400,MEDCO LLC 258,A81000C,00100,0600,MEDICAL SUPPLIE 258,A81000C,00200,0100,A 258,A81000C,00200,0200,JOHN R. CHAPMAN 258,A81000C,00200,0400,MEDCO LLC 258,A81000C,00200,0600,MEDICAL SUPPLIE 258,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 258,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 258,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 258,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 258,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 258,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 258,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 258,B100000,00000,0800,00000MEALS SERVEDDIETARY 258,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 258,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 258,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 258,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 258,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 258,S000000,00100,0200,11/09/2000 258,S200000,00100,0100,3701 DADEVILLE ROAD 258,S200000,00200,0100,ALEXANDER CITY 258,S200000,00200,0200,AL 258,S200000,00200,0300,35010 258,S200000,00300,0100,TALLAPOOSA 258,S200000,00300,0300,R 258,S200000,00400,0100,CHAPMAN NURSING HOME INC. 258,S200000,00400,0200,015221 258,S200000,00400,0300,07/01/1993 258,S200000,00400,0500,P 258,S200000,01600,0100,Y 258,S700003,00000,0200,2 274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 274,A000000,00300,0000,00300EMPLOYEE BENEFITS 274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 274,A000000,00700,0000,00700HOUSEKEEPING 274,A000000,00800,0000,00800DIETARY 274,A000000,00900,0000,00900NURSING ADMINISTRATION 274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 274,A000000,01300,0000,01300SOCIAL SERVICE 274,A000000,01600,0000,01600SKILLED NURSING FACILITY 274,A000000,01800,0000,01800NURSING FACILITY 274,A000000,01900,0000,01900OTHER LONG TERM CARE 274,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 274,A000000,02500,0000,02500PHYSICAL THERAPY 274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 274,A000000,02700,0000,02700SPEECH PATHOLOGY 274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 274,A000000,03050,0000,03300ENTERAL FEEDING 274,A000000,03051,0000,03301AIRFLOW BEDS 274,A000000,03052,0000,03302IN-SERVICE EDUCATION 274,A000000,03053,0000,03303SPECIAL CARE 274,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 274,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 274,A000000,05500,0000,05500HOSPICE 274,A000000,06100,0000,06100NONPAID WORKERS 274,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 274,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 274,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 274,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 274,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 274,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 274,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 274,B100000,00000,0800,00000MEALS SERVEDDIETARY 274,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 274,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 274,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 274,S000000,00100,0200,03/03/2000 274,S200000,00100,0100,200 PINE HILL ROAD 274,S200000,00200,0100,BIRMINGHAM 274,S200000,00200,0200,AL 274,S200000,00200,0300,35217 274,S200000,00300,0100,JEFFERSON 274,S200000,00400,0100,JEFFERSON COUNTY NURSING HOME 274,S200000,00400,0200,015349 274,S200000,00400,0300,07/01/1966 274,S200000,00400,0500,P 274,S200000,01600,0100,Y 274,S700003,00000,0100,1 280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 280,A000000,00300,0000,00300EMPLOYEE BENEFITS 280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 280,A000000,00700,0000,00700HOUSEKEEPING 280,A000000,00800,0000,00800DIETARY 280,A000000,00900,0000,00900NURSING ADMINISTRATION 280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 280,A000000,01100,0000,01100PHARMACY 280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 280,A000000,01300,0000,01300SOCIAL SERVICE 280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 280,A000000,01600,0000,01600SKILLED NURSING FACILITY 280,A000000,01800,0000,01800NURSING FACILITY 280,A000000,01810,0000,01810ICF/MR 280,A000000,01900,0000,01900OTHER LONG TERM CARE 280,A000000,02200,0000,02200LABORATORY 280,A000000,02500,0000,02500PHYSICAL THERAPY 280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 280,A000000,02700,0000,02700SPEECH PATHOLOGY 280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 280,A000000,03550,0000,03550FQHC 280,A000000,05000,0000,05000CORF 280,A000000,05010,0000,05010CMHC 280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 280,A000000,06201,0000,06201MARKETING 280,A81000A,00100,0100,Y 280,A81000B,00100,0300,HOME OFFICE 280,A81000C,00100,0100,B 280,A81000C,00100,0200,RODERICK GROUP 280,B100000,00000,0100,00001SQUARE FEET CAP REL COSTS - B 280,B100000,00000,0200,00001SQUARE FEET CAP REL COSTS - M 280,B100000,00000,0300,00001GROSS SALARIES EMPLOYEE BENE 280,B100000,00000,0400,00001ACCUM COST ADMINISTRATIVE & 280,B100000,00000,0500,00001SQUARE FEET PLANT OPERATION 280,B100000,00000,0600,00001POUNDS OF LAUNDRY LAUNDRY & LINE 280,B100000,00000,0700,00001HOURS OF SERVICE HOUSEKEEPING 280,B100000,00000,0800,00001MEALS SERVED DIETARY 280,B100000,00000,0900,00001DIRECT NRSG HRS NURSING ADMIN 280,B100000,00000,1000,00001PATIENT DAYS CENTRAL SERVICES 280,B100000,00000,1100,00001COSTED REQUIS PHARMACY 280,B100000,00000,1200,00001PATIENT DAYS MEDICAL RECORDS & 280,B100000,00000,1300,00001TIME SPENT SOCIAL SERVICE 280,B100000,00000,1400,00001ASSIGNED TIME INTERNS & RESIDEN 280,S000000,00100,0200,05/05/2000 280,S200000,00400,0100,PARKVIEW VILLAGE 280,S200000,00400,0200,015372 280,S200000,00400,0300,01/01/1990 280,S200000,00400,0500,P 280,S200000,01600,0100,Y 280,S700003,00000,0100,X 289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 289,A000000,00300,0000,00300EMPLOYEE BENEFITS 289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 289,A000000,00700,0000,00700HOUSEKEEPING 289,A000000,00800,0000,00800DIETARY 289,A000000,00900,0000,00900NURSING ADMINISTRATION 289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 289,A000000,01100,0000,01100PHARMACY 289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 289,A000000,01300,0000,01300SOCIAL SERVICE 289,A000000,01350,0000,01500ACTIVITIES 289,A000000,01600,0000,01600SKILLED NURSING FACILITY 289,A000000,01800,0000,01800NURSING FACILITY 289,A000000,01900,0000,01900OTHER LONG TERM CARE 289,A000000,02100,0000,02100RADIOLOGY 289,A000000,02200,0000,02200LABORATORY 289,A000000,02300,0000,02300INTRAVENOUS THERAPY 289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 289,A000000,02500,0000,02500PHYSICAL THERAPY 289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 289,A000000,02700,0000,02700SPEECH PATHOLOGY 289,A000000,02800,0000,02800ELECTROCARDIOLOGY 289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 289,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 289,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 289,A000000,03200,0000,03200SUPPORT SURFACES 289,A000000,03400,0000,03400CLINIC 289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 289,A000000,04800,0000,04800AMBULANCE 289,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 289,A000000,05300,0000,05300INTEREST EXPENSE 289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 289,A000000,05500,0000,05500HOSPICE 289,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 289,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 289,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 289,A000000,06100,0000,06100NONPAID WORKERS 289,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 289,A000000,06200,0000,06200PATIENTS LAUNDRY 289,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 289,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 289,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 289,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 289,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 289,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 289,B100000,00000,0700,00000PATIENT DAYSHOUSEKEEPING 289,B100000,00000,0800,00000PATIENT DAYSDIETARY 289,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 289,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 289,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 289,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 289,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 289,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 289,S000000,00100,0200,11/15/2000 289,S200000,00100,0100,212 DOTHAN ROAD 289,S200000,00200,0100,ABBEVILLE ALABAMA 36310 289,S200000,00300,0100,HENRY 289,S200000,00300,0300,R 289,S200000,00400,0100,HENRY COUNTY NURSING HOME 289,S200000,00400,0200,015373 289,S200000,00400,0300,07/17/1995 289,S200000,00400,0500,P 289,S200000,01600,0100,Y 289,S700003,00000,0200,2 292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 292,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 292,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 292,A000000,00300,0000,00300EMPLOYEE BENEFITS 292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 292,A000000,00700,0000,00700HOUSEKEEPING 292,A000000,00800,0000,00800DIETARY 292,A000000,00801,0000,00801CAFETERIA 292,A000000,00900,0000,00900NURSING ADMINISTRATION 292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 292,A000000,01100,0000,01100PHARMACY 292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 292,A000000,01300,0000,01300SOCIAL SERVICE 292,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 292,A000000,01600,0000,01600SKILLED NURSING FACILITY 292,A000000,01800,0000,01800NURSING FACILITY 292,A000000,01900,0000,01900OTHER LONG TERM CARE 292,A000000,02100,0000,02100RADIOLOGY 292,A000000,02200,0000,02200LABORATORY 292,A000000,02300,0000,02300INTRAVENOUS THERAPY 292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 292,A000000,02500,0000,02500PHYSICAL THERAPY 292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 292,A000000,02700,0000,02700SPEECH PATHOLOGY 292,A000000,02800,0000,02800ELECTROCARDIOLOGY 292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 292,A000000,03050,0000,03300OTHER ANCILLARY 292,A000000,03051,0000,03301OTHER ANCILLARY II 292,A000000,03052,0000,03302OTHER ANCILLARY III 292,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 292,A000000,03200,0000,03200SUPPORT SURFACES 292,A000000,03400,0000,03400CLINIC 292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 292,A000000,03500,0000,03500RURAL HEALTH CLINIC 292,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 292,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 292,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 292,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 292,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 292,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 292,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 292,A000000,04400,0000,04400DME RENTED - HHA 292,A000000,04500,0000,04500DME SOLD - HHA 292,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 292,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 292,A000000,04800,0000,04800AMBULANCE 292,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 292,A000000,05000,0000,05000CORF I 292,A000000,05010,0000,05010CMHC I 292,A000000,05020,0000,05020OPT I 292,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 292,A000000,05300,0000,05300INTEREST EXPENSE 292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 292,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 292,A000000,05500,0000,05500HOSPICE 292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 292,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 292,A000000,06100,0000,06100NONPAID WORKERS 292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 292,A000000,06200,0000,06200PATIENTS LAUNDRY 292,B100000,00000,0100,00000(SQUARE FEET) CAP REL COSTS - 292,B100000,00000,0101,00000(SQUARE FEET) CAP REL COSTS - 292,B100000,00000,0200,00000(SQUARE FEET) CAP REL COSTS - 292,B100000,00000,0201,00000(SQUARE FEET) CAP REL COSTS - 292,B100000,00000,0300,00000(GROSS SALARIES) EMPLOYEE BEN 292,B100000,00000,0400,00000(ACCUM. COST) ADMINISTRATIVE & 292,B100000,00000,0500,00000(SQUARE FEET) PLANT OPERATION 292,B100000,00000,0600,00000(PATIENT DAYS) LAUNDRY & LINEN 292,B100000,00000,0700,00000(SQUARE FEET) HOUSEKEEPING 292,B100000,00000,0800,00000(MEALS SERVED) DIETARY 292,B100000,00000,0801,00000(MEALS SERVED) CAFETERIA 292,B100000,00000,0900,00000(PATIENT DAYS) NURSING ADMINIST 292,B100000,00000,1000,00000(COSTED REQUIS.) CENTRAL SERVI 292,B100000,00000,1100,00000(PATIENT DAYS) PHARMACY 292,B100000,00000,1200,00000(PATIENT DAYS) MEDICAL RECORDS 292,B100000,00000,1300,00000(PATIENT DAYS) SOCIAL SERVICE 292,B100000,00000,1400,00000(ASSIGNED TIME) INTERNS & RESIDE 292,S000000,00100,0200,04/18/2001 292,S200000,00100,0100,500 LEIGHTON AVENUE 292,S200000,00200,0100,ANNISTON 292,S200000,00200,0200,AL 292,S200000,00200,0300,36201 292,S200000,00300,0100,CALHOUN 292,S200000,00400,0100,BECKWOOD MANOR NURSING HOME 292,S200000,00400,0200,015375 292,S200000,00400,0300,07/01/1997 292,S200000,00400,0500,P 292,S200000,01500,0100,Y 292,S700003,00000,0200,X 304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 304,A000000,00300,0000,00300EMPLOYEE BENEFITS 304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 304,A000000,00700,0000,00700HOUSEKEEPING 304,A000000,00800,0000,00800DIETARY 304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 304,A000000,01300,0000,01300SOCIAL SERVICE 304,A000000,01350,0000,01500ACTIVITIES 304,A000000,01600,0000,01600SKILLED NURSING FACILITY 304,A000000,02500,0000,02500PHYSICAL THERAPY 304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 304,A000000,02700,0000,02700SPEECH PATHOLOGY 304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 304,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 304,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 304,A81000A,00100,0100,Y 304,A81000B,00100,0300,MANAGEMENT FEES 304,A81000B,00200,0300,HOME OFFICE CAPITAL 304,A81000C,00100,0100,B 304,A81000C,00100,0400,EHS INC. 304,A81000C,00100,0600,MGT. COMPANY 304,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 304,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 304,B100000,00000,0300,00000GROSS SAL EMPLOYEE BENEFITS 304,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 304,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 304,B100000,00000,0600,00000LAUNDRY & LINEN % LAUNDRY & LINE 304,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 304,B100000,00000,0800,00000MEALS SERVED DIETARY 304,B100000,00000,1200,00000MED REC % OF TIME MEDICAL RECORD 304,B100000,00000,1300,00000SOC SVC % OF TIME SOCIAL SERVICE 304,B100000,00000,1500,00000ACTIVITY % ACTIVITIES 304,S000000,00100,0200,12/19/2000 304,S200000,00100,0100,8017 SECOND AVENUE SOUTH 304,S200000,00200,0100,BIRMINGHAM 304,S200000,00200,0200,AL 304,S200000,00200,0300,35206 304,S200000,00300,0100,JEFFERSON 304,S200000,00400,0100,LAKEVIEW NURSING HOME 304,S200000,00400,0200,015388 304,S200000,00400,0300,09/01/1986 304,S200000,00400,0500,P 304,S200000,01500,0100,Y 304,S200000,02200,0100,Y 304,S700003,00000,0200,X 319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 319,A000000,00300,0000,00300EMPLOYEE BENEFITS 319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 319,A000000,00700,0000,00700HOUSEKEEPING 319,A000000,00800,0000,00800DIETARY 319,A000000,00900,0000,00900NURSING ADMINISTRATION 319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 319,A000000,01100,0000,01100PHARMACY 319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 319,A000000,01300,0000,01300SOCIAL SERVICE 319,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 319,A000000,01600,0000,01600SKILLED NURSING FACILITY 319,A000000,01810,0000,01810ICF/MR 319,A000000,02200,0000,02200LABORATORY 319,A000000,02500,0000,02500PHYSICAL THERAPY 319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 319,A000000,02700,0000,02700SPEECH PATHOLOGY 319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 319,A000000,03550,0000,03550FQHC 319,A000000,05000,0000,05000CORF 319,A000000,05010,0000,05010CMHC 319,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 319,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 319,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 319,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 319,A81000A,00100,0100,Y 319,A81000B,00100,0300,HOME OFFICE COSTS 319,A81000B,00200,0300,HOME OFFICE COSTS 319,A81000B,00300,0300,RELATED PARTY LEASE 319,A81000C,00100,0100,B 319,A81000C,00100,0200,THE GUYTON CO. 319,A81000C,00100,0400,ST CLAIR HEALTH 319,A81000C,00100,0600,NURSING HOME 319,A81000C,00200,0100,B 319,A81000C,00200,0200,THE GUYTON CO 319,A81000C,00200,0400,ALTOONA HEALTH 319,A81000C,00200,0600,NURSING HOME 319,A81000C,00300,0100,A 319,A81000C,00300,0200,D. LEE GUYTON 319,A81000C,00300,0400,THE GUYTON CO 319,A81000C,00300,0600,NURSING HOME MG 319,A81000C,00400,0100,D 319,A81000C,00400,0200,ST. CLAIR PROPE 319,A81000C,00400,0400,D. LEE GUYTON 319,A81000C,00400,0600,PROPERTY LEASE 319,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 319,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 319,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 319,B100000,00000,0400,00000ACCUM COST ADMINISTRATIVE & 319,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 319,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 319,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 319,B100000,00000,0800,00000MEALS SERVED DIETARY 319,B100000,00000,0900,00000DIRECT NRSG HRS NURSING ADMIN 319,B100000,00000,1000,00000COSTED REQUIS CENTRAL SERVICE 319,B100000,00000,1100,00000COSTED REQUIS PHARMACY 319,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 319,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 319,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 319,S000000,00100,0200,02/05/2001 319,S200000,00100,0100,OLD HIGHWAY 78 319,S200000,00200,0100,COOK SPRINGS 319,S200000,00200,0200,AL 319,S200000,00200,0300,35052 319,S200000,00300,0100,ST. CLAIR 319,S200000,00400,0100,ST. CLAIR HEALTH CARE CENTER 319,S200000,00400,0200,015400 319,S200000,00400,0300,01/01/1998 319,S200000,00400,0500,P 319,S200000,01500,0100,Y 319,S200000,04300,0100,Y 319,S700003,00000,0200,X 336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 336,A000000,00300,0000,00300EMPLOYEE BENEFITS 336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 336,A000000,00700,0000,00700HOUSEKEEPING 336,A000000,00800,0000,00800DIETARY 336,A000000,00900,0000,00900NURSING ADMINISTRATION 336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 336,A000000,01100,0000,01100PHARMACY 336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 336,A000000,01300,0000,01300SOCIAL SERVICE 336,A000000,01350,0000,01500OTHER GENERAL SERVICES 336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 336,A000000,01600,0000,01600SKILLED NURSING FACILITY 336,A000000,01800,0000,01800NURSING FACILITY 336,A000000,01810,0000,01801ICF/MR 336,A000000,01900,0000,01900OTHER LONG TERM CARE 336,A000000,02100,0000,02100RADIOLOGY 336,A000000,02200,0000,02200LABORATORY 336,A000000,02300,0000,02300INTRAVENOUS THERAPY 336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 336,A000000,02500,0000,02500PHYSICAL THERAPY 336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 336,A000000,02700,0000,02700SPEECH PATHOLOGY 336,A000000,02800,0000,02800ELECTROCARDIOLOGY 336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 336,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 336,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 336,A000000,03200,0000,03200SUPPORT SURFACES 336,A000000,03400,0000,03400CLINIC 336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 336,A000000,03500,0000,03500RURAL HEALTH CLINIC 336,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 336,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 336,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 336,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 336,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 336,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 336,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 336,A000000,04400,0000,04400DME RENTED - HHA 336,A000000,04500,0000,04500DME SOLD - HHA 336,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 336,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 336,A000000,04750,0000,05100OTHER REIMBURSABLE COST 336,A000000,04800,0000,04800AMBULANCE 336,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 336,A000000,05000,0000,05000CORF 336,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 336,A000000,05300,0000,05300INTEREST EXPENSE 336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 336,A000000,05500,0000,05500HOSPICE 336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 336,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 336,A000000,06100,0000,06100NONPAID WORKERS 336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 336,A000000,06200,0000,06200PATIENTS LAUNDRY 336,A81000A,00100,0100,Y 336,A81000B,00100,0300,CAPTIAL MME 336,A81000B,00200,0300,A & G 336,A81000C,00100,0100,B 336,A81000C,00100,0400,LLOYD NOLAND FOUNDATION 336,A81000C,00100,0600,HEALTHCARE SERVICES 336,B100000,00000,0100,00000SQ FT CAP REL COSTS - BLDGS & FI 336,B100000,00000,0200,00000SQ FT CAP REL COSTS - MOVABLE EQ 336,B100000,00000,0300,00000SALARY EMPLOYEE BENEFITS 336,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 336,B100000,00000,0500,00000SQ FT PLANT OPERATION MAINT. & 336,B100000,00000,0600,00000LB USED LAUNDRY & LINEN SERVICE 336,B100000,00000,0700,00000NO STATISTICS HOUSEKEEPIN 336,B100000,00000,0800,00000MEALS DIETARY 336,B100000,00000,0900,00000NO STATISTICS NURSING ADM 336,B100000,00000,1000,00000NO STATISTICS CENTRAL SER 336,B100000,00000,1100,00000NO STATISTICS PHARMACY 336,B100000,00000,1200,00000NO STATISTICS MEDICAL REC 336,B100000,00000,1300,00000NO STATISTICS SOCIAL SERV 336,B100000,00000,1400,00000NO STATISTICS INTERNS & R 336,B100000,00000,1500,00000NO STATISTICS OTHER GENER 336,S000000,00100,0200,11/30/2000 336,S200000,00100,0100,1600 CARRAWAY BOULEVARD 336,S200000,00200,0100,BIRMINGHAM 336,S200000,00200,0200,AL 336,S200000,00200,0300,35234- 336,S200000,00300,0100,JEFFERSON 336,S200000,00400,0100,NOLAND CENTER AT CARRAWAY 336,S200000,00400,0200,015439 336,S200000,00400,0300,09/21/1999 336,S200000,00400,0500,P 336,S200000,01500,0100,Y 336,S700003,00000,0400,X 350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 350,A000000,00300,0000,00300EMPLOYEE BENEFITS 350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 350,A000000,00700,0000,00700HOUSEKEEPING 350,A000000,00800,0000,00800DIETARY 350,A000000,00900,0000,00900NURSING ADMINISTRATION 350,A000000,01001,0000,01000CENTRAL SERVICES & SUPPLY 350,A000000,01100,0000,01100PHARMACY 350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 350,A000000,01300,0000,01300SOCIAL SERVICE 350,A000000,01350,0000,01500OTHER GENERAL SERVICES 350,A000000,01600,0000,01600SKILLED NURSING FACILITY 350,A000000,01800,0000,01800NURSING FACILITY 350,A000000,02100,0000,02100RADIOLOGY 350,A000000,02200,0000,02200LABORATORY 350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 350,A000000,02500,0000,02500PHYSICAL THERAPY 350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 350,A000000,02700,0000,02700SPEECH PATHOLOGY 350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 350,A000000,05300,0000,05300INTEREST EXPENSE 350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 350,A81000A,00100,0100,Y 350,A81000B,00100,0300,MANAGMENT FEES 350,A81000B,00200,0300,INTEREST CAPITAL 350,A81000B,00300,0300,INTEREST A&G 350,A81000B,00400,0300,HOME OFFICE CAPITAL 350,A81000B,00500,0300,HOME OFFICE A&G 350,A81000C,00100,0100,B 350,A81000C,00100,0400,HEALTHSOUTH 350,A81000C,00100,0600,HEALTHCARE 350,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 350,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 350,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 350,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 350,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 350,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 350,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 350,B100000,00000,0800,00000MEALS SERVED DIETARY 350,B100000,00000,0900,00000HOURS OF SERVICE NURSING ADMINI 350,B100000,00000,1000,00000COSTED R EQUISITION CENTRAL SER 350,B100000,00000,1100,00000COSTED R EQUISITION PHARMACY 350,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 350,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 350,B100000,00000,1500,00000BLANK OTHER GENERAL SERVICES 350,S000000,00100,0200,01/31/2001 350,S200000,00100,0100,500 WENTWORTH AVENUE 350,S200000,00200,0100,LOWELL 350,S200000,00200,0200,MA 350,S200000,00200,0300,01854 350,S200000,00300,0100,MIDDLESEX 350,S200000,00400,0100,WENTWORTH NURSING CARE 350,S200000,00400,0200,225489 350,S200000,00400,0300,07/01/1990 350,S200000,00400,0500,P 350,S200000,01600,0100,Y 350,S200000,02200,0100,Y 350,S200000,04600,0100,Y 350,S700003,00000,0200,X 354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 354,A000000,00300,0000,00300EMPLOYEE BENEFITS 354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 354,A000000,00700,0000,00700HOUSEKEEPING 354,A000000,00800,0000,00800DIETARY 354,A000000,00801,0000,00801CAFETERIA 354,A000000,00900,0000,00900NURSING ADMINISTRATION 354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 354,A000000,01300,0000,01300SOCIAL SERVICE 354,A000000,01600,0000,01600SKILLED NURSING FACILITY 354,A000000,02100,0000,02100RADIOLOGY 354,A000000,02200,0000,02200LABORATORY 354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 354,A000000,02500,0000,02500PHYSICAL THERAPY 354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 354,A000000,02700,0000,02700SPEECH PATHOLOGY 354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 354,A000000,03001,0000,03001PSYCHOLOGY 354,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 354,A000000,05300,0000,05300INTEREST EXPENSE 354,A000000,06150,0000,06300GUEST MEALS 354,A81000A,00100,0100,Y 354,A81000B,00100,0300,MANAGEMENT FEES 354,A81000B,00200,0300,HO A&G 354,A81000B,00300,0300,HO CAP 354,A81000B,00400,0300,INTEREST-CAP 354,A81000B,00500,0300,INTEREST A&G 354,A81000C,00100,0100,B 354,A81000C,00100,0400,HEALTHSOUTH 354,A81000C,00100,0600,HEALTHCARE 354,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 354,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 354,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 354,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 354,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 354,B100000,00000,0600,00000LBS OF LAUNDRYLAUNDRY & LINEN SE 354,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 354,B100000,00000,0800,00000#OF MEALSDIETARY 354,B100000,00000,0801,00000FTESCAFETERIA 354,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 354,B100000,00000,1200,00000GROSS REVMEDICAL RECORDS & LIBRARY 354,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 354,S000000,00100,0200,05/30/2000 354,S200000,00100,0100,4950 WILSON LANE 354,S200000,00200,0100,MECHANICSBURG 354,S200000,00200,0200,PA 354,S200000,00200,0300,17055 354,S200000,00300,0100,CUMBERLAND 354,S200000,00300,0300,U 354,S200000,00400,0100,HEALTHSOUTH MECHANICSBURG SUBACUTE 354,S200000,00400,0200,395759 354,S200000,00400,0300,06/17/1988 354,S200000,00400,0500,P 354,S200000,01500,0100,Y 354,S200000,02200,0100,Y 354,S700003,00000,0100,1 360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 360,A000000,00300,0000,00300EMPLOYEE BENEFITS 360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 360,A000000,00700,0000,00700HOUSEKEEPING 360,A000000,00800,0000,00800DIETARY 360,A000000,00900,0000,00900NURSING ADMINISTRATION 360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 360,A000000,01300,0000,01300SOCIAL SERVICE 360,A000000,01350,0000,01500CAFETERIA 360,A000000,01600,0000,01600SKILLED NURSING FACILITY 360,A000000,02500,0000,02500PHYSICAL THERAPY 360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 360,A000000,02700,0000,02700SPEECH PATHOLOGY 360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 360,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 360,A000000,05300,0000,05300INTEREST EXPENSE 360,A000000,06150,0000,06300GUEST MEALS 360,A000000,06151,0000,06301MARKETING 360,A81000A,00100,0100,Y 360,A81000B,00100,0300,HO-CAPITAL 360,A81000B,00200,0300,HO-INTEREST 360,A81000B,00300,0300,HO-A&G 360,A81000B,00400,0300,INTEREST OPERATING 360,A81000B,00500,0300,MANAGEMENT FEES 360,A81000C,00100,0100,B 360,A81000C,00100,0400,HEALTHSOUTH 360,A81000C,00100,0600,HEALTHCARE 360,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 360,B100000,00000,0300,00001GROSS SALEMPLOYEE BENEFITS 360,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 360,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 360,B100000,00000,0600,00001LAUNDRYLAUNDRY & LINEN SERVICE 360,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 360,B100000,00000,0800,00001MEALSDIETARY 360,B100000,00000,0900,00001NA TIMENURSING ADMINISTRATION 360,B100000,00000,1200,00001MR TIMEMEDICAL RECORDS & LIBRARY 360,B100000,00000,1300,00001SS TIMESOCIAL SERVICE 360,B100000,00000,1500,00001FTESCAFETERIA 360,S000000,00100,0200,05/30/2000 360,S200000,00100,0100,ROUTE 1 HIGHWAY 521 360,S200000,00200,0100,LANCASTER 360,S200000,00200,0200,SC 360,S200000,00200,0300,29721 360,S200000,00300,0100,LANCASTER 360,S200000,00300,0300,R 360,S200000,00400,0100,SNF CRENSHAW CREEK 360,S200000,00400,0200,425304 360,S200000,00400,0300,04/01/1991 360,S200000,00400,0500,P 360,S200000,01500,0100,Y 360,S200000,02200,0100,Y 360,S200000,02800,0100,Y 360,S200000,04300,0100,Y 360,S700003,00000,0100,1 365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 365,A000000,00300,0000,00300EMPLOYEE BENEFITS 365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 365,A000000,00700,0000,00700HOUSEKEEPING 365,A000000,00800,0000,00800DIETARY 365,A000000,00900,0000,00900NURSING ADMINISTRATION 365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 365,A000000,01300,0000,01300SOCIAL SERVICE 365,A000000,01350,0000,01500CAFETERIA 365,A000000,01600,0000,01600SKILLED NURSING FACILITY 365,A000000,02200,0000,02200LABORATORY 365,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 365,A000000,02500,0000,02500PHYSICAL THERAPY 365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 365,A000000,02700,0000,02700SPEECH PATHOLOGY 365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 365,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 365,A000000,05300,0000,05300INTEREST EXPENSE 365,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 365,A000000,06150,0000,06300GUEST MEALS 365,A000000,06151,0000,06301MARKETING 365,A000000,06152,0000,06302SLEEP LAB 365,A81000A,00100,0100,Y 365,A81000B,00100,0300,HOME OFFICE CAPITAL 365,A81000B,00200,0300,HOME OFFICE INTEREST 365,A81000B,00300,0300,HOME OFFICE A&G 365,A81000B,00400,0300,INTERETS OPERATING-A&G 365,A81000B,00500,0300,MANAGEMENT FEES 365,A81000C,00100,0100,B 365,A81000C,00100,0400,HEALTHSOUTH 365,A81000C,00100,0600,HEALTH CARE 365,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 365,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 365,B100000,00000,0300,00002GROSS SALEMPLOYEE BENEFITS 365,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 365,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 365,B100000,00000,0600,00002LBS OF LAUNDRYLAUNDRY & LINEN SE 365,B100000,00000,0700,00002%TIME HOUSEKEEPIHOUSEKEEPING 365,B100000,00000,0800,00002MEALS SERVEDDIETARY 365,B100000,00000,0900,00002%TIME N\ADM.NURSING ADMINISTRAT 365,B100000,00000,1200,00002%TIME MED. REC.MEDICAL RECORDS 365,B100000,00000,1300,00002%TIME SOCIAL SERSOCIAL SERVICE 365,B100000,00000,1500,00002FTESCAFETERIA 365,S000000,00100,0200,05/30/2000 365,S200000,00100,0100,180 MOUNT PELIA ROAD 365,S200000,00200,0100,MARTIN 365,S200000,00200,0200,TN 365,S200000,00200,0300,38237 365,S200000,00300,0100,WEAKLEY 365,S200000,00300,0300,R 365,S200000,00400,0100,SKILLED NURSING FACILITY CANE CREEK 365,S200000,00400,0200,445206 365,S200000,00400,0300,02/03/1987 365,S200000,00400,0500,P 365,S200000,01500,0100,Y 365,S700003,00000,0100,1 379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 379,A000000,00300,0000,00300EMPLOYEE BENEFITS 379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 379,A000000,00700,0000,00700HOUSEKEEPING 379,A000000,00800,0000,00800DIETARY 379,A000000,00900,0000,00900NURSING ADMINISTRATION 379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 379,A000000,01100,0000,01100PHARMACY 379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 379,A000000,01300,0000,01300SOCIAL SERVICE 379,A000000,01350,0000,01500ACTIVITIES 379,A000000,01600,0000,01600SKILLED NURSING FACILITY 379,A000000,01800,0000,01800NURSING FACILITY 379,A000000,01810,0000,01801ICF/MR 379,A000000,01900,0000,01900OTHER LONG TERM CARE 379,A000000,02100,0000,02100RADIOLOGY 379,A000000,02200,0000,02200LABORATORY 379,A000000,02300,0000,02300INTRAVENOUS THERAPY 379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 379,A000000,02500,0000,02500PHYSICAL THERAPY 379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 379,A000000,02700,0000,02700SPEECH PATHOLOGY 379,A000000,02800,0000,02800ELECTROCARDIOLOGY 379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 379,A000000,03200,0000,03200SUPPORT SURFACES 379,A000000,03400,0000,03400CLINIC 379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 379,A000000,03500,0000,03500RURAL HEALTH CLINIC 379,A000000,04750,0000,05100OSP 379,A000000,04800,0000,04800AMBULANCE 379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 379,A000000,05000,0000,05000CORF 379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 379,A000000,05300,0000,05300INTEREST EXPENSE 379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 379,A000000,05500,0000,05500HOSPICE 379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 379,A000000,06100,0000,06100NONPAID WORKERS 379,A000000,06150,0000,06300RETIREMENT 379,A000000,06200,0000,06200PATIENTS LAUNDRY 379,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 379,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 379,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 379,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 379,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 379,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 379,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 379,B100000,00000,0800,00000MEALS SERVEDDIETARY 379,B100000,00000,0900,00000DIRECTNURSSING HOURNURSING ADMINIST 379,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 379,B100000,00000,1100,00000PATIENT DAYSPHARMACY 379,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 379,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 379,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 379,E10A180,00501,0100,07/14/2000 379,E10A180,00501,0300,07/14/2000 379,S000000,00100,0200,06/21/2000 379,S200000,00100,0100,2645 EAST SOUTHERN AVE. 379,S200000,00200,0100,TEMPE 379,S200000,00200,0200,AZ 379,S200000,00200,0300,85282- 379,S200000,00300,0100,MARICOPA 379,S200000,00300,0300,U 379,S200000,00400,0100,FRIENDSHIP VILLAGE - TEMPE 379,S200000,00400,0200,035074 379,S200000,00400,0300,01/01/1979 379,S200000,00400,0500,P 379,S200000,00600,0200,035074 379,S200000,00600,0300,01/01/1979 379,S200000,00600,0600,P 379,S200000,00601,0600,O 379,S200000,01600,0100,Y 379,S200000,01700,0100,Y 379,S200000,01900,0100,N 379,S200000,02200,0100,Y 379,S700003,00000,0100,1 383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 383,A000000,00300,0000,00300EMPLOYEE BENEFITS 383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 383,A000000,00700,0000,00700HOUSEKEEPING 383,A000000,00800,0000,00800DIETARY 383,A000000,00900,0000,00900NURSING ADMINISTRATION 383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 383,A000000,01300,0000,01300SOCIAL SERVICE 383,A000000,01350,0000,01500OTHER GENERAL SERVICES 383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 383,A000000,01600,0000,01600SKILLED NURSING FACILITY 383,A000000,01800,0000,01800NURSING FACILITY 383,A000000,01810,0000,01801ICF/MR 383,A000000,01900,0000,01900OTHER LONG TERM CARE 383,A000000,02100,0000,02100RADIOLOGY 383,A000000,02200,0000,02200LABORATORY 383,A000000,02300,0000,02300INTRAVENOUS THERAPY 383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 383,A000000,02500,0000,02500PHYSICAL THERAPY 383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 383,A000000,02700,0000,02700SPEECH PATHOLOGY 383,A000000,02800,0000,02800ELECTROCARDIOLOGY 383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 383,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 383,A000000,03200,0000,03200SUPPORT SURFACES 383,A000000,03400,0000,03400CLINIC 383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 383,A000000,03500,0000,03500RURAL HEALTH CLINIC 383,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 383,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 383,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 383,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 383,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 383,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 383,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 383,A000000,04400,0000,04400DME RENTED - HHA 383,A000000,04500,0000,04500DME SOLD - HHA 383,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 383,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 383,A000000,04750,0000,05100OSP 383,A000000,04800,0000,04800AMBULANCE 383,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 383,A000000,05000,0000,05000CORF 383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 383,A000000,05300,0000,05300INTEREST EXPENSE 383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 383,A000000,05500,0000,05500HOSPICE 383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 383,A000000,06100,0000,06100NONPAID WORKERS 383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 383,A000000,06200,0000,06200PATIENTS LAUNDRY 383,A81000A,00100,0100,Y 383,A81000B,00100,0300,PROPERTY INSURANCE 383,A81000B,00200,0300,OTHER INSURANCE 383,A81000B,00300,0300,UNEMPLOYMENT 383,A81000B,00400,0300,WORKERS COMP 383,A81000B,00500,0300,ADMIN/ACTG 383,A81000B,00600,0300,MED SUPPLIES 383,A81000B,00700,0300,DISPOSABLE BRIEFS 383,A81000B,00800,0300,DIETARY SUPPLEMENT 383,A81000B,00900,0300,EQUIPMENT 383,A81000C,00100,0100,B 383,A81000C,00100,0400,EV LUTHERAN GOO 383,A81000C,00100,0600,MGMT/ACTG 383,A81000C,00200,0100,B 383,A81000C,00200,0400,OMNICARE PHARM 383,A81000C,00200,0600,MED SUPPLIES 383,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 383,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 383,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 383,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 383,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 383,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 383,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 383,B100000,00000,0800,00000MEALS SERVEDDIETARY 383,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 383,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 383,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 383,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 383,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 383,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 383,S000000,00100,0200,05/31/2000 383,S200000,00100,0100,1030 SCOTT DRIVE 383,S200000,00200,0100,PRESCOTT 383,S200000,00200,0200,AZ 383,S200000,00200,0300,86301- 383,S200000,00300,0100,YAVAPAI 383,S200000,00300,0300,R 383,S200000,00400,0100,PRESCOTT SAMARITAN VILLAGE 383,S200000,00400,0200,035158 383,S200000,00400,0300,05/19/1988 383,S200000,00400,0500,P 383,S200000,01600,0100,Y 383,S200000,01900,0100,N 383,S700003,00000,0100,1 386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 386,A000000,00300,0000,00300EMPLOYEE BENEFITS 386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 386,A000000,00700,0000,00700HOUSEKEEPING 386,A000000,00800,0000,00800DIETARY 386,A000000,00900,0000,00900NURSING ADMINISTRATION 386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 386,A000000,01300,0000,01300SOCIAL SERVICE 386,A000000,01350,0000,01500OTHER GENERAL SERVICES 386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 386,A000000,01600,0000,01600SKILLED NURSING FACILITY 386,A000000,01800,0000,01800NURSING FACILITY 386,A000000,01810,0000,01801ICF/MR 386,A000000,01900,0000,01900OTHER LONG TERM CARE 386,A000000,02100,0000,02100RADIOLOGY 386,A000000,02200,0000,02200LABORATORY 386,A000000,02300,0000,02300INTRAVENOUS THERAPY 386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 386,A000000,02500,0000,02500PHYSICAL THERAPY 386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 386,A000000,02700,0000,02700SPEECH PATHOLOGY 386,A000000,02800,0000,02800ELECTROCARDIOLOGY 386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 386,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 386,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 386,A000000,03200,0000,03200SUPPORT SURFACES 386,A000000,03400,0000,03400CLINIC 386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 386,A000000,03500,0000,03500RURAL HEALTH CLINIC 386,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 386,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 386,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 386,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 386,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 386,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 386,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 386,A000000,04400,0000,04400DME RENTED - HHA 386,A000000,04500,0000,04500DME SOLD - HHA 386,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 386,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 386,A000000,04750,0000,05100OSP 386,A000000,04800,0000,04800AMBULANCE 386,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 386,A000000,05000,0000,05000CORF 386,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 386,A000000,05300,0000,05300INTEREST EXPENSE 386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 386,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 386,A000000,05500,0000,05500HOSPICE 386,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 386,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 386,A000000,06100,0000,06100NONPAID WORKERS 386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 386,A000000,06200,0000,06200PATIENTS LAUNDRY 386,A81000A,00100,0100,Y 386,A81000B,00100,0300,PROPERTY INSURANCE 386,A81000B,00200,0300,OTHER INSURANCE 386,A81000B,00300,0300,UNEMPLOYMENT 386,A81000B,00400,0300,WORKERS COMP 386,A81000B,00500,0300,ADMIN/ACTG 386,A81000B,00600,0300,MED SUPPLIES 386,A81000B,00700,0300,DISPOSABLE BRIEFS 386,A81000B,00800,0300,DIETARY SUPPLEMENT 386,A81000B,00900,0300,TEXTILES 386,A81000C,00100,0100,B 386,A81000C,00100,0200,EV LUTHERAN GOO 386,A81000C,00100,0400,EV LUTHERAN GOO 386,A81000C,00100,0600,MGMT/ACTG 386,A81000C,00200,0100,B 386,A81000C,00200,0200,OMNICARE PHARM 386,A81000C,00200,0400,OMNICARE PHARM 386,A81000C,00200,0600,MED SUPPLIES 386,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 386,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 386,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 386,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 386,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 386,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 386,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 386,B100000,00000,0800,00000MEALS SERVEDDIETARY 386,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 386,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 386,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 386,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 386,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 386,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 386,E10A180,00501,0100,06/16/2000 386,E10A180,00501,0300,06/16/2000 386,S000000,00100,0200,05/30/2000 386,S200000,00100,0100,5848 EAST UNIVERSITY DRIVE 386,S200000,00200,0100,MESA 386,S200000,00200,0200,AZ 386,S200000,00200,0300,85205-7443 386,S200000,00300,0100,MARICOPA 386,S200000,00300,0300,U 386,S200000,00400,0100,GOOD SHEPHERD VILLA 386,S200000,00400,0200,035171 386,S200000,00400,0300,08/19/1988 386,S200000,00400,0500,P 386,S200000,01500,0100,Y 386,S200000,01900,0100,N 386,S700003,00000,0100,1 391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 391,A000000,00300,0000,00300EMPLOYEE BENEFITS 391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 391,A000000,00700,0000,00700HOUSEKEEPING 391,A000000,00800,0000,00800DIETARY 391,A000000,00900,0000,00900NURSING ADMINISTRATION 391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 391,A000000,01300,0000,01300SOCIAL SERVICE 391,A000000,01350,0000,01500OTHER GENERAL SERVICES 391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 391,A000000,01600,0000,01600SKILLED NURSING FACILITY 391,A000000,01800,0000,01800NURSING FACILITY 391,A000000,01810,0000,01801ICF/MR 391,A000000,01900,0000,01900OTHER LONG TERM CARE 391,A000000,02100,0000,02100RADIOLOGY 391,A000000,02200,0000,02200LABORATORY 391,A000000,02300,0000,02300INTRAVENOUS THERAPY 391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 391,A000000,02500,0000,02500PHYSICAL THERAPY 391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 391,A000000,02700,0000,02700SPEECH PATHOLOGY 391,A000000,02800,0000,02800ELECTROCARDIOLOGY 391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 391,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 391,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 391,A000000,03200,0000,03200SUPPORT SURFACES 391,A000000,03400,0000,03400CLINIC 391,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 391,A000000,03500,0000,03500RURAL HEALTH CLINIC 391,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 391,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 391,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 391,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 391,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 391,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 391,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 391,A000000,04400,0000,04400DME RENTED - HHA 391,A000000,04500,0000,04500DME SOLD - HHA 391,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 391,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 391,A000000,04750,0000,05100OSP 391,A000000,04800,0000,04800AMBULANCE 391,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 391,A000000,05000,0000,05000CORF 391,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 391,A000000,05300,0000,05300INTEREST EXPENSE 391,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 391,A000000,05500,0000,05500HOSPICE 391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 391,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 391,A000000,06100,0000,06100NONPAID WORKERS 391,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 391,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 391,A000000,06152,0000,06302APARTMENTS 391,A000000,06200,0000,06200PATIENTS LAUNDRY 391,A81000A,00100,0100,Y 391,A81000B,00100,0300,PROPERTY INSURANCE 391,A81000B,00200,0300,OTHER INSURANCE 391,A81000B,00300,0300,UNEMPLOYMENT 391,A81000B,00400,0300,WORKERS COMP 391,A81000B,00500,0300,ADMIN/ACTG 391,A81000B,00600,0300,MED SUPPLIES 391,A81000B,00700,0300,DISPOSABLE BRIEFS 391,A81000B,00800,0300,DIETARY SUPPLEMENT 391,A81000B,00900,0300,EQUIPMENT 391,A81000C,00100,0100,B 391,A81000C,00100,0200,EV LUTHERAN GS 391,A81000C,00100,0400,EV LUTHERAN GS 391,A81000C,00100,0600,MGMT/ACTG 391,A81000C,00200,0100,B 391,A81000C,00200,0200,OMNICARE PHARM 391,A81000C,00200,0400,OMNICARE PHARM 391,A81000C,00200,0600,MED SUPPLIES 391,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 391,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 391,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 391,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 391,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 391,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 391,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 391,B100000,00000,0800,00002MEALS SERVEDDIETARY 391,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINIS 391,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 391,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 391,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 391,B100000,00000,1350,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 391,B100000,00000,1351,00002NO STATISTICSOTHER GENERAL S 391,E10A180,00301,0100,03/15/2000 391,E10A180,00501,0100,06/22/2000 391,E10A180,00550,0300,06/22/2000 391,S000000,00100,0200,05/05/2000 391,S200000,00100,0100,10323 W. OLIVE AVE 391,S200000,00200,0100,PEORIA 391,S200000,00200,0200,AZ 391,S200000,00200,0300,85345-7340 391,S200000,00300,0100,MARICOPA 391,S200000,00300,0300,U 391,S200000,00400,0100,GOOD SHEPHERD RETIREMENT CENTER 391,S200000,00400,0200,035183 391,S200000,00400,0300,12/30/1998 391,S200000,00400,0500,P 391,S200000,01600,0100,Y 391,S200000,01900,0100,N 391,S700003,00000,0100,1 393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 393,A000000,00300,0000,00300EMPLOYEE BENEFITS 393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 393,A000000,00700,0000,00700HOUSEKEEPING 393,A000000,00800,0000,00800DIETARY 393,A000000,00900,0000,00900NURSING ADMINISTRATION 393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 393,A000000,01300,0000,01300SOCIAL SERVICE 393,A000000,01350,0000,01500OTHER GENERAL SERVICES 393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 393,A000000,01600,0000,01600SKILLED NURSING FACILITY 393,A000000,01800,0000,01800NURSING FACILITY 393,A000000,01810,0000,01801ICF/MR 393,A000000,01900,0000,01900OTHER LONG TERM CARE 393,A000000,02100,0000,02100RADIOLOGY 393,A000000,02200,0000,02200LABORATORY 393,A000000,02300,0000,02300INTRAVENOUS THERAPY 393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 393,A000000,02500,0000,02500PHYSICAL THERAPY 393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 393,A000000,02700,0000,02700SPEECH PATHOLOGY 393,A000000,02800,0000,02800ELECTROCARDIOLOGY 393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 393,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 393,A000000,03200,0000,03200SUPPORT SURFACES 393,A000000,03400,0000,03400CLINIC 393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 393,A000000,03500,0000,03500RURAL HEALTH CLINIC 393,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 393,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 393,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 393,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 393,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 393,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 393,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 393,A000000,04400,0000,04400DME RENTED - HHA 393,A000000,04500,0000,04500DME SOLD - HHA 393,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 393,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 393,A000000,04750,0000,05100OSP 393,A000000,04800,0000,04800AMBULANCE 393,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 393,A000000,05000,0000,05000CORF 393,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 393,A000000,05300,0000,05300INTEREST EXPENSE 393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 393,A000000,05500,0000,05500HOSPICE 393,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 393,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 393,A000000,06100,0000,06100NONPAID WORKERS 393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 393,A000000,06200,0000,06200PATIENTS LAUNDRY 393,A81000A,00100,0100,Y 393,A81000B,00100,0300,PROPERTY INSURANCE 393,A81000B,00200,0300,OTHER INSURANCE 393,A81000B,00300,0300,UNEMPLOYMENT 393,A81000B,00400,0300,ADMIN/ACTG 393,A81000B,00500,0300,MED SUPPLIES 393,A81000B,00600,0300,DISPOSABLE BRIEFS 393,A81000B,00700,0300,DIETARY SUPPLEMENT 393,A81000B,00800,0300,EQUIPMENT 393,A81000B,00900,0300,TEXTILES 393,A81000B,00901,0300,WORKERS COMP 393,A81000C,00100,0100,B 393,A81000C,00100,0200,EV LUTHERAN GOO 393,A81000C,00100,0400,EV LUTHERAN GOO 393,A81000C,00100,0600,MGMT/ACTG 393,A81000C,00200,0100,B 393,A81000C,00200,0200,OMNICARE PHARMA 393,A81000C,00200,0400,OMNICARE PHARMA 393,A81000C,00200,0600,MED SUPPLIES 393,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 393,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 393,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 393,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 393,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 393,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 393,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 393,B100000,00000,0800,00000MEALS SERVEDDIETARY 393,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 393,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 393,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 393,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 393,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 393,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 393,E10A180,00350,0100,11/03/1999 393,E10A180,00501,0300,06/19/2000 393,E10A180,00550,0100,06/19/2000 393,S000000,00100,0200,05/15/2000 393,S200000,00100,0100,850 S. HWY 80 393,S200000,00200,0100,BENSON 393,S200000,00200,0200,AZ 393,S200000,00200,0300,85602- 393,S200000,00300,0100,COCHISE 393,S200000,00300,0300,R 393,S200000,00400,0100,QUIBURI MISSION SAMARITAN CENTER 393,S200000,00400,0200,035214 393,S200000,00400,0300,11/02/1988 393,S200000,00400,0500,P 393,S200000,01500,0100,Y 393,S200000,01900,0100,N 393,S700003,00000,0100,1 398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 398,A000000,00300,0000,00300EMPLOYEE BENEFITS 398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 398,A000000,00700,0000,00700HOUSEKEEPING 398,A000000,00800,0000,00800DIETARY 398,A000000,00900,0000,00900NURSING ADMINISTRATION 398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 398,A000000,01100,0000,01100PHARMACY 398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 398,A000000,01300,0000,01300SOCIAL SERVICE 398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 398,A000000,01600,0000,01600SKILLED NURSING FACILITY 398,A000000,01800,0000,01800NURSING FACILITY 398,A000000,01810,0000,01810ICF/MR 398,A000000,01900,0000,01900OTHER LONG TERM CARE 398,A000000,02200,0000,02200LABORATORY 398,A000000,02500,0000,02500PHYSICAL THERAPY 398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 398,A000000,02700,0000,02700SPEECH PATHOLOGY 398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 398,A000000,03550,0000,03550FQHC 398,A000000,05000,0000,05000CORF 398,A000000,05010,0000,05010CMHC 398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 398,A000000,05040,0000,05040OSP 398,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 398,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 398,A000000,05801,0000,05801RETIREMENT CENTER 398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 398,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 398,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 398,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 398,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 398,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 398,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 398,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 398,B100000,00000,0800,00000MEALS SERVEDDIETARY 398,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 398,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 398,B100000,00000,1100,00000COSTED REQUISPHARMACY 398,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 398,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 398,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 398,E10A180,00501,0300,05/26/2000 398,E10A180,00550,0100,05/26/2000 398,S000000,00100,0200,03/28/2000 398,S200000,00100,0100,17300 NORTH 88TH AVENUE 398,S200000,00200,0100,PEORIA 398,S200000,00200,0200,AZ 398,S200000,00200,0300,85382 398,S200000,00300,0100,MARICOPA 398,S200000,00300,0300,U 398,S200000,00400,0100,SIERRA WINDS CARE CENTER 398,S200000,00400,0200,035231 398,S200000,00400,0300,03/07/1995 398,S200000,00400,0500,P 398,S200000,00600,0200,035231 398,S200000,00600,0300,03/07/1995 398,S200000,00600,0600,P 398,S200000,01600,0100,Y 398,S200000,04300,0100,Y 398,S700003,00000,0100,1 402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 402,A000000,00300,0000,00300EMPLOYEE BENEFITS 402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 402,A000000,00700,0000,00700HOUSEKEEPING 402,A000000,00800,0000,00800DIETARY 402,A000000,00900,0000,00900NURSING ADMINISTRATION 402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 402,A000000,01300,0000,01300SOCIAL SERVICE 402,A000000,01350,0000,01500OTHER GENERAL SERVICES 402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 402,A000000,01600,0000,01600SKILLED NURSING FACILITY 402,A000000,01800,0000,01800NURSING FACILITY 402,A000000,01810,0000,01801ICF/MR 402,A000000,01900,0000,01900OTHER LONG TERM CARE 402,A000000,02100,0000,02100RADIOLOGY 402,A000000,02200,0000,02200LABORATORY 402,A000000,02300,0000,02300INTRAVENOUS THERAPY 402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 402,A000000,02500,0000,02500PHYSICAL THERAPY 402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 402,A000000,02700,0000,02700SPEECH PATHOLOGY 402,A000000,02800,0000,02800ELECTROCARDIOLOGY 402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 402,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 402,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 402,A000000,03200,0000,03200SUPPORT SURFACES 402,A000000,03400,0000,03400CLINIC 402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 402,A000000,03500,0000,03500RURAL HEALTH CLINIC 402,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 402,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 402,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 402,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 402,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 402,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 402,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 402,A000000,04400,0000,04400DME RENTED - HHA 402,A000000,04500,0000,04500DME SOLD - HHA 402,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 402,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 402,A000000,04750,0000,05100OSP 402,A000000,04800,0000,04800AMBULANCE 402,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 402,A000000,05000,0000,05000CORF 402,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 402,A000000,05300,0000,05300INTEREST EXPENSE 402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 402,A000000,05500,0000,05500HOSPICE 402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 402,A000000,06100,0000,06100NONPAID WORKERS 402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 402,A000000,06200,0000,06200PATIENTS LAUNDRY 402,A81000A,00100,0100,Y 402,A81000B,00100,0300,PROPERTY INSURANCE 402,A81000B,00200,0300,OTHER INSURANCE 402,A81000B,00300,0300,UNEMPLOYMENT 402,A81000B,00400,0300,WORKERS COMP 402,A81000B,00500,0300,ADMIN/ACTG 402,A81000B,00600,0300,MED SUPPLIES 402,A81000B,00700,0300,DISPOSABLE BRIEFS 402,A81000B,00800,0300,DIETARY SUPPLEMENT 402,A81000B,00900,0300,EQUIPMENT 402,A81000B,00901,0300,TEXTILES 402,A81000C,00100,0100,B 402,A81000C,00100,0200,EV. LUTERAN GS 402,A81000C,00100,0400,EV. LUTERAN GS 402,A81000C,00100,0600,MGMT/ACTG 402,A81000C,00200,0100,B 402,A81000C,00200,0200,OMNICARE PHARM 402,A81000C,00200,0400,OMNICARE PHARM 402,A81000C,00200,0600,MED SUPPLIES 402,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 402,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 402,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 402,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 402,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 402,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 402,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 402,B100000,00000,0800,00000MEALS SERVEDDIETARY 402,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 402,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 402,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 402,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 402,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 402,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 402,E10A180,00501,0100,07/06/2000 402,E10A180,00501,0300,07/06/2000 402,S000000,00100,0200,05/15/2000 402,S200000,00100,0100,3380 N. WINDSONG DRIVE 402,S200000,00200,0100,PRESCOTT 402,S200000,00200,0200,AZ 402,S200000,00200,0300,86314- 402,S200000,00300,0100,YAVAPAI 402,S200000,00300,0300,R 402,S200000,00400,0100,PRESCOTT VALLEY SAMARITAN CENTER 402,S200000,00400,0200,035244 402,S200000,00400,0300,10/14/1997 402,S200000,00400,0500,P 402,S200000,01600,0100,Y 402,S200000,01900,0100,N 402,S700003,00000,0400,4 405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 405,A000000,00300,0000,00300EMPLOYEE BENEFITS 405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 405,A000000,00700,0000,00700HOUSEKEEPING 405,A000000,00800,0000,00800DIETARY 405,A000000,00900,0000,00900NURSING ADMINISTRATION 405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 405,A000000,01300,0000,01300SOCIAL SERVICE 405,A000000,01600,0000,01600SKILLED NURSING FACILITY 405,A000000,01900,0000,01900OTHER LONG TERM CARE 405,A000000,02100,0000,02100RADIOLOGY 405,A000000,02200,0000,02200LABORATORY 405,A000000,02500,0000,02500PHYSICAL THERAPY 405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 405,A000000,02700,0000,02700SPEECH PATHOLOGY 405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 405,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 405,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 405,A000000,06151,0000,06301ASSISTED LIVING / APARTMENT 405,A81000A,00100,0100,Y 405,A81000B,00100,0300,PROPERTY - INSURANCE 405,A81000B,00200,0300,OTHER INSURANCE 405,A81000B,00300,0300,UNEMPLOYMENT CHARGED 405,A81000B,00400,0300,WORKERS COMPENSATION 405,A81000B,00500,0300,ACCTG & ADMINSTRATION 405,A81000B,00600,0300,NURSING SUPPLIES 405,A81000B,00700,0300,INCONTINENTS 405,A81000B,00800,0300,DIETARY SUPPLIES 405,A81000C,00100,0100,B 405,A81000C,00100,0200,EV. LUTHERAN G. 405,A81000C,00100,0600,ACCTG & MANAGEM 405,A81000C,00200,0100,B 405,A81000C,00200,0200,OMNIBILL 405,A81000C,00200,0600,SUPPLIES 405,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 405,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 405,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 405,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 405,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 405,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 405,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 405,B100000,00000,0800,00001MEALS SERVEDDIETARY 405,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 405,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 405,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 405,B100000,00000,1300,00001ADMISSIONSOCIAL SERVICE 405,E10A180,00550,0100,07/13/2000 405,E10A180,00550,0300,07/13/2000 405,S000000,00100,0200,05/15/2000 405,S200000,00100,0100,265 DAVE CREEK PARKWAY 405,S200000,00200,0100,FAIRFIELD BAY 405,S200000,00200,0200,AR 405,S200000,00200,0300,72088-3136 405,S200000,00300,0100,VAN BUREN 405,S200000,00300,0300,R 405,S200000,00400,0100,GOOD SAMARITAN INDIAN ROCK 405,S200000,00400,0200,045153 405,S200000,00400,0300,03/27/1990 405,S200000,00400,0500,P 405,S200000,01500,0100,Y 405,S200000,01900,0100,N 405,S700003,00000,0100,1 409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 409,A000000,00300,0000,00300EMPLOYEE BENEFITS 409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 409,A000000,00700,0000,00700HOUSEKEEPING 409,A000000,00800,0000,00800DIETARY 409,A000000,00900,0000,00900NURSING ADMINISTRATION 409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 409,A000000,01300,0000,01300SOCIAL SERVICE 409,A000000,01600,0000,01600SKILLED NURSING FACILITY 409,A000000,01900,0000,01900OTHER LONG TERM CARE 409,A000000,02200,0000,02200LABORATORY 409,A000000,02500,0000,02500PHYSICAL THERAPY 409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 409,A000000,02700,0000,02700SPEECH PATHOLOGY 409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 409,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 409,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 409,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 409,A000000,06151,0000,06301ASSISTED LIVING/APARTMENT 409,A81000A,00100,0100,Y 409,A81000B,00100,0300,PROPERTY INSURANC 409,A81000B,00200,0300,OTHER INSURANCE 409,A81000B,00300,0300,UNEMPLOYMENT CHARGED 409,A81000B,00400,0300,WORKERS COMPENSATION 409,A81000B,00500,0300,ACCTG & ADMINISTRATION 409,A81000B,00600,0300,NURISNG SUPPLIES 409,A81000B,00700,0300,INCONTINENTS 409,A81000B,00800,0300,DIETARY SUPPLIES 409,A81000B,00900,0300,EQUIPMENT 409,A81000B,00901,0300,TEXTILE 409,A81000C,00100,0100,B 409,A81000C,00100,0200,EV. LUTHERAN G. 409,A81000C,00100,0600,ACCTG & MGMT 409,A81000C,00200,0100,B 409,A81000C,00200,0200,OMNIBILL 409,A81000C,00200,0600,SUPPLIES 409,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 409,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 409,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 409,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 409,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 409,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 409,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 409,B100000,00000,0800,00001MEALS SERVEDDIETARY 409,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 409,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 409,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 409,B100000,00000,1300,00001ADMISSIONSSOCIAL SERVICE 409,E10A180,00301,0100,03/14/2000 409,E10A180,00501,0100,07/13/2000 409,E10A180,00550,0300,07/13/2000 409,S000000,00100,0200,05/15/2000 409,S200000,00100,0100,121 CORTEZ ROAD 409,S200000,00200,0100,HOT SPRINGS VILLAGE 409,S200000,00200,0200,AR 409,S200000,00200,0300,71909-6101 409,S200000,00300,0100,SALINE 409,S200000,00300,0300,U 409,S200000,00400,0100,GOOD SAMARITAN CEDAR LODGE 409,S200000,00400,0200,045191 409,S200000,00400,0300,03/27/1992 409,S200000,00400,0500,P 409,S200000,01500,0100,Y 409,S200000,01900,0100,N 409,S700003,00000,0100,1 412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 412,A000000,00300,0000,00300EMPLOYEE BENEFITS 412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 412,A000000,00700,0000,00700HOUSEKEEPING 412,A000000,00800,0000,00800DIETARY 412,A000000,00900,0000,00900NURSING ADMINISTRATION 412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 412,A000000,01300,0000,01300SOCIAL SERVICE 412,A000000,01600,0000,01600SKILLED NURSING FACILITY 412,A000000,01900,0000,01900OTHER LONG TERM CARE 412,A000000,02200,0000,02200LABORATORY 412,A000000,02500,0000,02500PHYSICAL THERAPY 412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 412,A000000,02700,0000,02700SPEECH PATHOLOGY 412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 412,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 412,A000000,06151,0000,06301APARTMENT 412,A81000A,00100,0100,Y 412,A81000B,00100,0300,PROPERTY - INSURANCE 412,A81000B,00200,0300,OTHER INSURANCE 412,A81000B,00300,0300,UNEMPLOYMENT CHARGED 412,A81000B,00400,0300,WORKERS COMPENSATION 412,A81000B,00500,0300,ACCTG & ADMINISTRATION 412,A81000B,00600,0300,NURSING SUPPLIES 412,A81000B,00700,0300,INCONTINENTS 412,A81000B,00800,0300,DIETARY SUPPLIES 412,A81000B,00900,0300,TEXTILES 412,A81000C,00100,0100,B 412,A81000C,00100,0600,ACCTG & MANAGEM 412,A81000C,00200,0100,B 412,A81000C,00200,0600,SUPPLIES 412,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 412,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 412,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 412,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 412,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 412,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 412,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 412,B100000,00000,0800,00001MEALS SERVEDDIETARY 412,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 412,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 412,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 412,B100000,00000,1300,00001ADMISSIONSOCIAL SERVICE 412,E10A180,00501,0100,06/21/2000 412,E10A180,00501,0300,06/21/2000 412,S000000,00100,0200,05/15/2000 412,S200000,00100,0100,3031 TURNAGE DRIVE 412,S200000,00200,0100,MOUNTAIN HOME 412,S200000,00200,0200,AR 412,S200000,00200,0300,72653-5813 412,S200000,00300,0100,BAXTER 412,S200000,00300,0300,R 412,S200000,00400,0100,MOUNTAIN HOME GOOD SAMARITAN VILLAGE 412,S200000,00400,0200,045250 412,S200000,00400,0300,12/01/1994 412,S200000,00400,0500,P 412,S200000,01500,0100,Y 412,S200000,01900,0100,N 412,S700003,00000,0100,1 416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 416,A000000,00300,0000,00300EMPLOYEE BENEFITS 416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 416,A000000,00700,0000,00700HOUSEKEEPING 416,A000000,00800,0000,00800DIETARY 416,A000000,00900,0000,00900NURSING ADMINISTRATION 416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 416,A000000,01300,0000,01300SOCIAL SERVICE 416,A000000,01600,0000,01600SKILLED NURSING FACILITY 416,A000000,01800,0000,01800NURSING FACILITY 416,A000000,01900,0000,01900OTHER LONG TERM CARE 416,A000000,02100,0000,02100RADIOLOGY 416,A000000,02200,0000,02200LABORATORY 416,A000000,02300,0000,02300INTRAVENOUS THERAPY 416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 416,A000000,02500,0000,02500PHYSICAL THERAPY 416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 416,A000000,02700,0000,02700SPEECH PATHOLOGY 416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 416,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 416,A000000,03200,0000,03200SUPPORT SURFACES 416,A000000,04800,0000,04800AMBULANCE 416,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 416,A000000,05300,0000,05300INTEREST EXPENSE 416,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 416,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 416,A000000,06150,0000,06300HOME HEALTH-PRIVATE DUTY 416,A000000,06151,0000,06301MARKETING/RESOURCE DEVELOPMENT 416,A81000A,00100,0100,Y 416,A81000B,00100,0300,PROPERTY INSURANCE 416,A81000B,00200,0300,OTHER INSURANCE 416,A81000B,00300,0300,UNEMPLOYMENT 416,A81000B,00400,0300,WORKERS COMP 416,A81000B,00500,0300,ADMIN & ACCOUNTING 416,A81000B,00600,0300,NURSING SUPPLIES 416,A81000B,00700,0300,DISPOSABLE BRIEFS 416,A81000B,00800,0300,DISPOSABLE BRIEFS 416,A81000B,00900,0300,DIETARY SUPPLEMENTS 416,A81000B,00901,0300,TEXTILES 416,A81000C,00100,0100,B 416,A81000C,00100,0600,MANAGMENT & ACC 416,A81000C,00200,0100,B 416,A81000C,00300,0100,B 416,A81000C,00300,0400,OMNICARE 416,A81000C,00300,0600,MEDICAL SUPPLIE 416,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 416,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 416,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 416,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 416,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 416,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 416,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 416,B100000,00000,0800,00001MEALS SERVEDDIETARY 416,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 416,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 416,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 416,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 416,E10A180,00301,0100,01/06/2000 416,E10A180,00501,0100,07/14/2000 416,E10A180,00501,0300,07/14/2000 416,S000000,00100,0200,05/25/2000 416,S200000,00100,0100,708 22ND STREET 416,S200000,00200,0100,GREELEY 416,S200000,00200,0200,CO 416,S200000,00200,0300,80631- 416,S200000,00300,0100,WELD 416,S200000,00300,0300,U 416,S200000,00400,0100,BONELL GOOD SAMARITAN CENTER 416,S200000,00400,0200,065095 416,S200000,00400,0300,01/26/1978 416,S200000,00400,0500,P 416,S200000,01600,0100,Y 416,S200000,01900,0100,N 416,S200000,04600,0100,Y 416,S700003,00000,0100,1 423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 423,A000000,00300,0000,00300EMPLOYEE BENEFITS 423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 423,A000000,00700,0000,00700HOUSEKEEPING 423,A000000,00800,0000,00800DIETARY 423,A000000,00900,0000,00900NURSING ADMINISTRATION 423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 423,A000000,01100,0000,01100PHARMACY 423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 423,A000000,01300,0000,01300SOCIAL SERVICE 423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 423,A000000,01600,0000,01600SKILLED NURSING FACILITY 423,A000000,01800,0000,01800NURSING FACILITY 423,A000000,01900,0000,01900OTHER LONG TERM CARE 423,A000000,02100,0000,02100RADIOLOGY 423,A000000,02200,0000,02200LABORATORY 423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 423,A000000,02500,0000,02500PHYSICAL THERAPY 423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 423,A000000,02700,0000,02700SPEECH PATHOLOGY 423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 423,A000000,03200,0000,03200SUPPORT SURFACES 423,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 423,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 423,A000000,06151,0000,06301RESOURCE DEVELOPMENT 423,A81000A,00100,0100,Y 423,A81000B,00100,0300,PROPERTY & LIAB INS 423,A81000B,00200,0300,VEHICLE INS 423,A81000B,00300,0300,UNEMPLOYMENT CLAIMS 423,A81000B,00400,0300,ADMINS & ACCTG 423,A81000B,00500,0300,WORKERS COMP 423,A81000B,00600,0300,ADMIN SUPPLIES 423,A81000B,00700,0300,HOUSEKEEPING SUP 423,A81000B,00800,0300,DIETARY SUPPL 423,A81000B,00900,0300,MEDICAL/NURSING SUP 423,A81000B,00901,0300,INCONTINENT BRIEFS 423,A81000B,00902,0300,SMALL EQU 423,A81000C,00100,0100,B 423,A81000C,00100,0400,GOOD SAMARITAN 423,A81000C,00100,0600,HEALTHCARE 423,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 423,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 423,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 423,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 423,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 423,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 423,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 423,B100000,00000,0800,00001MEALS SERVEDDIETARY 423,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 423,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 423,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 423,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 423,B100000,00000,1300,00001ASSIGNED TIMESOCIAL SERVICE 423,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 423,E10A180,00301,0100,03/15/2000 423,E10A180,00501,0100,07/11/2000 423,E10A180,00501,0300,07/11/2000 423,S000000,00100,0200,05/22/2000 423,S200000,00100,0100,2101 S. GARFIELD 423,S200000,00200,0100,LOVELAND 423,S200000,00200,0200,CO 423,S200000,00200,0300,80537-7377 423,S200000,00300,0100,LARIMER 423,S200000,00300,0300,U 423,S200000,00400,0100,LOVELAND GS RET. VILLAGE 423,S200000,00400,0200,065139 423,S200000,00400,0300,09/01/1976 423,S200000,00400,0500,P 423,S200000,01500,0100,Y 423,S200000,01900,0100,Y 423,S700003,00000,0100,1 428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 428,A000000,00300,0000,00300EMPLOYEE BENEFITS 428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 428,A000000,00700,0000,00700HOUSEKEEPING 428,A000000,00800,0000,00800DIETARY 428,A000000,00900,0000,00900NURSING ADMINISTRATION 428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 428,A000000,01300,0000,01300SOCIAL SERVICE 428,A000000,01600,0000,01600SKILLED NURSING FACILITY 428,A000000,01800,0000,01800NURSING FACILITY 428,A000000,01900,0000,01900OTHER LONG TERM CARE 428,A000000,02100,0000,02100RADIOLOGY 428,A000000,02200,0000,02200LABORATORY 428,A000000,02300,0000,02300INTRAVENOUS THERAPY 428,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 428,A000000,02500,0000,02500PHYSICAL THERAPY 428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 428,A000000,02700,0000,02700SPEECH PATHOLOGY 428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 428,A000000,03200,0000,03200SUPPORT SURFACES 428,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 428,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 428,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 428,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 428,A000000,05300,0000,05300INTEREST EXPENSE 428,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 428,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 428,A000000,06151,0000,06301MARKETING/RESOURCE DEVELOPMENT 428,A81000A,00100,0100,Y 428,A81000B,00100,0300,PROPERTY INSURANCE 428,A81000B,00200,0300,OTHER INSURANCE 428,A81000B,00300,0300,UNEMPLOYMENT 428,A81000B,00400,0300,WORKERS COMP 428,A81000B,00500,0300,ADMIN & ACCOUNTING 428,A81000B,00600,0300,NURSING SUPPLIES 428,A81000B,00700,0300,DISPOSABLE BRIEFS 428,A81000B,00800,0300,DIETARY SUPPLEMENTS 428,A81000B,00900,0300,EQUIPMENT 428,A81000B,00901,0300,TEXTILES 428,A81000C,00100,0100,B 428,A81000C,00100,0200,EVANGLEICAL LUT 428,A81000C,00100,0600,MANAGEMENT & AC 428,A81000C,00200,0200,SAMARITAN SOCIE 428,A81000C,00400,0100,B 428,A81000C,00400,0200,EVANGLEICAL LUT 428,A81000C,00400,0400,OMNICARE 428,A81000C,00400,0600,MEDICAL SUPPLIE 428,A81000C,00500,0200,SAMARITAN SOCIE 428,E10A180,00501,0100,07/20/2000 428,E10A180,00501,0300,07/20/2000 428,S000000,00100,0200,05/24/2000 428,S200000,00100,0100,508 WEST TRILBY RD 428,S200000,00200,0100,FORT COLLINS 428,S200000,00200,0200,CO 428,S200000,00200,0300,80525- 428,S200000,00300,0100,LARIMER 428,S200000,00300,0300,U 428,S200000,00400,0100,FT COLLINS GOOD SAMARITAN VILLAGE 428,S200000,00400,0200,065227 428,S200000,00400,0300,08/01/1981 428,S200000,00400,0500,P 428,S200000,01500,0100,Y 428,S200000,01900,0100,N 428,S200000,04600,0100,Y 428,S700003,00000,0100,1 435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 435,A000000,00300,0000,00300EMPLOYEE BENEFITS 435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 435,A000000,00700,0000,00700HOUSEKEEPING 435,A000000,00800,0000,00800DIETARY 435,A000000,00900,0000,00900NURSING ADMINISTRATION 435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 435,A000000,01300,0000,01300SOCIAL SERVICE 435,A000000,01600,0000,01600SKILLED NURSING FACILITY 435,A000000,01800,0000,01800NURSING FACILITY 435,A000000,01900,0000,01900OTHER LONG TERM CARE 435,A000000,02100,0000,02100RADIOLOGY 435,A000000,02200,0000,02200LABORATORY 435,A000000,02300,0000,02300INTRAVENOUS THERAPY 435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 435,A000000,02500,0000,02500PHYSICAL THERAPY 435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 435,A000000,02700,0000,02700SPEECH PATHOLOGY 435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 435,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 435,A000000,03200,0000,03200SUPPORT SURFACES 435,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 435,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 435,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 435,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 435,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 435,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 435,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 435,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 435,A000000,04400,0000,04400DME RENTED - HHA 435,A000000,04500,0000,04500DME SOLD - HHA 435,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 435,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 435,A000000,04750,0000,05100OSP 435,A000000,04800,0000,04800AMBULANCE 435,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 435,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 435,A000000,05300,0000,05300INTEREST EXPENSE 435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 435,A000000,06151,0000,06301MARKETING/RESOURCE DEVELOPMENT 435,A81000A,00100,0100,Y 435,A81000B,00100,0300,PROPERTY INSURANCE 435,A81000B,00200,0300,OTHER INSURANCE 435,A81000B,00300,0300,UNEMPLOYMENT 435,A81000B,00400,0300,WORKERS COMP 435,A81000B,00500,0300,ADMIN & ACCOUNTING 435,A81000B,00600,0300,NURSING SUPPLIES 435,A81000B,00700,0300,DISPOSABLE BRIEFS 435,A81000B,00800,0300,DIETARY SUPPLEMENTS 435,A81000B,00900,0300,EQUIPMENT 435,A81000B,00901,0300,TEXTILES 435,A81000C,00100,0100,B 435,A81000C,00100,0600,MANAGEMENT & AC 435,A81000C,00200,0100,B 435,A81000C,00200,0400,OMNICARE 435,A81000C,00200,0600,MEDICAL SUPPLIE 435,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 435,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 435,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 435,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 435,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 435,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 435,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 435,B100000,00000,0800,00001MEALS SERVEDDIETARY 435,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 435,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 435,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 435,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 435,E10A180,00350,0300,12/07/1999 435,E10A180,00501,0100,06/23/2000 435,E10A180,00501,0300,06/23/2000 435,H510100,00000,0000,1125 435,H510100,02400,0000,1125 435,H510100,02401,0000,2670 435,H510200,00000,0000,2670 435,H710000,00301,0100,12/07/1999 435,H710000,00501,0300,06/23/2000 435,H710000,00550,0100,06/23/2000 435,S000000,00100,0200,05/08/2000 435,S200000,00100,0100,2525 TAFT DRIVE 435,S200000,00200,0100,BOULDER 435,S200000,00200,0200,CO 435,S200000,00200,0300,80302- 435,S200000,00300,0100,BOULDER 435,S200000,00300,0300,U 435,S200000,00400,0100,BOULDER GOOD SAMARITAN CENTER 435,S200000,00400,0200,065277 435,S200000,00400,0300,07/01/1990 435,S200000,00400,0500,P 435,S200000,00800,0200,067208 435,S200000,00800,0300,11/16/1993 435,S200000,00800,0500,P 435,S200000,01500,0100,Y 435,S200000,01900,0100,N 435,S200000,04600,0100,Y 435,S410002,01300,0000,PRIVATE DUTY 435,S700003,00000,0100,1 438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 438,A000000,00300,0000,00300EMPLOYEE BENEFITS 438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 438,A000000,00700,0000,00700HOUSEKEEPING 438,A000000,00800,0000,00800DIETARY 438,A000000,00900,0000,00900NURSING ADMINISTRATION 438,A000000,01100,0000,01100PHARMACY 438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 438,A000000,01300,0000,01300SOCIAL SERVICE 438,A000000,01600,0000,01600SKILLED NURSING FACILITY 438,A000000,01900,0000,01900OTHER LONG TERM CARE 438,A000000,02100,0000,02100RADIOLOGY 438,A000000,02200,0000,02200LABORATORY 438,A000000,02500,0000,02500PHYSICAL THERAPY 438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 438,A000000,02700,0000,02700SPEECH PATHOLOGY 438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 438,A000000,05300,0000,05300INTEREST EXPENSE 438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 438,A000000,06150,0000,06300LIVING QUARTERS 438,A000000,06200,0000,06200PATIENTS LAUNDRY 438,A81000A,00100,0100,Y 438,A81000B,00100,0300,MANAGEMENT FEES 438,A81000B,00200,0300,SALARIES-LCS EMPLOYEES 438,A81000C,00100,0100,G 438,A81000C,00100,0200,MANAGEMENT SERV 438,A81000C,00100,0400,LIFE CARE SERVI 438,A81000C,00100,0600,MANAGEMENT FIRM 438,E10A180,00550,0300,03/23/2000 438,S000000,00100,0200,03/01/2000 438,S200000,00100,0100,80 HERITAGE ROAD 438,S200000,00200,0100,SOUTHBURY 438,S200000,00200,0200,CT 438,S200000,00200,0300,06488- 438,S200000,00300,0100,NEW HAVEN 438,S200000,00300,0300,U 438,S200000,00400,0100,POMPERAUG WOODS HEALTH CARE CENTER 438,S200000,00400,0200,075318 438,S200000,00400,0300,05/18/1988 438,S200000,00400,0500,P 438,S200000,01500,0100,Y 438,S200000,01900,0100,N 438,S700003,00000,0100,1 441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 441,A000000,00300,0000,00300EMPLOYEE BENEFITS 441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 441,A000000,00700,0000,00700HOUSEKEEPING 441,A000000,00800,0000,00800DIETARY 441,A000000,00900,0000,00900NURSING ADMINISTRATION 441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 441,A000000,01100,0000,01100PHARMACY 441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 441,A000000,01300,0000,01300SOCIAL SERVICE 441,A000000,01350,0000,01500OTHER GENERAL SERVICES 441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 441,A000000,01600,0000,01600SKILLED NURSING FACILITY 441,A000000,01800,0000,01800NURSING FACILITY 441,A000000,01810,0000,01801ICF/MR 441,A000000,01900,0000,01900OTHER LONG TERM CARE 441,A000000,02100,0000,02100RADIOLOGY 441,A000000,02200,0000,02200LABORATORY 441,A000000,02300,0000,02300INTRAVENOUS THERAPY 441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 441,A000000,02500,0000,02500PHYSICAL THERAPY 441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 441,A000000,02700,0000,02700SPEECH PATHOLOGY 441,A000000,02800,0000,02800ELECTROCARDIOLOGY 441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 441,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 441,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 441,A000000,03200,0000,03200SUPPORT SURFACES 441,A000000,03400,0000,03400CLINIC 441,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 441,A000000,03500,0000,03500RURAL HEALTH CLINIC 441,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 441,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 441,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 441,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 441,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 441,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 441,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 441,A000000,04400,0000,04400DME RENTED - HHA 441,A000000,04500,0000,04500DME SOLD - HHA 441,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 441,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 441,A000000,04750,0000,05100OSP 441,A000000,04800,0000,04800AMBULANCE 441,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 441,A000000,05000,0000,05000CORF 441,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 441,A000000,05300,0000,05300INTEREST EXPENSE 441,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 441,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 441,A000000,05500,0000,05500HOSPICE 441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 441,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 441,A000000,06100,0000,06100NONPAID WORKERS 441,A000000,06150,0000,06300MARKETING 441,A000000,06151,0000,06301RESIDENTS 441,A000000,06200,0000,06200PATIENTS LAUNDRY 441,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 441,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 441,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 441,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 441,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 441,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 441,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 441,B100000,00000,0800,00001MEALS SERVEDDIETARY 441,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 441,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 441,B100000,00000,1100,00001PATIENT DAYSPHARMACY 441,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 441,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 441,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 441,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 441,S000000,00100,0200,08/31/2000 441,S200000,00100,0100,30 BOKUM ROAD 441,S200000,00200,0100,ESSEX 441,S200000,00200,0200,CT 441,S200000,00200,0300,06426- 441,S200000,00300,0100,MIDDLESEX 441,S200000,00300,0300,U 441,S200000,00400,0100,ESSEX MEADOWS HEALTH CENTER 441,S200000,00400,0200,075322 441,S200000,00400,0300,01/01/1989 441,S200000,00400,0500,P 441,S200000,01500,0100,Y 441,S200000,01900,0100,N 441,S700003,00000,0100,1 443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 443,A000000,00300,0000,00300EMPLOYEE BENEFITS 443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 443,A000000,00700,0000,00700HOUSEKEEPING 443,A000000,00800,0000,00800DIETARY 443,A000000,00900,0000,00900NURSING ADMINISTRATION 443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 443,A000000,01100,0000,01100PHARMACY 443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 443,A000000,01300,0000,01300SOCIAL SERVICE 443,A000000,01350,0000,01500ACTIVITY 443,A000000,01600,0000,01600SKILLED NURSING FACILITY 443,A000000,01800,0000,01800NURSING FACILITY 443,A000000,01810,0000,01801ICF/MR 443,A000000,01900,0000,01900OTHER LONG TERM CARE 443,A000000,02100,0000,02100RADIOLOGY 443,A000000,02200,0000,02200LABORATORY 443,A000000,02300,0000,02300INTRAVENOUS THERAPY 443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 443,A000000,02500,0000,02500PHYSICAL THERAPY 443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 443,A000000,02700,0000,02700SPEECH PATHOLOGY 443,A000000,02800,0000,02800ELECTROCARDIOLOGY 443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 443,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 443,A000000,03200,0000,03200SUPPORT SURFACES 443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 443,A000000,04750,0000,05100OSP 443,A000000,04800,0000,04800AMBULANCE 443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 443,A000000,05000,0000,05000CORF 443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 443,A000000,05300,0000,05300INTEREST EXPENSE 443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 443,A000000,05500,0000,05500HOSPICE 443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 443,A000000,06151,0000,06301RESIDENT SERVICE 443,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 443,B100000,00000,0200,00001DOLLAR VALUECAP REL COSTS - MOVA 443,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 443,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 443,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 443,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 443,B100000,00000,0700,00001HOURS OF SERVICEHOUSEKEEPING 443,B100000,00000,0800,00001MEALS SERVEDDIETARY 443,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 443,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 443,B100000,00000,1100,00001PATIENT DAYSPHARMACY 443,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 443,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 443,B100000,00000,1350,00001PATIENT DAYSACTIVITY 443,S000000,00100,0200,06/01/2000 443,S200000,00100,0100,88 NOTCH HILL ROAD 443,S200000,00200,0100,NORTH BRANFORD 443,S200000,00200,0200,CT 443,S200000,00200,0300,06471- 443,S200000,00300,0100,NEW HAVEN 443,S200000,00300,0300,U 443,S200000,00400,0100,EVERGREEN WOODS 443,S200000,00400,0200,075362 443,S200000,00400,0300,10/16/1991 443,S200000,00400,0500,P 443,S200000,01500,0100,Y 443,S200000,01700,0100,Y 443,S200000,01900,0100,N 443,S200000,02800,0100,Y 443,S700003,00000,0100,1 448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 448,A000000,00300,0000,00300EMPLOYEE BENEFITS 448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 448,A000000,00700,0000,00700HOUSEKEEPING 448,A000000,00800,0000,00800DIETARY 448,A000000,00900,0000,00900NURSING ADMINISTRATION 448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 448,A000000,01100,0000,01100PHARMACY 448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 448,A000000,01300,0000,01300SOCIAL SERVICE 448,A000000,01350,0000,01500ACTIVITIES 448,A000000,01600,0000,01600SKILLED NURSING FACILITY 448,A000000,01800,0000,01800NURSING FACILITY 448,A000000,01810,0000,01801ICF/MR 448,A000000,01900,0000,01900OTHER LONG TERM CARE 448,A000000,02100,0000,02100RADIOLOGY 448,A000000,02200,0000,02200LABORATORY 448,A000000,02300,0000,02300INTRAVENOUS THERAPY 448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 448,A000000,02500,0000,02500PHYSICAL THERAPY 448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 448,A000000,02700,0000,02700SPEECH PATHOLOGY 448,A000000,02800,0000,02800ELECTROCARDIOLOGY 448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 448,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 448,A000000,03200,0000,03200SUPPORT SURFACES 448,A000000,04750,0000,05100OSP 448,A000000,04800,0000,04800AMBULANCE 448,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 448,A000000,05300,0000,05300INTEREST EXPENSE 448,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 448,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 448,A000000,05500,0000,05500HOSPICE 448,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 448,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 448,A000000,06100,0000,06100NONPAID WORKERS 448,A000000,06150,0000,06300RETIREMENT 448,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 448,A000000,06200,0000,06200PATIENTS LAUNDRY 448,A81000A,00100,0100,Y 448,A81000B,00100,0300,CAPITAL COSTS 448,A81000B,00200,0300,HO COSTS A AND G 448,A81000C,00100,0100,B 448,A81000C,00100,0400,LCRC INC 448,A81000C,00100,0600,CONCARE COMM 448,A81000C,00200,0100,B 448,A81000C,00200,0400,LCRC 448,A81000C,00200,0600,CONCARE COMM 448,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 448,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 448,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 448,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 448,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 448,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 448,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 448,B100000,00000,0800,00001MEALS SERVEDDIETARY 448,B100000,00000,0900,00001TIME SPENTNURSING ADMINISTRATI 448,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 448,B100000,00000,1100,00001PATIENT DAYSPHARMACY 448,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 448,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 448,B100000,00000,1350,00001TIME SPENTACTIVITIES 448,E10A180,00501,0100,07/25/2000 448,E10A180,00550,0300,07/25/2000 448,S000000,00100,0200,06/02/2000 448,S200000,00100,0100,2000 LAWSON BLVD 448,S200000,00200,0100,DELRAY BEACH 448,S200000,00200,0200,FL 448,S200000,00200,0300,33445- 448,S200000,00300,0100,PALM BEACH 448,S200000,00300,0300,U 448,S200000,00400,0100,HEALTH CENTER AT ABBEY DELRAY 448,S200000,00400,0200,105335 448,S200000,00400,0300,10/06/1978 448,S200000,00400,0500,P 448,S200000,00600,0200,105335 448,S200000,00600,0300,10/06/1978 448,S200000,00600,0600,P 448,S200000,01600,0100,Y 448,S200000,01700,0100,Y 448,S200000,01900,0100,N 448,S200000,02200,0100,Y 448,S200000,02800,0100,Y 448,S700003,00000,0100,1 454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 454,A000000,00300,0000,00300EMPLOYEE BENEFITS 454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 454,A000000,00700,0000,00700HOUSEKEEPING 454,A000000,00800,0000,00800DIETARY 454,A000000,00900,0000,00900NURSING ADMINISTRATION 454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 454,A000000,01100,0000,01100PHARMACY 454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 454,A000000,01300,0000,01300SOCIAL SERVICE 454,A000000,01350,0000,01500ACTIVITIES 454,A000000,01600,0000,01600SKILLED NURSING FACILITY 454,A000000,01800,0000,01800NURSING FACILITY 454,A000000,01810,0000,01801ICF/MR 454,A000000,01900,0000,01900OTHER LONG TERM CARE 454,A000000,02100,0000,02100RADIOLOGY 454,A000000,02200,0000,02200LABORATORY 454,A000000,02300,0000,02300INTRAVENOUS THERAPY 454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 454,A000000,02500,0000,02500PHYSICAL THERAPY 454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 454,A000000,02700,0000,02700SPEECH PATHOLOGY 454,A000000,02800,0000,02800ELECTROCARDIOLOGY 454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 454,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 454,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 454,A000000,03200,0000,03200SUPPORT SURFACES 454,A000000,03400,0000,03400CLINIC 454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 454,A000000,03500,0000,03500RURAL HEALTH CLINIC 454,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 454,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 454,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 454,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 454,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 454,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 454,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 454,A000000,04400,0000,04400DME RENTED - HHA 454,A000000,04500,0000,04500DME SOLD - HHA 454,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 454,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 454,A000000,04750,0000,05100OSP 454,A000000,04800,0000,04800AMBULANCE 454,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 454,A000000,05000,0000,05000CORF 454,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 454,A000000,05300,0000,05300INTEREST EXPENSE 454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 454,A000000,05500,0000,05500HOSPICE 454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 454,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 454,A000000,06100,0000,06100NONPAID WORKERS 454,A000000,06150,0000,06300RETIREMENT FACILITY 454,A000000,06200,0000,06200PATIENTS LAUNDRY 454,A81000A,00100,0100,Y 454,A81000B,00100,0300,CAPITAL 454,A81000B,00200,0300,HOME OFFICE COSTS 454,A81000C,00100,0100,B 454,A81000C,00100,0400,LCRC INC. 454,A81000C,00100,0600,MANAGEMENT OF F 454,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 454,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 454,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 454,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 454,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 454,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 454,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 454,B100000,00000,0800,00000MEALS SERVEDDIETARY 454,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 454,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 454,B100000,00000,1100,00000PATIENT DAYSPHARMACY 454,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 454,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 454,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 454,E10A180,00501,0100,07/31/2000 454,E10A180,00501,0300,07/31/2000 454,S000000,00100,0200,06/02/2000 454,S200000,00100,0100,601 UNIVERSE BOULEVARD 454,S200000,00200,0100,JUNO BEACH 454,S200000,00200,0200,FL 454,S200000,00200,0300,33408- 454,S200000,00300,0100,PALM BEACH 454,S200000,00300,0300,U 454,S200000,00400,0100,THE WATERFORD 454,S200000,00400,0200,105404 454,S200000,00400,0300,04/22/1982 454,S200000,00400,0500,P 454,S200000,01500,0100,Y 454,S200000,01700,0100,Y 454,S200000,01900,0100,N 454,S200000,02200,0100,Y 454,S200000,02800,0100,Y 454,S700003,00000,0100,1 460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 460,A000000,00300,0000,00300EMPLOYEE BENEFITS 460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 460,A000000,00700,0000,00700HOUSEKEEPING 460,A000000,00800,0000,00800DIETARY 460,A000000,00900,0000,00900NURSING ADMINISTRATION 460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 460,A000000,01100,0000,01100PHARMACY 460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 460,A000000,01300,0000,01300SOCIAL SERVICE 460,A000000,01350,0000,01500ACTIVITIES 460,A000000,01600,0000,01600SKILLED NURSING FACILITY 460,A000000,01800,0000,01800NURSING FACILITY 460,A000000,01810,0000,01801ICF/MR 460,A000000,01900,0000,01900OTHER LONG TERM CARE 460,A000000,02100,0000,02100RADIOLOGY 460,A000000,02200,0000,02200LABORATORY 460,A000000,02300,0000,02300INTRAVENOUS THERAPY 460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 460,A000000,02500,0000,02500PHYSICAL THERAPY 460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 460,A000000,02700,0000,02700SPEECH PATHOLOGY 460,A000000,02800,0000,02800ELECTROCARDIOLOGY 460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 460,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 460,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 460,A000000,03200,0000,03200SUPPORT SURFACES 460,A000000,03400,0000,03400CLINIC 460,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 460,A000000,03500,0000,03500RURAL HEALTH CLINIC 460,A000000,04750,0000,05100OSP 460,A000000,04800,0000,04800AMBULANCE 460,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 460,A000000,05000,0000,05000CORF 460,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 460,A000000,05300,0000,05300INTEREST EXPENSE 460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 460,A000000,05500,0000,05500HOSPICE 460,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 460,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 460,A000000,06100,0000,06100NONPAID WORKERS 460,A000000,06101,0000,06101RETIREMENT 460,A000000,06102,0000,06102MARKETING 460,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 460,A000000,06200,0000,06200PATIENTS LAUNDRY 460,A81000A,00100,0100,Y 460,A81000B,00100,0300,CAPITAL RELATED HOME OFFICE 460,A81000B,00200,0300,ADMIN HOME OFFICE COSTS 460,A81000C,00100,0100,B 460,A81000C,00100,0400,LCRC INC 460,A81000C,00100,0600,CONCARE COMM 460,A81000C,00200,0100,B 460,A81000C,00200,0400,LCRC INC 460,A81000C,00200,0600,CONCARECOMM 460,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 460,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 460,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 460,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 460,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 460,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 460,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 460,B100000,00000,0800,00000MEALS SERVEDDIETARY 460,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 460,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 460,B100000,00000,1100,00000PATIENT DAYSPHARMACY 460,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 460,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 460,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 460,E10A180,00301,0100,01/06/2000 460,E10A180,00501,0300,07/19/2000 460,S000000,00100,0200,05/31/2000 460,S200000,00100,0100,1717 HOMEWOOD BOULEVARD 460,S200000,00200,0100,DELRAY BEACH 460,S200000,00200,0200,FL 460,S200000,00200,0300,33445- 460,S200000,00300,0100,PALM BEACH 460,S200000,00300,0300,U 460,S200000,00400,0100,ABBEY DELRAY SOUTH 460,S200000,00400,0200,105411 460,S200000,00400,0300,07/15/1982 460,S200000,00400,0500,P 460,S200000,01500,0100,Y 460,S200000,01700,0100,Y 460,S200000,01900,0100,N 460,S700003,00000,0100,1 466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 466,A000000,00300,0000,00300EMPLOYEE BENEFITS 466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 466,A000000,00700,0000,00700HOUSEKEEPING 466,A000000,00800,0000,00800DIETARY 466,A000000,00900,0000,00900NURSING ADMINISTRATION 466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 466,A000000,01100,0000,01100PHARMACY 466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 466,A000000,01300,0000,01300SOCIAL SERVICE 466,A000000,01350,0000,01500ACTIVITIES 466,A000000,01600,0000,01600SKILLED NURSING FACILITY 466,A000000,01800,0000,01800NURSING FACILITY 466,A000000,01810,0000,01801ICF/MR 466,A000000,02100,0000,02100RADIOLOGY 466,A000000,02200,0000,02200LABORATORY 466,A000000,02300,0000,02300INTRAVENOUS THERAPY 466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 466,A000000,02500,0000,02500PHYSICAL THERAPY 466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 466,A000000,02700,0000,02700SPEECH PATHOLOGY 466,A000000,02800,0000,02800ELECTROCARDIOLOGY 466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 466,A000000,03051,0000,02801ENTERALS 466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 466,A000000,03200,0000,03200SUPPORT SURFACES 466,A000000,04800,0000,04800AMBULANCE 466,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 466,A000000,05300,0000,05300INTEREST EXPENSE 466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 466,A000000,06150,0000,06300RETIREMENT CENTER/AL/MRKTG/HHA 466,S000000,00100,0200,06/01/2000 466,S200000,00100,0100,19301 SW 87TH AVENUE 466,S200000,00200,0100,MIAMI 466,S200000,00200,0200,FL 466,S200000,00200,0300,33157- 466,S200000,00300,0100,DADE 466,S200000,00300,0300,U 466,S200000,00400,0100,EAST RIDGE RETIREMENT VILLAGE 466,S200000,00400,0200,105508 466,S200000,00400,0300,08/01/1985 466,S200000,00400,0500,P 466,S200000,01500,0100,Y 466,S200000,01700,0100,Y 466,S200000,01900,0100,N 466,S700003,00000,0100,1 471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 471,A000000,00300,0000,00300EMPLOYEE BENEFITS 471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 471,A000000,00700,0000,00700HOUSEKEEPING 471,A000000,00800,0000,00800DIETARY 471,A000000,00900,0000,00900NURSING ADMINISTRATION 471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 471,A000000,01100,0000,01100PHARMACY 471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 471,A000000,01300,0000,01300SOCIAL SERVICE 471,A000000,01350,0000,01500ACTIVITIES 471,A000000,01600,0000,01600SKILLED NURSING FACILITY 471,A000000,01800,0000,01800NURSING FACILITY 471,A000000,01900,0000,01900OTHER LONG TERM CARE 471,A000000,02100,0000,02100RADIOLOGY 471,A000000,02200,0000,02200LABORATORY 471,A000000,02300,0000,02300INTRAVENOUS THERAPY 471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 471,A000000,02500,0000,02500PHYSICAL THERAPY 471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 471,A000000,02700,0000,02700SPEECH PATHOLOGY 471,A000000,02800,0000,02800ELECTROCARDIOLOGY 471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 471,A000000,04750,0000,05100OSP 471,A000000,04800,0000,04800AMBULANCE 471,A000000,05000,0000,05000CORF 471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 471,A000000,05300,0000,05300INTEREST EXPENSE 471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 471,A000000,06151,0000,06301RESIDENT SERVICES 471,A000000,06152,0000,06302MARKETING 471,A81000A,00100,0100,Y 471,A81000B,00100,0300,CAPITAL RELATED 471,A81000B,00200,0300,HOME OFFICE ALLOCATION 471,A81000C,00100,0100,B 471,A81000C,00100,0200,VILLAGE ON THE 471,A81000C,00100,0400,LCRC INC. 471,A81000C,00100,0600,CONCARECOMM 471,A81000C,00200,0100,B 471,A81000C,00200,0200,VILLAGE ON THE 471,A81000C,00200,0400,LCRC INC. 471,A81000C,00200,0600,CONCARECOMM 471,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 471,B100000,00000,0200,00002DOLLAR VALUECAP REL COSTS - MOVA 471,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 471,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 471,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 471,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 471,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 471,B100000,00000,0800,00002MEALS SERVEDDIETARY 471,B100000,00000,0900,00002PATIENT DAYSNURSING ADMINISTRATIO 471,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 471,B100000,00000,1100,00002PATIENT DAYSPHARMACY 471,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LI 471,B100000,00000,1300,00002TIME SPENTSOCIAL SERVICE 471,B100000,00000,1350,00002PATIENT DAYSACTIVITIES 471,E10A180,00550,0300,06/21/2000 471,S000000,00100,0200,05/31/2000 471,S200000,00100,0100,450 SABLE PALM DRIVE 471,S200000,00200,0100,LONGWOOD 471,S200000,00200,0200,FL 471,S200000,00200,0300,32779- 471,S200000,00300,0100,SEMINOLE 471,S200000,00300,0300,U 471,S200000,00400,0100,VILLAGE ON THE GREEN 471,S200000,00400,0200,105556 471,S200000,00400,0300,11/26/1986 471,S200000,00400,0500,P 471,S200000,01600,0100,Y 471,S200000,01700,0100,Y 471,S200000,01900,0100,N 471,S200000,02800,0100,Y 471,S700003,00000,0100,1 475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 475,A000000,00300,0000,00300EMPLOYEE BENEFITS 475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 475,A000000,00700,0000,00700HOUSEKEEPING 475,A000000,00800,0000,00800DIETARY 475,A000000,00900,0000,00900NURSING ADMINISTRATION 475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 475,A000000,01300,0000,01300SOCIAL SERVICE 475,A000000,01600,0000,01600SKILLED NURSING FACILITY 475,A000000,01800,0000,01800NURSING FACILITY 475,A000000,01900,0000,01900OTHER LONG TERM CARE 475,A000000,02100,0000,02100RADIOLOGY 475,A000000,02200,0000,02200LABORATORY 475,A000000,02500,0000,02500PHYSICAL THERAPY 475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 475,A000000,02700,0000,02700SPEECH PATHOLOGY 475,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 475,A000000,03700,0000,03700MEDICARE CERT - HHA 475,A000000,04400,0000,04400NON-MEDICARE CERT - HHA 475,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 475,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 475,A000000,06151,0000,06301ASSISTED LIVING 475,A000000,06152,0000,06302GARDEN APARTMENTS 475,A000000,06153,0000,06303MID RISE APARTMENTS 475,A000000,06154,0000,06304MOBILE HOMES 475,A000000,06155,0000,06305FRIENDSHIP VILLAGE 475,A81000A,00100,0100,Y 475,A81000B,00100,0300,PROPERTY INSURANCE 475,A81000B,00200,0300,OTHER INSURANCE 475,A81000B,00300,0300,UNEMPLOYMENT CHARGED 475,A81000B,00400,0300,WORKERS COMPENSATION 475,A81000B,00500,0300,ACCTG & ADMINISTRATION 475,A81000B,00600,0300,NURSING SUPPLIES 475,A81000B,00700,0300,INCONTINENTS 475,A81000B,00800,0300,DIETARY SUPPLIES 475,A81000B,00900,0300,EQUIPMENT 475,A81000C,00100,0100,B 475,A81000C,00100,0200,EV. LUTHERAN G. 475,A81000C,00100,0600,ACCTG & MGMT 475,A81000C,00200,0100,B 475,A81000C,00200,0200,OMNIBILL 475,A81000C,00200,0600,SUPPLIES 475,B100000,00000,0100,00005SQUARE FEETCAP REL COSTS - BLDGS 475,B100000,00000,0200,00005SQUARE FEETCAP REL COSTS - MOVAB 475,B100000,00000,0300,00005GROSS SALARIESEMPLOYEE BENEFITS 475,B100000,00000,0400,00005ACC COSTADMINISTRATIVE & GENERAL 475,B100000,00000,0500,00005SQUARE FEETPLANT OPERATION MAIN 475,B100000,00000,0600,00005PATIENT DAYSLAUNDRY & LINEN SERVI 475,B100000,00000,0700,00005SQUARE FEETHOUSEKEEPING 475,B100000,00000,0800,00005PATIENT DAYSDIETARY 475,B100000,00000,0900,00005DIRECT NRSING HRSNURSING ADMINIS 475,B100000,00000,1000,00005COSTED REQUIS.CENTRAL SERVICES & 475,B100000,00000,1200,00005GROSS REVENUEMEDICAL RECORDS & 475,B100000,00000,1300,00005ADMISSIONSSSOCIAL SERVICE 475,E10A180,00501,0300,07/28/2000 475,E10A180,00550,0100,07/28/2000 475,S000000,00100,0200,05/30/2000 475,S200000,00100,0100,1500 SOUTHGATE DRIVE 475,S200000,00200,0100,KISSIMMEE 475,S200000,00200,0200,FL 475,S200000,00200,0300,34746-6599 475,S200000,00300,0100,OSCEOLA 475,S200000,00300,0300,U 475,S200000,00400,0100,KISSIMMEE G.S. RETIREMENT CENTER 475,S200000,00400,0200,105559 475,S200000,00400,0300,05/20/1987 475,S200000,00400,0500,P 475,S200000,01600,0100,Y 475,S200000,01900,0100,N 475,S700003,00000,0100,1 479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 479,A000000,00300,0000,00300EMPLOYEE BENEFITS 479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 479,A000000,00700,0000,00700HOUSEKEEPING 479,A000000,00800,0000,00800DIETARY 479,A000000,00900,0000,00900NURSING ADMINISTRATION 479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 479,A000000,01100,0000,01100PHARMACY 479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 479,A000000,01300,0000,01300SOCIAL SERVICE 479,A000000,01350,0000,01500ACTIVITY 479,A000000,01600,0000,01600SKILLED NURSING FACILITY 479,A000000,01800,0000,01800NURSING FACILITY 479,A000000,01810,0000,01801ICF/MR 479,A000000,01900,0000,01900OTHER LONG TERM CARE 479,A000000,02100,0000,02100RADIOLOGY 479,A000000,02200,0000,02200LABORATORY 479,A000000,02300,0000,02300INTRAVENOUS THERAPY 479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 479,A000000,02500,0000,02500PHYSICAL THERAPY 479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 479,A000000,02700,0000,02700SPEECH PATHOLOGY 479,A000000,02800,0000,02800ELECTROCARDIOLOGY 479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 479,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 479,A000000,03400,0000,03400CLINIC 479,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 479,A000000,04750,0000,05100OSP 479,A000000,04800,0000,04800AMBULANCE 479,A000000,05000,0000,05000CORF 479,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 479,A000000,05300,0000,05300INTEREST EXPENSE 479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 479,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 479,A000000,06150,0000,06300RETIREMENT CENTER 479,A000000,06151,0000,06301MARKETING 479,A81000A,00100,0100,Y 479,A81000B,00100,0300,LEASE/RENT/REFURBISHMENT 479,A81000B,00200,0300,HOME OFFICE COSTS 479,A81000C,00100,0100,B 479,A81000C,00100,0200,HARBOURS EDGE 479,A81000C,00100,0400,LCRC INC 479,A81000C,00100,0600,CCRC 479,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 479,B100000,00000,0200,00001DOLLAR VALUECAP REL COSTS - MOVA 479,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 479,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 479,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 479,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 479,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 479,B100000,00000,0800,00001MEALS SERVEDDIETARY 479,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 479,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 479,B100000,00000,1100,00001PATIENT DAYSPHARMACY 479,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 479,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 479,B100000,00000,1350,00001PATIENT DAYSACTIVITY 479,S000000,00100,0200,06/02/2000 479,S200000,00100,0100,401 E. LINTON BLVD. 479,S200000,00200,0100,DELRAY BEACH 479,S200000,00200,0200,FL 479,S200000,00200,0300,33483- 479,S200000,00300,0100,PALM BEACH 479,S200000,00300,0300,U 479,S200000,00400,0100,HEALTH CENTER AT HARBOURS EDGE 479,S200000,00400,0200,105598 479,S200000,00400,0300,01/20/1988 479,S200000,00400,0500,P 479,S200000,01600,0100,Y 479,S200000,01900,0100,N 479,S200000,02800,0100,Y 479,S700003,00000,0100,1 484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 484,A000000,00300,0000,00300EMPLOYEE BENEFITS 484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 484,A000000,00700,0000,00700HOUSEKEEPING 484,A000000,00800,0000,00800DIETARY 484,A000000,00900,0000,00900NURSING ADMINISTRATION 484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 484,A000000,01300,0000,01300SOCIAL SERVICE 484,A000000,01600,0000,01600SKILLED NURSING FACILITY 484,A000000,01900,0000,01900OTHER LONG TERM CARE 484,A000000,02100,0000,02100RADIOLOGY 484,A000000,02200,0000,02200LABORATORY 484,A000000,02500,0000,02500PHYSICAL THERAPY 484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 484,A000000,02700,0000,02700SPEECH PATHOLOGY 484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 484,A000000,03200,0000,03200SUPPORT SURFACES 484,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 484,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 484,A000000,06151,0000,06301ASSISTED LIVING / APRATMENTS 484,A81000A,00100,0100,Y 484,A81000B,00100,0300,PROPERTY -INSURANCE 484,A81000B,00200,0300,OTHER INSURANCE 484,A81000B,00300,0300,UNEMPLOYMENT CHARGED 484,A81000B,00400,0300,WORKERS COMPENSATION 484,A81000B,00500,0300,ACCTG & ADMINISTRATION 484,A81000B,00600,0300,NURSING SUPPLIES 484,A81000B,00700,0300,INCONTINENTS 484,A81000B,00800,0300,DIETARY SUPPLIES 484,A81000B,00900,0300,EQUIPMENT 484,A81000C,00100,0100,B 484,A81000C,00100,0600,ACCTG & MGMT 484,A81000C,00200,0100,B 484,A81000C,00200,0600,SUPPLIES 484,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 484,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 484,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 484,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 484,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 484,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 484,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 484,B100000,00000,0800,00001PATIENT DAYSDIETARY 484,B100000,00000,0900,00001NURSING SALARIESNURSING ADMINISTR 484,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 484,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 484,B100000,00000,1300,00001ADMISSIONSSOCIAL SERVICE 484,S000000,00100,0200,05/10/2000 484,S200000,00100,0100,327 ORANGE AVENEUE 484,S200000,00200,0100,DAYTONA BEACH 484,S200000,00200,0200,FL 484,S200000,00200,0300,32114-4220 484,S200000,00300,0100,VOLUSIA 484,S200000,00300,0300,U 484,S200000,00400,0100,OLDS HALL GOOD SAMARITAN CENTER 484,S200000,00400,0200,105651 484,S200000,00400,0300,06/02/1989 484,S200000,00400,0500,P 484,S200000,01500,0100,Y 484,S200000,01900,0100,N 484,S700003,00000,0100,1 488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 488,A000000,00300,0000,00300EMPLOYEE BENEFITS 488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 488,A000000,00700,0000,00700HOUSEKEEPING 488,A000000,00800,0000,00800DIETARY 488,A000000,00900,0000,00900NURSING ADMINISTRATION 488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 488,A000000,01100,0000,01100PHARMACY 488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 488,A000000,01300,0000,01300SOCIAL SERVICE 488,A000000,01350,0000,01500OTHER GENERAL SERVICES 488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 488,A000000,01600,0000,01600SKILLED NURSING FACILITY 488,A000000,01800,0000,01800NURSING FACILITY 488,A000000,01810,0000,01801ICF/MR 488,A000000,01900,0000,01900OTHER LONG TERM CARE 488,A000000,02100,0000,02100RADIOLOGY 488,A000000,02200,0000,02200LABORATORY 488,A000000,02300,0000,02300INTRAVENOUS THERAPY 488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 488,A000000,02500,0000,02500PHYSICAL THERAPY 488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 488,A000000,02700,0000,02700SPEECH PATHOLOGY 488,A000000,02800,0000,02800ELECTROCARDIOLOGY 488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 488,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 488,A000000,03200,0000,03200SUPPORT SURFACES 488,A000000,03400,0000,03400CLINIC 488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 488,A000000,03500,0000,03500RURAL HEALTH CLINIC 488,A000000,04750,0000,05100OSP 488,A000000,04800,0000,04800AMBULANCE 488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 488,A000000,05000,0000,05000CORF 488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 488,A000000,05300,0000,05300INTEREST EXPENSE 488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 488,A000000,05500,0000,05500HOSPICE 488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 488,A000000,06100,0000,06100NONPAID WORKERS 488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 488,A000000,06151,0000,06301ASSISTED LIVING 488,A000000,06153,0000,06303RESIDENTIAL 488,A000000,06154,0000,06304MARKETING 488,A000000,06155,0000,06305ACTIVITIES 488,A000000,06200,0000,06200PATIENTS LAUNDRY 488,B100000,00000,0100,00005SQUARE FEETCAP REL COSTS - BLDGS 488,B100000,00000,0200,00005SQUARE FEETCAP REL COSTS - MOVAB 488,B100000,00000,0300,00005GROSS SALARIESEMPLOYEE BENEFITS 488,B100000,00000,0400,00005ACC COSTADMINISTRATIVE & GENERAL 488,B100000,00000,0500,00005SQUARE FEETPLANT OPERATION MAIN 488,B100000,00000,0600,00005PATIENT DAYSLAUNDRY & LINEN SERVI 488,B100000,00000,0700,00005SQUARE FEETHOUSEKEEPING 488,B100000,00000,0800,00005MEALS SERVEDDIETARY 488,B100000,00000,0900,00005PATIENT DAYSNURSING ADMINISTRATIO 488,B100000,00000,1000,00005PATIENT DAYSCENTRAL SERVICES & SU 488,B100000,00000,1100,00005PATIENT DAYSPHARMACY 488,B100000,00000,1200,00005PATIENT DAYSMEDICAL RECORDS & LIB 488,B100000,00000,1300,00005PATIENT DAYSSOCIAL SERVICE 488,B100000,00000,1350,00005PATIENT DAYSOTHER GENERAL SERVICE 488,B100000,00000,1400,00005ASSIGNED TIMEINTERNS & RESIDENTS ( 488,E10A180,00301,0100,01/06/2000 488,S000000,00100,0200,06/05/2000 488,S200000,00100,0100,206 WEST ORANGE 488,S200000,00100,0300,668 488,S200000,00200,0100,DAVENPORT 488,S200000,00200,0200,FL 488,S200000,00200,0300,33837- 488,S200000,00300,0100,POLK 488,S200000,00300,0300,U 488,S200000,00400,0100,BISHOP GRAY INN - DAVENPORT 488,S200000,00400,0200,105777 488,S200000,00400,0300,07/01/1993 488,S200000,00400,0500,P 488,S200000,01600,0100,Y 488,S200000,01900,0100,N 488,S200000,02200,0100,Y 488,S700003,00000,0100,1 491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 491,A000000,00300,0000,00300EMPLOYEE BENEFITS 491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 491,A000000,00700,0000,00700HOUSEKEEPING 491,A000000,00800,0000,00800DIETARY 491,A000000,00900,0000,00900NURSING ADMINISTRATION 491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 491,A000000,01100,0000,01100PHARMACY 491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 491,A000000,01300,0000,01300SOCIAL SERVICE 491,A000000,01350,0000,01500ACTIVITIES 491,A000000,01600,0000,01600SKILLED NURSING FACILITY 491,A000000,01800,0000,01800NURSING FACILITY 491,A000000,01900,0000,01900OTHER LONG TERM CARE 491,A000000,02100,0000,02100RADIOLOGY 491,A000000,02200,0000,02200LABORATORY 491,A000000,02300,0000,02300INTRAVENOUS THERAPY 491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 491,A000000,02500,0000,02500PHYSICAL THERAPY 491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 491,A000000,02700,0000,02700SPEECH PATHOLOGY 491,A000000,02800,0000,02800ELECTROCARDIOLOGY 491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 491,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 491,A000000,05300,0000,05300INTEREST EXPENSE 491,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 491,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 491,A000000,06150,0000,06300RETIREMENT CENTER 491,A000000,06151,0000,06301MARKETING 491,A000000,06152,0000,06302EMPLOYEE/GUEST MEALS 491,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 491,B100000,00000,0200,00002DOLLAR VALUECAP REL COSTS - MOVA 491,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 491,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 491,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 491,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 491,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 491,B100000,00000,0800,00002MEALS SERVEDDIETARY 491,B100000,00000,0900,00002PATIENT DAYSNURSING ADMINISTRATIO 491,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 491,B100000,00000,1100,00002PATIENT DAYSPHARMACY 491,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 491,B100000,00000,1300,00002PATIENT DAYSSOCIAL SERVICE 491,B100000,00000,1350,00002PATIENT DAYSACTIVITIES 491,E10A180,00501,0100,09/18/2000 491,E10A180,00501,0300,09/18/2000 491,S000000,00100,0200,09/01/2000 491,S200000,00100,0100,1500 SOUTHWEST CAPRI STREET 491,S200000,00200,0100,PALM CITY 491,S200000,00200,0200,FL 491,S200000,00200,0300,34990- 491,S200000,00300,0100,MARTIN 491,S200000,00300,0300,U 491,S200000,00400,0100,WATERS EDGE NURSING FACILITY 491,S200000,00400,0200,105828 491,S200000,00400,0300,10/01/1993 491,S200000,00400,0500,P 491,S200000,01600,0100,Y 491,S200000,01700,0100,Y 491,S200000,01900,0100,N 491,S700003,00000,0100,1 495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 495,A000000,00300,0000,00300EMPLOYEE BENEFITS 495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 495,A000000,00700,0000,00700HOUSEKEEPING 495,A000000,00800,0000,00800DIETARY 495,A000000,00900,0000,00900NURSING ADMINISTRATION 495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 495,A000000,01100,0000,01100PHARMACY 495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 495,A000000,01300,0000,01300SOCIAL SERVICE 495,A000000,01350,0000,01500ACTIVITIES 495,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 495,A000000,01600,0000,01600SKILLED NURSING FACILITY 495,A000000,01800,0000,01800NURSING FACILITY 495,A000000,01810,0000,01801ICF/MR 495,A000000,01900,0000,01900OTHER LONG TERM CARE 495,A000000,02100,0000,02100RADIOLOGY 495,A000000,02200,0000,02200LABORATORY 495,A000000,02300,0000,02300INTRAVENOUS THERAPY 495,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 495,A000000,02500,0000,02500PHYSICAL THERAPY 495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 495,A000000,02700,0000,02700SPEECH PATHOLOGY 495,A000000,02800,0000,02800ELECTROCARDIOLOGY 495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 495,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 495,A000000,03200,0000,03200SUPPORT SURFACES 495,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 495,A000000,04750,0000,05100OSP 495,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 495,A000000,05300,0000,05300INTEREST EXPENSE 495,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 495,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 495,A000000,05500,0000,05500HOSPICE 495,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 495,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 495,A000000,06100,0000,06100NONPAID WORKERS 495,A000000,06150,0000,06300INDEPENDANT LIVING 495,A000000,06151,0000,06301MARKETING 495,A000000,06200,0000,06200PATIENTS LAUNDRY 495,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 495,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 495,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 495,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 495,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 495,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 495,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 495,B100000,00000,0800,00001MEALS SERVEDDIETARY 495,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 495,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 495,B100000,00000,1100,00001PATIENT DAYSPHARMACY 495,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 495,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 495,B100000,00000,1350,00001PATIENT DAYSACTIVITIES 495,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 495,S000000,00100,0200,06/05/2000 495,S200000,00100,0100,4445 PINE FOREST DRIVE 495,S200000,00200,0100,LAKE WORTH 495,S200000,00200,0200,FL 495,S200000,00200,0300,33463-4673 495,S200000,00300,0100,PALM BEACH 495,S200000,00300,0300,U 495,S200000,00400,0100,HENRY I. LOUTITT HCC 495,S200000,00400,0200,105835 495,S200000,00400,0300,05/21/1993 495,S200000,00400,0500,P 495,S200000,01600,0100,Y 495,S200000,01900,0100,N 495,S200000,02200,0100,Y 495,S200000,02800,0100,Y 495,S700003,00000,0100,1 500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 500,A000000,00300,0000,00300EMPLOYEE BENEFITS 500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 500,A000000,00700,0000,00700HOUSEKEEPING 500,A000000,00800,0000,00800DIETARY 500,A000000,00900,0000,00900NURSING ADMINISTRATION 500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 500,A000000,01300,0000,01300SOCIAL SERVICE 500,A000000,01600,0000,01600SKILLED NURSING FACILITY 500,A000000,01900,0000,01900OTHER LONG TERM CARE 500,A000000,02200,0000,02200LABORATORY 500,A000000,02500,0000,02500PHYSICAL THERAPY 500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 500,A000000,02700,0000,02700SPEECH PATHOLOGY 500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 500,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 500,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 500,A000000,06151,0000,06301APARTMENTS/BAISIC/CONGREGRATE CARE 500,A81000A,00100,0100,Y 500,A81000B,00100,0300,PORPERTY INSURANCE 500,A81000B,00200,0300,OTHER INSURANCE 500,A81000B,00300,0300,UNEMPLOYMENT CHARGED 500,A81000B,00400,0300,WORKERS COMPENSATION 500,A81000B,00500,0300,ACCTG & ADMINISTRATION 500,A81000B,00600,0300,NURSING SUPPLIES 500,A81000B,00700,0300,DISPOSABLE BREIFS 500,A81000B,00800,0300,DIETARY SUPPLIES 500,A81000B,00900,0300,TEXTILES 500,A81000C,00100,0100,B 500,A81000C,00100,0600,ACCTG & MGMT 500,A81000C,00200,0100,B 500,A81000C,00200,0600,SUPPLIES 500,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 500,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 500,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 500,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 500,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 500,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 500,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 500,B100000,00000,0800,00001MEALS SERVEDDIETARY 500,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 500,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 500,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 500,B100000,00000,1300,00001ADMISSIONSSOCIAL SERVICE 500,E10A180,00501,0300,06/16/2000 500,E10A180,00550,0100,06/16/2000 500,S000000,00100,0200,05/08/2000 500,S200000,00100,0100,450 NORTH MCDONALD AVENUE 500,S200000,00200,0100,DELAND 500,S200000,00200,0200,FL 500,S200000,00200,0300,32724- 500,S200000,00300,0100,VOLUSIA 500,S200000,00300,0300,U 500,S200000,00400,0100,FLORIDA LUTHERAN RETIREMENT CENTER 500,S200000,00400,0200,105937 500,S200000,00400,0300,11/07/1997 500,S200000,00400,0500,P 500,S200000,01500,0100,Y 500,S200000,01900,0100,N 500,S700003,00000,0400,4 503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 503,A000000,00300,0000,00300EMPLOYEE BENEFITS 503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 503,A000000,00700,0000,00700HOUSEKEEPING 503,A000000,00800,0000,00800DIETARY 503,A000000,00900,0000,00900NURSING ADMINISTRATION 503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 503,A000000,01300,0000,01300SOCIAL SERVICE 503,A000000,01600,0000,01600SKILLED NURSING FACILITY 503,A000000,01800,0000,01800NURSING FACILITY 503,A000000,01900,0000,01900OTHER LONG TERM CARE 503,A000000,02100,0000,02100RADIOLOGY 503,A000000,02200,0000,02200LABORATORY 503,A000000,02300,0000,02300INTRAVENOUS THERAPY 503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 503,A000000,02500,0000,02500PHYSICAL THERAPY 503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 503,A000000,02700,0000,02700SPEECH PATHOLOGY 503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 503,A000000,03050,0000,03300AMBULANCE 503,A000000,03200,0000,03200SUPPORT SURFACES 503,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 503,A000000,05300,0000,05300INTEREST EXPENSE 503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 503,A000000,05500,0000,05500HOSPICE 503,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 503,A000000,06151,0000,06301MARKETING 503,A81000A,00100,0100,Y 503,A81000B,00100,0300,PROPERTY INSURANCE 503,A81000B,00200,0300,OTHER INSURANCE 503,A81000B,00300,0300,WORKERS COMP 503,A81000B,00400,0300,ADMIN & ACCOUNTING 503,A81000C,00100,0100,B 503,A81000C,00100,0600,MANAGEMENT & AC 503,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 503,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 503,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 503,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 503,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 503,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 503,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 503,B100000,00000,0800,00001MEALS SERVEDDIETARY 503,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 503,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 503,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 503,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 503,E10A180,00501,0100,06/21/2000 503,S000000,00100,0200,05/19/2000 503,S200000,00100,0100,45-090 NAMOKU STREET 503,S200000,00200,0100,KANEOHE 503,S200000,00200,0200,HI 503,S200000,00200,0300,96744- 503,S200000,00300,0100,HONOLULU 503,S200000,00300,0300,U 503,S200000,00400,0100,POHAI NANI GOOD SAMARIITAN CENTER 503,S200000,00400,0200,125033 503,S200000,00400,0300,05/10/1981 503,S200000,00400,0500,P 503,S200000,01500,0100,Y 503,S200000,01900,0100,N 503,S200000,04600,0100,Y 503,S700003,00000,0100,1 506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 506,A000000,00300,0000,00300EMPLOYEE BENEFITS 506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 506,A000000,00700,0000,00700HOUSEKEEPING 506,A000000,00800,0000,00800DIETARY 506,A000000,00900,0000,00900NURSING ADMINISTRATION 506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 506,A000000,01100,0000,01100PHARMACY 506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 506,A000000,01300,0000,01300SOCIAL SERVICE 506,A000000,01350,0000,01500ACTIVITIES 506,A000000,01600,0000,01600SKILLED NURSING FACILITY 506,A000000,01800,0000,01800NURSING FACILITY 506,A000000,01900,0000,01900OTHER LONG TERM CARE 506,A000000,02100,0000,02100RADIOLOGY 506,A000000,02200,0000,02200LABORATORY 506,A000000,02300,0000,02300INTRAVENOUS THERAPY 506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 506,A000000,02500,0000,02500PHYSICAL THERAPY 506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 506,A000000,02700,0000,02700SPEECH PATHOLOGY 506,A000000,02800,0000,02800ELECTROCARDIOLOGY 506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 506,A000000,03200,0000,03200SUPPORT SURFACES 506,A000000,04750,0000,05100OSP 506,A000000,04800,0000,04800AMBULANCE 506,A000000,05000,0000,05000CORF 506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 506,A000000,05300,0000,05300INTEREST EXPENSE 506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 506,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 506,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 506,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 506,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 506,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 506,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 506,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 506,B100000,00000,0800,00000MEALS SERVEDDIETARY 506,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 506,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 506,B100000,00000,1100,00000PATIENT DAYSPHARMACY 506,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 506,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 506,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 506,E10A180,00501,0100,10/06/2000 506,E10A180,00501,0300,10/06/2000 506,S000000,00100,0200,09/05/2000 506,S200000,00100,0100,1314 KLAKAUA AVENUE 506,S200000,00200,0100,HONOLULU 506,S200000,00200,0200,HI 506,S200000,00200,0300,96826- 506,S200000,00300,0100,HONOLULU 506,S200000,00300,0300,U 506,S200000,00400,0100,HALE OLA KINO 506,S200000,00400,0200,125047 506,S200000,00400,0300,02/19/1998 506,S200000,00400,0500,P 506,S200000,01500,0100,Y 506,S200000,01900,0100,N 506,S200000,04100,0100,Y 506,S700003,00000,0400,4 510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 510,A000000,00300,0000,00300EMPLOYEE BENEFITS 510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 510,A000000,00700,0000,00700HOUSEKEEPING 510,A000000,00800,0000,00800DIETARY 510,A000000,00900,0000,00900NURSING ADMINISTRATION 510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 510,A000000,01300,0000,01300SOCIAL SERVICE 510,A000000,01600,0000,01600SKILLED NURSING FACILITY 510,A000000,01900,0000,01900OTHER LONG TERM CARE 510,A000000,02100,0000,02100RADIOLOGY 510,A000000,02200,0000,02200LABORATORY 510,A000000,02500,0000,02500PHYSICAL THERAPY 510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 510,A000000,02700,0000,02700SPEECH PATHOLOGY 510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 510,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 510,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 510,A000000,06151,0000,06301CONGREGATE CARE 510,A81000A,00100,0100,Y 510,A81000B,00100,0300,PROPERTY - INSURANCE 510,A81000B,00200,0300,OTHER INSURANCE 510,A81000B,00300,0300,UNEMPLOYMENT CHARGED 510,A81000B,00400,0300,WORKERS COMPENSATON 510,A81000B,00500,0300,ACCTG & ADMINISTRATION 510,A81000B,00600,0300,NURSING SUPPLIES 510,A81000B,00700,0300,INCONTINENTS 510,A81000B,00800,0300,DIETARY SUPPLIES 510,A81000B,00900,0300,TEXTILES 510,A81000C,00100,0100,B 510,A81000C,00100,0200,EV. LUTHERAN G. 510,A81000C,00100,0600,ACCTG & MANAGEM 510,A81000C,00200,0100,B 510,A81000C,00200,0200,OMNIBILL 510,A81000C,00200,0600,SUPPLIES 510,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 510,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 510,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 510,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 510,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 510,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 510,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 510,B100000,00000,0800,00001MEALS SERVEDDIETARY 510,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 510,B100000,00000,1000,00001GROSS REVENUECENTRAL SERVICES & 510,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 510,B100000,00000,1300,00001AMISSIONSSOCIAL SERVICE 510,E10A180,00501,0100,06/16/2000 510,E10A180,00501,0300,06/16/2000 510,S000000,00100,0200,05/12/2000 510,S200000,00100,0100,7TH STREET 510,S200000,00200,0100,SILVERTON 510,S200000,00200,0200,ID 510,S200000,00200,0300,83867-0358 510,S200000,00300,0100,SHOSHONE 510,S200000,00300,0300,R 510,S200000,00400,0100,SILVER WOOD GOOD SAMARITAN CENTER 510,S200000,00400,0200,135058 510,S200000,00400,0300,10/01/1974 510,S200000,00400,0500,P 510,S200000,01500,0100,Y 510,S200000,01900,0100,N 510,S700003,00000,0100,1 513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 513,A000000,00300,0000,00300EMPLOYEE BENEFITS 513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 513,A000000,00700,0000,00700HOUSEKEEPING 513,A000000,00800,0000,00800DIETARY 513,A000000,00900,0000,00900NURSING ADMINISTRATION 513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 513,A000000,01300,0000,01300SOCIAL SERVICE 513,A000000,01600,0000,01600SKILLED NURSING FACILITY 513,A000000,01900,0000,01900OTHER LONG TERM CARE 513,A000000,02200,0000,02200LABORATORY 513,A000000,02500,0000,02500PHYSICAL THERAPY 513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 513,A000000,02700,0000,02700SPEECH PATHOLOGY 513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 513,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 513,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 513,A000000,06151,0000,06301ASSISTED LIVING 513,A000000,06152,0000,06302APARTMENTS 513,A000000,06153,0000,06303DUPLEXES 513,A81000A,00100,0100,Y 513,A81000B,00100,0300,PROPERTY - INSURANCE 513,A81000B,00200,0300,OTHER INSURANCE 513,A81000B,00300,0300,UNEMPLOYMENT CHARGED 513,A81000B,00400,0300,WORKERS COMPENSATION 513,A81000B,00500,0300,ACCTG & ADMINISTRATION 513,A81000C,00100,0100,B 513,A81000C,00100,0200,EV. LUTHERAN G. 513,A81000C,00100,0600,ACCTG & MGMT 513,A81000C,00200,0100,B 513,A81000C,00200,0200,OMNIBILL 513,A81000C,00200,0600,SUPPLIES 513,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 513,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 513,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 513,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 513,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 513,B100000,00000,0600,00003PATIENT DAYSLAUNDRY & LINEN SERVI 513,B100000,00000,0700,00003SQUARE FEETHOUSEKEEPING 513,B100000,00000,0800,00003MEALS SERVEDDIETARY 513,B100000,00000,0900,00003DIRECT NRSING HRSNURSING ADMINIS 513,B100000,00000,1000,00003COSTED REQUISTIONCENTRAL SERVICE 513,B100000,00000,1200,00003GROSS REVENUEMEDICAL RECORDS & 513,B100000,00000,1300,00003ADMISSIONSSSOCIAL SERVICE 513,E10A180,00501,0100,06/20/2000 513,E10A180,00550,0300,06/20/2000 513,S000000,00100,0200,05/16/2000 513,S200000,00100,0100,640 NORTH EISENHOWER STREET 513,S200000,00200,0100,MOSCOW 513,S200000,00200,0200,ID 513,S200000,00200,0300,83843-9542 513,S200000,00300,0100,LATAH 513,S200000,00300,0300,R 513,S200000,00400,0100,GOOD SAMARITAN VILLAGE 513,S200000,00400,0200,135067 513,S200000,00400,0300,09/01/1976 513,S200000,00400,0500,P 513,S200000,01500,0100,Y 513,S200000,01900,0100,N 513,S700003,00000,0100,1 516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 516,A000000,00300,0000,00300EMPLOYEE BENEFITS 516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 516,A000000,00700,0000,00700HOUSEKEEPING 516,A000000,00800,0000,00800DIETARY 516,A000000,00900,0000,00900NURSING ADMINISTRATION 516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 516,A000000,01300,0000,01300SOCIAL SERVICE 516,A000000,01600,0000,01600SKILLED NURSING FACILITY 516,A000000,01800,0000,01800NURSING FACILITY 516,A000000,02100,0000,02100RADIOLOGY 516,A000000,02200,0000,02200LABORATORY 516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 516,A000000,02500,0000,02500PHYSICAL THERAPY 516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 516,A000000,02700,0000,02700SPEECH PATHOLOGY 516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 516,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 516,A000000,03200,0000,03200SUPPORT SURFACES 516,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 516,A81000A,00100,0100,Y 516,A81000B,00100,0300,PROPERTY INSURANCE 516,A81000B,00200,0300,OTHER INSURANCE 516,A81000B,00300,0300,UNEMPLOYMENT CHARGED 516,A81000B,00400,0300,WORKERS COMPENSATION 516,A81000B,00500,0300,ACCTG & ADMINISTRATION 516,A81000B,00600,0300,NURSING SUPPLIES 516,A81000B,00700,0300,INCONTINENTS 516,A81000B,00800,0300,EQUIPMENT 516,A81000B,00900,0300,TEXTILES 516,A81000C,00100,0100,B 516,A81000C,00100,0600,ACCTG & MGMT 516,A81000C,00200,0100,B 516,A81000C,00200,0600,SUPPLIES 516,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 516,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 516,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 516,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 516,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 516,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 516,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 516,B100000,00000,0800,00000MEALS SERVEDDIETARY 516,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 516,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 516,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 516,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 516,E10A180,00301,0100,11/01/1999 516,E10A180,00501,0100,07/13/2000 516,E10A180,00550,0300,07/13/2000 516,S000000,00100,0200,05/18/2000 516,S200000,00100,0100,3115 SYCAMORE DRIVE 516,S200000,00200,0100,BOISE 516,S200000,00200,0200,ID 516,S200000,00200,0300,88703-4129 516,S200000,00300,0100,ADA 516,S200000,00300,0300,U 516,S200000,00400,0100,BOISE GOOD SAMARITAN VILLAGE 516,S200000,00400,0200,135085 516,S200000,00400,0300,01/01/1984 516,S200000,00400,0500,P 516,S200000,01600,0100,Y 516,S200000,01900,0100,N 516,S700003,00000,0100,1 519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 519,A000000,00300,0000,00300EMPLOYEE BENEFITS 519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 519,A000000,00700,0000,00700HOUSEKEEPING 519,A000000,00800,0000,00800DIETARY 519,A000000,00900,0000,00900NURSING ADMINISTRATION 519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 519,A000000,01300,0000,01300SOCIAL SERVICE 519,A000000,01600,0000,01600SKILLED NURSING FACILITY 519,A000000,01800,0000,01800NURSING FACILITY 519,A000000,01900,0000,01900OTHER LONG TERM CARE 519,A000000,02100,0000,02100RADIOLOGY 519,A000000,02200,0000,02200LABORATORY 519,A000000,02300,0000,02300INTRAVENOUS THERAPY 519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 519,A000000,02500,0000,02500PHYSICAL THERAPY 519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 519,A000000,02700,0000,02700SPEECH PATHOLOGY 519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 519,A000000,03200,0000,03200SUPPORT SURFACES 519,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 519,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 519,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 519,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 519,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 519,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 519,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 519,A000000,04400,0000,04400DME RENTED - HHA 519,A000000,04500,0000,04500DME SOLD - HHA 519,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 519,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 519,A000000,04800,0000,04800AMBULANCE 519,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 519,A000000,05300,0000,05300INTEREST EXPENSE 519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 519,A000000,05500,0000,05500HOSPICE 519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 519,A000000,06151,0000,06301BASIC CARE 519,A000000,06152,0000,06302RESOURCE DEVELOPMENT 519,A81000A,00100,0100,Y 519,A81000B,00100,0300,PROPERTY INSURANCE 519,A81000B,00200,0300,OTHER INSURANCE 519,A81000B,00300,0300,UNEMPLOYMENT-SNF 519,A81000B,00400,0300,WORKERS COMP-SNF 519,A81000B,00500,0300,ADMIN/ACCOUNTING-SNF 519,A81000B,00600,0300,NURSING SUPPLIES 519,A81000B,00700,0300,DISPOSABLE BRIEFS 519,A81000B,00800,0300,DIETARY SUPPLEMENTS 519,A81000B,00900,0300,EQUIPMENT 519,A81000C,00100,0100,B 519,A81000C,00100,0200,EV. LUTHERAN GO 519,A81000C,00100,0600,MANAGEMENT/ACCO 519,A81000C,00200,0200,SAMARITAN SOCIE 519,A81000C,00300,0100,B 519,A81000C,00300,0200,EV. LUTHERAN GO 519,A81000C,00300,0400,OMNICARE 519,A81000C,00300,0600,MEDICAL SUPPLIE 519,A81000C,00400,0200,SAMARITAN SOCIE 519,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 519,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 519,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 519,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 519,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 519,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 519,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 519,B100000,00000,0800,00002MEALS SERVEDDIETARY 519,B100000,00000,0900,00002HOURS OF SERVICENURSING ADMINISTRA 519,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 519,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 519,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 519,E10A180,00550,0100,07/07/2000 519,E10A180,00550,0300,07/07/2000 519,H510100,02400,0000,9913 519,H710000,00301,0100,01/19/2000 519,H710000,00501,0300,07/07/2000 519,H710000,00550,0100,07/07/2000 519,S000000,00100,0200,05/30/2000 519,S200000,00100,0100,840 EAST ELVA STREET 519,S200000,00200,0100,IDAHO FALLS 519,S200000,00200,0200,ID 519,S200000,00200,0300,83401- 519,S200000,00300,0100,BONNEVILLE 519,S200000,00300,0300,R 519,S200000,00400,0100,IDAHO FALLS GOOD SAMARITAN CENTER 519,S200000,00400,0200,135092 519,S200000,00400,0300,01/01/1982 519,S200000,00400,0500,P 519,S200000,00800,0200,137029 519,S200000,00800,0300,01/01/1982 519,S200000,00800,0500,P 519,S200000,01500,0100,Y 519,S200000,01900,0100,N 519,S200000,04600,0100,Y 519,S700003,00000,0100,1 523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 523,A000000,00300,0000,00300EMPLOYEE BENEFITS 523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 523,A000000,00700,0000,00700HOUSEKEEPING 523,A000000,00800,0000,00800DIETARY 523,A000000,00900,0000,00900NURSING ADMINISTRATION 523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 523,A000000,01100,0000,01100PHARMACY 523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 523,A000000,01300,0000,01300SOCIAL SERVICE 523,A000000,01301,0000,01301ACTIVITIES 523,A000000,01600,0000,01600SKILLED NURSING FACILITY 523,A000000,01800,0000,01800NURSING FACILITY 523,A000000,02200,0000,02200LABORATORY 523,A000000,02500,0000,02500PHYSICAL THERAPY 523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 523,A000000,02700,0000,02700SPEECH PATHOLOGY 523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 523,A000000,03200,0000,03200SUPPORT SURFACES 523,A000000,04800,0000,04800AMBULANCE 523,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 523,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 523,A81000A,00100,0100,Y 523,A81000B,00100,0300,CAPITAL - BLDING & FIXTURES 523,A81000B,00200,0300,CAPITAL - MOVABLE EQUIP 523,A81000B,00300,0300,A&G - HOME OFFICE ALLOCATION 523,A81000C,00100,0100,A 523,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 523,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 523,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 523,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 523,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 523,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 523,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 523,B100000,00000,0800,00000MEALS SERVEDDIETARY 523,B100000,00000,0900,00000DIRECT NURSENURSING ADMINISTRATI 523,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 523,B100000,00000,1100,00000PATIENT DAYSPHARMACY 523,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 523,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 523,B100000,00000,1301,00000PATIENT DAYSACTIVITIES 523,E10A180,00501,0100,07/31/2000 523,E10A180,00550,0300,07/31/2000 523,S000000,00100,0200,06/05/2000 523,S200000,00100,0100,2400 SOUTH FINLEY 523,S200000,00200,0100,LOMBARD 523,S200000,00200,0200,IL 523,S200000,00200,0300,60148- 523,S200000,00300,0100,DUPAGE 523,S200000,00300,0300,U 523,S200000,00400,0100,BEACON HILL 523,S200000,00400,0200,145522 523,S200000,00400,0300,06/01/1995 523,S200000,00400,0500,P 523,S200000,01600,0100,Y 523,S200000,01700,0100,Y 523,S200000,01900,0100,Y 523,S200000,02800,0100,Y 523,S700003,00000,0100,1 529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 529,A000000,00300,0000,00300EMPLOYEE BENEFITS 529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 529,A000000,00700,0000,00700HOUSEKEEPING 529,A000000,00800,0000,00800DIETARY 529,A000000,00900,0000,00900NURSING ADMINISTRATION 529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 529,A000000,01300,0000,01300SOCIAL SERVICE 529,A000000,01600,0000,01600SKILLED NURSING FACILITY 529,A000000,01800,0000,01800NURSING FACILITY 529,A000000,02100,0000,02100RADIOLOGY 529,A000000,02200,0000,02200LABORATORY 529,A000000,02300,0000,02300INTRAVENOUS THERAPY 529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 529,A000000,02500,0000,02500PHYSICAL THERAPY 529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 529,A000000,02700,0000,02700SPEECH PATHOLOGY 529,A000000,02800,0000,02800ELECTROCARDIOLOGY 529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 529,A000000,03050,0000,03300OTHER ANCILLARY (AMBULANCE) 529,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 529,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 529,A81000A,00100,0100,Y 529,A81000B,00100,0300,ADMIN/ACCOUNTING 529,A81000B,00200,0300,UNEMPLOYMENT CLAIMS 529,A81000B,00300,0300,WORKMENS COMP 529,A81000B,00400,0300,FIRE/CASUALTY INS. 529,A81000B,00500,0300,LIABILITY INSURANCE 529,A81000B,00600,0300,VEHICLE INSURANCE 529,A81000B,00700,0300,CENTRAL SUPPLY 529,A81000B,00800,0300,DIETARY SUPPLIES 529,A81000B,00900,0300,EQUIPMENT 529,A81000C,00100,0100,B 529,A81000C,00100,0400,EVAN. LUTHERAN 529,A81000C,00100,0600,MGMT. 529,A81000C,00200,0100,B 529,A81000C,00200,0400,GS SUPPLY CORP 529,A81000C,00200,0600,SUPPLIES 529,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 529,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 529,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 529,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 529,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 529,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 529,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 529,B100000,00000,0800,00000MEALS SERVEDDIETARY 529,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 529,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 529,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 529,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 529,E10A180,00550,0300,07/24/2000 529,S000000,00100,0200,06/05/2000 529,S200000,00100,0100,1006 N. LOWDEN ROAD 529,S200000,00200,0100,MOUNT CARROLL 529,S200000,00200,0200,IL 529,S200000,00200,0300,61053-0111 529,S200000,00300,0100,CARROLL 529,S200000,00300,0300,R 529,S200000,00400,0100,CARROLL COUNTY GOOD SAM CENTER 529,S200000,00400,0200,145770 529,S200000,00400,0300,12/01/1993 529,S200000,00400,0500,P 529,S200000,01500,0100,Y 529,S700003,00000,0100,1 533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 533,A000000,00300,0000,00300EMPLOYEE BENEFITS 533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 533,A000000,00700,0000,00700HOUSEKEEPING 533,A000000,00800,0000,00800DIETARY 533,A000000,00900,0000,00900NURSING ADMINISTRATION 533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 533,A000000,01100,0000,01100PHARMACY 533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 533,A000000,01300,0000,01300SOCIAL SERVICE 533,A000000,01600,0000,01600SKILLED NURSING FACILITY 533,A000000,01800,0000,01800NURSING FACILITY 533,A000000,01900,0000,01900OTHER LONG TERM CARE 533,A000000,02100,0000,02100RADIOLOGY 533,A000000,02200,0000,02200LABORATORY 533,A000000,02300,0000,02300INTRAVENOUS THERAPY 533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 533,A000000,02500,0000,02500PHYSICAL THERAPY 533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 533,A000000,02700,0000,02700SPEECH PATHOLOGY 533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 533,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 533,A000000,03200,0000,03200SUPPORT SURFACES 533,A000000,04800,0000,04800AMBULANCE 533,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 533,A000000,05300,0000,05300INTEREST EXPENSE 533,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 533,A81000A,00100,0100,Y 533,A81000B,00100,0300,CENTRAL OFFICE 533,A81000B,00200,0300,WORKERS COMPENSATION 533,A81000B,00300,0300,FIRE AND CASUALTY INSURANCE 533,A81000B,00400,0300,LIABILITY INSURANCE 533,A81000B,00500,0300,VEHICLE INSURANCE 533,A81000B,00600,0300,CENTRAL OFFICE 533,A81000B,00700,0300,WORKERS COMPENSATION 533,A81000B,00800,0300,FIRE AND CASUALTY INSURANCE 533,A81000B,00900,0300,LIABILITY INSURANCE 533,A81000B,00901,0300,MED SUPPLIES / OTHER 533,A81000B,00902,0300,EQUIPMENT 533,A81000C,00100,0100,B 533,A81000C,00100,0200,GENESEO G/S 533,A81000C,00100,0400,EV. LUTH GS SOC 533,A81000C,00100,0600,MGMT/ACCTG 533,A81000C,00200,0100,B 533,A81000C,00200,0200,GENESEO G/S 533,A81000C,00200,0400,GS SUPPLY 533,A81000C,00200,0600,SUPPLIES 533,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 533,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 533,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 533,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 533,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 533,B100000,00000,0600,00000DAYSLAUNDRY & LINEN SERVICE 533,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 533,B100000,00000,0800,00000MEALS SERVEDDIETARY 533,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTRAT 533,B100000,00000,1000,00000COSTED REQUISITIONSCENTRAL SERVICES 533,B100000,00000,1100,00000COSTED REQUISITIONSPHARMACY 533,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 533,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 533,E10A180,00350,0100,11/10/1999 533,S000000,00100,0200,06/07/2000 533,S200000,00100,0100,704 S. ILLINOIS STREET 533,S200000,00200,0100,GENESEO 533,S200000,00200,0200,IL 533,S200000,00200,0300,61254-1780 533,S200000,00300,0100,HENRY 533,S200000,00300,0300,U 533,S200000,00400,0100,GENESEO GOOD SAMARITAN VILLAGE 533,S200000,00400,0200,145789 533,S200000,00400,0300,03/01/1994 533,S200000,00400,0500,P 533,S200000,01600,0100,Y 533,S700003,00000,0100,1 536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 536,A000000,00300,0000,00300EMPLOYEE BENEFITS 536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 536,A000000,00700,0000,00700HOUSEKEEPING 536,A000000,00800,0000,00800DIETARY 536,A000000,00900,0000,00900NURSING ADMINISTRATION 536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 536,A000000,01100,0000,01100PHARMACY 536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 536,A000000,01300,0000,01300SOCIAL SERVICE 536,A000000,01600,0000,01600SKILLED NURSING FACILITY 536,A000000,01800,0000,01800NURSING FACILITY 536,A000000,01810,0000,01810ICF/MR 536,A000000,01900,0000,01900OTHER LONG TERM CARE 536,A000000,02100,0000,02100RADIOLOGY 536,A000000,02200,0000,02200LABORATORY 536,A000000,02300,0000,02300INTRAVENOUS THERAPY 536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 536,A000000,02500,0000,02500PHYSICAL THERAPY 536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 536,A000000,02700,0000,02700SPEECH PATHOLOGY 536,A000000,02800,0000,02800ELECTROCARDIOLOGY 536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 536,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 536,A000000,03200,0000,03200SUPPORT SURFACES 536,A000000,04800,0000,04800AMBULANCE 536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 536,A000000,05300,0000,05300INTEREST EXPENSE 536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 536,A000000,06150,0000,06300APARTMENTS 536,A81000A,00100,0100,Y 536,A81000B,00100,0300,CENTRAL OFFICE 536,A81000B,00200,0300,WORKERS COMPENSATION 536,A81000B,00300,0300,PROPERTY/ LIABILITY INS. 536,A81000B,00400,0300,VEHICLE INSURANCE 536,A81000B,00500,0300,CENTRAL OFFICE 536,A81000B,00600,0300,PROPERTY/ LIABILITY INS. 536,A81000C,00100,0100,B 536,A81000C,00100,0400,GOOD SAMARITAN 536,A81000C,00100,0600,MANAGEMENT 536,A81000C,00200,0100,B 536,A81000C,00200,0400,G.S. SUPPLY 536,A81000C,00200,0600,MEDICAL SUPPLY 536,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 536,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 536,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 536,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 536,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 536,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 536,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 536,B100000,00000,0800,00000MEALS SERVEDDIETARY 536,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 536,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 536,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 536,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 536,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 536,E10A180,00501,0300,07/14/2000 536,S000000,00100,0200,05/24/2000 536,S200000,00100,0100,310 MOSHER DRIVE 536,S200000,00200,0100,PROPHETSTOWN 536,S200000,00200,0200,IL 536,S200000,00200,0300,61277-1002 536,S200000,00300,0100,WHITESIDE 536,S200000,00300,0300,R 536,S200000,00400,0100,PROPHETS RIVERVIEW GOOD SAMARITAN 536,S200000,00400,0200,145920 536,S200000,00400,0300,03/01/1997 536,S200000,00400,0500,P 536,S200000,01600,0100,Y 536,S700003,00000,0400,4 544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 544,A000000,00300,0000,00300EMPLOYEE BENEFITS 544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 544,A000000,00700,0000,00700HOUSEKEEPING 544,A000000,00800,0000,00800DIETARY 544,A000000,00900,0000,00900NURSING ADMINISTRATION 544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 544,A000000,01100,0000,01100PHARMACY 544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 544,A000000,01300,0000,01300SOCIAL SERVICE 544,A000000,01350,0000,01500ACTIVITIES 544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 544,A000000,01600,0000,01600SKILLED NURSING FACILITY 544,A000000,01800,0000,01800NURSING FACILITY 544,A000000,01810,0000,01810ICF/MR 544,A000000,01900,0000,01900OTHER LONG TERM CARE 544,A000000,02200,0000,02200LABORATORY 544,A000000,02500,0000,02500PHYSICAL THERAPY 544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 544,A000000,02700,0000,02700SPEECH PATHOLOGY 544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 544,A000000,03550,0000,03550FQHC 544,A000000,04800,0000,04800AMBULANCE 544,A000000,05000,0000,05000CORF 544,A000000,05010,0000,05010CMHC 544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 544,A000000,05901,0000,05910APARTMENTS / ASSISTED LIVING 544,B100000,00000,0100,00010SQUARE FEETCAP REL COSTS - BLDGS 544,B100000,00000,0200,00010SQUARE FEETCAP REL COSTS - MOVAB 544,B100000,00000,0300,00010GROSS SALARIESEMPLOYEE BENEFITS 544,B100000,00000,0400,00010ACC COSTADMINISTRATIVE & GENERAL 544,B100000,00000,0500,00010SQUARE FEETPLANT OPERATION MAIN 544,B100000,00000,0600,00010POUNDS OF LAUNDRYLAUNDRY & LINEN SE 544,B100000,00000,0700,00010SQUARE FEETHOUSEKEEPING 544,B100000,00000,0800,00010MEALS SERVEDDIETARY 544,B100000,00000,0900,00010PATIENT DAYSNURSING ADMINISTRATIO 544,B100000,00000,1000,00010PATIENT DAYSCENTRAL SERVICES & SU 544,B100000,00000,1100,00010PATIENT DAYSPHARMACY 544,B100000,00000,1200,00010PATIENT DAYSMEDICAL RECORDS & LIB 544,B100000,00000,1300,00010PATIENT DAYSSOCIAL SERVICE 544,B100000,00000,1350,00010PATIENT DAYSACTIVITIES 544,B100000,00000,1400,00010ASSIGNED TIMEINTERNS & RESIDENTS ( 544,S000000,00100,0200,05/26/2000 544,S200000,00100,0100,8140 TOWNSHIP LINE ROAD 544,S200000,00200,0100,INDIANAPOLIS 544,S200000,00200,0200,IN 544,S200000,00200,0300,46260 544,S200000,00300,0100,MARION 544,S200000,00300,0300,U 544,S200000,00400,0100,MARQUETTE MANOR 544,S200000,00400,0200,155198 544,S200000,00400,0300,01/01/1989 544,S200000,00400,0500,P 544,S200000,00600,0200,155198 544,S200000,00600,0300,01/01/1989 544,S200000,00600,0600,P 544,S200000,01600,0100,Y 544,S200000,01900,0100,N 544,S200000,02200,0100,Y 544,S200000,02800,0100,Y 544,S200000,04700,0100,Y 544,S200000,04700,0200,Y 544,S700003,00000,0100,1 548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 548,A000000,00300,0000,00300EMPLOYEE BENEFITS 548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 548,A000000,00700,0000,00700HOUSEKEEPING 548,A000000,00800,0000,00800DIETARY 548,A000000,00900,0000,00900NURSING ADMINISTRATION 548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 548,A000000,01100,0000,01100PHARMACY 548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 548,A000000,01300,0000,01300SOCIAL SERVICE 548,A000000,01350,0000,01500ACTIVITIES 548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 548,A000000,01600,0000,01600SKILLED NURSING FACILITY 548,A000000,01800,0000,01800NURSING FACILITY 548,A000000,01810,0000,01801ICF/MR 548,A000000,01900,0000,01900OTHER LONG TERM CARE 548,A000000,02100,0000,02100RADIOLOGY 548,A000000,02200,0000,02200LABORATORY 548,A000000,02300,0000,02300INTRAVENOUS THERAPY 548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 548,A000000,02500,0000,02500PHYSICAL THERAPY 548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 548,A000000,02700,0000,02700SPEECH PATHOLOGY 548,A000000,02800,0000,02800ELECTROCARDIOLOGY 548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 548,A000000,04750,0000,05100OSP 548,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 548,A000000,05300,0000,05300INTEREST EXPENSE 548,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 548,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 548,A000000,05500,0000,05500HOSPICE 548,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 548,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 548,A000000,06100,0000,06100NONPAID WORKERS 548,A000000,06150,0000,06300RETIRMENT COMMUNITY 548,A000000,06151,0000,06301MARKETING 548,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 548,A000000,06200,0000,06200PATIENTS LAUNDRY 548,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 548,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 548,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 548,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 548,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 548,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 548,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 548,B100000,00000,0800,00002NUMBER OF MEALSDIETARY 548,B100000,00000,0900,00002PATIENT DAYSNURSING ADMINISTRATIO 548,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 548,B100000,00000,1100,00002PATIENT DAYSPHARMACY 548,B100000,00000,1200,00002GROSS CHARGESMEDICAL RECORDS & 548,B100000,00000,1300,00002PATIENT DAYSSOCIAL SERVICE 548,B100000,00000,1350,00002PATIENT DAYSACTIVITIES 548,B100000,00000,1400,00002NO STATISTICSINTERNS & RESID 548,S000000,00100,0200,06/01/2000 548,S200000,00100,0100,1120 EAST DAVIS DRIVE 548,S200000,00200,0100,TERRE HAUTE 548,S200000,00200,0200,IN 548,S200000,00200,0300,47802-4065 548,S200000,00300,0100,VIGO 548,S200000,00300,0300,U 548,S200000,00400,0100,DAVIS GARDENS HEALTH CENTER 548,S200000,00400,0200,155221 548,S200000,00400,0300,09/09/1983 548,S200000,00400,0500,P 548,S200000,01600,0100,Y 548,S200000,01900,0100,N 548,S700003,00000,0100,1 554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 554,A000000,00300,0000,00300EMPLOYEE BENEFITS 554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 554,A000000,00700,0000,00700HOUSEKEEPING 554,A000000,00800,0000,00800DIETARY 554,A000000,00900,0000,00900NURSING ADMINISTRATION 554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 554,A000000,01300,0000,01300SOCIAL SERVICE 554,A000000,01600,0000,01600SKILLED NURSING FACILITY 554,A000000,01800,0000,01800NURSING FACILITY 554,A000000,01900,0000,01900OTHER LONG TERM CARE 554,A000000,02200,0000,02200LABORATORY 554,A000000,02500,0000,02500PHYSICAL THERAPY 554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 554,A000000,02700,0000,02700SPEECH PATHOLOGY 554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 554,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 554,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 554,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 554,A000000,06151,0000,06301ASSISTED LIVING 554,A81000A,00100,0100,Y 554,A81000B,00100,0300,PROPERTY INSURANCE 554,A81000B,00200,0300,OTHER INSURANCE 554,A81000B,00300,0300,UNEMPLOYMENT CHARGED 554,A81000B,00400,0300,WORKERS COMPENSATION 554,A81000B,00500,0300,ACCTG & ADMINISTRATION 554,A81000B,00600,0300,NURSING SUPPLIES 554,A81000B,00700,0300,INCONTINENTS 554,A81000B,00800,0300,DIETARY SUPPLIES 554,A81000B,00900,0300,EQUIPMENT 554,A81000C,00100,0100,B 554,A81000C,00100,0200,EV. LUTHERAN G. 554,A81000C,00100,0600,ACCTG & MGMT 554,A81000C,00200,0100,B 554,A81000C,00200,0200,OMNIBILL 554,A81000C,00200,0600,SUPPLIES 554,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 554,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 554,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 554,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 554,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 554,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 554,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 554,B100000,00000,0800,00001MEALS SERVEDDIETARY 554,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 554,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 554,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 554,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 554,S000000,00100,0200,05/26/2000 554,S200000,00100,0100,2515 NEWTON STREET 554,S200000,00200,0100,JASPER 554,S200000,00200,0200,IN 554,S200000,00200,0300,47547-1047 554,S200000,00300,0100,DUBOIS 554,S200000,00300,0300,R 554,S200000,00400,0100,NORTHWOOD GOOD SAMARITAN CENTER 554,S200000,00400,0200,155282 554,S200000,00400,0300,07/15/1982 554,S200000,00400,0500,P 554,S200000,01600,0100,Y 554,S200000,01900,0100,N 554,S700003,00000,0100,1 559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 559,A000000,00300,0000,00300EMPLOYEE BENEFITS 559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 559,A000000,00700,0000,00700HOUSEKEEPING 559,A000000,00800,0000,00800DIETARY 559,A000000,00900,0000,00900NURSING ADMINISTRATION 559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 559,A000000,01300,0000,01300SOCIAL SERVICE 559,A000000,01600,0000,01600SKILLED NURSING FACILITY 559,A000000,01800,0000,01800NURSING FACILITY 559,A000000,02200,0000,02200LABORATORY 559,A000000,02500,0000,02500PHYSICAL THERAPY 559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 559,A000000,02700,0000,02700SPEECH PATHOLOGY 559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 559,A000000,03200,0000,03200SUPPORT SURFACES 559,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 559,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 559,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 559,A81000A,00100,0100,Y 559,A81000B,00100,0300,PROPERTY INSURANCE 559,A81000B,00200,0300,OTHER INSURANCE 559,A81000B,00300,0300,UNEMPLOYMENT CHARGED 559,A81000B,00400,0300,WORKERS COMPENSATION 559,A81000B,00500,0300,ACCTG & ADMINISTRATION 559,A81000B,00600,0300,NURSING SUPPLIES 559,A81000B,00700,0300,INCONTINENTS 559,A81000B,00800,0300,DIETARY SUPPLIES 559,A81000C,00100,0100,B 559,A81000C,00100,0600,ACCTG & MGMT 559,A81000C,00200,0100,B 559,A81000C,00200,0600,SUPPLIES 559,B100000,00000,0100,00000SQUARE FEECAP REL COSTS - BLDGS 559,B100000,00000,0200,00000SQUARE FEECAP REL COSTS - MOVABL 559,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 559,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 559,B100000,00000,0500,00000SQUARE FEEPLANT OPERATION MAINT 559,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 559,B100000,00000,0700,00000SQUARE FEEHOUSEKEEPING 559,B100000,00000,0800,00000MEALS SERVEDDIETARY 559,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 559,B100000,00000,1000,00000COSTED REQUISTIONCENTRAL SERVICE 559,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 559,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 559,E10A180,00501,0100,07/21/2000 559,E10A180,00550,0300,07/21/2000 559,S000000,00100,0200,06/01/2000 559,S200000,00100,0100,800 EAST OHIO STREET 559,S200000,00200,0100,JASONVILLE 559,S200000,00200,0200,IN 559,S200000,00200,0300,47438-1699 559,S200000,00300,0100,GREENE 559,S200000,00300,0300,R 559,S200000,00400,0100,SHAKAMAK GOOD SAMARITAN CENTER 559,S200000,00400,0200,155303 559,S200000,00400,0300,08/20/1986 559,S200000,00400,0500,P 559,S200000,01600,0100,Y 559,S200000,01900,0100,N 559,S700003,00000,0100,1 565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 565,A000000,00300,0000,00300EMPLOYEE BENEFITS 565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 565,A000000,00700,0000,00700HOUSEKEEPING 565,A000000,00800,0000,00800DIETARY 565,A000000,00900,0000,00900NURSING ADMINISTRATION 565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 565,A000000,01300,0000,01300SOCIAL SERVICE 565,A000000,01600,0000,01600SKILLED NURSING FACILITY 565,A000000,01800,0000,01800NURSING FACILITY 565,A000000,02500,0000,02500PHYSICAL THERAPY 565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 565,A000000,04800,0000,04800AMBULANCE 565,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 565,A000000,05300,0000,05300INTEREST EXPENSE 565,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 565,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 565,A000000,06100,0000,06100NONPAID WORKERS 565,A000000,06150,0000,06300RESIDENT APARTMENTS 565,A000000,06151,0000,06301GUEST ROOMS 565,A000000,06200,0000,06200PATIENTS LAUNDRY 565,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS & 565,B100000,00000,0200,00001DEPR EXPENSECAP REL COSTS - MOVABLE 565,B100000,00000,0300,00001GROSS SALARYEMPLOYEE BENEFITS 565,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 565,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAINT. 565,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 565,B100000,00000,0700,00001HOURS OF SERVICEHOUSEKEEPING 565,B100000,00000,0800,00001MEALS SERVEDDIETARY 565,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRAT 565,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LIBRARY 565,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 565,S000000,00100,0200,11/28/2000 565,S200000,00100,0100,701 OAKNOLL DRIVE 565,S200000,00200,0100,IOWA CITY 565,S200000,00200,0200,IA 565,S200000,00200,0300,52240- 565,S200000,00300,0100,JOHNSON 565,S200000,00300,0300,U 565,S200000,00400,0100,OAKNOLL RETIREMENT RESIDENCE 565,S200000,00400,0200,165030 565,S200000,00400,0300,01/11/1968 565,S200000,00400,0500,P 565,S200000,01600,0100,Y 565,S200000,01900,0100,N 565,S200000,02800,0100,Y 565,S700003,00000,0200,2 568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 568,A000000,00300,0000,00300EMPLOYEE BENEFITS 568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 568,A000000,00700,0000,00700HOUSEKEEPING 568,A000000,00800,0000,00800DIETARY 568,A000000,00900,0000,00900NURSING ADMINISTRATION 568,A000000,01600,0000,01600SKILLED NURSING FACILITY 568,A000000,01800,0000,01800NURSING FACILITY 568,A000000,02500,0000,02500PHYSICAL THERAPY 568,A000000,02700,0000,02700SPEECH PATHOLOGY 568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 568,A000000,04750,0000,05100OTHER REIMBURSABLE COST 568,A000000,04800,0000,04800AMBULANCE 568,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 568,A000000,05300,0000,05300INTEREST EXPENSE 568,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 568,A000000,06200,0000,06200PATIENTS LAUNDRY 568,A000000,06201,0000,06201RETIREMENT WING 568,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 568,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 568,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 568,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 568,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 568,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 568,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 568,B100000,00000,0800,00000MEALS SERVEDDIETARY 568,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRAT 568,S000000,00100,0200,11/01/2000 568,S200000,00100,0100,4130 NORTHWEST BLVD 568,S200000,00200,0100,DAVENPORT 568,S200000,00200,0200,IA 568,S200000,00200,0300,52806- 568,S200000,00300,0100,SCOTT 568,S200000,00300,0300,U 568,S200000,00400,0100,RIDGECREST VILLAGE 568,S200000,00400,0200,165049 568,S200000,00400,0300,03/22/1967 568,S200000,00400,0500,P 568,S200000,00600,0200,165049 568,S200000,00600,0300,03/22/1967 568,S200000,00600,0600,P 568,S200000,01600,0100,Y 568,S200000,01900,0100,N 568,S700003,00000,0200,2 571,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 571,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 571,A000000,00300,0000,00300EMPLOYEE BENEFITS 571,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 571,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 571,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 571,A000000,00700,0000,00700HOUSEKEEPING 571,A000000,00800,0000,00800DIETARY 571,A000000,00900,0000,00900NURSING ADMINISTRATION 571,A000000,01350,0000,01500ACTIVITIES 571,A000000,01600,0000,01600SKILLED NURSING FACILITY 571,A000000,01800,0000,01800NURSING FACILITY 571,A000000,02500,0000,02500PHYSICAL THERAPY 571,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 571,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 571,A000000,05300,0000,05300INTEREST EXPENSE 571,A000000,06201,0000,06201MANOR 571,A000000,06202,0000,06202GIFT SHOP 571,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 571,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 571,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 571,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 571,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 571,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 571,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 571,B100000,00000,0800,00002MEALS SERVEDDIETARY 571,B100000,00000,0900,00002HOURS OF SERVICENURSING ADMINISTRA 571,B100000,00000,1350,00002HOURS OF SERVICEACTIVITIES 571,E10A180,00501,0300,04/14/2000 571,S000000,00100,0200,02/16/2000 571,S200000,00100,0100,302 2ND ST NE 571,S200000,00100,0300,1707 571,S200000,00200,0100,MASON CITY 571,S200000,00200,0200,IA 571,S200000,00200,0300,50401- 571,S200000,00300,0100,CERRO GORDO 571,S200000,00300,0300,R 571,S200000,00400,0100,GOOD SHEPHERD HEALTH CENTER 571,S200000,00400,0200,165072 571,S200000,00400,0300,08/01/1975 571,S200000,00400,0500,P 571,S200000,00600,0200,165072 571,S200000,00600,0300,08/01/1975 571,S200000,00600,0600,P 571,S200000,01600,0100,Y 571,S200000,01900,0100,N 571,S700003,00000,0100,1 578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 578,A000000,00300,0000,00300EMPLOYEE BENEFITS 578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 578,A000000,00700,0000,00700HOUSEKEEPING 578,A000000,00800,0000,00800DIETARY 578,A000000,00900,0000,00900NURSING ADMINISTRATION 578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 578,A000000,01100,0000,01100PHARMACY 578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 578,A000000,01300,0000,01300SOCIAL SERVICE 578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 578,A000000,01600,0000,01600SKILLED NURSING FACILITY 578,A000000,01800,0000,01800NURSING FACILITY 578,A000000,01810,0000,01810ICF/MR 578,A000000,02500,0000,02500PHYSICAL THERAPY 578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 578,A000000,02700,0000,02700SPEECH PATHOLOGY 578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 578,A000000,03550,0000,03550FQHC 578,A000000,05000,0000,05000CORF 578,A000000,05010,0000,05010CMHC 578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 578,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 578,A000000,05300,0000,05300INTEREST EXPENSE 578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 578,A000000,06150,0000,06300NONREIMBURSABLE COST CENTERS 578,A000000,06151,0000,06301APARTMENTS 578,A000000,06152,0000,06302CAFETERIA 578,E10A180,00301,0100,11/03/1999 578,S000000,00100,0200,06/02/2000 578,S200000,00100,0100,613 WEST NORTH ST 578,S200000,00200,0100,MADRID 578,S200000,00200,0200,IA 578,S200000,00200,0300,50156 578,S200000,00300,0100,BOONE 578,S200000,00300,0300,R 578,S200000,00400,0100,MADRID HOME FOR THE AGING 578,S200000,00400,0200,165118 578,S200000,00400,0300,11/01/1983 578,S200000,00400,0500,P 578,S200000,01600,0100,Y 578,S700003,00000,0100,1 582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 582,A000000,00300,0000,00300EMPLOYEE BENEFITS 582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 582,A000000,00700,0000,00700HOUSEKEEPING 582,A000000,00800,0000,00800DIETARY 582,A000000,00801,0000,00801EMPLOYEE CAFETERIA 582,A000000,00900,0000,00900NURSING ADMINISTRATION 582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 582,A000000,01300,0000,01300SOCIAL SERVICE 582,A000000,01600,0000,01600SKILLED NURSING FACILITY 582,A000000,01800,0000,01800NURSING FACILITY 582,A000000,02100,0000,02100RADIOLOGY 582,A000000,02200,0000,02200LABORATORY 582,A000000,02500,0000,02500PHYSICAL THERAPY 582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 582,A000000,02700,0000,02700SPEECH PATHOLOGY 582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 582,A000000,04800,0000,04800AMBULANCE 582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 582,A000000,05300,0000,05300INTEREST EXPENSE 582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 582,A000000,06200,0000,06200PATIENTS LAUNDRY 582,A000000,06201,0000,06201GERNAND RETIREMENT CENTER 582,A000000,06202,0000,06202DEVELOPEMENT 582,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 582,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 582,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 582,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 582,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 582,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 582,B100000,00000,0700,00002HOURS OF SERVICEHOUSEKEEPING 582,B100000,00000,0800,00002MEALS SERVEDDIETARY 582,B100000,00000,0801,00002EQUIVALENTEMPLOYEESEMPLOYEE CAFETER 582,B100000,00000,0900,00002HOURS OF SERVICENURSING ADMINISTRA 582,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LI 582,B100000,00000,1300,00002TIME SPENTSOCIAL SERVICE 582,E10A180,00501,0100,06/21/2000 582,E10A180,00501,0300,06/21/2000 582,S000000,00100,0200,05/15/2000 582,S200000,00100,0100,313 ELKADER STREET 582,S200000,00200,0100,STRAWBERRY POINT 582,S200000,00200,0200,IA 582,S200000,00200,0300,52076 582,S200000,00300,0100,CLAYTON 582,S200000,00300,0300,R 582,S200000,00400,0100,STRAWBERRY POINT LUTHERAN HOME 582,S200000,00400,0200,165135 582,S200000,00400,0300,04/16/1986 582,S200000,00400,0500,P 582,S200000,01600,0100,Y 582,S200000,02200,0100,Y 582,S200000,02800,0100,Y 582,S200000,04700,0100,Y 582,S200000,04700,0200,Y 582,S700003,00000,0100,1 588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 588,A000000,00300,0000,00300EMPLOYEE BENEFITS 588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 588,A000000,00700,0000,00700HOUSEKEEPING 588,A000000,00800,0000,00800DIETARY 588,A000000,00900,0000,00900NURSING ADMINISTRATION 588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 588,A000000,01100,0000,01100PHARMACY 588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 588,A000000,01300,0000,01300SOCIAL SERVICE 588,A000000,01350,0000,01500ACTIVITIES 588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 588,A000000,01600,0000,01600SKILLED NURSING FACILITY 588,A000000,01800,0000,01800NURSING FACILITY 588,A000000,01900,0000,01900OTHER LONG TERM CARE 588,A000000,02100,0000,02100RADIOLOGY 588,A000000,02200,0000,02200LABORATORY 588,A000000,02300,0000,02300INTRAVENOUS THERAPY 588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 588,A000000,02500,0000,02500PHYSICAL THERAPY 588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 588,A000000,02700,0000,02700SPEECH PATHOLOGY 588,A000000,02800,0000,02800ELECTROCARDIOLOGY 588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 588,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 588,A000000,03200,0000,03200SUPPORT SURFACES 588,A000000,03400,0000,03400CLINIC 588,A000000,03500,0000,03500RURAL HEALTH CLINIC 588,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 588,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 588,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 588,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 588,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 588,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 588,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 588,A000000,04400,0000,04400DME RENTED - HHA 588,A000000,04500,0000,04500DME SOLD - HHA 588,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 588,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 588,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 588,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 588,A000000,05300,0000,05300INTEREST EXPENSE 588,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 588,A000000,05500,0000,05500HOSPICE 588,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 588,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 588,A000000,06100,0000,06100NONPAID WORKERS 588,A000000,06200,0000,06200PATIENTS LAUNDRY 588,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 588,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 588,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 588,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 588,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 588,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 588,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 588,B100000,00000,0800,00000MEALS SERVEDDIETARY 588,B100000,00000,0900,00000DIRECT NRSG HRS SNURSING ADMINIS 588,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 588,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 588,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 588,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 588,B100000,00000,1350,00000TIME SPENTACTIVITIES 588,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 588,S000000,00100,0200,05/15/2000 588,S200000,00100,0100,1101 W 9TH STREET 588,S200000,00200,0100,DAVENPORT 588,S200000,00200,0200,IA 588,S200000,00200,0300,52804 588,S200000,00300,0100,SCOTT 588,S200000,00300,0300,U 588,S200000,00400,0100,KAHL HOME FOR THE AGED AND INFIRM 588,S200000,00400,0200,165146 588,S200000,00400,0300,01/01/1989 588,S200000,00400,0500,P 588,S200000,00400,0600,O 588,S200000,01600,0100,Y 588,S200000,02200,0100,Y 588,S200000,02800,0100,Y 588,S200000,04300,0100,Y 588,S700003,00000,0100,1 594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 594,A000000,00300,0000,00300EMPLOYEE BENEFITS 594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 594,A000000,00700,0000,00700HOUSEKEEPING 594,A000000,00800,0000,00800DIETARY 594,A000000,00900,0000,00900NURSING ADMINISTRATION 594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 594,A000000,01100,0000,01100PHARMACY 594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 594,A000000,01300,0000,01300SOCIAL SERVICE 594,A000000,01350,0000,01500RECREATION 594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 594,A000000,01600,0000,01600SKILLED NURSING FACILITY 594,A000000,01800,0000,01800NURSING FACILITY 594,A000000,01810,0000,01810ICF/MR 594,A000000,02500,0000,02500PHYSICAL THERAPY 594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 594,A000000,02700,0000,02700SPEECH PATHOLOGY 594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 594,A000000,03550,0000,03550FQHC 594,A000000,05000,0000,05000CORF 594,A000000,05010,0000,05010CMHC 594,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 594,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 594,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 594,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 594,A81000A,00100,0100,Y 594,A81000B,00100,0300,DEPRECIATION 594,A81000B,00200,0300,INTEREST EXPENSE 594,A81000B,00300,0300,LEASE EXPENSE 594,A81000C,00100,0100,A 594,A81000C,00100,0200,KEOKUK CONVALES 594,A81000C,00100,0400,EVELYN CARLSON 594,A81000C,00100,0600,OWNER 594,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 594,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 594,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 594,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 594,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 594,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 594,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 594,B100000,00000,0800,00000PATIENT DAYSDIETARY 594,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 594,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 594,B100000,00000,1100,00000COSTED REQUISPHARMACY 594,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 594,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 594,B100000,00000,1350,00000PATIENT DAYSRECREATION 594,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 594,S000000,00100,0200,10/10/2000 594,S200000,00100,0100,500 MESSENGER ROAD 594,S200000,00200,0100,KEOKUK 594,S200000,00200,0200,IA 594,S200000,00200,0300,52632 594,S200000,00300,0100,LEE 594,S200000,00300,0300,R 594,S200000,00400,0100,KEOKUK CONVALESCENT CENTER 594,S200000,00400,0200,165151 594,S200000,00400,0300,03/25/1989 594,S200000,00400,0500,P 594,S200000,01600,0100,Y 594,S700003,00000,0100,1 598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 598,A000000,00300,0000,00300EMPLOYEE BENEFITS 598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 598,A000000,00700,0000,00700HOUSEKEEPING 598,A000000,00800,0000,00800DIETARY 598,A000000,00900,0000,00900NURSING ADMINISTRATION 598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 598,A000000,01300,0000,01300SOCIAL SERVICE 598,A000000,01350,0000,01500ACTIVITIES 598,A000000,01600,0000,01600SKILLED NURSING FACILITY 598,A000000,01800,0000,01800NURSING FACILITY 598,A000000,01810,0000,01810ICF/MR 598,A000000,02100,0000,02100RADIOLOGY 598,A000000,02200,0000,02200LABORATORY 598,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 598,A000000,02500,0000,02500PHYSICAL THERAPY 598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 598,A000000,02700,0000,02700SPEECH PATHOLOGY 598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 598,A000000,03550,0000,03550FQHC 598,A000000,05000,0000,05000CORF 598,A000000,05010,0000,05010CMHC 598,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 598,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 598,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 598,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 598,A000000,05300,0000,05300INTEREST EXPENSE 598,A81000A,00100,0100,Y 598,A81000B,00100,0300,INSURANCE 598,A81000B,00200,0300,MME 598,A81000B,00300,0300,PAYROLL TAXES 598,A81000B,00400,0300,HOME OFFICE 598,A81000C,00100,0100,B 598,A81000C,00100,0200,NCM LTD. 598,A81000C,00100,0600,HOME OFFICE 598,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 598,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 598,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 598,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 598,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 598,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 598,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 598,B100000,00000,0800,00000MEALS SERVEDDIETARY 598,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 598,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 598,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 598,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 598,E10A180,00501,0100,07/14/2000 598,E10A180,00501,0300,07/14/2000 598,S000000,00100,0200,06/02/2000 598,S200000,00100,0100,2950 WEST SHAULIS ROAD 598,S200000,00200,0100,WATERLOO 598,S200000,00200,0200,IA 598,S200000,00200,0300,50703 598,S200000,00300,0300,U 598,S200000,00400,0100,HARMONY HOUSE CARE CENTER 598,S200000,00400,0200,165152 598,S200000,00400,0300,03/30/1989 598,S200000,00400,0500,P 598,S200000,01600,0100,Y 598,S200000,04900,0100,Y 598,S700003,00000,0100,1 604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 604,A000000,00300,0000,00300EMPLOYEE BENEFITS 604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 604,A000000,00700,0000,00700HOUSEKEEPING 604,A000000,00800,0000,00800DIETARY 604,A000000,00900,0000,00900NURSING ADMINISTRATION 604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 604,A000000,01300,0000,01300SOCIAL SERVICE 604,A000000,01600,0000,01600SKILLED NURSING FACILITY 604,A000000,01800,0000,01800NURSING FACILITY 604,A000000,01900,0000,01900OTHER LONG TERM CARE 604,A000000,02200,0000,02200LABORATORY 604,A000000,02500,0000,02500PHYSICAL THERAPY 604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 604,A000000,02700,0000,02700SPEECH PATHOLOGY 604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 604,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 604,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 604,A000000,06151,0000,06301ASSISTED LIVING 604,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 604,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 604,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 604,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 604,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 604,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 604,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 604,B100000,00000,0800,00001MEALS SERVEDDIETARY 604,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 604,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 604,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 604,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 604,E10A180,00501,0100,06/14/2000 604,E10A180,00550,0300,06/14/2000 604,S000000,00100,0200,05/19/2000 604,S200000,00100,0100,2027 COLLEGE AVENUE 604,S200000,00200,0100,ELK HORN 604,S200000,00200,0200,IA 604,S200000,00200,0300,51531- 604,S200000,00300,0100,SHELBY 604,S200000,00300,0300,R 604,S200000,00400,0100,SALEM LUTHERAN HOME 604,S200000,00400,0200,165155 604,S200000,00400,0300,03/01/1990 604,S200000,00400,0500,P 604,S200000,01600,0100,Y 604,S200000,01900,0100,N 604,S700003,00000,0100,1 607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 607,A000000,00300,0000,00300EMPLOYEE BENEFITS 607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 607,A000000,00700,0000,00700HOUSEKEEPING 607,A000000,00800,0000,00800DIETARY 607,A000000,00900,0000,00900NURSING ADMINISTRATION 607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 607,A000000,01100,0000,01100PHARMACY 607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 607,A000000,01300,0000,01300SOCIAL SERVICE 607,A000000,01350,0000,01500OTHER GENERAL SERVICES 607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 607,A000000,01600,0000,01600SKILLED NURSING FACILITY 607,A000000,01800,0000,01800NURSING FACILITY 607,A000000,01810,0000,01801ICF/MR 607,A000000,01900,0000,01900OTHER LONG TERM CARE 607,A000000,02100,0000,02100RADIOLOGY 607,A000000,02200,0000,02200LABORATORY 607,A000000,02300,0000,02300INTRAVENOUS THERAPY 607,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 607,A000000,02500,0000,02500PHYSICAL THERAPY 607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 607,A000000,02700,0000,02700SPEECH PATHOLOGY 607,A000000,02800,0000,02800ELECTROCARDIOLOGY 607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 607,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 607,A000000,03101,0000,03101AIR FLOATION THERAPY 607,A000000,03200,0000,03200SUPPORT SURFACES 607,A000000,04800,0000,04800AMBULANCE 607,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 607,A000000,05300,0000,05300INTEREST EXPENSE 607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 607,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 607,A000000,05500,0000,05500HOSPICE 607,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 607,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 607,A000000,06100,0000,06100NONPAID WORKERS 607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 607,A000000,06200,0000,06200PATIENTS LAUNDRY 607,A81000A,00100,0100,Y 607,A81000B,00100,0300,MNGEMENT FEES 607,A81000C,00100,0100,A 607,A81000C,00100,0200,FRANK BROWN 607,A81000C,00100,0400,USA HEALTH CARE 607,A81000C,00100,0600,HOME OFFICE 607,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 607,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 607,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 607,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 607,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 607,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 607,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 607,B100000,00000,0800,00000MEALS SERVEDDIETARY 607,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 607,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 607,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 607,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 607,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 607,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 607,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 607,E10A180,00501,0300,07/14/2000 607,S000000,00100,0200,05/31/2000 607,S200000,00100,0100,728 14TH AVENUE NORTH 607,S200000,00200,0100,FORT DODGE 607,S200000,00200,0200,IA 607,S200000,00200,0300,50501- 607,S200000,00300,0100,WEBSTER 607,S200000,00300,0300,R 607,S200000,00400,0100,USA HEALTH CARE- FORT DODGE 607,S200000,00400,0200,165156 607,S200000,00400,0300,11/25/1998 607,S200000,00400,0500,P 607,S200000,00600,0200,165156 607,S200000,00600,0300,11/25/1998 607,S200000,00600,0600,P 607,S200000,01600,0100,Y 607,S200000,01900,0100,N 607,S700003,00000,0200,2 611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 611,A000000,00300,0000,00300EMPLOYEE BENEFITS 611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 611,A000000,00700,0000,00700HOUSEKEEPING 611,A000000,00800,0000,00800DIETARY 611,A000000,00900,0000,00900NURSING ADMINISTRATION 611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 611,A000000,01100,0000,01100PHARMACY 611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 611,A000000,01300,0000,01300SOCIAL SERVICE 611,A000000,01350,0000,01500OTHER GENERAL SERVICES 611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 611,A000000,01600,0000,01600SKILLED NURSING FACILITY 611,A000000,01800,0000,01800NURSING FACILITY 611,A000000,01900,0000,01900OTHER LONG TERM CARE 611,A000000,02100,0000,02100RADIOLOGY 611,A000000,02200,0000,02200LABORATORY 611,A000000,02300,0000,02300INTRAVENOUS THERAPY 611,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 611,A000000,02500,0000,02500PHYSICAL THERAPY 611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 611,A000000,02700,0000,02700SPEECH PATHOLOGY 611,A000000,02800,0000,02800ELECTROCARDIOLOGY 611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 611,A000000,03050,0000,03300AIR FLOATATION 611,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 611,A000000,03200,0000,03200SUPPORT SURFACES 611,A000000,03400,0000,03400CLINIC 611,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 611,A000000,03500,0000,03500RURAL HEALTH CLINIC 611,A000000,04750,0000,05100OTHER REIMBURSABLE COST 611,A000000,04800,0000,04800AMBULANCE 611,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 611,A000000,05000,0000,05000CORF 611,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 611,A000000,05300,0000,05300INTEREST EXPENSE 611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 611,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 611,A000000,05500,0000,05500HOSPICE 611,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 611,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 611,A000000,06100,0000,06100NONPAID WORKERS 611,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 611,A000000,06200,0000,06200PATIENTS LAUNDRY 611,A81000A,00100,0100,Y 611,A81000B,00100,0300,MANAGEMENT FEES 611,A81000C,00100,0100,A 611,A81000C,00100,0200,FRANK BROWN 611,A81000C,00100,0400,USA HEALTHCARE 611,A81000C,00100,0600,HOME OFFICE 611,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 611,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 611,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 611,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 611,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 611,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 611,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 611,B100000,00000,0800,00000MEALS SERVEDDIETARY 611,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 611,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 611,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 611,B100000,00000,1200,00000TIME SPENDMEDICAL RECORDS & LI 611,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 611,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 611,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 611,E10A180,00501,0300,08/06/1999 611,E10A180,00550,0100,08/06/1999 611,S000000,00100,0200,10/26/1999 611,S200000,00100,0100,4614 NW 84TH STREET 611,S200000,00200,0100,URBANDALE 611,S200000,00200,0200,IA 611,S200000,00200,0300,50322- 611,S200000,00300,0100,POLK 611,S200000,00300,0300,U 611,S200000,00400,0100,USA HEALTH CARE - URBANDALE 611,S200000,00400,0200,165160 611,S200000,00400,0300,11/25/1998 611,S200000,00400,0500,P 611,S200000,01500,0100,Y 611,S200000,01900,0100,N 611,S700003,00000,0100,1 612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 612,A000000,00300,0000,00300EMPLOYEE BENEFITS 612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 612,A000000,00700,0000,00700HOUSEKEEPING 612,A000000,00800,0000,00800DIETARY 612,A000000,00900,0000,00900NURSING ADMINISTRATION 612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 612,A000000,01100,0000,01100PHARMACY 612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 612,A000000,01300,0000,01300SOCIAL SERVICE 612,A000000,01350,0000,01500OTHER GENERAL SERVICES 612,A000000,01600,0000,01600SKILLED NURSING FACILITY 612,A000000,01800,0000,01800NURSING FACILITY 612,A000000,02100,0000,02100RADIOLOGY 612,A000000,02200,0000,02200LABORATORY 612,A000000,02300,0000,02300INTRAVENOUS THERAPY 612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 612,A000000,02500,0000,02500PHYSICAL THERAPY 612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 612,A000000,02700,0000,02700SPEECH PATHOLOGY 612,A000000,02800,0000,02800ELECTROCARDIOLOGY 612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 612,A000000,03001,0000,03001AIR FLOATATION 612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 612,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 612,A000000,04800,0000,04800AMBULANCE 612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 612,A000000,05300,0000,05300INTEREST EXPENSE 612,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 612,A000000,05500,0000,05500HOSPICE 612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 612,A000000,06100,0000,06100NONPAID WORKERS 612,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 612,A000000,06200,0000,06200PATIENTS LAUNDRY 612,A81000A,00100,0100,Y 612,A81000B,00100,0300,A&G HOME OFFICE 612,A81000C,00100,0100,A 612,A81000C,00100,0200,FRANK BROWN 612,A81000C,00100,0400,USA HEALTHCARE 612,A81000C,00100,0600,HOME OFFICE 612,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 612,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 612,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 612,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 612,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 612,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 612,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 612,B100000,00000,0800,00000MEALS SERVEDDIETARY 612,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 612,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 612,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 612,B100000,00000,1200,00000DEPT REVENUEMEDICAL RECORDS & 612,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 612,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 612,S000000,00100,0200,07/03/2000 612,S200000,00100,0100,4614 NW 84TH STREET 612,S200000,00200,0100,URBANDALE 612,S200000,00200,0200,IA 612,S200000,00200,0300,50322- 612,S200000,00300,0100,POLK 612,S200000,00300,0300,U 612,S200000,00400,0100,USA HEALTHCARE - URBANDALE 612,S200000,00400,0200,165160 612,S200000,00400,0300,11/25/1998 612,S200000,00400,0500,P 612,S200000,01600,0100,Y 612,S200000,01900,0100,N 612,S200000,04700,0100,Y 612,S200000,04700,0200,Y 612,S700003,00000,0200,2 615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 615,A000000,00300,0000,00300EMPLOYEE BENEFITS 615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 615,A000000,00700,0000,00700HOUSEKEEPING 615,A000000,00800,0000,00800DIETARY 615,A000000,00900,0000,00900NURSING ADMINISTRATION 615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 615,A000000,01300,0000,01300SOCIAL SERVICE 615,A000000,01350,0000,01500ACTIVITIES 615,A000000,01600,0000,01600SKILLED NURSING FACILITY 615,A000000,01800,0000,01800NURSING FACILITY 615,A000000,01810,0000,01801ICF/MR 615,A000000,01900,0000,01900OTHER LONG TERM CARE 615,A000000,02100,0000,02100RADIOLOGY 615,A000000,02200,0000,02200LABORATORY 615,A000000,02300,0000,02300INTRAVENOUS THERAPY 615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 615,A000000,02500,0000,02500PHYSICAL THERAPY 615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 615,A000000,02700,0000,02700SPEECH PATHOLOGY 615,A000000,02800,0000,02800ELECTROCARDIOLOGY 615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 615,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 615,A000000,03200,0000,03200SUPPORT SURFACES 615,A000000,03400,0000,03400CLINIC 615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 615,A000000,03500,0000,03500RURAL HEALTH CLINIC 615,A000000,04750,0000,05100OSP 615,A000000,04800,0000,04800AMBULANCE 615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 615,A000000,05000,0000,05000CORF 615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 615,A000000,05300,0000,05300INTEREST EXPENSE 615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 615,A000000,05500,0000,05500HOSPICE 615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 615,A000000,06100,0000,06100NONPAID WORKERS 615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 615,A000000,06200,0000,06200PATIENTS LAUNDRY 615,A81000A,00100,0100,Y 615,A81000B,00100,0300,HOME OFFICE - OPERATING 615,A81000B,00200,0300,MME CAPITAL 615,A81000C,00100,0100,B 615,A81000C,00100,0400,CARE INITIATIVE 615,A81000C,00100,0600,HOME OFFICE 615,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 615,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 615,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 615,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 615,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 615,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 615,B100000,00000,0700,00000TIME SPENTHOUSEKEEPING 615,B100000,00000,0800,00000MEALS SERVEDDIETARY 615,B100000,00000,0900,00000NURSING SALARYNURSING ADMINISTRAT 615,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 615,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 615,B100000,00000,1350,00000TIME SPENTACTIVITIES 615,E10A180,00550,0300,07/24/2000 615,S000000,00100,0200,05/30/2000 615,S200000,00100,0100,1800 INDIAN HILLS DRIVE 615,S200000,00200,0100,SIOUX CITY 615,S200000,00200,0200,IA 615,S200000,00200,0300,51104-1518 615,S200000,00300,0100,WOODBURY 615,S200000,00300,0300,U 615,S200000,00400,0100,INDIAN HILLS NURSING & REHAB CENTER 615,S200000,00400,0200,165161 615,S200000,00400,0300,08/01/1991 615,S200000,00400,0500,P 615,S200000,01600,0100,Y 615,S200000,01900,0100,N 615,S700003,00000,0100,1 622,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 622,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 622,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 622,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 622,A000000,00300,0000,00300EMPLOYEE BENEFITS 622,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 622,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 622,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 622,A000000,00700,0000,00700HOUSEKEEPING 622,A000000,00800,0000,00800DIETARY 622,A000000,00801,0000,00801CAFETERIA 622,A000000,00900,0000,00900NURSING ADMINISTRATION 622,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 622,A000000,01100,0000,01100PHARMACY 622,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 622,A000000,01300,0000,01300SOCIAL SERVICE 622,A000000,01350,0000,01500PATIENT DAYS 622,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 622,A000000,01600,0000,01600SKILLED NURSING FACILITY 622,A000000,01800,0000,01800NURSING FACILITY 622,A000000,01900,0000,01900OTHER LONG TERM CARE 622,A000000,02100,0000,02100RADIOLOGY 622,A000000,02200,0000,02200LABORATORY 622,A000000,02300,0000,02300INTRAVENOUS THERAPY 622,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 622,A000000,02500,0000,02500PHYSICAL THERAPY 622,A000000,02600,0000,02600OCCUPATIONAL THERAPY 622,A000000,02700,0000,02700SPEECH PATHOLOGY 622,A000000,02800,0000,02800ELECTROCARDIOLOGY 622,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 622,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 622,A000000,03050,0000,03300OTHER ANCILLARY 622,A000000,03051,0000,03301OTHER ANCILLARY II 622,A000000,03052,0000,03302OTHER ANCILLARY III 622,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 622,A000000,03200,0000,03200SUPPORT SURFACES 622,A000000,03400,0000,03400CLINIC 622,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 622,A000000,03500,0000,03500RURAL HEALTH CLINIC 622,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 622,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 622,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 622,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 622,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 622,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 622,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 622,A000000,04400,0000,04400DME RENTED - HHA 622,A000000,04500,0000,04500DME SOLD - HHA 622,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 622,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 622,A000000,04750,0000,05100OTHER REIMBURSABLE COST 622,A000000,04800,0000,04800AMBULANCE 622,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 622,A000000,05000,0000,05000CORF I 622,A000000,05010,0000,05010CMHC I 622,A000000,05020,0000,05020OPT I 622,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 622,A000000,05300,0000,05300INTEREST EXPENSE 622,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 622,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 622,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 622,A000000,05500,0000,05500HOSPICE 622,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 622,A000000,05900,0000,05900BARBER & BEAUTY SHOP 622,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 622,A000000,06100,0000,06100NONPAID WORKERS 622,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 622,A000000,06200,0000,06200PATIENTS LAUNDRY 622,A81000A,00100,0100,Y 622,A81000B,00100,0300,ADMINISTRATION 622,A81000B,00200,0300,CAPITAL COSTS 622,A81000C,00100,0100,G 622,A81000C,00100,0200,ON WITH LIFE 622,A81000C,00100,0400,ON WITH LIFE 622,A81000C,00100,0600,NON-PROFIT 622,B100000,00000,0100,00000(SQUARE FEET) CAP REL COSTS - 622,B100000,00000,0101,00000(SQUARE FEET) CAP REL COSTS - 622,B100000,00000,0200,00000(SQUARE FEET) CAP REL COSTS - 622,B100000,00000,0201,00000(SQUARE FEET) CAP REL COSTS - 622,B100000,00000,0300,00000(GROSS SALARIES) EMPLOYEE BEN 622,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 622,B100000,00000,0500,00000(SQUARE FEET) PLANT OPERATION 622,B100000,00000,0600,00000(PATIENT DAYS) LAUNDRY & LINEN 622,B100000,00000,0700,00000(SQUARE FEET) HOUSEKEEPING 622,B100000,00000,0800,00000(MEALS SERVED) DIETARY 622,B100000,00000,0801,00000(MEALS SERVED) CAFETERIA 622,B100000,00000,0900,00000(NURSING SALARIES) NURSING ADMI 622,B100000,00000,1000,00000(PATIENT DAYS) CENTRAL SERVICES 622,B100000,00000,1100,00000(PATIENT DAYS) PHARMACY 622,B100000,00000,1200,00000(PATIENT DAYS) MEDICAL RECORDS 622,B100000,00000,1300,00000(PATIENT DAYS) SOCIAL SERVICE 622,B100000,00000,1400,00000(ASSIGNED TIME) INTERNS & RESIDE 622,B100000,00000,1500,00000(PATIENT DAYS) PATIENT DAYS 622,S000000,00100,0200,12/01/2000 622,S200000,00100,0100,715 SW ANKENY 622,S200000,00200,0100,ANKENY 622,S200000,00200,0200,IA 622,S200000,00200,0300,50021 622,S200000,00300,0100,POLK 622,S200000,00400,0100,ON WITH LIFE INC. 622,S200000,00400,0200,165163 622,S200000,00400,0300,08/02/1991 622,S200000,00400,0500,P 622,S200000,02200,0100,Y 622,S200000,02800,0100,Y 622,S700003,00000,0200,X 624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 624,A000000,00300,0000,00300EMPLOYEE BENEFITS 624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 624,A000000,00700,0000,00700HOUSEKEEPING 624,A000000,00800,0000,00800DIETARY 624,A000000,00900,0000,00900NURSING ADMINISTRATION 624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 624,A000000,01300,0000,01300SOCIAL SERVICE 624,A000000,01350,0000,01500ACTIVITIES 624,A000000,01600,0000,01600SKILLED NURSING FACILITY 624,A000000,01800,0000,01800NURSING FACILITY 624,A000000,01810,0000,01801ICF/MR 624,A000000,01900,0000,01900OTHER LONG TERM CARE 624,A000000,02100,0000,02100RADIOLOGY 624,A000000,02200,0000,02200LABORATORY 624,A000000,02300,0000,02300INTRAVENOUS THERAPY 624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 624,A000000,02500,0000,02500PHYSICAL THERAPY 624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 624,A000000,02700,0000,02700SPEECH PATHOLOGY 624,A000000,02800,0000,02800ELECTROCARDIOLOGY 624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 624,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 624,A000000,03200,0000,03200SUPPORT SURFACES 624,A000000,03400,0000,03400CLINIC 624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 624,A000000,03500,0000,03500RURAL HEALTH CLINIC 624,A000000,04750,0000,05100OSP 624,A000000,04800,0000,04800AMBULANCE 624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 624,A000000,05000,0000,05000CORF 624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 624,A000000,05300,0000,05300INTEREST EXPENSE 624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 624,A000000,05500,0000,05500HOSPICE 624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 624,A000000,06100,0000,06100NONPAID WORKERS 624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 624,A000000,06200,0000,06200PATIENTS LAUNDRY 624,A81000A,00100,0100,Y 624,A81000B,00100,0300,HOME OFFICE - OPERATING 624,A81000B,00200,0300,MME CAPITAL 624,A81000C,00100,0100,B 624,A81000C,00100,0400,CARE INITIATIVE 624,A81000C,00100,0600,HOME OFFICE 624,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 624,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 624,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 624,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 624,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 624,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 624,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 624,B100000,00000,0800,00000PATIENT DAYSDIETARY 624,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 624,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 624,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 624,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 624,S000000,00100,0200,05/30/2000 624,S200000,00100,0100,310 UPLAND DRIVE 624,S200000,00200,0100,WATERLOO 624,S200000,00200,0200,IA 624,S200000,00200,0300,50701-3866 624,S200000,00300,0100,BLACKHAWK 624,S200000,00300,0300,U 624,S200000,00400,0100,PARKVIEW NURSING AND REHAB CENTER 624,S200000,00400,0200,165165 624,S200000,00400,0300,11/04/1991 624,S200000,00400,0500,P 624,S200000,01500,0100,Y 624,S200000,01900,0100,N 624,S700003,00000,0100,1 626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 626,A000000,00300,0000,00300EMPLOYEE BENEFITS 626,A000000,00301,0000,00301EMPLOYEE MEALS 626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 626,A000000,00501,0000,00501METERED UTILITIES 626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 626,A000000,00700,0000,00700HOUSEKEEPING 626,A000000,00800,0000,00800DIETARY 626,A000000,00900,0000,00900NURSING ADMINISTRATION 626,A000000,01300,0000,01300SOCIAL SERVICE 626,A000000,01600,0000,01600SKILLED NURSING FACILITY 626,A000000,01800,0000,01800NURSING FACILITY 626,A000000,01900,0000,01900OTHER LONG TERM CARE 626,A000000,02100,0000,02100RADIOLOGY 626,A000000,02200,0000,02200LABORATORY 626,A000000,02300,0000,02300INTRAVENOUS THERAPY 626,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 626,A000000,02500,0000,02500PHYSICAL THERAPY 626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 626,A000000,02700,0000,02700SPEECH PATHOLOGY 626,A000000,02800,0000,02800ELECTROCARDIOLOGY 626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 626,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 626,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 626,A000000,03200,0000,03200SUPPORT SURFACES 626,A000000,03400,0000,03400CLINIC 626,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 626,A000000,03500,0000,03500RURAL HEALTH CLINIC 626,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 626,A000000,04750,0000,05100OSP 626,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 626,A000000,05000,0000,05000CORF 626,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 626,A000000,05300,0000,05300INTEREST EXPENSE 626,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 626,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 626,A000000,05500,0000,05500HOSPICE 626,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 626,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 626,A000000,06100,0000,06100NONPAID WORKERS 626,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 626,A000000,06200,0000,06200PATIENTS LAUNDRY 626,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 626,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 626,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 626,B100000,00000,0301,00000AVE. HOURS OF SEMPLOYEE MEALS 626,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 626,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 626,B100000,00000,0501,00000SQUARE FEETMETERED UTILITIES 626,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 626,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 626,B100000,00000,0800,00000MEALS SERVEDDIETARY 626,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 626,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 626,E10A180,00501,0300,07/26/2000 626,E10A180,00550,0100,07/26/2000 626,S000000,00100,0200,06/01/2000 626,S200000,00100,0100,1203 NORTH EAST STREET 626,S200000,00200,0100,INDIANOLA 626,S200000,00200,0200,IA 626,S200000,00200,0300,50125- 626,S200000,00300,0100,WARREN 626,S200000,00300,0300,U 626,S200000,00400,0100,THE VILLAGE 626,S200000,00400,0200,165167 626,S200000,00400,0300,01/07/1992 626,S200000,00400,0500,P 626,S200000,01500,0100,Y 626,S200000,01900,0100,N 626,S200000,02800,0100,Y 626,S200000,04700,0100,Y 626,S200000,04700,0200,Y 626,S700003,00000,0100,1 631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 631,A000000,00101,0000,00101REHABILITATION CENTER 631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 631,A000000,00300,0000,00300EMPLOYEE BENEFITS 631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 631,A000000,00700,0000,00700HOUSEKEEPING 631,A000000,00800,0000,00800DIETARY 631,A000000,00900,0000,00900NURSING ADMINISTRATION 631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 631,A000000,01100,0000,01100PHARMACY 631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 631,A000000,01300,0000,01300SOCIAL SERVICE 631,A000000,01600,0000,01600SKILLED NURSING FACILITY 631,A000000,01800,0000,01800NURSING FACILITY 631,A000000,02100,0000,02100RADIOLOGY 631,A000000,02200,0000,02200LABORATORY 631,A000000,02300,0000,02300INTRAVENOUS THERAPY 631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 631,A000000,02500,0000,02500PHYSICAL THERAPY 631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 631,A000000,02700,0000,02700SPEECH PATHOLOGY 631,A000000,02800,0000,02800ELECTROCARDIOLOGY 631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 631,A000000,03200,0000,03200SUPPORT SURFACES 631,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 631,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 631,A000000,06150,0000,06300RESOURCE DEVELOPMENT 631,A81000A,00100,0100,Y 631,A81000B,00100,0300,PROPERTY & LIAB INS 631,A81000B,00200,0300,VEHICLE INS 631,A81000B,00300,0300,UNEMPLOYMENT 631,A81000B,00400,0300,ADMIN & ACCTG 631,A81000B,00500,0300,WORKERS COMP 631,A81000B,00600,0300,ADM SUPPLIES 631,A81000B,00700,0300,HOUSEKEEPING SUPPL 631,A81000B,00800,0300,DIETARY SUPPL 631,A81000B,00900,0300,NURSING SUPPLIES 631,A81000B,00901,0300,INCONTINENT BRIEFS 631,A81000C,00100,0100,B 631,A81000C,00100,0400,GOOD SAMARITAN 631,A81000C,00100,0600,HEALTHCARE 631,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 631,B100000,00000,0101,00000SQUARE FEETREHABILITATION CENTER 631,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 631,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 631,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 631,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 631,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 631,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 631,B100000,00000,0800,00000MEALS SERVEDDIETARY 631,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 631,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 631,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 631,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 631,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 631,E10A180,00501,0100,07/25/2000 631,E10A180,00501,0300,07/25/2000 631,S000000,00100,0200,05/30/2000 631,S200000,00100,0100,700 WAVERLY RD 631,S200000,00200,0100,DAVENPORT 631,S200000,00200,0200,IA 631,S200000,00200,0300,52804 631,S200000,00300,0100,SCOTT 631,S200000,00300,0300,U 631,S200000,00400,0100,DAVENPORT GS CENTER 631,S200000,00400,0200,165169 631,S200000,00400,0300,02/21/1992 631,S200000,00400,0500,P 631,S200000,01600,0100,Y 631,S200000,01900,0100,CHURCH RELATED 631,S200000,02800,0100,Y 631,S700003,00000,0100,1 635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 635,A000000,00300,0000,00300EMPLOYEE BENEFITS 635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 635,A000000,00700,0000,00700HOUSEKEEPING 635,A000000,00800,0000,00800DIETARY 635,A000000,00900,0000,00900NURSING ADMINISTRATION 635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 635,A000000,01100,0000,01100PHARMACY 635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 635,A000000,01300,0000,01300SOCIAL SERVICE 635,A000000,01350,0000,01500RECREATION 635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 635,A000000,01600,0000,01600SKILLED NURSING FACILITY 635,A000000,01810,0000,01810ICF/MR 635,A000000,02100,0000,02100RADIOLOGY 635,A000000,02500,0000,02500PHYSICAL THERAPY 635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 635,A000000,02700,0000,02700SPEECH PATHOLOGY 635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 635,A000000,03550,0000,03550FQHC 635,A000000,05000,0000,05000CORF 635,A000000,05010,0000,05010CMHC 635,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 635,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 635,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 635,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 635,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 635,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 635,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 635,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 635,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 635,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 635,B100000,00000,0800,00000MEALS SERVEDDIETARY 635,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 635,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 635,B100000,00000,1100,00000COSTED REQUISPHARMACY 635,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 635,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 635,B100000,00000,1350,00000PATIENT DAYSRECREATION 635,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 635,E10A180,00501,0300,07/31/2000 635,S000000,00100,0200,06/02/2000 635,S200000,00100,0100,605 GREENWOOD DRIVE 635,S200000,00200,0100,IOWA CITY 635,S200000,00200,0200,IA 635,S200000,00200,0300,52246 635,S200000,00300,0300,U 635,S200000,00400,0100,GREENWOOD MANOR 635,S200000,00400,0200,165172 635,S200000,00400,0300,02/02/1998 635,S200000,00400,0500,P 635,S200000,01500,0100,Y 635,S700003,00000,0100,1 639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 639,A000000,00300,0000,00300EMPLOYEE BENEFITS 639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 639,A000000,00700,0000,00700HOUSEKEEPING 639,A000000,00800,0000,00800DIETARY 639,A000000,00900,0000,00900NURSING ADMINISTRATION 639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 639,A000000,01300,0000,01300SOCIAL SERVICE 639,A000000,01350,0000,01500ACTIVITIES 639,A000000,01600,0000,01600SKILLED NURSING FACILITY 639,A000000,01800,0000,01800NURSING FACILITY 639,A000000,01810,0000,01801ICF/MR 639,A000000,01900,0000,01900OTHER LONG TERM CARE 639,A000000,02100,0000,02100RADIOLOGY 639,A000000,02200,0000,02200LABORATORY 639,A000000,02300,0000,02300INTRAVENOUS THERAPY 639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 639,A000000,02500,0000,02500PHYSICAL THERAPY 639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 639,A000000,02700,0000,02700SPEECH PATHOLOGY 639,A000000,02800,0000,02800ELECTROCARDIOLOGY 639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 639,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 639,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 639,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 639,A000000,03200,0000,03200SUPPORT SURFACES 639,A000000,03400,0000,03400CLINIC 639,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 639,A000000,03500,0000,03500RURAL HEALTH CLINIC 639,A000000,04750,0000,05100OSP 639,A000000,04800,0000,04800AMBULANCE 639,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 639,A000000,05000,0000,05000CORF 639,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 639,A000000,05300,0000,05300INTEREST EXPENSE 639,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 639,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 639,A000000,05500,0000,05500HOSPICE 639,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 639,A000000,05900,0000,05900BARBER & BEAUTY SHOP 639,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 639,A000000,06100,0000,06100NONPAID WORKERS 639,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 639,A000000,06200,0000,06200PATIENTS LAUNDRY 639,A81000A,00100,0100,Y 639,A81000B,00100,0300,HOME OFFICE - OPERATING 639,A81000B,00200,0300,MME CAPITAL 639,A81000C,00100,0100,B 639,A81000C,00100,0400,CARE INITIATIVE 639,A81000C,00100,0600,HOME OFFICE 639,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 639,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 639,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 639,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 639,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 639,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 639,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 639,B100000,00000,0800,00000MEALS SERVEDDIETARY 639,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 639,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 639,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 639,B100000,00000,1350,00000TIME SPENTACTIVITIES 639,E10A180,00550,0100,07/21/2000 639,S000000,00100,0200,05/30/2000 639,S200000,00100,0100,801 S. DES MOINES 639,S200000,00100,0300,670 639,S200000,00200,0100,ODEBOLT 639,S200000,00200,0200,IA 639,S200000,00200,0300,51458-0670 639,S200000,00300,0100,SAC 639,S200000,00300,0300,R 639,S200000,00400,0100,ODEBOLT NURSING AND REHAB CENTER 639,S200000,00400,0200,165180 639,S200000,00400,0300,10/01/1992 639,S200000,00400,0500,P 639,S200000,01500,0100,Y 639,S200000,01900,0100,N 639,S700003,00000,0100,1 644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 644,A000000,00300,0000,00300EMPLOYEE BENEFITS 644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 644,A000000,00700,0000,00700HOUSEKEEPING 644,A000000,00800,0000,00800DIETARY 644,A000000,00900,0000,00900NURSING ADMINISTRATION 644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 644,A000000,01300,0000,01300SOCIAL SERVICE 644,A000000,01350,0000,01500OTHER GENERAL SERVICES 644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 644,A000000,01600,0000,01600SKILLED NURSING FACILITY 644,A000000,01800,0000,01800NURSING FACILITY 644,A000000,01810,0000,01801ICF/MR 644,A000000,01900,0000,01900OTHER LONG TERM CARE 644,A000000,02100,0000,02100RADIOLOGY 644,A000000,02200,0000,02200LABORATORY 644,A000000,02300,0000,02300INTRAVENOUS THERAPY 644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 644,A000000,02500,0000,02500PHYSICAL THERAPY 644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 644,A000000,02700,0000,02700SPEECH PATHOLOGY 644,A000000,02800,0000,02800ELECTROCARDIOLOGY 644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 644,A000000,03200,0000,03200SUPPORT SURFACES 644,A000000,03400,0000,03400CLINIC 644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 644,A000000,03500,0000,03500RURAL HEALTH CLINIC 644,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 644,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 644,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 644,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 644,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 644,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 644,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 644,A000000,04400,0000,04400DME RENTED - HHA 644,A000000,04500,0000,04500DME SOLD - HHA 644,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 644,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 644,A000000,04750,0000,05100OSP 644,A000000,04800,0000,04800AMBULANCE 644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 644,A000000,05000,0000,05000CORF 644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 644,A000000,05300,0000,05300INTEREST EXPENSE 644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 644,A000000,05500,0000,05500HOSPICE 644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 644,A000000,06100,0000,06100NONPAID WORKERS 644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 644,A000000,06151,0000,06301ALZHEIMERS 644,A000000,06200,0000,06200PATIENTS LAUNDRY 644,A81000A,00100,0100,Y 644,A81000B,00100,0300,PROPERTY INSURANCE 644,A81000B,00200,0300,OTHER INSURANCE 644,A81000B,00300,0300,UNEMPLOYMENT 644,A81000B,00400,0300,WORKERS COMP 644,A81000B,00500,0300,ADMIN/ACTG 644,A81000B,00600,0300,MED SUPPLIES 644,A81000B,00700,0300,DISPOSABLE BRIEFS 644,A81000B,00800,0300,DIETARY SUPPLEMENT 644,A81000B,00900,0300,EQUIPMENT 644,A81000C,00100,0100,B 644,A81000C,00100,0200,EV LUTHERAN GOO 644,A81000C,00100,0400,EV LUTHERAN GOO 644,A81000C,00100,0600,MGMT/ACTG 644,A81000C,00200,0100,B 644,A81000C,00200,0200,OMNICARE PHARM 644,A81000C,00200,0400,OMNICARE PHARM 644,A81000C,00200,0600,MED SUPPLIES 644,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 644,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 644,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 644,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 644,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 644,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 644,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 644,B100000,00000,0800,00001MEALS SERVEDDIETARY 644,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 644,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 644,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 644,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 644,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 644,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 644,E10A180,00501,0100,07/05/2000 644,E10A180,00501,0300,07/05/2000 644,S000000,00100,0200,05/24/2000 644,S200000,00100,0100,708 JEFFERSON STREET 644,S200000,00200,0100,INDIANOLA 644,S200000,00200,0200,IA 644,S200000,00200,0300,50122-0319 644,S200000,00300,0100,WARREN 644,S200000,00300,0300,U 644,S200000,00400,0100,INDIANOLA GOOD SAMARITAN CENTER 644,S200000,00400,0200,165186 644,S200000,00400,0300,11/01/1993 644,S200000,00400,0500,P 644,S200000,01600,0100,Y 644,S200000,01900,0100,N 644,S700003,00000,0100,1 647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 647,A000000,00300,0000,00300EMPLOYEE BENEFITS 647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 647,A000000,00700,0000,00700HOUSEKEEPING 647,A000000,00800,0000,00800DIETARY 647,A000000,00900,0000,00900NURSING ADMINISTRATION 647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 647,A000000,01300,0000,01300SOCIAL SERVICE 647,A000000,01600,0000,01600SKILLED NURSING FACILITY 647,A000000,01900,0000,01900OTHER LONG TERM CARE 647,A000000,02200,0000,02200LABORATORY 647,A000000,02500,0000,02500PHYSICAL THERAPY 647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 647,A000000,02700,0000,02700SPEECH PATHOLOGY 647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 647,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 647,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 647,A000000,06151,0000,06301APARTMENT 647,A81000A,00100,0100,Y 647,A81000B,00100,0300,PROPERTY INSURANCE 647,A81000B,00200,0300,OTHER INSURANCE 647,A81000B,00300,0300,UNEMPLOYMENT CHARGED 647,A81000B,00400,0300,WORKERS COMPENSATION 647,A81000B,00500,0300,ACTG & ADMINISTRATION 647,A81000B,00600,0300,NURSING SUPPLIES 647,A81000B,00700,0300,INCONTINENTS 647,A81000B,00800,0300,EQUIPMENT 647,A81000C,00100,0100,B 647,A81000C,00100,0200,EV. LUTHERAN G. 647,A81000C,00100,0600,ACCTG & MGMT 647,A81000C,00200,0100,B 647,A81000C,00200,0200,OMNIBILL 647,A81000C,00200,0600,SUPPLIES 647,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 647,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 647,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 647,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 647,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 647,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 647,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 647,B100000,00000,0800,00001MEALS SERVEDDIETARY 647,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 647,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 647,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 647,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 647,E10A180,00550,0300,06/22/2000 647,S000000,00100,0200,05/10/2000 647,S200000,00100,0100,201 HALL STREET 647,S200000,00200,0100,WEST UNION 647,S200000,00200,0200,IA 647,S200000,00200,0300,52175-1006 647,S200000,00300,0100,FAYETTE 647,S200000,00300,0300,R 647,S200000,00400,0100,WEST UNION GOOD SAMARITAN CENTER 647,S200000,00400,0200,165187 647,S200000,00400,0300,10/01/1993 647,S200000,00400,0500,P 647,S200000,01500,0100,Y 647,S200000,01900,0100,N 647,S700003,00000,0100,1 651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 651,A000000,00300,0000,00300EMPLOYEE BENEFITS 651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 651,A000000,00700,0000,00700HOUSEKEEPING 651,A000000,00800,0000,00800DIETARY 651,A000000,00900,0000,00900NURSING ADMINISTRATION 651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 651,A000000,01300,0000,01300SOCIAL SERVICE 651,A000000,01350,0000,01500OTHER GENERAL SERVICES 651,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 651,A000000,01600,0000,01600SKILLED NURSING FACILITY 651,A000000,01800,0000,01800NURSING FACILITY 651,A000000,01810,0000,01801ICF/MR 651,A000000,01900,0000,01900OTHER LONG TERM CARE 651,A000000,02100,0000,02100RADIOLOGY 651,A000000,02200,0000,02200LABORATORY 651,A000000,02300,0000,02300INTRAVENOUS THERAPY 651,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 651,A000000,02500,0000,02500PHYSICAL THERAPY 651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 651,A000000,02700,0000,02700SPEECH PATHOLOGY 651,A000000,02800,0000,02800ELECTROCARDIOLOGY 651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 651,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 651,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 651,A000000,03200,0000,03200SUPPORT SURFACES 651,A000000,03400,0000,03400CLINIC 651,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 651,A000000,03500,0000,03500RURAL HEALTH CLINIC 651,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 651,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 651,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 651,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 651,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 651,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 651,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 651,A000000,04400,0000,04400DME RENTED - HHA 651,A000000,04500,0000,04500DME SOLD - HHA 651,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 651,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 651,A000000,04750,0000,05100OSP 651,A000000,04800,0000,04800AMBULANCE 651,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 651,A000000,05000,0000,05000CORF 651,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 651,A000000,05300,0000,05300INTEREST EXPENSE 651,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 651,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 651,A000000,05500,0000,05500HOSPICE 651,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 651,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 651,A000000,06100,0000,06100NONPAID WORKERS 651,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 651,A000000,06200,0000,06200PATIENTS LAUNDRY 651,A81000A,00100,0100,Y 651,A81000B,00100,0300,PROPERTY INSURANCE 651,A81000B,00200,0300,OTHER INSURANCE 651,A81000B,00300,0300,UNEMPLOYMENT 651,A81000B,00400,0300,WORKERS COMPENSATION 651,A81000B,00500,0300,ADMIN & ACCOUNTING 651,A81000B,00600,0300,NURSING SUPPLIES 651,A81000B,00700,0300,BRIEF-CDP 651,A81000B,00800,0300,EQUIPMENT 651,A81000B,00900,0300,DIETARY SUPPLIES 651,A81000B,00901,0300,TEXTILES 651,A81000C,00100,0100,B 651,A81000C,00100,0400,EV. LUTHERAN G. 651,A81000C,00100,0600,MGMT/ACTG 651,A81000C,00200,0100,B 651,A81000C,00200,0400,OMNICARE PHARMA 651,A81000C,00200,0600,SUPPLIES 651,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 651,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 651,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 651,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 651,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 651,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 651,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 651,B100000,00000,0800,00000MEALS SERVEDDIETARY 651,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 651,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 651,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 651,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 651,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 651,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 651,E10A180,00501,0100,07/11/2000 651,E10A180,00550,0300,07/11/2000 651,S000000,00100,0200,05/12/2000 651,S200000,00100,0100,202 CENTRAL AVENUE 651,S200000,00200,0100,VILLISCA 651,S200000,00200,0200,IA 651,S200000,00200,0300,50864-1097 651,S200000,00300,0100,MONTGOMERY 651,S200000,00300,0300,R 651,S200000,00400,0100,VILLISCA GOOD SAMARITAN CENTER 651,S200000,00400,0200,165189 651,S200000,00400,0300,11/01/1993 651,S200000,00400,0500,P 651,S200000,01500,0100,Y 651,S200000,01900,0100,N 651,S700003,00000,0100,1 656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 656,A000000,00300,0000,00300EMPLOYEE BENEFITS 656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 656,A000000,00700,0000,00700HOUSEKEEPING 656,A000000,00800,0000,00800DIETARY 656,A000000,00900,0000,00900NURSING ADMINISTRATION 656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 656,A000000,01300,0000,01300SOCIAL SERVICE 656,A000000,01350,0000,01500OTHER GENERAL SERVICES 656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 656,A000000,01600,0000,01600SKILLED NURSING FACILITY 656,A000000,01800,0000,01800NURSING FACILITY 656,A000000,01810,0000,01801ICF/MR 656,A000000,01900,0000,01900OTHER LONG TERM CARE 656,A000000,02100,0000,02100RADIOLOGY 656,A000000,02200,0000,02200LABORATORY 656,A000000,02300,0000,02300INTRAVENOUS THERAPY 656,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 656,A000000,02500,0000,02500PHYSICAL THERAPY 656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 656,A000000,02700,0000,02700SPEECH PATHOLOGY 656,A000000,02800,0000,02800ELECTROCARDIOLOGY 656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 656,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 656,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 656,A000000,03200,0000,03200SUPPORT SURFACES 656,A000000,03400,0000,03400CLINIC 656,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 656,A000000,03500,0000,03500RURAL HEALTH CLINIC 656,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 656,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 656,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 656,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 656,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 656,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 656,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 656,A000000,04400,0000,04400DME RENTED - HHA 656,A000000,04500,0000,04500DME SOLD - HHA 656,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 656,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 656,A000000,04750,0000,05100OSP 656,A000000,04800,0000,04800AMBULANCE 656,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 656,A000000,05000,0000,05000CORF 656,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 656,A000000,05300,0000,05300INTEREST EXPENSE 656,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 656,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 656,A000000,05500,0000,05500HOSPICE 656,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 656,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 656,A000000,06100,0000,06100NONPAID WORKERS 656,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 656,A000000,06200,0000,06200PATIENTS LAUNDRY 656,A81000A,00100,0100,Y 656,A81000B,00100,0300,PROPERTY INSURANCE 656,A81000B,00200,0300,OTHER INSURANCE 656,A81000B,00300,0300,UNEMPLOYMENT 656,A81000B,00400,0300,WORKERS COMP 656,A81000B,00500,0300,ADMIN/ACCOUNTING 656,A81000B,00600,0300,MED SUPPLIES 656,A81000B,00700,0300,DISPOSABLE BRIEFS 656,A81000B,00800,0300,TEXTILES 656,A81000C,00100,0100,B 656,A81000C,00100,0200,EV. LUTHERAN GS 656,A81000C,00100,0400,EV. LUTHERAN GS 656,A81000C,00100,0600,MGMT/ACTG 656,A81000C,00200,0100,B 656,A81000C,00200,0200,OMNICARE PHARM 656,A81000C,00200,0400,OMNICARE PHARM 656,A81000C,00200,0600,MED SUPPLIES 656,E10A180,00501,0100,06/20/2000 656,E10A180,00550,0300,06/20/2000 656,S000000,00100,0200,05/08/2000 656,S200000,00100,0100,412 WEST KENNEDY 656,S200000,00200,0100,ALGONA 656,S200000,00200,0200,IA 656,S200000,00200,0300,50511-3128 656,S200000,00300,0100,KOSSUTH 656,S200000,00300,0300,R 656,S200000,00400,0100,ALGONA GOOD SAMARITAN CENTER 656,S200000,00400,0200,165190 656,S200000,00400,0300,12/01/1993 656,S200000,00400,0500,P 656,S200000,01500,0100,Y 656,S200000,01900,0100,N 656,S700003,00000,0100,1 659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 659,A000000,00300,0000,00300EMPLOYEE BENEFITS 659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 659,A000000,00700,0000,00700HOUSEKEEPING 659,A000000,00800,0000,00800DIETARY 659,A000000,00900,0000,00900NURSING ADMINISTRATION 659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 659,A000000,01300,0000,01300SOCIAL SERVICE 659,A000000,01350,0000,01500OTHER GENERAL SERVICES 659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 659,A000000,01600,0000,01600SKILLED NURSING FACILITY 659,A000000,01800,0000,01800NURSING FACILITY 659,A000000,01810,0000,01801ICF/MR 659,A000000,01900,0000,01900OTHER LONG TERM CARE 659,A000000,02100,0000,02100RADIOLOGY 659,A000000,02200,0000,02200LABORATORY 659,A000000,02300,0000,02300INTRAVENOUS THERAPY 659,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 659,A000000,02500,0000,02500PHYSICAL THERAPY 659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 659,A000000,02700,0000,02700SPEECH PATHOLOGY 659,A000000,02800,0000,02800ELECTROCARDIOLOGY 659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 659,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 659,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 659,A000000,03200,0000,03200SUPPORT SURFACES 659,A000000,03400,0000,03400CLINIC 659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 659,A000000,03500,0000,03500RURAL HEALTH CLINIC 659,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 659,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 659,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 659,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 659,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 659,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 659,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 659,A000000,04400,0000,04400DME RENTED - HHA 659,A000000,04500,0000,04500DME SOLD - HHA 659,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 659,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 659,A000000,04750,0000,05100OSP 659,A000000,04800,0000,04800AMBULANCE 659,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 659,A000000,05000,0000,05000CORF 659,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 659,A000000,05300,0000,05300INTEREST EXPENSE 659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 659,A000000,05500,0000,05500HOSPICE 659,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 659,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 659,A000000,06100,0000,06100NONPAID WORKERS 659,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 659,A000000,06200,0000,06200PATIENTS LAUNDRY 659,A81000A,00100,0100,Y 659,A81000B,00100,0300,PROPERTY INSURANCE 659,A81000B,00200,0300,OTHER INSURANCE 659,A81000B,00300,0300,WORKERS COMPENSATION 659,A81000B,00400,0300,ADMIN & ACCOUNTING 659,A81000B,00500,0300,NURSING SUPPLIES 659,A81000B,00600,0300,BRIEFS-CDP 659,A81000B,00700,0300,DIETARY SUPPPLIES 659,A81000C,00100,0100,B 659,A81000C,00100,0200,EV. LUTHERAN G. 659,A81000C,00100,0400,EV. LUTHERAN G. 659,A81000C,00100,0600,MGMT/ACTG 659,A81000C,00200,0100,B 659,A81000C,00200,0200,OMNICARE PHARMA 659,A81000C,00200,0400,OMNICARE PHARMA 659,A81000C,00200,0600,SUPPLIES 659,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 659,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 659,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 659,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 659,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 659,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 659,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 659,B100000,00000,0800,00000MEALS SERVEDDIETARY 659,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 659,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 659,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 659,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 659,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 659,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 659,E10A180,00501,0100,06/14/2000 659,E10A180,00550,0300,06/14/2000 659,S000000,00100,0200,05/16/2000 659,S200000,00100,0100,201 ALIX AVENUE 659,S200000,00200,0100,RED OAK 659,S200000,00200,0200,IA 659,S200000,00200,0300,51566-1001 659,S200000,00300,0100,MONTGOMERY 659,S200000,00300,0300,R 659,S200000,00400,0100,RED OAK GOOD SAMARITAN CENTER 659,S200000,00400,0200,165191 659,S200000,00400,0300,11/01/1996 659,S200000,00400,0500,P 659,S200000,01500,0100,Y 659,S200000,01900,0100,N 659,S200000,02800,0100,Y 659,S700003,00000,0100,1 664,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 664,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 664,A000000,00300,0000,00300EMPLOYEE BENEFITS 664,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 664,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 664,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 664,A000000,00700,0000,00700HOUSEKEEPING 664,A000000,00800,0000,00800DIETARY 664,A000000,00900,0000,00900NURSING ADMINISTRATION 664,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 664,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 664,A000000,01300,0000,01300SOCIAL SERVICE 664,A000000,01350,0000,01500OTHER GENERAL SERVICES 664,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 664,A000000,01600,0000,01600SKILLED NURSING FACILITY 664,A000000,01800,0000,01800NURSING FACILITY 664,A000000,01810,0000,01801ICF/MR 664,A000000,01900,0000,01900OTHER LONG TERM CARE 664,A000000,02100,0000,02100RADIOLOGY 664,A000000,02200,0000,02200LABORATORY 664,A000000,02300,0000,02300INTRAVENOUS THERAPY 664,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 664,A000000,02500,0000,02500PHYSICAL THERAPY 664,A000000,02600,0000,02600OCCUPATIONAL THERAPY 664,A000000,02700,0000,02700SPEECH PATHOLOGY 664,A000000,02800,0000,02800ELECTROCARDIOLOGY 664,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 664,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 664,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 664,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 664,A000000,03200,0000,03200SUPPORT SURFACES 664,A000000,03400,0000,03400CLINIC 664,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 664,A000000,03500,0000,03500RURAL HEALTH CLINIC 664,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 664,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 664,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 664,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 664,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 664,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 664,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 664,A000000,04400,0000,04400DME RENTED - HHA 664,A000000,04500,0000,04500DME SOLD - HHA 664,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 664,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 664,A000000,04750,0000,05100OTHER REIMBURSABLE COST 664,A000000,04800,0000,04800AMBULANCE 664,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 664,A000000,05000,0000,05000CORF 664,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 664,A000000,05300,0000,05300INTEREST EXPENSE 664,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 664,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 664,A000000,05500,0000,05500HOSPICE 664,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 664,A000000,05900,0000,05900BARBER & BEAUTY SHOP 664,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 664,A000000,06100,0000,06100NONPAID WORKERS 664,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 664,A000000,06200,0000,06200PATIENTS LAUNDRY 664,A81000A,00100,0100,Y 664,A81000B,00100,0300,PROPERTY INSURANCE 664,A81000B,00200,0300,OTHER INSURANCE 664,A81000B,00300,0300,UNEMPLOYMENT 664,A81000B,00400,0300,WORKERS COMP 664,A81000B,00500,0300,ADMIN/ACCT 664,A81000B,00600,0300,DISPOSABLE BRIEFS 664,A81000B,00700,0300,DIETARY SUPPLEMENT 664,A81000B,00800,0300,EQUIPMENT 664,A81000B,00900,0300,TEXTILES 664,A81000B,00901,0300,MED SUPPLIES 664,A81000C,00100,0100,B 664,A81000C,00100,0200,EV LUTHERAN GS 664,A81000C,00100,0400,EV LUTHERAN GS 664,A81000C,00100,0600,MGMT/ACTG 664,A81000C,00200,0100,B 664,A81000C,00200,0200,OMNICARE PHARM 664,A81000C,00200,0400,OMNICARE PHARM 664,A81000C,00200,0600,MED SUPPLIES 664,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 664,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 664,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 664,B100000,00000,0400,00000ACCUM COSTADMINISTRATIVE & GENERAL 664,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 664,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 664,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 664,B100000,00000,0800,00000MEALS SERVEDDIETARY 664,B100000,00000,0900,00000DIRECT NURSING HRSNURSING ADMINISTR 664,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & SUP 664,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & LIB 664,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 664,B100000,00000,1350,00000ACC COSTOTHER GENERAL SERVICES 664,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 664,E10A180,00501,0100,06/21/2000 664,E10A180,00501,0300,06/21/2000 664,S000000,00100,0200,05/12/2000 664,S200000,00100,0100,1646 FIFTH AVENUE NORTH 664,S200000,00200,0100,ESTERVILLE 664,S200000,00200,0200,IA 664,S200000,00200,0300,51334-1799 664,S200000,00300,0100,EMMET 664,S200000,00300,0300,R 664,S200000,00400,0100,ESTERVILLE GOOD SAMARITAN CENTER 664,S200000,00400,0200,165192 664,S200000,00400,0300,12/01/1993 664,S200000,00400,0500,P 664,S200000,01500,0100,Y 664,S700003,00000,0100,1 666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 666,A000000,00300,0000,00300EMPLOYEE BENEFITS 666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 666,A000000,00700,0000,00700HOUSEKEEPING 666,A000000,00800,0000,00800DIETARY 666,A000000,00900,0000,00900NURSING ADMINISTRATION 666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 666,A000000,01300,0000,01300SOCIAL SERVICE 666,A000000,01350,0000,01500ACTIVITIES 666,A000000,01600,0000,01600SKILLED NURSING FACILITY 666,A000000,01800,0000,01800NURSING FACILITY 666,A000000,01810,0000,01801ICF/MR 666,A000000,01900,0000,01900OTHER LONG TERM CARE 666,A000000,02100,0000,02100RADIOLOGY 666,A000000,02200,0000,02200LABORATORY 666,A000000,02300,0000,02300INTRAVENOUS THERAPY 666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 666,A000000,02500,0000,02500PHYSICAL THERAPY 666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 666,A000000,02700,0000,02700SPEECH PATHOLOGY 666,A000000,02800,0000,02800ELECTROCARDIOLOGY 666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 666,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 666,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 666,A000000,03200,0000,03200SUPPORT SURFACES 666,A000000,03400,0000,03400CLINIC 666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 666,A000000,03500,0000,03500RURAL HEALTH CLINIC 666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 666,A000000,04400,0000,04400DME RENTED - HHA 666,A000000,04500,0000,04500DME SOLD - HHA 666,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 666,A000000,04750,0000,05100OSP 666,A000000,04800,0000,04800AMBULANCE 666,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 666,A000000,05000,0000,05000CORF 666,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 666,A000000,05300,0000,05300INTEREST EXPENSE 666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 666,A000000,05500,0000,05500HOSPICE 666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 666,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 666,A000000,06100,0000,06100NONPAID WORKERS 666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 666,A000000,06200,0000,06200PATIENTS LAUNDRY 666,A81000A,00100,0100,Y 666,A81000B,00100,0300,HOME OFFICE - OPERATING 666,A81000B,00200,0300,MME CAPITAL 666,A81000C,00100,0100,B 666,A81000C,00100,0400,CARE INITIATIVE 666,A81000C,00100,0600,HOME OFFICE 666,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 666,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 666,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 666,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 666,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 666,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 666,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 666,B100000,00000,0800,00000MEALS SERVEDDIETARY 666,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 666,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 666,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 666,B100000,00000,1350,00000TIME SPENTACTIVITIES 666,E10A180,00501,0300,07/26/2000 666,S000000,00100,0200,05/30/2000 666,S200000,00100,0100,1403 HARRISON RD 666,S200000,00200,0100,DUNLAP 666,S200000,00200,0200,IA 666,S200000,00200,0300,51529-2121 666,S200000,00300,0100,HARRISON 666,S200000,00300,0300,R 666,S200000,00400,0100,DUNLAP NURSING AND REHAB CENTER 666,S200000,00400,0200,165193 666,S200000,00400,0300,01/01/1994 666,S200000,00400,0500,P 666,S200000,01500,0100,Y 666,S200000,01900,0100,N 666,S700003,00000,0100,1 668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 668,A000000,00300,0000,00300EMPLOYEE BENEFITS 668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 668,A000000,00700,0000,00700HOUSEKEEPING 668,A000000,00800,0000,00800DIETARY 668,A000000,00900,0000,00900NURSING ADMINISTRATION 668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 668,A000000,01300,0000,01300SOCIAL SERVICE 668,A000000,01350,0000,01500ACTIVITIES 668,A000000,01600,0000,01600SKILLED NURSING FACILITY 668,A000000,01800,0000,01800NURSING FACILITY 668,A000000,01810,0000,01801ICF/MR 668,A000000,01900,0000,01900OTHER LONG TERM CARE 668,A000000,02100,0000,02100RADIOLOGY 668,A000000,02200,0000,02200LABORATORY 668,A000000,02300,0000,02300INTRAVENOUS THERAPY 668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 668,A000000,02500,0000,02500PHYSICAL THERAPY 668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 668,A000000,02700,0000,02700SPEECH PATHOLOGY 668,A000000,02800,0000,02800ELECTROCARDIOLOGY 668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 668,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 668,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 668,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 668,A000000,03200,0000,03200SUPPORT SURFACES 668,A000000,03400,0000,03400CLINIC 668,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 668,A000000,03500,0000,03500RURAL HEALTH CLINIC 668,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 668,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 668,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 668,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 668,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 668,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 668,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 668,A000000,04400,0000,04400DME RENTED - HHA 668,A000000,04500,0000,04500DME SOLD - HHA 668,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 668,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 668,A000000,04750,0000,05100OTHER REIMBURSABLE COST 668,A000000,04800,0000,04800AMBULANCE 668,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 668,A000000,05000,0000,05000CORF 668,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 668,A000000,05300,0000,05300INTEREST EXPENSE 668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 668,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 668,A000000,05500,0000,05500HOSPICE 668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 668,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 668,A000000,06100,0000,06100NONPAID WORKERS 668,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 668,A000000,06200,0000,06200PATIENTS LAUNDRY 668,A81000A,00100,0100,Y 668,A81000B,00100,0300,HOME OFFICE - OPERATING 668,A81000B,00200,0300,MME CAPITAL 668,A81000C,00100,0100,B 668,A81000C,00100,0400,CARE INITIATIVE 668,A81000C,00100,0600,HOME OFFICE 668,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 668,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 668,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 668,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 668,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 668,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 668,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 668,B100000,00000,0800,00000PATIENT DAYSDIETARY 668,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 668,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 668,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 668,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 668,E10A180,00501,0300,07/25/2000 668,S000000,00100,0200,02/21/2001 668,S200000,00100,0100,1001 COTTONWOOD 668,S200000,00200,0100,CRESTON 668,S200000,00200,0200,IA 668,S200000,00200,0300,50801-1012 668,S200000,00300,0100,UNION 668,S200000,00300,0300,R 668,S200000,00400,0100,CRESTON NURSING AND REHAB CENTER 668,S200000,00400,0200,165199 668,S200000,00400,0300,04/01/1994 668,S200000,00400,0500,P 668,S200000,01500,0100,Y 668,S200000,01900,0100,N 668,S700003,00000,0100,1 672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 672,A000000,00300,0000,00300EMPLOYEE BENEFITS 672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 672,A000000,00700,0000,00700HOUSEKEEPING 672,A000000,00800,0000,00800DIETARY 672,A000000,00900,0000,00900NURSING ADMINISTRATION 672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 672,A000000,01300,0000,01300SOCIAL SERVICE 672,A000000,01350,0000,01500OTHER GENERAL SERVICES 672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 672,A000000,01600,0000,01600SKILLED NURSING FACILITY 672,A000000,01800,0000,01800NURSING FACILITY 672,A000000,01810,0000,01801ICF/MR 672,A000000,01900,0000,01900OTHER LONG TERM CARE 672,A000000,02100,0000,02100RADIOLOGY 672,A000000,02200,0000,02200LABORATORY 672,A000000,02300,0000,02300INTRAVENOUS THERAPY 672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 672,A000000,02500,0000,02500PHYSICAL THERAPY 672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 672,A000000,02700,0000,02700SPEECH PATHOLOGY 672,A000000,02800,0000,02800ELECTROCARDIOLOGY 672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 672,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 672,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 672,A000000,03200,0000,03200SUPPORT SURFACES 672,A000000,03400,0000,03400CLINIC 672,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 672,A000000,03500,0000,03500RURAL HEALTH CLINIC 672,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 672,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 672,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 672,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 672,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 672,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 672,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 672,A000000,04400,0000,04400DME RENTED - HHA 672,A000000,04500,0000,04500DME SOLD - HHA 672,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 672,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 672,A000000,04750,0000,05100OSP 672,A000000,04800,0000,04800AMBULANCE 672,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 672,A000000,05000,0000,05000CORF 672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 672,A000000,05300,0000,05300INTEREST EXPENSE 672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 672,A000000,05500,0000,05500HOSPICE 672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 672,A000000,06100,0000,06100NONPAID WORKERS 672,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 672,A000000,06200,0000,06200PATIENTS LAUNDRY 672,A81000A,00100,0100,Y 672,A81000B,00100,0300,PROPERTY INSURANCE 672,A81000B,00200,0300,OTHER INSURANCE 672,A81000B,00300,0300,WORKERS COMP 672,A81000B,00400,0300,ADMIN & ACCTG 672,A81000B,00500,0300,NURSING SUPPLIES 672,A81000B,00600,0300,BRIEFS-CDP 672,A81000B,00700,0300,EQUIPMENT 672,A81000C,00100,0100,B 672,A81000C,00100,0200,EV. LUTHERAN G. 672,A81000C,00100,0400,EV. LUTHERAN G. 672,A81000C,00100,0600,ACCTG. & MGMT. 672,A81000C,00200,0100,B 672,A81000C,00200,0200,OMNICARE PHARMA 672,A81000C,00200,0400,OMNICARE PHARMA 672,A81000C,00200,0600,SUPPLIES 672,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 672,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 672,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 672,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 672,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 672,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 672,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 672,B100000,00000,0800,00000MEALS SERVEDDIETARY 672,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 672,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 672,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 672,B100000,00000,1350,00000ADMISSIONSSSOCIAL SERVICE 672,B100000,00000,1351,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 672,B100000,00000,1352,00000NO STATISTICSOTHER GENERAL S 672,E10A180,00501,0100,06/22/2000 672,E10A180,00550,0300,06/22/2000 672,S000000,00100,0200,05/05/2000 672,S200000,00100,0100,819 COUNTRY LANE ROAD 672,S200000,00200,0100,KEOSAUQUA 672,S200000,00200,0200,IA 672,S200000,00200,0300,52565-9711 672,S200000,00300,0100,VAN BUREN 672,S200000,00300,0300,R 672,S200000,00400,0100,VAN BUREN GOOD SAMARITAN CENTER 672,S200000,00400,0200,165204 672,S200000,00400,0300,05/01/1994 672,S200000,00400,0500,P 672,S200000,01500,0100,Y 672,S200000,01900,0100,N 672,S200000,02800,0100,Y 672,S700003,00000,0100,1 675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 675,A000000,00300,0000,00300EMPLOYEE BENEFITS 675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 675,A000000,00700,0000,00700HOUSEKEEPING 675,A000000,00800,0000,00800DIETARY 675,A000000,00900,0000,00900NURSING ADMINISTRATION 675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 675,A000000,01300,0000,01300SOCIAL SERVICE 675,A000000,01600,0000,01600SKILLED NURSING FACILITY 675,A000000,01800,0000,01800NURSING FACILITY 675,A000000,01900,0000,01900OTHER LONG TERM CARE 675,A000000,02100,0000,02100RADIOLOGY 675,A000000,02200,0000,02200LABORATORY 675,A000000,02500,0000,02500PHYSICAL THERAPY 675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 675,A000000,02700,0000,02700SPEECH PATHOLOGY 675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 675,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 675,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 675,A81000A,00100,0100,Y 675,A81000B,00100,0300,PROPERTY INSURANCE 675,A81000B,00200,0300,OTHER INSURANCE 675,A81000B,00300,0300,UNEMPLOYMENT 675,A81000B,00400,0300,WORKERS COMP 675,A81000B,00500,0300,ADMIN & ACCOUNTING 675,A81000B,00600,0300,NURSING SUPPLIES 675,A81000B,00700,0300,BRIEFS-CDP 675,A81000B,00800,0300,DIETARY SUPPLEMENTS 675,A81000B,00900,0300,EQUIPMENT 675,A81000C,00100,0100,B 675,A81000C,00100,0600,MGMT/ACTG 675,A81000C,00200,0100,B 675,A81000C,00200,0600,MEDICAL SUPPLIE 675,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 675,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 675,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 675,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 675,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 675,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 675,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 675,B100000,00000,0800,00000MEALS SERVEDDIETARY 675,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 675,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 675,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 675,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 675,E10A180,00550,0100,07/14/2000 675,E10A180,00550,0300,07/14/2000 675,S000000,00100,0200,05/22/2000 675,S200000,00100,0100,1140 LINCOLN STREET NE 675,S200000,00200,0100,LEMARS 675,S200000,00200,0200,IA 675,S200000,00200,0300,51031- 675,S200000,00300,0100,PLYMOUTH 675,S200000,00300,0300,R 675,S200000,00400,0100,BRENTWOOD GOOD SAMARITAN CENTER 675,S200000,00400,0200,165205 675,S200000,00400,0300,04/01/1994 675,S200000,00400,0500,P 675,S200000,01500,0100,Y 675,S200000,01900,0100,N 675,S700003,00000,0100,1 678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 678,A000000,00300,0000,00300EMPLOYEE BENEFITS 678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 678,A000000,00700,0000,00700HOUSEKEEPING 678,A000000,00800,0000,00800DIETARY 678,A000000,00900,0000,00900NURSING ADMINISTRATION 678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 678,A000000,01300,0000,01300SOCIAL SERVICE 678,A000000,01350,0000,01500OTHER GENERAL SERVICES 678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 678,A000000,01600,0000,01600SKILLED NURSING FACILITY 678,A000000,01800,0000,01800NURSING FACILITY 678,A000000,01810,0000,01801ICF/MR 678,A000000,01900,0000,01900OTHER LONG TERM CARE 678,A000000,02100,0000,02100RADIOLOGY 678,A000000,02200,0000,02200LABORATORY 678,A000000,02300,0000,02300INTRAVENOUS THERAPY 678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 678,A000000,02500,0000,02500PHYSICAL THERAPY 678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 678,A000000,02700,0000,02700SPEECH PATHOLOGY 678,A000000,02800,0000,02800ELECTROCARDIOLOGY 678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 678,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 678,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 678,A000000,03200,0000,03200SUPPORT SURFACES 678,A000000,03400,0000,03400CLINIC 678,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 678,A000000,03500,0000,03500RURAL HEALTH CLINIC 678,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 678,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 678,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 678,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 678,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 678,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 678,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 678,A000000,04400,0000,04400DME RENTED - HHA 678,A000000,04500,0000,04500DME SOLD - HHA 678,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 678,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 678,A000000,04750,0000,05100OSP 678,A000000,04800,0000,04800AMBULANCE 678,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 678,A000000,05000,0000,05000CORF 678,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 678,A000000,05300,0000,05300INTEREST EXPENSE 678,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 678,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 678,A000000,05500,0000,05500HOSPICE 678,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 678,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 678,A000000,06100,0000,06100NONPAID WORKERS 678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 678,A000000,06200,0000,06200PATIENTS LAUNDRY 678,A81000A,00100,0100,Y 678,A81000B,00100,0300,PROPERTY INSURANCE 678,A81000B,00200,0300,OTHER INSURANCE 678,A81000B,00300,0300,UNEMPLOYMENT 678,A81000B,00400,0300,WORKERS COMP 678,A81000B,00500,0300,ADMIN & ACCOUNTING 678,A81000B,00600,0300,NURSING SUPPLIES 678,A81000B,00700,0300,BRIEFS-CDP 678,A81000B,00800,0300,EQUIPMENT 678,A81000B,00900,0300,DIETARY SUPPLIES 678,A81000C,00100,0100,B 678,A81000C,00100,0400,EV. LUTHERAN G. 678,A81000C,00100,0600,MGMT/ACTG 678,A81000C,00200,0100,B 678,A81000C,00200,0400,OMNICARE PHARMA 678,A81000C,00200,0600,SUPPLIES 678,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 678,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 678,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 678,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 678,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 678,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 678,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 678,B100000,00000,0800,00000MEALS SERVEDDIETARY 678,B100000,00000,0900,00000HOURS OF SERVICESNURSING ADMINISTR 678,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 678,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 678,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 678,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 678,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 678,S000000,00100,0200,05/03/2000 678,S200000,00100,0100,505 WEST 2ND STREET 678,S200000,00200,0100,HOLSTEIN 678,S200000,00200,0200,IA 678,S200000,00200,0300,51025-5111 678,S200000,00300,0100,IDA 678,S200000,00300,0300,R 678,S200000,00400,0100,HOLSTEIN GOOD SAMARITAN CENTER 678,S200000,00400,0200,165207 678,S200000,00400,0300,04/01/1994 678,S200000,00400,0500,P 678,S200000,01500,0100,Y 678,S200000,01900,0100,N 678,S700003,00000,0100,1 680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 680,A000000,00300,0000,00300EMPLOYEE BENEFITS 680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 680,A000000,00700,0000,00700HOUSEKEEPING 680,A000000,00800,0000,00800DIETARY 680,A000000,00900,0000,00900NURSING ADMINISTRATION 680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 680,A000000,01300,0000,01300SOCIAL SERVICE 680,A000000,01350,0000,01500ACTIVITIES 680,A000000,01600,0000,01600SKILLED NURSING FACILITY 680,A000000,01800,0000,01800NURSING FACILITY 680,A000000,01810,0000,01801ICF/MR 680,A000000,01900,0000,01900OTHER LONG TERM CARE 680,A000000,02100,0000,02100RADIOLOGY 680,A000000,02200,0000,02200LABORATORY 680,A000000,02300,0000,02300INTRAVENOUS THERAPY 680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 680,A000000,02500,0000,02500PHYSICAL THERAPY 680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 680,A000000,02700,0000,02700SPEECH PATHOLOGY 680,A000000,02800,0000,02800ELECTROCARDIOLOGY 680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 680,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 680,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 680,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 680,A000000,03200,0000,03200SUPPORT SURFACES 680,A000000,03400,0000,03400CLINIC 680,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 680,A000000,03500,0000,03500RURAL HEALTH CLINIC 680,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 680,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 680,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 680,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 680,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 680,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 680,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 680,A000000,04400,0000,04400DME RENTED - HHA 680,A000000,04500,0000,04500DME SOLD - HHA 680,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 680,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 680,A000000,04750,0000,05100OSP 680,A000000,04800,0000,04800AMBULANCE 680,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 680,A000000,05000,0000,05000CORF 680,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 680,A000000,05300,0000,05300INTEREST EXPENSE 680,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 680,A000000,05500,0000,05500HOSPICE 680,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 680,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 680,A000000,06100,0000,06100NONPAID WORKERS 680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 680,A000000,06200,0000,06200PATIENTS LAUNDRY 680,A81000A,00100,0100,Y 680,A81000B,00100,0300,HOME OFFICE - OPERATING 680,A81000B,00200,0300,MME CAPITAL 680,A81000C,00100,0100,B 680,A81000C,00100,0400,CARE INITIATIVE 680,A81000C,00100,0600,HOME OFFICE 680,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 680,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 680,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 680,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 680,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 680,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 680,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 680,B100000,00000,0800,00000MEALS SERVEDDIETARY 680,B100000,00000,0900,00000NURSING SALARYNURSING ADMINISTRAT 680,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 680,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 680,B100000,00000,1350,00000TIME SPENTACTIVITIES 680,E10A180,00550,0300,07/24/2000 680,S000000,00100,0200,05/30/2000 680,S200000,00100,0100,2206 S. CENTER STREET 680,S200000,00200,0100,MARSHALLTOWN 680,S200000,00200,0200,IA 680,S200000,00200,0300,50158-5961 680,S200000,00300,0100,MARSHALL 680,S200000,00300,0300,R 680,S200000,00400,0100,SOUTHRIDGE NURSING AND REHAB CENTER 680,S200000,00400,0200,165209 680,S200000,00400,0300,03/01/1994 680,S200000,00400,0500,P 680,S200000,01500,0100,Y 680,S200000,01900,0100,N 680,S700003,00000,0100,1 684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 684,A000000,00300,0000,00300EMPLOYEE BENEFITS 684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 684,A000000,00700,0000,00700HOUSEKEEPING 684,A000000,00800,0000,00800DIETARY 684,A000000,00900,0000,00900NURSING ADMINISTRATION 684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 684,A000000,01300,0000,01300SOCIAL SERVICE 684,A000000,01350,0000,01500OTHER GENERAL SERVICES 684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 684,A000000,01600,0000,01600SKILLED NURSING FACILITY 684,A000000,01800,0000,01800NURSING FACILITY 684,A000000,01810,0000,01801ICF/MR 684,A000000,01900,0000,01900OTHER LONG TERM CARE 684,A000000,02100,0000,02100RADIOLOGY 684,A000000,02200,0000,02200LABORATORY 684,A000000,02300,0000,02300INTRAVENOUS THERAPY 684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 684,A000000,02500,0000,02500PHYSICAL THERAPY 684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 684,A000000,02700,0000,02700SPEECH PATHOLOGY 684,A000000,02800,0000,02800ELECTROCARDIOLOGY 684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 684,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 684,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 684,A000000,03200,0000,03200SUPPORT SURFACES 684,A000000,03400,0000,03400CLINIC 684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 684,A000000,03500,0000,03500RURAL HEALTH CLINIC 684,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 684,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 684,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 684,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 684,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 684,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 684,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 684,A000000,04400,0000,04400DME RENTED - HHA 684,A000000,04500,0000,04500DME SOLD - HHA 684,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 684,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 684,A000000,04750,0000,05100OSP 684,A000000,04800,0000,04800AMBULANCE 684,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 684,A000000,05000,0000,05000CORF 684,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 684,A000000,05300,0000,05300INTEREST EXPENSE 684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 684,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 684,A000000,05500,0000,05500HOSPICE 684,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 684,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 684,A000000,06100,0000,06100NONPAID WORKERS 684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 684,A000000,06200,0000,06200PATIENTS LAUNDRY 684,A81000A,00100,0100,Y 684,A81000B,00100,0300,PROPERTY INSURANCE 684,A81000B,00200,0300,OTHER INSURANCE 684,A81000B,00300,0300,WORKERS COMP 684,A81000B,00400,0300,ADMIN & ACCOUNTING 684,A81000B,00500,0300,MEDICAL SUPPLIES 684,A81000C,00100,0100,B 684,A81000C,00100,0200,ELGSS 684,A81000C,00100,0600,MGMT/ACTG 684,A81000C,00200,0100,B 684,A81000C,00200,0200,ELGSS 684,A81000C,00200,0600,MEDICAL SUPPLIE 684,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 684,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 684,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 684,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 684,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 684,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 684,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 684,B100000,00000,0800,00000MEALS SERVEDDIETARY 684,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 684,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 684,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 684,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 684,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 684,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 684,E10A180,00501,0100,06/21/2000 684,E10A180,00550,0300,06/21/2000 684,S000000,00100,0200,05/30/2000 684,S200000,00100,0100,701 EAST FOURTH STREET 684,S200000,00200,0100,ST. ANSGAR 684,S200000,00200,0200,IA 684,S200000,00200,0300,50472-0340 684,S200000,00300,0100,MITCHELL 684,S200000,00300,0300,R 684,S200000,00400,0100,ST. ANSGAR GOOD SAMARITAN CENTER 684,S200000,00400,0200,165210 684,S200000,00400,0300,04/01/1994 684,S200000,00400,0500,P 684,S200000,01500,0100,Y 684,S200000,01900,0100,N 684,S700003,00000,0100,1 689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 689,A000000,00300,0000,00300EMPLOYEE BENEFITS 689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 689,A000000,00700,0000,00700HOUSEKEEPING 689,A000000,00800,0000,00800DIETARY 689,A000000,00900,0000,00900NURSING ADMINISTRATION 689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 689,A000000,01300,0000,01300SOCIAL SERVICE 689,A000000,01350,0000,01500OTHER GENERAL SERVICES 689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 689,A000000,01600,0000,01600SKILLED NURSING FACILITY 689,A000000,01800,0000,01800NURSING FACILITY 689,A000000,01810,0000,01801ICF/MR 689,A000000,01900,0000,01900OTHER LONG TERM CARE 689,A000000,02100,0000,02100RADIOLOGY 689,A000000,02200,0000,02200LABORATORY 689,A000000,02300,0000,02300INTRAVENOUS THERAPY 689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 689,A000000,02500,0000,02500PHYSICAL THERAPY 689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 689,A000000,02700,0000,02700SPEECH PATHOLOGY 689,A000000,02800,0000,02800ELECTROCARDIOLOGY 689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 689,A000000,03200,0000,03200SUPPORT SURFACES 689,A000000,03400,0000,03400CLINIC 689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 689,A000000,03500,0000,03500RURAL HEALTH CLINIC 689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 689,A000000,04400,0000,04400DME RENTED - HHA 689,A000000,04500,0000,04500DME SOLD - HHA 689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 689,A000000,04750,0000,05100OSP 689,A000000,04800,0000,04800AMBULANCE 689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 689,A000000,05000,0000,05000CORF 689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 689,A000000,05300,0000,05300INTEREST EXPENSE 689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 689,A000000,05500,0000,05500HOSPICE 689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 689,A000000,06100,0000,06100NONPAID WORKERS 689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 689,A000000,06200,0000,06200PATIENTS LAUNDRY 689,A81000A,00100,0100,Y 689,A81000B,00100,0300,PROPERTY INSURANCE 689,A81000B,00200,0300,OTHER INSURANCE 689,A81000B,00300,0300,UNEMPLOYMENT 689,A81000B,00400,0300,WORKERS COMPENSATION 689,A81000B,00500,0300,ADMIN. & ACCTG 689,A81000B,00600,0300,NURSING SUPPLIES 689,A81000B,00700,0300,BRIEFS-CDP 689,A81000B,00800,0300,BRIEFS-NONCDP 689,A81000B,00900,0300,EQUIPMENT 689,A81000B,00901,0300,DIETARY SUPPLIES 689,A81000B,00902,0300,TEXTILES 689,A81000C,00100,0100,B 689,A81000C,00100,0400,EV. LUTHERAN G. 689,A81000C,00100,0600,ACCTG. & MGMT 689,A81000C,00200,0100,B 689,A81000C,00200,0400,OMNICARE PHARMA 689,A81000C,00200,0600,SUPPLIES 689,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 689,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 689,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 689,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 689,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 689,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 689,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 689,B100000,00000,0800,00000MEALS SERVEDDIETARY 689,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 689,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 689,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 689,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 689,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 689,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 689,S000000,00100,0200,05/04/2000 689,S200000,00100,0100,2035 CHESTER AVENUE 689,S200000,00200,0100,OTTUMWA 689,S200000,00200,0200,IA 689,S200000,00200,0300,52501-3798 689,S200000,00300,0100,WAPELLO 689,S200000,00300,0300,R 689,S200000,00400,0100,OTTUMWA GOOD SAMARITAN CENTER 689,S200000,00400,0200,165211 689,S200000,00400,0300,06/01/1997 689,S200000,00400,0500,P 689,S200000,01600,0100,Y 689,S200000,01900,0100,N 689,S700003,00000,0100,1 691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 691,A000000,00300,0000,00300EMPLOYEE BENEFITS 691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 691,A000000,00700,0000,00700HOUSEKEEPING 691,A000000,00800,0000,00800DIETARY 691,A000000,00900,0000,00900NURSING ADMINISTRATION 691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 691,A000000,01100,0000,01100PHARMACY 691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 691,A000000,01300,0000,01300SOCIAL SERVICE 691,A000000,01350,0000,01500RECREATION 691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 691,A000000,01600,0000,01600SKILLED NURSING FACILITY 691,A000000,01800,0000,01800NURSING FACILITY 691,A000000,01810,0000,01810ICF/MR 691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 691,A000000,02500,0000,02500PHYSICAL THERAPY 691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 691,A000000,02700,0000,02700SPEECH PATHOLOGY 691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 691,A000000,03550,0000,03550FQHC 691,A000000,05000,0000,05000CORF 691,A000000,05010,0000,05010CMHC 691,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 691,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 691,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 691,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 691,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 691,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 691,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 691,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 691,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 691,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 691,B100000,00000,0800,00000PATIENT DAYSDIETARY 691,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 691,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 691,B100000,00000,1100,00000COSTED REQUISPHARMACY 691,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 691,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 691,B100000,00000,1350,00000PATIENT DAYSRECREATION 691,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 691,E10A180,00501,0100,07/11/2000 691,E10A180,00501,0300,07/11/2000 691,S000000,00100,0200,05/26/2000 691,S200000,00100,0100,715 SHOQUOQUON DRIVE 691,S200000,00200,0100,BURLINGTON 691,S200000,00200,0200,IA 691,S200000,00200,0300,52601 691,S200000,00300,0100,DES MOINES 691,S200000,00300,0300,R 691,S200000,00400,0100,PARK VIEW CARE CENTER OF BURLINGTON 691,S200000,00400,0200,165212 691,S200000,00400,0300,01/01/1999 691,S200000,00400,0500,P 691,S200000,01600,0100,Y 691,S700003,00000,0200,2 694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 694,A000000,00300,0000,00300EMPLOYEE BENEFITS 694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 694,A000000,00700,0000,00700HOUSEKEEPING 694,A000000,00800,0000,00800DIETARY 694,A000000,00900,0000,00900NURSING ADMINISTRATION 694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 694,A000000,01300,0000,01300SOCIAL SERVICE 694,A000000,01350,0000,01500OTHER GENERAL SERVICES 694,A000000,01600,0000,01600SKILLED NURSING FACILITY 694,A000000,01800,0000,01800NURSING FACILITY 694,A000000,01900,0000,01900OTHER LONG TERM CARE 694,A000000,02100,0000,02100RADIOLOGY 694,A000000,02200,0000,02200LABORATORY 694,A000000,02300,0000,02300INTRAVENOUS THERAPY 694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 694,A000000,02500,0000,02500PHYSICAL THERAPY 694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 694,A000000,02700,0000,02700SPEECH PATHOLOGY 694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 694,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 694,A000000,04750,0000,05100OSP 694,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 694,A000000,05300,0000,05300INTEREST EXPENSE 694,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 694,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 694,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 694,A000000,06100,0000,06100NONPAID WORKERS 694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 694,A000000,06200,0000,06200PATIENTS LAUNDRY 694,A81000A,00100,0100,Y 694,A81000B,00100,0300,PROPERTY INSURANCE 694,A81000B,00200,0300,OTHER INSURANCE 694,A81000B,00300,0300,WORKERS COMP 694,A81000B,00400,0300,ADMIN & ACCTG 694,A81000B,00500,0300,NURSING SUPPLIES 694,A81000B,00600,0300,MEDICAL SUPPLIES 694,A81000B,00700,0300,BRIEFS-CDP 694,A81000C,00100,0100,B 694,A81000C,00100,0600,MGMT/ACTG 694,A81000C,00200,0100,B 694,A81000C,00200,0600,MEDICAL SUPPLIE 694,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 694,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 694,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 694,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 694,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 694,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 694,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 694,B100000,00000,0800,00000MEALS SERVEDDIETARY 694,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 694,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 694,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 694,B100000,00000,1300,00000ADMISSIONSSOCIAL SERVICE 694,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 694,S000000,00100,0200,05/26/2000 694,S200000,00100,0100,606 SOUTH 7TH STREET 694,S200000,00200,0100,FOREST CITY 694,S200000,00200,0200,IA 694,S200000,00200,0300,50436- 694,S200000,00300,0100,WINNEBAGO 694,S200000,00300,0300,R 694,S200000,00400,0100,FOREST CITY GOOD SAMARITAN CENTER 694,S200000,00400,0200,165213 694,S200000,00400,0300,04/01/1994 694,S200000,00400,0500,P 694,S200000,01500,0100,Y 694,S200000,01900,0100,N 694,S700003,00000,0100,1 697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 697,A000000,00300,0000,00300EMPLOYEE BENEFITS 697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 697,A000000,00700,0000,00700HOUSEKEEPING 697,A000000,00800,0000,00800DIETARY 697,A000000,00900,0000,00900NURSING ADMINISTRATION 697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 697,A000000,01300,0000,01300SOCIAL SERVICE 697,A000000,01350,0000,01500ACTIVITIES 697,A000000,01600,0000,01600SKILLED NURSING FACILITY 697,A000000,01800,0000,01800NURSING FACILITY 697,A000000,01810,0000,01801ICF/MR 697,A000000,01900,0000,01900OTHER LONG TERM CARE 697,A000000,02100,0000,02100RADIOLOGY 697,A000000,02200,0000,02200LABORATORY 697,A000000,02300,0000,02300INTRAVENOUS THERAPY 697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 697,A000000,02500,0000,02500PHYSICAL THERAPY 697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 697,A000000,02700,0000,02700SPEECH PATHOLOGY 697,A000000,02800,0000,02800ELECTROCARDIOLOGY 697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 697,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 697,A000000,03200,0000,03200SUPPORT SURFACES 697,A000000,03400,0000,03400CLINIC 697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 697,A000000,03500,0000,03500RURAL HEALTH CLINIC 697,A000000,04750,0000,05100OSP 697,A000000,04800,0000,04800AMBULANCE 697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 697,A000000,05000,0000,05000CORF 697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 697,A000000,05300,0000,05300INTEREST EXPENSE 697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 697,A000000,05500,0000,05500HOSPICE 697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 697,A000000,06100,0000,06100NONPAID WORKERS 697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 697,A000000,06200,0000,06200PATIENTS LAUNDRY 697,A81000A,00100,0100,Y 697,A81000B,00100,0300,HOME OFFICE - OPERATING 697,A81000B,00200,0300,MME CAPITAL 697,A81000C,00100,0100,B 697,A81000C,00100,0400,CARE INITIATIVE 697,A81000C,00100,0600,HOME OFFICE 697,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 697,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 697,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 697,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 697,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 697,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 697,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 697,B100000,00000,0800,00000MEALS SERVEDDIETARY 697,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 697,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 697,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 697,B100000,00000,1350,00000TIME SPENTACTIVITIES 697,E10A180,00301,0100,08/27/1999 697,E10A180,00501,0300,07/25/2000 697,S000000,00100,0200,05/30/2000 697,S200000,00100,0100,915 N. 20TH AVE. 697,S200000,00200,0100,CORALVILLE 697,S200000,00200,0200,IA 697,S200000,00200,0300,52241-1499 697,S200000,00300,0100,JOHNSON 697,S200000,00300,0300,U 697,S200000,00400,0100,LANTERN PARK NURSING & REHAB CENTER 697,S200000,00400,0200,165214 697,S200000,00400,0300,02/01/1995 697,S200000,00400,0500,P 697,S200000,01600,0100,Y 697,S200000,01900,0100,N 697,S700003,00000,0100,1 700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 700,A000000,00300,0000,00300EMPLOYEE BENEFITS 700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 700,A000000,00700,0000,00700HOUSEKEEPING 700,A000000,00800,0000,00800DIETARY 700,A000000,00900,0000,00900NURSING ADMINISTRATION 700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 700,A000000,01300,0000,01300SOCIAL SERVICE 700,A000000,01350,0000,01500ACTIVITIES 700,A000000,01600,0000,01600SKILLED NURSING FACILITY 700,A000000,01800,0000,01800NURSING FACILITY 700,A000000,01810,0000,01801ICF/MR 700,A000000,01900,0000,01900OTHER LONG TERM CARE 700,A000000,02100,0000,02100RADIOLOGY 700,A000000,02200,0000,02200LABORATORY 700,A000000,02300,0000,02300INTRAVENOUS THERAPY 700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 700,A000000,02500,0000,02500PHYSICAL THERAPY 700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 700,A000000,02700,0000,02700SPEECH PATHOLOGY 700,A000000,02800,0000,02800ELECTROCARDIOLOGY 700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 700,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 700,A000000,03200,0000,03200SUPPORT SURFACES 700,A000000,03400,0000,03400CLINIC 700,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 700,A000000,03500,0000,03500RURAL HEALTH CLINIC 700,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 700,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 700,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 700,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 700,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 700,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 700,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 700,A000000,04400,0000,04400DME RENTED - HHA 700,A000000,04500,0000,04500DME SOLD - HHA 700,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 700,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 700,A000000,04750,0000,05100OSP 700,A000000,04800,0000,04800AMBULANCE 700,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 700,A000000,05000,0000,05000CORF 700,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 700,A000000,05300,0000,05300INTEREST EXPENSE 700,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 700,A000000,05500,0000,05500HOSPICE 700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 700,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 700,A000000,06100,0000,06100NONPAID WORKERS 700,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 700,A000000,06200,0000,06200PATIENTS LAUNDRY 700,A81000A,00100,0100,Y 700,A81000B,00100,0300,HOME OFFICE - OPERATING 700,A81000B,00200,0300,MME CAPITAL 700,A81000C,00100,0100,B 700,A81000C,00100,0400,CARE INITIATIVE 700,A81000C,00100,0600,HOME OFFICE 700,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 700,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 700,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 700,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 700,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 700,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 700,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 700,B100000,00000,0800,00000MEALS SERVEDDIETARY 700,B100000,00000,0900,00000NURSING SALARYNURSING ADMINISTRAT 700,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 700,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 700,B100000,00000,1350,00000TIME SPENTACTIVITIES 700,E10A180,00501,0300,07/28/2000 700,S000000,00100,0200,05/30/2000 700,S200000,00100,0100,1010 SOUTH UNION 700,S200000,00100,0300,268 700,S200000,00200,0100,ROCK RAPIDS 700,S200000,00200,0200,IA 700,S200000,00200,0300,51246-0268 700,S200000,00300,0100,LYON 700,S200000,00300,0300,R 700,S200000,00400,0100,LYON MANOR NURSING AND REHAB CENTER 700,S200000,00400,0200,165215 700,S200000,00400,0300,04/18/1994 700,S200000,00400,0500,P 700,S200000,01500,0100,Y 700,S200000,01900,0100,N 700,S700003,00000,0100,1 704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 704,A000000,00300,0000,00300EMPLOYEE BENEFITS 704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 704,A000000,00700,0000,00700HOUSEKEEPING 704,A000000,00800,0000,00800DIETARY 704,A000000,00900,0000,00900NURSING ADMINISTRATION 704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 704,A000000,01300,0000,01300SOCIAL SERVICE 704,A000000,01600,0000,01600SKILLED NURSING FACILITY 704,A000000,01800,0000,01800NURSING FACILITY 704,A000000,01900,0000,01900OTHER LONG TERM CARE 704,A000000,02100,0000,02100RADIOLOGY 704,A000000,02200,0000,02200LABORATORY 704,A000000,02300,0000,02300INTRAVENOUS THERAPY 704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 704,A000000,02500,0000,02500PHYSICAL THERAPY 704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 704,A000000,02700,0000,02700SPEECH PATHOLOGY 704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 704,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 704,A000000,04750,0000,05100OSP 704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 704,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 704,A000000,06200,0000,06200PATIENTS LAUNDRY 704,A81000A,00100,0100,Y 704,A81000B,00100,0300,PROPERTY INSURANCE 704,A81000B,00200,0300,OTHER INSURANCE 704,A81000B,00300,0300,UNEMPLOYMENT 704,A81000B,00400,0300,WORKERS COMP 704,A81000B,00500,0300,ADMIN & ACCTG 704,A81000B,00600,0300,NURSING SUPPLIES 704,A81000B,00700,0300,BRIEFS - CDP 704,A81000B,00800,0300,EQUIPMENT 704,A81000C,00100,0100,B 704,A81000C,00100,0200,ELGSS 704,A81000C,00100,0600,MGMT/ACTG 704,A81000C,00200,0100,B 704,A81000C,00200,0200,ELGSS 704,A81000C,00200,0600,MEDICAL SUPPLIE 704,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 704,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 704,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 704,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 704,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 704,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 704,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 704,B100000,00000,0800,00000MEALS SERVEDDIETARY 704,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 704,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 704,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 704,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 704,E10A180,00501,0100,06/22/2000 704,E10A180,00501,0300,06/22/2000 704,S000000,00100,0200,05/30/2000 704,S200000,00100,0100,304 E. VETERANS RD. 704,S200000,00200,0100,LAURENS 704,S200000,00200,0200,IA 704,S200000,00200,0300,50554- 704,S200000,00300,0100,POCAHONTAS 704,S200000,00300,0300,R 704,S200000,00400,0100,HOVENDEN GOOD SAMARITAN CENTER 704,S200000,00400,0200,165219 704,S200000,00400,0300,05/01/1994 704,S200000,00400,0500,P 704,S200000,01500,0100,Y 704,S200000,01900,0100,N 704,S700003,00000,0100,1 706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 706,A000000,00300,0000,00300EMPLOYEE BENEFITS 706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 706,A000000,00700,0000,00700HOUSEKEEPING 706,A000000,00800,0000,00800DIETARY 706,A000000,00900,0000,00900NURSING ADMINISTRATION 706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 706,A000000,01300,0000,01300SOCIAL SERVICE 706,A000000,01350,0000,01500ACTIVITIES 706,A000000,01600,0000,01600SKILLED NURSING FACILITY 706,A000000,01800,0000,01800NURSING FACILITY 706,A000000,01810,0000,01801ICF/MR 706,A000000,01900,0000,01900OTHER LONG TERM CARE 706,A000000,02100,0000,02100RADIOLOGY 706,A000000,02200,0000,02200LABORATORY 706,A000000,02300,0000,02300INTRAVENOUS THERAPY 706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 706,A000000,02500,0000,02500PHYSICAL THERAPY 706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 706,A000000,02700,0000,02700SPEECH PATHOLOGY 706,A000000,02800,0000,02800ELECTROCARDIOLOGY 706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 706,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 706,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 706,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 706,A000000,03200,0000,03200SUPPORT SURFACES 706,A000000,03400,0000,03400CLINIC 706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 706,A000000,03500,0000,03500RURAL HEALTH CLINIC 706,A000000,04750,0000,05100OSP 706,A000000,04800,0000,04800AMBULANCE 706,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 706,A000000,05000,0000,05000CORF 706,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 706,A000000,05300,0000,05300INTEREST EXPENSE 706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 706,A000000,05500,0000,05500HOSPICE 706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 706,A000000,05900,0000,05900BARBER & BEAUTY SHOP 706,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 706,A000000,06100,0000,06100NONPAID WORKERS 706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 706,A000000,06200,0000,06200PATIENTS LAUNDRY 706,A81000A,00100,0100,Y 706,A81000B,00100,0300,HOME OFFICE - OPERATING 706,A81000B,00200,0300,MME CAPITAL 706,A81000C,00100,0100,B 706,A81000C,00100,0400,CARE INITIATIVE 706,A81000C,00100,0600,HOME OFFICE 706,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 706,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 706,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 706,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 706,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 706,B100000,00000,0600,00000TIME SPENTLAUNDRY & LINEN SERV 706,B100000,00000,0700,00000TIME SPENTHOUSEKEEPING 706,B100000,00000,0800,00000TIME SPENTDIETARY 706,B100000,00000,0900,00000TIME SPENTNURSING ADMINISTRATI 706,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 706,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 706,B100000,00000,1350,00000TIME SPENTACTIVITIES 706,S000000,00100,0200,05/30/2000 706,S200000,00100,0100,745 E. SOUTH 706,S200000,00100,0300,387 706,S200000,00200,0100,CORYDON 706,S200000,00200,0200,IA 706,S200000,00200,0300,50060-1830 706,S200000,00300,0100,WAYNE 706,S200000,00300,0300,R 706,S200000,00400,0100,CORYDON NURSING AND REHAB CENTER 706,S200000,00400,0200,165222 706,S200000,00400,0300,07/01/1994 706,S200000,00400,0500,P 706,S200000,01500,0100,Y 706,S200000,01900,0100,N 706,S700003,00000,0100,1 709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 709,A000000,00300,0000,00300EMPLOYEE BENEFITS 709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 709,A000000,00700,0000,00700HOUSEKEEPING 709,A000000,00800,0000,00800DIETARY 709,A000000,00900,0000,00900NURSING ADMINISTRATION 709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 709,A000000,01300,0000,01300SOCIAL SERVICE 709,A000000,01350,0000,01500ACTIVITIES 709,A000000,01600,0000,01600SKILLED NURSING FACILITY 709,A000000,01800,0000,01800NURSING FACILITY 709,A000000,01810,0000,01801ICF/MR 709,A000000,01900,0000,01900OTHER LONG TERM CARE 709,A000000,02100,0000,02100RADIOLOGY 709,A000000,02200,0000,02200LABORATORY 709,A000000,02300,0000,02300INTRAVENOUS THERAPY 709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 709,A000000,02500,0000,02500PHYSICAL THERAPY 709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 709,A000000,02700,0000,02700SPEECH PATHOLOGY 709,A000000,02800,0000,02800ELECTROCARDIOLOGY 709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 709,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 709,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 709,A000000,03200,0000,03200SUPPORT SURFACES 709,A000000,03400,0000,03400CLINIC 709,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 709,A000000,03500,0000,03500RURAL HEALTH CLINIC 709,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 709,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 709,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 709,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 709,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 709,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 709,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 709,A000000,04400,0000,04400DME RENTED - HHA 709,A000000,04500,0000,04500DME SOLD - HHA 709,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 709,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 709,A000000,04750,0000,05100OSP 709,A000000,04800,0000,04800AMBULANCE 709,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 709,A000000,05000,0000,05000CORF 709,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 709,A000000,05300,0000,05300INTEREST EXPENSE 709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 709,A000000,05500,0000,05500HOSPICE 709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 709,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 709,A000000,06100,0000,06100NONPAID WORKERS 709,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 709,A000000,06200,0000,06200PATIENTS LAUNDRY 709,A81000A,00100,0100,Y 709,A81000B,00100,0300,HOME OFFICE - OPERATING 709,A81000B,00200,0300,MME CAPITAL 709,A81000C,00100,0100,B 709,A81000C,00100,0400,CARE INITIATIVE 709,A81000C,00100,0600,HOME OFFICE 709,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 709,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 709,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 709,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 709,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 709,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 709,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 709,B100000,00000,0800,00000MEALS SERVEDDIETARY 709,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 709,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 709,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 709,B100000,00000,1350,00000TIME SPENTACTIVITIES 709,S000000,00100,0200,05/30/2000 709,S200000,00100,0100,1977 ALBIA ROAD 709,S200000,00200,0100,OTTUMWA 709,S200000,00200,0200,IA 709,S200000,00200,0300,52501-3708 709,S200000,00300,0100,WAPELLO 709,S200000,00300,0300,R 709,S200000,00400,0100,RIDGEWOOD NURSING AND REHAB CENTER 709,S200000,00400,0200,165223 709,S200000,00400,0300,07/01/1994 709,S200000,00400,0500,P 709,S200000,01500,0100,Y 709,S200000,01900,0100,N 709,S700003,00000,0100,1 712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 712,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 712,A000000,00300,0000,00300EMPLOYEE BENEFITS 712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 712,A000000,00700,0000,00700HOUSEKEEPING 712,A000000,00800,0000,00800DIETARY 712,A000000,00900,0000,00900NURSING ADMINISTRATION 712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 712,A000000,01300,0000,01300SOCIAL SERVICE 712,A000000,01350,0000,01500ACTIVITIES 712,A000000,01600,0000,01600SKILLED NURSING FACILITY 712,A000000,01800,0000,01800NURSING FACILITY 712,A000000,01810,0000,01801ICF/MR 712,A000000,01900,0000,01900OTHER LONG TERM CARE 712,A000000,02100,0000,02100RADIOLOGY 712,A000000,02200,0000,02200LABORATORY 712,A000000,02300,0000,02300INTRAVENOUS THERAPY 712,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 712,A000000,02500,0000,02500PHYSICAL THERAPY 712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 712,A000000,02700,0000,02700SPEECH PATHOLOGY 712,A000000,02800,0000,02800ELECTROCARDIOLOGY 712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 712,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 712,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 712,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 712,A000000,03200,0000,03200SUPPORT SURFACES 712,A000000,03400,0000,03400CLINIC 712,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 712,A000000,03500,0000,03500RURAL HEALTH CLINIC 712,A000000,04750,0000,05100OSP 712,A000000,04800,0000,04800AMBULANCE 712,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 712,A000000,05000,0000,05000CORF 712,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 712,A000000,05300,0000,05300INTEREST EXPENSE 712,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 712,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 712,A000000,05500,0000,05500HOSPICE 712,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 712,A000000,05900,0000,05900BARBER & BEAUTY SHOP 712,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 712,A000000,06100,0000,06100NONPAID WORKERS 712,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 712,A000000,06200,0000,06200PATIENTS LAUNDRY 712,A81000A,00100,0100,Y 712,A81000B,00100,0300,HOME OFFICE - OPERATING 712,A81000B,00200,0300,MME CAPITAL 712,A81000C,00100,0100,B 712,A81000C,00100,0400,CARE INITIATIVE 712,A81000C,00100,0600,HOME OFFICE 712,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 712,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 712,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 712,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 712,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 712,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 712,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 712,B100000,00000,0800,00000MEALS SERVEDDIETARY 712,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 712,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 712,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 712,B100000,00000,1350,00000TIME SPENTACTIVITIES 712,E10A180,00501,0300,07/25/2000 712,S000000,00100,0200,05/30/2000 712,S200000,00100,0100,1208 E. CROSS STREET 712,S200000,00100,0300,125 712,S200000,00200,0100,CENTERVILLE 712,S200000,00200,0200,IA 712,S200000,00200,0300,52544-3599 712,S200000,00300,0100,APPANOOSE 712,S200000,00300,0300,R 712,S200000,00400,0100,CENTERVILLE NURSING & REHAB CENTER 712,S200000,00400,0200,165225 712,S200000,00400,0300,07/01/1994 712,S200000,00400,0500,P 712,S200000,01500,0100,Y 712,S200000,01900,0100,N 712,S700003,00000,0100,1 715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 715,A000000,00300,0000,00300EMPLOYEE BENEFITS 715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 715,A000000,00700,0000,00700HOUSEKEEPING 715,A000000,00800,0000,00800DIETARY 715,A000000,00900,0000,00900NURSING ADMINISTRATION 715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 715,A000000,01300,0000,01300SOCIAL SERVICE 715,A000000,01350,0000,01500ACTIVITIES 715,A000000,01600,0000,01600SKILLED NURSING FACILITY 715,A000000,01800,0000,01800NURSING FACILITY 715,A000000,01810,0000,01801ICF/MR 715,A000000,01900,0000,01900OTHER LONG TERM CARE 715,A000000,02100,0000,02100RADIOLOGY 715,A000000,02200,0000,02200LABORATORY 715,A000000,02300,0000,02300INTRAVENOUS THERAPY 715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 715,A000000,02500,0000,02500PHYSICAL THERAPY 715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 715,A000000,02700,0000,02700SPEECH PATHOLOGY 715,A000000,02800,0000,02800ELECTROCARDIOLOGY 715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 715,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 715,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 715,A000000,03200,0000,03200SUPPORT SURFACES 715,A000000,03400,0000,03400CLINIC 715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 715,A000000,03500,0000,03500RURAL HEALTH CLINIC 715,A000000,04750,0000,05100OSP 715,A000000,04800,0000,04800AMBULANCE 715,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 715,A000000,05000,0000,05000CORF 715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 715,A000000,05300,0000,05300INTEREST EXPENSE 715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 715,A000000,05500,0000,05500HOSPICE 715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 715,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 715,A000000,06100,0000,06100NONPAID WORKERS 715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 715,A000000,06200,0000,06200PATIENTS LAUNDRY 715,A81000A,00100,0100,Y 715,A81000B,00100,0300,HOME OFFICE - OPERATING 715,A81000B,00200,0300,MME CAPITAL 715,A81000C,00100,0100,B 715,A81000C,00100,0400,CARE INITIATIVE 715,A81000C,00100,0600,HOME OFFICE 715,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 715,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 715,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 715,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 715,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 715,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 715,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 715,B100000,00000,0800,00000MEALS SERVEDDIETARY 715,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 715,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 715,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 715,B100000,00000,1350,00000TIME SPENTACTIVITIES 715,E10A180,00501,0300,07/26/2000 715,S000000,00100,0200,05/30/2000 715,S200000,00100,0100,HIGHWAY 9 EAST 715,S200000,00100,0300,460 715,S200000,00200,0100,MANLY 715,S200000,00200,0200,IA 715,S200000,00200,0300,50456-0460 715,S200000,00300,0100,WORTH 715,S200000,00300,0300,R 715,S200000,00400,0100,MANLY NURSING AND REHAB CENTER 715,S200000,00400,0200,165226 715,S200000,00400,0300,07/01/1994 715,S200000,00400,0500,P 715,S200000,01500,0100,Y 715,S200000,01900,0100,N 715,S700003,00000,0100,1 717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 717,A000000,00300,0000,00300EMPLOYEE BENEFITS 717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 717,A000000,00700,0000,00700HOUSEKEEPING 717,A000000,00800,0000,00800DIETARY 717,A000000,00900,0000,00900NURSING ADMINISTRATION 717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 717,A000000,01300,0000,01300SOCIAL SERVICE 717,A000000,01350,0000,01500ACTIVITIES 717,A000000,01600,0000,01600SKILLED NURSING FACILITY 717,A000000,01800,0000,01800NURSING FACILITY 717,A000000,01810,0000,01801ICF/MR 717,A000000,01900,0000,01900OTHER LONG TERM CARE 717,A000000,02100,0000,02100RADIOLOGY 717,A000000,02200,0000,02200LABORATORY 717,A000000,02300,0000,02300INTRAVENOUS THERAPY 717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 717,A000000,02500,0000,02500PHYSICAL THERAPY 717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 717,A000000,02700,0000,02700SPEECH PATHOLOGY 717,A000000,02800,0000,02800ELECTROCARDIOLOGY 717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 717,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 717,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 717,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 717,A000000,03200,0000,03200SUPPORT SURFACES 717,A000000,03400,0000,03400CLINIC 717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 717,A000000,03500,0000,03500RURAL HEALTH CLINIC 717,A000000,04750,0000,05100OSP 717,A000000,04800,0000,04800AMBULANCE 717,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 717,A000000,05000,0000,05000CORF 717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 717,A000000,05300,0000,05300INTEREST EXPENSE 717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 717,A000000,05500,0000,05500HOSPICE 717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 717,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 717,A000000,06100,0000,06100NONPAID WORKERS 717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 717,A000000,06200,0000,06200PATIENTS LAUNDRY 717,A81000A,00100,0100,Y 717,A81000B,00100,0300,HOME OFFICE - OPERATING 717,A81000B,00200,0300,MME CAPITAL 717,A81000C,00100,0100,B 717,A81000C,00100,0400,CARE INITIATIVE 717,A81000C,00100,0600,HOME OFFICE 717,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 717,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 717,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 717,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 717,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 717,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 717,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 717,B100000,00000,0800,00000PATIENT DAYSDIETARY 717,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 717,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 717,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 717,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 717,S000000,00100,0200,05/30/2000 717,S200000,00100,0100,2935 KAUFMAN 717,S200000,00200,0100,DUBUQUE 717,S200000,00200,0200,IA 717,S200000,00200,0300,52001-1696 717,S200000,00300,0100,DUBUQUE 717,S200000,00300,0300,U 717,S200000,00400,0100,DUBUQUE NURSING AND REHAB CENTER 717,S200000,00400,0200,165228 717,S200000,00400,0300,05/01/1995 717,S200000,00400,0500,P 717,S200000,01500,0100,Y 717,S200000,01900,0100,N 717,S700003,00000,0100,1 720,S000000,00100,0200,09/27/2000 726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 726,A000000,00300,0000,00300EMPLOYEE BENEFITS 726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 726,A000000,00700,0000,00700HOUSEKEEPING 726,A000000,00800,0000,00800DIETARY 726,A000000,00900,0000,00900NURSING ADMINISTRATION 726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 726,A000000,01300,0000,01300SOCIAL SERVICE 726,A000000,01350,0000,01500OTHER GENERAL SERVICES 726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 726,A000000,01600,0000,01600SKILLED NURSING FACILITY 726,A000000,01800,0000,01800NURSING FACILITY 726,A000000,01810,0000,01801ICF/MR 726,A000000,01900,0000,01900OTHER LONG TERM CARE 726,A000000,02100,0000,02100RADIOLOGY 726,A000000,02200,0000,02200LABORATORY 726,A000000,02300,0000,02300INTRAVENOUS THERAPY 726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 726,A000000,02500,0000,02500PHYSICAL THERAPY 726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 726,A000000,02700,0000,02700SPEECH PATHOLOGY 726,A000000,02800,0000,02800ELECTROCARDIOLOGY 726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 726,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 726,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 726,A000000,03200,0000,03200SUPPORT SURFACES 726,A000000,03400,0000,03400CLINIC 726,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 726,A000000,03500,0000,03500RURAL HEALTH CLINIC 726,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 726,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 726,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 726,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 726,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 726,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 726,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 726,A000000,04400,0000,04400DME RENTED - HHA 726,A000000,04500,0000,04500DME SOLD - HHA 726,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 726,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 726,A000000,04750,0000,05100OSP 726,A000000,04800,0000,04800AMBULANCE 726,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 726,A000000,05000,0000,05000CORF 726,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 726,A000000,05300,0000,05300INTEREST EXPENSE 726,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 726,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 726,A000000,05500,0000,05500HOSPICE 726,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 726,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 726,A000000,06100,0000,06100NONPAID WORKERS 726,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 726,A000000,06200,0000,06200PATIENTS LAUNDRY 726,A81000A,00100,0100,Y 726,A81000B,00100,0300,PROPERTY INSURANCE 726,A81000B,00200,0300,OTHER INSURANCE 726,A81000B,00300,0300,UNEMPLOYMENT 726,A81000B,00400,0300,WORKERS COMPENSATION 726,A81000B,00500,0300,ADMIN & ACCOUNTING 726,A81000B,00600,0300,NURSING SUPPLIES 726,A81000B,00700,0300,BRIEF-CDP 726,A81000B,00800,0300,EQUIPMENT 726,A81000B,00900,0300,TEXTILES 726,A81000C,00100,0100,B 726,A81000C,00100,0200,EV. LUTHERAN G. 726,A81000C,00100,0400,EV. LUTHERAN G. 726,A81000C,00100,0600,MGMT/ACTG 726,A81000C,00200,0100,B 726,A81000C,00200,0200,OMNICARE PHARMA 726,A81000C,00200,0400,OMNICARE PHARMA 726,A81000C,00200,0600,SUPPLIES 726,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 726,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 726,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 726,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 726,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 726,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 726,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 726,B100000,00000,0800,00000MEALS SERVEDDIETARY 726,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 726,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 726,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 726,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 726,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 726,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 726,E10A180,00501,0100,06/14/2000 726,E10A180,00550,0300,06/14/2000 726,S000000,00100,0200,05/12/2000 726,S200000,00100,0100,1402 MAIN STREET 726,S200000,00200,0100,MANSON 726,S200000,00200,0200,IA 726,S200000,00200,0300,50563-9733 726,S200000,00300,0100,CALHOUN 726,S200000,00300,0300,R 726,S200000,00400,0100,MANSON GOOD SAMARITAN CENTER 726,S200000,00400,0200,165236 726,S200000,00400,0300,12/01/1994 726,S200000,00400,0500,P 726,S200000,00400,0600,O 726,S200000,01500,0100,Y 726,S200000,01900,0100,N 726,S700003,00000,0100,1 731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 731,A000000,00300,0000,00300EMPLOYEE BENEFITS 731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 731,A000000,00700,0000,00700HOUSEKEEPING 731,A000000,00800,0000,00800DIETARY 731,A000000,00900,0000,00900NURSING ADMINISTRATION 731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 731,A000000,01300,0000,01300SOCIAL SERVICE 731,A000000,01350,0000,01500OTHER GENERAL SERVICES 731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 731,A000000,01600,0000,01600SKILLED NURSING FACILITY 731,A000000,01800,0000,01800NURSING FACILITY 731,A000000,01810,0000,01801ICF/MR 731,A000000,01900,0000,01900OTHER LONG TERM CARE 731,A000000,02100,0000,02100RADIOLOGY 731,A000000,02200,0000,02200LABORATORY 731,A000000,02300,0000,02300INTRAVENOUS THERAPY 731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 731,A000000,02500,0000,02500PHYSICAL THERAPY 731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 731,A000000,02700,0000,02700SPEECH PATHOLOGY 731,A000000,02800,0000,02800ELECTROCARDIOLOGY 731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 731,A000000,03200,0000,03200SUPPORT SURFACES 731,A000000,03400,0000,03400CLINIC 731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 731,A000000,03500,0000,03500RURAL HEALTH CLINIC 731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 731,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 731,A000000,04400,0000,04400DME RENTED - HHA 731,A000000,04500,0000,04500DME SOLD - HHA 731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 731,A000000,04750,0000,05100OSP 731,A000000,04800,0000,04800AMBULANCE 731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 731,A000000,05000,0000,05000CORF 731,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 731,A000000,05300,0000,05300INTEREST EXPENSE 731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 731,A000000,05500,0000,05500HOSPICE 731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 731,A000000,06100,0000,06100NONPAID WORKERS 731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 731,A000000,06200,0000,06200PATIENTS LAUNDRY 731,A81000A,00100,0100,Y 731,A81000B,00100,0300,PROPERTY INSURANCE 731,A81000B,00200,0300,OTHER INSURANCE 731,A81000B,00300,0300,UNEMPLOYMENT 731,A81000B,00400,0300,WORKERS COMP 731,A81000B,00500,0300,ADMIN/ACTG 731,A81000B,00600,0300,MED SUPPLIES 731,A81000B,00700,0300,DISPOSABLE BRIEFS 731,A81000B,00800,0300,EQUIPMENT 731,A81000C,00100,0100,B 731,A81000C,00100,0200,EV LUTHERAN GOO 731,A81000C,00100,0400,EV LUTHERAN GOO 731,A81000C,00100,0600,MGMT/ACTG 731,A81000C,00200,0100,B 731,A81000C,00200,0200,OMNICARE PHARM 731,A81000C,00200,0400,OMNICARE PHARM 731,A81000C,00200,0600,MED SUPPLLIES 731,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 731,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 731,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 731,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 731,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 731,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 731,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 731,B100000,00000,0800,00000MEALS SERVEDDIETARY 731,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 731,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 731,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 731,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 731,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 731,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 731,E10A180,00501,0100,06/23/2000 731,E10A180,00550,0300,06/23/2000 731,S000000,00100,0200,06/16/2000 731,S200000,00100,0100,326 SUMMERSET STREET 731,S200000,00200,0100,FONTANELLE 731,S200000,00200,0200,IA 731,S200000,00200,0300,50846-0038 731,S200000,00300,0100,ADAIR 731,S200000,00300,0300,R 731,S200000,00400,0100,FONTANELLE GOOD SAMARITAN CENTER 731,S200000,00400,0200,165237 731,S200000,00400,0300,12/01/1994 731,S200000,00400,0500,P 731,S200000,01500,0100,Y 731,S200000,01900,0100,N 731,S700003,00000,0100,1 735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 735,A000000,00300,0000,00300EMPLOYEE BENEFITS 735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 735,A000000,00700,0000,00700HOUSEKEEPING 735,A000000,00800,0000,00800DIETARY 735,A000000,00900,0000,00900NURSING ADMINISTRATION 735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 735,A000000,01300,0000,01300SOCIAL SERVICE 735,A000000,01350,0000,01500OTHER GENERAL SERVICES 735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 735,A000000,01600,0000,01600SKILLED NURSING FACILITY 735,A000000,01800,0000,01800NURSING FACILITY 735,A000000,01810,0000,01801ICF/MR 735,A000000,01900,0000,01900OTHER LONG TERM CARE 735,A000000,02100,0000,02100RADIOLOGY 735,A000000,02200,0000,02200LABORATORY 735,A000000,02300,0000,02300INTRAVENOUS THERAPY 735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 735,A000000,02500,0000,02500PHYSICAL THERAPY 735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 735,A000000,02700,0000,02700SPEECH PATHOLOGY 735,A000000,02800,0000,02800ELECTROCARDIOLOGY 735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 735,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 735,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 735,A000000,03200,0000,03200SUPPORT SURFACES 735,A000000,03400,0000,03400CLINIC 735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 735,A000000,03500,0000,03500RURAL HEALTH CLINIC 735,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 735,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 735,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 735,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 735,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 735,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 735,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 735,A000000,04400,0000,04400DME RENTED - HHA 735,A000000,04500,0000,04500DME SOLD - HHA 735,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 735,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 735,A000000,04750,0000,05100OSP 735,A000000,04800,0000,04800AMBULANCE 735,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 735,A000000,05000,0000,05000CORF 735,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 735,A000000,05300,0000,05300INTEREST EXPENSE 735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 735,A000000,05500,0000,05500HOSPICE 735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 735,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 735,A000000,06100,0000,06100NONPAID WORKERS 735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 735,A000000,06200,0000,06200PATIENTS LAUNDRY 735,A81000A,00100,0100,Y 735,A81000B,00100,0300,PROPERTY INSURANCE 735,A81000B,00200,0300,OTHER INSURANCE 735,A81000B,00300,0300,WORKERS COMPENSATION 735,A81000B,00400,0300,ADMIN & ACCOUNTING 735,A81000B,00500,0300,NURSING SUPPLIES 735,A81000B,00600,0300,BRIEFS-CDP 735,A81000B,00700,0300,EQUIPMENT 735,A81000B,00800,0300,TEXTILES 735,A81000C,00100,0100,B 735,A81000C,00100,0200,EV. LUTHERAN G. 735,A81000C,00100,0400,EV. LUTHERAN G. 735,A81000C,00100,0600,MGMT/ACCTG 735,A81000C,00200,0100,B 735,A81000C,00200,0200,OMNICARE PHARMA 735,A81000C,00200,0400,OMNICARE PHARMA 735,A81000C,00200,0600,SUPPLIES 735,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 735,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 735,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 735,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 735,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 735,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 735,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 735,B100000,00000,0800,00000MEALS SERVEDDIETARY 735,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 735,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 735,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 735,B100000,00000,1300,00000ADMISSIO NSSOCIAL SERVICE 735,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 735,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 735,E10A180,00501,0100,06/20/2000 735,E10A180,00550,0300,06/20/2000 735,S000000,00100,0200,05/08/2000 735,S200000,00100,0100,400 HARDIN DRIVE 735,S200000,00200,0100,POSTVILLE 735,S200000,00200,0200,IA 735,S200000,00200,0300,52162-0716 735,S200000,00300,0100,ALLAMAKEE 735,S200000,00300,0300,R 735,S200000,00400,0100,POSTVILLE GOOD SAMARITAN CENTER 735,S200000,00400,0200,165239 735,S200000,00400,0300,12/01/1994 735,S200000,00400,0500,P 735,S200000,01500,0100,Y 735,S200000,01900,0100,N 735,S200000,02800,0100,Y 735,S700003,00000,0100,1 739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 739,A000000,00300,0000,00300EMPLOYEE BENEFITS 739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 739,A000000,00700,0000,00700HOUSEKEEPING 739,A000000,00800,0000,00800DIETARY 739,A000000,00900,0000,00900NURSING ADMINISTRATION 739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 739,A000000,01100,0000,01100PHARMACY 739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 739,A000000,01300,0000,01300SOCIAL SERVICE 739,A000000,01350,0000,01500OTHER GENERAL SERVICES 739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 739,A000000,01600,0000,01600SKILLED NURSING FACILITY 739,A000000,01800,0000,01800NURSING FACILITY 739,A000000,01810,0000,01801ICF/MR 739,A000000,01900,0000,01900OTHER LONG TERM CARE 739,A000000,02100,0000,02100RADIOLOGY 739,A000000,02200,0000,02200LABORATORY 739,A000000,02300,0000,02300INTRAVENOUS THERAPY 739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 739,A000000,02500,0000,02500PHYSICAL THERAPY 739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 739,A000000,02700,0000,02700SPEECH PATHOLOGY 739,A000000,02800,0000,02800ELECTROCARDIOLOGY 739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 739,A000000,03200,0000,03200SUPPORT SURFACES 739,A000000,03400,0000,03400CLINIC 739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 739,A000000,03500,0000,03500RURAL HEALTH CLINIC 739,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 739,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 739,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 739,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 739,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 739,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 739,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 739,A000000,04400,0000,04400DME RENTED - HHA 739,A000000,04500,0000,04500DME SOLD - HHA 739,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 739,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 739,A000000,04750,0000,05100OSP 739,A000000,04800,0000,04800AMBULANCE 739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 739,A000000,05000,0000,05000CORF 739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 739,A000000,05300,0000,05300INTEREST EXPENSE 739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 739,A000000,05500,0000,05500HOSPICE 739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 739,A000000,06100,0000,06100NONPAID WORKERS 739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 739,A000000,06200,0000,06200PATIENTS LAUNDRY 739,A81000A,00100,0100,Y 739,A81000B,00100,0300,PROPERTY INSURANCE 739,A81000B,00200,0300,OTHER INSURANCE 739,A81000B,00300,0300,UNEMPLOYEMENT 739,A81000B,00400,0300,WORKERS COMP 739,A81000B,00500,0300,ADMIN & ACCOUNTING 739,A81000B,00600,0300,NURSING SUPPLIES 739,A81000B,00700,0300,BRIEFS-CDP 739,A81000B,00800,0300,EQUIPMENT 739,A81000B,00900,0300,TEXTILES 739,A81000C,00100,0100,B 739,A81000C,00100,0200,ELGSS 739,A81000C,00100,0600,MGMT/ACTG 739,A81000C,00200,0100,B 739,A81000C,00200,0200,ELGSS 739,A81000C,00200,0600,MEDICAL SUPPLIE 739,E10A180,00501,0100,07/12/2000 739,E10A180,00550,0300,07/12/2000 739,S000000,00100,0200,05/22/2000 739,S200000,00100,0100,21 EAST MAIN STREET 739,S200000,00200,0100,WAUKON 739,S200000,00200,0200,IA 739,S200000,00200,0300,52172-1799 739,S200000,00300,0100,ALLAMAKEE 739,S200000,00300,0300,R 739,S200000,00400,0100,GS-WAUKON 739,S200000,00400,0200,165240 739,S200000,00400,0300,12/01/1994 739,S200000,00400,0500,P 739,S200000,01500,0100,Y 739,S200000,01900,0100,N 739,S700003,00000,0100,1 743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 743,A000000,00300,0000,00300EMPLOYEE BENEFITS 743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 743,A000000,00700,0000,00700HOUSEKEEPING 743,A000000,00800,0000,00800DIETARY 743,A000000,00900,0000,00900NURSING ADMINISTRATION 743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 743,A000000,01100,0000,01100PHARMACY 743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 743,A000000,01300,0000,01300SOCIAL SERVICE 743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 743,A000000,01600,0000,01600SKILLED NURSING FACILITY 743,A000000,01810,0000,01810ICF/MR 743,A000000,02100,0000,02100RADIOLOGY 743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 743,A000000,02500,0000,02500PHYSICAL THERAPY 743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 743,A000000,02700,0000,02700SPEECH PATHOLOGY 743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 743,A000000,03550,0000,03550FQHC 743,A000000,05000,0000,05000CORF 743,A000000,05010,0000,05010CMHC 743,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 743,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 743,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 743,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 743,A81000A,00100,0100,Y 743,A81000B,00100,0300,MANAGEMENT FEE 743,A81000C,00100,0100,A 743,A81000C,00100,0200,DOUG GORACKE 743,A81000C,00100,0400,PLANNED HEALTH 743,A81000C,00100,0600,MGM CO. 743,A81000C,00200,0100,A 743,A81000C,00200,0200,MICHAEL WILCOX 743,A81000C,00200,0400,PLANNED HEALTH 743,A81000C,00200,0600,MGM CO. 743,A81000C,00300,0100,A 743,A81000C,00300,0200,SHARON DURRELL 743,A81000C,00300,0400,PLANNED HEALTH 743,A81000C,00300,0600,MGM CO. 743,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 743,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 743,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 743,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 743,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 743,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 743,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 743,B100000,00000,0800,00000MEALS SERVEDDIETARY 743,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 743,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 743,B100000,00000,1100,00000COSTED REQUISPHARMACY 743,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 743,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 743,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 743,E10A180,00301,0100,12/14/1999 743,S000000,00100,0200,06/06/2000 743,S200000,00100,0100,903 2ND AVENUE 743,S200000,00200,0100,MALVERN 743,S200000,00200,0200,IA 743,S200000,00200,0300,515661 743,S200000,00300,0100,MILLS 743,S200000,00300,0300,R 743,S200000,00400,0100,MANOR OF MALVERN INC. 743,S200000,00400,0200,165244 743,S200000,00400,0300,12/15/1994 743,S200000,00400,0500,P 743,S200000,01600,0100,Y 743,S200000,02800,0100,Y 743,S700003,00000,0100,1 749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 749,A000000,00300,0000,00300EMPLOYEE BENEFITS 749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 749,A000000,00700,0000,00700HOUSEKEEPING 749,A000000,00800,0000,00800DIETARY 749,A000000,00900,0000,00900NURSING ADMINISTRATION 749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 749,A000000,01300,0000,01300SOCIAL SERVICE 749,A000000,01600,0000,01600SKILLED NURSING FACILITY 749,A000000,01900,0000,01900OTHER LONG TERM CARE 749,A000000,02200,0000,02200LABORATORY 749,A000000,02500,0000,02500PHYSICAL THERAPY 749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 749,A000000,02700,0000,02700SPEECH PATHOLOGY 749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 749,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 749,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 749,A000000,06151,0000,06301APARTMENTS 749,A81000A,00100,0100,Y 749,A81000B,00100,0300,PROPERTY INSURANCE 749,A81000B,00200,0300,OTHER INSURANCE 749,A81000B,00300,0300,UNEMPLOYMENT CHARGED 749,A81000B,00400,0300,WORKERS COMPENSATION 749,A81000B,00500,0300,ACCTG & ADMINISTRATION 749,A81000B,00600,0300,NURSING SUPPLIES 749,A81000B,00700,0300,INCONTINENTS 749,A81000B,00800,0300,EQUIPMENT 749,A81000C,00100,0100,B 749,A81000C,00100,0200,EV. LUTHERAN G. 749,A81000C,00100,0600,ACCTG & MGMT 749,A81000C,00200,0100,B 749,A81000C,00200,0200,OMNIBILL 749,A81000C,00200,0600,SUPPLIES 749,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 749,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 749,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 749,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 749,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 749,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 749,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 749,B100000,00000,0800,00001MEALS SERVEDDIETARY 749,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 749,B100000,00000,1000,00001COSTED REQUISITONCENTRAL SERVICE 749,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 749,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 749,S000000,00100,0200,05/10/2000 749,S200000,00100,0100,324 FIRST AVENEUE NORTH 749,S200000,00200,0100,GEORGE 749,S200000,00200,0200,IA 749,S200000,00200,0300,51237-0608 749,S200000,00300,0100,LYON 749,S200000,00300,0300,R 749,S200000,00400,0100,GEORGE COMMUNITY GOOD SAMARITAN CENT 749,S200000,00400,0200,165247 749,S200000,00400,0300,03/01/1995 749,S200000,00400,0500,P 749,S200000,01500,0100,Y 749,S200000,01900,0100,N 749,S700003,00000,0100,1 753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 753,A000000,00300,0000,00300EMPLOYEE BENEFITS 753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 753,A000000,00700,0000,00700HOUSEKEEPING 753,A000000,00800,0000,00800DIETARY 753,A000000,00900,0000,00900NURSING ADMINISTRATION 753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 753,A000000,01300,0000,01300SOCIAL SERVICE 753,A000000,01350,0000,01500OTHER GENERAL SERVICES 753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 753,A000000,01600,0000,01600SKILLED NURSING FACILITY 753,A000000,01800,0000,01800NURSING FACILITY 753,A000000,01810,0000,01801ICF/MR 753,A000000,01900,0000,01900OTHER LONG TERM CARE 753,A000000,02100,0000,02100RADIOLOGY 753,A000000,02200,0000,02200LABORATORY 753,A000000,02300,0000,02300INTRAVENOUS THERAPY 753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 753,A000000,02500,0000,02500PHYSICAL THERAPY 753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 753,A000000,02700,0000,02700SPEECH PATHOLOGY 753,A000000,02800,0000,02800ELECTROCARDIOLOGY 753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 753,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 753,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 753,A000000,03200,0000,03200SUPPORT SURFACES 753,A000000,03400,0000,03400CLINIC 753,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 753,A000000,03500,0000,03500RURAL HEALTH CLINIC 753,A000000,04750,0000,05100OSP 753,A000000,04800,0000,04800AMBULANCE 753,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 753,A000000,05000,0000,05000CORF 753,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 753,A000000,05300,0000,05300INTEREST EXPENSE 753,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 753,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 753,A000000,05500,0000,05500HOSPICE 753,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 753,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 753,A000000,06100,0000,06100NONPAID WORKERS 753,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 753,A000000,06200,0000,06200PATIENTS LAUNDRY 753,A81000A,00100,0100,Y 753,A81000B,00100,0300,PROPERTY INSURANCE 753,A81000B,00200,0300,OTHER INSURANCE 753,A81000B,00300,0300,WORKERS COMPENSATION 753,A81000B,00400,0300,ADMIN & ACCTG 753,A81000B,00500,0300,NURSING SUPPLIES 753,A81000B,00600,0300,BRIEF-CDP 753,A81000B,00700,0300,EQUIPMENT 753,A81000C,00100,0100,B 753,A81000C,00100,0200,EV. LUTHERAN G. 753,A81000C,00100,0400,EV. LUTHERAN G. 753,A81000C,00100,0600,MGMT/ACCTG 753,A81000C,00200,0100,B 753,A81000C,00200,0200,OMNICARE PHARMA 753,A81000C,00200,0400,OMNICARE PHARMA 753,A81000C,00200,0600,SUPPLIES 753,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 753,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 753,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 753,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 753,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 753,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 753,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 753,B100000,00000,0800,00000MEALS SERVEDDIETARY 753,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 753,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 753,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 753,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 753,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 753,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 753,S000000,00100,0200,05/19/2000 753,S200000,00100,0100,363 WEST HIGHWAY 7 753,S200000,00200,0100,NEWELL 753,S200000,00200,0200,IA 753,S200000,00200,0300,50568-0395 753,S200000,00300,0100,BUENA VISTA 753,S200000,00300,0300,R 753,S200000,00400,0100,NEWELL GOOD SAMARITAN CENTER 753,S200000,00400,0200,165249 753,S200000,00400,0300,02/01/1995 753,S200000,00400,0500,P 753,S200000,01500,0100,Y 753,S200000,01900,0100,N 753,S700003,00000,0100,1 755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 755,A000000,00300,0000,00300EMPLOYEE BENEFITS 755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 755,A000000,00700,0000,00700HOUSEKEEPING 755,A000000,00800,0000,00800DIETARY 755,A000000,00900,0000,00900NURSING ADMINISTRATION 755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 755,A000000,01300,0000,01300SOCIAL SERVICE 755,A000000,01350,0000,01500ACTIVITIES 755,A000000,01600,0000,01600SKILLED NURSING FACILITY 755,A000000,01800,0000,01800NURSING FACILITY 755,A000000,01810,0000,01801ICF/MR 755,A000000,01900,0000,01900OTHER LONG TERM CARE 755,A000000,02100,0000,02100RADIOLOGY 755,A000000,02200,0000,02200LABORATORY 755,A000000,02300,0000,02300INTRAVENOUS THERAPY 755,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 755,A000000,02500,0000,02500PHYSICAL THERAPY 755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 755,A000000,02700,0000,02700SPEECH PATHOLOGY 755,A000000,02800,0000,02800ELECTROCARDIOLOGY 755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 755,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 755,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 755,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 755,A000000,03200,0000,03200SUPPORT SURFACES 755,A000000,03400,0000,03400CLINIC 755,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 755,A000000,03500,0000,03500RURAL HEALTH CLINIC 755,A000000,04750,0000,05100OSP 755,A000000,04800,0000,04800AMBULANCE 755,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 755,A000000,05000,0000,05000CORF 755,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 755,A000000,05300,0000,05300INTEREST EXPENSE 755,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 755,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 755,A000000,05500,0000,05500HOSPICE 755,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 755,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 755,A000000,06100,0000,06100NONPAID WORKERS 755,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 755,A000000,06200,0000,06200PATIENTS LAUNDRY 755,A81000A,00100,0100,Y 755,A81000B,00100,0300,HOME OFFICE - OPERATING 755,A81000B,00200,0300,MME CAPITAL 755,A81000C,00100,0100,B 755,A81000C,00100,0400,CARE INITIATIVE 755,A81000C,00100,0600,HOME OFFICE 755,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 755,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 755,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 755,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 755,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 755,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 755,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 755,B100000,00000,0800,00000PATIENT DAYSDIETARY 755,B100000,00000,0900,00000NURSING WAGESNURSING ADMINISTRATI 755,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 755,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 755,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 755,S000000,00100,0200,05/30/2000 755,S200000,00100,0100,2651 ST. FRANCIS DRIVE 755,S200000,00200,0100,WATERLOO 755,S200000,00200,0200,IA 755,S200000,00200,0300,50702-5442 755,S200000,00300,0100,BLACKHAWK 755,S200000,00300,0300,U 755,S200000,00400,0100,RAVENWOOD NURSING AND REHAB CENTER 755,S200000,00400,0200,165251 755,S200000,00400,0300,03/27/1995 755,S200000,00400,0500,P 755,S200000,01500,0100,Y 755,S200000,01900,0100,N 755,S700003,00000,0100,1 760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 760,A000000,00300,0000,00300EMPLOYEE BENEFITS 760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 760,A000000,00700,0000,00700HOUSEKEEPING 760,A000000,00800,0000,00800DIETARY 760,A000000,00900,0000,00900NURSING ADMINISTRATION 760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 760,A000000,01100,0000,01100PHARMACY 760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 760,A000000,01300,0000,01300SOCIAL SERVICE 760,A000000,01350,0000,01500RECREATION 760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 760,A000000,01600,0000,01600SKILLED NURSING FACILITY 760,A000000,01810,0000,01810ICF/MR 760,A000000,02500,0000,02500PHYSICAL THERAPY 760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 760,A000000,02700,0000,02700SPEECH PATHOLOGY 760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 760,A000000,03550,0000,03550FQHC 760,A000000,05000,0000,05000CORF 760,A000000,05010,0000,05010CMHC 760,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 760,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 760,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 760,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 760,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 760,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 760,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 760,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 760,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 760,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 760,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 760,B100000,00000,0800,00000MEALS SERVEDDIETARY 760,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 760,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 760,B100000,00000,1100,00000COSTED REQUISPHARMACY 760,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 760,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 760,B100000,00000,1350,00000PATIENT DAYSRECREATION 760,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 760,S000000,00100,0200,05/31/2000 760,S200000,00100,0100,203 SW LORRAINE 760,S200000,00200,0100,LEON 760,S200000,00200,0200,IA 760,S200000,00200,0300,50144 760,S200000,00300,0100,DECATUR 760,S200000,00300,0300,R 760,S200000,00400,0100,WESTVIEW ACRES CARE CENTER 760,S200000,00400,0200,165252 760,S200000,00400,0300,04/01/1995 760,S200000,00400,0500,P 760,S200000,01500,0100,Y 760,S700003,00000,0100,1 763,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 763,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 763,A000000,00300,0000,00300EMPLOYEE BENEFITS 763,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 763,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 763,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 763,A000000,00700,0000,00700HOUSEKEEPING 763,A000000,00800,0000,00800DIETARY 763,A000000,00900,0000,00900NURSING ADMINISTRATION 763,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 763,A000000,01300,0000,01300SOCIAL SERVICE 763,A000000,01350,0000,01500ACTIVITIES 763,A000000,01600,0000,01600SKILLED NURSING FACILITY 763,A000000,01800,0000,01800NURSING FACILITY 763,A000000,01810,0000,01801ICF/MR 763,A000000,01900,0000,01900OTHER LONG TERM CARE 763,A000000,02100,0000,02100RADIOLOGY 763,A000000,02200,0000,02200LABORATORY 763,A000000,02300,0000,02300INTRAVENOUS THERAPY 763,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 763,A000000,02500,0000,02500PHYSICAL THERAPY 763,A000000,02600,0000,02600OCCUPATIONAL THERAPY 763,A000000,02700,0000,02700SPEECH PATHOLOGY 763,A000000,02800,0000,02800ELECTROCARDIOLOGY 763,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 763,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 763,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 763,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 763,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 763,A000000,03200,0000,03200SUPPORT SURFACES 763,A000000,03400,0000,03400CLINIC 763,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 763,A000000,03500,0000,03500RURAL HEALTH CLINIC 763,A000000,04750,0000,05100OSP 763,A000000,04800,0000,04800AMBULANCE 763,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 763,A000000,05000,0000,05000CORF 763,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 763,A000000,05300,0000,05300INTEREST EXPENSE 763,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 763,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 763,A000000,05500,0000,05500HOSPICE 763,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 763,A000000,05900,0000,05900BARBER & BEAUTY SHOP 763,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 763,A000000,06100,0000,06100NONPAID WORKERS 763,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 763,A000000,06200,0000,06200PATIENTS LAUNDRY 763,A81000A,00100,0100,Y 763,A81000B,00100,0300,HOME OFFICE - OPERATING 763,A81000B,00200,0300,MME CAPITAL 763,A81000C,00100,0100,B 763,A81000C,00100,0400,CARE INITIATIVE 763,A81000C,00100,0600,HOME OFFICE 763,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 763,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 763,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 763,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 763,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 763,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 763,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 763,B100000,00000,0800,00000PATIENT DAYSDIETARY 763,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 763,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 763,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 763,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 763,E10A180,00550,0300,07/24/2000 763,S000000,00100,0200,05/30/2000 763,S200000,00100,0100,805 E. MAIN 763,S200000,00100,0300,69 763,S200000,00200,0100,PANORA 763,S200000,00200,0200,IA 763,S200000,00200,0300,50216- 763,S200000,00300,0100,GUTHRIE 763,S200000,00300,0300,R 763,S200000,00400,0100,PANORA NURSING AND REHAB CENTER 763,S200000,00400,0200,165253 763,S200000,00400,0300,04/01/1995 763,S200000,00400,0500,P 763,S200000,01500,0100,Y 763,S200000,01900,0100,N 763,S700003,00000,0400,4 767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 767,A000000,00300,0000,00300EMPLOYEE BENEFITS 767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 767,A000000,00700,0000,00700HOUSEKEEPING 767,A000000,00800,0000,00800DIETARY 767,A000000,00900,0000,00900NURSING ADMINISTRATION 767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 767,A000000,01100,0000,01100PHARMACY 767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 767,A000000,01300,0000,01300SOCIAL SERVICE 767,A000000,01350,0000,01500RECREATION 767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 767,A000000,01600,0000,01600SKILLED NURSING FACILITY 767,A000000,01810,0000,01810ICF/MR 767,A000000,02500,0000,02500PHYSICAL THERAPY 767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 767,A000000,02700,0000,02700SPEECH PATHOLOGY 767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 767,A000000,03550,0000,03550FQHC 767,A000000,05000,0000,05000CORF 767,A000000,05010,0000,05010CMHC 767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 767,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 767,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 767,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 767,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 767,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 767,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 767,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 767,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 767,B100000,00000,0800,00000PATIENT DAYSDIETARY 767,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 767,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 767,B100000,00000,1100,00000COSTED REQUISPHARMACY 767,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 767,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 767,B100000,00000,1350,00000PATIENT DAYSRECREATION 767,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 767,S000000,00100,0200,06/01/2000 767,S200000,00100,0100,1915 SOUTH 18TH STREET 767,S200000,00200,0100,CENTERVILLE 767,S200000,00200,0200,IA 767,S200000,00200,0300,52544 767,S200000,00300,0100,APPANOOSE 767,S200000,00300,0300,R 767,S200000,00400,0100,GOLDEN AGE 767,S200000,00400,0200,165257 767,S200000,00400,0300,09/01/1995 767,S200000,00400,0500,P 767,S200000,01500,0100,Y 767,S700003,00000,0400,4 770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 770,A000000,00300,0000,00300EMPLOYEE BENEFITS 770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 770,A000000,00700,0000,00700HOUSEKEEPING 770,A000000,00800,0000,00800DIETARY 770,A000000,00900,0000,00900NURSING ADMINISTRATION 770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 770,A000000,01300,0000,01300SOCIAL SERVICE 770,A000000,01350,0000,01500ACTIVITIES 770,A000000,01600,0000,01600SKILLED NURSING FACILITY 770,A000000,01800,0000,01800NURSING FACILITY 770,A000000,01900,0000,01900OTHER LONG TERM CARE 770,A000000,02100,0000,02100RADIOLOGY 770,A000000,02200,0000,02200LABORATORY 770,A000000,02300,0000,02300INTRAVENOUS THERAPY 770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 770,A000000,02500,0000,02500PHYSICAL THERAPY 770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 770,A000000,02700,0000,02700SPEECH PATHOLOGY 770,A000000,02800,0000,02800ELECTROCARDIOLOGY 770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 770,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 770,A000000,03200,0000,03200SUPPORT SURFACES 770,A000000,03400,0000,03400CLINIC 770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 770,A000000,03500,0000,03500RURAL HEALTH CLINIC 770,A000000,04800,0000,04800AMBULANCE 770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 770,A000000,05000,0000,05000CORF 770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 770,A000000,05300,0000,05300INTEREST EXPENSE 770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 770,A000000,05500,0000,05500HOSPICE 770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 770,A000000,06100,0000,06100NONPAID WORKERS 770,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 770,A000000,06200,0000,06200PATIENTS LAUNDRY 770,A81000A,00100,0100,Y 770,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEE 770,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS PTY TAX 770,A81000B,00300,0300,HOME OFFICE INTEREST EXPENSE 770,A81000B,00400,0300,HOME OFFICE DEPRECIATION CAPITAL 770,A81000C,00100,0100,B 770,A81000C,00100,0200,DONNELLSON 770,A81000C,00100,0400,INHANCE CORP 770,A81000C,00100,0600,HOME OFFICE 770,A81000C,03100,0000,X 770,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 770,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 770,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 770,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 770,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 770,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 770,B100000,00000,0800,00000MEALS SERVEDDIETARY 770,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 770,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 770,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 770,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 770,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 770,E10A180,00501,0100,04/14/2000 770,E10A180,00501,0300,04/14/2000 770,S000000,00100,0200,03/01/2000 770,S200000,00100,0100,901 STATE STREET 770,S200000,00200,0100,DONNELLSON 770,S200000,00200,0200,IA 770,S200000,00200,0300,52625 770,S200000,00300,0100,LEE 770,S200000,00300,0300,R 770,S200000,00400,0100,DONNELLSON HEALTH CARE CENTER 770,S200000,00400,0200,165260 770,S200000,00400,0300,09/01/1995 770,S200000,00400,0500,P 770,S200000,01500,0100,Y 770,S700003,00000,0400,4 775,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 775,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 775,A000000,00300,0000,00300EMPLOYEE BENEFITS 775,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 775,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 775,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 775,A000000,00700,0000,00700HOUSEKEEPING 775,A000000,00800,0000,00800DIETARY 775,A000000,00900,0000,00900NURSING ADMINISTRATION 775,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 775,A000000,01300,0000,01300SOCIAL SERVICE 775,A000000,01350,0000,01500ACTIVITIES 775,A000000,01600,0000,01600SKILLED NURSING FACILITY 775,A000000,01800,0000,01800NURSING FACILITY 775,A000000,01810,0000,01801ICF/MR 775,A000000,01900,0000,01900OTHER LONG TERM CARE 775,A000000,02100,0000,02100RADIOLOGY 775,A000000,02200,0000,02200LABORATORY 775,A000000,02300,0000,02300INTRAVENOUS THERAPY 775,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 775,A000000,02500,0000,02500PHYSICAL THERAPY 775,A000000,02600,0000,02600OCCUPATIONAL THERAPY 775,A000000,02700,0000,02700SPEECH PATHOLOGY 775,A000000,02800,0000,02800ELECTROCARDIOLOGY 775,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 775,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 775,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 775,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 775,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 775,A000000,03200,0000,03200SUPPORT SURFACES 775,A000000,03400,0000,03400CLINIC 775,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 775,A000000,03500,0000,03500RURAL HEALTH CLINIC 775,A000000,04750,0000,05100OSP 775,A000000,04800,0000,04800AMBULANCE 775,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 775,A000000,05000,0000,05000CORF 775,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 775,A000000,05300,0000,05300INTEREST EXPENSE 775,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 775,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 775,A000000,05500,0000,05500HOSPICE 775,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 775,A000000,05900,0000,05900BARBER & BEAUTY SHOP 775,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 775,A000000,06100,0000,06100NONPAID WORKERS 775,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 775,A000000,06200,0000,06200PATIENTS LAUNDRY 775,A81000A,00100,0100,Y 775,A81000B,00100,0300,HOME OFFICE - OPERATING 775,A81000B,00200,0300,MME CAPITAL 775,A81000C,00100,0100,B 775,A81000C,00100,0400,CARE INITIATIVE 775,A81000C,00100,0600,HOME OFFICE 775,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 775,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 775,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 775,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 775,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 775,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 775,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 775,B100000,00000,0800,00000MEALS SERVEDDIETARY 775,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 775,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 775,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 775,B100000,00000,1350,00000TIME SPENTACTIVITIES 775,E10A180,00501,0300,07/26/2000 775,S000000,00100,0200,05/30/2000 775,S200000,00100,0100,206 E. 4TH STREET 775,S200000,00100,0300,430 775,S200000,00200,0100,MECHANICSVILLE 775,S200000,00200,0200,IA 775,S200000,00200,0300,52306-0430 775,S200000,00300,0100,CEDAR 775,S200000,00300,0300,R 775,S200000,00400,0100,MECHANICSVILLE NURSING & REHAB CTR 775,S200000,00400,0200,165263 775,S200000,00400,0300,12/04/1995 775,S200000,00400,0500,P 775,S200000,01500,0100,Y 775,S200000,01900,0100,N 775,S700003,00000,0400,4 780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 780,A000000,00300,0000,00300EMPLOYEE BENEFITS 780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 780,A000000,00700,0000,00700HOUSEKEEPING 780,A000000,00800,0000,00800DIETARY 780,A000000,00900,0000,00900NURSING ADMINISTRATION 780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 780,A000000,01100,0000,01100PHARMACY 780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 780,A000000,01300,0000,01300SOCIAL SERVICE 780,A000000,01350,0000,01500ACTIVITIES 780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 780,A000000,01600,0000,01600SKILLED NURSING FACILITY 780,A000000,01800,0000,01800NURSING FACILITY 780,A000000,01810,0000,01801ICF/MR 780,A000000,01900,0000,01900OTHER LONG TERM CARE 780,A000000,02100,0000,02100RADIOLOGY 780,A000000,02200,0000,02200LABORATORY 780,A000000,02300,0000,02300INTRAVENOUS THERAPY 780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 780,A000000,02500,0000,02500PHYSICAL THERAPY 780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 780,A000000,02700,0000,02700SPEECH PATHOLOGY 780,A000000,02800,0000,02800ELECTROCARDIOLOGY 780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 780,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 780,A000000,03200,0000,03200SUPPORT SURFACES 780,A000000,03400,0000,03400CLINIC 780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 780,A000000,03500,0000,03500RURAL HEALTH CLINIC 780,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 780,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 780,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 780,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 780,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 780,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 780,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 780,A000000,04400,0000,04400DME RENTED - HHA 780,A000000,04500,0000,04500DME SOLD - HHA 780,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 780,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 780,A000000,04750,0000,05100OTHER REIMBURSABLE COST 780,A000000,04800,0000,04800AMBULANCE 780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 780,A000000,05000,0000,05000CORF 780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 780,A000000,05300,0000,05300INTEREST EXPENSE 780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 780,A000000,05500,0000,05500HOSPICE 780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 780,A000000,06100,0000,06100NONPAID WORKERS 780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 780,A000000,06200,0000,06200PATIENTS LAUNDRY 780,A81000A,00100,0100,Y 780,A81000B,00100,0300,HOME OFFICE EXPENSE 780,A81000C,00100,0100,B 780,A81000C,00100,0400,MAPLE PROGRESS 780,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 780,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 780,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 780,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 780,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 780,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 780,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 780,B100000,00000,0800,00000MEALS SERVED DIETARY 780,B100000,00000,0900,00000DIRECT NRSING HRS NURSING ADM 780,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 780,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 780,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 780,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 780,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 780,B100000,00000,1500,00000DAYS ACTIVITIES 780,S000000,00100,0200,11/27/2000 780,S200000,00100,0100,SUNRISE AVENUE 780,S200000,00200,0100,MAPLETON 780,S200000,00200,0200,IA 780,S200000,00200,0300,51034- 780,S200000,00300,0100,MONONA 780,S200000,00400,0100,MAPLE HEIGHTS 780,S200000,00400,0200,165267 780,S200000,00400,0300,04/01/1996 780,S200000,00400,0500,P 780,S200000,01600,0100,Y 780,S700003,00000,0400,X 783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 783,A000000,00300,0000,00300EMPLOYEE BENEFITS 783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 783,A000000,00700,0000,00700HOUSEKEEPING 783,A000000,00800,0000,00800DIETARY 783,A000000,00900,0000,00900NURSING ADMINISTRATION 783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 783,A000000,01300,0000,01300SOCIAL SERVICE 783,A000000,01350,0000,01500ACTIVITIES 783,A000000,01600,0000,01600SKILLED NURSING FACILITY 783,A000000,01810,0000,01810ICF/MR 783,A000000,02100,0000,02100RADIOLOGY 783,A000000,02200,0000,02200LABORATORY 783,A000000,02300,0000,02300INTRAVENOUS THERAPY 783,A000000,02500,0000,02500PHYSICAL THERAPY 783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 783,A000000,02700,0000,02700SPEECH PATHOLOGY 783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 783,A000000,03550,0000,03550FQHC 783,A000000,04800,0000,04800AMBULANCE 783,A000000,05000,0000,05000CORF 783,A000000,05010,0000,05010CMHC 783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 783,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 783,A000000,05300,0000,05300INTEREST EXPENSE 783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 783,A81000A,00100,0100,Y 783,A81000B,00100,0300,INSURANCE 783,A81000B,00200,0300,MME 783,A81000B,00300,0300,PAYROLL TAXES & INSU 783,A81000B,00400,0300,HOME OFFICE 783,A81000C,00100,0100,B 783,A81000C,00100,0600,HOME OFFICE 783,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 783,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 783,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 783,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 783,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 783,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 783,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 783,B100000,00000,0800,00000MEALS SERVEDDIETARY 783,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 783,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 783,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 783,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 783,E10A180,00501,0300,07/14/2000 783,E10A180,00550,0100,07/14/2000 783,S000000,00100,0200,06/02/2000 783,S200000,00100,0100,701 RIVERVIEW STREET 783,S200000,00200,0100,DES MOINES 783,S200000,00200,0200,IA 783,S200000,00200,0300,50316 783,S200000,00300,0300,U 783,S200000,00400,0100,RIVERVIEW CARE CENTER 783,S200000,00400,0200,165268 783,S200000,00400,0300,06/01/1996 783,S200000,00400,0500,P 783,S200000,01500,0100,Y 783,S700003,00000,0400,4 786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 786,A000000,00300,0000,00300EMPLOYEE BENEFITS 786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 786,A000000,00700,0000,00700HOUSEKEEPING 786,A000000,00800,0000,00800DIETARY 786,A000000,00900,0000,00900NURSING ADMINISTRATION 786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 786,A000000,01100,0000,01100PHARMACY 786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 786,A000000,01300,0000,01300SOCIAL SERVICE 786,A000000,01350,0000,01500RECREATION 786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 786,A000000,01600,0000,01600SKILLED NURSING FACILITY 786,A000000,01810,0000,01810ICF/MR 786,A000000,02500,0000,02500PHYSICAL THERAPY 786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 786,A000000,02700,0000,02700SPEECH PATHOLOGY 786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 786,A000000,03550,0000,03550FQHC 786,A000000,05000,0000,05000CORF 786,A000000,05010,0000,05010CMHC 786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 786,S000000,00100,0200,06/01/2000 786,S200000,00100,0100,406 W. WASHINGTON 786,S200000,00200,0100,MOUNT AYR 786,S200000,00200,0200,IA 786,S200000,00200,0300,50854 786,S200000,00300,0100,RINGGOLD 786,S200000,00300,0300,R 786,S200000,00400,0100,CLEARVIEW HOME 786,S200000,00400,0200,165269 786,S200000,00400,0300,05/01/1996 786,S200000,00400,0500,P 786,S200000,01500,0100,Y 786,S700003,00000,0400,4 791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 791,A000000,00300,0000,00300EMPLOYEE BENEFITS 791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 791,A000000,00700,0000,00700HOUSEKEEPING 791,A000000,00800,0000,00800DIETARY 791,A000000,00900,0000,00900NURSING ADMINISTRATION 791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 791,A000000,01300,0000,01300SOCIAL SERVICE 791,A000000,01350,0000,01500ACTIVITIES 791,A000000,01600,0000,01600SKILLED NURSING FACILITY 791,A000000,01800,0000,01800NURSING FACILITY 791,A000000,01810,0000,01801ICF/MR 791,A000000,01900,0000,01900OTHER LONG TERM CARE 791,A000000,02100,0000,02100RADIOLOGY 791,A000000,02200,0000,02200LABORATORY 791,A000000,02300,0000,02300INTRAVENOUS THERAPY 791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 791,A000000,02500,0000,02500PHYSICAL THERAPY 791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 791,A000000,02700,0000,02700SPEECH PATHOLOGY 791,A000000,02800,0000,02800ELECTROCARDIOLOGY 791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 791,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 791,A000000,03200,0000,03200SUPPORT SURFACES 791,A000000,03400,0000,03400CLINIC 791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 791,A000000,03500,0000,03500RURAL HEALTH CLINIC 791,A000000,04750,0000,05100OSP 791,A000000,04800,0000,04800AMBULANCE 791,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 791,A000000,05000,0000,05000CORF 791,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 791,A000000,05300,0000,05300INTEREST EXPENSE 791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 791,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 791,A000000,05500,0000,05500HOSPICE 791,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 791,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 791,A000000,06100,0000,06100NONPAID WORKERS 791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 791,A000000,06200,0000,06200PATIENTS LAUNDRY 791,A81000A,00100,0100,Y 791,A81000B,00100,0300,HOME OFFICE - OPERATING 791,A81000B,00200,0300,MME CAPITAL 791,A81000C,00100,0100,B 791,A81000C,00100,0400,CARE INITIATIVE 791,A81000C,00100,0600,HOME OFFICE 791,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 791,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 791,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 791,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 791,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 791,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 791,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 791,B100000,00000,0800,00000MEALS SERVEDDIETARY 791,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 791,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 791,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 791,B100000,00000,1350,00000TIME SPENTACTIVITIES 791,E10A180,00550,0300,07/21/2000 791,S000000,00100,0200,05/30/2000 791,S200000,00100,0100,1200 HIGHWAY 175E 791,S200000,00100,0300,260 791,S200000,00200,0100,STRATFORD 791,S200000,00200,0200,IA 791,S200000,00200,0300,50249-0260 791,S200000,00300,0100,HAMILTON 791,S200000,00300,0300,R 791,S200000,00400,0100,STRATFORD NURSING AND REHAB CENTER 791,S200000,00400,0200,165270 791,S200000,00400,0300,04/01/1996 791,S200000,00400,0500,P 791,S200000,01500,0100,Y 791,S200000,01900,0100,N 791,S700003,00000,0400,4 794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 794,A000000,00300,0000,00300EMPLOYEE BENEFITS 794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 794,A000000,00700,0000,00700HOUSEKEEPING 794,A000000,00800,0000,00800DIETARY 794,A000000,00900,0000,00900NURSING ADMINISTRATION 794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 794,A000000,01300,0000,01300SOCIAL SERVICE 794,A000000,01350,0000,01500ACTIVITIES 794,A000000,01600,0000,01600SKILLED NURSING FACILITY 794,A000000,01800,0000,01800NURSING FACILITY 794,A000000,01810,0000,01801ICF/MR 794,A000000,01900,0000,01900OTHER LONG TERM CARE 794,A000000,02100,0000,02100RADIOLOGY 794,A000000,02200,0000,02200LABORATORY 794,A000000,02300,0000,02300INTRAVENOUS THERAPY 794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 794,A000000,02500,0000,02500PHYSICAL THERAPY 794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 794,A000000,02700,0000,02700SPEECH PATHOLOGY 794,A000000,02800,0000,02800ELECTROCARDIOLOGY 794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 794,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 794,A000000,03200,0000,03200SUPPORT SURFACES 794,A000000,03400,0000,03400CLINIC 794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 794,A000000,03500,0000,03500RURAL HEALTH CLINIC 794,A000000,04750,0000,05100OSP 794,A000000,04800,0000,04800AMBULANCE 794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 794,A000000,05000,0000,05000CORF 794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 794,A000000,05300,0000,05300INTEREST EXPENSE 794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 794,A000000,05500,0000,05500HOSPICE 794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 794,A000000,06100,0000,06100NONPAID WORKERS 794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 794,A000000,06200,0000,06200PATIENTS LAUNDRY 794,A81000A,00100,0100,Y 794,A81000B,00100,0300,HOME OFFICE - OPERATING 794,A81000B,00200,0300,MME CAPITAL 794,A81000C,00100,0100,B 794,A81000C,00100,0400,CARE INITIATIVE 794,A81000C,00100,0600,HOME OFFICE 794,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 794,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 794,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 794,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 794,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 794,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 794,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 794,B100000,00000,0800,00000MEALS SERVEDDIETARY 794,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 794,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 794,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 794,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 794,S000000,00100,0200,05/30/2000 794,S200000,00100,0100,3201 STONE PARK BLVD 794,S200000,00200,0100,SIOUX CITY 794,S200000,00200,0200,IA 794,S200000,00200,0300,51104-2401 794,S200000,00300,0100,WOODBURY 794,S200000,00300,0300,U 794,S200000,00400,0100,WESTWOOD NURSING AND REHAB CENTER 794,S200000,00400,0200,165271 794,S200000,00400,0300,04/01/1996 794,S200000,00400,0500,P 794,S200000,01500,0100,Y 794,S200000,01900,0100,N 794,S700003,00000,0400,4 797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 797,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 797,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 797,A000000,00300,0000,00300EMPLOYEE BENEFITS 797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 797,A000000,00700,0000,00700HOUSEKEEPING 797,A000000,00800,0000,00800DIETARY 797,A000000,00801,0000,00801CAFETERIA 797,A000000,00900,0000,00900NURSING ADMINISTRATION 797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 797,A000000,01100,0000,01100PHARMACY 797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 797,A000000,01300,0000,01300SOCIAL SERVICE 797,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 797,A000000,01600,0000,01600SKILLED NURSING FACILITY 797,A000000,01800,0000,01800NURSING FACILITY 797,A000000,01900,0000,01900OTHER LONG TERM CARE 797,A000000,02100,0000,02100RADIOLOGY 797,A000000,02200,0000,02200LABORATORY 797,A000000,02300,0000,02300INTRAVENOUS THERAPY 797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 797,A000000,02500,0000,02500PHYSICAL THERAPY 797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 797,A000000,02700,0000,02700SPEECH PATHOLOGY 797,A000000,02800,0000,02800ELECTROCARDIOLOGY 797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 797,A000000,03050,0000,03300OTHER ANCILLARY 797,A000000,03051,0000,03301OTHER ANCILLARY II 797,A000000,03052,0000,03302OTHER ANCILLARY III 797,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 797,A000000,03200,0000,03200SUPPORT SURFACES 797,A000000,03400,0000,03400CLINIC 797,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 797,A000000,03500,0000,03500RURAL HEALTH CLINIC 797,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 797,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 797,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 797,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 797,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 797,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 797,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 797,A000000,04400,0000,04400DME RENTED - HHA 797,A000000,04500,0000,04500DME SOLD - HHA 797,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 797,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 797,A000000,04750,0000,05100OTHER REIMBURSABLE COST 797,A000000,04800,0000,04800AMBULANCE 797,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 797,A000000,05000,0000,05000CORF I 797,A000000,05010,0000,05010CMHC I 797,A000000,05020,0000,05020OPT I 797,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 797,A000000,05300,0000,05300INTEREST EXPENSE 797,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 797,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 797,A000000,05500,0000,05500HOSPICE 797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 797,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 797,A000000,06100,0000,06100NONPAID WORKERS 797,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 797,A000000,06200,0000,06200PATIENTS LAUNDRY 797,A81000A,00100,0100,Y 797,A81000B,00100,0300,ADMIN CORP WAGE 797,A81000B,00200,0300,MANAGEMENT SERVICE 797,A81000C,00100,0100,A 797,A81000C,00100,0200,PHILLIP ROLLINS 797,A81000C,00200,0100,A 797,A81000C,00200,0200,PHILLIP HOPPER 797,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 797,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 797,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 797,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 797,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 797,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 797,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 797,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 797,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 797,B100000,00000,0800,00000(MEALS SERVED)DIETARY 797,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 797,B100000,00000,0900,00000(PATIENT DAYS)NURSING ADMINISTRATI 797,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 797,B100000,00000,1100,00000(PATIENT DAYS)PHARMACY 797,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 797,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 797,B100000,00000,1350,00000(PATIENT DAYS)OTHER GENERAL SERVIC 797,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 797,S000000,00100,0200,06/12/2000 797,S200000,00100,0100,233 UNIVERSITY AVENUE 797,S200000,00200,0100,DES MOINES 797,S200000,00200,0200,IA 797,S200000,00200,0300,50314 797,S200000,00300,0100,POLK 797,S200000,00300,0300,U 797,S200000,00400,0100,UNIVERSITY NURSING 797,S200000,00400,0200,165272 797,S200000,00400,0300,04/01/1999 797,S200000,00400,0500,P 797,S200000,01500,0100,Y 797,S200000,01900,0100,N 797,S700003,00000,0400,4 799,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 799,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 799,A000000,00300,0000,00300EMPLOYEE BENEFITS 799,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 799,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 799,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 799,A000000,00700,0000,00700HOUSEKEEPING 799,A000000,00800,0000,00800DIETARY 799,A000000,00900,0000,00900NURSING ADMINISTRATION 799,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 799,A000000,01300,0000,01300SOCIAL SERVICE 799,A000000,01350,0000,01500ACTIVITIES 799,A000000,01600,0000,01600SKILLED NURSING FACILITY 799,A000000,01800,0000,01800NURSING FACILITY 799,A000000,01810,0000,01801ICF/MR 799,A000000,01900,0000,01900OTHER LONG TERM CARE 799,A000000,02100,0000,02100RADIOLOGY 799,A000000,02200,0000,02200LABORATORY 799,A000000,02300,0000,02300INTRAVENOUS THERAPY 799,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 799,A000000,02500,0000,02500PHYSICAL THERAPY 799,A000000,02600,0000,02600OCCUPATIONAL THERAPY 799,A000000,02700,0000,02700SPEECH PATHOLOGY 799,A000000,02800,0000,02800ELECTROCARDIOLOGY 799,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 799,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 799,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 799,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 799,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 799,A000000,03200,0000,03200SUPPORT SURFACES 799,A000000,03400,0000,03400CLINIC 799,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 799,A000000,03500,0000,03500RURAL HEALTH CLINIC 799,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 799,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 799,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 799,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 799,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 799,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 799,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 799,A000000,04400,0000,04400DME RENTED - HHA 799,A000000,04500,0000,04500DME SOLD - HHA 799,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 799,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 799,A000000,04750,0000,05100OSP 799,A000000,04800,0000,04800AMBULANCE 799,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 799,A000000,05000,0000,05000CORF 799,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 799,A000000,05300,0000,05300INTEREST EXPENSE 799,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 799,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 799,A000000,05500,0000,05500HOSPICE 799,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 799,A000000,05900,0000,05900BARBER & BEAUTY SHOP 799,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 799,A000000,06100,0000,06100NONPAID WORKERS 799,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 799,A000000,06200,0000,06200PATIENTS LAUNDRY 799,A81000A,00100,0100,Y 799,A81000B,00100,0300,HOME OFFICE - OPERATING 799,A81000B,00200,0300,MME CAPITAL 799,A81000C,00100,0100,B 799,A81000C,00100,0400,CARE INITIATIVE 799,A81000C,00100,0600,HOME OFFICE 799,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 799,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 799,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 799,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 799,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 799,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 799,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 799,B100000,00000,0800,00000MEALS SERVEDDIETARY 799,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 799,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 799,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 799,B100000,00000,1350,00000TIME SPENTACTIVITIES 799,S000000,00100,0200,05/30/2000 799,S200000,00100,0100,PARK AT CHERRY 799,S200000,00100,0300,10 799,S200000,00200,0100,NEW SHARON 799,S200000,00200,0200,IA 799,S200000,00200,0300,50207-0010 799,S200000,00300,0100,MAHASKA 799,S200000,00300,0300,R 799,S200000,00400,0100,NEW SHARON NURSING AND REHAB CENTER 799,S200000,00400,0200,165274 799,S200000,00400,0300,04/04/1996 799,S200000,00400,0500,P 799,S200000,01500,0100,Y 799,S200000,01900,0100,N 799,S700003,00000,0400,4 803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 803,A000000,00300,0000,00300EMPLOYEE BENEFITS 803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 803,A000000,00700,0000,00700HOUSEKEEPING 803,A000000,00800,0000,00800DIETARY 803,A000000,00900,0000,00900NURSING ADMINISTRATION 803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 803,A000000,01100,0000,01100PHARMACY 803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 803,A000000,01300,0000,01300SOCIAL SERVICE 803,A000000,01350,0000,01500RECREATION 803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 803,A000000,01600,0000,01600SKILLED NURSING FACILITY 803,A000000,01810,0000,01810ICF/MR 803,A000000,02100,0000,02100RADIOLOGY 803,A000000,02200,0000,02200LABORATORY 803,A000000,02300,0000,02300INTRAVENOUS THERAPY 803,A000000,02500,0000,02500PHYSICAL THERAPY 803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 803,A000000,02700,0000,02700SPEECH PATHOLOGY 803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 803,A000000,03550,0000,03550FQHC 803,A000000,05000,0000,05000CORF 803,A000000,05010,0000,05010CMHC 803,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 803,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 803,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 803,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 803,E10A180,00501,0100,07/14/2000 803,S000000,00100,0200,05/31/2000 803,S200000,00100,0100,1050 FOURTH AVENUE 803,S200000,00200,0100,CEDAR RAPIDS 803,S200000,00200,0200,IA 803,S200000,00200,0300,52403 803,S200000,00300,0300,U 803,S200000,00400,0100,LIVING CENTER WEST 803,S200000,00400,0200,165278 803,S200000,00400,0300,05/01/1996 803,S200000,00400,0500,P 803,S200000,01500,0100,Y 803,S700003,00000,0400,4 806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 806,A000000,00300,0000,00300EMPLOYEE BENEFITS 806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 806,A000000,00700,0000,00700HOUSEKEEPING 806,A000000,00800,0000,00800DIETARY 806,A000000,00900,0000,00900NURSING ADMINISTRATION 806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 806,A000000,01100,0000,01100PHARMACY 806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 806,A000000,01300,0000,01300SOCIAL SERVICE 806,A000000,01350,0000,01500RECREATION 806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 806,A000000,01600,0000,01600SKILLED NURSING FACILITY 806,A000000,01800,0000,01800NURSING FACILITY 806,A000000,01810,0000,01810ICF/MR 806,A000000,02100,0000,02100RADIOLOGY 806,A000000,02200,0000,02200LABORATORY 806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 806,A000000,02500,0000,02500PHYSICAL THERAPY 806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 806,A000000,02700,0000,02700SPEECH PATHOLOGY 806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 806,A000000,03550,0000,03550FQHC 806,A000000,05000,0000,05000CORF 806,A000000,05010,0000,05010CMHC 806,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 806,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 806,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 806,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 806,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 806,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 806,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 806,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 806,B100000,00000,0800,00000PATIENT DAYSDIETARY 806,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 806,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 806,B100000,00000,1100,00000COSTED REQUISPHARMACY 806,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 806,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 806,B100000,00000,1350,00000PATIENT DAYSRECREATION 806,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 806,E10A180,00501,0300,07/19/2000 806,S000000,00100,0200,05/31/2000 806,S200000,00100,0100,500 PINEHAVEN DRIVE 806,S200000,00200,0100,MONTICELLO 806,S200000,00200,0200,IA 806,S200000,00200,0300,52310 806,S200000,00300,0100,JONES 806,S200000,00300,0300,R 806,S200000,00400,0100,MONTICELLO NURSING AND REHAB CENTER 806,S200000,00400,0200,165279 806,S200000,00400,0300,05/01/1996 806,S200000,00400,0500,P 806,S200000,01600,0100,Y 806,S700003,00000,0400,4 811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 811,A000000,00300,0000,00300EMPLOYEE BENEFITS 811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 811,A000000,00700,0000,00700HOUSEKEEPING 811,A000000,00800,0000,00800DIETARY 811,A000000,00900,0000,00900NURSING ADMINISTRATION 811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 811,A000000,01100,0000,01100PHARMACY 811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 811,A000000,01300,0000,01300SOCIAL SERVICE 811,A000000,01350,0000,01500RECREATION 811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 811,A000000,01600,0000,01600SKILLED NURSING FACILITY 811,A000000,01800,0000,01800NURSING FACILITY 811,A000000,01810,0000,01810ICF/MR 811,A000000,02100,0000,02100RADIOLOGY 811,A000000,02200,0000,02200LABORATORY 811,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 811,A000000,02500,0000,02500PHYSICAL THERAPY 811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 811,A000000,02700,0000,02700SPEECH PATHOLOGY 811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 811,A000000,03550,0000,03550FQHC 811,A000000,05000,0000,05000CORF 811,A000000,05010,0000,05010CMHC 811,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 811,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 811,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 811,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 811,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 811,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 811,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 811,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 811,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 811,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 811,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 811,B100000,00000,0800,00000PATIENT DAYSDIETARY 811,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 811,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 811,B100000,00000,1100,00000COSTED REQUISPHARMACY 811,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 811,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 811,B100000,00000,1350,00000PATIENT DAYSRECREATION 811,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 811,E10A180,00501,0300,07/19/2000 811,S000000,00100,0200,05/31/2000 811,S200000,00100,0100,2730 CROW CREEK ROAD 811,S200000,00100,0300,1026 811,S200000,00200,0100,BETTENDORF 811,S200000,00200,0200,IA 811,S200000,00200,0300,52722 811,S200000,00300,0100,SCOTT 811,S200000,00300,0300,U 811,S200000,00400,0100,BETTENDORF CARE CENTER 811,S200000,00400,0200,165280 811,S200000,00400,0300,05/01/1996 811,S200000,00400,0500,P 811,S200000,01500,0100,Y 811,S700003,00000,0400,4 818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 818,A000000,00300,0000,00300EMPLOYEE BENEFITS 818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 818,A000000,00700,0000,00700HOUSEKEEPING 818,A000000,00800,0000,00800DIETARY 818,A000000,00900,0000,00900NURSING ADMINISTRATION 818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 818,A000000,01300,0000,01300SOCIAL SERVICE 818,A000000,01350,0000,01500ACTIVITIES 818,A000000,01600,0000,01600SKILLED NURSING FACILITY 818,A000000,01800,0000,01800NURSING FACILITY 818,A000000,01810,0000,01801ICF/MR 818,A000000,01900,0000,01900OTHER LONG TERM CARE 818,A000000,02100,0000,02100RADIOLOGY 818,A000000,02200,0000,02200LABORATORY 818,A000000,02300,0000,02300INTRAVENOUS THERAPY 818,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 818,A000000,02500,0000,02500PHYSICAL THERAPY 818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 818,A000000,02700,0000,02700SPEECH PATHOLOGY 818,A000000,02800,0000,02800ELECTROCARDIOLOGY 818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 818,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 818,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 818,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 818,A000000,03200,0000,03200SUPPORT SURFACES 818,A000000,03400,0000,03400CLINIC 818,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 818,A000000,03500,0000,03500RURAL HEALTH CLINIC 818,A000000,04750,0000,05100OSP 818,A000000,04800,0000,04800AMBULANCE 818,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 818,A000000,05000,0000,05000CORF 818,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 818,A000000,05300,0000,05300INTEREST EXPENSE 818,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 818,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 818,A000000,05500,0000,05500HOSPICE 818,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 818,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 818,A000000,06100,0000,06100NONPAID WORKERS 818,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 818,A000000,06200,0000,06200PATIENTS LAUNDRY 818,A81000A,00100,0100,Y 818,A81000B,00100,0300,HOME OFFICE - OPERATING 818,A81000B,00200,0300,MME CAPITAL 818,A81000C,00100,0100,B 818,A81000C,00100,0400,CARE INITIATIVE 818,A81000C,00100,0600,HOME OFFICE 818,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 818,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 818,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 818,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 818,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 818,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 818,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 818,B100000,00000,0800,00000MEALS SERVEDDIETARY 818,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 818,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 818,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 818,B100000,00000,1350,00000TIME SPENTACTIVITIES 818,E10A180,00550,0100,07/20/2000 818,E10A180,00550,0300,07/20/2000 818,S000000,00100,0200,05/30/2000 818,S200000,00100,0100,2313 15TH AVE 818,S200000,00200,0100,ELDORA 818,S200000,00200,0200,IA 818,S200000,00200,0300,50627-1511 818,S200000,00300,0100,HARDIN 818,S200000,00300,0300,R 818,S200000,00400,0100,VALLEY VIEW NURSING & REHAB CENTER 818,S200000,00400,0200,165282 818,S200000,00400,0300,09/01/1996 818,S200000,00400,0500,P 818,S200000,01500,0100,Y 818,S200000,01900,0100,N 818,S700003,00000,0400,4 820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 820,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 820,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 820,A000000,00300,0000,00300EMPLOYEE BENEFITS 820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 820,A000000,00700,0000,00700HOUSEKEEPING 820,A000000,00800,0000,00800DIETARY 820,A000000,00801,0000,00801CAFETERIA 820,A000000,00900,0000,00900NURSING ADMINISTRATION 820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 820,A000000,01100,0000,01100PHARMACY 820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 820,A000000,01300,0000,01300SOCIAL SERVICE 820,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 820,A000000,01600,0000,01600SKILLED NURSING FACILITY 820,A000000,01800,0000,01800NURSING FACILITY 820,A000000,01900,0000,01900OTHER LONG TERM CARE 820,A000000,02100,0000,02100RADIOLOGY 820,A000000,02200,0000,02200LABORATORY 820,A000000,02300,0000,02300INTRAVENOUS THERAPY 820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 820,A000000,02500,0000,02500PHYSICAL THERAPY 820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 820,A000000,02700,0000,02700SPEECH PATHOLOGY 820,A000000,02800,0000,02800ELECTROCARDIOLOGY 820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 820,A000000,03050,0000,03300OTHER ANCILLARY 820,A000000,03051,0000,03301OTHER ANCILLARY II 820,A000000,03052,0000,03302OTHER ANCILLARY III 820,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 820,A000000,03200,0000,03200SUPPORT SURFACES 820,A000000,03400,0000,03400CLINIC 820,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 820,A000000,03500,0000,03500RURAL HEALTH CLINIC 820,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 820,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 820,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 820,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 820,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 820,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 820,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 820,A000000,04400,0000,04400DME RENTED - HHA 820,A000000,04500,0000,04500DME SOLD - HHA 820,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 820,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 820,A000000,04750,0000,05100OTHER REIMBURSABLE COST 820,A000000,04800,0000,04800AMBULANCE 820,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 820,A000000,05000,0000,05000CORF I 820,A000000,05010,0000,05010CMHC I 820,A000000,05020,0000,05020OPT I 820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 820,A000000,05300,0000,05300INTEREST EXPENSE 820,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 820,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 820,A000000,05500,0000,05500HOSPICE 820,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 820,A000000,06100,0000,06100NONPAID WORKERS 820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 820,A000000,06200,0000,06200PATIENTS LAUNDRY 820,S000000,00100,0200,05/30/2000 820,S200000,00100,0100,300 EAST JEFFERSON 820,S200000,00200,0100,INWOOD 820,S200000,00200,0200,IA 820,S200000,00200,0300,51240 820,S200000,00300,0100,LYON 820,S200000,00300,0300,R 820,S200000,00400,0100,FELLOWSHIP VILLAGE 820,S200000,00400,0200,165283 820,S200000,00400,0300,09/01/1996 820,S200000,00400,0500,P 820,S200000,01500,0100,Y 820,S200000,01900,0100,N 820,S700003,00000,0400,4 824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 824,A000000,00300,0000,00300EMPLOYEE BENEFITS 824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 824,A000000,00700,0000,00700HOUSEKEEPING 824,A000000,00800,0000,00800DIETARY 824,A000000,00900,0000,00900NURSING ADMINISTRATION 824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 824,A000000,01300,0000,01300SOCIAL SERVICE 824,A000000,01350,0000,01500ACTIVITIES 824,A000000,01600,0000,01600SKILLED NURSING FACILITY 824,A000000,01800,0000,01800NURSING FACILITY 824,A000000,01810,0000,01801ICF/MR 824,A000000,01900,0000,01900OTHER LONG TERM CARE 824,A000000,02100,0000,02100RADIOLOGY 824,A000000,02200,0000,02200LABORATORY 824,A000000,02300,0000,02300INTRAVENOUS THERAPY 824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 824,A000000,02500,0000,02500PHYSICAL THERAPY 824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 824,A000000,02700,0000,02700SPEECH PATHOLOGY 824,A000000,02800,0000,02800ELECTROCARDIOLOGY 824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 824,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 824,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 824,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 824,A000000,03200,0000,03200SUPPORT SURFACES 824,A000000,03400,0000,03400CLINIC 824,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 824,A000000,03500,0000,03500RURAL HEALTH CLINIC 824,A000000,04750,0000,05100OSP 824,A000000,04800,0000,04800AMBULANCE 824,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 824,A000000,05000,0000,05000CORF 824,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 824,A000000,05300,0000,05300INTEREST EXPENSE 824,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 824,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 824,A000000,05500,0000,05500HOSPICE 824,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 824,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 824,A000000,06100,0000,06100NONPAID WORKERS 824,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 824,A000000,06200,0000,06200PATIENTS LAUNDRY 824,A81000A,00100,0100,Y 824,A81000B,00100,0300,HOME OFFICE - OPERATING 824,A81000B,00200,0300,MME CAPITAL 824,A81000C,00100,0100,B 824,A81000C,00100,0400,CARE INITIATIVE 824,A81000C,00100,0600,HOME OFFICE 824,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 824,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 824,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 824,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 824,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 824,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 824,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 824,B100000,00000,0800,00000MEALS SERVEDDIETARY 824,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 824,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 824,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 824,B100000,00000,1350,00000TIME SPENTACTIVITIES 824,E10A180,00502,0300,07/26/2000 824,S000000,00100,0200,05/30/2000 824,S200000,00100,0100,1614 NORTHGATE DRIVE 824,S200000,00100,0300,479 824,S200000,00200,0100,CORNING 824,S200000,00200,0200,IA 824,S200000,00200,0300,50841-0479 824,S200000,00300,0100,ADAMS 824,S200000,00300,0300,R 824,S200000,00400,0100,CORNING NURSING AND REHAB CENTER 824,S200000,00400,0200,165285 824,S200000,00400,0300,08/01/1996 824,S200000,00400,0500,P 824,S200000,01500,0100,Y 824,S200000,01900,0100,N 824,S700003,00000,0400,4 832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 832,A000000,00300,0000,00300EMPLOYEE BENEFITS 832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 832,A000000,00700,0000,00700HOUSEKEEPING 832,A000000,00800,0000,00800DIETARY 832,A000000,00900,0000,00900NURSING ADMINISTRATION 832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 832,A000000,01300,0000,01300SOCIAL SERVICE 832,A000000,01350,0000,01500ACTIVITIES 832,A000000,01600,0000,01600SKILLED NURSING FACILITY 832,A000000,01800,0000,01800NURSING FACILITY 832,A000000,02100,0000,02100RADIOLOGY 832,A000000,02200,0000,02200LABORATORY 832,A000000,02300,0000,02300INTRAVENOUS THERAPY 832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 832,A000000,02500,0000,02500PHYSICAL THERAPY 832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 832,A000000,02700,0000,02700SPEECH PATHOLOGY 832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 832,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 832,A000000,04800,0000,04800AMBULANCE 832,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 832,A000000,05300,0000,05300INTEREST EXPENSE 832,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 832,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 832,A000000,06200,0000,06200PATIENTS LAUNDRY 832,A81000A,00100,0100,Y 832,A81000B,00100,0300,HOME OFFICE - OPERATING 832,A81000B,00200,0300,MME CAPITAL 832,A81000C,00100,0100,B 832,A81000C,00100,0400,CARE INITIATIVE 832,A81000C,00100,0600,HOME OFFICE 832,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 832,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 832,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 832,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 832,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 832,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 832,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 832,B100000,00000,0800,00000MEALS SERVEDDIETARY 832,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 832,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 832,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 832,B100000,00000,1350,00000TIME SPENTACTIVITIES 832,S000000,00100,0200,05/30/2000 832,S200000,00100,0100,1311 SUNNYSIDE LANE 832,S200000,00200,0100,ATLANTIC 832,S200000,00200,0200,IA 832,S200000,00200,0300,50022-0270 832,S200000,00300,0100,CASS 832,S200000,00300,0300,R 832,S200000,00400,0100,ATLANTIC NURSING AND REHAB CENTER 832,S200000,00400,0200,165288 832,S200000,00400,0300,08/01/1996 832,S200000,00400,0500,P 832,S200000,01500,0100,Y 832,S200000,01900,0100,N 832,S700003,00000,0400,4 835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 835,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 835,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 835,A000000,00300,0000,00300EMPLOYEE BENEFITS 835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 835,A000000,00700,0000,00700HOUSEKEEPING 835,A000000,00800,0000,00800DIETARY 835,A000000,00801,0000,00801CAFETERIA 835,A000000,00900,0000,00900NURSING ADMINISTRATION 835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 835,A000000,01100,0000,01100PHARMACY 835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 835,A000000,01300,0000,01300SOCIAL SERVICE 835,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 835,A000000,01600,0000,01600SKILLED NURSING FACILITY 835,A000000,01800,0000,01800NURSING FACILITY 835,A000000,01900,0000,01900OTHER LONG TERM CARE 835,A000000,02100,0000,02100RADIOLOGY 835,A000000,02200,0000,02200LABORATORY 835,A000000,02300,0000,02300INTRAVENOUS THERAPY 835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 835,A000000,02500,0000,02500PHYSICAL THERAPY 835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 835,A000000,02700,0000,02700SPEECH PATHOLOGY 835,A000000,02800,0000,02800ELECTROCARDIOLOGY 835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 835,A000000,03050,0000,03300OTHER ANCILLARY 835,A000000,03051,0000,03301OTHER ANCILLARY II 835,A000000,03052,0000,03302OTHER ANCILLARY III 835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 835,A000000,03200,0000,03200SUPPORT SURFACES 835,A000000,03400,0000,03400CLINIC 835,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 835,A000000,03500,0000,03500RURAL HEALTH CLINIC 835,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 835,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 835,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 835,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 835,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 835,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 835,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 835,A000000,04400,0000,04400DME RENTED - HHA 835,A000000,04500,0000,04500DME SOLD - HHA 835,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 835,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 835,A000000,04750,0000,05100OSP 835,A000000,04800,0000,04800AMBULANCE 835,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 835,A000000,05000,0000,05000CORF 835,A000000,05010,0000,05010CMHC I 835,A000000,05020,0000,05020OPT I 835,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 835,A000000,05300,0000,05300INTEREST EXPENSE 835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 835,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 835,A000000,05500,0000,05500HOSPICE 835,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 835,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 835,A000000,06100,0000,06100NONPAID WORKERS 835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 835,A000000,06200,0000,06200PATIENTS LAUNDRY 835,A81000A,00100,0100,Y 835,A81000B,00100,0300,DEPRECIATION 835,A81000B,00200,0300,A&G 835,A81000C,00100,0100,G 835,A81000C,00100,0200,FRIENDSHIP HAVE 835,A81000C,03100,0000,HOME OFFICE 835,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 835,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 835,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 835,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 835,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 835,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 835,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 835,B100000,00000,0600,00000(POUNDS OFLAUNDRY)LAUNDRY & LINEN S 835,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 835,B100000,00000,0800,00000(MEALS SERVED)DIETARY 835,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 835,B100000,00000,0900,00000(NURSING SALARIES)NURSING ADMINIST 835,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 835,B100000,00000,1100,00000(PATIENT DAYS)PHARMACY 835,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 835,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 835,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 835,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 835,S000000,00100,0200,05/24/2000 835,S200000,00100,0100,420 SOUTH KENYAN 835,S200000,00200,0100,FORT DODGE 835,S200000,00200,0200,IA 835,S200000,00200,0300,50501 835,S200000,00300,0100,WEBSTER 835,S200000,00300,0300,R 835,S200000,00400,0100,FRIENDSHIP HAVEN 835,S200000,00400,0200,165291 835,S200000,00400,0300,09/01/1996 835,S200000,00400,0500,P 835,S200000,01600,0100,Y 835,S200000,01900,0100,N 835,S200000,02800,0100,Y 835,S700003,00000,0400,4 838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 838,A000000,00300,0000,00300EMPLOYEE BENEFITS 838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 838,A000000,00700,0000,00700HOUSEKEEPING 838,A000000,00800,0000,00800DIETARY 838,A000000,00900,0000,00900NURSING ADMINISTRATION 838,A000000,01300,0000,01300SOCIAL SERVICE 838,A000000,01350,0000,01500ACTIVITIES 838,A000000,01600,0000,01600SKILLED NURSING FACILITY 838,A000000,01800,0000,01800NURSING FACILITY 838,A000000,01810,0000,01801ICF/MR 838,A000000,01900,0000,01900OTHER LONG TERM CARE 838,A000000,02100,0000,02100RADIOLOGY 838,A000000,02200,0000,02200LABORATORY 838,A000000,02300,0000,02300INTRAVENOUS THERAPY 838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 838,A000000,02500,0000,02500PHYSICAL THERAPY 838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 838,A000000,02700,0000,02700SPEECH PATHOLOGY 838,A000000,02800,0000,02800ELECTROCARDIOLOGY 838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 838,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 838,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 838,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 838,A000000,03200,0000,03200SUPPORT SURFACES 838,A000000,03400,0000,03400CLINIC 838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 838,A000000,03500,0000,03500RURAL HEALTH CLINIC 838,A000000,04750,0000,05100OSP 838,A000000,04800,0000,04800AMBULANCE 838,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 838,A000000,05000,0000,05000CORF 838,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 838,A000000,05300,0000,05300INTEREST EXPENSE 838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 838,A000000,05500,0000,05500HOSPICE 838,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 838,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 838,A000000,06100,0000,06100NONPAID WORKERS 838,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 838,A000000,06200,0000,06200PATIENTS LAUNDRY 838,A81000A,00100,0100,Y 838,A81000B,00100,0300,HOME OFFICE - OPERATING 838,A81000B,00200,0300,MME CAPITAL 838,A81000C,00100,0100,B 838,A81000C,00100,0400,CARE INITIATIVE 838,A81000C,00100,0600,HOME OFFICE 838,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 838,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 838,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 838,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 838,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 838,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 838,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 838,B100000,00000,0800,00000MEALS SERVEDDIETARY 838,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 838,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 838,B100000,00000,1350,00000TIME SPENTACTIVITIES 838,E10A180,00501,0300,07/25/2000 838,S000000,00100,0200,05/30/2000 838,S200000,00100,0100,1005 W. PEARL 838,S200000,00100,0300,233 838,S200000,00200,0100,BEDFORD 838,S200000,00200,0200,IA 838,S200000,00200,0300,50833-1276 838,S200000,00300,0100,TAYLOR 838,S200000,00300,0300,R 838,S200000,00400,0100,BEDFORD NURSING AND REHAB CENTER 838,S200000,00400,0200,165292 838,S200000,00400,0300,08/01/1996 838,S200000,00400,0500,P 838,S200000,01500,0100,Y 838,S200000,01900,0100,N 838,S700003,00000,0400,4 842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 842,A000000,00300,0000,00300EMPLOYEE BENEFITS 842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 842,A000000,00700,0000,00700HOUSEKEEPING 842,A000000,00800,0000,00800DIETARY 842,A000000,00900,0000,00900NURSING ADMINISTRATION 842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 842,A000000,01300,0000,01300SOCIAL SERVICE 842,A000000,01350,0000,01500ACTIVITIES 842,A000000,01600,0000,01600SKILLED NURSING FACILITY 842,A000000,01800,0000,01800NURSING FACILITY 842,A000000,01810,0000,01801ICF/MR 842,A000000,01900,0000,01900OTHER LONG TERM CARE 842,A000000,02100,0000,02100RADIOLOGY 842,A000000,02200,0000,02200LABORATORY 842,A000000,02300,0000,02300INTRAVENOUS THERAPY 842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 842,A000000,02500,0000,02500PHYSICAL THERAPY 842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 842,A000000,02700,0000,02700SPEECH PATHOLOGY 842,A000000,02800,0000,02800ELECTROCARDIOLOGY 842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 842,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 842,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 842,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 842,A000000,03200,0000,03200SUPPORT SURFACES 842,A000000,03400,0000,03400CLINIC 842,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 842,A000000,03500,0000,03500RURAL HEALTH CLINIC 842,A000000,04750,0000,05100OSP 842,A000000,04800,0000,04800AMBULANCE 842,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 842,A000000,05000,0000,05000CORF 842,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 842,A000000,05300,0000,05300INTEREST EXPENSE 842,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 842,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 842,A000000,05500,0000,05500HOSPICE 842,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 842,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 842,A000000,06100,0000,06100NONPAID WORKERS 842,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 842,A000000,06200,0000,06200PATIENTS LAUNDRY 842,A81000A,00100,0100,Y 842,A81000B,00100,0300,HOME OFFICE - OPERATING 842,A81000B,00200,0300,MME CAPITAL 842,A81000C,00100,0100,B 842,A81000C,00100,0400,CARE INITIATIVE 842,A81000C,00100,0600,HOME OFFICE 842,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 842,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 842,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 842,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 842,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 842,B100000,00000,0600,00000TIME SPENTLAUNDRY & LINEN SERV 842,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 842,B100000,00000,0800,00000TIME SPENTDIETARY 842,B100000,00000,0900,00000TIME SPENTNURSING ADMINISTRATI 842,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 842,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 842,B100000,00000,1350,00000TIME SPENTACTIVITIES 842,S000000,00100,0200,05/30/2000 842,S200000,00100,0100,2315 N. MAIN 842,S200000,00100,0300,444 842,S200000,00200,0100,OSCEOLA 842,S200000,00200,0200,IA 842,S200000,00200,0300,50213-0444 842,S200000,00300,0100,CLARKE 842,S200000,00300,0300,R 842,S200000,00400,0100,OSCEOLA NURSING AND REHAB CENTER 842,S200000,00400,0200,165293 842,S200000,00400,0300,08/09/1996 842,S200000,00400,0500,P 842,S200000,01500,0100,Y 842,S200000,01900,0100,N 842,S700003,00000,0400,4 845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 845,A000000,00300,0000,00300EMPLOYEE BENEFITS 845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 845,A000000,00700,0000,00700HOUSEKEEPING 845,A000000,00800,0000,00800DIETARY 845,A000000,00900,0000,00900NURSING ADMINISTRATION 845,A000000,01300,0000,01300SOCIAL SERVICE 845,A000000,01350,0000,01500ACTIVITIES 845,A000000,01600,0000,01600SKILLED NURSING FACILITY 845,A000000,01800,0000,01800NURSING FACILITY 845,A000000,01810,0000,01801ICF/MR 845,A000000,01900,0000,01900OTHER LONG TERM CARE 845,A000000,02100,0000,02100RADIOLOGY 845,A000000,02200,0000,02200LABORATORY 845,A000000,02300,0000,02300INTRAVENOUS THERAPY 845,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 845,A000000,02500,0000,02500PHYSICAL THERAPY 845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 845,A000000,02700,0000,02700SPEECH PATHOLOGY 845,A000000,02800,0000,02800ELECTROCARDIOLOGY 845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 845,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 845,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 845,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 845,A000000,03200,0000,03200SUPPORT SURFACES 845,A000000,03400,0000,03400CLINIC 845,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 845,A000000,03500,0000,03500RURAL HEALTH CLINIC 845,A000000,04750,0000,05100OSP 845,A000000,04800,0000,04800AMBULANCE 845,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 845,A000000,05000,0000,05000CORF 845,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 845,A000000,05300,0000,05300INTEREST EXPENSE 845,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 845,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 845,A000000,05500,0000,05500HOSPICE 845,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 845,A000000,05900,0000,05900BARBER & BEAUTY SHOP 845,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 845,A000000,06100,0000,06100NONPAID WORKERS 845,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 845,A000000,06200,0000,06200PATIENTS LAUNDRY 845,A81000A,00100,0100,Y 845,A81000B,00100,0300,HOME OFFICE - OPERATING 845,A81000B,00200,0300,MME CAPITAL 845,A81000C,00100,0100,B 845,A81000C,00100,0400,CARE INITIATIVE 845,A81000C,00100,0600,HOME OFFICE 845,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 845,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 845,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 845,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 845,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 845,B100000,00000,0600,00000TIME SPENTLAUNDRY & LINEN SERV 845,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 845,B100000,00000,0800,00000TIME SPENTDIETARY 845,B100000,00000,0900,00000TIME SPENTNURSING ADMINISTRATI 845,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 845,B100000,00000,1350,00000TIME SPENTACTIVITIES 845,E10A180,00301,0100,08/27/1999 845,E10A180,00302,0100,11/03/1999 845,E10A180,00550,0100,07/24/2000 845,S000000,00100,0200,05/30/2000 845,S200000,00100,0100,919 N. CHESTNUT 845,S200000,00100,0300,728 845,S200000,00200,0100,AVOCA 845,S200000,00200,0200,IA 845,S200000,00200,0300,51521-0728 845,S200000,00300,0100,POTTAWATTAMIE 845,S200000,00300,0300,U 845,S200000,00400,0100,AVOCA NURSING AND REHAB CENTER 845,S200000,00400,0200,165294 845,S200000,00400,0300,08/01/1996 845,S200000,00400,0500,P 845,S200000,01500,0100,Y 845,S200000,01900,0100,N 845,S700003,00000,0400,4 849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 849,A000000,00300,0000,00300EMPLOYEE BENEFITS 849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 849,A000000,00700,0000,00700HOUSEKEEPING 849,A000000,00800,0000,00800DIETARY 849,A000000,00900,0000,00900NURSING ADMINISTRATION 849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 849,A000000,01100,0000,01100PHARMACY 849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 849,A000000,01300,0000,01300SOCIAL SERVICE 849,A000000,01350,0000,01500RECREATION 849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 849,A000000,01600,0000,01600SKILLED NURSING FACILITY 849,A000000,01810,0000,01810ICF/MR 849,A000000,02100,0000,02100RADIOLOGY 849,A000000,02300,0000,02300INTRAVENOUS THERAPY 849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 849,A000000,02500,0000,02500PHYSICAL THERAPY 849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 849,A000000,02700,0000,02700SPEECH PATHOLOGY 849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 849,A000000,03550,0000,03550FQHC 849,A000000,05000,0000,05000CORF 849,A000000,05010,0000,05010CMHC 849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 849,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 849,E10A180,00501,0300,07/19/2000 849,S000000,00100,0200,05/31/2000 849,S200000,00100,0100,316 MEADOW LANE DRIVE 849,S200000,00100,0300,790 849,S200000,00200,0100,MONTEZUMA 849,S200000,00200,0200,IA 849,S200000,00200,0300,50171 849,S200000,00300,0100,POWESHIEK 849,S200000,00300,0300,R 849,S200000,00400,0100,MONTEZUMA NURSING AND REHAB CENTER 849,S200000,00400,0200,165295 849,S200000,00400,0300,10/01/1996 849,S200000,00400,0500,P 849,S200000,01500,0100,Y 849,S700003,00000,0400,4 854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 854,A000000,00300,0000,00300EMPLOYEE BENEFITS 854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 854,A000000,00700,0000,00700HOUSEKEEPING 854,A000000,00800,0000,00800DIETARY 854,A000000,00900,0000,00900NURSING ADMINISTRATION 854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 854,A000000,01100,0000,01100PHARMACY 854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 854,A000000,01300,0000,01300SOCIAL SERVICE 854,A000000,01350,0000,01500ACTIVITES 854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 854,A000000,01600,0000,01600SKILLED NURSING FACILITY 854,A000000,01800,0000,01800NURSING FACILITY 854,A000000,01810,0000,01801ICF/MR 854,A000000,01900,0000,01900OTHER LONG TERM CARE 854,A000000,02100,0000,02100RADIOLOGY 854,A000000,02200,0000,02200LABORATORY 854,A000000,02300,0000,02300INTRAVENOUS THERAPY 854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 854,A000000,02500,0000,02500PHYSICAL THERAPY 854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 854,A000000,02700,0000,02700SPEECH PATHOLOGY 854,A000000,02800,0000,02800ELECTROCARDIOLOGY 854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 854,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 854,A000000,03200,0000,03200SUPPORT SURFACES 854,A000000,03400,0000,03400CLINIC 854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 854,A000000,03500,0000,03500RURAL HEALTH CLINIC 854,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 854,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 854,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 854,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 854,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 854,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 854,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 854,A000000,04400,0000,04400DME RENTED - HHA 854,A000000,04500,0000,04500DME SOLD - HHA 854,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 854,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 854,A000000,04750,0000,05100OSP 854,A000000,04800,0000,04800AMBULANCE 854,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 854,A000000,05000,0000,05000CORF 854,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 854,A000000,05300,0000,05300INTEREST EXPENSE 854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 854,A000000,05500,0000,05500HOSPICE 854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 854,A000000,06100,0000,06100NONPAID WORKERS 854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 854,A000000,06200,0000,06200PATIENTS LAUNDRY 854,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 854,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 854,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 854,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 854,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 854,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 854,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 854,B100000,00000,0800,00000MEALS SERVEDDIETARY 854,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 854,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 854,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 854,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 854,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 854,B100000,00000,1350,00000DAYSACTIVITES 854,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 854,E10A180,00501,0300,07/06/2000 854,S000000,00100,0200,05/12/2000 854,S200000,00100,0100,200 SHANNON DRIVE 854,S200000,00200,0100,WHITING 854,S200000,00200,0200,IA 854,S200000,00200,0300,51063- 854,S200000,00300,0100,MONONA 854,S200000,00300,0300,R 854,S200000,00400,0100,PLEASANT VIEW CARE CENTER 854,S200000,00400,0200,165296 854,S200000,00400,0300,04/01/1997 854,S200000,00400,0500,P 854,S200000,01500,0100,Y 854,S200000,01900,0100,N 854,S700003,00000,0400,4 857,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 857,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 857,A000000,00300,0000,00300EMPLOYEE BENEFITS 857,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 857,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 857,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 857,A000000,00700,0000,00700HOUSEKEEPING 857,A000000,00800,0000,00800DIETARY 857,A000000,00900,0000,00900NURSING ADMINISTRATION 857,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 857,A000000,01100,0000,01100PHARMACY 857,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 857,A000000,01300,0000,01300SOCIAL SERVICE 857,A000000,01350,0000,01500RECREATION 857,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 857,A000000,01600,0000,01600SKILLED NURSING FACILITY 857,A000000,01810,0000,01810ICF/MR 857,A000000,02100,0000,02100RADIOLOGY 857,A000000,02200,0000,02200LABORATORY 857,A000000,02300,0000,02300INTRAVENOUS THERAPY 857,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 857,A000000,02500,0000,02500PHYSICAL THERAPY 857,A000000,02600,0000,02600OCCUPATIONAL THERAPY 857,A000000,02700,0000,02700SPEECH PATHOLOGY 857,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 857,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 857,A000000,03550,0000,03550FQHC 857,A000000,05000,0000,05000CORF 857,A000000,05010,0000,05010CMHC 857,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 857,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 857,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 857,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 857,A000000,05900,0000,05900BARBER & BEAUTY SHOP 857,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 857,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 857,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 857,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 857,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 857,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 857,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 857,B100000,00000,0800,00000PATIENT DAYSDIETARY 857,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 857,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 857,B100000,00000,1100,00000COSTED REQUISPHARMACY 857,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 857,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 857,B100000,00000,1350,00000PATIENT DAYSRECREATION 857,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 857,E10A180,00501,0300,07/19/2000 857,S000000,00100,0200,05/31/2000 857,S200000,00100,0100,703 SOUTH FOURTH AVENUE 857,S200000,00100,0300,428 857,S200000,00200,0100,NEW HAMPTON 857,S200000,00200,0200,IA 857,S200000,00200,0300,50659-0428 857,S200000,00300,0100,CHICKASAW 857,S200000,00300,0300,R 857,S200000,00400,0100,NEW HAMPTON NURSING AND REHAB 857,S200000,00400,0200,165297 857,S200000,00400,0300,11/01/1996 857,S200000,00400,0500,P 857,S200000,01500,0100,Y 857,S700003,00000,0400,4 860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 860,A000000,00300,0000,00300EMPLOYEE BENEFITS 860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 860,A000000,00700,0000,00700HOUSEKEEPING 860,A000000,00800,0000,00800DIETARY 860,A000000,00900,0000,00900NURSING ADMINISTRATION 860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 860,A000000,01300,0000,01300SOCIAL SERVICE 860,A000000,01350,0000,01500ACTIVITIES 860,A000000,01600,0000,01600SKILLED NURSING FACILITY 860,A000000,01800,0000,01800NURSING FACILITY 860,A000000,01810,0000,01801ICF/MR 860,A000000,01900,0000,01900OTHER LONG TERM CARE 860,A000000,02100,0000,02100RADIOLOGY 860,A000000,02200,0000,02200LABORATORY 860,A000000,02300,0000,02300INTRAVENOUS THERAPY 860,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 860,A000000,02500,0000,02500PHYSICAL THERAPY 860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 860,A000000,02700,0000,02700SPEECH PATHOLOGY 860,A000000,02800,0000,02800ELECTROCARDIOLOGY 860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 860,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 860,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 860,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 860,A000000,03200,0000,03200SUPPORT SURFACES 860,A000000,03400,0000,03400CLINIC 860,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 860,A000000,03500,0000,03500RURAL HEALTH CLINIC 860,A000000,04750,0000,05100OSP 860,A000000,04800,0000,04800AMBULANCE 860,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 860,A000000,05000,0000,05000CORF 860,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 860,A000000,05300,0000,05300INTEREST EXPENSE 860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 860,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 860,A000000,05500,0000,05500HOSPICE 860,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 860,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 860,A000000,06100,0000,06100NONPAID WORKERS 860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 860,A000000,06200,0000,06200PATIENTS LAUNDRY 860,A81000A,00100,0100,Y 860,A81000B,00100,0300,HOME OFFICE - OPERATING 860,A81000B,00200,0300,MME CAPITAL 860,A81000C,00100,0100,B 860,A81000C,00100,0400,CARE INITIATIVE 860,A81000C,00100,0600,HOME OFFICE 860,B100000,00000,0100,00000PATIENT DAYSCAP REL COSTS - BLDGS 860,B100000,00000,0200,00000PATIENT DAYSCAP REL COSTS - MOVAB 860,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 860,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 860,B100000,00000,0500,00000PATIENT DAYSPLANT OPERATION MAIN 860,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 860,B100000,00000,0700,00000PATIENT DAYSHOUSEKEEPING 860,B100000,00000,0800,00000MEALS SERVEDDIETARY 860,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 860,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 860,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 860,B100000,00000,1350,00000TIME SPENTACTIVITIES 860,E10A180,00501,0300,07/26/2000 860,E10A180,00550,0100,07/26/2000 860,S000000,00100,0200,05/30/2000 860,S200000,00100,0100,2305 CRESCENT DRIVE 860,S200000,00200,0100,CEDAR FALLS 860,S200000,00200,0200,IA 860,S200000,00200,0300,50613-1899 860,S200000,00300,0100,BLACKHAWK 860,S200000,00300,0300,U 860,S200000,00400,0100,WINDSOR NURSING AND REHAB CENTER 860,S200000,00400,0200,165298 860,S200000,00400,0300,11/01/1996 860,S200000,00400,0500,P 860,S200000,01500,0100,Y 860,S200000,01900,0100,N 860,S700003,00000,0400,4 863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 863,A000000,00300,0000,00300EMPLOYEE BENEFITS 863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 863,A000000,00700,0000,00700HOUSEKEEPING 863,A000000,00800,0000,00800DIETARY 863,A000000,00900,0000,00900NURSING ADMINISTRATION 863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 863,A000000,01300,0000,01300SOCIAL SERVICE 863,A000000,01350,0000,01500ACTIVITIES 863,A000000,01600,0000,01600SKILLED NURSING FACILITY 863,A000000,01800,0000,01800NURSING FACILITY 863,A000000,01810,0000,01801ICF/MR 863,A000000,01900,0000,01900OTHER LONG TERM CARE 863,A000000,02100,0000,02100RADIOLOGY 863,A000000,02200,0000,02200LABORATORY 863,A000000,02300,0000,02300INTRAVENOUS THERAPY 863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 863,A000000,02500,0000,02500PHYSICAL THERAPY 863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 863,A000000,02700,0000,02700SPEECH PATHOLOGY 863,A000000,02800,0000,02800ELECTROCARDIOLOGY 863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 863,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 863,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 863,A000000,03200,0000,03200SUPPORT SURFACES 863,A000000,03400,0000,03400CLINIC 863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 863,A000000,03500,0000,03500RURAL HEALTH CLINIC 863,A000000,04750,0000,05100OSP 863,A000000,04800,0000,04800AMBULANCE 863,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 863,A000000,05000,0000,05000CORF 863,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 863,A000000,05300,0000,05300INTEREST EXPENSE 863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 863,A000000,05500,0000,05500HOSPICE 863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 863,A000000,06100,0000,06100NONPAID WORKERS 863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 863,A000000,06200,0000,06200PATIENTS LAUNDRY 863,A81000A,00100,0100,Y 863,A81000B,00100,0300,HOME OFFICE - OPERATING 863,A81000B,00200,0300,MME CAPITAL 863,A81000C,00100,0100,B 863,A81000C,00100,0400,CARE INITIATIVE 863,A81000C,00100,0600,HOME OFFICE 863,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 863,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 863,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 863,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 863,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 863,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 863,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 863,B100000,00000,0800,00000MEALS SERVEDDIETARY 863,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 863,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 863,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 863,B100000,00000,1350,00000TIME SPENTACTIVITIES 863,E10A180,00501,0300,07/28/2000 863,S000000,00100,0200,05/30/2000 863,S200000,00100,0100,HIGHWAY 218 N 863,S200000,00100,0300,175 863,S200000,00200,0100,LAPORTE CITY 863,S200000,00200,0200,IA 863,S200000,00200,0300,50651-0175 863,S200000,00300,0100,BLACKHAWK 863,S200000,00300,0300,U 863,S200000,00400,0100,LAPORTE CITY NURSING & REHAB CENTER 863,S200000,00400,0200,165300 863,S200000,00400,0300,01/01/1997 863,S200000,00400,0500,P 863,S200000,01500,0100,Y 863,S200000,01900,0100,N 863,S700003,00000,0400,4 866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 866,A000000,00300,0000,00300EMPLOYEE BENEFITS 866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 866,A000000,00700,0000,00700HOUSEKEEPING 866,A000000,00800,0000,00800DIETARY 866,A000000,00900,0000,00900NURSING ADMINISTRATION 866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 866,A000000,01100,0000,01100PHARMACY 866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 866,A000000,01300,0000,01300SOCIAL SERVICE 866,A000000,01350,0000,01500RECREATION 866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 866,A000000,01600,0000,01600SKILLED NURSING FACILITY 866,A000000,01810,0000,01810ICF/MR 866,A000000,02100,0000,02100RADIOLOGY 866,A000000,02200,0000,02200LABORATORY 866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 866,A000000,02500,0000,02500PHYSICAL THERAPY 866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 866,A000000,02700,0000,02700SPEECH PATHOLOGY 866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 866,A000000,03550,0000,03550FQHC 866,A000000,05000,0000,05000CORF 866,A000000,05010,0000,05010CMHC 866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 866,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 866,E10A180,00501,0300,07/19/2000 866,S000000,00100,0200,05/31/2000 866,S200000,00100,0100,1400 WEST MAIN 866,S200000,00100,0300,370 866,S200000,00200,0100,MCGREGOR 866,S200000,00200,0200,IA 866,S200000,00200,0300,52157 866,S200000,00300,0100,CLAYTON 866,S200000,00300,0300,R 866,S200000,00400,0100,GREAT RIVER CARE CENTER 866,S200000,00400,0200,165301 866,S200000,00400,0300,01/01/1997 866,S200000,00400,0500,P 866,S200000,01500,0100,Y 866,S700003,00000,0400,4 870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 870,A000000,00300,0000,00300EMPLOYEE BENEFITS 870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 870,A000000,00700,0000,00700HOUSEKEEPING 870,A000000,00800,0000,00800DIETARY 870,A000000,00900,0000,00900NURSING ADMINISTRATION 870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 870,A000000,01300,0000,01300SOCIAL SERVICE 870,A000000,01350,0000,01500ACTIVITIES 870,A000000,01600,0000,01600SKILLED NURSING FACILITY 870,A000000,01810,0000,01810ICF/MR 870,A000000,02100,0000,02100RADIOLOGY 870,A000000,02500,0000,02500PHYSICAL THERAPY 870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 870,A000000,02700,0000,02700SPEECH PATHOLOGY 870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 870,A000000,03550,0000,03550FQHC 870,A000000,05000,0000,05000CORF 870,A000000,05010,0000,05010CMHC 870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 870,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 870,A000000,05300,0000,05300INTEREST EXPENSE 870,A81000A,00100,0100,Y 870,A81000B,00100,0300,INSURANCE 870,A81000B,00200,0300,EQUIPMENT 870,A81000B,00300,0300,PAYROLL TAX & INSUR 870,A81000B,00400,0300,HOME OFFICE 870,A81000C,00100,0100,B 870,A81000C,00100,0200,NCM LIMITED 870,A81000C,00100,0600,HOME OFFICE 870,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 870,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 870,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 870,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 870,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 870,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 870,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 870,B100000,00000,0800,00000MEALS SERVEDDIETARY 870,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 870,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 870,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 870,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 870,E10A180,00501,0300,07/20/2000 870,S000000,00100,0200,06/02/2000 870,S200000,00100,0100,1610 THIRD STREET NE 870,S200000,00200,0100,INDEPENDENCE 870,S200000,00200,0200,IA 870,S200000,00200,0300,50644 870,S200000,00300,0300,R 870,S200000,00400,0100,WEST-VILLAGE CARE CENTER 870,S200000,00400,0200,165303 870,S200000,00400,0300,12/18/1996 870,S200000,00400,0500,P 870,S200000,01500,0100,Y 870,S700003,00000,0400,4 873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 873,A000000,00300,0000,00300EMPLOYEE BENEFITS 873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 873,A000000,00700,0000,00700HOUSEKEEPING 873,A000000,00800,0000,00800DIETARY 873,A000000,00900,0000,00900NURSING ADMINISTRATION 873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 873,A000000,01300,0000,01300SOCIAL SERVICE 873,A000000,01350,0000,01500ACTIVITIES 873,A000000,01600,0000,01600SKILLED NURSING FACILITY 873,A000000,01800,0000,01800NURSING FACILITY 873,A000000,01900,0000,01900OTHER LONG TERM CARE 873,A000000,02100,0000,02100RADIOLOGY 873,A000000,02200,0000,02200LABORATORY 873,A000000,02300,0000,02300INTRAVENOUS THERAPY 873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 873,A000000,02500,0000,02500PHYSICAL THERAPY 873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 873,A000000,02700,0000,02700SPEECH PATHOLOGY 873,A000000,02800,0000,02800ELECTROCARDIOLOGY 873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 873,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 873,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 873,A000000,03200,0000,03200SUPPORT SURFACES 873,A000000,03400,0000,03400CLINIC 873,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 873,A000000,03500,0000,03500RURAL HEALTH CLINIC 873,A000000,04800,0000,04800AMBULANCE 873,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 873,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 873,A000000,05300,0000,05300INTEREST EXPENSE 873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 873,A000000,05500,0000,05500HOSPICE 873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 873,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 873,A000000,06100,0000,06100NONPAID WORKERS 873,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 873,A000000,06200,0000,06200PATIENTS LAUNDRY 873,A81000A,00100,0100,Y 873,A81000B,00100,0300,MANAGEMENT FEE 873,A81000B,00200,0300,CAPITAL - INTEREST 873,A81000B,00300,0300,CAPITAL - DEPRECIATION 873,A81000B,00400,0300,CAPITAL - PROPERTY TAX 873,A81000C,00100,0100,B 873,A81000C,00100,0200,MONTROSE 873,A81000C,00100,0400,INHANCE CORP 873,A81000C,00100,0600,HOME OFFICE 873,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 873,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 873,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 873,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 873,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 873,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 873,B100000,00000,0800,00000MEALS SERVEDDIETARY 873,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 873,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 873,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 873,B100000,00000,1350,00000TIME SPENTACTIVITIES 873,E10A180,00501,0100,04/06/2000 873,E10A180,00501,0300,04/06/2000 873,S000000,00100,0200,03/01/2000 873,S200000,00100,0100,400 SOUTH 7TH STREET 873,S200000,00200,0100,MONTROSE 873,S200000,00200,0200,IA 873,S200000,00200,0300,52639 873,S200000,00300,0100,LEE 873,S200000,00300,0300,R 873,S200000,00400,0100,MONTROSE HEALTH CARE CENTER 873,S200000,00400,0200,165304 873,S200000,00400,0300,11/01/1996 873,S200000,00400,0500,P 873,S200000,00400,0600,P 873,S200000,01600,0100,Y 873,S700003,00000,0400,4 877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 877,A000000,00300,0000,00300EMPLOYEE BENEFITS 877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 877,A000000,00700,0000,00700HOUSEKEEPING 877,A000000,00800,0000,00800DIETARY 877,A000000,00900,0000,00900NURSING ADMINISTRATION 877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 877,A000000,01300,0000,01300SOCIAL SERVICE 877,A000000,01350,0000,01500ACTIVITIES 877,A000000,01600,0000,01600SKILLED NURSING FACILITY 877,A000000,01800,0000,01800NURSING FACILITY 877,A000000,01810,0000,01801ICF/MR 877,A000000,01900,0000,01900OTHER LONG TERM CARE 877,A000000,02100,0000,02100RADIOLOGY 877,A000000,02200,0000,02200LABORATORY 877,A000000,02300,0000,02300INTRAVENOUS THERAPY 877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 877,A000000,02500,0000,02500PHYSICAL THERAPY 877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 877,A000000,02700,0000,02700SPEECH PATHOLOGY 877,A000000,02800,0000,02800ELECTROCARDIOLOGY 877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 877,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 877,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 877,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 877,A000000,03200,0000,03200SUPPORT SURFACES 877,A000000,03400,0000,03400CLINIC 877,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 877,A000000,03500,0000,03500RURAL HEALTH CLINIC 877,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 877,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 877,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 877,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 877,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 877,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 877,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 877,A000000,04400,0000,04400DME RENTED - HHA 877,A000000,04500,0000,04500DME SOLD - HHA 877,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 877,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 877,A000000,04750,0000,05100OSP 877,A000000,04800,0000,04800AMBULANCE 877,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 877,A000000,05000,0000,05000CORF 877,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 877,A000000,05300,0000,05300INTEREST EXPENSE 877,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 877,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 877,A000000,05500,0000,05500HOSPICE 877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 877,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 877,A000000,06100,0000,06100NONPAID WORKERS 877,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 877,A000000,06200,0000,06200PATIENTS LAUNDRY 877,A81000A,00100,0100,Y 877,A81000B,00100,0300,HOME OFFICE - OPERATING 877,A81000B,00200,0300,MME CAPITAL 877,A81000C,00100,0100,B 877,A81000C,00100,0400,CARE INITIATIVE 877,A81000C,00100,0600,HOME OFFICE 877,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 877,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 877,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 877,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 877,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 877,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 877,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 877,B100000,00000,0800,00000MEALS SERVEDDIETARY 877,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 877,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 877,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 877,B100000,00000,1350,00000TIME SPENTACTIVITIES 877,S000000,00100,0200,05/30/2000 877,S200000,00100,0100,1214 N. 7TH STREET 877,S200000,00200,0100,CHARITON 877,S200000,00200,0200,IA 877,S200000,00200,0300,50049-1299 877,S200000,00300,0100,LUCAS 877,S200000,00300,0300,R 877,S200000,00400,0100,CHARITON NURSING AND REHAB CENTER 877,S200000,00400,0200,165305 877,S200000,00400,0300,11/01/1996 877,S200000,00400,0500,P 877,S200000,00400,0600,P 877,S200000,01500,0100,Y 877,S200000,01900,0100,N 877,S700003,00000,0400,4 881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 881,A000000,00300,0000,00300EMPLOYEE BENEFITS 881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 881,A000000,00700,0000,00700HOUSEKEEPING 881,A000000,00800,0000,00800DIETARY 881,A000000,00900,0000,00900NURSING ADMINISTRATION 881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 881,A000000,01300,0000,01300SOCIAL SERVICE 881,A000000,01350,0000,01500ACTIVITIES 881,A000000,01600,0000,01600SKILLED NURSING FACILITY 881,A000000,01800,0000,01800NURSING FACILITY 881,A000000,01810,0000,01801ICF/MR 881,A000000,01900,0000,01900OTHER LONG TERM CARE 881,A000000,02100,0000,02100RADIOLOGY 881,A000000,02200,0000,02200LABORATORY 881,A000000,02300,0000,02300INTRAVENOUS THERAPY 881,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 881,A000000,02500,0000,02500PHYSICAL THERAPY 881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 881,A000000,02700,0000,02700SPEECH PATHOLOGY 881,A000000,02800,0000,02800ELECTROCARDIOLOGY 881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 881,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 881,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 881,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 881,A000000,03200,0000,03200SUPPORT SURFACES 881,A000000,03400,0000,03400CLINIC 881,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 881,A000000,03500,0000,03500RURAL HEALTH CLINIC 881,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 881,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 881,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 881,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 881,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 881,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 881,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 881,A000000,04400,0000,04400DME RENTED - HHA 881,A000000,04500,0000,04500DME SOLD - HHA 881,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 881,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 881,A000000,04750,0000,05100OSP 881,A000000,04800,0000,04800AMBULANCE 881,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 881,A000000,05000,0000,05000CORF 881,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 881,A000000,05300,0000,05300INTEREST EXPENSE 881,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 881,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 881,A000000,05500,0000,05500HOSPICE 881,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 881,A000000,05900,0000,05900BARBER & BEAUTY SHOP 881,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 881,A000000,06100,0000,06100NONPAID WORKERS 881,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 881,A000000,06200,0000,06200PATIENTS LAUNDRY 881,A81000A,00100,0100,Y 881,A81000B,00100,0300,HOME OFFICE - OPERATING 881,A81000B,00200,0300,MME CAPITAL 881,A81000C,00100,0100,B 881,A81000C,00100,0400,CARE INITIATIVE 881,A81000C,00100,0600,HOME OFFICE 881,B100000,00000,0100,00000PATIENT DAYSCAP REL COSTS - BLDGS 881,B100000,00000,0200,00000PATIENT DAYSCAP REL COSTS - MOVAB 881,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 881,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 881,B100000,00000,0500,00000PATIENT DAYSPLANT OPERATION MAIN 881,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 881,B100000,00000,0700,00000PATIENT DAYSHOUSEKEEPING 881,B100000,00000,0800,00000PATIENT DAYSDIETARY 881,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 881,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 881,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 881,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 881,S000000,00100,0200,05/30/2000 881,S200000,00100,0100,1201 W. JACKSON 881,S200000,00200,0100,KNOXVILLE 881,S200000,00200,0200,IA 881,S200000,00200,0300,50138-3416 881,S200000,00300,0100,MARION 881,S200000,00300,0300,R 881,S200000,00400,0100,WEST RIDGE NURSING AND REHAB CENTER 881,S200000,00400,0200,165308 881,S200000,00400,0300,11/01/1996 881,S200000,00400,0500,P 881,S200000,01500,0100,Y 881,S200000,01900,0100,N 881,S700003,00000,0400,4 884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 884,A000000,00300,0000,00300EMPLOYEE BENEFITS 884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 884,A000000,00700,0000,00700HOUSEKEEPING 884,A000000,00800,0000,00800DIETARY 884,A000000,00900,0000,00900NURSING ADMINISTRATION 884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 884,A000000,01100,0000,01100PHARMACY 884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 884,A000000,01300,0000,01300SOCIAL SERVICE 884,A000000,01350,0000,01500OTHER GENERAL SERVICES 884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 884,A000000,01600,0000,01600SKILLED NURSING FACILITY 884,A000000,01800,0000,01800NURSING FACILITY 884,A000000,01900,0000,01900OTHER LONG TERM CARE 884,A000000,02100,0000,02100RADIOLOGY 884,A000000,02200,0000,02200LABORATORY 884,A000000,02300,0000,02300INTRAVENOUS THERAPY 884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 884,A000000,02500,0000,02500PHYSICAL THERAPY 884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 884,A000000,02700,0000,02700SPEECH PATHOLOGY 884,A000000,02800,0000,02800ELECTROCARDIOLOGY 884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 884,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 884,A000000,03200,0000,03200SUPPORT SURFACES 884,A000000,03400,0000,03400CLINIC 884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 884,A000000,03500,0000,03500RURAL HEALTH CLINIC 884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 884,A000000,04400,0000,04400DME RENTED - HHA 884,A000000,04500,0000,04500DME SOLD - HHA 884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 884,A000000,04750,0000,05100OSP 884,A000000,04800,0000,04800AMBULANCE 884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 884,A000000,05000,0000,05000CORF 884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 884,A000000,05300,0000,05300INTEREST EXPENSE 884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 884,A000000,05500,0000,05500HOSPICE 884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 884,A000000,06100,0000,06100NONPAID WORKERS 884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 884,A000000,06200,0000,06200PATIENTS LAUNDRY 884,A81000A,00100,0100,Y 884,A81000B,00100,0300,HOME OFFICE COSTS 884,A81000B,00200,0300,NURSING COSTS 884,A81000C,00100,0100,B 884,A81000C,00100,0400,TEALWOOD CARE C 884,A81000C,00100,0600,NH MANAGEMENT 884,S000000,00100,0200,05/22/2000 884,S200000,00100,0100,920 N CHERRY ST 884,S200000,00200,0100,SHELLROCK 884,S200000,00200,0200,IA 884,S200000,00200,0300,50670- 884,S200000,00300,0100,BUTLER 884,S200000,00300,0300,R 884,S200000,00400,0100,SHELLROCK HEALTHCARE CENTER 884,S200000,00400,0200,165309 884,S200000,00400,0300,01/21/1997 884,S200000,00400,0500,P 884,S200000,01600,0100,Y 884,S200000,01900,0100,N 884,S700003,00000,0400,4 887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 887,A000000,00300,0000,00300EMPLOYEE BENEFITS 887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 887,A000000,00700,0000,00700HOUSEKEEPING 887,A000000,00800,0000,00800DIETARY 887,A000000,00900,0000,00900NURSING ADMINISTRATION 887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 887,A000000,01300,0000,01300SOCIAL SERVICE 887,A000000,01350,0000,01500ACTIVITIES 887,A000000,01600,0000,01600SKILLED NURSING FACILITY 887,A000000,01800,0000,01800NURSING FACILITY 887,A000000,01810,0000,01801ICF/MR 887,A000000,01900,0000,01900OTHER LONG TERM CARE 887,A000000,02100,0000,02100RADIOLOGY 887,A000000,02200,0000,02200LABORATORY 887,A000000,02300,0000,02300INTRAVENOUS THERAPY 887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 887,A000000,02500,0000,02500PHYSICAL THERAPY 887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 887,A000000,02700,0000,02700SPEECH PATHOLOGY 887,A000000,02800,0000,02800ELECTROCARDIOLOGY 887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 887,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 887,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 887,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 887,A000000,03200,0000,03200SUPPORT SURFACES 887,A000000,03400,0000,03400CLINIC 887,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 887,A000000,03500,0000,03500RURAL HEALTH CLINIC 887,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 887,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 887,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 887,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 887,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 887,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 887,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 887,A000000,04400,0000,04400DME RENTED - HHA 887,A000000,04500,0000,04500DME SOLD - HHA 887,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 887,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 887,A000000,04750,0000,05100OSP 887,A000000,04800,0000,04800AMBULANCE 887,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 887,A000000,05000,0000,05000CORF 887,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 887,A000000,05300,0000,05300INTEREST EXPENSE 887,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 887,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 887,A000000,05500,0000,05500HOSPICE 887,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 887,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 887,A000000,06100,0000,06100NONPAID WORKERS 887,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 887,A000000,06200,0000,06200PATIENTS LAUNDRY 887,A81000A,00100,0100,Y 887,A81000B,00100,0300,HOME OFFICE - OPERATING 887,A81000B,00200,0300,MME CAPITAL 887,A81000C,00100,0100,B 887,A81000C,00100,0400,CARE INITIATIVE 887,A81000C,00100,0600,HOME OFFICE 887,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 887,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 887,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 887,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 887,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 887,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 887,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 887,B100000,00000,0800,00000MEALS SERVEDDIETARY 887,B100000,00000,0900,00000NURSING HOURSNURSING ADMINISTRATI 887,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 887,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 887,B100000,00000,1350,00000TIME SPENTACTIVITIES 887,E10A180,00501,0300,07/28/2000 887,S000000,00100,0200,05/30/2000 887,S200000,00100,0100,200 CLIVE DRIVE SW 887,S200000,00200,0100,CEDAR RAPIDS 887,S200000,00200,0200,IA 887,S200000,00200,0300,52404-1324 887,S200000,00300,0100,LINN 887,S200000,00300,0300,U 887,S200000,00400,0100,HERITAGE NURSING AND REHAB CENTER 887,S200000,00400,0200,165310 887,S200000,00400,0300,02/01/1997 887,S200000,00400,0500,P 887,S200000,01600,0100,Y 887,S200000,01900,0100,N 887,S700003,00000,0400,4 891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 891,A000000,00300,0000,00300EMPLOYEE BENEFITS 891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 891,A000000,00700,0000,00700HOUSEKEEPING 891,A000000,00800,0000,00800DIETARY 891,A000000,00900,0000,00900NURSING ADMINISTRATION 891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 891,A000000,01100,0000,01100PHARMACY 891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 891,A000000,01300,0000,01300SOCIAL SERVICE 891,A000000,01350,0000,01500OTHER GENERAL SERVICES 891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 891,A000000,01600,0000,01600SKILLED NURSING FACILITY 891,A000000,01800,0000,01800NURSING FACILITY 891,A000000,01810,0000,01801ICF/MR 891,A000000,01900,0000,01900OTHER LONG TERM CARE 891,A000000,02100,0000,02100RADIOLOGY 891,A000000,02200,0000,02200LABORATORY 891,A000000,02300,0000,02300INTRAVENOUS THERAPY 891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 891,A000000,02500,0000,02500PHYSICAL THERAPY 891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 891,A000000,02700,0000,02700SPEECH PATHOLOGY 891,A000000,02800,0000,02800ELECTROCARDIOLOGY 891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 891,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 891,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 891,A000000,03200,0000,03200SUPPORT SURFACES 891,A000000,03400,0000,03400CLINIC 891,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 891,A000000,03500,0000,03500RURAL HEALTH CLINIC 891,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 891,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 891,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 891,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 891,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 891,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 891,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 891,A000000,04400,0000,04400DME RENTED - HHA 891,A000000,04500,0000,04500DME SOLD - HHA 891,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 891,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 891,A000000,04750,0000,05100OSP 891,A000000,04800,0000,04800AMBULANCE 891,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 891,A000000,05000,0000,05000CORF 891,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 891,A000000,05300,0000,05300INTEREST EXPENSE 891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 891,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 891,A000000,05500,0000,05500HOSPICE 891,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 891,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 891,A000000,06100,0000,06100NONPAID WORKERS 891,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 891,A000000,06200,0000,06200PATIENTS LAUNDRY 891,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 891,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 891,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 891,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 891,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 891,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 891,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 891,B100000,00000,0800,00000PATIENT DAYSDIETARY 891,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 891,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 891,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 891,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 891,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 891,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 891,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 891,E10A180,00501,0100,07/25/2000 891,E10A180,00501,0300,07/25/2000 891,S000000,00100,0200,05/30/2000 891,S200000,00100,0100,954 7TH AVE 891,S200000,00200,0100,LEMARS 891,S200000,00200,0200,IA 891,S200000,00200,0300,51031- 891,S200000,00300,0100,PLYMOUTH 891,S200000,00300,0300,R 891,S200000,00400,0100,PLYMOUTH MANOR CARE CENTER 891,S200000,00400,0200,165311 891,S200000,00400,0300,06/01/1997 891,S200000,00400,0500,P 891,S200000,01500,0100,Y 891,S200000,01900,0100,N 891,S700003,00000,0400,4 895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 895,A000000,00300,0000,00300EMPLOYEE BENEFITS 895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 895,A000000,00700,0000,00700HOUSEKEEPING 895,A000000,00800,0000,00800DIETARY 895,A000000,00900,0000,00900NURSING ADMINISTRATION 895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 895,A000000,01300,0000,01300SOCIAL SERVICE 895,A000000,01350,0000,01500ACTIVITIES 895,A000000,01600,0000,01600SKILLED NURSING FACILITY 895,A000000,01800,0000,01800NURSING FACILITY 895,A000000,01810,0000,01801ICF/MR 895,A000000,01900,0000,01900OTHER LONG TERM CARE 895,A000000,02100,0000,02100RADIOLOGY 895,A000000,02200,0000,02200LABORATORY 895,A000000,02300,0000,02300INTRAVENOUS THERAPY 895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 895,A000000,02500,0000,02500PHYSICAL THERAPY 895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 895,A000000,02700,0000,02700SPEECH PATHOLOGY 895,A000000,02800,0000,02800ELECTROCARDIOLOGY 895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 895,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 895,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 895,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 895,A000000,03200,0000,03200SUPPORT SURFACES 895,A000000,03400,0000,03400CLINIC 895,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 895,A000000,03500,0000,03500RURAL HEALTH CLINIC 895,A000000,04750,0000,05100OSP 895,A000000,04800,0000,04800AMBULANCE 895,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 895,A000000,05000,0000,05000CORF 895,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 895,A000000,05300,0000,05300INTEREST EXPENSE 895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 895,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 895,A000000,05500,0000,05500HOSPICE 895,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 895,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 895,A000000,06100,0000,06100NONPAID WORKERS 895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 895,A000000,06200,0000,06200PATIENTS LAUNDRY 895,A81000A,00100,0100,Y 895,A81000B,00100,0300,HOME OFFICE - OPERATING 895,A81000B,00200,0300,MME CAPITAL 895,A81000C,00100,0100,B 895,A81000C,00100,0400,CARE INITIATIVE 895,A81000C,00100,0600,HOME OFFICE 895,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 895,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 895,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 895,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 895,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 895,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 895,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 895,B100000,00000,0800,00000MEALS SERVEDDIETARY 895,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 895,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 895,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 895,B100000,00000,1350,00000TIME SPENTACTIVITIES 895,S000000,00100,0200,05/30/2000 895,S200000,00100,0100,607 QUEEN STREET 895,S200000,00200,0100,FONDA 895,S200000,00200,0200,IA 895,S200000,00200,0300,50540-0504 895,S200000,00300,0100,POCAHONTAS 895,S200000,00300,0300,R 895,S200000,00400,0100,FONDA NURSING AND REHAB CENTER 895,S200000,00400,0200,165312 895,S200000,00400,0300,12/01/1996 895,S200000,00400,0500,P 895,S200000,01500,0100,Y 895,S200000,01900,0100,N 895,S700003,00000,0400,4 899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 899,A000000,00300,0000,00300EMPLOYEE BENEFITS 899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 899,A000000,00700,0000,00700HOUSEKEEPING 899,A000000,00800,0000,00800DIETARY 899,A000000,00900,0000,00900NURSING ADMINISTRATION 899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 899,A000000,01300,0000,01300SOCIAL SERVICE 899,A000000,01350,0000,01500ACTIVITIES 899,A000000,01600,0000,01600SKILLED NURSING FACILITY 899,A000000,01800,0000,01800NURSING FACILITY 899,A000000,01810,0000,01801ICF/MR 899,A000000,01900,0000,01900OTHER LONG TERM CARE 899,A000000,02100,0000,02100RADIOLOGY 899,A000000,02200,0000,02200LABORATORY 899,A000000,02300,0000,02300INTRAVENOUS THERAPY 899,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 899,A000000,02500,0000,02500PHYSICAL THERAPY 899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 899,A000000,02700,0000,02700SPEECH PATHOLOGY 899,A000000,02800,0000,02800ELECTROCARDIOLOGY 899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 899,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 899,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 899,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 899,A000000,03200,0000,03200SUPPORT SURFACES 899,A000000,03400,0000,03400CLINIC 899,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 899,A000000,03500,0000,03500RURAL HEALTH CLINIC 899,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 899,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 899,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 899,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 899,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 899,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 899,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 899,A000000,04400,0000,04400DME RENTED - HHA 899,A000000,04500,0000,04500DME SOLD - HHA 899,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 899,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 899,A000000,04750,0000,05100OSP 899,A000000,04800,0000,04800AMBULANCE 899,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 899,A000000,05000,0000,05000CORF 899,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 899,A000000,05300,0000,05300INTEREST EXPENSE 899,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 899,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 899,A000000,05500,0000,05500HOSPICE 899,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 899,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 899,A000000,06100,0000,06100NONPAID WORKERS 899,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 899,A000000,06200,0000,06200PATIENTS LAUNDRY 899,A81000A,00100,0100,Y 899,A81000B,00100,0300,HOME OFFICE - OPERATING 899,A81000B,00200,0300,MME CAPITAL 899,A81000C,00100,0100,B 899,A81000C,00100,0400,CARE INITIATIVE 899,A81000C,00100,0600,HOME OFFICE 899,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 899,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 899,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 899,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 899,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 899,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 899,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 899,B100000,00000,0800,00000MEALS SERVEDDIETARY 899,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 899,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 899,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 899,B100000,00000,1350,00000TIME SPENTACTIVITIES 899,S000000,00100,0200,05/30/2000 899,S200000,00100,0100,200 16TH AVE EAST 899,S200000,00200,0100,ALBIA 899,S200000,00200,0200,IA 899,S200000,00200,0300,52531-2718 899,S200000,00300,0100,MONROE 899,S200000,00300,0300,R 899,S200000,00400,0100,OAKWOOD NURSING AND REHAB CENTER 899,S200000,00400,0200,165313 899,S200000,00400,0300,02/12/1997 899,S200000,00400,0500,P 899,S200000,01500,0100,Y 899,S200000,01900,0100,N 899,S700003,00000,0400,4 902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 902,A000000,00300,0000,00300EMPLOYEE BENEFITS 902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 902,A000000,00700,0000,00700HOUSEKEEPING 902,A000000,00800,0000,00800DIETARY 902,A000000,00900,0000,00900NURSING ADMINISTRATION 902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 902,A000000,01300,0000,01300SOCIAL SERVICE 902,A000000,01350,0000,01500ACTIVITIES 902,A000000,01600,0000,01600SKILLED NURSING FACILITY 902,A000000,01800,0000,01800NURSING FACILITY 902,A000000,01810,0000,01801ICF/MR 902,A000000,01900,0000,01900OTHER LONG TERM CARE 902,A000000,02100,0000,02100RADIOLOGY 902,A000000,02200,0000,02200LABORATORY 902,A000000,02300,0000,02300INTRAVENOUS THERAPY 902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 902,A000000,02500,0000,02500PHYSICAL THERAPY 902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 902,A000000,02700,0000,02700SPEECH PATHOLOGY 902,A000000,02800,0000,02800ELECTROCARDIOLOGY 902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 902,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 902,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 902,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 902,A000000,03200,0000,03200SUPPORT SURFACES 902,A000000,03400,0000,03400CLINIC 902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 902,A000000,03500,0000,03500RURAL HEALTH CLINIC 902,A000000,04750,0000,05100OSP 902,A000000,04800,0000,04800AMBULANCE 902,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 902,A000000,05000,0000,05000CORF 902,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 902,A000000,05300,0000,05300INTEREST EXPENSE 902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 902,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 902,A000000,05500,0000,05500HOSPICE 902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 902,A000000,06100,0000,06100NONPAID WORKERS 902,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 902,A000000,06200,0000,06200PATIENTS LAUNDRY 902,A81000A,00100,0100,Y 902,A81000B,00100,0300,HOME OFFICE - OPERATING 902,A81000B,00200,0300,MME CAPITAL 902,A81000C,00100,0100,B 902,A81000C,00100,0400,CARE INITIATIVE 902,A81000C,00100,0600,HOME OFFICE 902,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 902,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 902,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 902,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 902,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 902,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 902,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 902,B100000,00000,0800,00000MEALS SERVEDDIETARY 902,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 902,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 902,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 902,B100000,00000,1350,00000TIME SPENTACTIVITIES 902,S000000,00100,0200,05/30/2000 902,S200000,00100,0100,215 S. OAK 902,S200000,00100,0300,69 902,S200000,00200,0100,LAMONI 902,S200000,00200,0200,IA 902,S200000,00200,0300,50140-0460 902,S200000,00300,0100,DECATUR 902,S200000,00300,0300,R 902,S200000,00400,0100,LAMONI NURSING AND REHAB CENTER 902,S200000,00400,0200,165314 902,S200000,00400,0300,12/11/1996 902,S200000,00400,0500,P 902,S200000,01500,0100,Y 902,S200000,01900,0100,N 902,S700003,00000,0400,4 906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 906,A000000,00300,0000,00300EMPLOYEE BENEFITS 906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 906,A000000,00700,0000,00700HOUSEKEEPING 906,A000000,00800,0000,00800DIETARY 906,A000000,00900,0000,00900NURSING ADMINISTRATION 906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 906,A000000,01300,0000,01300SOCIAL SERVICE 906,A000000,01350,0000,01500ACTIVITIES 906,A000000,01600,0000,01600SKILLED NURSING FACILITY 906,A000000,01800,0000,01800NURSING FACILITY 906,A000000,01810,0000,01801ICF/MR 906,A000000,01900,0000,01900OTHER LONG TERM CARE 906,A000000,02100,0000,02100RADIOLOGY 906,A000000,02200,0000,02200LABORATORY 906,A000000,02300,0000,02300INTRAVENOUS THERAPY 906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 906,A000000,02500,0000,02500PHYSICAL THERAPY 906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 906,A000000,02700,0000,02700SPEECH PATHOLOGY 906,A000000,02800,0000,02800ELECTROCARDIOLOGY 906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 906,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 906,A000000,03200,0000,03200SUPPORT SURFACES 906,A000000,03400,0000,03400CLINIC 906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 906,A000000,03500,0000,03500RURAL HEALTH CLINIC 906,A000000,04750,0000,05100OSP 906,A000000,04800,0000,04800AMBULANCE 906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 906,A000000,05000,0000,05000CORF 906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 906,A000000,05300,0000,05300INTEREST EXPENSE 906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 906,A000000,05500,0000,05500HOSPICE 906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 906,A000000,06100,0000,06100NONPAID WORKERS 906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 906,A000000,06200,0000,06200PATIENTS LAUNDRY 906,A81000A,00100,0100,Y 906,A81000B,00100,0300,HOME OFFICE - OPERATING 906,A81000B,00200,0300,MME CAPITAL 906,A81000C,00100,0100,B 906,A81000C,00100,0400,CARE INITIATIVE 906,A81000C,00100,0600,HOME OFFICE 906,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 906,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 906,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 906,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 906,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 906,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 906,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 906,B100000,00000,0800,00000MEALS SERVEDDIETARY 906,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 906,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 906,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 906,B100000,00000,1350,00000TIME SPENTACTIVITIES 906,S000000,00100,0200,05/30/2000 906,S200000,00100,0100,1510 22ND STREET 906,S200000,00200,0100,ELDORA 906,S200000,00200,0200,IA 906,S200000,00200,0300,50627-1511 906,S200000,00300,0100,HARDIN 906,S200000,00300,0300,R 906,S200000,00400,0100,ELDORA NURSING AND REHAB CENTER 906,S200000,00400,0200,165316 906,S200000,00400,0300,05/01/1997 906,S200000,00400,0500,P 906,S200000,01500,0100,Y 906,S200000,01900,0100,N 906,S700003,00000,0400,4 909,S000000,00100,0200,05/05/2000 913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 913,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 913,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 913,A000000,00300,0000,00300EMPLOYEE BENEFITS 913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 913,A000000,00700,0000,00700HOUSEKEEPING 913,A000000,00800,0000,00800DIETARY 913,A000000,00801,0000,00801CAFETERIA 913,A000000,00900,0000,00900NURSING ADMINISTRATION 913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 913,A000000,01100,0000,01100PHARMACY 913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 913,A000000,01300,0000,01300SOCIAL SERVICE 913,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 913,A000000,01600,0000,01600SKILLED NURSING FACILITY 913,A000000,01800,0000,01800NURSING FACILITY 913,A000000,01900,0000,01900OTHER LONG TERM CARE 913,A000000,02100,0000,02100RADIOLOGY 913,A000000,02200,0000,02200LABORATORY 913,A000000,02300,0000,02300INTRAVENOUS THERAPY 913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 913,A000000,02500,0000,02500PHYSICAL THERAPY 913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 913,A000000,02700,0000,02700SPEECH PATHOLOGY 913,A000000,02800,0000,02800ELECTROCARDIOLOGY 913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 913,A000000,03050,0000,03300OTHER ANCILLARY 913,A000000,03051,0000,03301OTHER ANCILLARY II 913,A000000,03052,0000,03302OTHER ANCILLARY III 913,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 913,A000000,03200,0000,03200SUPPORT SURFACES 913,A000000,03400,0000,03400CLINIC 913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 913,A000000,03500,0000,03500RURAL HEALTH CLINIC 913,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 913,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 913,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 913,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 913,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 913,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 913,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 913,A000000,04400,0000,04400DME RENTED - HHA 913,A000000,04500,0000,04500DME SOLD - HHA 913,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 913,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 913,A000000,04800,0000,04800AMBULANCE 913,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 913,A000000,05000,0000,05000CORF I 913,A000000,05010,0000,05010CMHC I 913,A000000,05020,0000,05020OPT I 913,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 913,A000000,05300,0000,05300INTEREST EXPENSE 913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 913,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 913,A000000,05500,0000,05500HOSPICE 913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 913,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 913,A000000,06100,0000,06100NONPAID WORKERS 913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 913,A000000,06200,0000,06200PATIENTS LAUNDRY 913,A81000A,00100,0100,Y 913,A81000B,00100,0300,INTEREST 913,A81000B,00200,0300,AUTO FEES 913,A81000C,00100,0100,G 913,A81000C,00100,0200,DENNIS OLSON 913,A81000C,00200,0100,F 913,A81000C,00200,0200,DONNA ZELLER 913,A81000C,03100,0000,OWNER 913,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 913,B100000,00000,0150,00000(SQUARE FEET)CAP REL COSTS - BLDG 913,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 913,B100000,00000,0250,00000(SQUARE FEET)CAP REL COSTS - MOVA 913,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 913,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 913,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 913,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 913,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 913,B100000,00000,0800,00000(MEALS SERVED)DIETARY 913,B100000,00000,0850,00000(MEALS SERVED)CAFETERIA 913,B100000,00000,0900,00000(NURSING SALARIES)NURSING ADMINIST 913,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 913,B100000,00000,1100,00000(PATIENT DAYS)PHARMACY 913,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 913,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 913,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 913,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 913,E10A180,00501,0100,05/18/2000 913,S000000,00100,0200,06/15/2000 913,S200000,00100,0100,2501 24TH STREET 913,S200000,00200,0100,DES MOINES 913,S200000,00200,0200,IA 913,S200000,00200,0300,50310 913,S200000,00300,0100,POLK 913,S200000,00300,0300,U 913,S200000,00400,0100,THE ABBEY 913,S200000,00400,0200,165319 913,S200000,00400,0300,11/01/1997 913,S200000,00400,0500,P 913,S200000,01500,0100,Y 913,S200000,01900,0100,N 913,S200000,02200,0100,Y 913,S700003,00000,0400,4 916,S000000,00100,0200,05/05/2000 918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 918,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 918,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 918,A000000,00300,0000,00300EMPLOYEE BENEFITS 918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 918,A000000,00700,0000,00700HOUSEKEEPING 918,A000000,00800,0000,00800DIETARY 918,A000000,00801,0000,00801CAFETERIA 918,A000000,00900,0000,00900NURSING ADMINISTRATION 918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 918,A000000,01100,0000,01100PHARMACY 918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 918,A000000,01300,0000,01300SOCIAL SERVICE 918,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 918,A000000,01600,0000,01600SKILLED NURSING FACILITY 918,A000000,01800,0000,01800NURSING FACILITY 918,A000000,01900,0000,01900OTHER LONG TERM CARE 918,A000000,02100,0000,02100RADIOLOGY 918,A000000,02200,0000,02200LABORATORY 918,A000000,02300,0000,02300INTRAVENOUS THERAPY 918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 918,A000000,02500,0000,02500PHYSICAL THERAPY 918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 918,A000000,02700,0000,02700SPEECH PATHOLOGY 918,A000000,02800,0000,02800ELECTROCARDIOLOGY 918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 918,A000000,03050,0000,03300OTHER ANCILLARY 918,A000000,03051,0000,03301OTHER ANCILLARY II 918,A000000,03052,0000,03302OTHER ANCILLARY III 918,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 918,A000000,03200,0000,03200SUPPORT SURFACES 918,A000000,03400,0000,03400CLINIC 918,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 918,A000000,03500,0000,03500RURAL HEALTH CLINIC 918,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 918,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 918,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 918,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 918,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 918,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 918,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 918,A000000,04400,0000,04400DME RENTED - HHA 918,A000000,04500,0000,04500DME SOLD - HHA 918,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 918,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 918,A000000,04750,0000,05100OSP 918,A000000,04800,0000,04800AMBULANCE 918,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 918,A000000,05000,0000,05000CORF 918,A000000,05010,0000,05010CMHC I 918,A000000,05020,0000,05020OPT I 918,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 918,A000000,05300,0000,05300INTEREST EXPENSE 918,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 918,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 918,A000000,05500,0000,05500HOSPICE 918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 918,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 918,A000000,06100,0000,06100NONPAID WORKERS 918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 918,A000000,06200,0000,06200PATIENTS LAUNDRY 918,A81000A,00100,0100,Y 918,A81000B,00100,0300,RENT 918,A81000C,00100,0100,B 918,A81000C,00100,0400,SANBORN DEV 918,A81000C,00100,0600,REAL ESTATE 918,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 918,B100000,00000,0101,00000SQUARE FEETCAP REL COSTS - BLDGS & 918,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 918,B100000,00000,0201,00000SQUARE FEETCAP REL COSTS - MOVABLE 918,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 918,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 918,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 918,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 918,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 918,B100000,00000,0800,00000MEALS SERVEDDIETARY 918,B100000,00000,0801,00000MEALS SERVEDCAFETERIA 918,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATION 918,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SUPP 918,B100000,00000,1100,00000PTIENT DAYSPHARMACY 918,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 918,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 918,B100000,00000,1350,00000PATIENT DAYSOTHER GENERAL SERVICE C 918,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 918,S000000,00100,0200,05/23/2000 918,S200000,00100,0100,610 EASTERN STREET 918,S200000,00200,0100,SANBORN 918,S200000,00200,0200,IA 918,S200000,00200,0300,51248 918,S200000,00300,0100,OBRIEN 918,S200000,00300,0300,R 918,S200000,00400,0100,PRAIRIE VIEW HOME 918,S200000,00400,0200,165321 918,S200000,00400,0300,03/01/1997 918,S200000,00400,0500,P 918,S200000,01500,0100,Y 918,S200000,01900,0100,N 918,S200000,02800,0100,Y 918,S700003,00000,0400,4 922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 922,A000000,00300,0000,00300EMPLOYEE BENEFITS 922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 922,A000000,00700,0000,00700HOUSEKEEPING 922,A000000,00800,0000,00800DIETARY 922,A000000,00900,0000,00900NURSING ADMINISTRATION 922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 922,A000000,01100,0000,01100PHARMACY 922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 922,A000000,01300,0000,01300SOCIAL SERVICE 922,A000000,01350,0000,01500OTHER GENERAL SERVICES 922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 922,A000000,01600,0000,01600SKILLED NURSING FACILITY 922,A000000,01800,0000,01800NURSING FACILITY 922,A000000,01900,0000,01900OTHER LONG TERM CARE 922,A000000,02100,0000,02100RADIOLOGY 922,A000000,02200,0000,02200LABORATORY 922,A000000,02300,0000,02300INTRAVENOUS THERAPY 922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 922,A000000,02500,0000,02500PHYSICAL THERAPY 922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 922,A000000,02700,0000,02700SPEECH PATHOLOGY 922,A000000,02800,0000,02800ELECTROCARDIOLOGY 922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 922,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 922,A000000,03200,0000,03200SUPPORT SURFACES 922,A000000,03400,0000,03400CLINIC 922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 922,A000000,03500,0000,03500RURAL HEALTH CLINIC 922,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 922,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 922,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 922,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 922,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 922,A000000,04400,0000,04400DME RENTED - HHA 922,A000000,04500,0000,04500DME SOLD - HHA 922,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 922,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 922,A000000,04750,0000,05100OSP 922,A000000,04800,0000,04800AMBULANCE 922,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 922,A000000,05000,0000,05000CORF 922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 922,A000000,05300,0000,05300INTEREST EXPENSE 922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 922,A000000,05500,0000,05500HOSPICE 922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 922,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 922,A000000,06100,0000,06100NONPAID WORKERS 922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 922,A000000,06200,0000,06200PATIENTS LAUNDRY 922,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 922,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 922,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 922,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 922,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 922,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 922,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 922,B100000,00000,0800,00000MEALS SERVEDDIETARY 922,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 922,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 922,B100000,00000,1100,00000PATIENT DAYSPHARMACY 922,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 922,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 922,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 922,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 922,E10A180,00550,0300,06/20/2000 922,S000000,00100,0200,05/30/2000 922,S200000,00100,0100,2115 FIRST AVENUE SE 922,S200000,00200,0100,CEDAR RAPIDS 922,S200000,00200,0200,IL 922,S200000,00200,0300,52402- 922,S200000,00300,0100,LINN 922,S200000,00300,0300,U 922,S200000,00400,0100,COTTAGE GROVE PLACE 922,S200000,00400,0200,165322 922,S200000,00400,0300,05/07/1997 922,S200000,00400,0500,P 922,S200000,00400,0600,O 922,S200000,01500,0100,Y 922,S200000,01900,0100,N 922,S200000,04200,0100,Y 922,S700003,00000,0400,4 925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 925,A000000,00300,0000,00300EMPLOYEE BENEFITS 925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 925,A000000,00700,0000,00700HOUSEKEEPING 925,A000000,00800,0000,00800DIETARY 925,A000000,00900,0000,00900NURSING ADMINISTRATION 925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 925,A000000,01300,0000,01300SOCIAL SERVICE 925,A000000,01350,0000,01500ACTIVITIES 925,A000000,01600,0000,01600SKILLED NURSING FACILITY 925,A000000,01800,0000,01800NURSING FACILITY 925,A000000,01810,0000,01801ICF/MR 925,A000000,01900,0000,01900OTHER LONG TERM CARE 925,A000000,02100,0000,02100RADIOLOGY 925,A000000,02200,0000,02200LABORATORY 925,A000000,02300,0000,02300INTRAVENOUS THERAPY 925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 925,A000000,02500,0000,02500PHYSICAL THERAPY 925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 925,A000000,02700,0000,02700SPEECH PATHOLOGY 925,A000000,02800,0000,02800ELECTROCARDIOLOGY 925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 925,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 925,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 925,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 925,A000000,03200,0000,03200SUPPORT SURFACES 925,A000000,03400,0000,03400CLINIC 925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 925,A000000,03500,0000,03500RURAL HEALTH CLINIC 925,A000000,04750,0000,05100OSP 925,A000000,04800,0000,04800AMBULANCE 925,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 925,A000000,05000,0000,05000CORF 925,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 925,A000000,05300,0000,05300INTEREST EXPENSE 925,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 925,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 925,A000000,05500,0000,05500HOSPICE 925,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 925,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 925,A000000,06100,0000,06100NONPAID WORKERS 925,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 925,A000000,06200,0000,06200PATIENTS LAUNDRY 925,A81000A,00100,0100,Y 925,A81000B,00100,0300,HOME OFFICE - OPERATING 925,A81000B,00200,0300,MME CAPITAL 925,A81000C,00100,0100,B 925,A81000C,00100,0400,CARE INITIATIVE 925,A81000C,00100,0600,HOME OFFICE 925,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 925,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 925,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 925,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 925,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 925,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 925,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 925,B100000,00000,0800,00000MEALS SERVEDDIETARY 925,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 925,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 925,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 925,B100000,00000,1350,00000TIME SPENTACTIVITIES 925,S000000,00100,0200,05/30/2000 925,S200000,00100,0100,1116 E. HIGHWAY 20 925,S200000,00100,0300,H 925,S200000,00200,0100,CORRECTIONVILLE 925,S200000,00200,0200,IA 925,S200000,00200,0300,51016-0028 925,S200000,00300,0100,WOODBURY 925,S200000,00300,0300,U 925,S200000,00400,0100,CORRECTIONVILLE NURSING & REHAB CTR 925,S200000,00400,0200,165323 925,S200000,00400,0300,04/01/1997 925,S200000,00400,0500,P 925,S200000,01500,0100,Y 925,S200000,01900,0100,N 925,S700003,00000,0400,4 930,S000000,00100,0200,06/01/2000 932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 932,A000000,00300,0000,00300EMPLOYEE BENEFITS 932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 932,A000000,00700,0000,00700HOUSEKEEPING 932,A000000,00800,0000,00800DIETARY 932,A000000,00900,0000,00900NURSING ADMINISTRATION 932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 932,A000000,01300,0000,01300SOCIAL SERVICE 932,A000000,01350,0000,01500ACTIVITIES 932,A000000,01600,0000,01600SKILLED NURSING FACILITY 932,A000000,01810,0000,01810ICF/MR 932,A000000,02100,0000,02100RADIOLOGY 932,A000000,02200,0000,02200LABORATORY 932,A000000,02500,0000,02500PHYSICAL THERAPY 932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 932,A000000,02700,0000,02700SPEECH PATHOLOGY 932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 932,A000000,03550,0000,03550FQHC 932,A000000,05000,0000,05000CORF 932,A000000,05010,0000,05010CMHC 932,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 932,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 932,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 932,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 932,A000000,05300,0000,05300INTEREST EXPENSE 932,A81000A,00100,0100,Y 932,A81000B,00100,0300,INSURANCE 932,A81000B,00200,0300,EQUIPMENT 932,A81000B,00300,0300,PAYROLL TAX & INSUR 932,A81000B,00400,0300,HOME OFFICE 932,A81000C,00100,0100,B 932,A81000C,00100,0200,ABCM CORP. 932,A81000C,00100,0600,HOME OFFICE 932,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 932,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 932,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 932,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 932,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 932,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 932,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 932,B100000,00000,0800,00000MEALS SERVEDDIETARY 932,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 932,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 932,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 932,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 932,E10A180,00501,0300,07/21/2000 932,S000000,00100,0200,06/02/2000 932,S200000,00100,0100,1212 SOUTH STUART 932,S200000,00200,0100,SIGOURNEY 932,S200000,00200,0200,IA 932,S200000,00200,0300,52591 932,S200000,00300,0100,KEOKUK 932,S200000,00300,0300,R 932,S200000,00400,0100,MANOR HOUSE CARE CENTER 932,S200000,00400,0200,165325 932,S200000,00400,0300,05/05/1997 932,S200000,00400,0500,P 932,S200000,01500,0100,Y 932,S700003,00000,0400,4 938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 938,A000000,00300,0000,00300EMPLOYEE BENEFITS 938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 938,A000000,00700,0000,00700HOUSEKEEPING 938,A000000,00800,0000,00800DIETARY 938,A000000,00900,0000,00900NURSING ADMINISTRATION 938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 938,A000000,01300,0000,01300SOCIAL SERVICE 938,A000000,01350,0000,01500ACTIVITIES 938,A000000,01600,0000,01600SKILLED NURSING FACILITY 938,A000000,02100,0000,02100RADIOLOGY 938,A000000,02200,0000,02200LABORATORY 938,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 938,A000000,02500,0000,02500PHYSICAL THERAPY 938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 938,A000000,02700,0000,02700SPEECH PATHOLOGY 938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 938,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 938,A000000,05300,0000,05300INTEREST EXPENSE 938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 938,A81000A,00100,0100,Y 938,A81000B,00100,0300,INSURANCE 938,A81000B,00200,0300,HOME OFFICE 938,A81000B,00300,0300,GROUP INSURANCE 938,A81000B,00400,0300,HOME OFFICE 938,A81000C,00100,0100,B 938,A81000C,00100,0200,ABCM CORPORATIO 938,A81000C,00100,0400,ABCM CORPORATIO 938,A81000C,00100,0600,HOME OFFICE 938,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 938,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 938,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 938,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 938,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 938,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 938,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 938,B100000,00000,0800,00000MEALS SERVEDDIETARY 938,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 938,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 938,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 938,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 938,E10A180,00501,0300,07/20/2000 938,S000000,00100,0200,06/02/2000 938,S200000,00100,0100,800 NORTH DAVIS 938,S200000,00200,0100,BLOOMFIELD 938,S200000,00200,0200,IA 938,S200000,00200,0300,52537 938,S200000,00300,0100,DAVIS 938,S200000,00300,0300,R 938,S200000,00400,0100,BLOOMFIELD CARE CENTER 938,S200000,00400,0200,165326 938,S200000,00400,0300,05/05/1997 938,S200000,00400,0500,P 938,S200000,01500,0100,Y 938,S700003,00000,0400,4 941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 941,A000000,00300,0000,00300EMPLOYEE BENEFITS 941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 941,A000000,00700,0000,00700HOUSEKEEPING 941,A000000,00800,0000,00800DIETARY 941,A000000,00900,0000,00900NURSING ADMINISTRATION 941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 941,A000000,01300,0000,01300SOCIAL SERVICE 941,A000000,01350,0000,01500ACTIVITIES 941,A000000,01600,0000,01600SKILLED NURSING FACILITY 941,A000000,01800,0000,01800NURSING FACILITY 941,A000000,01810,0000,01801ICF/MR 941,A000000,01900,0000,01900OTHER LONG TERM CARE 941,A000000,02100,0000,02100RADIOLOGY 941,A000000,02200,0000,02200LABORATORY 941,A000000,02300,0000,02300INTRAVENOUS THERAPY 941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 941,A000000,02500,0000,02500PHYSICAL THERAPY 941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 941,A000000,02700,0000,02700SPEECH PATHOLOGY 941,A000000,02800,0000,02800ELECTROCARDIOLOGY 941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 941,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 941,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 941,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 941,A000000,03200,0000,03200SUPPORT SURFACES 941,A000000,03400,0000,03400CLINIC 941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 941,A000000,03500,0000,03500RURAL HEALTH CLINIC 941,A000000,04750,0000,05100OSP 941,A000000,04800,0000,04800AMBULANCE 941,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 941,A000000,05000,0000,05000CORF 941,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 941,A000000,05300,0000,05300INTEREST EXPENSE 941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 941,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 941,A000000,05500,0000,05500HOSPICE 941,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 941,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 941,A000000,06100,0000,06100NONPAID WORKERS 941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 941,A000000,06200,0000,06200PATIENTS LAUNDRY 941,A81000A,00100,0100,Y 941,A81000B,00100,0300,HOME OFFICE - OPERATING 941,A81000B,00200,0300,MME CAPITAL 941,A81000C,00100,0100,B 941,A81000C,00100,0400,CARE INITIATIVE 941,A81000C,00100,0600,HOME OFFICE 941,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 941,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 941,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 941,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 941,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 941,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 941,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 941,B100000,00000,0800,00000MEALS SERVEDDIETARY 941,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 941,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 941,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 941,B100000,00000,1350,00000TIME SPENTACTIVITIES 941,S000000,00100,0200,05/30/2000 941,S200000,00100,0100,305 W. 3RD 941,S200000,00100,0300,407 941,S200000,00200,0100,KINGSLEY 941,S200000,00200,0200,IA 941,S200000,00200,0300,51028-0407 941,S200000,00300,0100,PLYMOUTH 941,S200000,00300,0300,R 941,S200000,00400,0100,KINGLSEY NURSING AND REHAB CENTER 941,S200000,00400,0200,165329 941,S200000,00400,0300,05/01/1997 941,S200000,00400,0500,P 941,S200000,01500,0100,Y 941,S200000,01900,0100,N 941,S700003,00000,0400,4 944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 944,A000000,00300,0000,00300EMPLOYEE BENEFITS 944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 944,A000000,00700,0000,00700HOUSEKEEPING 944,A000000,00800,0000,00800DIETARY 944,A000000,00900,0000,00900NURSING ADMINISTRATION 944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 944,A000000,01300,0000,01300SOCIAL SERVICE 944,A000000,01350,0000,01500ACTIVITIES 944,A000000,01600,0000,01600SKILLED NURSING FACILITY 944,A000000,01800,0000,01800NURSING FACILITY 944,A000000,01810,0000,01801ICF/MR 944,A000000,01900,0000,01900OTHER LONG TERM CARE 944,A000000,02100,0000,02100RADIOLOGY 944,A000000,02200,0000,02200LABORATORY 944,A000000,02300,0000,02300INTRAVENOUS THERAPY 944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 944,A000000,02500,0000,02500PHYSICAL THERAPY 944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 944,A000000,02700,0000,02700SPEECH PATHOLOGY 944,A000000,02800,0000,02800ELECTROCARDIOLOGY 944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 944,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 944,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 944,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 944,A000000,03200,0000,03200SUPPORT SURFACES 944,A000000,03400,0000,03400CLINIC 944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 944,A000000,03500,0000,03500RURAL HEALTH CLINIC 944,A000000,04750,0000,05100OTHER REIMBURSABLE COST 944,A000000,04800,0000,04800AMBULANCE 944,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 944,A000000,05000,0000,05000CORF 944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 944,A000000,05300,0000,05300INTEREST EXPENSE 944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 944,A000000,05500,0000,05500HOSPICE 944,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 944,A000000,06100,0000,06100NONPAID WORKERS 944,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 944,A000000,06200,0000,06200PATIENTS LAUNDRY 944,A81000A,00100,0100,Y 944,A81000B,00100,0300,HOME OFFICE - OPERATING 944,A81000B,00200,0300,MME CAPITAL 944,A81000C,00100,0100,B 944,A81000C,00100,0400,CARE INITIATIVE 944,A81000C,00100,0600,HOME OFFICE 944,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 944,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 944,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 944,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 944,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 944,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 944,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 944,B100000,00000,0800,00000MEALS SERVEDDIETARY 944,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 944,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 944,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 944,B100000,00000,1350,00000TIME SPENTACTIVITIES 944,S000000,00100,0200,05/30/2000 944,S200000,00100,0100,1011 N. ROOSEVELT 944,S200000,00200,0100,CHEROKEE 944,S200000,00200,0200,IA 944,S200000,00200,0300,51012-1223 944,S200000,00300,0100,CHEROKEE 944,S200000,00300,0300,R 944,S200000,00400,0100,CHEROKEE VILLA NURSING & REHAB CTR 944,S200000,00400,0200,165330 944,S200000,00400,0300,06/23/1997 944,S200000,00400,0500,P 944,S200000,01500,0100,Y 944,S200000,01900,0100,N 944,S700003,00000,0400,4 947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 947,A000000,00300,0000,00300EMPLOYEE BENEFITS 947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 947,A000000,00700,0000,00700HOUSEKEEPING 947,A000000,00800,0000,00800DIETARY 947,A000000,00900,0000,00900NURSING ADMINISTRATION 947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 947,A000000,01300,0000,01300SOCIAL SERVICE 947,A000000,01350,0000,01500ACTIVITIES 947,A000000,01600,0000,01600SKILLED NURSING FACILITY 947,A000000,02100,0000,02100RADIOLOGY 947,A000000,02200,0000,02200LABORATORY 947,A000000,02300,0000,02300INTRAVENOUS THERAPY 947,A000000,02500,0000,02500PHYSICAL THERAPY 947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 947,A000000,02700,0000,02700SPEECH PATHOLOGY 947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 947,A000000,05300,0000,05300INTEREST EXPENSE 947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 947,A81000A,00100,0100,Y 947,A81000B,00100,0300,INSURANCE 947,A81000B,00200,0300,HOME OFFICE 947,A81000B,00300,0300,GROUP INSURANCE 947,A81000B,00400,0300,HOME OFFICE 947,A81000C,00100,0100,B 947,A81000C,00100,0400,NCM LIMITED 947,A81000C,00100,0600,HOME OFFICE 947,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 947,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 947,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 947,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 947,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 947,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 947,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 947,B100000,00000,0800,00000MEALS SERVEDDIETARY 947,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 947,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 947,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 947,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 947,E10A180,00501,0300,07/21/2000 947,S000000,00100,0200,06/02/2000 947,S200000,00100,0100,200 WASHINGTON AND MANOR ROAD 947,S200000,00200,0100,MORNING SUN 947,S200000,00200,0200,IA 947,S200000,00200,0300,52640 947,S200000,00300,0100,LOUISA 947,S200000,00300,0300,R 947,S200000,00400,0100,MORNING SUN CARE CENTER 947,S200000,00400,0200,165331 947,S200000,00400,0300,05/01/1997 947,S200000,00400,0500,P 947,S200000,01500,0100,Y 947,S700003,00000,0400,4 955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 955,A000000,00300,0000,00300EMPLOYEE BENEFITS 955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 955,A000000,00700,0000,00700HOUSEKEEPING 955,A000000,00800,0000,00800DIETARY 955,A000000,00900,0000,00900NURSING ADMINISTRATION 955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 955,A000000,01300,0000,01300SOCIAL SERVICE 955,A000000,01350,0000,01500ACTIVITIES 955,A000000,01600,0000,01600SKILLED NURSING FACILITY 955,A000000,02100,0000,02100RADIOLOGY 955,A000000,02200,0000,02200LABORATORY 955,A000000,02300,0000,02300INTRAVENOUS THERAPY 955,A000000,02500,0000,02500PHYSICAL THERAPY 955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 955,A000000,02700,0000,02700SPEECH PATHOLOGY 955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 955,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 955,A000000,05300,0000,05300INTEREST EXPENSE 955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 955,A81000A,00100,0100,Y 955,A81000B,00100,0300,INSURANCE 955,A81000B,00200,0300,HOME OFFICE 955,A81000B,00300,0300,GROUP INSURANCE 955,A81000B,00400,0300,HOME OFFICE 955,A81000C,00100,0100,B 955,A81000C,00100,0200,ABCM CORPORATIO 955,A81000C,00100,0400,ABCM CORPORATIO 955,A81000C,00100,0600,HOME OFFICE 955,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 955,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 955,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 955,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 955,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 955,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 955,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 955,B100000,00000,0800,00000MEALS SERVEDDIETARY 955,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 955,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 955,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 955,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 955,E10A180,00501,0300,07/14/2000 955,S000000,00100,0200,06/02/2000 955,S200000,00100,0100,215 HIGHWAY 30 WEST 955,S200000,00200,0100,MOUNT VERNON 955,S200000,00200,0200,IA 955,S200000,00200,0300,52314 955,S200000,00300,0100,LINN 955,S200000,00300,0300,U 955,S200000,00400,0100,HALLMARK CARE CENTER 955,S200000,00400,0200,165333 955,S200000,00400,0300,05/30/1997 955,S200000,00400,0500,P 955,S200000,01500,0100,Y 955,S700003,00000,0400,4 959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 959,A000000,00300,0000,00300EMPLOYEE BENEFITS 959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 959,A000000,00700,0000,00700HOUSEKEEPING 959,A000000,00800,0000,00800DIETARY 959,A000000,00900,0000,00900NURSING ADMINISTRATION 959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 959,A000000,01300,0000,01300SOCIAL SERVICE 959,A000000,01350,0000,01500ACTIVITIES 959,A000000,01600,0000,01600SKILLED NURSING FACILITY 959,A000000,02100,0000,02100RADIOLOGY 959,A000000,02300,0000,02300INTRAVENOUS THERAPY 959,A000000,02500,0000,02500PHYSICAL THERAPY 959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 959,A000000,02700,0000,02700SPEECH PATHOLOGY 959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 959,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 959,A000000,05300,0000,05300INTEREST EXPENSE 959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 959,A81000A,00100,0100,Y 959,A81000B,00100,0300,INSURANCE 959,A81000B,00200,0300,HOME OFFICE 959,A81000B,00300,0300,GROUP INSURANCE 959,A81000B,00400,0300,HOME OFFICE 959,A81000C,00100,0100,B 959,A81000C,00100,0200,ABCM CORPORATIO 959,A81000C,00100,0400,ABCM CORPORATIO 959,A81000C,00100,0600,HOME OFFICE 959,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 959,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 959,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 959,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 959,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 959,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 959,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 959,B100000,00000,0800,00000MEALS SERVEDDIETARY 959,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 959,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 959,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 959,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 959,E10A180,00501,0300,07/14/2000 959,S000000,00100,0200,06/02/2000 959,S200000,00100,0100,1315 ACRE STREET 959,S200000,00200,0100,GUTTENBERG 959,S200000,00200,0200,IA 959,S200000,00200,0300,52052 959,S200000,00300,0100,CLAYTON 959,S200000,00300,0300,R 959,S200000,00400,0100,GUTTENBERG CARE CENTER 959,S200000,00400,0200,165334 959,S200000,00400,0300,06/01/1997 959,S200000,00400,0500,P 959,S200000,01500,0100,Y 959,S700003,00000,0400,4 964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 964,A000000,00300,0000,00300EMPLOYEE BENEFITS 964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 964,A000000,00700,0000,00700HOUSEKEEPING 964,A000000,00800,0000,00800DIETARY 964,A000000,00900,0000,00900NURSING ADMINISTRATION 964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 964,A000000,01300,0000,01300SOCIAL SERVICE 964,A000000,01350,0000,01500OTHER GENERAL SERVICES 964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 964,A000000,01600,0000,01600SKILLED NURSING FACILITY 964,A000000,01800,0000,01800NURSING FACILITY 964,A000000,01810,0000,01801ICF/MR 964,A000000,01900,0000,01900OTHER LONG TERM CARE 964,A000000,02100,0000,02100RADIOLOGY 964,A000000,02200,0000,02200LABORATORY 964,A000000,02300,0000,02300INTRAVENOUS THERAPY 964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 964,A000000,02500,0000,02500PHYSICAL THERAPY 964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 964,A000000,02700,0000,02700SPEECH PATHOLOGY 964,A000000,02800,0000,02800ELECTROCARDIOLOGY 964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 964,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 964,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 964,A000000,03200,0000,03200SUPPORT SURFACES 964,A000000,03400,0000,03400CLINIC 964,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 964,A000000,03500,0000,03500RURAL HEALTH CLINIC 964,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 964,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 964,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 964,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 964,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 964,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 964,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 964,A000000,04400,0000,04400DME RENTED - HHA 964,A000000,04500,0000,04500DME SOLD - HHA 964,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 964,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 964,A000000,04750,0000,05100OSP 964,A000000,04800,0000,04800AMBULANCE 964,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 964,A000000,05000,0000,05000CORF 964,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 964,A000000,05300,0000,05300INTEREST EXPENSE 964,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 964,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 964,A000000,05500,0000,05500HOSPICE 964,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 964,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 964,A000000,06100,0000,06100NONPAID WORKERS 964,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 964,A000000,06200,0000,06200PATIENTS LAUNDRY 964,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 964,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 964,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 964,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 964,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 964,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 964,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 964,B100000,00000,0800,00000MEALS SERVEDDIETARY 964,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 964,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 964,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 964,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 964,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 964,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 964,E10A180,00550,0300,07/18/2000 964,S000000,00100,0200,05/26/2000 964,S200000,00100,0100,403 S. STATE STREET 964,S200000,00100,0300,667 964,S200000,00200,0100,HUBBARD 964,S200000,00200,0200,IA 964,S200000,00200,0300,50122- 964,S200000,00300,0100,HARDIN 964,S200000,00300,0300,R 964,S200000,00400,0100,HUBBARD CARE CENTER 964,S200000,00400,0200,165335 964,S200000,00400,0300,07/07/1997 964,S200000,00400,0500,P 964,S200000,01600,0100,Y 964,S200000,01900,0100,N 964,S700003,00000,0400,4 987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 987,A000000,00300,0000,00300EMPLOYEE BENEFITS 987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 987,A000000,00700,0000,00700HOUSEKEEPING 987,A000000,00800,0000,00800DIETARY 987,A000000,00900,0000,00900NURSING ADMINISTRATION 987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 987,A000000,01300,0000,01300SOCIAL SERVICE 987,A000000,01350,0000,01500ACTIVITIES 987,A000000,01600,0000,01600SKILLED NURSING FACILITY 987,A000000,01810,0000,01810ICF/MR 987,A000000,02100,0000,02100RADIOLOGY 987,A000000,02200,0000,02200LABORATORY 987,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 987,A000000,02500,0000,02500PHYSICAL THERAPY 987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 987,A000000,02700,0000,02700SPEECH PATHOLOGY 987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 987,A000000,03550,0000,03550FQHC 987,A000000,05000,0000,05000CORF 987,A000000,05010,0000,05010CMHC 987,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 987,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 987,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 987,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 987,A000000,05300,0000,05300INTEREST EXPENSE 987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 987,A81000A,00100,0100,Y 987,A81000B,00100,0300,INSURANCE 987,A81000B,00200,0300,EQUIPMENT 987,A81000B,00300,0300,PAYROLL TAXES & INSU 987,A81000B,00400,0300,HOME OFFICE 987,A81000C,00100,0100,B 987,A81000C,00100,0200,ABCM CORP. 987,A81000C,00100,0600,HOME OFFICE 987,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 987,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 987,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 987,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 987,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 987,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 987,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 987,B100000,00000,0800,00000MEALS SERVEDDIETARY 987,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 987,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 987,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 987,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 987,E10A180,00501,0300,07/14/2000 987,S000000,00100,0200,06/02/2000 987,S200000,00100,0100,404 1ST STREET 987,S200000,00200,0100,BATTLE CREEK 987,S200000,00200,0200,IA 987,S200000,00200,0300,51006 987,S200000,00300,0300,R 987,S200000,00400,0100,WILLOW DALE CARE CENTER 987,S200000,00400,0200,165342 987,S200000,00400,0300,07/01/1997 987,S200000,00400,0500,P 987,S200000,01500,0100,Y 987,S700003,00000,0400,4 992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 992,A000000,00300,0000,00300EMPLOYEE BENEFITS 992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 992,A000000,00700,0000,00700HOUSEKEEPING 992,A000000,00800,0000,00800DIETARY 992,A000000,00900,0000,00900NURSING ADMINISTRATION 992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 992,A000000,01300,0000,01300SOCIAL SERVICE 992,A000000,01350,0000,01500ACTIVITIES 992,A000000,01600,0000,01600SKILLED NURSING FACILITY 992,A000000,01810,0000,01810ICF/MR 992,A000000,02500,0000,02500PHYSICAL THERAPY 992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 992,A000000,03550,0000,03550FQHC 992,A000000,05000,0000,05000CORF 992,A000000,05010,0000,05010CMHC 992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 992,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 992,A000000,05300,0000,05300INTEREST EXPENSE 992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 992,A81000A,00100,0100,Y 992,A81000B,00100,0300,INSURANCE 992,A81000B,00200,0300,EQUIPMENT 992,A81000B,00300,0300,PAYROLL TAXES & INSU 992,A81000B,00400,0300,MANAGEMENT FEES 992,A81000C,00100,0100,B 992,A81000C,00100,0200,ABCM CORP 992,A81000C,00100,0600,HOME OFFICE 992,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 992,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 992,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 992,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 992,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 992,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 992,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 992,B100000,00000,0800,00000MEALS SERVEDDIETARY 992,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 992,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 992,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 992,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 992,E10A180,00501,0300,07/14/2000 992,S000000,00100,0200,06/02/2000 992,S200000,00100,0100,601 PARK AVENUE 992,S200000,00200,0100,SAC CITY 992,S200000,00200,0200,IA 992,S200000,00200,0300,50583 992,S200000,00300,0300,R 992,S200000,00400,0100,PARK VIEW CARE CENTER 992,S200000,00400,0200,165343 992,S200000,00400,0300,06/01/1997 992,S200000,00400,0500,P 992,S200000,01500,0100,Y 992,S700003,00000,0400,4 999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 999,A000000,00300,0000,00300EMPLOYEE BENEFITS 999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 999,A000000,00700,0000,00700HOUSEKEEPING 999,A000000,00800,0000,00800DIETARY 999,A000000,00900,0000,00900NURSING ADMINISTRATION 999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 999,A000000,01300,0000,01300SOCIAL SERVICE 999,A000000,01350,0000,01500ACTIVITIES 999,A000000,01600,0000,01600SKILLED NURSING FACILITY 999,A000000,01800,0000,01800NURSING FACILITY 999,A000000,01810,0000,01801ICF/MR 999,A000000,01900,0000,01900OTHER LONG TERM CARE 999,A000000,02100,0000,02100RADIOLOGY 999,A000000,02200,0000,02200LABORATORY 999,A000000,02300,0000,02300INTRAVENOUS THERAPY 999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 999,A000000,02500,0000,02500PHYSICAL THERAPY 999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 999,A000000,02700,0000,02700SPEECH PATHOLOGY 999,A000000,02800,0000,02800ELECTROCARDIOLOGY 999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 999,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 999,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 999,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 999,A000000,03200,0000,03200SUPPORT SURFACES 999,A000000,03400,0000,03400CLINIC 999,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 999,A000000,03500,0000,03500RURAL HEALTH CLINIC 999,A000000,04750,0000,05100OSP 999,A000000,04800,0000,04800AMBULANCE 999,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 999,A000000,05000,0000,05000CORF 999,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 999,A000000,05300,0000,05300INTEREST EXPENSE 999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 999,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 999,A000000,05500,0000,05500HOSPICE 999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 999,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 999,A000000,06100,0000,06100NONPAID WORKERS 999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 999,A000000,06200,0000,06200PATIENTS LAUNDRY 999,A81000A,00100,0100,Y 999,A81000B,00100,0300,HOME OFFICE - OPERATING 999,A81000B,00200,0300,MME CAPITAL 999,A81000C,00100,0100,B 999,A81000C,00100,0400,CARE INITIATIVE 999,A81000C,00100,0600,HOME OFFICE 999,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 999,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 999,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 999,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 999,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 999,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 999,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 999,B100000,00000,0800,00000MEALS SERVEDDIETARY 999,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 999,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 999,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 999,B100000,00000,1350,00000TIME SPENTACTIVITIES 999,E10A180,00501,0300,07/27/2000 999,S000000,00100,0200,05/30/2000 999,S200000,00100,0100,4755 PARKRIDGE AVE 999,S200000,00200,0100,DES MOINES 999,S200000,00200,0200,IA 999,S200000,00200,0300,50317-7228 999,S200000,00300,0100,POLK 999,S200000,00300,0300,U 999,S200000,00400,0100,PARKRIDGE NURSING AND REHAB CENTER 999,S200000,00400,0200,165345 999,S200000,00400,0300,07/01/1997 999,S200000,00400,0500,P 999,S200000,01500,0100,Y 999,S200000,01900,0100,N 999,S700003,00000,0400,4 1005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1005,A000000,00300,0000,00300EMPLOYEE BENEFITS 1005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1005,A000000,00700,0000,00700HOUSEKEEPING 1005,A000000,00800,0000,00800DIETARY 1005,A000000,00900,0000,00900NURSING ADMINISTRATION 1005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1005,A000000,01300,0000,01300SOCIAL SERVICE 1005,A000000,01350,0000,01500ACTIVITIES 1005,A000000,01600,0000,01600SKILLED NURSING FACILITY 1005,A000000,02100,0000,02100RADIOLOGY 1005,A000000,02200,0000,02200LABORATORY 1005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1005,A000000,02500,0000,02500PHYSICAL THERAPY 1005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1005,A000000,02700,0000,02700SPEECH PATHOLOGY 1005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1005,A000000,05300,0000,05300INTEREST EXPENSE 1005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1005,A81000A,00100,0100,Y 1005,A81000B,00100,0300,INSURANCE 1005,A81000B,00200,0300,HOME OFFICE 1005,A81000B,00300,0300,GROUP INSURANCE 1005,A81000B,00400,0300,HOME OFFICE 1005,A81000C,00100,0100,B 1005,A81000C,00100,0200,NCM LIMITED 1005,A81000C,00100,0400,NCM LIMITED 1005,A81000C,00100,0600,HOME OFFICE 1005,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1005,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1005,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1005,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1005,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1005,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1005,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1005,B100000,00000,0800,00000MEALS SERVEDDIETARY 1005,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1005,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1005,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1005,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1005,E10A180,00501,0300,07/14/2000 1005,S000000,00100,0200,06/02/2000 1005,S200000,00100,0100,345 PARROTT 1005,S200000,00200,0100,APLINGTON 1005,S200000,00200,0200,IA 1005,S200000,00200,0300,50604 1005,S200000,00300,0100,BUTLER 1005,S200000,00300,0300,R 1005,S200000,00400,0100,MAPLE MANOR CARE CENTER 1005,S200000,00400,0200,165346 1005,S200000,00400,0300,10/01/1997 1005,S200000,00400,0500,P 1005,S200000,01500,0100,Y 1005,S700003,00000,0400,4 1011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1011,A000000,00300,0000,00300EMPLOYEE BENEFITS 1011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1011,A000000,00700,0000,00700HOUSEKEEPING 1011,A000000,00800,0000,00800DIETARY 1011,A000000,00900,0000,00900NURSING ADMINISTRATION 1011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1011,A000000,01300,0000,01300SOCIAL SERVICE 1011,A000000,01350,0000,01500ACTIVITIES 1011,A000000,01600,0000,01600SKILLED NURSING FACILITY 1011,A000000,01800,0000,01800NURSING FACILITY 1011,A000000,01810,0000,01801ICF/MR 1011,A000000,01900,0000,01900OTHER LONG TERM CARE 1011,A000000,02100,0000,02100RADIOLOGY 1011,A000000,02200,0000,02200LABORATORY 1011,A000000,02300,0000,02300INTRAVENOUS THERAPY 1011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1011,A000000,02500,0000,02500PHYSICAL THERAPY 1011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1011,A000000,02700,0000,02700SPEECH PATHOLOGY 1011,A000000,02800,0000,02800ELECTROCARDIOLOGY 1011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1011,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 1011,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1011,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1011,A000000,03200,0000,03200SUPPORT SURFACES 1011,A000000,03400,0000,03400CLINIC 1011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1011,A000000,03500,0000,03500RURAL HEALTH CLINIC 1011,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1011,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1011,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1011,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1011,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1011,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1011,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1011,A000000,04400,0000,04400DME RENTED - HHA 1011,A000000,04500,0000,04500DME SOLD - HHA 1011,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1011,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1011,A000000,04750,0000,05100OSP 1011,A000000,04800,0000,04800AMBULANCE 1011,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1011,A000000,05000,0000,05000CORF 1011,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1011,A000000,05300,0000,05300INTEREST EXPENSE 1011,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1011,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1011,A000000,05500,0000,05500HOSPICE 1011,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1011,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1011,A000000,06100,0000,06100NONPAID WORKERS 1011,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1011,A000000,06200,0000,06200PATIENTS LAUNDRY 1011,A81000A,00100,0100,Y 1011,A81000B,00100,0300,HOME OFFICE - OPERATING 1011,A81000B,00200,0300,MME CAPITAL 1011,A81000C,00100,0100,B 1011,A81000C,00100,0400,CARE INITIATIVE 1011,A81000C,00100,0600,HOME OFFICE 1011,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1011,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1011,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1011,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1011,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1011,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1011,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1011,B100000,00000,0800,00000MEALS SERVEDDIETARY 1011,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1011,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1011,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1011,B100000,00000,1350,00000TIME SPENTACTIVITIES 1011,E10A180,00350,0100,09/02/1999 1011,E10A180,00501,0300,07/27/2000 1011,S000000,00100,0200,05/30/2000 1011,S200000,00100,0100,1505 SUNSET DRIVE 1011,S200000,00200,0100,BELLE PLAINE 1011,S200000,00200,0200,IA 1011,S200000,00200,0300,52208-1319 1011,S200000,00300,0100,BENTON 1011,S200000,00300,0300,R 1011,S200000,00400,0100,BELLE PLAINE NURSING & REHAB CENTER 1011,S200000,00400,0200,165349 1011,S200000,00400,0300,07/22/1997 1011,S200000,00400,0500,P 1011,S200000,01500,0100,Y 1011,S200000,01900,0100,N 1011,S700003,00000,0400,4 1015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1015,A000000,00300,0000,00300EMPLOYEE BENEFITS 1015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1015,A000000,00700,0000,00700HOUSEKEEPING 1015,A000000,00800,0000,00800DIETARY 1015,A000000,00900,0000,00900NURSING ADMINISTRATION 1015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1015,A000000,01100,0000,01100PHARMACY 1015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1015,A000000,01300,0000,01300SOCIAL SERVICE 1015,A000000,01350,0000,01500ACTIVITIES 1015,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 1015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1015,A000000,01600,0000,01600SKILLED NURSING FACILITY 1015,A000000,01800,0000,01800NURSING FACILITY 1015,A000000,01810,0000,01801ICF/MR 1015,A000000,01900,0000,01900OTHER LONG TERM CARE 1015,A000000,02100,0000,02100RADIOLOGY 1015,A000000,02200,0000,02200LABORATORY 1015,A000000,02300,0000,02300INTRAVENOUS THERAPY 1015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1015,A000000,02500,0000,02500PHYSICAL THERAPY 1015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1015,A000000,02700,0000,02700SPEECH PATHOLOGY 1015,A000000,02800,0000,02800ELECTROCARDIOLOGY 1015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1015,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1015,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1015,A000000,03200,0000,03200SUPPORT SURFACES 1015,A000000,03400,0000,03400CLINIC 1015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1015,A000000,03500,0000,03500RURAL HEALTH CLINIC 1015,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1015,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1015,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1015,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1015,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1015,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1015,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1015,A000000,04400,0000,04400DME RENTED - HHA 1015,A000000,04500,0000,04500DME SOLD - HHA 1015,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1015,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1015,A000000,04750,0000,05100OSP 1015,A000000,04800,0000,04800AMBULANCE 1015,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1015,A000000,05000,0000,05000CORF 1015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1015,A000000,05300,0000,05300INTEREST EXPENSE 1015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1015,A000000,05500,0000,05500HOSPICE 1015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1015,A000000,06100,0000,06100NONPAID WORKERS 1015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1015,A000000,06200,0000,06200PATIENTS LAUNDRY 1015,A81000A,00100,0100,Y 1015,A81000B,00100,0300,ACCOUNTING FEE 1015,A81000B,00200,0300,GROUNDS KEEPING 1015,A81000B,00300,0300,RENTAL NURSE HOUSE 1015,A81000C,00100,0100,B 1015,A81000C,00100,0400,COLBY PROPERTIE 1015,A81000C,00100,0600,RE MGMT CO. 1015,A81000C,00200,0100,F 1015,A81000C,00200,0400,LODGE OF ASHWOR 1015,A81000C,00200,0600,RETIREMENT COM. 1015,A81000C,00300,0100,E 1015,A81000C,00300,0200,MIKE COLBY 1015,A81000C,00400,0100,A 1015,A81000C,00400,0200,PATRICIA COLBY 1015,A81000C,00500,0100,A 1015,A81000C,00500,0200,CHARLES COLBY 1015,S000000,00100,0200,05/22/2000 1015,S200000,00100,0100,1501 OFFICE PARK ROAD 1015,S200000,00200,0100,WEST DES MOINES 1015,S200000,00200,0200,IA 1015,S200000,00200,0300,50265- 1015,S200000,00300,0100,POLK 1015,S200000,00300,0300,U 1015,S200000,00400,0100,FOUNTAIN WEST HEALTH CARE 1015,S200000,00400,0200,165350 1015,S200000,00400,0300,07/22/1997 1015,S200000,00400,0500,P 1015,S200000,01600,0100,Y 1015,S200000,01900,0100,N 1015,S700003,00000,0400,4 1037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1037,A000000,00300,0000,00300EMPLOYEE BENEFITS 1037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1037,A000000,00700,0000,00700HOUSEKEEPING 1037,A000000,00800,0000,00800DIETARY 1037,A000000,00900,0000,00900NURSING ADMINISTRATION 1037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1037,A000000,01100,0000,01100PHARMACY 1037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1037,A000000,01300,0000,01300SOCIAL SERVICE 1037,A000000,01350,0000,01500ACTIVITIES 1037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1037,A000000,01600,0000,01600SKILLED NURSING FACILITY 1037,A000000,01800,0000,01800NURSING FACILITY 1037,A000000,01900,0000,01900OTHER LONG TERM CARE 1037,A000000,02100,0000,02100RADIOLOGY 1037,A000000,02200,0000,02200LABORATORY 1037,A000000,02300,0000,02300INTRAVENOUS THERAPY 1037,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1037,A000000,02500,0000,02500PHYSICAL THERAPY 1037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1037,A000000,02700,0000,02700SPEECH PATHOLOGY 1037,A000000,02800,0000,02800ELECTROCARDIOLOGY 1037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1037,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1037,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1037,A000000,03200,0000,03200SUPPORT SURFACES 1037,A000000,03400,0000,03400CLINIC 1037,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1037,A000000,03500,0000,03500RURAL HEALTH CLINIC 1037,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1037,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1037,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1037,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1037,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1037,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1037,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1037,A000000,04400,0000,04400DME RENTED - HHA 1037,A000000,04500,0000,04500DME SOLD - HHA 1037,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1037,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1037,A000000,04750,0000,05100OSP 1037,A000000,04800,0000,04800AMBULANCE 1037,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1037,A000000,05000,0000,05000CORF 1037,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1037,A000000,05300,0000,05300INTEREST EXPENSE 1037,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1037,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1037,A000000,05500,0000,05500HOSPICE 1037,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1037,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1037,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1037,A000000,06100,0000,06100NONPAID WORKERS 1037,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1037,A000000,06200,0000,06200PATIENTS LAUNDRY 1037,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1037,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1037,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1037,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1037,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1037,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1037,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1037,B100000,00000,0800,00000MEALS SERVEDDIETARY 1037,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1037,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1037,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1037,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1037,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1037,B100000,00000,1350,00000DAYSACTIVITIES 1037,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1037,S000000,00100,0200,05/01/2000 1037,S200000,00100,0100,1206 WEST FOURTH 1037,S200000,00200,0100,STORM LAKE 1037,S200000,00200,0200,IA 1037,S200000,00200,0300,50588- 1037,S200000,00300,0100,BUENA VISTA 1037,S200000,00300,0300,R 1037,S200000,00400,0100,METHODIST MANOR 1037,S200000,00400,0200,165359 1037,S200000,00400,0300,09/01/1997 1037,S200000,00400,0500,P 1037,S200000,01500,0100,Y 1037,S200000,01900,0100,N 1037,S700003,00000,0400,4 1039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1039,A000000,00300,0000,00300EMPLOYEE BENEFITS 1039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1039,A000000,00700,0000,00700HOUSEKEEPING 1039,A000000,00800,0000,00800DIETARY 1039,A000000,00900,0000,00900NURSING ADMINISTRATION 1039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1039,A000000,01100,0000,01100PHARMACY 1039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1039,A000000,01300,0000,01300SOCIAL SERVICE 1039,A000000,01600,0000,01600SKILLED NURSING FACILITY 1039,A000000,01800,0000,01800NURSING FACILITY 1039,A000000,01810,0000,01801ICF/MR 1039,A000000,01900,0000,01900OTHER LONG TERM CARE 1039,A000000,02100,0000,02100RADIOLOGY 1039,A000000,02200,0000,02200LABORATORY 1039,A000000,02300,0000,02300INTRAVENOUS THERAPY 1039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1039,A000000,02500,0000,02500PHYSICAL THERAPY 1039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1039,A000000,02700,0000,02700SPEECH PATHOLOGY 1039,A000000,02800,0000,02800ELECTROCARDIOLOGY 1039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1039,A000000,03050,0000,03300AIR FLOATATION 1039,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1039,A000000,03200,0000,03200SUPPORT SURFACES 1039,A000000,03400,0000,03400CLINIC 1039,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1039,A000000,03500,0000,03500RURAL HEALTH CLINIC 1039,A000000,04750,0000,05100OSP 1039,A000000,04800,0000,04800AMBULANCE 1039,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1039,A000000,05000,0000,05000CORF 1039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1039,A000000,05300,0000,05300INTEREST EXPENSE 1039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1039,A000000,05500,0000,05500HOSPICE 1039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1039,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1039,A000000,06100,0000,06100NONPAID WORKERS 1039,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1039,A000000,06200,0000,06200PATIENTS LAUNDRY 1039,A81000A,00100,0100,Y 1039,A81000B,00100,0300,MANAGEMENT FEES 1039,A81000C,00100,0100,A 1039,A81000C,00100,0200,FRANK BROWN 1039,A81000C,00100,0400,USA HEALTHCARE 1039,A81000C,00100,0600,HOME OFFICE 1039,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1039,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1039,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1039,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1039,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1039,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1039,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1039,B100000,00000,0800,00000MEALS SERVEDDIETARY 1039,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1039,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1039,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1039,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1039,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1039,E10A180,00501,0300,07/14/2000 1039,S000000,00100,0200,05/30/2000 1039,S200000,00100,0100,909 ROWAN ROAD 1039,S200000,00200,0100,DOWS 1039,S200000,00200,0200,IA 1039,S200000,00200,0300,50071- 1039,S200000,00300,0100,WRIGHT 1039,S200000,00300,0300,R 1039,S200000,00400,0100,USA HEALTHCARE-DOWS LLC 1039,S200000,00400,0200,165360 1039,S200000,00400,0300,11/25/1998 1039,S200000,00400,0500,P 1039,S200000,01500,0100,Y 1039,S200000,01900,0100,N 1039,S700003,00000,0400,4 1046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1046,A000000,00300,0000,00300EMPLOYEE BENEFITS 1046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1046,A000000,00700,0000,00700HOUSEKEEPING 1046,A000000,00800,0000,00800DIETARY 1046,A000000,00900,0000,00900NURSING ADMINISTRATION 1046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1046,A000000,01100,0000,01100PHARMACY 1046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1046,A000000,01300,0000,01300SOCIAL SERVICE 1046,A000000,01350,0000,01500OTHER GENERAL SERVICES 1046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1046,A000000,01600,0000,01600SKILLED NURSING FACILITY 1046,A000000,01800,0000,01800NURSING FACILITY 1046,A000000,01810,0000,01801ICF/MR 1046,A000000,01900,0000,01900OTHER LONG TERM CARE 1046,A000000,02100,0000,02100RADIOLOGY 1046,A000000,02200,0000,02200LABORATORY 1046,A000000,02300,0000,02300INTRAVENOUS THERAPY 1046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1046,A000000,02500,0000,02500PHYSICAL THERAPY 1046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1046,A000000,02700,0000,02700SPEECH PATHOLOGY 1046,A000000,02800,0000,02800ELECTROCARDIOLOGY 1046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1046,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1046,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1046,A000000,03200,0000,03200SUPPORT SURFACES 1046,A000000,03400,0000,03400CLINIC 1046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1046,A000000,03500,0000,03500RURAL HEALTH CLINIC 1046,A000000,04750,0000,05100OSP 1046,A000000,04800,0000,04800AMBULANCE 1046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1046,A000000,05300,0000,05300INTEREST EXPENSE 1046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1046,A000000,05500,0000,05500HOSPICE 1046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1046,A000000,06100,0000,06100NONPAID WORKERS 1046,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1046,A000000,06200,0000,06200PATIENTS LAUNDRY 1046,A81000A,00100,0100,Y 1046,A81000B,00100,0300,MANAGEMENT FEES 1046,A81000C,00100,0100,A 1046,A81000C,00100,0200,FRANK BROWN 1046,A81000C,00100,0400,USA HEALTHCARE 1046,A81000C,00100,0600,HOME OFFICE 1046,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1046,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1046,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1046,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1046,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1046,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1046,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1046,B100000,00000,0800,00000MEALS SERVEDDIETARY 1046,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1046,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1046,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1046,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1046,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1046,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1046,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1046,E10A180,00501,0100,06/22/2000 1046,E10A180,00550,0300,06/22/2000 1046,S000000,00100,0200,05/30/2000 1046,S200000,00100,0100,110 13TH AVENUE SW 1046,S200000,00200,0100,CLARION 1046,S200000,00200,0200,IA 1046,S200000,00200,0300,50525- 1046,S200000,00300,0100,WRIGHT 1046,S200000,00300,0300,R 1046,S200000,00400,0100,USA HEALTHCARE-CLARION 1046,S200000,00400,0200,165362 1046,S200000,00400,0300,11/25/1998 1046,S200000,00400,0500,P 1046,S200000,01500,0100,Y 1046,S200000,01900,0100,N 1046,S700003,00000,0400,4 1050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1050,A000000,00300,0000,00300EMPLOYEE BENEFITS 1050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1050,A000000,00700,0000,00700HOUSEKEEPING 1050,A000000,00800,0000,00800DIETARY 1050,A000000,00900,0000,00900NURSING ADMINISTRATION 1050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1050,A000000,01300,0000,01300SOCIAL SERVICE 1050,A000000,01350,0000,01500ACTIVITIES 1050,A000000,01600,0000,01600SKILLED NURSING FACILITY 1050,A000000,01810,0000,01810ICF/MR 1050,A000000,02100,0000,02100RADIOLOGY 1050,A000000,02200,0000,02200LABORATORY 1050,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1050,A000000,02500,0000,02500PHYSICAL THERAPY 1050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1050,A000000,02700,0000,02700SPEECH PATHOLOGY 1050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1050,A000000,03200,0000,03200SUPPORT SURFACES 1050,A000000,03550,0000,03550FQHC 1050,A000000,04800,0000,04800AMBULANCE 1050,A000000,05000,0000,05000CORF 1050,A000000,05010,0000,05010CMHC 1050,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1050,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1050,A000000,05300,0000,05300INTEREST EXPENSE 1050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1050,A81000A,00100,0100,Y 1050,A81000B,00100,0300,INSURANCE 1050,A81000B,00200,0300,EQUIPMENT 1050,A81000B,00300,0300,PAYROLL TAXES & INSU 1050,A81000B,00400,0300,HOME OFFICE 1050,A81000C,00100,0100,B 1050,A81000C,00100,0600,HOME OFFICE 1050,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1050,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1050,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1050,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1050,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1050,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1050,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1050,B100000,00000,0800,00000MEALS SERVEDDIETARY 1050,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1050,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1050,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1050,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1050,E10A180,00501,0100,07/14/2000 1050,E10A180,00501,0300,07/14/2000 1050,S000000,00100,0200,06/02/2000 1050,S200000,00100,0100,445 EIGHTH AVENUE SW 1050,S200000,00200,0100,BRITT 1050,S200000,00200,0200,IA 1050,S200000,00200,0300,50423 1050,S200000,00300,0300,R 1050,S200000,00400,0100,WESTVIEW CARE CENTER 1050,S200000,00400,0200,165363 1050,S200000,00400,0300,10/01/1997 1050,S200000,00400,0500,P 1050,S200000,01500,0100,Y 1050,S700003,00000,0400,4 1055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1055,A000000,00300,0000,00300EMPLOYEE BENEFITS 1055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1055,A000000,00700,0000,00700HOUSEKEEPING 1055,A000000,00800,0000,00800DIETARY 1055,A000000,00900,0000,00900NURSING ADMINISTRATION 1055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1055,A000000,01300,0000,01300SOCIAL SERVICE 1055,A000000,01350,0000,01500ACTIVITIES 1055,A000000,01600,0000,01600SKILLED NURSING FACILITY 1055,A000000,01810,0000,01810ICF/MR 1055,A000000,02100,0000,02100RADIOLOGY 1055,A000000,02200,0000,02200LABORATORY 1055,A000000,02500,0000,02500PHYSICAL THERAPY 1055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1055,A000000,02700,0000,02700SPEECH PATHOLOGY 1055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1055,A000000,03550,0000,03550FQHC 1055,A000000,05000,0000,05000CORF 1055,A000000,05010,0000,05010CMHC 1055,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1055,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1055,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1055,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1055,A000000,05300,0000,05300INTEREST EXPENSE 1055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1055,A81000A,00100,0100,Y 1055,A81000B,00100,0300,INSURANCE 1055,A81000B,00200,0300,EQUIPMENT 1055,A81000B,00300,0300,PAYROLL TAX & INSUR 1055,A81000B,00400,0300,MANAGMENT FEES 1055,A81000C,00100,0100,B 1055,A81000C,00100,0600,HOME OFFICE 1055,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1055,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1055,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1055,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1055,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1055,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1055,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1055,B100000,00000,0800,00000MEALS SERVEDDIETARY 1055,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1055,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1055,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1055,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1055,E10A180,00501,0300,07/20/2000 1055,E10A180,00550,0100,07/20/2000 1055,S000000,00100,0200,06/02/2000 1055,S200000,00100,0100,1375 DIVISION STREET 1055,S200000,00200,0100,GARNER 1055,S200000,00200,0200,IA 1055,S200000,00200,0300,50438 1055,S200000,00300,0300,R 1055,S200000,00400,0100,CONCORD CARE CENTER 1055,S200000,00400,0200,165364 1055,S200000,00400,0300,09/18/1997 1055,S200000,00400,0500,P 1055,S200000,01500,0100,Y 1055,S700003,00000,0400,4 1060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1060,A000000,00300,0000,00300EMPLOYEE BENEFITS 1060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1060,A000000,00700,0000,00700HOUSEKEEPING 1060,A000000,00800,0000,00800DIETARY 1060,A000000,00900,0000,00900NURSING ADMINISTRATION 1060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1060,A000000,01300,0000,01300SOCIAL SERVICE 1060,A000000,01350,0000,01500ACTIVITIES 1060,A000000,01600,0000,01600SKILLED NURSING FACILITY 1060,A000000,01810,0000,01810ICF/MR 1060,A000000,02100,0000,02100RADIOLOGY 1060,A000000,02200,0000,02200LABORATORY 1060,A000000,02300,0000,02300INTRAVENOUS THERAPY 1060,A000000,02500,0000,02500PHYSICAL THERAPY 1060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1060,A000000,02700,0000,02700SPEECH PATHOLOGY 1060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1060,A000000,03550,0000,03550FQHC 1060,A000000,04800,0000,04800AMBULANCE 1060,A000000,05000,0000,05000CORF 1060,A000000,05010,0000,05010CMHC 1060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1060,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1060,A000000,05300,0000,05300INTEREST EXPENSE 1060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1060,A81000A,00100,0100,Y 1060,A81000B,00100,0300,INSURANCE 1060,A81000B,00200,0300,EQUIPMENT 1060,A81000B,00300,0300,PAYROLL TAX & INSUR 1060,A81000B,00400,0300,MANAGEMENT FEES 1060,A81000C,00100,0100,B 1060,A81000C,00100,0600,HOME OFFICE 1060,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1060,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1060,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1060,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1060,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1060,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1060,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1060,B100000,00000,0800,00000MEALS SERVEDDIETARY 1060,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1060,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1060,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1060,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1060,E10A180,00501,0300,07/21/2000 1060,E10A180,00550,0100,07/21/2000 1060,S000000,00100,0200,06/02/2000 1060,S200000,00100,0100,400 HIGHWAY 18 WEST 1060,S200000,00200,0100,CLEAR LAKE 1060,S200000,00200,0200,IA 1060,S200000,00200,0300,50428 1060,S200000,00300,0300,R 1060,S200000,00400,0100,OAKWOOD CARE CENTER 1060,S200000,00400,0200,165365 1060,S200000,00400,0300,10/01/1997 1060,S200000,00400,0500,P 1060,S200000,01500,0100,Y 1060,S700003,00000,0400,4 1065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1065,A000000,00300,0000,00300EMPLOYEE BENEFITS 1065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1065,A000000,00700,0000,00700HOUSEKEEPING 1065,A000000,00800,0000,00800DIETARY 1065,A000000,00900,0000,00900NURSING ADMINISTRATION 1065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1065,A000000,01300,0000,01300SOCIAL SERVICE 1065,A000000,01350,0000,01500ACTIVITIES 1065,A000000,01600,0000,01600SKILLED NURSING FACILITY 1065,A000000,02200,0000,02200LABORATORY 1065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1065,A000000,02500,0000,02500PHYSICAL THERAPY 1065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1065,A000000,02700,0000,02700SPEECH PATHOLOGY 1065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1065,A000000,04800,0000,04800AMBULANCE 1065,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1065,A000000,05300,0000,05300INTEREST EXPENSE 1065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1065,A81000A,00100,0100,Y 1065,A81000B,00100,0300,INSURANCE 1065,A81000B,00200,0300,HOME OFFICE 1065,A81000B,00300,0300,GROUP INSURANCE 1065,A81000B,00400,0300,HOME OFFICE 1065,A81000C,00100,0100,B 1065,A81000C,00100,0400,ABCM CORPORATIO 1065,A81000C,00100,0600,HOME OFFICE 1065,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1065,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1065,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1065,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1065,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1065,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1065,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1065,B100000,00000,0800,00000MEALS SERVEDDIETARY 1065,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1065,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1065,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1065,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1065,E10A180,00501,0300,07/14/2000 1065,S000000,00100,0200,06/02/2000 1065,S200000,00100,0100,406 SOUTH 10TH AVENUE EAST 1065,S200000,00200,0100,LAKE MILLS 1065,S200000,00200,0200,IA 1065,S200000,00200,0300,50450 1065,S200000,00300,0100,WINNEBAGO 1065,S200000,00300,0300,R 1065,S200000,00400,0100,LAKE MILLS CARE CENTER 1065,S200000,00400,0200,165366 1065,S200000,00400,0300,10/01/1997 1065,S200000,00400,0500,P 1065,S200000,01500,0100,Y 1065,S700003,00000,0400,4 1072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1072,A000000,00300,0000,00300EMPLOYEE BENEFITS 1072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1072,A000000,00700,0000,00700HOUSEKEEPING 1072,A000000,00800,0000,00800DIETARY 1072,A000000,00900,0000,00900NURSING ADMINISTRATION 1072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1072,A000000,01100,0000,01100PHARMACY 1072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1072,A000000,01300,0000,01300SOCIAL SERVICE 1072,A000000,01350,0000,01500RECREATION 1072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1072,A000000,01600,0000,01600SKILLED NURSING FACILITY 1072,A000000,01810,0000,01810ICF/MR 1072,A000000,02100,0000,02100RADIOLOGY 1072,A000000,02200,0000,02200LABORATORY 1072,A000000,02500,0000,02500PHYSICAL THERAPY 1072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1072,A000000,02700,0000,02700SPEECH PATHOLOGY 1072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1072,A000000,03550,0000,03550FQHC 1072,A000000,05000,0000,05000CORF 1072,A000000,05010,0000,05010CMHC 1072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1072,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1072,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1072,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1072,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1072,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1072,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1072,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1072,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 1072,B100000,00000,0800,00000PATIENT DAYSDIETARY 1072,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 1072,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1072,B100000,00000,1100,00000COSTED REQUISPHARMACY 1072,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1072,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1072,B100000,00000,1350,00000PATIENT DAYSRECREATION 1072,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1072,E10A180,00501,0300,04/06/2000 1072,S000000,00100,0200,03/01/2000 1072,S200000,00100,0100,HIGHWAY 37 WEST 1072,S200000,00200,0100,EARLING 1072,S200000,00200,0200,IA 1072,S200000,00200,0300,51530-0288 1072,S200000,00300,0100,SHELBY 1072,S200000,00300,0300,R 1072,S200000,00400,0100,LITTLE FLOWER HAVEN 1072,S200000,00400,0200,165368 1072,S200000,00400,0300,10/01/1997 1072,S200000,00400,0500,P 1072,S200000,00400,0600,P 1072,S200000,01500,0100,Y 1072,S200000,04600,0100,Y 1072,S700003,00000,0400,4 1080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1080,A000000,00300,0000,00300EMPLOYEE BENEFITS 1080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1080,A000000,00700,0000,00700HOUSEKEEPING 1080,A000000,00800,0000,00800DIETARY 1080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1080,A000000,01600,0000,01600SKILLED NURSING FACILITY 1080,A000000,02100,0000,02100RADIOLOGY 1080,A000000,02200,0000,02200LABORATORY 1080,A000000,02300,0000,02300INTRAVENOUS THERAPY 1080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1080,A000000,02500,0000,02500PHYSICAL THERAPY 1080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1080,A000000,02700,0000,02700SPEECH PATHOLOGY 1080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1080,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1080,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 1080,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 1080,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 1080,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1080,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 1080,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1080,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1080,B100000,00000,0800,00000(MEALS SERVED)DIETARY 1080,B100000,00000,1200,00000(TIME SPENT)MEDICAL RECORDS & L 1080,S000000,00100,0200,05/30/2000 1080,S200000,00100,0100,146 NORTH 5TH STREET 1080,S200000,00200,0100,MANILLA 1080,S200000,00200,0200,IA 1080,S200000,00200,0300,51454 1080,S200000,00300,0100,CRAWFORD 1080,S200000,00300,0300,R 1080,S200000,00400,0100,MANILLA MANOR 1080,S200000,00400,0200,165371 1080,S200000,00400,0300,11/01/1997 1080,S200000,00400,0500,P 1080,S200000,01500,0100,Y 1080,S200000,02100,0100,A 1080,S200000,04100,0100,Y 1080,S200000,04200,0100,Y 1080,S700003,00000,0400,4 1088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1088,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 1088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1088,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 1088,A000000,00300,0000,00300EMPLOYEE BENEFITS 1088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1088,A000000,00700,0000,00700HOUSEKEEPING 1088,A000000,00800,0000,00800DIETARY 1088,A000000,00801,0000,00801CAFETERIA 1088,A000000,00900,0000,00900NURSING ADMINISTRATION 1088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1088,A000000,01100,0000,01100PHARMACY 1088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1088,A000000,01300,0000,01300SOCIAL SERVICE 1088,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1088,A000000,01600,0000,01600SKILLED NURSING FACILITY 1088,A000000,01800,0000,01800NURSING FACILITY 1088,A000000,01900,0000,01900OTHER LONG TERM CARE 1088,A000000,02100,0000,02100RADIOLOGY 1088,A000000,02200,0000,02200LABORATORY 1088,A000000,02300,0000,02300INTRAVENOUS THERAPY 1088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1088,A000000,02500,0000,02500PHYSICAL THERAPY 1088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1088,A000000,02700,0000,02700SPEECH PATHOLOGY 1088,A000000,02800,0000,02800ELECTROCARDIOLOGY 1088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1088,A000000,03050,0000,03300OTHER ANCILLARY 1088,A000000,03051,0000,03301OTHER ANCILLARY II 1088,A000000,03052,0000,03302OTHER ANCILLARY III 1088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1088,A000000,03200,0000,03200SUPPORT SURFACES 1088,A000000,03400,0000,03400CLINIC 1088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 1088,A000000,03500,0000,03500RURAL HEALTH CLINIC 1088,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1088,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1088,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1088,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1088,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1088,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1088,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1088,A000000,04400,0000,04400DME RENTED - HHA 1088,A000000,04500,0000,04500DME SOLD - HHA 1088,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1088,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1088,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1088,A000000,04800,0000,04800AMBULANCE 1088,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1088,A000000,05000,0000,05000CORF I 1088,A000000,05010,0000,05010CMHC I 1088,A000000,05020,0000,05020OPT I 1088,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1088,A000000,05300,0000,05300INTEREST EXPENSE 1088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 1088,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 1088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1088,A000000,05500,0000,05500HOSPICE 1088,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1088,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1088,A000000,06100,0000,06100NONPAID WORKERS 1088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1088,A000000,06200,0000,06200PATIENTS LAUNDRY 1088,A81000A,00100,0100,Y 1088,A81000B,00100,0300,INTEREST 1088,A81000B,00200,0300,RENT 1088,A81000B,00300,0300,SALARIES 1088,A81000B,00400,0300,BENEFITS 1088,A81000B,00500,0300,APARTMENT COSTS 1088,A81000C,00100,0100,F 1088,A81000C,00100,0200,JOHN SHERER 1088,A81000C,00200,0100,F 1088,A81000C,00200,0200,JULIE SHERER 1088,A81000C,00300,0100,F 1088,A81000C,00300,0200,JERRY SHERER 1088,A81000C,00400,0100,A 1088,A81000C,00400,0200,JOHN SHERER 1088,A81000C,00400,0400,Y & V REALTY 1088,A81000C,00400,0600,PROP RENT 1088,A81000C,00500,0100,A 1088,A81000C,00500,0200,JULIE SHERER 1088,A81000C,00500,0400,Y & V REALTY 1088,A81000C,00500,0600,PROP RENT 1088,A81000C,00600,0100,A 1088,A81000C,00600,0200,JERRY SHERER 1088,A81000C,00600,0400,Y & V REALTY 1088,A81000C,00600,0600,PROP RENT 1088,A81000C,00700,0100,A 1088,A81000C,00700,0200,JOHN SHERER 1088,A81000C,00700,0400,LONGVIEW APTS 1088,A81000C,00700,0600,INDEP LIVING 1088,A81000C,00800,0100,A 1088,A81000C,00800,0200,JULIE SHERER 1088,A81000C,00800,0400,LONGVIEW APTS 1088,A81000C,00800,0600,INDEP LIVING 1088,A81000C,00900,0100,A 1088,A81000C,00900,0200,JERRY SHERER 1088,A81000C,00900,0400,LONGVIEW APTS 1088,A81000C,00900,0600,INDEP LIVING 1088,B100000,00000,0100,00000(SQUARE FEET) CAP REL COSTS - 1088,B100000,00000,0101,00000(SQUARE FEET) CAP REL COSTS - 1088,B100000,00000,0200,00000(SQUARE FEET) CAP REL COSTS - 1088,B100000,00000,0201,00000(SQUARE FEET) CAP REL COSTS - 1088,B100000,00000,0300,00000(GROSS SALARIES) EMPLOYEE BEN 1088,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 1088,B100000,00000,0500,00000(SQUARE FEET) PLANT OPERATION 1088,B100000,00000,0600,00000(POUNDS OFLAUNDRY) LAUNDRY & L 1088,B100000,00000,0700,00000(SQUARE FEET) HOUSEKEEPING 1088,B100000,00000,0800,00000(MEALS SERVED) DIETARY 1088,B100000,00000,0801,00000(MEALS SERVED) CAFETERIA 1088,B100000,00000,0900,00000(DIRECT NRSING HRS NURSING ADM 1088,B100000,00000,1000,00000(COSTED REQUIS. ) CENTRAL SERV 1088,B100000,00000,1100,00000(COSTED REQUIS. ) PHARMACY 1088,B100000,00000,1200,00000(TIME SPENT) MEDICAL RECORDS 1088,B100000,00000,1300,00000(PATIENT DAYS) SOCIAL SERVICE 1088,B100000,00000,1400,00000(ASSIGNED TIME) INTERNS & RESIDE 1088,B100000,00000,1500,00000(PATIENT DAYS) OTHER GENERAL SE 1088,S000000,00100,0200,11/14/2000 1088,S200000,00100,0100,1010 LONGVIEW ROAD 1088,S200000,00200,0100,MISSOURI VALLEY 1088,S200000,00200,0200,IA 1088,S200000,00200,0300,51555 1088,S200000,00300,0100,HARRISON 1088,S200000,00400,0100,LONGVIEW HOME 1088,S200000,00400,0200,165373 1088,S200000,00400,0300,10/01/1997 1088,S200000,00400,0500,P 1088,S200000,01500,0100,Y 1088,S700003,00000,0400,X 1090,S000000,00100,0200,05/31/2000 1094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1094,A000000,00300,0000,00300EMPLOYEE BENEFITS 1094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1094,A000000,00700,0000,00700HOUSEKEEPING 1094,A000000,00800,0000,00800DIETARY 1094,A000000,00900,0000,00900NURSING ADMINISTRATION 1094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1094,A000000,01100,0000,01100PHARMACY 1094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1094,A000000,01300,0000,01300SOCIAL SERVICE 1094,A000000,01350,0000,01500RECREATION 1094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1094,A000000,01600,0000,01600SKILLED NURSING FACILITY 1094,A000000,01810,0000,01810ICF/MR 1094,A000000,02100,0000,02100RADIOLOGY 1094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1094,A000000,02500,0000,02500PHYSICAL THERAPY 1094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1094,A000000,02700,0000,02700SPEECH PATHOLOGY 1094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1094,A000000,03550,0000,03550FQHC 1094,A000000,05000,0000,05000CORF 1094,A000000,05010,0000,05010CMHC 1094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1094,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1094,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1094,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1094,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1094,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1094,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1094,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1094,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1094,B100000,00000,0800,00000PATIENT DAYSDIETARY 1094,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1094,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1094,B100000,00000,1100,00000COSTED REQUISPHARMACY 1094,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1094,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1094,B100000,00000,1350,00000PATIENT DAYSRECREATION 1094,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1094,E10A180,00550,0300,07/20/2000 1094,S000000,00100,0200,05/31/2000 1094,S200000,00100,0100,1209 EAST THIRD STREET 1094,S200000,00200,0100,ANAMOSA 1094,S200000,00200,0200,IA 1094,S200000,00200,0300,52205 1094,S200000,00300,0100,JONES 1094,S200000,00300,0300,R 1094,S200000,00400,0100,ANAMOSA CARE CENTER 1094,S200000,00400,0200,165375 1094,S200000,00400,0300,01/01/1998 1094,S200000,00400,0500,P 1094,S200000,01500,0100,Y 1094,S700003,00000,0400,4 1097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1097,A000000,00300,0000,00300EMPLOYEE BENEFITS 1097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1097,A000000,00700,0000,00700HOUSEKEEPING 1097,A000000,00800,0000,00800DIETARY 1097,A000000,00900,0000,00900NURSING ADMINISTRATION 1097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1097,A000000,01100,0000,01100PHARMACY 1097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1097,A000000,01300,0000,01300SOCIAL SERVICE 1097,A000000,01350,0000,01500RECREATION 1097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1097,A000000,01600,0000,01600SKILLED NURSING FACILITY 1097,A000000,01810,0000,01810ICF/MR 1097,A000000,02200,0000,02200LABORATORY 1097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1097,A000000,02500,0000,02500PHYSICAL THERAPY 1097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1097,A000000,02700,0000,02700SPEECH PATHOLOGY 1097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1097,A000000,03550,0000,03550FQHC 1097,A000000,05000,0000,05000CORF 1097,A000000,05010,0000,05010CMHC 1097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1097,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1097,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1097,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1097,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1097,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1097,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1097,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1097,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1097,B100000,00000,0800,00000PATIENT DAYSDIETARY 1097,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1097,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1097,B100000,00000,1100,00000COSTED REQUISPHARMACY 1097,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1097,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1097,B100000,00000,1350,00000PATIENT DAYSRECREATION 1097,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1097,E10A180,00501,0300,07/20/2000 1097,S000000,00100,0200,05/31/2000 1097,S200000,00100,0100,17990 SPENCER ROAD 1097,S200000,00100,0300,503 1097,S200000,00200,0100,PLEASANT VALLEY 1097,S200000,00200,0200,IA 1097,S200000,00200,0300,52767 1097,S200000,00300,0100,SCOTT 1097,S200000,00300,0300,U 1097,S200000,00400,0100,RIVERVIEW MANOR 1097,S200000,00400,0200,165376 1097,S200000,00400,0300,01/01/1998 1097,S200000,00400,0500,P 1097,S200000,01500,0100,Y 1097,S700003,00000,0400,4 1100,S000000,00100,0200,05/31/2000 1104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1104,A000000,00300,0000,00300EMPLOYEE BENEFITS 1104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1104,A000000,00700,0000,00700HOUSEKEEPING 1104,A000000,00800,0000,00800DIETARY 1104,A000000,00900,0000,00900NURSING ADMINISTRATION 1104,A000000,01300,0000,01300SOCIAL SERVICE 1104,A000000,01350,0000,01500RECREATION 1104,A000000,01600,0000,01600SKILLED NURSING FACILITY 1104,A000000,02100,0000,02100RADIOLOGY 1104,A000000,02200,0000,02200LABORATORY 1104,A000000,02500,0000,02500PHYSICAL THERAPY 1104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1104,A000000,02700,0000,02700SPEECH PATHOLOGY 1104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1104,A81000A,00100,0100,Y 1104,A81000B,00100,0300,MANAGEMENT FEES 1104,A81000C,00100,0100,B 1104,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1104,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1104,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1104,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1104,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1104,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1104,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1104,B100000,00000,0800,00000PATIENT DAYSDIETARY 1104,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1104,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1104,B100000,00000,1350,00000PATIENT DAYSRECREATION 1104,E10A180,00501,0300,07/31/2000 1104,S000000,00100,0200,06/02/2000 1104,S200000,00100,0100,4656 WEST KIMBERLY ROAD 1104,S200000,00200,0100,DAVENPORT 1104,S200000,00200,0200,IA 1104,S200000,00200,0300,52806 1104,S200000,00300,0100,SCOTT 1104,S200000,00300,0300,U 1104,S200000,00400,0100,MEADOW LAWN NURSING CENTER 1104,S200000,00400,0200,165378 1104,S200000,00400,0300,02/01/1998 1104,S200000,00400,0500,P 1104,S200000,01500,0100,Y 1104,S700003,00000,0400,4 1107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1107,A000000,00300,0000,00300EMPLOYEE BENEFITS 1107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1107,A000000,00700,0000,00700HOUSEKEEPING 1107,A000000,00800,0000,00800DIETARY 1107,A000000,00900,0000,00900NURSING ADMINISTRATION 1107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1107,A000000,01100,0000,01100PHARMACY 1107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1107,A000000,01300,0000,01300SOCIAL SERVICE 1107,A000000,01350,0000,01500RECREATION 1107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1107,A000000,01600,0000,01600SKILLED NURSING FACILITY 1107,A000000,01810,0000,01810ICF/MR 1107,A000000,02200,0000,02200LABORATORY 1107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1107,A000000,02500,0000,02500PHYSICAL THERAPY 1107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1107,A000000,02700,0000,02700SPEECH PATHOLOGY 1107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1107,A000000,03550,0000,03550FQHC 1107,A000000,05000,0000,05000CORF 1107,A000000,05010,0000,05010CMHC 1107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1107,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1107,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1107,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1107,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1107,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1107,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1107,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1107,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1107,B100000,00000,0800,00000PATIENT DAYSDIETARY 1107,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1107,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1107,B100000,00000,1110,00000COSTED REQUISPHARMACY 1107,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1107,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1107,B100000,00000,1350,00000PATIENT DAYSRECREATION 1107,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1107,E10A180,00550,0300,07/20/2000 1107,S000000,00100,0200,05/31/2000 1107,S200000,00100,0100,513 BELL STREET 1107,S200000,00100,0300,39 1107,S200000,00200,0100,EDGEWOOD 1107,S200000,00200,0200,IA 1107,S200000,00200,0300,52042 1107,S200000,00300,0100,DELAWARE 1107,S200000,00300,0300,R 1107,S200000,00400,0100,EDGEWOOD CONVALESCENT HOME 1107,S200000,00400,0200,165379 1107,S200000,00400,0300,02/01/1998 1107,S200000,00400,0500,P 1107,S200000,01500,0100,Y 1107,S700003,00000,0400,4 1111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1111,A000000,00300,0000,00300EMPLOYEE BENEFITS 1111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1111,A000000,00700,0000,00700HOUSEKEEPING 1111,A000000,00800,0000,00800DIETARY 1111,A000000,00900,0000,00900NURSING ADMINISTRATION 1111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1111,A000000,01300,0000,01300SOCIAL SERVICE 1111,A000000,01350,0000,01500ACTIVITIES 1111,A000000,01600,0000,01600SKILLED NURSING FACILITY 1111,A000000,02100,0000,02100RADIOLOGY 1111,A000000,02200,0000,02200LABORATORY 1111,A000000,02300,0000,02300INTRAVENOUS THERAPY 1111,A000000,02500,0000,02500PHYSICAL THERAPY 1111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1111,A000000,02700,0000,02700SPEECH PATHOLOGY 1111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1111,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1111,A000000,05300,0000,05300INTEREST EXPENSE 1111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1111,A81000A,00100,0100,Y 1111,A81000B,00100,0300,INSURANCE 1111,A81000B,00200,0300,HOME OFFICE 1111,A81000B,00300,0300,GROUP INSURANCE 1111,A81000B,00400,0300,HOME OFFICE 1111,A81000C,00100,0100,B 1111,A81000C,00100,0200,ABCM CORPORATIO 1111,A81000C,00100,0400,ABCM CORPORATIO 1111,A81000C,00100,0600,HOME OFFICE 1111,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1111,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1111,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1111,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1111,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1111,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1111,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 1111,B100000,00000,0800,00000MEALS SERVEDDIETARY 1111,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1111,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1111,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1111,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1111,E10A180,00501,0300,07/20/2000 1111,S000000,00100,0200,06/02/2000 1111,S200000,00100,0100,1107 SEVENTH STREET N.E. 1111,S200000,00200,0100,BELMOND 1111,S200000,00200,0200,IA 1111,S200000,00200,0300,50421 1111,S200000,00300,0100,WRIGHT 1111,S200000,00300,0300,R 1111,S200000,00400,0100,BELMOND HEALTHCARE CENTER 1111,S200000,00400,0200,165380 1111,S200000,00400,0300,01/01/1998 1111,S200000,00400,0500,P 1111,S200000,01500,0100,Y 1111,S700003,00000,0400,4 1114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1114,A000000,00300,0000,00300EMPLOYEE BENEFITS 1114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1114,A000000,00700,0000,00700HOUSEKEEPING 1114,A000000,00800,0000,00800DIETARY 1114,A000000,00900,0000,00900NURSING ADMINISTRATION 1114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1114,A000000,01100,0000,01100PHARMACY 1114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1114,A000000,01300,0000,01300SOCIAL SERVICE 1114,A000000,01350,0000,01500RECREATION 1114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1114,A000000,01600,0000,01600SKILLED NURSING FACILITY 1114,A000000,01810,0000,01810ICF/MR 1114,A000000,02200,0000,02200LABORATORY 1114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1114,A000000,02500,0000,02500PHYSICAL THERAPY 1114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1114,A000000,02700,0000,02700SPEECH PATHOLOGY 1114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1114,A000000,03550,0000,03550FQHC 1114,A000000,05000,0000,05000CORF 1114,A000000,05010,0000,05010CMHC 1114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1114,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1114,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1114,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1114,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1114,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1114,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1114,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1114,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1114,B100000,00000,0800,00000PATIENT DAYSDIETARY 1114,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1114,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1114,B100000,00000,1100,00000COSTED REQUISPHARMACY 1114,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1114,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1114,B100000,00000,1350,00000PATIENT DAYSRECREATION 1114,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1114,S000000,00100,0200,05/31/2000 1114,S200000,00100,0100,900 SOUTH STONE STREET RR 3 1114,S200000,00100,0300,21 1114,S200000,00200,0100,SIGOURNEY 1114,S200000,00200,0200,IA 1114,S200000,00200,0300,52591 1114,S200000,00300,0100,KEOKUK 1114,S200000,00300,0300,R 1114,S200000,00400,0100,SIGOURNEY CARE CENTER 1114,S200000,00400,0200,165381 1114,S200000,00400,0300,01/01/1998 1114,S200000,00400,0500,P 1114,S200000,01500,0100,Y 1114,S700003,00000,0400,4 1116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1116,A000000,00300,0000,00300EMPLOYEE BENEFITS 1116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1116,A000000,00700,0000,00700HOUSEKEEPING 1116,A000000,00800,0000,00800DIETARY 1116,A000000,00900,0000,00900NURSING ADMINISTRATION 1116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1116,A000000,01100,0000,01100PHARMACY 1116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1116,A000000,01300,0000,01300SOCIAL SERVICE 1116,A000000,01350,0000,01500ACTIVITIES 1116,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 1116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1116,A000000,01600,0000,01600SKILLED NURSING FACILITY 1116,A000000,01800,0000,01800NURSING FACILITY 1116,A000000,01810,0000,01801ICF/MR 1116,A000000,01900,0000,01900OTHER LONG TERM CARE 1116,A000000,02100,0000,02100RADIOLOGY 1116,A000000,02200,0000,02200LABORATORY 1116,A000000,02300,0000,02300INTRAVENOUS THERAPY 1116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1116,A000000,02500,0000,02500PHYSICAL THERAPY 1116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1116,A000000,02700,0000,02700SPEECH PATHOLOGY 1116,A000000,02800,0000,02800ELECTROCARDIOLOGY 1116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1116,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1116,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1116,A000000,03200,0000,03200SUPPORT SURFACES 1116,A000000,03400,0000,03400CLINIC 1116,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1116,A000000,03500,0000,03500RURAL HEALTH CLINIC 1116,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1116,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1116,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1116,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1116,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1116,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1116,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1116,A000000,04400,0000,04400DME RENTED - HHA 1116,A000000,04500,0000,04500DME SOLD - HHA 1116,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1116,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1116,A000000,04750,0000,05100OSP 1116,A000000,04800,0000,04800AMBULANCE 1116,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1116,A000000,05000,0000,05000CORF 1116,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1116,A000000,05300,0000,05300INTEREST EXPENSE 1116,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1116,A000000,05500,0000,05500HOSPICE 1116,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1116,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1116,A000000,06100,0000,06100NONPAID WORKERS 1116,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1116,A000000,06200,0000,06200PATIENTS LAUNDRY 1116,A81000A,00100,0100,Y 1116,A81000B,00100,0300,RENT 1116,A81000B,00200,0300,MAINTENANCE 1116,A81000B,00300,0300,ADMINISTRATOR 1116,A81000C,00100,0100,A 1116,A81000C,00100,0200,HAZEL AND EARL 1116,A81000C,00100,0400,GRIFFIN REAL ES 1116,A81000C,00100,0600,FAMILY OWNERSHI 1116,A81000C,00200,0100,A 1116,A81000C,00200,0200,EARL GRIFFIN 1116,A81000C,00200,0400,EARL GRIFFIN 1116,A81000C,00200,0600,MAINTENANCE MAN 1116,A81000C,00300,0100,A 1116,A81000C,00300,0200,HAZEL GRIFFIN 1116,A81000C,00300,0400,HAZEL GRIFFIN 1116,A81000C,00300,0600,ADMINISTRATOR 1116,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1116,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1116,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1116,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1116,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1116,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1116,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1116,B100000,00000,0800,00000MEALS SERVEDDIETARY 1116,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1116,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1116,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1116,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1116,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1116,B100000,00000,1350,00000DAYSACTIVITIES 1116,B100000,00000,1351,00000DAYSOTHER GENERAL SERVICE COST CENT 1116,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1116,S000000,00100,0200,05/16/2000 1116,S200000,00100,0100,606 NORTH SEVENTH STREET 1116,S200000,00200,0100,KNOXVILLE 1116,S200000,00200,0200,IA 1116,S200000,00200,0300,50138- 1116,S200000,00300,0100,MARION 1116,S200000,00300,0300,R 1116,S200000,00400,0100,GRIFFIN NURSING CENTER 1116,S200000,00400,0200,165382 1116,S200000,00400,0300,03/31/1998 1116,S200000,00400,0500,P 1116,S200000,01500,0100,Y 1116,S200000,01900,0100,N 1116,S700003,00000,0400,4 1119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1119,A000000,00300,0000,00300EMPLOYEE BENEFITS 1119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1119,A000000,00700,0000,00700HOUSEKEEPING 1119,A000000,00800,0000,00800DIETARY 1119,A000000,00900,0000,00900NURSING ADMINISTRATION 1119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1119,A000000,01100,0000,01100PHARMACY 1119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1119,A000000,01300,0000,01300SOCIAL SERVICE 1119,A000000,01350,0000,01500RECREATION 1119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1119,A000000,01600,0000,01600SKILLED NURSING FACILITY 1119,A000000,01800,0000,01800NURSING FACILITY 1119,A000000,01810,0000,01810ICF/MR 1119,A000000,01900,0000,01900OTHER LONG TERM CARE 1119,A000000,02500,0000,02500PHYSICAL THERAPY 1119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1119,A000000,02700,0000,02700SPEECH PATHOLOGY 1119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1119,A000000,03550,0000,03550FQHC 1119,A000000,05000,0000,05000CORF 1119,A000000,05010,0000,05010CMHC 1119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1119,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1119,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1119,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1119,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1119,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1119,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1119,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1119,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1119,B100000,00000,0800,00000MEALS SERVEDDIETARY 1119,B100000,00000,0900,00000DIRECT NRSG HRSNURSING ADMINISTR 1119,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1119,B100000,00000,1100,00000COSTED REQUISPHARMACY 1119,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1119,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1119,B100000,00000,1350,00000PATIENT DAYSRECREATION 1119,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1119,E10A180,00501,0300,07/14/2000 1119,S000000,00100,0200,05/31/2000 1119,S200000,00100,0100,100 BENNETT DRIVE 1119,S200000,00100,0300,400 1119,S200000,00200,0100,SHEFFIELD 1119,S200000,00200,0200,IA 1119,S200000,00200,0300,50475 1119,S200000,00300,0100,FRANKLIN 1119,S200000,00300,0300,R 1119,S200000,00400,0100,SHEFFIELD CARE CENTER 1119,S200000,00400,0200,165384 1119,S200000,00400,0300,07/01/1998 1119,S200000,00400,0500,P 1119,S200000,01500,0100,Y 1119,S200000,01900,0100,OTHER 1119,S700003,00000,0400,4 1123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1123,A000000,00300,0000,00300EMPLOYEE BENEFITS 1123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1123,A000000,00700,0000,00700HOUSEKEEPING 1123,A000000,00800,0000,00800DIETARY 1123,A000000,00900,0000,00900NURSING ADMINISTRATION 1123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1123,A000000,01300,0000,01300SOCIAL SERVICE 1123,A000000,01350,0000,01500ACTIVITIES 1123,A000000,01600,0000,01600SKILLED NURSING FACILITY 1123,A000000,02100,0000,02100RADIOLOGY 1123,A000000,02200,0000,02200LABORATORY 1123,A000000,02500,0000,02500PHYSICAL THERAPY 1123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1123,A000000,02700,0000,02700SPEECH PATHOLOGY 1123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1123,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1123,A000000,05300,0000,05300INTEREST EXPENSE 1123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1123,A81000A,00100,0100,Y 1123,A81000B,00100,0300,INSURANCE 1123,A81000B,00200,0300,HOME OFFICE 1123,A81000B,00300,0300,GROUP INSURANCE 1123,A81000B,00400,0300,HOME OFFICE 1123,A81000C,00100,0100,B 1123,A81000C,00100,0400,ABCM CORPORATIO 1123,A81000C,00100,0600,HOME OFFICE 1123,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1123,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1123,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1123,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1123,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1123,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1123,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1123,B100000,00000,0800,00000MEALS SERVEDDIETARY 1123,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1123,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1123,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1123,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1123,E10A180,00501,0300,07/14/2000 1123,S000000,00100,0200,06/02/2000 1123,S200000,00100,0100,9TH AND MAPLE STREET 1123,S200000,00200,0100,ELMA 1123,S200000,00200,0200,IA 1123,S200000,00200,0300,50628 1123,S200000,00300,0100,HOWARD 1123,S200000,00300,0300,R 1123,S200000,00400,0100,COLONIAL MANOR OF ELMA 1123,S200000,00400,0200,165386 1123,S200000,00400,0300,06/01/1998 1123,S200000,00400,0500,P 1123,S200000,01500,0100,Y 1123,S700003,00000,0400,4 1126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1126,A000000,00300,0000,00300EMPLOYEE BENEFITS 1126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1126,A000000,00700,0000,00700HOUSEKEEPING 1126,A000000,00800,0000,00800DIETARY 1126,A000000,00900,0000,00900NURSING ADMINISTRATION 1126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1126,A000000,01100,0000,01100PHARMACY 1126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1126,A000000,01300,0000,01300SOCIAL SERVICE 1126,A000000,01350,0000,01500RECREATION 1126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1126,A000000,01600,0000,01600SKILLED NURSING FACILITY 1126,A000000,01810,0000,01810ICF/MR 1126,A000000,02200,0000,02200LABORATORY 1126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1126,A000000,02500,0000,02500PHYSICAL THERAPY 1126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1126,A000000,02700,0000,02700SPEECH PATHOLOGY 1126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1126,A000000,03550,0000,03550FQHC 1126,A000000,05000,0000,05000CORF 1126,A000000,05010,0000,05010CMHC 1126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1126,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1126,E10A180,00501,0300,07/21/2000 1126,S000000,00100,0200,05/31/2000 1126,S200000,00100,0100,PIONEER ROAD 1126,S200000,00100,0300,590 1126,S200000,00200,0100,LONE TREE 1126,S200000,00200,0200,IA 1126,S200000,00200,0300,52755 1126,S200000,00300,0100,JOHNSON 1126,S200000,00300,0300,U 1126,S200000,00400,0100,LONE TREE HEALTH CARE CENTER 1126,S200000,00400,0200,165388 1126,S200000,00400,0300,04/01/1998 1126,S200000,00400,0500,P 1126,S200000,01500,0100,Y 1126,S700003,00000,0400,4 1129,S000000,00100,0200,05/31/2000 1132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1132,A000000,00300,0000,00300EMPLOYEE BENEFITS 1132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1132,A000000,00700,0000,00700HOUSEKEEPING 1132,A000000,00800,0000,00800DIETARY 1132,A000000,00900,0000,00900NURSING ADMINISTRATION 1132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1132,A000000,01100,0000,01100PHARMACY 1132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1132,A000000,01300,0000,01300SOCIAL SERVICE 1132,A000000,01350,0000,01500RECREATION 1132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1132,A000000,01600,0000,01600SKILLED NURSING FACILITY 1132,A000000,01810,0000,01810ICF/MR 1132,A000000,02100,0000,02100RADIOLOGY 1132,A000000,02200,0000,02200LABORATORY 1132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1132,A000000,02500,0000,02500PHYSICAL THERAPY 1132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1132,A000000,02700,0000,02700SPEECH PATHOLOGY 1132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1132,A000000,03550,0000,03550FQHC 1132,A000000,05000,0000,05000CORF 1132,A000000,05010,0000,05010CMHC 1132,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1132,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1132,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1132,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1132,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1132,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1132,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1132,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1132,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1132,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1132,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1132,B100000,00000,0800,00000PATIENT DAYSDIETARY 1132,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 1132,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1132,B100000,00000,1100,00000COSTED REQUISPHARMACY 1132,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1132,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1132,B100000,00000,1350,00000PATIENT DAYSRECREATION 1132,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1132,E10A180,00350,0100,11/03/1999 1132,E10A180,00550,0300,07/21/2000 1132,S000000,00100,0200,05/31/2000 1132,S200000,00100,0100,702 THIRD STREET NW 1132,S200000,00200,0100,STATE CENTER 1132,S200000,00200,0200,IA 1132,S200000,00200,0300,50247 1132,S200000,00300,0100,MARSHALL 1132,S200000,00300,0300,R 1132,S200000,00400,0100,STATE CENTER MANOR 1132,S200000,00400,0200,165390 1132,S200000,00400,0300,04/01/1998 1132,S200000,00400,0500,P 1132,S200000,01500,0100,Y 1132,S700003,00000,0400,4 1136,S000000,00100,0200,05/31/2000 1138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1138,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 1138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1138,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 1138,A000000,00300,0000,00300EMPLOYEE BENEFITS 1138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1138,A000000,00700,0000,00700HOUSEKEEPING 1138,A000000,00800,0000,00800DIETARY 1138,A000000,00801,0000,00801CAFETERIA 1138,A000000,00900,0000,00900NURSING ADMINISTRATION 1138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1138,A000000,01100,0000,01100PHARMACY 1138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1138,A000000,01300,0000,01300SOCIAL SERVICE 1138,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1138,A000000,01600,0000,01600SKILLED NURSING FACILITY 1138,A000000,01800,0000,01800NURSING FACILITY 1138,A000000,01900,0000,01900OTHER LONG TERM CARE 1138,A000000,02100,0000,02100RADIOLOGY 1138,A000000,02200,0000,02200LABORATORY 1138,A000000,02300,0000,02300INTRAVENOUS THERAPY 1138,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1138,A000000,02500,0000,02500PHYSICAL THERAPY 1138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1138,A000000,02700,0000,02700SPEECH PATHOLOGY 1138,A000000,02800,0000,02800ELECTROCARDIOLOGY 1138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1138,A000000,03050,0000,03300OTHER ANCILLARY 1138,A000000,03051,0000,03301OTHER ANCILLARY II 1138,A000000,03052,0000,03302OTHER ANCILLARY III 1138,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1138,A000000,03200,0000,03200SUPPORT SURFACES 1138,A000000,03400,0000,03400CLINIC 1138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 1138,A000000,03500,0000,03500RURAL HEALTH CLINIC 1138,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1138,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1138,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1138,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1138,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1138,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1138,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1138,A000000,04400,0000,04400DME RENTED - HHA 1138,A000000,04500,0000,04500DME SOLD - HHA 1138,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1138,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1138,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1138,A000000,04800,0000,04800AMBULANCE 1138,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1138,A000000,05000,0000,05000CORF I 1138,A000000,05010,0000,05010CMHC I 1138,A000000,05020,0000,05020OPT I 1138,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1138,A000000,05300,0000,05300INTEREST EXPENSE 1138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 1138,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 1138,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1138,A000000,05500,0000,05500HOSPICE 1138,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1138,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1138,A000000,06100,0000,06100NONPAID WORKERS 1138,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1138,A000000,06200,0000,06200PATIENTS LAUNDRY 1138,A81000A,00100,0100,Y 1138,A81000B,00100,0300,INTEREST 1138,A81000B,00200,0300,SALARIES 1138,A81000B,00300,0300,BENEFITS 1138,A81000B,00400,0300,SALARIES 1138,A81000C,00100,0100,G 1138,A81000C,00100,0200,S. JAN PLOEGER 1138,A81000C,00200,0100,G 1138,A81000C,00200,0200,SHERRON PLOEGER 1138,A81000C,00300,0100,G 1138,A81000C,00300,0200,SHERRI NILES 1138,A81000C,00400,0100,G 1138,A81000C,00400,0200,SHELLI PLOEGER 1138,A81000C,03100,0000,OWNER/ADMIN 1138,E10A180,00501,0100,02/25/2000 1138,S000000,00100,0200,12/29/1999 1138,S200000,00100,0100,121 LIONS ROAD 1138,S200000,00200,0100,FREDERICKSBURG 1138,S200000,00200,0200,IA 1138,S200000,00200,0300,50630 1138,S200000,00300,0100,CHICKASAW 1138,S200000,00300,0300,R 1138,S200000,00400,0100,SUNRISE GUEST HOME 1138,S200000,00400,0200,165392 1138,S200000,00400,0300,11/01/1998 1138,S200000,00400,0500,P 1138,S200000,01500,0100,Y 1138,S200000,01900,0100,N 1138,S700003,00000,0400,4 1139,S000000,00100,0200,05/31/2000 1149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1149,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 1149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1149,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 1149,A000000,00300,0000,00300EMPLOYEE BENEFITS 1149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1149,A000000,00700,0000,00700HOUSEKEEPING 1149,A000000,00800,0000,00800DIETARY 1149,A000000,00801,0000,00801CAFETERIA 1149,A000000,00900,0000,00900NURSING ADMINISTRATION 1149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1149,A000000,01100,0000,01100PHARMACY 1149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1149,A000000,01300,0000,01300SOCIAL SERVICE 1149,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1149,A000000,01600,0000,01600SKILLED NURSING FACILITY 1149,A000000,01800,0000,01800NURSING FACILITY 1149,A000000,01900,0000,01900OTHER LONG TERM CARE 1149,A000000,02100,0000,02100RADIOLOGY 1149,A000000,02200,0000,02200LABORATORY 1149,A000000,02300,0000,02300INTRAVENOUS THERAPY 1149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1149,A000000,02500,0000,02500PHYSICAL THERAPY 1149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1149,A000000,02700,0000,02700SPEECH PATHOLOGY 1149,A000000,02800,0000,02800ELECTROCARDIOLOGY 1149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1149,A000000,03050,0000,03300OTHER ANCILLARY 1149,A000000,03051,0000,03301OTHER ANCILLARY II 1149,A000000,03052,0000,03302OTHER ANCILLARY III 1149,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1149,A000000,03200,0000,03200SUPPORT SURFACES 1149,A000000,03400,0000,03400CLINIC 1149,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 1149,A000000,03500,0000,03500RURAL HEALTH CLINIC 1149,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1149,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1149,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1149,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1149,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1149,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1149,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1149,A000000,04400,0000,04400DME RENTED - HHA 1149,A000000,04500,0000,04500DME SOLD - HHA 1149,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1149,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1149,A000000,04750,0000,05100OSP 1149,A000000,04800,0000,04800AMBULANCE 1149,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1149,A000000,05000,0000,05000CORF 1149,A000000,05010,0000,05010CMHC I 1149,A000000,05020,0000,05020OPT I 1149,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1149,A000000,05300,0000,05300INTEREST EXPENSE 1149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 1149,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 1149,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1149,A000000,05500,0000,05500HOSPICE 1149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1149,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1149,A000000,06100,0000,06100NONPAID WORKERS 1149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1149,A000000,06200,0000,06200PATIENTS LAUNDRY 1149,A81000A,00100,0100,Y 1149,A81000B,00100,0300,TELEPHONE AUTO 1149,A81000B,00200,0300,RENT 1149,A81000C,00100,0100,A 1149,A81000C,00100,0200,R W RICHARDSON 1149,A81000C,00100,0400,UNITED CARE CTR 1149,A81000C,00100,0600,REAL ESTATE 1149,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 1149,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 1149,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 1149,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 1149,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 1149,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1149,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 1149,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 1149,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 1149,B100000,00000,0800,00000(MEALS SERVED)DIETARY 1149,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 1149,B100000,00000,0900,00000(NURSING SALARIES)NURSING ADMINIST 1149,B100000,00000,1000,00000(COSTED REQUIS.)CENTRAL SERVICES 1149,B100000,00000,1100,00000(COSTED REQUIS.)PHARMACY 1149,B100000,00000,1200,00000(TIME SPENT)MEDICAL RECORDS & L 1149,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 1149,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 1149,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 1149,S000000,00100,0200,05/11/2000 1149,S200000,00100,0100,815 HIGH ROAD 1149,S200000,00100,0300,279 1149,S200000,00200,0100,NORWALK 1149,S200000,00200,0200,IA 1149,S200000,00200,0300,80211 1149,S200000,00300,0100,WARREN 1149,S200000,00300,0300,U 1149,S200000,00400,0100,REGENCY CARE CENTER 1149,S200000,00400,0200,165399 1149,S200000,00400,0300,09/22/1998 1149,S200000,00400,0500,P 1149,S200000,01500,0100,Y 1149,S200000,01900,0100,N 1149,S700003,00000,0400,4 1151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1151,A000000,00300,0000,00300EMPLOYEE BENEFITS 1151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1151,A000000,00700,0000,00700HOUSEKEEPING 1151,A000000,00800,0000,00800DIETARY 1151,A000000,00900,0000,00900NURSING ADMINISTRATION 1151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1151,A000000,01100,0000,01100PHARMACY 1151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1151,A000000,01300,0000,01300SOCIAL SERVICE 1151,A000000,01350,0000,01500ACTIVITIES 1151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1151,A000000,01600,0000,01600SKILLED NURSING FACILITY 1151,A000000,01800,0000,01800NURSING FACILITY 1151,A000000,01810,0000,01801ICF/MR 1151,A000000,01900,0000,01900OTHER LONG TERM CARE 1151,A000000,02100,0000,02100RADIOLOGY 1151,A000000,02200,0000,02200LABORATORY 1151,A000000,02300,0000,02300INTRAVENOUS THERAPY 1151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1151,A000000,02500,0000,02500PHYSICAL THERAPY 1151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1151,A000000,02700,0000,02700SPEECH PATHOLOGY 1151,A000000,02800,0000,02800ELECTROCARDIOLOGY 1151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1151,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1151,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1151,A000000,03200,0000,03200SUPPORT SURFACES 1151,A000000,03400,0000,03400CLINIC 1151,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1151,A000000,03500,0000,03500RURAL HEALTH CLINIC 1151,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1151,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1151,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1151,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1151,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1151,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1151,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1151,A000000,04400,0000,04400DME RENTED - HHA 1151,A000000,04500,0000,04500DME SOLD - HHA 1151,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1151,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1151,A000000,04750,0000,05100OSP 1151,A000000,04800,0000,04800AMBULANCE 1151,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1151,A000000,05000,0000,05000CORF 1151,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1151,A000000,05300,0000,05300INTEREST EXPENSE 1151,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1151,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1151,A000000,05500,0000,05500HOSPICE 1151,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1151,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1151,A000000,06100,0000,06100NONPAID WORKERS 1151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1151,A000000,06200,0000,06200PATIENTS LAUNDRY 1151,A81000A,00100,0100,Y 1151,A81000B,00100,0300,HOME OFFICE EXPENSE 1151,A81000B,00200,0300,HOME OFFICE MME 1151,A81000C,00100,0100,B 1151,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1151,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1151,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1151,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1151,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1151,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1151,B100000,00000,0800,00000MEALS SERVEDDIETARY 1151,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1151,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1151,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1151,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1151,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1151,B100000,00000,1500,00000DAYSACTIVITIES 1151,S000000,00100,0200,06/01/2000 1151,S200000,00100,0100,501 N. SHERMAN 1151,S200000,00200,0100,PRAIRIE CITY 1151,S200000,00200,0200,IA 1151,S200000,00200,0300,50228- 1151,S200000,00300,0100,JASPER 1151,S200000,00300,0300,R 1151,S200000,00400,0100,CLEARVIEW MANOR 1151,S200000,00400,0200,165400 1151,S200000,00400,0300,01/01/1999 1151,S200000,00400,0500,P 1151,S200000,01500,0100,Y 1151,S700003,00000,0400,4 1153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1153,A000000,00300,0000,00300EMPLOYEE BENEFITS 1153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1153,A000000,00700,0000,00700HOUSEKEEPING 1153,A000000,00800,0000,00800DIETARY 1153,A000000,00900,0000,00900NURSING ADMINISTRATION 1153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1153,A000000,01300,0000,01300SOCIAL SERVICE 1153,A000000,01350,0000,01500ACTIVITIES 1153,A000000,01600,0000,01600SKILLED NURSING FACILITY 1153,A000000,01800,0000,01800NURSING FACILITY 1153,A000000,01810,0000,01801ICF/MR 1153,A000000,01900,0000,01900OTHER LONG TERM CARE 1153,A000000,02100,0000,02100RADIOLOGY 1153,A000000,02200,0000,02200LABORATORY 1153,A000000,02300,0000,02300INTRAVENOUS THERAPY 1153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1153,A000000,02500,0000,02500PHYSICAL THERAPY 1153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1153,A000000,02700,0000,02700SPEECH PATHOLOGY 1153,A000000,02800,0000,02800ELECTROCARDIOLOGY 1153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1153,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 1153,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1153,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1153,A000000,03200,0000,03200SUPPORT SURFACES 1153,A000000,03400,0000,03400CLINIC 1153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1153,A000000,03500,0000,03500RURAL HEALTH CLINIC 1153,A000000,04750,0000,05100OSP 1153,A000000,04800,0000,04800AMBULANCE 1153,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1153,A000000,05000,0000,05000CORF 1153,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1153,A000000,05300,0000,05300INTEREST EXPENSE 1153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1153,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1153,A000000,05500,0000,05500HOSPICE 1153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1153,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1153,A000000,06100,0000,06100NONPAID WORKERS 1153,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1153,A000000,06200,0000,06200PATIENTS LAUNDRY 1153,A81000A,00100,0100,Y 1153,A81000B,00100,0300,HOME OFFICE - OPERATING 1153,A81000B,00200,0300,MME CAPITAL 1153,A81000C,00100,0100,B 1153,A81000C,00100,0400,CARE INITIATIVE 1153,A81000C,00100,0600,HOME OFFICE 1153,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1153,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1153,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1153,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1153,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1153,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1153,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1153,B100000,00000,0800,00000MEALS SERVEDDIETARY 1153,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1153,B100000,00000,1200,00000SPENTMEDICAL RECORDS & LIBRARY 1153,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1153,B100000,00000,1350,00000TIME SPENTACTIVITIES 1153,S000000,00100,0200,05/30/2000 1153,S200000,00100,0100,700 9TH AVENUE NORTH 1153,S200000,00200,0100,SIBLEY 1153,S200000,00200,0200,IA 1153,S200000,00200,0300,51249-1050 1153,S200000,00300,0100,OSCEOLA 1153,S200000,00300,0300,R 1153,S200000,00400,0100,SIBLEY NURSING AND REHAB CENTER 1153,S200000,00400,0200,165401 1153,S200000,00400,0300,05/01/1999 1153,S200000,00400,0500,P 1153,S200000,01500,0100,Y 1153,S200000,01900,0100,N 1153,S700003,00000,0400,4 1155,S000000,00100,0200,06/02/2000 1158,S000000,00100,0200,06/02/2000 1160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1160,A000000,00300,0000,00300EMPLOYEE BENEFITS 1160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1160,A000000,00700,0000,00700HOUSEKEEPING 1160,A000000,00800,0000,00800DIETARY 1160,A000000,00900,0000,00900NURSING ADMINISTRATION 1160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1160,A000000,01300,0000,01300SOCIAL SERVICE 1160,A000000,01350,0000,01500ACTIVITIES 1160,A000000,01600,0000,01600SKILLED NURSING FACILITY 1160,A000000,01800,0000,01800NURSING FACILITY 1160,A000000,01810,0000,01801ICF/MR 1160,A000000,01900,0000,01900OTHER LONG TERM CARE 1160,A000000,02100,0000,02100RADIOLOGY 1160,A000000,02200,0000,02200LABORATORY 1160,A000000,02300,0000,02300INTRAVENOUS THERAPY 1160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1160,A000000,02500,0000,02500PHYSICAL THERAPY 1160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1160,A000000,02700,0000,02700SPEECH PATHOLOGY 1160,A000000,02800,0000,02800ELECTROCARDIOLOGY 1160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1160,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 1160,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1160,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1160,A000000,03200,0000,03200SUPPORT SURFACES 1160,A000000,03400,0000,03400CLINIC 1160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1160,A000000,03500,0000,03500RURAL HEALTH CLINIC 1160,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1160,A000000,04800,0000,04800AMBULANCE 1160,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1160,A000000,05000,0000,05000CORF 1160,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1160,A000000,05300,0000,05300INTEREST EXPENSE 1160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1160,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1160,A000000,05500,0000,05500HOSPICE 1160,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1160,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1160,A000000,06100,0000,06100NONPAID WORKERS 1160,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1160,A000000,06200,0000,06200PATIENTS LAUNDRY 1160,A81000A,00100,0100,Y 1160,A81000B,00100,0300,HOME OFFICE - OPERATING 1160,A81000B,00200,0300,MME CAPITAL 1160,A81000C,00100,0100,B 1160,A81000C,00100,0400,CARE INITIATIVE 1160,A81000C,00100,0600,HOME OFFICE 1160,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1160,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1160,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1160,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1160,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1160,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1160,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1160,B100000,00000,0800,00000MEALS SERVEDDIETARY 1160,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1160,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1160,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1160,B100000,00000,1350,00000TIME SPENTACTIVITIES 1160,S000000,00100,0200,05/30/2000 1160,S200000,00100,0100,100 CARE CENTER CIRCLE 1160,S200000,00200,0100,NEW LONDON 1160,S200000,00200,0200,IA 1160,S200000,00200,0300,52645-0136 1160,S200000,00300,0100,HENRY 1160,S200000,00300,0300,R 1160,S200000,00400,0100,NEW LONDON NURSING AND REHAB CENTER 1160,S200000,00400,0200,165404 1160,S200000,00400,0300,01/01/1999 1160,S200000,00400,0500,P 1160,S200000,01500,0100,Y 1160,S200000,01900,0100,N 1160,S700003,00000,0400,4 1163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1163,A000000,00300,0000,00300EMPLOYEE BENEFITS 1163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1163,A000000,00700,0000,00700HOUSEKEEPING 1163,A000000,00800,0000,00800DIETARY 1163,A000000,00900,0000,00900NURSING ADMINISTRATION 1163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1163,A000000,01300,0000,01300SOCIAL SERVICE 1163,A000000,01350,0000,01500ACTIVITIES 1163,A000000,01600,0000,01600SKILLED NURSING FACILITY 1163,A000000,01800,0000,01800NURSING FACILITY 1163,A000000,01810,0000,01801ICF/MR 1163,A000000,01900,0000,01900OTHER LONG TERM CARE 1163,A000000,02100,0000,02100RADIOLOGY 1163,A000000,02200,0000,02200LABORATORY 1163,A000000,02300,0000,02300INTRAVENOUS THERAPY 1163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1163,A000000,02500,0000,02500PHYSICAL THERAPY 1163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1163,A000000,02700,0000,02700SPEECH PATHOLOGY 1163,A000000,02800,0000,02800ELECTROCARDIOLOGY 1163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1163,A000000,03001,0000,03001PEN MEDICAL SUPPLIES 1163,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1163,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1163,A000000,03200,0000,03200SUPPORT SURFACES 1163,A000000,03400,0000,03400CLINIC 1163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1163,A000000,03500,0000,03500RURAL HEALTH CLINIC 1163,A000000,04750,0000,05100OSP 1163,A000000,04800,0000,04800AMBULANCE 1163,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1163,A000000,05000,0000,05000CORF 1163,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1163,A000000,05300,0000,05300INTEREST EXPENSE 1163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1163,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1163,A000000,05500,0000,05500HOSPICE 1163,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1163,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1163,A000000,06100,0000,06100NONPAID WORKERS 1163,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1163,A000000,06200,0000,06200PATIENTS LAUNDRY 1163,A81000A,00100,0100,Y 1163,A81000B,00100,0300,HOME OFFICE - OPERATING 1163,A81000B,00200,0300,MME CAPITAL 1163,A81000C,00100,0100,B 1163,A81000C,00100,0400,CARE INITIATIVE 1163,A81000C,00100,0600,HOME OFFICE 1163,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1163,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1163,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1163,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1163,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1163,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1163,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1163,B100000,00000,0800,00000MEALS SERVEDDIETARY 1163,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1163,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1163,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1163,B100000,00000,1350,00000TIME SPENTACTIVITIES 1163,S000000,00100,0200,05/30/2000 1163,S200000,00100,0100,601 2ND STREET 1163,S200000,00100,0300,310 1163,S200000,00200,0100,BAYARD 1163,S200000,00200,0200,IA 1163,S200000,00200,0300,50029-0310 1163,S200000,00300,0100,GUTHRIE 1163,S200000,00300,0300,R 1163,S200000,00400,0100,BAYARD NURSING AND REHAB CENTER 1163,S200000,00400,0200,165407 1163,S200000,00400,0300,12/17/1998 1163,S200000,00400,0500,P 1163,S200000,01500,0100,Y 1163,S200000,01900,0100,N 1163,S700003,00000,0400,4 1166,S000000,00100,0200,06/19/2000 1167,S000000,00100,0200,05/31/2000 1169,S000000,00100,0200,05/31/2000 1171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1171,A000000,00300,0000,00300EMPLOYEE BENEFITS 1171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1171,A000000,00700,0000,00700HOUSEKEEPING 1171,A000000,00800,0000,00800DIETARY 1171,A000000,00900,0000,00900NURSING ADMINISTRATION 1171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1171,A000000,01300,0000,01300SOCIAL SERVICE 1171,A000000,01350,0000,01500ACTIVITIES 1171,A000000,01600,0000,01600SKILLED NURSING FACILITY 1171,A000000,01810,0000,01810ICF/MR 1171,A000000,02200,0000,02200LABORATORY 1171,A000000,02500,0000,02500PHYSICAL THERAPY 1171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1171,A000000,02700,0000,02700SPEECH PATHOLOGY 1171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1171,A000000,03550,0000,03550FQHC 1171,A000000,05000,0000,05000CORF 1171,A000000,05010,0000,05010CMHC 1171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1171,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1171,A000000,05300,0000,05300INTEREST EXPENSE 1171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1171,A81000A,00100,0100,Y 1171,A81000B,00100,0300,INSURANCE 1171,A81000B,00200,0300,MME 1171,A81000B,00300,0300,PAYROLL TAXES & INSU 1171,A81000B,00400,0300,HOME OFFICE 1171,A81000C,00100,0100,B 1171,A81000C,00100,0200,NCM 1171,A81000C,00100,0600,HOME OFFICE 1171,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1171,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1171,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1171,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1171,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1171,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1171,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1171,B100000,00000,0800,00000MEALS SERVEDDIETARY 1171,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1171,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1171,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1171,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1171,E10A180,00501,0300,07/14/2000 1171,S000000,00100,0200,06/02/2000 1171,S200000,00100,0100,2416 SOUTH DES MOINES 1171,S200000,00200,0100,WEBSTER CITY 1171,S200000,00200,0200,IA 1171,S200000,00200,0300,50595 1171,S200000,00300,0300,R 1171,S200000,00400,0100,SOUTHFILED CARE CENTER 1171,S200000,00400,0200,165411 1171,S200000,00400,0300,06/01/1999 1171,S200000,00400,0500,P 1171,S200000,01500,0100,Y 1171,S700003,00000,0400,4 1174,S000000,00100,0200,06/01/2000 1176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1176,A000000,00300,0000,00300EMPLOYEE BENEFITS 1176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1176,A000000,00700,0000,00700HOUSEKEEPING 1176,A000000,00800,0000,00800DIETARY 1176,A000000,00900,0000,00900NURSING ADMINISTRATION 1176,A000000,01350,0000,01500ACTIVITIES 1176,A000000,01600,0000,01600SKILLED NURSING FACILITY 1176,A000000,01800,0000,01800NURSING FACILITY 1176,A000000,01810,0000,01801ICF/MR 1176,A000000,01900,0000,01900OTHER LONG TERM CARE 1176,A000000,02200,0000,02200LABORATORY 1176,A000000,02500,0000,02500PHYSICAL THERAPY 1176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1176,A000000,02700,0000,02700SPEECH PATHOLOGY 1176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1176,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1176,A000000,05300,0000,05300INTEREST EXPENSE 1176,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1176,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1176,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1176,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 1176,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1176,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1176,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1176,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1176,B100000,00000,0800,00000MEALS SERVEDDIETARY 1176,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1176,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1176,S000000,00100,0200,05/26/2000 1176,S200000,00100,0100,410 SPRUCE STREET 1176,S200000,00200,0100,ALBERT CITY 1176,S200000,00200,0200,IA 1176,S200000,00200,0300,50510- 1176,S200000,00300,0100,BUENA VISTA 1176,S200000,00300,0300,R 1176,S200000,00400,0100,PLEASANT VIEW HOME 1176,S200000,00400,0200,165413 1176,S200000,00400,0300,07/01/1999 1176,S200000,00400,0500,P 1176,S200000,01500,0100,Y 1176,S200000,01900,0100,N 1176,S700003,00000,0400,4 1178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1178,A000000,00300,0000,00300EMPLOYEE BENEFITS 1178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1178,A000000,00700,0000,00700HOUSEKEEPING 1178,A000000,00800,0000,00800DIETARY 1178,A000000,00900,0000,00900NURSING ADMINISTRATION 1178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1178,A000000,01100,0000,01100PHARMACY 1178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1178,A000000,01300,0000,01300SOCIAL SERVICE 1178,A000000,01350,0000,01500ACTIVITIES 1178,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 1178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1178,A000000,01600,0000,01600SKILLED NURSING FACILITY 1178,A000000,01800,0000,01800NURSING FACILITY 1178,A000000,01810,0000,01801ICF/MR 1178,A000000,01900,0000,01900OTHER LONG TERM CARE 1178,A000000,02100,0000,02100RADIOLOGY 1178,A000000,02200,0000,02200LABORATORY 1178,A000000,02300,0000,02300INTRAVENOUS THERAPY 1178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1178,A000000,02500,0000,02500PHYSICAL THERAPY 1178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1178,A000000,02700,0000,02700SPEECH PATHOLOGY 1178,A000000,02800,0000,02800ELECTROCARDIOLOGY 1178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1178,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1178,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1178,A000000,03200,0000,03200SUPPORT SURFACES 1178,A000000,03400,0000,03400CLINIC 1178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1178,A000000,03500,0000,03500RURAL HEALTH CLINIC 1178,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1178,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1178,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1178,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1178,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1178,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1178,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1178,A000000,04400,0000,04400DME RENTED - HHA 1178,A000000,04500,0000,04500DME SOLD - HHA 1178,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1178,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1178,A000000,04750,0000,05100OSP 1178,A000000,04800,0000,04800AMBULANCE 1178,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1178,A000000,05000,0000,05000CORF 1178,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1178,A000000,05300,0000,05300INTEREST EXPENSE 1178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1178,A000000,05500,0000,05500HOSPICE 1178,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1178,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1178,A000000,06100,0000,06100NONPAID WORKERS 1178,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1178,A000000,06200,0000,06200PATIENTS LAUNDRY 1178,S000000,00100,0200,05/22/2000 1178,S200000,00100,0100,303 E. SEVENTH 1178,S200000,00200,0100,POMEROY 1178,S200000,00200,0200,IA 1178,S200000,00200,0300,50575- 1178,S200000,00300,0100,CALHOUN 1178,S200000,00300,0300,R 1178,S200000,00400,0100,POMEROY CARE CENTER 1178,S200000,00400,0200,165414 1178,S200000,00400,0300,09/01/1999 1178,S200000,00400,0500,P 1178,S200000,01500,0100,Y 1178,S200000,01900,0100,N 1178,S700003,00000,0400,4 1180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1180,A000000,00300,0000,00300EMPLOYEE BENEFITS 1180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1180,A000000,00700,0000,00700HOUSEKEEPING 1180,A000000,00800,0000,00800DIETARY 1180,A000000,00900,0000,00900NURSING ADMINISTRATION 1180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1180,A000000,01100,0000,01100PHARMACY 1180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1180,A000000,01300,0000,01300SOCIAL SERVICE 1180,A000000,01350,0000,01500OTHER GENERAL SERVICES 1180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1180,A000000,01600,0000,01600SKILLED NURSING FACILITY 1180,A000000,01810,0000,01801ICF/MR 1180,A000000,01900,0000,01900OTHER LONG TERM CARE 1180,A000000,02100,0000,02100RADIOLOGY 1180,A000000,02200,0000,02200LABORATORY 1180,A000000,02300,0000,02300INTRAVENOUS THERAPY 1180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1180,A000000,02500,0000,02500PHYSICAL THERAPY 1180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1180,A000000,02700,0000,02700SPEECH PATHOLOGY 1180,A000000,02702,0000,02702AIR FLOATATION THERAPY 1180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1180,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1180,A000000,03200,0000,03200SUPPORT SURFACES 1180,A000000,04750,0000,05100OSP 1180,A000000,04800,0000,04800AMBULANCE 1180,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1180,A000000,05300,0000,05300INTEREST EXPENSE 1180,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1180,A000000,05500,0000,05500HOSPICE 1180,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1180,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1180,A000000,06100,0000,06100NONPAID WORKERS 1180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1180,A000000,06200,0000,06200PATIENTS LAUNDRY 1180,A81000A,00100,0100,Y 1180,A81000B,00100,0300,MANAGEMENT FEES 1180,A81000C,00100,0100,A 1180,A81000C,00100,0200,FRANK BROWN 1180,A81000C,00100,0400,USA HEALTH CARE 1180,A81000C,00100,0600,HOME OFFICE 1180,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1180,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1180,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1180,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1180,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1180,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1180,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1180,B100000,00000,0800,00000MEALS SERVEDDIETARY 1180,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1180,B100000,00000,1000,00000COST OF REQUISTIONCENTRAL SERVICE 1180,B100000,00000,1100,00000COST OF REQUISTIONPHARMACY 1180,B100000,00000,1200,00000PATIENT REVENUESMEDICAL RECORDS & 1180,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1180,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1180,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1180,S000000,00100,0200,05/30/2000 1180,S200000,00100,0100,575 NW 3RD STREET 1180,S200000,00200,0100,EARLHAM 1180,S200000,00200,0200,IA 1180,S200000,00200,0300,50072- 1180,S200000,00300,0100,MADISON 1180,S200000,00300,0300,U 1180,S200000,00400,0100,USA HEALTHCARE-EARLHAM 1180,S200000,00400,0200,165415 1180,S200000,00400,0300,08/27/1999 1180,S200000,00400,0500,P 1180,S200000,01500,0100,Y 1180,S200000,01900,0100,N 1180,S700003,00000,0400,4 1190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1190,A000000,00300,0000,00300EMPLOYEE BENEFITS 1190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1190,A000000,00700,0000,00700HOUSEKEEPING 1190,A000000,00800,0000,00800DIETARY 1190,A000000,00801,0000,00801CAFETERIA 1190,A000000,00900,0000,00900NURSING ADMINISTRATION 1190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1190,A000000,01100,0000,01100PHARMACY 1190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1190,A000000,01300,0000,01300SOCIAL SERVICE 1190,A000000,01600,0000,01600SKILLED NURSING FACILITY 1190,A000000,01800,0000,01800NURSING FACILITY 1190,A000000,01900,0000,01900OTHER LONG TERM CARE 1190,A000000,02100,0000,02100RADIOLOGY 1190,A000000,02200,0000,02200LABORATORY 1190,A000000,02300,0000,02300INTRAVENOUS THERAPY 1190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1190,A000000,02500,0000,02500PHYSICAL THERAPY 1190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1190,A000000,02700,0000,02700SPEECH PATHOLOGY 1190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1190,A000000,03200,0000,03200SUPPORT SURFACES 1190,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1190,A000000,05300,0000,05300INTEREST EXPENSE 1190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1190,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1190,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1190,A000000,06151,0000,06301HOME HEALTH AGENCY 1190,A81000A,00100,0100,Y 1190,A81000B,00100,0300,CENTRAL OFC COSTS 1190,A81000B,00200,0300,UNEMP EXPENSES 1190,A81000B,00300,0300,WORKERS COMP COSTS 1190,A81000B,00400,0300,FIRE & CASUALTY INSUR 1190,A81000B,00500,0300,LIABILITY INSUR 1190,A81000B,00600,0300,VEHICLE INSUR 1190,A81000B,00700,0300,NURSING SUPPLIES 1190,A81000B,00800,0300,INCONTINENT SUPPLIES 1190,A81000C,00100,0100,B 1190,A81000C,00100,0200,EV GOOD SAM SOC 1190,A81000C,00200,0100,B 1190,A81000C,00200,0200,EV GOOD SAM SOC 1190,A81000C,00200,0400,OMNICARE SUPPLY 1190,A81000C,00200,0600,SUPPLY CO. 1190,S000000,00100,0200,05/26/2000 1190,S200000,00100,0100,501 BEESON ROAD 1190,S200000,00200,0100,DODGE CITY 1190,S200000,00200,0200,KS 1190,S200000,00200,0300,67801-5996 1190,S200000,00300,0100,FORD 1190,S200000,00300,0300,R 1190,S200000,00400,0100,DODGE CITY GOOD SAMARITAN 1190,S200000,00400,0200,175207 1190,S200000,00400,0300,05/01/1991 1190,S200000,00400,0500,P 1190,S200000,01500,0100,Y 1190,S700003,00000,0100,1 1194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1194,A000000,00300,0000,00300EMPLOYEE BENEFITS 1194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1194,A000000,00700,0000,00700HOUSEKEEPING 1194,A000000,00800,0000,00800DIETARY 1194,A000000,00801,0000,00801CAFETERIA 1194,A000000,00900,0000,00900NURSING ADMINISTRATION 1194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1194,A000000,01100,0000,01100PHARMACY 1194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1194,A000000,01300,0000,01300SOCIAL SERVICE 1194,A000000,01600,0000,01600SKILLED NURSING FACILITY 1194,A000000,01800,0000,01800NURSING FACILITY 1194,A000000,01900,0000,01900OTHER LONG TERM CARE 1194,A000000,02100,0000,02100RADIOLOGY 1194,A000000,02200,0000,02200LABORATORY 1194,A000000,02300,0000,02300INTRAVENOUS THERAPY 1194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1194,A000000,02500,0000,02500PHYSICAL THERAPY 1194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1194,A000000,02700,0000,02700SPEECH PATHOLOGY 1194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1194,A000000,03200,0000,03200SUPPORT SURFACES 1194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1194,A000000,05300,0000,05300INTEREST EXPENSE 1194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1194,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1194,A000000,06151,0000,06301HOME HEALTH AGENCY 1194,A81000A,00100,0100,Y 1194,A81000B,00100,0300,CENTRAL OFC COSTS 1194,A81000B,00200,0300,UNEMP EXPENSES 1194,A81000B,00300,0300,WORKERS COMP COSTS 1194,A81000B,00400,0300,FIRE & CASUALTY INSUR 1194,A81000B,00500,0300,LIABILITY INSUR 1194,A81000B,00600,0300,VEHICLE INSUR 1194,A81000B,00700,0300,NURSING SUPPLIES 1194,A81000B,00800,0300,INCONTINENT SUPPLIES 1194,A81000B,00900,0300,DIETARY SUPPLIES 1194,A81000B,00901,0300,TEXTILES 1194,A81000C,00100,0100,B 1194,A81000C,00200,0100,B 1194,A81000C,00200,0400,OMNICARE SUPPLY 1194,A81000C,00200,0600,SUPPLY CO. 1194,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1194,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1194,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1194,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1194,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1194,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1194,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1194,B100000,00000,0800,00001MEALS SERVEDDIETARY 1194,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1194,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1194,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1194,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1194,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1194,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1194,S000000,00100,0200,05/31/2000 1194,S200000,00100,0100,709 LEAWOOD AVE. 1194,S200000,00200,0100,PARSONS 1194,S200000,00200,0200,KS 1194,S200000,00200,0300,67357-3499 1194,S200000,00300,0100,LABETTE 1194,S200000,00300,0300,R 1194,S200000,00400,0100,PARSONS GOOD SAMARITAN 1194,S200000,00400,0200,175210 1194,S200000,00400,0300,05/13/1991 1194,S200000,00400,0500,P 1194,S200000,01500,0100,Y 1194,S700003,00000,0100,1 1198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1198,A000000,00300,0000,00300EMPLOYEE BENEFITS 1198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1198,A000000,00700,0000,00700HOUSEKEEPING 1198,A000000,00800,0000,00800DIETARY 1198,A000000,00801,0000,00801CAFETERIA 1198,A000000,00900,0000,00900NURSING ADMINISTRATION 1198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1198,A000000,01100,0000,01100PHARMACY 1198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1198,A000000,01300,0000,01300SOCIAL SERVICE 1198,A000000,01600,0000,01600SKILLED NURSING FACILITY 1198,A000000,01800,0000,01800NURSING FACILITY 1198,A000000,01900,0000,01900OTHER LONG TERM CARE 1198,A000000,02100,0000,02100RADIOLOGY 1198,A000000,02200,0000,02200LABORATORY 1198,A000000,02300,0000,02300INTRAVENOUS THERAPY 1198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1198,A000000,02500,0000,02500PHYSICAL THERAPY 1198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1198,A000000,02700,0000,02700SPEECH PATHOLOGY 1198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1198,A000000,03200,0000,03200SUPPORT SURFACES 1198,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1198,A000000,05300,0000,05300INTEREST EXPENSE 1198,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1198,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1198,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 1198,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1198,A000000,06151,0000,06301HOME HEALTH AGENCY 1198,A81000A,00100,0100,Y 1198,A81000B,00100,0300,CENTRAL OFC COSTS 1198,A81000B,00200,0300,UNEMP EXPENSES 1198,A81000B,00300,0300,WORKERS COMP COSTS 1198,A81000B,00400,0300,FIRE & CASUALTY INSUR 1198,A81000B,00500,0300,LIABILITY INSUR 1198,A81000B,00600,0300,VEHICLE INSUR 1198,A81000B,00700,0300,NURSING SUPPLIES 1198,A81000B,00800,0300,INCONTINENT SUPPLIES 1198,A81000B,00900,0300,DIETARY SUPPLIES 1198,A81000B,00901,0300,SMALL EQUIPMENT 1198,A81000B,00902,0300,TEXTILES 1198,A81000C,00100,0100,B 1198,A81000C,00100,0400,EV GOOD SAM SOC 1198,A81000C,00200,0100,B 1198,A81000C,00200,0400,OMNICARE PHARM/ 1198,A81000C,00200,0600,SUPPLY CO 1198,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1198,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1198,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1198,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1198,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1198,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1198,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1198,B100000,00000,0800,00001MEALS SERVEDDIETARY 1198,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1198,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1198,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1198,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1198,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1198,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1198,S000000,00100,0200,06/19/2000 1198,S200000,00100,0100,1156 HWY. 14 1198,S200000,00200,0100,ELLSWORTH 1198,S200000,00200,0200,KS 1198,S200000,00200,0300,67439 1198,S200000,00300,0100,ELLSWORTH 1198,S200000,00300,0300,R 1198,S200000,00400,0100,ELLSWORTH GOOD SAMARITAN 1198,S200000,00400,0200,175231 1198,S200000,00400,0300,12/01/1992 1198,S200000,00400,0500,P 1198,S200000,01600,0100,Y 1198,S200000,01900,0100,N 1198,S700003,00000,0100,1 1200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1200,A000000,00300,0000,00300EMPLOYEE BENEFITS 1200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1200,A000000,00700,0000,00700HOUSEKEEPING 1200,A000000,00800,0000,00800DIETARY 1200,A000000,00801,0000,00801CAFETERIA 1200,A000000,00900,0000,00900NURSING ADMINISTRATION 1200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1200,A000000,01100,0000,01100PHARMACY 1200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1200,A000000,01300,0000,01300SOCIAL SERVICE 1200,A000000,01600,0000,01600SKILLED NURSING FACILITY 1200,A000000,01800,0000,01800NURSING FACILITY 1200,A000000,01900,0000,01900OTHER LONG TERM CARE 1200,A000000,02100,0000,02100RADIOLOGY 1200,A000000,02200,0000,02200LABORATORY 1200,A000000,02300,0000,02300INTRAVENOUS THERAPY 1200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1200,A000000,02500,0000,02500PHYSICAL THERAPY 1200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1200,A000000,02700,0000,02700SPEECH PATHOLOGY 1200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1200,A000000,03200,0000,03200SUPPORT SURFACES 1200,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1200,A000000,05300,0000,05300INTEREST EXPENSE 1200,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1200,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1200,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1200,A000000,06151,0000,06301HOME HEALTH AGENCY 1200,A81000A,00100,0100,Y 1200,A81000B,00100,0300,CENTRAL OFC COSTS 1200,A81000B,00200,0300,UNEMP EXPENSES 1200,A81000B,00300,0300,WORKERS COMP COSTS 1200,A81000B,00400,0300,FIRE & CASUALTY INSUR 1200,A81000B,00500,0300,LIABILITY INSUR 1200,A81000B,00600,0300,VEHICLE INSUR 1200,A81000B,00700,0300,NURSING SUPPLIES 1200,A81000B,00800,0300,INCONTINENT SUPPLIES 1200,A81000B,00900,0300,SMALL EQUIPMENT 1200,A81000B,00901,0300,TEXTILES 1200,A81000C,00100,0100,B 1200,A81000C,00100,0200,EV GOOD SAM SOC 1200,A81000C,00200,0100,B 1200,A81000C,00200,0200,EV GOOD SAM SOC 1200,A81000C,00200,0400,OMNICARE SUPPLY 1200,A81000C,00200,0600,SUPPLY CO. 1200,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1200,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1200,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1200,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1200,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1200,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1200,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1200,B100000,00000,0800,00001MEALS SERVEDDIETARY 1200,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1200,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1200,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1200,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1200,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1200,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1200,E10A180,00501,0100,07/11/2000 1200,E10A180,00501,0300,07/11/2000 1200,S000000,00100,0200,06/05/2000 1200,S200000,00100,0100,810 EAST 30TH STREET 1200,S200000,00200,0100,HUTCHINSON 1200,S200000,00200,0200,KS 1200,S200000,00200,0300,67502 1200,S200000,00300,0100,RENO 1200,S200000,00300,0300,R 1200,S200000,00400,0100,HUTCHINSON GOOD SAMARITAN 1200,S200000,00400,0200,175260 1200,S200000,00400,0300,10/01/1993 1200,S200000,00400,0500,P 1200,S200000,01500,0100,Y 1200,S700003,00000,0100,1 1205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1205,A000000,00300,0000,00300EMPLOYEE BENEFITS 1205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1205,A000000,00700,0000,00700HOUSEKEEPING 1205,A000000,00800,0000,00800DIETARY 1205,A000000,00801,0000,00801CAFETERIA 1205,A000000,00900,0000,00900NURSING ADMINISTRATION 1205,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1205,A000000,01100,0000,01100PHARMACY 1205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1205,A000000,01300,0000,01300SOCIAL SERVICE 1205,A000000,01600,0000,01600SKILLED NURSING FACILITY 1205,A000000,01800,0000,01800NURSING FACILITY 1205,A000000,01900,0000,01900OTHER LONG TERM CARE 1205,A000000,02100,0000,02100RADIOLOGY 1205,A000000,02200,0000,02200LABORATORY 1205,A000000,02300,0000,02300INTRAVENOUS THERAPY 1205,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1205,A000000,02500,0000,02500PHYSICAL THERAPY 1205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1205,A000000,02700,0000,02700SPEECH PATHOLOGY 1205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1205,A000000,03200,0000,03200SUPPORT SURFACES 1205,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1205,A000000,05300,0000,05300INTEREST EXPENSE 1205,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1205,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1205,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1205,A000000,06151,0000,06301HOME HEALTH AGENCY 1205,A81000A,00100,0100,Y 1205,A81000B,00100,0300,CENTRAL OFC COSTS 1205,A81000B,00200,0300,UNEMP EXPENSES 1205,A81000B,00300,0300,WORKERS COMP COSTS 1205,A81000B,00400,0300,FIRE & CASUALTY INSUR 1205,A81000B,00500,0300,LIABILITY INSUR 1205,A81000B,00600,0300,VEHICLE INSUR 1205,A81000B,00700,0300,NURSING SUPPLIES 1205,A81000B,00800,0300,INCONTINENT SUPPLIES 1205,A81000B,00900,0300,DIETARY SUPPLIES 1205,A81000B,00901,0300,SMALL EQUIPMENT 1205,A81000B,00902,0300,C O INTEREST INCOME 1205,A81000C,00100,0100,B 1205,A81000C,00100,0200,EV GOOD SAM SOC 1205,A81000C,00200,0100,B 1205,A81000C,00200,0200,EV GOOD SAM SOC 1205,A81000C,00200,0400,OMNICARE SUPPLY 1205,A81000C,00200,0600,SUPPLY CO. 1205,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1205,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1205,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1205,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1205,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1205,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1205,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1205,B100000,00000,0800,00001MEALS SERVEDDIETARY 1205,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1205,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1205,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1205,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1205,B100000,00000,1200,00001ACCUM COSTMEDICAL RECORDS & LIB 1205,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1205,S000000,00100,0200,06/01/2000 1205,S200000,00100,0100,20705 WEST 151ST STREET 1205,S200000,00200,0100,OLATHE 1205,S200000,00200,0200,KS 1205,S200000,00200,0300,66061 1205,S200000,00300,0100,JOHNSON 1205,S200000,00300,0300,U 1205,S200000,00400,0100,OLATHE GOOD SAMARITAN 1205,S200000,00400,0200,175263 1205,S200000,00400,0300,10/01/1993 1205,S200000,00400,0500,P 1205,S200000,01600,0100,Y 1205,S700003,00000,0100,1 1209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1209,A000000,00300,0000,00300EMPLOYEE BENEFITS 1209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1209,A000000,00700,0000,00700HOUSEKEEPING 1209,A000000,00800,0000,00800DIETARY 1209,A000000,00801,0000,00801CAFETERIA 1209,A000000,00900,0000,00900NURSING ADMINISTRATION 1209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1209,A000000,01100,0000,01100PHARMACY 1209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1209,A000000,01300,0000,01300SOCIAL SERVICE 1209,A000000,01600,0000,01600SKILLED NURSING FACILITY 1209,A000000,01800,0000,01800NURSING FACILITY 1209,A000000,01900,0000,01900OTHER LONG TERM CARE 1209,A000000,02100,0000,02100RADIOLOGY 1209,A000000,02200,0000,02200LABORATORY 1209,A000000,02300,0000,02300INTRAVENOUS THERAPY 1209,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1209,A000000,02500,0000,02500PHYSICAL THERAPY 1209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1209,A000000,02700,0000,02700SPEECH PATHOLOGY 1209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1209,A000000,03200,0000,03200SUPPORT SURFACES 1209,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1209,A000000,05300,0000,05300INTEREST EXPENSE 1209,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1209,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1209,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1209,A000000,06151,0000,06301HOME HEALTH AGENCY 1209,A81000A,00100,0100,Y 1209,A81000B,00100,0300,CENTRAL OFC COSTS 1209,A81000B,00200,0300,UNEMP EXPENSES 1209,A81000B,00300,0300,WORKERS COMP COSTS 1209,A81000B,00400,0300,FIRE & CASUALTY INSUR 1209,A81000B,00500,0300,LIABILITY INSUR 1209,A81000B,00600,0300,VEHICLE INSUR 1209,A81000B,00700,0300,NURSING SUPPLIES 1209,A81000B,00800,0300,INCONTINENT SUPPLIES 1209,A81000B,00900,0300,SMALL EQUIPMENT 1209,A81000C,00100,0100,B 1209,A81000C,00100,0200,EV GOOD SAM SOC 1209,A81000C,00200,0100,B 1209,A81000C,00200,0200,EV GOOD SAM SOC 1209,A81000C,00200,0400,OMNICARE SUPPLY 1209,A81000C,00200,0600,SUPPLY CO. 1209,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1209,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1209,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1209,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1209,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1209,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1209,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1209,B100000,00000,0800,00001MEALS SERVEDDIETARY 1209,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1209,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1209,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1209,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1209,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1209,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1209,S000000,00100,0200,05/30/2000 1209,S200000,00100,0100,815 N. ROTHSAY 1209,S200000,00100,0300,P.O. BOX 1209,S200000,00200,0100,MINNEAPOLIS 1209,S200000,00200,0200,KS 1209,S200000,00200,0300,67467 1209,S200000,00300,0100,OTTAWA 1209,S200000,00300,0300,R 1209,S200000,00400,0100,MINNEAPOLIS GOOD SAMARITAN 1209,S200000,00400,0200,175282 1209,S200000,00400,0300,03/01/1994 1209,S200000,00400,0500,P 1209,S200000,01500,0100,Y 1209,S700003,00000,0100,1 1216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1216,A000000,00300,0000,00300EMPLOYEE BENEFITS 1216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1216,A000000,00700,0000,00700HOUSEKEEPING 1216,A000000,00800,0000,00800DIETARY 1216,A000000,00801,0000,00801CAFETERIA 1216,A000000,00900,0000,00900NURSING ADMINISTRATION 1216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1216,A000000,01100,0000,01100PHARMACY 1216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1216,A000000,01300,0000,01300SOCIAL SERVICE 1216,A000000,01600,0000,01600SKILLED NURSING FACILITY 1216,A000000,01800,0000,01800NURSING FACILITY 1216,A000000,01900,0000,01900OTHER LONG TERM CARE 1216,A000000,02100,0000,02100RADIOLOGY 1216,A000000,02200,0000,02200LABORATORY 1216,A000000,02300,0000,02300INTRAVENOUS THERAPY 1216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1216,A000000,02500,0000,02500PHYSICAL THERAPY 1216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1216,A000000,02700,0000,02700SPEECH PATHOLOGY 1216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1216,A000000,03200,0000,03200SUPPORT SURFACES 1216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1216,A000000,05300,0000,05300INTEREST EXPENSE 1216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1216,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1216,A000000,06151,0000,06301HOME HEALTH AGENCY 1216,A81000A,00100,0100,Y 1216,A81000B,00100,0300,CENTRAL OFC COSTS 1216,A81000B,00200,0300,UNEMP EXPENSES 1216,A81000B,00300,0300,WORKERS COMP COSTS 1216,A81000B,00400,0300,FIRE & CASUALTY INSUR 1216,A81000B,00500,0300,LIABILITY INSUR 1216,A81000B,00600,0300,VEHICLE INSUR 1216,A81000B,00700,0300,NURSING SUPPLIES 1216,A81000B,00800,0300,INCONTINENT SUPPLIES 1216,A81000B,00900,0300,DIETARY SUPPLIES 1216,A81000B,00901,0300,SMALL EQUIPMENT 1216,A81000C,00100,0100,B 1216,A81000C,00200,0100,B 1216,A81000C,00200,0400,OMNICARE SUPPLY 1216,A81000C,00200,0600,SUPPLY CO. 1216,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1216,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1216,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1216,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1216,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1216,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1216,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1216,B100000,00000,0800,00001MEALS SERVEDDIETARY 1216,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1216,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1216,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1216,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1216,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1216,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1216,E10A180,00501,0100,07/18/2000 1216,E10A180,00501,0300,07/18/2000 1216,S000000,00100,0200,05/26/2000 1216,S200000,00100,0100,1320 WHEAT ROAD 1216,S200000,00200,0100,WINFIELD 1216,S200000,00200,0200,KS 1216,S200000,00200,0300,67156 1216,S200000,00300,0100,COWLEY 1216,S200000,00300,0300,R 1216,S200000,00400,0100,WINFIELD GOOD SAMARITAN 1216,S200000,00400,0200,175327 1216,S200000,00400,0300,02/01/1995 1216,S200000,00400,0500,P 1216,S200000,01500,0100,Y 1216,S700003,00000,0100,1 1220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1220,A000000,00300,0000,00300EMPLOYEE BENEFITS 1220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1220,A000000,00700,0000,00700HOUSEKEEPING 1220,A000000,00800,0000,00800DIETARY 1220,A000000,00801,0000,00801CAFETERIA 1220,A000000,00900,0000,00900NURSING ADMINISTRATION 1220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1220,A000000,01100,0000,01100PHARMACY 1220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1220,A000000,01300,0000,01300SOCIAL SERVICE 1220,A000000,01600,0000,01600SKILLED NURSING FACILITY 1220,A000000,01800,0000,01800NURSING FACILITY 1220,A000000,01900,0000,01900OTHER LONG TERM CARE 1220,A000000,02100,0000,02100RADIOLOGY 1220,A000000,02200,0000,02200LABORATORY 1220,A000000,02300,0000,02300INTRAVENOUS THERAPY 1220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1220,A000000,02500,0000,02500PHYSICAL THERAPY 1220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1220,A000000,02700,0000,02700SPEECH PATHOLOGY 1220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1220,A000000,03200,0000,03200SUPPORT SURFACES 1220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1220,A000000,05300,0000,05300INTEREST EXPENSE 1220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1220,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1220,A000000,06151,0000,06301HOME HEALTH AGENCY 1220,A81000A,00100,0100,Y 1220,A81000B,00100,0300,CENTRAL OFC COSTS 1220,A81000B,00200,0300,UNEMP EXPENSES 1220,A81000B,00300,0300,WORKERS COMP COSTS 1220,A81000B,00400,0300,FIRE & CASUALTY INSUR 1220,A81000B,00500,0300,LIABILITY INSUR 1220,A81000B,00600,0300,VEHICLE INSUR 1220,A81000B,00700,0300,NURSING SUPPLIES 1220,A81000B,00800,0300,INCONTINENT SUPPLIES 1220,A81000B,00900,0300,DIETARY SUPPLIES 1220,A81000B,00901,0300,SMALL EQUIPMENT 1220,A81000B,00902,0300,TEXTILES 1220,A81000C,00100,0100,B 1220,A81000C,00100,0400,EV GOOD SAM SOC 1220,A81000C,00200,0100,B 1220,A81000C,00200,0400,OMNICARE SUPPLY 1220,A81000C,00200,0600,SUPPLY CO. 1220,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1220,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1220,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1220,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1220,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1220,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1220,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1220,B100000,00000,0800,00001MEALS SERVEDDIETARY 1220,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1220,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1220,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1220,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1220,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1220,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1220,E10A180,00350,0100,01/07/2000 1220,S000000,00100,0200,06/02/2000 1220,S200000,00100,0100,1101 SPRUCE 1220,S200000,00200,0100,ELLIS 1220,S200000,00200,0200,KS 1220,S200000,00200,0300,67637 1220,S200000,00300,0100,ELLIS 1220,S200000,00300,0300,R 1220,S200000,00400,0100,ELLIS GOOD SAMARITAN 1220,S200000,00400,0200,175328 1220,S200000,00400,0300,12/01/1994 1220,S200000,00400,0500,P 1220,S200000,01500,0100,Y 1220,S200000,01900,0100,N 1220,S700003,00000,0100,1 1224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1224,A000000,00300,0000,00300EMPLOYEE BENEFITS 1224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1224,A000000,00700,0000,00700HOUSEKEEPING 1224,A000000,00800,0000,00800DIETARY 1224,A000000,00801,0000,00801CAFETERIA 1224,A000000,00900,0000,00900NURSING ADMINISTRATION 1224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1224,A000000,01100,0000,01100PHARMACY 1224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1224,A000000,01300,0000,01300SOCIAL SERVICE 1224,A000000,01600,0000,01600SKILLED NURSING FACILITY 1224,A000000,01800,0000,01800NURSING FACILITY 1224,A000000,01900,0000,01900OTHER LONG TERM CARE 1224,A000000,02100,0000,02100RADIOLOGY 1224,A000000,02200,0000,02200LABORATORY 1224,A000000,02300,0000,02300INTRAVENOUS THERAPY 1224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1224,A000000,02500,0000,02500PHYSICAL THERAPY 1224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1224,A000000,02700,0000,02700SPEECH PATHOLOGY 1224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1224,A000000,03200,0000,03200SUPPORT SURFACES 1224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1224,A000000,05300,0000,05300INTEREST EXPENSE 1224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1224,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1224,A000000,06151,0000,06301HOME HEALTH AGENCY 1224,A81000A,00100,0100,Y 1224,A81000B,00100,0300,CENTRAL OFC COSTS 1224,A81000B,00200,0300,UNEMP EXPENSES 1224,A81000B,00300,0300,WORKERS COMP COSTS 1224,A81000B,00400,0300,FIRE & CASUALTY INSUR 1224,A81000B,00500,0300,LIABILITY INSUR 1224,A81000B,00600,0300,VEHICLE INSUR 1224,A81000B,00700,0300,NURSING SUPPLIES 1224,A81000B,00800,0300,INCONTINENT SUPPLIES 1224,A81000C,00100,0100,B 1224,A81000C,00100,0200,EV GOOD SAM SOC 1224,A81000C,00200,0100,B 1224,A81000C,00200,0200,EV GOOD SAM SOC 1224,A81000C,00200,0400,OMNICARE SUPPLY 1224,A81000C,00200,0600,SUPPLY CO. 1224,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1224,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1224,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1224,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1224,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1224,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1224,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1224,B100000,00000,0800,00001MEALS SERVEDDIETARY 1224,B100000,00000,0850,00001FTE EMPLOYEESCAFETERIA 1224,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1224,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1224,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1224,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1224,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1224,S000000,00100,0200,05/30/2000 1224,S200000,00100,0100,2160 ZINNIA LANE 1224,S200000,00200,0100,LIBERAL 1224,S200000,00200,0200,KS 1224,S200000,00200,0300,67901-2042 1224,S200000,00300,0100,SEWARD 1224,S200000,00300,0300,R 1224,S200000,00400,0100,LIBERAL GOOD SAMARITAN 1224,S200000,00400,0200,175334 1224,S200000,00400,0300,04/01/1995 1224,S200000,00400,0500,P 1224,S200000,01500,0100,Y 1224,S700003,00000,0100,1 1227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1227,A000000,00300,0000,00300EMPLOYEE BENEFITS 1227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1227,A000000,00700,0000,00700HOUSEKEEPING 1227,A000000,00800,0000,00800DIETARY 1227,A000000,00801,0000,00801CAFETERIA 1227,A000000,00900,0000,00900NURSING ADMINISTRATION 1227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1227,A000000,01100,0000,01100PHARMACY 1227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1227,A000000,01300,0000,01300SOCIAL SERVICE 1227,A000000,01600,0000,01600SKILLED NURSING FACILITY 1227,A000000,01800,0000,01800NURSING FACILITY 1227,A000000,01900,0000,01900OTHER LONG TERM CARE 1227,A000000,02100,0000,02100RADIOLOGY 1227,A000000,02200,0000,02200LABORATORY 1227,A000000,02300,0000,02300INTRAVENOUS THERAPY 1227,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1227,A000000,02500,0000,02500PHYSICAL THERAPY 1227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1227,A000000,02700,0000,02700SPEECH PATHOLOGY 1227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1227,A000000,03200,0000,03200SUPPORT SURFACES 1227,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1227,A000000,05300,0000,05300INTEREST EXPENSE 1227,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1227,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1227,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1227,A000000,06151,0000,06301HOME HEALTH AGENCY 1227,A81000A,00100,0100,Y 1227,A81000B,00100,0300,CENTRAL OFC COSTS 1227,A81000B,00200,0300,UNEMP EXPENSES 1227,A81000B,00300,0300,WORKERS COMP COSTS 1227,A81000B,00400,0300,FIRE & CASUALTY INSUR 1227,A81000B,00500,0300,LIABILITY INSUR 1227,A81000B,00600,0300,VEHICLE INSUR 1227,A81000B,00700,0300,NURSING SUPPLIES 1227,A81000B,00800,0300,INCONTINENT SUPPLIES 1227,A81000B,00900,0300,DIETARY SUPPLIES 1227,A81000B,00901,0300,SMALL EQUIPMENT 1227,A81000C,00100,0100,B 1227,A81000C,00100,0200,EV GOOD SAM SOC 1227,A81000C,00200,0100,B 1227,A81000C,00200,0200,EV GOOD SAM SOC 1227,A81000C,00200,0400,OMNICARE SUPPLY 1227,A81000C,00200,0600,SUPPLY CO. 1227,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1227,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1227,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1227,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1227,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1227,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1227,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1227,B100000,00000,0800,00001MEALS SERVEDDIETARY 1227,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1227,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1227,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1227,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1227,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1227,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1227,S000000,00100,0200,05/30/2000 1227,S200000,00100,0100,1311 S. DOUGLAS 1227,S200000,00200,0100,LYONS 1227,S200000,00200,0200,KS 1227,S200000,00200,0300,67554-3799 1227,S200000,00300,0100,RICE 1227,S200000,00300,0300,R 1227,S200000,00400,0100,LYONS GOOD SAMARITAN 1227,S200000,00400,0200,175336 1227,S200000,00400,0300,02/01/1995 1227,S200000,00400,0500,P 1227,S200000,01500,0100,Y 1227,S700003,00000,0100,1 1231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1231,A000000,00300,0000,00300EMPLOYEE BENEFITS 1231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1231,A000000,00700,0000,00700HOUSEKEEPING 1231,A000000,00800,0000,00800DIETARY 1231,A000000,00900,0000,00900NURSING ADMINISTRATION 1231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1231,A000000,01100,0000,01100PHARMACY 1231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1231,A000000,01300,0000,01300SOCIAL SERVICE 1231,A000000,01350,0000,01500ACTIVITIES 1231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1231,A000000,01600,0000,01600SKILLED NURSING FACILITY 1231,A000000,01800,0000,01800NURSING FACILITY 1231,A000000,01810,0000,01801ICF/MR 1231,A000000,01900,0000,01900OTHER LONG TERM CARE 1231,A000000,02100,0000,02100RADIOLOGY 1231,A000000,02200,0000,02200LABORATORY 1231,A000000,02300,0000,02300INTRAVENOUS THERAPY 1231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1231,A000000,02500,0000,02500PHYSICAL THERAPY 1231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1231,A000000,02700,0000,02700SPEECH PATHOLOGY 1231,A000000,02800,0000,02800ELECTROCARDIOLOGY 1231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1231,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1231,A000000,04750,0000,05100OSP 1231,A000000,04800,0000,04800AMBULANCE 1231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1231,A000000,05300,0000,05300INTEREST EXPENSE 1231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1231,A000000,06100,0000,06100NONPAID WORKERS 1231,A000000,06150,0000,06300RETIREMENT COMMUNITY (IL) 1231,A000000,06151,0000,06301MARKETING 1231,A000000,06200,0000,06200PATIENTS LAUNDRY 1231,A81000A,00100,0100,Y 1231,A81000B,00100,0300,A&G HOME OFFICE 1231,A81000B,00200,0300,BUILDING & FIX 1231,A81000B,00300,0300,MME 1231,A81000C,00100,0100,B 1231,A81000C,00100,0200,LCRC INC. 1231,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1231,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1231,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1231,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1231,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1231,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1231,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1231,B100000,00000,0800,00001MEALS SERVEDDIETARY 1231,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 1231,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 1231,B100000,00000,1100,00001PATIENT DAYSPHARMACY 1231,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 1231,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1231,B100000,00000,1350,00001PATIENT DAYSACTIVITIES 1231,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1231,E10A180,00501,0100,07/14/2000 1231,E10A180,00550,0300,07/14/2000 1231,S000000,00100,0200,06/01/2000 1231,S200000,00100,0100,8101 MISSION ROAD 1231,S200000,00200,0100,PRAIRIE VILLAGE 1231,S200000,00200,0200,KS 1231,S200000,00200,0300,66208- 1231,S200000,00300,0100,JOHNSON 1231,S200000,00300,0300,U 1231,S200000,00400,0100,SOMERSET - CLARIDGE COURT 1231,S200000,00400,0200,175343 1231,S200000,00400,0300,03/30/1995 1231,S200000,00400,0500,P 1231,S200000,01600,0100,Y 1231,S200000,01700,0100,Y 1231,S200000,01900,0100,N 1231,S200000,02200,0100,Y 1231,S200000,02800,0100,Y 1231,S700003,00000,0100,1 1236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1236,A000000,00300,0000,00300EMPLOYEE BENEFITS 1236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1236,A000000,00700,0000,00700HOUSEKEEPING 1236,A000000,00800,0000,00800DIETARY 1236,A000000,00801,0000,00801CAFETERIA 1236,A000000,00900,0000,00900NURSING ADMINISTRATION 1236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1236,A000000,01100,0000,01100PHARMACY 1236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1236,A000000,01300,0000,01300SOCIAL SERVICE 1236,A000000,01600,0000,01600SKILLED NURSING FACILITY 1236,A000000,01800,0000,01800NURSING FACILITY 1236,A000000,01900,0000,01900OTHER LONG TERM CARE 1236,A000000,02100,0000,02100RADIOLOGY 1236,A000000,02200,0000,02200LABORATORY 1236,A000000,02300,0000,02300INTRAVENOUS THERAPY 1236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1236,A000000,02500,0000,02500PHYSICAL THERAPY 1236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1236,A000000,02700,0000,02700SPEECH PATHOLOGY 1236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1236,A000000,03200,0000,03200SUPPORT SURFACES 1236,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1236,A000000,05300,0000,05300INTEREST EXPENSE 1236,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1236,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1236,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1236,A000000,06151,0000,06301HOME HEALTH AGENCY 1236,A81000A,00100,0100,Y 1236,A81000B,00100,0300,CENTRAL OFC COSTS 1236,A81000B,00200,0300,UNEMP EXPENSES 1236,A81000B,00300,0300,WORKERS COMP COSTS 1236,A81000B,00400,0300,FIRE & CASUALTY INSUR 1236,A81000B,00500,0300,LIABILITY INSUR 1236,A81000B,00600,0300,VEHICLE INSUR 1236,A81000B,00700,0300,NURSING SUPPLIES 1236,A81000B,00800,0300,INCONTINENT SUPPLIES 1236,A81000B,00900,0300,SMALL EQUIPMENT 1236,A81000B,00901,0300,TEXTILES 1236,A81000C,00100,0100,B 1236,A81000C,00100,0200,EV GOOD SAM SOC 1236,A81000C,00200,0100,B 1236,A81000C,00200,0200,EV GOOD SAM SOC 1236,A81000C,00200,0400,OMNICARE SUPPLY 1236,A81000C,00200,0600,SUPPLY CO. 1236,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1236,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1236,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1236,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1236,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1236,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1236,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1236,B100000,00000,0800,00001MEALS SERVEDDIETARY 1236,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1236,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1236,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1236,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1236,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1236,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1236,E10A180,00501,0100,07/14/2000 1236,E10A180,00550,0300,07/14/2000 1236,S000000,00100,0200,05/30/2000 1236,S200000,00100,0100,S. SIDE HWY 36 1236,S200000,00100,0300,P.O. BOX 1236,S200000,00200,0100,ST. FRANCIS 1236,S200000,00200,0200,KS 1236,S200000,00200,0300,67756 1236,S200000,00300,0100,CHEYENNE 1236,S200000,00300,0300,R 1236,S200000,00400,0100,ST. FRANCIS GOOD SAMARITAN 1236,S200000,00400,0200,175347 1236,S200000,00400,0300,06/01/1995 1236,S200000,00400,0500,P 1236,S200000,01500,0100,Y 1236,S700003,00000,0100,1 1241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1241,A000000,00300,0000,00300EMPLOYEE BENEFITS 1241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1241,A000000,00700,0000,00700HOUSEKEEPING 1241,A000000,00800,0000,00800DIETARY 1241,A000000,00801,0000,00801CAFETERIA 1241,A000000,00900,0000,00900NURSING ADMINISTRATION 1241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1241,A000000,01100,0000,01100PHARMACY 1241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1241,A000000,01300,0000,01300SOCIAL SERVICE 1241,A000000,01600,0000,01600SKILLED NURSING FACILITY 1241,A000000,01800,0000,01800NURSING FACILITY 1241,A000000,01900,0000,01900OTHER LONG TERM CARE 1241,A000000,02100,0000,02100RADIOLOGY 1241,A000000,02200,0000,02200LABORATORY 1241,A000000,02300,0000,02300INTRAVENOUS THERAPY 1241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1241,A000000,02500,0000,02500PHYSICAL THERAPY 1241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1241,A000000,02700,0000,02700SPEECH PATHOLOGY 1241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1241,A000000,03200,0000,03200SUPPORT SURFACES 1241,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1241,A000000,05300,0000,05300INTEREST EXPENSE 1241,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1241,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1241,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1241,A000000,06151,0000,06301HOME HEALTH AGENCY 1241,A81000A,00100,0100,Y 1241,A81000B,00100,0300,CENTRAL OFC COSTS 1241,A81000B,00200,0300,UNEMP EXPENSES 1241,A81000B,00300,0300,WORKERS COMP COSTS 1241,A81000B,00400,0300,FIRE & CASUALTY INSUR 1241,A81000B,00500,0300,LIABILITY INSUR 1241,A81000B,00600,0300,VEHICLE INSUR 1241,A81000B,00700,0300,NURSING SUPPLIES 1241,A81000B,00800,0300,INCONTINENT SUPPLIES 1241,A81000B,00900,0300,DIETARY SUPPLIES 1241,A81000B,00901,0300,SMALL EQUIPMENT 1241,A81000B,00902,0300,TEXTILES 1241,A81000C,00100,0100,B 1241,A81000C,00100,0200,EV GOOD SAM SOC 1241,A81000C,00200,0100,B 1241,A81000C,00200,0200,EV GOOD SAM SOC 1241,A81000C,00200,0400,OMNICARE SUPPLY 1241,A81000C,00200,0600,SUPPLY CO. 1241,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1241,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1241,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1241,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1241,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1241,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1241,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1241,B100000,00000,0800,00001MEALS SERVEDDIETARY 1241,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1241,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1241,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1241,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1241,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1241,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1241,S000000,00100,0200,06/05/2000 1241,S200000,00100,0100,108 EAST ASH 1241,S200000,00200,0100,OBERLIN 1241,S200000,00200,0200,KS 1241,S200000,00200,0300,67749 1241,S200000,00300,0100,DECATUR 1241,S200000,00300,0300,R 1241,S200000,00400,0100,DECATUR COUNTY GOOD SAMARITAN 1241,S200000,00400,0200,175356 1241,S200000,00400,0300,01/01/1996 1241,S200000,00400,0500,P 1241,S200000,01500,0100,Y 1241,S700003,00000,0400,4 1245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1245,A000000,00300,0000,00300EMPLOYEE BENEFITS 1245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1245,A000000,00700,0000,00700HOUSEKEEPING 1245,A000000,00800,0000,00800DIETARY 1245,A000000,00801,0000,00801CAFETERIA 1245,A000000,00900,0000,00900NURSING ADMINISTRATION 1245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1245,A000000,01100,0000,01100PHARMACY 1245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1245,A000000,01300,0000,01300SOCIAL SERVICE 1245,A000000,01600,0000,01600SKILLED NURSING FACILITY 1245,A000000,01800,0000,01800NURSING FACILITY 1245,A000000,01900,0000,01900OTHER LONG TERM CARE 1245,A000000,02100,0000,02100RADIOLOGY 1245,A000000,02200,0000,02200LABORATORY 1245,A000000,02300,0000,02300INTRAVENOUS THERAPY 1245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1245,A000000,02500,0000,02500PHYSICAL THERAPY 1245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1245,A000000,02700,0000,02700SPEECH PATHOLOGY 1245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1245,A000000,03200,0000,03200SUPPORT SURFACES 1245,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1245,A000000,05300,0000,05300INTEREST EXPENSE 1245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1245,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1245,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1245,A000000,06151,0000,06301HOME HEALTH AGENCY 1245,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1245,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1245,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1245,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1245,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1245,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1245,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1245,B100000,00000,0800,00001MEALS SERVEDDIETARY 1245,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1245,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1245,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1245,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1245,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1245,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1245,E10A180,00501,0100,07/21/2000 1245,E10A180,00501,0300,07/21/2000 1245,S000000,00100,0200,05/25/2000 1245,S200000,00100,0100,1600 WEST 8TH STREET 1245,S200000,00200,0100,WELLINGTON 1245,S200000,00200,0200,KS 1245,S200000,00200,0300,67152-4719 1245,S200000,00300,0100,SUMNER 1245,S200000,00300,0300,R 1245,S200000,00400,0100,CEDAR VIEW GOOD SAMARITAN 1245,S200000,00400,0200,175357 1245,S200000,00400,0300,01/01/1996 1245,S200000,00400,0500,P 1245,S200000,01500,0100,Y 1245,S700003,00000,0400,4 1250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1250,A000000,00300,0000,00300EMPLOYEE BENEFITS 1250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1250,A000000,00700,0000,00700HOUSEKEEPING 1250,A000000,00800,0000,00800DIETARY 1250,A000000,00801,0000,00801CAFETERIA 1250,A000000,00900,0000,00900NURSING ADMINISTRATION 1250,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1250,A000000,01100,0000,01100PHARMACY 1250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1250,A000000,01300,0000,01300SOCIAL SERVICE 1250,A000000,01600,0000,01600SKILLED NURSING FACILITY 1250,A000000,01800,0000,01800NURSING FACILITY 1250,A000000,01900,0000,01900OTHER LONG TERM CARE 1250,A000000,02100,0000,02100RADIOLOGY 1250,A000000,02200,0000,02200LABORATORY 1250,A000000,02300,0000,02300INTRAVENOUS THERAPY 1250,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1250,A000000,02500,0000,02500PHYSICAL THERAPY 1250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1250,A000000,02700,0000,02700SPEECH PATHOLOGY 1250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1250,A000000,03200,0000,03200SUPPORT SURFACES 1250,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1250,A000000,05300,0000,05300INTEREST EXPENSE 1250,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1250,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1250,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1250,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1250,A000000,06151,0000,06301HOME HEALTH AGENCY 1250,A81000A,00100,0100,Y 1250,A81000B,00100,0300,CENTRAL OFC COSTS 1250,A81000B,00200,0300,UNEMP EXPENSES 1250,A81000B,00300,0300,WORKERS COMP COSTS 1250,A81000B,00400,0300,FIRE & CASUALTY INSUR 1250,A81000B,00500,0300,LIABILITY INSUR 1250,A81000B,00600,0300,VEHICLE INSUR 1250,A81000B,00700,0300,NURSING SUPPLIES 1250,A81000B,00800,0300,INCONTINENT SUPPLIES 1250,A81000B,00900,0300,DIETARY SUPPLIES 1250,A81000B,00901,0300,SMALL EQUIPMENT 1250,A81000C,00100,0100,B 1250,A81000C,00100,0200,EV GOOD SAM SOC 1250,A81000C,00200,0100,B 1250,A81000C,00200,0200,EV GOOD SAM SOC 1250,A81000C,00200,0400,OMNICARE SUPPLY 1250,A81000C,00200,0600,SUPPLY CO. 1250,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1250,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1250,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1250,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1250,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1250,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1250,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1250,B100000,00000,0800,00001MEALS SERVEDDIETARY 1250,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1250,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1250,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1250,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1250,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1250,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1250,S000000,00100,0200,06/06/2000 1250,S200000,00100,0100,418 WEST SPRUCE STREET 1250,S200000,00200,0100,JUNCTION CITY 1250,S200000,00200,0200,KS 1250,S200000,00200,0300,66441-3699 1250,S200000,00300,0100,GEARY 1250,S200000,00300,0300,R 1250,S200000,00400,0100,JUNCTION CITY GOOD SAMARITAN 1250,S200000,00400,0200,175358 1250,S200000,00400,0300,01/01/1996 1250,S200000,00400,0500,P 1250,S200000,01500,0100,Y 1250,S700003,00000,0400,4 1255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1255,A000000,00300,0000,00300EMPLOYEE BENEFITS 1255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1255,A000000,00700,0000,00700HOUSEKEEPING 1255,A000000,00800,0000,00800DIETARY 1255,A000000,00801,0000,00801CAFETERIA 1255,A000000,00900,0000,00900NURSING ADMINISTRATION 1255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1255,A000000,01100,0000,01100PHARMACY 1255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1255,A000000,01300,0000,01300SOCIAL SERVICE 1255,A000000,01600,0000,01600SKILLED NURSING FACILITY 1255,A000000,01800,0000,01800NURSING FACILITY 1255,A000000,01900,0000,01900OTHER LONG TERM CARE 1255,A000000,02100,0000,02100RADIOLOGY 1255,A000000,02200,0000,02200LABORATORY 1255,A000000,02300,0000,02300INTRAVENOUS THERAPY 1255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1255,A000000,02500,0000,02500PHYSICAL THERAPY 1255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1255,A000000,02700,0000,02700SPEECH PATHOLOGY 1255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1255,A000000,03200,0000,03200SUPPORT SURFACES 1255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1255,A000000,05300,0000,05300INTEREST EXPENSE 1255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1255,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1255,A000000,06151,0000,06301HOME HEALTH AGENCY 1255,A81000A,00100,0100,Y 1255,A81000B,00100,0300,CENTRAL OFC COSTS 1255,A81000B,00200,0300,UNEMP EXPENSES 1255,A81000B,00300,0300,WORKERS COMP COSTS 1255,A81000B,00400,0300,FIRE & CASUALTY INSUR 1255,A81000B,00500,0300,LIABILITY INSUR 1255,A81000B,00600,0300,VEHICLE INSUR 1255,A81000B,00700,0300,NURSING SUPPLIES 1255,A81000B,00800,0300,INCONTINENT SUPPLIES 1255,A81000C,00100,0100,B 1255,A81000C,00200,0100,B 1255,A81000C,00200,0400,OMNICARE SUPPLY 1255,A81000C,00200,0600,SUPPLY CO. 1255,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1255,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1255,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1255,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1255,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1255,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1255,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1255,B100000,00000,0800,00001MEALS SERVEDDIETARY 1255,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1255,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1255,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1255,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1255,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1255,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1255,E10A180,00501,0100,07/26/2000 1255,E10A180,00501,0300,07/26/2000 1255,S000000,00100,0200,06/13/2000 1255,S200000,00100,0100,2011 GRANDVIEW DRIVE 1255,S200000,00200,0100,WAMEGO 1255,S200000,00200,0200,KS 1255,S200000,00200,0300,66547-1159 1255,S200000,00300,0100,POTTAWA 1255,S200000,00300,0300,R 1255,S200000,00400,0100,VALLEY VISTA GOOD SAMARITAN 1255,S200000,00400,0200,175359 1255,S200000,00400,0300,03/01/1996 1255,S200000,00400,0500,P 1255,S200000,01500,0100,Y 1255,S700003,00000,0400,4 1260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1260,A000000,00300,0000,00300EMPLOYEE BENEFITS 1260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1260,A000000,00700,0000,00700HOUSEKEEPING 1260,A000000,00800,0000,00800DIETARY 1260,A000000,00801,0000,00801CAFETERIA 1260,A000000,00900,0000,00900NURSING ADMINISTRATION 1260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1260,A000000,01100,0000,01100PHARMACY 1260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1260,A000000,01300,0000,01300SOCIAL SERVICE 1260,A000000,01600,0000,01600SKILLED NURSING FACILITY 1260,A000000,01800,0000,01800NURSING FACILITY 1260,A000000,01900,0000,01900OTHER LONG TERM CARE 1260,A000000,02100,0000,02100RADIOLOGY 1260,A000000,02200,0000,02200LABORATORY 1260,A000000,02300,0000,02300INTRAVENOUS THERAPY 1260,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1260,A000000,02500,0000,02500PHYSICAL THERAPY 1260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1260,A000000,02700,0000,02700SPEECH PATHOLOGY 1260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1260,A000000,03200,0000,03200SUPPORT SURFACES 1260,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1260,A000000,05300,0000,05300INTEREST EXPENSE 1260,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1260,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1260,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1260,A000000,06151,0000,06301HOME HEALTH AGENCY 1260,A81000A,00100,0100,Y 1260,A81000B,00100,0300,CENTRAL OFC COSTS 1260,A81000B,00200,0300,UNEMP EXPENSES 1260,A81000B,00300,0300,WORKERS COMP COSTS 1260,A81000B,00400,0300,FIRE & CASUALTY INSUR 1260,A81000B,00500,0300,LIABILITY INSUR 1260,A81000B,00600,0300,VEHICLE INSUR 1260,A81000B,00700,0300,NURSING SUPPLIES 1260,A81000B,00800,0300,INCONTINENT SUPPLIES 1260,A81000B,00900,0300,DIETARY SUPPLIES 1260,A81000C,00100,0100,B 1260,A81000C,00100,0200,EV GOOD SAM SOC 1260,A81000C,00200,0100,B 1260,A81000C,00200,0200,EV GOOD SAM SOC 1260,A81000C,00200,0400,OMNICARE SUPPLY 1260,A81000C,00200,0600,SUPPLY CO. 1260,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1260,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1260,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1260,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1260,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1260,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1260,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1260,B100000,00000,0800,00001MEALS SERVEDDIETARY 1260,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1260,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1260,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1260,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1260,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1260,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1260,S000000,00100,0200,06/02/2000 1260,S200000,00100,0100,208 WEST 2ND STREET 1260,S200000,00200,0100,GOODLAND 1260,S200000,00200,0200,KS 1260,S200000,00200,0300,67735 1260,S200000,00300,0100,SHERMAN 1260,S200000,00300,0300,R 1260,S200000,00400,0100,SHERMAN COUNTY GOOD SAMARITAN 1260,S200000,00400,0200,175361 1260,S200000,00400,0300,04/01/1996 1260,S200000,00400,0500,P 1260,S200000,01500,0100,Y 1260,S700003,00000,0400,4 1265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1265,A000000,00300,0000,00300EMPLOYEE BENEFITS 1265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1265,A000000,00700,0000,00700HOUSEKEEPING 1265,A000000,00800,0000,00800DIETARY 1265,A000000,00801,0000,00801CAFETERIA 1265,A000000,00900,0000,00900NURSING ADMINISTRATION 1265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1265,A000000,01100,0000,01100PHARMACY 1265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1265,A000000,01300,0000,01300SOCIAL SERVICE 1265,A000000,01600,0000,01600SKILLED NURSING FACILITY 1265,A000000,01800,0000,01800NURSING FACILITY 1265,A000000,01900,0000,01900OTHER LONG TERM CARE 1265,A000000,02100,0000,02100RADIOLOGY 1265,A000000,02200,0000,02200LABORATORY 1265,A000000,02300,0000,02300INTRAVENOUS THERAPY 1265,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1265,A000000,02500,0000,02500PHYSICAL THERAPY 1265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1265,A000000,02700,0000,02700SPEECH PATHOLOGY 1265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1265,A000000,03200,0000,03200SUPPORT SURFACES 1265,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1265,A000000,05300,0000,05300INTEREST EXPENSE 1265,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1265,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1265,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1265,A000000,06151,0000,06301HOME HEALTH AGENCY 1265,A81000A,00100,0100,Y 1265,A81000B,00100,0300,CENTRAL OFC COSTS 1265,A81000B,00200,0300,UNEMP EXPENSES 1265,A81000B,00300,0300,WORKERS COMP COSTS 1265,A81000B,00400,0300,FIRE & CASUALTY INSUR 1265,A81000B,00500,0300,LIABILITY INSUR 1265,A81000B,00600,0300,VEHICLE INSUR 1265,A81000B,00700,0300,NURSING SUPPLIES 1265,A81000B,00800,0300,INCONTINENT SUPPLIES 1265,A81000B,00900,0300,SMALL EQUIPMENT 1265,A81000C,00100,0100,B 1265,A81000C,00100,0200,EV GOOD SAM SOC 1265,A81000C,00200,0100,B 1265,A81000C,00200,0200,EV GOOD SAM SOC 1265,A81000C,00200,0400,OMNICARE SUPPLY 1265,A81000C,00200,0600,SUPPLY CO. 1265,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1265,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1265,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1265,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1265,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1265,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1265,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1265,B100000,00000,0800,00001MEALS SERVEDDIETARY 1265,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1265,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1265,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1265,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1265,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1265,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1265,S000000,00100,0200,05/31/2000 1265,S200000,00100,0100,650 LAKE ROAD 1265,S200000,00200,0100,ATWOOD 1265,S200000,00200,0200,KS 1265,S200000,00200,0300,67730-1599 1265,S200000,00300,0100,RAWLINS 1265,S200000,00300,0300,R 1265,S200000,00400,0100,ATWOOD GOOD SAMARITAN CENTER 1265,S200000,00400,0200,175366 1265,S200000,00400,0300,04/01/1996 1265,S200000,00400,0500,P 1265,S200000,01500,0100,Y 1265,S700003,00000,0400,4 1270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1270,A000000,00300,0000,00300EMPLOYEE BENEFITS 1270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1270,A000000,00700,0000,00700HOUSEKEEPING 1270,A000000,00800,0000,00800DIETARY 1270,A000000,00801,0000,00801CAFETERIA 1270,A000000,00900,0000,00900NURSING ADMINISTRATION 1270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1270,A000000,01100,0000,01100PHARMACY 1270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1270,A000000,01300,0000,01300SOCIAL SERVICE 1270,A000000,01600,0000,01600SKILLED NURSING FACILITY 1270,A000000,01800,0000,01800NURSING FACILITY 1270,A000000,01900,0000,01900OTHER LONG TERM CARE 1270,A000000,02100,0000,02100RADIOLOGY 1270,A000000,02200,0000,02200LABORATORY 1270,A000000,02300,0000,02300INTRAVENOUS THERAPY 1270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1270,A000000,02500,0000,02500PHYSICAL THERAPY 1270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1270,A000000,02700,0000,02700SPEECH PATHOLOGY 1270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1270,A000000,03200,0000,03200SUPPORT SURFACES 1270,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1270,A000000,05300,0000,05300INTEREST EXPENSE 1270,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1270,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1270,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1270,A000000,06151,0000,06301HOME HEALTH AGENCY 1270,A81000A,00100,0100,Y 1270,A81000B,00100,0300,CENTRAL OFC COSTS 1270,A81000B,00200,0300,UNEMP EXPENSES 1270,A81000B,00300,0300,WORKERS COMP COSTS 1270,A81000B,00400,0300,FIRE & CASUALTY INSUR 1270,A81000B,00500,0300,LIABILITY INSUR 1270,A81000B,00600,0300,VEHICLE INSUR 1270,A81000B,00700,0300,NURSING SUPPLIES 1270,A81000B,00800,0300,INCONTINENT SUPPLIES 1270,A81000B,00900,0300,DIETARY SUPPLIES 1270,A81000B,00901,0300,SMALL EQUIPMENT 1270,A81000B,00902,0300,TEXTILES 1270,A81000B,00903,0300,C O INTEREST INCOME 1270,A81000C,00100,0100,A 1270,A81000C,00100,0200,N 1270,A81000C,00100,0400,N 1270,A81000C,00100,0600,N 1270,A81000C,03100,0000,1 1270,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1270,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1270,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1270,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1270,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1270,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1270,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1270,B100000,00000,0800,00001MEALS SERVEDDIETARY 1270,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1270,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1270,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1270,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1270,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1270,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1270,E10A180,00501,0300,07/28/2000 1270,S000000,00100,0200,05/30/2000 1270,S200000,00100,0100,701 WEST 6TH STREET 1270,S200000,00200,0100,LACROSSE 1270,S200000,00200,0200,KS 1270,S200000,00200,0300,67548-9738 1270,S200000,00300,0100,RUSH 1270,S200000,00300,0300,R 1270,S200000,00400,0100,RUSH COUNTY GOOD SAMARITAN 1270,S200000,00400,0200,175369 1270,S200000,00400,0300,06/21/1996 1270,S200000,00400,0500,P 1270,S200000,01500,0100,Y 1270,S700003,00000,0400,4 1274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1274,A000000,00300,0000,00300EMPLOYEE BENEFITS 1274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1274,A000000,00700,0000,00700HOUSEKEEPING 1274,A000000,00800,0000,00800DIETARY 1274,A000000,00900,0000,00900NURSING ADMINISTRATION 1274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1274,A000000,01300,0000,01300SOCIAL SERVICE 1274,A000000,01600,0000,01600SKILLED NURSING FACILITY 1274,A000000,01800,0000,01800NURSING FACILITY 1274,A000000,01900,0000,01900OTHER LONG TERM CARE 1274,A000000,02200,0000,02200LABORATORY 1274,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1274,A000000,02500,0000,02500PHYSICAL THERAPY 1274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1274,A000000,02700,0000,02700SPEECH PATHOLOGY 1274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1274,A000000,03200,0000,03200SUPPORT SURFACES 1274,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1274,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1274,A000000,06151,0000,06301APARTMENTS 1274,A81000A,00100,0100,Y 1274,A81000B,00100,0300,PROPERTY INSURANCE 1274,A81000B,00200,0300,OTHER INSURANCE 1274,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1274,A81000B,00400,0300,WORKERS COMPENSATION 1274,A81000B,00500,0300,ACCTG & ADMINISTRATION 1274,A81000B,00600,0300,CENTRAL SUPPLY 1274,A81000C,00100,0100,B 1274,A81000C,00100,0600,ACCTG & MGMT 1274,A81000C,00200,0100,B 1274,A81000C,00200,0600,SUPPLIES 1274,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1274,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1274,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1274,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1274,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1274,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1274,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1274,B100000,00000,0800,00001MEALS SERVEDDIETARY 1274,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 1274,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1274,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 1274,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1274,E10A180,00501,0100,08/10/2000 1274,E10A180,00550,0300,08/10/2000 1274,S000000,00100,0200,07/12/2000 1274,S200000,00100,0100,10617 EAST WATTERSON TRAIL 1274,S200000,00200,0100,JEFFERSONTOWN 1274,S200000,00200,0200,KY 1274,S200000,00200,0300,40299- 1274,S200000,00300,0100,JEFFERSON 1274,S200000,00300,0300,U 1274,S200000,00400,0100,GOOD SAMARITAN CENTER JEFFERSONTOWN 1274,S200000,00400,0200,185268 1274,S200000,00400,0300,07/01/1991 1274,S200000,00400,0500,P 1274,S200000,01600,0100,Y 1274,S200000,01900,0100,N 1274,S700003,00000,0100,1 1279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1279,A000000,00300,0000,00300EMPLOYEE BENEFITS 1279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1279,A000000,00700,0000,00700HOUSEKEEPING 1279,A000000,00800,0000,00800DIETARY 1279,A000000,00900,0000,00900NURSING ADMINISTRATION 1279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1279,A000000,01100,0000,01100PHARMACY 1279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1279,A000000,01300,0000,01300SOCIAL SERVICE 1279,A000000,01350,0000,01500PATIENT ACTIVITIES 1279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1279,A000000,01600,0000,01600SKILLED NURSING FACILITY 1279,A000000,01800,0000,01800NURSING FACILITY 1279,A000000,01810,0000,01801ICF/MR 1279,A000000,01900,0000,01900OTHER LONG TERM CARE 1279,A000000,02100,0000,02100RADIOLOGY 1279,A000000,02200,0000,02200LABORATORY 1279,A000000,02300,0000,02300INTRAVENOUS THERAPY 1279,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1279,A000000,02500,0000,02500PHYSICAL THERAPY 1279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1279,A000000,02700,0000,02700SPEECH PATHOLOGY 1279,A000000,02800,0000,02800ELECTROCARDIOLOGY 1279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1279,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1279,A000000,04800,0000,04800AMBULANCE 1279,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1279,A000000,05000,0000,05000CORF 1279,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1279,A000000,05300,0000,05300INTEREST EXPENSE 1279,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1279,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1279,A000000,05500,0000,05500HOSPICE 1279,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1279,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1279,A000000,06100,0000,06100NONPAID WORKERS 1279,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1279,A000000,06151,0000,06301ASSISTED LIVING 1279,A000000,06200,0000,06200PATIENTS LAUNDRY 1279,B100000,00000,0100,00001SQUARE FEET CAP REL COSTS - B 1279,B100000,00000,0200,00001SQUARE FEET CAP REL COSTS - M 1279,B100000,00000,0300,00001GROSS SALARIES EMPLOYEE BENE 1279,B100000,00000,0400,00001ACCUM. COST ADMINISTRATIVE & 1279,B100000,00000,0500,00001SQUARE FEET PLANT OPERATION 1279,B100000,00000,0600,00001POUNDS OF LAUNDRY LAUNDRY & LINE 1279,B100000,00000,0700,00001SQUARE FEET HOUSEKEEPING 1279,B100000,00000,0800,00001MEALS SERVED DIETARY 1279,B100000,00000,0900,00001PATIENT DAYS NURSING ADMINISTR 1279,B100000,00000,1000,00001COSTED REQUIS. CENTRAL SERVIC 1279,B100000,00000,1100,00001COSTED REQUIS. PHARMACY 1279,B100000,00000,1200,00001PATIENT DAYS MEDICAL RECORDS & 1279,B100000,00000,1300,00001PATIENT DAYS SOCIAL SERVICE 1279,B100000,00000,1400,00001ASSIGNED TIME INTERNS & RESIDEN 1279,B100000,00000,1500,00001PATIENT DAYS PATIENT ACTIVITIE 1279,E10A180,00501,0300,10/10/2000 1279,S000000,00100,0200,09/21/2000 1279,S200000,00100,0100,4000 RIVER CRESCENT DRIVE 1279,S200000,00200,0100,ANNAPOLIS 1279,S200000,00200,0200,MD 1279,S200000,00200,0300,21401- 1279,S200000,00300,0100,ANNE ARUNDEL 1279,S200000,00400,0100,GINGER COVE 1279,S200000,00400,0200,215174 1279,S200000,00400,0300,09/16/1988 1279,S200000,00400,0500,P 1279,S200000,01600,0100,Y 1279,S200000,01700,0100,Y 1279,S700003,00000,0200,X 1284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1284,A000000,00300,0000,00300EMPLOYEE BENEFITS 1284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1284,A000000,00700,0000,00700HOUSEKEEPING 1284,A000000,00800,0000,00800DIETARY 1284,A000000,00900,0000,00900NURSING ADMINISTRATION 1284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1284,A000000,01100,0000,01100PHARMACY 1284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1284,A000000,01300,0000,01300SOCIAL SERVICE 1284,A000000,01350,0000,01500ACTIVITIES 1284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1284,A000000,01600,0000,01600SKILLED NURSING FACILITY 1284,A000000,01800,0000,01800NURSING FACILITY 1284,A000000,01810,0000,01801ICF/MR 1284,A000000,01900,0000,01900OTHER LONG TERM CARE 1284,A000000,02100,0000,02100RADIOLOGY 1284,A000000,02200,0000,02200LABORATORY 1284,A000000,02300,0000,02300INTRAVENOUS THERAPY 1284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1284,A000000,02500,0000,02500PHYSICAL THERAPY 1284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1284,A000000,02700,0000,02700SPEECH PATHOLOGY 1284,A000000,02800,0000,02800ELECTROCARDIOLOGY 1284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1284,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1284,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1284,A000000,03200,0000,03200SUPPORT SURFACES 1284,A000000,03400,0000,03400CLINIC 1284,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1284,A000000,03500,0000,03500RURAL HEALTH CLINIC 1284,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1284,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1284,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1284,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1284,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1284,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1284,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1284,A000000,04400,0000,04400DME RENTED - HHA 1284,A000000,04500,0000,04500DME SOLD - HHA 1284,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1284,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1284,A000000,04750,0000,05100OSP 1284,A000000,04800,0000,04800AMBULANCE 1284,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1284,A000000,05000,0000,05000CORF 1284,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1284,A000000,05300,0000,05300INTEREST EXPENSE 1284,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1284,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1284,A000000,05500,0000,05500HOSPICE 1284,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1284,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1284,A000000,06100,0000,06100NONPAID WORKERS 1284,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1284,A000000,06200,0000,06200PATIENTS LAUNDRY 1284,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1284,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1284,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1284,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1284,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1284,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1284,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1284,B100000,00000,0800,00000MEALS SERVEDDIETARY 1284,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1284,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1284,B100000,00000,1100,00000PATIENT DAYSPHARMACY 1284,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1284,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1284,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1284,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1284,E10A180,00501,0100,07/24/2000 1284,E10A180,00501,0300,07/24/2000 1284,S000000,00100,0200,06/05/2000 1284,S200000,00100,0100,725 MOUNT WILSON LANE 1284,S200000,00200,0100,MALTIMORE 1284,S200000,00200,0200,MD 1284,S200000,00200,0300,21208- 1284,S200000,00300,0100,BALTIMORE 1284,S200000,00300,0300,U 1284,S200000,00400,0100,NORTH OAKS RETIREMENT CENTER 1284,S200000,00400,0200,215229 1284,S200000,00400,0300,05/16/1991 1284,S200000,00400,0500,P 1284,S200000,01500,0100,Y 1284,S200000,01900,0100,N 1284,S700003,00000,0100,1 1289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1289,A000000,00300,0000,00300EMPLOYEE BENEFITS 1289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1289,A000000,00700,0000,00700HOUSEKEEPING 1289,A000000,00800,0000,00800DIETARY 1289,A000000,00900,0000,00900NURSING ADMINISTRATION 1289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1289,A000000,01100,0000,01100PHARMACY 1289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1289,A000000,01300,0000,01300SOCIAL SERVICE 1289,A000000,01350,0000,01500ACTIVITIES 1289,A000000,01600,0000,01600SKILLED NURSING FACILITY 1289,A000000,01800,0000,01800NURSING FACILITY 1289,A000000,01810,0000,01801ICF/MR 1289,A000000,01900,0000,01900OTHER LONG TERM CARE 1289,A000000,02100,0000,02100RADIOLOGY 1289,A000000,02200,0000,02200LABORATORY 1289,A000000,02300,0000,02300INTRAVENOUS THERAPY 1289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1289,A000000,02500,0000,02500PHYSICAL THERAPY 1289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1289,A000000,02700,0000,02700SPEECH PATHOLOGY 1289,A000000,02800,0000,02800ELECTROCARDIOLOGY 1289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1289,A000000,03200,0000,03200SUPPORT SURFACES 1289,A000000,04750,0000,05100OSP 1289,A000000,04800,0000,04800AMBULANCE 1289,A000000,05000,0000,05000CORF 1289,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1289,A000000,05300,0000,05300INTEREST EXPENSE 1289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1289,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1289,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1289,A000000,06151,0000,06301RESIDENT SERVICE 1289,A000000,06152,0000,06302MARKETING 1289,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1289,B100000,00000,0200,00002DOLLAR VALUECAP REL COSTS - MOVA 1289,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1289,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1289,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1289,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1289,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1289,B100000,00000,0800,00002MEALS SERVEDDIETARY 1289,B100000,00000,0900,00002PATIENT DAYSNURSING ADMINISTRATIO 1289,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 1289,B100000,00000,1100,00002PATIENT DAYSPHARMACY 1289,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1289,B100000,00000,1300,00002PATIENT DAYSSOCIAL SERVICE 1289,B100000,00000,1350,00002PATIENT DAYSACTIVITIES 1289,S000000,00100,0200,05/31/2000 1289,S200000,00100,0100,1055 WEST JOPPA ROAD 1289,S200000,00200,0100,TOWSON 1289,S200000,00200,0200,MD 1289,S200000,00200,0300,21204- 1289,S200000,00300,0100,BALTIMORE 1289,S200000,00300,0300,U 1289,S200000,00400,0100,BLAKEHURST 1289,S200000,00400,0200,215255 1289,S200000,00400,0300,10/13/1993 1289,S200000,00400,0500,P 1289,S200000,00600,0200,215255 1289,S200000,00600,0300,10/13/1993 1289,S200000,00600,0600,P 1289,S200000,01600,0100,Y 1289,S200000,01700,0100,Y 1289,S200000,01900,0100,N 1289,S700003,00000,0100,1 1295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1295,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 1295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1295,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 1295,A000000,00300,0000,00300EMPLOYEE BENEFITS 1295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1295,A000000,00700,0000,00700HOUSEKEEPING 1295,A000000,00800,0000,00800DIETARY 1295,A000000,00801,0000,00801CAFETERIA 1295,A000000,00900,0000,00900NURSING ADMINISTRATION 1295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1295,A000000,01100,0000,01100PHARMACY 1295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1295,A000000,01300,0000,01300SOCIAL SERVICE 1295,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1295,A000000,01600,0000,01600SKILLED NURSING FACILITY 1295,A000000,01800,0000,01800NURSING FACILITY 1295,A000000,01900,0000,01900OTHER LONG TERM CARE 1295,A000000,02100,0000,02100RADIOLOGY 1295,A000000,02200,0000,02200LABORATORY 1295,A000000,02300,0000,02300INTRAVENOUS THERAPY 1295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1295,A000000,02500,0000,02500PHYSICAL THERAPY 1295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1295,A000000,02700,0000,02700SPEECH PATHOLOGY 1295,A000000,02800,0000,02800ELECTROCARDIOLOGY 1295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1295,A000000,03050,0000,03300OTHER ANCILLARY 1295,A000000,03051,0000,03301OTHER ANCILLARY II 1295,A000000,03052,0000,03302OTHER ANCILLARY III 1295,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1295,A000000,03200,0000,03200SUPPORT SURFACES 1295,A000000,03400,0000,03400CLINIC 1295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 1295,A000000,03500,0000,03500RURAL HEALTH CLINIC 1295,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1295,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1295,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1295,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1295,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1295,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1295,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1295,A000000,04400,0000,04400DME RENTED - HHA 1295,A000000,04500,0000,04500DME SOLD - HHA 1295,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1295,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1295,A000000,04750,0000,05100OSP 1295,A000000,04800,0000,04800AMBULANCE 1295,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1295,A000000,05000,0000,05000CORF 1295,A000000,05010,0000,05010CMHC I 1295,A000000,05020,0000,05020OPT I 1295,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1295,A000000,05300,0000,05300INTEREST EXPENSE 1295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 1295,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 1295,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1295,A000000,05500,0000,05500HOSPICE 1295,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1295,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1295,A000000,06100,0000,06100NONPAID WORKERS 1295,A000000,06150,0000,06300RETIREMENT COMMUNITY 1295,A000000,06200,0000,06200PATIENTS LAUNDRY 1295,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 1295,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 1295,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 1295,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 1295,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 1295,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1295,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 1295,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 1295,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 1295,B100000,00000,0800,00000(MEALS SERVED)DIETARY 1295,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 1295,B100000,00000,0900,00000(PATIENT DAYS)NURSING ADMINISTRATI 1295,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 1295,B100000,00000,1100,00000(COSTED REQUIS.)PHARMACY 1295,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 1295,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 1295,B100000,00000,1350,00000(PATIENT DAYS)OTHER GENERAL SERVIC 1295,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 1295,S000000,00100,0200,06/02/2000 1295,S200000,00100,0100,575 OSGOOD STREET 1295,S200000,00200,0100,NORTH ANDOVER 1295,S200000,00200,0200,MA 1295,S200000,00200,0300,01845 1295,S200000,00300,0100,SUFFOLK 1295,S200000,00300,0300,U 1295,S200000,00400,0100,THE MEADOWS NURSING HOME 1295,S200000,00400,0200,225724 1295,S200000,00400,0300,03/04/1997 1295,S200000,00400,0500,P 1295,S200000,01500,0100,Y 1295,S200000,01900,0100,N 1295,S200000,04100,0100,Y 1295,S200000,04700,0100,Y 1295,S200000,04700,0200,Y 1295,S700003,00000,0400,4 1301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1301,A000000,00300,0000,00300EMPLOYEE BENEFITS 1301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1301,A000000,00700,0000,00700HOUSEKEEPING 1301,A000000,00800,0000,00800DIETARY 1301,A000000,00900,0000,00900NURSING ADMINISTRATION 1301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1301,A000000,01100,0000,01100PHARMACY 1301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1301,A000000,01300,0000,01300SOCIAL SERVICE 1301,A000000,01350,0000,01500DIVERSIONAL THERAPY 1301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1301,A000000,01600,0000,01600SKILLED NURSING FACILITY 1301,A000000,01800,0000,01800NURSING FACILITY 1301,A000000,01900,0000,01900OTHER LONG TERM CARE 1301,A000000,02100,0000,02100RADIOLOGY 1301,A000000,02200,0000,02200LABORATORY 1301,A000000,02300,0000,02300INTRAVENOUS THERAPY 1301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1301,A000000,02500,0000,02500PHYSICAL THERAPY 1301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1301,A000000,02700,0000,02700SPEECH PATHOLOGY 1301,A000000,02800,0000,02800ELECTROCARDIOLOGY 1301,A000000,02801,0000,02801ENTERNALS 1301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1301,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1301,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1301,A000000,03200,0000,03200SUPPORT SURFACES 1301,A000000,03400,0000,03400CLINIC 1301,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1301,A000000,03500,0000,03500RURAL HEALTH CLINIC 1301,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1301,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1301,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1301,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1301,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1301,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1301,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1301,A000000,04400,0000,04400DME RENTED - HHA 1301,A000000,04500,0000,04500DME SOLD - HHA 1301,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1301,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1301,A000000,04750,0000,05100OSP 1301,A000000,04800,0000,04800AMBULANCE 1301,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1301,A000000,05000,0000,05000CORF 1301,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1301,A000000,05300,0000,05300INTEREST EXPENSE 1301,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1301,A000000,05500,0000,05500HOSPICE 1301,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1301,A000000,05901,0000,05901VILLAGE STORE/DOCTORS OFFICE 1301,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1301,A000000,06100,0000,06100NONPAID WORKERS 1301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1301,A000000,06200,0000,06200PATIENTS LAUNDRY 1301,A000000,06201,0000,06201APARTMENTS 1301,A000000,06202,0000,06202ASSISTED LIVING 1301,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1301,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1301,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1301,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1301,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1301,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1301,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1301,B100000,00000,0800,00000MEALS SERVEDDIETARY 1301,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1301,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1301,B100000,00000,1100,00000PATIENT DAYSPHARMACY 1301,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1301,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1301,B100000,00000,1350,00000PATIENT DAYSDIVERSIONAL THERAPY 1301,B100000,00000,1400,00000PATIENT DAYSINTERNS & RESIDENTS ( 1301,E10A180,00550,0300,03/30/2000 1301,S000000,00100,0200,02/28/2000 1301,S200000,00100,0100,1400 DRAKE ROAD 1301,S200000,00200,0100,KALAMAZOO 1301,S200000,00200,0200,MI 1301,S200000,00200,0300,49007- 1301,S200000,00300,0100,KALAMAZOO 1301,S200000,00300,0300,U 1301,S200000,00400,0100,FRIENDSHIP VILLAGE 1301,S200000,00400,0200,235248 1301,S200000,00400,0300,03/01/1986 1301,S200000,00400,0500,P 1301,S200000,01500,0100,Y 1301,S200000,02800,0100,Y 1301,S700003,00000,0100,1 1307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1307,A000000,00300,0000,00300EMPLOYEE BENEFITS 1307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1307,A000000,00700,0000,00700HOUSEKEEPING 1307,A000000,00800,0000,00800DIETARY 1307,A000000,00900,0000,00900NURSING ADMINISTRATION 1307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1307,A000000,01100,0000,01100PHARMACY 1307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1307,A000000,01300,0000,01300SOCIAL SERVICE 1307,A000000,01350,0000,01500ACTIVITIES 1307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1307,A000000,01600,0000,01600SKILLED NURSING FACILITY 1307,A000000,01800,0000,01800NURSING FACILITY 1307,A000000,01810,0000,01801ICF/MR 1307,A000000,01900,0000,01900OTHER LONG TERM CARE 1307,A000000,02100,0000,02100RADIOLOGY 1307,A000000,02200,0000,02200LABORATORY 1307,A000000,02300,0000,02300INTRAVENOUS THERAPY 1307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1307,A000000,02500,0000,02500PHYSICAL THERAPY 1307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1307,A000000,02700,0000,02700SPEECH PATHOLOGY 1307,A000000,02800,0000,02800ELECTROCARDIOLOGY 1307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1307,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1307,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1307,A000000,04750,0000,05100OSP 1307,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1307,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1307,A000000,05300,0000,05300INTEREST EXPENSE 1307,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1307,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1307,A000000,05500,0000,05500HOSPICE 1307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1307,A000000,06150,0000,06300APARTMENTS 1307,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1307,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1307,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1307,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1307,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1307,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1307,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1307,B100000,00000,0800,00000MEALS SERVEDDIETARY 1307,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1307,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1307,B100000,00000,1100,00000PATIENT DAYSPHARMACY 1307,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1307,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1307,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1307,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1307,E10A180,00501,0300,07/24/2000 1307,E10A180,00550,0100,07/24/2000 1307,S000000,00100,0200,06/05/2000 1307,S200000,00100,0100,2251 SPRINGPORT ROAD 1307,S200000,00200,0100,JACKSON 1307,S200000,00200,0200,MI 1307,S200000,00200,0300,49202- 1307,S200000,00300,0100,JACKSON 1307,S200000,00300,0300,U 1307,S200000,00400,0100,VISTA GRANDE VILLA 1307,S200000,00400,0200,235254 1307,S200000,00400,0300,01/01/1976 1307,S200000,00400,0500,P 1307,S200000,01500,0100,Y 1307,S200000,01900,0100,N 1307,S200000,02200,0100,Y 1307,S200000,02800,0100,Y 1307,S700003,00000,0100,1 1312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1312,A000000,00300,0000,00300EMPLOYEE BENEFITS 1312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1312,A000000,00700,0000,00700HOUSEKEEPING 1312,A000000,00800,0000,00800DIETARY 1312,A000000,00900,0000,00900NURSING ADMINISTRATION 1312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1312,A000000,01100,0000,01100PHARMACY 1312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1312,A000000,01300,0000,01300SOCIAL SERVICE 1312,A000000,01350,0000,01500OTHER GENERAL SERVICES 1312,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1312,A000000,01600,0000,01600SKILLED NURSING FACILITY 1312,A000000,01800,0000,01800NURSING FACILITY 1312,A000000,01810,0000,01801ICF/MR 1312,A000000,01900,0000,01900OTHER LONG TERM CARE 1312,A000000,02100,0000,02100RADIOLOGY 1312,A000000,02200,0000,02200LABORATORY 1312,A000000,02300,0000,02300INTRAVENOUS THERAPY 1312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1312,A000000,02500,0000,02500PHYSICAL THERAPY 1312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1312,A000000,02700,0000,02700SPEECH PATHOLOGY 1312,A000000,02800,0000,02800ELECTROCARDIOLOGY 1312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1312,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1312,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1312,A000000,03200,0000,03200SUPPORT SURFACES 1312,A000000,03400,0000,03400CLINIC 1312,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1312,A000000,03500,0000,03500RURAL HEALTH CLINIC 1312,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1312,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1312,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1312,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1312,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1312,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1312,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1312,A000000,04400,0000,04400DME RENTED - HHA 1312,A000000,04500,0000,04500DME SOLD - HHA 1312,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1312,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1312,A000000,04750,0000,05100OSP 1312,A000000,04800,0000,04800AMBULANCE 1312,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1312,A000000,05000,0000,05000CORF 1312,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1312,A000000,05300,0000,05300INTEREST EXPENSE 1312,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1312,A000000,05500,0000,05500HOSPICE 1312,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1312,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1312,A000000,06100,0000,06100NONPAID WORKERS 1312,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1312,A000000,06200,0000,06200PATIENTS LAUNDRY 1312,A81000A,00100,0100,Y 1312,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1312,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1312,A81000B,00300,0300,WORKERS COMPENSATION 1312,A81000B,00400,0300,PROPERTY/LIABILITY INS 1312,A81000B,00500,0300,VEHICLE INSURANCE 1312,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1312,A81000B,00700,0300,INCONTINENTS 1312,A81000B,00800,0300,DIET SUPPS 1312,A81000B,00900,0300,EQUIPMENT 1312,A81000C,00100,0100,B 1312,A81000C,00100,0200,ROSEVILLE GS CE 1312,A81000C,00100,0400,GOOD SAMARITAN 1312,A81000C,00100,0600,ADMIN/ACCOUNTIN 1312,A81000C,00200,0100,B 1312,A81000C,00200,0200,ROSEVILLE GS CE 1312,A81000C,00200,0400,GOOD SAMARITAN 1312,A81000C,00200,0600,NURSE POOL 1312,A81000C,00300,0100,B 1312,A81000C,00300,0200,ROSEVILLE GS CE 1312,A81000C,00300,0400,OMNICARE PHARMA 1312,A81000C,00300,0600,MEDICAL DRUGS/S 1312,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1312,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1312,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1312,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1312,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1312,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1312,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1312,B100000,00000,0800,00000MEALS SERVEDDIETARY 1312,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1312,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1312,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1312,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1312,B100000,00000,1300,00000ADMISSIONSS SPENSOCIAL SERVICE 1312,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1312,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1312,E10A180,00301,0100,01/07/2000 1312,E10A180,00501,0100,07/26/2000 1312,E10A180,00550,0300,07/26/2000 1312,E10A180,00551,0300,08/03/2001 1312,S000000,00100,0200,06/02/2000 1312,S200000,00100,0100,1415 WEST COUNTY ROAD B 1312,S200000,00200,0100,ST PAUL 1312,S200000,00200,0200,MN 1312,S200000,00200,0300,55113- 1312,S200000,00300,0100,RAMSEY 1312,S200000,00300,0300,U 1312,S200000,00400,0100,ROSEVILLE GOOD SAMARITAN CENTER 1312,S200000,00400,0200,245089 1312,S200000,00400,0300,08/23/1981 1312,S200000,00400,0500,P 1312,S200000,01500,0100,Y 1312,S200000,01900,0100,N 1312,S700003,00000,0100,1 1317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1317,A000000,00300,0000,00300EMPLOYEE BENEFITS 1317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1317,A000000,00700,0000,00700HOUSEKEEPING 1317,A000000,00800,0000,00800DIETARY 1317,A000000,00900,0000,00900NURSING ADMINISTRATION 1317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1317,A000000,01100,0000,01100PHARMACY 1317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1317,A000000,01300,0000,01300SOCIAL SERVICE 1317,A000000,01350,0000,01500OTHER GENERAL SERVICES 1317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1317,A000000,01600,0000,01600SKILLED NURSING FACILITY 1317,A000000,01800,0000,01800NURSING FACILITY 1317,A000000,01810,0000,01801ICF/MR 1317,A000000,01900,0000,01900OTHER LONG TERM CARE 1317,A000000,02100,0000,02100RADIOLOGY 1317,A000000,02200,0000,02200LABORATORY 1317,A000000,02300,0000,02300INTRAVENOUS THERAPY 1317,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1317,A000000,02500,0000,02500PHYSICAL THERAPY 1317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1317,A000000,02700,0000,02700SPEECH PATHOLOGY 1317,A000000,02800,0000,02800ELECTROCARDIOLOGY 1317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1317,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1317,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1317,A000000,03200,0000,03200SUPPORT SURFACES 1317,A000000,03400,0000,03400CLINIC 1317,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1317,A000000,03500,0000,03500RURAL HEALTH CLINIC 1317,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1317,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1317,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1317,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1317,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1317,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1317,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1317,A000000,04400,0000,04400DME RENTED - HHA 1317,A000000,04500,0000,04500DME SOLD - HHA 1317,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1317,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1317,A000000,04750,0000,05100OSP 1317,A000000,04800,0000,04800AMBULANCE 1317,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1317,A000000,05000,0000,05000CORF 1317,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1317,A000000,05300,0000,05300INTEREST EXPENSE 1317,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1317,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1317,A000000,05500,0000,05500HOSPICE 1317,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1317,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1317,A000000,06100,0000,06100NONPAID WORKERS 1317,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1317,A000000,06200,0000,06200PATIENTS LAUNDRY 1317,A81000A,00100,0100,Y 1317,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1317,A81000B,00200,0300,WORKERS COMPENSATI0N 1317,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1317,A81000B,00400,0300,PROP/LIABILITY INSURANCE 1317,A81000B,00500,0300,VEHICLE INSURANCE 1317,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1317,A81000B,00700,0300,DIETARY SUPP 1317,A81000B,00800,0300,EQUIPMENT 1317,A81000B,00900,0300,TEXTILES 1317,A81000C,00100,0100,B 1317,A81000C,00100,0200,NICOLLET GS CEN 1317,A81000C,00100,0400,GOOD SAMARITAN 1317,A81000C,00100,0600,ADMIN/ACCOUNTIN 1317,A81000C,00200,0100,B 1317,A81000C,00200,0200,NICOLLET GS CEN 1317,A81000C,00200,0400,GOOD SAMARITAN 1317,A81000C,00200,0600,NURSING POOL 1317,A81000C,00300,0100,B 1317,A81000C,00300,0200,NICOLLET GS CEN 1317,A81000C,00300,0400,OMNICARE PHARMA 1317,A81000C,00300,0600,MEDICAL DRUGS/S 1317,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1317,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1317,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1317,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1317,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1317,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1317,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1317,B100000,00000,0800,00000MEALS SERVEDDIETARY 1317,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1317,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1317,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1317,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1317,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1317,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1317,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1317,E10A180,00301,0100,01/07/2000 1317,E10A180,00501,0100,07/26/2000 1317,E10A180,00550,0300,07/26/2000 1317,S000000,00100,0200,06/02/2000 1317,S200000,00100,0100,4429 NICOLLET AVE. S. 1317,S200000,00200,0100,MINNEAPOLIS 1317,S200000,00200,0200,MN 1317,S200000,00200,0300,55409- 1317,S200000,00300,0100,HENNIPEN 1317,S200000,00300,0300,U 1317,S200000,00400,0100,NICOLLET GOOD SAMARITAN CENTER 1317,S200000,00400,0200,245147 1317,S200000,00400,0300,08/23/1981 1317,S200000,00400,0500,P 1317,S200000,01500,0100,Y 1317,S200000,01900,0100,N 1317,S700003,00000,0100,1 1322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1322,A000000,00300,0000,00300EMPLOYEE BENEFITS 1322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1322,A000000,00700,0000,00700HOUSEKEEPING 1322,A000000,00800,0000,00800DIETARY 1322,A000000,00900,0000,00900NURSING ADMINISTRATION 1322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1322,A000000,01100,0000,01100PHARMACY 1322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1322,A000000,01300,0000,01300SOCIAL SERVICE 1322,A000000,01350,0000,01500OTHER GENERAL SERVICES 1322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1322,A000000,01600,0000,01600SKILLED NURSING FACILITY 1322,A000000,01800,0000,01800NURSING FACILITY 1322,A000000,01810,0000,01801ICF/MR 1322,A000000,01900,0000,01900OTHER LONG TERM CARE 1322,A000000,02100,0000,02100RADIOLOGY 1322,A000000,02200,0000,02200LABORATORY 1322,A000000,02300,0000,02300INTRAVENOUS THERAPY 1322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1322,A000000,02500,0000,02500PHYSICAL THERAPY 1322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1322,A000000,02700,0000,02700SPEECH PATHOLOGY 1322,A000000,02800,0000,02800ELECTROCARDIOLOGY 1322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1322,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1322,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1322,A000000,03200,0000,03200SUPPORT SURFACES 1322,A000000,03400,0000,03400CLINIC 1322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1322,A000000,03500,0000,03500RURAL HEALTH CLINIC 1322,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1322,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1322,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1322,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1322,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1322,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1322,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1322,A000000,04400,0000,04400DME RENTED - HHA 1322,A000000,04500,0000,04500DME SOLD - HHA 1322,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1322,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1322,A000000,04750,0000,05100OSP 1322,A000000,04800,0000,04800AMBULANCE 1322,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1322,A000000,05000,0000,05000CORF 1322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1322,A000000,05300,0000,05300INTEREST EXPENSE 1322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1322,A000000,05500,0000,05500HOSPICE 1322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1322,A000000,06100,0000,06100NONPAID WORKERS 1322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1322,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1322,A000000,06152,0000,06302MEALS ON WHEELS 1322,A000000,06200,0000,06200PATIENTS LAUNDRY 1322,A81000A,00100,0100,Y 1322,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1322,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1322,A81000B,00300,0300,WORKERS COMPENSATION 1322,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1322,A81000B,00500,0300,VEHICLE INSURANCE 1322,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1322,A81000B,00700,0300,INCONTINENTS 1322,A81000B,00800,0300,DIETARY SUPPLEMENTS 1322,A81000B,00900,0300,EQUIPMENT 1322,A81000B,00901,0300,TEXTILES 1322,A81000C,00100,0100,B 1322,A81000C,00100,0400,GOOD SAMARITAN 1322,A81000C,00100,0600,ADMIN/ACCOUNTIN 1322,A81000C,00200,0100,B 1322,A81000C,00200,0400,OMNICARE PHARMA 1322,A81000C,00200,0600,MEDICAL SUPPLIE 1322,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1322,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1322,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1322,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1322,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1322,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1322,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1322,B100000,00000,0800,00002MEALS SERVEDDIETARY 1322,B100000,00000,0900,00002PRODUCTIVEE NRSINNURSING ADMINIS 1322,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1322,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1322,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1322,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1322,B100000,00000,1350,00002NO STATISTICSOTHER GENERAL S 1322,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 1322,E10A180,00501,0100,07/28/2000 1322,E10A180,00550,0300,07/28/2000 1322,S000000,00100,0200,06/16/2000 1322,S200000,00100,0100,8100 MEDICINE LAKE ROAD 1322,S200000,00200,0100,NEW HOPE 1322,S200000,00200,0200,MN 1322,S200000,00200,0300,55427-3499 1322,S200000,00300,0100,HENNEPIN 1322,S200000,00300,0300,U 1322,S200000,00400,0100,AMBASSADOR GOOD SAMARITAN CENTER 1322,S200000,00400,0200,245149 1322,S200000,00400,0300,08/23/1981 1322,S200000,00400,0500,P 1322,S200000,01600,0100,Y 1322,S200000,01900,0100,N 1322,S200000,02800,0100,Y 1322,S700003,00000,0100,1 1326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1326,A000000,00300,0000,00300EMPLOYEE BENEFITS 1326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1326,A000000,00700,0000,00700HOUSEKEEPING 1326,A000000,00800,0000,00800DIETARY 1326,A000000,00900,0000,00900NURSING ADMINISTRATION 1326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1326,A000000,01100,0000,01100PHARMACY 1326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1326,A000000,01300,0000,01300SOCIAL SERVICE 1326,A000000,01350,0000,01500OTHER GENERAL SERVICES 1326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1326,A000000,01600,0000,01600SKILLED NURSING FACILITY 1326,A000000,01800,0000,01800NURSING FACILITY 1326,A000000,01810,0000,01801ICF/MR 1326,A000000,01900,0000,01900OTHER LONG TERM CARE 1326,A000000,02100,0000,02100RADIOLOGY 1326,A000000,02200,0000,02200LABORATORY 1326,A000000,02300,0000,02300INTRAVENOUS THERAPY 1326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1326,A000000,02500,0000,02500PHYSICAL THERAPY 1326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1326,A000000,02700,0000,02700SPEECH PATHOLOGY 1326,A000000,02800,0000,02800ELECTROCARDIOLOGY 1326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1326,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1326,A000000,03200,0000,03200SUPPORT SURFACES 1326,A000000,03400,0000,03400CLINIC 1326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1326,A000000,03500,0000,03500RURAL HEALTH CLINIC 1326,A000000,04750,0000,05100OSP 1326,A000000,04800,0000,04800AMBULANCE 1326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1326,A000000,05000,0000,05000CORF 1326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1326,A000000,05300,0000,05300INTEREST EXPENSE 1326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1326,A000000,05500,0000,05500HOSPICE 1326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1326,A000000,06100,0000,06100NONPAID WORKERS 1326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1326,A000000,06200,0000,06200PATIENTS LAUNDRY 1326,A81000A,00100,0100,Y 1326,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1326,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1326,A81000B,00300,0300,WORKERS COMPENSATION 1326,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1326,A81000B,00500,0300,VEHICLE INSURANCE 1326,A81000B,00600,0300,NURSE POOL 1326,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENT 1326,A81000B,00800,0300,DIETARY SUPPLEMENTS 1326,A81000B,00900,0300,EQUIPMENT 1326,A81000C,00100,0100,B 1326,A81000C,00100,0200,CRYSTAL LAKE GS 1326,A81000C,00100,0400,GOOD SAMARITAN 1326,A81000C,00100,0600,ADMIN/ACCOUNTIN 1326,A81000C,00200,0100,B 1326,A81000C,00200,0200,CRYSTAL LAKE GS 1326,A81000C,00200,0400,GOOD SAMARITAN 1326,A81000C,00200,0600,NURSING POOL 1326,A81000C,00300,0100,B 1326,A81000C,00300,0200,CRYSTAL LAKE GS 1326,A81000C,00300,0400,OMNICARE PHARMA 1326,A81000C,00300,0600,MEDICAL DRUGS/S 1326,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1326,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1326,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1326,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1326,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1326,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1326,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1326,B100000,00000,0800,00000MEALS SERVEDDIETARY 1326,B100000,00000,0900,00000PRODUCTIVEE HNURSING ADMINIS 1326,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1326,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1326,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1326,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1326,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1326,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 1326,E10A180,00301,0100,01/20/2000 1326,E10A180,00501,0100,08/15/2001 1326,E10A180,00550,0100,07/07/2000 1326,E10A180,00550,0300,07/07/2000 1326,E10A180,00551,0300,08/15/2001 1326,S000000,00100,0200,06/02/2000 1326,S200000,00100,0100,3815 WEST BROADWAY 1326,S200000,00200,0100,ROBBINSDALE 1326,S200000,00200,0200,MN 1326,S200000,00200,0300,55422- 1326,S200000,00300,0100,HENNEPIN 1326,S200000,00300,0300,U 1326,S200000,00400,0100,CRYSTAL LAKE GOOD SAMARITAN CENTER 1326,S200000,00400,0200,245152 1326,S200000,00400,0300,08/23/1981 1326,S200000,00400,0500,P 1326,S200000,01500,0100,Y 1326,S200000,01900,0100,N 1326,S700003,00000,0100,1 1330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1330,A000000,00300,0000,00300EMPLOYEE BENEFITS 1330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1330,A000000,00700,0000,00700HOUSEKEEPING 1330,A000000,00800,0000,00800DIETARY 1330,A000000,00900,0000,00900NURSING ADMINISTRATION 1330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1330,A000000,01100,0000,01100PHARMACY 1330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1330,A000000,01300,0000,01300SOCIAL SERVICE 1330,A000000,01350,0000,01500OTHER GENERAL SERVICES 1330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1330,A000000,01600,0000,01600SKILLED NURSING FACILITY 1330,A000000,01800,0000,01800NURSING FACILITY 1330,A000000,01810,0000,01801ICF/MR 1330,A000000,01900,0000,01900OTHER LONG TERM CARE 1330,A000000,02100,0000,02100RADIOLOGY 1330,A000000,02200,0000,02200LABORATORY 1330,A000000,02300,0000,02300INTRAVENOUS THERAPY 1330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1330,A000000,02500,0000,02500PHYSICAL THERAPY 1330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1330,A000000,02700,0000,02700SPEECH PATHOLOGY 1330,A000000,02800,0000,02800ELECTROCARDIOLOGY 1330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1330,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1330,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1330,A000000,03200,0000,03200SUPPORT SURFACES 1330,A000000,03400,0000,03400CLINIC 1330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1330,A000000,03500,0000,03500RURAL HEALTH CLINIC 1330,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1330,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1330,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1330,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1330,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1330,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1330,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1330,A000000,04400,0000,04400DME RENTED - HHA 1330,A000000,04500,0000,04500DME SOLD - HHA 1330,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1330,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1330,A000000,04750,0000,05100OSP 1330,A000000,04800,0000,04800AMBULANCE 1330,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1330,A000000,05000,0000,05000CORF 1330,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1330,A000000,05300,0000,05300INTEREST EXPENSE 1330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1330,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1330,A000000,05500,0000,05500HOSPICE 1330,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1330,A000000,06100,0000,06100NONPAID WORKERS 1330,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1330,A000000,06200,0000,06200PATIENTS LAUNDRY 1330,A81000A,00100,0100,Y 1330,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1330,A81000B,00200,0300,WORKERS COMPENSATION 1330,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1330,A81000B,00400,0300,PROP/LIABILITY INSURANCE 1330,A81000B,00500,0300,VEHICLE INSURANCE 1330,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1330,A81000B,00700,0300,INCONTINENTS 1330,A81000B,00800,0300,DIETARY SUPP 1330,A81000B,00900,0300,EQUIPMENT 1330,A81000C,00100,0100,B 1330,A81000C,00100,0400,GOOD SAMARITAN 1330,A81000C,00100,0600,ADMIN/ACCOUNTIN 1330,A81000C,00200,0100,B 1330,A81000C,00200,0400,GOOD SAMARITAN 1330,A81000C,00200,0600,NURSE POOL 1330,A81000C,00300,0100,B 1330,A81000C,00300,0400,OMNICARE PHARMA 1330,A81000C,00300,0600,MEDICAL DRUGS/S 1330,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1330,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1330,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1330,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1330,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1330,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1330,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1330,B100000,00000,0800,00000MEALS SERVEDDIETARY 1330,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1330,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1330,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1330,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1330,B100000,00000,1300,00000ADMISSIONSS SPENSOCIAL SERVICE 1330,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1330,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1330,E10A180,00301,0100,01/07/2000 1330,E10A180,00501,0100,09/19/2001 1330,E10A180,00501,0300,09/19/2001 1330,S000000,00100,0200,06/02/2000 1330,S200000,00100,0100,1040 MADISON STREET 1330,S200000,00200,0100,ANOKA 1330,S200000,00200,0200,MN 1330,S200000,00200,0300,55303-2699 1330,S200000,00300,0100,ANOKA 1330,S200000,00300,0300,U 1330,S200000,00400,0100,ANOKA GOOD SAMARITAN CENTER 1330,S200000,00400,0200,245205 1330,S200000,00400,0300,08/21/1981 1330,S200000,00400,0500,P 1330,S200000,01500,0100,Y 1330,S200000,01900,0100,N 1330,S200000,02800,0100,Y 1330,S700003,00000,0100,1 1336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1336,A000000,00300,0000,00300EMPLOYEE BENEFITS 1336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1336,A000000,00700,0000,00700HOUSEKEEPING 1336,A000000,00800,0000,00800DIETARY 1336,A000000,00900,0000,00900NURSING ADMINISTRATION 1336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1336,A000000,01100,0000,01100PHARMACY 1336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1336,A000000,01300,0000,01300SOCIAL SERVICE 1336,A000000,01350,0000,01500OTHER GENERAL SERVICES 1336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1336,A000000,01600,0000,01600SKILLED NURSING FACILITY 1336,A000000,01800,0000,01800NURSING FACILITY 1336,A000000,01810,0000,01801ICF/MR 1336,A000000,01900,0000,01900OTHER LONG TERM CARE 1336,A000000,02100,0000,02100RADIOLOGY 1336,A000000,02200,0000,02200LABORATORY 1336,A000000,02300,0000,02300INTRAVENOUS THERAPY 1336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1336,A000000,02500,0000,02500PHYSICAL THERAPY 1336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1336,A000000,02700,0000,02700SPEECH PATHOLOGY 1336,A000000,02800,0000,02800ELECTROCARDIOLOGY 1336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1336,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1336,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1336,A000000,03200,0000,03200SUPPORT SURFACES 1336,A000000,03400,0000,03400CLINIC 1336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1336,A000000,03500,0000,03500RURAL HEALTH CLINIC 1336,A000000,04750,0000,05100OSP 1336,A000000,04800,0000,04800AMBULANCE 1336,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1336,A000000,05000,0000,05000CORF 1336,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1336,A000000,05300,0000,05300INTEREST EXPENSE 1336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1336,A000000,05500,0000,05500HOSPICE 1336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1336,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1336,A000000,06100,0000,06100NONPAID WORKERS 1336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1336,A000000,06200,0000,06200PATIENTS LAUNDRY 1336,A81000A,00100,0100,Y 1336,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1336,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1336,A81000B,00300,0300,WORKERS COMPENSATION 1336,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1336,A81000B,00500,0300,VEHICLE INSURANCE 1336,A81000B,00600,0300,NURSE POOL 1336,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENTS 1336,A81000B,00800,0300,DIETARY SUPPLEMENTS 1336,A81000B,00900,0300,EQUIPMENT 1336,A81000C,00100,0100,B 1336,A81000C,00100,0200,STILLWATER GS C 1336,A81000C,00100,0400,GOOD SAMARITAN 1336,A81000C,00100,0600,ADMIN/ACCOUNTIN 1336,A81000C,00200,0100,B 1336,A81000C,00200,0200,STILLWATER GS C 1336,A81000C,00200,0400,OMNICARE PHARMA 1336,A81000C,00200,0600,MEDICAL DRUGS/S 1336,A81000C,00300,0100,B 1336,A81000C,00300,0200,STILLWATER GS C 1336,A81000C,00300,0400,GOOD SAMARITAN 1336,A81000C,00300,0600,NURSE POOL 1336,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1336,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1336,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1336,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1336,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1336,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1336,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1336,B100000,00000,0800,00000MEALS SERVEDDIETARY 1336,B100000,00000,0900,00000PRODUCTIVEENURSING ADMINISTRATION 1336,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1336,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1336,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1336,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1336,B100000,00000,1350,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1336,B100000,00000,1351,00000NO STATISTICSOTHER GENERAL S 1336,E10A180,00301,0100,01/07/2000 1336,S000000,00100,0200,06/02/2000 1336,S200000,00100,0100,1119 OWENS STREET NORTH 1336,S200000,00200,0100,STILLWATER 1336,S200000,00200,0200,MN 1336,S200000,00200,0300,55082- 1336,S200000,00300,0100,WASHINGTON 1336,S200000,00300,0300,U 1336,S200000,00400,0100,STILLWATER GOOD SAMARITAN CENTER 1336,S200000,00400,0200,245207 1336,S200000,00400,0300,08/23/1981 1336,S200000,00400,0500,P 1336,S200000,01500,0100,Y 1336,S200000,01900,0100,N 1336,S700003,00000,0100,1 1340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1340,A000000,00300,0000,00300EMPLOYEE BENEFITS 1340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1340,A000000,00700,0000,00700HOUSEKEEPING 1340,A000000,00800,0000,00800DIETARY 1340,A000000,00900,0000,00900NURSING ADMINISTRATION 1340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1340,A000000,01100,0000,01100PHARMACY 1340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1340,A000000,01300,0000,01300SOCIAL SERVICE 1340,A000000,01350,0000,01500OTHER GENERAL SERVICES 1340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1340,A000000,01600,0000,01600SKILLED NURSING FACILITY 1340,A000000,01800,0000,01800NURSING FACILITY 1340,A000000,01810,0000,01801ICF/MR 1340,A000000,01900,0000,01900OTHER LONG TERM CARE 1340,A000000,02100,0000,02100RADIOLOGY 1340,A000000,02200,0000,02200LABORATORY 1340,A000000,02300,0000,02300INTRAVENOUS THERAPY 1340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1340,A000000,02500,0000,02500PHYSICAL THERAPY 1340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1340,A000000,02700,0000,02700SPEECH PATHOLOGY 1340,A000000,02800,0000,02800ELECTROCARDIOLOGY 1340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1340,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1340,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1340,A000000,03200,0000,03200SUPPORT SURFACES 1340,A000000,03400,0000,03400CLINIC 1340,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1340,A000000,03500,0000,03500RURAL HEALTH CLINIC 1340,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1340,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1340,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1340,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1340,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1340,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1340,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1340,A000000,04400,0000,04400DME RENTED - HHA 1340,A000000,04500,0000,04500DME SOLD - HHA 1340,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1340,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1340,A000000,04750,0000,05100OSP 1340,A000000,04800,0000,04800AMBULANCE 1340,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1340,A000000,05000,0000,05000CORF 1340,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1340,A000000,05300,0000,05300INTEREST EXPENSE 1340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1340,A000000,05500,0000,05500HOSPICE 1340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1340,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1340,A000000,06100,0000,06100NONPAID WORKERS 1340,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1340,A000000,06200,0000,06200PATIENTS LAUNDRY 1340,A81000A,00100,0100,Y 1340,A81000B,00100,0300,ADMIN/ACCOUTING SERVICES 1340,A81000B,00200,0300,WORKERS COMPENSATION 1340,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1340,A81000B,00400,0300,PROP/LIABILITY INSURANCE 1340,A81000B,00500,0300,VEHICLE INSURANCE 1340,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1340,A81000B,00700,0300,INCONTINENTS 1340,A81000B,00800,0300,DIETARY SUPP 1340,A81000B,00900,0300,EQUIPMENT 1340,A81000C,00100,0100,B 1340,A81000C,00100,0200,MAPLEWOOD GS CE 1340,A81000C,00100,0400,GOOD SAMARITAN 1340,A81000C,00100,0600,ADMIN/ACCOUNTIN 1340,A81000C,00200,0100,B 1340,A81000C,00200,0200,MAPLEWOOD GS CE 1340,A81000C,00200,0400,OMNICARE PHARMA 1340,A81000C,00200,0600,MEDICAL DRUGS/S 1340,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1340,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1340,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1340,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1340,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1340,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1340,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1340,B100000,00000,0800,00000MEALS SERVEDDIETARY 1340,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1340,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1340,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1340,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1340,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1340,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1340,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1340,E10A180,00301,0100,01/07/2000 1340,E10A180,00501,0100,07/27/2000 1340,E10A180,00501,0300,08/06/2001 1340,E10A180,00502,0100,08/06/2001 1340,E10A180,00550,0300,07/27/2000 1340,H510100,02400,0000,5120 1340,H710000,00501,0100,07/27/2000 1340,H710000,00501,0300,07/27/2000 1340,H710000,00502,0300,08/06/2001 1340,H710000,00550,0100,08/06/2001 1340,S000000,00100,0200,06/02/2000 1340,S200000,00100,0100,550 EAST ROSELAWN AVENUE 1340,S200000,00200,0100,ST PAUL 1340,S200000,00200,0200,MN 1340,S200000,00200,0300,55117- 1340,S200000,00300,0100,RAMSEY 1340,S200000,00300,0300,U 1340,S200000,00400,0100,MAPLEWOOD GOOD SAMARITAN CENTER 1340,S200000,00400,0200,245221 1340,S200000,00400,0300,08/23/1981 1340,S200000,00400,0500,P 1340,S200000,00800,0200,247024 1340,S200000,00800,0300,03/30/1994 1340,S200000,00800,0500,P 1340,S200000,01600,0100,Y 1340,S200000,01900,0100,N 1340,S700003,00000,0100,1 1345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1345,A000000,00300,0000,00300EMPLOYEE BENEFITS 1345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1345,A000000,00700,0000,00700HOUSEKEEPING 1345,A000000,00800,0000,00800DIETARY 1345,A000000,00900,0000,00900NURSING ADMINISTRATION 1345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1345,A000000,01100,0000,01100PHARMACY 1345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1345,A000000,01300,0000,01300SOCIAL SERVICE 1345,A000000,01350,0000,01500OTHER GENERAL SERVICES 1345,A000000,01351,0000,01501ACTIVITIES 1345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1345,A000000,01600,0000,01600SKILLED NURSING FACILITY 1345,A000000,01800,0000,01800NURSING FACILITY 1345,A000000,01810,0000,01801ICF/MR 1345,A000000,01900,0000,01900OTHER LONG TERM CARE 1345,A000000,02100,0000,02100RADIOLOGY 1345,A000000,02200,0000,02200LABORATORY 1345,A000000,02300,0000,02300INTRAVENOUS THERAPY 1345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1345,A000000,02500,0000,02500PHYSICAL THERAPY 1345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1345,A000000,02700,0000,02700SPEECH PATHOLOGY 1345,A000000,02800,0000,02800ELECTROCARDIOLOGY 1345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1345,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1345,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1345,A000000,03200,0000,03200SUPPORT SURFACES 1345,A000000,03400,0000,03400CLINIC 1345,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1345,A000000,03500,0000,03500RURAL HEALTH CLINIC 1345,A000000,04750,0000,05100OSP 1345,A000000,04800,0000,04800AMBULANCE 1345,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1345,A000000,05000,0000,05000CORF 1345,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1345,A000000,05300,0000,05300INTEREST EXPENSE 1345,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1345,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1345,A000000,05500,0000,05500HOSPICE 1345,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1345,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1345,A000000,06100,0000,06100NONPAID WORKERS 1345,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1345,A000000,06151,0000,06301MARKETING 1345,A000000,06153,0000,06303RESIDENTIAL 1345,A000000,06200,0000,06200PATIENTS LAUNDRY 1345,A81000A,00100,0100,Y 1345,A81000B,00100,0300,A&G 1345,A81000B,00200,0300,CAPITAL 1345,A81000B,00300,0300,CAPITAL 1345,A81000C,00100,0100,B 1345,A81000C,00100,0400,LCRC 1345,A81000C,00100,0600,CONTCARECOMM 1345,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 1345,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 1345,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 1345,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 1345,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 1345,B100000,00000,0600,00003POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1345,B100000,00000,0700,00003SQUARE FEETHOUSEKEEPING 1345,B100000,00000,0800,00003MEALS SERVEDDIETARY 1345,B100000,00000,0900,00003DIRECT NRSING HRSNURSING ADMINIS 1345,B100000,00000,1000,00003PATIENT DAYSCENTRAL SERVICES & SU 1345,B100000,00000,1100,00003COSTED REQUIS.PHARMACY 1345,B100000,00000,1200,00003TIME SPENTMEDICAL RECORDS & LI 1345,B100000,00000,1300,00003TIME SPENTSOCIAL SERVICE 1345,B100000,00000,1350,00003NO STATISTICSOTHER GENERAL S 1345,B100000,00000,1351,00003PATIENT DAYSACTIVITIES 1345,B100000,00000,1400,00003ASSIGNED TIMEINTERNS & RESIDENTS ( 1345,E10A180,00501,0100,06/23/2000 1345,E10A180,00550,0300,06/23/2000 1345,S000000,00100,0200,06/02/2000 1345,S200000,00100,0100,8100 HIGHWOOD DRIVE 1345,S200000,00200,0100,BLOOMINGTON 1345,S200000,00200,0200,MN 1345,S200000,00200,0300,55438- 1345,S200000,00300,0100,HENNEPIN 1345,S200000,00300,0300,U 1345,S200000,00400,0100,FRIENDSHIP VILLAGE OF BLOOMINGTON 1345,S200000,00400,0200,245229 1345,S200000,00400,0300,01/29/1980 1345,S200000,00400,0500,P 1345,S200000,01600,0100,Y 1345,S200000,01900,0100,NOT FOR PROFIT CORP. 1345,S200000,02200,0100,Y 1345,S200000,02800,0100,Y 1345,S700003,00000,0100,1 1351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1351,A000000,00300,0000,00300EMPLOYEE BENEFITS 1351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1351,A000000,00700,0000,00700HOUSEKEEPING 1351,A000000,00800,0000,00800DIETARY 1351,A000000,00900,0000,00900NURSING ADMINISTRATION 1351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1351,A000000,01100,0000,01100PHARMACY 1351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1351,A000000,01300,0000,01300SOCIAL SERVICE 1351,A000000,01350,0000,01500OTHER GENERAL SERVICES 1351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1351,A000000,01600,0000,01600SKILLED NURSING FACILITY 1351,A000000,01800,0000,01800NURSING FACILITY 1351,A000000,01810,0000,01801ICF/MR 1351,A000000,01900,0000,01900OTHER LONG TERM CARE 1351,A000000,02100,0000,02100RADIOLOGY 1351,A000000,02200,0000,02200LABORATORY 1351,A000000,02300,0000,02300INTRAVENOUS THERAPY 1351,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1351,A000000,02500,0000,02500PHYSICAL THERAPY 1351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1351,A000000,02700,0000,02700SPEECH PATHOLOGY 1351,A000000,02800,0000,02800ELECTROCARDIOLOGY 1351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1351,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1351,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1351,A000000,03200,0000,03200SUPPORT SURFACES 1351,A000000,03400,0000,03400CLINIC 1351,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1351,A000000,03500,0000,03500RURAL HEALTH CLINIC 1351,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1351,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1351,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1351,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1351,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1351,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1351,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1351,A000000,04400,0000,04400DME RENTED - HHA 1351,A000000,04500,0000,04500DME SOLD - HHA 1351,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1351,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1351,A000000,04750,0000,05100OSP 1351,A000000,04800,0000,04800AMBULANCE 1351,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1351,A000000,05000,0000,05000CORF 1351,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1351,A000000,05300,0000,05300INTEREST EXPENSE 1351,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1351,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1351,A000000,05500,0000,05500HOSPICE 1351,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1351,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1351,A000000,06100,0000,06100NONPAID WORKERS 1351,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1351,A000000,06151,0000,06301APARTMENTS 1351,A000000,06200,0000,06200PATIENTS LAUNDRY 1351,A81000A,00100,0100,Y 1351,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1351,A81000B,00200,0300,WORKERS COMPENSATION 1351,A81000B,00300,0300,UNEMPLOYMENT CHARGES PAID 1351,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1351,A81000B,00500,0300,VEHICLE INSURANCE 1351,A81000B,00600,0300,NURSING POOL 1351,A81000B,00700,0300,NURSING SUPPLIES 1351,A81000B,00800,0300,INCONTINENTS 1351,A81000B,00900,0300,EQUIPMENT 1351,A81000C,00100,0100,B 1351,A81000C,00100,0200,WACONIA GOOD SA 1351,A81000C,00100,0400,GOOD SAMARITAN 1351,A81000C,00100,0600,ADMIN/ACCOUNTIN 1351,A81000C,00200,0100,B 1351,A81000C,00200,0200,WACONIA GOOD SA 1351,A81000C,00200,0400,GOOD SAMARITAN 1351,A81000C,00200,0600,NURSE POOL 1351,A81000C,00300,0100,B 1351,A81000C,00300,0200,WACONIA GOOD SA 1351,A81000C,00300,0400,OMNICARE PHARMA 1351,A81000C,00300,0600,MEDICAL DRUGS / 1351,A81000C,00400,0100,0 1351,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1351,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1351,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1351,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1351,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1351,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1351,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1351,B100000,00000,0800,00001MEALS SERVEDDIETARY 1351,B100000,00000,0900,00001PRODUCTIVEENURSING ADMINISTRATION 1351,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1351,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1351,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1351,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1351,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1351,B100000,00000,1400,00001TIME SPENTINTERNS & RESIDENTS 1351,E10A180,00350,0100,01/07/2000 1351,S000000,00100,0200,06/02/2000 1351,S200000,00100,0100,333 FIFTH STREET WEST 1351,S200000,00200,0100,WACONIA 1351,S200000,00200,0200,MN 1351,S200000,00200,0300,55387- 1351,S200000,00300,0100,CARVER 1351,S200000,00300,0300,U 1351,S200000,00400,0100,WACONIA GOOD SAMARITAN CENTER 1351,S200000,00400,0200,245234 1351,S200000,00400,0300,08/23/1981 1351,S200000,00400,0500,P 1351,S200000,01500,0100,Y 1351,S200000,01900,0100,N 1351,S700003,00000,0100,1 1354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1354,A000000,00300,0000,00300EMPLOYEE BENEFITS 1354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1354,A000000,00700,0000,00700HOUSEKEEPING 1354,A000000,00800,0000,00800DIETARY 1354,A000000,00900,0000,00900NURSING ADMINISTRATION 1354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1354,A000000,01100,0000,01100PHARMACY 1354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1354,A000000,01300,0000,01300SOCIAL SERVICE 1354,A000000,01350,0000,01500OTHER GENERAL SERVICES 1354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1354,A000000,01600,0000,01600SKILLED NURSING FACILITY 1354,A000000,01800,0000,01800NURSING FACILITY 1354,A000000,01810,0000,01801ICF/MR 1354,A000000,01900,0000,01900OTHER LONG TERM CARE 1354,A000000,02100,0000,02100RADIOLOGY 1354,A000000,02200,0000,02200LABORATORY 1354,A000000,02300,0000,02300INTRAVENOUS THERAPY 1354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1354,A000000,02500,0000,02500PHYSICAL THERAPY 1354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1354,A000000,02700,0000,02700SPEECH PATHOLOGY 1354,A000000,02800,0000,02800ELECTROCARDIOLOGY 1354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1354,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1354,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1354,A000000,03200,0000,03200SUPPORT SURFACES 1354,A000000,03400,0000,03400CLINIC 1354,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1354,A000000,03500,0000,03500RURAL HEALTH CLINIC 1354,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1354,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1354,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1354,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1354,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1354,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1354,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1354,A000000,04400,0000,04400DME RENTED - HHA 1354,A000000,04500,0000,04500DME SOLD - HHA 1354,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1354,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1354,A000000,04750,0000,05100OSP 1354,A000000,04800,0000,04800AMBULANCE 1354,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1354,A000000,05000,0000,05000CORF 1354,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1354,A000000,05300,0000,05300INTEREST EXPENSE 1354,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1354,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1354,A000000,05500,0000,05500HOSPICE 1354,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1354,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1354,A000000,06100,0000,06100NONPAID WORKERS 1354,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1354,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1354,A000000,06152,0000,06302MEALS ON WHEELS 1354,A000000,06200,0000,06200PATIENTS LAUNDRY 1354,A81000A,00100,0100,Y 1354,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1354,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1354,A81000B,00300,0300,WORKERS COMPENSATION 1354,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1354,A81000B,00500,0300,VEHICLE INSURANCE 1354,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1354,A81000B,00700,0300,INCONTINENTS 1354,A81000B,00800,0300,DIETARY SUPPLEMENTS 1354,A81000B,00900,0300,EQUIPMENT 1354,A81000C,00100,0100,B 1354,A81000C,00100,0400,GOOD SAMARITAN 1354,A81000C,00100,0600,ADMIN/ACCOUNTIN 1354,A81000C,00200,0100,B 1354,A81000C,00200,0400,OMNICARE PHARMA 1354,A81000C,00200,0600,MEDICAL SUPPLIE 1354,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1354,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1354,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1354,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1354,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1354,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1354,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1354,B100000,00000,0800,00002MEALS SERVEDDIETARY 1354,B100000,00000,0900,00002PRODUCTIVEE NRSINNURSING ADMINIS 1354,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1354,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1354,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1354,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1354,B100000,00000,1350,00002NO STATISTICSOTHER GENERAL S 1354,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 1354,E10A180,00350,0100,01/20/2000 1354,E10A180,00501,0100,07/27/2000 1354,E10A180,00550,0300,07/27/2000 1354,S000000,00100,0200,06/12/2000 1354,S200000,00100,0100,200 DEKALB STREET 1354,S200000,00200,0100,REDWOOD FALLS 1354,S200000,00200,0200,MN 1354,S200000,00200,0300,56283- 1354,S200000,00300,0100,REDWOOD 1354,S200000,00300,0300,R 1354,S200000,00400,0100,SUNWOOD GOOD SAMARITAN CENTER 1354,S200000,00400,0200,245237 1354,S200000,00400,0300,04/14/1981 1354,S200000,00400,0500,P 1354,S200000,01500,0100,Y 1354,S200000,01900,0100,N 1354,S700003,00000,0100,1 1359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1359,A000000,00300,0000,00300EMPLOYEE BENEFITS 1359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1359,A000000,00700,0000,00700HOUSEKEEPING 1359,A000000,00800,0000,00800DIETARY 1359,A000000,00900,0000,00900NURSING ADMINISTRATION 1359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1359,A000000,01100,0000,01100PHARMACY 1359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1359,A000000,01300,0000,01300SOCIAL SERVICE 1359,A000000,01350,0000,01500OTHER GENERAL SERVICES 1359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1359,A000000,01600,0000,01600SKILLED NURSING FACILITY 1359,A000000,01800,0000,01800NURSING FACILITY 1359,A000000,01810,0000,01801ICF/MR 1359,A000000,01900,0000,01900OTHER LONG TERM CARE 1359,A000000,02100,0000,02100RADIOLOGY 1359,A000000,02200,0000,02200LABORATORY 1359,A000000,02300,0000,02300INTRAVENOUS THERAPY 1359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1359,A000000,02500,0000,02500PHYSICAL THERAPY 1359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1359,A000000,02700,0000,02700SPEECH PATHOLOGY 1359,A000000,02800,0000,02800ELECTROCARDIOLOGY 1359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1359,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1359,A000000,03200,0000,03200SUPPORT SURFACES 1359,A000000,03400,0000,03400CLINIC 1359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1359,A000000,03500,0000,03500RURAL HEALTH CLINIC 1359,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1359,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1359,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1359,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1359,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1359,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1359,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1359,A000000,04400,0000,04400DME RENTED - HHA 1359,A000000,04500,0000,04500DME SOLD - HHA 1359,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1359,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1359,A000000,04750,0000,05100OSP 1359,A000000,04800,0000,04800AMBULANCE 1359,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1359,A000000,05000,0000,05000CORF 1359,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1359,A000000,05300,0000,05300INTEREST EXPENSE 1359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1359,A000000,05500,0000,05500HOSPICE 1359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1359,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1359,A000000,06100,0000,06100NONPAID WORKERS 1359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1359,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1359,A000000,06152,0000,06302HOFFMAN CLINIC 1359,A000000,06200,0000,06200PATIENTS LAUNDRY 1359,A81000A,00100,0100,Y 1359,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1359,A81000B,00200,0300,WORKERS COMPENSATION 1359,A81000B,00300,0300,PROPERTY/LIABILITY 1359,A81000B,00400,0300,VEHICLE INSURANCE 1359,A81000B,00500,0300,MEDICAL/NURSING SUPPLIES 1359,A81000B,00600,0300,INCONTINENTS 1359,A81000B,00700,0300,DIETARY SUPPLEMENTS 1359,A81000B,00800,0300,EQUIPMENT 1359,A81000B,00900,0300,TEXTILES 1359,A81000C,00100,0100,B 1359,A81000C,00100,0400,GOOD SAMARITAN 1359,A81000C,00100,0600,ADMIN/ACCOUNTIN 1359,A81000C,00200,0100,B 1359,A81000C,00200,0400,OMNICARE PHARMA 1359,A81000C,00200,0600,MEDICAL DRUGS/S 1359,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1359,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1359,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1359,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1359,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1359,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1359,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1359,B100000,00000,0800,00002MEALS SERVEDDIETARY 1359,B100000,00000,0900,00002PRODUCTIVEE NSG HONURSING ADMINIS 1359,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1359,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1359,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1359,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1359,B100000,00000,1350,00002NO STATISTICSOTHER GENERAL S 1359,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 1359,E10A180,00501,0100,07/31/2000 1359,E10A180,00550,0300,07/31/2000 1359,S000000,00100,0200,06/16/2000 1359,S200000,00100,0100,104 SIXTH STREET 1359,S200000,00200,0100,HOFFMAN 1359,S200000,00200,0200,CA 1359,S200000,00300,0100,GRANT 1359,S200000,00300,0300,R 1359,S200000,00400,0100,HOFFMAN GOOD SAMARITAN CENTER 1359,S200000,00400,0200,245246 1359,S200000,00400,0300,05/01/1982 1359,S200000,00400,0500,P 1359,S200000,01500,0100,Y 1359,S200000,01900,0100,N 1359,S700003,00000,0100,1 1364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1364,A000000,00300,0000,00300EMPLOYEE BENEFITS 1364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1364,A000000,00700,0000,00700HOUSEKEEPING 1364,A000000,00800,0000,00800DIETARY 1364,A000000,00900,0000,00900NURSING ADMINISTRATION 1364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1364,A000000,01100,0000,01100PHARMACY 1364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1364,A000000,01300,0000,01300SOCIAL SERVICE 1364,A000000,01350,0000,01500OTHER GENERAL SERVICES 1364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1364,A000000,01600,0000,01600SKILLED NURSING FACILITY 1364,A000000,01800,0000,01800NURSING FACILITY 1364,A000000,01810,0000,01801ICF/MR 1364,A000000,01900,0000,01900OTHER LONG TERM CARE 1364,A000000,02100,0000,02100RADIOLOGY 1364,A000000,02200,0000,02200LABORATORY 1364,A000000,02300,0000,02300INTRAVENOUS THERAPY 1364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1364,A000000,02500,0000,02500PHYSICAL THERAPY 1364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1364,A000000,02700,0000,02700SPEECH PATHOLOGY 1364,A000000,02800,0000,02800ELECTROCARDIOLOGY 1364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1364,A000000,03200,0000,03200SUPPORT SURFACES 1364,A000000,03400,0000,03400CLINIC 1364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1364,A000000,03500,0000,03500RURAL HEALTH CLINIC 1364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1364,A000000,04400,0000,04400DME RENTED - HHA 1364,A000000,04500,0000,04500DME SOLD - HHA 1364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1364,A000000,04750,0000,05100OSP 1364,A000000,04800,0000,04800AMBULANCE 1364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1364,A000000,05000,0000,05000CORF 1364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1364,A000000,05300,0000,05300INTEREST EXPENSE 1364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1364,A000000,05500,0000,05500HOSPICE 1364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1364,A000000,06100,0000,06100NONPAID WORKERS 1364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1364,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1364,A000000,06200,0000,06200PATIENTS LAUNDRY 1364,A81000A,00100,0100,Y 1364,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1364,A81000B,00200,0300,UNEMPLOYMENT 1364,A81000B,00300,0300,WORKERS COMPENSATION 1364,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1364,A81000B,00500,0300,VEHICLE INSURANCE 1364,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1364,A81000B,00700,0300,INCONTINENTS 1364,A81000B,00800,0300,EQUIPMENT 1364,A81000C,00100,0100,B 1364,A81000C,00100,0400,GOOD SAMARITAN 1364,A81000C,00100,0600,ADMIN/ACCOUNTIN 1364,A81000C,00200,0100,B 1364,A81000C,00200,0400,GOOS SAMARITAN 1364,A81000C,00200,0600,NURSE POOL 1364,A81000C,00300,0100,B 1364,A81000C,00300,0400,OMNICARE PHARMA 1364,A81000C,00300,0600,MEDICAL DRUGS/S 1364,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1364,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1364,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1364,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1364,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1364,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1364,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1364,B100000,00000,0800,00001MEALS SERVEDDIETARY 1364,B100000,00000,0900,00001PRODUCTIVEE NRSINNURSING ADMINIS 1364,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1364,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1364,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1364,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1364,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1364,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1364,E10A180,00301,0100,01/07/2000 1364,E10A180,00501,0100,08/03/2001 1364,E10A180,00550,0100,08/01/2000 1364,E10A180,00550,0300,08/01/2000 1364,E10A180,00551,0300,08/03/2001 1364,S000000,00100,0200,06/12/2000 1364,S200000,00100,0100,515 SOUTH FRANKLIN 1364,S200000,00200,0100,GLENWOOD 1364,S200000,00200,0200,MN 1364,S200000,00200,0300,56334- 1364,S200000,00300,0100,POPE 1364,S200000,00300,0300,R 1364,S200000,00400,0100,LAKEVIEW GOOD SAMARITAN CENTER 1364,S200000,00400,0200,245249 1364,S200000,00400,0300,06/01/1982 1364,S200000,00400,0500,P 1364,S200000,01500,0100,Y 1364,S200000,01900,0100,N 1364,S700003,00000,0100,1 1369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1369,A000000,00300,0000,00300EMPLOYEE BENEFITS 1369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1369,A000000,00700,0000,00700HOUSEKEEPING 1369,A000000,00800,0000,00800DIETARY 1369,A000000,00900,0000,00900NURSING ADMINISTRATION 1369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1369,A000000,01100,0000,01100PHARMACY 1369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1369,A000000,01300,0000,01300SOCIAL SERVICE 1369,A000000,01350,0000,01500OTHER GENERAL SERVICES 1369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1369,A000000,01600,0000,01600SKILLED NURSING FACILITY 1369,A000000,01800,0000,01800NURSING FACILITY 1369,A000000,01810,0000,01801ICF/MR 1369,A000000,01900,0000,01900OTHER LONG TERM CARE 1369,A000000,02100,0000,02100RADIOLOGY 1369,A000000,02200,0000,02200LABORATORY 1369,A000000,02300,0000,02300INTRAVENOUS THERAPY 1369,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1369,A000000,02500,0000,02500PHYSICAL THERAPY 1369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1369,A000000,02700,0000,02700SPEECH PATHOLOGY 1369,A000000,02800,0000,02800ELECTROCARDIOLOGY 1369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1369,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1369,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1369,A000000,03200,0000,03200SUPPORT SURFACES 1369,A000000,03400,0000,03400CLINIC 1369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1369,A000000,03500,0000,03500RURAL HEALTH CLINIC 1369,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1369,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1369,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1369,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1369,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1369,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1369,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1369,A000000,04400,0000,04400DME RENTED - HHA 1369,A000000,04500,0000,04500DME SOLD - HHA 1369,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1369,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1369,A000000,04750,0000,05100OSP 1369,A000000,04800,0000,04800AMBULANCE 1369,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1369,A000000,05000,0000,05000CORF 1369,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1369,A000000,05300,0000,05300INTEREST EXPENSE 1369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1369,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1369,A000000,05500,0000,05500HOSPICE 1369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1369,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1369,A000000,06100,0000,06100NONPAID WORKERS 1369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1369,A000000,06200,0000,06200PATIENTS LAUNDRY 1369,A81000A,00100,0100,Y 1369,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1369,A81000B,00200,0300,WORKERS COMPENSATION 1369,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1369,A81000B,00400,0300,PROPERTY/LIABILITY INS 1369,A81000B,00500,0300,VEHICLE INSURANCE 1369,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1369,A81000B,00700,0300,INCONTINENTS 1369,A81000B,00800,0300,DIETARY SUPPS 1369,A81000B,00900,0300,EQUIPMENT 1369,A81000C,00100,0100,B 1369,A81000C,00100,0400,GOOD SAMARITAN 1369,A81000C,00100,0600,ADMIN/ACCOUNTIN 1369,A81000C,00200,0100,B 1369,A81000C,00200,0400,GOOD SAMARITAN 1369,A81000C,00200,0600,NURSE POOL 1369,A81000C,00300,0100,B 1369,A81000C,00300,0400,OMNICARE PHARMA 1369,A81000C,00300,0600,MEDICAL DRUGS/S 1369,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1369,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1369,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1369,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1369,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1369,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1369,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1369,B100000,00000,0800,00000MEALS SERVEDDIETARY 1369,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1369,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1369,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1369,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1369,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1369,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1369,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1369,E10A180,00550,0100,07/26/2000 1369,S000000,00100,0200,06/02/2000 1369,S200000,00100,0100,413 13TH AVENUE 1369,S200000,00100,0300,BOX CC 1369,S200000,00200,0100,HOWARD LAKE 1369,S200000,00200,0200,MN 1369,S200000,00200,0300,55349-0316 1369,S200000,00300,0100,WRIGHT 1369,S200000,00300,0300,U 1369,S200000,00400,0100,HOWARD LAKE GOOD SAMARITAN CENTER 1369,S200000,00400,0200,245278 1369,S200000,00400,0300,04/01/1985 1369,S200000,00400,0500,P 1369,S200000,01500,0100,Y 1369,S200000,01900,0100,N 1369,S700003,00000,0100,1 1373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1373,A000000,00300,0000,00300EMPLOYEE BENEFITS 1373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1373,A000000,00700,0000,00700HOUSEKEEPING 1373,A000000,00800,0000,00800DIETARY 1373,A000000,00900,0000,00900NURSING ADMINISTRATION 1373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1373,A000000,01100,0000,01100PHARMACY 1373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1373,A000000,01300,0000,01300SOCIAL SERVICE 1373,A000000,01350,0000,01500OTHER GENERAL SERVICES 1373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1373,A000000,01600,0000,01600SKILLED NURSING FACILITY 1373,A000000,01800,0000,01800NURSING FACILITY 1373,A000000,01810,0000,01801ICF/MR 1373,A000000,01900,0000,01900OTHER LONG TERM CARE 1373,A000000,02100,0000,02100RADIOLOGY 1373,A000000,02200,0000,02200LABORATORY 1373,A000000,02300,0000,02300INTRAVENOUS THERAPY 1373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1373,A000000,02500,0000,02500PHYSICAL THERAPY 1373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1373,A000000,02700,0000,02700SPEECH PATHOLOGY 1373,A000000,02800,0000,02800ELECTROCARDIOLOGY 1373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1373,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1373,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1373,A000000,03200,0000,03200SUPPORT SURFACES 1373,A000000,03400,0000,03400CLINIC 1373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1373,A000000,03500,0000,03500RURAL HEALTH CLINIC 1373,A000000,04750,0000,05100OSP 1373,A000000,04800,0000,04800AMBULANCE 1373,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1373,A000000,05000,0000,05000CORF 1373,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1373,A000000,05300,0000,05300INTEREST EXPENSE 1373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1373,A000000,05500,0000,05500HOSPICE 1373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1373,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1373,A000000,06100,0000,06100NONPAID WORKERS 1373,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1373,A000000,06151,0000,06301MEALS ON WHEELS 1373,A000000,06200,0000,06200PATIENTS LAUNDRY 1373,A81000A,00100,0100,Y 1373,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1373,A81000B,00200,0300,UNEMPLOYEMENT CLAIMS 1373,A81000B,00300,0300,WORKERS COMPENSATION 1373,A81000B,00400,0300,PROPERTY / LIABILITY INSURANCE 1373,A81000B,00500,0300,VEHICLE INSURANCE 1373,A81000B,00600,0300,NURSE POOL 1373,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENTS 1373,A81000B,00800,0300,DIETARY SUPPLEMENTS 1373,A81000B,00900,0300,EQUIPMENT 1373,A81000B,00904,0300,TEXTILES 1373,A81000C,00100,0100,B 1373,A81000C,00100,0400,GOOD SAMARITAN 1373,A81000C,00100,0600,ADMIN/ACCOUNTIN 1373,A81000C,00200,0100,B 1373,A81000C,00200,0400,OMNICARE PHARMA 1373,A81000C,00200,0600,MEDICAL DRUGS/S 1373,A81000C,00300,0100,B 1373,A81000C,00300,0400,GOOD SAMARITAN 1373,A81000C,00300,0600,NURSE POOL 1373,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1373,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1373,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1373,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1373,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1373,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1373,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1373,B100000,00000,0800,00001MEALS SERVEDDIETARY 1373,B100000,00000,0900,00001PRODUCTIVEENURSING ADMINISTRATION 1373,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1373,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1373,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1373,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1373,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1373,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1373,E10A180,00301,0100,01/07/2000 1373,E10A180,00501,0100,08/08/2001 1373,E10A180,00501,0300,07/31/2000 1373,E10A180,00550,0100,07/31/2000 1373,E10A180,00550,0300,08/08/2001 1373,S000000,00100,0200,06/16/2000 1373,S200000,00100,0100,22 27TH AVENUE SOUTHEAST 1373,S200000,00200,0100,MINNEAPOLIS 1373,S200000,00200,0200,MN 1373,S200000,00200,0300,55414- 1373,S200000,00300,0100,HENNEPIN 1373,S200000,00300,0300,U 1373,S200000,00400,0100,UNIVERSITY GOOD SAMARITAN CENTER 1373,S200000,00400,0200,245279 1373,S200000,00400,0300,06/28/1985 1373,S200000,00400,0500,P 1373,S200000,01500,0100,Y 1373,S200000,01900,0100,N 1373,S700003,00000,0100,1 1378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1378,A000000,00300,0000,00300EMPLOYEE BENEFITS 1378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1378,A000000,00700,0000,00700HOUSEKEEPING 1378,A000000,00800,0000,00800DIETARY 1378,A000000,00900,0000,00900NURSING ADMINISTRATION 1378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1378,A000000,01100,0000,01100PHARMACY 1378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1378,A000000,01300,0000,01300SOCIAL SERVICE 1378,A000000,01350,0000,01500OTHER GENERAL SERVICES 1378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1378,A000000,01600,0000,01600SKILLED NURSING FACILITY 1378,A000000,01800,0000,01800NURSING FACILITY 1378,A000000,01810,0000,01801ICF/MR 1378,A000000,01900,0000,01900OTHER LONG TERM CARE 1378,A000000,02100,0000,02100RADIOLOGY 1378,A000000,02200,0000,02200LABORATORY 1378,A000000,02300,0000,02300INTRAVENOUS THERAPY 1378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1378,A000000,02500,0000,02500PHYSICAL THERAPY 1378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1378,A000000,02700,0000,02700SPEECH PATHOLOGY 1378,A000000,02800,0000,02800ELECTROCARDIOLOGY 1378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1378,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1378,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1378,A000000,03200,0000,03200SUPPORT SURFACES 1378,A000000,03400,0000,03400CLINIC 1378,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1378,A000000,03500,0000,03500RURAL HEALTH CLINIC 1378,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1378,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1378,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1378,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1378,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1378,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1378,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1378,A000000,04400,0000,04400DME RENTED - HHA 1378,A000000,04500,0000,04500DME SOLD - HHA 1378,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1378,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1378,A000000,04750,0000,05100OSP 1378,A000000,04800,0000,04800AMBULANCE 1378,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1378,A000000,05000,0000,05000CORF 1378,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1378,A000000,05300,0000,05300INTEREST EXPENSE 1378,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1378,A000000,05500,0000,05500HOSPICE 1378,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1378,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1378,A000000,06100,0000,06100NONPAID WORKERS 1378,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1378,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1378,A000000,06200,0000,06200PATIENTS LAUNDRY 1378,A81000A,00100,0100,Y 1378,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1378,A81000B,00200,0300,WORKERS COMPENSATION 1378,A81000B,00300,0300,PROPERTY/LIABILITY INS 1378,A81000B,00400,0300,UNEMPLOYMENT CLAIMS PAID 1378,A81000B,00500,0300,VEHICLE INSURANCE 1378,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1378,A81000B,00700,0300,INCONTINENTS 1378,A81000B,00800,0300,DIETARY SUPP 1378,A81000B,00900,0300,EQUIPMENT 1378,A81000C,00100,0100,B 1378,A81000C,00100,0200,BARNESVILLE GS 1378,A81000C,00100,0400,GOOD SAMARITAN 1378,A81000C,00100,0600,ADMIN/ACCOUNTIN 1378,A81000C,00200,0100,B 1378,A81000C,00200,0200,BARNESVILLE GS 1378,A81000C,00200,0400,OMNICARE PHARMA 1378,A81000C,00200,0600,MEDICAL DRUGS/S 1378,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1378,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1378,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1378,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1378,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1378,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1378,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1378,B100000,00000,0800,00001MEALS SERVEDDIETARY 1378,B100000,00000,0900,00001PRODUCTIVEE HONURSING ADMINIS 1378,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1378,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1378,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1378,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1378,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1378,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1378,E10A180,00350,0100,01/07/2000 1378,E10A180,00501,0100,07/26/2000 1378,E10A180,00550,0300,07/26/2000 1378,S000000,00100,0200,06/02/2000 1378,S200000,00100,0100,600 5TH STREET SOUTHEAST 1378,S200000,00100,0300,129 1378,S200000,00200,0100,BARNESVILLE 1378,S200000,00200,0200,MN 1378,S200000,00200,0300,56514-3825 1378,S200000,00300,0100,CLAY 1378,S200000,00300,0300,U 1378,S200000,00400,0100,BARNESVILLE GOOD SAMARITAN CENTER 1378,S200000,00400,0200,245281 1378,S200000,00400,0300,07/01/1985 1378,S200000,00400,0500,P 1378,S200000,01500,0100,Y 1378,S200000,01900,0100,N 1378,S700003,00000,0100,1 1383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1383,A000000,00300,0000,00300EMPLOYEE BENEFITS 1383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1383,A000000,00700,0000,00700HOUSEKEEPING 1383,A000000,00800,0000,00800DIETARY 1383,A000000,00900,0000,00900NURSING ADMINISTRATION 1383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1383,A000000,01100,0000,01100PHARMACY 1383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1383,A000000,01300,0000,01300SOCIAL SERVICE 1383,A000000,01350,0000,01500OTHER GENERAL SERVICES 1383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1383,A000000,01600,0000,01600SKILLED NURSING FACILITY 1383,A000000,01800,0000,01800NURSING FACILITY 1383,A000000,01810,0000,01801ICF/MR 1383,A000000,01900,0000,01900OTHER LONG TERM CARE 1383,A000000,02100,0000,02100RADIOLOGY 1383,A000000,02200,0000,02200LABORATORY 1383,A000000,02300,0000,02300INTRAVENOUS THERAPY 1383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1383,A000000,02500,0000,02500PHYSICAL THERAPY 1383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1383,A000000,02700,0000,02700SPEECH PATHOLOGY 1383,A000000,02800,0000,02800ELECTROCARDIOLOGY 1383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1383,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1383,A000000,03200,0000,03200SUPPORT SURFACES 1383,A000000,03400,0000,03400CLINIC 1383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1383,A000000,03500,0000,03500RURAL HEALTH CLINIC 1383,A000000,04750,0000,05100OSP 1383,A000000,04800,0000,04800AMBULANCE 1383,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1383,A000000,05000,0000,05000CORF 1383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1383,A000000,05300,0000,05300INTEREST EXPENSE 1383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1383,A000000,05500,0000,05500HOSPICE 1383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1383,A000000,06100,0000,06100NONPAID WORKERS 1383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1383,A000000,06200,0000,06200PATIENTS LAUNDRY 1383,A81000A,00100,0100,Y 1383,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1383,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1383,A81000B,00300,0300,WORKERS COMPENSATION 1383,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1383,A81000B,00500,0300,VEHICLE INSURANCE 1383,A81000B,00600,0300,NURSE POOL 1383,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENT 1383,A81000B,00800,0300,DIETARY SUPPS 1383,A81000B,00900,0300,EQUIPMENT 1383,A81000C,00100,0100,B 1383,A81000C,00100,0400,GOOD SAMARITAN 1383,A81000C,00100,0600,ADMIN/ACCOUNTIN 1383,A81000C,00200,0100,B 1383,A81000C,00200,0400,GOOD SAMARITAN 1383,A81000C,00200,0600,NURSE POOL 1383,A81000C,00300,0100,B 1383,A81000C,00300,0400,OMNICARE PHARMA 1383,A81000C,00300,0600,MEDICAL DRUGS/S 1383,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1383,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1383,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1383,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1383,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1383,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1383,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1383,B100000,00000,0800,00000MEALS SERVEDDIETARY 1383,B100000,00000,0900,00000PRODUCTIVEE HNURSING ADMINIS 1383,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1383,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1383,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1383,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1383,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1383,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 1383,E10A180,00350,0100,01/20/2000 1383,S000000,00100,0200,06/02/2000 1383,S200000,00100,0100,5411 CIRCLE DOWN STREET 1383,S200000,00200,0100,GOLDEN VALLEY 1383,S200000,00200,0200,MN 1383,S200000,00200,0300,55416-1360 1383,S200000,00300,0100,HENNEPIN 1383,S200000,00300,0300,U 1383,S200000,00400,0100,GOLDEN VALLEY GOOD SAMARITAN CENTER 1383,S200000,00400,0200,245284 1383,S200000,00400,0300,08/01/1985 1383,S200000,00400,0500,P 1383,S200000,01500,0100,Y 1383,S200000,01900,0100,N 1383,S700003,00000,0100,1 1388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1388,A000000,00300,0000,00300EMPLOYEE BENEFITS 1388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1388,A000000,00700,0000,00700HOUSEKEEPING 1388,A000000,00800,0000,00800DIETARY 1388,A000000,00900,0000,00900NURSING ADMINISTRATION 1388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1388,A000000,01100,0000,01100PHARMACY 1388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1388,A000000,01300,0000,01300SOCIAL SERVICE 1388,A000000,01350,0000,01500OTHER GENERAL SERVICES 1388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1388,A000000,01600,0000,01600SKILLED NURSING FACILITY 1388,A000000,01800,0000,01800NURSING FACILITY 1388,A000000,01810,0000,01801ICF/MR 1388,A000000,01900,0000,01900OTHER LONG TERM CARE 1388,A000000,02100,0000,02100RADIOLOGY 1388,A000000,02200,0000,02200LABORATORY 1388,A000000,02300,0000,02300INTRAVENOUS THERAPY 1388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1388,A000000,02500,0000,02500PHYSICAL THERAPY 1388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1388,A000000,02700,0000,02700SPEECH PATHOLOGY 1388,A000000,02800,0000,02800ELECTROCARDIOLOGY 1388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1388,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1388,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1388,A000000,03200,0000,03200SUPPORT SURFACES 1388,A000000,03400,0000,03400CLINIC 1388,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1388,A000000,03500,0000,03500RURAL HEALTH CLINIC 1388,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1388,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1388,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1388,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1388,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1388,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1388,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1388,A000000,04400,0000,04400DME RENTED - HHA 1388,A000000,04500,0000,04500DME SOLD - HHA 1388,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1388,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1388,A000000,04750,0000,05100OSP 1388,A000000,04800,0000,04800AMBULANCE 1388,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1388,A000000,05000,0000,05000CORF 1388,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1388,A000000,05300,0000,05300INTEREST EXPENSE 1388,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1388,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1388,A000000,05500,0000,05500HOSPICE 1388,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1388,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1388,A000000,06100,0000,06100NONPAID WORKERS 1388,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1388,A000000,06200,0000,06200PATIENTS LAUNDRY 1388,A81000A,00100,0100,Y 1388,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1388,A81000B,00200,0300,WORKERS COMPENSATION 1388,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1388,A81000B,00400,0300,PROP/LIABILITY INSURANCE 1388,A81000B,00500,0300,VEHICLE INSURANCE 1388,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1388,A81000B,00700,0300,INCONTINENTS 1388,A81000B,00800,0300,DIETARY SUPP 1388,A81000B,00900,0300,EQUIPMENT 1388,A81000C,00100,0100,B 1388,A81000C,00100,0200,INVER GROVE GS 1388,A81000C,00100,0400,GOOD SAMARITAN 1388,A81000C,00100,0600,ADMIN/ACCOUNTIN 1388,A81000C,00200,0100,B 1388,A81000C,00200,0200,INVER GROVE GS 1388,A81000C,00200,0400,OMNICARE PHARMA 1388,A81000C,00200,0600,MEDICAL DRUGS/S 1388,A81000C,00300,0100,B 1388,A81000C,00300,0200,INVER GROVE GS 1388,A81000C,00300,0400,GOOD SAMARITAN 1388,A81000C,00300,0600,NURSING POOL 1388,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1388,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1388,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1388,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1388,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1388,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1388,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1388,B100000,00000,0800,00000MEALS SERVEDDIETARY 1388,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1388,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1388,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1388,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1388,B100000,00000,1300,00000ADMISSIONSS SPENSOCIAL SERVICE 1388,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1388,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1388,E10A180,00501,0100,07/26/2000 1388,E10A180,00550,0300,07/26/2000 1388,S000000,00100,0200,06/02/2000 1388,S200000,00100,0100,1301 50TH STREET EAST 1388,S200000,00200,0100,INVER GROVE HEIGHTS 1388,S200000,00200,0200,MN 1388,S200000,00200,0300,55077- 1388,S200000,00300,0100,DAKOTA 1388,S200000,00300,0300,U 1388,S200000,00400,0100,INVER GROVE GOOD SAMARITAN CENTER 1388,S200000,00400,0200,245285 1388,S200000,00400,0300,08/01/1985 1388,S200000,00400,0500,P 1388,S200000,00400,0600,P 1388,S200000,01500,0100,Y 1388,S200000,01900,0100,N 1388,S700003,00000,0100,1 1391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1391,A000000,00300,0000,00300EMPLOYEE BENEFITS 1391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1391,A000000,00700,0000,00700HOUSEKEEPING 1391,A000000,00800,0000,00800DIETARY 1391,A000000,00900,0000,00900NURSING ADMINISTRATION 1391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1391,A000000,01100,0000,01100PHARMACY 1391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1391,A000000,01300,0000,01300SOCIAL SERVICE 1391,A000000,01350,0000,01500OTHER GENERAL SERVICES 1391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1391,A000000,01600,0000,01600SKILLED NURSING FACILITY 1391,A000000,01800,0000,01800NURSING FACILITY 1391,A000000,01810,0000,01801ICF/MR 1391,A000000,01900,0000,01900OTHER LONG TERM CARE 1391,A000000,02100,0000,02100RADIOLOGY 1391,A000000,02200,0000,02200LABORATORY 1391,A000000,02300,0000,02300INTRAVENOUS THERAPY 1391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1391,A000000,02500,0000,02500PHYSICAL THERAPY 1391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1391,A000000,02700,0000,02700SPEECH PATHOLOGY 1391,A000000,02800,0000,02800ELECTROCARDIOLOGY 1391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1391,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1391,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1391,A000000,03200,0000,03200SUPPORT SURFACES 1391,A000000,03400,0000,03400CLINIC 1391,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1391,A000000,03500,0000,03500RURAL HEALTH CLINIC 1391,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1391,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1391,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1391,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1391,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1391,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1391,A000000,04750,0000,05100OSP 1391,A000000,04800,0000,04800AMBULANCE 1391,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1391,A000000,05000,0000,05000CORF 1391,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1391,A000000,05300,0000,05300INTEREST EXPENSE 1391,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1391,A000000,05500,0000,05500HOSPICE 1391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1391,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1391,A000000,06100,0000,06100NONPAID WORKERS 1391,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1391,A000000,06151,0000,06301MEALS ON WHEELS 1391,A000000,06200,0000,06200PATIENTS LAUNDRY 1391,A81000A,00100,0100,Y 1391,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1391,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1391,A81000B,00300,0300,WORKERS COMPENSATION 1391,A81000B,00400,0300,PROPERTY / LIABILITY INS 1391,A81000B,00500,0300,VEHICLE INSURANCE 1391,A81000B,00600,0300,NURSE POOL 1391,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENT 1391,A81000B,00800,0300,DIETARY SUPPLIES 1391,A81000B,00900,0300,TEXTILES 1391,A81000C,00100,0100,B 1391,A81000C,00100,0200,PRESTON GS CENT 1391,A81000C,00100,0400,GOOD SAMARITAN 1391,A81000C,00100,0600,ADMIN/ ACCOUNTI 1391,A81000C,00200,0100,B 1391,A81000C,00200,0200,PRESTON GS CENT 1391,A81000C,00200,0400,GOOD SAMARITAN 1391,A81000C,00200,0600,NURSE POOL 1391,A81000C,00300,0100,B 1391,A81000C,00300,0200,PRESTON GS CENT 1391,A81000C,00300,0400,GOOD SAMARITAN 1391,A81000C,00300,0600,HOME HEALTH AGE 1391,A81000C,00400,0100,B 1391,A81000C,00400,0200,PRESTON GS CENT 1391,A81000C,00400,0400,OMNICARE PHARMA 1391,A81000C,00400,0600,MEDICAL DRUGS / 1391,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1391,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1391,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1391,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1391,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1391,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1391,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1391,B100000,00000,0800,00001MEALS SERVEDDIETARY 1391,B100000,00000,0900,00001PRODUCTIVEE HONURSING ADMINIS 1391,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1391,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1391,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1391,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1391,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1391,B100000,00000,1400,00001TIME SPENTINTERNS & RESIDENTS 1391,E10A180,00301,0100,01/20/2000 1391,E10A180,00501,0100,07/27/2000 1391,E10A180,00550,0300,07/27/2000 1391,H510100,02400,0000,9924 1391,H710000,00301,0100,01/19/2000 1391,H710000,00501,0100,07/27/2000 1391,H710000,00501,0300,07/27/2000 1391,S000000,00100,0200,06/02/2000 1391,S200000,00100,0100,608 WINONA STREET 1391,S200000,00100,0300,168 1391,S200000,00200,0100,PRESTON 1391,S200000,00200,0200,MN 1391,S200000,00200,0300,55965- 1391,S200000,00300,0100,FILLMORE 1391,S200000,00300,0300,R 1391,S200000,00400,0100,PRESTON GOOD SAMARITAN CENTER 1391,S200000,00400,0200,245292 1391,S200000,00400,0300,10/01/1985 1391,S200000,00400,0500,P 1391,S200000,00800,0200,248009 1391,S200000,00800,0300,07/11/1994 1391,S200000,00800,0500,P 1391,S200000,01500,0100,Y 1391,S200000,01900,0100,N 1391,S700003,00000,0100,1 1394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1394,A000000,00300,0000,00300EMPLOYEE BENEFITS 1394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1394,A000000,00700,0000,00700HOUSEKEEPING 1394,A000000,00800,0000,00800DIETARY 1394,A000000,00900,0000,00900NURSING ADMINISTRATION 1394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1394,A000000,01100,0000,01100PHARMACY 1394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1394,A000000,01300,0000,01300SOCIAL SERVICE 1394,A000000,01350,0000,01500OTHER GENERAL SERVICES 1394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1394,A000000,01600,0000,01600SKILLED NURSING FACILITY 1394,A000000,01800,0000,01800NURSING FACILITY 1394,A000000,01810,0000,01801ICF/MR 1394,A000000,01900,0000,01900OTHER LONG TERM CARE 1394,A000000,02100,0000,02100RADIOLOGY 1394,A000000,02200,0000,02200LABORATORY 1394,A000000,02300,0000,02300INTRAVENOUS THERAPY 1394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1394,A000000,02500,0000,02500PHYSICAL THERAPY 1394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1394,A000000,02700,0000,02700SPEECH PATHOLOGY 1394,A000000,02800,0000,02800ELECTROCARDIOLOGY 1394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1394,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1394,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1394,A000000,03200,0000,03200SUPPORT SURFACES 1394,A000000,03400,0000,03400CLINIC 1394,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1394,A000000,03500,0000,03500RURAL HEALTH CLINIC 1394,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1394,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1394,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1394,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1394,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1394,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1394,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1394,A000000,04400,0000,04400DME RENTED - HHA 1394,A000000,04500,0000,04500DME SOLD - HHA 1394,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1394,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1394,A000000,04750,0000,05100OSP 1394,A000000,04800,0000,04800AMBULANCE 1394,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1394,A000000,05000,0000,05000CORF 1394,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1394,A000000,05300,0000,05300INTEREST EXPENSE 1394,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1394,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1394,A000000,05500,0000,05500HOSPICE 1394,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1394,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1394,A000000,06100,0000,06100NONPAID WORKERS 1394,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1394,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1394,A000000,06152,0000,06302MEALS ON WHEELS 1394,A000000,06200,0000,06200PATIENTS LAUNDRY 1394,A81000A,00100,0100,Y 1394,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1394,A81000B,00200,0300,WORKERS COMPENSATION 1394,A81000B,00300,0300,PROPERTY/LIABILITY INSURANCE 1394,A81000B,00400,0300,VEHICLE INSURANCE 1394,A81000B,00500,0300,UNEMPLOYMENT INS. CLAIMS 1394,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1394,A81000B,00700,0300,INCONTINENTS 1394,A81000B,00800,0300,DIETARY SUPPLEMENTS 1394,A81000B,00900,0300,EQUIPMENT 1394,A81000B,00901,0300,TEXTILES 1394,A81000C,00100,0100,B 1394,A81000C,00100,0400,GOOD SAMARITAN 1394,A81000C,00100,0600,ADMIN/ACCOUNTIN 1394,A81000C,00200,0100,B 1394,A81000C,00200,0400,OMNICARE PHARMA 1394,A81000C,00200,0600,MEDICAL DRUGS/S 1394,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1394,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1394,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1394,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1394,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1394,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1394,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1394,B100000,00000,0800,00002MEALS SERVEDDIETARY 1394,B100000,00000,0900,00002PRODUCTIVEE NRSINGNURSING ADMINIST 1394,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1394,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1394,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1394,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1394,B100000,00000,1350,00002NO STATISTICSOTHER GENERAL S 1394,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 1394,E10A180,00501,0100,07/27/2000 1394,E10A180,00501,0300,07/27/2000 1394,S000000,00100,0200,06/12/2000 1394,S200000,00100,0100,205 FIRST STREET NORTH 1394,S200000,00200,0100,WATERVILLE 1394,S200000,00200,0200,MN 1394,S200000,00200,0300,56096- 1394,S200000,00300,0100,LESUER 1394,S200000,00300,0300,R 1394,S200000,00400,0100,WATERVILLE GOOD SAMARITAN CENTER 1394,S200000,00400,0200,245294 1394,S200000,00400,0300,06/01/1986 1394,S200000,00400,0500,P 1394,S200000,01500,0100,Y 1394,S200000,01900,0100,N 1394,S700003,00000,0100,1 1400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1400,A000000,00300,0000,00300EMPLOYEE BENEFITS 1400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1400,A000000,00700,0000,00700HOUSEKEEPING 1400,A000000,00800,0000,00800DIETARY 1400,A000000,00900,0000,00900NURSING ADMINISTRATION 1400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1400,A000000,01100,0000,01100PHARMACY 1400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1400,A000000,01300,0000,01300SOCIAL SERVICE 1400,A000000,01350,0000,01500OTHER GENERAL SERVICES 1400,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1400,A000000,01600,0000,01600SKILLED NURSING FACILITY 1400,A000000,01800,0000,01800NURSING FACILITY 1400,A000000,01810,0000,01801ICF/MR 1400,A000000,01900,0000,01900OTHER LONG TERM CARE 1400,A000000,02100,0000,02100RADIOLOGY 1400,A000000,02200,0000,02200LABORATORY 1400,A000000,02300,0000,02300INTRAVENOUS THERAPY 1400,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1400,A000000,02500,0000,02500PHYSICAL THERAPY 1400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1400,A000000,02700,0000,02700SPEECH PATHOLOGY 1400,A000000,02800,0000,02800ELECTROCARDIOLOGY 1400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1400,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1400,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1400,A000000,03200,0000,03200SUPPORT SURFACES 1400,A000000,03400,0000,03400CLINIC 1400,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1400,A000000,03500,0000,03500RURAL HEALTH CLINIC 1400,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1400,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1400,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1400,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1400,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1400,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1400,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1400,A000000,04400,0000,04400DME RENTED - HHA 1400,A000000,04500,0000,04500DME SOLD - HHA 1400,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1400,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1400,A000000,04750,0000,05100OSP 1400,A000000,04800,0000,04800AMBULANCE 1400,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1400,A000000,05000,0000,05000CORF 1400,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1400,A000000,05300,0000,05300INTEREST EXPENSE 1400,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1400,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1400,A000000,05500,0000,05500HOSPICE 1400,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1400,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1400,A000000,06100,0000,06100NONPAID WORKERS 1400,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1400,A000000,06200,0000,06200PATIENTS LAUNDRY 1400,A81000A,00100,0100,Y 1400,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1400,A81000B,00200,0300,WORKERS COMPENSATION 1400,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1400,A81000B,00400,0300,PROPERTY/LIABILITY INS 1400,A81000B,00500,0300,VEHICLE INSURANCE 1400,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1400,A81000B,00700,0300,EQUIPMENT 1400,A81000C,00100,0100,B 1400,A81000C,00100,0200,GRANDVIEW GS CE 1400,A81000C,00100,0400,GOOD SAMARITAN 1400,A81000C,00100,0600,ADMIN/ACCOUNTIN 1400,A81000C,00200,0100,B 1400,A81000C,00200,0200,GRANDVIEW GS CE 1400,A81000C,00200,0400,OMNICARE PHARMA 1400,A81000C,00200,0600,MEDICAL DRUGS/S 1400,A81000C,00300,0100,B 1400,A81000C,00300,0200,GRANDVIEW GS CE 1400,A81000C,00300,0400,GOOD SAMARITAN 1400,A81000C,00300,0600,NURSE POOL 1400,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1400,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1400,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1400,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1400,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1400,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1400,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1400,B100000,00000,0800,00000MEALS SERVEDDIETARY 1400,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1400,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1400,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1400,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1400,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1400,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1400,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1400,E10A180,00501,0100,07/31/2000 1400,E10A180,00550,0300,07/31/2000 1400,S000000,00100,0200,06/02/2000 1400,S200000,00100,0100,830 NORTH SUNRISE DRIVE 1400,S200000,00200,0100,ST. PETER 1400,S200000,00200,0200,MN 1400,S200000,00200,0300,56082-1203 1400,S200000,00300,0100,NICOLLET 1400,S200000,00300,0300,R 1400,S200000,00400,0100,GRANDVIEW GOOD SAMARITAN CENTER 1400,S200000,00400,0200,245305 1400,S200000,00400,0300,12/16/1985 1400,S200000,00400,0500,P 1400,S200000,01500,0100,Y 1400,S200000,01900,0100,N 1400,S700003,00000,0100,1 1404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1404,A000000,00300,0000,00300EMPLOYEE BENEFITS 1404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1404,A000000,00700,0000,00700HOUSEKEEPING 1404,A000000,00800,0000,00800DIETARY 1404,A000000,00900,0000,00900NURSING ADMINISTRATION 1404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1404,A000000,01100,0000,01100PHARMACY 1404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1404,A000000,01300,0000,01300SOCIAL SERVICE 1404,A000000,01350,0000,01500OTHER GENERAL SERVICES 1404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1404,A000000,01600,0000,01600SKILLED NURSING FACILITY 1404,A000000,01800,0000,01800NURSING FACILITY 1404,A000000,01810,0000,01801ICF/MR 1404,A000000,01900,0000,01900OTHER LONG TERM CARE 1404,A000000,02100,0000,02100RADIOLOGY 1404,A000000,02200,0000,02200LABORATORY 1404,A000000,02300,0000,02300INTRAVENOUS THERAPY 1404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1404,A000000,02500,0000,02500PHYSICAL THERAPY 1404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1404,A000000,02700,0000,02700SPEECH PATHOLOGY 1404,A000000,02800,0000,02800ELECTROCARDIOLOGY 1404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1404,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1404,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1404,A000000,03200,0000,03200SUPPORT SURFACES 1404,A000000,03400,0000,03400CLINIC 1404,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1404,A000000,03500,0000,03500RURAL HEALTH CLINIC 1404,A000000,04750,0000,05100OSP 1404,A000000,04800,0000,04800AMBULANCE 1404,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1404,A000000,05000,0000,05000CORF 1404,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1404,A000000,05300,0000,05300INTEREST EXPENSE 1404,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1404,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1404,A000000,05500,0000,05500HOSPICE 1404,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1404,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1404,A000000,06100,0000,06100NONPAID WORKERS 1404,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1404,A000000,06151,0000,06301MEALS ON WHEELS 1404,A000000,06200,0000,06200PATIENTS LAUNDRY 1404,A81000A,00100,0100,Y 1404,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1404,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1404,A81000B,00300,0300,WORKERS COMPENSATION 1404,A81000B,00400,0300,PROPERTY/ LIABILITY INSURANCE 1404,A81000B,00500,0300,VEHICLE INSURANCE 1404,A81000B,00600,0300,NURSE POOL 1404,A81000B,00700,0300,NURSING SUPPLIES/INCONTINENTS 1404,A81000B,00800,0300,DIETARY SUPPS 1404,A81000B,00900,0300,EQUIPMENT 1404,A81000C,00100,0100,B 1404,A81000C,00100,0200,WINTHROP GS CEN 1404,A81000C,00100,0400,GOOD SAMARITAN 1404,A81000C,00100,0600,ADMIN/ACCOUNTIN 1404,A81000C,00200,0100,B 1404,A81000C,00200,0200,WINTHROP GS CEN 1404,A81000C,00200,0400,OMNICARE PHARMA 1404,A81000C,00200,0600,MEDICAL DRUGS/S 1404,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1404,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1404,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1404,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1404,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1404,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1404,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1404,B100000,00000,0800,00001MEALS SERVEDDIETARY 1404,B100000,00000,0900,00001PRODUCTIVEE HNURSING ADMINIS 1404,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1404,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1404,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1404,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1404,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1404,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1404,E10A180,00350,0100,01/20/2000 1404,E10A180,00501,0300,07/26/2000 1404,E10A180,00550,0100,07/26/2000 1404,S000000,00100,0200,06/02/2000 1404,S200000,00100,0100,506 HIGH STREET 1404,S200000,00200,0100,WINTHROP 1404,S200000,00200,0200,MN 1404,S200000,00200,0300,55396- 1404,S200000,00300,0100,SIBLEY 1404,S200000,00300,0300,R 1404,S200000,00400,0100,WINTHROP GOOD SAMARITAN CENTER 1404,S200000,00400,0200,245314 1404,S200000,00400,0300,05/01/1986 1404,S200000,00400,0500,P 1404,S200000,01500,0100,Y 1404,S200000,01900,0100,N 1404,S700003,00000,0100,1 1410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1410,A000000,00300,0000,00300EMPLOYEE BENEFITS 1410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1410,A000000,00700,0000,00700HOUSEKEEPING 1410,A000000,00800,0000,00800DIETARY 1410,A000000,00900,0000,00900NURSING ADMINISTRATION 1410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1410,A000000,01100,0000,01100PHARMACY 1410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1410,A000000,01300,0000,01300SOCIAL SERVICE 1410,A000000,01350,0000,01500OTHER GENERAL SERVICES 1410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1410,A000000,01600,0000,01600SKILLED NURSING FACILITY 1410,A000000,01800,0000,01800NURSING FACILITY 1410,A000000,01810,0000,01801ICF/MR 1410,A000000,01900,0000,01900OTHER LONG TERM CARE 1410,A000000,02100,0000,02100RADIOLOGY 1410,A000000,02200,0000,02200LABORATORY 1410,A000000,02300,0000,02300INTRAVENOUS THERAPY 1410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1410,A000000,02500,0000,02500PHYSICAL THERAPY 1410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1410,A000000,02700,0000,02700SPEECH PATHOLOGY 1410,A000000,02800,0000,02800ELECTROCARDIOLOGY 1410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1410,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1410,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1410,A000000,03200,0000,03200SUPPORT SURFACES 1410,A000000,03400,0000,03400CLINIC 1410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1410,A000000,03500,0000,03500RURAL HEALTH CLINIC 1410,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1410,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1410,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1410,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1410,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1410,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1410,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1410,A000000,04400,0000,04400DME RENTED - HHA 1410,A000000,04500,0000,04500DME SOLD - HHA 1410,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1410,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1410,A000000,04750,0000,05100OSP 1410,A000000,04800,0000,04800AMBULANCE 1410,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1410,A000000,05000,0000,05000CORF 1410,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1410,A000000,05300,0000,05300INTEREST EXPENSE 1410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1410,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1410,A000000,05500,0000,05500HOSPICE 1410,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1410,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1410,A000000,06100,0000,06100NONPAID WORKERS 1410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1410,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1410,A000000,06152,0000,06302MEALS ON WHEELS 1410,A000000,06200,0000,06200PATIENTS LAUNDRY 1410,A81000A,00100,0100,Y 1410,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1410,A81000B,00200,0300,WORKERS COMPENSATION 1410,A81000B,00300,0300,PROPERTY/LIABLITY INSURANCE 1410,A81000B,00400,0300,MEDICAL/NURSING SUPPLIES 1410,A81000B,00500,0300,INCONTINENTS 1410,A81000B,00600,0300,DIETARY SUPPLEMENTS 1410,A81000B,00700,0300,EQUIPMENT 1410,A81000B,00800,0300,TEXTILES 1410,A81000B,00900,0300,UNEMPLOYMENT CLAIMS 1410,A81000B,00901,0300,VEHICLE INSURANCE 1410,A81000C,00100,0100,B 1410,A81000C,00100,0400,GOOD SAMARITAN 1410,A81000C,00100,0600,ADMIN/ACCOUNTIN 1410,A81000C,00200,0100,B 1410,A81000C,00200,0400,OMNICARE PHARMA 1410,A81000C,00200,0600,DRUGS/MEDICAL S 1410,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1410,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1410,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1410,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1410,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1410,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1410,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1410,B100000,00000,0800,00002MEALS SERVEDDIETARY 1410,B100000,00000,0900,00002PRODUCTIVEE HNURSING ADMINIS 1410,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1410,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1410,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 1410,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1410,B100000,00000,1350,00002NO STATISTICSOTHER GENERAL S 1410,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 1410,E10A180,00501,0100,07/31/2000 1410,E10A180,00550,0300,07/31/2000 1410,S000000,00100,0200,06/16/2000 1410,S200000,00100,0100,205 14TH STREET NORTHWEST 1410,S200000,00200,0100,AUSTIN 1410,S200000,00200,0200,MN 1410,S200000,00200,0300,55912-4698 1410,S200000,00300,0100,MOWER 1410,S200000,00300,0300,R 1410,S200000,00400,0100,COMFORCARE GOOD SAMARITAN CENTER 1410,S200000,00400,0200,245317 1410,S200000,00400,0300,06/01/1986 1410,S200000,00400,0500,P 1410,S200000,01500,0100,Y 1410,S200000,01900,0100,N 1410,S200000,02800,0100,Y 1410,S700003,00000,0100,1 1415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1415,A000000,00300,0000,00300EMPLOYEE BENEFITS 1415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1415,A000000,00700,0000,00700HOUSEKEEPING 1415,A000000,00800,0000,00800DIETARY 1415,A000000,00900,0000,00900NURSING ADMINISTRATION 1415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1415,A000000,01100,0000,01100PHARMACY 1415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1415,A000000,01300,0000,01300SOCIAL SERVICE 1415,A000000,01350,0000,01500OTHER GENERAL SERVICES 1415,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1415,A000000,01600,0000,01600SKILLED NURSING FACILITY 1415,A000000,01800,0000,01800NURSING FACILITY 1415,A000000,01810,0000,01801ICF/MR 1415,A000000,01900,0000,01900OTHER LONG TERM CARE 1415,A000000,02100,0000,02100RADIOLOGY 1415,A000000,02200,0000,02200LABORATORY 1415,A000000,02300,0000,02300INTRAVENOUS THERAPY 1415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1415,A000000,02500,0000,02500PHYSICAL THERAPY 1415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1415,A000000,02700,0000,02700SPEECH PATHOLOGY 1415,A000000,02800,0000,02800ELECTROCARDIOLOGY 1415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1415,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1415,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1415,A000000,03200,0000,03200SUPPORT SURFACES 1415,A000000,03400,0000,03400CLINIC 1415,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1415,A000000,03500,0000,03500RURAL HEALTH CLINIC 1415,A000000,04750,0000,05100OSP 1415,A000000,04800,0000,04800AMBULANCE 1415,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1415,A000000,05000,0000,05000CORF 1415,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1415,A000000,05300,0000,05300INTEREST EXPENSE 1415,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1415,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1415,A000000,05500,0000,05500HOSPICE 1415,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1415,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1415,A000000,06100,0000,06100NONPAID WORKERS 1415,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1415,A000000,06151,0000,06301APARTMENT 1415,A000000,06200,0000,06200PATIENTS LAUNDRY 1415,A81000A,00100,0100,Y 1415,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1415,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1415,A81000B,00300,0300,WORKERS COMPENSATION 1415,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1415,A81000B,00500,0300,VEHICLE INSURANCE 1415,A81000B,00600,0300,NURSING SUPPLIES 1415,A81000B,00700,0300,INCONTINENT 1415,A81000B,00800,0300,DIETARY SUPPS 1415,A81000B,00900,0300,EQUIPMENT 1415,A81000C,00100,0100,B 1415,A81000C,00100,0200,FALLS GS CENTER 1415,A81000C,00100,0400,GOOD SAMARITAN 1415,A81000C,00100,0600,ADMIN/ACCOUNTIN 1415,A81000C,00200,0100,B 1415,A81000C,00200,0200,FALLS GS CENTER 1415,A81000C,00200,0400,OMNICARE PHARMA 1415,A81000C,00200,0600,MEDICAL DRUGS/S 1415,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1415,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1415,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1415,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1415,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1415,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1415,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1415,B100000,00000,0800,00001MEALS SERVEDDIETARY 1415,B100000,00000,0900,00001PRODUCTIVEENURSING ADMINISTRATION 1415,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1415,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1415,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1415,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1415,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1415,B100000,00000,1400,00001TIME SPENTINTERNS & RESIDENTS 1415,E10A180,00301,0100,01/20/2000 1415,S000000,00100,0200,06/02/2000 1415,S200000,00100,0100,1402 HIGHWAY 71 1415,S200000,00200,0100,INTERNATIONAL FALLS 1415,S200000,00200,0200,MN 1415,S200000,00200,0300,56649- 1415,S200000,00300,0100,KOOCHICHING 1415,S200000,00300,0300,R 1415,S200000,00400,0100,FALLS GOOD SAMARITAN CENTER 1415,S200000,00400,0200,245318 1415,S200000,00400,0300,06/01/1986 1415,S200000,00400,0500,P 1415,S200000,01500,0100,Y 1415,S200000,01900,0100,N 1415,S700003,00000,0100,1 1419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1419,A000000,00300,0000,00300EMPLOYEE BENEFITS 1419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1419,A000000,00700,0000,00700HOUSEKEEPING 1419,A000000,00800,0000,00800DIETARY 1419,A000000,00900,0000,00900NURSING ADMINISTRATION 1419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1419,A000000,01100,0000,01100PHARMACY 1419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1419,A000000,01300,0000,01300SOCIAL SERVICE 1419,A000000,01350,0000,01500OTHER GENERAL SERVICES 1419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1419,A000000,01600,0000,01600SKILLED NURSING FACILITY 1419,A000000,01800,0000,01800NURSING FACILITY 1419,A000000,01810,0000,01801ICF/MR 1419,A000000,01900,0000,01900OTHER LONG TERM CARE 1419,A000000,02100,0000,02100RADIOLOGY 1419,A000000,02200,0000,02200LABORATORY 1419,A000000,02300,0000,02300INTRAVENOUS THERAPY 1419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1419,A000000,02500,0000,02500PHYSICAL THERAPY 1419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1419,A000000,02700,0000,02700SPEECH PATHOLOGY 1419,A000000,02800,0000,02800ELECTROCARDIOLOGY 1419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1419,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1419,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1419,A000000,03200,0000,03200SUPPORT SURFACES 1419,A000000,03400,0000,03400CLINIC 1419,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1419,A000000,03500,0000,03500RURAL HEALTH CLINIC 1419,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1419,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1419,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1419,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1419,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1419,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1419,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1419,A000000,04400,0000,04400DME RENTED - HHA 1419,A000000,04500,0000,04500DME SOLD - HHA 1419,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1419,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1419,A000000,04750,0000,05100OSP 1419,A000000,04800,0000,04800AMBULANCE 1419,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1419,A000000,05000,0000,05000CORF 1419,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1419,A000000,05300,0000,05300INTEREST EXPENSE 1419,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1419,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1419,A000000,05500,0000,05500HOSPICE 1419,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1419,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1419,A000000,06100,0000,06100NONPAID WORKERS 1419,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1419,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1419,A000000,06200,0000,06200PATIENTS LAUNDRY 1419,A81000A,00100,0100,Y 1419,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1419,A81000B,00200,0300,WORKERS COMPENSATION 1419,A81000B,00300,0300,PROPERTY/LIABILITY INSURANCE 1419,A81000B,00400,0300,UNEMPLOYMENT CLAIMS PAID 1419,A81000B,00500,0300,VEHICLE INSURANCE 1419,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1419,A81000B,00700,0300,INCONTINENTS 1419,A81000B,00800,0300,DIETARY SUPPLEMENTS 1419,A81000B,00900,0300,EQUIPMENT 1419,A81000B,00901,0300,TEXTILES 1419,A81000C,00100,0100,B 1419,A81000C,00100,0400,GOOD SAMARITAN 1419,A81000C,00100,0600,ADMIN/ACCOUNTIN 1419,A81000C,00200,0100,B 1419,A81000C,00200,0400,OMNICARE PHARMA 1419,A81000C,00200,0600,MEDICAL DRUGS/S 1419,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1419,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1419,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1419,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1419,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1419,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1419,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1419,B100000,00000,0800,00001MEALS SERVEDDIETARY 1419,B100000,00000,0900,00001PRODUCTIVEE NRSINNURSING ADMINIS 1419,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1419,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1419,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1419,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1419,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1419,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1419,E10A180,00501,0100,07/27/2000 1419,E10A180,00502,0100,08/28/2001 1419,E10A180,00550,0300,07/27/2000 1419,E10A180,00551,0300,08/28/2001 1419,S000000,00100,0200,06/12/2000 1419,S200000,00100,0100,410 LUELLA STREET 1419,S200000,00200,0100,WATKINS 1419,S200000,00200,0200,SD 1419,S200000,00200,0300,55389-9702 1419,S200000,00300,0100,MEEKER 1419,S200000,00300,0300,R 1419,S200000,00400,0100,HILLTOP GOOD SAMARITAN CENTER 1419,S200000,00400,0200,245358 1419,S200000,00400,0300,10/01/1986 1419,S200000,00400,0500,P 1419,S200000,01500,0100,Y 1419,S200000,01900,0100,N 1419,S700003,00000,0100,1 1424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1424,A000000,00300,0000,00300EMPLOYEE BENEFITS 1424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1424,A000000,00700,0000,00700HOUSEKEEPING 1424,A000000,00800,0000,00800DIETARY 1424,A000000,00900,0000,00900NURSING ADMINISTRATION 1424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1424,A000000,01100,0000,01100PHARMACY 1424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1424,A000000,01300,0000,01300SOCIAL SERVICE 1424,A000000,01350,0000,01500OTHER GENERAL SERVICES 1424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1424,A000000,01600,0000,01600SKILLED NURSING FACILITY 1424,A000000,01800,0000,01800NURSING FACILITY 1424,A000000,01810,0000,01801ICF/MR 1424,A000000,01900,0000,01900OTHER LONG TERM CARE 1424,A000000,02100,0000,02100RADIOLOGY 1424,A000000,02200,0000,02200LABORATORY 1424,A000000,02300,0000,02300INTRAVENOUS THERAPY 1424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1424,A000000,02500,0000,02500PHYSICAL THERAPY 1424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1424,A000000,02700,0000,02700SPEECH PATHOLOGY 1424,A000000,02800,0000,02800ELECTROCARDIOLOGY 1424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1424,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1424,A000000,03200,0000,03200SUPPORT SURFACES 1424,A000000,03400,0000,03400CLINIC 1424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1424,A000000,03500,0000,03500RURAL HEALTH CLINIC 1424,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1424,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1424,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1424,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1424,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1424,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1424,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1424,A000000,04400,0000,04400DME RENTED - HHA 1424,A000000,04500,0000,04500DME SOLD - HHA 1424,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1424,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1424,A000000,04750,0000,05100OSP 1424,A000000,04800,0000,04800AMBULANCE 1424,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1424,A000000,05000,0000,05000CORF 1424,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1424,A000000,05300,0000,05300INTEREST EXPENSE 1424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1424,A000000,05500,0000,05500HOSPICE 1424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1424,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1424,A000000,06100,0000,06100NONPAID WORKERS 1424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1424,A000000,06200,0000,06200PATIENTS LAUNDRY 1424,A81000A,00100,0100,Y 1424,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1424,A81000B,00200,0300,WORKERS COMPENSATION 1424,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 1424,A81000B,00400,0300,PROP/LIABILITY INSURANCE 1424,A81000B,00500,0300,VEHICLE INSURANCE 1424,A81000B,00600,0300,MEDICAL/NURSING SUPPLIES 1424,A81000B,00700,0300,INCONTINENTS 1424,A81000B,00800,0300,DIETARY SUPP 1424,A81000B,00900,0300,EQUIPMENT 1424,A81000C,00100,0100,B 1424,A81000C,00100,0200,BLOOMINGTON GS 1424,A81000C,00100,0400,GOOD SAMARITAN 1424,A81000C,00100,0600,ADMIN/ACCOUNTIN 1424,A81000C,00200,0100,B 1424,A81000C,00200,0200,BLOOMINGTON GS 1424,A81000C,00200,0400,GOOD SAMARITAN 1424,A81000C,00200,0600,NURSE POOL 1424,A81000C,00300,0100,B 1424,A81000C,00300,0200,BLOOMINGTON GS 1424,A81000C,00300,0400,OMNICARE PHARMA 1424,A81000C,00300,0600,MEDICAL DRUGS/S 1424,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1424,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1424,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1424,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1424,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1424,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1424,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1424,B100000,00000,0800,00000MEALS SERVEDDIETARY 1424,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1424,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1424,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1424,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1424,B100000,00000,1300,00000ADMISSIONSS SPENSOCIAL SERVICE 1424,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1424,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1424,S000000,00100,0200,06/02/2000 1424,S200000,00100,0100,8916 LYNDALE AVENUE SOUTH 1424,S200000,00200,0100,BLOOMINGTON 1424,S200000,00200,0200,MN 1424,S200000,00200,0300,55420- 1424,S200000,00300,0100,HENNEPIN 1424,S200000,00300,0300,U 1424,S200000,00400,0100,BLOOMINGTON GOOD SAMARITAN CENTER 1424,S200000,00400,0200,245380 1424,S200000,00400,0300,12/01/1986 1424,S200000,00400,0500,P 1424,S200000,01500,0100,Y 1424,S200000,01900,0100,N 1424,S700003,00000,0100,1 1429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1429,A000000,00300,0000,00300EMPLOYEE BENEFITS 1429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1429,A000000,00700,0000,00700HOUSEKEEPING 1429,A000000,00800,0000,00800DIETARY 1429,A000000,00900,0000,00900NURSING ADMINISTRATION 1429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1429,A000000,01100,0000,01100PHARMACY 1429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1429,A000000,01300,0000,01300SOCIAL SERVICE 1429,A000000,01350,0000,01500OTHER GENERAL SERVICES 1429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1429,A000000,01600,0000,01600SKILLED NURSING FACILITY 1429,A000000,01800,0000,01800NURSING FACILITY 1429,A000000,01810,0000,01801ICF/MR 1429,A000000,01900,0000,01900OTHER LONG TERM CARE 1429,A000000,02100,0000,02100RADIOLOGY 1429,A000000,02200,0000,02200LABORATORY 1429,A000000,02300,0000,02300INTRAVENOUS THERAPY 1429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1429,A000000,02500,0000,02500PHYSICAL THERAPY 1429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1429,A000000,02700,0000,02700SPEECH PATHOLOGY 1429,A000000,02800,0000,02800ELECTROCARDIOLOGY 1429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1429,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1429,A000000,03200,0000,03200SUPPORT SURFACES 1429,A000000,03400,0000,03400CLINIC 1429,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1429,A000000,03500,0000,03500RURAL HEALTH CLINIC 1429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1429,A000000,04400,0000,04400DME RENTED - HHA 1429,A000000,04500,0000,04500DME SOLD - HHA 1429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1429,A000000,04750,0000,05100OSP 1429,A000000,04800,0000,04800AMBULANCE 1429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1429,A000000,05000,0000,05000CORF 1429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1429,A000000,05300,0000,05300INTEREST EXPENSE 1429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1429,A000000,05500,0000,05500HOSPICE 1429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1429,A000000,06100,0000,06100NONPAID WORKERS 1429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1429,A000000,06151,0000,06301RESOURCE DEVELOPMENT T 1429,A000000,06200,0000,06200PATIENTS LAUNDRY 1429,A81000A,00100,0100,Y 1429,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1429,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1429,A81000B,00300,0300,WORKERS COMPENSATION 1429,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 1429,A81000B,00500,0300,VEHICLE INSURANCE 1429,A81000B,00600,0300,MEDICAL/NSG SUPPLIES 1429,A81000B,00700,0300,INCONTINENTS 1429,A81000B,00800,0300,DIETARY SUPPLEMENTS 1429,A81000B,00900,0300,EQUIPMENT 1429,A81000B,00901,0300,TEXTILES 1429,A81000C,00100,0100,B 1429,A81000C,00100,0200,BATTLE LAKE GS 1429,A81000C,00100,0400,GOOD SAMARITAN 1429,A81000C,00100,0600,ADMIN/ACCOUNTIN 1429,A81000C,00200,0100,B 1429,A81000C,00200,0200,BATTLE LAKE GS 1429,A81000C,00200,0400,OMNICARE PHARMA 1429,A81000C,00200,0600,MEDICAL DRUGS/S 1429,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1429,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1429,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1429,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1429,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1429,B100000,00000,0600,00001ACC COSTLAUNDRY & LINEN SERVICE 1429,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1429,B100000,00000,0800,00001MEALS SERVEDDIETARY 1429,B100000,00000,0900,00001PRODUCTIVEE HONURSING ADMINIS 1429,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1429,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1429,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1429,B100000,00000,1300,00001ACC COSTSOCIAL SERVICE 1429,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1429,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1429,E10A180,00501,0100,07/26/2000 1429,E10A180,00550,0300,07/26/2000 1429,S000000,00100,0200,06/02/2000 1429,S200000,00100,0100,105 GLENHAVEN DRIVE 1429,S200000,00200,0100,BATTLE LAKE 1429,S200000,00200,0200,MN 1429,S200000,00200,0300,56515-9715 1429,S200000,00300,0100,OTTERTAIL 1429,S200000,00300,0300,R 1429,S200000,00400,0100,BATTLE LAKE GOOD SAMARITAN CENTER 1429,S200000,00400,0200,245403 1429,S200000,00400,0300,12/01/1989 1429,S200000,00400,0500,P 1429,S200000,01500,0100,Y 1429,S200000,01900,0100,N 1429,S200000,02800,0100,Y 1429,S700003,00000,0100,1 1435,S000000,00100,0200,09/28/2000 1438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1438,A000000,00300,0000,00300EMPLOYEE BENEFITS 1438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1438,A000000,00700,0000,00700HOUSEKEEPING 1438,A000000,00800,0000,00800DIETARY 1438,A000000,00900,0000,00900NURSING ADMINISTRATION 1438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1438,A000000,01100,0000,01100PHARMACY 1438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1438,A000000,01300,0000,01300SOCIAL SERVICE 1438,A000000,01350,0000,01500OTHER GENERAL SERVICES 1438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1438,A000000,01600,0000,01600SKILLED NURSING FACILITY 1438,A000000,01800,0000,01800NURSING FACILITY 1438,A000000,01810,0000,01801ICF/MR 1438,A000000,01900,0000,01900OTHER LONG TERM CARE 1438,A000000,02100,0000,02100RADIOLOGY 1438,A000000,02200,0000,02200LABORATORY 1438,A000000,02300,0000,02300INTRAVENOUS THERAPY 1438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1438,A000000,02500,0000,02500PHYSICAL THERAPY 1438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1438,A000000,02700,0000,02700SPEECH PATHOLOGY 1438,A000000,02800,0000,02800ELECTROCARDIOLOGY 1438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1438,A000000,03200,0000,03200SUPPORT SURFACES 1438,A000000,03400,0000,03400CLINIC 1438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1438,A000000,03500,0000,03500RURAL HEALTH CLINIC 1438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1438,A000000,04800,0000,04800AMBULANCE 1438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1438,A000000,05000,0000,05000CORF 1438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1438,A000000,05300,0000,05300INTEREST EXPENSE 1438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1438,A000000,05500,0000,05500HOSPICE 1438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1438,A000000,06100,0000,06100NONPAID WORKERS 1438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1438,A000000,06200,0000,06200PATIENTS LAUNDRY 1438,A81000A,00100,0100,Y 1438,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1438,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1438,A81000B,00300,0300,WORKERS COMPENSATION 1438,A81000B,00400,0300,PROPERTY / LIABILITY INSURANCE 1438,A81000B,00500,0300,NURSE POOL 1438,A81000B,00600,0300,NURSING SUPPLIES /INCONTINENT 1438,A81000B,00700,0300,DIETARY SUPPS 1438,A81000B,00800,0300,EQUIPMENT 1438,A81000B,00900,0300,TEXTILES 1438,A81000C,00100,0100,B 1438,A81000C,00100,0200,WHITEHOUSE GS C 1438,A81000C,00100,0400,GOOD SAMARITAN 1438,A81000C,00100,0600,ADMIN/ACCOUNTIN 1438,A81000C,00200,0100,B 1438,A81000C,00200,0200,WHITEHOUSE GS C 1438,A81000C,00200,0400,GOOD SAMARITAN 1438,A81000C,00200,0600,NURSE POOL 1438,A81000C,00300,0100,B 1438,A81000C,00300,0200,WHITEHOUSE GS C 1438,A81000C,00300,0400,OMNICARE PHARMA 1438,A81000C,00300,0600,MEDICAL DRUGS/S 1438,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1438,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1438,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1438,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1438,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1438,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1438,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1438,B100000,00000,0800,00000MEALS SERVEDDIETARY 1438,B100000,00000,0900,00000PRODUCTIVEHNURSING ADMINISTRATION 1438,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1438,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1438,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1438,B100000,00000,1300,00000ADMISSIONSSOCIAL SERVICE 1438,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1438,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 1438,E10A180,00550,0100,07/27/2000 1438,E10A180,00550,0300,07/27/2000 1438,S000000,00100,0200,06/01/2000 1438,S200000,00100,0100,563 WEST COUNTY ROAD B 1438,S200000,00200,0100,ROSEVILLE 1438,S200000,00200,0200,MN 1438,S200000,00200,0300,55113- 1438,S200000,00300,0100,RAMSEY 1438,S200000,00300,0300,U 1438,S200000,00400,0100,WHITEHOUSE GOOD SAMARITAN CENTER 1438,S200000,00400,0200,245444 1438,S200000,00400,0300,03/01/1987 1438,S200000,00400,0500,P 1438,S200000,01500,0100,Y 1438,S200000,01900,0100,N 1438,S700003,00000,0100,1 1444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1444,A000000,00300,0000,00300EMPLOYEE BENEFITS 1444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1444,A000000,00700,0000,00700HOUSEKEEPING 1444,A000000,00800,0000,00800DIETARY 1444,A000000,00900,0000,00900NURSING ADMINISTRATION 1444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1444,A000000,01100,0000,01100PHARMACY 1444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1444,A000000,01300,0000,01300SOCIAL SERVICE 1444,A000000,01350,0000,01500OTHER GENERAL SERVICES 1444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1444,A000000,01600,0000,01600SKILLED NURSING FACILITY 1444,A000000,01800,0000,01800NURSING FACILITY 1444,A000000,01810,0000,01801ICF/MR 1444,A000000,01900,0000,01900OTHER LONG TERM CARE 1444,A000000,02100,0000,02100RADIOLOGY 1444,A000000,02200,0000,02200LABORATORY 1444,A000000,02300,0000,02300INTRAVENOUS THERAPY 1444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1444,A000000,02500,0000,02500PHYSICAL THERAPY 1444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1444,A000000,02700,0000,02700SPEECH PATHOLOGY 1444,A000000,02800,0000,02800ELECTROCARDIOLOGY 1444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1444,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1444,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1444,A000000,03200,0000,03200SUPPORT SURFACES 1444,A000000,03400,0000,03400CLINIC 1444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1444,A000000,03500,0000,03500RURAL HEALTH CLINIC 1444,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1444,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1444,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1444,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1444,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1444,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1444,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1444,A000000,04400,0000,04400DME RENTED - HHA 1444,A000000,04500,0000,04500DME SOLD - HHA 1444,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1444,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1444,A000000,04800,0000,04800AMBULANCE 1444,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1444,A000000,05000,0000,05000CORF 1444,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1444,A000000,05300,0000,05300INTEREST EXPENSE 1444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1444,A000000,05500,0000,05500HOSPICE 1444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1444,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1444,A000000,06100,0000,06100NONPAID WORKERS 1444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1444,A000000,06200,0000,06200PATIENTS LAUNDRY 1444,A81000A,00100,0100,Y 1444,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1444,A81000B,00200,0300,UNEMPLOYMENT INS 1444,A81000B,00300,0300,WORKERS COMP 1444,A81000B,00400,0300,PROPERTY/LIABILITY INS 1444,A81000B,00500,0300,VEHICLE INS 1444,A81000B,00600,0300,MEDICAL SUPPLIES 1444,A81000B,00700,0300,INCONTINENTS 1444,A81000C,00100,0100,B 1444,A81000C,00100,0400,GOOD SAMARITAN 1444,A81000C,00100,0600,HEALTHCARE 1444,A81000C,00200,0100,B 1444,A81000C,00200,0400,OMNICARE PHARMA 1444,A81000C,00200,0600,MEDICAL/DRUGS 1444,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1444,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1444,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1444,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1444,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1444,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1444,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 1444,B100000,00000,0800,00000MEALS SERVEDDIETARY 1444,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1444,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1444,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1444,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1444,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1444,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1444,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1444,S000000,00100,0200,09/28/2000 1444,S200000,00100,0100,4TH STREET AND JEFFERSON AVE 1444,S200000,00100,0300,29 1444,S200000,00200,0100,PINE RIVER 1444,S200000,00200,0200,MN 1444,S200000,00200,0300,56474-0029 1444,S200000,00300,0100,CASS 1444,S200000,00300,0300,R 1444,S200000,00400,0100,WHISPERING PINES GOOD SAMARITAN CTR 1444,S200000,00400,0200,245476 1444,S200000,00400,0300,05/01/1987 1444,S200000,00400,0500,P 1444,S200000,01500,0100,Y 1444,S200000,01900,0100,N 1444,S700003,00000,0100,1 1466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1466,A000000,00300,0000,00300EMPLOYEE BENEFITS 1466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1466,A000000,00700,0000,00700HOUSEKEEPING 1466,A000000,00800,0000,00800DIETARY 1466,A000000,00900,0000,00900NURSING ADMINISTRATION 1466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1466,A000000,01100,0000,01100PHARMACY 1466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1466,A000000,01300,0000,01300SOCIAL SERVICE 1466,A000000,01350,0000,01500OTHER GENERAL SERVICES 1466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1466,A000000,01600,0000,01600SKILLED NURSING FACILITY 1466,A000000,01800,0000,01800NURSING FACILITY 1466,A000000,01810,0000,01801ICF/MR 1466,A000000,01900,0000,01900OTHER LONG TERM CARE 1466,A000000,02100,0000,02100RADIOLOGY 1466,A000000,02200,0000,02200LABORATORY 1466,A000000,02300,0000,02300INTRAVENOUS THERAPY 1466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1466,A000000,02500,0000,02500PHYSICAL THERAPY 1466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1466,A000000,02700,0000,02700SPEECH PATHOLOGY 1466,A000000,02800,0000,02800ELECTROCARDIOLOGY 1466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1466,A000000,03200,0000,03200SUPPORT SURFACES 1466,A000000,03400,0000,03400CLINIC 1466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1466,A000000,03500,0000,03500RURAL HEALTH CLINIC 1466,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1466,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1466,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1466,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1466,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1466,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1466,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1466,A000000,04400,0000,04400DME RENTED - HHA 1466,A000000,04500,0000,04500DME SOLD - HHA 1466,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1466,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1466,A000000,04750,0000,05100OSP 1466,A000000,04800,0000,04800AMBULANCE 1466,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1466,A000000,05000,0000,05000CORF 1466,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1466,A000000,05300,0000,05300INTEREST EXPENSE 1466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1466,A000000,05500,0000,05500HOSPICE 1466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1466,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1466,A000000,06100,0000,06100NONPAID WORKERS 1466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1466,A000000,06200,0000,06200PATIENTS LAUNDRY 1466,A81000A,00100,0100,Y 1466,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 1466,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1466,A81000B,00300,0300,WORKERS COMP 1466,A81000B,00400,0300,PROPERTY/LIABILITY INS 1466,A81000C,00100,0100,B 1466,A81000C,00100,0400,GOOD SAMARITAN 1466,A81000C,00100,0600,HEALTHCARE 1466,A81000C,00200,0100,B 1466,A81000C,00200,0400,OMNICARE PHARMA 1466,A81000C,00200,0600,MEDICAL SUPPLIE 1466,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1466,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1466,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1466,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1466,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1466,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1466,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1466,B100000,00000,0800,00000MEALS SERVEDDIETARY 1466,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1466,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1466,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1466,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1466,B100000,00000,1300,00000ADMITSSOCIAL SERVICE 1466,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1466,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1466,E10A180,00550,0100,06/29/2000 1466,E10A180,00550,0300,06/29/2000 1466,S000000,00100,0200,06/02/2000 1466,S200000,00100,0100,HIGHWAY 75 1466,S200000,00100,0300,379 1466,S200000,00200,0100,CLINTON 1466,S200000,00200,0200,MN 1466,S200000,00200,0300,56225-0379 1466,S200000,00300,0100,BIG STONE 1466,S200000,00300,0300,R 1466,S200000,00400,0100,CLINTON GOOD SAMARITAN CENTER 1466,S200000,00400,0200,245555 1466,S200000,00400,0300,04/01/1991 1466,S200000,00400,0500,P 1466,S200000,01500,0100,Y 1466,S200000,01900,0100,N 1466,S200000,02800,0100,Y 1466,S200000,03100,0100,Y 1466,S700003,00000,0100,1 1473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1473,A000000,00300,0000,00300EMPLOYEE BENEFITS 1473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1473,A000000,00700,0000,00700HOUSEKEEPING 1473,A000000,00800,0000,00800DIETARY 1473,A000000,00900,0000,00900NURSING ADMINISTRATION 1473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1473,A000000,01100,0000,01100PHARMACY 1473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1473,A000000,01300,0000,01300SOCIAL SERVICE 1473,A000000,01350,0000,01500OTHER GENERAL SERVICES 1473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1473,A000000,01600,0000,01600SKILLED NURSING FACILITY 1473,A000000,01800,0000,01800NURSING FACILITY 1473,A000000,01810,0000,01801ICF/MR 1473,A000000,01900,0000,01900OTHER LONG TERM CARE 1473,A000000,02100,0000,02100RADIOLOGY 1473,A000000,02200,0000,02200LABORATORY 1473,A000000,02300,0000,02300INTRAVENOUS THERAPY 1473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1473,A000000,02500,0000,02500PHYSICAL THERAPY 1473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1473,A000000,02700,0000,02700SPEECH PATHOLOGY 1473,A000000,02800,0000,02800ELECTROCARDIOLOGY 1473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1473,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1473,A000000,03200,0000,03200SUPPORT SURFACES 1473,A000000,03400,0000,03400CLINIC 1473,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1473,A000000,03500,0000,03500RURAL HEALTH CLINIC 1473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1473,A000000,04800,0000,04800AMBULANCE 1473,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1473,A000000,05000,0000,05000CORF 1473,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1473,A000000,05300,0000,05300INTEREST EXPENSE 1473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1473,A000000,05500,0000,05500HOSPICE 1473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1473,A000000,06100,0000,06100NONPAID WORKERS 1473,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1473,A000000,06151,0000,06301MEALS ON WHEELS 1473,A000000,06152,0000,06302CLINIC 1473,A000000,06200,0000,06200PATIENTS LAUNDRY 1473,B100000,00000,0100,00002SQUARE FEET CAP REL COSTS - B 1473,B100000,00000,0200,00002SQUARE FEET CAP REL COSTS - M 1473,B100000,00000,0300,00002GROSS SALARIES EMPLOYEE BENE 1473,B100000,00000,0400,00002ACCUM. COST ADMINISTRATIVE & 1473,B100000,00000,0500,00002SQUARE FEET PLANT OPERATION 1473,B100000,00000,0600,00002PATIENT DAYS LAUNDRY & LINEN S 1473,B100000,00000,0700,00002SQUARE FOOTAGE HOUSEKEEPING 1473,B100000,00000,0800,00002MEALS SERVED DIETARY 1473,B100000,00000,0900,00002DIRECT NRSING HRS NURSING ADM 1473,B100000,00000,1000,00002COSTED REQUIS. CENTRAL SERVIC 1473,B100000,00000,1100,00002COSTED REQUIS. PHARMACY 1473,B100000,00000,1200,00002GROSS REVENUES MEDICAL RECOR 1473,B100000,00000,1300,00002ADMISSIONS SOCIAL SERVICE 1473,B100000,00000,1400,00002ASSIGNED TIME INTERNS & RESIDEN 1473,B100000,00000,1500,00002NO STATISTICS OTHER GENER 1473,E10A180,00501,0100,10/23/2000 1473,E10A180,00550,0300,10/23/2000 1473,S000000,00100,0200,09/28/2000 1473,S200000,00100,0100,505 TROSKY ROAD W 1473,S200000,00200,0100,EDGERTON 1473,S200000,00200,0200,MN 1473,S200000,00200,0300,56128-9790 1473,S200000,00300,0100,PIPESTONE 1473,S200000,00400,0100,EDGEBROOK CARE CENTER 1473,S200000,00400,0200,245560 1473,S200000,00400,0300,04/11/1996 1473,S200000,00400,0500,P 1473,S200000,01500,0100,Y 1473,S200000,02800,0100,Y 1473,S700003,00000,0100,X 1491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1491,A000000,00300,0000,00300EMPLOYEE BENEFITS 1491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1491,A000000,00700,0000,00700HOUSEKEEPING 1491,A000000,00800,0000,00800DIETARY 1491,A000000,00900,0000,00900NURSING ADMINISTRATION 1491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1491,A000000,01100,0000,01100PHARMACY 1491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1491,A000000,01300,0000,01300SOCIAL SERVICE 1491,A000000,01350,0000,01500OTHER GENERAL SERVICES 1491,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1491,A000000,01600,0000,01600SKILLED NURSING FACILITY 1491,A000000,01800,0000,01800NURSING FACILITY 1491,A000000,01810,0000,01801ICF/MR 1491,A000000,01900,0000,01900OTHER LONG TERM CARE 1491,A000000,02100,0000,02100RADIOLOGY 1491,A000000,02200,0000,02200LABORATORY 1491,A000000,02300,0000,02300INTRAVENOUS THERAPY 1491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1491,A000000,02500,0000,02500PHYSICAL THERAPY 1491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1491,A000000,02700,0000,02700SPEECH PATHOLOGY 1491,A000000,02800,0000,02800ELECTROCARDIOLOGY 1491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1491,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1491,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1491,A000000,03200,0000,03200SUPPORT SURFACES 1491,A000000,03400,0000,03400CLINIC 1491,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1491,A000000,03500,0000,03500RURAL HEALTH CLINIC 1491,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1491,A000000,04800,0000,04800AMBULANCE 1491,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1491,A000000,05000,0000,05000CORF 1491,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1491,A000000,05300,0000,05300INTEREST EXPENSE 1491,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1491,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1491,A000000,05500,0000,05500HOSPICE 1491,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1491,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1491,A000000,06100,0000,06100NONPAID WORKERS 1491,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1491,A000000,06151,0000,06301CLINIC 1491,A000000,06152,0000,06302MEALS ON WHEELS 1491,A000000,06200,0000,06200PATIENTS LAUNDRY 1491,A81000A,00100,0100,Y 1491,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 1491,A81000B,00200,0300,UNEMPLOYMENT INS 1491,A81000B,00300,0300,WORKERS COMP 1491,A81000B,00400,0300,PROPERTY/LIABILITY INS 1491,A81000B,00500,0300,VEHICLE INS 1491,A81000B,00600,0300,MEDICAL SUPPLY 1491,A81000B,00700,0300,INCONTINENTS 1491,A81000C,00100,0100,B 1491,A81000C,00100,0400,GOOD SAMARITAN 1491,A81000C,00100,0600,HEALTHCARE 1491,A81000C,00200,0100,B 1491,A81000C,00200,0400,OMNICARE PHARMA 1491,A81000C,00200,0600,MEDICAL/DRUGS 1491,B100000,00000,0100,00002SQUARE FEET CAP REL COSTS - B 1491,B100000,00000,0200,00002SQUARE FEET CAP REL COSTS - M 1491,B100000,00000,0300,00002GROSS SALARIES EMPLOYEE BENE 1491,B100000,00000,0400,00002ACCUM. COST ADMINISTRATIVE & 1491,B100000,00000,0500,00002SQUARE FEET PLANT OPERATION 1491,B100000,00000,0600,00002PATIENT DAYS LAUNDRY & LINEN S 1491,B100000,00000,0700,00002SQUARE FOOTAGE HOUSEKEEPING 1491,B100000,00000,0800,00002MEALS SERVED DIETARY 1491,B100000,00000,0900,00002DIRECT NRSING HRS NURSING ADM 1491,B100000,00000,1000,00002COSTED REQUIS. CENTRAL SERVIC 1491,B100000,00000,1100,00002COSTED REQUIS. PHARMACY 1491,B100000,00000,1200,00002GROSS REVENUE MEDICAL RECORD 1491,B100000,00000,1300,00002ADMISSIONS SOCIAL SERVICE 1491,B100000,00000,1400,00002ASSIGNED TIME INTERNS & RESIDEN 1491,B100000,00000,1500,00002NO STATISTICS OTHER GENER 1491,E10A180,00501,0100,12/21/2001 1491,E10A180,00501,0300,10/19/2000 1491,E10A180,00550,0100,10/19/2000 1491,S000000,00100,0200,09/28/2000 1491,S200000,00100,0100,1311 NORTH HIAWATHA AVENUE 1491,S200000,00200,0100,PIPESTONE 1491,S200000,00200,0200,MN 1491,S200000,00200,0300,56164-9701 1491,S200000,00300,0100,PIPESTONE 1491,S200000,00400,0100,PIPESTONE GOOD SAMARITAN VILLAGE 1491,S200000,00400,0200,245591 1491,S200000,00400,0300,12/01/1991 1491,S200000,00400,0500,P 1491,S200000,01500,0100,Y 1491,S700003,00000,0100,X 1506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1506,A000000,00300,0000,00300EMPLOYEE BENEFITS 1506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1506,A000000,00700,0000,00700HOUSEKEEPING 1506,A000000,00800,0000,00800DIETARY 1506,A000000,00801,0000,00801CAFETERIA 1506,A000000,00900,0000,00900NURSING ADMINISTRATION 1506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1506,A000000,01100,0000,01100PHARMACY 1506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1506,A000000,01300,0000,01300SOCIAL SERVICE 1506,A000000,01350,0000,01500OTHER GENERAL SERVICES 1506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1506,A000000,01600,0000,01600SKILLED NURSING FACILITY 1506,A000000,01800,0000,01800NURSING FACILITY 1506,A000000,01810,0000,01801ICF/MR 1506,A000000,01900,0000,01900OTHER LONG TERM CARE 1506,A000000,02100,0000,02100RADIOLOGY 1506,A000000,02200,0000,02200LABORATORY 1506,A000000,02300,0000,02300INTRAVENOUS THERAPY 1506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1506,A000000,02500,0000,02500PHYSICAL THERAPY 1506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1506,A000000,02700,0000,02700SPEECH PATHOLOGY 1506,A000000,02800,0000,02800ELECTROCARDIOLOGY 1506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1506,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1506,A000000,03200,0000,03200SUPPORT SURFACES 1506,A000000,03400,0000,03400CLINIC 1506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1506,A000000,03500,0000,03500RURAL HEALTH CLINIC 1506,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1506,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1506,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1506,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1506,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1506,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1506,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1506,A000000,04400,0000,04400DME RENTED - HHA 1506,A000000,04500,0000,04500DME SOLD - HHA 1506,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1506,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1506,A000000,04800,0000,04800AMBULANCE 1506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1506,A000000,05000,0000,05000CORF 1506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1506,A000000,05300,0000,05300INTEREST EXPENSE 1506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1506,A000000,05500,0000,05500HOSPICE 1506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1506,A000000,06100,0000,06100NONPAID WORKERS 1506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1506,A000000,06151,0000,06301RESIDENT SERVICES 1506,A000000,06200,0000,06200PATIENTS LAUNDRY 1506,B100000,00000,0100,00001SQUARE FEET CAP REL COSTS - B 1506,B100000,00000,0200,00001SQUARE FEET CAP REL COSTS - M 1506,B100000,00000,0300,00001GROSS SALARIES EMPLOYEE BENE 1506,B100000,00000,0400,00001ACCUM. COST ADMINISTRATIVE & 1506,B100000,00000,0500,00001SQUARE FEET PLANT OPERATION 1506,B100000,00000,0600,00001POUNDS OF LAUNDRY LAUNDRY & LINE 1506,B100000,00000,0700,00001HOURS OF SERVICE HOUSEKEEPING 1506,B100000,00000,0800,00001MEALS SERVED DIETARY 1506,B100000,00000,0801,00001FTES CAFETERIA 1506,B100000,00000,0900,00001PATIENT DAYS NURSING ADMINISTR 1506,B100000,00000,1000,00001COSTED REQUIS. CENTRAL SERVIC 1506,B100000,00000,1100,00001COSTED REQUIS. PHARMACY 1506,B100000,00000,1200,00001TIME SPENT MEDICAL RECORDS 1506,B100000,00000,1300,00001TIME SPENT SOCIAL SERVICE 1506,B100000,00000,1400,00001ASSIGNED TIME INTERNS & RESIDEN 1506,B100000,00000,1500,00001MEALS SERVED OTHER GENERAL S 1506,E10A180,00501,0300,01/18/2001 1506,S000000,00100,0200,11/28/2000 1506,S200000,00100,0100,15201 OLIVE BLVD. 1506,S200000,00200,0100,CHESTERFIELD 1506,S200000,00200,0200,MO 1506,S200000,00200,0300,63017- 1506,S200000,00300,0100,ST. LOUIS 1506,S200000,00400,0100,FRIENDSHIP VILLAGE OF WEST CO. 1506,S200000,00400,0200,265121 1506,S200000,00400,0300,02/01/1987 1506,S200000,00400,0500,P 1506,S200000,01600,0100,Y 1506,S200000,02200,0100,Y 1506,S200000,02800,0100,Y 1506,S700003,00000,0200,X 1515,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1515,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1515,A000000,00300,0000,00300EMPLOYEE BENEFITS 1515,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1515,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1515,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1515,A000000,00700,0000,00700HOUSEKEEPING 1515,A000000,00800,0000,00800DIETARY 1515,A000000,00900,0000,00900NURSING ADMINISTRATION 1515,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1515,A000000,01100,0000,01100PHARMACY 1515,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1515,A000000,01300,0000,01300SOCIAL SERVICE 1515,A000000,01350,0000,01500OTHER GENERAL SERVICES 1515,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1515,A000000,01600,0000,01600SKILLED NURSING FACILITY 1515,A000000,01800,0000,01800NURSING FACILITY 1515,A000000,01810,0000,01801ICF/MR 1515,A000000,01900,0000,01900OTHER LONG TERM CARE 1515,A000000,02100,0000,02100RADIOLOGY 1515,A000000,02200,0000,02200LABORATORY 1515,A000000,02300,0000,02300INTRAVENOUS THERAPY 1515,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1515,A000000,02500,0000,02500PHYSICAL THERAPY 1515,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1515,A000000,02700,0000,02700SPEECH PATHOLOGY 1515,A000000,02800,0000,02800ELECTROCARDIOLOGY 1515,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1515,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1515,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1515,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1515,A000000,03200,0000,03200SUPPORT SURFACES 1515,A000000,03400,0000,03400CLINIC 1515,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1515,A000000,03500,0000,03500RURAL HEALTH CLINIC 1515,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1515,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1515,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1515,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1515,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1515,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1515,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1515,A000000,04400,0000,04400DME RENTED - HHA 1515,A000000,04500,0000,04500DME SOLD - HHA 1515,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1515,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1515,A000000,04750,0000,05100OSP 1515,A000000,04800,0000,04800AMBULANCE 1515,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1515,A000000,05000,0000,05000CORF 1515,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1515,A000000,05300,0000,05300INTEREST EXPENSE 1515,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1515,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1515,A000000,05500,0000,05500HOSPICE 1515,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1515,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1515,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1515,A000000,06100,0000,06100NONPAID WORKERS 1515,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1515,A000000,06200,0000,06200PATIENTS LAUNDRY 1515,A81000A,00100,0100,Y 1515,A81000B,00100,0300,OMNICARE MEDICAL SUPPLIES 1515,A81000C,00100,0100,A 1515,A81000C,00100,0200,GOOD SAMARITAN 1515,A81000C,00100,0400,OMNICARE PHARM. 1515,A81000C,00100,0600,SUPPLY COMPANY 1515,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1515,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1515,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1515,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1515,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1515,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1515,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1515,B100000,00000,0800,00000MEALS SERVEDDIETARY 1515,B100000,00000,0900,00000DIRECT NURSING HRNURSING ADMINIS 1515,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 1515,B100000,00000,1100,00000COSTED REQUISPHARMACY 1515,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1515,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1515,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1515,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 1515,E10A180,00501,0300,07/18/2000 1515,S000000,00100,0200,05/24/2000 1515,S200000,00100,0100,307 PINVIEW STREET 1515,S200000,00200,0100,STANBERRY 1515,S200000,00200,0200,MO 1515,S200000,00200,0300,64489- 1515,S200000,00300,0100,GENTRY 1515,S200000,00300,0300,R 1515,S200000,00400,0100,PINE VIEW MANOR 1515,S200000,00400,0200,265506 1515,S200000,00400,0300,10/01/1992 1515,S200000,00400,0500,P 1515,S200000,01600,0100,Y 1515,S200000,01900,0100,N 1515,S700003,00000,0100,1 1519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1519,A000000,00300,0000,00300EMPLOYEE BENEFITS 1519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1519,A000000,00700,0000,00700HOUSEKEEPING 1519,A000000,00800,0000,00800DIETARY 1519,A000000,00900,0000,00900NURSING ADMINISTRATION 1519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1519,A000000,01100,0000,01100PHARMACY 1519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1519,A000000,01300,0000,01300SOCIAL SERVICE 1519,A000000,01350,0000,01500OTHER GENERAL SERVICES 1519,A000000,01351,0000,01501ACTIVITIES 1519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1519,A000000,01600,0000,01600SKILLED NURSING FACILITY 1519,A000000,01800,0000,01800NURSING FACILITY 1519,A000000,01810,0000,01801ICF/MR 1519,A000000,01900,0000,01900OTHER LONG TERM CARE 1519,A000000,02100,0000,02100RADIOLOGY 1519,A000000,02200,0000,02200LABORATORY 1519,A000000,02300,0000,02300INTRAVENOUS THERAPY 1519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1519,A000000,02500,0000,02500PHYSICAL THERAPY 1519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1519,A000000,02700,0000,02700SPEECH PATHOLOGY 1519,A000000,02800,0000,02800ELECTROCARDIOLOGY 1519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1519,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1519,A000000,03051,0000,03301AMBULANCE SERVICES 1519,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1519,A000000,03200,0000,03200SUPPORT SURFACES 1519,A000000,03400,0000,03400CLINIC 1519,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1519,A000000,03500,0000,03500RURAL HEALTH CLINIC 1519,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1519,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1519,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1519,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1519,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1519,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1519,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1519,A000000,04400,0000,04400DME RENTED - HHA 1519,A000000,04500,0000,04500DME SOLD - HHA 1519,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1519,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1519,A000000,04750,0000,05100OSP 1519,A000000,04800,0000,04800AMBULANCE 1519,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1519,A000000,05000,0000,05000CORF 1519,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1519,A000000,05300,0000,05300INTEREST EXPENSE 1519,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1519,A000000,05500,0000,05500HOSPICE 1519,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1519,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1519,A000000,06100,0000,06100NONPAID WORKERS 1519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1519,A000000,06200,0000,06200PATIENTS LAUNDRY 1519,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1519,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 1519,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1519,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1519,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1519,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1519,B100000,00000,0700,00000SQUARE FT CLEANEDHOUSEKEEPING 1519,B100000,00000,0800,00000MEALS SERVEDDIETARY 1519,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1519,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1519,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1519,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1519,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1519,B100000,00000,1350,00000TIME SPENTOTHER GENERAL SERVIC 1519,B100000,00000,1351,00000TIME SPENTACTIVITIES 1519,B100000,00000,1400,00000TIMEINTERNS & RESIDENTS (APPRVD PRO 1519,E10A180,00501,0300,06/21/2000 1519,S000000,00100,0200,04/25/2000 1519,S200000,00100,0100,205 S. COLLEGE STREET 1519,S200000,00100,0300,C 1519,S200000,00200,0100,MARIONVILLE 1519,S200000,00200,0200,MO 1519,S200000,00200,0300,65705- 1519,S200000,00300,0100,LAWRENCE 1519,S200000,00300,0300,R 1519,S200000,00400,0100,THE OZARKS METHODIST MANOR 1519,S200000,00400,0200,265594 1519,S200000,00400,0300,12/01/1994 1519,S200000,00400,0500,P 1519,S200000,01600,0100,Y 1519,S200000,01900,0100,N 1519,S200000,02200,0100,Y 1519,S200000,02800,0100,Y 1519,S200000,04700,0100,Y 1519,S200000,04700,0200,Y 1519,S700003,00000,0100,1 1525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1525,A000000,00300,0000,00300EMPLOYEE BENEFITS 1525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1525,A000000,00700,0000,00700HOUSEKEEPING 1525,A000000,00800,0000,00800DIETARY 1525,A000000,00900,0000,00900NURSING ADMINISTRATION 1525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1525,A000000,01300,0000,01300SOCIAL SERVICE 1525,A000000,01600,0000,01600SKILLED NURSING FACILITY 1525,A000000,01800,0000,01800NURSING FACILITY 1525,A000000,01900,0000,01900OTHER LONG TERM CARE 1525,A000000,02100,0000,02100RADIOLOGY 1525,A000000,02200,0000,02200LABORATORY 1525,A000000,02300,0000,02300INTRAVENOUS THERAPY 1525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1525,A000000,02500,0000,02500PHYSICAL THERAPY 1525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1525,A000000,02700,0000,02700SPEECH PATHOLOGY 1525,A000000,02800,0000,02800ELECTROCARDIOLOGY 1525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1525,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1525,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1525,A000000,03200,0000,03200SUPPORT SURFACES 1525,A000000,03400,0000,03400CLINIC 1525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1525,A000000,03500,0000,03500RURAL HEALTH CLINIC 1525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1525,A000000,04800,0000,04800AMBULANCE 1525,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1525,A000000,05000,0000,05000CORF 1525,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1525,A000000,05300,0000,05300INTEREST EXPENSE 1525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1525,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1525,A000000,05500,0000,05500HOSPICE 1525,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1525,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1525,A000000,06100,0000,06100NONPAID WORKERS 1525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1525,A000000,06200,0000,06200PATIENTS LAUNDRY 1525,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 1525,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 1525,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 1525,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 1525,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 1525,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 1525,B100000,00000,0800,00000MEALS SERVED DIETARY 1525,B100000,00000,0900,00000DIRECT NRSING HRS NURSING ADMINI 1525,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS & LIB 1525,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 1525,E10A180,00501,0300,02/27/2001 1525,E10A180,00550,0100,02/27/2001 1525,S000000,00100,0200,01/26/2001 1525,S200000,00100,0100,1201 WEST 19TH STREET 1525,S200000,00200,0100,HIGGINSVILLE 1525,S200000,00200,0200,MO 1525,S200000,00200,0300,64037- 1525,S200000,00300,0100,LAFAYETTE 1525,S200000,00400,0100,MEYER CARE CENTER 1525,S200000,00400,0200,265667 1525,S200000,00400,0300,05/01/1997 1525,S200000,00400,0500,P 1525,S200000,01600,0100,Y 1525,S200000,02200,0100,Y 1525,S700003,00000,0400,X 1528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1528,A000000,00300,0000,00300EMPLOYEE BENEFITS 1528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1528,A000000,00700,0000,00700HOUSEKEEPING 1528,A000000,00800,0000,00800DIETARY 1528,A000000,00900,0000,00900NURSING ADMINISTRATION 1528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1528,A000000,01300,0000,01300SOCIAL SERVICE 1528,A000000,01600,0000,01600SKILLED NURSING FACILITY 1528,A000000,01800,0000,01800NURSING FACILITY 1528,A000000,01900,0000,01900OTHER LONG TERM CARE 1528,A000000,02100,0000,02100RADIOLOGY 1528,A000000,02200,0000,02200LABORATORY 1528,A000000,02300,0000,02300INTRAVENOUS THERAPY 1528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1528,A000000,02500,0000,02500PHYSICAL THERAPY 1528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1528,A000000,02700,0000,02700SPEECH PATHOLOGY 1528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1528,A000000,03200,0000,03200SUPPORT SURFACES 1528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1528,A000000,05300,0000,05300INTEREST EXPENSE 1528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1528,A81000A,00100,0100,Y 1528,A81000B,00100,0300,PROPERTY INSURANCE 1528,A81000B,00200,0300,OTHER INSURANCE 1528,A81000B,00300,0300,UNEMPLOYMENT 1528,A81000B,00400,0300,WORKERS COMP 1528,A81000B,00500,0300,MANAGEMENT & ACCOUNTING 1528,A81000B,00600,0300,NURSING SUPPLIES 1528,A81000B,00700,0300,DISPOSABLE BRIEFS 1528,A81000C,00100,0100,B 1528,A81000C,00100,0400,EVANGELICAL LUT 1528,A81000C,00100,0600,MANAGEMENT & AC 1528,A81000C,00200,0100,B 1528,A81000C,00200,0400,GOOD SAMARITAN 1528,A81000C,00300,0100,B 1528,A81000C,00300,0400,OMNICARE 1528,A81000C,00300,0600,MEDICAL SUPPLIE 1528,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1528,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1528,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1528,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1528,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1528,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1528,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1528,B100000,00000,0800,00000MEALS SERVEDDIETARY 1528,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1528,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1528,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1528,B100000,00000,1300,00000ADMISSIONSSOCIAL SERVICE 1528,E10A180,00501,0100,06/23/2000 1528,E10A180,00550,0300,06/23/2000 1528,S000000,00100,0200,05/04/2000 1528,S200000,00100,0100,10 MOUNTAIN VIEW DRIVE 1528,S200000,00200,0100,EUREKA 1528,S200000,00200,0200,MT 1528,S200000,00200,0300,59917-0206 1528,S200000,00300,0100,EUREKA 1528,S200000,00300,0300,R 1528,S200000,00400,0100,MOUNTAIN VIEW MANOR GSC 1528,S200000,00400,0200,275084 1528,S200000,00400,0300,01/01/1988 1528,S200000,00400,0500,P 1528,S200000,01500,0100,Y 1528,S200000,01900,0100,N 1528,S200000,04600,0100,Y 1528,S700003,00000,0100,1 1531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1531,A000000,00300,0000,00300EMPLOYEE BENEFITS 1531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1531,A000000,00700,0000,00700HOUSEKEEPING 1531,A000000,00800,0000,00800DIETARY 1531,A000000,00900,0000,00900NURSING ADMINISTRATION 1531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1531,A000000,01300,0000,01300SOCIAL SERVICE 1531,A000000,01600,0000,01600SKILLED NURSING FACILITY 1531,A000000,01800,0000,01800NURSING FACILITY 1531,A000000,01900,0000,01900OTHER LONG TERM CARE 1531,A000000,02100,0000,02100RADIOLOGY 1531,A000000,02200,0000,02200LABORATORY 1531,A000000,02300,0000,02300INTRAVENOUS THERAPY 1531,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1531,A000000,02500,0000,02500PHYSICAL THERAPY 1531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1531,A000000,02700,0000,02700SPEECH PATHOLOGY 1531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1531,A000000,03200,0000,03200SUPPORT SURFACES 1531,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1531,A000000,05300,0000,05300INTEREST EXPENSE 1531,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1531,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1531,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1531,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1531,A000000,06152,0000,06302APARTMENTS 1531,A81000A,00100,0100,Y 1531,A81000B,00100,0300,PROPERTY INSURANCE 1531,A81000B,00200,0300,OTHER INSURANCE 1531,A81000B,00300,0300,UNEPMLOYMENT 1531,A81000B,00400,0300,WORKERS COMP 1531,A81000B,00500,0300,ADMIN & ACCOUNTING 1531,A81000B,00600,0300,NURSING SUPPLIES 1531,A81000B,00700,0300,EQUIPMENT 1531,A81000B,00800,0300,TEXTILES 1531,A81000C,00100,0100,B 1531,A81000C,00100,0600,MANAGEMENT/ACCO 1531,A81000C,00200,0100,B 1531,A81000C,00200,0400,OMNICARE 1531,A81000C,00200,0600,MEDICAL SUPPLIE 1531,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1531,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1531,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1531,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1531,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1531,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1531,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1531,B100000,00000,0800,00002MEALS SERVEDDIETARY 1531,B100000,00000,0900,00002HOURS OF SERVICENURSING ADMINISTRA 1531,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1531,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 1531,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1531,S000000,00100,0200,05/08/2000 1531,S200000,00100,0300,770 1531,S200000,00200,0100,MALTA 1531,S200000,00200,0200,MT 1531,S200000,00200,0300,59538-0770 1531,S200000,00300,0100,PHILLIPS 1531,S200000,00300,0300,R 1531,S200000,00400,0100,PHILLIPS COUNTY GOOD SAMARITAN CTR 1531,S200000,00400,0200,275131 1531,S200000,00400,0300,07/01/1989 1531,S200000,00400,0500,P 1531,S200000,01500,0100,Y 1531,S200000,01900,0100,N 1531,S200000,04600,0100,Y 1531,S700003,00000,0100,1 1536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1536,A000000,00300,0000,00300EMPLOYEE BENEFITS 1536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1536,A000000,00700,0000,00700HOUSEKEEPING 1536,A000000,00800,0000,00800DIETARY 1536,A000000,00900,0000,00900NURSING ADMINISTRATION 1536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1536,A000000,01100,0000,01100PHARMACY 1536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1536,A000000,01300,0000,01300SOCIAL SERVICE 1536,A000000,01600,0000,01600SKILLED NURSING FACILITY 1536,A000000,01800,0000,01800NURSING FACILITY 1536,A000000,01900,0000,01900OTHER LONG TERM CARE 1536,A000000,02100,0000,02100RADIOLOGY 1536,A000000,02200,0000,02200LABORATORY 1536,A000000,02300,0000,02300INTRAVENOUS THERAPY 1536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1536,A000000,02500,0000,02500PHYSICAL THERAPY 1536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1536,A000000,02700,0000,02700SPEECH PATHOLOGY 1536,A000000,02800,0000,02800ELECTROCARDIOLOGY 1536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1536,A000000,03200,0000,03200SUPPORT SURFACES 1536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1536,A000000,05300,0000,05300INTEREST EXPENSE 1536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1536,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1536,A000000,06151,0000,06301T.V. STUDIO 1536,A000000,06152,0000,06302RESOURCE DEVELOPMENT 1536,A000000,06153,0000,06303MEALS ON WHEELS 1536,A81000A,00100,0100,Y 1536,A81000B,00100,0300,PROPERTY AND LIABILITY 1536,A81000B,00200,0300,VEHICLE INS 1536,A81000B,00300,0300,UNEMPLOYMENT 1536,A81000B,00400,0300,ADMIN & ACCTG 1536,A81000B,00500,0300,WORKERS COMP 1536,A81000B,00600,0300,ADMIN SUPPLIES 1536,A81000B,00700,0300,DIETARY SUPPLM 1536,A81000B,00800,0300,MEDICAL/NURSING SUP 1536,A81000B,00900,0300,C/S INCONTINENT BRIEFS 1536,A81000C,00100,0100,B 1536,A81000C,00100,0400,GOOD SAM SOCIET 1536,A81000C,00100,0600,HEALTHCARE 1536,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 1536,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 1536,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 1536,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 1536,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 1536,B100000,00000,0600,00003PATIENT DAYSLAUNDRY & LINEN SERVI 1536,B100000,00000,0700,00003SQUARE FEETHOUSEKEEPING 1536,B100000,00000,0800,00003MEALS SERVEDDIETARY 1536,B100000,00000,0900,00003DIR NURSINHRS OF SVCNURSING ADMINIS 1536,B100000,00000,1000,00003COSTED REQUISITIOCENTRAL SERVICE 1536,B100000,00000,1100,00003COSTED REQUISITIOPHARMACY 1536,B100000,00000,1200,00003GROSS REVENUESMEDICAL RECORDS & 1536,B100000,00000,1300,00003ASSIGNED TIMESOCIAL SERVICE 1536,E10A180,00301,0100,01/17/2000 1536,E10A180,00501,0300,07/13/2000 1536,E10A180,00550,0100,07/13/2000 1536,S000000,00100,0200,05/17/2000 1536,S200000,00100,0100,926 EAST E ST 1536,S200000,00200,0100,HASTINGS 1536,S200000,00200,0200,NE 1536,S200000,00200,0300,68902 1536,S200000,00300,0100,ADAMS/ /RURAL 1536,S200000,00300,0300,R 1536,S200000,00400,0100,PERKINS PAVILION 1536,S200000,00400,0200,285072 1536,S200000,00400,0300,12/01/1985 1536,S200000,00400,0500,P 1536,S200000,01600,0100,Y 1536,S200000,01900,0100,Y 1536,S200000,02800,0100,Y 1536,S700003,00000,0100,1 1541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1541,A000000,00300,0000,00300EMPLOYEE BENEFITS 1541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1541,A000000,00700,0000,00700HOUSEKEEPING 1541,A000000,00800,0000,00800DIETARY 1541,A000000,00900,0000,00900NURSING ADMINISTRATION 1541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1541,A000000,01100,0000,01100PHARMACY 1541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1541,A000000,01300,0000,01300SOCIAL SERVICE 1541,A000000,01600,0000,01600SKILLED NURSING FACILITY 1541,A000000,01800,0000,01800NURSING FACILITY 1541,A000000,01810,0000,01810ICF/MR 1541,A000000,02100,0000,02100RADIOLOGY 1541,A000000,02200,0000,02200LABORATORY 1541,A000000,02300,0000,02300INTRAVENOUS THERAPY 1541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1541,A000000,02500,0000,02500PHYSICAL THERAPY 1541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1541,A000000,02700,0000,02700SPEECH PATHOLOGY 1541,A000000,02800,0000,02800ELECTROCARDIOLOGY 1541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1541,A000000,03200,0000,03200SUPPORT SURFACES 1541,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1541,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1541,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1541,A81000A,00100,0100,Y 1541,A81000B,00100,0300,PROPERTY & LIAB INS. 1541,A81000B,00200,0300,VEHICLE INS. 1541,A81000B,00300,0300,UNEMPLOYMENT 1541,A81000B,00400,0300,ADMIN & ACCTG 1541,A81000B,00500,0300,WORKERS COMP 1541,A81000B,00600,0300,ADMIN SUPPLIES 1541,A81000B,00700,0300,DIETARY SUPPLEMENT 1541,A81000B,00800,0300,NURSING SUPPLIES 1541,A81000B,00900,0300,INCONTINENT BRIEFS 1541,A81000B,00901,0300,SMALL EQU 1541,A81000C,00100,0100,B 1541,A81000C,00100,0400,GOOD SAMARITAN 1541,A81000C,00100,0600,HEALTHCARE 1541,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1541,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1541,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1541,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1541,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1541,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1541,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1541,B100000,00000,0800,00001MEALS SERVEDDIETARY 1541,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1541,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1541,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1541,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 1541,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1541,E10A180,00501,0300,06/19/2000 1541,E10A180,00550,0100,06/19/2000 1541,S000000,00100,0200,05/17/2000 1541,S200000,00200,0100,12856 DEAUVILLE DRIVE 1541,S200000,00200,0200,NE 1541,S200000,00300,0100,DOUGLAS 1541,S200000,00300,0300,U 1541,S200000,00400,0100,MILLARD GS CENTER 1541,S200000,00400,0200,285098 1541,S200000,00400,0300,01/01/1967 1541,S200000,00400,0500,P 1541,S200000,01600,0100,Y 1541,S200000,01900,0100,Y 1541,S200000,02800,0100,Y 1541,S700003,00000,0100,1 1544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1544,A000000,00300,0000,00300EMPLOYEE BENEFITS 1544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1544,A000000,00700,0000,00700HOUSEKEEPING 1544,A000000,00800,0000,00800DIETARY 1544,A000000,00900,0000,00900NURSING ADMINISTRATION 1544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1544,A000000,01300,0000,01300SOCIAL SERVICE 1544,A000000,01600,0000,01600SKILLED NURSING FACILITY 1544,A000000,01800,0000,01800NURSING FACILITY 1544,A000000,01900,0000,01900OTHER LONG TERM CARE 1544,A000000,02100,0000,02100RADIOLOGY 1544,A000000,02200,0000,02200LABORATORY 1544,A000000,02300,0000,02300INTRAVENOUS THERAPY 1544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1544,A000000,02500,0000,02500PHYSICAL THERAPY 1544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1544,A000000,02700,0000,02700SPEECH PATHOLOGY 1544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1544,A000000,03200,0000,03200SUPPORT SURFACES 1544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1544,A000000,04800,0000,04800AMBULANCE 1544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1544,A000000,05300,0000,05300INTEREST EXPENSE 1544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1544,A000000,06150,0000,06300MARKETING/RESOURCE DEVELOPMENT 1544,A81000A,00100,0100,Y 1544,A81000B,00100,0300,PROPERTY INSURANCE 1544,A81000B,00200,0300,OTHER INSURANCE 1544,A81000B,00300,0300,UNEMPLOYMENT 1544,A81000B,00400,0300,WORKERS COMP 1544,A81000B,00500,0300,ADMIN & ACCOUNTING 1544,A81000B,00600,0300,NURSING SUPPLIES 1544,A81000B,00700,0300,DISPOSABLE BRIEFS 1544,A81000B,00800,0300,DIETARY SUPPLEMENTS 1544,A81000B,00900,0300,EQUIPMENT 1544,A81000C,00100,0100,B 1544,A81000C,00100,0200,EVANGELICAL LUT 1544,A81000C,00100,0600,MANAGEMENT & AC 1544,A81000C,00200,0200,SAMARITAN SOCIE 1544,A81000C,00400,0100,B 1544,A81000C,00400,0200,EVANGELICAL LUT 1544,A81000C,00400,0400,OMNICARE 1544,A81000C,00400,0600,MEDICAL SUPPLIE 1544,A81000C,00500,0200,SAMARITAN SOCIE 1544,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1544,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1544,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1544,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1544,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1544,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1544,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1544,B100000,00000,0800,00000MEALS SERVEDDIETARY 1544,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1544,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1544,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1544,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1544,E10A180,00550,0100,07/14/2000 1544,E10A180,00550,0300,07/14/2000 1544,H510100,02400,0000,9928 1544,H710000,00501,0100,07/14/2000 1544,H710000,00501,0300,07/14/2000 1544,S000000,00100,0200,05/31/2000 1544,S200000,00100,0100,ROUTE 1 1544,S200000,00100,0300,4 1544,S200000,00200,0100,AUBURN 1544,S200000,00200,0200,NE 1544,S200000,00200,0300,68305- 1544,S200000,00300,0100,NEMAHA 1544,S200000,00300,0300,R 1544,S200000,00400,0100,NEMAHA COUNTY GOOD SAM CENTER 1544,S200000,00400,0200,285112 1544,S200000,00400,0300,12/01/1991 1544,S200000,00400,0500,P 1544,S200000,00800,0200,287115 1544,S200000,00800,0300,11/20/1998 1544,S200000,00800,0500,P 1544,S200000,01500,0100,Y 1544,S200000,01900,0100,N 1544,S200000,04600,0100,Y 1544,S410002,01300,0000,PVT DUTY 1544,S700003,00000,0100,1 1548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1548,A000000,00300,0000,00300EMPLOYEE BENEFITS 1548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1548,A000000,00700,0000,00700HOUSEKEEPING 1548,A000000,00800,0000,00800DIETARY 1548,A000000,00900,0000,00900NURSING ADMINISTRATION 1548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1548,A000000,01100,0000,01100PHARMACY 1548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1548,A000000,01300,0000,01300SOCIAL SERVICE 1548,A000000,01600,0000,01600SKILLED NURSING FACILITY 1548,A000000,01800,0000,01800NURSING FACILITY 1548,A000000,01900,0000,01900OTHER LONG TERM CARE 1548,A000000,02100,0000,02100RADIOLOGY 1548,A000000,02200,0000,02200LABORATORY 1548,A000000,02300,0000,02300INTRAVENOUS THERAPY 1548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1548,A000000,02500,0000,02500PHYSICAL THERAPY 1548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1548,A000000,02700,0000,02700SPEECH PATHOLOGY 1548,A000000,02800,0000,02800ELECTROCARDIOLOGY 1548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1548,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1548,A000000,03200,0000,03200SUPPORT SURFACES 1548,A000000,03400,0000,03400CLINIC 1548,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1548,A000000,05300,0000,05300INTEREST EXPENSE 1548,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1548,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1548,A000000,06150,0000,06300RESOURCE DEVELOPMENT 1548,A81000A,00100,0100,Y 1548,A81000B,00100,0300,PROPERTY AND LIAB. 1548,A81000B,00200,0300,VEHICLE INS. 1548,A81000B,00300,0300,UNEMPLOYMENT 1548,A81000B,00400,0300,ADMIN. & ACCTG. 1548,A81000B,00500,0300,WORKERS COMP. 1548,A81000B,00600,0300,SUPPLIES NURSING 1548,A81000B,00700,0300,INCONTINENT SUPPLIES 1548,A81000B,00800,0300,DIETARY SUPP. 1548,A81000B,00900,0300,SMALL EQUIP. 1548,A81000B,00901,0300,HOUSEKEEPING 1548,A81000C,00100,0100,B 1548,A81000C,00100,0400,GOOD SAMARITAN 1548,A81000C,00100,0600,HEALTHCARE 1548,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1548,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1548,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1548,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1548,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1548,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1548,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1548,B100000,00000,0800,00000MEALS SERVEDDIETARY 1548,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 1548,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 1548,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 1548,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1548,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1548,E10A180,00501,0100,07/14/2000 1548,E10A180,00501,0300,07/14/2000 1548,S000000,00100,0200,05/23/2000 1548,S200000,00100,0100,1622 WALNUT ST. 1548,S200000,00200,0100,SYRACUSE 1548,S200000,00200,0200,NE 1548,S200000,00200,0300,68446 1548,S200000,00300,0100,OTOE 1548,S200000,00300,0300,R 1548,S200000,00400,0100,SYRACUSE GS CENTER 1548,S200000,00400,0200,285138 1548,S200000,00400,0300,02/01/1994 1548,S200000,00400,0500,P 1548,S200000,01900,0100,Y 1548,S200000,02800,0100,Y 1548,S700003,00000,0100,1 1553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1553,A000000,00300,0000,00300EMPLOYEE BENEFITS 1553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1553,A000000,00700,0000,00700HOUSEKEEPING 1553,A000000,00800,0000,00800DIETARY 1553,A000000,00900,0000,00900NURSING ADMINISTRATION 1553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1553,A000000,01100,0000,01100PHARMACY 1553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1553,A000000,01300,0000,01300SOCIAL SERVICE 1553,A000000,01600,0000,01600SKILLED NURSING FACILITY 1553,A000000,01800,0000,01800NURSING FACILITY 1553,A000000,02100,0000,02100RADIOLOGY 1553,A000000,02200,0000,02200LABORATORY 1553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1553,A000000,02500,0000,02500PHYSICAL THERAPY 1553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1553,A000000,02700,0000,02700SPEECH PATHOLOGY 1553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1553,A000000,03200,0000,03200SUPPORT SURFACES 1553,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1553,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1553,A000000,06150,0000,06300RESOURCE DEVELOPMENT 1553,A000000,06151,0000,06301HH SQ FT 1553,A000000,06152,0000,06302MEALS ON WHEELS 1553,A81000A,00100,0100,Y 1553,A81000B,00100,0300,UNEMPLOYMENT 1553,A81000B,00200,0300,PROPERTY INSURANCE 1553,A81000B,00300,0300,VEHICLE INSURANCE 1553,A81000B,00400,0300,ADMIN. & ACCTG. 1553,A81000B,00500,0300,WORKERS COMP 1553,A81000C,00100,0100,B 1553,A81000C,00100,0400,GOOD SAMARITAN 1553,A81000C,00100,0600,HEALTHCARE 1553,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1553,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1553,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1553,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1553,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1553,B100000,00000,0600,00002GROSS SALARIESLAUNDRY & LINEN S 1553,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1553,B100000,00000,0800,00002MEALS SERVEDDIETARY 1553,B100000,00000,0900,00002DIR NURSINHRS OF SVCNURSING ADMINIS 1553,B100000,00000,1000,00002COSTED REQUISITIOCENTRAL SERVICE 1553,B100000,00000,1100,00002COSTED REQUISITIOPHARMACY 1553,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 1553,B100000,00000,1300,00002TIME SPENTSOCIAL SERVICE 1553,E10A180,00501,0300,07/06/2000 1553,E10A180,00550,0100,07/06/2000 1553,S000000,00100,0200,05/30/2000 1553,S200000,00100,0100,300 N. SECOND ST. 1553,S200000,00100,0300,307 1553,S200000,00200,0100,BLOOMFIELD 1553,S200000,00200,0200,NE 1553,S200000,00200,0300,68718 1553,S200000,00300,0100,KNOX 1553,S200000,00300,0300,R 1553,S200000,00400,0100,BLOOMFIELD GS CENTER 1553,S200000,00400,0200,285156 1553,S200000,00400,0300,11/01/1994 1553,S200000,00400,0500,P 1553,S200000,01500,0100,Y 1553,S200000,02800,0100,Y 1553,S700003,00000,0100,1 1557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1557,A000000,00300,0000,00300EMPLOYEE BENEFITS 1557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1557,A000000,00700,0000,00700HOUSEKEEPING 1557,A000000,00800,0000,00800DIETARY 1557,A000000,00900,0000,00900NURSING ADMINISTRATION 1557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1557,A000000,01300,0000,01300SOCIAL SERVICE 1557,A000000,01600,0000,01600SKILLED NURSING FACILITY 1557,A000000,01800,0000,01800NURSING FACILITY 1557,A000000,01810,0000,01801ICF/MR 1557,A000000,01900,0000,01900OTHER LONG TERM CARE 1557,A000000,02100,0000,02100RADIOLOGY 1557,A000000,02200,0000,02200LABORATORY 1557,A000000,02300,0000,02300INTRAVENOUS THERAPY 1557,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1557,A000000,02500,0000,02500PHYSICAL THERAPY 1557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1557,A000000,02700,0000,02700SPEECH PATHOLOGY 1557,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1557,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1557,A000000,03200,0000,03200SUPPORT SURFACES 1557,A000000,03400,0000,03400CLINIC 1557,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1557,A000000,03500,0000,03500RURAL HEALTH CLINIC 1557,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1557,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1557,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1557,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1557,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1557,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1557,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1557,A000000,04400,0000,04400DME RENTED - HHA 1557,A000000,04500,0000,04500DME SOLD - HHA 1557,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1557,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1557,A000000,04750,0000,05100OSP 1557,A000000,04800,0000,04800AMBULANCE 1557,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1557,A000000,05000,0000,05000CORF 1557,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1557,A000000,05300,0000,05300INTEREST EXPENSE 1557,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1557,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1557,A000000,05500,0000,05500HOSPICE 1557,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1557,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1557,A000000,06100,0000,06100NONPAID WORKERS 1557,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1557,A000000,06200,0000,06200PATIENTS LAUNDRY 1557,A81000A,00100,0100,Y 1557,A81000B,00100,0300,PROPERTY-INSURANCE 1557,A81000B,00200,0300,OTHER INSURANCE 1557,A81000B,00300,0300,UNEMPLOYMENT 1557,A81000B,00400,0300,WORKERS COMPENSATION 1557,A81000B,00500,0300,ADMIN & ACCOUNTING 1557,A81000B,00600,0300,NURSING SUPPLIES 1557,A81000B,00700,0300,BRIEFS 1557,A81000B,00800,0300,DIETARY SUPPLEMENTS 1557,A81000B,00900,0300,EQUIPMENT 1557,A81000B,00901,0300,TEXTILES 1557,A81000B,00902,0300,OTHER 1557,A81000C,00100,0100,B 1557,A81000C,00100,0200,EV. LUTHERAN GO 1557,A81000C,00100,0400,ALLIANCE 1557,A81000C,00100,0600,MGMT & ACCTING 1557,A81000C,00200,0100,B 1557,A81000C,00200,0200,EV. LUTHERAN GO 1557,A81000C,00200,0400,OMNICARE 1557,A81000C,00200,0600,MEDICAL SUPPLIE 1557,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1557,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1557,B100000,00000,0300,00000GROSS WAGESEMPLOYEE BENEFITS 1557,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1557,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1557,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1557,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1557,B100000,00000,0800,00000MEALS SERVEDDIETARY 1557,B100000,00000,0900,00000NURSING HOURSNURSING ADMINISTRATI 1557,B100000,00000,1000,00000COSTED REQCENTRAL SERVICES & SUP 1557,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1557,B100000,00000,1300,00000ADSOCIAL SERVICE 1557,E10A180,00501,0100,07/21/2000 1557,E10A180,00501,0300,07/21/2000 1557,S000000,00100,0200,05/26/2000 1557,S200000,00100,0100,1016 E. 6TH STREET 1557,S200000,00200,0100,ALLIANCE 1557,S200000,00200,0200,NE 1557,S200000,00200,0300,69301- 1557,S200000,00300,0100,BOX BUTTE 1557,S200000,00300,0300,R 1557,S200000,00400,0100,ALLIANCE GOOD SAMARITAN VILLAGE 1557,S200000,00400,0200,285174 1557,S200000,00400,0300,12/01/1995 1557,S200000,00400,0500,P 1557,S200000,01500,0100,Y 1557,S200000,01900,0100,N 1557,S700003,00000,0400,4 1560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1560,A000000,00300,0000,00300EMPLOYEE BENEFITS 1560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1560,A000000,00700,0000,00700HOUSEKEEPING 1560,A000000,00800,0000,00800DIETARY 1560,A000000,00900,0000,00900NURSING ADMINISTRATION 1560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1560,A000000,01300,0000,01300SOCIAL SERVICE 1560,A000000,01600,0000,01600SKILLED NURSING FACILITY 1560,A000000,01800,0000,01800NURSING FACILITY 1560,A000000,01810,0000,01801ICF/MR 1560,A000000,01900,0000,01900OTHER LONG TERM CARE 1560,A000000,02100,0000,02100RADIOLOGY 1560,A000000,02200,0000,02200LABORATORY 1560,A000000,02300,0000,02300INTRAVENOUS THERAPY 1560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1560,A000000,02500,0000,02500PHYSICAL THERAPY 1560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1560,A000000,02700,0000,02700SPEECH PATHOLOGY 1560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1560,A000000,03200,0000,03200SUPPORT SURFACES 1560,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1560,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1560,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1560,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1560,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1560,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1560,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1560,A000000,04400,0000,04400DME RENTED - HHA 1560,A000000,04500,0000,04500DME SOLD - HHA 1560,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1560,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1560,A000000,04750,0000,05100OSP 1560,A000000,04800,0000,04800AMBULANCE 1560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1560,A000000,05000,0000,05000CORF 1560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1560,A000000,05300,0000,05300INTEREST EXPENSE 1560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1560,A000000,05500,0000,05500HOSPICE 1560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1560,A000000,06100,0000,06100NONPAID WORKERS 1560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1560,A000000,06200,0000,06200PATIENTS LAUNDRY 1560,A81000A,00100,0100,Y 1560,A81000B,00100,0300,PROPERTY INSURANCE 1560,A81000B,00200,0300,OTHER INSURANCE 1560,A81000B,00300,0300,UNEMPLOYMENT 1560,A81000B,00400,0300,WORKERS COMPENSATION 1560,A81000B,00500,0300,ADMIN & ACCOUNTING 1560,A81000B,00600,0300,NURSING SUPPLIES 1560,A81000B,00700,0300,BRIEFS 1560,A81000B,00800,0300,EQUIPMENT 1560,A81000C,00100,0100,B 1560,A81000C,00100,0200,ELGSS 1560,A81000C,00100,0400,C.A. MUES MEMOR 1560,A81000C,00100,0600,MGMT & ACCTING 1560,A81000C,00200,0100,B 1560,A81000C,00200,0200,ELGSS 1560,A81000C,00200,0400,OMNICARE 1560,A81000C,00200,0600,MEDICAL SUPPLIE 1560,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1560,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1560,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1560,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1560,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1560,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1560,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1560,B100000,00000,0800,00000MEALS SERVEDDIETARY 1560,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1560,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1560,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1560,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1560,E10A180,00550,0300,07/13/2000 1560,S000000,00100,0200,05/16/2000 1560,S200000,00100,0100,601 MAIN STREET 1560,S200000,00200,0100,ARAPAHOE 1560,S200000,00200,0200,NE 1560,S200000,00200,0300,68922- 1560,S200000,00300,0100,FURNAS 1560,S200000,00300,0300,R 1560,S200000,00400,0100,C. A. MUES MEMORIAL GOOD SAMARITAN 1560,S200000,00400,0200,285175 1560,S200000,00400,0300,12/01/1995 1560,S200000,00400,0500,P 1560,S200000,01500,0100,Y 1560,S200000,01900,0100,N 1560,S700003,00000,0400,4 1563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1563,A000000,00300,0000,00300EMPLOYEE BENEFITS 1563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1563,A000000,00700,0000,00700HOUSEKEEPING 1563,A000000,00800,0000,00800DIETARY 1563,A000000,00900,0000,00900NURSING ADMINISTRATION 1563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1563,A000000,01300,0000,01300SOCIAL SERVICE 1563,A000000,01350,0000,01500OTHER GENERAL SERVICES 1563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1563,A000000,01600,0000,01600SKILLED NURSING FACILITY 1563,A000000,01800,0000,01800NURSING FACILITY 1563,A000000,01810,0000,01801ICF/MR 1563,A000000,01900,0000,01900OTHER LONG TERM CARE 1563,A000000,02100,0000,02100RADIOLOGY 1563,A000000,02200,0000,02200LABORATORY 1563,A000000,02300,0000,02300INTRAVENOUS THERAPY 1563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1563,A000000,02500,0000,02500PHYSICAL THERAPY 1563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1563,A000000,02700,0000,02700SPEECH PATHOLOGY 1563,A000000,02800,0000,02800ELECTROCARDIOLOGY 1563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1563,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1563,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1563,A000000,03200,0000,03200SUPPORT SURFACES 1563,A000000,03400,0000,03400CLINIC 1563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1563,A000000,03500,0000,03500RURAL HEALTH CLINIC 1563,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1563,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1563,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1563,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1563,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1563,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1563,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1563,A000000,04400,0000,04400DME RENTED - HHA 1563,A000000,04500,0000,04500DME SOLD - HHA 1563,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1563,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1563,A000000,04750,0000,05100OSP 1563,A000000,04800,0000,04800AMBULANCE 1563,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1563,A000000,05000,0000,05000CORF 1563,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1563,A000000,05300,0000,05300INTEREST EXPENSE 1563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1563,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1563,A000000,05500,0000,05500HOSPICE 1563,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1563,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1563,A000000,06100,0000,06100NONPAID WORKERS 1563,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1563,A000000,06200,0000,06200PATIENTS LAUNDRY 1563,A81000A,00100,0100,Y 1563,A81000B,00100,0300,PROPERTY INSURANCE 1563,A81000B,00200,0300,OTHER INSURANCE 1563,A81000B,00300,0300,UNEMPLOYMENT 1563,A81000B,00400,0300,WORKERS COMP 1563,A81000B,00500,0300,ADMIN/ACTG 1563,A81000B,00600,0300,MED SUPPLIES 1563,A81000B,00700,0300,DISPOSABLE BRIEFS 1563,A81000B,00800,0300,DIETARY SUPPLEMENT 1563,A81000B,00900,0300,TEXTILES 1563,A81000C,00100,0100,B 1563,A81000C,00100,0200,EV LUTHERAN GOO 1563,A81000C,00100,0400,EV LUTHERAN GOO 1563,A81000C,00100,0600,MGMT/ACTG 1563,A81000C,00200,0100,B 1563,A81000C,00200,0200,OMNICARE SUPPLY 1563,A81000C,00200,0400,OMNICARE SUPPLY 1563,A81000C,00200,0600,MED SUPPLIES 1563,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1563,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1563,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1563,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1563,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1563,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1563,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1563,B100000,00000,0800,00000MEALS SERVEDDIETARY 1563,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1563,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1563,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1563,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1563,B100000,00000,1350,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1563,B100000,00000,1351,00000NO STATISTICSOTHER GENERAL S 1563,E10A180,00501,0100,07/13/2000 1563,E10A180,00550,0300,07/13/2000 1563,S000000,00100,0200,05/15/2000 1563,S200000,00100,0100,601 WEST 4TH 1563,S200000,00200,0100,VALENTINE 1563,S200000,00200,0200,NE 1563,S200000,00200,0300,69201- 1563,S200000,00300,0100,CHERRY 1563,S200000,00300,0300,R 1563,S200000,00400,0100,PINE VIEW GOOD SAMARITAN CENTER 1563,S200000,00400,0200,285176 1563,S200000,00400,0300,12/01/1995 1563,S200000,00400,0500,P 1563,S200000,01500,0100,Y 1563,S200000,01900,0100,N 1563,S700003,00000,0400,4 1575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1575,A000000,00300,0000,00300EMPLOYEE BENEFITS 1575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1575,A000000,00700,0000,00700HOUSEKEEPING 1575,A000000,00800,0000,00800DIETARY 1575,A000000,00900,0000,00900NURSING ADMINISTRATION 1575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1575,A000000,01100,0000,01100PHARMACY 1575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1575,A000000,01300,0000,01300SOCIAL SERVICE 1575,A000000,01600,0000,01600SKILLED NURSING FACILITY 1575,A000000,01800,0000,01800NURSING FACILITY 1575,A000000,01900,0000,01900OTHER LONG TERM CARE 1575,A000000,02100,0000,02100RADIOLOGY 1575,A000000,02200,0000,02200LABORATORY 1575,A000000,02300,0000,02300INTRAVENOUS THERAPY 1575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1575,A000000,02500,0000,02500PHYSICAL THERAPY 1575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1575,A000000,02700,0000,02700SPEECH PATHOLOGY 1575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1575,A000000,03200,0000,03200SUPPORT SURFACES 1575,A000000,04800,0000,04800AMBULANCE 1575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1575,A000000,05300,0000,05300INTEREST EXPENSE 1575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1575,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1575,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1575,A000000,06152,0000,06302T.V. STUDIO 1575,A000000,06153,0000,06303APARTMENTS/ASSISTED LIVING 1575,A000000,06154,0000,06304CHILD DAY CARE 1575,A000000,06155,0000,06305HHA 1575,A000000,06156,0000,06306GUEST MEALS 1575,A81000A,00100,0100,Y 1575,A81000B,00100,0300,PROPERTY & LIAB INS 1575,A81000B,00200,0300,VEHICLE INS 1575,A81000B,00300,0300,UNEMPLOYMENT 1575,A81000B,00400,0300,ADMIN & ACCTG 1575,A81000B,00500,0300,WORKERS COMP 1575,A81000B,00600,0300,ADMIN SUPLIES 1575,A81000B,00700,0300,DIETARY SUPPL 1575,A81000B,00800,0300,MEDICAL/NURSING SUP 1575,A81000B,00900,0300,INCONTINENT BRIEFS 1575,A81000B,00901,0300,NURSING EQUIPMENT 1575,A81000C,00100,0100,B 1575,A81000C,00100,0400,GOOD SAMARITAN 1575,A81000C,00100,0600,HEALTHCARE 1575,B100000,00000,0100,00006SQUARE FEETCAP REL COSTS - BLDGS 1575,B100000,00000,0200,00006SQUARE FEETCAP REL COSTS - MOVAB 1575,B100000,00000,0300,00006GROSS SALARIESEMPLOYEE BENEFITS 1575,B100000,00000,0400,00006ACC COSTADMINISTRATIVE & GENERAL 1575,B100000,00000,0500,00006SQUARE FEETPLANT OPERATION MAIN 1575,B100000,00000,0600,00006PATIENT DAYSLAUNDRY & LINEN SERVI 1575,B100000,00000,0700,00006SQUARE FEETHOUSEKEEPING 1575,B100000,00000,0800,00006MEALS SERVEDDIETARY 1575,B100000,00000,0900,00006DIR NURSINHRS OF SVCNURSING ADMINIS 1575,B100000,00000,1000,00006COSTED REQUISITIOCENTRAL SERVICE 1575,B100000,00000,1100,00006COSTED REQUISITIOPHARMACY 1575,B100000,00000,1200,00006GROSS REVENUESMEDICAL RECORDS & 1575,B100000,00000,1300,00006TIME SPENTSOCIAL SERVICE 1575,S000000,00100,0200,05/19/2000 1575,S200000,00100,0100,926 EAST E STREET 1575,S200000,00200,0100,HASTINGS 1575,S200000,00200,0200,NE 1575,S200000,00200,0300,68902 1575,S200000,00300,0100,ADAMS 1575,S200000,00300,0300,R 1575,S200000,00400,0100,VILLA GRACE 1575,S200000,00400,0200,285184 1575,S200000,00400,0300,04/01/1996 1575,S200000,00400,0500,P 1575,S200000,01600,0100,Y 1575,S200000,01900,0100,CHURCH RELATED 1575,S200000,03100,0100,Y 1575,S700003,00000,0400,4 1578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1578,A000000,00300,0000,00300EMPLOYEE BENEFITS 1578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1578,A000000,00700,0000,00700HOUSEKEEPING 1578,A000000,00800,0000,00800DIETARY 1578,A000000,00900,0000,00900NURSING ADMINISTRATION 1578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1578,A000000,01300,0000,01300SOCIAL SERVICE 1578,A000000,01350,0000,01500OTHER GENERAL SERVICES 1578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1578,A000000,01600,0000,01600SKILLED NURSING FACILITY 1578,A000000,01800,0000,01800NURSING FACILITY 1578,A000000,01810,0000,01801ICF/MR 1578,A000000,01900,0000,01900OTHER LONG TERM CARE 1578,A000000,02100,0000,02100RADIOLOGY 1578,A000000,02200,0000,02200LABORATORY 1578,A000000,02300,0000,02300INTRAVENOUS THERAPY 1578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1578,A000000,02500,0000,02500PHYSICAL THERAPY 1578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1578,A000000,02700,0000,02700SPEECH PATHOLOGY 1578,A000000,02800,0000,02800ELECTROCARDIOLOGY 1578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1578,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1578,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1578,A000000,03200,0000,03200SUPPORT SURFACES 1578,A000000,03400,0000,03400CLINIC 1578,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1578,A000000,03500,0000,03500RURAL HEALTH CLINIC 1578,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1578,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1578,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1578,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1578,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1578,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1578,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1578,A000000,04400,0000,04400DME RENTED - HHA 1578,A000000,04500,0000,04500DME SOLD - HHA 1578,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1578,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1578,A000000,04750,0000,05100OSP 1578,A000000,04800,0000,04800AMBULANCE 1578,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1578,A000000,05000,0000,05000CORF 1578,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1578,A000000,05300,0000,05300INTEREST EXPENSE 1578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1578,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1578,A000000,05500,0000,05500HOSPICE 1578,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1578,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1578,A000000,06100,0000,06100NONPAID WORKERS 1578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1578,A000000,06200,0000,06200PATIENTS LAUNDRY 1578,A81000A,00100,0100,Y 1578,A81000B,00100,0300,PROPERTY INSURANCE 1578,A81000B,00200,0300,OTHER INSURANCE 1578,A81000B,00300,0300,UNEMPLOYMENT 1578,A81000B,00400,0300,WORKERS COMP 1578,A81000B,00500,0300,ADMIN/ACTG 1578,A81000B,00600,0300,MED SUPPLIES 1578,A81000B,00700,0300,DISPOSABLE BRIEFS 1578,A81000B,00800,0300,DIETARY SUPPLEMENT 1578,A81000B,00900,0300,EQUIPMENT 1578,A81000B,00901,0300,TEXTILES 1578,A81000C,00100,0100,B 1578,A81000C,00100,0200,EV LUTHERAN GOO 1578,A81000C,00100,0400,EV LUTHERAN GOO 1578,A81000C,00100,0600,MGMT/ACTG 1578,A81000C,00200,0100,B 1578,A81000C,00200,0200,OMNICARE PHARMA 1578,A81000C,00200,0400,OMNICARE PHARMA 1578,A81000C,00200,0600,MED SUPPLIES 1578,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1578,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1578,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1578,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1578,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1578,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1578,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1578,B100000,00000,0800,00000MEALS SERVEDDIETARY 1578,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1578,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1578,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1578,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1578,B100000,00000,1350,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1578,B100000,00000,1351,00000NO STATISTICSOTHER GENERAL S 1578,S000000,00100,0200,05/05/2000 1578,S200000,00100,0100,719 N. BROWN ST. 1578,S200000,00100,0300,2220 1578,S200000,00200,0100,ALMA NEBRASKA 1578,S200000,00200,0200,NE 1578,S200000,00200,0300,68920- 1578,S200000,00300,0100,HARLAN 1578,S200000,00300,0300,R 1578,S200000,00400,0100,COLONIAL VILLA GOOD SAMARITAN CENTER 1578,S200000,00400,0200,285185 1578,S200000,00400,0300,05/01/1996 1578,S200000,00400,0500,P 1578,S200000,01500,0100,Y 1578,S200000,01900,0100,N 1578,S700003,00000,0400,4 1581,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1581,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1581,A000000,00300,0000,00300EMPLOYEE BENEFITS 1581,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1581,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1581,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1581,A000000,00700,0000,00700HOUSEKEEPING 1581,A000000,00800,0000,00800DIETARY 1581,A000000,00900,0000,00900NURSING ADMINISTRATION 1581,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1581,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1581,A000000,01300,0000,01300SOCIAL SERVICE 1581,A000000,01600,0000,01600SKILLED NURSING FACILITY 1581,A000000,01900,0000,01900OTHER LONG TERM CARE 1581,A000000,02100,0000,02100RADIOLOGY 1581,A000000,02200,0000,02200LABORATORY 1581,A000000,02500,0000,02500PHYSICAL THERAPY 1581,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1581,A000000,02700,0000,02700SPEECH PATHOLOGY 1581,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1581,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1581,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1581,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1581,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1581,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1581,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1581,A000000,06151,0000,06301APARTMENTS 1581,A81000A,00100,0100,Y 1581,A81000B,00100,0300,PROPERTY INSURANCE 1581,A81000B,00200,0300,OTHER INSURANCE 1581,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1581,A81000B,00400,0300,WORKERS COMPENSATION 1581,A81000B,00500,0300,ACCTG & ADMINISTRATION 1581,A81000B,00600,0300,NURSING SUPPLIES 1581,A81000B,00700,0300,INCONTINENTS 1581,A81000B,00800,0300,EQUIPMENT 1581,A81000C,00100,0100,B 1581,A81000C,00100,0400,EV. LUTHERAN G. 1581,A81000C,00100,0600,ACCTG & MGMT 1581,A81000C,00200,0100,B 1581,A81000C,00200,0400,OMNIBILL 1581,A81000C,00200,0600,SUPPLIES 1581,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1581,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1581,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1581,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1581,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1581,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1581,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1581,B100000,00000,0800,00001MEALS SERVEDDIETARY 1581,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 1581,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1581,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 1581,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1581,E10A180,00501,0100,06/23/2000 1581,E10A180,00550,0300,06/23/2000 1581,S000000,00100,0200,05/31/2000 1581,S200000,00100,0100,1710 IDAHO STREET 1581,S200000,00200,0100,SUPERIOR 1581,S200000,00200,0200,NE 1581,S200000,00200,0300,68978- 1581,S200000,00300,0100,NUCKOLLS 1581,S200000,00300,0300,R 1581,S200000,00400,0100,SUPERIOR GOOD SAMARITAN CENTER 1581,S200000,00400,0200,285187 1581,S200000,00400,0300,05/01/1996 1581,S200000,00400,0500,P 1581,S200000,01500,0100,Y 1581,S200000,01900,0100,N 1581,S700003,00000,0400,4 1584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1584,A000000,00300,0000,00300EMPLOYEE BENEFITS 1584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1584,A000000,00700,0000,00700HOUSEKEEPING 1584,A000000,00800,0000,00800DIETARY 1584,A000000,00900,0000,00900NURSING ADMINISTRATION 1584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1584,A000000,01300,0000,01300SOCIAL SERVICE 1584,A000000,01350,0000,01500OTHER GENERAL SERVICES 1584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1584,A000000,01600,0000,01600SKILLED NURSING FACILITY 1584,A000000,01800,0000,01800NURSING FACILITY 1584,A000000,01810,0000,01801ICF/MR 1584,A000000,01900,0000,01900OTHER LONG TERM CARE 1584,A000000,02100,0000,02100RADIOLOGY 1584,A000000,02200,0000,02200LABORATORY 1584,A000000,02300,0000,02300INTRAVENOUS THERAPY 1584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1584,A000000,02500,0000,02500PHYSICAL THERAPY 1584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1584,A000000,02700,0000,02700SPEECH PATHOLOGY 1584,A000000,02800,0000,02800ELECTROCARDIOLOGY 1584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1584,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1584,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1584,A000000,03200,0000,03200SUPPORT SURFACES 1584,A000000,03400,0000,03400CLINIC 1584,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1584,A000000,03500,0000,03500RURAL HEALTH CLINIC 1584,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1584,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1584,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1584,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1584,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1584,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1584,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1584,A000000,04400,0000,04400DME RENTED - HHA 1584,A000000,04500,0000,04500DME SOLD - HHA 1584,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1584,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1584,A000000,04750,0000,05100OSP 1584,A000000,04800,0000,04800AMBULANCE 1584,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1584,A000000,05000,0000,05000CORF 1584,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1584,A000000,05300,0000,05300INTEREST EXPENSE 1584,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1584,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1584,A000000,05500,0000,05500HOSPICE 1584,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1584,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1584,A000000,06100,0000,06100NONPAID WORKERS 1584,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1584,A000000,06200,0000,06200PATIENTS LAUNDRY 1584,A81000A,00100,0100,Y 1584,A81000B,00100,0300,PROPERTY INSURANCE 1584,A81000B,00200,0300,OTHER INSURANCE 1584,A81000B,00300,0300,UNEMPLOYMENT 1584,A81000B,00400,0300,WORKERS COMPENSATION 1584,A81000B,00500,0300,ADMIN & ACCOUNTING 1584,A81000B,00600,0300,NURSING SUPPLIES 1584,A81000B,00700,0300,BRIEFS - CDP 1584,A81000C,00100,0100,B 1584,A81000C,00100,0200,ELGSS 1584,A81000C,00100,0600,MGMT/ACTG 1584,A81000C,00200,0100,B 1584,A81000C,00200,0200,ELGSS 1584,A81000C,00200,0600,MEDICAL SUPPLIE 1584,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1584,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1584,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1584,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1584,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1584,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1584,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1584,B100000,00000,0800,00000MEALS SERVEDDIETARY 1584,B100000,00000,0900,00000DIRECT NURSING HRNURSING ADMINIS 1584,B100000,00000,1000,00000COST REQUISCENTRAL SERVICES & 1584,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1584,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1584,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1584,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1584,S000000,00100,0200,05/19/2000 1584,S200000,00100,0100,150 W. 8TH ST. 1584,S200000,00200,0100,NELSON 1584,S200000,00200,0200,NE 1584,S200000,00200,0300,68961-0427 1584,S200000,00300,0100,NUCKOLLS 1584,S200000,00300,0300,R 1584,S200000,00400,0100,NELSON GOOD SAMARITAN CENTER 1584,S200000,00400,0200,285188 1584,S200000,00400,0300,05/01/1996 1584,S200000,00400,0500,P 1584,S200000,01500,0100,Y 1584,S200000,01900,0100,N 1584,S700003,00000,0400,4 1587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1587,A000000,00300,0000,00300EMPLOYEE BENEFITS 1587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1587,A000000,00700,0000,00700HOUSEKEEPING 1587,A000000,00800,0000,00800DIETARY 1587,A000000,00900,0000,00900NURSING ADMINISTRATION 1587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1587,A000000,01300,0000,01300SOCIAL SERVICE 1587,A000000,01350,0000,01500OTHER GENERAL SERVICES 1587,A000000,01600,0000,01600SKILLED NURSING FACILITY 1587,A000000,01800,0000,01800NURSING FACILITY 1587,A000000,02100,0000,02100RADIOLOGY 1587,A000000,02200,0000,02200LABORATORY 1587,A000000,02300,0000,02300INTRAVENOUS THERAPY 1587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1587,A000000,02500,0000,02500PHYSICAL THERAPY 1587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1587,A000000,02700,0000,02700SPEECH PATHOLOGY 1587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1587,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1587,A000000,03200,0000,03200SUPPORT SURFACES 1587,A000000,04750,0000,05100OSP 1587,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1587,A000000,05300,0000,05300INTEREST EXPENSE 1587,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1587,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1587,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1587,A81000A,00100,0100,Y 1587,A81000B,00100,0300,PROPERTY INSURANCE 1587,A81000B,00200,0300,OTHER INSURANCE 1587,A81000B,00300,0300,UNEMPLOYMENT 1587,A81000B,00400,0300,WORKERS COMP 1587,A81000B,00500,0300,ADMIN & ACCOUNTING 1587,A81000B,00600,0300,NURSING SUPPLIES 1587,A81000B,00700,0300,BRIEFS-CDP 1587,A81000B,00800,0300,DIETARY SUPPLEMENTS 1587,A81000B,00900,0300,EQUIPMENT 1587,A81000C,00100,0100,B 1587,A81000C,00100,0400,ELGSS 1587,A81000C,00100,0600,MGMT/ACTG 1587,A81000C,00200,0100,B 1587,A81000C,00200,0400,ELGSS 1587,A81000C,00200,0600,MEDICAL SUPPLIE 1587,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1587,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1587,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1587,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1587,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1587,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1587,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1587,B100000,00000,0800,00000MEALS SERVEDDIETARY 1587,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1587,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1587,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1587,B100000,00000,1300,00000ADMISSIONSS SSOCIAL SERVICE 1587,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1587,E10A180,00350,0100,11/10/1999 1587,S000000,00100,0200,05/30/2000 1587,S200000,00100,0100,3410 CENTRAL AVENUE 1587,S200000,00200,0100,KEARNEY 1587,S200000,00200,0200,NE 1587,S200000,00200,0300,68847- 1587,S200000,00300,0100,BUFFALO 1587,S200000,00300,0300,R 1587,S200000,00400,0100,ST. JOHNS GOOD SAMARITAN CENTER 1587,S200000,00400,0200,285189 1587,S200000,00400,0300,06/01/1996 1587,S200000,00400,0500,P 1587,S200000,01500,0100,Y 1587,S200000,01900,0100,N 1587,S700003,00000,0400,4 1591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1591,A000000,00300,0000,00300EMPLOYEE BENEFITS 1591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1591,A000000,00700,0000,00700HOUSEKEEPING 1591,A000000,00800,0000,00800DIETARY 1591,A000000,00900,0000,00900NURSING ADMINISTRATION 1591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1591,A000000,01300,0000,01300SOCIAL SERVICE 1591,A000000,01350,0000,01500OTHER GENERAL SERVICES 1591,A000000,01600,0000,01600SKILLED NURSING FACILITY 1591,A000000,01800,0000,01800NURSING FACILITY 1591,A000000,01810,0000,01801ICF/MR 1591,A000000,01900,0000,01900OTHER LONG TERM CARE 1591,A000000,02100,0000,02100RADIOLOGY 1591,A000000,02200,0000,02200LABORATORY 1591,A000000,02300,0000,02300INTRAVENOUS THERAPY 1591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1591,A000000,02500,0000,02500PHYSICAL THERAPY 1591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1591,A000000,02700,0000,02700SPEECH PATHOLOGY 1591,A000000,02800,0000,02800ELECTROCARDIOLOGY 1591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1591,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1591,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1591,A000000,03200,0000,03200SUPPORT SURFACES 1591,A000000,03400,0000,03400CLINIC 1591,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1591,A000000,03500,0000,03500RURAL HEALTH CLINIC 1591,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1591,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1591,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1591,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1591,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1591,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1591,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1591,A000000,04400,0000,04400DME RENTED - HHA 1591,A000000,04500,0000,04500DME SOLD - HHA 1591,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1591,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1591,A000000,04750,0000,05100OSP 1591,A000000,04800,0000,04800AMBULANCE 1591,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1591,A000000,05000,0000,05000CORF 1591,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1591,A000000,05300,0000,05300INTEREST EXPENSE 1591,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1591,A000000,05500,0000,05500HOSPICE 1591,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1591,A000000,05901,0000,05901HUD MEALS 1591,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1591,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1591,A000000,06151,0000,06301RESOURCE DEVELOPMENT 1591,A000000,06200,0000,06200PATIENTS LAUNDRY 1591,A81000A,00100,0100,Y 1591,A81000B,00100,0300,PROPERTY INSURANCE 1591,A81000B,00200,0300,OTHER INSURANCE 1591,A81000B,00300,0300,UNEMPLOYMENT 1591,A81000B,00400,0300,WORKERS COMP 1591,A81000B,00500,0300,ADMIN & ACCOUNTING 1591,A81000B,00600,0300,NURSING SUPPLIES 1591,A81000B,00700,0300,BRIEFS-CDP 1591,A81000B,00800,0300,EQUIPMENT 1591,A81000B,00900,0300,TEXTILES 1591,A81000C,00100,0100,B 1591,A81000C,00100,0200,ELGSS 1591,A81000C,00100,0600,MANAGEMENT & AC 1591,A81000C,00200,0100,B 1591,A81000C,00200,0200,ELGSS 1591,A81000C,00200,0400,OMNICARE 1591,A81000C,00200,0600,MEDICAL SUPPLIE 1591,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1591,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1591,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1591,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1591,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1591,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1591,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1591,B100000,00000,0800,00001MEALS SERVEDDIETARY 1591,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1591,B100000,00000,1000,00001COSTED REQUISTIONCENTRAL SERVICE 1591,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 1591,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1591,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1591,E10A180,00350,0100,11/10/1999 1591,E10A180,00501,0300,07/18/2000 1591,E10A180,00550,0100,07/18/2000 1591,S000000,00100,0200,05/30/2000 1591,S200000,00100,0100,2201 EAST 32ND STREET 1591,S200000,00200,0100,KEARNEY 1591,S200000,00200,0200,NE 1591,S200000,00200,0300,68847- 1591,S200000,00300,0100,BUFFALO 1591,S200000,00300,0300,R 1591,S200000,00400,0100,ST LUKES GOOD SAMARITAN VILLAGE 1591,S200000,00400,0200,285192 1591,S200000,00400,0300,06/01/1996 1591,S200000,00400,0500,P 1591,S200000,01500,0100,Y 1591,S700003,00000,0400,4 1594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1594,A000000,00300,0000,00300EMPLOYEE BENEFITS 1594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1594,A000000,00700,0000,00700HOUSEKEEPING 1594,A000000,00800,0000,00800DIETARY 1594,A000000,00900,0000,00900NURSING ADMINISTRATION 1594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1594,A000000,01300,0000,01300SOCIAL SERVICE 1594,A000000,01600,0000,01600SKILLED NURSING FACILITY 1594,A000000,01800,0000,01800NURSING FACILITY 1594,A000000,01810,0000,01801ICF/MR 1594,A000000,01900,0000,01900OTHER LONG TERM CARE 1594,A000000,02100,0000,02100RADIOLOGY 1594,A000000,02200,0000,02200LABORATORY 1594,A000000,02300,0000,02300INTRAVENOUS THERAPY 1594,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1594,A000000,02500,0000,02500PHYSICAL THERAPY 1594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1594,A000000,02700,0000,02700SPEECH PATHOLOGY 1594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1594,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1594,A000000,03200,0000,03200SUPPORT SURFACES 1594,A000000,03400,0000,03400CLINIC 1594,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1594,A000000,03500,0000,03500RURAL HEALTH CLINIC 1594,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1594,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1594,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1594,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1594,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1594,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1594,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1594,A000000,04400,0000,04400DME RENTED - HHA 1594,A000000,04500,0000,04500DME SOLD - HHA 1594,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1594,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1594,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1594,A000000,04800,0000,04800AMBULANCE 1594,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1594,A000000,05000,0000,05000CORF 1594,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1594,A000000,05300,0000,05300INTEREST EXPENSE 1594,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1594,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1594,A000000,05500,0000,05500HOSPICE 1594,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1594,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1594,A000000,06100,0000,06100NONPAID WORKERS 1594,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1594,A000000,06200,0000,06200PATIENTS LAUNDRY 1594,A81000A,00100,0100,Y 1594,A81000B,00100,0300,PROPERTY INSURANCE 1594,A81000B,00200,0300,OTHER INSURANCE 1594,A81000B,00300,0300,UNEMPLOYMENT 1594,A81000B,00400,0300,WORKERS COMPENSATION 1594,A81000B,00500,0300,ADMIN & ACCOUNTING 1594,A81000B,00600,0300,NURSING SUPPLIES 1594,A81000B,00700,0300,BRIEFS 1594,A81000B,00800,0300,DIETARY SUPPLEMENTS 1594,A81000B,00900,0300,EQUIPMENT 1594,A81000B,00901,0300,TEXTILES 1594,A81000C,00100,0100,B 1594,A81000C,00100,0600,MGMT & ACCTING 1594,A81000C,00200,0100,B 1594,A81000C,00200,0400,OMNICARE 1594,A81000C,00200,0600,MEDICAL SUPPLIE 1594,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1594,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1594,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1594,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1594,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1594,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1594,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 1594,B100000,00000,0800,00000MEALS SERVEDDIETARY 1594,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1594,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1594,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1594,B100000,00000,1300,00000ADMITSSOCIAL SERVICE 1594,E10A180,00501,0100,07/18/2000 1594,E10A180,00550,0300,07/18/2000 1594,S000000,00100,0200,05/26/2000 1594,S200000,00100,0100,600 CENTER DRIVE 1594,S200000,00200,0100,OSCEOLA 1594,S200000,00200,0200,NE 1594,S200000,00200,0300,68651- 1594,S200000,00300,0100,POLK 1594,S200000,00300,0300,R 1594,S200000,00400,0100,OSCEOLA GOOD SAMARITAN CENTER 1594,S200000,00400,0200,285193 1594,S200000,00400,0300,08/01/1996 1594,S200000,00400,0500,P 1594,S200000,01500,0100,Y 1594,S200000,01900,0100,N 1594,S700003,00000,0400,4 1598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1598,A000000,00300,0000,00300EMPLOYEE BENEFITS 1598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1598,A000000,00700,0000,00700HOUSEKEEPING 1598,A000000,00800,0000,00800DIETARY 1598,A000000,00900,0000,00900NURSING ADMINISTRATION 1598,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1598,A000000,01300,0000,01300SOCIAL SERVICE 1598,A000000,01350,0000,01500OTHER GENERAL SERVICES 1598,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1598,A000000,01600,0000,01600SKILLED NURSING FACILITY 1598,A000000,01800,0000,01800NURSING FACILITY 1598,A000000,01810,0000,01801ICF/MR 1598,A000000,01900,0000,01900OTHER LONG TERM CARE 1598,A000000,02100,0000,02100RADIOLOGY 1598,A000000,02200,0000,02200LABORATORY 1598,A000000,02300,0000,02300INTRAVENOUS THERAPY 1598,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1598,A000000,02500,0000,02500PHYSICAL THERAPY 1598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1598,A000000,02700,0000,02700SPEECH PATHOLOGY 1598,A000000,02800,0000,02800ELECTROCARDIOLOGY 1598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1598,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1598,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1598,A000000,03200,0000,03200SUPPORT SURFACES 1598,A000000,03400,0000,03400CLINIC 1598,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1598,A000000,03500,0000,03500RURAL HEALTH CLINIC 1598,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1598,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1598,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1598,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1598,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1598,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1598,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1598,A000000,04400,0000,04400DME RENTED - HHA 1598,A000000,04500,0000,04500DME SOLD - HHA 1598,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1598,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1598,A000000,04750,0000,05100OSP 1598,A000000,04800,0000,04800AMBULANCE 1598,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1598,A000000,05000,0000,05000CORF 1598,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1598,A000000,05300,0000,05300INTEREST EXPENSE 1598,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1598,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1598,A000000,05500,0000,05500HOSPICE 1598,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1598,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1598,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1598,A000000,06100,0000,06100NONPAID WORKERS 1598,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1598,A000000,06200,0000,06200PATIENTS LAUNDRY 1598,A81000A,00100,0100,Y 1598,A81000B,00100,0300,PROPERTY INSURANCE 1598,A81000B,00200,0300,OTHER INSURANCE 1598,A81000B,00300,0300,UNEMPLOYMENT 1598,A81000B,00400,0300,WORKERS COMP 1598,A81000B,00500,0300,ADMIN/ACTG 1598,A81000B,00600,0300,MED SUPPLIES 1598,A81000B,00700,0300,DISPOSABLE BRIEFS 1598,A81000B,00800,0300,DIETARY SUPPLEMENT 1598,A81000C,00100,0100,B 1598,A81000C,00100,0400,EV LUTHERAN GOO 1598,A81000C,00100,0600,MGMT/ACTG 1598,A81000C,00200,0100,B 1598,A81000C,00200,0400,OMNICARE PHARM 1598,A81000C,00200,0600,MED SUPPLIES 1598,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1598,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1598,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1598,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1598,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1598,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1598,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1598,B100000,00000,0800,00000MEALS SERVEDDIETARY 1598,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1598,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1598,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1598,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1598,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1598,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1598,E10A180,00550,0300,07/24/2000 1598,S000000,00100,0200,06/02/2000 1598,S200000,00100,0100,105 E. D STREET 1598,S200000,00200,0100,WYMORE 1598,S200000,00200,0200,NE 1598,S200000,00200,0300,68466- 1598,S200000,00300,0100,GAGE 1598,S200000,00300,0300,R 1598,S200000,00400,0100,WYMORE GOOD SAMARITAN 1598,S200000,00400,0200,285195 1598,S200000,00400,0300,01/01/1996 1598,S200000,00400,0500,P 1598,S200000,01500,0100,Y 1598,S200000,01900,0100,N 1598,S700003,00000,0400,4 1602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1602,A000000,00300,0000,00300EMPLOYEE BENEFITS 1602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1602,A000000,00700,0000,00700HOUSEKEEPING 1602,A000000,00800,0000,00800DIETARY 1602,A000000,00900,0000,00900NURSING ADMINISTRATION 1602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1602,A000000,01300,0000,01300SOCIAL SERVICE 1602,A000000,01350,0000,01500OTHER GENERAL SERVICES 1602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1602,A000000,01600,0000,01600SKILLED NURSING FACILITY 1602,A000000,01800,0000,01800NURSING FACILITY 1602,A000000,01810,0000,01801ICF/MR 1602,A000000,01900,0000,01900OTHER LONG TERM CARE 1602,A000000,02100,0000,02100RADIOLOGY 1602,A000000,02200,0000,02200LABORATORY 1602,A000000,02300,0000,02300INTRAVENOUS THERAPY 1602,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1602,A000000,02500,0000,02500PHYSICAL THERAPY 1602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1602,A000000,02700,0000,02700SPEECH PATHOLOGY 1602,A000000,02800,0000,02800ELECTROCARDIOLOGY 1602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1602,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1602,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1602,A000000,03200,0000,03200SUPPORT SURFACES 1602,A000000,03400,0000,03400CLINIC 1602,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1602,A000000,03500,0000,03500RURAL HEALTH CLINIC 1602,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1602,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1602,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1602,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1602,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1602,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1602,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1602,A000000,04400,0000,04400DME RENTED - HHA 1602,A000000,04500,0000,04500DME SOLD - HHA 1602,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1602,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1602,A000000,04750,0000,05100OSP 1602,A000000,04800,0000,04800AMBULANCE 1602,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1602,A000000,05000,0000,05000CORF 1602,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1602,A000000,05300,0000,05300INTEREST EXPENSE 1602,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1602,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1602,A000000,05500,0000,05500HOSPICE 1602,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1602,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1602,A000000,06100,0000,06100NONPAID WORKERS 1602,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1602,A000000,06200,0000,06200PATIENTS LAUNDRY 1602,A81000A,00100,0100,Y 1602,A81000B,00100,0300,PROPERTY INSURANCE 1602,A81000B,00200,0300,OTHER INSURANCE 1602,A81000B,00300,0300,UNEMPLOYMENT 1602,A81000B,00400,0300,WORKERS COMP 1602,A81000B,00500,0300,ADMIN & ACCOUNTING 1602,A81000B,00600,0300,NURSING SUPPLIES 1602,A81000B,00700,0300,BRIEFS CDP 1602,A81000B,00800,0300,EQUIPMENT 1602,A81000C,00100,0100,B 1602,A81000C,00100,0600,MANAGEMENT & AC 1602,A81000C,00200,0100,B 1602,A81000C,00200,0400,OMNICARE 1602,A81000C,00200,0600,MEDICAL SUPPLIE 1602,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1602,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1602,B100000,00000,0300,00000GROSS SALARYEMPLOYEE BENEFITS 1602,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1602,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1602,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1602,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1602,B100000,00000,0800,00000MEALS SERVEDDIETARY 1602,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1602,B100000,00000,1000,00000COSTED REQUISTIONCENTRAL SERVICE 1602,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1602,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1602,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1602,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1602,E10A180,00550,0100,07/14/2000 1602,E10A180,00550,0300,07/14/2000 1602,S000000,00100,0200,05/23/2000 1602,S200000,00100,0100,815 LOGAN STREET 1602,S200000,00200,0100,SCRIBNER 1602,S200000,00200,0200,NE 1602,S200000,00200,0300,68057-9787 1602,S200000,00300,0100,DODGE 1602,S200000,00300,0300,R 1602,S200000,00400,0100,SCRIBNER GOOD SAMARITAN CENTER 1602,S200000,00400,0200,285196 1602,S200000,00400,0300,08/01/1996 1602,S200000,00400,0500,P 1602,S200000,01500,0100,Y 1602,S200000,01900,0100,N 1602,S700003,00000,0400,4 1605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1605,A000000,00300,0000,00300EMPLOYEE BENEFITS 1605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1605,A000000,00700,0000,00700HOUSEKEEPING 1605,A000000,00800,0000,00800DIETARY 1605,A000000,00900,0000,00900NURSING ADMINISTRATION 1605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1605,A000000,01300,0000,01300SOCIAL SERVICE 1605,A000000,01600,0000,01600SKILLED NURSING FACILITY 1605,A000000,01800,0000,01800NURSING FACILITY 1605,A000000,01810,0000,01801ICF/MR 1605,A000000,01900,0000,01900OTHER LONG TERM CARE 1605,A000000,02100,0000,02100RADIOLOGY 1605,A000000,02200,0000,02200LABORATORY 1605,A000000,02300,0000,02300INTRAVENOUS THERAPY 1605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1605,A000000,02500,0000,02500PHYSICAL THERAPY 1605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1605,A000000,02700,0000,02700SPEECH PATHOLOGY 1605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1605,A000000,03200,0000,03200SUPPORT SURFACES 1605,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1605,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1605,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1605,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1605,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1605,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1605,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1605,A000000,04400,0000,04400DME RENTED - HHA 1605,A000000,04500,0000,04500DME SOLD - HHA 1605,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1605,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1605,A000000,04750,0000,05100OSP 1605,A000000,04800,0000,04800AMBULANCE 1605,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1605,A000000,05000,0000,05000CORF 1605,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1605,A000000,05300,0000,05300INTEREST EXPENSE 1605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1605,A000000,05500,0000,05500HOSPICE 1605,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1605,A000000,06100,0000,06100NONPAID WORKERS 1605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1605,A000000,06200,0000,06200PATIENTS LAUNDRY 1605,A81000A,00100,0100,Y 1605,A81000B,00100,0300,PROPERTY INSURANCE 1605,A81000B,00200,0300,OTHER INSURANCE 1605,A81000B,00300,0300,UNEMPLOYMENT 1605,A81000B,00400,0300,WORKERS COMPENSATION 1605,A81000B,00500,0300,ADMIN & ACCOUNTING 1605,A81000B,00600,0300,NURSING SUPPLIES 1605,A81000B,00700,0300,INCONTINENTS 1605,A81000B,00800,0300,TEXTILES 1605,A81000C,00100,0100,B 1605,A81000C,00100,0400,ELGSS 1605,A81000C,00100,0600,MGMT & ACCOUNTI 1605,A81000C,00200,0100,B 1605,A81000C,00200,0400,OMNICARE 1605,A81000C,00200,0600,MEDICAL SUPPLIE 1605,B100000,00000,0100,00000SQUARE FOOTAGECAP REL COSTS - BL 1605,B100000,00000,0200,00000SQUARE FOOTAGECAP REL COSTS - MO 1605,B100000,00000,0300,00000GROSS WAGESEMPLOYEE BENEFITS 1605,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1605,B100000,00000,0500,00000SQUARE FOOTAGEPLANT OPERATION M 1605,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1605,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1605,B100000,00000,0800,00000MEALS SERVEDDIETARY 1605,B100000,00000,0900,00000NURSING HOURSNURSING ADMINISTRATI 1605,B100000,00000,1000,00000COSTED REQCENTRAL SERVICES & SUP 1605,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1605,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1605,E10A180,00501,0100,07/31/2000 1605,E10A180,00550,0300,07/31/2000 1605,S000000,00100,0200,06/02/2000 1605,S200000,00100,0100,1222 S. 7TH STREET 1605,S200000,00200,0100,ALBION 1605,S200000,00200,0200,NE 1605,S200000,00300,0100,BOONE 1605,S200000,00300,0300,R 1605,S200000,00400,0100,WOLF MEMORIAL GOOD SAMARITAN CENTER 1605,S200000,00400,0200,285197 1605,S200000,00400,0300,09/01/1996 1605,S200000,00400,0500,P 1605,S200000,01500,0100,Y 1605,S200000,01900,0100,N 1605,S700003,00000,0400,4 1609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1609,A000000,00300,0000,00300EMPLOYEE BENEFITS 1609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1609,A000000,00700,0000,00700HOUSEKEEPING 1609,A000000,00800,0000,00800DIETARY 1609,A000000,00900,0000,00900NURSING ADMINISTRATION 1609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1609,A000000,01300,0000,01300SOCIAL SERVICE 1609,A000000,01350,0000,01500OTHER GENERAL SERVICES 1609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1609,A000000,01600,0000,01600SKILLED NURSING FACILITY 1609,A000000,01800,0000,01800NURSING FACILITY 1609,A000000,01810,0000,01801ICF/MR 1609,A000000,01900,0000,01900OTHER LONG TERM CARE 1609,A000000,02100,0000,02100RADIOLOGY 1609,A000000,02200,0000,02200LABORATORY 1609,A000000,02300,0000,02300INTRAVENOUS THERAPY 1609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1609,A000000,02500,0000,02500PHYSICAL THERAPY 1609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1609,A000000,02700,0000,02700SPEECH PATHOLOGY 1609,A000000,02800,0000,02800ELECTROCARDIOLOGY 1609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1609,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1609,A000000,03200,0000,03200SUPPORT SURFACES 1609,A000000,03400,0000,03400CLINIC 1609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1609,A000000,03500,0000,03500RURAL HEALTH CLINIC 1609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1609,A000000,04400,0000,04400DME RENTED - HHA 1609,A000000,04500,0000,04500DME SOLD - HHA 1609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1609,A000000,04750,0000,05100OSP 1609,A000000,04800,0000,04800AMBULANCE 1609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1609,A000000,05000,0000,05000CORF 1609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1609,A000000,05300,0000,05300INTEREST EXPENSE 1609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1609,A000000,05500,0000,05500HOSPICE 1609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1609,A000000,06100,0000,06100NONPAID WORKERS 1609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1609,A000000,06200,0000,06200PATIENTS LAUNDRY 1609,A81000A,00100,0100,Y 1609,A81000B,00100,0300,PROPERTY INSURANCE 1609,A81000B,00200,0300,OTHER INSURANCE 1609,A81000B,00300,0300,UNEMPLOYMENT 1609,A81000B,00400,0300,WORKERS COMP 1609,A81000B,00500,0300,ADMIN/ACTG 1609,A81000B,00600,0300,EQUIPMENT 1609,A81000B,00700,0300,TEXTILES 1609,A81000C,00100,0100,B 1609,A81000C,00100,0400,EV LUTHERAN GOO 1609,A81000C,00100,0600,MGMT/ACTG 1609,A81000C,00200,0100,B 1609,A81000C,00200,0400,OMNICARE PHARM 1609,A81000C,00200,0600,MED SUPPLIES 1609,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1609,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1609,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1609,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1609,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1609,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1609,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1609,B100000,00000,0800,00000MEALS SERVEDDIETARY 1609,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1609,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1609,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1609,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1609,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1609,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1609,E10A180,00501,0100,07/13/2000 1609,E10A180,00550,0300,07/13/2000 1609,S000000,00100,0200,05/15/2000 1609,S200000,00100,0100,WESTERN HALL COUNTY GOOD SAMARITAN C 1609,S200000,00200,0100,1401 EAST ST 1609,S200000,00200,0200,NE 1609,S200000,00200,0300,68883- 1609,S200000,00300,0100,HALL 1609,S200000,00300,0300,R 1609,S200000,00400,0100,WESTERN HALL COUNTY GOOD SAMARITAN C 1609,S200000,00400,0200,285198 1609,S200000,00400,0300,09/01/1996 1609,S200000,00400,0500,P 1609,S200000,01500,0100,Y 1609,S200000,01900,0100,N 1609,S700003,00000,0400,4 1612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1612,A000000,00300,0000,00300EMPLOYEE BENEFITS 1612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1612,A000000,00700,0000,00700HOUSEKEEPING 1612,A000000,00800,0000,00800DIETARY 1612,A000000,00900,0000,00900NURSING ADMINISTRATION 1612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1612,A000000,01300,0000,01300SOCIAL SERVICE 1612,A000000,01350,0000,01500OTHER GENERAL SERVICES 1612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1612,A000000,01600,0000,01600SKILLED NURSING FACILITY 1612,A000000,01800,0000,01800NURSING FACILITY 1612,A000000,01810,0000,01801ICF/MR 1612,A000000,01900,0000,01900OTHER LONG TERM CARE 1612,A000000,02100,0000,02100RADIOLOGY 1612,A000000,02200,0000,02200LABORATORY 1612,A000000,02300,0000,02300INTRAVENOUS THERAPY 1612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1612,A000000,02500,0000,02500PHYSICAL THERAPY 1612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1612,A000000,02700,0000,02700SPEECH PATHOLOGY 1612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1612,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1612,A000000,03200,0000,03200SUPPORT SURFACES 1612,A000000,03400,0000,03400CLINIC 1612,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1612,A000000,03500,0000,03500RURAL HEALTH CLINIC 1612,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1612,A000000,04800,0000,04800AMBULANCE 1612,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1612,A000000,05000,0000,05000CORF 1612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1612,A000000,05300,0000,05300INTEREST EXPENSE 1612,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1612,A000000,05500,0000,05500HOSPICE 1612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1612,A000000,06100,0000,06100NONPAID WORKERS 1612,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1612,A000000,06200,0000,06200PATIENTS LAUNDRY 1612,A81000A,00100,0100,Y 1612,A81000B,00100,0300,PROPERTY INSURANCE 1612,A81000B,00200,0300,OTHER INSURANCE 1612,A81000B,00300,0300,UNEMPLOYMENT 1612,A81000B,00400,0300,WORKERS COMP 1612,A81000B,00500,0300,ADMIN & ACCOUNTING 1612,A81000B,00600,0300,NURSING SUPPLIES 1612,A81000B,00700,0300,BRIEFS - CDP 1612,A81000B,00800,0300,DIETARY SUPPLEMENTS 1612,A81000B,00900,0300,EQUIPMENT 1612,A81000C,00100,0100,B 1612,A81000C,00100,0200,ELGSS 1612,A81000C,00100,0600,MGMT/ACTG 1612,A81000C,00200,0100,B 1612,A81000C,00200,0200,ELGSS 1612,A81000C,00200,0600,MEDICAL SUPPLIE 1612,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1612,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1612,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1612,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1612,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1612,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1612,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1612,B100000,00000,0800,00000MEALS SERVEDDIETARY 1612,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1612,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1612,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1612,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1612,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1612,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1612,S000000,00100,0200,05/12/2000 1612,S200000,00100,0100,1011 7TH STREET 1612,S200000,00200,0100,GIBBON 1612,S200000,00200,0200,NE 1612,S200000,00200,0300,68840- 1612,S200000,00300,0100,BUFFALO 1612,S200000,00300,0300,R 1612,S200000,00400,0100,GIBBON GOOD SAMARITAN CENTER 1612,S200000,00400,0200,285199 1612,S200000,00400,0300,10/01/1996 1612,S200000,00400,0500,P 1612,S200000,01500,0100,Y 1612,S200000,01900,0100,N 1612,S200000,04600,0100,Y 1612,S700003,00000,0400,4 1615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1615,A000000,00300,0000,00300EMPLOYEE BENEFITS 1615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1615,A000000,00700,0000,00700HOUSEKEEPING 1615,A000000,00800,0000,00800DIETARY 1615,A000000,00900,0000,00900NURSING ADMINISTRATION 1615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1615,A000000,01300,0000,01300SOCIAL SERVICE 1615,A000000,01350,0000,01500OTHER GENERAL SERVICES 1615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1615,A000000,01600,0000,01600SKILLED NURSING FACILITY 1615,A000000,01800,0000,01800NURSING FACILITY 1615,A000000,01810,0000,01801ICF/MR 1615,A000000,01900,0000,01900OTHER LONG TERM CARE 1615,A000000,02100,0000,02100RADIOLOGY 1615,A000000,02200,0000,02200LABORATORY 1615,A000000,02300,0000,02300INTRAVENOUS THERAPY 1615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1615,A000000,02500,0000,02500PHYSICAL THERAPY 1615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1615,A000000,02700,0000,02700SPEECH PATHOLOGY 1615,A000000,02800,0000,02800ELECTROCARDIOLOGY 1615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1615,A000000,03200,0000,03200SUPPORT SURFACES 1615,A000000,03400,0000,03400CLINIC 1615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1615,A000000,03500,0000,03500RURAL HEALTH CLINIC 1615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1615,A000000,04400,0000,04400DME RENTED - HHA 1615,A000000,04500,0000,04500DME SOLD - HHA 1615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1615,A000000,04750,0000,05100OSP 1615,A000000,04800,0000,04800AMBULANCE 1615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1615,A000000,05000,0000,05000CORF 1615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1615,A000000,05300,0000,05300INTEREST EXPENSE 1615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1615,A000000,05500,0000,05500HOSPICE 1615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1615,A000000,06100,0000,06100NONPAID WORKERS 1615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1615,A000000,06200,0000,06200PATIENTS LAUNDRY 1615,A81000A,00100,0100,Y 1615,A81000B,00100,0300,PROPERTY INSURANCE 1615,A81000B,00200,0300,OTHER INSURANCE 1615,A81000B,00300,0300,UNEMPLOYMENT 1615,A81000B,00400,0300,WORKERS COMP 1615,A81000B,00500,0300,ADMIN & ACCTG 1615,A81000B,00600,0300,NURSING SUPPLIES 1615,A81000B,00700,0300,BRIEFS-CDP 1615,A81000B,00800,0300,DIETARY SUPPLEMENTS 1615,A81000B,00900,0300,EQUIPMENT 1615,A81000C,00100,0100,B 1615,A81000C,00100,0200,ELGSS 1615,A81000C,00100,0600,MGMT/ACTG 1615,A81000C,00200,0100,B 1615,A81000C,00200,0200,ELGSS 1615,A81000C,00200,0600,MEDICAL SUPPLIE 1615,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1615,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1615,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1615,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1615,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1615,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1615,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1615,B100000,00000,0800,00000MEALS SERVEDDIETARY 1615,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1615,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1615,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1615,B100000,00000,1300,00000ADMINSSOCIAL SERVICE 1615,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1615,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1615,S000000,00100,0200,06/05/2000 1615,S200000,00100,0100,W. KIMBALL STREET 1615,S200000,00100,0300,250 1615,S200000,00200,0100,CALLAWAY 1615,S200000,00200,0200,NE 1615,S200000,00200,0300,68825- 1615,S200000,00300,0100,CUSTER 1615,S200000,00300,0300,R 1615,S200000,00400,0100,CALLAWAY GOOD SAMARITAN CENTER 1615,S200000,00400,0200,285200 1615,S200000,00400,0300,10/01/1995 1615,S200000,00400,0500,P 1615,S200000,01500,0100,Y 1615,S200000,01900,0100,N 1615,S700003,00000,0400,4 1623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1623,A000000,00300,0000,00300EMPLOYEE BENEFITS 1623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1623,A000000,00700,0000,00700HOUSEKEEPING 1623,A000000,00800,0000,00800DIETARY 1623,A000000,00900,0000,00900NURSING ADMINISTRATION 1623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1623,A000000,01300,0000,01300SOCIAL SERVICE 1623,A000000,01350,0000,01500OTHER GENERAL SERVICES 1623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1623,A000000,01600,0000,01600SKILLED NURSING FACILITY 1623,A000000,01800,0000,01800NURSING FACILITY 1623,A000000,01810,0000,01801ICF/MR 1623,A000000,01900,0000,01900OTHER LONG TERM CARE 1623,A000000,02100,0000,02100RADIOLOGY 1623,A000000,02200,0000,02200LABORATORY 1623,A000000,02500,0000,02500PHYSICAL THERAPY 1623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1623,A000000,02700,0000,02700SPEECH PATHOLOGY 1623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1623,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1623,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1623,A000000,03200,0000,03200SUPPORT SURFACES 1623,A000000,03400,0000,03400CLINIC 1623,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1623,A000000,03500,0000,03500RURAL HEALTH CLINIC 1623,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1623,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1623,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1623,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1623,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1623,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1623,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1623,A000000,04400,0000,04400DME RENTED - HHA 1623,A000000,04500,0000,04500DME SOLD - HHA 1623,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1623,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1623,A000000,04750,0000,05100OSP 1623,A000000,04800,0000,04800AMBULANCE 1623,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1623,A000000,05000,0000,05000CORF 1623,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1623,A000000,05300,0000,05300INTEREST EXPENSE 1623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1623,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1623,A000000,05500,0000,05500HOSPICE 1623,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1623,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1623,A000000,06100,0000,06100NONPAID WORKERS 1623,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1623,A000000,06200,0000,06200PATIENTS LAUNDRY 1623,A81000A,00100,0100,Y 1623,A81000B,00100,0300,PROPERTY INSURANCE 1623,A81000B,00200,0300,OTHER INSURANCE 1623,A81000B,00300,0300,UNEMPLOYMENT 1623,A81000B,00400,0300,WORKERS COMP 1623,A81000B,00500,0300,ADMIN & ACCOUNTING 1623,A81000C,00100,0100,B 1623,A81000C,00100,0200,ELGSS 1623,A81000C,00100,0600,MGMT/ACCTNG 1623,A81000C,00200,0100,B 1623,A81000C,00200,0200,ELGSS 1623,A81000C,00200,0600,MEDICAL SUPPLIE 1623,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1623,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1623,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1623,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1623,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1623,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1623,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1623,B100000,00000,0800,00000MEALS SERVEDDIETARY 1623,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1623,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1623,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1623,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 1623,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1623,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1623,E10A180,00350,0100,11/10/1999 1623,S000000,00100,0200,06/05/2000 1623,S200000,00100,0100,411 W. GENOA STREET 1623,S200000,00200,0100,RAVENNA 1623,S200000,00200,0200,NE 1623,S200000,00200,0300,68869- 1623,S200000,00300,0100,BUFFALO 1623,S200000,00300,0300,R 1623,S200000,00400,0100,RAVENNA GOOD SAMARITAN CENTER 1623,S200000,00400,0200,285202 1623,S200000,00400,0300,10/01/1996 1623,S200000,00400,0500,P 1623,S200000,01500,0100,Y 1623,S200000,01900,0100,N 1623,S700003,00000,0400,4 1628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1628,A000000,00300,0000,00300EMPLOYEE BENEFITS 1628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1628,A000000,00700,0000,00700HOUSEKEEPING 1628,A000000,00800,0000,00800DIETARY 1628,A000000,00900,0000,00900NURSING ADMINISTRATION 1628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1628,A000000,01300,0000,01300SOCIAL SERVICE 1628,A000000,01350,0000,01500OTHER GENERAL SERVICES 1628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1628,A000000,01600,0000,01600SKILLED NURSING FACILITY 1628,A000000,01800,0000,01800NURSING FACILITY 1628,A000000,01810,0000,01801ICF/MR 1628,A000000,01900,0000,01900OTHER LONG TERM CARE 1628,A000000,02100,0000,02100RADIOLOGY 1628,A000000,02200,0000,02200LABORATORY 1628,A000000,02300,0000,02300INTRAVENOUS THERAPY 1628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1628,A000000,02500,0000,02500PHYSICAL THERAPY 1628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1628,A000000,02700,0000,02700SPEECH PATHOLOGY 1628,A000000,02800,0000,02800ELECTROCARDIOLOGY 1628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1628,A000000,03200,0000,03200SUPPORT SURFACES 1628,A000000,03400,0000,03400CLINIC 1628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1628,A000000,03500,0000,03500RURAL HEALTH CLINIC 1628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1628,A000000,04400,0000,04400DME RENTED - HHA 1628,A000000,04500,0000,04500DME SOLD - HHA 1628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1628,A000000,04750,0000,05100OSP 1628,A000000,04800,0000,04800AMBULANCE 1628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1628,A000000,05000,0000,05000CORF 1628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1628,A000000,05300,0000,05300INTEREST EXPENSE 1628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1628,A000000,05500,0000,05500HOSPICE 1628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1628,A000000,06100,0000,06100NONPAID WORKERS 1628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1628,A000000,06200,0000,06200PATIENTS LAUNDRY 1628,A81000A,00100,0100,Y 1628,A81000B,00100,0300,PROPERTY INSURANCE 1628,A81000B,00200,0300,OTHER INSURANCE 1628,A81000B,00300,0300,UNEMPLOYMENT 1628,A81000B,00400,0300,WORKERS COMP 1628,A81000B,00500,0300,ADMIN/ACTG 1628,A81000B,00600,0300,MED SUPPLIES 1628,A81000B,00700,0300,DISPOSABLE BRIEFS 1628,A81000B,00800,0300,DIETARY SUPPLEMENT 1628,A81000B,00900,0300,EQUIPMENT 1628,A81000C,00100,0100,B 1628,A81000C,00100,0200,EV LUTHERAN GOO 1628,A81000C,00100,0400,EV LUTHERAN GOO 1628,A81000C,00100,0600,MGMT/ACTG 1628,A81000C,00200,0100,B 1628,A81000C,00200,0200,OMINCARE SUPPLY 1628,A81000C,00200,0400,OMNICARE SUPPLY 1628,A81000C,00200,0600,MED SUPPLIES 1628,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1628,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1628,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1628,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1628,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1628,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1628,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1628,B100000,00000,0800,00000MEALS SERVEDDIETARY 1628,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1628,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1628,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1628,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1628,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1628,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1628,E10A180,00550,0100,07/21/2000 1628,E10A180,00550,0300,07/21/2000 1628,S000000,00100,0200,05/25/2000 1628,S200000,00100,0100,1306 S. 9TH STREET 1628,S200000,00200,0100,BEATRICE 1628,S200000,00200,0200,NE 1628,S200000,00200,0300,68310-4999 1628,S200000,00300,0100,GAGE 1628,S200000,00300,0300,R 1628,S200000,00400,0100,BEATRICE GOOD SAMARITAN 1628,S200000,00400,0200,285203 1628,S200000,00400,0300,10/01/1996 1628,S200000,00400,0500,P 1628,S200000,01500,0100,Y 1628,S200000,01900,0100,N 1628,S700003,00000,0400,4 1633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1633,A000000,00101,0000,00101CAP REL COSTS - HEALTH CTR 1633,A000000,00102,0000,00102CAP REL COSTS - RES & COMM 1633,A000000,00103,0000,00103CAP REL COSTS - DEPARTMENT 1633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1633,A000000,00300,0000,00300EMPLOYEE BENEFITS 1633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1633,A000000,00700,0000,00700HOUSEKEEPING 1633,A000000,00701,0000,00701HOUSEKEEPING - HEALTH CENTER 1633,A000000,00702,0000,00702HOUSEKEEPING - RES & COMM 1633,A000000,00800,0000,00800DIETARY 1633,A000000,00900,0000,00900NURSING ADMINISTRATION 1633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1633,A000000,01300,0000,01300SOCIAL SERVICE 1633,A000000,01350,0000,01500PATIENT ACTIVITIES 1633,A000000,01600,0000,01600SKILLED NURSING FACILITY 1633,A000000,01800,0000,01800NURSING FACILITY 1633,A000000,01810,0000,01801ICF/MR 1633,A000000,01900,0000,01900OTHER LONG TERM CARE 1633,A000000,02100,0000,02100RADIOLOGY 1633,A000000,02200,0000,02200LABORATORY 1633,A000000,02300,0000,02300INTRAVENOUS THERAPY 1633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1633,A000000,02500,0000,02500PHYSICAL THERAPY 1633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1633,A000000,02700,0000,02700SPEECH PATHOLOGY 1633,A000000,02800,0000,02800ELECTROCARDIOLOGY 1633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1633,A000000,02901,0000,02901CLINITRON BEDS 1633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1633,A000000,04800,0000,04800AMBULANCE 1633,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1633,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1633,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1633,A000000,06100,0000,06100NONPAID WORKERS 1633,A000000,06150,0000,06300RESIDENTIAL\NONREIMBURSABLE 1633,A000000,06151,0000,06301GUEST MEALS 1633,A000000,06152,0000,06302MARKETING 1633,A000000,06200,0000,06200PATIENTS LAUNDRY 1633,B100000,00000,0100,00002SQ FT COMBINEDCAP REL COSTS - B 1633,B100000,00000,0101,00002SQ FT HEALTH CTRCAP REL COSTS - 1633,B100000,00000,0102,00002SQ FT RES & COMMCAP REL COSTS - 1633,B100000,00000,0103,00002DOLLAR VALUECAP REL COSTS - DEPA 1633,B100000,00000,0200,00002SQ FT COMBINEDCAP REL COSTS - M 1633,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1633,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1633,B100000,00000,0500,00002SQ FT COMBINEDPLANT OPERATION 1633,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1633,B100000,00000,0700,00002FTESHOUSEKEEPING 1633,B100000,00000,0701,00002SQ. FT. EXCL DIETHOUSEKEEPING - H 1633,B100000,00000,0702,00002SQ. FT. EXCL DIETHOUSEKEEPING - R 1633,B100000,00000,0800,00002MEALS SERVEDDIETARY 1633,B100000,00000,0900,00002NURSING SALARIESNURSING ADMINISTR 1633,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 1633,B100000,00000,1300,00002PATIENT DAYSSOCIAL SERVICE 1633,B100000,00000,1350,00002PATIENT DAYSPATIENT ACTIVITIES 1633,E10A180,00350,0100,01/20/2000 1633,E10A180,00550,0100,07/13/2000 1633,E10A180,00550,0300,07/13/2000 1633,S000000,00100,0200,05/15/2000 1633,S200000,00100,0100,400 LOCUST STREET 1633,S200000,00200,0100,LAKEWOOD 1633,S200000,00200,0200,NJ 1633,S200000,00200,0300,08701- 1633,S200000,00300,0100,OCEAN 1633,S200000,00300,0300,U 1633,S200000,00400,0100,HARROGATE INC. 1633,S200000,00400,0200,315262 1633,S200000,00400,0300,05/26/1988 1633,S200000,00400,0500,P 1633,S200000,01700,0100,Y 1633,S200000,01900,0100,Y 1633,S200000,04300,0100,Y 1633,S700003,00000,0100,1 1640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1640,A000000,00101,0000,00101CAP REL COSTS - CLUB HOUSE 1640,A000000,00102,0000,00102CAP REL COSTS - RES/APTS 1640,A000000,00103,0000,00103CAP REL COSTS - HEALTH CTR 1640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1640,A000000,00300,0000,00300EMPLOYEE BENEFITS 1640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1640,A000000,00700,0000,00700HOUSEKEEPING 1640,A000000,00701,0000,00701HOUSEKEEPING - CLUB HOUSE 1640,A000000,00702,0000,00702HOUSEKEEPING - RES/APTS 1640,A000000,00703,0000,00703HOUSEKEEPING - HEALTH CTR 1640,A000000,00800,0000,00800DIETARY 1640,A000000,00900,0000,00900NURSING ADMINISTRATION 1640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1640,A000000,01100,0000,01100PHARMACY 1640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1640,A000000,01300,0000,01300SOCIAL SERVICE 1640,A000000,01350,0000,01500PATIENT ACTIVITIES - HEALTH CTR 1640,A000000,01351,0000,01501PATIENT ACTIVITIES - RES/APTS 1640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1640,A000000,01600,0000,01600SKILLED NURSING FACILITY 1640,A000000,01800,0000,01800NURSING FACILITY 1640,A000000,01810,0000,01801ICF/MR 1640,A000000,01900,0000,01900OTHER LONG TERM CARE 1640,A000000,02100,0000,02100RADIOLOGY 1640,A000000,02200,0000,02200LABORATORY 1640,A000000,02300,0000,02300INTRAVENOUS THERAPY 1640,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1640,A000000,02500,0000,02500PHYSICAL THERAPY 1640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1640,A000000,02700,0000,02700SPEECH PATHOLOGY 1640,A000000,02800,0000,02800ELECTROCARDIOLOGY 1640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1640,A000000,02901,0000,02901CLINITRON BEDS 1640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1640,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1640,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1640,A000000,03200,0000,03200SUPPORT SURFACES 1640,A000000,03400,0000,03400CLINIC 1640,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1640,A000000,04800,0000,04800AMBULANCE 1640,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1640,A000000,05000,0000,05000CORF 1640,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1640,A000000,05300,0000,05300INTEREST EXPENSE 1640,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1640,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1640,A000000,05500,0000,05500HOSPICE 1640,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1640,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1640,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1640,A000000,06100,0000,06100NONPAID WORKERS 1640,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1640,A000000,06151,0000,06301CLINIC 1640,A000000,06152,0000,06302MARKETING 1640,A000000,06200,0000,06200PATIENTS LAUNDRY 1640,A81000A,00100,0100,Y 1640,A81000B,00100,0300,CAPITAL COSTS - HVP 1640,A81000C,00100,0100,G 1640,A81000C,00100,0200,VARIOUS 1640,A81000C,00100,0600,OWNS REAL ESTAT 1640,A81000C,03100,0000,VARIOUS 1640,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS & 1640,B100000,00000,0101,00002SQUARE FEETCAP REL COSTS - CLUB HOU 1640,B100000,00000,0102,00002SQUARE FEETCAP REL COSTS - RES/APTS 1640,B100000,00000,0103,00002SQUARE FEETCAP REL COSTS - HEALTH C 1640,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVABLE 1640,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1640,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1640,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAINT. 1640,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1640,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1640,B100000,00000,0701,00002SQUARE FEETHOUSEKEEPING - CLUB HOUS 1640,B100000,00000,0702,00002SQUARE FEETHOUSEKEEPING - RES/APTS 1640,B100000,00000,0703,00002SQUARE FEETHOUSEKEEPING - HEALTH CT 1640,B100000,00000,0800,00002MEALS SERVEDDIETARY 1640,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINISTRA 1640,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & SU 1640,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1640,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LIBRARY 1640,B100000,00000,1300,00002GROSS REVENUESSOCIAL SERVICE 1640,B100000,00000,1350,00002HEALTH CTR PATIEPATIENT ACTIVIT 1640,B100000,00000,1351,00002PATIENT DAYSPATIENT ACTIVITIES - RE 1640,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS (A 1640,S000000,00100,0200,09/08/2000 1640,S200000,00100,0100,114 HAYES MILL ROAD 1640,S200000,00200,0100,ATCO 1640,S200000,00200,0200,NJ 1640,S200000,00200,0300,08004- 1640,S200000,00300,0100,CAMDEN 1640,S200000,00300,0300,U 1640,S200000,00400,0100,THE FOUNTAINS AT CEDAR PARKE 1640,S200000,00400,0200,315297 1640,S200000,00400,0300,01/01/1990 1640,S200000,00400,0500,P 1640,S200000,01500,0100,Y 1640,S200000,01900,0100,501 (C) (3) 1640,S700003,00000,0100,1 1644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1644,A000000,00300,0000,00300EMPLOYEE BENEFITS 1644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1644,A000000,00700,0000,00700HOUSEKEEPING 1644,A000000,00800,0000,00800DIETARY 1644,A000000,00900,0000,00900NURSING ADMINISTRATION 1644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1644,A000000,01300,0000,01300SOCIAL SERVICE 1644,A000000,01350,0000,01500OTHER GENERAL SERVICES 1644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1644,A000000,01600,0000,01600SKILLED NURSING FACILITY 1644,A000000,01800,0000,01800NURSING FACILITY 1644,A000000,01810,0000,01801ICF/MR 1644,A000000,01900,0000,01900OTHER LONG TERM CARE 1644,A000000,02100,0000,02100RADIOLOGY 1644,A000000,02200,0000,02200LABORATORY 1644,A000000,02300,0000,02300INTRAVENOUS THERAPY 1644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1644,A000000,02500,0000,02500PHYSICAL THERAPY 1644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1644,A000000,02700,0000,02700SPEECH PATHOLOGY 1644,A000000,02800,0000,02800ELECTROCARDIOLOGY 1644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1644,A000000,03200,0000,03200SUPPORT SURFACES 1644,A000000,03400,0000,03400CLINIC 1644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1644,A000000,03500,0000,03500RURAL HEALTH CLINIC 1644,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1644,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1644,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1644,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1644,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1644,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1644,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1644,A000000,04400,0000,04400DME RENTED - HHA 1644,A000000,04500,0000,04500DME SOLD - HHA 1644,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1644,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1644,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1644,A000000,04800,0000,04800AMBULANCE 1644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1644,A000000,05000,0000,05000CORF 1644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1644,A000000,05300,0000,05300INTEREST EXPENSE 1644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1644,A000000,05500,0000,05500HOSPICE 1644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1644,A000000,06100,0000,06100NONPAID WORKERS 1644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1644,A000000,06200,0000,06200PATIENTS LAUNDRY 1644,A81000A,00100,0100,Y 1644,A81000B,00100,0300,PROPERTY INSURANCE 1644,A81000B,00200,0300,OTHER INSURANCE 1644,A81000B,00300,0300,UNEMPLOYMENT 1644,A81000B,00400,0300,WORKERS COMPENSATION 1644,A81000B,00500,0300,ADMIN & ACCOUNTING 1644,A81000B,00600,0300,NURSING SUPPLIES 1644,A81000B,00700,0300,BRIEFS-CDP 1644,A81000B,00800,0300,BRIEFS-NON-CDP 1644,A81000B,00900,0300,DIETARY SUPPLIES 1644,A81000C,00100,0100,B 1644,A81000C,00100,0600,ACCTG. & MGMT. 1644,A81000C,00200,0100,B 1644,A81000C,00200,0600,SUPPLIES 1644,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1644,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1644,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1644,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1644,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1644,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1644,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1644,B100000,00000,0800,00000MEALS SERVEDDIETARY 1644,B100000,00000,0900,00000HOURS OF SERVICESNURSING ADMINISTR 1644,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1644,B100000,00000,1200,00000GROSS REVMEDICAL RECORDS & LIBRARY 1644,B100000,00000,1300,00000ADMISSIONSSOCIAL SERVICE 1644,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1644,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1644,E10A180,00350,0100,11/08/1999 1644,E10A180,00501,0300,07/27/2000 1644,E10A180,00550,0100,07/27/2000 1644,S000000,00100,0200,05/30/2000 1644,S200000,00100,0100,1600 W AVENUE 1 1644,S200000,00200,0100,LOVINGTON 1644,S200000,00200,0200,NM 1644,S200000,00200,0300,88260- 1644,S200000,00300,0100,LEA 1644,S200000,00300,0300,R 1644,S200000,00400,0100,LOVINGTON GOOD SAMARITAN CENTER 1644,S200000,00400,0200,325057 1644,S200000,00400,0300,12/01/1991 1644,S200000,00400,0500,P 1644,S200000,01600,0100,Y 1644,S200000,01900,0100,N 1644,S200000,02800,0100,Y 1644,S700003,00000,0100,1 1649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1649,A000000,00300,0000,00300EMPLOYEE BENEFITS 1649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1649,A000000,00700,0000,00700HOUSEKEEPING 1649,A000000,00800,0000,00800DIETARY 1649,A000000,00900,0000,00900NURSING ADMINISTRATION 1649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1649,A000000,01300,0000,01300SOCIAL SERVICE 1649,A000000,01600,0000,01600SKILLED NURSING FACILITY 1649,A000000,01800,0000,01800NURSING FACILITY 1649,A000000,02100,0000,02100RADIOLOGY 1649,A000000,02200,0000,02200LABORATORY 1649,A000000,02500,0000,02500PHYSICAL THERAPY 1649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1649,A000000,02700,0000,02700SPEECH PATHOLOGY 1649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1649,A000000,03200,0000,03200SUPPORT SURFACES 1649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1649,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1649,A81000A,00100,0100,Y 1649,A81000B,00100,0300,PROPERTY-INSURANCE 1649,A81000B,00200,0300,OTHER INSURANCE 1649,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1649,A81000B,00400,0300,WORKERS COMPENSATION 1649,A81000B,00500,0300,ACCTG & ADMINISTRATION 1649,A81000B,00600,0300,NURSING SUPPLIES 1649,A81000B,00700,0300,DISPOSABLE BREIFS 1649,A81000B,00800,0300,DIETARY SUPPLIES 1649,A81000B,00900,0300,EQUIPMENT 1649,A81000B,00901,0300,TEXTILES 1649,A81000C,00100,0100,B 1649,A81000C,00100,0600,ACCTG & MGMT 1649,A81000C,00200,0100,B 1649,A81000C,00200,0600,SUPPLIES 1649,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1649,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1649,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1649,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1649,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1649,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1649,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1649,B100000,00000,0800,00000MEALS SERVEDDIETARY 1649,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1649,B100000,00000,1000,00000GROSS REVENUECENTRAL SERVICES & 1649,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1649,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1649,E10A180,00301,0100,03/15/2000 1649,E10A180,00501,0100,06/16/2000 1649,E10A180,00501,0300,06/16/2000 1649,S000000,00100,0200,05/12/2000 1649,S200000,00100,0100,3101 NORTH FLORIDA AVENUE 1649,S200000,00200,0100,ALAMOGORDO 1649,S200000,00200,0200,NM 1649,S200000,00200,0300,88310-9713 1649,S200000,00300,0100,OTERO 1649,S200000,00300,0300,R 1649,S200000,00400,0100,BETTY DARE GOOD SAMARITAN CENTER 1649,S200000,00400,0200,325061 1649,S200000,00400,0300,01/31/1992 1649,S200000,00400,0500,P 1649,S200000,01600,0100,Y 1649,S200000,01900,0100,N 1649,S700003,00000,0100,1 1652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1652,A000000,00300,0000,00300EMPLOYEE BENEFITS 1652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1652,A000000,00700,0000,00700HOUSEKEEPING 1652,A000000,00800,0000,00800DIETARY 1652,A000000,00900,0000,00900NURSING ADMINISTRATION 1652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1652,A000000,01300,0000,01300SOCIAL SERVICE 1652,A000000,01600,0000,01600SKILLED NURSING FACILITY 1652,A000000,01800,0000,01800NURSING FACILITY 1652,A000000,01810,0000,01801ICF/MR 1652,A000000,01900,0000,01900OTHER LONG TERM CARE 1652,A000000,02100,0000,02100RADIOLOGY 1652,A000000,02200,0000,02200LABORATORY 1652,A000000,02300,0000,02300INTRAVENOUS THERAPY 1652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1652,A000000,02500,0000,02500PHYSICAL THERAPY 1652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1652,A000000,02700,0000,02700SPEECH PATHOLOGY 1652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1652,A000000,03200,0000,03200SUPPORT SURFACES 1652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1652,A000000,04400,0000,04400DME RENTED - HHA 1652,A000000,04500,0000,04500DME SOLD - HHA 1652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1652,A000000,04800,0000,04800AMBULANCE 1652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1652,A000000,05300,0000,05300INTEREST EXPENSE 1652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1652,A000000,06151,0000,06301MARKETING/RESOURCE DEVELOPMENT 1652,A81000A,00100,0100,Y 1652,A81000B,00100,0300,PROPERTY INSURANCE 1652,A81000B,00200,0300,OTHER INSURANCE 1652,A81000B,00300,0300,UNEMPLOYMENT 1652,A81000B,00400,0300,WORKERS COMP 1652,A81000B,00500,0300,ADMIN & ACCOUNTING 1652,A81000B,00600,0300,NURSING SUPPLIES 1652,A81000B,00700,0300,DISPOSABLE BRIEFS 1652,A81000B,00800,0300,EQUIPMENT 1652,A81000C,00100,0100,B 1652,A81000C,00100,0600,MANAGEMENT & AC 1652,A81000C,00200,0100,B 1652,A81000C,00200,0400,OMNICARE 1652,A81000C,00200,0600,MEDICAL SUPPLIE 1652,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1652,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1652,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1652,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1652,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1652,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1652,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1652,B100000,00000,0800,00001MEALS SERVEDDIETARY 1652,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1652,B100000,00000,1000,00001GROSS REVENUESCENTRAL SERVICES 1652,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 1652,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1652,E10A180,00501,0100,07/13/2000 1652,E10A180,00550,0300,07/13/2000 1652,H510100,02400,0000,4100 1652,H710000,00301,0100,01/19/2000 1652,H710000,00501,0300,07/13/2000 1652,H710000,00550,0100,07/13/2000 1652,S000000,00100,0200,05/15/2000 1652,S200000,00100,0100,3025 TERRACE DRIVE 1652,S200000,00200,0100,LAS CRUCES 1652,S200000,00200,0200,NM 1652,S200000,00200,0300,88001- 1652,S200000,00300,0100,DONA ANA 1652,S200000,00300,0300,U 1652,S200000,00400,0100,UNIVERSITY TERRACE GOOD SAM VILLAGE 1652,S200000,00400,0200,325067 1652,S200000,00400,0300,04/04/1992 1652,S200000,00400,0500,P 1652,S200000,00800,0200,327157 1652,S200000,00800,0300,11/15/1996 1652,S200000,00800,0500,P 1652,S200000,01500,0100,Y 1652,S200000,01900,0100,N 1652,S200000,04600,0100,Y 1652,S700003,00000,0100,1 1654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1654,A000000,00300,0000,00300EMPLOYEE BENEFITS 1654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1654,A000000,00700,0000,00700HOUSEKEEPING 1654,A000000,00800,0000,00800DIETARY 1654,A000000,00900,0000,00900NURSING ADMINISTRATION 1654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1654,A000000,01300,0000,01300SOCIAL SERVICE 1654,A000000,01600,0000,01600SKILLED NURSING FACILITY 1654,A000000,01800,0000,01800NURSING FACILITY 1654,A000000,01900,0000,01900OTHER LONG TERM CARE 1654,A000000,02200,0000,02200LABORATORY 1654,A000000,02500,0000,02500PHYSICAL THERAPY 1654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1654,A000000,02700,0000,02700SPEECH PATHOLOGY 1654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1654,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1654,A000000,06151,0000,06301APARTMENTS 1654,A81000A,00100,0100,Y 1654,A81000B,00100,0300,PROPERTY - INSURANCE 1654,A81000B,00200,0300,OTHER INSURANCE 1654,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1654,A81000B,00400,0300,WORKERS COMPENSATION 1654,A81000B,00500,0300,ACCTG & ADMINISTRATION 1654,A81000B,00600,0300,NURSING SUPPLIES 1654,A81000B,00700,0300,INCONTINENTS 1654,A81000B,00800,0300,TEXTILES 1654,A81000C,00100,0100,B 1654,A81000C,00100,0600,ACCTG & MANAGEM 1654,A81000C,00200,0100,B 1654,A81000C,00200,0600,SUPPLIES 1654,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1654,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1654,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1654,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1654,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1654,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1654,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1654,B100000,00000,0800,00001MEALS SERVEDDIETARY 1654,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 1654,B100000,00000,1000,00001GROSS REVENUECENTRAL SERVICES & 1654,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 1654,B100000,00000,1300,00001ADMISSIONSSSOCIAL SERVICE 1654,E10A180,00501,0100,07/14/2000 1654,E10A180,00550,0300,07/14/2000 1654,S000000,00100,0200,05/22/2000 1654,S200000,00100,0100,500 CARE LANE 1654,S200000,00200,0100,AZTEC 1654,S200000,00200,0200,NM 1654,S200000,00200,0300,87410-1599 1654,S200000,00300,0100,SAN JUAN 1654,S200000,00300,0300,R 1654,S200000,00400,0100,FOUR CORNERS GOOD SAMARITAN CENTER 1654,S200000,00400,0200,325071 1654,S200000,00400,0300,05/05/1992 1654,S200000,00400,0500,P 1654,S200000,01600,0100,Y 1654,S200000,01900,0100,N 1654,S700003,00000,0100,1 1658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1658,A000000,00300,0000,00300EMPLOYEE BENEFITS 1658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1658,A000000,00700,0000,00700HOUSEKEEPING 1658,A000000,00800,0000,00800DIETARY 1658,A000000,00900,0000,00900NURSING ADMINISTRATION 1658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1658,A000000,01300,0000,01300SOCIAL SERVICE 1658,A000000,01600,0000,01600SKILLED NURSING FACILITY 1658,A000000,02200,0000,02200LABORATORY 1658,A000000,02500,0000,02500PHYSICAL THERAPY 1658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1658,A000000,02700,0000,02700SPEECH PATHOLOGY 1658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1658,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1658,A81000A,00100,0100,Y 1658,A81000B,00100,0300,PROPERTY INSURANCE 1658,A81000B,00200,0300,OTHER INSURANCE 1658,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1658,A81000B,00400,0300,WORKERS COMPENSATION 1658,A81000B,00500,0300,ACCTG & ADMINISTRATION 1658,A81000B,00600,0300,NURSING SUPPLIES 1658,A81000B,00700,0300,INCONTINENTS 1658,A81000B,00800,0300,EQUIPMENT 1658,A81000C,00100,0100,B 1658,A81000C,00100,0600,ACCTG & MGMT 1658,A81000C,00200,0100,B 1658,A81000C,00200,0600,SUPPLIES 1658,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1658,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1658,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1658,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1658,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1658,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1658,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1658,B100000,00000,0800,00000MEALS SERVEDDIETARY 1658,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1658,B100000,00000,1000,00000GROSS REVENUECENTRAL SERVICES & 1658,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1658,B100000,00000,1300,00000ADMISSIONSSOCIAL SERVICE 1658,E10A180,00501,0100,07/25/2000 1658,E10A180,00550,0300,07/25/2000 1658,S000000,00100,0200,06/05/2000 1658,S200000,00100,0100,1203 HIGHWAY 60 WEST 1658,S200000,00200,0100,SOCORRO 1658,S200000,00200,0200,NM 1658,S200000,00200,0300,87801- 1658,S200000,00300,0100,SOCORRO 1658,S200000,00300,0300,R 1658,S200000,00400,0100,SOCORO GOOD SAMARITAN VILLAGE 1658,S200000,00400,0200,325073 1658,S200000,00400,0300,07/01/1992 1658,S200000,00400,0500,P 1658,S200000,01500,0100,Y 1658,S200000,01900,0100,N 1658,S700003,00000,0100,1 1664,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1664,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1664,A000000,00300,0000,00300EMPLOYEE BENEFITS 1664,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1664,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1664,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1664,A000000,00700,0000,00700HOUSEKEEPING 1664,A000000,00800,0000,00800DIETARY 1664,A000000,00900,0000,00900NURSING ADMINISTRATION 1664,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1664,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1664,A000000,01300,0000,01300SOCIAL SERVICE 1664,A000000,01600,0000,01600SKILLED NURSING FACILITY 1664,A000000,01800,0000,01800NURSING FACILITY 1664,A000000,01900,0000,01900OTHER LONG TERM CARE 1664,A000000,02200,0000,02200LABORATORY 1664,A000000,02500,0000,02500PHYSICAL THERAPY 1664,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1664,A000000,02700,0000,02700SPEECH PATHOLOGY 1664,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1664,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1664,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1664,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1664,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1664,A000000,06151,0000,06301APARTMENTS 1664,A000000,06152,0000,06302HHA 1664,A81000A,00100,0100,Y 1664,A81000B,00100,0300,PROPERTY - INSURANCE 1664,A81000B,00200,0300,OTHER INSURANCE 1664,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1664,A81000B,00400,0300,WORKERS COMPENSATION 1664,A81000B,00500,0300,ACCTG & ADMINISTRATION 1664,A81000B,00600,0300,NURSING SUPPLIES 1664,A81000B,00700,0300,DISPOSABLE BRIEFS 1664,A81000B,00800,0300,DIETARY SUPPLIES 1664,A81000B,00900,0300,EQUIPMENT 1664,A81000B,00901,0300,TEXTILES 1664,A81000C,00100,0100,B 1664,A81000C,00100,0200,EV. LUTHERAN G. 1664,A81000C,00100,0600,ACCTG & MGMT 1664,A81000C,00200,0100,B 1664,A81000C,00200,0200,OMNIBILL 1664,A81000C,00200,0600,SUPPLIES 1664,A81000C,00300,0100,B 1664,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1664,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1664,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1664,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1664,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1664,B100000,00000,0600,00002PATIENT DAYLAUNDRY & LINEN SERVIC 1664,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1664,B100000,00000,0800,00002MEALS SERVEDDIETARY 1664,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINIS 1664,B100000,00000,1000,00002GROSS REVENUECENTRAL SERVICES & 1664,B100000,00000,1200,00002GROSS REVENUEMEDICAL RECORDS & 1664,B100000,00000,1300,00002ADMISSIONSOCIAL SERVICE 1664,E10A180,00501,0100,07/07/2000 1664,E10A180,00501,0300,07/07/2000 1664,S000000,00100,0200,05/12/2000 1664,S200000,00100,0100,5201 ROMA NE 1664,S200000,00200,0100,ALBUQUERQUE 1664,S200000,00200,0200,NM 1664,S200000,00200,0300,87108- 1664,S200000,00300,0100,BERNALILLO 1664,S200000,00300,0300,U 1664,S200000,00400,0100,MANZANO DEL SOL SAMARITAN VILLAGE 1664,S200000,00400,0200,325074 1664,S200000,00400,0300,10/01/1992 1664,S200000,00400,0500,P 1664,S200000,01600,0100,Y 1664,S200000,01900,0100,N 1664,S700003,00000,0100,1 1669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1669,A000000,00300,0000,00300EMPLOYEE BENEFITS 1669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1669,A000000,00700,0000,00700HOUSEKEEPING 1669,A000000,00800,0000,00800DIETARY 1669,A000000,00900,0000,00900NURSING ADMINISTRATION 1669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1669,A000000,01300,0000,01300SOCIAL SERVICE 1669,A000000,01350,0000,01500OTHER GENERAL SERVICES 1669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1669,A000000,01600,0000,01600SKILLED NURSING FACILITY 1669,A000000,01800,0000,01800NURSING FACILITY 1669,A000000,01810,0000,01801ICF/MR 1669,A000000,01900,0000,01900OTHER LONG TERM CARE 1669,A000000,02100,0000,02100RADIOLOGY 1669,A000000,02200,0000,02200LABORATORY 1669,A000000,02300,0000,02300INTRAVENOUS THERAPY 1669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1669,A000000,02500,0000,02500PHYSICAL THERAPY 1669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1669,A000000,02700,0000,02700SPEECH PATHOLOGY 1669,A000000,02800,0000,02800ELECTROCARDIOLOGY 1669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1669,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1669,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1669,A000000,03200,0000,03200SUPPORT SURFACES 1669,A000000,03400,0000,03400CLINIC 1669,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1669,A000000,03500,0000,03500RURAL HEALTH CLINIC 1669,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1669,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1669,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1669,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1669,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1669,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1669,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1669,A000000,04400,0000,04400DME RENTED - HHA 1669,A000000,04500,0000,04500DME SOLD - HHA 1669,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1669,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1669,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1669,A000000,04800,0000,04800AMBULANCE 1669,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1669,A000000,05000,0000,05000CORF 1669,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1669,A000000,05300,0000,05300INTEREST EXPENSE 1669,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1669,A000000,05500,0000,05500HOSPICE 1669,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1669,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1669,A000000,06100,0000,06100NONPAID WORKERS 1669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1669,A000000,06151,0000,06301CONGREGATE LIVING 1669,A000000,06200,0000,06200PATIENTS LAUNDRY 1669,A81000A,00100,0100,Y 1669,A81000B,00100,0300,PROPERTY INSURANCE 1669,A81000B,00200,0300,OTHER INSURANCE 1669,A81000B,00300,0300,UNEMPLOYMENT 1669,A81000B,00400,0300,WORKERS COMP 1669,A81000B,00500,0300,ADMIN & ACCOUNTING 1669,A81000B,00600,0300,NURSING SUPPLIES 1669,A81000B,00700,0300,BRIEFS-CDP 1669,A81000B,00800,0300,BRIEFS-NONCDP 1669,A81000B,00900,0300,EQUIPMENT 1669,A81000B,00901,0300,DIETARY SUPPLIES 1669,A81000C,00100,0100,B 1669,A81000C,00100,0200,EV. LUTHERAN G. 1669,A81000C,00100,0400,EV. LUTHERAN G. 1669,A81000C,00100,0600,MGMT/ACTG 1669,A81000C,00200,0100,B 1669,A81000C,00200,0200,OMNICARE PHARMA 1669,A81000C,00200,0400,OMNICARE PHARMA 1669,A81000C,00200,0600,SUPPLIES 1669,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1669,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1669,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1669,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1669,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1669,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1669,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1669,B100000,00000,0800,00001MEALS SERVEDDIETARY 1669,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1669,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1669,B100000,00000,1200,00001GROSS REVENUEMEDICAL RECORDS & 1669,B100000,00000,1300,00001ADMISSIONSOCIAL SERVICE 1669,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1669,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1669,S000000,00100,0200,05/09/2001 1669,S200000,00100,0100,1701 NORTH TURNER STREET 1669,S200000,00200,0100,HOBBS 1669,S200000,00200,0200,NM 1669,S200000,00200,0300,88240-3899 1669,S200000,00300,0100,LEA 1669,S200000,00300,0300,R 1669,S200000,00400,0100,LEA COUNTY GOOD SAMARITAN CENTER 1669,S200000,00400,0200,325081 1669,S200000,00400,0300,07/01/1992 1669,S200000,00400,0500,P 1669,S200000,01600,0100,Y 1669,S200000,01900,0100,N 1669,S700003,00000,0100,1 1672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1672,A000000,00300,0000,00300EMPLOYEE BENEFITS 1672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1672,A000000,00700,0000,00700HOUSEKEEPING 1672,A000000,00800,0000,00800DIETARY 1672,A000000,00900,0000,00900NURSING ADMINISTRATION 1672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1672,A000000,01300,0000,01300SOCIAL SERVICE 1672,A000000,01350,0000,01500OTHER GENERAL SERVICES 1672,A000000,01600,0000,01600SKILLED NURSING FACILITY 1672,A000000,01800,0000,01800NURSING FACILITY 1672,A000000,01810,0000,01801ICF/MR 1672,A000000,01900,0000,01900OTHER LONG TERM CARE 1672,A000000,02100,0000,02100RADIOLOGY 1672,A000000,02200,0000,02200LABORATORY 1672,A000000,02300,0000,02300INTRAVENOUS THERAPY 1672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1672,A000000,02500,0000,02500PHYSICAL THERAPY 1672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1672,A000000,02700,0000,02700SPEECH PATHOLOGY 1672,A000000,02800,0000,02800ELECTROCARDIOLOGY 1672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1672,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1672,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1672,A000000,03200,0000,03200SUPPORT SURFACES 1672,A000000,03400,0000,03400CLINIC 1672,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1672,A000000,03500,0000,03500RURAL HEALTH CLINIC 1672,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1672,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1672,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1672,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1672,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1672,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1672,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1672,A000000,04400,0000,04400DME RENTED - HHA 1672,A000000,04500,0000,04500DME SOLD - HHA 1672,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1672,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1672,A000000,04750,0000,05100OSP 1672,A000000,04800,0000,04800AMBULANCE 1672,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1672,A000000,05000,0000,05000CORF 1672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1672,A000000,05300,0000,05300INTEREST EXPENSE 1672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1672,A000000,05500,0000,05500HOSPICE 1672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1672,A000000,06100,0000,06100NONPAID WORKERS 1672,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1672,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST-APT 1672,A000000,06200,0000,06200PATIENTS LAUNDRY 1672,A81000A,00100,0100,Y 1672,A81000B,00100,0300,PROPERTY INSURANCE 1672,A81000B,00200,0300,OTHER INSURANCE 1672,A81000B,00300,0300,UNEMPLOYMENT 1672,A81000B,00400,0300,WORKERS COMPENSATION 1672,A81000B,00500,0300,ADMIN & ACCOUNTING 1672,A81000B,00600,0300,NURSING SUPPLIES 1672,A81000B,00700,0300,BRIEFS-CDP 1672,A81000B,00800,0300,DIETARY SUPPLIES 1672,A81000C,00100,0100,B 1672,A81000C,00100,0400,ELGSS 1672,A81000C,00100,0600,MGMT/ACTG 1672,A81000C,00200,0100,B 1672,A81000C,00200,0400,OMNICARE PHARMA 1672,A81000C,00200,0600,MEDICAL SUPPLIE 1672,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1672,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1672,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1672,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1672,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1672,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1672,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1672,B100000,00000,0800,00001MEALS SERVEDDIETARY 1672,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1672,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1672,B100000,00000,1200,00001GROSS REVMEDICAL RECORDS & LIBR 1672,B100000,00000,1300,00001ADMISSIONSOCIAL SERVICE 1672,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1672,E10A180,00501,0100,06/16/2000 1672,E10A180,00550,0300,06/16/2000 1672,S000000,00100,0200,05/04/2000 1672,S200000,00100,0100,1402 GILCHRIST 1672,S200000,00200,0100,ARTESIA 1672,S200000,00200,0200,NM 1672,S200000,00300,0100,EDDY 1672,S200000,00300,0300,R 1672,S200000,00400,0100,ARTESIA GOOD SAMARITAN CENTER 1672,S200000,00400,0200,325082 1672,S200000,00400,0300,08/01/1992 1672,S200000,00400,0500,P 1672,S200000,01500,0100,Y 1672,S200000,01900,0100,N 1672,S700003,00000,0100,1 1674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1674,A000000,00300,0000,00300EMPLOYEE BENEFITS 1674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1674,A000000,00700,0000,00700HOUSEKEEPING 1674,A000000,00800,0000,00800DIETARY 1674,A000000,00900,0000,00900NURSING ADMINISTRATION 1674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1674,A000000,01100,0000,01100PHARMACY 1674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1674,A000000,01300,0000,01300SOCIAL SERVICE 1674,A000000,01350,0000,01500ACTIVITIES 1674,A000000,01600,0000,01600SKILLED NURSING FACILITY 1674,A000000,01800,0000,01800NURSING FACILITY 1674,A000000,01810,0000,01801ICF/MR 1674,A000000,01900,0000,01900OTHER LONG TERM CARE 1674,A000000,02100,0000,02100RADIOLOGY 1674,A000000,02200,0000,02200LABORATORY 1674,A000000,02300,0000,02300INTRAVENOUS THERAPY 1674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1674,A000000,02500,0000,02500PHYSICAL THERAPY 1674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1674,A000000,02700,0000,02700SPEECH PATHOLOGY 1674,A000000,02800,0000,02800ELECTROCARDIOLOGY 1674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1674,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1674,A000000,03200,0000,03200SUPPORT SURFACES 1674,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1674,A000000,04800,0000,04800AMBULANCE 1674,A000000,05000,0000,05000CORF 1674,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1674,A000000,05300,0000,05300INTEREST EXPENSE 1674,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1674,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1674,A000000,05500,0000,05500HOSPICE 1674,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1674,A000000,06150,0000,06300MARKETING 1674,A000000,06151,0000,06301RESIDENT SERVICES 1674,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1674,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1674,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1674,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1674,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1674,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1674,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1674,B100000,00000,0800,00001MEALS SERVEDDIETARY 1674,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 1674,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 1674,B100000,00000,1100,00001PATIENT DAYSPHARMACY 1674,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1674,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1674,B100000,00000,1350,00001PATIENT DAYSACTIVITIES 1674,S000000,00100,0200,02/28/2001 1674,S200000,00100,0100,6920 MARCHING DUCK DRIVE 1674,S200000,00200,0100,CHARLOTTE 1674,S200000,00200,0200,NC 1674,S200000,00200,0300,28210- 1674,S200000,00300,0100,MECKLENBURG 1674,S200000,00300,0300,U 1674,S200000,00400,0100,THE STEWART HEALTH CARE 1674,S200000,00400,0200,345495 1674,S200000,00400,0300,09/23/1999 1674,S200000,00400,0500,P 1674,S200000,01600,0100,Y 1674,S200000,01900,0100,N 1674,S700003,00000,0400,4 1682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1682,A000000,00300,0000,00300EMPLOYEE BENEFITS 1682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1682,A000000,00700,0000,00700HOUSEKEEPING 1682,A000000,00800,0000,00800DIETARY 1682,A000000,00900,0000,00900NURSING ADMINISTRATION 1682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1682,A000000,01100,0000,01100PHARMACY 1682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1682,A000000,01300,0000,01300SOCIAL SERVICE 1682,A000000,01350,0000,01500OTHER GENERAL SERVICES 1682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1682,A000000,01600,0000,01600SKILLED NURSING FACILITY 1682,A000000,01800,0000,01800NURSING FACILITY 1682,A000000,01810,0000,01801ICF/MR 1682,A000000,01900,0000,01900OTHER LONG TERM CARE 1682,A000000,02100,0000,02100RADIOLOGY 1682,A000000,02200,0000,02200LABORATORY 1682,A000000,02300,0000,02300INTRAVENOUS THERAPY 1682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1682,A000000,02500,0000,02500PHYSICAL THERAPY 1682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1682,A000000,02700,0000,02700SPEECH PATHOLOGY 1682,A000000,02800,0000,02800ELECTROCARDIOLOGY 1682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1682,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1682,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1682,A000000,03200,0000,03200SUPPORT SURFACES 1682,A000000,03400,0000,03400CLINIC 1682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1682,A000000,03500,0000,03500RURAL HEALTH CLINIC 1682,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1682,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1682,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1682,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1682,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1682,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1682,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1682,A000000,04400,0000,04400DME RENTED - HHA 1682,A000000,04500,0000,04500DME SOLD - HHA 1682,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1682,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1682,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1682,A000000,04800,0000,04800AMBULANCE 1682,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1682,A000000,05000,0000,05000CORF 1682,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1682,A000000,05300,0000,05300INTEREST EXPENSE 1682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1682,A000000,05500,0000,05500HOSPICE 1682,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1682,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1682,A000000,06100,0000,06100NONPAID WORKERS 1682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1682,A000000,06200,0000,06200PATIENTS LAUNDRY 1682,A81000A,00100,0100,Y 1682,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 1682,A81000B,00200,0300,UNEMPLOYMENT INS 1682,A81000B,00300,0300,WORKERS COMP 1682,A81000B,00400,0300,PROPERTY/LIABILITY INS 1682,A81000B,00500,0300,VEHICLE INS 1682,A81000B,00600,0300,MEDICAL SUPPLIES 1682,A81000B,00700,0300,DISPOSABLE BRIEFS 1682,A81000B,00800,0300,DIETARY SUPPLIES 1682,A81000C,00100,0100,B 1682,A81000C,00100,0400,GOOD SAMARITAN 1682,A81000C,00100,0600,HEALTHCARE 1682,A81000C,00200,0100,B 1682,A81000C,00200,0400,OMNICARE PHARMA 1682,A81000C,00200,0600,MEDICAL/DRUGS 1682,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1682,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1682,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1682,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1682,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1682,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1682,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 1682,B100000,00000,0800,00000MEALS SERVEDDIETARY 1682,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1682,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1682,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1682,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1682,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1682,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1682,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1682,S000000,00100,0200,11/06/2000 1682,S200000,00100,0100,301 S HWY 12B 1682,S200000,00200,0100,PARK RIVER 1682,S200000,00200,0200,ND 1682,S200000,00200,0300,58270-0659 1682,S200000,00300,0100,WALSH 1682,S200000,00300,0300,R 1682,S200000,00400,0100,PARK RIVER GOOD SAMARITAN CENTER 1682,S200000,00400,0200,355089 1682,S200000,00400,0300,11/01/1983 1682,S200000,00400,0500,P 1682,S200000,01500,0100,Y 1682,S200000,01900,0100,N 1682,S700003,00000,0200,2 1727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1727,A000000,00300,0000,00300EMPLOYEE BENEFITS 1727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1727,A000000,00700,0000,00700HOUSEKEEPING 1727,A000000,00800,0000,00800DIETARY 1727,A000000,00900,0000,00900NURSING ADMINISTRATION 1727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1727,A000000,01300,0000,01300SOCIAL SERVICE 1727,A000000,01600,0000,01600SKILLED NURSING FACILITY 1727,A000000,01800,0000,01800NURSING FACILITY 1727,A000000,01900,0000,01900OTHER LONG TERM CARE 1727,A000000,02100,0000,02100RADIOLOGY 1727,A000000,02200,0000,02200LABORATORY 1727,A000000,02300,0000,02300INTRAVENOUS THERAPY 1727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1727,A000000,02500,0000,02500PHYSICAL THERAPY 1727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1727,A000000,02700,0000,02700SPEECH PATHOLOGY 1727,A000000,02800,0000,02800ELECTROCARDIOLOGY 1727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1727,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1727,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1727,A000000,03200,0000,03200SUPPORT SURFACES 1727,A000000,03400,0000,03400CLINIC 1727,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1727,A000000,03500,0000,03500RURAL HEALTH CLINIC 1727,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1727,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1727,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1727,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1727,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1727,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1727,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1727,A000000,04400,0000,04400DME RENTED - HHA 1727,A000000,04500,0000,04500DME SOLD - HHA 1727,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1727,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1727,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1727,A000000,04800,0000,04800AMBULANCE 1727,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1727,A000000,05000,0000,05000CORF 1727,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1727,A000000,05300,0000,05300INTEREST EXPENSE 1727,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1727,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1727,A000000,05500,0000,05500HOSPICE 1727,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1727,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1727,A000000,06100,0000,06100NONPAID WORKERS 1727,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1727,A000000,06200,0000,06200PATIENTS LAUNDRY 1727,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 1727,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 1727,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 1727,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 1727,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 1727,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 1727,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 1727,B100000,00000,0800,00000MEALS SERVED DIETARY 1727,B100000,00000,0900,00000NURSING HOURS NURSING ADMINIST 1727,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 1727,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 1727,E10A180,00501,0300,01/30/2001 1727,E10A180,00550,0100,01/30/2001 1727,S000000,00100,0200,01/17/2001 1727,S200000,00100,0100,5800 FOREST HILLS BOULEVARD 1727,S200000,00200,0100,COLUMBUS 1727,S200000,00200,0200,OH 1727,S200000,00200,0300,43231- 1727,S200000,00300,0100,FRANKLIN 1727,S200000,00400,0100,FRIENDSHIP VILLAGE OF COLUMBUS 1727,S200000,00400,0200,365399 1727,S200000,00400,0300,11/03/1978 1727,S200000,00400,0500,P 1727,S200000,01600,0100,Y 1727,S200000,01700,0100,Y 1727,S200000,02200,0100,Y 1727,S200000,02800,0100,Y 1727,S700003,00000,0200,X 1734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1734,A000000,00300,0000,00300EMPLOYEE BENEFITS 1734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1734,A000000,00700,0000,00700HOUSEKEEPING 1734,A000000,00800,0000,00800DIETARY 1734,A000000,00900,0000,00900NURSING ADMINISTRATION 1734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1734,A000000,01300,0000,01300SOCIAL SERVICE 1734,A000000,01350,0000,01500OTHER GENERAL SERVICES 1734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1734,A000000,01600,0000,01600SKILLED NURSING FACILITY 1734,A000000,01800,0000,01800NURSING FACILITY 1734,A000000,01810,0000,01801ICF/MR 1734,A000000,01900,0000,01900OTHER LONG TERM CARE 1734,A000000,02100,0000,02100RADIOLOGY 1734,A000000,02200,0000,02200LABORATORY 1734,A000000,02300,0000,02300INTRAVENOUS THERAPY 1734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1734,A000000,02500,0000,02500PHYSICAL THERAPY 1734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1734,A000000,02700,0000,02700SPEECH PATHOLOGY 1734,A000000,02800,0000,02800ELECTROCARDIOLOGY 1734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1734,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1734,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1734,A000000,03200,0000,03200SUPPORT SURFACES 1734,A000000,03400,0000,03400CLINIC 1734,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1734,A000000,03500,0000,03500RURAL HEALTH CLINIC 1734,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1734,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1734,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1734,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1734,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1734,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1734,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1734,A000000,04400,0000,04400DME RENTED - HHA 1734,A000000,04500,0000,04500DME SOLD - HHA 1734,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1734,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1734,A000000,04750,0000,05100OSP 1734,A000000,04800,0000,04800AMBULANCE 1734,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1734,A000000,05000,0000,05000CORF 1734,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1734,A000000,05300,0000,05300INTEREST EXPENSE 1734,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1734,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1734,A000000,05500,0000,05500HOSPICE 1734,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1734,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1734,A000000,06100,0000,06100NONPAID WORKERS 1734,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1734,A000000,06200,0000,06200PATIENTS LAUNDRY 1734,A81000A,00100,0100,Y 1734,A81000B,00100,0300,PROPERTY INSURANCE 1734,A81000B,00200,0300,OTHER INSURANCE 1734,A81000B,00300,0300,UNEMPLOYMENT 1734,A81000B,00400,0300,WORKERS COMP 1734,A81000B,00500,0300,ADMIN/ACTG 1734,A81000B,00600,0300,MED SUPPLIES 1734,A81000B,00700,0300,DISPOSABLE BRIEFS 1734,A81000B,00800,0300,DIETARY SUPPLEMENT 1734,A81000B,00900,0300,EQUIPMENT 1734,A81000C,00100,0100,B 1734,A81000C,00100,0200,EV LUTHERAN GOO 1734,A81000C,00100,0400,EV LUTHERAN GOO 1734,A81000C,00100,0600,MGMT/ACTG 1734,A81000C,00200,0100,B 1734,A81000C,00200,0200,OMNICARE PHARM 1734,A81000C,00200,0400,OMNICARE PHARM 1734,A81000C,00200,0600,MED SUPPLIES 1734,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1734,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1734,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1734,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1734,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1734,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1734,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1734,B100000,00000,0800,00000MEALS SERVEDDIETARY 1734,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1734,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1734,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1734,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1734,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1734,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1734,E10A180,00550,0100,07/21/2000 1734,E10A180,00550,0300,07/21/2000 1734,S000000,00100,0200,05/24/2000 1734,S200000,00100,0100,100 POWELL DRIVE 1734,S200000,00100,0300,710 1734,S200000,00200,0100,ARLINGTON 1734,S200000,00200,0200,OH 1734,S200000,00200,0300,45814-0710 1734,S200000,00300,0100,HANCOCK 1734,S200000,00300,0300,R 1734,S200000,00400,0100,ARLINGTON GOOD SAMARITAN CENTER 1734,S200000,00400,0200,365887 1734,S200000,00400,0300,01/01/1967 1734,S200000,00400,0500,P 1734,S200000,01500,0100,Y 1734,S200000,01900,0100,N 1734,S700003,00000,0100,1 1739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1739,A000000,00300,0000,00300EMPLOYEE BENEFITS 1739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1739,A000000,00700,0000,00700HOUSEKEEPING 1739,A000000,00800,0000,00800DIETARY 1739,A000000,00900,0000,00900NURSING ADMINISTRATION 1739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1739,A000000,01300,0000,01300SOCIAL SERVICE 1739,A000000,01600,0000,01600SKILLED NURSING FACILITY 1739,A000000,02100,0000,02100RADIOLOGY 1739,A000000,02200,0000,02200LABORATORY 1739,A000000,02500,0000,02500PHYSICAL THERAPY 1739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1739,A000000,02700,0000,02700SPEECH PATHOLOGY 1739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1739,A81000A,00100,0100,Y 1739,A81000B,00100,0300,PROPERTY INSURANCE 1739,A81000B,00200,0300,OTHER INSURANCE 1739,A81000B,00300,0300,WORKERS COMPENSATION 1739,A81000B,00400,0300,ACCTG & ADMINISTRATION 1739,A81000B,00500,0300,NURSING SUPPLIES 1739,A81000B,00600,0300,EQUIPMENT 1739,A81000C,00100,0100,B 1739,A81000C,00100,0200,EV. LUTHERAN G. 1739,A81000C,00100,0600,ACCTG & MGMT 1739,A81000C,00200,0100,B 1739,A81000C,00200,0200,OMNIBILL 1739,A81000C,00200,0600,SUPPLIES 1739,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1739,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1739,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1739,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1739,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1739,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1739,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1739,B100000,00000,0800,00000MEALS SERVEDDIETARY 1739,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1739,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1739,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1739,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1739,E10A180,00550,0300,06/22/2000 1739,S000000,00100,0200,05/30/2000 1739,S200000,00100,0100,330 NORTH RANDLETT STREET 1739,S200000,00200,0100,HOBART 1739,S200000,00200,0200,OK 1739,S200000,00200,0300,73651- 1739,S200000,00300,0100,KIOWA 1739,S200000,00300,0300,R 1739,S200000,00400,0100,HOBART GOOD SAMARITAN HOME 1739,S200000,00400,0200,375277 1739,S200000,00400,0300,09/01/1996 1739,S200000,00400,0500,P 1739,S200000,01500,0100,Y 1739,S200000,01900,0100,N 1739,S700003,00000,0400,4 1743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1743,A000000,00300,0000,00300EMPLOYEE BENEFITS 1743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1743,A000000,00700,0000,00700HOUSEKEEPING 1743,A000000,00800,0000,00800DIETARY 1743,A000000,00900,0000,00900NURSING ADMINISTRATION 1743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1743,A000000,01300,0000,01300SOCIAL SERVICE 1743,A000000,01600,0000,01600SKILLED NURSING FACILITY 1743,A000000,02200,0000,02200LABORATORY 1743,A000000,02500,0000,02500PHYSICAL THERAPY 1743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1743,A000000,02700,0000,02700SPEECH PATHOLOGY 1743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1743,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1743,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1743,A81000A,00100,0100,Y 1743,A81000B,00100,0300,PROPERTY INSURANCE 1743,A81000B,00200,0300,OTHER INSURANCE 1743,A81000B,00300,0300,WORKERS COMPENSATION 1743,A81000B,00400,0300,ACCTG & ADMINISTRATION 1743,A81000C,00100,0100,B 1743,A81000C,00100,0600,ACCTG & MGMT 1743,A81000C,00200,0100,B 1743,A81000C,00200,0600,SUPPLIES 1743,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1743,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1743,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1743,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1743,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1743,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1743,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1743,B100000,00000,0800,00000MEALS SERVEDDIETARY 1743,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1743,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1743,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1743,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1743,E10A180,00501,0100,07/21/2000 1743,E10A180,00550,0300,07/21/2000 1743,S000000,00100,0200,05/30/2000 1743,S200000,00100,0100,7090 NORTH LOWE 1743,S200000,00200,0100,HOBART 1743,S200000,00200,0200,OK 1743,S200000,00200,0300,73651- 1743,S200000,00300,0100,KIOWA 1743,S200000,00300,0300,R 1743,S200000,00400,0100,HOBART GOOD SAMARITAN CENTER 1743,S200000,00400,0200,375279 1743,S200000,00400,0300,01/09/1996 1743,S200000,00400,0500,P 1743,S200000,01500,0100,Y 1743,S200000,01900,0100,N 1743,S700003,00000,0400,4 1750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1750,A000000,00300,0000,00300EMPLOYEE BENEFITS 1750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1750,A000000,00700,0000,00700HOUSEKEEPING 1750,A000000,00800,0000,00800DIETARY 1750,A000000,00900,0000,00900NURSING ADMINISTRATION 1750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1750,A000000,01300,0000,01300SOCIAL SERVICE 1750,A000000,01350,0000,01500OTHER GENERAL SERVICES 1750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1750,A000000,01600,0000,01600SKILLED NURSING FACILITY 1750,A000000,01800,0000,01800NURSING FACILITY 1750,A000000,01810,0000,01801ICF/MR 1750,A000000,01900,0000,01900OTHER LONG TERM CARE 1750,A000000,02100,0000,02100RADIOLOGY 1750,A000000,02200,0000,02200LABORATORY 1750,A000000,02300,0000,02300INTRAVENOUS THERAPY 1750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1750,A000000,02500,0000,02500PHYSICAL THERAPY 1750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1750,A000000,02700,0000,02700SPEECH PATHOLOGY 1750,A000000,02800,0000,02800ELECTROCARDIOLOGY 1750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1750,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1750,A000000,03200,0000,03200SUPPORT SURFACES 1750,A000000,03400,0000,03400CLINIC 1750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1750,A000000,03500,0000,03500RURAL HEALTH CLINIC 1750,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1750,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1750,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1750,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1750,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1750,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1750,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1750,A000000,04400,0000,04400DME RENTED - HHA 1750,A000000,04500,0000,04500DME SOLD - HHA 1750,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1750,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1750,A000000,04750,0000,05100OSP 1750,A000000,04800,0000,04800AMBULANCE 1750,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1750,A000000,05000,0000,05000CORF 1750,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1750,A000000,05300,0000,05300INTEREST EXPENSE 1750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1750,A000000,05500,0000,05500HOSPICE 1750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1750,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1750,A000000,06100,0000,06100NONPAID WORKERS 1750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1750,A000000,06200,0000,06200PATIENTS LAUNDRY 1750,A81000A,00100,0100,Y 1750,A81000B,00100,0300,PROBERTY INSURANCE 1750,A81000B,00200,0300,OTHER INSURANCE 1750,A81000B,00300,0300,UNEMPLOYMENT 1750,A81000B,00400,0300,WORKERS COMP 1750,A81000B,00500,0300,ADMIN/ACTG 1750,A81000B,00600,0300,MED SUPPLIES 1750,A81000B,00700,0300,DISPOSABLE BRIEFS 1750,A81000B,00800,0300,DIETARY SUPPLEMENT 1750,A81000B,00900,0300,EQUIPMENT 1750,A81000B,00901,0300,TEXTILES 1750,A81000C,00100,0100,B 1750,A81000C,00100,0200,EV LUTHERAN GOO 1750,A81000C,00100,0400,EV LUTHERAN GOO 1750,A81000C,00100,0600,ACTG AND MGMT 1750,A81000C,00200,0100,B 1750,A81000C,00200,0200,OMNICARE PHARM 1750,A81000C,00200,0400,OMNICARE PHARM 1750,A81000C,00200,0600,MED SUPPLIES 1750,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1750,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1750,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1750,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1750,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1750,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1750,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1750,B100000,00000,0800,00000MEALS SERVEDDIETARY 1750,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1750,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1750,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1750,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 1750,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1750,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1750,E10A180,00301,0100,11/08/1999 1750,S000000,00100,0200,05/30/2000 1750,S200000,00100,0100,3457 NE DIVISION STREET 1750,S200000,00200,0100,GRESHAM 1750,S200000,00200,0200,OR 1750,S200000,00200,0300,97030-4652 1750,S200000,00300,0100,CLACKAMAS 1750,S200000,00300,0300,U 1750,S200000,00400,0100,FAIRLAWN GOOD SAMARITAN VILLAGE 1750,S200000,00400,0200,385133 1750,S200000,00400,0300,06/14/1976 1750,S200000,00400,0500,P 1750,S200000,01600,0100,Y 1750,S200000,01900,0100,N 1750,S700003,00000,0100,1 1753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1753,A000000,00300,0000,00300EMPLOYEE BENEFITS 1753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1753,A000000,00700,0000,00700HOUSEKEEPING 1753,A000000,00800,0000,00800DIETARY 1753,A000000,00900,0000,00900NURSING ADMINISTRATION 1753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1753,A000000,01300,0000,01300SOCIAL SERVICE 1753,A000000,01350,0000,01500OTHER GENERAL SERVICES 1753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1753,A000000,01600,0000,01600SKILLED NURSING FACILITY 1753,A000000,01800,0000,01800NURSING FACILITY 1753,A000000,01810,0000,01801ICF/MR 1753,A000000,01900,0000,01900OTHER LONG TERM CARE 1753,A000000,02100,0000,02100RADIOLOGY 1753,A000000,02200,0000,02200LABORATORY 1753,A000000,02300,0000,02300INTRAVENOUS THERAPY 1753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1753,A000000,02500,0000,02500PHYSICAL THERAPY 1753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1753,A000000,02700,0000,02700SPEECH PATHOLOGY 1753,A000000,02800,0000,02800ELECTROCARDIOLOGY 1753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1753,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1753,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1753,A000000,03200,0000,03200SUPPORT SURFACES 1753,A000000,03400,0000,03400CLINIC 1753,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1753,A000000,03500,0000,03500RURAL HEALTH CLINIC 1753,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1753,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1753,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1753,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1753,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1753,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1753,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1753,A000000,04400,0000,04400DME RENTED - HHA 1753,A000000,04500,0000,04500DME SOLD - HHA 1753,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1753,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1753,A000000,04750,0000,05100OSP 1753,A000000,04800,0000,04800AMBULANCE 1753,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1753,A000000,05000,0000,05000CORF 1753,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1753,A000000,05300,0000,05300INTEREST EXPENSE 1753,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1753,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1753,A000000,05500,0000,05500HOSPICE 1753,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1753,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1753,A000000,06100,0000,06100NONPAID WORKERS 1753,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1753,A000000,06200,0000,06200PATIENTS LAUNDRY 1753,A81000A,00100,0100,Y 1753,A81000B,00100,0300,PROPERTY INSURANCE 1753,A81000B,00200,0300,OTHER INSURANCE 1753,A81000B,00300,0300,UNEMPLOYMENT 1753,A81000B,00400,0300,WORKERS COMP 1753,A81000B,00500,0300,ADMIN/ACTG 1753,A81000B,00600,0300,MED SUPPLIES 1753,A81000B,00700,0300,DISPOSABLE BRIEFS 1753,A81000B,00800,0300,DIETARY SUPPLEMENT 1753,A81000B,00900,0300,EQUIPMENT 1753,A81000B,00901,0300,TEXTILES 1753,A81000C,00100,0100,B 1753,A81000C,00100,0200,EV. LUTHERAN GS 1753,A81000C,00100,0400,EV. LUTHERAN GS 1753,A81000C,00100,0600,MGMT/ACTG 1753,A81000C,00200,0100,B 1753,A81000C,00200,0200,OMINCARE PHARM 1753,A81000C,00200,0400,OMINCARE PHARM 1753,A81000C,00200,0600,MED SUPPLIES 1753,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1753,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1753,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1753,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1753,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1753,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1753,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1753,B100000,00000,0800,00000MEALS SERVEDDIETARY 1753,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1753,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1753,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1753,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1753,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1753,B100000,00000,1500,00000NO STATISTICSOTHER GENERAL S 1753,S000000,00100,0200,05/25/2000 1753,S200000,00100,0100,EUGENE GOOD SAMARITAN CENTER 1753,S200000,00200,0100,EUGENE 1753,S200000,00200,0200,OR 1753,S200000,00200,0300,97405- 1753,S200000,00300,0100,LANE 1753,S200000,00300,0300,U 1753,S200000,00400,0100,EUGENE GOOD SAMARITAN CENTER 1753,S200000,00400,0200,385147 1753,S200000,00400,0300,01/01/1980 1753,S200000,00400,0500,P 1753,S200000,01600,0100,Y 1753,S700003,00000,0100,1 1757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1757,A000000,00300,0000,00300EMPLOYEE BENEFITS 1757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1757,A000000,00700,0000,00700HOUSEKEEPING 1757,A000000,00800,0000,00800DIETARY 1757,A000000,00900,0000,00900NURSING ADMINISTRATION 1757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1757,A000000,01300,0000,01300SOCIAL SERVICE 1757,A000000,01350,0000,01500OTHER GENERAL SERVICES 1757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1757,A000000,01600,0000,01600SKILLED NURSING FACILITY 1757,A000000,01800,0000,01800NURSING FACILITY 1757,A000000,01810,0000,01801ICF/MR 1757,A000000,01900,0000,01900OTHER LONG TERM CARE 1757,A000000,02100,0000,02100RADIOLOGY 1757,A000000,02200,0000,02200LABORATORY 1757,A000000,02300,0000,02300INTRAVENOUS THERAPY 1757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1757,A000000,02500,0000,02500PHYSICAL THERAPY 1757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1757,A000000,02700,0000,02700SPEECH PATHOLOGY 1757,A000000,02800,0000,02800ELECTROCARDIOLOGY 1757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1757,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1757,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1757,A000000,03200,0000,03200SUPPORT SURFACES 1757,A000000,03400,0000,03400CLINIC 1757,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1757,A000000,03500,0000,03500RURAL HEALTH CLINIC 1757,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1757,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1757,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1757,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1757,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1757,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1757,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1757,A000000,04400,0000,04400DME RENTED - HHA 1757,A000000,04500,0000,04500DME SOLD - HHA 1757,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1757,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1757,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1757,A000000,04800,0000,04800AMBULANCE 1757,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1757,A000000,05000,0000,05000CORF 1757,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1757,A000000,05300,0000,05300INTEREST EXPENSE 1757,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1757,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1757,A000000,05500,0000,05500HOSPICE 1757,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1757,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1757,A000000,06100,0000,06100NONPAID WORKERS 1757,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1757,A000000,06200,0000,06200PATIENTS LAUNDRY 1757,A81000A,00100,0100,Y 1757,A81000B,00100,0300,PROPERTY INSURANCE 1757,A81000B,00200,0300,OTHER INSURANCE 1757,A81000B,00300,0300,UNEMPLOYMENT 1757,A81000B,00400,0300,WORKERS COMP 1757,A81000B,00500,0300,ADMIN/ACTG 1757,A81000B,00600,0300,MED SUPPLIES 1757,A81000B,00700,0300,DISPOSABLE BRIEFS 1757,A81000B,00800,0300,DIETARY SUPPLEMENT 1757,A81000B,00900,0300,EQUIPMENT 1757,A81000C,00100,0100,B 1757,A81000C,00100,0200,EV. LUTHERAN GO 1757,A81000C,00100,0400,EV. LUTHERAN GO 1757,A81000C,00100,0600,MANAGEMENT AND 1757,A81000C,00200,0100,B 1757,A81000C,00200,0200,OMNICARE PHARM 1757,A81000C,00200,0400,OMNICARE PHARM 1757,A81000C,00200,0600,MED SUPPLIES 1757,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1757,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1757,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1757,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1757,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1757,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1757,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1757,B100000,00000,0800,00000MEALS SERVEDDIETARY 1757,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1757,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1757,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1757,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 1757,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1757,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1757,E10A180,00550,0100,06/23/2000 1757,E10A180,00550,0300,06/23/2000 1757,S000000,00100,0200,08/29/2000 1757,S200000,00100,0100,1 PARK AVE. 1757,S200000,00100,0300,1217 1757,S200000,00200,0100,BROOKINGS 1757,S200000,00200,0200,OR 1757,S200000,00200,0300,97415- 1757,S200000,00300,0100,CURRY 1757,S200000,00300,0300,R 1757,S200000,00400,0100,CURRY GOOD SAMARITAN CENTER 1757,S200000,00400,0200,385165 1757,S200000,00400,0300,01/01/1989 1757,S200000,00400,0500,P 1757,S200000,01500,0100,Y 1757,S200000,01900,0100,N 1757,S700003,00000,0100,1 1761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1761,A000000,00300,0000,00300EMPLOYEE BENEFITS 1761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1761,A000000,00700,0000,00700HOUSEKEEPING 1761,A000000,00800,0000,00800DIETARY 1761,A000000,00900,0000,00900NURSING ADMINISTRATION 1761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1761,A000000,01100,0000,01100PHARMACY 1761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1761,A000000,01300,0000,01300SOCIAL SERVICE 1761,A000000,01350,0000,01500ACTIVITIES 1761,A000000,01600,0000,01600SKILLED NURSING FACILITY 1761,A000000,01800,0000,01800NURSING FACILITY 1761,A000000,01900,0000,01900OTHER LONG TERM CARE 1761,A000000,02100,0000,02100RADIOLOGY 1761,A000000,02200,0000,02200LABORATORY 1761,A000000,02300,0000,02300INTRAVENOUS THERAPY 1761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1761,A000000,02500,0000,02500PHYSICAL THERAPY 1761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1761,A000000,02700,0000,02700SPEECH PATHOLOGY 1761,A000000,02800,0000,02800ELECTROCARDIOLOGY 1761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1761,A000000,03200,0000,03200SUPPORT SURFACES 1761,A000000,04800,0000,04800AMBULANCE 1761,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1761,A000000,05300,0000,05300INTEREST EXPENSE 1761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1761,A000000,06150,0000,06300RETIREMENT CENTER 1761,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 1761,A81000A,00100,0100,Y 1761,A81000B,00100,0300,CAPITAL RELATED 1761,A81000B,00200,0300,HOME OFFICE 1761,A81000C,00100,0100,B 1761,A81000C,00100,0200,FV SOUTH HILLS 1761,A81000C,00100,0400,LCRC INC. 1761,A81000C,00100,0600,CCRC 1761,A81000C,00200,0100,B 1761,A81000C,00200,0200,FV SOUTH HILLS 1761,A81000C,00200,0400,LCRC INC. 1761,A81000C,00200,0600,CCRC 1761,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1761,B100000,00000,0200,00001DOLLAR VALUECAP REL COSTS - MOVA 1761,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1761,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1761,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1761,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1761,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1761,B100000,00000,0800,00001MEALS SERVEDDIETARY 1761,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 1761,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SU 1761,B100000,00000,1100,00001PATIENT DAYSPHARMACY 1761,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1761,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1761,B100000,00000,1350,00001PATIENT DAYSACTIVITIES 1761,S000000,00100,0200,06/02/2000 1761,S200000,00100,0100,1290 BOYCE ROAD 1761,S200000,00200,0100,UPPER ST. CLAIR 1761,S200000,00200,0200,PA 1761,S200000,00200,0300,15241- 1761,S200000,00300,0100,ALLEGHENY 1761,S200000,00300,0300,U 1761,S200000,00400,0100,FRIENDSHIP VILLAGE SOUTH HILLS 1761,S200000,00400,0200,395688 1761,S200000,00400,0300,01/29/1985 1761,S200000,00400,0500,P 1761,S200000,01500,0100,Y 1761,S200000,01700,0100,Y 1761,S200000,01900,0100,N 1761,S200000,02200,0100,Y 1761,S200000,02800,0100,Y 1761,S700003,00000,0100,1 1764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1764,A000000,00300,0000,00300EMPLOYEE BENEFITS 1764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1764,A000000,00700,0000,00700HOUSEKEEPING 1764,A000000,00800,0000,00800DIETARY 1764,A000000,00900,0000,00900NURSING ADMINISTRATION 1764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1764,A000000,01100,0000,01100PHARMACY 1764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1764,A000000,01300,0000,01300SOCIAL SERVICE 1764,A000000,01350,0000,01500ACTIVITIES 1764,A000000,01600,0000,01600SKILLED NURSING FACILITY 1764,A000000,01800,0000,01800NURSING FACILITY 1764,A000000,01810,0000,01801ICF/MR 1764,A000000,01900,0000,01900OTHER LONG TERM CARE 1764,A000000,02100,0000,02100RADIOLOGY 1764,A000000,02200,0000,02200LABORATORY 1764,A000000,02300,0000,02300INTRAVENOUS THERAPY 1764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1764,A000000,02500,0000,02500PHYSICAL THERAPY 1764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1764,A000000,02700,0000,02700SPEECH PATHOLOGY 1764,A000000,02800,0000,02800ELECTROCARDIOLOGY 1764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1764,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1764,A000000,03200,0000,03200SUPPORT SURFACES 1764,A000000,03400,0000,03400CLINIC 1764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1764,A000000,04800,0000,04800AMBULANCE 1764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1764,A000000,05300,0000,05300INTEREST EXPENSE 1764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1764,A000000,06100,0000,06100NONPAID WORKERS 1764,A000000,06150,0000,06300RETIREMENT CENTER 1764,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1764,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1764,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1764,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1764,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1764,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1764,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1764,B100000,00000,0800,00000MEALS SERVEDDIETARY 1764,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1764,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1764,B100000,00000,1100,00000PATIENT DAYSPHARMACY 1764,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1764,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1764,B100000,00000,1500,00000PATIENT DAYSACTIVITIES 1764,S000000,00100,0200,06/02/2000 1764,S200000,00100,0100,20 LADY SLIPPER LANE 1764,S200000,00200,0100,HILTON HEAD ISLAND 1764,S200000,00200,0200,SC 1764,S200000,00200,0300,29926- 1764,S200000,00300,0100,BEAUFORD 1764,S200000,00300,0300,R 1764,S200000,00400,0100,THE CYPRESS/PRESTON HEALTH CENTER 1764,S200000,00400,0200,425235 1764,S200000,00400,0300,05/06/1992 1764,S200000,00400,0500,P 1764,S200000,01600,0100,Y 1764,S200000,01900,0100,N 1764,S700003,00000,0100,1 1766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1766,A000000,00300,0000,00300EMPLOYEE BENEFITS 1766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1766,A000000,00700,0000,00700HOUSEKEEPING 1766,A000000,00800,0000,00800DIETARY 1766,A000000,00900,0000,00900NURSING ADMINISTRATION 1766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1766,A000000,01100,0000,01100PHARMACY 1766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1766,A000000,01300,0000,01300SOCIAL SERVICE 1766,A000000,01350,0000,01500ACTIVITIES 1766,A000000,01600,0000,01600SKILLED NURSING FACILITY 1766,A000000,01800,0000,01800NURSING FACILITY 1766,A000000,01810,0000,01810ICF/MR 1766,A000000,01900,0000,01900OTHER LONG TERM CARE 1766,A000000,02100,0000,02100RADIOLOGY 1766,A000000,02200,0000,02200LABORATORY 1766,A000000,02300,0000,02300INTRAVENOUS THERAPY 1766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1766,A000000,02500,0000,02500PHYSICAL THERAPY 1766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1766,A000000,02700,0000,02700SPEECH PATHOLOGY 1766,A000000,02800,0000,02800ELECTROCARDIOLOGY 1766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1766,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1766,A000000,03200,0000,03200SUPPORT SURFACES 1766,A000000,03400,0000,03400CLINIC 1766,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENT 1766,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 1766,A000000,04800,0000,04800AMBULANCE 1766,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1766,A000000,05300,0000,05300INTEREST EXPENSE 1766,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 1766,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1766,A000000,06100,0000,06100NONPAID WORKERS 1766,A000000,06150,0000,06300RETIREMENT CENTER 1766,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 1766,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 1766,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1766,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1766,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 1766,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1766,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1766,B100000,00000,0800,00000MEALS SERVEDDIETARY 1766,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATION 1766,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SUPP 1766,B100000,00000,1100,00000PATIENT DAYSPHARMACY 1766,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 1766,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1766,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1766,E10A180,00350,0100,09/14/1999 1766,E10A180,00351,0100,11/08/1999 1766,S000000,00100,0200,06/02/2000 1766,S200000,00100,0100,20 LADY SLIPPER LANE 1766,S200000,00200,0100,HILTON HEAD ISLAND 1766,S200000,00200,0200,SC 1766,S200000,00200,0300,29926 1766,S200000,00300,0100,BEAUFORD 1766,S200000,00300,0300,R 1766,S200000,00400,0100,THE CYPRESS/PRESTON HEALTH CENTER 1766,S200000,00400,0200,425325 1766,S200000,00400,0300,05/06/1992 1766,S200000,00400,0500,P 1766,S200000,01600,0100,Y 1766,S200000,01900,0100,OTHER 1766,S700003,00000,0100,1 1769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1769,A000000,00300,0000,00300EMPLOYEE BENEFITS 1769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1769,A000000,00700,0000,00700HOUSEKEEPING 1769,A000000,00800,0000,00800DIETARY 1769,A000000,00801,0000,00801DIETARY- DINNING 1769,A000000,00900,0000,00900NURSING ADMINISTRATION 1769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1769,A000000,01100,0000,01100PHARMACY 1769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1769,A000000,01300,0000,01300SOCIAL SERVICE 1769,A000000,01350,0000,01500ACTIVITES/RECREATION 1769,A000000,01600,0000,01600SKILLED NURSING FACILITY 1769,A000000,01800,0000,01800NURSING FACILITY 1769,A000000,02200,0000,02200LABORATORY 1769,A000000,02300,0000,02300INTRAVENOUS THERAPY 1769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1769,A000000,02500,0000,02500PHYSICAL THERAPY 1769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1769,A000000,02700,0000,02700SPEECH PATHOLOGY 1769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1769,A000000,05300,0000,05300INTEREST EXPENSE 1769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1769,A000000,06150,0000,06300APARTMENT SERVICES 1769,A000000,06151,0000,06301GUEST MEALS 1769,A000000,06152,0000,06302MEALS ON WHEELS 1769,A000000,06200,0000,06200PATIENTS LAUNDRY 1769,A81000A,00100,0100,Y 1769,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 1769,A81000B,00200,0300,CRC - MME 1769,A81000C,00100,0100,B 1769,A81000C,00100,0200,HEALTHQUEST 1769,A81000C,00100,0400,LONG-TERM CARE 1769,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1769,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1769,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1769,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1769,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1769,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1769,B100000,00000,0700,00002HOURS OF SERVICEHOUSEKEEPING 1769,B100000,00000,0800,00002MEALS SERVEDDIETARY 1769,B100000,00000,0850,00002MEALS SERVEDDIETARY- DINNING 1769,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINIS 1769,B100000,00000,1000,00002COSTED REQUISCENTRAL SERVICES & 1769,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1769,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LI 1769,B100000,00000,1300,00002TIME SPENTSOCIAL SERVICE 1769,B100000,00000,1350,00002TIME SPENTACTIVITES/RECREATION 1769,E10A180,00350,0100,01/20/2000 1769,E10A180,00351,0100,03/15/2000 1769,E10A180,00501,0100,07/07/2000 1769,S000000,00100,0200,06/02/2000 1769,S200000,00100,0100,15TH AND MICHIGAN 1769,S200000,00100,0300,1277 1769,S200000,00200,0100,HURON 1769,S200000,00200,0200,SD 1769,S200000,00200,0300,57350- 1769,S200000,00300,0100,BEADLE 1769,S200000,00300,0300,R 1769,S200000,00400,0100,HURON NURSING HOME 1769,S200000,00400,0200,435020 1769,S200000,00400,0300,05/01/1994 1769,S200000,00400,0500,P 1769,S200000,01600,0100,Y 1769,S200000,01900,0100,N 1769,S700003,00000,0100,1 1772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1772,A000000,00300,0000,00300EMPLOYEE BENEFITS 1772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1772,A000000,00700,0000,00700HOUSEKEEPING 1772,A000000,00800,0000,00800DIETARY 1772,A000000,00900,0000,00900NURSING ADMINISTRATION 1772,A000000,01100,0000,01100PHARMACY 1772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1772,A000000,01300,0000,01300SOCIAL SERVICE 1772,A000000,01600,0000,01600SKILLED NURSING FACILITY 1772,A000000,02100,0000,02100RADIOLOGY 1772,A000000,02200,0000,02200LABORATORY 1772,A000000,02500,0000,02500PHYSICAL THERAPY 1772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1772,A000000,02700,0000,02700SPEECH PATHOLOGY 1772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1772,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1772,A81000A,00100,0100,Y 1772,A81000B,00100,0300,MANAGEMENT FEE 1772,A81000B,00200,0300,MANAGEMENT FEE 1772,A81000C,00100,0100,B 1772,A81000C,00100,0400,LUTHERAN HEALTH 1772,A81000C,00100,0600,HEALTH CARE MAN 1772,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1772,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1772,B100000,00000,0300,00000GROSS SALARYEMPLOYEE BENEFITS 1772,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1772,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1772,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1772,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1772,B100000,00000,0800,00000MEALS SERVEDDIETARY 1772,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1772,B100000,00000,1100,00000COSTED REQUISPHARMACY 1772,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1772,B100000,00000,1300,00000ASSIGNED TIMESOCIAL SERVICE 1772,E10A180,00550,0100,06/22/2000 1772,S000000,00100,0200,05/23/2000 1772,S200000,00100,0100,1065 MONTGOMERY 1772,S200000,00200,0100,CUSTER 1772,S200000,00200,0200,SD 1772,S200000,00200,0300,57730- 1772,S200000,00300,0100,CUSTER 1772,S200000,00300,0300,R 1772,S200000,00400,0100,COLONIAL MANOR 1772,S200000,00400,0200,435032 1772,S200000,00400,0300,10/01/1984 1772,S200000,00400,0500,P 1772,S200000,01500,0100,Y 1772,S200000,01900,0100,N 1772,S200000,02800,0100,Y 1772,S700003,00000,0100,1 1776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1776,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 1776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1776,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 1776,A000000,00300,0000,00300EMPLOYEE BENEFITS 1776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1776,A000000,00700,0000,00700HOUSEKEEPING 1776,A000000,00800,0000,00800DIETARY 1776,A000000,00801,0000,00801CAFETERIA 1776,A000000,00900,0000,00900NURSING ADMINISTRATION 1776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1776,A000000,01100,0000,01100PHARMACY 1776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1776,A000000,01300,0000,01300SOCIAL SERVICE 1776,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1776,A000000,01600,0000,01600SKILLED NURSING FACILITY 1776,A000000,01800,0000,01800NURSING FACILITY 1776,A000000,01900,0000,01900OTHER LONG TERM CARE 1776,A000000,02100,0000,02100RADIOLOGY 1776,A000000,02200,0000,02200LABORATORY 1776,A000000,02300,0000,02300INTRAVENOUS THERAPY 1776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1776,A000000,02500,0000,02500PHYSICAL THERAPY 1776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1776,A000000,02700,0000,02700SPEECH PATHOLOGY 1776,A000000,02800,0000,02800ELECTROCARDIOLOGY 1776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1776,A000000,03050,0000,03300OTHER ANCILLARY 1776,A000000,03051,0000,03301OTHER ANCILLARY II 1776,A000000,03052,0000,03302OTHER ANCILLARY III 1776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1776,A000000,03200,0000,03200SUPPORT SURFACES 1776,A000000,03400,0000,03400CLINIC 1776,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 1776,A000000,03500,0000,03500RURAL HEALTH CLINIC 1776,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1776,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1776,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1776,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1776,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1776,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1776,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1776,A000000,04400,0000,04400DME RENTED - HHA 1776,A000000,04500,0000,04500DME SOLD - HHA 1776,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1776,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1776,A000000,04750,0000,05100OSP 1776,A000000,04800,0000,04800AMBULANCE 1776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1776,A000000,05000,0000,05000CORF 1776,A000000,05010,0000,05010CMHC I 1776,A000000,05020,0000,05020OPT I 1776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1776,A000000,05300,0000,05300INTEREST EXPENSE 1776,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 1776,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 1776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1776,A000000,05500,0000,05500HOSPICE 1776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1776,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1776,A000000,06100,0000,06100NONPAID WORKERS 1776,A000000,06150,0000,06300APARTM/ASSIST LIV/COMPAN 1776,A000000,06200,0000,06200PATIENTS LAUNDRY 1776,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 1776,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 1776,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 1776,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 1776,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 1776,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1776,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 1776,B100000,00000,0600,00000(POUNDS OFLAUNDRY)LAUNDRY & LINEN S 1776,B100000,00000,0700,00000(HOURS OF SERVICE)HOUSEKEEPING 1776,B100000,00000,0800,00000(MEALS SERVED)DIETARY 1776,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 1776,B100000,00000,0900,00000(DIRECT NRSING HRSNURSING ADMINIS 1776,B100000,00000,1000,00000(COSTED REQUIS.)CENTRAL SERVICES 1776,B100000,00000,1100,00000(COSTED REQUIS.)PHARMACY 1776,B100000,00000,1200,00000(TIME SPENT)MEDICAL RECORDS & L 1776,B100000,00000,1300,00000(TIME SPENT)SOCIAL SERVICE 1776,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 1776,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 1776,E10A180,00301,0100,11/01/1999 1776,E10A180,00501,0100,04/27/2000 1776,E10A180,00550,0300,04/27/2000 1776,H510100,00000,0000,6660 1776,H510100,02400,0000,6660 1776,H510100,02401,0000,9943 1776,H710000,00301,0100,12/29/1999 1776,H710000,00501,0100,04/27/2000 1776,S000000,00100,0200,03/02/2000 1776,S200000,00100,0100,255 TEXAS ST 1776,S200000,00200,0100,RAPID CITY 1776,S200000,00200,0200,SD 1776,S200000,00300,0100,PENNINGTON 1776,S200000,00300,0300,U 1776,S200000,00400,0100,WESTHILLS VILLAGE 1776,S200000,00400,0200,435033 1776,S200000,00400,0300,03/01/1985 1776,S200000,00400,0500,P 1776,S200000,00800,0200,437039 1776,S200000,00800,0300,01/01/1992 1776,S200000,00800,0500,P 1776,S200000,01500,0100,Y 1776,S200000,01900,0100,N 1776,S200000,02800,0100,Y 1776,S700003,00000,0100,1 1783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1783,A000000,00300,0000,00300EMPLOYEE BENEFITS 1783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1783,A000000,00700,0000,00700HOUSEKEEPING 1783,A000000,00800,0000,00800DIETARY 1783,A000000,00900,0000,00900NURSING ADMINISTRATION 1783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1783,A000000,01100,0000,01100PHARMACY 1783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1783,A000000,01300,0000,01300SOCIAL SERVICE 1783,A000000,01350,0000,01500OTHER GENERAL SERVICES 1783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1783,A000000,01600,0000,01600SKILLED NURSING FACILITY 1783,A000000,01800,0000,01800NURSING FACILITY 1783,A000000,01900,0000,01900OTHER LONG TERM CARE 1783,A000000,02100,0000,02100RADIOLOGY 1783,A000000,02200,0000,02200LABORATORY 1783,A000000,02300,0000,02300INTRAVENOUS THERAPY 1783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1783,A000000,02500,0000,02500PHYSICAL THERAPY 1783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1783,A000000,02700,0000,02700SPEECH PATHOLOGY 1783,A000000,02800,0000,02800ELECTROCARDIOLOGY 1783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1783,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1783,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1783,A000000,03200,0000,03200SUPPORT SURFACES 1783,A000000,03400,0000,03400CLINIC 1783,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1783,A000000,03500,0000,03500RURAL HEALTH CLINIC 1783,A000000,04750,0000,05100OSP 1783,A000000,04800,0000,04800AMBULANCE 1783,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1783,A000000,05000,0000,05000CORF 1783,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1783,A000000,05300,0000,05300INTEREST EXPENSE 1783,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1783,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1783,A000000,05500,0000,05500HOSPICE 1783,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1783,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1783,A000000,06100,0000,06100NONPAID WORKERS 1783,A000000,06150,0000,06300200 MAPLE PLACE 1783,A000000,06151,0000,06301ADULT DAYCARE 1783,A000000,06152,0000,06302TOWN VIEW APARTMENTS 1783,A000000,06153,0000,06303CEDAR VIEW ASSISTED LIVING 1783,A000000,06154,0000,06304ST. MARTINS 1783,A000000,06200,0000,06200PATIENTS LAUNDRY 1783,B100000,00000,0100,00004SQUARE FEETCAP REL COSTS - BLDGS 1783,B100000,00000,0200,00004SQUARE FEETCAP REL COSTS - MOVAB 1783,B100000,00000,0300,00004GROSS SALARIESEMPLOYEE BENEFITS 1783,B100000,00000,0400,00004ACC COSTADMINISTRATIVE & GENERAL 1783,B100000,00000,0500,00004SQUARE FEETPLANT OPERATION MAIN 1783,B100000,00000,0600,00004POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1783,B100000,00000,0700,00004SQUARE FEETHOUSEKEEPING 1783,B100000,00000,0800,00004MEALS SERVEDDIETARY 1783,B100000,00000,0900,00004DIRECT NRSING HRSNURSING ADMINIS 1783,B100000,00000,1000,00004COSTED REQUIS.CENTRAL SERVICES & 1783,B100000,00000,1100,00004COSTED REQUIS.PHARMACY 1783,B100000,00000,1200,00004TIME SPENTMEDICAL RECORDS & LI 1783,B100000,00000,1300,00004TIME SPENTSOCIAL SERVICE 1783,B100000,00000,1350,00004NO STATISTICSOTHER GENERAL S 1783,B100000,00000,1400,00004ASSIGNED TIMEINTERNS & RESIDENTS ( 1783,E10A180,00501,0100,10/05/2000 1783,E10A180,00550,0300,10/05/2000 1783,S000000,00100,0200,08/30/2000 1783,S200000,00100,0100,215 SOUTH MAPLE STREET 1783,S200000,00200,0100,WATERTOWN 1783,S200000,00200,0200,SD 1783,S200000,00200,0300,57201-4316 1783,S200000,00300,0100,CODINGTON 1783,S200000,00300,0300,R 1783,S200000,00400,0100,JENKINS LIVING CENTER 1783,S200000,00400,0200,435036 1783,S200000,00400,0300,02/01/1987 1783,S200000,00400,0500,P 1783,S200000,01500,0100,Y 1783,S200000,01900,0100,N 1783,S200000,02200,0100,Y 1783,S200000,02800,0100,Y 1783,S700003,00000,0100,1 1784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1784,A000000,00300,0000,00300EMPLOYEE BENEFITS 1784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1784,A000000,00700,0000,00700HOUSEKEEPING 1784,A000000,00800,0000,00800DIETARY 1784,A000000,00900,0000,00900NURSING ADMINISTRATION 1784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1784,A000000,01300,0000,01300SOCIAL SERVICE 1784,A000000,01600,0000,01600SKILLED NURSING FACILITY 1784,A000000,02200,0000,02200LABORATORY 1784,A000000,02500,0000,02500PHYSICAL THERAPY 1784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1784,A000000,02700,0000,02700SPEECH PATHOLOGY 1784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1784,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1784,A000000,05300,0000,05300INTEREST EXPENSE 1784,A81000A,00100,0100,Y 1784,A81000B,00100,0300,MANAGEMENT FEES 1784,A81000B,00200,0300,MGMT FEES - CAPITAL COSTS 1784,A81000C,00100,0100,B 1784,A81000C,00100,0400,LUTHERAN HEALTH 1784,A81000C,00100,0600,NONPROFIT 1784,A81000C,00200,0100,B 1784,A81000C,00200,0400,LUTHERAN HEALTH 1784,A81000C,00200,0600,NONPROFIT 1784,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1784,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1784,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1784,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1784,B100000,00000,0500,00000SUARE FEETPLANT OPERATION MAIN 1784,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1784,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1784,B100000,00000,0800,00000MEALS SERVEDDIETARY 1784,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1784,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1784,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1784,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1784,E10A180,00550,0100,07/28/2000 1784,S000000,00100,0200,06/13/2000 1784,S200000,00100,0100,1015 MOUNTAIN VIEW ROAD 1784,S200000,00200,0100,RAPID CITY 1784,S200000,00200,0200,SD 1784,S200000,00200,0300,57702- 1784,S200000,00300,0100,PENNINGTON 1784,S200000,00300,0300,U 1784,S200000,00400,0100,CLARKSON MOUNTAIN VIEW HOME 1784,S200000,00400,0200,435037 1784,S200000,00400,0300,10/01/1995 1784,S200000,00400,0500,P 1784,S200000,01500,0100,Y 1784,S200000,01900,0100,N 1784,S200000,02200,0100,Y 1784,S200000,02800,0100,Y 1784,S700003,00000,0100,1 1788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1788,A000000,00300,0000,00300EMPLOYEE BENEFITS 1788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1788,A000000,00700,0000,00700HOUSEKEEPING 1788,A000000,00800,0000,00800DIETARY 1788,A000000,00900,0000,00900NURSING ADMINISTRATION 1788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1788,A000000,01100,0000,01100PHARMACY 1788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1788,A000000,01300,0000,01300SOCIAL SERVICE 1788,A000000,01350,0000,01500OTHER GENERAL SERVICES 1788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1788,A000000,01600,0000,01600SKILLED NURSING FACILITY 1788,A000000,01800,0000,01800NURSING FACILITY 1788,A000000,01810,0000,01801ICF/MR 1788,A000000,01900,0000,01900OTHER LONG TERM CARE 1788,A000000,02100,0000,02100RADIOLOGY 1788,A000000,02200,0000,02200LABORATORY 1788,A000000,02300,0000,02300INTRAVENOUS THERAPY 1788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1788,A000000,02500,0000,02500PHYSICAL THERAPY 1788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1788,A000000,02700,0000,02700SPEECH PATHOLOGY 1788,A000000,02800,0000,02800ELECTROCARDIOLOGY 1788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1788,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1788,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1788,A000000,03200,0000,03200SUPPORT SURFACES 1788,A000000,03400,0000,03400CLINIC 1788,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1788,A000000,03500,0000,03500RURAL HEALTH CLINIC 1788,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1788,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1788,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1788,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1788,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1788,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1788,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1788,A000000,04400,0000,04400DME RENTED - HHA 1788,A000000,04500,0000,04500DME SOLD - HHA 1788,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1788,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1788,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1788,A000000,04800,0000,04800AMBULANCE 1788,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1788,A000000,05000,0000,05000CORF 1788,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1788,A000000,05300,0000,05300INTEREST EXPENSE 1788,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1788,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1788,A000000,05500,0000,05500HOSPICE 1788,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1788,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1788,A000000,06100,0000,06100NONPAID WORKERS 1788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1788,A000000,06200,0000,06200PATIENTS LAUNDRY 1788,A81000A,00100,0100,Y 1788,A81000B,00100,0300,CENTRAL OFFICE EXPENSE 1788,A81000C,00100,0100,B 1788,A81000C,00100,0200,TEKAKWITHA NURS 1788,A81000C,00100,0400,BENEDICTINE HEA 1788,A81000C,00100,0600,HEALTH CARE 1788,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 1788,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 1788,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 1788,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 1788,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 1788,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 1788,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 1788,B100000,00000,0800,00000MEALS SERVED DIETARY 1788,B100000,00000,0900,00000HOURS OF SERVICE NURSING ADMINI 1788,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 1788,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 1788,B100000,00000,1200,00000RESIDENT DAYS MEDICAL RECORDS & 1788,B100000,00000,1300,00000RESIDENT DAYS SOCIAL SERVICE 1788,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 1788,B100000,00000,1500,00000NO STATISTICS OTHER GENER 1788,E10A180,00550,0300,12/22/2000 1788,S000000,00100,0200,12/04/2000 1788,S200000,00100,0100,6 EAST CHESNUT 1788,S200000,00200,0100,SISSETON 1788,S200000,00200,0200,SD 1788,S200000,00200,0300,57262-1494 1788,S200000,00300,0100,ROBERTS 1788,S200000,00400,0100,TEKAKWITHA NURSING CENTER 1788,S200000,00400,0200,435038 1788,S200000,00400,0300,04/01/1988 1788,S200000,00400,0500,P 1788,S200000,00400,0600,O 1788,S200000,01600,0100,Y 1788,S700003,00000,0200,X 1790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1790,A000000,00300,0000,00300EMPLOYEE BENEFITS 1790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1790,A000000,00700,0000,00700HOUSEKEEPING 1790,A000000,00800,0000,00800DIETARY 1790,A000000,00900,0000,00900NURSING ADMINISTRATION 1790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1790,A000000,01100,0000,01100PHARMACY 1790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1790,A000000,01300,0000,01300SOCIAL SERVICE 1790,A000000,01350,0000,01500ACTIVITIES 1790,A000000,01600,0000,01600SKILLED NURSING FACILITY 1790,A000000,01800,0000,01800NURSING FACILITY 1790,A000000,02100,0000,02100RADIOLOGY 1790,A000000,02200,0000,02200LABORATORY 1790,A000000,02300,0000,02300INTRAVENOUS THERAPY 1790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1790,A000000,02500,0000,02500PHYSICAL THERAPY 1790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1790,A000000,02700,0000,02700SPEECH PATHOLOGY 1790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1790,A000000,03050,0000,03300DURABLE EQUIPMENT (AFT) 1790,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1790,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1790,A000000,05300,0000,05300INTEREST EXPENSE 1790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1790,A81000A,00100,0100,Y 1790,A81000B,00100,0300,MANAGEMENT SERVICES 1790,A81000B,00200,0300,CAPITAL RELATED COSTS 1790,A81000C,00100,0100,B 1790,A81000C,00100,0200,HEALTHQUEST 1790,A81000C,00100,0400,LONG TERM CARE 1790,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1790,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1790,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1790,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1790,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1790,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1790,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1790,B100000,00000,0800,00000MEALS SERVEDDIETARY 1790,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1790,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1790,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1790,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1790,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1790,B100000,00000,1350,00000TIME SPENTACTIVITIES 1790,S000000,00100,0200,05/31/2000 1790,S200000,00100,0100,3600 S NORTON AVE 1790,S200000,00200,0100,SIOUX FALLS 1790,S200000,00200,0200,SD 1790,S200000,00200,0300,57105- 1790,S200000,00300,0100,MINNEHAHA 1790,S200000,00300,0300,U 1790,S200000,00400,0100,SOUTHRIDGE HEALTHCARE 1790,S200000,00400,0200,435039 1790,S200000,00400,0300,04/01/1994 1790,S200000,00400,0500,P 1790,S200000,01600,0100,Y 1790,S200000,01900,0100,N 1790,S200000,02200,0100,Y 1790,S200000,04300,0100,Y 1790,S700003,00000,0100,1 1792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1792,A000000,00300,0000,00300EMPLOYEE BENEFITS 1792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1792,A000000,00700,0000,00700HOUSEKEEPING 1792,A000000,00800,0000,00800DIETARY 1792,A000000,00900,0000,00900NURSING ADMINISTRATION 1792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1792,A000000,01100,0000,01100PHARMACY 1792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1792,A000000,01300,0000,01300SOCIAL SERVICE 1792,A000000,01600,0000,01600SKILLED NURSING FACILITY 1792,A000000,02200,0000,02200LABORATORY 1792,A000000,02500,0000,02500PHYSICAL THERAPY 1792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1792,A000000,02700,0000,02700SPEECH PATHOLOGY 1792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1792,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1792,A000000,05300,0000,05300INTEREST EXPENSE 1792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1792,A81000A,00100,0100,Y 1792,A81000B,00100,0300,ADMIN AND GENERAL 1792,A81000C,00100,0100,B 1792,A81000C,00100,0400,BANNER HEALTH S 1792,A81000C,00100,0600,NONPROFIT 1792,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1792,B100000,00000,0200,00000ACTUAL DEPRECIATICAP REL COSTS - 1792,B100000,00000,0300,00000GROSS SALARYEMPLOYEE BENEFITS 1792,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1792,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1792,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1792,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1792,B100000,00000,0800,00000MEALS SERVEDDIETARY 1792,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1792,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1792,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1792,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1792,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1792,E10A180,00501,0300,06/15/2000 1792,E10A180,00550,0100,06/15/2000 1792,S000000,00100,0200,05/04/2000 1792,S200000,00100,0100,1020 10TH STREET 1792,S200000,00200,0100,SPEARFISH 1792,S200000,00200,0200,SD 1792,S200000,00200,0300,57783- 1792,S200000,00300,0100,LAWIENA 1792,S200000,00300,0300,R 1792,S200000,00400,0100,DORSETT HEALTH CARE CENTER 1792,S200000,00400,0200,435043 1792,S200000,00400,0300,12/01/1991 1792,S200000,00400,0500,P 1792,S200000,01500,0100,Y 1792,S200000,01900,0100,N 1792,S700003,00000,0100,1 1797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1797,A000000,00300,0000,00300EMPLOYEE BENEFITS 1797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1797,A000000,00700,0000,00700HOUSEKEEPING 1797,A000000,00800,0000,00800DIETARY 1797,A000000,00900,0000,00900NURSING ADMINISTRATION 1797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1797,A000000,01100,0000,01100PHARMACY 1797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1797,A000000,01300,0000,01300SOCIAL SERVICE 1797,A000000,01600,0000,01600SKILLED NURSING FACILITY 1797,A000000,01800,0000,01800NURSING FACILITY 1797,A000000,01900,0000,01900OTHER LONG TERM CARE 1797,A000000,02100,0000,02100RADIOLOGY 1797,A000000,02200,0000,02200LABORATORY 1797,A000000,02300,0000,02300INTRAVENOUS THERAPY 1797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1797,A000000,02500,0000,02500PHYSICAL THERAPY 1797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1797,A000000,02700,0000,02700SPEECH PATHOLOGY 1797,A000000,02800,0000,02800ELECTROCARDIOLOGY 1797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1797,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1797,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1797,A000000,03200,0000,03200SUPPORT SURFACES 1797,A000000,03400,0000,03400CLINIC 1797,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1797,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1797,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1797,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1797,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1797,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1797,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1797,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1797,A000000,04400,0000,04400DME RENTED - HHA 1797,A000000,04500,0000,04500DME SOLD - HHA 1797,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1797,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1797,A000000,04800,0000,04800AMBULANCE 1797,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1797,A000000,05000,0000,05000CORF 1797,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1797,A000000,05300,0000,05300INTEREST EXPENSE 1797,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1797,A000000,05500,0000,05500HOSPICE 1797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1797,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1797,A000000,06100,0000,06100NONPAID WORKERS 1797,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1797,A000000,06151,0000,06301SHARED EMPLOYEES 1797,A000000,06200,0000,06200PATIENTS LAUNDRY 1797,A81000A,00100,0100,Y 1797,A81000B,00100,0300,UNEMPLOYMENT 1797,A81000B,00200,0300,WORKERS COMP. 1797,A81000B,00300,0300,PROPERTY INS. 1797,A81000B,00400,0300,VEHICLE INS. 1797,A81000B,00500,0300,ADMIN AND ACCTG 1797,A81000B,00600,0300,MEDICAL SUPPLIES 1797,A81000B,00700,0300,NURSING SUPPLIES 1797,A81000B,00800,0300,NURSING SUPPLIES 1797,A81000B,00900,0300,DIET SUPPLEMENTS 1797,A81000C,00100,0100,B 1797,A81000C,00100,0400,EV. LUTH GOOD S 1797,A81000C,00100,0600,HEALTH CARE 1797,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1797,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1797,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1797,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1797,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1797,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1797,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1797,B100000,00000,0800,00001MEALS SERVEDDIETARY 1797,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1797,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1797,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1797,B100000,00000,1200,00001REVENUEMEDICAL RECORDS & LIBRARY 1797,B100000,00000,1300,00001ADMISSIONSSOCIAL SERVICE 1797,S000000,00100,0200,03/03/2000 1797,S200000,00100,0100,2900 S. LAKE AVENUE 1797,S200000,00200,0100,SIOUX FALLS 1797,S200000,00200,0200,SD 1797,S200000,00200,0300,57105 1797,S200000,00300,0300,U 1797,S200000,00400,0100,GOOD SAMARITAN LUTHER MANOR 1797,S200000,00400,0200,435044 1797,S200000,00400,0300,01/01/1990 1797,S200000,00400,0500,P 1797,S200000,01500,0100,Y 1797,S200000,01900,0100,N 1797,S200000,02800,0100,Y 1797,S700003,00000,0100,1 1801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1801,A000000,00300,0000,00300EMPLOYEE BENEFITS 1801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1801,A000000,00700,0000,00700HOUSEKEEPING 1801,A000000,00800,0000,00800DIETARY 1801,A000000,00900,0000,00900NURSING ADMINISTRATION 1801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1801,A000000,01300,0000,01300SOCIAL SERVICE 1801,A000000,01600,0000,01600SKILLED NURSING FACILITY 1801,A000000,01800,0000,01800NURSING FACILITY 1801,A000000,01900,0000,01900OTHER LONG TERM CARE 1801,A000000,02100,0000,02100RADIOLOGY 1801,A000000,02200,0000,02200LABORATORY 1801,A000000,02300,0000,02300INTRAVENOUS THERAPY 1801,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1801,A000000,02500,0000,02500PHYSICAL THERAPY 1801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1801,A000000,02700,0000,02700SPEECH PATHOLOGY 1801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1801,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1801,A000000,03200,0000,03200SUPPORT SURFACES 1801,A000000,03400,0000,03400CLINIC 1801,A000000,03500,0000,03500RURAL HEALTH CLINIC 1801,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1801,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1801,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1801,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1801,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1801,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1801,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1801,A000000,04400,0000,04400DME RENTED - HHA 1801,A000000,04500,0000,04500DME SOLD - HHA 1801,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1801,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1801,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1801,A000000,05300,0000,05300INTEREST EXPENSE 1801,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1801,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1801,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1801,A000000,06151,0000,06301APARTMENTS/DUPLEX/ASSISTED LIVING 1801,A000000,06152,0000,06302RESOURCE DEVELOPMENT 1801,A81000A,00100,0100,Y 1801,A81000B,00100,0300,PROPERTY INSURANCE 1801,A81000B,00200,0300,OTHER INSURANCE 1801,A81000B,00300,0300,UNEMPLOYMENT-SNF 1801,A81000B,00400,0300,UNEMPLOYMENT-HHA 1801,A81000B,00500,0300,WORKERS COMP-SNF 1801,A81000B,00600,0300,WORKERS COMP-HHA 1801,A81000B,00700,0300,ADMIN AND ACCOUNTING-SNF 1801,A81000B,00800,0300,ADMIN AND ACCOUNTING-HHA 1801,A81000B,00900,0300,NURSING SUPPLIES 1801,A81000B,00901,0300,DISPOSABLE BRIEFS 1801,A81000B,00902,0300,DIETARY SUPPLEMENTS 1801,A81000B,00903,0300,EQUIPMENT 1801,A81000B,00904,0300,TEXTILES 1801,A81000C,00100,0100,B 1801,A81000C,00100,0400,EVANGELICAL LUT 1801,A81000C,00100,0600,MANAGEMENT & AC 1801,A81000C,00200,0100,B 1801,A81000C,00200,0400,OMNICARE 1801,A81000C,00200,0600,MEDICAL SUPPLIE 1801,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1801,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1801,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1801,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1801,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1801,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 1801,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1801,B100000,00000,0800,00002MEALS SERVEDDIETARY 1801,B100000,00000,0900,00002HOURS OF SERVICENURSING ADMINISTRA 1801,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 1801,B100000,00000,1200,00002GROSS REVENUESMEDICAL RECORDS & 1801,B100000,00000,1300,00002ADMISSIONSSSOCIAL SERVICE 1801,E10A180,00301,0100,11/10/1999 1801,E10A180,00301,0300,11/10/1999 1801,E10A180,00501,0100,03/23/2000 1801,E10A180,00550,0300,03/23/2000 1801,H510100,00000,0000,7760 1801,H510100,02400,0000,7760 1801,H510100,02401,0000,9943 1801,H710000,00301,0100,11/10/1999 1801,H710000,00501,0100,03/23/2000 1801,H710000,00550,0300,03/23/2000 1801,S000000,00100,0200,02/28/2000 1801,S200000,00100,0100,3901 S MARION RD 1801,S200000,00200,0100,SIOUX FALLS 1801,S200000,00200,0200,SD 1801,S200000,00200,0300,57106-1799 1801,S200000,00300,0100,MINNEHAHA 1801,S200000,00300,0300,U 1801,S200000,00400,0100,SIOUX FALLS GOOD SAMARITAN VILLAGE 1801,S200000,00400,0200,435045 1801,S200000,00400,0300,07/01/1990 1801,S200000,00400,0500,P 1801,S200000,00800,0200,437075 1801,S200000,00800,0300,07/15/1997 1801,S200000,00800,0500,P 1801,S200000,01500,0100,Y 1801,S200000,02800,0100,Y 1801,S200000,04600,0100,Y 1801,S700003,00000,0100,1 1808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1808,A000000,00300,0000,00300EMPLOYEE BENEFITS 1808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1808,A000000,00700,0000,00700HOUSEKEEPING 1808,A000000,00800,0000,00800DIETARY 1808,A000000,00900,0000,00900NURSING ADMINISTRATION 1808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1808,A000000,01600,0000,01600SKILLED NURSING FACILITY 1808,A000000,02200,0000,02200LABORATORY 1808,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1808,A000000,02500,0000,02500PHYSICAL THERAPY 1808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1808,A000000,02700,0000,02700SPEECH PATHOLOGY 1808,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1808,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1808,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1808,A000000,03102,0000,03102DENTAL CARE - TITLE XIX ONLY 1808,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1808,A000000,04800,0000,04800AMBULANCE 1808,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1808,A000000,05300,0000,05300INTEREST EXPENSE 1808,A000000,06150,0000,06300HUD APARTMENTS/ASSISTED LIVING 1808,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1808,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1808,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1808,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1808,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1808,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1808,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1808,B100000,00000,0800,00000MEALS SERVEDDIETARY 1808,B100000,00000,0900,00000TIME SPENTNURSING ADMINISTRATI 1808,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1808,E10A180,00501,0100,06/21/2000 1808,E10A180,00501,0300,06/21/2000 1808,S000000,00100,0200,04/28/2000 1808,S200000,00100,0100,101 CHURCH 1808,S200000,00100,0300,500 1808,S200000,00200,0100,ALCESTER 1808,S200000,00200,0200,SD 1808,S200000,00200,0300,57001- 1808,S200000,00300,0100,UNION 1808,S200000,00300,0300,R 1808,S200000,00400,0100,MORNINGSIDE MANOR 1808,S200000,00400,0200,435062 1808,S200000,00400,0300,01/01/1992 1808,S200000,00400,0500,P 1808,S200000,01500,0100,Y 1808,S200000,01900,0100,N 1808,S200000,02200,0100,Y 1808,S700003,00000,0100,1 1811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1811,A000000,00300,0000,00300EMPLOYEE BENEFITS 1811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1811,A000000,00700,0000,00700HOUSEKEEPING 1811,A000000,00800,0000,00800DIETARY 1811,A000000,00900,0000,00900NURSING ADMINISTRATION 1811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1811,A000000,01100,0000,01100PHARMACY 1811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1811,A000000,01300,0000,01300SOCIAL SERVICE 1811,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1811,A000000,01600,0000,01600SKILLED NURSING FACILITY 1811,A000000,01800,0000,01800NURSING FACILITY 1811,A000000,01900,0000,01900OTHER LONG TERM CARE 1811,A000000,02100,0000,02100RADIOLOGY 1811,A000000,02200,0000,02200LABORATORY 1811,A000000,02300,0000,02300INTRAVENOUS THERAPY 1811,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1811,A000000,02500,0000,02500PHYSICAL THERAPY 1811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1811,A000000,02700,0000,02700SPEECH PATHOLOGY 1811,A000000,02800,0000,02800ELECTROCARDIOLOGY 1811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1811,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1811,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1811,A000000,03200,0000,03200SUPPORT SURFACES 1811,A000000,03400,0000,03400CLINIC 1811,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1811,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1811,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1811,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1811,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1811,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1811,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1811,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1811,A000000,04400,0000,04400DME RENTED - HHA 1811,A000000,04500,0000,04500DME SOLD - HHA 1811,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1811,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1811,A000000,04800,0000,04800AMBULANCE 1811,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1811,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1811,A000000,05300,0000,05300INTEREST EXPENSE 1811,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1811,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1811,A000000,05500,0000,05500HOSPICE 1811,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1811,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1811,A000000,06100,0000,06100NONPAID WORKERS 1811,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1811,A000000,06151,0000,06301WEL-ASSIST 1811,A000000,06200,0000,06200PATIENTS LAUNDRY 1811,A81000A,00100,0100,Y 1811,A81000B,00100,0300,MANAGEMENT FEE 1811,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 1811,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 1811,A81000C,00100,0100,B 1811,A81000C,00100,0400,LANTIS ENTERPRI 1811,A81000C,00100,0600,HEALTH CARE 1811,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1811,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1811,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1811,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1811,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1811,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1811,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1811,B100000,00000,0800,00001MEALS SERVEDDIETARY 1811,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1811,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1811,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1811,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 1811,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1811,B100000,00000,1350,00001COSTED REQUISITIOOTHER GENERAL S 1811,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1811,E10A180,00501,0300,07/21/2000 1811,H510100,02400,0000,9943 1811,H710000,00301,0100,01/19/2000 1811,H710000,00501,0100,07/21/2000 1811,S000000,00100,0200,05/23/2000 1811,S200000,00300,0300,R 1811,S200000,00400,0100,PRAIRIE ESTATES CARE CENTER 1811,S200000,00400,0200,435065 1811,S200000,00400,0300,09/01/1992 1811,S200000,00400,0500,P 1811,S200000,00800,0200,437057 1811,S200000,00800,0300,01/15/1995 1811,S200000,00800,0500,P 1811,S200000,01500,0100,Y 1811,S200000,03700,0100,Y 1811,S700003,00000,0100,1 1816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1816,A000000,00300,0000,00300EMPLOYEE BENEFITS 1816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1816,A000000,00700,0000,00700HOUSEKEEPING 1816,A000000,00800,0000,00800DIETARY 1816,A000000,00801,0000,00801DINING ROOM 1816,A000000,00802,0000,00802CAFETERIA 1816,A000000,00900,0000,00900NURSING ADMINISTRATION 1816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1816,A000000,01100,0000,01100PHARMACY 1816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1816,A000000,01300,0000,01300SOCIAL SERVICE 1816,A000000,01600,0000,01600SKILLED NURSING FACILITY 1816,A000000,02500,0000,02500PHYSICAL THERAPY 1816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1816,A000000,02700,0000,02700SPEECH PATHOLOGY 1816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1816,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1816,A000000,05300,0000,05300INTEREST EXPENSE 1816,A000000,06150,0000,06300MEALS ON WHEELS 1816,A000000,06151,0000,06301HOME HEALTH AGENCY 1816,A000000,06152,0000,06302GUEST MEALS 1816,A000000,06153,0000,06303WASHINGTON ST. APARTMENTS 1816,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 1816,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 1816,B100000,00000,0300,00003GROSS SALEMPLOYEE BENEFITS 1816,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 1816,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 1816,B100000,00000,0600,00003POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1816,B100000,00000,0700,00003SQUARE FEETHOUSEKEEPING 1816,B100000,00000,0800,00003MEALS SERVEDDIETARY 1816,B100000,00000,0801,00003MEALS SERVED- DIDINING ROOM 1816,B100000,00000,0802,00003FTES- CAFETERIACAFETERIA 1816,B100000,00000,0900,00003NURSING HOURSNURSING ADMINISTRATI 1816,B100000,00000,1000,00003COSTED REQUIS- CSCENTRAL SERVICE 1816,B100000,00000,1100,00003COSTED REQUIS- PHPHARMACY 1816,B100000,00000,1200,00003FTES MED RECMEDICAL RECORDS & LIBR 1816,B100000,00000,1300,00003RESIDENT DAYSSOCIAL SERVICE 1816,E10A180,00301,0100,03/15/2000 1816,E10A180,00501,0100,07/21/2000 1816,S000000,00100,0200,05/26/2000 1816,S200000,00100,0100,437 STATE STREET 1816,S200000,00200,0100,MARION 1816,S200000,00200,0200,SD 1816,S200000,00200,0300,57043 1816,S200000,00300,0100,TURNER 1816,S200000,00300,0300,R 1816,S200000,00400,0100,TIESZEN MEMORIAL HOME 1816,S200000,00400,0200,435069 1816,S200000,00400,0300,06/15/1993 1816,S200000,00400,0500,P 1816,S200000,01500,0100,Y 1816,S200000,01900,0100,N/A 1816,S200000,02200,0100,Y 1816,S700003,00000,0100,1 1821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1821,A000000,00300,0000,00300EMPLOYEE BENEFITS 1821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1821,A000000,00700,0000,00700HOUSEKEEPING 1821,A000000,00800,0000,00800DIETARY 1821,A000000,00900,0000,00900NURSING ADMINISTRATION 1821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1821,A000000,01100,0000,01100PHARMACY 1821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1821,A000000,01300,0000,01300SOCIAL SERVICE 1821,A000000,01600,0000,01600SKILLED NURSING FACILITY 1821,A000000,01800,0000,01800NURSING FACILITY 1821,A000000,02100,0000,02100RADIOLOGY 1821,A000000,02200,0000,02200LABORATORY 1821,A000000,02300,0000,02300INTRAVENOUS THERAPY 1821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1821,A000000,02500,0000,02500PHYSICAL THERAPY 1821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1821,A000000,02700,0000,02700SPEECH PATHOLOGY 1821,A000000,02800,0000,02800ELECTROCARDIOLOGY 1821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1821,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1821,A000000,04750,0000,05100OSP 1821,A000000,04800,0000,04800AMBULANCE 1821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1821,A000000,05300,0000,05300INTEREST EXPENSE 1821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1821,A000000,06100,0000,06100NONPAID WORKERS 1821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1821,A000000,06151,0000,06301HERITAGE VILLA APARTMENTS 1821,A000000,06152,0000,06302LAKE AREA HOSPITAL 1821,A000000,06200,0000,06200PATIENTS LAUNDRY 1821,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1821,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1821,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1821,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1821,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1821,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1821,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 1821,B100000,00000,0800,00002MEALS SERVEDDIETARY 1821,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINIS 1821,B100000,00000,1000,00002COSTED REQUIS.CENTRAL SERVICES & 1821,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1821,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LI 1821,B100000,00000,1300,00002TIME SPENTSOCIAL SERVICE 1821,E10A180,00301,0100,03/14/2000 1821,E10A180,00350,0100,01/20/2000 1821,E10A180,00550,0100,07/28/2000 1821,S000000,00100,0200,05/22/2000 1821,S200000,00100,0100,120 WEST HIGHWAY 12 1821,S200000,00100,0300,120 1821,S200000,00200,0100,WEBSTER 1821,S200000,00200,0200,SD 1821,S200000,00200,0300,57274- 1821,S200000,00300,0100,DAY 1821,S200000,00300,0300,R 1821,S200000,00400,0100,BETHESDA HOME 1821,S200000,00400,0200,435071 1821,S200000,00400,0300,01/01/1993 1821,S200000,00400,0500,P 1821,S200000,01500,0100,Y 1821,S200000,01900,0100,N 1821,S200000,02200,0100,Y 1821,S700003,00000,0400,4 1825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1825,A000000,00300,0000,00300EMPLOYEE BENEFITS 1825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1825,A000000,00700,0000,00700HOUSEKEEPING 1825,A000000,00800,0000,00800DIETARY 1825,A000000,00801,0000,00801CAFETERIA 1825,A000000,00900,0000,00900NURSING ADMINISTRATION 1825,A000000,01100,0000,01100PHARMACY 1825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1825,A000000,01600,0000,01600SKILLED NURSING FACILITY 1825,A000000,02100,0000,02100RADIOLOGY 1825,A000000,02200,0000,02200LABORATORY 1825,A000000,02500,0000,02500PHYSICAL THERAPY 1825,A000000,02501,0000,02501CARDIAC REHAB 1825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1825,A000000,02700,0000,02700SPEECH PATHOLOGY 1825,A000000,02800,0000,02800ELECTROCARDIOLOGY 1825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1825,A000000,03500,0000,03500RURAL HEALTH CLINIC 1825,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1825,A000000,06150,0000,06300ASSISTED LIVING 1825,A000000,06151,0000,06301VISITING CLINIC 1825,A000000,06152,0000,06302GUESTS 1825,A81000A,00100,0100,Y 1825,A81000B,00100,0300,ADMIN FEES 1825,A81000B,00200,0300,MGMT FEES 1825,A81000C,00100,0100,B 1825,A81000C,00100,0400,BANNER HEALTH S 1825,A81000C,00100,0600,NON-PROFIT HEAL 1825,A81000C,00200,0100,B 1825,A81000C,00200,0400,BANNER HEALTH S 1825,A81000C,00200,0600,NON-PROFIT HEAL 1825,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 1825,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 1825,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 1825,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 1825,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 1825,B100000,00000,0600,00002POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1825,B100000,00000,0700,00002HOURS OF SERVICEHOUSEKEEPING 1825,B100000,00000,0800,00002MEALS SERVEDDIETARY 1825,B100000,00000,0801,00002FTESCAFETERIA 1825,B100000,00000,0900,00002DIRECT NRSING HRSNURSING ADMINIS 1825,B100000,00000,1100,00002COSTED REQUIS.PHARMACY 1825,B100000,00000,1200,00002TIME SPENTMEDICAL RECORDS & LI 1825,S000000,00100,0200,05/04/2000 1825,S200000,00100,0100,209 NORTH 16TH STREET 1825,S200000,00200,0100,HOT SPRINGS 1825,S200000,00200,0200,SD 1825,S200000,00200,0300,57747- 1825,S200000,00300,0100,FALL RIVER 1825,S200000,00300,0300,R 1825,S200000,00400,0100,CASTLE MANOR 1825,S200000,00400,0200,435072 1825,S200000,00400,0300,08/01/1993 1825,S200000,00400,0500,P 1825,S200000,01100,0200,433988 1825,S200000,01100,0300,12/02/1993 1825,S200000,01100,0500,P 1825,S200000,01500,0100,Y 1825,S200000,01900,0100,N 1825,S51R000,00100,0100,209 NORTH 16TH STREET 1825,S51R000,00100,0200,FALL RIVER 1825,S51R000,00200,0100,HOT SPRINGS 1825,S51R000,00200,0200,SD 1825,S51R000,00200,0300,57747 1825,S51R000,01000,0100,DONALD PRIMER 1825,S51R000,01000,0200,5233 1825,S51R000,01001,0100,ARTHUR RAYMOND 1825,S51R000,01001,0200,5234 1825,S51R000,01002,0100,JERRY PETERSON 1825,S51R000,01002,0200,5236 1825,S51R000,01003,0100,KATHY SALU 1825,S51R000,01003,0200,3315 1825,S700003,00000,0100,1 1827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1827,A000000,00300,0000,00300EMPLOYEE BENEFITS 1827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1827,A000000,00700,0000,00700HOUSEKEEPING 1827,A000000,00800,0000,00800DIETARY 1827,A000000,00900,0000,00900NURSING ADMINISTRATION 1827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1827,A000000,01100,0000,01100PHARMACY 1827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1827,A000000,01300,0000,01300SOCIAL SERVICE 1827,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1827,A000000,01600,0000,01600SKILLED NURSING FACILITY 1827,A000000,01800,0000,01800NURSING FACILITY 1827,A000000,01900,0000,01900OTHER LONG TERM CARE 1827,A000000,02100,0000,02100RADIOLOGY 1827,A000000,02200,0000,02200LABORATORY 1827,A000000,02300,0000,02300INTRAVENOUS THERAPY 1827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1827,A000000,02500,0000,02500PHYSICAL THERAPY 1827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1827,A000000,02700,0000,02700SPEECH PATHOLOGY 1827,A000000,02800,0000,02800ELECTROCARDIOLOGY 1827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1827,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1827,A000000,03200,0000,03200SUPPORT SURFACES 1827,A000000,03400,0000,03400CLINIC 1827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1827,A000000,04400,0000,04400DME RENTED - HHA 1827,A000000,04500,0000,04500DME SOLD - HHA 1827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1827,A000000,04800,0000,04800AMBULANCE 1827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1827,A000000,05000,0000,05000CORF 1827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1827,A000000,05300,0000,05300INTEREST EXPENSE 1827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1827,A000000,05500,0000,05500HOSPICE 1827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1827,A000000,06100,0000,06100NONPAID WORKERS 1827,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1827,A000000,06151,0000,06301ASSISTED LIVING 1827,A000000,06200,0000,06200PATIENTS LAUNDRY 1827,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1827,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1827,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1827,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1827,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1827,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1827,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1827,B100000,00000,0800,00001MEALS SERVEDDIETARY 1827,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1827,B100000,00000,1000,00001COSTED ACQUISITIONSCENTRAL SERVICES 1827,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1827,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 1827,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1827,B100000,00000,1350,00001BLANKOTHER GENERAL SERVICE COST 1827,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1827,E10A180,00550,0100,07/06/2000 1827,E10A180,00550,0300,07/06/2000 1827,S000000,00100,0200,05/22/2000 1827,S200000,00100,0100,1224 SOUTH HIGH STREET 1827,S200000,00200,0100,ABERDEEN 1827,S200000,00200,0200,SD 1827,S200000,00200,0300,57401 1827,S200000,00300,0100,BROWN 1827,S200000,00300,0300,R 1827,S200000,00400,0100,BETHESDA HOME OF ABERDEEN 1827,S200000,00400,0200,435073 1827,S200000,00400,0300,10/01/1993 1827,S200000,00400,0500,P 1827,S200000,01500,0100,Y 1827,S700003,00000,0100,1 1831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1831,A000000,00300,0000,00300EMPLOYEE BENEFITS 1831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1831,A000000,00700,0000,00700HOUSEKEEPING 1831,A000000,00800,0000,00800DIETARY 1831,A000000,00900,0000,00900NURSING ADMINISTRATION 1831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1831,A000000,01300,0000,01300SOCIAL SERVICE 1831,A000000,01350,0000,01500OTHER GENERAL SERVICES 1831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1831,A000000,01600,0000,01600SKILLED NURSING FACILITY 1831,A000000,01800,0000,01800NURSING FACILITY 1831,A000000,01810,0000,01801ICF/MR 1831,A000000,01900,0000,01900OTHER LONG TERM CARE 1831,A000000,02100,0000,02100RADIOLOGY 1831,A000000,02200,0000,02200LABORATORY 1831,A000000,02300,0000,02300INTRAVENOUS THERAPY 1831,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1831,A000000,02500,0000,02500PHYSICAL THERAPY 1831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1831,A000000,02700,0000,02700SPEECH PATHOLOGY 1831,A000000,02800,0000,02800ELECTROCARDIOLOGY 1831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1831,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1831,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1831,A000000,03200,0000,03200SUPPORT SURFACES 1831,A000000,03400,0000,03400CLINIC 1831,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1831,A000000,03500,0000,03500RURAL HEALTH CLINIC 1831,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1831,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1831,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1831,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1831,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1831,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1831,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1831,A000000,04400,0000,04400DME RENTED - HHA 1831,A000000,04500,0000,04500DME SOLD - HHA 1831,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1831,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1831,A000000,04750,0000,05100OSP 1831,A000000,04800,0000,04800AMBULANCE 1831,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1831,A000000,05000,0000,05000CORF 1831,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1831,A000000,05300,0000,05300INTEREST EXPENSE 1831,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1831,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1831,A000000,05500,0000,05500HOSPICE 1831,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1831,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1831,A000000,06100,0000,06100NONPAID WORKERS 1831,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1831,A000000,06151,0000,06301ASSISTED LIVING 1831,A000000,06200,0000,06200PATIENTS LAUNDRY 1831,A81000A,00100,0100,Y 1831,A81000B,00100,0300,PROPERTY INSURANCE 1831,A81000B,00200,0300,OTHER INSURANCE 1831,A81000B,00300,0300,UNEMPLOYMENT CHARGES 1831,A81000B,00400,0300,WORKERS COMPENSATION 1831,A81000B,00500,0300,ACCOUNTING AND ADMIN 1831,A81000B,00600,0300,MEDICAL SUPPLIES 1831,A81000B,00700,0300,DISPOSABLE BRIEFS 1831,A81000B,00800,0300,EQUIPMENT 1831,A81000B,00900,0300,DIETARY SUPPLIES 1831,A81000C,00100,0100,B 1831,A81000C,00100,0200,EV. LUTHERAN GO 1831,A81000C,00100,0400,EV. LUTHERAN GO 1831,A81000C,00100,0600,ACCOUNTING AND 1831,A81000C,00200,0100,B 1831,A81000C,00200,0200,GOOD SAM SUPPLY 1831,A81000C,00200,0400,GOOD SAM SUPPLY 1831,A81000C,00200,0600,SUPPLIES 1831,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1831,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1831,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1831,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1831,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1831,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1831,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1831,B100000,00000,0800,00001MEALS SERVEDDIETARY 1831,B100000,00000,0900,00001DIRECT NRSING HRSNURSING ADMINIS 1831,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1831,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 1831,B100000,00000,1300,00001ADMISSIONSOCIAL SERVICE 1831,B100000,00000,1350,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1831,B100000,00000,1351,00001NO STATISTICSOTHER GENERAL S 1831,S000000,00100,0200,02/28/2000 1831,S200000,00100,0100,411 CALUMET AVENUE 1831,S200000,00200,0100,DESMET 1831,S200000,00200,0200,SD 1831,S200000,00200,0300,57231-9702 1831,S200000,00300,0100,KINGSBURY 1831,S200000,00300,0300,R 1831,S200000,00400,0100,DESMET GOOD SAMARITAN CENTER 1831,S200000,00400,0200,435074 1831,S200000,00400,0300,03/01/1994 1831,S200000,00400,0500,P 1831,S200000,01500,0100,Y 1831,S700003,00000,0100,1 1835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1835,A000000,00300,0000,00300EMPLOYEE BENEFITS 1835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1835,A000000,00700,0000,00700HOUSEKEEPING 1835,A000000,00800,0000,00800DIETARY 1835,A000000,00900,0000,00900NURSING ADMINISTRATION 1835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1835,A000000,01300,0000,01300SOCIAL SERVICE 1835,A000000,01350,0000,01500OTHER GENERAL SERVICES 1835,A000000,01600,0000,01600SKILLED NURSING FACILITY 1835,A000000,01800,0000,01800NURSING FACILITY 1835,A000000,01810,0000,01801ICF/MR 1835,A000000,01900,0000,01900OTHER LONG TERM CARE 1835,A000000,02100,0000,02100RADIOLOGY 1835,A000000,02200,0000,02200LABORATORY 1835,A000000,02300,0000,02300INTRAVENOUS THERAPY 1835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1835,A000000,02500,0000,02500PHYSICAL THERAPY 1835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1835,A000000,02700,0000,02700SPEECH PATHOLOGY 1835,A000000,02800,0000,02800ELECTROCARDIOLOGY 1835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1835,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1835,A000000,03200,0000,03200SUPPORT SURFACES 1835,A000000,03400,0000,03400CLINIC 1835,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1835,A000000,03500,0000,03500RURAL HEALTH CLINIC 1835,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1835,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1835,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1835,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1835,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1835,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1835,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1835,A000000,04400,0000,04400DME RENTED - HHA 1835,A000000,04500,0000,04500DME SOLD - HHA 1835,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1835,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1835,A000000,04750,0000,05100OSP 1835,A000000,04800,0000,04800AMBULANCE 1835,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1835,A000000,05000,0000,05000CORF 1835,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1835,A000000,05300,0000,05300INTEREST EXPENSE 1835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1835,A000000,05500,0000,05500HOSPICE 1835,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1835,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1835,A000000,06100,0000,06100NONPAID WORKERS 1835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1835,A000000,06200,0000,06200PATIENTS LAUNDRY 1835,A81000A,00100,0100,Y 1835,A81000B,00100,0300,PROPERTY INSURANCE 1835,A81000B,00200,0300,OTHER INSURANCE 1835,A81000B,00300,0300,UNEMPLOYMENT 1835,A81000B,00400,0300,WORKERS COMP 1835,A81000B,00500,0300,ADMIN/ACTG 1835,A81000B,00600,0300,MED SUPPLIES 1835,A81000B,00700,0300,DISPOSABLE BRIEFS 1835,A81000B,00800,0300,DIETARY SUPPLEMENT 1835,A81000B,00900,0300,TEXTILES 1835,A81000C,00100,0100,B 1835,A81000C,00100,0400,EV. LUTERAN G.S 1835,A81000C,00100,0600,ACCTG & MGMT 1835,A81000C,00200,0100,B 1835,A81000C,00200,0400,GOOD SAMARITAN 1835,A81000C,00200,0600,SUPPLIES 1835,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1835,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1835,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1835,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1835,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1835,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1835,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1835,B100000,00000,0800,00000MEALS SERVEDDIETARY 1835,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1835,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1835,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1835,B100000,00000,1300,00000ADMITSSOCIAL SERVICE 1835,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1835,S000000,00100,0200,02/17/2000 1835,S200000,00100,0100,300 WEST HAZEL AVENUE 1835,S200000,00200,0100,HOWARD 1835,S200000,00200,0200,SD 1835,S200000,00200,0300,57349-8700 1835,S200000,00300,0100,MINER 1835,S200000,00400,0100,HOWARD GOOD SAMARITAN CENTER 1835,S200000,00400,0200,435075 1835,S200000,00400,0300,03/01/1994 1835,S200000,00400,0500,P 1835,S200000,01500,0100,Y 1835,S700003,00000,0100,1 1838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1838,A000000,00300,0000,00300EMPLOYEE BENEFITS 1838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1838,A000000,00700,0000,00700HOUSEKEEPING 1838,A000000,00800,0000,00800DIETARY 1838,A000000,00900,0000,00900NURSING ADMINISTRATION 1838,A000000,01300,0000,01300SOCIAL SERVICE 1838,A000000,01600,0000,01600SKILLED NURSING FACILITY 1838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1838,A000000,02500,0000,02500PHYSICAL THERAPY 1838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1838,A000000,02700,0000,02700SPEECH PATHOLOGY 1838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1838,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1838,A000000,05300,0000,05300INTEREST EXPENSE 1838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1838,A000000,06150,0000,06300APARTMENTS 1838,A000000,06151,0000,06301ASSISTED LIVING 1838,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1838,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1838,B100000,00000,0300,00001GROSS SALEMPLOYEE BENEFITS 1838,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1838,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1838,B100000,00000,0600,00001LAUNDRY POUNDSLAUNDRY & LINEN SER 1838,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1838,B100000,00000,0800,00001MEALS SERVEDDIETARY 1838,B100000,00000,0900,00001DIRECT NURSING HONURSING ADMINIS 1838,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1838,E10A180,00501,0300,07/14/2000 1838,S000000,00100,0200,05/24/2000 1838,S200000,00100,0100,1001 SOUTH EGAN AVENUE 1838,S200000,00200,0100,MADISON 1838,S200000,00200,0200,SD 1838,S200000,00200,0300,57042 1838,S200000,00300,0100,LAKE 1838,S200000,00300,0300,R 1838,S200000,00400,0100,BETHEL LUTHERAN HOME 1838,S200000,00400,0200,435076 1838,S200000,00400,0300,01/01/1994 1838,S200000,00400,0500,P 1838,S200000,00400,0600,O 1838,S200000,01500,0100,Y 1838,S200000,02800,0100,Y 1838,S700003,00000,0100,1 1842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1842,A000000,00300,0000,00300EMPLOYEE BENEFITS 1842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1842,A000000,00700,0000,00700HOUSEKEEPING 1842,A000000,00800,0000,00800DIETARY 1842,A000000,00900,0000,00900NURSING ADMINISTRATION 1842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1842,A000000,01100,0000,01100PHARMACY 1842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1842,A000000,01300,0000,01300SOCIAL SERVICE 1842,A000000,01600,0000,01600SKILLED NURSING FACILITY 1842,A000000,02100,0000,02100RADIOLOGY 1842,A000000,02200,0000,02200LABORATORY 1842,A000000,02300,0000,02300INTRAVENOUS THERAPY 1842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1842,A000000,02500,0000,02500PHYSICAL THERAPY 1842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1842,A000000,02700,0000,02700SPEECH PATHOLOGY 1842,A000000,02800,0000,02800ELECTROCARDIOLOGY 1842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1842,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1842,A000000,05300,0000,05300INTEREST EXPENSE 1842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1842,A000000,06150,0000,06300APARTMENTS 1842,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1842,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1842,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1842,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1842,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1842,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1842,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1842,B100000,00000,0800,00000MEALS SERVEDDIETARY 1842,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1842,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1842,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1842,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1842,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1842,E10A180,00550,0300,08/10/2000 1842,S000000,00100,0200,08/08/2000 1842,S200000,00100,0300,247 1842,S200000,00200,0100,BRYANT 1842,S200000,00200,0200,SD 1842,S200000,00200,0300,57221-0247 1842,S200000,00300,0100,HAMLIN 1842,S200000,00300,0300,R 1842,S200000,00400,0100,PARKVIEW CARE CENTER 1842,S200000,00400,0200,435077 1842,S200000,00400,0300,09/01/1994 1842,S200000,00400,0500,P 1842,S200000,01500,0100,Y 1842,S200000,01900,0100,N 1842,S200000,02200,0100,Y 1842,S700003,00000,0100,1 1847,S000000,00100,0200,05/25/2000 1850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1850,A000000,00300,0000,00300EMPLOYEE BENEFITS 1850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1850,A000000,00700,0000,00700HOUSEKEEPING 1850,A000000,00800,0000,00800DIETARY 1850,A000000,00900,0000,00900NURSING ADMINISTRATION 1850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1850,A000000,01100,0000,01100PHARMACY 1850,A000000,01300,0000,01300SOCIAL SERVICE 1850,A000000,01600,0000,01600SKILLED NURSING FACILITY 1850,A000000,02500,0000,02500PHYSICAL THERAPY 1850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1850,A000000,02700,0000,02700SPEECH PATHOLOGY 1850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1850,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1850,A000000,05300,0000,05300INTEREST EXPENSE 1850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1850,A000000,06150,0000,06300ASSISTED LIVING 1850,E10A180,00550,0100,06/15/2000 1850,E10A180,00550,0300,06/15/2000 1850,S000000,00100,0200,05/04/2000 1850,S200000,00100,0100,405 FIRST AVENE 1850,S200000,00200,0100,BROOKINGS 1850,S200000,00200,0200,SD 1850,S200000,00200,0300,57006- 1850,S200000,00300,0100,BROOKINGS 1850,S200000,00300,0300,R 1850,S200000,00400,0100,UNITED RETIREMENT CENTER 1850,S200000,00400,0200,435079 1850,S200000,00400,0300,07/01/1994 1850,S200000,00400,0500,P 1850,S200000,01500,0100,Y 1850,S200000,01900,0100,N 1850,S200000,02200,0100,Y 1850,S200000,02800,0100,Y 1850,S700003,00000,0100,1 1855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1855,A000000,00300,0000,00300EMPLOYEE BENEFITS 1855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1855,A000000,00700,0000,00700HOUSEKEEPING 1855,A000000,00800,0000,00800DIETARY 1855,A000000,00900,0000,00900NURSING ADMINISTRATION 1855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1855,A000000,01100,0000,01100PHARMACY 1855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1855,A000000,01300,0000,01300SOCIAL SERVICE 1855,A000000,01600,0000,01600SKILLED NURSING FACILITY 1855,A000000,02100,0000,02100RADIOLOGY 1855,A000000,02200,0000,02200LABORATORY 1855,A000000,02500,0000,02500PHYSICAL THERAPY 1855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1855,A000000,02700,0000,02700SPEECH PATHOLOGY 1855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1855,A000000,03450,0000,03600AMBULANCE 1855,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1855,A000000,05300,0000,05300INTEREST EXPENSE 1855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1855,A000000,06150,0000,06300APARTMENTS 1855,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1855,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1855,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1855,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1855,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1855,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1855,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1855,B100000,00000,0800,00000MEALS SERVEDDIETARY 1855,B100000,00000,0900,00000NUMBER HOUSEDNURSING ADMINISTRAT 1855,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1855,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1855,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1855,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1855,E10A180,00501,0100,07/13/2000 1855,E10A180,00501,0300,07/13/2000 1855,S000000,00100,0200,05/19/2000 1855,S200000,00100,0100,606 WEST CEDAR 1855,S200000,00200,0100,BERESFORD 1855,S200000,00200,0200,SD 1855,S200000,00200,0300,57004- 1855,S200000,00300,0100,LINCOLN 1855,S200000,00300,0300,U 1855,S200000,00400,0100,BETHESDA OF BERESFORD 1855,S200000,00400,0200,435080 1855,S200000,00400,0300,09/01/1994 1855,S200000,00400,0500,P 1855,S200000,01500,0100,Y 1855,S200000,01900,0100,N 1855,S200000,02200,0100,Y 1855,S200000,02800,0100,Y 1855,S700003,00000,0100,1 1864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1864,A000000,00300,0000,00300EMPLOYEE BENEFITS 1864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1864,A000000,00700,0000,00700HOUSEKEEPING 1864,A000000,00800,0000,00800DIETARY 1864,A000000,00900,0000,00900NURSING ADMINISTRATION 1864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1864,A000000,01100,0000,01100PHARMACY 1864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1864,A000000,01300,0000,01300SOCIAL SERVICE 1864,A000000,01350,0000,01500OTHER GENERAL SERVICES 1864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1864,A000000,01600,0000,01600SKILLED NURSING FACILITY 1864,A000000,01800,0000,01800NURSING FACILITY 1864,A000000,01810,0000,01801ICF/MR 1864,A000000,01900,0000,01900OTHER LONG TERM CARE 1864,A000000,02100,0000,02100RADIOLOGY 1864,A000000,02200,0000,02200LABORATORY 1864,A000000,02300,0000,02300INTRAVENOUS THERAPY 1864,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1864,A000000,02500,0000,02500PHYSICAL THERAPY 1864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1864,A000000,02700,0000,02700SPEECH PATHOLOGY 1864,A000000,02800,0000,02800ELECTROCARDIOLOGY 1864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1864,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1864,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1864,A000000,03200,0000,03200SUPPORT SURFACES 1864,A000000,03400,0000,03400CLINIC 1864,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1864,A000000,03500,0000,03500RURAL HEALTH CLINIC 1864,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1864,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1864,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1864,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1864,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1864,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1864,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1864,A000000,04400,0000,04400DME RENTED - HHA 1864,A000000,04500,0000,04500DME SOLD - HHA 1864,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1864,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1864,A000000,04750,0000,05100OSP 1864,A000000,04800,0000,04800AMBULANCE 1864,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1864,A000000,05000,0000,05000CORF 1864,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1864,A000000,05300,0000,05300INTEREST EXPENSE 1864,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1864,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1864,A000000,05500,0000,05500HOSPICE 1864,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1864,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1864,A000000,06100,0000,06100NONPAID WORKERS 1864,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1864,A000000,06200,0000,06200PATIENTS LAUNDRY 1864,A81000A,00100,0100,Y 1864,A81000B,00100,0300,PROPERTY INSURANCE 1864,A81000B,00200,0300,OTHER INSURANCE 1864,A81000B,00300,0300,UNEMPLOYMENT 1864,A81000B,00400,0300,WORKERS COMP 1864,A81000B,00500,0300,ADMIN/ACCOUNTING 1864,A81000B,00600,0300,MED SUPPLIES 1864,A81000B,00700,0300,DISPOSABLE BRIEFS 1864,A81000B,00800,0300,DIETARY SUPPLEMENT 1864,A81000B,00900,0300,EQUIPMENT 1864,A81000C,00100,0100,B 1864,A81000C,00100,0200,EV LUTHERAN GOO 1864,A81000C,00100,0400,EV LUTHERAN GOO 1864,A81000C,00100,0600,ACTG AND MGMT 1864,A81000C,00200,0100,B 1864,A81000C,00200,0200,GOOD SAM SUPPLY 1864,A81000C,00200,0400,GOOD SAM SUPPLY 1864,A81000C,00200,0600,SUPPLIES 1864,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1864,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1864,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1864,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1864,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1864,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1864,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1864,B100000,00000,0800,00000MEALS SERVEDDIETARY 1864,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1864,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1864,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1864,B100000,00000,1200,00000GROSS REVEUNESMEDICAL RECORDS & 1864,B100000,00000,1300,00000ADMITSSOCIAL SERVICE 1864,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1864,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1864,E10A180,00301,0100,10/21/1999 1864,E10A180,00501,0300,03/22/2000 1864,E10A180,00550,0100,03/22/2000 1864,S000000,00100,0200,02/28/2000 1864,S200000,00100,0100,405 E FIFTH AVENUE 1864,S200000,00200,0100,LENNOX 1864,S200000,00200,0200,SD 1864,S200000,00200,0300,57039-0078 1864,S200000,00300,0100,LINCOLN 1864,S200000,00300,0300,U 1864,S200000,00400,0100,LENNOX GOOD SAMARITAN CENTER 1864,S200000,00400,0200,435082 1864,S200000,00400,0300,02/01/1995 1864,S200000,00400,0500,P 1864,S200000,01500,0100,Y 1864,S700003,00000,0100,1 1866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1866,A000000,00300,0000,00300EMPLOYEE BENEFITS 1866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1866,A000000,00700,0000,00700HOUSEKEEPING 1866,A000000,00800,0000,00800DIETARY 1866,A000000,00900,0000,00900NURSING ADMINISTRATION 1866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1866,A000000,01100,0000,01100PHARMACY 1866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1866,A000000,01300,0000,01300SOCIAL SERVICE 1866,A000000,01350,0000,01500OTHER GENERAL SERVICES 1866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1866,A000000,01600,0000,01600SKILLED NURSING FACILITY 1866,A000000,01800,0000,01800NURSING FACILITY 1866,A000000,01900,0000,01900OTHER LONG TERM CARE 1866,A000000,02100,0000,02100RADIOLOGY 1866,A000000,02200,0000,02200LABORATORY 1866,A000000,02300,0000,02300INTRAVENOUS THERAPY 1866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1866,A000000,02500,0000,02500PHYSICAL THERAPY 1866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1866,A000000,02700,0000,02700SPEECH PATHOLOGY 1866,A000000,02800,0000,02800ELECTROCARDIOLOGY 1866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1866,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1866,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1866,A000000,03200,0000,03200SUPPORT SURFACES 1866,A000000,03400,0000,03400CLINIC 1866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1866,A000000,03500,0000,03500RURAL HEALTH CLINIC 1866,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1866,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1866,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1866,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1866,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1866,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1866,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1866,A000000,04400,0000,04400DME RENTED - HHA 1866,A000000,04500,0000,04500DME SOLD - HHA 1866,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1866,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1866,A000000,04750,0000,05100OSP 1866,A000000,04800,0000,04800AMBULANCE 1866,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1866,A000000,05000,0000,05000CORF 1866,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1866,A000000,05300,0000,05300INTEREST EXPENSE 1866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1866,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1866,A000000,05500,0000,05500HOSPICE 1866,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1866,A000000,06100,0000,06100NONPAID WORKERS 1866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1866,A000000,06200,0000,06200PATIENTS LAUNDRY 1866,A81000A,00100,0100,Y 1866,A81000B,00100,0300,HOME OFFICE COSTS 1866,A81000B,00200,0300,NURSING COSTS 1866,A81000C,00100,0100,B 1866,A81000C,00100,0400,TEALWOOD CARE C 1866,A81000C,00100,0600,NH MANAGEMENT 1866,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1866,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1866,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1866,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1866,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1866,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1866,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1866,B100000,00000,0800,00000PATIENT DAYSDIETARY 1866,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 1866,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1866,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1866,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1866,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1866,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1866,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1866,H510100,02400,0000,9943 1866,H710000,00301,0100,01/19/2000 1866,H710000,00501,0100,07/26/2000 1866,S000000,00100,0200,05/30/2000 1866,S200000,00100,0100,PEARL AND 13 STREET 1866,S200000,00100,0300,249 1866,S200000,00200,0100,FAULKTON 1866,S200000,00200,0200,SD 1866,S200000,00200,0300,57438- 1866,S200000,00300,0100,FAULKTON 1866,S200000,00300,0300,R 1866,S200000,00400,0100,FAULKTON HEALTHCARE CENTER 1866,S200000,00400,0200,435084 1866,S200000,00400,0300,02/01/1995 1866,S200000,00400,0500,P 1866,S200000,00800,0200,437062 1866,S200000,00800,0300,01/01/1998 1866,S200000,00800,0500,P 1866,S200000,01600,0100,Y 1866,S200000,01900,0100,N 1866,S700003,00000,0100,1 1869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1869,A000000,00101,0000,00101CAP REL COSTS - ACTIVITY 1869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1869,A000000,00300,0000,00300EMPLOYEE BENEFITS 1869,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL ALL 1869,A000000,00402,0000,00402ADMINISTRATIVE & GENERAL 1869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1869,A000000,00700,0000,00700HOUSEKEEPING 1869,A000000,00800,0000,00800DIETARY 1869,A000000,00801,0000,00801DIETARY-ACTIVITY CENTER 1869,A000000,00900,0000,00900NURSING ADMINISTRATION 1869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1869,A000000,01100,0000,01100PHARMACY 1869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1869,A000000,01300,0000,01300SOCIAL SERVICE 1869,A000000,01301,0000,01301ACTIVIES GENERAL 1869,A000000,01302,0000,01302ACTIVITIES CENTER 1869,A000000,01303,0000,01303ACTIVITIES NURSING HOME 1869,A000000,01600,0000,01600SKILLED NURSING FACILITY 1869,A000000,02100,0000,02100RADIOLOGY 1869,A000000,02200,0000,02200LABORATORY 1869,A000000,02500,0000,02500PHYSICAL THERAPY 1869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1869,A000000,02700,0000,02700SPEECH PATHOLOGY 1869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1869,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1869,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1869,A000000,05300,0000,05300INTEREST EXPENSE 1869,A000000,06150,0000,06300HOME HEALTH AGENCY 1869,A000000,06151,0000,06301APARTMENTS 1869,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1869,B100000,00000,0101,00001SQUARE FEETCAP REL COSTS - ACTIV 1869,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1869,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1869,B100000,00000,0401,00001ACC COSTADMINISTRATIVE & GENERAL AL 1869,B100000,00000,0402,00001ACC COSTADMINISTRATIVE & GENERAL 1869,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1869,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1869,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1869,B100000,00000,0800,00001MEALS SERVEDDIETARY 1869,B100000,00000,0801,00001RESIDENTS SERVEDDIETARY-ACTIVITY CE 1869,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 1869,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 1869,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 1869,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 1869,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 1869,B100000,00000,1301,00001RESIDENTS SERVEDACTIVIES GENERAL 1869,B100000,00000,1302,00001RESIDENTS SERVEDACTIVITIES CENTER 1869,B100000,00000,1303,00001RESIDENTS SERVEDACTIVITIES NURSING 1869,E10A180,00501,0100,07/31/2000 1869,E10A180,00501,0300,07/31/2000 1869,S000000,00100,0200,06/02/2000 1869,S200000,00100,0100,611 EAST 2ND AVENUE 1869,S200000,00200,0100,FLANDREAU 1869,S200000,00200,0200,SD 1869,S200000,00200,0300,57028- 1869,S200000,00300,0100,MOODY 1869,S200000,00300,0300,R 1869,S200000,00400,0100,RIVERVIEW HEALTH SERVICES 1869,S200000,00400,0200,435086 1869,S200000,00400,0300,04/01/1995 1869,S200000,00400,0500,P 1869,S200000,01500,0100,Y 1869,S200000,01900,0100,N 1869,S200000,02200,0100,Y 1869,S700003,00000,0100,1 1874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1874,A000000,00300,0000,00300EMPLOYEE BENEFITS 1874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1874,A000000,00700,0000,00700HOUSEKEEPING 1874,A000000,00800,0000,00800DIETARY 1874,A000000,00900,0000,00900NURSING ADMINISTRATION 1874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1874,A000000,01300,0000,01300SOCIAL SERVICE 1874,A000000,01600,0000,01600SKILLED NURSING FACILITY 1874,A000000,01800,0000,01800NURSING FACILITY 1874,A000000,02200,0000,02200LABORATORY 1874,A000000,02500,0000,02500PHYSICAL THERAPY 1874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1874,A000000,02700,0000,02700SPEECH PATHOLOGY 1874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1874,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1874,A81000A,00100,0100,Y 1874,A81000B,00100,0300,PROPERTY-INSURANCE 1874,A81000B,00200,0300,OTHER INSURANCE 1874,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1874,A81000B,00400,0300,WORKERS COMPENSATION 1874,A81000B,00500,0300,ACCTG & ADMINISTRATION 1874,A81000B,00600,0300,MEDICAL SUPPLIES 1874,A81000B,00700,0300,DISPOABLE BREIFS 1874,A81000B,00800,0300,EQUIPMENT 1874,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 1874,A81000B,00901,0300,DIETARY SUPPLIES 1874,A81000C,00100,0100,B 1874,A81000C,00100,0200,EV. LUTHERAN G. 1874,A81000C,00100,0600,ACCTG & MGMT 1874,A81000C,00200,0100,B 1874,A81000C,00200,0200,OMNIBILL 1874,A81000C,00200,0600,SUPPLIES 1874,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1874,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1874,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1874,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1874,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1874,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1874,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1874,B100000,00000,0800,00000MEALS SERVEDDIETARY 1874,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1874,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1874,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1874,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 1874,E10A180,00501,0100,04/14/2000 1874,E10A180,00501,0300,04/14/2000 1874,S000000,00100,0200,03/02/2000 1874,S200000,00100,0100,700 WEST MAIN STREET 1874,S200000,00200,0100,CANISTOTA 1874,S200000,00200,0200,SD 1874,S200000,00200,0300,57012-2055 1874,S200000,00300,0100,MCCOOK 1874,S200000,00300,0300,R 1874,S200000,00400,0100,CANISTOTA GOOD SAMARITAN CENTER 1874,S200000,00400,0200,435087 1874,S200000,00400,0300,07/01/1995 1874,S200000,00400,0500,P 1874,S200000,01500,0100,Y 1874,S700003,00000,0100,1 1878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1878,A000000,00300,0000,00300EMPLOYEE BENEFITS 1878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1878,A000000,00700,0000,00700HOUSEKEEPING 1878,A000000,00800,0000,00800DIETARY 1878,A000000,00900,0000,00900NURSING ADMINISTRATION 1878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1878,A000000,01300,0000,01300SOCIAL SERVICE 1878,A000000,01350,0000,01500OTHER GENERAL SERVICES 1878,A000000,01600,0000,01600SKILLED NURSING FACILITY 1878,A000000,01800,0000,01800NURSING FACILITY 1878,A000000,01810,0000,01801ICF/MR 1878,A000000,01900,0000,01900OTHER LONG TERM CARE 1878,A000000,02100,0000,02100RADIOLOGY 1878,A000000,02200,0000,02200LABORATORY 1878,A000000,02300,0000,02300INTRAVENOUS THERAPY 1878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1878,A000000,02500,0000,02500PHYSICAL THERAPY 1878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1878,A000000,02700,0000,02700SPEECH PATHOLOGY 1878,A000000,02800,0000,02800ELECTROCARDIOLOGY 1878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1878,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1878,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1878,A000000,03200,0000,03200SUPPORT SURFACES 1878,A000000,03400,0000,03400CLINIC 1878,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1878,A000000,03500,0000,03500RURAL HEALTH CLINIC 1878,A000000,04750,0000,05100OSP 1878,A000000,04800,0000,04800AMBULANCE 1878,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1878,A000000,05000,0000,05000CORF 1878,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1878,A000000,05300,0000,05300INTEREST EXPENSE 1878,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1878,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1878,A000000,05500,0000,05500HOSPICE 1878,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1878,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1878,A000000,06100,0000,06100NONPAID WORKERS 1878,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1878,A000000,06200,0000,06200PATIENTS LAUNDRY 1878,A81000A,00100,0100,Y 1878,A81000B,00100,0300,PROPERTY INSURANCE 1878,A81000B,00200,0300,UNEMPLOYMENT CHARGED 1878,A81000B,00300,0300,WORKERS COMPENSATION 1878,A81000B,00400,0300,ACCTG&ADMINISTRATION 1878,A81000B,00500,0300,NURSING SUPPLIES 1878,A81000B,00600,0300,DISPOSABLE BRIEFS 1878,A81000B,00700,0300,EQUIPMENT - NURSING 1878,A81000B,00800,0300,TAXES AND OTHERS 1878,A81000B,00900,0300,DIETARY SUPPLIES 1878,A81000C,00100,0100,B 1878,A81000C,00100,0200,EV. LUTHERAN G. 1878,A81000C,00100,0600,ACCTG. & MGMNT. 1878,A81000C,00200,0100,B 1878,A81000C,00200,0200,OMNICARE 1878,A81000C,00200,0600,SUPPLIES 1878,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1878,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1878,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1878,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1878,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1878,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1878,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1878,B100000,00000,0800,00000MEALS SERVEDDIETARY 1878,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1878,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1878,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1878,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1878,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1878,S000000,00100,0200,02/28/2000 1878,S200000,00100,0100,500 VERMILLION STREET 1878,S200000,00200,0100,CENTERVILLE 1878,S200000,00200,0200,SD 1878,S200000,00200,0300,57014-0190 1878,S200000,00300,0100,TURNER 1878,S200000,00300,0300,R 1878,S200000,00400,0100,CENTERVILLE GOOD SAMARITAN CENTER 1878,S200000,00400,0200,435088 1878,S200000,00400,0300,07/01/1995 1878,S200000,00400,0500,P 1878,S200000,01500,0100,Y 1878,S200000,02800,0100,Y 1878,S700003,00000,0400,4 1881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1881,A000000,00300,0000,00300EMPLOYEE BENEFITS 1881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1881,A000000,00700,0000,00700HOUSEKEEPING 1881,A000000,00800,0000,00800DIETARY 1881,A000000,00900,0000,00900NURSING ADMINISTRATION 1881,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1881,A000000,01300,0000,01300SOCIAL SERVICE 1881,A000000,01600,0000,01600SKILLED NURSING FACILITY 1881,A000000,01800,0000,01800NURSING FACILITY 1881,A000000,02100,0000,02100RADIOLOGY 1881,A000000,02200,0000,02200LABORATORY 1881,A000000,02300,0000,02300INTRAVENOUS THERAPY 1881,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1881,A000000,02500,0000,02500PHYSICAL THERAPY 1881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1881,A000000,02700,0000,02700SPEECH PATHOLOGY 1881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1881,A000000,04800,0000,04800AMBULANCE 1881,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1881,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1881,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1881,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1881,A81000A,00100,0100,Y 1881,A81000B,00100,0300,PROPERTY - INSURANCE 1881,A81000B,00200,0300,OTHER INSURANCE 1881,A81000B,00300,0300,UNMEPLOYMENT CHARGED 1881,A81000B,00400,0300,WORKERS COMPENSATION 1881,A81000B,00500,0300,ACCTG & ADMINISTRATION 1881,A81000B,00600,0300,MEDICAL SUPPLIES 1881,A81000B,00700,0300,DISPOSABLE BRIEFS 1881,A81000B,00800,0300,EQUIPMENT 1881,A81000C,00100,0100,B 1881,A81000C,00100,0200,EF. LUTHERAN G. 1881,A81000C,00100,0600,ACCTG & MGMT 1881,A81000C,00200,0100,B 1881,A81000C,00200,0200,OMNIBILL 1881,A81000C,00200,0600,SUPPLIES 1881,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1881,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1881,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1881,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1881,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1881,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1881,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1881,B100000,00000,0800,00000MEALS SERVEDDIETARY 1881,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1881,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1881,B100000,00000,1200,00000GROSS REVENUEMEDICAL RECORDS & 1881,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1881,E10A180,00501,0300,03/28/2000 1881,S000000,00100,0200,03/13/2000 1881,S200000,00100,0100,435 NORTH DAKOTA AVENUE 1881,S200000,00200,0100,CORSICA 1881,S200000,00200,0200,SD 1881,S200000,00200,0300,57328-2110 1881,S200000,00300,0100,DOUGLAS 1881,S200000,00300,0300,R 1881,S200000,00400,0100,PLEASANT VIEW GOOD SAMARITAN CENTER 1881,S200000,00400,0200,435089 1881,S200000,00400,0300,08/01/1995 1881,S200000,00400,0500,P 1881,S200000,01500,0100,Y 1881,S200000,04600,0100,Y 1881,S700003,00000,0400,4 1885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1885,A000000,00300,0000,00300EMPLOYEE BENEFITS 1885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1885,A000000,00700,0000,00700HOUSEKEEPING 1885,A000000,00800,0000,00800DIETARY 1885,A000000,00900,0000,00900NURSING ADMINISTRATION 1885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1885,A000000,01300,0000,01300SOCIAL SERVICE 1885,A000000,01350,0000,01500OTHER GENERAL SERVICES 1885,A000000,01600,0000,01600SKILLED NURSING FACILITY 1885,A000000,01800,0000,01800NURSING FACILITY 1885,A000000,01810,0000,01801ICF/MR 1885,A000000,01900,0000,01900OTHER LONG TERM CARE 1885,A000000,02100,0000,02100RADIOLOGY 1885,A000000,02200,0000,02200LABORATORY 1885,A000000,02300,0000,02300INTRAVENOUS THERAPY 1885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1885,A000000,02500,0000,02500PHYSICAL THERAPY 1885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1885,A000000,02700,0000,02700SPEECH PATHOLOGY 1885,A000000,02800,0000,02800ELECTROCARDIOLOGY 1885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1885,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1885,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1885,A000000,03200,0000,03200SUPPORT SURFACES 1885,A000000,03400,0000,03400CLINIC 1885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1885,A000000,03500,0000,03500RURAL HEALTH CLINIC 1885,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1885,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1885,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1885,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1885,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1885,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1885,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1885,A000000,04400,0000,04400DME RENTED - HHA 1885,A000000,04500,0000,04500DME SOLD - HHA 1885,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1885,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1885,A000000,04750,0000,05100OSP 1885,A000000,04800,0000,04800AMBULANCE 1885,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1885,A000000,05000,0000,05000CORF 1885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1885,A000000,05300,0000,05300INTEREST EXPENSE 1885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1885,A000000,05500,0000,05500HOSPICE 1885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1885,A000000,06100,0000,06100NONPAID WORKERS 1885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1885,A000000,06200,0000,06200PATIENTS LAUNDRY 1885,A81000A,00100,0100,Y 1885,A81000B,00100,0300,PROPERTY INSURANCE 1885,A81000B,00200,0300,OTHER INSURANCE 1885,A81000B,00300,0300,UNEMPLOYMENT 1885,A81000B,00400,0300,WORKERS COMP 1885,A81000B,00500,0300,ADMIN/ACTG 1885,A81000B,00600,0300,MEDICAL SUPPLIES 1885,A81000B,00700,0300,DISPOSABLE BRIEFS 1885,A81000B,00800,0300,DIETARY SUPPLEMENT 1885,A81000B,00900,0300,EQUIPMENT 1885,A81000B,00901,0300,TEXTILES 1885,A81000C,00100,0100,B 1885,A81000C,00100,0400,EV LUTHERAN GOO 1885,A81000C,00100,0600,MANAGEMENT & AC 1885,A81000C,00200,0100,B 1885,A81000C,00200,0400,GOOD SAM SUPPLY 1885,A81000C,00200,0600,MED SUPPLIES 1885,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1885,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1885,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1885,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1885,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1885,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1885,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1885,B100000,00000,0800,00000MEALS SERVEDDIETARY 1885,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1885,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1885,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1885,B100000,00000,1300,00000ADMITSSOCIAL SERVICE 1885,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1885,S000000,00100,0200,02/24/2000 1885,S200000,00100,0100,300 DOBSON STRREET 1885,S200000,00200,0100,TRIPP 1885,S200000,00200,0200,SD 1885,S200000,00200,0300,57376-0370 1885,S200000,00300,0100,HUTCHINGSON 1885,S200000,00400,0100,TRIPP GOOD SAMARITAN CENTER 1885,S200000,00400,0200,435091 1885,S200000,00400,0300,12/01/1995 1885,S200000,00400,0500,P 1885,S200000,01500,0100,Y 1885,S700003,00000,0400,4 1890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1890,A000000,00300,0000,00300EMPLOYEE BENEFITS 1890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1890,A000000,00700,0000,00700HOUSEKEEPING 1890,A000000,00800,0000,00800DIETARY 1890,A000000,00900,0000,00900NURSING ADMINISTRATION 1890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1890,A000000,01100,0000,01100PHARMACY 1890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1890,A000000,01300,0000,01300SOCIAL SERVICE 1890,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1890,A000000,01600,0000,01600SKILLED NURSING FACILITY 1890,A000000,01800,0000,01800NURSING FACILITY 1890,A000000,01900,0000,01900OTHER LONG TERM CARE 1890,A000000,02100,0000,02100RADIOLOGY 1890,A000000,02200,0000,02200LABORATORY 1890,A000000,02300,0000,02300INTRAVENOUS THERAPY 1890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1890,A000000,02500,0000,02500PHYSICAL THERAPY 1890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1890,A000000,02700,0000,02700SPEECH PATHOLOGY 1890,A000000,02800,0000,02800ELECTROCARDIOLOGY 1890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1890,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1890,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1890,A000000,03200,0000,03200SUPPORT SURFACES 1890,A000000,03400,0000,03400CLINIC 1890,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1890,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1890,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1890,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1890,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1890,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1890,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1890,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1890,A000000,04400,0000,04400DME RENTED - HHA 1890,A000000,04500,0000,04500DME SOLD - HHA 1890,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1890,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1890,A000000,04800,0000,04800AMBULANCE 1890,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1890,A000000,05000,0000,05000CORF 1890,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1890,A000000,05300,0000,05300INTEREST EXPENSE 1890,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1890,A000000,05500,0000,05500HOSPICE 1890,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1890,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1890,A000000,06100,0000,06100NONPAID WORKERS 1890,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1890,A000000,06200,0000,06200PATIENTS LAUNDRY 1890,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1890,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1890,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1890,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1890,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1890,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1890,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1890,B100000,00000,0800,00000MEALS SERVEDDIETARY 1890,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 1890,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 1890,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 1890,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1890,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1890,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 1890,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1890,E10A180,00501,0100,06/23/2000 1890,E10A180,00550,0300,06/23/2000 1890,S000000,00100,0200,05/22/2000 1890,S200000,00100,0100,410 SECOND STREET 1890,S200000,00100,0300,337 1890,S200000,00200,0100,BRISTOL 1890,S200000,00200,0200,SD 1890,S200000,00200,0300,57219 1890,S200000,00300,0100,DAY 1890,S200000,00300,0300,R 1890,S200000,00400,0100,SUN DIAL MANOR 1890,S200000,00400,0200,435093 1890,S200000,00400,0300,01/01/1996 1890,S200000,00400,0500,P 1890,S700003,00000,0400,4 1893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1893,A000000,00300,0000,00300EMPLOYEE BENEFITS 1893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1893,A000000,00700,0000,00700HOUSEKEEPING 1893,A000000,00800,0000,00800DIETARY 1893,A000000,00900,0000,00900NURSING ADMINISTRATION 1893,A000000,01350,0000,01500OTHER GENERAL SERVICES 1893,A000000,01600,0000,01600SKILLED NURSING FACILITY 1893,A000000,02100,0000,02100RADIOLOGY 1893,A000000,02200,0000,02200LABORATORY 1893,A000000,02300,0000,02300INTRAVENOUS THERAPY 1893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1893,A000000,02500,0000,02500PHYSICAL THERAPY 1893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1893,A000000,02700,0000,02700SPEECH PATHOLOGY 1893,A000000,02800,0000,02800ELECTROCARDIOLOGY 1893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1893,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1893,A000000,04750,0000,05100OSP 1893,A000000,04800,0000,04800AMBULANCE 1893,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1893,A000000,05300,0000,05300INTEREST EXPENSE 1893,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1893,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1893,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1893,A000000,06151,0000,06301INDEPENDENT LIVING APARTMENTS 1893,A000000,06152,0000,06302ASSISTED LIVING APARTMENTS 1893,A000000,06153,0000,06303CLINIC 1893,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 1893,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 1893,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 1893,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 1893,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 1893,B100000,00000,0600,00003POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1893,B100000,00000,0700,00003HOURS OF SERVICEHOUSEKEEPING 1893,B100000,00000,0800,00003MEALS SERVEDDIETARY 1893,B100000,00000,0900,00003DIRECT NRSING HRSNURSING ADMINIS 1893,B100000,00000,1350,00003NO STATISTICSOTHER GENERAL S 1893,S000000,00100,0200,02/28/2000 1893,S200000,00100,0100,FIFTH & OHIO 1893,S200000,00100,0300,327 1893,S200000,00200,0100,WAKONDA 1893,S200000,00200,0200,SD 1893,S200000,00200,0300,57073- 1893,S200000,00300,0100,CLAY 1893,S200000,00300,0300,R 1893,S200000,00400,0100,WAKONDA HERITAGE MANOR 1893,S200000,00400,0200,435094 1893,S200000,00400,0300,02/01/1996 1893,S200000,00400,0500,P 1893,S200000,01500,0100,Y 1893,S200000,01900,0100,OTHER 1893,S200000,02200,0100,Y 1893,S200000,02800,0100,Y 1893,S700003,00000,0400,4 1906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1906,A000000,00300,0000,00300EMPLOYEE BENEFITS 1906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1906,A000000,00700,0000,00700HOUSEKEEPING 1906,A000000,00800,0000,00800DIETARY 1906,A000000,00900,0000,00900NURSING ADMINISTRATION 1906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1906,A000000,01300,0000,01300SOCIAL SERVICE 1906,A000000,01350,0000,01500OTHER GENERAL SERVICES 1906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1906,A000000,01600,0000,01600SKILLED NURSING FACILITY 1906,A000000,01800,0000,01800NURSING FACILITY 1906,A000000,01810,0000,01801ICF/MR 1906,A000000,01900,0000,01900OTHER LONG TERM CARE 1906,A000000,02100,0000,02100RADIOLOGY 1906,A000000,02200,0000,02200LABORATORY 1906,A000000,02300,0000,02300INTRAVENOUS THERAPY 1906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1906,A000000,02500,0000,02500PHYSICAL THERAPY 1906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1906,A000000,02700,0000,02700SPEECH PATHOLOGY 1906,A000000,02800,0000,02800ELECTROCARDIOLOGY 1906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1906,A000000,03200,0000,03200SUPPORT SURFACES 1906,A000000,03400,0000,03400CLINIC 1906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1906,A000000,03500,0000,03500RURAL HEALTH CLINIC 1906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1906,A000000,04400,0000,04400DME RENTED - HHA 1906,A000000,04500,0000,04500DME SOLD - HHA 1906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1906,A000000,04750,0000,05100OSP 1906,A000000,04800,0000,04800AMBULANCE 1906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1906,A000000,05000,0000,05000CORF 1906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1906,A000000,05300,0000,05300INTEREST EXPENSE 1906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1906,A000000,05500,0000,05500HOSPICE 1906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1906,A000000,06100,0000,06100NONPAID WORKERS 1906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1906,A000000,06200,0000,06200PATIENTS LAUNDRY 1906,A81000A,00100,0100,Y 1906,A81000B,00100,0300,PROPERTY INSURANCE 1906,A81000B,00200,0300,VEHICLE INSURANCE 1906,A81000B,00300,0300,UNEMPLOYMENT CHARGED 1906,A81000B,00400,0300,WORKERS COMP 1906,A81000B,00500,0300,ACCOUNTING AND ADMIN 1906,A81000B,00600,0300,MEDICAL SUPPLIES 1906,A81000B,00700,0300,DISPOSABLE BRIEFS 1906,A81000B,00800,0300,TEXTILES 1906,A81000C,00100,0100,B 1906,A81000C,00100,0200,EV. LUTHERAN SO 1906,A81000C,00100,0600,ACCTG AND MGMT 1906,A81000C,00200,0100,B 1906,A81000C,00200,0200,GOOD SAMARITAN 1906,A81000C,00200,0600,SUPPLIES 1906,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1906,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1906,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1906,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1906,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1906,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1906,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1906,B100000,00000,0800,00000MEALS SERVEDDIETARY 1906,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1906,B100000,00000,1000,00000COSTED REQSCENTRAL SERVICES & S 1906,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1906,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1906,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1906,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1906,E10A180,00501,0300,06/15/2000 1906,E10A180,00550,0100,06/15/2000 1906,S000000,00100,0200,03/02/2000 1906,S200000,00100,0100,2304 LAUREL STREET 1906,S200000,00200,0100,TYNDALL 1906,S200000,00200,0200,SD 1906,S200000,00200,0300,57066- 1906,S200000,00300,0100,BON HOMME 1906,S200000,00300,0300,R 1906,S200000,00400,0100,TYNDALL GOOD SMARITAN CENTER 1906,S200000,00400,0200,435098 1906,S200000,00400,0300,04/01/1996 1906,S200000,00400,0500,P 1906,S200000,01500,0100,Y 1906,S700003,00000,0400,4 1909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1909,A000000,00300,0000,00300EMPLOYEE BENEFITS 1909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1909,A000000,00700,0000,00700HOUSEKEEPING 1909,A000000,00800,0000,00800DIETARY 1909,A000000,00900,0000,00900NURSING ADMINISTRATION 1909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1909,A000000,01100,0000,01100PHARMACY 1909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1909,A000000,01300,0000,01300SOCIAL SERVICE 1909,A000000,01600,0000,01600SKILLED NURSING FACILITY 1909,A000000,02200,0000,02200LABORATORY 1909,A000000,02500,0000,02500PHYSICAL THERAPY 1909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1909,A000000,02700,0000,02700SPEECH PATHOLOGY 1909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1909,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1909,A000000,06150,0000,06300ASSISTED LIVING UNIT 1909,A81000A,00100,0100,Y 1909,A81000B,00100,0300,MEDICAL DIRECTOR FEES 1909,A81000C,00100,0100,G 1909,A81000C,00100,0200,BOTH ORG. OWNED 1909,A81000C,00100,0400,ESTELLINE MEDIC 1909,A81000C,00100,0600,MEDICAL CLINIC 1909,S000000,00100,0200,05/19/2000 1909,S200000,00100,0100,NORTH MAIN STREET 1909,S200000,00100,0300,130 1909,S200000,00200,0100,ESTELLINE 1909,S200000,00200,0200,SD 1909,S200000,00200,0300,57234- 1909,S200000,00300,0100,HAMLIN 1909,S200000,00300,0300,R 1909,S200000,00400,0100,ESTELLINE NURSING & CARE CENTER 1909,S200000,00400,0200,435099 1909,S200000,00400,0300,05/01/1996 1909,S200000,00400,0500,P 1909,S200000,01500,0100,Y 1909,S200000,01900,0100,N 1909,S200000,02200,0100,Y 1909,S200000,02800,0100,Y 1909,S700003,00000,0400,4 1912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1912,A000000,00300,0000,00300EMPLOYEE BENEFITS 1912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1912,A000000,00700,0000,00700HOUSEKEEPING 1912,A000000,00800,0000,00800DIETARY 1912,A000000,00900,0000,00900NURSING ADMINISTRATION 1912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1912,A000000,01350,0000,01500OTHER GENERAL SERVICES 1912,A000000,01600,0000,01600SKILLED NURSING FACILITY 1912,A000000,01800,0000,01800NURSING FACILITY 1912,A000000,02100,0000,02100RADIOLOGY 1912,A000000,02200,0000,02200LABORATORY 1912,A000000,02300,0000,02300INTRAVENOUS THERAPY 1912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1912,A000000,02500,0000,02500PHYSICAL THERAPY 1912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1912,A000000,02700,0000,02700SPEECH PATHOLOGY 1912,A000000,02800,0000,02800ELECTROCARDIOLOGY 1912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1912,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1912,A000000,04750,0000,05100OSP 1912,A000000,04800,0000,04800AMBULANCE 1912,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1912,A000000,05300,0000,05300INTEREST EXPENSE 1912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1912,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1912,A000000,05500,0000,05500HOSPICE 1912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1912,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1912,A000000,06151,0000,06301APARTMENTS 1912,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1912,B100000,00000,0200,00001DOLLAR VALUECAP REL COSTS - MOVA 1912,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1912,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1912,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1912,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1912,B100000,00000,0700,00001HOURS OF SERVICEHOUSEKEEPING 1912,B100000,00000,0800,00001MEALS SERVEDDIETARY 1912,B100000,00000,0900,00001DIRECT NURSING HRNURSING ADMINIS 1912,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 1912,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL S 1912,S000000,00100,0200,06/02/2000 1912,S200000,00100,0100,129 CLAY STREET 1912,S200000,00100,0300,25 1912,S200000,00200,0100,IRENE 1912,S200000,00200,0200,SD 1912,S200000,00200,0300,57037- 1912,S200000,00300,0100,CLAY 1912,S200000,00300,0300,R 1912,S200000,00400,0100,SUNSET MANOR INC. 1912,S200000,00400,0200,435100 1912,S200000,00400,0300,01/01/1997 1912,S200000,00400,0500,P 1912,S200000,01500,0100,Y 1912,S200000,01900,0100,N 1912,S200000,02200,0100,Y 1912,S200000,02800,0100,Y 1912,S700003,00000,0400,4 1920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1920,A000000,00300,0000,00300EMPLOYEE BENEFITS 1920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1920,A000000,00700,0000,00700HOUSEKEEPING 1920,A000000,00800,0000,00800DIETARY 1920,A000000,00900,0000,00900NURSING ADMINISTRATION 1920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1920,A000000,01100,0000,01100PHARMACY 1920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1920,A000000,01300,0000,01300SOCIAL SERVICE 1920,A000000,01350,0000,01500OTHER GENERAL SERVICES 1920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1920,A000000,01600,0000,01600SKILLED NURSING FACILITY 1920,A000000,01800,0000,01800NURSING FACILITY 1920,A000000,01810,0000,01801ICF/MR 1920,A000000,01900,0000,01900OTHER LONG TERM CARE 1920,A000000,02100,0000,02100RADIOLOGY 1920,A000000,02200,0000,02200LABORATORY 1920,A000000,02300,0000,02300INTRAVENOUS THERAPY 1920,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1920,A000000,02500,0000,02500PHYSICAL THERAPY 1920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1920,A000000,02700,0000,02700SPEECH PATHOLOGY 1920,A000000,02800,0000,02800ELECTROCARDIOLOGY 1920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1920,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1920,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1920,A000000,03200,0000,03200SUPPORT SURFACES 1920,A000000,03400,0000,03400CLINIC 1920,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1920,A000000,03500,0000,03500RURAL HEALTH CLINIC 1920,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1920,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1920,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1920,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1920,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1920,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1920,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1920,A000000,04400,0000,04400DME RENTED - HHA 1920,A000000,04500,0000,04500DME SOLD - HHA 1920,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1920,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1920,A000000,04750,0000,05100OSP 1920,A000000,04800,0000,04800AMBULANCE 1920,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1920,A000000,05000,0000,05000CORF 1920,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1920,A000000,05300,0000,05300INTEREST EXPENSE 1920,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1920,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1920,A000000,05500,0000,05500HOSPICE 1920,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1920,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1920,A000000,06100,0000,06100NONPAID WORKERS 1920,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1920,A000000,06200,0000,06200PATIENTS LAUNDRY 1920,A81000A,00100,0100,Y 1920,A81000B,00100,0300,PROPERTY INSURANCE 1920,A81000B,00200,0300,OTHER INSURANCE 1920,A81000B,00300,0300,UNEMPLOYMENT 1920,A81000B,00400,0300,WORKERS COMPENSATION 1920,A81000B,00500,0300,ADMIN & ACCOUNTING 1920,A81000B,00600,0300,MEDICAL SUPPLIES 1920,A81000B,00700,0300,DISPOSABLE BRIEFS 1920,A81000B,00800,0300,EQUIPMENT 1920,A81000B,00900,0300,DIETARY SUPPLIES 1920,A81000C,00100,0100,B 1920,A81000C,00100,0600,MANAGEMENT/ACCO 1920,A81000C,00200,0100,B 1920,A81000C,00200,0400,OMNICARE 1920,A81000C,00200,0600,MEDICAL SUPPLIE 1920,A81000C,00300,0100,B 1920,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1920,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1920,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1920,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1920,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1920,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1920,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1920,B100000,00000,0800,00000MEALS SERVEDDIETARY 1920,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1920,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1920,B100000,00000,1100,00000NO STATISTICSPHARMACY 1920,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1920,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1920,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1920,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1920,E10A180,00501,0300,05/26/2000 1920,E10A180,00550,0100,05/26/2000 1920,S000000,00100,0200,03/30/2000 1920,S200000,00100,0100,421 E 4TH ST 1920,S200000,00200,0100,MILLER 1920,S200000,00200,0200,SD 1920,S200000,00200,0300,57362-1539 1920,S200000,00300,0100,HAND 1920,S200000,00300,0300,R 1920,S200000,00400,0100,PRAIRIE GOOD SAMARITAN CENTER 1920,S200000,00400,0200,435103 1920,S200000,00400,0300,05/15/1997 1920,S200000,00400,0500,P 1920,S200000,01500,0100,Y 1920,S200000,02800,0100,Y 1920,S200000,03100,0100,Y 1920,S700003,00000,0400,4 1922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1922,A000000,00300,0000,00300EMPLOYEE BENEFITS 1922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1922,A000000,00700,0000,00700HOUSEKEEPING 1922,A000000,00800,0000,00800DIETARY 1922,A000000,00900,0000,00900NURSING ADMINISTRATION 1922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1922,A000000,01300,0000,01300SOCIAL SERVICE 1922,A000000,01350,0000,01500OTHER GENERAL SERVICES 1922,A000000,01600,0000,01600SKILLED NURSING FACILITY 1922,A000000,01800,0000,01800NURSING FACILITY 1922,A000000,01810,0000,01801ICF/MR 1922,A000000,01900,0000,01900OTHER LONG TERM CARE 1922,A000000,02100,0000,02100RADIOLOGY 1922,A000000,02200,0000,02200LABORATORY 1922,A000000,02300,0000,02300INTRAVENOUS THERAPY 1922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1922,A000000,02500,0000,02500PHYSICAL THERAPY 1922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1922,A000000,02700,0000,02700SPEECH PATHOLOGY 1922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1922,A000000,03200,0000,03200SUPPORT SURFACES 1922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1922,A000000,04750,0000,05100OSP 1922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1922,A000000,05300,0000,05300INTEREST EXPENSE 1922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1922,A000000,05500,0000,05500HOSPICE 1922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1922,A81000A,00100,0100,Y 1922,A81000B,00100,0300,PROPERTY INSURANCE 1922,A81000B,00200,0300,UNEMPLOYMENT CHARGED 1922,A81000B,00300,0300,WORKERS COMPENSATION 1922,A81000B,00400,0300,ACCTG & ADMINISTRATION 1922,A81000B,00500,0300,NURSING SUPPLIES 1922,A81000B,00600,0300,DISPOSABLE BRIEFS 1922,A81000B,00700,0300,HOUSEKEEPING SUPPLIES 1922,A81000B,00800,0300,TAXES AND OTHERS 1922,A81000B,00900,0300,DIETARY SUPPLIES 1922,A81000B,00901,0300,OTHER INSURANCE 1922,A81000C,00100,0100,B 1922,A81000C,00100,0400,EV. LUTHERAN G. 1922,A81000C,00100,0600,ACCTG. & MGMT. 1922,A81000C,00200,0100,B 1922,A81000C,00200,0400,OMNICARE 1922,A81000C,00200,0600,SUPPLIES 1922,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1922,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1922,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1922,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1922,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1922,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1922,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1922,B100000,00000,0800,00000MEALS SERVEDDIETARY 1922,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1922,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1922,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1922,B100000,00000,1300,00000ADMISSIONSOCIAL SERVICE 1922,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1922,S000000,00100,0200,02/18/2000 1922,S200000,00100,0100,412 MADISON STREET 1922,S200000,00200,0100,NEW UNDERWOOD 1922,S200000,00200,0200,SD 1922,S200000,00200,0300,57761-0327 1922,S200000,00300,0100,PENNINGTON 1922,S200000,00400,0100,NEW UNDERWOOD GOOD SAMARITAN CENTER 1922,S200000,00400,0200,435104 1922,S200000,00400,0300,07/01/1997 1922,S200000,00400,0500,P 1922,S200000,01500,0100,Y 1922,S200000,02800,0100,Y 1922,S700003,00000,0400,4 1925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1925,A000000,00300,0000,00300EMPLOYEE BENEFITS 1925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1925,A000000,00700,0000,00700HOUSEKEEPING 1925,A000000,00800,0000,00800DIETARY 1925,A000000,00900,0000,00900NURSING ADMINISTRATION 1925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1925,A000000,01300,0000,01300SOCIAL SERVICE 1925,A000000,01350,0000,01500OTHER GENERAL SERVICES 1925,A000000,01351,0000,01501ACTIVITIES 1925,A000000,01600,0000,01600SKILLED NURSING FACILITY 1925,A000000,01800,0000,01800NURSING FACILITY 1925,A000000,02200,0000,02200LABORATORY 1925,A000000,02500,0000,02500PHYSICAL THERAPY 1925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1925,A000000,02700,0000,02700SPEECH PATHOLOGY 1925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1925,A000000,04750,0000,05100OSP 1925,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1925,A000000,05300,0000,05300INTEREST EXPENSE 1925,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1925,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1925,A000000,05500,0000,05500HOSPICE 1925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1925,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1925,A000000,06200,0000,06200PATIENTS LAUNDRY 1925,E10A180,00550,0300,07/21/2000 1925,S000000,00100,0200,05/24/2000 1925,S200000,00100,0100,WEST HIGHWAY 10 1925,S200000,00100,0300,939 1925,S200000,00200,0100,BRITTON 1925,S200000,00200,0200,SD 1925,S200000,00200,0300,57430- 1925,S200000,00300,0100,MARSHALL 1925,S200000,00300,0300,R 1925,S200000,00400,0100,WHEATCREST HILLS 1925,S200000,00400,0200,435105 1925,S200000,00400,0300,08/01/1997 1925,S200000,00400,0500,P 1925,S200000,01600,0100,Y 1925,S200000,01900,0100,N 1925,S200000,02200,0100,Y 1925,S700003,00000,0400,4 1930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1930,A000000,00300,0000,00300EMPLOYEE BENEFITS 1930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1930,A000000,00700,0000,00700HOUSEKEEPING 1930,A000000,00800,0000,00800DIETARY 1930,A000000,00900,0000,00900NURSING ADMINISTRATION 1930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1930,A000000,01100,0000,01100PHARMACY 1930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1930,A000000,01300,0000,01300SOCIAL SERVICE 1930,A000000,01350,0000,01500OTHER GENERAL SERVICES 1930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1930,A000000,01600,0000,01600SKILLED NURSING FACILITY 1930,A000000,01800,0000,01800NURSING FACILITY 1930,A000000,01810,0000,01801ICF/MR 1930,A000000,01900,0000,01900OTHER LONG TERM CARE 1930,A000000,02100,0000,02100RADIOLOGY 1930,A000000,02200,0000,02200LABORATORY 1930,A000000,02300,0000,02300INTRAVENOUS THERAPY 1930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1930,A000000,02500,0000,02500PHYSICAL THERAPY 1930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1930,A000000,02700,0000,02700SPEECH PATHOLOGY 1930,A000000,02800,0000,02800ELECTROCARDIOLOGY 1930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1930,A000000,03200,0000,03200SUPPORT SURFACES 1930,A000000,03400,0000,03400CLINIC 1930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1930,A000000,03500,0000,03500RURAL HEALTH CLINIC 1930,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1930,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1930,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1930,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1930,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1930,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1930,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1930,A000000,04400,0000,04400DME RENTED - HHA 1930,A000000,04500,0000,04500DME SOLD - HHA 1930,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1930,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1930,A000000,04750,0000,05100OSP 1930,A000000,04800,0000,04800AMBULANCE 1930,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1930,A000000,05000,0000,05000CORF 1930,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1930,A000000,05300,0000,05300INTEREST EXPENSE 1930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1930,A000000,05500,0000,05500HOSPICE 1930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1930,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1930,A000000,06100,0000,06100NONPAID WORKERS 1930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1930,A000000,06200,0000,06200PATIENTS LAUNDRY 1930,A81000A,00100,0100,Y 1930,A81000B,00100,0300,PROPERTY INSURANCE 1930,A81000B,00200,0300,OTHER INSURANCE 1930,A81000B,00300,0300,UNEMPLOYMENT 1930,A81000B,00400,0300,WORKERS COMPANSATION 1930,A81000B,00500,0300,ADMIN & ACCOUNTING 1930,A81000B,00600,0300,MEDICAL SUPPLIES 1930,A81000B,00700,0300,DISPOSABLE BRIEFS 1930,A81000B,00800,0300,EQUIPMENT 1930,A81000B,00900,0300,TEXTILES 1930,A81000B,00904,0300,DIETARY SUPPLIES 1930,A81000C,00100,0100,B 1930,A81000C,00100,0400,ELGSS 1930,A81000C,00100,0600,MGMT/ACTG 1930,A81000C,00200,0100,B 1930,A81000C,00200,0400,OMNICARE 1930,A81000C,00200,0600,MEDICAL SUPPLIE 1930,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1930,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1930,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1930,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1930,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1930,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1930,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1930,B100000,00000,0800,00000MEALS SERVEDDIETARY 1930,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 1930,B100000,00000,1000,00000COSTED REQCENTRAL SERVICES & SUP 1930,B100000,00000,1100,00000NO STATISTICSPHARMACY 1930,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1930,B100000,00000,1300,00000ADMISSION DAYSSOCIAL SERVICE 1930,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1930,B100000,00000,1400,00000NO STATISTICSINTERNS & RESID 1930,E10A180,00501,0100,03/23/2000 1930,E10A180,00550,0300,03/23/2000 1930,S000000,00100,0200,02/25/2000 1930,S200000,00100,0100,515 W HWY 46 1930,S200000,00200,0100,WAGNER 1930,S200000,00200,0200,SD 1930,S200000,00200,0300,57380-9372 1930,S200000,00300,0100,CHARLES MIX 1930,S200000,00300,0300,R 1930,S200000,00400,0100,WAGNER GOOD SAMARITAN CENTER 1930,S200000,00400,0200,435106 1930,S200000,00400,0300,08/01/1997 1930,S200000,00400,0500,P 1930,S200000,01500,0100,Y 1930,S200000,02800,0100,Y 1930,S700003,00000,0400,4 1933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1933,A000000,00300,0000,00300EMPLOYEE BENEFITS 1933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1933,A000000,00700,0000,00700HOUSEKEEPING 1933,A000000,00800,0000,00800DIETARY 1933,A000000,00900,0000,00900NURSING ADMINISTRATION 1933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1933,A000000,01100,0000,01100PHARMACY 1933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1933,A000000,01300,0000,01300SOCIAL SERVICE 1933,A000000,01600,0000,01600SKILLED NURSING FACILITY 1933,A000000,02200,0000,02200LABORATORY 1933,A000000,02500,0000,02500PHYSICAL THERAPY 1933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1933,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1933,A000000,05300,0000,05300INTEREST EXPENSE 1933,A000000,06150,0000,06300ASSISTED LIVING UNIT 1933,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1933,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1933,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1933,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1933,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1933,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1933,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1933,B100000,00000,0800,00000MEALS SERVEDDIETARY 1933,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1933,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1933,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1933,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1933,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1933,E10A180,00501,0300,07/07/2000 1933,S000000,00100,0200,05/30/2000 1933,S200000,00100,0100,100 EAST SANBORN AVENUE 1933,S200000,00100,0300,219 1933,S200000,00200,0100,PARKER 1933,S200000,00200,0200,SD 1933,S200000,00200,0300,57053- 1933,S200000,00300,0100,TURNER 1933,S200000,00300,0300,R 1933,S200000,00400,0100,HILLTOP NURSING HOME 1933,S200000,00400,0200,435108 1933,S200000,00400,0300,10/01/1997 1933,S200000,00400,0500,P 1933,S200000,01500,0100,Y 1933,S200000,01900,0100,N 1933,S200000,02200,0100,Y 1933,S700003,00000,0400,4 1936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1936,A000000,00300,0000,00300EMPLOYEE BENEFITS 1936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1936,A000000,00700,0000,00700HOUSEKEEPING 1936,A000000,00800,0000,00800DIETARY 1936,A000000,00900,0000,00900NURSING ADMINISTRATION 1936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1936,A000000,01100,0000,01100PHARMACY 1936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1936,A000000,01300,0000,01300SOCIAL SERVICE 1936,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1936,A000000,01600,0000,01600SKILLED NURSING FACILITY 1936,A000000,01800,0000,01800NURSING FACILITY 1936,A000000,01900,0000,01900OTHER LONG TERM CARE 1936,A000000,02100,0000,02100RADIOLOGY 1936,A000000,02200,0000,02200LABORATORY 1936,A000000,02300,0000,02300INTRAVENOUS THERAPY 1936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1936,A000000,02500,0000,02500PHYSICAL THERAPY 1936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1936,A000000,02700,0000,02700SPEECH PATHOLOGY 1936,A000000,02800,0000,02800ELECTROCARDIOLOGY 1936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1936,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1936,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1936,A000000,03200,0000,03200SUPPORT SURFACES 1936,A000000,03400,0000,03400CLINIC 1936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1936,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1936,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1936,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1936,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1936,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1936,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1936,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1936,A000000,04400,0000,04400DME RENTED - HHA 1936,A000000,04500,0000,04500DME SOLD - HHA 1936,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1936,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1936,A000000,04800,0000,04800AMBULANCE 1936,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1936,A000000,05000,0000,05000CORF 1936,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1936,A000000,05300,0000,05300INTEREST EXPENSE 1936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1936,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1936,A000000,05500,0000,05500HOSPICE 1936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1936,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1936,A000000,06100,0000,06100NONPAID WORKERS 1936,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1936,A000000,06200,0000,06200PATIENTS LAUNDRY 1936,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1936,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1936,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1936,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1936,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1936,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1936,B100000,00000,0700,00000HOURS OF SERVICEHOUSEKEEPING 1936,B100000,00000,0800,00000MEALS SERVEDDIETARY 1936,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 1936,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 1936,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 1936,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1936,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1936,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 1936,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1936,E10A180,00501,0100,01/19/2000 1936,E10A180,00501,0300,01/19/2000 1936,S000000,00100,0200,05/30/2000 1936,S200000,00100,0100,1120 EAST 7TH STREET 1936,S200000,00200,0100,MITCHELL 1936,S200000,00200,0200,SD 1936,S200000,00200,0300,57301 1936,S200000,00300,0100,DAVISON 1936,S200000,00300,0300,R 1936,S200000,00400,0100,FIRESTEEL HEALTHCARE CENTER 1936,S200000,00400,0200,435109 1936,S200000,00400,0300,11/01/1997 1936,S200000,00400,0500,P 1936,S200000,01500,0100,Y 1936,S700003,00000,0400,4 1939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1939,A000000,00300,0000,00300EMPLOYEE BENEFITS 1939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1939,A000000,00700,0000,00700HOUSEKEEPING 1939,A000000,00800,0000,00800DIETARY 1939,A000000,00900,0000,00900NURSING ADMINISTRATION 1939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1939,A000000,01100,0000,01100PHARMACY 1939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1939,A000000,01300,0000,01300SOCIAL SERVICE 1939,A000000,01350,0000,01500OTHER GENERAL SERVICES 1939,A000000,01600,0000,01600SKILLED NURSING FACILITY 1939,A000000,02100,0000,02100RADIOLOGY 1939,A000000,02200,0000,02200LABORATORY 1939,A000000,02300,0000,02300INTRAVENOUS THERAPY 1939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1939,A000000,02500,0000,02500PHYSICAL THERAPY 1939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1939,A000000,02700,0000,02700SPEECH PATHOLOGY 1939,A000000,02800,0000,02800ELECTROCARDIOLOGY 1939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1939,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1939,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1939,A000000,04750,0000,05100OSP 1939,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1939,A000000,05300,0000,05300INTEREST EXPENSE 1939,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1939,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1939,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1939,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1939,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1939,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1939,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1939,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1939,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1939,B100000,00000,0800,00000MEALS SERVEDDIETARY 1939,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1939,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1939,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 1939,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 1939,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 1939,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1939,S000000,00100,0200,06/02/2000 1939,S200000,00100,0100,2000 WESLEYAN BLVD 1939,S200000,00200,0100,RAPID CITY 1939,S200000,00200,0200,SD 1939,S200000,00200,0300,57702-9386 1939,S200000,00300,0100,PENNINGTON 1939,S200000,00300,0300,U 1939,S200000,00400,0100,WESLEYAN HEALTH CARE CENTER 1939,S200000,00400,0200,435110 1939,S200000,00400,0300,02/01/1998 1939,S200000,00400,0500,P 1939,S200000,01500,0100,Y 1939,S200000,01900,0100,N 1939,S200000,02200,0100,Y 1939,S700003,00000,0400,4 1944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1944,A000000,00300,0000,00300EMPLOYEE BENEFITS 1944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1944,A000000,00700,0000,00700HOUSEKEEPING 1944,A000000,00800,0000,00800DIETARY 1944,A000000,00900,0000,00900NURSING ADMINISTRATION 1944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1944,A000000,01100,0000,01100PHARMACY 1944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1944,A000000,01300,0000,01300SOCIAL SERVICE 1944,A000000,01350,0000,01500ACTIVITIES 1944,A000000,01600,0000,01600SKILLED NURSING FACILITY 1944,A000000,01800,0000,01800NURSING FACILITY 1944,A000000,02100,0000,02100RADIOLOGY 1944,A000000,02200,0000,02200LABORATORY 1944,A000000,02500,0000,02500PHYSICAL THERAPY 1944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1944,A000000,02700,0000,02700SPEECH PATHOLOGY 1944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1944,A000000,05300,0000,05300INTEREST EXPENSE 1944,A000000,06150,0000,06300ADULT DAY CARE 1944,A000000,06151,0000,06301MOW 1944,A000000,06200,0000,06200PATIENTS LAUNDRY 1944,B100000,00000,0100,00001(SQUARE FEET)CAP REL COSTS - BLDG 1944,B100000,00000,0200,00001(SQUARE FEET)CAP REL COSTS - MOVA 1944,B100000,00000,0300,00001(GROSS SALARIES)EMPLOYEE BENEFIT 1944,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1944,B100000,00000,0500,00001(SQUARE FEET)PLANT OPERATION MAI 1944,B100000,00000,0600,00001(POUNDS OFLAUNDRY)LAUNDRY & LINEN 1944,B100000,00000,0700,00001(HOURS OF SERVICE)HOUSEKEEPING 1944,B100000,00000,0800,00001(MEALS SERVED)DIETARY 1944,B100000,00000,0900,00001(DIR NRSG HOURS)NURSING ADMINISTRAT 1944,B100000,00000,1000,00001(COSTED REQUIS)CENTRAL SERVICES & 1944,B100000,00000,1100,00001(COSTED REQUIS)PHARMACY 1944,B100000,00000,1200,00001(TIME SPENT)MEDICAL RECORDS & L 1944,B100000,00000,1300,00001(TIME SPENT)SOCIAL SERVICE 1944,B100000,00000,1350,0000154175 HELPACTIVITIES 1944,S000000,00100,0200,05/30/2000 1944,S200000,00100,0100,402 SOUTH PINE 1944,S200000,00100,0300,487 1944,S200000,00200,0100,MENNO 1944,S200000,00200,0200,SD 1944,S200000,00200,0300,57045-0487 1944,S200000,00300,0100,HUTCHINSON 1944,S200000,00300,0300,R 1944,S200000,00400,0100,MENNO-OLIVET CARE CENTER INC. 1944,S200000,00400,0200,435113 1944,S200000,00400,0300,04/01/1998 1944,S200000,00400,0500,P 1944,S200000,01500,0100,Y 1944,S200000,01900,0100,N/A 1944,S200000,02800,0100,Y 1944,S200000,04300,0100,Y 1944,S700003,00000,0400,4 1948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1948,A000000,00300,0000,00300EMPLOYEE BENEFITS 1948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1948,A000000,00700,0000,00700HOUSEKEEPING 1948,A000000,00800,0000,00800DIETARY 1948,A000000,00900,0000,00900NURSING ADMINISTRATION 1948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1948,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTER 1948,A000000,01600,0000,01600SKILLED NURSING FACILITY 1948,A000000,02500,0000,02500PHYSICAL THERAPY 1948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1948,A000000,02700,0000,02700SPEECH PATHOLOGY 1948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1948,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1948,A000000,06150,0000,06300APARTMENTS 1948,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 1948,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 1948,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1948,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1948,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 1948,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 1948,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1948,B100000,00000,0800,00000MEALS SERVEDDIETARY 1948,B100000,00000,0900,00000DIRECT NURSING HRSNURSING ADMINISTR 1948,B100000,00000,1000,00000COSTED REQS.CENTRAL SERVICES & SUPP 1948,B100000,00000,1350,00000SQUARE FEETOTHER GENERAL SERVICE CO 1948,S000000,00100,0200,07/17/2000 1948,S200000,00100,0100,920 FOURTH STREET 1948,S200000,00200,0100,GARRETSON 1948,S200000,00200,0200,SD 1948,S200000,00200,0300,57030 1948,S200000,00300,0100,MINNEHAHA 1948,S200000,00300,0300,U 1948,S200000,00400,0100,PALISADE MANOR NURSING HOME 1948,S200000,00400,0200,435115 1948,S200000,00400,0300,10/11/1998 1948,S200000,00400,0500,P 1948,S200000,00400,0600,O 1948,S200000,01500,0100,Y 1948,S200000,01900,0100,OTHER 1948,S200000,02200,0100,Y 1948,S200000,04300,0100,Y 1948,S700003,00000,0400,4 1951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1951,A000000,00300,0000,00300EMPLOYEE BENEFITS 1951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1951,A000000,00700,0000,00700HOUSEKEEPING 1951,A000000,00800,0000,00800DIETARY 1951,A000000,00801,0000,00801CAFETERIA 1951,A000000,00900,0000,00900NURSING ADMINISTRATION 1951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1951,A000000,01100,0000,01100PHARMACY 1951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1951,A000000,01300,0000,01300SOCIAL SERVICE 1951,A000000,01600,0000,01600SKILLED NURSING FACILITY 1951,A000000,01800,0000,01800NURSING FACILITY 1951,A000000,01900,0000,01900OTHER LONG TERM CARE 1951,A000000,02100,0000,02100RADIOLOGY 1951,A000000,02200,0000,02200LABORATORY 1951,A000000,02300,0000,02300INTRAVENOUS THERAPY 1951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1951,A000000,02500,0000,02500PHYSICAL THERAPY 1951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1951,A000000,02700,0000,02700SPEECH PATHOLOGY 1951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1951,A000000,03200,0000,03200SUPPORT SURFACES 1951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1951,A000000,05300,0000,05300INTEREST EXPENSE 1951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1951,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1951,A000000,06151,0000,06301HOME HEALTH AGENCY 1951,A81000A,00100,0100,Y 1951,A81000B,00100,0300,CENTRAL OFC COSTS 1951,A81000B,00200,0300,UNEMP EXPENSES 1951,A81000B,00300,0300,WORKERS COMP COSTS 1951,A81000B,00400,0300,FIRE & CASUALTY INSUR 1951,A81000B,00500,0300,LIABILITY INSUR 1951,A81000B,00600,0300,VEHICLE INSUR 1951,A81000B,00700,0300,NURSING SUPPLIES 1951,A81000B,00800,0300,INCONTINENT SUPPLIES 1951,A81000B,00900,0300,DIETARY SUPPLIES 1951,A81000B,00901,0300,SMALL EQUIPMENT 1951,A81000B,00902,0300,C O INTEREST INCOME 1951,A81000C,00100,0100,B 1951,A81000C,00100,0200,EV GOOD SAM SOC 1951,A81000C,00200,0100,B 1951,A81000C,00200,0200,EV GOOD SAM SOC 1951,A81000C,00200,0400,OMNICARE SUPPLY 1951,A81000C,00200,0600,SUPPLY CO. 1951,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1951,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1951,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1951,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1951,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1951,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1951,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1951,B100000,00000,0800,00001MEALS SERVEDDIETARY 1951,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1951,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1951,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1951,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1951,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1951,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1951,E10A180,00501,0100,07/28/2000 1951,E10A180,00501,0300,07/28/2000 1951,S000000,00100,0200,06/02/2000 1951,S200000,00100,0100,812 HOUSTON AVENUE 1951,S200000,00200,0100,MCALLEN 1951,S200000,00200,0200,TX 1951,S200000,00200,0300,78501 1951,S200000,00300,0100,CHURCH 1951,S200000,00300,0300,U 1951,S200000,00400,0100,MCALLEN GOOD SAMARITAN CENTER 1951,S200000,00400,0200,455586 1951,S200000,00400,0300,04/01/1985 1951,S200000,00400,0500,P 1951,S200000,01500,0100,Y 1951,S700003,00000,0100,1 1956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1956,A000000,00300,0000,00300EMPLOYEE BENEFITS 1956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1956,A000000,00700,0000,00700HOUSEKEEPING 1956,A000000,00800,0000,00800DIETARY 1956,A000000,00801,0000,00801CAFETERIA 1956,A000000,00900,0000,00900NURSING ADMINISTRATION 1956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1956,A000000,01100,0000,01100PHARMACY 1956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1956,A000000,01300,0000,01300SOCIAL SERVICE 1956,A000000,01600,0000,01600SKILLED NURSING FACILITY 1956,A000000,01800,0000,01800NURSING FACILITY 1956,A000000,01900,0000,01900OTHER LONG TERM CARE 1956,A000000,02100,0000,02100RADIOLOGY 1956,A000000,02200,0000,02200LABORATORY 1956,A000000,02300,0000,02300INTRAVENOUS THERAPY 1956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1956,A000000,02500,0000,02500PHYSICAL THERAPY 1956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1956,A000000,02700,0000,02700SPEECH PATHOLOGY 1956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1956,A000000,03200,0000,03200SUPPORT SURFACES 1956,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1956,A000000,05300,0000,05300INTEREST EXPENSE 1956,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1956,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1956,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1956,A000000,06151,0000,06301HOME HEALTH AGENCY 1956,A81000A,00100,0100,Y 1956,A81000B,00100,0300,CENTRAL OFC COSTS 1956,A81000B,00200,0300,UNEMP EXPENSES 1956,A81000B,00300,0300,WORKERS COMP COSTS 1956,A81000B,00400,0300,FIRE & CASUALTY INSUR 1956,A81000B,00500,0300,LIABILITY INSUR 1956,A81000B,00600,0300,VEHICLE INSUR 1956,A81000B,00700,0300,NURSING SUPPLIES 1956,A81000B,00800,0300,INCONTINENT SUPPLIES 1956,A81000B,00900,0300,DIETARY SUPPLIES 1956,A81000B,00901,0300,SMALL EQUIPMENT 1956,A81000B,00902,0300,TEXTILES 1956,A81000B,00903,0300,C O INTEREST INCOME 1956,A81000C,00100,0100,B 1956,A81000C,00100,0200,EV GOOD SAM SOC 1956,A81000C,00200,0100,B 1956,A81000C,00200,0200,EV GOOD SAM SOC 1956,A81000C,00200,0400,OMNICARE SUPPLY 1956,A81000C,00200,0600,SUPPLY CO. 1956,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1956,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1956,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1956,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1956,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1956,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1956,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1956,B100000,00000,0800,00001MEALS SERVEDDIETARY 1956,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1956,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1956,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1956,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1956,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1956,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1956,E10A180,00501,0300,07/07/2000 1956,S000000,00100,0200,06/02/2000 1956,S200000,00100,0100,510 PAREDES LINE ROAD 1956,S200000,00200,0100,BROWNSVILLE 1956,S200000,00200,0200,TX 1956,S200000,00200,0300,78521-2494 1956,S200000,00300,0100,CAMERON 1956,S200000,00300,0300,U 1956,S200000,00400,0100,BROWNSVILLE GOOD SAMARITAN CTR 1956,S200000,00400,0200,455625 1956,S200000,00400,0300,01/17/1986 1956,S200000,00400,0500,P 1956,S200000,01600,0100,Y 1956,S700003,00000,0100,1 1958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1958,A000000,00300,0000,00300EMPLOYEE BENEFITS 1958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1958,A000000,00700,0000,00700HOUSEKEEPING 1958,A000000,00800,0000,00800DIETARY 1958,A000000,00900,0000,00900NURSING ADMINISTRATION 1958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1958,A000000,01100,0000,01100PHARMACY 1958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1958,A000000,01300,0000,01300SOCIAL SERVICE 1958,A000000,01350,0000,01500ACTIVITY SERVICES 1958,A000000,01600,0000,01600SKILLED NURSING FACILITY 1958,A000000,01800,0000,01800NURSING FACILITY 1958,A000000,01900,0000,01900OTHER LONG TERM CARE 1958,A000000,02100,0000,02100RADIOLOGY 1958,A000000,02200,0000,02200LABORATORY 1958,A000000,02300,0000,02300INTRAVENOUS THERAPY 1958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1958,A000000,02500,0000,02500PHYSICAL THERAPY 1958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1958,A000000,02700,0000,02700SPEECH PATHOLOGY 1958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1958,A000000,03200,0000,03200SUPPORT SURFACES 1958,A000000,03400,0000,03400CLINIC 1958,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1958,A000000,05300,0000,05300INTEREST EXPENSE 1958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1958,A000000,06100,0000,06100NONPAID WORKERS 1958,A000000,06150,0000,06300RESOURCE DEVELOPMENT 1958,A000000,06151,0000,06301APARTMENTS & DUPLEXES 1958,A000000,06200,0000,06200PATIENTS LAUNDRY 1958,A81000A,00100,0100,Y 1958,A81000B,00100,0300,ALLOWABLE CENTRAL OFFICE COSTS 1958,A81000B,00200,0300,UNEMPLOYMENT CHARGES PAID 1958,A81000B,00300,0300,WORKERS COMPENSATIONS PAID TO CO 1958,A81000B,00400,0300,FIRE AND CASUALTY INSUR PAID TO CO 1958,A81000B,00500,0300,VEHICLE INSURANCE PAID TO CO 1958,A81000C,00100,0100,B 1958,A81000C,00100,0400,GOOD SAM SOC 1958,B100000,00000,0100,00001SQ FT NURSING CTCAP REL COSTS - 1958,B100000,00000,0200,00001SQ FT NURSING CTCAP REL COSTS - 1958,B100000,00000,0300,00001GROSS SALEMPLOYEE BENEFITS 1958,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1958,B100000,00000,0500,00001SQ FT CAMPUSPLANT OPERATION MA 1958,B100000,00000,0600,00001PAT DAYSLAUNDRY & LINEN SERVICE 1958,B100000,00000,0700,00001SQ FT NURSING CTHOUSEKEEPING 1958,B100000,00000,0800,00001PAT DAYSDIETARY 1958,B100000,00000,0900,00001NURSING TIIME SPENNURSING ADMINIS 1958,B100000,00000,1000,00001BLANKCENTRAL SERVICES & SUPPLY 1958,B100000,00000,1100,00001BLANKPHARMACY 1958,B100000,00000,1200,00001GROSS REVENUESMEDICAL RECORDS & 1958,B100000,00000,1300,00001ADMISSIONSSOCIAL SERVICE 1958,B100000,00000,1350,00001PAT DAYSACTIVITY SERVICES 1958,E10A180,00301,0100,03/14/2000 1958,E10A180,00501,0100,07/28/2000 1958,S000000,00100,0200,06/05/2000 1958,S200000,00100,0100,2500 HINKLE DRIVE 1958,S200000,00200,0100,DENTON 1958,S200000,00200,0200,TX 1958,S200000,00200,0300,76201 1958,S200000,00300,0100,DENTON 1958,S200000,00300,0300,U 1958,S200000,00400,0100,DENTON GOOD SAMARITAN VILLAGE 1958,S200000,00400,0200,455627 1958,S200000,00400,0300,10/01/1986 1958,S200000,00400,0500,P 1958,S200000,01500,0100,Y 1958,S200000,01900,0100,N 1958,S200000,04300,0100,Y 1958,S700003,00000,0100,1 1963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1963,A000000,00300,0000,00300EMPLOYEE BENEFITS 1963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1963,A000000,00700,0000,00700HOUSEKEEPING 1963,A000000,00800,0000,00800DIETARY 1963,A000000,00900,0000,00900NURSING ADMINISTRATION 1963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1963,A000000,01100,0000,01100PHARMACY 1963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1963,A000000,01300,0000,01300SOCIAL SERVICE 1963,A000000,01350,0000,01500ACTIVITIES 1963,A000000,01600,0000,01600SKILLED NURSING FACILITY 1963,A000000,01900,0000,01900OTHER LONG TERM CARE 1963,A000000,02100,0000,02100RADIOLOGY 1963,A000000,02200,0000,02200LABORATORY 1963,A000000,02500,0000,02500PHYSICAL THERAPY 1963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1963,A000000,02700,0000,02700SPEECH PATHOLOGY 1963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1963,A000000,03200,0000,03200SUPPORT SURFACES 1963,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1963,A000000,06150,0000,06300RESOURCE DEVELOPMENT 1963,A000000,06151,0000,06301APARTMENTS & DUPLEXES 1963,A81000A,00100,0100,Y 1963,A81000B,00100,0300,ALLOWABLE CENTRAL OFFICE COSTS 1963,A81000B,00200,0300,UNEMPLOYMENT CLAIMS PAID 1963,A81000B,00300,0300,WORKERS COMPENSATION PAID TO CO 1963,A81000B,00400,0300,PROPERTY INSURANCE PAID TO CO 1963,A81000B,00500,0300,VEHICLE INSURANCE PAID TO CO 1963,A81000C,00100,0100,B 1963,A81000C,00100,0400,GOOD SAM SOC 1963,S000000,00100,0200,06/05/2000 1963,S200000,00100,0100,3901 MONTECITO DRIVE 1963,S200000,00200,0100,DENTON 1963,S200000,00200,0200,TX 1963,S200000,00200,0300,76205 1963,S200000,00300,0100,DENTON 1963,S200000,00300,0300,U 1963,S200000,00400,0100,LAKE FOREST GOOD SAM. VILLAGE 1963,S200000,00400,0200,455685 1963,S200000,00400,0300,02/17/1987 1963,S200000,00400,0500,P 1963,S200000,01500,0100,Y 1963,S200000,01900,0100,Y 1963,S200000,04300,0100,Y 1963,S700003,00000,0100,1 1967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1967,A000000,00300,0000,00300EMPLOYEE BENEFITS 1967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1967,A000000,00700,0000,00700HOUSEKEEPING 1967,A000000,00800,0000,00800DIETARY 1967,A000000,00900,0000,00900NURSING ADMINISTRATION 1967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1967,A000000,01300,0000,01300SOCIAL SERVICE 1967,A000000,01350,0000,01500ACTIVITIES 1967,A000000,01600,0000,01600SKILLED NURSING FACILITY 1967,A000000,01800,0000,01800NURSING FACILITY 1967,A000000,01810,0000,01810ICF/MR 1967,A000000,01900,0000,01900OTHER LONG TERM CARE 1967,A000000,02100,0000,02100RADIOLOGY 1967,A000000,02200,0000,02200LABORATORY 1967,A000000,02300,0000,02300INTRAVENOUS THERAPY 1967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1967,A000000,02500,0000,02500PHYSICAL THERAPY 1967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1967,A000000,02700,0000,02700SPEECH PATHOLOGY 1967,A000000,02800,0000,02800ELECTROCARDIOLOGY 1967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1967,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1967,A000000,03200,0000,03200SUPPORT SURFACES 1967,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1967,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1967,A000000,06100,0000,06100NONPAID WORKERS 1967,A81000A,00100,0100,Y 1967,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 1967,A81000B,00200,0300,HOME OFFICE CAPITAL-BLDG 1967,A81000B,00300,0300,HOME OFFICE CAPITAL-EQPT 1967,A81000C,00100,0100,A 1967,A81000C,00100,0200,PARKS METHODIST 1967,A81000C,00100,0400,SEARS METHODIST 1967,A81000C,00100,0600,HOME OFFICE 1967,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1967,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1967,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1967,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1967,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1967,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1967,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1967,B100000,00000,0800,00000MEALS SERVEDDIETARY 1967,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 1967,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 1967,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1967,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 1967,E10A180,00501,0300,07/27/2000 1967,S000000,00100,0200,05/31/2000 1967,S200000,00100,0100,7801 SAN MACHELL DRIVE 1967,S200000,00200,0100,ODESSA 1967,S200000,00200,0200,TX 1967,S200000,00200,0300,79765 1967,S200000,00300,0100,ECTOR 1967,S200000,00300,0300,U 1967,S200000,00400,0100,PARKS METHODIST RETIREMENT VILLAGE 1967,S200000,00400,0200,455690 1967,S200000,00400,0300,09/01/1995 1967,S200000,00400,0500,P 1967,S200000,01500,0100,Y 1967,S200000,01900,0100,N 1967,S700003,00000,0100,1 1971,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1971,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1971,A000000,00300,0000,00300EMPLOYEE BENEFITS 1971,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1971,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1971,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1971,A000000,00700,0000,00700HOUSEKEEPING 1971,A000000,00800,0000,00800DIETARY 1971,A000000,00801,0000,00801CAFETERIA 1971,A000000,00900,0000,00900NURSING ADMINISTRATION 1971,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1971,A000000,01100,0000,01100PHARMACY 1971,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1971,A000000,01300,0000,01300SOCIAL SERVICE 1971,A000000,01600,0000,01600SKILLED NURSING FACILITY 1971,A000000,01800,0000,01800NURSING FACILITY 1971,A000000,01900,0000,01900OTHER LONG TERM CARE 1971,A000000,02100,0000,02100RADIOLOGY 1971,A000000,02200,0000,02200LABORATORY 1971,A000000,02300,0000,02300INTRAVENOUS THERAPY 1971,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1971,A000000,02500,0000,02500PHYSICAL THERAPY 1971,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1971,A000000,02700,0000,02700SPEECH PATHOLOGY 1971,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1971,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1971,A000000,03200,0000,03200SUPPORT SURFACES 1971,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1971,A000000,05300,0000,05300INTEREST EXPENSE 1971,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1971,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1971,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1971,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1971,A000000,06151,0000,06301HOME HEALTH AGENCY 1971,A81000A,00100,0100,Y 1971,A81000B,00100,0300,CENTRAL OFC COSTS 1971,A81000B,00200,0300,UNEMP EXPENSES 1971,A81000B,00300,0300,WORKERS COMP COSTS 1971,A81000B,00400,0300,FIRE & CASUALTY INSUR 1971,A81000B,00500,0300,LIABILITY INSUR 1971,A81000B,00600,0300,VEHICLE INSUR 1971,A81000B,00700,0300,NURSING SUPPLIES 1971,A81000B,00800,0300,INCONTINENT SUPPLIES 1971,A81000B,00900,0300,DIETARY SUPPLIES 1971,A81000B,00901,0300,C O INTEREST INCOME 1971,A81000C,00100,0100,B 1971,A81000C,00100,0200,EV GOOD SAM SOC 1971,A81000C,00200,0100,B 1971,A81000C,00200,0200,EV GOOD SAM SOC 1971,A81000C,00200,0400,OMNICARE SUPPLY 1971,A81000C,00200,0600,SUPPLY CO. 1971,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1971,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1971,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1971,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1971,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1971,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1971,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1971,B100000,00000,0800,00001MEALS SERVEDDIETARY 1971,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 1971,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 1971,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 1971,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 1971,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 1971,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1971,E10A180,00501,0300,07/12/2000 1971,E10A180,00550,0100,07/12/2000 1971,S000000,00100,0200,05/26/2000 1971,S200000,00100,0100,4301 S. EXPRESSWAY 83 1971,S200000,00200,0100,HARLINGEN 1971,S200000,00200,0200,TX 1971,S200000,00200,0300,78550 1971,S200000,00300,0100,CAMERON 1971,S200000,00300,0300,U 1971,S200000,00400,0100,HARLINGEN GOOD SAMARITAN CTR 1971,S200000,00400,0200,455925 1971,S200000,00400,0300,01/01/1991 1971,S200000,00400,0500,P 1971,S200000,01500,0100,Y 1971,S700003,00000,0100,1 1975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1975,A000000,00300,0000,00300EMPLOYEE BENEFITS 1975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1975,A000000,00700,0000,00700HOUSEKEEPING 1975,A000000,00800,0000,00800DIETARY 1975,A000000,00900,0000,00900NURSING ADMINISTRATION 1975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1975,A000000,01100,0000,01100PHARMACY 1975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1975,A000000,01300,0000,01300SOCIAL SERVICE 1975,A000000,01350,0000,01500ACTIVITIES 1975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1975,A000000,01600,0000,01600SKILLED NURSING FACILITY 1975,A000000,01810,0000,01810ICF/MR 1975,A000000,02100,0000,02100RADIOLOGY 1975,A000000,02200,0000,02200LABORATORY 1975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1975,A000000,02500,0000,02500PHYSICAL THERAPY 1975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1975,A000000,02700,0000,02700SPEECH PATHOLOGY 1975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1975,A000000,03550,0000,03550FQHC 1975,A000000,05000,0000,05000CORF 1975,A000000,05010,0000,05010CMHC 1975,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 1975,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 1975,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 1975,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1975,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1975,A000000,06150,0000,06300NON-REIMBURSABLE 1975,A000000,06151,0000,06301EMPLOYEE/GUEST MEALS 1975,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 1975,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 1975,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 1975,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 1975,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 1975,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 1975,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 1975,B100000,00000,0800,00001MEALS SERVEDDIETARY 1975,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATIO 1975,B100000,00000,1000,00001COSTED REQUISCENTRAL SERVICES & 1975,B100000,00000,1100,00001COSTED REQUISPHARMACY 1975,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIB 1975,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 1975,B100000,00000,1350,00001PATIENT DAYSACTIVITIES 1975,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 1975,E10A180,00350,0100,11/10/1999 1975,E10A180,00550,0100,08/01/2000 1975,S000000,00100,0200,06/05/2000 1975,S200000,00100,0100,1200 ATLANTIC SHORE DRIVE 1975,S200000,00200,0100,VIRGINIA BEACH 1975,S200000,00200,0200,VA 1975,S200000,00200,0300,23454-5120 1975,S200000,00300,0100,VIRGINIA BEACH 1975,S200000,00300,0300,U 1975,S200000,00400,0100,ATLANTIC SHORES 1975,S200000,00400,0200,495324 1975,S200000,00400,0300,07/21/1997 1975,S200000,00400,0500,P 1975,S200000,01500,0100,Y 1975,S700003,00000,0400,4 1979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1979,A000000,00300,0000,00300EMPLOYEE BENEFITS 1979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1979,A000000,00700,0000,00700HOUSEKEEPING 1979,A000000,00800,0000,00800DIETARY 1979,A000000,00900,0000,00900NURSING ADMINISTRATION 1979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1979,A000000,01300,0000,01300SOCIAL SERVICE 1979,A000000,01350,0000,01500OTHER GENERAL SERVICES 1979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1979,A000000,01600,0000,01600SKILLED NURSING FACILITY 1979,A000000,01800,0000,01800NURSING FACILITY 1979,A000000,01810,0000,01801ICF/MR 1979,A000000,01900,0000,01900OTHER LONG TERM CARE 1979,A000000,02100,0000,02100RADIOLOGY 1979,A000000,02200,0000,02200LABORATORY 1979,A000000,02300,0000,02300INTRAVENOUS THERAPY 1979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1979,A000000,02500,0000,02500PHYSICAL THERAPY 1979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1979,A000000,02700,0000,02700SPEECH PATHOLOGY 1979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1979,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1979,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1979,A000000,03200,0000,03200SUPPORT SURFACES 1979,A000000,03400,0000,03400CLINIC 1979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1979,A000000,03500,0000,03500RURAL HEALTH CLINIC 1979,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1979,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1979,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1979,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1979,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1979,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1979,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1979,A000000,04400,0000,04400DME RENTED - HHA 1979,A000000,04500,0000,04500DME SOLD - HHA 1979,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1979,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1979,A000000,04750,0000,05100OSP 1979,A000000,04800,0000,04800AMBULANCE 1979,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1979,A000000,05000,0000,05000CORF 1979,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1979,A000000,05300,0000,05300INTEREST EXPENSE 1979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1979,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1979,A000000,05500,0000,05500HOSPICE 1979,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1979,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1979,A000000,06100,0000,06100NONPAID WORKERS 1979,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1979,A000000,06200,0000,06200PATIENTS LAUNDRY 1979,A81000A,00100,0100,Y 1979,A81000B,00100,0300,PROPERTY INSURANCE 1979,A81000B,00200,0300,OTHER INSURANCE 1979,A81000B,00300,0300,UNEMPLOYMENT 1979,A81000B,00400,0300,WORKERS COMP 1979,A81000B,00500,0300,ADMIN/ACTG 1979,A81000B,00600,0300,MED SUPPLIES 1979,A81000B,00700,0300,DISPOSABLE BRIEFS 1979,A81000B,00800,0300,DIETARY SUPPLEMENT 1979,A81000B,00900,0300,EQUIPMENT 1979,A81000C,00100,0100,B 1979,A81000C,00100,0200,EV LUTHERAN GOO 1979,A81000C,00100,0400,EV LUTHERAN GOO 1979,A81000C,00100,0600,MGMT/ACTG 1979,A81000C,00200,0100,B 1979,A81000C,00200,0200,OMNICARE PHARM 1979,A81000C,00200,0400,OMNICARE PHARM 1979,A81000C,00200,0600,MED SUPPLIES 1979,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1979,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1979,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1979,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1979,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1979,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1979,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1979,B100000,00000,0800,00000MEALS SERVEDDIETARY 1979,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1979,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1979,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1979,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1979,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1979,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1979,S000000,00100,0200,05/19/2000 1979,S200000,00100,0100,400 SOUTH GOOD SAMARITAN ROAD 1979,S200000,00200,0100,FAIRFIELD 1979,S200000,00200,0200,WA 1979,S200000,00200,0300,99012-9677 1979,S200000,00300,0100,SPOKANE 1979,S200000,00300,0300,U 1979,S200000,00400,0100,FAIRFIELD GOOD SAMARITAN CENTER 1979,S200000,00400,0200,505088 1979,S200000,00400,0300,01/01/1967 1979,S200000,00400,0500,P 1979,S200000,01500,0100,Y 1979,S200000,01900,0100,N 1979,S700003,00000,0100,1 1986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1986,A000000,00300,0000,00300EMPLOYEE BENEFITS 1986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1986,A000000,00700,0000,00700HOUSEKEEPING 1986,A000000,00800,0000,00800DIETARY 1986,A000000,00900,0000,00900NURSING ADMINISTRATION 1986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1986,A000000,01300,0000,01300SOCIAL SERVICE 1986,A000000,01350,0000,01500OTHER GENERAL SERVICES 1986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1986,A000000,01600,0000,01600SKILLED NURSING FACILITY 1986,A000000,01800,0000,01800NURSING FACILITY 1986,A000000,01810,0000,01801ICF/MR 1986,A000000,01900,0000,01900OTHER LONG TERM CARE 1986,A000000,02100,0000,02100RADIOLOGY 1986,A000000,02200,0000,02200LABORATORY 1986,A000000,02300,0000,02300INTRAVENOUS THERAPY 1986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1986,A000000,02500,0000,02500PHYSICAL THERAPY 1986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1986,A000000,02700,0000,02700SPEECH PATHOLOGY 1986,A000000,02800,0000,02800ELECTROCARDIOLOGY 1986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1986,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1986,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1986,A000000,03200,0000,03200SUPPORT SURFACES 1986,A000000,03400,0000,03400CLINIC 1986,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1986,A000000,03500,0000,03500RURAL HEALTH CLINIC 1986,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1986,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1986,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1986,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1986,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1986,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1986,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1986,A000000,04400,0000,04400DME RENTED - HHA 1986,A000000,04500,0000,04500DME SOLD - HHA 1986,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1986,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1986,A000000,04750,0000,05100OSP 1986,A000000,04800,0000,04800AMBULANCE 1986,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1986,A000000,05000,0000,05000CORF 1986,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1986,A000000,05300,0000,05300INTEREST EXPENSE 1986,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1986,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1986,A000000,05500,0000,05500HOSPICE 1986,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1986,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1986,A000000,06100,0000,06100NONPAID WORKERS 1986,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1986,A000000,06200,0000,06200PATIENTS LAUNDRY 1986,A81000A,00100,0100,Y 1986,A81000B,00100,0300,PROPERTY INSURANCE 1986,A81000B,00200,0300,OTHER INSURANCE 1986,A81000B,00300,0300,UNEMPLOYMENT 1986,A81000B,00400,0300,WORKERS COMP 1986,A81000B,00500,0300,ADMIN/ACTG 1986,A81000B,00600,0300,MED SUPPLIES 1986,A81000B,00700,0300,DISPOSABLE BRIEFS 1986,A81000B,00800,0300,DIETARY SUPPLEMENT 1986,A81000B,00900,0300,TEXTILES 1986,A81000C,00100,0100,B 1986,A81000C,00100,0200,EV LUTHERAN GOO 1986,A81000C,00100,0400,EV LUTHERAN GOO 1986,A81000C,00100,0600,MGMT/ACTG 1986,A81000C,00200,0100,B 1986,A81000C,00200,0200,OMNICARE PHARMA 1986,A81000C,00200,0400,OMNICARE PHARMA 1986,A81000C,00200,0600,MED SUPPLIES 1986,E10A180,00501,0100,07/14/2000 1986,E10A180,00550,0300,07/14/2000 1986,S000000,00100,0200,05/24/2000 1986,S200000,00100,0100,17121 EAST 8TH AVENUE 1986,S200000,00200,0100,GREENACRES 1986,S200000,00200,0200,WA 1986,S200000,00200,0300,99016-9399 1986,S200000,00300,0100,SPOKANE 1986,S200000,00300,0300,U 1986,S200000,00400,0100,SPOKANE VALLEY GOOD SAMARITAN CENTER 1986,S200000,00400,0200,505099 1986,S200000,00400,0300,12/31/1966 1986,S200000,00400,0500,P 1986,S200000,01600,0100,Y 1986,S200000,01900,0100,N 1986,S700003,00000,0100,1 1991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1991,A000000,00300,0000,00300EMPLOYEE BENEFITS 1991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1991,A000000,00700,0000,00700HOUSEKEEPING 1991,A000000,00800,0000,00800DIETARY 1991,A000000,00900,0000,00900NURSING ADMINISTRATION 1991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1991,A000000,01300,0000,01300SOCIAL SERVICE 1991,A000000,01350,0000,01500OTHER GENERAL SERVICES 1991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1991,A000000,01600,0000,01600SKILLED NURSING FACILITY 1991,A000000,01800,0000,01800NURSING FACILITY 1991,A000000,01810,0000,01801ICF/MR 1991,A000000,01900,0000,01900OTHER LONG TERM CARE 1991,A000000,02100,0000,02100RADIOLOGY 1991,A000000,02200,0000,02200LABORATORY 1991,A000000,02300,0000,02300INTRAVENOUS THERAPY 1991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1991,A000000,02500,0000,02500PHYSICAL THERAPY 1991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1991,A000000,02700,0000,02700SPEECH PATHOLOGY 1991,A000000,02800,0000,02800ELECTROCARDIOLOGY 1991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1991,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1991,A000000,03200,0000,03200SUPPORT SURFACES 1991,A000000,03400,0000,03400CLINIC 1991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1991,A000000,03500,0000,03500RURAL HEALTH CLINIC 1991,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1991,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1991,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1991,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1991,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1991,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1991,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1991,A000000,04400,0000,04400DME RENTED - HHA 1991,A000000,04500,0000,04500DME SOLD - HHA 1991,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1991,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1991,A000000,04750,0000,05100OSP 1991,A000000,04800,0000,04800AMBULANCE 1991,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1991,A000000,05000,0000,05000CORF 1991,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1991,A000000,05300,0000,05300INTEREST EXPENSE 1991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1991,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1991,A000000,05500,0000,05500HOSPICE 1991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1991,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1991,A000000,06100,0000,06100NONPAID WORKERS 1991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1991,A000000,06200,0000,06200PATIENTS LAUNDRY 1991,A81000A,00100,0100,Y 1991,A81000B,00100,0300,PROPERTY INSURANCE 1991,A81000B,00200,0300,OTHER INSURANCE 1991,A81000B,00300,0300,UNEMPLOYMENT 1991,A81000B,00400,0300,WORKERS COMP 1991,A81000B,00500,0300,ADMIN/ACTG 1991,A81000B,00600,0300,MEDICAL SUPPLIES 1991,A81000B,00700,0300,DISPOSABLE BRIEFS 1991,A81000B,00800,0300,DIETARY SUPPLEMENT 1991,A81000B,00900,0300,EQUIPMENT 1991,A81000B,00901,0300,TEXTILES 1991,A81000C,00100,0100,B 1991,A81000C,00100,0400,EV. LUTHERAN GS 1991,A81000C,00100,0600,MGMT/ACTG 1991,A81000C,00200,0100,B 1991,A81000C,00200,0400,OMICARE PHARMAC 1991,A81000C,00200,0600,MEDICAL SUPPLIE 1991,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1991,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1991,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1991,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1991,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1991,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1991,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1991,B100000,00000,0800,00000MEALS SERVEDDIETARY 1991,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1991,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1991,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1991,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1991,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1991,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1991,E10A180,00501,0100,06/22/2000 1991,E10A180,00550,0300,06/22/2000 1991,S000000,00100,0200,05/02/2000 1991,S200000,00100,0100,456 C STREET 1991,S200000,00200,0100,BLAINE 1991,S200000,00200,0200,WA 1991,S200000,00200,0300,98231-0889 1991,S200000,00300,0100,WHATCOM 1991,S200000,00300,0300,U 1991,S200000,00400,0100,STAFHOLT GOOD SAMARITAN CENTER 1991,S200000,00400,0200,505395 1991,S200000,00400,0300,09/01/1991 1991,S200000,00400,0500,P 1991,S200000,01500,0100,Y 1991,S200000,01900,0100,N 1991,S700003,00000,0100,1 1995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1995,A000000,00300,0000,00300EMPLOYEE BENEFITS 1995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1995,A000000,00700,0000,00700HOUSEKEEPING 1995,A000000,00800,0000,00800DIETARY 1995,A000000,00900,0000,00900NURSING ADMINISTRATION 1995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1995,A000000,01300,0000,01300SOCIAL SERVICE 1995,A000000,01350,0000,01500OTHER GENERAL SERVICES 1995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1995,A000000,01600,0000,01600SKILLED NURSING FACILITY 1995,A000000,01800,0000,01800NURSING FACILITY 1995,A000000,01810,0000,01801ICF/MR 1995,A000000,01900,0000,01900OTHER LONG TERM CARE 1995,A000000,02100,0000,02100RADIOLOGY 1995,A000000,02200,0000,02200LABORATORY 1995,A000000,02300,0000,02300INTRAVENOUS THERAPY 1995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1995,A000000,02500,0000,02500PHYSICAL THERAPY 1995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1995,A000000,02700,0000,02700SPEECH PATHOLOGY 1995,A000000,02800,0000,02800ELECTROCARDIOLOGY 1995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1995,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 1995,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1995,A000000,03200,0000,03200SUPPORT SURFACES 1995,A000000,03400,0000,03400CLINIC 1995,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 1995,A000000,03500,0000,03500RURAL HEALTH CLINIC 1995,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1995,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1995,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1995,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1995,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1995,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1995,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1995,A000000,04400,0000,04400DME RENTED - HHA 1995,A000000,04500,0000,04500DME SOLD - HHA 1995,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1995,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1995,A000000,04750,0000,05100OTHER REIMBURSABLE COST 1995,A000000,04800,0000,04800AMBULANCE 1995,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1995,A000000,05000,0000,05000CORF 1995,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1995,A000000,05300,0000,05300INTEREST EXPENSE 1995,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1995,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1995,A000000,05500,0000,05500HOSPICE 1995,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 1995,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1995,A000000,06100,0000,06100NONPAID WORKERS 1995,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 1995,A000000,06200,0000,06200PATIENTS LAUNDRY 1995,A81000A,00100,0100,Y 1995,A81000B,00100,0300,PROPERTY INSURANCE 1995,A81000B,00200,0300,OTHER INSURANCE 1995,A81000B,00300,0300,UNEMPLOYMENT 1995,A81000B,00400,0300,WORKERS COMP 1995,A81000B,00500,0300,ADMIN/ACTG 1995,A81000B,00600,0300,MED SUPPLIES 1995,A81000B,00700,0300,DISPOSABLE BRIEFS 1995,A81000B,00800,0300,DIETARY SUPPLEMENT 1995,A81000B,00900,0300,EQUIPMENT 1995,A81000B,00901,0300,TEXTILES 1995,A81000C,00100,0100,B 1995,A81000C,00100,0200,EV. LUTHERAN GO 1995,A81000C,00100,0400,EV. LUTHERAN GO 1995,A81000C,00100,0600,MANAGEMENT & AC 1995,A81000C,00200,0100,B 1995,A81000C,00200,0200,OMINCARE PHARM 1995,A81000C,00200,0400,OMINCARE PHARM 1995,A81000C,00200,0600,MEDICAL SUPPLIE 1995,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1995,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1995,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1995,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1995,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1995,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1995,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1995,B100000,00000,0800,00000MEALS SERVEDDIETARY 1995,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 1995,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 1995,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 1995,B100000,00000,1300,00000ADMISSIONSSSOCIAL SERVICE 1995,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 1995,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1995,E10A180,00501,0100,06/19/2000 1995,E10A180,00501,0300,06/19/2000 1995,S000000,00100,0200,05/26/2000 1995,S200000,00100,0100,12715 E. MISSION AVE. 1995,S200000,00200,0100,SPOKANE 1995,S200000,00200,0200,WA 1995,S200000,00200,0300,99216- 1995,S200000,00300,0100,SPOKANE 1995,S200000,00300,0300,U 1995,S200000,00400,0100,GOOD SAMARITAN CENTER 1995,S200000,00400,0200,505502 1995,S200000,00400,0300,06/23/1997 1995,S200000,00400,0500,P 1995,S200000,01500,0100,Y 1995,S200000,01900,0100,N 1995,S700003,00000,0400,4 1999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 1999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 1999,A000000,00300,0000,00300EMPLOYEE BENEFITS 1999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 1999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 1999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 1999,A000000,00700,0000,00700HOUSEKEEPING 1999,A000000,00800,0000,00800DIETARY 1999,A000000,00900,0000,00900NURSING ADMINISTRATION 1999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 1999,A000000,01100,0000,01100PHARMACY 1999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 1999,A000000,01300,0000,01300SOCIAL SERVICE 1999,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 1999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 1999,A000000,01600,0000,01600SKILLED NURSING FACILITY 1999,A000000,01800,0000,01800NURSING FACILITY 1999,A000000,01810,0000,01810ICF/MR 1999,A000000,01900,0000,01900OTHER LONG TERM CARE 1999,A000000,02100,0000,02100RADIOLOGY 1999,A000000,02200,0000,02200LABORATORY 1999,A000000,02300,0000,02300INTRAVENOUS THERAPY 1999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 1999,A000000,02500,0000,02500PHYSICAL THERAPY 1999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 1999,A000000,02700,0000,02700SPEECH PATHOLOGY 1999,A000000,02800,0000,02800ELECTROCARDIOLOGY 1999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 1999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 1999,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 1999,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 1999,A000000,03200,0000,03200SUPPORT SURFACES 1999,A000000,03400,0000,03400CLINIC 1999,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 1999,A000000,03500,0000,03500RURAL HEALTH CLINIC 1999,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 1999,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 1999,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 1999,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 1999,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 1999,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 1999,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 1999,A000000,04400,0000,04400DME RENTED - HHA 1999,A000000,04500,0000,04500DME SOLD - HHA 1999,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 1999,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 1999,A000000,04800,0000,04800AMBULANCE 1999,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 1999,A000000,05000,0000,05000CORF 1999,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 1999,A000000,05300,0000,05300INTEREST EXPENSE 1999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 1999,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 1999,A000000,05500,0000,05500HOSPICE 1999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 1999,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 1999,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 1999,A000000,06100,0000,06100NONPAID WORKERS 1999,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 1999,A000000,06200,0000,06200PATIENTS LAUNDRY 1999,A81000A,00100,0100,Y 1999,A81000B,00100,0300,A&G 1999,A81000B,00200,0300,EH&W 1999,A81000B,00300,0300,PROPERTY INSURANCE 1999,A81000B,00400,0300,LIABILITY INSURANCE 1999,A81000B,00500,0300,VEHICLE INSURANCE 1999,A81000B,00600,0300,NURSING SUPPLIES/OTHER 1999,A81000B,00700,0300,INCONTINENT SUPPLIES 1999,A81000B,00800,0300,DIETARY SUPPLIES 1999,A81000C,00100,0100,B 1999,A81000C,00100,0200,BARBOUR COUNTY 1999,A81000C,00100,0400,EV LUTH GOOD SA 1999,A81000C,00100,0600,MNGT/ACCOUNTING 1999,A81000C,00200,0100,B 1999,A81000C,00200,0200,BARBOUR COUNTY 1999,A81000C,00200,0400,GOOD SAM. SUPPL 1999,A81000C,00200,0600,SUPPLIES 1999,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 1999,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 1999,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 1999,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 1999,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 1999,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 1999,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 1999,B100000,00000,0800,00000MEALS SERVEDDIETARY 1999,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 1999,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 1999,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 1999,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 1999,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 1999,B100000,00000,1350,00000PATIENT DAYSOTHER GENERAL SERVICE 1999,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 1999,S000000,00100,0200,05/26/2000 1999,S200000,00100,0100,ROUTE 3 1999,S200000,00200,0100,BELINGTON 1999,S200000,00200,0200,WV 1999,S200000,00200,0300,26250 1999,S200000,00300,0100,BARBOUR 1999,S200000,00300,0300,R 1999,S200000,00400,0100,BARBOUR COUNTY GOOD SAMARITAN 1999,S200000,00400,0200,515116 1999,S200000,00400,0300,05/01/1992 1999,S200000,00400,0500,P 1999,S200000,01500,0100,Y 1999,S700003,00000,0100,1 2002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2002,A000000,00300,0000,00300EMPLOYEE BENEFITS 2002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2002,A000000,00700,0000,00700HOUSEKEEPING 2002,A000000,00800,0000,00800DIETARY 2002,A000000,00900,0000,00900NURSING ADMINISTRATION 2002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2002,A000000,01300,0000,01300SOCIAL SERVICE 2002,A000000,01600,0000,01600SKILLED NURSING FACILITY 2002,A000000,01800,0000,01800NURSING FACILITY 2002,A000000,02100,0000,02100RADIOLOGY 2002,A000000,02200,0000,02200LABORATORY 2002,A000000,02300,0000,02300INTRAVENOUS THERAPY 2002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2002,A000000,02500,0000,02500PHYSICAL THERAPY 2002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2002,A000000,02700,0000,02700SPEECH PATHOLOGY 2002,A000000,02800,0000,02800ELECTROCARDIOLOGY 2002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2002,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 2002,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 2002,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 2002,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 2002,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 2002,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 2002,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 2002,A000000,04400,0000,04400DME RENTED - HHA 2002,A000000,04500,0000,04500DME SOLD - HHA 2002,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 2002,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 2002,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2002,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2002,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2002,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2002,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2002,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2002,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2002,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2002,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2002,B100000,00000,0800,00000MEALS SERVEDDIETARY 2002,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 2002,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2002,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2002,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2002,E10A180,00550,0300,08/01/2000 2002,H510100,02400,0000,51 2002,H710000,00501,0100,08/01/2000 2002,H710000,00501,0300,08/01/2000 2002,S000000,00100,0200,06/08/2000 2002,S200000,00100,0100,US 33 EAST 2002,S200000,00100,0300,700 2002,S200000,00200,0100,FRANKLIN 2002,S200000,00200,0200,WV 2002,S200000,00200,0300,26807 2002,S200000,00300,0100,PENDLETON 2002,S200000,00300,0300,R 2002,S200000,00400,0100,PENDLETON NURSING HOME 2002,S200000,00400,0200,515124 2002,S200000,00400,0300,10/06/1993 2002,S200000,00400,0500,P 2002,S200000,00800,0200,517045 2002,S200000,00800,0300,08/02/1979 2002,S200000,00800,0500,P 2002,S200000,01500,0100,Y 2002,S200000,01900,0100,N 2002,S700003,00000,0100,1 2005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2005,A000000,00300,0000,00300EMPLOYEE BENEFITS 2005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2005,A000000,00700,0000,00700HOUSEKEEPING 2005,A000000,00800,0000,00800DIETARY 2005,A000000,00900,0000,00900NURSING ADMINISTRATION 2005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2005,A000000,01100,0000,01100PHARMACY 2005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2005,A000000,01300,0000,01300SOCIAL SERVICE 2005,A000000,01600,0000,01600SKILLED NURSING FACILITY 2005,A000000,01800,0000,01800NURSING FACILITY 2005,A000000,01900,0000,01900OTHER LONG TERM CARE 2005,A000000,02100,0000,02100RADIOLOGY 2005,A000000,02200,0000,02200LABORATORY 2005,A000000,02300,0000,02300INTRAVENOUS THERAPY 2005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2005,A000000,02500,0000,02500PHYSICAL THERAPY 2005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2005,A000000,02700,0000,02700SPEECH PATHOLOGY 2005,A000000,02800,0000,02800ELECTROCARDIOLOGY 2005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2005,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 2005,A000000,03200,0000,03200SUPPORT SURFACES 2005,A000000,04800,0000,04800AMBULANCE 2005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2005,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2005,A81000A,00100,0100,Y 2005,A81000B,00100,0300,CENTRAL OFFICE 2005,A81000B,00200,0300,UNEMPLOYMENT TAXES 2005,A81000B,00300,0300,WORKERS COMPENSATION 2005,A81000B,00400,0300,PROPERTY INSURANCE 2005,A81000B,00500,0300,LIABILITY INSURANCE 2005,A81000B,00600,0300,VEHICLE INSURANCE 2005,A81000B,00700,0300,CENTRAL OFFICE 2005,A81000B,00800,0300,WORKERS COMPENSATION 2005,A81000B,00900,0300,PROPERTY INSURANCE 2005,A81000B,00901,0300,LIABILITY INSURANCE 2005,A81000C,00100,0100,B 2005,A81000C,00100,0400,GOOD SAMARITAN 2005,A81000C,00100,0600,MANAGEMENT 2005,A81000C,00200,0100,B 2005,A81000C,00200,0400,G.S. SUPPLY 2005,A81000C,00200,0600,SUPPLIES 2005,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2005,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2005,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2005,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2005,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2005,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2005,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2005,B100000,00000,0800,00000MEALS SERVEDDIETARY 2005,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 2005,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2005,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 2005,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2005,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2005,S000000,00100,0200,05/23/2000 2005,S200000,00100,0100,1850 11TH STREET 2005,S200000,00200,0100,FENNIMORE 2005,S200000,00200,0200,WI 2005,S200000,00200,0300,53809 2005,S200000,00300,0100,GRANT 2005,S200000,00300,0300,R 2005,S200000,00400,0100,FENNIMORE COMMUNITY GOOD SAMARITAN 2005,S200000,00400,0200,525425 2005,S200000,00400,0300,05/14/1989 2005,S200000,00400,0500,P 2005,S200000,01500,0100,Y 2005,S700003,00000,0100,1 2009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2009,A000000,00300,0000,00300EMPLOYEE BENEFITS 2009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2009,A000000,00700,0000,00700HOUSEKEEPING 2009,A000000,00800,0000,00800DIETARY 2009,A000000,00900,0000,00900NURSING ADMINISTRATION 2009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2009,A000000,01100,0000,01100PHARMACY 2009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2009,A000000,01300,0000,01300SOCIAL SERVICE 2009,A000000,01600,0000,01600SKILLED NURSING FACILITY 2009,A000000,01800,0000,01800NURSING FACILITY 2009,A000000,02100,0000,02100RADIOLOGY 2009,A000000,02200,0000,02200LABORATORY 2009,A000000,02300,0000,02300INTRAVENOUS THERAPY 2009,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2009,A000000,02500,0000,02500PHYSICAL THERAPY 2009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2009,A000000,02700,0000,02700SPEECH PATHOLOGY 2009,A000000,02800,0000,02800ELECTROCARDIOLOGY 2009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2009,A000000,03050,0000,03300OTHER ANCILLARIES 2009,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2009,A000000,05901,0000,05901RESOURCE DEVELOPMENT 2009,A000000,05902,0000,05902ADVERTISING PUBLIC RELATIONS 2009,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2009,A81000A,00100,0100,Y 2009,A81000B,00100,0300,ACCTG/ADMIN SERVICES 2009,A81000B,00200,0300,UNEMP. CLAIMS PAID 2009,A81000B,00300,0300,WORKMENS COMP 2009,A81000B,00400,0300,FIRE/CASUALTY INS. 2009,A81000B,00500,0300,LIABILITY INSURANCE 2009,A81000B,00600,0300,VEHICLE INSURANCE 2009,A81000B,00700,0300,MAINTENANCE SUPPLIES 2009,A81000B,00800,0300,DIETARY SUPPLIES 2009,A81000B,00900,0300,SUPPLIES 2009,A81000C,00100,0100,B 2009,A81000C,00100,0400,EVANGELICAL LUT 2009,A81000C,00100,0600,MGMT/ACCTG 2009,A81000C,00200,0100,B 2009,A81000C,00200,0400,GS SUPPLY CORP 2009,A81000C,00200,0600,SUPPLIES 2009,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2009,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2009,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2009,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2009,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2009,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2009,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2009,B100000,00000,0800,00000MEALS SERVEDDIETARY 2009,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 2009,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2009,B100000,00000,1100,00000PATIENT DAYSPHARMACY 2009,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2009,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2009,E10A180,00550,0300,07/28/2000 2009,S000000,00100,0200,06/20/2000 2009,S200000,00100,0100,23926 FOURTH AVENUE S. 2009,S200000,00200,0100,SIREN 2009,S200000,00200,0200,WI 2009,S200000,00200,0300,54872 2009,S200000,00300,0100,BURNETT 2009,S200000,00300,0300,R 2009,S200000,00400,0100,CAPESIDE COVE GOOD SAMARITAN CTR 2009,S200000,00400,0200,525478 2009,S200000,00400,0300,11/01/1991 2009,S200000,00400,0500,P 2009,S200000,01600,0100,Y 2009,S700003,00000,0100,1 2015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2015,A000000,00300,0000,00300EMPLOYEE BENEFITS 2015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2015,A000000,00700,0000,00700HOUSEKEEPING 2015,A000000,00800,0000,00800DIETARY 2015,A000000,00900,0000,00900NURSING ADMINISTRATION 2015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2015,A000000,01100,0000,01100PHARMACY 2015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2015,A000000,01300,0000,01300SOCIAL SERVICE 2015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 2015,A000000,01600,0000,01600SKILLED NURSING FACILITY 2015,A000000,01800,0000,01800NURSING FACILITY 2015,A000000,01810,0000,01810ICF/MR 2015,A000000,01900,0000,01900OTHER LONG TERM CARE 2015,A000000,02100,0000,02100RADIOLOGY 2015,A000000,02200,0000,02200LABORATORY 2015,A000000,02300,0000,02300INTRAVENOUS THERAPY 2015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2015,A000000,02500,0000,02500PHYSICAL THERAPY 2015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2015,A000000,02700,0000,02700SPEECH PATHOLOGY 2015,A000000,02800,0000,02800ELECTROCARDIOLOGY 2015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2015,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 2015,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 2015,A000000,03200,0000,03200SUPPORT SURFACES 2015,A000000,03400,0000,03400CLINIC 2015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 2015,A000000,03500,0000,03500RURAL HEALTH CLINIC 2015,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 2015,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 2015,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 2015,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 2015,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 2015,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 2015,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 2015,A000000,04400,0000,04400DME RENTED - HHA 2015,A000000,04500,0000,04500DME SOLD - HHA 2015,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 2015,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 2015,A000000,04800,0000,04800AMBULANCE 2015,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 2015,A000000,05000,0000,05000CORF 2015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2015,A000000,05300,0000,05300INTEREST EXPENSE 2015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 2015,A000000,05500,0000,05500HOSPICE 2015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 2015,A000000,06100,0000,06100NONPAID WORKERS 2015,A000000,06150,0000,06300BASIC CARE/APTS/DUPLEXES 2015,A000000,06200,0000,06200PATIENTS LAUNDRY 2015,A81000A,00100,0100,Y 2015,A81000B,00100,0300,MANAGEMENT FEES 2015,A81000B,00200,0300,PROPERTY INSURANCE 2015,A81000B,00300,0300,VEHICLE INSURANCE 2015,A81000B,00400,0300,LIABILITY INSURANCE 2015,A81000B,00500,0300,WORKERS COMPENSATION 2015,A81000B,00600,0300,UNEMPLOYMENT TAXES 2015,A81000B,00700,0300,HOME OFFICE ALLOCATION 2015,A81000B,00800,0300,NURSING SUPPLIES/OTHER 2015,A81000B,00900,0300,INCONTINENT SUPPLIES 2015,A81000B,00901,0300,EQUIPMENT 2015,A81000B,00902,0300,LINENS/BEDDING 2015,A81000C,00100,0100,B 2015,A81000C,00100,0400,GOOD SAM EV LUT 2015,A81000C,00100,0600,MNGT/ACCTG 2015,A81000C,00200,0100,B 2015,A81000C,00200,0400,G/S SUPPLY SVCS 2015,A81000C,00200,0600,SUPPLIES 2015,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2015,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2015,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2015,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2015,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2015,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2015,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2015,B100000,00000,0800,00000MEALS SERVEDDIETARY 2015,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 2015,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2015,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 2015,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2015,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2015,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 2015,E10A180,00550,0300,07/18/2000 2015,S000000,00100,0200,05/26/2000 2015,S200000,00100,0100,290 SMITH DRIVE 2015,S200000,00200,0100,SISTER BAY 2015,S200000,00200,0200,WI 2015,S200000,00200,0300,54234 2015,S200000,00300,0100,DOOR 2015,S200000,00300,0300,R 2015,S200000,00400,0100,SCANDIA VILLAGE GOOD SAMARITAN 2015,S200000,00400,0200,525494 2015,S200000,00400,0300,10/01/1992 2015,S200000,00400,0500,P 2015,S200000,01500,0100,Y 2015,S700003,00000,0400,4 2021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2021,A000000,00300,0000,00300EMPLOYEE BENEFITS 2021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2021,A000000,00700,0000,00700HOUSEKEEPING 2021,A000000,00800,0000,00800DIETARY 2021,A000000,00900,0000,00900NURSING ADMINISTRATION 2021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2021,A000000,01300,0000,01300SOCIAL SERVICE 2021,A000000,01600,0000,01600SKILLED NURSING FACILITY 2021,A000000,01800,0000,01800NURSING FACILITY 2021,A000000,02100,0000,02100RADIOLOGY 2021,A000000,02200,0000,02200LABORATORY 2021,A000000,02300,0000,02300INTRAVENOUS THERAPY 2021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2021,A000000,02500,0000,02500PHYSICAL THERAPY 2021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2021,A000000,02700,0000,02700SPEECH PATHOLOGY 2021,A000000,02800,0000,02800ELECTROCARDIOLOGY 2021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2021,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2021,A000000,06150,0000,06300APARTMENTS 2021,A81000A,00100,0100,Y 2021,A81000B,00100,0300,ACCOUNTING/ADMIN SERVICES 2021,A81000B,00200,0300,ACCOUNTING/ADMIN SERVICES 2021,A81000B,00300,0300,UNEMPLOYMENT CLAIMS PAID 2021,A81000B,00400,0300,WORKMENS COMPENSATION 2021,A81000B,00500,0300,WORKMENS COMPENSATION 2021,A81000B,00600,0300,FIRE/CASUALTY INSURANCE 2021,A81000B,00700,0300,FIRE/CASUALTY INSURANCE 2021,A81000B,00800,0300,LIABILITY INSURANCE 2021,A81000B,00900,0300,LIABILITY INSURANCE 2021,A81000B,00901,0300,VEHICLE INSURANCE 2021,A81000B,00902,0300,CENTRAL SUPPLY 2021,A81000B,00903,0300,EQUIPMENT 2021,A81000B,00904,0300,LINEN SUPPLIES 2021,A81000C,00100,0100,B 2021,A81000C,00100,0400,EVANGELICAL LUT 2021,A81000C,00100,0600,MGMT/ACCTG 2021,A81000C,00200,0100,B 2021,A81000C,00200,0400,GS SUPPLY CORP 2021,A81000C,00200,0600,SUPPLIES 2021,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2021,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2021,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2021,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2021,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2021,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2021,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2021,B100000,00000,0800,00000MEALS SERVEDDIETARY 2021,B100000,00000,0900,00000PATIENT DAYSNURSING ADMINISTRATIO 2021,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2021,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2021,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2021,E10A180,00350,0100,11/10/1999 2021,S000000,00100,0200,06/02/2000 2021,S200000,00100,0100,700 CLARK STREET 2021,S200000,00200,0100,LODI 2021,S200000,00200,0200,WI 2021,S200000,00200,0300,53555 2021,S200000,00300,0100,COLUMBIA 2021,S200000,00300,0300,R 2021,S200000,00400,0100,LODI GOOD SAMARITAN CENTER 2021,S200000,00400,0200,525520 2021,S200000,00400,0300,11/01/1993 2021,S200000,00400,0500,P 2021,S200000,01600,0100,Y 2021,S700003,00000,0100,1 2026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2026,A000000,00300,0000,00300EMPLOYEE BENEFITS 2026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2026,A000000,00700,0000,00700HOUSEKEEPING 2026,A000000,00800,0000,00800DIETARY 2026,A000000,00900,0000,00900NURSING ADMINISTRATION 2026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2026,A000000,01100,0000,01100PHARMACY 2026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2026,A000000,01300,0000,01300SOCIAL SERVICE 2026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 2026,A000000,01600,0000,01600SKILLED NURSING FACILITY 2026,A000000,01800,0000,01800NURSING FACILITY 2026,A000000,01810,0000,01810ICF/MR 2026,A000000,01900,0000,01900OTHER LONG TERM CARE 2026,A000000,02100,0000,02100RADIOLOGY 2026,A000000,02200,0000,02200LABORATORY 2026,A000000,02300,0000,02300INTRAVENOUS THERAPY 2026,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2026,A000000,02500,0000,02500PHYSICAL THERAPY 2026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2026,A000000,02700,0000,02700SPEECH PATHOLOGY 2026,A000000,02800,0000,02800ELECTROCARDIOLOGY 2026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2026,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 2026,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 2026,A000000,03200,0000,03200SUPPORT SURFACES 2026,A000000,03400,0000,03400CLINIC 2026,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 2026,A000000,03500,0000,03500RURAL HEALTH CLINIC 2026,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 2026,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 2026,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 2026,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 2026,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 2026,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 2026,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 2026,A000000,04400,0000,04400DME RENTED - HHA 2026,A000000,04500,0000,04500DME SOLD - HHA 2026,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 2026,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 2026,A000000,04800,0000,04800AMBULANCE 2026,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 2026,A000000,05000,0000,05000CORF 2026,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2026,A000000,05300,0000,05300INTEREST EXPENSE 2026,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2026,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 2026,A000000,05500,0000,05500HOSPICE 2026,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2026,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2026,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 2026,A000000,06100,0000,06100NONPAID WORKERS 2026,A000000,06150,0000,06300APARTMENTS 2026,A000000,06200,0000,06200PATIENTS LAUNDRY 2026,A81000A,00100,0100,Y 2026,A81000B,00100,0300,MANAGEMENT FEES 2026,A81000B,00200,0300,UNEMPLOYMENT TAXES 2026,A81000B,00300,0300,WORKERS COMPENSATION 2026,A81000B,00400,0300,PROPERTY INSURANCE 2026,A81000B,00500,0300,LIABILITY INSURANCE 2026,A81000B,00600,0300,APT HOME OFFICE ALLOCATION 2026,A81000B,00700,0300,NURSING SUPPLIES/OTHER 2026,A81000B,00800,0300,INCONTINENT SUPPLIES 2026,A81000B,00900,0300,DIETARY SUPPLIES 2026,A81000B,00901,0300,EQUIPMENT 2026,A81000C,00100,0100,B 2026,A81000C,00100,0200,GOOD SAMARITAN 2026,A81000C,00100,0600,MANAGEMENT 2026,A81000C,00200,0100,B 2026,A81000C,00200,0400,MED SUPPLIES 2026,A81000C,00200,0600,MED SUPPLIES 2026,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 2026,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 2026,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 2026,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 2026,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 2026,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 2026,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 2026,B100000,00000,0800,00000MEALS SERVEDDIETARY 2026,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 2026,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 2026,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 2026,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 2026,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 2026,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 2026,E10A180,00301,0100,11/08/1999 2026,S000000,00100,0200,05/26/2000 2026,S200000,00100,0100,750 LOUISIANA EAST 2026,S200000,00200,0100,ST. CROIX FALLS 2026,S200000,00200,0200,WI 2026,S200000,00200,0300,54024 2026,S200000,00300,0100,POLK 2026,S200000,00300,0300,R 2026,S200000,00400,0100,ST. CROIX VALLEY GOOD SAMARITAN 2026,S200000,00400,0200,525532 2026,S200000,00400,0300,06/01/1994 2026,S200000,00400,0500,P 2026,S200000,01600,0100,Y 2026,S700003,00000,0100,1 2034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2034,A000000,00300,0000,00300EMPLOYEE BENEFITS 2034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2034,A000000,00700,0000,00700HOUSEKEEPING 2034,A000000,00800,0000,00800DIETARY 2034,A000000,00801,0000,00801CAFETERIA 2034,A000000,00900,0000,00900NURSING ADMINISTRATION 2034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2034,A000000,01100,0000,01100PHARMACY 2034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2034,A000000,01300,0000,01300SOCIAL SERVICE 2034,A000000,01600,0000,01600SKILLED NURSING FACILITY 2034,A000000,01800,0000,01800NURSING FACILITY 2034,A000000,01900,0000,01900OTHER LONG TERM CARE 2034,A000000,02100,0000,02100RADIOLOGY 2034,A000000,02200,0000,02200LABORATORY 2034,A000000,02300,0000,02300INTRAVENOUS THERAPY 2034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2034,A000000,02500,0000,02500PHYSICAL THERAPY 2034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2034,A000000,02700,0000,02700SPEECH PATHOLOGY 2034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2034,A000000,03200,0000,03200SUPPORT SURFACES 2034,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2034,A000000,05300,0000,05300INTEREST EXPENSE 2034,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 2034,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2034,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2034,A000000,06151,0000,06301HOME HEALTH AGENCY 2034,A81000A,00100,0100,Y 2034,A81000B,00100,0300,CENTRAL OFC COSTS 2034,A81000B,00200,0300,UNEMP EXPENSES 2034,A81000B,00300,0300,WORKERS COMP COSTS 2034,A81000B,00400,0300,FIRE & CASUALTY INSUR 2034,A81000B,00500,0300,LIABILITY INSUR 2034,A81000B,00600,0300,VEHICLE INSUR 2034,A81000B,00700,0300,NURSING SUPPLIES 2034,A81000B,00800,0300,INCONTINENT SUPPLIES 2034,A81000B,00900,0300,DIETARY SUPPLIES 2034,A81000B,00901,0300,SMALL EQUIPMENT 2034,A81000C,00100,0100,B 2034,A81000C,00100,0200,EV GOOD SAM SOC 2034,A81000C,00200,0100,B 2034,A81000C,00200,0200,EV GOOD SAM SOC 2034,A81000C,00200,0400,OMNICARE SUPPLY 2034,A81000C,00200,0600,SUPPLY CO. 2034,E10A180,00501,0100,06/16/2000 2034,E10A180,00550,0300,06/16/2000 2034,S000000,00100,0200,06/05/2000 2034,S200000,00100,0100,7304 GOOD SAMARITAN COURT 2034,S200000,00200,0100,EL PASO 2034,S200000,00200,0200,TX 2034,S200000,00200,0300,79912 2034,S200000,00300,0100,EL PASO 2034,S200000,00300,0300,U 2034,S200000,00400,0100,WHITE ACRES GOOD SAMARITAN 2034,S200000,00400,0200,675025 2034,S200000,00400,0300,05/01/1992 2034,S200000,00400,0500,P 2034,S200000,01500,0100,Y 2034,S700003,00000,0100,1 2039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2039,A000000,00300,0000,00300EMPLOYEE BENEFITS 2039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2039,A000000,00700,0000,00700HOUSEKEEPING 2039,A000000,00800,0000,00800DIETARY 2039,A000000,00801,0000,00801CAFETERIA 2039,A000000,00900,0000,00900NURSING ADMINISTRATION 2039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2039,A000000,01100,0000,01100PHARMACY 2039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2039,A000000,01300,0000,01300SOCIAL SERVICE 2039,A000000,01600,0000,01600SKILLED NURSING FACILITY 2039,A000000,01800,0000,01800NURSING FACILITY 2039,A000000,01900,0000,01900OTHER LONG TERM CARE 2039,A000000,02100,0000,02100RADIOLOGY 2039,A000000,02200,0000,02200LABORATORY 2039,A000000,02300,0000,02300INTRAVENOUS THERAPY 2039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2039,A000000,02500,0000,02500PHYSICAL THERAPY 2039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2039,A000000,02700,0000,02700SPEECH PATHOLOGY 2039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2039,A000000,03200,0000,03200SUPPORT SURFACES 2039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2039,A000000,05300,0000,05300INTEREST EXPENSE 2039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 2039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2039,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2039,A000000,06151,0000,06301HOME HEALTH AGENCY 2039,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 2039,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 2039,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 2039,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 2039,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 2039,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 2039,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 2039,B100000,00000,0800,00001MEALS SERVEDDIETARY 2039,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 2039,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 2039,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 2039,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 2039,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 2039,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 2039,E10A180,00501,0100,07/31/2000 2039,E10A180,00501,0300,07/31/2000 2039,S000000,00100,0200,06/20/2000 2039,S200000,00100,0100,305 5TH STREET 2039,S200000,00200,0100,FARWELL 2039,S200000,00200,0200,TX 2039,S200000,00200,0300,79325-0890 2039,S200000,00300,0100,PARMER 2039,S200000,00300,0300,R 2039,S200000,00400,0100,FARWELL CONVALESCENT CENTER 2039,S200000,00400,0200,675098 2039,S200000,00400,0300,11/01/1992 2039,S200000,00400,0500,P 2039,S200000,01500,0100,Y 2039,S700003,00000,0100,1 2043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 2043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 2043,A000000,00300,0000,00300EMPLOYEE BENEFITS 2043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 2043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2043,A000000,00700,0000,00700HOUSEKEEPING 2043,A000000,00800,0000,00800DIETARY 2043,A000000,00900,0000,00900NURSING ADMINISTRATION 2043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2043,A000000,01100,0000,01100PHARMACY 2043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2043,A000000,01300,0000,01300SOCIAL SERVICE 2043,A000000,01350,0000,01500OTHER GENERAL SERVICES 2043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 2043,A000000,01600,0000,01600SKILLED NURSING FACILITY 2043,A000000,01800,0000,01800NURSING FACILITY 2043,A000000,01810,0000,01801ICF/MR 2043,A000000,01900,0000,01900OTHER LONG TERM CARE 2043,A000000,02100,0000,02100RADIOLOGY 2043,A000000,02200,0000,02200LABORATORY 2043,A000000,02300,0000,02300INTRAVENOUS THERAPY 2043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2043,A000000,02500,0000,02500PHYSICAL THERAPY 2043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2043,A000000,02700,0000,02700SPEECH PATHOLOGY 2043,A000000,02800,0000,02800ELECTROCARDIOLOGY 2043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 2043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2043,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 2043,A000000,03200,0000,03200SUPPORT SURFACES 2043,A000000,03400,0000,03400CLINIC 2043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2043,A000000,03500,0000,03500RURAL HEALTH CLINIC 2043,A000000,04750,0000,05100OSP 2043,A000000,04800,0000,04800AMBULANCE 2043,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 2043,A000000,05000,0000,05000CORF 2043,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 2043,A000000,05300,0000,05300INTEREST EXPENSE 2043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 2043,A000000,05500,0000,05500HOSPICE 2043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 2043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2043,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 2043,A000000,06100,0000,06100NONPAID WORKERS 2043,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2043,A000000,06151,0000,06301RESIDENT SERVICES 2043,A000000,06152,0000,06302MARKETING 2043,A000000,06200,0000,06200PATIENTS LAUNDRY 2043,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 2043,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 2043,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 2043,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 2043,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 2043,B100000,00000,0600,00002PATIENT DAYSLAUNDRY & LINEN SERVI 2043,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 2043,B100000,00000,0800,00002MEALS SERVEDDIETARY 2043,B100000,00000,0900,00002PATIENT DAYSNURSING ADMINISTRATIO 2043,B100000,00000,1000,00002PATIENT DAYSCENTRAL SERVICES & SU 2043,B100000,00000,1100,00002PATIENT DAYSPHARMACY 2043,B100000,00000,1200,00002PATIENT DAYSMEDICAL RECORDS & LIB 2043,B100000,00000,1300,00002PATIENT DAYSSOCIAL SERVICE 2043,B100000,00000,1350,00002PATIENT DAYSOTHER GENERAL SERVICE 2043,B100000,00000,1400,00002ASSIGNED TIMEINTERNS & RESIDENTS ( 2043,S000000,00100,0200,06/02/2000 2043,S200000,00100,0100,4100 JACKSON AVE 2043,S200000,00200,0100,AUSTIN 2043,S200000,00200,0200,TX 2043,S200000,00200,0300,78731- 2043,S200000,00300,0100,TRAVIS 2043,S200000,00300,0300,U 2043,S200000,00400,0100,WESTMINSTER MANOR HEALTH CARE CENTER 2043,S200000,00400,0200,675521 2043,S200000,00400,0300,10/18/1995 2043,S200000,00400,0500,P 2043,S200000,01600,0100,Y 2043,S200000,01900,0100,N 2043,S700003,00000,0400,4 2055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2055,A000000,00300,0000,00300EMPLOYEE BENEFITS 2055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2055,A000000,00700,0000,00700HOUSEKEEPING 2055,A000000,00800,0000,00800DIETARY 2055,A000000,00801,0000,00801CAFETERIA 2055,A000000,00900,0000,00900NURSING ADMINISTRATION 2055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2055,A000000,01100,0000,01100PHARMACY 2055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2055,A000000,01300,0000,01300SOCIAL SERVICE 2055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2055,A000000,01600,0000,01600SKILLED NURSING FACILITY 2055,A000000,01810,0000,01810ICF/MR 2055,A000000,02500,0000,02500PHYSICAL THERAPY 2055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2055,A000000,03550,0000,03550FQHC 2055,A000000,05000,0000,05000CORF 2055,A000000,05010,0000,05010CMHC 2055,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2055,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2055,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2055,A000000,05300,0000,05300INTEREST EXPENSE 2055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2055,A000000,06151,0000,06301GUEST MEALS 2055,B100000,00000,0100,00001SQUARE FEET 2055,B100000,00000,0200,00001SQUARE FEET 2055,B100000,00000,0300,00001GROSS SALARIES 2055,B100000,00000,0400,00001ACCUM. COST 2055,B100000,00000,0500,00001SQUARE FEET 2055,B100000,00000,0600,00001POUNDS OF LAUNDRY 2055,B100000,00000,0700,00001SQUARE FEET 2055,B100000,00000,0800,00001MEALS SERVED 2055,B100000,00000,0801,00001PAID HOURS 2055,B100000,00000,0900,00001PATIENT DAYS 2055,B100000,00000,1000,00001COSTED REQUIS. 2055,B100000,00000,1100,00001COSTED REQUIS. 2055,B100000,00000,1200,00001GROSS REVENUE 2055,B100000,00000,1300,00001PATIENT DAYS 2055,B100000,00000,1400,00001ASSIGNED TIME 2055,S000000,00100,0200,06/13/2000 2055,S200000,00100,0100,1923 EAST JOYCE STREET 2055,S200000,00200,0100,FAYETTEVILLE 2055,S200000,00200,0200,AR 2055,S200000,00200,0300,72703 2055,S200000,00300,0100,WASHINGTON 2055,S200000,00400,0100,BUTTERFIELD TRAIL VILLAGE INC. 2055,S200000,00400,0200,045125 2055,S200000,00400,0300,01/01/1992 2055,S200000,00400,0500,P 2055,S200000,01600,0100,Y 2062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2062,A000000,00300,0000,00300EMPLOYEE BENEFITS 2062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2062,A000000,00700,0000,00700HOUSEKEEPING 2062,A000000,00800,0000,00800DIETARY 2062,A000000,00900,0000,00900NURSING ADMINISTRATION 2062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2062,A000000,01100,0000,01100PHARMACY 2062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2062,A000000,01300,0000,01300SOCIAL SERVICE 2062,A000000,01350,0000,01500OTHER GENERAL SERVICES 2062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2062,A000000,01600,0000,01600SKILLED NURSING FACILITY 2062,A000000,01800,0000,01800NURSING FACILITY 2062,A000000,01810,0000,01810ICF/MR 2062,A000000,01900,0000,01900OTHER LONG TERM CARE 2062,A000000,02500,0000,02500PHYSICAL THERAPY 2062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2062,A000000,02700,0000,02700SPEECH PATHOLOGY 2062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2062,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2062,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2062,A000000,03550,0000,03550FQHC 2062,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2062,A000000,05000,0000,05000CORF 2062,A000000,05010,0000,05010CMHC 2062,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2062,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2062,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2062,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2062,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2062,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2062,A81000A,00100,0100,Y 2062,A81000B,00100,0300,MANAGEMENT FEES 2062,A81000C,00100,0100,D 2062,A81000C,00100,0200,NALCC 2062,A81000C,00100,0400,STONE CO CORP OFFICE 2062,A81000C,00100,0600,MANAGEMENT COMPANY 2062,B100000,00000,0100,00000SQUARE FEET 2062,B100000,00000,0200,00000NO STATISTICS 2062,B100000,00000,0300,00000GROSS SALARIES 2062,B100000,00000,0400,00000ACCUM. COST 2062,B100000,00000,0500,00000SQUARE FEET 2062,B100000,00000,0600,00000PATIENT DAYS 2062,B100000,00000,0700,00000SQUARE FEET 2062,B100000,00000,0800,00000MEALS SERVED 2062,B100000,00000,0900,00000TIME SPENT 2062,B100000,00000,1000,00000COSTED REQS 2062,B100000,00000,1100,00000COSTED REQS 2062,B100000,00000,1200,00000TIME SPENT 2062,B100000,00000,1300,00000TIME SPENT 2062,B100000,00000,1350,00000NO STATISTICS 2062,B100000,00000,1400,00000NO STATISTICS 2062,S000000,00100,0200,08/31/1999 2062,S200000,00100,0100,1203 SOUTH BEND DR 2062,S200000,00200,0100,HORSESHOE BEND 2062,S200000,00200,0200,AR 2062,S200000,00200,0300,72512 2062,S200000,00300,0100,IZARD 2062,S200000,00400,0100,NORTH ARKANSAS LIFE CARE CENTER 2062,S200000,00400,0200,045144 2062,S200000,00400,0300,05/01/1995 2062,S200000,00400,0500,P 2062,S200000,01600,0100,Y 2064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2064,A000000,00300,0000,00300EMPLOYEE BENEFITS 2064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2064,A000000,00700,0000,00700HOUSEKEEPING 2064,A000000,00800,0000,00800DIETARY 2064,A000000,00900,0000,00900NURSING ADMINISTRATION 2064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2064,A000000,01100,0000,01100PHARMACY 2064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2064,A000000,01300,0000,01300SOCIAL SERVICE 2064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2064,A000000,01600,0000,01600SKILLED NURSING FACILITY 2064,A000000,01800,0000,01800NURSING FACILITY 2064,A000000,01810,0000,01810ICF/MR 2064,A000000,02500,0000,02500PHYSICAL THERAPY 2064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2064,A000000,02700,0000,02700SPEECH PATHOLOGY 2064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2064,A000000,03550,0000,03550FQHC 2064,A000000,05000,0000,05000CORF 2064,A000000,05010,0000,05010CMHC 2064,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2064,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2064,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2064,A000000,05300,0000,05300INTEREST EXPENSE 2064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2064,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2064,A000000,06151,0000,06301GUEST MEALS 2064,A81000A,00100,0100,Y 2064,A81000B,00100,0300,CORPORATE OFFICE ADMIN 2064,A81000B,00200,0300,CORPORATE OFFICE EMPLOY BENEFI 2064,A81000B,00300,0300,INSURANCE EXPENSE 2064,A81000B,00400,0300,INSURANCE EXPENSE 2064,A81000B,00500,0300,PHYSICAL THERAPY EXPENSE 2064,A81000B,00600,0300,SPEECH THERAPY EXPENSE 2064,A81000C,00100,0100,B 2064,A81000C,00100,0200,WHITE RIVER MEDICAL CENTE 2064,A81000C,00100,0400,WHITE RIVER MEDICAL CENTE 2064,A81000C,00100,0600,NFP HOSPITAL 2064,B100000,00000,0100,00001SQUARE FEET 2064,B100000,00000,0200,00001SQUARE FEET 2064,B100000,00000,0300,00001GROSS SALARIES 2064,B100000,00000,0400,00001ACCUM. COST 2064,B100000,00000,0500,00001SQUARE FEET 2064,B100000,00000,0600,00001PATIENT DAYS 2064,B100000,00000,0700,00001SQUARE FEET 2064,B100000,00000,0800,00001MEALS SERVED 2064,B100000,00000,0900,00001DIRECT NRSING HRS 2064,B100000,00000,1000,00001PATIENT DAYS 2064,B100000,00000,1100,00001PATIENT DAYS 2064,B100000,00000,1200,00001GROSS REVENUE 2064,B100000,00000,1300,00001PATIENT DAYS 2064,B100000,00000,1400,00001ASSIGNED TIME 2064,S000000,00100,0200,03/16/2000 2064,S200000,00100,0100,1203 SOUTH BEND DRIVE 2064,S200000,00200,0100,HORSESHOE BEND 2064,S200000,00200,0200,AR 2064,S200000,00300,0100,IZARD 2064,S200000,00400,0100,NORTH ARKANSAS LIFE CARE CENTER 2064,S200000,00400,0200,045144 2064,S200000,00400,0300,04/01/1999 2064,S200000,00400,0500,P 2064,S200000,01600,0100,Y 2073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2073,A000000,00300,0000,00300EMPLOYEE BENEFITS 2073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2073,A000000,00700,0000,00700HOUSEKEEPING 2073,A000000,00800,0000,00800DIETARY 2073,A000000,00900,0000,00900NURSING ADMINISTRATION 2073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2073,A000000,01100,0000,01100PHARMACY 2073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2073,A000000,01300,0000,01300SOCIAL SERVICE 2073,A000000,01350,0000,01500OTHER GENERAL SERVICES 2073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2073,A000000,01600,0000,01600SKILLED NURSING FACILITY 2073,A000000,01800,0000,01800NURSING FACILITY 2073,A000000,01810,0000,01810ICF/MR 2073,A000000,02500,0000,02500PHYSICAL THERAPY 2073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2073,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2073,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2073,A000000,03550,0000,03550FQHC 2073,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2073,A000000,05000,0000,05000CORF 2073,A000000,05010,0000,05010CMHC 2073,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2073,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2073,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2073,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2073,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2073,A81000A,00100,0100,Y 2073,A81000B,00100,0300,CONTRACT PT 2073,A81000B,00200,0300,MANAGEMENT FEES 2073,A81000C,00100,0100,D 2073,A81000C,00100,0200,STONE CO MEDICAL CENTER 2073,A81000C,00100,0400,STONE CO SNF 2073,A81000C,00100,0600,HOSPITAL 2073,A81000C,00200,0100,D 2073,A81000C,00200,0200,STONE CO CORPORATE OFFICE 2073,A81000C,00200,0400,STONE CO SNF 2073,A81000C,00200,0600,MANAGEMENT COMPANY 2073,B100000,00000,0100,00000SQUARE FEET 2073,B100000,00000,0200,00000DOLLAR VALUE 2073,B100000,00000,0300,00000GROSS SALARIES 2073,B100000,00000,0400,00000ACCUM. COST 2073,B100000,00000,0500,00000SQUARE FEET 2073,B100000,00000,0600,00000PATIENT DAYS 2073,B100000,00000,0700,00000SQUARE FEET 2073,B100000,00000,0800,00000MEALS SERVED 2073,B100000,00000,0900,00000DIRECT NRSING HRS 2073,B100000,00000,1000,00000COSTED REQUIS. 2073,B100000,00000,1100,00000COSTED REQUIS. 2073,B100000,00000,1200,00000TIME SPENT 2073,B100000,00000,1300,00000TIME SPENT 2073,B100000,00000,1350,00000NO STATISTICS 2073,B100000,00000,1400,00000ASSIGNED TIME 2073,S000000,00100,0200,10/01/1999 2073,S200000,00100,0100,HC 72 BOX 21 2073,S200000,00200,0100,MT VIEW 2073,S200000,00200,0200,AR 2073,S200000,00200,0300,72560 2073,S200000,00300,0100,STONE 2073,S200000,00400,0100,STONE CO SKILLED NURSING FACILITY 2073,S200000,00400,0200,045146 2073,S200000,00400,0300,01/01/1996 2073,S200000,00400,0500,P 2073,S200000,01600,0100,Y 2075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2075,A000000,00300,0000,00300EMPLOYEE BENEFITS 2075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2075,A000000,00700,0000,00700HOUSEKEEPING 2075,A000000,00800,0000,00800DIETARY 2075,A000000,00900,0000,00900NURSING ADMINISTRATION 2075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2075,A000000,01100,0000,01100PHARMACY 2075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2075,A000000,01300,0000,01300SOCIAL SERVICE 2075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2075,A000000,01600,0000,01600SKILLED NURSING FACILITY 2075,A000000,01800,0000,01800NURSING FACILITY 2075,A000000,01810,0000,01810ICF/MR 2075,A000000,02500,0000,02500PHYSICAL THERAPY 2075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2075,A000000,02700,0000,02700SPEECH PATHOLOGY 2075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2075,A000000,03550,0000,03550FQHC 2075,A000000,05000,0000,05000CORF 2075,A000000,05010,0000,05010CMHC 2075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2075,A000000,05300,0000,05300INTEREST EXPENSE 2075,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2075,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2075,A000000,06151,0000,06301GUEST MEALS 2075,A000000,06152,0000,06302STONE COUNTY MEDICAL CENTER 2075,A000000,06153,0000,06303STONE COUNTY HHA 2075,A000000,06155,0000,06305STONE COUNTY MEDICAL HHA 2075,A000000,06156,0000,06306NORTH ARK LIFE & CARE CENTER 2075,A81000A,00100,0100,Y 2075,A81000B,00100,0300,CORPORATE OFFICE ADMIN 2075,A81000B,00200,0300,CORPORATE OFFICE EMPLOY BENEFI 2075,A81000B,00300,0300,SPEECH THERAPIST 2075,A81000B,00400,0300,INSURANCE EXPENSE 2075,A81000B,00500,0300,INSURANCE EXPENSE 2075,A81000C,00100,0100,B 2075,A81000C,00100,0200,WHITE RIVER MEDICAL CENTE 2075,A81000C,00100,0400,WHITE RIVER MEDICAL CENTE 2075,A81000C,00100,0600,NFP HOSPITAL 2075,B100000,00000,0100,00006SQUARE FEET 2075,B100000,00000,0200,00006SQUARE FEET 2075,B100000,00000,0300,00006GROSS SALARIES 2075,B100000,00000,0400,00006ACCUM. COST 2075,B100000,00000,0500,00006SQUARE FEET 2075,B100000,00000,0600,00006PATIENT DAYS 2075,B100000,00000,0700,00006SQUARE FEET 2075,B100000,00000,0800,00006MEALS SERVED 2075,B100000,00000,0900,00006DIRECT NRSING HRS 2075,B100000,00000,1000,00006PATIENT DAYS 2075,B100000,00000,1100,00006PATIENT DAYS 2075,B100000,00000,1200,00006GROSS REVENUE 2075,B100000,00000,1300,00006PATIENT DAYS 2075,B100000,00000,1400,00006ASSIGNED TIME 2075,S000000,00100,0200,03/16/2000 2075,S200000,00100,0100,706 OAK GROVE 2075,S200000,00200,0100,MOUNTAIN VIEW 2075,S200000,00200,0200,AR 2075,S200000,00300,0100,STONE 2075,S200000,00400,0100,STONE COUNTY NURSING AND REHAB 2075,S200000,00400,0200,045146 2075,S200000,00400,0300,04/01/1999 2075,S200000,00400,0500,P 2075,S200000,01600,0100,Y 2090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2090,A000000,00300,0000,00300EMPLOYEE BENEFITS 2090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2090,A000000,00700,0000,00700HOUSEKEEPING 2090,A000000,00800,0000,00800DIETARY 2090,A000000,00900,0000,00900NURSING ADMINISTRATION 2090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2090,A000000,01100,0000,01100PHARMACY 2090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2090,A000000,01300,0000,01300SOCIAL SERVICE 2090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2090,A000000,01600,0000,01600SKILLED NURSING FACILITY 2090,A000000,01800,0000,01800NURSING FACILITY 2090,A000000,01810,0000,01810ICF/MR 2090,A000000,02500,0000,02500PHYSICAL THERAPY 2090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2090,A000000,02700,0000,02700SPEECH PATHOLOGY 2090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2090,A000000,03550,0000,03550FQHC 2090,A000000,05000,0000,05000CORF 2090,A000000,05010,0000,05010CMHC 2090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2090,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2090,B100000,00000,0100,00000SQUARE FEET 2090,B100000,00000,0200,00000SQUARE FEET 2090,B100000,00000,0300,00000GROSS SALARIES 2090,B100000,00000,0400,00000ACCUM. COST 2090,B100000,00000,0500,00000SQUARE FEET 2090,B100000,00000,0600,00000PATIENT DAYS 2090,B100000,00000,0700,00000SQUARE FEET 2090,B100000,00000,0800,00000PATIENT DAYS 2090,B100000,00000,0900,00000PATIENT DAYS 2090,B100000,00000,1000,00000PATIENT DAYS 2090,B100000,00000,1100,00000PATIENT DAYS 2090,B100000,00000,1200,00000PATIENT DAYS 2090,B100000,00000,1300,00000PATIENT DAYS 2090,B100000,00000,1400,00000ASSIGNED TIME 2090,S000000,00100,0200,11/16/2000 2090,S200000,00100,0100,442 TAYLOR CIRCLE 2090,S200000,00100,0300,60 2090,S200000,00200,0100,CAVE CITY 2090,S200000,00200,0200,AR 2090,S200000,00200,0300,72521 2090,S200000,00300,0100,S 2090,S200000,00400,0100,CAVE CITY 2090,S200000,00400,0200,045148 2090,S200000,00400,0300,11/01/1998 2090,S200000,00400,0500,P 2090,S200000,01600,0100,Y 2103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2103,A000000,00300,0000,00300EMPLOYEE BENEFITS 2103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2103,A000000,00700,0000,00700HOUSEKEEPING 2103,A000000,00800,0000,00800DIETARY 2103,A000000,00900,0000,00900NURSING ADMINISTRATION 2103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2103,A000000,01100,0000,01100PHARMACY 2103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2103,A000000,01300,0000,01300SOCIAL SERVICE 2103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2103,A000000,01600,0000,01600SKILLED NURSING FACILITY 2103,A000000,01800,0000,01800NURSING FACILITY 2103,A000000,01810,0000,01810ICF/MR 2103,A000000,02100,0000,02100RADIOLOGY 2103,A000000,02200,0000,02200LABORATORY 2103,A000000,02300,0000,02300INTRAVENOUS THERAPY 2103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2103,A000000,02500,0000,02500PHYSICAL THERAPY 2103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2103,A000000,02700,0000,02700SPEECH PATHOLOGY 2103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2103,A000000,03200,0000,03200SUPPORT SURFACES 2103,A000000,03201,0000,03201ORTHOTICS 2103,A000000,03550,0000,03550FQHC 2103,A000000,05000,0000,05000CORF 2103,A000000,05010,0000,05010CMHC 2103,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2103,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2103,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2103,A81000A,00100,0100,Y 2103,A81000B,00100,0300,HOME OFFICE COSTS 2103,A81000B,00200,0300,DIETARY SUPPLIES 2103,A81000B,00300,0300,NURSING SUPPLIES 2103,A81000B,00400,0300,MEDICAL SUPPLIES 2103,A81000C,00100,0100,B 2103,A81000C,00100,0200,DVCR LEASING CO 2103,A81000C,00100,0400,ADVOCAT INC. 2103,A81000C,00100,0600,L/T CARE MGT CO 2103,A81000C,00200,0100,B 2103,A81000C,00200,0200,ADVOCAT DIST SV 2103,A81000C,00200,0400,ADVOCAT INC. 2103,A81000C,00200,0600,M/S SUPPLY COMP 2103,A81000C,00300,0100,B 2103,A81000C,00300,0200,ADVOCAT DIST SV 2103,A81000C,00300,0400,ADVOCAT INC. 2103,A81000C,00300,0600,M/S SUPPLY COMP 2103,A81000C,00400,0100,B 2103,A81000C,00400,0200,ADVOCAT DIST SV 2103,A81000C,00400,0400,ADVOCAT INC. 2103,A81000C,00400,0600,PHARMACY COMPAN 2103,B100000,00000,0100,00000WEIGHTED SQ FEET 2103,B100000,00000,0200,00000WEIGHTED SQ FEET 2103,B100000,00000,0300,00000GROSS SALARIES 2103,B100000,00000,0400,00000ACCUM COST 2103,B100000,00000,0500,00000WEIGHTED SQ FEET 2103,B100000,00000,0600,00000PATIENT DAYS 2103,B100000,00000,0700,00000WEIGHTED SQ FEET 2103,B100000,00000,0800,00000PATIENT DAYS 2103,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2103,B100000,00000,1000,00000COSTED REQUIS 2103,B100000,00000,1100,00000COSTED REQUIS 2103,B100000,00000,1200,00000PATIENT REVENUES 2103,B100000,00000,1300,00000PATIENT DAYS 2103,B100000,00000,1400,00000ASSIGNED TIME 2103,S000000,00100,0200,06/05/2000 2103,S200000,00100,0100,1500 WEST MAIN 2103,S200000,00200,0100,WALNUT RIDGE 2103,S200000,00200,0200,AR 2103,S200000,00300,0100,RANDOLPH 2103,S200000,00400,0100,WALNUT RIDGE CONV. CENTER 2103,S200000,00400,0200,045151 2103,S200000,00400,0300,04/15/1990 2103,S200000,00400,0500,P 2103,S200000,01600,0100,Y 2103,S200000,02200,0100,Y 2112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2112,A000000,00300,0000,00300EMPLOYEE BENEFITS 2112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2112,A000000,00700,0000,00700HOUSEKEEPING 2112,A000000,00800,0000,00800DIETARY 2112,A000000,00900,0000,00900NURSING ADMINISTRATION 2112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2112,A000000,01100,0000,01100PHARMACY 2112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2112,A000000,01300,0000,01300SOCIAL SERVICE 2112,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2112,A000000,01600,0000,01600SKILLED NURSING FACILITY 2112,A000000,01800,0000,01800NURSING FACILITY 2112,A000000,01810,0000,01810ICF/MR 2112,A000000,02200,0000,02200LABORATORY 2112,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2112,A000000,02500,0000,02500PHYSICAL THERAPY 2112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2112,A000000,02700,0000,02700SPEECH PATHOLOGY 2112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2112,A000000,03050,0000,03300FEE SCREEN REHAB 2112,A000000,03550,0000,03550FQHC 2112,A000000,05000,0000,05000CORF 2112,A000000,05010,0000,05010CMHC 2112,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2112,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2112,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2112,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2112,A81000A,00100,0100,Y 2112,A81000B,00100,0300,HOME OFFICE COSTS 2112,A81000C,00100,0100,B 2112,A81000C,00100,0200,ADVOCAT INC. 2112,A81000C,00100,0400,DVCR LEASING CO 2112,A81000C,00100,0600,L/T CARE MGT CO 2112,B100000,00000,0100,00000WEIGHTED SQUARE FT. 2112,B100000,00000,0200,00000WEIGHTED SQUARE FT. 2112,B100000,00000,0300,00000GROSS SALARIES 2112,B100000,00000,0400,00000ACCUM COST 2112,B100000,00000,0500,00000WEIGHTED SQUARE FT. 2112,B100000,00000,0600,00000PATIENT DAYS 2112,B100000,00000,0700,00000WEIGHTED SQUARE FT. 2112,B100000,00000,0800,00000PATIENT DAYS 2112,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2112,B100000,00000,1000,00000COSTED REQUIS 2112,B100000,00000,1100,00000COSTED REQUIS 2112,B100000,00000,1200,00000PATIENT REVENUES 2112,B100000,00000,1300,00000PATIENT DAYS 2112,B100000,00000,1400,00000ASSIGNED TIME 2112,S000000,00100,0200,03/23/2000 2112,S200000,00100,0100,HC-67 2112,S200000,00100,0300,5A 2112,S200000,00200,0100,ASH FLAT 2112,S200000,00200,0200,AR 2112,S200000,00200,0300,72513 2112,S200000,00300,0100,SHARP 2112,S200000,00400,0100,ASH FLAT CONVALESCENT CENTER 2112,S200000,00400,0200,045155 2112,S200000,00400,0300,09/17/1990 2112,S200000,00400,0500,P 2112,S200000,01600,0100,Y 2112,S200000,02200,0100,Y 2119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2119,A000000,00300,0000,00300EMPLOYEE BENEFITS 2119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2119,A000000,00700,0000,00700HOUSEKEEPING 2119,A000000,00800,0000,00800DIETARY 2119,A000000,00900,0000,00900NURSING ADMINISTRATION 2119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2119,A000000,01100,0000,01100PHARMACY 2119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2119,A000000,01300,0000,01300SOCIAL SERVICE 2119,A000000,01350,0000,01500OTHER GENERAL SERVICES 2119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2119,A000000,01600,0000,01600SKILLED NURSING FACILITY 2119,A000000,01800,0000,01800NURSING FACILITY 2119,A000000,01810,0000,01810ICF/MR 2119,A000000,02100,0000,02100RADIOLOGY 2119,A000000,02200,0000,02200LABORATORY 2119,A000000,02500,0000,02500PHYSICAL THERAPY 2119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2119,A000000,02700,0000,02700SPEECH PATHOLOGY 2119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2119,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2119,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2119,A000000,03550,0000,03550FQHC 2119,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2119,A000000,05000,0000,05000CORF 2119,A000000,05010,0000,05010CMHC 2119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2119,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2119,A81000A,00100,0100,Y 2119,A81000B,00100,0300,CAPITAL COST 2119,A81000B,00200,0300,NONCAPITAL 2119,A81000B,00300,0300,INTEREST 2119,A81000C,00100,0100,A 2119,A81000C,00100,0200,J FRANKUM 2119,A81000C,00100,0400,REGIONAL MANAGEMENT 2119,A81000C,00100,0600,MANAGEMENT COMPANY 2119,A81000C,00200,0100,A 2119,A81000C,00200,0200,J FRANKUM 2119,A81000C,00200,0400,REGIONAL MANAGEMENT 2119,A81000C,00200,0600,MANAGEMENT COMPANY 2119,A81000C,00300,0100,A 2119,A81000C,00300,0200,J FRANKUM 2119,A81000C,00300,0400,REGIONAL MANAGEMENT 2119,A81000C,00300,0600,MANAGEMENT COMPANY 2119,B100000,00000,0100,00000SQUARE FEET 2119,B100000,00000,0200,00000DOLLAR VALUE 2119,B100000,00000,0300,00000GROSS SALARIES 2119,B100000,00000,0400,00000ACCUM. COST 2119,B100000,00000,0500,00000SQUARE FEET 2119,B100000,00000,0600,00000POUNDS OF LAUNDRY 2119,B100000,00000,0700,00000SQUARE FEET 2119,B100000,00000,0800,00000MEALS SERVED 2119,B100000,00000,0900,00000NURSING HOURS 2119,B100000,00000,1000,00000COSTED REQUIS. 2119,B100000,00000,1100,00000COSTED REQUIS. 2119,B100000,00000,1200,00000GROSS CHARGES 2119,B100000,00000,1300,00000TIME SPENT 2119,B100000,00000,1350,00000NO STATISTICS 2119,B100000,00000,1400,00000ASSIGNED TIME 2119,S000000,00100,0200,05/23/2000 2119,S200000,00100,0100,1302 SOUTH FOURTH STREET 2119,S200000,00200,0100,NASHVILLE 2119,S200000,00200,0200,AR 2119,S200000,00200,0300,71852 2119,S200000,00300,0100,HOWARD 2119,S200000,00400,0100,FOREST HEALTHCARE 2119,S200000,00400,0200,045156 2119,S200000,00400,0300,03/01/1996 2119,S200000,00400,0500,P 2119,S200000,01600,0100,Y 2131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2131,A000000,00300,0000,00300EMPLOYEE BENEFITS 2131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2131,A000000,00700,0000,00700HOUSEKEEPING 2131,A000000,00800,0000,00800DIETARY 2131,A000000,00801,0000,00801EMPLOYEE MEALS 2131,A000000,00900,0000,00900NURSING ADMINISTRATION 2131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2131,A000000,01100,0000,01100PHARMACY 2131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2131,A000000,01300,0000,01300SOCIAL SERVICE 2131,A000000,01350,0000,01500OTHER GENERAL SERVICES 2131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2131,A000000,01600,0000,01600SKILLED NURSING FACILITY 2131,A000000,01810,0000,01810ICF/MR 2131,A000000,02200,0000,02200LABORATORY 2131,A000000,02500,0000,02500PHYSICAL THERAPY 2131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2131,A000000,02700,0000,02700SPEECH PATHOLOGY 2131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2131,A000000,03550,0000,03550FQHC 2131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2131,A000000,05000,0000,05000CORF 2131,A000000,05010,0000,05010CMHC 2131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2131,A000000,05300,0000,05300INTEREST EXPENSE 2131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2131,A81000A,00100,0100,Y 2131,A81000B,00100,0300,HOME OFFICE CAPITAL 2131,A81000B,00200,0300,AUTO EXPENSE 2131,A81000B,00300,0300,WAGE RELATED EXPENSES 2131,A81000B,00400,0300,MANAGEMENT FEES 2131,A81000B,00500,0300,CONSULTANT 2131,A81000B,00600,0300,CONSULTANT 2131,A81000B,00700,0300,CONSULTANT 2131,A81000B,00800,0300,CONSULTANT 2131,A81000B,00900,0300,CONSULTANT 2131,A81000B,01000,0300,CONSULTANT 2131,A81000C,00100,0100,B 2131,A81000C,00100,0200,ROSE CARE INC. 2131,A81000C,00100,0400,ROSE CARE INC. 2131,A81000C,00100,0600,RELATED MANAGEMENT CO. 2131,A81000C,00200,0100,B 2131,A81000C,00200,0200,ROSE CARE INC. 2131,A81000C,00200,0400,ROSE CARE INC. 2131,A81000C,00200,0600,RELATED MANAGEMENT CO. 2131,A81000C,00300,0100,B 2131,A81000C,00300,0200,ROSE CARE INC. 2131,A81000C,00300,0400,ROSE CARE INC. 2131,A81000C,00300,0600,RELATED MANAGEMENT CO. 2131,A81000C,00400,0100,B 2131,A81000C,00400,0200,ROSE CARE INC. 2131,A81000C,00400,0400,ROSE CARE INC. 2131,A81000C,00400,0600,RELATED MANAGEMENT CO. 2131,A81000C,00500,0100,B 2131,A81000C,00500,0200,ROSE CARE INC. 2131,A81000C,00500,0400,ROSE CARE INC. 2131,A81000C,00500,0600,RELATED MANAGEMENT CO. 2131,A81000C,00600,0100,B 2131,A81000C,00600,0200,ROSE CARE INC. 2131,A81000C,00600,0400,ROSE CARE INC. 2131,A81000C,00600,0600,RELATED MANAGEMENT CO. 2131,A81000C,00700,0100,B 2131,A81000C,00700,0200,ROSE CARE INC. 2131,A81000C,00700,0400,ROSE CARE INC. 2131,A81000C,00700,0600,RELATED MANAGEMENT CO. 2131,A81000C,00800,0100,B 2131,A81000C,00800,0200,ROSE CARE INC. 2131,A81000C,00800,0400,ROSE CARE INC. 2131,A81000C,00800,0600,RELATED MANAGEMENT CO. 2131,A81000C,00900,0100,B 2131,A81000C,00900,0200,ROSE CARE INC. 2131,A81000C,00900,0400,ROSE CARE INC. 2131,A81000C,00900,0600,RELATED MANAGEMENT CO. 2131,A81000C,01000,0100,B 2131,A81000C,01000,0200,ROSE CARE INC. 2131,A81000C,01000,0400,ROSE CARE INC. 2131,A81000C,01000,0600,RELATED MANAGEMENT CO. 2131,B100000,00000,0100,00000SQUARE FEET 2131,B100000,00000,0200,00000DOLLAR VALUE 2131,B100000,00000,0300,00000GROSS SALARIES 2131,B100000,00000,0400,00000ACCUM. COST 2131,B100000,00000,0500,00000SQUARE FEET 2131,B100000,00000,0600,00000POUNDS OF LAUNDRY 2131,B100000,00000,0700,00000SQUARE FEET 2131,B100000,00000,0800,00000MEALS SERVED 2131,B100000,00000,0801,00000GROSS SALARIES 2131,B100000,00000,0900,00000DIRECT NRSING HRS 2131,B100000,00000,1000,00000COSTED REQUIS. 2131,B100000,00000,1100,00000COSTED REQUIS. 2131,B100000,00000,1200,00000TIME SPENT 2131,B100000,00000,1300,00000TIME SPENT 2131,B100000,00000,1350,00000MEALS SERVED 2131,B100000,00000,1400,00000ASSIGNED TIME 2131,S000000,00100,0200,06/08/2000 2131,S200000,00100,0100,1100 PINE TREE LANE 2131,S200000,00200,0100,MOUNTAIN LANE 2131,S200000,00200,0200,AR 2131,S200000,00300,0100,BAXTER 2131,S200000,00400,0100,PINE LANE HEALTHCARE 2131,S200000,00400,0200,045163 2131,S200000,00400,0300,02/01/1991 2131,S200000,00400,0500,P 2131,S200000,01500,0100,Y 2139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2139,A000000,00300,0000,00300EMPLOYEE BENEFITS 2139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2139,A000000,00700,0000,00700HOUSEKEEPING 2139,A000000,00800,0000,00800DIETARY 2139,A000000,00801,0000,00801CAFETERIA 2139,A000000,00900,0000,00900NURSING ADMINISTRATION 2139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2139,A000000,01100,0000,01100PHARMACY 2139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2139,A000000,01300,0000,01300SOCIAL SERVICE 2139,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2139,A000000,01600,0000,01600SKILLED NURSING FACILITY 2139,A000000,01800,0000,01800NURSING FACILITY 2139,A000000,01810,0000,01810ICF/MR 2139,A000000,02500,0000,02500PHYSICAL THERAPY 2139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2139,A000000,02700,0000,02700SPEECH PATHOLOGY 2139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2139,A000000,03550,0000,03550FQHC 2139,A000000,05000,0000,05000CORF 2139,A000000,05010,0000,05010CMHC 2139,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2139,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2139,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2139,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2139,A000000,06151,0000,06301GUEST MEALS 2139,B100000,00000,0100,00001SQUARE FEET 2139,B100000,00000,0200,00001SQUARE FEET 2139,B100000,00000,0300,00001GROSS SALARIES 2139,B100000,00000,0400,00001ACCUM. COST 2139,B100000,00000,0500,00001SQUARE FEET 2139,B100000,00000,0600,00001PATIENT DAYS 2139,B100000,00000,0700,00001SQUARE FEET 2139,B100000,00000,0800,00001MEALS SERVED 2139,B100000,00000,0801,00001PAID HOURS 2139,B100000,00000,0900,00001GROSS SALARIES 2139,B100000,00000,1000,00001PATIENT DAYS 2139,B100000,00000,1100,00001PATIENT DAYS 2139,B100000,00000,1200,00001GROSS REVENUE 2139,B100000,00000,1300,00001PATIENT DAYS 2139,B100000,00000,1400,00001ASSIGNED TIME 2139,S000000,00100,0200,05/30/2000 2139,S200000,00100,0300,1127 2139,S200000,00200,0100,WYNNE 2139,S200000,00200,0200,AR 2139,S200000,00200,0300,72396 2139,S200000,00300,0100,CROSS 2139,S200000,00400,0100,CRESTPARK OF WYNNE 2139,S200000,00400,0200,045166 2139,S200000,00400,0300,08/01/1991 2139,S200000,00400,0500,P 2139,S200000,01600,0100,Y 2170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2170,A000000,00300,0000,00300EMPLOYEE BENEFITS 2170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2170,A000000,00700,0000,00700HOUSEKEEPING 2170,A000000,00800,0000,00800DIETARY 2170,A000000,00801,0000,00801CAFETERIA 2170,A000000,00900,0000,00900NURSING ADMINISTRATION 2170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2170,A000000,01100,0000,01100PHARMACY 2170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2170,A000000,01300,0000,01300SOCIAL SERVICE 2170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2170,A000000,01600,0000,01600SKILLED NURSING FACILITY 2170,A000000,01800,0000,01800NURSING FACILITY 2170,A000000,01810,0000,01810ICF/MR 2170,A000000,02500,0000,02500PHYSICAL THERAPY 2170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2170,A000000,02700,0000,02700SPEECH PATHOLOGY 2170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2170,A000000,03550,0000,03550FQHC 2170,A000000,05000,0000,05000CORF 2170,A000000,05010,0000,05010CMHC 2170,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2170,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2170,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2170,A000000,05300,0000,05300INTEREST EXPENSE 2170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2170,A000000,06150,0000,06300GUEST MEALS 2170,A81000A,00100,0100,Y 2170,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 2170,A81000C,00100,0100,B 2170,A81000C,00100,0400,OUACHITA MEDICAL CENTER 2170,A81000C,00100,0600,NFP HOSPITAL 2170,B100000,00000,0100,00000SQUARE FEET 2170,B100000,00000,0200,00000SQUARE FEET 2170,B100000,00000,0300,00000GROSS SALARIES 2170,B100000,00000,0400,00000ACCUM. COST 2170,B100000,00000,0500,00000SQUARE FEET 2170,B100000,00000,0600,00000EQUIVALENT T PATIENT 2170,B100000,00000,0700,00000SQUARE FEET 2170,B100000,00000,0800,00000MEALS SERVED 2170,B100000,00000,0801,00000FULL TIME EQUIVALENT 2170,B100000,00000,0900,00000HOURS OF SERVICE 2170,B100000,00000,1000,00000PATIENT DAYS 2170,B100000,00000,1100,00000PATIENT DAYS 2170,B100000,00000,1200,00000GROSS REVENUE 2170,B100000,00000,1300,00000TIME SPENT 2170,B100000,00000,1400,00000ASSIGNED TIME 2170,S000000,00100,0200,03/16/2000 2170,S200000,00100,0100,1875 OLD WIRE ROAD 2170,S200000,00100,0300,797 2170,S200000,00200,0100,CAMDEN 2170,S200000,00200,0200,AR 2170,S200000,00200,0300,71701 2170,S200000,00300,0100,OUACHITA 2170,S200000,00400,0100,MEDICAL CENTER SENIOR SERVICES 2170,S200000,00400,0200,045173 2170,S200000,00400,0300,11/01/1996 2170,S200000,00400,0500,P 2170,S200000,01600,0100,Y 2170,S200000,02800,0100,Y 2180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2180,A000000,00300,0000,00300EMPLOYEE BENEFITS 2180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2180,A000000,00700,0000,00700HOUSEKEEPING 2180,A000000,00800,0000,00800DIETARY 2180,A000000,00801,0000,00801CAFETERIA 2180,A000000,00900,0000,00900NURSING ADMINISTRATION 2180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2180,A000000,01100,0000,01100PHARMACY 2180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2180,A000000,01300,0000,01300SOCIAL SERVICE 2180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2180,A000000,01600,0000,01600SKILLED NURSING FACILITY 2180,A000000,01800,0000,01800NURSING FACILITY 2180,A000000,01810,0000,01810ICF/MR 2180,A000000,02200,0000,02200LABORATORY 2180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2180,A000000,02500,0000,02500PHYSICAL THERAPY 2180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2180,A000000,03550,0000,03550FQHC 2180,A000000,05000,0000,05000CORF 2180,A000000,05010,0000,05010CMHC 2180,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2180,A000000,06151,0000,06301GUEST MEALS 2180,B100000,00000,0100,00001SQUARE FEET 2180,B100000,00000,0200,00001SQUARE FEET 2180,B100000,00000,0300,00001GROSS SALARIES 2180,B100000,00000,0400,00001ACCUM. COST 2180,B100000,00000,0500,00001SQUARE FEET 2180,B100000,00000,0600,00001PATIENT DAYS 2180,B100000,00000,0700,00001SQUARE FEET 2180,B100000,00000,0800,00001MEALS SERVED 2180,B100000,00000,0801,00001PAID HOURS 2180,B100000,00000,0900,00001TIME SPENT 2180,B100000,00000,1000,00001PATIENT DAYS 2180,B100000,00000,1100,00001PATIENT DAYS 2180,B100000,00000,1200,00001GROSS REVENUE 2180,B100000,00000,1300,00001PATIENT DAYS 2180,B100000,00000,1400,00001ASSIGNED TIME 2180,S000000,00100,0200,05/30/2000 2180,S200000,00100,0300,589 2180,S200000,00200,0100,DEWITT 2180,S200000,00200,0200,AR 2180,S200000,00200,0300,72042 2180,S200000,00300,0100,ARKANSAS 2180,S200000,00400,0100,CRESTPARK OF DEWITT 2180,S200000,00400,0200,045177 2180,S200000,00400,0300,09/01/1996 2180,S200000,00400,0500,P 2180,S200000,01600,0100,Y 2189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2189,A000000,00300,0000,00300EMPLOYEE BENEFITS 2189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2189,A000000,00700,0000,00700HOUSEKEEPING 2189,A000000,00800,0000,00800DIETARY 2189,A000000,00900,0000,00900NURSING ADMINISTRATION 2189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2189,A000000,01100,0000,01100PHARMACY 2189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2189,A000000,01300,0000,01300SOCIAL SERVICE 2189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2189,A000000,01600,0000,01600SKILLED NURSING FACILITY 2189,A000000,01800,0000,01800NURSING FACILITY 2189,A000000,01810,0000,01810ICF/MR 2189,A000000,02100,0000,02100RADIOLOGY 2189,A000000,02200,0000,02200LABORATORY 2189,A000000,02500,0000,02500PHYSICAL THERAPY 2189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2189,A000000,02700,0000,02700SPEECH PATHOLOGY 2189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2189,A000000,03200,0000,03200SUPPORT SURFACES 2189,A000000,03550,0000,03550FQHC 2189,A000000,05000,0000,05000CORF 2189,A000000,05010,0000,05010CMHC 2189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2189,A81000A,00100,0100,Y 2189,A81000B,00100,0300,HOME OFFICE A&G 2189,A81000B,00200,0300,HOME OFFICE CRC - BLDG 2189,A81000B,00300,0300,HOME OFFICE CRC - MME 2189,A81000B,00400,0300,EE BENEFITS - HEALTH 2189,A81000B,00500,0300,EE BENEFITS - WORKERS COMP 2189,A81000C,00100,0100,B 2189,A81000C,00100,0200,SALEM PLACE NURSING CENTE 2189,A81000C,00100,0400,CENTRAL AR NURSING CTRS 2189,A81000C,00100,0600,HOME OFFICE 2189,B100000,00000,0100,00000SQUARE FEET 2189,B100000,00000,0200,00000SQUARE FEET 2189,B100000,00000,0300,00000GROSS SALARIES 2189,B100000,00000,0400,00000ACCUM. COST 2189,B100000,00000,0500,00000SQUARE FEET 2189,B100000,00000,0600,00000PATIENT DAYS 2189,B100000,00000,0700,00000SQUARE FEET 2189,B100000,00000,0800,00000MEALS SERVED 2189,B100000,00000,0900,00000HOURS SUPERVISED 2189,B100000,00000,1000,00000COSTED REQUIS. 2189,B100000,00000,1100,00000COSTED REQUIS. 2189,B100000,00000,1200,00000GROSS CHARGES 2189,B100000,00000,1300,00000PATIENT DAYS 2189,B100000,00000,1400,00000ASSIGNED TIME 2189,S000000,00100,0200,05/31/2000 2189,S200000,00100,0100,824 SALEM ROAD 2189,S200000,00100,0300,1408 2189,S200000,00200,0100,CONWAY 2189,S200000,00200,0200,AR 2189,S200000,00200,0300,72032 2189,S200000,00300,0100,FAULKNER 2189,S200000,00400,0100,SALEM PLACE NURSING CENTER 2189,S200000,00400,0200,045183 2189,S200000,00400,0300,12/01/1991 2189,S200000,00400,0500,P 2189,S200000,01600,0100,Y 2210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2210,A000000,00300,0000,00300EMPLOYEE BENEFITS 2210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2210,A000000,00700,0000,00700HOUSEKEEPING 2210,A000000,00800,0000,00800DIETARY 2210,A000000,00900,0000,00900NURSING ADMINISTRATION 2210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2210,A000000,01100,0000,01100PHARMACY 2210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2210,A000000,01300,0000,01300SOCIAL SERVICE 2210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2210,A000000,01600,0000,01600SKILLED NURSING FACILITY 2210,A000000,01800,0000,01800NURSING FACILITY 2210,A000000,01810,0000,01810ICF/MR 2210,A000000,02200,0000,02200LABORATORY 2210,A000000,02300,0000,02300INTRAVENOUS THERAPY 2210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2210,A000000,02500,0000,02500PHYSICAL THERAPY 2210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2210,A000000,02700,0000,02700SPEECH PATHOLOGY 2210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2210,A000000,03550,0000,03550FQHC 2210,A000000,05000,0000,05000CORF 2210,A000000,05010,0000,05010CMHC 2210,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2210,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2210,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2210,A81000A,00100,0100,Y 2210,A81000B,00100,0300,MANAGEMENT FEES 2210,A81000C,00100,0100,A 2210,A81000C,00100,0400,COOPER MANAGEMENT 2210,A81000C,00100,0600,MANAGEMENT COMPANY 2210,B100000,00000,0100,00000SQUARE FEET 2210,B100000,00000,0200,00000DOLLAR VALUE 2210,B100000,00000,0300,00000GROSS SALARIES 2210,B100000,00000,0400,00000ACCUM. COST 2210,B100000,00000,0500,00000SQUARE FEET 2210,B100000,00000,0600,00000PATIENT DAYS 2210,B100000,00000,0700,00000SQUARE FEET 2210,B100000,00000,0800,00000MEALS SERVED 2210,B100000,00000,0900,00000PATIENT DAYS 2210,B100000,00000,1000,00000COSTED REQUIS. 2210,B100000,00000,1100,00000COSTED REQUIS. 2210,B100000,00000,1200,00000GROSS CHARGES 2210,B100000,00000,1300,00000PATIENT DAYS 2210,B100000,00000,1400,00000ASSIGNED TIME 2210,S000000,00100,0200,06/28/2000 2210,S200000,00100,0100,600 SOUTH 11TH 2210,S200000,00200,0100,HEBER SPRINGS 2210,S200000,00200,0200,AR 2210,S200000,00200,0300,72543 2210,S200000,00300,0100,CLEBURNE 2210,S200000,00400,0100,LAKELAND LODGE 2210,S200000,00400,0200,045196 2210,S200000,00400,0300,04/01/1996 2210,S200000,00400,0500,P 2210,S200000,01500,0100,Y 2234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2234,A000000,00300,0000,00300EMPLOYEE BENEFITS 2234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2234,A000000,00700,0000,00700HOUSEKEEPING 2234,A000000,00800,0000,00800DIETARY 2234,A000000,00900,0000,00900NURSING ADMINISTRATION 2234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2234,A000000,01100,0000,01100PHARMACY 2234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2234,A000000,01300,0000,01300SOCIAL SERVICE 2234,A000000,01350,0000,01500OTHER GENERAL SERVICES 2234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2234,A000000,01600,0000,01600SKILLED NURSING FACILITY 2234,A000000,01800,0000,01800NURSING FACILITY 2234,A000000,01810,0000,01810ICF/MR 2234,A000000,02100,0000,02100RADIOLOGY 2234,A000000,02200,0000,02200LABORATORY 2234,A000000,02500,0000,02500PHYSICAL THERAPY 2234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2234,A000000,02700,0000,02700SPEECH PATHOLOGY 2234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2234,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2234,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2234,A000000,03550,0000,03550FQHC 2234,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2234,A000000,05000,0000,05000CORF 2234,A000000,05010,0000,05010CMHC 2234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2234,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2234,A000000,06150,0000,06300PATIENT SUPPLIES 2234,A81000A,00100,0100,Y 2234,A81000B,00100,0300,CAPITAL - EQUIPMENT 2234,A81000B,00200,0300,CAPITAL - EQUIPMENT 2234,A81000B,00300,0300,INCONTINENCE SUPPLIES 2234,A81000B,00400,0300,LAUNDRY & LINEN 2234,A81000B,00500,0300,HOUSEKEEPING 2234,A81000B,00600,0300,DIETARY 2234,A81000B,00700,0300,CERTIFIED NURSING SUPPLIES 2234,A81000B,00800,0300,NON-CERTIFIED NURSING SUPPLIES 2234,A81000B,00900,0300,CERTIFIED NURSING SUPPLIES 2234,A81000B,01000,0300,ADMINISTRATIVE & GENERAL 2234,A81000B,01200,0300,CAP REL COSTS - BLDGS & FIX MG 2234,A81000C,00100,0100,F 2234,A81000C,00100,0200,MARCIE CATLETT 2234,A81000C,00100,0400,R.E. CATLETT & ASSOC. 2234,A81000C,00100,0600,HOME OFFICE 2234,A81000C,00200,0100,F 2234,A81000C,00200,0200,ROXANNE CATLETT 2234,A81000C,00200,0400,R.E. CATLETT & ASSOC. 2234,A81000C,00200,0600,HOME OFFICE 2234,A81000C,00300,0100,F 2234,A81000C,00300,0200,CHRISTOPHER CATLETT 2234,A81000C,00300,0400,R.E. CATLETT & ASSOC. 2234,A81000C,00300,0600,HOME OFFICE 2234,A81000C,00400,0100,A 2234,A81000C,00400,0200,LEON B. CATLETT 2234,A81000C,00400,0400,R.E. CATLETT & ASSOC. 2234,A81000C,00400,0600,HOME OFFICE 2234,A81000C,00500,0100,A 2234,A81000C,00500,0200,CHRISTOPHER CATLETT 2234,A81000C,00500,0600,INDIVIDUAL 2234,A81000C,00600,0100,A 2234,A81000C,00600,0200,LEON B. CATLETT 2234,A81000C,00600,0400,PROF. HEALTH PRODUCTS 2234,A81000C,00600,0600,SUPPLY COMPANY 2234,B100000,00000,0100,00000SQUARE FEET 2234,B100000,00000,0200,00000SQUARE FEET 2234,B100000,00000,0300,00000GROSS SALARIES 2234,B100000,00000,0400,00000ACCUM. COST 2234,B100000,00000,0500,00000SQUARE FEET 2234,B100000,00000,0600,00000POUNDS OF LAUNDRY 2234,B100000,00000,0700,00000SQUARE FEET 2234,B100000,00000,0800,00000MEALS SERVED 2234,B100000,00000,0900,00000DIRECT NSG SERVI 2234,B100000,00000,1000,00000COSTED REQUIS. 2234,B100000,00000,1100,00000TIME SPENT 2234,B100000,00000,1200,00000TIME SPENT 2234,B100000,00000,1300,00000TIME SPENT 2234,B100000,00000,1350,00000NO STATISTICS 2234,B100000,00000,1400,00000TIME SPENT 2234,E10A180,00301,0300,02/09/2000 2234,S000000,00100,0200,05/25/2000 2234,S200000,00100,0100,2323 MCCAIN BLVD 2234,S200000,00200,0100,NORTH LITTLE ROCK 2234,S200000,00200,0200,AR 2234,S200000,00200,0300,72216 2234,S200000,00300,0100,PULASKI 2234,S200000,00400,0100,LAKEWOOD PLAZA NURSING CENTER 2234,S200000,00400,0200,045202 2234,S200000,00400,0300,09/09/1992 2234,S200000,00400,0500,P 2234,S200000,01600,0100,Y 2234,S200000,02800,0100,Y 2242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2242,A000000,00300,0000,00300EMPLOYEE BENEFITS 2242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2242,A000000,00700,0000,00700HOUSEKEEPING 2242,A000000,00800,0000,00800DIETARY 2242,A000000,00801,0000,00801CAFETERIA 2242,A000000,00900,0000,00900NURSING ADMINISTRATION 2242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2242,A000000,01100,0000,01100PHARMACY 2242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2242,A000000,01300,0000,01300SOCIAL SERVICE 2242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2242,A000000,01600,0000,01600SKILLED NURSING FACILITY 2242,A000000,01800,0000,01800NURSING FACILITY 2242,A000000,01810,0000,01810ICF/MR 2242,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2242,A000000,02500,0000,02500PHYSICAL THERAPY 2242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2242,A000000,02700,0000,02700SPEECH PATHOLOGY 2242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2242,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 2242,A000000,03550,0000,03550FQHC 2242,A000000,05000,0000,05000CORF 2242,A000000,05010,0000,05010CMHC 2242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2242,A000000,05300,0000,05300INTEREST EXPENSE 2242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2242,A000000,06150,0000,06300GUEST 2242,A000000,06151,0000,06301ENTERNAL FEEDINGS 2242,B100000,00000,0100,00001SQUARE FEET 2242,B100000,00000,0200,00001SQUARE FEET 2242,B100000,00000,0300,00001GROSS SALARIES 2242,B100000,00000,0400,00001ACCUM. COST 2242,B100000,00000,0500,00001SQUARE FEET 2242,B100000,00000,0600,00001PATIENT DAYS 2242,B100000,00000,0700,00001SQUARE FEET 2242,B100000,00000,0800,00001MEALS SERVED 2242,B100000,00000,0801,00001PAID HOURS 2242,B100000,00000,0900,00001TIME SPENT 2242,B100000,00000,1000,00001PATIENT DAYS 2242,B100000,00000,1100,00001PATIENT DAYS 2242,B100000,00000,1200,00001GROSS REVENUE 2242,B100000,00000,1300,00001PATIENT DAYS 2242,B100000,00000,1400,00001ASSIGNED TIME 2242,S000000,00100,0200,07/06/1999 2242,S200000,00100,0100,2501 JOHN ASHLEY DRIVE 2242,S200000,00200,0100,NORTH LITTLE ROCK 2242,S200000,00200,0200,AR 2242,S200000,00300,0100,PULASKI 2242,S200000,00400,0100,RILEYS OAK HILL MANOR - NORTH 2242,S200000,00400,0200,045206 2242,S200000,00400,0300,02/01/1993 2242,S200000,00400,0500,P 2242,S200000,01600,0100,Y 2258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2258,A000000,00300,0000,00300EMPLOYEE BENEFITS 2258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2258,A000000,00700,0000,00700HOUSEKEEPING 2258,A000000,00800,0000,00800DIETARY 2258,A000000,00900,0000,00900NURSING ADMINISTRATION 2258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2258,A000000,01100,0000,01100PHARMACY 2258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2258,A000000,01300,0000,01300SOCIAL SERVICE 2258,A000000,01350,0000,01500OTHER GENERAL SERVICES 2258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2258,A000000,01600,0000,01600SKILLED NURSING FACILITY 2258,A000000,01800,0000,01800NURSING FACILITY 2258,A000000,01810,0000,01810ICF/MR 2258,A000000,02100,0000,02100RADIOLOGY 2258,A000000,02200,0000,02200LABORATORY 2258,A000000,02300,0000,02300INTRAVENOUS THERAPY 2258,A000000,02500,0000,02500PHYSICAL THERAPY 2258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2258,A000000,02700,0000,02700SPEECH PATHOLOGY 2258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2258,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2258,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2258,A000000,03550,0000,03550FQHC 2258,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2258,A000000,05000,0000,05000CORF 2258,A000000,05010,0000,05010CMHC 2258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2258,A000000,05300,0000,05300INTEREST EXPENSE 2258,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2258,A000000,05901,0000,05901VENDING 2258,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2258,A81000A,00100,0100,Y 2258,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 2258,A81000B,00200,0300,LAUNDRY & LINENS 2258,A81000B,00300,0300,MEDICAL SUPPLIES 2258,A81000B,00400,0300,NURSING SUPPLIES 2258,A81000B,00500,0300,DIETARY SUPPLIES 2258,A81000B,00600,0300,HOUSEKEEPING SUPPLIES 2258,A81000B,00700,0300,INCONTINENT SUPPLIES 2258,A81000B,00800,0300,INCONTINENT SUPPLIES 2258,A81000B,00900,0300,RELATED PARTY INTEREST 2258,A81000B,01000,0300,HOME OFFICE 2258,A81000C,00100,0100,A 2258,A81000C,00100,0200,LEON B. CATLETT 2258,A81000C,00100,0400,PROF. HEALTH PRODUCTS 2258,A81000C,00100,0600,SUPPLY CO. 2258,A81000C,00200,0100,A 2258,A81000C,00200,0200,LEON CATLETT/ALIX MATHEW 2258,A81000C,00200,0400,R.E. CATLETT & ASSOC INC 2258,A81000C,00200,0600,MANAGEMENT SERVICES 2258,B100000,00000,0100,00000SQUARE FEET 2258,B100000,00000,0200,00000SQUARE FEET 2258,B100000,00000,0300,00000GROSS SALARIES 2258,B100000,00000,0400,00000ACCUM. COST 2258,B100000,00000,0500,00000SQUARE FEET 2258,B100000,00000,0600,00000POUNDS OF LAUNDRY 2258,B100000,00000,0700,00000SQUARE FEET 2258,B100000,00000,0800,00000MEALS SERVED 2258,B100000,00000,0900,00000DIRECT NRSING HRS 2258,B100000,00000,1000,00000COSTED REQUIS. 2258,B100000,00000,1100,00000NO STATISTICS 2258,B100000,00000,1200,00000TIME SPENT 2258,B100000,00000,1300,00000TIME SPENT 2258,B100000,00000,1350,00000NO STATISTICS 2258,B100000,00000,1400,00000ASSIGNED TIME 2258,E10A180,00301,0300,02/09/2000 2258,S000000,00100,0200,05/31/2000 2258,S200000,00100,0100,615 WEST MAIN STREET 2258,S200000,00200,0100,CABOT 2258,S200000,00200,0200,AR 2258,S200000,00200,0300,72086 2258,S200000,00300,0100,LONOKE 2258,S200000,00400,0100,CABOT MANOR NURSING CENTER 2258,S200000,00400,0200,045208 2258,S200000,00400,0300,03/01/1993 2258,S200000,00400,0500,P 2258,S200000,01600,0100,Y 2269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2269,A000000,00300,0000,00300EMPLOYEE BENEFITS 2269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2269,A000000,00700,0000,00700HOUSEKEEPING 2269,A000000,00800,0000,00800DIETARY 2269,A000000,00900,0000,00900NURSING ADMINISTRATION 2269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2269,A000000,01100,0000,01100PHARMACY 2269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2269,A000000,01300,0000,01300SOCIAL SERVICE 2269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2269,A000000,01600,0000,01600SKILLED NURSING FACILITY 2269,A000000,01800,0000,01800NURSING FACILITY 2269,A000000,01810,0000,01810ICF/MR 2269,A000000,02200,0000,02200LABORATORY 2269,A000000,02300,0000,02300INTRAVENOUS THERAPY 2269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2269,A000000,02500,0000,02500PHYSICAL THERAPY 2269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2269,A000000,02700,0000,02700SPEECH PATHOLOGY 2269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2269,A000000,03550,0000,03550FQHC 2269,A000000,05000,0000,05000CORF 2269,A000000,05010,0000,05010CMHC 2269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2269,A000000,05300,0000,05300INTEREST EXPENSE 2269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2269,B100000,00000,0100,00000SQUARE FEET 2269,B100000,00000,0200,00000SQUARE FEET 2269,B100000,00000,0300,00000GROSS SALARIES 2269,B100000,00000,0400,00000ACCUM. COST 2269,B100000,00000,0500,00000SQUARE FEET 2269,B100000,00000,0600,00000PATIENT DAYS 2269,B100000,00000,0700,00000SQUARE FEET 2269,B100000,00000,0800,00000MEALS SERVED 2269,B100000,00000,0900,00000TIME SPENT 2269,B100000,00000,1000,00000PATIENT DAYS 2269,B100000,00000,1100,00000PATIENT DAYS 2269,B100000,00000,1200,00000GROSS REVENUE 2269,B100000,00000,1300,00000PATIENT DAYS 2269,B100000,00000,1400,00000ASSIGNED TIME 2269,S000000,00100,0200,06/21/2000 2269,S200000,00100,0100,105 SOUTH COLLEGE 2269,S200000,00200,0100,SEARCY 2269,S200000,00200,0200,AR 2269,S200000,00200,0300,72143 2269,S200000,00300,0100,WHITE 2269,S200000,00400,0100,BYRD HAVEN NURSING HOME 2269,S200000,00400,0200,045209 2269,S200000,00400,0300,06/01/1993 2269,S200000,00400,0500,P 2269,S200000,01600,0100,Y 2276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2276,A000000,00300,0000,00300EMPLOYEE BENEFITS 2276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2276,A000000,00700,0000,00700HOUSEKEEPING 2276,A000000,00800,0000,00800DIETARY 2276,A000000,00801,0000,00801EMPLOYEE MEALS 2276,A000000,00900,0000,00900NURSING ADMINISTRATION 2276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2276,A000000,01100,0000,01100PHARMACY 2276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2276,A000000,01300,0000,01300SOCIAL SERVICE 2276,A000000,01350,0000,01500OTHER GENERAL SERVICES 2276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2276,A000000,01600,0000,01600SKILLED NURSING FACILITY 2276,A000000,01810,0000,01810ICF/MR 2276,A000000,02100,0000,02100RADIOLOGY 2276,A000000,02500,0000,02500PHYSICAL THERAPY 2276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2276,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2276,A000000,03550,0000,03550FQHC 2276,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2276,A000000,05000,0000,05000CORF 2276,A000000,05010,0000,05010CMHC 2276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2276,A000000,05300,0000,05300INTEREST EXPENSE 2276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2276,A81000A,00100,0100,Y 2276,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 2276,A81000B,00200,0300,AUTO EXPENSE 2276,A81000B,00300,0300,BUILDING EXPENSE 2276,A81000B,00400,0300,WAGE RELATED EXPENSES 2276,A81000B,00500,0300,MANAGEMENT FEES 2276,A81000B,00600,0300,CONSULTANT 2276,A81000B,00700,0300,CONSULTANT 2276,A81000B,00800,0300,CONSULTANT 2276,A81000B,00900,0300,CONSULTANT 2276,A81000B,01000,0300,CONSULTANT 2276,A81000B,01100,0300,CONSULTANT 2276,A81000C,00100,0100,B 2276,A81000C,00100,0200,ROSE CARE INC. 2276,A81000C,00100,0400,ROSE CARE INC. 2276,A81000C,00100,0600,RELATED MANAGEMENT CO. 2276,A81000C,00200,0100,B 2276,A81000C,00200,0200,ROSE CARE INC. 2276,A81000C,00200,0400,ROSE CARE INC. 2276,A81000C,00200,0600,RELATED MANAGEMENT CO. 2276,A81000C,00300,0100,B 2276,A81000C,00300,0200,ROSE CARE INC. 2276,A81000C,00300,0400,ROSE CARE INC. 2276,A81000C,00300,0600,RELATED MANAGEMENT CO. 2276,A81000C,00400,0100,B 2276,A81000C,00400,0200,ROSE CARE INC. 2276,A81000C,00400,0400,ROSE CARE INC. 2276,A81000C,00400,0600,RELATED MANAGEMENT CO. 2276,A81000C,00500,0100,B 2276,A81000C,00500,0200,ROSE CARE INC. 2276,A81000C,00500,0400,ROSE CARE INC. 2276,A81000C,00500,0600,RELATED MANAGEMENT CO. 2276,A81000C,00600,0100,B 2276,A81000C,00600,0200,ROSE CARE INC. 2276,A81000C,00600,0400,ROSE CARE INC. 2276,A81000C,00600,0600,RELATED MANAGEMENT CO. 2276,A81000C,00700,0100,B 2276,A81000C,00700,0200,ROSE CARE INC. 2276,A81000C,00700,0400,ROSE CARE INC. 2276,A81000C,00700,0600,RELATED MANAGEMENT CO. 2276,A81000C,00800,0100,B 2276,A81000C,00800,0200,ROSE CARE INC. 2276,A81000C,00800,0400,ROSE CARE INC. 2276,A81000C,00800,0600,RELATED MANAGEMENT CO. 2276,A81000C,00900,0100,B 2276,A81000C,00900,0200,ROSE CARE INC. 2276,A81000C,00900,0400,ROSE CARE INC. 2276,A81000C,00900,0600,RELATED MANAGEMENT CO. 2276,A81000C,01000,0100,B 2276,A81000C,01000,0200,ROSE CARE INC. 2276,A81000C,01000,0400,ROSE CARE INC. 2276,A81000C,01000,0600,RELATED MANAGEMENT CO. 2276,A81000C,01100,0100,B 2276,A81000C,01100,0200,ROSE CARE INC. 2276,A81000C,01100,0400,ROSE CARE INC. 2276,A81000C,01100,0600,RELATED MANAGMENT CO. 2276,B100000,00000,0100,00000SQUARE FEET 2276,B100000,00000,0200,00000DOLLAR VALUE 2276,B100000,00000,0300,00000GROSS SALARIES 2276,B100000,00000,0400,00000ACCUM. COST 2276,B100000,00000,0500,00000SQUARE FEET 2276,B100000,00000,0600,00000POUNDS OF LAUNDRY 2276,B100000,00000,0700,00000SQUARE FEET 2276,B100000,00000,0800,00000MEALS SERVED 2276,B100000,00000,0801,00000GROSS SALARIES 2276,B100000,00000,0900,00000DIRECT NRSING HRS 2276,B100000,00000,1000,00000COSTED REQUIS. 2276,B100000,00000,1100,00000COSTED REQUIS. 2276,B100000,00000,1200,00000TIME SPENT 2276,B100000,00000,1300,00000TIME SPENT 2276,B100000,00000,1350,00000MEALS SERVED 2276,B100000,00000,1400,00000ASSIGNED TIME 2276,S000000,00100,0200,06/08/2000 2276,S200000,00100,0100,224 S. MAIN STREET 2276,S200000,00200,0100,BENTONVILLE 2276,S200000,00200,0200,AR 2276,S200000,00200,0300,72712 2276,S200000,00300,0100,BENTON 2276,S200000,00400,0100,BENTONVILLE MANOR 2276,S200000,00400,0200,045210 2276,S200000,00400,0300,06/01/1993 2276,S200000,00400,0500,P 2276,S200000,01500,0100,Y 2276,S200000,03100,0100,Y 2288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2288,A000000,00300,0000,00300EMPLOYEE BENEFITS 2288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2288,A000000,00700,0000,00700HOUSEKEEPING 2288,A000000,00800,0000,00800DIETARY 2288,A000000,00801,0000,00801EMPLOYEE MEALS 2288,A000000,00900,0000,00900NURSING ADMINISTRATION 2288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2288,A000000,01100,0000,01100PHARMACY 2288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2288,A000000,01300,0000,01300SOCIAL SERVICE 2288,A000000,01350,0000,01500OTHER GENERAL SERVICES 2288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2288,A000000,01600,0000,01600SKILLED NURSING FACILITY 2288,A000000,01810,0000,01810ICF/MR 2288,A000000,02100,0000,02100RADIOLOGY 2288,A000000,02500,0000,02500PHYSICAL THERAPY 2288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2288,A000000,02700,0000,02700SPEECH PATHOLOGY 2288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2288,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2288,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2288,A000000,03550,0000,03550FQHC 2288,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2288,A000000,05000,0000,05000CORF 2288,A000000,05010,0000,05010CMHC 2288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2288,A000000,05300,0000,05300INTEREST EXPENSE 2288,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2288,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2288,A81000A,00100,0100,Y 2288,A81000B,00100,0300,HOME OFFICE CAPITAL 2288,A81000B,00200,0300,AUTO EXPENSE 2288,A81000B,00300,0300,WAGE RELATED EXPENSES 2288,A81000B,00400,0300,MANAGEMENT FEES 2288,A81000B,00500,0300,CONSULTANT 2288,A81000B,00600,0300,CONSULTANT 2288,A81000B,00700,0300,CONSULTANT 2288,A81000B,00800,0300,CONSULTANT 2288,A81000B,00900,0300,CONSULTANT 2288,A81000B,01000,0300,CONSULTANT 2288,A81000C,00100,0100,B 2288,A81000C,00100,0200,ROSE CARE INC. 2288,A81000C,00100,0400,ROSE CARE INC. 2288,A81000C,00100,0600,RELATED MANAGEMENT CO. 2288,A81000C,00200,0100,B 2288,A81000C,00200,0200,ROSE CARE INC. 2288,A81000C,00200,0400,ROSE CARE INC. 2288,A81000C,00200,0600,RELATED MANAGEMENT CO. 2288,A81000C,00300,0100,B 2288,A81000C,00300,0200,ROSE CARE INC. 2288,A81000C,00300,0400,ROSE CARE INC. 2288,A81000C,00300,0600,RELATED MANAGEMENT CO. 2288,A81000C,00400,0100,B 2288,A81000C,00400,0200,ROSE CARE INC. 2288,A81000C,00400,0400,ROSE CARE INC. 2288,A81000C,00400,0600,RELATED MANAGEMENT CO. 2288,A81000C,00500,0100,B 2288,A81000C,00500,0200,ROSE CARE INC. 2288,A81000C,00500,0400,ROSE CARE INC. 2288,A81000C,00500,0600,RELATED MANAGEMENT CO. 2288,A81000C,00600,0100,B 2288,A81000C,00600,0200,ROSE CARE INC. 2288,A81000C,00600,0400,ROSE CARE INC. 2288,A81000C,00600,0600,RELATED MANAGEMENT CO. 2288,A81000C,00700,0100,B 2288,A81000C,00700,0200,ROSE CARE INC. 2288,A81000C,00700,0400,ROSE CARE INC. 2288,A81000C,00700,0600,RELATED MANAGEMENT CO. 2288,A81000C,00800,0100,B 2288,A81000C,00800,0200,ROSE CARE INC. 2288,A81000C,00800,0400,ROSE CARE INC. 2288,A81000C,00800,0600,RELATED MANAGEMENT CO. 2288,A81000C,00900,0100,B 2288,A81000C,00900,0200,ROSE CARE INC. 2288,A81000C,00900,0400,ROSE CARE INC. 2288,A81000C,00900,0600,RELATED MANAGEMENT CO. 2288,A81000C,01000,0100,B 2288,A81000C,01000,0200,ROSE CARE INC. 2288,A81000C,01000,0400,ROSE CARE INC. 2288,A81000C,01000,0600,RELATED MANAGEMENT CO. 2288,B100000,00000,0100,00000SQUARE FEET 2288,B100000,00000,0200,00000NO STATISTICS 2288,B100000,00000,0300,00000GROSS SALARIES 2288,B100000,00000,0400,00000ACCUM. COST 2288,B100000,00000,0500,00000SQUARE FEET 2288,B100000,00000,0600,00000POUNDS OF LAUNDRY 2288,B100000,00000,0700,00000SQUARE FEET 2288,B100000,00000,0800,00000MEALS SERVED 2288,B100000,00000,0801,00000GROSS SALARIES 2288,B100000,00000,0900,00000TIME SPENT 2288,B100000,00000,1000,00000NO STATISTICS 2288,B100000,00000,1100,00000NO STATISTICS 2288,B100000,00000,1200,00000TIME SPENT 2288,B100000,00000,1300,00000TIME SPENT 2288,B100000,00000,1350,00000MEALS SERVED 2288,B100000,00000,1400,00000NO STATISTICS 2288,E10A180,00301,0300,12/31/1999 2288,S000000,00100,0200,06/08/2000 2288,S200000,00100,0100,1513 S. DIXIELAND ROAD 2288,S200000,00200,0100,ROGERS 2288,S200000,00200,0200,AR 2288,S200000,00200,0300,72756 2288,S200000,00300,0100,BENTON 2288,S200000,00400,0100,HERITAGE PARK NURSING CENTER 2288,S200000,00400,0200,045212 2288,S200000,00400,0300,06/02/1993 2288,S200000,00400,0500,P 2288,S200000,01500,0100,Y 2295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2295,A000000,00300,0000,00300EMPLOYEE BENEFITS 2295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2295,A000000,00700,0000,00700HOUSEKEEPING 2295,A000000,00800,0000,00800DIETARY 2295,A000000,00900,0000,00900NURSING ADMINISTRATION 2295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2295,A000000,01100,0000,01100PHARMACY 2295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2295,A000000,01300,0000,01300SOCIAL SERVICE 2295,A000000,01350,0000,01500ACTIVITIES 2295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2295,A000000,01600,0000,01600SKILLED NURSING FACILITY 2295,A000000,01810,0000,01810ICF/MR 2295,A000000,02100,0000,02100RADIOLOGY 2295,A000000,02200,0000,02200LABORATORY 2295,A000000,02500,0000,02500PHYSICAL THERAPY 2295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2295,A000000,02700,0000,02700SPEECH PATHOLOGY 2295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2295,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 2295,A000000,03200,0000,03200SUPPORT SURFACES 2295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 2295,A000000,03550,0000,03550FQHC 2295,A000000,05000,0000,05000CORF 2295,A000000,05010,0000,05010CMHC 2295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2295,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 2295,B100000,00000,0100,00000SQUARE FEET 2295,B100000,00000,0200,00000SQUARE FEET 2295,B100000,00000,0300,00000GROSS SALARIES 2295,B100000,00000,0400,00000ACCUM COST 2295,B100000,00000,0500,00000SQUARE FEET 2295,B100000,00000,0600,00000PATIENT DAYS 2295,B100000,00000,0700,00000SQUARE FEET 2295,B100000,00000,0800,00000MEALS SERVED 2295,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 2295,B100000,00000,1000,00000PATIENT DAYS 2295,B100000,00000,1100,00000COSTED REQUIS 2295,B100000,00000,1200,00000PATIENT DAYS 2295,B100000,00000,1300,00000PATIENT DAYS 2295,B100000,00000,1350,00000PATIENT DAYS 2295,B100000,00000,1400,00000ASSIGNED TIME 2295,S000000,00100,0200,11/29/2000 2295,S200000,00100,0100,700 NORTH COLLEGE 2295,S200000,00200,0100,EL DORADO 2295,S200000,00200,0200,AR 2295,S200000,00200,0300,71730 2295,S200000,00300,0100,U 2295,S200000,00400,0100,HUDSON MEMORIAL NURSING HOME 2295,S200000,00400,0200,045214 2295,S200000,00400,0300,09/01/1993 2295,S200000,00400,0500,P 2295,S200000,01500,0100,Y 2302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2302,A000000,00300,0000,00300EMPLOYEE BENEFITS 2302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2302,A000000,00700,0000,00700HOUSEKEEPING 2302,A000000,00800,0000,00800DIETARY 2302,A000000,00801,0000,00801CAFETERIA 2302,A000000,00900,0000,00900NURSING ADMINISTRATION 2302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2302,A000000,01100,0000,01100PHARMACY 2302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2302,A000000,01300,0000,01300SOCIAL SERVICE 2302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2302,A000000,01600,0000,01600SKILLED NURSING FACILITY 2302,A000000,01800,0000,01800NURSING FACILITY 2302,A000000,01810,0000,01810ICF/MR 2302,A000000,01900,0000,01900OTHER LONG TERM CARE 2302,A000000,02100,0000,02100RADIOLOGY 2302,A000000,02200,0000,02200LABORATORY 2302,A000000,02500,0000,02500PHYSICAL THERAPY 2302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2302,A000000,02700,0000,02700SPEECH PATHOLOGY 2302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2302,A000000,03550,0000,03550FQHC 2302,A000000,04800,0000,04800AMBULANCE 2302,A000000,05000,0000,05000CORF 2302,A000000,05010,0000,05010CMHC 2302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2302,A000000,05300,0000,05300INTEREST EXPENSE 2302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2302,A000000,06151,0000,06301GUEST MEALS 2302,B100000,00000,0100,00001SQUARE FEET 2302,B100000,00000,0200,00001SQUARE FEET 2302,B100000,00000,0300,00001GROSS SALARIES 2302,B100000,00000,0400,00001ACCUM. COST 2302,B100000,00000,0500,00001SQUARE FEET 2302,B100000,00000,0600,00001PATIENT DAYS 2302,B100000,00000,0700,00001SQUARE FEET 2302,B100000,00000,0800,00001MEALS SERVED 2302,B100000,00000,0801,00001PAID HOURS 2302,B100000,00000,0900,00001HOURS OF SERVICE 2302,B100000,00000,1000,00001PATIENT DAYS 2302,B100000,00000,1100,00001PATIENT DAYS 2302,B100000,00000,1200,00001GROSS REVENUE 2302,B100000,00000,1300,00001TIME SPENT 2302,B100000,00000,1400,00001ASSIGNED TIME 2302,E10A180,00350,0300,02/04/2000 2302,S000000,00100,0200,06/01/2000 2302,S200000,00100,0100,904 SEAHORN 2302,S200000,00200,0100,GURDON 2302,S200000,00200,0200,AR 2302,S200000,00200,0300,71743 2302,S200000,00300,0100,CLARK 2302,S200000,00400,0100,TWIN RIVERS HEALTH & REHAB 2302,S200000,00400,0200,045216 2302,S200000,00400,0300,09/01/1993 2302,S200000,00400,0500,P 2302,S200000,01600,0100,Y 2310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2310,A000000,00300,0000,00300EMPLOYEE BENEFITS 2310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2310,A000000,00700,0000,00700HOUSEKEEPING 2310,A000000,00800,0000,00800DIETARY 2310,A000000,00900,0000,00900NURSING ADMINISTRATION 2310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2310,A000000,01100,0000,01100PHARMACY 2310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2310,A000000,01300,0000,01300SOCIAL SERVICE 2310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2310,A000000,01600,0000,01600SKILLED NURSING FACILITY 2310,A000000,01800,0000,01800NURSING FACILITY 2310,A000000,01810,0000,01810ICF/MR 2310,A000000,02100,0000,02100RADIOLOGY 2310,A000000,02200,0000,02200LABORATORY 2310,A000000,02500,0000,02500PHYSICAL THERAPY 2310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2310,A000000,02700,0000,02700SPEECH PATHOLOGY 2310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2310,A000000,03200,0000,03200SUPPORT SURFACES 2310,A000000,03550,0000,03550FQHC 2310,A000000,05000,0000,05000CORF 2310,A000000,05010,0000,05010CMHC 2310,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2310,A81000A,00100,0100,Y 2310,A81000B,00100,0300,HOME OFFICE - CRC - BLDG 2310,A81000B,00200,0300,HOME OFFICE - CRC - EQUIP 2310,A81000B,00300,0300,HOME OFFICE - A&G 2310,A81000B,00400,0300,HOME OFFICE - HEALTH INSURANCE 2310,A81000B,00500,0300,HOME OFFICE - HEALTH INSURANCE 2310,A81000C,00100,0100,B 2310,A81000C,00100,0200,GASSVILLE NURSING CENTER 2310,A81000C,00100,0400,CENTRAL ARK NURSING CNTR 2310,A81000C,00100,0600,HOME OFFICE 2310,B100000,00000,0100,00000SQUARE FEET 2310,B100000,00000,0200,00000SQUARE FEET 2310,B100000,00000,0300,00000GROSS SALARIES 2310,B100000,00000,0400,00000ACCUM. COST 2310,B100000,00000,0500,00000SQUARE FEET 2310,B100000,00000,0600,00000PATIENT DAYS 2310,B100000,00000,0700,00000SQUARE FEET 2310,B100000,00000,0800,00000MEALS SERVED 2310,B100000,00000,0900,00000HOURS SUPERVISED 2310,B100000,00000,1000,00000COSTED REQUIS. 2310,B100000,00000,1100,00000COSTED REQUIS. 2310,B100000,00000,1200,00000GROSS REVENUE 2310,B100000,00000,1300,00000PATIENT DAYS 2310,B100000,00000,1400,00000ASSIGNED TIME 2310,S000000,00100,0200,05/26/2000 2310,S200000,00100,0100,104 EAST COTTER 2310,S200000,00100,0300,190 2310,S200000,00200,0100,GASSVILLE 2310,S200000,00200,0200,AR 2310,S200000,00200,0300,72635 2310,S200000,00300,0100,BAXTER 2310,S200000,00400,0100,GASSVILLE NURSING CENTER 2310,S200000,00400,0200,045218 2310,S200000,00400,0300,11/12/1993 2310,S200000,00400,0500,P 2310,S200000,01600,0100,Y 2310,S200000,04300,0100,Y 2317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2317,A000000,00300,0000,00300EMPLOYEE BENEFITS 2317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2317,A000000,00700,0000,00700HOUSEKEEPING 2317,A000000,00800,0000,00800DIETARY 2317,A000000,00801,0000,00801CAFETERIA 2317,A000000,00900,0000,00900NURSING ADMINISTRATION 2317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2317,A000000,01100,0000,01100PHARMACY 2317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2317,A000000,01300,0000,01300SOCIAL SERVICE 2317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2317,A000000,01600,0000,01600SKILLED NURSING FACILITY 2317,A000000,01800,0000,01800NURSING FACILITY 2317,A000000,01810,0000,01810ICF/MR 2317,A000000,02500,0000,02500PHYSICAL THERAPY 2317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2317,A000000,02700,0000,02700SPEECH PATHOLOGY 2317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2317,A000000,03550,0000,03550FQHC 2317,A000000,05000,0000,05000CORF 2317,A000000,05010,0000,05010CMHC 2317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2317,B100000,00000,0100,00000SQUARE FEET 2317,B100000,00000,0200,00000SQUARE FEET 2317,B100000,00000,0300,00000GROSS SALARIES 2317,B100000,00000,0400,00000ACCUM. COST 2317,B100000,00000,0500,00000SQUARE FEET 2317,B100000,00000,0600,00000PATIENT DAYS 2317,B100000,00000,0700,00000SQUARE FEET 2317,B100000,00000,0800,00000MEALS SERVED 2317,B100000,00000,0801,00000PAID HOURS 2317,B100000,00000,0900,00000TIME SPENT 2317,B100000,00000,1000,00000PATIENT DAYS 2317,B100000,00000,1100,00000PATIENT DAYS 2317,B100000,00000,1200,00000GROSS REVENUE 2317,B100000,00000,1300,00000PATIENT DAYS 2317,B100000,00000,1400,00000ASSIGNED TIME 2317,S000000,00100,0200,05/30/2000 2317,S200000,00100,0300,1658 2317,S200000,00200,0100,FORREST CITY 2317,S200000,00200,0200,AR 2317,S200000,00200,0300,72335 2317,S200000,00300,0100,ST. FRANCIS 2317,S200000,00400,0100,CRESTPARK OF FORREST CITY 2317,S200000,00400,0200,045219 2317,S200000,00400,0300,11/01/1993 2317,S200000,00400,0500,P 2317,S200000,01600,0100,Y 2325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2325,A000000,00300,0000,00300EMPLOYEE BENEFITS 2325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2325,A000000,00700,0000,00700HOUSEKEEPING 2325,A000000,00800,0000,00800DIETARY 2325,A000000,00801,0000,00801CAFETERIA 2325,A000000,00900,0000,00900NURSING ADMINISTRATION 2325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2325,A000000,01100,0000,01100PHARMACY 2325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2325,A000000,01300,0000,01300SOCIAL SERVICE 2325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2325,A000000,01600,0000,01600SKILLED NURSING FACILITY 2325,A000000,01800,0000,01800NURSING FACILITY 2325,A000000,01810,0000,01810ICF/MR 2325,A000000,02500,0000,02500PHYSICAL THERAPY 2325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2325,A000000,03550,0000,03550FQHC 2325,A000000,05000,0000,05000CORF 2325,A000000,05010,0000,05010CMHC 2325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2325,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2325,A000000,06151,0000,06301GUEST MEALS 2325,B100000,00000,0100,00001SQUARE FEET 2325,B100000,00000,0200,00001SQUARE FEET 2325,B100000,00000,0300,00001GROSS SALARIES 2325,B100000,00000,0400,00001ACCUM. COST 2325,B100000,00000,0500,00001SQUARE FEET 2325,B100000,00000,0600,00001PATIENT DAYS 2325,B100000,00000,0700,00001SQUARE FEET 2325,B100000,00000,0800,00001MEALS SERVED 2325,B100000,00000,0801,00001PAID HOURS 2325,B100000,00000,0900,00001TIME SPENT 2325,B100000,00000,1000,00001PATIENT DAYS 2325,B100000,00000,1100,00001PATIENT DAYS 2325,B100000,00000,1200,00001GROSS REVENUE 2325,B100000,00000,1300,00001PATIENT DAYS 2325,B100000,00000,1400,00001ASSIGNED TIME 2325,S000000,00100,0200,05/30/2000 2325,S200000,00100,0300,310 2325,S200000,00200,0100,HELENA 2325,S200000,00200,0200,AR 2325,S200000,00200,0300,72342 2325,S200000,00300,0100,PHILLIPS 2325,S200000,00400,0100,CRESTPARK OF HELENA 2325,S200000,00400,0200,045221 2325,S200000,00400,0300,01/01/1994 2325,S200000,00400,0500,P 2325,S200000,01600,0100,Y 2336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2336,A000000,00300,0000,00300EMPLOYEE BENEFITS 2336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2336,A000000,00700,0000,00700HOUSEKEEPING 2336,A000000,00800,0000,00800DIETARY 2336,A000000,00801,0000,00801CAFETERIA 2336,A000000,00900,0000,00900NURSING ADMINISTRATION 2336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2336,A000000,01100,0000,01100PHARMACY 2336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2336,A000000,01300,0000,01300SOCIAL SERVICE 2336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2336,A000000,01600,0000,01600SKILLED NURSING FACILITY 2336,A000000,01800,0000,01800NURSING FACILITY 2336,A000000,01810,0000,01810ICF/MR 2336,A000000,01900,0000,01900OTHER LONG TERM CARE 2336,A000000,02200,0000,02200LABORATORY 2336,A000000,02300,0000,02300INTRAVENOUS THERAPY 2336,A000000,02500,0000,02500PHYSICAL THERAPY 2336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2336,A000000,02700,0000,02700SPEECH PATHOLOGY 2336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2336,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 2336,A000000,03550,0000,03550FQHC 2336,A000000,05000,0000,05000CORF 2336,A000000,05010,0000,05010CMHC 2336,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2336,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2336,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2336,A000000,06151,0000,06301GUEST MEALS 2336,A000000,06152,0000,06302VENDING 2336,B100000,00000,0100,00002SQUARE FEET 2336,B100000,00000,0200,00002SQUARE FEET 2336,B100000,00000,0300,00002GROSS SALARIES 2336,B100000,00000,0400,00002ACCUM. COST 2336,B100000,00000,0500,00002SQUARE FEET 2336,B100000,00000,0600,00002PATIENT DAYS 2336,B100000,00000,0700,00002SQUARE FEET 2336,B100000,00000,0800,00002MEALS SERVED 2336,B100000,00000,0801,00002PAID HOURS 2336,B100000,00000,0900,00002TIME SPENT 2336,B100000,00000,1000,00002COSTED REQUIS. 2336,B100000,00000,1100,00002PATIENT DAYS 2336,B100000,00000,1200,00002GROSS REVENUE 2336,B100000,00000,1300,00002PATIENT DAYS 2336,B100000,00000,1400,00002ASSIGNED TIME 2336,E10A180,00350,0300,02/04/2000 2336,S000000,00100,0200,05/25/2000 2336,S200000,00100,0100,HWY 64 WEST ROUTE 3 BOX 247A 2336,S200000,00200,0100,MCCRORY 2336,S200000,00200,0200,AR 2336,S200000,00200,0300,72101 2336,S200000,00300,0100,WOODRUFF 2336,S200000,00400,0100,WOODRUFF COUNTY NURSING HOME 2336,S200000,00400,0200,045222 2336,S200000,00400,0300,11/01/1993 2336,S200000,00400,0500,P 2336,S200000,01600,0100,Y 2350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2350,A000000,00300,0000,00300EMPLOYEE BENEFITS 2350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2350,A000000,00700,0000,00700HOUSEKEEPING 2350,A000000,00800,0000,00800DIETARY 2350,A000000,00900,0000,00900NURSING ADMINISTRATION 2350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2350,A000000,01100,0000,01100PHARMACY 2350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2350,A000000,01300,0000,01300SOCIAL SERVICE 2350,A000000,01350,0000,01500OTHER GENERAL SERVICES 2350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2350,A000000,01600,0000,01600SKILLED NURSING FACILITY 2350,A000000,01800,0000,01800NURSING FACILITY 2350,A000000,01810,0000,01810ICF/MR 2350,A000000,02500,0000,02500PHYSICAL THERAPY 2350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2350,A000000,02700,0000,02700SPEECH PATHOLOGY 2350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2350,A000000,03550,0000,03550FQHC 2350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2350,A000000,05000,0000,05000CORF 2350,A000000,05010,0000,05010CMHC 2350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2350,A000000,05300,0000,05300INTEREST EXPENSE 2350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2350,B100000,00000,0100,00000SQUARE FEET 2350,B100000,00000,0200,00000SQUARE FEET 2350,B100000,00000,0300,00000GROSS SALARIES 2350,B100000,00000,0400,00000ACCUM. COST 2350,B100000,00000,0500,00000SQUARE FEET 2350,B100000,00000,0600,00000PATIENT DAYS 2350,B100000,00000,0700,00000SQUARE FEET 2350,B100000,00000,0800,00000MEALS SERVED 2350,B100000,00000,0900,00000DIRECT NRSING HRS 2350,B100000,00000,1000,00000COSTED REQUIS. 2350,B100000,00000,1100,00000COSTED REQUIS. 2350,B100000,00000,1200,00000GROSS REVENUE 2350,B100000,00000,1300,00000PATIENT DAYS 2350,B100000,00000,1350,00000NO STATISTICS 2350,B100000,00000,1400,00000ASSIGNED TIME 2350,S000000,00100,0200,08/30/2000 2350,S200000,00100,0100,ROUTE 11 BOX 750 2350,S200000,00100,0300,750 2350,S200000,00200,0100,MOUNTAIN HOME 2350,S200000,00200,0200,AR 2350,S200000,00200,0300,72653 2350,S200000,00300,0100,BAXTER 2350,S200000,00400,0100,FLIPPOS REHABILITATION CENTER INC. 2350,S200000,00400,0200,045224 2350,S200000,00400,0300,01/01/1994 2350,S200000,00400,0500,P 2350,S200000,01600,0100,Y 2350,S200000,03100,0100,Y 2351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2351,A000000,00300,0000,00300EMPLOYEE BENEFITS 2351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2351,A000000,00700,0000,00700HOUSEKEEPING 2351,A000000,00800,0000,00800DIETARY 2351,A000000,00900,0000,00900NURSING ADMINISTRATION 2351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2351,A000000,01100,0000,01100PHARMACY 2351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2351,A000000,01300,0000,01300SOCIAL SERVICE 2351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2351,A000000,01600,0000,01600SKILLED NURSING FACILITY 2351,A000000,01800,0000,01800NURSING FACILITY 2351,A000000,01810,0000,01810ICF/MR 2351,A000000,02200,0000,02200LABORATORY 2351,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2351,A000000,02500,0000,02500PHYSICAL THERAPY 2351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2351,A000000,02700,0000,02700SPEECH PATHOLOGY 2351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2351,A000000,03550,0000,03550FQHC 2351,A000000,05000,0000,05000CORF 2351,A000000,05010,0000,05010CMHC 2351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2351,A000000,05300,0000,05300INTEREST EXPENSE 2351,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2351,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2351,B100000,00000,0100,00000SQUARE FEET 2351,B100000,00000,0200,00000SQUARE FEET 2351,B100000,00000,0300,00000GROSS SALARIES 2351,B100000,00000,0400,00000ACCUM. COST 2351,B100000,00000,0500,00000SQUARE FEET 2351,B100000,00000,0600,00000PATIENT DAYS 2351,B100000,00000,0700,00000SQUARE FEET 2351,B100000,00000,0800,00000MEALS SERVED 2351,B100000,00000,0900,00000TIME SPENT 2351,B100000,00000,1000,00000PATIENT DAYS 2351,B100000,00000,1100,00000PATIENT DAYS 2351,B100000,00000,1200,00000GROSS REVENUE 2351,B100000,00000,1300,00000PATIENT DAYS 2351,B100000,00000,1400,00000ASSIGNED TIME 2351,S000000,00100,0200,06/21/2000 2351,S200000,00100,0100,3545 HWY. 5 NORTH 2351,S200000,00200,0100,MOUNTAIN HOME 2351,S200000,00200,0200,AR 2351,S200000,00200,0300,72653 2351,S200000,00300,0100,BAXTER 2351,S200000,00400,0100,AUBURN HILLS NURSING FACILITY 2351,S200000,00400,0200,045224 2351,S200000,00400,0300,01/01/1994 2351,S200000,00400,0500,P 2351,S200000,01600,0100,Y 2358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2358,A000000,00300,0000,00300EMPLOYEE BENEFITS 2358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2358,A000000,00700,0000,00700HOUSEKEEPING 2358,A000000,00800,0000,00800DIETARY 2358,A000000,00801,0000,00801EMPLOYEE MEALS 2358,A000000,00900,0000,00900NURSING ADMINISTRATION 2358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2358,A000000,01100,0000,01100PHARMACY 2358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2358,A000000,01300,0000,01300SOCIAL SERVICE 2358,A000000,01350,0000,01500OTHER GENERAL SERVICES 2358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2358,A000000,01600,0000,01600SKILLED NURSING FACILITY 2358,A000000,01810,0000,01810ICF/MR 2358,A000000,02100,0000,02100RADIOLOGY 2358,A000000,02200,0000,02200LABORATORY 2358,A000000,02500,0000,02500PHYSICAL THERAPY 2358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2358,A000000,02700,0000,02700SPEECH PATHOLOGY 2358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2358,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2358,A000000,03550,0000,03550FQHC 2358,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2358,A000000,05000,0000,05000CORF 2358,A000000,05010,0000,05010CMHC 2358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2358,A000000,05300,0000,05300INTEREST EXPENSE 2358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2358,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2358,A81000A,00100,0100,Y 2358,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 2358,A81000B,00200,0300,AUTO EXPENSE 2358,A81000B,00300,0300,WAGE RELATED EXPENSES 2358,A81000B,00400,0300,MANAGEMENT FEES 2358,A81000B,00500,0300,CONSULTANT 2358,A81000B,00600,0300,CONSULTANT 2358,A81000B,00700,0300,CONSULTANT 2358,A81000B,00800,0300,CONSULTANT 2358,A81000B,00900,0300,CONSULTANT 2358,A81000B,01000,0300,CONSULTANT 2358,A81000C,00100,0100,B 2358,A81000C,00100,0200,ROSE CARE INC. 2358,A81000C,00100,0400,ROSE CARE INC. 2358,A81000C,00100,0600,RELATED MANAGEMENT CO. 2358,A81000C,00200,0100,B 2358,A81000C,00200,0200,ROSE CARE INC. 2358,A81000C,00200,0400,ROSE CARE INC. 2358,A81000C,00200,0600,RELATED MANAGEMENT CO. 2358,A81000C,00300,0100,B 2358,A81000C,00300,0200,ROSE CARE INC. 2358,A81000C,00300,0400,ROSE CARE INC. 2358,A81000C,00300,0600,RELATED MANAGEMENT CO. 2358,A81000C,00400,0100,B 2358,A81000C,00400,0200,ROSE CARE INC. 2358,A81000C,00400,0400,ROSE CARE INC. 2358,A81000C,00400,0600,RELATED MANAGEMENT CO. 2358,A81000C,00500,0100,B 2358,A81000C,00500,0200,ROSE CARE INC. 2358,A81000C,00500,0400,ROSE CARE INC. 2358,A81000C,00500,0600,RELATED MANAGEMENT CO. 2358,A81000C,00600,0100,B 2358,A81000C,00600,0200,ROSE CARE INC. 2358,A81000C,00600,0400,ROSE CARE INC. 2358,A81000C,00600,0600,RELATED MANAGEMENT CO. 2358,A81000C,00700,0100,B 2358,A81000C,00700,0200,ROSE CARE INC. 2358,A81000C,00700,0400,ROSE CARE INC. 2358,A81000C,00700,0600,RELATED MANAGEMENT CO. 2358,A81000C,00800,0100,B 2358,A81000C,00800,0200,ROSE CARE INC. 2358,A81000C,00800,0400,ROSE CARE INC. 2358,A81000C,00800,0600,RELATED MANAGEMENT CO. 2358,A81000C,00900,0100,B 2358,A81000C,00900,0200,ROSE CARE INC. 2358,A81000C,00900,0400,ROSE CARE INC. 2358,A81000C,00900,0600,RELATED MANAGEMENT CO. 2358,A81000C,01000,0100,B 2358,A81000C,01000,0200,ROSE CARE INC. 2358,A81000C,01000,0400,ROSE CARE INC. 2358,A81000C,01000,0600,RELATED MANAGEMENT CO. 2358,B100000,00000,0100,00000SQUARE FEET 2358,B100000,00000,0200,00000DOLLAR VALUE 2358,B100000,00000,0300,00000GROSS SALARIES 2358,B100000,00000,0400,00000ACCUM. COST 2358,B100000,00000,0500,00000SQUARE FEET 2358,B100000,00000,0600,00000POUNDS OF LAUNDRY 2358,B100000,00000,0700,00000SQUARE FEET 2358,B100000,00000,0800,00000MEALS SERVED 2358,B100000,00000,0801,00000GROSS SALARIES 2358,B100000,00000,0900,00000DIRECT NRSING HRS 2358,B100000,00000,1000,00000COSTED REQUIS. 2358,B100000,00000,1100,00000COSTED REQUIS. 2358,B100000,00000,1200,00000TIME SPENT 2358,B100000,00000,1300,00000TIME SPENT 2358,B100000,00000,1350,00000MEALS SERVED 2358,B100000,00000,1400,00000ASSIGNED TIME 2358,S000000,00100,0200,06/08/2000 2358,S200000,00100,0100,809 KENWOOD ROAD 2358,S200000,00200,0100,BENTON 2358,S200000,00200,0200,AR 2358,S200000,00200,0300,72015 2358,S200000,00300,0100,SALINE 2358,S200000,00400,0100,ROSE CARE CENTER OF BENTON II 2358,S200000,00400,0200,045225 2358,S200000,00400,0300,01/01/1994 2358,S200000,00400,0500,P 2358,S200000,01500,0100,Y 2375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2375,A000000,00300,0000,00300EMPLOYEE BENEFITS 2375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2375,A000000,00700,0000,00700HOUSEKEEPING 2375,A000000,00800,0000,00800DIETARY 2375,A000000,00900,0000,00900NURSING ADMINISTRATION 2375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2375,A000000,01100,0000,01100PHARMACY 2375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2375,A000000,01300,0000,01300SOCIAL SERVICE 2375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2375,A000000,01600,0000,01600SKILLED NURSING FACILITY 2375,A000000,01800,0000,01800NURSING FACILITY 2375,A000000,01810,0000,01810ICF/MR 2375,A000000,02100,0000,02100RADIOLOGY 2375,A000000,02200,0000,02200LABORATORY 2375,A000000,02500,0000,02500PHYSICAL THERAPY 2375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2375,A000000,02700,0000,02700SPEECH PATHOLOGY 2375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2375,A000000,03550,0000,03550FQHC 2375,A000000,05000,0000,05000CORF 2375,A000000,05010,0000,05010CMHC 2375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2375,A000000,05300,0000,05300INTEREST EXPENSE 2375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2375,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2375,A000000,06151,0000,06301GUEST MEALS 2375,B100000,00000,0100,00001SQUARE FEET 2375,B100000,00000,0200,00001SQUARE FEET 2375,B100000,00000,0300,00001GROSS SALARIES 2375,B100000,00000,0400,00001ACCUM. COST 2375,B100000,00000,0500,00001SQUARE FEET 2375,B100000,00000,0600,00001PATIENT DAYS 2375,B100000,00000,0700,00001SQUARE FEET 2375,B100000,00000,0800,00001MEALS SERVED 2375,B100000,00000,0900,00001TIME SPENT 2375,B100000,00000,1000,00001PATIENT DAYS 2375,B100000,00000,1100,00001PATIENT DAYS 2375,B100000,00000,1200,00001GROSS REVENUE 2375,B100000,00000,1300,00001PATIENT DAYS 2375,B100000,00000,1400,00001ASSIGNED TIME 2375,S000000,00100,0200,01/10/2001 2375,S200000,00100,0100,950 HOMESTEAD 2375,S200000,00200,0100,ASHDOWN 2375,S200000,00200,0200,AR 2375,S200000,00200,0300,71822 2375,S200000,00300,0100,L 2375,S200000,00400,0100,PLEASANT MANOR NURSING HOME 2375,S200000,00400,0200,045227 2375,S200000,00400,0300,12/01/1993 2375,S200000,00400,0500,P 2375,S200000,01600,0100,Y 2375,S200000,02800,0100,Y 2382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2382,A000000,00300,0000,00300EMPLOYEE BENEFITS 2382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2382,A000000,00700,0000,00700HOUSEKEEPING 2382,A000000,00800,0000,00800DIETARY 2382,A000000,00900,0000,00900NURSING ADMINISTRATION 2382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2382,A000000,01100,0000,01100PHARMACY 2382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2382,A000000,01300,0000,01300SOCIAL SERVICE 2382,A000000,01350,0000,01500OTHER GENERAL SERVICES 2382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2382,A000000,01600,0000,01600SKILLED NURSING FACILITY 2382,A000000,01800,0000,01800NURSING FACILITY 2382,A000000,01810,0000,01810ICF/MR 2382,A000000,02100,0000,02100RADIOLOGY 2382,A000000,02200,0000,02200LABORATORY 2382,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2382,A000000,02500,0000,02500PHYSICAL THERAPY 2382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2382,A000000,02700,0000,02700SPEECH PATHOLOGY 2382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2382,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2382,A000000,03200,0000,03200SUPPORT SURFACES 2382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2382,A000000,03550,0000,03550FQHC 2382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2382,A000000,05000,0000,05000CORF 2382,A000000,05010,0000,05010CMHC 2382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2382,A81000A,00100,0100,Y 2382,A81000B,00100,0300,CAPITAL RELATED COSTS 2382,A81000B,00200,0300,NONCAPITAL COSTS 2382,A81000B,00300,0300,INTEREST 2382,A81000C,00100,0100,A 2382,A81000C,00100,0200,J. FRANKUM 2382,A81000C,00100,0400,REGIONAL MANAGEMENT INC 2382,A81000C,00100,0600,MANAGEMENT COMPANY 2382,A81000C,00200,0100,A 2382,A81000C,00200,0200,J. FRANKUM 2382,A81000C,00200,0400,REGIONAL MANAGEMENT INC 2382,A81000C,00200,0600,MANAGEMENT COMPANY 2382,A81000C,00300,0100,A 2382,A81000C,00300,0200,J. FRANKUM 2382,A81000C,00300,0400,REGIONAL MANAGEMENT INC 2382,A81000C,00300,0600,MANAGEMENT COMPANY 2382,B100000,00000,0100,00000SQUARE FEET 2382,B100000,00000,0200,00000DOLLAR VALUE 2382,B100000,00000,0300,00000GROSS SALARIES 2382,B100000,00000,0400,00000ACCUM. COST 2382,B100000,00000,0500,00000SQUARE FEET 2382,B100000,00000,0600,00000PATIENT DAYS 2382,B100000,00000,0700,00000SQUARE FEET 2382,B100000,00000,0800,00000MEALS SERVED 2382,B100000,00000,0900,00000DIRECT NRSING HRS 2382,B100000,00000,1000,00000COSTED REQUIS. 2382,B100000,00000,1100,00000COSTED REQUIS. 2382,B100000,00000,1200,00000GROSS CHARGES 2382,B100000,00000,1300,00000TIME SPENT 2382,B100000,00000,1350,00000NO STATISTICS 2382,B100000,00000,1400,00000ASSIGNED TIME 2382,S000000,00100,0200,05/26/2000 2382,S200000,00100,0100,1301 EAST HIGHWAY 70 2382,S200000,00200,0100,HAZEN 2382,S200000,00200,0200,AR 2382,S200000,00200,0300,72604 2382,S200000,00300,0100,PRAIRIE 2382,S200000,00400,0100,PRAIRIE HEALTHCARE INC 2382,S200000,00400,0200,045228 2382,S200000,00400,0300,11/01/1995 2382,S200000,00400,0500,P 2382,S200000,01600,0100,Y 2389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2389,A000000,00300,0000,00300EMPLOYEE BENEFITS 2389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2389,A000000,00700,0000,00700HOUSEKEEPING 2389,A000000,00800,0000,00800DIETARY 2389,A000000,00801,0000,00801EMPLOYEE MEALS 2389,A000000,00900,0000,00900NURSING ADMINISTRATION 2389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2389,A000000,01100,0000,01100PHARMACY 2389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2389,A000000,01300,0000,01300SOCIAL SERVICE 2389,A000000,01350,0000,01500OTHER GENERAL SERVICES 2389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2389,A000000,01600,0000,01600SKILLED NURSING FACILITY 2389,A000000,01810,0000,01810ICF/MR 2389,A000000,02100,0000,02100RADIOLOGY 2389,A000000,02200,0000,02200LABORATORY 2389,A000000,02500,0000,02500PHYSICAL THERAPY 2389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2389,A000000,02700,0000,02700SPEECH PATHOLOGY 2389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2389,A000000,03001,0000,03001AIR FLUIDIZED BEDS 2389,A000000,03002,0000,03002AMBULANCE 2389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2389,A000000,03550,0000,03550FQHC 2389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2389,A000000,05000,0000,05000CORF 2389,A000000,05010,0000,05010CMHC 2389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2389,A000000,05300,0000,05300INTEREST EXPENSE 2389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2389,A81000A,00100,0100,Y 2389,A81000B,00100,0300,HOME OFFICE CAPITAL 2389,A81000B,00200,0300,AUTO EXPENSE 2389,A81000B,00300,0300,WAGE RELATED EXPENSES 2389,A81000B,00400,0300,MANAGEMENT FEES 2389,A81000B,00500,0300,CONSULTANT 2389,A81000B,00600,0300,CONSULTANT 2389,A81000B,00700,0300,CONSULTANT 2389,A81000B,00800,0300,CONSULTANT 2389,A81000B,00900,0300,CONSULTANT 2389,A81000B,01000,0300,CONSULTANT 2389,A81000C,00100,0100,B 2389,A81000C,00100,0200,ROSE CARE INC. 2389,A81000C,00100,0400,ROSE CARE INC. 2389,A81000C,00100,0600,RELATED MANAGEMENT CO. 2389,A81000C,00200,0100,B 2389,A81000C,00200,0200,ROSE CARE INC. 2389,A81000C,00200,0400,ROSE CARE INC. 2389,A81000C,00200,0600,RELATED MANAGEMENT CO. 2389,A81000C,00300,0100,B 2389,A81000C,00300,0200,ROSE CARE INC. 2389,A81000C,00300,0400,ROSE CARE INC. 2389,A81000C,00300,0600,RELATED MANAGEMENT CO. 2389,A81000C,00400,0100,B 2389,A81000C,00400,0200,ROSE CARE INC. 2389,A81000C,00400,0400,ROSE CARE INC. 2389,A81000C,00400,0600,RELATED MANAGEMENT CO. 2389,A81000C,00500,0100,B 2389,A81000C,00500,0200,ROSE CARE INC. 2389,A81000C,00500,0400,ROSE CARE INC. 2389,A81000C,00500,0600,RELATED MANAGEMENT CO. 2389,A81000C,00600,0100,B 2389,A81000C,00600,0200,ROSE CARE INC. 2389,A81000C,00600,0400,ROSE CARE INC. 2389,A81000C,00600,0600,RELATED MANAGEMENT CO. 2389,A81000C,00700,0100,B 2389,A81000C,00700,0200,ROSE CARE INC. 2389,A81000C,00700,0400,ROSE CARE INC. 2389,A81000C,00700,0600,RELATED MANAGEMENT CO. 2389,A81000C,00800,0100,B 2389,A81000C,00800,0200,ROSE CARE INC. 2389,A81000C,00800,0400,ROSE CARE INC. 2389,A81000C,00800,0600,RELATED MANAGEMENT CO. 2389,A81000C,00900,0100,B 2389,A81000C,00900,0200,ROSE CARE INC. 2389,A81000C,00900,0400,ROSE CARE INC. 2389,A81000C,00900,0600,RELATED MANAGEMENT CO. 2389,A81000C,01000,0100,B 2389,A81000C,01000,0200,ROSE CARE INC. 2389,A81000C,01000,0400,ROSE CARE INC. 2389,A81000C,01000,0600,RELATED MANAGEMENT CO. 2389,B100000,00000,0100,00000SQUARE FEET 2389,B100000,00000,0200,00000DOLLAR VALUE 2389,B100000,00000,0300,00000GROSS SALARIES 2389,B100000,00000,0400,00000ACCUM. COST 2389,B100000,00000,0500,00000SQUARE FEET 2389,B100000,00000,0600,00000POUNDS OF LAUNDRY 2389,B100000,00000,0700,00000SQUARE FEET 2389,B100000,00000,0800,00000MEALS SERVED 2389,B100000,00000,0801,00000GROSS SALARIES 2389,B100000,00000,0900,00000DIRECT NRSING HRS 2389,B100000,00000,1000,00000COSTED REQUIS. 2389,B100000,00000,1100,00000COSTED REQUIS. 2389,B100000,00000,1200,00000TIME SPENT 2389,B100000,00000,1300,00000TIME SPENT 2389,B100000,00000,1350,00000NO STATISTICS 2389,B100000,00000,1400,00000ASSIGNED TIME 2389,S000000,00100,0200,06/08/2000 2389,S200000,00100,0100,400 OAK COURT 2389,S200000,00200,0100,CLARKSVILLE 2389,S200000,00200,0200,AR 2389,S200000,00200,0300,72830 2389,S200000,00300,0100,JOHNSON 2389,S200000,00400,0100,CLARKSVILLE CONVALESCENT HOME 2389,S200000,00400,0200,045231 2389,S200000,00400,0300,03/01/1994 2389,S200000,00400,0500,P 2389,S200000,01500,0100,Y 2395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2395,A000000,00300,0000,00300EMPLOYEE BENEFITS 2395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2395,A000000,00700,0000,00700HOUSEKEEPING 2395,A000000,00800,0000,00800DIETARY 2395,A000000,00801,0000,00801EMPLOYEE MEALS 2395,A000000,00900,0000,00900NURSING ADMINISTRATION 2395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2395,A000000,01100,0000,01100PHARMACY 2395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2395,A000000,01300,0000,01300SOCIAL SERVICE 2395,A000000,01350,0000,01500OTHER GENERAL SERVICES 2395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2395,A000000,01600,0000,01600SKILLED NURSING FACILITY 2395,A000000,01810,0000,01810ICF/MR 2395,A000000,02100,0000,02100RADIOLOGY 2395,A000000,02200,0000,02200LABORATORY 2395,A000000,02500,0000,02500PHYSICAL THERAPY 2395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2395,A000000,02700,0000,02700SPEECH PATHOLOGY 2395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2395,A000000,03001,0000,03001AIR FLUIDIZED BEDS 2395,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2395,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2395,A000000,03550,0000,03550FQHC 2395,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2395,A000000,05000,0000,05000CORF 2395,A000000,05010,0000,05010CMHC 2395,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2395,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2395,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2395,A000000,05300,0000,05300INTEREST EXPENSE 2395,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2395,A81000A,00100,0100,Y 2395,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 2395,A81000B,00200,0300,AUTO EXPENSE 2395,A81000B,00300,0300,BUILDING EXPENSES 2395,A81000B,00400,0300,WAGE RELATED EXPENSES 2395,A81000B,00500,0300,MANAGEMENT FEES 2395,A81000B,00600,0300,CONSULTANT 2395,A81000B,00700,0300,CONSULTANT 2395,A81000B,00800,0300,CONSULTANT 2395,A81000B,00900,0300,CONSULTANT 2395,A81000B,01000,0300,CONSULTANT 2395,A81000B,01100,0300,CONSULTANT 2395,A81000C,00100,0100,B 2395,A81000C,00100,0200,ROSE CARE INC. 2395,A81000C,00100,0400,ROSE CARE INC. 2395,A81000C,00100,0600,RELATED MANAGEMENT CO. 2395,A81000C,00200,0100,B 2395,A81000C,00200,0200,ROSE CARE INC. 2395,A81000C,00200,0400,ROSE CARE INC. 2395,A81000C,00200,0600,RELATED MANAGEMENT CO. 2395,A81000C,00300,0100,B 2395,A81000C,00300,0200,ROSE CARE INC. 2395,A81000C,00300,0400,ROSE CARE INC. 2395,A81000C,00300,0600,RELATED MANAGEMENT CO. 2395,A81000C,00400,0100,B 2395,A81000C,00400,0200,ROSE CARE INC. 2395,A81000C,00400,0400,ROSE CARE INC. 2395,A81000C,00400,0600,RELATED MANAGEMENT CO. 2395,A81000C,00500,0100,B 2395,A81000C,00500,0200,ROSE CARE INC. 2395,A81000C,00500,0400,ROSE CARE INC. 2395,A81000C,00500,0600,RELATED MANAGEMENT CO. 2395,A81000C,00600,0100,B 2395,A81000C,00600,0200,ROSE CARE INC. 2395,A81000C,00600,0400,ROSE CARE INC. 2395,A81000C,00600,0600,RELATED MANAGEMENT CO. 2395,A81000C,00700,0100,B 2395,A81000C,00700,0200,ROSE CARE INC. 2395,A81000C,00700,0400,ROSE CARE INC. 2395,A81000C,00700,0600,RELATED MANAGEMENT CO. 2395,A81000C,00800,0100,B 2395,A81000C,00800,0200,ROSE CARE INC. 2395,A81000C,00800,0400,ROSE CARE INC. 2395,A81000C,00800,0600,RELATED MANAGEMENT CO. 2395,A81000C,00900,0100,B 2395,A81000C,00900,0200,ROSE CARE INC. 2395,A81000C,00900,0400,ROSE CARE INC. 2395,A81000C,00900,0600,RELATED MANAGEMENT CO. 2395,A81000C,01000,0100,B 2395,A81000C,01000,0200,ROSE CARE INC. 2395,A81000C,01000,0400,ROSE CARE INC. 2395,A81000C,01000,0600,RELATED MANAGEMENT CO. 2395,A81000C,01100,0100,B 2395,A81000C,01100,0200,ROSE CARE INC. 2395,A81000C,01100,0400,ROSE CARE INC. 2395,A81000C,01100,0600,RELATED MANAGEMENT CO. 2395,B100000,00000,0100,00000SQUARE FEET 2395,B100000,00000,0200,00000DOLLAR VALUE 2395,B100000,00000,0300,00000GROSS SALARIES 2395,B100000,00000,0400,00000ACCUM. COST 2395,B100000,00000,0500,00000SQUARE FEET 2395,B100000,00000,0600,00000POUNDS OF LAUNDRY 2395,B100000,00000,0700,00000SQUARE FEET 2395,B100000,00000,0800,00000MEALS SERVED 2395,B100000,00000,0801,00000GROSS SALARIES 2395,B100000,00000,0900,00000DIRECT NRSING HRS 2395,B100000,00000,1000,00000COSTED REQUIS. 2395,B100000,00000,1100,00000COSTED REQUIS. 2395,B100000,00000,1200,00000TIME SPENT 2395,B100000,00000,1300,00000TIME SPENT 2395,B100000,00000,1350,00000NO STATISTICS 2395,B100000,00000,1400,00000ASSIGNED TIME 2395,E10A180,00301,0300,02/04/2000 2395,S000000,00100,0200,06/08/2000 2395,S200000,00100,0100,HOMESTEAD MANOR 2395,S200000,00200,0100,405 NORTH STREET 2395,S200000,00200,0200,AR 2395,S200000,00200,0300,71860 2395,S200000,00300,0100,LAFAYETTE 2395,S200000,00400,0100,HOMESTEAD MANOR 2395,S200000,00400,0200,045232 2395,S200000,00400,0300,02/28/1994 2395,S200000,00400,0500,P 2395,S200000,01500,0100,Y 2414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2414,A000000,00300,0000,00300EMPLOYEE BENEFITS 2414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2414,A000000,00700,0000,00700HOUSEKEEPING 2414,A000000,00800,0000,00800DIETARY 2414,A000000,00900,0000,00900NURSING ADMINISTRATION 2414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2414,A000000,01100,0000,01100PHARMACY 2414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2414,A000000,01300,0000,01300SOCIAL SERVICE 2414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2414,A000000,01600,0000,01600SKILLED NURSING FACILITY 2414,A000000,01800,0000,01800NURSING FACILITY 2414,A000000,01810,0000,01810ICF/MR 2414,A000000,02100,0000,02100RADIOLOGY 2414,A000000,02200,0000,02200LABORATORY 2414,A000000,02300,0000,02300INTRAVENOUS THERAPY 2414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2414,A000000,02500,0000,02500PHYSICAL THERAPY 2414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2414,A000000,02700,0000,02700SPEECH PATHOLOGY 2414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2414,A000000,03200,0000,03200SUPPORT SURFACES 2414,A000000,03550,0000,03550FQHC 2414,A000000,05000,0000,05000CORF 2414,A000000,05010,0000,05010CMHC 2414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2414,A81000A,00100,0100,Y 2414,A81000B,00100,0300,HOME OFFICE COSTS 2414,A81000C,00100,0100,B 2414,A81000C,00100,0200,ADVOCAT INC. 2414,A81000C,00100,0400,DVCR LEASING CO 2414,A81000C,00100,0600,L/T CARE MGT CO 2414,B100000,00000,0100,00000SQUARE FEET 2414,B100000,00000,0200,00000SQUARE FEET 2414,B100000,00000,0300,00000GROSS SALARIES 2414,B100000,00000,0400,00000ACCUM COST 2414,B100000,00000,0500,00000SQUARE FEET 2414,B100000,00000,0600,00000PATIENT DAYS 2414,B100000,00000,0700,00000SQUARE FEET 2414,B100000,00000,0800,00000PATIENT DAYS 2414,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2414,B100000,00000,1000,00000COSTED REQUIS 2414,B100000,00000,1100,00000COSTED REQUIS 2414,B100000,00000,1200,00000PATIENT REVENUES 2414,B100000,00000,1300,00000PATIENT DAYS 2414,B100000,00000,1400,00000ASSIGNED TIME 2414,S000000,00100,0200,11/02/2000 2414,S200000,00100,0100,2216 WEST MAIN ST 2414,S200000,00200,0100,DES ARC 2414,S200000,00200,0200,AR 2414,S200000,00200,0300,72040 2414,S200000,00300,0100,PRAIRIE 2414,S200000,00400,0100,DES ARC CONVALESCENT CENTER 2414,S200000,00400,0200,045236 2414,S200000,00400,0300,06/01/1994 2414,S200000,00400,0500,P 2414,S200000,01600,0100,Y 2414,S200000,02200,0100,Y 2421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2421,A000000,00300,0000,00300EMPLOYEE BENEFITS 2421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2421,A000000,00700,0000,00700HOUSEKEEPING 2421,A000000,00800,0000,00800DIETARY 2421,A000000,00801,0000,00801EMPLOYEE MEALS 2421,A000000,00900,0000,00900NURSING ADMINISTRATION 2421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2421,A000000,01100,0000,01100PHARMACY 2421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2421,A000000,01300,0000,01300SOCIAL SERVICE 2421,A000000,01350,0000,01500OTHER GENERAL SERVICES 2421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2421,A000000,01600,0000,01600SKILLED NURSING FACILITY 2421,A000000,01810,0000,01810ICF/MR 2421,A000000,02100,0000,02100RADIOLOGY 2421,A000000,02200,0000,02200LABORATORY 2421,A000000,02500,0000,02500PHYSICAL THERAPY 2421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2421,A000000,02700,0000,02700SPEECH PATHOLOGY 2421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2421,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2421,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2421,A000000,03550,0000,03550FQHC 2421,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2421,A000000,05000,0000,05000CORF 2421,A000000,05010,0000,05010CMHC 2421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2421,A000000,05300,0000,05300INTEREST EXPENSE 2421,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2421,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2421,A81000A,00100,0100,Y 2421,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 2421,A81000B,00200,0300,AUTO EXPENSE 2421,A81000B,00300,0300,WAGE RELATED EXPENSES 2421,A81000B,00400,0300,MANAGEMENT FEES 2421,A81000B,00500,0300,CONSULTANT 2421,A81000B,00600,0300,CONSULTANT 2421,A81000B,00700,0300,CONSULTANT 2421,A81000B,00800,0300,CONSULTANT 2421,A81000B,00900,0300,CONSULTANT 2421,A81000B,01000,0300,CONSULTANT 2421,A81000C,00100,0100,B 2421,A81000C,00100,0200,ROSE CARE INC . 2421,A81000C,00100,0400,ROSE CARE INC. 2421,A81000C,00100,0600,RELATED MANAGEMENT CO. 2421,A81000C,00200,0100,B 2421,A81000C,00200,0200,ROSE CARE INC. 2421,A81000C,00200,0400,ROSE CARE INC. 2421,A81000C,00200,0600,RELATED MANAGEMENT CO. 2421,A81000C,00300,0100,B 2421,A81000C,00300,0200,ROSE CARE INC. 2421,A81000C,00300,0400,ROSE CARE INC. 2421,A81000C,00300,0600,RELATED MANAGEMENT CO. 2421,A81000C,00400,0100,B 2421,A81000C,00400,0200,ROSE CARE INC. 2421,A81000C,00400,0400,ROSE CARE INC. 2421,A81000C,00400,0600,RELATED MANAGEMENT CO. 2421,A81000C,00500,0100,B 2421,A81000C,00500,0200,ROSE CARE INC. 2421,A81000C,00500,0400,ROSE CARE INC. 2421,A81000C,00500,0600,RELATED MANAGEMENT CO. 2421,A81000C,00600,0100,B 2421,A81000C,00600,0200,ROSE CARE INC. 2421,A81000C,00600,0400,ROSE CARE INC. 2421,A81000C,00600,0600,RELATED MANAGEMENT CO. 2421,A81000C,00700,0100,B 2421,A81000C,00700,0200,ROSE CARE INC. 2421,A81000C,00700,0400,ROSE CARE INC. 2421,A81000C,00700,0600,RELATED MANAGEMENT CO. 2421,A81000C,00800,0100,B 2421,A81000C,00800,0200,ROSE CARE INC. 2421,A81000C,00800,0400,ROSE CARE INC. 2421,A81000C,00800,0600,RELATED MANAGEMENT CO. 2421,A81000C,00900,0100,B 2421,A81000C,00900,0200,ROSE CARE INC. 2421,A81000C,00900,0400,ROSE CARE INC. 2421,A81000C,00900,0600,RELATED MANAGEMENT CO. 2421,A81000C,01000,0100,B 2421,A81000C,01000,0200,ROSE CARE INC. 2421,A81000C,01000,0400,ROSE CARE INC. 2421,A81000C,01000,0600,RELATED MANAGEMENT CO. 2421,B100000,00000,0100,00000SQUARE FEET 2421,B100000,00000,0200,00000DOLLAR VALUE 2421,B100000,00000,0300,00000GROSS SALARIES 2421,B100000,00000,0400,00000ACCUM. COST 2421,B100000,00000,0500,00000SQUARE FEET 2421,B100000,00000,0600,00000POUNDS OF LAUNDRY 2421,B100000,00000,0700,00000SQUARE FEET 2421,B100000,00000,0800,00000MEALS SERVED 2421,B100000,00000,0801,00000GROSS SALARIES 2421,B100000,00000,0900,00000DIRECT NRSING HRS 2421,B100000,00000,1000,00000COSTED REQUIS. 2421,B100000,00000,1100,00000COSTED REQUIS. 2421,B100000,00000,1200,00000TIME SPENT 2421,B100000,00000,1300,00000TIME SPENT 2421,B100000,00000,1350,00000MEALS SERVED 2421,B100000,00000,1400,00000ASSIGNED TIME 2421,S000000,00100,0200,06/08/2000 2421,S200000,00100,0100,1001 ROCHIER 2421,S200000,00200,0100,FAYETTEVILLE 2421,S200000,00200,0200,AR 2421,S200000,00200,0300,72701 2421,S200000,00300,0100,WASHINGTON 2421,S200000,00400,0100,ROCHIER HEIGHTS NURSING CENTER 2421,S200000,00400,0200,045237 2421,S200000,00400,0300,08/01/1994 2421,S200000,00400,0500,P 2421,S200000,01500,0100,Y 2428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2428,A000000,00300,0000,00300EMPLOYEE BENEFITS 2428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2428,A000000,00700,0000,00700HOUSEKEEPING 2428,A000000,00800,0000,00800DIETARY 2428,A000000,00900,0000,00900NURSING ADMINISTRATION 2428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2428,A000000,01100,0000,01100PHARMACY 2428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2428,A000000,01300,0000,01300SOCIAL SERVICE 2428,A000000,01350,0000,01500OTHER GENERAL SERVICES 2428,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2428,A000000,01600,0000,01600SKILLED NURSING FACILITY 2428,A000000,01800,0000,01800NURSING FACILITY 2428,A000000,01810,0000,01810ICF/MR 2428,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2428,A000000,02500,0000,02500PHYSICAL THERAPY 2428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2428,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2428,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2428,A000000,03550,0000,03550FQHC 2428,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2428,A000000,05000,0000,05000CORF 2428,A000000,05010,0000,05010CMHC 2428,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2428,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2428,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2428,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2428,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2428,B100000,00000,0100,00000SQUARE FEET 2428,B100000,00000,0200,00000DOLLAR VALUE 2428,B100000,00000,0300,00000GROSS SALARIES 2428,B100000,00000,0400,00000ACCUM. COST 2428,B100000,00000,0500,00000SQUARE FEET 2428,B100000,00000,0600,00000PATIENT DAYS 2428,B100000,00000,0700,00000SQUARE FEET 2428,B100000,00000,0800,00000PATIENT DAYS 2428,B100000,00000,0900,00000PATIENT DAYS 2428,B100000,00000,1000,00000COSTED REQUIS. 2428,B100000,00000,1100,00000COSTED REQUIS. 2428,B100000,00000,1200,00000PATIENT DAYS 2428,B100000,00000,1300,00000PATIENT DAYS 2428,B100000,00000,1350,00000NO STATISTICS 2428,B100000,00000,1400,00000ASSIGNED TIME 2428,S000000,00100,0200,05/23/2000 2428,S200000,00100,0100,900 WEST 12TH 2428,S200000,00200,0100,RUSSELLVILLE 2428,S200000,00200,0200,AR 2428,S200000,00300,0100,POLK 2428,S200000,00400,0100,LEGACY LODGE NURSING HOME 2428,S200000,00400,0200,045238 2428,S200000,00400,0300,01/01/1998 2428,S200000,00400,0500,P 2428,S200000,01600,0100,Y 2441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2441,A000000,00300,0000,00300EMPLOYEE BENEFITS 2441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2441,A000000,00700,0000,00700HOUSEKEEPING 2441,A000000,00800,0000,00800DIETARY 2441,A000000,00801,0000,00801CAFETERIA 2441,A000000,00900,0000,00900NURSING ADMINISTRATION 2441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2441,A000000,01100,0000,01100PHARMACY 2441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2441,A000000,01300,0000,01300SOCIAL SERVICE 2441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2441,A000000,01600,0000,01600SKILLED NURSING FACILITY 2441,A000000,01800,0000,01800NURSING FACILITY 2441,A000000,01810,0000,01810ICF/MR 2441,A000000,02300,0000,02300INTRAVENOUS THERAPY 2441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2441,A000000,02500,0000,02500PHYSICAL THERAPY 2441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2441,A000000,02700,0000,02700SPEECH PATHOLOGY 2441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2441,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 2441,A000000,03550,0000,03550FQHC 2441,A000000,05000,0000,05000CORF 2441,A000000,05010,0000,05010CMHC 2441,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2441,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2441,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2441,A000000,05300,0000,05300INTEREST EXPENSE 2441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2441,A000000,05901,0000,05901VENDING 2441,A000000,06150,0000,06300MANOR 2441,A000000,06151,0000,06301GUEST MEALS 2441,B100000,00000,0100,00001SQUARE FEET 2441,B100000,00000,0200,00001SQUARE FEET 2441,B100000,00000,0300,00001GROSS SALARIES 2441,B100000,00000,0400,00001ACCUM. COST 2441,B100000,00000,0500,00001SQUARE FEET 2441,B100000,00000,0600,00001PATIENT DAYS 2441,B100000,00000,0700,00001SQUARE FEET 2441,B100000,00000,0800,00001MEALS SERVED 2441,B100000,00000,0801,00001PAID HOURS 2441,B100000,00000,0900,00001HOURS OF SERVICE 2441,B100000,00000,1000,00001COSTED REQUIS. 2441,B100000,00000,1100,00001COSTED REQUIS. 2441,B100000,00000,1200,00001GROSS REVENUE 2441,B100000,00000,1300,00001TIME SPENT 2441,B100000,00000,1400,00001ASSIGNED TIME 2441,S000000,00100,0200,06/21/2000 2441,S200000,00100,0100,101 CYNTHIA STREET 2441,S200000,00100,0300,670 2441,S200000,00200,0100,JUDSONIA 2441,S200000,00200,0200,AR 2441,S200000,00200,0300,72081 2441,S200000,00300,0100,WHITE 2441,S200000,00400,0100,OAKDALE NURSING FACILITY 2441,S200000,00400,0200,045240 2441,S200000,00400,0300,09/01/1994 2441,S200000,00400,0500,P 2441,S200000,01600,0100,Y 2448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2448,A000000,00300,0000,00300EMPLOYEE BENEFITS 2448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2448,A000000,00700,0000,00700HOUSEKEEPING 2448,A000000,00800,0000,00800DIETARY 2448,A000000,00900,0000,00900NURSING ADMINISTRATION 2448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2448,A000000,01100,0000,01100PHARMACY 2448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2448,A000000,01300,0000,01300SOCIAL SERVICE 2448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2448,A000000,01600,0000,01600SKILLED NURSING FACILITY 2448,A000000,01800,0000,01800NURSING FACILITY 2448,A000000,01810,0000,01810ICF/MR 2448,A000000,02200,0000,02200LABORATORY 2448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2448,A000000,02500,0000,02500PHYSICAL THERAPY 2448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2448,A000000,02700,0000,02700SPEECH PATHOLOGY 2448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2448,A000000,03550,0000,03550FQHC 2448,A000000,05000,0000,05000CORF 2448,A000000,05010,0000,05010CMHC 2448,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2448,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2448,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2448,A81000A,00100,0100,Y 2448,A81000B,00100,0300,HOME OFFICE COSTS 2448,A81000C,00100,0100,B 2448,A81000C,00100,0200,DVCR LEASING CO 2448,A81000C,00100,0400,ADVOCAT INC. 2448,A81000C,00100,0600,L/T CARE MGT CO 2448,B100000,00000,0100,00000SQUARE FEET 2448,B100000,00000,0200,00000SQUARE FEET 2448,B100000,00000,0300,00000GROSS SALARIES 2448,B100000,00000,0400,00000ACCUM COST 2448,B100000,00000,0500,00000SQUARE FEET 2448,B100000,00000,0600,00000PATIENT DAYS 2448,B100000,00000,0700,00000HOURS OF SERVICE 2448,B100000,00000,0800,00000PATIENT DAYS 2448,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2448,B100000,00000,1000,00000COSTED REQUIS 2448,B100000,00000,1100,00000COSTED REQUIS 2448,B100000,00000,1200,00000PATIENT REVENUES 2448,B100000,00000,1300,00000PATIENT DAYS 2448,B100000,00000,1400,00000ASSIGNED TIME 2448,S000000,00100,0200,10/26/2000 2448,S200000,00100,0100,235 HUNTSVILLE ROAD 2448,S200000,00200,0100,EUREKA SPRINGS 2448,S200000,00200,0200,AR 2448,S200000,00200,0300,72632 2448,S200000,00300,0100,CARROLL 2448,S200000,00400,0100,EUREKA SPRINGS CONV. CENTER 2448,S200000,00400,0200,045242 2448,S200000,00400,0300,08/01/1994 2448,S200000,00400,0500,P 2448,S200000,01600,0100,Y 2448,S200000,02200,0100,Y 2467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2467,A000000,00300,0000,00300EMPLOYEE BENEFITS 2467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2467,A000000,00700,0000,00700HOUSEKEEPING 2467,A000000,00800,0000,00800DIETARY 2467,A000000,00900,0000,00900NURSING ADMINISTRATION 2467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2467,A000000,01100,0000,01100PHARMACY 2467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2467,A000000,01300,0000,01300SOCIAL SERVICE 2467,A000000,01350,0000,01500OTHER GENERAL SERVICES 2467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2467,A000000,01600,0000,01600SKILLED NURSING FACILITY 2467,A000000,01810,0000,01810ICF/MR 2467,A000000,02100,0000,02100RADIOLOGY 2467,A000000,02200,0000,02200LABORATORY 2467,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2467,A000000,02500,0000,02500PHYSICAL THERAPY 2467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2467,A000000,02700,0000,02700SPEECH PATHOLOGY 2467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2467,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2467,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2467,A000000,03550,0000,03550FQHC 2467,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2467,A000000,05000,0000,05000CORF 2467,A000000,05010,0000,05010CMHC 2467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2467,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2467,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2467,B100000,00000,0100,00000SQUARE FEET 2467,B100000,00000,0200,00000DOLLAR VALUE 2467,B100000,00000,0300,00000GROSS SALARIES 2467,B100000,00000,0400,00000ACCUM. COST 2467,B100000,00000,0500,00000SQUARE FEET 2467,B100000,00000,0600,00000PATIENT DAYS 2467,B100000,00000,0700,00000SQUARE FEET 2467,B100000,00000,0800,00000PATIENT DAYS 2467,B100000,00000,0900,00000PATIENT DAYS 2467,B100000,00000,1000,00000COSTED REQUIS. 2467,B100000,00000,1100,00000COSTED REQUIS. 2467,B100000,00000,1200,00000PATIENT DAYS 2467,B100000,00000,1300,00000PATIENT DAYS 2467,B100000,00000,1350,00000NO STATISTICS 2467,B100000,00000,1400,00000ASSIGNED TIME 2467,S000000,00100,0200,11/16/2000 2467,S200000,00100,0100,5TH & LOCKE 2467,S200000,00100,0300,69 2467,S200000,00200,0100,ASHDOWN 2467,S200000,00200,0300,71822 2467,S200000,00300,0100,L 2467,S200000,00400,0100,LITTLE RIVER NURSING HOME 2467,S200000,00400,0200,045244 2467,S200000,00400,0300,09/01/1994 2467,S200000,00400,0500,P 2467,S200000,01600,0100,Y 2476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2476,A000000,00300,0000,00300EMPLOYEE BENEFITS 2476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2476,A000000,00700,0000,00700HOUSEKEEPING 2476,A000000,00800,0000,00800DIETARY 2476,A000000,00900,0000,00900NURSING ADMINISTRATION 2476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2476,A000000,01100,0000,01100PHARMACY 2476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2476,A000000,01300,0000,01300SOCIAL SERVICE 2476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2476,A000000,01600,0000,01600SKILLED NURSING FACILITY 2476,A000000,01800,0000,01800NURSING FACILITY 2476,A000000,01810,0000,01810ICF/MR 2476,A000000,02100,0000,02100RADIOLOGY 2476,A000000,02200,0000,02200LABORATORY 2476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2476,A000000,02500,0000,02500PHYSICAL THERAPY 2476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2476,A000000,02700,0000,02700SPEECH PATHOLOGY 2476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2476,A000000,03200,0000,03200SUPPORT SURFACES 2476,A000000,03550,0000,03550FQHC 2476,A000000,05000,0000,05000CORF 2476,A000000,05010,0000,05010CMHC 2476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2476,A81000A,00100,0100,Y 2476,A81000B,00100,0300,HOME OFFICE COSTS 2476,A81000C,00100,0100,B 2476,A81000C,00100,0200,ADVOCAT INC. 2476,A81000C,00100,0400,DVCR LEASING CO 2476,A81000C,00100,0600,L/T CARE MGT CO 2476,B100000,00000,0100,00000SQUARE FEET 2476,B100000,00000,0200,00000SQUARE FEET 2476,B100000,00000,0300,00000GROSS SALARIES 2476,B100000,00000,0400,00000ACCUM COST 2476,B100000,00000,0500,00000SQUARE FEET 2476,B100000,00000,0600,00000PATIENT DAYS 2476,B100000,00000,0700,00000SQUARE FEET 2476,B100000,00000,0800,00000PATIENT DAYS 2476,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2476,B100000,00000,1000,00000COSTED REQUIS 2476,B100000,00000,1100,00000COSTED REQUIS 2476,B100000,00000,1200,00000PATIENT REVENUES 2476,B100000,00000,1300,00000PATIENT DAYS 2476,B100000,00000,1400,00000ASSIGNED TIME 2476,S000000,00100,0200,11/02/2000 2476,S200000,00100,0100,2603 DAVE WARD DRIVE 2476,S200000,00200,0100,FAULKNER 2476,S200000,00200,0200,AR 2476,S200000,00200,0300,72032 2476,S200000,00300,0100,F 2476,S200000,00400,0100,FAULKNER NURSING CENTER 2476,S200000,00400,0200,045245 2476,S200000,00400,0300,08/15/1994 2476,S200000,00400,0500,P 2476,S200000,01600,0100,Y 2476,S200000,02200,0100,Y 2487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2487,A000000,00300,0000,00300EMPLOYEE BENEFITS 2487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2487,A000000,00700,0000,00700HOUSEKEEPING 2487,A000000,00800,0000,00800DIETARY 2487,A000000,00900,0000,00900NURSING ADMINISTRATION 2487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2487,A000000,01100,0000,01100PHARMACY 2487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2487,A000000,01300,0000,01300SOCIAL SERVICE 2487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2487,A000000,01600,0000,01600SKILLED NURSING FACILITY 2487,A000000,01800,0000,01800NURSING FACILITY 2487,A000000,01810,0000,01810ICF/MR 2487,A000000,02200,0000,02200LABORATORY 2487,A000000,02500,0000,02500PHYSICAL THERAPY 2487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2487,A000000,02700,0000,02700SPEECH PATHOLOGY 2487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2487,A000000,03550,0000,03550FQHC 2487,A000000,05000,0000,05000CORF 2487,A000000,05010,0000,05010CMHC 2487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2487,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 2487,A81000A,00100,0100,Y 2487,A81000B,00100,0300,HOME OFFICE - CRC BLDG 2487,A81000B,00200,0300,HOME OFFICE - CRC EQUIP 2487,A81000B,00300,0300,HOME OFFICE - A & G 2487,A81000B,00400,0300,HEALTH INSURANCE 2487,A81000B,00500,0300,WORKERS COMP 2487,A81000C,00100,0100,B 2487,A81000C,00100,0200,PERRY COUNTY NURSING CTR 2487,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2487,A81000C,00100,0600,HOME OFFICE 2487,B100000,00000,0100,00000SQUARE FEET 2487,B100000,00000,0200,00000SQUARE FEET 2487,B100000,00000,0300,00000GROSS SALARIES 2487,B100000,00000,0400,00000ACCUM. COST 2487,B100000,00000,0500,00000SQUARE FEET 2487,B100000,00000,0600,00000PATIENT DAYS 2487,B100000,00000,0700,00000SQUARE FEET 2487,B100000,00000,0800,00000MEALS SERVED 2487,B100000,00000,0900,00000HOURS SUPERVISED 2487,B100000,00000,1000,00000COSTED REQUIS. 2487,B100000,00000,1100,00000COSTED REQUIS. 2487,B100000,00000,1200,00000GROSS REVENUE 2487,B100000,00000,1300,00000PATIENT DAYS 2487,B100000,00000,1400,00000ASSIGNED TIME 2487,S000000,00100,0200,05/31/2000 2487,S200000,00100,0300,270 2487,S200000,00200,0100,PERRYVILLE 2487,S200000,00200,0200,AR 2487,S200000,00200,0300,72126 2487,S200000,00300,0100,PERRY 2487,S200000,00400,0100,PERRY COUNTY NURSING CENTER 2487,S200000,00400,0200,045246 2487,S200000,00400,0300,09/15/1994 2487,S200000,00400,0500,P 2487,S200000,01600,0100,Y 2487,S200000,02800,0100,Y 2487,S200000,04300,0100,Y 2495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2495,A000000,00300,0000,00300EMPLOYEE BENEFITS 2495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2495,A000000,00700,0000,00700HOUSEKEEPING 2495,A000000,00800,0000,00800DIETARY 2495,A000000,00900,0000,00900NURSING ADMINISTRATION 2495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2495,A000000,01100,0000,01100PHARMACY 2495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2495,A000000,01300,0000,01300SOCIAL SERVICE 2495,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2495,A000000,01600,0000,01600SKILLED NURSING FACILITY 2495,A000000,01800,0000,01800NURSING FACILITY 2495,A000000,01810,0000,01810ICF/MR 2495,A000000,02100,0000,02100RADIOLOGY 2495,A000000,02200,0000,02200LABORATORY 2495,A000000,02500,0000,02500PHYSICAL THERAPY 2495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2495,A000000,02700,0000,02700SPEECH PATHOLOGY 2495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2495,A000000,03550,0000,03550FQHC 2495,A000000,05000,0000,05000CORF 2495,A000000,05010,0000,05010CMHC 2495,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2495,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2495,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2495,A81000A,00100,0100,Y 2495,A81000B,00100,0300,HOME OFFICE - A&G 2495,A81000B,00200,0300,CRC - BLDG 2495,A81000B,00300,0300,CRC - MME 2495,A81000B,00400,0300,EE BENEFITS 2495,A81000B,00500,0300,EE BENEFITS 2495,A81000C,00100,0100,B 2495,A81000C,00100,0200,STELLA MANOR NURSING CTR 2495,A81000C,00100,0400,CENTRAL AR NURSING CTRS 2495,A81000C,00100,0600,HOME OFFICE 2495,B100000,00000,0100,00000SQUARE FEET 2495,B100000,00000,0200,00000SQUARE FEET 2495,B100000,00000,0300,00000GROSS SALARIES 2495,B100000,00000,0400,00000ACCUM. COST 2495,B100000,00000,0500,00000SQUARE FEET 2495,B100000,00000,0600,00000PATIENT DAYS 2495,B100000,00000,0700,00000SQUARE FEET 2495,B100000,00000,0800,00000MEALS SERVED 2495,B100000,00000,0900,00000HOURS SUPERVISED 2495,B100000,00000,1000,00000COSTED REQUIS. 2495,B100000,00000,1100,00000COSTED REQUIS. 2495,B100000,00000,1200,00000GROSS CHARGES 2495,B100000,00000,1300,00000PATIENT DAYS 2495,B100000,00000,1400,00000ASSIGNED TIME 2495,E10A180,00350,0300,02/23/2000 2495,S000000,00100,0200,05/31/2000 2495,S200000,00100,0100,400 NORTH VANCOUVER AVE 2495,S200000,00200,0100,RUSSELLVILLE 2495,S200000,00200,0200,AR 2495,S200000,00200,0300,72601 2495,S200000,00300,0100,POPE 2495,S200000,00400,0100,STELLA MANOR NURSING CENTER 2495,S200000,00400,0200,045247 2495,S200000,00400,0300,09/01/1994 2495,S200000,00400,0500,P 2495,S200000,01600,0100,Y 2502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2502,A000000,00300,0000,00300EMPLOYEE BENEFITS 2502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2502,A000000,00700,0000,00700HOUSEKEEPING 2502,A000000,00800,0000,00800DIETARY 2502,A000000,00900,0000,00900NURSING ADMINISTRATION 2502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2502,A000000,01100,0000,01100PHARMACY 2502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2502,A000000,01300,0000,01300SOCIAL SERVICE 2502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2502,A000000,01600,0000,01600SKILLED NURSING FACILITY 2502,A000000,01800,0000,01800NURSING FACILITY 2502,A000000,01810,0000,01810ICF/MR 2502,A000000,02200,0000,02200LABORATORY 2502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2502,A000000,02500,0000,02500PHYSICAL THERAPY 2502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2502,A000000,02700,0000,02700SPEECH PATHOLOGY 2502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2502,A000000,03550,0000,03550FQHC 2502,A000000,05000,0000,05000CORF 2502,A000000,05010,0000,05010CMHC 2502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2502,A000000,06150,0000,06300GUEST MEALS 2502,A81000A,00100,0100,Y 2502,A81000B,00100,0300,BLDG RENT 2502,A81000B,00200,0300,MANAGEMENT FEES 2502,A81000C,00100,0100,G 2502,A81000C,00100,0200,COOPER COOPER & HARGIS 2502,A81000C,00100,0400,NORTH ARKANSAS QUALITY CA 2502,A81000C,00100,0600,RENTAL 2502,A81000C,00200,0100,G 2502,A81000C,00200,0200,COOPER MANAGEMENT CORP 2502,A81000C,00200,0400,NORTH ARKANSAS QUALITY CA 2502,A81000C,00200,0600,MANAGEMENT 2502,B100000,00000,0100,00000SQUARE FEET 2502,B100000,00000,0200,00000DOLLAR VALUE 2502,B100000,00000,0300,00000GROSS SALARIES 2502,B100000,00000,0400,00000ACCUM. COST 2502,B100000,00000,0500,00000SQUARE FEET 2502,B100000,00000,0600,00000PATIENT DAYS 2502,B100000,00000,0700,00000SQUARE FEET 2502,B100000,00000,0800,00000MEALS SERVED 2502,B100000,00000,0900,00000PATIENT DAYS 2502,B100000,00000,1000,00000COSTED REQUIS. 2502,B100000,00000,1100,00000COSTED REQUIS. 2502,B100000,00000,1200,00000GROSS CHARGES 2502,B100000,00000,1300,00000PATIENT DAYS 2502,B100000,00000,1400,00000ASSIGNED TIME 2502,S000000,00100,0200,06/28/2000 2502,S200000,00100,0300,P.O. BOX 397 2502,S200000,00200,0100,SALEM 2502,S200000,00200,0200,AR 2502,S200000,00200,0300,72576 2502,S200000,00300,0100,FULTON 2502,S200000,00400,0100,FULTON COUNTY NURSING CENTER 2502,S200000,00400,0200,045248 2502,S200000,00400,0300,09/01/1994 2502,S200000,00400,0500,P 2502,S200000,01500,0100,Y 2510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2510,A000000,00300,0000,00300EMPLOYEE BENEFITS 2510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2510,A000000,00700,0000,00700HOUSEKEEPING 2510,A000000,00800,0000,00800DIETARY 2510,A000000,00900,0000,00900NURSING ADMINISTRATION 2510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2510,A000000,01100,0000,01100PHARMACY 2510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2510,A000000,01300,0000,01300SOCIAL SERVICE 2510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2510,A000000,01600,0000,01600SKILLED NURSING FACILITY 2510,A000000,01800,0000,01800NURSING FACILITY 2510,A000000,01810,0000,01810ICF/MR 2510,A000000,02100,0000,02100RADIOLOGY 2510,A000000,02200,0000,02200LABORATORY 2510,A000000,02500,0000,02500PHYSICAL THERAPY 2510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2510,A000000,02700,0000,02700SPEECH PATHOLOGY 2510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2510,A000000,03550,0000,03550FQHC 2510,A000000,05000,0000,05000CORF 2510,A000000,05010,0000,05010CMHC 2510,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2510,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2510,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2510,A81000A,00100,0100,Y 2510,A81000B,00100,0300,CRC - BLDG 2510,A81000B,00200,0300,CRC - MME 2510,A81000B,00300,0300,HOME OFFICE A&G 2510,A81000B,00400,0300,EMPLOYEE BENEFITS 2510,A81000B,00500,0300,EMPLOYEE BENEFITS 2510,A81000C,00100,0100,B 2510,A81000C,00100,0200,HEATHER MANOR NORTH 2510,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2510,A81000C,00100,0600,HOME OFFICE 2510,B100000,00000,0100,00000SQUARE FEET 2510,B100000,00000,0200,00000SQUARE FEET 2510,B100000,00000,0300,00000GROSS SALARIES 2510,B100000,00000,0400,00000ACCUM. COST 2510,B100000,00000,0500,00000SQUARE FEET 2510,B100000,00000,0600,00000PATIENT DAYS 2510,B100000,00000,0700,00000SQUARE FEET 2510,B100000,00000,0800,00000MEALS SERVED 2510,B100000,00000,0900,00000HOURS SUPERVISED 2510,B100000,00000,1000,00000COSTED REQUIS. 2510,B100000,00000,1100,00000COSTED REQUIS. 2510,B100000,00000,1200,00000GROSS CHARGES 2510,B100000,00000,1300,00000PATIENT DAYS 2510,B100000,00000,1400,00000ASSIGNED TIME 2510,E10A180,00301,0300,02/04/2000 2510,S000000,00100,0200,05/26/2000 2510,S200000,00100,0100,707 EAST GREENWELL 2510,S200000,00200,0100,HOPE 2510,S200000,00200,0200,AR 2510,S200000,00300,0100,HEMPSTEAD 2510,S200000,00400,0100,HEATHER MANOR NURSING CENTER NORTH 2510,S200000,00400,0200,045249 2510,S200000,00400,0300,09/15/1994 2510,S200000,00400,0500,P 2510,S200000,01600,0100,Y 2510,S200000,02800,0100,Y 2519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2519,A000000,00300,0000,00300EMPLOYEE BENEFITS 2519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2519,A000000,00700,0000,00700HOUSEKEEPING 2519,A000000,00800,0000,00800DIETARY 2519,A000000,00900,0000,00900NURSING ADMINISTRATION 2519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2519,A000000,01100,0000,01100PHARMACY 2519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2519,A000000,01300,0000,01300SOCIAL SERVICE 2519,A000000,01350,0000,01500OTHER GENERAL SERVICES 2519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2519,A000000,01600,0000,01600SKILLED NURSING FACILITY 2519,A000000,01800,0000,01800NURSING FACILITY 2519,A000000,01810,0000,01810ICF/MR 2519,A000000,02100,0000,02100RADIOLOGY 2519,A000000,02200,0000,02200LABORATORY 2519,A000000,02500,0000,02500PHYSICAL THERAPY 2519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2519,A000000,02700,0000,02700SPEECH PATHOLOGY 2519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2519,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2519,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2519,A000000,03550,0000,03550FQHC 2519,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2519,A000000,05000,0000,05000CORF 2519,A000000,05010,0000,05010CMHC 2519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2519,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2519,A81000A,00100,0100,Y 2519,A81000B,00100,0300,CAPITAL ALLOCATION 2519,A81000B,00200,0300,NONCAPITAL ALLOCATION 2519,A81000B,00300,0300,INTEREST ALLOCATION 2519,A81000C,00100,0100,A 2519,A81000C,00100,0200,J FRANKUM 2519,A81000C,00100,0400,REGIONAL MANAGEMENT 2519,A81000C,00100,0600,MANAGEMENT COMPANY 2519,A81000C,00200,0100,A 2519,A81000C,00200,0200,J FRANKUM 2519,A81000C,00200,0400,REGIONAL MANAGEMENT 2519,A81000C,00200,0600,MANAGEMENT COMPANY 2519,A81000C,00300,0100,A 2519,A81000C,00300,0200,J FRANKUM 2519,A81000C,00300,0400,REGIONAL MANAGEMENT 2519,A81000C,00300,0600,MANAGEMENT COMPANY 2519,B100000,00000,0100,00000SQUARE FEET 2519,B100000,00000,0200,00000DOLLAR VALUE 2519,B100000,00000,0300,00000GROSS SALARIES 2519,B100000,00000,0400,00000ACCUM. COST 2519,B100000,00000,0500,00000SQUARE FEET 2519,B100000,00000,0600,00000PATIENT DAYS 2519,B100000,00000,0700,00000SQUARE FEET 2519,B100000,00000,0800,00000PATIENT DAYS 2519,B100000,00000,0900,00000DIRECT NRSING HRS 2519,B100000,00000,1000,00000COSTED REQUIS. 2519,B100000,00000,1100,00000COSTED REQUIS. 2519,B100000,00000,1200,00000GROSS CHARGES 2519,B100000,00000,1300,00000PATIENT DAYS 2519,B100000,00000,1350,00000NO STATISTICS 2519,B100000,00000,1400,00000ASSIGNED TIME 2519,S000000,00100,0200,05/26/2000 2519,S200000,00100,0100,100 WEST 5TH & WALNUT 2519,S200000,00200,0100,CORNING 2519,S200000,00200,0200,AR 2519,S200000,00200,0300,72422 2519,S200000,00300,0100,CLAY 2519,S200000,00400,0100,CLAY HEALTHCARE 2519,S200000,00400,0200,045251 2519,S200000,00400,0300,11/01/1996 2519,S200000,00400,0500,P 2519,S200000,01600,0100,Y 2525,S000000,00100,0200,05/30/2000 2531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2531,A000000,00300,0000,00300EMPLOYEE BENEFITS 2531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2531,A000000,00700,0000,00700HOUSEKEEPING 2531,A000000,00800,0000,00800DIETARY 2531,A000000,00900,0000,00900NURSING ADMINISTRATION 2531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2531,A000000,01100,0000,01100PHARMACY 2531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2531,A000000,01300,0000,01300SOCIAL SERVICE 2531,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2531,A000000,01600,0000,01600SKILLED NURSING FACILITY 2531,A000000,01800,0000,01800NURSING FACILITY 2531,A000000,01810,0000,01810ICF/MR 2531,A000000,02100,0000,02100RADIOLOGY 2531,A000000,02200,0000,02200LABORATORY 2531,A000000,02500,0000,02500PHYSICAL THERAPY 2531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2531,A000000,02700,0000,02700SPEECH PATHOLOGY 2531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2531,A000000,03550,0000,03550FQHC 2531,A000000,05000,0000,05000CORF 2531,A000000,05010,0000,05010CMHC 2531,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2531,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2531,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2531,A81000A,00100,0100,Y 2531,A81000B,00100,0300,MANAGEMENT FEES 2531,A81000B,00200,0300,CRC-BLDG 2531,A81000B,00300,0300,CRC-MME 2531,A81000B,00400,0300,HEALTH INSURANCE 2531,A81000B,00500,0300,WORKERS COMP 2531,A81000C,00100,0100,B 2531,A81000C,00100,0200,QUALITY CARE NURSING CNTR 2531,A81000C,00100,0400,CENTRAL AR NURSING CTR 2531,A81000C,00100,0600,HOME OFFICE 2531,A81000C,00200,0100,B 2531,B100000,00000,0100,00000SQUARE FEET 2531,B100000,00000,0200,00000SQUARE FEET 2531,B100000,00000,0300,00000GROSS SALARIES 2531,B100000,00000,0400,00000ACCUM. COST 2531,B100000,00000,0500,00000SQUARE FEET 2531,B100000,00000,0600,00000PATIENT DAYS 2531,B100000,00000,0700,00000SQUARE FEET 2531,B100000,00000,0800,00000MEALS SERVED 2531,B100000,00000,0900,00000HOURS SUPERVISED 2531,B100000,00000,1000,00000COSTED REQUIS. 2531,B100000,00000,1100,00000COSTED REQUIS. 2531,B100000,00000,1200,00000GROSS CHARGES 2531,B100000,00000,1300,00000PATIENT DAYS 2531,B100000,00000,1400,00000ASSIGNED TIME 2531,E10A180,00350,0300,12/31/1999 2531,S000000,00100,0200,05/26/2000 2531,S200000,00100,0100,351 WOODFIN STREET 2531,S200000,00200,0100,HOT SPRINGS 2531,S200000,00200,0200,AR 2531,S200000,00200,0300,71901 2531,S200000,00300,0100,GARLAND 2531,S200000,00400,0100,QUALITY CARE NURSING CENTER 2531,S200000,00400,0200,045254 2531,S200000,00400,0300,11/01/1994 2531,S200000,00400,0500,P 2531,S200000,01600,0100,Y 2561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2561,A000000,00300,0000,00300EMPLOYEE BENEFITS 2561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2561,A000000,00700,0000,00700HOUSEKEEPING 2561,A000000,00800,0000,00800DIETARY 2561,A000000,00900,0000,00900NURSING ADMINISTRATION 2561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2561,A000000,01100,0000,01100PHARMACY 2561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2561,A000000,01300,0000,01300SOCIAL SERVICE 2561,A000000,01301,0000,01301ACTIVITIES 2561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2561,A000000,01600,0000,01600SKILLED NURSING FACILITY 2561,A000000,01800,0000,01800NURSING FACILITY 2561,A000000,01810,0000,01810ICF/MR 2561,A000000,02100,0000,02100RADIOLOGY 2561,A000000,02200,0000,02200LABORATORY 2561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2561,A000000,02500,0000,02500PHYSICAL THERAPY 2561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2561,A000000,02700,0000,02700SPEECH PATHOLOGY 2561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2561,A000000,03550,0000,03550FQHC 2561,A000000,05000,0000,05000CORF 2561,A000000,05010,0000,05010CMHC 2561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2561,A000000,05300,0000,05300INTEREST EXPENSE 2561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2561,A000000,05902,0000,05902VENDING 2561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2561,B100000,00000,0100,00000SQUARE FEET 2561,B100000,00000,0200,00000SQUARE FEET 2561,B100000,00000,0300,00000GROSS SALARIES 2561,B100000,00000,0400,00000ACCUM. COST 2561,B100000,00000,0500,00000SQUARE FEET 2561,B100000,00000,0600,00000PATIENT DAYS 2561,B100000,00000,0700,00000SQUARE FEET 2561,B100000,00000,0800,00000MEALS SERVED 2561,B100000,00000,0900,00000TIME SPENT 2561,B100000,00000,1000,00000COSTED REQUIS. 2561,B100000,00000,1100,00000PATIENT DAYS 2561,B100000,00000,1200,00000GROSS REVENUE 2561,B100000,00000,1300,00000TIME SPENT 2561,B100000,00000,1301,00000 NUMBER 2561,B100000,00000,1400,00000ASSIGNED TIME 2561,S000000,00100,0200,05/31/2000 2561,S200000,00100,0100,8701 RILEY DRIVE 2561,S200000,00200,0100,LITTLE ROCK 2561,S200000,00200,0200,AR 2561,S200000,00200,0300,72205 2561,S200000,00300,0100,PULASKI 2561,S200000,00400,0100,RILEYS OAK HILL MANOR - SOUTH 2561,S200000,00400,0200,045259 2561,S200000,00400,0300,11/10/1994 2561,S200000,00400,0500,P 2561,S200000,01600,0100,Y 2578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2578,A000000,00300,0000,00300EMPLOYEE BENEFITS 2578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2578,A000000,00700,0000,00700HOUSEKEEPING 2578,A000000,00800,0000,00800DIETARY 2578,A000000,00801,0000,00801EMPLOYEE MEALS 2578,A000000,00900,0000,00900NURSING ADMINISTRATION 2578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2578,A000000,01100,0000,01100PHARMACY 2578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2578,A000000,01300,0000,01300SOCIAL SERVICE 2578,A000000,01350,0000,01500OTHER GENERAL SERVICES 2578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2578,A000000,01600,0000,01600SKILLED NURSING FACILITY 2578,A000000,01810,0000,01810ICF/MR 2578,A000000,02100,0000,02100RADIOLOGY 2578,A000000,02200,0000,02200LABORATORY 2578,A000000,02500,0000,02500PHYSICAL THERAPY 2578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2578,A000000,02700,0000,02700SPEECH PATHOLOGY 2578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2578,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2578,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2578,A000000,03550,0000,03550FQHC 2578,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2578,A000000,05000,0000,05000CORF 2578,A000000,05010,0000,05010CMHC 2578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2578,A000000,05300,0000,05300INTEREST EXPENSE 2578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2578,A81000A,00100,0100,Y 2578,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 2578,A81000B,00200,0300,AUTO EXPENSE 2578,A81000B,00300,0300,BUILDING EXPENSE 2578,A81000B,00400,0300,WAGE RELATED EXPENSES 2578,A81000B,00500,0300,MANAGEMENT FEES 2578,A81000B,00600,0300,CONSULTANT 2578,A81000B,00700,0300,CONSULTANT 2578,A81000B,00800,0300,CONSULTANT 2578,A81000B,00900,0300,CONSULTANT 2578,A81000B,01000,0300,CONSULTANT 2578,A81000B,01100,0300,CONSULTANT 2578,A81000C,00100,0100,B 2578,A81000C,00100,0200,ROSE CARE INC. 2578,A81000C,00100,0400,ROSE CARE INC. 2578,A81000C,00100,0600,RELATED MANAGEMENT CO. 2578,A81000C,00200,0100,B 2578,A81000C,00200,0200,ROSE CARE INC. 2578,A81000C,00200,0400,ROSE CARE INC. 2578,A81000C,00200,0600,RELATED MANAGEMENT CO. 2578,A81000C,00300,0100,B 2578,A81000C,00300,0200,ROSE CARE INC. 2578,A81000C,00300,0400,ROSE CARE INC. 2578,A81000C,00300,0600,RELATED MANAGEMENT CO. 2578,A81000C,00400,0100,B 2578,A81000C,00400,0200,ROSE CARE INC. 2578,A81000C,00400,0400,ROSE CARE INC. 2578,A81000C,00400,0600,RELATED MANAGEMENT CO. 2578,A81000C,00500,0100,B 2578,A81000C,00500,0200,ROSE CARE INC. 2578,A81000C,00500,0400,ROSE CARE INC. 2578,A81000C,00500,0600,RELATED MANAGEMENT CO. 2578,A81000C,00600,0100,B 2578,A81000C,00600,0200,ROSE CARE INC. 2578,A81000C,00600,0400,ROSE CARE INC. 2578,A81000C,00600,0600,RELATED MANAGEMENT CO. 2578,A81000C,00700,0100,B 2578,A81000C,00700,0200,ROSE CARE INC. 2578,A81000C,00700,0400,ROSE CARE INC. 2578,A81000C,00700,0600,RELATED MANAGEMENT CO. 2578,A81000C,00800,0100,B 2578,A81000C,00800,0200,ROSE CARE INC. 2578,A81000C,00800,0400,ROSE CARE INC. 2578,A81000C,00800,0600,RELATED MANAGEMENT CO. 2578,A81000C,00900,0100,B 2578,A81000C,00900,0200,ROSE CARE INC. 2578,A81000C,00900,0400,ROSE CARE INC. 2578,A81000C,00900,0600,RELATED MANAGEMENT CO. 2578,A81000C,01000,0100,B 2578,A81000C,01000,0200,ROSE CARE INC. 2578,A81000C,01000,0400,ROSE CARE INC. 2578,A81000C,01000,0600,RELATED MANAGEMENT CO. 2578,A81000C,01100,0100,B 2578,A81000C,01100,0200,ROSE CARE INC. 2578,A81000C,01100,0400,ROSE CARE INC. 2578,A81000C,01100,0600,RELATED MANAGEMENT CO. 2578,B100000,00000,0100,00000SQUARE FEET 2578,B100000,00000,0200,00000NO STATISTICS 2578,B100000,00000,0300,00000GROSS SALARIES 2578,B100000,00000,0400,00000ACCUM. COST 2578,B100000,00000,0500,00000SQUARE FEET 2578,B100000,00000,0600,00000POUNDS OF LAUNDRY 2578,B100000,00000,0700,00000SQUARE FEET 2578,B100000,00000,0800,00000MEALS SERVED 2578,B100000,00000,0801,00000GROSS SALARIES 2578,B100000,00000,0900,00000TIME SPENT 2578,B100000,00000,1000,00000NO STATISTICS 2578,B100000,00000,1100,00000NO STATISTICS 2578,B100000,00000,1200,00000TIME SPENT 2578,B100000,00000,1300,00000TIME SPENT 2578,B100000,00000,1350,00000MEALS SERVED 2578,B100000,00000,1400,00000NO STATISTICS 2578,S000000,00100,0200,06/08/2000 2578,S200000,00100,0100,HWY. 167 S. & LOCUST STREET 2578,S200000,00200,0100,HAMPTON 2578,S200000,00200,0200,AR 2578,S200000,00200,0300,71744 2578,S200000,00300,0100,CALHOUN 2578,S200000,00400,0100,HAMPTON NURSING CENTER 2578,S200000,00400,0200,045264 2578,S200000,00400,0300,01/01/1995 2578,S200000,00400,0500,P 2578,S200000,01500,0100,Y 2607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2607,A000000,00300,0000,00300EMPLOYEE BENEFITS 2607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2607,A000000,00700,0000,00700HOUSEKEEPING 2607,A000000,00800,0000,00800DIETARY 2607,A000000,00801,0000,00801CAFETERIA 2607,A000000,00900,0000,00900NURSING ADMINISTRATION 2607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2607,A000000,01100,0000,01100PHARMACY 2607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2607,A000000,01300,0000,01300SOCIAL SERVICE 2607,A000000,01350,0000,01500OTHER GENERAL SERVICES 2607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2607,A000000,01600,0000,01600SKILLED NURSING FACILITY 2607,A000000,01800,0000,01800NURSING FACILITY 2607,A000000,01810,0000,01810ICF/MR 2607,A000000,01900,0000,01900OTHER LONG TERM CARE 2607,A000000,02100,0000,02100RADIOLOGY 2607,A000000,02200,0000,02200LABORATORY 2607,A000000,02500,0000,02500PHYSICAL THERAPY 2607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2607,A000000,02700,0000,02700SPEECH PATHOLOGY 2607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2607,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2607,A000000,03550,0000,03550FQHC 2607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2607,A000000,05000,0000,05000CORF 2607,A000000,05010,0000,05010CMHC 2607,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2607,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2607,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2607,A000000,05300,0000,05300INTEREST EXPENSE 2607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2607,A000000,06151,0000,06301GUEST MEALS 2607,B100000,00000,0100,00001SQUARE FEET 2607,B100000,00000,0200,00001SQUARE FEET 2607,B100000,00000,0300,00001GROSS SALARIES 2607,B100000,00000,0400,00001ACCUM. COST 2607,B100000,00000,0500,00001SQUARE FEET 2607,B100000,00000,0600,00001PATIENT DAYS 2607,B100000,00000,0700,00001SQUARE FEET 2607,B100000,00000,0800,00001MEALS SERVED 2607,B100000,00000,0801,00001PAID HOURS 2607,B100000,00000,0900,00001TIME SPENT 2607,B100000,00000,1000,00001PATIENT DAYS 2607,B100000,00000,1100,00001PATIENT DAYS 2607,B100000,00000,1200,00001GROSS REVENUE 2607,B100000,00000,1300,00001TIME SPENT 2607,B100000,00000,1350,00001NO STATISTICS 2607,B100000,00000,1400,00001ASSIGNED TIME 2607,S000000,00100,0200,05/30/2000 2607,S200000,00100,0100,1404 NORTH 28TH STREET 2607,S200000,00100,0300,860 2607,S200000,00200,0100,VAN BUREN 2607,S200000,00200,0200,AR 2607,S200000,00200,0300,72956 2607,S200000,00300,0100,CRAWFORD 2607,S200000,00400,0100,BROWNWOOD MANOR INC. 2607,S200000,00400,0200,045268 2607,S200000,00400,0300,02/11/1995 2607,S200000,00400,0500,P 2607,S200000,01600,0100,Y 2615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2615,A000000,00300,0000,00300EMPLOYEE BENEFITS 2615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2615,A000000,00700,0000,00700HOUSEKEEPING 2615,A000000,00800,0000,00800DIETARY 2615,A000000,00900,0000,00900NURSING ADMINISTRATION 2615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2615,A000000,01100,0000,01100PHARMACY 2615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2615,A000000,01300,0000,01300SOCIAL SERVICE 2615,A000000,01350,0000,01500OTHER GENERAL SERVICES 2615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2615,A000000,01600,0000,01600SKILLED NURSING FACILITY 2615,A000000,01800,0000,01800NURSING FACILITY 2615,A000000,01810,0000,01810ICF/MR 2615,A000000,02100,0000,02100RADIOLOGY 2615,A000000,02200,0000,02200LABORATORY 2615,A000000,02300,0000,02300INTRAVENOUS THERAPY 2615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2615,A000000,02500,0000,02500PHYSICAL THERAPY 2615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2615,A000000,02700,0000,02700SPEECH PATHOLOGY 2615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2615,A000000,03550,0000,03550FQHC 2615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2615,A000000,04800,0000,04800AMBULANCE 2615,A000000,05000,0000,05000CORF 2615,A000000,05010,0000,05010CMHC 2615,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2615,A81000A,00100,0100,Y 2615,A81000B,00100,0300,RENT 2615,A81000B,00200,0300,OWNERS DEPRECIATION 2615,A81000B,00300,0300,OWNERS INTEREST 2615,A81000C,00100,0100,D 2615,A81000C,00100,0200,ANNABELLE SMITH 2615,A81000C,00100,0400,A.SMITH FAMILY L.P. 2615,A81000C,00100,0600,BLDG LESSOR 2615,B100000,00000,0100,00000SQ FEET 2615,B100000,00000,0200,00000SQ FEET 2615,B100000,00000,0300,00000GROSS SALARIES 2615,B100000,00000,0400,00000ACCUM. COST 2615,B100000,00000,0500,00000SQ FEET 2615,B100000,00000,0600,00000PATIENT DAYS 2615,B100000,00000,0700,00000SQ FEET 2615,B100000,00000,0800,00000PATIENT DAYS 2615,B100000,00000,0900,00000HOURS OF SVC 2615,B100000,00000,1000,00000COSTED REQUIS. 2615,B100000,00000,1100,00000COSTED REQUIS. 2615,B100000,00000,1200,00000GROSS CHARGE 2615,B100000,00000,1300,00000PATIENT DAYS 2615,B100000,00000,1350,00000PATIENT DAYS 2615,B100000,00000,1400,00000NO STATISTICS 2615,S000000,00100,0200,02/11/2000 2615,S200000,00100,0100,702 N DREW STREET 2615,S200000,00200,0100,STAR CITY 2615,S200000,00200,0200,AR 2615,S200000,00300,0100,LINCOLN 2615,S200000,00400,0100,GARDNER NURSING HOME OF STAR CITY 2615,S200000,00400,0200,045269 2615,S200000,00400,0300,04/01/1995 2615,S200000,00400,0500,P 2615,S200000,01600,0100,Y 2615,S200000,04700,0100,Y 2628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2628,A000000,00300,0000,00300EMPLOYEE BENEFITS 2628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2628,A000000,00700,0000,00700HOUSEKEEPING 2628,A000000,00800,0000,00800DIETARY 2628,A000000,00900,0000,00900NURSING ADMINISTRATION 2628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2628,A000000,01100,0000,01100PHARMACY 2628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2628,A000000,01300,0000,01300SOCIAL SERVICE 2628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2628,A000000,01600,0000,01600SKILLED NURSING FACILITY 2628,A000000,01800,0000,01800NURSING FACILITY 2628,A000000,01810,0000,01810ICF/MR 2628,A000000,02100,0000,02100RADIOLOGY 2628,A000000,02200,0000,02200LABORATORY 2628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2628,A000000,02500,0000,02500PHYSICAL THERAPY 2628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2628,A000000,02700,0000,02700SPEECH PATHOLOGY 2628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2628,A000000,03200,0000,03200SUPPORT SURFACES 2628,A000000,03550,0000,03550FQHC 2628,A000000,05000,0000,05000CORF 2628,A000000,05010,0000,05010CMHC 2628,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2628,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2628,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2628,A81000A,00100,0100,Y 2628,A81000B,00100,0300,HOME OFFICE COSTS 2628,A81000C,00100,0100,B 2628,A81000C,00100,0200,ADVOCAT INC. 2628,A81000C,00100,0400,DVCR LEASING CO 2628,A81000C,00100,0600,L/T CARE MGT CO 2628,B100000,00000,0100,00000SQUARE FEET 2628,B100000,00000,0200,00000SQUARE FEET 2628,B100000,00000,0300,00000GROSS SALARIES 2628,B100000,00000,0400,00000ACCUM COST 2628,B100000,00000,0500,00000SQUARE FEET 2628,B100000,00000,0600,00000PATIENT DAYS 2628,B100000,00000,0700,00000SQUARE FEET 2628,B100000,00000,0800,00000PATIENT DAYS 2628,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2628,B100000,00000,1000,00000COSTED REQUIS 2628,B100000,00000,1100,00000COSTED REQUIS 2628,B100000,00000,1200,00000PATIENT REVENUES 2628,B100000,00000,1300,00000PATIENT DAYS 2628,B100000,00000,1400,00000ASSIGNED TIME 2628,S000000,00100,0200,12/28/2000 2628,S200000,00100,0100,105 RUSSELVILLE ROAD 2628,S200000,00200,0100,MALVERN 2628,S200000,00200,0200,AR 2628,S200000,00200,0300,72104 2628,S200000,00300,0100,H 2628,S200000,00400,0100,STILLMEADOW CONVALESCENT CENTER 2628,S200000,00400,0200,045270 2628,S200000,00400,0300,02/01/1995 2628,S200000,00400,0500,P 2628,S200000,01600,0100,Y 2628,S200000,02200,0100,Y 2628,S200000,02800,0100,Y 2659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2659,A000000,00300,0000,00300EMPLOYEE BENEFITS 2659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2659,A000000,00700,0000,00700HOUSEKEEPING 2659,A000000,00800,0000,00800DIETARY 2659,A000000,00900,0000,00900NURSING ADMINISTRATION 2659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2659,A000000,01100,0000,01100PHARMACY 2659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2659,A000000,01300,0000,01300SOCIAL SERVICE 2659,A000000,01350,0000,01500OTHER GENERAL SERVICES 2659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2659,A000000,01600,0000,01600SKILLED NURSING FACILITY 2659,A000000,01800,0000,01800NURSING FACILITY 2659,A000000,02500,0000,02500PHYSICAL THERAPY 2659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2659,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2659,A000000,03550,0000,03550FQHC 2659,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2659,A000000,05000,0000,05000CORF 2659,A000000,05010,0000,05010CMHC 2659,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2659,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2659,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2659,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2659,A81000A,00100,0100,Y 2659,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 2659,A81000B,00200,0300,HOME OFFICE CRC 2659,A81000C,00100,0100,A 2659,A81000C,00100,0200,J FRANKUM 2659,A81000C,00100,0400,REGIONAL MANAGEMENT INC 2659,A81000C,00100,0600,MANAGEMENT 2659,A81000C,00200,0100,A 2659,A81000C,00200,0200,J FRANKUM 2659,A81000C,00200,0400,REGIONAL MANAGEMENT INC 2659,A81000C,00200,0600,MANAGEMENT 2659,B100000,00000,0100,00000SQUARE FEET 2659,B100000,00000,0200,00000DOLLAR VALUE 2659,B100000,00000,0300,00000GROSS SALARIES 2659,B100000,00000,0400,00000ACCUM. COST 2659,B100000,00000,0500,00000SQUARE FEET 2659,B100000,00000,0600,00000POUNDS OF LAUNDRY 2659,B100000,00000,0700,00000SQUARE FEET 2659,B100000,00000,0800,00000MEALS SERVED 2659,B100000,00000,0900,00000DIRECT NRSING HRS 2659,B100000,00000,1000,00000COSTED REQUIS. 2659,B100000,00000,1100,00000COSTED REQUIS. 2659,B100000,00000,1200,00000TIME SPENT 2659,B100000,00000,1300,00000TIME SPENT 2659,B100000,00000,1350,00000NO STATISTICS 2659,B100000,00000,1400,00000ASSIGNED TIME 2659,S000000,00100,0200,06/28/1999 2659,S200000,00100,0100,601 CALICO ST 2659,S200000,00200,0100,CALICO ROCK 2659,S200000,00200,0200,AR 2659,S200000,00200,0300,72519 2659,S200000,00300,0100,IZARD 2659,S200000,00400,0100,CALICO HEALTHCARE INC 2659,S200000,00400,0200,045276 2659,S200000,00400,0300,02/01/1997 2659,S200000,00400,0500,P 2659,S200000,00400,0600,O 2659,S200000,01600,0100,Y 2674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2674,A000000,00300,0000,00300EMPLOYEE BENEFITS 2674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2674,A000000,00700,0000,00700HOUSEKEEPING 2674,A000000,00800,0000,00800DIETARY 2674,A000000,00900,0000,00900NURSING ADMINISTRATION 2674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2674,A000000,01100,0000,01100PHARMACY 2674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2674,A000000,01300,0000,01300SOCIAL SERVICE 2674,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2674,A000000,01600,0000,01600SKILLED NURSING FACILITY 2674,A000000,01800,0000,01800NURSING FACILITY 2674,A000000,01810,0000,01810ICF/MR 2674,A000000,02100,0000,02100RADIOLOGY 2674,A000000,02200,0000,02200LABORATORY 2674,A000000,02500,0000,02500PHYSICAL THERAPY 2674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2674,A000000,02700,0000,02700SPEECH PATHOLOGY 2674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2674,A000000,03550,0000,03550FQHC 2674,A000000,05000,0000,05000CORF 2674,A000000,05010,0000,05010CMHC 2674,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2674,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2674,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2674,A81000A,00100,0100,Y 2674,A81000B,00100,0300,HOME OFFICE - A & G 2674,A81000B,00200,0300,HOME OFFICE - CRC BLDG 2674,A81000B,00300,0300,HOME OFFICE - CRC EQUIP 2674,A81000B,00400,0300,HOME OFFICE - EMPLOYEE BENEFIT 2674,A81000C,00100,0100,B 2674,A81000C,00100,0200,TWIN LAKES NURSING CENTER 2674,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2674,A81000C,00100,0600,HOME OFFICE 2674,B100000,00000,0100,00000SQUARE FEET 2674,B100000,00000,0200,00000SQUARE FEET 2674,B100000,00000,0300,00000GROSS SALARIES 2674,B100000,00000,0400,00000ACCUM. COST 2674,B100000,00000,0500,00000SQUARE FEET 2674,B100000,00000,0600,00000PATIENT DAYS 2674,B100000,00000,0700,00000SQUARE FEET 2674,B100000,00000,0800,00000MEALS SERVED 2674,B100000,00000,0900,00000HOURS WORKED 2674,B100000,00000,1000,00000COSTED REQUIS. 2674,B100000,00000,1100,00000COSTED REQUIS. 2674,B100000,00000,1200,00000GROSS REVENUE 2674,B100000,00000,1300,00000PATIENT DAYS 2674,B100000,00000,1400,00000ASSIGNED TIME 2674,S000000,00100,0200,05/31/2000 2674,S200000,00100,0100,HIGHWAY 202 2674,S200000,00100,0300,1169 2674,S200000,00200,0100,FLIPPIN 2674,S200000,00200,0200,AR 2674,S200000,00200,0300,72634 2674,S200000,00300,0100,MARION 2674,S200000,00400,0100,TWIN LAKES NURSING CENTER 2674,S200000,00400,0200,045280 2674,S200000,00400,0300,05/22/1995 2674,S200000,00400,0500,P 2674,S200000,01600,0100,Y 2674,S200000,04100,0100,Y 2682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2682,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 2682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2682,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 2682,A000000,00300,0000,00300EMPLOYEE BENEFITS 2682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2682,A000000,00700,0000,00700HOUSEKEEPING 2682,A000000,00800,0000,00800DIETARY 2682,A000000,00801,0000,00801CAFETERIA 2682,A000000,00900,0000,00900NURSING ADMINISTRATION 2682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2682,A000000,01100,0000,01100PHARMACY 2682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2682,A000000,01300,0000,01300SOCIAL SERVICE 2682,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 2682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2682,A000000,01600,0000,01600SKILLED NURSING FACILITY 2682,A000000,01800,0000,01800NURSING FACILITY 2682,A000000,01810,0000,01810ICF/MR 2682,A000000,02100,0000,02100RADIOLOGY 2682,A000000,02200,0000,02200LABORATORY 2682,A000000,02300,0000,02300INTRAVENOUS THERAPY 2682,A000000,02500,0000,02500PHYSICAL THERAPY 2682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2682,A000000,02700,0000,02700SPEECH PATHOLOGY 2682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2682,A000000,03050,0000,03300OTHER ANCILLARY 2682,A000000,03051,0000,03301OTHER ANCILLARY II 2682,A000000,03052,0000,03302OTHER ANCILLARY III 2682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 2682,A000000,03550,0000,03550FQHC 2682,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2682,A000000,05000,0000,05000CORF I 2682,A000000,05010,0000,05010CMHC I 2682,A000000,05020,0000,05020OPT I 2682,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2682,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 2682,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 2682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2682,A81000A,00100,0100,Y 2682,A81000B,00100,0300,HOME OFFICE ALLOC 2682,A81000B,00200,0300,HOME OFFICE ALLOC 2682,A81000C,00100,0100,A 2682,A81000C,00100,0200,LTC SERVICES 2682,B100000,00000,0100,00000(SQUARE FEET) 2682,B100000,00000,0101,00000(SQUARE FEET) 2682,B100000,00000,0200,00000(SQUARE FEET) 2682,B100000,00000,0201,00000(SQUARE FEET) 2682,B100000,00000,0300,00000(GROSS SALARIES) 2682,B100000,00000,0400,00000(ACCUM. COST) 2682,B100000,00000,0500,00000(SQUARE FEET) 2682,B100000,00000,0600,00000(PATIENT DAYS) 2682,B100000,00000,0700,00000(SQUARE FEET) 2682,B100000,00000,0800,00000(MEALS SERVED) 2682,B100000,00000,0801,00000(MEALS SERVED) 2682,B100000,00000,0900,00000(PATIENT DAYS) 2682,B100000,00000,1000,00000(PATIENT DAYS) 2682,B100000,00000,1100,00000(PATIENT DAYS) 2682,B100000,00000,1200,00000(PATIENT DAYS) 2682,B100000,00000,1300,00000(PATIENT DAYS) 2682,B100000,00000,1350,00000 2682,B100000,00000,1400,00000(ASSIGNED TIME) 2682,S000000,00100,0200,07/18/2000 2682,S200000,00100,0100,1603 W WALNUT 2682,S200000,00200,0100,ROGERS 2682,S200000,00200,0200,AR 2682,S200000,00200,0300,72756 2682,S200000,00300,0100,BENTON 2682,S200000,00400,0100,KELLMARK SPEC NURSING CTR 2682,S200000,00400,0200,045281 2682,S200000,00400,0300,06/22/1995 2682,S200000,00400,0500,P 2682,S200000,01600,0100,Y 2689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2689,A000000,00300,0000,00300EMPLOYEE BENEFITS 2689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2689,A000000,00700,0000,00700HOUSEKEEPING 2689,A000000,00800,0000,00800DIETARY 2689,A000000,00900,0000,00900NURSING ADMINISTRATION 2689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2689,A000000,01100,0000,01100PHARMACY 2689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2689,A000000,01300,0000,01300SOCIAL SERVICE 2689,A000000,01350,0000,01500OTHER GENERAL SERVICES 2689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2689,A000000,01600,0000,01600SKILLED NURSING FACILITY 2689,A000000,01800,0000,01800NURSING FACILITY 2689,A000000,01810,0000,01810ICF/MR 2689,A000000,02100,0000,02100RADIOLOGY 2689,A000000,02200,0000,02200LABORATORY 2689,A000000,02500,0000,02500PHYSICAL THERAPY 2689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2689,A000000,02700,0000,02700SPEECH PATHOLOGY 2689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2689,A000000,03200,0000,03200SUPPORT SURFACES 2689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2689,A000000,03550,0000,03550FQHC 2689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2689,A000000,05000,0000,05000CORF 2689,A000000,05010,0000,05010CMHC 2689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2689,B100000,00000,0100,00000SQUARE FEET 2689,B100000,00000,0200,00000NO STATISTICS 2689,B100000,00000,0300,00000SALARIES 2689,B100000,00000,0400,00000ACCUM. COST 2689,B100000,00000,0500,00000SQUARE FEET 2689,B100000,00000,0600,00000PATIENT DAYS 2689,B100000,00000,0700,00000SQUARE FEET 2689,B100000,00000,0800,00000PATIENT DAYS 2689,B100000,00000,0900,00000PATIENT DAYS 2689,B100000,00000,1000,00000PATIENT DAYS 2689,B100000,00000,1100,00000PATIENT DAYS 2689,B100000,00000,1200,00000PATIENT DAYS 2689,B100000,00000,1300,00000PATIENT DAYS 2689,B100000,00000,1350,00000NO STATISTICS 2689,B100000,00000,1400,00000NO STATISTICS 2689,S000000,00100,0200,06/01/2000 2689,S200000,00100,0100,1420 PINE STREE 2689,S200000,00200,0100,ARKADELPHIA 2689,S200000,00200,0200,AR 2689,S200000,00200,0300,71923 2689,S200000,00300,0100,CLARK 2689,S200000,00400,0100,HOSPITALITY CARE CENTER 2689,S200000,00400,0200,045282 2689,S200000,00400,0300,07/01/1995 2689,S200000,00400,0500,P 2689,S200000,01600,0100,Y 2695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2695,A000000,00300,0000,00300EMPLOYEE BENEFITS 2695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2695,A000000,00700,0000,00700HOUSEKEEPING 2695,A000000,00800,0000,00800DIETARY 2695,A000000,00802,0000,00802EMPLOYEE MEALS 2695,A000000,00900,0000,00900NURSING ADMINISTRATION 2695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2695,A000000,01100,0000,01100PHARMACY 2695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2695,A000000,01300,0000,01300SOCIAL SERVICE 2695,A000000,01350,0000,01500OTHER GENERAL SERVICES 2695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2695,A000000,01600,0000,01600SKILLED NURSING FACILITY 2695,A000000,01810,0000,01810ICF/MR 2695,A000000,02100,0000,02100RADIOLOGY 2695,A000000,02200,0000,02200LABORATORY 2695,A000000,02500,0000,02500PHYSICAL THERAPY 2695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2695,A000000,02700,0000,02700SPEECH PATHOLOGY 2695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2695,A000000,03001,0000,03001EMERGENCY ROOM 2695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2695,A000000,03550,0000,03550FQHC 2695,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2695,A000000,05000,0000,05000CORF 2695,A000000,05010,0000,05010CMHC 2695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2695,A000000,05300,0000,05300INTEREST EXPENSE 2695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2695,A81000A,00100,0100,Y 2695,A81000B,00100,0300,HOME OFFICE CAPITAL 2695,A81000B,00200,0300,AUTO EXPENSE 2695,A81000B,00300,0300,MANAGEMENT FEES 2695,A81000B,00400,0300,WAGE RELATED EXPENSES 2695,A81000B,00500,0300,CONSULTANT 2695,A81000B,00600,0300,CONSULTANT 2695,A81000B,00700,0300,CONSULTANT 2695,A81000B,00800,0300,CONSULTANT 2695,A81000B,00900,0300,CONSULTANT 2695,A81000B,01000,0300,CONSULTANT 2695,A81000B,01100,0300,BUILDING EXPENSES 2695,A81000C,00100,0100,B 2695,A81000C,00100,0200,ROSE CARE INC. 2695,A81000C,00100,0400,ROSE CARE INC. 2695,A81000C,00100,0600,RELATED MANAGEMENT CO. 2695,A81000C,00200,0100,B 2695,A81000C,00200,0200,ROSE CARE INC. 2695,A81000C,00200,0400,ROSE CARE INC. 2695,A81000C,00200,0600,RELATED MANAGEMENT CO. 2695,A81000C,00300,0100,B 2695,A81000C,00300,0200,ROSE CARE INC. 2695,A81000C,00300,0400,ROSE CARE INC. 2695,A81000C,00300,0600,RELATED MANAGEMENT CO. 2695,A81000C,00400,0100,B 2695,A81000C,00400,0200,ROSE CARE INC. 2695,A81000C,00400,0400,ROSE CARE INC. 2695,A81000C,00400,0600,RELATED MANAGEMENT CO. 2695,A81000C,00500,0100,B 2695,A81000C,00500,0200,ROSE CARE INC. 2695,A81000C,00500,0400,ROSE CARE INC. 2695,A81000C,00500,0600,RELATED MANAGEMENT CO. 2695,A81000C,00600,0100,B 2695,A81000C,00600,0200,ROSE CARE INC. 2695,A81000C,00600,0400,ROSE CARE INC. 2695,A81000C,00600,0600,RELATED MANAGEMENT CO. 2695,A81000C,00700,0100,B 2695,A81000C,00700,0200,ROSE CARE INC. 2695,A81000C,00700,0400,ROSE CARE INC. 2695,A81000C,00700,0600,RELATED MANAGEMENT CO. 2695,A81000C,00800,0100,B 2695,A81000C,00800,0200,ROSE CARE INC. 2695,A81000C,00800,0400,ROSE CARE INC. 2695,A81000C,00800,0600,RELATED MANAGEMENT CO. 2695,A81000C,00900,0100,B 2695,A81000C,00900,0200,ROSE CARE INC. 2695,A81000C,00900,0400,ROSE CARE INC. 2695,A81000C,00900,0600,RELATED MANAGEMENT CO. 2695,A81000C,01000,0100,B 2695,A81000C,01000,0200,ROSE CARE INC. 2695,A81000C,01000,0400,ROSE CARE INC. 2695,A81000C,01000,0600,RELATED MANAGEMENT CO. 2695,A81000C,01100,0100,B 2695,A81000C,01100,0200,ROSE CARE INC. 2695,A81000C,01100,0400,ROSE CARE INC. 2695,A81000C,01100,0600,RELATED MANAGEMENT CO. 2695,B100000,00000,0100,00000SQUARE FEET 2695,B100000,00000,0200,00000DOLLAR VALUE 2695,B100000,00000,0300,00000GROSS SALARIES 2695,B100000,00000,0400,00000ACCUM. COST 2695,B100000,00000,0500,00000SQUARE FEET 2695,B100000,00000,0600,00000POUNDS OF LAUNDRY 2695,B100000,00000,0700,00000SQUARE FEET 2695,B100000,00000,0800,00000MEALS SERVED 2695,B100000,00000,0802,00000GROSS SALARIES 2695,B100000,00000,0900,00000DIRECT NRSING HRS 2695,B100000,00000,1000,00000COSTED REQUIS. 2695,B100000,00000,1100,00000COSTED REQUIS. 2695,B100000,00000,1200,00000TIME SPENT 2695,B100000,00000,1300,00000TIME SPENT 2695,B100000,00000,1350,00000MEALS SERVED 2695,B100000,00000,1400,00000ASSIGNED TIME 2695,S000000,00100,0200,06/08/2000 2695,S200000,00100,0100,SMACKOVER NURSING HOME 2695,S200000,00200,0100,210 E. 5TH STREET 2695,S200000,00200,0200,AR 2695,S200000,00200,0300,71762 2695,S200000,00300,0100,UNION 2695,S200000,00400,0100,SMACKOVER NURSING HOME 2695,S200000,00400,0200,045283 2695,S200000,00400,0300,07/01/1995 2695,S200000,00400,0500,P 2695,S200000,01500,0100,Y 2704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2704,A000000,00300,0000,00300EMPLOYEE BENEFITS 2704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2704,A000000,00700,0000,00700HOUSEKEEPING 2704,A000000,00800,0000,00800DIETARY 2704,A000000,00900,0000,00900NURSING ADMINISTRATION 2704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2704,A000000,01100,0000,01100PHARMACY 2704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2704,A000000,01300,0000,01300SOCIAL SERVICE 2704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2704,A000000,01600,0000,01600SKILLED NURSING FACILITY 2704,A000000,01800,0000,01800NURSING FACILITY 2704,A000000,01810,0000,01810ICF/MR 2704,A000000,02100,0000,02100RADIOLOGY 2704,A000000,02200,0000,02200LABORATORY 2704,A000000,02300,0000,02300INTRAVENOUS THERAPY 2704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2704,A000000,02500,0000,02500PHYSICAL THERAPY 2704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2704,A000000,02700,0000,02700SPEECH PATHOLOGY 2704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2704,A000000,03200,0000,03200SUPPORT SURFACES 2704,A000000,03550,0000,03550FQHC 2704,A000000,05000,0000,05000CORF 2704,A000000,05010,0000,05010CMHC 2704,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2704,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2704,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2704,A81000A,00100,0100,Y 2704,A81000B,00100,0300,HOME OFFICE COSTS 2704,A81000B,00200,0300,DIETARY SUPPLIES 2704,A81000B,00300,0300,NURSING SUPPLIES 2704,A81000B,00400,0300,MEDICAL SUPPLIES 2704,A81000C,00100,0100,B 2704,A81000C,00100,0200,DVCR LEASING CO 2704,A81000C,00100,0400,ADVOCAT INC. 2704,A81000C,00100,0600,L/T CARE MGT CO 2704,A81000C,00200,0100,B 2704,A81000C,00200,0200,ADVOCAT DIST SV 2704,A81000C,00200,0400,ADVOCAT INC. 2704,A81000C,00200,0600,M/S SUPPLY COMP 2704,A81000C,00300,0100,B 2704,A81000C,00300,0200,ADVOCAT DIST SV 2704,A81000C,00300,0400,ADVOCAT INC. 2704,A81000C,00300,0600,M/S SUPPLY COMP 2704,A81000C,00400,0100,B 2704,A81000C,00400,0200,ADVOCAT DIST SV 2704,A81000C,00400,0400,ADVOCAT INC. 2704,A81000C,00400,0600,PHARMACY COMPAN 2704,B100000,00000,0100,00000SQUARE FEET 2704,B100000,00000,0200,00000SQUARE FEET 2704,B100000,00000,0300,00000GROSS SALARIES 2704,B100000,00000,0400,00000ACCUM COST 2704,B100000,00000,0500,00000SQUARE FEET 2704,B100000,00000,0600,00000PATIENT DAYS 2704,B100000,00000,0700,00000SQUARE FEET 2704,B100000,00000,0800,00000PATIENT DAYS 2704,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2704,B100000,00000,1000,00000COSTED REQUIS 2704,B100000,00000,1100,00000COSTED REQUIS 2704,B100000,00000,1200,00000PATIENT REVENUES 2704,B100000,00000,1300,00000PATIENT DAYS 2704,B100000,00000,1400,00000ASSIGNED TIME 2704,E10A180,00305,0300,02/16/2000 2704,S000000,00100,0200,06/05/2000 2704,S200000,00100,0100,105 COUNTRY CLUB ROAD 2704,S200000,00200,0100,POCAHONTAS 2704,S200000,00200,0200,AR 2704,S200000,00200,0300,72455 2704,S200000,00300,0100,RANDOLPH 2704,S200000,00400,0100,POCOHONTAS CONVALESCENT CENTER 2704,S200000,00400,0200,045284 2704,S200000,00400,0300,07/01/1995 2704,S200000,00400,0500,P 2704,S200000,01600,0100,Y 2704,S200000,02200,0100,Y 2713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2713,A000000,00300,0000,00300EMPLOYEE BENEFITS 2713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2713,A000000,00700,0000,00700HOUSEKEEPING 2713,A000000,00800,0000,00800DIETARY 2713,A000000,00900,0000,00900NURSING ADMINISTRATION 2713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2713,A000000,01100,0000,01100PHARMACY 2713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2713,A000000,01300,0000,01300SOCIAL SERVICE 2713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2713,A000000,01600,0000,01600SKILLED NURSING FACILITY 2713,A000000,01800,0000,01800NURSING FACILITY 2713,A000000,01810,0000,01810ICF/MR 2713,A000000,01900,0000,01900OTHER LONG TERM CARE 2713,A000000,02100,0000,02100RADIOLOGY 2713,A000000,02500,0000,02500PHYSICAL THERAPY 2713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2713,A000000,02700,0000,02700SPEECH PATHOLOGY 2713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2713,A000000,03550,0000,03550FQHC 2713,A000000,05000,0000,05000CORF 2713,A000000,05010,0000,05010CMHC 2713,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2713,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2713,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2713,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2713,B100000,00000,0100,00000SQUARE FEET 2713,B100000,00000,0200,00000SQUARE FEET 2713,B100000,00000,0300,00000GROSS SALARIES 2713,B100000,00000,0400,00000ACCUM. COST 2713,B100000,00000,0500,00000SQUARE FEET 2713,B100000,00000,0600,00000PATIENT DAYS 2713,B100000,00000,0700,00000SQUARE FEET 2713,B100000,00000,0800,00000MEALS SERVED 2713,B100000,00000,0900,00000DIRECT NRSING HRS 2713,B100000,00000,1000,00000PATIENT DAYS 2713,B100000,00000,1100,00000PATIENT DAYS 2713,B100000,00000,1200,00000GROSS REVENUE 2713,B100000,00000,1300,00000PATIENT DAYS 2713,B100000,00000,1400,00000ASSIGNED TIME 2713,S000000,00100,0200,11/29/2000 2713,S200000,00100,0100,1214 NORTH HWY 49 2713,S200000,00100,0300,671 2713,S200000,00200,0100,BRINKLEY 2713,S200000,00200,0200,AR 2713,S200000,00200,0300,72021 2713,S200000,00300,0100,M 2713,S200000,00400,0100,CLA-CLIF NURSING HOME & REHAB 2713,S200000,00400,0200,045286 2713,S200000,00400,0300,07/01/1996 2713,S200000,00400,0500,P 2713,S200000,01600,0100,Y 2720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2720,A000000,00300,0000,00300EMPLOYEE BENEFITS 2720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2720,A000000,00700,0000,00700HOUSEKEEPING 2720,A000000,00800,0000,00800DIETARY 2720,A000000,00900,0000,00900NURSING ADMINISTRATION 2720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2720,A000000,01100,0000,01100PHARMACY 2720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2720,A000000,01300,0000,01300SOCIAL SERVICE 2720,A000000,01350,0000,01500OTHER GENERAL SERVICES 2720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2720,A000000,01600,0000,01600SKILLED NURSING FACILITY 2720,A000000,01800,0000,01800NURSING FACILITY 2720,A000000,01810,0000,01810ICF/MR 2720,A000000,02200,0000,02200LABORATORY 2720,A000000,02500,0000,02500PHYSICAL THERAPY 2720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2720,A000000,02700,0000,02700SPEECH PATHOLOGY 2720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2720,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2720,A000000,03550,0000,03550FQHC 2720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2720,A000000,05000,0000,05000CORF 2720,A000000,05010,0000,05010CMHC 2720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2720,A000000,06151,0000,06301AMBERWOOD 2720,B100000,00000,0100,00001SQUARE FEET 2720,B100000,00000,0200,00001DOLLAR VALUE 2720,B100000,00000,0300,00001GROSS SALARIES 2720,B100000,00000,0400,00001ACCUM. COST 2720,B100000,00000,0500,00001SQUARE FEET 2720,B100000,00000,0600,00001POUNDS OF LAUNDRY 2720,B100000,00000,0700,00001SQUARE FEET 2720,B100000,00000,0800,00001MEALS SERVED 2720,B100000,00000,0900,00001PATIENT DAYS 2720,B100000,00000,1000,00001COSTED REQUIS. 2720,B100000,00000,1100,00001COSTED REQUIS. 2720,B100000,00000,1200,00001TIME SPENT 2720,B100000,00000,1300,00001PATIENT DAYS 2720,B100000,00000,1350,00001NO STATISTICS 2720,B100000,00000,1400,00001ASSIGNED TIME 2720,S000000,00100,0200,05/23/2000 2720,S200000,00100,0100,322 COLIN RAYE DRIVE 2720,S200000,00200,0100,DEQUEEN 2720,S200000,00200,0200,AR 2720,S200000,00200,0300,71832 2720,S200000,00300,0100,SEVIER 2720,S200000,00400,0100,BROOKEWOOD NURSING CENTER 2720,S200000,00400,0200,045287 2720,S200000,00400,0300,06/01/1995 2720,S200000,00400,0500,P 2720,S200000,01600,0100,Y 2727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2727,A000000,00300,0000,00300EMPLOYEE BENEFITS 2727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2727,A000000,00700,0000,00700HOUSEKEEPING 2727,A000000,00800,0000,00800DIETARY 2727,A000000,00900,0000,00900NURSING ADMINISTRATION 2727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2727,A000000,01100,0000,01100PHARMACY 2727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2727,A000000,01300,0000,01300SOCIAL SERVICE 2727,A000000,01350,0000,01500OTHER GENERAL SERVICES 2727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2727,A000000,01600,0000,01600SKILLED NURSING FACILITY 2727,A000000,01800,0000,01800NURSING FACILITY 2727,A000000,01810,0000,01810ICF/MR 2727,A000000,02100,0000,02100RADIOLOGY 2727,A000000,02200,0000,02200LABORATORY 2727,A000000,02500,0000,02500PHYSICAL THERAPY 2727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2727,A000000,02700,0000,02700SPEECH PATHOLOGY 2727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2727,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2727,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2727,A000000,03550,0000,03550FQHC 2727,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2727,A000000,05000,0000,05000CORF 2727,A000000,05010,0000,05010CMHC 2727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2727,A000000,05300,0000,05300INTEREST EXPENSE 2727,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2727,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 2727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2727,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2727,A81000A,00100,0100,Y 2727,A81000B,00100,0300,SUPPLIES 2727,A81000B,00200,0300,SUPPLIES 2727,A81000B,00300,0300,SUPPLIES 2727,A81000B,00400,0300,SUPPLIES 2727,A81000B,00500,0300,SUPPLIES 2727,A81000B,00600,0300,HOME OFFICE 2727,A81000B,00700,0300,CAPITAL 2727,A81000C,00100,0100,A 2727,A81000C,00100,0200,LEON B. CATLETT 2727,A81000C,00100,0400,PROFESS. HEALTH PRODUCTS 2727,A81000C,00100,0600,SUPPLY COMPANY 2727,A81000C,00200,0100,A 2727,A81000C,00200,0200,L. CATLETT & A. MATTHEWS 2727,A81000C,00200,0400,R.E. CATLETT & ASSOC. 2727,A81000C,00200,0600,NURSING HOME MANAGEMENT 2727,B100000,00000,0100,00000SQUARE FEET 2727,B100000,00000,0200,00000SQUARE FEET 2727,B100000,00000,0300,00000GROSS SALARIES 2727,B100000,00000,0400,00000ACCUM. COST 2727,B100000,00000,0500,00000SQUARE FEET 2727,B100000,00000,0600,00000POUNDS OF LAUNDRY 2727,B100000,00000,0700,00000SQUARE FEET 2727,B100000,00000,0800,00000MEALS SERVED 2727,B100000,00000,0900,00000DIRECT NRSING HRS 2727,B100000,00000,1000,00000COSTED REQUIS. 2727,B100000,00000,1100,00000COSTED REQUIS. 2727,B100000,00000,1200,00000TIME SPENT 2727,B100000,00000,1300,00000TIME SPENT 2727,B100000,00000,1350,00000NO STATISTICS 2727,B100000,00000,1400,00000ASSIGNED TIME 2727,S000000,00100,0200,05/31/2000 2727,S200000,00100,0100,1501 LINCOLN STREET 2727,S200000,00100,0300,P.O. BOX 220 2727,S200000,00200,0100,LONOKE 2727,S200000,00200,0200,AR 2727,S200000,00200,0300,72086 2727,S200000,00300,0100,LONOKE 2727,S200000,00400,0100,LINCOLN PLAZA NURSING CENTER 2727,S200000,00400,0200,045289 2727,S200000,00400,0300,07/28/1995 2727,S200000,00400,0500,P 2727,S200000,01600,0100,Y 2736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2736,A000000,00300,0000,00300EMPLOYEE BENEFITS 2736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2736,A000000,00700,0000,00700HOUSEKEEPING 2736,A000000,00800,0000,00800DIETARY 2736,A000000,00900,0000,00900NURSING ADMINISTRATION 2736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2736,A000000,01100,0000,01100PHARMACY 2736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2736,A000000,01300,0000,01300SOCIAL SERVICE 2736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2736,A000000,01600,0000,01600SKILLED NURSING FACILITY 2736,A000000,01800,0000,01800NURSING FACILITY 2736,A000000,01810,0000,01810ICF/MR 2736,A000000,02100,0000,02100RADIOLOGY 2736,A000000,02200,0000,02200LABORATORY 2736,A000000,02500,0000,02500PHYSICAL THERAPY 2736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2736,A000000,02700,0000,02700SPEECH PATHOLOGY 2736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2736,A000000,03550,0000,03550FQHC 2736,A000000,05000,0000,05000CORF 2736,A000000,05010,0000,05010CMHC 2736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2736,A81000A,00100,0100,Y 2736,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 2736,A81000B,00200,0300,CRC-BLDG 2736,A81000B,00300,0300,CRC-EQUIP 2736,A81000B,00400,0300,WORKERS COMPENSATION 2736,A81000B,00500,0300,HEALTH INSURANCE 2736,A81000C,00100,0100,B 2736,A81000C,00100,0200,DARDANELLE NURSING CENTER 2736,A81000C,00100,0400,CENTRAL AR NURSING CTR 2736,A81000C,00100,0600,HOME OFFICE 2736,B100000,00000,0100,00000SQUARE FEET 2736,B100000,00000,0200,00000SQUARE FEET 2736,B100000,00000,0300,00000GROSS SALARIES 2736,B100000,00000,0400,00000ACCUM. COST 2736,B100000,00000,0500,00000SQUARE FEET 2736,B100000,00000,0600,00000PATIENT DAYS 2736,B100000,00000,0700,00000SQUARE FEET 2736,B100000,00000,0800,00000MEALS SERVED 2736,B100000,00000,0900,00000HOURS SUPERVISED 2736,B100000,00000,1000,00000COSTED REQUIS. 2736,B100000,00000,1100,00000COSTED REQUIS. 2736,B100000,00000,1200,00000GROSS REVENUE 2736,B100000,00000,1300,00000PATIENT DAYS 2736,B100000,00000,1400,00000ASSIGNED TIME 2736,S000000,00100,0200,05/31/2000 2736,S200000,00100,0100,510 WEST GREEN STREET 2736,S200000,00100,0300,636 2736,S200000,00200,0100,DARDANELLE 2736,S200000,00200,0200,AR 2736,S200000,00200,0300,72834 2736,S200000,00300,0100,YELL 2736,S200000,00400,0100,DARDANELLE NURSING CENTER 2736,S200000,00400,0200,045290 2736,S200000,00400,0300,08/01/1995 2736,S200000,00400,0500,P 2736,S200000,01600,0100,Y 2739,S000000,00100,0200,04/04/2000 2753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2753,A000000,00300,0000,00300EMPLOYEE BENEFITS 2753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2753,A000000,00700,0000,00700HOUSEKEEPING 2753,A000000,00800,0000,00800DIETARY 2753,A000000,00900,0000,00900NURSING ADMINISTRATION 2753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2753,A000000,01100,0000,01100PHARMACY 2753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2753,A000000,01300,0000,01300SOCIAL SERVICE 2753,A000000,01350,0000,01500OTHER GENERAL SERVICES 2753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2753,A000000,01600,0000,01600SKILLED NURSING FACILITY 2753,A000000,01800,0000,01800NURSING FACILITY 2753,A000000,01810,0000,01810ICF/MR 2753,A000000,02500,0000,02500PHYSICAL THERAPY 2753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2753,A000000,02700,0000,02700SPEECH PATHOLOGY 2753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2753,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2753,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2753,A000000,03550,0000,03550FQHC 2753,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2753,A000000,05000,0000,05000CORF 2753,A000000,05010,0000,05010CMHC 2753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2753,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2753,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2753,A81000A,00100,0100,Y 2753,A81000B,00100,0300,CAPITAL ALLOCATION 2753,A81000B,00200,0300,NONCAPITAL ALLOCATION 2753,A81000B,00300,0300,INTEREST ALLOCATION 2753,A81000C,00100,0100,A 2753,A81000C,00100,0200,J FRANKUM 2753,A81000C,00100,0400,REGIONAL MANAGEMENT 2753,A81000C,00100,0600,MANAGEMENT COMPANY 2753,A81000C,00200,0100,A 2753,A81000C,00200,0200,J FRANKUM 2753,A81000C,00200,0400,REGIONAL MANAGEMENT 2753,A81000C,00200,0600,MANAGEMENT COMPANY 2753,A81000C,00300,0100,A 2753,A81000C,00300,0200,J FRANKUM 2753,A81000C,00300,0400,REGIONAL MANAGEMENT 2753,A81000C,00300,0600,MANAGEMENT COMPANY 2753,B100000,00000,0100,00000SQUARE FEET 2753,B100000,00000,0200,00000DOLLAR VALUE 2753,B100000,00000,0300,00000GROSS SALARIES 2753,B100000,00000,0400,00000ACCUM. COST 2753,B100000,00000,0500,00000SQUARE FEET 2753,B100000,00000,0600,00000PATIENT DAYS 2753,B100000,00000,0700,00000SQUARE FEET 2753,B100000,00000,0800,00000PATIENT DAYS 2753,B100000,00000,0900,00000PATIENT DAYS 2753,B100000,00000,1000,00000COSTED REQUIS. 2753,B100000,00000,1100,00000COSTED REQUIS. 2753,B100000,00000,1200,00000GROSS CHARGES 2753,B100000,00000,1300,00000TIME SPENT 2753,B100000,00000,1350,00000NO STATISTICS 2753,B100000,00000,1400,00000ASSIGNED TIME 2753,S000000,00100,0200,05/23/2000 2753,S200000,00100,0100,500 HAMMONDS AVE 2753,S200000,00200,0100,BERRYVILLE 2753,S200000,00200,0200,AR 2753,S200000,00200,0300,72616 2753,S200000,00300,0100,CARROLL 2753,S200000,00400,0100,BERRYVILLE HEALTHCARE 2753,S200000,00400,0200,045295 2753,S200000,00400,0300,11/01/1995 2753,S200000,00400,0500,P 2753,S200000,01600,0100,Y 2761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2761,A000000,00300,0000,00300EMPLOYEE BENEFITS 2761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2761,A000000,00700,0000,00700HOUSEKEEPING 2761,A000000,00800,0000,00800DIETARY 2761,A000000,00900,0000,00900NURSING ADMINISTRATION 2761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2761,A000000,01100,0000,01100PHARMACY 2761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2761,A000000,01300,0000,01300SOCIAL SERVICE 2761,A000000,01350,0000,01500OTHER GENERAL SERVICES 2761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2761,A000000,01600,0000,01600SKILLED NURSING FACILITY 2761,A000000,01800,0000,01800NURSING FACILITY 2761,A000000,01810,0000,01810ICF/MR 2761,A000000,02100,0000,02100RADIOLOGY 2761,A000000,02200,0000,02200LABORATORY 2761,A000000,02500,0000,02500PHYSICAL THERAPY 2761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2761,A000000,02700,0000,02700SPEECH PATHOLOGY 2761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2761,A000000,03550,0000,03550FQHC 2761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2761,A000000,05000,0000,05000CORF 2761,A000000,05010,0000,05010CMHC 2761,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2761,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2761,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2761,A81000A,00100,0100,Y 2761,A81000B,00100,0300,HOME OFFICE ALLOCATION 2761,A81000B,00200,0300,HOME OFFICE ALLOCATION 2761,A81000B,00300,0300,HOME OFFICE ALLOCATION 2761,A81000C,00100,0100,A 2761,A81000C,00100,0200,J FRANKUM 2761,A81000C,00100,0400,REGIONAL MANAGEMENT INC 2761,A81000C,00100,0600,MANAGEMENT COMPANY 2761,A81000C,00200,0100,A 2761,A81000C,00200,0200,J FRANKUM 2761,A81000C,00200,0400,REGIONAL MANAGEMENT INC 2761,A81000C,00200,0600,MANAGEMENT COMPANY 2761,B100000,00000,0100,00000SQUARE FEET 2761,B100000,00000,0200,00000DOLLAR VALUE 2761,B100000,00000,0300,00000GROSS SALARIES 2761,B100000,00000,0400,00000ACCUM. COST 2761,B100000,00000,0500,00000SQUARE FEET 2761,B100000,00000,0600,00000POUNDS OF LAUNDRY 2761,B100000,00000,0700,00000SQUARE FEET 2761,B100000,00000,0800,00000MEALS SERVED 2761,B100000,00000,0900,00000DIRECT NRSING HRS 2761,B100000,00000,1000,00000COSTED REQUIS. 2761,B100000,00000,1100,00000COSTED REQUIS. 2761,B100000,00000,1200,00000GROSS REVENUE 2761,B100000,00000,1300,00000TIME SPENT 2761,B100000,00000,1350,00000NO STATISTICS 2761,B100000,00000,1400,00000ASSIGNED TIME 2761,S000000,00100,0200,05/23/2000 2761,S200000,00100,0100,SMITH & BAXTER STREETS 2761,S200000,00200,0100,FORDYCE 2761,S200000,00200,0200,AR 2761,S200000,00200,0300,71742 2761,S200000,00300,0100,DALLAS 2761,S200000,00400,0100,FORDYCE HEALTHCARE INC 2761,S200000,00400,0200,045296 2761,S200000,00400,0300,12/01/1995 2761,S200000,00400,0500,P 2761,S200000,00400,0600,O 2761,S200000,01600,0100,Y 2778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2778,A000000,00300,0000,00300EMPLOYEE BENEFITS 2778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2778,A000000,00700,0000,00700HOUSEKEEPING 2778,A000000,00800,0000,00800DIETARY 2778,A000000,00900,0000,00900NURSING ADMINISTRATION 2778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2778,A000000,01100,0000,01100PHARMACY 2778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2778,A000000,01300,0000,01300SOCIAL SERVICE 2778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2778,A000000,01600,0000,01600SKILLED NURSING FACILITY 2778,A000000,01810,0000,01810ICF/MR 2778,A000000,01900,0000,01900OTHER LONG TERM CARE 2778,A000000,02100,0000,02100RADIOLOGY 2778,A000000,02200,0000,02200LABORATORY 2778,A000000,02500,0000,02500PHYSICAL THERAPY 2778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2778,A000000,02700,0000,02700SPEECH PATHOLOGY 2778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2778,A000000,03550,0000,03550FQHC 2778,A000000,05000,0000,05000CORF 2778,A000000,05010,0000,05010CMHC 2778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2778,B100000,00000,0100,00000SQUARE FEET 2778,B100000,00000,0200,00000DOLLAR VALUE 2778,B100000,00000,0300,00000GROSS SALARIES 2778,B100000,00000,0400,00000ACCUM. COST 2778,B100000,00000,0500,00000SQUARE FEET 2778,B100000,00000,0600,00000POUNDS OF LAUNDRY 2778,B100000,00000,0700,00000HOURS OF SERVICE 2778,B100000,00000,0800,00000MEALS SERVED 2778,B100000,00000,0900,00000DIRECT NRSING HRS 2778,B100000,00000,1000,00000COSTED REQUIS. 2778,B100000,00000,1100,00000COSTED REQUIS. 2778,B100000,00000,1200,00000TIME SPENT 2778,B100000,00000,1300,00000TIME SPENT 2778,B100000,00000,1400,00000ASSIGNED TIME 2778,S000000,00100,0200,08/28/2000 2778,S200000,00100,0100,2600 BARROW ROAD 2778,S200000,00200,0100,LITTLE ROCK 2778,S200000,00200,0200,AR 2778,S200000,00200,0300,72204 2778,S200000,00300,0100,PULASKI 2778,S200000,00400,0100,FOUR OAKS LIVING CENTER 2778,S200000,00400,0200,045298 2778,S200000,00400,0300,04/01/1997 2778,S200000,00400,0500,P 2778,S200000,01600,0100,Y 2778,S200000,02200,0100,Y 2788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2788,A000000,00300,0000,00300EMPLOYEE BENEFITS 2788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2788,A000000,00700,0000,00700HOUSEKEEPING 2788,A000000,00800,0000,00800DIETARY 2788,A000000,00900,0000,00900NURSING ADMINISTRATION 2788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2788,A000000,01100,0000,01100PHARMACY 2788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2788,A000000,01300,0000,01300SOCIAL SERVICE 2788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2788,A000000,01600,0000,01600SKILLED NURSING FACILITY 2788,A000000,01800,0000,01800NURSING FACILITY 2788,A000000,01810,0000,01810ICF/MR 2788,A000000,02100,0000,02100RADIOLOGY 2788,A000000,02200,0000,02200LABORATORY 2788,A000000,02500,0000,02500PHYSICAL THERAPY 2788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2788,A000000,02700,0000,02700SPEECH PATHOLOGY 2788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2788,A000000,03550,0000,03550FQHC 2788,A000000,05000,0000,05000CORF 2788,A000000,05010,0000,05010CMHC 2788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2788,A81000A,00100,0100,Y 2788,A81000B,00100,0300,MANAGEMENT FEE 2788,A81000B,00200,0300,HOME OFFICE CRC - BLDG 2788,A81000B,00300,0300,HOME OFFICE CRD - EQUIPMENT 2788,A81000B,00400,0300,EMPLOYEE BENEFITS 2788,A81000C,00100,0100,B 2788,A81000C,00100,0200,BRIARWOOD NURSING CENTER 2788,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2788,A81000C,00100,0600,HOME OFFICE 2788,B100000,00000,0100,00000SQUARE FEET 2788,B100000,00000,0200,00000SQUARE FEET 2788,B100000,00000,0300,00000GROSS SALARIES 2788,B100000,00000,0400,00000ACCUM. COST 2788,B100000,00000,0500,00000SQUARE FEET 2788,B100000,00000,0600,00000PATIENT DAYS 2788,B100000,00000,0700,00000SQUARE FEET 2788,B100000,00000,0800,00000MEALS SERVED 2788,B100000,00000,0900,00000HOURS SUPERVISED 2788,B100000,00000,1000,00000COSTED REQUIS. 2788,B100000,00000,1100,00000COSTED REQUIS. 2788,B100000,00000,1200,00000GROSS CHARGES 2788,B100000,00000,1300,00000PATIENT DAYS 2788,B100000,00000,1400,00000ASSIGNED TIME 2788,S000000,00100,0200,05/31/2000 2788,S200000,00100,0100,516 SOUTH RODNEY PARHAM ROAD 2788,S200000,00200,0100,LITTLE ROCK 2788,S200000,00200,0200,AR 2788,S200000,00200,0300,72205 2788,S200000,00300,0100,PULASKI 2788,S200000,00400,0100,BRIARWOOD NURSING CENTER 2788,S200000,00400,0200,045299 2788,S200000,00400,0300,01/15/1996 2788,S200000,00400,0500,P 2788,S200000,01600,0100,Y 2788,S200000,04300,0100,Y 2801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2801,A000000,00300,0000,00300EMPLOYEE BENEFITS 2801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2801,A000000,00700,0000,00700HOUSEKEEPING 2801,A000000,00800,0000,00800DIETARY 2801,A000000,00900,0000,00900NURSING ADMINISTRATION 2801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2801,A000000,01100,0000,01100PHARMACY 2801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2801,A000000,01300,0000,01300SOCIAL SERVICE 2801,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2801,A000000,01600,0000,01600SKILLED NURSING FACILITY 2801,A000000,01800,0000,01800NURSING FACILITY 2801,A000000,01810,0000,01810ICF/MR 2801,A000000,02100,0000,02100RADIOLOGY 2801,A000000,02200,0000,02200LABORATORY 2801,A000000,02500,0000,02500PHYSICAL THERAPY 2801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2801,A000000,02700,0000,02700SPEECH PATHOLOGY 2801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2801,A000000,03550,0000,03550FQHC 2801,A000000,05000,0000,05000CORF 2801,A000000,05010,0000,05010CMHC 2801,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2801,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2801,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2801,A81000A,00100,0100,Y 2801,A81000B,00100,0300,CAP REL COSTS-BLDGS & F HOME O 2801,A81000B,00200,0300,CAP REL COSTS-MOVEABLE E HOME 2801,A81000B,00300,0300,ADMINISTRARIVE & GENERAL HOME 2801,A81000B,00400,0300,EMPLOYEE BENEFITS HOME OFFICE 2801,A81000C,00100,0100,B 2801,A81000C,00100,0200,OAK MANOR NURSING CENTER 2801,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2801,A81000C,00100,0600,HOME OFFICE 2801,B100000,00000,0100,00000SQUARE FEET 2801,B100000,00000,0200,00000SQUARE FEET 2801,B100000,00000,0300,00000GROSS SALARIES 2801,B100000,00000,0400,00000ACCUM. COST 2801,B100000,00000,0500,00000SQUARE FEET 2801,B100000,00000,0600,00000PATIENT DAYS 2801,B100000,00000,0700,00000SQUARE FEET 2801,B100000,00000,0800,00000MEALS SERVED 2801,B100000,00000,0900,00000HOURS SUPERVISED 2801,B100000,00000,1000,00000COSTEDREQU UIS 2801,B100000,00000,1100,00000COSTED REQUIS. 2801,B100000,00000,1200,00000GROSS CHARGES 2801,B100000,00000,1300,00000PATIENT DAYS 2801,B100000,00000,1400,00000ASSIGNED TIME 2801,S000000,00100,0200,05/26/2000 2801,S200000,00100,0100,1534 EAST HIGHWAY 10 2801,S200000,00100,0300,170 2801,S200000,00200,0100,BOONEVILLE 2801,S200000,00200,0200,AR 2801,S200000,00200,0300,72927 2801,S200000,00300,0100,LOGAN 2801,S200000,00400,0100,OAK MANOR NURSING CENTER 2801,S200000,00400,0200,045301 2801,S200000,00400,0300,11/05/1996 2801,S200000,00400,0500,P 2801,S200000,01600,0100,Y 2801,S200000,02800,0100,Y 2808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2808,A000000,00300,0000,00300EMPLOYEE BENEFITS 2808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2808,A000000,00700,0000,00700HOUSEKEEPING 2808,A000000,00800,0000,00800DIETARY 2808,A000000,00900,0000,00900NURSING ADMINISTRATION 2808,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2808,A000000,01100,0000,01100PHARMACY 2808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2808,A000000,01300,0000,01300SOCIAL SERVICE 2808,A000000,01350,0000,01500OTHER GENERAL SERVICES 2808,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2808,A000000,01600,0000,01600SKILLED NURSING FACILITY 2808,A000000,01800,0000,01800NURSING FACILITY 2808,A000000,01810,0000,01810ICF/MR 2808,A000000,02100,0000,02100RADIOLOGY 2808,A000000,02200,0000,02200LABORATORY 2808,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2808,A000000,02500,0000,02500PHYSICAL THERAPY 2808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2808,A000000,02700,0000,02700SPEECH PATHOLOGY 2808,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2808,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2808,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2808,A000000,03550,0000,03550FQHC 2808,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2808,A000000,05000,0000,05000CORF 2808,A000000,05010,0000,05010CMHC 2808,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2808,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2808,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2808,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2808,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2808,B100000,00000,0100,00000SQUARE FEET 2808,B100000,00000,0200,00000DOLLAR VALUE 2808,B100000,00000,0300,00000GROSS SALARIES 2808,B100000,00000,0400,00000ACCUM. COST 2808,B100000,00000,0500,00000SQUARE FEET 2808,B100000,00000,0600,00000PATIENT DAYS 2808,B100000,00000,0700,00000SQUARE FEET 2808,B100000,00000,0800,00000PATIENT DAYS 2808,B100000,00000,0900,00000PATIENT DAYS 2808,B100000,00000,1000,00000SUPPLY COST 2808,B100000,00000,1100,00000COSTED REQUIS. 2808,B100000,00000,1200,00000GROSS CHARGES 2808,B100000,00000,1300,00000PATIENT DAYS 2808,B100000,00000,1350,00000NO STATISTICS 2808,B100000,00000,1400,00000ASSIGNED TIME 2808,S000000,00100,0200,06/02/2000 2808,S200000,00100,0100,301 SOUTH 24TH 2808,S200000,00200,0100,ROGERS 2808,S200000,00200,0200,AR 2808,S200000,00300,0100,BENTON 2808,S200000,00400,0100,INNISFREE NURSING CENTER 2808,S200000,00400,0200,045302 2808,S200000,00400,0300,03/01/1996 2808,S200000,00400,0500,P 2808,S200000,01600,0100,Y 2816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2816,A000000,00300,0000,00300EMPLOYEE BENEFITS 2816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2816,A000000,00700,0000,00700HOUSEKEEPING 2816,A000000,00800,0000,00800DIETARY 2816,A000000,00801,0000,00801CAFETERIA 2816,A000000,00900,0000,00900NURSING ADMINISTRATION 2816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2816,A000000,01100,0000,01100PHARMACY 2816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2816,A000000,01300,0000,01300SOCIAL SERVICE 2816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2816,A000000,01600,0000,01600SKILLED NURSING FACILITY 2816,A000000,01800,0000,01800NURSING FACILITY 2816,A000000,01810,0000,01810ICF/MR 2816,A000000,02200,0000,02200LABORATORY 2816,A000000,02300,0000,02300INTRAVENOUS THERAPY 2816,A000000,02500,0000,02500PHYSICAL THERAPY 2816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2816,A000000,03550,0000,03550FQHC 2816,A000000,05000,0000,05000CORF 2816,A000000,05010,0000,05010CMHC 2816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2816,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2816,A000000,06151,0000,06301GUEST MEALS 2816,B100000,00000,0100,00001SQUARE FEET 2816,B100000,00000,0200,00001SQUARE FEET 2816,B100000,00000,0300,00001GROSS SALARIES 2816,B100000,00000,0400,00001ACCUM. COST 2816,B100000,00000,0500,00001SQUARE FEET 2816,B100000,00000,0600,00001PATIENT DAYS 2816,B100000,00000,0700,00001SQUARE FEET 2816,B100000,00000,0800,00001MEALS SERVED 2816,B100000,00000,0801,00001PAID HOURS 2816,B100000,00000,0900,00001TIME SPENT 2816,B100000,00000,1000,00001PATIENT DAYS 2816,B100000,00000,1100,00001PATIENT DAYS 2816,B100000,00000,1200,00001GROSS REVENUE 2816,B100000,00000,1300,00001PATIENT DAYS 2816,B100000,00000,1400,00001ASSIGNED TIME 2816,S000000,00100,0200,05/30/2000 2816,S200000,00100,0300,790 2816,S200000,00200,0100,STUTTGART 2816,S200000,00200,0200,AR 2816,S200000,00300,0100,ARKANSAS 2816,S200000,00400,0100,CRESTPARK OF STUTTGART 2816,S200000,00400,0200,045303 2816,S200000,00400,0300,04/01/1996 2816,S200000,00400,0500,P 2816,S200000,01600,0100,Y 2826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2826,A000000,00300,0000,00300EMPLOYEE BENEFITS 2826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2826,A000000,00700,0000,00700HOUSEKEEPING 2826,A000000,00800,0000,00800DIETARY 2826,A000000,00900,0000,00900NURSING ADMINISTRATION 2826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2826,A000000,01100,0000,01100PHARMACY 2826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2826,A000000,01300,0000,01300SOCIAL SERVICE 2826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2826,A000000,01600,0000,01600SKILLED NURSING FACILITY 2826,A000000,01800,0000,01800NURSING FACILITY 2826,A000000,01810,0000,01810ICF/MR 2826,A000000,02100,0000,02100RADIOLOGY 2826,A000000,02200,0000,02200LABORATORY 2826,A000000,02500,0000,02500PHYSICAL THERAPY 2826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2826,A000000,02700,0000,02700SPEECH PATHOLOGY 2826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2826,A000000,03550,0000,03550FQHC 2826,A000000,05000,0000,05000CORF 2826,A000000,05010,0000,05010CMHC 2826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2826,A000000,05300,0000,05300INTEREST EXPENSE 2826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2826,B100000,00000,0100,00000SQUARE FEET 2826,B100000,00000,0200,00000SQUARE FEET 2826,B100000,00000,0300,00000GROSS SALARIES 2826,B100000,00000,0400,00000ACCUM. COST 2826,B100000,00000,0500,00000SQUARE FEET 2826,B100000,00000,0600,00000PATIENT DAYS 2826,B100000,00000,0700,00000SQUARE FEET 2826,B100000,00000,0800,00000MEALS SERVED 2826,B100000,00000,0900,00000GROSS SALARIES 2826,B100000,00000,1000,00000COSTED REQUIS. 2826,B100000,00000,1100,00000PATIENT DAYS 2826,B100000,00000,1200,00000GROSS REVENUE 2826,B100000,00000,1300,00000PATIENT DAYS 2826,B100000,00000,1400,00000ASSIGNED TIME 2826,S000000,00100,0200,11/30/2000 2826,S200000,00100,0100,709 MCAFEE LANE 2826,S200000,00100,0300,B-2 2826,S200000,00200,0100,BEEBE 2826,S200000,00200,0200,AR 2826,S200000,00200,0300,72012 2826,S200000,00300,0100,W 2826,S200000,00400,0100,BEEBE RETIREMENT CENTER 2826,S200000,00400,0200,045304 2826,S200000,00400,0300,04/01/1996 2826,S200000,00400,0500,P 2826,S200000,01600,0100,Y 2842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2842,A000000,00300,0000,00300EMPLOYEE BENEFITS 2842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2842,A000000,00700,0000,00700HOUSEKEEPING 2842,A000000,00800,0000,00800DIETARY 2842,A000000,00801,0000,00801CAFETERIA 2842,A000000,00900,0000,00900NURSING ADMINISTRATION 2842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2842,A000000,01100,0000,01100PHARMACY 2842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2842,A000000,01300,0000,01300SOCIAL SERVICE 2842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2842,A000000,01600,0000,01600SKILLED NURSING FACILITY 2842,A000000,01800,0000,01800NURSING FACILITY 2842,A000000,01810,0000,01810ICF/MR 2842,A000000,02100,0000,02100RADIOLOGY 2842,A000000,02200,0000,02200LABORATORY 2842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2842,A000000,02500,0000,02500PHYSICAL THERAPY 2842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2842,A000000,02700,0000,02700SPEECH PATHOLOGY 2842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2842,A000000,03550,0000,03550FQHC 2842,A000000,05000,0000,05000CORF 2842,A000000,05010,0000,05010CMHC 2842,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2842,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2842,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2842,A000000,05300,0000,05300INTEREST EXPENSE 2842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2842,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2842,A000000,06151,0000,06301GUEST MEALS 2842,B100000,00000,0100,00001SQUARE FEET 2842,B100000,00000,0200,00001SQUARE FEET 2842,B100000,00000,0300,00001GROSS SALARIES 2842,B100000,00000,0400,00001ACCUM. COST 2842,B100000,00000,0500,00001SQUARE FEET 2842,B100000,00000,0600,00001PATIENT DAYS 2842,B100000,00000,0700,00001SQUARE FEET 2842,B100000,00000,0800,00001MEALS SERVED 2842,B100000,00000,0801,00001PAID HOURS 2842,B100000,00000,0900,00001TIME SPENT 2842,B100000,00000,1000,00001PATIENT DAYS 2842,B100000,00000,1100,00001PATIENT DAYS 2842,B100000,00000,1200,00001GROSS REVENUE 2842,B100000,00000,1300,00001PATIENT DAYS 2842,B100000,00000,1400,00001ASSIGNED TIME 2842,E10A180,00350,0300,02/04/2000 2842,S000000,00100,0200,05/22/2000 2842,S200000,00100,0100,1421 WEST SECOND STREET NORTH 2842,S200000,00200,0100,PRESCOTT 2842,S200000,00200,0200,AR 2842,S200000,00200,0300,71857 2842,S200000,00300,0100,NEVADA 2842,S200000,00400,0100,HILLCREST CARE CENTER 2842,S200000,00400,0200,045306 2842,S200000,00400,0300,04/01/1996 2842,S200000,00400,0500,P 2842,S200000,01600,0100,Y 2848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2848,A000000,00300,0000,00300EMPLOYEE BENEFITS 2848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2848,A000000,00700,0000,00700HOUSEKEEPING 2848,A000000,00800,0000,00800DIETARY 2848,A000000,00900,0000,00900NURSING ADMINISTRATION 2848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2848,A000000,01100,0000,01100PHARMACY 2848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2848,A000000,01300,0000,01300SOCIAL SERVICE 2848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2848,A000000,01600,0000,01600SKILLED NURSING FACILITY 2848,A000000,01800,0000,01800NURSING FACILITY 2848,A000000,01810,0000,01810ICF/MR 2848,A000000,02500,0000,02500PHYSICAL THERAPY 2848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2848,A000000,02700,0000,02700SPEECH PATHOLOGY 2848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2848,A000000,03550,0000,03550FQHC 2848,A000000,05000,0000,05000CORF 2848,A000000,05010,0000,05010CMHC 2848,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2848,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2848,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2848,A000000,05300,0000,05300INTEREST EXPENSE 2848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2848,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2848,A000000,06151,0000,06301GUEST MEALS 2848,B100000,00000,0100,00001SQUARE FEET 2848,B100000,00000,0200,00001SQUARE FEET 2848,B100000,00000,0300,00001GROSS SALARIES 2848,B100000,00000,0400,00001ACCUM. COST 2848,B100000,00000,0500,00001SQUARE FEET 2848,B100000,00000,0600,00001POUNDS OF LAUNDRY 2848,B100000,00000,0700,00001SQUARE FEET 2848,B100000,00000,0800,00001MEALS SERVED 2848,B100000,00000,0900,00001DIRECT NRSING HRS 2848,B100000,00000,1000,00001COSTED REQUIS 2848,B100000,00000,1100,00001COSTED REQUIS 2848,B100000,00000,1200,00001TIME SPENT 2848,B100000,00000,1300,00001PATIENT DAYS 2848,B100000,00000,1400,00001ASSIGNED TIME 2848,S000000,00100,0200,06/02/2000 2848,S200000,00100,0100,1175 MORNINGSIDE DRIVE 2848,S200000,00200,0100,CONWAY 2848,S200000,00200,0200,AR 2848,S200000,00200,0300,72032 2848,S200000,00300,0100,FAULKNER 2848,S200000,00400,0100,HERITAGE RETIREMENT CENTER 2848,S200000,00400,0200,045308 2848,S200000,00400,0300,05/01/1996 2848,S200000,00400,0500,P 2848,S200000,01600,0100,Y 2860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2860,A000000,00300,0000,00300EMPLOYEE BENEFITS 2860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2860,A000000,00700,0000,00700HOUSEKEEPING 2860,A000000,00800,0000,00800DIETARY 2860,A000000,00900,0000,00900NURSING ADMINISTRATION 2860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2860,A000000,01100,0000,01100PHARMACY 2860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2860,A000000,01300,0000,01300SOCIAL SERVICE 2860,A000000,01350,0000,01500OTHER GENERAL SERVICES 2860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2860,A000000,01600,0000,01600SKILLED NURSING FACILITY 2860,A000000,01800,0000,01800NURSING FACILITY 2860,A000000,01810,0000,01810ICF/MR 2860,A000000,02100,0000,02100RADIOLOGY 2860,A000000,02500,0000,02500PHYSICAL THERAPY 2860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2860,A000000,02700,0000,02700SPEECH PATHOLOGY 2860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2860,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2860,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2860,A000000,03550,0000,03550FQHC 2860,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2860,A000000,05000,0000,05000CORF 2860,A000000,05010,0000,05010CMHC 2860,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2860,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2860,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2860,A81000A,00100,0100,Y 2860,A81000B,00100,0300,LEASE EXPENSE 2860,A81000B,00200,0300,MANAGEMENT FEES 2860,A81000B,00300,0300,H.O. CAPITAL COSTS 2860,A81000B,00400,0300,HEALTH INSURANCE 2860,A81000B,00500,0300,WORKERS COMP 2860,A81000B,00600,0300,CONTRACTED ADMINISTRATOR 2860,A81000B,00700,0300,CONTRACTED DON 2860,A81000C,00100,0100,A 2860,A81000C,00100,0200,KRIS COMPTON 2860,A81000C,00100,0400,EPIC MANAGEMENT 2860,A81000C,00100,0600,HOME OFFICE 2860,A81000C,00200,0100,A 2860,A81000C,00200,0200,KEVIN COMPTON 2860,A81000C,00200,0400,EPIC MANAGEMENT 2860,A81000C,00200,0600,HOME OFFICE 2860,B100000,00000,0100,00000SQUARE FEET 2860,B100000,00000,0200,00000DOLLAR VALUE 2860,B100000,00000,0300,00000GROSS SALARIES 2860,B100000,00000,0400,00000ACCUM. COST 2860,B100000,00000,0500,00000SQUARE FEET 2860,B100000,00000,0600,00000POUNDS OF LAUNDRY 2860,B100000,00000,0700,00000SQUARE FEET C 2860,B100000,00000,0800,00000MEALS SERVED 2860,B100000,00000,0900,00000DIRECT NSG HRS 2860,B100000,00000,1000,00000COSTED REQUIS. 2860,B100000,00000,1100,00000COSTED REQUIS. 2860,B100000,00000,1200,00000GROSS CHARGES 2860,B100000,00000,1300,00000GROSS CHARGES 2860,B100000,00000,1350,00000NO STATISTICS 2860,B100000,00000,1400,00000ASSIGNED TIME 2860,S000000,00100,0200,10/01/1999 2860,S200000,00100,0100,6811 S HAZEL STREET 2860,S200000,00200,0100,PINE BLUFF 2860,S200000,00200,0200,AR 2860,S200000,00300,0100,JEFFERSON 2860,S200000,00400,0100,SUNCHASE NURSING CENTER 2860,S200000,00400,0200,045311 2860,S200000,00400,0300,07/01/1996 2860,S200000,00400,0500,P 2860,S200000,01600,0100,Y 2861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2861,A000000,00300,0000,00300EMPLOYEE BENEFITS 2861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2861,A000000,00700,0000,00700HOUSEKEEPING 2861,A000000,00800,0000,00800DIETARY 2861,A000000,00801,0000,00801CAFETERIA 2861,A000000,00900,0000,00900NURSING ADMINISTRATION 2861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2861,A000000,01100,0000,01100PHARMACY 2861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2861,A000000,01300,0000,01300SOCIAL SERVICE 2861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2861,A000000,01600,0000,01600SKILLED NURSING FACILITY 2861,A000000,01800,0000,01800NURSING FACILITY 2861,A000000,01810,0000,01810ICF/MR 2861,A000000,02100,0000,02100RADIOLOGY 2861,A000000,02500,0000,02500PHYSICAL THERAPY 2861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2861,A000000,03550,0000,03550FQHC 2861,A000000,05000,0000,05000CORF 2861,A000000,05010,0000,05010CMHC 2861,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2861,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2861,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2861,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2861,A81000A,00100,0100,Y 2861,A81000B,00100,0300,MANAGEMENT FEES 2861,A81000C,00100,0100,B 2861,A81000C,00100,0200,PATHFINDER SCHOOLS INC. 2861,A81000C,00100,0400,PATHFINDER SCHOOLS INC. 2861,A81000C,00100,0600,NFP ORGANIZATION 2861,B100000,00000,0100,00000SQUARE FEET 2861,B100000,00000,0200,00000SQUARE FEET 2861,B100000,00000,0300,00000GROSS SALARIES 2861,B100000,00000,0400,00000ACCUM. COST 2861,B100000,00000,0500,00000SQUARE FEET 2861,B100000,00000,0600,00000PATIENT DAYS 2861,B100000,00000,0700,00000SQUARE FEET 2861,B100000,00000,0800,00000MEALS SERVED 2861,B100000,00000,0801,00000PAID HOURS 2861,B100000,00000,0900,00000GROSS SALARIES 2861,B100000,00000,1000,00000PATIENT DAYS 2861,B100000,00000,1100,00000PATIENT DAYS 2861,B100000,00000,1200,00000GROSS REVENUE 2861,B100000,00000,1300,00000PATIENT DAYS 2861,B100000,00000,1400,00000ASSIGNED TIME 2861,S000000,00100,0200,03/20/2000 2861,S200000,00100,0100,6811 SOUTH MAREL STREET 2861,S200000,00200,0100,PINE BLUFF 2861,S200000,00200,0200,AR 2861,S200000,00300,0100,JEFFERSON 2861,S200000,00400,0100,PATHFINDER NURSING & REHAB CENTER 2861,S200000,00400,0200,045311 2861,S200000,00400,0300,04/01/1999 2861,S200000,00400,0500,P 2861,S200000,01600,0100,Y 2863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2863,A000000,00300,0000,00300EMPLOYEE BENEFITS 2863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2863,A000000,00700,0000,00700HOUSEKEEPING 2863,A000000,00800,0000,00800DIETARY 2863,A000000,00900,0000,00900NURSING ADMINISTRATION 2863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2863,A000000,01100,0000,01100PHARMACY 2863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2863,A000000,01300,0000,01300SOCIAL SERVICE 2863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2863,A000000,01600,0000,01600SKILLED NURSING FACILITY 2863,A000000,01800,0000,01800NURSING FACILITY 2863,A000000,01810,0000,01810ICF/MR 2863,A000000,02100,0000,02100RADIOLOGY 2863,A000000,02200,0000,02200LABORATORY 2863,A000000,02500,0000,02500PHYSICAL THERAPY 2863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2863,A000000,02700,0000,02700SPEECH PATHOLOGY 2863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2863,A000000,03550,0000,03550FQHC 2863,A000000,05000,0000,05000CORF 2863,A000000,05010,0000,05010CMHC 2863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2863,A000000,05300,0000,05300INTEREST EXPENSE 2863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2863,A81000A,00100,0100,Y 2863,A81000B,00100,0300,MANAGEMENT FEES ALLOCATION 2863,A81000B,00200,0300,ADMINISTRATOR SALARY 2863,A81000B,00300,0300,ADMINISTRATOR FRINGES 2863,A81000B,00400,0300,TRAVEL EXPENSE 2863,A81000B,00500,0300,PROPERTY INSURANCE 2863,A81000B,00600,0300,VEHICLE MAINTENANCE 2863,A81000B,00700,0300,TELEPHONE 2863,A81000B,00800,0300,POSTAGE 2863,A81000C,00100,0100,B 2863,A81000C,00100,0200,PATHFINDER SCHOOLS INC 2863,A81000C,00100,0400,PATHFINDER SCHOOLS INC. 2863,A81000C,00100,0600,NFP ORGANIZATION 2863,B100000,00000,0100,00000SQUARE FEET 2863,B100000,00000,0200,00000SQUARE FEET 2863,B100000,00000,0300,00000GROSS SALARIES 2863,B100000,00000,0400,00000ACCUM. COST 2863,B100000,00000,0500,00000SQUARE FEET 2863,B100000,00000,0600,00000PATIENT DAYS 2863,B100000,00000,0700,00000SQUARE FEET 2863,B100000,00000,0800,00000MEALS SERVED 2863,B100000,00000,0900,00000GROSS SALARIES 2863,B100000,00000,1000,00000PATIENT DAYS 2863,B100000,00000,1100,00000PATIENT DAYS 2863,B100000,00000,1200,00000GROSS REVENUE 2863,B100000,00000,1300,00000PATIENT DAYS 2863,B100000,00000,1400,00000ASSIGNED TIME 2863,S000000,00100,0200,12/01/2000 2863,S200000,00100,0100,6811 SOUTH MAREL STREET 2863,S200000,00200,0100,PINE BLUFF 2863,S200000,00200,0200,AR 2863,S200000,00200,0300,71603 2863,S200000,00300,0100,J 2863,S200000,00400,0100,PATHFINDER HEALTHCARE 2863,S200000,00400,0200,045311 2863,S200000,00400,0300,04/01/1999 2863,S200000,00400,0500,P 2863,S200000,01600,0100,Y 2871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2871,A000000,00300,0000,00300EMPLOYEE BENEFITS 2871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2871,A000000,00700,0000,00700HOUSEKEEPING 2871,A000000,00800,0000,00800DIETARY 2871,A000000,00900,0000,00900NURSING ADMINISTRATION 2871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2871,A000000,01100,0000,01100PHARMACY 2871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2871,A000000,01300,0000,01300SOCIAL SERVICE 2871,A000000,01350,0000,01500OTHER GENERAL SERVICES 2871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2871,A000000,01600,0000,01600SKILLED NURSING FACILITY 2871,A000000,01800,0000,01800NURSING FACILITY 2871,A000000,01810,0000,01810ICF/MR 2871,A000000,02100,0000,02100RADIOLOGY 2871,A000000,02500,0000,02500PHYSICAL THERAPY 2871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2871,A000000,02700,0000,02700SPEECH PATHOLOGY 2871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2871,A000000,03550,0000,03550FQHC 2871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2871,A000000,05000,0000,05000CORF 2871,A000000,05010,0000,05010CMHC 2871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2871,A81000A,00100,0100,Y 2871,A81000B,00100,0300,MANAGEMENT FEES 2871,A81000C,00100,0100,B 2871,A81000C,00100,0200,CARE MANAGEMENT 2871,B100000,00000,0100,00000SQUARE FEET 2871,B100000,00000,0200,00000DOLLAR VALUE 2871,B100000,00000,0300,00000GROSS SALARIES 2871,B100000,00000,0400,00000ACCUM. COST 2871,B100000,00000,0500,00000SQUARE FEET 2871,B100000,00000,0600,00000POUNDS OF LAUNDRY 2871,B100000,00000,0700,00000SQUARE FEET 2871,B100000,00000,0800,00000MEALS SERVED 2871,B100000,00000,0900,00000DIRECT NRSING HRS 2871,B100000,00000,1000,00000COSTED REQUIS. 2871,B100000,00000,1100,00000COSTED REQUIS. 2871,B100000,00000,1200,00000TIME SPENT 2871,B100000,00000,1300,00000PATIENT DAYS 2871,B100000,00000,1350,00000NO STATISTICS 2871,B100000,00000,1400,00000ASSIGNED TIME 2871,S000000,00100,0200,05/25/2000 2871,S200000,00100,0300,470 2871,S200000,00200,0100,MONETTE 2871,S200000,00200,0200,AR 2871,S200000,00200,0300,72447 2871,S200000,00300,0100,CRAIGHEAD 2871,S200000,00400,0100,MONETTE MANOR 2871,S200000,00400,0200,045312 2871,S200000,00400,0300,08/01/1996 2871,S200000,00400,0500,P 2871,S200000,01600,0100,Y 2886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2886,A000000,00300,0000,00300EMPLOYEE BENEFITS 2886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2886,A000000,00700,0000,00700HOUSEKEEPING 2886,A000000,00800,0000,00800DIETARY 2886,A000000,00900,0000,00900NURSING ADMINISTRATION 2886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2886,A000000,01100,0000,01100PHARMACY 2886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2886,A000000,01300,0000,01300SOCIAL SERVICE 2886,A000000,01350,0000,01500OTHER GENERAL SERVICES 2886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2886,A000000,01600,0000,01600SKILLED NURSING FACILITY 2886,A000000,01800,0000,01800NURSING FACILITY 2886,A000000,01810,0000,01810ICF/MR 2886,A000000,02100,0000,02100RADIOLOGY 2886,A000000,02500,0000,02500PHYSICAL THERAPY 2886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2886,A000000,02700,0000,02700SPEECH PATHOLOGY 2886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2886,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2886,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2886,A000000,03550,0000,03550FQHC 2886,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2886,A000000,05000,0000,05000CORF 2886,A000000,05010,0000,05010CMHC 2886,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2886,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2886,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2886,A000000,05300,0000,05300INTEREST EXPENSE 2886,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2886,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2886,A81000A,00100,0100,Y 2886,A81000B,00100,0300,CAP REL COSTS - BLDGS & LEASE 2886,A81000B,00200,0300,CAP REL COSTS-BLDG DEPR EXP 2886,A81000B,00300,0300,CAP REL COSTS-BLDG INTEREST EX 2886,A81000C,00100,0100,A 2886,A81000C,00100,0200,JUDY B CLYBURN 2886,A81000C,00100,0400,GOLDEN YEARS MANOR INC 2886,A81000C,00100,0600,BUILDING RENTAL 2886,B100000,00000,0100,00000SQUARE FEET 2886,B100000,00000,0200,00000SQUARE FEET 2886,B100000,00000,0300,00000GROSS SALARIES 2886,B100000,00000,0400,00000ACCUM. COST 2886,B100000,00000,0500,00000SQUARE FEET 2886,B100000,00000,0600,00000POUNDS OF LAUNDRY 2886,B100000,00000,0700,00000SQUARE FEET 2886,B100000,00000,0800,00000MEALS SERVED 2886,B100000,00000,0900,00000HOURS OF SERVICE 2886,B100000,00000,1000,00000COSTED REQUIS. 2886,B100000,00000,1100,00000COSTED REQUIS. 2886,B100000,00000,1200,00000GROSS REVENUE 2886,B100000,00000,1300,00000PATIENT DAYS 2886,B100000,00000,1350,00000NO STATISTICS 2886,B100000,00000,1400,00000ASSIGNED TIME 2886,E10A180,00301,0300,01/01/2000 2886,S000000,00100,0200,08/31/2000 2886,S200000,00100,0100,1010 BARNES 2886,S200000,00100,0300,360 2886,S200000,00200,0100,LONOKE 2886,S200000,00200,0200,AR 2886,S200000,00200,0300,72086 2886,S200000,00300,0100,LONOKE 2886,S200000,00400,0100,GOLDEN YEARS MANOR 2886,S200000,00400,0200,045314 2886,S200000,00400,0300,09/01/1996 2886,S200000,00400,0500,P 2886,S200000,01600,0100,Y 2886,S200000,02800,0100,Y 2894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2894,A000000,00300,0000,00300EMPLOYEE BENEFITS 2894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2894,A000000,00700,0000,00700HOUSEKEEPING 2894,A000000,00800,0000,00800DIETARY 2894,A000000,00801,0000,00801CAFETERIA 2894,A000000,00900,0000,00900NURSING ADMINISTRATION 2894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2894,A000000,01100,0000,01100PHARMACY 2894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2894,A000000,01300,0000,01300SOCIAL SERVICE 2894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2894,A000000,01600,0000,01600SKILLED NURSING FACILITY 2894,A000000,01800,0000,01800NURSING FACILITY 2894,A000000,01810,0000,01810ICF/MR 2894,A000000,02100,0000,02100RADIOLOGY 2894,A000000,02200,0000,02200LABORATORY 2894,A000000,02500,0000,02500PHYSICAL THERAPY 2894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2894,A000000,02700,0000,02700SPEECH PATHOLOGY 2894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2894,A000000,03550,0000,03550FQHC 2894,A000000,05000,0000,05000CORF 2894,A000000,05010,0000,05010CMHC 2894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2894,A000000,05300,0000,05300INTEREST EXPENSE 2894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2894,B100000,00000,0100,00000SQUARE FEET 2894,B100000,00000,0200,00000SQUARE FEET 2894,B100000,00000,0300,00000GROSS SALARIES 2894,B100000,00000,0400,00000ACCUM. COST 2894,B100000,00000,0500,00000SQUARE FEET 2894,B100000,00000,0600,00000PATIENT DAYS 2894,B100000,00000,0700,00000SQUARE FEET 2894,B100000,00000,0800,00000MEALS SERVED 2894,B100000,00000,0801,00000PAID HOURS 2894,B100000,00000,0900,00000HOURS OF SERVICE 2894,B100000,00000,1000,00000PATIENT DAYS 2894,B100000,00000,1100,00000PATIENT DAYS 2894,B100000,00000,1200,00000GROSS REVENUE 2894,B100000,00000,1300,00000PATIENT DAYS 2894,B100000,00000,1400,00000ASSIGNED TIME 2894,S000000,00100,0200,11/30/2000 2894,S200000,00100,0100,1207 WILLOW RUN 2894,S200000,00100,0300,578 2894,S200000,00200,0100,LAKE CITY 2894,S200000,00200,0200,AR 2894,S200000,00200,0300,72437 2894,S200000,00300,0100,CRAIGHEAD 2894,S200000,00400,0100,LAKESIDE NURSING HOME 2894,S200000,00400,0200,045315 2894,S200000,00400,0300,09/01/1996 2894,S200000,00400,0500,P 2894,S200000,01600,0100,Y 2915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2915,A000000,00300,0000,00300EMPLOYEE BENEFITS 2915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2915,A000000,00700,0000,00700HOUSEKEEPING 2915,A000000,00800,0000,00800DIETARY 2915,A000000,00801,0000,00801EMPOYEE MEALS 2915,A000000,00900,0000,00900NURSING ADMINISTRATION 2915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2915,A000000,01100,0000,01100PHARMACY 2915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2915,A000000,01300,0000,01300SOCIAL SERVICE 2915,A000000,01350,0000,01500OTHER GENERAL SERVICES 2915,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2915,A000000,01600,0000,01600SKILLED NURSING FACILITY 2915,A000000,01810,0000,01810ICF/MR 2915,A000000,02200,0000,02200LABORATORY 2915,A000000,02500,0000,02500PHYSICAL THERAPY 2915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2915,A000000,02700,0000,02700SPEECH PATHOLOGY 2915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2915,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2915,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2915,A000000,03550,0000,03550FQHC 2915,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2915,A000000,05000,0000,05000CORF 2915,A000000,05010,0000,05010CMHC 2915,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2915,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2915,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2915,A000000,05300,0000,05300INTEREST EXPENSE 2915,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2915,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2915,A81000A,00100,0100,Y 2915,A81000B,00100,0300,HOME OFFICE CAPITAL 2915,A81000B,00200,0300,AUTO EXPENSE 2915,A81000B,00300,0300,WAGE RELATED EXPENSES 2915,A81000B,00400,0300,MANAGEMENT FEES 2915,A81000B,00500,0300,CONSULTANT 2915,A81000B,00600,0300,CONSULTANT 2915,A81000B,00700,0300,CONSULTANT 2915,A81000B,00800,0300,CONSULTANT 2915,A81000B,00900,0300,CONSULTANT 2915,A81000B,01000,0300,CONSULTANT 2915,A81000C,00100,0100,B 2915,A81000C,00100,0200,ROSE CARE INC. 2915,A81000C,00100,0400,ROSE CARE INC. 2915,A81000C,00100,0600,RELATED MANAGEMENT CO. 2915,A81000C,00200,0100,B 2915,A81000C,00200,0200,ROSE CARE INC. 2915,A81000C,00200,0400,ROSE CARE INC. 2915,A81000C,00200,0600,RELATED MANAGEMENT CO. 2915,A81000C,00300,0100,B 2915,A81000C,00300,0200,ROSE CARE INC. 2915,A81000C,00300,0400,ROSE CARE INC. 2915,A81000C,00300,0600,RELATED MANAGEMENT CO. 2915,A81000C,00400,0100,B 2915,A81000C,00400,0200,ROSE CARE INC. 2915,A81000C,00400,0400,ROSE CARE INC. 2915,A81000C,00400,0600,RELATED MANAGEMENT CO. 2915,A81000C,00500,0100,B 2915,A81000C,00500,0200,ROSE CARE INC. 2915,A81000C,00500,0400,ROSE CARE INC. 2915,A81000C,00500,0600,RELATED MANAGEMENT CO. 2915,A81000C,00600,0100,B 2915,A81000C,00600,0200,ROSE CARE INC. 2915,A81000C,00600,0400,ROSE CARE INC. 2915,A81000C,00600,0600,RELATED MANAGEMENT CO. 2915,A81000C,00700,0100,B 2915,A81000C,00700,0200,ROSE CARE INC. 2915,A81000C,00700,0400,ROSE CARE INC. 2915,A81000C,00700,0600,RELATED MANAGEMENT CO. 2915,A81000C,00800,0100,B 2915,A81000C,00800,0200,ROSE CARE INC. 2915,A81000C,00800,0400,ROSE CARE INC. 2915,A81000C,00800,0600,RELATED MANAGEMENT CO. 2915,A81000C,00900,0100,B 2915,A81000C,00900,0200,ROSE CARE INC. 2915,A81000C,00900,0400,ROSE CARE INC. 2915,A81000C,00900,0600,RELATED MANAGEMENT CO. 2915,A81000C,01000,0100,B 2915,A81000C,01000,0200,ROSE CARE INC. 2915,A81000C,01000,0400,ROSE CARE INC. 2915,A81000C,01000,0600,RELATED MANAGEMENT CO. 2915,B100000,00000,0100,00000SQUARE FEET 2915,B100000,00000,0200,00000DOLLAR VALUE 2915,B100000,00000,0300,00000GROSS SALARIES 2915,B100000,00000,0400,00000ACCUM. COST 2915,B100000,00000,0500,00000SQUARE FEET 2915,B100000,00000,0600,00000POUNDS OF LAUNDRY 2915,B100000,00000,0700,00000SQUARE FEET 2915,B100000,00000,0800,00000MEALS SERVED 2915,B100000,00000,0801,00000GROSS SALARIES 2915,B100000,00000,0900,00000DIRECT NRSING HRS 2915,B100000,00000,1000,00000COSTED REQUIS. 2915,B100000,00000,1100,00000COSTED REQUIS. 2915,B100000,00000,1200,00000TIME SPENT 2915,B100000,00000,1300,00000TIME SPENT 2915,B100000,00000,1350,00000MEALS SERVED 2915,B100000,00000,1400,00000ASSIGNED TIME 2915,S000000,00100,0200,06/08/2000 2915,S200000,00100,0300,426 2915,S200000,00200,0100,STUTTGART 2915,S200000,00200,0200,AR 2915,S200000,00200,0300,72160 2915,S200000,00300,0100,ARKANSAS 2915,S200000,00400,0100,ROSE CARE CENTER OF STUTTGART 2915,S200000,00400,0200,045319 2915,S200000,00400,0300,10/01/1996 2915,S200000,00400,0500,P 2915,S200000,01500,0100,Y 2921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2921,A000000,00300,0000,00300EMPLOYEE BENEFITS 2921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2921,A000000,00700,0000,00700HOUSEKEEPING 2921,A000000,00800,0000,00800DIETARY 2921,A000000,00801,0000,00801EMPLOYEE MEALS 2921,A000000,00900,0000,00900NURSING ADMINISTRATION 2921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2921,A000000,01100,0000,01100PHARMACY 2921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2921,A000000,01300,0000,01300SOCIAL SERVICE 2921,A000000,01350,0000,01500OTHER GENERAL SERVICES 2921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2921,A000000,01600,0000,01600SKILLED NURSING FACILITY 2921,A000000,01810,0000,01810ICF/MR 2921,A000000,02100,0000,02100RADIOLOGY 2921,A000000,02200,0000,02200LABORATORY 2921,A000000,02500,0000,02500PHYSICAL THERAPY 2921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2921,A000000,02700,0000,02700SPEECH PATHOLOGY 2921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2921,A000000,03001,0000,03001AIR FLUIDIZED BEDS 2921,A000000,03002,0000,03002AMBULANCE 2921,A000000,03003,0000,03003EMERGENCY ROOM 2921,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2921,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2921,A000000,03550,0000,03550FQHC 2921,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2921,A000000,05000,0000,05000CORF 2921,A000000,05010,0000,05010CMHC 2921,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2921,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2921,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2921,A000000,05300,0000,05300INTEREST EXPENSE 2921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2921,A81000A,00100,0100,Y 2921,A81000B,00100,0300,HOME OFFICE CAPITAL 2921,A81000B,00200,0300,AUTO EXPENSE 2921,A81000B,00300,0300,BUILDING RENT EXPENSE 2921,A81000B,00400,0300,MANAGEMENT FEES 2921,A81000B,00500,0300,CONSULTANT 2921,A81000B,00600,0300,WAGE RELATED EXPENSES 2921,A81000B,00700,0300,CONSULTANT 2921,A81000B,00800,0300,CONSULTANT 2921,A81000B,00900,0300,CONSULTANT 2921,A81000B,01000,0300,CONSULTANT 2921,A81000B,01100,0300,CONSULTANT 2921,A81000C,00100,0100,B 2921,A81000C,00100,0200,ROSE CARE INC. 2921,A81000C,00100,0400,ROSE CARE INC. 2921,A81000C,00100,0600,RELATED MANAGEMENT CO. 2921,A81000C,00200,0100,B 2921,A81000C,00200,0200,ROSE CARE INC. 2921,A81000C,00200,0400,ROSE CARE INC. 2921,A81000C,00200,0600,RELATED MANAGEMENT CO. 2921,A81000C,00300,0100,B 2921,A81000C,00300,0200,ROSE CARE INC. 2921,A81000C,00300,0400,ROSE CARE INC. 2921,A81000C,00300,0600,RELATED MANAGEMENT CO. 2921,A81000C,00400,0100,B 2921,A81000C,00400,0200,ROSE CARE INC. 2921,A81000C,00400,0400,ROSE CARE INC. 2921,A81000C,00400,0600,RELATED MANAGEMENT CO. 2921,A81000C,00500,0100,B 2921,A81000C,00500,0200,ROSE CARE INC. 2921,A81000C,00500,0400,ROSE CARE INC. 2921,A81000C,00500,0600,RELATED MANAGEMENT CO. 2921,A81000C,00600,0100,B 2921,A81000C,00600,0200,ROSE CARE INC. 2921,A81000C,00600,0400,ROSE CARE INC. 2921,A81000C,00600,0600,RELATED MANAGEMENT CO. 2921,A81000C,00700,0100,B 2921,A81000C,00700,0200,ROSE CARE INC. 2921,A81000C,00700,0400,ROSE CARE INC. 2921,A81000C,00700,0600,RELATED MANAGEMENT CO. 2921,A81000C,00800,0100,B 2921,A81000C,00800,0200,ROSE CARE INC. 2921,A81000C,00800,0400,ROSE CARE INC. 2921,A81000C,00800,0600,RELATED MANAGEMENT CO. 2921,A81000C,00900,0100,B 2921,A81000C,00900,0200,ROSE CARE INC. 2921,A81000C,00900,0400,ROSE CARE INC. 2921,A81000C,00900,0600,RELATED MANAGEMENT CO. 2921,A81000C,01000,0100,B 2921,B100000,00000,0100,00000SQUARE FEET 2921,B100000,00000,0200,00000DOLLAR VALUE 2921,B100000,00000,0300,00000GROSS SALARIES 2921,B100000,00000,0400,00000ACCUM. COST 2921,B100000,00000,0500,00000SQUARE FEET 2921,B100000,00000,0600,00000POUNDS OF LAUNDRY 2921,B100000,00000,0700,00000SQUARE FEET 2921,B100000,00000,0800,00000MEALS SERVED 2921,B100000,00000,0801,00000GROSS SALARIES 2921,B100000,00000,0900,00000DIRECT NRSING HRS 2921,B100000,00000,1000,00000COSTED REQUIS. 2921,B100000,00000,1100,00000COSTED REQUIS. 2921,B100000,00000,1200,00000TIME SPENT 2921,B100000,00000,1300,00000TIME SPENT 2921,B100000,00000,1350,00000MEALS SERVED 2921,B100000,00000,1400,00000ASSIGNED TIME 2921,S000000,00100,0200,06/08/2000 2921,S200000,00100,0100,2911 BROWNS LANE 2921,S200000,00200,0100,JONESBORO 2921,S200000,00200,0200,AR 2921,S200000,00200,0300,72401 2921,S200000,00300,0100,CRAIGHEAD 2921,S200000,00400,0100,ROSE SKILL CARE NURSING CENTER 2921,S200000,00400,0200,045321 2921,S200000,00400,0300,03/01/1997 2921,S200000,00400,0500,P 2921,S200000,01500,0100,Y 2927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2927,A000000,00300,0000,00300EMPLOYEE BENEFITS 2927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2927,A000000,00700,0000,00700HOUSEKEEPING 2927,A000000,00800,0000,00800DIETARY 2927,A000000,00801,0000,00801CAFETERIA 2927,A000000,00900,0000,00900NURSING ADMINISTRATION 2927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2927,A000000,01100,0000,01100PHARMACY 2927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2927,A000000,01300,0000,01300SOCIAL SERVICE 2927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2927,A000000,01600,0000,01600SKILLED NURSING FACILITY 2927,A000000,01800,0000,01800NURSING FACILITY 2927,A000000,01810,0000,01810ICF/MR 2927,A000000,02500,0000,02500PHYSICAL THERAPY 2927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2927,A000000,02700,0000,02700SPEECH PATHOLOGY 2927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2927,A000000,03550,0000,03550FQHC 2927,A000000,05000,0000,05000CORF 2927,A000000,05010,0000,05010CMHC 2927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2927,A000000,05300,0000,05300INTEREST EXPENSE 2927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2927,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2927,A000000,06151,0000,06301GUEST MEALS 2927,A81000A,00100,0100,Y 2927,A81000B,00100,0300,MGMT LAND LOAN FEES 2927,A81000C,00100,0100,C 2927,A81000C,00100,0200,COOPER MANAGEMENT 2927,A81000C,00100,0400,HEALTHCARE MANAGEMENT 2927,B100000,00000,0100,00001SQUARE FEET 2927,B100000,00000,0200,00001SQUARE FEET 2927,B100000,00000,0300,00001GROSS SALARIES 2927,B100000,00000,0400,00001ACCUM. COST 2927,B100000,00000,0500,00001SQUARE FEET 2927,B100000,00000,0600,00001PATIENT DAYS 2927,B100000,00000,0700,00001SQUARE FEET 2927,B100000,00000,0800,00001MEALS SERVED 2927,B100000,00000,0801,00001PAID HOURS 2927,B100000,00000,0900,00001TIME SPENT 2927,B100000,00000,1000,00001PATIENT DAYS 2927,B100000,00000,1100,00001PATIENT DAYS 2927,B100000,00000,1200,00001GROSS REVENUE 2927,B100000,00000,1300,00001TIME SPENT 2927,B100000,00000,1400,00001ASSIGNED TIME 2927,E10A180,00350,0100,03/01/2000 2927,S000000,00100,0200,06/01/2000 2927,S200000,00100,0300,550 2927,S200000,00200,0100,MELBORNE 2927,S200000,00200,0200,AR 2927,S200000,00200,0300,72556 2927,S200000,00300,0100,IZARD 2927,S200000,00400,0100,PIONEER NURSING & REHAB CENTER 2927,S200000,00400,0200,045322 2927,S200000,00400,0300,05/01/1997 2927,S200000,00400,0500,P 2927,S200000,00600,0200,045322 2927,S200000,00600,0300,05/01/1997 2927,S200000,01600,0100,Y 2935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2935,A000000,00300,0000,00300EMPLOYEE BENEFITS 2935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2935,A000000,00700,0000,00700HOUSEKEEPING 2935,A000000,00800,0000,00800DIETARY 2935,A000000,00900,0000,00900NURSING ADMINISTRATION 2935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2935,A000000,01100,0000,01100PHARMACY 2935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2935,A000000,01300,0000,01300SOCIAL SERVICE 2935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2935,A000000,01600,0000,01600SKILLED NURSING FACILITY 2935,A000000,01800,0000,01800NURSING FACILITY 2935,A000000,01810,0000,01810ICF/MR 2935,A000000,02200,0000,02200LABORATORY 2935,A000000,02300,0000,02300INTRAVENOUS THERAPY 2935,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2935,A000000,02500,0000,02500PHYSICAL THERAPY 2935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2935,A000000,02700,0000,02700SPEECH PATHOLOGY 2935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2935,A000000,03200,0000,03200SUPPORT SURFACES 2935,A000000,03550,0000,03550FQHC 2935,A000000,05000,0000,05000CORF 2935,A000000,05010,0000,05010CMHC 2935,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2935,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2935,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2935,A81000A,00100,0100,Y 2935,A81000B,00100,0300,HOME OFFICE COSTS 2935,A81000C,00100,0100,B 2935,A81000C,00100,0200,ADVOCAT INC. 2935,A81000C,00100,0400,DVCR LEASING CO 2935,A81000C,00100,0600,L/T CARE MGT CO 2935,B100000,00000,0100,00000SQUARE FEET 2935,B100000,00000,0200,00000SQUARE FEET 2935,B100000,00000,0300,00000GROSS SALARIES 2935,B100000,00000,0400,00000ACCUM COST 2935,B100000,00000,0500,00000SQUARE FEET 2935,B100000,00000,0600,00000PATIENT DAYS 2935,B100000,00000,0700,00000SQUARE FEET 2935,B100000,00000,0800,00000PATIENT DAYS 2935,B100000,00000,0900,00000TOTAL HRS SUPRVSD 2935,B100000,00000,1000,00000COSTED REQUIS 2935,B100000,00000,1100,00000COSTED REQUIS 2935,B100000,00000,1200,00000PATIENT REVENUES 2935,B100000,00000,1300,00000PATIENT DAYS 2935,B100000,00000,1400,00000ASSIGNED TIME 2935,S000000,00100,0200,11/02/2000 2935,S200000,00100,0100,1311 NORTH PECAN STREET 2935,S200000,00200,0100,NEWPORT 2935,S200000,00200,0200,AR 2935,S200000,00200,0300,72112 2935,S200000,00300,0100,JACKSON 2935,S200000,00400,0100,PINEDALE NRSG. AND REHAB. CENTER 2935,S200000,00400,0200,045323 2935,S200000,00400,0300,08/01/1997 2935,S200000,00400,0500,P 2935,S200000,01600,0100,Y 2935,S200000,02200,0100,Y 2943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2943,A000000,00300,0000,00300EMPLOYEE BENEFITS 2943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2943,A000000,00700,0000,00700HOUSEKEEPING 2943,A000000,00800,0000,00800DIETARY 2943,A000000,00801,0000,00801EMPLOYEE MEALS 2943,A000000,00900,0000,00900NURSING ADMINISTRATION 2943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2943,A000000,01100,0000,01100PHARMACY 2943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2943,A000000,01300,0000,01300SOCIAL SERVICE 2943,A000000,01350,0000,01500OTHER GENERAL SERVICES 2943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2943,A000000,01600,0000,01600SKILLED NURSING FACILITY 2943,A000000,01810,0000,01810ICF/MR 2943,A000000,02100,0000,02100RADIOLOGY 2943,A000000,02500,0000,02500PHYSICAL THERAPY 2943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2943,A000000,02700,0000,02700SPEECH PATHOLOGY 2943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2943,A000000,03001,0000,03001AIR FLUIDIZED BEDS 2943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2943,A000000,03550,0000,03550FQHC 2943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2943,A000000,05000,0000,05000CORF 2943,A000000,05010,0000,05010CMHC 2943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2943,A000000,05300,0000,05300INTEREST EXPENSE 2943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2943,A81000A,00100,0100,Y 2943,A81000B,00100,0300,HOME OFFICE CAPITAL 2943,A81000B,00200,0300,AUTO EXPENSE 2943,A81000B,00300,0300,WAGE RELATED EXPENSE 2943,A81000B,00400,0300,MANAGEMENT FEES 2943,A81000B,00500,0300,CONSULTANT 2943,A81000B,00600,0300,CONSULTANT 2943,A81000B,00700,0300,CONSULTANT 2943,A81000B,00800,0300,CONSULTANT 2943,A81000B,00900,0300,CONSULTANT 2943,A81000B,01000,0300,CONSULTANT 2943,A81000C,00100,0100,B 2943,A81000C,00100,0200,ROSE CARE INC. 2943,A81000C,00100,0400,ROSE CARE INC. 2943,A81000C,00100,0600,RELATED MANAGEMENT CO. 2943,A81000C,00200,0100,B 2943,A81000C,00200,0200,ROSE CARE INC. 2943,A81000C,00200,0400,ROSE CARE INC. 2943,A81000C,00200,0600,RELATED MANAGEMENT CO. 2943,A81000C,00300,0100,B 2943,A81000C,00300,0200,ROSE CARE INC. 2943,A81000C,00300,0400,ROSE CARE INC. 2943,A81000C,00300,0600,RELATED MANAGEMENTCO. 2943,A81000C,00400,0100,B 2943,A81000C,00400,0200,ROSE CARE INC. 2943,A81000C,00400,0400,ROSE CARE INC. 2943,A81000C,00400,0600,RELATED MANAGEMENT CO. 2943,A81000C,00500,0100,B 2943,A81000C,00500,0200,ROSE CARE INC. 2943,A81000C,00500,0400,ROSE CARE INC. 2943,A81000C,00500,0600,RELATED MANAGEMENT CO. 2943,A81000C,00600,0100,B 2943,A81000C,00600,0200,ROSE CARE INC. 2943,A81000C,00600,0400,ROSE CARE INC. 2943,A81000C,00600,0600,RELATED MANAGEMENT CO. 2943,A81000C,00700,0100,B 2943,A81000C,00700,0200,ROSE CARE INC. 2943,A81000C,00700,0400,ROSE CARE INC. 2943,A81000C,00700,0600,RELATED MANAGEMENT CO. 2943,A81000C,00800,0100,B 2943,A81000C,00800,0200,ROSE CARE INC. 2943,A81000C,00800,0400,ROSE CARE INC. 2943,A81000C,00800,0600,RELATED MANAGEMENT CO. 2943,A81000C,00900,0100,B 2943,A81000C,00900,0200,ROSE CARE INC. 2943,A81000C,00900,0400,ROSE CARE INC. 2943,A81000C,00900,0600,RELATED MANAGEMENT CO. 2943,A81000C,01000,0100,B 2943,A81000C,01000,0200,ROSE CARE INC. 2943,A81000C,01000,0400,ROSE CARE INC. 2943,A81000C,01000,0600,RELATED MANAGEMENT CO. 2943,B100000,00000,0100,00000SQUARE FEET 2943,B100000,00000,0200,00000DOLLAR VALUE 2943,B100000,00000,0300,00000GROSS SALARIES 2943,B100000,00000,0400,00000ACCUM. COST 2943,B100000,00000,0500,00000SQUARE FEET 2943,B100000,00000,0600,00000POUNDS OF LAUNDRY 2943,B100000,00000,0700,00000SQUARE FEET 2943,B100000,00000,0800,00000MEALS SERVED 2943,B100000,00000,0801,00000GROSS SALARIES 2943,B100000,00000,0900,00000DIRECT NRSING HRS 2943,B100000,00000,1000,00000COSTED REQUIS. 2943,B100000,00000,1100,00000COSTED REQUIS. 2943,B100000,00000,1200,00000TIME SPENT 2943,B100000,00000,1300,00000TIME SPENT 2943,B100000,00000,1350,00000NO STATISTICS 2943,B100000,00000,1400,00000ASSIGNED TIME 2943,S000000,00100,0200,06/08/2000 2943,S200000,00100,0100,3016 N. CHURCH 2943,S200000,00200,0100,JONESBORO 2943,S200000,00200,0200,AR 2943,S200000,00200,0300,72401 2943,S200000,00300,0100,CRAIGHEAD 2943,S200000,00400,0100,ROSE CARE CENTER OF JONESBORO 2943,S200000,00400,0200,045327 2943,S200000,00400,0300,08/01/1997 2943,S200000,00400,0500,P 2943,S200000,01500,0100,Y 2953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2953,A000000,00300,0000,00300EMPLOYEE BENEFITS 2953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2953,A000000,00700,0000,00700HOUSEKEEPING 2953,A000000,00800,0000,00800DIETARY 2953,A000000,00801,0000,00801EMPLOYEE MEALS 2953,A000000,00900,0000,00900NURSING ADMINISTRATION 2953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2953,A000000,01100,0000,01100PHARMACY 2953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2953,A000000,01300,0000,01300SOCIAL SERVICE 2953,A000000,01350,0000,01500OTHER GENERAL SERVICES 2953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2953,A000000,01600,0000,01600SKILLED NURSING FACILITY 2953,A000000,01810,0000,01810ICF/MR 2953,A000000,02100,0000,02100RADIOLOGY 2953,A000000,02200,0000,02200LABORATORY 2953,A000000,02500,0000,02500PHYSICAL THERAPY 2953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2953,A000000,02700,0000,02700SPEECH PATHOLOGY 2953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2953,A000000,03001,0000,03001AMBULANCE 2953,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2953,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2953,A000000,03550,0000,03550FQHC 2953,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2953,A000000,05000,0000,05000CORF 2953,A000000,05010,0000,05010CMHC 2953,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2953,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2953,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2953,A000000,05300,0000,05300INTEREST EXPENSE 2953,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2953,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2953,A81000A,00100,0100,Y 2953,A81000B,00100,0300,HOME OFFICE CAPITAL 2953,A81000B,00200,0300,AUTO EXPENSE 2953,A81000B,00300,0300,BUILDING EXPENSE 2953,A81000B,00400,0300,WAGE RELATED EXPENSES 2953,A81000B,00500,0300,MANAGEMENT FEES 2953,A81000B,00600,0300,CONSULTANT 2953,A81000B,00700,0300,CONSULTANT 2953,A81000B,00800,0300,CONSULTANT 2953,A81000B,00900,0300,CONSULTANT 2953,A81000B,01000,0300,CONSULTANT 2953,A81000B,01100,0300,CONSULTANT 2953,A81000C,00100,0100,B 2953,A81000C,00100,0200,ROSE CARE INC. 2953,A81000C,00100,0400,ROSE CARE INC. 2953,A81000C,00100,0600,RELATED MANAGEMENT CO. 2953,A81000C,00200,0100,B 2953,A81000C,00200,0200,ROSE CARE INC. 2953,A81000C,00200,0400,ROSE CARE INC. 2953,A81000C,00200,0600,RELATED MANAGEMENT CO. 2953,A81000C,00300,0100,B 2953,A81000C,00300,0200,ROSE CARE INC. 2953,A81000C,00300,0400,ROSE CARE INC. 2953,A81000C,00300,0600,RELATED MANAGEMENT CO. 2953,A81000C,00400,0100,B 2953,A81000C,00400,0200,ROSE CARE INC. 2953,A81000C,00400,0400,ROSE CARE INC. 2953,A81000C,00400,0600,RELATED MANAGEMENT CO. 2953,A81000C,00500,0100,B 2953,A81000C,00500,0200,ROSE CARE INC. 2953,A81000C,00500,0400,ROSE CARE INC. 2953,A81000C,00500,0600,RELATED MANAGEMENT CO. 2953,A81000C,00600,0100,B 2953,A81000C,00600,0200,ROSE CARE INC. 2953,A81000C,00600,0400,ROSE CARE INC. 2953,A81000C,00600,0600,RELATED MANAGEMENT CO. 2953,A81000C,00700,0100,B 2953,A81000C,00700,0200,ROSE CARE INC. 2953,A81000C,00700,0400,ROSE CARE INC. 2953,A81000C,00700,0600,RELATED MANAGEMENT CO. 2953,A81000C,00800,0100,B 2953,A81000C,00800,0200,ROSE CARE INC. 2953,A81000C,00800,0400,ROSE CARE INC. 2953,A81000C,00800,0600,RELATED MANAGEMENT CO. 2953,A81000C,00900,0100,B 2953,A81000C,00900,0200,ROSE CARE INC. 2953,A81000C,00900,0400,ROSE CARE INC. 2953,A81000C,00900,0600,RELATED MANAGEMENT CO. 2953,A81000C,01000,0100,B 2953,A81000C,01000,0200,ROSE CARE INC. 2953,A81000C,01000,0400,ROSE CARE INC. 2953,A81000C,01000,0600,RELATED MANAGEMENT CO. 2953,A81000C,01100,0100,B 2953,A81000C,01100,0200,ROSE CARE INC. 2953,A81000C,01100,0400,ROSE CARE INC. 2953,A81000C,01100,0600,RELATED MANAGEMENT CO. 2953,B100000,00000,0100,00000SQUARE FEET 2953,B100000,00000,0200,00000DOLLAR VALUE 2953,B100000,00000,0300,00000GROSS SALARIES 2953,B100000,00000,0400,00000ACCUM. COST 2953,B100000,00000,0500,00000SQUARE FEET 2953,B100000,00000,0600,00000POUNDS OF LAUNDRY 2953,B100000,00000,0700,00000SQUARE FEET 2953,B100000,00000,0800,00000MEALS SERVED 2953,B100000,00000,0801,00000GROSS SALARIES 2953,B100000,00000,0900,00000DIRECT NRSING HRS 2953,B100000,00000,1000,00000COSTED REQUIS. 2953,B100000,00000,1100,00000COSTED REQUIS. 2953,B100000,00000,1200,00000TIME SPENT 2953,B100000,00000,1300,00000TIME SPENT 2953,B100000,00000,1350,00000MEALS SERVED 2953,B100000,00000,1400,00000ASSIGNED TIME 2953,S000000,00100,0200,06/08/2000 2953,S200000,00100,0100,333 MELODY DRIVE 2953,S200000,00200,0100,TRUMANN 2953,S200000,00200,0200,AR 2953,S200000,00200,0300,72472 2953,S200000,00300,0100,POINSETT 2953,S200000,00400,0100,ROSE CARE CENTER OF TRUMANN 2953,S200000,00400,0200,045332 2953,S200000,00400,0300,09/01/1997 2953,S200000,00400,0500,P 2953,S200000,01500,0100,Y 2961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2961,A000000,00300,0000,00300EMPLOYEE BENEFITS 2961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2961,A000000,00700,0000,00700HOUSEKEEPING 2961,A000000,00800,0000,00800DIETARY 2961,A000000,00900,0000,00900NURSING ADMINISTRATION 2961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2961,A000000,01100,0000,01100PHARMACY 2961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2961,A000000,01300,0000,01300SOCIAL SERVICE 2961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2961,A000000,01600,0000,01600SKILLED NURSING FACILITY 2961,A000000,01800,0000,01800NURSING FACILITY 2961,A000000,01810,0000,01810ICF/MR 2961,A000000,02100,0000,02100RADIOLOGY 2961,A000000,02200,0000,02200LABORATORY 2961,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 2961,A000000,02500,0000,02500PHYSICAL THERAPY 2961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2961,A000000,02700,0000,02700SPEECH PATHOLOGY 2961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2961,A000000,03550,0000,03550FQHC 2961,A000000,05000,0000,05000CORF 2961,A000000,05010,0000,05010CMHC 2961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2961,A000000,05300,0000,05300INTEREST EXPENSE 2961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2961,A81000A,00100,0100,Y 2961,A81000B,00100,0300,BH EMPLOYEE BENEFITS 2961,A81000B,00200,0300,BH HOME OFFICE A&G 2961,A81000B,00300,0300,BH LAUNDRY & LINEN 2961,A81000B,00400,0300,BH MEDICAL RECORDS 2961,A81000B,00500,0300,PWV EMPLOYEE BENEFITS 2961,A81000B,00600,0300,PWV HOME OFFICE A&G 2961,A81000B,00700,0300,PWV MAINTENANCE 2961,A81000B,00800,0300,PWV HOUSEKEEPING 2961,A81000B,00900,0300,PWV DIETARY 2961,A81000C,00100,0100,B 2961,A81000C,00100,0200,BAPTIST HEALTH 2961,A81000C,00100,0400,HOME OFFICE 2961,A81000C,00100,0600,HEALTH SYSTEM 2961,A81000C,00200,0100,G 2961,A81000C,00200,0200,PARKWAY VILLAGE INC. 2961,A81000C,00200,0400,HOME OFFICE 2961,A81000C,00200,0600,NURSING FACILITY 2961,B100000,00000,0100,00000SQUARE FEET 2961,B100000,00000,0200,00000SQUARE FEET 2961,B100000,00000,0300,00000GROSS SALARY 2961,B100000,00000,0400,00000ACCUM. COST 2961,B100000,00000,0500,00000SQUARE FEET 2961,B100000,00000,0600,00000POUNDS OF LAUNDRY 2961,B100000,00000,0700,00000SQUARE FEET 2961,B100000,00000,0800,00000MEALS SERVED 2961,B100000,00000,0900,00000DIRECT NRSING HRS 2961,B100000,00000,1000,00000COSTED REQUIS. 2961,B100000,00000,1100,00000COSTED REQUIS. 2961,B100000,00000,1200,00000PATIENT DAYS 2961,B100000,00000,1300,00000PATIENT DAYS 2961,B100000,00000,1400,00000ASSIGNED TIME 2961,S000000,00100,0200,05/31/2000 2961,S200000,00100,0100,14324 CHENAL PARKWAY 2961,S200000,00200,0100,LITTLE ROCK 2961,S200000,00200,0200,AR 2961,S200000,00200,0300,72211 2961,S200000,00300,0100,PULASKI 2961,S200000,00400,0100,PARKWAY HEALTH CENTER SUBACUTE UNIT 2961,S200000,00400,0200,045333 2961,S200000,00400,0300,07/11/1997 2961,S200000,00400,0500,P 2961,S200000,01600,0100,Y 2969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2969,A000000,00300,0000,00300EMPLOYEE BENEFITS 2969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2969,A000000,00700,0000,00700HOUSEKEEPING 2969,A000000,00800,0000,00800DIETARY 2969,A000000,00900,0000,00900NURSING ADMINISTRATION 2969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2969,A000000,01100,0000,01100PHARMACY 2969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2969,A000000,01300,0000,01300SOCIAL SERVICE 2969,A000000,01350,0000,01500OTHER GENERAL SERVICES 2969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2969,A000000,01600,0000,01600SKILLED NURSING FACILITY 2969,A000000,01800,0000,01800NURSING FACILITY 2969,A000000,01810,0000,01810ICF/MR 2969,A000000,02500,0000,02500PHYSICAL THERAPY 2969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2969,A000000,02700,0000,02700SPEECH PATHOLOGY 2969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2969,A000000,03550,0000,03550FQHC 2969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2969,A000000,05000,0000,05000CORF 2969,A000000,05010,0000,05010CMHC 2969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2969,A81000A,00100,0100,Y 2969,A81000B,00100,0300,CAPITAL RELATED COST 2969,A81000B,00200,0300,NON CAPITAL RELATED 2969,A81000B,00300,0300,INTEREST 2969,A81000C,00100,0100,A 2969,A81000C,00100,0200,J. FRANKUM 2969,A81000C,00100,0400,REGIONAL MANAGEMENT 2969,A81000C,00100,0600,MANAGEMENT COMPANY 2969,A81000C,00200,0100,A 2969,A81000C,00200,0200,J. FRANKUM 2969,A81000C,00200,0400,REGIONAL MANAGEMENT 2969,A81000C,00200,0600,MANAGEMENT COMPANY 2969,A81000C,00300,0100,A 2969,A81000C,00300,0200,J. FRANKUM 2969,A81000C,00300,0400,REGIONAL MANAGEMENT 2969,A81000C,00300,0600,MANAGEMENT COMPANY 2969,B100000,00000,0100,00000SQ FEET 2969,B100000,00000,0200,00000NO STATISTICS 2969,B100000,00000,0300,00000SALARIES 2969,B100000,00000,0400,00000ACCUM. COST 2969,B100000,00000,0500,00000SQ FEET 2969,B100000,00000,0600,00000PATIENT DAYS 2969,B100000,00000,0700,00000SQ FEET 2969,B100000,00000,0800,00000PATIENT DAYS 2969,B100000,00000,0900,00000TIME SPENT 2969,B100000,00000,1000,00000SUPPLIES TO PATIENT 2969,B100000,00000,1100,00000DRUGS TO PATIENTS 2969,B100000,00000,1200,00000GROSS CHARGES 2969,B100000,00000,1300,00000TIME SPENT 2969,B100000,00000,1350,00000NO STATISTICS 2969,B100000,00000,1400,00000NO STATISTICS 2969,S000000,00100,0200,05/23/2000 2969,S200000,00100,0100,325 LINDLEY LANE 2969,S200000,00200,0100,NEWPORT 2969,S200000,00200,0200,AR 2969,S200000,00200,0300,72112 2969,S200000,00300,0100,JACKSON 2969,S200000,00400,0100,REGIONAL HEALTHCARE 2969,S200000,00400,0200,045334 2969,S200000,00400,0300,10/01/1997 2969,S200000,00400,0500,P 2969,S200000,01600,0100,Y 2975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2975,A000000,00300,0000,00300EMPLOYEE BENEFITS 2975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2975,A000000,00700,0000,00700HOUSEKEEPING 2975,A000000,00800,0000,00800DIETARY 2975,A000000,00900,0000,00900NURSING ADMINISTRATION 2975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2975,A000000,01100,0000,01100PHARMACY 2975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2975,A000000,01300,0000,01300SOCIAL SERVICE 2975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2975,A000000,01600,0000,01600SKILLED NURSING FACILITY 2975,A000000,01800,0000,01800NURSING FACILITY 2975,A000000,01810,0000,01810ICF/MR 2975,A000000,02100,0000,02100RADIOLOGY 2975,A000000,02200,0000,02200LABORATORY 2975,A000000,02500,0000,02500PHYSICAL THERAPY 2975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2975,A000000,02700,0000,02700SPEECH PATHOLOGY 2975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2975,A000000,03200,0000,03200SUPPORT SURFACES 2975,A000000,03550,0000,03550FQHC 2975,A000000,05000,0000,05000CORF 2975,A000000,05010,0000,05010CMHC 2975,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2975,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2975,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2975,A000000,06150,0000,06300OTHER 2975,A81000A,00100,0100,Y 2975,A81000B,00100,0300,HOME OFFICE - CRC BLDG 2975,A81000B,00200,0300,HOME OFFICE - CRC EQUIP 2975,A81000B,00300,0300,HOME OFFICE - A & G 2975,A81000B,00400,0300,HOME OFFICE - EMPLOYEE BENEFIT 2975,A81000C,00100,0100,B 2975,A81000C,00100,0200,HEATHER MANOR NC - SOUTH 2975,A81000C,00100,0400,CENTRAL AR NURSING CENTER 2975,A81000C,00100,0600,HOME OFFICE 2975,B100000,00000,0100,00000SQUARE FEET 2975,B100000,00000,0200,00000SQUARE FEET 2975,B100000,00000,0300,00000GROSS SALARIES 2975,B100000,00000,0400,00000ACCUM. COST 2975,B100000,00000,0500,00000SQUARE FEET 2975,B100000,00000,0600,00000PATIENT DAYS 2975,B100000,00000,0700,00000SQUARE FEET 2975,B100000,00000,0800,00000MEALS SERVED 2975,B100000,00000,0900,00000HOURS SUPERVISED 2975,B100000,00000,1000,00000COSTED REQUIS. 2975,B100000,00000,1100,00000COSTED REQUIS 2975,B100000,00000,1200,00000GROSS CHARGES 2975,B100000,00000,1300,00000PATIENT DAYS 2975,B100000,00000,1400,00000ASSIGNED TIME 2975,S000000,00100,0200,05/31/2000 2975,S200000,00100,0100,400 WEST 3RD STREET 2975,S200000,00100,0300,2002 2975,S200000,00200,0100,HOPE 2975,S200000,00200,0200,AR 2975,S200000,00200,0300,71801 2975,S200000,00300,0100,HEMPSTEAD 2975,S200000,00400,0100,HEATHER MANOR NURSING CENTER SOUTH 2975,S200000,00400,0200,045337 2975,S200000,00400,0300,01/01/1998 2975,S200000,00400,0500,P 2975,S200000,01600,0100,Y 2980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2980,A000000,00300,0000,00300EMPLOYEE BENEFITS 2980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2980,A000000,00700,0000,00700HOUSEKEEPING 2980,A000000,00800,0000,00800DIETARY 2980,A000000,00900,0000,00900NURSING ADMINISTRATION 2980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2980,A000000,01100,0000,01100PHARMACY 2980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2980,A000000,01300,0000,01300SOCIAL SERVICE 2980,A000000,01350,0000,01500OTHER GENERAL SERVICES 2980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2980,A000000,01600,0000,01600SKILLED NURSING FACILITY 2980,A000000,01800,0000,01800NURSING FACILITY 2980,A000000,01810,0000,01810ICF/MR 2980,A000000,02100,0000,02100RADIOLOGY 2980,A000000,02200,0000,02200LABORATORY 2980,A000000,02500,0000,02500PHYSICAL THERAPY 2980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2980,A000000,02700,0000,02700SPEECH PATHOLOGY 2980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2980,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 2980,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 2980,A000000,03550,0000,03550FQHC 2980,A000000,04750,0000,05100OTHER REIMBURSABLE COST 2980,A000000,05000,0000,05000CORF 2980,A000000,05010,0000,05010CMHC 2980,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2980,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2980,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2980,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 2980,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2980,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 2980,A81000A,00100,0100,Y 2980,A81000B,00100,0300,CRC 2980,A81000B,00200,0300,NON CAPITAL 2980,A81000B,00300,0300,INTEREST 2980,A81000C,00100,0100,A 2980,A81000C,00100,0200,J FRANKUM 2980,A81000C,00100,0400,REGIONAL MANAGEMENT INC 2980,A81000C,00100,0600,MANAGEMENT COMPANY 2980,A81000C,00200,0100,A 2980,A81000C,00200,0200,J FRANKUM 2980,A81000C,00200,0400,REGIONAL MANAGEMENT INC 2980,A81000C,00200,0600,MANAGEMENT COMPANY 2980,B100000,00000,0100,00000SQUARE FEET 2980,B100000,00000,0200,00000DOLLAR VALUE 2980,B100000,00000,0300,00000GROSS SALARIES 2980,B100000,00000,0400,00000ACCUM. COST 2980,B100000,00000,0500,00000SQUARE FEET 2980,B100000,00000,0600,00000POUNDS OF LAUNDRY 2980,B100000,00000,0700,00000SQUARE FEET 2980,B100000,00000,0800,00000PATIENT DAYS 2980,B100000,00000,0900,00000NURSING HOURS 2980,B100000,00000,1000,00000COSTED REQUIS. 2980,B100000,00000,1100,00000COSTED REQUIS. 2980,B100000,00000,1200,00000GROSS CHARGES 2980,B100000,00000,1300,00000TIME SPENT 2980,B100000,00000,1350,00000NO STATISTICS 2980,B100000,00000,1400,00000ASSIGNED TIME 2980,S000000,00100,0200,05/23/2000 2980,S200000,00100,0100,138 BRIGHTON TERRACE 2980,S200000,00200,0100,HOT SPRINGS 2980,S200000,00200,0200,AR 2980,S200000,00200,0300,70913 2980,S200000,00300,0100,GARLAND 2980,S200000,00400,0100,QUAPAW HEALTHCARE 2980,S200000,00400,0200,045338 2980,S200000,00400,0300,01/01/1998 2980,S200000,00400,0500,P 2980,S200000,01600,0100,Y 2986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2986,A000000,00300,0000,00300EMPLOYEE BENEFITS 2986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2986,A000000,00700,0000,00700HOUSEKEEPING 2986,A000000,00800,0000,00800DIETARY 2986,A000000,00900,0000,00900NURSING ADMINISTRATION 2986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2986,A000000,01100,0000,01100PHARMACY 2986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2986,A000000,01300,0000,01300SOCIAL SERVICE 2986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2986,A000000,01600,0000,01600SKILLED NURSING FACILITY 2986,A000000,01800,0000,01800NURSING FACILITY 2986,A000000,01810,0000,01810ICF/MR 2986,A000000,02100,0000,02100RADIOLOGY 2986,A000000,02200,0000,02200LABORATORY 2986,A000000,02500,0000,02500PHYSICAL THERAPY 2986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2986,A000000,02700,0000,02700SPEECH PATHOLOGY 2986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2986,A000000,03550,0000,03550FQHC 2986,A000000,05000,0000,05000CORF 2986,A000000,05010,0000,05010CMHC 2986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2986,A81000A,00100,0100,Y 2986,A81000B,00100,0300,CRC - BLDG 2986,A81000B,00200,0300,CRC - MME 2986,A81000B,00300,0300,HOME OFFICE - A&G 2986,A81000B,00400,0300,EMPLOYEE BENEFITS 2986,A81000B,00500,0300,EMPLOYEE BENEFITS 2986,A81000C,00100,0100,B 2986,A81000C,00100,0200,ATKINS NURSING AND REHAB 2986,A81000C,00100,0400,CENTRAL AR NURSING CTRS 2986,A81000C,00100,0600,HOME OFFICE 2986,B100000,00000,0100,00000SQUARE FEET 2986,B100000,00000,0200,00000SQUARE FEET 2986,B100000,00000,0300,00000GROSS SALARIES 2986,B100000,00000,0400,00000ACCUM. COST 2986,B100000,00000,0500,00000SQUARE FEET 2986,B100000,00000,0600,00000PATIENT DAYS 2986,B100000,00000,0700,00000SQUARE FEET 2986,B100000,00000,0800,00000MEALS SERVED 2986,B100000,00000,0900,00000HOURS SUPERVISED 2986,B100000,00000,1000,00000COSTED REQUIS. 2986,B100000,00000,1100,00000COSTED REQUIS. 2986,B100000,00000,1200,00000GROSS CHARGES 2986,B100000,00000,1300,00000PATIENT DAYS 2986,B100000,00000,1400,00000ASSIGNED TIME 2986,S000000,00100,0200,05/30/2000 2986,S200000,00100,0100,605 NW 7TH ST 2986,S200000,00200,0100,ATKINS 2986,S200000,00200,0200,AR 2986,S200000,00200,0300,72823 2986,S200000,00300,0100,POPE 2986,S200000,00400,0100,ATKINS NURSING AND REHAB CENTER INC 2986,S200000,00400,0200,045339 2986,S200000,00400,0300,03/01/1998 2986,S200000,00400,0500,P 2986,S200000,01600,0100,Y 2991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 2991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 2991,A000000,00300,0000,00300EMPLOYEE BENEFITS 2991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 2991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 2991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 2991,A000000,00700,0000,00700HOUSEKEEPING 2991,A000000,00800,0000,00800DIETARY 2991,A000000,00900,0000,00900NURSING ADMINISTRATION 2991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 2991,A000000,01100,0000,01100PHARMACY 2991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 2991,A000000,01300,0000,01300SOCIAL SERVICE 2991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 2991,A000000,01600,0000,01600SKILLED NURSING FACILITY 2991,A000000,01800,0000,01800NURSING FACILITY 2991,A000000,01810,0000,01810ICF/MR 2991,A000000,02100,0000,02100RADIOLOGY 2991,A000000,02200,0000,02200LABORATORY 2991,A000000,02500,0000,02500PHYSICAL THERAPY 2991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 2991,A000000,02700,0000,02700SPEECH PATHOLOGY 2991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 2991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 2991,A000000,03550,0000,03550FQHC 2991,A000000,05000,0000,05000CORF 2991,A000000,05010,0000,05010CMHC 2991,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 2991,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 2991,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 2991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 2991,A81000A,00100,0100,Y 2991,A81000B,00100,0300,HOME OFFICE A&G 2991,A81000B,00200,0300,HOME OFFICE CRC - BLDG 2991,A81000B,00300,0300,HOME OFFICE CRC - MME 2991,A81000B,00400,0300,EE BENEFITS 2991,A81000B,00500,0300,EE BENEFITS 2991,A81000C,00100,0100,B 2991,A81000C,00100,0200,RUSSELLVILLE NURSING CTR 2991,A81000C,00100,0400,CENTRAL AR NURSING CTR 2991,A81000C,00100,0600,HOME OFFICE 2991,B100000,00000,0100,00000SQUARE FEET 2991,B100000,00000,0200,00000SQUARE FEET 2991,B100000,00000,0300,00000GROSS SALARIES 2991,B100000,00000,0400,00000ACCUM. COST 2991,B100000,00000,0500,00000SQUARE FEET 2991,B100000,00000,0600,00000PATIENT DAYS 2991,B100000,00000,0700,00000SQUARE FEET 2991,B100000,00000,0800,00000MEALS SERVED 2991,B100000,00000,0900,00000HOURS SUPERVISED 2991,B100000,00000,1000,00000COSTED REQUIS. 2991,B100000,00000,1100,00000COSTED REQUIS. 2991,B100000,00000,1200,00000GROSS CHARGES 2991,B100000,00000,1300,00000PATIENT DAYS 2991,B100000,00000,1400,00000ASSIGNED TIME 2991,S000000,00100,0200,05/30/2000 2991,S200000,00100,0100,1700 WEST C STREET 2991,S200000,00200,0100,RUSSELLVILLE 2991,S200000,00200,0200,AR 2991,S200000,00200,0300,72801 2991,S200000,00300,0100,POPE 2991,S200000,00400,0100,RUSSELLVILLE NURSING AND REHAB CTR 2991,S200000,00400,0200,045340 2991,S200000,00400,0300,03/01/1998 2991,S200000,00400,0500,P 2991,S200000,01600,0100,Y 2991,S200000,02800,0100,Y 3000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3000,A000000,00300,0000,00300EMPLOYEE BENEFITS 3000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3000,A000000,00700,0000,00700HOUSEKEEPING 3000,A000000,00800,0000,00800DIETARY 3000,A000000,00900,0000,00900NURSING ADMINISTRATION 3000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3000,A000000,01100,0000,01100PHARMACY 3000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3000,A000000,01300,0000,01300SOCIAL SERVICE 3000,A000000,01350,0000,01500OTHER GENERAL SERVICES 3000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3000,A000000,01600,0000,01600SKILLED NURSING FACILITY 3000,A000000,01800,0000,01800NURSING FACILITY 3000,A000000,01810,0000,01810ICF/MR 3000,A000000,02100,0000,02100RADIOLOGY 3000,A000000,02200,0000,02200LABORATORY 3000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3000,A000000,02500,0000,02500PHYSICAL THERAPY 3000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3000,A000000,02700,0000,02700SPEECH PATHOLOGY 3000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3000,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3000,A000000,03200,0000,03200SUPPORT SURFACES 3000,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3000,A000000,03550,0000,03550FQHC 3000,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3000,A000000,05000,0000,05000CORF 3000,A000000,05010,0000,05010CMHC 3000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3000,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3000,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3000,A81000A,00100,0100,Y 3000,A81000B,00100,0300,MGMT FEES 3000,B100000,00000,0100,00000SQUARE FEET 3000,B100000,00000,0200,00000DOLLAR VALUE 3000,B100000,00000,0300,00000GROSS SALARIES 3000,B100000,00000,0400,00000ACCUM. COST 3000,B100000,00000,0500,00000SQUARE FEET 3000,B100000,00000,0600,00000PATIENT DAYS 3000,B100000,00000,0700,00000SQUARE FEET 3000,B100000,00000,0800,00000PATIENT DAYS 3000,B100000,00000,0900,00000PATIENT DAYS 3000,B100000,00000,1000,00000COSTED REQUIS. 3000,B100000,00000,1100,00000PATIENT DAYS 3000,B100000,00000,1200,00000TIME SPENT 3000,B100000,00000,1300,00000PATIENT DAYS 3000,B100000,00000,1350,00000NO STATISTICS 3000,B100000,00000,1400,00000ASSIGNED TIME 3000,S000000,00100,0200,07/07/2000 3000,S200000,00100,0100,810 NORTH 8TH STREE 3000,S200000,00200,0100,NASHVILLE 3000,S200000,00200,0200,AR 3000,S200000,00200,0300,71852 3000,S200000,00300,0100,HOWARD 3000,S200000,00400,0100,NASHVILLE NURSING CENTER 3000,S200000,00400,0200,045342 3000,S200000,00400,0300,06/01/1998 3000,S200000,00400,0500,P 3000,S200000,01600,0100,Y 3003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3003,A000000,00300,0000,00300EMPLOYEE BENEFITS 3003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3003,A000000,00700,0000,00700HOUSEKEEPING 3003,A000000,00800,0000,00800DIETARY 3003,A000000,00900,0000,00900NURSING ADMINISTRATION 3003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3003,A000000,01100,0000,01100PHARMACY 3003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3003,A000000,01300,0000,01300SOCIAL SERVICE 3003,A000000,01350,0000,01500OTHER GENERAL SERVICES 3003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3003,A000000,01600,0000,01600SKILLED NURSING FACILITY 3003,A000000,01800,0000,01800NURSING FACILITY 3003,A000000,01810,0000,01810ICF/MR 3003,A000000,02100,0000,02100RADIOLOGY 3003,A000000,02300,0000,02300INTRAVENOUS THERAPY 3003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3003,A000000,02500,0000,02500PHYSICAL THERAPY 3003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3003,A000000,02700,0000,02700SPEECH PATHOLOGY 3003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3003,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3003,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3003,A000000,03550,0000,03550FQHC 3003,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3003,A000000,05000,0000,05000CORF 3003,A000000,05010,0000,05010CMHC 3003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3003,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3003,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3003,A81000A,00100,0100,Y 3003,A81000B,00100,0300,CAPITAL RELATED COSTS 3003,A81000B,00200,0300,NON CAPITAL 3003,A81000B,00300,0300,INTEREST 3003,A81000C,00100,0100,A 3003,A81000C,00100,0200,J FRANKUM 3003,A81000C,00100,0400,REGIONAL MANAGEMENT INC 3003,A81000C,00100,0600,MANAGEMENT COMPANY 3003,A81000C,00200,0100,A 3003,A81000C,00200,0200,J FRANKUM 3003,A81000C,00200,0400,REGIONAL MANAGEMENT INC 3003,A81000C,00200,0600,MANAGEMENT COMPANY 3003,B100000,00000,0100,00000SQ FEET 3003,B100000,00000,0200,00000NO STATISTICS 3003,B100000,00000,0300,00000GROSS SALARIES 3003,B100000,00000,0400,00000ACCUM. COST 3003,B100000,00000,0500,00000SQ FEET 3003,B100000,00000,0600,00000PATIENT DAYS 3003,B100000,00000,0700,00000SQ FEET 3003,B100000,00000,0800,00000PATIENT DAYS 3003,B100000,00000,0900,00000TIME SPENT 3003,B100000,00000,1000,00000COSTED REQ 3003,B100000,00000,1100,00000COSTED REQ 3003,B100000,00000,1200,00000GROSS CHARGES 3003,B100000,00000,1300,00000TIME SPENT 3003,B100000,00000,1350,00000NO STATISTICS 3003,B100000,00000,1400,00000TIME SPENT 3003,S000000,00100,0200,05/23/2000 3003,S200000,00100,0100,3001 ALDERSGATE ROAD 3003,S200000,00200,0100,LITTLE ROCK 3003,S200000,00200,0200,AR 3003,S200000,00200,0300,72205 3003,S200000,00300,0100,PULASKI 3003,S200000,00400,0100,HEALTHCARE CENTER @ GOOD SHEPHERD 3003,S200000,00400,0200,045343 3003,S200000,00400,0300,05/01/1998 3003,S200000,00400,0500,P 3003,S200000,01600,0100,Y 3006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3006,A000000,00300,0000,00300EMPLOYEE BENEFITS 3006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3006,A000000,00700,0000,00700HOUSEKEEPING 3006,A000000,00800,0000,00800DIETARY 3006,A000000,00801,0000,00801EMPLOYEE MEALS 3006,A000000,00900,0000,00900NURSING ADMINISTRATION 3006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3006,A000000,01100,0000,01100PHARMACY 3006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3006,A000000,01300,0000,01300SOCIAL SERVICE 3006,A000000,01350,0000,01500OTHER GENERAL SERVICES 3006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3006,A000000,01600,0000,01600SKILLED NURSING FACILITY 3006,A000000,01810,0000,01810ICF/MR 3006,A000000,02100,0000,02100RADIOLOGY 3006,A000000,02200,0000,02200LABORATORY 3006,A000000,02500,0000,02500PHYSICAL THERAPY 3006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3006,A000000,02700,0000,02700SPEECH PATHOLOGY 3006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3006,A000000,03001,0000,03001AMBULANCE 3006,A000000,03002,0000,03002EMERGENCY ROOM 3006,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3006,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3006,A000000,03550,0000,03550FQHC 3006,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3006,A000000,05000,0000,05000CORF 3006,A000000,05010,0000,05010CMHC 3006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3006,A000000,05300,0000,05300INTEREST EXPENSE 3006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3006,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3006,A81000A,00100,0100,Y 3006,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 3006,A81000B,00200,0300,AUTO EXPENSE 3006,A81000B,00300,0300,WAGE RELATED EXPENSES 3006,A81000B,00400,0300,MANAGEMENT FEES 3006,A81000B,00500,0300,CONSULTANT 3006,A81000B,00600,0300,CONSULTANT 3006,A81000B,00700,0300,CONSULTANT 3006,A81000B,00800,0300,CONSULTANT 3006,A81000B,00900,0300,CONSULTANT 3006,A81000B,01000,0300,CONSULTANT 3006,A81000C,00100,0100,B 3006,A81000C,00100,0200,ROSE CARE INC. 3006,A81000C,00100,0400,ROSE CARE INC. 3006,A81000C,00100,0600,RELATED MANAGEMENT CO. 3006,A81000C,00200,0100,B 3006,A81000C,00200,0200,ROSE CARE INC. 3006,A81000C,00200,0400,ROSE CARE INC. 3006,A81000C,00200,0600,RELATED MANAGEMENT CO. 3006,A81000C,00300,0100,B 3006,A81000C,00300,0200,ROSE CARE INC. 3006,A81000C,00300,0400,ROSE CARE INC. 3006,A81000C,00300,0600,RELATED MANAGEMENT CO. 3006,A81000C,00400,0100,B 3006,A81000C,00400,0200,ROSE CARE INC. 3006,A81000C,00400,0400,ROSE CARE INC. 3006,A81000C,00400,0600,RELATED MANAGEMENT CO. 3006,A81000C,00500,0100,B 3006,A81000C,00500,0200,ROSE CARE INC. 3006,A81000C,00500,0400,ROSE CARE INC. 3006,A81000C,00500,0600,RELATED MANAGEMENT CO. 3006,A81000C,00600,0100,B 3006,A81000C,00600,0200,ROSE CARE INC. 3006,A81000C,00600,0400,ROSE CARE INC. 3006,A81000C,00600,0600,RELATED MANAGEMENT CO. 3006,A81000C,00700,0100,B 3006,A81000C,00700,0200,ROSE CARE INC 3006,A81000C,00700,0400,ROSE CARE INC. 3006,A81000C,00700,0600,RELATED MANAGEMENT CO. 3006,A81000C,00800,0100,B 3006,A81000C,00800,0200,ROSE CARE INC. 3006,A81000C,00800,0400,ROSE CARE INC. 3006,A81000C,00800,0600,RELATED MANAGEMENT CO. 3006,A81000C,00900,0100,B 3006,A81000C,00900,0200,ROSE CARE INC. 3006,A81000C,00900,0400,ROSE CARE INC. 3006,A81000C,00900,0600,RELATED MANAGEMENT CO. 3006,A81000C,01000,0100,B 3006,A81000C,01000,0200,ROSE CARE INC. 3006,A81000C,01000,0400,ROSE CARE INC. 3006,A81000C,01000,0600,RELATED MANAGEMENT CO. 3006,B100000,00000,0100,00000SQUARE FEET 3006,B100000,00000,0200,00000DOLLAR VALUE 3006,B100000,00000,0300,00000GROSS SALARIES 3006,B100000,00000,0400,00000ACCUM. COST 3006,B100000,00000,0500,00000SQUARE FEET 3006,B100000,00000,0600,00000POUNDS OF LAUNDRY 3006,B100000,00000,0700,00000SQUARE FEET 3006,B100000,00000,0800,00000MEALS SERVED 3006,B100000,00000,0801,00000GROSS SALARIES 3006,B100000,00000,0900,00000DIRECT NRSING HRS 3006,B100000,00000,1000,00000COSTED REQUIS. 3006,B100000,00000,1100,00000COSTED REQUIS. 3006,B100000,00000,1200,00000TIME SPENT 3006,B100000,00000,1300,00000TIME SPENT 3006,B100000,00000,1350,00000NO STATISTICS 3006,B100000,00000,1400,00000ASSIGNED TIME 3006,S000000,00100,0200,06/08/2000 3006,S200000,00100,0100,501 DALLAS STREET S.W. 3006,S200000,00200,0100,GRAVETTE 3006,S200000,00200,0200,AR 3006,S200000,00200,0300,72736 3006,S200000,00300,0100,BENTON 3006,S200000,00400,0100,GRAVETTE MANOR 3006,S200000,00400,0200,045344 3006,S200000,00400,0300,08/24/1998 3006,S200000,00400,0500,P 3006,S200000,01500,0100,Y 3008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3008,A000000,00300,0000,00300EMPLOYEE BENEFITS 3008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3008,A000000,00700,0000,00700HOUSEKEEPING 3008,A000000,00800,0000,00800DIETARY 3008,A000000,00801,0000,00801EMPLOYEE MEALS 3008,A000000,00900,0000,00900NURSING ADMINISTRATION 3008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3008,A000000,01100,0000,01100PHARMACY 3008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3008,A000000,01300,0000,01300SOCIAL SERVICE 3008,A000000,01350,0000,01500OTHER GENERAL SERVICES 3008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3008,A000000,01600,0000,01600SKILLED NURSING FACILITY 3008,A000000,01810,0000,01810ICF/MR 3008,A000000,02100,0000,02100RADIOLOGY 3008,A000000,02200,0000,02200LABORATORY 3008,A000000,02500,0000,02500PHYSICAL THERAPY 3008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3008,A000000,02700,0000,02700SPEECH PATHOLOGY 3008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3008,A000000,03001,0000,03001AMBULANCE 3008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3008,A000000,03550,0000,03550FQHC 3008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3008,A000000,05000,0000,05000CORF 3008,A000000,05010,0000,05010CMHC 3008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3008,A000000,05300,0000,05300INTEREST EXPENSE 3008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3008,A81000A,00100,0100,Y 3008,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 3008,A81000B,00200,0300,AUTO EXPENSE 3008,A81000B,00300,0300,WAGE RELATED EXPENSES 3008,A81000B,00400,0300,MANAGEMENT FEES 3008,A81000B,00500,0300,CONSULTANT 3008,A81000B,00600,0300,CONSULTANT 3008,A81000B,00700,0300,CONSULTANT 3008,A81000B,00800,0300,CONSULTANT 3008,A81000B,00900,0300,CONSULTANT 3008,A81000B,01000,0300,CONSULTANT 3008,A81000C,00100,0100,B 3008,A81000C,00100,0200,ROSE CARE INC. 3008,A81000C,00100,0400,ROSE CARE INC. 3008,A81000C,00100,0600,RELATED MANAGEMENT CO. 3008,A81000C,00200,0100,B 3008,A81000C,00200,0200,ROSE CARE INC. 3008,A81000C,00200,0400,ROSE CARE INC. 3008,A81000C,00200,0600,RELATED MANAGEMENT CO. 3008,A81000C,00300,0100,B 3008,A81000C,00300,0200,ROSE CARE INC. 3008,A81000C,00300,0400,ROSE CARE INC. 3008,A81000C,00300,0600,RELATED MANAGEMENT CO. 3008,A81000C,00400,0100,B 3008,A81000C,00400,0200,ROSE CARE INC. 3008,A81000C,00400,0400,ROSE CARE INC. 3008,A81000C,00400,0600,RELATED MANAGEMENT CO. 3008,A81000C,00500,0100,B 3008,A81000C,00500,0200,ROSE CARE INC. 3008,A81000C,00500,0400,ROSE CARE INC. 3008,A81000C,00500,0600,RELATED MANAGEMENT CO. 3008,A81000C,00600,0100,B 3008,A81000C,00600,0200,ROSE CARE INC. 3008,A81000C,00600,0400,ROSE CARE INC. 3008,A81000C,00600,0600,RELATED MANAGEMENT CO. 3008,A81000C,00700,0100,B 3008,A81000C,00700,0200,ROSE CARE INC. 3008,A81000C,00700,0400,ROSE CARE INC. 3008,A81000C,00700,0600,RELATED MANAGEMENT CO. 3008,A81000C,00800,0100,B 3008,A81000C,00800,0200,ROSE CARE INC. 3008,A81000C,00800,0400,ROSE CARE INC. 3008,A81000C,00800,0600,RELATED MANAGEMENT CO. 3008,A81000C,00900,0100,B 3008,A81000C,00900,0200,ROSE CARE INC. 3008,A81000C,00900,0400,ROSE CARE INC. 3008,A81000C,00900,0600,RELATED MANAGEMENT CO. 3008,A81000C,01000,0100,B 3008,A81000C,01000,0200,ROSE CARE INC. 3008,A81000C,01000,0400,ROSE CARE INC. 3008,A81000C,01000,0600,RELATED MANAGEMENT CO. 3008,B100000,00000,0100,00000SQUARE FEET 3008,B100000,00000,0200,00000DOLLAR VALUE 3008,B100000,00000,0300,00000GROSS SALARIES 3008,B100000,00000,0400,00000ACCUM. COST 3008,B100000,00000,0500,00000SQUARE FEET 3008,B100000,00000,0600,00000POUNDS OF LAUNDRY 3008,B100000,00000,0700,00000SQUARE FEET 3008,B100000,00000,0800,00000MEALS SERVED 3008,B100000,00000,0801,00000GROSS SALARIES 3008,B100000,00000,0900,00000DIRECT NRSING HRS 3008,B100000,00000,1000,00000COSTED REQUIS. 3008,B100000,00000,1100,00000COSTED REQUIS. 3008,B100000,00000,1200,00000TIME SPENT 3008,B100000,00000,1300,00000TIME SPENT 3008,B100000,00000,1350,00000NO STATISTICS 3008,B100000,00000,1400,00000ASSIGNED TIME 3008,S000000,00100,0200,06/08/2000 3008,S200000,00100,0100,5301 WHEELER AVENUE 3008,S200000,00200,0100,FT. SMITH 3008,S200000,00200,0200,AR 3008,S200000,00200,0300,72901 3008,S200000,00300,0100,SEBASTIAN 3008,S200000,00400,0100,ROSE CARE CENTER OF FT. SMITH 3008,S200000,00400,0200,045345 3008,S200000,00400,0300,09/11/1998 3008,S200000,00400,0500,P 3008,S200000,01500,0100,Y 3010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3010,A000000,00300,0000,00300EMPLOYEE BENEFITS 3010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3010,A000000,00700,0000,00700HOUSEKEEPING 3010,A000000,00800,0000,00800DIETARY 3010,A000000,00900,0000,00900NURSING ADMINISTRATION 3010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3010,A000000,01100,0000,01100PHARMACY 3010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3010,A000000,01300,0000,01300SOCIAL SERVICE 3010,A000000,01350,0000,01500OTHER GENERAL SERVICES 3010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3010,A000000,01600,0000,01600SKILLED NURSING FACILITY 3010,A000000,01800,0000,01800NURSING FACILITY 3010,A000000,01810,0000,01810ICF/MR 3010,A000000,02100,0000,02100RADIOLOGY 3010,A000000,02500,0000,02500PHYSICAL THERAPY 3010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3010,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3010,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3010,A000000,03550,0000,03550FQHC 3010,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3010,A000000,05000,0000,05000CORF 3010,A000000,05010,0000,05010CMHC 3010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3010,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3010,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3010,B100000,00000,0100,00000SQUARE FEET 3010,B100000,00000,0200,00000DOLLAR VALUE 3010,B100000,00000,0300,00000GROSS SALARIES 3010,B100000,00000,0400,00000ACCUM. COST 3010,B100000,00000,0500,00000SQUARE FEET 3010,B100000,00000,0600,00000PATIENT DAYS 3010,B100000,00000,0700,00000SQUARE FEET 3010,B100000,00000,0800,00000PATIENT DAYS 3010,B100000,00000,0900,00000PATIENT DAYS 3010,B100000,00000,1000,00000COSTED REQUIS. 3010,B100000,00000,1100,00000PATIENT DAYS 3010,B100000,00000,1200,00000TIME SPENT 3010,B100000,00000,1300,00000PATIENT DAYS 3010,B100000,00000,1350,00000NO STATISTICS 3010,B100000,00000,1400,00000ASSIGNED TIME 3010,S000000,00100,0200,05/30/2000 3010,S200000,00100,0300,49 3010,S200000,00200,0100,DIERKS 3010,S200000,00200,0200,AR 3010,S200000,00200,0300,71833 3010,S200000,00300,0100,HOWARD 3010,S200000,00400,0100,DIERKS NURSING CENTER 3010,S200000,00400,0200,045346 3010,S200000,00400,0300,12/18/1998 3010,S200000,00400,0500,P 3010,S200000,01600,0100,Y 3011,S000000,00100,0200,05/30/2000 3026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3026,A000000,00300,0000,00300EMPLOYEE BENEFITS 3026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3026,A000000,00700,0000,00700HOUSEKEEPING 3026,A000000,00800,0000,00800DIETARY 3026,A000000,00900,0000,00900NURSING ADMINISTRATION 3026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3026,A000000,01100,0000,01100PHARMACY 3026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3026,A000000,01300,0000,01300SOCIAL SERVICE 3026,A000000,01350,0000,01500ACTIVITIES 3026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3026,A000000,01600,0000,01600SKILLED NURSING FACILITY 3026,A000000,01800,0000,01800NURSING FACILITY 3026,A000000,01810,0000,01810ICF/MR 3026,A000000,02100,0000,02100RADIOLOGY 3026,A000000,02200,0000,02200LABORATORY 3026,A000000,02300,0000,02300INTRAVENOUS THERAPY 3026,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3026,A000000,02500,0000,02500PHYSICAL THERAPY 3026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3026,A000000,02700,0000,02700SPEECH PATHOLOGY 3026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3026,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3026,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3026,A000000,03550,0000,03550FQHC 3026,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3026,A000000,05000,0000,05000CORF 3026,A000000,05010,0000,05010CMHC 3026,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3026,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3026,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3026,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3026,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3026,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3026,A81000A,00100,0100,Y 3026,A81000B,00100,0300,HOME OFFICE 3026,A81000B,00300,0300,PHARMACY SHIPPING 3026,A81000B,00400,0300,SUPPLIES 3026,A81000B,00600,0300,XRAY SERVICES 3026,A81000B,00700,0300,LAB SERVICES 3026,A81000B,00900,0300,DRUGS 3026,A81000C,00100,0100,B 3026,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3026,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3026,A81000C,00100,0600,HOME OFFICE 3026,A81000C,00200,0100,G 3026,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3026,A81000C,00200,0400,SUNBELT 3026,A81000C,00200,0600,THERAPY MGMNT SERVICES 3026,A81000C,00300,0100,G 3026,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3026,A81000C,00300,0400,QUEST 3026,A81000C,00300,0600,PHARMACY/SUPPLIES 3026,A81000C,00400,0100,G 3026,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3026,A81000C,00400,0400,AMPRO 3026,A81000C,00400,0600,LAB SERVICES 3026,B100000,00000,0100,00000SQUARE FEET 3026,B100000,00000,0200,00000SQUARE FEET 3026,B100000,00000,0300,00000GROSS SALARIES 3026,B100000,00000,0400,00000ACCUM. COST 3026,B100000,00000,0500,00000SQUARE FEET 3026,B100000,00000,0600,00000PATIENT DAYS 3026,B100000,00000,0700,00000SQUARE FEET 3026,B100000,00000,0800,00000MEALS SERVED 3026,B100000,00000,0900,00000DIRECT NRSING HRS 3026,B100000,00000,1000,00000COSTED REQUIS. 3026,B100000,00000,1100,00000COSTED REQUIS. 3026,B100000,00000,1200,00000GROSS CHARGES 3026,B100000,00000,1300,00000PATIENT DAYS 3026,B100000,00000,1350,00000PATIENT DAYS 3026,B100000,00000,1400,00000ASSIGNED TIME 3026,E10A180,00501,0100,05/18/2000 3026,S000000,00100,0200,06/05/2000 3026,S200000,00100,0100,201 OAKHILL ROAD 3026,S200000,00200,0100,JASPER 3026,S200000,00200,0200,AL 3026,S200000,00300,0100,WALKER 3026,S200000,00400,0100,RIDGEWOOD HEALTH CARE CENTER 3026,S200000,00400,0200,015315 3026,S200000,00400,0300,01/01/1978 3026,S200000,00400,0500,P 3026,S200000,01600,0100,Y 3038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3038,A000000,00300,0000,00300EMPLOYEE BENEFITS 3038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3038,A000000,00700,0000,00700HOUSEKEEPING 3038,A000000,00800,0000,00800DIETARY 3038,A000000,00900,0000,00900NURSING ADMINISTRATION 3038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3038,A000000,01100,0000,01100PHARMACY 3038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3038,A000000,01300,0000,01300SOCIAL SERVICE 3038,A000000,01350,0000,01500ACTIVITIES 3038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3038,A000000,01600,0000,01600SKILLED NURSING FACILITY 3038,A000000,01800,0000,01800NURSING FACILITY 3038,A000000,01810,0000,01810ICF/MR 3038,A000000,02100,0000,02100RADIOLOGY 3038,A000000,02200,0000,02200LABORATORY 3038,A000000,02300,0000,02300INTRAVENOUS THERAPY 3038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3038,A000000,02500,0000,02500PHYSICAL THERAPY 3038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3038,A000000,02700,0000,02700SPEECH PATHOLOGY 3038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3038,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3038,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3038,A000000,03550,0000,03550FQHC 3038,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3038,A000000,05000,0000,05000CORF 3038,A000000,05010,0000,05010CMHC 3038,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3038,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3038,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3038,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3038,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3038,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3038,A81000A,00100,0100,Y 3038,A81000B,00100,0300,HOME OFFICE 3038,A81000B,00400,0300,SUPPLIES 3038,A81000B,00600,0300,XRAY SERVICES 3038,A81000B,00700,0300,LAB SERVICES 3038,A81000B,00900,0300,DRUGS 3038,A81000C,00100,0100,B 3038,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3038,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3038,A81000C,00100,0600,HOME OFFICE 3038,A81000C,00200,0100,G 3038,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3038,A81000C,00200,0400,SUNBELT 3038,A81000C,00200,0600,THERAPY MGMNT SERVICES 3038,A81000C,00300,0100,G 3038,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3038,A81000C,00300,0400,QUEST 3038,A81000C,00300,0600,PHARMACY/SUPPLIES 3038,A81000C,00400,0100,G 3038,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3038,A81000C,00400,0400,AMPRO 3038,A81000C,00400,0600,LAB SERVICES 3038,B100000,00000,0100,00000SQUARE FEET 3038,B100000,00000,0200,00000SQUARE FEET 3038,B100000,00000,0300,00000GROSS SALARIES 3038,B100000,00000,0400,00000ACCUM. COST 3038,B100000,00000,0500,00000SQUARE FEET 3038,B100000,00000,0600,00000PATIENT DAYS 3038,B100000,00000,0700,00000SQUARE FEET 3038,B100000,00000,0800,00000MEALS SERVED 3038,B100000,00000,0900,00000DIRECT NRSING HRS 3038,B100000,00000,1000,00000COSTED REQUIS. 3038,B100000,00000,1100,00000COSTED REQUIS. 3038,B100000,00000,1200,00000GROSS CHARGES 3038,B100000,00000,1300,00000PATIENT DAYS 3038,B100000,00000,1350,00000PATIENT DAYS 3038,B100000,00000,1400,00000ASSIGNED TIME 3038,E10A180,00550,0100,08/06/2001 3038,E10A180,00550,0300,08/06/2001 3038,S000000,00100,0200,05/31/2000 3038,S200000,00100,0100,3102 NORTH STREET 3038,S200000,00200,0100,GUNTERSVILLE 3038,S200000,00200,0200,AL 3038,S200000,00300,0100,MARSHALL 3038,S200000,00400,0100,MARSHALL MANOR 3038,S200000,00400,0200,015378 3038,S200000,00400,0300,01/01/1982 3038,S200000,00400,0500,P 3038,S200000,01600,0100,Y 3051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3051,A000000,00300,0000,00300EMPLOYEE BENEFITS 3051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3051,A000000,00700,0000,00700HOUSEKEEPING 3051,A000000,00800,0000,00800DIETARY 3051,A000000,00900,0000,00900NURSING ADMINISTRATION 3051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3051,A000000,01100,0000,01100PHARMACY 3051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3051,A000000,01300,0000,01300SOCIAL SERVICE 3051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3051,A000000,01600,0000,01600SKILLED NURSING FACILITY 3051,A000000,01800,0000,01800NURSING FACILITY 3051,A000000,01810,0000,01810ICF/MR 3051,A000000,02100,0000,02100RADIOLOGY 3051,A000000,02200,0000,02200LABORATORY 3051,A000000,02300,0000,02300INTRAVENOUS THERAPY 3051,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3051,A000000,02500,0000,02500PHYSICAL THERAPY 3051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3051,A000000,02700,0000,02700SPEECH PATHOLOGY 3051,A000000,02800,0000,02800ELECTROCARDIOLOGY 3051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3051,A000000,03550,0000,03550FQHC 3051,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 3051,A000000,05000,0000,05000CORF 3051,A000000,05010,0000,05010CMHC 3051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3051,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3051,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3051,A000000,06151,0000,06301OUTREACH 3051,A000000,06152,0000,06302ASSISTED LIVING 3051,A000000,06153,0000,06303APARTMENTS 3051,A81000A,00100,0100,Y 3051,A81000B,00100,0300,CORPORATE SERVICES 3051,A81000B,00200,0300,CAPITAL-BUILDING 3051,A81000B,00300,0300,CAPITAL-EQUIPMENT 3051,A81000B,00400,0300,NON PROPERTY COST 3051,A81000C,00100,0100,B 3051,A81000C,00100,0200,ABHOW 3051,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 3051,B100000,00000,0100,00003SQUARE FEET 3051,B100000,00000,0200,00003SQUARE FEET 3051,B100000,00000,0300,00003GROSS SALARIES 3051,B100000,00000,0400,00003ACCUM. COST 3051,B100000,00000,0500,00003SQUARE FEET 3051,B100000,00000,0600,00003POUNDS OF LAUNDRY 3051,B100000,00000,0700,00003SQUARE FEET 3051,B100000,00000,0800,00003MEALS SERVED 3051,B100000,00000,0900,00003HOURS OF SERVICE 3051,B100000,00000,1000,00003GROSS REVENUES 3051,B100000,00000,1100,00003COSTED REQUIS 3051,B100000,00000,1200,00003GROSS REVENUES 3051,B100000,00000,1300,00003PATIENT DAYS 3051,B100000,00000,1400,00003ASSIGNED TIME 3051,E10A180,00350,0100,10/28/1999 3051,E10A180,00501,0100,03/01/2000 3051,E10A180,00550,0300,03/01/2000 3051,S000000,00100,0200,02/29/2000 3051,S200000,00100,0100,7550 N 16TH ST 3051,S200000,00200,0100,PHOENIX 3051,S200000,00200,0200,AZ 3051,S200000,00300,0100,MARICOPA 3051,S200000,00400,0100,ORANGEWOOD HEALTH CARE FACILITY 3051,S200000,00400,0200,035003 3051,S200000,00400,0300,10/01/1987 3051,S200000,00400,0500,P 3051,S200000,01600,0100,Y 3051,S200000,04600,0100,Y 3063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3063,A000000,00300,0000,00300EMPLOYEE BENEFITS 3063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3063,A000000,00700,0000,00700HOUSEKEEPING 3063,A000000,00800,0000,00800DIETARY 3063,A000000,00900,0000,00900NURSING ADMINISTRATION 3063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3063,A000000,01100,0000,01100PHARMACY 3063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3063,A000000,01300,0000,01300SOCIAL SERVICE 3063,A000000,01350,0000,01500ACTIVITIES 3063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3063,A000000,01600,0000,01600SKILLED NURSING FACILITY 3063,A000000,01800,0000,01800NURSING FACILITY 3063,A000000,01810,0000,01810ICF/MR 3063,A000000,02500,0000,02500PHYSICAL THERAPY 3063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3063,A000000,02700,0000,02700SPEECH PATHOLOGY 3063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3063,A000000,03550,0000,03550FQHC 3063,A000000,05000,0000,05000CORF 3063,A000000,05010,0000,05010CMHC 3063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3063,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3063,A81000A,00100,0100,Y 3063,B100000,00000,0100,00000SQUARE FEET 3063,B100000,00000,0200,00000SQUARE FEET 3063,B100000,00000,0300,00000GROSS SALARIES 3063,B100000,00000,0400,00000ACCUM COST 3063,B100000,00000,0500,00000SQUARE FEET 3063,B100000,00000,0600,00000POUNDS OF LAUNDRY 3063,B100000,00000,0700,00000SQUARE FEET 3063,B100000,00000,0800,00000MEALS SERVED 3063,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3063,B100000,00000,1000,00000COSTED REQUISITIO 3063,B100000,00000,1100,00000COSTED REQUISITIO 3063,B100000,00000,1200,00000ADMITS 3063,B100000,00000,1300,00000PATIENT DAYS 3063,B100000,00000,1350,00000PATIENT DAYS 3063,B100000,00000,1400,00000ASSIGNED TIME 3063,S000000,00100,0200,10/19/2000 3063,S200000,00100,0100,1650 N. SANTA ROSA 3063,S200000,00200,0100,TUCSON 3063,S200000,00200,0200,AZ 3063,S200000,00200,0300,85712 3063,S200000,00300,0100,PIMA 3063,S200000,00400,0100,SANTA ROSA CARE CENTER 3063,S200000,00400,0200,035004 3063,S200000,00400,0300,07/01/1966 3063,S200000,00400,0500,P 3063,S200000,01600,0100,Y 3063,S200000,02800,0100,Y 3063,S200000,03100,0100,Y 3073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3073,A000000,00300,0000,00300EMPLOYEE BENEFITS 3073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3073,A000000,00700,0000,00700HOUSEKEEPING 3073,A000000,00800,0000,00800DIETARY 3073,A000000,00900,0000,00900NURSING ADMINISTRATION 3073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3073,A000000,01100,0000,01100PHARMACY 3073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3073,A000000,01300,0000,01300SOCIAL SERVICE 3073,A000000,01301,0000,01301ACTIVITES 3073,A000000,01350,0000,01500REHABILITATION 3073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3073,A000000,01600,0000,01600SKILLED NURSING FACILITY 3073,A000000,01800,0000,01800NURSING FACILITY 3073,A000000,01810,0000,01810ICF/MR 3073,A000000,02100,0000,02100RADIOLOGY 3073,A000000,02200,0000,02200LABORATORY 3073,A000000,02300,0000,02300INTRAVENOUS THERAPY 3073,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3073,A000000,02500,0000,02500PHYSICAL THERAPY 3073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3073,A000000,02700,0000,02700SPEECH PATHOLOGY 3073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3073,A000000,03050,0000,03300EQUIPMENT RENTAL 3073,A000000,03051,0000,03301PEN THERAPY 3073,A000000,03550,0000,03550FQHC 3073,A000000,05000,0000,05000CORF 3073,A000000,05010,0000,05010CMHC 3073,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3073,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3073,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3073,A000000,05300,0000,05300INTEREST EXPENSE 3073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3073,A000000,06150,0000,06300VENDING 3073,A000000,06151,0000,06301STAND-BY 3073,A81000A,00100,0100,Y 3073,A81000B,00100,0300,HOME OFFICE COST 3073,A81000B,00200,0300,NSG SUPPL/OSHA SUPP 3073,A81000B,00300,0300,PRESCRIPTION DRUGS 3073,A81000B,00400,0300,MEDICAL SUPPLIES 3073,A81000B,00500,0300,ADMIN COSTS 3073,A81000B,00600,0300,OTHER ACTIVITIES 3073,A81000B,00700,0300,IV THERAPY 3073,A81000B,00800,0300,PHYSICAL THERAPYY 3073,A81000B,00900,0300,OCCUPATIONAL THERAPY 3073,A81000B,01000,0300,SPEECH THERAPY 3073,A81000B,01100,0300,ANC EQUIP 3073,A81000B,01200,0300,CAPITAL 3073,A81000C,00100,0100,B 3073,A81000C,00100,0200,DESERT TERRACE- 3073,A81000C,00100,0400,MARINER PAN 3073,A81000C,00100,0600,NURSING HOMES 3073,A81000C,00200,0100,G 3073,A81000C,00200,0200,MARINER PAN 3073,A81000C,00200,0400,AMER PHARM SVCS 3073,A81000C,00200,0600,PHARMACEUTICALS 3073,A81000C,00300,0100,G 3073,A81000C,00300,0200,MARINER PAN 3073,A81000C,00300,0400,PRISM-ATS-ARS-T 3073,A81000C,00300,0600,THERAPIES 3073,B100000,00000,0100,00001SQUARE FEET 3073,B100000,00000,0200,00001SQUARE FEET 3073,B100000,00000,0300,00001GROSS SALARIES 3073,B100000,00000,0400,00001ACCUM COST 3073,B100000,00000,0500,00001SQUARE FEET 3073,B100000,00000,0600,00001PATIENT DAYS 3073,B100000,00000,0700,00001SQUARE FEET 3073,B100000,00000,0800,00001MEALS SERVED 3073,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3073,B100000,00000,1000,00001COSTED REQUISITIO 3073,B100000,00000,1100,00001COSTED REQUIS 3073,B100000,00000,1200,00001PATIENT DAYS 3073,B100000,00000,1300,00001PATIENT DAYS 3073,B100000,00000,1301,00001PATIENT DAYS 3073,B100000,00000,1350,00001UNITS OF SERVICE 3073,B100000,00000,1400,00001ASSIGNED TIME 3073,E10A180,00350,0100,12/16/1999 3073,S000000,00100,0200,02/29/2000 3073,S200000,00100,0100,2509 NORTH 24TH STREET 3073,S200000,00200,0100,PHOENIX 3073,S200000,00200,0200,ARIZONA 3073,S200000,00200,0300,85008 3073,S200000,00300,0100,MARICOPA 3073,S200000,00400,0100,DESERT TERRACE NURSING CENTER 3073,S200000,00400,0200,035014 3073,S200000,00400,0300,10/01/1993 3073,S200000,00400,0500,P 3073,S200000,01600,0100,Y 3073,S200000,02200,0100,Y 3073,S200000,04300,0100,Y 3084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3084,A000000,00300,0000,00300EMPLOYEE BENEFITS 3084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3084,A000000,00700,0000,00700HOUSEKEEPING 3084,A000000,00800,0000,00800DIETARY 3084,A000000,00900,0000,00900NURSING ADMINISTRATION 3084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3084,A000000,01100,0000,01100PHARMACY 3084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3084,A000000,01300,0000,01300SOCIAL SERVICE 3084,A000000,01350,0000,01500RECREATION 3084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3084,A000000,01600,0000,01600SKILLED NURSING FACILITY 3084,A000000,01800,0000,01800NURSING FACILITY 3084,A000000,01810,0000,01810ICF/MR 3084,A000000,02200,0000,02200LABORATORY 3084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3084,A000000,02500,0000,02500PHYSICAL THERAPY 3084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3084,A000000,02700,0000,02700SPEECH PATHOLOGY 3084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3084,A000000,03550,0000,03550FQHC 3084,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 3084,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 3084,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 3084,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 3084,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 3084,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 3084,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 3084,A000000,05000,0000,05000CORF 3084,A000000,05010,0000,05010CMHC 3084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3084,A000000,05500,0000,05500HOSPICE 3084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3084,A000000,05801,0000,05801ACHM TRAINING 3084,A000000,05802,0000,05802MEDICAL TRANSCRIPTION 3084,A000000,05803,0000,05804ADULT DAY CARE 3084,A000000,05804,0000,05805CHILD DAY CARE 3084,A000000,05805,0000,05806ASSISTED LIVING 3084,A000000,05806,0000,05807VOYAGER PROGRAM 3084,B100000,00000,0100,00007SQUARE FEET 3084,B100000,00000,0200,00007SQUARE FEET 3084,B100000,00000,0300,00007GROSS SALARIES 3084,B100000,00000,0400,00007ACCUM COST 3084,B100000,00000,0500,00007SQUARE FEET 3084,B100000,00000,0600,00007POUNDS OF LAUNDRY 3084,B100000,00000,0700,00007HOURS OF SERVICE 3084,B100000,00000,0800,00007MEALS SERVED 3084,B100000,00000,0900,00007DIRECT NRSG HRS 3084,B100000,00000,1000,00007COSTED REQUIS 3084,B100000,00000,1100,00007COSTED REQUIS 3084,B100000,00000,1200,00007TIME SPENT 3084,B100000,00000,1300,00007TIME SPENT 3084,B100000,00000,1350,00007PATIENT DAYS 3084,B100000,00000,1400,00007ASSIGNED TIME 3084,H510100,00000,0000,8520 3084,H510100,02400,0000,8520 3084,H710000,00350,0100,12/28/1999 3084,H710000,00351,0100,02/14/2000 3084,H710000,00550,0100,07/25/2000 3084,S000000,00100,0200,05/26/2000 3084,S200000,00100,0100,5100 EAST GRANT ROAD 3084,S200000,00200,0100,TUCSON 3084,S200000,00200,0200,AZ 3084,S200000,00200,0300,85712 3084,S200000,00300,0100,PIMA 3084,S200000,00400,0100,HANDMAKER SERVICES FOR THE AGING 3084,S200000,00400,0200,035016 3084,S200000,00400,0300,11/21/1996 3084,S200000,00400,0500,P 3084,S200000,00400,0600,P 3084,S200000,00600,0200,035016 3084,S200000,00600,0300,11/21/1996 3084,S200000,00600,0600,P 3084,S200000,00800,0200,037029 3084,S200000,00800,0300,01/04/1983 3084,S200000,00800,0500,P 3084,S200000,01020,0200,035016 3084,S200000,01020,0300,01/04/1983 3084,S200000,01020,0500,O 3084,S200000,01020,0600,O 3084,S200000,01600,0100,Y 3091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3091,A000000,00300,0000,00300EMPLOYEE BENEFITS 3091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3091,A000000,00700,0000,00700HOUSEKEEPING 3091,A000000,00800,0000,00800DIETARY 3091,A000000,00900,0000,00900NURSING ADMINISTRATION 3091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3091,A000000,01100,0000,01100PHARMACY 3091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3091,A000000,01300,0000,01300SOCIAL SERVICE 3091,A000000,01301,0000,01301ACTIVITIES 3091,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3091,A000000,01600,0000,01600SKILLED NURSING FACILITY 3091,A000000,01800,0000,01800NURSING FACILITY 3091,A000000,01810,0000,01810ICF/MR 3091,A000000,02100,0000,02100RADIOLOGY 3091,A000000,02200,0000,02200LABORATORY 3091,A000000,02300,0000,02300INTRAVENOUS THERAPY 3091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3091,A000000,02500,0000,02500PHYSICAL THERAPY 3091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3091,A000000,02700,0000,02700SPEECH PATHOLOGY 3091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3091,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3091,A000000,03051,0000,03301P.E.N. THERAPY 3091,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3091,A000000,03550,0000,03550FQHC 3091,A000000,05000,0000,05000CORF 3091,A000000,05010,0000,05010CMHC 3091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3091,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3091,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3091,A81000A,00100,0100,Y 3091,A81000B,00100,0300,NURSING SUPPLIES 3091,A81000B,00200,0300,DIRECT EXP-NURSE 3091,A81000B,00300,0300,NON-PRESC DRUGS 3091,A81000B,00400,0300,COST OF OXYGEN NON CHGBLE 3091,A81000B,00500,0300,COST OF SUPPLIES SOLD 3091,A81000B,00600,0300,COST OF OXYGEN 3091,A81000B,00700,0300,PHARMACIST 3091,A81000B,00800,0300,BEVERAGES 3091,A81000B,00900,0300,SHORT TERM EQMNT RENTAL 3091,A81000B,01000,0300,PRESC DRUGS 3091,A81000B,01100,0300,PRESC DRUGS 3091,A81000B,01200,0300,PHARMACIST CONTRACT 3091,A81000B,01300,0300,ANC EQMNT RNTL 3091,A81000B,01400,0300,COST OF SUPPLIES-IV 3091,A81000B,01500,0300,IV CONTRACT 3091,A81000B,01600,0300,PT 3091,A81000B,01700,0300,OT 3091,A81000B,01800,0300,ST 3091,A81000B,01900,0300,HOME OFFICE COST 3091,A81000C,00100,0100,B 3091,A81000C,00100,0200,MONTEREY NUSING 3091,A81000C,00100,0400,MARINER POST-AC 3091,A81000C,00100,0600,NURSING HOME 3091,A81000C,00200,0100,G 3091,A81000C,00200,0200,MARINER POST-AC 3091,A81000C,00200,0400,AMERICAN PHARMA 3091,A81000C,00200,0600,PHARMACEUTICALS 3091,A81000C,00300,0100,G 3091,A81000C,00300,0200,MARINER POST-AC 3091,A81000C,00300,0400,PRISM (ATS ARS 3091,A81000C,00300,0600,THERAPIES 3091,B100000,00000,0100,00000SQUARE FEET 3091,B100000,00000,0200,00000SQUARE FEET 3091,B100000,00000,0300,00000GROSS SALARIES 3091,B100000,00000,0400,00000ACCUM COST 3091,B100000,00000,0500,00000SQUARE FEET 3091,B100000,00000,0600,00000PATIENT DAYS 3091,B100000,00000,0700,00000SQUARE FEET 3091,B100000,00000,0800,00000MEALS SERVED 3091,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3091,B100000,00000,1000,00000COSTED REQUISITIO 3091,B100000,00000,1100,00000COSTED REQUISITIO 3091,B100000,00000,1200,00000PATIENT DAYS 3091,B100000,00000,1300,00000PATIENT DAYS 3091,B100000,00000,1301,00000PATIENT DAYS 3091,B100000,00000,1350,00000UNITS OF SERVICE 3091,B100000,00000,1400,00000ASSIGNED TIME 3091,S000000,00100,0200,03/02/2000 3091,S200000,00100,0100,3293 NORTH CIVIC CENTER BLVD. 3091,S200000,00200,0100,SCOTTSDALE 3091,S200000,00200,0200,AZ 3091,S200000,00200,0300,85251 3091,S200000,00300,0100,MARICOPA 3091,S200000,00400,0100,MONTERREY NURSING CENTER 3091,S200000,00400,0200,035059 3091,S200000,00400,0300,06/01/1983 3091,S200000,00400,0500,P 3102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3102,A000000,00300,0000,00300EMPLOYEE BENEFITS 3102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3102,A000000,00700,0000,00700HOUSEKEEPING 3102,A000000,00800,0000,00800DIETARY 3102,A000000,00900,0000,00900NURSING ADMINISTRATION 3102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3102,A000000,01100,0000,01100PHARMACY 3102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3102,A000000,01300,0000,01300SOCIAL SERVICE 3102,A000000,01301,0000,01301ACTIVITIES 3102,A000000,01350,0000,01500REHAB 3102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3102,A000000,01600,0000,01600SKILLED NURSING FACILITY 3102,A000000,01800,0000,01800NURSING FACILITY 3102,A000000,01810,0000,01810ICF/MR 3102,A000000,02100,0000,02100RADIOLOGY 3102,A000000,02200,0000,02200LABORATORY 3102,A000000,02300,0000,02300INTRAVENOUS THERAPY 3102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3102,A000000,02500,0000,02500PHYSICAL THERAPY 3102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3102,A000000,02700,0000,02700SPEECH PATHOLOGY 3102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3102,A000000,03050,0000,03300EQUIPMENT RENTAL 3102,A000000,03051,0000,03301P.E.N. THERAPY 3102,A000000,03550,0000,03550FQHC 3102,A000000,05000,0000,05000CORF 3102,A000000,05010,0000,05010CMHC 3102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3102,A000000,06150,0000,06300VENDING 3102,A000000,06151,0000,06301OTHER & STAND-BY 3102,A81000A,00100,0100,Y 3102,A81000B,00100,0300,ADMIN & GENERAL 3102,A81000B,00200,0300,MEDICAL SUPPLIES 3102,A81000B,00300,0300,DIETARY 3102,A81000B,00400,0300,CAPITAL 3102,A81000B,00500,0300,DRUGS 3102,A81000B,00600,0300,EQUIPMENT RENTAL 3102,A81000B,00700,0300,REHAB 3102,A81000B,00800,0300,PT 3102,A81000B,00900,0300,OT 3102,A81000B,01000,0300,ST 3102,A81000B,01100,0300,NON-CERT 3102,A81000C,00100,0100,B 3102,A81000C,00100,0200,EAST VALLEY 03- 3102,A81000C,00100,0400,MARINER PAN 3102,A81000C,00100,0600,NURSING HOMES 3102,A81000C,00200,0100,G 3102,A81000C,00200,0200,MARINER PAN 3102,A81000C,00200,0400,AMERICAN PHARMA 3102,A81000C,00200,0600,PHARMACEUTICALS 3102,A81000C,00300,0100,G 3102,A81000C,00300,0200,MARINER PAN 3102,A81000C,00300,0400,PRISM (ATS ARS 3102,A81000C,00300,0600,THERAPIES 3102,B100000,00000,0100,00001SQUARE FEET 3102,B100000,00000,0200,00001SQUARE FEET 3102,B100000,00000,0300,00001GROSS SALARIES 3102,B100000,00000,0400,00001ACCUM COST 3102,B100000,00000,0500,00001SQUARE FEET 3102,B100000,00000,0600,00001PATIENT DAYS 3102,B100000,00000,0700,00001SQUARE FEET 3102,B100000,00000,0800,00001MEALS SERVED 3102,B100000,00000,0900,00001HOURS OF SERVICE 3102,B100000,00000,1000,00001PATIENT DAYS 3102,B100000,00000,1100,00001COSTED REQUIS 3102,B100000,00000,1200,00001PATIENT DAYS 3102,B100000,00000,1300,00001PATIENT DAYS 3102,B100000,00000,1301,00001PATIENT DAYS 3102,B100000,00000,1350,00001UNITS OF SERVICE 3102,B100000,00000,1400,00001ASSIGNED TIME 3102,E10A180,00550,0300,06/02/2000 3102,S000000,00100,0200,06/02/2000 3102,S200000,00100,0100,420 WEST 10TH PLACE 3102,S200000,00200,0100,MESA 3102,S200000,00200,0200,AZ 3102,S200000,00200,0300,85201 3102,S200000,00300,0100,MARICOPA 3102,S200000,00400,0100,EAST VALLEY MED & REHAB CENTER 3102,S200000,00400,0200,035060 3102,S200000,00400,0300,01/01/1980 3102,S200000,00400,0500,P 3102,S200000,01600,0100,Y 3111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3111,A000000,00300,0000,00300EMPLOYEE BENEFITS 3111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3111,A000000,00700,0000,00700HOUSEKEEPING 3111,A000000,00800,0000,00800DIETARY 3111,A000000,00900,0000,00900NURSING ADMINISTRATION 3111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3111,A000000,01100,0000,01100PHARMACY 3111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3111,A000000,01300,0000,01300SOCIAL SERVICE 3111,A000000,01301,0000,01301ACTIVITES 3111,A000000,01350,0000,01500REHABILITATION 3111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3111,A000000,01600,0000,01600SKILLED NURSING FACILITY 3111,A000000,01800,0000,01800NURSING FACILITY 3111,A000000,01810,0000,01810ICF/MR 3111,A000000,02100,0000,02100RADIOLOGY 3111,A000000,02200,0000,02200LABORATORY 3111,A000000,02300,0000,02300INTRAVENOUS THERAPY 3111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3111,A000000,02500,0000,02500PHYSICAL THERAPY 3111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3111,A000000,02700,0000,02700SPEECH PATHOLOGY 3111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3111,A000000,03050,0000,03300EQUIPMENT RENTAL 3111,A000000,03051,0000,03301PEN THERAPY 3111,A000000,03550,0000,03550FQHC 3111,A000000,05000,0000,05000CORF 3111,A000000,05010,0000,05010CMHC 3111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3111,A000000,06150,0000,06300VENDING 3111,A000000,06151,0000,06301STAND-BY 3111,A81000A,00100,0100,Y 3111,A81000B,00100,0300,HOME OFFICE COST 3111,A81000B,00200,0300,DIETARY SUPPLEMENTS 3111,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 3111,A81000B,00400,0300,PRESCRIPTION DRUGS 3111,A81000B,00500,0300,MEDICAL SUPPLIES 3111,A81000B,00600,0300,ADMIN COSTS 3111,A81000B,00700,0300,IV THERAPY 3111,A81000B,00800,0300,PHYSICAL THERAPY 3111,A81000B,00900,0300,OCCUPATIONAL THERAPY 3111,A81000B,01000,0300,SPEECH THERAPY 3111,A81000B,01100,0300,CAPITAL 3111,A81000B,01200,0300,ACTIVITIES 3111,A81000C,00100,0100,B 3111,A81000C,00100,0200,DESERT HAVEN 10 3111,A81000C,00100,0400,MARINER PAN 3111,A81000C,00100,0600,NURSING HOMES 3111,A81000C,00200,0100,G 3111,A81000C,00200,0200,MARINER PAN 3111,A81000C,00200,0400,AMER PHARM SVCS 3111,A81000C,00200,0600,PHARMACEUTICALS 3111,A81000C,00300,0100,G 3111,A81000C,00300,0200,MARINER PAN 3111,A81000C,00300,0400,PRISM-ATS-ARS-T 3111,A81000C,00300,0600,THERAPIES 3111,B100000,00000,0100,00001SQUARE FEET 3111,B100000,00000,0200,00001SQUARE FEET 3111,B100000,00000,0300,00001GROSS SALARIES 3111,B100000,00000,0400,00001ACCUM COST 3111,B100000,00000,0500,00001SQUARE FEET 3111,B100000,00000,0600,00001PATIENT DAYS 3111,B100000,00000,0700,00001SQUARE FEET 3111,B100000,00000,0800,00001MEALS SERVED 3111,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3111,B100000,00000,1000,00001COSTED REQUISITIO 3111,B100000,00000,1100,00001COSTED REQUIS 3111,B100000,00000,1200,00001PATIENT DAYS 3111,B100000,00000,1300,00001PATIENT DAYS 3111,B100000,00000,1301,00001PATIENT DAYS 3111,B100000,00000,1350,00001UNITS OF SERVICE 3111,B100000,00000,1400,00001ASSIGNED TIME 3111,E10A180,00350,0100,12/22/1999 3111,E10A180,00350,0300,12/22/1999 3111,S000000,00100,0200,02/29/2000 3111,S200000,00100,0100,2645 EAST THOMAS RD 3111,S200000,00200,0100,PHOENIX 3111,S200000,00200,0200,AZ 3111,S200000,00200,0300,85016 3111,S200000,00300,0100,MARICOPA 3111,S200000,00400,0100,DESERT HAVEN NURSING CENTER 3111,S200000,00400,0200,035062 3111,S200000,00400,0300,10/01/1993 3111,S200000,00400,0500,P 3111,S200000,01600,0100,Y 3111,S200000,02200,0100,Y 3111,S200000,04300,0100,Y 3131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3131,A000000,00300,0000,00300EMPLOYEE BENEFITS 3131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3131,A000000,00700,0000,00700HOUSEKEEPING 3131,A000000,00800,0000,00800DIETARY 3131,A000000,00900,0000,00900NURSING ADMINISTRATION 3131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3131,A000000,01100,0000,01100PHARMACY 3131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3131,A000000,01300,0000,01300SOCIAL SERVICE 3131,A000000,01301,0000,01301ACTIVITES 3131,A000000,01350,0000,01500REHABILITATION 3131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3131,A000000,01600,0000,01600SKILLED NURSING FACILITY 3131,A000000,01800,0000,01800NURSING FACILITY 3131,A000000,01810,0000,01810ICF/MR 3131,A000000,02100,0000,02100RADIOLOGY 3131,A000000,02200,0000,02200LABORATORY 3131,A000000,02300,0000,02300INTRAVENOUS THERAPY 3131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3131,A000000,02500,0000,02500PHYSICAL THERAPY 3131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3131,A000000,02700,0000,02700SPEECH PATHOLOGY 3131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3131,A000000,03050,0000,03300EQUIPMENT RENTAL 3131,A000000,03051,0000,03301PEN THERAPY 3131,A000000,03550,0000,03550FQHC 3131,A000000,05000,0000,05000CORF 3131,A000000,05010,0000,05010CMHC 3131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3131,A000000,06150,0000,06300VENDING 3131,A000000,06151,0000,06301STAND-BY 3131,A81000A,00100,0100,Y 3131,A81000B,00100,0300,HOME OFFICE COST 3131,A81000B,00200,0300,DIETARY SUPPLEMENTS 3131,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 3131,A81000B,00400,0300,PRESCRIPTION DRUGS 3131,A81000B,00500,0300,MEDICAL SUPPLIES 3131,A81000B,00600,0300,ADMIN COSTS 3131,A81000B,00700,0300,IV THERAPY 3131,A81000B,00800,0300,PHYSICAL THERAPY 3131,A81000B,00900,0300,OCCUPATIONAL THERAPY 3131,A81000B,01000,0300,SPEECH THERAPY 3131,A81000B,01100,0300,CAPITAL 3131,A81000C,00100,0100,B 3131,A81000C,00100,0200,LAS FLORES 1021 3131,A81000C,00100,0400,MARINER PAN 3131,A81000C,00100,0600,NURSING HOMES 3131,A81000C,00200,0100,G 3131,A81000C,00200,0200,MARINER PAN 3131,A81000C,00200,0400,AMER PHARM SVCS 3131,A81000C,00200,0600,PHARMACEUTICALS 3131,A81000C,00300,0100,G 3131,A81000C,00300,0200,MARINER PAN 3131,A81000C,00300,0400,PRISM-ATS-ARS-T 3131,A81000C,00300,0600,THERAPIES 3131,B100000,00000,0100,00001SQUARE FEET 3131,B100000,00000,0200,00001SQUARE FEET 3131,B100000,00000,0300,00001GROSS SALARIES 3131,B100000,00000,0400,00001ACCUM COST 3131,B100000,00000,0500,00001SQUARE FEET 3131,B100000,00000,0600,00001PATIENT DAYS 3131,B100000,00000,0700,00001SQUARE FEET 3131,B100000,00000,0800,00001MEALS SERVED 3131,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3131,B100000,00000,1000,00001COSTED REQUISITIO 3131,B100000,00000,1100,00001COSTED REQUIS 3131,B100000,00000,1200,00001PATIENT DAYS 3131,B100000,00000,1300,00001PATIENT DAYS 3131,B100000,00000,1301,00001PATIENT DAYS 3131,B100000,00000,1350,00001UNITS OF SERVICE 3131,B100000,00000,1400,00001ASSIGNED TIME 3131,E10A180,00350,0100,12/28/1999 3131,E10A180,00350,0300,12/28/1999 3131,S000000,00100,0200,02/29/2000 3131,S200000,00100,0100,6458 EAST BROADWAY RD 3131,S200000,00200,0100,MESA 3131,S200000,00200,0200,AZ 3131,S200000,00200,0300,85206 3131,S200000,00300,0100,MARICOPA 3131,S200000,00400,0100,LAS FLORES NURSING CENTER 3131,S200000,00400,0200,035071 3131,S200000,00400,0300,06/01/1983 3131,S200000,00400,0500,P 3131,S200000,01600,0100,Y 3131,S200000,02200,0100,Y 3131,S200000,04300,0100,Y 3144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3144,A000000,00300,0000,00300EMPLOYEE BENEFITS 3144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3144,A000000,00700,0000,00700HOUSEKEEPING 3144,A000000,00800,0000,00800DIETARY 3144,A000000,00801,0000,00801CAFETERIA 3144,A000000,00900,0000,00900NURSING ADMINISTRATION 3144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3144,A000000,01100,0000,01100PHARMACY 3144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3144,A000000,01300,0000,01300SOCIAL SERVICE 3144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3144,A000000,01600,0000,01600SKILLED NURSING FACILITY 3144,A000000,01800,0000,01800NURSING FACILITY 3144,A000000,01810,0000,01810ICF/MR 3144,A000000,02100,0000,02100RADIOLOGY 3144,A000000,02200,0000,02200LABORATORY 3144,A000000,02300,0000,02300INTRAVENOUS THERAPY 3144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3144,A000000,02500,0000,02500PHYSICAL THERAPY 3144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3144,A000000,02700,0000,02700SPEECH PATHOLOGY 3144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3144,A000000,03550,0000,03550FQHC 3144,A000000,05000,0000,05000CORF 3144,A000000,05010,0000,05010CMHC 3144,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3144,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3144,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3144,A000000,05300,0000,05300INTEREST EXPENSE 3144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3144,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3144,A81000A,00100,0100,Y 3144,A81000B,00100,0300,HOME OFFICE COSTS 3144,A81000B,00200,0300,HOME OFFICE COSTS 3144,A81000B,00300,0300,RLTD PARTY CONSULTING FEES 3144,A81000B,00400,0300,RLTD PARTY CONSULTING FEES 3144,A81000B,00500,0300,RLTD PARTY LEASE 3144,A81000C,00100,0100,A 3144,A81000C,00100,0200,D. ADAMS SR. 3144,A81000C,00100,0400,WESTCARE INC. 3144,A81000C,00100,0600,HOME OFC 3144,A81000C,00200,0100,A 3144,A81000C,00200,0200,D. ADAMS SR. 3144,A81000C,00200,0400,NEW MARK CARE C 3144,A81000C,00200,0600,SNF 3144,A81000C,00300,0100,A 3144,A81000C,00300,0200,D. ADAMS SR. 3144,A81000C,00300,0400,PLAZA WEST CARE 3144,A81000C,00300,0600,SNF 3144,A81000C,00400,0100,A 3144,A81000C,00400,0200,D. ADAMS SR. 3144,A81000C,00400,0400,PMNC INC. 3144,A81000C,00400,0600,REIT 3144,B100000,00000,0100,00000SQUARE FEET 3144,B100000,00000,0200,00000SQUARE FEET 3144,B100000,00000,0300,00000GROSS SALARIES 3144,B100000,00000,0400,00000ACCUM COST 3144,B100000,00000,0500,00000SQUARE FEET 3144,B100000,00000,0600,00000POUNDS OF LAUNDRY 3144,B100000,00000,0700,00000SQUARE FEET 3144,B100000,00000,0800,00000MEALS SERVED 3144,B100000,00000,0801,00000FTE EMPLOYEES 3144,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3144,B100000,00000,1000,00000COSTED REQUISITIO 3144,B100000,00000,1100,00000COSTED REQUISITIO 3144,B100000,00000,1200,00000TIME SPENT 3144,B100000,00000,1300,00000TIME SPENT 3144,B100000,00000,1400,00000ASSIGNED TIME 3144,E10A180,00550,0100,11/06/2000 3144,S000000,00100,0200,10/06/2000 3144,S200000,00100,0100,13232 N TATUM BLVD 3144,S200000,00200,0100,PHOENIX 3144,S200000,00200,0200,AZ 3144,S200000,00200,0300,85032 3144,S200000,00300,0100,MARICOPA 3144,S200000,00400,0100,PHOENIX MOUNTAIN CARE CENTER 3144,S200000,00400,0200,035072 3144,S200000,00400,0300,05/28/1993 3144,S200000,00400,0500,P 3144,S200000,01600,0100,Y 3154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3154,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 3154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3154,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 3154,A000000,00300,0000,00300EMPLOYEE BENEFITS 3154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3154,A000000,00700,0000,00700HOUSEKEEPING 3154,A000000,00800,0000,00800DIETARY 3154,A000000,00801,0000,00801CAFETERIA 3154,A000000,00900,0000,00900NURSING ADMINISTRATION 3154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3154,A000000,01100,0000,01100PHARMACY 3154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3154,A000000,01300,0000,01300SOCIAL SERVICE 3154,A000000,01350,0000,01500ACTIVITIES 3154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3154,A000000,01600,0000,01600SKILLED NURSING FACILITY 3154,A000000,01800,0000,01800NURSING FACILITY 3154,A000000,01810,0000,01810ICF/MR 3154,A000000,02100,0000,02100RADIOLOGY 3154,A000000,02200,0000,02200LABORATORY 3154,A000000,02300,0000,02300INTRAVENOUS THERAPY 3154,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3154,A000000,02500,0000,02500PHYSICAL THERAPY 3154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3154,A000000,02700,0000,02700SPEECH PATHOLOGY 3154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3154,A000000,03050,0000,03300OTHER ANCILLARY 3154,A000000,03051,0000,03301OTHER ANCILLARY II 3154,A000000,03052,0000,03302OTHER ANCILLARY III 3154,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 3154,A000000,03550,0000,03550FQHC 3154,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3154,A000000,05000,0000,05000CORF I 3154,A000000,05010,0000,05010CMHC I 3154,A000000,05020,0000,05020OPT I 3154,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3154,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3154,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 3154,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 3154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3154,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3154,A81000A,00100,0100,Y 3154,A81000B,00100,0300,MGMT FEE - REV BASE 3154,A81000B,00200,0300,MGMT FEE - NOI BASE 3154,A81000B,00300,0300,ACCTG OVHD CA 3154,A81000C,00100,0100,A 3154,A81000C,00100,0200,B. PATTERSON 3154,A81000C,00100,0400,PIONEER HCS 3154,A81000C,00100,0600,MGMT CO 3154,A81000C,00200,0100,A 3154,A81000C,00200,0200,B. PATTERSON 3154,A81000C,00200,0400,PIONEER HCS 3154,A81000C,00200,0600,MGMT CO 3154,A81000C,00300,0100,A 3154,A81000C,00300,0200,B. PATTERSON 3154,A81000C,00300,0400,PIONEER HCS 3154,A81000C,00300,0600,MGMT CO 3154,B100000,00000,0100,00000(SQUARE FEET) 3154,B100000,00000,0101,00000(SQUARE FEET) 3154,B100000,00000,0200,00000(SQUARE FEET) 3154,B100000,00000,0201,00000(SQUARE FEET) 3154,B100000,00000,0300,00000(GROSS SALARIES) 3154,B100000,00000,0400,00000(ACCUM. COST) 3154,B100000,00000,0500,00000(SQUARE FEET) 3154,B100000,00000,0600,00000(PATIENT DAYS) 3154,B100000,00000,0700,00000(SQUARE FEET) 3154,B100000,00000,0800,00000(MEALS SERVED) 3154,B100000,00000,0801,00000(MEALS SERVED) 3154,B100000,00000,0900,00000(NURSING SALARIES) 3154,B100000,00000,1000,00000(COSTED REQUIS.) 3154,B100000,00000,1100,00000(PATIENT DAYS) 3154,B100000,00000,1200,00000(GROSS CHARGES) 3154,B100000,00000,1300,00000(TIME SPENT) 3154,B100000,00000,1350,00000(PATIENT DAYS) 3154,B100000,00000,1400,00000(ASSIGNED TIME) 3154,E10A180,00301,0100,07/29/1999 3154,S000000,00100,0200,05/26/2000 3154,S200000,00100,0100,150 N. LA CANADA DRIVE 3154,S200000,00200,0100,GREEN VALLEY 3154,S200000,00200,0200,AZ 3154,S200000,00200,0300,85614 3154,S200000,00300,0100,PIMA 3154,S200000,00400,0100,SANTA RITA CARE CENTER 3154,S200000,00400,0200,035073 3154,S200000,00400,0300,03/16/1989 3154,S200000,00400,0500,P 3154,S200000,01600,0100,Y 3154,S200000,02200,0100,Y 3154,S200000,02800,0100,Y 3165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3165,A000000,00300,0000,00300EMPLOYEE BENEFITS 3165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3165,A000000,00700,0000,00700HOUSEKEEPING 3165,A000000,00800,0000,00800DIETARY 3165,A000000,00900,0000,00900NURSING ADMINISTRATION 3165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3165,A000000,01100,0000,01100PHARMACY 3165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3165,A000000,01300,0000,01300SOCIAL SERVICE 3165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3165,A000000,01600,0000,01600SKILLED NURSING FACILITY 3165,A000000,01800,0000,01800NURSING FACILITY 3165,A000000,01810,0000,01810ICF/MR 3165,A000000,01900,0000,01900OTHER LONG TERM CARE 3165,A000000,02100,0000,02100RADIOLOGY 3165,A000000,02200,0000,02200LABORATORY 3165,A000000,02300,0000,02300INTRAVENOUS THERAPY 3165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3165,A000000,02500,0000,02500PHYSICAL THERAPY 3165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3165,A000000,02700,0000,02700SPEECH PATHOLOGY 3165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3165,A000000,02901,0000,02901EQUIPMENT RENTAL 3165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3165,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3165,A000000,03200,0000,03200SUPPORT SURFACES 3165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3165,A000000,03550,0000,03550FQHC 3165,A000000,05000,0000,05000CORF 3165,A000000,05010,0000,05010CMHC 3165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3165,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3165,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3165,A81000A,00100,0100,Y 3165,A81000B,00100,0300,CRC - BUILDING LEASE 3165,A81000B,00200,0300,CRC - BUILDING DEPR. 3165,A81000B,00300,0300,CRC - INTEREST EXPENSE 3165,A81000B,00400,0300,CRC - PROPERTY TAX 3165,A81000B,00500,0300,CRC - INSURANCE EXPENSE 3165,A81000B,00600,0300,LEGAL & PROFESSIONAL FEES 3165,A81000B,00700,0300,MANAGEMENT FEES 3165,A81000B,00800,0300,HOME OFFICE COSTS 3165,A81000B,00900,0300,AMORTIZATION 3165,A81000B,01000,0300,ADMINISTRATIVE COSTS 3165,A81000C,00100,0100,A 3165,A81000C,00100,0200,PARADIGM 3165,A81000C,00100,0400,PLAZA 3165,A81000C,00100,0600,HOME OFFICE 3165,B100000,00000,0100,00000SQUARE FEET 3165,B100000,00000,0200,00000SQUARE FEET 3165,B100000,00000,0300,00000GROSS SALARIES 3165,B100000,00000,0400,00000ACCUM COST 3165,B100000,00000,0500,00000SQUARE FEET 3165,B100000,00000,0600,00000POUNDS OF LAUNDRY 3165,B100000,00000,0700,00000SQUARE FEET 3165,B100000,00000,0800,00000MEALS SERVED 3165,B100000,00000,0900,00000GROSS SALARIES 3165,B100000,00000,1000,00000PATIENT DAYS 3165,B100000,00000,1100,00000COSTED REQUISITIO 3165,B100000,00000,1200,00000GROSS REVENUES 3165,B100000,00000,1300,00000PATIENT DAYS 3165,B100000,00000,1400,00000ASSIGNED TIME 3165,S000000,00100,0200,05/31/2000 3165,S200000,00100,0100,1475 N GRANITE REEF ROAD 3165,S200000,00200,0100,SCOTTSDALE 3165,S200000,00200,0200,AZ 3165,S200000,00200,0300,85271 3165,S200000,00300,0100,MARICOPA 3165,S200000,00400,0100,PLAZA HEALTHCARE OF SCOTTSDALE 3165,S200000,00400,0200,035084 3165,S200000,00400,0300,07/07/1970 3165,S200000,00400,0500,P 3165,S200000,01600,0100,Y 3175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3175,A000000,00300,0000,00300EMPLOYEE BENEFITS 3175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3175,A000000,00700,0000,00700HOUSEKEEPING 3175,A000000,00800,0000,00800DIETARY 3175,A000000,00900,0000,00900NURSING ADMINISTRATION 3175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3175,A000000,01100,0000,01100PHARMACY 3175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3175,A000000,01300,0000,01300SOCIAL SERVICE 3175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3175,A000000,01600,0000,01600SKILLED NURSING FACILITY 3175,A000000,01800,0000,01800NURSING FACILITY 3175,A000000,01810,0000,01810ICF/MR 3175,A000000,02100,0000,02100RADIOLOGY 3175,A000000,02200,0000,02200LABORATORY 3175,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3175,A000000,02500,0000,02500PHYSICAL THERAPY 3175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3175,A000000,02700,0000,02700SPEECH PATHOLOGY 3175,A000000,02800,0000,02800ELECTROCARDIOLOGY 3175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3175,A000000,03050,0000,03300ENTEROL FEEDINGS 3175,A000000,03051,0000,03301BLOOD SERVICES 3175,A000000,03052,0000,03302OTHER 3175,A000000,03550,0000,03550FQHC 3175,A000000,05000,0000,05000CORF 3175,A000000,05010,0000,05010CMHC 3175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3175,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 3175,A000000,05300,0000,05300INTEREST EXPENSE 3175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3175,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3175,A000000,06150,0000,06300HOSPICE EXPENSE 3175,A000000,06151,0000,06301TV RENTALS 3175,A000000,06152,0000,06302NURSE PRACTITIONER 3175,A000000,06200,0000,06200PATIENTS LAUNDRY 3175,A81000A,00100,0100,Y 3175,A81000B,00100,0300,HOME OFFICE COSTS 3175,A81000C,00100,0100,B 3175,A81000C,00100,0400,JOHN C LINCOLN 3175,A81000C,00100,0600,HOSPITAL 3175,B100000,00000,0100,00002SQUARE FEET 3175,B100000,00000,0200,00002DEPRECIATI 3175,B100000,00000,0300,00002GROSS SAL 3175,B100000,00000,0400,00002ACCUM. COST 3175,B100000,00000,0500,00002SQUARE FEET 3175,B100000,00000,0600,00002LINEN POUNDS 3175,B100000,00000,0700,00002SQUARE FEET 3175,B100000,00000,0800,00002PAT DAYS 3175,B100000,00000,0900,00002NURSING TIME 3175,B100000,00000,1000,00002PAT DAYS 3175,B100000,00000,1100,00002NO BASIS 3175,B100000,00000,1200,00002MED RECORDS TI 3175,B100000,00000,1300,00002SOC SVC TIME 3175,B100000,00000,1400,00002ASSIGNED TIME 3175,E10A180,00301,0100,05/31/2000 3175,E10A180,00350,0300,05/31/2000 3175,E10A180,00501,0100,05/31/2000 3175,E10A180,00550,0300,05/31/2000 3175,S000000,00100,0200,08/28/2000 3175,S200000,00100,0100,9155 NORTH THIRD STREET 3175,S200000,00200,0100,PHOENIX -----------REVISED-------- 3175,S200000,00200,0200,AZ 3175,S200000,00200,0300,58020 3175,S200000,00300,0100,MARICOPA 3175,S200000,00400,0100,BRYANS EXTENDED CARE CENTER 3175,S200000,00400,0200,035087 3175,S200000,00400,0300,11/02/1983 3175,S200000,00400,0500,P 3175,S200000,01600,0100,Y 3175,S200000,02200,0100,Y 3175,S200000,02800,0100,Y 3184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3184,A000000,00300,0000,00300EMPLOYEE BENEFITS 3184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3184,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3184,A000000,00700,0000,00700HOUSEKEEPING 3184,A000000,00800,0000,00800DIETARY 3184,A000000,00900,0000,00900NURSING ADMINISTRATION 3184,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3184,A000000,01100,0000,01100PHARMACY 3184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3184,A000000,01300,0000,01300SOCIAL SERVICE 3184,A000000,01301,0000,01301ACTIVITES 3184,A000000,01350,0000,01500REHABILITATION 3184,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3184,A000000,01600,0000,01600SKILLED NURSING FACILITY 3184,A000000,01800,0000,01800NURSING FACILITY 3184,A000000,01810,0000,01810ICF/MR 3184,A000000,02100,0000,02100RADIOLOGY 3184,A000000,02200,0000,02200LABORATORY 3184,A000000,02300,0000,02300INTRAVENOUS THERAPY 3184,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3184,A000000,02500,0000,02500PHYSICAL THERAPY 3184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3184,A000000,02700,0000,02700SPEECH PATHOLOGY 3184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3184,A000000,03050,0000,03300EQUIPMENT RENTAL 3184,A000000,03051,0000,03301PEN THERAPY 3184,A000000,03550,0000,03550FQHC 3184,A000000,05000,0000,05000CORF 3184,A000000,05010,0000,05010CMHC 3184,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3184,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3184,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3184,A000000,05300,0000,05300INTEREST EXPENSE 3184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3184,A000000,06150,0000,06300VENDING 3184,A000000,06151,0000,06301STAND-BY 3184,A000000,06200,0000,06200PATIENTS LAUNDRY 3184,A81000A,00100,0100,Y 3184,A81000B,00100,0300,HOME OFFICE COST 3184,A81000B,00200,0300,DIETARY SUPPLEMENTS 3184,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 3184,A81000B,00400,0300,PRESCRIPTION DRUGS 3184,A81000B,00500,0300,MEDICAL SUPPLIES 3184,A81000B,00600,0300,ADMIN COSTS 3184,A81000B,00700,0300,HOME OFFICE INTEREST 3184,A81000B,00800,0300,EQUIPMENT REPLACEMENT 3184,A81000B,00900,0300,IV THERAPY 3184,A81000B,01000,0300,THERAPY CONSULTING 3184,A81000B,01100,0300,PHYSICAL THERAPY 3184,A81000B,01200,0300,OCCUPATIONAL THERAPY 3184,A81000B,01300,0300,SPEECH THERAPY 3184,A81000B,01400,0300,ANC EQUIP RENTAL 3184,A81000B,01500,0300,CAPITAL 3184,A81000B,01600,0300,RT 3184,A81000C,00100,0100,B 3184,A81000C,00100,0200,HIGHLAND MANOR 3184,A81000C,00100,0400,MARINER PAN 3184,A81000C,00100,0600,NURSING HOMES 3184,A81000C,00200,0100,G 3184,A81000C,00200,0200,MARINER PAN 3184,A81000C,00200,0400,AMER PHARM SVCS 3184,A81000C,00200,0600,PHARMACEUTICALS 3184,A81000C,00300,0100,G 3184,A81000C,00300,0200,MARINER PAN 3184,A81000C,00300,0400,PRISM-ATS-ARS-T 3184,A81000C,00300,0600,THERAPIES 3184,B100000,00000,0100,00001SQUARE FEET 3184,B100000,00000,0200,00001SQUARE FEET 3184,B100000,00000,0300,00001GROSS SALARIES 3184,B100000,00000,0400,00001ACCUM COST 3184,B100000,00000,0500,00001SQUARE FEET 3184,B100000,00000,0600,00001PATIENT DAYS 3184,B100000,00000,0700,00001SQUARE FEET 3184,B100000,00000,0800,00001MEALS SERVED 3184,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3184,B100000,00000,1000,00001COSTED REQUISITIO 3184,B100000,00000,1100,00001COSTED REQUIS 3184,B100000,00000,1200,00001PATIENT DAYS 3184,B100000,00000,1300,00001PATIENT DAYS 3184,B100000,00000,1301,00001PATIENT DAYS 3184,B100000,00000,1350,00001UNITS OF SERVICE 3184,B100000,00000,1400,00001ASSIGNED TIME 3184,S000000,00100,0200,03/02/2000 3184,S200000,00100,0100,4635 NORTH 14TH ST 3184,S200000,00200,0100,PHOENIX 3184,S200000,00200,0200,AZ 3184,S200000,00200,0300,85014 3184,S200000,00300,0100,MARICOPA 3184,S200000,00400,0100,HIGHLAND MANOR NURSING HOME 3184,S200000,00400,0200,035088 3184,S200000,00400,0300,10/01/1993 3184,S200000,00400,0500,P 3184,S200000,01600,0100,Y 3184,S200000,02200,0100,Y 3184,S200000,04300,0100,Y 3201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3201,A000000,00300,0000,00300EMPLOYEE BENEFITS 3201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3201,A000000,00700,0000,00700HOUSEKEEPING 3201,A000000,00800,0000,00800DIETARY 3201,A000000,00900,0000,00900NURSING ADMINISTRATION 3201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3201,A000000,01100,0000,01100PHARMACY 3201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3201,A000000,01300,0000,01300SOCIAL SERVICE 3201,A000000,01350,0000,01500ACTIVITIES 3201,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3201,A000000,01600,0000,01600SKILLED NURSING FACILITY 3201,A000000,01800,0000,01800NURSING FACILITY 3201,A000000,02100,0000,02100RADIOLOGY 3201,A000000,02200,0000,02200LABORATORY 3201,A000000,02300,0000,02300INTRAVENOUS THERAPY 3201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3201,A000000,02500,0000,02500PHYSICAL THERAPY 3201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3201,A000000,02700,0000,02700SPEECH PATHOLOGY 3201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3201,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3201,A000000,03200,0000,03200SUPPORT SURFACES 3201,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3201,A000000,03550,0000,03550FQHC 3201,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3201,A000000,05000,0000,05000CORF 3201,A000000,05010,0000,05010CMHC 3201,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3201,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3201,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3201,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3201,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3201,A81000A,00100,0100,Y 3201,A81000B,00100,0300,HOME OFFICE 3201,A81000B,00200,0300,PHARMACY CONSULTANT 3201,A81000B,00300,0300,PHARMACY SHIPPING 3201,A81000B,00400,0300,SUPPLIES 3201,A81000B,00500,0300,SUPPLIES 3201,A81000B,00600,0300,XRAY SERVICES 3201,A81000B,00700,0300,LAB SERVICES 3201,A81000B,00900,0300,DRUGS 3201,A81000C,00100,0100,B 3201,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3201,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3201,A81000C,00100,0600,HOME OFFICE 3201,A81000C,00200,0100,G 3201,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3201,A81000C,00200,0400,SUNBELT 3201,A81000C,00200,0600,THERAPY MGMT SERVICES 3201,A81000C,00300,0100,G 3201,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3201,A81000C,00300,0400,QUEST 3201,A81000C,00300,0600,PHARMACY/SUPPLIES 3201,A81000C,00400,0100,G 3201,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3201,A81000C,00400,0400,AMPRO 3201,A81000C,00400,0600,LAB SERVICES 3201,B100000,00000,0100,00000SQUARE FEET 3201,B100000,00000,0200,00000SQUARE FEET 3201,B100000,00000,0300,00000GROSS SALARIES 3201,B100000,00000,0400,00000ACCUM. COST 3201,B100000,00000,0500,00000SQUARE FEET 3201,B100000,00000,0600,00000POUNDS OF LAUNDRY 3201,B100000,00000,0700,00000SQUARE FEET 3201,B100000,00000,0800,00000MEALS SERVED 3201,B100000,00000,0900,00000NURSING HOURS 3201,B100000,00000,1000,00000COSTED REQUIS. 3201,B100000,00000,1100,00000NO STATISTICS 3201,B100000,00000,1200,00000GROSS CHARGES 3201,B100000,00000,1300,00000PATIENT DAYS 3201,B100000,00000,1350,00000PATIENT DAYS 3201,B100000,00000,1400,00000NO STATISTICS 3201,E10A180,00351,0100,03/02/2000 3201,S000000,00100,0200,05/31/2000 3201,S200000,00100,0100,800 W. UNIVERSITY AVE 3201,S200000,00200,0100,FLAGSTAFF 3201,S200000,00200,0200,AZ 3201,S200000,00300,0100,COCONINO 3201,S200000,00400,0100,LOS ARCOS HEALTH CARE CENTER 3201,S200000,00400,0200,035091 3201,S200000,00400,0300,11/16/1989 3201,S200000,00400,0500,P 3201,S200000,01600,0100,Y 3213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3213,A000000,00300,0000,00300EMPLOYEE BENEFITS 3213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3213,A000000,00700,0000,00700HOUSEKEEPING 3213,A000000,00800,0000,00800DIETARY 3213,A000000,00900,0000,00900NURSING ADMINISTRATION 3213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3213,A000000,01100,0000,01100PHARMACY 3213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3213,A000000,01300,0000,01300SOCIAL SERVICE 3213,A000000,01301,0000,01301ACTIVITIES 3213,A000000,01350,0000,01500REHAB 3213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3213,A000000,01600,0000,01600SKILLED NURSING FACILITY 3213,A000000,01800,0000,01800NURSING FACILITY 3213,A000000,02100,0000,02100RADIOLOGY 3213,A000000,02200,0000,02200LABORATORY 3213,A000000,02300,0000,02300INTRAVENOUS THERAPY 3213,A000000,02500,0000,02500PHYSICAL THERAPY 3213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3213,A000000,02700,0000,02700SPEECH PATHOLOGY 3213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3213,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3213,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3213,A000000,03550,0000,03550FQHC 3213,A000000,05000,0000,05000CORF 3213,A000000,05010,0000,05010CMHC 3213,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3213,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3213,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3213,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3213,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3213,A81000A,00100,0100,Y 3213,A81000B,00100,0300,HOME OFFICE COST 3213,A81000B,00200,0300,MEDICAL SUPPLIES 3213,A81000B,00300,0300,ADMIN & GENERAL 3213,A81000B,00400,0300,CRC-MME 3213,A81000B,00500,0300,DRUGS 3213,A81000B,00600,0300,PHYSICAL THERAPY 3213,A81000B,00700,0300,OCCUPATIONAL THERAPY 3213,A81000B,00800,0300,SPEECH THERAPY 3213,A81000B,00900,0300,NON-CERTIFIED 3213,A81000B,01000,0300,REHAB 3213,A81000C,00100,0100,B 3213,A81000C,00100,0200,DESERT SKY #102 3213,A81000C,00100,0400,MARINER POST AC 3213,A81000C,00100,0600,NURSING HOMES 3213,A81000C,00200,0100,G 3213,A81000C,00200,0200,MARINER POST AC 3213,A81000C,00200,0400,AMERICAN PHARMA 3213,A81000C,00200,0600,PHARMACEUTICALS 3213,A81000C,00300,0100,G 3213,A81000C,00300,0200,MARINER POST AC 3213,A81000C,00300,0400,PRISM(ATS ARS 3213,A81000C,00300,0600,THERAPIES 3213,B100000,00000,0100,00000SQUARE FEET 3213,B100000,00000,0200,00000SQUARE FEET 3213,B100000,00000,0300,00000GROSS SALARIES 3213,B100000,00000,0400,00000ACCUM COST 3213,B100000,00000,0500,00000SQUARE FEET 3213,B100000,00000,0600,00000PATIENT DAYS 3213,B100000,00000,0700,00000HOURS OF SERVICE 3213,B100000,00000,0800,00000MEALS SERVED 3213,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3213,B100000,00000,1000,00000COSTED REQUISITIO 3213,B100000,00000,1100,00000COSTED REQUIS 3213,B100000,00000,1200,00000PATIENT DAYS 3213,B100000,00000,1300,00000PATIENT DAYS 3213,B100000,00000,1301,00000PATIENT DAYS 3213,B100000,00000,1350,00000UNITS OF SERVICE 3213,B100000,00000,1400,00000ASSIGNED TIME 3213,S000000,00100,0200,05/31/2000 3213,S200000,00100,0100,5125 NORTH 58TH AVENUE 3213,S200000,00200,0100,GLENDALE 3213,S200000,00200,0200,ARIZONA 3213,S200000,00200,0300,85301 3213,S200000,00300,0100,MARICOPA 3213,S200000,00400,0100,DESERT SKY HEALTHCARE & REHAB CTR. 3213,S200000,00400,0200,035092 3213,S200000,00400,0300,01/01/1980 3213,S200000,00400,0500,P 3221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3221,A000000,00300,0000,00300EMPLOYEE BENEFITS 3221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3221,A000000,00700,0000,00700HOUSEKEEPING 3221,A000000,00800,0000,00800DIETARY 3221,A000000,00900,0000,00900NURSING ADMINISTRATION 3221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3221,A000000,01100,0000,01100PHARMACY 3221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3221,A000000,01300,0000,01300SOCIAL SERVICE 3221,A000000,01350,0000,01500ACTIVITIES 3221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3221,A000000,01600,0000,01600SKILLED NURSING FACILITY 3221,A000000,01800,0000,01800NURSING FACILITY 3221,A000000,01810,0000,01810ICF/MR 3221,A000000,02100,0000,02100RADIOLOGY 3221,A000000,02200,0000,02200LABORATORY 3221,A000000,02300,0000,02300INTRAVENOUS THERAPY 3221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3221,A000000,02500,0000,02500PHYSICAL THERAPY 3221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3221,A000000,02700,0000,02700SPEECH PATHOLOGY 3221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3221,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3221,A000000,03200,0000,03200SUPPORT SURFACES 3221,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3221,A000000,03550,0000,03550FQHC 3221,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3221,A000000,05000,0000,05000CORF 3221,A000000,05010,0000,05010CMHC 3221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3221,A81000A,00100,0100,Y 3221,A81000B,00100,0300,HOME OFFICE 3221,A81000B,00300,0300,PHARMACY CONSULTANT 3221,A81000B,00400,0300,SUPPLIES 3221,A81000B,00500,0300,SUPPLIES 3221,A81000B,00600,0300,SUPPLIES 3221,A81000B,00700,0300,DRUGS 3221,A81000C,00100,0100,B 3221,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3221,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3221,A81000C,00100,0600,HOME OFFICE 3221,A81000C,00200,0100,G 3221,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3221,A81000C,00200,0400,SUNBELT 3221,A81000C,00200,0600,THERAPY MGMNT SERVICES 3221,A81000C,00300,0100,G 3221,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3221,A81000C,00300,0400,QUEST 3221,A81000C,00300,0600,PHARMACY/SUPPLIES 3221,A81000C,00400,0100,G 3221,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3221,A81000C,00400,0400,AMPRO 3221,A81000C,00400,0600,LAB SERVICES 3221,B100000,00000,0100,00000SQUARE FEET 3221,B100000,00000,0200,00000SQUARE FEET 3221,B100000,00000,0300,00000GROSS SALARIES 3221,B100000,00000,0400,00000ACCUM. COST 3221,B100000,00000,0500,00000SQUARE FEET 3221,B100000,00000,0600,00000POUNDS OF LAUNDRY 3221,B100000,00000,0700,00000SQUARE FEET 3221,B100000,00000,0800,00000MEALS SERVED 3221,B100000,00000,0900,00000DIRECT NRSING HRS 3221,B100000,00000,1000,00000COSTED REQUIS. 3221,B100000,00000,1100,00000COSTED REQUIS. 3221,B100000,00000,1200,00000GROSS CHARGES 3221,B100000,00000,1300,00000PATIENT DAYS 3221,B100000,00000,1350,00000PATIENT DAYS 3221,B100000,00000,1400,00000ASSIGNED TIME 3221,S000000,00100,0200,05/31/2000 3221,S200000,00100,0100,197 S WILLARD ST 3221,S200000,00200,0100,COTTONWOOD 3221,S200000,00200,0200,AZ 3221,S200000,00300,0100,YAVAPAI 3221,S200000,00400,0100,RIO VERDE HEALTH CARE CENTER 3221,S200000,00400,0200,035093 3221,S200000,00400,0300,06/01/1992 3221,S200000,00400,0500,P 3221,S200000,01600,0100,Y 3237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3237,A000000,00300,0000,00300EMPLOYEE BENEFITS 3237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3237,A000000,00700,0000,00700HOUSEKEEPING 3237,A000000,00800,0000,00800DIETARY 3237,A000000,00900,0000,00900NURSING ADMINISTRATION 3237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3237,A000000,01100,0000,01100PHARMACY 3237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3237,A000000,01300,0000,01300SOCIAL SERVICE 3237,A000000,01301,0000,01301ACTIVITES 3237,A000000,01350,0000,01500REHABILITATION 3237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3237,A000000,01600,0000,01600SKILLED NURSING FACILITY 3237,A000000,01800,0000,01800NURSING FACILITY 3237,A000000,01810,0000,01810ICF/MR 3237,A000000,02100,0000,02100RADIOLOGY 3237,A000000,02200,0000,02200LABORATORY 3237,A000000,02300,0000,02300INTRAVENOUS THERAPY 3237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3237,A000000,02500,0000,02500PHYSICAL THERAPY 3237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3237,A000000,02700,0000,02700SPEECH PATHOLOGY 3237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3237,A000000,03050,0000,03300EQUIPMENT RENTAL 3237,A000000,03051,0000,03301PEN THERAPY 3237,A000000,03550,0000,03550FQHC 3237,A000000,05000,0000,05000CORF 3237,A000000,05010,0000,05010CMHC 3237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3237,A000000,06150,0000,06300VENDING 3237,A000000,06151,0000,06301STAND-BY 3237,A81000A,00100,0100,Y 3237,A81000B,00100,0300,HOME OFFICE COST 3237,A81000B,00200,0300,S.T. EQUIP. RENTAL 3237,A81000B,00300,0300,NSG/CENTRAL SUPPLY 3237,A81000B,00400,0300,PRESCRIPTION DRUGS 3237,A81000B,00500,0300,MEDICAL SUPPLIES 3237,A81000B,00600,0300,ADMIN COSTS 3237,A81000B,00700,0300,HOME OFFICE INTEREST 3237,A81000B,00800,0300,EQUIPMENT REPLACEMENT 3237,A81000B,00900,0300,THERAPY CONSULTING 3237,A81000B,01000,0300,PHYSICAL THERAPY 3237,A81000B,01100,0300,OCCUPATIONAL THERAPY 3237,A81000B,01200,0300,SPEECH THERAPY 3237,A81000B,01300,0300,ANC EQUIP RENTAL 3237,A81000C,00100,0100,B 3237,A81000C,00100,0200,VILLAGE GREEN 1 3237,A81000C,00100,0400,MARINER PAN 3237,A81000C,00100,0600,NURSING HOMES 3237,A81000C,00200,0100,G 3237,A81000C,00200,0200,MARINER PAN 3237,A81000C,00200,0400,AMER PHARM SVCS 3237,A81000C,00200,0600,PHARMACEUTICALS 3237,A81000C,00300,0100,G 3237,A81000C,00300,0200,MARINER PAN 3237,A81000C,00300,0400,PRISM-ATS-ARS-T 3237,A81000C,00300,0600,THERAPIES 3237,B100000,00000,0100,00001SQUARE FEET 3237,B100000,00000,0200,00001SQUARE FEET 3237,B100000,00000,0300,00001GROSS SALARIES 3237,B100000,00000,0400,00001ACCUM COST 3237,B100000,00000,0500,00001SQUARE FEET 3237,B100000,00000,0600,00001PATIENT DAYS 3237,B100000,00000,0700,00001SQUARE FEET 3237,B100000,00000,0800,00001MEALS SERVED 3237,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3237,B100000,00000,1000,00001PATIENT DAYS 3237,B100000,00000,1100,00001COSTED REQUIS 3237,B100000,00000,1200,00001PATIENT DAYS 3237,B100000,00000,1300,00001PATIENT DAYS 3237,B100000,00000,1301,00001PATIENT DAYS 3237,B100000,00000,1350,00001UNITS OF SERVICE 3237,B100000,00000,1400,00001ASSIGNED TIME 3237,E10A180,00501,0100,06/02/2000 3237,E10A180,00550,0300,06/02/2000 3237,S000000,00100,0200,06/02/2000 3237,S200000,00100,0100,2932 NORTH 14TH STREET 3237,S200000,00200,0100,PHOENIX 3237,S200000,00200,0200,ARIZONA 3237,S200000,00200,0300,85014 3237,S200000,00300,0100,MARICOPA 3237,S200000,00400,0100,VILLAGE GREEN HEALTHCARE CENTER 3237,S200000,00400,0200,035104 3237,S200000,00400,0300,01/01/1980 3237,S200000,00400,0500,P 3237,S200000,01600,0100,Y 3237,S200000,02200,0100,Y 3237,S200000,04300,0100,Y 3245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3245,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 3245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3245,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 3245,A000000,00300,0000,00300EMPLOYEE BENEFITS 3245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3245,A000000,00700,0000,00700HOUSEKEEPING 3245,A000000,00800,0000,00800DIETARY 3245,A000000,00801,0000,00801CAFETERIA 3245,A000000,00900,0000,00900NURSING ADMINISTRATION 3245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3245,A000000,01100,0000,01100PHARMACY 3245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3245,A000000,01300,0000,01300SOCIAL SERVICE 3245,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3245,A000000,01600,0000,01600SKILLED NURSING FACILITY 3245,A000000,01800,0000,01800NURSING FACILITY 3245,A000000,01810,0000,01810ICF/MR 3245,A000000,02300,0000,02300INTRAVENOUS THERAPY 3245,A000000,02500,0000,02500PHYSICAL THERAPY 3245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3245,A000000,02700,0000,02700SPEECH PATHOLOGY 3245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3245,A000000,03050,0000,03300OTHER ANCILLARY 3245,A000000,03051,0000,03301OTHER ANCILLARY II 3245,A000000,03052,0000,03302OTHER ANCILLARY III 3245,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 3245,A000000,03550,0000,03550FQHC 3245,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3245,A000000,05000,0000,05000CORF I 3245,A000000,05010,0000,05010CMHC I 3245,A000000,05020,0000,05020OPT I 3245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3245,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 3245,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 3245,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3245,B100000,00000,0100,00000(SQUARE FEET) 3245,B100000,00000,0101,00000(SQUARE FEET) 3245,B100000,00000,0200,00000(SQUARE FEET) 3245,B100000,00000,0201,00000(SQUARE FEET) 3245,B100000,00000,0300,00000(GROSS SALARIES) 3245,B100000,00000,0400,00000(ACCUM. COST) 3245,B100000,00000,0500,00000(SQUARE FEET) 3245,B100000,00000,0600,00000(PATIENT DAYS) 3245,B100000,00000,0700,00000(SQUARE FEET) 3245,B100000,00000,0800,00000(MEALS SERVED) 3245,B100000,00000,0801,00000(MEALS SERVED) 3245,B100000,00000,0900,00000(NURSING SALARIES) 3245,B100000,00000,1000,00000(COSTED REQUIS.) 3245,B100000,00000,1100,00000(COSTED REQUIS.) 3245,B100000,00000,1200,00000(TIME SPENT) 3245,B100000,00000,1300,00000(PATIENT DAYS) 3245,B100000,00000,1350,00000 3245,B100000,00000,1400,00000(ASSIGNED TIME) 3245,S000000,00100,0200,05/30/2000 3245,S200000,00100,0100,14002 MEEKER BLVD 3245,S200000,00200,0100,SUN CITY WEST 3245,S200000,00200,0200,AZ 3245,S200000,00200,0300,85375 3245,S200000,00300,0100,MARICOPA 3245,S200000,00400,0100,SUNWEST NURSING CENTER 3245,S200000,00400,0200,035110 3245,S200000,00400,0300,04/01/1994 3245,S200000,00400,0500,P 3245,S200000,01600,0100,Y 3254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3254,A000000,00300,0000,00300EMPLOYEE BENEFITS 3254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3254,A000000,00700,0000,00700HOUSEKEEPING 3254,A000000,00800,0000,00800DIETARY 3254,A000000,00900,0000,00900NURSING ADMINISTRATION 3254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3254,A000000,01100,0000,01100PHARMACY 3254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3254,A000000,01300,0000,01300SOCIAL SERVICE 3254,A000000,01350,0000,01500RECREATION 3254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3254,A000000,01600,0000,01600SKILLED NURSING FACILITY 3254,A000000,01800,0000,01800NURSING FACILITY 3254,A000000,02100,0000,02100RADIOLOGY 3254,A000000,02200,0000,02200LABORATORY 3254,A000000,02300,0000,02300INTRAVENOUS THERAPY 3254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3254,A000000,02500,0000,02500PHYSICAL THERAPY 3254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3254,A000000,02700,0000,02700SPEECH PATHOLOGY 3254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3254,A000000,03101,0000,03110EQUIPMENT 3254,A000000,03550,0000,03550FQHC 3254,A000000,05000,0000,05000CORF 3254,A000000,05010,0000,05010CMHC 3254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3254,A81000A,00100,0100,Y 3254,A81000B,00100,0300,RELATED DEPRN/INT 3254,A81000C,00100,0100,A 3254,A81000C,00100,0200,E.B. DAVID 3254,A81000C,00100,0400,DAVID-SALCEDA 3254,A81000C,00100,0600,REAL ESTATE 3254,A81000C,00200,0100,A 3254,A81000C,00200,0200,E. SALCEDA 3254,A81000C,00200,0400,DAVID-SALCEDA 3254,A81000C,00200,0600,REAL ESTATE 3254,B100000,00000,0100,00000SQUARE FEET 3254,B100000,00000,0200,00000SQUARE FEET 3254,B100000,00000,0300,00000GROSS SALARIES 3254,B100000,00000,0400,00000ACCUM COST 3254,B100000,00000,0500,00000SQUARE FEET 3254,B100000,00000,0600,00000POUNDS OF LAUNDRY 3254,B100000,00000,0700,00000HOURS OF SERVICE 3254,B100000,00000,0800,00000MEALS SERVED 3254,B100000,00000,0900,00000DIRECT NRSG HRS 3254,B100000,00000,1000,00000COSTED REQUIS 3254,B100000,00000,1100,00000COSTED REQUIS 3254,B100000,00000,1200,00000TIME SPENT 3254,B100000,00000,1300,00000TIME SPENT 3254,B100000,00000,1350,00000PATIENT DAYS 3254,B100000,00000,1400,00000ASSIGNED TIME 3254,S000000,00100,0200,06/22/2000 3254,S200000,00100,0100,2012 WEST SOUTHERN AVENUE 3254,S200000,00200,0100,APACHE JUNCTION 3254,S200000,00200,0200,AZ 3254,S200000,00200,0300,85220 3254,S200000,00300,0100,MARICOPA 3254,S200000,00400,0100,APACHE JUNCTION HEALTH CENTER 3254,S200000,00400,0200,035112 3254,S200000,00400,0300,08/12/1985 3254,S200000,00400,0500,P 3254,S200000,00400,0600,O 3254,S200000,00600,0200,035112 3254,S200000,00600,0300,08/12/1985 3254,S200000,00600,0600,P 3254,S200000,01600,0100,Y 3276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3276,A000000,00300,0000,00300EMPLOYEE BENEFITS 3276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3276,A000000,00700,0000,00700HOUSEKEEPING 3276,A000000,00800,0000,00800DIETARY 3276,A000000,00900,0000,00900NURSING ADMINISTRATION 3276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3276,A000000,01100,0000,01100PHARMACY 3276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3276,A000000,01300,0000,01300SOCIAL SERVICE 3276,A000000,01350,0000,01500ACTIVITIES 3276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3276,A000000,01600,0000,01600SKILLED NURSING FACILITY 3276,A000000,01800,0000,01800NURSING FACILITY 3276,A000000,01810,0000,01810ICF/MR 3276,A000000,02100,0000,02100RADIOLOGY 3276,A000000,02200,0000,02200LABORATORY 3276,A000000,02300,0000,02300INTRAVENOUS THERAPY 3276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3276,A000000,02500,0000,02500PHYSICAL THERAPY 3276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3276,A000000,02700,0000,02700SPEECH PATHOLOGY 3276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3276,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3276,A000000,03200,0000,03200SUPPORT SURFACES 3276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3276,A000000,03550,0000,03550FQHC 3276,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3276,A000000,05000,0000,05000CORF 3276,A000000,05010,0000,05010CMHC 3276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3276,A81000A,00100,0100,Y 3276,A81000B,00100,0300,HOME OFFICE 3276,A81000B,00300,0300,PHARMACY CONSULTANT 3276,A81000B,00400,0300,SUPPLIES 3276,A81000B,00500,0300,XRAY SERVICES 3276,A81000B,00600,0300,LAB SERVICES 3276,A81000B,00700,0300,DRUGS 3276,A81000C,00100,0100,B 3276,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3276,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3276,A81000C,00100,0600,HOME OFFICE 3276,A81000C,00200,0100,G 3276,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3276,A81000C,00200,0400,SUNBELT 3276,A81000C,00200,0600,THERAPY MGMNT SERVICES 3276,A81000C,00300,0100,G 3276,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3276,A81000C,00300,0400,QUEST 3276,A81000C,00300,0600,PHARMACY/SUPPLIES 3276,A81000C,00400,0100,G 3276,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3276,A81000C,00400,0400,AMPRO 3276,A81000C,00400,0600,LAB SERVICES 3276,B100000,00000,0100,00000SQUARE FEET 3276,B100000,00000,0200,00000SQUARE FEET 3276,B100000,00000,0300,00000GROSS SALARIES 3276,B100000,00000,0400,00000ACCUM. COST 3276,B100000,00000,0500,00000SQUARE FEET 3276,B100000,00000,0600,00000POUNDS OF LAUNDRY 3276,B100000,00000,0700,00000SQUARE FEET 3276,B100000,00000,0800,00000MEALS SERVED 3276,B100000,00000,0900,00000DIRECT NRSING HRS 3276,B100000,00000,1000,00000COSTED REQUIS. 3276,B100000,00000,1100,00000COSTED REQUIS. 3276,B100000,00000,1200,00000GROSS CHARGES 3276,B100000,00000,1300,00000PATIENT DAYS 3276,B100000,00000,1350,00000PATIENT DAYS 3276,B100000,00000,1400,00000ASSIGNED TIME 3276,S000000,00100,0200,05/31/2000 3276,S200000,00100,0100,15 E. HIGHWAY 260 3276,S200000,00200,0100,CAMP VERDE 3276,S200000,00200,0200,AZ 3276,S200000,00300,0100,YAVAPAI 3276,S200000,00400,0100,THE ARBORS HEALTHCARE CENTER 3276,S200000,00400,0200,035118 3276,S200000,00400,0300,12/01/1990 3276,S200000,00400,0500,P 3276,S200000,01600,0100,Y 3287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3287,A000000,00300,0000,00300EMPLOYEE BENEFITS 3287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3287,A000000,00700,0000,00700HOUSEKEEPING 3287,A000000,00800,0000,00800DIETARY 3287,A000000,00900,0000,00900NURSING ADMINISTRATION 3287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3287,A000000,01100,0000,01100PHARMACY 3287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3287,A000000,01300,0000,01300SOCIAL SERVICE 3287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3287,A000000,01600,0000,01600SKILLED NURSING FACILITY 3287,A000000,01800,0000,01800NURSING FACILITY 3287,A000000,01810,0000,01810ICF/MR 3287,A000000,02100,0000,02100RADIOLOGY 3287,A000000,02200,0000,02200LABORATORY 3287,A000000,02300,0000,02300INTRAVENOUS THERAPY 3287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3287,A000000,02500,0000,02500PHYSICAL THERAPY 3287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3287,A000000,02700,0000,02700SPEECH PATHOLOGY 3287,A000000,02800,0000,02800ELECTROCARDIOLOGY 3287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3287,A000000,03550,0000,03550FQHC 3287,A000000,05000,0000,05000CORF 3287,A000000,05010,0000,05010CMHC 3287,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3287,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3287,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3287,A000000,06150,0000,06300RECREATION ACTIVITIES 3287,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST CENT 3287,A81000A,00100,0100,Y 3287,A81000B,00100,0300,EMPLOYEE BENEFITS 3287,A81000B,00200,0300,HOME OFFICE POOLED COSTS 3287,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 3287,A81000B,00400,0300,INTERCOMPANY COSTS FROM BOSWEL 3287,A81000B,00500,0300,INTERCOMPANY COSTS FROM BOSWEL 3287,A81000B,00600,0300,INTERCOMPANY COSTS FROM BOSWEL 3287,A81000B,00700,0300,INTERCOMPANY COSTS FROM BOSWEL 3287,A81000B,00800,0300,INTERCOMPANY COSTS FROM BOSWEL 3287,A81000C,00100,0100,B 3287,A81000C,00100,0400,SUN HEALTH CORP 3287,A81000C,00100,0600,HEALTH CARE 3287,A81000C,00200,0100,B 3287,A81000C,00200,0400,SUN HEALTH CORP 3287,A81000C,00200,0600,HEALTH CARE 3287,A81000C,00300,0100,B 3287,A81000C,00300,0400,SUN HEALTH CORP 3287,A81000C,00300,0600,HEALTH CARE 3287,A81000C,00400,0100,B 3287,A81000C,00400,0400,SUN HEALTH CORP 3287,A81000C,00400,0600,HEALTH CARE 3287,A81000C,00500,0100,B 3287,A81000C,00500,0400,SUN HEALTH CORP 3287,A81000C,00500,0600,HEALTH CARE 3287,A81000C,00600,0100,B 3287,A81000C,00600,0400,SUN HEALTH CORP 3287,A81000C,00600,0600,HEALTH CARE 3287,B100000,00000,0100,00001SQUARE FEET 3287,B100000,00000,0200,00001SQUARE FEET 3287,B100000,00000,0300,00001GROSS SAL 3287,B100000,00000,0400,00001ACCUM. COST 3287,B100000,00000,0500,00001SQUARE FEET 3287,B100000,00000,0600,00001POUNDS OF LAUNDRY 3287,B100000,00000,0700,00001SQUARE FEET 1 3287,B100000,00000,0800,00001MEALS SERVED 3287,B100000,00000,0900,00001NURSING HOURS 3287,B100000,00000,1000,00001COSTED REQ. -MED 3287,B100000,00000,1100,00001COSTED REQ. -DRUG 3287,B100000,00000,1200,00001GROSS REV 3287,B100000,00000,1300,00001PATIENT DAYS 3287,B100000,00000,1400,00001ASSIGNED TIME 3287,E10A180,00301,0100,10/05/1999 3287,S000000,00100,0200,05/31/2000 3287,S200000,00100,0100,SUN HEALTH CARE CENTER 3287,S200000,00100,0300,2209 3287,S200000,00200,0100,SUN CITY 3287,S200000,00200,0200,AZ 3287,S200000,00200,0300,85372 3287,S200000,00300,0100,MARICOPA 3287,S200000,00400,0100,SUN HEALTH CARE CENTER 3287,S200000,00400,0200,035121 3287,S200000,00400,0300,12/16/1985 3287,S200000,00400,0500,P 3287,S200000,01600,0100,Y 3287,S200000,02800,0100,Y 3298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3298,A000000,00300,0000,00300EMPLOYEE BENEFITS 3298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3298,A000000,00700,0000,00700HOUSEKEEPING 3298,A000000,00800,0000,00800DIETARY 3298,A000000,00900,0000,00900NURSING ADMINISTRATION 3298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3298,A000000,01100,0000,01100PHARMACY 3298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3298,A000000,01300,0000,01300SOCIAL SERVICE 3298,A000000,01301,0000,01301ACTIVITES 3298,A000000,01350,0000,01500REHABILITATION 3298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3298,A000000,01600,0000,01600SKILLED NURSING FACILITY 3298,A000000,01800,0000,01800NURSING FACILITY 3298,A000000,01810,0000,01810ICF/MR 3298,A000000,02100,0000,02100RADIOLOGY 3298,A000000,02200,0000,02200LABORATORY 3298,A000000,02300,0000,02300INTRAVENOUS THERAPY 3298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3298,A000000,02500,0000,02500PHYSICAL THERAPY 3298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3298,A000000,02700,0000,02700SPEECH PATHOLOGY 3298,A000000,02800,0000,02800ELECTROCARDIOLOGY 3298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3298,A000000,03050,0000,03300EQUIPMENT RENTAL 3298,A000000,03051,0000,03301PEN THERAPY 3298,A000000,03550,0000,03550FQHC 3298,A000000,05000,0000,05000CORF 3298,A000000,05010,0000,05010CMHC 3298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3298,A000000,06150,0000,06300VENDING 3298,A000000,06151,0000,06301STAND-BY 3298,A81000A,00100,0100,Y 3298,A81000B,00100,0300,HOME OFFICE COST 3298,A81000B,00200,0300,DIETARY SUPPLEMENTS 3298,A81000B,00300,0300,CENTRAL SUPPLY 3298,A81000B,00400,0300,PRESCRIPTION DRUGS 3298,A81000B,00500,0300,MEDICAL SUPPLIES 3298,A81000B,00600,0300,ADMIN COSTS 3298,A81000B,00700,0300,ANCILLARY SUPPLIES-LAB 3298,A81000B,00800,0300,EQUIPMENT REPLACEMENT 3298,A81000B,00900,0300,IV THERAPY 3298,A81000B,01000,0300,THERAPY CONSULTING 3298,A81000B,01100,0300,PHYSICAL THERAPY 3298,A81000B,01200,0300,OCCUPATIONAL THERAPY 3298,A81000B,01300,0300,SPEECH THERAPY 3298,A81000B,01400,0300,ANC EQUIP RENTAL 3298,A81000B,01500,0300,LEASE EXP EQUIP 3298,A81000C,00100,0100,B 3298,A81000C,00100,0200,GRNCR-PAR VALLE 3298,A81000C,00100,0400,MARINER PAN 3298,A81000C,00100,0600,NURSING HOMES 3298,A81000C,00200,0100,G 3298,A81000C,00200,0200,MARINER PAN 3298,A81000C,00200,0400,AMER PHARM SVCS 3298,A81000C,00200,0600,PHARMACEUTICALS 3298,A81000C,00300,0100,G 3298,A81000C,00300,0200,MARINER PAN 3298,A81000C,00300,0400,PRISM-ATS-ARS-T 3298,A81000C,00300,0600,THERAPIES 3298,B100000,00000,0100,00001SQUARE FEET 3298,B100000,00000,0200,00001SQUARE FEET 3298,B100000,00000,0300,00001GROSS SALARIES 3298,B100000,00000,0400,00001ACCUM COST 3298,B100000,00000,0500,00001SQUARE FEET 3298,B100000,00000,0600,00001PATIENT DAYS 3298,B100000,00000,0700,00001SQUARE FEET 3298,B100000,00000,0800,00001MEALS SERVED 3298,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 3298,B100000,00000,1000,00001PATIENT DAYS 3298,B100000,00000,1100,00001COSTED REQUIS 3298,B100000,00000,1200,00001PATIENT DAYS 3298,B100000,00000,1300,00001PATIENT DAYS 3298,B100000,00000,1301,00001PATIENT DAYS 3298,B100000,00000,1350,00001UNITS OF SERVICE 3298,B100000,00000,1400,00001ASSIGNED TIME 3298,E10A180,00501,0100,06/02/2000 3298,E10A180,00550,0300,06/02/2000 3298,S000000,00100,0200,06/02/2000 3298,S200000,00100,0100,16640 NORTH 38TH STREET 3298,S200000,00200,0100,PHOENIX 3298,S200000,00200,0200,ARIZONA 3298,S200000,00200,0300,85032 3298,S200000,00300,0100,MARICOPA 3298,S200000,00400,0100,GRANCARE MED CTR OF PARADISE VALLEY 3298,S200000,00400,0200,035125 3298,S200000,00400,0300,01/01/1980 3298,S200000,00400,0500,P 3298,S200000,01600,0100,Y 3298,S200000,02200,0100,Y 3298,S200000,04300,0100,Y 3310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3310,A000000,00300,0000,00300EMPLOYEE BENEFITS 3310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3310,A000000,00700,0000,00700HOUSEKEEPING 3310,A000000,00800,0000,00800DIETARY 3310,A000000,00900,0000,00900NURSING ADMINISTRATION 3310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3310,A000000,01100,0000,01100PHARMACY 3310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3310,A000000,01300,0000,01300SOCIAL SERVICE 3310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3310,A000000,01600,0000,01600SKILLED NURSING FACILITY 3310,A000000,01800,0000,01800NURSING FACILITY 3310,A000000,01810,0000,01810ICF/MR 3310,A000000,02100,0000,02100RADIOLOGY 3310,A000000,02200,0000,02200LABORATORY 3310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3310,A000000,02500,0000,02500PHYSICAL THERAPY 3310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3310,A000000,02700,0000,02700SPEECH PATHOLOGY 3310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3310,A000000,03550,0000,03550FQHC 3310,A000000,05000,0000,05000CORF 3310,A000000,05010,0000,05010CMHC 3310,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3310,A81000A,00100,0100,Y 3310,A81000B,00100,0300,HOME OFFICE COSTS 3310,A81000B,00200,0300,PHYSICAL THERAPY 3310,A81000B,00300,0300,OCCUPATIONAL THERAPY 3310,A81000B,00400,0300,SPEECH THERAPY 3310,A81000C,00100,0100,D 3310,A81000C,00100,0200,STAN STUDER SR 3310,A81000C,00100,0400,CARE INN PROPERTIES 3310,A81000C,00100,0600,MANAGEMENT COMPANY 3310,A81000C,00200,0100,G 3310,A81000C,00200,0200,BROOKHAVEN MED CTRS 3310,A81000C,00200,0600,THERAPY COMPANY 3310,B100000,00000,0100,00000SQUARE FEET 3310,B100000,00000,0200,00000SQUARE FEET 3310,B100000,00000,0300,00000GROSS SALARIES 3310,B100000,00000,0400,00000ACCUM COST 3310,B100000,00000,0500,00000SQUARE FEET 3310,B100000,00000,0600,00000POUNDS OF LAUNDRY 3310,B100000,00000,0700,00000HOURS OF SERVICE 3310,B100000,00000,0800,00000MEALS SERVED 3310,B100000,00000,0900,00000DIRECT NRSG HRS 3310,B100000,00000,1000,00000COSTED REQUIS 3310,B100000,00000,1100,00000COSTED REQUIS 3310,B100000,00000,1200,00000TIME SPENT 3310,B100000,00000,1300,00000TIME SPENT 3310,B100000,00000,1400,00000ASSIGNED TIME 3310,E10A180,00501,0100,07/06/2000 3310,S000000,00100,0200,05/15/2000 3310,S200000,00100,0100,864 DOUGHERTY 3310,S200000,00200,0100,PRESCOTT 3310,S200000,00200,0200,AZ 3310,S200000,00200,0300,86305 3310,S200000,00300,0100,YAVAPAI 3310,S200000,00400,0100,MEADOW PARK CARE CENTER 3310,S200000,00400,0200,035127 3310,S200000,00400,0300,01/01/1998 3310,S200000,00400,0500,P 3310,S200000,01600,0100,Y 3318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3318,A000000,00300,0000,00300EMPLOYEE BENEFITS 3318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3318,A000000,00700,0000,00700HOUSEKEEPING 3318,A000000,00800,0000,00800DIETARY 3318,A000000,00900,0000,00900NURSING ADMINISTRATION 3318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3318,A000000,01100,0000,01100PHARMACY 3318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3318,A000000,01300,0000,01300SOCIAL SERVICE 3318,A000000,01301,0000,01301ACTIVITIES 3318,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3318,A000000,01600,0000,01600SKILLED NURSING FACILITY 3318,A000000,01800,0000,01800NURSING FACILITY 3318,A000000,01810,0000,01810ICF/MR 3318,A000000,02100,0000,02100RADIOLOGY 3318,A000000,02200,0000,02200LABORATORY 3318,A000000,02300,0000,02300INTRAVENOUS THERAPY 3318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3318,A000000,02500,0000,02500PHYSICAL THERAPY 3318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3318,A000000,02700,0000,02700SPEECH PATHOLOGY 3318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3318,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3318,A000000,03051,0000,03301PEN THERAPY 3318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3318,A000000,03550,0000,03550FQHC 3318,A000000,05000,0000,05000CORF 3318,A000000,05010,0000,05010CMHC 3318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3318,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3318,A81000A,00100,0100,Y 3318,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 3318,A81000B,00200,0300,CENTRAL SUPPLY 3318,A81000B,00300,0300,MEDICAL SUPPLIES 3318,A81000B,00400,0300,ADMIN 3318,A81000B,00500,0300,DIETARY 3318,A81000B,00600,0300,CAPITAL 3318,A81000B,00700,0300,DRUGS 3318,A81000B,00800,0300,NURSING ADMIN 3318,A81000B,00900,0300,IV 3318,A81000B,01000,0300,PT 3318,A81000B,01100,0300,OT 3318,A81000B,01200,0300,ST 3318,A81000C,00100,0100,B 3318,A81000C,00100,0200,HEARTHSTONE OF 3318,A81000C,00100,0400,MPAN 3318,A81000C,00100,0600,NURSING HOMES 3318,A81000C,00200,0100,G 3318,A81000C,00200,0200,MPAN 3318,A81000C,00200,0400,AMERICAN PHARMA 3318,A81000C,00200,0600,PHARMACEUTICALS 3318,A81000C,00300,0100,G 3318,A81000C,00300,0200,MPAN 3318,A81000C,00300,0400,PRISM (ATS ARS 3318,A81000C,00300,0600,THERAPIES 3318,B100000,00000,0100,00000SQUARE FEET 3318,B100000,00000,0200,00000SQUARE FEET 3318,B100000,00000,0300,00000GROSS SALARIES 3318,B100000,00000,0400,00000ACCUM COST 3318,B100000,00000,0500,00000SQUARE FEET 3318,B100000,00000,0600,00000PATIENT DAYS 3318,B100000,00000,0700,00000SQUARE FEET 3318,B100000,00000,0800,00000MEALS SERVED 3318,B100000,00000,0900,00000NURS ADMIN HRS OF SVC 3318,B100000,00000,1000,00000PATIENT DAYS 3318,B100000,00000,1100,00000COSTED REQUIS 3318,B100000,00000,1200,00000PATIENT DAYS 3318,B100000,00000,1300,00000PATIENT DAYS 3318,B100000,00000,1301,00000PATIENT DAYS 3318,B100000,00000,1350,00000UNITS OF SERVICE 3318,B100000,00000,1400,00000ASSIGNED TIME 3318,S000000,00100,0200,08/31/2000 3318,S200000,00100,0100,13818 N THUNDERBIRD RD 3318,S200000,00200,0100,SUN CITY 3318,S200000,00200,0200,AZ 3318,S200000,00200,0300,85351 3318,S200000,00300,0100,MARICOPA 3318,S200000,00400,0100,HEARTHSTONE OF SUN CITY 3318,S200000,00400,0200,035128 3318,S200000,00400,0300,05/26/1986 3318,S200000,00400,0500,P 3327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3327,A000000,00300,0000,00300EMPLOYEE BENEFITS 3327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3327,A000000,00700,0000,00700HOUSEKEEPING 3327,A000000,00800,0000,00800DIETARY 3327,A000000,00900,0000,00900NURSING ADMINISTRATION 3327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3327,A000000,01100,0000,01100PHARMACY 3327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3327,A000000,01300,0000,01300SOCIAL SERVICE 3327,A000000,01301,0000,01301ACTIVITIES 3327,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3327,A000000,01600,0000,01600SKILLED NURSING FACILITY 3327,A000000,01800,0000,01800NURSING FACILITY 3327,A000000,01810,0000,01810ICF/MR 3327,A000000,02100,0000,02100RADIOLOGY 3327,A000000,02200,0000,02200LABORATORY 3327,A000000,02300,0000,02300INTRAVENOUS THERAPY 3327,A000000,02500,0000,02500PHYSICAL THERAPY 3327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3327,A000000,02700,0000,02700SPEECH PATHOLOGY 3327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3327,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3327,A000000,03051,0000,03301PEN THERAPY 3327,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3327,A000000,03550,0000,03550FQHC 3327,A000000,05000,0000,05000CORF 3327,A000000,05010,0000,05010CMHC 3327,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3327,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3327,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3327,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3327,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3327,A81000A,00100,0100,Y 3327,A81000B,00100,0300,HOME OFFICE ALLOCATION 3327,A81000B,00200,0300,CENTRAL SUPPLY 3327,A81000B,00300,0300,MEDICAL SUPPLY 3327,A81000B,00400,0300,ADMIN 3327,A81000B,00500,0300,DIETARY 3327,A81000B,00600,0300,DRUGS 3327,A81000B,00700,0300,EQPT RENTAL 3327,A81000B,00800,0300,IV 3327,A81000B,00900,0300,REHAB 3327,A81000B,01000,0300,PT 3327,A81000B,01100,0300,OT 3327,A81000B,01200,0300,ST 3327,A81000C,00100,0100,B 3327,A81000C,00100,0200,HEARTHSTONE OF 3327,A81000C,00100,0400,MPAN 3327,A81000C,00100,0600,NURSING HOMES 3327,A81000C,00200,0100,G 3327,A81000C,00200,0200,MPAN 3327,A81000C,00200,0400,AMERICAN PHARMA 3327,A81000C,00200,0600,PHARMACEUTICALS 3327,A81000C,00300,0100,G 3327,A81000C,00300,0200,MPAN 3327,A81000C,00300,0400,PRISM (ATS ARS 3327,A81000C,00300,0600,THERAPIES 3327,B100000,00000,0100,00000SQUARE FEET 3327,B100000,00000,0200,00000SQUARE FEET 3327,B100000,00000,0300,00000GROSS SALARIES 3327,B100000,00000,0400,00000ACCUM COST 3327,B100000,00000,0500,00000SQUARE FEET 3327,B100000,00000,0600,00000PATIENT DAYS 3327,B100000,00000,0700,00000SQUARE FEET 3327,B100000,00000,0800,00000MEALS SERVED 3327,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3327,B100000,00000,1000,00000PATIENT DAYS 3327,B100000,00000,1100,00000COSTED REQUIS 3327,B100000,00000,1200,00000PATIENT DAYS 3327,B100000,00000,1300,00000PATIENT DAYS 3327,B100000,00000,1301,00000PATIENT DAYS 3327,B100000,00000,1350,00000UNITS OF SERVICE 3327,B100000,00000,1400,00000ASSIGNED TIME 3327,S000000,00100,0200,08/31/2000 3327,S200000,00100,0100,215 S POWER RD 3327,S200000,00200,0100,MESA 3327,S200000,00200,0200,AZ 3327,S200000,00200,0300,85206 3327,S200000,00300,0100,MARICOPA 3327,S200000,00400,0100,HEARTHSTONE OF MESA 3327,S200000,00400,0200,035129 3327,S200000,00400,0300,07/21/1986 3327,S200000,00400,0500,P 3340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3340,A000000,00300,0000,00300EMPLOYEE BENEFITS 3340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3340,A000000,00700,0000,00700HOUSEKEEPING 3340,A000000,00800,0000,00800DIETARY 3340,A000000,00900,0000,00900NURSING ADMINISTRATION 3340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3340,A000000,01100,0000,01100PHARMACY 3340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3340,A000000,01300,0000,01300SOCIAL SERVICE 3340,A000000,01350,0000,01500ACTIVITIES 3340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3340,A000000,01600,0000,01600SKILLED NURSING FACILITY 3340,A000000,01800,0000,01800NURSING FACILITY 3340,A000000,01810,0000,01810ICF/MR 3340,A000000,02300,0000,02300INTRAVENOUS THERAPY 3340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3340,A000000,02500,0000,02500PHYSICAL THERAPY 3340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3340,A000000,02700,0000,02700SPEECH PATHOLOGY 3340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3340,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3340,A000000,03550,0000,03550FQHC 3340,A000000,05000,0000,05000CORF 3340,A000000,05010,0000,05010CMHC 3340,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3340,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3340,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3340,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3340,A81000A,00100,0100,Y 3340,B100000,00000,0100,00000SQUARE FEET 3340,B100000,00000,0200,00000SQUARE FEET 3340,B100000,00000,0300,00000GROSS SALARIES 3340,B100000,00000,0400,00000ACCUM COST 3340,B100000,00000,0500,00000SQUARE FEET 3340,B100000,00000,0600,00000POUNDS OF LAUNDRY 3340,B100000,00000,0700,00000SQUARE FEET 3340,B100000,00000,0800,00000MEALS SERVED 3340,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3340,B100000,00000,1000,00000COSTED REQUISITIO 3340,B100000,00000,1100,00000COSTED REQUISITIO 3340,B100000,00000,1200,00000ADMISSIONS 3340,B100000,00000,1300,00000PATIENT DAYS 3340,B100000,00000,1350,00000PATIENT DAYS 3340,B100000,00000,1400,00000ASSIGNED TIME 3340,S000000,00100,0200,08/14/2000 3340,S200000,00100,0100,807 W. LONGHORN 3340,S200000,00200,0100,PAYSON 3340,S200000,00200,0200,AZ 3340,S200000,00200,0300,85541 3340,S200000,00300,0100,GILA 3340,S200000,00400,0100,MANZANITA MANOR CARE CENTER 3340,S200000,00400,0200,035134 3340,S200000,00400,0300,09/01/1989 3340,S200000,00400,0500,P 3340,S200000,01600,0100,Y 3350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3350,A000000,00300,0000,00300EMPLOYEE BENEFITS 3350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3350,A000000,00700,0000,00700HOUSEKEEPING 3350,A000000,00800,0000,00800DIETARY 3350,A000000,00900,0000,00900NURSING ADMINISTRATION 3350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3350,A000000,01100,0000,01100PHARMACY 3350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3350,A000000,01300,0000,01300SOCIAL SERVICE 3350,A000000,01350,0000,01500ACTIVITIES 3350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3350,A000000,01600,0000,01600SKILLED NURSING FACILITY 3350,A000000,01800,0000,01800NURSING FACILITY 3350,A000000,01810,0000,01810ICF/MR 3350,A000000,02100,0000,02100RADIOLOGY 3350,A000000,02200,0000,02200LABORATORY 3350,A000000,02500,0000,02500PHYSICAL THERAPY 3350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3350,A000000,02700,0000,02700SPEECH PATHOLOGY 3350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3350,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3350,A000000,03550,0000,03550FQHC 3350,A000000,05000,0000,05000CORF 3350,A000000,05010,0000,05010CMHC 3350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3350,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3350,B100000,00000,0100,00000SQUARE FEET 3350,B100000,00000,0200,00000SQUARE FEET 3350,B100000,00000,0300,00000GROSS SALARIES 3350,B100000,00000,0400,00000ACCUM COST 3350,B100000,00000,0500,00000SQUARE FEET 3350,B100000,00000,0600,00000PATIENT DAYS 3350,B100000,00000,0700,00000SQUARE FEET 3350,B100000,00000,0800,00000MEALS SERVED 3350,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3350,B100000,00000,1000,00000COSTED REQUISITIO 3350,B100000,00000,1100,00000COSTED REQUISITIO 3350,B100000,00000,1200,00000ADMITS 3350,B100000,00000,1300,00000ADMITS 3350,B100000,00000,1350,00000PATIENT DAYS 3350,B100000,00000,1400,00000ASSIGNED TIME 3350,S000000,00100,0200,06/23/2000 3350,S200000,00100,0100,11315 W. PEORIA AVE. 3350,S200000,00200,0100,YOUNGTOWN 3350,S200000,00200,0200,AZ 3350,S200000,00200,0300,85362 3350,S200000,00300,0100,MARICOPA 3350,S200000,00400,0100,COOK HEALTH CARE CENTER 3350,S200000,00400,0200,035137 3350,S200000,00400,0300,06/23/1986 3350,S200000,00400,0500,P 3350,S200000,01600,0100,Y 3359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3359,A000000,00300,0000,00300EMPLOYEE BENEFITS 3359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3359,A000000,00700,0000,00700HOUSEKEEPING 3359,A000000,00800,0000,00800DIETARY 3359,A000000,00900,0000,00900NURSING ADMINISTRATION 3359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3359,A000000,01100,0000,01100PHARMACY 3359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3359,A000000,01300,0000,01300SOCIAL SERVICE 3359,A000000,01350,0000,01500ACTIVITIES 3359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3359,A000000,01600,0000,01600SKILLED NURSING FACILITY 3359,A000000,01800,0000,01800NURSING FACILITY 3359,A000000,01810,0000,01810ICF/MR 3359,A000000,02100,0000,02100RADIOLOGY 3359,A000000,02200,0000,02200LABORATORY 3359,A000000,02300,0000,02300INTRAVENOUS THERAPY 3359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3359,A000000,02500,0000,02500PHYSICAL THERAPY 3359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3359,A000000,02700,0000,02700SPEECH PATHOLOGY 3359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3359,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3359,A000000,03200,0000,03200SUPPORT SURFACES 3359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3359,A000000,03550,0000,03550FQHC 3359,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3359,A000000,05000,0000,05000CORF 3359,A000000,05010,0000,05010CMHC 3359,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3359,A81000A,00100,0100,Y 3359,A81000B,00100,0300,HOME OFFICE 3359,A81000B,00300,0300,PHARMACY CONSULTANT 3359,A81000B,00400,0300,SUPPLIES 3359,A81000B,00500,0300,SUPPLIES 3359,A81000B,00600,0300,XRAY SERVICES 3359,A81000B,00700,0300,LAB SERVICES 3359,A81000B,00900,0300,DRUGS 3359,A81000C,00100,0100,B 3359,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3359,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3359,A81000C,00100,0600,HOME OFFICE 3359,A81000C,00200,0100,G 3359,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3359,A81000C,00200,0400,SUNBELT 3359,A81000C,00200,0600,THERAPY MGMNT SERVICES 3359,A81000C,00300,0100,G 3359,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3359,A81000C,00300,0400,QUEST 3359,A81000C,00300,0600,PHARMACY/SUPPLIES 3359,A81000C,00400,0100,G 3359,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3359,A81000C,00400,0400,AMPRO 3359,A81000C,00400,0600,LAB SERVICES 3359,B100000,00000,0100,00000SQUARE FEET 3359,B100000,00000,0200,00000SQUARE FEET 3359,B100000,00000,0300,00000GROSS SALARIES 3359,B100000,00000,0400,00000ACCUM. COST 3359,B100000,00000,0500,00000SQUARE FEET 3359,B100000,00000,0600,00000POUNDS OF LAUNDRY 3359,B100000,00000,0700,00000SQUARE FEET 3359,B100000,00000,0800,00000MEALS SERVED 3359,B100000,00000,0900,00000DIRECT NRSING HRS 3359,B100000,00000,1000,00000COSTED REQUIS. 3359,B100000,00000,1100,00000COSTED REQUIS. 3359,B100000,00000,1200,00000GROSS CHARGES 3359,B100000,00000,1300,00000PATIENT DAYS 3359,B100000,00000,1350,00000PATIENT DAYS 3359,B100000,00000,1400,00000ASSIGNED TIME 3359,S000000,00100,0200,06/07/2000 3359,S200000,00100,0100,2401 E HUNT ST 3359,S200000,00200,0100,SHOW LOW 3359,S200000,00200,0200,AZ 3359,S200000,00300,0100,NAVAJO 3359,S200000,00400,0100,PUEBLO NORTE NURSING CENTER 3359,S200000,00400,0200,035139 3359,S200000,00400,0300,05/01/1992 3359,S200000,00400,0500,P 3359,S200000,01600,0100,Y 3377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3377,A000000,00300,0000,00300EMPLOYEE BENEFITS 3377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3377,A000000,00700,0000,00700HOUSEKEEPING 3377,A000000,00800,0000,00800DIETARY 3377,A000000,00900,0000,00900NURSING ADMINISTRATION 3377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3377,A000000,01100,0000,01100PHARMACY 3377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3377,A000000,01300,0000,01300SOCIAL SERVICE 3377,A000000,01350,0000,01500ACTIVITIES 3377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3377,A000000,01600,0000,01600SKILLED NURSING FACILITY 3377,A000000,01800,0000,01800NURSING FACILITY 3377,A000000,01810,0000,01810ICF/MR 3377,A000000,02100,0000,02100RADIOLOGY 3377,A000000,02200,0000,02200LABORATORY 3377,A000000,02300,0000,02300INTRAVENOUS THERAPY 3377,A000000,02500,0000,02500PHYSICAL THERAPY 3377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3377,A000000,02700,0000,02700SPEECH PATHOLOGY 3377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3377,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3377,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3377,A000000,03550,0000,03550FQHC 3377,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3377,A000000,05000,0000,05000CORF 3377,A000000,05010,0000,05010CMHC 3377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3377,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3377,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3377,A81000A,00100,0100,Y 3377,A81000B,00100,0300,ADMINISTRATIVE HO COST 3377,A81000B,00200,0300,CAPITAL HO COST 3377,A81000C,00100,0100,B 3377,A81000C,00100,0400,AMERICAN RETIREMENT CORP 3377,A81000C,00100,0600,HOME OFFICE 3377,A81000C,00200,0100,B 3377,A81000C,00200,0400,AMERICAN RETIREMENT CORP 3377,A81000C,00200,0600,HOME OFFICE 3377,B100000,00000,0100,00000SQUARE FEET 3377,B100000,00000,0200,00000DOLLAR VALUE 3377,B100000,00000,0300,00000GROSS SALARIES 3377,B100000,00000,0400,00000ACCUM. COST 3377,B100000,00000,0500,00000SQUARE FEET 3377,B100000,00000,0600,00000PATIENT DAY 3377,B100000,00000,0700,00000SQUARE FEET 3377,B100000,00000,0800,00000PATIENT DAY 3377,B100000,00000,0900,00000NURSING SALARIES 3377,B100000,00000,1000,00000PATIENT DAY 3377,B100000,00000,1100,00000COSTED REQUIS 3377,B100000,00000,1200,00000PATIENT DAY 3377,B100000,00000,1300,00000PATIENT DAY 3377,B100000,00000,1350,00000PATIENT DAY 3377,B100000,00000,1400,00000ASSIGNED TIME 3377,S000000,00100,0200,05/31/2000 3377,S200000,00100,0100,13215 NORTH 94TH DRIVE 3377,S200000,00200,0100,PHOENIX 3377,S200000,00200,0200,AZ 3377,S200000,00300,0100,MARICOPA 3377,S200000,00400,0100,PLAZA DEL RIO CARE CENTER 3377,S200000,00400,0200,035144 3377,S200000,00400,0300,06/10/1987 3377,S200000,00400,0500,P 3377,S200000,01600,0100,Y 3377,S200000,04300,0100,Y 3385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3385,A000000,00300,0000,00300EMPLOYEE BENEFITS 3385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3385,A000000,00700,0000,00700HOUSEKEEPING 3385,A000000,00800,0000,00800DIETARY 3385,A000000,00900,0000,00900NURSING ADMINISTRATION 3385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3385,A000000,01100,0000,01100PHARMACY 3385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3385,A000000,01300,0000,01300SOCIAL SERVICE 3385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3385,A000000,01600,0000,01600SKILLED NURSING FACILITY 3385,A000000,01800,0000,01800NURSING FACILITY 3385,A000000,01810,0000,01810ICF/MR 3385,A000000,02100,0000,02100RADIOLOGY 3385,A000000,02200,0000,02200LABORATORY 3385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3385,A000000,02500,0000,02500PHYSICAL THERAPY 3385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3385,A000000,02700,0000,02700SPEECH PATHOLOGY 3385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3385,A000000,03050,0000,03300RENTAL EQUIPMENT 3385,A000000,03550,0000,03550FQHC 3385,A000000,05000,0000,05000CORF 3385,A000000,05010,0000,05010CMHC 3385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3385,A81000A,00100,0100,Y 3385,A81000B,00100,0300,HOME OFFICE COSTS 3385,A81000B,00200,0300,SHAREHOLDER INTEREST 3385,A81000B,00300,0300,FACILITY RENT 3385,A81000B,00400,0300,DEPRECIATION 3385,A81000C,00100,0100,B 3385,A81000C,00100,0200,DEVON GABLES 3385,A81000C,00100,0400,PARTNERS 3385,A81000C,00100,0600,HOME OFFICE 3385,A81000C,00200,0100,B 3385,A81000C,00200,0200,DUBIN/KANTOR 3385,A81000C,00200,0400,SHAREHOLDERS 3385,A81000C,00300,0100,B 3385,A81000C,00300,0200,DEVON GABLES 3385,A81000C,00300,0400,PARTNERS 3385,A81000C,00300,0600,REAL ESTATE 3385,B100000,00000,0100,00000SQUARE FEET 3385,B100000,00000,0200,00000SQUARE FEET 3385,B100000,00000,0300,00000GROSS SALARIES 3385,B100000,00000,0400,00000ACCUM COST 3385,B100000,00000,0500,00000SQUARE FEET 3385,B100000,00000,0600,00000POUNDS OF LAUNDRY 3385,B100000,00000,0700,00000HOURS OF SERVICE 3385,B100000,00000,0800,00000MEALS SERVED 3385,B100000,00000,0900,00000DIRECT NRSG HRS 3385,B100000,00000,1000,00000COSTED REQUIS 3385,B100000,00000,1100,00000COSTED REQUIS 3385,B100000,00000,1200,00000TIME SPENT 3385,B100000,00000,1300,00000TIME SPENT 3385,B100000,00000,1400,00000ASSIGNED TIME 3385,S000000,00100,0200,05/31/2000 3385,S200000,00100,0100,6150 E. GRANT ROAD 3385,S200000,00200,0100,TUCSON 3385,S200000,00200,0200,AZ 3385,S200000,00200,0300,85712 3385,S200000,00300,0100,PIMA 3385,S200000,00400,0100,DEVON GABLES HEALTH CARE CENTER 3385,S200000,00400,0200,035145 3385,S200000,00400,0300,05/01/1993 3385,S200000,00400,0500,P 3385,S200000,00600,0200,035145 3385,S200000,00600,0300,05/01/1993 3385,S200000,00600,0600,P 3385,S200000,01600,0100,Y 3385,S200000,04300,0100,Y 3395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3395,A000000,00300,0000,00300EMPLOYEE BENEFITS 3395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3395,A000000,00700,0000,00700HOUSEKEEPING 3395,A000000,00800,0000,00800DIETARY 3395,A000000,00900,0000,00900NURSING ADMINISTRATION 3395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3395,A000000,01100,0000,01100PHARMACY 3395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3395,A000000,01300,0000,01300SOCIAL SERVICE 3395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3395,A000000,01600,0000,01600SKILLED NURSING FACILITY 3395,A000000,01800,0000,01800NURSING FACILITY 3395,A000000,01810,0000,01810ICF/MR 3395,A000000,02100,0000,02100RADIOLOGY 3395,A000000,02200,0000,02200LABORATORY 3395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3395,A000000,02500,0000,02500PHYSICAL THERAPY 3395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3395,A000000,02700,0000,02700SPEECH PATHOLOGY 3395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3395,A000000,03550,0000,03550FQHC 3395,A000000,05000,0000,05000CORF 3395,A000000,05010,0000,05010CMHC 3395,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3395,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3395,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3395,B100000,00000,0100,00040SQUARE FEET 3395,B100000,00000,0200,00040SQUARE FEET 3395,B100000,00000,0300,00040GROSS SALARIES 3395,B100000,00000,0400,00040ACCUM COST 3395,B100000,00000,0500,00040SQUARE FEET 3395,B100000,00000,0600,00040POUNDS OF LAUNDRY 3395,B100000,00000,0700,00040HOURS OF SERVICE 3395,B100000,00000,0800,00040MEALS SERVED 3395,B100000,00000,0900,00040DIRECT NRSG HRS 3395,B100000,00000,1000,00040COSTED REQUIS 3395,B100000,00000,1100,00040COSTED REQUIS 3395,B100000,00000,1200,00040TIME SPENT 3395,B100000,00000,1300,00040TIME SPENT 3395,B100000,00000,1400,00040ASSIGNED TIME 3395,S000000,00100,0200,05/31/2000 3395,S200000,00100,0100,4310 E GRANT 3395,S200000,00200,0100,TUCSON 3395,S200000,00200,0200,AZ 3395,S200000,00200,0300,85712 3395,S200000,00300,0100,PIMA 3395,S200000,00400,0100,VILLA MARIA GERIATRIC CENTER 3395,S200000,00400,0200,035147 3395,S200000,00400,0300,01/01/1988 3395,S200000,00400,0500,P 3395,S200000,00600,0200,035147 3395,S200000,00600,0300,01/01/1988 3395,S200000,01600,0100,Y 3406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3406,A000000,00300,0000,00300EMPLOYEE BENEFITS 3406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3406,A000000,00700,0000,00700HOUSEKEEPING 3406,A000000,00800,0000,00800DIETARY 3406,A000000,00900,0000,00900NURSING ADMINISTRATION 3406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3406,A000000,01100,0000,01100PHARMACY 3406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3406,A000000,01300,0000,01300SOCIAL SERVICE 3406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3406,A000000,01600,0000,01600SKILLED NURSING FACILITY 3406,A000000,01810,0000,01810ICF/MR 3406,A000000,02100,0000,02100RADIOLOGY 3406,A000000,02200,0000,02200LABORATORY 3406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3406,A000000,02500,0000,02500PHYSICAL THERAPY 3406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3406,A000000,02700,0000,02700SPEECH PATHOLOGY 3406,A000000,02800,0000,02800ELECTROCARDIOLOGY 3406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3406,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 3406,A000000,03200,0000,03200SUPPORT SURFACES 3406,A000000,03550,0000,03550FQHC 3406,A000000,05000,0000,05000CORF 3406,A000000,05010,0000,05010CMHC 3406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3406,A81000A,00100,0100,Y 3406,A81000B,00100,0300,INTEREST EXPENSE 3406,A81000B,00200,0300,INTEREST EXPENSE 3406,A81000B,00300,0300,WMRMC - CARDIOPULMON 3406,A81000C,00100,0100,A 3406,A81000C,00100,0200,WHITE MT. RMC S 3406,A81000C,00100,0400,WHITE MOUNTAIN 3406,A81000C,00100,0600,ACUTE CARE HOSP 3406,B100000,00000,0100,00040SQUARE FEET 3406,B100000,00000,0200,00040SQUARE FEET 3406,B100000,00000,0300,00040GROSS SALARIES 3406,B100000,00000,0400,00040ACCUM COST 3406,B100000,00000,0500,00040SQUARE FEET 3406,B100000,00000,0600,00040POUNDS OF LAUNDRY 3406,B100000,00000,0700,00040SQUARE FEET 3406,B100000,00000,0800,00040MEALS SERVED 3406,B100000,00000,0900,00040DIRECT NRSG HRS 3406,B100000,00000,1000,00040COSTED REQUIS 3406,B100000,00000,1100,00040COSTED REQUIS 3406,B100000,00000,1200,00040TIME SPENT 3406,B100000,00000,1300,00040TIME SPENT 3406,B100000,00000,1400,00040ASSIGNED TIME 3406,S000000,00100,0200,07/21/2000 3406,S200000,00100,0100,118 S. MOUNTAIN AVENUE 3406,S200000,00100,0300,880 3406,S200000,00200,0100,SPRINGERVILLE 3406,S200000,00200,0200,AZ 3406,S200000,00300,0100,APACHE 3406,S200000,00400,0100,WHITE MOUNTAIN RMC SNF 3406,S200000,00400,0200,035148 3406,S200000,00400,0300,12/14/1987 3406,S200000,00400,0500,P 3406,S200000,01600,0100,Y 3406,S200000,01900,0100,501(C)3 3406,S200000,02200,0100,Y 3422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3422,A000000,00300,0000,00300EMPLOYEE BENEFITS 3422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3422,A000000,00700,0000,00700HOUSEKEEPING 3422,A000000,00800,0000,00800DIETARY 3422,A000000,00900,0000,00900NURSING ADMINISTRATION 3422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3422,A000000,01100,0000,01100PHARMACY 3422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3422,A000000,01300,0000,01300SOCIAL SERVICE 3422,A000000,01350,0000,01500OTHER GENERAL SERVICES 3422,A000000,01351,0000,01501RECREATION 3422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3422,A000000,01600,0000,01600SKILLED NURSING FACILITY 3422,A000000,01800,0000,01800NURSING FACILITY 3422,A000000,01810,0000,01810ICF/MR 3422,A000000,01900,0000,01900OTHER LONG TERM CARE 3422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3422,A000000,02500,0000,02500PHYSICAL THERAPY 3422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3422,A000000,02700,0000,02700SPEECH PATHOLOGY 3422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3422,A000000,03550,0000,03550FQHC 3422,A000000,05000,0000,05000CORF 3422,A000000,05010,0000,05010CMHC 3422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3422,B100000,00000,0100,00000SQUARE FEET 3422,B100000,00000,0200,00000SQUARE FEET 3422,B100000,00000,0300,00000GROSS SALARIES 3422,B100000,00000,0400,00000ACCUM COST 3422,B100000,00000,0500,00000SQUARE FEET 3422,B100000,00000,0600,00000DAYS OF SERVICE 3422,B100000,00000,0700,00000SQUARE FOOTAGE 3422,B100000,00000,0800,00000DAYS OF SERVICE 3422,B100000,00000,0900,00000NURSING HOURS 3422,B100000,00000,1000,00000DAYS OF SERVICE 3422,B100000,00000,1100,00000COSTED REQUIS 3422,B100000,00000,1200,00000DAYS OF SERVICE 3422,B100000,00000,1300,00000DAYS OF SERVICE 3422,B100000,00000,1350,00000 3422,B100000,00000,1351,00000DAYS OF SERVICE 3422,B100000,00000,1400,00000ASSIGNED TIME 3422,S000000,00100,0200,06/02/2000 3422,S200000,00100,0100,700 S. LA POSADA CIRCLE 3422,S200000,00200,0100,GREEN VALLEY 3422,S200000,00200,0200,AZ 3422,S200000,00200,0300,85614 3422,S200000,00300,0100,PIMA 3422,S200000,00400,0100,LA POSADA AT PARK CENTRE INC. 3422,S200000,00400,0200,035153 3422,S200000,00400,0300,01/29/1988 3422,S200000,00400,0500,P 3422,S200000,01600,0100,Y 3434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3434,A000000,00300,0000,00300EMPLOYEE BENEFITS 3434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3434,A000000,00700,0000,00700HOUSEKEEPING 3434,A000000,00800,0000,00800DIETARY 3434,A000000,00900,0000,00900NURSING ADMINISTRATION 3434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3434,A000000,01100,0000,01100PHARMACY 3434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3434,A000000,01300,0000,01300SOCIAL SERVICE 3434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3434,A000000,01600,0000,01600SKILLED NURSING FACILITY 3434,A000000,01800,0000,01800NURSING FACILITY 3434,A000000,01810,0000,01810ICF/MR 3434,A000000,02100,0000,02100RADIOLOGY 3434,A000000,02200,0000,02200LABORATORY 3434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3434,A000000,02500,0000,02500PHYSICAL THERAPY 3434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3434,A000000,02700,0000,02700SPEECH PATHOLOGY 3434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3434,A000000,03001,0000,03010DME 3434,A000000,03400,0000,03400CLINIC 3434,A000000,03550,0000,03550FQHC 3434,A000000,05000,0000,05000CORF 3434,A000000,05010,0000,05010CMHC 3434,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3434,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3434,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3434,A000000,05300,0000,05300INTEREST EXPENSE 3434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3434,A81000A,00100,0100,Y 3434,A81000B,00100,0300,MANAGEMENT FEE 3434,B100000,00000,0100,00000SQUARE FEET 3434,B100000,00000,0200,00000SQUARE FEET 3434,B100000,00000,0300,00000GROSS SALARIES 3434,B100000,00000,0400,00000ACCUM COST 3434,B100000,00000,0500,00000SQUARE FEET 3434,B100000,00000,0600,00000POUNDS OF LAUNDRY 3434,B100000,00000,0700,00000HOURS OF SERVICE 3434,B100000,00000,0800,00000MEALS SERVED 3434,B100000,00000,0900,00000DIRECT NRSG HRS 3434,B100000,00000,1000,00000COSTED REQUIS 3434,B100000,00000,1100,00000COSTED REQUIS 3434,B100000,00000,1200,00000TIME SPENT 3434,B100000,00000,1300,00000TIME SPENT 3434,B100000,00000,1400,00000ASSIGNED TIME 3434,S000000,00100,0200,05/31/2000 3434,S200000,00100,0100,8641 NORTH 67TH AVENUE 3434,S200000,00200,0100,GLENDALE 3434,S200000,00200,0200,AZ 3434,S200000,00200,0300,85302 3434,S200000,00300,0100,MARICOPA 3434,S200000,00400,0100,GLENCROFT CARE CENTER 3434,S200000,00400,0200,035154 3434,S200000,00400,0300,04/05/1988 3434,S200000,00400,0500,P 3434,S200000,01600,0100,Y 3434,S200000,03300,0100,Y 3444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3444,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 3444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3444,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 3444,A000000,00300,0000,00300EMPLOYEE BENEFITS 3444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3444,A000000,00700,0000,00700HOUSEKEEPING 3444,A000000,00800,0000,00800DIETARY 3444,A000000,00801,0000,00801CAFETERIA 3444,A000000,00900,0000,00900NURSING ADMINISTRATION 3444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3444,A000000,01100,0000,01100PHARMACY 3444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3444,A000000,01300,0000,01300SOCIAL SERVICE 3444,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3444,A000000,01600,0000,01600SKILLED NURSING FACILITY 3444,A000000,01810,0000,01810ICF/MR 3444,A000000,02100,0000,02100RADIOLOGY 3444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3444,A000000,02500,0000,02500PHYSICAL THERAPY 3444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3444,A000000,02700,0000,02700SPEECH PATHOLOGY 3444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3444,A000000,03050,0000,03300OTHER ANCILLARY 3444,A000000,03051,0000,03301OTHER ANCILLARY II 3444,A000000,03052,0000,03302OTHER ANCILLARY III 3444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 3444,A000000,03550,0000,03550FQHC 3444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3444,A000000,05000,0000,05000CORF I 3444,A000000,05010,0000,05010CMHC I 3444,A000000,05020,0000,05020OPT I 3444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 3444,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 3444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3444,A81000A,00100,0100,Y 3444,A81000B,00100,0300,MANAGEMENT FEES 3444,A81000C,00100,0100,A 3444,A81000C,00100,0200,PATRICIA RHODES 3444,A81000C,00100,0400,SOUTHWOOD MGMT 3444,A81000C,00100,0600,MANAGEMENT 3444,A81000C,00200,0100,A 3444,A81000C,00200,0200,RUSSELL RHODES 3444,A81000C,00200,0400,SOUTHWOOD MGMT 3444,A81000C,00200,0600,MANAGEMENT 3444,B100000,00000,0100,00000(SQUARE FEET) 3444,B100000,00000,0101,00000(SQUARE FEET) 3444,B100000,00000,0200,00000(SQUARE FEET) 3444,B100000,00000,0201,00000(SQUARE FEET) 3444,B100000,00000,0300,00000(GROSS SALARIES) 3444,B100000,00000,0400,00000(ACCUM. COST) 3444,B100000,00000,0500,00000(SQUARE FEET) 3444,B100000,00000,0600,00000(PATIENT DAYS) 3444,B100000,00000,0700,00000(SQUARE FEET) 3444,B100000,00000,0800,00000(MEALS SERVED) 3444,B100000,00000,0801,00000(MEALS SERVED) 3444,B100000,00000,0900,00000(PATIENT DAYS) 3444,B100000,00000,1000,00000(PATIENT DAYS) 3444,B100000,00000,1100,00000(PATIENT DAYS) 3444,B100000,00000,1200,00000(PATIENT DAYS) 3444,B100000,00000,1300,00000(PATIENT DAYS) 3444,B100000,00000,1350,00000 3444,B100000,00000,1400,00000(ASSIGNED TIME) 3444,S000000,00100,0200,09/22/2000 3444,S200000,00100,0100,1856 EAST THOMAS ROAD 3444,S200000,00200,0100,PHOENIX 3444,S200000,00200,0200,AZ 3444,S200000,00200,0300,85016 3444,S200000,00300,0100,MARICOPA 3444,S200000,00400,0100,PHOENIX SOUTHWOOD INC 3444,S200000,00400,0200,035155 3444,S200000,00400,0300,05/01/1997 3444,S200000,00400,0500,P 3444,S200000,01500,0100,Y 3444,S200000,03100,0100,Y 3452,S000000,00100,0200,05/31/2000 3481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3481,A000000,00300,0000,00300EMPLOYEE BENEFITS 3481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3481,A000000,00700,0000,00700HOUSEKEEPING 3481,A000000,00800,0000,00800DIETARY 3481,A000000,00900,0000,00900NURSING ADMINISTRATION 3481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3481,A000000,01100,0000,01100PHARMACY 3481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3481,A000000,01300,0000,01300SOCIAL SERVICE 3481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3481,A000000,01600,0000,01600SKILLED NURSING FACILITY 3481,A000000,01800,0000,01800NURSING FACILITY 3481,A000000,01810,0000,01810ICF/MR 3481,A000000,02100,0000,02100RADIOLOGY 3481,A000000,02200,0000,02200LABORATORY 3481,A000000,02500,0000,02500PHYSICAL THERAPY 3481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3481,A000000,02700,0000,02700SPEECH PATHOLOGY 3481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3481,A000000,03550,0000,03550FQHC 3481,A000000,05000,0000,05000CORF 3481,A000000,05010,0000,05010CMHC 3481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3481,B100000,00000,0100,00000SQUARE FEET 3481,B100000,00000,0200,00000SQUARE FEET 3481,B100000,00000,0300,00000GROSS SALARIES 3481,B100000,00000,0400,00000ACCUM COST 3481,B100000,00000,0500,00000SQUARE FEET 3481,B100000,00000,0600,00000POUNDS OF LAUNDRY 3481,B100000,00000,0700,00000HOURS OF SERVICE 3481,B100000,00000,0800,00000MEALS SERVED 3481,B100000,00000,0900,00000DIRECT NRSG HRS 3481,B100000,00000,1000,00000COSTED REQUIS 3481,B100000,00000,1100,00000COSTED REQUIS 3481,B100000,00000,1200,00000TIME SPENT 3481,B100000,00000,1300,00000TIME SPENT 3481,B100000,00000,1400,00000ASSIGNED TIME 3481,S000000,00100,0200,05/26/2000 3481,S200000,00100,0100,60 SOUTH 58TH STREET 3481,S200000,00200,0100,MESA 3481,S200000,00200,0200,AZ 3481,S200000,00200,0300,85206 3481,S200000,00300,0100,MARICOPA 3481,S200000,00400,0100,CHULA VISTA CARE CENTER 3481,S200000,00400,0200,035164 3481,S200000,00400,0300,08/04/1998 3481,S200000,00400,0500,P 3481,S200000,00600,0200,035164 3481,S200000,00600,0300,08/04/1988 3481,S200000,00600,0600,P 3481,S200000,01600,0100,Y 3481,S200000,04300,0100,Y 3481,S200000,04900,0100,Y 3493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3493,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 3493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3493,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 3493,A000000,00300,0000,00300EMPLOYEE BENEFITS 3493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3493,A000000,00700,0000,00700HOUSEKEEPING 3493,A000000,00800,0000,00800DIETARY 3493,A000000,00801,0000,00801CAFETERIA 3493,A000000,00900,0000,00900NURSING ADMINISTRATION 3493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3493,A000000,01100,0000,01100PHARMACY 3493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3493,A000000,01300,0000,01300SOCIAL SERVICE 3493,A000000,01350,0000,01500ACTIVITIES 3493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3493,A000000,01600,0000,01600SKILLED NURSING FACILITY 3493,A000000,01800,0000,01800NURSING FACILITY 3493,A000000,01810,0000,01810ICF/MR 3493,A000000,02200,0000,02200LABORATORY 3493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3493,A000000,02500,0000,02500PHYSICAL THERAPY 3493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3493,A000000,02700,0000,02700SPEECH PATHOLOGY 3493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3493,A000000,03050,0000,03300OTHER ANCILLARY 3493,A000000,03051,0000,03301OTHER ANCILLARY II 3493,A000000,03052,0000,03302OTHER ANCILLARY III 3493,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 3493,A000000,03550,0000,03550FQHC 3493,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3493,A000000,05000,0000,05000CORF I 3493,A000000,05010,0000,05010CMHC I 3493,A000000,05020,0000,05020OPT I 3493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3493,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 3493,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 3493,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3493,A81000A,00100,0100,Y 3493,A81000B,00100,0300,MGMT FEE BASED REV 3493,A81000B,00200,0300,MGMT FEE BASED NOI 3493,A81000B,00300,0300,ACCOUNTING OVHD-CA 3493,A81000C,00100,0100,A 3493,A81000C,00100,0200,C.E. PATTERSON 3493,A81000C,00100,0400,PIONEER HEALTH 3493,A81000C,00100,0600,MANAGEMENT CO 3493,B100000,00000,0100,00000(SQUARE FEET) 3493,B100000,00000,0101,00000(SQUARE FEET) 3493,B100000,00000,0200,00000(SQUARE FEET) 3493,B100000,00000,0201,00000(SQUARE FEET) 3493,B100000,00000,0300,00000(GROSS SALARIES) 3493,B100000,00000,0400,00000(ACCUM. COST) 3493,B100000,00000,0500,00000(SQUARE FEET) 3493,B100000,00000,0600,00000(PATIENT DAYS) 3493,B100000,00000,0700,00000(SQUARE FEET) 3493,B100000,00000,0800,00000(MEALS SERVED) 3493,B100000,00000,0801,00000(MEALS SERVED) 3493,B100000,00000,0900,00000(NURSING SALARIES) 3493,B100000,00000,1000,00000(PATIENT DAYS) 3493,B100000,00000,1100,00000(PATIENT DAYS) 3493,B100000,00000,1200,00000(GROSS CHARGES) 3493,B100000,00000,1300,00000(PATIENT DAYS) 3493,B100000,00000,1350,00000(PATIENT DAYS) 3493,B100000,00000,1400,00000(ASSIGNED TIME) 3493,E10A180,00501,0300,06/01/2000 3493,E10A180,00550,0100,06/01/2000 3493,S000000,00100,0200,05/31/2000 3493,S200000,00100,0100,5910 W NORTHERN AVE. 3493,S200000,00200,0100,GLENDALE 3493,S200000,00200,0200,AZ 3493,S200000,00200,0300,85302 3493,S200000,00300,0100,MARICOPA 3493,S200000,00400,0100,HEATHER GLEN CARE CENTER 3493,S200000,00400,0200,035168 3493,S200000,00400,0300,08/15/1988 3493,S200000,00400,0500,P 3493,S200000,01600,0100,Y 3493,S200000,02800,0100,Y 3502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3502,A000000,00300,0000,00300EMPLOYEE BENEFITS 3502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3502,A000000,00700,0000,00700HOUSEKEEPING 3502,A000000,00800,0000,00800DIETARY 3502,A000000,00900,0000,00900NURSING ADMINISTRATION 3502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3502,A000000,01100,0000,01100PHARMACY 3502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3502,A000000,01300,0000,01300SOCIAL SERVICE 3502,A000000,01350,0000,01500RECREATION 3502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3502,A000000,01600,0000,01600SKILLED NURSING FACILITY 3502,A000000,01800,0000,01800NURSING FACILITY 3502,A000000,01810,0000,01810ICF/MR 3502,A000000,02500,0000,02500PHYSICAL THERAPY 3502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3502,A000000,02700,0000,02700SPEECH PATHOLOGY 3502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3502,A000000,03550,0000,03550FQHC 3502,A000000,05000,0000,05000CORF 3502,A000000,05010,0000,05010CMHC 3502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3502,B100000,00000,0100,00040SQUARE FEET 3502,B100000,00000,0200,00040SQUARE FEET 3502,B100000,00000,0300,00040GROSS SALARIES 3502,B100000,00000,0400,00040ACCUM COST 3502,B100000,00000,0500,00040SQUARE FEET 3502,B100000,00000,0600,00040POUNDS OF LAUNDRY 3502,B100000,00000,0700,00040HOURS OF SERVICE 3502,B100000,00000,0800,00040MEALS SERVED 3502,B100000,00000,0900,00040DIRECT NRSG HRS 3502,B100000,00000,1000,00040COSTED REQUIS 3502,B100000,00000,1100,00040COSTED REQUIS 3502,B100000,00000,1200,00040TIME SPENT 3502,B100000,00000,1300,00040TIME SPENT 3502,B100000,00000,1350,00040PATIENT DAYS 3502,B100000,00000,1400,00040ASSIGNED TIME 3502,S000000,00100,0200,06/27/2000 3502,S200000,00100,0100,1081 KATHLEEN AVENUE 3502,S200000,00200,0100,KINGMAN 3502,S200000,00200,0200,AZ 3502,S200000,00200,0300,84601 3502,S200000,00300,0100,MOHAVE 3502,S200000,00400,0100,KINGMAN HEALTH CARE CENTER 3502,S200000,00400,0200,035169 3502,S200000,00400,0300,06/01/1992 3502,S200000,00400,0500,P 3502,S200000,00600,0200,035169 3502,S200000,00600,0300,06/01/1992 3502,S200000,00600,0600,P 3502,S200000,01600,0100,Y 3510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3510,A000000,00300,0000,00300EMPLOYEE BENEFITS 3510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3510,A000000,00700,0000,00700HOUSEKEEPING 3510,A000000,00800,0000,00800DIETARY 3510,A000000,00900,0000,00900NURSING ADMINISTRATION 3510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3510,A000000,01100,0000,01100PHARMACY 3510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3510,A000000,01300,0000,01300SOCIAL SERVICE 3510,A000000,01301,0000,01301ACTIVITIES 3510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3510,A000000,01600,0000,01600SKILLED NURSING FACILITY 3510,A000000,01810,0000,01810ICF/MR 3510,A000000,01900,0000,01900OTHER LONG TERM CARE 3510,A000000,02100,0000,02100RADIOLOGY 3510,A000000,02200,0000,02200LABORATORY 3510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3510,A000000,02500,0000,02500PHYSICAL THERAPY 3510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3510,A000000,02700,0000,02700SPEECH PATHOLOGY 3510,A000000,02800,0000,02800ELECTROCARDIOLOGY 3510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3510,A000000,03400,0000,03400CLINIC 3510,A000000,03550,0000,03550FQHC 3510,A000000,05000,0000,05000CORF 3510,A000000,05010,0000,05010CMHC 3510,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3510,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3510,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3510,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3510,A81000A,00100,0100,Y 3510,A81000B,00100,0300,INTEREST EXPENSE 3510,A81000B,00200,0300,HUMAN RESOURCES H.O. 3510,A81000B,00300,0300,ADMIN & GENERAL H.O. 3510,A81000B,00400,0300,MAINT & REPAIRS H.O. 3510,A81000B,00700,0300,ANCILLARY SERVICES 3510,A81000B,00800,0300,ANCILLARY SERVICES 3510,A81000B,00900,0300,ANCILLARY SERVICES 3510,A81000B,01000,0300,ANCILLARY SERVICES 3510,A81000B,01300,0300,ADMIN/PFS 3510,A81000B,01400,0300,DIETARY 3510,A81000C,00100,0100,B 3510,A81000C,00100,0400,SAMARITAN HEALT 3510,A81000C,00100,0600,HEALTHCARE 3510,B100000,00000,0100,00000SQUARE FEET 3510,B100000,00000,0200,00000SQUARE FEET 3510,B100000,00000,0300,00000GROSS SALARIES 3510,B100000,00000,0400,00000ACCUM COST 3510,B100000,00000,0500,00000SQUARE FEET 3510,B100000,00000,0600,00000PATIENT DAYS 3510,B100000,00000,0700,00000SQUARE FEET 3510,B100000,00000,0800,00000PATIENT DAYS 3510,B100000,00000,0900,00000DIRECT NRSG HRS 3510,B100000,00000,1000,00000COSTED REQUIS 3510,B100000,00000,1100,00000COSTED REQUIS 3510,B100000,00000,1200,00000PATIENT DAYS 3510,B100000,00000,1300,00000PATIENT DAYS 3510,B100000,00000,1301,00000 3510,B100000,00000,1400,00000ASSIGNED TIME 3510,S000000,00100,0200,01/28/2000 3510,S200000,00100,0100,901 EAST WILLETA 3510,S200000,00200,0100,PHOENIX 3510,S200000,00200,0200,035170 3510,S200000,00200,0300,85006 3510,S200000,00300,0100,MARICOPA 3510,S200000,00400,0100,GOOD SAMARITAN CARE CENTER 3510,S200000,00400,0200,035170 3510,S200000,00400,0300,11/03/1988 3510,S200000,00400,0500,P 3510,S200000,01600,0100,Y 3510,S200000,01900,0100,HEALTH SYSTEM CHAIN 3510,S200000,04300,0100,Y 3520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3520,A000000,00300,0000,00300EMPLOYEE BENEFITS 3520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3520,A000000,00700,0000,00700HOUSEKEEPING 3520,A000000,00800,0000,00800DIETARY 3520,A000000,00900,0000,00900NURSING ADMINISTRATION 3520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3520,A000000,01100,0000,01100PHARMACY 3520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3520,A000000,01300,0000,01300SOCIAL SERVICE 3520,A000000,01350,0000,01500ACTIVITIES 3520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3520,A000000,01600,0000,01600SKILLED NURSING FACILITY 3520,A000000,01800,0000,01800NURSING FACILITY 3520,A000000,01810,0000,01810ICF/MR 3520,A000000,02100,0000,02100RADIOLOGY 3520,A000000,02200,0000,02200LABORATORY 3520,A000000,02300,0000,02300INTRAVENOUS THERAPY 3520,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3520,A000000,02500,0000,02500PHYSICAL THERAPY 3520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3520,A000000,02700,0000,02700SPEECH PATHOLOGY 3520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3520,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3520,A000000,03200,0000,03200SUPPORT SURFACES 3520,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3520,A000000,03550,0000,03550FQHC 3520,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3520,A000000,05000,0000,05000CORF 3520,A000000,05010,0000,05010CMHC 3520,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3520,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3520,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3520,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3520,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3520,A81000A,00100,0100,Y 3520,A81000B,00100,0300,HOME OFFICE 3520,A81000B,00300,0300,PHARMACY CONSULTANT 3520,A81000B,00400,0300,SUPPLIES 3520,A81000B,00500,0300,SUPPLIES 3520,A81000B,00600,0300,XRAY SERVICES 3520,A81000B,00700,0300,LAB SERVICES 3520,A81000B,00900,0300,DRUGS 3520,A81000C,00100,0100,B 3520,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3520,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3520,A81000C,00100,0600,HOME OFFICE 3520,A81000C,00200,0100,G 3520,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3520,A81000C,00200,0400,SUNBELT 3520,A81000C,00200,0600,THERAPY MGMNT SERVICES 3520,A81000C,00300,0100,G 3520,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3520,A81000C,00300,0400,QUEST 3520,A81000C,00300,0600,PHARMACY/SUPPLIES 3520,A81000C,00400,0100,G 3520,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3520,A81000C,00400,0400,AMPRO 3520,A81000C,00400,0600,LAB SERVICES 3520,B100000,00000,0100,00000SQUARE FEET 3520,B100000,00000,0200,00000SQUARE FEET 3520,B100000,00000,0300,00000GROSS SALARIES 3520,B100000,00000,0400,00000ACCUM. COST 3520,B100000,00000,0500,00000SQUARE FEET 3520,B100000,00000,0600,00000POUNDS OF LAUNDRY 3520,B100000,00000,0700,00000SQUARE FEET 3520,B100000,00000,0800,00000MEALS SERVED 3520,B100000,00000,0900,00000DIRECT NRSING HRS 3520,B100000,00000,1000,00000COSTED REQUIS. 3520,B100000,00000,1100,00000COSTED REQUIS. 3520,B100000,00000,1200,00000GROSS CHARGES 3520,B100000,00000,1300,00000PATIENT DAYS 3520,B100000,00000,1350,00000PATIENT DAYS 3520,B100000,00000,1400,00000ASSIGNED TIME 3520,S000000,00100,0200,06/07/2000 3520,S200000,00100,0100,1933 PEPPER TREE DRIVE 3520,S200000,00200,0100,SAFFORD 3520,S200000,00200,0200,AZ 3520,S200000,00300,0100,GRAHAM 3520,S200000,00400,0100,SAFFORD CARE CENTER 3520,S200000,00400,0200,035172 3520,S200000,00400,0300,08/01/1995 3520,S200000,00400,0500,P 3520,S200000,01600,0100,Y 3542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3542,A000000,00300,0000,00300EMPLOYEE BENEFITS 3542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3542,A000000,00700,0000,00700HOUSEKEEPING 3542,A000000,00800,0000,00800DIETARY 3542,A000000,00900,0000,00900NURSING ADMINISTRATION 3542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3542,A000000,01100,0000,01100PHARMACY 3542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3542,A000000,01300,0000,01300SOCIAL SERVICE 3542,A000000,01350,0000,01500ACTIVITIES 3542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3542,A000000,01600,0000,01600SKILLED NURSING FACILITY 3542,A000000,01800,0000,01800NURSING FACILITY 3542,A000000,01810,0000,01810ICF/MR 3542,A000000,02100,0000,02100RADIOLOGY 3542,A000000,02200,0000,02200LABORATORY 3542,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3542,A000000,02500,0000,02500PHYSICAL THERAPY 3542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3542,A000000,02700,0000,02700SPEECH PATHOLOGY 3542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3542,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3542,A000000,03550,0000,03550FQHC 3542,A000000,05000,0000,05000CORF 3542,A000000,05010,0000,05010CMHC 3542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3542,A000000,05300,0000,05300INTEREST EXPENSE 3542,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3542,A000000,06150,0000,06300RETIREMENT CENTER 3542,A000000,06151,0000,06301HOUSING/NON-ALLOW 3542,B100000,00000,0100,00001SQUARE FEET 3542,B100000,00000,0200,00001DOLLAR VALUE 3542,B100000,00000,0300,00001GROSS SALARIES 3542,B100000,00000,0400,00001ACCUM. COST 3542,B100000,00000,0500,00001SQUARE FEET 3542,B100000,00000,0600,00001PATIENT DAYS 3542,B100000,00000,0700,00001HOURS OF SERVICE 3542,B100000,00000,0800,00001MEALS SERVED 3542,B100000,00000,0900,00001DIRECT NRSING HRS 3542,B100000,00000,1000,00001PATIENT DAYS 3542,B100000,00000,1100,00001PATIENT DAYS 3542,B100000,00000,1200,00001TIME SPENT 3542,B100000,00000,1300,00001PATIENT DAYS 3542,B100000,00000,1350,00001TIME SPENT 3542,B100000,00000,1400,00001ASSIGNED TIME 3542,E10A180,00501,0100,03/16/2000 3542,S000000,00100,0200,02/26/2000 3542,S200000,00100,0100,1616 W. GLENDALE AVE. 3542,S200000,00200,0100,PHOENIX 3542,S200000,00200,0200,AZ 3542,S200000,00300,0100,MARICOPA 3542,S200000,00400,0100,BEATITUDES CAMPUS OF CARE 3542,S200000,00400,0200,035176 3542,S200000,00400,0300,10/28/1988 3542,S200000,00400,0500,P 3542,S200000,01600,0100,Y 3542,S200000,02800,0100,Y 3553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3553,A000000,00300,0000,00300EMPLOYEE BENEFITS 3553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3553,A000000,00700,0000,00700HOUSEKEEPING 3553,A000000,00800,0000,00800DIETARY 3553,A000000,00900,0000,00900NURSING ADMINISTRATION 3553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3553,A000000,01100,0000,01100PHARMACY 3553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3553,A000000,01300,0000,01300SOCIAL SERVICE 3553,A000000,01350,0000,01500ACTIVITIES 3553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3553,A000000,01600,0000,01600SKILLED NURSING FACILITY 3553,A000000,01800,0000,01800NURSING FACILITY 3553,A000000,01810,0000,01810ICF/MR 3553,A000000,02100,0000,02100RADIOLOGY 3553,A000000,02200,0000,02200LABORATORY 3553,A000000,02300,0000,02300INTRAVENOUS THERAPY 3553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3553,A000000,02500,0000,02500PHYSICAL THERAPY 3553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3553,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3553,A000000,03200,0000,03200SUPPORT SURFACES 3553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3553,A000000,03550,0000,03550FQHC 3553,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3553,A000000,05000,0000,05000CORF 3553,A000000,05010,0000,05010CMHC 3553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3553,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3553,A81000A,00100,0100,Y 3553,A81000B,00100,0300,HOME OFFICE 3553,A81000B,00300,0300,SUPPLIES 3553,A81000B,00400,0300,SUPPLIES 3553,A81000B,00500,0300,SUPPLIES 3553,A81000B,00600,0300,SUPPLIES 3553,A81000B,00700,0300,SUPPLIES 3553,A81000B,00800,0300,SUPPLIES 3553,A81000B,00900,0300,DRUGS 3553,A81000C,00100,0100,B 3553,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3553,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3553,A81000C,00100,0600,HOME OFFICE 3553,A81000C,00200,0100,G 3553,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3553,A81000C,00200,0400,SUNBELT 3553,A81000C,00200,0600,THERAPY MGMNT SERVICES 3553,A81000C,00300,0100,G 3553,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3553,A81000C,00300,0400,QUEST 3553,A81000C,00300,0600,PHARMACY/SUPPLIES 3553,A81000C,00400,0100,G 3553,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3553,A81000C,00400,0400,AMPRO 3553,A81000C,00400,0600,LAB SERVICES 3553,B100000,00000,0100,00000SQUARE FEET 3553,B100000,00000,0200,00000SQUARE FEET 3553,B100000,00000,0300,00000GROSS SALARIES 3553,B100000,00000,0400,00000ACCUM. COST 3553,B100000,00000,0500,00000SQUARE FEET 3553,B100000,00000,0600,00000PATIENT DAYS 3553,B100000,00000,0700,00000SQUARE FEET 3553,B100000,00000,0800,00000MEALS SERVED 3553,B100000,00000,0900,00000DIRECT NRSING HRS 3553,B100000,00000,1000,00000COSTED REQUIS. 3553,B100000,00000,1100,00000COSTED REQUIS. 3553,B100000,00000,1200,00000GROSS CHARGES 3553,B100000,00000,1300,00000PATIENT DAYS 3553,B100000,00000,1350,00000PATIENT DAYS 3553,B100000,00000,1400,00000ASSIGNED TIME 3553,S000000,00100,0200,06/07/2000 3553,S200000,00100,0100,1400 SAN ANTONIO AVE 3553,S200000,00200,0100,DOUGLAS 3553,S200000,00200,0200,AZ 3553,S200000,00300,0100,COCHISE 3553,S200000,00400,0100,DOUGLAS MANOR 3553,S200000,00400,0200,035180 3553,S200000,00400,0300,08/01/1995 3553,S200000,00400,0500,P 3553,S200000,01600,0100,Y 3562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3562,A000000,00300,0000,00300EMPLOYEE BENEFITS 3562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3562,A000000,00700,0000,00700HOUSEKEEPING 3562,A000000,00800,0000,00800DIETARY 3562,A000000,00900,0000,00900NURSING ADMINISTRATION 3562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3562,A000000,01100,0000,01100PHARMACY 3562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3562,A000000,01300,0000,01300SOCIAL SERVICE 3562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3562,A000000,01600,0000,01600SKILLED NURSING FACILITY 3562,A000000,01800,0000,01800NURSING FACILITY 3562,A000000,01810,0000,01810ICF/MR 3562,A000000,02200,0000,02200LABORATORY 3562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3562,A000000,02500,0000,02500PHYSICAL THERAPY 3562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3562,A000000,02700,0000,02700SPEECH PATHOLOGY 3562,A000000,02800,0000,02800ELECTROCARDIOLOGY 3562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3562,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3562,A000000,03200,0000,03200SUPPORT SURFACES 3562,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3562,A000000,03550,0000,03550FQHC 3562,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3562,A000000,05000,0000,05000CORF 3562,A000000,05010,0000,05010CMHC 3562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3562,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3562,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3562,A81000A,00100,0100,Y 3562,A81000B,00100,0300,MANAGEMENT FEES 3562,A81000C,00100,0100,A 3562,A81000C,00100,0200,MARK YAMPOL 3562,A81000C,00100,0400,HSM MANAGEMENT INC 3562,A81000C,00100,0600,MANAGEMENT COMPANY 3562,A81000C,00200,0100,A 3562,A81000C,00200,0200,HILLEL YAMPOL 3562,A81000C,00200,0400,HSM MANAGEMENT INC 3562,A81000C,00200,0600,MANAGEMENT COMPANAY 3562,B100000,00000,0100,00000SQUARE FEET 3562,B100000,00000,0200,00000SQUARE FEET 3562,B100000,00000,0300,00000GROSS SALARIES 3562,B100000,00000,0400,00000ACCUM. COST 3562,B100000,00000,0500,00000SQUARE FEET 3562,B100000,00000,0600,00000PATIENT DAYS 3562,B100000,00000,0700,00000HSKG SQR. FEET 3562,B100000,00000,0800,00000PATIENT DAYS 3562,B100000,00000,0900,00000PATIENT DAYS 3562,B100000,00000,1000,00000PATIENT DAYS 3562,B100000,00000,1100,00000PATIENT DAYS 3562,B100000,00000,1200,00000PATIENT DAYS 3562,B100000,00000,1300,00000PATIENT DAYS 3562,B100000,00000,1400,00000ASSIGNED TIME 3562,E10A180,00550,0300,06/16/2000 3562,S000000,00100,0200,06/16/2000 3562,S200000,00100,0100,2502 NORTH DODGE BOULEVARD 3562,S200000,00200,0100,TUCSON 3562,S200000,00200,0200,AZ 3562,S200000,00300,0100,PIMA 3562,S200000,00400,0100,DESERT GARDENS 3562,S200000,00400,0200,035181 3562,S200000,00400,0300,11/01/1988 3562,S200000,00400,0500,P 3562,S200000,01500,0100,Y 3577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3577,A000000,00300,0000,00300EMPLOYEE BENEFITS 3577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3577,A000000,00700,0000,00700HOUSEKEEPING 3577,A000000,00800,0000,00800DIETARY 3577,A000000,00900,0000,00900NURSING ADMINISTRATION 3577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3577,A000000,01100,0000,01100PHARMACY 3577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3577,A000000,01300,0000,01300SOCIAL SERVICE 3577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3577,A000000,01600,0000,01600SKILLED NURSING FACILITY 3577,A000000,01810,0000,01810ICF/MR 3577,A000000,02100,0000,02100RADIOLOGY 3577,A000000,02200,0000,02200LABORATORY 3577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3577,A000000,02500,0000,02500PHYSICAL THERAPY 3577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3577,A000000,03550,0000,03550FQHC 3577,A000000,05000,0000,05000CORF 3577,A000000,05010,0000,05010CMHC 3577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3577,A000000,05801,0000,05801PATIENT SERVICES 3577,A000000,05802,0000,05802MARKETING 3577,A000000,05803,0000,05803NON CERTIFIED HOME HEALTH 3577,B100000,00000,0100,00003SQUARE FEET 3577,B100000,00000,0200,00003SQUARE FEET 3577,B100000,00000,0300,00003GROSS SALARIES 3577,B100000,00000,0400,00003ACCUM COST 3577,B100000,00000,0500,00003SQUARE FEET 3577,B100000,00000,0600,00003POUNDS OF LAUNDRY 3577,B100000,00000,0700,00003HOURS OF SERVICE 3577,B100000,00000,0800,00003MEALS SERVED 3577,B100000,00000,0900,00003DIRECT NRSG HRS 3577,B100000,00000,1000,00003COSTED REQUIS 3577,B100000,00000,1100,00003COSTED REQUIS 3577,B100000,00000,1200,00003TIME SPENT 3577,B100000,00000,1300,00003TIME SPENT 3577,B100000,00000,1400,00003ASSIGNED TIME 3577,E10A180,00350,0100,10/13/1999 3577,S000000,00100,0200,05/31/2000 3577,S200000,00100,0100,12000 NORTH 90TH STREET 3577,S200000,00200,0100,SCOTTSDALE 3577,S200000,00200,0200,AZ 3577,S200000,00200,0300,85260 3577,S200000,00300,0100,MARICOPA 3577,S200000,00400,0100,WSTMINSTER VILLAGE 3577,S200000,00400,0200,035192 3577,S200000,00400,0300,12/09/1988 3577,S200000,00400,0500,P 3577,S200000,01500,0100,Y 3587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3587,A000000,00300,0000,00300EMPLOYEE BENEFITS 3587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3587,A000000,00700,0000,00700HOUSEKEEPING 3587,A000000,00800,0000,00800DIETARY 3587,A000000,00900,0000,00900NURSING ADMINISTRATION 3587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3587,A000000,01100,0000,01100PHARMACY 3587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3587,A000000,01300,0000,01300SOCIAL SERVICE 3587,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3587,A000000,01600,0000,01600SKILLED NURSING FACILITY 3587,A000000,01800,0000,01800NURSING FACILITY 3587,A000000,01810,0000,01810ICF/MR 3587,A000000,02100,0000,02100RADIOLOGY 3587,A000000,02200,0000,02200LABORATORY 3587,A000000,02300,0000,02300INTRAVENOUS THERAPY 3587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3587,A000000,02500,0000,02500PHYSICAL THERAPY 3587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3587,A000000,02700,0000,02700SPEECH PATHOLOGY 3587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3587,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3587,A000000,03550,0000,03550FQHC 3587,A000000,05000,0000,05000CORF 3587,A000000,05010,0000,05010CMHC 3587,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3587,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3587,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3587,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3587,B100000,00000,0100,00000SQUARE FEET 3587,B100000,00000,0200,00000SQUARE FEET 3587,B100000,00000,0300,00000GROSS SALARIES 3587,B100000,00000,0400,00000ACCUM COST 3587,B100000,00000,0500,00000SQUARE FEET 3587,B100000,00000,0600,00000POUNDS OF LAUNDRY 3587,B100000,00000,0700,00000SQUARE FEET 3587,B100000,00000,0800,00000MEALS SERVED 3587,B100000,00000,0900,00000HOURS OF SERVICE 3587,B100000,00000,1000,00000PATIENT DAYS 3587,B100000,00000,1100,00000PATIENT DAYS 3587,B100000,00000,1200,00000GROSS CHARGES 3587,B100000,00000,1300,00000PATIENT DAYS 3587,B100000,00000,1400,00000ASSIGNED TIME 3587,S000000,00100,0200,05/31/2000 3587,S200000,00100,0100,3130 E. BROADWAY RD. 3587,S200000,00200,0100,MESA 3587,S200000,00200,0200,AZ 3587,S200000,00200,0300,85204 3587,S200000,00300,0100,MARICOPA 3587,S200000,00400,0100,SPRINGDALE WEST 3587,S200000,00400,0200,035193 3587,S200000,00400,0300,07/07/1970 3587,S200000,00400,0500,P 3587,S200000,01600,0100,Y 3599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3599,A000000,00300,0000,00300EMPLOYEE BENEFITS 3599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3599,A000000,00700,0000,00700HOUSEKEEPING 3599,A000000,00800,0000,00800DIETARY 3599,A000000,00900,0000,00900NURSING ADMINISTRATION 3599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3599,A000000,01100,0000,01100PHARMACY 3599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3599,A000000,01300,0000,01300SOCIAL SERVICE 3599,A000000,01301,0000,01301ACTIVITIES 3599,A000000,01350,0000,01500REHAB 3599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3599,A000000,01600,0000,01600SKILLED NURSING FACILITY 3599,A000000,01800,0000,01800NURSING FACILITY 3599,A000000,01810,0000,01810ICF/MR 3599,A000000,02100,0000,02100RADIOLOGY 3599,A000000,02200,0000,02200LABORATORY 3599,A000000,02300,0000,02300INTRAVENOUS THERAPY 3599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3599,A000000,02500,0000,02500PHYSICAL THERAPY 3599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3599,A000000,02700,0000,02700SPEECH PATHOLOGY 3599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3599,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3599,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3599,A000000,03550,0000,03550FQHC 3599,A000000,05000,0000,05000CORF 3599,A000000,05010,0000,05010CMHC 3599,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3599,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3599,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3599,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3599,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3599,A81000A,00100,0100,Y 3599,A81000B,00100,0300,NURSING SUPPLIES 3599,A81000B,00200,0300,COST OF OXYGEN 3599,A81000B,00300,0300,PRESC DRUGS 3599,A81000B,00400,0300,THERAPY OUTCOMES - RT 3599,A81000B,00500,0300,PT EXPENSE 3599,A81000B,00600,0300,OT EXPENSE 3599,A81000B,00700,0300,ST EXPENSE 3599,A81000B,00800,0300,PT SUPPLIES 3599,A81000B,00900,0300,HOME OFFICE COST 3599,A81000C,00100,0100,B 3599,A81000C,00100,0200,LA MESA HEALTHC 3599,A81000C,00100,0400,MARINER POST-AC 3599,A81000C,00100,0600,NURSING HOME 3599,A81000C,00200,0100,G 3599,A81000C,00200,0200,MARINER POST-AC 3599,A81000C,00200,0400,AMERICAN PHARMA 3599,A81000C,00200,0600,PHARMACEUTICALS 3599,A81000C,00300,0100,G 3599,A81000C,00300,0200,MARINER POST-AC 3599,A81000C,00300,0400,PRISM (ATS ARS 3599,A81000C,00300,0600,THERAPIES 3599,B100000,00000,0100,00000SQUARE FEET 3599,B100000,00000,0200,00000SQUARE FEET 3599,B100000,00000,0300,00000GROSS SALARIES 3599,B100000,00000,0400,00000ACCUM COST 3599,B100000,00000,0500,00000SQUARE FEET 3599,B100000,00000,0600,00000PATIENT DAYS 3599,B100000,00000,0700,00000HOURS OF SERVICE 3599,B100000,00000,0800,00000MEALS SERVED 3599,B100000,00000,0900,00000NURSING HOURS 3599,B100000,00000,1000,00000PATIENT DAYS 3599,B100000,00000,1100,00000COSTED REQUIS 3599,B100000,00000,1200,00000PATIENT DAYS 3599,B100000,00000,1300,00000PATIENT DAYS 3599,B100000,00000,1301,00000PATIENT DAYS 3599,B100000,00000,1350,00000UNITS OF SERVICE 3599,B100000,00000,1400,00000ASSIGNED TIME 3599,E10A180,00501,0100,06/02/2000 3599,E10A180,00501,0300,07/31/2000 3599,E10A180,00550,0100,07/31/2000 3599,E10A180,00550,0300,06/02/2000 3599,S000000,00100,0200,06/02/2000 3599,S200000,00100,0100,2470 SOUTH ARIZONA AVENUE 3599,S200000,00200,0100,YUMA 3599,S200000,00200,0200,AZ 3599,S200000,00200,0300,85364 3599,S200000,00300,0100,YUMA 3599,S200000,00400,0100,LA MESA HEALTHCARE CENTER 3599,S200000,00400,0200,035197 3599,S200000,00400,0300,01/01/1980 3599,S200000,00400,0500,P 3606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3606,A000000,00300,0000,00300EMPLOYEE BENEFITS 3606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3606,A000000,00700,0000,00700HOUSEKEEPING 3606,A000000,00800,0000,00800DIETARY 3606,A000000,00900,0000,00900NURSING ADMINISTRATION 3606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3606,A000000,01100,0000,01100PHARMACY 3606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3606,A000000,01300,0000,01300SOCIAL SERVICE 3606,A000000,01350,0000,01500ACTIVITIES 3606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3606,A000000,01600,0000,01600SKILLED NURSING FACILITY 3606,A000000,01800,0000,01800NURSING FACILITY 3606,A000000,01810,0000,01810ICF/MR 3606,A000000,02100,0000,02100RADIOLOGY 3606,A000000,02200,0000,02200LABORATORY 3606,A000000,02300,0000,02300INTRAVENOUS THERAPY 3606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3606,A000000,02500,0000,02500PHYSICAL THERAPY 3606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3606,A000000,02700,0000,02700SPEECH PATHOLOGY 3606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3606,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3606,A000000,03550,0000,03550FQHC 3606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3606,A000000,05000,0000,05000CORF 3606,A000000,05010,0000,05010CMHC 3606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3606,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3606,A81000A,00100,0100,Y 3606,A81000B,00100,0300,HOME OFFICE 3606,A81000B,00400,0300,SUPPLIES 3606,A81000B,00600,0300,XRAY SERVICES 3606,A81000B,00700,0300,LAB SERVICES 3606,A81000B,00900,0300,DRUGS 3606,A81000C,00100,0100,B 3606,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3606,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3606,A81000C,00100,0600,HOME OFFICE 3606,A81000C,00200,0100,G 3606,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3606,A81000C,00200,0400,SUNBELT 3606,A81000C,00200,0600,THERAPY MGMT SERVICE 3606,A81000C,00300,0100,G 3606,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3606,A81000C,00300,0400,QUEST 3606,A81000C,00300,0600,PHARMACY/SUPPLIES 3606,A81000C,00400,0100,G 3606,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3606,A81000C,00400,0400,AMPRO 3606,A81000C,00400,0600,LAB SERVICES 3606,B100000,00000,0100,00000SQUARE FEET 3606,B100000,00000,0200,00000SQUARE FEET 3606,B100000,00000,0300,00000GROSS SALARIES 3606,B100000,00000,0400,00000ACCUM. COST 3606,B100000,00000,0500,00000SQUARE FEET 3606,B100000,00000,0600,00000PATIENT DAYS 3606,B100000,00000,0700,00000SQUARE FEET 3606,B100000,00000,0800,00000MEALS SERVED 3606,B100000,00000,0900,00000DIRECT NRSING HRS 3606,B100000,00000,1000,00000COSTED REQUIS. 3606,B100000,00000,1100,00000COSTED REQUIS. 3606,B100000,00000,1200,00000GROSS CHARGES 3606,B100000,00000,1300,00000PATIENT DAYS 3606,B100000,00000,1350,00000PATIENT DAYS 3606,B100000,00000,1400,00000ASSIGNED TIME 3606,S000000,00100,0200,05/31/2000 3606,S200000,00100,0100,2211 E SOUTHERN AVE 3606,S200000,00200,0100,PHOENIX 3606,S200000,00200,0200,AZ 3606,S200000,00300,0100,MARICOPA 3606,S200000,00400,0100,SUNCREST HEALTHCARE CENTER 3606,S200000,00400,0200,035205 3606,S200000,00400,0300,04/01/1991 3606,S200000,00400,0500,P 3606,S200000,01600,0100,Y 3618,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3618,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3618,A000000,00300,0000,00300EMPLOYEE BENEFITS 3618,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3618,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3618,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3618,A000000,00700,0000,00700HOUSEKEEPING 3618,A000000,00800,0000,00800DIETARY 3618,A000000,00900,0000,00900NURSING ADMINISTRATION 3618,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3618,A000000,01100,0000,01100PHARMACY 3618,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3618,A000000,01300,0000,01300SOCIAL SERVICE 3618,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3618,A000000,01600,0000,01600SKILLED NURSING FACILITY 3618,A000000,01800,0000,01800NURSING FACILITY 3618,A000000,01810,0000,01810ICF/MR 3618,A000000,01900,0000,01900OTHER LONG TERM CARE 3618,A000000,02100,0000,02100RADIOLOGY 3618,A000000,02200,0000,02200LABORATORY 3618,A000000,02300,0000,02300INTRAVENOUS THERAPY 3618,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3618,A000000,02500,0000,02500PHYSICAL THERAPY 3618,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3618,A000000,02700,0000,02700SPEECH PATHOLOGY 3618,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3618,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3618,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3618,A000000,03550,0000,03550FQHC 3618,A000000,05000,0000,05000CORF 3618,A000000,05010,0000,05010CMHC 3618,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3618,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3618,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3618,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3618,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3618,B100000,00000,0100,00000SQUARE FEET 3618,B100000,00000,0200,00000SQUARE FEET 3618,B100000,00000,0300,00000GROSS SALARIES 3618,B100000,00000,0400,00000ACCUM COST 3618,B100000,00000,0500,00000SQUARE FEET 3618,B100000,00000,0600,00000POUNDS OF LAUNDRY 3618,B100000,00000,0700,00000SQUARE FEET 3618,B100000,00000,0800,00000MEALS SERVED 3618,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3618,B100000,00000,1000,00000PATIENT DAYS 3618,B100000,00000,1100,00000PATIENT DAYS 3618,B100000,00000,1200,00000GROSS REVENUES 3618,B100000,00000,1300,00000PATIENT DAYS 3618,B100000,00000,1400,00000ASSIGNED TIME 3618,S000000,00100,0200,05/30/2000 3618,S200000,00100,0100,7255 E. BROADWAY RD 3618,S200000,00200,0100,MESA 3618,S200000,00200,0200,AZ 3618,S200000,00200,0300,85208 3618,S200000,00300,0100,MARICOPA 3618,S200000,00400,0100,SPRINGDALE VILLAGE HEALTH CARE 3618,S200000,00400,0200,035207 3618,S200000,00400,0300,04/04/1991 3618,S200000,00400,0500,P 3618,S200000,01600,0100,Y 3626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3626,A000000,00300,0000,00300EMPLOYEE BENEFITS 3626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3626,A000000,00700,0000,00700HOUSEKEEPING 3626,A000000,00800,0000,00800DIETARY 3626,A000000,00900,0000,00900NURSING ADMINISTRATION 3626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3626,A000000,01100,0000,01100PHARMACY 3626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3626,A000000,01300,0000,01300SOCIAL SERVICE 3626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3626,A000000,01600,0000,01600SKILLED NURSING FACILITY 3626,A000000,01800,0000,01800NURSING FACILITY 3626,A000000,01810,0000,01810ICF/MR 3626,A000000,02100,0000,02100RADIOLOGY 3626,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3626,A000000,02500,0000,02500PHYSICAL THERAPY 3626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3626,A000000,02700,0000,02700SPEECH PATHOLOGY 3626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3626,A000000,03550,0000,03550FQHC 3626,A000000,05000,0000,05000CORF 3626,A000000,05010,0000,05010CMHC 3626,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3626,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3626,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3626,A000000,05801,0000,05801SUPERVISORY CARE 3626,A000000,05802,0000,05802AMBULANCE 3626,B100000,00000,0100,00002SQUARE FEET 3626,B100000,00000,0200,00002SQUARE FEET 3626,B100000,00000,0300,00002GROSS SALARIES 3626,B100000,00000,0400,00002ACCUM COST 3626,B100000,00000,0500,00002SQUARE FEET 3626,B100000,00000,0600,00002POUNDS OF LAUNDRY 3626,B100000,00000,0700,00002HOURS OF SERVICE 3626,B100000,00000,0800,00002MEALS SERVED 3626,B100000,00000,0900,00002DIRECT NRSG HRS 3626,B100000,00000,1000,00002COSTED REQUIS 3626,B100000,00000,1100,00002COSTED REQUIS 3626,B100000,00000,1200,00002TIME SPENT 3626,B100000,00000,1300,00002TIME SPENT 3626,B100000,00000,1400,00002ASSIGNED TIME 3626,S000000,00100,0200,06/01/2000 3626,S200000,00100,0100,4602 NORTH 24TH STREET 3626,S200000,00200,0100,PHOENIX 3626,S200000,00200,0200,AZ 3626,S200000,00200,0300,85016 3626,S200000,00300,0100,MARICOPA 3626,S200000,00400,0100,ARIZONA EASTERN STAR 3626,S200000,00400,0200,035209 3626,S200000,00400,0300,05/04/1992 3626,S200000,00400,0500,P 3626,S200000,00600,0200,035209 3626,S200000,00600,0300,05/01/1992 3626,S200000,00600,0600,P 3626,S200000,01600,0100,Y 3626,S200000,01900,0100,NOT FOR PROFIT CORP 3626,S200000,04300,0100,Y 3649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3649,A000000,00300,0000,00300EMPLOYEE BENEFITS 3649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3649,A000000,00700,0000,00700HOUSEKEEPING 3649,A000000,00800,0000,00800DIETARY 3649,A000000,00900,0000,00900NURSING ADMINISTRATION 3649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3649,A000000,01100,0000,01100PHARMACY 3649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3649,A000000,01300,0000,01300SOCIAL SERVICE 3649,A000000,01350,0000,01500ACTIVITIES 3649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3649,A000000,01600,0000,01600SKILLED NURSING FACILITY 3649,A000000,01800,0000,01800NURSING FACILITY 3649,A000000,01810,0000,01810ICF/MR 3649,A000000,01900,0000,01900OTHER LONG TERM CARE 3649,A000000,02100,0000,02100RADIOLOGY 3649,A000000,02200,0000,02200LABORATORY 3649,A000000,02300,0000,02300INTRAVENOUS THERAPY 3649,A000000,02500,0000,02500PHYSICAL THERAPY 3649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3649,A000000,02700,0000,02700SPEECH PATHOLOGY 3649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3649,A000000,03550,0000,03550FQHC 3649,A000000,05000,0000,05000CORF 3649,A000000,05010,0000,05010CMHC 3649,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3649,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3649,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 3649,A000000,05300,0000,05300INTEREST EXPENSE 3649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3649,A000000,06150,0000,06300RESIDENTS/WELLNESS 3649,A000000,06151,0000,06301MARKETING 3649,A81000A,00100,0100,Y 3649,A81000B,00100,0300,MANAGEMENT FEES 3649,A81000B,00200,0300,CONSULTING FEES 3649,A81000C,00100,0100,B 3649,A81000C,00100,0200,SVS CONSULTANTS 3649,A81000C,00100,0400,SVS CONSULTANTS 3649,A81000C,00100,0600,CONSULTANTS 3649,A81000C,00200,0100,B 3649,A81000C,00200,0200,WILLIAM H ROSE 3649,A81000C,00200,0400,WILLIAM H ROSE 3649,A81000C,00200,0600,MANAGEMENT 3649,B100000,00000,0100,00001SQUARE FEET 3649,B100000,00000,0200,00001SQUARE FEET 3649,B100000,00000,0300,00001GROSS SALARIES 3649,B100000,00000,0400,00001ACCUM COST 3649,B100000,00000,0500,00001SQUARE FEET 3649,B100000,00000,0600,00001PATIENT DAYS 3649,B100000,00000,0700,00001HOURS OF SERVICE 3649,B100000,00000,0800,00001MEALS SERVED 3649,B100000,00000,0900,00001NURSING HOURS 3649,B100000,00000,1000,00001PATIENT DAYS 3649,B100000,00000,1100,00001PATIENT DAYS 3649,B100000,00000,1200,00001PATIENT DAYS 3649,B100000,00000,1300,00001TIME SPENT 3649,B100000,00000,1350,00001PATIENT DAYS 3649,B100000,00000,1400,00001ASSIGNED TIME 3649,S000000,00100,0200,05/31/2000 3649,S200000,00100,0100,2620 NORTH 68TH STREET 3649,S200000,00200,0100,SCOTTSDALE 3649,S200000,00200,0200,AZ 3649,S200000,00200,0300,85257 3649,S200000,00300,0100,MARICOPA 3649,S200000,00400,0100,VILLAGE SQUARE 3649,S200000,00400,0200,035217 3649,S200000,00400,0300,06/02/1993 3649,S200000,00400,0500,P 3649,S200000,01600,0100,Y 3661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3661,A000000,00300,0000,00300EMPLOYEE BENEFITS 3661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3661,A000000,00700,0000,00700HOUSEKEEPING 3661,A000000,00800,0000,00800DIETARY 3661,A000000,00900,0000,00900NURSING ADMINISTRATION 3661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3661,A000000,01100,0000,01100PHARMACY 3661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3661,A000000,01300,0000,01300SOCIAL SERVICE 3661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3661,A000000,01600,0000,01600SKILLED NURSING FACILITY 3661,A000000,01810,0000,01810ICF/MR 3661,A000000,02200,0000,02200LABORATORY 3661,A000000,02300,0000,02300INTRAVENOUS THERAPY 3661,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3661,A000000,02500,0000,02500PHYSICAL THERAPY 3661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3661,A000000,02700,0000,02700SPEECH PATHOLOGY 3661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3661,A000000,03550,0000,03550FQHC 3661,A000000,05000,0000,05000CORF 3661,A000000,05010,0000,05010CMHC 3661,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3661,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3661,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3661,A81000A,00100,0100,Y 3661,A81000B,00100,0300,HOME OFFICE COSTS 3661,A81000B,00200,0300,HOME OFFICE COSTS 3661,A81000B,00300,0300,SHARED CAPITAL 3661,A81000B,00400,0300,SHARED A&G 3661,A81000B,00500,0300,SHARED A&G 3661,A81000B,00600,0300,SHARED PLANT OPS 3661,A81000B,00700,0300,SHARED PLANT OPS 3661,A81000B,00800,0300,SHARED LAUNDRY 3661,A81000B,00900,0300,SHARED LAUNDRY 3661,A81000B,01000,0300,SHARED HOUSEKEEPING 3661,A81000B,01100,0300,SHARED HOUSEKEEPING 3661,A81000B,01200,0300,SHARED DIETARY 3661,A81000B,01300,0300,SHARED DIETARY 3661,A81000B,01400,0300,LIABILITY INSURANCE 3661,A81000B,01500,0300,CMIS 3661,A81000C,00100,0100,B 3661,A81000C,00100,0200,CBHS LLC 3661,A81000C,00100,0600,HOSPITAL MGMT 3661,A81000C,00200,0100,B 3661,A81000C,00200,0200,CBHS LLC 3661,A81000C,00200,0600,HOSPITAL MGMT 3661,A81000C,00300,0100,G 3661,A81000C,00300,0400,DESERT VISTA 3661,A81000C,00300,0600,HOSPITAL 3661,A81000C,00400,0100,G 3661,A81000C,00400,0400,DESERT VISTA 3661,A81000C,00400,0600,HOSPITAL 3661,A81000C,00500,0100,G 3661,A81000C,00500,0400,DESERT VISTA 3661,A81000C,00500,0600,HOSPITAL 3661,A81000C,00600,0100,G 3661,A81000C,00600,0400,DESERT VISTA 3661,A81000C,00600,0600,HOSPITAL 3661,A81000C,00700,0100,G 3661,A81000C,00700,0400,DESERT VISTA 3661,A81000C,00700,0600,HOSPITAL 3661,A81000C,00800,0100,G 3661,A81000C,00800,0400,DESERT VISTA 3661,A81000C,00800,0600,HOSPITAL 3661,A81000C,00900,0100,G 3661,A81000C,00900,0400,DESERT VISTA 3661,A81000C,00900,0600,HOSPITAL 3661,B100000,00000,0100,00040SQUARE FEET 3661,B100000,00000,0200,00040SQUARE FEET 3661,B100000,00000,0300,00040GROSS SALARIES 3661,B100000,00000,0400,00040ACCUM COST 3661,B100000,00000,0500,00040SQUARE FEET 3661,B100000,00000,0600,00040100% ROUTINE 3661,B100000,00000,0700,00040SQUARE FEET 3661,B100000,00000,0800,00040100% ROUTINE 3661,B100000,00000,0900,00040100% ROUTINE 3661,B100000,00000,1000,00040COSTED REQUIS 3661,B100000,00000,1100,00040COSTED REQUIS 3661,B100000,00000,1200,00040100% ROUTINE 3661,B100000,00000,1300,00040100% ROUTINE 3661,B100000,00000,1400,00040ASSIGNED TIME 3661,S000000,00100,0200,03/27/2000 3661,S200000,00100,0100,570 WEST BROWN 3661,S200000,00200,0100,MESA 3661,S200000,00200,0200,AZ 3661,S200000,00200,0300,85201 3661,S200000,00400,0100,COMPASS PHOENIX 3661,S200000,00400,0200,035230 3661,S200000,00400,0300,01/30/1995 3661,S200000,00400,0500,P 3661,S200000,01500,0100,Y 3661,S200000,02200,0100,Y 3661,S200000,03100,0100,Y 3661,S200000,04100,0100,Y 3661,S200000,04700,0100,Y 3661,S200000,04900,0100,Y 3668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3668,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 3668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3668,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 3668,A000000,00300,0000,00300EMPLOYEE BENEFITS 3668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3668,A000000,00700,0000,00700HOUSEKEEPING 3668,A000000,00800,0000,00800DIETARY 3668,A000000,00801,0000,00801CAFETERIA 3668,A000000,00900,0000,00900NURSING ADMINISTRATION 3668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3668,A000000,01100,0000,01100PHARMACY 3668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3668,A000000,01300,0000,01300SOCIAL SERVICE 3668,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 3668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3668,A000000,01600,0000,01600SKILLED NURSING FACILITY 3668,A000000,01800,0000,01800NURSING FACILITY 3668,A000000,01810,0000,01810ICF/MR 3668,A000000,02200,0000,02200LABORATORY 3668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3668,A000000,02500,0000,02500PHYSICAL THERAPY 3668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3668,A000000,02700,0000,02700SPEECH PATHOLOGY 3668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3668,A000000,03050,0000,03300OTHER ANCILLARY 3668,A000000,03051,0000,03301OTHER ANCILLARY II 3668,A000000,03052,0000,03302OTHER ANCILLARY III 3668,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 3668,A000000,03550,0000,03550FQHC 3668,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3668,A000000,04800,0000,04800AMBULANCE 3668,A000000,05000,0000,05000CORF I 3668,A000000,05010,0000,05010CMHC I 3668,A000000,05020,0000,05020OPT I 3668,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3668,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 3668,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 3668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3668,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3668,B100000,00000,0100,00000(SQUARE FEET) 3668,B100000,00000,0101,00000(SQUARE FEET) 3668,B100000,00000,0200,00000(SQUARE FEET) 3668,B100000,00000,0201,00000(SQUARE FEET) 3668,B100000,00000,0300,00000(GROSS SALARIES) 3668,B100000,00000,0400,00000(ACCUM. COST) 3668,B100000,00000,0500,00000(SQUARE FEET) 3668,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 3668,B100000,00000,0700,00000(SQUARE FEET) 3668,B100000,00000,0800,00000(MEALS SERVED) 3668,B100000,00000,0801,00000(MEALS SERVED) 3668,B100000,00000,0900,00000(NURSING SALARIES) 3668,B100000,00000,1000,00000(COSTED REQUIS.) 3668,B100000,00000,1100,00000(COSTED REQUIS.) 3668,B100000,00000,1200,00000(TIME SPENT) 3668,B100000,00000,1300,00000(PATIENT DAYS) 3668,B100000,00000,1350,00000 3668,B100000,00000,1400,00000(ASSIGNED TIME) 3668,S000000,00100,0200,05/22/2000 3668,S200000,00100,0100,MONROE STREET 3668,S200000,00200,0100,GLOBE 3668,S200000,00200,0200,AZ 3668,S200000,00200,0300,85501 3668,S200000,00300,0100,GILA 3668,S200000,00400,0100,SELECT CARE 3668,S200000,00400,0200,035233 3668,S200000,00400,0300,02/23/1996 3668,S200000,00400,0500,P 3668,S200000,00400,0600,O 3668,S200000,00600,0200,035233 3668,S200000,00600,0300,02/23/1996 3668,S200000,00600,0600,P 3668,S200000,01600,0100,Y 3668,S200000,04700,0100,Y 3689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3689,A000000,00300,0000,00300EMPLOYEE BENEFITS 3689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3689,A000000,00700,0000,00700HOUSEKEEPING 3689,A000000,00800,0000,00800DIETARY 3689,A000000,00900,0000,00900NURSING ADMINISTRATION 3689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3689,A000000,01100,0000,01100PHARMACY 3689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3689,A000000,01300,0000,01300SOCIAL SERVICE 3689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3689,A000000,01600,0000,01600SKILLED NURSING FACILITY 3689,A000000,01800,0000,01800NURSING FACILITY 3689,A000000,01810,0000,01810ICF/MR 3689,A000000,02500,0000,02500PHYSICAL THERAPY 3689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3689,A000000,02700,0000,02700SPEECH PATHOLOGY 3689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3689,A000000,03550,0000,03550FQHC 3689,A000000,05000,0000,05000CORF 3689,A000000,05010,0000,05010CMHC 3689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3689,A000000,05300,0000,05300INTEREST EXPENSE 3689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3689,A81000A,00100,0100,Y 3689,A81000B,00100,0300,CAP REL CSTS-B&F 3689,A81000B,00200,0300,CAP REP CSTS- MVBLE 3689,A81000B,00300,0300,ADMIN & GENERAL 3689,A81000B,00400,0300,ADMIN & GENERAL 3689,A81000C,00100,0100,B 3689,A81000C,00100,0400,C & G HEALTH CA 3689,A81000C,00100,0600,HOME OFFICE 3689,A81000C,00400,0100,B 3689,A81000C,00400,0400,THE VALLEY INN 3689,A81000C,00400,0600,RELATED SNF 3689,B100000,00000,0100,00000SQUARE FEET 3689,B100000,00000,0200,00000SQUARE FEET 3689,B100000,00000,0300,00000GROSS SALARIES 3689,B100000,00000,0400,00000ACCUM COST 3689,B100000,00000,0500,00000SQUARE FEET 3689,B100000,00000,0600,00000POUNDS OF LAUNDRY 3689,B100000,00000,0700,00000SQUARE FEET 3689,B100000,00000,0800,00000MEALS SERVED 3689,B100000,00000,0900,00000DIRECT NRSG HRS 3689,B100000,00000,1000,00000COSTED REQUIS 3689,B100000,00000,1100,00000COSTED REQUIS 3689,B100000,00000,1200,00000HOURS OF SERVICE 3689,B100000,00000,1300,00000TIME SPENT 3689,B100000,00000,1400,00000ASSIGNED TIME 3689,S000000,00100,0200,05/31/2000 3689,S200000,00100,0100,2781 OSBORN DRIVE 3689,S200000,00200,0100,LAKE HAVASU CITY 3689,S200000,00200,0200,AZ 3689,S200000,00200,0300,86406 3689,S200000,00300,0100,MOHAVE 3689,S200000,00400,0100,LAKE HILLS INN 3689,S200000,00400,0200,035240 3689,S200000,00400,0300,01/01/1997 3689,S200000,00400,0500,P 3689,S200000,00600,0200,3-5240 3689,S200000,00600,0300,01/01/1997 3689,S200000,00600,0600,P 3689,S200000,01600,0100,Y 3700,S000000,00100,0200,03/06/2001 3710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3710,A000000,00300,0000,00300EMPLOYEE BENEFITS 3710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3710,A000000,00700,0000,00700HOUSEKEEPING 3710,A000000,00800,0000,00800DIETARY 3710,A000000,00900,0000,00900NURSING ADMINISTRATION 3710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3710,A000000,01100,0000,01100PHARMACY 3710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3710,A000000,01300,0000,01300SOCIAL SERVICE 3710,A000000,01350,0000,01500ACTIVITIES 3710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3710,A000000,01600,0000,01600SKILLED NURSING FACILITY 3710,A000000,01800,0000,01800NURSING FACILITY 3710,A000000,01810,0000,01810ICF/MR 3710,A000000,02500,0000,02500PHYSICAL THERAPY 3710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3710,A000000,02700,0000,02700SPEECH PATHOLOGY 3710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3710,A000000,03550,0000,03550FQHC 3710,A000000,05000,0000,05000CORF 3710,A000000,05010,0000,05010CMHC 3710,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3710,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3710,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3710,A81000A,00100,0100,Y 3710,A81000B,00100,0300,MANAGEMENT FEES 3710,A81000B,00200,0300,MORTGAGE INTEREST & DEPRECIATI 3710,A81000C,00100,0100,A 3710,A81000C,00100,0200,J. WELTSCH 3710,A81000C,00100,0400,GARDENS CARE CT 3710,A81000C,00100,0600,REAL ESTATE 3710,A81000C,00200,0100,A 3710,A81000C,00200,0200,M. MEYER 3710,A81000C,00200,0400,GARDENS CARE CT 3710,A81000C,00200,0600,REAL ESTATE 3710,A81000C,00300,0100,A 3710,A81000C,00300,0200,J. LINGENFELTER 3710,A81000C,00300,0400,GARDENS CARE CT 3710,A81000C,00300,0600,REAL ESTATE 3710,B100000,00000,0100,00000SQUARE FEET 3710,B100000,00000,0200,00000SQUARE FEET 3710,B100000,00000,0300,00000GROSS SALARIES 3710,B100000,00000,0400,00000ACCUM. COST 3710,B100000,00000,0500,00000SQUARE FEET 3710,B100000,00000,0600,00000POUNDS OF LAUNDRY 3710,B100000,00000,0700,00000SQUARE FEET 3710,B100000,00000,0800,00000MEALS SERVED 3710,B100000,00000,0900,00000DIRECT NRSING HRS 3710,B100000,00000,1000,00000SQUARE FEET 3710,B100000,00000,1100,00000COSTED REQUIS. 3710,B100000,00000,1200,00000REVENUE 3710,B100000,00000,1300,00000PATIENT DAYS 3710,B100000,00000,1350,00000PATIENT DAYS 3710,B100000,00000,1400,00000ASSIGNED TIME 3710,E10A180,00301,0100,02/05/1999 3710,S000000,00100,0200,06/30/1999 3710,S200000,00100,0100,3131 WESTERN AVENUE 3710,S200000,00200,0100,KINGMAN 3710,S200000,00200,0200,AZ 3710,S200000,00300,0100,MOHAVE 3710,S200000,00400,0100,THE GARDENS CARE CENTER 3710,S200000,00400,0200,035249 3710,S200000,00400,0300,11/12/1998 3710,S200000,00400,0500,P 3710,S200000,01500,0100,Y 3712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3712,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3712,A000000,00300,0000,00300EMPLOYEE BENEFITS 3712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3712,A000000,00700,0000,00700HOUSEKEEPING 3712,A000000,00800,0000,00800DIETARY 3712,A000000,00900,0000,00900NURSING ADMINISTRATION 3712,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3712,A000000,01100,0000,01100PHARMACY 3712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3712,A000000,01300,0000,01300SOCIAL SERVICE 3712,A000000,01350,0000,01500ACTIVITIES 3712,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3712,A000000,01600,0000,01600SKILLED NURSING FACILITY 3712,A000000,01810,0000,01810ICF/MR 3712,A000000,02200,0000,02200LABORATORY 3712,A000000,02500,0000,02500PHYSICAL THERAPY 3712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3712,A000000,02700,0000,02700SPEECH PATHOLOGY 3712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3712,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3712,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 3712,A000000,03550,0000,03550FQHC 3712,A000000,05000,0000,05000CORF 3712,A000000,05010,0000,05010CMHC 3712,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3712,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3712,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3712,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3712,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3712,A81000A,00100,0100,Y 3712,A81000B,00100,0300,MANAGEMENT FEES 3712,A81000B,00200,0300,MORTGAGE INTEREST & DEPRECIATI 3712,A81000C,00100,0100,A 3712,A81000C,00100,0200,J. WELTSCH 3712,A81000C,00100,0400,KINGMAN GARDENS 3712,A81000C,00100,0600,REAL ESTATE 3712,A81000C,00200,0100,A 3712,A81000C,00200,0200,M. MEYER 3712,A81000C,00200,0400,KINGMAN GARDENS 3712,A81000C,00200,0600,REAL ESTATE 3712,A81000C,00300,0100,A 3712,A81000C,00300,0200,J. LINGENFELTER 3712,A81000C,00300,0400,KINGMAN GARDENS 3712,A81000C,00300,0600,REAL ESTATE 3712,B100000,00000,0100,00000SQUARE FEET 3712,B100000,00000,0200,00000SQUARE FEET 3712,B100000,00000,0300,00000GROSS SALARIES 3712,B100000,00000,0400,00000ACCUM COST 3712,B100000,00000,0500,00000SQUARE FEET 3712,B100000,00000,0600,00000POUNDS OF LAUNDRY 3712,B100000,00000,0700,00000SQUARE FEET 3712,B100000,00000,0800,00000MEALS SERVED 3712,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3712,B100000,00000,1000,00000COSTED REQUISITIO 3712,B100000,00000,1100,00000COSTED REQUISITIO 3712,B100000,00000,1200,00000GROSS REVENUES 3712,B100000,00000,1300,00000PATIENT DAYS 3712,B100000,00000,1350,00000PATIENT DAYS 3712,B100000,00000,1400,00000ASSIGNED TIME 3712,S000000,00100,0200,05/15/2000 3712,S200000,00100,0100,3131 WESTERN AVE. 3712,S200000,00200,0100,KINGMAN 3712,S200000,00200,0200,AZ 3712,S200000,00300,0100,MOHAVE 3712,S200000,00400,0100,THE GARDENS CARE CENTER 3712,S200000,00400,0200,035249 3712,S200000,00400,0300,11/12/1998 3712,S200000,00400,0500,P 3712,S200000,01500,0100,Y 3716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3716,A000000,00300,0000,00300EMPLOYEE BENEFITS 3716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3716,A000000,00700,0000,00700HOUSEKEEPING 3716,A000000,00800,0000,00800DIETARY 3716,A000000,00900,0000,00900NURSING ADMINISTRATION 3716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3716,A000000,01100,0000,01100PHARMACY 3716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3716,A000000,01300,0000,01300SOCIAL SERVICE 3716,A000000,01350,0000,01500ACTIVITIES 3716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3716,A000000,01600,0000,01600SKILLED NURSING FACILITY 3716,A000000,01800,0000,01800NURSING FACILITY 3716,A000000,01810,0000,01810ICF/MR 3716,A000000,02500,0000,02500PHYSICAL THERAPY 3716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3716,A000000,02700,0000,02700SPEECH PATHOLOGY 3716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3716,A000000,03550,0000,03550FQHC 3716,A000000,05000,0000,05000CORF 3716,A000000,05010,0000,05010CMHC 3716,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3716,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3716,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3716,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3716,B100000,00000,0100,00000SQUARE FEET 3716,B100000,00000,0200,00000SQUARE FEET 3716,B100000,00000,0300,00000GROSS SALARIES 3716,B100000,00000,0400,00000ACCUM. COST 3716,B100000,00000,0500,00000SQUARE FEET 3716,B100000,00000,0600,00000POUNDS OF LAUNDRY 3716,B100000,00000,0700,00000SQUARE FEET 3716,B100000,00000,0800,00000MEALS SERVED 3716,B100000,00000,0900,00000DIRECT NRSING HRS 3716,B100000,00000,1000,00000COSTED REQUIS. 3716,B100000,00000,1100,00000COSTED REQUIS. 3716,B100000,00000,1200,00000REVENUE 3716,B100000,00000,1300,00000TIME SPENT 3716,B100000,00000,1350,00000TIME SPENT 3716,B100000,00000,1400,00000ASSIGNED TIME 3716,E10A180,00550,0100,09/03/1999 3716,E10A180,00550,0300,07/08/1999 3716,S000000,00100,0200,06/30/1999 3716,S200000,00100,0100,11301 N. 99TH AVE. 3716,S200000,00200,0100,PEORIA 3716,S200000,00200,0200,AZ 3716,S200000,00200,0300,85345 3716,S200000,00300,0100,MARICOPA 3716,S200000,00400,0100,IMMANUEL CAMPUS OF CARE 3716,S200000,00400,0200,035250 3716,S200000,00400,0300,10/23/1998 3716,S200000,00400,0500,P 3716,S200000,01500,0100,Y 3716,S200000,04300,0100,Y 3718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3718,A000000,00300,0000,00300EMPLOYEE BENEFITS 3718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3718,A000000,00700,0000,00700HOUSEKEEPING 3718,A000000,00800,0000,00800DIETARY 3718,A000000,00900,0000,00900NURSING ADMINISTRATION 3718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3718,A000000,01100,0000,01100PHARMACY 3718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3718,A000000,01300,0000,01300SOCIAL SERVICE 3718,A000000,01350,0000,01500ACTIVITIES 3718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3718,A000000,01600,0000,01600SKILLED NURSING FACILITY 3718,A000000,01800,0000,01800NURSING FACILITY 3718,A000000,01810,0000,01810ICF/MR 3718,A000000,02500,0000,02500PHYSICAL THERAPY 3718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3718,A000000,02700,0000,02700SPEECH PATHOLOGY 3718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3718,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 3718,A000000,03550,0000,03550FQHC 3718,A000000,05000,0000,05000CORF 3718,A000000,05010,0000,05010CMHC 3718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3718,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 3718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3718,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 3718,B100000,00000,0100,00000SQUARE FEET 3718,B100000,00000,0200,00000SQUARE FEET 3718,B100000,00000,0300,00000GROSS SALARIES 3718,B100000,00000,0400,00000ACCUM COST 3718,B100000,00000,0500,00000SQUARE FEET 3718,B100000,00000,0600,00000POUNDS OF LAUNDRY 3718,B100000,00000,0700,00000SQUARE FEET 3718,B100000,00000,0800,00000MEALS SERVED 3718,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 3718,B100000,00000,1000,00000COSTED REQUISITIO 3718,B100000,00000,1100,00000COSTED REQUISITIO 3718,B100000,00000,1200,00000GROSS REVENUES 3718,B100000,00000,1300,00000TIME SPENT 3718,B100000,00000,1350,00000TIME SPENT 3718,B100000,00000,1400,00000ASSIGNED TIME 3718,S000000,00100,0200,06/14/2000 3718,S200000,00100,0100,11301 N. 99TH AVE. 3718,S200000,00200,0100,PEORIA 3718,S200000,00200,0200,AZ 3718,S200000,00200,0300,85345 3718,S200000,00300,0100,MARICOPA 3718,S200000,00400,0100,IMMANUEL CAMPUS OF CARE 3718,S200000,00400,0200,035250 3718,S200000,00400,0300,10/23/1998 3718,S200000,00400,0500,P 3718,S200000,01600,0100,Y 3723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3723,A000000,00300,0000,00300EMPLOYEE BENEFITS 3723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3723,A000000,00700,0000,00700HOUSEKEEPING 3723,A000000,00800,0000,00800DIETARY 3723,A000000,00900,0000,00900NURSING ADMINISTRATION 3723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3723,A000000,01100,0000,01100PHARMACY 3723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3723,A000000,01300,0000,01300SOCIAL SERVICE 3723,A000000,01350,0000,01500ACTIVITIES 3723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3723,A000000,01600,0000,01600SKILLED NURSING FACILITY 3723,A000000,01800,0000,01800NURSING FACILITY 3723,A000000,01810,0000,01810ICF/MR 3723,A000000,02100,0000,02100RADIOLOGY 3723,A000000,02200,0000,02200LABORATORY 3723,A000000,02300,0000,02300INTRAVENOUS THERAPY 3723,A000000,02500,0000,02500PHYSICAL THERAPY 3723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3723,A000000,02700,0000,02700SPEECH PATHOLOGY 3723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3723,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3723,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3723,A000000,03550,0000,03550FQHC 3723,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3723,A000000,05000,0000,05000CORF 3723,A000000,05010,0000,05010CMHC 3723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3723,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3723,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3723,A81000A,00100,0100,Y 3723,A81000B,00100,0300,HO CAPITAL 3723,A81000B,00200,0300,HO A&G 3723,A81000C,00100,0100,B 3723,A81000C,00100,0400,AMERICAN RETIREMENT CORP 3723,A81000C,00100,0600,HOME OFFICE 3723,A81000C,00200,0100,B 3723,A81000C,00200,0400,AMERICAN RETIREMENT CORP 3723,A81000C,00200,0600,HOME OFFICE 3723,B100000,00000,0100,00000SQUARE FEET 3723,B100000,00000,0200,00000DOLLAR VALUE 3723,B100000,00000,0300,00000GROSS SALARIES 3723,B100000,00000,0400,00000ACCUM. COST 3723,B100000,00000,0500,00000SQUARE FEET 3723,B100000,00000,0600,00000PATIENT DAYS 3723,B100000,00000,0700,00000SQUARE FEET 3723,B100000,00000,0800,00000PATIENT DAYS 3723,B100000,00000,0900,00000NURSING SALARIES 3723,B100000,00000,1000,00000PATIENT DAYS 3723,B100000,00000,1100,00000COSTED REQUIS 3723,B100000,00000,1200,00000PATIENT DAYS 3723,B100000,00000,1300,00000PATIENT DAYS 3723,B100000,00000,1350,00000PATIENT DAYS 3723,B100000,00000,1400,00000ASSIGNED TIME 3723,S000000,00100,0200,06/05/2000 3723,S200000,00100,0100,2555 N PRICE ROAD 3723,S200000,00200,0100,CHANDLER 3723,S200000,00200,0200,AZ 3723,S200000,00300,0100,MARICOPA 3723,S200000,00400,0100,PARK REGENCY HEALTH CARE CENTER 3723,S200000,00400,0200,035251 3723,S200000,00400,0300,09/01/1998 3723,S200000,00400,0500,P 3723,S200000,01600,0100,Y 3726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3726,A000000,00300,0000,00300EMPLOYEE BENEFITS 3726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3726,A000000,00700,0000,00700HOUSEKEEPING 3726,A000000,00800,0000,00800DIETARY 3726,A000000,00900,0000,00900NURSING ADMINISTRATION 3726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3726,A000000,01100,0000,01100PHARMACY 3726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3726,A000000,01300,0000,01300SOCIAL SERVICE 3726,A000000,01350,0000,01500ACTIVITIES 3726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3726,A000000,01600,0000,01600SKILLED NURSING FACILITY 3726,A000000,01800,0000,01800NURSING FACILITY 3726,A000000,01810,0000,01810ICF/MR 3726,A000000,02100,0000,02100RADIOLOGY 3726,A000000,02200,0000,02200LABORATORY 3726,A000000,02300,0000,02300INTRAVENOUS THERAPY 3726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3726,A000000,02500,0000,02500PHYSICAL THERAPY 3726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3726,A000000,02700,0000,02700SPEECH PATHOLOGY 3726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3726,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3726,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3726,A000000,03550,0000,03550FQHC 3726,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3726,A000000,04800,0000,04800AMBULANCE 3726,A000000,05000,0000,05000CORF 3726,A000000,05010,0000,05010CMHC 3726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3726,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3726,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 3726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3726,A000000,06150,0000,06300RETIREMENT CENTER 3726,B100000,00000,0100,00000SQUARE FEET 3726,B100000,00000,0200,00000NO STATISTICS 3726,B100000,00000,0300,00000GROSS SALARIES 3726,B100000,00000,0400,00000ACCUM. COST 3726,B100000,00000,0500,00000SQUARE FEET 3726,B100000,00000,0600,00000PATIENT DAYS 3726,B100000,00000,0700,00000SQUARE FEET 3726,B100000,00000,0800,00000PATIENT DAYS 3726,B100000,00000,0900,00000NURSING SALARIES 3726,B100000,00000,1000,00000PATIENT DAYS 3726,B100000,00000,1100,00000NO STATISTICS 3726,B100000,00000,1200,00000PATIENT DAYS 3726,B100000,00000,1300,00000PATIENT DAYS 3726,B100000,00000,1350,00000PATIENT DAYS 3726,B100000,00000,1400,00000NO STATISTICS 3726,S000000,00100,0200,05/31/2000 3726,S200000,00100,0100,7500 N. CALIE SIN ENVIDIA 3726,S200000,00200,0100,TUCSON 3726,S200000,00200,0200,AZ 3726,S200000,00400,0100,SANTA CATALINA VILLAS 3726,S200000,00400,0200,035253 3726,S200000,00400,0300,03/11/1999 3726,S200000,00400,0500,P 3726,S200000,01600,0100,Y 3730,S000000,00100,0200,06/22/2000 3737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3737,A000000,00300,0000,00300EMPLOYEE BENEFITS 3737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3737,A000000,00700,0000,00700HOUSEKEEPING 3737,A000000,00800,0000,00800DIETARY 3737,A000000,00900,0000,00900NURSING ADMINISTRATION 3737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3737,A000000,01100,0000,01100PHARMACY 3737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3737,A000000,01300,0000,01300SOCIAL SERVICE 3737,A000000,01350,0000,01500ACTIVITIES 3737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3737,A000000,01600,0000,01600SKILLED NURSING FACILITY 3737,A000000,01800,0000,01800NURSING FACILITY 3737,A000000,01810,0000,01810ICF/MR 3737,A000000,02100,0000,02100RADIOLOGY 3737,A000000,02200,0000,02200LABORATORY 3737,A000000,02300,0000,02300INTRAVENOUS THERAPY 3737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3737,A000000,02500,0000,02500PHYSICAL THERAPY 3737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3737,A000000,02700,0000,02700SPEECH PATHOLOGY 3737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3737,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3737,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3737,A000000,03550,0000,03550FQHC 3737,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3737,A000000,05000,0000,05000CORF 3737,A000000,05010,0000,05010CMHC 3737,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3737,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3737,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3737,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3737,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3737,A81000A,00100,0100,Y 3737,A81000B,00100,0300,HOME OFFICE 3737,A81000B,00300,0300,PHARMACY CONSULTANT 3737,A81000B,00400,0300,SUPPLIES 3737,A81000B,00500,0300,SUPPLIES 3737,A81000B,00600,0300,SUPPLIES 3737,A81000B,00700,0300,SUPPLIES 3737,A81000B,00800,0300,SUPPLIES 3737,A81000B,00900,0300,DRUGS 3737,A81000C,00100,0100,B 3737,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3737,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3737,A81000C,00100,0600,HOME OFFICE 3737,A81000C,00200,0100,G 3737,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3737,A81000C,00200,0400,SUNBELT 3737,A81000C,00200,0600,THERAPY MGMNT SERVICES 3737,A81000C,00300,0100,G 3737,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3737,A81000C,00300,0400,QUEST 3737,A81000C,00300,0600,PHARMACY/SUPPLIES 3737,A81000C,00400,0100,G 3737,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3737,A81000C,00400,0400,AMPRO 3737,A81000C,00400,0600,LAB SERVICES 3737,B100000,00000,0100,00000SQUARE FEET 3737,B100000,00000,0200,00000SQUARE FEET 3737,B100000,00000,0300,00000GROSS SALARIES 3737,B100000,00000,0400,00000ACCUM. COST 3737,B100000,00000,0500,00000SQUARE FEET 3737,B100000,00000,0600,00000PATIENT DAYS 3737,B100000,00000,0700,00000SQUARE FEET 3737,B100000,00000,0800,00000MEALS SERVED 3737,B100000,00000,0900,00000DIRECT NRSG 3737,B100000,00000,1000,00000COSTED REQUIS. 3737,B100000,00000,1100,00000NO STATISTICS 3737,B100000,00000,1200,00000GROSS CHARGES 3737,B100000,00000,1300,00000PATIENT DAYS 3737,B100000,00000,1350,00000PATIENT DAYS 3737,B100000,00000,1400,00000NO STATISTICS 3737,E10A180,00350,0100,03/02/2000 3737,S000000,00100,0200,06/05/2000 3737,S200000,00100,0100,4686 E. ASBURY CIRCLE 3737,S200000,00200,0100,DENVER 3737,S200000,00200,0200,CO 3737,S200000,00300,0100,DENVER 3737,S200000,00400,0100,AMBERWOOD COURT CARE CENTER 3737,S200000,00400,0200,065034 3737,S200000,00400,0300,10/01/1989 3737,S200000,00400,0500,P 3737,S200000,01600,0100,Y 3743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3743,A000000,00300,0000,00300EMPLOYEE BENEFITS 3743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3743,A000000,00700,0000,00700HOUSEKEEPING 3743,A000000,00800,0000,00800DIETARY 3743,A000000,00900,0000,00900NURSING ADMINISTRATION 3743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3743,A000000,01100,0000,01100PHARMACY 3743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3743,A000000,01300,0000,01300SOCIAL SERVICE 3743,A000000,01350,0000,01500ACTIVITIES 3743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3743,A000000,01600,0000,01600SKILLED NURSING FACILITY 3743,A000000,01800,0000,01800NURSING FACILITY 3743,A000000,01810,0000,01810ICF/MR 3743,A000000,02100,0000,02100RADIOLOGY 3743,A000000,02200,0000,02200LABORATORY 3743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3743,A000000,02500,0000,02500PHYSICAL THERAPY 3743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3743,A000000,02700,0000,02700SPEECH PATHOLOGY 3743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3743,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3743,A000000,03200,0000,03200SUPPORT SURFACES 3743,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3743,A000000,03550,0000,03550FQHC 3743,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3743,A000000,05000,0000,05000CORF 3743,A000000,05010,0000,05010CMHC 3743,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3743,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3743,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3743,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3743,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3743,A81000A,00100,0100,Y 3743,A81000B,00100,0300,HOME OFFICE 3743,A81000B,00200,0300,PHARMACY CONSULTANT 3743,A81000B,00300,0300,PHARMACY SHIPPING 3743,A81000B,00400,0300,SUPPLIES 3743,A81000B,00600,0300,XRAY SERVICES 3743,A81000B,00700,0300,LAB SERVICES 3743,A81000B,00900,0300,DRUGS 3743,A81000C,00100,0100,B 3743,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3743,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3743,A81000C,00100,0600,HOME OFFICE 3743,A81000C,00200,0100,G 3743,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3743,A81000C,00200,0400,SUNBELT 3743,A81000C,00200,0600,THERAPY MGMT SERVICE 3743,A81000C,00300,0100,G 3743,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3743,A81000C,00300,0400,QUEST 3743,A81000C,00300,0600,PHARMACY/SUPPLIES 3743,A81000C,00400,0100,G 3743,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3743,A81000C,00400,0400,AMPRO 3743,A81000C,00400,0600,LAB SERVICES 3743,B100000,00000,0100,00000SQUARE FEET 3743,B100000,00000,0200,00000SQUARE FEET 3743,B100000,00000,0300,00000GROSS SALARIES 3743,B100000,00000,0400,00000ACCUM. COST 3743,B100000,00000,0500,00000SQUARE FEET 3743,B100000,00000,0600,00000POUNDS OF LAUNDRY 3743,B100000,00000,0700,00000SQUARE FEET 3743,B100000,00000,0800,00000MEALS SERVED 3743,B100000,00000,0900,00000DIRECT NRSING HRS 3743,B100000,00000,1000,00000COSTED REQUIS. 3743,B100000,00000,1100,00000COSTED REQUIS. 3743,B100000,00000,1200,00000GROSS CHARGES 3743,B100000,00000,1300,00000PATIENT DAYS 3743,B100000,00000,1350,00000PATIENT DAYS 3743,B100000,00000,1400,00000ASSIGNED TIME 3743,E10A180,00351,0100,03/02/2000 3743,S000000,00100,0200,05/31/2000 3743,S200000,00100,0100,4660 E ASBURY CIRCLE 3743,S200000,00200,0100,DENVER 3743,S200000,00200,0200,CO 3743,S200000,00300,0100,DENVER 3743,S200000,00400,0100,BROOKSHIRE HOUSE 3743,S200000,00400,0200,065242 3743,S200000,00400,0300,11/16/1989 3743,S200000,00400,0500,P 3743,S200000,01600,0100,Y 3750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3750,A000000,00300,0000,00300EMPLOYEE BENEFITS 3750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3750,A000000,00700,0000,00700HOUSEKEEPING 3750,A000000,00800,0000,00800DIETARY 3750,A000000,00900,0000,00900NURSING ADMINISTRATION 3750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3750,A000000,01100,0000,01100PHARMACY 3750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3750,A000000,01300,0000,01300SOCIAL SERVICE 3750,A000000,01350,0000,01500ACTIVITIES 3750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3750,A000000,01600,0000,01600SKILLED NURSING FACILITY 3750,A000000,01800,0000,01800NURSING FACILITY 3750,A000000,01810,0000,01810ICF/MR 3750,A000000,02100,0000,02100RADIOLOGY 3750,A000000,02200,0000,02200LABORATORY 3750,A000000,02300,0000,02300INTRAVENOUS THERAPY 3750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3750,A000000,02500,0000,02500PHYSICAL THERAPY 3750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3750,A000000,02700,0000,02700SPEECH PATHOLOGY 3750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3750,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3750,A000000,03200,0000,03200SUPPORT SURFACES 3750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3750,A000000,03550,0000,03550FQHC 3750,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3750,A000000,05000,0000,05000CORF 3750,A000000,05010,0000,05010CMHC 3750,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3750,A81000A,00100,0100,Y 3750,A81000B,00100,0300,HOME OFFICE 3750,A81000B,00200,0300,PHARMACY CONSULTANT 3750,A81000B,00300,0300,PHARMACY SHIPPING 3750,A81000B,00400,0300,SUPPLIES 3750,A81000B,00600,0300,XRAY SERVICES 3750,A81000B,00700,0300,LAB SERVICES 3750,A81000B,00900,0300,DRUGS 3750,A81000C,00100,0100,B 3750,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3750,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3750,A81000C,00100,0600,HOME OFFICE 3750,A81000C,00200,0100,G 3750,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3750,A81000C,00200,0400,SUNBELT 3750,A81000C,00200,0600,THERAPY MGMNT SERVICES 3750,A81000C,00300,0100,G 3750,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3750,A81000C,00300,0400,QUEST 3750,A81000C,00300,0600,PHARMACY/SUPPLIES 3750,A81000C,00400,0100,G 3750,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3750,A81000C,00400,0400,AMPRO 3750,A81000C,00400,0600,LAB SERVICES 3750,B100000,00000,0100,00000SQUARE FEET 3750,B100000,00000,0200,00000SQUARE FEET 3750,B100000,00000,0300,00000GROSS SALARIES 3750,B100000,00000,0400,00000ACCUM. COST 3750,B100000,00000,0500,00000SQUARE FEET 3750,B100000,00000,0600,00000PATIENT DAYS 3750,B100000,00000,0700,00000SQUARE FEET 3750,B100000,00000,0800,00000MEALS SERVED 3750,B100000,00000,0900,00000DIRECT NRSING HRS 3750,B100000,00000,1000,00000COSTED REQUIS. 3750,B100000,00000,1100,00000COSTED REQUIS. 3750,B100000,00000,1200,00000GROSS CHARGES 3750,B100000,00000,1300,00000PATIENT DAYS 3750,B100000,00000,1350,00000PATIENT DAYS 3750,B100000,00000,1400,00000ASSIGNED TIME 3750,E10A180,00550,0300,06/05/2000 3750,S000000,00100,0200,05/31/2000 3750,S200000,00100,0100,1432 DEPEW ST 3750,S200000,00200,0100,LAKEWOOD 3750,S200000,00200,0200,CO 3750,S200000,00300,0100,JEFFERSON 3750,S200000,00400,0100,CORNERSTONE CARE CENTER 3750,S200000,00400,0200,065272 3750,S200000,00400,0300,06/13/1995 3750,S200000,00400,0500,P 3750,S200000,01600,0100,Y 3757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3757,A000000,00300,0000,00300EMPLOYEE BENEFITS 3757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3757,A000000,00700,0000,00700HOUSEKEEPING 3757,A000000,00800,0000,00800DIETARY 3757,A000000,00900,0000,00900NURSING ADMINISTRATION 3757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3757,A000000,01100,0000,01100PHARMACY 3757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3757,A000000,01300,0000,01300SOCIAL SERVICE 3757,A000000,01350,0000,01500ACTIVITIES 3757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3757,A000000,01600,0000,01600SKILLED NURSING FACILITY 3757,A000000,01800,0000,01800NURSING FACILITY 3757,A000000,01810,0000,01810ICF/MR 3757,A000000,02100,0000,02100RADIOLOGY 3757,A000000,02200,0000,02200LABORATORY 3757,A000000,02300,0000,02300INTRAVENOUS THERAPY 3757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3757,A000000,02500,0000,02500PHYSICAL THERAPY 3757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3757,A000000,02700,0000,02700SPEECH PATHOLOGY 3757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3757,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3757,A000000,03200,0000,03200SUPPORT SURFACES 3757,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3757,A000000,03550,0000,03550FQHC 3757,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3757,A000000,05000,0000,05000CORF 3757,A000000,05010,0000,05010CMHC 3757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3757,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3757,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3757,A81000A,00100,0100,Y 3757,A81000B,00100,0300,HOME OFFICE 3757,A81000B,00200,0300,PHARMACY CONSULTANT 3757,A81000B,00300,0300,PHARMACY SHIPPING 3757,A81000B,00400,0300,SUPPLIES 3757,A81000B,00600,0300,XRAY SERVICES 3757,A81000B,00700,0300,LAB SERVICES 3757,A81000B,00900,0300,DRUGS 3757,A81000C,00100,0100,B 3757,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3757,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3757,A81000C,00100,0600,HOME OFFICE 3757,A81000C,00200,0100,G 3757,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3757,A81000C,00200,0400,SUNBELT 3757,A81000C,00200,0600,THERAPY MGMT SERVICE 3757,A81000C,00300,0100,G 3757,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3757,A81000C,00300,0400,QUEST 3757,A81000C,00300,0600,PHARMACY/SUPPLIES 3757,A81000C,00400,0100,G 3757,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3757,A81000C,00400,0400,AMPRO 3757,A81000C,00400,0600,LAB SERVICES 3757,B100000,00000,0100,00000SQUARE FEET 3757,B100000,00000,0200,00000SQUARE FEET 3757,B100000,00000,0300,00000GROSS SALARIES 3757,B100000,00000,0400,00000ACCUM. COST 3757,B100000,00000,0500,00000SQUARE FEET 3757,B100000,00000,0600,00000POUNDS OF LAUNDRY 3757,B100000,00000,0700,00000SQUARE FEET 3757,B100000,00000,0800,00000MEALS SERVED 3757,B100000,00000,0900,00000DIRECT NRSING HRS 3757,B100000,00000,1000,00000COSTED REQUIS. 3757,B100000,00000,1100,00000COSTED REQUIS. 3757,B100000,00000,1200,00000GROSS CHARGES 3757,B100000,00000,1300,00000PATIENT DAYS 3757,B100000,00000,1350,00000PATIENT DAYS 3757,B100000,00000,1400,00000ASSIGNED TIME 3757,E10A180,00550,0300,06/07/2000 3757,S000000,00100,0200,06/05/2000 3757,S200000,00100,0100,6270 W 38TH AVE 3757,S200000,00200,0100,WHEAT RIDGE 3757,S200000,00200,0200,CO 3757,S200000,00200,0300,80033 3757,S200000,00300,0100,JEFFERSON 3757,S200000,00400,0100,CHRISTOPHER HOUSE 3757,S200000,00400,0200,065273 3757,S200000,00400,0300,01/26/1990 3757,S200000,00400,0500,P 3757,S200000,01600,0100,Y 3757,S200000,01900,0100,HEALTH SYSTEM CHAIN 3764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3764,A000000,00300,0000,00300EMPLOYEE BENEFITS 3764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3764,A000000,00700,0000,00700HOUSEKEEPING 3764,A000000,00800,0000,00800DIETARY 3764,A000000,00900,0000,00900NURSING ADMINISTRATION 3764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3764,A000000,01100,0000,01100PHARMACY 3764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3764,A000000,01300,0000,01300SOCIAL SERVICE 3764,A000000,01350,0000,01500ACTIVITIES 3764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3764,A000000,01600,0000,01600SKILLED NURSING FACILITY 3764,A000000,01800,0000,01800NURSING FACILITY 3764,A000000,01810,0000,01810ICF/MR 3764,A000000,02100,0000,02100RADIOLOGY 3764,A000000,02200,0000,02200LABORATORY 3764,A000000,02300,0000,02300INTRAVENOUS THERAPY 3764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3764,A000000,02500,0000,02500PHYSICAL THERAPY 3764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3764,A000000,02700,0000,02700SPEECH PATHOLOGY 3764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3764,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3764,A000000,03200,0000,03200SUPPORT SURFACES 3764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3764,A000000,03550,0000,03550FQHC 3764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3764,A000000,05000,0000,05000CORF 3764,A000000,05010,0000,05010CMHC 3764,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3764,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3764,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3764,A81000A,00100,0100,Y 3764,A81000B,00100,0300,HOME OFFICE 3764,A81000B,00200,0300,PHARMACY CONSULTANT 3764,A81000B,00300,0300,PHARMACY SHIPPING 3764,A81000B,00400,0300,SUPPLIES 3764,A81000B,00600,0300,XRAY SERVICES 3764,A81000B,00700,0300,LAB SERVICES 3764,A81000B,00900,0300,DRUGS 3764,A81000C,00100,0100,B 3764,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3764,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3764,A81000C,00100,0600,HOME OFFICE 3764,A81000C,00200,0100,G 3764,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3764,A81000C,00200,0400,SUNBELT 3764,A81000C,00200,0600,THERAPY MGMNT SERVICES 3764,A81000C,00300,0100,G 3764,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3764,A81000C,00300,0400,QUEST 3764,A81000C,00300,0600,PHARMACY/SUPPLIES 3764,A81000C,00400,0100,G 3764,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3764,A81000C,00400,0400,AMPRO 3764,A81000C,00400,0600,LAB SERVICES 3764,B100000,00000,0100,00000SQUARE FEET 3764,B100000,00000,0200,00000SQUARE FEET 3764,B100000,00000,0300,00000GROSS SALARIES 3764,B100000,00000,0400,00000ACCUM. COST 3764,B100000,00000,0500,00000SQUARE FEET 3764,B100000,00000,0600,00000PATIENT DAYS 3764,B100000,00000,0700,00000SQUARE FEET 3764,B100000,00000,0800,00000MEALS SERVED 3764,B100000,00000,0900,00000DIRECT NRSING HRS 3764,B100000,00000,1000,00000COSTED REQUIS. 3764,B100000,00000,1100,00000COSTED REQUIS. 3764,B100000,00000,1200,00000GROSS CHARGES 3764,B100000,00000,1300,00000PATIENT DAYS 3764,B100000,00000,1350,00000PATIENT DAYS 3764,B100000,00000,1400,00000ASSIGNED TIME 3764,S000000,00100,0200,05/31/2000 3764,S200000,00100,0100,3185 W ARKANSAS AVE 3764,S200000,00200,0100,DENVER 3764,S200000,00200,0200,CO 3764,S200000,00300,0100,DENVER 3764,S200000,00400,0100,ARKANSAS MANOR CARE CENTER 3764,S200000,00400,0200,065274 3764,S200000,00400,0300,06/13/1995 3764,S200000,00400,0500,P 3764,S200000,01600,0100,Y 3784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3784,A000000,00300,0000,00300EMPLOYEE BENEFITS 3784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3784,A000000,00700,0000,00700HOUSEKEEPING 3784,A000000,00800,0000,00800DIETARY 3784,A000000,00900,0000,00900NURSING ADMINISTRATION 3784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3784,A000000,01100,0000,01100PHARMACY 3784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3784,A000000,01300,0000,01300SOCIAL SERVICE 3784,A000000,01350,0000,01500ACTIVITIES 3784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3784,A000000,01600,0000,01600SKILLED NURSING FACILITY 3784,A000000,01800,0000,01800NURSING FACILITY 3784,A000000,01810,0000,01810ICF/MR 3784,A000000,02100,0000,02100RADIOLOGY 3784,A000000,02200,0000,02200LABORATORY 3784,A000000,02300,0000,02300INTRAVENOUS THERAPY 3784,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3784,A000000,02500,0000,02500PHYSICAL THERAPY 3784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3784,A000000,02700,0000,02700SPEECH PATHOLOGY 3784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3784,A000000,03200,0000,03200SUPPORT SURFACES 3784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3784,A000000,03550,0000,03550FQHC 3784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3784,A000000,05000,0000,05000CORF 3784,A000000,05010,0000,05010CMHC 3784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3784,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3784,A81000A,00100,0100,Y 3784,A81000B,00100,0300,HOME OFFICE 3784,A81000B,00200,0300,PHARMACY CONSULTANT 3784,A81000B,00300,0300,PHARMACY SHIPPING 3784,A81000B,00400,0300,SUPPLIES 3784,A81000B,00500,0300,SUPPLIES 3784,A81000B,00600,0300,XRAY SERVICES 3784,A81000B,00700,0300,LAB SERVICES 3784,A81000B,00900,0300,DRUGS 3784,A81000C,00100,0100,B 3784,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3784,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3784,A81000C,00100,0600,HOME OFFICE 3784,A81000C,00200,0100,G 3784,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3784,A81000C,00200,0400,SUNBELT 3784,A81000C,00200,0600,THERAPY MGMNT SERVICES 3784,A81000C,00300,0100,G 3784,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3784,A81000C,00300,0400,QUEST 3784,A81000C,00300,0600,PHARMACY/SUPPLIES 3784,A81000C,00400,0100,G 3784,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3784,A81000C,00400,0400,AMPRO 3784,A81000C,00400,0600,LAB SERVICES 3784,B100000,00000,0100,00000SQUARE FEET 3784,B100000,00000,0200,00000SQUARE FEET 3784,B100000,00000,0300,00000GROSS SALARIES 3784,B100000,00000,0400,00000ACCUM. COST 3784,B100000,00000,0500,00000SQUARE FEET 3784,B100000,00000,0600,00000POUNDS OF LAUNDRY 3784,B100000,00000,0700,00000SQUARE FEET 3784,B100000,00000,0800,00000MEALS SERVED 3784,B100000,00000,0900,00000DIRECT NRSNG 3784,B100000,00000,1000,00000COSTED REQS 3784,B100000,00000,1100,00000NO STATISTICS 3784,B100000,00000,1200,00000GROSS CHARGES 3784,B100000,00000,1300,00000PATIENT DAYS 3784,B100000,00000,1350,00000PATIENT DAYS 3784,B100000,00000,1400,00000NO STATISTICS 3784,E10A180,00550,0300,06/05/2000 3784,S000000,00100,0200,05/31/2000 3784,S200000,00100,0100,1321 WILLOW ST 3784,S200000,00200,0100,VINCENNES 3784,S200000,00200,0200,IN 3784,S200000,00300,0100,KNOX 3784,S200000,00400,0100,WILLOW MANOR CONVALESCENT CENTER 3784,S200000,00400,0200,155004 3784,S200000,00400,0300,11/01/1991 3784,S200000,00400,0500,P 3784,S200000,01600,0100,Y 3792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3792,A000000,00300,0000,00300EMPLOYEE BENEFITS 3792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3792,A000000,00700,0000,00700HOUSEKEEPING 3792,A000000,00800,0000,00800DIETARY 3792,A000000,00900,0000,00900NURSING ADMINISTRATION 3792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3792,A000000,01100,0000,01100PHARMACY 3792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3792,A000000,01300,0000,01300SOCIAL SERVICE 3792,A000000,01350,0000,01500ACTIVITIES 3792,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3792,A000000,01600,0000,01600SKILLED NURSING FACILITY 3792,A000000,01800,0000,01800NURSING FACILITY 3792,A000000,01810,0000,01810ICF/MR 3792,A000000,02100,0000,02100RADIOLOGY 3792,A000000,02200,0000,02200LABORATORY 3792,A000000,02300,0000,02300INTRAVENOUS THERAPY 3792,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3792,A000000,02500,0000,02500PHYSICAL THERAPY 3792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3792,A000000,02700,0000,02700SPEECH PATHOLOGY 3792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3792,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3792,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3792,A000000,03550,0000,03550FQHC 3792,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3792,A000000,05000,0000,05000CORF 3792,A000000,05010,0000,05010CMHC 3792,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3792,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3792,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3792,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3792,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3792,A81000A,00100,0100,Y 3792,A81000B,00100,0300,HOME OFFICE 3792,A81000B,00200,0300,PHARMACY CONSULTANT 3792,A81000B,00300,0300,PHARMACY SHIPPING 3792,A81000B,00400,0300,SUPPLIES 3792,A81000B,00500,0300,SUPPLIES 3792,A81000B,00600,0300,XRAY SERVICES 3792,A81000B,00700,0300,LAB SERVICES 3792,A81000B,00900,0300,DRUGS 3792,A81000C,00100,0100,B 3792,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3792,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3792,A81000C,00100,0600,HOME OFFICE 3792,A81000C,00200,0100,G 3792,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3792,A81000C,00200,0400,SUNBELT 3792,A81000C,00200,0600,THERAPY MGMNT SERVICES 3792,A81000C,00300,0100,G 3792,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3792,A81000C,00300,0400,QUEST 3792,A81000C,00300,0600,PHARMACY/SUPPLIES 3792,A81000C,00400,0100,G 3792,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3792,A81000C,00400,0400,AMPRO 3792,A81000C,00400,0600,LAB SERVICES 3792,B100000,00000,0100,00000SQUARE FEET 3792,B100000,00000,0200,00000SQUARE FEET 3792,B100000,00000,0300,00000GROSS SALARIES 3792,B100000,00000,0400,00000ACCUM. COST 3792,B100000,00000,0500,00000SQUARE FEET 3792,B100000,00000,0600,00000PATIENT DAYS 3792,B100000,00000,0700,00000SQUARE FEET 3792,B100000,00000,0800,00000MEALS SERVED 3792,B100000,00000,0900,00000NURSING HOURS 3792,B100000,00000,1000,00000COSTED REQUIS. 3792,B100000,00000,1100,00000NO STATISTICS 3792,B100000,00000,1200,00000GROSS CHARGES 3792,B100000,00000,1300,00000PATIENT DAYS 3792,B100000,00000,1350,00000PATIENT DAYS 3792,B100000,00000,1400,00000NO STATISTICS 3792,S000000,00100,0200,06/07/2000 3792,S200000,00100,0100,1585 PERRYWORTH 3792,S200000,00200,0100,LEBANON 3792,S200000,00200,0200,IN 3792,S200000,00300,0100,BOONE 3792,S200000,00400,0100,ENGLISH ESTATES 3792,S200000,00400,0200,155211 3792,S200000,00400,0300,11/01/1991 3792,S200000,00400,0500,P 3792,S200000,01600,0100,Y 3798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3798,A000000,00300,0000,00300EMPLOYEE BENEFITS 3798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3798,A000000,00700,0000,00700HOUSEKEEPING 3798,A000000,00800,0000,00800DIETARY 3798,A000000,00900,0000,00900NURSING ADMINISTRATION 3798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3798,A000000,01100,0000,01100PHARMACY 3798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3798,A000000,01300,0000,01300SOCIAL SERVICE 3798,A000000,01350,0000,01500ACTIVITIES 3798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3798,A000000,01600,0000,01600SKILLED NURSING FACILITY 3798,A000000,01800,0000,01800NURSING FACILITY 3798,A000000,01810,0000,01810ICF/MR 3798,A000000,02100,0000,02100RADIOLOGY 3798,A000000,02200,0000,02200LABORATORY 3798,A000000,02300,0000,02300INTRAVENOUS THERAPY 3798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3798,A000000,02500,0000,02500PHYSICAL THERAPY 3798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3798,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3798,A000000,03200,0000,03200SUPPORT SURFACES 3798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3798,A000000,03550,0000,03550FQHC 3798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3798,A000000,05000,0000,05000CORF 3798,A000000,05010,0000,05010CMHC 3798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3798,A81000A,00100,0100,Y 3798,A81000B,00100,0300,HOME OFFICE 3798,A81000B,00200,0300,PHARMACY CONSULTANT 3798,A81000B,00300,0300,PHARMACY SHIPPING 3798,A81000B,00400,0300,SUPPLIES 3798,A81000B,00500,0300,SUPPLIES 3798,A81000B,00600,0300,XRAY SERVICES 3798,A81000B,00700,0300,LAB SERVICES 3798,A81000B,00900,0300,DRUGS 3798,A81000C,00100,0100,B 3798,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3798,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3798,A81000C,00100,0600,HOME OFFICE 3798,A81000C,00200,0100,B 3798,A81000C,00300,0100,G 3798,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3798,A81000C,00300,0400,QUEST 3798,A81000C,00300,0600,PHARMACY/SUPPLIES 3798,A81000C,00400,0100,G 3798,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3798,A81000C,00400,0400,AMPRO 3798,A81000C,00400,0600,LAB SERVICES 3798,B100000,00000,0100,00000SQUARE FEET 3798,B100000,00000,0200,00000SQUARE FEET 3798,B100000,00000,0300,00000GROSS SALARIES 3798,B100000,00000,0400,00000ACCUM. COST 3798,B100000,00000,0500,00000SQUARE FEET 3798,B100000,00000,0600,00000PATIENT DAYS 3798,B100000,00000,0700,00000SQUARE FEET 3798,B100000,00000,0800,00000MEALS SERVED 3798,B100000,00000,0900,00000NURSING HOURS 3798,B100000,00000,1000,00000COSTED REQUIS. 3798,B100000,00000,1100,00000NO STATISTICS 3798,B100000,00000,1200,00000GROSS CHARGES 3798,B100000,00000,1300,00000PATIENT DAYS 3798,B100000,00000,1350,00000PATIENT DAYS 3798,B100000,00000,1400,00000NO STATISTICS 3798,S000000,00100,0200,06/05/2000 3798,S200000,00100,0100,2424 E. 46TH ST. 3798,S200000,00200,0100,INDIANAPOLIS 3798,S200000,00200,0200,IN 3798,S200000,00300,0100,MARION 3798,S200000,00400,0100,PARKVIEW MANOR 3798,S200000,00400,0200,155360 3798,S200000,00400,0300,08/01/1991 3798,S200000,00400,0500,P 3798,S200000,01500,0100,Y 3804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3804,A000000,00300,0000,00300EMPLOYEE BENEFITS 3804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3804,A000000,00700,0000,00700HOUSEKEEPING 3804,A000000,00800,0000,00800DIETARY 3804,A000000,00900,0000,00900NURSING ADMINISTRATION 3804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3804,A000000,01100,0000,01100PHARMACY 3804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3804,A000000,01300,0000,01300SOCIAL SERVICE 3804,A000000,01350,0000,01500ACTIVITIES 3804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3804,A000000,01600,0000,01600SKILLED NURSING FACILITY 3804,A000000,01800,0000,01800NURSING FACILITY 3804,A000000,01810,0000,01810ICF/MR 3804,A000000,02100,0000,02100RADIOLOGY 3804,A000000,02200,0000,02200LABORATORY 3804,A000000,02300,0000,02300INTRAVENOUS THERAPY 3804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3804,A000000,02500,0000,02500PHYSICAL THERAPY 3804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3804,A000000,02700,0000,02700SPEECH PATHOLOGY 3804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3804,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3804,A000000,03200,0000,03200SUPPORT SURFACES 3804,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3804,A000000,03550,0000,03550FQHC 3804,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3804,A000000,05000,0000,05000CORF 3804,A000000,05010,0000,05010CMHC 3804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3804,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3804,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3804,A81000A,00100,0100,Y 3804,A81000B,00100,0300,HOME OFFICE 3804,A81000B,00300,0300,PHARMACY CONSULTANT 3804,A81000B,00400,0300,SUPPLIES 3804,A81000B,00500,0300,SUPPLIES 3804,A81000B,00600,0300,XRAY SERVICES 3804,A81000B,00700,0300,LAB SERVICES 3804,A81000B,00900,0300,DRUGS 3804,A81000C,00100,0100,B 3804,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3804,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3804,A81000C,00100,0600,HOME OFFICE 3804,A81000C,00200,0100,G 3804,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3804,A81000C,00200,0400,SUNBELT 3804,A81000C,00200,0600,THERAPY MGMNT SERVICES 3804,A81000C,00300,0100,G 3804,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3804,A81000C,00300,0400,QUEST 3804,A81000C,00300,0600,PHARMACY/SUPPLIES 3804,A81000C,00400,0100,G 3804,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3804,A81000C,00400,0400,AMPRO 3804,A81000C,00400,0600,LAB SERVICES 3804,B100000,00000,0100,00000SQUARE FEET 3804,B100000,00000,0200,00000SQUARE FEET 3804,B100000,00000,0300,00000GROSS SALARIES 3804,B100000,00000,0400,00000ACCUM. COST 3804,B100000,00000,0500,00000SQUARE FEET 3804,B100000,00000,0600,00000PATIENT DAYS 3804,B100000,00000,0700,00000SQUARE FEET 3804,B100000,00000,0800,00000MEALS SERVED 3804,B100000,00000,0900,00000DIRECT NRSING HRS 3804,B100000,00000,1000,00000COSTED REQUIS. 3804,B100000,00000,1100,00000COSTED REQUIS. 3804,B100000,00000,1200,00000GROSS CHARGES 3804,B100000,00000,1300,00000PATIENT DAYS 3804,B100000,00000,1350,00000PATIENT DAYS 3804,B100000,00000,1400,00000ASSIGNED TIME 3804,E10A180,00301,0100,09/16/1999 3804,E10A180,00301,0300,09/16/1999 3804,E10A180,00350,0100,03/02/2000 3804,E10A180,00350,0300,09/16/1999 3804,E10A180,00351,0100,09/16/1999 3804,E10A180,00505,0300,06/05/2000 3804,S000000,00100,0200,05/31/2000 3804,S200000,00100,0100,305 N 6TH AVENUE 3804,S200000,00200,0100,PRINCETON 3804,S200000,00200,0200,IN 3804,S200000,00300,0100,GIBSON 3804,S200000,00400,0100,HOLIDAY MANOR 3804,S200000,00400,0200,155447 3804,S200000,00400,0300,05/01/1992 3804,S200000,00400,0500,P 3804,S200000,01600,0100,Y 3812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3812,A000000,00300,0000,00300EMPLOYEE BENEFITS 3812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3812,A000000,00700,0000,00700HOUSEKEEPING 3812,A000000,00800,0000,00800DIETARY 3812,A000000,00900,0000,00900NURSING ADMINISTRATION 3812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3812,A000000,01100,0000,01100PHARMACY 3812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3812,A000000,01300,0000,01300SOCIAL SERVICE 3812,A000000,01350,0000,01500ACTIVITIES 3812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3812,A000000,01600,0000,01600SKILLED NURSING FACILITY 3812,A000000,01800,0000,01800NURSING FACILITY 3812,A000000,01810,0000,01810ICF/MR 3812,A000000,02100,0000,02100RADIOLOGY 3812,A000000,02200,0000,02200LABORATORY 3812,A000000,02300,0000,02300INTRAVENOUS THERAPY 3812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3812,A000000,02500,0000,02500PHYSICAL THERAPY 3812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3812,A000000,02700,0000,02700SPEECH PATHOLOGY 3812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3812,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3812,A000000,03550,0000,03550FQHC 3812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3812,A000000,05000,0000,05000CORF 3812,A000000,05010,0000,05010CMHC 3812,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3812,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3812,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3812,A81000A,00100,0100,Y 3812,A81000B,00100,0300,HOME OFFICE 3812,A81000B,00200,0300,PHARMACY CONSULTANT 3812,A81000B,00300,0300,PHARMACY SHIPPING 3812,A81000B,00400,0300,SUPPLIES 3812,A81000B,00500,0300,SUPPLIES 3812,A81000B,00600,0300,XRAY SERVICES 3812,A81000B,00700,0300,LAB SERVICES 3812,A81000B,00900,0300,DRUGS 3812,A81000C,00100,0100,B 3812,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3812,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3812,A81000C,00100,0600,HOME OFFICE 3812,A81000C,00200,0100,G 3812,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3812,A81000C,00200,0400,SUNBELT 3812,A81000C,00200,0600,THERAPY MGMNT SERVICES 3812,A81000C,00300,0100,G 3812,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3812,A81000C,00300,0400,QUEST 3812,A81000C,00300,0600,PHARMACY/SUPPLIES 3812,A81000C,00400,0100,G 3812,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3812,A81000C,00400,0400,AMPRO 3812,A81000C,00400,0600,LAB SERVICES 3812,B100000,00000,0100,00000SQUARE FEET 3812,B100000,00000,0200,00000SQUARE FEET 3812,B100000,00000,0300,00000GROSS SALARIES 3812,B100000,00000,0400,00000ACCUM. COST 3812,B100000,00000,0500,00000SQUARE FEET 3812,B100000,00000,0600,00000POUNDS OF LAUNDRY 3812,B100000,00000,0700,00000SQUARE FEET 3812,B100000,00000,0800,00000MEALS SERVED 3812,B100000,00000,0900,00000DIRECT NRSING HRS 3812,B100000,00000,1000,00000COSTED REQUIS. 3812,B100000,00000,1100,00000COSTED REQUIS. 3812,B100000,00000,1200,00000GROSS CHARGES 3812,B100000,00000,1300,00000PATIENT DAYS 3812,B100000,00000,1350,00000PATIENT DAYS 3812,B100000,00000,1400,00000ASSIGNED TIME 3812,E10A180,00350,0100,03/02/2000 3812,S000000,00100,0200,05/31/2000 3812,S200000,00100,0100,1802 E DOWLING STREET 3812,S200000,00200,0100,KENDALLVILLE 3812,S200000,00200,0200,IN 3812,S200000,00300,0100,NOBLE 3812,S200000,00400,0100,KENDALLVILLE MANOR HEALTHCARE CENTER 3812,S200000,00400,0200,155482 3812,S200000,00400,0300,12/01/1992 3812,S200000,00400,0500,P 3812,S200000,01600,0100,Y 3820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3820,A000000,00300,0000,00300EMPLOYEE BENEFITS 3820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3820,A000000,00700,0000,00700HOUSEKEEPING 3820,A000000,00800,0000,00800DIETARY 3820,A000000,00900,0000,00900NURSING ADMINISTRATION 3820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3820,A000000,01100,0000,01100PHARMACY 3820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3820,A000000,01300,0000,01300SOCIAL SERVICE 3820,A000000,01350,0000,01500ACTIVITIES 3820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3820,A000000,01600,0000,01600SKILLED NURSING FACILITY 3820,A000000,01800,0000,01800NURSING FACILITY 3820,A000000,01810,0000,01810ICF/MR 3820,A000000,02100,0000,02100RADIOLOGY 3820,A000000,02200,0000,02200LABORATORY 3820,A000000,02300,0000,02300INTRAVENOUS THERAPY 3820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3820,A000000,02500,0000,02500PHYSICAL THERAPY 3820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3820,A000000,02700,0000,02700SPEECH PATHOLOGY 3820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3820,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3820,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3820,A000000,03550,0000,03550FQHC 3820,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3820,A000000,05000,0000,05000CORF 3820,A000000,05010,0000,05010CMHC 3820,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3820,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3820,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3820,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3820,A81000A,00100,0100,Y 3820,A81000B,00100,0300,HOME OFFICE 3820,A81000B,00300,0300,PHARMACY CONSULTANT 3820,A81000B,00400,0300,SUPPLIES 3820,A81000B,00500,0300,SUPPLIES 3820,A81000B,00600,0300,XRAY SERVICES 3820,A81000B,00700,0300,LAB SERVICES 3820,A81000B,00900,0300,DRUGS 3820,A81000C,00100,0100,B 3820,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3820,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3820,A81000C,00100,0600,HOME OFFICE 3820,A81000C,00200,0100,G 3820,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3820,A81000C,00200,0400,SUNBELT 3820,A81000C,00200,0600,THERAPY MGMNT SERVICES 3820,A81000C,00300,0100,G 3820,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3820,A81000C,00300,0400,QUEST 3820,A81000C,00300,0600,PHARMACY/SUPPLIES 3820,A81000C,00400,0100,G 3820,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3820,A81000C,00400,0400,AMPRO 3820,A81000C,00400,0600,LAB SERVICES 3820,B100000,00000,0100,00000SQUARE FEET 3820,B100000,00000,0200,00000SQUARE FEET 3820,B100000,00000,0300,00000GROSS SALARIES 3820,B100000,00000,0400,00000ACCUM. COST 3820,B100000,00000,0500,00000SQUARE FEET 3820,B100000,00000,0600,00000POUNDS OF LAUNDRY 3820,B100000,00000,0700,00000SQUARE FEET 3820,B100000,00000,0800,00000MEALS SERVED 3820,B100000,00000,0900,00000DIRECT NRSING HRS 3820,B100000,00000,1000,00000COSTED REQUIS. 3820,B100000,00000,1100,00000COSTED REQUIS. 3820,B100000,00000,1200,00000GROSS CHARGES 3820,B100000,00000,1300,00000PATIENT DAYS 3820,B100000,00000,1350,00000PATIENT DAYS 3820,B100000,00000,1400,00000ASSIGNED TIME 3820,E10A180,00350,0100,03/02/2000 3820,E10A180,00501,0100,06/05/2000 3820,E10A180,00550,0300,06/05/2000 3820,S000000,00100,0200,05/31/2000 3820,S200000,00100,0100,HWY 165 WEST 3820,S200000,00100,0300,369 3820,S200000,00200,0100,OWENSVILLE 3820,S200000,00200,0200,IN 3820,S200000,00300,0100,GIBSON 3820,S200000,00400,0100,OWENSVILLE CONVALESCENT CENTER 3820,S200000,00400,0200,155502 3820,S200000,00400,0300,11/19/1993 3820,S200000,00400,0500,P 3820,S200000,01600,0100,Y 3828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3828,A000000,00300,0000,00300EMPLOYEE BENEFITS 3828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3828,A000000,00700,0000,00700HOUSEKEEPING 3828,A000000,00800,0000,00800DIETARY 3828,A000000,00900,0000,00900NURSING ADMINISTRATION 3828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3828,A000000,01100,0000,01100PHARMACY 3828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3828,A000000,01300,0000,01300SOCIAL SERVICE 3828,A000000,01350,0000,01500ACTIVITIES 3828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3828,A000000,01600,0000,01600SKILLED NURSING FACILITY 3828,A000000,01800,0000,01800NURSING FACILITY 3828,A000000,01810,0000,01810ICF/MR 3828,A000000,02100,0000,02100RADIOLOGY 3828,A000000,02200,0000,02200LABORATORY 3828,A000000,02300,0000,02300INTRAVENOUS THERAPY 3828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3828,A000000,02500,0000,02500PHYSICAL THERAPY 3828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3828,A000000,02700,0000,02700SPEECH PATHOLOGY 3828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3828,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3828,A000000,03200,0000,03200SUPPORT SURFACES 3828,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3828,A000000,03550,0000,03550FQHC 3828,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3828,A000000,05000,0000,05000CORF 3828,A000000,05010,0000,05010CMHC 3828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3828,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3828,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3828,A81000A,00100,0100,Y 3828,A81000B,00100,0300,HOME OFFICE 3828,A81000B,00300,0300,PHARMACY CONSULTANT 3828,A81000B,00400,0300,SUPPLIES 3828,A81000B,00500,0300,SUPPLIES 3828,A81000B,00600,0300,XRAY SERVICES 3828,A81000B,00700,0300,LAB SERVICES 3828,A81000B,00900,0300,DRUGS 3828,A81000C,00100,0100,B 3828,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3828,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3828,A81000C,00100,0600,HOME OFFICE 3828,A81000C,00200,0100,G 3828,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3828,A81000C,00200,0400,SUNBELT 3828,A81000C,00200,0600,THERAPY MGMNT SERVICES 3828,A81000C,00300,0100,G 3828,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3828,A81000C,00300,0400,QUEST 3828,A81000C,00300,0600,PHARMACY/SUPPLIES 3828,A81000C,00400,0100,G 3828,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3828,A81000C,00400,0400,AMPRO 3828,A81000C,00400,0600,LAB SERVICES 3828,B100000,00000,0100,00000SQUARE FEET 3828,B100000,00000,0200,00000SQUARE FEET 3828,B100000,00000,0300,00000GROSS SALARIES 3828,B100000,00000,0400,00000ACCUM. COST 3828,B100000,00000,0500,00000SQUARE FEET 3828,B100000,00000,0600,00000POUNDS OF LAUNDRY 3828,B100000,00000,0700,00000SQUARE FEET 3828,B100000,00000,0800,00000MEALS SERVED 3828,B100000,00000,0900,00000DIRECT NRSING HRS 3828,B100000,00000,1000,00000COSTED REQUIS. 3828,B100000,00000,1100,00000COSTED REQUIS. 3828,B100000,00000,1200,00000GROSS CHARGES 3828,B100000,00000,1300,00000PATIENT DAYS 3828,B100000,00000,1350,00000PATIENT DAYS 3828,B100000,00000,1400,00000ASSIGNED TIME 3828,E10A180,00550,0300,06/05/2000 3828,S000000,00100,0200,05/31/2000 3828,S200000,00100,0100,725 S 2ND STREET 3828,S200000,00200,0100,BOONVILLE 3828,S200000,00200,0200,IN 3828,S200000,00300,0100,WARRICK 3828,S200000,00400,0100,BOONVILLE CONVALESCENT CENTER 3828,S200000,00400,0200,155508 3828,S200000,00400,0300,11/19/1993 3828,S200000,00400,0500,P 3828,S200000,01600,0100,Y 3836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3836,A000000,00300,0000,00300EMPLOYEE BENEFITS 3836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3836,A000000,00700,0000,00700HOUSEKEEPING 3836,A000000,00800,0000,00800DIETARY 3836,A000000,00900,0000,00900NURSING ADMINISTRATION 3836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3836,A000000,01100,0000,01100PHARMACY 3836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3836,A000000,01300,0000,01300SOCIAL SERVICE 3836,A000000,01350,0000,01500ACTIVITIES 3836,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3836,A000000,01600,0000,01600SKILLED NURSING FACILITY 3836,A000000,01800,0000,01800NURSING FACILITY 3836,A000000,01810,0000,01810ICF/MR 3836,A000000,02100,0000,02100RADIOLOGY 3836,A000000,02200,0000,02200LABORATORY 3836,A000000,02300,0000,02300INTRAVENOUS THERAPY 3836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3836,A000000,02500,0000,02500PHYSICAL THERAPY 3836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3836,A000000,02700,0000,02700SPEECH PATHOLOGY 3836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3836,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3836,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3836,A000000,03550,0000,03550FQHC 3836,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3836,A000000,05000,0000,05000CORF 3836,A000000,05010,0000,05010CMHC 3836,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3836,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3836,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3836,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3836,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3836,A81000A,00100,0100,Y 3836,A81000B,00100,0300,HOME OFFICE 3836,A81000B,00300,0300,PHARMACY CONSULTANT 3836,A81000B,00400,0300,SUPPLIES 3836,A81000B,00500,0300,SUPPLIES 3836,A81000B,00600,0300,XRAY SERVICES 3836,A81000B,00700,0300,LAB SERVICES 3836,A81000B,00900,0300,DRUGS 3836,A81000C,00100,0100,B 3836,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3836,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3836,A81000C,00100,0600,HOME OFFICE 3836,A81000C,00200,0100,G 3836,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3836,A81000C,00200,0400,SUNBELT 3836,A81000C,00200,0600,THERAPY MGMNT SERVICES 3836,A81000C,00300,0100,G 3836,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3836,A81000C,00300,0400,QUEST 3836,A81000C,00300,0600,PHARMACY/SUPPLIES 3836,A81000C,00400,0100,G 3836,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3836,A81000C,00400,0400,AMPRO 3836,A81000C,00400,0600,LAB SERVICES 3836,B100000,00000,0100,00000SQUARE FEET 3836,B100000,00000,0200,00000SQUARE FEET 3836,B100000,00000,0300,00000GROSS SALARIES 3836,B100000,00000,0400,00000ACCUM. COST 3836,B100000,00000,0500,00000SQUARE FEET 3836,B100000,00000,0600,00000PATIENT DAYS 3836,B100000,00000,0700,00000SQUARE FEET 3836,B100000,00000,0800,00000MEALS SERVED 3836,B100000,00000,0900,00000DIRECT NRSING HRS 3836,B100000,00000,1000,00000COSTED REQUIS. 3836,B100000,00000,1100,00000COSTED REQUIS. 3836,B100000,00000,1200,00000GROSS CHARGES 3836,B100000,00000,1300,00000PATIENT DAYS 3836,B100000,00000,1350,00000PATIENT DAYS 3836,B100000,00000,1400,00000ASSIGNED TIME 3836,E10A180,00550,0300,06/07/2000 3836,S000000,00100,0200,06/07/2000 3836,S200000,00100,0100,9325 N CRAWFORD ST 3836,S200000,00200,0100,KNIGHTSVILLE 3836,S200000,00200,0200,IN 3836,S200000,00300,0100,CLAY 3836,S200000,00400,0100,CLOVERLEAF OF KNIGHTSVILLE 3836,S200000,00400,0200,155542 3836,S200000,00400,0300,11/01/1994 3836,S200000,00400,0500,P 3836,S200000,01600,0100,Y 3844,S000000,00100,0200,06/09/2000 3849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3849,A000000,00300,0000,00300EMPLOYEE BENEFITS 3849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3849,A000000,00700,0000,00700HOUSEKEEPING 3849,A000000,00800,0000,00800DIETARY 3849,A000000,00900,0000,00900NURSING ADMINISTRATION 3849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3849,A000000,01100,0000,01100PHARMACY 3849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3849,A000000,01300,0000,01300SOCIAL SERVICE 3849,A000000,01350,0000,01500ACTIVITIES 3849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3849,A000000,01600,0000,01600SKILLED NURSING FACILITY 3849,A000000,01800,0000,01800NURSING FACILITY 3849,A000000,01810,0000,01810ICF/MR 3849,A000000,02100,0000,02100RADIOLOGY 3849,A000000,02200,0000,02200LABORATORY 3849,A000000,02300,0000,02300INTRAVENOUS THERAPY 3849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3849,A000000,02500,0000,02500PHYSICAL THERAPY 3849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3849,A000000,02700,0000,02700SPEECH PATHOLOGY 3849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3849,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3849,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3849,A000000,03550,0000,03550FQHC 3849,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3849,A000000,05000,0000,05000CORF 3849,A000000,05010,0000,05010CMHC 3849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3849,A81000A,00100,0100,Y 3849,A81000B,00100,0300,HOME OFFICE 3849,A81000B,00300,0300,PHARMACY CONSULTANT 3849,A81000B,00400,0300,SUPPLIES 3849,A81000B,00500,0300,SUPPLIES 3849,A81000B,00600,0300,SUPPLIES 3849,A81000B,00700,0300,SUPPLIES 3849,A81000B,00800,0300,SUPPLIES 3849,A81000C,00100,0100,B 3849,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3849,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3849,A81000C,00100,0600,HOME OFFICE 3849,A81000C,00200,0100,G 3849,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3849,A81000C,00200,0400,SUNBELT 3849,A81000C,00200,0600,THERAPY MGMNT SERVICES 3849,A81000C,00300,0100,G 3849,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3849,A81000C,00300,0400,QUEST 3849,A81000C,00300,0600,PHARMACY/SUPPLIES 3849,A81000C,00400,0100,G 3849,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3849,A81000C,00400,0400,AMPRO 3849,A81000C,00400,0600,LAB SERVICES 3849,B100000,00000,0100,00000SQUARE FEET 3849,B100000,00000,0200,00000SQUARE FEET 3849,B100000,00000,0300,00000GROSS SALARIES 3849,B100000,00000,0400,00000ACCUM. COST 3849,B100000,00000,0500,00000SQUARE FEET 3849,B100000,00000,0600,00000PATIENT DAYS 3849,B100000,00000,0700,00000SQUARE FEET 3849,B100000,00000,0800,00000MEALS SERVED 3849,B100000,00000,0900,00000NURSING HOURS 3849,B100000,00000,1000,00000COSTED REQUIS. 3849,B100000,00000,1100,00000NO STATISTICS 3849,B100000,00000,1200,00000GROSS CHARGES 3849,B100000,00000,1300,00000PATIENT DAYS 3849,B100000,00000,1350,00000PATIENT DAYS 3849,B100000,00000,1400,00000NO STATISTICS 3849,S000000,00100,0200,05/31/2000 3849,S200000,00100,0100,1109 S. INDIANA ST 3849,S200000,00200,0100,GREENCASTLE 3849,S200000,00200,0200,IN 3849,S200000,00300,0100,PUTNAM 3849,S200000,00400,0100,SUNSET MANOR 3849,S200000,00400,0200,155565 3849,S200000,00400,0300,04/01/1995 3849,S200000,00400,0500,P 3849,S200000,01600,0100,Y 3854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3854,A000000,00300,0000,00300EMPLOYEE BENEFITS 3854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3854,A000000,00700,0000,00700HOUSEKEEPING 3854,A000000,00800,0000,00800DIETARY 3854,A000000,00900,0000,00900NURSING ADMINISTRATION 3854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3854,A000000,01100,0000,01100PHARMACY 3854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3854,A000000,01300,0000,01300SOCIAL SERVICE 3854,A000000,01350,0000,01500ACTIVITIES 3854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3854,A000000,01600,0000,01600SKILLED NURSING FACILITY 3854,A000000,01800,0000,01800NURSING FACILITY 3854,A000000,01810,0000,01810ICF/MR 3854,A000000,02100,0000,02100RADIOLOGY 3854,A000000,02200,0000,02200LABORATORY 3854,A000000,02300,0000,02300INTRAVENOUS THERAPY 3854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3854,A000000,02500,0000,02500PHYSICAL THERAPY 3854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3854,A000000,02700,0000,02700SPEECH PATHOLOGY 3854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3854,A000000,03200,0000,03200SUPPORT SURFACES 3854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3854,A000000,03550,0000,03550FQHC 3854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3854,A000000,05000,0000,05000CORF 3854,A000000,05010,0000,05010CMHC 3854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3854,A81000A,00100,0100,Y 3854,A81000B,00100,0300,HOME OFFICE 3854,A81000B,00200,0300,PHARMACY CONSULTANT 3854,A81000B,00300,0300,PHARMACY SHIPPING 3854,A81000B,00400,0300,SUPPLIES 3854,A81000B,00500,0300,SUPPLIES 3854,A81000B,00600,0300,XRAY SERVICES 3854,A81000B,00700,0300,LAB SERVICES 3854,A81000B,00900,0300,DRUGS 3854,A81000C,00100,0100,B 3854,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3854,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3854,A81000C,00100,0600,HOME OFFICE 3854,A81000C,00200,0100,G 3854,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3854,A81000C,00200,0400,SUNBELT 3854,A81000C,00200,0600,THERAPY MGMNT SERVICES 3854,A81000C,00300,0100,G 3854,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3854,A81000C,00300,0400,QUEST 3854,A81000C,00300,0600,PHARMACY/SUPPLIES 3854,A81000C,00400,0100,G 3854,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3854,A81000C,00400,0400,AMPRO 3854,A81000C,00400,0600,LAB SERVICES 3854,B100000,00000,0100,00000SQUARE FEET 3854,B100000,00000,0200,00000SQUARE FEET 3854,B100000,00000,0300,00000GROSS SALARIES 3854,B100000,00000,0400,00000ACCUM. COST 3854,B100000,00000,0500,00000SQUARE FEET 3854,B100000,00000,0600,00000PATIENT DAYS 3854,B100000,00000,0700,00000SQUARE FEET 3854,B100000,00000,0800,00000MEALS SERVED 3854,B100000,00000,0900,00000DIRECT NRSING HRS 3854,B100000,00000,1000,00000COSTED REQUIS. 3854,B100000,00000,1100,00000COSTED REQUIS. 3854,B100000,00000,1200,00000GROSS CHARGES 3854,B100000,00000,1300,00000PATIENT DAYS 3854,B100000,00000,1350,00000PATIENT DAYS 3854,B100000,00000,1400,00000ASSIGNED TIME 3854,S000000,00100,0200,05/31/2000 3854,S200000,00100,0100,1924 WELLESLEY BLVD 3854,S200000,00200,0100,INDIANAPOLIS 3854,S200000,00200,0200,IN 3854,S200000,00300,0100,MARION 3854,S200000,00400,0100,WELLINGTON MANOR 3854,S200000,00400,0200,155636 3854,S200000,00400,0300,10/01/1997 3854,S200000,00400,0500,P 3854,S200000,01600,0100,Y 3873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3873,A000000,00300,0000,00300EMPLOYEE BENEFITS 3873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3873,A000000,00700,0000,00700HOUSEKEEPING 3873,A000000,00800,0000,00800DIETARY 3873,A000000,00900,0000,00900NURSING ADMINISTRATION 3873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3873,A000000,01100,0000,01100PHARMACY 3873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3873,A000000,01300,0000,01300SOCIAL SERVICE 3873,A000000,01350,0000,01500ACTIVITIES 3873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3873,A000000,01600,0000,01600SKILLED NURSING FACILITY 3873,A000000,01800,0000,01800NURSING FACILITY 3873,A000000,01810,0000,01810ICF/MR 3873,A000000,02100,0000,02100RADIOLOGY 3873,A000000,02200,0000,02200LABORATORY 3873,A000000,02300,0000,02300INTRAVENOUS THERAPY 3873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3873,A000000,02500,0000,02500PHYSICAL THERAPY 3873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3873,A000000,02700,0000,02700SPEECH PATHOLOGY 3873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3873,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3873,A000000,03200,0000,03200SUPPORT SURFACES 3873,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3873,A000000,03550,0000,03550FQHC 3873,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3873,A000000,05000,0000,05000CORF 3873,A000000,05010,0000,05010CMHC 3873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3873,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3873,A81000A,00100,0100,Y 3873,A81000B,00100,0300,HOME OFFICE 3873,A81000B,00600,0300,XRAY SERVICES 3873,A81000B,00700,0300,LAB SERVICES 3873,A81000C,00100,0100,B 3873,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3873,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3873,A81000C,00100,0600,HOME OFFICE 3873,A81000C,00200,0100,G 3873,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3873,A81000C,00200,0400,SUNBELT 3873,A81000C,00200,0600,THERAPY MGMNT SERVICES 3873,A81000C,00300,0100,G 3873,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3873,A81000C,00300,0400,QUEST 3873,A81000C,00300,0600,PHARMACY/SUPPLIES 3873,A81000C,00400,0100,G 3873,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3873,A81000C,00400,0400,AMPRO 3873,A81000C,00400,0600,LAB SERVICES 3873,B100000,00000,0100,00000SQUARE FEET 3873,B100000,00000,0200,00000SQUARE FEET 3873,B100000,00000,0300,00000GROSS SALARIES 3873,B100000,00000,0400,00000ACCUM. COST 3873,B100000,00000,0500,00000SQUARE FEET 3873,B100000,00000,0600,00000PATIENT DAYS 3873,B100000,00000,0700,00000SQUARE FEET 3873,B100000,00000,0800,00000MEALS SERVED 3873,B100000,00000,0900,00000DIRECT NRSING HRS 3873,B100000,00000,1000,00000COSTED REQUIS. 3873,B100000,00000,1100,00000COSTED REQUIS. 3873,B100000,00000,1200,00000GROSS CHARGES 3873,B100000,00000,1300,00000PATIENT DAYS 3873,B100000,00000,1350,00000PATIENT DAYS 3873,B100000,00000,1400,00000ASSIGNED TIME 3873,E10A180,00301,0100,12/16/1999 3873,E10A180,00550,0300,06/07/2000 3873,S000000,00100,0200,06/05/2000 3873,S200000,00100,0100,8365 NEWBURG ROAD 3873,S200000,00200,0100,WESTLAND 3873,S200000,00200,0200,MI 3873,S200000,00300,0100,WAYNE 3873,S200000,00400,0100,NIGHTINGALE WEST NURSING HOME 3873,S200000,00400,0200,235578 3873,S200000,00400,0300,05/01/1997 3873,S200000,00400,0500,P 3873,S200000,01600,0100,Y 3906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3906,A000000,00300,0000,00300EMPLOYEE BENEFITS 3906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3906,A000000,00700,0000,00700HOUSEKEEPING 3906,A000000,00800,0000,00800DIETARY 3906,A000000,00900,0000,00900NURSING ADMINISTRATION 3906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3906,A000000,01100,0000,01100PHARMACY 3906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3906,A000000,01300,0000,01300SOCIAL SERVICE 3906,A000000,01350,0000,01500OTHER GENERAL SERVICES 3906,A000000,01351,0000,01501ACTIVITIES 3906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3906,A000000,01600,0000,01600SKILLED NURSING FACILITY 3906,A000000,01800,0000,01800NURSING FACILITY 3906,A000000,01810,0000,01810ICF/MR 3906,A000000,01900,0000,01900OTHER LONG TERM CARE 3906,A000000,02100,0000,02100RADIOLOGY 3906,A000000,02200,0000,02200LABORATORY 3906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3906,A000000,02500,0000,02500PHYSICAL THERAPY 3906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3906,A000000,02700,0000,02700SPEECH PATHOLOGY 3906,A000000,02800,0000,02800ELECTROCARDIOLOGY 3906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3906,A000000,03201,0000,03201THERAPUETIC BEDS 3906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3906,A000000,03550,0000,03550FQHC 3906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3906,A000000,05000,0000,05000CORF 3906,A000000,05010,0000,05010CMHC 3906,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3906,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3906,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3906,A81000A,00100,0100,Y 3906,A81000B,00100,0300,A&G 3906,A81000C,00100,0400,HASMARK CORPORATION 3906,A81000C,00100,0600,NURSING HOME OPERATORS 3906,B100000,00000,0100,00000SQUARE FEET 3906,B100000,00000,0200,00000DOLLAR VALUE 3906,B100000,00000,0300,00000GROSS SALARIES 3906,B100000,00000,0400,00000ACCUM. COST 3906,B100000,00000,0500,00000SQUARE FEET 3906,B100000,00000,0600,00000PATIENT DAYS 3906,B100000,00000,0700,00000SQUARE FEET 3906,B100000,00000,0800,00000MEALS SERVED 3906,B100000,00000,0900,00000DIRECT NRSING HRS 3906,B100000,00000,1000,00000COSTED REQUIS. 3906,B100000,00000,1100,00000COSTED REQUIS. 3906,B100000,00000,1200,00000PATIENT DAYS 3906,B100000,00000,1300,00000PATIENT DAYS 3906,B100000,00000,1350,00000NO STATISTICS 3906,B100000,00000,1351,00000PATIENT DAYS 3906,B100000,00000,1400,00000ASSIGNED TIME 3906,S000000,00100,0200,06/09/2000 3906,S200000,00100,0100,8 EAST MIDWAY 3906,S200000,00200,0100,TEXARKANA 3906,S200000,00200,0200,TX 3906,S200000,00300,0100,BOWIE 3906,S200000,00400,0100,FOUR STATES CARE CENTER 3906,S200000,00400,0200,455787 3906,S200000,00400,0300,12/06/1988 3906,S200000,00400,0500,P 3906,S200000,01600,0100,Y 3914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3914,A000000,00300,0000,00300EMPLOYEE BENEFITS 3914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3914,A000000,00700,0000,00700HOUSEKEEPING 3914,A000000,00800,0000,00800DIETARY 3914,A000000,00900,0000,00900NURSING ADMINISTRATION 3914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3914,A000000,01100,0000,01100PHARMACY 3914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3914,A000000,01300,0000,01300SOCIAL SERVICE 3914,A000000,01350,0000,01500ACTIVITIES 3914,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3914,A000000,01600,0000,01600SKILLED NURSING FACILITY 3914,A000000,01800,0000,01800NURSING FACILITY 3914,A000000,01810,0000,01810ICF/MR 3914,A000000,02100,0000,02100RADIOLOGY 3914,A000000,02200,0000,02200LABORATORY 3914,A000000,02300,0000,02300INTRAVENOUS THERAPY 3914,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3914,A000000,02500,0000,02500PHYSICAL THERAPY 3914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3914,A000000,02700,0000,02700SPEECH PATHOLOGY 3914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3914,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3914,A000000,03200,0000,03200SUPPORT SURFACES 3914,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3914,A000000,03550,0000,03550FQHC 3914,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3914,A000000,05000,0000,05000CORF 3914,A000000,05010,0000,05010CMHC 3914,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3914,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3914,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3914,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3914,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3914,A81000A,00100,0100,Y 3914,A81000B,00100,0300,HOME OFFICE 3914,A81000B,00300,0300,PHARMACY CONSULTANT 3914,A81000B,00400,0300,SUPPLIES 3914,A81000B,00500,0300,SUPPLIES 3914,A81000B,00600,0300,XRAY SERVICES 3914,A81000B,00700,0300,LAB SERVICES 3914,A81000B,00900,0300,DRUGS 3914,A81000C,00100,0100,B 3914,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3914,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3914,A81000C,00100,0600,HOME OFFICE 3914,A81000C,00200,0100,G 3914,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3914,A81000C,00200,0400,SUNBELT 3914,A81000C,00200,0600,THERAPY MGMNT SERVICES 3914,A81000C,00300,0100,G 3914,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3914,A81000C,00300,0400,QUEST 3914,A81000C,00300,0600,PHARMACY/SUPPLIES 3914,A81000C,00400,0100,G 3914,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3914,A81000C,00400,0400,AMPRO 3914,A81000C,00400,0600,LAB SERVICES 3914,B100000,00000,0100,00000SQUARE FEET 3914,B100000,00000,0200,00000SQUARE FEET 3914,B100000,00000,0300,00000GROSS SALARIES 3914,B100000,00000,0400,00000ACCUM. COST 3914,B100000,00000,0500,00000SQUARE FEET 3914,B100000,00000,0600,00000POUNDS OF LAUNDRY 3914,B100000,00000,0700,00000SQUARE FEET 3914,B100000,00000,0800,00000MEALS SERVED 3914,B100000,00000,0900,00000DIRECT NRSING HRS 3914,B100000,00000,1000,00000COSTED REQUIS. 3914,B100000,00000,1100,00000COSTED REQUIS. 3914,B100000,00000,1200,00000GROSS CHARGES 3914,B100000,00000,1300,00000PATIENT DAYS 3914,B100000,00000,1350,00000PATIENT DAYS 3914,B100000,00000,1400,00000ASSIGNED TIME 3914,E10A180,00501,0100,06/07/2000 3914,E10A180,00550,0300,06/07/2000 3914,S000000,00100,0200,06/07/2000 3914,S200000,00100,0100,150 GIBSON ROAD 3914,S200000,00200,0100,ATHENS 3914,S200000,00200,0200,TX 3914,S200000,00300,0100,HENDERSON 3914,S200000,00400,0100,SOUTH PLACE NURSING CENTER 3914,S200000,00400,0200,455834 3914,S200000,00400,0300,12/01/1993 3914,S200000,00400,0500,P 3914,S200000,01600,0100,Y 3924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3924,A000000,00300,0000,00300EMPLOYEE BENEFITS 3924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3924,A000000,00700,0000,00700HOUSEKEEPING 3924,A000000,00800,0000,00800DIETARY 3924,A000000,00900,0000,00900NURSING ADMINISTRATION 3924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3924,A000000,01100,0000,01100PHARMACY 3924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3924,A000000,01300,0000,01300SOCIAL SERVICE 3924,A000000,01350,0000,01500ACTIVITIES 3924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3924,A000000,01600,0000,01600SKILLED NURSING FACILITY 3924,A000000,01800,0000,01800NURSING FACILITY 3924,A000000,01810,0000,01810ICF/MR 3924,A000000,02100,0000,02100RADIOLOGY 3924,A000000,02200,0000,02200LABORATORY 3924,A000000,02300,0000,02300INTRAVENOUS THERAPY 3924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3924,A000000,02500,0000,02500PHYSICAL THERAPY 3924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3924,A000000,02700,0000,02700SPEECH PATHOLOGY 3924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3924,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3924,A000000,03200,0000,03200SUPPORT SURFACES 3924,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3924,A000000,03550,0000,03550FQHC 3924,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3924,A000000,05000,0000,05000CORF 3924,A000000,05010,0000,05010CMHC 3924,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3924,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3924,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3924,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3924,A81000A,00100,0100,Y 3924,A81000B,00100,0300,HOME OFFICE 3924,A81000B,00200,0300,PHARMACY CONSULTANT 3924,A81000B,00300,0300,PHARMACY SHIPPING 3924,A81000B,00400,0300,SUPPLIES 3924,A81000B,00500,0300,SUPPLIES 3924,A81000B,00600,0300,XRAY SERVICES 3924,A81000B,00700,0300,LAB SERVICES 3924,A81000B,00900,0300,DRUGS 3924,A81000C,00100,0100,B 3924,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3924,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3924,A81000C,00100,0600,HOME OFFICE 3924,A81000C,00200,0100,G 3924,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3924,A81000C,00200,0400,SUNBELT 3924,A81000C,00200,0600,THERAPY MGMNT SERVICES 3924,A81000C,00300,0100,G 3924,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3924,A81000C,00300,0400,QUEST 3924,A81000C,00300,0600,PHARMACY/SUPPLIES 3924,A81000C,00400,0100,G 3924,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3924,A81000C,00400,0400,AMPRO 3924,A81000C,00400,0600,LAB SERVICES 3924,B100000,00000,0100,00000SQUARE FEET 3924,B100000,00000,0200,00000SQUARE FEET 3924,B100000,00000,0300,00000GROSS SALARIES 3924,B100000,00000,0400,00000ACCUM. COST 3924,B100000,00000,0500,00000SQUARE FEET 3924,B100000,00000,0600,00000PATIENT DAYS 3924,B100000,00000,0700,00000SQUARE FEET 3924,B100000,00000,0800,00000MEALS SERVED 3924,B100000,00000,0900,00000DIRECT NRSING HRS 3924,B100000,00000,1000,00000COSTED REQUIS. 3924,B100000,00000,1100,00000COSTED REQUIS. 3924,B100000,00000,1200,00000GROSS CHARGES 3924,B100000,00000,1300,00000PATIENT DAYS 3924,B100000,00000,1350,00000PATIENT DAYS 3924,B100000,00000,1400,00000ASSIGNED TIME 3924,S000000,00100,0200,05/31/2000 3924,S200000,00100,0100,3650 S HWY 35-E 3924,S200000,00200,0100,WAXAHACHIE 3924,S200000,00200,0200,TX 3924,S200000,00300,0100,ELLIS 3924,S200000,00400,0100,PLEASANT MANOR LIVING CENTER 3924,S200000,00400,0200,455993 3924,S200000,00400,0300,12/26/1991 3924,S200000,00400,0500,P 3924,S200000,01600,0100,Y 3950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3950,A000000,00300,0000,00300EMPLOYEE BENEFITS 3950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3950,A000000,00700,0000,00700HOUSEKEEPING 3950,A000000,00800,0000,00800DIETARY 3950,A000000,00900,0000,00900NURSING ADMINISTRATION 3950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3950,A000000,01100,0000,01100PHARMACY 3950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3950,A000000,01300,0000,01300SOCIAL SERVICE 3950,A000000,01350,0000,01500ACTIVITIES 3950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3950,A000000,01600,0000,01600SKILLED NURSING FACILITY 3950,A000000,01800,0000,01800NURSING FACILITY 3950,A000000,01810,0000,01810ICF/MR 3950,A000000,02100,0000,02100RADIOLOGY 3950,A000000,02200,0000,02200LABORATORY 3950,A000000,02300,0000,02300INTRAVENOUS THERAPY 3950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3950,A000000,02500,0000,02500PHYSICAL THERAPY 3950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3950,A000000,02700,0000,02700SPEECH PATHOLOGY 3950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3950,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3950,A000000,03200,0000,03200SUPPORT SURFACES 3950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3950,A000000,03550,0000,03550FQHC 3950,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3950,A000000,05000,0000,05000CORF 3950,A000000,05010,0000,05010CMHC 3950,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3950,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3950,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3950,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3950,A81000A,00100,0100,Y 3950,A81000B,00100,0300,HOME OFFICE 3950,A81000B,00300,0300,PHARMACY CONSULTANT 3950,A81000B,00400,0300,SUPPLIES 3950,A81000B,00500,0300,SUPPLIES 3950,A81000B,00600,0300,XRAY SERVICES 3950,A81000B,00700,0300,LAB SERVICES 3950,A81000B,00900,0300,DRUGS 3950,A81000C,00100,0100,B 3950,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3950,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3950,A81000C,00100,0600,HOME OFFICE 3950,A81000C,00200,0100,G 3950,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3950,A81000C,00200,0400,SUNBELT 3950,A81000C,00200,0600,THERAPY MGMNT SERVICES 3950,A81000C,00300,0100,G 3950,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3950,A81000C,00300,0400,QUEST 3950,A81000C,00300,0600,PHARMACY/SUPPLIES 3950,A81000C,00400,0100,G 3950,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3950,A81000C,00400,0400,AMPRO 3950,A81000C,00400,0600,LAB SERVICES 3950,B100000,00000,0100,00000SQUARE FEET 3950,B100000,00000,0200,00000SQUARE FEET 3950,B100000,00000,0300,00000GROSS SALARIES 3950,B100000,00000,0400,00000ACCUM. COST 3950,B100000,00000,0500,00000SQUARE FEET 3950,B100000,00000,0600,00000PATIENT DAYS 3950,B100000,00000,0700,00000SQUARE FEET 3950,B100000,00000,0800,00000MEALS SERVED 3950,B100000,00000,0900,00000DIRECT NRSING HRS 3950,B100000,00000,1000,00000COSTED REQUIS. 3950,B100000,00000,1100,00000COSTED REQUIS. 3950,B100000,00000,1200,00000GROSS CHARGES 3950,B100000,00000,1300,00000PATIENT DAYS 3950,B100000,00000,1350,00000PATIENT DAYS 3950,B100000,00000,1400,00000ASSIGNED TIME 3950,E10A180,00301,0100,03/02/2000 3950,E10A180,00350,0100,03/02/2000 3950,S000000,00100,0200,07/17/2000 3950,S200000,00100,0100,4808 N ELIZABETH ST 3950,S200000,00200,0100,TEXARKANA 3950,S200000,00200,0200,TX 3950,S200000,00300,0100,BOWIE 3950,S200000,00400,0100,PINE HAVEN CARE CENTER 3950,S200000,00400,0200,675068 3950,S200000,00400,0300,12/01/1993 3950,S200000,00400,0500,P 3950,S200000,01600,0100,Y 3961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3961,A000000,00300,0000,00300EMPLOYEE BENEFITS 3961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3961,A000000,00700,0000,00700HOUSEKEEPING 3961,A000000,00800,0000,00800DIETARY 3961,A000000,00900,0000,00900NURSING ADMINISTRATION 3961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3961,A000000,01100,0000,01100PHARMACY 3961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3961,A000000,01300,0000,01300SOCIAL SERVICE 3961,A000000,01350,0000,01500ACTIVITIES 3961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3961,A000000,01600,0000,01600SKILLED NURSING FACILITY 3961,A000000,01800,0000,01800NURSING FACILITY 3961,A000000,01810,0000,01810ICF/MR 3961,A000000,02100,0000,02100RADIOLOGY 3961,A000000,02200,0000,02200LABORATORY 3961,A000000,02300,0000,02300INTRAVENOUS THERAPY 3961,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3961,A000000,02500,0000,02500PHYSICAL THERAPY 3961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3961,A000000,02700,0000,02700SPEECH PATHOLOGY 3961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3961,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3961,A000000,03200,0000,03200SUPPORT SURFACES 3961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3961,A000000,03550,0000,03550FQHC 3961,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3961,A000000,05000,0000,05000CORF 3961,A000000,05010,0000,05010CMHC 3961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3961,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3961,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3961,A81000A,00100,0100,Y 3961,A81000B,00100,0300,HOME OFFICE 3961,A81000B,00200,0300,PHARMACY CONSULTANT 3961,A81000B,00300,0300,PHARMACY SHIPPING 3961,A81000B,00400,0300,SUPPLIES 3961,A81000B,00500,0300,SUPPLIES 3961,A81000B,00600,0300,XRAY SERVICES 3961,A81000B,00700,0300,LAB SERVICES 3961,A81000B,00900,0300,DRUGS 3961,A81000C,00100,0100,B 3961,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3961,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3961,A81000C,00100,0600,HOME OFFICE 3961,A81000C,00200,0100,G 3961,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3961,A81000C,00200,0400,SUNBELT 3961,A81000C,00200,0600,THERAPY MGMNT SERVICES 3961,A81000C,00300,0100,G 3961,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3961,A81000C,00300,0400,QUEST 3961,A81000C,00300,0600,PHARMACY/SUPPLIES 3961,A81000C,00400,0100,G 3961,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3961,A81000C,00400,0400,AMPRO 3961,A81000C,00400,0600,LAB SERVICES 3961,B100000,00000,0100,00000SQUARE FEET 3961,B100000,00000,0200,00000SQUARE FEET 3961,B100000,00000,0300,00000GROSS SALARIES 3961,B100000,00000,0400,00000ACCUM. COST 3961,B100000,00000,0500,00000SQUARE FEET 3961,B100000,00000,0600,00000POUNDS OF LAUNDRY 3961,B100000,00000,0700,00000SQUARE FEET 3961,B100000,00000,0800,00000MEALS SERVED 3961,B100000,00000,0900,00000DIRECT NRSING HRS 3961,B100000,00000,1000,00000COSTED REQUIS. 3961,B100000,00000,1100,00000COSTED REQUIS. 3961,B100000,00000,1200,00000GROSS CHARGES 3961,B100000,00000,1300,00000PATIENT DAYS 3961,B100000,00000,1350,00000PATIENT DAYS 3961,B100000,00000,1400,00000ASSIGNED TIME 3961,E10A180,00301,0100,06/03/1999 3961,S000000,00100,0200,05/31/2000 3961,S200000,00100,0100,1801 PEARSON AVENUE 3961,S200000,00200,0100,MCKINNEY 3961,S200000,00200,0200,TX 3961,S200000,00300,0100,COLLIN 3961,S200000,00400,0100,HOMESTEAD OF MCKINNEY 3961,S200000,00400,0200,675175 3961,S200000,00400,0300,10/14/1993 3961,S200000,00400,0500,P 3961,S200000,01600,0100,Y 3985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 3985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 3985,A000000,00300,0000,00300EMPLOYEE BENEFITS 3985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 3985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 3985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 3985,A000000,00700,0000,00700HOUSEKEEPING 3985,A000000,00800,0000,00800DIETARY 3985,A000000,00900,0000,00900NURSING ADMINISTRATION 3985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 3985,A000000,01100,0000,01100PHARMACY 3985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 3985,A000000,01300,0000,01300SOCIAL SERVICE 3985,A000000,01350,0000,01500ACTIVITIES 3985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 3985,A000000,01600,0000,01600SKILLED NURSING FACILITY 3985,A000000,01800,0000,01800NURSING FACILITY 3985,A000000,01810,0000,01810ICF/MR 3985,A000000,02100,0000,02100RADIOLOGY 3985,A000000,02200,0000,02200LABORATORY 3985,A000000,02300,0000,02300INTRAVENOUS THERAPY 3985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 3985,A000000,02500,0000,02500PHYSICAL THERAPY 3985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 3985,A000000,02700,0000,02700SPEECH PATHOLOGY 3985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 3985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 3985,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 3985,A000000,03200,0000,03200SUPPORT SURFACES 3985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 3985,A000000,03550,0000,03550FQHC 3985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 3985,A000000,05000,0000,05000CORF 3985,A000000,05010,0000,05010CMHC 3985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 3985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 3985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 3985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 3985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 3985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 3985,A81000A,00100,0100,Y 3985,A81000B,00100,0300,HOME OFFICE 3985,A81000B,00300,0300,PHARMACY CONSULTANT 3985,A81000B,00400,0300,SUPPLIES 3985,A81000B,00500,0300,SUPPLIES 3985,A81000B,00600,0300,XRAY SERVICES 3985,A81000B,00700,0300,LAB SERVICES 3985,A81000B,00900,0300,DRUGS 3985,A81000C,00100,0100,B 3985,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 3985,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 3985,A81000C,00100,0600,HOME OFFICE 3985,A81000C,00200,0100,G 3985,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 3985,A81000C,00200,0400,SUNBELT 3985,A81000C,00200,0600,THERAPY MGMNT SERVICES 3985,A81000C,00300,0100,G 3985,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 3985,A81000C,00300,0400,QUEST 3985,A81000C,00300,0600,PHARMACY/SUPPLIES 3985,A81000C,00400,0100,G 3985,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 3985,A81000C,00400,0400,AMPRO 3985,A81000C,00400,0600,LAB SERVICES 3985,B100000,00000,0100,00000SQUARE FEET 3985,B100000,00000,0200,00000SQUARE FEET 3985,B100000,00000,0300,00000GROSS SALARIES 3985,B100000,00000,0400,00000ACCUM. COST 3985,B100000,00000,0500,00000SQUARE FEET 3985,B100000,00000,0600,00000POUNDS OF LAUNDRY 3985,B100000,00000,0700,00000SQUARE FEET 3985,B100000,00000,0800,00000MEALS SERVED 3985,B100000,00000,0900,00000DIRECT NRSING HRS 3985,B100000,00000,1000,00000COSTED REQUIS. 3985,B100000,00000,1100,00000COSTED REQUIS. 3985,B100000,00000,1200,00000GROSS CHARGES 3985,B100000,00000,1300,00000PATIENT DAYS 3985,B100000,00000,1350,00000PATIENT DAYS 3985,B100000,00000,1400,00000ASSIGNED TIME 3985,S000000,00100,0200,05/31/2000 3985,S200000,00100,0100,RURAL ROUTE 8 3985,S200000,00100,0300,1965 3985,S200000,00200,0100,CENTER 3985,S200000,00200,0200,TX 3985,S200000,00300,0100,SHELBY 3985,S200000,00400,0100,PINE GROVE NURSING CENTER 3985,S200000,00400,0200,675230 3985,S200000,00400,0300,11/01/1993 3985,S200000,00400,0500,P 3985,S200000,01600,0100,Y 4000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4000,A000000,00300,0000,00300EMPLOYEE BENEFITS 4000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4000,A000000,00700,0000,00700HOUSEKEEPING 4000,A000000,00800,0000,00800DIETARY 4000,A000000,00900,0000,00900NURSING ADMINISTRATION 4000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4000,A000000,01100,0000,01100PHARMACY 4000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4000,A000000,01300,0000,01300SOCIAL SERVICE 4000,A000000,01350,0000,01500ACTIVITIES 4000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4000,A000000,01600,0000,01600SKILLED NURSING FACILITY 4000,A000000,01800,0000,01800NURSING FACILITY 4000,A000000,01810,0000,01810ICF/MR 4000,A000000,02100,0000,02100RADIOLOGY 4000,A000000,02200,0000,02200LABORATORY 4000,A000000,02300,0000,02300INTRAVENOUS THERAPY 4000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4000,A000000,02500,0000,02500PHYSICAL THERAPY 4000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4000,A000000,02700,0000,02700SPEECH PATHOLOGY 4000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4000,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4000,A000000,03200,0000,03200SUPPORT SURFACES 4000,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4000,A000000,03550,0000,03550FQHC 4000,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4000,A000000,05000,0000,05000CORF 4000,A000000,05010,0000,05010CMHC 4000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4000,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4000,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4000,A81000A,00100,0100,Y 4000,A81000B,00100,0300,HOME OFFICE 4000,A81000B,00300,0300,PHARMACY CONSULTANT 4000,A81000B,00400,0300,SUPPLIES 4000,A81000B,00500,0300,SUPPLIES 4000,A81000B,00600,0300,XRAY SERVICES 4000,A81000B,00700,0300,LAB SERVICES 4000,A81000B,00900,0300,DRUGS 4000,A81000C,00100,0100,B 4000,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 4000,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 4000,A81000C,00100,0600,HOME OFFICE 4000,A81000C,00200,0100,G 4000,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 4000,A81000C,00200,0400,SUNBELT 4000,A81000C,00200,0600,THERAPY MGMNT SERVICES 4000,A81000C,00300,0100,G 4000,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 4000,A81000C,00300,0400,QUEST 4000,A81000C,00300,0600,PHARMACY/SUPPLIES 4000,A81000C,00400,0100,G 4000,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 4000,A81000C,00400,0400,AMPRO 4000,A81000C,00400,0600,LAB SERVICES 4000,B100000,00000,0100,00000SQUARE FEET 4000,B100000,00000,0200,00000SQUARE FEET 4000,B100000,00000,0300,00000GROSS SALARIES 4000,B100000,00000,0400,00000ACCUM. COST 4000,B100000,00000,0500,00000SQUARE FEET 4000,B100000,00000,0600,00000POUNDS OF LAUNDRY 4000,B100000,00000,0700,00000SQUARE FEET 4000,B100000,00000,0800,00000MEALS SERVED 4000,B100000,00000,0900,00000DIRECT NRSING HRS 4000,B100000,00000,1000,00000COSTED REQUIS. 4000,B100000,00000,1100,00000COSTED REQUIS. 4000,B100000,00000,1200,00000GROSS CHARGES 4000,B100000,00000,1300,00000PATIENT DAYS 4000,B100000,00000,1350,00000PATIENT DAYS 4000,B100000,00000,1400,00000ASSIGNED TIME 4000,S000000,00100,0200,05/31/2000 4000,S200000,00100,0100,1203 FM 1277 4000,S200000,00200,0100,SAN AUGUSTINE 4000,S200000,00200,0200,TX 4000,S200000,00300,0100,SAN AUGUSTINE 4000,S200000,00400,0100,COLONIAL PINES HEALTHCARE CENTER 4000,S200000,00400,0200,675358 4000,S200000,00400,0300,08/01/1994 4000,S200000,00400,0500,P 4000,S200000,01600,0100,Y 4013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4013,A000000,00300,0000,00300EMPLOYEE BENEFITS 4013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4013,A000000,00700,0000,00700HOUSEKEEPING 4013,A000000,00800,0000,00800DIETARY 4013,A000000,00900,0000,00900NURSING ADMINISTRATION 4013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4013,A000000,01100,0000,01100PHARMACY 4013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4013,A000000,01300,0000,01300SOCIAL SERVICE 4013,A000000,01350,0000,01500ACTIVITIES 4013,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4013,A000000,01600,0000,01600SKILLED NURSING FACILITY 4013,A000000,01800,0000,01800NURSING FACILITY 4013,A000000,01810,0000,01810ICF/MR 4013,A000000,02100,0000,02100RADIOLOGY 4013,A000000,02200,0000,02200LABORATORY 4013,A000000,02300,0000,02300INTRAVENOUS THERAPY 4013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4013,A000000,02500,0000,02500PHYSICAL THERAPY 4013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4013,A000000,02700,0000,02700SPEECH PATHOLOGY 4013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4013,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4013,A000000,03200,0000,03200SUPPORT SURFACES 4013,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4013,A000000,03550,0000,03550FQHC 4013,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4013,A000000,05000,0000,05000CORF 4013,A000000,05010,0000,05010CMHC 4013,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4013,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4013,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4013,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4013,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4013,A81000A,00100,0100,Y 4013,A81000B,00100,0300,HOME OFFICE 4013,A81000B,00300,0300,PHARMACY CONSULTANT 4013,A81000B,00400,0300,SUPPLIES 4013,A81000B,00500,0300,SUPPLIES 4013,A81000B,00600,0300,XRAY SERVICES 4013,A81000B,00700,0300,LAB SERVICES 4013,A81000B,00900,0300,DRUGS 4013,A81000C,00100,0100,B 4013,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 4013,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 4013,A81000C,00100,0600,HOME OFFICE 4013,A81000C,00200,0100,G 4013,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 4013,A81000C,00200,0400,SUNBELT 4013,A81000C,00200,0600,THERAPY MGMNT SERVICES 4013,A81000C,00300,0100,G 4013,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 4013,A81000C,00300,0400,QUEST 4013,A81000C,00300,0600,PHARMACY/SUPPLIES 4013,A81000C,00400,0100,G 4013,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 4013,A81000C,00400,0400,AMPRO 4013,A81000C,00400,0600,LAB SERVICES 4013,B100000,00000,0100,00000SQUARE FEET 4013,B100000,00000,0200,00000SQUARE FEET 4013,B100000,00000,0300,00000GROSS SALARIES 4013,B100000,00000,0400,00000ACCUM. COST 4013,B100000,00000,0500,00000SQUARE FEET 4013,B100000,00000,0600,00000POUNDS OF LAUNDRY 4013,B100000,00000,0700,00000SQUARE FEET 4013,B100000,00000,0800,00000MEALS SERVED 4013,B100000,00000,0900,00000DIRECT NRSING HRS 4013,B100000,00000,1000,00000COSTED REQUIS. 4013,B100000,00000,1100,00000COSTED REQUIS. 4013,B100000,00000,1200,00000GROSS CHARGES 4013,B100000,00000,1300,00000PATIENT DAYS 4013,B100000,00000,1350,00000PATIENT DAYS 4013,B100000,00000,1400,00000ASSIGNED TIME 4013,S000000,00100,0200,05/31/2000 4013,S200000,00100,0100,HWY 31 WEST 4013,S200000,00100,0300,232 4013,S200000,00200,0100,ATHENS 4013,S200000,00200,0200,TX 4013,S200000,00300,0100,HENDERSON 4013,S200000,00400,0100,WEST PLACE NURSING CENTER 4013,S200000,00400,0200,675382 4013,S200000,00400,0300,07/18/1994 4013,S200000,00400,0500,P 4013,S200000,01600,0100,Y 4024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4024,A000000,00300,0000,00300EMPLOYEE BENEFITS 4024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4024,A000000,00700,0000,00700HOUSEKEEPING 4024,A000000,00800,0000,00800DIETARY 4024,A000000,00900,0000,00900NURSING ADMINISTRATION 4024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4024,A000000,01100,0000,01100PHARMACY 4024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4024,A000000,01300,0000,01300SOCIAL SERVICE 4024,A000000,01350,0000,01500ACTIVITIES 4024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4024,A000000,01600,0000,01600SKILLED NURSING FACILITY 4024,A000000,01800,0000,01800NURSING FACILITY 4024,A000000,01810,0000,01810ICF/MR 4024,A000000,02100,0000,02100RADIOLOGY 4024,A000000,02200,0000,02200LABORATORY 4024,A000000,02300,0000,02300INTRAVENOUS THERAPY 4024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4024,A000000,02500,0000,02500PHYSICAL THERAPY 4024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4024,A000000,02700,0000,02700SPEECH PATHOLOGY 4024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4024,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4024,A000000,03200,0000,03200SUPPORT SURFACES 4024,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4024,A000000,03550,0000,03550FQHC 4024,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4024,A000000,05000,0000,05000CORF 4024,A000000,05010,0000,05010CMHC 4024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4024,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4024,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4024,A81000A,00100,0100,Y 4024,A81000B,00100,0300,HOME OFFICE 4024,A81000B,00300,0300,PHARMACY CONSULTANT 4024,A81000B,00400,0300,SUPPLIES 4024,A81000B,00500,0300,SUPPLIES 4024,A81000B,00600,0300,XRAY SERVICES 4024,A81000B,00700,0300,LAB SERVICES 4024,A81000B,00900,0300,DRUGS 4024,A81000C,00100,0100,B 4024,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 4024,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 4024,A81000C,00100,0600,HOME OFFICE 4024,A81000C,00200,0100,G 4024,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 4024,A81000C,00200,0400,SUNBELT 4024,A81000C,00200,0600,THERAPY MGMNT SERVICES 4024,A81000C,00300,0100,G 4024,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 4024,A81000C,00300,0400,QUEST 4024,A81000C,00300,0600,PHARMACY/SUPPLIES 4024,A81000C,00400,0100,G 4024,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 4024,A81000C,00400,0400,AMPRO 4024,A81000C,00400,0600,LAB SERVICES 4024,B100000,00000,0100,00000SQUARE FEET 4024,B100000,00000,0200,00000SQUARE FEET 4024,B100000,00000,0300,00000GROSS SALARIES 4024,B100000,00000,0400,00000ACCUM. COST 4024,B100000,00000,0500,00000SQUARE FEET 4024,B100000,00000,0600,00000POUNDS OF LAUNDRY 4024,B100000,00000,0700,00000SQUARE FEET 4024,B100000,00000,0800,00000MEALS SERVED 4024,B100000,00000,0900,00000DIRECT NRSING HRS 4024,B100000,00000,1000,00000COSTED REQUIS. 4024,B100000,00000,1100,00000COSTED REQUIS. 4024,B100000,00000,1200,00000GROSS CHARGES 4024,B100000,00000,1300,00000PATIENT DAYS 4024,B100000,00000,1350,00000PATIENT DAYS 4024,B100000,00000,1400,00000ASSIGNED TIME 4024,S000000,00100,0200,05/31/2000 4024,S200000,00100,0100,1401 HAMPTON DRIVE 4024,S200000,00200,0100,TEXARKANA 4024,S200000,00200,0200,TX 4024,S200000,00300,0100,BOWIE 4024,S200000,00400,0100,REUNION PLAZA SR CARE & RET CTR 4024,S200000,00400,0200,675444 4024,S200000,00400,0300,02/01/1995 4024,S200000,00400,0500,P 4024,S200000,01600,0100,Y 4042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4042,A000000,00300,0000,00300EMPLOYEE BENEFITS 4042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4042,A000000,00700,0000,00700HOUSEKEEPING 4042,A000000,00800,0000,00800DIETARY 4042,A000000,00900,0000,00900NURSING ADMINISTRATION 4042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4042,A000000,01100,0000,01100PHARMACY 4042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4042,A000000,01300,0000,01300SOCIAL SERVICE 4042,A000000,01350,0000,01500ACTIVITIES 4042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4042,A000000,01600,0000,01600SKILLED NURSING FACILITY 4042,A000000,01800,0000,01800NURSING FACILITY 4042,A000000,01810,0000,01810ICF/MR 4042,A000000,02100,0000,02100RADIOLOGY 4042,A000000,02200,0000,02200LABORATORY 4042,A000000,02300,0000,02300INTRAVENOUS THERAPY 4042,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4042,A000000,02500,0000,02500PHYSICAL THERAPY 4042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4042,A000000,02700,0000,02700SPEECH PATHOLOGY 4042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4042,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4042,A000000,03200,0000,03200SUPPORT SURFACES 4042,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4042,A000000,03550,0000,03550FQHC 4042,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4042,A000000,05000,0000,05000CORF 4042,A000000,05010,0000,05010CMHC 4042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4042,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4042,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4042,A81000A,00100,0100,Y 4042,A81000B,00100,0300,HOME OFFICE 4042,A81000B,00300,0300,PHARMACY CONSULTANT 4042,A81000B,00400,0300,SUPPLIES 4042,A81000B,00500,0300,SUPPLIES 4042,A81000B,00600,0300,XRAY SERVICES 4042,A81000B,00700,0300,LAB SERVICES 4042,A81000B,00900,0300,DRUGS 4042,A81000C,00100,0100,B 4042,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 4042,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 4042,A81000C,00100,0600,HOME OFFICE 4042,A81000C,00200,0100,G 4042,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 4042,A81000C,00200,0400,SUNBELT 4042,A81000C,00200,0600,THERAPY MGMNT SERVICES 4042,A81000C,00300,0100,G 4042,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 4042,A81000C,00300,0400,QUEST 4042,A81000C,00300,0600,PHARMACY/SUPPLIES 4042,A81000C,00400,0100,G 4042,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 4042,A81000C,00400,0400,AMPRO 4042,A81000C,00400,0600,LAB SERVICES 4042,B100000,00000,0100,00000SQUARE FEET 4042,B100000,00000,0200,00000SQUARE FEET 4042,B100000,00000,0300,00000GROSS SALARIES 4042,B100000,00000,0400,00000ACCUM. COST 4042,B100000,00000,0500,00000SQUARE FEET 4042,B100000,00000,0600,00000POUNDS OF LAUNDRY 4042,B100000,00000,0700,00000SQUARE FEET 4042,B100000,00000,0800,00000MEALS SERVED 4042,B100000,00000,0900,00000DIRECT NRSING HRS 4042,B100000,00000,1000,00000COSTED REQUIS. 4042,B100000,00000,1100,00000COSTED REQUIS. 4042,B100000,00000,1200,00000GROSS CHARGES 4042,B100000,00000,1300,00000PATIENT DAYS 4042,B100000,00000,1350,00000PATIENT DAYS 4042,B100000,00000,1400,00000ASSIGNED TIME 4042,S000000,00100,0200,05/31/2000 4042,S200000,00100,0100,600 W 52ND STREET 4042,S200000,00200,0100,TEXARKANA 4042,S200000,00200,0200,TX 4042,S200000,00300,0100,BOWIE 4042,S200000,00400,0100,HERITAGE PLAZA NURSING CENTER 4042,S200000,00400,0200,675561 4042,S200000,00400,0300,11/15/1995 4042,S200000,00400,0500,P 4042,S200000,01600,0100,Y 4054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4054,A000000,00300,0000,00300EMPLOYEE BENEFITS 4054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4054,A000000,00700,0000,00700HOUSEKEEPING 4054,A000000,00800,0000,00800DIETARY 4054,A000000,00900,0000,00900NURSING ADMINISTRATION 4054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4054,A000000,01100,0000,01100PHARMACY 4054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4054,A000000,01300,0000,01300SOCIAL SERVICE 4054,A000000,01350,0000,01500ACTIVITIES 4054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4054,A000000,01600,0000,01600SKILLED NURSING FACILITY 4054,A000000,01800,0000,01800NURSING FACILITY 4054,A000000,01810,0000,01810ICF/MR 4054,A000000,02100,0000,02100RADIOLOGY 4054,A000000,02200,0000,02200LABORATORY 4054,A000000,02300,0000,02300INTRAVENOUS THERAPY 4054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4054,A000000,02500,0000,02500PHYSICAL THERAPY 4054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4054,A000000,02700,0000,02700SPEECH PATHOLOGY 4054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4054,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4054,A000000,03200,0000,03200SUPPORT SURFACES 4054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4054,A000000,03550,0000,03550FQHC 4054,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4054,A000000,05000,0000,05000CORF 4054,A000000,05010,0000,05010CMHC 4054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4054,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4054,A81000A,00100,0100,Y 4054,A81000B,00100,0300,HOME OFFICE 4054,A81000B,00300,0300,PHARMACY CONSULTANT 4054,A81000B,00400,0300,SUPPLIES 4054,A81000B,00500,0300,SUPPLIES 4054,A81000B,00600,0300,XRAY SERVICES 4054,A81000B,00700,0300,LAB SERVICES 4054,A81000B,00900,0300,DRUGS 4054,A81000C,00100,0100,B 4054,A81000C,00100,0200,RAINTREE HEALTHCARE CORP 4054,A81000C,00100,0400,RAINTREE HEALTHCARE CORP 4054,A81000C,00100,0600,HOME OFFICE 4054,A81000C,00200,0100,G 4054,A81000C,00200,0200,RAINTREE HEALTHCARE CORP 4054,A81000C,00200,0400,SUNBELT 4054,A81000C,00200,0600,THERAPY MGMNT SERVICES 4054,A81000C,00300,0100,G 4054,A81000C,00300,0200,RAINTREE HEALTHCARE CORP 4054,A81000C,00300,0400,QUEST 4054,A81000C,00300,0600,PHARMACY/SUPPLIES 4054,A81000C,00400,0100,G 4054,A81000C,00400,0200,RAINTREE HEALTHCARE CORP 4054,A81000C,00400,0400,AMPRO 4054,A81000C,00400,0600,LAB SERVICES 4054,B100000,00000,0100,00000SQUARE FEET 4054,B100000,00000,0200,00000SQUARE FEET 4054,B100000,00000,0300,00000GROSS SALARIES 4054,B100000,00000,0400,00000ACCUM. COST 4054,B100000,00000,0500,00000SQUARE FEET 4054,B100000,00000,0600,00000POUNDS OF LAUNDRY 4054,B100000,00000,0700,00000SQUARE FEET 4054,B100000,00000,0800,00000MEALS SERVED 4054,B100000,00000,0900,00000DIRECT NRSING HRS 4054,B100000,00000,1000,00000COSTED REQUIS. 4054,B100000,00000,1100,00000COSTED REQUIS. 4054,B100000,00000,1200,00000GROSS CHARGES 4054,B100000,00000,1300,00000PATIENT DAYS 4054,B100000,00000,1350,00000PATIENT DAYS 4054,B100000,00000,1400,00000ASSIGNED TIME 4054,S000000,00100,0200,05/31/2000 4054,S200000,00100,0100,FM 83 WEST 4054,S200000,00100,0300,1527 4054,S200000,00200,0100,HEMPHILL 4054,S200000,00200,0200,TX 4054,S200000,00300,0100,SABINE 4054,S200000,00400,0100,HEMPHILL CARE CENTER 4054,S200000,00400,0200,675584 4054,S200000,00400,0300,04/23/1996 4054,S200000,00400,0500,P 4054,S200000,01600,0100,Y 4060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4060,A000000,00300,0000,00300EMPLOYEE BENEFITS 4060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4060,A000000,00700,0000,00700HOUSEKEEPING 4060,A000000,00800,0000,00800DIETARY 4060,A000000,00900,0000,00900NURSING ADMINISTRATION 4060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4060,A000000,01100,0000,01100PHARMACY 4060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4060,A000000,01300,0000,01300SOCIAL SERVICE 4060,A000000,01301,0000,01301ACTIVITIES 4060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4060,A000000,01600,0000,01600SKILLED NURSING FACILITY 4060,A000000,01800,0000,01800NURSING FACILITY 4060,A000000,01810,0000,01810ICF/MR 4060,A000000,02100,0000,02100RADIOLOGY 4060,A000000,02200,0000,02200LABORATORY 4060,A000000,02500,0000,02500PHYSICAL THERAPY 4060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4060,A000000,02700,0000,02700SPEECH PATHOLOGY 4060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4060,A000000,03050,0000,03300OTHER ANCILLARY COSTS 4060,A000000,03550,0000,03550FQHC 4060,A000000,05000,0000,05000CORF 4060,A000000,05010,0000,05010CMHC 4060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4060,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 4060,A81000A,00100,0100,Y 4060,A81000B,00100,0300,HOME OFFICE COST 4060,A81000B,00400,0300,HOME OFFICE COST 4060,A81000B,00500,0300,HOME OFFICE COST 4060,A81000B,00600,0300,HOME OFFICE COST 4060,A81000B,00800,0300,HOME OFFICE COST 4060,A81000C,00100,0100,B 4060,A81000C,00100,0200,BEVERLY ENTERPR 4060,B100000,00000,0100,00000(SQUARE FEET) 4060,B100000,00000,0200,00000(SQUARE FEET) 4060,B100000,00000,0300,00000(ADJUSTED SALARIES) 4060,B100000,00000,0400,00000(ACCUM. COST) 4060,B100000,00000,0500,00000(SQUARE FEET) 4060,B100000,00000,0600,00000(PATIENT DAYS) 4060,B100000,00000,0700,00000(SQUARE FEET) 4060,B100000,00000,0800,00000(MEALS SERVED) 4060,B100000,00000,0900,00000(ADJUSTED SALARIES) 4060,B100000,00000,1000,00000(PATIENT DAYS) 4060,B100000,00000,1100,00000(COSTED REQUIS) 4060,B100000,00000,1200,00000(TOTAL CHARGES) 4060,B100000,00000,1300,00000(PATIENT DAYS) 4060,B100000,00000,1301,00000(PATIENT DAYS) 4060,B100000,00000,1400,00000(ASSIGNED TIME) 4060,E10A180,00301,0100,10/08/1999 4060,E10A180,00302,0100,02/14/2000 4060,E10A180,00350,0100,01/27/1999 4060,E10A180,00351,0100,06/14/1999 4060,E10A180,00352,0100,12/09/1999 4060,S000000,00100,0200,06/02/2000 4060,S200000,00100,0100,1700 NORTH ALSTON 4060,S200000,00200,0100,FOLEY 4060,S200000,00200,0200,AL 4060,S200000,00200,0300,36535 4060,S200000,00300,0100,BALDWIN 4060,S200000,00400,0100,FOLEY NURSING HOME 4060,S200000,00400,0200,015032 4060,S200000,00400,0300,08/01/1982 4060,S200000,00400,0500,P 4060,S200000,00600,0200,015032 4060,S200000,00600,0300,08/01/1982 4060,S200000,00600,0600,P 4060,S200000,01600,0100,Y 4063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4063,A000000,00300,0000,00300EMPLOYEE BENEFITS 4063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4063,A000000,00700,0000,00700HOUSEKEEPING 4063,A000000,00800,0000,00800DIETARY 4063,A000000,00900,0000,00900NURSING ADMINISTRATION 4063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4063,A000000,01100,0000,01100PHARMACY 4063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4063,A000000,01300,0000,01300SOCIAL SERVICE 4063,A000000,01301,0000,01301ACTIVITIES 4063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4063,A000000,01600,0000,01600SKILLED NURSING FACILITY 4063,A000000,01800,0000,01800NURSING FACILITY 4063,A000000,01810,0000,01810ICF/MR 4063,A000000,02100,0000,02100RADIOLOGY 4063,A000000,02200,0000,02200LABORATORY 4063,A000000,02500,0000,02500PHYSICAL THERAPY 4063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4063,A000000,02700,0000,02700SPEECH PATHOLOGY 4063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4063,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4063,A000000,03550,0000,03550FQHC 4063,A000000,05000,0000,05000CORF 4063,A000000,05010,0000,05010CMHC 4063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4063,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4063,A81000A,00100,0100,Y 4063,A81000B,00100,0300,HOME OFFICE COST 4063,A81000B,00400,0300,HOME OFFICE COST 4063,A81000B,00500,0300,HOME OFFICE COST 4063,A81000B,00600,0300,HOME OFFICE COST 4063,A81000B,00800,0300,HOME OFFICE COST 4063,A81000C,00100,0100,B 4063,A81000C,00100,0200,BEVERLY ENTERPR 4063,B100000,00000,0100,00000(SQUARE FEET) 4063,B100000,00000,0200,00000(SQUARE FEET) 4063,B100000,00000,0300,00000(ADJUSTED SALARIES) 4063,B100000,00000,0400,00000(ACCUM. COST) 4063,B100000,00000,0500,00000(SQUARE FEET) 4063,B100000,00000,0600,00000(PATIENT DAYS) 4063,B100000,00000,0700,00000(SQUARE FEET) 4063,B100000,00000,0800,00000(MEALS SERVED) 4063,B100000,00000,0900,00000(ADJUSTED SALARIES) 4063,B100000,00000,1000,00000(PATIENT DAYS) 4063,B100000,00000,1100,00000(COSTED REQUIS) 4063,B100000,00000,1200,00000(TOTAL CHARGES) 4063,B100000,00000,1300,00000(PATIENT DAYS) 4063,B100000,00000,1301,00000(PATIENT DAYS) 4063,B100000,00000,1400,00000(ASSIGNED TIME) 4063,E10A180,00301,0100,01/27/1999 4063,E10A180,00302,0100,06/14/1999 4063,E10A180,00303,0100,02/14/2000 4063,E10A180,00350,0100,10/08/1999 4063,E10A180,00351,0100,12/09/1999 4063,S000000,00100,0200,06/02/2000 4063,S200000,00100,0100,2020 N. COUNTRY CLUB 4063,S200000,00200,0100,MONTGOMERY 4063,S200000,00200,0200,AL 4063,S200000,00200,0300,36106 4063,S200000,00300,0100,MONTGOMERY 4063,S200000,00400,0100,TYSON MANOR 4063,S200000,00400,0200,015040 4063,S200000,00400,0300,08/01/1974 4063,S200000,00400,0500,P 4063,S200000,00600,0200,015040 4063,S200000,00600,0300,08/01/1974 4063,S200000,00600,0600,P 4063,S200000,01600,0100,Y 4066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4066,A000000,00300,0000,00300EMPLOYEE BENEFITS 4066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4066,A000000,00700,0000,00700HOUSEKEEPING 4066,A000000,00800,0000,00800DIETARY 4066,A000000,00900,0000,00900NURSING ADMINISTRATION 4066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4066,A000000,01100,0000,01100PHARMACY 4066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4066,A000000,01300,0000,01300SOCIAL SERVICE 4066,A000000,01301,0000,01301ACTIVITIES 4066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4066,A000000,01600,0000,01600SKILLED NURSING FACILITY 4066,A000000,01800,0000,01800NURSING FACILITY 4066,A000000,01810,0000,01810ICF/MR 4066,A000000,02100,0000,02100RADIOLOGY 4066,A000000,02200,0000,02200LABORATORY 4066,A000000,02500,0000,02500PHYSICAL THERAPY 4066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4066,A000000,02700,0000,02700SPEECH PATHOLOGY 4066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4066,A000000,03550,0000,03550FQHC 4066,A000000,05000,0000,05000CORF 4066,A000000,05010,0000,05010CMHC 4066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4066,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4066,A81000A,00100,0100,Y 4066,A81000B,00100,0300,HOME OFFICE COST 4066,A81000B,00400,0300,HOME OFFICE COST 4066,A81000B,00500,0300,HOME OFFICE COST 4066,A81000B,00600,0300,HOME OFFICE COST 4066,A81000B,00800,0300,HOME OFFICE COST 4066,A81000C,00100,0100,B 4066,A81000C,00100,0200,BEVERLY ENTERPR 4066,B100000,00000,0100,00000(SQUARE FEET) 4066,B100000,00000,0200,00000(SQUARE FEET) 4066,B100000,00000,0300,00000(ADJUSTED SALARIES) 4066,B100000,00000,0400,00000(ACCUM. COST) 4066,B100000,00000,0500,00000(SQUARE FEET) 4066,B100000,00000,0600,00000(PATIENT DAYS) 4066,B100000,00000,0700,00000(SQUARE FEET) 4066,B100000,00000,0800,00000(MEALS SERVED) 4066,B100000,00000,0900,00000(ADJUSTED SALARIES) 4066,B100000,00000,1000,00000(PATIENT DAYS) 4066,B100000,00000,1100,00000(COSTED REQUIS) 4066,B100000,00000,1200,00000(TOTAL CHARGES) 4066,B100000,00000,1300,00000(PATIENT DAYS) 4066,B100000,00000,1301,00000(PATIENT DAYS) 4066,B100000,00000,1400,00000(ASSIGNED TIME) 4066,E10A180,00301,0100,06/14/1999 4066,E10A180,00302,0100,10/08/1999 4066,E10A180,00303,0100,02/14/2000 4066,E10A180,00350,0100,01/27/1999 4066,E10A180,00351,0100,12/09/1999 4066,S000000,00100,0200,06/02/2000 4066,S200000,00100,0100,600 CORLEY AVENUE 4066,S200000,00200,0100,BOAZ 4066,S200000,00200,0200,AL 4066,S200000,00200,0300,35957 4066,S200000,00300,0100,MARSHALL 4066,S200000,00400,0100,THE NURSING HOME OF BOAZ 4066,S200000,00400,0200,015063 4066,S200000,00400,0300,03/01/1984 4066,S200000,00400,0500,P 4066,S200000,00600,0200,015063 4066,S200000,00600,0300,03/01/1984 4066,S200000,00600,0600,P 4066,S200000,01600,0100,Y 4069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4069,A000000,00300,0000,00300EMPLOYEE BENEFITS 4069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4069,A000000,00700,0000,00700HOUSEKEEPING 4069,A000000,00800,0000,00800DIETARY 4069,A000000,00900,0000,00900NURSING ADMINISTRATION 4069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4069,A000000,01100,0000,01100PHARMACY 4069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4069,A000000,01300,0000,01300SOCIAL SERVICE 4069,A000000,01301,0000,01301ACTIVITIES 4069,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4069,A000000,01600,0000,01600SKILLED NURSING FACILITY 4069,A000000,01800,0000,01800NURSING FACILITY 4069,A000000,01810,0000,01810ICF/MR 4069,A000000,02100,0000,02100RADIOLOGY 4069,A000000,02200,0000,02200LABORATORY 4069,A000000,02500,0000,02500PHYSICAL THERAPY 4069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4069,A000000,02700,0000,02700SPEECH PATHOLOGY 4069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4069,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4069,A000000,03550,0000,03550FQHC 4069,A000000,05000,0000,05000CORF 4069,A000000,05010,0000,05010CMHC 4069,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4069,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4069,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4069,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4069,A81000A,00100,0100,Y 4069,A81000B,00100,0300,HOME OFFICE COST 4069,A81000B,00400,0300,HOME OFFICE COST 4069,A81000B,00500,0300,HOME OFFICE COST 4069,A81000B,00600,0300,HOME OFFICE COST 4069,A81000B,00800,0300,HOME OFFICE COST 4069,A81000C,00100,0100,B 4069,A81000C,00100,0200,BEVERLY ENTERPR 4069,B100000,00000,0100,00000(SQUARE FEET) 4069,B100000,00000,0200,00000(SQUARE FEET) 4069,B100000,00000,0300,00000(ADJUSTED SALARIES) 4069,B100000,00000,0400,00000(ACCUM. COST) 4069,B100000,00000,0500,00000(SQUARE FEET) 4069,B100000,00000,0600,00000(PATIENT DAYS) 4069,B100000,00000,0700,00000(SQUARE FEET) 4069,B100000,00000,0800,00000(MEALS SERVED) 4069,B100000,00000,0900,00000(ADJUSTED SALARIES) 4069,B100000,00000,1000,00000(PATIENT DAYS) 4069,B100000,00000,1100,00000(COSTED REQUIS) 4069,B100000,00000,1200,00000(TOTAL CHARGES) 4069,B100000,00000,1300,00000(PATIENT DAYS) 4069,B100000,00000,1301,00000(PATIENT DAYS) 4069,B100000,00000,1400,00000(ASSIGNED TIME) 4069,E10A180,00301,0100,10/08/1999 4069,E10A180,00302,0100,12/09/1999 4069,E10A180,00303,0100,02/14/2000 4069,E10A180,00350,0100,01/27/1999 4069,E10A180,00351,0100,06/14/1999 4069,S000000,00100,0200,06/02/2000 4069,S200000,00100,0100,6825 GRASSELLI ROAD 4069,S200000,00200,0100,FAIRFIELD 4069,S200000,00200,0200,AL 4069,S200000,00200,0300,35064 4069,S200000,00300,0100,JEFFERSON 4069,S200000,00400,0100,BEVERLY HEALTH CARE CENTER-WEST 4069,S200000,00400,0200,015091 4069,S200000,00400,0300,06/01/1983 4069,S200000,00400,0500,P 4069,S200000,00600,0200,015091 4069,S200000,00600,0300,06/01/1983 4069,S200000,00600,0600,P 4069,S200000,01600,0100,Y 4072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4072,A000000,00300,0000,00300EMPLOYEE BENEFITS 4072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4072,A000000,00700,0000,00700HOUSEKEEPING 4072,A000000,00800,0000,00800DIETARY 4072,A000000,00900,0000,00900NURSING ADMINISTRATION 4072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4072,A000000,01100,0000,01100PHARMACY 4072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4072,A000000,01300,0000,01300SOCIAL SERVICE 4072,A000000,01301,0000,01301ACTIVITIES 4072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4072,A000000,01600,0000,01600SKILLED NURSING FACILITY 4072,A000000,01800,0000,01800NURSING FACILITY 4072,A000000,01810,0000,01810ICF/MR 4072,A000000,02100,0000,02100RADIOLOGY 4072,A000000,02200,0000,02200LABORATORY 4072,A000000,02500,0000,02500PHYSICAL THERAPY 4072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4072,A000000,02700,0000,02700SPEECH PATHOLOGY 4072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4072,A000000,03550,0000,03550FQHC 4072,A000000,05000,0000,05000CORF 4072,A000000,05010,0000,05010CMHC 4072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4072,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4072,A81000A,00100,0100,Y 4072,A81000B,00100,0300,HOME OFFICE COST 4072,A81000B,00400,0300,HOME OFFICE COST 4072,A81000B,00500,0300,HOME OFFICE COST 4072,A81000B,00600,0300,HOME OFFICE COST 4072,A81000B,00800,0300,HOME OFFICE COST 4072,A81000C,00100,0100,B 4072,A81000C,00100,0200,BEVERLY ENTERPR 4072,B100000,00000,0100,00000(SQUARE FEET) 4072,B100000,00000,0200,00000(SQUARE FEET) 4072,B100000,00000,0300,00000(ADJUSTED SALARIES) 4072,B100000,00000,0400,00000(ACCUM. COST) 4072,B100000,00000,0500,00000(SQUARE FEET) 4072,B100000,00000,0600,00000(PATIENT DAYS) 4072,B100000,00000,0700,00000(SQUARE FEET) 4072,B100000,00000,0800,00000(MEALS SERVED) 4072,B100000,00000,0900,00000(ADJUSTED SALARIES) 4072,B100000,00000,1000,00000(PATIENT DAYS) 4072,B100000,00000,1100,00000(COSTED REQUIS) 4072,B100000,00000,1200,00000(TOTAL CHARGES) 4072,B100000,00000,1300,00000(PATIENT DAYS) 4072,B100000,00000,1301,00000(PATIENT DAYS) 4072,B100000,00000,1400,00000(ASSIGNED TIME) 4072,E10A180,00301,0100,01/27/1999 4072,E10A180,00302,0100,10/08/1999 4072,E10A180,00303,0100,12/09/1999 4072,E10A180,00304,0100,02/14/2000 4072,E10A180,00350,0100,06/14/1999 4072,S000000,00100,0200,06/02/2000 4072,S200000,00100,0100,151 CHALKVILLE RD 4072,S200000,00200,0100,TRUSSVILLE 4072,S200000,00200,0200,AL 4072,S200000,00200,0300,35173 4072,S200000,00300,0100,JEFFERSON 4072,S200000,00400,0100,TRUSSVILLE HEALTH CARE CENTER 4072,S200000,00400,0200,015131 4072,S200000,00400,0300,03/01/1984 4072,S200000,00400,0500,P 4072,S200000,00600,0200,015131 4072,S200000,00600,0300,03/01/1984 4072,S200000,00600,0600,P 4072,S200000,01600,0100,Y 4075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4075,A000000,00300,0000,00300EMPLOYEE BENEFITS 4075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4075,A000000,00700,0000,00700HOUSEKEEPING 4075,A000000,00800,0000,00800DIETARY 4075,A000000,00900,0000,00900NURSING ADMINISTRATION 4075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4075,A000000,01100,0000,01100PHARMACY 4075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4075,A000000,01300,0000,01300SOCIAL SERVICE 4075,A000000,01301,0000,01301ACTIVITIES 4075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4075,A000000,01600,0000,01600SKILLED NURSING FACILITY 4075,A000000,01800,0000,01800NURSING FACILITY 4075,A000000,01810,0000,01810ICF/MR 4075,A000000,02100,0000,02100RADIOLOGY 4075,A000000,02200,0000,02200LABORATORY 4075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4075,A000000,02500,0000,02500PHYSICAL THERAPY 4075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4075,A000000,02700,0000,02700SPEECH PATHOLOGY 4075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4075,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4075,A000000,03550,0000,03550FQHC 4075,A000000,05000,0000,05000CORF 4075,A000000,05010,0000,05010CMHC 4075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4075,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 4075,A81000A,00100,0100,Y 4075,A81000B,00100,0300,HOME OFFICE COST 4075,A81000B,00400,0300,HOME OFFICE COST 4075,A81000B,00500,0300,HOME OFFICE COST 4075,A81000B,00600,0300,HOME OFFICE COST 4075,A81000B,00800,0300,HOME OFFICE COST 4075,A81000C,00100,0100,B 4075,A81000C,00100,0200,BEVERLY ENTERPR 4075,B100000,00000,0100,00000(SQUARE FEET) 4075,B100000,00000,0200,00000(SQUARE FEET) 4075,B100000,00000,0300,00000(ADJUSTED SALARIES) 4075,B100000,00000,0400,00000(ACCUM. COST) 4075,B100000,00000,0500,00000(SQUARE FEET) 4075,B100000,00000,0600,00000(PATIENT DAYS) 4075,B100000,00000,0700,00000(SQUARE FEET) 4075,B100000,00000,0800,00000(MEALS SERVED) 4075,B100000,00000,0900,00000(ADJUSTED SALARIES) 4075,B100000,00000,1000,00000(PATIENT DAYS) 4075,B100000,00000,1100,00000(COSTED REQUIS) 4075,B100000,00000,1200,00000(TOTAL CHARGES) 4075,B100000,00000,1300,00000(PATIENT DAYS) 4075,B100000,00000,1301,00000(PATIENT DAYS) 4075,B100000,00000,1400,00000(ASSIGNED TIME) 4075,E10A180,00301,0100,01/27/1999 4075,E10A180,00302,0100,06/14/1999 4075,E10A180,00303,0100,10/08/1999 4075,E10A180,00304,0100,02/14/2000 4075,E10A180,00350,0100,12/09/1999 4075,S000000,00100,0200,06/02/2000 4075,S200000,00100,0100,1130 S. HALE ST 4075,S200000,00200,0100,OXFORD 4075,S200000,00200,0200,AL 4075,S200000,00200,0300,36203 4075,S200000,00300,0100,CALHOUN 4075,S200000,00400,0100,COLONIAL PINES HEALTH CARE CTR 4075,S200000,00400,0200,015132 4075,S200000,00400,0300,03/01/1984 4075,S200000,00400,0500,P 4075,S200000,00600,0200,015132 4075,S200000,00600,0300,03/01/1984 4075,S200000,00600,0600,P 4075,S200000,01600,0100,Y 4078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4078,A000000,00300,0000,00300EMPLOYEE BENEFITS 4078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4078,A000000,00700,0000,00700HOUSEKEEPING 4078,A000000,00800,0000,00800DIETARY 4078,A000000,00900,0000,00900NURSING ADMINISTRATION 4078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4078,A000000,01100,0000,01100PHARMACY 4078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4078,A000000,01300,0000,01300SOCIAL SERVICE 4078,A000000,01301,0000,01301ACTIVITIES 4078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4078,A000000,01600,0000,01600SKILLED NURSING FACILITY 4078,A000000,01800,0000,01800NURSING FACILITY 4078,A000000,01810,0000,01810ICF/MR 4078,A000000,02100,0000,02100RADIOLOGY 4078,A000000,02200,0000,02200LABORATORY 4078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4078,A000000,02500,0000,02500PHYSICAL THERAPY 4078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4078,A000000,02700,0000,02700SPEECH PATHOLOGY 4078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4078,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4078,A000000,03550,0000,03550FQHC 4078,A000000,05000,0000,05000CORF 4078,A000000,05010,0000,05010CMHC 4078,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4078,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4078,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4078,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4078,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 4078,A81000A,00100,0100,Y 4078,A81000B,00100,0300,HOME OFFICE COST 4078,A81000B,00400,0300,HOME OFFICE COST 4078,A81000B,00500,0300,HOME OFFICE COST 4078,A81000B,00600,0300,HOME OFFICE COST 4078,A81000B,00800,0300,HOME OFFICE COST 4078,A81000C,00100,0100,B 4078,A81000C,00100,0200,BEVERLY ENTERPR 4078,B100000,00000,0100,00000(SQUARE FEET) 4078,B100000,00000,0200,00000(SQUARE FEET) 4078,B100000,00000,0300,00000(ADJUSTED SALARIES) 4078,B100000,00000,0400,00000(ACCUM. COST) 4078,B100000,00000,0500,00000(SQUARE FEET) 4078,B100000,00000,0600,00000(PATIENT DAYS) 4078,B100000,00000,0700,00000(SQUARE FEET) 4078,B100000,00000,0800,00000(MEALS SERVED) 4078,B100000,00000,0900,00000(ADJUSTED SALARIES) 4078,B100000,00000,1000,00000(PATIENT DAYS) 4078,B100000,00000,1100,00000(COSTED REQUIS) 4078,B100000,00000,1200,00000(TOTAL CHARGES) 4078,B100000,00000,1300,00000(PATIENT DAYS) 4078,B100000,00000,1301,00000(PATIENT DAYS) 4078,B100000,00000,1400,00000(ASSIGNED TIME) 4078,E10A180,00301,0100,01/27/1999 4078,E10A180,00302,0100,12/09/1999 4078,E10A180,00350,0100,06/14/1999 4078,E10A180,00351,0100,10/08/1999 4078,E10A180,00352,0100,02/14/2000 4078,S000000,00100,0200,06/02/2000 4078,S200000,00100,0100,733 MARY VANN LANE 4078,S200000,00200,0100,BIRMINGHAM 4078,S200000,00200,0200,AL 4078,S200000,00200,0300,35215 4078,S200000,00300,0100,JEFFERSON 4078,S200000,00400,0100,BEVERLY HEALTH CARE CENTER-EAST 4078,S200000,00400,0200,015134 4078,S200000,00400,0300,03/01/1976 4078,S200000,00400,0500,P 4078,S200000,00600,0200,015134 4078,S200000,00600,0300,03/01/1976 4078,S200000,00600,0600,P 4078,S200000,01600,0100,Y 4081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4081,A000000,00300,0000,00300EMPLOYEE BENEFITS 4081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4081,A000000,00700,0000,00700HOUSEKEEPING 4081,A000000,00800,0000,00800DIETARY 4081,A000000,00900,0000,00900NURSING ADMINISTRATION 4081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4081,A000000,01100,0000,01100PHARMACY 4081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4081,A000000,01300,0000,01300SOCIAL SERVICE 4081,A000000,01301,0000,01301ACTIVITIES 4081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4081,A000000,01600,0000,01600SKILLED NURSING FACILITY 4081,A000000,01800,0000,01800NURSING FACILITY 4081,A000000,01810,0000,01810ICF/MR 4081,A000000,02100,0000,02100RADIOLOGY 4081,A000000,02200,0000,02200LABORATORY 4081,A000000,02500,0000,02500PHYSICAL THERAPY 4081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4081,A000000,02700,0000,02700SPEECH PATHOLOGY 4081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4081,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4081,A000000,03550,0000,03550FQHC 4081,A000000,05000,0000,05000CORF 4081,A000000,05010,0000,05010CMHC 4081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4081,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 4081,A81000A,00100,0100,Y 4081,A81000B,00100,0300,HOME OFFICE COST 4081,A81000B,00400,0300,HOME OFFICE COST 4081,A81000B,00500,0300,HOME OFFICE COST 4081,A81000B,00600,0300,HOME OFFICE COST 4081,A81000B,00800,0300,HOME OFFICE COST 4081,A81000C,00100,0100,B 4081,A81000C,00100,0200,BEVERLY ENTERPR 4081,B100000,00000,0100,00000(SQUARE FEET) 4081,B100000,00000,0200,00000(SQUARE FEET) 4081,B100000,00000,0300,00000(ADJUSTED SALARIES) 4081,B100000,00000,0400,00000(ACCUM. COST) 4081,B100000,00000,0500,00000(SQUARE FEET) 4081,B100000,00000,0600,00000(PATIENT DAYS) 4081,B100000,00000,0700,00000(SQUARE FEET) 4081,B100000,00000,0800,00000(MEALS SERVED) 4081,B100000,00000,0900,00000(ADJUSTED SALARIES) 4081,B100000,00000,1000,00000(PATIENT DAYS) 4081,B100000,00000,1100,00000(COSTED REQUIS) 4081,B100000,00000,1200,00000(TOTAL CHARGES) 4081,B100000,00000,1300,00000(PATIENT DAYS) 4081,B100000,00000,1301,00000(PATIENT DAYS) 4081,B100000,00000,1400,00000(ASSIGNED TIME) 4081,E10A180,00301,0100,12/09/1999 4081,E10A180,00350,0100,01/27/1999 4081,E10A180,00351,0100,06/14/1999 4081,E10A180,00352,0100,10/08/1999 4081,E10A180,00353,0100,02/14/2000 4081,S000000,00100,0200,06/02/2000 4081,S200000,00100,0100,2500 RIVERHAVEN DRIVE 4081,S200000,00200,0100,BIRMINGHAM 4081,S200000,00200,0200,AL 4081,S200000,00200,0300,35244 4081,S200000,00300,0100,JEFFERSON 4081,S200000,00400,0100,RIVERCHASE HEALTH CARE CENTER 4081,S200000,00400,0200,015145 4081,S200000,00400,0300,01/01/1979 4081,S200000,00400,0500,P 4081,S200000,00600,0200,015145 4081,S200000,00600,0300,01/01/1979 4081,S200000,00600,0600,P 4081,S200000,01600,0100,Y 4088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4088,A000000,00300,0000,00300EMPLOYEE BENEFITS 4088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4088,A000000,00700,0000,00700HOUSEKEEPING 4088,A000000,00800,0000,00800DIETARY 4088,A000000,00900,0000,00900NURSING ADMINISTRATION 4088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4088,A000000,01100,0000,01100PHARMACY 4088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4088,A000000,01300,0000,01300SOCIAL SERVICE 4088,A000000,01301,0000,01301ACTIVITIES 4088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4088,A000000,01600,0000,01600SKILLED NURSING FACILITY 4088,A000000,01800,0000,01800NURSING FACILITY 4088,A000000,01810,0000,01810ICF/MR 4088,A000000,02100,0000,02100RADIOLOGY 4088,A000000,02200,0000,02200LABORATORY 4088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4088,A000000,02500,0000,02500PHYSICAL THERAPY 4088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4088,A000000,02700,0000,02700SPEECH PATHOLOGY 4088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4088,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4088,A000000,03550,0000,03550FQHC 4088,A000000,05000,0000,05000CORF 4088,A000000,05010,0000,05010CMHC 4088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4088,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4088,A81000A,00100,0100,Y 4088,A81000B,00100,0300,HOME OFFICE COST 4088,A81000B,00400,0300,HOME OFFICE COST 4088,A81000B,00500,0300,HOME OFFICE COST 4088,A81000B,00600,0300,HOME OFFICE COST 4088,A81000B,00800,0300,HOME OFFICE COST 4088,A81000C,00100,0100,B 4088,A81000C,00100,0200,BEVERLY ENTERPR 4088,B100000,00000,0100,00000(SQUARE FEET) 4088,B100000,00000,0200,00000(SQUARE FEET) 4088,B100000,00000,0300,00000(ADJUSTED SALARIES) 4088,B100000,00000,0400,00000(ACCUM. COST) 4088,B100000,00000,0500,00000(SQUARE FEET) 4088,B100000,00000,0600,00000(PATIENT DAYS) 4088,B100000,00000,0700,00000(SQUARE FEET) 4088,B100000,00000,0800,00000(MEALS SERVED) 4088,B100000,00000,0900,00000(ADJUSTED SALARIES) 4088,B100000,00000,1000,00000(PATIENT DAYS) 4088,B100000,00000,1100,00000(COSTED REQUIS) 4088,B100000,00000,1200,00000(TOTAL CHARGES) 4088,B100000,00000,1300,00000(PATIENT DAYS) 4088,B100000,00000,1301,00000(PATIENT DAYS) 4088,B100000,00000,1400,00000(ASSIGNED TIME) 4088,E10A180,00301,0100,10/08/1999 4088,E10A180,00302,0100,02/14/2000 4088,E10A180,00350,0100,01/27/1999 4088,E10A180,00351,0100,06/14/1999 4088,E10A180,00352,0100,12/09/1999 4088,S000000,00100,0200,06/02/2000 4088,S200000,00100,0100,2107 CLOYD BLVD 4088,S200000,00200,0100,FLORENCE 4088,S200000,00200,0200,AL 4088,S200000,00200,0300,35630 4088,S200000,00300,0100,LAUDERDALE 4088,S200000,00400,0100,FLORENCE-ROLLING ACRES NURSING 4088,S200000,00400,0200,015169 4088,S200000,00400,0300,08/01/1982 4088,S200000,00400,0500,P 4088,S200000,00600,0200,015169 4088,S200000,00600,0300,08/01/1982 4088,S200000,00600,0600,P 4088,S200000,01600,0100,Y 4091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4091,A000000,00300,0000,00300EMPLOYEE BENEFITS 4091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4091,A000000,00700,0000,00700HOUSEKEEPING 4091,A000000,00800,0000,00800DIETARY 4091,A000000,00900,0000,00900NURSING ADMINISTRATION 4091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4091,A000000,01100,0000,01100PHARMACY 4091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4091,A000000,01300,0000,01300SOCIAL SERVICE 4091,A000000,01301,0000,01301ACTIVITIES 4091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4091,A000000,01600,0000,01600SKILLED NURSING FACILITY 4091,A000000,01800,0000,01800NURSING FACILITY 4091,A000000,01810,0000,01810ICF/MR 4091,A000000,02100,0000,02100RADIOLOGY 4091,A000000,02200,0000,02200LABORATORY 4091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4091,A000000,02500,0000,02500PHYSICAL THERAPY 4091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4091,A000000,02700,0000,02700SPEECH PATHOLOGY 4091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4091,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4091,A000000,03550,0000,03550FQHC 4091,A000000,05000,0000,05000CORF 4091,A000000,05010,0000,05010CMHC 4091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4091,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4091,A81000A,00100,0100,Y 4091,A81000B,00100,0300,HOME OFFICE COST 4091,A81000B,00400,0300,HOME OFFICE COST 4091,A81000B,00500,0300,HOME OFFICE COST 4091,A81000B,00600,0300,HOME OFFICE COST 4091,A81000B,00800,0300,HOME OFFICE COST 4091,A81000C,00100,0100,B 4091,A81000C,00100,0200,BEVERLY ENTERPR 4091,B100000,00000,0100,00000(SQUARE FEET) 4091,B100000,00000,0200,00000(SQUARE FEET) 4091,B100000,00000,0300,00000(ADJUSTED SALARIES) 4091,B100000,00000,0400,00000(ACCUM. COST) 4091,B100000,00000,0500,00000(SQUARE FEET) 4091,B100000,00000,0600,00000(PATIENT DAYS) 4091,B100000,00000,0700,00000(SQUARE FEET) 4091,B100000,00000,0800,00000(MEALS SERVED) 4091,B100000,00000,0900,00000(ADJUSTED SALARIES) 4091,B100000,00000,1000,00000(PATIENT DAYS) 4091,B100000,00000,1100,00000(COSTED REQUIS) 4091,B100000,00000,1200,00000(TOTAL CHARGES) 4091,B100000,00000,1300,00000(PATIENT DAYS) 4091,B100000,00000,1301,00000(PATIENT DAYS) 4091,B100000,00000,1400,00000(ASSIGNED TIME) 4091,E10A180,00301,0100,01/27/1999 4091,E10A180,00302,0100,12/09/1999 4091,E10A180,00303,0100,02/14/2000 4091,E10A180,00350,0100,06/14/1999 4091,E10A180,00351,0100,10/08/1999 4091,S000000,00100,0200,06/02/2000 4091,S200000,00100,0100,4525 ST STEPHENS ROAD 4091,S200000,00200,0100,EIGHT MILE 4091,S200000,00200,0200,AL 4091,S200000,00200,0300,36613 4091,S200000,00300,0100,MOBILE 4091,S200000,00400,0100,AUTUMN BREEZE HEALTH CARE CTR 4091,S200000,00400,0200,015183 4091,S200000,00400,0300,06/01/1982 4091,S200000,00400,0500,P 4091,S200000,00600,0200,015183 4091,S200000,00600,0300,06/01/1982 4091,S200000,00600,0600,P 4091,S200000,01600,0100,Y 4094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4094,A000000,00300,0000,00300EMPLOYEE BENEFITS 4094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4094,A000000,00700,0000,00700HOUSEKEEPING 4094,A000000,00800,0000,00800DIETARY 4094,A000000,00900,0000,00900NURSING ADMINISTRATION 4094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4094,A000000,01100,0000,01100PHARMACY 4094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4094,A000000,01300,0000,01300SOCIAL SERVICE 4094,A000000,01301,0000,01301ACTIVITIES 4094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4094,A000000,01600,0000,01600SKILLED NURSING FACILITY 4094,A000000,01800,0000,01800NURSING FACILITY 4094,A000000,01810,0000,01810ICF/MR 4094,A000000,02100,0000,02100RADIOLOGY 4094,A000000,02200,0000,02200LABORATORY 4094,A000000,02500,0000,02500PHYSICAL THERAPY 4094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4094,A000000,02700,0000,02700SPEECH PATHOLOGY 4094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4094,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4094,A000000,03550,0000,03550FQHC 4094,A000000,05000,0000,05000CORF 4094,A000000,05010,0000,05010CMHC 4094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4094,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4094,A81000A,00100,0100,Y 4094,A81000B,00100,0300,HOME OFFICE COST 4094,A81000B,00400,0300,HOME OFFICE COST 4094,A81000B,00500,0300,HOME OFFICE COST 4094,A81000B,00600,0300,HOME OFFICE COST 4094,A81000B,00800,0300,HOME OFFICE COST 4094,A81000C,00100,0100,B 4094,A81000C,00100,0200,BEVERLY ENTERPR 4094,B100000,00000,0100,00000(SQUARE FEET) 4094,B100000,00000,0200,00000(SQUARE FEET) 4094,B100000,00000,0300,00000(ADJUSTED SALARIES) 4094,B100000,00000,0400,00000(ACCUM. COST) 4094,B100000,00000,0500,00000(SQUARE FEET) 4094,B100000,00000,0600,00000(PATIENT DAYS) 4094,B100000,00000,0700,00000(SQUARE FEET) 4094,B100000,00000,0800,00000(MEALS SERVED) 4094,B100000,00000,0900,00000(ADJUSTED SALARIES) 4094,B100000,00000,1000,00000(PATIENT DAYS) 4094,B100000,00000,1100,00000(COSTED REQUIS) 4094,B100000,00000,1200,00000(TOTAL CHARGES) 4094,B100000,00000,1300,00000(PATIENT DAYS) 4094,B100000,00000,1301,00000(PATIENT DAYS) 4094,B100000,00000,1400,00000(ASSIGNED TIME) 4094,E10A180,00301,0100,06/14/1999 4094,E10A180,00302,0100,02/14/2000 4094,E10A180,00350,0100,01/27/1999 4094,E10A180,00351,0100,10/08/1999 4094,E10A180,00352,0100,12/09/1999 4094,S000000,00100,0200,06/02/2000 4094,S200000,00100,0100,510 WOLF CREEK ROAD NORTH 4094,S200000,00200,0100,PELL CITY 4094,S200000,00200,0200,AL 4094,S200000,00200,0300,35125 4094,S200000,00300,0100,ST. CLAIR 4094,S200000,00400,0100,INGRAM MANOR NURSING HOME 4094,S200000,00400,0200,015189 4094,S200000,00400,0300,08/01/1982 4094,S200000,00400,0500,P 4094,S200000,00600,0200,015189 4094,S200000,00600,0300,08/01/1982 4094,S200000,00600,0600,P 4094,S200000,01600,0100,Y 4097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4097,A000000,00300,0000,00300EMPLOYEE BENEFITS 4097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4097,A000000,00700,0000,00700HOUSEKEEPING 4097,A000000,00800,0000,00800DIETARY 4097,A000000,00900,0000,00900NURSING ADMINISTRATION 4097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4097,A000000,01100,0000,01100PHARMACY 4097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4097,A000000,01300,0000,01300SOCIAL SERVICE 4097,A000000,01301,0000,01301ACTIVITIES 4097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4097,A000000,01600,0000,01600SKILLED NURSING FACILITY 4097,A000000,01800,0000,01800NURSING FACILITY 4097,A000000,01810,0000,01810ICF/MR 4097,A000000,02200,0000,02200LABORATORY 4097,A000000,02500,0000,02500PHYSICAL THERAPY 4097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4097,A000000,02700,0000,02700SPEECH PATHOLOGY 4097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4097,A000000,03550,0000,03550FQHC 4097,A000000,05000,0000,05000CORF 4097,A000000,05010,0000,05010CMHC 4097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4097,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4097,A81000A,00100,0100,Y 4097,A81000B,00100,0300,HOME OFFICE COST 4097,A81000B,00400,0300,HOME OFFICE COST 4097,A81000B,00500,0300,HOME OFFICE COST 4097,A81000B,00600,0300,HOME OFFICE COST 4097,A81000B,00800,0300,HOME OFFICE COST 4097,A81000C,00100,0100,B 4097,A81000C,00100,0200,BEVERLY ENTERPR 4097,B100000,00000,0100,00000(SQUARE FEET) 4097,B100000,00000,0200,00000(SQUARE FEET) 4097,B100000,00000,0300,00000(ADJUSTED SALARIES) 4097,B100000,00000,0400,00000(ACCUM. COST) 4097,B100000,00000,0500,00000(SQUARE FEET) 4097,B100000,00000,0600,00000(PATIENT DAYS) 4097,B100000,00000,0700,00000(SQUARE FEET) 4097,B100000,00000,0800,00000(MEALS SERVED) 4097,B100000,00000,0900,00000(ADJUSTED SALARIES) 4097,B100000,00000,1000,00000(PATIENT DAYS) 4097,B100000,00000,1100,00000(COSTED REQUIS) 4097,B100000,00000,1200,00000(TOTAL CHARGES) 4097,B100000,00000,1300,00000(PATIENT DAYS) 4097,B100000,00000,1301,00000(PATIENT DAYS) 4097,B100000,00000,1400,00000(ASSIGNED TIME) 4097,E10A180,00301,0100,06/14/1999 4097,E10A180,00302,0100,10/08/1999 4097,E10A180,00350,0100,01/27/1999 4097,E10A180,00351,0100,12/09/1999 4097,E10A180,00352,0100,02/14/2000 4097,S000000,00100,0200,06/02/2000 4097,S200000,00100,0100,702 SOUTH 13TH STREET 4097,S200000,00200,0100,LANETT 4097,S200000,00200,0200,AL 4097,S200000,00200,0300,36863 4097,S200000,00300,0100,CHAMBERS 4097,S200000,00400,0100,LANETT GERIATRIC CENTER 4097,S200000,00400,0200,015196 4097,S200000,00400,0300,08/01/1982 4097,S200000,00400,0500,P 4097,S200000,00600,0200,015196 4097,S200000,00600,0300,08/01/1982 4097,S200000,00600,0600,P 4097,S200000,01600,0100,Y 4100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4100,A000000,00300,0000,00300EMPLOYEE BENEFITS 4100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4100,A000000,00700,0000,00700HOUSEKEEPING 4100,A000000,00800,0000,00800DIETARY 4100,A000000,00900,0000,00900NURSING ADMINISTRATION 4100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4100,A000000,01100,0000,01100PHARMACY 4100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4100,A000000,01300,0000,01300SOCIAL SERVICE 4100,A000000,01301,0000,01301ACTIVITIES 4100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4100,A000000,01600,0000,01600SKILLED NURSING FACILITY 4100,A000000,01800,0000,01800NURSING FACILITY 4100,A000000,01810,0000,01810ICF/MR 4100,A000000,02100,0000,02100RADIOLOGY 4100,A000000,02200,0000,02200LABORATORY 4100,A000000,02500,0000,02500PHYSICAL THERAPY 4100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4100,A000000,02700,0000,02700SPEECH PATHOLOGY 4100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4100,A000000,03550,0000,03550FQHC 4100,A000000,05000,0000,05000CORF 4100,A000000,05010,0000,05010CMHC 4100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4100,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4100,A81000A,00100,0100,Y 4100,A81000B,00100,0300,HOME OFFICE COST 4100,A81000B,00400,0300,HOME OFFICE COST 4100,A81000B,00500,0300,HOME OFFICE COST 4100,A81000B,00600,0300,HOME OFFICE COST 4100,A81000B,00800,0300,HOME OFFICE COST 4100,A81000C,00100,0100,B 4100,A81000C,00100,0200,BEVERLY ENTERPR 4100,B100000,00000,0100,00000(SQUARE FEET) 4100,B100000,00000,0200,00000(SQUARE FEET) 4100,B100000,00000,0300,00000(ADJUSTED SALARIES) 4100,B100000,00000,0400,00000(ACCUM. COST) 4100,B100000,00000,0500,00000(SQUARE FEET) 4100,B100000,00000,0600,00000(PATIENT DAYS) 4100,B100000,00000,0700,00000(SQUARE FEET) 4100,B100000,00000,0800,00000(MEALS SERVED) 4100,B100000,00000,0900,00000(ADJUSTED SALARIES) 4100,B100000,00000,1000,00000(PATIENT DAYS) 4100,B100000,00000,1100,00000(COSTED REQUIS) 4100,B100000,00000,1200,00000(TOTAL CHARGES) 4100,B100000,00000,1300,00000(PATIENT DAYS) 4100,B100000,00000,1301,00000(PATIENT DAYS) 4100,B100000,00000,1400,00000(ASSIGNED TIME) 4100,E10A180,00350,0100,01/27/1999 4100,E10A180,00351,0100,06/14/1999 4100,E10A180,00352,0100,10/08/1999 4100,E10A180,00353,0100,12/09/1999 4100,E10A180,00354,0100,02/14/2000 4100,S000000,00100,0200,06/02/2000 4100,S200000,00100,0100,820 GOLF COURSE ROAD 4100,S200000,00200,0100,BESSEMER 4100,S200000,00200,0200,AL 4100,S200000,00200,0300,35023 4100,S200000,00300,0100,JEFFERSON 4100,S200000,00400,0100,MEADOWOOD NURSING HOME 4100,S200000,00400,0200,015209 4100,S200000,00400,0300,08/01/1982 4100,S200000,00400,0500,P 4100,S200000,00600,0200,015209 4100,S200000,00600,0300,08/01/1982 4100,S200000,00600,0600,P 4100,S200000,01600,0100,Y 4103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4103,A000000,00300,0000,00300EMPLOYEE BENEFITS 4103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4103,A000000,00700,0000,00700HOUSEKEEPING 4103,A000000,00800,0000,00800DIETARY 4103,A000000,00900,0000,00900NURSING ADMINISTRATION 4103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4103,A000000,01100,0000,01100PHARMACY 4103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4103,A000000,01300,0000,01300SOCIAL SERVICE 4103,A000000,01301,0000,01301ACTIVITIES 4103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4103,A000000,01600,0000,01600SKILLED NURSING FACILITY 4103,A000000,01800,0000,01800NURSING FACILITY 4103,A000000,01810,0000,01810ICF/MR 4103,A000000,02200,0000,02200LABORATORY 4103,A000000,02500,0000,02500PHYSICAL THERAPY 4103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4103,A000000,02700,0000,02700SPEECH PATHOLOGY 4103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4103,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4103,A000000,03550,0000,03550FQHC 4103,A000000,05000,0000,05000CORF 4103,A000000,05010,0000,05010CMHC 4103,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4103,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4103,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4103,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4103,A81000A,00100,0100,Y 4103,A81000B,00100,0300,HOME OFFICE COST 4103,A81000B,00400,0300,HOME OFFICE COST 4103,A81000B,00500,0300,HOME OFFICE COST 4103,A81000B,00600,0300,HOME OFFICE COST 4103,A81000B,00800,0300,HOME OFFICE COST 4103,A81000C,00100,0100,B 4103,A81000C,00100,0200,BEVERLY ENTERPR 4103,B100000,00000,0100,00000(SQUARE FEET) 4103,B100000,00000,0200,00000(SQUARE FEET) 4103,B100000,00000,0300,00000(ADJUSTED SALARIES) 4103,B100000,00000,0400,00000(ACCUM. COST) 4103,B100000,00000,0500,00000(SQUARE FEET) 4103,B100000,00000,0600,00000(PATIENT DAYS) 4103,B100000,00000,0700,00000(SQUARE FEET) 4103,B100000,00000,0800,00000(MEALS SERVED) 4103,B100000,00000,0900,00000(ADJUSTED SALARIES) 4103,B100000,00000,1000,00000(PATIENT DAYS) 4103,B100000,00000,1100,00000(COSTED REQUIS) 4103,B100000,00000,1200,00000(TOTAL CHARGES) 4103,B100000,00000,1300,00000(PATIENT DAYS) 4103,B100000,00000,1301,00000(PATIENT DAYS) 4103,B100000,00000,1400,00000(ASSIGNED TIME) 4103,E10A180,00301,0100,06/14/1999 4103,E10A180,00302,0100,10/08/1999 4103,E10A180,00303,0100,12/09/1999 4103,E10A180,00304,0100,02/14/2000 4103,E10A180,00350,0100,01/27/1999 4103,S000000,00100,0200,06/02/2000 4103,S200000,00100,0100,1000 DUGAN AVENUE 4103,S200000,00200,0100,BIRMINGHAM 4103,S200000,00200,0200,AL 4103,S200000,00200,0300,35214 4103,S200000,00300,0100,JEFFERSON 4103,S200000,00400,0100,FORESTDALE HEALTH CARE CENTER 4103,S200000,00400,0200,015217 4103,S200000,00400,0300,06/01/1982 4103,S200000,00400,0500,P 4103,S200000,00600,0200,015217 4103,S200000,00600,0300,06/01/1982 4103,S200000,00600,0600,P 4103,S200000,01600,0100,Y 4106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4106,A000000,00300,0000,00300EMPLOYEE BENEFITS 4106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4106,A000000,00700,0000,00700HOUSEKEEPING 4106,A000000,00800,0000,00800DIETARY 4106,A000000,00900,0000,00900NURSING ADMINISTRATION 4106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4106,A000000,01100,0000,01100PHARMACY 4106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4106,A000000,01300,0000,01300SOCIAL SERVICE 4106,A000000,01301,0000,01301ACTIVITIES 4106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4106,A000000,01600,0000,01600SKILLED NURSING FACILITY 4106,A000000,01800,0000,01800NURSING FACILITY 4106,A000000,01810,0000,01810ICF/MR 4106,A000000,02100,0000,02100RADIOLOGY 4106,A000000,02200,0000,02200LABORATORY 4106,A000000,02500,0000,02500PHYSICAL THERAPY 4106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4106,A000000,02700,0000,02700SPEECH PATHOLOGY 4106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4106,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4106,A000000,03550,0000,03550FQHC 4106,A000000,05000,0000,05000CORF 4106,A000000,05010,0000,05010CMHC 4106,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4106,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4106,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4106,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4106,A81000A,00100,0100,Y 4106,A81000B,00100,0300,HOME OFFICE COST 4106,A81000B,00400,0300,HOME OFFICE COST 4106,A81000B,00500,0300,HOME OFFICE COST 4106,A81000B,00600,0300,HOME OFFICE COST 4106,A81000B,00800,0300,HOME OFFICE COST 4106,A81000C,00100,0100,B 4106,A81000C,00100,0200,BEVERLY ENTERPR 4106,B100000,00000,0100,00000(SQUARE FEET) 4106,B100000,00000,0200,00000(SQUARE FEET) 4106,B100000,00000,0300,00000(ADJUSTED SALARIES) 4106,B100000,00000,0400,00000(ACCUM. COST) 4106,B100000,00000,0500,00000(SQUARE FEET) 4106,B100000,00000,0600,00000(PATIENT DAYS) 4106,B100000,00000,0700,00000(SQUARE FEET) 4106,B100000,00000,0800,00000(MEALS SERVED) 4106,B100000,00000,0900,00000(ADJUSTED SALARIES) 4106,B100000,00000,1000,00000(PATIENT DAYS) 4106,B100000,00000,1100,00000(COSTED REQUIS) 4106,B100000,00000,1200,00000(TOTAL CHARGES) 4106,B100000,00000,1300,00000(PATIENT DAYS) 4106,B100000,00000,1301,00000(PATIENT DAYS) 4106,B100000,00000,1400,00000(ASSIGNED TIME) 4106,E10A180,00301,0100,01/27/1999 4106,E10A180,00350,0100,06/14/1999 4106,E10A180,00351,0100,10/08/1999 4106,E10A180,00352,0100,12/09/1999 4106,E10A180,00353,0100,02/14/2000 4106,S000000,00100,0200,06/02/2000 4106,S200000,00100,0100,30 SEVENTH STREET 4106,S200000,00200,0100,PLEASANT GROVE 4106,S200000,00200,0200,AL 4106,S200000,00200,0300,35127 4106,S200000,00300,0100,JEFFERSON 4106,S200000,00400,0100,PLEASANT GROVE HEALTH CARE CEN 4106,S200000,00400,0200,015219 4106,S200000,00400,0300,06/01/1982 4106,S200000,00400,0500,P 4106,S200000,00600,0200,015219 4106,S200000,00600,0300,06/01/1982 4106,S200000,00600,0600,P 4106,S200000,01600,0100,Y 4111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4111,A000000,00300,0000,00300EMPLOYEE BENEFITS 4111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4111,A000000,00700,0000,00700HOUSEKEEPING 4111,A000000,00800,0000,00800DIETARY 4111,A000000,00900,0000,00900NURSING ADMINISTRATION 4111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4111,A000000,01100,0000,01100PHARMACY 4111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4111,A000000,01300,0000,01300SOCIAL SERVICE 4111,A000000,01301,0000,01301ACTIVITIES 4111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4111,A000000,01600,0000,01600SKILLED NURSING FACILITY 4111,A000000,01800,0000,01800NURSING FACILITY 4111,A000000,01810,0000,01810ICF/MR 4111,A000000,02100,0000,02100RADIOLOGY 4111,A000000,02200,0000,02200LABORATORY 4111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4111,A000000,02500,0000,02500PHYSICAL THERAPY 4111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4111,A000000,02700,0000,02700SPEECH PATHOLOGY 4111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4111,A000000,03550,0000,03550FQHC 4111,A000000,05000,0000,05000CORF 4111,A000000,05010,0000,05010CMHC 4111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4111,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4111,A81000A,00100,0100,Y 4111,A81000B,00100,0300,HOME OFFICE COST 4111,A81000B,00400,0300,HOME OFFICE COST 4111,A81000B,00500,0300,HOME OFFICE COST 4111,A81000B,00600,0300,HOME OFFICE COST 4111,A81000B,00800,0300,HOME OFFICE COST 4111,A81000C,00100,0100,B 4111,A81000C,00100,0200,BEVERLY ENTERPR 4111,B100000,00000,0100,00000(SQUARE FEET) 4111,B100000,00000,0200,00000(SQUARE FEET) 4111,B100000,00000,0300,00000(ADJUSTED SALARIES) 4111,B100000,00000,0400,00000(ACCUM. COST) 4111,B100000,00000,0500,00000(SQUARE FEET) 4111,B100000,00000,0600,00000(PATIENT DAYS) 4111,B100000,00000,0700,00000(SQUARE FEET) 4111,B100000,00000,0800,00000(MEALS SERVED) 4111,B100000,00000,0900,00000(ADJUSTED SALARIES) 4111,B100000,00000,1000,00000(PATIENT DAYS) 4111,B100000,00000,1100,00000(COSTED REQUIS) 4111,B100000,00000,1200,00000(TOTAL CHARGES) 4111,B100000,00000,1300,00000(PATIENT DAYS) 4111,B100000,00000,1301,00000(PATIENT DAYS) 4111,B100000,00000,1400,00000(ASSIGNED TIME) 4111,E10A180,00301,0100,10/08/1999 4111,E10A180,00302,0100,02/14/2000 4111,E10A180,00350,0100,01/27/1999 4111,E10A180,00351,0100,06/14/1999 4111,E10A180,00352,0100,12/09/1999 4111,S000000,00100,0200,06/02/2000 4111,S200000,00100,0100,5TH COURT AND MAIN ST 4111,S200000,00200,0100,WINFIELD 4111,S200000,00200,0200,AL 4111,S200000,00200,0300,35594 4111,S200000,00300,0100,MARION 4111,S200000,00400,0100,PINEVIEW HEALTH CARE CENTER 4111,S200000,00400,0200,015376 4111,S200000,00400,0300,06/01/1982 4111,S200000,00400,0500,P 4111,S200000,00600,0200,015376 4111,S200000,00600,0300,06/01/1982 4111,S200000,00600,0600,P 4111,S200000,01600,0100,Y 4114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4114,A000000,00300,0000,00300EMPLOYEE BENEFITS 4114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4114,A000000,00700,0000,00700HOUSEKEEPING 4114,A000000,00800,0000,00800DIETARY 4114,A000000,00900,0000,00900NURSING ADMINISTRATION 4114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4114,A000000,01100,0000,01100PHARMACY 4114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4114,A000000,01300,0000,01300SOCIAL SERVICE 4114,A000000,01301,0000,01301ACTIVITIES 4114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4114,A000000,01600,0000,01600SKILLED NURSING FACILITY 4114,A000000,01800,0000,01800NURSING FACILITY 4114,A000000,01810,0000,01810ICF/MR 4114,A000000,02100,0000,02100RADIOLOGY 4114,A000000,02200,0000,02200LABORATORY 4114,A000000,02500,0000,02500PHYSICAL THERAPY 4114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4114,A000000,02700,0000,02700SPEECH PATHOLOGY 4114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4114,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4114,A000000,03550,0000,03550FQHC 4114,A000000,05000,0000,05000CORF 4114,A000000,05010,0000,05010CMHC 4114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4114,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4114,A81000A,00100,0100,Y 4114,A81000B,00100,0300,HOME OFFICE COST 4114,A81000B,00400,0300,HOME OFFICE COST 4114,A81000B,00500,0300,HOME OFFICE COST 4114,A81000B,00600,0300,HOME OFFICE COST 4114,A81000B,00800,0300,HOME OFFICE COST 4114,A81000C,00100,0100,B 4114,A81000C,00100,0200,BEVERLY ENTERPR 4114,B100000,00000,0100,00000(SQUARE FEET) 4114,B100000,00000,0200,00000(SQUARE FEET) 4114,B100000,00000,0300,00000(ADJUSTED SALARIES) 4114,B100000,00000,0400,00000(ACCUM. COST) 4114,B100000,00000,0500,00000(SQUARE FEET) 4114,B100000,00000,0600,00000(PATIENT DAYS) 4114,B100000,00000,0700,00000(SQUARE FEET) 4114,B100000,00000,0800,00000(MEALS SERVED) 4114,B100000,00000,0900,00000(ADJUSTED SALARIES) 4114,B100000,00000,1000,00000(PATIENT DAYS) 4114,B100000,00000,1100,00000(COSTED REQUIS) 4114,B100000,00000,1200,00000(TOTAL CHARGES) 4114,B100000,00000,1300,00000(PATIENT DAYS) 4114,B100000,00000,1301,00000(PATIENT DAYS) 4114,B100000,00000,1400,00000(ASSIGNED TIME) 4114,E10A180,00301,0100,01/27/1999 4114,E10A180,00350,0100,06/14/1999 4114,E10A180,00351,0100,10/08/1999 4114,E10A180,00352,0100,12/09/1999 4114,E10A180,00353,0100,02/14/2000 4114,S000000,00100,0200,06/02/2000 4114,S200000,00100,0100,7020 BRUNS DRIVE 4114,S200000,00200,0100,MOBILE 4114,S200000,00200,0200,AL 4114,S200000,00200,0300,36609 4114,S200000,00300,0100,MOBILE 4114,S200000,00400,0100,BAY MANOR NURSING HOME 4114,S200000,00400,0200,015379 4114,S200000,00400,0300,07/01/1982 4114,S200000,00400,0500,P 4114,S200000,00600,0200,015379 4114,S200000,00600,0300,07/01/1982 4114,S200000,00600,0600,P 4114,S200000,01600,0100,Y 4126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4126,A000000,00300,0000,00300EMPLOYEE BENEFITS 4126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4126,A000000,00700,0000,00700HOUSEKEEPING 4126,A000000,00800,0000,00800DIETARY 4126,A000000,00900,0000,00900NURSING ADMINISTRATION 4126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4126,A000000,01100,0000,01100PHARMACY 4126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4126,A000000,01300,0000,01300SOCIAL SERVICE 4126,A000000,01301,0000,01301ACTIVITIES 4126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4126,A000000,01600,0000,01600SKILLED NURSING FACILITY 4126,A000000,01800,0000,01800NURSING FACILITY 4126,A000000,01810,0000,01810ICF/MR 4126,A000000,02200,0000,02200LABORATORY 4126,A000000,02500,0000,02500PHYSICAL THERAPY 4126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4126,A000000,02700,0000,02700SPEECH PATHOLOGY 4126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4126,A000000,03550,0000,03550FQHC 4126,A000000,05000,0000,05000CORF 4126,A000000,05010,0000,05010CMHC 4126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4126,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4126,A81000A,00100,0100,Y 4126,A81000B,00100,0300,HOME OFFICE COST 4126,A81000B,00400,0300,HOME OFFICE COST 4126,A81000B,00500,0300,HOME OFFICE COST 4126,A81000B,00600,0300,HOME OFFICE COST 4126,A81000B,00800,0300,HOME OFFICE COST 4126,A81000C,00100,0100,B 4126,A81000C,00100,0200,BEVERLY ENTERPR 4126,B100000,00000,0100,00000(SQUARE FEET) 4126,B100000,00000,0200,00000(SQUARE FEET) 4126,B100000,00000,0300,00000(ADJUSTED SALARIES) 4126,B100000,00000,0400,00000(ACCUM. COST) 4126,B100000,00000,0500,00000(SQUARE FEET) 4126,B100000,00000,0600,00000(PATIENT DAYS) 4126,B100000,00000,0700,00000(SQUARE FEET) 4126,B100000,00000,0800,00000(MEALS SERVED) 4126,B100000,00000,0900,00000(ADJUSTED SALARIES) 4126,B100000,00000,1000,00000(PATIENT DAYS) 4126,B100000,00000,1100,00000(COSTED REQUIS) 4126,B100000,00000,1200,00000(TOTAL CHARGES) 4126,B100000,00000,1300,00000(PATIENT DAYS) 4126,B100000,00000,1301,00000(PATIENT DAYS) 4126,B100000,00000,1400,00000(ASSIGNED TIME) 4126,E10A180,00301,0100,06/14/1999 4126,E10A180,00302,0100,12/09/1999 4126,E10A180,00303,0100,02/14/2000 4126,E10A180,00350,0100,01/27/1999 4126,E10A180,00351,0100,10/08/1999 4126,S000000,00100,0200,06/02/2000 4126,S200000,00100,0100,190 BROOKLANE DRIVE 4126,S200000,00200,0100,HUEYTOWN 4126,S200000,00200,0200,AL 4126,S200000,00200,0300,35023 4126,S200000,00300,0100,JEFFERSON 4126,S200000,00400,0100,HUEYTOWN NURSING HOME 4126,S200000,00400,0200,015404 4126,S200000,00400,0300,12/08/1989 4126,S200000,00400,0500,P 4126,S200000,00600,0200,015404 4126,S200000,00600,0300,12/08/1989 4126,S200000,00600,0600,P 4126,S200000,01600,0100,Y 4129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4129,A000000,00300,0000,00300EMPLOYEE BENEFITS 4129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4129,A000000,00700,0000,00700HOUSEKEEPING 4129,A000000,00800,0000,00800DIETARY 4129,A000000,00900,0000,00900NURSING ADMINISTRATION 4129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4129,A000000,01100,0000,01100PHARMACY 4129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4129,A000000,01300,0000,01300SOCIAL SERVICE 4129,A000000,01301,0000,01301ACTIVITIES 4129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4129,A000000,01600,0000,01600SKILLED NURSING FACILITY 4129,A000000,01800,0000,01800NURSING FACILITY 4129,A000000,01810,0000,01810ICF/MR 4129,A000000,02100,0000,02100RADIOLOGY 4129,A000000,02200,0000,02200LABORATORY 4129,A000000,02500,0000,02500PHYSICAL THERAPY 4129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4129,A000000,02700,0000,02700SPEECH PATHOLOGY 4129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4129,A000000,03550,0000,03550FQHC 4129,A000000,05000,0000,05000CORF 4129,A000000,05010,0000,05010CMHC 4129,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4129,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4129,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4129,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4129,A81000A,00100,0100,Y 4129,A81000B,00100,0300,HOME OFFICE COST 4129,A81000B,00400,0300,HOME OFFICE COST 4129,A81000B,00500,0300,HOME OFFICE COST 4129,A81000B,00600,0300,HOME OFFICE COST 4129,A81000B,00800,0300,HOME OFFICE COST 4129,A81000C,00100,0100,B 4129,A81000C,00100,0200,BEVERLY ENTERPR 4129,B100000,00000,0100,00000(SQUARE FEET) 4129,B100000,00000,0200,00000(SQUARE FEET) 4129,B100000,00000,0300,00000(ADJUSTED SALARIES) 4129,B100000,00000,0400,00000(ACCUM. COST) 4129,B100000,00000,0500,00000(SQUARE FEET) 4129,B100000,00000,0600,00000(PATIENT DAYS) 4129,B100000,00000,0700,00000(SQUARE FEET) 4129,B100000,00000,0800,00000(MEALS SERVED) 4129,B100000,00000,0900,00000(ADJUSTED SALARIES) 4129,B100000,00000,1000,00000(PATIENT DAYS) 4129,B100000,00000,1100,00000(COSTED REQUIS) 4129,B100000,00000,1200,00000(TOTAL CHARGES) 4129,B100000,00000,1300,00000(PATIENT DAYS) 4129,B100000,00000,1301,00000(PATIENT DAYS) 4129,B100000,00000,1400,00000(ASSIGNED TIME) 4129,E10A180,00301,0100,02/14/2000 4129,E10A180,00350,0100,01/27/1999 4129,E10A180,00351,0100,06/14/1999 4129,E10A180,00352,0100,10/08/1999 4129,E10A180,00353,0100,12/09/1999 4129,S000000,00100,0200,06/02/2000 4129,S200000,00100,0100,2900 AJO WAY 4129,S200000,00200,0100,TUCSON 4129,S200000,00200,0200,AZ 4129,S200000,00200,0300,85713 4129,S200000,00300,0100,PIMA 4129,S200000,00400,0100,LA COLINA HEALTH CENTER (2098) 4129,S200000,00400,0200,035099 4129,S200000,00400,0300,02/05/1985 4129,S200000,00400,0500,P 4129,S200000,00600,0200,035099 4129,S200000,00600,0300,02/05/1985 4129,S200000,00600,0600,P 4129,S200000,01600,0100,Y 4132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4132,A000000,00300,0000,00300EMPLOYEE BENEFITS 4132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4132,A000000,00700,0000,00700HOUSEKEEPING 4132,A000000,00800,0000,00800DIETARY 4132,A000000,00900,0000,00900NURSING ADMINISTRATION 4132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4132,A000000,01100,0000,01100PHARMACY 4132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4132,A000000,01300,0000,01300SOCIAL SERVICE 4132,A000000,01301,0000,01301ACTIVITIES 4132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4132,A000000,01600,0000,01600SKILLED NURSING FACILITY 4132,A000000,01800,0000,01800NURSING FACILITY 4132,A000000,01810,0000,01810ICF/MR 4132,A000000,02100,0000,02100RADIOLOGY 4132,A000000,02200,0000,02200LABORATORY 4132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4132,A000000,02500,0000,02500PHYSICAL THERAPY 4132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4132,A000000,02700,0000,02700SPEECH PATHOLOGY 4132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4132,A000000,03550,0000,03550FQHC 4132,A000000,05000,0000,05000CORF 4132,A000000,05010,0000,05010CMHC 4132,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4132,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4132,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4132,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4132,A81000A,00100,0100,Y 4132,A81000B,00100,0300,HOME OFFICE COST 4132,A81000B,00400,0300,HOME OFFICE COST 4132,A81000B,00500,0300,HOME OFFICE COST 4132,A81000B,00600,0300,HOME OFFICE COST 4132,A81000B,00800,0300,HOME OFFICE COST 4132,A81000C,00100,0100,B 4132,A81000C,00100,0200,BEVERLY ENTERPR 4132,B100000,00000,0100,00000(SQUARE FEET) 4132,B100000,00000,0200,00000(SQUARE FEET) 4132,B100000,00000,0300,00000(ADJUSTED SALARIES) 4132,B100000,00000,0400,00000(ACCUM. COST) 4132,B100000,00000,0500,00000(SQUARE FEET) 4132,B100000,00000,0600,00000(PATIENT DAYS) 4132,B100000,00000,0700,00000(SQUARE FEET) 4132,B100000,00000,0800,00000(MEALS SERVED) 4132,B100000,00000,0900,00000(ADJUSTED SALARIES) 4132,B100000,00000,1000,00000(PATIENT DAYS) 4132,B100000,00000,1100,00000(COSTED REQUIS) 4132,B100000,00000,1200,00000(TOTAL CHARGES) 4132,B100000,00000,1300,00000(PATIENT DAYS) 4132,B100000,00000,1301,00000(PATIENT DAYS) 4132,B100000,00000,1400,00000(ASSIGNED TIME) 4132,E10A180,00301,0100,01/27/1999 4132,E10A180,00350,0100,06/14/1999 4132,E10A180,00351,0100,10/08/1999 4132,E10A180,00352,0100,12/09/1999 4132,E10A180,00353,0100,02/14/2000 4132,S000000,00100,0200,06/02/2000 4132,S200000,00100,0100,416 SOUTH DOBSON 4132,S200000,00200,0100,CHANDLER 4132,S200000,00200,0200,AZ 4132,S200000,00200,0300,85224 4132,S200000,00300,0100,MARICOPA 4132,S200000,00400,0100,CHANDLER HEALTH CARE CENTER 4132,S200000,00400,0200,035101 4132,S200000,00400,0300,01/24/1985 4132,S200000,00400,0500,P 4132,S200000,00600,0200,035101 4132,S200000,00600,0300,01/24/1985 4132,S200000,00600,0600,P 4132,S200000,01600,0100,Y 4135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4135,A000000,00300,0000,00300EMPLOYEE BENEFITS 4135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4135,A000000,00700,0000,00700HOUSEKEEPING 4135,A000000,00800,0000,00800DIETARY 4135,A000000,00900,0000,00900NURSING ADMINISTRATION 4135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4135,A000000,01100,0000,01100PHARMACY 4135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4135,A000000,01300,0000,01300SOCIAL SERVICE 4135,A000000,01301,0000,01301ACTIVITIES 4135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4135,A000000,01600,0000,01600SKILLED NURSING FACILITY 4135,A000000,01800,0000,01800NURSING FACILITY 4135,A000000,01810,0000,01810ICF/MR 4135,A000000,02100,0000,02100RADIOLOGY 4135,A000000,02200,0000,02200LABORATORY 4135,A000000,02500,0000,02500PHYSICAL THERAPY 4135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4135,A000000,02700,0000,02700SPEECH PATHOLOGY 4135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4135,A000000,03550,0000,03550FQHC 4135,A000000,05000,0000,05000CORF 4135,A000000,05010,0000,05010CMHC 4135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4135,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4135,A81000A,00100,0100,Y 4135,A81000B,00100,0300,HOME OFFICE COST 4135,A81000B,00400,0300,HOME OFFICE COST 4135,A81000B,00500,0300,HOME OFFICE COST 4135,A81000B,00600,0300,HOME OFFICE COST 4135,A81000B,00800,0300,HOME OFFICE COST 4135,A81000C,00100,0100,B 4135,A81000C,00100,0200,BEVERLY ENTERPR 4135,B100000,00000,0100,00000(SQUARE FEET) 4135,B100000,00000,0200,00000(SQUARE FEET) 4135,B100000,00000,0300,00000(ADJUSTED SALARIES) 4135,B100000,00000,0400,00000(ACCUM. COST) 4135,B100000,00000,0500,00000(SQUARE FEET) 4135,B100000,00000,0600,00000(PATIENT DAYS) 4135,B100000,00000,0700,00000(SQUARE FEET) 4135,B100000,00000,0800,00000(MEALS SERVED) 4135,B100000,00000,0900,00000(ADJUSTED SALARIES) 4135,B100000,00000,1000,00000(PATIENT DAYS) 4135,B100000,00000,1100,00000(COSTED REQUIS) 4135,B100000,00000,1200,00000(TOTAL CHARGES) 4135,B100000,00000,1300,00000(PATIENT DAYS) 4135,B100000,00000,1301,00000(PATIENT DAYS) 4135,B100000,00000,1400,00000(ASSIGNED TIME) 4135,E10A180,00301,0100,01/27/1999 4135,E10A180,00350,0100,06/14/1999 4135,E10A180,00351,0100,10/08/1999 4135,E10A180,00352,0100,12/09/1999 4135,E10A180,00353,0100,02/14/2000 4135,S000000,00100,0200,06/02/2000 4135,S200000,00100,0100,11150 N 92ND ST 4135,S200000,00200,0100,SCOTSDALE 4135,S200000,00200,0200,AZ 4135,S200000,00200,0300,85260 4135,S200000,00300,0100,MARICOPA 4135,S200000,00400,0100,SHADOW MOUNTAIN HCC (2048) A 4135,S200000,00400,0200,035105 4135,S200000,00400,0300,04/09/1985 4135,S200000,00400,0500,P 4135,S200000,00600,0200,035105 4135,S200000,00600,0300,04/09/1985 4135,S200000,00600,0600,P 4135,S200000,01600,0100,Y 4144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4144,A000000,00300,0000,00300EMPLOYEE BENEFITS 4144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4144,A000000,00700,0000,00700HOUSEKEEPING 4144,A000000,00800,0000,00800DIETARY 4144,A000000,00900,0000,00900NURSING ADMINISTRATION 4144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4144,A000000,01100,0000,01100PHARMACY 4144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4144,A000000,01300,0000,01300SOCIAL SERVICE 4144,A000000,01301,0000,01301ACTIVITIES 4144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4144,A000000,01600,0000,01600SKILLED NURSING FACILITY 4144,A000000,01800,0000,01800NURSING FACILITY 4144,A000000,01810,0000,01810ICF/MR 4144,A000000,01900,0000,01900OTHER LONG TERM CARE 4144,A000000,02100,0000,02100RADIOLOGY 4144,A000000,02200,0000,02200LABORATORY 4144,A000000,02500,0000,02500PHYSICAL THERAPY 4144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4144,A000000,02700,0000,02700SPEECH PATHOLOGY 4144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4144,A000000,03550,0000,03550FQHC 4144,A000000,05000,0000,05000CORF 4144,A000000,05010,0000,05010CMHC 4144,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4144,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4144,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4144,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4144,A81000A,00100,0100,Y 4144,A81000B,00100,0300,HOME OFFICE COST 4144,A81000B,00400,0300,HOME OFFICE COST 4144,A81000B,00500,0300,HOME OFFICE COST 4144,A81000B,00600,0300,HOME OFFICE COST 4144,A81000B,00800,0300,HOME OFFICE COST 4144,A81000C,00100,0100,B 4144,A81000C,00100,0200,BEVERLY ENTERPR 4144,B100000,00000,0100,00000(SQUARE FEET) 4144,B100000,00000,0200,00000(SQUARE FEET) 4144,B100000,00000,0300,00000(ADJUSTED SALARIES) 4144,B100000,00000,0400,00000(ACCUM. COST) 4144,B100000,00000,0500,00000(SQUARE FEET) 4144,B100000,00000,0600,00000(PATIENT DAYS) 4144,B100000,00000,0700,00000(SQUARE FEET) 4144,B100000,00000,0800,00000(MEALS SERVED) 4144,B100000,00000,0900,00000(ADJUSTED SALARIES) 4144,B100000,00000,1000,00000(PATIENT DAYS) 4144,B100000,00000,1100,00000(COSTED REQUIS) 4144,B100000,00000,1200,00000(TOTAL CHARGES) 4144,B100000,00000,1300,00000(PATIENT DAYS) 4144,B100000,00000,1301,00000(PATIENT DAYS) 4144,B100000,00000,1400,00000(ASSIGNED TIME) 4144,E10A180,00301,0100,01/27/1999 4144,E10A180,00304,0100,12/09/1999 4144,E10A180,00351,0100,06/14/1999 4144,E10A180,00352,0100,10/08/1999 4144,E10A180,00354,0100,02/14/2000 4144,S000000,00100,0200,06/02/2000 4144,S200000,00100,0100,1151 WEST NEW HOPE RD 4144,S200000,00200,0100,ROGERS 4144,S200000,00200,0200,AR 4144,S200000,00200,0300,72756 4144,S200000,00300,0100,BENTON 4144,S200000,00400,0100,BEVERLY HEALTHCARE-ROGERS 4144,S200000,00400,0200,045070 4144,S200000,00400,0300,06/01/1982 4144,S200000,00400,0500,P 4144,S200000,00600,0200,045070 4144,S200000,00600,0300,06/01/1982 4144,S200000,00600,0600,P 4144,S200000,01600,0100,Y 4144,S200000,04300,0100,Y 4147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4147,A000000,00300,0000,00300EMPLOYEE BENEFITS 4147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4147,A000000,00700,0000,00700HOUSEKEEPING 4147,A000000,00800,0000,00800DIETARY 4147,A000000,00900,0000,00900NURSING ADMINISTRATION 4147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4147,A000000,01100,0000,01100PHARMACY 4147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4147,A000000,01300,0000,01300SOCIAL SERVICE 4147,A000000,01301,0000,01301ACTIVITIES 4147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4147,A000000,01600,0000,01600SKILLED NURSING FACILITY 4147,A000000,01800,0000,01800NURSING FACILITY 4147,A000000,01810,0000,01810ICF/MR 4147,A000000,02100,0000,02100RADIOLOGY 4147,A000000,02200,0000,02200LABORATORY 4147,A000000,02500,0000,02500PHYSICAL THERAPY 4147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4147,A000000,02700,0000,02700SPEECH PATHOLOGY 4147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4147,A000000,03550,0000,03550FQHC 4147,A000000,05000,0000,05000CORF 4147,A000000,05010,0000,05010CMHC 4147,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4147,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4147,A81000A,00100,0100,Y 4147,A81000B,00100,0300,HOME OFFICE COST 4147,A81000B,00400,0300,HOME OFFICE COST 4147,A81000B,00500,0300,HOME OFFICE COST 4147,A81000B,00600,0300,HOME OFFICE COST 4147,A81000B,00800,0300,HOME OFFICE COST 4147,A81000C,00100,0100,B 4147,A81000C,00100,0200,BEVERLY ENTERPR 4147,B100000,00000,0100,00000(SQUARE FEET) 4147,B100000,00000,0200,00000(SQUARE FEET) 4147,B100000,00000,0300,00000(ADJUSTED SALARIES) 4147,B100000,00000,0400,00000(ACCUM. COST) 4147,B100000,00000,0500,00000(SQUARE FEET) 4147,B100000,00000,0600,00000(PATIENT DAYS) 4147,B100000,00000,0700,00000(SQUARE FEET) 4147,B100000,00000,0800,00000(MEALS SERVED) 4147,B100000,00000,0900,00000(ADJUSTED SALARIES) 4147,B100000,00000,1000,00000(PATIENT DAYS) 4147,B100000,00000,1100,00000(COSTED REQUIS) 4147,B100000,00000,1200,00000(TOTAL CHARGES) 4147,B100000,00000,1300,00000(PATIENT DAYS) 4147,B100000,00000,1301,00000(PATIENT DAYS) 4147,B100000,00000,1400,00000(ASSIGNED TIME) 4147,E10A180,00301,0100,01/27/1999 4147,E10A180,00351,0100,06/14/1999 4147,E10A180,00352,0100,10/08/1999 4147,E10A180,00353,0100,12/09/1999 4147,E10A180,00354,0100,02/14/2000 4147,S000000,00100,0200,06/02/2000 4147,S200000,00100,0100,909 GOLFLINKS RD 4147,S200000,00200,0100,HOT SPRINGS 4147,S200000,00200,0200,AR 4147,S200000,00200,0300,79101 4147,S200000,00300,0100,GARLAND 4147,S200000,00400,0100,BEVERLY HEALTH & REHAB OF GOLF LINK 4147,S200000,00400,0200,045098 4147,S200000,00400,0300,11/01/1984 4147,S200000,00400,0500,P 4147,S200000,00600,0200,045098 4147,S200000,00600,0300,11/01/1984 4147,S200000,00600,0600,P 4147,S200000,01600,0100,Y 4147,S200000,04300,0100,Y 4150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4150,A000000,00300,0000,00300EMPLOYEE BENEFITS 4150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4150,A000000,00700,0000,00700HOUSEKEEPING 4150,A000000,00800,0000,00800DIETARY 4150,A000000,00900,0000,00900NURSING ADMINISTRATION 4150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4150,A000000,01100,0000,01100PHARMACY 4150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4150,A000000,01300,0000,01300SOCIAL SERVICE 4150,A000000,01301,0000,01301ACTIVITIES 4150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4150,A000000,01600,0000,01600SKILLED NURSING FACILITY 4150,A000000,01800,0000,01800NURSING FACILITY 4150,A000000,01810,0000,01810ICF/MR 4150,A000000,02100,0000,02100RADIOLOGY 4150,A000000,02200,0000,02200LABORATORY 4150,A000000,02500,0000,02500PHYSICAL THERAPY 4150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4150,A000000,02700,0000,02700SPEECH PATHOLOGY 4150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4150,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4150,A000000,03550,0000,03550FQHC 4150,A000000,05000,0000,05000CORF 4150,A000000,05010,0000,05010CMHC 4150,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4150,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4150,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4150,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4150,A81000A,00100,0100,Y 4150,A81000B,00100,0300,HOME OFFICE COST 4150,A81000B,00400,0300,HOME OFFICE COST 4150,A81000B,00500,0300,HOME OFFICE COST 4150,A81000B,00600,0300,HOME OFFICE COST 4150,A81000B,00800,0300,HOME OFFICE COST 4150,A81000C,00100,0100,B 4150,A81000C,00100,0200,BEVERLY ENTERPR 4150,B100000,00000,0100,00000(SQUARE FEET) 4150,B100000,00000,0200,00000(SQUARE FEET) 4150,B100000,00000,0300,00000(ADJUSTED SALARIES) 4150,B100000,00000,0400,00000(ACCUM. COST) 4150,B100000,00000,0500,00000(SQUARE FEET) 4150,B100000,00000,0600,00000(PATIENT DAYS) 4150,B100000,00000,0700,00000(SQUARE FEET) 4150,B100000,00000,0800,00000(MEALS SERVED) 4150,B100000,00000,0900,00000(ADJUSTED SALARIES) 4150,B100000,00000,1000,00000(PATIENT DAYS) 4150,B100000,00000,1100,00000(COSTED REQUIS) 4150,B100000,00000,1200,00000(TOTAL CHARGES) 4150,B100000,00000,1300,00000(PATIENT DAYS) 4150,B100000,00000,1301,00000(PATIENT DAYS) 4150,B100000,00000,1400,00000(ASSIGNED TIME) 4150,E10A180,00301,0100,01/27/1999 4150,E10A180,00304,0100,12/09/1999 4150,E10A180,00351,0100,06/14/1999 4150,E10A180,00352,0100,10/08/1999 4150,E10A180,00354,0100,02/14/2000 4150,S000000,00100,0200,06/02/2000 4150,S200000,00100,0100,800 SOUTHWEST DR 4150,S200000,00200,0100,JONESBORO 4150,S200000,00200,0200,AR 4150,S200000,00200,0300,72401 4150,S200000,00300,0100,CRAIGHEAD 4150,S200000,00400,0100,BEVERLY HEALTHCARE-JONESBORO 4150,S200000,00400,0200,045134 4150,S200000,00400,0300,03/01/1989 4150,S200000,00400,0500,P 4150,S200000,00600,0200,045134 4150,S200000,00600,0300,03/01/1989 4150,S200000,00600,0600,P 4150,S200000,01600,0100,Y 4150,S200000,04300,0100,Y 4153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4153,A000000,00300,0000,00300EMPLOYEE BENEFITS 4153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4153,A000000,00700,0000,00700HOUSEKEEPING 4153,A000000,00800,0000,00800DIETARY 4153,A000000,00900,0000,00900NURSING ADMINISTRATION 4153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4153,A000000,01100,0000,01100PHARMACY 4153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4153,A000000,01300,0000,01300SOCIAL SERVICE 4153,A000000,01301,0000,01301ACTIVITIES 4153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4153,A000000,01600,0000,01600SKILLED NURSING FACILITY 4153,A000000,01800,0000,01800NURSING FACILITY 4153,A000000,01810,0000,01810ICF/MR 4153,A000000,02200,0000,02200LABORATORY 4153,A000000,02500,0000,02500PHYSICAL THERAPY 4153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4153,A000000,02700,0000,02700SPEECH PATHOLOGY 4153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4153,A000000,03550,0000,03550FQHC 4153,A000000,05000,0000,05000CORF 4153,A000000,05010,0000,05010CMHC 4153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4153,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 4153,A81000A,00100,0100,Y 4153,A81000B,00100,0300,HOME OFFICE COST 4153,A81000B,00400,0300,HOME OFFICE COST 4153,A81000B,00500,0300,HOME OFFICE COST 4153,A81000B,00600,0300,HOME OFFICE COST 4153,A81000B,00800,0300,HOME OFFICE COST 4153,A81000C,00100,0100,B 4153,A81000C,00100,0200,BEVERLY ENTERPR 4153,B100000,00000,0100,00000(SQUARE FEET) 4153,B100000,00000,0200,00000(SQUARE FEET) 4153,B100000,00000,0300,00000(ADJUSTED SALARIES) 4153,B100000,00000,0400,00000(ACCUM. COST) 4153,B100000,00000,0500,00000(SQUARE FEET) 4153,B100000,00000,0600,00000(PATIENT DAYS) 4153,B100000,00000,0700,00000(SQUARE FEET) 4153,B100000,00000,0800,00000(MEALS SERVED) 4153,B100000,00000,0900,00000(ADJUSTED SALARIES) 4153,B100000,00000,1000,00000(PATIENT DAYS) 4153,B100000,00000,1100,00000(COSTED REQUIS) 4153,B100000,00000,1200,00000(TOTAL CHARGES) 4153,B100000,00000,1300,00000(PATIENT DAYS) 4153,B100000,00000,1301,00000(PATIENT DAYS) 4153,B100000,00000,1400,00000(ASSIGNED TIME) 4153,E10A180,00304,0100,12/09/1999 4153,E10A180,00350,0100,01/27/1999 4153,E10A180,00351,0100,06/14/1999 4153,E10A180,00352,0100,10/08/1999 4153,E10A180,00354,0100,02/14/2000 4153,S000000,00100,0200,06/02/2000 4153,S200000,00100,0100,600 LELIA ST 4153,S200000,00200,0100,MAGNOLIA 4153,S200000,00200,0200,AR 4153,S200000,00200,0300,71753 4153,S200000,00300,0100,COLUMBIA 4153,S200000,00400,0100,MEADOWBROOK LODGE (1176) 4153,S200000,00400,0200,045135 4153,S200000,00400,0300,03/01/1989 4153,S200000,00400,0500,P 4153,S200000,00600,0200,045135 4153,S200000,00600,0300,03/01/1989 4153,S200000,00600,0600,P 4153,S200000,01600,0100,Y 4153,S200000,04300,0100,Y 4156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4156,A000000,00300,0000,00300EMPLOYEE BENEFITS 4156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4156,A000000,00700,0000,00700HOUSEKEEPING 4156,A000000,00800,0000,00800DIETARY 4156,A000000,00900,0000,00900NURSING ADMINISTRATION 4156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4156,A000000,01100,0000,01100PHARMACY 4156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4156,A000000,01300,0000,01300SOCIAL SERVICE 4156,A000000,01301,0000,01301ACTIVITIES 4156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4156,A000000,01600,0000,01600SKILLED NURSING FACILITY 4156,A000000,01800,0000,01800NURSING FACILITY 4156,A000000,01810,0000,01810ICF/MR 4156,A000000,02100,0000,02100RADIOLOGY 4156,A000000,02500,0000,02500PHYSICAL THERAPY 4156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4156,A000000,02700,0000,02700SPEECH PATHOLOGY 4156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4156,A000000,03550,0000,03550FQHC 4156,A000000,05000,0000,05000CORF 4156,A000000,05010,0000,05010CMHC 4156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4156,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4156,A81000A,00100,0100,Y 4156,A81000B,00100,0300,HOME OFFICE COST 4156,A81000B,00400,0300,HOME OFFICE COST 4156,A81000B,00500,0300,HOME OFFICE COST 4156,A81000B,00600,0300,HOME OFFICE COST 4156,A81000B,00800,0300,HOME OFFICE COST 4156,A81000C,00100,0100,B 4156,A81000C,00100,0200,BEVERLY ENTERPR 4156,B100000,00000,0100,00000(SQUARE FEET) 4156,B100000,00000,0200,00000(SQUARE FEET) 4156,B100000,00000,0300,00000(ADJUSTED SALARIES) 4156,B100000,00000,0400,00000(ACCUM. COST) 4156,B100000,00000,0500,00000(SQUARE FEET) 4156,B100000,00000,0600,00000(PATIENT DAYS) 4156,B100000,00000,0700,00000(SQUARE FEET) 4156,B100000,00000,0800,00000(MEALS SERVED) 4156,B100000,00000,0900,00000(ADJUSTED SALARIES) 4156,B100000,00000,1000,00000(PATIENT DAYS) 4156,B100000,00000,1100,00000(COSTED REQUIS) 4156,B100000,00000,1200,00000(TOTAL CHARGES) 4156,B100000,00000,1300,00000(PATIENT DAYS) 4156,B100000,00000,1301,00000(PATIENT DAYS) 4156,B100000,00000,1400,00000(ASSIGNED TIME) 4156,E10A180,00304,0100,12/09/1999 4156,E10A180,00350,0100,01/27/1999 4156,E10A180,00351,0100,06/14/1999 4156,E10A180,00352,0100,10/08/1999 4156,E10A180,00354,0100,02/14/2000 4156,S000000,00100,0200,06/02/2000 4156,S200000,00100,0100,POINTER TR. W DRAWER A 4156,S200000,00200,0100,VAN BUREN 4156,S200000,00200,0200,AR 4156,S200000,00200,0300,72956 4156,S200000,00300,0100,CRAWFORD 4156,S200000,00400,0100,BEVERLY HEALTHCARE-VAN BUREN 4156,S200000,00400,0200,045138 4156,S200000,00400,0300,03/01/1989 4156,S200000,00400,0500,P 4156,S200000,00600,0200,045138 4156,S200000,00600,0300,03/01/1998 4156,S200000,00600,0600,P 4156,S200000,01600,0100,Y 4156,S200000,04300,0100,Y 4159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4159,A000000,00300,0000,00300EMPLOYEE BENEFITS 4159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4159,A000000,00700,0000,00700HOUSEKEEPING 4159,A000000,00800,0000,00800DIETARY 4159,A000000,00900,0000,00900NURSING ADMINISTRATION 4159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4159,A000000,01100,0000,01100PHARMACY 4159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4159,A000000,01300,0000,01300SOCIAL SERVICE 4159,A000000,01301,0000,01301ACTIVITIES 4159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4159,A000000,01600,0000,01600SKILLED NURSING FACILITY 4159,A000000,01800,0000,01800NURSING FACILITY 4159,A000000,01810,0000,01810ICF/MR 4159,A000000,01900,0000,01900OTHER LONG TERM CARE 4159,A000000,02500,0000,02500PHYSICAL THERAPY 4159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4159,A000000,02700,0000,02700SPEECH PATHOLOGY 4159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4159,A000000,03050,0000,03300OTHER ANCILLARY 4159,A000000,03051,0000,03301OTHER ANCILLARY-CONSOLIDATED BI 4159,A000000,03550,0000,03550FQHC 4159,A000000,05000,0000,05000CORF 4159,A000000,05010,0000,05010CMHC 4159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4159,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4159,A81000A,00100,0100,Y 4159,A81000B,00100,0300,HOME OFFICE COST 4159,A81000B,00400,0300,HOME OFFICE COST 4159,A81000B,00500,0300,HOME OFFICE COST 4159,A81000B,00600,0300,HOME OFFICE COST 4159,A81000B,00800,0300,HOME OFFICE COST 4159,A81000C,00100,0100,B 4159,A81000C,00100,0200,BEVERLY ENTERPR 4159,B100000,00000,0100,00000(SQUARE FEET) 4159,B100000,00000,0200,00000(SQUARE FEET) 4159,B100000,00000,0300,00000(ADJUSTED SALARIES) 4159,B100000,00000,0400,00000(ACCUM. COST) 4159,B100000,00000,0500,00000(SQUARE FEET) 4159,B100000,00000,0600,00000(PATIENT DAYS) 4159,B100000,00000,0700,00000(SQUARE FEET) 4159,B100000,00000,0800,00000(MEALS SERVED) 4159,B100000,00000,0900,00000(ADJUSTED SALARIES) 4159,B100000,00000,1000,00000(PATIENT DAYS) 4159,B100000,00000,1100,00000(COSTED REQUIS) 4159,B100000,00000,1200,00000(TOTAL CHARGES) 4159,B100000,00000,1300,00000(PATIENT DAYS) 4159,B100000,00000,1301,00000(PATIENT DAYS) 4159,B100000,00000,1400,00000(ASSIGNED TIME) 4159,E10A180,00302,0100,06/14/1999 4159,E10A180,00303,0100,10/08/1999 4159,E10A180,00305,0100,02/14/2000 4159,E10A180,00350,0100,01/27/1999 4159,E10A180,00353,0100,12/09/1999 4159,S000000,00100,0200,06/02/2000 4159,S200000,00100,0100,700 WESTWOOD DRIVE 4159,S200000,00200,0100,MCGEHEE 4159,S200000,00200,0200,AR 4159,S200000,00200,0300,71654 4159,S200000,00300,0100,DESHA 4159,S200000,00400,0100,BEVERLY HEALTHCARE-MCGEHEE 4159,S200000,00400,0200,045139 4159,S200000,00400,0300,03/01/1989 4159,S200000,00400,0500,P 4159,S200000,00600,0200,045139 4159,S200000,00600,0300,03/01/1989 4159,S200000,00600,0600,P 4159,S200000,01600,0100,Y 4159,S200000,04300,0100,Y 4162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4162,A000000,00300,0000,00300EMPLOYEE BENEFITS 4162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4162,A000000,00700,0000,00700HOUSEKEEPING 4162,A000000,00800,0000,00800DIETARY 4162,A000000,00900,0000,00900NURSING ADMINISTRATION 4162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4162,A000000,01100,0000,01100PHARMACY 4162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4162,A000000,01300,0000,01300SOCIAL SERVICE 4162,A000000,01301,0000,01301ACTIVITIES 4162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4162,A000000,01600,0000,01600SKILLED NURSING FACILITY 4162,A000000,01800,0000,01800NURSING FACILITY 4162,A000000,01810,0000,01810ICF/MR 4162,A000000,02100,0000,02100RADIOLOGY 4162,A000000,02200,0000,02200LABORATORY 4162,A000000,02500,0000,02500PHYSICAL THERAPY 4162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4162,A000000,02700,0000,02700SPEECH PATHOLOGY 4162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4162,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4162,A000000,03550,0000,03550FQHC 4162,A000000,05000,0000,05000CORF 4162,A000000,05010,0000,05010CMHC 4162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4162,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4162,A81000A,00100,0100,Y 4162,A81000B,00100,0300,HOME OFFICE COST 4162,A81000B,00400,0300,HOME OFFICE COST 4162,A81000B,00500,0300,HOME OFFICE COST 4162,A81000B,00600,0300,HOME OFFICE COST 4162,A81000B,00800,0300,HOME OFFICE COST 4162,A81000C,00100,0100,B 4162,A81000C,00100,0200,BEVERLY ENTERPR 4162,B100000,00000,0100,00000(SQUARE FEET) 4162,B100000,00000,0200,00000(SQUARE FEET) 4162,B100000,00000,0300,00000(ADJUSTED SALARIES) 4162,B100000,00000,0400,00000(ACCUM. COST) 4162,B100000,00000,0500,00000(SQUARE FEET) 4162,B100000,00000,0600,00000(PATIENT DAYS) 4162,B100000,00000,0700,00000(SQUARE FEET) 4162,B100000,00000,0800,00000(MEALS SERVED) 4162,B100000,00000,0900,00000(ADJUSTED SALARIES) 4162,B100000,00000,1000,00000(PATIENT DAYS) 4162,B100000,00000,1100,00000(COSTED REQUIS) 4162,B100000,00000,1200,00000(TOTAL CHARGES) 4162,B100000,00000,1300,00000(PATIENT DAYS) 4162,B100000,00000,1301,00000(PATIENT DAYS) 4162,B100000,00000,1400,00000(ASSIGNED TIME) 4162,E10A180,00350,0100,01/27/1999 4162,E10A180,00351,0100,06/14/1999 4162,E10A180,00352,0100,10/08/1999 4162,E10A180,00353,0100,12/09/1999 4162,E10A180,00354,0100,02/14/2000 4162,S000000,00100,0200,06/02/2000 4162,S200000,00100,0100,211 AZTEC 4162,S200000,00200,0100,SEARCY 4162,S200000,00200,0200,AR 4162,S200000,00200,0300,72143 4162,S200000,00300,0100,WHITE 4162,S200000,00400,0100,BEVERLY HEALTHCARE-SEARCY 4162,S200000,00400,0200,045140 4162,S200000,00400,0300,03/01/1989 4162,S200000,00400,0500,P 4162,S200000,00600,0200,045140 4162,S200000,00600,0300,03/01/1989 4162,S200000,00600,0600,P 4162,S200000,01600,0100,Y 4162,S200000,04200,0100,Y 4162,S200000,04300,0100,Y 4165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4165,A000000,00300,0000,00300EMPLOYEE BENEFITS 4165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4165,A000000,00700,0000,00700HOUSEKEEPING 4165,A000000,00800,0000,00800DIETARY 4165,A000000,00900,0000,00900NURSING ADMINISTRATION 4165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4165,A000000,01100,0000,01100PHARMACY 4165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4165,A000000,01300,0000,01300SOCIAL SERVICE 4165,A000000,01301,0000,01301ACTIVITIES 4165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4165,A000000,01600,0000,01600SKILLED NURSING FACILITY 4165,A000000,01800,0000,01800NURSING FACILITY 4165,A000000,01810,0000,01810ICF/MR 4165,A000000,01900,0000,01900OTHER LONG TERM CARE 4165,A000000,02100,0000,02100RADIOLOGY 4165,A000000,02200,0000,02200LABORATORY 4165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4165,A000000,02500,0000,02500PHYSICAL THERAPY 4165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4165,A000000,02700,0000,02700SPEECH PATHOLOGY 4165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4165,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4165,A000000,03550,0000,03550FQHC 4165,A000000,05000,0000,05000CORF 4165,A000000,05010,0000,05010CMHC 4165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4165,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4165,A81000A,00100,0100,Y 4165,A81000B,00100,0300,HOME OFFICE COST 4165,A81000B,00400,0300,HOME OFFICE COST 4165,A81000B,00500,0300,HOME OFFICE COST 4165,A81000B,00600,0300,HOME OFFICE COST 4165,A81000B,00800,0300,HOME OFFICE COST 4165,A81000C,00100,0100,B 4165,A81000C,00100,0200,BEVERLY ENTERPR 4165,B100000,00000,0100,00000(SQUARE FEET) 4165,B100000,00000,0200,00000(SQUARE FEET) 4165,B100000,00000,0300,00000(ADJUSTED SALARIES) 4165,B100000,00000,0400,00000(ACCUM. COST) 4165,B100000,00000,0500,00000(SQUARE FEET) 4165,B100000,00000,0600,00000(PATIENT DAYS) 4165,B100000,00000,0700,00000(SQUARE FEET) 4165,B100000,00000,0800,00000(MEALS SERVED) 4165,B100000,00000,0900,00000(ADJUSTED SALARIES) 4165,B100000,00000,1000,00000(PATIENT DAYS) 4165,B100000,00000,1100,00000(COSTED REQUIS) 4165,B100000,00000,1200,00000(TOTAL CHARGES) 4165,B100000,00000,1300,00000(PATIENT DAYS) 4165,B100000,00000,1301,00000(PATIENT DAYS) 4165,B100000,00000,1400,00000(ASSIGNED TIME) 4165,E10A180,00304,0100,12/09/1999 4165,E10A180,00350,0100,01/27/1999 4165,E10A180,00351,0100,06/14/1999 4165,E10A180,00352,0100,10/08/1999 4165,E10A180,00354,0100,02/14/2000 4165,S000000,00100,0200,06/02/2000 4165,S200000,00100,0100,1401 PARK AVE. 4165,S200000,00200,0100,HOT SPRINGS 4165,S200000,00200,0200,AR 4165,S200000,00200,0300,71901 4165,S200000,00300,0100,GARLAND 4165,S200000,00400,0100,BEVERLY HEALTHCARE-PARK AVENUE 4165,S200000,00400,0200,045142 4165,S200000,00400,0300,04/10/1989 4165,S200000,00400,0500,P 4165,S200000,00600,0200,045142 4165,S200000,00600,0300,04/10/1989 4165,S200000,00600,0600,P 4165,S200000,01600,0100,Y 4165,S200000,04300,0100,Y 4167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4167,A000000,00300,0000,00300EMPLOYEE BENEFITS 4167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4167,A000000,00700,0000,00700HOUSEKEEPING 4167,A000000,00800,0000,00800DIETARY 4167,A000000,00900,0000,00900NURSING ADMINISTRATION 4167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4167,A000000,01100,0000,01100PHARMACY 4167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4167,A000000,01300,0000,01300SOCIAL SERVICE 4167,A000000,01301,0000,01301ACTIVITIES 4167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4167,A000000,01600,0000,01600SKILLED NURSING FACILITY 4167,A000000,01800,0000,01800NURSING FACILITY 4167,A000000,01810,0000,01810ICF/MR 4167,A000000,02100,0000,02100RADIOLOGY 4167,A000000,02200,0000,02200LABORATORY 4167,A000000,02500,0000,02500PHYSICAL THERAPY 4167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4167,A000000,02700,0000,02700SPEECH PATHOLOGY 4167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4167,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4167,A000000,03550,0000,03550FQHC 4167,A000000,05000,0000,05000CORF 4167,A000000,05010,0000,05010CMHC 4167,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4167,A000000,06150,0000,06300OTHER NON REMBURSABLE COST 4167,A81000A,00100,0100,Y 4167,A81000B,00100,0300,HOME OFFICE COST 4167,A81000B,00400,0300,HOME OFFICE COST 4167,A81000B,00500,0300,HOME OFFICE COST 4167,A81000B,00600,0300,HOME OFFICE COST 4167,A81000B,00800,0300,HOME OFFICE COST 4167,A81000C,00100,0100,B 4167,A81000C,00100,0200,BEVERLY ENTERPR 4167,B100000,00000,0100,00000(SQUARE FEET) 4167,B100000,00000,0200,00000(SQUARE FEET) 4167,B100000,00000,0300,00000(ADJUSTED SALARIES) 4167,B100000,00000,0400,00000(ACCUM. COST) 4167,B100000,00000,0500,00000(SQUARE FEET) 4167,B100000,00000,0600,00000(PATIENT DAYS) 4167,B100000,00000,0700,00000(SQUARE FEET) 4167,B100000,00000,0800,00000(MEALS SERVED) 4167,B100000,00000,0900,00000(ADJUSTED SALARIES) 4167,B100000,00000,1000,00000(PATIENT DAYS) 4167,B100000,00000,1100,00000(COSTED REQUIS) 4167,B100000,00000,1200,00000(TOTAL CHARGES) 4167,B100000,00000,1300,00000(PATIENT DAYS) 4167,B100000,00000,1301,00000(PATIENT DAYS) 4167,B100000,00000,1400,00000(ASSIGNED TIME) 4167,S000000,00100,0200,06/02/2000 4167,S200000,00100,0100,1000 BROOKRIDGE LANE 4167,S200000,00200,0100,MORRILTON 4167,S200000,00200,0200,AR 4167,S200000,00200,0300,72110 4167,S200000,00300,0100,CONWAY 4167,S200000,00400,0100,BROOKRIDGE LIFE CARE & REHAB CENTER 4167,S200000,00400,0200,045147 4167,S200000,00400,0300,10/16/1989 4167,S200000,00400,0500,P 4167,S200000,00600,0200,045147 4167,S200000,00600,0300,10/16/1989 4167,S200000,00600,0600,P 4167,S200000,01600,0100,Y 4167,S200000,04300,0100,Y 4169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4169,A000000,00300,0000,00300EMPLOYEE BENEFITS 4169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4169,A000000,00700,0000,00700HOUSEKEEPING 4169,A000000,00800,0000,00800DIETARY 4169,A000000,00900,0000,00900NURSING ADMINISTRATION 4169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4169,A000000,01100,0000,01100PHARMACY 4169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4169,A000000,01300,0000,01300SOCIAL SERVICE 4169,A000000,01301,0000,01301ACTIVITIES 4169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4169,A000000,01600,0000,01600SKILLED NURSING FACILITY 4169,A000000,01800,0000,01800NURSING FACILITY 4169,A000000,01810,0000,01810ICF/MR 4169,A000000,02100,0000,02100RADIOLOGY 4169,A000000,02200,0000,02200LABORATORY 4169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4169,A000000,02500,0000,02500PHYSICAL THERAPY 4169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4169,A000000,02700,0000,02700SPEECH PATHOLOGY 4169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4169,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4169,A000000,03550,0000,03550FQHC 4169,A000000,05000,0000,05000CORF 4169,A000000,05010,0000,05010CMHC 4169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4169,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4169,A81000A,00100,0100,Y 4169,A81000B,00100,0300,HOME OFFICE COST 4169,A81000B,00400,0300,HOME OFFICE COST 4169,A81000B,00500,0300,HOME OFFICE COST 4169,A81000B,00600,0300,HOME OFFICE COST 4169,A81000B,00800,0300,HOME OFFICE COST 4169,A81000C,00100,0100,B 4169,A81000C,00100,0200,BEVERLY ENTERPR 4169,B100000,00000,0100,00000(SQUARE FEET) 4169,B100000,00000,0200,00000(SQUARE FEET) 4169,B100000,00000,0300,00000(ADJUSTED SALARIES) 4169,B100000,00000,0400,00000(ACCUM. COST) 4169,B100000,00000,0500,00000(SQUARE FEET) 4169,B100000,00000,0600,00000(PATIENT DAYS) 4169,B100000,00000,0700,00000(SQUARE FEET) 4169,B100000,00000,0800,00000(MEALS SERVED) 4169,B100000,00000,0900,00000(ADJUSTED SALARIES) 4169,B100000,00000,1000,00000(PATIENT DAYS) 4169,B100000,00000,1100,00000(COSTED REQUIS) 4169,B100000,00000,1200,00000(TOTAL CHARGES) 4169,B100000,00000,1300,00000(PATIENT DAYS) 4169,B100000,00000,1301,00000(PATIENT DAYS) 4169,B100000,00000,1400,00000(ASSIGNED TIME) 4169,S000000,00100,0200,06/02/2000 4169,S200000,00100,0100,#12 HOSPITAL DRIVE 4169,S200000,00200,0100,MORRILTON 4169,S200000,00200,0200,AR 4169,S200000,00200,0300,72110 4169,S200000,00300,0100,CONWAY 4169,S200000,00400,0100,RIVERVIEW MANAOR 4169,S200000,00400,0200,045149 4169,S200000,00400,0300,11/30/1989 4169,S200000,00400,0500,P 4169,S200000,00600,0200,045149 4169,S200000,00600,0300,11/30/1989 4169,S200000,00600,0600,P 4169,S200000,01600,0100,Y 4169,S200000,04300,0100,Y 4171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4171,A000000,00300,0000,00300EMPLOYEE BENEFITS 4171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4171,A000000,00700,0000,00700HOUSEKEEPING 4171,A000000,00800,0000,00800DIETARY 4171,A000000,00900,0000,00900NURSING ADMINISTRATION 4171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4171,A000000,01100,0000,01100PHARMACY 4171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4171,A000000,01300,0000,01300SOCIAL SERVICE 4171,A000000,01301,0000,01301ACTIVITIES 4171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4171,A000000,01600,0000,01600SKILLED NURSING FACILITY 4171,A000000,01800,0000,01800NURSING FACILITY 4171,A000000,01810,0000,01810ICF/MR 4171,A000000,02500,0000,02500PHYSICAL THERAPY 4171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4171,A000000,02700,0000,02700SPEECH PATHOLOGY 4171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4171,A000000,03550,0000,03550FQHC 4171,A000000,05000,0000,05000CORF 4171,A000000,05010,0000,05010CMHC 4171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4171,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4171,A81000A,00100,0100,Y 4171,A81000B,00100,0300,HOME OFFICE COST 4171,A81000B,00400,0300,HOME OFFICE COST 4171,A81000B,00500,0300,HOME OFFICE COST 4171,A81000B,00600,0300,HOME OFFICE COST 4171,A81000B,00800,0300,HOME OFFICE COST 4171,A81000C,00100,0100,B 4171,A81000C,00100,0200,BEVERLY ENTERPR 4171,B100000,00000,0100,00000(SQUARE FEET) 4171,B100000,00000,0200,00000(SQUARE FEET) 4171,B100000,00000,0300,00000(ADJUSTED SALARIES) 4171,B100000,00000,0400,00000(ACCUM. COST) 4171,B100000,00000,0500,00000(SQUARE FEET) 4171,B100000,00000,0600,00000(PATIENT DAYS) 4171,B100000,00000,0700,00000(SQUARE FEET) 4171,B100000,00000,0800,00000(MEALS SERVED) 4171,B100000,00000,0900,00000(ADJUSTED SALARIES) 4171,B100000,00000,1000,00000(PATIENT DAYS) 4171,B100000,00000,1100,00000(COSTED REQUIS) 4171,B100000,00000,1200,00000(TOTAL CHARGES) 4171,B100000,00000,1300,00000(PATIENT DAYS) 4171,B100000,00000,1301,00000(PATIENT DAYS) 4171,B100000,00000,1400,00000(ASSIGNED TIME) 4171,S000000,00100,0200,06/02/2000 4171,S200000,00100,0100,1100 EAST MARTIN DRIVE 4171,S200000,00200,0100,WYNNE 4171,S200000,00200,0200,AR 4171,S200000,00200,0300,72396 4171,S200000,00300,0100,CROSS 4171,S200000,00400,0100,WYNWOOD NURSING CENTER 4171,S200000,00400,0200,045157 4171,S200000,00400,0300,08/08/1990 4171,S200000,00400,0500,P 4171,S200000,00600,0200,045157 4171,S200000,00600,0300,08/08/1990 4171,S200000,00600,0600,P 4171,S200000,01600,0100,Y 4171,S200000,04300,0100,Y 4174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4174,A000000,00300,0000,00300EMPLOYEE BENEFITS 4174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4174,A000000,00700,0000,00700HOUSEKEEPING 4174,A000000,00800,0000,00800DIETARY 4174,A000000,00900,0000,00900NURSING ADMINISTRATION 4174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4174,A000000,01100,0000,01100PHARMACY 4174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4174,A000000,01300,0000,01300SOCIAL SERVICE 4174,A000000,01301,0000,01301ACTIVITIES 4174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4174,A000000,01600,0000,01600SKILLED NURSING FACILITY 4174,A000000,01800,0000,01800NURSING FACILITY 4174,A000000,01810,0000,01810ICF/MR 4174,A000000,02100,0000,02100RADIOLOGY 4174,A000000,02200,0000,02200LABORATORY 4174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4174,A000000,02500,0000,02500PHYSICAL THERAPY 4174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4174,A000000,02700,0000,02700SPEECH PATHOLOGY 4174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4174,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4174,A000000,03550,0000,03550FQHC 4174,A000000,05000,0000,05000CORF 4174,A000000,05010,0000,05010CMHC 4174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4174,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4174,A81000A,00100,0100,Y 4174,A81000B,00100,0300,HOME OFFICE COST 4174,A81000B,00400,0300,HOME OFFICE COST 4174,A81000B,00500,0300,HOME OFFICE COST 4174,A81000B,00600,0300,HOME OFFICE COST 4174,A81000B,00800,0300,HOME OFFICE COST 4174,A81000C,00100,0100,B 4174,A81000C,00100,0200,BEVERLY ENTERPR 4174,B100000,00000,0100,00000(SQUARE FEET) 4174,B100000,00000,0200,00000(SQUARE FEET) 4174,B100000,00000,0300,00000(ADJUSTED SALARIES) 4174,B100000,00000,0400,00000(ACCUM. COST) 4174,B100000,00000,0500,00000(SQUARE FEET) 4174,B100000,00000,0600,00000(PATIENT DAYS) 4174,B100000,00000,0700,00000(SQUARE FEET) 4174,B100000,00000,0800,00000(MEALS SERVED) 4174,B100000,00000,0900,00000(ADJUSTED SALARIES) 4174,B100000,00000,1000,00000(PATIENT DAYS) 4174,B100000,00000,1100,00000(COSTED REQUIS) 4174,B100000,00000,1200,00000(TOTAL CHARGES) 4174,B100000,00000,1300,00000(PATIENT DAYS) 4174,B100000,00000,1301,00000(PATIENT DAYS) 4174,B100000,00000,1400,00000(ASSIGNED TIME) 4174,E10A180,00302,0100,06/14/1999 4174,E10A180,00350,0100,01/27/1999 4174,E10A180,00352,0100,10/08/1999 4174,E10A180,00353,0100,12/09/1999 4174,E10A180,00354,0100,02/14/2000 4174,S000000,00100,0200,06/02/2000 4174,S200000,00100,0100,1040 WEDDINGFORD 4174,S200000,00200,0100,HEBER SPRINGS 4174,S200000,00200,0200,AR 4174,S200000,00200,0300,72543 4174,S200000,00300,0100,CLEBURNE 4174,S200000,00400,0100,BEVERLY HEALTHCARE-HEBER SPRINGS 4174,S200000,00400,0200,045158 4174,S200000,00400,0300,08/01/1990 4174,S200000,00400,0500,P 4174,S200000,00600,0200,045158 4174,S200000,00600,0300,08/01/1990 4174,S200000,00600,0600,P 4174,S200000,01600,0100,Y 4174,S200000,04300,0100,Y 4177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4177,A000000,00300,0000,00300EMPLOYEE BENEFITS 4177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4177,A000000,00700,0000,00700HOUSEKEEPING 4177,A000000,00800,0000,00800DIETARY 4177,A000000,00900,0000,00900NURSING ADMINISTRATION 4177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4177,A000000,01100,0000,01100PHARMACY 4177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4177,A000000,01300,0000,01300SOCIAL SERVICE 4177,A000000,01301,0000,01301ACTIVITIES 4177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4177,A000000,01600,0000,01600SKILLED NURSING FACILITY 4177,A000000,01800,0000,01800NURSING FACILITY 4177,A000000,01810,0000,01810ICF/MR 4177,A000000,02200,0000,02200LABORATORY 4177,A000000,02500,0000,02500PHYSICAL THERAPY 4177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4177,A000000,02700,0000,02700SPEECH PATHOLOGY 4177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4177,A000000,03550,0000,03550FQHC 4177,A000000,05000,0000,05000CORF 4177,A000000,05010,0000,05010CMHC 4177,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4177,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4177,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4177,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4177,A81000A,00100,0100,Y 4177,A81000B,00100,0300,HOME OFFICE COST 4177,A81000B,00400,0300,HOME OFFICE COST 4177,A81000B,00500,0300,HOME OFFICE COST 4177,A81000B,00600,0300,HOME OFFICE COST 4177,A81000B,00800,0300,HOME OFFICE COST 4177,A81000C,00100,0100,B 4177,A81000C,00100,0200,BEVERLY ENTERPR 4177,B100000,00000,0100,00000(SQUARE FEET) 4177,B100000,00000,0200,00000(SQUARE FEET) 4177,B100000,00000,0300,00000(ADJUSTED SALARIES) 4177,B100000,00000,0400,00000(ACCUM. COST) 4177,B100000,00000,0500,00000(SQUARE FEET) 4177,B100000,00000,0600,00000(PATIENT DAYS) 4177,B100000,00000,0700,00000(SQUARE FEET) 4177,B100000,00000,0800,00000(MEALS SERVED) 4177,B100000,00000,0900,00000(ADJUSTED SALARIES) 4177,B100000,00000,1000,00000(PATIENT DAYS) 4177,B100000,00000,1100,00000(COSTED REQUIS) 4177,B100000,00000,1200,00000(TOTAL CHARGES) 4177,B100000,00000,1300,00000(PATIENT DAYS) 4177,B100000,00000,1301,00000(PATIENT DAYS) 4177,B100000,00000,1400,00000(ASSIGNED TIME) 4177,E10A180,00350,0100,01/27/1999 4177,E10A180,00351,0100,06/14/1999 4177,E10A180,00352,0100,10/08/1999 4177,E10A180,00353,0100,12/09/1999 4177,E10A180,00354,0100,02/14/2000 4177,S000000,00100,0200,06/02/2000 4177,S200000,00100,0100,1400 N. DIVISION 4177,S200000,00200,0100,BLYTHEVILLE 4177,S200000,00200,0200,AR 4177,S200000,00200,0300,72315 4177,S200000,00300,0100,MISSISSIPPI 4177,S200000,00400,0100,BEVERLY HEALTHCARE-BLYTHEVILLE 4177,S200000,00400,0200,045159 4177,S200000,00400,0300,01/01/1991 4177,S200000,00400,0500,P 4177,S200000,00600,0200,045159 4177,S200000,00600,0300,01/01/1991 4177,S200000,00600,0600,P 4177,S200000,01600,0100,Y 4177,S200000,04300,0100,Y 4180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4180,A000000,00300,0000,00300EMPLOYEE BENEFITS 4180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4180,A000000,00700,0000,00700HOUSEKEEPING 4180,A000000,00800,0000,00800DIETARY 4180,A000000,00900,0000,00900NURSING ADMINISTRATION 4180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4180,A000000,01100,0000,01100PHARMACY 4180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4180,A000000,01300,0000,01300SOCIAL SERVICE 4180,A000000,01301,0000,01301ACTIVITIES 4180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4180,A000000,01600,0000,01600SKILLED NURSING FACILITY 4180,A000000,01800,0000,01800NURSING FACILITY 4180,A000000,01810,0000,01810ICF/MR 4180,A000000,01900,0000,01900OTHER LONG TERM CARE 4180,A000000,02100,0000,02100RADIOLOGY 4180,A000000,02200,0000,02200LABORATORY 4180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4180,A000000,02500,0000,02500PHYSICAL THERAPY 4180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4180,A000000,02700,0000,02700SPEECH PATHOLOGY 4180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4180,A000000,03550,0000,03550FQHC 4180,A000000,05000,0000,05000CORF 4180,A000000,05010,0000,05010CMHC 4180,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4180,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4180,A81000A,00100,0100,Y 4180,A81000B,00100,0300,HOME OFFICE COST 4180,A81000B,00400,0300,HOME OFFICE COST 4180,A81000B,00500,0300,HOME OFFICE COST 4180,A81000B,00600,0300,HOME OFFICE COST 4180,A81000B,00800,0300,HOME OFFICE COST 4180,A81000C,00100,0100,B 4180,A81000C,00100,0200,BEVERLY ENTERPR 4180,B100000,00000,0100,00000(SQUARE FEET) 4180,B100000,00000,0200,00000(SQUARE FEET) 4180,B100000,00000,0300,00000(ADJUSTED SALARIES) 4180,B100000,00000,0400,00000(ACCUM. COST) 4180,B100000,00000,0500,00000(SQUARE FEET) 4180,B100000,00000,0600,00000(PATIENT DAYS) 4180,B100000,00000,0700,00000(SQUARE FEET) 4180,B100000,00000,0800,00000(MEALS SERVED) 4180,B100000,00000,0900,00000(ADJUSTED SALARIES) 4180,B100000,00000,1000,00000(PATIENT DAYS) 4180,B100000,00000,1100,00000(COSTED REQUIS) 4180,B100000,00000,1200,00000(TOTAL CHARGES) 4180,B100000,00000,1300,00000(PATIENT DAYS) 4180,B100000,00000,1301,00000(PATIENT DAYS) 4180,B100000,00000,1400,00000(ASSIGNED TIME) 4180,E10A180,00302,0100,06/14/1999 4180,E10A180,00303,0100,10/08/1999 4180,E10A180,00305,0100,02/14/2000 4180,E10A180,00350,0100,01/27/1999 4180,E10A180,00353,0100,12/09/1999 4180,S000000,00100,0200,06/02/2000 4180,S200000,00100,0100,VICTORY & FORD STREET 4180,S200000,00200,0100,STAR CITY 4180,S200000,00200,0200,AR 4180,S200000,00200,0300,71667 4180,S200000,00300,0100,LINCOLN 4180,S200000,00400,0100,BEVERLY HEALTHCARE-STAR CITY 4180,S200000,00400,0200,045165 4180,S200000,00400,0300,04/01/1991 4180,S200000,00400,0500,P 4180,S200000,00600,0200,045165 4180,S200000,00600,0300,04/01/1991 4180,S200000,00600,0600,P 4180,S200000,01600,0100,Y 4180,S200000,04300,0100,Y 4183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4183,A000000,00300,0000,00300EMPLOYEE BENEFITS 4183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4183,A000000,00700,0000,00700HOUSEKEEPING 4183,A000000,00800,0000,00800DIETARY 4183,A000000,00900,0000,00900NURSING ADMINISTRATION 4183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4183,A000000,01100,0000,01100PHARMACY 4183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4183,A000000,01300,0000,01300SOCIAL SERVICE 4183,A000000,01301,0000,01301ACTIVITIES 4183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4183,A000000,01600,0000,01600SKILLED NURSING FACILITY 4183,A000000,01800,0000,01800NURSING FACILITY 4183,A000000,01810,0000,01810ICF/MR 4183,A000000,02100,0000,02100RADIOLOGY 4183,A000000,02200,0000,02200LABORATORY 4183,A000000,02500,0000,02500PHYSICAL THERAPY 4183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4183,A000000,02700,0000,02700SPEECH PATHOLOGY 4183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4183,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4183,A000000,03550,0000,03550FQHC 4183,A000000,05000,0000,05000CORF 4183,A000000,05010,0000,05010CMHC 4183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4183,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4183,A81000A,00100,0100,Y 4183,A81000B,00100,0300,HOME OFFICE COST 4183,A81000B,00400,0300,HOME OFFICE COST 4183,A81000B,00500,0300,HOME OFFICE COST 4183,A81000B,00600,0300,HOME OFFICE COST 4183,A81000B,00800,0300,HOME OFFICE COST 4183,A81000C,00100,0100,B 4183,A81000C,00100,0200,BEVERLY ENTERPR 4183,B100000,00000,0100,00000(SQUARE FEET) 4183,B100000,00000,0200,00000(SQUARE FEET) 4183,B100000,00000,0300,00000(ADJUSTED SALARIES) 4183,B100000,00000,0400,00000(ACCUM. COST) 4183,B100000,00000,0500,00000(SQUARE FEET) 4183,B100000,00000,0600,00000(PATIENT DAYS) 4183,B100000,00000,0700,00000(SQUARE FEET) 4183,B100000,00000,0800,00000(MEALS SERVED) 4183,B100000,00000,0900,00000(ADJUSTED SALARIES) 4183,B100000,00000,1000,00000(PATIENT DAYS) 4183,B100000,00000,1100,00000(COSTED REQUIS) 4183,B100000,00000,1200,00000(TOTAL CHARGES) 4183,B100000,00000,1300,00000(PATIENT DAYS) 4183,B100000,00000,1301,00000(PATIENT DAYS) 4183,B100000,00000,1400,00000(ASSIGNED TIME) 4183,E10A180,00302,0100,06/14/1999 4183,E10A180,00303,0100,10/08/1999 4183,E10A180,00305,0100,02/14/2000 4183,E10A180,00350,0100,01/27/1999 4183,E10A180,00353,0100,12/09/1999 4183,S000000,00100,0200,06/02/2000 4183,S200000,00100,0100,1800 LINWOOD DRIVE 4183,S200000,00200,0100,PARAGOULD 4183,S200000,00200,0200,AR 4183,S200000,00200,0300,72450 4183,S200000,00300,0100,GREEN 4183,S200000,00400,0100,PARAGOULD NURSING CTR 4183,S200000,00400,0200,045170 4183,S200000,00400,0300,09/09/1991 4183,S200000,00400,0500,P 4183,S200000,00600,0200,045170 4183,S200000,00600,0300,09/09/1991 4183,S200000,00600,0600,P 4183,S200000,01600,0100,Y 4183,S200000,04300,0100,Y 4184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4184,A000000,00300,0000,00300EMPLOYEE BENEFITS 4184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4184,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4184,A000000,00700,0000,00700HOUSEKEEPING 4184,A000000,00800,0000,00800DIETARY 4184,A000000,00900,0000,00900NURSING ADMINISTRATION 4184,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4184,A000000,01100,0000,01100PHARMACY 4184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4184,A000000,01300,0000,01300SOCIAL SERVICE 4184,A000000,01301,0000,01301ACTIVITIES 4184,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4184,A000000,01600,0000,01600SKILLED NURSING FACILITY 4184,A000000,01800,0000,01800NURSING FACILITY 4184,A000000,01810,0000,01810ICF/MR 4184,A000000,02500,0000,02500PHYSICAL THERAPY 4184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4184,A000000,02700,0000,02700SPEECH PATHOLOGY 4184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4184,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4184,A000000,03550,0000,03550FQHC 4184,A000000,05000,0000,05000CORF 4184,A000000,05010,0000,05010CMHC 4184,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4184,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4184,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4184,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4184,A81000A,00100,0100,Y 4184,A81000B,00100,0300,HOME OFFICE COST 4184,A81000B,00400,0300,HOME OFFICE COST 4184,A81000B,00500,0300,HOME OFFICE COST 4184,A81000B,00600,0300,HOME OFFICE COST 4184,A81000B,00800,0300,HOME OFFICE COST 4184,A81000C,00100,0100,B 4184,A81000C,00100,0200,BEVERLY ENTERPR 4184,B100000,00000,0100,00000(SQUARE FEET) 4184,B100000,00000,0200,00000(SQUARE FEET) 4184,B100000,00000,0300,00000(ADJUSTED SALARIES) 4184,B100000,00000,0400,00000(ACCUM. COST) 4184,B100000,00000,0500,00000(SQUARE FEET) 4184,B100000,00000,0600,00000(PATIENT DAYS) 4184,B100000,00000,0700,00000(SQUARE FEET) 4184,B100000,00000,0800,00000(MEALS SERVED) 4184,B100000,00000,0900,00000(ADJUSTED SALARIES) 4184,B100000,00000,1000,00000(PATIENT DAYS) 4184,B100000,00000,1100,00000(COSTED REQUIS) 4184,B100000,00000,1200,00000(TOTAL CHARGES) 4184,B100000,00000,1300,00000(PATIENT DAYS) 4184,B100000,00000,1301,00000(PATIENT DAYS) 4184,B100000,00000,1400,00000(ASSIGNED TIME) 4184,S000000,00100,0200,06/02/2000 4184,S200000,00100,0100,611 LAKE STREET 4184,S200000,00200,0100,WILMONT 4184,S200000,00200,0200,AR 4184,S200000,00200,0300,71676 4184,S200000,00300,0100,ASHLEY 4184,S200000,00400,0100,ASHLEY COUNTY CONVALESCENT 4184,S200000,00400,0200,045171 4184,S200000,00400,0300,10/01/1991 4184,S200000,00400,0500,P 4184,S200000,00600,0200,045171 4184,S200000,00600,0300,10/01/1991 4184,S200000,00600,0600,P 4184,S200000,01600,0100,Y 4184,S200000,04300,0100,Y 4189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4189,A000000,00300,0000,00300EMPLOYEE BENEFITS 4189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4189,A000000,00700,0000,00700HOUSEKEEPING 4189,A000000,00800,0000,00800DIETARY 4189,A000000,00900,0000,00900NURSING ADMINISTRATION 4189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4189,A000000,01100,0000,01100PHARMACY 4189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4189,A000000,01300,0000,01300SOCIAL SERVICE 4189,A000000,01301,0000,01301ACTIVITIES 4189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4189,A000000,01600,0000,01600SKILLED NURSING FACILITY 4189,A000000,01800,0000,01800NURSING FACILITY 4189,A000000,01810,0000,01810ICF/MR 4189,A000000,01900,0000,01900OTHER LONG TERM CARE 4189,A000000,02200,0000,02200LABORATORY 4189,A000000,02500,0000,02500PHYSICAL THERAPY 4189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4189,A000000,02700,0000,02700SPEECH PATHOLOGY 4189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4189,A000000,03550,0000,03550FQHC 4189,A000000,05000,0000,05000CORF 4189,A000000,05010,0000,05010CMHC 4189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4189,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4189,A81000A,00100,0100,Y 4189,A81000B,00100,0300,HOME OFFICE COST 4189,A81000B,00400,0300,HOME OFFICE COST 4189,A81000B,00500,0300,HOME OFFICE COST 4189,A81000B,00600,0300,HOME OFFICE COST 4189,A81000B,00800,0300,HOME OFFICE COST 4189,A81000C,00100,0100,B 4189,A81000C,00100,0200,BEVERLY ENTERPR 4189,B100000,00000,0100,00000(SQUARE FEET) 4189,B100000,00000,0200,00000(SQUARE FEET) 4189,B100000,00000,0300,00000(ADJUSTED SALARIES) 4189,B100000,00000,0400,00000(ACCUM. COST) 4189,B100000,00000,0500,00000(SQUARE FEET) 4189,B100000,00000,0600,00000(PATIENT DAYS) 4189,B100000,00000,0700,00000(SQUARE FEET) 4189,B100000,00000,0800,00000(MEALS SERVED) 4189,B100000,00000,0900,00000(ADJUSTED SALARIES) 4189,B100000,00000,1000,00000(PATIENT DAYS) 4189,B100000,00000,1100,00000(COSTED REQUIS) 4189,B100000,00000,1200,00000(TOTAL CHARGES) 4189,B100000,00000,1300,00000(PATIENT DAYS) 4189,B100000,00000,1301,00000(PATIENT DAYS) 4189,B100000,00000,1400,00000(ASSIGNED TIME) 4189,E10A180,00350,0100,01/27/1999 4189,E10A180,00351,0100,06/14/1999 4189,E10A180,00352,0100,10/08/1999 4189,E10A180,00353,0100,12/09/1999 4189,E10A180,00354,0100,02/14/2000 4189,S000000,00100,0200,06/02/2000 4189,S200000,00100,0100,CHESTER STREET 4189,S200000,00200,0100,MONTICELLO 4189,S200000,00200,0200,AR 4189,S200000,00200,0300,71655 4189,S200000,00300,0100,DREW 4189,S200000,00400,0100,BEVERLY HEALTHCARE-MONTICELLO 4189,S200000,00400,0200,045176 4189,S200000,00400,0300,11/01/1991 4189,S200000,00400,0500,P 4189,S200000,00600,0200,045176 4189,S200000,00600,0300,11/01/1991 4189,S200000,00600,0600,P 4189,S200000,01600,0100,Y 4189,S200000,04300,0100,Y 4194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4194,A000000,00300,0000,00300EMPLOYEE BENEFITS 4194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4194,A000000,00700,0000,00700HOUSEKEEPING 4194,A000000,00800,0000,00800DIETARY 4194,A000000,00900,0000,00900NURSING ADMINISTRATION 4194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4194,A000000,01100,0000,01100PHARMACY 4194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4194,A000000,01300,0000,01300SOCIAL SERVICE 4194,A000000,01301,0000,01301ACTIVITIES 4194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4194,A000000,01600,0000,01600SKILLED NURSING FACILITY 4194,A000000,01800,0000,01800NURSING FACILITY 4194,A000000,01810,0000,01810ICF/MR 4194,A000000,02100,0000,02100RADIOLOGY 4194,A000000,02200,0000,02200LABORATORY 4194,A000000,02500,0000,02500PHYSICAL THERAPY 4194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4194,A000000,02700,0000,02700SPEECH PATHOLOGY 4194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4194,A000000,03550,0000,03550FQHC 4194,A000000,05000,0000,05000CORF 4194,A000000,05010,0000,05010CMHC 4194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4194,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4194,A81000A,00100,0100,Y 4194,A81000B,00100,0300,HOME OFFICE COST 4194,A81000B,00400,0300,HOME OFFICE COST 4194,A81000B,00500,0300,HOME OFFICE COST 4194,A81000B,00600,0300,HOME OFFICE COST 4194,A81000B,00800,0300,HOME OFFICE COST 4194,A81000C,00100,0100,B 4194,A81000C,00100,0200,BEVERLY ENTERPR 4194,B100000,00000,0100,00000(SQUARE FEET) 4194,B100000,00000,0200,00000(SQUARE FEET) 4194,B100000,00000,0300,00000(ADJUSTED SALARIES) 4194,B100000,00000,0400,00000(ACCUM. COST) 4194,B100000,00000,0500,00000(SQUARE FEET) 4194,B100000,00000,0600,00000(PATIENT DAYS) 4194,B100000,00000,0700,00000(SQUARE FEET) 4194,B100000,00000,0800,00000(MEALS SERVED) 4194,B100000,00000,0900,00000(ADJUSTED SALARIES) 4194,B100000,00000,1000,00000(PATIENT DAYS) 4194,B100000,00000,1100,00000(COSTED REQUIS) 4194,B100000,00000,1200,00000(TOTAL CHARGES) 4194,B100000,00000,1300,00000(PATIENT DAYS) 4194,B100000,00000,1301,00000(PATIENT DAYS) 4194,B100000,00000,1400,00000(ASSIGNED TIME) 4194,E10A180,00305,0100,02/14/2000 4194,E10A180,00350,0100,01/27/1999 4194,E10A180,00351,0100,06/14/1999 4194,E10A180,00352,0100,10/08/1999 4194,E10A180,00353,0100,12/09/1999 4194,S000000,00100,0200,06/02/2000 4194,S200000,00100,0100,P. O. BOX 812 N. MAIN 4194,S200000,00200,0100,NASHVILLE 4194,S200000,00200,0200,AR 4194,S200000,00200,0300,71852 4194,S200000,00300,0100,HOWARD 4194,S200000,00400,0100,BEVERLY HEALTHCARE-NASHVILLE 4194,S200000,00400,0200,045180 4194,S200000,00400,0300,12/01/1991 4194,S200000,00400,0500,P 4194,S200000,00600,0200,045180 4194,S200000,00600,0300,12/01/1991 4194,S200000,00600,0600,P 4194,S200000,01600,0100,Y 4194,S200000,04300,0100,Y 4197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4197,A000000,00300,0000,00300EMPLOYEE BENEFITS 4197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4197,A000000,00700,0000,00700HOUSEKEEPING 4197,A000000,00800,0000,00800DIETARY 4197,A000000,00900,0000,00900NURSING ADMINISTRATION 4197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4197,A000000,01100,0000,01100PHARMACY 4197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4197,A000000,01300,0000,01300SOCIAL SERVICE 4197,A000000,01301,0000,01301ACTIVITIES 4197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4197,A000000,01600,0000,01600SKILLED NURSING FACILITY 4197,A000000,01800,0000,01800NURSING FACILITY 4197,A000000,01810,0000,01810ICF/MR 4197,A000000,01900,0000,01900OTHER LONG TERM CARE 4197,A000000,02100,0000,02100RADIOLOGY 4197,A000000,02200,0000,02200LABORATORY 4197,A000000,02500,0000,02500PHYSICAL THERAPY 4197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4197,A000000,02700,0000,02700SPEECH PATHOLOGY 4197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4197,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4197,A000000,03550,0000,03550FQHC 4197,A000000,05000,0000,05000CORF 4197,A000000,05010,0000,05010CMHC 4197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4197,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4197,A81000A,00100,0100,Y 4197,A81000B,00100,0300,HOME OFFICE COST 4197,A81000B,00400,0300,HOME OFFICE COST 4197,A81000B,00500,0300,HOME OFFICE COST 4197,A81000B,00600,0300,HOME OFFICE COST 4197,A81000B,00800,0300,HOME OFFICE COST 4197,A81000C,00100,0100,B 4197,A81000C,00100,0200,BEVERLY ENTERPR 4197,B100000,00000,0100,00000(SQUARE FEET) 4197,B100000,00000,0200,00000(SQUARE FEET) 4197,B100000,00000,0300,00000(ADJUSTED SALARIES) 4197,B100000,00000,0400,00000(ACCUM. COST) 4197,B100000,00000,0500,00000(SQUARE FEET) 4197,B100000,00000,0600,00000(PATIENT DAYS) 4197,B100000,00000,0700,00000(SQUARE FEET) 4197,B100000,00000,0800,00000(MEALS SERVED) 4197,B100000,00000,0900,00000(ADJUSTED SALARIES) 4197,B100000,00000,1000,00000(PATIENT DAYS) 4197,B100000,00000,1100,00000(COSTED REQUIS) 4197,B100000,00000,1200,00000(TOTAL CHARGES) 4197,B100000,00000,1300,00000(PATIENT DAYS) 4197,B100000,00000,1301,00000(PATIENT DAYS) 4197,B100000,00000,1400,00000(ASSIGNED TIME) 4197,E10A180,00302,0100,06/14/1999 4197,E10A180,00350,0100,01/27/1999 4197,E10A180,00352,0100,10/08/1999 4197,E10A180,00353,0100,12/09/1999 4197,E10A180,00354,0100,02/14/2000 4197,S000000,00100,0200,06/02/2000 4197,S200000,00100,0100,ROUTE #6 BOX 227 4197,S200000,00200,0100,PRESCOTT 4197,S200000,00200,0200,AR 4197,S200000,00200,0300,71857 4197,S200000,00300,0100,NEVADA 4197,S200000,00400,0100,BEVERLY HEALTHCARE-PRESCOTT 4197,S200000,00400,0200,045181 4197,S200000,00400,0300,12/09/1991 4197,S200000,00400,0500,P 4197,S200000,00600,0200,045181 4197,S200000,00600,0300,12/09/1991 4197,S200000,00600,0600,P 4197,S200000,01600,0100,Y 4197,S200000,04300,0100,Y 4200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4200,A000000,00300,0000,00300EMPLOYEE BENEFITS 4200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4200,A000000,00700,0000,00700HOUSEKEEPING 4200,A000000,00800,0000,00800DIETARY 4200,A000000,00900,0000,00900NURSING ADMINISTRATION 4200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4200,A000000,01100,0000,01100PHARMACY 4200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4200,A000000,01300,0000,01300SOCIAL SERVICE 4200,A000000,01301,0000,01301ACTIVITIES 4200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4200,A000000,01600,0000,01600SKILLED NURSING FACILITY 4200,A000000,01800,0000,01800NURSING FACILITY 4200,A000000,01810,0000,01810ICF/MR 4200,A000000,01900,0000,01900OTHER LONG TERM CARE 4200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4200,A000000,02500,0000,02500PHYSICAL THERAPY 4200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4200,A000000,02700,0000,02700SPEECH PATHOLOGY 4200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4200,A000000,03550,0000,03550FQHC 4200,A000000,05000,0000,05000CORF 4200,A000000,05010,0000,05010CMHC 4200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4200,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4200,A81000A,00100,0100,Y 4200,A81000B,00100,0300,HOME OFFICE COST 4200,A81000B,00400,0300,HOME OFFICE COST 4200,A81000B,00500,0300,HOME OFFICE COST 4200,A81000B,00600,0300,HOME OFFICE COST 4200,A81000B,00800,0300,HOME OFFICE COST 4200,A81000C,00100,0100,B 4200,A81000C,00100,0200,BEVERLY ENTERPR 4200,B100000,00000,0100,00000(SQUARE FEET) 4200,B100000,00000,0200,00000(SQUARE FEET) 4200,B100000,00000,0300,00000(ADJUSTED SALARIES) 4200,B100000,00000,0400,00000(ACCUM. COST) 4200,B100000,00000,0500,00000(SQUARE FEET) 4200,B100000,00000,0600,00000(PATIENT DAYS) 4200,B100000,00000,0700,00000(SQUARE FEET) 4200,B100000,00000,0800,00000(MEALS SERVED) 4200,B100000,00000,0900,00000(ADJUSTED SALARIES) 4200,B100000,00000,1000,00000(PATIENT DAYS) 4200,B100000,00000,1100,00000(COSTED REQUIS) 4200,B100000,00000,1200,00000(TOTAL CHARGES) 4200,B100000,00000,1300,00000(PATIENT DAYS) 4200,B100000,00000,1301,00000(PATIENT DAYS) 4200,B100000,00000,1400,00000(ASSIGNED TIME) 4200,E10A180,00304,0100,12/09/1999 4200,E10A180,00305,0100,02/14/2000 4200,E10A180,00350,0100,01/27/1999 4200,E10A180,00351,0100,06/14/1999 4200,E10A180,00352,0100,10/08/1999 4200,S000000,00100,0200,06/02/2000 4200,S200000,00100,0100,100 HARGETT DRIVE 4200,S200000,00200,0100,ELDORADO 4200,S200000,00200,0200,AR 4200,S200000,00200,0300,71730 4200,S200000,00300,0100,UNION 4200,S200000,00400,0100,BEVERLY HEALTHCARE-EL DORADO 4200,S200000,00400,0200,045182 4200,S200000,00400,0300,12/12/1991 4200,S200000,00400,0500,P 4200,S200000,00600,0200,045182 4200,S200000,00600,0300,12/12/1991 4200,S200000,00600,0600,P 4200,S200000,01600,0100,Y 4200,S200000,04300,0100,Y 4202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4202,A000000,00300,0000,00300EMPLOYEE BENEFITS 4202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4202,A000000,00700,0000,00700HOUSEKEEPING 4202,A000000,00800,0000,00800DIETARY 4202,A000000,00900,0000,00900NURSING ADMINISTRATION 4202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4202,A000000,01100,0000,01100PHARMACY 4202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4202,A000000,01300,0000,01300SOCIAL SERVICE 4202,A000000,01301,0000,01301ACTIVITIES 4202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4202,A000000,01600,0000,01600SKILLED NURSING FACILITY 4202,A000000,01800,0000,01800NURSING FACILITY 4202,A000000,01810,0000,01810ICF/MR 4202,A000000,01900,0000,01900OTHER LONG TERM CARE 4202,A000000,02200,0000,02200LABORATORY 4202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4202,A000000,02500,0000,02500PHYSICAL THERAPY 4202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4202,A000000,02700,0000,02700SPEECH PATHOLOGY 4202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4202,A000000,03550,0000,03550FQHC 4202,A000000,05000,0000,05000CORF 4202,A000000,05010,0000,05010CMHC 4202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4202,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4202,A81000A,00100,0100,Y 4202,A81000B,00100,0300,HOME OFFICE COST 4202,A81000B,00400,0300,HOME OFFICE COST 4202,A81000B,00500,0300,HOME OFFICE COST 4202,A81000B,00600,0300,HOME OFFICE COST 4202,A81000B,00800,0300,HOME OFFICE COST 4202,A81000C,00100,0100,B 4202,A81000C,00100,0200,BEVERLY ENTERPR 4202,B100000,00000,0100,00000(SQUARE FEET) 4202,B100000,00000,0200,00000(SQUARE FEET) 4202,B100000,00000,0300,00000(ADJUSTED SALARIES) 4202,B100000,00000,0400,00000(ACCUM. COST) 4202,B100000,00000,0500,00000(SQUARE FEET) 4202,B100000,00000,0600,00000(PATIENT DAYS) 4202,B100000,00000,0700,00000(SQUARE FEET) 4202,B100000,00000,0800,00000(MEALS SERVED) 4202,B100000,00000,0900,00000(ADJUSTED SALARIES) 4202,B100000,00000,1000,00000(PATIENT DAYS) 4202,B100000,00000,1100,00000(COSTED REQUIS) 4202,B100000,00000,1200,00000(TOTAL CHARGES) 4202,B100000,00000,1300,00000(PATIENT DAYS) 4202,B100000,00000,1301,00000(PATIENT DAYS) 4202,B100000,00000,1400,00000(ASSIGNED TIME) 4202,S000000,00100,0200,06/02/2000 4202,S200000,00100,0100,1652 HIGHWAY 65 SOUTH 4202,S200000,00200,0100,LAKE VILLAGE 4202,S200000,00200,0200,AR 4202,S200000,00200,0300,71653 4202,S200000,00300,0100,CHICOT 4202,S200000,00400,0100,LAKEWOOD REHABILITATION 4202,S200000,00400,0200,045184 4202,S200000,00400,0300,06/01/1998 4202,S200000,00400,0500,P 4202,S200000,00600,0200,045184 4202,S200000,00600,0300,06/01/1998 4202,S200000,00600,0600,P 4202,S200000,01600,0100,Y 4202,S200000,04300,0100,Y 4205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4205,A000000,00300,0000,00300EMPLOYEE BENEFITS 4205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4205,A000000,00700,0000,00700HOUSEKEEPING 4205,A000000,00800,0000,00800DIETARY 4205,A000000,00900,0000,00900NURSING ADMINISTRATION 4205,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4205,A000000,01100,0000,01100PHARMACY 4205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4205,A000000,01300,0000,01300SOCIAL SERVICE 4205,A000000,01301,0000,01301ACTIVITIES 4205,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4205,A000000,01600,0000,01600SKILLED NURSING FACILITY 4205,A000000,01800,0000,01800NURSING FACILITY 4205,A000000,01810,0000,01810ICF/MR 4205,A000000,02200,0000,02200LABORATORY 4205,A000000,02500,0000,02500PHYSICAL THERAPY 4205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4205,A000000,02700,0000,02700SPEECH PATHOLOGY 4205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4205,A000000,03550,0000,03550FQHC 4205,A000000,05000,0000,05000CORF 4205,A000000,05010,0000,05010CMHC 4205,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4205,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4205,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4205,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4205,A81000A,00100,0100,Y 4205,A81000B,00100,0300,HOME OFFICE COST 4205,A81000B,00400,0300,HOME OFFICE COST 4205,A81000B,00500,0300,HOME OFFICE COST 4205,A81000B,00600,0300,HOME OFFICE COST 4205,A81000B,00800,0300,HOME OFFICE COST 4205,A81000C,00100,0100,B 4205,A81000C,00100,0200,BEVERLY ENTERPR 4205,B100000,00000,0100,00000(SQUARE FEET) 4205,B100000,00000,0200,00000(SQUARE FEET) 4205,B100000,00000,0300,00000(ADJUSTED SALARIES) 4205,B100000,00000,0400,00000(ACCUM. COST) 4205,B100000,00000,0500,00000(SQUARE FEET) 4205,B100000,00000,0600,00000(PATIENT DAYS) 4205,B100000,00000,0700,00000(SQUARE FEET) 4205,B100000,00000,0800,00000(MEALS SERVED) 4205,B100000,00000,0900,00000(ADJUSTED SALARIES) 4205,B100000,00000,1000,00000(PATIENT DAYS) 4205,B100000,00000,1100,00000(COSTED REQUIS) 4205,B100000,00000,1200,00000(TOTAL CHARGES) 4205,B100000,00000,1300,00000(PATIENT DAYS) 4205,B100000,00000,1301,00000(PATIENT DAYS) 4205,B100000,00000,1400,00000(ASSIGNED TIME) 4205,E10A180,00304,0100,12/09/1999 4205,E10A180,00350,0100,01/27/1999 4205,E10A180,00351,0100,06/14/1999 4205,E10A180,00352,0100,10/08/1999 4205,E10A180,00354,0100,02/14/2000 4205,S000000,00100,0200,06/02/2000 4205,S200000,00100,0100,ROUTE # 3 BOX 300 4205,S200000,00200,0100,HAMBURG 4205,S200000,00200,0200,AR 4205,S200000,00200,0300,71646 4205,S200000,00300,0100,ASHLEY 4205,S200000,00400,0100,BEVERLY HEALTHCARE-HAMBURG 4205,S200000,00400,0200,045185 4205,S200000,00400,0300,01/01/1992 4205,S200000,00400,0500,P 4205,S200000,00600,0200,045185 4205,S200000,00600,0300,01/01/1992 4205,S200000,00600,0600,P 4205,S200000,01600,0100,Y 4205,S200000,04300,0100,Y 4210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4210,A000000,00300,0000,00300EMPLOYEE BENEFITS 4210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4210,A000000,00700,0000,00700HOUSEKEEPING 4210,A000000,00800,0000,00800DIETARY 4210,A000000,00900,0000,00900NURSING ADMINISTRATION 4210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4210,A000000,01100,0000,01100PHARMACY 4210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4210,A000000,01300,0000,01300SOCIAL SERVICE 4210,A000000,01301,0000,01301ACTIVITIES 4210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4210,A000000,01600,0000,01600SKILLED NURSING FACILITY 4210,A000000,01800,0000,01800NURSING FACILITY 4210,A000000,01810,0000,01810ICF/MR 4210,A000000,02100,0000,02100RADIOLOGY 4210,A000000,02200,0000,02200LABORATORY 4210,A000000,02500,0000,02500PHYSICAL THERAPY 4210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4210,A000000,02700,0000,02700SPEECH PATHOLOGY 4210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4210,A000000,03550,0000,03550FQHC 4210,A000000,05000,0000,05000CORF 4210,A000000,05010,0000,05010CMHC 4210,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4210,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4210,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4210,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4210,A81000A,00100,0100,Y 4210,A81000B,00100,0300,HOME OFFICE COST 4210,A81000B,00400,0300,HOME OFFICE COST 4210,A81000B,00500,0300,HOME OFFICE COST 4210,A81000B,00600,0300,HOME OFFICE COST 4210,A81000B,00800,0300,HOME OFFICE COST 4210,A81000C,00100,0100,B 4210,A81000C,00100,0200,BEVERLY ENTERPR 4210,B100000,00000,0100,00000(SQUARE FEET) 4210,B100000,00000,0200,00000(SQUARE FEET) 4210,B100000,00000,0300,00000(ADJUSTED SALARIES) 4210,B100000,00000,0400,00000(ACCUM. COST) 4210,B100000,00000,0500,00000(SQUARE FEET) 4210,B100000,00000,0600,00000(PATIENT DAYS) 4210,B100000,00000,0700,00000(SQUARE FEET) 4210,B100000,00000,0800,00000(MEALS SERVED) 4210,B100000,00000,0900,00000(ADJUSTED SALARIES) 4210,B100000,00000,1000,00000(PATIENT DAYS) 4210,B100000,00000,1100,00000(COSTED REQUIS) 4210,B100000,00000,1200,00000(TOTAL CHARGES) 4210,B100000,00000,1300,00000(PATIENT DAYS) 4210,B100000,00000,1301,00000(PATIENT DAYS) 4210,B100000,00000,1400,00000(ASSIGNED TIME) 4210,E10A180,00302,0100,06/14/1999 4210,E10A180,00303,0100,10/08/1999 4210,E10A180,00304,0100,12/09/1999 4210,E10A180,00305,0100,02/14/2000 4210,E10A180,00350,0100,01/27/1999 4210,S000000,00100,0200,06/02/2000 4210,S200000,00100,0100,301 S. BOUNDRY 4210,S200000,00200,0100,MAGNOLIA 4210,S200000,00200,0200,TX 4210,S200000,00200,0300,71753 4210,S200000,00300,0100,COLUMBIA 4210,S200000,00400,0100,MAGNOLIA MANOR 4210,S200000,00400,0200,045187 4210,S200000,00400,0300,01/01/1992 4210,S200000,00400,0500,P 4210,S200000,00600,0200,045187 4210,S200000,00600,0300,01/01/1992 4210,S200000,00600,0600,P 4210,S200000,01600,0100,Y 4210,S200000,04300,0100,Y 4213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4213,A000000,00300,0000,00300EMPLOYEE BENEFITS 4213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4213,A000000,00700,0000,00700HOUSEKEEPING 4213,A000000,00800,0000,00800DIETARY 4213,A000000,00900,0000,00900NURSING ADMINISTRATION 4213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4213,A000000,01100,0000,01100PHARMACY 4213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4213,A000000,01300,0000,01300SOCIAL SERVICE 4213,A000000,01301,0000,01301ACTIVITIES 4213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4213,A000000,01600,0000,01600SKILLED NURSING FACILITY 4213,A000000,01800,0000,01800NURSING FACILITY 4213,A000000,01810,0000,01810ICF/MR 4213,A000000,02200,0000,02200LABORATORY 4213,A000000,02500,0000,02500PHYSICAL THERAPY 4213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4213,A000000,02700,0000,02700SPEECH PATHOLOGY 4213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4213,A000000,03550,0000,03550FQHC 4213,A000000,05000,0000,05000CORF 4213,A000000,05010,0000,05010CMHC 4213,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4213,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4213,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4213,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4213,A81000A,00100,0100,Y 4213,A81000B,00100,0300,HOME OFFICE COST 4213,A81000B,00400,0300,HOME OFFICE COST 4213,A81000B,00500,0300,HOME OFFICE COST 4213,A81000B,00600,0300,HOME OFFICE COST 4213,A81000B,00800,0300,HOME OFFICE COST 4213,A81000C,00100,0100,B 4213,A81000C,00100,0200,BEVERLY ENTERPR 4213,B100000,00000,0100,00000(SQUARE FEET) 4213,B100000,00000,0200,00000(SQUARE FEET) 4213,B100000,00000,0300,00000(ADJUSTED SALARIES) 4213,B100000,00000,0400,00000(ACCUM. COST) 4213,B100000,00000,0500,00000(SQUARE FEET) 4213,B100000,00000,0600,00000(PATIENT DAYS) 4213,B100000,00000,0700,00000(SQUARE FEET) 4213,B100000,00000,0800,00000(MEALS SERVED) 4213,B100000,00000,0900,00000(ADJUSTED SALARIES) 4213,B100000,00000,1000,00000(PATIENT DAYS) 4213,B100000,00000,1100,00000(COSTED REQUIS) 4213,B100000,00000,1200,00000(TOTAL CHARGES) 4213,B100000,00000,1300,00000(PATIENT DAYS) 4213,B100000,00000,1301,00000(PATIENT DAYS) 4213,B100000,00000,1400,00000(ASSIGNED TIME) 4213,E10A180,00301,0100,01/27/1999 4213,E10A180,00303,0100,10/08/1999 4213,E10A180,00305,0100,02/14/2000 4213,E10A180,00351,0100,06/14/1999 4213,E10A180,00353,0100,12/09/1999 4213,S000000,00100,0200,06/02/2000 4213,S200000,00100,0100,730 E. CHURCH STREET 4213,S200000,00200,0100,WARREN 4213,S200000,00200,0200,AR 4213,S200000,00200,0300,71671 4213,S200000,00300,0100,BRADLEY 4213,S200000,00400,0100,BEVERLY HEALTHCARE-WARREN 4213,S200000,00400,0200,045188 4213,S200000,00400,0300,01/01/1992 4213,S200000,00400,0500,P 4213,S200000,00600,0200,045188 4213,S200000,00600,0300,01/01/1992 4213,S200000,00600,0600,P 4213,S200000,01600,0100,Y 4213,S200000,04300,0100,Y 4216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4216,A000000,00300,0000,00300EMPLOYEE BENEFITS 4216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4216,A000000,00700,0000,00700HOUSEKEEPING 4216,A000000,00800,0000,00800DIETARY 4216,A000000,00900,0000,00900NURSING ADMINISTRATION 4216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4216,A000000,01100,0000,01100PHARMACY 4216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4216,A000000,01300,0000,01300SOCIAL SERVICE 4216,A000000,01301,0000,01301ACTIVITIES 4216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4216,A000000,01600,0000,01600SKILLED NURSING FACILITY 4216,A000000,01800,0000,01800NURSING FACILITY 4216,A000000,01810,0000,01810ICF/MR 4216,A000000,01900,0000,01900OTHER LONG TERM CARE 4216,A000000,02500,0000,02500PHYSICAL THERAPY 4216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4216,A000000,02700,0000,02700SPEECH PATHOLOGY 4216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4216,A000000,03550,0000,03550FQHC 4216,A000000,05000,0000,05000CORF 4216,A000000,05010,0000,05010CMHC 4216,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4216,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4216,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4216,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4216,A81000A,00100,0100,Y 4216,A81000B,00100,0300,HOME OFFICE COST 4216,A81000B,00400,0300,HOME OFFICE COST 4216,A81000B,00500,0300,HOME OFFICE COST 4216,A81000B,00600,0300,HOME OFFICE COST 4216,A81000B,00800,0300,HOME OFFICE COST 4216,A81000C,00100,0100,B 4216,A81000C,00100,0200,BEVERLY ENTERPR 4216,B100000,00000,0100,00000(SQUARE FEET) 4216,B100000,00000,0200,00000(SQUARE FEET) 4216,B100000,00000,0300,00000(ADJUSTED SALARIES) 4216,B100000,00000,0400,00000(ACCUM. COST) 4216,B100000,00000,0500,00000(SQUARE FEET) 4216,B100000,00000,0600,00000(PATIENT DAYS) 4216,B100000,00000,0700,00000(SQUARE FEET) 4216,B100000,00000,0800,00000(MEALS SERVED) 4216,B100000,00000,0900,00000(ADJUSTED SALARIES) 4216,B100000,00000,1000,00000(PATIENT DAYS) 4216,B100000,00000,1100,00000(COSTED REQUIS) 4216,B100000,00000,1200,00000(TOTAL CHARGES) 4216,B100000,00000,1300,00000(PATIENT DAYS) 4216,B100000,00000,1301,00000(PATIENT DAYS) 4216,B100000,00000,1400,00000(ASSIGNED TIME) 4216,E10A180,00301,0100,01/27/1999 4216,E10A180,00351,0100,06/14/1999 4216,E10A180,00352,0100,10/08/1999 4216,E10A180,00353,0100,12/09/1999 4216,E10A180,00354,0100,02/14/2000 4216,S000000,00100,0200,06/02/2000 4216,S200000,00100,0100,900 MAGNOLIA ROAD SW 4216,S200000,00200,0100,CAMDEN 4216,S200000,00200,0200,AR 4216,S200000,00200,0300,71701 4216,S200000,00300,0100,OUACHITA 4216,S200000,00400,0100,BEVERLY HEALTHCARE-CAMDEN 4216,S200000,00400,0200,045189 4216,S200000,00400,0300,01/15/1992 4216,S200000,00400,0500,P 4216,S200000,00600,0200,045189 4216,S200000,00600,0300,01/15/1992 4216,S200000,00600,0600,P 4216,S200000,01600,0100,Y 4216,S200000,04300,0100,Y 4219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4219,A000000,00300,0000,00300EMPLOYEE BENEFITS 4219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4219,A000000,00700,0000,00700HOUSEKEEPING 4219,A000000,00800,0000,00800DIETARY 4219,A000000,00900,0000,00900NURSING ADMINISTRATION 4219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4219,A000000,01100,0000,01100PHARMACY 4219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4219,A000000,01300,0000,01300SOCIAL SERVICE 4219,A000000,01301,0000,01301ACTIVITIES 4219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4219,A000000,01600,0000,01600SKILLED NURSING FACILITY 4219,A000000,01800,0000,01800NURSING FACILITY 4219,A000000,01810,0000,01810ICF/MR 4219,A000000,01900,0000,01900OTHER LONG TERM CARE 4219,A000000,02500,0000,02500PHYSICAL THERAPY 4219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4219,A000000,02700,0000,02700SPEECH PATHOLOGY 4219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4219,A000000,03550,0000,03550FQHC 4219,A000000,05000,0000,05000CORF 4219,A000000,05010,0000,05010CMHC 4219,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4219,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4219,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4219,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4219,A81000A,00100,0100,Y 4219,A81000B,00100,0300,HOME OFFICE COST 4219,A81000B,00400,0300,HOME OFFICE COST 4219,A81000B,00500,0300,HOME OFFICE COST 4219,A81000B,00600,0300,HOME OFFICE COST 4219,A81000B,00800,0300,HOME OFFICE COST 4219,A81000C,00100,0100,B 4219,A81000C,00100,0200,BEVERLY ENTERPR 4219,B100000,00000,0100,00000(SQUARE FEET) 4219,B100000,00000,0200,00000(SQUARE FEET) 4219,B100000,00000,0300,00000(ADJUSTED SALARIES) 4219,B100000,00000,0400,00000(ACCUM. COST) 4219,B100000,00000,0500,00000(SQUARE FEET) 4219,B100000,00000,0600,00000(PATIENT DAYS) 4219,B100000,00000,0700,00000(SQUARE FEET) 4219,B100000,00000,0800,00000(MEALS SERVED) 4219,B100000,00000,0900,00000(ADJUSTED SALARIES) 4219,B100000,00000,1000,00000(PATIENT DAYS) 4219,B100000,00000,1100,00000(COSTED REQUIS) 4219,B100000,00000,1200,00000(TOTAL CHARGES) 4219,B100000,00000,1300,00000(PATIENT DAYS) 4219,B100000,00000,1301,00000(PATIENT DAYS) 4219,B100000,00000,1400,00000(ASSIGNED TIME) 4219,E10A180,00301,0100,01/27/1999 4219,E10A180,00303,0100,10/08/1999 4219,E10A180,00351,0100,06/14/1999 4219,E10A180,00353,0100,12/09/1999 4219,E10A180,00354,0100,02/14/2000 4219,S000000,00100,0200,06/02/2000 4219,S200000,00100,0100,1101 WATERWELL 4219,S200000,00200,0100,CROSSETT 4219,S200000,00200,0200,AR 4219,S200000,00200,0300,71635 4219,S200000,00300,0100,ASHLEY 4219,S200000,00400,0100,BEVERLY HEALTHCARE-CROSSETT 4219,S200000,00400,0200,045190 4219,S200000,00400,0300,02/01/1992 4219,S200000,00400,0500,P 4219,S200000,00600,0200,045190 4219,S200000,00600,0300,02/01/1992 4219,S200000,00600,0600,P 4219,S200000,01600,0100,Y 4219,S200000,04300,0100,Y 4222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4222,A000000,00300,0000,00300EMPLOYEE BENEFITS 4222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4222,A000000,00700,0000,00700HOUSEKEEPING 4222,A000000,00800,0000,00800DIETARY 4222,A000000,00900,0000,00900NURSING ADMINISTRATION 4222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4222,A000000,01100,0000,01100PHARMACY 4222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4222,A000000,01300,0000,01300SOCIAL SERVICE 4222,A000000,01301,0000,01301ACTIVITIES 4222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4222,A000000,01600,0000,01600SKILLED NURSING FACILITY 4222,A000000,01800,0000,01800NURSING FACILITY 4222,A000000,01810,0000,01810ICF/MR 4222,A000000,02100,0000,02100RADIOLOGY 4222,A000000,02200,0000,02200LABORATORY 4222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4222,A000000,02500,0000,02500PHYSICAL THERAPY 4222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4222,A000000,02700,0000,02700SPEECH PATHOLOGY 4222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4222,A000000,03550,0000,03550FQHC 4222,A000000,05000,0000,05000CORF 4222,A000000,05010,0000,05010CMHC 4222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4222,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4222,A81000A,00100,0100,Y 4222,A81000B,00100,0300,HOME OFFICE COST 4222,A81000B,00400,0300,HOME OFFICE COST 4222,A81000B,00500,0300,HOME OFFICE COST 4222,A81000B,00600,0300,HOME OFFICE COST 4222,A81000B,00800,0300,HOME OFFICE COST 4222,A81000C,00100,0100,B 4222,A81000C,00100,0200,BEVERLY ENTERPR 4222,B100000,00000,0100,00000(SQUARE FEET) 4222,B100000,00000,0200,00000(SQUARE FEET) 4222,B100000,00000,0300,00000(ADJUSTED SALARIES) 4222,B100000,00000,0400,00000(ACCUM. COST) 4222,B100000,00000,0500,00000(SQUARE FEET) 4222,B100000,00000,0600,00000(PATIENT DAYS) 4222,B100000,00000,0700,00000(SQUARE FEET) 4222,B100000,00000,0800,00000(MEALS SERVED) 4222,B100000,00000,0900,00000(ADJUSTED SALARIES) 4222,B100000,00000,1000,00000(PATIENT DAYS) 4222,B100000,00000,1100,00000(COSTED REQUIS) 4222,B100000,00000,1200,00000(TOTAL CHARGES) 4222,B100000,00000,1300,00000(PATIENT DAYS) 4222,B100000,00000,1301,00000(PATIENT DAYS) 4222,B100000,00000,1400,00000(ASSIGNED TIME) 4222,E10A180,00302,0100,06/14/1999 4222,E10A180,00305,0100,02/14/2000 4222,E10A180,00350,0100,01/27/1999 4222,E10A180,00352,0100,10/08/1999 4222,E10A180,00353,0100,12/09/1999 4222,S000000,00100,0200,06/02/2000 4222,S200000,00100,0100,202 TIMS AVE. 4222,S200000,00200,0100,HARRISON 4222,S200000,00200,0200,AR 4222,S200000,00200,0300,72601 4222,S200000,00300,0100,BOONE 4222,S200000,00400,0100,BEVERLY HEALTHCARE-HILLTOP 4222,S200000,00400,0200,045192 4222,S200000,00400,0300,02/01/1992 4222,S200000,00400,0500,P 4222,S200000,00600,0200,045192 4222,S200000,00600,0300,02/01/1992 4222,S200000,00600,0600,P 4222,S200000,01600,0100,Y 4222,S200000,04300,0100,Y 4225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4225,A000000,00300,0000,00300EMPLOYEE BENEFITS 4225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4225,A000000,00700,0000,00700HOUSEKEEPING 4225,A000000,00800,0000,00800DIETARY 4225,A000000,00900,0000,00900NURSING ADMINISTRATION 4225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4225,A000000,01100,0000,01100PHARMACY 4225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4225,A000000,01300,0000,01300SOCIAL SERVICE 4225,A000000,01301,0000,01301ACTIVITIES 4225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4225,A000000,01600,0000,01600SKILLED NURSING FACILITY 4225,A000000,01800,0000,01800NURSING FACILITY 4225,A000000,01810,0000,01810ICF/MR 4225,A000000,01900,0000,01900OTHER LONG TERM CARE 4225,A000000,02100,0000,02100RADIOLOGY 4225,A000000,02200,0000,02200LABORATORY 4225,A000000,02500,0000,02500PHYSICAL THERAPY 4225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4225,A000000,02700,0000,02700SPEECH PATHOLOGY 4225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4225,A000000,03550,0000,03550FQHC 4225,A000000,05000,0000,05000CORF 4225,A000000,05010,0000,05010CMHC 4225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4225,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4225,A81000A,00100,0100,Y 4225,A81000B,00100,0300,HOME OFFICE COST 4225,A81000B,00400,0300,HOME OFFICE COST 4225,A81000B,00500,0300,HOME OFFICE COST 4225,A81000B,00600,0300,HOME OFFICE COST 4225,A81000B,00800,0300,HOME OFFICE COST 4225,A81000C,00100,0100,B 4225,A81000C,00100,0200,BEVERLY ENTERPR 4225,B100000,00000,0100,00000(SQUARE FEET) 4225,B100000,00000,0200,00000(SQUARE FEET) 4225,B100000,00000,0300,00000(ADJUSTED SALARIES) 4225,B100000,00000,0400,00000(ACCUM. COST) 4225,B100000,00000,0500,00000(SQUARE FEET) 4225,B100000,00000,0600,00000(PATIENT DAYS) 4225,B100000,00000,0700,00000(SQUARE FEET) 4225,B100000,00000,0800,00000(MEALS SERVED) 4225,B100000,00000,0900,00000(ADJUSTED SALARIES) 4225,B100000,00000,1000,00000(PATIENT DAYS) 4225,B100000,00000,1100,00000(COSTED REQUIS) 4225,B100000,00000,1200,00000(TOTAL CHARGES) 4225,B100000,00000,1300,00000(PATIENT DAYS) 4225,B100000,00000,1301,00000(PATIENT DAYS) 4225,B100000,00000,1400,00000(ASSIGNED TIME) 4225,E10A180,00304,0100,12/09/1999 4225,E10A180,00350,0100,01/27/1999 4225,E10A180,00351,0100,06/14/1999 4225,E10A180,00352,0100,10/08/1999 4225,E10A180,00354,0100,02/14/2000 4225,S000000,00100,0200,06/02/2000 4225,S200000,00100,0100,6301 LEE AVENUE 4225,S200000,00200,0100,LITTLE ROCK 4225,S200000,00200,0200,AR 4225,S200000,00200,0300,72205 4225,S200000,00300,0100,PULASKI 4225,S200000,00400,0100,BEVERLY HEALTHCARE-WILLIAMSBURG 4225,S200000,00400,0200,045193 4225,S200000,00400,0300,02/10/1992 4225,S200000,00400,0500,P 4225,S200000,00600,0200,045193 4225,S200000,00600,0300,02/10/1992 4225,S200000,00600,0600,P 4225,S200000,01600,0100,Y 4225,S200000,04300,0100,Y 4228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4228,A000000,00300,0000,00300EMPLOYEE BENEFITS 4228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4228,A000000,00700,0000,00700HOUSEKEEPING 4228,A000000,00800,0000,00800DIETARY 4228,A000000,00900,0000,00900NURSING ADMINISTRATION 4228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4228,A000000,01100,0000,01100PHARMACY 4228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4228,A000000,01300,0000,01300SOCIAL SERVICE 4228,A000000,01301,0000,01301ACTIVITIES 4228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4228,A000000,01600,0000,01600SKILLED NURSING FACILITY 4228,A000000,01800,0000,01800NURSING FACILITY 4228,A000000,01810,0000,01810ICF/MR 4228,A000000,02100,0000,02100RADIOLOGY 4228,A000000,02200,0000,02200LABORATORY 4228,A000000,02500,0000,02500PHYSICAL THERAPY 4228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4228,A000000,02700,0000,02700SPEECH PATHOLOGY 4228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4228,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4228,A000000,03550,0000,03550FQHC 4228,A000000,05000,0000,05000CORF 4228,A000000,05010,0000,05010CMHC 4228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4228,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4228,A81000A,00100,0100,Y 4228,A81000B,00100,0300,HOME OFFICE COST 4228,A81000B,00400,0300,HOME OFFICE COST 4228,A81000B,00500,0300,HOME OFFICE COST 4228,A81000B,00600,0300,HOME OFFICE COST 4228,A81000B,00800,0300,HOME OFFICE COST 4228,A81000C,00100,0100,B 4228,A81000C,00100,0200,BEVERLY ENTERPR 4228,B100000,00000,0100,00000(SQUARE FEET) 4228,B100000,00000,0200,00000(SQUARE FEET) 4228,B100000,00000,0300,00000(ADJUSTED SALARIES) 4228,B100000,00000,0400,00000(ACCUM. COST) 4228,B100000,00000,0500,00000(SQUARE FEET) 4228,B100000,00000,0600,00000(PATIENT DAYS) 4228,B100000,00000,0700,00000(SQUARE FEET) 4228,B100000,00000,0800,00000(MEALS SERVED) 4228,B100000,00000,0900,00000(ADJUSTED SALARIES) 4228,B100000,00000,1000,00000(PATIENT DAYS) 4228,B100000,00000,1100,00000(COSTED REQUIS) 4228,B100000,00000,1200,00000(TOTAL CHARGES) 4228,B100000,00000,1300,00000(PATIENT DAYS) 4228,B100000,00000,1301,00000(PATIENT DAYS) 4228,B100000,00000,1400,00000(ASSIGNED TIME) 4228,E10A180,00302,0100,06/14/1999 4228,E10A180,00305,0100,02/14/2000 4228,E10A180,00350,0100,01/27/1999 4228,E10A180,00352,0100,10/08/1999 4228,E10A180,00353,0100,12/09/1999 4228,S000000,00100,0200,06/02/2000 4228,S200000,00100,0100,111 EAST JACKSON AVE. 4228,S200000,00200,0100,WEST MEMPHIS 4228,S200000,00200,0200,AR 4228,S200000,00200,0300,72301 4228,S200000,00300,0100,CRITENDEN 4228,S200000,00400,0100,BEVERLY HEALTHCARE-WEST MEMPHIS 4228,S200000,00400,0200,045195 4228,S200000,00400,0300,04/01/1992 4228,S200000,00400,0500,P 4228,S200000,00600,0200,045195 4228,S200000,00600,0300,04/01/1992 4228,S200000,00600,0600,P 4228,S200000,01600,0100,Y 4228,S200000,04300,0100,Y 4231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4231,A000000,00300,0000,00300EMPLOYEE BENEFITS 4231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4231,A000000,00700,0000,00700HOUSEKEEPING 4231,A000000,00800,0000,00800DIETARY 4231,A000000,00900,0000,00900NURSING ADMINISTRATION 4231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4231,A000000,01100,0000,01100PHARMACY 4231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4231,A000000,01300,0000,01300SOCIAL SERVICE 4231,A000000,01301,0000,01301ACTIVITIES 4231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4231,A000000,01600,0000,01600SKILLED NURSING FACILITY 4231,A000000,01800,0000,01800NURSING FACILITY 4231,A000000,01810,0000,01810ICF/MR 4231,A000000,02200,0000,02200LABORATORY 4231,A000000,02500,0000,02500PHYSICAL THERAPY 4231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4231,A000000,02700,0000,02700SPEECH PATHOLOGY 4231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4231,A000000,03550,0000,03550FQHC 4231,A000000,05000,0000,05000CORF 4231,A000000,05010,0000,05010CMHC 4231,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4231,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4231,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4231,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4231,A81000A,00100,0100,Y 4231,A81000B,00100,0300,HOME OFFICE COST 4231,A81000B,00400,0300,HOME OFFICE COST 4231,A81000B,00500,0300,HOME OFFICE COST 4231,A81000B,00600,0300,HOME OFFICE COST 4231,A81000B,00800,0300,HOME OFFICE COST 4231,A81000C,00100,0100,B 4231,A81000C,00100,0200,BEVERLY ENTERPR 4231,B100000,00000,0100,00000(SQUARE FEET) 4231,B100000,00000,0200,00000(SQUARE FEET) 4231,B100000,00000,0300,00000(ADJUSTED SALARIES) 4231,B100000,00000,0400,00000(ACCUM. COST) 4231,B100000,00000,0500,00000(SQUARE FEET) 4231,B100000,00000,0600,00000(PATIENT DAYS) 4231,B100000,00000,0700,00000(SQUARE FEET) 4231,B100000,00000,0800,00000(MEALS SERVED) 4231,B100000,00000,0900,00000(ADJUSTED SALARIES) 4231,B100000,00000,1000,00000(PATIENT DAYS) 4231,B100000,00000,1100,00000(COSTED REQUIS) 4231,B100000,00000,1200,00000(TOTAL CHARGES) 4231,B100000,00000,1300,00000(PATIENT DAYS) 4231,B100000,00000,1301,00000(PATIENT DAYS) 4231,B100000,00000,1400,00000(ASSIGNED TIME) 4231,E10A180,00302,0100,06/14/1999 4231,E10A180,00303,0100,10/08/1999 4231,E10A180,00305,0100,02/14/2000 4231,E10A180,00350,0100,01/27/1999 4231,E10A180,00353,0100,12/09/1999 4231,S000000,00100,0200,06/02/2000 4231,S200000,00100,0100,115 ORENDORFF AVENUE 4231,S200000,00200,0100,HARRISON 4231,S200000,00200,0200,AR 4231,S200000,00200,0300,72601 4231,S200000,00300,0100,BOONE 4231,S200000,00400,0100,BEVERLY HEALTHCARE-HARRISON 4231,S200000,00400,0200,045197 4231,S200000,00400,0300,03/01/1992 4231,S200000,00400,0500,P 4231,S200000,00600,0200,045197 4231,S200000,00600,0300,03/01/1992 4231,S200000,00600,0600,P 4231,S200000,01600,0100,Y 4231,S200000,04300,0100,Y 4233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4233,A000000,00300,0000,00300EMPLOYEE BENEFITS 4233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4233,A000000,00700,0000,00700HOUSEKEEPING 4233,A000000,00800,0000,00800DIETARY 4233,A000000,00900,0000,00900NURSING ADMINISTRATION 4233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4233,A000000,01100,0000,01100PHARMACY 4233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4233,A000000,01300,0000,01300SOCIAL SERVICE 4233,A000000,01301,0000,01301ACTIVITIES 4233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4233,A000000,01600,0000,01600SKILLED NURSING FACILITY 4233,A000000,01800,0000,01800NURSING FACILITY 4233,A000000,01810,0000,01810ICF/MR 4233,A000000,02100,0000,02100RADIOLOGY 4233,A000000,02200,0000,02200LABORATORY 4233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4233,A000000,02500,0000,02500PHYSICAL THERAPY 4233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4233,A000000,02700,0000,02700SPEECH PATHOLOGY 4233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4233,A000000,03550,0000,03550FQHC 4233,A000000,05000,0000,05000CORF 4233,A000000,05010,0000,05010CMHC 4233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4233,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4233,A81000A,00100,0100,Y 4233,A81000B,00100,0300,HOME OFFICE COST 4233,A81000B,00400,0300,HOME OFFICE COST 4233,A81000B,00500,0300,HOME OFFICE COST 4233,A81000B,00600,0300,HOME OFFICE COST 4233,A81000B,00800,0300,HOME OFFICE COST 4233,A81000C,00100,0100,B 4233,A81000C,00100,0200,BEVERLY ENTERPR 4233,B100000,00000,0100,00000(SQUARE FEET) 4233,B100000,00000,0200,00000(SQUARE FEET) 4233,B100000,00000,0300,00000(ADJUSTED SALARIES) 4233,B100000,00000,0400,00000(ACCUM. COST) 4233,B100000,00000,0500,00000(SQUARE FEET) 4233,B100000,00000,0600,00000(PATIENT DAYS) 4233,B100000,00000,0700,00000(SQUARE FEET) 4233,B100000,00000,0800,00000(MEALS SERVED) 4233,B100000,00000,0900,00000(ADJUSTED SALARIES) 4233,B100000,00000,1000,00000(PATIENT DAYS) 4233,B100000,00000,1100,00000(COSTED REQUIS) 4233,B100000,00000,1200,00000(TOTAL CHARGES) 4233,B100000,00000,1300,00000(PATIENT DAYS) 4233,B100000,00000,1301,00000(PATIENT DAYS) 4233,B100000,00000,1400,00000(ASSIGNED TIME) 4233,S000000,00100,0200,06/02/2000 4233,S200000,00100,0100,19708 INTERSTATE 30 4233,S200000,00200,0100,BENTON 4233,S200000,00200,0200,AR 4233,S200000,00200,0300,72015 4233,S200000,00300,0100,SALINE 4233,S200000,00400,0100,SALINE NURSING CENTER 4233,S200000,00400,0200,045199 4233,S200000,00400,0300,08/06/1992 4233,S200000,00400,0500,P 4233,S200000,00600,0200,045199 4233,S200000,00600,0300,08/06/1992 4233,S200000,00600,0600,P 4233,S200000,01600,0100,Y 4233,S200000,04300,0100,Y 4236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4236,A000000,00300,0000,00300EMPLOYEE BENEFITS 4236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4236,A000000,00700,0000,00700HOUSEKEEPING 4236,A000000,00800,0000,00800DIETARY 4236,A000000,00900,0000,00900NURSING ADMINISTRATION 4236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4236,A000000,01100,0000,01100PHARMACY 4236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4236,A000000,01300,0000,01300SOCIAL SERVICE 4236,A000000,01301,0000,01301ACTIVITIES 4236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4236,A000000,01600,0000,01600SKILLED NURSING FACILITY 4236,A000000,01800,0000,01800NURSING FACILITY 4236,A000000,01810,0000,01810ICF/MR 4236,A000000,01900,0000,01900OTHER LONG TERM CARE 4236,A000000,02100,0000,02100RADIOLOGY 4236,A000000,02200,0000,02200LABORATORY 4236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4236,A000000,02500,0000,02500PHYSICAL THERAPY 4236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4236,A000000,02700,0000,02700SPEECH PATHOLOGY 4236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4236,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4236,A000000,03550,0000,03550FQHC 4236,A000000,05000,0000,05000CORF 4236,A000000,05010,0000,05010CMHC 4236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4236,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4236,A81000A,00100,0100,Y 4236,A81000B,00100,0300,HOME OFFICE COST 4236,A81000B,00400,0300,HOME OFFICE COST 4236,A81000B,00500,0300,HOME OFFICE COST 4236,A81000B,00600,0300,HOME OFFICE COST 4236,A81000B,00800,0300,HOME OFFICE COST 4236,A81000C,00100,0100,B 4236,A81000C,00100,0200,BEVERLY ENTERPR 4236,B100000,00000,0100,00000(SQUARE FEET) 4236,B100000,00000,0200,00000(SQUARE FEET) 4236,B100000,00000,0300,00000(ADJUSTED SALARIES) 4236,B100000,00000,0400,00000(ACCUM. COST) 4236,B100000,00000,0500,00000(SQUARE FEET) 4236,B100000,00000,0600,00000(PATIENT DAYS) 4236,B100000,00000,0700,00000(SQUARE FEET) 4236,B100000,00000,0800,00000(MEALS SERVED) 4236,B100000,00000,0900,00000(ADJUSTED SALARIES) 4236,B100000,00000,1000,00000(PATIENT DAYS) 4236,B100000,00000,1100,00000(COSTED REQUIS) 4236,B100000,00000,1200,00000(TOTAL CHARGES) 4236,B100000,00000,1300,00000(PATIENT DAYS) 4236,B100000,00000,1301,00000(PATIENT DAYS) 4236,B100000,00000,1400,00000(ASSIGNED TIME) 4236,E10A180,00302,0100,06/14/1999 4236,E10A180,00350,0100,01/27/1999 4236,E10A180,00352,0100,10/08/1999 4236,E10A180,00353,0100,12/09/1999 4236,E10A180,00354,0100,02/14/2000 4236,S000000,00100,0200,06/02/2000 4236,S200000,00100,0100,PO BOX 2698 HIGHWAY 25 E 4236,S200000,00200,0100,BATESVILLE 4236,S200000,00200,0200,AR 4236,S200000,00200,0300,72503 4236,S200000,00300,0100,INDEPENDENCE 4236,S200000,00400,0100,BATESVILLE INDEPENDENCE 4236,S200000,00400,0200,045203 4236,S200000,00400,0300,07/01/1992 4236,S200000,00400,0500,P 4236,S200000,00600,0200,045203 4236,S200000,00600,0300,07/01/1992 4236,S200000,00600,0600,P 4236,S200000,01600,0100,Y 4236,S200000,04300,0100,Y 4238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4238,A000000,00300,0000,00300EMPLOYEE BENEFITS 4238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4238,A000000,00700,0000,00700HOUSEKEEPING 4238,A000000,00800,0000,00800DIETARY 4238,A000000,00900,0000,00900NURSING ADMINISTRATION 4238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4238,A000000,01100,0000,01100PHARMACY 4238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4238,A000000,01300,0000,01300SOCIAL SERVICE 4238,A000000,01301,0000,01301ACTIVITIES 4238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4238,A000000,01600,0000,01600SKILLED NURSING FACILITY 4238,A000000,01800,0000,01800NURSING FACILITY 4238,A000000,01810,0000,01810ICF/MR 4238,A000000,02200,0000,02200LABORATORY 4238,A000000,02500,0000,02500PHYSICAL THERAPY 4238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4238,A000000,02700,0000,02700SPEECH PATHOLOGY 4238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4238,A000000,03550,0000,03550FQHC 4238,A000000,05000,0000,05000CORF 4238,A000000,05010,0000,05010CMHC 4238,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4238,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4238,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4238,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4238,A81000A,00100,0100,Y 4238,A81000B,00100,0300,HOME OFFICE COST 4238,A81000B,00400,0300,HOME OFFICE COST 4238,A81000B,00500,0300,HOME OFFICE COST 4238,A81000B,00600,0300,HOME OFFICE COST 4238,A81000B,00800,0300,HOME OFFICE COST 4238,A81000C,00100,0100,B 4238,A81000C,00100,0200,BEVERLY ENTERPR 4238,B100000,00000,0100,00000(SQUARE FEET) 4238,B100000,00000,0200,00000(SQUARE FEET) 4238,B100000,00000,0300,00000(ADJUSTED SALARIES) 4238,B100000,00000,0400,00000(ACCUM. COST) 4238,B100000,00000,0500,00000(SQUARE FEET) 4238,B100000,00000,0600,00000(PATIENT DAYS) 4238,B100000,00000,0700,00000(SQUARE FEET) 4238,B100000,00000,0800,00000(MEALS SERVED) 4238,B100000,00000,0900,00000(ADJUSTED SALARIES) 4238,B100000,00000,1000,00000(PATIENT DAYS) 4238,B100000,00000,1100,00000(COSTED REQUIS) 4238,B100000,00000,1200,00000(TOTAL CHARGES) 4238,B100000,00000,1300,00000(PATIENT DAYS) 4238,B100000,00000,1301,00000(PATIENT DAYS) 4238,B100000,00000,1400,00000(ASSIGNED TIME) 4238,S000000,00100,0200,06/02/2000 4238,S200000,00100,0100,1052 OLD WARREN ROAD 4238,S200000,00200,0100,MONTICELLO 4238,S200000,00200,0200,AR 4238,S200000,00200,0300,71655 4238,S200000,00300,0100,DREW 4238,S200000,00400,0100,COUNTRYWOOD ESTATES 4238,S200000,00400,0200,045239 4238,S200000,00400,0300,07/15/1994 4238,S200000,00400,0500,P 4238,S200000,00600,0200,045239 4238,S200000,00600,0300,07/15/1994 4238,S200000,00600,0600,P 4238,S200000,01600,0100,Y 4238,S200000,04300,0100,Y 4240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4240,A000000,00300,0000,00300EMPLOYEE BENEFITS 4240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4240,A000000,00700,0000,00700HOUSEKEEPING 4240,A000000,00800,0000,00800DIETARY 4240,A000000,00900,0000,00900NURSING ADMINISTRATION 4240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4240,A000000,01100,0000,01100PHARMACY 4240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4240,A000000,01300,0000,01300SOCIAL SERVICE 4240,A000000,01301,0000,01301ACTIVITIES 4240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4240,A000000,01600,0000,01600SKILLED NURSING FACILITY 4240,A000000,01800,0000,01800NURSING FACILITY 4240,A000000,01810,0000,01810ICF/MR 4240,A000000,02100,0000,02100RADIOLOGY 4240,A000000,02200,0000,02200LABORATORY 4240,A000000,02500,0000,02500PHYSICAL THERAPY 4240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4240,A000000,02700,0000,02700SPEECH PATHOLOGY 4240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4240,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4240,A000000,03550,0000,03550FQHC 4240,A000000,05000,0000,05000CORF 4240,A000000,05010,0000,05010CMHC 4240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4240,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4240,A81000A,00100,0100,Y 4240,A81000B,00100,0300,HOME OFFICE COST 4240,A81000B,00400,0300,HOME OFFICE COST 4240,A81000B,00500,0300,HOME OFFICE COST 4240,A81000B,00600,0300,HOME OFFICE COST 4240,A81000B,00800,0300,HOME OFFICE COST 4240,A81000C,00100,0100,B 4240,A81000C,00100,0200,BEVERLY ENTERPR 4240,B100000,00000,0100,00000(SQUARE FEET) 4240,B100000,00000,0200,00000(SQUARE FEET) 4240,B100000,00000,0300,00000(ADJUSTED SALARIES) 4240,B100000,00000,0400,00000(ACCUM. COST) 4240,B100000,00000,0500,00000(SQUARE FEET) 4240,B100000,00000,0600,00000(PATIENT DAYS) 4240,B100000,00000,0700,00000(SQUARE FEET) 4240,B100000,00000,0800,00000(MEALS SERVED) 4240,B100000,00000,0900,00000(ADJUSTED SALARIES) 4240,B100000,00000,1000,00000(PATIENT DAYS) 4240,B100000,00000,1100,00000(COSTED REQUIS) 4240,B100000,00000,1200,00000(TOTAL CHARGES) 4240,B100000,00000,1300,00000(PATIENT DAYS) 4240,B100000,00000,1301,00000(PATIENT DAYS) 4240,B100000,00000,1400,00000(ASSIGNED TIME) 4240,S000000,00100,0200,06/02/2000 4240,S200000,00100,0100,22515 INTERSTATE 30 4240,S200000,00200,0100,BRYANT 4240,S200000,00200,0200,AR 4240,S200000,00200,0300,72022 4240,S200000,00300,0100,SALINA 4240,S200000,00400,0100,REGIONAL NURSING CENTER OF BRYANT 4240,S200000,00400,0200,045305 4240,S200000,00400,0300,04/01/1996 4240,S200000,00400,0500,P 4240,S200000,00600,0200,045305 4240,S200000,00600,0300,04/01/1996 4240,S200000,00600,0600,P 4240,S200000,01600,0100,Y 4240,S200000,04300,0100,Y 4275,S000000,00100,0200,06/06/2000 4293,S000000,00100,0200,03/03/2000 4400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4400,A000000,00300,0000,00300EMPLOYEE BENEFITS 4400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4400,A000000,00700,0000,00700HOUSEKEEPING 4400,A000000,00800,0000,00800DIETARY 4400,A000000,00900,0000,00900NURSING ADMINISTRATION 4400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4400,A000000,01100,0000,01100PHARMACY 4400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4400,A000000,01300,0000,01300SOCIAL SERVICE 4400,A000000,01301,0000,01301ACTIVITIES 4400,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4400,A000000,01600,0000,01600SKILLED NURSING FACILITY 4400,A000000,01810,0000,01810ICF/MR 4400,A000000,02100,0000,02100RADIOLOGY 4400,A000000,02200,0000,02200LABORATORY 4400,A000000,02500,0000,02500PHYSICAL THERAPY 4400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4400,A000000,02700,0000,02700SPEECH PATHOLOGY 4400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4400,A000000,03550,0000,03550FQHC 4400,A000000,05000,0000,05000CORF 4400,A000000,05010,0000,05010CMHC 4400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4400,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4400,A81000A,00100,0100,Y 4400,A81000B,00100,0300,HOME OFFICE COST 4400,A81000B,00400,0300,HOME OFFICE COST 4400,A81000B,00500,0300,HOME OFFICE COST 4400,A81000B,00600,0300,HOME OFFICE COST 4400,A81000B,00800,0300,HOME OFFICE COST 4400,A81000C,00100,0100,B 4400,A81000C,00100,0200,BEVERLY ENTERPR 4400,B100000,00000,0100,00000(SQUARE FEET) 4400,B100000,00000,0200,00000(SQUARE FEET) 4400,B100000,00000,0300,00000(ADJUSTED SALARIES) 4400,B100000,00000,0400,00000(ACCUM. COST) 4400,B100000,00000,0500,00000(SQUARE FEET) 4400,B100000,00000,0600,00000(PATIENT DAYS) 4400,B100000,00000,0700,00000(SQUARE FEET) 4400,B100000,00000,0800,00000(MEALS SERVED) 4400,B100000,00000,0900,00000(ADJUSTED SALARIES) 4400,B100000,00000,1000,00000(PATIENT DAYS) 4400,B100000,00000,1100,00000(COSTED REQUIS) 4400,B100000,00000,1200,00000(TOTAL CHARGES) 4400,B100000,00000,1300,00000(PATIENT DAYS) 4400,B100000,00000,1301,00000(PATIENT DAYS) 4400,B100000,00000,1400,00000(ASSIGNED TIME) 4400,E10A180,00301,0100,01/27/1999 4400,E10A180,00302,0100,06/14/1999 4400,E10A180,00303,0100,12/09/1999 4400,E10A180,00350,0100,10/08/1999 4400,E10A180,00351,0100,02/14/2000 4400,S000000,00100,0200,06/02/2000 4400,S200000,00100,0100,2123 VERDUGO BLVD 4400,S200000,00200,0100,MONTROSE 4400,S200000,00200,0200,CA 4400,S200000,00200,0300,91020 4400,S200000,00300,0100,LOS ANGELES 4400,S200000,00400,0100,MONTROSE CONV HOSP (680) 4400,S200000,00400,0200,055135 4400,S200000,00400,0300,01/01/1967 4400,S200000,00400,0500,P 4400,S200000,00600,0200,055135 4400,S200000,00600,0300,01/01/1967 4400,S200000,00600,0600,P 4400,S200000,01600,0100,Y 4456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4456,A000000,00300,0000,00300EMPLOYEE BENEFITS 4456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4456,A000000,00700,0000,00700HOUSEKEEPING 4456,A000000,00800,0000,00800DIETARY 4456,A000000,00900,0000,00900NURSING ADMINISTRATION 4456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4456,A000000,01100,0000,01100PHARMACY 4456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4456,A000000,01300,0000,01300SOCIAL SERVICE 4456,A000000,01301,0000,01301ACTIVITIES 4456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4456,A000000,01600,0000,01600SKILLED NURSING FACILITY 4456,A000000,01800,0000,01800NURSING FACILITY 4456,A000000,01810,0000,01810ICF/MR 4456,A000000,02100,0000,02100RADIOLOGY 4456,A000000,02200,0000,02200LABORATORY 4456,A000000,02500,0000,02500PHYSICAL THERAPY 4456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4456,A000000,02700,0000,02700SPEECH PATHOLOGY 4456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4456,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4456,A000000,03550,0000,03550FQHC 4456,A000000,05000,0000,05000CORF 4456,A000000,05010,0000,05010CMHC 4456,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4456,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4456,A81000A,00100,0100,Y 4456,A81000B,00100,0300,HOME OFFICE COST 4456,A81000B,00400,0300,HOME OFFICE COST 4456,A81000B,00500,0300,HOME OFFICE COST 4456,A81000B,00600,0300,HOME OFFICE COST 4456,A81000B,00800,0300,HOME OFFICE COST 4456,A81000C,00100,0100,B 4456,A81000C,00100,0200,BEVERLY ENTERPR 4456,B100000,00000,0100,00000(SQUARE FEET) 4456,B100000,00000,0200,00000(SQUARE FEET) 4456,B100000,00000,0300,00000(ADJUSTED SALARIES) 4456,B100000,00000,0400,00000(ACCUM. COST) 4456,B100000,00000,0500,00000(SQUARE FEET) 4456,B100000,00000,0600,00000(PATIENT DAYS) 4456,B100000,00000,0700,00000(SQUARE FEET) 4456,B100000,00000,0800,00000(MEALS SERVED) 4456,B100000,00000,0900,00000(ADJUSTED SALARIES) 4456,B100000,00000,1000,00000(PATIENT DAYS) 4456,B100000,00000,1100,00000(COSTED REQUIS) 4456,B100000,00000,1200,00000(TOTAL CHARGES) 4456,B100000,00000,1300,00000(PATIENT DAYS) 4456,B100000,00000,1301,00000(PATIENT DAYS) 4456,B100000,00000,1400,00000(ASSIGNED TIME) 4456,E10A180,00301,0100,06/14/1999 4456,E10A180,00302,0100,10/08/1999 4456,E10A180,00303,0100,02/14/2000 4456,E10A180,00350,0100,01/27/1999 4456,E10A180,00351,0100,12/09/1999 4456,S000000,00100,0200,06/02/2000 4456,S200000,00100,0100,1700 HOWARD ROAD 4456,S200000,00200,0100,MADERA 4456,S200000,00200,0200,CA 4456,S200000,00200,0300,93637 4456,S200000,00300,0100,MADERA 4456,S200000,00400,0100,WESTGATE MANOR CONV HOSP (545) 4456,S200000,00400,0200,055191 4456,S200000,00400,0300,01/01/1967 4456,S200000,00400,0500,P 4456,S200000,00600,0200,055191 4456,S200000,00600,0300,01/01/1967 4456,S200000,00600,0600,P 4456,S200000,01600,0100,Y 4465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4465,A000000,00300,0000,00300EMPLOYEE BENEFITS 4465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4465,A000000,00700,0000,00700HOUSEKEEPING 4465,A000000,00800,0000,00800DIETARY 4465,A000000,00900,0000,00900NURSING ADMINISTRATION 4465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4465,A000000,01100,0000,01100PHARMACY 4465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4465,A000000,01300,0000,01300SOCIAL SERVICE 4465,A000000,01301,0000,01301ACTIVITIES 4465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4465,A000000,01600,0000,01600SKILLED NURSING FACILITY 4465,A000000,01800,0000,01800NURSING FACILITY 4465,A000000,01810,0000,01810ICF/MR 4465,A000000,02100,0000,02100RADIOLOGY 4465,A000000,02200,0000,02200LABORATORY 4465,A000000,02500,0000,02500PHYSICAL THERAPY 4465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4465,A000000,02700,0000,02700SPEECH PATHOLOGY 4465,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4465,A000000,03550,0000,03550FQHC 4465,A000000,05000,0000,05000CORF 4465,A000000,05010,0000,05010CMHC 4465,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4465,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4465,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4465,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4465,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4465,A81000A,00100,0100,Y 4465,A81000B,00100,0300,HOME OFFICE COST 4465,A81000B,00400,0300,HOME OFFICE COST 4465,A81000B,00500,0300,HOME OFFICE COST 4465,A81000B,00600,0300,HOME OFFICE COST 4465,A81000B,00800,0300,HOME OFFICE COST 4465,A81000C,00100,0100,B 4465,A81000C,00100,0200,BEVERLY ENTERPR 4465,B100000,00000,0100,00000(SQUARE FEET) 4465,B100000,00000,0200,00000(SQUARE FEET) 4465,B100000,00000,0300,00000(ADJUSTED SALARIES) 4465,B100000,00000,0400,00000(ACCUM. COST) 4465,B100000,00000,0500,00000(SQUARE FEET) 4465,B100000,00000,0600,00000(PATIENT DAYS) 4465,B100000,00000,0700,00000(SQUARE FEET) 4465,B100000,00000,0800,00000(MEALS SERVED) 4465,B100000,00000,0900,00000(ADJUSTED SALARIES) 4465,B100000,00000,1000,00000(PATIENT DAYS) 4465,B100000,00000,1100,00000(COSTED REQUIS) 4465,B100000,00000,1200,00000(TOTAL CHARGES) 4465,B100000,00000,1300,00000(PATIENT DAYS) 4465,B100000,00000,1301,00000(PATIENT DAYS) 4465,B100000,00000,1400,00000(ASSIGNED TIME) 4465,E10A180,00301,0100,01/27/1999 4465,E10A180,00302,0100,06/14/1999 4465,E10A180,00303,0100,02/14/2000 4465,E10A180,00350,0100,10/08/1999 4465,E10A180,00351,0100,12/09/1999 4465,S000000,00100,0200,06/02/2000 4465,S200000,00100,0100,4520 EL DORADO 4465,S200000,00200,0100,STOCKTON 4465,S200000,00200,0200,CA 4465,S200000,00200,0300,95207 4465,S200000,00300,0100,SAN JOAQUIN 4465,S200000,00400,0100,HY-PANA HOUSE CONVALESCENT HOS 4465,S200000,00400,0200,055201 4465,S200000,00400,0300,01/01/1967 4465,S200000,00400,0500,P 4465,S200000,00600,0200,055201 4465,S200000,00600,0300,01/01/1967 4465,S200000,01600,0100,Y 4474,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4474,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4474,A000000,00300,0000,00300EMPLOYEE BENEFITS 4474,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4474,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4474,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4474,A000000,00700,0000,00700HOUSEKEEPING 4474,A000000,00800,0000,00800DIETARY 4474,A000000,00900,0000,00900NURSING ADMINISTRATION 4474,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4474,A000000,01100,0000,01100PHARMACY 4474,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4474,A000000,01300,0000,01300SOCIAL SERVICE 4474,A000000,01301,0000,01301ACTIVITIES 4474,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4474,A000000,01600,0000,01600SKILLED NURSING FACILITY 4474,A000000,01800,0000,01800NURSING FACILITY 4474,A000000,01810,0000,01810ICF/MR 4474,A000000,02100,0000,02100RADIOLOGY 4474,A000000,02200,0000,02200LABORATORY 4474,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4474,A000000,02500,0000,02500PHYSICAL THERAPY 4474,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4474,A000000,02700,0000,02700SPEECH PATHOLOGY 4474,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4474,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4474,A000000,03550,0000,03550FQHC 4474,A000000,05000,0000,05000CORF 4474,A000000,05010,0000,05010CMHC 4474,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4474,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4474,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4474,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4474,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4474,A81000A,00100,0100,Y 4474,A81000B,00100,0300,HOME OFFICE COST 4474,A81000B,00400,0300,HOME OFFICE COST 4474,A81000B,00500,0300,HOME OFFICE COST 4474,A81000B,00600,0300,HOME OFFICE COST 4474,A81000B,00800,0300,HOME OFFICE COST 4474,A81000C,00100,0100,B 4474,A81000C,00100,0200,BEVERLY ENTERPR 4474,B100000,00000,0100,00000(SQUARE FEET) 4474,B100000,00000,0200,00000(SQUARE FEET) 4474,B100000,00000,0300,00000(ADJUSTED SALARIES) 4474,B100000,00000,0400,00000(ACCUM. COST) 4474,B100000,00000,0500,00000(SQUARE FEET) 4474,B100000,00000,0600,00000(PATIENT DAYS) 4474,B100000,00000,0700,00000(SQUARE FEET) 4474,B100000,00000,0800,00000(MEALS SERVED) 4474,B100000,00000,0900,00000(ADJUSTED SALARIES) 4474,B100000,00000,1000,00000(PATIENT DAYS) 4474,B100000,00000,1100,00000(COSTED REQUIS) 4474,B100000,00000,1200,00000(TOTAL CHARGES) 4474,B100000,00000,1300,00000(PATIENT DAYS) 4474,B100000,00000,1301,00000(PATIENT DAYS) 4474,B100000,00000,1400,00000(ASSIGNED TIME) 4474,E10A180,00301,0100,01/27/1999 4474,E10A180,00350,0100,06/14/1999 4474,E10A180,00351,0100,10/08/1999 4474,E10A180,00352,0100,12/09/1999 4474,E10A180,00353,0100,02/14/2000 4474,S000000,00100,0200,06/02/2000 4474,S200000,00100,0100,3510 E SHIELDS AVENUE 4474,S200000,00200,0100,FRESNO 4474,S200000,00200,0200,CA 4474,S200000,00200,0300,93726 4474,S200000,00300,0100,FRESNO 4474,S200000,00400,0100,HY-PANA HOUSE (538) B 4474,S200000,00400,0200,055204 4474,S200000,00400,0300,07/01/1967 4474,S200000,00400,0500,P 4474,S200000,00600,0200,055204 4474,S200000,00600,0300,07/01/1967 4474,S200000,00600,0600,P 4474,S200000,01600,0100,Y 4485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4485,A000000,00300,0000,00300EMPLOYEE BENEFITS 4485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4485,A000000,00700,0000,00700HOUSEKEEPING 4485,A000000,00800,0000,00800DIETARY 4485,A000000,00900,0000,00900NURSING ADMINISTRATION 4485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4485,A000000,01100,0000,01100PHARMACY 4485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4485,A000000,01300,0000,01300SOCIAL SERVICE 4485,A000000,01301,0000,01301ACTIVITIES 4485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4485,A000000,01600,0000,01600SKILLED NURSING FACILITY 4485,A000000,01800,0000,01800NURSING FACILITY 4485,A000000,01810,0000,01810ICF/MR 4485,A000000,02100,0000,02100RADIOLOGY 4485,A000000,02200,0000,02200LABORATORY 4485,A000000,02500,0000,02500PHYSICAL THERAPY 4485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4485,A000000,02700,0000,02700SPEECH PATHOLOGY 4485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4485,A000000,03550,0000,03550FQHC 4485,A000000,05000,0000,05000CORF 4485,A000000,05010,0000,05010CMHC 4485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4485,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4485,A81000A,00100,0100,Y 4485,A81000B,00100,0300,HOME OFFICE COST 4485,A81000B,00400,0300,HOME OFFICE COST 4485,A81000B,00500,0300,HOME OFFICE COST 4485,A81000B,00600,0300,HOME OFFICE COST 4485,A81000B,00800,0300,HOME OFFICE COST 4485,A81000C,00100,0100,B 4485,A81000C,00100,0200,BEVERLY ENTERPR 4485,B100000,00000,0100,00000(SQUARE FEET) 4485,B100000,00000,0200,00000(SQUARE FEET) 4485,B100000,00000,0300,00000(ADJUSTED SALARIES) 4485,B100000,00000,0400,00000(ACCUM. COST) 4485,B100000,00000,0500,00000(SQUARE FEET) 4485,B100000,00000,0600,00000(PATIENT DAYS) 4485,B100000,00000,0700,00000(SQUARE FEET) 4485,B100000,00000,0800,00000(MEALS SERVED) 4485,B100000,00000,0900,00000(ADJUSTED SALARIES) 4485,B100000,00000,1000,00000(PATIENT DAYS) 4485,B100000,00000,1100,00000(COSTED REQUIS) 4485,B100000,00000,1200,00000(TOTAL CHARGES) 4485,B100000,00000,1300,00000(PATIENT DAYS) 4485,B100000,00000,1301,00000(PATIENT DAYS) 4485,B100000,00000,1400,00000(ASSIGNED TIME) 4485,E10A180,00301,0100,01/27/1999 4485,E10A180,00302,0100,10/08/1999 4485,E10A180,00303,0100,12/09/1999 4485,E10A180,00350,0100,06/14/1999 4485,E10A180,00351,0100,02/14/2000 4485,S000000,00100,0200,06/02/2000 4485,S200000,00100,0100,340 VICTORIA AVENUE 4485,S200000,00200,0100,COSTA MESA 4485,S200000,00200,0200,CA 4485,S200000,00200,0300,92627 4485,S200000,00300,0100,ORANGE 4485,S200000,00400,0100,BEVERLY MANOR-COSTA MESA (619) 4485,S200000,00400,0200,055237 4485,S200000,00400,0300,01/01/1982 4485,S200000,00400,0500,P 4485,S200000,00600,0200,055237 4485,S200000,00600,0300,01/01/1982 4485,S200000,00600,0600,P 4485,S200000,01600,0100,Y 4488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4488,A000000,00300,0000,00300EMPLOYEE BENEFITS 4488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4488,A000000,00700,0000,00700HOUSEKEEPING 4488,A000000,00800,0000,00800DIETARY 4488,A000000,00900,0000,00900NURSING ADMINISTRATION 4488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4488,A000000,01100,0000,01100PHARMACY 4488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4488,A000000,01300,0000,01300SOCIAL SERVICE 4488,A000000,01301,0000,01301ACTIVITIES 4488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4488,A000000,01600,0000,01600SKILLED NURSING FACILITY 4488,A000000,01800,0000,01800NURSING FACILITY 4488,A000000,01810,0000,01810ICF/MR 4488,A000000,02100,0000,02100RADIOLOGY 4488,A000000,02200,0000,02200LABORATORY 4488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4488,A000000,02500,0000,02500PHYSICAL THERAPY 4488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4488,A000000,02700,0000,02700SPEECH PATHOLOGY 4488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4488,A000000,03550,0000,03550FQHC 4488,A000000,05000,0000,05000CORF 4488,A000000,05010,0000,05010CMHC 4488,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4488,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4488,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4488,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4488,A81000A,00100,0100,Y 4488,A81000B,00100,0300,HOME OFFICE COST 4488,A81000B,00400,0300,HOME OFFICE COST 4488,A81000B,00500,0300,HOME OFFICE COST 4488,A81000B,00600,0300,HOME OFFICE COST 4488,A81000B,00800,0300,HOME OFFICE COST 4488,A81000C,00100,0100,B 4488,A81000C,00100,0200,BEVERLY ENTERPR 4488,B100000,00000,0100,00000(SQUARE FEET) 4488,B100000,00000,0200,00000(SQUARE FEET) 4488,B100000,00000,0300,00000(ADJUSTED SALARIES) 4488,B100000,00000,0400,00000(ACCUM. COST) 4488,B100000,00000,0500,00000(SQUARE FEET) 4488,B100000,00000,0600,00000(PATIENT DAYS) 4488,B100000,00000,0700,00000(SQUARE FEET) 4488,B100000,00000,0800,00000(MEALS SERVED) 4488,B100000,00000,0900,00000(ADJUSTED SALARIES) 4488,B100000,00000,1000,00000(PATIENT DAYS) 4488,B100000,00000,1100,00000(COSTED REQUIS) 4488,B100000,00000,1200,00000(TOTAL CHARGES) 4488,B100000,00000,1300,00000(PATIENT DAYS) 4488,B100000,00000,1301,00000(PATIENT DAYS) 4488,B100000,00000,1400,00000(ASSIGNED TIME) 4488,E10A180,00301,0100,12/09/1999 4488,E10A180,00350,0100,01/27/1999 4488,E10A180,00351,0100,06/14/1999 4488,E10A180,00352,0100,10/08/1999 4488,E10A180,00353,0100,02/14/2000 4488,S000000,00100,0200,06/02/2000 4488,S200000,00100,0100,950 S FAIRMONT AVENUE 4488,S200000,00200,0100,LODI 4488,S200000,00200,0200,CA 4488,S200000,00200,0300,95240 4488,S200000,00300,0100,SAN JOAQUIN 4488,S200000,00400,0100,FAIRMONT REHAB HOSP (676) 4488,S200000,00400,0200,055242 4488,S200000,00400,0300,01/01/1982 4488,S200000,00400,0500,P 4488,S200000,00600,0200,055242 4488,S200000,00600,0300,01/01/1982 4488,S200000,00600,0600,P 4488,S200000,01600,0100,Y 4507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4507,A000000,00300,0000,00300EMPLOYEE BENEFITS 4507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4507,A000000,00700,0000,00700HOUSEKEEPING 4507,A000000,00800,0000,00800DIETARY 4507,A000000,00900,0000,00900NURSING ADMINISTRATION 4507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4507,A000000,01100,0000,01100PHARMACY 4507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4507,A000000,01300,0000,01300SOCIAL SERVICE 4507,A000000,01301,0000,01301ACTIVITIES 4507,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4507,A000000,01600,0000,01600SKILLED NURSING FACILITY 4507,A000000,01800,0000,01800NURSING FACILITY 4507,A000000,01810,0000,01810ICF/MR 4507,A000000,02100,0000,02100RADIOLOGY 4507,A000000,02200,0000,02200LABORATORY 4507,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4507,A000000,02500,0000,02500PHYSICAL THERAPY 4507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4507,A000000,02700,0000,02700SPEECH PATHOLOGY 4507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4507,A000000,03550,0000,03550FQHC 4507,A000000,05000,0000,05000CORF 4507,A000000,05010,0000,05010CMHC 4507,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4507,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4507,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4507,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4507,A81000A,00100,0100,Y 4507,A81000B,00100,0300,HOME OFFICE COST 4507,A81000B,00400,0300,HOME OFFICE COST 4507,A81000B,00500,0300,HOME OFFICE COST 4507,A81000B,00600,0300,HOME OFFICE COST 4507,A81000B,00800,0300,HOME OFFICE COST 4507,A81000C,00100,0100,B 4507,A81000C,00100,0200,BEVERLY ENTERPR 4507,B100000,00000,0100,00000(SQUARE FEET) 4507,B100000,00000,0200,00000(SQUARE FEET) 4507,B100000,00000,0300,00000(ADJUSTED SALARIES) 4507,B100000,00000,0400,00000(ACCUM. COST) 4507,B100000,00000,0500,00000(SQUARE FEET) 4507,B100000,00000,0600,00000(PATIENT DAYS) 4507,B100000,00000,0700,00000(SQUARE FEET) 4507,B100000,00000,0800,00000(MEALS SERVED) 4507,B100000,00000,0900,00000(ADJUSTED SALARIES) 4507,B100000,00000,1000,00000(PATIENT DAYS) 4507,B100000,00000,1100,00000(COSTED REQUIS) 4507,B100000,00000,1200,00000(TOTAL CHARGES) 4507,B100000,00000,1300,00000(PATIENT DAYS) 4507,B100000,00000,1301,00000(PATIENT DAYS) 4507,B100000,00000,1400,00000(ASSIGNED TIME) 4507,E10A180,00301,0100,01/27/1999 4507,E10A180,00350,0100,06/14/1999 4507,E10A180,00351,0100,10/08/1999 4507,E10A180,00352,0100,12/09/1999 4507,E10A180,00353,0100,02/14/2000 4507,S000000,00100,0200,06/02/2000 4507,S200000,00100,0100,678 SECOND STREET W 4507,S200000,00200,0100,SONOMA 4507,S200000,00200,0200,CA 4507,S200000,00200,0300,95476 4507,S200000,00300,0100,SONOMA 4507,S200000,00400,0100,LONDON HOUSE CONV HOSP (567) 4507,S200000,00400,0200,055268 4507,S200000,00400,0300,01/01/1967 4507,S200000,00400,0500,P 4507,S200000,00600,0200,055268 4507,S200000,00600,0300,01/01/1967 4507,S200000,00600,0600,P 4507,S200000,01600,0100,Y 4528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4528,A000000,00300,0000,00300EMPLOYEE BENEFITS 4528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4528,A000000,00700,0000,00700HOUSEKEEPING 4528,A000000,00800,0000,00800DIETARY 4528,A000000,00900,0000,00900NURSING ADMINISTRATION 4528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4528,A000000,01100,0000,01100PHARMACY 4528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4528,A000000,01300,0000,01300SOCIAL SERVICE 4528,A000000,01301,0000,01301ACTIVITIES 4528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4528,A000000,01600,0000,01600SKILLED NURSING FACILITY 4528,A000000,01800,0000,01800NURSING FACILITY 4528,A000000,01810,0000,01810ICF/MR 4528,A000000,02100,0000,02100RADIOLOGY 4528,A000000,02200,0000,02200LABORATORY 4528,A000000,02500,0000,02500PHYSICAL THERAPY 4528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4528,A000000,02700,0000,02700SPEECH PATHOLOGY 4528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4528,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 4528,A000000,03550,0000,03550FQHC 4528,A000000,05000,0000,05000CORF 4528,A000000,05010,0000,05010CMHC 4528,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4528,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4528,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4528,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4528,A81000A,00100,0100,Y 4528,A81000B,00100,0300,HOME OFFICE COST 4528,A81000B,00400,0300,HOME OFFICE COST 4528,A81000B,00500,0300,HOME OFFICE COST 4528,A81000B,00600,0300,HOME OFFICE COST 4528,A81000B,00800,0300,HOME OFFICE COST 4528,A81000C,00100,0100,B 4528,A81000C,00100,0200,BEVERLY ENTERPR 4528,B100000,00000,0100,00000(SQUARE FEET) 4528,B100000,00000,0200,00000(SQUARE FEET) 4528,B100000,00000,0300,00000(ADJUSTED SALARIES) 4528,B100000,00000,0400,00000(ACCUM. COST) 4528,B100000,00000,0500,00000(SQUARE FEET) 4528,B100000,00000,0600,00000(PATIENT DAYS) 4528,B100000,00000,0700,00000(SQUARE FEET) 4528,B100000,00000,0800,00000(MEALS SERVED) 4528,B100000,00000,0900,00000(ADJUSTED SALARIES) 4528,B100000,00000,1000,00000(PATIENT DAYS) 4528,B100000,00000,1100,00000(COSTED REQUIS) 4528,B100000,00000,1200,00000(TOTAL CHARGES) 4528,B100000,00000,1300,00000(PATIENT DAYS) 4528,B100000,00000,1301,00000(PATIENT DAYS) 4528,B100000,00000,1400,00000(ASSIGNED TIME) 4528,E10A180,00301,0100,01/27/1999 4528,E10A180,00302,0100,06/14/1999 4528,E10A180,00303,0100,10/08/1999 4528,E10A180,00304,0100,02/14/2000 4528,E10A180,00350,0100,12/09/1999 4528,S000000,00100,0200,06/02/2000 4528,S200000,00100,0100,1221 ROSE MARIE LANE 4528,S200000,00200,0100,STOCKTON 4528,S200000,00200,0200,CA 4528,S200000,00200,0300,95207 4528,S200000,00300,0100,SAN JOAQUIN 4528,S200000,00400,0100,CHATEAU CONV HOSP (568) 4528,S200000,00400,0200,055304 4528,S200000,00400,0300,01/01/1967 4528,S200000,00400,0500,P 4528,S200000,00600,0200,055304 4528,S200000,00600,0300,01/01/1967 4528,S200000,00600,0600,P 4528,S200000,01600,0100,Y 4531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4531,A000000,00300,0000,00300EMPLOYEE BENEFITS 4531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4531,A000000,00700,0000,00700HOUSEKEEPING 4531,A000000,00800,0000,00800DIETARY 4531,A000000,00900,0000,00900NURSING ADMINISTRATION 4531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4531,A000000,01100,0000,01100PHARMACY 4531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4531,A000000,01300,0000,01300SOCIAL SERVICE 4531,A000000,01301,0000,01301ACTIVITIES 4531,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4531,A000000,01600,0000,01600SKILLED NURSING FACILITY 4531,A000000,01800,0000,01800NURSING FACILITY 4531,A000000,01810,0000,01810ICF/MR 4531,A000000,02100,0000,02100RADIOLOGY 4531,A000000,02200,0000,02200LABORATORY 4531,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4531,A000000,02500,0000,02500PHYSICAL THERAPY 4531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4531,A000000,02700,0000,02700SPEECH PATHOLOGY 4531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4531,A000000,03550,0000,03550FQHC 4531,A000000,05000,0000,05000CORF 4531,A000000,05010,0000,05010CMHC 4531,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4531,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4531,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4531,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4531,A81000A,00100,0100,Y 4531,A81000B,00100,0300,HOME OFFICE COST 4531,A81000B,00400,0300,HOME OFFICE COST 4531,A81000B,00500,0300,HOME OFFICE COST 4531,A81000B,00600,0300,HOME OFFICE COST 4531,A81000B,00800,0300,HOME OFFICE COST 4531,A81000C,00100,0100,B 4531,A81000C,00100,0200,BEVERLY ENTERPR 4531,B100000,00000,0100,00000(SQUARE FEET) 4531,B100000,00000,0200,00000(SQUARE FEET) 4531,B100000,00000,0300,00000(ADJUSTED SALARIES) 4531,B100000,00000,0400,00000(ACCUM. COST) 4531,B100000,00000,0500,00000(SQUARE FEET) 4531,B100000,00000,0600,00000(PATIENT DAYS) 4531,B100000,00000,0700,00000(SQUARE FEET) 4531,B100000,00000,0800,00000(MEALS SERVED) 4531,B100000,00000,0900,00000(ADJUSTED SALARIES) 4531,B100000,00000,1000,00000(PATIENT DAYS) 4531,B100000,00000,1100,00000(COSTED REQUIS) 4531,B100000,00000,1200,00000(TOTAL CHARGES) 4531,B100000,00000,1300,00000(PATIENT DAYS) 4531,B100000,00000,1301,00000(PATIENT DAYS) 4531,B100000,00000,1400,00000(ASSIGNED TIME) 4531,E10A180,00301,0100,01/27/1999 4531,E10A180,00302,0100,12/09/1999 4531,E10A180,00303,0100,02/14/2000 4531,E10A180,00350,0100,06/14/1999 4531,E10A180,00351,0100,10/08/1999 4531,S000000,00100,0200,06/02/2000 4531,S200000,00100,0100,276 SIERRA VISTA AVE 4531,S200000,00200,0100,MOUNTAIN VIEW 4531,S200000,00200,0200,CA 4531,S200000,00200,0300,94043 4531,S200000,00300,0100,SANTA CLARA 4531,S200000,00400,0100,JULIA HEALTHCARE CENTER (684) 4531,S200000,00400,0200,055317 4531,S200000,00400,0300,01/01/1967 4531,S200000,00400,0500,P 4531,S200000,00600,0200,055317 4531,S200000,00600,0300,01/01/1967 4531,S200000,00600,0600,P 4531,S200000,01600,0100,Y 4564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4564,A000000,00300,0000,00300EMPLOYEE BENEFITS 4564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4564,A000000,00700,0000,00700HOUSEKEEPING 4564,A000000,00800,0000,00800DIETARY 4564,A000000,00900,0000,00900NURSING ADMINISTRATION 4564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4564,A000000,01100,0000,01100PHARMACY 4564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4564,A000000,01300,0000,01300SOCIAL SERVICE 4564,A000000,01301,0000,01301ACTIVITIES 4564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4564,A000000,01600,0000,01600SKILLED NURSING FACILITY 4564,A000000,01810,0000,01810ICF/MR 4564,A000000,02100,0000,02100RADIOLOGY 4564,A000000,02200,0000,02200LABORATORY 4564,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4564,A000000,02500,0000,02500PHYSICAL THERAPY 4564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4564,A000000,02700,0000,02700SPEECH PATHOLOGY 4564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4564,A000000,03550,0000,03550FQHC 4564,A000000,05000,0000,05000CORF 4564,A000000,05010,0000,05010CMHC 4564,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4564,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4564,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4564,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4564,A81000A,00100,0100,Y 4564,A81000B,00100,0300,HOME OFFICE COST 4564,A81000B,00400,0300,HOME OFFICE COST 4564,A81000B,00500,0300,HOME OFFICE COST 4564,A81000B,00600,0300,HOME OFFICE COST 4564,A81000B,00800,0300,HOME OFFICE COST 4564,A81000C,00100,0100,B 4564,A81000C,00100,0200,BEVERLY ENTERPR 4564,B100000,00000,0100,00000(SQUARE FEET) 4564,B100000,00000,0200,00000(SQUARE FEET) 4564,B100000,00000,0300,00000(ADJUSTED SALARIES) 4564,B100000,00000,0400,00000(ACCUM. COST) 4564,B100000,00000,0500,00000(SQUARE FEET) 4564,B100000,00000,0600,00000(PATIENT DAYS) 4564,B100000,00000,0700,00000(SQUARE FEET) 4564,B100000,00000,0800,00000(MEALS SERVED) 4564,B100000,00000,0900,00000(ADJUSTED SALARIES) 4564,B100000,00000,1000,00000(PATIENT DAYS) 4564,B100000,00000,1100,00000(COSTED REQUIS) 4564,B100000,00000,1200,00000(TOTAL CHARGES) 4564,B100000,00000,1300,00000(PATIENT DAYS) 4564,B100000,00000,1301,00000(PATIENT DAYS) 4564,B100000,00000,1400,00000(ASSIGNED TIME) 4564,E10A180,00301,0100,12/09/1999 4564,E10A180,00350,0100,01/27/1999 4564,E10A180,00351,0100,06/14/1999 4564,E10A180,00352,0100,10/08/1999 4564,E10A180,00353,0100,02/14/2000 4564,S000000,00100,0200,06/02/2000 4564,S200000,00100,0100,615 WEST DUARTE ROAD 4564,S200000,00200,0100,MONROVIA 4564,S200000,00200,0200,CA 4564,S200000,00200,0300,91016 4564,S200000,00300,0100,LOS ANGELES 4564,S200000,00400,0100,BEVERLY MANOR-MONROVIA (603) 4564,S200000,00400,0200,055367 4564,S200000,00400,0300,01/01/1967 4564,S200000,00400,0500,P 4564,S200000,00600,0200,055367 4564,S200000,00600,0300,01/01/1967 4564,S200000,00600,0600,P 4564,S200000,01600,0100,Y 4567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4567,A000000,00300,0000,00300EMPLOYEE BENEFITS 4567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4567,A000000,00700,0000,00700HOUSEKEEPING 4567,A000000,00800,0000,00800DIETARY 4567,A000000,00900,0000,00900NURSING ADMINISTRATION 4567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4567,A000000,01100,0000,01100PHARMACY 4567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4567,A000000,01300,0000,01300SOCIAL SERVICE 4567,A000000,01301,0000,01301ACTIVITIES 4567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4567,A000000,01600,0000,01600SKILLED NURSING FACILITY 4567,A000000,01810,0000,01810ICF/MR 4567,A000000,02100,0000,02100RADIOLOGY 4567,A000000,02200,0000,02200LABORATORY 4567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4567,A000000,02500,0000,02500PHYSICAL THERAPY 4567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4567,A000000,02700,0000,02700SPEECH PATHOLOGY 4567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4567,A000000,03550,0000,03550FQHC 4567,A000000,05000,0000,05000CORF 4567,A000000,05010,0000,05010CMHC 4567,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4567,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4567,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4567,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4567,A81000A,00100,0100,Y 4567,A81000B,00100,0300,HOME OFFICE COST 4567,A81000B,00400,0300,HOME OFFICE COST 4567,A81000B,00500,0300,HOME OFFICE COST 4567,A81000B,00600,0300,HOME OFFICE COST 4567,A81000B,00800,0300,HOME OFFICE COST 4567,A81000C,00100,0100,B 4567,A81000C,00100,0200,BEVERLY ENTERPR 4567,B100000,00000,0100,00000(SQUARE FEET) 4567,B100000,00000,0200,00000(SQUARE FEET) 4567,B100000,00000,0300,00000(ADJUSTED SALARIES) 4567,B100000,00000,0400,00000(ACCUM. COST) 4567,B100000,00000,0500,00000(SQUARE FEET) 4567,B100000,00000,0600,00000(PATIENT DAYS) 4567,B100000,00000,0700,00000(SQUARE FEET) 4567,B100000,00000,0800,00000(MEALS SERVED) 4567,B100000,00000,0900,00000(ADJUSTED SALARIES) 4567,B100000,00000,1000,00000(PATIENT DAYS) 4567,B100000,00000,1100,00000(COSTED REQUIS) 4567,B100000,00000,1200,00000(TOTAL CHARGES) 4567,B100000,00000,1300,00000(PATIENT DAYS) 4567,B100000,00000,1301,00000(PATIENT DAYS) 4567,B100000,00000,1400,00000(ASSIGNED TIME) 4567,E10A180,00301,0100,02/14/2000 4567,E10A180,00350,0100,01/27/1999 4567,E10A180,00351,0100,06/14/1999 4567,E10A180,00352,0100,10/08/1999 4567,E10A180,00353,0100,12/09/1999 4567,S000000,00100,0200,06/02/2000 4567,S200000,00100,0100,400 W. HUNTINGTON DR 4567,S200000,00200,0100,ARCADIA 4567,S200000,00200,0200,CA 4567,S200000,00200,0300,91007 4567,S200000,00300,0100,LOS ANGELES 4567,S200000,00400,0100,HUNTINGTON DR CONV HOSP (501) 4567,S200000,00400,0200,055376 4567,S200000,00400,0300,08/01/1983 4567,S200000,00400,0500,P 4567,S200000,00600,0200,055376 4567,S200000,00600,0300,08/01/1983 4567,S200000,00600,0600,P 4567,S200000,01600,0100,Y 4574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4574,A000000,00300,0000,00300EMPLOYEE BENEFITS 4574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4574,A000000,00700,0000,00700HOUSEKEEPING 4574,A000000,00800,0000,00800DIETARY 4574,A000000,00900,0000,00900NURSING ADMINISTRATION 4574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4574,A000000,01100,0000,01100PHARMACY 4574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4574,A000000,01300,0000,01300SOCIAL SERVICE 4574,A000000,01350,0000,01500OTHER GENERAL SERVICES 4574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4574,A000000,01600,0000,01600SKILLED NURSING FACILITY 4574,A000000,01810,0000,01810ICF/MR 4574,A000000,02100,0000,02100RADIOLOGY 4574,A000000,02500,0000,02500PHYSICAL THERAPY 4574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4574,A000000,02700,0000,02700SPEECH PATHOLOGY 4574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4574,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 4574,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 4574,A000000,03550,0000,03550FQHC 4574,A000000,04750,0000,05100OTHER REIMBURSABLE COST 4574,A000000,05000,0000,05000CORF 4574,A000000,05010,0000,05010CMHC 4574,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4574,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4574,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 4574,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 4574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4574,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4574,A81000A,00100,0100,Y 4574,A81000B,00100,0300,FACILITY RENT 4574,A81000B,00200,0300,DEPRECIATION 4574,A81000B,00300,0300,INTEREST 4574,A81000B,00400,0300,ADMINISTRATOR SALARY 4574,A81000C,00100,0100,A 4574,A81000C,00100,0200,DELORES HAEDRICH 4574,A81000C,00100,0600,LESSOR 4574,A81000C,00200,0100,A 4574,A81000C,00200,0200,JOHN HAEDRICH 4574,A81000C,00200,0600,ADMINISTRATOR 4574,B100000,00000,0100,00000SQUARE FEET 4574,B100000,00000,0200,00000SQUARE FEET 4574,B100000,00000,0300,00000GROSS SALARIES 4574,B100000,00000,0400,00000ACCUM. COST 4574,B100000,00000,0500,00000SQUARE FEET 4574,B100000,00000,0600,00000POUNDS OF LAUNDRY 4574,B100000,00000,0700,00000SQUARE FEET 4574,B100000,00000,0800,00000MEALS SERVED 4574,B100000,00000,0900,00000ADMISSIONS S 4574,B100000,00000,1000,00000COSTED REQUIS. 4574,B100000,00000,1100,00000COSTED REQUIS. 4574,B100000,00000,1200,00000TIME SPENT 4574,B100000,00000,1300,00000TIME SPENT 4574,B100000,00000,1350,00000NO STATISTICS 4574,B100000,00000,1400,00000ASSIGNED TIME 4574,E10A180,00501,0100,03/16/2000 4574,E10A180,00550,0300,03/16/2000 4574,S000000,00100,0200,01/19/2000 4574,S200000,00100,0100,1400 WEST GLENOAKS BLVD. 4574,S200000,00200,0100,GLENDALE 4574,S200000,00200,0200,CA 4574,S200000,00300,0100,LOS ANGELES 4574,S200000,00400,0100,DREIERS NURSING CARE CENTER 4574,S200000,00400,0200,055379 4574,S200000,00400,0300,01/01/1988 4574,S200000,00400,0500,P 4574,S200000,01500,0100,Y 4579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4579,A000000,00300,0000,00300EMPLOYEE BENEFITS 4579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4579,A000000,00700,0000,00700HOUSEKEEPING 4579,A000000,00800,0000,00800DIETARY 4579,A000000,00900,0000,00900NURSING ADMINISTRATION 4579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4579,A000000,01100,0000,01100PHARMACY 4579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4579,A000000,01300,0000,01300SOCIAL SERVICE 4579,A000000,01301,0000,01301ACTIVITIES 4579,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4579,A000000,01600,0000,01600SKILLED NURSING FACILITY 4579,A000000,01800,0000,01800NURSING FACILITY 4579,A000000,01810,0000,01810ICF/MR 4579,A000000,02100,0000,02100RADIOLOGY 4579,A000000,02200,0000,02200LABORATORY 4579,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4579,A000000,02500,0000,02500PHYSICAL THERAPY 4579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4579,A000000,02700,0000,02700SPEECH PATHOLOGY 4579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4579,A000000,03550,0000,03550FQHC 4579,A000000,05000,0000,05000CORF 4579,A000000,05010,0000,05010CMHC 4579,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4579,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4579,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4579,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4579,A81000A,00100,0100,Y 4579,A81000B,00100,0300,HOME OFFICE COST 4579,A81000B,00400,0300,HOME OFFICE COST 4579,A81000B,00500,0300,HOME OFFICE COST 4579,A81000B,00600,0300,HOME OFFICE COST 4579,A81000B,00800,0300,HOME OFFICE COST 4579,A81000C,00100,0100,B 4579,A81000C,00100,0200,BEVERLY ENTERPR 4579,B100000,00000,0100,00000(SQUARE FEET) 4579,B100000,00000,0200,00000(SQUARE FEET) 4579,B100000,00000,0300,00000(ADJUSTED SALARIES) 4579,B100000,00000,0400,00000(ACCUM. COST) 4579,B100000,00000,0500,00000(SQUARE FEET) 4579,B100000,00000,0600,00000(PATIENT DAYS) 4579,B100000,00000,0700,00000(SQUARE FEET) 4579,B100000,00000,0800,00000(MEALS SERVED) 4579,B100000,00000,0900,00000(ADJUSTED SALARIES) 4579,B100000,00000,1000,00000(PATIENT DAYS) 4579,B100000,00000,1100,00000(COSTED REQUIS) 4579,B100000,00000,1200,00000(TOTAL CHARGES) 4579,B100000,00000,1300,00000(PATIENT DAYS) 4579,B100000,00000,1301,00000(PATIENT DAYS) 4579,B100000,00000,1400,00000(ASSIGNED TIME) 4579,E10A180,00301,0100,01/27/1999 4579,E10A180,00350,0100,06/14/1999 4579,E10A180,00351,0100,10/08/1999 4579,E10A180,00352,0100,12/09/1999 4579,E10A180,00353,0100,02/14/2000 4579,S000000,00100,0200,06/02/2000 4579,S200000,00100,0100,3880 VIA LUCERO 4579,S200000,00200,0100,SANTA BARBARA 4579,S200000,00200,0200,CA 4579,S200000,00200,0300,93110 4579,S200000,00300,0100,SANTA BARBARA 4579,S200000,00400,0100,BEVERLY LA CUMBRE (561) A 4579,S200000,00400,0200,055383 4579,S200000,00400,0300,11/01/1981 4579,S200000,00400,0500,P 4579,S200000,00600,0200,055383 4579,S200000,00600,0300,11/01/1981 4579,S200000,00600,0600,P 4579,S200000,01600,0100,Y 4586,S000000,00100,0200,06/28/2000 4631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4631,A000000,00300,0000,00300EMPLOYEE BENEFITS 4631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4631,A000000,00700,0000,00700HOUSEKEEPING 4631,A000000,00800,0000,00800DIETARY 4631,A000000,00900,0000,00900NURSING ADMINISTRATION 4631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4631,A000000,01100,0000,01100PHARMACY 4631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4631,A000000,01300,0000,01300SOCIAL SERVICE 4631,A000000,01301,0000,01301ACTIVITIES 4631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4631,A000000,01600,0000,01600SKILLED NURSING FACILITY 4631,A000000,01800,0000,01800NURSING FACILITY 4631,A000000,01810,0000,01810ICF/MR 4631,A000000,02100,0000,02100RADIOLOGY 4631,A000000,02200,0000,02200LABORATORY 4631,A000000,02500,0000,02500PHYSICAL THERAPY 4631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4631,A000000,02700,0000,02700SPEECH PATHOLOGY 4631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4631,A000000,03550,0000,03550FQHC 4631,A000000,05000,0000,05000CORF 4631,A000000,05010,0000,05010CMHC 4631,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4631,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4631,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4631,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4631,A81000A,00100,0100,Y 4631,A81000B,00100,0300,HOME OFFICE COST 4631,A81000B,00400,0300,HOME OFFICE COST 4631,A81000B,00500,0300,HOME OFFICE COST 4631,A81000B,00600,0300,HOME OFFICE COST 4631,A81000B,00800,0300,HOME OFFICE COST 4631,A81000C,00100,0100,B 4631,A81000C,00100,0200,BEVERLY ENTERPR 4631,B100000,00000,0100,00000(SQUARE FEET) 4631,B100000,00000,0200,00000(SQUARE FEET) 4631,B100000,00000,0300,00000(ADJUSTED SALARIES) 4631,B100000,00000,0400,00000(ACCUM. COST) 4631,B100000,00000,0500,00000(SQUARE FEET) 4631,B100000,00000,0600,00000(PATIENT DAYS) 4631,B100000,00000,0700,00000(SQUARE FEET) 4631,B100000,00000,0800,00000(MEALS SERVED) 4631,B100000,00000,0900,00000(ADJUSTED SALARIES) 4631,B100000,00000,1000,00000(PATIENT DAYS) 4631,B100000,00000,1100,00000(COSTED REQUIS) 4631,B100000,00000,1200,00000(TOTAL CHARGES) 4631,B100000,00000,1300,00000(PATIENT DAYS) 4631,B100000,00000,1301,00000(PATIENT DAYS) 4631,B100000,00000,1400,00000(ASSIGNED TIME) 4631,E10A180,00301,0100,10/08/1999 4631,E10A180,00302,0100,12/09/1999 4631,E10A180,00350,0100,06/14/1999 4631,E10A180,00351,0100,02/14/2000 4631,S000000,00100,0200,06/02/2000 4631,S200000,00100,0100,1306 E. SUMNER AVENUE 4631,S200000,00200,0100,FOWLER 4631,S200000,00200,0200,CA 4631,S200000,00200,0300,93625 4631,S200000,00300,0100,FRESNO 4631,S200000,00400,0100,FOWLER CONV HOSP (533) 4631,S200000,00400,0200,055454 4631,S200000,00400,0300,07/01/1967 4631,S200000,00400,0500,P 4631,S200000,00600,0200,055454 4631,S200000,00600,0300,07/01/1967 4631,S200000,00600,0600,P 4631,S200000,01600,0100,Y 4636,S000000,00100,0200,05/26/2000 4686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4686,A000000,00300,0000,00300EMPLOYEE BENEFITS 4686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4686,A000000,00700,0000,00700HOUSEKEEPING 4686,A000000,00800,0000,00800DIETARY 4686,A000000,00900,0000,00900NURSING ADMINISTRATION 4686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4686,A000000,01100,0000,01100PHARMACY 4686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4686,A000000,01300,0000,01300SOCIAL SERVICE 4686,A000000,01301,0000,01301ACTIVITIES 4686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4686,A000000,01600,0000,01600SKILLED NURSING FACILITY 4686,A000000,01800,0000,01800NURSING FACILITY 4686,A000000,01810,0000,01810ICF/MR 4686,A000000,02100,0000,02100RADIOLOGY 4686,A000000,02200,0000,02200LABORATORY 4686,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4686,A000000,02500,0000,02500PHYSICAL THERAPY 4686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4686,A000000,02700,0000,02700SPEECH PATHOLOGY 4686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4686,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 4686,A000000,03550,0000,03550FQHC 4686,A000000,05000,0000,05000CORF 4686,A000000,05010,0000,05010CMHC 4686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4686,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 4686,A81000A,00100,0100,Y 4686,A81000B,00100,0300,HOME OFFICE COST 4686,A81000B,00400,0300,HOME OFFICE COST 4686,A81000B,00500,0300,HOME OFFICE COST 4686,A81000B,00600,0300,HOME OFFICE COST 4686,A81000B,00800,0300,HOME OFFICE COST 4686,A81000C,00100,0100,B 4686,A81000C,00100,0200,BEVERLY ENTERPR 4686,B100000,00000,0100,00000(SQUARE FEET) 4686,B100000,00000,0200,00000(SQUARE FEET) 4686,B100000,00000,0300,00000(ADJUSTED SALARIES) 4686,B100000,00000,0400,00000(ACCUM. COST) 4686,B100000,00000,0500,00000(SQUARE FEET) 4686,B100000,00000,0600,00000(PATIENT DAYS) 4686,B100000,00000,0700,00000(SQUARE FEET) 4686,B100000,00000,0800,00000(MEALS SERVED) 4686,B100000,00000,0900,00000(ADJUSTED SALARIES) 4686,B100000,00000,1000,00000(PATIENT DAYS) 4686,B100000,00000,1100,00000(COSTED REQUIS) 4686,B100000,00000,1200,00000(TOTAL CHARGES) 4686,B100000,00000,1300,00000(PATIENT DAYS) 4686,B100000,00000,1301,00000(PATIENT DAYS) 4686,B100000,00000,1400,00000(ASSIGNED TIME) 4686,E10A180,00301,0100,06/14/1999 4686,E10A180,00302,0100,12/09/1999 4686,E10A180,00350,0100,01/27/1999 4686,E10A180,00351,0100,10/08/1999 4686,E10A180,00352,0100,02/14/2000 4686,S000000,00100,0200,06/02/2000 4686,S200000,00100,0100,1836 GOLD STREET 4686,S200000,00200,0100,REDDING 4686,S200000,00200,0200,CA 4686,S200000,00200,0300,96001 4686,S200000,00300,0100,SHASTA 4686,S200000,00400,0100,BEVERLY MANOR-REDDING (606) 4686,S200000,00400,0200,055510 4686,S200000,00400,0300,01/01/1983 4686,S200000,00400,0500,P 4686,S200000,00600,0200,055510 4686,S200000,00600,0300,01/01/1983 4686,S200000,00600,0600,P 4686,S200000,01600,0100,Y 4689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4689,A000000,00300,0000,00300EMPLOYEE BENEFITS 4689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4689,A000000,00700,0000,00700HOUSEKEEPING 4689,A000000,00800,0000,00800DIETARY 4689,A000000,00900,0000,00900NURSING ADMINISTRATION 4689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4689,A000000,01100,0000,01100PHARMACY 4689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4689,A000000,01300,0000,01300SOCIAL SERVICE 4689,A000000,01301,0000,01301ACTIVITIES 4689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4689,A000000,01600,0000,01600SKILLED NURSING FACILITY 4689,A000000,01800,0000,01800NURSING FACILITY 4689,A000000,01810,0000,01810ICF/MR 4689,A000000,02100,0000,02100RADIOLOGY 4689,A000000,02200,0000,02200LABORATORY 4689,A000000,02500,0000,02500PHYSICAL THERAPY 4689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4689,A000000,02700,0000,02700SPEECH PATHOLOGY 4689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4689,A000000,03550,0000,03550FQHC 4689,A000000,05000,0000,05000CORF 4689,A000000,05010,0000,05010CMHC 4689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4689,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 4689,A81000A,00100,0100,Y 4689,A81000B,00100,0300,HOME OFFICE COST 4689,A81000B,00400,0300,HOME OFFICE COST 4689,A81000B,00500,0300,HOME OFFICE COST 4689,A81000B,00600,0300,HOME OFFICE COST 4689,A81000B,00800,0300,HOME OFFICE COST 4689,A81000C,00100,0100,B 4689,A81000C,00100,0200,BEVERLY ENTERPR 4689,B100000,00000,0100,00000(SQUARE FEET) 4689,B100000,00000,0200,00000(SQUARE FEET) 4689,B100000,00000,0300,00000(ADJUSTED SALARIES) 4689,B100000,00000,0400,00000(ACCUM. COST) 4689,B100000,00000,0500,00000(SQUARE FEET) 4689,B100000,00000,0600,00000(PATIENT DAYS) 4689,B100000,00000,0700,00000(SQUARE FEET) 4689,B100000,00000,0800,00000(MEALS SERVED) 4689,B100000,00000,0900,00000(ADJUSTED SALARIES) 4689,B100000,00000,1000,00000(PATIENT DAYS) 4689,B100000,00000,1100,00000(COSTED REQUIS) 4689,B100000,00000,1200,00000(TOTAL CHARGES) 4689,B100000,00000,1300,00000(PATIENT DAYS) 4689,B100000,00000,1301,00000(PATIENT DAYS) 4689,B100000,00000,1400,00000(ASSIGNED TIME) 4689,E10A180,00301,0100,06/14/1999 4689,E10A180,00302,0100,10/08/1999 4689,E10A180,00303,0100,02/14/2000 4689,E10A180,00350,0100,01/27/1999 4689,E10A180,00351,0100,12/09/1999 4689,S000000,00100,0200,06/02/2000 4689,S200000,00100,0100,1515 OREGON ST 4689,S200000,00200,0100,YREKA 4689,S200000,00200,0200,CA 4689,S200000,00200,0300,96097 4689,S200000,00300,0100,SISKIYOU 4689,S200000,00400,0100,BEVERLY MANOR CONV HOSP (609) 4689,S200000,00400,0200,055511 4689,S200000,00400,0300,01/01/1967 4689,S200000,00400,0500,P 4689,S200000,00600,0200,055511 4689,S200000,00600,0300,01/01/1967 4689,S200000,00600,0600,P 4689,S200000,01600,0100,Y 4697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4697,A000000,00300,0000,00300EMPLOYEE BENEFITS 4697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4697,A000000,00700,0000,00700HOUSEKEEPING 4697,A000000,00800,0000,00800DIETARY 4697,A000000,00900,0000,00900NURSING ADMINISTRATION 4697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4697,A000000,01100,0000,01100PHARMACY 4697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4697,A000000,01300,0000,01300SOCIAL SERVICE 4697,A000000,01301,0000,01301ACTIVITIES 4697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4697,A000000,01600,0000,01600SKILLED NURSING FACILITY 4697,A000000,01800,0000,01800NURSING FACILITY 4697,A000000,01810,0000,01810ICF/MR 4697,A000000,02100,0000,02100RADIOLOGY 4697,A000000,02200,0000,02200LABORATORY 4697,A000000,02500,0000,02500PHYSICAL THERAPY 4697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4697,A000000,02700,0000,02700SPEECH PATHOLOGY 4697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4697,A000000,03550,0000,03550FQHC 4697,A000000,05000,0000,05000CORF 4697,A000000,05010,0000,05010CMHC 4697,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4697,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4697,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4697,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4697,A81000A,00100,0100,Y 4697,A81000B,00100,0300,HOME OFFICE COST 4697,A81000B,00400,0300,HOME OFFICE COST 4697,A81000B,00500,0300,HOME OFFICE COST 4697,A81000B,00600,0300,HOME OFFICE COST 4697,A81000B,00800,0300,HOME OFFICE COST 4697,A81000C,00100,0100,B 4697,A81000C,00100,0200,BEVERLY ENTERPR 4697,B100000,00000,0100,00000(SQUARE FEET) 4697,B100000,00000,0200,00000(SQUARE FEET) 4697,B100000,00000,0300,00000(ADJUSTED SALARIES) 4697,B100000,00000,0400,00000(ACCUM. COST) 4697,B100000,00000,0500,00000(SQUARE FEET) 4697,B100000,00000,0600,00000(PATIENT DAYS) 4697,B100000,00000,0700,00000(SQUARE FEET) 4697,B100000,00000,0800,00000(MEALS SERVED) 4697,B100000,00000,0900,00000(ADJUSTED SALARIES) 4697,B100000,00000,1000,00000(PATIENT DAYS) 4697,B100000,00000,1100,00000(COSTED REQUIS) 4697,B100000,00000,1200,00000(TOTAL CHARGES) 4697,B100000,00000,1300,00000(PATIENT DAYS) 4697,B100000,00000,1301,00000(PATIENT DAYS) 4697,B100000,00000,1400,00000(ASSIGNED TIME) 4697,E10A180,00301,0100,01/27/1999 4697,E10A180,00302,0100,12/09/1999 4697,E10A180,00350,0100,06/14/1999 4697,E10A180,00351,0100,10/08/1999 4697,E10A180,00352,0100,02/14/2000 4697,S000000,00100,0200,06/02/2000 4697,S200000,00100,0100,188 COHASSET LANE 4697,S200000,00200,0100,CHICO 4697,S200000,00200,0200,CA 4697,S200000,00200,0300,95926 4697,S200000,00300,0100,BUTTE 4697,S200000,00400,0100,BEVERLY MANOR-CHICO (605) 4697,S200000,00400,0200,055516 4697,S200000,00400,0300,01/01/1967 4697,S200000,00400,0500,P 4697,S200000,00600,0200,055516 4697,S200000,00600,0300,01/01/1967 4697,S200000,00600,0600,P 4697,S200000,01600,0100,Y 4700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4700,A000000,00300,0000,00300EMPLOYEE BENEFITS 4700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4700,A000000,00700,0000,00700HOUSEKEEPING 4700,A000000,00800,0000,00800DIETARY 4700,A000000,00900,0000,00900NURSING ADMINISTRATION 4700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4700,A000000,01100,0000,01100PHARMACY 4700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4700,A000000,01300,0000,01300SOCIAL SERVICE 4700,A000000,01301,0000,01301ACTIVITIES 4700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4700,A000000,01600,0000,01600SKILLED NURSING FACILITY 4700,A000000,01800,0000,01800NURSING FACILITY 4700,A000000,01810,0000,01810ICF/MR 4700,A000000,02100,0000,02100RADIOLOGY 4700,A000000,02200,0000,02200LABORATORY 4700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4700,A000000,02500,0000,02500PHYSICAL THERAPY 4700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4700,A000000,02700,0000,02700SPEECH PATHOLOGY 4700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4700,A000000,03550,0000,03550FQHC 4700,A000000,05000,0000,05000CORF 4700,A000000,05010,0000,05010CMHC 4700,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4700,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4700,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4700,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4700,A81000A,00100,0100,Y 4700,A81000B,00100,0300,HOME OFFICE COST 4700,A81000B,00400,0300,HOME OFFICE COST 4700,A81000B,00500,0300,HOME OFFICE COST 4700,A81000B,00600,0300,HOME OFFICE COST 4700,A81000B,00800,0300,HOME OFFICE COST 4700,A81000C,00100,0100,B 4700,A81000C,00100,0200,BEVERLY ENTERPR 4700,B100000,00000,0100,00000(SQUARE FEET) 4700,B100000,00000,0200,00000(SQUARE FEET) 4700,B100000,00000,0300,00000(ADJUSTED SALARIES) 4700,B100000,00000,0400,00000(ACCUM. COST) 4700,B100000,00000,0500,00000(SQUARE FEET) 4700,B100000,00000,0600,00000(PATIENT DAYS) 4700,B100000,00000,0700,00000(SQUARE FEET) 4700,B100000,00000,0800,00000(MEALS SERVED) 4700,B100000,00000,0900,00000(ADJUSTED SALARIES) 4700,B100000,00000,1000,00000(PATIENT DAYS) 4700,B100000,00000,1100,00000(COSTED REQUIS) 4700,B100000,00000,1200,00000(TOTAL CHARGES) 4700,B100000,00000,1300,00000(PATIENT DAYS) 4700,B100000,00000,1301,00000(PATIENT DAYS) 4700,B100000,00000,1400,00000(ASSIGNED TIME) 4700,E10A180,00301,0100,10/08/1999 4700,E10A180,00302,0100,02/14/2000 4700,E10A180,00350,0100,01/27/1999 4700,E10A180,00351,0100,06/14/1999 4700,E10A180,00352,0100,12/09/1999 4700,S000000,00100,0200,06/02/2000 4700,S200000,00100,0100,14966 TERRENO DE FLORES 4700,S200000,00200,0100,LOS GATOS 4700,S200000,00200,0200,CA 4700,S200000,00200,0300,95030 4700,S200000,00300,0100,SANTA CRUZ 4700,S200000,00400,0100,TERRENO GARDENS 4700,S200000,00400,0200,055517 4700,S200000,00400,0300,10/18/1991 4700,S200000,00400,0500,P 4700,S200000,00600,0200,055517 4700,S200000,00600,0300,10/18/1991 4700,S200000,00600,0600,P 4700,S200000,01600,0100,Y 4721,S000000,00100,0200,02/02/2000 4780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4780,A000000,00300,0000,00300EMPLOYEE BENEFITS 4780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4780,A000000,00700,0000,00700HOUSEKEEPING 4780,A000000,00800,0000,00800DIETARY 4780,A000000,00900,0000,00900NURSING ADMINISTRATION 4780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4780,A000000,01100,0000,01100PHARMACY 4780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4780,A000000,01300,0000,01300SOCIAL SERVICE 4780,A000000,01301,0000,01301ACTIVITIES 4780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4780,A000000,01600,0000,01600SKILLED NURSING FACILITY 4780,A000000,01800,0000,01800NURSING FACILITY 4780,A000000,01810,0000,01810ICF/MR 4780,A000000,02100,0000,02100RADIOLOGY 4780,A000000,02200,0000,02200LABORATORY 4780,A000000,02500,0000,02500PHYSICAL THERAPY 4780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4780,A000000,02700,0000,02700SPEECH PATHOLOGY 4780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4780,A000000,03550,0000,03550FQHC 4780,A000000,05000,0000,05000CORF 4780,A000000,05010,0000,05010CMHC 4780,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4780,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4780,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4780,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4780,A81000A,00100,0100,Y 4780,A81000B,00100,0300,HOME OFFICE COST 4780,A81000B,00400,0300,HOME OFFICE COST 4780,A81000B,00500,0300,HOME OFFICE COST 4780,A81000B,00600,0300,HOME OFFICE COST 4780,A81000B,00800,0300,HOME OFFICE COST 4780,A81000C,00100,0100,B 4780,A81000C,00100,0200,BEVERLY ENTERPR 4780,B100000,00000,0100,00000(SQUARE FEET) 4780,B100000,00000,0200,00000(SQUARE FEET) 4780,B100000,00000,0300,00000(ADJUSTED SALARIES) 4780,B100000,00000,0400,00000(ACCUM. COST) 4780,B100000,00000,0500,00000(SQUARE FEET) 4780,B100000,00000,0600,00000(PATIENT DAYS) 4780,B100000,00000,0700,00000(SQUARE FEET) 4780,B100000,00000,0800,00000(MEALS SERVED) 4780,B100000,00000,0900,00000(ADJUSTED SALARIES) 4780,B100000,00000,1000,00000(PATIENT DAYS) 4780,B100000,00000,1100,00000(COSTED REQUIS) 4780,B100000,00000,1200,00000(TOTAL CHARGES) 4780,B100000,00000,1300,00000(PATIENT DAYS) 4780,B100000,00000,1301,00000(PATIENT DAYS) 4780,B100000,00000,1400,00000(ASSIGNED TIME) 4780,E10A180,00350,0100,01/27/1999 4780,E10A180,00351,0100,06/14/1999 4780,E10A180,00352,0100,10/08/1999 4780,E10A180,00353,0100,12/09/1999 4780,E10A180,00354,0100,02/14/2000 4780,S000000,00100,0200,06/02/2000 4780,S200000,00100,0100,35410 CAMINO 4780,S200000,00200,0100,CAPISTRANO 4780,S200000,00200,0200,CA 4780,S200000,00200,0300,92624 4780,S200000,00300,0100,ORANGE 4780,S200000,00400,0100,BEV MANOR-CAPISTRANO BCH (613) 4780,S200000,00400,0200,055585 4780,S200000,00400,0300,01/01/1967 4780,S200000,00400,0500,P 4780,S200000,00600,0200,055585 4780,S200000,00600,0300,01/01/1967 4780,S200000,00600,0600,P 4780,S200000,01600,0100,Y 4786,S000000,00100,0200,02/17/2000 4789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4789,A000000,00300,0000,00300EMPLOYEE BENEFITS 4789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4789,A000000,00700,0000,00700HOUSEKEEPING 4789,A000000,00800,0000,00800DIETARY 4789,A000000,00900,0000,00900NURSING ADMINISTRATION 4789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4789,A000000,01100,0000,01100PHARMACY 4789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4789,A000000,01300,0000,01300SOCIAL SERVICE 4789,A000000,01301,0000,01301ACTIVITIES 4789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4789,A000000,01600,0000,01600SKILLED NURSING FACILITY 4789,A000000,01810,0000,01810ICF/MR 4789,A000000,02100,0000,02100RADIOLOGY 4789,A000000,02200,0000,02200LABORATORY 4789,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4789,A000000,02500,0000,02500PHYSICAL THERAPY 4789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4789,A000000,02700,0000,02700SPEECH PATHOLOGY 4789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4789,A000000,03550,0000,03550FQHC 4789,A000000,05000,0000,05000CORF 4789,A000000,05010,0000,05010CMHC 4789,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4789,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4789,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4789,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 4789,A81000A,00100,0100,Y 4789,A81000B,00100,0300,HOME OFFICE COST 4789,A81000B,00400,0300,HOME OFFICE COST 4789,A81000B,00500,0300,HOME OFFICE COST 4789,A81000B,00600,0300,HOME OFFICE COST 4789,A81000B,00800,0300,HOME OFFICE COST 4789,A81000C,00100,0100,B 4789,A81000C,00100,0200,BEVERLY ENTERPR 4789,B100000,00000,0100,00000(SQUARE FEET) 4789,B100000,00000,0200,00000(SQUARE FEET) 4789,B100000,00000,0300,00000(ADJUSTED SALARIES) 4789,B100000,00000,0400,00000(ACCUM. COST) 4789,B100000,00000,0500,00000(SQUARE FEET) 4789,B100000,00000,0600,00000(PATIENT DAYS) 4789,B100000,00000,0700,00000(SQUARE FEET) 4789,B100000,00000,0800,00000(MEALS SERVED) 4789,B100000,00000,0900,00000(ADJUSTED SALARIES) 4789,B100000,00000,1000,00000(PATIENT DAYS) 4789,B100000,00000,1100,00000(COSTED REQUIS) 4789,B100000,00000,1200,00000(TOTAL CHARGES) 4789,B100000,00000,1300,00000(PATIENT DAYS) 4789,B100000,00000,1301,00000(PATIENT DAYS) 4789,B100000,00000,1400,00000(ASSIGNED TIME) 4789,E10A180,00301,0100,01/27/1999 4789,E10A180,00302,0100,10/08/1999 4789,E10A180,00303,0100,12/09/1999 4789,E10A180,00350,0100,06/14/1999 4789,E10A180,00351,0100,02/14/2000 4789,S000000,00100,0200,06/02/2000 4789,S200000,00100,0100,2225 DE LA VINA STREET 4789,S200000,00200,0100,SANTA BARBARA 4789,S200000,00200,0200,CA 4789,S200000,00200,0300,93105 4789,S200000,00300,0100,SANTA BARBARA 4789,S200000,00400,0100,BEV MANOR-SANTA BARBARA (617) 4789,S200000,00400,0200,055605 4789,S200000,00400,0300,01/01/1967 4789,S200000,00400,0500,P 4789,S200000,00600,0200,055605 4789,S200000,00600,0300,01/01/1967 4789,S200000,00600,0600,P 4789,S200000,01600,0100,Y 4919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4919,A000000,00300,0000,00300EMPLOYEE BENEFITS 4919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4919,A000000,00700,0000,00700HOUSEKEEPING 4919,A000000,00800,0000,00800DIETARY 4919,A000000,00900,0000,00900NURSING ADMINISTRATION 4919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4919,A000000,01100,0000,01100PHARMACY 4919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4919,A000000,01300,0000,01300SOCIAL SERVICE 4919,A000000,01301,0000,01301ACTIVITIES 4919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4919,A000000,01600,0000,01600SKILLED NURSING FACILITY 4919,A000000,01800,0000,01800NURSING FACILITY 4919,A000000,01810,0000,01810ICF/MR 4919,A000000,01900,0000,01900OTHER LONG TERM CARE 4919,A000000,02100,0000,02100RADIOLOGY 4919,A000000,02200,0000,02200LABORATORY 4919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4919,A000000,02500,0000,02500PHYSICAL THERAPY 4919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4919,A000000,02700,0000,02700SPEECH PATHOLOGY 4919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4919,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 4919,A000000,03550,0000,03550FQHC 4919,A000000,05000,0000,05000CORF 4919,A000000,05010,0000,05010CMHC 4919,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4919,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4919,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4919,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 4919,A81000A,00100,0100,Y 4919,A81000B,00100,0300,HOME OFFICE COST 4919,A81000B,00400,0300,HOME OFFICE COST 4919,A81000B,00500,0300,HOME OFFICE COST 4919,A81000B,00600,0300,HOME OFFICE COST 4919,A81000B,00800,0300,HOME OFFICE COST 4919,A81000C,00100,0100,B 4919,A81000C,00100,0200,BEVERLY ENTERPR 4919,B100000,00000,0100,00000(SQUARE FEET) 4919,B100000,00000,0200,00000(SQUARE FEET) 4919,B100000,00000,0300,00000(ADJUSTED SALARIES) 4919,B100000,00000,0400,00000(ACCUM. COST) 4919,B100000,00000,0500,00000(SQUARE FEET) 4919,B100000,00000,0600,00000(PATIENT DAYS) 4919,B100000,00000,0700,00000(SQUARE FEET) 4919,B100000,00000,0800,00000(MEALS SERVED) 4919,B100000,00000,0900,00000(ADJUSTED SALARIES) 4919,B100000,00000,1000,00000(PATIENT DAYS) 4919,B100000,00000,1100,00000(COSTED REQUIS) 4919,B100000,00000,1200,00000(TOTAL CHARGES) 4919,B100000,00000,1300,00000(PATIENT DAYS) 4919,B100000,00000,1301,00000(PATIENT DAYS) 4919,B100000,00000,1400,00000(ASSIGNED TIME) 4919,E10A180,00301,0100,01/27/1999 4919,E10A180,00302,0100,06/14/1999 4919,E10A180,00303,0100,10/08/1999 4919,E10A180,00350,0100,12/09/1999 4919,E10A180,00351,0100,02/14/2000 4919,S000000,00100,0200,07/02/2000 4919,S200000,00100,0100,1601 PETERSEN STREET 4919,S200000,00200,0100,SAN JOSE 4919,S200000,00200,0200,CA 4919,S200000,00200,0300,95129 4919,S200000,00300,0100,SANTA CLARA 4919,S200000,00400,0100,WESTGATE CONV CENTER (682) 4919,S200000,00400,0200,055750 4919,S200000,00400,0300,01/01/1982 4919,S200000,00400,0500,P 4919,S200000,00600,0200,055750 4919,S200000,00600,0300,01/01/1982 4919,S200000,00600,0600,P 4919,S200000,01600,0100,Y 4971,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4971,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4971,A000000,00300,0000,00300EMPLOYEE BENEFITS 4971,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4971,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4971,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4971,A000000,00700,0000,00700HOUSEKEEPING 4971,A000000,00800,0000,00800DIETARY 4971,A000000,00900,0000,00900NURSING ADMINISTRATION 4971,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4971,A000000,01100,0000,01100PHARMACY 4971,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4971,A000000,01300,0000,01300SOCIAL SERVICE 4971,A000000,01301,0000,01301ACTIVITIES 4971,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4971,A000000,01600,0000,01600SKILLED NURSING FACILITY 4971,A000000,01800,0000,01800NURSING FACILITY 4971,A000000,01810,0000,01810ICF/MR 4971,A000000,02100,0000,02100RADIOLOGY 4971,A000000,02200,0000,02200LABORATORY 4971,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4971,A000000,02500,0000,02500PHYSICAL THERAPY 4971,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4971,A000000,02700,0000,02700SPEECH PATHOLOGY 4971,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4971,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4971,A000000,03550,0000,03550FQHC 4971,A000000,05000,0000,05000CORF 4971,A000000,05010,0000,05010CMHC 4971,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4971,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4971,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4971,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 4971,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4971,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4971,A81000A,00100,0100,Y 4971,A81000B,00100,0300,HOME OFFICE COST 4971,A81000B,00400,0300,HOME OFFICE COST 4971,A81000B,00500,0300,HOME OFFICE COST 4971,A81000B,00600,0300,HOME OFFICE COST 4971,A81000B,00800,0300,HOME OFFICE COST 4971,A81000C,00100,0100,B 4971,A81000C,00100,0200,BEVERLY ENTERPR 4971,B100000,00000,0100,00000(SQUARE FEET) 4971,B100000,00000,0200,00000(SQUARE FEET) 4971,B100000,00000,0300,00000(ADJUSTED SALARIES) 4971,B100000,00000,0400,00000(ACCUM. COST) 4971,B100000,00000,0500,00000(SQUARE FEET) 4971,B100000,00000,0600,00000(PATIENT DAYS) 4971,B100000,00000,0700,00000(SQUARE FEET) 4971,B100000,00000,0800,00000(MEALS SERVED) 4971,B100000,00000,0900,00000(ADJUSTED SALARIES) 4971,B100000,00000,1000,00000(PATIENT DAYS) 4971,B100000,00000,1100,00000(COSTED REQUIS) 4971,B100000,00000,1200,00000(TOTAL CHARGES) 4971,B100000,00000,1300,00000(PATIENT DAYS) 4971,B100000,00000,1301,00000(PATIENT DAYS) 4971,B100000,00000,1400,00000(ASSIGNED TIME) 4971,E10A180,00301,0100,10/08/1999 4971,E10A180,00350,0100,06/14/1999 4971,E10A180,00351,0100,12/09/1999 4971,E10A180,00352,0100,02/14/2000 4971,S000000,00100,0200,06/02/2000 4971,S200000,00100,0100,1090 E DINUBA AVENUE 4971,S200000,00200,0100,REEDLEY 4971,S200000,00200,0200,CA 4971,S200000,00200,0300,93654 4971,S200000,00300,0100,FRESNO 4971,S200000,00400,0100,REEDLEY CONV HOSP (557) 4971,S200000,00400,0200,055799 4971,S200000,00400,0300,01/01/1982 4971,S200000,00400,0500,P 4971,S200000,00600,0200,055799 4971,S200000,00600,0300,01/01/1982 4971,S200000,00600,0600,P 4971,S200000,01600,0100,Y 4995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 4995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 4995,A000000,00300,0000,00300EMPLOYEE BENEFITS 4995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 4995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 4995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 4995,A000000,00700,0000,00700HOUSEKEEPING 4995,A000000,00800,0000,00800DIETARY 4995,A000000,00900,0000,00900NURSING ADMINISTRATION 4995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 4995,A000000,01100,0000,01100PHARMACY 4995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 4995,A000000,01300,0000,01300SOCIAL SERVICE 4995,A000000,01301,0000,01301ACTIVITIES 4995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 4995,A000000,01600,0000,01600SKILLED NURSING FACILITY 4995,A000000,01800,0000,01800NURSING FACILITY 4995,A000000,01810,0000,01810ICF/MR 4995,A000000,02100,0000,02100RADIOLOGY 4995,A000000,02200,0000,02200LABORATORY 4995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 4995,A000000,02500,0000,02500PHYSICAL THERAPY 4995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 4995,A000000,02700,0000,02700SPEECH PATHOLOGY 4995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 4995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 4995,A000000,03550,0000,03550FQHC 4995,A000000,05000,0000,05000CORF 4995,A000000,05010,0000,05010CMHC 4995,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 4995,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 4995,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 4995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 4995,A000000,06150,0000,06300OTHER NON REIMBURSABLE 4995,A81000A,00100,0100,Y 4995,A81000B,00100,0300,HOME OFFICE COST 4995,A81000B,00400,0300,HOME OFFICE COST 4995,A81000B,00500,0300,HOME OFFICE COST 4995,A81000B,00600,0300,HOME OFFICE COST 4995,A81000B,00800,0300,HOME OFFICE COST 4995,A81000C,00100,0100,B 4995,A81000C,00100,0200,BEVERLY ENTERPR 4995,B100000,00000,0100,00000(SQUARE FEET) 4995,B100000,00000,0200,00000(SQUARE FEET) 4995,B100000,00000,0300,00000(ADJUSTED SALARIES) 4995,B100000,00000,0400,00000(ACCUM. COST) 4995,B100000,00000,0500,00000(SQUARE FEET) 4995,B100000,00000,0600,00000(PATIENT DAYS) 4995,B100000,00000,0700,00000(SQUARE FEET) 4995,B100000,00000,0800,00000(MEALS SERVED) 4995,B100000,00000,0900,00000(ADJUSTED SALARIES) 4995,B100000,00000,1000,00000(PATIENT DAYS) 4995,B100000,00000,1100,00000(COSTED REQUIS) 4995,B100000,00000,1200,00000(TOTAL CHARGES) 4995,B100000,00000,1300,00000(PATIENT DAYS) 4995,B100000,00000,1301,00000(PATIENT DAYS) 4995,B100000,00000,1400,00000(ASSIGNED TIME) 4995,E10A180,00301,0100,01/27/1999 4995,E10A180,00302,0100,10/08/1999 4995,E10A180,00303,0100,02/14/2000 4995,E10A180,00350,0100,06/14/1999 4995,E10A180,00351,0100,12/09/1999 4995,S000000,00100,0200,06/02/2000 4995,S200000,00100,0100,709 N STREET 4995,S200000,00200,0100,NEWMAN 4995,S200000,00200,0200,CA 4995,S200000,00200,0300,95360 4995,S200000,00300,0100,STANISLAUS 4995,S200000,00400,0100,SAN LUIS CONV HOSP (551) 4995,S200000,00400,0200,055839 4995,S200000,00400,0300,07/01/1967 4995,S200000,00400,0500,P 4995,S200000,00600,0200,055839 4995,S200000,00600,0300,07/01/1967 4995,S200000,00600,0600,P 4995,S200000,01600,0100,Y 5010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5010,A000000,00300,0000,00300EMPLOYEE BENEFITS 5010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5010,A000000,00700,0000,00700HOUSEKEEPING 5010,A000000,00800,0000,00800DIETARY 5010,A000000,00900,0000,00900NURSING ADMINISTRATION 5010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5010,A000000,01100,0000,01100PHARMACY 5010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5010,A000000,01300,0000,01300SOCIAL SERVICE 5010,A000000,01301,0000,01301ACTIVITIES 5010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5010,A000000,01600,0000,01600SKILLED NURSING FACILITY 5010,A000000,01800,0000,01800NURSING FACILITY 5010,A000000,01810,0000,01810ICF/MR 5010,A000000,02100,0000,02100RADIOLOGY 5010,A000000,02200,0000,02200LABORATORY 5010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5010,A000000,02500,0000,02500PHYSICAL THERAPY 5010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5010,A000000,02700,0000,02700SPEECH PATHOLOGY 5010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5010,A000000,03550,0000,03550FQHC 5010,A000000,05000,0000,05000CORF 5010,A000000,05010,0000,05010CMHC 5010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5010,A000000,06150,0000,06300OTHER NON REIMBURSABLE 5010,A81000A,00100,0100,Y 5010,A81000B,00100,0300,HOME OFFICE COST 5010,A81000B,00400,0300,HOME OFFICE COST 5010,A81000B,00500,0300,HOME OFFICE COST 5010,A81000B,00600,0300,HOME OFFICE COST 5010,A81000B,00800,0300,HOME OFFICE COST 5010,A81000C,00100,0100,B 5010,A81000C,00100,0200,BEVERLY ENTERPR 5010,B100000,00000,0100,00000(SQUARE FEET) 5010,B100000,00000,0200,00000(SQUARE FEET) 5010,B100000,00000,0300,00000(ADJUSTED SALARIES) 5010,B100000,00000,0400,00000(ACCUM. COST) 5010,B100000,00000,0500,00000(SQUARE FEET) 5010,B100000,00000,0600,00000(PATIENT DAYS) 5010,B100000,00000,0700,00000(SQUARE FEET) 5010,B100000,00000,0800,00000(MEALS SERVED) 5010,B100000,00000,0900,00000(ADJUSTED SALARIES) 5010,B100000,00000,1000,00000(PATIENT DAYS) 5010,B100000,00000,1100,00000(COSTED REQUIS) 5010,B100000,00000,1200,00000(TOTAL CHARGES) 5010,B100000,00000,1300,00000(PATIENT DAYS) 5010,B100000,00000,1301,00000(PATIENT DAYS) 5010,B100000,00000,1400,00000(ASSIGNED TIME) 5010,E10A180,00350,0100,01/27/1999 5010,E10A180,00351,0100,06/14/1999 5010,E10A180,00352,0100,10/08/1999 5010,E10A180,00353,0100,12/09/1999 5010,E10A180,00354,0100,02/14/2000 5010,S000000,00100,0200,06/02/2000 5010,S200000,00100,0100,4650 HOEN AVENUE 5010,S200000,00200,0100,SANTA ROSA 5010,S200000,00200,0200,CA 5010,S200000,00200,0300,95405 5010,S200000,00300,0100,SONOMA 5010,S200000,00400,0100,LONDON HOUSE CONV HOSP (564) 5010,S200000,00400,0200,055854 5010,S200000,00400,0300,01/01/1982 5010,S200000,00400,0500,P 5010,S200000,00600,0200,055854 5010,S200000,00600,0300,01/01/1982 5010,S200000,00600,0600,P 5010,S200000,01600,0100,Y 5015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5015,A000000,00300,0000,00300EMPLOYEE BENEFITS 5015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5015,A000000,00700,0000,00700HOUSEKEEPING 5015,A000000,00800,0000,00800DIETARY 5015,A000000,00900,0000,00900NURSING ADMINISTRATION 5015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5015,A000000,01100,0000,01100PHARMACY 5015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5015,A000000,01300,0000,01300SOCIAL SERVICE 5015,A000000,01301,0000,01301ACTIVITIES 5015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5015,A000000,01600,0000,01600SKILLED NURSING FACILITY 5015,A000000,01800,0000,01800NURSING FACILITY 5015,A000000,01810,0000,01810ICF/MR 5015,A000000,02100,0000,02100RADIOLOGY 5015,A000000,02200,0000,02200LABORATORY 5015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5015,A000000,02500,0000,02500PHYSICAL THERAPY 5015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5015,A000000,02700,0000,02700SPEECH PATHOLOGY 5015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5015,A000000,03550,0000,03550FQHC 5015,A000000,05000,0000,05000CORF 5015,A000000,05010,0000,05010CMHC 5015,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5015,A000000,06150,0000,06300OTHER NON REIMBURSABLE 5015,A81000A,00100,0100,Y 5015,A81000B,00100,0300,HOME OFFICE COST 5015,A81000B,00400,0300,HOME OFFICE COST 5015,A81000B,00500,0300,HOME OFFICE COST 5015,A81000B,00600,0300,HOME OFFICE COST 5015,A81000B,00800,0300,HOME OFFICE COST 5015,A81000C,00100,0100,B 5015,A81000C,00100,0200,BEVERLY ENTERPR 5015,B100000,00000,0100,00000(SQUARE FEET) 5015,B100000,00000,0200,00000(SQUARE FEET) 5015,B100000,00000,0300,00000(ADJUSTED SALARIES) 5015,B100000,00000,0400,00000(ACCUM. COST) 5015,B100000,00000,0500,00000(SQUARE FEET) 5015,B100000,00000,0600,00000(PATIENT DAYS) 5015,B100000,00000,0700,00000(SQUARE FEET) 5015,B100000,00000,0800,00000(MEALS SERVED) 5015,B100000,00000,0900,00000(ADJUSTED SALARIES) 5015,B100000,00000,1000,00000(PATIENT DAYS) 5015,B100000,00000,1100,00000(COSTED REQUIS) 5015,B100000,00000,1200,00000(TOTAL CHARGES) 5015,B100000,00000,1300,00000(PATIENT DAYS) 5015,B100000,00000,1301,00000(PATIENT DAYS) 5015,B100000,00000,1400,00000(ASSIGNED TIME) 5015,E10A180,00301,0100,06/14/1999 5015,E10A180,00302,0100,10/08/1999 5015,E10A180,00303,0100,02/14/2000 5015,E10A180,00350,0100,01/27/1999 5015,E10A180,00351,0100,12/09/1999 5015,S000000,00100,0200,06/02/2000 5015,S200000,00100,0100,144 F STREET 5015,S200000,00200,0100,GALT 5015,S200000,00200,0200,CA 5015,S200000,00200,0300,95632 5015,S200000,00300,0100,SACRAMENTO 5015,S200000,00400,0100,ROYAL OAKS CONV HOSP (542) 5015,S200000,00400,0200,055858 5015,S200000,00400,0300,07/01/1967 5015,S200000,00400,0500,P 5015,S200000,00600,0200,055858 5015,S200000,00600,0300,07/01/1967 5015,S200000,00600,0600,P 5015,S200000,01600,0100,Y 5023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5023,A000000,00300,0000,00300EMPLOYEE BENEFITS 5023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5023,A000000,00700,0000,00700HOUSEKEEPING 5023,A000000,00800,0000,00800DIETARY 5023,A000000,00900,0000,00900NURSING ADMINISTRATION 5023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5023,A000000,01100,0000,01100PHARMACY 5023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5023,A000000,01300,0000,01300SOCIAL SERVICE 5023,A000000,01301,0000,01301ACTIVITIES 5023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5023,A000000,01600,0000,01600SKILLED NURSING FACILITY 5023,A000000,01800,0000,01800NURSING FACILITY 5023,A000000,01810,0000,01810ICF/MR 5023,A000000,02100,0000,02100RADIOLOGY 5023,A000000,02200,0000,02200LABORATORY 5023,A000000,02500,0000,02500PHYSICAL THERAPY 5023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5023,A000000,02700,0000,02700SPEECH PATHOLOGY 5023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5023,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5023,A000000,03550,0000,03550FQHC 5023,A000000,05000,0000,05000CORF 5023,A000000,05010,0000,05010CMHC 5023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5023,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5023,A81000A,00100,0100,Y 5023,A81000B,00100,0300,HOME OFFICE COST 5023,A81000B,00400,0300,HOME OFFICE COST 5023,A81000B,00500,0300,HOME OFFICE COST 5023,A81000B,00600,0300,HOME OFFICE COST 5023,A81000B,00800,0300,HOME OFFICE COST 5023,A81000C,00100,0100,B 5023,A81000C,00100,0200,BEVERLY ENTERPR 5023,B100000,00000,0100,00000(SQUARE FEET) 5023,B100000,00000,0200,00000(SQUARE FEET) 5023,B100000,00000,0300,00000(ADJUSTED SALARIES) 5023,B100000,00000,0400,00000(ACCUM. COST) 5023,B100000,00000,0500,00000(SQUARE FEET) 5023,B100000,00000,0600,00000(PATIENT DAYS) 5023,B100000,00000,0700,00000(SQUARE FEET) 5023,B100000,00000,0800,00000(MEALS SERVED) 5023,B100000,00000,0900,00000(ADJUSTED SALARIES) 5023,B100000,00000,1000,00000(PATIENT DAYS) 5023,B100000,00000,1100,00000(COSTED REQUIS) 5023,B100000,00000,1200,00000(TOTAL CHARGES) 5023,B100000,00000,1300,00000(PATIENT DAYS) 5023,B100000,00000,1301,00000(PATIENT DAYS) 5023,B100000,00000,1400,00000(ASSIGNED TIME) 5023,E10A180,00350,0100,01/27/1999 5023,E10A180,00351,0100,06/14/1999 5023,E10A180,00352,0100,10/08/1999 5023,E10A180,00353,0100,12/09/1999 5023,E10A180,00354,0100,02/14/2000 5023,S000000,00100,0200,06/02/2000 5023,S200000,00100,0100,515 EAST ORANGEBURG AVE. 5023,S200000,00200,0100,MODESTO 5023,S200000,00200,0200,CA 5023,S200000,00200,0300,95350 5023,S200000,00300,0100,STANISLAUS 5023,S200000,00400,0100,MODESTO CONV HOSP (549) 5023,S200000,00400,0200,055869 5023,S200000,00400,0300,01/01/1982 5023,S200000,00400,0500,P 5023,S200000,00600,0200,055869 5023,S200000,00600,0300,01/01/1982 5023,S200000,00600,0600,P 5023,S200000,01600,0100,Y 5053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5053,A000000,00300,0000,00300EMPLOYEE BENEFITS 5053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5053,A000000,00700,0000,00700HOUSEKEEPING 5053,A000000,00800,0000,00800DIETARY 5053,A000000,00900,0000,00900NURSING ADMINISTRATION 5053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5053,A000000,01100,0000,01100PHARMACY 5053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5053,A000000,01300,0000,01300SOCIAL SERVICE 5053,A000000,01301,0000,01301ACTIVITIES 5053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5053,A000000,01600,0000,01600SKILLED NURSING FACILITY 5053,A000000,01800,0000,01800NURSING FACILITY 5053,A000000,01810,0000,01810ICF/MR 5053,A000000,02100,0000,02100RADIOLOGY 5053,A000000,02200,0000,02200LABORATORY 5053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5053,A000000,02500,0000,02500PHYSICAL THERAPY 5053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5053,A000000,02700,0000,02700SPEECH PATHOLOGY 5053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5053,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5053,A000000,03550,0000,03550FQHC 5053,A000000,05000,0000,05000CORF 5053,A000000,05010,0000,05010CMHC 5053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5053,A000000,06150,0000,06300OTHER NON REIMBURSABLE 5053,A81000A,00100,0100,Y 5053,A81000B,00100,0300,HOME OFFICE COST 5053,A81000B,00400,0300,HOME OFFICE COST 5053,A81000B,00500,0300,HOME OFFICE COST 5053,A81000B,00600,0300,HOME OFFICE COST 5053,A81000B,00800,0300,HOME OFFICE COST 5053,A81000C,00100,0100,B 5053,A81000C,00100,0200,BEVERLY ENTERPR 5053,B100000,00000,0100,00000(SQUARE FEET) 5053,B100000,00000,0200,00000(SQUARE FEET) 5053,B100000,00000,0300,00000(ADJUSTED SALARIES) 5053,B100000,00000,0400,00000(ACCUM. COST) 5053,B100000,00000,0500,00000(SQUARE FEET) 5053,B100000,00000,0600,00000(PATIENT DAYS) 5053,B100000,00000,0700,00000(SQUARE FEET) 5053,B100000,00000,0800,00000(MEALS SERVED) 5053,B100000,00000,0900,00000(ADJUSTED SALARIES) 5053,B100000,00000,1000,00000(PATIENT DAYS) 5053,B100000,00000,1100,00000(COSTED REQUIS) 5053,B100000,00000,1200,00000(TOTAL CHARGES) 5053,B100000,00000,1300,00000(PATIENT DAYS) 5053,B100000,00000,1301,00000(PATIENT DAYS) 5053,B100000,00000,1400,00000(ASSIGNED TIME) 5053,E10A180,00301,0100,01/27/1999 5053,E10A180,00302,0100,12/09/1999 5053,E10A180,00350,0100,06/14/1999 5053,E10A180,00351,0100,10/08/1999 5053,E10A180,00352,0100,02/14/2000 5053,S000000,00100,0200,06/02/2000 5053,S200000,00100,0100,5696 LAKE MURRAY BLVD 5053,S200000,00200,0100,LA MESA 5053,S200000,00200,0200,CA 5053,S200000,00200,0300,91942 5053,S200000,00300,0100,SAN DIEGO 5053,S200000,00400,0100,BEVERLY MANOR-LA MESA (614) 5053,S200000,00400,0200,055910 5053,S200000,00400,0300,04/01/1968 5053,S200000,00400,0500,P 5053,S200000,00600,0200,055910 5053,S200000,00600,0300,04/01/1968 5053,S200000,00600,0600,P 5053,S200000,01600,0100,Y 5100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5100,A000000,00300,0000,00300EMPLOYEE BENEFITS 5100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5100,A000000,00700,0000,00700HOUSEKEEPING 5100,A000000,00800,0000,00800DIETARY 5100,A000000,00900,0000,00900NURSING ADMINISTRATION 5100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5100,A000000,01100,0000,01100PHARMACY 5100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5100,A000000,01300,0000,01300SOCIAL SERVICE 5100,A000000,01301,0000,01301ACTIVITIES 5100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5100,A000000,01600,0000,01600SKILLED NURSING FACILITY 5100,A000000,01800,0000,01800NURSING FACILITY 5100,A000000,01810,0000,01810ICF/MR 5100,A000000,02100,0000,02100RADIOLOGY 5100,A000000,02200,0000,02200LABORATORY 5100,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5100,A000000,02500,0000,02500PHYSICAL THERAPY 5100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5100,A000000,02700,0000,02700SPEECH PATHOLOGY 5100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5100,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5100,A000000,03550,0000,03550FQHC 5100,A000000,05000,0000,05000CORF 5100,A000000,05010,0000,05010CMHC 5100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5100,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5100,A81000A,00100,0100,Y 5100,A81000B,00100,0300,HOME OFFICE COST 5100,A81000B,00400,0300,HOME OFFICE COST 5100,A81000B,00500,0300,HOME OFFICE COST 5100,A81000B,00600,0300,HOME OFFICE COST 5100,A81000B,00800,0300,HOME OFFICE COST 5100,A81000C,00100,0100,B 5100,A81000C,00100,0200,BEVERLY ENTERPR 5100,B100000,00000,0100,00000(SQUARE FEET) 5100,B100000,00000,0200,00000(SQUARE FEET) 5100,B100000,00000,0300,00000(ADJUSTED SALARIES) 5100,B100000,00000,0400,00000(ACCUM. COST) 5100,B100000,00000,0500,00000(SQUARE FEET) 5100,B100000,00000,0600,00000(PATIENT DAYS) 5100,B100000,00000,0700,00000(SQUARE FEET) 5100,B100000,00000,0800,00000(MEALS SERVED) 5100,B100000,00000,0900,00000(ADJUSTED SALARIES) 5100,B100000,00000,1000,00000(PATIENT DAYS) 5100,B100000,00000,1100,00000(COSTED REQUIS) 5100,B100000,00000,1200,00000(TOTAL CHARGES) 5100,B100000,00000,1300,00000(PATIENT DAYS) 5100,B100000,00000,1301,00000(PATIENT DAYS) 5100,B100000,00000,1400,00000(ASSIGNED TIME) 5100,E10A180,00301,0100,01/27/1999 5100,E10A180,00302,0100,12/09/1999 5100,E10A180,00350,0100,06/14/1999 5100,E10A180,00351,0100,10/08/1999 5100,E10A180,00352,0100,02/14/2000 5100,S000000,00100,0200,06/02/2000 5100,S200000,00100,0100,3169 M STREET 5100,S200000,00200,0100,MERCED 5100,S200000,00200,0200,CA 5100,S200000,00200,0300,95340 5100,S200000,00300,0100,MERCED 5100,S200000,00400,0100,FRANCISCAN CONV HOSP (546) 5100,S200000,00400,0200,055979 5100,S200000,00400,0300,01/01/1967 5100,S200000,00400,0500,P 5100,S200000,00600,0200,055979 5100,S200000,00600,0300,01/01/1967 5100,S200000,00600,0600,P 5100,S200000,01600,0100,Y 5111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5111,A000000,00300,0000,00300EMPLOYEE BENEFITS 5111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5111,A000000,00700,0000,00700HOUSEKEEPING 5111,A000000,00800,0000,00800DIETARY 5111,A000000,00900,0000,00900NURSING ADMINISTRATION 5111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5111,A000000,01100,0000,01100PHARMACY 5111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5111,A000000,01300,0000,01300SOCIAL SERVICE 5111,A000000,01301,0000,01301ACTIVITIES 5111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5111,A000000,01600,0000,01600SKILLED NURSING FACILITY 5111,A000000,01800,0000,01800NURSING FACILITY 5111,A000000,01810,0000,01810ICF/MR 5111,A000000,01900,0000,01900OTHER LONG TERM CARE 5111,A000000,02100,0000,02100RADIOLOGY 5111,A000000,02200,0000,02200LABORATORY 5111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5111,A000000,02500,0000,02500PHYSICAL THERAPY 5111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5111,A000000,02700,0000,02700SPEECH PATHOLOGY 5111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5111,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5111,A000000,03550,0000,03550FQHC 5111,A000000,05000,0000,05000CORF 5111,A000000,05010,0000,05010CMHC 5111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 5111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5111,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5111,A81000A,00100,0100,Y 5111,A81000B,00100,0300,HOME OFFICE COST 5111,A81000B,00400,0300,HOME OFFICE COST 5111,A81000B,00500,0300,HOME OFFICE COST 5111,A81000B,00600,0300,HOME OFFICE COST 5111,A81000B,00800,0300,HOME OFFICE COST 5111,A81000C,00100,0100,B 5111,A81000C,00100,0200,BEVERLY ENTERPR 5111,B100000,00000,0100,00000(SQUARE FEET) 5111,B100000,00000,0200,00000(SQUARE FEET) 5111,B100000,00000,0300,00000(ADJUSTED SALARIES) 5111,B100000,00000,0400,00000(ACCUM. COST) 5111,B100000,00000,0500,00000(SQUARE FEET) 5111,B100000,00000,0600,00000(PATIENT DAYS) 5111,B100000,00000,0700,00000(SQUARE FEET) 5111,B100000,00000,0800,00000(MEALS SERVED) 5111,B100000,00000,0900,00000(ADJUSTED SALARIES) 5111,B100000,00000,1000,00000(PATIENT DAYS) 5111,B100000,00000,1100,00000(COSTED REQUIS) 5111,B100000,00000,1200,00000(TOTAL CHARGES) 5111,B100000,00000,1300,00000(PATIENT DAYS) 5111,B100000,00000,1301,00000(PATIENT DAYS) 5111,B100000,00000,1400,00000(ASSIGNED TIME) 5111,E10A180,00301,0100,01/27/1999 5111,E10A180,00350,0100,06/14/1999 5111,E10A180,00351,0100,10/08/1999 5111,E10A180,00352,0100,12/09/1999 5111,E10A180,00353,0100,02/14/2000 5111,S000000,00100,0200,06/02/2000 5111,S200000,00100,0100,3170 M STREET 5111,S200000,00200,0100,MERCED 5111,S200000,00200,0200,CA 5111,S200000,00200,0300,95340 5111,S200000,00300,0100,MERCED 5111,S200000,00400,0100,HY-LOND CONV HOSP (547) 5111,S200000,00400,0200,055988 5111,S200000,00400,0300,01/01/1967 5111,S200000,00400,0500,P 5111,S200000,00600,0200,055988 5111,S200000,00600,0300,01/01/1967 5111,S200000,00600,0600,P 5111,S200000,01600,0100,Y 5120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5120,A000000,00300,0000,00300EMPLOYEE BENEFITS 5120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5120,A000000,00700,0000,00700HOUSEKEEPING 5120,A000000,00800,0000,00800DIETARY 5120,A000000,00900,0000,00900NURSING ADMINISTRATION 5120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5120,A000000,01100,0000,01100PHARMACY 5120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5120,A000000,01300,0000,01300SOCIAL SERVICE 5120,A000000,01301,0000,01301ACTIVITIES 5120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5120,A000000,01600,0000,01600SKILLED NURSING FACILITY 5120,A000000,01810,0000,01810ICF/MR 5120,A000000,02100,0000,02100RADIOLOGY 5120,A000000,02200,0000,02200LABORATORY 5120,A000000,02500,0000,02500PHYSICAL THERAPY 5120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5120,A000000,02700,0000,02700SPEECH PATHOLOGY 5120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5120,A000000,03550,0000,03550FQHC 5120,A000000,05000,0000,05000CORF 5120,A000000,05010,0000,05010CMHC 5120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5120,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5120,A81000A,00100,0100,Y 5120,A81000B,00100,0300,HOME OFFICE COST 5120,A81000B,00400,0300,HOME OFFICE COST 5120,A81000B,00500,0300,HOME OFFICE COST 5120,A81000B,00600,0300,HOME OFFICE COST 5120,A81000B,00800,0300,HOME OFFICE COST 5120,A81000C,00100,0100,B 5120,A81000C,00100,0200,BEVERLY ENTERPR 5120,B100000,00000,0100,00000(SQUARE FEET) 5120,B100000,00000,0200,00000(SQUARE FEET) 5120,B100000,00000,0300,00000(ADJUSTED SALARIES) 5120,B100000,00000,0400,00000(ACCUM. COST) 5120,B100000,00000,0500,00000(SQUARE FEET) 5120,B100000,00000,0600,00000(PATIENT DAYS) 5120,B100000,00000,0700,00000(SQUARE FEET) 5120,B100000,00000,0800,00000(MEALS SERVED) 5120,B100000,00000,0900,00000(ADJUSTED SALARIES) 5120,B100000,00000,1000,00000(PATIENT DAYS) 5120,B100000,00000,1100,00000(COSTED REQUIS) 5120,B100000,00000,1200,00000(TOTAL CHARGES) 5120,B100000,00000,1300,00000(PATIENT DAYS) 5120,B100000,00000,1301,00000(PATIENT DAYS) 5120,B100000,00000,1400,00000(ASSIGNED TIME) 5120,E10A180,00350,0100,01/27/1999 5120,E10A180,00351,0100,06/14/1999 5120,E10A180,00352,0100,10/08/1999 5120,E10A180,00353,0100,12/09/1999 5120,E10A180,00354,0100,02/14/2000 5120,S000000,00100,0200,06/02/2000 5120,S200000,00100,0100,850 SOUTH SUNKIST AVE 5120,S200000,00200,0100,WEST COVINA 5120,S200000,00200,0200,CA 5120,S200000,00200,0300,91790 5120,S200000,00300,0100,LOS ANGELES 5120,S200000,00400,0100,BEVERLY MANOR-W. COVINA (621) 5120,S200000,00400,0200,055992 5120,S200000,00400,0300,01/01/1967 5120,S200000,00400,0500,P 5120,S200000,00600,0200,055992 5120,S200000,00600,0300,01/01/1967 5120,S200000,00600,0600,P 5120,S200000,01600,0100,Y 5123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5123,A000000,00300,0000,00300EMPLOYEE BENEFITS 5123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5123,A000000,00700,0000,00700HOUSEKEEPING 5123,A000000,00800,0000,00800DIETARY 5123,A000000,00900,0000,00900NURSING ADMINISTRATION 5123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5123,A000000,01100,0000,01100PHARMACY 5123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5123,A000000,01300,0000,01300SOCIAL SERVICE 5123,A000000,01301,0000,01301ACTIVITIES 5123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5123,A000000,01600,0000,01600SKILLED NURSING FACILITY 5123,A000000,01800,0000,01800NURSING FACILITY 5123,A000000,01810,0000,01810ICF/MR 5123,A000000,02100,0000,02100RADIOLOGY 5123,A000000,02200,0000,02200LABORATORY 5123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5123,A000000,02500,0000,02500PHYSICAL THERAPY 5123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5123,A000000,02700,0000,02700SPEECH PATHOLOGY 5123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5123,A000000,03550,0000,03550FQHC 5123,A000000,05000,0000,05000CORF 5123,A000000,05010,0000,05010CMHC 5123,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5123,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5123,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5123,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5123,A81000A,00100,0100,Y 5123,A81000B,00100,0300,HOME OFFICE COST 5123,A81000B,00400,0300,HOME OFFICE COST 5123,A81000B,00500,0300,HOME OFFICE COST 5123,A81000B,00600,0300,HOME OFFICE COST 5123,A81000B,00800,0300,HOME OFFICE COST 5123,A81000C,00100,0100,B 5123,A81000C,00100,0200,BEVERLY ENTERPR 5123,B100000,00000,0100,00000(SQUARE FEET) 5123,B100000,00000,0200,00000(SQUARE FEET) 5123,B100000,00000,0300,00000(ADJUSTED SALARIES) 5123,B100000,00000,0400,00000(ACCUM. COST) 5123,B100000,00000,0500,00000(SQUARE FEET) 5123,B100000,00000,0600,00000(PATIENT DAYS) 5123,B100000,00000,0700,00000(SQUARE FEET) 5123,B100000,00000,0800,00000(MEALS SERVED) 5123,B100000,00000,0900,00000(ADJUSTED SALARIES) 5123,B100000,00000,1000,00000(PATIENT DAYS) 5123,B100000,00000,1100,00000(COSTED REQUIS) 5123,B100000,00000,1200,00000(TOTAL CHARGES) 5123,B100000,00000,1300,00000(PATIENT DAYS) 5123,B100000,00000,1301,00000(PATIENT DAYS) 5123,B100000,00000,1400,00000(ASSIGNED TIME) 5123,E10A180,00301,0100,01/27/1999 5123,E10A180,00350,0100,06/14/1999 5123,E10A180,00351,0100,10/08/1999 5123,E10A180,00352,0100,12/09/1999 5123,E10A180,00353,0100,02/14/2000 5123,S000000,00100,0200,06/02/2000 5123,S200000,00100,0100,3408 E SHIELDS AVENUE 5123,S200000,00200,0100,FRESNO 5123,S200000,00200,0200,CA 5123,S200000,00200,0300,93726 5123,S200000,00300,0100,FRESNO 5123,S200000,00400,0100,HY-LOND CONV HOSP (537) 5123,S200000,00400,0200,055996 5123,S200000,00400,0300,01/01/1967 5123,S200000,00400,0500,P 5123,S200000,00600,0200,055996 5123,S200000,00600,0300,01/01/1967 5123,S200000,00600,0600,P 5123,S200000,01600,0100,Y 5143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5143,A000000,00300,0000,00300EMPLOYEE BENEFITS 5143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5143,A000000,00700,0000,00700HOUSEKEEPING 5143,A000000,00800,0000,00800DIETARY 5143,A000000,00900,0000,00900NURSING ADMINISTRATION 5143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5143,A000000,01100,0000,01100PHARMACY 5143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5143,A000000,01300,0000,01300SOCIAL SERVICE 5143,A000000,01301,0000,01301ACTIVITIES 5143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5143,A000000,01600,0000,01600SKILLED NURSING FACILITY 5143,A000000,01800,0000,01800NURSING FACILITY 5143,A000000,01810,0000,01810ICF/MR 5143,A000000,02100,0000,02100RADIOLOGY 5143,A000000,02200,0000,02200LABORATORY 5143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5143,A000000,02500,0000,02500PHYSICAL THERAPY 5143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5143,A000000,02700,0000,02700SPEECH PATHOLOGY 5143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5143,A000000,03550,0000,03550FQHC 5143,A000000,05000,0000,05000CORF 5143,A000000,05010,0000,05010CMHC 5143,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5143,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5143,A81000A,00100,0100,Y 5143,A81000B,00100,0300,HOME OFFICE COST 5143,A81000B,00400,0300,HOME OFFICE COST 5143,A81000B,00500,0300,HOME OFFICE COST 5143,A81000B,00600,0300,HOME OFFICE COST 5143,A81000B,00800,0300,HOME OFFICE COST 5143,A81000C,00100,0100,B 5143,A81000C,00100,0200,BEVERLY ENTERPR 5143,B100000,00000,0100,00000(SQUARE FEET) 5143,B100000,00000,0200,00000(SQUARE FEET) 5143,B100000,00000,0300,00000(ADJUSTED SALARIES) 5143,B100000,00000,0400,00000(ACCUM. COST) 5143,B100000,00000,0500,00000(SQUARE FEET) 5143,B100000,00000,0600,00000(PATIENT DAYS) 5143,B100000,00000,0700,00000(SQUARE FEET) 5143,B100000,00000,0800,00000(MEALS SERVED) 5143,B100000,00000,0900,00000(ADJUSTED SALARIES) 5143,B100000,00000,1000,00000(PATIENT DAYS) 5143,B100000,00000,1100,00000(COSTED REQUIS) 5143,B100000,00000,1200,00000(TOTAL CHARGES) 5143,B100000,00000,1300,00000(PATIENT DAYS) 5143,B100000,00000,1301,00000(PATIENT DAYS) 5143,B100000,00000,1400,00000(ASSIGNED TIME) 5143,E10A180,00301,0100,01/27/1999 5143,E10A180,00302,0100,06/14/1999 5143,E10A180,00303,0100,10/08/1999 5143,E10A180,00304,0100,02/14/2000 5143,E10A180,00350,0100,12/09/1999 5143,S000000,00100,0200,06/02/2000 5143,S200000,00100,0100,3000 BEVERLY MANOR RD 5143,S200000,00200,0100,SEAL BEACH 5143,S200000,00200,0200,CA 5143,S200000,00200,0300,90740 5143,S200000,00300,0100,ORANGE 5143,S200000,00400,0100,BEVERLY MANOR-SEAL BEACH (630) 5143,S200000,00400,0200,056010 5143,S200000,00400,0300,01/01/1967 5143,S200000,00400,0500,P 5143,S200000,00600,0200,056010 5143,S200000,00600,0300,01/01/1967 5143,S200000,00600,0600,P 5143,S200000,01600,0100,Y 5174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5174,A000000,00300,0000,00300EMPLOYEE BENEFITS 5174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5174,A000000,00700,0000,00700HOUSEKEEPING 5174,A000000,00800,0000,00800DIETARY 5174,A000000,00900,0000,00900NURSING ADMINISTRATION 5174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5174,A000000,01100,0000,01100PHARMACY 5174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5174,A000000,01300,0000,01300SOCIAL SERVICE 5174,A000000,01301,0000,01301ACTIVITIES 5174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5174,A000000,01600,0000,01600SKILLED NURSING FACILITY 5174,A000000,01800,0000,01800NURSING FACILITY 5174,A000000,01810,0000,01810ICF/MR 5174,A000000,02100,0000,02100RADIOLOGY 5174,A000000,02200,0000,02200LABORATORY 5174,A000000,02500,0000,02500PHYSICAL THERAPY 5174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5174,A000000,02700,0000,02700SPEECH PATHOLOGY 5174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5174,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5174,A000000,03550,0000,03550FQHC 5174,A000000,05000,0000,05000CORF 5174,A000000,05010,0000,05010CMHC 5174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5174,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5174,A81000A,00100,0100,Y 5174,A81000B,00100,0300,HOME OFFICE COST 5174,A81000B,00400,0300,HOME OFFICE COST 5174,A81000B,00500,0300,HOME OFFICE COST 5174,A81000B,00600,0300,HOME OFFICE COST 5174,A81000B,00800,0300,HOME OFFICE COST 5174,A81000C,00100,0100,B 5174,A81000C,00100,0200,BEVERLY ENTERPR 5174,B100000,00000,0100,00000(SQUARE FEET) 5174,B100000,00000,0200,00000(SQUARE FEET) 5174,B100000,00000,0300,00000(ADJUSTED SALARIES) 5174,B100000,00000,0400,00000(ACCUM. COST) 5174,B100000,00000,0500,00000(SQUARE FEET) 5174,B100000,00000,0600,00000(PATIENT DAYS) 5174,B100000,00000,0700,00000(SQUARE FEET) 5174,B100000,00000,0800,00000(MEALS SERVED) 5174,B100000,00000,0900,00000(ADJUSTED SALARIES) 5174,B100000,00000,1000,00000(PATIENT DAYS) 5174,B100000,00000,1100,00000(COSTED REQUIS) 5174,B100000,00000,1200,00000(TOTAL CHARGES) 5174,B100000,00000,1300,00000(PATIENT DAYS) 5174,B100000,00000,1301,00000(PATIENT DAYS) 5174,B100000,00000,1400,00000(ASSIGNED TIME) 5174,E10A180,00301,0100,01/27/1999 5174,E10A180,00350,0100,06/14/1999 5174,E10A180,00351,0100,10/08/1999 5174,E10A180,00352,0100,12/09/1999 5174,E10A180,00353,0100,02/14/1999 5174,S000000,00100,0200,06/02/2000 5174,S200000,00100,0100,140 E TULARE AVENUE 5174,S200000,00200,0100,SHAFTER 5174,S200000,00200,0200,CA 5174,S200000,00200,0300,93262 5174,S200000,00300,0100,KERN 5174,S200000,00400,0100,SHAFTER CONV HOSP (566) 5174,S200000,00400,0200,056035 5174,S200000,00400,0300,01/01/1982 5174,S200000,00400,0500,P 5174,S200000,00600,0200,056035 5174,S200000,00600,0300,01/01/1982 5174,S200000,00600,0600,P 5174,S200000,01600,0100,Y 5183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5183,A000000,00300,0000,00300EMPLOYEE BENEFITS 5183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5183,A000000,00700,0000,00700HOUSEKEEPING 5183,A000000,00800,0000,00800DIETARY 5183,A000000,00900,0000,00900NURSING ADMINISTRATION 5183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5183,A000000,01100,0000,01100PHARMACY 5183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5183,A000000,01300,0000,01300SOCIAL SERVICE 5183,A000000,01301,0000,01301ACTIVITIES 5183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5183,A000000,01600,0000,01600SKILLED NURSING FACILITY 5183,A000000,01800,0000,01800NURSING FACILITY 5183,A000000,01810,0000,01810ICF/MR 5183,A000000,02100,0000,02100RADIOLOGY 5183,A000000,02200,0000,02200LABORATORY 5183,A000000,02500,0000,02500PHYSICAL THERAPY 5183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5183,A000000,02700,0000,02700SPEECH PATHOLOGY 5183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5183,A000000,03550,0000,03550FQHC 5183,A000000,05000,0000,05000CORF 5183,A000000,05010,0000,05010CMHC 5183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5183,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5183,A81000A,00100,0100,Y 5183,A81000B,00100,0300,HOME OFFICE COST 5183,A81000B,00500,0300,HOME OFFICE COST 5183,A81000B,00600,0300,HOME OFFICE COST 5183,A81000B,00700,0300,HOME OFFICE COST 5183,A81000C,00100,0100,B 5183,A81000C,00100,0200,BEVERLY ENTERPR 5183,B100000,00000,0100,00000(SQUARE FEET) 5183,B100000,00000,0200,00000(SQUARE FEET) 5183,B100000,00000,0300,00000(ADJUSTED SALARIES) 5183,B100000,00000,0400,00000(ACCUM. COST) 5183,B100000,00000,0500,00000(SQUARE FEET) 5183,B100000,00000,0600,00000(PATIENT DAYS) 5183,B100000,00000,0700,00000(SQUARE FEET) 5183,B100000,00000,0800,00000(MEALS SERVED) 5183,B100000,00000,0900,00000(ADJUSTED SALARIES) 5183,B100000,00000,1000,00000(PATIENT DAYS) 5183,B100000,00000,1100,00000(COSTED REQUIS) 5183,B100000,00000,1200,00000(TOTAL CHARGES) 5183,B100000,00000,1300,00000(PATIENT DAYS) 5183,B100000,00000,1301,00000(PATIENT DAYS) 5183,B100000,00000,1400,00000(ASSIGNED TIME) 5183,E10A180,00350,0100,06/14/1999 5183,E10A180,00351,0100,10/08/1999 5183,E10A180,00352,0100,12/09/1999 5183,E10A180,00353,0100,02/14/2000 5183,E10A180,00354,0100,05/26/2000 5183,S000000,00100,0200,07/06/2000 5183,S200000,00100,0100,421 EAST MISSION AVE 5183,S200000,00200,0100,ESCONDIDO 5183,S200000,00200,0200,CA 5183,S200000,00200,0300,92025 5183,S200000,00300,0100,SAN DIEGO 5183,S200000,00400,0100,BEVERLY MANOR-ESCONDIDO (626) 5183,S200000,00400,0200,056040 5183,S200000,00400,0300,01/01/1967 5183,S200000,00400,0500,P 5183,S200000,00600,0200,056040 5183,S200000,00600,0300,01/01/1967 5183,S200000,00600,0600,P 5183,S200000,01600,0100,Y 5197,S000000,00100,0200,11/02/1999 5201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5201,A000000,00300,0000,00300EMPLOYEE BENEFITS 5201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5201,A000000,00700,0000,00700HOUSEKEEPING 5201,A000000,00800,0000,00800DIETARY 5201,A000000,00900,0000,00900NURSING ADMINISTRATION 5201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5201,A000000,01100,0000,01100PHARMACY 5201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5201,A000000,01300,0000,01300SOCIAL SERVICE 5201,A000000,01301,0000,01301ACTIVITIES 5201,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5201,A000000,01600,0000,01600SKILLED NURSING FACILITY 5201,A000000,01800,0000,01800NURSING FACILITY 5201,A000000,01810,0000,01810ICF/MR 5201,A000000,02100,0000,02100RADIOLOGY 5201,A000000,02200,0000,02200LABORATORY 5201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5201,A000000,02500,0000,02500PHYSICAL THERAPY 5201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5201,A000000,02700,0000,02700SPEECH PATHOLOGY 5201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5201,A000000,03550,0000,03550FQHC 5201,A000000,05000,0000,05000CORF 5201,A000000,05010,0000,05010CMHC 5201,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5201,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5201,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5201,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5201,A81000A,00100,0100,Y 5201,A81000B,00100,0300,HOME OFFICE COST 5201,A81000B,00400,0300,HOME OFFICE COST 5201,A81000B,00500,0300,HOME OFFICE COST 5201,A81000B,00600,0300,HOME OFFICE COST 5201,A81000B,00800,0300,HOME OFFICE COST 5201,A81000C,00100,0100,B 5201,A81000C,00100,0200,BEVERLY ENTERPR 5201,B100000,00000,0100,00000(SQUARE FEET) 5201,B100000,00000,0200,00000(SQUARE FEET) 5201,B100000,00000,0300,00000(ADJUSTED SALARIES) 5201,B100000,00000,0400,00000(ACCUM. COST) 5201,B100000,00000,0500,00000(SQUARE FEET) 5201,B100000,00000,0600,00000(PATIENT DAYS) 5201,B100000,00000,0700,00000(SQUARE FEET) 5201,B100000,00000,0800,00000(MEALS SERVED) 5201,B100000,00000,0900,00000(ADJUSTED SALARIES) 5201,B100000,00000,1000,00000(PATIENT DAYS) 5201,B100000,00000,1100,00000(COSTED REQUIS) 5201,B100000,00000,1200,00000(TOTAL CHARGES) 5201,B100000,00000,1300,00000(PATIENT DAYS) 5201,B100000,00000,1301,00000(PATIENT DAYS) 5201,B100000,00000,1400,00000(ASSIGNED TIME) 5201,E10A180,00301,0100,01/27/1999 5201,E10A180,00302,0100,06/14/1999 5201,E10A180,00303,0100,10/08/1999 5201,E10A180,00304,0100,02/14/2000 5201,E10A180,00350,0100,12/09/1999 5201,S000000,00100,0200,06/02/2000 5201,S200000,00100,0100,23795 HOLMAN HIGHWAY 5201,S200000,00200,0100,MONTEREY 5201,S200000,00200,0200,CA 5201,S200000,00200,0300,93940 5201,S200000,00300,0100,MONTEREY 5201,S200000,00400,0100,MONTEREY HEALTH CARE (629) 5201,S200000,00400,0200,056055 5201,S200000,00400,0300,01/01/1982 5201,S200000,00400,0500,P 5201,S200000,00600,0200,056055 5201,S200000,00600,0300,01/01/1982 5201,S200000,00600,0600,P 5201,S200000,01600,0100,Y 5271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5271,A000000,00300,0000,00300EMPLOYEE BENEFITS 5271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5271,A000000,00700,0000,00700HOUSEKEEPING 5271,A000000,00800,0000,00800DIETARY 5271,A000000,00900,0000,00900NURSING ADMINISTRATION 5271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5271,A000000,01100,0000,01100PHARMACY 5271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5271,A000000,01300,0000,01300SOCIAL SERVICE 5271,A000000,01301,0000,01301ACTIVITIES 5271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5271,A000000,01600,0000,01600SKILLED NURSING FACILITY 5271,A000000,01800,0000,01800NURSING FACILITY 5271,A000000,01810,0000,01810ICF/MR 5271,A000000,02100,0000,02100RADIOLOGY 5271,A000000,02200,0000,02200LABORATORY 5271,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5271,A000000,02500,0000,02500PHYSICAL THERAPY 5271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5271,A000000,02700,0000,02700SPEECH PATHOLOGY 5271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5271,A000000,03550,0000,03550FQHC 5271,A000000,05000,0000,05000CORF 5271,A000000,05010,0000,05010CMHC 5271,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5271,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5271,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5271,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5271,A81000A,00100,0100,Y 5271,A81000B,00100,0300,HOME OFFICE COST 5271,A81000B,00400,0300,HOME OFFICE COST 5271,A81000B,00500,0300,HOME OFFICE COST 5271,A81000B,00600,0300,HOME OFFICE COST 5271,A81000B,00800,0300,HOME OFFICE COST 5271,A81000C,00100,0100,B 5271,A81000C,00100,0200,BEVERLY ENTERPR 5271,B100000,00000,0100,00000(SQUARE FEET) 5271,B100000,00000,0200,00000(SQUARE FEET) 5271,B100000,00000,0300,00000(ADJUSTED SALARIES) 5271,B100000,00000,0400,00000(ACCUM. COST) 5271,B100000,00000,0500,00000(SQUARE FEET) 5271,B100000,00000,0600,00000(PATIENT DAYS) 5271,B100000,00000,0700,00000(SQUARE FEET) 5271,B100000,00000,0800,00000(MEALS SERVED) 5271,B100000,00000,0900,00000(ADJUSTED SALARIES) 5271,B100000,00000,1000,00000(PATIENT DAYS) 5271,B100000,00000,1100,00000(COSTED REQUIS) 5271,B100000,00000,1200,00000(TOTAL CHARGES) 5271,B100000,00000,1300,00000(PATIENT DAYS) 5271,B100000,00000,1301,00000(PATIENT DAYS) 5271,B100000,00000,1400,00000(ASSIGNED TIME) 5271,E10A180,00301,0100,01/27/1999 5271,E10A180,00302,0100,06/14/1999 5271,E10A180,00303,0100,02/14/2000 5271,E10A180,00350,0100,10/08/1999 5271,E10A180,00351,0100,12/09/1999 5271,S000000,00100,0200,06/02/2000 5271,S200000,00100,0100,2530 9TH STREET 5271,S200000,00200,0100,SANGER 5271,S200000,00200,0200,CA 5271,S200000,00200,0300,93657 5271,S200000,00300,0100,FRESNO 5271,S200000,00400,0100,SANGER CONV HOSP (559) 5271,S200000,00400,0200,056100 5271,S200000,00400,0300,01/01/1967 5271,S200000,00400,0500,P 5271,S200000,00600,0200,056100 5271,S200000,00600,0300,01/01/1967 5271,S200000,01600,0100,Y 5278,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5278,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5278,A000000,00300,0000,00300EMPLOYEE BENEFITS 5278,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5278,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5278,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5278,A000000,00700,0000,00700HOUSEKEEPING 5278,A000000,00800,0000,00800DIETARY 5278,A000000,00900,0000,00900NURSING ADMINISTRATION 5278,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5278,A000000,01100,0000,01100PHARMACY 5278,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5278,A000000,01300,0000,01300SOCIAL SERVICE 5278,A000000,01301,0000,01301ACTIVITIES 5278,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5278,A000000,01600,0000,01600SKILLED NURSING FACILITY 5278,A000000,01800,0000,01800NURSING FACILITY 5278,A000000,01810,0000,01810ICF/MR 5278,A000000,02100,0000,02100RADIOLOGY 5278,A000000,02200,0000,02200LABORATORY 5278,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5278,A000000,02500,0000,02500PHYSICAL THERAPY 5278,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5278,A000000,02700,0000,02700SPEECH PATHOLOGY 5278,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5278,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5278,A000000,03550,0000,03550FQHC 5278,A000000,05000,0000,05000CORF 5278,A000000,05010,0000,05010CMHC 5278,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5278,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5278,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5278,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5278,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5278,A81000A,00100,0100,Y 5278,A81000B,00100,0300,HOME OFFICE COST 5278,A81000B,00400,0300,HOME OFFICE COST 5278,A81000B,00500,0300,HOME OFFICE COST 5278,A81000B,00600,0300,HOME OFFICE COST 5278,A81000B,00800,0300,HOME OFFICE COST 5278,A81000C,00100,0100,B 5278,A81000C,00100,0200,BEVERLY ENTERPR 5278,B100000,00000,0100,00000(SQUARE FEET) 5278,B100000,00000,0200,00000(SQUARE FEET) 5278,B100000,00000,0300,00000(ADJUSTED SALARIES) 5278,B100000,00000,0400,00000(ACCUM. COST) 5278,B100000,00000,0500,00000(SQUARE FEET) 5278,B100000,00000,0600,00000(PATIENT DAYS) 5278,B100000,00000,0700,00000(SQUARE FEET) 5278,B100000,00000,0800,00000(MEALS SERVED) 5278,B100000,00000,0900,00000(ADJUSTED SALARIES) 5278,B100000,00000,1000,00000(PATIENT DAYS) 5278,B100000,00000,1100,00000(COSTED REQUIS) 5278,B100000,00000,1200,00000(TOTAL CHARGES) 5278,B100000,00000,1300,00000(PATIENT DAYS) 5278,B100000,00000,1301,00000(PATIENT DAYS) 5278,B100000,00000,1400,00000(ASSIGNED TIME) 5278,E10A180,00301,0100,01/27/1999 5278,E10A180,00302,0100,10/08/1999 5278,E10A180,00303,0100,02/14/2000 5278,E10A180,00350,0100,06/14/1999 5278,E10A180,00351,0100,12/09/1999 5278,S000000,00100,0200,06/02/2000 5278,S200000,00100,0100,24452 VIA ESTRADA 5278,S200000,00200,0100,LAGUNA HILLS 5278,S200000,00200,0200,CA 5278,S200000,00200,0300,92653 5278,S200000,00300,0100,ORANGE 5278,S200000,00400,0100,BEV MANOR-LAGUNA HILLS (640) 5278,S200000,00400,0200,056110 5278,S200000,00400,0300,01/01/1982 5278,S200000,00400,0500,P 5278,S200000,00600,0200,056110 5278,S200000,00600,0300,01/01/1982 5278,S200000,00600,0600,P 5278,S200000,01600,0100,Y 5315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5315,A000000,00300,0000,00300EMPLOYEE BENEFITS 5315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5315,A000000,00700,0000,00700HOUSEKEEPING 5315,A000000,00800,0000,00800DIETARY 5315,A000000,00900,0000,00900NURSING ADMINISTRATION 5315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5315,A000000,01100,0000,01100PHARMACY 5315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5315,A000000,01300,0000,01300SOCIAL SERVICE 5315,A000000,01301,0000,01301ACTIVITIES 5315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5315,A000000,01600,0000,01600SKILLED NURSING FACILITY 5315,A000000,01800,0000,01800NURSING FACILITY 5315,A000000,01810,0000,01810ICF/MR 5315,A000000,02100,0000,02100RADIOLOGY 5315,A000000,02200,0000,02200LABORATORY 5315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5315,A000000,02500,0000,02500PHYSICAL THERAPY 5315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5315,A000000,02700,0000,02700SPEECH PATHOLOGY 5315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5315,A000000,03550,0000,03550FQHC 5315,A000000,05000,0000,05000CORF 5315,A000000,05010,0000,05010CMHC 5315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5315,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5315,A81000A,00100,0100,Y 5315,A81000B,00100,0300,HOME OFFICE COST 5315,A81000B,00400,0300,HOME OFFICE COST 5315,A81000B,00500,0300,HOME OFFICE COST 5315,A81000B,00600,0300,HOME OFFICE COST 5315,A81000B,00800,0300,HOME OFFICE COST 5315,A81000C,00100,0100,B 5315,A81000C,00100,0200,BEVERLY ENTERPR 5315,B100000,00000,0100,00000(SQUARE FEET) 5315,B100000,00000,0200,00000(SQUARE FEET) 5315,B100000,00000,0300,00000(ADJUSTED SALARIES) 5315,B100000,00000,0400,00000(ACCUM. COST) 5315,B100000,00000,0500,00000(SQUARE FEET) 5315,B100000,00000,0600,00000(PATIENT DAYS) 5315,B100000,00000,0700,00000(SQUARE FEET) 5315,B100000,00000,0800,00000(MEALS SERVED) 5315,B100000,00000,0900,00000(ADJUSTED SALARIES) 5315,B100000,00000,1000,00000(PATIENT DAYS) 5315,B100000,00000,1100,00000(COSTED REQUIS) 5315,B100000,00000,1200,00000(TOTAL CHARGES) 5315,B100000,00000,1300,00000(PATIENT DAYS) 5315,B100000,00000,1301,00000(PATIENT DAYS) 5315,B100000,00000,1400,00000(ASSIGNED TIME) 5315,E10A180,00301,0100,10/08/1999 5315,E10A180,00302,0100,12/09/1999 5315,E10A180,00303,0100,02/14/2000 5315,E10A180,00350,0100,01/27/1999 5315,E10A180,00351,0100,06/14/1999 5315,S000000,00100,0200,06/02/2000 5315,S200000,00100,0100,1041 SOUTH MAIN STREET 5315,S200000,00200,0100,BURBANK 5315,S200000,00200,0200,CA 5315,S200000,00200,0300,91506 5315,S200000,00300,0100,LOS ANGELES 5315,S200000,00400,0100,BEVERLY MANOR-BURBANK (639) 5315,S200000,00400,0200,056129 5315,S200000,00400,0300,01/01/1967 5315,S200000,00400,0500,P 5315,S200000,00600,0200,056129 5315,S200000,00600,0300,01/01/1967 5315,S200000,00600,0600,P 5315,S200000,01600,0100,Y 5318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5318,A000000,00300,0000,00300EMPLOYEE BENEFITS 5318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5318,A000000,00700,0000,00700HOUSEKEEPING 5318,A000000,00800,0000,00800DIETARY 5318,A000000,00900,0000,00900NURSING ADMINISTRATION 5318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5318,A000000,01100,0000,01100PHARMACY 5318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5318,A000000,01300,0000,01300SOCIAL SERVICE 5318,A000000,01301,0000,01301ACTIVITIES 5318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5318,A000000,01600,0000,01600SKILLED NURSING FACILITY 5318,A000000,01800,0000,01800NURSING FACILITY 5318,A000000,01810,0000,01810ICF/MR 5318,A000000,02100,0000,02100RADIOLOGY 5318,A000000,02200,0000,02200LABORATORY 5318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5318,A000000,02500,0000,02500PHYSICAL THERAPY 5318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5318,A000000,02700,0000,02700SPEECH PATHOLOGY 5318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5318,A000000,03550,0000,03550FQHC 5318,A000000,05000,0000,05000CORF 5318,A000000,05010,0000,05010CMHC 5318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5318,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5318,A81000A,00100,0100,Y 5318,A81000B,00100,0300,HOME OFFICE COST 5318,A81000B,00400,0300,HOME OFFICE COST 5318,A81000B,00500,0300,HOME OFFICE COST 5318,A81000B,00600,0300,HOME OFFICE COST 5318,A81000B,00800,0300,HOME OFFICE COST 5318,A81000C,00100,0100,B 5318,A81000C,00100,0200,BEVERLY ENTERPR 5318,B100000,00000,0100,00000(SQUARE FEET) 5318,B100000,00000,0200,00000(SQUARE FEET) 5318,B100000,00000,0300,00000(ADJUSTED SALARIES) 5318,B100000,00000,0400,00000(ACCUM. COST) 5318,B100000,00000,0500,00000(SQUARE FEET) 5318,B100000,00000,0600,00000(PATIENT DAYS) 5318,B100000,00000,0700,00000(SQUARE FEET) 5318,B100000,00000,0800,00000(MEALS SERVED) 5318,B100000,00000,0900,00000(ADJUSTED SALARIES) 5318,B100000,00000,1000,00000(PATIENT DAYS) 5318,B100000,00000,1100,00000(COSTED REQUIS) 5318,B100000,00000,1200,00000(TOTAL CHARGES) 5318,B100000,00000,1300,00000(PATIENT DAYS) 5318,B100000,00000,1301,00000(PATIENT DAYS) 5318,B100000,00000,1400,00000(ASSIGNED TIME) 5318,E10A180,00301,0100,01/27/1999 5318,E10A180,00302,0100,10/08/1999 5318,E10A180,00350,0100,06/14/1999 5318,E10A180,00351,0100,12/09/1999 5318,E10A180,00352,0100,02/14/2000 5318,S000000,00100,0200,06/02/2000 5318,S200000,00100,0100,900 MOUNTAIN RANCH RD 5318,S200000,00200,0100,SAN ANDREAS 5318,S200000,00200,0200,CA 5318,S200000,00200,0300,95249 5318,S200000,00300,0100,CALAVERAS 5318,S200000,00400,0100,MARK TWAIN CONV HOSP (677) 5318,S200000,00400,0200,056132 5318,S200000,00400,0300,01/01/1982 5318,S200000,00400,0500,P 5318,S200000,00600,0200,056132 5318,S200000,00600,0300,01/01/1982 5318,S200000,00600,0600,P 5318,S200000,01600,0100,Y 5321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5321,A000000,00300,0000,00300EMPLOYEE BENEFITS 5321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5321,A000000,00700,0000,00700HOUSEKEEPING 5321,A000000,00800,0000,00800DIETARY 5321,A000000,00900,0000,00900NURSING ADMINISTRATION 5321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5321,A000000,01100,0000,01100PHARMACY 5321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5321,A000000,01300,0000,01300SOCIAL SERVICE 5321,A000000,01301,0000,01301ACTIVITIES 5321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5321,A000000,01600,0000,01600SKILLED NURSING FACILITY 5321,A000000,01800,0000,01800NURSING FACILITY 5321,A000000,01810,0000,01810ICF/MR 5321,A000000,02100,0000,02100RADIOLOGY 5321,A000000,02200,0000,02200LABORATORY 5321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5321,A000000,02500,0000,02500PHYSICAL THERAPY 5321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5321,A000000,02700,0000,02700SPEECH PATHOLOGY 5321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5321,A000000,03550,0000,03550FQHC 5321,A000000,05000,0000,05000CORF 5321,A000000,05010,0000,05010CMHC 5321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5321,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 5321,A81000A,00100,0100,Y 5321,A81000B,00100,0300,HOME OFFICE COST 5321,A81000B,00400,0300,HOME OFFICE COST 5321,A81000B,00500,0300,HOME OFFICE COST 5321,A81000B,00600,0300,HOME OFFICE COST 5321,A81000B,00800,0300,HOME OFFICE COST 5321,A81000C,00100,0100,B 5321,A81000C,00100,0200,BEVERLY ENTERPR 5321,B100000,00000,0100,00000(SQUARE FEET) 5321,B100000,00000,0200,00000(SQUARE FEET) 5321,B100000,00000,0300,00000(ADJUSTED SALARIES) 5321,B100000,00000,0400,00000(ACCUM. COST) 5321,B100000,00000,0500,00000(SQUARE FEET) 5321,B100000,00000,0600,00000(PATIENT DAYS) 5321,B100000,00000,0700,00000(SQUARE FEET) 5321,B100000,00000,0800,00000(MEALS SERVED) 5321,B100000,00000,0900,00000(ADJUSTED SALARIES) 5321,B100000,00000,1000,00000(PATIENT DAYS) 5321,B100000,00000,1100,00000(COSTED REQUIS) 5321,B100000,00000,1200,00000(TOTAL CHARGES) 5321,B100000,00000,1300,00000(PATIENT DAYS) 5321,B100000,00000,1301,00000(PATIENT DAYS) 5321,B100000,00000,1400,00000(ASSIGNED TIME) 5321,E10A180,00301,0100,06/14/1999 5321,E10A180,00302,0100,10/08/1999 5321,E10A180,00303,0100,02/14/2000 5321,E10A180,00350,0100,01/27/1999 5321,E10A180,00351,0100,12/09/1999 5321,S000000,00100,0200,06/02/2000 5321,S200000,00100,0100,7940 TOPANGA CANYON 5321,S200000,00200,0100,CANOGA PARK 5321,S200000,00200,0200,CA 5321,S200000,00200,0300,91304 5321,S200000,00300,0100,LOS ANGELES 5321,S200000,00400,0100,BEV MANOR-CANOGA PARK (668) 5321,S200000,00400,0200,056133 5321,S200000,00400,0300,01/01/1982 5321,S200000,00400,0500,P 5321,S200000,00600,0200,056133 5321,S200000,00600,0300,01/01/1982 5321,S200000,00600,0600,P 5321,S200000,01600,0100,Y 5339,S000000,00100,0200,02/23/2000 5358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5358,A000000,00300,0000,00300EMPLOYEE BENEFITS 5358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5358,A000000,00700,0000,00700HOUSEKEEPING 5358,A000000,00800,0000,00800DIETARY 5358,A000000,00900,0000,00900NURSING ADMINISTRATION 5358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5358,A000000,01100,0000,01100PHARMACY 5358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5358,A000000,01300,0000,01300SOCIAL SERVICE 5358,A000000,01301,0000,01301ACTIVITIES 5358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5358,A000000,01600,0000,01600SKILLED NURSING FACILITY 5358,A000000,01800,0000,01800NURSING FACILITY 5358,A000000,01810,0000,01810ICF/MR 5358,A000000,02100,0000,02100RADIOLOGY 5358,A000000,02200,0000,02200LABORATORY 5358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5358,A000000,02500,0000,02500PHYSICAL THERAPY 5358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5358,A000000,02700,0000,02700SPEECH PATHOLOGY 5358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5358,A000000,03550,0000,03550FQHC 5358,A000000,05000,0000,05000CORF 5358,A000000,05010,0000,05010CMHC 5358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5358,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 5358,A81000A,00100,0100,Y 5358,A81000B,00100,0300,HOME OFFICE COST 5358,A81000B,00400,0300,HOME OFFICE COST 5358,A81000B,00500,0300,HOME OFFICE COST 5358,A81000B,00600,0300,HOME OFFICE COST 5358,A81000B,00800,0300,HOME OFFICE COST 5358,A81000C,00100,0100,B 5358,A81000C,00100,0200,BEVERLY ENTERPR 5358,B100000,00000,0100,00000(SQUARE FEET) 5358,B100000,00000,0200,00000(SQUARE FEET) 5358,B100000,00000,0300,00000(ADJUSTED SALARIES) 5358,B100000,00000,0400,00000(ACCUM. COST) 5358,B100000,00000,0500,00000(SQUARE FEET) 5358,B100000,00000,0600,00000(PATIENT DAYS) 5358,B100000,00000,0700,00000(SQUARE FEET) 5358,B100000,00000,0800,00000(MEALS SERVED) 5358,B100000,00000,0900,00000(ADJUSTED SALARIES) 5358,B100000,00000,1000,00000(PATIENT DAYS) 5358,B100000,00000,1100,00000(COSTED REQUIS) 5358,B100000,00000,1200,00000(TOTAL CHARGES) 5358,B100000,00000,1300,00000(PATIENT DAYS) 5358,B100000,00000,1301,00000(PATIENT DAYS) 5358,B100000,00000,1400,00000(ASSIGNED TIME) 5358,E10A180,00301,0100,01/27/1999 5358,E10A180,00350,0100,06/14/1999 5358,E10A180,00351,0100,10/08/1999 5358,E10A180,00352,0100,12/09/1999 5358,E10A180,00353,0100,02/14/2000 5358,S000000,00100,0200,06/02/2000 5358,S200000,00100,0100,6700 SEPULVEDA BLVD 5358,S200000,00200,0100,VAN NUYS 5358,S200000,00200,0200,CA 5358,S200000,00200,0300,91401 5358,S200000,00300,0100,LOS ANGELES 5358,S200000,00400,0100,BEVERLY MANOR-VAN NUYS (641) 5358,S200000,00400,0200,056149 5358,S200000,00400,0300,01/01/1967 5358,S200000,00400,0500,P 5358,S200000,00600,0200,056149 5358,S200000,00600,0300,01/01/1967 5358,S200000,00600,0600,P 5358,S200000,01600,0100,Y 5375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5375,A000000,00300,0000,00300EMPLOYEE BENEFITS 5375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5375,A000000,00700,0000,00700HOUSEKEEPING 5375,A000000,00800,0000,00800DIETARY 5375,A000000,00900,0000,00900NURSING ADMINISTRATION 5375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5375,A000000,01100,0000,01100PHARMACY 5375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5375,A000000,01300,0000,01300SOCIAL SERVICE 5375,A000000,01301,0000,01301ACTIVITIES 5375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5375,A000000,01600,0000,01600SKILLED NURSING FACILITY 5375,A000000,01800,0000,01800NURSING FACILITY 5375,A000000,01810,0000,01810ICF/MR 5375,A000000,02100,0000,02100RADIOLOGY 5375,A000000,02200,0000,02200LABORATORY 5375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5375,A000000,02500,0000,02500PHYSICAL THERAPY 5375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5375,A000000,02700,0000,02700SPEECH PATHOLOGY 5375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5375,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 5375,A000000,03550,0000,03550FQHC 5375,A000000,05000,0000,05000CORF 5375,A000000,05010,0000,05010CMHC 5375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5375,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5375,A81000A,00100,0100,Y 5375,A81000B,00100,0300,HOME OFFICE COST 5375,A81000B,00500,0300,HOME OFFICE COST 5375,A81000B,00600,0300,HOME OFFICE COST 5375,A81000B,00700,0300,HOME OFFICE COST 5375,A81000C,00100,0100,B 5375,A81000C,00100,0200,BEVERLY ENTERPR 5375,B100000,00000,0100,00000(SQUARE FEET) 5375,B100000,00000,0200,00000(SQUARE FEET) 5375,B100000,00000,0300,00000(ADJUSTED SALARIES) 5375,B100000,00000,0400,00000(ACCUM. COST) 5375,B100000,00000,0500,00000(SQUARE FEET) 5375,B100000,00000,0600,00000(PATIENT DAYS) 5375,B100000,00000,0700,00000(SQUARE FEET) 5375,B100000,00000,0800,00000(MEALS SERVED) 5375,B100000,00000,0900,00000(ADJUSTED SALARIES) 5375,B100000,00000,1000,00000(PATIENT DAYS) 5375,B100000,00000,1100,00000(COSTED REQUIS) 5375,B100000,00000,1200,00000(TOTAL CHARGES) 5375,B100000,00000,1300,00000(PATIENT DAYS) 5375,B100000,00000,1301,00000(PATIENT DAYS) 5375,B100000,00000,1400,00000(ASSIGNED TIME) 5375,E10A180,00301,0100,01/27/1999 5375,E10A180,00350,0100,06/14/1999 5375,E10A180,00351,0100,10/08/1999 5375,E10A180,00352,0100,12/09/1999 5375,E10A180,00353,0100,02/14/2000 5375,E10A180,00354,0100,05/26/2000 5375,S000000,00100,0200,07/06/2000 5375,S200000,00100,0100,4635 COLLEGE OAK DRIVE 5375,S200000,00200,0100,SACRAMENTO 5375,S200000,00200,0200,CA 5375,S200000,00200,0300,95841 5375,S200000,00300,0100,SACRAMENTO 5375,S200000,00400,0100,COLLEGE OAK NURSING & REHAB (558) 5375,S200000,00400,0200,056158 5375,S200000,00400,0300,07/01/1967 5375,S200000,00400,0500,P 5375,S200000,00600,0200,056158 5375,S200000,00600,0300,07/01/1967 5375,S200000,00600,0600,P 5375,S200000,01600,0100,Y 5385,S000000,00100,0200,04/27/2000 5426,S000000,00100,0200,08/31/2000 5435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5435,A000000,00300,0000,00300EMPLOYEE BENEFITS 5435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5435,A000000,00700,0000,00700HOUSEKEEPING 5435,A000000,00800,0000,00800DIETARY 5435,A000000,00900,0000,00900NURSING ADMINISTRATION 5435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5435,A000000,01100,0000,01100PHARMACY 5435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5435,A000000,01300,0000,01300SOCIAL SERVICE 5435,A000000,01301,0000,01301ACTIVITIES 5435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5435,A000000,01600,0000,01600SKILLED NURSING FACILITY 5435,A000000,01800,0000,01800NURSING FACILITY 5435,A000000,01810,0000,01810ICF/MR 5435,A000000,02100,0000,02100RADIOLOGY 5435,A000000,02200,0000,02200LABORATORY 5435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5435,A000000,02500,0000,02500PHYSICAL THERAPY 5435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5435,A000000,02700,0000,02700SPEECH PATHOLOGY 5435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5435,A000000,03550,0000,03550FQHC 5435,A000000,05000,0000,05000CORF 5435,A000000,05010,0000,05010CMHC 5435,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5435,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5435,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5435,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 5435,A81000A,00100,0100,Y 5435,A81000B,00100,0300,HOME OFFICE COST 5435,A81000B,00400,0300,HOME OFFICE COST 5435,A81000B,00500,0300,HOME OFFICE COST 5435,A81000B,00600,0300,HOME OFFICE COST 5435,A81000B,00800,0300,HOME OFFICE COST 5435,A81000C,00100,0100,B 5435,A81000C,00100,0200,BEVERLY ENTERPR 5435,B100000,00000,0100,00000(SQUARE FEET) 5435,B100000,00000,0200,00000(SQUARE FEET) 5435,B100000,00000,0300,00000(ADJUSTED SALARIES) 5435,B100000,00000,0400,00000(ACCUM. COST) 5435,B100000,00000,0500,00000(SQUARE FEET) 5435,B100000,00000,0600,00000(PATIENT DAYS) 5435,B100000,00000,0700,00000(SQUARE FEET) 5435,B100000,00000,0800,00000(MEALS SERVED) 5435,B100000,00000,0900,00000(ADJUSTED SALARIES) 5435,B100000,00000,1000,00000(PATIENT DAYS) 5435,B100000,00000,1100,00000(COSTED REQUIS) 5435,B100000,00000,1200,00000(TOTAL CHARGES) 5435,B100000,00000,1300,00000(PATIENT DAYS) 5435,B100000,00000,1301,00000(PATIENT DAYS) 5435,B100000,00000,1400,00000(ASSIGNED TIME) 5435,E10A180,00301,0100,06/14/1999 5435,E10A180,00302,0100,10/08/1999 5435,E10A180,00303,0100,02/14/2000 5435,E10A180,00350,0100,01/27/1999 5435,E10A180,00351,0100,12/09/1999 5435,S000000,00100,0200,06/02/2000 5435,S200000,00100,0100,112 E. BROADWAY 5435,S200000,00200,0100,SAN GABRIEL 5435,S200000,00200,0200,CA 5435,S200000,00200,0300,91776 5435,S200000,00300,0100,LOS ANGELES 5435,S200000,00400,0100,BROADWAY CONVALESCENT 5435,S200000,00400,0200,056201 5435,S200000,00400,0300,08/01/1983 5435,S200000,00400,0500,P 5435,S200000,00600,0200,056201 5435,S200000,00600,0300,08/01/1983 5435,S200000,00600,0600,P 5435,S200000,01600,0100,Y 5488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5488,A000000,00300,0000,00300EMPLOYEE BENEFITS 5488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5488,A000000,00700,0000,00700HOUSEKEEPING 5488,A000000,00800,0000,00800DIETARY 5488,A000000,00900,0000,00900NURSING ADMINISTRATION 5488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5488,A000000,01100,0000,01100PHARMACY 5488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5488,A000000,01300,0000,01300SOCIAL SERVICE 5488,A000000,01301,0000,01301ACTIVITIES 5488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5488,A000000,01600,0000,01600SKILLED NURSING FACILITY 5488,A000000,01800,0000,01800NURSING FACILITY 5488,A000000,01810,0000,01810ICF/MR 5488,A000000,02100,0000,02100RADIOLOGY 5488,A000000,02200,0000,02200LABORATORY 5488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5488,A000000,02500,0000,02500PHYSICAL THERAPY 5488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5488,A000000,02700,0000,02700SPEECH PATHOLOGY 5488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5488,A000000,03550,0000,03550FQHC 5488,A000000,05000,0000,05000CORF 5488,A000000,05010,0000,05010CMHC 5488,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5488,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5488,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5488,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 5488,A81000A,00100,0100,Y 5488,A81000B,00100,0300,HOME OFFICE COST 5488,A81000B,00400,0300,HOME OFFICE COST 5488,A81000B,00500,0300,HOME OFFICE COST 5488,A81000B,00600,0300,HOME OFFICE COST 5488,A81000B,00800,0300,HOME OFFICE COST 5488,A81000C,00100,0100,B 5488,A81000C,00100,0200,BEVERLY ENTERPR 5488,B100000,00000,0100,00000(SQUARE FEET) 5488,B100000,00000,0200,00000(SQUARE FEET) 5488,B100000,00000,0300,00000(ADJUSTED SALARIES) 5488,B100000,00000,0400,00000(ACCUM. COST) 5488,B100000,00000,0500,00000(SQUARE FEET) 5488,B100000,00000,0600,00000(PATIENT DAYS) 5488,B100000,00000,0700,00000(SQUARE FEET) 5488,B100000,00000,0800,00000(MEALS SERVED) 5488,B100000,00000,0900,00000(ADJUSTED SALARIES) 5488,B100000,00000,1000,00000(PATIENT DAYS) 5488,B100000,00000,1100,00000(COSTED REQUIS) 5488,B100000,00000,1200,00000(TOTAL CHARGES) 5488,B100000,00000,1300,00000(PATIENT DAYS) 5488,B100000,00000,1301,00000(PATIENT DAYS) 5488,B100000,00000,1400,00000(ASSIGNED TIME) 5488,E10A180,00301,0100,06/14/1999 5488,E10A180,00302,0100,10/08/1999 5488,E10A180,00303,0100,02/14/2000 5488,E10A180,00350,0100,01/27/1999 5488,E10A180,00351,0100,12/09/1999 5488,S000000,00100,0200,06/02/2000 5488,S200000,00100,0100,14401 HUSTON STREET 5488,S200000,00200,0100,SHERMAN OAKS 5488,S200000,00200,0200,CA 5488,S200000,00200,0300,91403 5488,S200000,00300,0100,LOS ANGELES 5488,S200000,00400,0100,SHERMAN OAKS CONV HOSP (673) 5488,S200000,00400,0200,056250 5488,S200000,00400,0300,01/01/1982 5488,S200000,00400,0500,P 5488,S200000,00600,0200,056250 5488,S200000,00600,0300,01/01/1982 5488,S200000,00600,0600,P 5488,S200000,01600,0100,Y 5504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5504,A000000,00300,0000,00300EMPLOYEE BENEFITS 5504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5504,A000000,00700,0000,00700HOUSEKEEPING 5504,A000000,00800,0000,00800DIETARY 5504,A000000,00900,0000,00900NURSING ADMINISTRATION 5504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5504,A000000,01100,0000,01100PHARMACY 5504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5504,A000000,01300,0000,01300SOCIAL SERVICE 5504,A000000,01301,0000,01301ACTIVITIES 5504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5504,A000000,01600,0000,01600SKILLED NURSING FACILITY 5504,A000000,01800,0000,01800NURSING FACILITY 5504,A000000,01810,0000,01810ICF/MR 5504,A000000,02100,0000,02100RADIOLOGY 5504,A000000,02200,0000,02200LABORATORY 5504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5504,A000000,02500,0000,02500PHYSICAL THERAPY 5504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5504,A000000,02700,0000,02700SPEECH PATHOLOGY 5504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5504,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 5504,A000000,03550,0000,03550FQHC 5504,A000000,05000,0000,05000CORF 5504,A000000,05010,0000,05010CMHC 5504,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5504,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5504,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 5504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5504,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5504,A81000A,00100,0100,Y 5504,A81000B,00100,0300,HOME OFFICE COST 5504,A81000B,00400,0300,HOME OFFICE COST 5504,A81000B,00500,0300,HOME OFFICE COST 5504,A81000B,00600,0300,HOME OFFICE COST 5504,A81000B,00800,0300,HOME OFFICE COST 5504,A81000C,00100,0100,B 5504,A81000C,00100,0200,BEVERLY ENTERPR 5504,B100000,00000,0100,00000(SQUARE FEET) 5504,B100000,00000,0200,00000(SQUARE FEET) 5504,B100000,00000,0300,00000(ADJUSTED SALARIES) 5504,B100000,00000,0400,00000(ACCUM. COST) 5504,B100000,00000,0500,00000(SQUARE FEET) 5504,B100000,00000,0600,00000(PATIENT DAYS) 5504,B100000,00000,0700,00000(SQUARE FEET) 5504,B100000,00000,0800,00000(MEALS SERVED) 5504,B100000,00000,0900,00000(ADJUSTED SALARIES) 5504,B100000,00000,1000,00000(PATIENT DAYS) 5504,B100000,00000,1100,00000(COSTED REQUIS) 5504,B100000,00000,1200,00000(TOTAL CHARGES) 5504,B100000,00000,1300,00000(PATIENT DAYS) 5504,B100000,00000,1301,00000(PATIENT DAYS) 5504,B100000,00000,1400,00000(ASSIGNED TIME) 5504,E10A180,00301,0100,01/27/1999 5504,E10A180,00350,0100,06/14/1999 5504,E10A180,00351,0100,10/08/1999 5504,E10A180,00352,0100,12/09/1999 5504,E10A180,00353,0100,02/14/2000 5504,S000000,00100,0200,06/02/2000 5504,S200000,00100,0100,3672 NORTH FIRST 5504,S200000,00200,0100,FRESNO 5504,S200000,00200,0200,CA 5504,S200000,00200,0300,93726 5504,S200000,00300,0100,FRESNO 5504,S200000,00400,0100,HILLCREST CONVALESCENT HOSPITA 5504,S200000,00400,0200,056266 5504,S200000,00400,0300,01/01/1967 5504,S200000,00400,0500,P 5504,S200000,00600,0200,056266 5504,S200000,00600,0300,01/01/1967 5504,S200000,00600,0600,P 5504,S200000,01600,0100,Y 5513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5513,A000000,00300,0000,00300EMPLOYEE BENEFITS 5513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5513,A000000,00700,0000,00700HOUSEKEEPING 5513,A000000,00800,0000,00800DIETARY 5513,A000000,00900,0000,00900NURSING ADMINISTRATION 5513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5513,A000000,01100,0000,01100PHARMACY 5513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5513,A000000,01300,0000,01300SOCIAL SERVICE 5513,A000000,01301,0000,01301ACTIVITIES 5513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5513,A000000,01600,0000,01600SKILLED NURSING FACILITY 5513,A000000,01800,0000,01800NURSING FACILITY 5513,A000000,01810,0000,01810ICF/MR 5513,A000000,02100,0000,02100RADIOLOGY 5513,A000000,02200,0000,02200LABORATORY 5513,A000000,02500,0000,02500PHYSICAL THERAPY 5513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5513,A000000,02700,0000,02700SPEECH PATHOLOGY 5513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5513,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5513,A000000,03550,0000,03550FQHC 5513,A000000,05000,0000,05000CORF 5513,A000000,05010,0000,05010CMHC 5513,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5513,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5513,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5513,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5513,A81000A,00100,0100,Y 5513,A81000B,00100,0300,HOME OFFICE COST 5513,A81000B,00400,0300,HOME OFFICE COST 5513,A81000B,00500,0300,HOME OFFICE COST 5513,A81000B,00600,0300,HOME OFFICE COST 5513,A81000B,00800,0300,HOME OFFICE COST 5513,A81000C,00100,0100,B 5513,A81000C,00100,0200,BEVERLY ENTERPR 5513,B100000,00000,0100,00000(SQUARE FEET) 5513,B100000,00000,0200,00000(SQUARE FEET) 5513,B100000,00000,0300,00000(ADJUSTED SALARIES) 5513,B100000,00000,0400,00000(ACCUM. COST) 5513,B100000,00000,0500,00000(SQUARE FEET) 5513,B100000,00000,0600,00000(PATIENT DAYS) 5513,B100000,00000,0700,00000(SQUARE FEET) 5513,B100000,00000,0800,00000(MEALS SERVED) 5513,B100000,00000,0900,00000(ADJUSTED SALARIES) 5513,B100000,00000,1000,00000(PATIENT DAYS) 5513,B100000,00000,1100,00000(COSTED REQUIS) 5513,B100000,00000,1200,00000(TOTAL CHARGES) 5513,B100000,00000,1300,00000(PATIENT DAYS) 5513,B100000,00000,1301,00000(PATIENT DAYS) 5513,B100000,00000,1400,00000(ASSIGNED TIME) 5513,E10A180,00301,0100,01/27/1999 5513,E10A180,00302,0100,12/09/1999 5513,E10A180,00350,0100,06/14/1999 5513,E10A180,00351,0100,10/08/1999 5513,E10A180,00352,0100,02/14/2000 5513,S000000,00100,0200,06/02/2000 5513,S200000,00100,0100,240 HOSPITAL CIRCLE 5513,S200000,00200,0100,WESTMINSTER 5513,S200000,00200,0200,CA 5513,S200000,00200,0300,92683 5513,S200000,00300,0100,ORANGE 5513,S200000,00400,0100,BEV HEALTHCARE WESTMINSTER (572) 5513,S200000,00400,0200,056271 5513,S200000,00400,0300,01/01/1967 5513,S200000,00400,0500,P 5513,S200000,00600,0200,056271 5513,S200000,00600,0300,01/01/1967 5513,S200000,00600,0600,P 5513,S200000,01600,0100,Y 5516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5516,A000000,00300,0000,00300EMPLOYEE BENEFITS 5516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5516,A000000,00700,0000,00700HOUSEKEEPING 5516,A000000,00800,0000,00800DIETARY 5516,A000000,00900,0000,00900NURSING ADMINISTRATION 5516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5516,A000000,01100,0000,01100PHARMACY 5516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5516,A000000,01300,0000,01300SOCIAL SERVICE 5516,A000000,01301,0000,01301ACTIVITIES 5516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5516,A000000,01600,0000,01600SKILLED NURSING FACILITY 5516,A000000,01800,0000,01800NURSING FACILITY 5516,A000000,01810,0000,01810ICF/MR 5516,A000000,02100,0000,02100RADIOLOGY 5516,A000000,02200,0000,02200LABORATORY 5516,A000000,02500,0000,02500PHYSICAL THERAPY 5516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5516,A000000,02700,0000,02700SPEECH PATHOLOGY 5516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5516,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5516,A000000,03550,0000,03550FQHC 5516,A000000,05000,0000,05000CORF 5516,A000000,05010,0000,05010CMHC 5516,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5516,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 5516,A81000A,00100,0100,Y 5516,A81000B,00100,0300,HOME OFFICE COST 5516,A81000B,00400,0300,HOME OFFICE COST 5516,A81000B,00500,0300,HOME OFFICE COST 5516,A81000B,00600,0300,HOME OFFICE COST 5516,A81000B,00800,0300,HOME OFFICE COST 5516,A81000C,00100,0100,B 5516,A81000C,00100,0200,BEVERLY ENTERPR 5516,B100000,00000,0100,00000(SQUARE FEET) 5516,B100000,00000,0200,00000(SQUARE FEET) 5516,B100000,00000,0300,00000(ADJUSTED SALARIES) 5516,B100000,00000,0400,00000(ACCUM. COST) 5516,B100000,00000,0500,00000(SQUARE FEET) 5516,B100000,00000,0600,00000(PATIENT DAYS) 5516,B100000,00000,0700,00000(SQUARE FEET) 5516,B100000,00000,0800,00000(MEALS SERVED) 5516,B100000,00000,0900,00000(ADJUSTED SALARIES) 5516,B100000,00000,1000,00000(PATIENT DAYS) 5516,B100000,00000,1100,00000(COSTED REQUIS) 5516,B100000,00000,1200,00000(TOTAL CHARGES) 5516,B100000,00000,1300,00000(PATIENT DAYS) 5516,B100000,00000,1301,00000(PATIENT DAYS) 5516,B100000,00000,1400,00000(ASSIGNED TIME) 5516,E10A180,00301,0100,01/27/1999 5516,E10A180,00350,0100,06/14/1999 5516,E10A180,00351,0100,10/08/1999 5516,E10A180,00352,0100,12/09/1999 5516,E10A180,00353,0100,02/14/2000 5516,S000000,00100,0200,06/02/2000 5516,S200000,00100,0100,1477 GROVE STREET 5516,S200000,00200,0100,SAN FRANCISCO 5516,S200000,00200,0200,CA 5516,S200000,00200,0300,94117 5516,S200000,00300,0100,SAN FRANCISCO 5516,S200000,00400,0100,BEV MANOR-SAN FRANCISCO (659) 5516,S200000,00400,0200,056272 5516,S200000,00400,0300,01/01/1967 5516,S200000,00400,0500,P 5516,S200000,00600,0200,056272 5516,S200000,00600,0300,01/01/1967 5516,S200000,00600,0600,P 5516,S200000,01600,0100,Y 5519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5519,A000000,00300,0000,00300EMPLOYEE BENEFITS 5519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5519,A000000,00700,0000,00700HOUSEKEEPING 5519,A000000,00800,0000,00800DIETARY 5519,A000000,00900,0000,00900NURSING ADMINISTRATION 5519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5519,A000000,01100,0000,01100PHARMACY 5519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5519,A000000,01300,0000,01300SOCIAL SERVICE 5519,A000000,01301,0000,01301ACTIVITIES 5519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5519,A000000,01600,0000,01600SKILLED NURSING FACILITY 5519,A000000,01810,0000,01810ICF/MR 5519,A000000,02100,0000,02100RADIOLOGY 5519,A000000,02200,0000,02200LABORATORY 5519,A000000,02500,0000,02500PHYSICAL THERAPY 5519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5519,A000000,02700,0000,02700SPEECH PATHOLOGY 5519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5519,A000000,03550,0000,03550FQHC 5519,A000000,05000,0000,05000CORF 5519,A000000,05010,0000,05010CMHC 5519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5519,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5519,A81000A,00100,0100,Y 5519,A81000B,00100,0300,HOME OFFICE COST 5519,A81000B,00400,0300,HOME OFFICE COST 5519,A81000B,00500,0300,HOME OFFICE COST 5519,A81000B,00600,0300,HOME OFFICE COST 5519,A81000B,00800,0300,HOME OFFICE COST 5519,A81000C,00100,0100,B 5519,A81000C,00100,0200,BEVERLY ENTERPR 5519,B100000,00000,0100,00000(SQUARE FEET) 5519,B100000,00000,0200,00000(SQUARE FEET) 5519,B100000,00000,0300,00000(ADJUSTED SALARIES) 5519,B100000,00000,0400,00000(ACCUM. COST) 5519,B100000,00000,0500,00000(SQUARE FEET) 5519,B100000,00000,0600,00000(PATIENT DAYS) 5519,B100000,00000,0700,00000(SQUARE FEET) 5519,B100000,00000,0800,00000(MEALS SERVED) 5519,B100000,00000,0900,00000(ADJUSTED SALARIES) 5519,B100000,00000,1000,00000(PATIENT DAYS) 5519,B100000,00000,1100,00000(COSTED REQUIS) 5519,B100000,00000,1200,00000(TOTAL CHARGES) 5519,B100000,00000,1300,00000(PATIENT DAYS) 5519,B100000,00000,1301,00000(PATIENT DAYS) 5519,B100000,00000,1400,00000(ASSIGNED TIME) 5519,E10A180,00301,0100,06/14/1999 5519,E10A180,00350,0100,10/08/1999 5519,E10A180,00351,0100,12/09/1999 5519,E10A180,00352,0100,02/14/2000 5519,S000000,00100,0200,06/02/2000 5519,S200000,00100,0100,925 N CORNELIA 5519,S200000,00200,0100,FRESNO 5519,S200000,00200,0200,CA 5519,S200000,00200,0300,93706 5519,S200000,00300,0100,FRESNO 5519,S200000,00400,0100,COUNTRY VIEW CONV HOSP (534) 5519,S200000,00400,0200,056281 5519,S200000,00400,0300,01/01/1967 5519,S200000,00400,0500,P 5519,S200000,00600,0200,056281 5519,S200000,00600,0300,01/01/1967 5519,S200000,00600,0600,P 5519,S200000,01600,0100,Y 5549,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5549,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5549,A000000,00300,0000,00300EMPLOYEE BENEFITS 5549,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5549,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5549,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5549,A000000,00700,0000,00700HOUSEKEEPING 5549,A000000,00800,0000,00800DIETARY 5549,A000000,00900,0000,00900NURSING ADMINISTRATION 5549,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5549,A000000,01100,0000,01100PHARMACY 5549,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5549,A000000,01300,0000,01300SOCIAL SERVICE 5549,A000000,01301,0000,01301ACTIVITIES 5549,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5549,A000000,01600,0000,01600SKILLED NURSING FACILITY 5549,A000000,01800,0000,01800NURSING FACILITY 5549,A000000,01810,0000,01810ICF/MR 5549,A000000,02100,0000,02100RADIOLOGY 5549,A000000,02200,0000,02200LABORATORY 5549,A000000,02500,0000,02500PHYSICAL THERAPY 5549,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5549,A000000,02700,0000,02700SPEECH PATHOLOGY 5549,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5549,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5549,A000000,03550,0000,03550FQHC 5549,A000000,05000,0000,05000CORF 5549,A000000,05010,0000,05010CMHC 5549,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5549,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5549,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5549,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 5549,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5549,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5549,A81000A,00100,0100,Y 5549,A81000B,00100,0300,HOME OFFICE COST 5549,A81000B,00400,0300,HOME OFFICE COST 5549,A81000B,00500,0300,HOME OFFICE COST 5549,A81000B,00600,0300,HOME OFFICE COST 5549,A81000B,00800,0300,HOME OFFICE COST 5549,A81000C,00100,0100,B 5549,A81000C,00100,0200,BEVERLY ENTERPR 5549,B100000,00000,0100,00000(SQUARE FEET) 5549,B100000,00000,0200,00000(SQUARE FEET) 5549,B100000,00000,0300,00000(ADJUSTED SALARIES) 5549,B100000,00000,0400,00000(ACCUM. COST) 5549,B100000,00000,0500,00000(SQUARE FEET) 5549,B100000,00000,0600,00000(PATIENT DAYS) 5549,B100000,00000,0700,00000(SQUARE FEET) 5549,B100000,00000,0800,00000(MEALS SERVED) 5549,B100000,00000,0900,00000(ADJUSTED SALARIES) 5549,B100000,00000,1000,00000(PATIENT DAYS) 5549,B100000,00000,1100,00000(COSTED REQUIS) 5549,B100000,00000,1200,00000(TOTAL CHARGES) 5549,B100000,00000,1300,00000(PATIENT DAYS) 5549,B100000,00000,1301,00000(PATIENT DAYS) 5549,B100000,00000,1400,00000(ASSIGNED TIME) 5549,E10A180,00301,0100,01/27/1999 5549,E10A180,00302,0100,10/08/1999 5549,E10A180,00303,0100,02/14/2000 5549,E10A180,00350,0100,06/14/1999 5549,E10A180,00351,0100,12/09/1999 5549,S000000,00100,0200,06/02/2000 5549,S200000,00100,0100,3601 SAN DIMAS 5549,S200000,00200,0100,BAKERSFIELD 5549,S200000,00200,0200,CA 5549,S200000,00200,0300,93301 5549,S200000,00300,0100,KERN 5549,S200000,00400,0100,BEV MANOR-BAKERSFIELD (665) 5549,S200000,00400,0200,056294 5549,S200000,00400,0300,01/01/1982 5549,S200000,00400,0500,P 5549,S200000,00600,0200,056294 5549,S200000,00600,0300,01/01/1982 5549,S200000,00600,0600,P 5549,S200000,01600,0100,Y 5552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5552,A000000,00300,0000,00300EMPLOYEE BENEFITS 5552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5552,A000000,00700,0000,00700HOUSEKEEPING 5552,A000000,00800,0000,00800DIETARY 5552,A000000,00900,0000,00900NURSING ADMINISTRATION 5552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5552,A000000,01100,0000,01100PHARMACY 5552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5552,A000000,01300,0000,01300SOCIAL SERVICE 5552,A000000,01301,0000,01301ACTIVITIES 5552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5552,A000000,01600,0000,01600SKILLED NURSING FACILITY 5552,A000000,01800,0000,01800NURSING FACILITY 5552,A000000,01810,0000,01810ICF/MR 5552,A000000,01900,0000,01900OTHER LONG TERM CARE 5552,A000000,02100,0000,02100RADIOLOGY 5552,A000000,02200,0000,02200LABORATORY 5552,A000000,02500,0000,02500PHYSICAL THERAPY 5552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5552,A000000,02700,0000,02700SPEECH PATHOLOGY 5552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5552,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5552,A000000,03550,0000,03550FQHC 5552,A000000,05000,0000,05000CORF 5552,A000000,05010,0000,05010CMHC 5552,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5552,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5552,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5552,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5552,A81000A,00100,0100,Y 5552,A81000B,00100,0300,HOME OFFICE COST 5552,A81000B,00400,0300,HOME OFFICE COST 5552,A81000B,00500,0300,HOME OFFICE COST 5552,A81000B,00600,0300,HOME OFFICE COST 5552,A81000B,00800,0300,HOME OFFICE COST 5552,A81000C,00100,0100,B 5552,A81000C,00100,0200,BEVERLY ENTERPR 5552,B100000,00000,0100,00000(SQUARE FEET) 5552,B100000,00000,0200,00000(SQUARE FEET) 5552,B100000,00000,0300,00000(ADJUSTED SALARIES) 5552,B100000,00000,0400,00000(ACCUM. COST) 5552,B100000,00000,0500,00000(SQUARE FEET) 5552,B100000,00000,0600,00000(PATIENT DAYS) 5552,B100000,00000,0700,00000(SQUARE FEET) 5552,B100000,00000,0800,00000(MEALS SERVED) 5552,B100000,00000,0900,00000(ADJUSTED SALARIES) 5552,B100000,00000,1000,00000(PATIENT DAYS) 5552,B100000,00000,1100,00000(COSTED REQUIS) 5552,B100000,00000,1200,00000(TOTAL CHARGES) 5552,B100000,00000,1300,00000(PATIENT DAYS) 5552,B100000,00000,1301,00000(PATIENT DAYS) 5552,B100000,00000,1400,00000(ASSIGNED TIME) 5552,E10A180,00301,0100,01/27/2000 5552,E10A180,00350,0100,06/14/1999 5552,E10A180,00351,0100,10/08/1999 5552,E10A180,00352,0100,12/09/1999 5552,E10A180,00353,0100,02/14/2000 5552,S000000,00100,0200,06/02/2000 5552,S200000,00100,0100,1900 COFFEE ROAD 5552,S200000,00200,0100,MODESTO 5552,S200000,00200,0200,CA 5552,S200000,00200,0300,95355 5552,S200000,00300,0100,STANISLAUS 5552,S200000,00400,0100,HY-LOND CONV HOSP (548) 5552,S200000,00400,0200,056301 5552,S200000,00400,0300,01/01/1967 5552,S200000,00400,0500,P 5552,S200000,00600,0200,056301 5552,S200000,00600,0300,01/01/1967 5552,S200000,00600,0600,P 5552,S200000,01600,0100,Y 5586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5586,A000000,00300,0000,00300EMPLOYEE BENEFITS 5586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5586,A000000,00700,0000,00700HOUSEKEEPING 5586,A000000,00800,0000,00800DIETARY 5586,A000000,00900,0000,00900NURSING ADMINISTRATION 5586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5586,A000000,01100,0000,01100PHARMACY 5586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5586,A000000,01300,0000,01300SOCIAL SERVICE 5586,A000000,01301,0000,01301ACTIVITIES 5586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5586,A000000,01600,0000,01600SKILLED NURSING FACILITY 5586,A000000,01800,0000,01800NURSING FACILITY 5586,A000000,01810,0000,01810ICF/MR 5586,A000000,02100,0000,02100RADIOLOGY 5586,A000000,02200,0000,02200LABORATORY 5586,A000000,02500,0000,02500PHYSICAL THERAPY 5586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5586,A000000,02700,0000,02700SPEECH PATHOLOGY 5586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5586,A000000,03550,0000,03550FQHC 5586,A000000,05000,0000,05000CORF 5586,A000000,05010,0000,05010CMHC 5586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5586,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 5586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5586,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5586,A81000A,00100,0100,Y 5586,A81000B,00100,0300,HOME OFFICE COST 5586,A81000B,00400,0300,HOME OFFICE COST 5586,A81000B,00500,0300,HOME OFFICE COST 5586,A81000B,00600,0300,HOME OFFICE COST 5586,A81000B,00800,0300,HOME OFFICE COST 5586,A81000C,00100,0100,B 5586,A81000C,00100,0200,BEVERLY ENTERPR 5586,B100000,00000,0100,00000(SQUARE FEET) 5586,B100000,00000,0200,00000(SQUARE FEET) 5586,B100000,00000,0300,00000(ADJUSTED SALARIES) 5586,B100000,00000,0400,00000(ACCUM. COST) 5586,B100000,00000,0500,00000(SQUARE FEET) 5586,B100000,00000,0600,00000(PATIENT DAYS) 5586,B100000,00000,0700,00000(SQUARE FEET) 5586,B100000,00000,0800,00000(MEALS SERVED) 5586,B100000,00000,0900,00000(ADJUSTED SALARIES) 5586,B100000,00000,1000,00000(PATIENT DAYS) 5586,B100000,00000,1100,00000(COSTED REQUIS) 5586,B100000,00000,1200,00000(TOTAL CHARGES) 5586,B100000,00000,1300,00000(PATIENT DAYS) 5586,B100000,00000,1301,00000(PATIENT DAYS) 5586,B100000,00000,1400,00000(ASSIGNED TIME) 5586,E10A180,00301,0100,01/27/1999 5586,E10A180,00350,0100,06/14/1999 5586,E10A180,00351,0100,10/08/1999 5586,E10A180,00352,0100,12/09/1999 5586,E10A180,00353,0100,02/14/2000 5586,S000000,00100,0200,06/02/2000 5586,S200000,00100,0100,2715 FRESNO STREET 5586,S200000,00200,0100,FRESNO 5586,S200000,00200,0200,CA 5586,S200000,00200,0300,93721 5586,S200000,00300,0100,FRESNO 5586,S200000,00400,0100,BEVERLY MANOR-FRESNO (667) B 5586,S200000,00400,0200,056325 5586,S200000,00400,0300,01/01/1967 5586,S200000,00400,0500,P 5586,S200000,00600,0200,056325 5586,S200000,00600,0300,01/01/1967 5586,S200000,00600,0600,P 5586,S200000,01600,0100,Y 5627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5627,A000000,00300,0000,00300EMPLOYEE BENEFITS 5627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5627,A000000,00700,0000,00700HOUSEKEEPING 5627,A000000,00800,0000,00800DIETARY 5627,A000000,00900,0000,00900NURSING ADMINISTRATION 5627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5627,A000000,01100,0000,01100PHARMACY 5627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5627,A000000,01300,0000,01300SOCIAL SERVICE 5627,A000000,01301,0000,01301ACTIVITIES 5627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5627,A000000,01600,0000,01600SKILLED NURSING FACILITY 5627,A000000,01800,0000,01800NURSING FACILITY 5627,A000000,01810,0000,01810ICF/MR 5627,A000000,02100,0000,02100RADIOLOGY 5627,A000000,02200,0000,02200LABORATORY 5627,A000000,02500,0000,02500PHYSICAL THERAPY 5627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5627,A000000,02700,0000,02700SPEECH PATHOLOGY 5627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5627,A000000,03550,0000,03550FQHC 5627,A000000,05000,0000,05000CORF 5627,A000000,05010,0000,05010CMHC 5627,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5627,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5627,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5627,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5627,A81000A,00100,0100,Y 5627,A81000B,00100,0300,HOME OFFICE COST 5627,A81000B,00400,0300,HOME OFFICE COST 5627,A81000B,00500,0300,HOME OFFICE COST 5627,A81000B,00600,0300,HOME OFFICE COST 5627,A81000B,00800,0300,HOME OFFICE COST 5627,A81000C,00100,0100,B 5627,A81000C,00100,0200,BEVERLY ENTERPR 5627,B100000,00000,0100,00000(SQUARE FEET) 5627,B100000,00000,0200,00000(SQUARE FEET) 5627,B100000,00000,0300,00000(ADJUSTED SALARIES) 5627,B100000,00000,0400,00000(ACCUM. COST) 5627,B100000,00000,0500,00000(SQUARE FEET) 5627,B100000,00000,0600,00000(PATIENT DAYS) 5627,B100000,00000,0700,00000(SQUARE FEET) 5627,B100000,00000,0800,00000(MEALS SERVED) 5627,B100000,00000,0900,00000(ADJUSTED SALARIES) 5627,B100000,00000,1000,00000(PATIENT DAYS) 5627,B100000,00000,1100,00000(COSTED REQUIS) 5627,B100000,00000,1200,00000(TOTAL CHARGES) 5627,B100000,00000,1300,00000(PATIENT DAYS) 5627,B100000,00000,1301,00000(PATIENT DAYS) 5627,B100000,00000,1400,00000(ASSIGNED TIME) 5627,E10A180,00301,0100,01/27/1999 5627,E10A180,00302,0100,06/14/2000 5627,E10A180,00350,0100,10/08/1999 5627,E10A180,00351,0100,12/09/1999 5627,E10A180,00352,0100,02/14/2000 5627,S000000,00100,0200,06/02/2000 5627,S200000,00100,0100,9541 VAN NUYS BLVD 5627,S200000,00200,0100,PANORAMA CITY 5627,S200000,00200,0200,CA 5627,S200000,00200,0300,91402 5627,S200000,00300,0100,LOS ANGELES 5627,S200000,00400,0100,BEV MANOR-PANORAMA CITY (555) 5627,S200000,00400,0200,056337 5627,S200000,00400,0300,07/01/1966 5627,S200000,00400,0500,P 5627,S200000,00600,0200,056337 5627,S200000,00600,0300,07/01/1966 5627,S200000,00600,0600,P 5627,S200000,01600,0100,Y 5630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5630,A000000,00300,0000,00300EMPLOYEE BENEFITS 5630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5630,A000000,00700,0000,00700HOUSEKEEPING 5630,A000000,00800,0000,00800DIETARY 5630,A000000,00900,0000,00900NURSING ADMINISTRATION 5630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5630,A000000,01100,0000,01100PHARMACY 5630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5630,A000000,01300,0000,01300SOCIAL SERVICE 5630,A000000,01301,0000,01301ACTIVITIES 5630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5630,A000000,01600,0000,01600SKILLED NURSING FACILITY 5630,A000000,01800,0000,01800NURSING FACILITY 5630,A000000,01810,0000,01810ICF/MR 5630,A000000,02100,0000,02100RADIOLOGY 5630,A000000,02200,0000,02200LABORATORY 5630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5630,A000000,02500,0000,02500PHYSICAL THERAPY 5630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5630,A000000,02700,0000,02700SPEECH PATHOLOGY 5630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5630,A000000,03550,0000,03550FQHC 5630,A000000,05000,0000,05000CORF 5630,A000000,05010,0000,05010CMHC 5630,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5630,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5630,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5630,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5630,A81000A,00100,0100,Y 5630,A81000B,00100,0300,HOME OFFICE COST 5630,A81000B,00400,0300,HOME OFFICE COST 5630,A81000B,00500,0300,HOME OFFICE COST 5630,A81000B,00600,0300,HOME OFFICE COST 5630,A81000B,00800,0300,HOME OFFICE COST 5630,A81000C,00100,0100,B 5630,A81000C,00100,0200,BEVERLY ENTERPR 5630,B100000,00000,0100,00000(SQUARE FEET) 5630,B100000,00000,0200,00000(SQUARE FEET) 5630,B100000,00000,0300,00000(ADJUSTED SALARIES) 5630,B100000,00000,0400,00000(ACCUM. COST) 5630,B100000,00000,0500,00000(SQUARE FEET) 5630,B100000,00000,0600,00000(PATIENT DAYS) 5630,B100000,00000,0700,00000(SQUARE FEET) 5630,B100000,00000,0800,00000(MEALS SERVED) 5630,B100000,00000,0900,00000(ADJUSTED SALARIES) 5630,B100000,00000,1000,00000(PATIENT DAYS) 5630,B100000,00000,1100,00000(COSTED REQUIS) 5630,B100000,00000,1200,00000(TOTAL CHARGES) 5630,B100000,00000,1300,00000(PATIENT DAYS) 5630,B100000,00000,1301,00000(PATIENT DAYS) 5630,B100000,00000,1400,00000(ASSIGNED TIME) 5630,E10A180,00301,0100,01/27/1999 5630,E10A180,00302,0100,12/09/1999 5630,E10A180,00350,0100,06/14/1999 5630,E10A180,00351,0100,10/08/1999 5630,E10A180,00352,0100,02/14/2000 5630,S000000,00100,0200,06/02/2000 5630,S200000,00100,0100,111 BARSTOW AVENUE 5630,S200000,00200,0100,CLOVIS 5630,S200000,00200,0200,CA 5630,S200000,00200,0300,93612 5630,S200000,00300,0100,FRESNO 5630,S200000,00400,0100,CLOVIS CONV HOSP (532) 5630,S200000,00400,0200,056338 5630,S200000,00400,0300,07/02/1971 5630,S200000,00400,0500,P 5630,S200000,00600,0200,056338 5630,S200000,00600,0300,07/02/1971 5630,S200000,00600,0600,P 5630,S200000,01600,0100,Y 5710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5710,A000000,00300,0000,00300EMPLOYEE BENEFITS 5710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5710,A000000,00700,0000,00700HOUSEKEEPING 5710,A000000,00800,0000,00800DIETARY 5710,A000000,00900,0000,00900NURSING ADMINISTRATION 5710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5710,A000000,01100,0000,01100PHARMACY 5710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5710,A000000,01300,0000,01300SOCIAL SERVICE 5710,A000000,01301,0000,01301ACTIVITIES 5710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5710,A000000,01600,0000,01600SKILLED NURSING FACILITY 5710,A000000,01800,0000,01800NURSING FACILITY 5710,A000000,01810,0000,01810ICF/MR 5710,A000000,02100,0000,02100RADIOLOGY 5710,A000000,02200,0000,02200LABORATORY 5710,A000000,02500,0000,02500PHYSICAL THERAPY 5710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5710,A000000,02700,0000,02700SPEECH PATHOLOGY 5710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5710,A000000,03550,0000,03550FQHC 5710,A000000,05000,0000,05000CORF 5710,A000000,05010,0000,05010CMHC 5710,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5710,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5710,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5710,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5710,A81000A,00100,0100,Y 5710,A81000B,00100,0300,HOME OFFICE COST 5710,A81000B,00400,0300,HOME OFFICE COST 5710,A81000B,00500,0300,HOME OFFICE COST 5710,A81000B,00600,0300,HOME OFFICE COST 5710,A81000B,00800,0300,HOME OFFICE COST 5710,A81000C,00100,0100,B 5710,A81000C,00100,0200,BEVERLY ENTERPR 5710,B100000,00000,0100,00000(SQUARE FEET) 5710,B100000,00000,0200,00000(SQUARE FEET) 5710,B100000,00000,0300,00000(ADJUSTED SALARIES) 5710,B100000,00000,0400,00000(ACCUM. COST) 5710,B100000,00000,0500,00000(SQUARE FEET) 5710,B100000,00000,0600,00000(PATIENT DAYS) 5710,B100000,00000,0700,00000(SQUARE FEET) 5710,B100000,00000,0800,00000(MEALS SERVED) 5710,B100000,00000,0900,00000(ADJUSTED SALARIES) 5710,B100000,00000,1000,00000(PATIENT DAYS) 5710,B100000,00000,1100,00000(COSTED REQUIS) 5710,B100000,00000,1200,00000(TOTAL CHARGES) 5710,B100000,00000,1300,00000(PATIENT DAYS) 5710,B100000,00000,1301,00000(PATIENT DAYS) 5710,B100000,00000,1400,00000(ASSIGNED TIME) 5710,E10A180,00301,0100,02/14/2000 5710,E10A180,00350,0100,06/14/1999 5710,E10A180,00351,0100,10/08/1999 5710,E10A180,00352,0100,12/09/1999 5710,S000000,00100,0200,06/02/2000 5710,S200000,00100,0100,3611 IMPERIAL HWY 5710,S200000,00200,0100,LYNWOOD 5710,S200000,00200,0200,CA 5710,S200000,00200,0300,90262 5710,S200000,00300,0100,LOS ANGELES 5710,S200000,00400,0100,COMMUNITY CONV HOSPITAL (504) 5710,S200000,00400,0200,056415 5710,S200000,00400,0300,08/01/1983 5710,S200000,00400,0500,P 5710,S200000,00600,0200,056415 5710,S200000,00600,0300,08/01/1983 5710,S200000,00600,0600,P 5710,S200000,01600,0100,Y 5715,S000000,00100,0200,07/05/2000 5751,S000000,00100,0200,07/19/2000 5804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5804,A000000,00300,0000,00300EMPLOYEE BENEFITS 5804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5804,A000000,00700,0000,00700HOUSEKEEPING 5804,A000000,00800,0000,00800DIETARY 5804,A000000,00900,0000,00900NURSING ADMINISTRATION 5804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5804,A000000,01100,0000,01100PHARMACY 5804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5804,A000000,01300,0000,01300SOCIAL SERVICE 5804,A000000,01301,0000,01301ACTIVITIES 5804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5804,A000000,01600,0000,01600SKILLED NURSING FACILITY 5804,A000000,01800,0000,01800NURSING FACILITY 5804,A000000,01810,0000,01810ICF/MR 5804,A000000,02100,0000,02100RADIOLOGY 5804,A000000,02200,0000,02200LABORATORY 5804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5804,A000000,02500,0000,02500PHYSICAL THERAPY 5804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5804,A000000,02700,0000,02700SPEECH PATHOLOGY 5804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5804,A000000,03550,0000,03550FQHC 5804,A000000,05000,0000,05000CORF 5804,A000000,05010,0000,05010CMHC 5804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5804,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5804,A81000A,00100,0100,Y 5804,A81000B,00100,0300,HOME OFFICE COST 5804,A81000B,00400,0300,HOME OFFICE COST 5804,A81000B,00500,0300,HOME OFFICE COST 5804,A81000B,00600,0300,HOME OFFICE COST 5804,A81000B,00800,0300,HOME OFFICE COST 5804,A81000C,00100,0100,B 5804,A81000C,00100,0200,BEVERLY ENTERPR 5804,B100000,00000,0100,00000(SQUARE FEET) 5804,B100000,00000,0200,00000(SQUARE FEET) 5804,B100000,00000,0300,00000(ADJUSTED SALARIES) 5804,B100000,00000,0400,00000(ACCUM. COST) 5804,B100000,00000,0500,00000(SQUARE FEET) 5804,B100000,00000,0600,00000(PATIENT DAYS) 5804,B100000,00000,0700,00000(SQUARE FEET) 5804,B100000,00000,0800,00000(MEALS SERVED) 5804,B100000,00000,0900,00000(ADJUSTED SALARIES) 5804,B100000,00000,1000,00000(PATIENT DAYS) 5804,B100000,00000,1100,00000(COSTED REQUIS) 5804,B100000,00000,1200,00000(TOTAL CHARGES) 5804,B100000,00000,1300,00000(PATIENT DAYS) 5804,B100000,00000,1301,00000(PATIENT DAYS) 5804,B100000,00000,1400,00000(ASSIGNED TIME) 5804,E10A180,00301,0100,02/14/2000 5804,E10A180,00350,0100,01/27/1999 5804,E10A180,00351,0100,06/14/1999 5804,E10A180,00352,0100,10/08/1999 5804,E10A180,00353,0100,12/09/1999 5804,S000000,00100,0200,06/02/2000 5804,S200000,00100,0100,3333 WISCONSIN AVE NW 5804,S200000,00200,0100,WASHINGTON 5804,S200000,00200,0200,DC 5804,S200000,00200,0300,20016 5804,S200000,00300,0100,DISTRICT OF COLUMBIA 5804,S200000,00400,0100,NORTHWEST HEALTH CARE CENTER 5804,S200000,00400,0200,095011 5804,S200000,00400,0300,10/25/1975 5804,S200000,00400,0500,P 5804,S200000,00600,0200,095011 5804,S200000,00600,0300,10/25/1975 5804,S200000,00600,0600,P 5804,S200000,01600,0100,Y 5807,S000000,00100,0200,09/24/1999 5810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5810,A000000,00300,0000,00300EMPLOYEE BENEFITS 5810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5810,A000000,00700,0000,00700HOUSEKEEPING 5810,A000000,00800,0000,00800DIETARY 5810,A000000,00900,0000,00900NURSING ADMINISTRATION 5810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5810,A000000,01100,0000,01100PHARMACY 5810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5810,A000000,01300,0000,01300SOCIAL SERVICE 5810,A000000,01301,0000,01301ACTIVITIES 5810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5810,A000000,01600,0000,01600SKILLED NURSING FACILITY 5810,A000000,01800,0000,01800NURSING FACILITY 5810,A000000,01810,0000,01810ICF/MR 5810,A000000,01900,0000,01900OTHER LONG TERM CARE 5810,A000000,02100,0000,02100RADIOLOGY 5810,A000000,02200,0000,02200LABORATORY 5810,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5810,A000000,02500,0000,02500PHYSICAL THERAPY 5810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5810,A000000,02700,0000,02700SPEECH PATHOLOGY 5810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5810,A000000,03550,0000,03550FQHC 5810,A000000,05000,0000,05000CORF 5810,A000000,05010,0000,05010CMHC 5810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5810,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5810,A81000A,00100,0100,Y 5810,A81000B,00100,0300,HOME OFFICE COST 5810,A81000B,00400,0300,HOME OFFICE COST 5810,A81000B,00500,0300,HOME OFFICE COST 5810,A81000B,00600,0300,HOME OFFICE COST 5810,A81000B,00800,0300,HOME OFFICE COST 5810,A81000C,00100,0100,B 5810,A81000C,00100,0200,BEVERLY ENTERPR 5810,B100000,00000,0100,00000(SQUARE FEET) 5810,B100000,00000,0200,00000(SQUARE FEET) 5810,B100000,00000,0300,00000(ADJUSTED SALARIES) 5810,B100000,00000,0400,00000(ACCUM. COST) 5810,B100000,00000,0500,00000(SQUARE FEET) 5810,B100000,00000,0600,00000(PATIENT DAYS) 5810,B100000,00000,0700,00000(SQUARE FEET) 5810,B100000,00000,0800,00000(MEALS SERVED) 5810,B100000,00000,0900,00000(ADJUSTED SALARIES) 5810,B100000,00000,1000,00000(PATIENT DAYS) 5810,B100000,00000,1100,00000(COSTED REQUIS) 5810,B100000,00000,1200,00000(TOTAL CHARGES) 5810,B100000,00000,1300,00000(PATIENT DAYS) 5810,B100000,00000,1301,00000(PATIENT DAYS) 5810,B100000,00000,1400,00000(ASSIGNED TIME) 5810,E10A180,00301,0100,01/27/1999 5810,E10A180,00351,0100,06/14/1999 5810,E10A180,00352,0100,10/08/1999 5810,E10A180,00353,0100,12/09/1999 5810,E10A180,00354,0100,02/14/2000 5810,S000000,00100,0200,06/02/2000 5810,S200000,00100,0100,1061 VIRGINIA STREET 5810,S200000,00200,0100,DUNEDIN 5810,S200000,00200,0200,FL 5810,S200000,00200,0300,33528 5810,S200000,00300,0100,PINELLAS 5810,S200000,00400,0100,SPANISH GARDENS NURSING CTR (7 5810,S200000,00400,0200,105132 5810,S200000,00400,0300,10/11/1982 5810,S200000,00400,0500,P 5810,S200000,00600,0200,105132 5810,S200000,00600,0300,10/11/1982 5810,S200000,00600,0600,P 5810,S200000,01600,0100,Y 5810,S200000,04200,0100,Y 5810,S200000,04300,0100,Y 5813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5813,A000000,00300,0000,00300EMPLOYEE BENEFITS 5813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5813,A000000,00700,0000,00700HOUSEKEEPING 5813,A000000,00800,0000,00800DIETARY 5813,A000000,00900,0000,00900NURSING ADMINISTRATION 5813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5813,A000000,01100,0000,01100PHARMACY 5813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5813,A000000,01300,0000,01300SOCIAL SERVICE 5813,A000000,01301,0000,01301ACTIVITIES 5813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5813,A000000,01600,0000,01600SKILLED NURSING FACILITY 5813,A000000,01800,0000,01800NURSING FACILITY 5813,A000000,01810,0000,01810ICF/MR 5813,A000000,02100,0000,02100RADIOLOGY 5813,A000000,02200,0000,02200LABORATORY 5813,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5813,A000000,02500,0000,02500PHYSICAL THERAPY 5813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5813,A000000,02700,0000,02700SPEECH PATHOLOGY 5813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5813,A000000,03550,0000,03550FQHC 5813,A000000,05000,0000,05000CORF 5813,A000000,05010,0000,05010CMHC 5813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5813,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5813,A81000A,00100,0100,Y 5813,A81000B,00100,0300,HOME OFFICE COST 5813,A81000B,00400,0300,HOME OFFICE COST 5813,A81000B,00500,0300,HOME OFFICE COST 5813,A81000B,00600,0300,HOME OFFICE COST 5813,A81000B,00800,0300,HOME OFFICE COST 5813,A81000C,00100,0100,B 5813,A81000C,00100,0200,BEVERLY ENTERPR 5813,B100000,00000,0100,00000(SQUARE FEET) 5813,B100000,00000,0200,00000(SQUARE FEET) 5813,B100000,00000,0300,00000(ADJUSTED SALARIES) 5813,B100000,00000,0400,00000(ACCUM. COST) 5813,B100000,00000,0500,00000(SQUARE FEET) 5813,B100000,00000,0600,00000(PATIENT DAYS) 5813,B100000,00000,0700,00000(SQUARE FEET) 5813,B100000,00000,0800,00000(MEALS SERVED) 5813,B100000,00000,0900,00000(ADJUSTED SALARIES) 5813,B100000,00000,1000,00000(PATIENT DAYS) 5813,B100000,00000,1100,00000(COSTED REQUIS) 5813,B100000,00000,1200,00000(TOTAL CHARGES) 5813,B100000,00000,1300,00000(PATIENT DAYS) 5813,B100000,00000,1301,00000(PATIENT DAYS) 5813,B100000,00000,1400,00000(ASSIGNED TIME) 5813,E10A180,00302,0100,06/14/1999 5813,E10A180,00303,0100,10/08/1999 5813,E10A180,00304,0100,12/09/1999 5813,E10A180,00305,0100,02/14/2000 5813,E10A180,00350,0100,01/27/1999 5813,S000000,00100,0200,06/02/2000 5813,S200000,00100,0100,3409 WEST 19TH STREET 5813,S200000,00200,0100,PANAMA CITY 5813,S200000,00200,0200,FL 5813,S200000,00200,0300,32405 5813,S200000,00300,0100,BAY 5813,S200000,00400,0100,LELAH G. WAGNER NURSING HOME 5813,S200000,00400,0200,105148 5813,S200000,00400,0300,01/01/1981 5813,S200000,00400,0500,P 5813,S200000,00600,0200,105148 5813,S200000,00600,0300,01/01/1981 5813,S200000,00600,0600,P 5813,S200000,01600,0100,Y 5813,S200000,04300,0100,Y 5816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5816,A000000,00300,0000,00300EMPLOYEE BENEFITS 5816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5816,A000000,00700,0000,00700HOUSEKEEPING 5816,A000000,00800,0000,00800DIETARY 5816,A000000,00900,0000,00900NURSING ADMINISTRATION 5816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5816,A000000,01100,0000,01100PHARMACY 5816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5816,A000000,01300,0000,01300SOCIAL SERVICE 5816,A000000,01301,0000,01301ACTIVITIES 5816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5816,A000000,01600,0000,01600SKILLED NURSING FACILITY 5816,A000000,01800,0000,01800NURSING FACILITY 5816,A000000,01810,0000,01810ICF/MR 5816,A000000,01900,0000,01900OTHER LONG TERM CARE 5816,A000000,02100,0000,02100RADIOLOGY 5816,A000000,02200,0000,02200LABORATORY 5816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5816,A000000,02500,0000,02500PHYSICAL THERAPY 5816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5816,A000000,02700,0000,02700SPEECH PATHOLOGY 5816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5816,A000000,03550,0000,03550FQHC 5816,A000000,05000,0000,05000CORF 5816,A000000,05010,0000,05010CMHC 5816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5816,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5816,A81000A,00100,0100,Y 5816,A81000B,00100,0300,HOME OFFICE COST 5816,A81000B,00400,0300,HOME OFFICE COST 5816,A81000B,00500,0300,HOME OFFICE COST 5816,A81000B,00600,0300,HOME OFFICE COST 5816,A81000B,00800,0300,HOME OFFICE COST 5816,A81000C,00100,0100,B 5816,A81000C,00100,0200,BEVERLY ENTERPR 5816,B100000,00000,0100,00000(SQUARE FEET) 5816,B100000,00000,0200,00000(SQUARE FEET) 5816,B100000,00000,0300,00000(ADJUSTED SALARIES) 5816,B100000,00000,0400,00000(ACCUM. COST) 5816,B100000,00000,0500,00000(SQUARE FEET) 5816,B100000,00000,0600,00000(PATIENT DAYS) 5816,B100000,00000,0700,00000(SQUARE FEET) 5816,B100000,00000,0800,00000(MEALS SERVED) 5816,B100000,00000,0900,00000(ADJUSTED SALARIES) 5816,B100000,00000,1000,00000(PATIENT DAYS) 5816,B100000,00000,1100,00000(COSTED REQUIS) 5816,B100000,00000,1200,00000(TOTAL CHARGES) 5816,B100000,00000,1300,00000(PATIENT DAYS) 5816,B100000,00000,1301,00000(PATIENT DAYS) 5816,B100000,00000,1400,00000(ASSIGNED TIME) 5816,E10A180,00301,0100,01/27/1999 5816,E10A180,00351,0100,06/14/1999 5816,E10A180,00352,0100,10/08/1999 5816,E10A180,00353,0100,12/09/1999 5816,E10A180,00354,0100,02/14/2000 5816,S000000,00100,0200,06/02/2000 5816,S200000,00100,0100,777 NINTH STREET NORTH 5816,S200000,00200,0100,NAPLES 5816,S200000,00200,0200,FL 5816,S200000,00200,0300,33940 5816,S200000,00300,0100,COLLIER 5816,S200000,00400,0100,HERITAGE HEALTHCARE CTR (788) 5816,S200000,00400,0200,105178 5816,S200000,00400,0300,08/26/1981 5816,S200000,00400,0500,P 5816,S200000,00600,0200,105178 5816,S200000,00600,0300,08/26/1981 5816,S200000,00600,0600,P 5816,S200000,01600,0100,Y 5816,S200000,04300,0100,Y 5819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5819,A000000,00300,0000,00300EMPLOYEE BENEFITS 5819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5819,A000000,00700,0000,00700HOUSEKEEPING 5819,A000000,00800,0000,00800DIETARY 5819,A000000,00900,0000,00900NURSING ADMINISTRATION 5819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5819,A000000,01100,0000,01100PHARMACY 5819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5819,A000000,01300,0000,01300SOCIAL SERVICE 5819,A000000,01301,0000,01301ACTIVITIES 5819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5819,A000000,01600,0000,01600SKILLED NURSING FACILITY 5819,A000000,01800,0000,01800NURSING FACILITY 5819,A000000,01810,0000,01810ICF/MR 5819,A000000,02100,0000,02100RADIOLOGY 5819,A000000,02200,0000,02200LABORATORY 5819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5819,A000000,02500,0000,02500PHYSICAL THERAPY 5819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5819,A000000,02700,0000,02700SPEECH PATHOLOGY 5819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5819,A000000,03550,0000,03550FQHC 5819,A000000,05000,0000,05000CORF 5819,A000000,05010,0000,05010CMHC 5819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5819,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5819,A81000A,00100,0100,Y 5819,A81000B,00100,0300,HOME OFFICE COST 5819,A81000B,00400,0300,HOME OFFICE COST 5819,A81000B,00500,0300,HOME OFFICE COST 5819,A81000B,00600,0300,HOME OFFICE COST 5819,A81000B,00800,0300,HOME OFFICE COST 5819,A81000C,00100,0100,B 5819,A81000C,00100,0200,BEVERLY ENTERPR 5819,B100000,00000,0100,00000(SQUARE FEET) 5819,B100000,00000,0200,00000(SQUARE FEET) 5819,B100000,00000,0300,00000(ADJUSTED SALARIES) 5819,B100000,00000,0400,00000(ACCUM. COST) 5819,B100000,00000,0500,00000(SQUARE FEET) 5819,B100000,00000,0600,00000(PATIENT DAYS) 5819,B100000,00000,0700,00000(SQUARE FEET) 5819,B100000,00000,0800,00000(MEALS SERVED) 5819,B100000,00000,0900,00000(ADJUSTED SALARIES) 5819,B100000,00000,1000,00000(PATIENT DAYS) 5819,B100000,00000,1100,00000(COSTED REQUIS) 5819,B100000,00000,1200,00000(TOTAL CHARGES) 5819,B100000,00000,1300,00000(PATIENT DAYS) 5819,B100000,00000,1301,00000(PATIENT DAYS) 5819,B100000,00000,1400,00000(ASSIGNED TIME) 5819,E10A180,00301,0100,01/27/1999 5819,E10A180,00304,0100,12/09/1999 5819,E10A180,00351,0100,06/14/1999 5819,E10A180,00352,0100,10/08/1999 5819,E10A180,00354,0100,02/14/2000 5819,S000000,00100,0200,06/02/2000 5819,S200000,00100,0100,2826 CLEVELAND AVE 5819,S200000,00200,0100,FORT MYERS 5819,S200000,00200,0200,FL 5819,S200000,00200,0300,33902 5819,S200000,00300,0100,LEE 5819,S200000,00400,0100,LEE CONVALESCENT CENTER (789) 5819,S200000,00400,0200,105238 5819,S200000,00400,0300,11/01/1981 5819,S200000,00400,0500,P 5819,S200000,00600,0200,105238 5819,S200000,00600,0300,11/01/1981 5819,S200000,00600,0600,P 5819,S200000,01600,0100,Y 5819,S200000,04300,0100,Y 5825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5825,A000000,00300,0000,00300EMPLOYEE BENEFITS 5825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5825,A000000,00700,0000,00700HOUSEKEEPING 5825,A000000,00800,0000,00800DIETARY 5825,A000000,00900,0000,00900NURSING ADMINISTRATION 5825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5825,A000000,01100,0000,01100PHARMACY 5825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5825,A000000,01300,0000,01300SOCIAL SERVICE 5825,A000000,01301,0000,01301ACTIVITIES 5825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5825,A000000,01600,0000,01600SKILLED NURSING FACILITY 5825,A000000,01800,0000,01800NURSING FACILITY 5825,A000000,01810,0000,01810ICF/MR 5825,A000000,02100,0000,02100RADIOLOGY 5825,A000000,02200,0000,02200LABORATORY 5825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5825,A000000,02500,0000,02500PHYSICAL THERAPY 5825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5825,A000000,02700,0000,02700SPEECH PATHOLOGY 5825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5825,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5825,A000000,03550,0000,03550FQHC 5825,A000000,05000,0000,05000CORF 5825,A000000,05010,0000,05010CMHC 5825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5825,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5825,A81000A,00100,0100,Y 5825,A81000B,00100,0300,HOME OFFICE COST 5825,A81000B,00400,0300,HOME OFFICE COST 5825,A81000B,00500,0300,HOME OFFICE COST 5825,A81000B,00600,0300,HOME OFFICE COST 5825,A81000B,00800,0300,HOME OFFICE COST 5825,A81000C,00100,0100,B 5825,A81000C,00100,0200,BEVERLY ENTERPR 5825,B100000,00000,0100,00000(SQUARE FEET) 5825,B100000,00000,0200,00000(SQUARE FEET) 5825,B100000,00000,0300,00000(ADJUSTED SALARIES) 5825,B100000,00000,0400,00000(ACCUM. COST) 5825,B100000,00000,0500,00000(SQUARE FEET) 5825,B100000,00000,0600,00000(PATIENT DAYS) 5825,B100000,00000,0700,00000(SQUARE FEET) 5825,B100000,00000,0800,00000(MEALS SERVED) 5825,B100000,00000,0900,00000(ADJUSTED SALARIES) 5825,B100000,00000,1000,00000(PATIENT DAYS) 5825,B100000,00000,1100,00000(COSTED REQUIS) 5825,B100000,00000,1200,00000(TOTAL CHARGES) 5825,B100000,00000,1300,00000(PATIENT DAYS) 5825,B100000,00000,1301,00000(PATIENT DAYS) 5825,B100000,00000,1400,00000(ASSIGNED TIME) 5825,E10A180,00301,0100,01/27/1999 5825,E10A180,00303,0100,10/08/1999 5825,E10A180,00304,0100,12/09/1999 5825,E10A180,00351,0100,06/14/1999 5825,E10A180,00354,0100,02/14/2000 5825,S000000,00100,0200,06/02/2000 5825,S200000,00100,0100,611 13TH ST 5825,S200000,00200,0100,FT PIERCE 5825,S200000,00200,0200,FL 5825,S200000,00200,0300,33450 5825,S200000,00300,0100,ST LUCIE 5825,S200000,00400,0100,ADVANTAGE THERAPY & NSG 5825,S200000,00400,0200,105257 5825,S200000,00400,0300,06/01/1984 5825,S200000,00400,0500,P 5825,S200000,00600,0200,105257 5825,S200000,00600,0300,06/01/1984 5825,S200000,00600,0600,P 5825,S200000,01600,0100,Y 5825,S200000,04300,0100,Y 5828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5828,A000000,00300,0000,00300EMPLOYEE BENEFITS 5828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5828,A000000,00700,0000,00700HOUSEKEEPING 5828,A000000,00800,0000,00800DIETARY 5828,A000000,00900,0000,00900NURSING ADMINISTRATION 5828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5828,A000000,01100,0000,01100PHARMACY 5828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5828,A000000,01300,0000,01300SOCIAL SERVICE 5828,A000000,01301,0000,01301ACTIVITIES 5828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5828,A000000,01600,0000,01600SKILLED NURSING FACILITY 5828,A000000,01800,0000,01800NURSING FACILITY 5828,A000000,01810,0000,01810ICF/MR 5828,A000000,01900,0000,01900OTHER LONG TERM CARE 5828,A000000,02100,0000,02100RADIOLOGY 5828,A000000,02200,0000,02200LABORATORY 5828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5828,A000000,02500,0000,02500PHYSICAL THERAPY 5828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5828,A000000,02700,0000,02700SPEECH PATHOLOGY 5828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5828,A000000,03550,0000,03550FQHC 5828,A000000,05000,0000,05000CORF 5828,A000000,05010,0000,05010CMHC 5828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5828,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5828,A81000A,00100,0100,Y 5828,A81000B,00100,0300,HOME OFFICE COST 5828,A81000B,00400,0300,HOME OFFICE COST 5828,A81000B,00500,0300,HOME OFFICE COST 5828,A81000B,00600,0300,HOME OFFICE COST 5828,A81000B,00800,0300,HOME OFFICE COST 5828,A81000C,00100,0100,B 5828,A81000C,00100,0200,BEVERLY ENTERPR 5828,B100000,00000,0100,00000(SQUARE FEET) 5828,B100000,00000,0200,00000(SQUARE FEET) 5828,B100000,00000,0300,00000(ADJUSTED SALARIES) 5828,B100000,00000,0400,00000(ACCUM. COST) 5828,B100000,00000,0500,00000(SQUARE FEET) 5828,B100000,00000,0600,00000(PATIENT DAYS) 5828,B100000,00000,0700,00000(SQUARE FEET) 5828,B100000,00000,0800,00000(MEALS SERVED) 5828,B100000,00000,0900,00000(ADJUSTED SALARIES) 5828,B100000,00000,1000,00000(PATIENT DAYS) 5828,B100000,00000,1100,00000(COSTED REQUIS) 5828,B100000,00000,1200,00000(TOTAL CHARGES) 5828,B100000,00000,1300,00000(PATIENT DAYS) 5828,B100000,00000,1301,00000(PATIENT DAYS) 5828,B100000,00000,1400,00000(ASSIGNED TIME) 5828,E10A180,00302,0100,06/14/1999 5828,E10A180,00350,0100,01/27/1999 5828,E10A180,00352,0100,10/08/1999 5828,E10A180,00353,0100,12/09/1999 5828,E10A180,00354,0100,02/14/2000 5828,S000000,00100,0200,06/02/2000 5828,S200000,00100,0100,2401 N.E. 2ND ST 5828,S200000,00200,0100,POMPANO BCH 5828,S200000,00200,0200,FL 5828,S200000,00200,0300,33062 5828,S200000,00300,0100,BROWARD 5828,S200000,00400,0100,PINEHURST CONV CENTER (329) A 5828,S200000,00400,0200,105258 5828,S200000,00400,0300,08/01/1983 5828,S200000,00400,0500,P 5828,S200000,00600,0200,105258 5828,S200000,00600,0300,08/01/1983 5828,S200000,00600,0600,P 5828,S200000,01600,0100,Y 5828,S200000,04300,0100,Y 5835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5835,A000000,00300,0000,00300EMPLOYEE BENEFITS 5835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5835,A000000,00700,0000,00700HOUSEKEEPING 5835,A000000,00800,0000,00800DIETARY 5835,A000000,00900,0000,00900NURSING ADMINISTRATION 5835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5835,A000000,01100,0000,01100PHARMACY 5835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5835,A000000,01300,0000,01300SOCIAL SERVICE 5835,A000000,01301,0000,01301ACTIVITIES 5835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5835,A000000,01600,0000,01600SKILLED NURSING FACILITY 5835,A000000,01800,0000,01800NURSING FACILITY 5835,A000000,01810,0000,01810ICF/MR 5835,A000000,01900,0000,01900OTHER LONG TERM CARE 5835,A000000,02100,0000,02100RADIOLOGY 5835,A000000,02200,0000,02200LABORATORY 5835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5835,A000000,02500,0000,02500PHYSICAL THERAPY 5835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5835,A000000,02700,0000,02700SPEECH PATHOLOGY 5835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5835,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5835,A000000,03550,0000,03550FQHC 5835,A000000,05000,0000,05000CORF 5835,A000000,05010,0000,05010CMHC 5835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5835,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5835,A81000A,00100,0100,Y 5835,A81000B,00100,0300,HOME OFFICE COST 5835,A81000B,00400,0300,HOME OFFICE COST 5835,A81000B,00500,0300,HOME OFFICE COST 5835,A81000B,00600,0300,HOME OFFICE COST 5835,A81000B,00800,0300,HOME OFFICE COST 5835,A81000C,00100,0100,B 5835,A81000C,00100,0200,BEVERLY ENTERPR 5835,B100000,00000,0100,00000(SQUARE FEET) 5835,B100000,00000,0200,00000(SQUARE FEET) 5835,B100000,00000,0300,00000(ADJUSTED SALARIES) 5835,B100000,00000,0400,00000(ACCUM. COST) 5835,B100000,00000,0500,00000(SQUARE FEET) 5835,B100000,00000,0600,00000(PATIENT DAYS) 5835,B100000,00000,0700,00000(SQUARE FEET) 5835,B100000,00000,0800,00000(MEALS SERVED) 5835,B100000,00000,0900,00000(ADJUSTED SALARIES) 5835,B100000,00000,1000,00000(PATIENT DAYS) 5835,B100000,00000,1100,00000(COSTED REQUIS) 5835,B100000,00000,1200,00000(TOTAL CHARGES) 5835,B100000,00000,1300,00000(PATIENT DAYS) 5835,B100000,00000,1301,00000(PATIENT DAYS) 5835,B100000,00000,1400,00000(ASSIGNED TIME) 5835,E10A180,00301,0100,01/27/2000 5835,E10A180,00303,0100,10/08/1999 5835,E10A180,00304,0100,12/09/1999 5835,E10A180,00305,0100,02/14/2000 5835,E10A180,00351,0100,06/14/1999 5835,S000000,00100,0200,06/02/2000 5835,S200000,00100,0100,125 ALMA BLVD 5835,S200000,00200,0100,MERRITT ISLAN 5835,S200000,00200,0200,FL 5835,S200000,00200,0300,32952 5835,S200000,00300,0100,BREVARD 5835,S200000,00400,0100,MERRITT MANOR NURSING CENTER ( 5835,S200000,00400,0200,105325 5835,S200000,00400,0300,08/01/1982 5835,S200000,00400,0500,P 5835,S200000,00600,0200,105325 5835,S200000,00600,0300,08/01/1982 5835,S200000,00600,0600,O 5835,S200000,01600,0100,Y 5835,S200000,04300,0100,Y 5838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5838,A000000,00300,0000,00300EMPLOYEE BENEFITS 5838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5838,A000000,00700,0000,00700HOUSEKEEPING 5838,A000000,00800,0000,00800DIETARY 5838,A000000,00900,0000,00900NURSING ADMINISTRATION 5838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5838,A000000,01100,0000,01100PHARMACY 5838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5838,A000000,01300,0000,01300SOCIAL SERVICE 5838,A000000,01301,0000,01301ACTIVITIES 5838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5838,A000000,01600,0000,01600SKILLED NURSING FACILITY 5838,A000000,01800,0000,01800NURSING FACILITY 5838,A000000,01810,0000,01810ICF/MR 5838,A000000,02100,0000,02100RADIOLOGY 5838,A000000,02200,0000,02200LABORATORY 5838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5838,A000000,02500,0000,02500PHYSICAL THERAPY 5838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5838,A000000,02700,0000,02700SPEECH PATHOLOGY 5838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5838,A000000,03550,0000,03550FQHC 5838,A000000,05000,0000,05000CORF 5838,A000000,05010,0000,05010CMHC 5838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5838,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5838,A81000A,00100,0100,Y 5838,A81000B,00100,0300,HOME OFFICE COST 5838,A81000B,00400,0300,HOME OFFICE COST 5838,A81000B,00500,0300,HOME OFFICE COST 5838,A81000B,00600,0300,HOME OFFICE COST 5838,A81000B,00800,0300,HOME OFFICE COST 5838,A81000C,00100,0100,B 5838,A81000C,00100,0200,BEVERLY ENTERPR 5838,B100000,00000,0100,00000(SQUARE FEET) 5838,B100000,00000,0200,00000(SQUARE FEET) 5838,B100000,00000,0300,00000(ADJUSTED SALARIES) 5838,B100000,00000,0400,00000(ACCUM. COST) 5838,B100000,00000,0500,00000(SQUARE FEET) 5838,B100000,00000,0600,00000(PATIENT DAYS) 5838,B100000,00000,0700,00000(SQUARE FEET) 5838,B100000,00000,0800,00000(MEALS SERVED) 5838,B100000,00000,0900,00000(ADJUSTED SALARIES) 5838,B100000,00000,1000,00000(PATIENT DAYS) 5838,B100000,00000,1100,00000(COSTED REQUIS) 5838,B100000,00000,1200,00000(TOTAL CHARGES) 5838,B100000,00000,1300,00000(PATIENT DAYS) 5838,B100000,00000,1301,00000(PATIENT DAYS) 5838,B100000,00000,1400,00000(ASSIGNED TIME) 5838,E10A180,00301,0100,01/27/1999 5838,E10A180,00351,0100,06/14/1999 5838,E10A180,00352,0100,10/08/1999 5838,E10A180,00353,0100,12/09/1999 5838,E10A180,00354,0100,02/14/2000 5838,S000000,00100,0200,06/02/2000 5838,S200000,00100,0100,3050 BROWN AVENUE 5838,S200000,00200,0100,MT. DORA 5838,S200000,00200,0200,FL 5838,S200000,00200,0300,32757 5838,S200000,00300,0100,LAKE 5838,S200000,00400,0100,MT DORA HEALTH CARE CENTER 5838,S200000,00400,0200,105333 5838,S200000,00400,0300,10/01/1980 5838,S200000,00400,0500,P 5838,S200000,00600,0200,105333 5838,S200000,00600,0300,10/01/1980 5838,S200000,00600,0600,P 5838,S200000,01600,0100,Y 5838,S200000,04300,0100,Y 5841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5841,A000000,00300,0000,00300EMPLOYEE BENEFITS 5841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5841,A000000,00700,0000,00700HOUSEKEEPING 5841,A000000,00800,0000,00800DIETARY 5841,A000000,00900,0000,00900NURSING ADMINISTRATION 5841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5841,A000000,01100,0000,01100PHARMACY 5841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5841,A000000,01300,0000,01300SOCIAL SERVICE 5841,A000000,01301,0000,01301ACTIVITIES 5841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5841,A000000,01600,0000,01600SKILLED NURSING FACILITY 5841,A000000,01800,0000,01800NURSING FACILITY 5841,A000000,01810,0000,01810ICF/MR 5841,A000000,01900,0000,01900OTHER LONG TERM CARE 5841,A000000,02100,0000,02100RADIOLOGY 5841,A000000,02200,0000,02200LABORATORY 5841,A000000,02500,0000,02500PHYSICAL THERAPY 5841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5841,A000000,02700,0000,02700SPEECH PATHOLOGY 5841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5841,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5841,A000000,03550,0000,03550FQHC 5841,A000000,05000,0000,05000CORF 5841,A000000,05010,0000,05010CMHC 5841,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5841,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5841,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5841,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5841,A81000A,00100,0100,Y 5841,A81000B,00100,0300,HOME OFFICE COST 5841,A81000B,00400,0300,HOME OFFICE COST 5841,A81000B,00500,0300,HOME OFFICE COST 5841,A81000B,00600,0300,HOME OFFICE COST 5841,A81000B,00800,0300,HOME OFFICE COST 5841,A81000C,00100,0100,B 5841,A81000C,00100,0200,BEVERLY ENTERPR 5841,B100000,00000,0100,00000(SQUARE FEET) 5841,B100000,00000,0200,00000(SQUARE FEET) 5841,B100000,00000,0300,00000(ADJUSTED SALARIES) 5841,B100000,00000,0400,00000(ACCUM. COST) 5841,B100000,00000,0500,00000(SQUARE FEET) 5841,B100000,00000,0600,00000(PATIENT DAYS) 5841,B100000,00000,0700,00000(SQUARE FEET) 5841,B100000,00000,0800,00000(MEALS SERVED) 5841,B100000,00000,0900,00000(ADJUSTED SALARIES) 5841,B100000,00000,1000,00000(PATIENT DAYS) 5841,B100000,00000,1100,00000(COSTED REQUIS) 5841,B100000,00000,1200,00000(TOTAL CHARGES) 5841,B100000,00000,1300,00000(PATIENT DAYS) 5841,B100000,00000,1301,00000(PATIENT DAYS) 5841,B100000,00000,1400,00000(ASSIGNED TIME) 5841,E10A180,00301,0100,01/27/1999 5841,E10A180,00302,0100,06/14/1999 5841,E10A180,00303,0100,10/08/1999 5841,E10A180,00305,0100,02/14/2000 5841,E10A180,00353,0100,12/09/1999 5841,S000000,00100,0200,06/02/2000 5841,S200000,00100,0100,3333 CAPITAL MEDICAL BLVD 5841,S200000,00200,0100,TALLAHASSEE 5841,S200000,00200,0200,FL 5841,S200000,00200,0300,32308 5841,S200000,00300,0100,LEON 5841,S200000,00400,0100,CAPITAL HEALTH CARE CENTER 5841,S200000,00400,0200,105364 5841,S200000,00400,0300,11/01/1984 5841,S200000,00400,0500,P 5841,S200000,00600,0200,105364 5841,S200000,00600,0300,11/01/1984 5841,S200000,00600,0600,P 5841,S200000,01600,0100,Y 5841,S200000,04200,0100,Y 5841,S200000,04300,0100,Y 5846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5846,A000000,00300,0000,00300EMPLOYEE BENEFITS 5846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5846,A000000,00700,0000,00700HOUSEKEEPING 5846,A000000,00800,0000,00800DIETARY 5846,A000000,00900,0000,00900NURSING ADMINISTRATION 5846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5846,A000000,01100,0000,01100PHARMACY 5846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5846,A000000,01300,0000,01300SOCIAL SERVICE 5846,A000000,01301,0000,01301ACTIVITIES 5846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5846,A000000,01600,0000,01600SKILLED NURSING FACILITY 5846,A000000,01800,0000,01800NURSING FACILITY 5846,A000000,01810,0000,01810ICF/MR 5846,A000000,02100,0000,02100RADIOLOGY 5846,A000000,02200,0000,02200LABORATORY 5846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5846,A000000,02500,0000,02500PHYSICAL THERAPY 5846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5846,A000000,02700,0000,02700SPEECH PATHOLOGY 5846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5846,A000000,03550,0000,03550FQHC 5846,A000000,05000,0000,05000CORF 5846,A000000,05010,0000,05010CMHC 5846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5846,A000000,06150,0000,06300OTHER NON REIMBURSABLE 5846,A81000A,00100,0100,Y 5846,A81000B,00100,0300,HOME OFFICE COST 5846,A81000B,00400,0300,HOME OFFICE COST 5846,A81000B,00500,0300,HOME OFFICE COST 5846,A81000B,00600,0300,HOME OFFICE COST 5846,A81000B,00800,0300,HOME OFFICE COST 5846,A81000C,00100,0100,B 5846,A81000C,00100,0200,BEVERLY ENTERPR 5846,B100000,00000,0100,00000(SQUARE FEET) 5846,B100000,00000,0200,00000(SQUARE FEET) 5846,B100000,00000,0300,00000(ADJUSTED SALARIES) 5846,B100000,00000,0400,00000(ACCUM. COST) 5846,B100000,00000,0500,00000(SQUARE FEET) 5846,B100000,00000,0600,00000(PATIENT DAYS) 5846,B100000,00000,0700,00000(SQUARE FEET) 5846,B100000,00000,0800,00000(MEALS SERVED) 5846,B100000,00000,0900,00000(ADJUSTED SALARIES) 5846,B100000,00000,1000,00000(PATIENT DAYS) 5846,B100000,00000,1100,00000(COSTED REQUIS) 5846,B100000,00000,1200,00000(TOTAL CHARGES) 5846,B100000,00000,1300,00000(PATIENT DAYS) 5846,B100000,00000,1301,00000(PATIENT DAYS) 5846,B100000,00000,1400,00000(ASSIGNED TIME) 5846,E10A180,00350,0100,01/27/1999 5846,E10A180,00351,0100,06/14/1999 5846,E10A180,00352,0100,10/08/1999 5846,E10A180,00353,0100,12/09/1999 5846,E10A180,00354,0100,02/14/2000 5846,S000000,00100,0200,06/02/2000 5846,S200000,00100,0100,501 SOUTH WALTON AVE 5846,S200000,00200,0100,TARPON SPRNGS 5846,S200000,00200,0200,FL 5846,S200000,00200,0300,33589 5846,S200000,00300,0100,PINELLAS 5846,S200000,00400,0100,TARPON HEALTH CARE CENTER (803 5846,S200000,00400,0200,105380 5846,S200000,00400,0300,01/01/1983 5846,S200000,00400,0500,P 5846,S200000,00600,0200,105380 5846,S200000,00600,0300,01/01/1983 5846,S200000,00600,0600,P 5846,S200000,01600,0100,Y 5846,S200000,04300,0100,Y 5849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5849,A000000,00300,0000,00300EMPLOYEE BENEFITS 5849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5849,A000000,00700,0000,00700HOUSEKEEPING 5849,A000000,00800,0000,00800DIETARY 5849,A000000,00900,0000,00900NURSING ADMINISTRATION 5849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5849,A000000,01100,0000,01100PHARMACY 5849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5849,A000000,01300,0000,01300SOCIAL SERVICE 5849,A000000,01301,0000,01301ACTIVITIES 5849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5849,A000000,01600,0000,01600SKILLED NURSING FACILITY 5849,A000000,01800,0000,01800NURSING FACILITY 5849,A000000,01810,0000,01810ICF/MR 5849,A000000,01900,0000,01900OTHER LONG TERM CARE 5849,A000000,02100,0000,02100RADIOLOGY 5849,A000000,02200,0000,02200LABORATORY 5849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5849,A000000,02500,0000,02500PHYSICAL THERAPY 5849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5849,A000000,02700,0000,02700SPEECH PATHOLOGY 5849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5849,A000000,03550,0000,03550FQHC 5849,A000000,05000,0000,05000CORF 5849,A000000,05010,0000,05010CMHC 5849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5849,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5849,A81000A,00100,0100,Y 5849,A81000B,00100,0300,HOME OFFICE COST 5849,A81000B,00400,0300,HOME OFFICE COST 5849,A81000B,00500,0300,HOME OFFICE COST 5849,A81000B,00600,0300,HOME OFFICE COST 5849,A81000B,00800,0300,HOME OFFICE COST 5849,A81000C,00100,0100,B 5849,A81000C,00100,0200,BEVERLY ENTERPR 5849,B100000,00000,0100,00000(SQUARE FEET) 5849,B100000,00000,0200,00000(SQUARE FEET) 5849,B100000,00000,0300,00000(ADJUSTED SALARIES) 5849,B100000,00000,0400,00000(ACCUM. COST) 5849,B100000,00000,0500,00000(SQUARE FEET) 5849,B100000,00000,0600,00000(PATIENT DAYS) 5849,B100000,00000,0700,00000(SQUARE FEET) 5849,B100000,00000,0800,00000(MEALS SERVED) 5849,B100000,00000,0900,00000(ADJUSTED SALARIES) 5849,B100000,00000,1000,00000(PATIENT DAYS) 5849,B100000,00000,1100,00000(COSTED REQUIS) 5849,B100000,00000,1200,00000(TOTAL CHARGES) 5849,B100000,00000,1300,00000(PATIENT DAYS) 5849,B100000,00000,1301,00000(PATIENT DAYS) 5849,B100000,00000,1400,00000(ASSIGNED TIME) 5849,E10A180,00301,0100,01/27/1999 5849,E10A180,00302,0100,06/14/1999 5849,E10A180,00352,0100,10/08/1999 5849,E10A180,00353,0100,12/09/1999 5849,E10A180,00354,0100,02/14/2000 5849,S000000,00100,0200,06/02/2000 5849,S200000,00100,0100,1120 W DONEGAN AVENUE 5849,S200000,00200,0100,KISSIMMEE 5849,S200000,00200,0200,FL 5849,S200000,00200,0300,32741 5849,S200000,00300,0100,OSCEOLA 5849,S200000,00400,0100,DONEGAN HC AND REHAB 5849,S200000,00400,0200,105386 5849,S200000,00400,0300,08/01/1981 5849,S200000,00400,0500,P 5849,S200000,00600,0200,105386 5849,S200000,00600,0300,08/01/1981 5849,S200000,00600,0600,P 5849,S200000,01600,0100,Y 5849,S200000,04300,0100,Y 5852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5852,A000000,00300,0000,00300EMPLOYEE BENEFITS 5852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5852,A000000,00700,0000,00700HOUSEKEEPING 5852,A000000,00800,0000,00800DIETARY 5852,A000000,00900,0000,00900NURSING ADMINISTRATION 5852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5852,A000000,01100,0000,01100PHARMACY 5852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5852,A000000,01300,0000,01300SOCIAL SERVICE 5852,A000000,01301,0000,01301ACTIVITIES 5852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5852,A000000,01600,0000,01600SKILLED NURSING FACILITY 5852,A000000,01800,0000,01800NURSING FACILITY 5852,A000000,01810,0000,01810ICF/MR 5852,A000000,02100,0000,02100RADIOLOGY 5852,A000000,02200,0000,02200LABORATORY 5852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5852,A000000,02500,0000,02500PHYSICAL THERAPY 5852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5852,A000000,02700,0000,02700SPEECH PATHOLOGY 5852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5852,A000000,03550,0000,03550FQHC 5852,A000000,05000,0000,05000CORF 5852,A000000,05010,0000,05010CMHC 5852,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5852,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5852,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5852,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5852,A81000A,00100,0100,Y 5852,A81000B,00100,0300,HOME OFFICE COST 5852,A81000B,00400,0300,HOME OFFICE COST 5852,A81000B,00500,0300,HOME OFFICE COST 5852,A81000B,00600,0300,HOME OFFICE COST 5852,A81000B,00800,0300,HOME OFFICE COST 5852,A81000C,00100,0100,B 5852,A81000C,00100,0200,BEVERLY ENTERPR 5852,B100000,00000,0100,00000(SQUARE FEET) 5852,B100000,00000,0200,00000(SQUARE FEET) 5852,B100000,00000,0300,00000(ADJUSTED SALARIES) 5852,B100000,00000,0400,00000(ACCUM. COST) 5852,B100000,00000,0500,00000(SQUARE FEET) 5852,B100000,00000,0600,00000(PATIENT DAYS) 5852,B100000,00000,0700,00000(SQUARE FEET) 5852,B100000,00000,0800,00000(MEALS SERVED) 5852,B100000,00000,0900,00000(ADJUSTED SALARIES) 5852,B100000,00000,1000,00000(PATIENT DAYS) 5852,B100000,00000,1100,00000(COSTED REQUIS) 5852,B100000,00000,1200,00000(TOTAL CHARGES) 5852,B100000,00000,1300,00000(PATIENT DAYS) 5852,B100000,00000,1301,00000(PATIENT DAYS) 5852,B100000,00000,1400,00000(ASSIGNED TIME) 5852,E10A180,00303,0100,10/08/1999 5852,E10A180,00304,0100,12/09/1999 5852,E10A180,00305,0100,02/14/2000 5852,E10A180,00350,0100,01/27/1999 5852,E10A180,00351,0100,06/14/1999 5852,S000000,00100,0200,06/02/2000 5852,S200000,00100,0100,1937 JENKS AVENUE 5852,S200000,00200,0100,PANAMA CITY 5852,S200000,00200,0200,FL 5852,S200000,00200,0300,32401 5852,S200000,00300,0100,BAY 5852,S200000,00400,0100,GULF COAST CONVALESCENT CENTER 5852,S200000,00400,0200,105391 5852,S200000,00400,0300,08/01/1981 5852,S200000,00400,0500,P 5852,S200000,00600,0200,105391 5852,S200000,00600,0300,08/01/1981 5852,S200000,00600,0600,P 5852,S200000,01600,0100,Y 5852,S200000,04300,0100,Y 5855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5855,A000000,00300,0000,00300EMPLOYEE BENEFITS 5855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5855,A000000,00700,0000,00700HOUSEKEEPING 5855,A000000,00800,0000,00800DIETARY 5855,A000000,00900,0000,00900NURSING ADMINISTRATION 5855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5855,A000000,01100,0000,01100PHARMACY 5855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5855,A000000,01300,0000,01300SOCIAL SERVICE 5855,A000000,01301,0000,01301ACTIVITIES 5855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5855,A000000,01600,0000,01600SKILLED NURSING FACILITY 5855,A000000,01800,0000,01800NURSING FACILITY 5855,A000000,01810,0000,01810ICF/MR 5855,A000000,02100,0000,02100RADIOLOGY 5855,A000000,02200,0000,02200LABORATORY 5855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5855,A000000,02500,0000,02500PHYSICAL THERAPY 5855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5855,A000000,02700,0000,02700SPEECH PATHOLOGY 5855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5855,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5855,A000000,03550,0000,03550FQHC 5855,A000000,05000,0000,05000CORF 5855,A000000,05010,0000,05010CMHC 5855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5855,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5855,A81000A,00100,0100,Y 5855,A81000B,00100,0300,HOME OFFICE COST 5855,A81000B,00400,0300,HOME OFFICE COST 5855,A81000B,00500,0300,HOME OFFICE COST 5855,A81000B,00600,0300,HOME OFFICE COST 5855,A81000B,00800,0300,HOME OFFICE COST 5855,A81000C,00100,0100,B 5855,A81000C,00100,0200,BEVERLY ENTERPR 5855,B100000,00000,0100,00000(SQUARE FEET) 5855,B100000,00000,0200,00000(SQUARE FEET) 5855,B100000,00000,0300,00000(ADJUSTED SALARIES) 5855,B100000,00000,0400,00000(ACCUM. COST) 5855,B100000,00000,0500,00000(SQUARE FEET) 5855,B100000,00000,0600,00000(PATIENT DAYS) 5855,B100000,00000,0700,00000(SQUARE FEET) 5855,B100000,00000,0800,00000(MEALS SERVED) 5855,B100000,00000,0900,00000(ADJUSTED SALARIES) 5855,B100000,00000,1000,00000(PATIENT DAYS) 5855,B100000,00000,1100,00000(COSTED REQUIS) 5855,B100000,00000,1200,00000(TOTAL CHARGES) 5855,B100000,00000,1300,00000(PATIENT DAYS) 5855,B100000,00000,1301,00000(PATIENT DAYS) 5855,B100000,00000,1400,00000(ASSIGNED TIME) 5855,E10A180,00301,0100,01/27/1999 5855,E10A180,00303,0100,10/08/1999 5855,E10A180,00351,0100,06/14/1999 5855,E10A180,00353,0100,12/09/1999 5855,E10A180,00354,0100,02/14/2000 5855,S000000,00100,0200,06/02/2000 5855,S200000,00100,0100,10295 HOWELL AVENUE 5855,S200000,00200,0100,BROOKSVILLE 5855,S200000,00200,0200,FL 5855,S200000,00200,0300,33512 5855,S200000,00300,0100,HERNANDO 5855,S200000,00400,0100,EASTBROOK HEALTH CARE CENTER 5855,S200000,00400,0200,105413 5855,S200000,00400,0300,08/17/1982 5855,S200000,00400,0500,P 5855,S200000,00600,0200,105413 5855,S200000,00600,0300,08/17/1982 5855,S200000,00600,0600,P 5855,S200000,01600,0100,Y 5855,S200000,04300,0100,Y 5858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5858,A000000,00300,0000,00300EMPLOYEE BENEFITS 5858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5858,A000000,00700,0000,00700HOUSEKEEPING 5858,A000000,00800,0000,00800DIETARY 5858,A000000,00900,0000,00900NURSING ADMINISTRATION 5858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5858,A000000,01100,0000,01100PHARMACY 5858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5858,A000000,01300,0000,01300SOCIAL SERVICE 5858,A000000,01301,0000,01301ACTIVITIES 5858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5858,A000000,01600,0000,01600SKILLED NURSING FACILITY 5858,A000000,01800,0000,01800NURSING FACILITY 5858,A000000,01810,0000,01810ICF/MR 5858,A000000,02100,0000,02100RADIOLOGY 5858,A000000,02200,0000,02200LABORATORY 5858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5858,A000000,02500,0000,02500PHYSICAL THERAPY 5858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5858,A000000,02700,0000,02700SPEECH PATHOLOGY 5858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5858,A000000,03550,0000,03550FQHC 5858,A000000,05000,0000,05000CORF 5858,A000000,05010,0000,05010CMHC 5858,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5858,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5858,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5858,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5858,A81000A,00100,0100,Y 5858,A81000B,00100,0300,HOME OFFICE COST 5858,A81000B,00400,0300,HOME OFFICE COST 5858,A81000B,00500,0300,HOME OFFICE COST 5858,A81000B,00600,0300,HOME OFFICE COST 5858,A81000B,00800,0300,HOME OFFICE COST 5858,A81000C,00100,0100,B 5858,A81000C,00100,0200,BEVERLY ENTERPR 5858,B100000,00000,0100,00000(SQUARE FEET) 5858,B100000,00000,0200,00000(SQUARE FEET) 5858,B100000,00000,0300,00000(ADJUSTED SALARIES) 5858,B100000,00000,0400,00000(ACCUM. COST) 5858,B100000,00000,0500,00000(SQUARE FEET) 5858,B100000,00000,0600,00000(PATIENT DAYS) 5858,B100000,00000,0700,00000(SQUARE FEET) 5858,B100000,00000,0800,00000(MEALS SERVED) 5858,B100000,00000,0900,00000(ADJUSTED SALARIES) 5858,B100000,00000,1000,00000(PATIENT DAYS) 5858,B100000,00000,1100,00000(COSTED REQUIS) 5858,B100000,00000,1200,00000(TOTAL CHARGES) 5858,B100000,00000,1300,00000(PATIENT DAYS) 5858,B100000,00000,1301,00000(PATIENT DAYS) 5858,B100000,00000,1400,00000(ASSIGNED TIME) 5858,E10A180,00301,0100,01/27/1999 5858,E10A180,00304,0100,12/09/1999 5858,E10A180,00351,0100,06/14/1999 5858,E10A180,00352,0100,10/08/1999 5858,E10A180,00354,0100,02/14/2000 5858,S000000,00100,0200,06/02/2000 5858,S200000,00100,0100,2916 HABANA WAY 5858,S200000,00200,0100,TAMPA 5858,S200000,00200,0200,FL 5858,S200000,00200,0300,33614 5858,S200000,00300,0100,HILLSBOROUGH 5858,S200000,00400,0100,TAMPA HEALTH CARE CENTER 5858,S200000,00400,0200,105417 5858,S200000,00400,0300,10/01/1982 5858,S200000,00400,0500,P 5858,S200000,00600,0200,105417 5858,S200000,00600,0300,10/01/1982 5858,S200000,00600,0600,P 5858,S200000,01600,0100,Y 5858,S200000,04300,0100,Y 5861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5861,A000000,00300,0000,00300EMPLOYEE BENEFITS 5861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5861,A000000,00700,0000,00700HOUSEKEEPING 5861,A000000,00800,0000,00800DIETARY 5861,A000000,00900,0000,00900NURSING ADMINISTRATION 5861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5861,A000000,01100,0000,01100PHARMACY 5861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5861,A000000,01300,0000,01300SOCIAL SERVICE 5861,A000000,01301,0000,01301ACTIVITIES 5861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5861,A000000,01600,0000,01600SKILLED NURSING FACILITY 5861,A000000,01800,0000,01800NURSING FACILITY 5861,A000000,01810,0000,01810ICF/MR 5861,A000000,02100,0000,02100RADIOLOGY 5861,A000000,02200,0000,02200LABORATORY 5861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5861,A000000,02500,0000,02500PHYSICAL THERAPY 5861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5861,A000000,02700,0000,02700SPEECH PATHOLOGY 5861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5861,A000000,03550,0000,03550FQHC 5861,A000000,05000,0000,05000CORF 5861,A000000,05010,0000,05010CMHC 5861,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5861,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5861,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5861,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5861,A81000A,00100,0100,Y 5861,A81000B,00100,0300,HOME OFFICE COST 5861,A81000B,00400,0300,HOME OFFICE COST 5861,A81000B,00500,0300,HOME OFFICE COST 5861,A81000B,00600,0300,HOME OFFICE COST 5861,A81000B,00800,0300,HOME OFFICE COST 5861,A81000C,00100,0100,B 5861,A81000C,00100,0200,BEVERLY ENTERPR 5861,B100000,00000,0100,00000(SQUARE FEET) 5861,B100000,00000,0200,00000(SQUARE FEET) 5861,B100000,00000,0300,00000(ADJUSTED SALARIES) 5861,B100000,00000,0400,00000(ACCUM. COST) 5861,B100000,00000,0500,00000(SQUARE FEET) 5861,B100000,00000,0600,00000(PATIENT DAYS) 5861,B100000,00000,0700,00000(SQUARE FEET) 5861,B100000,00000,0800,00000(MEALS SERVED) 5861,B100000,00000,0900,00000(ADJUSTED SALARIES) 5861,B100000,00000,1000,00000(PATIENT DAYS) 5861,B100000,00000,1100,00000(COSTED REQUIS) 5861,B100000,00000,1200,00000(TOTAL CHARGES) 5861,B100000,00000,1300,00000(PATIENT DAYS) 5861,B100000,00000,1301,00000(PATIENT DAYS) 5861,B100000,00000,1400,00000(ASSIGNED TIME) 5861,E10A180,00304,0100,12/09/1999 5861,E10A180,00350,0100,01/27/1999 5861,E10A180,00351,0100,06/14/1999 5861,E10A180,00352,0100,10/08/1999 5861,E10A180,00354,0100,02/14/2000 5861,S000000,00100,0200,06/02/2000 5861,S200000,00100,0100,8151 TREELET COURT 5861,S200000,00200,0100,NEW PORT RICHEY 5861,S200000,00200,0200,FL 5861,S200000,00200,0300,34653 5861,S200000,00300,0100,PASCO 5861,S200000,00400,0100,WHISPERING PINES 5861,S200000,00400,0200,105425 5861,S200000,00400,0300,01/01/1981 5861,S200000,00400,0500,P 5861,S200000,00600,0200,105425 5861,S200000,00600,0300,01/01/1981 5861,S200000,00600,0600,P 5861,S200000,01600,0100,Y 5861,S200000,04300,0100,Y 5870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5870,A000000,00300,0000,00300EMPLOYEE BENEFITS 5870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5870,A000000,00700,0000,00700HOUSEKEEPING 5870,A000000,00800,0000,00800DIETARY 5870,A000000,00900,0000,00900NURSING ADMINISTRATION 5870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5870,A000000,01100,0000,01100PHARMACY 5870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5870,A000000,01300,0000,01300SOCIAL SERVICE 5870,A000000,01301,0000,01301ACTIVITIES 5870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5870,A000000,01600,0000,01600SKILLED NURSING FACILITY 5870,A000000,01800,0000,01800NURSING FACILITY 5870,A000000,01810,0000,01810ICF/MR 5870,A000000,02100,0000,02100RADIOLOGY 5870,A000000,02200,0000,02200LABORATORY 5870,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5870,A000000,02500,0000,02500PHYSICAL THERAPY 5870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5870,A000000,02700,0000,02700SPEECH PATHOLOGY 5870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5870,A000000,03550,0000,03550FQHC 5870,A000000,05000,0000,05000CORF 5870,A000000,05010,0000,05010CMHC 5870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5870,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5870,A81000A,00100,0100,Y 5870,A81000B,00100,0300,HOME OFFICE COST 5870,A81000B,00400,0300,HOME OFFICE COST 5870,A81000B,00500,0300,HOME OFFICE COST 5870,A81000B,00600,0300,HOME OFFICE COST 5870,A81000B,00800,0300,HOME OFFICE COST 5870,A81000C,00100,0100,B 5870,A81000C,00100,0200,BEVERLY ENTERPR 5870,B100000,00000,0100,00000(SQUARE FEET) 5870,B100000,00000,0200,00000(SQUARE FEET) 5870,B100000,00000,0300,00000(ADJUSTED SALARIES) 5870,B100000,00000,0400,00000(ACCUM. COST) 5870,B100000,00000,0500,00000(SQUARE FEET) 5870,B100000,00000,0600,00000(PATIENT DAYS) 5870,B100000,00000,0700,00000(SQUARE FEET) 5870,B100000,00000,0800,00000(MEALS SERVED) 5870,B100000,00000,0900,00000(ADJUSTED SALARIES) 5870,B100000,00000,1000,00000(PATIENT DAYS) 5870,B100000,00000,1100,00000(COSTED REQUIS) 5870,B100000,00000,1200,00000(TOTAL CHARGES) 5870,B100000,00000,1300,00000(PATIENT DAYS) 5870,B100000,00000,1301,00000(PATIENT DAYS) 5870,B100000,00000,1400,00000(ASSIGNED TIME) 5870,E10A180,00302,0100,06/14/1999 5870,E10A180,00303,0100,10/08/1999 5870,E10A180,00304,0100,12/09/1999 5870,E10A180,00305,0100,02/14/2000 5870,E10A180,00350,0100,01/27/1999 5870,S000000,00100,0200,06/02/2000 5870,S200000,00100,0100,1600 WEST HWY 50 5870,S200000,00200,0100,WINTER GARDEN 5870,S200000,00200,0200,FL 5870,S200000,00200,0300,33278 5870,S200000,00300,0100,ORANGE 5870,S200000,00400,0100,WINTER GARDEN HEALTH CARE CTR 5870,S200000,00400,0200,105440 5870,S200000,00400,0300,06/01/1984 5870,S200000,00400,0500,P 5870,S200000,00600,0200,105440 5870,S200000,00600,0300,06/01/1984 5870,S200000,00600,0600,P 5870,S200000,01600,0100,Y 5870,S200000,04300,0100,Y 5873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5873,A000000,00300,0000,00300EMPLOYEE BENEFITS 5873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5873,A000000,00700,0000,00700HOUSEKEEPING 5873,A000000,00800,0000,00800DIETARY 5873,A000000,00900,0000,00900NURSING ADMINISTRATION 5873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5873,A000000,01100,0000,01100PHARMACY 5873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5873,A000000,01300,0000,01300SOCIAL SERVICE 5873,A000000,01301,0000,01301ACTIVITIES 5873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5873,A000000,01600,0000,01600SKILLED NURSING FACILITY 5873,A000000,01800,0000,01800NURSING FACILITY 5873,A000000,01810,0000,01810ICF/MR 5873,A000000,02100,0000,02100RADIOLOGY 5873,A000000,02200,0000,02200LABORATORY 5873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5873,A000000,02500,0000,02500PHYSICAL THERAPY 5873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5873,A000000,02700,0000,02700SPEECH PATHOLOGY 5873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5873,A000000,03550,0000,03550FQHC 5873,A000000,05000,0000,05000CORF 5873,A000000,05010,0000,05010CMHC 5873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5873,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5873,A81000A,00100,0100,Y 5873,A81000B,00100,0300,HOME OFFICE COST 5873,A81000B,00400,0300,HOME OFFICE COST 5873,A81000B,00500,0300,HOME OFFICE COST 5873,A81000B,00600,0300,HOME OFFICE COST 5873,A81000B,00800,0300,HOME OFFICE COST 5873,A81000C,00100,0100,B 5873,A81000C,00100,0200,BEVERLY ENTERPR 5873,B100000,00000,0100,00000(SQUARE FEET) 5873,B100000,00000,0200,00000(SQUARE FEET) 5873,B100000,00000,0300,00000(ADJUSTED SALARIES) 5873,B100000,00000,0400,00000(ACCUM. COST) 5873,B100000,00000,0500,00000(SQUARE FEET) 5873,B100000,00000,0600,00000(PATIENT DAYS) 5873,B100000,00000,0700,00000(SQUARE FEET) 5873,B100000,00000,0800,00000(MEALS SERVED) 5873,B100000,00000,0900,00000(ADJUSTED SALARIES) 5873,B100000,00000,1000,00000(PATIENT DAYS) 5873,B100000,00000,1100,00000(COSTED REQUIS) 5873,B100000,00000,1200,00000(TOTAL CHARGES) 5873,B100000,00000,1300,00000(PATIENT DAYS) 5873,B100000,00000,1301,00000(PATIENT DAYS) 5873,B100000,00000,1400,00000(ASSIGNED TIME) 5873,E10A180,00301,0100,01/27/1999 5873,E10A180,00351,0100,06/14/1999 5873,E10A180,00352,0100,10/08/1999 5873,E10A180,00353,0100,12/09/1999 5873,E10A180,00354,0100,02/14/2000 5873,S000000,00100,0200,06/02/2000 5873,S200000,00100,0100,1026 ABLE FARM RD 5873,S200000,00200,0100,VENICE 5873,S200000,00200,0200,FL 5873,S200000,00200,0300,33595 5873,S200000,00300,0100,SARASOTA 5873,S200000,00400,0100,HERITAGE HEALTH CARE CTR OF VENICE 5873,S200000,00400,0200,105443 5873,S200000,00400,0300,12/01/1983 5873,S200000,00400,0500,P 5873,S200000,00600,0200,105443 5873,S200000,00600,0300,12/01/1983 5873,S200000,00600,0600,P 5873,S200000,01600,0100,Y 5873,S200000,04300,0100,Y 5876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5876,A000000,00300,0000,00300EMPLOYEE BENEFITS 5876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5876,A000000,00700,0000,00700HOUSEKEEPING 5876,A000000,00800,0000,00800DIETARY 5876,A000000,00900,0000,00900NURSING ADMINISTRATION 5876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5876,A000000,01100,0000,01100PHARMACY 5876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5876,A000000,01300,0000,01300SOCIAL SERVICE 5876,A000000,01301,0000,01301ACTIVITIES 5876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5876,A000000,01600,0000,01600SKILLED NURSING FACILITY 5876,A000000,01800,0000,01800NURSING FACILITY 5876,A000000,01810,0000,01810ICF/MR 5876,A000000,02100,0000,02100RADIOLOGY 5876,A000000,02200,0000,02200LABORATORY 5876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5876,A000000,02500,0000,02500PHYSICAL THERAPY 5876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5876,A000000,02700,0000,02700SPEECH PATHOLOGY 5876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5876,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5876,A000000,03550,0000,03550FQHC 5876,A000000,05000,0000,05000CORF 5876,A000000,05010,0000,05010CMHC 5876,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5876,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5876,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5876,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5876,A81000A,00100,0100,Y 5876,A81000B,00100,0300,HOME OFFICE COST 5876,A81000B,00400,0300,HOME OFFICE COST 5876,A81000B,00500,0300,HOME OFFICE COST 5876,A81000B,00600,0300,HOME OFFICE COST 5876,A81000B,00800,0300,HOME OFFICE COST 5876,A81000C,00100,0100,B 5876,A81000C,00100,0200,BEVERLY ENTERPR 5876,B100000,00000,0100,00000(SQUARE FEET) 5876,B100000,00000,0200,00000(SQUARE FEET) 5876,B100000,00000,0300,00000(ADJUSTED SALARIES) 5876,B100000,00000,0400,00000(ACCUM. COST) 5876,B100000,00000,0500,00000(SQUARE FEET) 5876,B100000,00000,0600,00000(PATIENT DAYS) 5876,B100000,00000,0700,00000(SQUARE FEET) 5876,B100000,00000,0800,00000(MEALS SERVED) 5876,B100000,00000,0900,00000(ADJUSTED SALARIES) 5876,B100000,00000,1000,00000(PATIENT DAYS) 5876,B100000,00000,1100,00000(COSTED REQUIS) 5876,B100000,00000,1200,00000(TOTAL CHARGES) 5876,B100000,00000,1300,00000(PATIENT DAYS) 5876,B100000,00000,1301,00000(PATIENT DAYS) 5876,B100000,00000,1400,00000(ASSIGNED TIME) 5876,E10A180,00301,0100,01/27/1999 5876,E10A180,00351,0100,06/14/1999 5876,E10A180,00352,0100,10/08/1999 5876,E10A180,00353,0100,12/09/1999 5876,E10A180,00354,0100,02/14/2000 5876,S000000,00100,0200,06/02/2000 5876,S200000,00100,0100,10040 HILLVIEW RD 5876,S200000,00200,0100,PENSACOLA 5876,S200000,00200,0200,FL 5876,S200000,00200,0300,32504 5876,S200000,00300,0100,ESCAMBIA 5876,S200000,00400,0100,CROSS CREEK HCC (785) 5876,S200000,00400,0200,105445 5876,S200000,00400,0300,01/03/1984 5876,S200000,00400,0500,P 5876,S200000,00600,0200,105445 5876,S200000,00600,0300,01/03/1984 5876,S200000,00600,0600,P 5876,S200000,01600,0100,Y 5876,S200000,04200,0100,Y 5876,S200000,04300,0100,Y 5879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5879,A000000,00300,0000,00300EMPLOYEE BENEFITS 5879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5879,A000000,00700,0000,00700HOUSEKEEPING 5879,A000000,00800,0000,00800DIETARY 5879,A000000,00900,0000,00900NURSING ADMINISTRATION 5879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5879,A000000,01100,0000,01100PHARMACY 5879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5879,A000000,01300,0000,01300SOCIAL SERVICE 5879,A000000,01301,0000,01301ACTIVITIES 5879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5879,A000000,01600,0000,01600SKILLED NURSING FACILITY 5879,A000000,01800,0000,01800NURSING FACILITY 5879,A000000,01810,0000,01810ICF/MR 5879,A000000,02100,0000,02100RADIOLOGY 5879,A000000,02200,0000,02200LABORATORY 5879,A000000,02500,0000,02500PHYSICAL THERAPY 5879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5879,A000000,02700,0000,02700SPEECH PATHOLOGY 5879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5879,A000000,03550,0000,03550FQHC 5879,A000000,05000,0000,05000CORF 5879,A000000,05010,0000,05010CMHC 5879,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5879,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5879,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5879,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 5879,A81000A,00100,0100,Y 5879,A81000B,00100,0300,HOME OFFICE COST 5879,A81000B,00400,0300,HOME OFFICE COST 5879,A81000B,00500,0300,HOME OFFICE COST 5879,A81000B,00600,0300,HOME OFFICE COST 5879,A81000B,00800,0300,HOME OFFICE COST 5879,A81000C,00100,0100,B 5879,A81000C,00100,0200,BEVERLY ENTERPR 5879,B100000,00000,0100,00000(SQUARE FEET) 5879,B100000,00000,0200,00000(SQUARE FEET) 5879,B100000,00000,0300,00000(ADJUSTED SALARIES) 5879,B100000,00000,0400,00000(ACCUM. COST) 5879,B100000,00000,0500,00000(SQUARE FEET) 5879,B100000,00000,0600,00000(PATIENT DAYS) 5879,B100000,00000,0700,00000(SQUARE FEET) 5879,B100000,00000,0800,00000(MEALS SERVED) 5879,B100000,00000,0900,00000(ADJUSTED SALARIES) 5879,B100000,00000,1000,00000(PATIENT DAYS) 5879,B100000,00000,1100,00000(COSTED REQUIS) 5879,B100000,00000,1200,00000(TOTAL CHARGES) 5879,B100000,00000,1300,00000(PATIENT DAYS) 5879,B100000,00000,1301,00000(PATIENT DAYS) 5879,B100000,00000,1400,00000(ASSIGNED TIME) 5879,E10A180,00301,0100,01/27/1999 5879,E10A180,00303,0100,10/08/1999 5879,E10A180,00304,0100,12/09/1999 5879,E10A180,00305,0100,02/14/2000 5879,E10A180,00351,0100,06/14/1999 5879,S000000,00100,0200,06/02/2000 5879,S200000,00100,0100,1851 ELKHAM BLVD 5879,S200000,00200,0100,DELTONA 5879,S200000,00200,0200,FL 5879,S200000,00200,0300,32725 5879,S200000,00300,0100,VOLUSIA 5879,S200000,00400,0100,DELTONA HEALTH CARE CENTER 5879,S200000,00400,0200,105447 5879,S200000,00400,0300,09/02/1983 5879,S200000,00400,0500,P 5879,S200000,00600,0200,105447 5879,S200000,00600,0300,09/02/1983 5879,S200000,00600,0600,P 5879,S200000,01600,0100,Y 5879,S200000,04300,0100,Y 5882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5882,A000000,00300,0000,00300EMPLOYEE BENEFITS 5882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5882,A000000,00700,0000,00700HOUSEKEEPING 5882,A000000,00800,0000,00800DIETARY 5882,A000000,00900,0000,00900NURSING ADMINISTRATION 5882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5882,A000000,01100,0000,01100PHARMACY 5882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5882,A000000,01300,0000,01300SOCIAL SERVICE 5882,A000000,01301,0000,01301ACTIVITIES 5882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5882,A000000,01600,0000,01600SKILLED NURSING FACILITY 5882,A000000,01800,0000,01800NURSING FACILITY 5882,A000000,01810,0000,01810ICF/MR 5882,A000000,02100,0000,02100RADIOLOGY 5882,A000000,02200,0000,02200LABORATORY 5882,A000000,02500,0000,02500PHYSICAL THERAPY 5882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5882,A000000,02700,0000,02700SPEECH PATHOLOGY 5882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5882,A000000,03550,0000,03550FQHC 5882,A000000,05000,0000,05000CORF 5882,A000000,05010,0000,05010CMHC 5882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5882,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5882,A81000A,00100,0100,Y 5882,A81000B,00100,0300,HOME OFFICE COST 5882,A81000B,00400,0300,HOME OFFICE COST 5882,A81000B,00500,0300,HOME OFFICE COST 5882,A81000B,00600,0300,HOME OFFICE COST 5882,A81000B,00800,0300,HOME OFFICE COST 5882,A81000C,00100,0100,B 5882,A81000C,00100,0200,BEVERLY ENTERPR 5882,B100000,00000,0100,00000(SQUARE FEET) 5882,B100000,00000,0200,00000(SQUARE FEET) 5882,B100000,00000,0300,00000(ADJUSTED SALARIES) 5882,B100000,00000,0400,00000(ACCUM. COST) 5882,B100000,00000,0500,00000(SQUARE FEET) 5882,B100000,00000,0600,00000(PATIENT DAYS) 5882,B100000,00000,0700,00000(SQUARE FEET) 5882,B100000,00000,0800,00000(MEALS SERVED) 5882,B100000,00000,0900,00000(ADJUSTED SALARIES) 5882,B100000,00000,1000,00000(PATIENT DAYS) 5882,B100000,00000,1100,00000(COSTED REQUIS) 5882,B100000,00000,1200,00000(TOTAL CHARGES) 5882,B100000,00000,1300,00000(PATIENT DAYS) 5882,B100000,00000,1301,00000(PATIENT DAYS) 5882,B100000,00000,1400,00000(ASSIGNED TIME) 5882,E10A180,00301,0100,01/27/1999 5882,E10A180,00302,0100,06/14/1999 5882,E10A180,00303,0100,10/08/1999 5882,E10A180,00305,0100,02/14/2000 5882,E10A180,00353,0100,12/09/1999 5882,S000000,00100,0200,06/02/2000 5882,S200000,00100,0100,1111 DRURY LANE 5882,S200000,00200,0100,ENGLEWOOD 5882,S200000,00200,0200,FL 5882,S200000,00200,0300,33533 5882,S200000,00300,0100,SARASOTA 5882,S200000,00400,0100,ENGLEWOOD HHC (791) A 5882,S200000,00400,0200,105452 5882,S200000,00400,0300,09/02/1983 5882,S200000,00400,0500,P 5882,S200000,00600,0200,105452 5882,S200000,00600,0300,09/02/1983 5882,S200000,00600,0600,P 5882,S200000,01600,0100,Y 5882,S200000,04200,0100,Y 5882,S200000,04300,0100,Y 5889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5889,A000000,00300,0000,00300EMPLOYEE BENEFITS 5889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5889,A000000,00700,0000,00700HOUSEKEEPING 5889,A000000,00800,0000,00800DIETARY 5889,A000000,00900,0000,00900NURSING ADMINISTRATION 5889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5889,A000000,01100,0000,01100PHARMACY 5889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5889,A000000,01300,0000,01300SOCIAL SERVICE 5889,A000000,01301,0000,01301ACTIVITIES 5889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5889,A000000,01600,0000,01600SKILLED NURSING FACILITY 5889,A000000,01800,0000,01800NURSING FACILITY 5889,A000000,01810,0000,01810ICF/MR 5889,A000000,02100,0000,02100RADIOLOGY 5889,A000000,02200,0000,02200LABORATORY 5889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5889,A000000,02500,0000,02500PHYSICAL THERAPY 5889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5889,A000000,02700,0000,02700SPEECH PATHOLOGY 5889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5889,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5889,A000000,03550,0000,03550FQHC 5889,A000000,05000,0000,05000CORF 5889,A000000,05010,0000,05010CMHC 5889,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5889,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5889,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5889,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5889,A81000A,00100,0100,Y 5889,A81000B,00100,0300,HOME OFFICE COST 5889,A81000B,00400,0300,HOME OFFICE COST 5889,A81000B,00500,0300,HOME OFFICE COST 5889,A81000B,00600,0300,HOME OFFICE COST 5889,A81000B,00800,0300,HOME OFFICE COST 5889,A81000C,00100,0100,B 5889,A81000C,00100,0200,BEVERLY ENTERPR 5889,B100000,00000,0100,00000(SQUARE FEET) 5889,B100000,00000,0200,00000(SQUARE FEET) 5889,B100000,00000,0300,00000(ADJUSTED SALARIES) 5889,B100000,00000,0400,00000(ACCUM. COST) 5889,B100000,00000,0500,00000(SQUARE FEET) 5889,B100000,00000,0600,00000(PATIENT DAYS) 5889,B100000,00000,0700,00000(SQUARE FEET) 5889,B100000,00000,0800,00000(MEALS SERVED) 5889,B100000,00000,0900,00000(ADJUSTED SALARIES) 5889,B100000,00000,1000,00000(PATIENT DAYS) 5889,B100000,00000,1100,00000(COSTED REQUIS) 5889,B100000,00000,1200,00000(TOTAL CHARGES) 5889,B100000,00000,1300,00000(PATIENT DAYS) 5889,B100000,00000,1301,00000(PATIENT DAYS) 5889,B100000,00000,1400,00000(ASSIGNED TIME) 5889,E10A180,00302,0100,06/14/1999 5889,E10A180,00303,0100,10/08/1999 5889,E10A180,00305,0100,02/14/2000 5889,E10A180,00350,0100,01/27/1999 5889,E10A180,00353,0100,12/09/1999 5889,S000000,00100,0200,06/02/2000 5889,S200000,00100,0100,6700 N.W. 10TH PLACE 5889,S200000,00200,0100,GAINESVILLE 5889,S200000,00200,0200,FL 5889,S200000,00200,0300,32605 5889,S200000,00300,0100,ALACHUA 5889,S200000,00400,0100,NORTH FLORIDA SPECIAL CARE CTR 5889,S200000,00400,0200,105460 5889,S200000,00400,0300,03/13/1984 5889,S200000,00400,0500,P 5889,S200000,00600,0200,105460 5889,S200000,00600,0300,03/13/1984 5889,S200000,00600,0600,P 5889,S200000,01600,0100,Y 5889,S200000,04200,0100,Y 5889,S200000,04300,0100,Y 5892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5892,A000000,00300,0000,00300EMPLOYEE BENEFITS 5892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5892,A000000,00700,0000,00700HOUSEKEEPING 5892,A000000,00800,0000,00800DIETARY 5892,A000000,00900,0000,00900NURSING ADMINISTRATION 5892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5892,A000000,01100,0000,01100PHARMACY 5892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5892,A000000,01300,0000,01300SOCIAL SERVICE 5892,A000000,01301,0000,01301ACTIVITIES 5892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5892,A000000,01600,0000,01600SKILLED NURSING FACILITY 5892,A000000,01800,0000,01800NURSING FACILITY 5892,A000000,01810,0000,01810ICF/MR 5892,A000000,01900,0000,01900OTHER LONG TERM CARE 5892,A000000,02100,0000,02100RADIOLOGY 5892,A000000,02200,0000,02200LABORATORY 5892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5892,A000000,02500,0000,02500PHYSICAL THERAPY 5892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5892,A000000,02700,0000,02700SPEECH PATHOLOGY 5892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5892,A000000,03550,0000,03550FQHC 5892,A000000,05000,0000,05000CORF 5892,A000000,05010,0000,05010CMHC 5892,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5892,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5892,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5892,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5892,A81000A,00100,0100,Y 5892,A81000B,00100,0300,HOME OFFICE COST 5892,A81000B,00400,0300,HOME OFFICE COST 5892,A81000B,00500,0300,HOME OFFICE COST 5892,A81000B,00600,0300,HOME OFFICE COST 5892,A81000B,00800,0300,HOME OFFICE COST 5892,A81000C,00100,0100,B 5892,A81000C,00100,0200,BEVERLY ENTERPR 5892,B100000,00000,0100,00000(SQUARE FEET) 5892,B100000,00000,0200,00000(SQUARE FEET) 5892,B100000,00000,0300,00000(ADJUSTED SALARIES) 5892,B100000,00000,0400,00000(ACCUM. COST) 5892,B100000,00000,0500,00000(SQUARE FEET) 5892,B100000,00000,0600,00000(PATIENT DAYS) 5892,B100000,00000,0700,00000(SQUARE FEET) 5892,B100000,00000,0800,00000(MEALS SERVED) 5892,B100000,00000,0900,00000(ADJUSTED SALARIES) 5892,B100000,00000,1000,00000(PATIENT DAYS) 5892,B100000,00000,1100,00000(COSTED REQUIS) 5892,B100000,00000,1200,00000(TOTAL CHARGES) 5892,B100000,00000,1300,00000(PATIENT DAYS) 5892,B100000,00000,1301,00000(PATIENT DAYS) 5892,B100000,00000,1400,00000(ASSIGNED TIME) 5892,E10A180,00301,0100,01/27/1999 5892,E10A180,00305,0100,02/14/2000 5892,E10A180,00351,0100,06/14/1999 5892,E10A180,00352,0100,10/08/1999 5892,E10A180,00353,0100,12/09/1999 5892,S000000,00100,0200,06/02/2000 5892,S200000,00100,0100,1900 ALPHA COURT 5892,S200000,00200,0100,LECANTO 5892,S200000,00200,0200,FL 5892,S200000,00200,0300,34461 5892,S200000,00300,0100,CITRUS 5892,S200000,00400,0100,BRENTWOOD HEALTH CARE CENTER 5892,S200000,00400,0200,105461 5892,S200000,00400,0300,04/13/1984 5892,S200000,00400,0500,P 5892,S200000,00600,0200,105461 5892,S200000,00600,0300,04/13/1984 5892,S200000,00600,0600,P 5892,S200000,01600,0100,Y 5892,S200000,04300,0100,Y 5895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5895,A000000,00300,0000,00300EMPLOYEE BENEFITS 5895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5895,A000000,00700,0000,00700HOUSEKEEPING 5895,A000000,00800,0000,00800DIETARY 5895,A000000,00900,0000,00900NURSING ADMINISTRATION 5895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5895,A000000,01100,0000,01100PHARMACY 5895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5895,A000000,01300,0000,01300SOCIAL SERVICE 5895,A000000,01301,0000,01301ACTIVITIES 5895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5895,A000000,01600,0000,01600SKILLED NURSING FACILITY 5895,A000000,01800,0000,01800NURSING FACILITY 5895,A000000,01810,0000,01810ICF/MR 5895,A000000,02200,0000,02200LABORATORY 5895,A000000,02500,0000,02500PHYSICAL THERAPY 5895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5895,A000000,02700,0000,02700SPEECH PATHOLOGY 5895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5895,A000000,03550,0000,03550FQHC 5895,A000000,05000,0000,05000CORF 5895,A000000,05010,0000,05010CMHC 5895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5895,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 5895,A81000A,00100,0100,Y 5895,A81000B,00100,0300,HOME OFFICE COST 5895,A81000B,00400,0300,HOME OFFICE COST 5895,A81000B,00500,0300,HOME OFFICE COST 5895,A81000B,00600,0300,HOME OFFICE COST 5895,A81000B,00800,0300,HOME OFFICE COST 5895,A81000C,00100,0100,B 5895,A81000C,00100,0200,BEVERLY ENTERPR 5895,B100000,00000,0100,00000(SQUARE FEET) 5895,B100000,00000,0200,00000(SQUARE FEET) 5895,B100000,00000,0300,00000(ADJUSTED SALARIES) 5895,B100000,00000,0400,00000(ACCUM. COST) 5895,B100000,00000,0500,00000(SQUARE FEET) 5895,B100000,00000,0600,00000(PATIENT DAYS) 5895,B100000,00000,0700,00000(SQUARE FEET) 5895,B100000,00000,0800,00000(MEALS SERVED) 5895,B100000,00000,0900,00000(ADJUSTED SALARIES) 5895,B100000,00000,1000,00000(PATIENT DAYS) 5895,B100000,00000,1100,00000(COSTED REQUIS) 5895,B100000,00000,1200,00000(TOTAL CHARGES) 5895,B100000,00000,1300,00000(PATIENT DAYS) 5895,B100000,00000,1301,00000(PATIENT DAYS) 5895,B100000,00000,1400,00000(ASSIGNED TIME) 5895,E10A180,00301,0100,01/27/1999 5895,E10A180,00304,0100,12/09/1999 5895,E10A180,00351,0100,06/14/1999 5895,E10A180,00352,0100,10/08/1999 5895,E10A180,00354,0100,02/14/2000 5895,S000000,00100,0200,07/06/2000 5895,S200000,00100,0100,300 GLORIA STREET 5895,S200000,00200,0100,CLEWISTON 5895,S200000,00200,0200,FL 5895,S200000,00200,0300,33440 5895,S200000,00300,0100,HENDRY 5895,S200000,00400,0100,CLEWISTON NURSING HOME (760) A 5895,S200000,00400,0200,105462 5895,S200000,00400,0300,02/01/1984 5895,S200000,00400,0500,P 5895,S200000,00600,0200,105462 5895,S200000,00600,0300,02/01/1984 5895,S200000,00600,0600,P 5895,S200000,01600,0100,Y 5895,S200000,03100,0100,Y 5895,S200000,04200,0100,Y 5895,S200000,04300,0100,Y 5898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5898,A000000,00300,0000,00300EMPLOYEE BENEFITS 5898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5898,A000000,00700,0000,00700HOUSEKEEPING 5898,A000000,00800,0000,00800DIETARY 5898,A000000,00900,0000,00900NURSING ADMINISTRATION 5898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5898,A000000,01100,0000,01100PHARMACY 5898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5898,A000000,01300,0000,01300SOCIAL SERVICE 5898,A000000,01301,0000,01301ACTIVITIES 5898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5898,A000000,01600,0000,01600SKILLED NURSING FACILITY 5898,A000000,01800,0000,01800NURSING FACILITY 5898,A000000,01810,0000,01810ICF/MR 5898,A000000,02100,0000,02100RADIOLOGY 5898,A000000,02200,0000,02200LABORATORY 5898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5898,A000000,02500,0000,02500PHYSICAL THERAPY 5898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5898,A000000,02700,0000,02700SPEECH PATHOLOGY 5898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5898,A000000,03550,0000,03550FQHC 5898,A000000,05000,0000,05000CORF 5898,A000000,05010,0000,05010CMHC 5898,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5898,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5898,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5898,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 5898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5898,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5898,A81000A,00100,0100,Y 5898,A81000B,00100,0300,HOME OFFICE COST 5898,A81000B,00400,0300,HOME OFFICE COST 5898,A81000B,00500,0300,HOME OFFICE COST 5898,A81000B,00600,0300,HOME OFFICE COST 5898,A81000B,00800,0300,HOME OFFICE COST 5898,A81000C,00100,0100,B 5898,A81000C,00100,0200,BEVERLY ENTERPR 5898,B100000,00000,0100,00000(SQUARE FEET) 5898,B100000,00000,0200,00000(SQUARE FEET) 5898,B100000,00000,0300,00000(ADJUSTED SALARIES) 5898,B100000,00000,0400,00000(ACCUM. COST) 5898,B100000,00000,0500,00000(SQUARE FEET) 5898,B100000,00000,0600,00000(PATIENT DAYS) 5898,B100000,00000,0700,00000(SQUARE FEET) 5898,B100000,00000,0800,00000(MEALS SERVED) 5898,B100000,00000,0900,00000(ADJUSTED SALARIES) 5898,B100000,00000,1000,00000(PATIENT DAYS) 5898,B100000,00000,1100,00000(COSTED REQUIS) 5898,B100000,00000,1200,00000(TOTAL CHARGES) 5898,B100000,00000,1300,00000(PATIENT DAYS) 5898,B100000,00000,1301,00000(PATIENT DAYS) 5898,B100000,00000,1400,00000(ASSIGNED TIME) 5898,E10A180,00302,0100,06/14/1999 5898,E10A180,00303,0100,10/08/1999 5898,E10A180,00304,0100,12/09/1999 5898,E10A180,00305,0100,02/14/2000 5898,E10A180,00350,0100,01/27/1999 5898,S000000,00100,0200,06/02/2000 5898,S200000,00100,0100,3920 ROSEWOOD AVE 5898,S200000,00200,0100,ORLANDO 5898,S200000,00200,0200,FL 5898,S200000,00200,0300,32860 5898,S200000,00300,0100,ORANGE 5898,S200000,00400,0100,ROSEMONT (891) 5898,S200000,00400,0200,105480 5898,S200000,00400,0300,11/06/1984 5898,S200000,00400,0500,P 5898,S200000,00600,0200,105480 5898,S200000,00600,0300,11/06/1984 5898,S200000,00600,0600,P 5898,S200000,01600,0100,Y 5898,S200000,04300,0100,Y 5905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5905,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5905,A000000,00300,0000,00300EMPLOYEE BENEFITS 5905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5905,A000000,00700,0000,00700HOUSEKEEPING 5905,A000000,00800,0000,00800DIETARY 5905,A000000,00900,0000,00900NURSING ADMINISTRATION 5905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5905,A000000,01100,0000,01100PHARMACY 5905,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5905,A000000,01300,0000,01300SOCIAL SERVICE 5905,A000000,01301,0000,01301ACTIVITIES 5905,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5905,A000000,01600,0000,01600SKILLED NURSING FACILITY 5905,A000000,01800,0000,01800NURSING FACILITY 5905,A000000,01810,0000,01810ICF/MR 5905,A000000,01900,0000,01900OTHER LONG TERM CARE 5905,A000000,02100,0000,02100RADIOLOGY 5905,A000000,02200,0000,02200LABORATORY 5905,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5905,A000000,02500,0000,02500PHYSICAL THERAPY 5905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5905,A000000,02700,0000,02700SPEECH PATHOLOGY 5905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5905,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5905,A000000,03550,0000,03550FQHC 5905,A000000,05000,0000,05000CORF 5905,A000000,05010,0000,05010CMHC 5905,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5905,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5905,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5905,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5905,A81000A,00100,0100,Y 5905,A81000B,00100,0300,HOME OFFICE COST 5905,A81000B,00400,0300,HOME OFFICE COST 5905,A81000B,00500,0300,HOME OFFICE COST 5905,A81000B,00600,0300,HOME OFFICE COST 5905,A81000B,00800,0300,HOME OFFICE COST 5905,A81000C,00100,0100,B 5905,A81000C,00100,0200,BEVERLY ENTERPR 5905,B100000,00000,0100,00000(SQUARE FEET) 5905,B100000,00000,0200,00000(SQUARE FEET) 5905,B100000,00000,0300,00000(ADJUSTED SALARIES) 5905,B100000,00000,0400,00000(ACCUM. COST) 5905,B100000,00000,0500,00000(SQUARE FEET) 5905,B100000,00000,0600,00000(PATIENT DAYS) 5905,B100000,00000,0700,00000(SQUARE FEET) 5905,B100000,00000,0800,00000(MEALS SERVED) 5905,B100000,00000,0900,00000(ADJUSTED SALARIES) 5905,B100000,00000,1000,00000(PATIENT DAYS) 5905,B100000,00000,1100,00000(COSTED REQUIS) 5905,B100000,00000,1200,00000(TOTAL CHARGES) 5905,B100000,00000,1300,00000(PATIENT DAYS) 5905,B100000,00000,1301,00000(PATIENT DAYS) 5905,B100000,00000,1400,00000(ASSIGNED TIME) 5905,S000000,00100,0200,06/02/2000 5905,S200000,00100,0100,4200 WASH ST 5905,S200000,00200,0100,HOLLYWOOD 5905,S200000,00200,0200,FL 5905,S200000,00200,0300,33021 5905,S200000,00300,0100,BROWARD 5905,S200000,00400,0100,WASHINGTON MANOR CONVALESCENT 5905,S200000,00400,0200,105495 5905,S200000,00400,0300,02/01/1986 5905,S200000,00400,0500,P 5905,S200000,00600,0200,105495 5905,S200000,00600,0300,02/01/1986 5905,S200000,00600,0600,P 5905,S200000,01600,0100,Y 5905,S200000,04300,0100,Y 5912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5912,A000000,00300,0000,00300EMPLOYEE BENEFITS 5912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5912,A000000,00700,0000,00700HOUSEKEEPING 5912,A000000,00800,0000,00800DIETARY 5912,A000000,00900,0000,00900NURSING ADMINISTRATION 5912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5912,A000000,01100,0000,01100PHARMACY 5912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5912,A000000,01300,0000,01300SOCIAL SERVICE 5912,A000000,01301,0000,01301ACTIVITIES 5912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5912,A000000,01600,0000,01600SKILLED NURSING FACILITY 5912,A000000,01800,0000,01800NURSING FACILITY 5912,A000000,01810,0000,01810ICF/MR 5912,A000000,02100,0000,02100RADIOLOGY 5912,A000000,02200,0000,02200LABORATORY 5912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5912,A000000,02500,0000,02500PHYSICAL THERAPY 5912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5912,A000000,02700,0000,02700SPEECH PATHOLOGY 5912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5912,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5912,A000000,03550,0000,03550FQHC 5912,A000000,05000,0000,05000CORF 5912,A000000,05010,0000,05010CMHC 5912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5912,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5912,A81000A,00100,0100,Y 5912,A81000B,00100,0300,HOME OFFICE COST 5912,A81000B,00400,0300,HOME OFFICE COST 5912,A81000B,00500,0300,HOME OFFICE COST 5912,A81000B,00600,0300,HOME OFFICE COST 5912,A81000B,00800,0300,HOME OFFICE COST 5912,A81000C,00100,0100,B 5912,A81000C,00100,0200,BEVERLY ENTERPR 5912,B100000,00000,0100,00000(SQUARE FEET) 5912,B100000,00000,0200,00000(SQUARE FEET) 5912,B100000,00000,0300,00000(ADJUSTED SALARIES) 5912,B100000,00000,0400,00000(ACCUM. COST) 5912,B100000,00000,0500,00000(SQUARE FEET) 5912,B100000,00000,0600,00000(PATIENT DAYS) 5912,B100000,00000,0700,00000(SQUARE FEET) 5912,B100000,00000,0800,00000(MEALS SERVED) 5912,B100000,00000,0900,00000(ADJUSTED SALARIES) 5912,B100000,00000,1000,00000(PATIENT DAYS) 5912,B100000,00000,1100,00000(COSTED REQUIS) 5912,B100000,00000,1200,00000(TOTAL CHARGES) 5912,B100000,00000,1300,00000(PATIENT DAYS) 5912,B100000,00000,1301,00000(PATIENT DAYS) 5912,B100000,00000,1400,00000(ASSIGNED TIME) 5912,E10A180,00301,0100,01/27/1999 5912,E10A180,00302,0100,06/14/1999 5912,E10A180,00305,0100,02/14/2000 5912,E10A180,00352,0100,10/08/1999 5912,E10A180,00353,0100,12/09/1999 5912,S000000,00100,0200,06/02/2000 5912,S200000,00100,0100,1550 JESS PARRISH COUR 5912,S200000,00200,0100,TITUSVILLE 5912,S200000,00200,0200,FL 5912,S200000,00200,0300,32781 5912,S200000,00300,0100,BREVARD 5912,S200000,00400,0100,VISTA MANOR 5912,S200000,00400,0200,105530 5912,S200000,00400,0300,09/01/1989 5912,S200000,00400,0500,P 5912,S200000,00600,0200,105530 5912,S200000,00600,0300,09/01/1989 5912,S200000,00600,0600,P 5912,S200000,01600,0100,Y 5912,S200000,04300,0100,Y 5915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5915,A000000,00300,0000,00300EMPLOYEE BENEFITS 5915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5915,A000000,00700,0000,00700HOUSEKEEPING 5915,A000000,00800,0000,00800DIETARY 5915,A000000,00900,0000,00900NURSING ADMINISTRATION 5915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5915,A000000,01100,0000,01100PHARMACY 5915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5915,A000000,01300,0000,01300SOCIAL SERVICE 5915,A000000,01301,0000,01301ACTIVITIES 5915,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5915,A000000,01600,0000,01600SKILLED NURSING FACILITY 5915,A000000,01800,0000,01800NURSING FACILITY 5915,A000000,01810,0000,01810ICF/MR 5915,A000000,01900,0000,01900OTHER LONG TERM CARE 5915,A000000,02100,0000,02100RADIOLOGY 5915,A000000,02200,0000,02200LABORATORY 5915,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5915,A000000,02500,0000,02500PHYSICAL THERAPY 5915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5915,A000000,02700,0000,02700SPEECH PATHOLOGY 5915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5915,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5915,A000000,03550,0000,03550FQHC 5915,A000000,05000,0000,05000CORF 5915,A000000,05010,0000,05010CMHC 5915,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5915,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5915,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5915,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5915,A81000A,00100,0100,Y 5915,A81000B,00100,0300,HOME OFFICE COST 5915,A81000B,00400,0300,HOME OFFICE COST 5915,A81000B,00500,0300,HOME OFFICE COST 5915,A81000B,00600,0300,HOME OFFICE COST 5915,A81000B,00800,0300,HOME OFFICE COST 5915,A81000C,00100,0100,B 5915,A81000C,00100,0200,BEVERLY ENTERPR 5915,B100000,00000,0100,00000(SQUARE FEET) 5915,B100000,00000,0200,00000(SQUARE FEET) 5915,B100000,00000,0300,00000(ADJUSTED SALARIES) 5915,B100000,00000,0400,00000(ACCUM. COST) 5915,B100000,00000,0500,00000(SQUARE FEET) 5915,B100000,00000,0600,00000(PATIENT DAYS) 5915,B100000,00000,0700,00000(SQUARE FEET) 5915,B100000,00000,0800,00000(MEALS SERVED) 5915,B100000,00000,0900,00000(ADJUSTED SALARIES) 5915,B100000,00000,1000,00000(PATIENT DAYS) 5915,B100000,00000,1100,00000(COSTED REQUIS) 5915,B100000,00000,1200,00000(TOTAL CHARGES) 5915,B100000,00000,1300,00000(PATIENT DAYS) 5915,B100000,00000,1301,00000(PATIENT DAYS) 5915,B100000,00000,1400,00000(ASSIGNED TIME) 5915,E10A180,00304,0100,12/09/1999 5915,E10A180,00350,0100,01/27/1999 5915,E10A180,00351,0100,06/14/1999 5915,E10A180,00352,0100,10/08/1999 5915,E10A180,00354,0100,02/14/2000 5915,S000000,00100,0200,06/02/2000 5915,S200000,00100,0100,9355 SAN JOSE 5915,S200000,00200,0100,JACKSONVILLE 5915,S200000,00200,0200,FL 5915,S200000,00200,0300,32257 5915,S200000,00300,0100,DUVAL 5915,S200000,00400,0100,BEAUCLERC MANOR 5915,S200000,00400,0200,105531 5915,S200000,00400,0300,12/20/1985 5915,S200000,00400,0500,P 5915,S200000,00600,0200,105531 5915,S200000,00600,0300,12/20/1985 5915,S200000,00600,0600,P 5915,S200000,01600,0100,Y 5915,S200000,04300,0100,Y 5920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5920,A000000,00300,0000,00300EMPLOYEE BENEFITS 5920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5920,A000000,00700,0000,00700HOUSEKEEPING 5920,A000000,00800,0000,00800DIETARY 5920,A000000,00900,0000,00900NURSING ADMINISTRATION 5920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5920,A000000,01100,0000,01100PHARMACY 5920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5920,A000000,01300,0000,01300SOCIAL SERVICE 5920,A000000,01301,0000,01301ACTIVITIES 5920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5920,A000000,01600,0000,01600SKILLED NURSING FACILITY 5920,A000000,01800,0000,01800NURSING FACILITY 5920,A000000,01810,0000,01810ICF/MR 5920,A000000,01900,0000,01900OTHER LONG TERM CARE 5920,A000000,02100,0000,02100RADIOLOGY 5920,A000000,02200,0000,02200LABORATORY 5920,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5920,A000000,02500,0000,02500PHYSICAL THERAPY 5920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5920,A000000,02700,0000,02700SPEECH PATHOLOGY 5920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5920,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5920,A000000,03550,0000,03550FQHC 5920,A000000,05000,0000,05000CORF 5920,A000000,05010,0000,05010CMHC 5920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5920,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5920,A81000A,00100,0100,Y 5920,A81000B,00100,0300,HOME OFFICE COST 5920,A81000B,00400,0300,HOME OFFICE COST 5920,A81000B,00500,0300,HOME OFFICE COST 5920,A81000B,00600,0300,HOME OFFICE COST 5920,A81000B,00800,0300,HOME OFFICE COST 5920,A81000C,00100,0100,B 5920,A81000C,00100,0200,BEVERLY ENTERPR 5920,B100000,00000,0100,00000(SQUARE FEET) 5920,B100000,00000,0200,00000(SQUARE FEET) 5920,B100000,00000,0300,00000(ADJUSTED SALARIES) 5920,B100000,00000,0400,00000(ACCUM. COST) 5920,B100000,00000,0500,00000(SQUARE FEET) 5920,B100000,00000,0600,00000(PATIENT DAYS) 5920,B100000,00000,0700,00000(SQUARE FEET) 5920,B100000,00000,0800,00000(MEALS SERVED) 5920,B100000,00000,0900,00000(ADJUSTED SALARIES) 5920,B100000,00000,1000,00000(PATIENT DAYS) 5920,B100000,00000,1100,00000(COSTED REQUIS) 5920,B100000,00000,1200,00000(TOTAL CHARGES) 5920,B100000,00000,1300,00000(PATIENT DAYS) 5920,B100000,00000,1301,00000(PATIENT DAYS) 5920,B100000,00000,1400,00000(ASSIGNED TIME) 5920,E10A180,00350,0100,01/27/1999 5920,E10A180,00351,0100,06/14/1999 5920,E10A180,00352,0100,10/08/1999 5920,E10A180,00353,0100,12/09/1999 5920,E10A180,00354,0100,02/14/2000 5920,S000000,00100,0200,06/02/2000 5920,S200000,00100,0100,5065 WALLIS DRIVE 5920,S200000,00200,0100,W. PALM BCH 5920,S200000,00200,0200,FL 5920,S200000,00200,0300,33415 5920,S200000,00300,0100,PALM BEACH 5920,S200000,00400,0100,HAVERHILL CARE CENTER 5920,S200000,00400,0200,105558 5920,S200000,00400,0300,09/01/1986 5920,S200000,00400,0500,P 5920,S200000,00600,0200,105558 5920,S200000,00600,0300,09/01/1986 5920,S200000,00600,0600,P 5920,S200000,01600,0100,Y 5920,S200000,04300,0100,Y 5923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5923,A000000,00300,0000,00300EMPLOYEE BENEFITS 5923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5923,A000000,00700,0000,00700HOUSEKEEPING 5923,A000000,00800,0000,00800DIETARY 5923,A000000,00900,0000,00900NURSING ADMINISTRATION 5923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5923,A000000,01100,0000,01100PHARMACY 5923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5923,A000000,01300,0000,01300SOCIAL SERVICE 5923,A000000,01301,0000,01301ACTIVITIES 5923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5923,A000000,01600,0000,01600SKILLED NURSING FACILITY 5923,A000000,01800,0000,01800NURSING FACILITY 5923,A000000,01810,0000,01810ICF/MR 5923,A000000,01900,0000,01900OTHER LONG TERM CARE 5923,A000000,02100,0000,02100RADIOLOGY 5923,A000000,02200,0000,02200LABORATORY 5923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5923,A000000,02500,0000,02500PHYSICAL THERAPY 5923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5923,A000000,02700,0000,02700SPEECH PATHOLOGY 5923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5923,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5923,A000000,03550,0000,03550FQHC 5923,A000000,05000,0000,05000CORF 5923,A000000,05010,0000,05010CMHC 5923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 5923,A81000A,00100,0100,Y 5923,A81000B,00100,0300,HOME OFFICE COST 5923,A81000B,00400,0300,HOME OFFICE COST 5923,A81000B,00500,0300,HOME OFFICE COST 5923,A81000B,00600,0300,HOME OFFICE COST 5923,A81000B,00800,0300,HOME OFFICE COST 5923,A81000C,00100,0100,B 5923,A81000C,00100,0200,BEVERLY ENTERPR 5923,B100000,00000,0100,00000(SQUARE FEET) 5923,B100000,00000,0200,00000(SQUARE FEET) 5923,B100000,00000,0300,00000(ADJUSTED SALARIES) 5923,B100000,00000,0400,00000(ACCUM. COST) 5923,B100000,00000,0500,00000(SQUARE FEET) 5923,B100000,00000,0600,00000(PATIENT DAYS) 5923,B100000,00000,0700,00000(SQUARE FEET) 5923,B100000,00000,0800,00000(MEALS SERVED) 5923,B100000,00000,0900,00000(ADJUSTED SALARIES) 5923,B100000,00000,1000,00000(PATIENT DAYS) 5923,B100000,00000,1100,00000(COSTED REQUIS) 5923,B100000,00000,1200,00000(TOTAL CHARGES) 5923,B100000,00000,1300,00000(PATIENT DAYS) 5923,B100000,00000,1301,00000(PATIENT DAYS) 5923,B100000,00000,1400,00000(ASSIGNED TIME) 5923,E10A180,00302,0100,06/14/1999 5923,E10A180,00303,0100,10/08/1999 5923,E10A180,00305,0100,02/14/2000 5923,E10A180,00350,0100,01/27/1999 5923,E10A180,00353,0100,12/09/1999 5923,S000000,00100,0200,06/02/2000 5923,S200000,00100,0100,7950 LAKE UNDERHILL RD 5923,S200000,00200,0100,ORLANDO 5923,S200000,00200,0200,FL 5923,S200000,00200,0300,32822 5923,S200000,00300,0100,ORANGE 5923,S200000,00400,0100,PINAR TERRACE MANOR 5923,S200000,00400,0200,105564 5923,S200000,00400,0300,02/19/1989 5923,S200000,00400,0500,P 5923,S200000,00600,0200,105564 5923,S200000,00600,0300,02/19/1989 5923,S200000,00600,0600,P 5923,S200000,01600,0100,Y 5923,S200000,04200,0100,Y 5923,S200000,04300,0100,Y 5926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5926,A000000,00300,0000,00300EMPLOYEE BENEFITS 5926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5926,A000000,00700,0000,00700HOUSEKEEPING 5926,A000000,00800,0000,00800DIETARY 5926,A000000,00900,0000,00900NURSING ADMINISTRATION 5926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5926,A000000,01100,0000,01100PHARMACY 5926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5926,A000000,01300,0000,01300SOCIAL SERVICE 5926,A000000,01301,0000,01301ACTIVITIES 5926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5926,A000000,01600,0000,01600SKILLED NURSING FACILITY 5926,A000000,01800,0000,01800NURSING FACILITY 5926,A000000,01810,0000,01810ICF/MR 5926,A000000,01900,0000,01900OTHER LONG TERM CARE 5926,A000000,02100,0000,02100RADIOLOGY 5926,A000000,02200,0000,02200LABORATORY 5926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5926,A000000,02500,0000,02500PHYSICAL THERAPY 5926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5926,A000000,02700,0000,02700SPEECH PATHOLOGY 5926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5926,A000000,03550,0000,03550FQHC 5926,A000000,05000,0000,05000CORF 5926,A000000,05010,0000,05010CMHC 5926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5926,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5926,A81000A,00100,0100,Y 5926,A81000B,00100,0300,HOME OFFICE COST 5926,A81000B,00400,0300,HOME OFFICE COST 5926,A81000B,00500,0300,HOME OFFICE COST 5926,A81000B,00600,0300,HOME OFFICE COST 5926,A81000B,00800,0300,HOME OFFICE COST 5926,A81000C,00100,0100,B 5926,A81000C,00100,0200,BEVERLY ENTERPR 5926,B100000,00000,0100,00000(SQUARE FEET) 5926,B100000,00000,0200,00000(SQUARE FEET) 5926,B100000,00000,0300,00000(ADJUSTED SALARIES) 5926,B100000,00000,0400,00000(ACCUM. COST) 5926,B100000,00000,0500,00000(SQUARE FEET) 5926,B100000,00000,0600,00000(PATIENT DAYS) 5926,B100000,00000,0700,00000(SQUARE FEET) 5926,B100000,00000,0800,00000(MEALS SERVED) 5926,B100000,00000,0900,00000(ADJUSTED SALARIES) 5926,B100000,00000,1000,00000(PATIENT DAYS) 5926,B100000,00000,1100,00000(COSTED REQUIS) 5926,B100000,00000,1200,00000(TOTAL CHARGES) 5926,B100000,00000,1300,00000(PATIENT DAYS) 5926,B100000,00000,1301,00000(PATIENT DAYS) 5926,B100000,00000,1400,00000(ASSIGNED TIME) 5926,E10A180,00301,0100,01/27/1999 5926,E10A180,00302,0100,06/14/1999 5926,E10A180,00303,0100,10/08/1999 5926,E10A180,00305,0100,02/14/2000 5926,E10A180,00353,0100,12/09/1999 5926,S000000,00100,0200,06/02/2000 5926,S200000,00100,0100,1615 SOUTH MIAMI ROAD 5926,S200000,00200,0100,FT LAUDERDALE 5926,S200000,00200,0200,FL 5926,S200000,00200,0300,33315 5926,S200000,00300,0100,BROWARD 5926,S200000,00400,0100,HARBOR BEACH CONVALESCENT 5926,S200000,00400,0200,105578 5926,S200000,00400,0300,05/28/1986 5926,S200000,00400,0500,P 5926,S200000,00600,0200,105578 5926,S200000,00600,0300,05/28/1986 5926,S200000,00600,0600,P 5926,S200000,01600,0100,Y 5926,S200000,04300,0100,Y 5933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5933,A000000,00300,0000,00300EMPLOYEE BENEFITS 5933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5933,A000000,00700,0000,00700HOUSEKEEPING 5933,A000000,00800,0000,00800DIETARY 5933,A000000,00900,0000,00900NURSING ADMINISTRATION 5933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5933,A000000,01100,0000,01100PHARMACY 5933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5933,A000000,01300,0000,01300SOCIAL SERVICE 5933,A000000,01301,0000,01301ACTIVITIES 5933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5933,A000000,01600,0000,01600SKILLED NURSING FACILITY 5933,A000000,01800,0000,01800NURSING FACILITY 5933,A000000,01810,0000,01810ICF/MR 5933,A000000,02100,0000,02100RADIOLOGY 5933,A000000,02200,0000,02200LABORATORY 5933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5933,A000000,02500,0000,02500PHYSICAL THERAPY 5933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5933,A000000,02700,0000,02700SPEECH PATHOLOGY 5933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5933,A000000,03550,0000,03550FQHC 5933,A000000,05000,0000,05000CORF 5933,A000000,05010,0000,05010CMHC 5933,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5933,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5933,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5933,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5933,A81000A,00100,0100,Y 5933,A81000B,00100,0300,HOME OFFICE COST 5933,A81000B,00400,0300,HOME OFFICE COST 5933,A81000B,00500,0300,HOME OFFICE COST 5933,A81000B,00600,0300,HOME OFFICE COST 5933,A81000B,00800,0300,HOME OFFICE COST 5933,A81000C,00100,0100,B 5933,A81000C,00100,0200,BEVERLY ENTERPR 5933,B100000,00000,0100,00000(SQUARE FEET) 5933,B100000,00000,0200,00000(SQUARE FEET) 5933,B100000,00000,0300,00000(ADJUSTED SALARIES) 5933,B100000,00000,0400,00000(ACCUM. COST) 5933,B100000,00000,0500,00000(SQUARE FEET) 5933,B100000,00000,0600,00000(PATIENT DAYS) 5933,B100000,00000,0700,00000(SQUARE FEET) 5933,B100000,00000,0800,00000(MEALS SERVED) 5933,B100000,00000,0900,00000(ADJUSTED SALARIES) 5933,B100000,00000,1000,00000(PATIENT DAYS) 5933,B100000,00000,1100,00000(COSTED REQUIS) 5933,B100000,00000,1200,00000(TOTAL CHARGES) 5933,B100000,00000,1300,00000(PATIENT DAYS) 5933,B100000,00000,1301,00000(PATIENT DAYS) 5933,B100000,00000,1400,00000(ASSIGNED TIME) 5933,E10A180,00302,0100,06/14/1999 5933,E10A180,00350,0100,01/27/1999 5933,E10A180,00352,0100,10/08/1999 5933,E10A180,00353,0100,12/09/1999 5933,E10A180,00354,0100,02/14/2000 5933,S000000,00100,0200,06/02/2000 5933,S200000,00100,0100,3825 COUNTRYSIDE BLVD. 5933,S200000,00200,0100,PALM HARBOR 5933,S200000,00200,0200,FL 5933,S200000,00200,0300,33563 5933,S200000,00300,0100,PINELLAS 5933,S200000,00400,0100,COUNTRYSIDE HEALTH CARE 5933,S200000,00400,0200,105587 5933,S200000,00400,0300,10/19/1987 5933,S200000,00400,0500,P 5933,S200000,00600,0200,105587 5933,S200000,00600,0300,10/19/1987 5933,S200000,00600,0600,P 5933,S200000,01600,0100,Y 5933,S200000,04200,0100,Y 5933,S200000,04300,0100,Y 5936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5936,A000000,00300,0000,00300EMPLOYEE BENEFITS 5936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5936,A000000,00700,0000,00700HOUSEKEEPING 5936,A000000,00800,0000,00800DIETARY 5936,A000000,00900,0000,00900NURSING ADMINISTRATION 5936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5936,A000000,01100,0000,01100PHARMACY 5936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5936,A000000,01300,0000,01300SOCIAL SERVICE 5936,A000000,01301,0000,01301ACTIVITIES 5936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5936,A000000,01600,0000,01600SKILLED NURSING FACILITY 5936,A000000,01800,0000,01800NURSING FACILITY 5936,A000000,01810,0000,01810ICF/MR 5936,A000000,02100,0000,02100RADIOLOGY 5936,A000000,02200,0000,02200LABORATORY 5936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5936,A000000,02500,0000,02500PHYSICAL THERAPY 5936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5936,A000000,02700,0000,02700SPEECH PATHOLOGY 5936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5936,A000000,03550,0000,03550FQHC 5936,A000000,05000,0000,05000CORF 5936,A000000,05010,0000,05010CMHC 5936,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5936,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5936,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5936,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5936,A81000A,00100,0100,Y 5936,A81000B,00100,0300,HOME OFFICE COST 5936,A81000B,00400,0300,HOME OFFICE COST 5936,A81000B,00500,0300,HOME OFFICE COST 5936,A81000B,00600,0300,HOME OFFICE COST 5936,A81000B,00800,0300,HOME OFFICE COST 5936,A81000C,00100,0100,B 5936,A81000C,00100,0200,BEVERLY ENTERPR 5936,B100000,00000,0100,00000(SQUARE FEET) 5936,B100000,00000,0200,00000(SQUARE FEET) 5936,B100000,00000,0300,00000(ADJUSTED SALARIES) 5936,B100000,00000,0400,00000(ACCUM. COST) 5936,B100000,00000,0500,00000(SQUARE FEET) 5936,B100000,00000,0600,00000(PATIENT DAYS) 5936,B100000,00000,0700,00000(SQUARE FEET) 5936,B100000,00000,0800,00000(MEALS SERVED) 5936,B100000,00000,0900,00000(ADJUSTED SALARIES) 5936,B100000,00000,1000,00000(PATIENT DAYS) 5936,B100000,00000,1100,00000(COSTED REQUIS) 5936,B100000,00000,1200,00000(TOTAL CHARGES) 5936,B100000,00000,1300,00000(PATIENT DAYS) 5936,B100000,00000,1301,00000(PATIENT DAYS) 5936,B100000,00000,1400,00000(ASSIGNED TIME) 5936,E10A180,00301,0100,01/27/1999 5936,E10A180,00351,0100,06/14/1999 5936,E10A180,00352,0100,10/08/1999 5936,E10A180,00353,0100,12/09/1999 5936,E10A180,00354,0100,02/14/2000 5936,S000000,00100,0200,06/02/2000 5936,S200000,00100,0100,216 SANTA BARBARA BLVD 5936,S200000,00200,0100,CAPA CORAL 5936,S200000,00200,0200,FL 5936,S200000,00200,0300,33904 5936,S200000,00300,0100,LEE 5936,S200000,00400,0100,CORAL TRACE MANOR 5936,S200000,00400,0200,105588 5936,S200000,00400,0300,11/08/1987 5936,S200000,00400,0500,P 5936,S200000,00600,0200,105588 5936,S200000,00600,0300,11/08/1987 5936,S200000,00600,0600,P 5936,S200000,01600,0100,Y 5936,S200000,04300,0100,Y 5939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5939,A000000,00300,0000,00300EMPLOYEE BENEFITS 5939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5939,A000000,00700,0000,00700HOUSEKEEPING 5939,A000000,00800,0000,00800DIETARY 5939,A000000,00900,0000,00900NURSING ADMINISTRATION 5939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5939,A000000,01100,0000,01100PHARMACY 5939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5939,A000000,01300,0000,01300SOCIAL SERVICE 5939,A000000,01301,0000,01301ACTIVITIES 5939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5939,A000000,01600,0000,01600SKILLED NURSING FACILITY 5939,A000000,01800,0000,01800NURSING FACILITY 5939,A000000,01810,0000,01810ICF/MR 5939,A000000,02100,0000,02100RADIOLOGY 5939,A000000,02200,0000,02200LABORATORY 5939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5939,A000000,02500,0000,02500PHYSICAL THERAPY 5939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5939,A000000,02700,0000,02700SPEECH PATHOLOGY 5939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5939,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 5939,A000000,03550,0000,03550FQHC 5939,A000000,05000,0000,05000CORF 5939,A000000,05010,0000,05010CMHC 5939,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5939,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5939,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5939,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5939,A81000A,00100,0100,Y 5939,A81000B,00100,0300,HOME OFFICE COST 5939,A81000B,00400,0300,HOME OFFICE COST 5939,A81000B,00500,0300,HOME OFFICE COST 5939,A81000B,00600,0300,HOME OFFICE COST 5939,A81000B,00800,0300,HOME OFFICE COST 5939,A81000C,00100,0100,B 5939,A81000C,00100,0200,BEVERLY ENTERPR 5939,B100000,00000,0100,00000(SQUARE FEET) 5939,B100000,00000,0200,00000(SQUARE FEET) 5939,B100000,00000,0300,00000(ADJUSTED SALARIES) 5939,B100000,00000,0400,00000(ACCUM. COST) 5939,B100000,00000,0500,00000(SQUARE FEET) 5939,B100000,00000,0600,00000(PATIENT DAYS) 5939,B100000,00000,0700,00000(SQUARE FEET) 5939,B100000,00000,0800,00000(MEALS SERVED) 5939,B100000,00000,0900,00000(ADJUSTED SALARIES) 5939,B100000,00000,1000,00000(PATIENT DAYS) 5939,B100000,00000,1100,00000(COSTED REQUIS) 5939,B100000,00000,1200,00000(TOTAL CHARGES) 5939,B100000,00000,1300,00000(PATIENT DAYS) 5939,B100000,00000,1301,00000(PATIENT DAYS) 5939,B100000,00000,1400,00000(ASSIGNED TIME) 5939,E10A180,00301,0100,01/27/1999 5939,E10A180,00351,0100,06/14/1999 5939,E10A180,00352,0100,10/08/1999 5939,E10A180,00353,0100,12/09/1999 5939,E10A180,00354,0100,02/14/2000 5939,S000000,00100,0200,06/02/2000 5939,S200000,00100,0100,1620 HELVENSTONE 5939,S200000,00200,0100,LIVE OAK 5939,S200000,00200,0200,FL 5939,S200000,00200,0300,32060 5939,S200000,00300,0100,SUWANNEE 5939,S200000,00400,0100,SUWANNEE HCC (499) A 5939,S200000,00400,0200,105613 5939,S200000,00400,0300,08/02/1988 5939,S200000,00400,0500,P 5939,S200000,00600,0200,105613 5939,S200000,00600,0300,08/02/1988 5939,S200000,00600,0600,P 5939,S200000,01600,0100,Y 5939,S200000,04300,0100,Y 5944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5944,A000000,00300,0000,00300EMPLOYEE BENEFITS 5944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5944,A000000,00700,0000,00700HOUSEKEEPING 5944,A000000,00800,0000,00800DIETARY 5944,A000000,00900,0000,00900NURSING ADMINISTRATION 5944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5944,A000000,01100,0000,01100PHARMACY 5944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5944,A000000,01300,0000,01300SOCIAL SERVICE 5944,A000000,01301,0000,01301ACTIVITIES 5944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5944,A000000,01600,0000,01600SKILLED NURSING FACILITY 5944,A000000,01800,0000,01800NURSING FACILITY 5944,A000000,01810,0000,01810ICF/MR 5944,A000000,02100,0000,02100RADIOLOGY 5944,A000000,02200,0000,02200LABORATORY 5944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5944,A000000,02500,0000,02500PHYSICAL THERAPY 5944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5944,A000000,02700,0000,02700SPEECH PATHOLOGY 5944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5944,A000000,03050,0000,03300OTHER ANCILLARY 5944,A000000,03550,0000,03550FQHC 5944,A000000,05000,0000,05000CORF 5944,A000000,05010,0000,05010CMHC 5944,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5944,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5944,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5944,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5944,A81000A,00100,0100,Y 5944,A81000B,00100,0300,HOME OFFICE COST 5944,A81000B,00400,0300,HOME OFFICE COST 5944,A81000B,00500,0300,HOME OFFICE COST 5944,A81000B,00600,0300,HOME OFFICE COST 5944,A81000B,00800,0300,HOME OFFICE COST 5944,A81000C,00100,0100,B 5944,A81000C,00100,0200,BEVERLY ENTERPR 5944,B100000,00000,0100,00000(SQUARE FEET) 5944,B100000,00000,0200,00000(SQUARE FEET) 5944,B100000,00000,0300,00000(ADJUSTED SALARIES) 5944,B100000,00000,0400,00000(ACCUM. COST) 5944,B100000,00000,0500,00000(SQUARE FEET) 5944,B100000,00000,0600,00000(PATIENT DAYS) 5944,B100000,00000,0700,00000(SQUARE FEET) 5944,B100000,00000,0800,00000(MEALS SERVED) 5944,B100000,00000,0900,00000(ADJUSTED SALARIES) 5944,B100000,00000,1000,00000(PATIENT DAYS) 5944,B100000,00000,1100,00000(COSTED REQUIS) 5944,B100000,00000,1200,00000(TOTAL CHARGES) 5944,B100000,00000,1300,00000(PATIENT DAYS) 5944,B100000,00000,1301,00000(PATIENT DAYS) 5944,B100000,00000,1400,00000(ASSIGNED TIME) 5944,E10A180,00301,0100,01/27/1999 5944,E10A180,00304,0100,12/09/1999 5944,E10A180,00351,0100,06/14/1999 5944,E10A180,00352,0100,10/08/1999 5944,E10A180,00354,0100,02/14/2000 5944,S000000,00100,0200,06/02/2000 5944,S200000,00100,0100,207 FORREST DR 5944,S200000,00200,0100,PERRY 5944,S200000,00200,0200,FL 5944,S200000,00200,0300,32347 5944,S200000,00300,0100,TAYLOR 5944,S200000,00400,0100,PERRY HEALTH FACILITY 5944,S200000,00400,0200,105631 5944,S200000,00400,0300,01/01/1989 5944,S200000,00400,0500,P 5944,S200000,00600,0200,105631 5944,S200000,00600,0300,10/01/1989 5944,S200000,00600,0600,P 5944,S200000,01600,0100,Y 5944,S200000,04300,0100,Y 5947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5947,A000000,00300,0000,00300EMPLOYEE BENEFITS 5947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5947,A000000,00700,0000,00700HOUSEKEEPING 5947,A000000,00800,0000,00800DIETARY 5947,A000000,00900,0000,00900NURSING ADMINISTRATION 5947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5947,A000000,01100,0000,01100PHARMACY 5947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5947,A000000,01300,0000,01300SOCIAL SERVICE 5947,A000000,01301,0000,01301ACTIVITIES 5947,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5947,A000000,01600,0000,01600SKILLED NURSING FACILITY 5947,A000000,01800,0000,01800NURSING FACILITY 5947,A000000,01810,0000,01810ICF/MR 5947,A000000,01900,0000,01900OTHER LONG TERM CARE 5947,A000000,02100,0000,02100RADIOLOGY 5947,A000000,02200,0000,02200LABORATORY 5947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5947,A000000,02500,0000,02500PHYSICAL THERAPY 5947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5947,A000000,02700,0000,02700SPEECH PATHOLOGY 5947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5947,A000000,03550,0000,03550FQHC 5947,A000000,05000,0000,05000CORF 5947,A000000,05010,0000,05010CMHC 5947,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5947,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5947,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5947,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5947,A81000A,00100,0100,Y 5947,A81000B,00100,0300,HOME OFFICE COST 5947,A81000B,00400,0300,HOME OFFICE COST 5947,A81000B,00500,0300,HOME OFFICE COST 5947,A81000B,00600,0300,HOME OFFICE COST 5947,A81000B,00800,0300,HOME OFFICE COST 5947,A81000C,00100,0100,B 5947,A81000C,00100,0200,BEVERLY ENTERPR 5947,B100000,00000,0100,00000(SQUARE FEET) 5947,B100000,00000,0200,00000(SQUARE FEET) 5947,B100000,00000,0300,00000(ADJUSTED SALARIES) 5947,B100000,00000,0400,00000(ACCUM. COST) 5947,B100000,00000,0500,00000(SQUARE FEET) 5947,B100000,00000,0600,00000(PATIENT DAYS) 5947,B100000,00000,0700,00000(SQUARE FEET) 5947,B100000,00000,0800,00000(MEALS SERVED) 5947,B100000,00000,0900,00000(ADJUSTED SALARIES) 5947,B100000,00000,1000,00000(PATIENT DAYS) 5947,B100000,00000,1100,00000(COSTED REQUIS) 5947,B100000,00000,1200,00000(TOTAL CHARGES) 5947,B100000,00000,1300,00000(PATIENT DAYS) 5947,B100000,00000,1301,00000(PATIENT DAYS) 5947,B100000,00000,1400,00000(ASSIGNED TIME) 5947,E10A180,00302,0100,06/14/1999 5947,E10A180,00303,0100,10/08/1999 5947,E10A180,00350,0100,01/27/1999 5947,E10A180,00353,0100,12/09/1999 5947,E10A180,00354,0100,02/14/2000 5947,S000000,00100,0200,06/02/2000 5947,S200000,00100,0100,11565 HARTS ROADS 5947,S200000,00200,0100,JACKSONVILLE 5947,S200000,00200,0200,FL 5947,S200000,00200,0300,32218 5947,S200000,00300,0100,DUVAL 5947,S200000,00400,0100,TURTLE CREEK HEALTH CARE CENTE 5947,S200000,00400,0200,105632 5947,S200000,00400,0300,03/01/1989 5947,S200000,00400,0500,P 5947,S200000,00600,0200,105632 5947,S200000,00600,0300,03/01/1989 5947,S200000,00600,0600,P 5947,S200000,01600,0100,Y 5947,S200000,04200,0100,Y 5947,S200000,04300,0100,Y 5950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5950,A000000,00300,0000,00300EMPLOYEE BENEFITS 5950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5950,A000000,00700,0000,00700HOUSEKEEPING 5950,A000000,00800,0000,00800DIETARY 5950,A000000,00900,0000,00900NURSING ADMINISTRATION 5950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5950,A000000,01100,0000,01100PHARMACY 5950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5950,A000000,01300,0000,01300SOCIAL SERVICE 5950,A000000,01301,0000,01301ACTIVITIES 5950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5950,A000000,01600,0000,01600SKILLED NURSING FACILITY 5950,A000000,01800,0000,01800NURSING FACILITY 5950,A000000,01810,0000,01810ICF/MR 5950,A000000,02100,0000,02100RADIOLOGY 5950,A000000,02200,0000,02200LABORATORY 5950,A000000,02500,0000,02500PHYSICAL THERAPY 5950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5950,A000000,02700,0000,02700SPEECH PATHOLOGY 5950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5950,A000000,03550,0000,03550FQHC 5950,A000000,05000,0000,05000CORF 5950,A000000,05010,0000,05010CMHC 5950,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5950,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5950,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5950,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 5950,A81000A,00100,0100,Y 5950,A81000B,00100,0300,HOME OFFICE COST 5950,A81000B,00400,0300,HOME OFFICE COST 5950,A81000B,00500,0300,HOME OFFICE COST 5950,A81000B,00600,0300,HOME OFFICE COST 5950,A81000B,00800,0300,HOME OFFICE COST 5950,A81000C,00100,0100,B 5950,A81000C,00100,0200,BEVERLY ENTERPR 5950,B100000,00000,0100,00000(SQUARE FEET) 5950,B100000,00000,0200,00000(SQUARE FEET) 5950,B100000,00000,0300,00000(ADJUSTED SALARIES) 5950,B100000,00000,0400,00000(ACCUM. COST) 5950,B100000,00000,0500,00000(SQUARE FEET) 5950,B100000,00000,0600,00000(PATIENT DAYS) 5950,B100000,00000,0700,00000(SQUARE FEET) 5950,B100000,00000,0800,00000(MEALS SERVED) 5950,B100000,00000,0900,00000(ADJUSTED SALARIES) 5950,B100000,00000,1000,00000(PATIENT DAYS) 5950,B100000,00000,1100,00000(COSTED REQUIS) 5950,B100000,00000,1200,00000(TOTAL CHARGES) 5950,B100000,00000,1300,00000(PATIENT DAYS) 5950,B100000,00000,1301,00000(PATIENT DAYS) 5950,B100000,00000,1400,00000(ASSIGNED TIME) 5950,E10A180,00301,0100,01/27/1999 5950,E10A180,00302,0100,06/14/1999 5950,E10A180,00303,0100,10/08/1999 5950,E10A180,00305,0100,02/14/2000 5950,E10A180,00353,0100,12/09/1999 5950,S000000,00100,0200,06/02/2000 5950,S200000,00100,0100,518 WEST FLETCHER AVENUE 5950,S200000,00200,0100,TAMPA 5950,S200000,00200,0200,FL 5950,S200000,00200,0300,33612 5950,S200000,00300,0100,HILLSBOROUGH 5950,S200000,00400,0100,BHRS-FLETCHER 5950,S200000,00400,0200,105644 5950,S200000,00400,0300,03/01/1989 5950,S200000,00400,0500,P 5950,S200000,00600,0200,105644 5950,S200000,00600,0300,03/01/1989 5950,S200000,00600,0600,P 5950,S200000,01600,0100,Y 5950,S200000,04300,0100,Y 5953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5953,A000000,00300,0000,00300EMPLOYEE BENEFITS 5953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5953,A000000,00700,0000,00700HOUSEKEEPING 5953,A000000,00800,0000,00800DIETARY 5953,A000000,00900,0000,00900NURSING ADMINISTRATION 5953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5953,A000000,01100,0000,01100PHARMACY 5953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5953,A000000,01300,0000,01300SOCIAL SERVICE 5953,A000000,01301,0000,01301ACTIVITIES 5953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5953,A000000,01600,0000,01600SKILLED NURSING FACILITY 5953,A000000,01800,0000,01800NURSING FACILITY 5953,A000000,01810,0000,01810ICF/MR 5953,A000000,02100,0000,02100RADIOLOGY 5953,A000000,02200,0000,02200LABORATORY 5953,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5953,A000000,02500,0000,02500PHYSICAL THERAPY 5953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5953,A000000,02700,0000,02700SPEECH PATHOLOGY 5953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5953,A000000,03550,0000,03550FQHC 5953,A000000,05000,0000,05000CORF 5953,A000000,05010,0000,05010CMHC 5953,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5953,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5953,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5953,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5953,A81000A,00100,0100,Y 5953,A81000B,00100,0300,HOME OFFICE COST 5953,A81000B,00400,0300,HOME OFFICE COST 5953,A81000B,00500,0300,HOME OFFICE COST 5953,A81000B,00600,0300,HOME OFFICE COST 5953,A81000B,00800,0300,HOME OFFICE COST 5953,A81000C,00100,0100,B 5953,A81000C,00100,0200,BEVERLY ENTERPR 5953,B100000,00000,0100,00000(SQUARE FEET) 5953,B100000,00000,0200,00000(SQUARE FEET) 5953,B100000,00000,0300,00000(ADJUSTED SALARIES) 5953,B100000,00000,0400,00000(ACCUM. COST) 5953,B100000,00000,0500,00000(SQUARE FEET) 5953,B100000,00000,0600,00000(PATIENT DAYS) 5953,B100000,00000,0700,00000(SQUARE FEET) 5953,B100000,00000,0800,00000(MEALS SERVED) 5953,B100000,00000,0900,00000(ADJUSTED SALARIES) 5953,B100000,00000,1000,00000(PATIENT DAYS) 5953,B100000,00000,1100,00000(COSTED REQUIS) 5953,B100000,00000,1200,00000(TOTAL CHARGES) 5953,B100000,00000,1300,00000(PATIENT DAYS) 5953,B100000,00000,1301,00000(PATIENT DAYS) 5953,B100000,00000,1400,00000(ASSIGNED TIME) 5953,E10A180,00301,0100,01/27/1999 5953,E10A180,00302,0100,06/14/1999 5953,E10A180,00303,0100,10/08/1999 5953,E10A180,00305,0100,02/14/2000 5953,E10A180,00353,0100,12/09/1999 5953,S000000,00100,0200,06/02/2000 5953,S200000,00100,0100,803 OAK STREET 5953,S200000,00200,0100,GREEN COVE SP 5953,S200000,00200,0200,FL 5953,S200000,00200,0300,32043 5953,S200000,00300,0100,CLAY 5953,S200000,00400,0100,OAK TERRACE SPECIALTY CARE 5953,S200000,00400,0200,105663 5953,S200000,00400,0300,08/01/1982 5953,S200000,00400,0500,P 5953,S200000,00600,0200,105663 5953,S200000,00600,0300,08/01/1982 5953,S200000,00600,0600,P 5953,S200000,01600,0100,Y 5953,S200000,04300,0100,Y 5956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5956,A000000,00300,0000,00300EMPLOYEE BENEFITS 5956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5956,A000000,00700,0000,00700HOUSEKEEPING 5956,A000000,00800,0000,00800DIETARY 5956,A000000,00900,0000,00900NURSING ADMINISTRATION 5956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5956,A000000,01100,0000,01100PHARMACY 5956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5956,A000000,01300,0000,01300SOCIAL SERVICE 5956,A000000,01301,0000,01301ACTIVITIES 5956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5956,A000000,01600,0000,01600SKILLED NURSING FACILITY 5956,A000000,01800,0000,01800NURSING FACILITY 5956,A000000,01810,0000,01810ICF/MR 5956,A000000,01900,0000,01900OTHER LONG TERM CARE 5956,A000000,02100,0000,02100RADIOLOGY 5956,A000000,02200,0000,02200LABORATORY 5956,A000000,02500,0000,02500PHYSICAL THERAPY 5956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5956,A000000,02700,0000,02700SPEECH PATHOLOGY 5956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5956,A000000,03550,0000,03550FQHC 5956,A000000,05000,0000,05000CORF 5956,A000000,05010,0000,05010CMHC 5956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5956,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5956,A81000A,00100,0100,Y 5956,A81000B,00100,0300,HOME OFFICE COST 5956,A81000B,00400,0300,HOME OFFICE COST 5956,A81000B,00500,0300,HOME OFFICE COST 5956,A81000B,00600,0300,HOME OFFICE COST 5956,A81000B,00800,0300,HOME OFFICE COST 5956,A81000C,00100,0100,B 5956,A81000C,00100,0200,BEVERLY ENTERPR 5956,B100000,00000,0100,00000(SQUARE FEET) 5956,B100000,00000,0200,00000(SQUARE FEET) 5956,B100000,00000,0300,00000(ADJUSTED SALARIES) 5956,B100000,00000,0400,00000(ACCUM. COST) 5956,B100000,00000,0500,00000(SQUARE FEET) 5956,B100000,00000,0600,00000(PATIENT DAYS) 5956,B100000,00000,0700,00000(SQUARE FEET) 5956,B100000,00000,0800,00000(MEALS SERVED) 5956,B100000,00000,0900,00000(ADJUSTED SALARIES) 5956,B100000,00000,1000,00000(PATIENT DAYS) 5956,B100000,00000,1100,00000(COSTED REQUIS) 5956,B100000,00000,1200,00000(TOTAL CHARGES) 5956,B100000,00000,1300,00000(PATIENT DAYS) 5956,B100000,00000,1301,00000(PATIENT DAYS) 5956,B100000,00000,1400,00000(ASSIGNED TIME) 5956,E10A180,00301,0100,01/27/1999 5956,E10A180,00351,0100,06/14/1999 5956,E10A180,00352,0100,10/08/1999 5956,E10A180,00353,0100,12/09/1999 5956,E10A180,00354,0100,02/14/2000 5956,S000000,00100,0200,06/02/2000 5956,S200000,00100,0100,650 REED CANAL ROAD 5956,S200000,00200,0100,SOUTH DAYTONA 5956,S200000,00200,0200,FL 5956,S200000,00200,0300,32019 5956,S200000,00300,0100,VOLUSIA 5956,S200000,00400,0100,DAYTONA MANOR 5956,S200000,00400,0200,105665 5956,S200000,00400,0300,09/01/1989 5956,S200000,00400,0500,P 5956,S200000,00600,0200,105665 5956,S200000,00600,0300,09/01/1989 5956,S200000,00600,0600,P 5956,S200000,01600,0100,Y 5956,S200000,04300,0100,Y 5961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5961,A000000,00300,0000,00300EMPLOYEE BENEFITS 5961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5961,A000000,00700,0000,00700HOUSEKEEPING 5961,A000000,00800,0000,00800DIETARY 5961,A000000,00900,0000,00900NURSING ADMINISTRATION 5961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5961,A000000,01100,0000,01100PHARMACY 5961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5961,A000000,01300,0000,01300SOCIAL SERVICE 5961,A000000,01301,0000,01301ACTIVITIES 5961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5961,A000000,01600,0000,01600SKILLED NURSING FACILITY 5961,A000000,01800,0000,01800NURSING FACILITY 5961,A000000,01810,0000,01810ICF/MR 5961,A000000,02100,0000,02100RADIOLOGY 5961,A000000,02200,0000,02200LABORATORY 5961,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5961,A000000,02500,0000,02500PHYSICAL THERAPY 5961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5961,A000000,02700,0000,02700SPEECH PATHOLOGY 5961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5961,A000000,03550,0000,03550FQHC 5961,A000000,05000,0000,05000CORF 5961,A000000,05010,0000,05010CMHC 5961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5961,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5961,A81000A,00100,0100,Y 5961,A81000B,00100,0300,HOME OFFICE COST 5961,A81000B,00400,0300,HOME OFFICE COST 5961,A81000B,00500,0300,HOME OFFICE COST 5961,A81000B,00600,0300,HOME OFFICE COST 5961,A81000B,00800,0300,HOME OFFICE COST 5961,A81000C,00100,0100,B 5961,A81000C,00100,0200,BEVERLY ENTERPR 5961,B100000,00000,0100,00000(SQUARE FEET) 5961,B100000,00000,0200,00000(SQUARE FEET) 5961,B100000,00000,0300,00000(ADJUSTED SALARIES) 5961,B100000,00000,0400,00000(ACCUM. COST) 5961,B100000,00000,0500,00000(SQUARE FEET) 5961,B100000,00000,0600,00000(PATIENT DAYS) 5961,B100000,00000,0700,00000(SQUARE FEET) 5961,B100000,00000,0800,00000(MEALS SERVED) 5961,B100000,00000,0900,00000(ADJUSTED SALARIES) 5961,B100000,00000,1000,00000(PATIENT DAYS) 5961,B100000,00000,1100,00000(COSTED REQUIS) 5961,B100000,00000,1200,00000(TOTAL CHARGES) 5961,B100000,00000,1300,00000(PATIENT DAYS) 5961,B100000,00000,1301,00000(PATIENT DAYS) 5961,B100000,00000,1400,00000(ASSIGNED TIME) 5961,E10A180,00301,0100,01/27/1999 5961,E10A180,00304,0100,12/09/1999 5961,E10A180,00305,0100,02/14/2000 5961,E10A180,00351,0100,06/14/1999 5961,E10A180,00352,0100,10/08/1999 5961,S000000,00100,0200,06/02/2000 5961,S200000,00100,0100,1420 SOUTH OAK STREET 5961,S200000,00200,0100,MELBOURNE 5961,S200000,00200,0200,FL 5961,S200000,00200,0300,32901 5961,S200000,00300,0100,BREVARD 5961,S200000,00400,0100,MEDIC HOME HEALTH OF MELBOURNE 5961,S200000,00400,0200,105671 5961,S200000,00400,0300,07/01/1989 5961,S200000,00400,0500,P 5961,S200000,00600,0200,105671 5961,S200000,00600,0300,07/01/1989 5961,S200000,00600,0600,P 5961,S200000,01600,0100,Y 5961,S200000,04300,0100,Y 5964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5964,A000000,00300,0000,00300EMPLOYEE BENEFITS 5964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5964,A000000,00700,0000,00700HOUSEKEEPING 5964,A000000,00800,0000,00800DIETARY 5964,A000000,00900,0000,00900NURSING ADMINISTRATION 5964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5964,A000000,01100,0000,01100PHARMACY 5964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5964,A000000,01300,0000,01300SOCIAL SERVICE 5964,A000000,01301,0000,01301ACTIVITIES 5964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5964,A000000,01600,0000,01600SKILLED NURSING FACILITY 5964,A000000,01800,0000,01800NURSING FACILITY 5964,A000000,01810,0000,01810ICF/MR 5964,A000000,02100,0000,02100RADIOLOGY 5964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5964,A000000,02500,0000,02500PHYSICAL THERAPY 5964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5964,A000000,02700,0000,02700SPEECH PATHOLOGY 5964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5964,A000000,03550,0000,03550FQHC 5964,A000000,05000,0000,05000CORF 5964,A000000,05010,0000,05010CMHC 5964,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5964,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5964,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5964,A81000A,00100,0100,Y 5964,A81000B,00100,0300,HOME OFFICE COST 5964,A81000B,00200,0300,HOME OFFICE COST 5964,A81000B,00500,0300,HOME OFFICE COST 5964,A81000B,00600,0300,HOME OFFICE COST 5964,A81000B,00800,0300,HOME OFFICE COST 5964,A81000C,00100,0100,B 5964,A81000C,00100,0200,BEVERLY ENTERPR 5964,B100000,00000,0100,00000(SQUARE FEET) 5964,B100000,00000,0200,00000(SQUARE FEET) 5964,B100000,00000,0300,00000(ADJUSTED SALARIES) 5964,B100000,00000,0400,00000(ACCUM. COST) 5964,B100000,00000,0500,00000(SQUARE FEET) 5964,B100000,00000,0600,00000(PATIENT DAYS) 5964,B100000,00000,0700,00000(SQUARE FEET) 5964,B100000,00000,0800,00000(MEALS SERVED) 5964,B100000,00000,0900,00000(ADJUSTED SALARIES) 5964,B100000,00000,1000,00000(PATIENT DAYS) 5964,B100000,00000,1100,00000(COSTED REQUIS) 5964,B100000,00000,1200,00000(TOTAL CHARGES) 5964,B100000,00000,1300,00000(PATIENT DAYS) 5964,B100000,00000,1301,00000(PATIENT DAYS) 5964,B100000,00000,1400,00000(ASSIGNED TIME) 5964,E10A180,00301,0100,06/14/1999 5964,E10A180,00350,0100,01/27/1999 5964,E10A180,00351,0100,10/08/1999 5964,S000000,00100,0200,05/01/2000 5964,S200000,00100,0100,5351 GULF BOULEVARD 5964,S200000,00200,0100,ST. PETERSBURG 5964,S200000,00200,0200,FL 5964,S200000,00200,0300,33706 5964,S200000,00300,0100,PINELLAS 5964,S200000,00400,0100,CROWN NURSING CENTER 5964,S200000,00400,0200,105676 5964,S200000,00400,0300,02/01/1989 5964,S200000,00400,0500,P 5964,S200000,00600,0200,105676 5964,S200000,00600,0300,02/01/1989 5964,S200000,00600,0600,P 5964,S200000,01600,0100,Y 5964,S200000,04300,0100,Y 5967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5967,A000000,00300,0000,00300EMPLOYEE BENEFITS 5967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5967,A000000,00700,0000,00700HOUSEKEEPING 5967,A000000,00800,0000,00800DIETARY 5967,A000000,00900,0000,00900NURSING ADMINISTRATION 5967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5967,A000000,01100,0000,01100PHARMACY 5967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5967,A000000,01300,0000,01300SOCIAL SERVICE 5967,A000000,01301,0000,01301ACTIVITIES 5967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5967,A000000,01600,0000,01600SKILLED NURSING FACILITY 5967,A000000,01800,0000,01800NURSING FACILITY 5967,A000000,01810,0000,01810ICF/MR 5967,A000000,01900,0000,01900OTHER LONG TERM CARE 5967,A000000,02100,0000,02100RADIOLOGY 5967,A000000,02200,0000,02200LABORATORY 5967,A000000,02500,0000,02500PHYSICAL THERAPY 5967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5967,A000000,02700,0000,02700SPEECH PATHOLOGY 5967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5967,A000000,03550,0000,03550FQHC 5967,A000000,05000,0000,05000CORF 5967,A000000,05010,0000,05010CMHC 5967,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5967,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5967,A81000A,00100,0100,Y 5967,A81000B,00100,0300,HOME OFFICE COST 5967,A81000B,00400,0300,HOME OFFICE COST 5967,A81000B,00500,0300,HOME OFFICE COST 5967,A81000B,00600,0300,HOME OFFICE COST 5967,A81000B,00800,0300,HOME OFFICE COST 5967,A81000C,00100,0100,B 5967,A81000C,00100,0200,BEVERLY ENTERPR 5967,B100000,00000,0100,00000(SQUARE FEET) 5967,B100000,00000,0200,00000(SQUARE FEET) 5967,B100000,00000,0300,00000(ADJUSTED SALARIES) 5967,B100000,00000,0400,00000(ACCUM. COST) 5967,B100000,00000,0500,00000(SQUARE FEET) 5967,B100000,00000,0600,00000(PATIENT DAYS) 5967,B100000,00000,0700,00000(SQUARE FEET) 5967,B100000,00000,0800,00000(MEALS SERVED) 5967,B100000,00000,0900,00000(ADJUSTED SALARIES) 5967,B100000,00000,1000,00000(PATIENT DAYS) 5967,B100000,00000,1100,00000(COSTED REQUIS) 5967,B100000,00000,1200,00000(TOTAL CHARGES) 5967,B100000,00000,1300,00000(PATIENT DAYS) 5967,B100000,00000,1301,00000(PATIENT DAYS) 5967,B100000,00000,1400,00000(ASSIGNED TIME) 5967,E10A180,00301,0100,01/27/1999 5967,E10A180,00304,0100,12/09/1999 5967,E10A180,00305,0100,02/14/2000 5967,E10A180,00351,0100,06/14/1999 5967,E10A180,00352,0100,10/08/1999 5967,S000000,00100,0200,06/02/2000 5967,S200000,00100,0100,195 MATTIE M. KELLY BOULE 5967,S200000,00200,0100,DESTIN 5967,S200000,00200,0200,FL 5967,S200000,00200,0300,32541 5967,S200000,00300,0100,OKALOOSA 5967,S200000,00400,0100,DESTIN HEALTH CARE AND REHABILITATI 5967,S200000,00400,0200,105862 5967,S200000,00400,0300,08/11/1994 5967,S200000,00400,0500,P 5967,S200000,00600,0200,105862 5967,S200000,00600,0300,08/11/1994 5967,S200000,00600,0600,P 5967,S200000,01600,0100,Y 5967,S200000,04300,0100,Y 5970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5970,A000000,00300,0000,00300EMPLOYEE BENEFITS 5970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5970,A000000,00700,0000,00700HOUSEKEEPING 5970,A000000,00800,0000,00800DIETARY 5970,A000000,00900,0000,00900NURSING ADMINISTRATION 5970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5970,A000000,01100,0000,01100PHARMACY 5970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5970,A000000,01300,0000,01300SOCIAL SERVICE 5970,A000000,01301,0000,01301ACTIVITIES 5970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5970,A000000,01600,0000,01600SKILLED NURSING FACILITY 5970,A000000,01800,0000,01800NURSING FACILITY 5970,A000000,01810,0000,01810ICF/MR 5970,A000000,02100,0000,02100RADIOLOGY 5970,A000000,02200,0000,02200LABORATORY 5970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5970,A000000,02500,0000,02500PHYSICAL THERAPY 5970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5970,A000000,02700,0000,02700SPEECH PATHOLOGY 5970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5970,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5970,A000000,03550,0000,03550FQHC 5970,A000000,05000,0000,05000CORF 5970,A000000,05010,0000,05010CMHC 5970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5970,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5970,A81000A,00100,0100,Y 5970,A81000B,00100,0300,HOME OFFICE COST 5970,A81000B,00400,0300,HOME OFFICE COST 5970,A81000B,00500,0300,HOME OFFICE COST 5970,A81000B,00600,0300,HOME OFFICE COST 5970,A81000B,00800,0300,HOME OFFICE COST 5970,A81000C,00100,0100,B 5970,A81000C,00100,0200,BEVERLY ENTERPR 5970,B100000,00000,0100,00000(SQUARE FEET) 5970,B100000,00000,0200,00000(SQUARE FEET) 5970,B100000,00000,0300,00000(ADJUSTED SALARIES) 5970,B100000,00000,0400,00000(ACCUM. COST) 5970,B100000,00000,0500,00000(SQUARE FEET) 5970,B100000,00000,0600,00000(PATIENT DAYS) 5970,B100000,00000,0700,00000(SQUARE FEET) 5970,B100000,00000,0800,00000(MEALS SERVED) 5970,B100000,00000,0900,00000(ADJUSTED SALARIES) 5970,B100000,00000,1000,00000(PATIENT DAYS) 5970,B100000,00000,1100,00000(COSTED REQUIS) 5970,B100000,00000,1200,00000(TOTAL CHARGES) 5970,B100000,00000,1300,00000(PATIENT DAYS) 5970,B100000,00000,1301,00000(PATIENT DAYS) 5970,B100000,00000,1400,00000(ASSIGNED TIME) 5970,E10A180,00301,0100,01/27/1999 5970,E10A180,00351,0100,06/14/1999 5970,E10A180,00352,0100,10/08/1999 5970,E10A180,00353,0100,12/09/1999 5970,E10A180,00354,0100,02/14/2000 5970,S000000,00100,0200,06/02/2000 5970,S200000,00100,0100,1507 S. TUTTLE AVE. 5970,S200000,00200,0100,SARASOTA 5970,S200000,00200,0200,FL 5970,S200000,00200,0300,34239 5970,S200000,00300,0100,SARASOTA 5970,S200000,00400,0100,EMERALD OAKS 5970,S200000,00400,0200,105869 5970,S200000,00400,0300,09/08/1994 5970,S200000,00400,0500,P 5970,S200000,00600,0200,105869 5970,S200000,00600,0300,09/08/1994 5970,S200000,00600,0600,P 5970,S200000,01600,0100,Y 5970,S200000,04300,0100,Y 5973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5973,A000000,00300,0000,00300EMPLOYEE BENEFITS 5973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5973,A000000,00700,0000,00700HOUSEKEEPING 5973,A000000,00800,0000,00800DIETARY 5973,A000000,00900,0000,00900NURSING ADMINISTRATION 5973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5973,A000000,01100,0000,01100PHARMACY 5973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5973,A000000,01300,0000,01300SOCIAL SERVICE 5973,A000000,01301,0000,01301ACTIVITIES 5973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5973,A000000,01600,0000,01600SKILLED NURSING FACILITY 5973,A000000,01800,0000,01800NURSING FACILITY 5973,A000000,01810,0000,01810ICF/MR 5973,A000000,02100,0000,02100RADIOLOGY 5973,A000000,02200,0000,02200LABORATORY 5973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5973,A000000,02500,0000,02500PHYSICAL THERAPY 5973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5973,A000000,02700,0000,02700SPEECH PATHOLOGY 5973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5973,A000000,03550,0000,03550FQHC 5973,A000000,05000,0000,05000CORF 5973,A000000,05010,0000,05010CMHC 5973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5973,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5973,A81000A,00100,0100,Y 5973,A81000B,00100,0300,HOME OFFICE COST 5973,A81000B,00400,0300,HOME OFFICE COST 5973,A81000B,00500,0300,HOME OFFICE COST 5973,A81000B,00600,0300,HOME OFFICE COST 5973,A81000B,00800,0300,HOME OFFICE COST 5973,A81000C,00100,0100,B 5973,A81000C,00100,0200,BEVERLY ENTERPR 5973,B100000,00000,0100,00000(SQUARE FEET) 5973,B100000,00000,0200,00000(SQUARE FEET) 5973,B100000,00000,0300,00000(ADJUSTED SALARIES) 5973,B100000,00000,0400,00000(ACCUM. COST) 5973,B100000,00000,0500,00000(SQUARE FEET) 5973,B100000,00000,0600,00000(PATIENT DAYS) 5973,B100000,00000,0700,00000(SQUARE FEET) 5973,B100000,00000,0800,00000(MEALS SERVED) 5973,B100000,00000,0900,00000(ADJUSTED SALARIES) 5973,B100000,00000,1000,00000(PATIENT DAYS) 5973,B100000,00000,1100,00000(COSTED REQUIS) 5973,B100000,00000,1200,00000(TOTAL CHARGES) 5973,B100000,00000,1300,00000(PATIENT DAYS) 5973,B100000,00000,1301,00000(PATIENT DAYS) 5973,B100000,00000,1400,00000(ASSIGNED TIME) 5973,E10A180,00301,0100,01/27/1999 5973,E10A180,00305,0100,02/14/2000 5973,E10A180,00351,0100,06/14/1999 5973,E10A180,00352,0100,10/08/1999 5973,E10A180,00353,0100,12/09/1999 5973,S000000,00100,0200,06/02/2000 5973,S200000,00100,0100,401 KISSIMEE PARK ROAD 5973,S200000,00200,0100,ST CLOUD 5973,S200000,00200,0200,FL 5973,S200000,00200,0300,34769 5973,S200000,00300,0100,OSCEOLA 5973,S200000,00400,0100,PLANTATION BAY REHAB CENTER 5973,S200000,00400,0200,105888 5973,S200000,00400,0300,07/20/1995 5973,S200000,00400,0500,P 5973,S200000,00600,0200,105888 5973,S200000,00600,0300,07/20/1995 5973,S200000,00600,0600,P 5973,S200000,01600,0100,Y 5973,S200000,04300,0100,Y 5976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5976,A000000,00300,0000,00300EMPLOYEE BENEFITS 5976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5976,A000000,00700,0000,00700HOUSEKEEPING 5976,A000000,00800,0000,00800DIETARY 5976,A000000,00900,0000,00900NURSING ADMINISTRATION 5976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5976,A000000,01100,0000,01100PHARMACY 5976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5976,A000000,01300,0000,01300SOCIAL SERVICE 5976,A000000,01301,0000,01301ACTIVITIES 5976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5976,A000000,01600,0000,01600SKILLED NURSING FACILITY 5976,A000000,01800,0000,01800NURSING FACILITY 5976,A000000,01810,0000,01810ICF/MR 5976,A000000,02100,0000,02100RADIOLOGY 5976,A000000,02200,0000,02200LABORATORY 5976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5976,A000000,02500,0000,02500PHYSICAL THERAPY 5976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5976,A000000,02700,0000,02700SPEECH PATHOLOGY 5976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5976,A000000,03550,0000,03550FQHC 5976,A000000,05000,0000,05000CORF 5976,A000000,05010,0000,05010CMHC 5976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5976,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5976,A81000A,00100,0100,Y 5976,A81000B,00100,0300,HOME OFFICE COST 5976,A81000B,00400,0300,HOME OFFICE COST 5976,A81000B,00500,0300,HOME OFFICE COST 5976,A81000B,00600,0300,HOME OFFICE COST 5976,A81000B,00800,0300,HOME OFFICE COST 5976,A81000C,00100,0100,B 5976,A81000C,00100,0200,BEVERLY ENTERPR 5976,B100000,00000,0100,00000(SQUARE FEET) 5976,B100000,00000,0200,00000(SQUARE FEET) 5976,B100000,00000,0300,00000(ADJUSTED SALARIES) 5976,B100000,00000,0400,00000(ACCUM. COST) 5976,B100000,00000,0500,00000(SQUARE FEET) 5976,B100000,00000,0600,00000(PATIENT DAYS) 5976,B100000,00000,0700,00000(SQUARE FEET) 5976,B100000,00000,0800,00000(MEALS SERVED) 5976,B100000,00000,0900,00000(ADJUSTED SALARIES) 5976,B100000,00000,1000,00000(PATIENT DAYS) 5976,B100000,00000,1100,00000(COSTED REQUIS) 5976,B100000,00000,1200,00000(TOTAL CHARGES) 5976,B100000,00000,1300,00000(PATIENT DAYS) 5976,B100000,00000,1301,00000(PATIENT DAYS) 5976,B100000,00000,1400,00000(ASSIGNED TIME) 5976,E10A180,00305,0100,02/14/2000 5976,E10A180,00350,0100,01/27/1999 5976,E10A180,00351,0100,06/14/1999 5976,E10A180,00352,0100,10/08/1999 5976,E10A180,00353,0100,12/09/1999 5976,S000000,00100,0200,06/02/2000 5976,S200000,00100,0100,1465 OAKFIELD DRIVE 5976,S200000,00200,0100,BRANDON 5976,S200000,00200,0200,FL 5976,S200000,00200,0300,33511 5976,S200000,00300,0100,HILLSBOROUGH 5976,S200000,00400,0100,BEVERLY HEALTH & REHAB OF BRANDON 5976,S200000,00400,0200,105951 5976,S200000,00400,0300,05/07/1997 5976,S200000,00400,0500,P 5976,S200000,00600,0200,105951 5976,S200000,00600,0300,05/07/1997 5976,S200000,00600,0600,P 5976,S200000,01600,0100,Y 5976,S200000,04300,0100,Y 5979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5979,A000000,00300,0000,00300EMPLOYEE BENEFITS 5979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5979,A000000,00700,0000,00700HOUSEKEEPING 5979,A000000,00800,0000,00800DIETARY 5979,A000000,00900,0000,00900NURSING ADMINISTRATION 5979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5979,A000000,01100,0000,01100PHARMACY 5979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5979,A000000,01300,0000,01300SOCIAL SERVICE 5979,A000000,01301,0000,01301ACTIVITIES 5979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5979,A000000,01600,0000,01600SKILLED NURSING FACILITY 5979,A000000,01800,0000,01800NURSING FACILITY 5979,A000000,01810,0000,01810ICF/MR 5979,A000000,02100,0000,02100RADIOLOGY 5979,A000000,02200,0000,02200LABORATORY 5979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5979,A000000,02500,0000,02500PHYSICAL THERAPY 5979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5979,A000000,02700,0000,02700SPEECH PATHOLOGY 5979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5979,A000000,03550,0000,03550FQHC 5979,A000000,05000,0000,05000CORF 5979,A000000,05010,0000,05010CMHC 5979,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5979,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5979,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5979,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5979,A81000A,00100,0100,Y 5979,A81000B,00100,0300,HOME OFFICE COST 5979,A81000B,00400,0300,HOME OFFICE COST 5979,A81000B,00500,0300,HOME OFFICE COST 5979,A81000B,00600,0300,HOME OFFICE COST 5979,A81000B,00800,0300,HOME OFFICE COST 5979,A81000C,00100,0100,B 5979,A81000C,00100,0200,BEVERLY ENTERPR 5979,B100000,00000,0100,00000(SQUARE FEET) 5979,B100000,00000,0200,00000(SQUARE FEET) 5979,B100000,00000,0300,00000(ADJUSTED SALARIES) 5979,B100000,00000,0400,00000(ACCUM. COST) 5979,B100000,00000,0500,00000(SQUARE FEET) 5979,B100000,00000,0600,00000(PATIENT DAYS) 5979,B100000,00000,0700,00000(SQUARE FEET) 5979,B100000,00000,0800,00000(MEALS SERVED) 5979,B100000,00000,0900,00000(ADJUSTED SALARIES) 5979,B100000,00000,1000,00000(PATIENT DAYS) 5979,B100000,00000,1100,00000(COSTED REQUIS) 5979,B100000,00000,1200,00000(TOTAL CHARGES) 5979,B100000,00000,1300,00000(PATIENT DAYS) 5979,B100000,00000,1301,00000(PATIENT DAYS) 5979,B100000,00000,1400,00000(ASSIGNED TIME) 5979,E10A180,00302,0100,06/14/1999 5979,E10A180,00305,0100,02/14/2000 5979,E10A180,00350,0100,01/27/1999 5979,E10A180,00352,0100,10/08/1999 5979,E10A180,00353,0100,12/09/1999 5979,S000000,00100,0200,06/02/2000 5979,S200000,00100,0100,3001 PALM COAST PKWY S.E. 5979,S200000,00200,0100,PALM COAST 5979,S200000,00200,0200,FL 5979,S200000,00200,0300,32137 5979,S200000,00300,0100,FLAGLER 5979,S200000,00400,0100,BEVERLY HEALTH & REHAB-PALM COAST 5979,S200000,00400,0200,105952 5979,S200000,00400,0300,05/16/1997 5979,S200000,00400,0500,P 5979,S200000,00600,0200,105952 5979,S200000,00600,0300,05/16/1997 5979,S200000,00600,0600,P 5979,S200000,01600,0100,Y 5979,S200000,04300,0100,Y 5983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5983,A000000,00300,0000,00300EMPLOYEE BENEFITS 5983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5983,A000000,00700,0000,00700HOUSEKEEPING 5983,A000000,00800,0000,00800DIETARY 5983,A000000,00900,0000,00900NURSING ADMINISTRATION 5983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5983,A000000,01100,0000,01100PHARMACY 5983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5983,A000000,01300,0000,01300SOCIAL SERVICE 5983,A000000,01301,0000,01301ACTIVITIES 5983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5983,A000000,01600,0000,01600SKILLED NURSING FACILITY 5983,A000000,01800,0000,01800NURSING FACILITY 5983,A000000,01810,0000,01810ICF/MR 5983,A000000,01900,0000,01900OTHER LONG TERM CARE 5983,A000000,02100,0000,02100RADIOLOGY 5983,A000000,02200,0000,02200LABORATORY 5983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5983,A000000,02500,0000,02500PHYSICAL THERAPY 5983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5983,A000000,02700,0000,02700SPEECH PATHOLOGY 5983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5983,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5983,A000000,03550,0000,03550FQHC 5983,A000000,05000,0000,05000CORF 5983,A000000,05010,0000,05010CMHC 5983,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5983,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5983,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5983,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5983,A81000A,00100,0100,Y 5983,A81000B,00100,0300,HOME OFFICE COST 5983,A81000B,00400,0300,HOME OFFICE COST 5983,A81000B,00500,0300,HOME OFFICE COST 5983,A81000B,00600,0300,HOME OFFICE COST 5983,A81000B,00800,0300,HOME OFFICE COST 5983,A81000C,00100,0100,B 5983,A81000C,00100,0200,BEVERLY ENTERPR 5983,B100000,00000,0100,00000(SQUARE FEET) 5983,B100000,00000,0200,00000(SQUARE FEET) 5983,B100000,00000,0300,00000(ADJUSTED SALARIES) 5983,B100000,00000,0400,00000(ACCUM. COST) 5983,B100000,00000,0500,00000(SQUARE FEET) 5983,B100000,00000,0600,00000(PATIENT DAYS) 5983,B100000,00000,0700,00000(SQUARE FEET) 5983,B100000,00000,0800,00000(MEALS SERVED) 5983,B100000,00000,0900,00000(ADJUSTED SALARIES) 5983,B100000,00000,1000,00000(PATIENT DAYS) 5983,B100000,00000,1100,00000(COSTED REQUIS) 5983,B100000,00000,1200,00000(TOTAL CHARGES) 5983,B100000,00000,1300,00000(PATIENT DAYS) 5983,B100000,00000,1301,00000(PATIENT DAYS) 5983,B100000,00000,1400,00000(ASSIGNED TIME) 5983,E10A180,00302,0100,06/14/1999 5983,E10A180,00303,0100,10/08/1999 5983,E10A180,00305,0100,02/14/2000 5983,E10A180,00353,0100,12/09/1999 5983,S000000,00100,0200,06/02/2000 5983,S200000,00100,0100,5405 BABCOCK STREET NE 5983,S200000,00200,0100,PALM BAY 5983,S200000,00200,0200,FL 5983,S200000,00200,0300,32905 5983,S200000,00300,0100,FLAGLER 5983,S200000,00400,0100,BEVERLY HEALTH AND REHAB - PALM BAY 5983,S200000,00400,0200,105985 5983,S200000,00400,0300,03/01/1998 5983,S200000,00400,0500,P 5983,S200000,00600,0200,105985 5983,S200000,00600,0300,03/01/1998 5983,S200000,00600,0600,P 5983,S200000,01600,0100,Y 5983,S200000,04300,0100,Y 5984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5984,A000000,00300,0000,00300EMPLOYEE BENEFITS 5984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5984,A000000,00700,0000,00700HOUSEKEEPING 5984,A000000,00800,0000,00800DIETARY 5984,A000000,00900,0000,00900NURSING ADMINISTRATION 5984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5984,A000000,01100,0000,01100PHARMACY 5984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5984,A000000,01300,0000,01300SOCIAL SERVICE 5984,A000000,01301,0000,01301ACTIVITIES 5984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5984,A000000,01600,0000,01600SKILLED NURSING FACILITY 5984,A000000,01800,0000,01800NURSING FACILITY 5984,A000000,01810,0000,01810ICF/MR 5984,A000000,02200,0000,02200LABORATORY 5984,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5984,A000000,02500,0000,02500PHYSICAL THERAPY 5984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5984,A000000,02700,0000,02700SPEECH PATHOLOGY 5984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5984,A000000,03550,0000,03550FQHC 5984,A000000,05000,0000,05000CORF 5984,A000000,05010,0000,05010CMHC 5984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5984,A000000,06151,0000,06301OTHER NON REIMBURSABLE COST 5984,A81000A,00100,0100,Y 5984,A81000B,00100,0300,HOME OFFICE COST 5984,A81000B,00200,0300,HOME OFFICE COST 5984,A81000B,00500,0300,HOME OFFICE COST 5984,A81000B,00600,0300,HOME OFFICE COST 5984,A81000B,00800,0300,HOME OFFICE COST 5984,A81000C,00100,0100,B 5984,A81000C,00100,0200,BEVERLY ENTERPR 5984,B100000,00000,0100,00001(SQUARE FEET) 5984,B100000,00000,0200,00001(SQUARE FEET) 5984,B100000,00000,0300,00001(ADJUSTED SALARIES) 5984,B100000,00000,0400,00001(ACCUM. COST) 5984,B100000,00000,0500,00001(SQUARE FEET) 5984,B100000,00000,0600,00001(PATIENT DAYS) 5984,B100000,00000,0700,00001(SQUARE FEET) 5984,B100000,00000,0800,00001(MEALS SERVED) 5984,B100000,00000,0900,00001(ADJUSTED SALARIES) 5984,B100000,00000,1000,00001(PATIENT DAYS) 5984,B100000,00000,1100,00001(COSTED REQUIS) 5984,B100000,00000,1200,00001(TOTAL CHARGES) 5984,B100000,00000,1300,00001(PATIENT DAYS) 5984,B100000,00000,1301,00001(PATIENT DAYS) 5984,B100000,00000,1400,00001(ASSIGNED TIME) 5984,S000000,00100,0200,07/06/1999 5984,S200000,00100,0100,12170 CORTEZ BOULEVARD 5984,S200000,00200,0100,BROOKSVILLE 5984,S200000,00200,0200,FL 5984,S200000,00200,0300,34613 5984,S200000,00300,0100,HERNANDO 5984,S200000,00400,0100,SPRING HILL REHAB & SPECIALTY CARE 5984,S200000,00400,0200,105996 5984,S200000,00400,0300,08/01/1997 5984,S200000,00400,0500,P 5984,S200000,00600,0200,105996 5984,S200000,00600,0300,08/01/1997 5984,S200000,00600,0600,P 5984,S200000,01600,0100,Y 5984,S200000,04300,0100,Y 5985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5985,A000000,00300,0000,00300EMPLOYEE BENEFITS 5985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5985,A000000,00700,0000,00700HOUSEKEEPING 5985,A000000,00800,0000,00800DIETARY 5985,A000000,00900,0000,00900NURSING ADMINISTRATION 5985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5985,A000000,01100,0000,01100PHARMACY 5985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5985,A000000,01300,0000,01300SOCIAL SERVICE 5985,A000000,01301,0000,01301ACTIVITIES 5985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5985,A000000,01600,0000,01600SKILLED NURSING FACILITY 5985,A000000,01800,0000,01800NURSING FACILITY 5985,A000000,01810,0000,01810ICF/MR 5985,A000000,02100,0000,02100RADIOLOGY 5985,A000000,02200,0000,02200LABORATORY 5985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5985,A000000,02500,0000,02500PHYSICAL THERAPY 5985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5985,A000000,02700,0000,02700SPEECH PATHOLOGY 5985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5985,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5985,A000000,03550,0000,03550FQHC 5985,A000000,05000,0000,05000CORF 5985,A000000,05010,0000,05010CMHC 5985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5985,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5985,A81000A,00100,0100,Y 5985,A81000B,00100,0300,HOME OFFICE COST 5985,A81000B,00400,0300,HOME OFFICE COST 5985,A81000B,00500,0300,HOME OFFICE COST 5985,A81000B,00600,0300,HOME OFFICE COST 5985,A81000B,00800,0300,HOME OFFICE COST 5985,A81000C,00100,0100,B 5985,A81000C,00100,0200,BEVERLY ENTERPR 5985,B100000,00000,0100,00000(SQUARE FEET) 5985,B100000,00000,0200,00000(SQUARE FEET) 5985,B100000,00000,0300,00000(ADJUSTED SALARIES) 5985,B100000,00000,0400,00000(ACCUM. COST) 5985,B100000,00000,0500,00000(SQUARE FEET) 5985,B100000,00000,0600,00000(PATIENT DAYS) 5985,B100000,00000,0700,00000(SQUARE FEET) 5985,B100000,00000,0800,00000(MEALS SERVED) 5985,B100000,00000,0900,00000(ADJUSTED SALARIES) 5985,B100000,00000,1000,00000(PATIENT DAYS) 5985,B100000,00000,1100,00000(COSTED REQUIS) 5985,B100000,00000,1200,00000(TOTAL CHARGES) 5985,B100000,00000,1300,00000(PATIENT DAYS) 5985,B100000,00000,1301,00000(PATIENT DAYS) 5985,B100000,00000,1400,00000(ASSIGNED TIME) 5985,S000000,00100,0200,06/02/2000 5985,S200000,00100,0100,12170 CORTEZ BOULEVARD 5985,S200000,00200,0100,BROOKSVILLE 5985,S200000,00200,0200,FL 5985,S200000,00200,0300,34613 5985,S200000,00300,0100,HERNANDO 5985,S200000,00400,0100,SPRING HILL REHAB & SPECIALTY CARE 5985,S200000,00400,0200,105996 5985,S200000,00400,0300,08/01/1997 5985,S200000,00400,0500,P 5985,S200000,00600,0200,105996 5985,S200000,00600,0300,08/01/1997 5985,S200000,00600,0600,P 5985,S200000,01600,0100,Y 5985,S200000,04300,0100,Y 5986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5986,A000000,00300,0000,00300EMPLOYEE BENEFITS 5986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5986,A000000,00700,0000,00700HOUSEKEEPING 5986,A000000,00800,0000,00800DIETARY 5986,A000000,00900,0000,00900NURSING ADMINISTRATION 5986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5986,A000000,01100,0000,01100PHARMACY 5986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5986,A000000,01300,0000,01300SOCIAL SERVICE 5986,A000000,01301,0000,01301ACTIVITIES 5986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5986,A000000,01600,0000,01600SKILLED NURSING FACILITY 5986,A000000,01800,0000,01800NURSING FACILITY 5986,A000000,01810,0000,01810ICF/MR 5986,A000000,02100,0000,02100RADIOLOGY 5986,A000000,02200,0000,02200LABORATORY 5986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5986,A000000,02500,0000,02500PHYSICAL THERAPY 5986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5986,A000000,02700,0000,02700SPEECH PATHOLOGY 5986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5986,A000000,03550,0000,03550FQHC 5986,A000000,05000,0000,05000CORF 5986,A000000,05010,0000,05010CMHC 5986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5986,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 5986,A81000A,00100,0100,Y 5986,A81000B,00100,0300,HOME OFFICE COST 5986,A81000B,00400,0300,HOME OFFICE COST 5986,A81000B,00500,0300,HOME OFFICE COST 5986,A81000B,00600,0300,HOME OFFICE COST 5986,A81000B,00800,0300,HOME OFFICE COST 5986,A81000C,00100,0100,B 5986,A81000C,00100,0200,BEVERLY ENTERPR 5986,B100000,00000,0100,00000(SQUARE FEET) 5986,B100000,00000,0200,00000(SQUARE FEET) 5986,B100000,00000,0300,00000(ADJUSTED SALARIES) 5986,B100000,00000,0400,00000(ACCUM. COST) 5986,B100000,00000,0500,00000(SQUARE FEET) 5986,B100000,00000,0600,00000(PATIENT DAYS) 5986,B100000,00000,0700,00000(SQUARE FEET) 5986,B100000,00000,0800,00000(MEALS SERVED) 5986,B100000,00000,0900,00000(ADJUSTED SALARIES) 5986,B100000,00000,1000,00000(PATIENT DAYS) 5986,B100000,00000,1100,00000(COSTED REQUIS) 5986,B100000,00000,1200,00000(TOTAL CHARGES) 5986,B100000,00000,1300,00000(PATIENT DAYS) 5986,B100000,00000,1301,00000(PATIENT DAYS) 5986,B100000,00000,1400,00000(ASSIGNED TIME) 5986,S000000,00100,0200,06/02/2000 5986,S200000,00100,0100,3735 EVANS AVENUE 5986,S200000,00200,0100,FT. MYERS 5986,S200000,00200,0200,FL 5986,S200000,00200,0300,33901 5986,S200000,00300,0100,LEE 5986,S200000,00400,0100,BHC-EVANS 5986,S200000,00400,0200,106000 5986,S200000,00400,0300,12/14/1998 5986,S200000,00400,0500,P 5986,S200000,00600,0200,106000 5986,S200000,00600,0300,12/14/1998 5986,S200000,00600,0600,P 5986,S200000,01600,0100,Y 5986,S200000,04300,0100,Y 5987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5987,A000000,00300,0000,00300EMPLOYEE BENEFITS 5987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5987,A000000,00700,0000,00700HOUSEKEEPING 5987,A000000,00800,0000,00800DIETARY 5987,A000000,00900,0000,00900NURSING ADMINISTRATION 5987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5987,A000000,01100,0000,01100PHARMACY 5987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5987,A000000,01300,0000,01300SOCIAL SERVICE 5987,A000000,01301,0000,01301ACTIVITIES 5987,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5987,A000000,01600,0000,01600SKILLED NURSING FACILITY 5987,A000000,01800,0000,01800NURSING FACILITY 5987,A000000,01810,0000,01810ICF/MR 5987,A000000,01900,0000,01900OTHER LONG TERM CARE 5987,A000000,02100,0000,02100RADIOLOGY 5987,A000000,02200,0000,02200LABORATORY 5987,A000000,02500,0000,02500PHYSICAL THERAPY 5987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5987,A000000,02700,0000,02700SPEECH PATHOLOGY 5987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5987,A000000,03550,0000,03550FQHC 5987,A000000,05000,0000,05000CORF 5987,A000000,05010,0000,05010CMHC 5987,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5987,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5987,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5987,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5987,A81000A,00100,0100,Y 5987,A81000B,00100,0300,HOME OFFICE COST 5987,A81000B,00400,0300,HOME OFFICE COST 5987,A81000B,00500,0300,HOME OFFICE COST 5987,A81000B,00600,0300,HOME OFFICE COST 5987,A81000B,00800,0300,HOME OFFICE COST 5987,A81000C,00100,0100,B 5987,A81000C,00100,0200,BEVERLY ENTERPR 5987,B100000,00000,0100,00000(SQUARE FEET) 5987,B100000,00000,0200,00000(SQUARE FEET) 5987,B100000,00000,0300,00000(ADJUSTED SALARIES) 5987,B100000,00000,0400,00000(ACCUM. COST) 5987,B100000,00000,0500,00000(SQUARE FEET) 5987,B100000,00000,0600,00000(PATIENT DAYS) 5987,B100000,00000,0700,00000(SQUARE FEET) 5987,B100000,00000,0800,00000(MEALS SERVED) 5987,B100000,00000,0900,00000(ADJUSTED SALARIES) 5987,B100000,00000,1000,00000(PATIENT DAYS) 5987,B100000,00000,1100,00000(COSTED REQUIS) 5987,B100000,00000,1200,00000(TOTAL CHARGES) 5987,B100000,00000,1300,00000(PATIENT DAYS) 5987,B100000,00000,1301,00000(PATIENT DAYS) 5987,B100000,00000,1400,00000(ASSIGNED TIME) 5987,S000000,00100,0200,06/02/2000 5987,S200000,00100,0100,1010 CARPENTERS WAY 5987,S200000,00200,0100,LAKELAND 5987,S200000,00200,0200,FL 5987,S200000,00200,0300,33809 5987,S200000,00300,0100,POLK 5987,S200000,00400,0100,BEVERLY HEALTHCARE-LAKELAND 5987,S200000,00400,0200,106002 5987,S200000,00400,0300,03/26/1999 5987,S200000,00400,0500,P 5987,S200000,00600,0200,106002 5987,S200000,00600,0300,03/26/1999 5987,S200000,00600,0600,P 5987,S200000,01600,0100,Y 5987,S200000,04300,0100,Y 5990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5990,A000000,00300,0000,00300EMPLOYEE BENEFITS 5990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5990,A000000,00700,0000,00700HOUSEKEEPING 5990,A000000,00800,0000,00800DIETARY 5990,A000000,00900,0000,00900NURSING ADMINISTRATION 5990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5990,A000000,01100,0000,01100PHARMACY 5990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5990,A000000,01300,0000,01300SOCIAL SERVICE 5990,A000000,01301,0000,01301ACTIVITIES 5990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5990,A000000,01600,0000,01600SKILLED NURSING FACILITY 5990,A000000,01800,0000,01800NURSING FACILITY 5990,A000000,01810,0000,01810ICF/MR 5990,A000000,01900,0000,01900OTHER LONG TERM CARE 5990,A000000,02100,0000,02100RADIOLOGY 5990,A000000,02200,0000,02200LABORATORY 5990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5990,A000000,02500,0000,02500PHYSICAL THERAPY 5990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5990,A000000,02700,0000,02700SPEECH PATHOLOGY 5990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5990,A000000,03550,0000,03550FQHC 5990,A000000,05000,0000,05000CORF 5990,A000000,05010,0000,05010CMHC 5990,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5990,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5990,A81000A,00100,0100,Y 5990,A81000B,00100,0300,HOME OFFICE COST 5990,A81000B,00400,0300,HOME OFFICE COST 5990,A81000B,00500,0300,HOME OFFICE COST 5990,A81000B,00600,0300,HOME OFFICE COST 5990,A81000B,00800,0300,HOME OFFICE COST 5990,A81000C,00100,0100,B 5990,A81000C,00100,0200,BEVERLY ENTERPR 5990,B100000,00000,0100,00000(SQUARE FEET) 5990,B100000,00000,0200,00000(SQUARE FEET) 5990,B100000,00000,0300,00000(ADJUSTED SALARIES) 5990,B100000,00000,0400,00000(ACCUM. COST) 5990,B100000,00000,0500,00000(SQUARE FEET) 5990,B100000,00000,0600,00000(PATIENT DAYS) 5990,B100000,00000,0700,00000(SQUARE FEET) 5990,B100000,00000,0800,00000(MEALS SERVED) 5990,B100000,00000,0900,00000(ADJUSTED SALARIES) 5990,B100000,00000,1000,00000(PATIENT DAYS) 5990,B100000,00000,1100,00000(COSTED REQUIS) 5990,B100000,00000,1200,00000(TOTAL CHARGES) 5990,B100000,00000,1300,00000(PATIENT DAYS) 5990,B100000,00000,1301,00000(PATIENT DAYS) 5990,B100000,00000,1400,00000(ASSIGNED TIME) 5990,E10A180,00350,0100,01/27/1999 5990,E10A180,00351,0100,06/14/1999 5990,E10A180,00352,0100,10/08/1999 5990,E10A180,00353,0100,12/09/1999 5990,E10A180,00354,0100,02/14/2000 5990,S000000,00100,0200,06/02/2000 5990,S200000,00100,0100,2787 N DECATUR RD 5990,S200000,00200,0100,DECATUR 5990,S200000,00200,0200,GA 5990,S200000,00200,0300,30033 5990,S200000,00300,0100,DEKALB 5990,S200000,00400,0100,BEVERLY MANOR CONV CENTER (769 5990,S200000,00400,0200,115012 5990,S200000,00400,0300,02/17/1967 5990,S200000,00400,0500,P 5990,S200000,00600,0200,115012 5990,S200000,00600,0300,02/17/1967 5990,S200000,00600,0600,P 5990,S200000,01600,0100,Y 5990,S200000,04300,0100,Y 5993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5993,A000000,00300,0000,00300EMPLOYEE BENEFITS 5993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5993,A000000,00700,0000,00700HOUSEKEEPING 5993,A000000,00800,0000,00800DIETARY 5993,A000000,00900,0000,00900NURSING ADMINISTRATION 5993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5993,A000000,01100,0000,01100PHARMACY 5993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5993,A000000,01300,0000,01300SOCIAL SERVICE 5993,A000000,01301,0000,01301ACTIVITIES 5993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5993,A000000,01600,0000,01600SKILLED NURSING FACILITY 5993,A000000,01800,0000,01800NURSING FACILITY 5993,A000000,01810,0000,01810ICF/MR 5993,A000000,02100,0000,02100RADIOLOGY 5993,A000000,02200,0000,02200LABORATORY 5993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5993,A000000,02500,0000,02500PHYSICAL THERAPY 5993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5993,A000000,02700,0000,02700SPEECH PATHOLOGY 5993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5993,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5993,A000000,03550,0000,03550FQHC 5993,A000000,05000,0000,05000CORF 5993,A000000,05010,0000,05010CMHC 5993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5993,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5993,A81000A,00100,0100,Y 5993,A81000B,00100,0300,HOME OFFICE COST 5993,A81000B,00400,0300,HOME OFFICE COST 5993,A81000B,00500,0300,HOME OFFICE COST 5993,A81000B,00600,0300,HOME OFFICE COST 5993,A81000B,00800,0300,HOME OFFICE COST 5993,A81000C,00100,0100,B 5993,A81000C,00100,0200,BEVERLY ENTERPR 5993,B100000,00000,0100,00000(SQUARE FEET) 5993,B100000,00000,0200,00000(SQUARE FEET) 5993,B100000,00000,0300,00000(ADJUSTED SALARIES) 5993,B100000,00000,0400,00000(ACCUM. COST) 5993,B100000,00000,0500,00000(SQUARE FEET) 5993,B100000,00000,0600,00000(PATIENT DAYS) 5993,B100000,00000,0700,00000(SQUARE FEET) 5993,B100000,00000,0800,00000(MEALS SERVED) 5993,B100000,00000,0900,00000(ADJUSTED SALARIES) 5993,B100000,00000,1000,00000(PATIENT DAYS) 5993,B100000,00000,1100,00000(COSTED REQUIS) 5993,B100000,00000,1200,00000(TOTAL CHARGES) 5993,B100000,00000,1300,00000(PATIENT DAYS) 5993,B100000,00000,1301,00000(PATIENT DAYS) 5993,B100000,00000,1400,00000(ASSIGNED TIME) 5993,E10A180,00301,0100,01/27/1999 5993,E10A180,00350,0100,06/14/1999 5993,E10A180,00351,0100,10/08/1999 5993,E10A180,00352,0100,12/09/1999 5993,E10A180,00353,0100,02/14/2000 5993,S000000,00100,0200,06/02/2000 5993,S200000,00100,0100,4115 GLENWOOD ROAD 5993,S200000,00200,0100,DECATUR 5993,S200000,00200,0200,GA 5993,S200000,00200,0300,30032 5993,S200000,00300,0100,DEKALB 5993,S200000,00400,0100,GLENWOOD MANOR (730) A 5993,S200000,00400,0200,115025 5993,S200000,00400,0300,02/17/1967 5993,S200000,00400,0500,P 5993,S200000,00600,0200,115025 5993,S200000,00600,0300,02/17/1967 5993,S200000,00600,0600,P 5993,S200000,01600,0100,Y 5993,S200000,04300,0100,Y 5998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 5998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 5998,A000000,00300,0000,00300EMPLOYEE BENEFITS 5998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 5998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 5998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 5998,A000000,00700,0000,00700HOUSEKEEPING 5998,A000000,00800,0000,00800DIETARY 5998,A000000,00900,0000,00900NURSING ADMINISTRATION 5998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 5998,A000000,01100,0000,01100PHARMACY 5998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 5998,A000000,01300,0000,01300SOCIAL SERVICE 5998,A000000,01301,0000,01301ACTIVITIES 5998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 5998,A000000,01600,0000,01600SKILLED NURSING FACILITY 5998,A000000,01800,0000,01800NURSING FACILITY 5998,A000000,01810,0000,01810ICF/MR 5998,A000000,01900,0000,01900OTHER LONG TERM CARE 5998,A000000,02100,0000,02100RADIOLOGY 5998,A000000,02200,0000,02200LABORATORY 5998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 5998,A000000,02500,0000,02500PHYSICAL THERAPY 5998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 5998,A000000,02700,0000,02700SPEECH PATHOLOGY 5998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 5998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 5998,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 5998,A000000,03550,0000,03550FQHC 5998,A000000,05000,0000,05000CORF 5998,A000000,05010,0000,05010CMHC 5998,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 5998,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 5998,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 5998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 5998,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 5998,A81000A,00100,0100,Y 5998,A81000B,00100,0300,HOME OFFICE COST 5998,A81000B,00400,0300,HOME OFFICE COST 5998,A81000B,00500,0300,HOME OFFICE COST 5998,A81000B,00600,0300,HOME OFFICE COST 5998,A81000B,00800,0300,HOME OFFICE COST 5998,A81000C,00100,0100,B 5998,A81000C,00100,0200,BEVERLY ENTERPR 5998,B100000,00000,0100,00000(SQUARE FEET) 5998,B100000,00000,0200,00000(SQUARE FEET) 5998,B100000,00000,0300,00000(ADJUSTED SALARIES) 5998,B100000,00000,0400,00000(ACCUM. COST) 5998,B100000,00000,0500,00000(SQUARE FEET) 5998,B100000,00000,0600,00000(PATIENT DAYS) 5998,B100000,00000,0700,00000(SQUARE FEET) 5998,B100000,00000,0800,00000(MEALS SERVED) 5998,B100000,00000,0900,00000(ADJUSTED SALARIES) 5998,B100000,00000,1000,00000(PATIENT DAYS) 5998,B100000,00000,1100,00000(COSTED REQUIS) 5998,B100000,00000,1200,00000(TOTAL CHARGES) 5998,B100000,00000,1300,00000(PATIENT DAYS) 5998,B100000,00000,1301,00000(PATIENT DAYS) 5998,B100000,00000,1400,00000(ASSIGNED TIME) 5998,E10A180,00301,0100,01/27/1999 5998,E10A180,00350,0100,06/14/1999 5998,E10A180,00351,0100,10/08/1999 5998,E10A180,00352,0100,12/09/1999 5998,E10A180,00353,0100,02/14/2000 5998,S000000,00100,0200,06/02/2000 5998,S200000,00100,0100,933 E JOHNSON FERRY RD 5998,S200000,00200,0100,ATLANTA 5998,S200000,00200,0200,GA 5998,S200000,00200,0300,30342 5998,S200000,00300,0100,FULTON 5998,S200000,00400,0100,NORTHSIDE CONV CENTER (766) A 5998,S200000,00400,0200,115270 5998,S200000,00400,0300,07/26/1979 5998,S200000,00400,0500,P 5998,S200000,00600,0200,115270 5998,S200000,00600,0300,07/26/1979 5998,S200000,00600,0600,P 5998,S200000,01600,0100,Y 5998,S200000,04200,0100,Y 5998,S200000,04300,0100,Y 6001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6001,A000000,00300,0000,00300EMPLOYEE BENEFITS 6001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6001,A000000,00700,0000,00700HOUSEKEEPING 6001,A000000,00800,0000,00800DIETARY 6001,A000000,00900,0000,00900NURSING ADMINISTRATION 6001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6001,A000000,01100,0000,01100PHARMACY 6001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6001,A000000,01300,0000,01300SOCIAL SERVICE 6001,A000000,01301,0000,01301ACTIVITIES 6001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6001,A000000,01600,0000,01600SKILLED NURSING FACILITY 6001,A000000,01800,0000,01800NURSING FACILITY 6001,A000000,01810,0000,01810ICF/MR 6001,A000000,01900,0000,01900OTHER LONG TERM CARE 6001,A000000,02100,0000,02100RADIOLOGY 6001,A000000,02200,0000,02200LABORATORY 6001,A000000,02500,0000,02500PHYSICAL THERAPY 6001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6001,A000000,02700,0000,02700SPEECH PATHOLOGY 6001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6001,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6001,A000000,03550,0000,03550FQHC 6001,A000000,05000,0000,05000CORF 6001,A000000,05010,0000,05010CMHC 6001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6001,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6001,A81000A,00100,0100,Y 6001,A81000B,00100,0300,HOME OFFICE COST 6001,A81000B,00400,0300,HOME OFFICE COST 6001,A81000B,00500,0300,HOME OFFICE COST 6001,A81000B,00600,0300,HOME OFFICE COST 6001,A81000B,00800,0300,HOME OFFICE COST 6001,A81000C,00100,0100,B 6001,A81000C,00100,0200,BEVERLY ENTERPR 6001,B100000,00000,0100,00000(SQUARE FEET) 6001,B100000,00000,0200,00000(SQUARE FEET) 6001,B100000,00000,0300,00000(ADJUSTED SALARIES) 6001,B100000,00000,0400,00000(ACCUM. COST) 6001,B100000,00000,0500,00000(SQUARE FEET) 6001,B100000,00000,0600,00000(PATIENT DAYS) 6001,B100000,00000,0700,00000(SQUARE FEET) 6001,B100000,00000,0800,00000(MEALS SERVED) 6001,B100000,00000,0900,00000(ADJUSTED SALARIES) 6001,B100000,00000,1000,00000(PATIENT DAYS) 6001,B100000,00000,1100,00000(COSTED REQUIS) 6001,B100000,00000,1200,00000(TOTAL CHARGES) 6001,B100000,00000,1300,00000(PATIENT DAYS) 6001,B100000,00000,1301,00000(PATIENT DAYS) 6001,B100000,00000,1400,00000(ASSIGNED TIME) 6001,S000000,00100,0200,06/02/2000 6001,S200000,00100,0100,4028 HWY 5 6001,S200000,00200,0100,DOUGLASVILLE 6001,S200000,00200,0200,GA 6001,S200000,00200,0300,30134 6001,S200000,00300,0100,DOUGLAS 6001,S200000,00400,0100,GARDEN TERRACE NURSING CENTER 6001,S200000,00400,0200,115273 6001,S200000,00400,0300,02/01/1980 6001,S200000,00400,0500,P 6001,S200000,00600,0200,115273 6001,S200000,00600,0300,02/01/1980 6001,S200000,00600,0600,P 6001,S200000,01600,0100,Y 6001,S200000,04300,0100,Y 6004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6004,A000000,00300,0000,00300EMPLOYEE BENEFITS 6004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6004,A000000,00700,0000,00700HOUSEKEEPING 6004,A000000,00800,0000,00800DIETARY 6004,A000000,00900,0000,00900NURSING ADMINISTRATION 6004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6004,A000000,01100,0000,01100PHARMACY 6004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6004,A000000,01300,0000,01300SOCIAL SERVICE 6004,A000000,01301,0000,01301ACTIVITIES 6004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6004,A000000,01600,0000,01600SKILLED NURSING FACILITY 6004,A000000,01800,0000,01800NURSING FACILITY 6004,A000000,01810,0000,01810ICF/MR 6004,A000000,01900,0000,01900OTHER LONG TERM CARE 6004,A000000,02100,0000,02100RADIOLOGY 6004,A000000,02200,0000,02200LABORATORY 6004,A000000,02500,0000,02500PHYSICAL THERAPY 6004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6004,A000000,02700,0000,02700SPEECH PATHOLOGY 6004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6004,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6004,A000000,03550,0000,03550FQHC 6004,A000000,05000,0000,05000CORF 6004,A000000,05010,0000,05010CMHC 6004,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6004,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6004,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6004,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6004,A81000A,00100,0100,Y 6004,A81000B,00100,0300,HOME OFFICE COST 6004,A81000B,00400,0300,HOME OFFICE COST 6004,A81000B,00500,0300,HOME OFFICE COST 6004,A81000B,00600,0300,HOME OFFICE COST 6004,A81000B,00800,0300,HOME OFFICE COST 6004,A81000C,00100,0100,B 6004,A81000C,00100,0200,BEVERLY ENTERPR 6004,B100000,00000,0100,00000(SQUARE FEET) 6004,B100000,00000,0200,00000(SQUARE FEET) 6004,B100000,00000,0300,00000(ADJUSTED SALARIES) 6004,B100000,00000,0400,00000(ACCUM. COST) 6004,B100000,00000,0500,00000(SQUARE FEET) 6004,B100000,00000,0600,00000(PATIENT DAYS) 6004,B100000,00000,0700,00000(SQUARE FEET) 6004,B100000,00000,0800,00000(MEALS SERVED) 6004,B100000,00000,0900,00000(ADJUSTED SALARIES) 6004,B100000,00000,1000,00000(PATIENT DAYS) 6004,B100000,00000,1100,00000(COSTED REQUIS) 6004,B100000,00000,1200,00000(TOTAL CHARGES) 6004,B100000,00000,1300,00000(PATIENT DAYS) 6004,B100000,00000,1301,00000(PATIENT DAYS) 6004,B100000,00000,1400,00000(ASSIGNED TIME) 6004,E10A180,00301,0100,01/27/1999 6004,E10A180,00302,0100,12/09/1999 6004,E10A180,00303,0100,02/14/2000 6004,E10A180,00350,0100,06/14/1999 6004,E10A180,00351,0100,10/08/1999 6004,S000000,00100,0200,06/02/2000 6004,S200000,00100,0100,3618 J DEWEY GREY CIR 6004,S200000,00200,0100,AUGUSTA 6004,S200000,00200,0200,GA 6004,S200000,00200,0300,30909 6004,S200000,00300,0100,RICHMOND 6004,S200000,00400,0100,WINDERMERE NURSING HOME (328) 6004,S200000,00400,0200,115291 6004,S200000,00400,0300,06/01/1984 6004,S200000,00400,0500,P 6004,S200000,00600,0200,115291 6004,S200000,00600,0300,06/01/1984 6004,S200000,00600,0600,P 6004,S200000,01600,0100,Y 6004,S200000,04300,0100,Y 6007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6007,A000000,00300,0000,00300EMPLOYEE BENEFITS 6007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6007,A000000,00700,0000,00700HOUSEKEEPING 6007,A000000,00800,0000,00800DIETARY 6007,A000000,00900,0000,00900NURSING ADMINISTRATION 6007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6007,A000000,01100,0000,01100PHARMACY 6007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6007,A000000,01300,0000,01300SOCIAL SERVICE 6007,A000000,01301,0000,01301ACTIVITIES 6007,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6007,A000000,01600,0000,01600SKILLED NURSING FACILITY 6007,A000000,01800,0000,01800NURSING FACILITY 6007,A000000,01810,0000,01810ICF/MR 6007,A000000,01900,0000,01900OTHER LONG TERM CARE 6007,A000000,02100,0000,02100RADIOLOGY 6007,A000000,02200,0000,02200LABORATORY 6007,A000000,02500,0000,02500PHYSICAL THERAPY 6007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6007,A000000,02700,0000,02700SPEECH PATHOLOGY 6007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6007,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6007,A000000,03550,0000,03550FQHC 6007,A000000,05000,0000,05000CORF 6007,A000000,05010,0000,05010CMHC 6007,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6007,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6007,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6007,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6007,A81000A,00100,0100,Y 6007,A81000B,00100,0300,HOME OFFICE COST 6007,A81000B,00400,0300,HOME OFFICE COST 6007,A81000B,00500,0300,HOME OFFICE COST 6007,A81000B,00600,0300,HOME OFFICE COST 6007,A81000B,00800,0300,HOME OFFICE COST 6007,A81000C,00100,0100,B 6007,A81000C,00100,0200,BEVERLY ENTERPR 6007,B100000,00000,0100,00000(SQUARE FEET) 6007,B100000,00000,0200,00000(SQUARE FEET) 6007,B100000,00000,0300,00000(ADJUSTED SALARIES) 6007,B100000,00000,0400,00000(ACCUM. COST) 6007,B100000,00000,0500,00000(SQUARE FEET) 6007,B100000,00000,0600,00000(PATIENT DAYS) 6007,B100000,00000,0700,00000(SQUARE FEET) 6007,B100000,00000,0800,00000(MEALS SERVED) 6007,B100000,00000,0900,00000(ADJUSTED SALARIES) 6007,B100000,00000,1000,00000(PATIENT DAYS) 6007,B100000,00000,1100,00000(COSTED REQUIS) 6007,B100000,00000,1200,00000(TOTAL CHARGES) 6007,B100000,00000,1300,00000(PATIENT DAYS) 6007,B100000,00000,1301,00000(PATIENT DAYS) 6007,B100000,00000,1400,00000(ASSIGNED TIME) 6007,E10A180,00350,0100,01/27/1999 6007,E10A180,00351,0100,06/14/1999 6007,E10A180,00352,0100,10/08/1999 6007,E10A180,00353,0100,12/09/1999 6007,E10A180,00354,0100,02/14/2000 6007,S000000,00100,0200,06/02/2000 6007,S200000,00100,0100,3888 LAVISTA ROAD 6007,S200000,00200,0100,TUCKER 6007,S200000,00200,0200,GA 6007,S200000,00200,0300,30084 6007,S200000,00300,0100,DEKALB 6007,S200000,00400,0100,BRIARWOOD NURSING CENTER (715) 6007,S200000,00400,0200,115322 6007,S200000,00400,0300,09/01/1984 6007,S200000,00400,0500,P 6007,S200000,00600,0200,115322 6007,S200000,00600,0300,09/01/1984 6007,S200000,00600,0600,P 6007,S200000,01600,0100,Y 6007,S200000,04200,0100,Y 6007,S200000,04300,0100,Y 6010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6010,A000000,00300,0000,00300EMPLOYEE BENEFITS 6010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6010,A000000,00700,0000,00700HOUSEKEEPING 6010,A000000,00800,0000,00800DIETARY 6010,A000000,00900,0000,00900NURSING ADMINISTRATION 6010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6010,A000000,01100,0000,01100PHARMACY 6010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6010,A000000,01300,0000,01300SOCIAL SERVICE 6010,A000000,01301,0000,01301ACTIVITIES 6010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6010,A000000,01600,0000,01600SKILLED NURSING FACILITY 6010,A000000,01800,0000,01800NURSING FACILITY 6010,A000000,01810,0000,01810ICF/MR 6010,A000000,02100,0000,02100RADIOLOGY 6010,A000000,02200,0000,02200LABORATORY 6010,A000000,02500,0000,02500PHYSICAL THERAPY 6010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6010,A000000,02700,0000,02700SPEECH PATHOLOGY 6010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6010,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6010,A000000,03550,0000,03550FQHC 6010,A000000,05000,0000,05000CORF 6010,A000000,05010,0000,05010CMHC 6010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6010,A000000,06150,0000,06300OTHER NON REIMBURSABEL COST CEN 6010,A81000A,00100,0100,Y 6010,A81000B,00100,0300,HOME OFFICE COST 6010,A81000B,00400,0300,HOME OFFICE COST 6010,A81000B,00500,0300,HOME OFFICE COST 6010,A81000B,00600,0300,HOME OFFICE COST 6010,A81000B,00800,0300,HOME OFFICE COST 6010,A81000C,00100,0100,B 6010,A81000C,00100,0200,BEVERLY ENTERPR 6010,B100000,00000,0100,00000(SQUARE FEET) 6010,B100000,00000,0200,00000(SQUARE FEET) 6010,B100000,00000,0300,00000(ADJUSTED SALARIES) 6010,B100000,00000,0400,00000(ACCUM. COST) 6010,B100000,00000,0500,00000(SQUARE FEET) 6010,B100000,00000,0600,00000(PATIENT DAYS) 6010,B100000,00000,0700,00000(SQUARE FEET) 6010,B100000,00000,0800,00000(MEALS SERVED) 6010,B100000,00000,0900,00000(ADJUSTED SALARIES) 6010,B100000,00000,1000,00000(PATIENT DAYS) 6010,B100000,00000,1100,00000(COSTED REQUIS) 6010,B100000,00000,1200,00000(TOTAL CHARGES) 6010,B100000,00000,1300,00000(PATIENT DAYS) 6010,B100000,00000,1301,00000(PATIENT DAYS) 6010,B100000,00000,1400,00000(ASSIGNED TIME) 6010,E10A180,00301,0100,12/09/1999 6010,E10A180,00302,0100,02/14/2000 6010,E10A180,00350,0100,01/27/1999 6010,E10A180,00351,0100,06/14/1999 6010,E10A180,00352,0100,10/08/1999 6010,S000000,00100,0200,06/02/2000 6010,S200000,00100,0100,310 AVENUE F 6010,S200000,00200,0100,THOMASTON 6010,S200000,00200,0200,GA 6010,S200000,00200,0300,30286 6010,S200000,00300,0100,UPSON 6010,S200000,00400,0100,CLEARVIEW NURSING CARE CENTER 6010,S200000,00400,0200,115329 6010,S200000,00400,0300,10/01/1985 6010,S200000,00400,0500,P 6010,S200000,00600,0200,115329 6010,S200000,00600,0300,10/01/1985 6010,S200000,00600,0600,P 6010,S200000,01600,0100,Y 6010,S200000,04300,0100,Y 6013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6013,A000000,00300,0000,00300EMPLOYEE BENEFITS 6013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6013,A000000,00700,0000,00700HOUSEKEEPING 6013,A000000,00800,0000,00800DIETARY 6013,A000000,00900,0000,00900NURSING ADMINISTRATION 6013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6013,A000000,01100,0000,01100PHARMACY 6013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6013,A000000,01300,0000,01300SOCIAL SERVICE 6013,A000000,01301,0000,01301ACTIVITIES 6013,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6013,A000000,01600,0000,01600SKILLED NURSING FACILITY 6013,A000000,01800,0000,01800NURSING FACILITY 6013,A000000,01810,0000,01810ICF/MR 6013,A000000,02100,0000,02100RADIOLOGY 6013,A000000,02200,0000,02200LABORATORY 6013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6013,A000000,02500,0000,02500PHYSICAL THERAPY 6013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6013,A000000,02700,0000,02700SPEECH PATHOLOGY 6013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6013,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6013,A000000,03550,0000,03550FQHC 6013,A000000,05000,0000,05000CORF 6013,A000000,05010,0000,05010CMHC 6013,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6013,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6013,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6013,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6013,A81000A,00100,0100,Y 6013,A81000B,00100,0300,HOME OFFICE COST 6013,A81000B,00400,0300,HOME OFFICE COST 6013,A81000B,00500,0300,HOME OFFICE COST 6013,A81000B,00600,0300,HOME OFFICE COST 6013,A81000B,00800,0300,HOME OFFICE COST 6013,A81000C,00100,0100,B 6013,A81000C,00100,0200,BEVERLY ENTERPR 6013,B100000,00000,0100,00000(SQUARE FEET) 6013,B100000,00000,0200,00000(SQUARE FEET) 6013,B100000,00000,0300,00000(ADJUSTED SALARIES) 6013,B100000,00000,0400,00000(ACCUM. COST) 6013,B100000,00000,0500,00000(SQUARE FEET) 6013,B100000,00000,0600,00000(PATIENT DAYS) 6013,B100000,00000,0700,00000(SQUARE FEET) 6013,B100000,00000,0800,00000(MEALS SERVED) 6013,B100000,00000,0900,00000(ADJUSTED SALARIES) 6013,B100000,00000,1000,00000(PATIENT DAYS) 6013,B100000,00000,1100,00000(COSTED REQUIS) 6013,B100000,00000,1200,00000(TOTAL CHARGES) 6013,B100000,00000,1300,00000(PATIENT DAYS) 6013,B100000,00000,1301,00000(PATIENT DAYS) 6013,B100000,00000,1400,00000(ASSIGNED TIME) 6013,E10A180,00301,0100,01/27/1999 6013,E10A180,00302,0100,10/08/1999 6013,E10A180,00303,0100,12/09/1999 6013,E10A180,00304,0100,02/14/2000 6013,E10A180,00350,0100,06/14/1999 6013,S000000,00100,0200,06/02/2000 6013,S200000,00100,0100,505 COLISEUM DRIVE 6013,S200000,00200,0100,MACON 6013,S200000,00200,0200,GA 6013,S200000,00200,0300,31201 6013,S200000,00300,0100,BIBB 6013,S200000,00400,0100,HOSPITALITY CARE CENTER OF MACON 6013,S200000,00400,0200,115362 6013,S200000,00400,0300,04/01/1989 6013,S200000,00400,0500,P 6013,S200000,00600,0200,115362 6013,S200000,00600,0300,04/01/1989 6013,S200000,00600,0600,P 6013,S200000,01600,0100,Y 6013,S200000,04300,0100,Y 6016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6016,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6016,A000000,00300,0000,00300EMPLOYEE BENEFITS 6016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6016,A000000,00700,0000,00700HOUSEKEEPING 6016,A000000,00800,0000,00800DIETARY 6016,A000000,00900,0000,00900NURSING ADMINISTRATION 6016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6016,A000000,01100,0000,01100PHARMACY 6016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6016,A000000,01300,0000,01300SOCIAL SERVICE 6016,A000000,01301,0000,01301ACTIVITIES 6016,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6016,A000000,01600,0000,01600SKILLED NURSING FACILITY 6016,A000000,01800,0000,01800NURSING FACILITY 6016,A000000,01810,0000,01810ICF/MR 6016,A000000,02100,0000,02100RADIOLOGY 6016,A000000,02200,0000,02200LABORATORY 6016,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6016,A000000,02500,0000,02500PHYSICAL THERAPY 6016,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6016,A000000,02700,0000,02700SPEECH PATHOLOGY 6016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6016,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6016,A000000,03550,0000,03550FQHC 6016,A000000,05000,0000,05000CORF 6016,A000000,05010,0000,05010CMHC 6016,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6016,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6016,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6016,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6016,A81000A,00100,0100,Y 6016,A81000B,00100,0300,HOME OFFICE COST 6016,A81000B,00400,0300,HOME OFFICE COST 6016,A81000B,00500,0300,HOME OFFICE COST 6016,A81000B,00600,0300,HOME OFFICE COST 6016,A81000B,00800,0300,HOME OFFICE COST 6016,A81000C,00100,0100,B 6016,A81000C,00100,0200,BEVERLY ENTERPR 6016,B100000,00000,0100,00000(SQUARE FEET) 6016,B100000,00000,0200,00000(SQUARE FEET) 6016,B100000,00000,0300,00000(ADJUSTED SALARIES) 6016,B100000,00000,0400,00000(ACCUM. COST) 6016,B100000,00000,0500,00000(SQUARE FEET) 6016,B100000,00000,0600,00000(PATIENT DAYS) 6016,B100000,00000,0700,00000(SQUARE FEET) 6016,B100000,00000,0800,00000(MEALS SERVED) 6016,B100000,00000,0900,00000(ADJUSTED SALARIES) 6016,B100000,00000,1000,00000(PATIENT DAYS) 6016,B100000,00000,1100,00000(COSTED REQUIS) 6016,B100000,00000,1200,00000(TOTAL CHARGES) 6016,B100000,00000,1300,00000(PATIENT DAYS) 6016,B100000,00000,1301,00000(PATIENT DAYS) 6016,B100000,00000,1400,00000(ASSIGNED TIME) 6016,E10A180,00301,0100,06/14/1999 6016,E10A180,00302,0100,02/14/2000 6016,E10A180,00350,0100,01/27/1999 6016,E10A180,00351,0100,10/08/1999 6016,E10A180,00352,0100,12/09/1999 6016,S000000,00100,0200,06/02/2000 6016,S200000,00100,0100,1345 REDMOND ROAD 6016,S200000,00200,0100,ROME 6016,S200000,00200,0200,GA 6016,S200000,00200,0300,30161 6016,S200000,00300,0100,FLOYD 6016,S200000,00400,0100,CRESWELL CONVALESCENT CENTER ( 6016,S200000,00400,0200,115363 6016,S200000,00400,0300,01/01/1989 6016,S200000,00400,0500,P 6016,S200000,00600,0200,115363 6016,S200000,00600,0300,01/01/1989 6016,S200000,00600,0600,P 6016,S200000,01600,0100,Y 6016,S200000,04200,0100,Y 6016,S200000,04300,0100,Y 6019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6019,A000000,00300,0000,00300EMPLOYEE BENEFITS 6019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6019,A000000,00700,0000,00700HOUSEKEEPING 6019,A000000,00800,0000,00800DIETARY 6019,A000000,00900,0000,00900NURSING ADMINISTRATION 6019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6019,A000000,01100,0000,01100PHARMACY 6019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6019,A000000,01300,0000,01300SOCIAL SERVICE 6019,A000000,01301,0000,01301ACTIVITIES 6019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6019,A000000,01600,0000,01600SKILLED NURSING FACILITY 6019,A000000,01800,0000,01800NURSING FACILITY 6019,A000000,01810,0000,01810ICF/MR 6019,A000000,02100,0000,02100RADIOLOGY 6019,A000000,02200,0000,02200LABORATORY 6019,A000000,02500,0000,02500PHYSICAL THERAPY 6019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6019,A000000,02700,0000,02700SPEECH PATHOLOGY 6019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6019,A000000,03550,0000,03550FQHC 6019,A000000,05000,0000,05000CORF 6019,A000000,05010,0000,05010CMHC 6019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6019,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6019,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6019,A81000A,00100,0100,Y 6019,A81000B,00100,0300,HOME OFFICE COST 6019,A81000B,00400,0300,HOME OFFICE COST 6019,A81000B,00500,0300,HOME OFFICE COST 6019,A81000B,00600,0300,HOME OFFICE COST 6019,A81000B,00800,0300,HOME OFFICE COST 6019,A81000C,00100,0100,B 6019,A81000C,00100,0200,BEVERLY ENTERPR 6019,B100000,00000,0100,00000(SQUARE FEET) 6019,B100000,00000,0200,00000(SQUARE FEET) 6019,B100000,00000,0300,00000(ADJUSTED SALARIES) 6019,B100000,00000,0400,00000(ACCUM. COST) 6019,B100000,00000,0500,00000(SQUARE FEET) 6019,B100000,00000,0600,00000(PATIENT DAYS) 6019,B100000,00000,0700,00000(SQUARE FEET) 6019,B100000,00000,0800,00000(MEALS SERVED) 6019,B100000,00000,0900,00000(ADJUSTED SALARIES) 6019,B100000,00000,1000,00000(PATIENT DAYS) 6019,B100000,00000,1100,00000(COSTED REQUIS) 6019,B100000,00000,1200,00000(TOTAL CHARGES) 6019,B100000,00000,1300,00000(PATIENT DAYS) 6019,B100000,00000,1301,00000(PATIENT DAYS) 6019,B100000,00000,1400,00000(ASSIGNED TIME) 6019,E10A180,00301,0100,01/27/1999 6019,E10A180,00302,0100,06/14/1999 6019,E10A180,00350,0100,10/08/1999 6019,E10A180,00351,0100,12/09/1999 6019,E10A180,00352,0100,02/14/2000 6019,S000000,00100,0200,06/02/2000 6019,S200000,00100,0100,213 SCENIC HWY 6019,S200000,00200,0100,LAWRENCEVILLE 6019,S200000,00200,0200,GA 6019,S200000,00200,0300,30245 6019,S200000,00300,0100,GWINNETT 6019,S200000,00400,0100,MED ARTS HEALTH LAWRENCEVILLE 6019,S200000,00400,0200,115389 6019,S200000,00400,0300,01/01/1989 6019,S200000,00400,0500,P 6019,S200000,00600,0200,115389 6019,S200000,00600,0300,01/01/1989 6019,S200000,00600,0600,P 6019,S200000,01600,0100,Y 6019,S200000,04300,0100,Y 6022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6022,A000000,00300,0000,00300EMPLOYEE BENEFITS 6022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6022,A000000,00700,0000,00700HOUSEKEEPING 6022,A000000,00800,0000,00800DIETARY 6022,A000000,00900,0000,00900NURSING ADMINISTRATION 6022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6022,A000000,01100,0000,01100PHARMACY 6022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6022,A000000,01300,0000,01300SOCIAL SERVICE 6022,A000000,01301,0000,01301ACTIVITIES 6022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6022,A000000,01600,0000,01600SKILLED NURSING FACILITY 6022,A000000,01800,0000,01800NURSING FACILITY 6022,A000000,01810,0000,01810ICF/MR 6022,A000000,02200,0000,02200LABORATORY 6022,A000000,02500,0000,02500PHYSICAL THERAPY 6022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6022,A000000,02700,0000,02700SPEECH PATHOLOGY 6022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6022,A000000,03050,0000,03300OTHER ANCILLARY - CONSOLIDATED 6022,A000000,03550,0000,03550FQHC 6022,A000000,05000,0000,05000CORF 6022,A000000,05010,0000,05010CMHC 6022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6022,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6022,A81000A,00100,0100,Y 6022,A81000B,00100,0300,HOME OFFICE COST 6022,A81000B,00400,0300,HOME OFFICE COST 6022,A81000B,00500,0300,HOME OFFICE COST 6022,A81000B,00600,0300,HOME OFFICE COST 6022,A81000B,00800,0300,HOME OFFICE COST 6022,A81000C,00100,0100,B 6022,A81000C,00100,0200,BEVERLY ENTERPR 6022,B100000,00000,0100,00000(SQUARE FEET) 6022,B100000,00000,0200,00000(SQUARE FEET) 6022,B100000,00000,0300,00000(ADJUSTED SALARIES) 6022,B100000,00000,0400,00000(ACCUM. COST) 6022,B100000,00000,0500,00000(SQUARE FEET) 6022,B100000,00000,0600,00000(PATIENT DAYS) 6022,B100000,00000,0700,00000(SQUARE FEET) 6022,B100000,00000,0800,00000(MEALS SERVED) 6022,B100000,00000,0900,00000(ADJUSTED SALARIES) 6022,B100000,00000,1000,00000(PATIENT DAYS) 6022,B100000,00000,1100,00000(COSTED REQUIS) 6022,B100000,00000,1200,00000(TOTAL CHARGES) 6022,B100000,00000,1300,00000(PATIENT DAYS) 6022,B100000,00000,1301,00000(PATIENT DAYS) 6022,B100000,00000,1400,00000(ASSIGNED TIME) 6022,E10A180,00301,0100,01/27/1999 6022,E10A180,00302,0100,10/08/1999 6022,E10A180,00303,0100,02/14/2000 6022,E10A180,00350,0100,06/14/1999 6022,E10A180,00351,0100,12/09/1999 6022,S000000,00100,0200,06/02/2000 6022,S200000,00100,0100,1451 NEWTON DRIVE 6022,S200000,00200,0100,TIFTON 6022,S200000,00200,0200,GA 6022,S200000,00200,0300,31794 6022,S200000,00300,0100,TIFT 6022,S200000,00400,0100,TIFTON NURSING HOME (724) A 6022,S200000,00400,0200,115412 6022,S200000,00400,0300,08/01/1989 6022,S200000,00400,0500,P 6022,S200000,00600,0200,115412 6022,S200000,00600,0300,08/01/1989 6022,S200000,00600,0600,P 6022,S200000,01600,0100,Y 6022,S200000,04300,0100,Y 6025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6025,A000000,00300,0000,00300EMPLOYEE BENEFITS 6025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6025,A000000,00700,0000,00700HOUSEKEEPING 6025,A000000,00800,0000,00800DIETARY 6025,A000000,00900,0000,00900NURSING ADMINISTRATION 6025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6025,A000000,01100,0000,01100PHARMACY 6025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6025,A000000,01300,0000,01300SOCIAL SERVICE 6025,A000000,01301,0000,01301ACTIVITIES 6025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6025,A000000,01600,0000,01600SKILLED NURSING FACILITY 6025,A000000,01800,0000,01800NURSING FACILITY 6025,A000000,01810,0000,01810ICF/MR 6025,A000000,02200,0000,02200LABORATORY 6025,A000000,02500,0000,02500PHYSICAL THERAPY 6025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6025,A000000,02700,0000,02700SPEECH PATHOLOGY 6025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6025,A000000,03550,0000,03550FQHC 6025,A000000,05000,0000,05000CORF 6025,A000000,05010,0000,05010CMHC 6025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6025,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6025,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6025,A81000A,00100,0100,Y 6025,A81000B,00100,0300,HOME OFFICE COST 6025,A81000B,00400,0300,HOME OFFICE COST 6025,A81000B,00500,0300,HOME OFFICE COST 6025,A81000B,00600,0300,HOME OFFICE COST 6025,A81000B,00800,0300,HOME OFFICE COST 6025,A81000C,00100,0100,B 6025,A81000C,00100,0200,BEVERLY ENTERPR 6025,B100000,00000,0100,00000(SQUARE FEET) 6025,B100000,00000,0200,00000(SQUARE FEET) 6025,B100000,00000,0300,00000(ADJUSTED SALARIES) 6025,B100000,00000,0400,00000(ACCUM. COST) 6025,B100000,00000,0500,00000(SQUARE FEET) 6025,B100000,00000,0600,00000(PATIENT DAYS) 6025,B100000,00000,0700,00000(SQUARE FEET) 6025,B100000,00000,0800,00000(MEALS SERVED) 6025,B100000,00000,0900,00000(ADJUSTED SALARIES) 6025,B100000,00000,1000,00000(PATIENT DAYS) 6025,B100000,00000,1100,00000(COSTED REQUIS) 6025,B100000,00000,1200,00000(TOTAL CHARGES) 6025,B100000,00000,1300,00000(PATIENT DAYS) 6025,B100000,00000,1301,00000(PATIENT DAYS) 6025,B100000,00000,1400,00000(ASSIGNED TIME) 6025,E10A180,00301,0100,01/27/1999 6025,E10A180,00350,0100,06/14/1999 6025,E10A180,00351,0100,10/08/1999 6025,E10A180,00352,0100,12/09/1999 6025,E10A180,00353,0100,02/14/2000 6025,S000000,00100,0200,06/02/2000 6025,S200000,00100,0100,1090 W ORANGE STREET 6025,S200000,00200,0100,JESUP 6025,S200000,00200,0200,GA 6025,S200000,00200,0300,31545 6025,S200000,00300,0100,WAYNE 6025,S200000,00400,0100,JESUP MANOR NURSING CENTER (76 6025,S200000,00400,0200,115414 6025,S200000,00400,0300,08/01/1989 6025,S200000,00400,0500,P 6025,S200000,00600,0200,115414 6025,S200000,00600,0300,08/01/1989 6025,S200000,00600,0600,P 6025,S200000,01600,0100,Y 6025,S200000,04300,0100,Y 6030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6030,A000000,00300,0000,00300EMPLOYEE BENEFITS 6030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6030,A000000,00700,0000,00700HOUSEKEEPING 6030,A000000,00800,0000,00800DIETARY 6030,A000000,00900,0000,00900NURSING ADMINISTRATION 6030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6030,A000000,01100,0000,01100PHARMACY 6030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6030,A000000,01300,0000,01300SOCIAL SERVICE 6030,A000000,01301,0000,01301ACTIVITIES 6030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6030,A000000,01600,0000,01600SKILLED NURSING FACILITY 6030,A000000,01800,0000,01800NURSING FACILITY 6030,A000000,01810,0000,01810ICF/MR 6030,A000000,02100,0000,02100RADIOLOGY 6030,A000000,02200,0000,02200LABORATORY 6030,A000000,02500,0000,02500PHYSICAL THERAPY 6030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6030,A000000,02700,0000,02700SPEECH PATHOLOGY 6030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6030,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6030,A000000,03550,0000,03550FQHC 6030,A000000,05000,0000,05000CORF 6030,A000000,05010,0000,05010CMHC 6030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6030,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6030,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6030,A81000A,00100,0100,Y 6030,A81000B,00100,0300,HOME OFFICE COST 6030,A81000B,00400,0300,HOME OFFICE COST 6030,A81000B,00500,0300,HOME OFFICE COST 6030,A81000B,00600,0300,HOME OFFICE COST 6030,A81000B,00800,0300,HOME OFFICE COST 6030,A81000C,00100,0100,B 6030,A81000C,00100,0200,BEVERLY ENTERPR 6030,B100000,00000,0100,00000(SQUARE FEET) 6030,B100000,00000,0200,00000(SQUARE FEET) 6030,B100000,00000,0300,00000(ADJUSTED SALARIES) 6030,B100000,00000,0400,00000(ACCUM. COST) 6030,B100000,00000,0500,00000(SQUARE FEET) 6030,B100000,00000,0600,00000(PATIENT DAYS) 6030,B100000,00000,0700,00000(SQUARE FEET) 6030,B100000,00000,0800,00000(MEALS SERVED) 6030,B100000,00000,0900,00000(ADJUSTED SALARIES) 6030,B100000,00000,1000,00000(PATIENT DAYS) 6030,B100000,00000,1100,00000(COSTED REQUIS) 6030,B100000,00000,1200,00000(TOTAL CHARGES) 6030,B100000,00000,1300,00000(PATIENT DAYS) 6030,B100000,00000,1301,00000(PATIENT DAYS) 6030,B100000,00000,1400,00000(ASSIGNED TIME) 6030,E10A180,00301,0100,01/27/1999 6030,E10A180,00302,0100,12/09/1999 6030,E10A180,00303,0100,02/14/2000 6030,E10A180,00350,0100,06/14/1999 6030,E10A180,00351,0100,10/08/1999 6030,S000000,00100,0200,06/02/2000 6030,S200000,00100,0100,HIGHWAY 278 6030,S200000,00200,0100,MADISON 6030,S200000,00200,0200,GA 6030,S200000,00200,0300,30650 6030,S200000,00300,0100,MORGAN 6030,S200000,00400,0100,HOSPITALITY CARE CENTER OF GA 6030,S200000,00400,0200,115457 6030,S200000,00400,0300,08/01/1989 6030,S200000,00400,0500,P 6030,S200000,00600,0200,115457 6030,S200000,00600,0300,08/01/1989 6030,S200000,00600,0600,P 6030,S200000,01600,0100,Y 6030,S200000,04300,0100,Y 6033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6033,A000000,00300,0000,00300EMPLOYEE BENEFITS 6033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6033,A000000,00700,0000,00700HOUSEKEEPING 6033,A000000,00800,0000,00800DIETARY 6033,A000000,00900,0000,00900NURSING ADMINISTRATION 6033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6033,A000000,01100,0000,01100PHARMACY 6033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6033,A000000,01300,0000,01300SOCIAL SERVICE 6033,A000000,01301,0000,01301ACTIVITIES 6033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6033,A000000,01600,0000,01600SKILLED NURSING FACILITY 6033,A000000,01800,0000,01800NURSING FACILITY 6033,A000000,01810,0000,01810ICF/MR 6033,A000000,02100,0000,02100RADIOLOGY 6033,A000000,02200,0000,02200LABORATORY 6033,A000000,02500,0000,02500PHYSICAL THERAPY 6033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6033,A000000,02700,0000,02700SPEECH PATHOLOGY 6033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6033,A000000,03550,0000,03550FQHC 6033,A000000,05000,0000,05000CORF 6033,A000000,05010,0000,05010CMHC 6033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6033,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6033,A81000A,00100,0100,Y 6033,A81000B,00100,0300,HOME OFFICE COST 6033,A81000B,00400,0300,HOME OFFICE COST 6033,A81000B,00500,0300,HOME OFFICE COST 6033,A81000B,00600,0300,HOME OFFICE COST 6033,A81000B,00800,0300,HOME OFFICE COST 6033,A81000C,00100,0100,B 6033,A81000C,00100,0200,BEVERLY ENTERPR 6033,B100000,00000,0100,00000(SQUARE FEET) 6033,B100000,00000,0200,00000(SQUARE FEET) 6033,B100000,00000,0300,00000(ADJUSTED SALARIES) 6033,B100000,00000,0400,00000(ACCUM. COST) 6033,B100000,00000,0500,00000(SQUARE FEET) 6033,B100000,00000,0600,00000(PATIENT DAYS) 6033,B100000,00000,0700,00000(SQUARE FEET) 6033,B100000,00000,0800,00000(MEALS SERVED) 6033,B100000,00000,0900,00000(ADJUSTED SALARIES) 6033,B100000,00000,1000,00000(PATIENT DAYS) 6033,B100000,00000,1100,00000(COSTED REQUIS) 6033,B100000,00000,1200,00000(TOTAL CHARGES) 6033,B100000,00000,1300,00000(PATIENT DAYS) 6033,B100000,00000,1301,00000(PATIENT DAYS) 6033,B100000,00000,1400,00000(ASSIGNED TIME) 6033,E10A180,00301,0100,01/27/1999 6033,E10A180,00302,0100,06/14/1999 6033,E10A180,00303,0100,10/08/1999 6033,E10A180,00304,0100,02/14/2000 6033,E10A180,00350,0100,12/09/1999 6033,S000000,00100,0200,06/02/2000 6033,S200000,00100,0100,930 S BROAD STREET 6033,S200000,00200,0100,THOMASVILLE 6033,S200000,00200,0200,GA 6033,S200000,00200,0300,31792 6033,S200000,00300,0100,THOMAS 6033,S200000,00400,0100,HOSPITALITY CARE CTR-THOMASVILLE 6033,S200000,00400,0200,115501 6033,S200000,00400,0300,12/01/1990 6033,S200000,00400,0500,P 6033,S200000,00600,0200,115501 6033,S200000,00600,0300,12/01/1990 6033,S200000,00600,0600,P 6033,S200000,01600,0100,Y 6033,S200000,04300,0100,Y 6036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6036,A000000,00300,0000,00300EMPLOYEE BENEFITS 6036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6036,A000000,00700,0000,00700HOUSEKEEPING 6036,A000000,00800,0000,00800DIETARY 6036,A000000,00900,0000,00900NURSING ADMINISTRATION 6036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6036,A000000,01100,0000,01100PHARMACY 6036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6036,A000000,01300,0000,01300SOCIAL SERVICE 6036,A000000,01301,0000,01301ACTIVITIES 6036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6036,A000000,01600,0000,01600SKILLED NURSING FACILITY 6036,A000000,01800,0000,01800NURSING FACILITY 6036,A000000,01810,0000,01810ICF/MR 6036,A000000,01900,0000,01900OTHER LONG TERM CARE 6036,A000000,02100,0000,02100RADIOLOGY 6036,A000000,02200,0000,02200LABORATORY 6036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6036,A000000,02500,0000,02500PHYSICAL THERAPY 6036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6036,A000000,02700,0000,02700SPEECH PATHOLOGY 6036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6036,A000000,03550,0000,03550FQHC 6036,A000000,05000,0000,05000CORF 6036,A000000,05010,0000,05010CMHC 6036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6036,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6036,A81000A,00100,0100,Y 6036,A81000B,00100,0300,HOME OFFICE COST 6036,A81000B,00400,0300,HOME OFFICE COST 6036,A81000B,00500,0300,HOME OFFICE COST 6036,A81000B,00600,0300,HOME OFFICE COST 6036,A81000B,00800,0300,HOME OFFICE COST 6036,A81000C,00100,0100,B 6036,A81000C,00100,0200,BEVERLY ENTERPR 6036,B100000,00000,0100,00000(SQUARE FEET) 6036,B100000,00000,0200,00000(SQUARE FEET) 6036,B100000,00000,0300,00000(ADJUSTED SALARIES) 6036,B100000,00000,0400,00000(ACCUM. COST) 6036,B100000,00000,0500,00000(SQUARE FEET) 6036,B100000,00000,0600,00000(PATIENT DAYS) 6036,B100000,00000,0700,00000(SQUARE FEET) 6036,B100000,00000,0800,00000(MEALS SERVED) 6036,B100000,00000,0900,00000(ADJUSTED SALARIES) 6036,B100000,00000,1000,00000(PATIENT DAYS) 6036,B100000,00000,1100,00000(COSTED REQUIS) 6036,B100000,00000,1200,00000(TOTAL CHARGES) 6036,B100000,00000,1300,00000(PATIENT DAYS) 6036,B100000,00000,1301,00000(PATIENT DAYS) 6036,B100000,00000,1400,00000(ASSIGNED TIME) 6036,E10A180,00301,0100,10/08/1999 6036,E10A180,00350,0100,01/27/1999 6036,E10A180,00351,0100,06/14/1999 6036,E10A180,00352,0100,12/09/1999 6036,E10A180,00353,0100,02/14/2000 6036,S000000,00100,0200,06/02/2000 6036,S200000,00100,0100,2650 HIGHWAY 138 SE 6036,S200000,00200,0100,JONESBORO 6036,S200000,00200,0200,GA 6036,S200000,00200,0300,30236 6036,S200000,00300,0100,CLAYTON 6036,S200000,00400,0100,TARA REHABILITATION & CONV CENTER 6036,S200000,00400,0200,115545 6036,S200000,00400,0300,05/04/1993 6036,S200000,00400,0500,P 6036,S200000,00600,0200,115545 6036,S200000,00600,0300,05/04/1993 6036,S200000,00600,0600,P 6036,S200000,01600,0100,Y 6036,S200000,04300,0100,Y 6052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6052,A000000,00300,0000,00300EMPLOYEE BENEFITS 6052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6052,A000000,00700,0000,00700HOUSEKEEPING 6052,A000000,00800,0000,00800DIETARY 6052,A000000,00900,0000,00900NURSING ADMINISTRATION 6052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6052,A000000,01100,0000,01100PHARMACY 6052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6052,A000000,01300,0000,01300SOCIAL SERVICE 6052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6052,A000000,01600,0000,01600SKILLED NURSING FACILITY 6052,A000000,01800,0000,01800NURSING FACILITY 6052,A000000,01810,0000,01810ICF/MR 6052,A000000,02100,0000,02100RADIOLOGY 6052,A000000,02200,0000,02200LABORATORY 6052,A000000,02500,0000,02500PHYSICAL THERAPY 6052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6052,A000000,02700,0000,02700SPEECH PATHOLOGY 6052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6052,A000000,03550,0000,03550FQHC 6052,A000000,05000,0000,05000CORF 6052,A000000,05010,0000,05010CMHC 6052,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6052,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6052,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6052,A81000A,00100,0100,Y 6052,A81000B,00100,0300,HOME OFFICE COST 6052,A81000B,00200,0300,HOME OFFICE COST 6052,A81000B,00300,0300,HOME OFFICE COST 6052,A81000B,00400,0300,HOME OFFICE COST 6052,A81000C,00100,0100,B 6052,A81000C,00100,0200,BEVERLY MANOR 6052,A81000C,00100,0400,BEVERLY ENTERPR 6052,A81000C,00100,0600,HEALTH CARE MGM 6052,B100000,00000,0100,00000SQUARE FEET 6052,B100000,00000,0200,00000SQUARE FEET 6052,B100000,00000,0300,00000GROSS SALARIES 6052,B100000,00000,0400,00000ACCUM COST 6052,B100000,00000,0500,00000SQUARE FEET 6052,B100000,00000,0600,00000PATIENT DAYS 6052,B100000,00000,0700,00000SQUARE FEET 6052,B100000,00000,0800,00000MEALS SERVED 6052,B100000,00000,0900,00000PATIENT DAYS 6052,B100000,00000,1000,00000COSTED REQUIS 6052,B100000,00000,1100,00000COSTED REQUIS 6052,B100000,00000,1200,00000TIME SPENT 6052,B100000,00000,1300,00000PATIENT DAYS 6052,B100000,00000,1400,00000ASSIGNED TIME 6052,S000000,00100,0200,06/02/2000 6052,S200000,00100,0100,1930 KAM IV ROAD 6052,S200000,00200,0100,HONOLULU 6052,S200000,00200,0200,HI 6052,S200000,00200,0300,96819 6052,S200000,00300,0100,HONOLULU 6052,S200000,00400,0100,BEVERLY MANOR 6052,S200000,00400,0200,125020 6052,S200000,00400,0300,01/01/1980 6052,S200000,00400,0500,P 6052,S200000,00600,0200,125020 6052,S200000,00600,0300,01/01/1980 6052,S200000,00600,0600,P 6052,S200000,01600,0100,Y 6052,S200000,02200,0100,Y 6060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6060,A000000,00300,0000,00300EMPLOYEE BENEFITS 6060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6060,A000000,00501,0000,00501OPERATION OF PLANT 6060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6060,A000000,00700,0000,00700HOUSEKEEPING 6060,A000000,00800,0000,00800DIETARY 6060,A000000,00900,0000,00900NURSING ADMINISTRATION 6060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6060,A000000,01100,0000,01100PHARMACY 6060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6060,A000000,01300,0000,01300SOCIAL SERVICE 6060,A000000,01301,0000,01301ACTIVITIES 6060,A000000,01350,0000,01500LONG TERM CARE 6060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6060,A000000,01600,0000,01600SKILLED NURSING FACILITY 6060,A000000,01800,0000,01800NURSING FACILITY 6060,A000000,01810,0000,01810ICF/MR 6060,A000000,02500,0000,02500PHYSICAL THERAPY 6060,A000000,02700,0000,02700SPEECH PATHOLOGY 6060,A000000,03550,0000,03550FQHC 6060,A000000,05000,0000,05000CORF 6060,A000000,05010,0000,05010CMHC 6060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6060,A81000A,00100,0100,Y 6060,A81000B,00100,0300,LEASE RENT 6060,A81000B,00200,0300,COMMERCIAL FIRE INSURANCE 6060,A81000B,00300,0300,COMMERCIAL LIABILITY INSURANCE 6060,A81000C,00100,0100,E 6060,A81000C,00100,0200,MIYAWAKI 6060,A81000C,00200,0100,B 6060,A81000C,00200,0400,NUUANU HALE 6060,B100000,00000,0100,00040SQUARE FEET 6060,B100000,00000,0200,00040LOCATION 6060,B100000,00000,0300,00040GROSS SAL 6060,B100000,00000,0400,00040ACCUM. COST 6060,B100000,00000,0500,00040SQUARE FEET 6060,B100000,00000,0501,00040SQUARE FEET 6060,B100000,00000,0600,00040%USAGE LAUNDRY 6060,B100000,00000,0700,00040SQUARE FEET 6060,B100000,00000,0800,00040MEALS 6060,B100000,00000,0900,00040DIRECT NRSG HRS 6060,B100000,00000,1000,00040CSS % REQUIRED 6060,B100000,00000,1100,00040PHARMACY % REQUIRED 6060,B100000,00000,1200,00040MED REC % OF TIME 6060,B100000,00000,1300,00040SOC SERV % OF TIME 6060,B100000,00000,1301,00040SOC SERV % OF TIME 6060,B100000,00000,1350,00040PT DAYS 6060,B100000,00000,1400,00040ASSIGNED TIME 6060,S000000,00100,0200,06/01/2000 6060,S200000,00100,0100,1814 LILIHA STREET 6060,S200000,00200,0100,HONOLULU 6060,S200000,00200,0200,HI 6060,S200000,00200,0300,96817 6060,S200000,00300,0100,HONOLULU 6060,S200000,00400,0100,LILIHA HEALTHCARE CENTER 6060,S200000,00400,0200,125041 6060,S200000,00400,0300,02/15/1995 6060,S200000,00400,0500,P 6060,S200000,00400,0600,O 6060,S200000,00600,0200,088906 6060,S200000,00600,0300,06/01/1991 6060,S200000,00600,0600,P 6060,S200000,01500,0100,Y 6074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6074,A000000,00300,0000,00300EMPLOYEE BENEFITS 6074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6074,A000000,00700,0000,00700HOUSEKEEPING 6074,A000000,00800,0000,00800DIETARY 6074,A000000,00900,0000,00900NURSING ADMINISTRATION 6074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6074,A000000,01100,0000,01100PHARMACY 6074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6074,A000000,01300,0000,01300SOCIAL SERVICE 6074,A000000,01301,0000,01301ACTIVITIES 6074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6074,A000000,01600,0000,01600SKILLED NURSING FACILITY 6074,A000000,01800,0000,01800NURSING FACILITY 6074,A000000,01810,0000,01810ICF/MR 6074,A000000,02100,0000,02100RADIOLOGY 6074,A000000,02200,0000,02200LABORATORY 6074,A000000,02500,0000,02500PHYSICAL THERAPY 6074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6074,A000000,02700,0000,02700SPEECH PATHOLOGY 6074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6074,A000000,03550,0000,03550FQHC 6074,A000000,05000,0000,05000CORF 6074,A000000,05010,0000,05010CMHC 6074,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6074,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6074,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6074,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6074,A81000A,00100,0100,Y 6074,A81000B,00100,0300,HOME OFFICE COST 6074,A81000B,00400,0300,HOME OFFICE COST 6074,A81000B,00500,0300,HOME OFFICE COST 6074,A81000B,00600,0300,HOME OFFICE COST 6074,A81000B,00800,0300,HOME OFFICE COST 6074,A81000C,00100,0100,B 6074,A81000C,00100,0200,BEVERLY ENTERPR 6074,B100000,00000,0100,00000(SQUARE FEET) 6074,B100000,00000,0200,00000(SQUARE FEET) 6074,B100000,00000,0300,00000(ADJUSTED SALARIES) 6074,B100000,00000,0400,00000(ACCUM. COST) 6074,B100000,00000,0500,00000(SQUARE FEET) 6074,B100000,00000,0600,00000(PATIENT DAYS) 6074,B100000,00000,0700,00000(SQUARE FEET) 6074,B100000,00000,0800,00000(MEALS SERVED) 6074,B100000,00000,0900,00000(ADJUSTED SALARIES) 6074,B100000,00000,1000,00000(PATIENT DAYS) 6074,B100000,00000,1100,00000(COSTED REQUIS) 6074,B100000,00000,1200,00000(TOTAL CHARGES) 6074,B100000,00000,1300,00000(PATIENT DAYS) 6074,B100000,00000,1301,00000(PATIENT DAYS) 6074,B100000,00000,1400,00000(ASSIGNED TIME) 6074,E10A180,00301,0100,01/27/1999 6074,E10A180,00302,0100,12/09/1999 6074,E10A180,00350,0100,06/14/1999 6074,E10A180,00351,0100,10/08/1999 6074,E10A180,00352,0100,02/14/2000 6074,S000000,00100,0200,06/02/2000 6074,S200000,00100,0100,393 EDWARDSVILLE RD. 6074,S200000,00200,0100,WOOD RIVER 6074,S200000,00200,0200,IL 6074,S200000,00200,0300,62095 6074,S200000,00300,0100,MADISON 6074,S200000,00400,0100,0394-WOODRIVER V.I.P. MANOR 6074,S200000,00400,0200,145655 6074,S200000,00400,0300,10/01/1989 6074,S200000,00400,0500,P 6074,S200000,00600,0200,145655 6074,S200000,00600,0300,10/01/1989 6074,S200000,00600,0600,P 6074,S200000,01600,0100,Y 6077,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6077,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6077,A000000,00300,0000,00300EMPLOYEE BENEFITS 6077,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6077,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6077,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6077,A000000,00700,0000,00700HOUSEKEEPING 6077,A000000,00800,0000,00800DIETARY 6077,A000000,00900,0000,00900NURSING ADMINISTRATION 6077,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6077,A000000,01100,0000,01100PHARMACY 6077,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6077,A000000,01300,0000,01300SOCIAL SERVICE 6077,A000000,01301,0000,01301ACTIVITIES 6077,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6077,A000000,01600,0000,01600SKILLED NURSING FACILITY 6077,A000000,01800,0000,01800NURSING FACILITY 6077,A000000,01810,0000,01810ICF/MR 6077,A000000,02100,0000,02100RADIOLOGY 6077,A000000,02200,0000,02200LABORATORY 6077,A000000,02500,0000,02500PHYSICAL THERAPY 6077,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6077,A000000,02700,0000,02700SPEECH PATHOLOGY 6077,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6077,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6077,A000000,03550,0000,03550FQHC 6077,A000000,05000,0000,05000CORF 6077,A000000,05010,0000,05010CMHC 6077,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6077,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6077,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6077,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6077,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6077,A81000A,00100,0100,Y 6077,A81000B,00100,0300,HOME OFFICE COST 6077,A81000B,00400,0300,HOME OFFICE COST 6077,A81000B,00500,0300,HOME OFFICE COST 6077,A81000B,00600,0300,HOME OFFICE COST 6077,A81000B,00800,0300,HOME OFFICE COST 6077,A81000C,00100,0100,B 6077,A81000C,00100,0200,BEVERLY ENTERPR 6077,B100000,00000,0100,00000(SQUARE FEET) 6077,B100000,00000,0200,00000(SQUARE FEET) 6077,B100000,00000,0300,00000(ADJUSTED SALARIES) 6077,B100000,00000,0400,00000(ACCUM. COST) 6077,B100000,00000,0500,00000(SQUARE FEET) 6077,B100000,00000,0600,00000(PATIENT DAYS) 6077,B100000,00000,0700,00000(SQUARE FEET) 6077,B100000,00000,0800,00000(MEALS SERVED) 6077,B100000,00000,0900,00000(ADJUSTED SALARIES) 6077,B100000,00000,1000,00000(PATIENT DAYS) 6077,B100000,00000,1100,00000(COSTED REQUIS) 6077,B100000,00000,1200,00000(TOTAL CHARGES) 6077,B100000,00000,1300,00000(PATIENT DAYS) 6077,B100000,00000,1301,00000(PATIENT DAYS) 6077,B100000,00000,1400,00000(ASSIGNED TIME) 6077,E10A180,00301,0100,01/27/1999 6077,E10A180,00302,0100,02/14/2000 6077,E10A180,00350,0100,06/14/1999 6077,E10A180,00351,0100,10/08/1999 6077,E10A180,00352,0100,12/09/1999 6077,S000000,00100,0200,06/02/2000 6077,S200000,00100,0100,1623-29 W. DELMAR 6077,S200000,00200,0100,GODFREY 6077,S200000,00200,0200,IL 6077,S200000,00200,0300,62035 6077,S200000,00300,0100,MADISON 6077,S200000,00400,0100,BLUE FOUNTAIN MANOR 6077,S200000,00400,0200,145656 6077,S200000,00400,0300,10/01/1989 6077,S200000,00400,0500,P 6077,S200000,00600,0200,145656 6077,S200000,00600,0300,10/01/1989 6077,S200000,00600,0600,P 6077,S200000,01600,0100,Y 6080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6080,A000000,00300,0000,00300EMPLOYEE BENEFITS 6080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6080,A000000,00700,0000,00700HOUSEKEEPING 6080,A000000,00800,0000,00800DIETARY 6080,A000000,00900,0000,00900NURSING ADMINISTRATION 6080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6080,A000000,01100,0000,01100PHARMACY 6080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6080,A000000,01300,0000,01300SOCIAL SERVICE 6080,A000000,01301,0000,01301ACTIVITIES 6080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6080,A000000,01600,0000,01600SKILLED NURSING FACILITY 6080,A000000,01800,0000,01800NURSING FACILITY 6080,A000000,01810,0000,01810ICF/MR 6080,A000000,02100,0000,02100RADIOLOGY 6080,A000000,02200,0000,02200LABORATORY 6080,A000000,02500,0000,02500PHYSICAL THERAPY 6080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6080,A000000,02700,0000,02700SPEECH PATHOLOGY 6080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6080,A000000,03550,0000,03550FQHC 6080,A000000,05000,0000,05000CORF 6080,A000000,05010,0000,05010CMHC 6080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6080,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6080,A81000A,00100,0100,Y 6080,A81000B,00100,0300,HOME OFFICE COST 6080,A81000B,00400,0300,HOME OFFICE COST 6080,A81000B,00500,0300,HOME OFFICE COST 6080,A81000B,00600,0300,HOME OFFICE COST 6080,A81000B,00800,0300,HOME OFFICE COST 6080,A81000C,00100,0100,B 6080,A81000C,00100,0200,BEVERLY ENTERPR 6080,B100000,00000,0100,00000(SQUARE FEET) 6080,B100000,00000,0200,00000(SQUARE FEET) 6080,B100000,00000,0300,00000(ADJUSTED SALARIES) 6080,B100000,00000,0400,00000(ACCUM. COST) 6080,B100000,00000,0500,00000(SQUARE FEET) 6080,B100000,00000,0600,00000(PATIENT DAYS) 6080,B100000,00000,0700,00000(SQUARE FEET) 6080,B100000,00000,0800,00000(MEALS SERVED) 6080,B100000,00000,0900,00000(ADJUSTED SALARIES) 6080,B100000,00000,1000,00000(PATIENT DAYS) 6080,B100000,00000,1100,00000(COSTED REQUIS) 6080,B100000,00000,1200,00000(TOTAL CHARGES) 6080,B100000,00000,1300,00000(PATIENT DAYS) 6080,B100000,00000,1301,00000(PATIENT DAYS) 6080,B100000,00000,1400,00000(ASSIGNED TIME) 6080,E10A180,00301,0100,01/27/1999 6080,E10A180,00302,0100,12/09/1999 6080,E10A180,00350,0100,06/14/1999 6080,E10A180,00351,0100,10/08/1999 6080,E10A180,00352,0100,02/14/2000 6080,S000000,00100,0200,06/02/2000 6080,S200000,00100,0100,1700 I STREET 6080,S200000,00200,0100,LAPORTE 6080,S200000,00200,0200,IN 6080,S200000,00200,0300,46350 6080,S200000,00300,0100,LAPORTE 6080,S200000,00400,0100,COUNTRYSIDE PLACE OF LAPORTE ( 6080,S200000,00400,0200,155062 6080,S200000,00400,0300,02/01/1983 6080,S200000,00400,0500,P 6080,S200000,00600,0200,155062 6080,S200000,00600,0300,02/01/1983 6080,S200000,00600,0600,P 6080,S200000,01600,0100,Y 6080,S200000,04200,0100,Y 6080,S200000,04300,0100,Y 6083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6083,A000000,00300,0000,00300EMPLOYEE BENEFITS 6083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6083,A000000,00700,0000,00700HOUSEKEEPING 6083,A000000,00800,0000,00800DIETARY 6083,A000000,00900,0000,00900NURSING ADMINISTRATION 6083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6083,A000000,01100,0000,01100PHARMACY 6083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6083,A000000,01300,0000,01300SOCIAL SERVICE 6083,A000000,01301,0000,01301ACTIVITIES 6083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6083,A000000,01600,0000,01600SKILLED NURSING FACILITY 6083,A000000,01800,0000,01800NURSING FACILITY 6083,A000000,01810,0000,01810ICF/MR 6083,A000000,01900,0000,01900OTHER LONG TERM CARE 6083,A000000,02200,0000,02200LABORATORY 6083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6083,A000000,02500,0000,02500PHYSICAL THERAPY 6083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6083,A000000,02700,0000,02700SPEECH PATHOLOGY 6083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6083,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6083,A000000,03550,0000,03550FQHC 6083,A000000,05000,0000,05000CORF 6083,A000000,05010,0000,05010CMHC 6083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6083,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6083,A81000A,00100,0100,Y 6083,A81000B,00100,0300,HOME OFFICE COST 6083,A81000B,00400,0300,HOME OFFICE COST 6083,A81000B,00500,0300,HOME OFFICE COST 6083,A81000B,00600,0300,HOME OFFICE COST 6083,A81000B,00800,0300,HOME OFFICE COST 6083,A81000C,00100,0100,B 6083,A81000C,00100,0200,BEVERLY ENTERPR 6083,B100000,00000,0100,00000(SQUARE FEET) 6083,B100000,00000,0200,00000(SQUARE FEET) 6083,B100000,00000,0300,00000(ADJUSTED SALARIES) 6083,B100000,00000,0400,00000(ACCUM. COST) 6083,B100000,00000,0500,00000(SQUARE FEET) 6083,B100000,00000,0600,00000(PATIENT DAYS) 6083,B100000,00000,0700,00000(SQUARE FEET) 6083,B100000,00000,0800,00000(MEALS SERVED) 6083,B100000,00000,0900,00000(ADJUSTED SALARIES) 6083,B100000,00000,1000,00000(PATIENT DAYS) 6083,B100000,00000,1100,00000(COSTED REQUIS) 6083,B100000,00000,1200,00000(TOTAL CHARGES) 6083,B100000,00000,1300,00000(PATIENT DAYS) 6083,B100000,00000,1301,00000(PATIENT DAYS) 6083,B100000,00000,1400,00000(ASSIGNED TIME) 6083,E10A180,00301,0100,01/27/1999 6083,E10A180,00302,0100,12/09/1999 6083,E10A180,00350,0100,06/14/1999 6083,E10A180,00351,0100,10/08/1999 6083,E10A180,00352,0100,02/14/2000 6083,S000000,00100,0200,06/02/2000 6083,S200000,00100,0100,7145 EAST 21ST STREET 6083,S200000,00200,0100,INDIANAPOLIS 6083,S200000,00200,0200,IN 6083,S200000,00200,0300,46219 6083,S200000,00300,0100,MARION 6083,S200000,00400,0100,BROOKVIEW MANOR 6083,S200000,00400,0200,155076 6083,S200000,00400,0300,01/01/1982 6083,S200000,00400,0500,P 6083,S200000,00600,0200,155076 6083,S200000,00600,0300,01/01/1982 6083,S200000,00600,0600,P 6083,S200000,01600,0100,Y 6083,S200000,04200,0100,Y 6083,S200000,04300,0100,Y 6086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6086,A000000,00300,0000,00300EMPLOYEE BENEFITS 6086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6086,A000000,00700,0000,00700HOUSEKEEPING 6086,A000000,00800,0000,00800DIETARY 6086,A000000,00900,0000,00900NURSING ADMINISTRATION 6086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6086,A000000,01100,0000,01100PHARMACY 6086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6086,A000000,01300,0000,01300SOCIAL SERVICE 6086,A000000,01301,0000,01301ACTIVITIES 6086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6086,A000000,01600,0000,01600SKILLED NURSING FACILITY 6086,A000000,01800,0000,01800NURSING FACILITY 6086,A000000,01810,0000,01810ICF/MR 6086,A000000,02100,0000,02100RADIOLOGY 6086,A000000,02200,0000,02200LABORATORY 6086,A000000,02500,0000,02500PHYSICAL THERAPY 6086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6086,A000000,02700,0000,02700SPEECH PATHOLOGY 6086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6086,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6086,A000000,03550,0000,03550FQHC 6086,A000000,05000,0000,05000CORF 6086,A000000,05010,0000,05010CMHC 6086,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6086,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6086,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6086,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6086,A81000A,00100,0100,Y 6086,A81000B,00100,0300,HOME OFFICE COST 6086,A81000B,00400,0300,HOME OFFICE COST 6086,A81000B,00500,0300,HOME OFFICE COST 6086,A81000B,00600,0300,HOME OFFICE COST 6086,A81000B,00800,0300,HOME OFFICE COST 6086,A81000C,00100,0100,B 6086,A81000C,00100,0200,BEVERLY ENTERPR 6086,B100000,00000,0100,00000(SQUARE FEET) 6086,B100000,00000,0200,00000(SQUARE FEET) 6086,B100000,00000,0300,00000(ADJUSTED SALARIES) 6086,B100000,00000,0400,00000(ACCUM. COST) 6086,B100000,00000,0500,00000(SQUARE FEET) 6086,B100000,00000,0600,00000(PATIENT DAYS) 6086,B100000,00000,0700,00000(SQUARE FEET) 6086,B100000,00000,0800,00000(MEALS SERVED) 6086,B100000,00000,0900,00000(ADJUSTED SALARIES) 6086,B100000,00000,1000,00000(PATIENT DAYS) 6086,B100000,00000,1100,00000(COSTED REQUIS) 6086,B100000,00000,1200,00000(TOTAL CHARGES) 6086,B100000,00000,1300,00000(PATIENT DAYS) 6086,B100000,00000,1301,00000(PATIENT DAYS) 6086,B100000,00000,1400,00000(ASSIGNED TIME) 6086,E10A180,00301,0100,06/14/1999 6086,E10A180,00302,0100,12/09/1999 6086,E10A180,00303,0100,02/14/2000 6086,E10A180,00350,0100,01/27/1999 6086,E10A180,00351,0100,10/08/1999 6086,S000000,00100,0200,06/02/2000 6086,S200000,00100,0100,811 EAST 12TH DRIVE 6086,S200000,00200,0100,MISHAWAKA 6086,S200000,00200,0200,IN 6086,S200000,00200,0300,46544 6086,S200000,00300,0100,ST. JOSEPH 6086,S200000,00400,0100,COUNTRYSIDE PLACE OF MISHAWAKA 6086,S200000,00400,0200,155109 6086,S200000,00400,0300,02/01/1983 6086,S200000,00400,0500,P 6086,S200000,00600,0200,155109 6086,S200000,00600,0300,02/01/1983 6086,S200000,00600,0600,P 6086,S200000,01600,0100,Y 6089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6089,A000000,00300,0000,00300EMPLOYEE BENEFITS 6089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6089,A000000,00700,0000,00700HOUSEKEEPING 6089,A000000,00800,0000,00800DIETARY 6089,A000000,00900,0000,00900NURSING ADMINISTRATION 6089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6089,A000000,01100,0000,01100PHARMACY 6089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6089,A000000,01300,0000,01300SOCIAL SERVICE 6089,A000000,01301,0000,01301ACTIVITIES 6089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6089,A000000,01600,0000,01600SKILLED NURSING FACILITY 6089,A000000,01800,0000,01800NURSING FACILITY 6089,A000000,01810,0000,01810ICF/MR 6089,A000000,02200,0000,02200LABORATORY 6089,A000000,02500,0000,02500PHYSICAL THERAPY 6089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6089,A000000,02700,0000,02700SPEECH PATHOLOGY 6089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6089,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6089,A000000,03550,0000,03550FQHC 6089,A000000,05000,0000,05000CORF 6089,A000000,05010,0000,05010CMHC 6089,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6089,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6089,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6089,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6089,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6089,A81000A,00100,0100,Y 6089,A81000B,00100,0300,HOME OFFICE COST 6089,A81000B,00400,0300,HOME OFFICE COST 6089,A81000B,00500,0300,HOME OFFICE COST 6089,A81000B,00600,0300,HOME OFFICE COST 6089,A81000B,00800,0300,HOME OFFICE COST 6089,A81000C,00100,0100,B 6089,A81000C,00100,0200,BEVERLY ENTERPR 6089,B100000,00000,0100,00000(SQUARE FEET) 6089,B100000,00000,0200,00000(SQUARE FEET) 6089,B100000,00000,0300,00000(ADJUSTED SALARIES) 6089,B100000,00000,0400,00000(ACCUM. COST) 6089,B100000,00000,0500,00000(SQUARE FEET) 6089,B100000,00000,0600,00000(PATIENT DAYS) 6089,B100000,00000,0700,00000(SQUARE FEET) 6089,B100000,00000,0800,00000(MEALS SERVED) 6089,B100000,00000,0900,00000(ADJUSTED SALARIES) 6089,B100000,00000,1000,00000(PATIENT DAYS) 6089,B100000,00000,1100,00000(COSTED REQUIS) 6089,B100000,00000,1200,00000(TOTAL CHARGES) 6089,B100000,00000,1300,00000(PATIENT DAYS) 6089,B100000,00000,1301,00000(PATIENT DAYS) 6089,B100000,00000,1400,00000(ASSIGNED TIME) 6089,E10A180,00301,0100,01/27/1999 6089,E10A180,00302,0100,06/14/1999 6089,E10A180,00303,0100,02/14/2000 6089,E10A180,00350,0100,10/08/1999 6089,E10A180,00351,0100,12/09/1999 6089,S000000,00100,0200,06/02/2000 6089,S200000,00100,0100,4344 S RITTER AVE 6089,S200000,00200,0100,INDIANAPOLIS 6089,S200000,00200,0200,IN 6089,S200000,00200,0300,46219 6089,S200000,00300,0100,MARION 6089,S200000,00400,0100,CONTINENTAL CONV CENTER 6089,S200000,00400,0200,155112 6089,S200000,00400,0300,01/01/1982 6089,S200000,00400,0500,P 6089,S200000,00600,0200,155112 6089,S200000,00600,0300,01/01/1982 6089,S200000,00600,0600,P 6089,S200000,01600,0100,Y 6092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6092,A000000,00300,0000,00300EMPLOYEE BENEFITS 6092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6092,A000000,00700,0000,00700HOUSEKEEPING 6092,A000000,00800,0000,00800DIETARY 6092,A000000,00900,0000,00900NURSING ADMINISTRATION 6092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6092,A000000,01100,0000,01100PHARMACY 6092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6092,A000000,01300,0000,01300SOCIAL SERVICE 6092,A000000,01301,0000,01301ACTIVITIES 6092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6092,A000000,01600,0000,01600SKILLED NURSING FACILITY 6092,A000000,01800,0000,01800NURSING FACILITY 6092,A000000,01810,0000,01810ICF/MR 6092,A000000,02200,0000,02200LABORATORY 6092,A000000,02500,0000,02500PHYSICAL THERAPY 6092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6092,A000000,02700,0000,02700SPEECH PATHOLOGY 6092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6092,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6092,A000000,03550,0000,03550FQHC 6092,A000000,05000,0000,05000CORF 6092,A000000,05010,0000,05010CMHC 6092,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6092,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6092,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6092,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6092,A81000A,00100,0100,Y 6092,A81000B,00100,0300,HOME OFFICE COST 6092,A81000B,00400,0300,HOME OFFICE COST 6092,A81000B,00500,0300,HOME OFFICE COST 6092,A81000B,00600,0300,HOME OFFICE COST 6092,A81000B,00800,0300,HOME OFFICE COST 6092,A81000C,00100,0100,B 6092,A81000C,00100,0200,BEVERLY ENTERPR 6092,B100000,00000,0100,00000(SQUARE FEET) 6092,B100000,00000,0200,00000(SQUARE FEET) 6092,B100000,00000,0300,00000(ADJUSTED SALARIES) 6092,B100000,00000,0400,00000(ACCUM. COST) 6092,B100000,00000,0500,00000(SQUARE FEET) 6092,B100000,00000,0600,00000(PATIENT DAYS) 6092,B100000,00000,0700,00000(SQUARE FEET) 6092,B100000,00000,0800,00000(MEALS SERVED) 6092,B100000,00000,0900,00000(ADJUSTED SALARIES) 6092,B100000,00000,1000,00000(PATIENT DAYS) 6092,B100000,00000,1100,00000(COSTED REQUIS) 6092,B100000,00000,1200,00000(TOTAL CHARGES) 6092,B100000,00000,1300,00000(PATIENT DAYS) 6092,B100000,00000,1301,00000(PATIENT DAYS) 6092,B100000,00000,1400,00000(ASSIGNED TIME) 6092,E10A180,00301,0100,01/27/1999 6092,E10A180,00302,0100,10/08/1999 6092,E10A180,00303,0100,12/09/1999 6092,E10A180,00304,0100,02/14/2000 6092,E10A180,00350,0100,06/14/1999 6092,S000000,00100,0200,06/02/2000 6092,S200000,00100,0100,745 NORTH SWOPE ST 6092,S200000,00200,0100,GREENFIELD 6092,S200000,00200,0200,IN 6092,S200000,00200,0300,46140 6092,S200000,00300,0100,HANCOCK 6092,S200000,00400,0100,BRANDYWINE MANOR 6092,S200000,00400,0200,155120 6092,S200000,00400,0300,01/01/1982 6092,S200000,00400,0500,P 6092,S200000,00600,0200,155120 6092,S200000,00600,0300,01/01/1982 6092,S200000,00600,0600,P 6092,S200000,01600,0100,Y 6095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6095,A000000,00300,0000,00300EMPLOYEE BENEFITS 6095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6095,A000000,00700,0000,00700HOUSEKEEPING 6095,A000000,00800,0000,00800DIETARY 6095,A000000,00900,0000,00900NURSING ADMINISTRATION 6095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6095,A000000,01100,0000,01100PHARMACY 6095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6095,A000000,01300,0000,01300SOCIAL SERVICE 6095,A000000,01301,0000,01301ACTIVITIES 6095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6095,A000000,01600,0000,01600SKILLED NURSING FACILITY 6095,A000000,01800,0000,01800NURSING FACILITY 6095,A000000,01810,0000,01810ICF/MR 6095,A000000,02100,0000,02100RADIOLOGY 6095,A000000,02200,0000,02200LABORATORY 6095,A000000,02500,0000,02500PHYSICAL THERAPY 6095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6095,A000000,02700,0000,02700SPEECH PATHOLOGY 6095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6095,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6095,A000000,03550,0000,03550FQHC 6095,A000000,05000,0000,05000CORF 6095,A000000,05010,0000,05010CMHC 6095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6095,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6095,A81000A,00100,0100,Y 6095,A81000B,00100,0300,HOME OFFICE COST 6095,A81000B,00400,0300,HOME OFFICE COST 6095,A81000B,00500,0300,HOME OFFICE COST 6095,A81000B,00600,0300,HOME OFFICE COST 6095,A81000B,00800,0300,HOME OFFICE COST 6095,A81000C,00100,0100,B 6095,A81000C,00100,0200,BEVERLY ENTERPR 6095,B100000,00000,0100,00000(SQUARE FEET) 6095,B100000,00000,0200,00000(SQUARE FEET) 6095,B100000,00000,0300,00000(ADJUSTED SALARIES) 6095,B100000,00000,0400,00000(ACCUM. COST) 6095,B100000,00000,0500,00000(SQUARE FEET) 6095,B100000,00000,0600,00000(PATIENT DAYS) 6095,B100000,00000,0700,00000(SQUARE FEET) 6095,B100000,00000,0800,00000(MEALS SERVED) 6095,B100000,00000,0900,00000(ADJUSTED SALARIES) 6095,B100000,00000,1000,00000(PATIENT DAYS) 6095,B100000,00000,1100,00000(COSTED REQUIS) 6095,B100000,00000,1200,00000(TOTAL CHARGES) 6095,B100000,00000,1300,00000(PATIENT DAYS) 6095,B100000,00000,1301,00000(PATIENT DAYS) 6095,B100000,00000,1400,00000(ASSIGNED TIME) 6095,E10A180,00301,0100,01/27/1999 6095,E10A180,00350,0100,06/14/1999 6095,E10A180,00351,0100,10/08/1999 6095,E10A180,00352,0100,12/09/1999 6095,E10A180,00353,0100,02/14/2000 6095,S000000,00100,0200,06/02/2000 6095,S200000,00100,0100,500 MAPLE AVE 6095,S200000,00200,0100,TERRE HAUTE 6095,S200000,00200,0200,IN 6095,S200000,00200,0300,47804 6095,S200000,00300,0100,VIGO 6095,S200000,00400,0100,THE LAKEVIEW & REHAB CNTR 6095,S200000,00400,0200,155125 6095,S200000,00400,0300,01/01/1982 6095,S200000,00400,0500,P 6095,S200000,00600,0200,155125 6095,S200000,00600,0300,01/01/1982 6095,S200000,00600,0600,P 6095,S200000,01600,0100,Y 6098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6098,A000000,00300,0000,00300EMPLOYEE BENEFITS 6098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6098,A000000,00700,0000,00700HOUSEKEEPING 6098,A000000,00800,0000,00800DIETARY 6098,A000000,00900,0000,00900NURSING ADMINISTRATION 6098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6098,A000000,01100,0000,01100PHARMACY 6098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6098,A000000,01300,0000,01300SOCIAL SERVICE 6098,A000000,01301,0000,01301ACTIVITIES 6098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6098,A000000,01600,0000,01600SKILLED NURSING FACILITY 6098,A000000,01800,0000,01800NURSING FACILITY 6098,A000000,01810,0000,01810ICF/MR 6098,A000000,02100,0000,02100RADIOLOGY 6098,A000000,02200,0000,02200LABORATORY 6098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6098,A000000,02500,0000,02500PHYSICAL THERAPY 6098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6098,A000000,02700,0000,02700SPEECH PATHOLOGY 6098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6098,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6098,A000000,03550,0000,03550FQHC 6098,A000000,05000,0000,05000CORF 6098,A000000,05010,0000,05010CMHC 6098,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6098,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6098,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6098,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6098,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6098,A81000A,00100,0100,Y 6098,A81000B,00100,0300,HOME OFFICE COST 6098,A81000B,00400,0300,HOME OFFICE COST 6098,A81000B,00500,0300,HOME OFFICE COST 6098,A81000B,00600,0300,HOME OFFICE COST 6098,A81000B,00800,0300,HOME OFFICE COST 6098,A81000C,00100,0100,B 6098,A81000C,00100,0200,BEVERLY ENTERPR 6098,B100000,00000,0100,00000(SQUARE FEET) 6098,B100000,00000,0200,00000(SQUARE FEET) 6098,B100000,00000,0300,00000(ADJUSTED SALARIES) 6098,B100000,00000,0400,00000(ACCUM. COST) 6098,B100000,00000,0500,00000(SQUARE FEET) 6098,B100000,00000,0600,00000(PATIENT DAYS) 6098,B100000,00000,0700,00000(SQUARE FEET) 6098,B100000,00000,0800,00000(MEALS SERVED) 6098,B100000,00000,0900,00000(ADJUSTED SALARIES) 6098,B100000,00000,1000,00000(PATIENT DAYS) 6098,B100000,00000,1100,00000(COSTED REQUIS) 6098,B100000,00000,1200,00000(TOTAL CHARGES) 6098,B100000,00000,1300,00000(PATIENT DAYS) 6098,B100000,00000,1301,00000(PATIENT DAYS) 6098,B100000,00000,1400,00000(ASSIGNED TIME) 6098,E10A180,00301,0100,01/27/1999 6098,E10A180,00302,0100,12/09/1999 6098,E10A180,00350,0100,06/14/1999 6098,E10A180,00351,0100,10/08/1999 6098,E10A180,00352,0100,02/14/2000 6098,S000000,00100,0200,06/02/2000 6098,S200000,00100,0100,1900 ANDREW AVENUE 6098,S200000,00200,0100,LAPORTE 6098,S200000,00200,0200,IN 6098,S200000,00200,0300,46350 6098,S200000,00300,0100,LAPORTE 6098,S200000,00400,0100,FOUNTAINVIEW TERRACE (256) B 6098,S200000,00400,0200,155136 6098,S200000,00400,0300,02/01/1983 6098,S200000,00400,0500,P 6098,S200000,00600,0200,155136 6098,S200000,00600,0300,02/01/1983 6098,S200000,00600,0600,P 6098,S200000,01600,0100,Y 6098,S200000,04200,0100,Y 6098,S200000,04300,0100,Y 6101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6101,A000000,00300,0000,00300EMPLOYEE BENEFITS 6101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6101,A000000,00700,0000,00700HOUSEKEEPING 6101,A000000,00800,0000,00800DIETARY 6101,A000000,00900,0000,00900NURSING ADMINISTRATION 6101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6101,A000000,01100,0000,01100PHARMACY 6101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6101,A000000,01300,0000,01300SOCIAL SERVICE 6101,A000000,01301,0000,01301ACTIVITIES 6101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6101,A000000,01600,0000,01600SKILLED NURSING FACILITY 6101,A000000,01800,0000,01800NURSING FACILITY 6101,A000000,01810,0000,01810ICF/MR 6101,A000000,02100,0000,02100RADIOLOGY 6101,A000000,02200,0000,02200LABORATORY 6101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6101,A000000,02500,0000,02500PHYSICAL THERAPY 6101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6101,A000000,02700,0000,02700SPEECH PATHOLOGY 6101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6101,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6101,A000000,03550,0000,03550FQHC 6101,A000000,05000,0000,05000CORF 6101,A000000,05010,0000,05010CMHC 6101,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6101,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6101,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6101,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6101,A81000A,00100,0100,Y 6101,A81000B,00100,0300,HOME OFFICE COST 6101,A81000B,00400,0300,HOME OFFICE COST 6101,A81000B,00500,0300,HOME OFFICE COST 6101,A81000B,00600,0300,HOME OFFICE COST 6101,A81000B,00800,0300,HOME OFFICE COST 6101,A81000C,00100,0100,B 6101,A81000C,00100,0200,BEVERLY ENTERPR 6101,B100000,00000,0100,00000(SQUARE FEET) 6101,B100000,00000,0200,00000(SQUARE FEET) 6101,B100000,00000,0300,00000(ADJUSTED SALARIES) 6101,B100000,00000,0400,00000(ACCUM. COST) 6101,B100000,00000,0500,00000(SQUARE FEET) 6101,B100000,00000,0600,00000(PATIENT DAYS) 6101,B100000,00000,0700,00000(SQUARE FEET) 6101,B100000,00000,0800,00000(MEALS SERVED) 6101,B100000,00000,0900,00000(ADJUSTED SALARIES) 6101,B100000,00000,1000,00000(PATIENT DAYS) 6101,B100000,00000,1100,00000(COSTED REQUIS) 6101,B100000,00000,1200,00000(TOTAL CHARGES) 6101,B100000,00000,1300,00000(PATIENT DAYS) 6101,B100000,00000,1301,00000(PATIENT DAYS) 6101,B100000,00000,1400,00000(ASSIGNED TIME) 6101,E10A180,00301,0100,06/14/1999 6101,E10A180,00350,0100,01/27/1999 6101,E10A180,00351,0100,10/08/1999 6101,E10A180,00352,0100,12/09/1999 6101,E10A180,00353,0100,02/14/2000 6101,S000000,00100,0200,06/02/2000 6101,S200000,00100,0100,251 EAST DRIVE 6101,S200000,00200,0100,VALPARAISO 6101,S200000,00200,0200,IN 6101,S200000,00200,0300,46383 6101,S200000,00300,0100,PORTER 6101,S200000,00400,0100,CANTERBURY PLACE (218) B 6101,S200000,00400,0200,155137 6101,S200000,00400,0300,02/01/1983 6101,S200000,00400,0500,P 6101,S200000,00600,0200,155137 6101,S200000,00600,0300,02/01/1983 6101,S200000,00600,0600,P 6101,S200000,01600,0100,Y 6104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6104,A000000,00300,0000,00300EMPLOYEE BENEFITS 6104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6104,A000000,00700,0000,00700HOUSEKEEPING 6104,A000000,00800,0000,00800DIETARY 6104,A000000,00900,0000,00900NURSING ADMINISTRATION 6104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6104,A000000,01100,0000,01100PHARMACY 6104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6104,A000000,01300,0000,01300SOCIAL SERVICE 6104,A000000,01301,0000,01301ACTIVITIES 6104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6104,A000000,01600,0000,01600SKILLED NURSING FACILITY 6104,A000000,01800,0000,01800NURSING FACILITY 6104,A000000,01810,0000,01810ICF/MR 6104,A000000,01900,0000,01900OTHER LONG TERM CARE 6104,A000000,02200,0000,02200LABORATORY 6104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6104,A000000,02500,0000,02500PHYSICAL THERAPY 6104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6104,A000000,02700,0000,02700SPEECH PATHOLOGY 6104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6104,A000000,03550,0000,03550FQHC 6104,A000000,05000,0000,05000CORF 6104,A000000,05010,0000,05010CMHC 6104,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6104,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6104,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6104,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6104,A81000A,00100,0100,Y 6104,A81000B,00100,0300,HOME OFFICE COST 6104,A81000B,00400,0300,HOME OFFICE COST 6104,A81000B,00500,0300,HOME OFFICE COST 6104,A81000B,00600,0300,HOME OFFICE COST 6104,A81000B,00800,0300,HOME OFFICE COST 6104,A81000C,00100,0100,B 6104,A81000C,00100,0200,BEVERLY ENTERPR 6104,B100000,00000,0100,00000(SQUARE FEET) 6104,B100000,00000,0200,00000(SQUARE FEET) 6104,B100000,00000,0300,00000(ADJUSTED SALARIES) 6104,B100000,00000,0400,00000(ACCUM. COST) 6104,B100000,00000,0500,00000(SQUARE FEET) 6104,B100000,00000,0600,00000(PATIENT DAYS) 6104,B100000,00000,0700,00000(SQUARE FEET) 6104,B100000,00000,0800,00000(MEALS SERVED) 6104,B100000,00000,0900,00000(ADJUSTED SALARIES) 6104,B100000,00000,1000,00000(PATIENT DAYS) 6104,B100000,00000,1100,00000(COSTED REQUIS) 6104,B100000,00000,1200,00000(TOTAL CHARGES) 6104,B100000,00000,1300,00000(PATIENT DAYS) 6104,B100000,00000,1301,00000(PATIENT DAYS) 6104,B100000,00000,1400,00000(ASSIGNED TIME) 6104,E10A180,00301,0100,01/27/1999 6104,E10A180,00350,0100,06/14/1999 6104,E10A180,00351,0100,10/08/1999 6104,E10A180,00352,0100,12/09/1999 6104,E10A180,00353,0100,02/14/2000 6104,S000000,00100,0200,06/02/2000 6104,S200000,00100,0100,2860 CHURCHMAN AVE 6104,S200000,00200,0100,INDIANAPOLIS 6104,S200000,00200,0200,IN 6104,S200000,00200,0300,46260 6104,S200000,00300,0100,MARION 6104,S200000,00400,0100,CHURCHMAN MANOR 6104,S200000,00400,0200,155138 6104,S200000,00400,0300,01/01/1982 6104,S200000,00400,0500,P 6104,S200000,00600,0200,155138 6104,S200000,00600,0300,01/01/1982 6104,S200000,00600,0600,P 6104,S200000,01600,0100,Y 6107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6107,A000000,00300,0000,00300EMPLOYEE BENEFITS 6107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6107,A000000,00700,0000,00700HOUSEKEEPING 6107,A000000,00800,0000,00800DIETARY 6107,A000000,00900,0000,00900NURSING ADMINISTRATION 6107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6107,A000000,01100,0000,01100PHARMACY 6107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6107,A000000,01300,0000,01300SOCIAL SERVICE 6107,A000000,01301,0000,01301ACTIVITIES 6107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6107,A000000,01600,0000,01600SKILLED NURSING FACILITY 6107,A000000,01800,0000,01800NURSING FACILITY 6107,A000000,01810,0000,01810ICF/MR 6107,A000000,01900,0000,01900OTHER LONG TERM CARE 6107,A000000,02100,0000,02100RADIOLOGY 6107,A000000,02200,0000,02200LABORATORY 6107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6107,A000000,02500,0000,02500PHYSICAL THERAPY 6107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6107,A000000,02700,0000,02700SPEECH PATHOLOGY 6107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6107,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6107,A000000,03550,0000,03550FQHC 6107,A000000,05000,0000,05000CORF 6107,A000000,05010,0000,05010CMHC 6107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6107,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6107,A81000A,00100,0100,Y 6107,A81000B,00100,0300,HOME OFFICE COST 6107,A81000B,00400,0300,HOME OFFICE COST 6107,A81000B,00500,0300,HOME OFFICE COST 6107,A81000B,00600,0300,HOME OFFICE COST 6107,A81000B,00800,0300,HOME OFFICE COST 6107,A81000C,00100,0100,B 6107,A81000C,00100,0200,BEVERLY ENTERPR 6107,B100000,00000,0100,00000(SQUARE FEET) 6107,B100000,00000,0200,00000(SQUARE FEET) 6107,B100000,00000,0300,00000(ADJUSTED SALARIES) 6107,B100000,00000,0400,00000(ACCUM. COST) 6107,B100000,00000,0500,00000(SQUARE FEET) 6107,B100000,00000,0600,00000(PATIENT DAYS) 6107,B100000,00000,0700,00000(SQUARE FEET) 6107,B100000,00000,0800,00000(MEALS SERVED) 6107,B100000,00000,0900,00000(ADJUSTED SALARIES) 6107,B100000,00000,1000,00000(PATIENT DAYS) 6107,B100000,00000,1100,00000(COSTED REQUIS) 6107,B100000,00000,1200,00000(TOTAL CHARGES) 6107,B100000,00000,1300,00000(PATIENT DAYS) 6107,B100000,00000,1301,00000(PATIENT DAYS) 6107,B100000,00000,1400,00000(ASSIGNED TIME) 6107,E10A180,00301,0100,01/27/1999 6107,E10A180,00302,0100,02/14/2000 6107,E10A180,00350,0100,06/14/1999 6107,E10A180,00351,0100,10/08/1999 6107,E10A180,00352,0100,12/09/1999 6107,S000000,00100,0200,06/02/2000 6107,S200000,00100,0100,8181 HARCOURT RD 6107,S200000,00200,0100,INDIANAPOLIS 6107,S200000,00200,0200,IN 6107,S200000,00200,0300,46260 6107,S200000,00300,0100,MARION 6107,S200000,00400,0100,GREENBRIAR MANOR 6107,S200000,00400,0200,155149 6107,S200000,00400,0300,01/01/1982 6107,S200000,00400,0500,P 6107,S200000,00600,0200,155149 6107,S200000,00600,0300,01/01/1982 6107,S200000,00600,0600,P 6107,S200000,01600,0100,Y 6110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6110,A000000,00300,0000,00300EMPLOYEE BENEFITS 6110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6110,A000000,00700,0000,00700HOUSEKEEPING 6110,A000000,00800,0000,00800DIETARY 6110,A000000,00900,0000,00900NURSING ADMINISTRATION 6110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6110,A000000,01100,0000,01100PHARMACY 6110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6110,A000000,01300,0000,01300SOCIAL SERVICE 6110,A000000,01301,0000,01301ACTIVITIES 6110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6110,A000000,01600,0000,01600SKILLED NURSING FACILITY 6110,A000000,01800,0000,01800NURSING FACILITY 6110,A000000,01810,0000,01810ICF/MR 6110,A000000,02100,0000,02100RADIOLOGY 6110,A000000,02200,0000,02200LABORATORY 6110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6110,A000000,02500,0000,02500PHYSICAL THERAPY 6110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6110,A000000,02700,0000,02700SPEECH PATHOLOGY 6110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6110,A000000,03550,0000,03550FQHC 6110,A000000,05000,0000,05000CORF 6110,A000000,05010,0000,05010CMHC 6110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6110,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6110,A81000A,00100,0100,Y 6110,A81000B,00100,0300,HOME OFFICE COST 6110,A81000B,00400,0300,HOME OFFICE COST 6110,A81000B,00500,0300,HOME OFFICE COST 6110,A81000B,00600,0300,HOME OFFICE COST 6110,A81000B,00800,0300,HOME OFFICE COST 6110,A81000C,00100,0100,B 6110,A81000C,00100,0200,BEVERLY ENTERPR 6110,B100000,00000,0100,00000(SQUARE FEET) 6110,B100000,00000,0200,00000(SQUARE FEET) 6110,B100000,00000,0300,00000(ADJUSTED SALARIES) 6110,B100000,00000,0400,00000(ACCUM. COST) 6110,B100000,00000,0500,00000(SQUARE FEET) 6110,B100000,00000,0600,00000(PATIENT DAYS) 6110,B100000,00000,0700,00000(SQUARE FEET) 6110,B100000,00000,0800,00000(MEALS SERVED) 6110,B100000,00000,0900,00000(ADJUSTED SALARIES) 6110,B100000,00000,1000,00000(PATIENT DAYS) 6110,B100000,00000,1100,00000(COSTED REQUIS) 6110,B100000,00000,1200,00000(TOTAL CHARGES) 6110,B100000,00000,1300,00000(PATIENT DAYS) 6110,B100000,00000,1301,00000(PATIENT DAYS) 6110,B100000,00000,1400,00000(ASSIGNED TIME) 6110,E10A180,00301,0100,01/27/1999 6110,E10A180,00302,0100,06/14/1999 6110,E10A180,00303,0100,10/08/1999 6110,E10A180,00350,0100,12/09/1999 6110,E10A180,00351,0100,02/14/2000 6110,S000000,00100,0200,06/02/2000 6110,S200000,00100,0100,1042 OAK DRIVE 6110,S200000,00200,0100,RICHMOND 6110,S200000,00200,0200,IN 6110,S200000,00200,0300,47374 6110,S200000,00300,0100,WAYNE 6110,S200000,00400,0100,OAK RIDGE CONV CNTR 6110,S200000,00400,0200,155157 6110,S200000,00400,0300,05/01/1982 6110,S200000,00400,0500,P 6110,S200000,00600,0200,155157 6110,S200000,00600,0300,05/01/1982 6110,S200000,00600,0600,P 6110,S200000,01600,0100,Y 6110,S200000,04200,0100,Y 6110,S200000,04300,0100,Y 6113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6113,A000000,00300,0000,00300EMPLOYEE BENEFITS 6113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6113,A000000,00700,0000,00700HOUSEKEEPING 6113,A000000,00800,0000,00800DIETARY 6113,A000000,00900,0000,00900NURSING ADMINISTRATION 6113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6113,A000000,01100,0000,01100PHARMACY 6113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6113,A000000,01300,0000,01300SOCIAL SERVICE 6113,A000000,01301,0000,01301ACTIVITIES 6113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6113,A000000,01600,0000,01600SKILLED NURSING FACILITY 6113,A000000,01800,0000,01800NURSING FACILITY 6113,A000000,01810,0000,01810ICF/MR 6113,A000000,02100,0000,02100RADIOLOGY 6113,A000000,02200,0000,02200LABORATORY 6113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6113,A000000,02500,0000,02500PHYSICAL THERAPY 6113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6113,A000000,02700,0000,02700SPEECH PATHOLOGY 6113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6113,A000000,03550,0000,03550FQHC 6113,A000000,05000,0000,05000CORF 6113,A000000,05010,0000,05010CMHC 6113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6113,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6113,A81000A,00100,0100,Y 6113,A81000B,00100,0300,HOME OFFICE COST 6113,A81000B,00400,0300,HOME OFFICE COST 6113,A81000B,00500,0300,HOME OFFICE COST 6113,A81000B,00600,0300,HOME OFFICE COST 6113,A81000B,00800,0300,HOME OFFICE COST 6113,A81000C,00100,0100,B 6113,A81000C,00100,0200,BEVERLY ENTERPR 6113,B100000,00000,0100,00000(SQUARE FEET) 6113,B100000,00000,0200,00000(SQUARE FEET) 6113,B100000,00000,0300,00000(ADJUSTED SALARIES) 6113,B100000,00000,0400,00000(ACCUM. COST) 6113,B100000,00000,0500,00000(SQUARE FEET) 6113,B100000,00000,0600,00000(PATIENT DAYS) 6113,B100000,00000,0700,00000(SQUARE FEET) 6113,B100000,00000,0800,00000(MEALS SERVED) 6113,B100000,00000,0900,00000(ADJUSTED SALARIES) 6113,B100000,00000,1000,00000(PATIENT DAYS) 6113,B100000,00000,1100,00000(COSTED REQUIS) 6113,B100000,00000,1200,00000(TOTAL CHARGES) 6113,B100000,00000,1300,00000(PATIENT DAYS) 6113,B100000,00000,1301,00000(PATIENT DAYS) 6113,B100000,00000,1400,00000(ASSIGNED TIME) 6113,E10A180,00301,0100,01/27/1999 6113,E10A180,00350,0100,06/14/1999 6113,E10A180,00351,0100,10/08/1999 6113,E10A180,00352,0100,12/09/1999 6113,E10A180,00353,0100,02/14/2000 6113,S000000,00100,0200,06/02/2000 6113,S200000,00100,0100,2940 N CLINTON STREET 6113,S200000,00200,0100,WAYNE 6113,S200000,00200,0200,IN 6113,S200000,00200,0300,46805 6113,S200000,00300,0100,ALLEN 6113,S200000,00400,0100,THREE RIVERS CONV CNTR 6113,S200000,00400,0200,155159 6113,S200000,00400,0300,01/01/1982 6113,S200000,00400,0500,P 6113,S200000,00600,0200,155159 6113,S200000,00600,0300,01/01/1982 6113,S200000,00600,0600,P 6113,S200000,01600,0100,Y 6116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6116,A000000,00300,0000,00300EMPLOYEE BENEFITS 6116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6116,A000000,00700,0000,00700HOUSEKEEPING 6116,A000000,00800,0000,00800DIETARY 6116,A000000,00900,0000,00900NURSING ADMINISTRATION 6116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6116,A000000,01100,0000,01100PHARMACY 6116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6116,A000000,01300,0000,01300SOCIAL SERVICE 6116,A000000,01301,0000,01301ACTIVITIES 6116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6116,A000000,01600,0000,01600SKILLED NURSING FACILITY 6116,A000000,01800,0000,01800NURSING FACILITY 6116,A000000,01810,0000,01810ICF/MR 6116,A000000,01900,0000,01900OTHER LONG TERM CARE 6116,A000000,02100,0000,02100RADIOLOGY 6116,A000000,02200,0000,02200LABORATORY 6116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6116,A000000,02500,0000,02500PHYSICAL THERAPY 6116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6116,A000000,02700,0000,02700SPEECH PATHOLOGY 6116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6116,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6116,A000000,03550,0000,03550FQHC 6116,A000000,05000,0000,05000CORF 6116,A000000,05010,0000,05010CMHC 6116,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6116,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6116,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6116,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6116,A81000A,00100,0100,Y 6116,A81000B,00100,0300,HOME OFFICE COST 6116,A81000B,00400,0300,HOME OFFICE COST 6116,A81000B,00500,0300,HOME OFFICE COST 6116,A81000B,00600,0300,HOME OFFICE COST 6116,A81000B,00800,0300,HOME OFFICE COST 6116,A81000C,00100,0100,B 6116,A81000C,00100,0200,BEVERLY ENTERPR 6116,B100000,00000,0100,00000(SQUARE FEET) 6116,B100000,00000,0200,00000(SQUARE FEET) 6116,B100000,00000,0300,00000(ADJUSTED SALARIES) 6116,B100000,00000,0400,00000(ACCUM. COST) 6116,B100000,00000,0500,00000(SQUARE FEET) 6116,B100000,00000,0600,00000(PATIENT DAYS) 6116,B100000,00000,0700,00000(SQUARE FEET) 6116,B100000,00000,0800,00000(MEALS SERVED) 6116,B100000,00000,0900,00000(ADJUSTED SALARIES) 6116,B100000,00000,1000,00000(PATIENT DAYS) 6116,B100000,00000,1100,00000(COSTED REQUIS) 6116,B100000,00000,1200,00000(TOTAL CHARGES) 6116,B100000,00000,1300,00000(PATIENT DAYS) 6116,B100000,00000,1301,00000(PATIENT DAYS) 6116,B100000,00000,1400,00000(ASSIGNED TIME) 6116,E10A180,00301,0100,01/27/1999 6116,E10A180,00302,0100,12/09/1999 6116,E10A180,00303,0100,02/14/2000 6116,E10A180,00350,0100,06/14/1999 6116,E10A180,00351,0100,10/08/1999 6116,S000000,00100,0200,06/02/2000 6116,S200000,00100,0100,609 W TANGLEWOOD 6116,S200000,00200,0100,MISHAWAKA 6116,S200000,00200,0200,IN 6116,S200000,00200,0300,46544 6116,S200000,00300,0100,ST. JOSEPH 6116,S200000,00400,0100,FOUNTAINVIEW PLACE OF MISHAWAK 6116,S200000,00400,0200,155178 6116,S200000,00400,0300,02/01/1983 6116,S200000,00400,0500,P 6116,S200000,00600,0200,155178 6116,S200000,00600,0300,02/01/1983 6116,S200000,00600,0600,P 6116,S200000,01600,0100,Y 6119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6119,A000000,00300,0000,00300EMPLOYEE BENEFITS 6119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6119,A000000,00700,0000,00700HOUSEKEEPING 6119,A000000,00800,0000,00800DIETARY 6119,A000000,00900,0000,00900NURSING ADMINISTRATION 6119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6119,A000000,01100,0000,01100PHARMACY 6119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6119,A000000,01300,0000,01300SOCIAL SERVICE 6119,A000000,01301,0000,01301ACTIVITIES 6119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6119,A000000,01600,0000,01600SKILLED NURSING FACILITY 6119,A000000,01800,0000,01800NURSING FACILITY 6119,A000000,01810,0000,01810ICF/MR 6119,A000000,02100,0000,02100RADIOLOGY 6119,A000000,02200,0000,02200LABORATORY 6119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6119,A000000,02500,0000,02500PHYSICAL THERAPY 6119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6119,A000000,02700,0000,02700SPEECH PATHOLOGY 6119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6119,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6119,A000000,03550,0000,03550FQHC 6119,A000000,05000,0000,05000CORF 6119,A000000,05010,0000,05010CMHC 6119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6119,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6119,A81000A,00100,0100,Y 6119,A81000B,00100,0300,HOME OFFICE COST 6119,A81000B,00400,0300,HOME OFFICE COST 6119,A81000B,00500,0300,HOME OFFICE COST 6119,A81000B,00600,0300,HOME OFFICE COST 6119,A81000B,00800,0300,HOME OFFICE COST 6119,A81000C,00100,0100,B 6119,A81000C,00100,0200,BEVERLY ENTERPR 6119,B100000,00000,0100,00000(SQUARE FEET) 6119,B100000,00000,0200,00000(SQUARE FEET) 6119,B100000,00000,0300,00000(ADJUSTED SALARIES) 6119,B100000,00000,0400,00000(ACCUM. COST) 6119,B100000,00000,0500,00000(SQUARE FEET) 6119,B100000,00000,0600,00000(PATIENT DAYS) 6119,B100000,00000,0700,00000(SQUARE FEET) 6119,B100000,00000,0800,00000(MEALS SERVED) 6119,B100000,00000,0900,00000(ADJUSTED SALARIES) 6119,B100000,00000,1000,00000(PATIENT DAYS) 6119,B100000,00000,1100,00000(COSTED REQUIS) 6119,B100000,00000,1200,00000(TOTAL CHARGES) 6119,B100000,00000,1300,00000(PATIENT DAYS) 6119,B100000,00000,1301,00000(PATIENT DAYS) 6119,B100000,00000,1400,00000(ASSIGNED TIME) 6119,S000000,00100,0200,06/02/2000 6119,S200000,00100,0100,3175 LANCER STREET 6119,S200000,00200,0100,PORTAGE 6119,S200000,00200,0200,IN 6119,S200000,00200,0300,46368 6119,S200000,00300,0100,PORTER 6119,S200000,00400,0100,FOUNTAINVIEW PLACE OF PORTAGE 6119,S200000,00400,0200,155187 6119,S200000,00400,0300,02/01/1983 6119,S200000,00400,0500,P 6119,S200000,00600,0200,155187 6119,S200000,00600,0300,02/01/1983 6119,S200000,00600,0600,P 6119,S200000,01600,0100,Y 6122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6122,A000000,00300,0000,00300EMPLOYEE BENEFITS 6122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6122,A000000,00700,0000,00700HOUSEKEEPING 6122,A000000,00800,0000,00800DIETARY 6122,A000000,00900,0000,00900NURSING ADMINISTRATION 6122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6122,A000000,01100,0000,01100PHARMACY 6122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6122,A000000,01300,0000,01300SOCIAL SERVICE 6122,A000000,01301,0000,01301ACTIVITIES 6122,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6122,A000000,01600,0000,01600SKILLED NURSING FACILITY 6122,A000000,01800,0000,01800NURSING FACILITY 6122,A000000,01810,0000,01810ICF/MR 6122,A000000,01900,0000,01900OTHER LONG TERM CARE 6122,A000000,02100,0000,02100RADIOLOGY 6122,A000000,02200,0000,02200LABORATORY 6122,A000000,02500,0000,02500PHYSICAL THERAPY 6122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6122,A000000,02700,0000,02700SPEECH PATHOLOGY 6122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6122,A000000,03550,0000,03550FQHC 6122,A000000,05000,0000,05000CORF 6122,A000000,05010,0000,05010CMHC 6122,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6122,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6122,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6122,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6122,A81000A,00100,0100,Y 6122,A81000B,00100,0300,HOME OFFICE COST 6122,A81000B,00400,0300,HOME OFFICE COST 6122,A81000B,00500,0300,HOME OFFICE COST 6122,A81000B,00600,0300,HOME OFFICE COST 6122,A81000B,00800,0300,HOME OFFICE COST 6122,A81000C,00100,0100,B 6122,A81000C,00100,0200,BEVERLY ENTERPR 6122,B100000,00000,0100,00000(SQUARE FEET) 6122,B100000,00000,0200,00000(SQUARE FEET) 6122,B100000,00000,0300,00000(ADJUSTED SALARIES) 6122,B100000,00000,0400,00000(ACCUM. COST) 6122,B100000,00000,0500,00000(SQUARE FEET) 6122,B100000,00000,0600,00000(PATIENT DAYS) 6122,B100000,00000,0700,00000(SQUARE FEET) 6122,B100000,00000,0800,00000(MEALS SERVED) 6122,B100000,00000,0900,00000(ADJUSTED SALARIES) 6122,B100000,00000,1000,00000(PATIENT DAYS) 6122,B100000,00000,1100,00000(COSTED REQUIS) 6122,B100000,00000,1200,00000(TOTAL CHARGES) 6122,B100000,00000,1300,00000(PATIENT DAYS) 6122,B100000,00000,1301,00000(PATIENT DAYS) 6122,B100000,00000,1400,00000(ASSIGNED TIME) 6122,E10A180,00301,0100,06/14/1999 6122,E10A180,00302,0100,10/08/1999 6122,E10A180,00303,0100,12/09/1999 6122,E10A180,00350,0100,01/27/1999 6122,E10A180,00351,0100,02/14/2000 6122,S000000,00100,0200,06/02/2000 6122,S200000,00100,0100,30 EAST CHANDLER 6122,S200000,00200,0100,EVANSVILLE 6122,S200000,00200,0200,IN 6122,S200000,00200,0300,47713 6122,S200000,00300,0100,VANDERBURGH 6122,S200000,00400,0100,BRENTWOOD CONVALESCENT CTR 6122,S200000,00400,0200,155248 6122,S200000,00400,0300,02/06/1985 6122,S200000,00400,0500,P 6122,S200000,00600,0200,155248 6122,S200000,00600,0300,02/06/1985 6122,S200000,00600,0600,P 6122,S200000,01600,0100,Y 6122,S200000,04200,0100,Y 6122,S200000,04300,0100,Y 6125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6125,A000000,00300,0000,00300EMPLOYEE BENEFITS 6125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6125,A000000,00700,0000,00700HOUSEKEEPING 6125,A000000,00800,0000,00800DIETARY 6125,A000000,00900,0000,00900NURSING ADMINISTRATION 6125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6125,A000000,01100,0000,01100PHARMACY 6125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6125,A000000,01300,0000,01300SOCIAL SERVICE 6125,A000000,01301,0000,01301ACTIVITIES 6125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6125,A000000,01600,0000,01600SKILLED NURSING FACILITY 6125,A000000,01800,0000,01800NURSING FACILITY 6125,A000000,01810,0000,01810ICF/MR 6125,A000000,01900,0000,01900OTHER LONG TERM CARE 6125,A000000,02100,0000,02100RADIOLOGY 6125,A000000,02200,0000,02200LABORATORY 6125,A000000,02500,0000,02500PHYSICAL THERAPY 6125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6125,A000000,02700,0000,02700SPEECH PATHOLOGY 6125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6125,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6125,A000000,03550,0000,03550FQHC 6125,A000000,05000,0000,05000CORF 6125,A000000,05010,0000,05010CMHC 6125,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6125,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6125,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6125,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6125,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6125,A81000A,00100,0100,Y 6125,A81000B,00100,0300,HOME OFFICE COST 6125,A81000B,00400,0300,HOME OFFICE COST 6125,A81000B,00500,0300,HOME OFFICE COST 6125,A81000B,00600,0300,HOME OFFICE COST 6125,A81000B,00800,0300,HOME OFFICE COST 6125,A81000C,00100,0100,B 6125,A81000C,00100,0200,BEVERLY ENTERPR 6125,B100000,00000,0100,00000(SQUARE FEET) 6125,B100000,00000,0200,00000(SQUARE FEET) 6125,B100000,00000,0300,00000(ADJUSTED SALARIES) 6125,B100000,00000,0400,00000(ACCUM. COST) 6125,B100000,00000,0500,00000(SQUARE FEET) 6125,B100000,00000,0600,00000(PATIENT DAYS) 6125,B100000,00000,0700,00000(SQUARE FEET) 6125,B100000,00000,0800,00000(MEALS SERVED) 6125,B100000,00000,0900,00000(ADJUSTED SALARIES) 6125,B100000,00000,1000,00000(PATIENT DAYS) 6125,B100000,00000,1100,00000(COSTED REQUIS) 6125,B100000,00000,1200,00000(TOTAL CHARGES) 6125,B100000,00000,1300,00000(PATIENT DAYS) 6125,B100000,00000,1301,00000(PATIENT DAYS) 6125,B100000,00000,1400,00000(ASSIGNED TIME) 6125,E10A180,00301,0100,01/27/1999 6125,E10A180,00350,0100,06/14/1999 6125,E10A180,00351,0100,10/08/1999 6125,E10A180,00352,0100,12/09/1999 6125,E10A180,00353,0100,02/14/2000 6125,S000000,00100,0200,06/02/2000 6125,S200000,00100,0100,4088 FRAME ROAD 6125,S200000,00200,0100,NEWBURGH 6125,S200000,00200,0200,IN 6125,S200000,00200,0300,47630 6125,S200000,00300,0100,WARRICK 6125,S200000,00400,0100,WOODLANDS CONVALESCENT CTR 6125,S200000,00400,0200,155252 6125,S200000,00400,0300,02/02/1985 6125,S200000,00400,0500,P 6125,S200000,00600,0200,155252 6125,S200000,00600,0300,02/02/1985 6125,S200000,00600,0600,P 6125,S200000,01600,0100,Y 6125,S200000,04200,0100,Y 6125,S200000,04300,0100,Y 6128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6128,A000000,00300,0000,00300EMPLOYEE BENEFITS 6128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6128,A000000,00700,0000,00700HOUSEKEEPING 6128,A000000,00800,0000,00800DIETARY 6128,A000000,00900,0000,00900NURSING ADMINISTRATION 6128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6128,A000000,01100,0000,01100PHARMACY 6128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6128,A000000,01300,0000,01300SOCIAL SERVICE 6128,A000000,01301,0000,01301ACTIVITIES 6128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6128,A000000,01600,0000,01600SKILLED NURSING FACILITY 6128,A000000,01800,0000,01800NURSING FACILITY 6128,A000000,01810,0000,01810ICF/MR 6128,A000000,01900,0000,01900OTHER LONG TERM CARE 6128,A000000,02200,0000,02200LABORATORY 6128,A000000,02500,0000,02500PHYSICAL THERAPY 6128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6128,A000000,02700,0000,02700SPEECH PATHOLOGY 6128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6128,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6128,A000000,03550,0000,03550FQHC 6128,A000000,05000,0000,05000CORF 6128,A000000,05010,0000,05010CMHC 6128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6128,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6128,A81000A,00100,0100,Y 6128,A81000B,00100,0300,HOME OFFICE COST 6128,A81000B,00400,0300,HOME OFFICE COST 6128,A81000B,00500,0300,HOME OFFICE COST 6128,A81000B,00600,0300,HOME OFFICE COST 6128,A81000B,00800,0300,HOME OFFICE COST 6128,A81000C,00100,0100,B 6128,A81000C,00100,0200,BEVERLY ENTERPR 6128,B100000,00000,0100,00000(SQUARE FEET) 6128,B100000,00000,0200,00000(SQUARE FEET) 6128,B100000,00000,0300,00000(ADJUSTED SALARIES) 6128,B100000,00000,0400,00000(ACCUM. COST) 6128,B100000,00000,0500,00000(SQUARE FEET) 6128,B100000,00000,0600,00000(PATIENT DAYS) 6128,B100000,00000,0700,00000(SQUARE FEET) 6128,B100000,00000,0800,00000(MEALS SERVED) 6128,B100000,00000,0900,00000(ADJUSTED SALARIES) 6128,B100000,00000,1000,00000(PATIENT DAYS) 6128,B100000,00000,1100,00000(COSTED REQUIS) 6128,B100000,00000,1200,00000(TOTAL CHARGES) 6128,B100000,00000,1300,00000(PATIENT DAYS) 6128,B100000,00000,1301,00000(PATIENT DAYS) 6128,B100000,00000,1400,00000(ASSIGNED TIME) 6128,S000000,00100,0200,06/02/2000 6128,S200000,00100,0100,BOX 70 US 40 6128,S200000,00200,0100,GREENFIELD 6128,S200000,00200,0200,IN 6128,S200000,00200,0300,46140 6128,S200000,00300,0100,HANCOCK 6128,S200000,00400,0100,SUGAR CREEK (2044) B 6128,S200000,00400,0200,155254 6128,S200000,00400,0300,01/01/1984 6128,S200000,00400,0500,P 6128,S200000,00600,0200,155254 6128,S200000,00600,0300,01/01/1984 6128,S200000,00600,0600,P 6128,S200000,01600,0100,Y 6131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6131,A000000,00300,0000,00300EMPLOYEE BENEFITS 6131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6131,A000000,00700,0000,00700HOUSEKEEPING 6131,A000000,00800,0000,00800DIETARY 6131,A000000,00900,0000,00900NURSING ADMINISTRATION 6131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6131,A000000,01100,0000,01100PHARMACY 6131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6131,A000000,01300,0000,01300SOCIAL SERVICE 6131,A000000,01301,0000,01301ACTIVITIES 6131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6131,A000000,01600,0000,01600SKILLED NURSING FACILITY 6131,A000000,01800,0000,01800NURSING FACILITY 6131,A000000,01810,0000,01810ICF/MR 6131,A000000,02100,0000,02100RADIOLOGY 6131,A000000,02200,0000,02200LABORATORY 6131,A000000,02500,0000,02500PHYSICAL THERAPY 6131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6131,A000000,02700,0000,02700SPEECH PATHOLOGY 6131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6131,A000000,03550,0000,03550FQHC 6131,A000000,05000,0000,05000CORF 6131,A000000,05010,0000,05010CMHC 6131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6131,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6131,A81000A,00100,0100,Y 6131,A81000B,00100,0300,HOME OFFICE COST 6131,A81000B,00400,0300,HOME OFFICE COST 6131,A81000B,00500,0300,HOME OFFICE COST 6131,A81000B,00600,0300,HOME OFFICE COST 6131,A81000B,00800,0300,HOME OFFICE COST 6131,A81000C,00100,0100,B 6131,A81000C,00100,0200,BEVERLY ENTERPR 6131,B100000,00000,0100,00000(SQUARE FEET) 6131,B100000,00000,0200,00000(SQUARE FEET) 6131,B100000,00000,0300,00000(ADJUSTED SALARIES) 6131,B100000,00000,0400,00000(ACCUM. COST) 6131,B100000,00000,0500,00000(SQUARE FEET) 6131,B100000,00000,0600,00000(PATIENT DAYS) 6131,B100000,00000,0700,00000(SQUARE FEET) 6131,B100000,00000,0800,00000(MEALS SERVED) 6131,B100000,00000,0900,00000(ADJUSTED SALARIES) 6131,B100000,00000,1000,00000(PATIENT DAYS) 6131,B100000,00000,1100,00000(COSTED REQUIS) 6131,B100000,00000,1200,00000(TOTAL CHARGES) 6131,B100000,00000,1300,00000(PATIENT DAYS) 6131,B100000,00000,1301,00000(PATIENT DAYS) 6131,B100000,00000,1400,00000(ASSIGNED TIME) 6131,E10A180,00301,0100,12/09/1999 6131,E10A180,00302,0100,02/14/2000 6131,E10A180,00350,0100,01/27/1999 6131,E10A180,00351,0100,06/14/1999 6131,E10A180,00352,0100,10/08/1999 6131,S000000,00100,0200,06/02/2000 6131,S200000,00100,0100,2001 U.S. 27 SOUTH 6131,S200000,00200,0100,RICHMOND 6131,S200000,00200,0200,IN 6131,S200000,00200,0300,47374 6131,S200000,00300,0100,WAYNE 6131,S200000,00400,0100,GOLDEN RULE NURSING CNTR INC ( 6131,S200000,00400,0200,155264 6131,S200000,00400,0300,12/01/1984 6131,S200000,00400,0500,P 6131,S200000,00600,0200,155264 6131,S200000,00600,0300,12/01/1984 6131,S200000,00600,0600,P 6131,S200000,01600,0100,Y 6134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6134,A000000,00300,0000,00300EMPLOYEE BENEFITS 6134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6134,A000000,00700,0000,00700HOUSEKEEPING 6134,A000000,00800,0000,00800DIETARY 6134,A000000,00900,0000,00900NURSING ADMINISTRATION 6134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6134,A000000,01100,0000,01100PHARMACY 6134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6134,A000000,01300,0000,01300SOCIAL SERVICE 6134,A000000,01301,0000,01301ACTIVITIES 6134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6134,A000000,01600,0000,01600SKILLED NURSING FACILITY 6134,A000000,01800,0000,01800NURSING FACILITY 6134,A000000,01810,0000,01810ICF/MR 6134,A000000,02200,0000,02200LABORATORY 6134,A000000,02500,0000,02500PHYSICAL THERAPY 6134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6134,A000000,02700,0000,02700SPEECH PATHOLOGY 6134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6134,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6134,A000000,03550,0000,03550FQHC 6134,A000000,05000,0000,05000CORF 6134,A000000,05010,0000,05010CMHC 6134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6134,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6134,A81000A,00100,0100,Y 6134,A81000B,00100,0300,HOME OFFICE COST 6134,A81000B,00400,0300,HOME OFFICE COST 6134,A81000B,00500,0300,HOME OFFICE COST 6134,A81000B,00600,0300,HOME OFFICE COST 6134,A81000B,00800,0300,HOME OFFICE COST 6134,A81000C,00100,0100,B 6134,A81000C,00100,0200,BEVERLY ENTERPR 6134,B100000,00000,0100,00000(SQUARE FEET) 6134,B100000,00000,0200,00000(SQUARE FEET) 6134,B100000,00000,0300,00000(ADJUSTED SALARIES) 6134,B100000,00000,0400,00000(ACCUM. COST) 6134,B100000,00000,0500,00000(SQUARE FEET) 6134,B100000,00000,0600,00000(PATIENT DAYS) 6134,B100000,00000,0700,00000(SQUARE FEET) 6134,B100000,00000,0800,00000(MEALS SERVED) 6134,B100000,00000,0900,00000(ADJUSTED SALARIES) 6134,B100000,00000,1000,00000(PATIENT DAYS) 6134,B100000,00000,1100,00000(COSTED REQUIS) 6134,B100000,00000,1200,00000(TOTAL CHARGES) 6134,B100000,00000,1300,00000(PATIENT DAYS) 6134,B100000,00000,1301,00000(PATIENT DAYS) 6134,B100000,00000,1400,00000(ASSIGNED TIME) 6134,E10A180,00301,0100,06/14/1999 6134,E10A180,00302,0100,10/08/1999 6134,E10A180,00303,0100,12/09/1999 6134,E10A180,00304,0100,02/14/2000 6134,E10A180,00350,0100,01/27/1999 6134,S000000,00100,0200,06/02/2000 6134,S200000,00100,0100,3305 S HWY 37 6134,S200000,00200,0100,BLOOMINGTON 6134,S200000,00200,0200,IN 6134,S200000,00200,0300,47402 6134,S200000,00300,0100,MONROE 6134,S200000,00400,0100,FONTANBLEU NURSING HOME (2046) 6134,S200000,00400,0200,155278 6134,S200000,00400,0300,06/01/1984 6134,S200000,00400,0500,P 6134,S200000,00600,0200,155278 6134,S200000,00600,0300,06/01/1984 6134,S200000,00600,0600,P 6134,S200000,01600,0100,Y 6137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6137,A000000,00300,0000,00300EMPLOYEE BENEFITS 6137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6137,A000000,00700,0000,00700HOUSEKEEPING 6137,A000000,00800,0000,00800DIETARY 6137,A000000,00900,0000,00900NURSING ADMINISTRATION 6137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6137,A000000,01100,0000,01100PHARMACY 6137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6137,A000000,01300,0000,01300SOCIAL SERVICE 6137,A000000,01301,0000,01301ACTIVITIES 6137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6137,A000000,01600,0000,01600SKILLED NURSING FACILITY 6137,A000000,01800,0000,01800NURSING FACILITY 6137,A000000,01810,0000,01810ICF/MR 6137,A000000,01900,0000,01900OTHER LONG TERM CARE 6137,A000000,02100,0000,02100RADIOLOGY 6137,A000000,02200,0000,02200LABORATORY 6137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6137,A000000,02500,0000,02500PHYSICAL THERAPY 6137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6137,A000000,02700,0000,02700SPEECH PATHOLOGY 6137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6137,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6137,A000000,03550,0000,03550FQHC 6137,A000000,05000,0000,05000CORF 6137,A000000,05010,0000,05010CMHC 6137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6137,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6137,A81000A,00100,0100,Y 6137,A81000B,00100,0300,HOME OFFICE COST 6137,A81000B,00400,0300,HOME OFFICE COST 6137,A81000B,00500,0300,HOME OFFICE COST 6137,A81000B,00600,0300,HOME OFFICE COST 6137,A81000B,00800,0300,HOME OFFICE COST 6137,A81000C,00100,0100,B 6137,A81000C,00100,0200,BEVERLY ENTERPR 6137,B100000,00000,0100,00000(SQUARE FEET) 6137,B100000,00000,0200,00000(SQUARE FEET) 6137,B100000,00000,0300,00000(ADJUSTED SALARIES) 6137,B100000,00000,0400,00000(ACCUM. COST) 6137,B100000,00000,0500,00000(SQUARE FEET) 6137,B100000,00000,0600,00000(PATIENT DAYS) 6137,B100000,00000,0700,00000(SQUARE FEET) 6137,B100000,00000,0800,00000(MEALS SERVED) 6137,B100000,00000,0900,00000(ADJUSTED SALARIES) 6137,B100000,00000,1000,00000(PATIENT DAYS) 6137,B100000,00000,1100,00000(COSTED REQUIS) 6137,B100000,00000,1200,00000(TOTAL CHARGES) 6137,B100000,00000,1300,00000(PATIENT DAYS) 6137,B100000,00000,1301,00000(PATIENT DAYS) 6137,B100000,00000,1400,00000(ASSIGNED TIME) 6137,S000000,00100,0200,06/02/2000 6137,S200000,00100,0100,10466 POLLACK AVE 6137,S200000,00200,0100,NEWBURGH 6137,S200000,00200,0200,IN 6137,S200000,00200,0300,47630 6137,S200000,00300,0100,WARRICK 6137,S200000,00400,0100,02744 - NEWBURGH HEALTH CARE A 6137,S200000,00400,0200,155354 6137,S200000,00400,0300,03/10/1990 6137,S200000,00400,0500,P 6137,S200000,00600,0200,155354 6137,S200000,00600,0300,03/10/1990 6137,S200000,00600,0600,P 6137,S200000,01600,0100,Y 6140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6140,A000000,00300,0000,00300EMPLOYEE BENEFITS 6140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6140,A000000,00700,0000,00700HOUSEKEEPING 6140,A000000,00800,0000,00800DIETARY 6140,A000000,00900,0000,00900NURSING ADMINISTRATION 6140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6140,A000000,01100,0000,01100PHARMACY 6140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6140,A000000,01300,0000,01300SOCIAL SERVICE 6140,A000000,01301,0000,01301ACTIVITIES 6140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6140,A000000,01600,0000,01600SKILLED NURSING FACILITY 6140,A000000,01800,0000,01800NURSING FACILITY 6140,A000000,01810,0000,01810ICF/MR 6140,A000000,02100,0000,02100RADIOLOGY 6140,A000000,02200,0000,02200LABORATORY 6140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6140,A000000,02500,0000,02500PHYSICAL THERAPY 6140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6140,A000000,02700,0000,02700SPEECH PATHOLOGY 6140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6140,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6140,A000000,03550,0000,03550FQHC 6140,A000000,05000,0000,05000CORF 6140,A000000,05010,0000,05010CMHC 6140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6140,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6140,A81000A,00100,0100,Y 6140,A81000B,00100,0300,HOME OFFICE COST 6140,A81000B,00400,0300,HOME OFFICE COST 6140,A81000B,00500,0300,HOME OFFICE COST 6140,A81000B,00600,0300,HOME OFFICE COST 6140,A81000B,00800,0300,HOME OFFICE COST 6140,A81000C,00100,0100,B 6140,A81000C,00100,0200,BEVERLY ENTERPR 6140,B100000,00000,0100,00000(SQUARE FEET) 6140,B100000,00000,0200,00000(SQUARE FEET) 6140,B100000,00000,0300,00000(ADJUSTED SALARIES) 6140,B100000,00000,0400,00000(ACCUM. COST) 6140,B100000,00000,0500,00000(SQUARE FEET) 6140,B100000,00000,0600,00000(PATIENT DAYS) 6140,B100000,00000,0700,00000(SQUARE FEET) 6140,B100000,00000,0800,00000(MEALS SERVED) 6140,B100000,00000,0900,00000(ADJUSTED SALARIES) 6140,B100000,00000,1000,00000(PATIENT DAYS) 6140,B100000,00000,1100,00000(COSTED REQUIS) 6140,B100000,00000,1200,00000(TOTAL CHARGES) 6140,B100000,00000,1300,00000(PATIENT DAYS) 6140,B100000,00000,1301,00000(PATIENT DAYS) 6140,B100000,00000,1400,00000(ASSIGNED TIME) 6140,E10A180,00301,0100,01/27/1999 6140,E10A180,00302,0100,12/09/1999 6140,E10A180,00350,0100,06/14/1999 6140,E10A180,00351,0100,10/08/1999 6140,E10A180,00352,0100,02/14/2000 6140,S000000,00100,0200,06/02/2000 6140,S200000,00100,0100,8800 VIRGINIA PLACE 6140,S200000,00200,0100,MERRILLVILLE 6140,S200000,00200,0200,IN 6140,S200000,00200,0300,46410 6140,S200000,00300,0100,LAKE 6140,S200000,00400,0100,SOUTHLAKE CARE CENTER (276) B 6140,S200000,00400,0200,155362 6140,S200000,00400,0300,02/01/1983 6140,S200000,00400,0500,P 6140,S200000,00600,0200,155362 6140,S200000,00600,0300,02/01/1983 6140,S200000,00600,0600,P 6140,S200000,01600,0100,Y 6143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6143,A000000,00300,0000,00300EMPLOYEE BENEFITS 6143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6143,A000000,00700,0000,00700HOUSEKEEPING 6143,A000000,00800,0000,00800DIETARY 6143,A000000,00900,0000,00900NURSING ADMINISTRATION 6143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6143,A000000,01100,0000,01100PHARMACY 6143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6143,A000000,01300,0000,01300SOCIAL SERVICE 6143,A000000,01301,0000,01301ACTIVITIES 6143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6143,A000000,01600,0000,01600SKILLED NURSING FACILITY 6143,A000000,01800,0000,01800NURSING FACILITY 6143,A000000,01810,0000,01810ICF/MR 6143,A000000,02100,0000,02100RADIOLOGY 6143,A000000,02200,0000,02200LABORATORY 6143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6143,A000000,02500,0000,02500PHYSICAL THERAPY 6143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6143,A000000,02700,0000,02700SPEECH PATHOLOGY 6143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6143,A000000,03550,0000,03550FQHC 6143,A000000,05000,0000,05000CORF 6143,A000000,05010,0000,05010CMHC 6143,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6143,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6143,A81000A,00100,0100,Y 6143,A81000B,00100,0300,HOME OFFICE COST 6143,A81000B,00400,0300,HOME OFFICE COST 6143,A81000B,00500,0300,HOME OFFICE COST 6143,A81000B,00600,0300,HOME OFFICE COST 6143,A81000B,00800,0300,HOME OFFICE COST 6143,A81000C,00100,0100,B 6143,A81000C,00100,0200,BEVERLY ENTERPR 6143,B100000,00000,0100,00000(SQUARE FEET) 6143,B100000,00000,0200,00000(SQUARE FEET) 6143,B100000,00000,0300,00000(ADJUSTED SALARIES) 6143,B100000,00000,0400,00000(ACCUM. COST) 6143,B100000,00000,0500,00000(SQUARE FEET) 6143,B100000,00000,0600,00000(PATIENT DAYS) 6143,B100000,00000,0700,00000(SQUARE FEET) 6143,B100000,00000,0800,00000(MEALS SERVED) 6143,B100000,00000,0900,00000(ADJUSTED SALARIES) 6143,B100000,00000,1000,00000(PATIENT DAYS) 6143,B100000,00000,1100,00000(COSTED REQUIS) 6143,B100000,00000,1200,00000(TOTAL CHARGES) 6143,B100000,00000,1300,00000(PATIENT DAYS) 6143,B100000,00000,1301,00000(PATIENT DAYS) 6143,B100000,00000,1400,00000(ASSIGNED TIME) 6143,E10A180,00301,0100,06/14/1999 6143,E10A180,00302,0100,10/08/1999 6143,E10A180,00303,0100,02/14/2000 6143,E10A180,00350,0100,01/27/1999 6143,E10A180,00351,0100,12/09/1999 6143,S000000,00100,0200,06/02/2000 6143,S200000,00100,0100,2905 W. SYCAMORE ROAD 6143,S200000,00200,0100,KOKOMO 6143,S200000,00200,0200,IN 6143,S200000,00200,0300,46901 6143,S200000,00300,0100,HOWARD 6143,S200000,00400,0100,SYCAMORE VILLAGE 6143,S200000,00400,0200,155367 6143,S200000,00400,0300,02/01/1991 6143,S200000,00400,0500,P 6143,S200000,00600,0200,155367 6143,S200000,00600,0300,02/01/1991 6143,S200000,00600,0600,P 6143,S200000,01600,0100,Y 6146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6146,A000000,00300,0000,00300EMPLOYEE BENEFITS 6146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6146,A000000,00700,0000,00700HOUSEKEEPING 6146,A000000,00800,0000,00800DIETARY 6146,A000000,00900,0000,00900NURSING ADMINISTRATION 6146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6146,A000000,01100,0000,01100PHARMACY 6146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6146,A000000,01300,0000,01300SOCIAL SERVICE 6146,A000000,01301,0000,01301ACTIVITIES 6146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6146,A000000,01600,0000,01600SKILLED NURSING FACILITY 6146,A000000,01800,0000,01800NURSING FACILITY 6146,A000000,01810,0000,01810ICF/MR 6146,A000000,02100,0000,02100RADIOLOGY 6146,A000000,02200,0000,02200LABORATORY 6146,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6146,A000000,02500,0000,02500PHYSICAL THERAPY 6146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6146,A000000,02700,0000,02700SPEECH PATHOLOGY 6146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6146,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6146,A000000,03550,0000,03550FQHC 6146,A000000,05000,0000,05000CORF 6146,A000000,05010,0000,05010CMHC 6146,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6146,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6146,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6146,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6146,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6146,A81000A,00100,0100,Y 6146,A81000B,00100,0300,HOME OFFICE COST 6146,A81000B,00400,0300,HOME OFFICE COST 6146,A81000B,00500,0300,HOME OFFICE COST 6146,A81000B,00600,0300,HOME OFFICE COST 6146,A81000B,00800,0300,HOME OFFICE COST 6146,A81000C,00100,0100,B 6146,A81000C,00100,0200,BEVERLY ENTERPR 6146,B100000,00000,0100,00000(SQUARE FEET) 6146,B100000,00000,0200,00000(SQUARE FEET) 6146,B100000,00000,0300,00000(ADJUSTED SALARIES) 6146,B100000,00000,0400,00000(ACCUM. COST) 6146,B100000,00000,0500,00000(SQUARE FEET) 6146,B100000,00000,0600,00000(PATIENT DAYS) 6146,B100000,00000,0700,00000(SQUARE FEET) 6146,B100000,00000,0800,00000(MEALS SERVED) 6146,B100000,00000,0900,00000(ADJUSTED SALARIES) 6146,B100000,00000,1000,00000(PATIENT DAYS) 6146,B100000,00000,1100,00000(COSTED REQUIS) 6146,B100000,00000,1200,00000(TOTAL CHARGES) 6146,B100000,00000,1300,00000(PATIENT DAYS) 6146,B100000,00000,1301,00000(PATIENT DAYS) 6146,B100000,00000,1400,00000(ASSIGNED TIME) 6146,E10A180,00301,0100,06/14/1999 6146,E10A180,00302,0100,10/08/1999 6146,E10A180,00303,0100,02/14/2000 6146,E10A180,00350,0100,01/27/1999 6146,E10A180,00351,0100,12/09/1999 6146,S000000,00100,0200,06/02/2000 6146,S200000,00100,0100,PIKE AVENUE 6146,S200000,00200,0100,PETERSBURG 6146,S200000,00200,0200,IN 6146,S200000,00200,0300,47567 6146,S200000,00300,0100,PIKE 6146,S200000,00400,0100,PETERSBURG HEALTH CARE CNTR 6146,S200000,00400,0200,155375 6146,S200000,00400,0300,01/01/1983 6146,S200000,00400,0500,P 6146,S200000,00600,0200,155375 6146,S200000,00600,0300,01/01/1983 6146,S200000,00600,0600,P 6146,S200000,01600,0100,Y 6149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6149,A000000,00300,0000,00300EMPLOYEE BENEFITS 6149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6149,A000000,00700,0000,00700HOUSEKEEPING 6149,A000000,00800,0000,00800DIETARY 6149,A000000,00900,0000,00900NURSING ADMINISTRATION 6149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6149,A000000,01100,0000,01100PHARMACY 6149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6149,A000000,01300,0000,01300SOCIAL SERVICE 6149,A000000,01301,0000,01301ACTIVITIES 6149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6149,A000000,01600,0000,01600SKILLED NURSING FACILITY 6149,A000000,01800,0000,01800NURSING FACILITY 6149,A000000,01810,0000,01810ICF/MR 6149,A000000,02100,0000,02100RADIOLOGY 6149,A000000,02200,0000,02200LABORATORY 6149,A000000,02500,0000,02500PHYSICAL THERAPY 6149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6149,A000000,02700,0000,02700SPEECH PATHOLOGY 6149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6149,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6149,A000000,03550,0000,03550FQHC 6149,A000000,05000,0000,05000CORF 6149,A000000,05010,0000,05010CMHC 6149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6149,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6149,A81000A,00100,0100,Y 6149,A81000B,00100,0300,HOME OFFICE COST 6149,A81000B,00400,0300,HOME OFFICE COST 6149,A81000B,00500,0300,HOME OFFICE COST 6149,A81000B,00600,0300,HOME OFFICE COST 6149,A81000B,00800,0300,HOME OFFICE COST 6149,A81000C,00100,0100,B 6149,A81000C,00100,0200,BEVERLY ENTERPR 6149,B100000,00000,0100,00000(SQUARE FEET) 6149,B100000,00000,0200,00000(SQUARE FEET) 6149,B100000,00000,0300,00000(ADJUSTED SALARIES) 6149,B100000,00000,0400,00000(ACCUM. COST) 6149,B100000,00000,0500,00000(SQUARE FEET) 6149,B100000,00000,0600,00000(PATIENT DAYS) 6149,B100000,00000,0700,00000(SQUARE FEET) 6149,B100000,00000,0800,00000(MEALS SERVED) 6149,B100000,00000,0900,00000(ADJUSTED SALARIES) 6149,B100000,00000,1000,00000(PATIENT DAYS) 6149,B100000,00000,1100,00000(COSTED REQUIS) 6149,B100000,00000,1200,00000(TOTAL CHARGES) 6149,B100000,00000,1300,00000(PATIENT DAYS) 6149,B100000,00000,1301,00000(PATIENT DAYS) 6149,B100000,00000,1400,00000(ASSIGNED TIME) 6149,E10A180,00301,0100,06/14/1999 6149,E10A180,00302,0100,10/08/1999 6149,E10A180,00303,0100,02/14/2000 6149,E10A180,00350,0100,01/27/1999 6149,E10A180,00351,0100,12/09/1999 6149,S000000,00100,0200,06/02/2000 6149,S200000,00100,0100,402 19TH STREET 6149,S200000,00200,0100,TELL CITY 6149,S200000,00200,0200,IN 6149,S200000,00200,0300,47586 6149,S200000,00300,0100,PERRY 6149,S200000,00400,0100,LINCOLN HILLS NURSING HOME 6149,S200000,00400,0200,155384 6149,S200000,00400,0300,09/01/1991 6149,S200000,00400,0500,P 6149,S200000,00600,0200,155384 6149,S200000,00600,0300,09/01/1991 6149,S200000,00600,0600,P 6149,S200000,01600,0100,Y 6149,S200000,04200,0100,Y 6149,S200000,04300,0100,Y 6152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6152,A000000,00300,0000,00300EMPLOYEE BENEFITS 6152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6152,A000000,00700,0000,00700HOUSEKEEPING 6152,A000000,00800,0000,00800DIETARY 6152,A000000,00900,0000,00900NURSING ADMINISTRATION 6152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6152,A000000,01100,0000,01100PHARMACY 6152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6152,A000000,01300,0000,01300SOCIAL SERVICE 6152,A000000,01301,0000,01301ACTIVITIES 6152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6152,A000000,01600,0000,01600SKILLED NURSING FACILITY 6152,A000000,01800,0000,01800NURSING FACILITY 6152,A000000,01810,0000,01810ICF/MR 6152,A000000,02100,0000,02100RADIOLOGY 6152,A000000,02200,0000,02200LABORATORY 6152,A000000,02500,0000,02500PHYSICAL THERAPY 6152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6152,A000000,02700,0000,02700SPEECH PATHOLOGY 6152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6152,A000000,03550,0000,03550FQHC 6152,A000000,05000,0000,05000CORF 6152,A000000,05010,0000,05010CMHC 6152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6152,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6152,A81000A,00100,0100,Y 6152,A81000B,00100,0300,HOME OFFICE COST 6152,A81000B,00400,0300,HOME OFFICE COST 6152,A81000B,00500,0300,HOME OFFICE COST 6152,A81000B,00600,0300,HOME OFFICE COST 6152,A81000B,00800,0300,HOME OFFICE COST 6152,A81000C,00100,0100,B 6152,A81000C,00100,0200,BEVERLY ENTERPR 6152,B100000,00000,0100,00000(SQUARE FEET) 6152,B100000,00000,0200,00000(SQUARE FEET) 6152,B100000,00000,0300,00000(ADJUSTED SALARIES) 6152,B100000,00000,0400,00000(ACCUM. COST) 6152,B100000,00000,0500,00000(SQUARE FEET) 6152,B100000,00000,0600,00000(PATIENT DAYS) 6152,B100000,00000,0700,00000(SQUARE FEET) 6152,B100000,00000,0800,00000(MEALS SERVED) 6152,B100000,00000,0900,00000(ADJUSTED SALARIES) 6152,B100000,00000,1000,00000(PATIENT DAYS) 6152,B100000,00000,1100,00000(COSTED REQUIS) 6152,B100000,00000,1200,00000(TOTAL CHARGES) 6152,B100000,00000,1300,00000(PATIENT DAYS) 6152,B100000,00000,1301,00000(PATIENT DAYS) 6152,B100000,00000,1400,00000(ASSIGNED TIME) 6152,E10A180,00301,0100,01/27/1999 6152,E10A180,00302,0100,06/14/1999 6152,E10A180,00303,0100,02/14/2000 6152,E10A180,00350,0100,10/08/1999 6152,E10A180,00351,0100,12/09/1999 6152,S000000,00100,0200,06/02/2000 6152,S200000,00100,0100,816 FIRST AVENUE 6152,S200000,00200,0100,EVANSVILLE 6152,S200000,00200,0200,IN 6152,S200000,00200,0300,47710 6152,S200000,00300,0100,VANDERBURGH 6152,S200000,00400,0100,WOODBRIDGE HEALTH CARE 6152,S200000,00400,0200,155390 6152,S200000,00400,0300,10/01/1991 6152,S200000,00400,0500,P 6152,S200000,00600,0200,155390 6152,S200000,00600,0300,10/01/1991 6152,S200000,00600,0600,P 6152,S200000,01600,0100,Y 6156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6156,A000000,00300,0000,00300EMPLOYEE BENEFITS 6156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6156,A000000,00700,0000,00700HOUSEKEEPING 6156,A000000,00800,0000,00800DIETARY 6156,A000000,00900,0000,00900NURSING ADMINISTRATION 6156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6156,A000000,01100,0000,01100PHARMACY 6156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6156,A000000,01300,0000,01300SOCIAL SERVICE 6156,A000000,01301,0000,01301ACTIVITIES 6156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6156,A000000,01600,0000,01600SKILLED NURSING FACILITY 6156,A000000,01800,0000,01800NURSING FACILITY 6156,A000000,01810,0000,01810ICF/MR 6156,A000000,02100,0000,02100RADIOLOGY 6156,A000000,02200,0000,02200LABORATORY 6156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6156,A000000,02500,0000,02500PHYSICAL THERAPY 6156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6156,A000000,02700,0000,02700SPEECH PATHOLOGY 6156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6156,A000000,03550,0000,03550FQHC 6156,A000000,05000,0000,05000CORF 6156,A000000,05010,0000,05010CMHC 6156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6156,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6156,A81000A,00100,0100,Y 6156,A81000B,00100,0300,HOME OFFICE COST 6156,A81000B,00400,0300,HOME OFFICE COST 6156,A81000B,00500,0300,HOME OFFICE COST 6156,A81000B,00600,0300,HOME OFFICE COST 6156,A81000B,00800,0300,HOME OFFICE COST 6156,A81000C,00100,0100,B 6156,A81000C,00100,0200,BEVERLY ENTERPR 6156,B100000,00000,0100,00000(SQUARE FEET) 6156,B100000,00000,0200,00000(SQUARE FEET) 6156,B100000,00000,0300,00000(ADJUSTED SALARIES) 6156,B100000,00000,0400,00000(ACCUM. COST) 6156,B100000,00000,0500,00000(SQUARE FEET) 6156,B100000,00000,0600,00000(PATIENT DAYS) 6156,B100000,00000,0700,00000(SQUARE FEET) 6156,B100000,00000,0800,00000(MEALS SERVED) 6156,B100000,00000,0900,00000(ADJUSTED SALARIES) 6156,B100000,00000,1000,00000(PATIENT DAYS) 6156,B100000,00000,1100,00000(COSTED REQUIS) 6156,B100000,00000,1200,00000(TOTAL CHARGES) 6156,B100000,00000,1300,00000(PATIENT DAYS) 6156,B100000,00000,1301,00000(PATIENT DAYS) 6156,B100000,00000,1400,00000(ASSIGNED TIME) 6156,E10A180,00301,0100,06/14/1999 6156,E10A180,00302,0100,10/08/1999 6156,E10A180,00303,0100,02/14/2000 6156,E10A180,00350,0100,12/09/1999 6156,S000000,00100,0200,06/02/2000 6156,S200000,00100,0100,3015 W 31ST 6156,S200000,00200,0100,LAWRENCE 6156,S200000,00200,0200,KS 6156,S200000,00200,0300,66044 6156,S200000,00300,0100,DOUGLAS 6156,S200000,00400,0100,CM-LAWRENCE (#149) 6156,S200000,00400,0200,175192 6156,S200000,00400,0300,12/01/1989 6156,S200000,00400,0500,P 6156,S200000,00600,0200,175192 6156,S200000,00600,0300,12/01/1989 6156,S200000,00600,0600,P 6156,S200000,01600,0100,Y 6161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6161,A000000,00300,0000,00300EMPLOYEE BENEFITS 6161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6161,A000000,00700,0000,00700HOUSEKEEPING 6161,A000000,00800,0000,00800DIETARY 6161,A000000,00900,0000,00900NURSING ADMINISTRATION 6161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6161,A000000,01100,0000,01100PHARMACY 6161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6161,A000000,01300,0000,01300SOCIAL SERVICE 6161,A000000,01301,0000,01301ACTIVITIES 6161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6161,A000000,01600,0000,01600SKILLED NURSING FACILITY 6161,A000000,01800,0000,01800NURSING FACILITY 6161,A000000,01810,0000,01810ICF/MR 6161,A000000,02200,0000,02200LABORATORY 6161,A000000,02500,0000,02500PHYSICAL THERAPY 6161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6161,A000000,02700,0000,02700SPEECH PATHOLOGY 6161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6161,A000000,03550,0000,03550FQHC 6161,A000000,05000,0000,05000CORF 6161,A000000,05010,0000,05010CMHC 6161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6161,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6161,A81000A,00100,0100,Y 6161,A81000B,00100,0300,HOME OFFICE COST 6161,A81000B,00400,0300,HOME OFFICE COST 6161,A81000B,00500,0300,HOME OFFICE COST 6161,A81000B,00600,0300,HOME OFFICE COST 6161,A81000B,00800,0300,HOME OFFICE COST 6161,A81000C,00100,0100,B 6161,A81000C,00100,0200,BEVERLY ENTERPR 6161,B100000,00000,0100,00000(SQUARE FEET) 6161,B100000,00000,0200,00000(SQUARE FEET) 6161,B100000,00000,0300,00000(ADJUSTED SALARIES) 6161,B100000,00000,0400,00000(ACCUM. COST) 6161,B100000,00000,0500,00000(SQUARE FEET) 6161,B100000,00000,0600,00000(PATIENT DAYS) 6161,B100000,00000,0700,00000(SQUARE FEET) 6161,B100000,00000,0800,00000(MEALS SERVED) 6161,B100000,00000,0900,00000(ADJUSTED SALARIES) 6161,B100000,00000,1000,00000(PATIENT DAYS) 6161,B100000,00000,1100,00000(COSTED REQUIS) 6161,B100000,00000,1200,00000(TOTAL CHARGES) 6161,B100000,00000,1300,00000(PATIENT DAYS) 6161,B100000,00000,1301,00000(PATIENT DAYS) 6161,B100000,00000,1400,00000(ASSIGNED TIME) 6161,S000000,00100,0200,06/02/2000 6161,S200000,00100,0100,RT 2 1218 KANSAS AVE 6161,S200000,00200,0100,DOWNS 6161,S200000,00200,0200,KS 6161,S200000,00200,0300,67437 6161,S200000,00300,0100,OSBORNE 6161,S200000,00400,0100,DOWNS NURS.CTR.(#197) 6161,S200000,00400,0200,175201 6161,S200000,00400,0300,02/01/1991 6161,S200000,00400,0500,P 6161,S200000,00600,0200,175201 6161,S200000,00600,0300,02/01/1991 6161,S200000,00600,0600,P 6161,S200000,01600,0100,Y 6165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6165,A000000,00300,0000,00300EMPLOYEE BENEFITS 6165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6165,A000000,00700,0000,00700HOUSEKEEPING 6165,A000000,00800,0000,00800DIETARY 6165,A000000,00900,0000,00900NURSING ADMINISTRATION 6165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6165,A000000,01100,0000,01100PHARMACY 6165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6165,A000000,01300,0000,01300SOCIAL SERVICE 6165,A000000,01301,0000,01301ACTIVITIES 6165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6165,A000000,01600,0000,01600SKILLED NURSING FACILITY 6165,A000000,01800,0000,01800NURSING FACILITY 6165,A000000,01810,0000,01810ICF/MR 6165,A000000,02200,0000,02200LABORATORY 6165,A000000,02500,0000,02500PHYSICAL THERAPY 6165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6165,A000000,02700,0000,02700SPEECH PATHOLOGY 6165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6165,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6165,A000000,03550,0000,03550FQHC 6165,A000000,05000,0000,05000CORF 6165,A000000,05010,0000,05010CMHC 6165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6165,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6165,A81000A,00100,0100,Y 6165,A81000B,00100,0300,HOME OFFICE COST 6165,A81000B,00400,0300,HOME OFFICE COST 6165,A81000B,00500,0300,HOME OFFICE COST 6165,A81000B,00600,0300,HOME OFFICE COST 6165,A81000B,00800,0300,HOME OFFICE COST 6165,A81000C,00100,0100,B 6165,A81000C,00100,0200,BEVERLY ENTERPR 6165,B100000,00000,0100,00000(SQUARE FEET) 6165,B100000,00000,0200,00000(SQUARE FEET) 6165,B100000,00000,0300,00000(ADJUSTED SALARIES) 6165,B100000,00000,0400,00000(ACCUM. COST) 6165,B100000,00000,0500,00000(SQUARE FEET) 6165,B100000,00000,0600,00000(PATIENT DAYS) 6165,B100000,00000,0700,00000(SQUARE FEET) 6165,B100000,00000,0800,00000(MEALS SERVED) 6165,B100000,00000,0900,00000(ADJUSTED SALARIES) 6165,B100000,00000,1000,00000(PATIENT DAYS) 6165,B100000,00000,1100,00000(COSTED REQUIS) 6165,B100000,00000,1200,00000(TOTAL CHARGES) 6165,B100000,00000,1300,00000(PATIENT DAYS) 6165,B100000,00000,1301,00000(PATIENT DAYS) 6165,B100000,00000,1400,00000(ASSIGNED TIME) 6165,E10A180,00301,0100,06/14/1999 6165,E10A180,00302,0100,10/08/1999 6165,E10A180,00303,0100,02/14/2000 6165,E10A180,00350,0100,01/27/1999 6165,E10A180,00351,0100,12/09/1999 6165,S000000,00100,0200,06/02/2000 6165,S200000,00100,0100,105 EAST COLLEGE DRIVE 6165,S200000,00200,0100,COLBY 6165,S200000,00200,0200,KS 6165,S200000,00200,0300,67701 6165,S200000,00300,0100,THOMAS 6165,S200000,00400,0100,LANTERN PARK MANOR 6165,S200000,00400,0200,175202 6165,S200000,00400,0300,04/01/1991 6165,S200000,00400,0500,P 6165,S200000,00600,0200,175202 6165,S200000,00600,0300,04/01/1991 6165,S200000,00600,0600,P 6165,S200000,01600,0100,Y 6169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6169,A000000,00300,0000,00300EMPLOYEE BENEFITS 6169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6169,A000000,00700,0000,00700HOUSEKEEPING 6169,A000000,00800,0000,00800DIETARY 6169,A000000,00900,0000,00900NURSING ADMINISTRATION 6169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6169,A000000,01100,0000,01100PHARMACY 6169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6169,A000000,01300,0000,01300SOCIAL SERVICE 6169,A000000,01301,0000,01301ACTIVITIES 6169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6169,A000000,01600,0000,01600SKILLED NURSING FACILITY 6169,A000000,01800,0000,01800NURSING FACILITY 6169,A000000,01810,0000,01810ICF/MR 6169,A000000,02100,0000,02100RADIOLOGY 6169,A000000,02200,0000,02200LABORATORY 6169,A000000,02500,0000,02500PHYSICAL THERAPY 6169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6169,A000000,02700,0000,02700SPEECH PATHOLOGY 6169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6169,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6169,A000000,03550,0000,03550FQHC 6169,A000000,05000,0000,05000CORF 6169,A000000,05010,0000,05010CMHC 6169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6169,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6169,A81000A,00100,0100,Y 6169,A81000B,00100,0300,HOME OFFICE COST 6169,A81000B,00400,0300,HOME OFFICE COST 6169,A81000B,00500,0300,HOME OFFICE COST 6169,A81000B,00600,0300,HOME OFFICE COST 6169,A81000B,00800,0300,HOME OFFICE COST 6169,A81000C,00100,0100,B 6169,A81000C,00100,0200,BEVERLY ENTERPR 6169,B100000,00000,0100,00000(SQUARE FEET) 6169,B100000,00000,0200,00000(SQUARE FEET) 6169,B100000,00000,0300,00000(ADJUSTED SALARIES) 6169,B100000,00000,0400,00000(ACCUM. COST) 6169,B100000,00000,0500,00000(SQUARE FEET) 6169,B100000,00000,0600,00000(PATIENT DAYS) 6169,B100000,00000,0700,00000(SQUARE FEET) 6169,B100000,00000,0800,00000(MEALS SERVED) 6169,B100000,00000,0900,00000(ADJUSTED SALARIES) 6169,B100000,00000,1000,00000(PATIENT DAYS) 6169,B100000,00000,1100,00000(COSTED REQUIS) 6169,B100000,00000,1200,00000(TOTAL CHARGES) 6169,B100000,00000,1300,00000(PATIENT DAYS) 6169,B100000,00000,1301,00000(PATIENT DAYS) 6169,B100000,00000,1400,00000(ASSIGNED TIME) 6169,E10A180,00301,0100,01/27/1999 6169,E10A180,00302,0100,12/09/1999 6169,E10A180,00350,0100,06/14/1999 6169,E10A180,00351,0100,10/08/1999 6169,E10A180,00352,0100,02/14/2000 6169,S000000,00100,0200,06/02/2000 6169,S200000,00100,0100,611 31ST STREET 6169,S200000,00200,0100,WILSON 6169,S200000,00200,0200,KS 6169,S200000,00200,0300,67490 6169,S200000,00300,0100,ELLSWORTH 6169,S200000,00400,0100,WILSON NURSING HOME 6169,S200000,00400,0200,175205 6169,S200000,00400,0300,05/01/1991 6169,S200000,00400,0500,P 6169,S200000,00600,0200,175205 6169,S200000,00600,0300,05/01/1991 6169,S200000,00600,0600,P 6169,S200000,01600,0100,Y 6172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6172,A000000,00300,0000,00300EMPLOYEE BENEFITS 6172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6172,A000000,00700,0000,00700HOUSEKEEPING 6172,A000000,00800,0000,00800DIETARY 6172,A000000,00900,0000,00900NURSING ADMINISTRATION 6172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6172,A000000,01100,0000,01100PHARMACY 6172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6172,A000000,01300,0000,01300SOCIAL SERVICE 6172,A000000,01301,0000,01301ACTIVITIES 6172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6172,A000000,01600,0000,01600SKILLED NURSING FACILITY 6172,A000000,01800,0000,01800NURSING FACILITY 6172,A000000,01810,0000,01810ICF/MR 6172,A000000,02100,0000,02100RADIOLOGY 6172,A000000,02200,0000,02200LABORATORY 6172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6172,A000000,02500,0000,02500PHYSICAL THERAPY 6172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6172,A000000,02700,0000,02700SPEECH PATHOLOGY 6172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6172,A000000,03550,0000,03550FQHC 6172,A000000,05000,0000,05000CORF 6172,A000000,05010,0000,05010CMHC 6172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6172,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6172,A81000A,00100,0100,Y 6172,A81000B,00100,0300,HOME OFFICE COST 6172,A81000B,00400,0300,HOME OFFICE COST 6172,A81000B,00500,0300,HOME OFFICE COST 6172,A81000B,00600,0300,HOME OFFICE COST 6172,A81000B,00800,0300,HOME OFFICE COST 6172,A81000C,00100,0100,B 6172,A81000C,00100,0200,BEVERLY ENTERPR 6172,B100000,00000,0100,00000(SQUARE FEET) 6172,B100000,00000,0200,00000(SQUARE FEET) 6172,B100000,00000,0300,00000(ADJUSTED SALARIES) 6172,B100000,00000,0400,00000(ACCUM. COST) 6172,B100000,00000,0500,00000(SQUARE FEET) 6172,B100000,00000,0600,00000(PATIENT DAYS) 6172,B100000,00000,0700,00000(SQUARE FEET) 6172,B100000,00000,0800,00000(MEALS SERVED) 6172,B100000,00000,0900,00000(ADJUSTED SALARIES) 6172,B100000,00000,1000,00000(PATIENT DAYS) 6172,B100000,00000,1100,00000(COSTED REQUIS) 6172,B100000,00000,1200,00000(TOTAL CHARGES) 6172,B100000,00000,1300,00000(PATIENT DAYS) 6172,B100000,00000,1301,00000(PATIENT DAYS) 6172,B100000,00000,1400,00000(ASSIGNED TIME) 6172,E10A180,00301,0100,06/14/1999 6172,E10A180,00302,0100,02/14/2000 6172,E10A180,00350,0100,10/08/1999 6172,E10A180,00351,0100,12/09/1999 6172,S000000,00100,0200,06/02/2000 6172,S200000,00100,0100,1005 CENTENNIAL 6172,S200000,00200,0100,PITTSBURG 6172,S200000,00200,0200,KS 6172,S200000,00200,0300,66762 6172,S200000,00300,0100,CRAWFORD 6172,S200000,00400,0100,BEVERLY NURSING CENTER 6172,S200000,00400,0200,175208 6172,S200000,00400,0300,05/01/1991 6172,S200000,00400,0500,P 6172,S200000,00600,0200,175208 6172,S200000,00600,0300,05/01/1991 6172,S200000,00600,0600,P 6172,S200000,01600,0100,Y 6175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6175,A000000,00300,0000,00300EMPLOYEE BENEFITS 6175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6175,A000000,00700,0000,00700HOUSEKEEPING 6175,A000000,00800,0000,00800DIETARY 6175,A000000,00900,0000,00900NURSING ADMINISTRATION 6175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6175,A000000,01100,0000,01100PHARMACY 6175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6175,A000000,01300,0000,01300SOCIAL SERVICE 6175,A000000,01301,0000,01301ACTIVITIES 6175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6175,A000000,01600,0000,01600SKILLED NURSING FACILITY 6175,A000000,01800,0000,01800NURSING FACILITY 6175,A000000,01810,0000,01810ICF/MR 6175,A000000,01900,0000,01900OTHER LONG TERM CARE 6175,A000000,02100,0000,02100RADIOLOGY 6175,A000000,02200,0000,02200LABORATORY 6175,A000000,02500,0000,02500PHYSICAL THERAPY 6175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6175,A000000,02700,0000,02700SPEECH PATHOLOGY 6175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6175,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6175,A000000,03550,0000,03550FQHC 6175,A000000,05000,0000,05000CORF 6175,A000000,05010,0000,05010CMHC 6175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6175,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6175,A81000A,00100,0100,Y 6175,A81000B,00100,0300,HOME OFFICE COST 6175,A81000B,00400,0300,HOME OFFICE COST 6175,A81000B,00500,0300,HOME OFFICE COST 6175,A81000B,00600,0300,HOME OFFICE COST 6175,A81000B,00800,0300,HOME OFFICE COST 6175,A81000C,00100,0100,B 6175,A81000C,00100,0200,BEVERLY ENTERPR 6175,B100000,00000,0100,00000(SQUARE FEET) 6175,B100000,00000,0200,00000(SQUARE FEET) 6175,B100000,00000,0300,00000(ADJUSTED SALARIES) 6175,B100000,00000,0400,00000(ACCUM. COST) 6175,B100000,00000,0500,00000(SQUARE FEET) 6175,B100000,00000,0600,00000(PATIENT DAYS) 6175,B100000,00000,0700,00000(SQUARE FEET) 6175,B100000,00000,0800,00000(MEALS SERVED) 6175,B100000,00000,0900,00000(ADJUSTED SALARIES) 6175,B100000,00000,1000,00000(PATIENT DAYS) 6175,B100000,00000,1100,00000(COSTED REQUIS) 6175,B100000,00000,1200,00000(TOTAL CHARGES) 6175,B100000,00000,1300,00000(PATIENT DAYS) 6175,B100000,00000,1301,00000(PATIENT DAYS) 6175,B100000,00000,1400,00000(ASSIGNED TIME) 6175,E10A180,00301,0100,12/09/1999 6175,E10A180,00350,0100,01/27/1999 6175,E10A180,00351,0100,06/14/1999 6175,E10A180,00352,0100,10/08/1999 6175,E10A180,00353,0100,02/14/2000 6175,S000000,00100,0200,06/02/2000 6175,S200000,00100,0100,1010 EAST STREET 6175,S200000,00200,0100,TONGANOXIE 6175,S200000,00200,0200,KS 6175,S200000,00200,0300,66086 6175,S200000,00300,0100,LEAVENWORTH 6175,S200000,00400,0100,TONGANOXIE NURSING CENTER #3919 6175,S200000,00400,0200,175215 6175,S200000,00400,0300,02/01/1992 6175,S200000,00400,0500,P 6175,S200000,00600,0200,175215 6175,S200000,00600,0300,02/01/1992 6175,S200000,00600,0600,P 6175,S200000,01600,0100,Y 6178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6178,A000000,00300,0000,00300EMPLOYEE BENEFITS 6178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6178,A000000,00700,0000,00700HOUSEKEEPING 6178,A000000,00800,0000,00800DIETARY 6178,A000000,00900,0000,00900NURSING ADMINISTRATION 6178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6178,A000000,01100,0000,01100PHARMACY 6178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6178,A000000,01300,0000,01300SOCIAL SERVICE 6178,A000000,01301,0000,01301ACTIVITIES 6178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6178,A000000,01600,0000,01600SKILLED NURSING FACILITY 6178,A000000,01800,0000,01800NURSING FACILITY 6178,A000000,01810,0000,01810ICF/MR 6178,A000000,02100,0000,02100RADIOLOGY 6178,A000000,02200,0000,02200LABORATORY 6178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6178,A000000,02500,0000,02500PHYSICAL THERAPY 6178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6178,A000000,02700,0000,02700SPEECH PATHOLOGY 6178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6178,A000000,03550,0000,03550FQHC 6178,A000000,05000,0000,05000CORF 6178,A000000,05010,0000,05010CMHC 6178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6178,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6178,A81000A,00100,0100,Y 6178,A81000B,00100,0300,HOME OFFICE COST 6178,A81000B,00400,0300,HOME OFFICE COST 6178,A81000B,00500,0300,HOME OFFICE COST 6178,A81000B,00600,0300,HOME OFFICE COST 6178,A81000B,00800,0300,HOME OFFICE COST 6178,A81000C,00100,0100,B 6178,A81000C,00100,0200,BEVERLY ENTERPR 6178,B100000,00000,0100,00000(SQUARE FEET) 6178,B100000,00000,0200,00000(SQUARE FEET) 6178,B100000,00000,0300,00000(ADJUSTED SALARIES) 6178,B100000,00000,0400,00000(ACCUM. COST) 6178,B100000,00000,0500,00000(SQUARE FEET) 6178,B100000,00000,0600,00000(PATIENT DAYS) 6178,B100000,00000,0700,00000(SQUARE FEET) 6178,B100000,00000,0800,00000(MEALS SERVED) 6178,B100000,00000,0900,00000(ADJUSTED SALARIES) 6178,B100000,00000,1000,00000(PATIENT DAYS) 6178,B100000,00000,1100,00000(COSTED REQUIS) 6178,B100000,00000,1200,00000(TOTAL CHARGES) 6178,B100000,00000,1300,00000(PATIENT DAYS) 6178,B100000,00000,1301,00000(PATIENT DAYS) 6178,B100000,00000,1400,00000(ASSIGNED TIME) 6178,E10A180,00301,0100,01/27/1999 6178,E10A180,00302,0100,06/14/1999 6178,E10A180,00350,0100,10/08/1999 6178,E10A180,00351,0100,12/09/1999 6178,E10A180,00352,0100,02/14/2000 6178,S000000,00100,0200,06/02/2000 6178,S200000,00100,0100,ROUTE 1 HIGHWAY 36 BOX 6 6178,S200000,00200,0100,WATHENA 6178,S200000,00200,0200,KS 6178,S200000,00200,0300,66090 6178,S200000,00300,0100,DONIPHAN 6178,S200000,00400,0100,COL.MANOR NRSG.&CARE CTR.#151 6178,S200000,00400,0200,175216 6178,S200000,00400,0300,02/01/1992 6178,S200000,00400,0500,P 6178,S200000,00600,0200,175216 6178,S200000,00600,0300,02/01/1992 6178,S200000,00600,0600,P 6178,S200000,01600,0100,Y 6181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6181,A000000,00300,0000,00300EMPLOYEE BENEFITS 6181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6181,A000000,00700,0000,00700HOUSEKEEPING 6181,A000000,00800,0000,00800DIETARY 6181,A000000,00900,0000,00900NURSING ADMINISTRATION 6181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6181,A000000,01100,0000,01100PHARMACY 6181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6181,A000000,01300,0000,01300SOCIAL SERVICE 6181,A000000,01301,0000,01301ACTIVITIES 6181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6181,A000000,01600,0000,01600SKILLED NURSING FACILITY 6181,A000000,01800,0000,01800NURSING FACILITY 6181,A000000,01810,0000,01810ICF/MR 6181,A000000,02100,0000,02100RADIOLOGY 6181,A000000,02200,0000,02200LABORATORY 6181,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6181,A000000,02500,0000,02500PHYSICAL THERAPY 6181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6181,A000000,02700,0000,02700SPEECH PATHOLOGY 6181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6181,A000000,03550,0000,03550FQHC 6181,A000000,05000,0000,05000CORF 6181,A000000,05010,0000,05010CMHC 6181,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6181,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6181,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6181,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6181,A81000A,00100,0100,Y 6181,A81000B,00100,0300,HOME OFFICE COST 6181,A81000B,00400,0300,HOME OFFICE COST 6181,A81000B,00500,0300,HOME OFFICE COST 6181,A81000B,00600,0300,HOME OFFICE COST 6181,A81000B,00800,0300,HOME OFFICE COST 6181,A81000C,00100,0100,B 6181,A81000C,00100,0200,BEVERLY ENTERPR 6181,B100000,00000,0100,00000(SQUARE FEET) 6181,B100000,00000,0200,00000(SQUARE FEET) 6181,B100000,00000,0300,00000(ADJUSTED SALARIES) 6181,B100000,00000,0400,00000(ACCUM. COST) 6181,B100000,00000,0500,00000(SQUARE FEET) 6181,B100000,00000,0600,00000(PATIENT DAYS) 6181,B100000,00000,0700,00000(SQUARE FEET) 6181,B100000,00000,0800,00000(MEALS SERVED) 6181,B100000,00000,0900,00000(ADJUSTED SALARIES) 6181,B100000,00000,1000,00000(PATIENT DAYS) 6181,B100000,00000,1100,00000(COSTED REQUIS) 6181,B100000,00000,1200,00000(TOTAL CHARGES) 6181,B100000,00000,1300,00000(PATIENT DAYS) 6181,B100000,00000,1301,00000(PATIENT DAYS) 6181,B100000,00000,1400,00000(ASSIGNED TIME) 6181,E10A180,00301,0100,10/08/1999 6181,E10A180,00350,0100,06/14/1999 6181,E10A180,00351,0100,12/09/1999 6181,E10A180,00352,0100,02/14/2000 6181,S000000,00100,0200,06/02/2000 6181,S200000,00100,0100,750 BLAKE STREET 6181,S200000,00200,0100,EDWARDSVILLE 6181,S200000,00200,0200,KS 6181,S200000,00200,0300,66111 6181,S200000,00300,0100,WYANDOTTE 6181,S200000,00400,0100,EDWARDSVILLE CONV.CENTER 6181,S200000,00400,0200,175219 6181,S200000,00400,0300,03/01/1992 6181,S200000,00400,0500,P 6181,S200000,00600,0200,175219 6181,S200000,00600,0300,03/01/1992 6181,S200000,00600,0600,P 6181,S200000,01600,0100,Y 6184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6184,A000000,00300,0000,00300EMPLOYEE BENEFITS 6184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6184,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6184,A000000,00700,0000,00700HOUSEKEEPING 6184,A000000,00800,0000,00800DIETARY 6184,A000000,00900,0000,00900NURSING ADMINISTRATION 6184,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6184,A000000,01100,0000,01100PHARMACY 6184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6184,A000000,01300,0000,01300SOCIAL SERVICE 6184,A000000,01301,0000,01301ACTIVITIES 6184,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6184,A000000,01600,0000,01600SKILLED NURSING FACILITY 6184,A000000,01800,0000,01800NURSING FACILITY 6184,A000000,01810,0000,01810ICF/MR 6184,A000000,02500,0000,02500PHYSICAL THERAPY 6184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6184,A000000,02700,0000,02700SPEECH PATHOLOGY 6184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6184,A000000,03550,0000,03550FQHC 6184,A000000,05000,0000,05000CORF 6184,A000000,05010,0000,05010CMHC 6184,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6184,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6184,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6184,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6184,A81000A,00100,0100,Y 6184,A81000B,00100,0300,HOME OFFICE COST 6184,A81000B,00400,0300,HOME OFFICE COST 6184,A81000B,00500,0300,HOME OFFICE COST 6184,A81000B,00600,0300,HOME OFFICE COST 6184,A81000B,00800,0300,HOME OFFICE COST 6184,A81000C,00100,0100,B 6184,A81000C,00100,0200,BEVERLY ENTERPR 6184,B100000,00000,0100,00000(SQUARE FEET) 6184,B100000,00000,0200,00000(SQUARE FEET) 6184,B100000,00000,0300,00000(ADJUSTED SALARIES) 6184,B100000,00000,0400,00000(ACCUM. COST) 6184,B100000,00000,0500,00000(SQUARE FEET) 6184,B100000,00000,0600,00000(PATIENT DAYS) 6184,B100000,00000,0700,00000(SQUARE FEET) 6184,B100000,00000,0800,00000(MEALS SERVED) 6184,B100000,00000,0900,00000(ADJUSTED SALARIES) 6184,B100000,00000,1000,00000(PATIENT DAYS) 6184,B100000,00000,1100,00000(COSTED REQUIS) 6184,B100000,00000,1200,00000(TOTAL CHARGES) 6184,B100000,00000,1300,00000(PATIENT DAYS) 6184,B100000,00000,1301,00000(PATIENT DAYS) 6184,B100000,00000,1400,00000(ASSIGNED TIME) 6184,E10A180,00301,0100,06/14/1999 6184,E10A180,00302,0100,10/08/1999 6184,E10A180,00350,0100,01/27/1999 6184,E10A180,00351,0100,12/09/1999 6184,E10A180,00352,0100,02/14/2000 6184,S000000,00100,0200,06/02/2000 6184,S200000,00100,0100,500 WESTERN STREET 6184,S200000,00200,0100,ONAGA 6184,S200000,00200,0200,KS 6184,S200000,00200,0300,66521 6184,S200000,00300,0100,POTTAWATOMIE 6184,S200000,00400,0100,GOLDEN ACRES #2628 6184,S200000,00400,0200,175220 6184,S200000,00400,0300,04/01/1992 6184,S200000,00400,0500,P 6184,S200000,00600,0200,175220 6184,S200000,00600,0300,04/01/1992 6184,S200000,00600,0600,P 6184,S200000,01600,0100,Y 6188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6188,A000000,00300,0000,00300EMPLOYEE BENEFITS 6188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6188,A000000,00700,0000,00700HOUSEKEEPING 6188,A000000,00800,0000,00800DIETARY 6188,A000000,00900,0000,00900NURSING ADMINISTRATION 6188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6188,A000000,01100,0000,01100PHARMACY 6188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6188,A000000,01300,0000,01300SOCIAL SERVICE 6188,A000000,01301,0000,01301ACTIVITIES 6188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6188,A000000,01600,0000,01600SKILLED NURSING FACILITY 6188,A000000,01800,0000,01800NURSING FACILITY 6188,A000000,01810,0000,01810ICF/MR 6188,A000000,02500,0000,02500PHYSICAL THERAPY 6188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6188,A000000,02700,0000,02700SPEECH PATHOLOGY 6188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6188,A000000,03550,0000,03550FQHC 6188,A000000,05000,0000,05000CORF 6188,A000000,05010,0000,05010CMHC 6188,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6188,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6188,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6188,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6188,A81000A,00100,0100,Y 6188,A81000B,00100,0300,HOME OFFICE COST 6188,A81000B,00400,0300,HOME OFFICE COST 6188,A81000B,00500,0300,HOME OFFICE COST 6188,A81000B,00600,0300,HOME OFFICE COST 6188,A81000B,00800,0300,HOME OFFICE COST 6188,A81000C,00100,0100,B 6188,A81000C,00100,0200,BEVERLY ENTERPR 6188,B100000,00000,0100,00000(SQUARE FEET) 6188,B100000,00000,0200,00000(SQUARE FEET) 6188,B100000,00000,0300,00000(ADJUSTED SALARIES) 6188,B100000,00000,0400,00000(ACCUM. COST) 6188,B100000,00000,0500,00000(SQUARE FEET) 6188,B100000,00000,0600,00000(PATIENT DAYS) 6188,B100000,00000,0700,00000(SQUARE FEET) 6188,B100000,00000,0800,00000(MEALS SERVED) 6188,B100000,00000,0900,00000(ADJUSTED SALARIES) 6188,B100000,00000,1000,00000(PATIENT DAYS) 6188,B100000,00000,1100,00000(COSTED REQUIS) 6188,B100000,00000,1200,00000(TOTAL CHARGES) 6188,B100000,00000,1300,00000(PATIENT DAYS) 6188,B100000,00000,1301,00000(PATIENT DAYS) 6188,B100000,00000,1400,00000(ASSIGNED TIME) 6188,E10A180,00301,0100,02/09/1999 6188,E10A180,00350,0100,01/27/1999 6188,E10A180,00351,0100,06/14/1999 6188,E10A180,00352,0100,10/08/1999 6188,E10A180,00353,0100,02/14/2000 6188,S000000,00100,0200,06/02/2000 6188,S200000,00100,0100,4TH & SANTA FE 6188,S200000,00200,0100,ST. JOHN 6188,S200000,00200,0200,KS 6188,S200000,00200,0300,67576 6188,S200000,00300,0100,STAFFORD 6188,S200000,00400,0100,HEARTHSTONE NURSING CENTER 6188,S200000,00400,0200,175222 6188,S200000,00400,0300,06/01/1992 6188,S200000,00400,0500,P 6188,S200000,00600,0200,175222 6188,S200000,00600,0300,06/01/1992 6188,S200000,00600,0600,P 6188,S200000,01600,0100,Y 6191,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6191,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6191,A000000,00300,0000,00300EMPLOYEE BENEFITS 6191,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6191,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6191,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6191,A000000,00700,0000,00700HOUSEKEEPING 6191,A000000,00800,0000,00800DIETARY 6191,A000000,00900,0000,00900NURSING ADMINISTRATION 6191,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6191,A000000,01100,0000,01100PHARMACY 6191,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6191,A000000,01300,0000,01300SOCIAL SERVICE 6191,A000000,01301,0000,01301ACTIVITIES 6191,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6191,A000000,01600,0000,01600SKILLED NURSING FACILITY 6191,A000000,01800,0000,01800NURSING FACILITY 6191,A000000,01810,0000,01810ICF/MR 6191,A000000,02200,0000,02200LABORATORY 6191,A000000,02500,0000,02500PHYSICAL THERAPY 6191,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6191,A000000,02700,0000,02700SPEECH PATHOLOGY 6191,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6191,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6191,A000000,03050,0000,03300OTHER ANCILLARY CONSOLDIATED BI 6191,A000000,03550,0000,03550FQHC 6191,A000000,05000,0000,05000CORF 6191,A000000,05010,0000,05010CMHC 6191,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6191,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6191,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6191,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6191,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6191,A81000A,00100,0100,Y 6191,A81000B,00100,0300,HOME OFFICE COST 6191,A81000B,00400,0300,HOME OFFICE COST 6191,A81000B,00500,0300,HOME OFFICE COST 6191,A81000B,00600,0300,HOME OFFICE COST 6191,A81000B,00800,0300,HOME OFFICE COST 6191,A81000C,00100,0100,B 6191,A81000C,00100,0200,BEVERLY ENTERPR 6191,B100000,00000,0100,00000(SQUARE FEET) 6191,B100000,00000,0200,00000(SQUARE FEET) 6191,B100000,00000,0300,00000(ADJUSTED SALARIES) 6191,B100000,00000,0400,00000(ACCUM. COST) 6191,B100000,00000,0500,00000(SQUARE FEET) 6191,B100000,00000,0600,00000(PATIENT DAYS) 6191,B100000,00000,0700,00000(SQUARE FEET) 6191,B100000,00000,0800,00000(MEALS SERVED) 6191,B100000,00000,0900,00000(ADJUSTED SALARIES) 6191,B100000,00000,1000,00000(PATIENT DAYS) 6191,B100000,00000,1100,00000(COSTED REQUIS) 6191,B100000,00000,1200,00000(TOTAL CHARGES) 6191,B100000,00000,1300,00000(PATIENT DAYS) 6191,B100000,00000,1301,00000(PATIENT DAYS) 6191,B100000,00000,1400,00000(ASSIGNED TIME) 6191,E10A180,00301,0100,06/14/1999 6191,E10A180,00350,0100,01/27/1999 6191,E10A180,00351,0100,10/08/1999 6191,E10A180,00352,0100,12/09/1999 6191,E10A180,00353,0100,02/14/2000 6191,S000000,00100,0200,06/02/2000 6191,S200000,00100,0100,612 WALNUT ROAD 6191,S200000,00200,0100,COTTONWOOD FALLS 6191,S200000,00200,0200,KS 6191,S200000,00200,0300,66845 6191,S200000,00300,0100,CHASE 6191,S200000,00400,0100,CHASE COUNTY NURSING CENTER 6191,S200000,00400,0200,175223 6191,S200000,00400,0300,06/01/1992 6191,S200000,00400,0500,P 6191,S200000,00600,0200,175223 6191,S200000,00600,0300,06/01/1992 6191,S200000,00600,0600,P 6191,S200000,01600,0100,Y 6194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6194,A000000,00300,0000,00300EMPLOYEE BENEFITS 6194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6194,A000000,00700,0000,00700HOUSEKEEPING 6194,A000000,00800,0000,00800DIETARY 6194,A000000,00900,0000,00900NURSING ADMINISTRATION 6194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6194,A000000,01100,0000,01100PHARMACY 6194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6194,A000000,01300,0000,01300SOCIAL SERVICE 6194,A000000,01301,0000,01301ACTIVITIES 6194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6194,A000000,01600,0000,01600SKILLED NURSING FACILITY 6194,A000000,01800,0000,01800NURSING FACILITY 6194,A000000,01810,0000,01810ICF/MR 6194,A000000,02100,0000,02100RADIOLOGY 6194,A000000,02200,0000,02200LABORATORY 6194,A000000,02500,0000,02500PHYSICAL THERAPY 6194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6194,A000000,02700,0000,02700SPEECH PATHOLOGY 6194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6194,A000000,03550,0000,03550FQHC 6194,A000000,05000,0000,05000CORF 6194,A000000,05010,0000,05010CMHC 6194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6194,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6194,A81000A,00100,0100,Y 6194,A81000B,00100,0300,HOME OFFICE COST 6194,A81000B,00400,0300,HOME OFFICE COST 6194,A81000B,00500,0300,HOME OFFICE COST 6194,A81000B,00600,0300,HOME OFFICE COST 6194,A81000B,00800,0300,HOME OFFICE COST 6194,A81000C,00100,0100,B 6194,A81000C,00100,0200,BEVERLY ENTERPR 6194,B100000,00000,0100,00000(SQUARE FEET) 6194,B100000,00000,0200,00000(SQUARE FEET) 6194,B100000,00000,0300,00000(ADJUSTED SALARIES) 6194,B100000,00000,0400,00000(ACCUM. COST) 6194,B100000,00000,0500,00000(SQUARE FEET) 6194,B100000,00000,0600,00000(PATIENT DAYS) 6194,B100000,00000,0700,00000(SQUARE FEET) 6194,B100000,00000,0800,00000(MEALS SERVED) 6194,B100000,00000,0900,00000(ADJUSTED SALARIES) 6194,B100000,00000,1000,00000(PATIENT DAYS) 6194,B100000,00000,1100,00000(COSTED REQUIS) 6194,B100000,00000,1200,00000(TOTAL CHARGES) 6194,B100000,00000,1300,00000(PATIENT DAYS) 6194,B100000,00000,1301,00000(PATIENT DAYS) 6194,B100000,00000,1400,00000(ASSIGNED TIME) 6194,E10A180,00301,0100,06/14/1999 6194,E10A180,00302,0100,10/08/1999 6194,E10A180,00303,0100,02/14/2000 6194,E10A180,00350,0100,01/27/1999 6194,E10A180,00351,0100,12/09/1999 6194,S000000,00100,0200,06/02/2000 6194,S200000,00100,0100,600E. GARFIELD 6194,S200000,00200,0100,IOLA 6194,S200000,00200,0200,KS 6194,S200000,00200,0300,66749 6194,S200000,00300,0100,ALLEN 6194,S200000,00400,0100,COUNTRYSIDE ESTATES 6194,S200000,00400,0200,175226 6194,S200000,00400,0300,06/01/1992 6194,S200000,00400,0500,P 6194,S200000,00600,0200,175226 6194,S200000,00600,0300,06/01/1992 6194,S200000,00600,0600,P 6194,S200000,01600,0100,Y 6197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6197,A000000,00300,0000,00300EMPLOYEE BENEFITS 6197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6197,A000000,00700,0000,00700HOUSEKEEPING 6197,A000000,00800,0000,00800DIETARY 6197,A000000,00900,0000,00900NURSING ADMINISTRATION 6197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6197,A000000,01100,0000,01100PHARMACY 6197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6197,A000000,01300,0000,01300SOCIAL SERVICE 6197,A000000,01301,0000,01301ACTIVITIES 6197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6197,A000000,01600,0000,01600SKILLED NURSING FACILITY 6197,A000000,01800,0000,01800NURSING FACILITY 6197,A000000,01810,0000,01810ICF/MR 6197,A000000,02100,0000,02100RADIOLOGY 6197,A000000,02200,0000,02200LABORATORY 6197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6197,A000000,02500,0000,02500PHYSICAL THERAPY 6197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6197,A000000,02700,0000,02700SPEECH PATHOLOGY 6197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6197,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6197,A000000,03550,0000,03550FQHC 6197,A000000,05000,0000,05000CORF 6197,A000000,05010,0000,05010CMHC 6197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6197,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6197,A81000A,00100,0100,Y 6197,A81000B,00100,0300,HOME OFFICE COST 6197,A81000B,00400,0300,HOME OFFICE COST 6197,A81000B,00500,0300,HOME OFFICE COST 6197,A81000B,00600,0300,HOME OFFICE COST 6197,A81000B,00800,0300,HOME OFFICE COST 6197,A81000C,00100,0100,B 6197,A81000C,00100,0200,BEVERLY ENTERPR 6197,B100000,00000,0100,00000(SQUARE FEET) 6197,B100000,00000,0200,00000(SQUARE FEET) 6197,B100000,00000,0300,00000(ADJUSTED SALARIES) 6197,B100000,00000,0400,00000(ACCUM. COST) 6197,B100000,00000,0500,00000(SQUARE FEET) 6197,B100000,00000,0600,00000(PATIENT DAYS) 6197,B100000,00000,0700,00000(SQUARE FEET) 6197,B100000,00000,0800,00000(MEALS SERVED) 6197,B100000,00000,0900,00000(ADJUSTED SALARIES) 6197,B100000,00000,1000,00000(PATIENT DAYS) 6197,B100000,00000,1100,00000(COSTED REQUIS) 6197,B100000,00000,1200,00000(TOTAL CHARGES) 6197,B100000,00000,1300,00000(PATIENT DAYS) 6197,B100000,00000,1301,00000(PATIENT DAYS) 6197,B100000,00000,1400,00000(ASSIGNED TIME) 6197,E10A180,00301,0100,06/14/1999 6197,E10A180,00302,0100,10/08/1999 6197,E10A180,00303,0100,02/14/2000 6197,E10A180,00350,0100,12/09/1999 6197,S000000,00100,0200,06/02/2000 6197,S200000,00100,0100,240 N. 19TH STREET 6197,S200000,00200,0100,FREDONIA 6197,S200000,00200,0200,KS 6197,S200000,00200,0300,66736 6197,S200000,00300,0100,WILSON 6197,S200000,00400,0100,HILLCREST MANOR 6197,S200000,00400,0200,175227 6197,S200000,00400,0300,06/01/1992 6197,S200000,00400,0500,P 6197,S200000,00600,0200,175227 6197,S200000,00600,0300,06/01/1992 6197,S200000,00600,0600,P 6197,S200000,01600,0100,Y 6200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6200,A000000,00300,0000,00300EMPLOYEE BENEFITS 6200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6200,A000000,00700,0000,00700HOUSEKEEPING 6200,A000000,00800,0000,00800DIETARY 6200,A000000,00900,0000,00900NURSING ADMINISTRATION 6200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6200,A000000,01100,0000,01100PHARMACY 6200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6200,A000000,01300,0000,01300SOCIAL SERVICE 6200,A000000,01301,0000,01301ACTIVITIES 6200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6200,A000000,01600,0000,01600SKILLED NURSING FACILITY 6200,A000000,01800,0000,01800NURSING FACILITY 6200,A000000,01810,0000,01810ICF/MR 6200,A000000,02100,0000,02100RADIOLOGY 6200,A000000,02200,0000,02200LABORATORY 6200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6200,A000000,02500,0000,02500PHYSICAL THERAPY 6200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6200,A000000,02700,0000,02700SPEECH PATHOLOGY 6200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6200,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6200,A000000,03550,0000,03550FQHC 6200,A000000,05000,0000,05000CORF 6200,A000000,05010,0000,05010CMHC 6200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6200,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6200,A81000A,00100,0100,Y 6200,A81000B,00100,0300,HOME OFFICE COST 6200,A81000B,00400,0300,HOME OFFICE COST 6200,A81000B,00500,0300,HOME OFFICE COST 6200,A81000B,00600,0300,HOME OFFICE COST 6200,A81000B,00800,0300,HOME OFFICE COST 6200,A81000C,00100,0100,B 6200,A81000C,00100,0200,BEVERLY ENTERPR 6200,B100000,00000,0100,00000(SQUARE FEET) 6200,B100000,00000,0200,00000(SQUARE FEET) 6200,B100000,00000,0300,00000(ADJUSTED SALARIES) 6200,B100000,00000,0400,00000(ACCUM. COST) 6200,B100000,00000,0500,00000(SQUARE FEET) 6200,B100000,00000,0600,00000(PATIENT DAYS) 6200,B100000,00000,0700,00000(SQUARE FEET) 6200,B100000,00000,0800,00000(MEALS SERVED) 6200,B100000,00000,0900,00000(ADJUSTED SALARIES) 6200,B100000,00000,1000,00000(PATIENT DAYS) 6200,B100000,00000,1100,00000(COSTED REQUIS) 6200,B100000,00000,1200,00000(TOTAL CHARGES) 6200,B100000,00000,1300,00000(PATIENT DAYS) 6200,B100000,00000,1301,00000(PATIENT DAYS) 6200,B100000,00000,1400,00000(ASSIGNED TIME) 6200,E10A180,00301,0100,12/09/1999 6200,E10A180,00350,0100,01/27/1999 6200,E10A180,00351,0100,06/14/1999 6200,E10A180,00352,0100,10/08/1999 6200,E10A180,00353,0100,02/14/2000 6200,S000000,00100,0200,06/02/2000 6200,S200000,00100,0100,HOLIDAY PLAZA PO BOX 250 6200,S200000,00200,0100,LANSING 6200,S200000,00200,0200,KS 6200,S200000,00200,0300,66043 6200,S200000,00300,0100,LEAVENWORTH 6200,S200000,00400,0100,COLONIAL MANOR NURSING CENTER 6200,S200000,00400,0200,175228 6200,S200000,00400,0300,07/01/1992 6200,S200000,00400,0500,P 6200,S200000,00600,0200,175228 6200,S200000,00600,0300,07/01/1992 6200,S200000,00600,0600,P 6200,S200000,01600,0100,Y 6203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6203,A000000,00300,0000,00300EMPLOYEE BENEFITS 6203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6203,A000000,00700,0000,00700HOUSEKEEPING 6203,A000000,00800,0000,00800DIETARY 6203,A000000,00900,0000,00900NURSING ADMINISTRATION 6203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6203,A000000,01100,0000,01100PHARMACY 6203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6203,A000000,01300,0000,01300SOCIAL SERVICE 6203,A000000,01301,0000,01301ACTIVITIES 6203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6203,A000000,01600,0000,01600SKILLED NURSING FACILITY 6203,A000000,01800,0000,01800NURSING FACILITY 6203,A000000,01810,0000,01810ICF/MR 6203,A000000,02100,0000,02100RADIOLOGY 6203,A000000,02200,0000,02200LABORATORY 6203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6203,A000000,02500,0000,02500PHYSICAL THERAPY 6203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6203,A000000,02700,0000,02700SPEECH PATHOLOGY 6203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6203,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6203,A000000,03550,0000,03550FQHC 6203,A000000,05000,0000,05000CORF 6203,A000000,05010,0000,05010CMHC 6203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6203,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6203,A81000A,00100,0100,Y 6203,A81000B,00100,0300,HOME OFFICE COST 6203,A81000B,00400,0300,HOME OFFICE COST 6203,A81000B,00500,0300,HOME OFFICE COST 6203,A81000B,00600,0300,HOME OFFICE COST 6203,A81000B,00800,0300,HOME OFFICE COST 6203,A81000C,00100,0100,B 6203,A81000C,00100,0200,BEVERLY ENTERPR 6203,B100000,00000,0100,00000(SQUARE FEET) 6203,B100000,00000,0200,00000(SQUARE FEET) 6203,B100000,00000,0300,00000(ADJUSTED SALARIES) 6203,B100000,00000,0400,00000(ACCUM. COST) 6203,B100000,00000,0500,00000(SQUARE FEET) 6203,B100000,00000,0600,00000(PATIENT DAYS) 6203,B100000,00000,0700,00000(SQUARE FEET) 6203,B100000,00000,0800,00000(MEALS SERVED) 6203,B100000,00000,0900,00000(ADJUSTED SALARIES) 6203,B100000,00000,1000,00000(PATIENT DAYS) 6203,B100000,00000,1100,00000(COSTED REQUIS) 6203,B100000,00000,1200,00000(TOTAL CHARGES) 6203,B100000,00000,1300,00000(PATIENT DAYS) 6203,B100000,00000,1301,00000(PATIENT DAYS) 6203,B100000,00000,1400,00000(ASSIGNED TIME) 6203,S000000,00100,0200,06/02/2000 6203,S200000,00100,0100,749 BLAKE STREET 6203,S200000,00200,0100,EDWARDSVILLE 6203,S200000,00200,0200,KS 6203,S200000,00200,0300,66111 6203,S200000,00300,0100,WYANDOTTE 6203,S200000,00400,0100,PARKWAY CARE HOME 6203,S200000,00400,0200,175229 6203,S200000,00400,0300,08/01/1992 6203,S200000,00400,0500,P 6203,S200000,00600,0200,175229 6203,S200000,00600,0300,08/01/1992 6203,S200000,00600,0600,P 6203,S200000,01600,0100,Y 6206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6206,A000000,00300,0000,00300EMPLOYEE BENEFITS 6206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6206,A000000,00700,0000,00700HOUSEKEEPING 6206,A000000,00800,0000,00800DIETARY 6206,A000000,00900,0000,00900NURSING ADMINISTRATION 6206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6206,A000000,01100,0000,01100PHARMACY 6206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6206,A000000,01300,0000,01300SOCIAL SERVICE 6206,A000000,01301,0000,01301ACTIVITIES 6206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6206,A000000,01600,0000,01600SKILLED NURSING FACILITY 6206,A000000,01800,0000,01800NURSING FACILITY 6206,A000000,01900,0000,01900OTHER LONG TERM CARE 6206,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6206,A000000,02500,0000,02500PHYSICAL THERAPY 6206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6206,A000000,02700,0000,02700SPEECH PATHOLOGY 6206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6206,A000000,03550,0000,03550FQHC 6206,A000000,05000,0000,05000CORF 6206,A000000,05010,0000,05010CMHC 6206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6206,A000000,06151,0000,06301OTHER NON REIMBURSABLE COST 6206,A81000A,00100,0100,Y 6206,A81000B,00100,0300,HOME OFFICE COST 6206,A81000B,00500,0300,HOME OFFICE COST 6206,A81000B,00600,0300,HOME OFFICE COST 6206,A81000B,00800,0300,HOME OFFICE COST 6206,A81000C,00100,0100,B 6206,A81000C,00100,0200,BEVERLY ENTERPR 6206,B100000,00000,0100,00001(SQUARE FEET) 6206,B100000,00000,0200,00001(SQUARE FEET) 6206,B100000,00000,0300,00001(ADJUSTED SALARIES) 6206,B100000,00000,0400,00001(ACCUM. COST) 6206,B100000,00000,0500,00001(SQUARE FEET) 6206,B100000,00000,0600,00001(PATIENT DAYS) 6206,B100000,00000,0700,00001(SQUARE FEET) 6206,B100000,00000,0800,00001(MEALS SERVED) 6206,B100000,00000,0900,00001(ADJUSTED SALARIES) 6206,B100000,00000,1000,00001(PATIENT DAYS) 6206,B100000,00000,1100,00001(COSTED REQUIS) 6206,B100000,00000,1200,00001(TOTAL CHARGES) 6206,B100000,00000,1300,00001(PATIENT DAYS) 6206,B100000,00000,1301,00001(PATIENT DAYS) 6206,B100000,00000,1400,00001(ASSIGNED TIME) 6206,E10A180,00301,0100,01/27/1999 6206,S000000,00100,0200,08/02/1919 6206,S200000,00100,0100,223 BEDFORD 6206,S200000,00200,0100,GARDNER 6206,S200000,00200,0200,KS 6206,S200000,00200,0300,66030 6206,S200000,00300,0100,JOHNSON 6206,S200000,00400,0100,BEDFORD MANOR #2355 6206,S200000,00400,0200,175243 6206,S200000,00400,0300,04/01/1993 6206,S200000,00400,0500,P 6206,S200000,00600,0200,175243 6206,S200000,00600,0300,04/01/1993 6206,S200000,00600,0600,P 6206,S200000,01600,0100,Y 6209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6209,A000000,00300,0000,00300EMPLOYEE BENEFITS 6209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6209,A000000,00700,0000,00700HOUSEKEEPING 6209,A000000,00800,0000,00800DIETARY 6209,A000000,00900,0000,00900NURSING ADMINISTRATION 6209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6209,A000000,01100,0000,01100PHARMACY 6209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6209,A000000,01300,0000,01300SOCIAL SERVICE 6209,A000000,01301,0000,01301ACTIVITIES 6209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6209,A000000,01600,0000,01600SKILLED NURSING FACILITY 6209,A000000,01800,0000,01800NURSING FACILITY 6209,A000000,01810,0000,01810ICF/MR 6209,A000000,02100,0000,02100RADIOLOGY 6209,A000000,02200,0000,02200LABORATORY 6209,A000000,02500,0000,02500PHYSICAL THERAPY 6209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6209,A000000,02700,0000,02700SPEECH PATHOLOGY 6209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6209,A000000,03550,0000,03550FQHC 6209,A000000,05000,0000,05000CORF 6209,A000000,05010,0000,05010CMHC 6209,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6209,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6209,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6209,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6209,A81000A,00100,0100,Y 6209,A81000B,00100,0300,HOME OFFICE COST 6209,A81000B,00400,0300,HOME OFFICE COST 6209,A81000B,00500,0300,HOME OFFICE COST 6209,A81000B,00600,0300,HOME OFFICE COST 6209,A81000B,00800,0300,HOME OFFICE COST 6209,A81000C,00100,0100,B 6209,A81000C,00100,0200,BEVERLY ENTERPR 6209,B100000,00000,0100,00000(SQUARE FEET) 6209,B100000,00000,0200,00000(SQUARE FEET) 6209,B100000,00000,0300,00000(ADJUSTED SALARIES) 6209,B100000,00000,0400,00000(ACCUM. COST) 6209,B100000,00000,0500,00000(SQUARE FEET) 6209,B100000,00000,0600,00000(PATIENT DAYS) 6209,B100000,00000,0700,00000(SQUARE FEET) 6209,B100000,00000,0800,00000(MEALS SERVED) 6209,B100000,00000,0900,00000(ADJUSTED SALARIES) 6209,B100000,00000,1000,00000(PATIENT DAYS) 6209,B100000,00000,1100,00000(COSTED REQUIS) 6209,B100000,00000,1200,00000(TOTAL CHARGES) 6209,B100000,00000,1300,00000(PATIENT DAYS) 6209,B100000,00000,1301,00000(PATIENT DAYS) 6209,B100000,00000,1400,00000(ASSIGNED TIME) 6209,E10A180,00301,0100,06/14/1999 6209,E10A180,00302,0100,10/08/1999 6209,E10A180,00303,0100,02/14/2000 6209,E10A180,00350,0100,12/09/1999 6209,S000000,00100,0200,06/02/2000 6209,S200000,00100,0100,705 N BRADY 6209,S200000,00200,0100,ABILENE 6209,S200000,00200,0200,KS 6209,S200000,00300,0100,DICKINSON 6209,S200000,00400,0100,ABILENE NURSING CENTER 6209,S200000,00400,0200,175244 6209,S200000,00400,0300,04/01/1993 6209,S200000,00400,0500,P 6209,S200000,00600,0200,175244 6209,S200000,00600,0300,04/01/1993 6209,S200000,00600,0600,P 6209,S200000,01600,0100,Y 6212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6212,A000000,00300,0000,00300EMPLOYEE BENEFITS 6212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6212,A000000,00700,0000,00700HOUSEKEEPING 6212,A000000,00800,0000,00800DIETARY 6212,A000000,00900,0000,00900NURSING ADMINISTRATION 6212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6212,A000000,01100,0000,01100PHARMACY 6212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6212,A000000,01300,0000,01300SOCIAL SERVICE 6212,A000000,01301,0000,01301ACTIVITIES 6212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6212,A000000,01600,0000,01600SKILLED NURSING FACILITY 6212,A000000,01800,0000,01800NURSING FACILITY 6212,A000000,01810,0000,01810ICF/MR 6212,A000000,01900,0000,01900OTHER LONG TERM CARE 6212,A000000,02100,0000,02100RADIOLOGY 6212,A000000,02200,0000,02200LABORATORY 6212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6212,A000000,02500,0000,02500PHYSICAL THERAPY 6212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6212,A000000,02700,0000,02700SPEECH PATHOLOGY 6212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6212,A000000,03550,0000,03550FQHC 6212,A000000,05000,0000,05000CORF 6212,A000000,05010,0000,05010CMHC 6212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6212,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6212,A81000A,00100,0100,Y 6212,A81000B,00100,0300,HOME OFFICE COST 6212,A81000B,00400,0300,HOME OFFICE COST 6212,A81000B,00500,0300,HOME OFFICE COST 6212,A81000B,00600,0300,HOME OFFICE COST 6212,A81000B,00800,0300,HOME OFFICE COST 6212,A81000C,00100,0100,B 6212,A81000C,00100,0200,BEVERLY ENTERPR 6212,B100000,00000,0100,00000(SQUARE FEET) 6212,B100000,00000,0200,00000(SQUARE FEET) 6212,B100000,00000,0300,00000(ADJUSTED SALARIES) 6212,B100000,00000,0400,00000(ACCUM. COST) 6212,B100000,00000,0500,00000(SQUARE FEET) 6212,B100000,00000,0600,00000(PATIENT DAYS) 6212,B100000,00000,0700,00000(SQUARE FEET) 6212,B100000,00000,0800,00000(MEALS SERVED) 6212,B100000,00000,0900,00000(ADJUSTED SALARIES) 6212,B100000,00000,1000,00000(PATIENT DAYS) 6212,B100000,00000,1100,00000(COSTED REQUIS) 6212,B100000,00000,1200,00000(TOTAL CHARGES) 6212,B100000,00000,1300,00000(PATIENT DAYS) 6212,B100000,00000,1301,00000(PATIENT DAYS) 6212,B100000,00000,1400,00000(ASSIGNED TIME) 6212,E10A180,00301,0100,12/09/1999 6212,E10A180,00302,0100,02/14/2000 6212,E10A180,00350,0100,01/27/1999 6212,E10A180,00351,0100,06/14/1999 6212,E10A180,00352,0100,10/08/1999 6212,S000000,00100,0200,06/02/2000 6212,S200000,00100,0100,751 BLAKE ST 6212,S200000,00200,0100,EDWARDSVILLE 6212,S200000,00200,0200,KS 6212,S200000,00200,0300,66111 6212,S200000,00300,0100,WYANDOTTE 6212,S200000,00400,0100,EDWARDSVILLE MANOR 6212,S200000,00400,0200,175245 6212,S200000,00400,0300,04/01/1993 6212,S200000,00400,0500,P 6212,S200000,00600,0200,175245 6212,S200000,00600,0300,04/01/1993 6212,S200000,00600,0600,P 6212,S200000,01600,0100,Y 6215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6215,A000000,00300,0000,00300EMPLOYEE BENEFITS 6215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6215,A000000,00700,0000,00700HOUSEKEEPING 6215,A000000,00800,0000,00800DIETARY 6215,A000000,00900,0000,00900NURSING ADMINISTRATION 6215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6215,A000000,01100,0000,01100PHARMACY 6215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6215,A000000,01300,0000,01300SOCIAL SERVICE 6215,A000000,01301,0000,01301ACTIVITIES 6215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6215,A000000,01600,0000,01600SKILLED NURSING FACILITY 6215,A000000,01800,0000,01800NURSING FACILITY 6215,A000000,01810,0000,01810ICF/MR 6215,A000000,02100,0000,02100RADIOLOGY 6215,A000000,02200,0000,02200LABORATORY 6215,A000000,02500,0000,02500PHYSICAL THERAPY 6215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6215,A000000,02700,0000,02700SPEECH PATHOLOGY 6215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6215,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6215,A000000,03550,0000,03550FQHC 6215,A000000,05000,0000,05000CORF 6215,A000000,05010,0000,05010CMHC 6215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6215,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6215,A81000A,00100,0100,Y 6215,A81000B,00100,0300,HOME OFFICE COST 6215,A81000B,00400,0300,HOME OFFICE COST 6215,A81000B,00500,0300,HOME OFFICE COST 6215,A81000B,00600,0300,HOME OFFICE COST 6215,A81000B,00800,0300,HOME OFFICE COST 6215,A81000C,00100,0100,B 6215,A81000C,00100,0200,BEVERLY ENTERPR 6215,B100000,00000,0100,00000(SQUARE FEET) 6215,B100000,00000,0200,00000(SQUARE FEET) 6215,B100000,00000,0300,00000(ADJUSTED SALARIES) 6215,B100000,00000,0400,00000(ACCUM. COST) 6215,B100000,00000,0500,00000(SQUARE FEET) 6215,B100000,00000,0600,00000(PATIENT DAYS) 6215,B100000,00000,0700,00000(SQUARE FEET) 6215,B100000,00000,0800,00000(MEALS SERVED) 6215,B100000,00000,0900,00000(ADJUSTED SALARIES) 6215,B100000,00000,1000,00000(PATIENT DAYS) 6215,B100000,00000,1100,00000(COSTED REQUIS) 6215,B100000,00000,1200,00000(TOTAL CHARGES) 6215,B100000,00000,1300,00000(PATIENT DAYS) 6215,B100000,00000,1301,00000(PATIENT DAYS) 6215,B100000,00000,1400,00000(ASSIGNED TIME) 6215,S000000,00100,0200,06/02/2000 6215,S200000,00100,0100,NORTH HWY 36 BOX 248 6215,S200000,00200,0100,KENSIGNTON 6215,S200000,00200,0200,KS 6215,S200000,00200,0300,66951 6215,S200000,00300,0100,SMITH 6215,S200000,00400,0100,PRAIRIE HAVEN 6215,S200000,00400,0200,175248 6215,S200000,00400,0300,04/01/1993 6215,S200000,00400,0500,P 6215,S200000,00600,0200,175248 6215,S200000,00600,0300,04/01/1993 6215,S200000,00600,0600,P 6215,S200000,01600,0100,Y 6218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6218,A000000,00300,0000,00300EMPLOYEE BENEFITS 6218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6218,A000000,00700,0000,00700HOUSEKEEPING 6218,A000000,00800,0000,00800DIETARY 6218,A000000,00900,0000,00900NURSING ADMINISTRATION 6218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6218,A000000,01100,0000,01100PHARMACY 6218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6218,A000000,01300,0000,01300SOCIAL SERVICE 6218,A000000,01301,0000,01301ACTIVITIES 6218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6218,A000000,01600,0000,01600SKILLED NURSING FACILITY 6218,A000000,01800,0000,01800NURSING FACILITY 6218,A000000,01810,0000,01810ICF/MR 6218,A000000,02100,0000,02100RADIOLOGY 6218,A000000,02200,0000,02200LABORATORY 6218,A000000,02500,0000,02500PHYSICAL THERAPY 6218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6218,A000000,02700,0000,02700SPEECH PATHOLOGY 6218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6218,A000000,03550,0000,03550FQHC 6218,A000000,05000,0000,05000CORF 6218,A000000,05010,0000,05010CMHC 6218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6218,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6218,A81000A,00100,0100,Y 6218,A81000B,00100,0300,HOME OFFICE COST 6218,A81000B,00400,0300,HOME OFFICE COST 6218,A81000B,00500,0300,HOME OFFICE COST 6218,A81000B,00600,0300,HOME OFFICE COST 6218,A81000B,00800,0300,HOME OFFICE COST 6218,A81000C,00100,0100,B 6218,A81000C,00100,0200,BEVERLY ENTERPR 6218,B100000,00000,0100,00000(SQUARE FEET) 6218,B100000,00000,0200,00000(SQUARE FEET) 6218,B100000,00000,0300,00000(ADJUSTED SALARIES) 6218,B100000,00000,0400,00000(ACCUM. COST) 6218,B100000,00000,0500,00000(SQUARE FEET) 6218,B100000,00000,0600,00000(PATIENT DAYS) 6218,B100000,00000,0700,00000(SQUARE FEET) 6218,B100000,00000,0800,00000(MEALS SERVED) 6218,B100000,00000,0900,00000(ADJUSTED SALARIES) 6218,B100000,00000,1000,00000(PATIENT DAYS) 6218,B100000,00000,1100,00000(COSTED REQUIS) 6218,B100000,00000,1200,00000(TOTAL CHARGES) 6218,B100000,00000,1300,00000(PATIENT DAYS) 6218,B100000,00000,1301,00000(PATIENT DAYS) 6218,B100000,00000,1400,00000(ASSIGNED TIME) 6218,E10A180,00301,0100,06/14/1999 6218,E10A180,00350,0100,10/08/1999 6218,E10A180,00351,0100,12/09/1999 6218,E10A180,00352,0100,02/14/2000 6218,S000000,00100,0200,06/02/2000 6218,S200000,00100,0100,505 N. MAIN STREET 6218,S200000,00200,0100,ESKRIDGE 6218,S200000,00200,0200,KS 6218,S200000,00200,0300,66423 6218,S200000,00300,0100,WABAUNSEE 6218,S200000,00400,0100,HERITAGE VILLAGE OF ESKRIDGE 6218,S200000,00400,0200,175251 6218,S200000,00400,0300,06/01/1993 6218,S200000,00400,0500,P 6218,S200000,00600,0200,175251 6218,S200000,00600,0300,06/01/1993 6218,S200000,00600,0600,P 6218,S200000,01600,0100,Y 6221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6221,A000000,00300,0000,00300EMPLOYEE BENEFITS 6221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6221,A000000,00700,0000,00700HOUSEKEEPING 6221,A000000,00800,0000,00800DIETARY 6221,A000000,00900,0000,00900NURSING ADMINISTRATION 6221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6221,A000000,01100,0000,01100PHARMACY 6221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6221,A000000,01300,0000,01300SOCIAL SERVICE 6221,A000000,01301,0000,01301ACTIVITIES 6221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6221,A000000,01600,0000,01600SKILLED NURSING FACILITY 6221,A000000,01800,0000,01800NURSING FACILITY 6221,A000000,01810,0000,01810ICF/MR 6221,A000000,02200,0000,02200LABORATORY 6221,A000000,02500,0000,02500PHYSICAL THERAPY 6221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6221,A000000,02700,0000,02700SPEECH PATHOLOGY 6221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6221,A000000,03550,0000,03550FQHC 6221,A000000,05000,0000,05000CORF 6221,A000000,05010,0000,05010CMHC 6221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6221,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6221,A81000A,00100,0100,Y 6221,A81000B,00100,0300,HOME OFFICE COST 6221,A81000B,00400,0300,HOME OFFICE COST 6221,A81000B,00500,0300,HOME OFFICE COST 6221,A81000B,00600,0300,HOME OFFICE COST 6221,A81000B,00800,0300,HOME OFFICE COST 6221,A81000C,00100,0100,B 6221,A81000C,00100,0200,BEVERLY ENTERPR 6221,B100000,00000,0100,00000(SQUARE FEET) 6221,B100000,00000,0200,00000(SQUARE FEET) 6221,B100000,00000,0300,00000(ADJUSTED SALARIES) 6221,B100000,00000,0400,00000(ACCUM. COST) 6221,B100000,00000,0500,00000(SQUARE FEET) 6221,B100000,00000,0600,00000(PATIENT DAYS) 6221,B100000,00000,0700,00000(SQUARE FEET) 6221,B100000,00000,0800,00000(MEALS SERVED) 6221,B100000,00000,0900,00000(ADJUSTED SALARIES) 6221,B100000,00000,1000,00000(PATIENT DAYS) 6221,B100000,00000,1100,00000(COSTED REQUIS) 6221,B100000,00000,1200,00000(TOTAL CHARGES) 6221,B100000,00000,1300,00000(PATIENT DAYS) 6221,B100000,00000,1301,00000(PATIENT DAYS) 6221,B100000,00000,1400,00000(ASSIGNED TIME) 6221,E10A180,00301,0100,06/14/1999 6221,E10A180,00302,0100,10/08/1999 6221,E10A180,00303,0100,12/09/1999 6221,E10A180,00304,0100,02/14/2000 6221,E10A180,00350,0100,01/27/1999 6221,S000000,00100,0200,06/02/2000 6221,S200000,00100,0100,6TH & GROVE 6221,S200000,00200,0100,WAKEFIELD 6221,S200000,00200,0200,KS 6221,S200000,00200,0300,67487 6221,S200000,00300,0100,CLAY 6221,S200000,00400,0100,HERITAGE VILL-WAKEFIELD 2218 6221,S200000,00400,0200,175272 6221,S200000,00400,0300,11/01/1993 6221,S200000,00400,0500,P 6221,S200000,00600,0200,175272 6221,S200000,00600,0300,11/01/1993 6221,S200000,00600,0600,P 6221,S200000,01600,0100,Y 6224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6224,A000000,00300,0000,00300EMPLOYEE BENEFITS 6224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6224,A000000,00700,0000,00700HOUSEKEEPING 6224,A000000,00800,0000,00800DIETARY 6224,A000000,00900,0000,00900NURSING ADMINISTRATION 6224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6224,A000000,01100,0000,01100PHARMACY 6224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6224,A000000,01300,0000,01300SOCIAL SERVICE 6224,A000000,01301,0000,01301ACTIVITIES 6224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6224,A000000,01600,0000,01600SKILLED NURSING FACILITY 6224,A000000,01800,0000,01800NURSING FACILITY 6224,A000000,01810,0000,01810ICF/MR 6224,A000000,01900,0000,01900OTHER LONG TERM CARE 6224,A000000,02100,0000,02100RADIOLOGY 6224,A000000,02200,0000,02200LABORATORY 6224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6224,A000000,02500,0000,02500PHYSICAL THERAPY 6224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6224,A000000,02700,0000,02700SPEECH PATHOLOGY 6224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6224,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6224,A000000,03550,0000,03550FQHC 6224,A000000,05000,0000,05000CORF 6224,A000000,05010,0000,05010CMHC 6224,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6224,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6224,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6224,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6224,A81000A,00100,0100,Y 6224,A81000B,00100,0300,HOME OFFICE COST 6224,A81000B,00400,0300,HOME OFFICE COST 6224,A81000B,00500,0300,HOME OFFICE COST 6224,A81000B,00600,0300,HOME OFFICE COST 6224,A81000B,00800,0300,HOME OFFICE COST 6224,A81000C,00100,0100,B 6224,A81000C,00100,0200,BEVERLY ENTERPR 6224,B100000,00000,0100,00000(SQUARE FEET) 6224,B100000,00000,0200,00000(SQUARE FEET) 6224,B100000,00000,0300,00000(ADJUSTED SALARIES) 6224,B100000,00000,0400,00000(ACCUM. COST) 6224,B100000,00000,0500,00000(SQUARE FEET) 6224,B100000,00000,0600,00000(PATIENT DAYS) 6224,B100000,00000,0700,00000(SQUARE FEET) 6224,B100000,00000,0800,00000(MEALS SERVED) 6224,B100000,00000,0900,00000(ADJUSTED SALARIES) 6224,B100000,00000,1000,00000(PATIENT DAYS) 6224,B100000,00000,1100,00000(COSTED REQUIS) 6224,B100000,00000,1200,00000(TOTAL CHARGES) 6224,B100000,00000,1300,00000(PATIENT DAYS) 6224,B100000,00000,1301,00000(PATIENT DAYS) 6224,B100000,00000,1400,00000(ASSIGNED TIME) 6224,E10A180,00301,0100,06/14/1999 6224,E10A180,00302,0100,10/08/1999 6224,E10A180,00303,0100,02/14/2000 6224,E10A180,00350,0100,01/27/1999 6224,E10A180,00351,0100,12/09/1999 6224,S000000,00100,0200,06/02/2000 6224,S200000,00100,0100,4007 E. LINCOLN 6224,S200000,00200,0100,WICHITA 6224,S200000,00200,0200,KS 6224,S200000,00200,0300,67218 6224,S200000,00300,0100,SEDGWICK 6224,S200000,00400,0100,LINCOLN EAST 6224,S200000,00400,0200,175273 6224,S200000,00400,0300,12/01/1993 6224,S200000,00400,0500,P 6224,S200000,00600,0200,175273 6224,S200000,00600,0300,12/01/1993 6224,S200000,00600,0600,P 6224,S200000,01600,0100,Y 6227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6227,A000000,00300,0000,00300EMPLOYEE BENEFITS 6227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6227,A000000,00700,0000,00700HOUSEKEEPING 6227,A000000,00800,0000,00800DIETARY 6227,A000000,00900,0000,00900NURSING ADMINISTRATION 6227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6227,A000000,01100,0000,01100PHARMACY 6227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6227,A000000,01300,0000,01300SOCIAL SERVICE 6227,A000000,01301,0000,01301ACTIVITIES 6227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6227,A000000,01600,0000,01600SKILLED NURSING FACILITY 6227,A000000,01800,0000,01800NURSING FACILITY 6227,A000000,01810,0000,01810ICF/MR 6227,A000000,02100,0000,02100RADIOLOGY 6227,A000000,02200,0000,02200LABORATORY 6227,A000000,02500,0000,02500PHYSICAL THERAPY 6227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6227,A000000,02700,0000,02700SPEECH PATHOLOGY 6227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6227,A000000,03550,0000,03550FQHC 6227,A000000,05000,0000,05000CORF 6227,A000000,05010,0000,05010CMHC 6227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6227,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6227,A81000A,00100,0100,Y 6227,A81000B,00100,0300,HOME OFFICE COST 6227,A81000B,00400,0300,HOME OFFICE COST 6227,A81000B,00500,0300,HOME OFFICE COST 6227,A81000B,00600,0300,HOME OFFICE COST 6227,A81000B,00800,0300,HOME OFFICE COST 6227,A81000C,00100,0100,B 6227,A81000C,00100,0200,BEVERLY ENTERPR 6227,B100000,00000,0100,00000(SQUARE FEET) 6227,B100000,00000,0200,00000(SQUARE FEET) 6227,B100000,00000,0300,00000(ADJUSTED SALARIES) 6227,B100000,00000,0400,00000(ACCUM. COST) 6227,B100000,00000,0500,00000(SQUARE FEET) 6227,B100000,00000,0600,00000(PATIENT DAYS) 6227,B100000,00000,0700,00000(SQUARE FEET) 6227,B100000,00000,0800,00000(MEALS SERVED) 6227,B100000,00000,0900,00000(ADJUSTED SALARIES) 6227,B100000,00000,1000,00000(PATIENT DAYS) 6227,B100000,00000,1100,00000(COSTED REQUIS) 6227,B100000,00000,1200,00000(TOTAL CHARGES) 6227,B100000,00000,1300,00000(PATIENT DAYS) 6227,B100000,00000,1301,00000(PATIENT DAYS) 6227,B100000,00000,1400,00000(ASSIGNED TIME) 6227,E10A180,00301,0100,01/27/1999 6227,E10A180,00302,0100,06/14/1999 6227,E10A180,00350,0100,10/08/1999 6227,E10A180,00351,0100,12/09/1999 6227,E10A180,00352,0100,02/14/2000 6227,S000000,00100,0200,06/02/2000 6227,S200000,00100,0100,1500 EAST LAWRENCE 6227,S200000,00200,0100,MARION 6227,S200000,00200,0200,KS 6227,S200000,00200,0300,66861 6227,S200000,00300,0100,MARION 6227,S200000,00400,0100,MARION MANOR 6227,S200000,00400,0200,175288 6227,S200000,00400,0300,03/01/1994 6227,S200000,00400,0500,P 6227,S200000,00600,0200,175288 6227,S200000,00600,0300,03/01/1994 6227,S200000,00600,0600,P 6227,S200000,01600,0100,Y 6230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6230,A000000,00300,0000,00300EMPLOYEE BENEFITS 6230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6230,A000000,00700,0000,00700HOUSEKEEPING 6230,A000000,00800,0000,00800DIETARY 6230,A000000,00900,0000,00900NURSING ADMINISTRATION 6230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6230,A000000,01100,0000,01100PHARMACY 6230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6230,A000000,01300,0000,01300SOCIAL SERVICE 6230,A000000,01301,0000,01301ACTIVITIES 6230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6230,A000000,01600,0000,01600SKILLED NURSING FACILITY 6230,A000000,01800,0000,01800NURSING FACILITY 6230,A000000,01810,0000,01810ICF/MR 6230,A000000,02500,0000,02500PHYSICAL THERAPY 6230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6230,A000000,02700,0000,02700SPEECH PATHOLOGY 6230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6230,A000000,03550,0000,03550FQHC 6230,A000000,05000,0000,05000CORF 6230,A000000,05010,0000,05010CMHC 6230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6230,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6230,A81000A,00100,0100,Y 6230,A81000B,00100,0300,HOME OFFICE COST 6230,A81000B,00400,0300,HOME OFFICE COST 6230,A81000B,00500,0300,HOME OFFICE COST 6230,A81000B,00600,0300,HOME OFFICE COST 6230,A81000B,00800,0300,HOME OFFICE COST 6230,A81000C,00100,0100,B 6230,A81000C,00100,0200,BEVERLY ENTERPR 6230,B100000,00000,0100,00000(SQUARE FEET) 6230,B100000,00000,0200,00000(SQUARE FEET) 6230,B100000,00000,0300,00000(ADJUSTED SALARIES) 6230,B100000,00000,0400,00000(ACCUM. COST) 6230,B100000,00000,0500,00000(SQUARE FEET) 6230,B100000,00000,0600,00000(PATIENT DAYS) 6230,B100000,00000,0700,00000(SQUARE FEET) 6230,B100000,00000,0800,00000(MEALS SERVED) 6230,B100000,00000,0900,00000(ADJUSTED SALARIES) 6230,B100000,00000,1000,00000(PATIENT DAYS) 6230,B100000,00000,1100,00000(COSTED REQUIS) 6230,B100000,00000,1200,00000(TOTAL CHARGES) 6230,B100000,00000,1300,00000(PATIENT DAYS) 6230,B100000,00000,1301,00000(PATIENT DAYS) 6230,B100000,00000,1400,00000(ASSIGNED TIME) 6230,S000000,00100,0200,06/02/2000 6230,S200000,00100,0100,1626 NORTH EIGHTH 6230,S200000,00200,0100,NEODESHA 6230,S200000,00200,0200,KS 6230,S200000,00200,0300,66757 6230,S200000,00300,0100,WILSON 6230,S200000,00400,0100,CHRISTOPHER MANOR OF NEODESHA 6230,S200000,00400,0200,175317 6230,S200000,00400,0300,10/01/1996 6230,S200000,00400,0500,P 6230,S200000,00600,0200,175317 6230,S200000,00600,0300,10/01/1996 6230,S200000,00600,0600,P 6230,S200000,01600,0100,Y 6233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6233,A000000,00300,0000,00300EMPLOYEE BENEFITS 6233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6233,A000000,00700,0000,00700HOUSEKEEPING 6233,A000000,00800,0000,00800DIETARY 6233,A000000,00900,0000,00900NURSING ADMINISTRATION 6233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6233,A000000,01100,0000,01100PHARMACY 6233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6233,A000000,01300,0000,01300SOCIAL SERVICE 6233,A000000,01301,0000,01301ACTIVITIES 6233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6233,A000000,01600,0000,01600SKILLED NURSING FACILITY 6233,A000000,01800,0000,01800NURSING FACILITY 6233,A000000,01810,0000,01810ICF/MR 6233,A000000,02100,0000,02100RADIOLOGY 6233,A000000,02200,0000,02200LABORATORY 6233,A000000,02500,0000,02500PHYSICAL THERAPY 6233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6233,A000000,02700,0000,02700SPEECH PATHOLOGY 6233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6233,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6233,A000000,03550,0000,03550FQHC 6233,A000000,05000,0000,05000CORF 6233,A000000,05010,0000,05010CMHC 6233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6233,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6233,A81000A,00100,0100,Y 6233,A81000B,00100,0300,HOME OFFICE COST 6233,A81000B,00400,0300,HOME OFFICE COST 6233,A81000B,00500,0300,HOME OFFICE COST 6233,A81000B,00600,0300,HOME OFFICE COST 6233,A81000B,00800,0300,HOME OFFICE COST 6233,A81000C,00100,0100,B 6233,A81000C,00100,0200,BEVERLY ENTERPR 6233,B100000,00000,0100,00000(SQUARE FEET) 6233,B100000,00000,0200,00000(SQUARE FEET) 6233,B100000,00000,0300,00000(ADJUSTED SALARIES) 6233,B100000,00000,0400,00000(ACCUM. COST) 6233,B100000,00000,0500,00000(SQUARE FEET) 6233,B100000,00000,0600,00000(PATIENT DAYS) 6233,B100000,00000,0700,00000(SQUARE FEET) 6233,B100000,00000,0800,00000(MEALS SERVED) 6233,B100000,00000,0900,00000(ADJUSTED SALARIES) 6233,B100000,00000,1000,00000(PATIENT DAYS) 6233,B100000,00000,1100,00000(COSTED REQUIS) 6233,B100000,00000,1200,00000(TOTAL CHARGES) 6233,B100000,00000,1300,00000(PATIENT DAYS) 6233,B100000,00000,1301,00000(PATIENT DAYS) 6233,B100000,00000,1400,00000(ASSIGNED TIME) 6233,E10A180,00301,0100,06/14/1999 6233,E10A180,00350,0100,01/27/1999 6233,E10A180,00351,0100,10/08/1999 6233,E10A180,00352,0100,12/09/1999 6233,E10A180,00353,0100,02/14/2000 6233,S000000,00100,0200,06/02/2000 6233,S200000,00100,0100,900 COUNTRY CLUB LANE 6233,S200000,00200,0100,EL DORADO 6233,S200000,00200,0200,KS 6233,S200000,00200,0300,67042 6233,S200000,00300,0100,BUTLER 6233,S200000,00400,0100,CHRISTOPHER MANOR - EL DORADO #1211 6233,S200000,00400,0200,175324 6233,S200000,00400,0300,10/01/1996 6233,S200000,00400,0500,P 6233,S200000,00600,0200,175324 6233,S200000,00600,0300,10/01/1996 6233,S200000,00600,0600,P 6233,S200000,01600,0100,Y 6236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6236,A000000,00300,0000,00300EMPLOYEE BENEFITS 6236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6236,A000000,00700,0000,00700HOUSEKEEPING 6236,A000000,00800,0000,00800DIETARY 6236,A000000,00900,0000,00900NURSING ADMINISTRATION 6236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6236,A000000,01100,0000,01100PHARMACY 6236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6236,A000000,01300,0000,01300SOCIAL SERVICE 6236,A000000,01301,0000,01301ACTIVITIES 6236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6236,A000000,01600,0000,01600SKILLED NURSING FACILITY 6236,A000000,01800,0000,01800NURSING FACILITY 6236,A000000,01810,0000,01810ICF/MR 6236,A000000,02100,0000,02100RADIOLOGY 6236,A000000,02200,0000,02200LABORATORY 6236,A000000,02500,0000,02500PHYSICAL THERAPY 6236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6236,A000000,02700,0000,02700SPEECH PATHOLOGY 6236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6236,A000000,03550,0000,03550FQHC 6236,A000000,05000,0000,05000CORF 6236,A000000,05010,0000,05010CMHC 6236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6236,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6236,A81000A,00100,0100,Y 6236,A81000B,00100,0300,HOME OFFICE COST 6236,A81000B,00400,0300,HOME OFFICE COST 6236,A81000B,00500,0300,HOME OFFICE COST 6236,A81000B,00600,0300,HOME OFFICE COST 6236,A81000B,00800,0300,HOME OFFICE COST 6236,A81000C,00100,0100,B 6236,A81000C,00100,0200,BEVERLY ENTERPR 6236,B100000,00000,0100,00000(SQUARE FEET) 6236,B100000,00000,0200,00000(SQUARE FEET) 6236,B100000,00000,0300,00000(ADJUSTED SALARIES) 6236,B100000,00000,0400,00000(ACCUM. COST) 6236,B100000,00000,0500,00000(SQUARE FEET) 6236,B100000,00000,0600,00000(PATIENT DAYS) 6236,B100000,00000,0700,00000(SQUARE FEET) 6236,B100000,00000,0800,00000(MEALS SERVED) 6236,B100000,00000,0900,00000(ADJUSTED SALARIES) 6236,B100000,00000,1000,00000(PATIENT DAYS) 6236,B100000,00000,1100,00000(COSTED REQUIS) 6236,B100000,00000,1200,00000(TOTAL CHARGES) 6236,B100000,00000,1300,00000(PATIENT DAYS) 6236,B100000,00000,1301,00000(PATIENT DAYS) 6236,B100000,00000,1400,00000(ASSIGNED TIME) 6236,E10A180,00301,0100,06/14/1999 6236,E10A180,00302,0100,10/08/1999 6236,E10A180,00303,0100,12/09/1999 6236,E10A180,00304,0100,02/14/2000 6236,S000000,00100,0200,06/02/2000 6236,S200000,00100,0100,825 E SEVENTH 6236,S200000,00200,0100,CONCORDIA 6236,S200000,00200,0200,KS 6236,S200000,00200,0300,66901 6236,S200000,00300,0100,CLOUD 6236,S200000,00400,0100,CHRISTOPHER MANOR OF CONCORDIA 6236,S200000,00400,0200,175325 6236,S200000,00400,0300,10/01/1996 6236,S200000,00400,0500,P 6236,S200000,00600,0200,175325 6236,S200000,00600,0300,10/01/1996 6236,S200000,00600,0600,P 6236,S200000,01600,0100,Y 6239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6239,A000000,00300,0000,00300EMPLOYEE BENEFITS 6239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6239,A000000,00700,0000,00700HOUSEKEEPING 6239,A000000,00800,0000,00800DIETARY 6239,A000000,00900,0000,00900NURSING ADMINISTRATION 6239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6239,A000000,01100,0000,01100PHARMACY 6239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6239,A000000,01300,0000,01300SOCIAL SERVICE 6239,A000000,01301,0000,01301ACTIVITIES 6239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6239,A000000,01600,0000,01600SKILLED NURSING FACILITY 6239,A000000,01800,0000,01800NURSING FACILITY 6239,A000000,01810,0000,01810ICF/MR 6239,A000000,01900,0000,01900OTHER LONG TERM CARE 6239,A000000,02200,0000,02200LABORATORY 6239,A000000,02500,0000,02500PHYSICAL THERAPY 6239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6239,A000000,02700,0000,02700SPEECH PATHOLOGY 6239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6239,A000000,03550,0000,03550FQHC 6239,A000000,05000,0000,05000CORF 6239,A000000,05010,0000,05010CMHC 6239,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6239,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6239,A81000A,00100,0100,Y 6239,A81000B,00100,0300,HOME OFFICE COST 6239,A81000B,00400,0300,HOME OFFICE COST 6239,A81000B,00500,0300,HOME OFFICE COST 6239,A81000B,00600,0300,HOME OFFICE COST 6239,A81000B,00800,0300,HOME OFFICE COST 6239,A81000C,00100,0100,B 6239,A81000C,00100,0200,BEVERLY ENTERPR 6239,B100000,00000,0100,00000(SQUARE FEET) 6239,B100000,00000,0200,00000(SQUARE FEET) 6239,B100000,00000,0300,00000(ADJUSTED SALARIES) 6239,B100000,00000,0400,00000(ACCUM. COST) 6239,B100000,00000,0500,00000(SQUARE FEET) 6239,B100000,00000,0600,00000(PATIENT DAYS) 6239,B100000,00000,0700,00000(SQUARE FEET) 6239,B100000,00000,0800,00000(MEALS SERVED) 6239,B100000,00000,0900,00000(ADJUSTED SALARIES) 6239,B100000,00000,1000,00000(PATIENT DAYS) 6239,B100000,00000,1100,00000(COSTED REQUIS) 6239,B100000,00000,1200,00000(TOTAL CHARGES) 6239,B100000,00000,1300,00000(PATIENT DAYS) 6239,B100000,00000,1301,00000(PATIENT DAYS) 6239,B100000,00000,1400,00000(ASSIGNED TIME) 6239,E10A180,00301,0100,10/08/1999 6239,E10A180,00302,0100,02/14/2000 6239,E10A180,00350,0100,01/27/1999 6239,E10A180,00351,0100,06/14/1999 6239,E10A180,00352,0100,12/09/1999 6239,S000000,00100,0200,06/02/2000 6239,S200000,00100,0100,615 PRICE STREET 6239,S200000,00200,0100,OAKLEY 6239,S200000,00200,0200,KS 6239,S200000,00200,0300,67748 6239,S200000,00300,0100,LOGAN 6239,S200000,00400,0100,OAKLEY MANOR 6239,S200000,00400,0200,175326 6239,S200000,00400,0300,11/01/1994 6239,S200000,00400,0500,P 6239,S200000,00600,0200,175326 6239,S200000,00600,0300,11/01/1994 6239,S200000,00600,0600,P 6239,S200000,01600,0100,Y 6242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6242,A000000,00300,0000,00300EMPLOYEE BENEFITS 6242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6242,A000000,00700,0000,00700HOUSEKEEPING 6242,A000000,00800,0000,00800DIETARY 6242,A000000,00900,0000,00900NURSING ADMINISTRATION 6242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6242,A000000,01100,0000,01100PHARMACY 6242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6242,A000000,01300,0000,01300SOCIAL SERVICE 6242,A000000,01301,0000,01301ACTIVITIES 6242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6242,A000000,01600,0000,01600SKILLED NURSING FACILITY 6242,A000000,01800,0000,01800NURSING FACILITY 6242,A000000,01810,0000,01810ICF/MR 6242,A000000,02200,0000,02200LABORATORY 6242,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6242,A000000,02500,0000,02500PHYSICAL THERAPY 6242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6242,A000000,02700,0000,02700SPEECH PATHOLOGY 6242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6242,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6242,A000000,03550,0000,03550FQHC 6242,A000000,05000,0000,05000CORF 6242,A000000,05010,0000,05010CMHC 6242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6242,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6242,A81000A,00100,0100,Y 6242,A81000B,00100,0300,HOME OFFICE COST 6242,A81000B,00400,0300,HOME OFFICE COST 6242,A81000B,00500,0300,HOME OFFICE COST 6242,A81000B,00600,0300,HOME OFFICE COST 6242,A81000B,00800,0300,HOME OFFICE COST 6242,A81000C,00100,0100,B 6242,A81000C,00100,0200,BEVERLY ENTERPR 6242,B100000,00000,0100,00000(SQUARE FEET) 6242,B100000,00000,0200,00000(SQUARE FEET) 6242,B100000,00000,0300,00000(ADJUSTED SALARIES) 6242,B100000,00000,0400,00000(ACCUM. COST) 6242,B100000,00000,0500,00000(SQUARE FEET) 6242,B100000,00000,0600,00000(PATIENT DAYS) 6242,B100000,00000,0700,00000(SQUARE FEET) 6242,B100000,00000,0800,00000(MEALS SERVED) 6242,B100000,00000,0900,00000(ADJUSTED SALARIES) 6242,B100000,00000,1000,00000(PATIENT DAYS) 6242,B100000,00000,1100,00000(COSTED REQUIS) 6242,B100000,00000,1200,00000(TOTAL CHARGES) 6242,B100000,00000,1300,00000(PATIENT DAYS) 6242,B100000,00000,1301,00000(PATIENT DAYS) 6242,B100000,00000,1400,00000(ASSIGNED TIME) 6242,E10A180,00301,0100,12/09/1999 6242,E10A180,00302,0100,02/14/2000 6242,E10A180,00350,0100,06/14/1999 6242,E10A180,00351,0100,10/08/1999 6242,S000000,00100,0200,06/02/2000 6242,S200000,00100,0100,414 N MAIN STREET 6242,S200000,00200,0100,LUCAS 6242,S200000,00200,0200,KS 6242,S200000,00200,0300,67648 6242,S200000,00300,0100,RUSSELL 6242,S200000,00400,0100,LUCAS NURSING CENTER 6242,S200000,00400,0200,175329 6242,S200000,00400,0300,10/01/1996 6242,S200000,00400,0500,P 6242,S200000,00600,0200,175329 6242,S200000,00600,0300,10/01/1996 6242,S200000,00600,0600,P 6242,S200000,01600,0100,Y 6245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6245,A000000,00300,0000,00300EMPLOYEE BENEFITS 6245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6245,A000000,00700,0000,00700HOUSEKEEPING 6245,A000000,00800,0000,00800DIETARY 6245,A000000,00900,0000,00900NURSING ADMINISTRATION 6245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6245,A000000,01100,0000,01100PHARMACY 6245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6245,A000000,01300,0000,01300SOCIAL SERVICE 6245,A000000,01301,0000,01301ACTIVITIES 6245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6245,A000000,01600,0000,01600SKILLED NURSING FACILITY 6245,A000000,01800,0000,01800NURSING FACILITY 6245,A000000,01810,0000,01810ICF/MR 6245,A000000,02100,0000,02100RADIOLOGY 6245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6245,A000000,02500,0000,02500PHYSICAL THERAPY 6245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6245,A000000,02700,0000,02700SPEECH PATHOLOGY 6245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6245,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6245,A000000,03550,0000,03550FQHC 6245,A000000,05000,0000,05000CORF 6245,A000000,05010,0000,05010CMHC 6245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6245,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6245,A81000A,00100,0100,Y 6245,A81000B,00100,0300,HOME OFFICE COST 6245,A81000B,00400,0300,HOME OFFICE COST 6245,A81000B,00500,0300,HOME OFFICE COST 6245,A81000B,00600,0300,HOME OFFICE COST 6245,A81000B,00800,0300,HOME OFFICE COST 6245,A81000C,00100,0100,B 6245,A81000C,00100,0200,BEVERLY ENTERPR 6245,B100000,00000,0100,00000(SQUARE FEET) 6245,B100000,00000,0200,00000(SQUARE FEET) 6245,B100000,00000,0300,00000(ADJUSTED SALARIES) 6245,B100000,00000,0400,00000(ACCUM. COST) 6245,B100000,00000,0500,00000(SQUARE FEET) 6245,B100000,00000,0600,00000(PATIENT DAYS) 6245,B100000,00000,0700,00000(SQUARE FEET) 6245,B100000,00000,0800,00000(MEALS SERVED) 6245,B100000,00000,0900,00000(ADJUSTED SALARIES) 6245,B100000,00000,1000,00000(PATIENT DAYS) 6245,B100000,00000,1100,00000(COSTED REQUIS) 6245,B100000,00000,1200,00000(TOTAL CHARGES) 6245,B100000,00000,1300,00000(PATIENT DAYS) 6245,B100000,00000,1301,00000(PATIENT DAYS) 6245,B100000,00000,1400,00000(ASSIGNED TIME) 6245,E10A180,00301,0100,10/08/1999 6245,E10A180,00302,0100,12/09/1999 6245,E10A180,00350,0100,06/14/1999 6245,E10A180,00351,0100,02/14/2000 6245,S000000,00100,0200,06/02/2000 6245,S200000,00100,0100,102 WEST BOTKIN 6245,S200000,00200,0100,WELLINGTON 6245,S200000,00200,0200,KS 6245,S200000,00200,0300,67152 6245,S200000,00300,0100,SUMNER 6245,S200000,00400,0100,CHRISTOPHER MANOR-WELLINGTON 6245,S200000,00400,0200,175337 6245,S200000,00400,0300,10/01/1996 6245,S200000,00400,0500,P 6245,S200000,00600,0200,175337 6245,S200000,00600,0300,10/01/1996 6245,S200000,00600,0600,P 6245,S200000,01600,0100,Y 6247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6247,A000000,00300,0000,00300EMPLOYEE BENEFITS 6247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6247,A000000,00700,0000,00700HOUSEKEEPING 6247,A000000,00800,0000,00800DIETARY 6247,A000000,00900,0000,00900NURSING ADMINISTRATION 6247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6247,A000000,01100,0000,01100PHARMACY 6247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6247,A000000,01300,0000,01300SOCIAL SERVICE 6247,A000000,01301,0000,01301ACTIVITIES 6247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6247,A000000,01600,0000,01600SKILLED NURSING FACILITY 6247,A000000,01800,0000,01800NURSING FACILITY 6247,A000000,01810,0000,01810ICF/MR 6247,A000000,02100,0000,02100RADIOLOGY 6247,A000000,02200,0000,02200LABORATORY 6247,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6247,A000000,02500,0000,02500PHYSICAL THERAPY 6247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6247,A000000,02700,0000,02700SPEECH PATHOLOGY 6247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6247,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6247,A000000,03550,0000,03550FQHC 6247,A000000,05000,0000,05000CORF 6247,A000000,05010,0000,05010CMHC 6247,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6247,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6247,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6247,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6247,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6247,A81000A,00100,0100,Y 6247,A81000B,00100,0300,HOME OFFICE COST 6247,A81000B,00400,0300,HOME OFFICE COST 6247,A81000B,00500,0300,HOME OFFICE COST 6247,A81000B,00600,0300,HOME OFFICE COST 6247,A81000B,00800,0300,HOME OFFICE COST 6247,A81000C,00100,0100,B 6247,A81000C,00100,0200,BEVERLY ENTERPR 6247,B100000,00000,0100,00000(SQUARE FEET) 6247,B100000,00000,0200,00000(SQUARE FEET) 6247,B100000,00000,0300,00000(ADJUSTED SALARIES) 6247,B100000,00000,0400,00000(ACCUM. COST) 6247,B100000,00000,0500,00000(SQUARE FEET) 6247,B100000,00000,0600,00000(PATIENT DAYS) 6247,B100000,00000,0700,00000(SQUARE FEET) 6247,B100000,00000,0800,00000(MEALS SERVED) 6247,B100000,00000,0900,00000(ADJUSTED SALARIES) 6247,B100000,00000,1000,00000(PATIENT DAYS) 6247,B100000,00000,1100,00000(COSTED REQUIS) 6247,B100000,00000,1200,00000(TOTAL CHARGES) 6247,B100000,00000,1300,00000(PATIENT DAYS) 6247,B100000,00000,1301,00000(PATIENT DAYS) 6247,B100000,00000,1400,00000(ASSIGNED TIME) 6247,E10A180,00301,0100,06/14/1999 6247,E10A180,00302,0100,10/08/1999 6247,E10A180,00303,0100,02/14/2000 6247,E10A180,00350,0100,12/09/1999 6247,S000000,00100,0200,06/02/2000 6247,S200000,00100,0100,251 E WILSON P.O. BOX 466 6247,S200000,00200,0100,SPRING HILL 6247,S200000,00200,0200,KS 6247,S200000,00200,0300,66083 6247,S200000,00300,0100,JOHNSON 6247,S200000,00400,0100,CHRISTOPHER MANOR - SPRING HILL 6247,S200000,00400,0200,175425 6247,S200000,00400,0300,03/01/1998 6247,S200000,00400,0500,P 6247,S200000,00600,0200,175425 6247,S200000,00600,0300,03/01/1998 6247,S200000,00600,0600,P 6247,S200000,01600,0100,Y 6249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6249,A000000,00300,0000,00300EMPLOYEE BENEFITS 6249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6249,A000000,00700,0000,00700HOUSEKEEPING 6249,A000000,00800,0000,00800DIETARY 6249,A000000,00900,0000,00900NURSING ADMINISTRATION 6249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6249,A000000,01100,0000,01100PHARMACY 6249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6249,A000000,01300,0000,01300SOCIAL SERVICE 6249,A000000,01301,0000,01301ACTIVITIES 6249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6249,A000000,01600,0000,01600SKILLED NURSING FACILITY 6249,A000000,01800,0000,01800NURSING FACILITY 6249,A000000,01810,0000,01810ICF/MR 6249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6249,A000000,02500,0000,02500PHYSICAL THERAPY 6249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6249,A000000,02700,0000,02700SPEECH PATHOLOGY 6249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6249,A000000,03550,0000,03550FQHC 6249,A000000,05000,0000,05000CORF 6249,A000000,05010,0000,05010CMHC 6249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6249,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6249,A81000A,00100,0100,Y 6249,A81000B,00100,0300,HOME OFFICE COST 6249,A81000B,00400,0300,HOME OFFICE COST 6249,A81000B,00500,0300,HOME OFFICE COST 6249,A81000B,00600,0300,HOME OFFICE COST 6249,A81000B,00800,0300,HOME OFFICE COST 6249,A81000C,00100,0100,B 6249,A81000C,00100,0200,BEVERLY ENTERPR 6249,B100000,00000,0100,00000(SQUARE FEET) 6249,B100000,00000,0200,00000(SQUARE FEET) 6249,B100000,00000,0300,00000(ADJUSTED SALARIES) 6249,B100000,00000,0400,00000(ACCUM. COST) 6249,B100000,00000,0500,00000(SQUARE FEET) 6249,B100000,00000,0600,00000(PATIENT DAYS) 6249,B100000,00000,0700,00000(SQUARE FEET) 6249,B100000,00000,0800,00000(MEALS SERVED) 6249,B100000,00000,0900,00000(ADJUSTED SALARIES) 6249,B100000,00000,1000,00000(PATIENT DAYS) 6249,B100000,00000,1100,00000(COSTED REQUIS) 6249,B100000,00000,1200,00000(TOTAL CHARGES) 6249,B100000,00000,1300,00000(PATIENT DAYS) 6249,B100000,00000,1301,00000(PATIENT DAYS) 6249,B100000,00000,1400,00000(ASSIGNED TIME) 6249,S000000,00100,0200,06/02/2000 6249,S200000,00100,0100,415 S OSAGE 6249,S200000,00200,0100,CALDWELL 6249,S200000,00200,0200,KS 6249,S200000,00200,0300,67022 6249,S200000,00300,0100,SUMNER 6249,S200000,00400,0100,CHRISTOPHER MANOR OF CALDWELL 6249,S200000,00400,0200,175430 6249,S200000,00400,0300,05/01/1998 6249,S200000,00400,0500,P 6249,S200000,00600,0200,175430 6249,S200000,00600,0300,05/01/1998 6249,S200000,00600,0600,P 6249,S200000,01600,0100,Y 6252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6252,A000000,00300,0000,00300EMPLOYEE BENEFITS 6252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6252,A000000,00700,0000,00700HOUSEKEEPING 6252,A000000,00800,0000,00800DIETARY 6252,A000000,00900,0000,00900NURSING ADMINISTRATION 6252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6252,A000000,01100,0000,01100PHARMACY 6252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6252,A000000,01300,0000,01300SOCIAL SERVICE 6252,A000000,01301,0000,01301ACTIVITIES 6252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6252,A000000,01600,0000,01600SKILLED NURSING FACILITY 6252,A000000,01800,0000,01800NURSING FACILITY 6252,A000000,01810,0000,01810ICF/MR 6252,A000000,01900,0000,01900OTHER LONG TERM CARE 6252,A000000,02100,0000,02100RADIOLOGY 6252,A000000,02200,0000,02200LABORATORY 6252,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6252,A000000,02500,0000,02500PHYSICAL THERAPY 6252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6252,A000000,02700,0000,02700SPEECH PATHOLOGY 6252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6252,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6252,A000000,03550,0000,03550FQHC 6252,A000000,05000,0000,05000CORF 6252,A000000,05010,0000,05010CMHC 6252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6252,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6252,A81000A,00100,0100,Y 6252,A81000B,00100,0300,HOME OFFICE COST 6252,A81000B,00400,0300,HOME OFFICE COST 6252,A81000B,00500,0300,HOME OFFICE COST 6252,A81000B,00600,0300,HOME OFFICE COST 6252,A81000B,00800,0300,HOME OFFICE COST 6252,A81000C,00100,0100,B 6252,A81000C,00100,0200,BEVERLY ENTERPR 6252,B100000,00000,0100,00000(SQUARE FEET) 6252,B100000,00000,0200,00000(SQUARE FEET) 6252,B100000,00000,0300,00000(ADJUSTED SALARIES) 6252,B100000,00000,0400,00000(ACCUM. COST) 6252,B100000,00000,0500,00000(SQUARE FEET) 6252,B100000,00000,0600,00000(PATIENT DAYS) 6252,B100000,00000,0700,00000(SQUARE FEET) 6252,B100000,00000,0800,00000(MEALS SERVED) 6252,B100000,00000,0900,00000(ADJUSTED SALARIES) 6252,B100000,00000,1000,00000(PATIENT DAYS) 6252,B100000,00000,1100,00000(COSTED REQUIS) 6252,B100000,00000,1200,00000(TOTAL CHARGES) 6252,B100000,00000,1300,00000(PATIENT DAYS) 6252,B100000,00000,1301,00000(PATIENT DAYS) 6252,B100000,00000,1400,00000(ASSIGNED TIME) 6252,E10A180,00301,0100,01/27/1999 6252,E10A180,00305,0100,02/14/2000 6252,E10A180,00351,0100,06/14/1999 6252,E10A180,00352,0100,10/08/1999 6252,E10A180,00353,0100,12/09/1999 6252,S000000,00100,0200,06/02/2000 6252,S200000,00100,0100,3116 BRECKINRIDGE LN 6252,S200000,00200,0100,LOUISVILLE 6252,S200000,00200,0200,KY 6252,S200000,00200,0300,40220 6252,S200000,00300,0100,JEFFERSON 6252,S200000,00400,0100,HILLCREEK NURSING (866) A 6252,S200000,00400,0200,185095 6252,S200000,00400,0300,03/01/1983 6252,S200000,00400,0500,P 6252,S200000,00600,0200,185095 6252,S200000,00600,0300,03/01/1983 6252,S200000,00600,0600,P 6252,S200000,01600,0100,Y 6255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6255,A000000,00300,0000,00300EMPLOYEE BENEFITS 6255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6255,A000000,00700,0000,00700HOUSEKEEPING 6255,A000000,00800,0000,00800DIETARY 6255,A000000,00900,0000,00900NURSING ADMINISTRATION 6255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6255,A000000,01100,0000,01100PHARMACY 6255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6255,A000000,01300,0000,01300SOCIAL SERVICE 6255,A000000,01301,0000,01301ACTIVITIES 6255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6255,A000000,01600,0000,01600SKILLED NURSING FACILITY 6255,A000000,01800,0000,01800NURSING FACILITY 6255,A000000,01810,0000,01810ICF/MR 6255,A000000,01900,0000,01900OTHER LONG TERM CARE 6255,A000000,02100,0000,02100RADIOLOGY 6255,A000000,02200,0000,02200LABORATORY 6255,A000000,02500,0000,02500PHYSICAL THERAPY 6255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6255,A000000,02700,0000,02700SPEECH PATHOLOGY 6255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6255,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6255,A000000,03550,0000,03550FQHC 6255,A000000,05000,0000,05000CORF 6255,A000000,05010,0000,05010CMHC 6255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6255,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6255,A81000A,00100,0100,Y 6255,A81000B,00100,0300,HOME OFFICE COST 6255,A81000B,00400,0300,HOME OFFICE COST 6255,A81000B,00500,0300,HOME OFFICE COST 6255,A81000B,00600,0300,HOME OFFICE COST 6255,A81000B,00800,0300,HOME OFFICE COST 6255,A81000C,00100,0100,B 6255,A81000C,00100,0200,BEVERLY ENTERPR 6255,B100000,00000,0100,00000(SQUARE FEET) 6255,B100000,00000,0200,00000(SQUARE FEET) 6255,B100000,00000,0300,00000(ADJUSTED SALARIES) 6255,B100000,00000,0400,00000(ACCUM. COST) 6255,B100000,00000,0500,00000(SQUARE FEET) 6255,B100000,00000,0600,00000(PATIENT DAYS) 6255,B100000,00000,0700,00000(SQUARE FEET) 6255,B100000,00000,0800,00000(MEALS SERVED) 6255,B100000,00000,0900,00000(ADJUSTED SALARIES) 6255,B100000,00000,1000,00000(PATIENT DAYS) 6255,B100000,00000,1100,00000(COSTED REQUIS) 6255,B100000,00000,1200,00000(TOTAL CHARGES) 6255,B100000,00000,1300,00000(PATIENT DAYS) 6255,B100000,00000,1301,00000(PATIENT DAYS) 6255,B100000,00000,1400,00000(ASSIGNED TIME) 6255,E10A180,00302,0100,06/14/1999 6255,E10A180,00305,0100,02/14/2000 6255,E10A180,00350,0100,01/27/1999 6255,E10A180,00352,0100,10/08/1999 6255,E10A180,00353,0100,12/09/1999 6255,S000000,00100,0200,06/02/2000 6255,S200000,00100,0100,OLD SOLDIERS LANE 6255,S200000,00200,0100,FRANKFORT 6255,S200000,00200,0200,KY 6255,S200000,00200,0300,40601 6255,S200000,00300,0100,FRANKLIN 6255,S200000,00400,0100,BHRS/FRANKFORT 6255,S200000,00400,0200,185159 6255,S200000,00400,0300,01/01/1989 6255,S200000,00400,0500,P 6255,S200000,00600,0200,185159 6255,S200000,00600,0300,01/01/1989 6255,S200000,00600,0600,P 6255,S200000,01600,0100,Y 6258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6258,A000000,00300,0000,00300EMPLOYEE BENEFITS 6258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6258,A000000,00700,0000,00700HOUSEKEEPING 6258,A000000,00800,0000,00800DIETARY 6258,A000000,00900,0000,00900NURSING ADMINISTRATION 6258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6258,A000000,01100,0000,01100PHARMACY 6258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6258,A000000,01300,0000,01300SOCIAL SERVICE 6258,A000000,01301,0000,01301ACTIVITIES 6258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6258,A000000,01600,0000,01600SKILLED NURSING FACILITY 6258,A000000,01800,0000,01800NURSING FACILITY 6258,A000000,01810,0000,01810ICF/MR 6258,A000000,02100,0000,02100RADIOLOGY 6258,A000000,02200,0000,02200LABORATORY 6258,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6258,A000000,02500,0000,02500PHYSICAL THERAPY 6258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6258,A000000,02700,0000,02700SPEECH PATHOLOGY 6258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6258,A000000,03550,0000,03550FQHC 6258,A000000,05000,0000,05000CORF 6258,A000000,05010,0000,05010CMHC 6258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6258,A000000,06150,0000,06300OTHER NON REIMBUSABLE COST 6258,A81000A,00100,0100,Y 6258,A81000B,00100,0300,HOME OFFICE COST 6258,A81000B,00400,0300,HOME OFFICE COST 6258,A81000B,00500,0300,HOME OFFICE COST 6258,A81000B,00600,0300,HOME OFFICE COST 6258,A81000B,00800,0300,HOME OFFICE COST 6258,A81000C,00100,0100,B 6258,A81000C,00100,0200,BEVERLY ENTERPR 6258,B100000,00000,0100,00000(SQUARE FEET) 6258,B100000,00000,0200,00000(SQUARE FEET) 6258,B100000,00000,0300,00000(ADJUSTED SALARIES) 6258,B100000,00000,0400,00000(ACCUM. COST) 6258,B100000,00000,0500,00000(SQUARE FEET) 6258,B100000,00000,0600,00000(PATIENT DAYS) 6258,B100000,00000,0700,00000(SQUARE FEET) 6258,B100000,00000,0800,00000(MEALS SERVED) 6258,B100000,00000,0900,00000(ADJUSTED SALARIES) 6258,B100000,00000,1000,00000(PATIENT DAYS) 6258,B100000,00000,1100,00000(COSTED REQUIS) 6258,B100000,00000,1200,00000(TOTAL CHARGES) 6258,B100000,00000,1300,00000(PATIENT DAYS) 6258,B100000,00000,1301,00000(PATIENT DAYS) 6258,B100000,00000,1400,00000(ASSIGNED TIME) 6258,E10A180,00301,0100,01/27/1999 6258,E10A180,00304,0100,12/09/1999 6258,E10A180,00305,0100,02/14/2000 6258,E10A180,00351,0100,06/14/1999 6258,E10A180,00352,0100,10/08/1999 6258,S000000,00100,0200,06/02/2000 6258,S200000,00100,0100,1101 LYNDON LANE 6258,S200000,00200,0100,LOUISVILLE 6258,S200000,00200,0200,KY 6258,S200000,00200,0300,40222 6258,S200000,00300,0100,JEFFERSON 6258,S200000,00400,0100,LYNDON LANE NURSING CENTER 6258,S200000,00400,0200,185165 6258,S200000,00400,0300,12/15/1981 6258,S200000,00400,0500,P 6258,S200000,00600,0200,185165 6258,S200000,00600,0300,12/15/1981 6258,S200000,00600,0600,P 6258,S200000,01600,0100,Y 6261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6261,A000000,00300,0000,00300EMPLOYEE BENEFITS 6261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6261,A000000,00700,0000,00700HOUSEKEEPING 6261,A000000,00800,0000,00800DIETARY 6261,A000000,00900,0000,00900NURSING ADMINISTRATION 6261,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6261,A000000,01100,0000,01100PHARMACY 6261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6261,A000000,01300,0000,01300SOCIAL SERVICE 6261,A000000,01301,0000,01301ACTIVITIES 6261,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6261,A000000,01600,0000,01600SKILLED NURSING FACILITY 6261,A000000,01800,0000,01800NURSING FACILITY 6261,A000000,01810,0000,01810ICF/MR 6261,A000000,02100,0000,02100RADIOLOGY 6261,A000000,02200,0000,02200LABORATORY 6261,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6261,A000000,02500,0000,02500PHYSICAL THERAPY 6261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6261,A000000,02700,0000,02700SPEECH PATHOLOGY 6261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6261,A000000,03550,0000,03550FQHC 6261,A000000,05000,0000,05000CORF 6261,A000000,05010,0000,05010CMHC 6261,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6261,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6261,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6261,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6261,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6261,A81000A,00100,0100,Y 6261,A81000B,00100,0300,HOME OFFICE COST 6261,A81000B,00400,0300,HOME OFFICE COST 6261,A81000B,00500,0300,HOME OFFICE COST 6261,A81000B,00600,0300,HOME OFFICE COST 6261,A81000B,00800,0300,HOME OFFICE COST 6261,A81000C,00100,0100,B 6261,A81000C,00100,0200,BEVERLY ENTERPR 6261,B100000,00000,0100,00000(SQUARE FEET) 6261,B100000,00000,0200,00000(SQUARE FEET) 6261,B100000,00000,0300,00000(ADJUSTED SALARIES) 6261,B100000,00000,0400,00000(ACCUM. COST) 6261,B100000,00000,0500,00000(SQUARE FEET) 6261,B100000,00000,0600,00000(PATIENT DAYS) 6261,B100000,00000,0700,00000(SQUARE FEET) 6261,B100000,00000,0800,00000(MEALS SERVED) 6261,B100000,00000,0900,00000(ADJUSTED SALARIES) 6261,B100000,00000,1000,00000(PATIENT DAYS) 6261,B100000,00000,1100,00000(COSTED REQUIS) 6261,B100000,00000,1200,00000(TOTAL CHARGES) 6261,B100000,00000,1300,00000(PATIENT DAYS) 6261,B100000,00000,1301,00000(PATIENT DAYS) 6261,B100000,00000,1400,00000(ASSIGNED TIME) 6261,E10A180,00301,0100,01/27/1999 6261,E10A180,00304,0100,12/09/1999 6261,E10A180,00305,0100,02/14/2000 6261,E10A180,00351,0100,06/14/1999 6261,E10A180,00352,0100,10/08/1999 6261,S000000,00100,0200,06/02/2000 6261,S200000,00100,0100,446 MT HOLLY AVENUE 6261,S200000,00200,0100,LOUISVILLE 6261,S200000,00200,0200,KY 6261,S200000,00200,0300,40207 6261,S200000,00300,0100,JEFFERSON 6261,S200000,00400,0100,MOUNT HOLLY (986) A 6261,S200000,00400,0200,185176 6261,S200000,00400,0300,12/20/1984 6261,S200000,00400,0500,P 6261,S200000,00600,0200,185176 6261,S200000,00600,0300,12/20/1984 6261,S200000,00600,0600,P 6261,S200000,01600,0100,Y 6264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6264,A000000,00300,0000,00300EMPLOYEE BENEFITS 6264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6264,A000000,00700,0000,00700HOUSEKEEPING 6264,A000000,00800,0000,00800DIETARY 6264,A000000,00900,0000,00900NURSING ADMINISTRATION 6264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6264,A000000,01100,0000,01100PHARMACY 6264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6264,A000000,01300,0000,01300SOCIAL SERVICE 6264,A000000,01301,0000,01301ACTIVITIES 6264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6264,A000000,01600,0000,01600SKILLED NURSING FACILITY 6264,A000000,01800,0000,01800NURSING FACILITY 6264,A000000,01810,0000,01810ICF/MR 6264,A000000,02100,0000,02100RADIOLOGY 6264,A000000,02200,0000,02200LABORATORY 6264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6264,A000000,02500,0000,02500PHYSICAL THERAPY 6264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6264,A000000,02700,0000,02700SPEECH PATHOLOGY 6264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6264,A000000,03550,0000,03550FQHC 6264,A000000,05000,0000,05000CORF 6264,A000000,05010,0000,05010CMHC 6264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6264,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6264,A81000A,00100,0100,Y 6264,A81000B,00100,0300,HOME OFFICE COST 6264,A81000B,00400,0300,HOME OFFICE COST 6264,A81000B,00500,0300,HOME OFFICE COST 6264,A81000B,00600,0300,HOME OFFICE COST 6264,A81000B,00800,0300,HOME OFFICE COST 6264,A81000C,00100,0100,B 6264,A81000C,00100,0200,BEVERLY ENTERPR 6264,B100000,00000,0100,00000(SQUARE FEET) 6264,B100000,00000,0200,00000(SQUARE FEET) 6264,B100000,00000,0300,00000(ADJUSTED SALARIES) 6264,B100000,00000,0400,00000(ACCUM. COST) 6264,B100000,00000,0500,00000(SQUARE FEET) 6264,B100000,00000,0600,00000(PATIENT DAYS) 6264,B100000,00000,0700,00000(SQUARE FEET) 6264,B100000,00000,0800,00000(MEALS SERVED) 6264,B100000,00000,0900,00000(ADJUSTED SALARIES) 6264,B100000,00000,1000,00000(PATIENT DAYS) 6264,B100000,00000,1100,00000(COSTED REQUIS) 6264,B100000,00000,1200,00000(TOTAL CHARGES) 6264,B100000,00000,1300,00000(PATIENT DAYS) 6264,B100000,00000,1301,00000(PATIENT DAYS) 6264,B100000,00000,1400,00000(ASSIGNED TIME) 6264,E10A180,00303,0100,10/08/1999 6264,E10A180,00304,0100,12/09/1999 6264,E10A180,00305,0100,02/14/2000 6264,E10A180,00350,0100,01/27/1999 6264,E10A180,00351,0100,06/14/1999 6264,S000000,00100,0200,06/02/2000 6264,S200000,00100,0100,227 BROWNS LANE 6264,S200000,00200,0100,LOUISVILLE 6264,S200000,00200,0200,KY 6264,S200000,00200,0300,40207 6264,S200000,00300,0100,JEFFERSON 6264,S200000,00400,0100,ST MATTHEWS MANOR (985) A 6264,S200000,00400,0200,185192 6264,S200000,00400,0300,07/08/1988 6264,S200000,00400,0500,P 6264,S200000,00600,0200,185192 6264,S200000,00600,0300,07/08/1988 6264,S200000,00600,0600,P 6264,S200000,01600,0100,Y 6267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6267,A000000,00300,0000,00300EMPLOYEE BENEFITS 6267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6267,A000000,00700,0000,00700HOUSEKEEPING 6267,A000000,00800,0000,00800DIETARY 6267,A000000,00900,0000,00900NURSING ADMINISTRATION 6267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6267,A000000,01100,0000,01100PHARMACY 6267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6267,A000000,01300,0000,01300SOCIAL SERVICE 6267,A000000,01301,0000,01301ACTIVITIES 6267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6267,A000000,01600,0000,01600SKILLED NURSING FACILITY 6267,A000000,01800,0000,01800NURSING FACILITY 6267,A000000,01810,0000,01810ICF/MR 6267,A000000,01900,0000,01900OTHER LONG TERM CARE 6267,A000000,02100,0000,02100RADIOLOGY 6267,A000000,02200,0000,02200LABORATORY 6267,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6267,A000000,02500,0000,02500PHYSICAL THERAPY 6267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6267,A000000,02700,0000,02700SPEECH PATHOLOGY 6267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6267,A000000,03550,0000,03550FQHC 6267,A000000,05000,0000,05000CORF 6267,A000000,05010,0000,05010CMHC 6267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6267,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6267,A81000A,00100,0100,Y 6267,A81000B,00100,0300,HOME OFFICE COST 6267,A81000B,00400,0300,HOME OFFICE COST 6267,A81000B,00500,0300,HOME OFFICE COST 6267,A81000B,00600,0300,HOME OFFICE COST 6267,A81000B,00800,0300,HOME OFFICE COST 6267,A81000C,00100,0100,B 6267,A81000C,00100,0200,BEVERLY ENTERPR 6267,B100000,00000,0100,00000(SQUARE FEET) 6267,B100000,00000,0200,00000(SQUARE FEET) 6267,B100000,00000,0300,00000(ADJUSTED SALARIES) 6267,B100000,00000,0400,00000(ACCUM. COST) 6267,B100000,00000,0500,00000(SQUARE FEET) 6267,B100000,00000,0600,00000(PATIENT DAYS) 6267,B100000,00000,0700,00000(SQUARE FEET) 6267,B100000,00000,0800,00000(MEALS SERVED) 6267,B100000,00000,0900,00000(ADJUSTED SALARIES) 6267,B100000,00000,1000,00000(PATIENT DAYS) 6267,B100000,00000,1100,00000(COSTED REQUIS) 6267,B100000,00000,1200,00000(TOTAL CHARGES) 6267,B100000,00000,1300,00000(PATIENT DAYS) 6267,B100000,00000,1301,00000(PATIENT DAYS) 6267,B100000,00000,1400,00000(ASSIGNED TIME) 6267,E10A180,00350,0100,01/27/1999 6267,E10A180,00351,0100,06/14/1999 6267,E10A180,00352,0100,10/08/1999 6267,E10A180,00353,0100,12/09/1999 6267,E10A180,00354,0100,02/14/2000 6267,S000000,00100,0200,06/02/2000 6267,S200000,00100,0100,FAIRLAND DR. BOX 297 6267,S200000,00200,0100,VANCEBURG 6267,S200000,00200,0200,KY 6267,S200000,00200,0300,41179 6267,S200000,00300,0100,LEWIS 6267,S200000,00400,0100,VANCEBURG HCC (#72) 6267,S200000,00400,0200,185238 6267,S200000,00400,0300,01/24/1991 6267,S200000,00400,0500,P 6267,S200000,00600,0200,185238 6267,S200000,00600,0300,01/24/1991 6267,S200000,00600,0600,P 6267,S200000,01600,0100,Y 6270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6270,A000000,00300,0000,00300EMPLOYEE BENEFITS 6270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6270,A000000,00700,0000,00700HOUSEKEEPING 6270,A000000,00800,0000,00800DIETARY 6270,A000000,00900,0000,00900NURSING ADMINISTRATION 6270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6270,A000000,01100,0000,01100PHARMACY 6270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6270,A000000,01300,0000,01300SOCIAL SERVICE 6270,A000000,01301,0000,01301ACTIVITIES 6270,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6270,A000000,01600,0000,01600SKILLED NURSING FACILITY 6270,A000000,01800,0000,01800NURSING FACILITY 6270,A000000,01810,0000,01810ICF/MR 6270,A000000,02100,0000,02100RADIOLOGY 6270,A000000,02200,0000,02200LABORATORY 6270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6270,A000000,02500,0000,02500PHYSICAL THERAPY 6270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6270,A000000,02700,0000,02700SPEECH PATHOLOGY 6270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6270,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6270,A000000,03550,0000,03550FQHC 6270,A000000,05000,0000,05000CORF 6270,A000000,05010,0000,05010CMHC 6270,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6270,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6270,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6270,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6270,A81000A,00100,0100,Y 6270,A81000B,00100,0300,HOME OFFICE COST 6270,A81000B,00400,0300,HOME OFFICE COST 6270,A81000B,00500,0300,HOME OFFICE COST 6270,A81000B,00600,0300,HOME OFFICE COST 6270,A81000B,00800,0300,HOME OFFICE COST 6270,A81000C,00100,0100,B 6270,A81000C,00100,0200,BEVERLY ENTERPR 6270,B100000,00000,0100,00000(SQUARE FEET) 6270,B100000,00000,0200,00000(SQUARE FEET) 6270,B100000,00000,0300,00000(ADJUSTED SALARIES) 6270,B100000,00000,0400,00000(ACCUM. COST) 6270,B100000,00000,0500,00000(SQUARE FEET) 6270,B100000,00000,0600,00000(PATIENT DAYS) 6270,B100000,00000,0700,00000(SQUARE FEET) 6270,B100000,00000,0800,00000(MEALS SERVED) 6270,B100000,00000,0900,00000(ADJUSTED SALARIES) 6270,B100000,00000,1000,00000(PATIENT DAYS) 6270,B100000,00000,1100,00000(COSTED REQUIS) 6270,B100000,00000,1200,00000(TOTAL CHARGES) 6270,B100000,00000,1300,00000(PATIENT DAYS) 6270,B100000,00000,1301,00000(PATIENT DAYS) 6270,B100000,00000,1400,00000(ASSIGNED TIME) 6270,E10A180,00350,0100,01/27/1999 6270,E10A180,00351,0100,06/14/1999 6270,E10A180,00352,0100,10/08/1999 6270,E10A180,00353,0100,12/09/1999 6270,E10A180,00354,0100,02/14/2000 6270,S000000,00100,0200,06/02/2000 6270,S200000,00100,0100,105 HARMON HEIGHTS 6270,S200000,00200,0100,STANFORD 6270,S200000,00200,0200,KY 6270,S200000,00200,0300,40484 6270,S200000,00300,0100,LEWIS 6270,S200000,00400,0100,STANFORD HOUSE (#73) 6270,S200000,00400,0200,185244 6270,S200000,00400,0300,02/20/1991 6270,S200000,00400,0500,P 6270,S200000,00600,0200,185244 6270,S200000,00600,0300,02/20/1991 6270,S200000,00600,0600,P 6270,S200000,01600,0100,Y 6273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6273,A000000,00300,0000,00300EMPLOYEE BENEFITS 6273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6273,A000000,00700,0000,00700HOUSEKEEPING 6273,A000000,00800,0000,00800DIETARY 6273,A000000,00900,0000,00900NURSING ADMINISTRATION 6273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6273,A000000,01100,0000,01100PHARMACY 6273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6273,A000000,01300,0000,01300SOCIAL SERVICE 6273,A000000,01301,0000,01301ACTIVITIES 6273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6273,A000000,01600,0000,01600SKILLED NURSING FACILITY 6273,A000000,01800,0000,01800NURSING FACILITY 6273,A000000,01810,0000,01810ICF/MR 6273,A000000,02100,0000,02100RADIOLOGY 6273,A000000,02200,0000,02200LABORATORY 6273,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6273,A000000,02500,0000,02500PHYSICAL THERAPY 6273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6273,A000000,02700,0000,02700SPEECH PATHOLOGY 6273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6273,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6273,A000000,03550,0000,03550FQHC 6273,A000000,05000,0000,05000CORF 6273,A000000,05010,0000,05010CMHC 6273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6273,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6273,A81000A,00100,0100,Y 6273,A81000B,00100,0300,HOME OFFICE COST 6273,A81000B,00400,0300,HOME OFFICE COST 6273,A81000B,00500,0300,HOME OFFICE COST 6273,A81000B,00600,0300,HOME OFFICE COST 6273,A81000B,00800,0300,HOME OFFICE COST 6273,A81000C,00100,0100,B 6273,A81000C,00100,0200,BEVERLY ENTERPR 6273,B100000,00000,0100,00000(SQUARE FEET) 6273,B100000,00000,0200,00000(SQUARE FEET) 6273,B100000,00000,0300,00000(ADJUSTED SALARIES) 6273,B100000,00000,0400,00000(ACCUM. COST) 6273,B100000,00000,0500,00000(SQUARE FEET) 6273,B100000,00000,0600,00000(PATIENT DAYS) 6273,B100000,00000,0700,00000(SQUARE FEET) 6273,B100000,00000,0800,00000(MEALS SERVED) 6273,B100000,00000,0900,00000(ADJUSTED SALARIES) 6273,B100000,00000,1000,00000(PATIENT DAYS) 6273,B100000,00000,1100,00000(COSTED REQUIS) 6273,B100000,00000,1200,00000(TOTAL CHARGES) 6273,B100000,00000,1300,00000(PATIENT DAYS) 6273,B100000,00000,1301,00000(PATIENT DAYS) 6273,B100000,00000,1400,00000(ASSIGNED TIME) 6273,E10A180,00350,0100,01/27/1999 6273,E10A180,00351,0100,06/14/1999 6273,E10A180,00352,0100,10/08/1999 6273,E10A180,00353,0100,12/09/1999 6273,E10A180,00354,0100,02/14/2000 6273,S000000,00100,0200,06/02/2000 6273,S200000,00100,0100,213 INDUSTRIAL ROAD 6273,S200000,00200,0100,GREENSBURG 6273,S200000,00200,0200,KY 6273,S200000,00200,0300,42743 6273,S200000,00300,0100,GREEN 6273,S200000,00400,0100,GREEN HILL MANOR 6273,S200000,00400,0200,185257 6273,S200000,00400,0300,06/01/1991 6273,S200000,00400,0500,P 6273,S200000,00600,0200,185257 6273,S200000,00600,0300,06/01/1991 6273,S200000,00600,0600,P 6273,S200000,01600,0100,Y 6277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6277,A000000,00300,0000,00300EMPLOYEE BENEFITS 6277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6277,A000000,00700,0000,00700HOUSEKEEPING 6277,A000000,00800,0000,00800DIETARY 6277,A000000,00900,0000,00900NURSING ADMINISTRATION 6277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6277,A000000,01100,0000,01100PHARMACY 6277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6277,A000000,01300,0000,01300SOCIAL SERVICE 6277,A000000,01301,0000,01301ACTIVITIES 6277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6277,A000000,01600,0000,01600SKILLED NURSING FACILITY 6277,A000000,01800,0000,01800NURSING FACILITY 6277,A000000,01810,0000,01810ICF/MR 6277,A000000,02100,0000,02100RADIOLOGY 6277,A000000,02200,0000,02200LABORATORY 6277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6277,A000000,02500,0000,02500PHYSICAL THERAPY 6277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6277,A000000,02700,0000,02700SPEECH PATHOLOGY 6277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6277,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6277,A000000,03550,0000,03550FQHC 6277,A000000,05000,0000,05000CORF 6277,A000000,05010,0000,05010CMHC 6277,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6277,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6277,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6277,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6277,A81000A,00100,0100,Y 6277,A81000B,00100,0300,HOME OFFICE COST 6277,A81000B,00400,0300,HOME OFFICE COST 6277,A81000B,00500,0300,HOME OFFICE COST 6277,A81000B,00600,0300,HOME OFFICE COST 6277,A81000B,00800,0300,HOME OFFICE COST 6277,A81000C,00100,0100,B 6277,A81000C,00100,0200,BEVERLY ENTERPR 6277,B100000,00000,0100,00000(SQUARE FEET) 6277,B100000,00000,0200,00000(SQUARE FEET) 6277,B100000,00000,0300,00000(ADJUSTED SALARIES) 6277,B100000,00000,0400,00000(ACCUM. COST) 6277,B100000,00000,0500,00000(SQUARE FEET) 6277,B100000,00000,0600,00000(PATIENT DAYS) 6277,B100000,00000,0700,00000(SQUARE FEET) 6277,B100000,00000,0800,00000(MEALS SERVED) 6277,B100000,00000,0900,00000(ADJUSTED SALARIES) 6277,B100000,00000,1000,00000(PATIENT DAYS) 6277,B100000,00000,1100,00000(COSTED REQUIS) 6277,B100000,00000,1200,00000(TOTAL CHARGES) 6277,B100000,00000,1300,00000(PATIENT DAYS) 6277,B100000,00000,1301,00000(PATIENT DAYS) 6277,B100000,00000,1400,00000(ASSIGNED TIME) 6277,E10A180,00301,0100,02/14/2000 6277,E10A180,00350,0100,01/27/2000 6277,E10A180,00351,0100,06/14/1999 6277,E10A180,00352,0100,10/08/1999 6277,E10A180,00353,0100,12/09/1999 6277,S000000,00100,0200,06/02/2000 6277,S200000,00100,0100,512 WINIFRED ROAD 6277,S200000,00200,0100,CUMBERLAND 6277,S200000,00200,0200,MD 6277,S200000,00200,0300,21502 6277,S200000,00300,0100,ALLEGANY 6277,S200000,00400,0100,CUMBERLAND VILLA (272) B 6277,S200000,00400,0200,215055 6277,S200000,00400,0300,01/01/1982 6277,S200000,00400,0500,P 6277,S200000,00600,0200,215055 6277,S200000,00600,0300,01/01/1982 6277,S200000,00600,0600,P 6277,S200000,01600,0100,Y 6280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6280,A000000,00300,0000,00300EMPLOYEE BENEFITS 6280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6280,A000000,00700,0000,00700HOUSEKEEPING 6280,A000000,00800,0000,00800DIETARY 6280,A000000,00900,0000,00900NURSING ADMINISTRATION 6280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6280,A000000,01100,0000,01100PHARMACY 6280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6280,A000000,01300,0000,01300SOCIAL SERVICE 6280,A000000,01301,0000,01301ACTIVITIES 6280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6280,A000000,01600,0000,01600SKILLED NURSING FACILITY 6280,A000000,01800,0000,01800NURSING FACILITY 6280,A000000,01810,0000,01810ICF/MR 6280,A000000,02100,0000,02100RADIOLOGY 6280,A000000,02200,0000,02200LABORATORY 6280,A000000,02500,0000,02500PHYSICAL THERAPY 6280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6280,A000000,02700,0000,02700SPEECH PATHOLOGY 6280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6280,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6280,A000000,03550,0000,03550FQHC 6280,A000000,05000,0000,05000CORF 6280,A000000,05010,0000,05010CMHC 6280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6280,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6280,A81000A,00100,0100,Y 6280,A81000B,00100,0300,HOME OFFICE COST 6280,A81000B,00400,0300,HOME OFFICE COST 6280,A81000B,00500,0300,HOME OFFICE COST 6280,A81000B,00600,0300,HOME OFFICE COST 6280,A81000B,00800,0300,HOME OFFICE COST 6280,A81000C,00100,0100,B 6280,A81000C,00100,0200,BEVERLY ENTERPR 6280,B100000,00000,0100,00000(SQUARE FEET) 6280,B100000,00000,0200,00000(SQUARE FEET) 6280,B100000,00000,0300,00000(ADJUSTED SALARIES) 6280,B100000,00000,0400,00000(ACCUM. COST) 6280,B100000,00000,0500,00000(SQUARE FEET) 6280,B100000,00000,0600,00000(PATIENT DAYS) 6280,B100000,00000,0700,00000(SQUARE FEET) 6280,B100000,00000,0800,00000(MEALS SERVED) 6280,B100000,00000,0900,00000(ADJUSTED SALARIES) 6280,B100000,00000,1000,00000(PATIENT DAYS) 6280,B100000,00000,1100,00000(COSTED REQUIS) 6280,B100000,00000,1200,00000(TOTAL CHARGES) 6280,B100000,00000,1300,00000(PATIENT DAYS) 6280,B100000,00000,1301,00000(PATIENT DAYS) 6280,B100000,00000,1400,00000(ASSIGNED TIME) 6280,E10A180,00301,0100,12/09/1999 6280,E10A180,00350,0100,01/27/1999 6280,E10A180,00351,0100,06/14/1999 6280,E10A180,00352,0100,10/08/1999 6280,E10A180,00353,0100,02/14/2000 6280,S000000,00100,0200,06/02/2000 6280,S200000,00100,0100,750 DUAL HIGHWAY 6280,S200000,00200,0100,HAGERSTOWN 6280,S200000,00200,0200,MD 6280,S200000,00200,0300,21704 6280,S200000,00300,0100,WASHINGTON 6280,S200000,00400,0100,COLTON VILLA NURSING CENTER (2 6280,S200000,00400,0200,215079 6280,S200000,00400,0300,01/01/1982 6280,S200000,00400,0500,P 6280,S200000,00600,0200,215079 6280,S200000,00600,0300,01/01/1982 6280,S200000,00600,0600,P 6280,S200000,01600,0100,Y 6283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6283,A000000,00300,0000,00300EMPLOYEE BENEFITS 6283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6283,A000000,00700,0000,00700HOUSEKEEPING 6283,A000000,00800,0000,00800DIETARY 6283,A000000,00900,0000,00900NURSING ADMINISTRATION 6283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6283,A000000,01100,0000,01100PHARMACY 6283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6283,A000000,01300,0000,01300SOCIAL SERVICE 6283,A000000,01301,0000,01301ACTIVITIES 6283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6283,A000000,01600,0000,01600SKILLED NURSING FACILITY 6283,A000000,01800,0000,01800NURSING FACILITY 6283,A000000,01810,0000,01810ICF/MR 6283,A000000,02100,0000,02100RADIOLOGY 6283,A000000,02200,0000,02200LABORATORY 6283,A000000,02500,0000,02500PHYSICAL THERAPY 6283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6283,A000000,02700,0000,02700SPEECH PATHOLOGY 6283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6283,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6283,A000000,03550,0000,03550FQHC 6283,A000000,05000,0000,05000CORF 6283,A000000,05010,0000,05010CMHC 6283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6283,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6283,A81000A,00100,0100,Y 6283,A81000B,00100,0300,HOME OFFICE COST 6283,A81000B,00400,0300,HOME OFFICE COST 6283,A81000B,00500,0300,HOME OFFICE COST 6283,A81000B,00600,0300,HOME OFFICE COST 6283,A81000B,00800,0300,HOME OFFICE COST 6283,A81000C,00100,0100,B 6283,A81000C,00100,0200,BEVERLY ENTERPR 6283,B100000,00000,0100,00000(SQUARE FEET) 6283,B100000,00000,0200,00000(SQUARE FEET) 6283,B100000,00000,0300,00000(ADJUSTED SALARIES) 6283,B100000,00000,0400,00000(ACCUM. COST) 6283,B100000,00000,0500,00000(SQUARE FEET) 6283,B100000,00000,0600,00000(PATIENT DAYS) 6283,B100000,00000,0700,00000(SQUARE FEET) 6283,B100000,00000,0800,00000(MEALS SERVED) 6283,B100000,00000,0900,00000(ADJUSTED SALARIES) 6283,B100000,00000,1000,00000(PATIENT DAYS) 6283,B100000,00000,1100,00000(COSTED REQUIS) 6283,B100000,00000,1200,00000(TOTAL CHARGES) 6283,B100000,00000,1300,00000(PATIENT DAYS) 6283,B100000,00000,1301,00000(PATIENT DAYS) 6283,B100000,00000,1400,00000(ASSIGNED TIME) 6283,E10A180,00301,0100,01/27/1999 6283,E10A180,00350,0100,06/14/1999 6283,E10A180,00351,0100,10/08/1999 6283,E10A180,00352,0100,12/09/1999 6283,E10A180,00353,0100,02/14/2000 6283,S000000,00100,0200,06/02/2000 6283,S200000,00100,0100,1234 WASHINGTON ROAD 6283,S200000,00200,0100,WESTMINSTER 6283,S200000,00200,0200,MD 6283,S200000,00200,0300,21157 6283,S200000,00300,0100,CARROLL COUNTY 6283,S200000,00400,0100,WESTMINSTER NURSING 7 CONV CTR 6283,S200000,00400,0200,215094 6283,S200000,00400,0300,03/15/1974 6283,S200000,00400,0500,P 6283,S200000,00600,0200,215094 6283,S200000,00600,0300,03/15/1974 6283,S200000,00600,0600,P 6283,S200000,01600,0100,Y 6286,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6286,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6286,A000000,00300,0000,00300EMPLOYEE BENEFITS 6286,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6286,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6286,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6286,A000000,00700,0000,00700HOUSEKEEPING 6286,A000000,00800,0000,00800DIETARY 6286,A000000,00900,0000,00900NURSING ADMINISTRATION 6286,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6286,A000000,01100,0000,01100PHARMACY 6286,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6286,A000000,01300,0000,01300SOCIAL SERVICE 6286,A000000,01301,0000,01301ACTIVITIES 6286,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6286,A000000,01600,0000,01600SKILLED NURSING FACILITY 6286,A000000,01800,0000,01800NURSING FACILITY 6286,A000000,01810,0000,01810ICF/MR 6286,A000000,02100,0000,02100RADIOLOGY 6286,A000000,02200,0000,02200LABORATORY 6286,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6286,A000000,02500,0000,02500PHYSICAL THERAPY 6286,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6286,A000000,02700,0000,02700SPEECH PATHOLOGY 6286,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6286,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6286,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6286,A000000,03550,0000,03550FQHC 6286,A000000,05000,0000,05000CORF 6286,A000000,05010,0000,05010CMHC 6286,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6286,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6286,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6286,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6286,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6286,A81000A,00100,0100,Y 6286,A81000B,00100,0300,HOME OFFICE COST 6286,A81000B,00400,0300,HOME OFFICE COST 6286,A81000B,00500,0300,HOME OFFICE COST 6286,A81000B,00600,0300,HOME OFFICE COST 6286,A81000B,00800,0300,HOME OFFICE COST 6286,A81000C,00100,0100,B 6286,A81000C,00100,0200,BEVERLY ENTERPR 6286,B100000,00000,0100,00000(SQUARE FEET) 6286,B100000,00000,0200,00000(SQUARE FEET) 6286,B100000,00000,0300,00000(ADJUSTED SALARIES) 6286,B100000,00000,0400,00000(ACCUM. COST) 6286,B100000,00000,0500,00000(SQUARE FEET) 6286,B100000,00000,0600,00000(PATIENT DAYS) 6286,B100000,00000,0700,00000(SQUARE FEET) 6286,B100000,00000,0800,00000(MEALS SERVED) 6286,B100000,00000,0900,00000(ADJUSTED SALARIES) 6286,B100000,00000,1000,00000(PATIENT DAYS) 6286,B100000,00000,1100,00000(COSTED REQUIS) 6286,B100000,00000,1200,00000(TOTAL CHARGES) 6286,B100000,00000,1300,00000(PATIENT DAYS) 6286,B100000,00000,1301,00000(PATIENT DAYS) 6286,B100000,00000,1400,00000(ASSIGNED TIME) 6286,E10A180,00301,0100,06/14/1999 6286,E10A180,00302,0100,10/08/1999 6286,E10A180,00303,0100,02/14/2000 6286,E10A180,00350,0100,01/27/1999 6286,E10A180,00351,0100,12/09/1999 6286,S000000,00100,0200,06/02/2000 6286,S200000,00100,0100,30 N. PLACE 6286,S200000,00200,0100,FREDERICK 6286,S200000,00200,0200,MD 6286,S200000,00200,0300,21701 6286,S200000,00300,0100,FREDERICK COUNTY 6286,S200000,00400,0100,0258 - FREDERICK HEALTH CARE 6286,S200000,00400,0200,215184 6286,S200000,00400,0300,01/10/1989 6286,S200000,00400,0500,P 6286,S200000,00600,0200,215184 6286,S200000,00600,0300,01/10/1989 6286,S200000,00600,0600,P 6286,S200000,01600,0100,Y 6289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6289,A000000,00300,0000,00300EMPLOYEE BENEFITS 6289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6289,A000000,00700,0000,00700HOUSEKEEPING 6289,A000000,00800,0000,00800DIETARY 6289,A000000,00900,0000,00900NURSING ADMINISTRATION 6289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6289,A000000,01100,0000,01100PHARMACY 6289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6289,A000000,01300,0000,01300SOCIAL SERVICE 6289,A000000,01301,0000,01301ACTIVITIES 6289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6289,A000000,01600,0000,01600SKILLED NURSING FACILITY 6289,A000000,01800,0000,01800NURSING FACILITY 6289,A000000,01810,0000,01810ICF/MR 6289,A000000,01900,0000,01900OTHER LONG TERM CARE 6289,A000000,02100,0000,02100RADIOLOGY 6289,A000000,02200,0000,02200LABORATORY 6289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6289,A000000,02500,0000,02500PHYSICAL THERAPY 6289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6289,A000000,02700,0000,02700SPEECH PATHOLOGY 6289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6289,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6289,A000000,03550,0000,03550FQHC 6289,A000000,05000,0000,05000CORF 6289,A000000,05010,0000,05010CMHC 6289,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6289,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6289,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6289,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6289,A81000A,00100,0100,Y 6289,A81000B,00100,0300,HOME OFFICE COST 6289,A81000B,00400,0300,HOME OFFICE COST 6289,A81000B,00500,0300,HOME OFFICE COST 6289,A81000B,00600,0300,HOME OFFICE COST 6289,A81000B,00800,0300,HOME OFFICE COST 6289,A81000C,00100,0100,B 6289,A81000C,00100,0200,BEVERLY ENTERPR 6289,B100000,00000,0100,00000(SQUARE FEET) 6289,B100000,00000,0200,00000(SQUARE FEET) 6289,B100000,00000,0300,00000(ADJUSTED SALARIES) 6289,B100000,00000,0400,00000(ACCUM. COST) 6289,B100000,00000,0500,00000(SQUARE FEET) 6289,B100000,00000,0600,00000(PATIENT DAYS) 6289,B100000,00000,0700,00000(SQUARE FEET) 6289,B100000,00000,0800,00000(MEALS SERVED) 6289,B100000,00000,0900,00000(ADJUSTED SALARIES) 6289,B100000,00000,1000,00000(PATIENT DAYS) 6289,B100000,00000,1100,00000(COSTED REQUIS) 6289,B100000,00000,1200,00000(TOTAL CHARGES) 6289,B100000,00000,1300,00000(PATIENT DAYS) 6289,B100000,00000,1301,00000(PATIENT DAYS) 6289,B100000,00000,1400,00000(ASSIGNED TIME) 6289,E10A180,00301,0100,01/27/1999 6289,E10A180,00304,0100,12/09/1999 6289,E10A180,00351,0100,06/14/1999 6289,E10A180,00352,0100,10/08/1999 6289,E10A180,00354,0100,02/14/2000 6289,S000000,00100,0200,06/02/2000 6289,S200000,00100,0100,383 MILLS ST 6289,S200000,00200,0100,WORCHESTER 6289,S200000,00200,0200,MA 6289,S200000,00200,0300,01602 6289,S200000,00300,0100,WORCESTER 6289,S200000,00400,0100,HERMITAGE NURSING HOME (2070) 6289,S200000,00400,0200,225009 6289,S200000,00400,0300,03/01/1984 6289,S200000,00400,0500,P 6289,S200000,00600,0200,225009 6289,S200000,00600,0300,03/01/1984 6289,S200000,00600,0600,P 6289,S200000,01600,0100,Y 6289,S200000,04300,0100,Y 6292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6292,A000000,00300,0000,00300EMPLOYEE BENEFITS 6292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6292,A000000,00700,0000,00700HOUSEKEEPING 6292,A000000,00800,0000,00800DIETARY 6292,A000000,00900,0000,00900NURSING ADMINISTRATION 6292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6292,A000000,01100,0000,01100PHARMACY 6292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6292,A000000,01300,0000,01300SOCIAL SERVICE 6292,A000000,01301,0000,01301ACTIVITIES 6292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6292,A000000,01600,0000,01600SKILLED NURSING FACILITY 6292,A000000,01800,0000,01800NURSING FACILITY 6292,A000000,01810,0000,01810ICF/MR 6292,A000000,02100,0000,02100RADIOLOGY 6292,A000000,02200,0000,02200LABORATORY 6292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6292,A000000,02500,0000,02500PHYSICAL THERAPY 6292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6292,A000000,02700,0000,02700SPEECH PATHOLOGY 6292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6292,A000000,03550,0000,03550FQHC 6292,A000000,05000,0000,05000CORF 6292,A000000,05010,0000,05010CMHC 6292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6292,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6292,A81000A,00100,0100,Y 6292,A81000B,00100,0300,HOME OFFICE COST 6292,A81000B,00400,0300,HOME OFFICE COST 6292,A81000B,00500,0300,HOME OFFICE COST 6292,A81000B,00600,0300,HOME OFFICE COST 6292,A81000B,00800,0300,HOME OFFICE COST 6292,A81000C,00100,0100,B 6292,A81000C,00100,0200,BEVERLY ENTERPR 6292,B100000,00000,0100,00000(SQUARE FEET) 6292,B100000,00000,0200,00000(SQUARE FEET) 6292,B100000,00000,0300,00000(ADJUSTED SALARIES) 6292,B100000,00000,0400,00000(ACCUM. COST) 6292,B100000,00000,0500,00000(SQUARE FEET) 6292,B100000,00000,0600,00000(PATIENT DAYS) 6292,B100000,00000,0700,00000(SQUARE FEET) 6292,B100000,00000,0800,00000(MEALS SERVED) 6292,B100000,00000,0900,00000(ADJUSTED SALARIES) 6292,B100000,00000,1000,00000(PATIENT DAYS) 6292,B100000,00000,1100,00000(COSTED REQUIS) 6292,B100000,00000,1200,00000(TOTAL CHARGES) 6292,B100000,00000,1300,00000(PATIENT DAYS) 6292,B100000,00000,1301,00000(PATIENT DAYS) 6292,B100000,00000,1400,00000(ASSIGNED TIME) 6292,E10A180,00305,0100,02/14/2000 6292,E10A180,00350,0100,01/27/1999 6292,E10A180,00351,0100,06/14/1999 6292,E10A180,00352,0100,10/08/1999 6292,E10A180,00353,0100,12/09/1999 6292,S000000,00100,0200,06/02/2000 6292,S200000,00100,0100,878 WORCESTER 6292,S200000,00200,0100,WELLESLEY 6292,S200000,00200,0200,MA 6292,S200000,00200,0300,02181 6292,S200000,00300,0100,NORFOLK 6292,S200000,00400,0100,WELLESLEY MANOR (2069) W 6292,S200000,00400,0200,225023 6292,S200000,00400,0300,03/01/1984 6292,S200000,00400,0500,P 6292,S200000,00600,0200,225023 6292,S200000,00600,0300,03/01/1984 6292,S200000,00600,0600,P 6292,S200000,01600,0100,Y 6292,S200000,04300,0100,Y 6296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6296,A000000,00300,0000,00300EMPLOYEE BENEFITS 6296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6296,A000000,00700,0000,00700HOUSEKEEPING 6296,A000000,00800,0000,00800DIETARY 6296,A000000,00900,0000,00900NURSING ADMINISTRATION 6296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6296,A000000,01100,0000,01100PHARMACY 6296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6296,A000000,01300,0000,01300SOCIAL SERVICE 6296,A000000,01301,0000,01301ACTIVITIES 6296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6296,A000000,01600,0000,01600SKILLED NURSING FACILITY 6296,A000000,01800,0000,01800NURSING FACILITY 6296,A000000,01810,0000,01810ICF/MR 6296,A000000,02100,0000,02100RADIOLOGY 6296,A000000,02200,0000,02200LABORATORY 6296,A000000,02500,0000,02500PHYSICAL THERAPY 6296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6296,A000000,02700,0000,02700SPEECH PATHOLOGY 6296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6296,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6296,A000000,03550,0000,03550FQHC 6296,A000000,05000,0000,05000CORF 6296,A000000,05010,0000,05010CMHC 6296,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6296,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6296,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6296,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6296,A81000A,00100,0100,Y 6296,A81000B,00100,0300,HOME OFFICE COST 6296,A81000B,00400,0300,HOME OFFICE COST 6296,A81000B,00500,0300,HOME OFFICE COST 6296,A81000B,00600,0300,HOME OFFICE COST 6296,A81000B,00800,0300,HOME OFFICE COST 6296,A81000C,00100,0100,B 6296,A81000C,00100,0200,BEVERLY ENTERPR 6296,B100000,00000,0100,00000(SQUARE FEET) 6296,B100000,00000,0200,00000(SQUARE FEET) 6296,B100000,00000,0300,00000(ADJUSTED SALARIES) 6296,B100000,00000,0400,00000(ACCUM. COST) 6296,B100000,00000,0500,00000(SQUARE FEET) 6296,B100000,00000,0600,00000(PATIENT DAYS) 6296,B100000,00000,0700,00000(SQUARE FEET) 6296,B100000,00000,0800,00000(MEALS SERVED) 6296,B100000,00000,0900,00000(ADJUSTED SALARIES) 6296,B100000,00000,1000,00000(PATIENT DAYS) 6296,B100000,00000,1100,00000(COSTED REQUIS) 6296,B100000,00000,1200,00000(TOTAL CHARGES) 6296,B100000,00000,1300,00000(PATIENT DAYS) 6296,B100000,00000,1301,00000(PATIENT DAYS) 6296,B100000,00000,1400,00000(ASSIGNED TIME) 6296,E10A180,00301,0100,01/27/1999 6296,E10A180,00351,0100,06/14/1999 6296,E10A180,00352,0100,10/08/1999 6296,E10A180,00353,0100,12/09/1999 6296,E10A180,00354,0100,02/14/2000 6296,S000000,00100,0200,06/02/2000 6296,S200000,00100,0100,146 DEAN ST 6296,S200000,00200,0100,TAUNTON 6296,S200000,00200,0200,MA 6296,S200000,00200,0300,02780 6296,S200000,00300,0100,BRISTOL COUNTY 6296,S200000,00400,0100,02260 - WEDGEMERE CONV HOME W 6296,S200000,00400,0200,225067 6296,S200000,00400,0300,01/01/1985 6296,S200000,00400,0500,P 6296,S200000,00600,0200,225067 6296,S200000,00600,0300,01/01/1985 6296,S200000,00600,0600,P 6296,S200000,01600,0100,Y 6296,S200000,04300,0100,Y 6299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6299,A000000,00300,0000,00300EMPLOYEE BENEFITS 6299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6299,A000000,00700,0000,00700HOUSEKEEPING 6299,A000000,00800,0000,00800DIETARY 6299,A000000,00900,0000,00900NURSING ADMINISTRATION 6299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6299,A000000,01100,0000,01100PHARMACY 6299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6299,A000000,01300,0000,01300SOCIAL SERVICE 6299,A000000,01301,0000,01301ACTIVITIES 6299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6299,A000000,01600,0000,01600SKILLED NURSING FACILITY 6299,A000000,01800,0000,01800NURSING FACILITY 6299,A000000,01810,0000,01810ICF/MR 6299,A000000,01900,0000,01900OTHER LONG TERM CARE 6299,A000000,02100,0000,02100RADIOLOGY 6299,A000000,02200,0000,02200LABORATORY 6299,A000000,02500,0000,02500PHYSICAL THERAPY 6299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6299,A000000,02700,0000,02700SPEECH PATHOLOGY 6299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6299,A000000,03550,0000,03550FQHC 6299,A000000,05000,0000,05000CORF 6299,A000000,05010,0000,05010CMHC 6299,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6299,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6299,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6299,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6299,A81000A,00100,0100,Y 6299,A81000B,00100,0300,HOME OFFICE COST 6299,A81000B,00400,0300,HOME OFFICE COST 6299,A81000B,00500,0300,HOME OFFICE COST 6299,A81000B,00600,0300,HOME OFFICE COST 6299,A81000B,00800,0300,HOME OFFICE COST 6299,A81000C,00100,0100,B 6299,A81000C,00100,0200,BEVERLY ENTERPR 6299,B100000,00000,0100,00000(SQUARE FEET) 6299,B100000,00000,0200,00000(SQUARE FEET) 6299,B100000,00000,0300,00000(ADJUSTED SALARIES) 6299,B100000,00000,0400,00000(ACCUM. COST) 6299,B100000,00000,0500,00000(SQUARE FEET) 6299,B100000,00000,0600,00000(PATIENT DAYS) 6299,B100000,00000,0700,00000(SQUARE FEET) 6299,B100000,00000,0800,00000(MEALS SERVED) 6299,B100000,00000,0900,00000(ADJUSTED SALARIES) 6299,B100000,00000,1000,00000(PATIENT DAYS) 6299,B100000,00000,1100,00000(COSTED REQUIS) 6299,B100000,00000,1200,00000(TOTAL CHARGES) 6299,B100000,00000,1300,00000(PATIENT DAYS) 6299,B100000,00000,1301,00000(PATIENT DAYS) 6299,B100000,00000,1400,00000(ASSIGNED TIME) 6299,E10A180,00301,0100,01/27/1999 6299,E10A180,00303,0100,10/08/1999 6299,E10A180,00304,0100,12/09/1999 6299,E10A180,00305,0100,02/14/2000 6299,E10A180,00351,0100,06/14/1999 6299,S000000,00100,0200,06/02/2000 6299,S200000,00100,0100,120 MAIN ST 6299,S200000,00200,0100,MALDEN 6299,S200000,00200,0200,MA 6299,S200000,00200,0300,02148 6299,S200000,00300,0100,MIDDLESEX COUNTY 6299,S200000,00400,0100,02249 - DEXTER HOUSE W 6299,S200000,00400,0200,225137 6299,S200000,00400,0300,01/01/1985 6299,S200000,00400,0500,P 6299,S200000,00600,0200,225137 6299,S200000,00600,0300,01/01/1985 6299,S200000,00600,0600,P 6299,S200000,01600,0100,Y 6299,S200000,04300,0100,Y 6302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6302,A000000,00300,0000,00300EMPLOYEE BENEFITS 6302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6302,A000000,00700,0000,00700HOUSEKEEPING 6302,A000000,00800,0000,00800DIETARY 6302,A000000,00900,0000,00900NURSING ADMINISTRATION 6302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6302,A000000,01100,0000,01100PHARMACY 6302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6302,A000000,01300,0000,01300SOCIAL SERVICE 6302,A000000,01301,0000,01301ACTIVITIES 6302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6302,A000000,01600,0000,01600SKILLED NURSING FACILITY 6302,A000000,01800,0000,01800NURSING FACILITY 6302,A000000,01810,0000,01810ICF/MR 6302,A000000,02100,0000,02100RADIOLOGY 6302,A000000,02200,0000,02200LABORATORY 6302,A000000,02500,0000,02500PHYSICAL THERAPY 6302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6302,A000000,02700,0000,02700SPEECH PATHOLOGY 6302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6302,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6302,A000000,03550,0000,03550FQHC 6302,A000000,05000,0000,05000CORF 6302,A000000,05010,0000,05010CMHC 6302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6302,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6302,A81000A,00100,0100,Y 6302,A81000B,00100,0300,HOME OFFICE COST 6302,A81000B,00400,0300,HOME OFFICE COST 6302,A81000B,00500,0300,HOME OFFICE COST 6302,A81000B,00600,0300,HOME OFFICE COST 6302,A81000B,00800,0300,HOME OFFICE COST 6302,A81000C,00100,0100,B 6302,A81000C,00100,0200,BEVERLY ENTERPR 6302,B100000,00000,0100,00000(SQUARE FEET) 6302,B100000,00000,0200,00000(SQUARE FEET) 6302,B100000,00000,0300,00000(ADJUSTED SALARIES) 6302,B100000,00000,0400,00000(ACCUM. COST) 6302,B100000,00000,0500,00000(SQUARE FEET) 6302,B100000,00000,0600,00000(PATIENT DAYS) 6302,B100000,00000,0700,00000(SQUARE FEET) 6302,B100000,00000,0800,00000(MEALS SERVED) 6302,B100000,00000,0900,00000(ADJUSTED SALARIES) 6302,B100000,00000,1000,00000(PATIENT DAYS) 6302,B100000,00000,1100,00000(COSTED REQUIS) 6302,B100000,00000,1200,00000(TOTAL CHARGES) 6302,B100000,00000,1300,00000(PATIENT DAYS) 6302,B100000,00000,1301,00000(PATIENT DAYS) 6302,B100000,00000,1400,00000(ASSIGNED TIME) 6302,E10A180,00301,0100,01/27/1999 6302,E10A180,00305,0100,02/14/2000 6302,E10A180,00351,0100,06/14/1999 6302,E10A180,00352,0100,10/08/1999 6302,E10A180,00353,0100,12/09/1999 6302,S000000,00100,0200,06/02/2000 6302,S200000,00100,0100,76 N. STREET 6302,S200000,00200,0100,MIDDLEBORO 6302,S200000,00200,0200,MA 6302,S200000,00200,0300,02346 6302,S200000,00300,0100,PLYMOUTH 6302,S200000,00400,0100,OKHILL NURSING HOME (2061) W 6302,S200000,00400,0200,225145 6302,S200000,00400,0300,02/01/1984 6302,S200000,00400,0500,P 6302,S200000,00600,0200,225145 6302,S200000,00600,0300,02/01/1984 6302,S200000,00600,0600,P 6302,S200000,01600,0100,Y 6302,S200000,04300,0100,Y 6305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6305,A000000,00300,0000,00300EMPLOYEE BENEFITS 6305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6305,A000000,00700,0000,00700HOUSEKEEPING 6305,A000000,00800,0000,00800DIETARY 6305,A000000,00900,0000,00900NURSING ADMINISTRATION 6305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6305,A000000,01100,0000,01100PHARMACY 6305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6305,A000000,01300,0000,01300SOCIAL SERVICE 6305,A000000,01301,0000,01301ACTIVITIES 6305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6305,A000000,01600,0000,01600SKILLED NURSING FACILITY 6305,A000000,01800,0000,01800NURSING FACILITY 6305,A000000,01810,0000,01810ICF/MR 6305,A000000,02100,0000,02100RADIOLOGY 6305,A000000,02200,0000,02200LABORATORY 6305,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6305,A000000,02500,0000,02500PHYSICAL THERAPY 6305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6305,A000000,02700,0000,02700SPEECH PATHOLOGY 6305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6305,A000000,03550,0000,03550FQHC 6305,A000000,05000,0000,05000CORF 6305,A000000,05010,0000,05010CMHC 6305,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6305,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6305,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6305,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6305,A81000A,00100,0100,Y 6305,A81000B,00100,0300,HOME OFFICE COST 6305,A81000B,00400,0300,HOME OFFICE COST 6305,A81000B,00500,0300,HOME OFFICE COST 6305,A81000B,00600,0300,HOME OFFICE COST 6305,A81000B,00800,0300,HOME OFFICE COST 6305,A81000C,00100,0100,B 6305,A81000C,00100,0200,BEVERLY ENTERPR 6305,B100000,00000,0100,00000(SQUARE FEET) 6305,B100000,00000,0200,00000(SQUARE FEET) 6305,B100000,00000,0300,00000(ADJUSTED SALARIES) 6305,B100000,00000,0400,00000(ACCUM. COST) 6305,B100000,00000,0500,00000(SQUARE FEET) 6305,B100000,00000,0600,00000(PATIENT DAYS) 6305,B100000,00000,0700,00000(SQUARE FEET) 6305,B100000,00000,0800,00000(MEALS SERVED) 6305,B100000,00000,0900,00000(ADJUSTED SALARIES) 6305,B100000,00000,1000,00000(PATIENT DAYS) 6305,B100000,00000,1100,00000(COSTED REQUIS) 6305,B100000,00000,1200,00000(TOTAL CHARGES) 6305,B100000,00000,1300,00000(PATIENT DAYS) 6305,B100000,00000,1301,00000(PATIENT DAYS) 6305,B100000,00000,1400,00000(ASSIGNED TIME) 6305,E10A180,00302,0100,06/14/1999 6305,E10A180,00303,0100,10/08/1999 6305,E10A180,00305,0100,02/14/2000 6305,E10A180,00350,0100,01/27/1999 6305,E10A180,00353,0100,12/09/1999 6305,S000000,00100,0200,06/02/2000 6305,S200000,00100,0100,CUSHING HWY 6305,S200000,00200,0100,COHASSET 6305,S200000,00200,0200,MA 6305,S200000,00200,0300,02025 6305,S200000,00300,0100,NORFOLK 6305,S200000,00400,0100,02259 - COHASSET KNOLL W 6305,S200000,00400,0200,225148 6305,S200000,00400,0300,01/01/1985 6305,S200000,00400,0500,P 6305,S200000,00600,0200,225148 6305,S200000,00600,0300,01/01/1985 6305,S200000,00600,0600,P 6305,S200000,01600,0100,Y 6305,S200000,04300,0100,Y 6308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6308,A000000,00300,0000,00300EMPLOYEE BENEFITS 6308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6308,A000000,00700,0000,00700HOUSEKEEPING 6308,A000000,00800,0000,00800DIETARY 6308,A000000,00900,0000,00900NURSING ADMINISTRATION 6308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6308,A000000,01100,0000,01100PHARMACY 6308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6308,A000000,01300,0000,01300SOCIAL SERVICE 6308,A000000,01301,0000,01301ACTIVITIES 6308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6308,A000000,01600,0000,01600SKILLED NURSING FACILITY 6308,A000000,01800,0000,01800NURSING FACILITY 6308,A000000,01810,0000,01810ICF/MR 6308,A000000,02100,0000,02100RADIOLOGY 6308,A000000,02200,0000,02200LABORATORY 6308,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6308,A000000,02500,0000,02500PHYSICAL THERAPY 6308,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6308,A000000,02700,0000,02700SPEECH PATHOLOGY 6308,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6308,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6308,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6308,A000000,03550,0000,03550FQHC 6308,A000000,05000,0000,05000CORF 6308,A000000,05010,0000,05010CMHC 6308,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6308,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6308,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6308,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6308,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6308,A81000A,00100,0100,Y 6308,A81000B,00100,0300,HOME OFFICE COST 6308,A81000B,00400,0300,HOME OFFICE COST 6308,A81000B,00500,0300,HOME OFFICE COST 6308,A81000B,00600,0300,HOME OFFICE COST 6308,A81000B,00800,0300,HOME OFFICE COST 6308,A81000C,00100,0100,B 6308,A81000C,00100,0200,BEVERLY ENTERPR 6308,B100000,00000,0100,00000(SQUARE FEET) 6308,B100000,00000,0200,00000(SQUARE FEET) 6308,B100000,00000,0300,00000(ADJUSTED SALARIES) 6308,B100000,00000,0400,00000(ACCUM. COST) 6308,B100000,00000,0500,00000(SQUARE FEET) 6308,B100000,00000,0600,00000(PATIENT DAYS) 6308,B100000,00000,0700,00000(SQUARE FEET) 6308,B100000,00000,0800,00000(MEALS SERVED) 6308,B100000,00000,0900,00000(ADJUSTED SALARIES) 6308,B100000,00000,1000,00000(PATIENT DAYS) 6308,B100000,00000,1100,00000(COSTED REQUIS) 6308,B100000,00000,1200,00000(TOTAL CHARGES) 6308,B100000,00000,1300,00000(PATIENT DAYS) 6308,B100000,00000,1301,00000(PATIENT DAYS) 6308,B100000,00000,1400,00000(ASSIGNED TIME) 6308,E10A180,00301,0100,01/27/1999 6308,E10A180,00304,0100,12/09/1999 6308,E10A180,00305,0100,02/14/2000 6308,E10A180,00351,0100,06/14/1999 6308,E10A180,00352,0100,10/08/1999 6308,S000000,00100,0200,06/02/2000 6308,S200000,00100,0100,140 EMERSON GARDEN 6308,S200000,00200,0100,LEX 6308,S200000,00200,0200,MA 6308,S200000,00200,0300,02173 6308,S200000,00300,0100,MIDDLESEX 6308,S200000,00400,0100,EAST VILLAGE NURSING HOME 6308,S200000,00400,0200,225213 6308,S200000,00400,0300,07/01/1983 6308,S200000,00400,0500,P 6308,S200000,00600,0200,225213 6308,S200000,00600,0300,07/01/1983 6308,S200000,00600,0600,P 6308,S200000,01600,0100,Y 6308,S200000,04300,0100,Y 6311,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6311,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6311,A000000,00300,0000,00300EMPLOYEE BENEFITS 6311,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6311,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6311,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6311,A000000,00700,0000,00700HOUSEKEEPING 6311,A000000,00800,0000,00800DIETARY 6311,A000000,00900,0000,00900NURSING ADMINISTRATION 6311,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6311,A000000,01100,0000,01100PHARMACY 6311,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6311,A000000,01300,0000,01300SOCIAL SERVICE 6311,A000000,01301,0000,01301ACTIVITIES 6311,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6311,A000000,01600,0000,01600SKILLED NURSING FACILITY 6311,A000000,01800,0000,01800NURSING FACILITY 6311,A000000,01810,0000,01810ICF/MR 6311,A000000,02100,0000,02100RADIOLOGY 6311,A000000,02200,0000,02200LABORATORY 6311,A000000,02500,0000,02500PHYSICAL THERAPY 6311,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6311,A000000,02700,0000,02700SPEECH PATHOLOGY 6311,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6311,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6311,A000000,03550,0000,03550FQHC 6311,A000000,05000,0000,05000CORF 6311,A000000,05010,0000,05010CMHC 6311,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6311,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6311,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6311,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6311,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6311,A81000A,00100,0100,Y 6311,A81000B,00100,0300,HOME OFFICE COST 6311,A81000B,00400,0300,HOME OFFICE COST 6311,A81000B,00500,0300,HOME OFFICE COST 6311,A81000B,00600,0300,HOME OFFICE COST 6311,A81000B,00800,0300,HOME OFFICE COST 6311,A81000C,00100,0100,B 6311,A81000C,00100,0200,BEVERLY ENTERPR 6311,B100000,00000,0100,00000(SQUARE FEET) 6311,B100000,00000,0200,00000(SQUARE FEET) 6311,B100000,00000,0300,00000(ADJUSTED SALARIES) 6311,B100000,00000,0400,00000(ACCUM. COST) 6311,B100000,00000,0500,00000(SQUARE FEET) 6311,B100000,00000,0600,00000(PATIENT DAYS) 6311,B100000,00000,0700,00000(SQUARE FEET) 6311,B100000,00000,0800,00000(MEALS SERVED) 6311,B100000,00000,0900,00000(ADJUSTED SALARIES) 6311,B100000,00000,1000,00000(PATIENT DAYS) 6311,B100000,00000,1100,00000(COSTED REQUIS) 6311,B100000,00000,1200,00000(TOTAL CHARGES) 6311,B100000,00000,1300,00000(PATIENT DAYS) 6311,B100000,00000,1301,00000(PATIENT DAYS) 6311,B100000,00000,1400,00000(ASSIGNED TIME) 6311,E10A180,00302,0100,06/14/1999 6311,E10A180,00350,0100,01/27/1999 6311,E10A180,00352,0100,10/08/1999 6311,E10A180,00353,0100,12/09/1999 6311,E10A180,00354,0100,02/14/2000 6311,S000000,00100,0200,06/02/2000 6311,S200000,00100,0100,1199 JOHN FITCH HIGHWAY 6311,S200000,00200,0100,FITCHBURG 6311,S200000,00200,0200,MA 6311,S200000,00200,0300,01420 6311,S200000,00300,0100,WORCESTER COUNTY 6311,S200000,00400,0100,BIRCHWOOD CARE CENTER 6311,S200000,00400,0200,225216 6311,S200000,00400,0300,07/01/1974 6311,S200000,00400,0500,P 6311,S200000,00600,0200,225216 6311,S200000,00600,0300,07/01/1974 6311,S200000,00600,0600,P 6311,S200000,01600,0100,Y 6311,S200000,04300,0100,Y 6314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6314,A000000,00300,0000,00300EMPLOYEE BENEFITS 6314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6314,A000000,00700,0000,00700HOUSEKEEPING 6314,A000000,00800,0000,00800DIETARY 6314,A000000,00900,0000,00900NURSING ADMINISTRATION 6314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6314,A000000,01100,0000,01100PHARMACY 6314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6314,A000000,01300,0000,01300SOCIAL SERVICE 6314,A000000,01301,0000,01301ACTIVITIES 6314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6314,A000000,01600,0000,01600SKILLED NURSING FACILITY 6314,A000000,01800,0000,01800NURSING FACILITY 6314,A000000,01810,0000,01810ICF/MR 6314,A000000,02100,0000,02100RADIOLOGY 6314,A000000,02200,0000,02200LABORATORY 6314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6314,A000000,02500,0000,02500PHYSICAL THERAPY 6314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6314,A000000,02700,0000,02700SPEECH PATHOLOGY 6314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6314,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6314,A000000,03550,0000,03550FQHC 6314,A000000,05000,0000,05000CORF 6314,A000000,05010,0000,05010CMHC 6314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6314,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6314,A81000A,00100,0100,Y 6314,A81000B,00100,0300,HOME OFFICE COST 6314,A81000B,00400,0300,HOME OFFICE COST 6314,A81000B,00500,0300,HOME OFFICE COST 6314,A81000B,00600,0300,HOME OFFICE COST 6314,A81000B,00800,0300,HOME OFFICE COST 6314,A81000C,00100,0100,B 6314,A81000C,00100,0200,BEVERLY ENTERPR 6314,B100000,00000,0100,00000(SQUARE FEET) 6314,B100000,00000,0200,00000(SQUARE FEET) 6314,B100000,00000,0300,00000(ADJUSTED SALARIES) 6314,B100000,00000,0400,00000(ACCUM. COST) 6314,B100000,00000,0500,00000(SQUARE FEET) 6314,B100000,00000,0600,00000(PATIENT DAYS) 6314,B100000,00000,0700,00000(SQUARE FEET) 6314,B100000,00000,0800,00000(MEALS SERVED) 6314,B100000,00000,0900,00000(ADJUSTED SALARIES) 6314,B100000,00000,1000,00000(PATIENT DAYS) 6314,B100000,00000,1100,00000(COSTED REQUIS) 6314,B100000,00000,1200,00000(TOTAL CHARGES) 6314,B100000,00000,1300,00000(PATIENT DAYS) 6314,B100000,00000,1301,00000(PATIENT DAYS) 6314,B100000,00000,1400,00000(ASSIGNED TIME) 6314,E10A180,00304,0100,12/09/1999 6314,E10A180,00350,0100,01/27/1999 6314,E10A180,00351,0100,06/14/1999 6314,E10A180,00352,0100,10/08/1999 6314,E10A180,00354,0100,02/14/2000 6314,S000000,00100,0200,06/02/2000 6314,S200000,00100,0100,27 GEORGE ST 6314,S200000,00200,0100,ATTLEBORO 6314,S200000,00200,0200,MA 6314,S200000,00200,0300,02703 6314,S200000,00300,0100,BRISTOL 6314,S200000,00400,0100,RIDGEWOOD COURT NURSING HOME ( 6314,S200000,00400,0200,225239 6314,S200000,00400,0300,02/01/1984 6314,S200000,00400,0500,P 6314,S200000,00600,0200,225239 6314,S200000,00600,0300,02/01/1984 6314,S200000,00600,0600,P 6314,S200000,01600,0100,Y 6314,S200000,04300,0100,Y 6317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6317,A000000,00300,0000,00300EMPLOYEE BENEFITS 6317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6317,A000000,00700,0000,00700HOUSEKEEPING 6317,A000000,00800,0000,00800DIETARY 6317,A000000,00900,0000,00900NURSING ADMINISTRATION 6317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6317,A000000,01100,0000,01100PHARMACY 6317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6317,A000000,01300,0000,01300SOCIAL SERVICE 6317,A000000,01301,0000,01301ACTIVITIES 6317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6317,A000000,01600,0000,01600SKILLED NURSING FACILITY 6317,A000000,01800,0000,01800NURSING FACILITY 6317,A000000,01810,0000,01810ICF/MR 6317,A000000,02100,0000,02100RADIOLOGY 6317,A000000,02200,0000,02200LABORATORY 6317,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6317,A000000,02500,0000,02500PHYSICAL THERAPY 6317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6317,A000000,02700,0000,02700SPEECH PATHOLOGY 6317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6317,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6317,A000000,03550,0000,03550FQHC 6317,A000000,05000,0000,05000CORF 6317,A000000,05010,0000,05010CMHC 6317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6317,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6317,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6317,A81000A,00100,0100,Y 6317,A81000B,00100,0300,HOME OFFICE COST 6317,A81000B,00400,0300,HOME OFFICE COST 6317,A81000B,00500,0300,HOME OFFICE COST 6317,A81000B,00600,0300,HOME OFFICE COST 6317,A81000B,00800,0300,HOME OFFICE COST 6317,A81000C,00100,0100,B 6317,A81000C,00100,0200,BEVERLY ENTERPR 6317,B100000,00000,0100,00000(SQUARE FEET) 6317,B100000,00000,0200,00000(SQUARE FEET) 6317,B100000,00000,0300,00000(ADJUSTED SALARIES) 6317,B100000,00000,0400,00000(ACCUM. COST) 6317,B100000,00000,0500,00000(SQUARE FEET) 6317,B100000,00000,0600,00000(PATIENT DAYS) 6317,B100000,00000,0700,00000(SQUARE FEET) 6317,B100000,00000,0800,00000(MEALS SERVED) 6317,B100000,00000,0900,00000(ADJUSTED SALARIES) 6317,B100000,00000,1000,00000(PATIENT DAYS) 6317,B100000,00000,1100,00000(COSTED REQUIS) 6317,B100000,00000,1200,00000(TOTAL CHARGES) 6317,B100000,00000,1300,00000(PATIENT DAYS) 6317,B100000,00000,1301,00000(PATIENT DAYS) 6317,B100000,00000,1400,00000(ASSIGNED TIME) 6317,E10A180,00301,0100,01/27/1999 6317,E10A180,00302,0100,06/14/1999 6317,E10A180,00303,0100,10/08/1999 6317,E10A180,00305,0100,02/14/2000 6317,E10A180,00353,0100,12/09/1999 6317,S000000,00100,0200,06/02/2000 6317,S200000,00100,0100,193-195 PLEASANT ST 6317,S200000,00200,0100,ATTLEBORO 6317,S200000,00200,0200,MA 6317,S200000,00200,0300,02703 6317,S200000,00300,0100,BRISTOL COUNTY 6317,S200000,00400,0100,PLEASANT MANOR NURSING HOME (2 6317,S200000,00400,0200,225267 6317,S200000,00400,0300,02/01/1984 6317,S200000,00400,0500,P 6317,S200000,00600,0200,225267 6317,S200000,00600,0300,02/01/1984 6317,S200000,00600,0600,P 6317,S200000,01600,0100,Y 6317,S200000,04300,0100,Y 6320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6320,A000000,00300,0000,00300EMPLOYEE BENEFITS 6320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6320,A000000,00700,0000,00700HOUSEKEEPING 6320,A000000,00800,0000,00800DIETARY 6320,A000000,00900,0000,00900NURSING ADMINISTRATION 6320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6320,A000000,01100,0000,01100PHARMACY 6320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6320,A000000,01300,0000,01300SOCIAL SERVICE 6320,A000000,01301,0000,01301ACTIVITIES 6320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6320,A000000,01600,0000,01600SKILLED NURSING FACILITY 6320,A000000,01800,0000,01800NURSING FACILITY 6320,A000000,01810,0000,01810ICF/MR 6320,A000000,02100,0000,02100RADIOLOGY 6320,A000000,02200,0000,02200LABORATORY 6320,A000000,02500,0000,02500PHYSICAL THERAPY 6320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6320,A000000,02700,0000,02700SPEECH PATHOLOGY 6320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6320,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6320,A000000,03550,0000,03550FQHC 6320,A000000,05000,0000,05000CORF 6320,A000000,05010,0000,05010CMHC 6320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6320,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6320,A81000A,00100,0100,Y 6320,A81000B,00100,0300,HOME OFFICE COST 6320,A81000B,00400,0300,HOME OFFICE COST 6320,A81000B,00500,0300,HOME OFFICE COST 6320,A81000B,00600,0300,HOME OFFICE COST 6320,A81000B,00800,0300,HOME OFFICE COST 6320,A81000C,00100,0100,B 6320,A81000C,00100,0200,BEVERLY ENTERPR 6320,B100000,00000,0100,00000(SQUARE FEET) 6320,B100000,00000,0200,00000(SQUARE FEET) 6320,B100000,00000,0300,00000(ADJUSTED SALARIES) 6320,B100000,00000,0400,00000(ACCUM. COST) 6320,B100000,00000,0500,00000(SQUARE FEET) 6320,B100000,00000,0600,00000(PATIENT DAYS) 6320,B100000,00000,0700,00000(SQUARE FEET) 6320,B100000,00000,0800,00000(MEALS SERVED) 6320,B100000,00000,0900,00000(ADJUSTED SALARIES) 6320,B100000,00000,1000,00000(PATIENT DAYS) 6320,B100000,00000,1100,00000(COSTED REQUIS) 6320,B100000,00000,1200,00000(TOTAL CHARGES) 6320,B100000,00000,1300,00000(PATIENT DAYS) 6320,B100000,00000,1301,00000(PATIENT DAYS) 6320,B100000,00000,1400,00000(ASSIGNED TIME) 6320,E10A180,00301,0100,01/27/1999 6320,E10A180,00351,0100,06/14/1999 6320,E10A180,00352,0100,10/08/1999 6320,E10A180,00353,0100,12/09/1999 6320,E10A180,00354,0100,02/14/2000 6320,S000000,00100,0200,06/02/2000 6320,S200000,00100,0100,19 OBERY ST 6320,S200000,00200,0100,PLYMOUTH 6320,S200000,00200,0200,MA 6320,S200000,00200,0300,02360 6320,S200000,00300,0100,PLYMOUTH COUNTY 6320,S200000,00400,0100,02236 - BEVERLY MANOR PLYMOUTH 6320,S200000,00400,0200,225284 6320,S200000,00400,0300,03/01/1985 6320,S200000,00400,0500,P 6320,S200000,00600,0200,225284 6320,S200000,00600,0300,03/01/1985 6320,S200000,00600,0600,P 6320,S200000,01600,0100,Y 6320,S200000,04300,0100,Y 6323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6323,A000000,00300,0000,00300EMPLOYEE BENEFITS 6323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6323,A000000,00700,0000,00700HOUSEKEEPING 6323,A000000,00800,0000,00800DIETARY 6323,A000000,00900,0000,00900NURSING ADMINISTRATION 6323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6323,A000000,01100,0000,01100PHARMACY 6323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6323,A000000,01300,0000,01300SOCIAL SERVICE 6323,A000000,01301,0000,01301ACTIVITIES 6323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6323,A000000,01600,0000,01600SKILLED NURSING FACILITY 6323,A000000,01800,0000,01800NURSING FACILITY 6323,A000000,01810,0000,01810ICF/MR 6323,A000000,02100,0000,02100RADIOLOGY 6323,A000000,02200,0000,02200LABORATORY 6323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6323,A000000,02500,0000,02500PHYSICAL THERAPY 6323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6323,A000000,02700,0000,02700SPEECH PATHOLOGY 6323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6323,A000000,03550,0000,03550FQHC 6323,A000000,05000,0000,05000CORF 6323,A000000,05010,0000,05010CMHC 6323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6323,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6323,A81000A,00100,0100,Y 6323,A81000B,00100,0300,HOME OFFICE COST 6323,A81000B,00400,0300,HOME OFFICE COST 6323,A81000B,00500,0300,HOME OFFICE COST 6323,A81000B,00600,0300,HOME OFFICE COST 6323,A81000B,00800,0300,HOME OFFICE COST 6323,A81000C,00100,0100,B 6323,A81000C,00100,0200,BEVERLY ENTERPR 6323,B100000,00000,0100,00000(SQUARE FEET) 6323,B100000,00000,0200,00000(SQUARE FEET) 6323,B100000,00000,0300,00000(ADJUSTED SALARIES) 6323,B100000,00000,0400,00000(ACCUM. COST) 6323,B100000,00000,0500,00000(SQUARE FEET) 6323,B100000,00000,0600,00000(PATIENT DAYS) 6323,B100000,00000,0700,00000(SQUARE FEET) 6323,B100000,00000,0800,00000(MEALS SERVED) 6323,B100000,00000,0900,00000(ADJUSTED SALARIES) 6323,B100000,00000,1000,00000(PATIENT DAYS) 6323,B100000,00000,1100,00000(COSTED REQUIS) 6323,B100000,00000,1200,00000(TOTAL CHARGES) 6323,B100000,00000,1300,00000(PATIENT DAYS) 6323,B100000,00000,1301,00000(PATIENT DAYS) 6323,B100000,00000,1400,00000(ASSIGNED TIME) 6323,E10A180,00301,0100,01/27/1999 6323,E10A180,00303,0100,10/08/1999 6323,E10A180,00305,0100,02/14/2000 6323,E10A180,00351,0100,06/14/1999 6323,E10A180,00353,0100,12/09/1999 6323,S000000,00100,0200,06/02/2000 6323,S200000,00100,0100,1660 WASHINGTON ST 6323,S200000,00200,0100,WEST NEWTON 6323,S200000,00200,0200,MA 6323,S200000,00200,0300,02165 6323,S200000,00300,0100,MIDDLESEX 6323,S200000,00400,0100,02413 - CHETWYNDE NURSING HOME 6323,S200000,00400,0200,225319 6323,S200000,00400,0300,01/01/1989 6323,S200000,00400,0500,P 6323,S200000,00600,0200,225319 6323,S200000,00600,0300,01/01/1989 6323,S200000,00600,0600,P 6323,S200000,01600,0100,Y 6323,S200000,04300,0100,Y 6326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6326,A000000,00300,0000,00300EMPLOYEE BENEFITS 6326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6326,A000000,00700,0000,00700HOUSEKEEPING 6326,A000000,00800,0000,00800DIETARY 6326,A000000,00900,0000,00900NURSING ADMINISTRATION 6326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6326,A000000,01100,0000,01100PHARMACY 6326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6326,A000000,01300,0000,01300SOCIAL SERVICE 6326,A000000,01301,0000,01301ACTIVITIES 6326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6326,A000000,01600,0000,01600SKILLED NURSING FACILITY 6326,A000000,01800,0000,01800NURSING FACILITY 6326,A000000,01810,0000,01810ICF/MR 6326,A000000,02100,0000,02100RADIOLOGY 6326,A000000,02200,0000,02200LABORATORY 6326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6326,A000000,02500,0000,02500PHYSICAL THERAPY 6326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6326,A000000,02700,0000,02700SPEECH PATHOLOGY 6326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6326,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6326,A000000,03550,0000,03550FQHC 6326,A000000,05000,0000,05000CORF 6326,A000000,05010,0000,05010CMHC 6326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6326,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6326,A81000A,00100,0100,Y 6326,A81000B,00100,0300,HOME OFFICE COST 6326,A81000B,00400,0300,HOME OFFICE COST 6326,A81000B,00500,0300,HOME OFFICE COST 6326,A81000B,00600,0300,HOME OFFICE COST 6326,A81000B,00800,0300,HOME OFFICE COST 6326,A81000C,00100,0100,B 6326,A81000C,00100,0200,BEVERLY ENTERPR 6326,B100000,00000,0100,00000(SQUARE FEET) 6326,B100000,00000,0200,00000(SQUARE FEET) 6326,B100000,00000,0300,00000(ADJUSTED SALARIES) 6326,B100000,00000,0400,00000(ACCUM. COST) 6326,B100000,00000,0500,00000(SQUARE FEET) 6326,B100000,00000,0600,00000(PATIENT DAYS) 6326,B100000,00000,0700,00000(SQUARE FEET) 6326,B100000,00000,0800,00000(MEALS SERVED) 6326,B100000,00000,0900,00000(ADJUSTED SALARIES) 6326,B100000,00000,1000,00000(PATIENT DAYS) 6326,B100000,00000,1100,00000(COSTED REQUIS) 6326,B100000,00000,1200,00000(TOTAL CHARGES) 6326,B100000,00000,1300,00000(PATIENT DAYS) 6326,B100000,00000,1301,00000(PATIENT DAYS) 6326,B100000,00000,1400,00000(ASSIGNED TIME) 6326,E10A180,00302,0100,06/14/1999 6326,E10A180,00303,0100,10/08/1999 6326,E10A180,00305,0100,02/14/2000 6326,E10A180,00350,0100,01/27/1999 6326,E10A180,00353,0100,12/09/1999 6326,S000000,00100,0200,06/02/2000 6326,S200000,00100,0100,1007 EAST STREET 6326,S200000,00200,0100,DEDHAM 6326,S200000,00200,0200,MA 6326,S200000,00200,0300,02026 6326,S200000,00300,0100,NORFOLK 6326,S200000,00400,0100,EASTWOOD CARE CENTER 6326,S200000,00400,0200,225321 6326,S200000,00400,0300,01/30/1989 6326,S200000,00400,0500,P 6326,S200000,00600,0200,225321 6326,S200000,00600,0300,01/30/1989 6326,S200000,00600,0600,P 6326,S200000,01600,0100,Y 6326,S200000,04300,0100,Y 6329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6329,A000000,00300,0000,00300EMPLOYEE BENEFITS 6329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6329,A000000,00700,0000,00700HOUSEKEEPING 6329,A000000,00800,0000,00800DIETARY 6329,A000000,00900,0000,00900NURSING ADMINISTRATION 6329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6329,A000000,01100,0000,01100PHARMACY 6329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6329,A000000,01300,0000,01300SOCIAL SERVICE 6329,A000000,01301,0000,01301ACTIVITIES 6329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6329,A000000,01600,0000,01600SKILLED NURSING FACILITY 6329,A000000,01800,0000,01800NURSING FACILITY 6329,A000000,01810,0000,01810ICF/MR 6329,A000000,01900,0000,01900OTHER LONG TERM CARE 6329,A000000,02100,0000,02100RADIOLOGY 6329,A000000,02200,0000,02200LABORATORY 6329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6329,A000000,02500,0000,02500PHYSICAL THERAPY 6329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6329,A000000,02700,0000,02700SPEECH PATHOLOGY 6329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6329,A000000,03550,0000,03550FQHC 6329,A000000,05000,0000,05000CORF 6329,A000000,05010,0000,05010CMHC 6329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6329,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6329,A81000A,00100,0100,Y 6329,A81000B,00100,0300,HOME OFFICE COST 6329,A81000B,00400,0300,HOME OFFICE COST 6329,A81000B,00500,0300,HOME OFFICE COST 6329,A81000B,00600,0300,HOME OFFICE COST 6329,A81000B,00800,0300,HOME OFFICE COST 6329,A81000C,00100,0100,B 6329,A81000C,00100,0200,BEVERLY ENTERPR 6329,B100000,00000,0100,00000(SQUARE FEET) 6329,B100000,00000,0200,00000(SQUARE FEET) 6329,B100000,00000,0300,00000(ADJUSTED SALARIES) 6329,B100000,00000,0400,00000(ACCUM. COST) 6329,B100000,00000,0500,00000(SQUARE FEET) 6329,B100000,00000,0600,00000(PATIENT DAYS) 6329,B100000,00000,0700,00000(SQUARE FEET) 6329,B100000,00000,0800,00000(MEALS SERVED) 6329,B100000,00000,0900,00000(ADJUSTED SALARIES) 6329,B100000,00000,1000,00000(PATIENT DAYS) 6329,B100000,00000,1100,00000(COSTED REQUIS) 6329,B100000,00000,1200,00000(TOTAL CHARGES) 6329,B100000,00000,1300,00000(PATIENT DAYS) 6329,B100000,00000,1301,00000(PATIENT DAYS) 6329,B100000,00000,1400,00000(ASSIGNED TIME) 6329,E10A180,00303,0100,10/08/1999 6329,E10A180,00350,0100,01/27/1999 6329,E10A180,00351,0100,06/14/1999 6329,E10A180,00353,0100,12/09/1999 6329,E10A180,00354,0100,02/14/2000 6329,S000000,00100,0200,06/02/2000 6329,S200000,00100,0100,25 ARMORY STREET 6329,S200000,00200,0100,WEST NEWTON 6329,S200000,00200,0200,MA 6329,S200000,00200,0300,02165 6329,S200000,00300,0100,MIDDLESEX 6329,S200000,00400,0100,00116 - NEWTON CONV HOME W 6329,S200000,00400,0200,225324 6329,S200000,00400,0300,01/13/1989 6329,S200000,00400,0500,P 6329,S200000,00600,0200,225324 6329,S200000,00600,0300,01/13/1989 6329,S200000,00600,0600,P 6329,S200000,01600,0100,Y 6329,S200000,04300,0100,Y 6332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6332,A000000,00300,0000,00300EMPLOYEE BENEFITS 6332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6332,A000000,00700,0000,00700HOUSEKEEPING 6332,A000000,00800,0000,00800DIETARY 6332,A000000,00900,0000,00900NURSING ADMINISTRATION 6332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6332,A000000,01100,0000,01100PHARMACY 6332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6332,A000000,01300,0000,01300SOCIAL SERVICE 6332,A000000,01301,0000,01301ACTIVITIES 6332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6332,A000000,01600,0000,01600SKILLED NURSING FACILITY 6332,A000000,01800,0000,01800NURSING FACILITY 6332,A000000,01810,0000,01810ICF/MR 6332,A000000,02100,0000,02100RADIOLOGY 6332,A000000,02200,0000,02200LABORATORY 6332,A000000,02500,0000,02500PHYSICAL THERAPY 6332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6332,A000000,02700,0000,02700SPEECH PATHOLOGY 6332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6332,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6332,A000000,03550,0000,03550FQHC 6332,A000000,05000,0000,05000CORF 6332,A000000,05010,0000,05010CMHC 6332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6332,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6332,A81000A,00100,0100,Y 6332,A81000B,00100,0300,HOME OFFICE COST 6332,A81000B,00400,0300,HOME OFFICE COST 6332,A81000B,00500,0300,HOME OFFICE COST 6332,A81000B,00600,0300,HOME OFFICE COST 6332,A81000B,00800,0300,HOME OFFICE COST 6332,A81000C,00100,0100,B 6332,A81000C,00100,0200,BEVERLY ENTERPR 6332,B100000,00000,0100,00000(SQUARE FEET) 6332,B100000,00000,0200,00000(SQUARE FEET) 6332,B100000,00000,0300,00000(ADJUSTED SALARIES) 6332,B100000,00000,0400,00000(ACCUM. COST) 6332,B100000,00000,0500,00000(SQUARE FEET) 6332,B100000,00000,0600,00000(PATIENT DAYS) 6332,B100000,00000,0700,00000(SQUARE FEET) 6332,B100000,00000,0800,00000(MEALS SERVED) 6332,B100000,00000,0900,00000(ADJUSTED SALARIES) 6332,B100000,00000,1000,00000(PATIENT DAYS) 6332,B100000,00000,1100,00000(COSTED REQUIS) 6332,B100000,00000,1200,00000(TOTAL CHARGES) 6332,B100000,00000,1300,00000(PATIENT DAYS) 6332,B100000,00000,1301,00000(PATIENT DAYS) 6332,B100000,00000,1400,00000(ASSIGNED TIME) 6332,E10A180,00302,0100,06/14/1999 6332,E10A180,00303,0100,10/08/1999 6332,E10A180,00305,0100,02/14/2000 6332,E10A180,00350,0100,01/27/1999 6332,E10A180,00353,0100,12/09/1999 6332,S000000,00100,0200,06/02/2000 6332,S200000,00100,0100,40 MARTIN STREET 6332,S200000,00200,0100,MELROSE 6332,S200000,00200,0200,MA 6332,S200000,00200,0300,02176 6332,S200000,00300,0100,MIDDLESEX COUNTY 6332,S200000,00400,0100,MELROSE CARE CENTER 6332,S200000,00400,0200,225329 6332,S200000,00400,0300,12/13/1989 6332,S200000,00400,0500,P 6332,S200000,00600,0200,225329 6332,S200000,00600,0300,12/13/1989 6332,S200000,00600,0600,P 6332,S200000,01600,0100,Y 6332,S200000,04300,0100,Y 6335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6335,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6335,A000000,00300,0000,00300EMPLOYEE BENEFITS 6335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6335,A000000,00700,0000,00700HOUSEKEEPING 6335,A000000,00800,0000,00800DIETARY 6335,A000000,00900,0000,00900NURSING ADMINISTRATION 6335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6335,A000000,01100,0000,01100PHARMACY 6335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6335,A000000,01300,0000,01300SOCIAL SERVICE 6335,A000000,01301,0000,01301ACTIVITIES 6335,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6335,A000000,01600,0000,01600SKILLED NURSING FACILITY 6335,A000000,01800,0000,01800NURSING FACILITY 6335,A000000,01810,0000,01810ICF/MR 6335,A000000,01900,0000,01900OTHER LONG TERM CARE 6335,A000000,02100,0000,02100RADIOLOGY 6335,A000000,02200,0000,02200LABORATORY 6335,A000000,02500,0000,02500PHYSICAL THERAPY 6335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6335,A000000,02700,0000,02700SPEECH PATHOLOGY 6335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6335,A000000,03550,0000,03550FQHC 6335,A000000,05000,0000,05000CORF 6335,A000000,05010,0000,05010CMHC 6335,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6335,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6335,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6335,A000000,06150,0000,06300OTHER NON REIM COST 6335,A81000A,00100,0100,Y 6335,A81000B,00100,0300,HOME OFFICE COST 6335,A81000B,00400,0300,HOME OFFICE COST 6335,A81000B,00500,0300,HOME OFFICE COST 6335,A81000B,00600,0300,HOME OFFICE COST 6335,A81000B,00800,0300,HOME OFFICE COST 6335,A81000C,00100,0100,B 6335,A81000C,00100,0200,BEVERLY ENTERPR 6335,B100000,00000,0100,00000(SQUARE FEET) 6335,B100000,00000,0200,00000(SQUARE FEET) 6335,B100000,00000,0300,00000(ADJUSTED SALARIES) 6335,B100000,00000,0400,00000(ACCUM. COST) 6335,B100000,00000,0500,00000(SQUARE FEET) 6335,B100000,00000,0600,00000(PATIENT DAYS) 6335,B100000,00000,0700,00000(SQUARE FEET) 6335,B100000,00000,0800,00000(MEALS SERVED) 6335,B100000,00000,0900,00000(ADJUSTED SALARIES) 6335,B100000,00000,1000,00000(PATIENT DAYS) 6335,B100000,00000,1100,00000(COSTED REQUIS) 6335,B100000,00000,1200,00000(TOTAL CHARGES) 6335,B100000,00000,1300,00000(PATIENT DAYS) 6335,B100000,00000,1301,00000(PATIENT DAYS) 6335,B100000,00000,1400,00000(ASSIGNED TIME) 6335,E10A180,00301,0100,01/27/1999 6335,E10A180,00351,0100,06/14/1999 6335,E10A180,00352,0100,10/08/1999 6335,E10A180,00353,0100,12/09/1999 6335,E10A180,00354,0100,02/14/2000 6335,S000000,00100,0200,06/02/2000 6335,S200000,00100,0100,460 WASHINGTON ROAD 6335,S200000,00200,0100,NORWOOD 6335,S200000,00200,0200,MA 6335,S200000,00200,0300,02062 6335,S200000,00300,0100,NORFOLK 6335,S200000,00400,0100,COLONIAL CARE CENTER 6335,S200000,00400,0200,225343 6335,S200000,00400,0300,02/01/1989 6335,S200000,00400,0500,P 6335,S200000,00600,0200,225343 6335,S200000,00600,0300,02/01/1989 6335,S200000,00600,0600,P 6335,S200000,01600,0100,Y 6335,S200000,04300,0100,Y 6337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6337,A000000,00300,0000,00300EMPLOYEE BENEFITS 6337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6337,A000000,00700,0000,00700HOUSEKEEPING 6337,A000000,00800,0000,00800DIETARY 6337,A000000,00900,0000,00900NURSING ADMINISTRATION 6337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6337,A000000,01100,0000,01100PHARMACY 6337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6337,A000000,01300,0000,01300SOCIAL SERVICE 6337,A000000,01301,0000,01301ACTIVITIES 6337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6337,A000000,01600,0000,01600SKILLED NURSING FACILITY 6337,A000000,01800,0000,01800NURSING FACILITY 6337,A000000,01810,0000,01810ICF/MR 6337,A000000,02100,0000,02100RADIOLOGY 6337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6337,A000000,02500,0000,02500PHYSICAL THERAPY 6337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6337,A000000,02700,0000,02700SPEECH PATHOLOGY 6337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6337,A000000,03550,0000,03550FQHC 6337,A000000,05000,0000,05000CORF 6337,A000000,05010,0000,05010CMHC 6337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6337,A000000,06150,0000,06300OTHER NON REIM COSTS 6337,A81000A,00100,0100,Y 6337,A81000B,00100,0300,HOME OFFICE COST 6337,A81000B,00400,0300,HOME OFFICE COST 6337,A81000B,00500,0300,HOME OFFICE COST 6337,A81000B,00600,0300,HOME OFFICE COST 6337,A81000B,00800,0300,HOME OFFICE COST 6337,A81000C,00100,0100,B 6337,A81000C,00100,0200,BEVERLY ENTERPR 6337,B100000,00000,0100,00000(SQUARE FEET) 6337,B100000,00000,0200,00000(SQUARE FEET) 6337,B100000,00000,0300,00000(ADJUSTED SALARIES) 6337,B100000,00000,0400,00000(ACCUM. COST) 6337,B100000,00000,0500,00000(SQUARE FEET) 6337,B100000,00000,0600,00000(PATIENT DAYS) 6337,B100000,00000,0700,00000(SQUARE FEET) 6337,B100000,00000,0800,00000(MEALS SERVED) 6337,B100000,00000,0900,00000(ADJUSTED SALARIES) 6337,B100000,00000,1000,00000(PATIENT DAYS) 6337,B100000,00000,1100,00000(COSTED REQUIS) 6337,B100000,00000,1200,00000(TOTAL CHARGES) 6337,B100000,00000,1300,00000(PATIENT DAYS) 6337,B100000,00000,1301,00000(PATIENT DAYS) 6337,B100000,00000,1400,00000(ASSIGNED TIME) 6337,E10A180,00301,0100,01/27/1999 6337,E10A180,00351,0100,06/14/1999 6337,E10A180,00352,0100,10/08/1999 6337,E10A180,00353,0100,12/09/1999 6337,E10A180,00354,0100,02/14/2000 6337,S000000,00100,0200,06/02/2000 6337,S200000,00100,0100,272 WASHINGTON STREET 6337,S200000,00200,0100,GLOUCESTER 6337,S200000,00200,0200,MA 6337,S200000,00200,0300,01930 6337,S200000,00300,0100,ESSEX 6337,S200000,00400,0100,GREYCLIFF AT CAPE ANN CONV CENTER 6337,S200000,00400,0200,225464 6337,S200000,00400,0300,07/01/1990 6337,S200000,00400,0500,P 6337,S200000,00600,0200,225464 6337,S200000,00600,0300,07/01/1990 6337,S200000,00600,0600,P 6337,S200000,01600,0100,Y 6337,S200000,04300,0100,Y 6340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6340,A000000,00300,0000,00300EMPLOYEE BENEFITS 6340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6340,A000000,00700,0000,00700HOUSEKEEPING 6340,A000000,00800,0000,00800DIETARY 6340,A000000,00900,0000,00900NURSING ADMINISTRATION 6340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6340,A000000,01100,0000,01100PHARMACY 6340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6340,A000000,01300,0000,01300SOCIAL SERVICE 6340,A000000,01301,0000,01301ACTIVITIES 6340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6340,A000000,01600,0000,01600SKILLED NURSING FACILITY 6340,A000000,01800,0000,01800NURSING FACILITY 6340,A000000,01810,0000,01810ICF/MR 6340,A000000,02100,0000,02100RADIOLOGY 6340,A000000,02200,0000,02200LABORATORY 6340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6340,A000000,02500,0000,02500PHYSICAL THERAPY 6340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6340,A000000,02700,0000,02700SPEECH PATHOLOGY 6340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6340,A000000,03550,0000,03550FQHC 6340,A000000,05000,0000,05000CORF 6340,A000000,05010,0000,05010CMHC 6340,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6340,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6340,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6340,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6340,A81000A,00100,0100,Y 6340,A81000B,00100,0300,HOME OFFICE COST 6340,A81000B,00400,0300,HOME OFFICE COST 6340,A81000B,00500,0300,HOME OFFICE COST 6340,A81000B,00600,0300,HOME OFFICE COST 6340,A81000B,00800,0300,HOME OFFICE COST 6340,A81000C,00100,0100,B 6340,A81000C,00100,0200,BEVERLY ENTERPR 6340,B100000,00000,0100,00000(SQUARE FEET) 6340,B100000,00000,0200,00000(SQUARE FEET) 6340,B100000,00000,0300,00000(ADJUSTED SALARIES) 6340,B100000,00000,0400,00000(ACCUM. COST) 6340,B100000,00000,0500,00000(SQUARE FEET) 6340,B100000,00000,0600,00000(PATIENT DAYS) 6340,B100000,00000,0700,00000(SQUARE FEET) 6340,B100000,00000,0800,00000(MEALS SERVED) 6340,B100000,00000,0900,00000(ADJUSTED SALARIES) 6340,B100000,00000,1000,00000(PATIENT DAYS) 6340,B100000,00000,1100,00000(COSTED REQUIS) 6340,B100000,00000,1200,00000(TOTAL CHARGES) 6340,B100000,00000,1300,00000(PATIENT DAYS) 6340,B100000,00000,1301,00000(PATIENT DAYS) 6340,B100000,00000,1400,00000(ASSIGNED TIME) 6340,E10A180,00301,0100,01/27/1999 6340,E10A180,00302,0100,06/14/1999 6340,E10A180,00303,0100,10/08/1999 6340,E10A180,00304,0100,12/09/1999 6340,E10A180,00354,0100,02/14/2000 6340,S000000,00100,0200,06/02/2000 6340,S200000,00100,0100,8 LEWIS POINT ROAD 6340,S200000,00200,0100,BUZZARDS BAY 6340,S200000,00200,0200,MA 6340,S200000,00200,0300,02532 6340,S200000,00300,0100,BARNSTABLE 6340,S200000,00400,0100,CAPE COD NURSING HOME 6340,S200000,00400,0200,225538 6340,S200000,00400,0300,10/01/1991 6340,S200000,00400,0500,P 6340,S200000,00600,0200,225538 6340,S200000,00600,0300,10/01/1991 6340,S200000,00600,0600,P 6340,S200000,01600,0100,Y 6340,S200000,04300,0100,Y 6343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6343,A000000,00300,0000,00300EMPLOYEE BENEFITS 6343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6343,A000000,00700,0000,00700HOUSEKEEPING 6343,A000000,00800,0000,00800DIETARY 6343,A000000,00900,0000,00900NURSING ADMINISTRATION 6343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6343,A000000,01100,0000,01100PHARMACY 6343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6343,A000000,01300,0000,01300SOCIAL SERVICE 6343,A000000,01301,0000,01301ACTIVITIES 6343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6343,A000000,01600,0000,01600SKILLED NURSING FACILITY 6343,A000000,01800,0000,01800NURSING FACILITY 6343,A000000,01810,0000,01810ICF/MR 6343,A000000,01900,0000,01900OTHER LONG TERM CARE 6343,A000000,02100,0000,02100RADIOLOGY 6343,A000000,02200,0000,02200LABORATORY 6343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6343,A000000,02500,0000,02500PHYSICAL THERAPY 6343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6343,A000000,02700,0000,02700SPEECH PATHOLOGY 6343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6343,A000000,03550,0000,03550FQHC 6343,A000000,05000,0000,05000CORF 6343,A000000,05010,0000,05010CMHC 6343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6343,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6343,A81000A,00100,0100,Y 6343,A81000B,00100,0300,HOME OFFICE COST 6343,A81000B,00400,0300,HOME OFFICE COST 6343,A81000B,00500,0300,HOME OFFICE COST 6343,A81000B,00600,0300,HOME OFFICE COST 6343,A81000B,00800,0300,HOME OFFICE COST 6343,A81000C,00100,0100,B 6343,A81000C,00100,0200,BEVERLY ENTERPR 6343,B100000,00000,0100,00000(SQUARE FEET) 6343,B100000,00000,0200,00000(SQUARE FEET) 6343,B100000,00000,0300,00000(ADJUSTED SALARIES) 6343,B100000,00000,0400,00000(ACCUM. COST) 6343,B100000,00000,0500,00000(SQUARE FEET) 6343,B100000,00000,0600,00000(PATIENT DAYS) 6343,B100000,00000,0700,00000(SQUARE FEET) 6343,B100000,00000,0800,00000(MEALS SERVED) 6343,B100000,00000,0900,00000(ADJUSTED SALARIES) 6343,B100000,00000,1000,00000(PATIENT DAYS) 6343,B100000,00000,1100,00000(COSTED REQUIS) 6343,B100000,00000,1200,00000(TOTAL CHARGES) 6343,B100000,00000,1300,00000(PATIENT DAYS) 6343,B100000,00000,1301,00000(PATIENT DAYS) 6343,B100000,00000,1400,00000(ASSIGNED TIME) 6343,E10A180,00301,0100,01/27/1999 6343,E10A180,00302,0100,06/14/1999 6343,E10A180,00303,0100,10/08/1999 6343,E10A180,00305,0100,02/14/2000 6343,E10A180,00353,0100,12/09/1999 6343,S000000,00100,0200,06/02/2000 6343,S200000,00100,0100,188 FLORENCE STREET 6343,S200000,00200,0100,CHESTNUT HILL 6343,S200000,00200,0200,MA 6343,S200000,00200,0300,02167 6343,S200000,00300,0100,MIDDLESEX 6343,S200000,00400,0100,HEATHWOOD NURSING HOME 6343,S200000,00400,0200,225576 6343,S200000,00400,0300,06/01/1993 6343,S200000,00400,0500,P 6343,S200000,00600,0200,225576 6343,S200000,00600,0300,06/01/1996 6343,S200000,00600,0600,P 6343,S200000,01600,0100,Y 6343,S200000,04300,0100,Y 6346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6346,A000000,00300,0000,00300EMPLOYEE BENEFITS 6346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6346,A000000,00700,0000,00700HOUSEKEEPING 6346,A000000,00800,0000,00800DIETARY 6346,A000000,00900,0000,00900NURSING ADMINISTRATION 6346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6346,A000000,01100,0000,01100PHARMACY 6346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6346,A000000,01300,0000,01300SOCIAL SERVICE 6346,A000000,01301,0000,01301ACTIVITIES 6346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6346,A000000,01600,0000,01600SKILLED NURSING FACILITY 6346,A000000,01800,0000,01800NURSING FACILITY 6346,A000000,01810,0000,01810ICF/MR 6346,A000000,02100,0000,02100RADIOLOGY 6346,A000000,02200,0000,02200LABORATORY 6346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6346,A000000,02500,0000,02500PHYSICAL THERAPY 6346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6346,A000000,02700,0000,02700SPEECH PATHOLOGY 6346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6346,A000000,03050,0000,03300OTHER ANCILLARY 6346,A000000,03550,0000,03550FQHC 6346,A000000,05000,0000,05000CORF 6346,A000000,05010,0000,05010CMHC 6346,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6346,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6346,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6346,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6346,A81000A,00100,0100,Y 6346,A81000B,00100,0300,HOME OFFICE COST 6346,A81000B,00400,0300,HOME OFFICE COST 6346,A81000B,00500,0300,HOME OFFICE COST 6346,A81000B,00600,0300,HOME OFFICE COST 6346,A81000B,00800,0300,HOME OFFICE COST 6346,A81000C,00100,0100,B 6346,A81000C,00100,0200,BEVERLY ENTERPR 6346,B100000,00000,0100,00000(SQUARE FEET) 6346,B100000,00000,0200,00000(SQUARE FEET) 6346,B100000,00000,0300,00000(ADJUSTED SALARIES) 6346,B100000,00000,0400,00000(ACCUM. COST) 6346,B100000,00000,0500,00000(SQUARE FEET) 6346,B100000,00000,0600,00000(PATIENT DAYS) 6346,B100000,00000,0700,00000(SQUARE FEET) 6346,B100000,00000,0800,00000(MEALS SERVED) 6346,B100000,00000,0900,00000(ADJUSTED SALARIES) 6346,B100000,00000,1000,00000(PATIENT DAYS) 6346,B100000,00000,1100,00000(COSTED REQUIS) 6346,B100000,00000,1200,00000(TOTAL CHARGES) 6346,B100000,00000,1300,00000(PATIENT DAYS) 6346,B100000,00000,1301,00000(PATIENT DAYS) 6346,B100000,00000,1400,00000(ASSIGNED TIME) 6346,E10A180,00301,0100,01/27/1999 6346,E10A180,00351,0100,06/14/1999 6346,E10A180,00352,0100,10/08/1999 6346,E10A180,00353,0100,12/09/1999 6346,E10A180,00354,0100,02/14/2000 6346,S000000,00100,0200,06/02/2000 6346,S200000,00100,0100,767 WASHINGTON ST. 6346,S200000,00200,0100,NORWOOD 6346,S200000,00200,0200,MA 6346,S200000,00200,0300,02062 6346,S200000,00300,0100,NORFOLK 6346,S200000,00400,0100,NORWOOD NURSING HOME 6346,S200000,00400,0200,225606 6346,S200000,00400,0300,01/01/1994 6346,S200000,00400,0500,P 6346,S200000,00600,0200,225606 6346,S200000,00600,0300,01/01/1994 6346,S200000,00600,0600,P 6346,S200000,01600,0100,Y 6346,S200000,04200,0100,Y 6346,S200000,04300,0100,Y 6351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6351,A000000,00300,0000,00300EMPLOYEE BENEFITS 6351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6351,A000000,00700,0000,00700HOUSEKEEPING 6351,A000000,00800,0000,00800DIETARY 6351,A000000,00900,0000,00900NURSING ADMINISTRATION 6351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6351,A000000,01100,0000,01100PHARMACY 6351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6351,A000000,01300,0000,01300SOCIAL SERVICE 6351,A000000,01301,0000,01301ACTIVITIES 6351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6351,A000000,01600,0000,01600SKILLED NURSING FACILITY 6351,A000000,01800,0000,01800NURSING FACILITY 6351,A000000,01810,0000,01810ICF/MR 6351,A000000,02100,0000,02100RADIOLOGY 6351,A000000,02200,0000,02200LABORATORY 6351,A000000,02500,0000,02500PHYSICAL THERAPY 6351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6351,A000000,02700,0000,02700SPEECH PATHOLOGY 6351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6351,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6351,A000000,03550,0000,03550FQHC 6351,A000000,05000,0000,05000CORF 6351,A000000,05010,0000,05010CMHC 6351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6351,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6351,A81000A,00100,0100,Y 6351,A81000B,00100,0300,HOME OFFICE COST 6351,A81000B,00400,0300,HOME OFFICE COST 6351,A81000B,00500,0300,HOME OFFICE COST 6351,A81000B,00600,0300,HOME OFFICE COST 6351,A81000B,00800,0300,HOME OFFICE COST 6351,A81000C,00100,0100,B 6351,A81000C,00100,0200,BEVERLY ENTERPR 6351,B100000,00000,0100,00000(SQUARE FEET) 6351,B100000,00000,0200,00000(SQUARE FEET) 6351,B100000,00000,0300,00000(ADJUSTED SALARIES) 6351,B100000,00000,0400,00000(ACCUM. COST) 6351,B100000,00000,0500,00000(SQUARE FEET) 6351,B100000,00000,0600,00000(PATIENT DAYS) 6351,B100000,00000,0700,00000(SQUARE FEET) 6351,B100000,00000,0800,00000(MEALS SERVED) 6351,B100000,00000,0900,00000(ADJUSTED SALARIES) 6351,B100000,00000,1000,00000(PATIENT DAYS) 6351,B100000,00000,1100,00000(COSTED REQUIS) 6351,B100000,00000,1200,00000(TOTAL CHARGES) 6351,B100000,00000,1300,00000(PATIENT DAYS) 6351,B100000,00000,1301,00000(PATIENT DAYS) 6351,B100000,00000,1400,00000(ASSIGNED TIME) 6351,E10A180,00301,0100,01/27/1999 6351,E10A180,00302,0100,06/14/1999 6351,E10A180,00305,0100,02/14/2000 6351,E10A180,00352,0100,10/08/1999 6351,E10A180,00353,0100,12/09/1999 6351,S000000,00100,0200,06/02/2000 6351,S200000,00100,0100,19 TABER STREET 6351,S200000,00200,0100,NEW BEDFORD 6351,S200000,00200,0200,MA 6351,S200000,00200,0300,02740 6351,S200000,00300,0100,BRISTOL 6351,S200000,00400,0100,TABER STREET 6351,S200000,00400,0200,225694 6351,S200000,00400,0300,03/15/1996 6351,S200000,00400,0500,P 6351,S200000,00600,0200,225694 6351,S200000,00600,0300,03/15/1996 6351,S200000,00600,0600,P 6351,S200000,01600,0100,Y 6351,S200000,04300,0100,Y 6354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6354,A000000,00300,0000,00300EMPLOYEE BENEFITS 6354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6354,A000000,00700,0000,00700HOUSEKEEPING 6354,A000000,00800,0000,00800DIETARY 6354,A000000,00900,0000,00900NURSING ADMINISTRATION 6354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6354,A000000,01100,0000,01100PHARMACY 6354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6354,A000000,01300,0000,01300SOCIAL SERVICE 6354,A000000,01301,0000,01301ACTIVITIES 6354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6354,A000000,01600,0000,01600SKILLED NURSING FACILITY 6354,A000000,01800,0000,01800NURSING FACILITY 6354,A000000,01810,0000,01810ICF/MR 6354,A000000,02100,0000,02100RADIOLOGY 6354,A000000,02200,0000,02200LABORATORY 6354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6354,A000000,02500,0000,02500PHYSICAL THERAPY 6354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6354,A000000,02700,0000,02700SPEECH PATHOLOGY 6354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6354,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6354,A000000,03550,0000,03550FQHC 6354,A000000,05000,0000,05000CORF 6354,A000000,05010,0000,05010CMHC 6354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6354,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6354,A81000A,00100,0100,Y 6354,A81000B,00100,0300,HOME OFFICE COST 6354,A81000B,00400,0300,HOME OFFICE COST 6354,A81000B,00500,0300,HOME OFFICE COST 6354,A81000B,00600,0300,HOME OFFICE COST 6354,A81000B,00800,0300,HOME OFFICE COST 6354,A81000C,00100,0100,B 6354,A81000C,00100,0200,BEVERLY ENTERPR 6354,B100000,00000,0100,00000(SQUARE FEET) 6354,B100000,00000,0200,00000(SQUARE FEET) 6354,B100000,00000,0300,00000(ADJUSTED SALARIES) 6354,B100000,00000,0400,00000(ACCUM. COST) 6354,B100000,00000,0500,00000(SQUARE FEET) 6354,B100000,00000,0600,00000(PATIENT DAYS) 6354,B100000,00000,0700,00000(SQUARE FEET) 6354,B100000,00000,0800,00000(MEALS SERVED) 6354,B100000,00000,0900,00000(ADJUSTED SALARIES) 6354,B100000,00000,1000,00000(PATIENT DAYS) 6354,B100000,00000,1100,00000(COSTED REQUIS) 6354,B100000,00000,1200,00000(TOTAL CHARGES) 6354,B100000,00000,1300,00000(PATIENT DAYS) 6354,B100000,00000,1301,00000(PATIENT DAYS) 6354,B100000,00000,1400,00000(ASSIGNED TIME) 6354,S000000,00100,0200,06/02/2000 6354,S200000,00100,0100,500 WEST GENESSEE 6354,S200000,00200,0100,FRANKENMUTH 6354,S200000,00200,0200,MI 6354,S200000,00200,0300,48734 6354,S200000,00300,0100,SAGINAW 6354,S200000,00400,0100,FRANKENMUTH CONVELESCENT CENTER 6354,S200000,00400,0200,235175 6354,S200000,00400,0300,11/01/1984 6354,S200000,00400,0500,P 6354,S200000,00600,0200,235175 6354,S200000,00600,0300,11/01/1984 6354,S200000,00600,0600,P 6354,S200000,01600,0100,Y 6357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6357,A000000,00300,0000,00300EMPLOYEE BENEFITS 6357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6357,A000000,00700,0000,00700HOUSEKEEPING 6357,A000000,00800,0000,00800DIETARY 6357,A000000,00900,0000,00900NURSING ADMINISTRATION 6357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6357,A000000,01100,0000,01100PHARMACY 6357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6357,A000000,01300,0000,01300SOCIAL SERVICE 6357,A000000,01301,0000,01301ACTIVITIES 6357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6357,A000000,01600,0000,01600SKILLED NURSING FACILITY 6357,A000000,01800,0000,01800NURSING FACILITY 6357,A000000,01810,0000,01810ICF/MR 6357,A000000,02100,0000,02100RADIOLOGY 6357,A000000,02200,0000,02200LABORATORY 6357,A000000,02500,0000,02500PHYSICAL THERAPY 6357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6357,A000000,02700,0000,02700SPEECH PATHOLOGY 6357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6357,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6357,A000000,03550,0000,03550FQHC 6357,A000000,05000,0000,05000CORF 6357,A000000,05010,0000,05010CMHC 6357,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6357,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6357,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6357,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6357,A81000A,00100,0100,Y 6357,A81000B,00100,0300,HOME OFFICE COST 6357,A81000B,00400,0300,HOME OFFICE COST 6357,A81000B,00500,0300,HOME OFFICE COST 6357,A81000B,00600,0300,HOME OFFICE COST 6357,A81000B,00800,0300,HOME OFFICE COST 6357,A81000C,00100,0100,B 6357,A81000C,00100,0200,BEVERLY ENTERPR 6357,B100000,00000,0100,00000(SQUARE FEET) 6357,B100000,00000,0200,00000(SQUARE FEET) 6357,B100000,00000,0300,00000(ADJUSTED SALARIES) 6357,B100000,00000,0400,00000(ACCUM. COST) 6357,B100000,00000,0500,00000(SQUARE FEET) 6357,B100000,00000,0600,00000(PATIENT DAYS) 6357,B100000,00000,0700,00000(SQUARE FEET) 6357,B100000,00000,0800,00000(MEALS SERVED) 6357,B100000,00000,0900,00000(ADJUSTED SALARIES) 6357,B100000,00000,1000,00000(PATIENT DAYS) 6357,B100000,00000,1100,00000(COSTED REQUIS) 6357,B100000,00000,1200,00000(TOTAL CHARGES) 6357,B100000,00000,1300,00000(PATIENT DAYS) 6357,B100000,00000,1301,00000(PATIENT DAYS) 6357,B100000,00000,1400,00000(ASSIGNED TIME) 6357,E10A180,00301,0100,06/14/1999 6357,E10A180,00302,0100,10/08/1999 6357,E10A180,00350,0100,01/27/1999 6357,E10A180,00351,0100,12/09/1999 6357,E10A180,00352,0100,02/14/2000 6357,S000000,00100,0200,06/02/2000 6357,S200000,00100,0100,1000 WEST ERIE STREET 6357,S200000,00200,0100,ALBION 6357,S200000,00200,0200,MI 6357,S200000,00200,0300,49224 6357,S200000,00300,0100,CALHOUN 6357,S200000,00400,0100,ALBION MANOR CARE CENTER 6357,S200000,00400,0200,235394 6357,S200000,00400,0300,01/01/1985 6357,S200000,00400,0500,P 6357,S200000,00600,0200,235394 6357,S200000,00600,0300,01/01/1985 6357,S200000,00600,0600,P 6357,S200000,01600,0100,Y 6360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6360,A000000,00300,0000,00300EMPLOYEE BENEFITS 6360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6360,A000000,00700,0000,00700HOUSEKEEPING 6360,A000000,00800,0000,00800DIETARY 6360,A000000,00900,0000,00900NURSING ADMINISTRATION 6360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6360,A000000,01100,0000,01100PHARMACY 6360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6360,A000000,01300,0000,01300SOCIAL SERVICE 6360,A000000,01301,0000,01301ACTIVITIES 6360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6360,A000000,01600,0000,01600SKILLED NURSING FACILITY 6360,A000000,01800,0000,01800NURSING FACILITY 6360,A000000,01810,0000,01810ICF/MR 6360,A000000,01900,0000,01900OTHER LONG TERM CARE 6360,A000000,02100,0000,02100RADIOLOGY 6360,A000000,02200,0000,02200LABORATORY 6360,A000000,02500,0000,02500PHYSICAL THERAPY 6360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6360,A000000,02700,0000,02700SPEECH PATHOLOGY 6360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6360,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6360,A000000,03550,0000,03550FQHC 6360,A000000,05000,0000,05000CORF 6360,A000000,05010,0000,05010CMHC 6360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6360,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6360,A81000A,00100,0100,Y 6360,A81000B,00100,0300,HOME OFFICE COST 6360,A81000B,00400,0300,HOME OFFICE COST 6360,A81000B,00500,0300,HOME OFFICE COST 6360,A81000B,00600,0300,HOME OFFICE COST 6360,A81000B,00800,0300,HOME OFFICE COST 6360,A81000C,00100,0100,B 6360,A81000C,00100,0200,BEVERLY ENTERPR 6360,B100000,00000,0100,00000(SQUARE FEET) 6360,B100000,00000,0200,00000(SQUARE FEET) 6360,B100000,00000,0300,00000(ADJUSTED SALARIES) 6360,B100000,00000,0400,00000(ACCUM. COST) 6360,B100000,00000,0500,00000(SQUARE FEET) 6360,B100000,00000,0600,00000(PATIENT DAYS) 6360,B100000,00000,0700,00000(SQUARE FEET) 6360,B100000,00000,0800,00000(MEALS SERVED) 6360,B100000,00000,0900,00000(ADJUSTED SALARIES) 6360,B100000,00000,1000,00000(PATIENT DAYS) 6360,B100000,00000,1100,00000(COSTED REQUIS) 6360,B100000,00000,1200,00000(TOTAL CHARGES) 6360,B100000,00000,1300,00000(PATIENT DAYS) 6360,B100000,00000,1301,00000(PATIENT DAYS) 6360,B100000,00000,1400,00000(ASSIGNED TIME) 6360,E10A180,00301,0100,01/27/1999 6360,E10A180,00303,0100,10/08/1999 6360,E10A180,00351,0100,06/14/1999 6360,E10A180,00353,0100,12/09/1999 6360,E10A180,00354,0100,02/14/2000 6360,S000000,00100,0200,06/02/2000 6360,S200000,00100,0100,2810 SECOND AVE NORTH 6360,S200000,00200,0100,MOORHEAD 6360,S200000,00200,0200,MN 6360,S200000,00200,0300,56560 6360,S200000,00300,0100,CLAY 6360,S200000,00400,0100,MOORHEAD HEALTH CARE CENTER (8 6360,S200000,00400,0200,245052 6360,S200000,00400,0300,07/01/1982 6360,S200000,00400,0500,P 6360,S200000,00600,0200,245052 6360,S200000,00600,0300,07/01/1982 6360,S200000,00600,0600,P 6360,S200000,01600,0100,Y 6363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6363,A000000,00300,0000,00300EMPLOYEE BENEFITS 6363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6363,A000000,00700,0000,00700HOUSEKEEPING 6363,A000000,00800,0000,00800DIETARY 6363,A000000,00900,0000,00900NURSING ADMINISTRATION 6363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6363,A000000,01100,0000,01100PHARMACY 6363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6363,A000000,01300,0000,01300SOCIAL SERVICE 6363,A000000,01301,0000,01301ACTIVITIES 6363,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6363,A000000,01600,0000,01600SKILLED NURSING FACILITY 6363,A000000,01800,0000,01800NURSING FACILITY 6363,A000000,01810,0000,01810ICF/MR 6363,A000000,01900,0000,01900OTHER LONG TERM CARE 6363,A000000,02100,0000,02100RADIOLOGY 6363,A000000,02200,0000,02200LABORATORY 6363,A000000,02500,0000,02500PHYSICAL THERAPY 6363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6363,A000000,02700,0000,02700SPEECH PATHOLOGY 6363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6363,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6363,A000000,03550,0000,03550FQHC 6363,A000000,05000,0000,05000CORF 6363,A000000,05010,0000,05010CMHC 6363,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6363,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6363,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6363,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6363,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6363,A81000A,00100,0100,Y 6363,A81000B,00100,0300,HOME OFFICE COST 6363,A81000B,00400,0300,HOME OFFICE COST 6363,A81000B,00500,0300,HOME OFFICE COST 6363,A81000B,00600,0300,HOME OFFICE COST 6363,A81000B,00800,0300,HOME OFFICE COST 6363,A81000C,00100,0100,B 6363,A81000C,00100,0200,BEVERLY ENTERPR 6363,B100000,00000,0100,00000(SQUARE FEET) 6363,B100000,00000,0200,00000(SQUARE FEET) 6363,B100000,00000,0300,00000(ADJUSTED SALARIES) 6363,B100000,00000,0400,00000(ACCUM. COST) 6363,B100000,00000,0500,00000(SQUARE FEET) 6363,B100000,00000,0600,00000(PATIENT DAYS) 6363,B100000,00000,0700,00000(SQUARE FEET) 6363,B100000,00000,0800,00000(MEALS SERVED) 6363,B100000,00000,0900,00000(ADJUSTED SALARIES) 6363,B100000,00000,1000,00000(PATIENT DAYS) 6363,B100000,00000,1100,00000(COSTED REQUIS) 6363,B100000,00000,1200,00000(TOTAL CHARGES) 6363,B100000,00000,1300,00000(PATIENT DAYS) 6363,B100000,00000,1301,00000(PATIENT DAYS) 6363,B100000,00000,1400,00000(ASSIGNED TIME) 6363,E10A180,00301,0100,01/27/1999 6363,E10A180,00302,0100,06/14/1999 6363,E10A180,00303,0100,10/08/1999 6363,E10A180,00305,0100,02/14/2000 6363,E10A180,00353,0100,12/09/1999 6363,S000000,00100,0200,06/02/2000 6363,S200000,00100,0100,15409 WAYZATA BLVD 6363,S200000,00200,0100,WAYZATA 6363,S200000,00200,0200,MN 6363,S200000,00200,0300,55391 6363,S200000,00300,0100,HENNEPIN 6363,S200000,00400,0100,02332 - HILLCREST HEALTH CARE 6363,S200000,00400,0200,245084 6363,S200000,00400,0300,08/01/1985 6363,S200000,00400,0500,P 6363,S200000,00600,0200,245084 6363,S200000,00600,0300,08/01/1985 6363,S200000,00600,0600,P 6363,S200000,01600,0100,Y 6366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6366,A000000,00300,0000,00300EMPLOYEE BENEFITS 6366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6366,A000000,00700,0000,00700HOUSEKEEPING 6366,A000000,00800,0000,00800DIETARY 6366,A000000,00900,0000,00900NURSING ADMINISTRATION 6366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6366,A000000,01100,0000,01100PHARMACY 6366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6366,A000000,01300,0000,01300SOCIAL SERVICE 6366,A000000,01301,0000,01301ACTIVITIES 6366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6366,A000000,01600,0000,01600SKILLED NURSING FACILITY 6366,A000000,01800,0000,01800NURSING FACILITY 6366,A000000,01810,0000,01810ICF/MR 6366,A000000,01900,0000,01900OTHER LONG TERM CARE 6366,A000000,02100,0000,02100RADIOLOGY 6366,A000000,02200,0000,02200LABORATORY 6366,A000000,02500,0000,02500PHYSICAL THERAPY 6366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6366,A000000,02700,0000,02700SPEECH PATHOLOGY 6366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6366,A000000,03550,0000,03550FQHC 6366,A000000,05000,0000,05000CORF 6366,A000000,05010,0000,05010CMHC 6366,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6366,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6366,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6366,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6366,A81000A,00100,0100,Y 6366,A81000B,00100,0300,HOME OFFICE COST 6366,A81000B,00400,0300,HOME OFFICE COST 6366,A81000B,00500,0300,HOME OFFICE COST 6366,A81000B,00600,0300,HOME OFFICE COST 6366,A81000B,00800,0300,HOME OFFICE COST 6366,A81000C,00100,0100,B 6366,A81000C,00100,0200,BEVERLY ENTERPR 6366,B100000,00000,0100,00000(SQUARE FEET) 6366,B100000,00000,0200,00000(SQUARE FEET) 6366,B100000,00000,0300,00000(ADJUSTED SALARIES) 6366,B100000,00000,0400,00000(ACCUM. COST) 6366,B100000,00000,0500,00000(SQUARE FEET) 6366,B100000,00000,0600,00000(PATIENT DAYS) 6366,B100000,00000,0700,00000(SQUARE FEET) 6366,B100000,00000,0800,00000(MEALS SERVED) 6366,B100000,00000,0900,00000(ADJUSTED SALARIES) 6366,B100000,00000,1000,00000(PATIENT DAYS) 6366,B100000,00000,1100,00000(COSTED REQUIS) 6366,B100000,00000,1200,00000(TOTAL CHARGES) 6366,B100000,00000,1300,00000(PATIENT DAYS) 6366,B100000,00000,1301,00000(PATIENT DAYS) 6366,B100000,00000,1400,00000(ASSIGNED TIME) 6366,E10A180,00302,0100,06/14/1999 6366,E10A180,00305,0100,02/14/2000 6366,E10A180,00350,0100,01/27/1999 6366,E10A180,00352,0100,10/08/1999 6366,E10A180,00353,0100,12/09/1999 6366,S000000,00100,0200,06/02/2000 6366,S200000,00100,0100,1738 HULET AVE N 6366,S200000,00200,0100,FARIBAULT 6366,S200000,00200,0200,MN 6366,S200000,00200,0300,55021 6366,S200000,00300,0100,RICE 6366,S200000,00400,0100,FARIBAULT MANOR NURSING HOME ( 6366,S200000,00400,0200,245097 6366,S200000,00400,0300,01/01/1984 6366,S200000,00400,0500,P 6366,S200000,00600,0200,245097 6366,S200000,00600,0300,01/01/1984 6366,S200000,00600,0600,P 6366,S200000,01600,0100,Y 6369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6369,A000000,00300,0000,00300EMPLOYEE BENEFITS 6369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6369,A000000,00700,0000,00700HOUSEKEEPING 6369,A000000,00800,0000,00800DIETARY 6369,A000000,00900,0000,00900NURSING ADMINISTRATION 6369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6369,A000000,01100,0000,01100PHARMACY 6369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6369,A000000,01300,0000,01300SOCIAL SERVICE 6369,A000000,01301,0000,01301ACTIVITIES 6369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6369,A000000,01600,0000,01600SKILLED NURSING FACILITY 6369,A000000,01800,0000,01800NURSING FACILITY 6369,A000000,01810,0000,01810ICF/MR 6369,A000000,01900,0000,01900OTHER LONG TERM CARE 6369,A000000,02100,0000,02100RADIOLOGY 6369,A000000,02200,0000,02200LABORATORY 6369,A000000,02500,0000,02500PHYSICAL THERAPY 6369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6369,A000000,02700,0000,02700SPEECH PATHOLOGY 6369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6369,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6369,A000000,03550,0000,03550FQHC 6369,A000000,05000,0000,05000CORF 6369,A000000,05010,0000,05010CMHC 6369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6369,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6369,A81000A,00100,0100,Y 6369,A81000B,00100,0300,HOME OFFICE COST 6369,A81000B,00400,0300,HOME OFFICE COST 6369,A81000B,00500,0300,HOME OFFICE COST 6369,A81000B,00600,0300,HOME OFFICE COST 6369,A81000B,00800,0300,HOME OFFICE COST 6369,A81000C,00100,0100,B 6369,A81000C,00100,0200,BEVERLY ENTERPR 6369,B100000,00000,0100,00000(SQUARE FEET) 6369,B100000,00000,0200,00000(SQUARE FEET) 6369,B100000,00000,0300,00000(ADJUSTED SALARIES) 6369,B100000,00000,0400,00000(ACCUM. COST) 6369,B100000,00000,0500,00000(SQUARE FEET) 6369,B100000,00000,0600,00000(PATIENT DAYS) 6369,B100000,00000,0700,00000(SQUARE FEET) 6369,B100000,00000,0800,00000(MEALS SERVED) 6369,B100000,00000,0900,00000(ADJUSTED SALARIES) 6369,B100000,00000,1000,00000(PATIENT DAYS) 6369,B100000,00000,1100,00000(COSTED REQUIS) 6369,B100000,00000,1200,00000(TOTAL CHARGES) 6369,B100000,00000,1300,00000(PATIENT DAYS) 6369,B100000,00000,1301,00000(PATIENT DAYS) 6369,B100000,00000,1400,00000(ASSIGNED TIME) 6369,E10A180,00301,0100,01/27/1999 6369,E10A180,00302,0100,06/14/1999 6369,E10A180,00303,0100,10/08/1999 6369,E10A180,00304,0100,12/09/1999 6369,E10A180,00305,0100,02/14/2000 6369,S000000,00100,0200,06/02/2000 6369,S200000,00100,0100,2727 N VICTORIA 6369,S200000,00200,0100,ST PAUL 6369,S200000,00200,0200,MN 6369,S200000,00200,0300,55113 6369,S200000,00300,0100,RAMSEY 6369,S200000,00400,0100,02325-LAKE RIDGE HCC A 6369,S200000,00400,0200,245105 6369,S200000,00400,0300,08/01/1985 6369,S200000,00400,0500,P 6369,S200000,00600,0200,245105 6369,S200000,00600,0300,08/01/1985 6369,S200000,00600,0600,P 6369,S200000,01600,0100,Y 6372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6372,A000000,00300,0000,00300EMPLOYEE BENEFITS 6372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6372,A000000,00700,0000,00700HOUSEKEEPING 6372,A000000,00800,0000,00800DIETARY 6372,A000000,00900,0000,00900NURSING ADMINISTRATION 6372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6372,A000000,01100,0000,01100PHARMACY 6372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6372,A000000,01300,0000,01300SOCIAL SERVICE 6372,A000000,01301,0000,01301ACTIVITIES 6372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6372,A000000,01600,0000,01600SKILLED NURSING FACILITY 6372,A000000,01800,0000,01800NURSING FACILITY 6372,A000000,01810,0000,01810ICF/MR 6372,A000000,02100,0000,02100RADIOLOGY 6372,A000000,02200,0000,02200LABORATORY 6372,A000000,02500,0000,02500PHYSICAL THERAPY 6372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6372,A000000,02700,0000,02700SPEECH PATHOLOGY 6372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6372,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6372,A000000,03550,0000,03550FQHC 6372,A000000,05000,0000,05000CORF 6372,A000000,05010,0000,05010CMHC 6372,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6372,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6372,A81000A,00100,0100,Y 6372,A81000B,00100,0300,HOME OFFICE COST 6372,A81000B,00400,0300,HOME OFFICE COST 6372,A81000B,00500,0300,HOME OFFICE COST 6372,A81000B,00600,0300,HOME OFFICE COST 6372,A81000B,00800,0300,HOME OFFICE COST 6372,A81000C,00100,0100,B 6372,A81000C,00100,0200,BEVERLY ENTERPR 6372,B100000,00000,0100,00000(SQUARE FEET) 6372,B100000,00000,0200,00000(SQUARE FEET) 6372,B100000,00000,0300,00000(ADJUSTED SALARIES) 6372,B100000,00000,0400,00000(ACCUM. COST) 6372,B100000,00000,0500,00000(SQUARE FEET) 6372,B100000,00000,0600,00000(PATIENT DAYS) 6372,B100000,00000,0700,00000(SQUARE FEET) 6372,B100000,00000,0800,00000(MEALS SERVED) 6372,B100000,00000,0900,00000(ADJUSTED SALARIES) 6372,B100000,00000,1000,00000(PATIENT DAYS) 6372,B100000,00000,1100,00000(COSTED REQUIS) 6372,B100000,00000,1200,00000(TOTAL CHARGES) 6372,B100000,00000,1300,00000(PATIENT DAYS) 6372,B100000,00000,1301,00000(PATIENT DAYS) 6372,B100000,00000,1400,00000(ASSIGNED TIME) 6372,E10A180,00301,0100,01/27/1999 6372,E10A180,00302,0100,06/14/1999 6372,E10A180,00304,0100,12/09/1999 6372,E10A180,00305,0100,02/14/2000 6372,E10A180,00352,0100,10/08/1999 6372,S000000,00100,0200,06/02/2000 6372,S200000,00100,0100,3201 VIRGINIA AVE SO 6372,S200000,00200,0100,ST LOUIS PARK 6372,S200000,00200,0200,MN 6372,S200000,00200,0300,55426 6372,S200000,00300,0100,HENNEPIN 6372,S200000,00400,0100,ST LOUIS PARK PLAZA HCC (887) 6372,S200000,00400,0200,245148 6372,S200000,00400,0300,03/01/1968 6372,S200000,00400,0500,P 6372,S200000,00600,0200,245148 6372,S200000,00600,0300,03/01/1968 6372,S200000,00600,0600,P 6372,S200000,01600,0100,Y 6375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6375,A000000,00300,0000,00300EMPLOYEE BENEFITS 6375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6375,A000000,00700,0000,00700HOUSEKEEPING 6375,A000000,00800,0000,00800DIETARY 6375,A000000,00900,0000,00900NURSING ADMINISTRATION 6375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6375,A000000,01100,0000,01100PHARMACY 6375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6375,A000000,01300,0000,01300SOCIAL SERVICE 6375,A000000,01301,0000,01301ACTIVITIES 6375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6375,A000000,01600,0000,01600SKILLED NURSING FACILITY 6375,A000000,01800,0000,01800NURSING FACILITY 6375,A000000,01810,0000,01810ICF/MR 6375,A000000,02100,0000,02100RADIOLOGY 6375,A000000,02200,0000,02200LABORATORY 6375,A000000,02500,0000,02500PHYSICAL THERAPY 6375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6375,A000000,02700,0000,02700SPEECH PATHOLOGY 6375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6375,A000000,03550,0000,03550FQHC 6375,A000000,05000,0000,05000CORF 6375,A000000,05010,0000,05010CMHC 6375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6375,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6375,A81000A,00100,0100,Y 6375,A81000B,00100,0300,HOME OFFICE COST 6375,A81000B,00400,0300,HOME OFFICE COST 6375,A81000B,00500,0300,HOME OFFICE COST 6375,A81000B,00600,0300,HOME OFFICE COST 6375,A81000B,00800,0300,HOME OFFICE COST 6375,A81000C,00100,0100,B 6375,A81000C,00100,0200,BEVERLY ENTERPR 6375,B100000,00000,0100,00000(SQUARE FEET) 6375,B100000,00000,0200,00000(SQUARE FEET) 6375,B100000,00000,0300,00000(ADJUSTED SALARIES) 6375,B100000,00000,0400,00000(ACCUM. COST) 6375,B100000,00000,0500,00000(SQUARE FEET) 6375,B100000,00000,0600,00000(PATIENT DAYS) 6375,B100000,00000,0700,00000(SQUARE FEET) 6375,B100000,00000,0800,00000(MEALS SERVED) 6375,B100000,00000,0900,00000(ADJUSTED SALARIES) 6375,B100000,00000,1000,00000(PATIENT DAYS) 6375,B100000,00000,1100,00000(COSTED REQUIS) 6375,B100000,00000,1200,00000(TOTAL CHARGES) 6375,B100000,00000,1300,00000(PATIENT DAYS) 6375,B100000,00000,1301,00000(PATIENT DAYS) 6375,B100000,00000,1400,00000(ASSIGNED TIME) 6375,E10A180,00301,0100,01/27/1999 6375,E10A180,00351,0100,06/14/1999 6375,E10A180,00352,0100,10/08/1999 6375,E10A180,00353,0100,12/09/1999 6375,E10A180,00354,0100,02/14/2000 6375,S000000,00100,0200,06/02/2000 6375,S200000,00100,0100,5700 EAST RIVER ROAD 6375,S200000,00200,0100,FRIDLEY 6375,S200000,00200,0200,MN 6375,S200000,00200,0300,55432 6375,S200000,00300,0100,ANOKA 6375,S200000,00400,0100,LYNWOOD HEALTH CARE CENTER (88 6375,S200000,00400,0200,245201 6375,S200000,00400,0300,04/01/1975 6375,S200000,00400,0500,P 6375,S200000,00600,0200,245201 6375,S200000,00600,0300,04/01/1975 6375,S200000,00600,0600,P 6375,S200000,01600,0100,Y 6378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6378,A000000,00300,0000,00300EMPLOYEE BENEFITS 6378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6378,A000000,00700,0000,00700HOUSEKEEPING 6378,A000000,00800,0000,00800DIETARY 6378,A000000,00900,0000,00900NURSING ADMINISTRATION 6378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6378,A000000,01100,0000,01100PHARMACY 6378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6378,A000000,01300,0000,01300SOCIAL SERVICE 6378,A000000,01301,0000,01301ACTIVITIES 6378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6378,A000000,01600,0000,01600SKILLED NURSING FACILITY 6378,A000000,01800,0000,01800NURSING FACILITY 6378,A000000,01810,0000,01810ICF/MR 6378,A000000,02100,0000,02100RADIOLOGY 6378,A000000,02200,0000,02200LABORATORY 6378,A000000,02500,0000,02500PHYSICAL THERAPY 6378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6378,A000000,02700,0000,02700SPEECH PATHOLOGY 6378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6378,A000000,03550,0000,03550FQHC 6378,A000000,05000,0000,05000CORF 6378,A000000,05010,0000,05010CMHC 6378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6378,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6378,A81000A,00100,0100,Y 6378,A81000B,00100,0300,HOME OFFICE COST 6378,A81000B,00400,0300,HOME OFFICE COST 6378,A81000B,00500,0300,HOME OFFICE COST 6378,A81000B,00600,0300,HOME OFFICE COST 6378,A81000B,00800,0300,HOME OFFICE COST 6378,A81000C,00100,0100,B 6378,A81000C,00100,0200,BEVERLY ENTERPR 6378,B100000,00000,0100,00000(SQUARE FEET) 6378,B100000,00000,0200,00000(SQUARE FEET) 6378,B100000,00000,0300,00000(ADJUSTED SALARIES) 6378,B100000,00000,0400,00000(ACCUM. COST) 6378,B100000,00000,0500,00000(SQUARE FEET) 6378,B100000,00000,0600,00000(PATIENT DAYS) 6378,B100000,00000,0700,00000(SQUARE FEET) 6378,B100000,00000,0800,00000(MEALS SERVED) 6378,B100000,00000,0900,00000(ADJUSTED SALARIES) 6378,B100000,00000,1000,00000(PATIENT DAYS) 6378,B100000,00000,1100,00000(COSTED REQUIS) 6378,B100000,00000,1200,00000(TOTAL CHARGES) 6378,B100000,00000,1300,00000(PATIENT DAYS) 6378,B100000,00000,1301,00000(PATIENT DAYS) 6378,B100000,00000,1400,00000(ASSIGNED TIME) 6378,E10A180,00304,0100,12/09/1999 6378,E10A180,00305,0100,02/14/2000 6378,E10A180,00350,0100,01/27/1999 6378,E10A180,00351,0100,06/14/1999 6378,E10A180,00352,0100,10/08/1999 6378,S000000,00100,0200,06/02/2000 6378,S200000,00100,0100,2106 SECOND AVENUE S 6378,S200000,00200,0100,MINNEAPOLIS 6378,S200000,00200,0200,MN 6378,S200000,00200,0300,55404 6378,S200000,00300,0100,HENNEPIN 6378,S200000,00400,0100,CHATEAU HEALTH CARE CENTER (87 6378,S200000,00400,0200,245222 6378,S200000,00400,0300,01/01/1979 6378,S200000,00400,0500,P 6378,S200000,00600,0200,245222 6378,S200000,00600,0300,01/01/1979 6378,S200000,00600,0600,P 6378,S200000,01600,0100,Y 6381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6381,A000000,00300,0000,00300EMPLOYEE BENEFITS 6381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6381,A000000,00700,0000,00700HOUSEKEEPING 6381,A000000,00800,0000,00800DIETARY 6381,A000000,00900,0000,00900NURSING ADMINISTRATION 6381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6381,A000000,01100,0000,01100PHARMACY 6381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6381,A000000,01300,0000,01300SOCIAL SERVICE 6381,A000000,01301,0000,01301ACTIVITIES 6381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6381,A000000,01600,0000,01600SKILLED NURSING FACILITY 6381,A000000,01800,0000,01800NURSING FACILITY 6381,A000000,01810,0000,01810ICF/MR 6381,A000000,02200,0000,02200LABORATORY 6381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6381,A000000,02500,0000,02500PHYSICAL THERAPY 6381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6381,A000000,02700,0000,02700SPEECH PATHOLOGY 6381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6381,A000000,03550,0000,03550FQHC 6381,A000000,05000,0000,05000CORF 6381,A000000,05010,0000,05010CMHC 6381,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6381,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6381,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6381,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6381,A81000A,00100,0100,Y 6381,A81000B,00100,0300,HOME OFFICE COST 6381,A81000B,00400,0300,HOME OFFICE COST 6381,A81000B,00500,0300,HOME OFFICE COST 6381,A81000B,00600,0300,HOME OFFICE COST 6381,A81000B,00800,0300,HOME OFFICE COST 6381,A81000C,00100,0100,B 6381,A81000C,00100,0200,BEVERLY ENTERPR 6381,B100000,00000,0100,00000(SQUARE FEET) 6381,B100000,00000,0200,00000(SQUARE FEET) 6381,B100000,00000,0300,00000(ADJUSTED SALARIES) 6381,B100000,00000,0400,00000(ACCUM. COST) 6381,B100000,00000,0500,00000(SQUARE FEET) 6381,B100000,00000,0600,00000(PATIENT DAYS) 6381,B100000,00000,0700,00000(SQUARE FEET) 6381,B100000,00000,0800,00000(MEALS SERVED) 6381,B100000,00000,0900,00000(ADJUSTED SALARIES) 6381,B100000,00000,1000,00000(PATIENT DAYS) 6381,B100000,00000,1100,00000(COSTED REQUIS) 6381,B100000,00000,1200,00000(TOTAL CHARGES) 6381,B100000,00000,1300,00000(PATIENT DAYS) 6381,B100000,00000,1301,00000(PATIENT DAYS) 6381,B100000,00000,1400,00000(ASSIGNED TIME) 6381,E10A180,00302,0100,06/14/1999 6381,E10A180,00305,0100,02/14/2000 6381,E10A180,00350,0100,01/27/1999 6381,E10A180,00352,0100,10/08/1999 6381,E10A180,00353,0100,12/09/1999 6381,S000000,00100,0200,06/02/2000 6381,S200000,00100,0100,525 BLUFF STREET 6381,S200000,00200,0100,ST CHARLES 6381,S200000,00200,0200,MN 6381,S200000,00200,0300,55972 6381,S200000,00300,0100,WINONA 6381,S200000,00400,0100,WHITEWATER HEALTH CARE CENTER 6381,S200000,00400,0200,245270 6381,S200000,00400,0300,01/01/1985 6381,S200000,00400,0500,P 6381,S200000,00600,0200,245270 6381,S200000,00600,0300,01/01/1985 6381,S200000,00600,0600,P 6381,S200000,01600,0100,Y 6384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6384,A000000,00300,0000,00300EMPLOYEE BENEFITS 6384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6384,A000000,00700,0000,00700HOUSEKEEPING 6384,A000000,00800,0000,00800DIETARY 6384,A000000,00900,0000,00900NURSING ADMINISTRATION 6384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6384,A000000,01100,0000,01100PHARMACY 6384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6384,A000000,01300,0000,01300SOCIAL SERVICE 6384,A000000,01301,0000,01301ACTIVITIES 6384,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6384,A000000,01600,0000,01600SKILLED NURSING FACILITY 6384,A000000,01800,0000,01800NURSING FACILITY 6384,A000000,01810,0000,01810ICF/MR 6384,A000000,02200,0000,02200LABORATORY 6384,A000000,02500,0000,02500PHYSICAL THERAPY 6384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6384,A000000,02700,0000,02700SPEECH PATHOLOGY 6384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6384,A000000,03550,0000,03550FQHC 6384,A000000,05000,0000,05000CORF 6384,A000000,05010,0000,05010CMHC 6384,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6384,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6384,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6384,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6384,A81000A,00100,0100,Y 6384,A81000B,00100,0300,HOME OFFICE COST 6384,A81000B,00400,0300,HOME OFFICE COST 6384,A81000B,00500,0300,HOME OFFICE COST 6384,A81000B,00600,0300,HOME OFFICE COST 6384,A81000B,00800,0300,HOME OFFICE COST 6384,A81000C,00100,0100,B 6384,A81000C,00100,0200,BEVERLY ENTERPR 6384,B100000,00000,0100,00000(SQUARE FEET) 6384,B100000,00000,0200,00000(SQUARE FEET) 6384,B100000,00000,0300,00000(ADJUSTED SALARIES) 6384,B100000,00000,0400,00000(ACCUM. COST) 6384,B100000,00000,0500,00000(SQUARE FEET) 6384,B100000,00000,0600,00000(PATIENT DAYS) 6384,B100000,00000,0700,00000(SQUARE FEET) 6384,B100000,00000,0800,00000(MEALS SERVED) 6384,B100000,00000,0900,00000(ADJUSTED SALARIES) 6384,B100000,00000,1000,00000(PATIENT DAYS) 6384,B100000,00000,1100,00000(COSTED REQUIS) 6384,B100000,00000,1200,00000(TOTAL CHARGES) 6384,B100000,00000,1300,00000(PATIENT DAYS) 6384,B100000,00000,1301,00000(PATIENT DAYS) 6384,B100000,00000,1400,00000(ASSIGNED TIME) 6384,E10A180,00304,0100,12/09/1999 6384,E10A180,00305,0100,02/14/2000 6384,E10A180,00350,0100,01/27/1999 6384,E10A180,00351,0100,06/14/1999 6384,E10A180,00352,0100,10/08/1999 6384,S000000,00100,0200,06/02/2000 6384,S200000,00100,0100,ROUTE 1 6384,S200000,00200,0100,FRANKLIN 6384,S200000,00200,0200,MN 6384,S200000,00200,0300,55333 6384,S200000,00300,0100,RENVILLE 6384,S200000,00400,0100,FRANKLIN HEALTH CARE CENTER (8 6384,S200000,00400,0200,245273 6384,S200000,00400,0300,03/01/1985 6384,S200000,00400,0500,P 6384,S200000,00600,0200,245273 6384,S200000,00600,0300,03/01/1985 6384,S200000,00600,0600,P 6384,S200000,01600,0100,Y 6387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6387,A000000,00300,0000,00300EMPLOYEE BENEFITS 6387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6387,A000000,00700,0000,00700HOUSEKEEPING 6387,A000000,00800,0000,00800DIETARY 6387,A000000,00900,0000,00900NURSING ADMINISTRATION 6387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6387,A000000,01100,0000,01100PHARMACY 6387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6387,A000000,01300,0000,01300SOCIAL SERVICE 6387,A000000,01301,0000,01301ACTIVITIES 6387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6387,A000000,01600,0000,01600SKILLED NURSING FACILITY 6387,A000000,01800,0000,01800NURSING FACILITY 6387,A000000,01810,0000,01810ICF/MR 6387,A000000,02100,0000,02100RADIOLOGY 6387,A000000,02200,0000,02200LABORATORY 6387,A000000,02500,0000,02500PHYSICAL THERAPY 6387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6387,A000000,02700,0000,02700SPEECH PATHOLOGY 6387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6387,A000000,03550,0000,03550FQHC 6387,A000000,05000,0000,05000CORF 6387,A000000,05010,0000,05010CMHC 6387,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6387,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6387,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6387,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6387,A000000,06150,0000,06300OTHER NON REIM COST 6387,A81000A,00100,0100,Y 6387,A81000B,00100,0300,HOME OFFICE COST 6387,A81000B,00400,0300,HOME OFFICE COST 6387,A81000B,00500,0300,HOME OFFICE COST 6387,A81000B,00600,0300,HOME OFFICE COST 6387,A81000B,00800,0300,HOME OFFICE COST 6387,A81000C,00100,0100,B 6387,A81000C,00100,0200,BEVERLY ENTERPR 6387,B100000,00000,0100,00000(SQUARE FEET) 6387,B100000,00000,0200,00000(SQUARE FEET) 6387,B100000,00000,0300,00000(ADJUSTED SALARIES) 6387,B100000,00000,0400,00000(ACCUM. COST) 6387,B100000,00000,0500,00000(SQUARE FEET) 6387,B100000,00000,0600,00000(PATIENT DAYS) 6387,B100000,00000,0700,00000(SQUARE FEET) 6387,B100000,00000,0800,00000(MEALS SERVED) 6387,B100000,00000,0900,00000(ADJUSTED SALARIES) 6387,B100000,00000,1000,00000(PATIENT DAYS) 6387,B100000,00000,1100,00000(COSTED REQUIS) 6387,B100000,00000,1200,00000(TOTAL CHARGES) 6387,B100000,00000,1300,00000(PATIENT DAYS) 6387,B100000,00000,1301,00000(PATIENT DAYS) 6387,B100000,00000,1400,00000(ASSIGNED TIME) 6387,E10A180,00301,0100,01/27/1999 6387,E10A180,00302,0100,06/14/1999 6387,E10A180,00352,0100,10/08/1999 6387,E10A180,00353,0100,12/09/1999 6387,E10A180,00354,0100,02/14/2000 6387,S000000,00100,0200,06/02/2000 6387,S200000,00100,0100,1003 W MAPLE AVENUE 6387,S200000,00200,0100,OLIVIA 6387,S200000,00200,0200,MN 6387,S200000,00200,0300,56277 6387,S200000,00300,0100,RENVILLE 6387,S200000,00400,0100,OLIVIA HEALTH CARE CENTER (884 6387,S200000,00400,0200,245290 6387,S200000,00400,0300,10/01/1985 6387,S200000,00400,0500,P 6387,S200000,00600,0200,245290 6387,S200000,00600,0300,10/01/1985 6387,S200000,00600,0600,P 6387,S200000,01600,0100,Y 6390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6390,A000000,00300,0000,00300EMPLOYEE BENEFITS 6390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6390,A000000,00700,0000,00700HOUSEKEEPING 6390,A000000,00800,0000,00800DIETARY 6390,A000000,00900,0000,00900NURSING ADMINISTRATION 6390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6390,A000000,01100,0000,01100PHARMACY 6390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6390,A000000,01300,0000,01300SOCIAL SERVICE 6390,A000000,01301,0000,01301ACTIVITIES 6390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6390,A000000,01600,0000,01600SKILLED NURSING FACILITY 6390,A000000,01800,0000,01800NURSING FACILITY 6390,A000000,01810,0000,01810ICF/MR 6390,A000000,02100,0000,02100RADIOLOGY 6390,A000000,02200,0000,02200LABORATORY 6390,A000000,02500,0000,02500PHYSICAL THERAPY 6390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6390,A000000,02700,0000,02700SPEECH PATHOLOGY 6390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6390,A000000,03550,0000,03550FQHC 6390,A000000,05000,0000,05000CORF 6390,A000000,05010,0000,05010CMHC 6390,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6390,A000000,06150,0000,06300OTHER NON REIM COST 6390,A81000A,00100,0100,Y 6390,A81000B,00100,0300,HOME OFFICE COST 6390,A81000B,00400,0300,HOME OFFICE COST 6390,A81000B,00500,0300,HOME OFFICE COST 6390,A81000B,00600,0300,HOME OFFICE COST 6390,A81000B,00800,0300,HOME OFFICE COST 6390,A81000C,00100,0100,B 6390,A81000C,00100,0200,BEVERLY ENTERPR 6390,B100000,00000,0100,00000(SQUARE FEET) 6390,B100000,00000,0200,00000(SQUARE FEET) 6390,B100000,00000,0300,00000(ADJUSTED SALARIES) 6390,B100000,00000,0400,00000(ACCUM. COST) 6390,B100000,00000,0500,00000(SQUARE FEET) 6390,B100000,00000,0600,00000(PATIENT DAYS) 6390,B100000,00000,0700,00000(SQUARE FEET) 6390,B100000,00000,0800,00000(MEALS SERVED) 6390,B100000,00000,0900,00000(ADJUSTED SALARIES) 6390,B100000,00000,1000,00000(PATIENT DAYS) 6390,B100000,00000,1100,00000(COSTED REQUIS) 6390,B100000,00000,1200,00000(TOTAL CHARGES) 6390,B100000,00000,1300,00000(PATIENT DAYS) 6390,B100000,00000,1301,00000(PATIENT DAYS) 6390,B100000,00000,1400,00000(ASSIGNED TIME) 6390,E10A180,00301,0100,01/27/1999 6390,E10A180,00302,0100,06/14/1999 6390,E10A180,00304,0100,12/09/1999 6390,E10A180,00305,0100,02/14/2000 6390,E10A180,00352,0100,10/08/1999 6390,S000000,00100,0200,06/02/2000 6390,S200000,00100,0100,305 FREMONT ST 6390,S200000,00200,0100,ANOKA 6390,S200000,00200,0200,MN 6390,S200000,00200,0300,55303 6390,S200000,00300,0100,ANOKA 6390,S200000,00400,0100,TWIN RIVERS CARE CENTER (438) 6390,S200000,00400,0200,245298 6390,S200000,00400,0300,10/01/1985 6390,S200000,00400,0500,P 6390,S200000,00600,0200,245298 6390,S200000,00600,0300,10/01/1985 6390,S200000,00600,0600,P 6390,S200000,01600,0100,Y 6393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6393,A000000,00300,0000,00300EMPLOYEE BENEFITS 6393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6393,A000000,00700,0000,00700HOUSEKEEPING 6393,A000000,00800,0000,00800DIETARY 6393,A000000,00900,0000,00900NURSING ADMINISTRATION 6393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6393,A000000,01100,0000,01100PHARMACY 6393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6393,A000000,01300,0000,01300SOCIAL SERVICE 6393,A000000,01301,0000,01301ACTIVITIES 6393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6393,A000000,01600,0000,01600SKILLED NURSING FACILITY 6393,A000000,01800,0000,01800NURSING FACILITY 6393,A000000,01810,0000,01810ICF/MR 6393,A000000,02100,0000,02100RADIOLOGY 6393,A000000,02200,0000,02200LABORATORY 6393,A000000,02500,0000,02500PHYSICAL THERAPY 6393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6393,A000000,02700,0000,02700SPEECH PATHOLOGY 6393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6393,A000000,03550,0000,03550FQHC 6393,A000000,05000,0000,05000CORF 6393,A000000,05010,0000,05010CMHC 6393,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6393,A000000,06150,0000,06300OTHER NON REIM COST 6393,A81000A,00100,0100,Y 6393,A81000B,00100,0300,HOME OFFICE COST 6393,A81000B,00400,0300,HOME OFFICE COST 6393,A81000B,00500,0300,HOME OFFICE COST 6393,A81000B,00600,0300,HOME OFFICE COST 6393,A81000B,00800,0300,HOME OFFICE COST 6393,A81000C,00100,0100,B 6393,A81000C,00100,0200,BEVERLY ENTERPR 6393,B100000,00000,0100,00000(SQUARE FEET) 6393,B100000,00000,0200,00000(SQUARE FEET) 6393,B100000,00000,0300,00000(ADJUSTED SALARIES) 6393,B100000,00000,0400,00000(ACCUM. COST) 6393,B100000,00000,0500,00000(SQUARE FEET) 6393,B100000,00000,0600,00000(PATIENT DAYS) 6393,B100000,00000,0700,00000(SQUARE FEET) 6393,B100000,00000,0800,00000(MEALS SERVED) 6393,B100000,00000,0900,00000(ADJUSTED SALARIES) 6393,B100000,00000,1000,00000(PATIENT DAYS) 6393,B100000,00000,1100,00000(COSTED REQUIS) 6393,B100000,00000,1200,00000(TOTAL CHARGES) 6393,B100000,00000,1300,00000(PATIENT DAYS) 6393,B100000,00000,1301,00000(PATIENT DAYS) 6393,B100000,00000,1400,00000(ASSIGNED TIME) 6393,E10A180,00301,0100,01/27/1999 6393,E10A180,00351,0100,06/14/1999 6393,E10A180,00352,0100,10/08/1999 6393,E10A180,00353,0100,12/09/1999 6393,E10A180,00354,0100,02/14/2000 6393,S000000,00100,0200,06/02/2000 6393,S200000,00100,0100,2215 HIGHWAY 52 NORTH 6393,S200000,00200,0100,ROCHESTER 6393,S200000,00200,0200,MN 6393,S200000,00200,0300,55901 6393,S200000,00300,0100,OLMSTED 6393,S200000,00400,0100,ROCHESTER HEALTH CARE CENTER ( 6393,S200000,00400,0200,245306 6393,S200000,00400,0300,01/01/1986 6393,S200000,00400,0500,P 6393,S200000,00600,0200,245306 6393,S200000,00600,0300,01/01/1986 6393,S200000,00600,0600,P 6393,S200000,01600,0100,Y 6396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6396,A000000,00300,0000,00300EMPLOYEE BENEFITS 6396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6396,A000000,00700,0000,00700HOUSEKEEPING 6396,A000000,00800,0000,00800DIETARY 6396,A000000,00900,0000,00900NURSING ADMINISTRATION 6396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6396,A000000,01100,0000,01100PHARMACY 6396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6396,A000000,01300,0000,01300SOCIAL SERVICE 6396,A000000,01301,0000,01301ACTIVITIES 6396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6396,A000000,01600,0000,01600SKILLED NURSING FACILITY 6396,A000000,01800,0000,01800NURSING FACILITY 6396,A000000,01810,0000,01810ICF/MR 6396,A000000,02100,0000,02100RADIOLOGY 6396,A000000,02200,0000,02200LABORATORY 6396,A000000,02500,0000,02500PHYSICAL THERAPY 6396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6396,A000000,02700,0000,02700SPEECH PATHOLOGY 6396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6396,A000000,03550,0000,03550FQHC 6396,A000000,05000,0000,05000CORF 6396,A000000,05010,0000,05010CMHC 6396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6396,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6396,A81000A,00100,0100,Y 6396,A81000B,00100,0300,HOME OFFICE COST 6396,A81000B,00400,0300,HOME OFFICE COST 6396,A81000B,00500,0300,HOME OFFICE COST 6396,A81000B,00600,0300,HOME OFFICE COST 6396,A81000B,00800,0300,HOME OFFICE COST 6396,A81000C,00100,0100,B 6396,A81000C,00100,0200,BEVERLY ENTERPR 6396,B100000,00000,0100,00000(SQUARE FEET) 6396,B100000,00000,0200,00000(SQUARE FEET) 6396,B100000,00000,0300,00000(ADJUSTED SALARIES) 6396,B100000,00000,0400,00000(ACCUM. COST) 6396,B100000,00000,0500,00000(SQUARE FEET) 6396,B100000,00000,0600,00000(PATIENT DAYS) 6396,B100000,00000,0700,00000(SQUARE FEET) 6396,B100000,00000,0800,00000(MEALS SERVED) 6396,B100000,00000,0900,00000(ADJUSTED SALARIES) 6396,B100000,00000,1000,00000(PATIENT DAYS) 6396,B100000,00000,1100,00000(COSTED REQUIS) 6396,B100000,00000,1200,00000(TOTAL CHARGES) 6396,B100000,00000,1300,00000(PATIENT DAYS) 6396,B100000,00000,1301,00000(PATIENT DAYS) 6396,B100000,00000,1400,00000(ASSIGNED TIME) 6396,E10A180,00350,0100,01/27/1999 6396,E10A180,00351,0100,06/14/1999 6396,E10A180,00352,0100,10/08/1999 6396,E10A180,00353,0100,12/09/1999 6396,E10A180,00354,0100,02/14/2000 6396,S000000,00100,0200,06/02/2000 6396,S200000,00100,0100,2413 FIRST AVE 6396,S200000,00200,0100,HIBBING IS 6396,S200000,00200,0200,MN 6396,S200000,00200,0300,55746 6396,S200000,00300,0100,ST. LOUIS 6396,S200000,00400,0100,GOLDEN CREST NURSING HOME (809 6396,S200000,00400,0200,245309 6396,S200000,00400,0300,04/01/1986 6396,S200000,00400,0500,P 6396,S200000,00600,0200,245309 6396,S200000,00600,0300,04/01/1986 6396,S200000,00600,0600,P 6396,S200000,01600,0100,Y 6399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6399,A000000,00300,0000,00300EMPLOYEE BENEFITS 6399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6399,A000000,00700,0000,00700HOUSEKEEPING 6399,A000000,00800,0000,00800DIETARY 6399,A000000,00900,0000,00900NURSING ADMINISTRATION 6399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6399,A000000,01100,0000,01100PHARMACY 6399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6399,A000000,01300,0000,01300SOCIAL SERVICE 6399,A000000,01301,0000,01301ACTIVITIES 6399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6399,A000000,01600,0000,01600SKILLED NURSING FACILITY 6399,A000000,01800,0000,01800NURSING FACILITY 6399,A000000,01810,0000,01810ICF/MR 6399,A000000,02200,0000,02200LABORATORY 6399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6399,A000000,02500,0000,02500PHYSICAL THERAPY 6399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6399,A000000,02700,0000,02700SPEECH PATHOLOGY 6399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6399,A000000,03550,0000,03550FQHC 6399,A000000,05000,0000,05000CORF 6399,A000000,05010,0000,05010CMHC 6399,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6399,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6399,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6399,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6399,A81000A,00100,0100,Y 6399,A81000B,00100,0300,HOME OFFICE COST 6399,A81000B,00400,0300,HOME OFFICE COST 6399,A81000B,00500,0300,HOME OFFICE COST 6399,A81000B,00600,0300,HOME OFFICE COST 6399,A81000B,00800,0300,HOME OFFICE COST 6399,A81000C,00100,0100,B 6399,A81000C,00100,0200,BEVERLY ENTERPR 6399,B100000,00000,0100,00000(SQUARE FEET) 6399,B100000,00000,0200,00000(SQUARE FEET) 6399,B100000,00000,0300,00000(ADJUSTED SALARIES) 6399,B100000,00000,0400,00000(ACCUM. COST) 6399,B100000,00000,0500,00000(SQUARE FEET) 6399,B100000,00000,0600,00000(PATIENT DAYS) 6399,B100000,00000,0700,00000(SQUARE FEET) 6399,B100000,00000,0800,00000(MEALS SERVED) 6399,B100000,00000,0900,00000(ADJUSTED SALARIES) 6399,B100000,00000,1000,00000(PATIENT DAYS) 6399,B100000,00000,1100,00000(COSTED REQUIS) 6399,B100000,00000,1200,00000(TOTAL CHARGES) 6399,B100000,00000,1300,00000(PATIENT DAYS) 6399,B100000,00000,1301,00000(PATIENT DAYS) 6399,B100000,00000,1400,00000(ASSIGNED TIME) 6399,E10A180,00301,0100,01/27/1999 6399,E10A180,00304,0100,12/09/1999 6399,E10A180,00351,0100,06/14/1999 6399,E10A180,00352,0100,10/08/1999 6399,E10A180,00354,0100,02/14/2000 6399,S000000,00100,0200,06/02/2000 6399,S200000,00100,0100,WEST HIGHWAY 9 6399,S200000,00200,0100,BENSON 6399,S200000,00200,0200,MN 6399,S200000,00200,0300,56215 6399,S200000,00300,0100,SWIFT 6399,S200000,00400,0100,MEADOW LANE HEALTH CARE CENTER 6399,S200000,00400,0200,245313 6399,S200000,00400,0300,05/01/1986 6399,S200000,00400,0500,P 6399,S200000,00600,0200,245313 6399,S200000,00600,0300,05/01/1986 6399,S200000,00600,0600,P 6399,S200000,01600,0100,Y 6402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6402,A000000,00300,0000,00300EMPLOYEE BENEFITS 6402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6402,A000000,00700,0000,00700HOUSEKEEPING 6402,A000000,00800,0000,00800DIETARY 6402,A000000,00900,0000,00900NURSING ADMINISTRATION 6402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6402,A000000,01100,0000,01100PHARMACY 6402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6402,A000000,01300,0000,01300SOCIAL SERVICE 6402,A000000,01301,0000,01301ACTIVITIES 6402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6402,A000000,01600,0000,01600SKILLED NURSING FACILITY 6402,A000000,01800,0000,01800NURSING FACILITY 6402,A000000,01810,0000,01810ICF/MR 6402,A000000,02100,0000,02100RADIOLOGY 6402,A000000,02200,0000,02200LABORATORY 6402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6402,A000000,02500,0000,02500PHYSICAL THERAPY 6402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6402,A000000,02700,0000,02700SPEECH PATHOLOGY 6402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6402,A000000,03550,0000,03550FQHC 6402,A000000,05000,0000,05000CORF 6402,A000000,05010,0000,05010CMHC 6402,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6402,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6402,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6402,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6402,A81000A,00100,0100,Y 6402,A81000B,00100,0300,HOME OFFICE COST 6402,A81000B,00400,0300,HOME OFFICE COST 6402,A81000B,00500,0300,HOME OFFICE COST 6402,A81000B,00600,0300,HOME OFFICE COST 6402,A81000B,00800,0300,HOME OFFICE COST 6402,A81000C,00100,0100,B 6402,A81000C,00100,0200,BEVERLY ENTERPR 6402,B100000,00000,0100,00000(SQUARE FEET) 6402,B100000,00000,0200,00000(SQUARE FEET) 6402,B100000,00000,0300,00000(ADJUSTED SALARIES) 6402,B100000,00000,0400,00000(ACCUM. COST) 6402,B100000,00000,0500,00000(SQUARE FEET) 6402,B100000,00000,0600,00000(PATIENT DAYS) 6402,B100000,00000,0700,00000(SQUARE FEET) 6402,B100000,00000,0800,00000(MEALS SERVED) 6402,B100000,00000,0900,00000(ADJUSTED SALARIES) 6402,B100000,00000,1000,00000(PATIENT DAYS) 6402,B100000,00000,1100,00000(COSTED REQUIS) 6402,B100000,00000,1200,00000(TOTAL CHARGES) 6402,B100000,00000,1300,00000(PATIENT DAYS) 6402,B100000,00000,1301,00000(PATIENT DAYS) 6402,B100000,00000,1400,00000(ASSIGNED TIME) 6402,E10A180,00301,0100,01/27/1999 6402,E10A180,00305,0100,02/14/2000 6402,E10A180,00351,0100,06/14/1999 6402,E10A180,00352,0100,10/08/1999 6402,E10A180,00353,0100,12/09/1999 6402,S000000,00100,0200,06/02/2000 6402,S200000,00100,0100,701 MAIN STREET 6402,S200000,00200,0100,LACRESCENT 6402,S200000,00200,0200,MN 6402,S200000,00200,0300,55947 6402,S200000,00300,0100,HOUSTON 6402,S200000,00400,0100,LACRESCENT HEALTH CARE CENTER 6402,S200000,00400,0200,245319 6402,S200000,00400,0300,07/01/1986 6402,S200000,00400,0500,P 6402,S200000,00600,0200,245319 6402,S200000,00600,0300,07/01/1986 6402,S200000,00600,0600,P 6402,S200000,01600,0100,Y 6405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6405,A000000,00300,0000,00300EMPLOYEE BENEFITS 6405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6405,A000000,00700,0000,00700HOUSEKEEPING 6405,A000000,00800,0000,00800DIETARY 6405,A000000,00900,0000,00900NURSING ADMINISTRATION 6405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6405,A000000,01100,0000,01100PHARMACY 6405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6405,A000000,01300,0000,01300SOCIAL SERVICE 6405,A000000,01301,0000,01301ACTIVITIES 6405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6405,A000000,01600,0000,01600SKILLED NURSING FACILITY 6405,A000000,01800,0000,01800NURSING FACILITY 6405,A000000,01810,0000,01810ICF/MR 6405,A000000,02100,0000,02100RADIOLOGY 6405,A000000,02200,0000,02200LABORATORY 6405,A000000,02500,0000,02500PHYSICAL THERAPY 6405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6405,A000000,02700,0000,02700SPEECH PATHOLOGY 6405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6405,A000000,03550,0000,03550FQHC 6405,A000000,05000,0000,05000CORF 6405,A000000,05010,0000,05010CMHC 6405,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6405,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6405,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6405,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6405,A81000A,00100,0100,Y 6405,A81000B,00100,0300,HOME OFFICE COST 6405,A81000B,00400,0300,HOME OFFICE COST 6405,A81000B,00500,0300,HOME OFFICE COST 6405,A81000B,00600,0300,HOME OFFICE COST 6405,A81000B,00800,0300,HOME OFFICE COST 6405,A81000C,00100,0100,B 6405,A81000C,00100,0200,BEVERLY ENTERPR 6405,B100000,00000,0100,00000(SQUARE FEET) 6405,B100000,00000,0200,00000(SQUARE FEET) 6405,B100000,00000,0300,00000(ADJUSTED SALARIES) 6405,B100000,00000,0400,00000(ACCUM. COST) 6405,B100000,00000,0500,00000(SQUARE FEET) 6405,B100000,00000,0600,00000(PATIENT DAYS) 6405,B100000,00000,0700,00000(SQUARE FEET) 6405,B100000,00000,0800,00000(MEALS SERVED) 6405,B100000,00000,0900,00000(ADJUSTED SALARIES) 6405,B100000,00000,1000,00000(PATIENT DAYS) 6405,B100000,00000,1100,00000(COSTED REQUIS) 6405,B100000,00000,1200,00000(TOTAL CHARGES) 6405,B100000,00000,1300,00000(PATIENT DAYS) 6405,B100000,00000,1301,00000(PATIENT DAYS) 6405,B100000,00000,1400,00000(ASSIGNED TIME) 6405,E10A180,00301,0100,01/27/1999 6405,E10A180,00351,0100,06/14/1999 6405,E10A180,00352,0100,10/08/1999 6405,E10A180,00353,0100,12/09/1999 6405,E10A180,00354,0100,02/14/2000 6405,S000000,00100,0200,06/02/2000 6405,S200000,00100,0100,MAIN STREET 6405,S200000,00200,0100,WALKER 6405,S200000,00200,0200,MN 6405,S200000,00200,0300,56484 6405,S200000,00300,0100,CASS 6405,S200000,00400,0100,WOODREST NURSING HOME (851) A 6405,S200000,00400,0200,245323 6405,S200000,00400,0300,07/01/1986 6405,S200000,00400,0500,P 6405,S200000,00600,0200,245323 6405,S200000,00600,0300,07/01/1986 6405,S200000,00600,0600,P 6405,S200000,01600,0100,Y 6408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6408,A000000,00300,0000,00300EMPLOYEE BENEFITS 6408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6408,A000000,00700,0000,00700HOUSEKEEPING 6408,A000000,00800,0000,00800DIETARY 6408,A000000,00900,0000,00900NURSING ADMINISTRATION 6408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6408,A000000,01100,0000,01100PHARMACY 6408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6408,A000000,01300,0000,01300SOCIAL SERVICE 6408,A000000,01301,0000,01301ACTIVITIES 6408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6408,A000000,01600,0000,01600SKILLED NURSING FACILITY 6408,A000000,01800,0000,01800NURSING FACILITY 6408,A000000,01810,0000,01810ICF/MR 6408,A000000,02100,0000,02100RADIOLOGY 6408,A000000,02200,0000,02200LABORATORY 6408,A000000,02500,0000,02500PHYSICAL THERAPY 6408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6408,A000000,02700,0000,02700SPEECH PATHOLOGY 6408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6408,A000000,03550,0000,03550FQHC 6408,A000000,05000,0000,05000CORF 6408,A000000,05010,0000,05010CMHC 6408,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6408,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6408,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6408,A000000,06150,0000,06300OTHER NON REIM COST 6408,A000000,06200,0000,06200PATIENTS LAUNDRY 6408,A81000A,00100,0100,Y 6408,A81000B,00100,0300,HOME OFFICE COST 6408,A81000B,00400,0300,HOME OFFICE COST 6408,A81000B,00500,0300,HOME OFFICE COST 6408,A81000B,00600,0300,HOME OFFICE COST 6408,A81000B,00800,0300,HOME OFFICE COST 6408,A81000C,00100,0100,B 6408,A81000C,00100,0200,BEVERLY ENTERPR 6408,B100000,00000,0100,00000(SQUARE FEET) 6408,B100000,00000,0200,00000(SQUARE FEET) 6408,B100000,00000,0300,00000(ADJUSTED SALARIES) 6408,B100000,00000,0400,00000(ACCUM. COST) 6408,B100000,00000,0500,00000(SQUARE FEET) 6408,B100000,00000,0600,00000(PATIENT DAYS) 6408,B100000,00000,0700,00000(SQUARE FEET) 6408,B100000,00000,0800,00000(MEALS SERVED) 6408,B100000,00000,0900,00000(ADJUSTED SALARIES) 6408,B100000,00000,1000,00000(PATIENT DAYS) 6408,B100000,00000,1100,00000(COSTED REQUIS) 6408,B100000,00000,1200,00000(TOTAL CHARGES) 6408,B100000,00000,1300,00000(PATIENT DAYS) 6408,B100000,00000,1301,00000(PATIENT DAYS) 6408,B100000,00000,1400,00000(ASSIGNED TIME) 6408,E10A180,00301,0100,01/27/1999 6408,E10A180,00302,0100,06/14/1999 6408,E10A180,00303,0100,10/08/1999 6408,E10A180,00304,0100,12/09/1999 6408,E10A180,00305,0100,02/14/2000 6408,S000000,00100,0200,06/02/2000 6408,S200000,00100,0100,9200 NICOLLET AVE 6408,S200000,00200,0100,MINNEAPOLIS 6408,S200000,00200,0200,MN 6408,S200000,00200,0300,55420 6408,S200000,00300,0100,HENNEPIN 6408,S200000,00400,0100,02176 - BLOOMINGTON NURS CTR B 6408,S200000,00400,0200,245324 6408,S200000,00400,0300,07/01/1986 6408,S200000,00400,0500,P 6408,S200000,00600,0200,245324 6408,S200000,00600,0300,07/01/1986 6408,S200000,00600,0600,P 6408,S200000,01600,0100,Y 6411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6411,A000000,00300,0000,00300EMPLOYEE BENEFITS 6411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6411,A000000,00700,0000,00700HOUSEKEEPING 6411,A000000,00800,0000,00800DIETARY 6411,A000000,00900,0000,00900NURSING ADMINISTRATION 6411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6411,A000000,01100,0000,01100PHARMACY 6411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6411,A000000,01300,0000,01300SOCIAL SERVICE 6411,A000000,01301,0000,01301ACTIVITIES 6411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6411,A000000,01600,0000,01600SKILLED NURSING FACILITY 6411,A000000,01800,0000,01800NURSING FACILITY 6411,A000000,01810,0000,01810ICF/MR 6411,A000000,02100,0000,02100RADIOLOGY 6411,A000000,02200,0000,02200LABORATORY 6411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6411,A000000,02500,0000,02500PHYSICAL THERAPY 6411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6411,A000000,02700,0000,02700SPEECH PATHOLOGY 6411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6411,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6411,A000000,03550,0000,03550FQHC 6411,A000000,05000,0000,05000CORF 6411,A000000,05010,0000,05010CMHC 6411,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6411,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6411,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6411,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6411,A81000A,00100,0100,Y 6411,A81000B,00100,0300,HOME OFFICE COST 6411,A81000B,00400,0300,HOME OFFICE COST 6411,A81000B,00500,0300,HOME OFFICE COST 6411,A81000B,00600,0300,HOME OFFICE COST 6411,A81000B,00800,0300,HOME OFFICE COST 6411,A81000C,00100,0100,B 6411,A81000C,00100,0200,BEVERLY ENTERPR 6411,B100000,00000,0100,00000(SQUARE FEET) 6411,B100000,00000,0200,00000(SQUARE FEET) 6411,B100000,00000,0300,00000(ADJUSTED SALARIES) 6411,B100000,00000,0400,00000(ACCUM. COST) 6411,B100000,00000,0500,00000(SQUARE FEET) 6411,B100000,00000,0600,00000(PATIENT DAYS) 6411,B100000,00000,0700,00000(SQUARE FEET) 6411,B100000,00000,0800,00000(MEALS SERVED) 6411,B100000,00000,0900,00000(ADJUSTED SALARIES) 6411,B100000,00000,1000,00000(PATIENT DAYS) 6411,B100000,00000,1100,00000(COSTED REQUIS) 6411,B100000,00000,1200,00000(TOTAL CHARGES) 6411,B100000,00000,1300,00000(PATIENT DAYS) 6411,B100000,00000,1301,00000(PATIENT DAYS) 6411,B100000,00000,1400,00000(ASSIGNED TIME) 6411,E10A180,00302,0100,06/14/1999 6411,E10A180,00305,0100,02/14/2000 6411,E10A180,00350,0100,01/27/1999 6411,E10A180,00352,0100,10/08/1999 6411,E10A180,00353,0100,12/09/1999 6411,S000000,00100,0200,06/02/2000 6411,S200000,00100,0100,515 DIVISION ST 6411,S200000,00200,0100,EXCELSIOR 6411,S200000,00200,0200,MN 6411,S200000,00200,0300,55331 6411,S200000,00300,0100,HENNEPIN 6411,S200000,00400,0100,EXCELSIOR NURSING HOME (806) A 6411,S200000,00400,0200,245332 6411,S200000,00400,0300,08/01/1986 6411,S200000,00400,0500,P 6411,S200000,00600,0200,245332 6411,S200000,00600,0300,08/01/1986 6411,S200000,00600,0600,P 6411,S200000,01600,0100,Y 6414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6414,A000000,00300,0000,00300EMPLOYEE BENEFITS 6414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6414,A000000,00700,0000,00700HOUSEKEEPING 6414,A000000,00800,0000,00800DIETARY 6414,A000000,00900,0000,00900NURSING ADMINISTRATION 6414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6414,A000000,01100,0000,01100PHARMACY 6414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6414,A000000,01300,0000,01300SOCIAL SERVICE 6414,A000000,01301,0000,01301ACTIVITIES 6414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6414,A000000,01600,0000,01600SKILLED NURSING FACILITY 6414,A000000,01800,0000,01800NURSING FACILITY 6414,A000000,01810,0000,01810ICF/MR 6414,A000000,02200,0000,02200LABORATORY 6414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6414,A000000,02500,0000,02500PHYSICAL THERAPY 6414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6414,A000000,02700,0000,02700SPEECH PATHOLOGY 6414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6414,A000000,03550,0000,03550FQHC 6414,A000000,05000,0000,05000CORF 6414,A000000,05010,0000,05010CMHC 6414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6414,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6414,A81000A,00100,0100,Y 6414,A81000B,00100,0300,HOME OFFICE COST 6414,A81000B,00400,0300,HOME OFFICE COST 6414,A81000B,00500,0300,HOME OFFICE COST 6414,A81000B,00600,0300,HOME OFFICE COST 6414,A81000B,00800,0300,HOME OFFICE COST 6414,A81000C,00100,0100,B 6414,A81000C,00100,0200,BEVERLY ENTERPR 6414,B100000,00000,0100,00000(SQUARE FEET) 6414,B100000,00000,0200,00000(SQUARE FEET) 6414,B100000,00000,0300,00000(ADJUSTED SALARIES) 6414,B100000,00000,0400,00000(ACCUM. COST) 6414,B100000,00000,0500,00000(SQUARE FEET) 6414,B100000,00000,0600,00000(PATIENT DAYS) 6414,B100000,00000,0700,00000(SQUARE FEET) 6414,B100000,00000,0800,00000(MEALS SERVED) 6414,B100000,00000,0900,00000(ADJUSTED SALARIES) 6414,B100000,00000,1000,00000(PATIENT DAYS) 6414,B100000,00000,1100,00000(COSTED REQUIS) 6414,B100000,00000,1200,00000(TOTAL CHARGES) 6414,B100000,00000,1300,00000(PATIENT DAYS) 6414,B100000,00000,1301,00000(PATIENT DAYS) 6414,B100000,00000,1400,00000(ASSIGNED TIME) 6414,E10A180,00302,0100,06/14/1999 6414,E10A180,00303,0100,10/08/1999 6414,E10A180,00305,0100,02/14/2000 6414,E10A180,00350,0100,01/27/1999 6414,E10A180,00353,0100,12/09/1999 6414,S000000,00100,0200,06/02/2000 6414,S200000,00100,0100,NEPTUNE AND PEGASUS 6414,S200000,00200,0100,COSMOS 6414,S200000,00200,0200,MN 6414,S200000,00200,0300,56228 6414,S200000,00300,0100,MEEKER 6414,S200000,00400,0100,COSMOS HEALTH CARE CENTER (873 6414,S200000,00400,0200,245334 6414,S200000,00400,0300,09/01/1986 6414,S200000,00400,0500,P 6414,S200000,00600,0200,245334 6414,S200000,00600,0300,09/01/1996 6414,S200000,00600,0600,P 6414,S200000,01600,0100,Y 6417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6417,A000000,00300,0000,00300EMPLOYEE BENEFITS 6417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6417,A000000,00700,0000,00700HOUSEKEEPING 6417,A000000,00800,0000,00800DIETARY 6417,A000000,00900,0000,00900NURSING ADMINISTRATION 6417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6417,A000000,01100,0000,01100PHARMACY 6417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6417,A000000,01300,0000,01300SOCIAL SERVICE 6417,A000000,01301,0000,01301ACTIVITIES 6417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6417,A000000,01600,0000,01600SKILLED NURSING FACILITY 6417,A000000,01800,0000,01800NURSING FACILITY 6417,A000000,01810,0000,01810ICF/MR 6417,A000000,02100,0000,02100RADIOLOGY 6417,A000000,02200,0000,02200LABORATORY 6417,A000000,02500,0000,02500PHYSICAL THERAPY 6417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6417,A000000,02700,0000,02700SPEECH PATHOLOGY 6417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6417,A000000,03550,0000,03550FQHC 6417,A000000,05000,0000,05000CORF 6417,A000000,05010,0000,05010CMHC 6417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6417,A000000,06150,0000,06300OTHER NON REIMBURSEMENT COST 6417,A81000A,00100,0100,Y 6417,A81000B,00100,0300,HOME OFFICE COST 6417,A81000B,00400,0300,HOME OFFICE COST 6417,A81000B,00500,0300,HOME OFFICE COST 6417,A81000B,00600,0300,HOME OFFICE COST 6417,A81000B,00800,0300,HOME OFFICE COST 6417,A81000C,00100,0100,B 6417,A81000C,00100,0200,BEVERLY ENTERPR 6417,B100000,00000,0100,00000(SQUARE FEET) 6417,B100000,00000,0200,00000(SQUARE FEET) 6417,B100000,00000,0300,00000(ADJUSTED SALARIES) 6417,B100000,00000,0400,00000(ACCUM. COST) 6417,B100000,00000,0500,00000(SQUARE FEET) 6417,B100000,00000,0600,00000(PATIENT DAYS) 6417,B100000,00000,0700,00000(SQUARE FEET) 6417,B100000,00000,0800,00000(MEALS SERVED) 6417,B100000,00000,0900,00000(ADJUSTED SALARIES) 6417,B100000,00000,1000,00000(PATIENT DAYS) 6417,B100000,00000,1100,00000(COSTED REQUIS) 6417,B100000,00000,1200,00000(TOTAL CHARGES) 6417,B100000,00000,1300,00000(PATIENT DAYS) 6417,B100000,00000,1301,00000(PATIENT DAYS) 6417,B100000,00000,1400,00000(ASSIGNED TIME) 6417,E10A180,00301,0100,01/27/1999 6417,E10A180,00305,0100,02/14/2000 6417,E10A180,00351,0100,06/14/1999 6417,E10A180,00352,0100,10/08/1999 6417,E10A180,00353,0100,12/09/1999 6417,S000000,00100,0200,06/02/2000 6417,S200000,00100,0100,433 COUNTRY ROAD 30 6417,S200000,00200,0100,DELANO 6417,S200000,00200,0200,MN 6417,S200000,00200,0300,55328 6417,S200000,00300,0100,WRIGHT 6417,S200000,00400,0100,DELANO HEALTH CARE CENTER (874 6417,S200000,00400,0200,245336 6417,S200000,00400,0300,07/01/1986 6417,S200000,00400,0500,P 6417,S200000,00600,0200,245336 6417,S200000,00600,0300,07/01/1986 6417,S200000,00600,0600,P 6417,S200000,01600,0100,Y 6420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6420,A000000,00300,0000,00300EMPLOYEE BENEFITS 6420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6420,A000000,00700,0000,00700HOUSEKEEPING 6420,A000000,00800,0000,00800DIETARY 6420,A000000,00900,0000,00900NURSING ADMINISTRATION 6420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6420,A000000,01100,0000,01100PHARMACY 6420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6420,A000000,01300,0000,01300SOCIAL SERVICE 6420,A000000,01301,0000,01301ACTIVITIES 6420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6420,A000000,01600,0000,01600SKILLED NURSING FACILITY 6420,A000000,01800,0000,01800NURSING FACILITY 6420,A000000,01810,0000,01810ICF/MR 6420,A000000,02100,0000,02100RADIOLOGY 6420,A000000,02200,0000,02200LABORATORY 6420,A000000,02500,0000,02500PHYSICAL THERAPY 6420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6420,A000000,02700,0000,02700SPEECH PATHOLOGY 6420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6420,A000000,03550,0000,03550FQHC 6420,A000000,05000,0000,05000CORF 6420,A000000,05010,0000,05010CMHC 6420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6420,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6420,A81000A,00100,0100,Y 6420,A81000B,00100,0300,HOME OFFICE COST 6420,A81000B,00400,0300,HOME OFFICE COST 6420,A81000B,00500,0300,HOME OFFICE COST 6420,A81000B,00600,0300,HOME OFFICE COST 6420,A81000B,00800,0300,HOME OFFICE COST 6420,A81000C,00100,0100,B 6420,A81000C,00100,0200,BEVERLY ENTERPR 6420,B100000,00000,0100,00000(SQUARE FEET) 6420,B100000,00000,0200,00000(SQUARE FEET) 6420,B100000,00000,0300,00000(ADJUSTED SALARIES) 6420,B100000,00000,0400,00000(ACCUM. COST) 6420,B100000,00000,0500,00000(SQUARE FEET) 6420,B100000,00000,0600,00000(PATIENT DAYS) 6420,B100000,00000,0700,00000(SQUARE FEET) 6420,B100000,00000,0800,00000(MEALS SERVED) 6420,B100000,00000,0900,00000(ADJUSTED SALARIES) 6420,B100000,00000,1000,00000(PATIENT DAYS) 6420,B100000,00000,1100,00000(COSTED REQUIS) 6420,B100000,00000,1200,00000(TOTAL CHARGES) 6420,B100000,00000,1300,00000(PATIENT DAYS) 6420,B100000,00000,1301,00000(PATIENT DAYS) 6420,B100000,00000,1400,00000(ASSIGNED TIME) 6420,E10A180,00303,0100,10/08/1999 6420,E10A180,00350,0100,01/27/1999 6420,E10A180,00351,0100,06/14/1999 6420,E10A180,00353,0100,12/09/1999 6420,E10A180,00354,0100,02/14/2000 6420,S000000,00100,0200,06/02/2000 6420,S200000,00100,0100,105 WEST LINDEN 6420,S200000,00200,0100,STILLWATER 6420,S200000,00200,0200,MN 6420,S200000,00200,0300,55082 6420,S200000,00300,0100,WASHINGTON 6420,S200000,00400,0100,LINDEN HEALTH CARE CENTER (879 6420,S200000,00400,0200,245337 6420,S200000,00400,0300,07/01/1986 6420,S200000,00400,0500,P 6420,S200000,00600,0200,245337 6420,S200000,00600,0300,07/01/1986 6420,S200000,00600,0600,P 6420,S200000,01600,0100,Y 6423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6423,A000000,00300,0000,00300EMPLOYEE BENEFITS 6423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6423,A000000,00700,0000,00700HOUSEKEEPING 6423,A000000,00800,0000,00800DIETARY 6423,A000000,00900,0000,00900NURSING ADMINISTRATION 6423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6423,A000000,01100,0000,01100PHARMACY 6423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6423,A000000,01300,0000,01300SOCIAL SERVICE 6423,A000000,01301,0000,01301ACTIVITIES 6423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6423,A000000,01600,0000,01600SKILLED NURSING FACILITY 6423,A000000,01800,0000,01800NURSING FACILITY 6423,A000000,01810,0000,01810ICF/MR 6423,A000000,02100,0000,02100RADIOLOGY 6423,A000000,02200,0000,02200LABORATORY 6423,A000000,02500,0000,02500PHYSICAL THERAPY 6423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6423,A000000,02700,0000,02700SPEECH PATHOLOGY 6423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6423,A000000,03550,0000,03550FQHC 6423,A000000,05000,0000,05000CORF 6423,A000000,05010,0000,05010CMHC 6423,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6423,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6423,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6423,A000000,06150,0000,06300OTHER NON REIM COST 6423,A81000A,00100,0100,Y 6423,A81000B,00100,0300,HOME OFFICE COST 6423,A81000B,00400,0300,HOME OFFICE COST 6423,A81000B,00500,0300,HOME OFFICE COST 6423,A81000B,00600,0300,HOME OFFICE COST 6423,A81000B,00800,0300,HOME OFFICE COST 6423,A81000C,00100,0100,B 6423,A81000C,00100,0200,BEVERLY ENTERPR 6423,B100000,00000,0100,00000(SQUARE FEET) 6423,B100000,00000,0200,00000(SQUARE FEET) 6423,B100000,00000,0300,00000(ADJUSTED SALARIES) 6423,B100000,00000,0400,00000(ACCUM. COST) 6423,B100000,00000,0500,00000(SQUARE FEET) 6423,B100000,00000,0600,00000(PATIENT DAYS) 6423,B100000,00000,0700,00000(SQUARE FEET) 6423,B100000,00000,0800,00000(MEALS SERVED) 6423,B100000,00000,0900,00000(ADJUSTED SALARIES) 6423,B100000,00000,1000,00000(PATIENT DAYS) 6423,B100000,00000,1100,00000(COSTED REQUIS) 6423,B100000,00000,1200,00000(TOTAL CHARGES) 6423,B100000,00000,1300,00000(PATIENT DAYS) 6423,B100000,00000,1301,00000(PATIENT DAYS) 6423,B100000,00000,1400,00000(ASSIGNED TIME) 6423,E10A180,00301,0100,01/27/1999 6423,E10A180,00303,0100,10/08/1999 6423,E10A180,00305,0100,02/14/2000 6423,E10A180,00351,0100,06/14/1999 6423,E10A180,00353,0100,12/09/1999 6423,S000000,00100,0200,06/02/2000 6423,S200000,00100,0100,313 SOUTH GREELEY ST 6423,S200000,00200,0100,STILLWATER 6423,S200000,00200,0200,MN 6423,S200000,00200,0300,55082 6423,S200000,00300,0100,WASHINGTON 6423,S200000,00400,0100,GREELEY HEALTH CARE CENTER (87 6423,S200000,00400,0200,245342 6423,S200000,00400,0300,08/01/1986 6423,S200000,00400,0500,P 6423,S200000,00600,0200,245342 6423,S200000,00600,0300,08/01/1986 6423,S200000,00600,0600,P 6423,S200000,01600,0100,Y 6430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6430,A000000,00300,0000,00300EMPLOYEE BENEFITS 6430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6430,A000000,00700,0000,00700HOUSEKEEPING 6430,A000000,00800,0000,00800DIETARY 6430,A000000,00900,0000,00900NURSING ADMINISTRATION 6430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6430,A000000,01100,0000,01100PHARMACY 6430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6430,A000000,01300,0000,01300SOCIAL SERVICE 6430,A000000,01301,0000,01301ACTIVITIES 6430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6430,A000000,01600,0000,01600SKILLED NURSING FACILITY 6430,A000000,01800,0000,01800NURSING FACILITY 6430,A000000,01810,0000,01810ICF/MR 6430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6430,A000000,02500,0000,02500PHYSICAL THERAPY 6430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6430,A000000,02700,0000,02700SPEECH PATHOLOGY 6430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6430,A000000,03550,0000,03550FQHC 6430,A000000,05000,0000,05000CORF 6430,A000000,05010,0000,05010CMHC 6430,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6430,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6430,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6430,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6430,A81000A,00100,0100,Y 6430,A81000B,00100,0300,HOME OFFICE COST 6430,A81000B,00400,0300,HOME OFFICE COST 6430,A81000B,00500,0300,HOME OFFICE COST 6430,A81000B,00600,0300,HOME OFFICE COST 6430,A81000B,00800,0300,HOME OFFICE COST 6430,A81000C,00100,0100,B 6430,A81000C,00100,0200,BEVERLY ENTERPR 6430,B100000,00000,0100,00000(SQUARE FEET) 6430,B100000,00000,0200,00000(SQUARE FEET) 6430,B100000,00000,0300,00000(ADJUSTED SALARIES) 6430,B100000,00000,0400,00000(ACCUM. COST) 6430,B100000,00000,0500,00000(SQUARE FEET) 6430,B100000,00000,0600,00000(PATIENT DAYS) 6430,B100000,00000,0700,00000(SQUARE FEET) 6430,B100000,00000,0800,00000(MEALS SERVED) 6430,B100000,00000,0900,00000(ADJUSTED SALARIES) 6430,B100000,00000,1000,00000(PATIENT DAYS) 6430,B100000,00000,1100,00000(COSTED REQUIS) 6430,B100000,00000,1200,00000(TOTAL CHARGES) 6430,B100000,00000,1300,00000(PATIENT DAYS) 6430,B100000,00000,1301,00000(PATIENT DAYS) 6430,B100000,00000,1400,00000(ASSIGNED TIME) 6430,E10A180,00302,0100,06/14/1999 6430,E10A180,00303,0100,10/08/1999 6430,E10A180,00350,0100,01/27/1999 6430,E10A180,00353,0100,12/09/1999 6430,E10A180,00354,0100,02/14/2000 6430,S000000,00100,0200,06/02/2000 6430,S200000,00100,0100,201 S.W. 18TH STREET 6430,S200000,00200,0100,OWATONNA 6430,S200000,00200,0200,MN 6430,S200000,00200,0300,55060 6430,S200000,00300,0100,STEELE 6430,S200000,00400,0100,02923 - OWATONNA NURSING HOME 6430,S200000,00400,0200,245383 6430,S200000,00400,0300,02/01/1987 6430,S200000,00400,0500,P 6430,S200000,00600,0200,245383 6430,S200000,00600,0300,02/01/1987 6430,S200000,00600,0600,P 6430,S200000,01600,0100,Y 6433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6433,A000000,00300,0000,00300EMPLOYEE BENEFITS 6433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6433,A000000,00700,0000,00700HOUSEKEEPING 6433,A000000,00800,0000,00800DIETARY 6433,A000000,00900,0000,00900NURSING ADMINISTRATION 6433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6433,A000000,01100,0000,01100PHARMACY 6433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6433,A000000,01300,0000,01300SOCIAL SERVICE 6433,A000000,01301,0000,01301ACTIVITIES 6433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6433,A000000,01600,0000,01600SKILLED NURSING FACILITY 6433,A000000,01800,0000,01800NURSING FACILITY 6433,A000000,01810,0000,01810ICF/MR 6433,A000000,02100,0000,02100RADIOLOGY 6433,A000000,02200,0000,02200LABORATORY 6433,A000000,02500,0000,02500PHYSICAL THERAPY 6433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6433,A000000,02700,0000,02700SPEECH PATHOLOGY 6433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6433,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6433,A000000,03550,0000,03550FQHC 6433,A000000,05000,0000,05000CORF 6433,A000000,05010,0000,05010CMHC 6433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6433,A000000,06150,0000,06300OTHER NON REIM COST 6433,A81000A,00100,0100,Y 6433,A81000B,00100,0300,HOME OFFICE COST 6433,A81000B,00400,0300,HOME OFFICE COST 6433,A81000B,00500,0300,HOME OFFICE COST 6433,A81000B,00600,0300,HOME OFFICE COST 6433,A81000B,00800,0300,HOME OFFICE COST 6433,A81000C,00100,0100,B 6433,A81000C,00100,0200,BEVERLY ENTERPR 6433,B100000,00000,0100,00000(SQUARE FEET) 6433,B100000,00000,0200,00000(SQUARE FEET) 6433,B100000,00000,0300,00000(ADJUSTED SALARIES) 6433,B100000,00000,0400,00000(ACCUM. COST) 6433,B100000,00000,0500,00000(SQUARE FEET) 6433,B100000,00000,0600,00000(PATIENT DAYS) 6433,B100000,00000,0700,00000(SQUARE FEET) 6433,B100000,00000,0800,00000(MEALS SERVED) 6433,B100000,00000,0900,00000(ADJUSTED SALARIES) 6433,B100000,00000,1000,00000(PATIENT DAYS) 6433,B100000,00000,1100,00000(COSTED REQUIS) 6433,B100000,00000,1200,00000(TOTAL CHARGES) 6433,B100000,00000,1300,00000(PATIENT DAYS) 6433,B100000,00000,1301,00000(PATIENT DAYS) 6433,B100000,00000,1400,00000(ASSIGNED TIME) 6433,E10A180,00302,0100,06/14/1999 6433,E10A180,00303,0100,10/08/1999 6433,E10A180,00305,0100,02/14/2000 6433,E10A180,00350,0100,01/27/1999 6433,E10A180,00353,0100,12/09/1999 6433,S000000,00100,0200,06/02/2000 6433,S200000,00100,0100,2959 REDWOOD AVE 6433,S200000,00200,0100,SLAYTON 6433,S200000,00200,0200,MN 6433,S200000,00200,0300,56172 6433,S200000,00300,0100,MURRAY 6433,S200000,00400,0100,SLAYTON MANOR (442) B 6433,S200000,00400,0200,245386 6433,S200000,00400,0300,12/01/1986 6433,S200000,00400,0500,P 6433,S200000,00600,0200,245386 6433,S200000,00600,0300,12/01/1986 6433,S200000,00600,0600,P 6433,S200000,01600,0100,Y 6436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6436,A000000,00300,0000,00300EMPLOYEE BENEFITS 6436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6436,A000000,00700,0000,00700HOUSEKEEPING 6436,A000000,00800,0000,00800DIETARY 6436,A000000,00900,0000,00900NURSING ADMINISTRATION 6436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6436,A000000,01100,0000,01100PHARMACY 6436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6436,A000000,01300,0000,01300SOCIAL SERVICE 6436,A000000,01301,0000,01301ACTIVITIES 6436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6436,A000000,01600,0000,01600SKILLED NURSING FACILITY 6436,A000000,01800,0000,01800NURSING FACILITY 6436,A000000,01810,0000,01810ICF/MR 6436,A000000,01900,0000,01900OTHER LONG TERM CARE 6436,A000000,02100,0000,02100RADIOLOGY 6436,A000000,02200,0000,02200LABORATORY 6436,A000000,02500,0000,02500PHYSICAL THERAPY 6436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6436,A000000,02700,0000,02700SPEECH PATHOLOGY 6436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6436,A000000,03550,0000,03550FQHC 6436,A000000,05000,0000,05000CORF 6436,A000000,05010,0000,05010CMHC 6436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6436,A000000,06150,0000,06300OTHER NON REIM COST 6436,A81000A,00100,0100,Y 6436,A81000B,00100,0300,HOME OFFICE COST 6436,A81000B,00400,0300,HOME OFFICE COST 6436,A81000B,00500,0300,HOME OFFICE COST 6436,A81000B,00600,0300,HOME OFFICE COST 6436,A81000B,00800,0300,HOME OFFICE COST 6436,A81000C,00100,0100,B 6436,A81000C,00100,0200,BEVERLY ENTERPR 6436,B100000,00000,0100,00000(SQUARE FEET) 6436,B100000,00000,0200,00000(SQUARE FEET) 6436,B100000,00000,0300,00000(ADJUSTED SALARIES) 6436,B100000,00000,0400,00000(ACCUM. COST) 6436,B100000,00000,0500,00000(SQUARE FEET) 6436,B100000,00000,0600,00000(PATIENT DAYS) 6436,B100000,00000,0700,00000(SQUARE FEET) 6436,B100000,00000,0800,00000(MEALS SERVED) 6436,B100000,00000,0900,00000(ADJUSTED SALARIES) 6436,B100000,00000,1000,00000(PATIENT DAYS) 6436,B100000,00000,1100,00000(COSTED REQUIS) 6436,B100000,00000,1200,00000(TOTAL CHARGES) 6436,B100000,00000,1300,00000(PATIENT DAYS) 6436,B100000,00000,1301,00000(PATIENT DAYS) 6436,B100000,00000,1400,00000(ASSIGNED TIME) 6436,E10A180,00302,0100,06/14/1999 6436,E10A180,00303,0100,10/08/1999 6436,E10A180,00304,0100,12/09/1999 6436,E10A180,00305,0100,02/14/2000 6436,E10A180,00350,0100,01/27/1999 6436,S000000,00100,0200,06/02/2000 6436,S200000,00100,0100,4545 4TH AVE S 6436,S200000,00200,0100,MINNEAPOLIS 6436,S200000,00200,0200,MN 6436,S200000,00200,0300,55409 6436,S200000,00300,0100,HENNEPIN 6436,S200000,00400,0100,02177 - ANGELUS CONV CTR B 6436,S200000,00400,0200,245391 6436,S200000,00400,0300,12/01/1986 6436,S200000,00400,0500,P 6436,S200000,00600,0200,245391 6436,S200000,00600,0300,12/01/1986 6436,S200000,00600,0600,P 6436,S200000,01600,0100,Y 6439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6439,A000000,00300,0000,00300EMPLOYEE BENEFITS 6439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6439,A000000,00700,0000,00700HOUSEKEEPING 6439,A000000,00800,0000,00800DIETARY 6439,A000000,00900,0000,00900NURSING ADMINISTRATION 6439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6439,A000000,01100,0000,01100PHARMACY 6439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6439,A000000,01300,0000,01300SOCIAL SERVICE 6439,A000000,01301,0000,01301ACTIVITIES 6439,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6439,A000000,01600,0000,01600SKILLED NURSING FACILITY 6439,A000000,01800,0000,01800NURSING FACILITY 6439,A000000,01810,0000,01810ICF/MR 6439,A000000,02100,0000,02100RADIOLOGY 6439,A000000,02200,0000,02200LABORATORY 6439,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6439,A000000,02500,0000,02500PHYSICAL THERAPY 6439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6439,A000000,02700,0000,02700SPEECH PATHOLOGY 6439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6439,A000000,03550,0000,03550FQHC 6439,A000000,05000,0000,05000CORF 6439,A000000,05010,0000,05010CMHC 6439,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6439,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6439,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6439,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6439,A000000,06150,0000,06300OTHER NON REIM COST 6439,A81000A,00100,0100,Y 6439,A81000B,00100,0300,HOME OFFICE COST 6439,A81000B,00400,0300,HOME OFFICE COST 6439,A81000B,00500,0300,HOME OFFICE COST 6439,A81000B,00600,0300,HOME OFFICE COST 6439,A81000B,00800,0300,HOME OFFICE COST 6439,A81000C,00100,0100,B 6439,A81000C,00100,0200,BEVERLY ENTERPR 6439,B100000,00000,0100,00000(SQUARE FEET) 6439,B100000,00000,0200,00000(SQUARE FEET) 6439,B100000,00000,0300,00000(ADJUSTED SALARIES) 6439,B100000,00000,0400,00000(ACCUM. COST) 6439,B100000,00000,0500,00000(SQUARE FEET) 6439,B100000,00000,0600,00000(PATIENT DAYS) 6439,B100000,00000,0700,00000(SQUARE FEET) 6439,B100000,00000,0800,00000(MEALS SERVED) 6439,B100000,00000,0900,00000(ADJUSTED SALARIES) 6439,B100000,00000,1000,00000(PATIENT DAYS) 6439,B100000,00000,1100,00000(COSTED REQUIS) 6439,B100000,00000,1200,00000(TOTAL CHARGES) 6439,B100000,00000,1300,00000(PATIENT DAYS) 6439,B100000,00000,1301,00000(PATIENT DAYS) 6439,B100000,00000,1400,00000(ASSIGNED TIME) 6439,E10A180,00350,0100,01/27/1999 6439,E10A180,00351,0100,06/14/1999 6439,E10A180,00352,0100,10/08/1999 6439,E10A180,00353,0100,12/09/1999 6439,E10A180,00354,0100,02/14/2000 6439,S000000,00100,0200,06/02/2000 6439,S200000,00100,0100,471 LYNNHURST AVE W 6439,S200000,00200,0100,ST PAUL 6439,S200000,00200,0200,MN 6439,S200000,00200,0300,55104 6439,S200000,00300,0100,RAMSEY 6439,S200000,00400,0100,LYNNHURST HEALTH CARE CENTER ( 6439,S200000,00400,0200,245394 6439,S200000,00400,0300,12/01/1986 6439,S200000,00400,0500,P 6439,S200000,00600,0200,245394 6439,S200000,00600,0300,12/01/1986 6439,S200000,00600,0600,P 6439,S200000,01600,0100,Y 6442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6442,A000000,00300,0000,00300EMPLOYEE BENEFITS 6442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6442,A000000,00700,0000,00700HOUSEKEEPING 6442,A000000,00800,0000,00800DIETARY 6442,A000000,00900,0000,00900NURSING ADMINISTRATION 6442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6442,A000000,01100,0000,01100PHARMACY 6442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6442,A000000,01300,0000,01300SOCIAL SERVICE 6442,A000000,01301,0000,01301ACTIVITIES 6442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6442,A000000,01600,0000,01600SKILLED NURSING FACILITY 6442,A000000,01800,0000,01800NURSING FACILITY 6442,A000000,01810,0000,01810ICF/MR 6442,A000000,02100,0000,02100RADIOLOGY 6442,A000000,02200,0000,02200LABORATORY 6442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6442,A000000,02500,0000,02500PHYSICAL THERAPY 6442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6442,A000000,02700,0000,02700SPEECH PATHOLOGY 6442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6442,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6442,A000000,03550,0000,03550FQHC 6442,A000000,05000,0000,05000CORF 6442,A000000,05010,0000,05010CMHC 6442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6442,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6442,A81000A,00100,0100,Y 6442,A81000B,00100,0300,HOME OFFICE COST 6442,A81000B,00400,0300,HOME OFFICE COST 6442,A81000B,00500,0300,HOME OFFICE COST 6442,A81000B,00600,0300,HOME OFFICE COST 6442,A81000B,00800,0300,HOME OFFICE COST 6442,A81000C,00100,0100,B 6442,A81000C,00100,0200,BEVERLY ENTERPR 6442,B100000,00000,0100,00000(SQUARE FEET) 6442,B100000,00000,0200,00000(SQUARE FEET) 6442,B100000,00000,0300,00000(ADJUSTED SALARIES) 6442,B100000,00000,0400,00000(ACCUM. COST) 6442,B100000,00000,0500,00000(SQUARE FEET) 6442,B100000,00000,0600,00000(PATIENT DAYS) 6442,B100000,00000,0700,00000(SQUARE FEET) 6442,B100000,00000,0800,00000(MEALS SERVED) 6442,B100000,00000,0900,00000(ADJUSTED SALARIES) 6442,B100000,00000,1000,00000(PATIENT DAYS) 6442,B100000,00000,1100,00000(COSTED REQUIS) 6442,B100000,00000,1200,00000(TOTAL CHARGES) 6442,B100000,00000,1300,00000(PATIENT DAYS) 6442,B100000,00000,1301,00000(PATIENT DAYS) 6442,B100000,00000,1400,00000(ASSIGNED TIME) 6442,E10A180,00304,0100,12/09/1999 6442,E10A180,00305,0100,02/14/2000 6442,E10A180,00350,0100,01/27/1999 6442,E10A180,00351,0100,06/14/1999 6442,E10A180,00352,0100,10/08/1999 6442,S000000,00100,0200,06/02/2000 6442,S200000,00100,0100,MAPLE AND MAY STREET 6442,S200000,00200,0100,WABASSO 6442,S200000,00200,0200,MN 6442,S200000,00200,0300,56293 6442,S200000,00300,0100,REDWOOD 6442,S200000,00400,0100,WABASSO HEALTH CARE CENTER (88 6442,S200000,00400,0200,245400 6442,S200000,00400,0300,12/01/1986 6442,S200000,00400,0500,P 6442,S200000,00600,0200,245400 6442,S200000,00600,0300,12/01/1986 6442,S200000,00600,0600,P 6442,S200000,01600,0100,Y 6445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6445,A000000,00300,0000,00300EMPLOYEE BENEFITS 6445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6445,A000000,00700,0000,00700HOUSEKEEPING 6445,A000000,00800,0000,00800DIETARY 6445,A000000,00900,0000,00900NURSING ADMINISTRATION 6445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6445,A000000,01100,0000,01100PHARMACY 6445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6445,A000000,01300,0000,01300SOCIAL SERVICE 6445,A000000,01301,0000,01301ACTIVITIES 6445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6445,A000000,01600,0000,01600SKILLED NURSING FACILITY 6445,A000000,01800,0000,01800NURSING FACILITY 6445,A000000,01810,0000,01810ICF/MR 6445,A000000,02100,0000,02100RADIOLOGY 6445,A000000,02200,0000,02200LABORATORY 6445,A000000,02500,0000,02500PHYSICAL THERAPY 6445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6445,A000000,02700,0000,02700SPEECH PATHOLOGY 6445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6445,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6445,A000000,03550,0000,03550FQHC 6445,A000000,05000,0000,05000CORF 6445,A000000,05010,0000,05010CMHC 6445,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6445,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6445,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6445,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6445,A81000A,00100,0100,Y 6445,A81000B,00100,0300,HOME OFFICE COST 6445,A81000B,00400,0300,HOME OFFICE COST 6445,A81000B,00500,0300,HOME OFFICE COST 6445,A81000B,00600,0300,HOME OFFICE COST 6445,A81000B,00800,0300,HOME OFFICE COST 6445,A81000C,00100,0100,B 6445,A81000C,00100,0200,BEVERLY ENTERPR 6445,B100000,00000,0100,00000(SQUARE FEET) 6445,B100000,00000,0200,00000(SQUARE FEET) 6445,B100000,00000,0300,00000(ADJUSTED SALARIES) 6445,B100000,00000,0400,00000(ACCUM. COST) 6445,B100000,00000,0500,00000(SQUARE FEET) 6445,B100000,00000,0600,00000(PATIENT DAYS) 6445,B100000,00000,0700,00000(SQUARE FEET) 6445,B100000,00000,0800,00000(MEALS SERVED) 6445,B100000,00000,0900,00000(ADJUSTED SALARIES) 6445,B100000,00000,1000,00000(PATIENT DAYS) 6445,B100000,00000,1100,00000(COSTED REQUIS) 6445,B100000,00000,1200,00000(TOTAL CHARGES) 6445,B100000,00000,1300,00000(PATIENT DAYS) 6445,B100000,00000,1301,00000(PATIENT DAYS) 6445,B100000,00000,1400,00000(ASSIGNED TIME) 6445,E10A180,00301,0100,01/27/1999 6445,E10A180,00302,0100,06/14/1999 6445,E10A180,00305,0100,02/14/2000 6445,E10A180,00352,0100,10/08/1999 6445,E10A180,00353,0100,12/09/1999 6445,S000000,00100,0200,06/02/2000 6445,S200000,00100,0100,345 BROWNS RD S 6445,S200000,00200,0100,LONG LAKE 6445,S200000,00200,0200,MN 6445,S200000,00200,0300,55356 6445,S200000,00300,0100,HENNEPIN 6445,S200000,00400,0100,LONG LAKE NURSING HOME (813) A 6445,S200000,00400,0200,245415 6445,S200000,00400,0300,01/01/1987 6445,S200000,00400,0500,P 6445,S200000,00600,0200,245415 6445,S200000,00600,0300,01/01/1987 6445,S200000,00600,0600,P 6445,S200000,01600,0100,Y 6448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6448,A000000,00300,0000,00300EMPLOYEE BENEFITS 6448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6448,A000000,00700,0000,00700HOUSEKEEPING 6448,A000000,00800,0000,00800DIETARY 6448,A000000,00900,0000,00900NURSING ADMINISTRATION 6448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6448,A000000,01100,0000,01100PHARMACY 6448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6448,A000000,01300,0000,01300SOCIAL SERVICE 6448,A000000,01301,0000,01301ACTIVITIES 6448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6448,A000000,01600,0000,01600SKILLED NURSING FACILITY 6448,A000000,01800,0000,01800NURSING FACILITY 6448,A000000,01810,0000,01810ICF/MR 6448,A000000,02200,0000,02200LABORATORY 6448,A000000,02500,0000,02500PHYSICAL THERAPY 6448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6448,A000000,02700,0000,02700SPEECH PATHOLOGY 6448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6448,A000000,03550,0000,03550FQHC 6448,A000000,05000,0000,05000CORF 6448,A000000,05010,0000,05010CMHC 6448,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6448,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6448,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6448,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6448,A81000A,00100,0100,Y 6448,A81000B,00100,0300,HOME OFFICE COST 6448,A81000B,00400,0300,HOME OFFICE COST 6448,A81000B,00500,0300,HOME OFFICE COST 6448,A81000B,00600,0300,HOME OFFICE COST 6448,A81000B,00800,0300,HOME OFFICE COST 6448,A81000C,00100,0100,B 6448,A81000C,00100,0200,BEVERLY ENTERPR 6448,B100000,00000,0100,00000(SQUARE FEET) 6448,B100000,00000,0200,00000(SQUARE FEET) 6448,B100000,00000,0300,00000(ADJUSTED SALARIES) 6448,B100000,00000,0400,00000(ACCUM. COST) 6448,B100000,00000,0500,00000(SQUARE FEET) 6448,B100000,00000,0600,00000(PATIENT DAYS) 6448,B100000,00000,0700,00000(SQUARE FEET) 6448,B100000,00000,0800,00000(MEALS SERVED) 6448,B100000,00000,0900,00000(ADJUSTED SALARIES) 6448,B100000,00000,1000,00000(PATIENT DAYS) 6448,B100000,00000,1100,00000(COSTED REQUIS) 6448,B100000,00000,1200,00000(TOTAL CHARGES) 6448,B100000,00000,1300,00000(PATIENT DAYS) 6448,B100000,00000,1301,00000(PATIENT DAYS) 6448,B100000,00000,1400,00000(ASSIGNED TIME) 6448,E10A180,00301,0100,01/27/1999 6448,E10A180,00351,0100,06/14/1999 6448,E10A180,00352,0100,10/08/1999 6448,E10A180,00353,0100,12/09/1999 6448,E10A180,00354,0100,02/14/2000 6448,S000000,00100,0200,06/02/2000 6448,S200000,00100,0100,BOX 36 6448,S200000,00200,0100,OSTRANDER 6448,S200000,00200,0200,MN 6448,S200000,00200,0300,55961 6448,S200000,00300,0100,FILLMORE 6448,S200000,00400,0100,OSTRANDER NURSING HOME 6448,S200000,00400,0200,245464 6448,S200000,00400,0300,04/01/1987 6448,S200000,00400,0500,P 6448,S200000,00600,0200,245464 6448,S200000,00600,0300,04/01/1987 6448,S200000,00600,0600,P 6448,S200000,01600,0100,Y 6451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6451,A000000,00300,0000,00300EMPLOYEE BENEFITS 6451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6451,A000000,00700,0000,00700HOUSEKEEPING 6451,A000000,00800,0000,00800DIETARY 6451,A000000,00900,0000,00900NURSING ADMINISTRATION 6451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6451,A000000,01100,0000,01100PHARMACY 6451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6451,A000000,01300,0000,01300SOCIAL SERVICE 6451,A000000,01301,0000,01301ACTIVITIES 6451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6451,A000000,01600,0000,01600SKILLED NURSING FACILITY 6451,A000000,01800,0000,01800NURSING FACILITY 6451,A000000,01810,0000,01810ICF/MR 6451,A000000,02100,0000,02100RADIOLOGY 6451,A000000,02200,0000,02200LABORATORY 6451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6451,A000000,02500,0000,02500PHYSICAL THERAPY 6451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6451,A000000,02700,0000,02700SPEECH PATHOLOGY 6451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6451,A000000,03550,0000,03550FQHC 6451,A000000,05000,0000,05000CORF 6451,A000000,05010,0000,05010CMHC 6451,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6451,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6451,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6451,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6451,A81000A,00100,0100,Y 6451,A81000B,00100,0300,HOME OFFICE COST 6451,A81000B,00400,0300,HOME OFFICE COST 6451,A81000B,00500,0300,HOME OFFICE COST 6451,A81000B,00600,0300,HOME OFFICE COST 6451,A81000B,00800,0300,HOME OFFICE COST 6451,A81000C,00100,0100,B 6451,A81000C,00100,0200,BEVERLY ENTERPR 6451,B100000,00000,0100,00000(SQUARE FEET) 6451,B100000,00000,0200,00000(SQUARE FEET) 6451,B100000,00000,0300,00000(ADJUSTED SALARIES) 6451,B100000,00000,0400,00000(ACCUM. COST) 6451,B100000,00000,0500,00000(SQUARE FEET) 6451,B100000,00000,0600,00000(PATIENT DAYS) 6451,B100000,00000,0700,00000(SQUARE FEET) 6451,B100000,00000,0800,00000(MEALS SERVED) 6451,B100000,00000,0900,00000(ADJUSTED SALARIES) 6451,B100000,00000,1000,00000(PATIENT DAYS) 6451,B100000,00000,1100,00000(COSTED REQUIS) 6451,B100000,00000,1200,00000(TOTAL CHARGES) 6451,B100000,00000,1300,00000(PATIENT DAYS) 6451,B100000,00000,1301,00000(PATIENT DAYS) 6451,B100000,00000,1400,00000(ASSIGNED TIME) 6451,E10A180,00302,0100,06/14/1999 6451,E10A180,00303,0100,10/08/1999 6451,E10A180,00305,0100,02/14/2000 6451,E10A180,00350,0100,01/27/1999 6451,E10A180,00353,0100,12/09/1999 6451,S000000,00100,0200,06/02/2000 6451,S200000,00100,0100,907 MARSHALL AVE 6451,S200000,00200,0100,HENNING IS 6451,S200000,00200,0200,MN 6451,S200000,00200,0300,56551 6451,S200000,00300,0100,OTTER TAIL 6451,S200000,00400,0100,HENNING NURSING HOME (811) A 6451,S200000,00400,0200,245540 6451,S200000,00400,0300,04/01/1990 6451,S200000,00400,0500,P 6451,S200000,00600,0200,245540 6451,S200000,00600,0300,04/01/1990 6451,S200000,00600,0600,P 6451,S200000,01600,0100,Y 6454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6454,A000000,00300,0000,00300EMPLOYEE BENEFITS 6454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6454,A000000,00700,0000,00700HOUSEKEEPING 6454,A000000,00800,0000,00800DIETARY 6454,A000000,00900,0000,00900NURSING ADMINISTRATION 6454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6454,A000000,01100,0000,01100PHARMACY 6454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6454,A000000,01300,0000,01300SOCIAL SERVICE 6454,A000000,01301,0000,01301ACTIVITIES 6454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6454,A000000,01600,0000,01600SKILLED NURSING FACILITY 6454,A000000,01800,0000,01800NURSING FACILITY 6454,A000000,01810,0000,01810ICF/MR 6454,A000000,02100,0000,02100RADIOLOGY 6454,A000000,02200,0000,02200LABORATORY 6454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6454,A000000,02500,0000,02500PHYSICAL THERAPY 6454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6454,A000000,02700,0000,02700SPEECH PATHOLOGY 6454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6454,A000000,03550,0000,03550FQHC 6454,A000000,05000,0000,05000CORF 6454,A000000,05010,0000,05010CMHC 6454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6454,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6454,A81000A,00100,0100,Y 6454,A81000B,00100,0300,HOME OFFICE COST 6454,A81000B,00400,0300,HOME OFFICE COST 6454,A81000B,00500,0300,HOME OFFICE COST 6454,A81000B,00600,0300,HOME OFFICE COST 6454,A81000B,00800,0300,HOME OFFICE COST 6454,A81000C,00100,0100,B 6454,A81000C,00100,0200,BEVERLY ENTERPR 6454,B100000,00000,0100,00000(SQUARE FEET) 6454,B100000,00000,0200,00000(SQUARE FEET) 6454,B100000,00000,0300,00000(ADJUSTED SALARIES) 6454,B100000,00000,0400,00000(ACCUM. COST) 6454,B100000,00000,0500,00000(SQUARE FEET) 6454,B100000,00000,0600,00000(PATIENT DAYS) 6454,B100000,00000,0700,00000(SQUARE FEET) 6454,B100000,00000,0800,00000(MEALS SERVED) 6454,B100000,00000,0900,00000(ADJUSTED SALARIES) 6454,B100000,00000,1000,00000(PATIENT DAYS) 6454,B100000,00000,1100,00000(COSTED REQUIS) 6454,B100000,00000,1200,00000(TOTAL CHARGES) 6454,B100000,00000,1300,00000(PATIENT DAYS) 6454,B100000,00000,1301,00000(PATIENT DAYS) 6454,B100000,00000,1400,00000(ASSIGNED TIME) 6454,E10A180,00305,0100,02/14/2000 6454,E10A180,00350,0100,01/27/1999 6454,E10A180,00351,0100,06/14/1999 6454,E10A180,00352,0100,10/08/1999 6454,E10A180,00353,0100,12/09/1999 6454,S000000,00100,0200,06/02/2000 6454,S200000,00100,0100,RT 2 BOX 257 6454,S200000,00200,0100,MINNEAPOLIS 6454,S200000,00200,0200,MN 6454,S200000,00200,0300,56515 6454,S200000,00300,0100,OTTER TAIL 6454,S200000,00400,0100,02179 - OTTER TAIL NURSING CTR 6454,S200000,00400,0200,245541 6454,S200000,00400,0300,05/01/1990 6454,S200000,00400,0500,P 6454,S200000,00600,0200,245541 6454,S200000,00600,0300,05/01/1990 6454,S200000,00600,0600,P 6454,S200000,01600,0100,Y 6458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6458,A000000,00300,0000,00300EMPLOYEE BENEFITS 6458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6458,A000000,00700,0000,00700HOUSEKEEPING 6458,A000000,00800,0000,00800DIETARY 6458,A000000,00900,0000,00900NURSING ADMINISTRATION 6458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6458,A000000,01100,0000,01100PHARMACY 6458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6458,A000000,01300,0000,01300SOCIAL SERVICE 6458,A000000,01301,0000,01301ACTIVITIES 6458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6458,A000000,01600,0000,01600SKILLED NURSING FACILITY 6458,A000000,01800,0000,01800NURSING FACILITY 6458,A000000,01810,0000,01810ICF/MR 6458,A000000,02200,0000,02200LABORATORY 6458,A000000,02500,0000,02500PHYSICAL THERAPY 6458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6458,A000000,02700,0000,02700SPEECH PATHOLOGY 6458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6458,A000000,03550,0000,03550FQHC 6458,A000000,05000,0000,05000CORF 6458,A000000,05010,0000,05010CMHC 6458,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6458,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6458,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6458,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6458,A81000A,00100,0100,Y 6458,A81000B,00100,0300,HOME OFFICE COST 6458,A81000B,00400,0300,HOME OFFICE COST 6458,A81000B,00500,0300,HOME OFFICE COST 6458,A81000B,00600,0300,HOME OFFICE COST 6458,A81000B,00800,0300,HOME OFFICE COST 6458,A81000C,00100,0100,B 6458,A81000C,00100,0200,BEVERLY ENTERPR 6458,B100000,00000,0100,00000(SQUARE FEET) 6458,B100000,00000,0200,00000(SQUARE FEET) 6458,B100000,00000,0300,00000(ADJUSTED SALARIES) 6458,B100000,00000,0400,00000(ACCUM. COST) 6458,B100000,00000,0500,00000(SQUARE FEET) 6458,B100000,00000,0600,00000(PATIENT DAYS) 6458,B100000,00000,0700,00000(SQUARE FEET) 6458,B100000,00000,0800,00000(MEALS SERVED) 6458,B100000,00000,0900,00000(ADJUSTED SALARIES) 6458,B100000,00000,1000,00000(PATIENT DAYS) 6458,B100000,00000,1100,00000(COSTED REQUIS) 6458,B100000,00000,1200,00000(TOTAL CHARGES) 6458,B100000,00000,1300,00000(PATIENT DAYS) 6458,B100000,00000,1301,00000(PATIENT DAYS) 6458,B100000,00000,1400,00000(ASSIGNED TIME) 6458,E10A180,00301,0100,01/27/1999 6458,E10A180,00302,0100,12/09/1999 6458,E10A180,00350,0100,06/14/1999 6458,E10A180,00351,0100,10/08/1999 6458,E10A180,00352,0100,02/14/2000 6458,S000000,00100,0200,06/02/2000 6458,S200000,00100,0100,200 MEDICAL CIRCLE 6458,S200000,00200,0100,TYLERTOWN 6458,S200000,00200,0200,MS 6458,S200000,00200,0300,39667 6458,S200000,00300,0100,WALTHALL 6458,S200000,00400,0100,TYLERTOWN EXTENDED CARE CENTER 6458,S200000,00400,0200,255100 6458,S200000,00400,0300,04/01/1989 6458,S200000,00400,0500,P 6458,S200000,00600,0200,255100 6458,S200000,00600,0300,04/01/1989 6458,S200000,00600,0600,P 6458,S200000,01600,0100,Y 6458,S200000,04300,0100,Y 6461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6461,A000000,00300,0000,00300EMPLOYEE BENEFITS 6461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6461,A000000,00700,0000,00700HOUSEKEEPING 6461,A000000,00800,0000,00800DIETARY 6461,A000000,00900,0000,00900NURSING ADMINISTRATION 6461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6461,A000000,01100,0000,01100PHARMACY 6461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6461,A000000,01300,0000,01300SOCIAL SERVICE 6461,A000000,01301,0000,01301ACTIVITIES 6461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6461,A000000,01600,0000,01600SKILLED NURSING FACILITY 6461,A000000,01800,0000,01800NURSING FACILITY 6461,A000000,01810,0000,01810ICF/MR 6461,A000000,01900,0000,01900OTHER LONG TERM CARE 6461,A000000,02200,0000,02200LABORATORY 6461,A000000,02500,0000,02500PHYSICAL THERAPY 6461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6461,A000000,02700,0000,02700SPEECH PATHOLOGY 6461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6461,A000000,03550,0000,03550FQHC 6461,A000000,05000,0000,05000CORF 6461,A000000,05010,0000,05010CMHC 6461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6461,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6461,A81000A,00100,0100,Y 6461,A81000B,00100,0300,HOME OFFICE COST 6461,A81000B,00400,0300,HOME OFFICE COST 6461,A81000B,00500,0300,HOME OFFICE COST 6461,A81000B,00600,0300,HOME OFFICE COST 6461,A81000B,00800,0300,HOME OFFICE COST 6461,A81000C,00100,0100,B 6461,A81000C,00100,0200,BEVERLY ENTERPR 6461,B100000,00000,0100,00000(SQUARE FEET) 6461,B100000,00000,0200,00000(SQUARE FEET) 6461,B100000,00000,0300,00000(ADJUSTED SALARIES) 6461,B100000,00000,0400,00000(ACCUM. COST) 6461,B100000,00000,0500,00000(SQUARE FEET) 6461,B100000,00000,0600,00000(PATIENT DAYS) 6461,B100000,00000,0700,00000(SQUARE FEET) 6461,B100000,00000,0800,00000(MEALS SERVED) 6461,B100000,00000,0900,00000(ADJUSTED SALARIES) 6461,B100000,00000,1000,00000(PATIENT DAYS) 6461,B100000,00000,1100,00000(COSTED REQUIS) 6461,B100000,00000,1200,00000(TOTAL CHARGES) 6461,B100000,00000,1300,00000(PATIENT DAYS) 6461,B100000,00000,1301,00000(PATIENT DAYS) 6461,B100000,00000,1400,00000(ASSIGNED TIME) 6461,E10A180,00301,0100,01/27/1999 6461,E10A180,00302,0100,06/14/1999 6461,E10A180,00303,0100,10/08/1999 6461,E10A180,00304,0100,02/14/2000 6461,E10A180,00350,0100,12/09/1999 6461,S000000,00100,0200,06/02/2000 6461,S200000,00100,0100,415 MARION AVENUE 6461,S200000,00200,0100,MCCOMB 6461,S200000,00200,0200,MS 6461,S200000,00200,0300,39648 6461,S200000,00300,0100,PIKE 6461,S200000,00400,0100,SOUTHWEST EXTENDED CARE CENTER 6461,S200000,00400,0200,255101 6461,S200000,00400,0300,04/01/1989 6461,S200000,00400,0500,P 6461,S200000,00600,0200,255101 6461,S200000,00600,0300,04/01/1989 6461,S200000,00600,0600,P 6461,S200000,01600,0100,Y 6461,S200000,04200,0100,Y 6461,S200000,04300,0100,Y 6464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6464,A000000,00300,0000,00300EMPLOYEE BENEFITS 6464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6464,A000000,00700,0000,00700HOUSEKEEPING 6464,A000000,00800,0000,00800DIETARY 6464,A000000,00900,0000,00900NURSING ADMINISTRATION 6464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6464,A000000,01100,0000,01100PHARMACY 6464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6464,A000000,01300,0000,01300SOCIAL SERVICE 6464,A000000,01301,0000,01301ACTIVITIES 6464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6464,A000000,01600,0000,01600SKILLED NURSING FACILITY 6464,A000000,01800,0000,01800NURSING FACILITY 6464,A000000,01810,0000,01810ICF/MR 6464,A000000,02100,0000,02100RADIOLOGY 6464,A000000,02200,0000,02200LABORATORY 6464,A000000,02500,0000,02500PHYSICAL THERAPY 6464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6464,A000000,02700,0000,02700SPEECH PATHOLOGY 6464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6464,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6464,A000000,03550,0000,03550FQHC 6464,A000000,05000,0000,05000CORF 6464,A000000,05010,0000,05010CMHC 6464,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6464,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6464,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6464,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6464,A81000A,00100,0100,Y 6464,A81000B,00100,0300,HOME OFFICE COST 6464,A81000B,00400,0300,HOME OFFICE COST 6464,A81000B,00500,0300,HOME OFFICE COST 6464,A81000B,00600,0300,HOME OFFICE COST 6464,A81000B,00800,0300,HOME OFFICE COST 6464,A81000C,00100,0100,B 6464,A81000C,00100,0200,BEVERLY ENTERPR 6464,B100000,00000,0100,00000(SQUARE FEET) 6464,B100000,00000,0200,00000(SQUARE FEET) 6464,B100000,00000,0300,00000(ADJUSTED SALARIES) 6464,B100000,00000,0400,00000(ACCUM. COST) 6464,B100000,00000,0500,00000(SQUARE FEET) 6464,B100000,00000,0600,00000(PATIENT DAYS) 6464,B100000,00000,0700,00000(SQUARE FEET) 6464,B100000,00000,0800,00000(MEALS SERVED) 6464,B100000,00000,0900,00000(ADJUSTED SALARIES) 6464,B100000,00000,1000,00000(PATIENT DAYS) 6464,B100000,00000,1100,00000(COSTED REQUIS) 6464,B100000,00000,1200,00000(TOTAL CHARGES) 6464,B100000,00000,1300,00000(PATIENT DAYS) 6464,B100000,00000,1301,00000(PATIENT DAYS) 6464,B100000,00000,1400,00000(ASSIGNED TIME) 6464,E10A180,00301,0100,12/09/1999 6464,E10A180,00350,0100,01/27/1999 6464,E10A180,00351,0100,06/14/1999 6464,E10A180,00352,0100,10/08/1999 6464,E10A180,00353,0100,02/14/2000 6464,S000000,00100,0200,06/02/2000 6464,S200000,00100,0100,101 CUNNINGHAM DR 6464,S200000,00200,0100,RIPLEY 6464,S200000,00200,0200,MS 6464,S200000,00200,0300,38663 6464,S200000,00300,0100,TIPPAH 6464,S200000,00400,0100,RIPLEY MANOR 6464,S200000,00400,0200,255102 6464,S200000,00400,0300,04/01/1989 6464,S200000,00400,0500,P 6464,S200000,00600,0200,255102 6464,S200000,00600,0300,04/01/1989 6464,S200000,00600,0600,P 6464,S200000,01600,0100,Y 6464,S200000,04300,0100,Y 6467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6467,A000000,00300,0000,00300EMPLOYEE BENEFITS 6467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6467,A000000,00700,0000,00700HOUSEKEEPING 6467,A000000,00800,0000,00800DIETARY 6467,A000000,00900,0000,00900NURSING ADMINISTRATION 6467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6467,A000000,01100,0000,01100PHARMACY 6467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6467,A000000,01300,0000,01300SOCIAL SERVICE 6467,A000000,01301,0000,01301ACTIVITIES 6467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6467,A000000,01600,0000,01600SKILLED NURSING FACILITY 6467,A000000,01800,0000,01800NURSING FACILITY 6467,A000000,01810,0000,01810ICF/MR 6467,A000000,02200,0000,02200LABORATORY 6467,A000000,02500,0000,02500PHYSICAL THERAPY 6467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6467,A000000,02700,0000,02700SPEECH PATHOLOGY 6467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6467,A000000,03550,0000,03550FQHC 6467,A000000,05000,0000,05000CORF 6467,A000000,05010,0000,05010CMHC 6467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6467,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6467,A81000A,00100,0100,Y 6467,A81000B,00100,0300,HOME OFFICE COST 6467,A81000B,00400,0300,HOME OFFICE COST 6467,A81000B,00500,0300,HOME OFFICE COST 6467,A81000B,00600,0300,HOME OFFICE COST 6467,A81000B,00800,0300,HOME OFFICE COST 6467,A81000C,00100,0100,B 6467,A81000C,00100,0200,BEVERLY ENTERPR 6467,B100000,00000,0100,00000(SQUARE FEET) 6467,B100000,00000,0200,00000(SQUARE FEET) 6467,B100000,00000,0300,00000(ADJUSTED SALARIES) 6467,B100000,00000,0400,00000(ACCUM. COST) 6467,B100000,00000,0500,00000(SQUARE FEET) 6467,B100000,00000,0600,00000(PATIENT DAYS) 6467,B100000,00000,0700,00000(SQUARE FEET) 6467,B100000,00000,0800,00000(MEALS SERVED) 6467,B100000,00000,0900,00000(ADJUSTED SALARIES) 6467,B100000,00000,1000,00000(PATIENT DAYS) 6467,B100000,00000,1100,00000(COSTED REQUIS) 6467,B100000,00000,1200,00000(TOTAL CHARGES) 6467,B100000,00000,1300,00000(PATIENT DAYS) 6467,B100000,00000,1301,00000(PATIENT DAYS) 6467,B100000,00000,1400,00000(ASSIGNED TIME) 6467,E10A180,00301,0100,01/27/1999 6467,E10A180,00350,0100,06/14/1999 6467,E10A180,00351,0100,10/08/1999 6467,E10A180,00352,0100,12/09/1999 6467,E10A180,00353,0100,02/14/2000 6467,S000000,00100,0200,06/02/2000 6467,S200000,00100,0100,3454 ALBEMARLE ROAD 6467,S200000,00200,0100,JACKSON 6467,S200000,00200,0200,MS 6467,S200000,00200,0300,39213 6467,S200000,00300,0100,HINDS 6467,S200000,00400,0100,ALBMARLE HEALTH CARE CENTER 6467,S200000,00400,0200,255103 6467,S200000,00400,0300,04/01/1989 6467,S200000,00400,0500,P 6467,S200000,00600,0200,255103 6467,S200000,00600,0300,04/01/1989 6467,S200000,00600,0600,P 6467,S200000,01600,0100,Y 6467,S200000,04200,0100,Y 6467,S200000,04300,0100,Y 6470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6470,A000000,00300,0000,00300EMPLOYEE BENEFITS 6470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6470,A000000,00700,0000,00700HOUSEKEEPING 6470,A000000,00800,0000,00800DIETARY 6470,A000000,00900,0000,00900NURSING ADMINISTRATION 6470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6470,A000000,01100,0000,01100PHARMACY 6470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6470,A000000,01300,0000,01300SOCIAL SERVICE 6470,A000000,01301,0000,01301ACTIVITIES 6470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6470,A000000,01600,0000,01600SKILLED NURSING FACILITY 6470,A000000,01800,0000,01800NURSING FACILITY 6470,A000000,01810,0000,01810ICF/MR 6470,A000000,01900,0000,01900OTHER LONG TERM CARE 6470,A000000,02200,0000,02200LABORATORY 6470,A000000,02500,0000,02500PHYSICAL THERAPY 6470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6470,A000000,02700,0000,02700SPEECH PATHOLOGY 6470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6470,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6470,A000000,03550,0000,03550FQHC 6470,A000000,05000,0000,05000CORF 6470,A000000,05010,0000,05010CMHC 6470,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6470,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6470,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6470,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6470,A81000A,00100,0100,Y 6470,A81000B,00100,0300,HOME OFFICE COST 6470,A81000B,00400,0300,HOME OFFICE COST 6470,A81000B,00500,0300,HOME OFFICE COST 6470,A81000B,00600,0300,HOME OFFICE COST 6470,A81000B,00800,0300,HOME OFFICE COST 6470,A81000C,00100,0100,B 6470,A81000C,00100,0200,BEVERLY ENTERPR 6470,B100000,00000,0100,00000(SQUARE FEET) 6470,B100000,00000,0200,00000(SQUARE FEET) 6470,B100000,00000,0300,00000(ADJUSTED SALARIES) 6470,B100000,00000,0400,00000(ACCUM. COST) 6470,B100000,00000,0500,00000(SQUARE FEET) 6470,B100000,00000,0600,00000(PATIENT DAYS) 6470,B100000,00000,0700,00000(SQUARE FEET) 6470,B100000,00000,0800,00000(MEALS SERVED) 6470,B100000,00000,0900,00000(ADJUSTED SALARIES) 6470,B100000,00000,1000,00000(PATIENT DAYS) 6470,B100000,00000,1100,00000(COSTED REQUIS) 6470,B100000,00000,1200,00000(TOTAL CHARGES) 6470,B100000,00000,1300,00000(PATIENT DAYS) 6470,B100000,00000,1301,00000(PATIENT DAYS) 6470,B100000,00000,1400,00000(ASSIGNED TIME) 6470,E10A180,00301,0100,01/27/1999 6470,E10A180,00302,0100,06/14/1999 6470,E10A180,00303,0100,02/14/2000 6470,E10A180,00350,0100,10/08/1999 6470,E10A180,00351,0100,12/09/1999 6470,S000000,00100,0200,06/02/2000 6470,S200000,00100,0100,1950 GRANDVIEW DR 6470,S200000,00200,0100,GRENADA 6470,S200000,00200,0200,MS 6470,S200000,00200,0300,38901 6470,S200000,00300,0100,GRENADA 6470,S200000,00400,0100,GRANDVIEW HEALTH CARE CENTER 6470,S200000,00400,0200,255104 6470,S200000,00400,0300,04/01/1989 6470,S200000,00400,0500,P 6470,S200000,00600,0200,255104 6470,S200000,00600,0300,04/01/1989 6470,S200000,00600,0600,P 6470,S200000,01600,0100,Y 6470,S200000,04200,0100,Y 6470,S200000,04300,0100,Y 6473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6473,A000000,00300,0000,00300EMPLOYEE BENEFITS 6473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6473,A000000,00700,0000,00700HOUSEKEEPING 6473,A000000,00800,0000,00800DIETARY 6473,A000000,00900,0000,00900NURSING ADMINISTRATION 6473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6473,A000000,01100,0000,01100PHARMACY 6473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6473,A000000,01300,0000,01300SOCIAL SERVICE 6473,A000000,01301,0000,01301ACTIVITIES 6473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6473,A000000,01600,0000,01600SKILLED NURSING FACILITY 6473,A000000,01800,0000,01800NURSING FACILITY 6473,A000000,01810,0000,01810ICF/MR 6473,A000000,02100,0000,02100RADIOLOGY 6473,A000000,02200,0000,02200LABORATORY 6473,A000000,02500,0000,02500PHYSICAL THERAPY 6473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6473,A000000,02700,0000,02700SPEECH PATHOLOGY 6473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6473,A000000,03550,0000,03550FQHC 6473,A000000,05000,0000,05000CORF 6473,A000000,05010,0000,05010CMHC 6473,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6473,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6473,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6473,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6473,A81000A,00100,0100,Y 6473,A81000B,00100,0300,HOME OFFICE COST 6473,A81000B,00400,0300,HOME OFFICE COST 6473,A81000B,00500,0300,HOME OFFICE COST 6473,A81000B,00600,0300,HOME OFFICE COST 6473,A81000B,00800,0300,HOME OFFICE COST 6473,A81000C,00100,0100,B 6473,A81000C,00100,0200,BEVERLY ENTERPR 6473,B100000,00000,0100,00000(SQUARE FEET) 6473,B100000,00000,0200,00000(SQUARE FEET) 6473,B100000,00000,0300,00000(ADJUSTED SALARIES) 6473,B100000,00000,0400,00000(ACCUM. COST) 6473,B100000,00000,0500,00000(SQUARE FEET) 6473,B100000,00000,0600,00000(PATIENT DAYS) 6473,B100000,00000,0700,00000(SQUARE FEET) 6473,B100000,00000,0800,00000(MEALS SERVED) 6473,B100000,00000,0900,00000(ADJUSTED SALARIES) 6473,B100000,00000,1000,00000(PATIENT DAYS) 6473,B100000,00000,1100,00000(COSTED REQUIS) 6473,B100000,00000,1200,00000(TOTAL CHARGES) 6473,B100000,00000,1300,00000(PATIENT DAYS) 6473,B100000,00000,1301,00000(PATIENT DAYS) 6473,B100000,00000,1400,00000(ASSIGNED TIME) 6473,E10A180,00301,0100,06/14/1999 6473,E10A180,00350,0100,01/27/1999 6473,E10A180,00351,0100,10/08/1999 6473,E10A180,00352,0100,12/09/1999 6473,E10A180,00353,0100,02/14/2000 6473,S000000,00100,0200,06/02/2000 6473,S200000,00100,0100,646 EASON BLVD 6473,S200000,00200,0100,TUPELO 6473,S200000,00200,0200,MS 6473,S200000,00200,0300,38801 6473,S200000,00300,0100,LEE 6473,S200000,00400,0100,TUPELO MANOR 6473,S200000,00400,0200,255105 6473,S200000,00400,0300,04/01/1989 6473,S200000,00400,0500,P 6473,S200000,00600,0200,255105 6473,S200000,00600,0300,04/01/1989 6473,S200000,00600,0600,P 6473,S200000,01600,0100,Y 6473,S200000,04200,0100,Y 6473,S200000,04300,0100,Y 6476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6476,A000000,00300,0000,00300EMPLOYEE BENEFITS 6476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6476,A000000,00700,0000,00700HOUSEKEEPING 6476,A000000,00800,0000,00800DIETARY 6476,A000000,00900,0000,00900NURSING ADMINISTRATION 6476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6476,A000000,01100,0000,01100PHARMACY 6476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6476,A000000,01300,0000,01300SOCIAL SERVICE 6476,A000000,01301,0000,01301ACTIVITIES 6476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6476,A000000,01600,0000,01600SKILLED NURSING FACILITY 6476,A000000,01800,0000,01800NURSING FACILITY 6476,A000000,01810,0000,01810ICF/MR 6476,A000000,01900,0000,01900OTHER LONG TERM CARE 6476,A000000,02100,0000,02100RADIOLOGY 6476,A000000,02200,0000,02200LABORATORY 6476,A000000,02500,0000,02500PHYSICAL THERAPY 6476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6476,A000000,02700,0000,02700SPEECH PATHOLOGY 6476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6476,A000000,03550,0000,03550FQHC 6476,A000000,05000,0000,05000CORF 6476,A000000,05010,0000,05010CMHC 6476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6476,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6476,A81000A,00100,0100,Y 6476,A81000B,00100,0300,HOME OFFICE COST 6476,A81000B,00400,0300,HOME OFFICE COST 6476,A81000B,00500,0300,HOME OFFICE COST 6476,A81000B,00600,0300,HOME OFFICE COST 6476,A81000B,00800,0300,HOME OFFICE COST 6476,A81000C,00100,0100,B 6476,A81000C,00100,0200,BEVERLY ENTERPR 6476,B100000,00000,0100,00000(SQUARE FEET) 6476,B100000,00000,0200,00000(SQUARE FEET) 6476,B100000,00000,0300,00000(ADJUSTED SALARIES) 6476,B100000,00000,0400,00000(ACCUM. COST) 6476,B100000,00000,0500,00000(SQUARE FEET) 6476,B100000,00000,0600,00000(PATIENT DAYS) 6476,B100000,00000,0700,00000(SQUARE FEET) 6476,B100000,00000,0800,00000(MEALS SERVED) 6476,B100000,00000,0900,00000(ADJUSTED SALARIES) 6476,B100000,00000,1000,00000(PATIENT DAYS) 6476,B100000,00000,1100,00000(COSTED REQUIS) 6476,B100000,00000,1200,00000(TOTAL CHARGES) 6476,B100000,00000,1300,00000(PATIENT DAYS) 6476,B100000,00000,1301,00000(PATIENT DAYS) 6476,B100000,00000,1400,00000(ASSIGNED TIME) 6476,E10A180,00301,0100,01/27/1999 6476,E10A180,00302,0100,12/09/1999 6476,E10A180,00303,0100,02/14/2000 6476,E10A180,00350,0100,06/14/1999 6476,E10A180,00351,0100,10/08/1999 6476,S000000,00100,0200,06/02/2000 6476,S200000,00100,0100,355 CROSSGATE BLVD 6476,S200000,00200,0100,BRANDON 6476,S200000,00200,0200,MS 6476,S200000,00200,0300,39042 6476,S200000,00300,0100,RANKIN 6476,S200000,00400,0100,CROSSGATE MANOR NURSING HOME 6476,S200000,00400,0200,255106 6476,S200000,00400,0300,04/01/1989 6476,S200000,00400,0500,P 6476,S200000,00600,0200,255106 6476,S200000,00600,0300,04/01/1989 6476,S200000,00600,0600,P 6476,S200000,01600,0100,Y 6476,S200000,04300,0100,Y 6479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6479,A000000,00300,0000,00300EMPLOYEE BENEFITS 6479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6479,A000000,00700,0000,00700HOUSEKEEPING 6479,A000000,00800,0000,00800DIETARY 6479,A000000,00900,0000,00900NURSING ADMINISTRATION 6479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6479,A000000,01100,0000,01100PHARMACY 6479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6479,A000000,01300,0000,01300SOCIAL SERVICE 6479,A000000,01301,0000,01301ACTIVITIES 6479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6479,A000000,01600,0000,01600SKILLED NURSING FACILITY 6479,A000000,01800,0000,01800NURSING FACILITY 6479,A000000,01810,0000,01810ICF/MR 6479,A000000,02200,0000,02200LABORATORY 6479,A000000,02500,0000,02500PHYSICAL THERAPY 6479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6479,A000000,02700,0000,02700SPEECH PATHOLOGY 6479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6479,A000000,03550,0000,03550FQHC 6479,A000000,05000,0000,05000CORF 6479,A000000,05010,0000,05010CMHC 6479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6479,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6479,A81000A,00100,0100,Y 6479,A81000B,00100,0300,HOME OFFICE COST 6479,A81000B,00400,0300,HOME OFFICE COST 6479,A81000B,00500,0300,HOME OFFICE COST 6479,A81000B,00600,0300,HOME OFFICE COST 6479,A81000B,00800,0300,HOME OFFICE COST 6479,A81000C,00100,0100,B 6479,A81000C,00100,0200,BEVERLY ENTERPR 6479,B100000,00000,0100,00000(SQUARE FEET) 6479,B100000,00000,0200,00000(SQUARE FEET) 6479,B100000,00000,0300,00000(ADJUSTED SALARIES) 6479,B100000,00000,0400,00000(ACCUM. COST) 6479,B100000,00000,0500,00000(SQUARE FEET) 6479,B100000,00000,0600,00000(PATIENT DAYS) 6479,B100000,00000,0700,00000(SQUARE FEET) 6479,B100000,00000,0800,00000(MEALS SERVED) 6479,B100000,00000,0900,00000(ADJUSTED SALARIES) 6479,B100000,00000,1000,00000(PATIENT DAYS) 6479,B100000,00000,1100,00000(COSTED REQUIS) 6479,B100000,00000,1200,00000(TOTAL CHARGES) 6479,B100000,00000,1300,00000(PATIENT DAYS) 6479,B100000,00000,1301,00000(PATIENT DAYS) 6479,B100000,00000,1400,00000(ASSIGNED TIME) 6479,E10A180,00301,0100,12/09/1999 6479,E10A180,00350,0100,01/27/1999 6479,E10A180,00351,0100,06/14/1999 6479,E10A180,00352,0100,10/08/1999 6479,E10A180,00353,0100,02/14/2000 6479,S000000,00100,0200,06/02/2000 6479,S200000,00100,0100,1101 E FRANKLIN 6479,S200000,00200,0100,CARTHAGE 6479,S200000,00200,0200,MS 6479,S200000,00200,0300,39051 6479,S200000,00300,0100,LEAKE 6479,S200000,00400,0100,CARTHAGE HEALTH CARE CENTER (817) 6479,S200000,00400,0200,255108 6479,S200000,00400,0300,04/01/1989 6479,S200000,00400,0500,P 6479,S200000,00600,0200,255108 6479,S200000,00600,0300,04/01/1989 6479,S200000,00600,0600,P 6479,S200000,01600,0100,Y 6479,S200000,04300,0100,Y 6482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6482,A000000,00300,0000,00300EMPLOYEE BENEFITS 6482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6482,A000000,00700,0000,00700HOUSEKEEPING 6482,A000000,00800,0000,00800DIETARY 6482,A000000,00900,0000,00900NURSING ADMINISTRATION 6482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6482,A000000,01100,0000,01100PHARMACY 6482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6482,A000000,01300,0000,01300SOCIAL SERVICE 6482,A000000,01301,0000,01301ACTIVITIES 6482,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6482,A000000,01600,0000,01600SKILLED NURSING FACILITY 6482,A000000,01800,0000,01800NURSING FACILITY 6482,A000000,01810,0000,01810ICF/MR 6482,A000000,02200,0000,02200LABORATORY 6482,A000000,02500,0000,02500PHYSICAL THERAPY 6482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6482,A000000,02700,0000,02700SPEECH PATHOLOGY 6482,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6482,A000000,03550,0000,03550FQHC 6482,A000000,05000,0000,05000CORF 6482,A000000,05010,0000,05010CMHC 6482,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6482,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6482,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6482,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6482,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6482,A81000A,00100,0100,Y 6482,A81000B,00100,0300,HOME OFFICE COST 6482,A81000B,00400,0300,HOME OFFICE COST 6482,A81000B,00500,0300,HOME OFFICE COST 6482,A81000B,00600,0300,HOME OFFICE COST 6482,A81000B,00800,0300,HOME OFFICE COST 6482,A81000C,00100,0100,B 6482,A81000C,00100,0200,BEVERLY ENTERPR 6482,B100000,00000,0100,00000(SQUARE FEET) 6482,B100000,00000,0200,00000(SQUARE FEET) 6482,B100000,00000,0300,00000(ADJUSTED SALARIES) 6482,B100000,00000,0400,00000(ACCUM. COST) 6482,B100000,00000,0500,00000(SQUARE FEET) 6482,B100000,00000,0600,00000(PATIENT DAYS) 6482,B100000,00000,0700,00000(SQUARE FEET) 6482,B100000,00000,0800,00000(MEALS SERVED) 6482,B100000,00000,0900,00000(ADJUSTED SALARIES) 6482,B100000,00000,1000,00000(PATIENT DAYS) 6482,B100000,00000,1100,00000(COSTED REQUIS) 6482,B100000,00000,1200,00000(TOTAL CHARGES) 6482,B100000,00000,1300,00000(PATIENT DAYS) 6482,B100000,00000,1301,00000(PATIENT DAYS) 6482,B100000,00000,1400,00000(ASSIGNED TIME) 6482,E10A180,00301,0100,01/27/1999 6482,E10A180,00302,0100,06/14/1999 6482,E10A180,00303,0100,10/08/1999 6482,E10A180,00304,0100,02/14/2000 6482,E10A180,00350,0100,12/09/1999 6482,S000000,00100,0200,06/02/2000 6482,S200000,00100,0100,1730 DORCHESTER DRIVE 6482,S200000,00200,0100,SOUTHAVEN 6482,S200000,00200,0200,MS 6482,S200000,00200,0300,38671 6482,S200000,00300,0100,DESOTO 6482,S200000,00400,0100,SOUTHAVEN HEALTH CARE CENTER 6482,S200000,00400,0200,255109 6482,S200000,00400,0300,04/01/1989 6482,S200000,00400,0500,P 6482,S200000,00600,0200,255109 6482,S200000,00600,0300,04/01/1989 6482,S200000,00600,0600,P 6482,S200000,01600,0100,Y 6485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6485,A000000,00300,0000,00300EMPLOYEE BENEFITS 6485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6485,A000000,00700,0000,00700HOUSEKEEPING 6485,A000000,00800,0000,00800DIETARY 6485,A000000,00900,0000,00900NURSING ADMINISTRATION 6485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6485,A000000,01100,0000,01100PHARMACY 6485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6485,A000000,01300,0000,01300SOCIAL SERVICE 6485,A000000,01301,0000,01301ACTIVITIES 6485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6485,A000000,01600,0000,01600SKILLED NURSING FACILITY 6485,A000000,01800,0000,01800NURSING FACILITY 6485,A000000,01810,0000,01810ICF/MR 6485,A000000,02200,0000,02200LABORATORY 6485,A000000,02500,0000,02500PHYSICAL THERAPY 6485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6485,A000000,02700,0000,02700SPEECH PATHOLOGY 6485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6485,A000000,03550,0000,03550FQHC 6485,A000000,05000,0000,05000CORF 6485,A000000,05010,0000,05010CMHC 6485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6485,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6485,A81000A,00100,0100,Y 6485,A81000B,00100,0300,HOME OFFICE COST 6485,A81000B,00400,0300,HOME OFFICE COST 6485,A81000B,00500,0300,HOME OFFICE COST 6485,A81000B,00600,0300,HOME OFFICE COST 6485,A81000B,00800,0300,HOME OFFICE COST 6485,A81000C,00100,0100,B 6485,A81000C,00100,0200,BEVERLY ENTERPR 6485,B100000,00000,0100,00000(SQUARE FEET) 6485,B100000,00000,0200,00000(SQUARE FEET) 6485,B100000,00000,0300,00000(ADJUSTED SALARIES) 6485,B100000,00000,0400,00000(ACCUM. COST) 6485,B100000,00000,0500,00000(SQUARE FEET) 6485,B100000,00000,0600,00000(PATIENT DAYS) 6485,B100000,00000,0700,00000(SQUARE FEET) 6485,B100000,00000,0800,00000(MEALS SERVED) 6485,B100000,00000,0900,00000(ADJUSTED SALARIES) 6485,B100000,00000,1000,00000(PATIENT DAYS) 6485,B100000,00000,1100,00000(COSTED REQUIS) 6485,B100000,00000,1200,00000(TOTAL CHARGES) 6485,B100000,00000,1300,00000(PATIENT DAYS) 6485,B100000,00000,1301,00000(PATIENT DAYS) 6485,B100000,00000,1400,00000(ASSIGNED TIME) 6485,E10A180,00301,0100,06/14/1999 6485,E10A180,00302,0100,10/08/1999 6485,E10A180,00303,0100,02/14/2000 6485,E10A180,00350,0100,01/27/1999 6485,E10A180,00351,0100,12/09/1999 6485,S000000,00100,0200,06/02/2000 6485,S200000,00100,0100,800 STANSEL DR 6485,S200000,00200,0100,RULEVILLE 6485,S200000,00200,0200,MS 6485,S200000,00200,0300,38771 6485,S200000,00300,0100,SUNFLOWER 6485,S200000,00400,0100,RULEVILLE HEALTH CARE CENTER 6485,S200000,00400,0200,255113 6485,S200000,00400,0300,06/01/1989 6485,S200000,00400,0500,P 6485,S200000,00600,0200,255113 6485,S200000,00600,0300,06/01/1989 6485,S200000,00600,0600,P 6485,S200000,01600,0100,Y 6485,S200000,04200,0100,Y 6485,S200000,04300,0100,Y 6488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6488,A000000,00300,0000,00300EMPLOYEE BENEFITS 6488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6488,A000000,00700,0000,00700HOUSEKEEPING 6488,A000000,00800,0000,00800DIETARY 6488,A000000,00900,0000,00900NURSING ADMINISTRATION 6488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6488,A000000,01100,0000,01100PHARMACY 6488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6488,A000000,01300,0000,01300SOCIAL SERVICE 6488,A000000,01301,0000,01301ACTIVITIES 6488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6488,A000000,01600,0000,01600SKILLED NURSING FACILITY 6488,A000000,01800,0000,01800NURSING FACILITY 6488,A000000,01810,0000,01810ICF/MR 6488,A000000,02200,0000,02200LABORATORY 6488,A000000,02500,0000,02500PHYSICAL THERAPY 6488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6488,A000000,02700,0000,02700SPEECH PATHOLOGY 6488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6488,A000000,03550,0000,03550FQHC 6488,A000000,05000,0000,05000CORF 6488,A000000,05010,0000,05010CMHC 6488,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6488,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6488,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6488,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6488,A81000A,00100,0100,Y 6488,A81000B,00100,0300,HOME OFFICE COST 6488,A81000B,00400,0300,HOME OFFICE COST 6488,A81000B,00500,0300,HOME OFFICE COST 6488,A81000B,00600,0300,HOME OFFICE COST 6488,A81000B,00800,0300,HOME OFFICE COST 6488,A81000C,00100,0100,B 6488,A81000C,00100,0200,BEVERLY ENTERPR 6488,B100000,00000,0100,00000(SQUARE FEET) 6488,B100000,00000,0200,00000(SQUARE FEET) 6488,B100000,00000,0300,00000(ADJUSTED SALARIES) 6488,B100000,00000,0400,00000(ACCUM. COST) 6488,B100000,00000,0500,00000(SQUARE FEET) 6488,B100000,00000,0600,00000(PATIENT DAYS) 6488,B100000,00000,0700,00000(SQUARE FEET) 6488,B100000,00000,0800,00000(MEALS SERVED) 6488,B100000,00000,0900,00000(ADJUSTED SALARIES) 6488,B100000,00000,1000,00000(PATIENT DAYS) 6488,B100000,00000,1100,00000(COSTED REQUIS) 6488,B100000,00000,1200,00000(TOTAL CHARGES) 6488,B100000,00000,1300,00000(PATIENT DAYS) 6488,B100000,00000,1301,00000(PATIENT DAYS) 6488,B100000,00000,1400,00000(ASSIGNED TIME) 6488,E10A180,00301,0100,06/14/1999 6488,E10A180,00302,0100,02/14/2000 6488,E10A180,00350,0100,01/27/1999 6488,E10A180,00351,0100,10/08/1999 6488,E10A180,00352,0100,12/09/1999 6488,S000000,00100,0200,06/02/2000 6488,S200000,00100,0100,RT 2 HWY 8 EAST 6488,S200000,00200,0100,CLEVELAND 6488,S200000,00200,0200,MS 6488,S200000,00200,0300,38732 6488,S200000,00300,0100,BOLIVAR 6488,S200000,00400,0100,CLEVELAND HEALTH CARE CENTER 6488,S200000,00400,0200,255114 6488,S200000,00400,0300,06/01/1989 6488,S200000,00400,0500,P 6488,S200000,00600,0200,255114 6488,S200000,00600,0300,06/01/1989 6488,S200000,00600,0600,P 6488,S200000,01600,0100,Y 6488,S200000,04200,0100,Y 6488,S200000,04300,0100,Y 6491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6491,A000000,00300,0000,00300EMPLOYEE BENEFITS 6491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6491,A000000,00700,0000,00700HOUSEKEEPING 6491,A000000,00800,0000,00800DIETARY 6491,A000000,00900,0000,00900NURSING ADMINISTRATION 6491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6491,A000000,01100,0000,01100PHARMACY 6491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6491,A000000,01300,0000,01300SOCIAL SERVICE 6491,A000000,01301,0000,01301ACTIVITIES 6491,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6491,A000000,01600,0000,01600SKILLED NURSING FACILITY 6491,A000000,01800,0000,01800NURSING FACILITY 6491,A000000,01810,0000,01810ICF/MR 6491,A000000,02100,0000,02100RADIOLOGY 6491,A000000,02200,0000,02200LABORATORY 6491,A000000,02500,0000,02500PHYSICAL THERAPY 6491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6491,A000000,02700,0000,02700SPEECH PATHOLOGY 6491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6491,A000000,03550,0000,03550FQHC 6491,A000000,05000,0000,05000CORF 6491,A000000,05010,0000,05010CMHC 6491,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6491,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6491,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6491,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6491,A81000A,00100,0100,Y 6491,A81000B,00100,0300,HOME OFFICE COST 6491,A81000B,00400,0300,HOME OFFICE COST 6491,A81000B,00500,0300,HOME OFFICE COST 6491,A81000B,00600,0300,HOME OFFICE COST 6491,A81000B,00800,0300,HOME OFFICE COST 6491,A81000C,00100,0100,B 6491,A81000C,00100,0200,BEVERLY ENTERPR 6491,B100000,00000,0100,00000(SQUARE FEET) 6491,B100000,00000,0200,00000(SQUARE FEET) 6491,B100000,00000,0300,00000(ADJUSTED SALARIES) 6491,B100000,00000,0400,00000(ACCUM. COST) 6491,B100000,00000,0500,00000(SQUARE FEET) 6491,B100000,00000,0600,00000(PATIENT DAYS) 6491,B100000,00000,0700,00000(SQUARE FEET) 6491,B100000,00000,0800,00000(MEALS SERVED) 6491,B100000,00000,0900,00000(ADJUSTED SALARIES) 6491,B100000,00000,1000,00000(PATIENT DAYS) 6491,B100000,00000,1100,00000(COSTED REQUIS) 6491,B100000,00000,1200,00000(TOTAL CHARGES) 6491,B100000,00000,1300,00000(PATIENT DAYS) 6491,B100000,00000,1301,00000(PATIENT DAYS) 6491,B100000,00000,1400,00000(ASSIGNED TIME) 6491,E10A180,00301,0100,06/14/1999 6491,E10A180,00302,0100,10/08/1999 6491,E10A180,00303,0100,02/14/2000 6491,E10A180,00350,0100,01/27/1999 6491,E10A180,00351,0100,12/09/1999 6491,S000000,00100,0200,06/02/2000 6491,S200000,00100,0100,4540 MANHATTAN RD 6491,S200000,00200,0100,JACKSON 6491,S200000,00200,0200,MS 6491,S200000,00200,0300,39206 6491,S200000,00300,0100,HINES 6491,S200000,00400,0100,MANHATTAN HEALTH CARE CENTER 6491,S200000,00400,0200,255115 6491,S200000,00400,0300,06/01/1989 6491,S200000,00400,0500,P 6491,S200000,00600,0200,255115 6491,S200000,00600,0300,06/01/1989 6491,S200000,00600,0600,P 6491,S200000,01600,0100,Y 6491,S200000,04300,0100,Y 6494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6494,A000000,00300,0000,00300EMPLOYEE BENEFITS 6494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6494,A000000,00700,0000,00700HOUSEKEEPING 6494,A000000,00800,0000,00800DIETARY 6494,A000000,00900,0000,00900NURSING ADMINISTRATION 6494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6494,A000000,01100,0000,01100PHARMACY 6494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6494,A000000,01300,0000,01300SOCIAL SERVICE 6494,A000000,01301,0000,01301ACTIVITIES 6494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6494,A000000,01600,0000,01600SKILLED NURSING FACILITY 6494,A000000,01800,0000,01800NURSING FACILITY 6494,A000000,01810,0000,01810ICF/MR 6494,A000000,02100,0000,02100RADIOLOGY 6494,A000000,02200,0000,02200LABORATORY 6494,A000000,02500,0000,02500PHYSICAL THERAPY 6494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6494,A000000,02700,0000,02700SPEECH PATHOLOGY 6494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6494,A000000,03550,0000,03550FQHC 6494,A000000,05000,0000,05000CORF 6494,A000000,05010,0000,05010CMHC 6494,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6494,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6494,A81000A,00100,0100,Y 6494,A81000B,00100,0300,HOME OFFICE COST 6494,A81000B,00400,0300,HOME OFFICE COST 6494,A81000B,00500,0300,HOME OFFICE COST 6494,A81000B,00600,0300,HOME OFFICE COST 6494,A81000B,00800,0300,HOME OFFICE COST 6494,A81000C,00100,0100,B 6494,A81000C,00100,0200,BEVERLY ENTERPR 6494,B100000,00000,0100,00000(SQUARE FEET) 6494,B100000,00000,0200,00000(SQUARE FEET) 6494,B100000,00000,0300,00000(ADJUSTED SALARIES) 6494,B100000,00000,0400,00000(ACCUM. COST) 6494,B100000,00000,0500,00000(SQUARE FEET) 6494,B100000,00000,0600,00000(PATIENT DAYS) 6494,B100000,00000,0700,00000(SQUARE FEET) 6494,B100000,00000,0800,00000(MEALS SERVED) 6494,B100000,00000,0900,00000(ADJUSTED SALARIES) 6494,B100000,00000,1000,00000(PATIENT DAYS) 6494,B100000,00000,1100,00000(COSTED REQUIS) 6494,B100000,00000,1200,00000(TOTAL CHARGES) 6494,B100000,00000,1300,00000(PATIENT DAYS) 6494,B100000,00000,1301,00000(PATIENT DAYS) 6494,B100000,00000,1400,00000(ASSIGNED TIME) 6494,E10A180,00301,0100,06/14/1999 6494,E10A180,00302,0100,10/08/1999 6494,E10A180,00303,0100,12/09/1999 6494,E10A180,00304,0100,02/14/2000 6494,S000000,00100,0200,06/02/2000 6494,S200000,00100,0100,3680 LAKELAND LANE 6494,S200000,00200,0100,JACKSON 6494,S200000,00200,0200,MS 6494,S200000,00200,0300,39216 6494,S200000,00300,0100,HINES 6494,S200000,00400,0100,LAKELAND NURSING CENTER 6494,S200000,00400,0200,255116 6494,S200000,00400,0300,06/01/1989 6494,S200000,00400,0500,P 6494,S200000,00600,0200,255116 6494,S200000,00600,0300,06/01/1989 6494,S200000,00600,0600,P 6494,S200000,01600,0100,Y 6494,S200000,04300,0100,Y 6497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6497,A000000,00300,0000,00300EMPLOYEE BENEFITS 6497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6497,A000000,00700,0000,00700HOUSEKEEPING 6497,A000000,00800,0000,00800DIETARY 6497,A000000,00900,0000,00900NURSING ADMINISTRATION 6497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6497,A000000,01100,0000,01100PHARMACY 6497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6497,A000000,01300,0000,01300SOCIAL SERVICE 6497,A000000,01301,0000,01301ACTIVITIES 6497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6497,A000000,01600,0000,01600SKILLED NURSING FACILITY 6497,A000000,01800,0000,01800NURSING FACILITY 6497,A000000,01810,0000,01810ICF/MR 6497,A000000,01900,0000,01900OTHER LONG TERM CARE 6497,A000000,02100,0000,02100RADIOLOGY 6497,A000000,02200,0000,02200LABORATORY 6497,A000000,02500,0000,02500PHYSICAL THERAPY 6497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6497,A000000,02700,0000,02700SPEECH PATHOLOGY 6497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6497,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6497,A000000,03550,0000,03550FQHC 6497,A000000,05000,0000,05000CORF 6497,A000000,05010,0000,05010CMHC 6497,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6497,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6497,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6497,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6497,A81000A,00100,0100,Y 6497,A81000B,00100,0300,HOME OFFICE COST 6497,A81000B,00400,0300,HOME OFFICE COST 6497,A81000B,00500,0300,HOME OFFICE COST 6497,A81000B,00600,0300,HOME OFFICE COST 6497,A81000B,00800,0300,HOME OFFICE COST 6497,A81000C,00100,0100,B 6497,A81000C,00100,0200,BEVERLY ENTERPR 6497,B100000,00000,0100,00000(SQUARE FEET) 6497,B100000,00000,0200,00000(SQUARE FEET) 6497,B100000,00000,0300,00000(ADJUSTED SALARIES) 6497,B100000,00000,0400,00000(ACCUM. COST) 6497,B100000,00000,0500,00000(SQUARE FEET) 6497,B100000,00000,0600,00000(PATIENT DAYS) 6497,B100000,00000,0700,00000(SQUARE FEET) 6497,B100000,00000,0800,00000(MEALS SERVED) 6497,B100000,00000,0900,00000(ADJUSTED SALARIES) 6497,B100000,00000,1000,00000(PATIENT DAYS) 6497,B100000,00000,1100,00000(COSTED REQUIS) 6497,B100000,00000,1200,00000(TOTAL CHARGES) 6497,B100000,00000,1300,00000(PATIENT DAYS) 6497,B100000,00000,1301,00000(PATIENT DAYS) 6497,B100000,00000,1400,00000(ASSIGNED TIME) 6497,E10A180,00301,0100,10/08/1999 6497,E10A180,00302,0100,12/09/1999 6497,E10A180,00303,0100,02/14/2000 6497,E10A180,00350,0100,01/27/1999 6497,E10A180,00351,0100,06/14/1999 6497,S000000,00100,0200,06/02/2000 6497,S200000,00100,0100,200 WALNUT AVENUE 6497,S200000,00200,0100,EUPORA 6497,S200000,00200,0200,MS 6497,S200000,00200,0300,39744 6497,S200000,00300,0100,WEBSTER 6497,S200000,00400,0100,EUPORA HEALTH CARE CENTER 6497,S200000,00400,0200,255117 6497,S200000,00400,0300,06/01/1989 6497,S200000,00400,0500,P 6497,S200000,00600,0200,255117 6497,S200000,00600,0300,06/01/1989 6497,S200000,00600,0600,P 6497,S200000,01600,0100,Y 6497,S200000,04300,0100,Y 6500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6500,A000000,00300,0000,00300EMPLOYEE BENEFITS 6500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6500,A000000,00700,0000,00700HOUSEKEEPING 6500,A000000,00800,0000,00800DIETARY 6500,A000000,00900,0000,00900NURSING ADMINISTRATION 6500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6500,A000000,01100,0000,01100PHARMACY 6500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6500,A000000,01300,0000,01300SOCIAL SERVICE 6500,A000000,01301,0000,01301ACTIVITIES 6500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6500,A000000,01600,0000,01600SKILLED NURSING FACILITY 6500,A000000,01800,0000,01800NURSING FACILITY 6500,A000000,01810,0000,01810ICF/MR 6500,A000000,02100,0000,02100RADIOLOGY 6500,A000000,02200,0000,02200LABORATORY 6500,A000000,02500,0000,02500PHYSICAL THERAPY 6500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6500,A000000,02700,0000,02700SPEECH PATHOLOGY 6500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6500,A000000,03550,0000,03550FQHC 6500,A000000,05000,0000,05000CORF 6500,A000000,05010,0000,05010CMHC 6500,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6500,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6500,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6500,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6500,A81000A,00100,0100,Y 6500,A81000B,00100,0300,HOME OFFICE COST 6500,A81000B,00400,0300,HOME OFFICE COST 6500,A81000B,00500,0300,HOME OFFICE COST 6500,A81000B,00600,0300,HOME OFFICE COST 6500,A81000B,00800,0300,HOME OFFICE COST 6500,A81000C,00100,0100,B 6500,A81000C,00100,0200,BEVERLY ENTERPR 6500,B100000,00000,0100,00000(SQUARE FEET) 6500,B100000,00000,0200,00000(SQUARE FEET) 6500,B100000,00000,0300,00000(ADJUSTED SALARIES) 6500,B100000,00000,0400,00000(ACCUM. COST) 6500,B100000,00000,0500,00000(SQUARE FEET) 6500,B100000,00000,0600,00000(PATIENT DAYS) 6500,B100000,00000,0700,00000(SQUARE FEET) 6500,B100000,00000,0800,00000(MEALS SERVED) 6500,B100000,00000,0900,00000(ADJUSTED SALARIES) 6500,B100000,00000,1000,00000(PATIENT DAYS) 6500,B100000,00000,1100,00000(COSTED REQUIS) 6500,B100000,00000,1200,00000(TOTAL CHARGES) 6500,B100000,00000,1300,00000(PATIENT DAYS) 6500,B100000,00000,1301,00000(PATIENT DAYS) 6500,B100000,00000,1400,00000(ASSIGNED TIME) 6500,E10A180,00301,0100,06/14/1999 6500,E10A180,00302,0100,02/14/2000 6500,E10A180,00350,0100,01/27/1999 6500,E10A180,00351,0100,10/08/1999 6500,E10A180,00352,0100,12/09/1999 6500,S000000,00100,0200,06/02/2000 6500,S200000,00100,0100,4728 MISS HWY 39 N 6500,S200000,00200,0100,MERIDIAN 6500,S200000,00200,0200,MS 6500,S200000,00200,0300,39301 6500,S200000,00300,0100,LAUDERDALE 6500,S200000,00400,0100,BROADMOOR HEALTH CARE CENTER 6500,S200000,00400,0200,255118 6500,S200000,00400,0300,06/01/1989 6500,S200000,00400,0500,P 6500,S200000,00600,0200,255118 6500,S200000,00600,0300,06/01/1989 6500,S200000,00600,0600,P 6500,S200000,01600,0100,Y 6500,S200000,04200,0100,Y 6500,S200000,04300,0100,Y 6503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6503,A000000,00300,0000,00300EMPLOYEE BENEFITS 6503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6503,A000000,00700,0000,00700HOUSEKEEPING 6503,A000000,00800,0000,00800DIETARY 6503,A000000,00900,0000,00900NURSING ADMINISTRATION 6503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6503,A000000,01100,0000,01100PHARMACY 6503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6503,A000000,01300,0000,01300SOCIAL SERVICE 6503,A000000,01301,0000,01301ACTIVITIES 6503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6503,A000000,01600,0000,01600SKILLED NURSING FACILITY 6503,A000000,01800,0000,01800NURSING FACILITY 6503,A000000,01810,0000,01810ICF/MR 6503,A000000,02100,0000,02100RADIOLOGY 6503,A000000,02200,0000,02200LABORATORY 6503,A000000,02500,0000,02500PHYSICAL THERAPY 6503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6503,A000000,02700,0000,02700SPEECH PATHOLOGY 6503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6503,A000000,03550,0000,03550FQHC 6503,A000000,05000,0000,05000CORF 6503,A000000,05010,0000,05010CMHC 6503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6503,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6503,A81000A,00100,0100,Y 6503,A81000B,00100,0300,HOME OFFICE COST 6503,A81000B,00400,0300,HOME OFFICE COST 6503,A81000B,00500,0300,HOME OFFICE COST 6503,A81000B,00600,0300,HOME OFFICE COST 6503,A81000B,00800,0300,HOME OFFICE COST 6503,A81000C,00100,0100,B 6503,A81000C,00100,0200,BEVERLY ENTERPR 6503,B100000,00000,0100,00000(SQUARE FEET) 6503,B100000,00000,0200,00000(SQUARE FEET) 6503,B100000,00000,0300,00000(ADJUSTED SALARIES) 6503,B100000,00000,0400,00000(ACCUM. COST) 6503,B100000,00000,0500,00000(SQUARE FEET) 6503,B100000,00000,0600,00000(PATIENT DAYS) 6503,B100000,00000,0700,00000(SQUARE FEET) 6503,B100000,00000,0800,00000(MEALS SERVED) 6503,B100000,00000,0900,00000(ADJUSTED SALARIES) 6503,B100000,00000,1000,00000(PATIENT DAYS) 6503,B100000,00000,1100,00000(COSTED REQUIS) 6503,B100000,00000,1200,00000(TOTAL CHARGES) 6503,B100000,00000,1300,00000(PATIENT DAYS) 6503,B100000,00000,1301,00000(PATIENT DAYS) 6503,B100000,00000,1400,00000(ASSIGNED TIME) 6503,E10A180,00301,0100,06/14/1999 6503,E10A180,00302,0100,02/14/2000 6503,E10A180,00350,0100,01/27/1999 6503,E10A180,00351,0100,10/08/1999 6503,E10A180,00352,0100,12/09/1999 6503,S000000,00100,0200,06/02/2000 6503,S200000,00100,0100,1215 S BLVD DR 6503,S200000,00200,0100,AMORY 6503,S200000,00200,0200,MS 6503,S200000,00200,0300,38821 6503,S200000,00300,0100,MONROE 6503,S200000,00400,0100,AMORY MANOR (034) 6503,S200000,00400,0200,255119 6503,S200000,00400,0300,06/01/1989 6503,S200000,00400,0500,P 6503,S200000,00600,0200,255119 6503,S200000,00600,0300,06/01/1989 6503,S200000,00600,0600,P 6503,S200000,01600,0100,Y 6503,S200000,04200,0100,Y 6503,S200000,04300,0100,Y 6506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6506,A000000,00300,0000,00300EMPLOYEE BENEFITS 6506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6506,A000000,00700,0000,00700HOUSEKEEPING 6506,A000000,00800,0000,00800DIETARY 6506,A000000,00900,0000,00900NURSING ADMINISTRATION 6506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6506,A000000,01100,0000,01100PHARMACY 6506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6506,A000000,01300,0000,01300SOCIAL SERVICE 6506,A000000,01301,0000,01301ACTIVITIES 6506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6506,A000000,01600,0000,01600SKILLED NURSING FACILITY 6506,A000000,01800,0000,01800NURSING FACILITY 6506,A000000,01810,0000,01810ICF/MR 6506,A000000,02100,0000,02100RADIOLOGY 6506,A000000,02200,0000,02200LABORATORY 6506,A000000,02500,0000,02500PHYSICAL THERAPY 6506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6506,A000000,02700,0000,02700SPEECH PATHOLOGY 6506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6506,A000000,03550,0000,03550FQHC 6506,A000000,05000,0000,05000CORF 6506,A000000,05010,0000,05010CMHC 6506,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6506,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6506,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6506,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6506,A81000A,00100,0100,Y 6506,A81000B,00100,0300,HOME OFFICE COST 6506,A81000B,00400,0300,HOME OFFICE COST 6506,A81000B,00500,0300,HOME OFFICE COST 6506,A81000B,00600,0300,HOME OFFICE COST 6506,A81000B,00800,0300,HOME OFFICE COST 6506,A81000C,00100,0100,B 6506,A81000C,00100,0200,BEVERLY ENTERPR 6506,B100000,00000,0100,00000(SQUARE FEET) 6506,B100000,00000,0200,00000(SQUARE FEET) 6506,B100000,00000,0300,00000(ADJUSTED SALARIES) 6506,B100000,00000,0400,00000(ACCUM. COST) 6506,B100000,00000,0500,00000(SQUARE FEET) 6506,B100000,00000,0600,00000(PATIENT DAYS) 6506,B100000,00000,0700,00000(SQUARE FEET) 6506,B100000,00000,0800,00000(MEALS SERVED) 6506,B100000,00000,0900,00000(ADJUSTED SALARIES) 6506,B100000,00000,1000,00000(PATIENT DAYS) 6506,B100000,00000,1100,00000(COSTED REQUIS) 6506,B100000,00000,1200,00000(TOTAL CHARGES) 6506,B100000,00000,1300,00000(PATIENT DAYS) 6506,B100000,00000,1301,00000(PATIENT DAYS) 6506,B100000,00000,1400,00000(ASSIGNED TIME) 6506,E10A180,00350,0100,06/14/1999 6506,E10A180,00351,0100,10/08/1999 6506,E10A180,00352,0100,12/09/1999 6506,E10A180,00353,0100,02/14/2000 6506,S000000,00100,0200,06/02/2000 6506,S200000,00100,0100,1900 CHADWICK DRIVE 6506,S200000,00200,0100,JACKSON 6506,S200000,00200,0200,MS 6506,S200000,00200,0300,39204 6506,S200000,00300,0100,HINDS 6506,S200000,00400,0100,INGLEWOOD MANOR NURSING HOME 6506,S200000,00400,0200,255125 6506,S200000,00400,0300,10/01/1989 6506,S200000,00400,0500,P 6506,S200000,00600,0200,255125 6506,S200000,00600,0300,10/01/1989 6506,S200000,00600,0600,P 6506,S200000,01600,0100,Y 6506,S200000,04300,0100,Y 6509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6509,A000000,00300,0000,00300EMPLOYEE BENEFITS 6509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6509,A000000,00700,0000,00700HOUSEKEEPING 6509,A000000,00800,0000,00800DIETARY 6509,A000000,00900,0000,00900NURSING ADMINISTRATION 6509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6509,A000000,01100,0000,01100PHARMACY 6509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6509,A000000,01300,0000,01300SOCIAL SERVICE 6509,A000000,01301,0000,01301ACTIVITIES 6509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6509,A000000,01600,0000,01600SKILLED NURSING FACILITY 6509,A000000,01800,0000,01800NURSING FACILITY 6509,A000000,01810,0000,01810ICF/MR 6509,A000000,02500,0000,02500PHYSICAL THERAPY 6509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6509,A000000,02700,0000,02700SPEECH PATHOLOGY 6509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6509,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 6509,A000000,03550,0000,03550FQHC 6509,A000000,05000,0000,05000CORF 6509,A000000,05010,0000,05010CMHC 6509,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6509,A000000,06150,0000,06300OTHER NON REIMBURSABLLE COSTS 6509,A81000A,00100,0100,Y 6509,A81000B,00100,0300,HOME OFFICE COST 6509,A81000B,00400,0300,HOME OFFICE COST 6509,A81000B,00500,0300,HOME OFFICE COST 6509,A81000B,00600,0300,HOME OFFICE COST 6509,A81000B,00800,0300,HOME OFFICE COST 6509,A81000C,00100,0100,B 6509,A81000C,00100,0200,BEVERLY ENTERPR 6509,B100000,00000,0100,00000(SQUARE FEET) 6509,B100000,00000,0200,00000(SQUARE FEET) 6509,B100000,00000,0300,00000(ADJUSTED SALARIES) 6509,B100000,00000,0400,00000(ACCUM. COST) 6509,B100000,00000,0500,00000(SQUARE FEET) 6509,B100000,00000,0600,00000(PATIENT DAYS) 6509,B100000,00000,0700,00000(SQUARE FEET) 6509,B100000,00000,0800,00000(MEALS SERVED) 6509,B100000,00000,0900,00000(ADJUSTED SALARIES) 6509,B100000,00000,1000,00000(PATIENT DAYS) 6509,B100000,00000,1100,00000(COSTED REQUIS) 6509,B100000,00000,1200,00000(TOTAL CHARGES) 6509,B100000,00000,1300,00000(PATIENT DAYS) 6509,B100000,00000,1301,00000(PATIENT DAYS) 6509,B100000,00000,1400,00000(ASSIGNED TIME) 6509,E10A180,00301,0100,01/27/1999 6509,E10A180,00350,0100,06/14/1999 6509,E10A180,00351,0100,10/08/1999 6509,E10A180,00352,0100,12/09/1999 6509,E10A180,00353,0100,02/14/2000 6509,S000000,00100,0200,06/02/2000 6509,S200000,00100,0100,188 LAFAYETTE STREET 6509,S200000,00200,0100,CENTREVILLE 6509,S200000,00200,0200,MS 6509,S200000,00200,0300,39631 6509,S200000,00300,0100,WILKINSON 6509,S200000,00400,0100,CENTREVILLE HEALTH CARE CENTER 6509,S200000,00400,0200,255126 6509,S200000,00400,0300,06/01/1989 6509,S200000,00400,0500,P 6509,S200000,00600,0200,255126 6509,S200000,00600,0300,06/01/1989 6509,S200000,00600,0600,P 6509,S200000,01600,0100,Y 6509,S200000,04200,0100,Y 6509,S200000,04300,0100,Y 6512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6512,A000000,00300,0000,00300EMPLOYEE BENEFITS 6512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6512,A000000,00700,0000,00700HOUSEKEEPING 6512,A000000,00800,0000,00800DIETARY 6512,A000000,00900,0000,00900NURSING ADMINISTRATION 6512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6512,A000000,01100,0000,01100PHARMACY 6512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6512,A000000,01300,0000,01300SOCIAL SERVICE 6512,A000000,01301,0000,01301ACTIVITIES 6512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6512,A000000,01600,0000,01600SKILLED NURSING FACILITY 6512,A000000,01800,0000,01800NURSING FACILITY 6512,A000000,01810,0000,01810ICF/MR 6512,A000000,02100,0000,02100RADIOLOGY 6512,A000000,02500,0000,02500PHYSICAL THERAPY 6512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6512,A000000,02700,0000,02700SPEECH PATHOLOGY 6512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6512,A000000,03550,0000,03550FQHC 6512,A000000,05000,0000,05000CORF 6512,A000000,05010,0000,05010CMHC 6512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6512,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6512,A81000A,00100,0100,Y 6512,A81000B,00100,0300,HOME OFFICE COST 6512,A81000B,00400,0300,HOME OFFICE COST 6512,A81000B,00500,0300,HOME OFFICE COST 6512,A81000B,00600,0300,HOME OFFICE COST 6512,A81000B,00800,0300,HOME OFFICE COST 6512,A81000C,00100,0100,B 6512,A81000C,00100,0200,BEVERLY ENTERPR 6512,B100000,00000,0100,00000(SQUARE FEET) 6512,B100000,00000,0200,00000(SQUARE FEET) 6512,B100000,00000,0300,00000(ADJUSTED SALARIES) 6512,B100000,00000,0400,00000(ACCUM. COST) 6512,B100000,00000,0500,00000(SQUARE FEET) 6512,B100000,00000,0600,00000(PATIENT DAYS) 6512,B100000,00000,0700,00000(SQUARE FEET) 6512,B100000,00000,0800,00000(MEALS SERVED) 6512,B100000,00000,0900,00000(ADJUSTED SALARIES) 6512,B100000,00000,1000,00000(PATIENT DAYS) 6512,B100000,00000,1100,00000(COSTED REQUIS) 6512,B100000,00000,1200,00000(TOTAL CHARGES) 6512,B100000,00000,1300,00000(PATIENT DAYS) 6512,B100000,00000,1301,00000(PATIENT DAYS) 6512,B100000,00000,1400,00000(ASSIGNED TIME) 6512,E10A180,00301,0100,01/27/1999 6512,E10A180,00302,0100,06/14/1999 6512,E10A180,00303,0100,10/08/1999 6512,E10A180,00304,0100,02/14/2000 6512,E10A180,00350,0100,12/09/1999 6512,S000000,00100,0200,06/02/2000 6512,S200000,00100,0100,1901 BRIAR RIDGE RD 6512,S200000,00200,0100,TUPELO 6512,S200000,00200,0200,MS 6512,S200000,00200,0300,38801 6512,S200000,00300,0100,LEE 6512,S200000,00400,0100,LEE MANOR 6512,S200000,00400,0200,255136 6512,S200000,00400,0300,02/01/1991 6512,S200000,00400,0500,P 6512,S200000,00600,0200,255136 6512,S200000,00600,0300,02/01/1991 6512,S200000,00600,0600,P 6512,S200000,01600,0100,Y 6512,S200000,04200,0100,Y 6512,S200000,04300,0100,Y 6516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6516,A000000,00300,0000,00300EMPLOYEE BENEFITS 6516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6516,A000000,00700,0000,00700HOUSEKEEPING 6516,A000000,00800,0000,00800DIETARY 6516,A000000,00900,0000,00900NURSING ADMINISTRATION 6516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6516,A000000,01100,0000,01100PHARMACY 6516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6516,A000000,01300,0000,01300SOCIAL SERVICE 6516,A000000,01301,0000,01301ACTIVITIES 6516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6516,A000000,01600,0000,01600SKILLED NURSING FACILITY 6516,A000000,01800,0000,01800NURSING FACILITY 6516,A000000,01810,0000,01810ICF/MR 6516,A000000,02100,0000,02100RADIOLOGY 6516,A000000,02500,0000,02500PHYSICAL THERAPY 6516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6516,A000000,02700,0000,02700SPEECH PATHOLOGY 6516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6516,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6516,A000000,03550,0000,03550FQHC 6516,A000000,05000,0000,05000CORF 6516,A000000,05010,0000,05010CMHC 6516,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6516,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6516,A81000A,00100,0100,Y 6516,A81000B,00100,0300,HOME OFFICE COST 6516,A81000B,00400,0300,HOME OFFICE COST 6516,A81000B,00500,0300,HOME OFFICE COST 6516,A81000B,00600,0300,HOME OFFICE COST 6516,A81000B,00800,0300,HOME OFFICE COST 6516,A81000C,00100,0100,B 6516,A81000C,00100,0200,BEVERLY ENTERPR 6516,B100000,00000,0100,00000(SQUARE FEET) 6516,B100000,00000,0200,00000(SQUARE FEET) 6516,B100000,00000,0300,00000(ADJUSTED SALARIES) 6516,B100000,00000,0400,00000(ACCUM. COST) 6516,B100000,00000,0500,00000(SQUARE FEET) 6516,B100000,00000,0600,00000(PATIENT DAYS) 6516,B100000,00000,0700,00000(SQUARE FEET) 6516,B100000,00000,0800,00000(MEALS SERVED) 6516,B100000,00000,0900,00000(ADJUSTED SALARIES) 6516,B100000,00000,1000,00000(PATIENT DAYS) 6516,B100000,00000,1100,00000(COSTED REQUIS) 6516,B100000,00000,1200,00000(TOTAL CHARGES) 6516,B100000,00000,1300,00000(PATIENT DAYS) 6516,B100000,00000,1301,00000(PATIENT DAYS) 6516,B100000,00000,1400,00000(ASSIGNED TIME) 6516,E10A180,00350,0100,01/27/1999 6516,E10A180,00351,0100,06/14/1999 6516,E10A180,00352,0100,10/08/1999 6516,E10A180,00353,0100,12/09/1999 6516,E10A180,00354,0100,02/14/2000 6516,S000000,00100,0200,06/02/2000 6516,S200000,00100,0100,RT 1 BOX 350 HOSPITAL ROA 6516,S200000,00200,0100,BATESVILLE 6516,S200000,00200,0200,MS 6516,S200000,00200,0300,38606 6516,S200000,00300,0100,PANOLA 6516,S200000,00400,0100,BATESVILLE HCC 6516,S200000,00400,0200,255139 6516,S200000,00400,0300,07/01/1991 6516,S200000,00400,0500,P 6516,S200000,00600,0200,255139 6516,S200000,00600,0300,07/01/1991 6516,S200000,00600,0600,P 6516,S200000,01600,0100,Y 6516,S200000,04300,0100,Y 6519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6519,A000000,00300,0000,00300EMPLOYEE BENEFITS 6519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6519,A000000,00700,0000,00700HOUSEKEEPING 6519,A000000,00800,0000,00800DIETARY 6519,A000000,00900,0000,00900NURSING ADMINISTRATION 6519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6519,A000000,01100,0000,01100PHARMACY 6519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6519,A000000,01300,0000,01300SOCIAL SERVICE 6519,A000000,01301,0000,01301ACTIVITIES 6519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6519,A000000,01600,0000,01600SKILLED NURSING FACILITY 6519,A000000,01800,0000,01800NURSING FACILITY 6519,A000000,01810,0000,01810ICF/MR 6519,A000000,02200,0000,02200LABORATORY 6519,A000000,02500,0000,02500PHYSICAL THERAPY 6519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6519,A000000,02700,0000,02700SPEECH PATHOLOGY 6519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6519,A000000,03550,0000,03550FQHC 6519,A000000,05000,0000,05000CORF 6519,A000000,05010,0000,05010CMHC 6519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6519,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6519,A81000A,00100,0100,Y 6519,A81000B,00100,0300,HOME OFFICE COST 6519,A81000B,00400,0300,HOME OFFICE COST 6519,A81000B,00500,0300,HOME OFFICE COST 6519,A81000B,00600,0300,HOME OFFICE COST 6519,A81000B,00800,0300,HOME OFFICE COST 6519,A81000C,00100,0100,B 6519,A81000C,00100,0200,BEVERLY ENTERPR 6519,B100000,00000,0100,00000(SQUARE FEET) 6519,B100000,00000,0200,00000(SQUARE FEET) 6519,B100000,00000,0300,00000(ADJUSTED SALARIES) 6519,B100000,00000,0400,00000(ACCUM. COST) 6519,B100000,00000,0500,00000(SQUARE FEET) 6519,B100000,00000,0600,00000(PATIENT DAYS) 6519,B100000,00000,0700,00000(SQUARE FEET) 6519,B100000,00000,0800,00000(MEALS SERVED) 6519,B100000,00000,0900,00000(ADJUSTED SALARIES) 6519,B100000,00000,1000,00000(PATIENT DAYS) 6519,B100000,00000,1100,00000(COSTED REQUIS) 6519,B100000,00000,1200,00000(TOTAL CHARGES) 6519,B100000,00000,1300,00000(PATIENT DAYS) 6519,B100000,00000,1301,00000(PATIENT DAYS) 6519,B100000,00000,1400,00000(ASSIGNED TIME) 6519,E10A180,00301,0100,06/14/1999 6519,E10A180,00302,0100,02/14/2000 6519,E10A180,00350,0100,01/27/1999 6519,E10A180,00351,0100,10/08/1999 6519,E10A180,00352,0100,12/09/1999 6519,S000000,00100,0200,06/02/2000 6519,S200000,00100,0100,519 BROOKMAN DRIVE 6519,S200000,00200,0100,BROOKHAVEN 6519,S200000,00200,0200,MS 6519,S200000,00200,0300,39601 6519,S200000,00300,0100,LINCOLN 6519,S200000,00400,0100,BROOK MANOR NURSING CENTER 6519,S200000,00400,0200,255175 6519,S200000,00400,0300,03/01/1994 6519,S200000,00400,0500,P 6519,S200000,00600,0200,255175 6519,S200000,00600,0300,03/01/1994 6519,S200000,00600,0600,P 6519,S200000,01600,0100,Y 6519,S200000,04200,0100,Y 6519,S200000,04300,0100,Y 6522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6522,A000000,00300,0000,00300EMPLOYEE BENEFITS 6522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6522,A000000,00700,0000,00700HOUSEKEEPING 6522,A000000,00800,0000,00800DIETARY 6522,A000000,00900,0000,00900NURSING ADMINISTRATION 6522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6522,A000000,01100,0000,01100PHARMACY 6522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6522,A000000,01300,0000,01300SOCIAL SERVICE 6522,A000000,01301,0000,01301ACTIVITIES 6522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6522,A000000,01600,0000,01600SKILLED NURSING FACILITY 6522,A000000,01800,0000,01800NURSING FACILITY 6522,A000000,01810,0000,01810ICF/MR 6522,A000000,02100,0000,02100RADIOLOGY 6522,A000000,02200,0000,02200LABORATORY 6522,A000000,02500,0000,02500PHYSICAL THERAPY 6522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6522,A000000,02700,0000,02700SPEECH PATHOLOGY 6522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6522,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6522,A000000,03550,0000,03550FQHC 6522,A000000,05000,0000,05000CORF 6522,A000000,05010,0000,05010CMHC 6522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6522,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6522,A81000A,00100,0100,Y 6522,A81000B,00100,0300,HOME OFFICE COST 6522,A81000B,00400,0300,HOME OFFICE COST 6522,A81000B,00500,0300,HOME OFFICE COST 6522,A81000B,00600,0300,HOME OFFICE COST 6522,A81000B,00800,0300,HOME OFFICE COST 6522,A81000C,00100,0100,B 6522,A81000C,00100,0200,BEVERLY ENTERPR 6522,B100000,00000,0100,00000(SQUARE FEET) 6522,B100000,00000,0200,00000(SQUARE FEET) 6522,B100000,00000,0300,00000(ADJUSTED SALARIES) 6522,B100000,00000,0400,00000(ACCUM. COST) 6522,B100000,00000,0500,00000(SQUARE FEET) 6522,B100000,00000,0600,00000(PATIENT DAYS) 6522,B100000,00000,0700,00000(SQUARE FEET) 6522,B100000,00000,0800,00000(MEALS SERVED) 6522,B100000,00000,0900,00000(ADJUSTED SALARIES) 6522,B100000,00000,1000,00000(PATIENT DAYS) 6522,B100000,00000,1100,00000(COSTED REQUIS) 6522,B100000,00000,1200,00000(TOTAL CHARGES) 6522,B100000,00000,1300,00000(PATIENT DAYS) 6522,B100000,00000,1301,00000(PATIENT DAYS) 6522,B100000,00000,1400,00000(ASSIGNED TIME) 6522,E10A180,00301,0100,01/27/1999 6522,E10A180,00302,0100,12/09/1999 6522,E10A180,00350,0100,06/14/1999 6522,E10A180,00351,0100,10/08/1999 6522,E10A180,00352,0100,02/14/2000 6522,S000000,00100,0200,06/02/2000 6522,S200000,00100,0100,2852 INDEPENDENCE ST 6522,S200000,00200,0100,CAPE GIRARDEAU 6522,S200000,00200,0200,MO 6522,S200000,00200,0300,63701 6522,S200000,00300,0100,CAPE GIRARDEAU 6522,S200000,00400,0100,CAPE GIRARDEAU NURSING CTR 6522,S200000,00400,0200,265185 6522,S200000,00400,0300,11/30/1982 6522,S200000,00400,0500,P 6522,S200000,00600,0200,265185 6522,S200000,00600,0300,11/30/1982 6522,S200000,00600,0600,P 6522,S200000,01600,0100,Y 6525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6525,A000000,00300,0000,00300EMPLOYEE BENEFITS 6525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6525,A000000,00700,0000,00700HOUSEKEEPING 6525,A000000,00800,0000,00800DIETARY 6525,A000000,00900,0000,00900NURSING ADMINISTRATION 6525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6525,A000000,01100,0000,01100PHARMACY 6525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6525,A000000,01300,0000,01300SOCIAL SERVICE 6525,A000000,01301,0000,01301ACTIVITIES 6525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6525,A000000,01600,0000,01600SKILLED NURSING FACILITY 6525,A000000,01800,0000,01800NURSING FACILITY 6525,A000000,01810,0000,01810ICF/MR 6525,A000000,02200,0000,02200LABORATORY 6525,A000000,02500,0000,02500PHYSICAL THERAPY 6525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6525,A000000,02700,0000,02700SPEECH PATHOLOGY 6525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6525,A000000,03550,0000,03550FQHC 6525,A000000,05000,0000,05000CORF 6525,A000000,05010,0000,05010CMHC 6525,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6525,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6525,A81000A,00100,0100,Y 6525,A81000B,00100,0300,HOME OFFICE COST 6525,A81000B,00400,0300,HOME OFFICE COST 6525,A81000B,00500,0300,HOME OFFICE COST 6525,A81000B,00600,0300,HOME OFFICE COST 6525,A81000B,00800,0300,HOME OFFICE COST 6525,A81000C,00100,0100,B 6525,A81000C,00100,0200,BEVERLY ENTERPR 6525,B100000,00000,0100,00000(SQUARE FEET) 6525,B100000,00000,0200,00000(SQUARE FEET) 6525,B100000,00000,0300,00000(ADJUSTED SALARIES) 6525,B100000,00000,0400,00000(ACCUM. COST) 6525,B100000,00000,0500,00000(SQUARE FEET) 6525,B100000,00000,0600,00000(PATIENT DAYS) 6525,B100000,00000,0700,00000(SQUARE FEET) 6525,B100000,00000,0800,00000(MEALS SERVED) 6525,B100000,00000,0900,00000(ADJUSTED SALARIES) 6525,B100000,00000,1000,00000(PATIENT DAYS) 6525,B100000,00000,1100,00000(COSTED REQUIS) 6525,B100000,00000,1200,00000(TOTAL CHARGES) 6525,B100000,00000,1300,00000(PATIENT DAYS) 6525,B100000,00000,1301,00000(PATIENT DAYS) 6525,B100000,00000,1400,00000(ASSIGNED TIME) 6525,E10A180,00301,0100,10/08/1999 6525,E10A180,00302,0100,12/09/1999 6525,E10A180,00303,0100,02/14/2000 6525,E10A180,00350,0100,01/27/1999 6525,E10A180,00351,0100,06/14/1999 6525,S000000,00100,0200,06/02/2000 6525,S200000,00100,0100,1050 DAWSON ROAD 6525,S200000,00200,0100,NEW MADRID 6525,S200000,00200,0200,MO 6525,S200000,00300,0100,NEW MADRID 6525,S200000,00400,0100,NEW MADRID NURSING CENTER 6525,S200000,00400,0200,265209 6525,S200000,00400,0300,03/15/1985 6525,S200000,00400,0500,P 6525,S200000,00600,0200,265209 6525,S200000,00600,0300,03/15/1985 6525,S200000,00600,0600,P 6525,S200000,01600,0100,Y 6528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6528,A000000,00300,0000,00300EMPLOYEE BENEFITS 6528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6528,A000000,00700,0000,00700HOUSEKEEPING 6528,A000000,00800,0000,00800DIETARY 6528,A000000,00900,0000,00900NURSING ADMINISTRATION 6528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6528,A000000,01100,0000,01100PHARMACY 6528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6528,A000000,01300,0000,01300SOCIAL SERVICE 6528,A000000,01301,0000,01301ACTIVITIES 6528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6528,A000000,01600,0000,01600SKILLED NURSING FACILITY 6528,A000000,01800,0000,01800NURSING FACILITY 6528,A000000,01810,0000,01810ICF/MR 6528,A000000,02100,0000,02100RADIOLOGY 6528,A000000,02200,0000,02200LABORATORY 6528,A000000,02500,0000,02500PHYSICAL THERAPY 6528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6528,A000000,02700,0000,02700SPEECH PATHOLOGY 6528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6528,A000000,03550,0000,03550FQHC 6528,A000000,05000,0000,05000CORF 6528,A000000,05010,0000,05010CMHC 6528,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6528,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6528,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6528,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6528,A81000A,00100,0100,Y 6528,A81000B,00100,0300,HOME OFFICE COST 6528,A81000B,00400,0300,HOME OFFICE COST 6528,A81000B,00500,0300,HOME OFFICE COST 6528,A81000B,00600,0300,HOME OFFICE COST 6528,A81000B,00800,0300,HOME OFFICE COST 6528,A81000C,00100,0100,B 6528,A81000C,00100,0200,BEVERLY ENTERPR 6528,B100000,00000,0100,00000(SQUARE FEET) 6528,B100000,00000,0200,00000(SQUARE FEET) 6528,B100000,00000,0300,00000(ADJUSTED SALARIES) 6528,B100000,00000,0400,00000(ACCUM. COST) 6528,B100000,00000,0500,00000(SQUARE FEET) 6528,B100000,00000,0600,00000(PATIENT DAYS) 6528,B100000,00000,0700,00000(SQUARE FEET) 6528,B100000,00000,0800,00000(MEALS SERVED) 6528,B100000,00000,0900,00000(ADJUSTED SALARIES) 6528,B100000,00000,1000,00000(PATIENT DAYS) 6528,B100000,00000,1100,00000(COSTED REQUIS) 6528,B100000,00000,1200,00000(TOTAL CHARGES) 6528,B100000,00000,1300,00000(PATIENT DAYS) 6528,B100000,00000,1301,00000(PATIENT DAYS) 6528,B100000,00000,1400,00000(ASSIGNED TIME) 6528,E10A180,00350,0100,01/27/1999 6528,E10A180,00351,0100,06/14/1999 6528,E10A180,00352,0100,10/08/1999 6528,E10A180,00353,0100,12/09/1999 6528,E10A180,00354,0100,02/14/2000 6528,S000000,00100,0200,06/02/2000 6528,S200000,00100,0100,SIDNEY STREET ROUTE 2 6528,S200000,00200,0100,ST. JAMES 6528,S200000,00200,0200,MO 6528,S200000,00200,0300,65559 6528,S200000,00300,0100,PHELPS 6528,S200000,00400,0100,ST. JAMES NURSING (#2380) 6528,S200000,00400,0200,265225 6528,S200000,00400,0300,02/14/1984 6528,S200000,00400,0500,P 6528,S200000,00600,0200,265225 6528,S200000,00600,0300,02/14/1984 6528,S200000,00600,0600,P 6528,S200000,01600,0100,Y 6531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6531,A000000,00300,0000,00300EMPLOYEE BENEFITS 6531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6531,A000000,00700,0000,00700HOUSEKEEPING 6531,A000000,00800,0000,00800DIETARY 6531,A000000,00900,0000,00900NURSING ADMINISTRATION 6531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6531,A000000,01100,0000,01100PHARMACY 6531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6531,A000000,01300,0000,01300SOCIAL SERVICE 6531,A000000,01301,0000,01301ACTIVITIES 6531,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6531,A000000,01600,0000,01600SKILLED NURSING FACILITY 6531,A000000,01800,0000,01800NURSING FACILITY 6531,A000000,01810,0000,01810ICF/MR 6531,A000000,02200,0000,02200LABORATORY 6531,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6531,A000000,02500,0000,02500PHYSICAL THERAPY 6531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6531,A000000,02700,0000,02700SPEECH PATHOLOGY 6531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6531,A000000,03550,0000,03550FQHC 6531,A000000,05000,0000,05000CORF 6531,A000000,05010,0000,05010CMHC 6531,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6531,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6531,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6531,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6531,A81000A,00100,0100,Y 6531,A81000B,00100,0300,HOME OFFICE COST 6531,A81000B,00400,0300,HOME OFFICE COST 6531,A81000B,00500,0300,HOME OFFICE COST 6531,A81000B,00600,0300,HOME OFFICE COST 6531,A81000B,00800,0300,HOME OFFICE COST 6531,A81000C,00100,0100,B 6531,A81000C,00100,0200,BEVERLY ENTERPR 6531,B100000,00000,0100,00000(SQUARE FEET) 6531,B100000,00000,0200,00000(SQUARE FEET) 6531,B100000,00000,0300,00000(ADJUSTED SALARIES) 6531,B100000,00000,0400,00000(ACCUM. COST) 6531,B100000,00000,0500,00000(SQUARE FEET) 6531,B100000,00000,0600,00000(PATIENT DAYS) 6531,B100000,00000,0700,00000(SQUARE FEET) 6531,B100000,00000,0800,00000(MEALS SERVED) 6531,B100000,00000,0900,00000(ADJUSTED SALARIES) 6531,B100000,00000,1000,00000(PATIENT DAYS) 6531,B100000,00000,1100,00000(COSTED REQUIS) 6531,B100000,00000,1200,00000(TOTAL CHARGES) 6531,B100000,00000,1300,00000(PATIENT DAYS) 6531,B100000,00000,1301,00000(PATIENT DAYS) 6531,B100000,00000,1400,00000(ASSIGNED TIME) 6531,E10A180,00301,0100,12/09/1999 6531,E10A180,00350,0100,01/27/1999 6531,E10A180,00351,0100,06/14/1999 6531,E10A180,00352,0100,10/08/1999 6531,E10A180,00353,0100,02/14/2000 6531,S000000,00100,0200,06/02/2000 6531,S200000,00100,0100,875 DUNSFORD DRIVE 6531,S200000,00200,0100,SULLIVAN 6531,S200000,00200,0200,MO 6531,S200000,00200,0300,63080 6531,S200000,00300,0100,CRAWFORD 6531,S200000,00400,0100,SULLIVAN NURSING CENTER (908) 6531,S200000,00400,0200,265340 6531,S200000,00400,0300,01/01/1989 6531,S200000,00400,0500,P 6531,S200000,00600,0200,265340 6531,S200000,00600,0300,01/01/1989 6531,S200000,00600,0600,P 6531,S200000,01600,0100,Y 6534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6534,A000000,00300,0000,00300EMPLOYEE BENEFITS 6534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6534,A000000,00700,0000,00700HOUSEKEEPING 6534,A000000,00800,0000,00800DIETARY 6534,A000000,00900,0000,00900NURSING ADMINISTRATION 6534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6534,A000000,01100,0000,01100PHARMACY 6534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6534,A000000,01300,0000,01300SOCIAL SERVICE 6534,A000000,01301,0000,01301ACTIVITIES 6534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6534,A000000,01600,0000,01600SKILLED NURSING FACILITY 6534,A000000,01800,0000,01800NURSING FACILITY 6534,A000000,01810,0000,01810ICF/MR 6534,A000000,02100,0000,02100RADIOLOGY 6534,A000000,02200,0000,02200LABORATORY 6534,A000000,02500,0000,02500PHYSICAL THERAPY 6534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6534,A000000,02700,0000,02700SPEECH PATHOLOGY 6534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6534,A000000,03050,0000,03300OTHER ANCILLARY 6534,A000000,03550,0000,03550FQHC 6534,A000000,05000,0000,05000CORF 6534,A000000,05010,0000,05010CMHC 6534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6534,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6534,A81000A,00100,0100,Y 6534,A81000B,00100,0300,HOME OFFICE COST 6534,A81000B,00400,0300,HOME OFFICE COST 6534,A81000B,00500,0300,HOME OFFICE COST 6534,A81000B,00600,0300,HOME OFFICE COST 6534,A81000B,00800,0300,HOME OFFICE COST 6534,A81000C,00100,0100,B 6534,A81000C,00100,0200,BEVERLY ENTERPR 6534,B100000,00000,0100,00000(SQUARE FEET) 6534,B100000,00000,0200,00000(SQUARE FEET) 6534,B100000,00000,0300,00000(ADJUSTED SALARIES) 6534,B100000,00000,0400,00000(ACCUM. COST) 6534,B100000,00000,0500,00000(SQUARE FEET) 6534,B100000,00000,0600,00000(PATIENT DAYS) 6534,B100000,00000,0700,00000(SQUARE FEET) 6534,B100000,00000,0800,00000(MEALS SERVED) 6534,B100000,00000,0900,00000(ADJUSTED SALARIES) 6534,B100000,00000,1000,00000(PATIENT DAYS) 6534,B100000,00000,1100,00000(COSTED REQUIS) 6534,B100000,00000,1200,00000(TOTAL CHARGES) 6534,B100000,00000,1300,00000(PATIENT DAYS) 6534,B100000,00000,1301,00000(PATIENT DAYS) 6534,B100000,00000,1400,00000(ASSIGNED TIME) 6534,E10A180,00301,0100,02/14/2000 6534,E10A180,00350,0100,01/27/1999 6534,E10A180,00351,0100,06/14/1999 6534,E10A180,00352,0100,10/08/1999 6534,E10A180,00353,0100,12/09/1999 6534,S000000,00100,0200,06/02/2000 6534,S200000,00100,0100,13700 OLD HALLS FERRY 6534,S200000,00200,0100,FLORISSANT 6534,S200000,00200,0200,MO 6534,S200000,00200,0300,63033 6534,S200000,00300,0100,N ST LOUIS 6534,S200000,00400,0100,SPANISH LAKE NURSING CENTER (9 6534,S200000,00400,0200,265341 6534,S200000,00400,0300,03/14/1983 6534,S200000,00400,0500,P 6534,S200000,00600,0200,265341 6534,S200000,00600,0300,03/14/1983 6534,S200000,00600,0600,P 6534,S200000,01600,0100,Y 6537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6537,A000000,00300,0000,00300EMPLOYEE BENEFITS 6537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6537,A000000,00700,0000,00700HOUSEKEEPING 6537,A000000,00800,0000,00800DIETARY 6537,A000000,00900,0000,00900NURSING ADMINISTRATION 6537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6537,A000000,01100,0000,01100PHARMACY 6537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6537,A000000,01300,0000,01300SOCIAL SERVICE 6537,A000000,01301,0000,01301ACTIVITIES 6537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6537,A000000,01600,0000,01600SKILLED NURSING FACILITY 6537,A000000,01800,0000,01800NURSING FACILITY 6537,A000000,01810,0000,01810ICF/MR 6537,A000000,01900,0000,01900OTHER LONG TERM CARE 6537,A000000,02100,0000,02100RADIOLOGY 6537,A000000,02200,0000,02200LABORATORY 6537,A000000,02500,0000,02500PHYSICAL THERAPY 6537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6537,A000000,02700,0000,02700SPEECH PATHOLOGY 6537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6537,A000000,03550,0000,03550FQHC 6537,A000000,05000,0000,05000CORF 6537,A000000,05010,0000,05010CMHC 6537,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6537,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6537,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6537,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6537,A81000A,00100,0100,Y 6537,A81000B,00100,0300,HOME OFFICE COST 6537,A81000B,00400,0300,HOME OFFICE COST 6537,A81000B,00500,0300,HOME OFFICE COST 6537,A81000B,00600,0300,HOME OFFICE COST 6537,A81000B,00800,0300,HOME OFFICE COST 6537,A81000C,00100,0100,B 6537,A81000C,00100,0200,BEVERLY ENTERPR 6537,B100000,00000,0100,00000(SQUARE FEET) 6537,B100000,00000,0200,00000(SQUARE FEET) 6537,B100000,00000,0300,00000(ADJUSTED SALARIES) 6537,B100000,00000,0400,00000(ACCUM. COST) 6537,B100000,00000,0500,00000(SQUARE FEET) 6537,B100000,00000,0600,00000(PATIENT DAYS) 6537,B100000,00000,0700,00000(SQUARE FEET) 6537,B100000,00000,0800,00000(MEALS SERVED) 6537,B100000,00000,0900,00000(ADJUSTED SALARIES) 6537,B100000,00000,1000,00000(PATIENT DAYS) 6537,B100000,00000,1100,00000(COSTED REQUIS) 6537,B100000,00000,1200,00000(TOTAL CHARGES) 6537,B100000,00000,1300,00000(PATIENT DAYS) 6537,B100000,00000,1301,00000(PATIENT DAYS) 6537,B100000,00000,1400,00000(ASSIGNED TIME) 6537,E10A180,00350,0100,01/27/1999 6537,E10A180,00351,0100,06/14/1999 6537,E10A180,00352,0100,10/08/1999 6537,E10A180,00353,0100,12/09/1999 6537,E10A180,00354,0100,02/14/2000 6537,S000000,00100,0200,06/02/2000 6537,S200000,00100,0100,12145 BRIDGETON SQUARE 6537,S200000,00200,0100,BRIDGETON 6537,S200000,00200,0200,MO 6537,S200000,00200,0300,63044 6537,S200000,00300,0100,ST LOUIS 6537,S200000,00400,0100,BRIDGETON NURSING CENTER 6537,S200000,00400,0200,265345 6537,S200000,00400,0300,01/01/1989 6537,S200000,00400,0500,P 6537,S200000,00600,0200,265345 6537,S200000,00600,0300,01/01/1989 6537,S200000,00600,0600,P 6537,S200000,01600,0100,Y 6541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6541,A000000,00300,0000,00300EMPLOYEE BENEFITS 6541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6541,A000000,00700,0000,00700HOUSEKEEPING 6541,A000000,00800,0000,00800DIETARY 6541,A000000,00900,0000,00900NURSING ADMINISTRATION 6541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6541,A000000,01100,0000,01100PHARMACY 6541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6541,A000000,01300,0000,01300SOCIAL SERVICE 6541,A000000,01301,0000,01301ACTIVITIES 6541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6541,A000000,01600,0000,01600SKILLED NURSING FACILITY 6541,A000000,01800,0000,01800NURSING FACILITY 6541,A000000,01810,0000,01810ICF/MR 6541,A000000,02200,0000,02200LABORATORY 6541,A000000,02500,0000,02500PHYSICAL THERAPY 6541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6541,A000000,02700,0000,02700SPEECH PATHOLOGY 6541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6541,A000000,03550,0000,03550FQHC 6541,A000000,05000,0000,05000CORF 6541,A000000,05010,0000,05010CMHC 6541,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6541,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6541,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6541,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6541,A81000A,00100,0100,Y 6541,A81000B,00100,0300,HOME OFFICE COST 6541,A81000B,00400,0300,HOME OFFICE COST 6541,A81000B,00500,0300,HOME OFFICE COST 6541,A81000B,00600,0300,HOME OFFICE COST 6541,A81000B,00800,0300,HOME OFFICE COST 6541,A81000C,00100,0100,B 6541,A81000C,00100,0200,BEVERLY ENTERPR 6541,B100000,00000,0100,00000(SQUARE FEET) 6541,B100000,00000,0200,00000(SQUARE FEET) 6541,B100000,00000,0300,00000(ADJUSTED SALARIES) 6541,B100000,00000,0400,00000(ACCUM. COST) 6541,B100000,00000,0500,00000(SQUARE FEET) 6541,B100000,00000,0600,00000(PATIENT DAYS) 6541,B100000,00000,0700,00000(SQUARE FEET) 6541,B100000,00000,0800,00000(MEALS SERVED) 6541,B100000,00000,0900,00000(ADJUSTED SALARIES) 6541,B100000,00000,1000,00000(PATIENT DAYS) 6541,B100000,00000,1100,00000(COSTED REQUIS) 6541,B100000,00000,1200,00000(TOTAL CHARGES) 6541,B100000,00000,1300,00000(PATIENT DAYS) 6541,B100000,00000,1301,00000(PATIENT DAYS) 6541,B100000,00000,1400,00000(ASSIGNED TIME) 6541,E10A180,00301,0100,01/27/1999 6541,E10A180,00350,0100,06/14/1999 6541,E10A180,00351,0100,10/08/1999 6541,E10A180,00352,0100,12/09/1999 6541,E10A180,00353,0100,02/14/2000 6541,S000000,00100,0200,06/02/2000 6541,S200000,00100,0100,HIGHWAY 13 NORTH 6541,S200000,00200,0100,CLINTON 6541,S200000,00200,0200,MO 6541,S200000,00200,0300,64735 6541,S200000,00300,0100,HENRY 6541,S200000,00400,0100,WESTWOOD NURSING HOME #2394 6541,S200000,00400,0200,265347 6541,S200000,00400,0300,01/01/1989 6541,S200000,00400,0500,P 6541,S200000,00600,0200,265347 6541,S200000,00600,0300,01/01/1989 6541,S200000,00600,0600,P 6541,S200000,01600,0100,Y 6544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6544,A000000,00300,0000,00300EMPLOYEE BENEFITS 6544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6544,A000000,00700,0000,00700HOUSEKEEPING 6544,A000000,00800,0000,00800DIETARY 6544,A000000,00900,0000,00900NURSING ADMINISTRATION 6544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6544,A000000,01100,0000,01100PHARMACY 6544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6544,A000000,01300,0000,01300SOCIAL SERVICE 6544,A000000,01301,0000,01301ACTIVITIES 6544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6544,A000000,01600,0000,01600SKILLED NURSING FACILITY 6544,A000000,01800,0000,01800NURSING FACILITY 6544,A000000,01810,0000,01810ICF/MR 6544,A000000,02100,0000,02100RADIOLOGY 6544,A000000,02200,0000,02200LABORATORY 6544,A000000,02500,0000,02500PHYSICAL THERAPY 6544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6544,A000000,02700,0000,02700SPEECH PATHOLOGY 6544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6544,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6544,A000000,03550,0000,03550FQHC 6544,A000000,05000,0000,05000CORF 6544,A000000,05010,0000,05010CMHC 6544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6544,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6544,A81000A,00100,0100,Y 6544,A81000B,00100,0300,HOME OFFICE COST 6544,A81000B,00400,0300,HOME OFFICE COST 6544,A81000B,00500,0300,HOME OFFICE COST 6544,A81000B,00600,0300,HOME OFFICE COST 6544,A81000B,00800,0300,HOME OFFICE COST 6544,A81000C,00100,0100,B 6544,A81000C,00100,0200,BEVERLY ENTERPR 6544,B100000,00000,0100,00000(SQUARE FEET) 6544,B100000,00000,0200,00000(SQUARE FEET) 6544,B100000,00000,0300,00000(ADJUSTED SALARIES) 6544,B100000,00000,0400,00000(ACCUM. COST) 6544,B100000,00000,0500,00000(SQUARE FEET) 6544,B100000,00000,0600,00000(PATIENT DAYS) 6544,B100000,00000,0700,00000(SQUARE FEET) 6544,B100000,00000,0800,00000(MEALS SERVED) 6544,B100000,00000,0900,00000(ADJUSTED SALARIES) 6544,B100000,00000,1000,00000(PATIENT DAYS) 6544,B100000,00000,1100,00000(COSTED REQUIS) 6544,B100000,00000,1200,00000(TOTAL CHARGES) 6544,B100000,00000,1300,00000(PATIENT DAYS) 6544,B100000,00000,1301,00000(PATIENT DAYS) 6544,B100000,00000,1400,00000(ASSIGNED TIME) 6544,E10A180,00301,0100,01/27/1999 6544,E10A180,00350,0100,06/14/1999 6544,E10A180,00351,0100,10/08/1999 6544,E10A180,00352,0100,12/09/1999 6544,E10A180,00353,0100,02/14/2000 6544,S000000,00100,0200,06/02/2000 6544,S200000,00100,0100,705 GRAND CANYON DRIVE 6544,S200000,00200,0100,FARMINGTON 6544,S200000,00200,0200,MO 6544,S200000,00200,0300,63640 6544,S200000,00300,0100,GENEVIEVE 6544,S200000,00400,0100,CAMELOT NURSING HOME #2362 6544,S200000,00400,0200,265348 6544,S200000,00400,0300,01/01/1989 6544,S200000,00400,0500,P 6544,S200000,00600,0200,265348 6544,S200000,00600,0300,01/01/1989 6544,S200000,00600,0600,P 6544,S200000,01600,0100,Y 6547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6547,A000000,00300,0000,00300EMPLOYEE BENEFITS 6547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6547,A000000,00700,0000,00700HOUSEKEEPING 6547,A000000,00800,0000,00800DIETARY 6547,A000000,00900,0000,00900NURSING ADMINISTRATION 6547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6547,A000000,01100,0000,01100PHARMACY 6547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6547,A000000,01300,0000,01300SOCIAL SERVICE 6547,A000000,01301,0000,01301ACTIVITIES 6547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6547,A000000,01600,0000,01600SKILLED NURSING FACILITY 6547,A000000,01800,0000,01800NURSING FACILITY 6547,A000000,01810,0000,01810ICF/MR 6547,A000000,02100,0000,02100RADIOLOGY 6547,A000000,02200,0000,02200LABORATORY 6547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6547,A000000,02500,0000,02500PHYSICAL THERAPY 6547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6547,A000000,02700,0000,02700SPEECH PATHOLOGY 6547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6547,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6547,A000000,03550,0000,03550FQHC 6547,A000000,05000,0000,05000CORF 6547,A000000,05010,0000,05010CMHC 6547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6547,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6547,A81000A,00100,0100,Y 6547,A81000B,00100,0300,HOME OFFICE COST 6547,A81000B,00400,0300,HOME OFFICE COST 6547,A81000B,00500,0300,HOME OFFICE COST 6547,A81000B,00600,0300,HOME OFFICE COST 6547,A81000B,00800,0300,HOME OFFICE COST 6547,A81000C,00100,0100,B 6547,A81000C,00100,0200,BEVERLY ENTERPR 6547,B100000,00000,0100,00000(SQUARE FEET) 6547,B100000,00000,0200,00000(SQUARE FEET) 6547,B100000,00000,0300,00000(ADJUSTED SALARIES) 6547,B100000,00000,0400,00000(ACCUM. COST) 6547,B100000,00000,0500,00000(SQUARE FEET) 6547,B100000,00000,0600,00000(PATIENT DAYS) 6547,B100000,00000,0700,00000(SQUARE FEET) 6547,B100000,00000,0800,00000(MEALS SERVED) 6547,B100000,00000,0900,00000(ADJUSTED SALARIES) 6547,B100000,00000,1000,00000(PATIENT DAYS) 6547,B100000,00000,1100,00000(COSTED REQUIS) 6547,B100000,00000,1200,00000(TOTAL CHARGES) 6547,B100000,00000,1300,00000(PATIENT DAYS) 6547,B100000,00000,1301,00000(PATIENT DAYS) 6547,B100000,00000,1400,00000(ASSIGNED TIME) 6547,E10A180,00350,0100,01/27/1999 6547,E10A180,00351,0100,06/14/1999 6547,E10A180,00352,0100,10/08/1999 6547,E10A180,00353,0100,12/09/1999 6547,E10A180,00354,0100,02/14/2000 6547,S000000,00100,0200,06/02/2000 6547,S200000,00100,0100,524 N LAURA 6547,S200000,00200,0100,MARYVILLE 6547,S200000,00200,0200,MO 6547,S200000,00200,0300,64468 6547,S200000,00300,0100,NODAWAY 6547,S200000,00400,0100,00446 - MARYVILLE HEALTH CARE 6547,S200000,00400,0200,265354 6547,S200000,00400,0300,03/01/1989 6547,S200000,00400,0500,P 6547,S200000,00600,0200,265354 6547,S200000,00600,0300,03/01/1989 6547,S200000,00600,0600,P 6547,S200000,01600,0100,Y 6550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6550,A000000,00300,0000,00300EMPLOYEE BENEFITS 6550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6550,A000000,00700,0000,00700HOUSEKEEPING 6550,A000000,00800,0000,00800DIETARY 6550,A000000,00900,0000,00900NURSING ADMINISTRATION 6550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6550,A000000,01100,0000,01100PHARMACY 6550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6550,A000000,01300,0000,01300SOCIAL SERVICE 6550,A000000,01301,0000,01301ACTIVITIES 6550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6550,A000000,01600,0000,01600SKILLED NURSING FACILITY 6550,A000000,01800,0000,01800NURSING FACILITY 6550,A000000,01810,0000,01810ICF/MR 6550,A000000,02100,0000,02100RADIOLOGY 6550,A000000,02200,0000,02200LABORATORY 6550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6550,A000000,02500,0000,02500PHYSICAL THERAPY 6550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6550,A000000,02700,0000,02700SPEECH PATHOLOGY 6550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6550,A000000,03550,0000,03550FQHC 6550,A000000,05000,0000,05000CORF 6550,A000000,05010,0000,05010CMHC 6550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6550,A000000,06150,0000,06300BLANK 6550,A000000,06151,0000,06301OTHER NONREIMBURSABLE 6550,A81000A,00100,0100,Y 6550,A81000B,00100,0300,HOME OFFICE COST 6550,A81000B,00400,0300,HOME OFFICE COST 6550,A81000B,00500,0300,HOME OFFICE COST 6550,A81000B,00600,0300,HOME OFFICE COST 6550,A81000B,00800,0300,HOME OFFICE COST 6550,A81000C,00100,0100,B 6550,A81000C,00100,0200,BEVERLY ENTERPR 6550,B100000,00000,0100,00001(SQUARE FEET) 6550,B100000,00000,0200,00001(SQUARE FEET) 6550,B100000,00000,0300,00001(ADJUSTED SALARIES) 6550,B100000,00000,0400,00001(ACCUM. COST) 6550,B100000,00000,0500,00001(SQUARE FEET) 6550,B100000,00000,0600,00001(PATIENT DAYS) 6550,B100000,00000,0700,00001(SQUARE FEET) 6550,B100000,00000,0800,00001(MEALS SERVED) 6550,B100000,00000,0900,00001(ADJUSTED SALARIES) 6550,B100000,00000,1000,00001(PATIENT DAYS) 6550,B100000,00000,1100,00001(COSTED REQUIS) 6550,B100000,00000,1200,00001(TOTAL CHARGES) 6550,B100000,00000,1300,00001(PATIENT DAYS) 6550,B100000,00000,1301,00001(PATIENT DAYS) 6550,B100000,00000,1400,00001(ASSIGNED TIME) 6550,E10A180,00301,0100,06/14/1999 6550,E10A180,00302,0100,10/08/1999 6550,E10A180,00350,0100,12/09/1999 6550,E10A180,00351,0100,02/14/2000 6550,S000000,00100,0200,03/27/2000 6550,S200000,00100,0100,P.O. 187 N. ARTHUR ST 6550,S200000,00200,0100,HUMANSVILLE 6550,S200000,00200,0200,MO 6550,S200000,00200,0300,65674 6550,S200000,00300,0100,HUMANSVILLE 6550,S200000,00400,0100,NORTHWOOD HILLS HEALTH CARE 6550,S200000,00400,0200,265381 6550,S200000,00400,0300,09/01/1989 6550,S200000,00400,0500,P 6550,S200000,00600,0200,265381 6550,S200000,00600,0300,09/01/1989 6550,S200000,00600,0600,P 6550,S200000,01600,0100,Y 6553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6553,A000000,00300,0000,00300EMPLOYEE BENEFITS 6553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6553,A000000,00700,0000,00700HOUSEKEEPING 6553,A000000,00800,0000,00800DIETARY 6553,A000000,00900,0000,00900NURSING ADMINISTRATION 6553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6553,A000000,01100,0000,01100PHARMACY 6553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6553,A000000,01300,0000,01300SOCIAL SERVICE 6553,A000000,01301,0000,01301ACTIVITIES 6553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6553,A000000,01600,0000,01600SKILLED NURSING FACILITY 6553,A000000,01800,0000,01800NURSING FACILITY 6553,A000000,01810,0000,01810ICF/MR 6553,A000000,02100,0000,02100RADIOLOGY 6553,A000000,02200,0000,02200LABORATORY 6553,A000000,02500,0000,02500PHYSICAL THERAPY 6553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6553,A000000,02700,0000,02700SPEECH PATHOLOGY 6553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6553,A000000,03550,0000,03550FQHC 6553,A000000,05000,0000,05000CORF 6553,A000000,05010,0000,05010CMHC 6553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6553,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6553,A81000A,00100,0100,Y 6553,A81000B,00100,0300,HOME OFFICE COST 6553,A81000B,00400,0300,HOME OFFICE COST 6553,A81000B,00500,0300,HOME OFFICE COST 6553,A81000B,00600,0300,HOME OFFICE COST 6553,A81000B,00800,0300,HOME OFFICE COST 6553,A81000C,00100,0100,B 6553,A81000C,00100,0200,BEVERLY ENTERPR 6553,B100000,00000,0100,00000(SQUARE FEET) 6553,B100000,00000,0200,00000(SQUARE FEET) 6553,B100000,00000,0300,00000(ADJUSTED SALARIES) 6553,B100000,00000,0400,00000(ACCUM. COST) 6553,B100000,00000,0500,00000(SQUARE FEET) 6553,B100000,00000,0600,00000(PATIENT DAYS) 6553,B100000,00000,0700,00000(SQUARE FEET) 6553,B100000,00000,0800,00000(MEALS SERVED) 6553,B100000,00000,0900,00000(ADJUSTED SALARIES) 6553,B100000,00000,1000,00000(PATIENT DAYS) 6553,B100000,00000,1100,00000(COSTED REQUIS) 6553,B100000,00000,1200,00000(TOTAL CHARGES) 6553,B100000,00000,1300,00000(PATIENT DAYS) 6553,B100000,00000,1301,00000(PATIENT DAYS) 6553,B100000,00000,1400,00000(ASSIGNED TIME) 6553,E10A180,00301,0100,10/08/1999 6553,E10A180,00350,0100,01/27/1999 6553,E10A180,00351,0100,06/14/1999 6553,E10A180,00352,0100,12/09/1999 6553,E10A180,00353,0100,02/14/2000 6553,S000000,00100,0200,06/02/2000 6553,S200000,00100,0100,WEST GRANT 6553,S200000,00200,0100,DEXTER 6553,S200000,00200,0200,MO 6553,S200000,00200,0300,63841 6553,S200000,00300,0100,STODDARD 6553,S200000,00400,0100,02367-DEXTER CONVALESCENT CENTER 6553,S200000,00400,0200,265382 6553,S200000,00400,0300,09/01/1989 6553,S200000,00400,0500,P 6553,S200000,00600,0200,265382 6553,S200000,00600,0300,09/01/1989 6553,S200000,00600,0600,P 6553,S200000,01600,0100,Y 6556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6556,A000000,00300,0000,00300EMPLOYEE BENEFITS 6556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6556,A000000,00700,0000,00700HOUSEKEEPING 6556,A000000,00800,0000,00800DIETARY 6556,A000000,00900,0000,00900NURSING ADMINISTRATION 6556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6556,A000000,01100,0000,01100PHARMACY 6556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6556,A000000,01300,0000,01300SOCIAL SERVICE 6556,A000000,01301,0000,01301ACTIVITIES 6556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6556,A000000,01600,0000,01600SKILLED NURSING FACILITY 6556,A000000,01800,0000,01800NURSING FACILITY 6556,A000000,01810,0000,01810ICF/MR 6556,A000000,02200,0000,02200LABORATORY 6556,A000000,02500,0000,02500PHYSICAL THERAPY 6556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6556,A000000,02700,0000,02700SPEECH PATHOLOGY 6556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6556,A000000,03550,0000,03550FQHC 6556,A000000,05000,0000,05000CORF 6556,A000000,05010,0000,05010CMHC 6556,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6556,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6556,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6556,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6556,A81000A,00100,0100,Y 6556,A81000B,00100,0300,HOME OFFICE COST 6556,A81000B,00400,0300,HOME OFFICE COST 6556,A81000B,00500,0300,HOME OFFICE COST 6556,A81000B,00600,0300,HOME OFFICE COST 6556,A81000B,00800,0300,HOME OFFICE COST 6556,A81000C,00100,0100,B 6556,A81000C,00100,0200,BEVERLY ENTERPR 6556,B100000,00000,0100,00000(SQUARE FEET) 6556,B100000,00000,0200,00000(SQUARE FEET) 6556,B100000,00000,0300,00000(ADJUSTED SALARIES) 6556,B100000,00000,0400,00000(ACCUM. COST) 6556,B100000,00000,0500,00000(SQUARE FEET) 6556,B100000,00000,0600,00000(PATIENT DAYS) 6556,B100000,00000,0700,00000(SQUARE FEET) 6556,B100000,00000,0800,00000(MEALS SERVED) 6556,B100000,00000,0900,00000(ADJUSTED SALARIES) 6556,B100000,00000,1000,00000(PATIENT DAYS) 6556,B100000,00000,1100,00000(COSTED REQUIS) 6556,B100000,00000,1200,00000(TOTAL CHARGES) 6556,B100000,00000,1300,00000(PATIENT DAYS) 6556,B100000,00000,1301,00000(PATIENT DAYS) 6556,B100000,00000,1400,00000(ASSIGNED TIME) 6556,E10A180,00301,0100,06/14/1999 6556,E10A180,00302,0100,10/08/1999 6556,E10A180,00350,0100,01/27/1999 6556,E10A180,00351,0100,12/09/1999 6556,E10A180,00352,0100,02/14/2000 6556,S000000,00100,0200,06/02/2000 6556,S200000,00100,0100,500 BARRETT 6556,S200000,00200,0100,MALDEN 6556,S200000,00200,0200,MO 6556,S200000,00200,0300,63863 6556,S200000,00300,0100,DUNKLIN 6556,S200000,00400,0100,02388-RIDGEVIEW MANOR NURSING 6556,S200000,00400,0200,265384 6556,S200000,00400,0300,09/01/1989 6556,S200000,00400,0500,P 6556,S200000,00600,0200,265384 6556,S200000,00600,0300,09/01/1989 6556,S200000,00600,0600,P 6556,S200000,01600,0100,Y 6559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6559,A000000,00300,0000,00300EMPLOYEE BENEFITS 6559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6559,A000000,00700,0000,00700HOUSEKEEPING 6559,A000000,00800,0000,00800DIETARY 6559,A000000,00900,0000,00900NURSING ADMINISTRATION 6559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6559,A000000,01100,0000,01100PHARMACY 6559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6559,A000000,01300,0000,01300SOCIAL SERVICE 6559,A000000,01301,0000,01301ACTIVITIES 6559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6559,A000000,01600,0000,01600SKILLED NURSING FACILITY 6559,A000000,01800,0000,01800NURSING FACILITY 6559,A000000,01810,0000,01810ICF/MR 6559,A000000,01900,0000,01900OTHER LONG TERM CARE 6559,A000000,02100,0000,02100RADIOLOGY 6559,A000000,02500,0000,02500PHYSICAL THERAPY 6559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6559,A000000,02700,0000,02700SPEECH PATHOLOGY 6559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6559,A000000,03550,0000,03550FQHC 6559,A000000,05000,0000,05000CORF 6559,A000000,05010,0000,05010CMHC 6559,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6559,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6559,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6559,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6559,A81000A,00100,0100,Y 6559,A81000B,00100,0300,HOME OFFICE COST 6559,A81000B,00400,0300,HOME OFFICE COST 6559,A81000B,00500,0300,HOME OFFICE COST 6559,A81000B,00600,0300,HOME OFFICE COST 6559,A81000B,00800,0300,HOME OFFICE COST 6559,A81000C,00100,0100,B 6559,A81000C,00100,0200,BEVERLY ENTERPR 6559,B100000,00000,0100,00000(SQUARE FEET) 6559,B100000,00000,0200,00000(SQUARE FEET) 6559,B100000,00000,0300,00000(ADJUSTED SALARIES) 6559,B100000,00000,0400,00000(ACCUM. COST) 6559,B100000,00000,0500,00000(SQUARE FEET) 6559,B100000,00000,0600,00000(PATIENT DAYS) 6559,B100000,00000,0700,00000(SQUARE FEET) 6559,B100000,00000,0800,00000(MEALS SERVED) 6559,B100000,00000,0900,00000(ADJUSTED SALARIES) 6559,B100000,00000,1000,00000(PATIENT DAYS) 6559,B100000,00000,1100,00000(COSTED REQUIS) 6559,B100000,00000,1200,00000(TOTAL CHARGES) 6559,B100000,00000,1300,00000(PATIENT DAYS) 6559,B100000,00000,1301,00000(PATIENT DAYS) 6559,B100000,00000,1400,00000(ASSIGNED TIME) 6559,E10A180,00301,0100,01/27/1999 6559,E10A180,00302,0100,06/14/1999 6559,E10A180,00303,0100,10/08/1999 6559,E10A180,00350,0100,12/09/1999 6559,E10A180,00351,0100,02/14/2000 6559,S000000,00100,0200,06/02/2000 6559,S200000,00100,0100,HIGHWAY 248 P.O. 1249 6559,S200000,00200,0100,BRANSON 6559,S200000,00200,0200,MO 6559,S200000,00200,0300,65616 6559,S200000,00300,0100,TANEY 6559,S200000,00400,0100,02390-ROLLING HILLS ESTATES B 6559,S200000,00400,0200,265393 6559,S200000,00400,0300,09/01/1989 6559,S200000,00400,0500,P 6559,S200000,00600,0200,265393 6559,S200000,00600,0300,09/01/1989 6559,S200000,00600,0600,P 6559,S200000,01600,0100,Y 6562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6562,A000000,00300,0000,00300EMPLOYEE BENEFITS 6562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6562,A000000,00700,0000,00700HOUSEKEEPING 6562,A000000,00800,0000,00800DIETARY 6562,A000000,00900,0000,00900NURSING ADMINISTRATION 6562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6562,A000000,01100,0000,01100PHARMACY 6562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6562,A000000,01300,0000,01300SOCIAL SERVICE 6562,A000000,01301,0000,01301ACTIVITIES 6562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6562,A000000,01600,0000,01600SKILLED NURSING FACILITY 6562,A000000,01800,0000,01800NURSING FACILITY 6562,A000000,01810,0000,01810ICF/MR 6562,A000000,02100,0000,02100RADIOLOGY 6562,A000000,02200,0000,02200LABORATORY 6562,A000000,02500,0000,02500PHYSICAL THERAPY 6562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6562,A000000,02700,0000,02700SPEECH PATHOLOGY 6562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6562,A000000,03550,0000,03550FQHC 6562,A000000,05000,0000,05000CORF 6562,A000000,05010,0000,05010CMHC 6562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6562,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6562,A81000A,00100,0100,Y 6562,A81000B,00100,0300,HOME OFFICE COST 6562,A81000B,00400,0300,HOME OFFICE COST 6562,A81000B,00500,0300,HOME OFFICE COST 6562,A81000B,00600,0300,HOME OFFICE COST 6562,A81000B,00800,0300,HOME OFFICE COST 6562,A81000C,00100,0100,B 6562,A81000C,00100,0200,BEVERLY ENTERPR 6562,B100000,00000,0100,00000(SQUARE FEET) 6562,B100000,00000,0200,00000(SQUARE FEET) 6562,B100000,00000,0300,00000(ADJUSTED SALARIES) 6562,B100000,00000,0400,00000(ACCUM. COST) 6562,B100000,00000,0500,00000(SQUARE FEET) 6562,B100000,00000,0600,00000(PATIENT DAYS) 6562,B100000,00000,0700,00000(SQUARE FEET) 6562,B100000,00000,0800,00000(MEALS SERVED) 6562,B100000,00000,0900,00000(ADJUSTED SALARIES) 6562,B100000,00000,1000,00000(PATIENT DAYS) 6562,B100000,00000,1100,00000(COSTED REQUIS) 6562,B100000,00000,1200,00000(TOTAL CHARGES) 6562,B100000,00000,1300,00000(PATIENT DAYS) 6562,B100000,00000,1301,00000(PATIENT DAYS) 6562,B100000,00000,1400,00000(ASSIGNED TIME) 6562,E10A180,00301,0100,06/14/1999 6562,E10A180,00350,0100,01/27/1999 6562,E10A180,00351,0100,10/08/1999 6562,E10A180,00352,0100,12/09/1999 6562,E10A180,00353,0100,02/14/2000 6562,S000000,00100,0200,06/02/2000 6562,S200000,00100,0100,250 GAMMA ROAD 6562,S200000,00200,0100,WELLSVILLE 6562,S200000,00200,0200,MO 6562,S200000,00200,0300,63384 6562,S200000,00300,0100,MONTGOMERY 6562,S200000,00400,0100,GAMMA ROAD LODGE #2371 6562,S200000,00400,0200,265398 6562,S200000,00400,0300,11/01/1989 6562,S200000,00400,0500,P 6562,S200000,00600,0200,265398 6562,S200000,00600,0300,11/01/1989 6562,S200000,00600,0600,P 6562,S200000,01600,0100,Y 6565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6565,A000000,00300,0000,00300EMPLOYEE BENEFITS 6565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6565,A000000,00700,0000,00700HOUSEKEEPING 6565,A000000,00800,0000,00800DIETARY 6565,A000000,00900,0000,00900NURSING ADMINISTRATION 6565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6565,A000000,01100,0000,01100PHARMACY 6565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6565,A000000,01300,0000,01300SOCIAL SERVICE 6565,A000000,01301,0000,01301ACTIVITIES 6565,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6565,A000000,01600,0000,01600SKILLED NURSING FACILITY 6565,A000000,01800,0000,01800NURSING FACILITY 6565,A000000,01810,0000,01810ICF/MR 6565,A000000,02200,0000,02200LABORATORY 6565,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6565,A000000,02500,0000,02500PHYSICAL THERAPY 6565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6565,A000000,02700,0000,02700SPEECH PATHOLOGY 6565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6565,A000000,03550,0000,03550FQHC 6565,A000000,05000,0000,05000CORF 6565,A000000,05010,0000,05010CMHC 6565,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6565,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6565,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6565,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6565,A81000A,00100,0100,Y 6565,A81000B,00100,0300,HOME OFFICE COST 6565,A81000B,00400,0300,HOME OFFICE COST 6565,A81000B,00500,0300,HOME OFFICE COST 6565,A81000B,00600,0300,HOME OFFICE COST 6565,A81000B,00800,0300,HOME OFFICE COST 6565,A81000C,00100,0100,B 6565,A81000C,00100,0200,BEVERLY ENTERPR 6565,B100000,00000,0100,00000(SQUARE FEET) 6565,B100000,00000,0200,00000(SQUARE FEET) 6565,B100000,00000,0300,00000(ADJUSTED SALARIES) 6565,B100000,00000,0400,00000(ACCUM. COST) 6565,B100000,00000,0500,00000(SQUARE FEET) 6565,B100000,00000,0600,00000(PATIENT DAYS) 6565,B100000,00000,0700,00000(SQUARE FEET) 6565,B100000,00000,0800,00000(MEALS SERVED) 6565,B100000,00000,0900,00000(ADJUSTED SALARIES) 6565,B100000,00000,1000,00000(PATIENT DAYS) 6565,B100000,00000,1100,00000(COSTED REQUIS) 6565,B100000,00000,1200,00000(TOTAL CHARGES) 6565,B100000,00000,1300,00000(PATIENT DAYS) 6565,B100000,00000,1301,00000(PATIENT DAYS) 6565,B100000,00000,1400,00000(ASSIGNED TIME) 6565,E10A180,00301,0100,06/14/1999 6565,E10A180,00302,0100,10/08/1999 6565,E10A180,00303,0100,12/09/1999 6565,E10A180,00304,0100,02/14/2000 6565,E10A180,00350,0100,01/27/1999 6565,S000000,00100,0200,06/02/2000 6565,S200000,00100,0100,1410 KENTUCKY AVENUE 6565,S200000,00200,0100,WEST PLAINS 6565,S200000,00200,0200,MO 6565,S200000,00200,0300,65775 6565,S200000,00300,0100,HOWELL 6565,S200000,00400,0100,OZARK NURSING CENTER (902) B 6565,S200000,00400,0200,265400 6565,S200000,00400,0300,12/01/1983 6565,S200000,00400,0500,P 6565,S200000,00600,0200,265400 6565,S200000,00600,0300,12/01/1983 6565,S200000,00600,0600,P 6565,S200000,01600,0100,Y 6568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6568,A000000,00300,0000,00300EMPLOYEE BENEFITS 6568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6568,A000000,00700,0000,00700HOUSEKEEPING 6568,A000000,00800,0000,00800DIETARY 6568,A000000,00900,0000,00900NURSING ADMINISTRATION 6568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6568,A000000,01100,0000,01100PHARMACY 6568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6568,A000000,01300,0000,01300SOCIAL SERVICE 6568,A000000,01301,0000,01301ACTIVITIES 6568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6568,A000000,01600,0000,01600SKILLED NURSING FACILITY 6568,A000000,01800,0000,01800NURSING FACILITY 6568,A000000,01810,0000,01810ICF/MR 6568,A000000,02100,0000,02100RADIOLOGY 6568,A000000,02200,0000,02200LABORATORY 6568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6568,A000000,02500,0000,02500PHYSICAL THERAPY 6568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6568,A000000,02700,0000,02700SPEECH PATHOLOGY 6568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6568,A000000,03550,0000,03550FQHC 6568,A000000,05000,0000,05000CORF 6568,A000000,05010,0000,05010CMHC 6568,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6568,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6568,A81000A,00100,0100,Y 6568,A81000B,00100,0300,HOME OFFICE COST 6568,A81000B,00400,0300,HOME OFFICE COST 6568,A81000B,00500,0300,HOME OFFICE COST 6568,A81000B,00600,0300,HOME OFFICE COST 6568,A81000B,00800,0300,HOME OFFICE COST 6568,A81000C,00100,0100,B 6568,A81000C,00100,0200,BEVERLY ENTERPR 6568,B100000,00000,0100,00000(SQUARE FEET) 6568,B100000,00000,0200,00000(SQUARE FEET) 6568,B100000,00000,0300,00000(ADJUSTED SALARIES) 6568,B100000,00000,0400,00000(ACCUM. COST) 6568,B100000,00000,0500,00000(SQUARE FEET) 6568,B100000,00000,0600,00000(PATIENT DAYS) 6568,B100000,00000,0700,00000(SQUARE FEET) 6568,B100000,00000,0800,00000(MEALS SERVED) 6568,B100000,00000,0900,00000(ADJUSTED SALARIES) 6568,B100000,00000,1000,00000(PATIENT DAYS) 6568,B100000,00000,1100,00000(COSTED REQUIS) 6568,B100000,00000,1200,00000(TOTAL CHARGES) 6568,B100000,00000,1300,00000(PATIENT DAYS) 6568,B100000,00000,1301,00000(PATIENT DAYS) 6568,B100000,00000,1400,00000(ASSIGNED TIME) 6568,E10A180,00301,0100,06/14/1999 6568,E10A180,00302,0100,10/08/1999 6568,E10A180,00350,0100,01/27/1999 6568,E10A180,00351,0100,12/09/1999 6568,E10A180,00352,0100,02/14/2000 6568,S000000,00100,0200,06/02/2000 6568,S200000,00100,0100,627 WESTWOOD SOUTH DR 6568,S200000,00200,0100,FESTUS 6568,S200000,00200,0200,MO 6568,S200000,00200,0300,63028 6568,S200000,00300,0100,JEFFERSON 6568,S200000,00400,0100,FESTUS MANOR #2369 6568,S200000,00400,0200,265401 6568,S200000,00400,0300,10/01/1989 6568,S200000,00400,0500,P 6568,S200000,00600,0200,265401 6568,S200000,00600,0300,10/01/1989 6568,S200000,00600,0600,P 6568,S200000,01600,0100,Y 6572,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6572,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6572,A000000,00300,0000,00300EMPLOYEE BENEFITS 6572,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6572,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6572,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6572,A000000,00700,0000,00700HOUSEKEEPING 6572,A000000,00800,0000,00800DIETARY 6572,A000000,00900,0000,00900NURSING ADMINISTRATION 6572,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6572,A000000,01100,0000,01100PHARMACY 6572,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6572,A000000,01300,0000,01300SOCIAL SERVICE 6572,A000000,01301,0000,01301ACTIVITIES 6572,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6572,A000000,01600,0000,01600SKILLED NURSING FACILITY 6572,A000000,01800,0000,01800NURSING FACILITY 6572,A000000,01810,0000,01810ICF/MR 6572,A000000,02200,0000,02200LABORATORY 6572,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6572,A000000,02500,0000,02500PHYSICAL THERAPY 6572,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6572,A000000,02700,0000,02700SPEECH PATHOLOGY 6572,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6572,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6572,A000000,03550,0000,03550FQHC 6572,A000000,05000,0000,05000CORF 6572,A000000,05010,0000,05010CMHC 6572,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6572,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6572,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6572,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6572,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6572,A81000A,00100,0100,Y 6572,A81000B,00100,0300,HOME OFFICE COST 6572,A81000B,00400,0300,HOME OFFICE COST 6572,A81000B,00500,0300,HOME OFFICE COST 6572,A81000B,00600,0300,HOME OFFICE COST 6572,A81000B,00800,0300,HOME OFFICE COST 6572,A81000C,00100,0100,B 6572,A81000C,00100,0200,BEVERLY ENTERPR 6572,B100000,00000,0100,00000(SQUARE FEET) 6572,B100000,00000,0200,00000(SQUARE FEET) 6572,B100000,00000,0300,00000(ADJUSTED SALARIES) 6572,B100000,00000,0400,00000(ACCUM. COST) 6572,B100000,00000,0500,00000(SQUARE FEET) 6572,B100000,00000,0600,00000(PATIENT DAYS) 6572,B100000,00000,0700,00000(SQUARE FEET) 6572,B100000,00000,0800,00000(MEALS SERVED) 6572,B100000,00000,0900,00000(ADJUSTED SALARIES) 6572,B100000,00000,1000,00000(PATIENT DAYS) 6572,B100000,00000,1100,00000(COSTED REQUIS) 6572,B100000,00000,1200,00000(TOTAL CHARGES) 6572,B100000,00000,1300,00000(PATIENT DAYS) 6572,B100000,00000,1301,00000(PATIENT DAYS) 6572,B100000,00000,1400,00000(ASSIGNED TIME) 6572,E10A180,00301,0100,01/27/1999 6572,E10A180,00350,0100,06/14/1999 6572,E10A180,00351,0100,10/08/1999 6572,E10A180,00352,0100,12/09/1999 6572,E10A180,00353,0100,02/14/2000 6572,S000000,00100,0200,06/02/2000 6572,S200000,00100,0100,2071 BARRON RD. BOX 1066 6572,S200000,00200,0100,POPLAR BLUFF 6572,S200000,00200,0200,MO 6572,S200000,00200,0300,63901 6572,S200000,00300,0100,BUTLER 6572,S200000,00400,0100,BLUFF MANOR 6572,S200000,00400,0200,265442 6572,S200000,00400,0300,01/01/1991 6572,S200000,00400,0500,P 6572,S200000,00600,0200,265442 6572,S200000,00600,0300,01/01/1991 6572,S200000,00600,0600,P 6572,S200000,01600,0100,Y 6575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6575,A000000,00300,0000,00300EMPLOYEE BENEFITS 6575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6575,A000000,00700,0000,00700HOUSEKEEPING 6575,A000000,00800,0000,00800DIETARY 6575,A000000,00900,0000,00900NURSING ADMINISTRATION 6575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6575,A000000,01100,0000,01100PHARMACY 6575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6575,A000000,01300,0000,01300SOCIAL SERVICE 6575,A000000,01301,0000,01301ACTIVITIES 6575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6575,A000000,01600,0000,01600SKILLED NURSING FACILITY 6575,A000000,01800,0000,01800NURSING FACILITY 6575,A000000,01810,0000,01810ICF/MR 6575,A000000,02100,0000,02100RADIOLOGY 6575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6575,A000000,02500,0000,02500PHYSICAL THERAPY 6575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6575,A000000,02700,0000,02700SPEECH PATHOLOGY 6575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6575,A000000,03550,0000,03550FQHC 6575,A000000,05000,0000,05000CORF 6575,A000000,05010,0000,05010CMHC 6575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6575,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6575,A81000A,00100,0100,Y 6575,A81000B,00100,0300,HOME OFFICE COST 6575,A81000B,00400,0300,HOME OFFICE COST 6575,A81000B,00500,0300,HOME OFFICE COST 6575,A81000B,00600,0300,HOME OFFICE COST 6575,A81000B,00800,0300,HOME OFFICE COST 6575,A81000C,00100,0100,B 6575,A81000C,00100,0200,BEVERLY ENTERPR 6575,B100000,00000,0100,00000(SQUARE FEET) 6575,B100000,00000,0200,00000(SQUARE FEET) 6575,B100000,00000,0300,00000(ADJUSTED SALARIES) 6575,B100000,00000,0400,00000(ACCUM. COST) 6575,B100000,00000,0500,00000(SQUARE FEET) 6575,B100000,00000,0600,00000(PATIENT DAYS) 6575,B100000,00000,0700,00000(SQUARE FEET) 6575,B100000,00000,0800,00000(MEALS SERVED) 6575,B100000,00000,0900,00000(ADJUSTED SALARIES) 6575,B100000,00000,1000,00000(PATIENT DAYS) 6575,B100000,00000,1100,00000(COSTED REQUIS) 6575,B100000,00000,1200,00000(TOTAL CHARGES) 6575,B100000,00000,1300,00000(PATIENT DAYS) 6575,B100000,00000,1301,00000(PATIENT DAYS) 6575,B100000,00000,1400,00000(ASSIGNED TIME) 6575,E10A180,00301,0100,12/09/1999 6575,E10A180,00302,0100,02/14/2000 6575,E10A180,00350,0100,01/27/1999 6575,E10A180,00351,0100,06/14/1999 6575,E10A180,00352,0100,10/08/1999 6575,S000000,00100,0200,06/02/2000 6575,S200000,00100,0100,HIGHWAY 76 WEST P.O. BOX 6575,S200000,00200,0100,ANDERSON 6575,S200000,00200,0200,MO 6575,S200000,00200,0300,64831 6575,S200000,00300,0100,MCDONALD 6575,S200000,00400,0100,MCDONALD COUNTY HEALTH CARE CENTER 6575,S200000,00400,0200,265447 6575,S200000,00400,0300,02/01/1991 6575,S200000,00400,0500,P 6575,S200000,00600,0200,265447 6575,S200000,00600,0300,02/01/1991 6575,S200000,00600,0600,P 6575,S200000,01600,0100,Y 6578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6578,A000000,00300,0000,00300EMPLOYEE BENEFITS 6578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6578,A000000,00700,0000,00700HOUSEKEEPING 6578,A000000,00800,0000,00800DIETARY 6578,A000000,00900,0000,00900NURSING ADMINISTRATION 6578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6578,A000000,01100,0000,01100PHARMACY 6578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6578,A000000,01300,0000,01300SOCIAL SERVICE 6578,A000000,01301,0000,01301ACTIVITIES 6578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6578,A000000,01600,0000,01600SKILLED NURSING FACILITY 6578,A000000,01800,0000,01800NURSING FACILITY 6578,A000000,01810,0000,01810ICF/MR 6578,A000000,02200,0000,02200LABORATORY 6578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6578,A000000,02500,0000,02500PHYSICAL THERAPY 6578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6578,A000000,02700,0000,02700SPEECH PATHOLOGY 6578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6578,A000000,03550,0000,03550FQHC 6578,A000000,05000,0000,05000CORF 6578,A000000,05010,0000,05010CMHC 6578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6578,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6578,A81000A,00100,0100,Y 6578,A81000B,00100,0300,HOME OFFICE COST 6578,A81000B,00400,0300,HOME OFFICE COST 6578,A81000B,00500,0300,HOME OFFICE COST 6578,A81000B,00600,0300,HOME OFFICE COST 6578,A81000B,00800,0300,HOME OFFICE COST 6578,A81000C,00100,0100,B 6578,A81000C,00100,0200,BEVERLY ENTERPR 6578,B100000,00000,0100,00000(SQUARE FEET) 6578,B100000,00000,0200,00000(SQUARE FEET) 6578,B100000,00000,0300,00000(ADJUSTED SALARIES) 6578,B100000,00000,0400,00000(ACCUM. COST) 6578,B100000,00000,0500,00000(SQUARE FEET) 6578,B100000,00000,0600,00000(PATIENT DAYS) 6578,B100000,00000,0700,00000(SQUARE FEET) 6578,B100000,00000,0800,00000(MEALS SERVED) 6578,B100000,00000,0900,00000(ADJUSTED SALARIES) 6578,B100000,00000,1000,00000(PATIENT DAYS) 6578,B100000,00000,1100,00000(COSTED REQUIS) 6578,B100000,00000,1200,00000(TOTAL CHARGES) 6578,B100000,00000,1300,00000(PATIENT DAYS) 6578,B100000,00000,1301,00000(PATIENT DAYS) 6578,B100000,00000,1400,00000(ASSIGNED TIME) 6578,E10A180,00301,0100,01/27/1999 6578,E10A180,00350,0100,06/14/1999 6578,E10A180,00351,0100,10/08/1999 6578,E10A180,00352,0100,12/09/1999 6578,E10A180,00353,0100,02/14/2000 6578,S000000,00100,0200,06/02/2000 6578,S200000,00100,0100,606 W. MISSOURI STREET 6578,S200000,00200,0100,BLOOMFIELD 6578,S200000,00200,0200,MO 6578,S200000,00200,0300,63825 6578,S200000,00300,0100,STODDARD 6578,S200000,00400,0100,BLOOMFIELD NURSING CENTER 6578,S200000,00400,0200,265451 6578,S200000,00400,0300,06/01/1991 6578,S200000,00400,0500,P 6578,S200000,00600,0200,265451 6578,S200000,00600,0300,06/01/1991 6578,S200000,00600,0600,P 6578,S200000,01600,0100,Y 6581,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6581,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6581,A000000,00300,0000,00300EMPLOYEE BENEFITS 6581,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6581,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6581,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6581,A000000,00700,0000,00700HOUSEKEEPING 6581,A000000,00800,0000,00800DIETARY 6581,A000000,00900,0000,00900NURSING ADMINISTRATION 6581,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6581,A000000,01100,0000,01100PHARMACY 6581,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6581,A000000,01300,0000,01300SOCIAL SERVICE 6581,A000000,01301,0000,01301ACTIVITIES 6581,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6581,A000000,01600,0000,01600SKILLED NURSING FACILITY 6581,A000000,01800,0000,01800NURSING FACILITY 6581,A000000,01810,0000,01810ICF/MR 6581,A000000,01900,0000,01900OTHER LONG TERM CARE 6581,A000000,02200,0000,02200LABORATORY 6581,A000000,02500,0000,02500PHYSICAL THERAPY 6581,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6581,A000000,02700,0000,02700SPEECH PATHOLOGY 6581,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6581,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6581,A000000,03550,0000,03550FQHC 6581,A000000,05000,0000,05000CORF 6581,A000000,05010,0000,05010CMHC 6581,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6581,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6581,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6581,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6581,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6581,A81000A,00100,0100,Y 6581,A81000B,00100,0300,HOME OFFICE COST 6581,A81000B,00400,0300,HOME OFFICE COST 6581,A81000B,00500,0300,HOME OFFICE COST 6581,A81000B,00600,0300,HOME OFFICE COST 6581,A81000B,00800,0300,HOME OFFICE COST 6581,A81000C,00100,0100,B 6581,A81000C,00100,0200,BEVERLY ENTERPR 6581,B100000,00000,0100,00000(SQUARE FEET) 6581,B100000,00000,0200,00000(SQUARE FEET) 6581,B100000,00000,0300,00000(ADJUSTED SALARIES) 6581,B100000,00000,0400,00000(ACCUM. COST) 6581,B100000,00000,0500,00000(SQUARE FEET) 6581,B100000,00000,0600,00000(PATIENT DAYS) 6581,B100000,00000,0700,00000(SQUARE FEET) 6581,B100000,00000,0800,00000(MEALS SERVED) 6581,B100000,00000,0900,00000(ADJUSTED SALARIES) 6581,B100000,00000,1000,00000(PATIENT DAYS) 6581,B100000,00000,1100,00000(COSTED REQUIS) 6581,B100000,00000,1200,00000(TOTAL CHARGES) 6581,B100000,00000,1300,00000(PATIENT DAYS) 6581,B100000,00000,1301,00000(PATIENT DAYS) 6581,B100000,00000,1400,00000(ASSIGNED TIME) 6581,E10A180,00350,0100,01/27/1999 6581,E10A180,00351,0100,06/14/1999 6581,E10A180,00352,0100,10/08/1999 6581,E10A180,00353,0100,12/09/1999 6581,E10A180,00354,0100,02/14/2000 6581,S000000,00100,0200,06/02/2000 6581,S200000,00100,0100,106 HOSPITAL DRIVE BOX F 6581,S200000,00200,0100,SMITHVILLE 6581,S200000,00200,0200,MO 6581,S200000,00200,0300,64089 6581,S200000,00300,0100,CLAY 6581,S200000,00400,0100,SMITHVILLE CONVALESCENT CENTER 6581,S200000,00400,0200,265454 6581,S200000,00400,0300,05/01/1991 6581,S200000,00400,0500,P 6581,S200000,00600,0200,265454 6581,S200000,00600,0300,05/01/1991 6581,S200000,00600,0600,P 6581,S200000,01600,0100,Y 6584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6584,A000000,00300,0000,00300EMPLOYEE BENEFITS 6584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6584,A000000,00700,0000,00700HOUSEKEEPING 6584,A000000,00800,0000,00800DIETARY 6584,A000000,00900,0000,00900NURSING ADMINISTRATION 6584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6584,A000000,01100,0000,01100PHARMACY 6584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6584,A000000,01300,0000,01300SOCIAL SERVICE 6584,A000000,01301,0000,01301ACTIVITIES 6584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6584,A000000,01600,0000,01600SKILLED NURSING FACILITY 6584,A000000,01800,0000,01800NURSING FACILITY 6584,A000000,01810,0000,01810ICF/MR 6584,A000000,02100,0000,02100RADIOLOGY 6584,A000000,02200,0000,02200LABORATORY 6584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6584,A000000,02500,0000,02500PHYSICAL THERAPY 6584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6584,A000000,02700,0000,02700SPEECH PATHOLOGY 6584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6584,A000000,03550,0000,03550FQHC 6584,A000000,05000,0000,05000CORF 6584,A000000,05010,0000,05010CMHC 6584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6584,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6584,A81000A,00100,0100,Y 6584,A81000B,00100,0300,HOME OFFICE COST 6584,A81000B,00400,0300,HOME OFFICE COST 6584,A81000B,00500,0300,HOME OFFICE COST 6584,A81000B,00600,0300,HOME OFFICE COST 6584,A81000B,00800,0300,HOME OFFICE COST 6584,A81000C,00100,0100,B 6584,A81000C,00100,0200,BEVERLY ENTERPR 6584,B100000,00000,0100,00000(SQUARE FEET) 6584,B100000,00000,0200,00000(SQUARE FEET) 6584,B100000,00000,0300,00000(ADJUSTED SALARIES) 6584,B100000,00000,0400,00000(ACCUM. COST) 6584,B100000,00000,0500,00000(SQUARE FEET) 6584,B100000,00000,0600,00000(PATIENT DAYS) 6584,B100000,00000,0700,00000(SQUARE FEET) 6584,B100000,00000,0800,00000(MEALS SERVED) 6584,B100000,00000,0900,00000(ADJUSTED SALARIES) 6584,B100000,00000,1000,00000(PATIENT DAYS) 6584,B100000,00000,1100,00000(COSTED REQUIS) 6584,B100000,00000,1200,00000(TOTAL CHARGES) 6584,B100000,00000,1300,00000(PATIENT DAYS) 6584,B100000,00000,1301,00000(PATIENT DAYS) 6584,B100000,00000,1400,00000(ASSIGNED TIME) 6584,E10A180,00301,0100,01/27/1999 6584,E10A180,00302,0100,02/14/2000 6584,E10A180,00350,0100,06/14/1999 6584,E10A180,00351,0100,10/08/1999 6584,E10A180,00352,0100,12/09/1999 6584,S000000,00100,0200,06/02/2000 6584,S200000,00100,0100,17451 E.MEDICAL CENTER PK 6584,S200000,00200,0100,INDEPENDENCE 6584,S200000,00200,0200,MO 6584,S200000,00200,0300,64050 6584,S200000,00300,0100,JACKSON 6584,S200000,00400,0100,INDEPENDENCE HCC #443 6584,S200000,00400,0200,265456 6584,S200000,00400,0300,07/01/1991 6584,S200000,00400,0500,P 6584,S200000,00600,0200,265456 6584,S200000,00600,0300,07/01/1991 6584,S200000,00600,0600,P 6584,S200000,01600,0100,Y 6587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6587,A000000,00300,0000,00300EMPLOYEE BENEFITS 6587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6587,A000000,00700,0000,00700HOUSEKEEPING 6587,A000000,00800,0000,00800DIETARY 6587,A000000,00900,0000,00900NURSING ADMINISTRATION 6587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6587,A000000,01100,0000,01100PHARMACY 6587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6587,A000000,01300,0000,01300SOCIAL SERVICE 6587,A000000,01301,0000,01301ACTIVITIES 6587,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6587,A000000,01600,0000,01600SKILLED NURSING FACILITY 6587,A000000,01800,0000,01800NURSING FACILITY 6587,A000000,01810,0000,01810ICF/MR 6587,A000000,02100,0000,02100RADIOLOGY 6587,A000000,02200,0000,02200LABORATORY 6587,A000000,02500,0000,02500PHYSICAL THERAPY 6587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6587,A000000,02700,0000,02700SPEECH PATHOLOGY 6587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6587,A000000,03550,0000,03550FQHC 6587,A000000,05000,0000,05000CORF 6587,A000000,05010,0000,05010CMHC 6587,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6587,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6587,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6587,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6587,A81000A,00100,0100,Y 6587,A81000B,00100,0300,HOME OFFICE COST 6587,A81000B,00400,0300,HOME OFFICE COST 6587,A81000B,00500,0300,HOME OFFICE COST 6587,A81000B,00600,0300,HOME OFFICE COST 6587,A81000B,00800,0300,HOME OFFICE COST 6587,A81000C,00100,0100,B 6587,A81000C,00100,0200,BEVERLY ENTERPR 6587,B100000,00000,0100,00000(SQUARE FEET) 6587,B100000,00000,0200,00000(SQUARE FEET) 6587,B100000,00000,0300,00000(ADJUSTED SALARIES) 6587,B100000,00000,0400,00000(ACCUM. COST) 6587,B100000,00000,0500,00000(SQUARE FEET) 6587,B100000,00000,0600,00000(PATIENT DAYS) 6587,B100000,00000,0700,00000(SQUARE FEET) 6587,B100000,00000,0800,00000(MEALS SERVED) 6587,B100000,00000,0900,00000(ADJUSTED SALARIES) 6587,B100000,00000,1000,00000(PATIENT DAYS) 6587,B100000,00000,1100,00000(COSTED REQUIS) 6587,B100000,00000,1200,00000(TOTAL CHARGES) 6587,B100000,00000,1300,00000(PATIENT DAYS) 6587,B100000,00000,1301,00000(PATIENT DAYS) 6587,B100000,00000,1400,00000(ASSIGNED TIME) 6587,S000000,00100,0200,06/02/2000 6587,S200000,00100,0100,330 SOUTH WOOD STREET 6587,S200000,00200,0100,NEOSHO 6587,S200000,00200,0200,MO 6587,S200000,00200,0300,64850 6587,S200000,00300,0100,NEWTON 6587,S200000,00400,0100,NEOSHO SENIOR CENTER 6587,S200000,00400,0200,265458 6587,S200000,00400,0300,07/01/1991 6587,S200000,00400,0500,P 6587,S200000,00600,0200,265458 6587,S200000,00600,0300,07/01/1991 6587,S200000,00600,0600,P 6587,S200000,01600,0100,Y 6590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6590,A000000,00300,0000,00300EMPLOYEE BENEFITS 6590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6590,A000000,00700,0000,00700HOUSEKEEPING 6590,A000000,00800,0000,00800DIETARY 6590,A000000,00900,0000,00900NURSING ADMINISTRATION 6590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6590,A000000,01100,0000,01100PHARMACY 6590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6590,A000000,01300,0000,01300SOCIAL SERVICE 6590,A000000,01301,0000,01301ACTIVITIES 6590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6590,A000000,01600,0000,01600SKILLED NURSING FACILITY 6590,A000000,01800,0000,01800NURSING FACILITY 6590,A000000,01810,0000,01810ICF/MR 6590,A000000,01900,0000,01900OTHER LONG TERM CARE 6590,A000000,02100,0000,02100RADIOLOGY 6590,A000000,02200,0000,02200LABORATORY 6590,A000000,02500,0000,02500PHYSICAL THERAPY 6590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6590,A000000,02700,0000,02700SPEECH PATHOLOGY 6590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6590,A000000,03550,0000,03550FQHC 6590,A000000,05000,0000,05000CORF 6590,A000000,05010,0000,05010CMHC 6590,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6590,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6590,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6590,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6590,A81000A,00100,0100,Y 6590,A81000B,00100,0300,HOME OFFICE COST 6590,A81000B,00400,0300,HOME OFFICE COST 6590,A81000B,00500,0300,HOME OFFICE COST 6590,A81000B,00600,0300,HOME OFFICE COST 6590,A81000B,00800,0300,HOME OFFICE COST 6590,A81000C,00100,0100,B 6590,A81000C,00100,0200,BEVERLY ENTERPR 6590,B100000,00000,0100,00000(SQUARE FEET) 6590,B100000,00000,0200,00000(SQUARE FEET) 6590,B100000,00000,0300,00000(ADJUSTED SALARIES) 6590,B100000,00000,0400,00000(ACCUM. COST) 6590,B100000,00000,0500,00000(SQUARE FEET) 6590,B100000,00000,0600,00000(PATIENT DAYS) 6590,B100000,00000,0700,00000(SQUARE FEET) 6590,B100000,00000,0800,00000(MEALS SERVED) 6590,B100000,00000,0900,00000(ADJUSTED SALARIES) 6590,B100000,00000,1000,00000(PATIENT DAYS) 6590,B100000,00000,1100,00000(COSTED REQUIS) 6590,B100000,00000,1200,00000(TOTAL CHARGES) 6590,B100000,00000,1300,00000(PATIENT DAYS) 6590,B100000,00000,1301,00000(PATIENT DAYS) 6590,B100000,00000,1400,00000(ASSIGNED TIME) 6590,E10A180,00301,0100,01/27/1999 6590,E10A180,00302,0100,06/14/1999 6590,E10A180,00303,0100,02/14/2000 6590,E10A180,00350,0100,10/08/1999 6590,E10A180,00351,0100,12/09/1999 6590,S000000,00100,0200,06/02/2000 6590,S200000,00100,0100,128 N HARDESTY 6590,S200000,00200,0100,KANSAS CITY 6590,S200000,00200,0200,MO 6590,S200000,00200,0300,64123 6590,S200000,00300,0100,JACKSON 6590,S200000,00400,0100,GLENNON PLACE - #3921 6590,S200000,00400,0200,265463 6590,S200000,00400,0300,09/01/1991 6590,S200000,00400,0500,P 6590,S200000,00600,0200,265463 6590,S200000,00600,0300,09/01/1991 6590,S200000,00600,0600,P 6590,S200000,01600,0100,Y 6593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6593,A000000,00300,0000,00300EMPLOYEE BENEFITS 6593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6593,A000000,00700,0000,00700HOUSEKEEPING 6593,A000000,00800,0000,00800DIETARY 6593,A000000,00900,0000,00900NURSING ADMINISTRATION 6593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6593,A000000,01100,0000,01100PHARMACY 6593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6593,A000000,01300,0000,01300SOCIAL SERVICE 6593,A000000,01301,0000,01301ACTIVITIES 6593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6593,A000000,01600,0000,01600SKILLED NURSING FACILITY 6593,A000000,01800,0000,01800NURSING FACILITY 6593,A000000,01810,0000,01810ICF/MR 6593,A000000,02100,0000,02100RADIOLOGY 6593,A000000,02200,0000,02200LABORATORY 6593,A000000,02500,0000,02500PHYSICAL THERAPY 6593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6593,A000000,02700,0000,02700SPEECH PATHOLOGY 6593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6593,A000000,03550,0000,03550FQHC 6593,A000000,05000,0000,05000CORF 6593,A000000,05010,0000,05010CMHC 6593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6593,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6593,A81000A,00100,0100,Y 6593,A81000B,00100,0300,HOME OFFICE COST 6593,A81000B,00400,0300,HOME OFFICE COST 6593,A81000B,00500,0300,HOME OFFICE COST 6593,A81000B,00600,0300,HOME OFFICE COST 6593,A81000B,00800,0300,HOME OFFICE COST 6593,A81000C,00100,0100,B 6593,A81000C,00100,0200,BEVERLY ENTERPR 6593,B100000,00000,0100,00000(SQUARE FEET) 6593,B100000,00000,0200,00000(SQUARE FEET) 6593,B100000,00000,0300,00000(ADJUSTED SALARIES) 6593,B100000,00000,0400,00000(ACCUM. COST) 6593,B100000,00000,0500,00000(SQUARE FEET) 6593,B100000,00000,0600,00000(PATIENT DAYS) 6593,B100000,00000,0700,00000(SQUARE FEET) 6593,B100000,00000,0800,00000(MEALS SERVED) 6593,B100000,00000,0900,00000(ADJUSTED SALARIES) 6593,B100000,00000,1000,00000(PATIENT DAYS) 6593,B100000,00000,1100,00000(COSTED REQUIS) 6593,B100000,00000,1200,00000(TOTAL CHARGES) 6593,B100000,00000,1300,00000(PATIENT DAYS) 6593,B100000,00000,1301,00000(PATIENT DAYS) 6593,B100000,00000,1400,00000(ASSIGNED TIME) 6593,E10A180,00301,0100,01/27/1999 6593,E10A180,00302,0100,12/09/1999 6593,E10A180,00350,0100,06/14/1999 6593,E10A180,00351,0100,10/08/1999 6593,E10A180,00352,0100,02/14/2000 6593,S000000,00100,0200,06/02/2000 6593,S200000,00100,0100,HIGHWAY 22 AND CURTIS 6593,S200000,00200,0100,MEXICO 6593,S200000,00200,0200,MO 6593,S200000,00200,0300,65265 6593,S200000,00300,0100,AUDRAIN 6593,S200000,00400,0100,PIN OAKS ADULT CARE 6593,S200000,00400,0200,265481 6593,S200000,00400,0300,03/01/1992 6593,S200000,00400,0500,P 6593,S200000,00600,0200,265481 6593,S200000,00600,0300,03/01/1992 6593,S200000,00600,0600,P 6593,S200000,01600,0100,Y 6596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6596,A000000,00300,0000,00300EMPLOYEE BENEFITS 6596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6596,A000000,00700,0000,00700HOUSEKEEPING 6596,A000000,00800,0000,00800DIETARY 6596,A000000,00900,0000,00900NURSING ADMINISTRATION 6596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6596,A000000,01100,0000,01100PHARMACY 6596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6596,A000000,01300,0000,01300SOCIAL SERVICE 6596,A000000,01301,0000,01301ACTIVITIES 6596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6596,A000000,01600,0000,01600SKILLED NURSING FACILITY 6596,A000000,01800,0000,01800NURSING FACILITY 6596,A000000,01810,0000,01810ICF/MR 6596,A000000,01900,0000,01900OTHER LONG TERM CARE 6596,A000000,02100,0000,02100RADIOLOGY 6596,A000000,02200,0000,02200LABORATORY 6596,A000000,02500,0000,02500PHYSICAL THERAPY 6596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6596,A000000,02700,0000,02700SPEECH PATHOLOGY 6596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6596,A000000,03550,0000,03550FQHC 6596,A000000,05000,0000,05000CORF 6596,A000000,05010,0000,05010CMHC 6596,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6596,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6596,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6596,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6596,A81000A,00100,0100,Y 6596,A81000B,00100,0300,HOME OFFICE COST 6596,A81000B,00400,0300,HOME OFFICE COST 6596,A81000B,00500,0300,HOME OFFICE COST 6596,A81000B,00600,0300,HOME OFFICE COST 6596,A81000B,00800,0300,HOME OFFICE COST 6596,A81000C,00100,0100,B 6596,A81000C,00100,0200,BEVERLY ENTERPR 6596,B100000,00000,0100,00000(SQUARE FEET) 6596,B100000,00000,0200,00000(SQUARE FEET) 6596,B100000,00000,0300,00000(ADJUSTED SALARIES) 6596,B100000,00000,0400,00000(ACCUM. COST) 6596,B100000,00000,0500,00000(SQUARE FEET) 6596,B100000,00000,0600,00000(PATIENT DAYS) 6596,B100000,00000,0700,00000(SQUARE FEET) 6596,B100000,00000,0800,00000(MEALS SERVED) 6596,B100000,00000,0900,00000(ADJUSTED SALARIES) 6596,B100000,00000,1000,00000(PATIENT DAYS) 6596,B100000,00000,1100,00000(COSTED REQUIS) 6596,B100000,00000,1200,00000(TOTAL CHARGES) 6596,B100000,00000,1300,00000(PATIENT DAYS) 6596,B100000,00000,1301,00000(PATIENT DAYS) 6596,B100000,00000,1400,00000(ASSIGNED TIME) 6596,S000000,00100,0200,06/02/2000 6596,S200000,00100,0100,3038 W. TRUMAN BLVD 6596,S200000,00200,0100,JEFFERSON CITY 6596,S200000,00200,0200,MO 6596,S200000,00200,0300,65109 6596,S200000,00300,0100,COLE 6596,S200000,00400,0100,LINCOLN NURSING CTR (#2378) 6596,S200000,00400,0200,265482 6596,S200000,00400,0300,03/01/1992 6596,S200000,00400,0500,P 6596,S200000,00600,0200,265482 6596,S200000,00600,0300,03/01/1992 6596,S200000,00600,0600,P 6596,S200000,01600,0100,Y 6599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6599,A000000,00300,0000,00300EMPLOYEE BENEFITS 6599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6599,A000000,00700,0000,00700HOUSEKEEPING 6599,A000000,00800,0000,00800DIETARY 6599,A000000,00900,0000,00900NURSING ADMINISTRATION 6599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6599,A000000,01100,0000,01100PHARMACY 6599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6599,A000000,01300,0000,01300SOCIAL SERVICE 6599,A000000,01301,0000,01301ACTIVITIES 6599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6599,A000000,01600,0000,01600SKILLED NURSING FACILITY 6599,A000000,01800,0000,01800NURSING FACILITY 6599,A000000,01810,0000,01810ICF/MR 6599,A000000,02100,0000,02100RADIOLOGY 6599,A000000,02200,0000,02200LABORATORY 6599,A000000,02500,0000,02500PHYSICAL THERAPY 6599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6599,A000000,02700,0000,02700SPEECH PATHOLOGY 6599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6599,A000000,03550,0000,03550FQHC 6599,A000000,05000,0000,05000CORF 6599,A000000,05010,0000,05010CMHC 6599,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6599,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6599,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6599,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6599,A81000A,00100,0100,Y 6599,A81000B,00100,0300,HOME OFFICE COST 6599,A81000B,00400,0300,HOME OFFICE COST 6599,A81000B,00500,0300,HOME OFFICE COST 6599,A81000B,00600,0300,HOME OFFICE COST 6599,A81000B,00800,0300,HOME OFFICE COST 6599,A81000C,00100,0100,B 6599,A81000C,00100,0200,BEVERLY ENTERPR 6599,B100000,00000,0100,00000(SQUARE FEET) 6599,B100000,00000,0200,00000(SQUARE FEET) 6599,B100000,00000,0300,00000(ADJUSTED SALARIES) 6599,B100000,00000,0400,00000(ACCUM. COST) 6599,B100000,00000,0500,00000(SQUARE FEET) 6599,B100000,00000,0600,00000(PATIENT DAYS) 6599,B100000,00000,0700,00000(SQUARE FEET) 6599,B100000,00000,0800,00000(MEALS SERVED) 6599,B100000,00000,0900,00000(ADJUSTED SALARIES) 6599,B100000,00000,1000,00000(PATIENT DAYS) 6599,B100000,00000,1100,00000(COSTED REQUIS) 6599,B100000,00000,1200,00000(TOTAL CHARGES) 6599,B100000,00000,1300,00000(PATIENT DAYS) 6599,B100000,00000,1301,00000(PATIENT DAYS) 6599,B100000,00000,1400,00000(ASSIGNED TIME) 6599,E10A180,00301,0100,12/09/1999 6599,E10A180,00350,0100,06/14/1999 6599,E10A180,00351,0100,10/05/1999 6599,E10A180,00352,0100,02/14/2000 6599,S000000,00100,0200,06/02/2000 6599,S200000,00100,0100,HIGHWAY EAST 136 BOX 244 6599,S200000,00200,0100,ALBANY 6599,S200000,00200,0200,MO 6599,S200000,00200,0300,64402 6599,S200000,00300,0100,GENTRY 6599,S200000,00400,0100,COLONIAL MANOR - ALBANY (#152) 6599,S200000,00400,0200,265488 6599,S200000,00400,0300,02/01/1992 6599,S200000,00400,0500,P 6599,S200000,00600,0200,265488 6599,S200000,00600,0300,02/01/1992 6599,S200000,00600,0600,P 6599,S200000,01600,0100,Y 6602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6602,A000000,00300,0000,00300EMPLOYEE BENEFITS 6602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6602,A000000,00700,0000,00700HOUSEKEEPING 6602,A000000,00800,0000,00800DIETARY 6602,A000000,00900,0000,00900NURSING ADMINISTRATION 6602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6602,A000000,01100,0000,01100PHARMACY 6602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6602,A000000,01300,0000,01300SOCIAL SERVICE 6602,A000000,01301,0000,01301ACTIVITIES 6602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6602,A000000,01600,0000,01600SKILLED NURSING FACILITY 6602,A000000,01800,0000,01800NURSING FACILITY 6602,A000000,01810,0000,01810ICF/MR 6602,A000000,02200,0000,02200LABORATORY 6602,A000000,02500,0000,02500PHYSICAL THERAPY 6602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6602,A000000,02700,0000,02700SPEECH PATHOLOGY 6602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6602,A000000,03550,0000,03550FQHC 6602,A000000,05000,0000,05000CORF 6602,A000000,05010,0000,05010CMHC 6602,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6602,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6602,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6602,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6602,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6602,A81000A,00100,0100,Y 6602,A81000B,00100,0300,HOME OFFICE COST 6602,A81000B,00400,0300,HOME OFFICE COST 6602,A81000B,00500,0300,HOME OFFICE COST 6602,A81000B,00600,0300,HOME OFFICE COST 6602,A81000B,00800,0300,HOME OFFICE COST 6602,A81000C,00100,0100,B 6602,A81000C,00100,0200,BEVERLY ENTERPR 6602,B100000,00000,0100,00000(SQUARE FEET) 6602,B100000,00000,0200,00000(SQUARE FEET) 6602,B100000,00000,0300,00000(ADJUSTED SALARIES) 6602,B100000,00000,0400,00000(ACCUM. COST) 6602,B100000,00000,0500,00000(SQUARE FEET) 6602,B100000,00000,0600,00000(PATIENT DAYS) 6602,B100000,00000,0700,00000(SQUARE FEET) 6602,B100000,00000,0800,00000(MEALS SERVED) 6602,B100000,00000,0900,00000(ADJUSTED SALARIES) 6602,B100000,00000,1000,00000(PATIENT DAYS) 6602,B100000,00000,1100,00000(COSTED REQUIS) 6602,B100000,00000,1200,00000(TOTAL CHARGES) 6602,B100000,00000,1300,00000(PATIENT DAYS) 6602,B100000,00000,1301,00000(PATIENT DAYS) 6602,B100000,00000,1400,00000(ASSIGNED TIME) 6602,E10A180,00301,0100,12/09/1999 6602,E10A180,00350,0100,01/27/1999 6602,E10A180,00351,0100,06/14/1999 6602,E10A180,00352,0100,10/08/1999 6602,E10A180,00353,0100,02/14/2000 6602,S000000,00100,0200,06/02/2000 6602,S200000,00100,0100,1210 ASHLAND 6602,S200000,00200,0100,NEVADA 6602,S200000,00200,0200,MO 6602,S200000,00200,0300,64772 6602,S200000,00300,0100,VERNON 6602,S200000,00400,0100,NEVADA NURSING CENTER 6602,S200000,00400,0200,265493 6602,S200000,00400,0300,05/01/1992 6602,S200000,00400,0500,P 6602,S200000,00600,0200,265493 6602,S200000,00600,0300,05/01/1992 6602,S200000,00600,0600,P 6602,S200000,01600,0100,Y 6605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6605,A000000,00300,0000,00300EMPLOYEE BENEFITS 6605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6605,A000000,00700,0000,00700HOUSEKEEPING 6605,A000000,00800,0000,00800DIETARY 6605,A000000,00900,0000,00900NURSING ADMINISTRATION 6605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6605,A000000,01100,0000,01100PHARMACY 6605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6605,A000000,01300,0000,01300SOCIAL SERVICE 6605,A000000,01301,0000,01301ACTIVITIES 6605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6605,A000000,01600,0000,01600SKILLED NURSING FACILITY 6605,A000000,01800,0000,01800NURSING FACILITY 6605,A000000,01810,0000,01810ICF/MR 6605,A000000,02100,0000,02100RADIOLOGY 6605,A000000,02200,0000,02200LABORATORY 6605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6605,A000000,02500,0000,02500PHYSICAL THERAPY 6605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6605,A000000,02700,0000,02700SPEECH PATHOLOGY 6605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6605,A000000,03550,0000,03550FQHC 6605,A000000,05000,0000,05000CORF 6605,A000000,05010,0000,05010CMHC 6605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6605,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6605,A81000A,00100,0100,Y 6605,A81000B,00100,0300,HOME OFFICE COST 6605,A81000B,00400,0300,HOME OFFICE COST 6605,A81000B,00500,0300,HOME OFFICE COST 6605,A81000B,00600,0300,HOME OFFICE COST 6605,A81000B,00800,0300,HOME OFFICE COST 6605,A81000C,00100,0100,B 6605,A81000C,00100,0200,BEVERLY ENTERPR 6605,B100000,00000,0100,00000(SQUARE FEET) 6605,B100000,00000,0200,00000(SQUARE FEET) 6605,B100000,00000,0300,00000(ADJUSTED SALARIES) 6605,B100000,00000,0400,00000(ACCUM. COST) 6605,B100000,00000,0500,00000(SQUARE FEET) 6605,B100000,00000,0600,00000(PATIENT DAYS) 6605,B100000,00000,0700,00000(SQUARE FEET) 6605,B100000,00000,0800,00000(MEALS SERVED) 6605,B100000,00000,0900,00000(ADJUSTED SALARIES) 6605,B100000,00000,1000,00000(PATIENT DAYS) 6605,B100000,00000,1100,00000(COSTED REQUIS) 6605,B100000,00000,1200,00000(TOTAL CHARGES) 6605,B100000,00000,1300,00000(PATIENT DAYS) 6605,B100000,00000,1301,00000(PATIENT DAYS) 6605,B100000,00000,1400,00000(ASSIGNED TIME) 6605,E10A180,00301,0100,01/27/1999 6605,E10A180,00302,0100,06/14/2000 6605,E10A180,00350,0100,10/08/1999 6605,E10A180,00351,0100,12/09/1999 6605,E10A180,00352,0100,02/14/2000 6605,S000000,00100,0200,06/02/2000 6605,S200000,00100,0100,609 GOLF STREET 6605,S200000,00200,0100,ODESSA 6605,S200000,00200,0200,MO 6605,S200000,00200,0300,64076 6605,S200000,00300,0100,LAFAYETTE 6605,S200000,00400,0100,NEW HAVEN NURSING HOME 6605,S200000,00400,0200,265501 6605,S200000,00400,0300,08/01/1992 6605,S200000,00400,0500,P 6605,S200000,00600,0200,265501 6605,S200000,00600,0300,08/01/1992 6605,S200000,00600,0600,P 6605,S200000,01600,0100,Y 6608,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6608,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6608,A000000,00300,0000,00300EMPLOYEE BENEFITS 6608,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6608,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6608,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6608,A000000,00700,0000,00700HOUSEKEEPING 6608,A000000,00800,0000,00800DIETARY 6608,A000000,00900,0000,00900NURSING ADMINISTRATION 6608,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6608,A000000,01100,0000,01100PHARMACY 6608,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6608,A000000,01300,0000,01300SOCIAL SERVICE 6608,A000000,01301,0000,01301ACTIVITIES 6608,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6608,A000000,01600,0000,01600SKILLED NURSING FACILITY 6608,A000000,01800,0000,01800NURSING FACILITY 6608,A000000,01810,0000,01810ICF/MR 6608,A000000,02100,0000,02100RADIOLOGY 6608,A000000,02200,0000,02200LABORATORY 6608,A000000,02500,0000,02500PHYSICAL THERAPY 6608,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6608,A000000,02700,0000,02700SPEECH PATHOLOGY 6608,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6608,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6608,A000000,03550,0000,03550FQHC 6608,A000000,05000,0000,05000CORF 6608,A000000,05010,0000,05010CMHC 6608,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6608,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6608,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6608,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6608,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6608,A81000A,00100,0100,Y 6608,A81000B,00100,0300,HOME OFFICE COST 6608,A81000B,00400,0300,HOME OFFICE COST 6608,A81000B,00500,0300,HOME OFFICE COST 6608,A81000B,00600,0300,HOME OFFICE COST 6608,A81000B,00800,0300,HOME OFFICE COST 6608,A81000C,00100,0100,B 6608,A81000C,00100,0200,BEVERLY ENTERPR 6608,B100000,00000,0100,00000(SQUARE FEET) 6608,B100000,00000,0200,00000(SQUARE FEET) 6608,B100000,00000,0300,00000(ADJUSTED SALARIES) 6608,B100000,00000,0400,00000(ACCUM. COST) 6608,B100000,00000,0500,00000(SQUARE FEET) 6608,B100000,00000,0600,00000(PATIENT DAYS) 6608,B100000,00000,0700,00000(SQUARE FEET) 6608,B100000,00000,0800,00000(MEALS SERVED) 6608,B100000,00000,0900,00000(ADJUSTED SALARIES) 6608,B100000,00000,1000,00000(PATIENT DAYS) 6608,B100000,00000,1100,00000(COSTED REQUIS) 6608,B100000,00000,1200,00000(TOTAL CHARGES) 6608,B100000,00000,1300,00000(PATIENT DAYS) 6608,B100000,00000,1301,00000(PATIENT DAYS) 6608,B100000,00000,1400,00000(ASSIGNED TIME) 6608,S000000,00100,0200,06/02/2000 6608,S200000,00100,0100,100 AUDSLEY DRIVE 6608,S200000,00200,0100,GLASGLOW 6608,S200000,00200,0200,MO 6608,S200000,00200,0300,65254 6608,S200000,00300,0100,HOWARD 6608,S200000,00400,0100,COLONIAL MANOR OF GLASGLOW 6608,S200000,00400,0200,265535 6608,S200000,00400,0300,07/01/1993 6608,S200000,00400,0500,P 6608,S200000,00600,0200,265535 6608,S200000,00600,0300,07/01/1993 6608,S200000,00600,0600,P 6608,S200000,01600,0100,Y 6611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6611,A000000,00300,0000,00300EMPLOYEE BENEFITS 6611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6611,A000000,00700,0000,00700HOUSEKEEPING 6611,A000000,00800,0000,00800DIETARY 6611,A000000,00900,0000,00900NURSING ADMINISTRATION 6611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6611,A000000,01100,0000,01100PHARMACY 6611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6611,A000000,01300,0000,01300SOCIAL SERVICE 6611,A000000,01301,0000,01301ACTIVITIES 6611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6611,A000000,01600,0000,01600SKILLED NURSING FACILITY 6611,A000000,01800,0000,01800NURSING FACILITY 6611,A000000,01810,0000,01810ICF/MR 6611,A000000,02500,0000,02500PHYSICAL THERAPY 6611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6611,A000000,02700,0000,02700SPEECH PATHOLOGY 6611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6611,A000000,03550,0000,03550FQHC 6611,A000000,05000,0000,05000CORF 6611,A000000,05010,0000,05010CMHC 6611,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6611,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6611,A81000A,00100,0100,Y 6611,A81000B,00100,0300,HOME OFFICE COST 6611,A81000B,00400,0300,HOME OFFICE COST 6611,A81000B,00500,0300,HOME OFFICE COST 6611,A81000B,00600,0300,HOME OFFICE COST 6611,A81000B,00800,0300,HOME OFFICE COST 6611,A81000C,00100,0100,B 6611,A81000C,00100,0200,BEVERLY ENTERPR 6611,B100000,00000,0100,00000(SQUARE FEET) 6611,B100000,00000,0200,00000(SQUARE FEET) 6611,B100000,00000,0300,00000(ADJUSTED SALARIES) 6611,B100000,00000,0400,00000(ACCUM. COST) 6611,B100000,00000,0500,00000(SQUARE FEET) 6611,B100000,00000,0600,00000(PATIENT DAYS) 6611,B100000,00000,0700,00000(SQUARE FEET) 6611,B100000,00000,0800,00000(MEALS SERVED) 6611,B100000,00000,0900,00000(ADJUSTED SALARIES) 6611,B100000,00000,1000,00000(PATIENT DAYS) 6611,B100000,00000,1100,00000(COSTED REQUIS) 6611,B100000,00000,1200,00000(TOTAL CHARGES) 6611,B100000,00000,1300,00000(PATIENT DAYS) 6611,B100000,00000,1301,00000(PATIENT DAYS) 6611,B100000,00000,1400,00000(ASSIGNED TIME) 6611,E10A180,00301,0100,06/14/1999 6611,E10A180,00302,0100,02/14/2000 6611,E10A180,00350,0100,01/27/1999 6611,E10A180,00351,0100,10/08/1999 6611,E10A180,00352,0100,12/09/1999 6611,S000000,00100,0200,06/02/2000 6611,S200000,00100,0100,P O BOX 107 6611,S200000,00200,0100,HARTINGTON 6611,S200000,00200,0200,NE 6611,S200000,00200,0300,68739 6611,S200000,00300,0100,CEDAR 6611,S200000,00400,0100,00465 - THE CEDARS A 6611,S200000,00400,0200,285088 6611,S200000,00400,0300,04/01/1989 6611,S200000,00400,0500,P 6611,S200000,00600,0200,285088 6611,S200000,00600,0300,04/01/1989 6611,S200000,00600,0600,P 6611,S200000,01600,0100,Y 6614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6614,A000000,00300,0000,00300EMPLOYEE BENEFITS 6614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6614,A000000,00700,0000,00700HOUSEKEEPING 6614,A000000,00800,0000,00800DIETARY 6614,A000000,00900,0000,00900NURSING ADMINISTRATION 6614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6614,A000000,01100,0000,01100PHARMACY 6614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6614,A000000,01300,0000,01300SOCIAL SERVICE 6614,A000000,01301,0000,01301ACTIVITIES 6614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6614,A000000,01600,0000,01600SKILLED NURSING FACILITY 6614,A000000,01800,0000,01800NURSING FACILITY 6614,A000000,01810,0000,01810ICF/MR 6614,A000000,02100,0000,02100RADIOLOGY 6614,A000000,02200,0000,02200LABORATORY 6614,A000000,02500,0000,02500PHYSICAL THERAPY 6614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6614,A000000,02700,0000,02700SPEECH PATHOLOGY 6614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6614,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6614,A000000,03550,0000,03550FQHC 6614,A000000,05000,0000,05000CORF 6614,A000000,05010,0000,05010CMHC 6614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6614,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6614,A81000A,00100,0100,Y 6614,A81000B,00100,0300,HOME OFFICE COST 6614,A81000B,00400,0300,HOME OFFICE COST 6614,A81000B,00500,0300,HOME OFFICE COST 6614,A81000B,00600,0300,HOME OFFICE COST 6614,A81000B,00800,0300,HOME OFFICE COST 6614,A81000C,00100,0100,B 6614,A81000C,00100,0200,BEVERLY ENTERPR 6614,B100000,00000,0100,00000(SQUARE FEET) 6614,B100000,00000,0200,00000(SQUARE FEET) 6614,B100000,00000,0300,00000(ADJUSTED SALARIES) 6614,B100000,00000,0400,00000(ACCUM. COST) 6614,B100000,00000,0500,00000(SQUARE FEET) 6614,B100000,00000,0600,00000(PATIENT DAYS) 6614,B100000,00000,0700,00000(SQUARE FEET) 6614,B100000,00000,0800,00000(MEALS SERVED) 6614,B100000,00000,0900,00000(ADJUSTED SALARIES) 6614,B100000,00000,1000,00000(PATIENT DAYS) 6614,B100000,00000,1100,00000(COSTED REQUIS) 6614,B100000,00000,1200,00000(TOTAL CHARGES) 6614,B100000,00000,1300,00000(PATIENT DAYS) 6614,B100000,00000,1301,00000(PATIENT DAYS) 6614,B100000,00000,1400,00000(ASSIGNED TIME) 6614,E10A180,00301,0100,06/14/1999 6614,E10A180,00302,0100,02/14/2000 6614,E10A180,00350,0100,01/27/1999 6614,E10A180,00351,0100,10/08/1999 6614,E10A180,00352,0100,12/09/1999 6614,S000000,00100,0200,06/02/2000 6614,S200000,00100,0100,3918 27TH ST 6614,S200000,00200,0100,COLUMBUS 6614,S200000,00200,0200,NE 6614,S200000,00200,0300,68601 6614,S200000,00300,0100,COLUMBUS 6614,S200000,00400,0100,00451 - COLUMBUS MANOR A 6614,S200000,00400,0200,285092 6614,S200000,00400,0300,12/01/1989 6614,S200000,00400,0500,P 6614,S200000,00600,0200,285092 6614,S200000,00600,0300,12/01/1989 6614,S200000,00600,0600,P 6614,S200000,01600,0100,Y 6617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6617,A000000,00300,0000,00300EMPLOYEE BENEFITS 6617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6617,A000000,00700,0000,00700HOUSEKEEPING 6617,A000000,00800,0000,00800DIETARY 6617,A000000,00900,0000,00900NURSING ADMINISTRATION 6617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6617,A000000,01100,0000,01100PHARMACY 6617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6617,A000000,01300,0000,01300SOCIAL SERVICE 6617,A000000,01301,0000,01301ACTIVITIES 6617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6617,A000000,01600,0000,01600SKILLED NURSING FACILITY 6617,A000000,01800,0000,01800NURSING FACILITY 6617,A000000,01810,0000,01810ICF/MR 6617,A000000,02200,0000,02200LABORATORY 6617,A000000,02500,0000,02500PHYSICAL THERAPY 6617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6617,A000000,02700,0000,02700SPEECH PATHOLOGY 6617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6617,A000000,03550,0000,03550FQHC 6617,A000000,05000,0000,05000CORF 6617,A000000,05010,0000,05010CMHC 6617,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6617,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6617,A81000A,00100,0100,Y 6617,A81000B,00100,0300,HOME OFFICE COST 6617,A81000B,00400,0300,HOME OFFICE COST 6617,A81000B,00500,0300,HOME OFFICE COST 6617,A81000B,00600,0300,HOME OFFICE COST 6617,A81000B,00800,0300,HOME OFFICE COST 6617,A81000C,00100,0100,B 6617,A81000C,00100,0200,BEVERLY ENTERPR 6617,B100000,00000,0100,00000(SQUARE FEET) 6617,B100000,00000,0200,00000(SQUARE FEET) 6617,B100000,00000,0300,00000(ADJUSTED SALARIES) 6617,B100000,00000,0400,00000(ACCUM. COST) 6617,B100000,00000,0500,00000(SQUARE FEET) 6617,B100000,00000,0600,00000(PATIENT DAYS) 6617,B100000,00000,0700,00000(SQUARE FEET) 6617,B100000,00000,0800,00000(MEALS SERVED) 6617,B100000,00000,0900,00000(ADJUSTED SALARIES) 6617,B100000,00000,1000,00000(PATIENT DAYS) 6617,B100000,00000,1100,00000(COSTED REQUIS) 6617,B100000,00000,1200,00000(TOTAL CHARGES) 6617,B100000,00000,1300,00000(PATIENT DAYS) 6617,B100000,00000,1301,00000(PATIENT DAYS) 6617,B100000,00000,1400,00000(ASSIGNED TIME) 6617,E10A180,00301,0100,01/27/1999 6617,E10A180,00302,0100,12/09/1999 6617,E10A180,00350,0100,06/14/1999 6617,E10A180,00351,0100,10/08/1999 6617,E10A180,00352,0100,02/14/2000 6617,S000000,00100,0200,06/02/2000 6617,S200000,00100,0100,318 W 18TH ST 6617,S200000,00200,0100,COZAD 6617,S200000,00200,0200,NE 6617,S200000,00200,0300,69130 6617,S200000,00300,0100,DAWSON 6617,S200000,00400,0100,00452 - SOUTHVIEW MANOR CARE A 6617,S200000,00400,0200,285093 6617,S200000,00400,0300,10/01/1989 6617,S200000,00400,0500,P 6617,S200000,00600,0200,295093 6617,S200000,00600,0300,10/01/1989 6617,S200000,00600,0600,P 6617,S200000,01600,0100,Y 6620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6620,A000000,00300,0000,00300EMPLOYEE BENEFITS 6620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6620,A000000,00700,0000,00700HOUSEKEEPING 6620,A000000,00800,0000,00800DIETARY 6620,A000000,00900,0000,00900NURSING ADMINISTRATION 6620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6620,A000000,01100,0000,01100PHARMACY 6620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6620,A000000,01300,0000,01300SOCIAL SERVICE 6620,A000000,01301,0000,01301ACTIVITIES 6620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6620,A000000,01600,0000,01600SKILLED NURSING FACILITY 6620,A000000,01800,0000,01800NURSING FACILITY 6620,A000000,01810,0000,01810ICF/MR 6620,A000000,02200,0000,02200LABORATORY 6620,A000000,02500,0000,02500PHYSICAL THERAPY 6620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6620,A000000,02700,0000,02700SPEECH PATHOLOGY 6620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6620,A000000,03550,0000,03550FQHC 6620,A000000,05000,0000,05000CORF 6620,A000000,05010,0000,05010CMHC 6620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6620,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6620,A81000A,00100,0100,Y 6620,A81000B,00100,0300,HOME OFFICE COST 6620,A81000B,00400,0300,HOME OFFICE COST 6620,A81000B,00500,0300,HOME OFFICE COST 6620,A81000B,00600,0300,HOME OFFICE COST 6620,A81000B,00800,0300,HOME OFFICE COST 6620,A81000C,00100,0100,B 6620,A81000C,00100,0200,BEVERLY ENTERPR 6620,B100000,00000,0100,00000(SQUARE FEET) 6620,B100000,00000,0200,00000(SQUARE FEET) 6620,B100000,00000,0300,00000(ADJUSTED SALARIES) 6620,B100000,00000,0400,00000(ACCUM. COST) 6620,B100000,00000,0500,00000(SQUARE FEET) 6620,B100000,00000,0600,00000(PATIENT DAYS) 6620,B100000,00000,0700,00000(SQUARE FEET) 6620,B100000,00000,0800,00000(MEALS SERVED) 6620,B100000,00000,0900,00000(ADJUSTED SALARIES) 6620,B100000,00000,1000,00000(PATIENT DAYS) 6620,B100000,00000,1100,00000(COSTED REQUIS) 6620,B100000,00000,1200,00000(TOTAL CHARGES) 6620,B100000,00000,1300,00000(PATIENT DAYS) 6620,B100000,00000,1301,00000(PATIENT DAYS) 6620,B100000,00000,1400,00000(ASSIGNED TIME) 6620,E10A180,00301,0100,10/08/1999 6620,E10A180,00350,0100,01/27/1999 6620,E10A180,00351,0100,06/14/1999 6620,E10A180,00352,0100,12/09/1999 6620,E10A180,00353,0100,02/14/2000 6620,S000000,00100,0200,06/02/2000 6620,S200000,00100,0100,111 W 36TH 6620,S200000,00200,0100,SCOTTSBLUFF 6620,S200000,00200,0200,NE 6620,S200000,00200,0300,69361 6620,S200000,00300,0100,SCOTTS BLUFF 6620,S200000,00400,0100,02193 - SCOTTSBLUFF VILLAGE A 6620,S200000,00400,0200,285095 6620,S200000,00400,0300,03/12/1990 6620,S200000,00400,0500,P 6620,S200000,00600,0200,285095 6620,S200000,00600,0300,03/12/1990 6620,S200000,00600,0600,P 6620,S200000,01600,0100,Y 6623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6623,A000000,00300,0000,00300EMPLOYEE BENEFITS 6623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6623,A000000,00700,0000,00700HOUSEKEEPING 6623,A000000,00800,0000,00800DIETARY 6623,A000000,00900,0000,00900NURSING ADMINISTRATION 6623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6623,A000000,01100,0000,01100PHARMACY 6623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6623,A000000,01300,0000,01300SOCIAL SERVICE 6623,A000000,01301,0000,01301ACTIVITIES 6623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6623,A000000,01600,0000,01600SKILLED NURSING FACILITY 6623,A000000,01800,0000,01800NURSING FACILITY 6623,A000000,01810,0000,01810ICF/MR 6623,A000000,02100,0000,02100RADIOLOGY 6623,A000000,02200,0000,02200LABORATORY 6623,A000000,02500,0000,02500PHYSICAL THERAPY 6623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6623,A000000,02700,0000,02700SPEECH PATHOLOGY 6623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6623,A000000,03550,0000,03550FQHC 6623,A000000,05000,0000,05000CORF 6623,A000000,05010,0000,05010CMHC 6623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6623,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6623,A81000A,00100,0100,Y 6623,A81000B,00100,0300,HOME OFFICE COST 6623,A81000B,00400,0300,HOME OFFICE COST 6623,A81000B,00500,0300,HOME OFFICE COST 6623,A81000B,00600,0300,HOME OFFICE COST 6623,A81000B,00800,0300,HOME OFFICE COST 6623,A81000C,00100,0100,B 6623,A81000C,00100,0200,BEVERLY ENTERPR 6623,B100000,00000,0100,00000(SQUARE FEET) 6623,B100000,00000,0200,00000(SQUARE FEET) 6623,B100000,00000,0300,00000(ADJUSTED SALARIES) 6623,B100000,00000,0400,00000(ACCUM. COST) 6623,B100000,00000,0500,00000(SQUARE FEET) 6623,B100000,00000,0600,00000(PATIENT DAYS) 6623,B100000,00000,0700,00000(SQUARE FEET) 6623,B100000,00000,0800,00000(MEALS SERVED) 6623,B100000,00000,0900,00000(ADJUSTED SALARIES) 6623,B100000,00000,1000,00000(PATIENT DAYS) 6623,B100000,00000,1100,00000(COSTED REQUIS) 6623,B100000,00000,1200,00000(TOTAL CHARGES) 6623,B100000,00000,1300,00000(PATIENT DAYS) 6623,B100000,00000,1301,00000(PATIENT DAYS) 6623,B100000,00000,1400,00000(ASSIGNED TIME) 6623,E10A180,00301,0100,06/14/1999 6623,E10A180,00350,0100,01/27/1999 6623,E10A180,00351,0100,10/08/1999 6623,E10A180,00352,0100,12/09/1999 6623,E10A180,00353,0100,02/14/2000 6623,S000000,00100,0200,06/02/2000 6623,S200000,00100,0100,W. HIGHWAY 136 6623,S200000,00200,0100,FRANKLIN 6623,S200000,00200,0200,NE 6623,S200000,00200,0300,68939 6623,S200000,00300,0100,FRANKLIN 6623,S200000,00400,0100,FRANKLIN NURSING CENTER 6623,S200000,00400,0200,285096 6623,S200000,00400,0300,04/11/1990 6623,S200000,00400,0500,P 6623,S200000,00600,0200,285096 6623,S200000,00600,0300,04/11/1990 6623,S200000,00600,0600,P 6623,S200000,01600,0100,Y 6626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6626,A000000,00300,0000,00300EMPLOYEE BENEFITS 6626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6626,A000000,00700,0000,00700HOUSEKEEPING 6626,A000000,00800,0000,00800DIETARY 6626,A000000,00900,0000,00900NURSING ADMINISTRATION 6626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6626,A000000,01100,0000,01100PHARMACY 6626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6626,A000000,01300,0000,01300SOCIAL SERVICE 6626,A000000,01301,0000,01301ACTIVITIES 6626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6626,A000000,01600,0000,01600SKILLED NURSING FACILITY 6626,A000000,01800,0000,01800NURSING FACILITY 6626,A000000,01810,0000,01810ICF/MR 6626,A000000,01900,0000,01900OTHER LONG TERM CARE 6626,A000000,02100,0000,02100RADIOLOGY 6626,A000000,02200,0000,02200LABORATORY 6626,A000000,02500,0000,02500PHYSICAL THERAPY 6626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6626,A000000,02700,0000,02700SPEECH PATHOLOGY 6626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6626,A000000,03550,0000,03550FQHC 6626,A000000,05000,0000,05000CORF 6626,A000000,05010,0000,05010CMHC 6626,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6626,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6626,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6626,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6626,A81000A,00100,0100,Y 6626,A81000B,00100,0300,HOME OFFICE COST 6626,A81000B,00400,0300,HOME OFFICE COST 6626,A81000B,00500,0300,HOME OFFICE COST 6626,A81000B,00600,0300,HOME OFFICE COST 6626,A81000B,00800,0300,HOME OFFICE COST 6626,A81000C,00100,0100,B 6626,A81000C,00100,0200,BEVERLY ENTERPR 6626,B100000,00000,0100,00000(SQUARE FEET) 6626,B100000,00000,0200,00000(SQUARE FEET) 6626,B100000,00000,0300,00000(ADJUSTED SALARIES) 6626,B100000,00000,0400,00000(ACCUM. COST) 6626,B100000,00000,0500,00000(SQUARE FEET) 6626,B100000,00000,0600,00000(PATIENT DAYS) 6626,B100000,00000,0700,00000(SQUARE FEET) 6626,B100000,00000,0800,00000(MEALS SERVED) 6626,B100000,00000,0900,00000(ADJUSTED SALARIES) 6626,B100000,00000,1000,00000(PATIENT DAYS) 6626,B100000,00000,1100,00000(COSTED REQUIS) 6626,B100000,00000,1200,00000(TOTAL CHARGES) 6626,B100000,00000,1300,00000(PATIENT DAYS) 6626,B100000,00000,1301,00000(PATIENT DAYS) 6626,B100000,00000,1400,00000(ASSIGNED TIME) 6626,E10A180,00301,0100,06/14/1999 6626,E10A180,00302,0100,10/08/1999 6626,E10A180,00303,0100,12/09/1999 6626,E10A180,00304,0100,02/14/2000 6626,E10A180,00350,0100,01/27/1999 6626,S000000,00100,0200,06/02/2000 6626,S200000,00100,0100,5505 GROVER STREET 6626,S200000,00200,0100,OMAHA 6626,S200000,00200,0200,NE 6626,S200000,00200,0300,68106 6626,S200000,00300,0100,DOUGLAS 6626,S200000,00400,0100,HALLMARK CARE CENTER 6626,S200000,00400,0200,285097 6626,S200000,00400,0300,05/18/1990 6626,S200000,00400,0500,P 6626,S200000,00600,0200,285097 6626,S200000,00600,0300,05/18/1990 6626,S200000,00600,0600,P 6626,S200000,01600,0100,Y 6629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6629,A000000,00300,0000,00300EMPLOYEE BENEFITS 6629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6629,A000000,00700,0000,00700HOUSEKEEPING 6629,A000000,00800,0000,00800DIETARY 6629,A000000,00900,0000,00900NURSING ADMINISTRATION 6629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6629,A000000,01100,0000,01100PHARMACY 6629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6629,A000000,01300,0000,01300SOCIAL SERVICE 6629,A000000,01301,0000,01301ACTIVITIES 6629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6629,A000000,01600,0000,01600SKILLED NURSING FACILITY 6629,A000000,01800,0000,01800NURSING FACILITY 6629,A000000,01810,0000,01810ICF/MR 6629,A000000,01900,0000,01900OTHER LONG TERM CARE 6629,A000000,02200,0000,02200LABORATORY 6629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6629,A000000,02500,0000,02500PHYSICAL THERAPY 6629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6629,A000000,02700,0000,02700SPEECH PATHOLOGY 6629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6629,A000000,03050,0000,03300OTHER ANCILLARY 6629,A000000,03051,0000,03301OTHER ANCILLARY-CONSOLIDATED BI 6629,A000000,03550,0000,03550FQHC 6629,A000000,05000,0000,05000CORF 6629,A000000,05010,0000,05010CMHC 6629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6629,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6629,A81000A,00100,0100,Y 6629,A81000B,00100,0300,HOME OFFICE COST 6629,A81000B,00400,0300,HOME OFFICE COST 6629,A81000B,00500,0300,HOME OFFICE COST 6629,A81000B,00600,0300,HOME OFFICE COST 6629,A81000B,00800,0300,HOME OFFICE COST 6629,A81000C,00100,0100,B 6629,A81000C,00100,0200,BEVERLY ENTERPR 6629,B100000,00000,0100,00000(SQUARE FEET) 6629,B100000,00000,0200,00000(SQUARE FEET) 6629,B100000,00000,0300,00000(ADJUSTED SALARIES) 6629,B100000,00000,0400,00000(ACCUM. COST) 6629,B100000,00000,0500,00000(SQUARE FEET) 6629,B100000,00000,0600,00000(PATIENT DAYS) 6629,B100000,00000,0700,00000(SQUARE FEET) 6629,B100000,00000,0800,00000(MEALS SERVED) 6629,B100000,00000,0900,00000(ADJUSTED SALARIES) 6629,B100000,00000,1000,00000(PATIENT DAYS) 6629,B100000,00000,1100,00000(COSTED REQUIS) 6629,B100000,00000,1200,00000(TOTAL CHARGES) 6629,B100000,00000,1300,00000(PATIENT DAYS) 6629,B100000,00000,1301,00000(PATIENT DAYS) 6629,B100000,00000,1400,00000(ASSIGNED TIME) 6629,E10A180,00301,0100,06/14/1999 6629,E10A180,00350,0100,01/27/1999 6629,E10A180,00351,0100,10/08/1999 6629,E10A180,00352,0100,12/09/1999 6629,E10A180,00353,0100,02/14/2000 6629,S000000,00100,0200,06/02/2000 6629,S200000,00100,0100,1900 VICKI LANE 6629,S200000,00200,0100,NORFOLK 6629,S200000,00200,0200,NE 6629,S200000,00200,0300,68701 6629,S200000,00300,0100,MADISON 6629,S200000,00400,0100,NORFOLK NURSING CENTER 6629,S200000,00400,0200,285101 6629,S200000,00400,0300,10/01/1990 6629,S200000,00400,0500,P 6629,S200000,00600,0200,285101 6629,S200000,00600,0300,10/01/1990 6629,S200000,00600,0600,P 6629,S200000,01600,0100,Y 6632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6632,A000000,00300,0000,00300EMPLOYEE BENEFITS 6632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6632,A000000,00700,0000,00700HOUSEKEEPING 6632,A000000,00800,0000,00800DIETARY 6632,A000000,00900,0000,00900NURSING ADMINISTRATION 6632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6632,A000000,01100,0000,01100PHARMACY 6632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6632,A000000,01300,0000,01300SOCIAL SERVICE 6632,A000000,01301,0000,01301ACTIVITIES 6632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6632,A000000,01600,0000,01600SKILLED NURSING FACILITY 6632,A000000,01800,0000,01800NURSING FACILITY 6632,A000000,01810,0000,01810ICF/MR 6632,A000000,02100,0000,02100RADIOLOGY 6632,A000000,02200,0000,02200LABORATORY 6632,A000000,02500,0000,02500PHYSICAL THERAPY 6632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6632,A000000,02700,0000,02700SPEECH PATHOLOGY 6632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6632,A000000,03550,0000,03550FQHC 6632,A000000,05000,0000,05000CORF 6632,A000000,05010,0000,05010CMHC 6632,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6632,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6632,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6632,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6632,A81000A,00100,0100,Y 6632,A81000B,00100,0300,HOME OFFICE COST 6632,A81000B,00400,0300,HOME OFFICE COST 6632,A81000B,00500,0300,HOME OFFICE COST 6632,A81000B,00600,0300,HOME OFFICE COST 6632,A81000B,00800,0300,HOME OFFICE COST 6632,A81000C,00100,0100,B 6632,A81000C,00100,0200,BEVERLY ENTERPR 6632,B100000,00000,0100,00000(SQUARE FEET) 6632,B100000,00000,0200,00000(SQUARE FEET) 6632,B100000,00000,0300,00000(ADJUSTED SALARIES) 6632,B100000,00000,0400,00000(ACCUM. COST) 6632,B100000,00000,0500,00000(SQUARE FEET) 6632,B100000,00000,0600,00000(PATIENT DAYS) 6632,B100000,00000,0700,00000(SQUARE FEET) 6632,B100000,00000,0800,00000(MEALS SERVED) 6632,B100000,00000,0900,00000(ADJUSTED SALARIES) 6632,B100000,00000,1000,00000(PATIENT DAYS) 6632,B100000,00000,1100,00000(COSTED REQUIS) 6632,B100000,00000,1200,00000(TOTAL CHARGES) 6632,B100000,00000,1300,00000(PATIENT DAYS) 6632,B100000,00000,1301,00000(PATIENT DAYS) 6632,B100000,00000,1400,00000(ASSIGNED TIME) 6632,E10A180,00301,0100,12/09/1999 6632,E10A180,00302,0100,02/14/2000 6632,E10A180,00350,0100,01/27/1999 6632,E10A180,00351,0100,06/14/1999 6632,E10A180,00352,0100,10/08/1999 6632,S000000,00100,0200,06/02/2000 6632,S200000,00100,0100,602 SOUTH 18TH STREET 6632,S200000,00200,0100,PLATTSMOUTH 6632,S200000,00200,0200,NE 6632,S200000,00200,0300,68048 6632,S200000,00300,0100,CASS 6632,S200000,00400,0100,PLATTSMOUTH MANOR 6632,S200000,00400,0200,285104 6632,S200000,00400,0300,04/18/1991 6632,S200000,00400,0500,P 6632,S200000,00600,0200,285104 6632,S200000,00600,0300,04/18/1991 6632,S200000,00600,0600,P 6632,S200000,01600,0100,Y 6635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6635,A000000,00300,0000,00300EMPLOYEE BENEFITS 6635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6635,A000000,00700,0000,00700HOUSEKEEPING 6635,A000000,00800,0000,00800DIETARY 6635,A000000,00900,0000,00900NURSING ADMINISTRATION 6635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6635,A000000,01100,0000,01100PHARMACY 6635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6635,A000000,01300,0000,01300SOCIAL SERVICE 6635,A000000,01301,0000,01301ACTIVITIES 6635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6635,A000000,01600,0000,01600SKILLED NURSING FACILITY 6635,A000000,01800,0000,01800NURSING FACILITY 6635,A000000,01810,0000,01810ICF/MR 6635,A000000,02100,0000,02100RADIOLOGY 6635,A000000,02200,0000,02200LABORATORY 6635,A000000,02500,0000,02500PHYSICAL THERAPY 6635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6635,A000000,02700,0000,02700SPEECH PATHOLOGY 6635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6635,A000000,03050,0000,03300OTHER ANCILLARY 6635,A000000,03550,0000,03550FQHC 6635,A000000,05000,0000,05000CORF 6635,A000000,05010,0000,05010CMHC 6635,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6635,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6635,A81000A,00100,0100,Y 6635,A81000B,00100,0300,HOME OFFICE COST 6635,A81000B,00400,0300,HOME OFFICE COST 6635,A81000B,00500,0300,HOME OFFICE COST 6635,A81000B,00600,0300,HOME OFFICE COST 6635,A81000B,00800,0300,HOME OFFICE COST 6635,A81000C,00100,0100,B 6635,A81000C,00100,0200,BEVERLY ENTERPR 6635,B100000,00000,0100,00000(SQUARE FEET) 6635,B100000,00000,0200,00000(SQUARE FEET) 6635,B100000,00000,0300,00000(ADJUSTED SALARIES) 6635,B100000,00000,0400,00000(ACCUM. COST) 6635,B100000,00000,0500,00000(SQUARE FEET) 6635,B100000,00000,0600,00000(PATIENT DAYS) 6635,B100000,00000,0700,00000(SQUARE FEET) 6635,B100000,00000,0800,00000(MEALS SERVED) 6635,B100000,00000,0900,00000(ADJUSTED SALARIES) 6635,B100000,00000,1000,00000(PATIENT DAYS) 6635,B100000,00000,1100,00000(COSTED REQUIS) 6635,B100000,00000,1200,00000(TOTAL CHARGES) 6635,B100000,00000,1300,00000(PATIENT DAYS) 6635,B100000,00000,1301,00000(PATIENT DAYS) 6635,B100000,00000,1400,00000(ASSIGNED TIME) 6635,E10A180,00301,0100,12/09/1999 6635,E10A180,00350,0100,01/27/1999 6635,E10A180,00351,0100,06/14/1999 6635,E10A180,00352,0100,10/08/1999 6635,E10A180,00353,0100,02/14/2000 6635,S000000,00100,0200,06/02/2000 6635,S200000,00100,0100,610 NORTH DARR 6635,S200000,00200,0100,GRAND ISLAND 6635,S200000,00200,0200,NE 6635,S200000,00200,0300,68803 6635,S200000,00300,0100,GRAND ISLAND 6635,S200000,00400,0100,PARK PLACE NURSING CENTER 6635,S200000,00400,0200,285105 6635,S200000,00400,0300,06/01/1991 6635,S200000,00400,0500,P 6635,S200000,00600,0200,285105 6635,S200000,00600,0300,06/01/1991 6635,S200000,00600,0600,P 6635,S200000,01600,0100,Y 6638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6638,A000000,00300,0000,00300EMPLOYEE BENEFITS 6638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6638,A000000,00700,0000,00700HOUSEKEEPING 6638,A000000,00800,0000,00800DIETARY 6638,A000000,00900,0000,00900NURSING ADMINISTRATION 6638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6638,A000000,01100,0000,01100PHARMACY 6638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6638,A000000,01300,0000,01300SOCIAL SERVICE 6638,A000000,01301,0000,01301ACTIVITIES 6638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6638,A000000,01600,0000,01600SKILLED NURSING FACILITY 6638,A000000,01800,0000,01800NURSING FACILITY 6638,A000000,01810,0000,01810ICF/MR 6638,A000000,02100,0000,02100RADIOLOGY 6638,A000000,02200,0000,02200LABORATORY 6638,A000000,02500,0000,02500PHYSICAL THERAPY 6638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6638,A000000,02700,0000,02700SPEECH PATHOLOGY 6638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6638,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6638,A000000,03550,0000,03550FQHC 6638,A000000,05000,0000,05000CORF 6638,A000000,05010,0000,05010CMHC 6638,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6638,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6638,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6638,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6638,A81000A,00100,0100,Y 6638,A81000B,00100,0300,HOME OFFICE COST 6638,A81000B,00400,0300,HOME OFFICE COST 6638,A81000B,00500,0300,HOME OFFICE COST 6638,A81000B,00600,0300,HOME OFFICE COST 6638,A81000B,00800,0300,HOME OFFICE COST 6638,A81000C,00100,0100,B 6638,A81000C,00100,0200,BEVERLY ENTERPR 6638,B100000,00000,0100,00000(SQUARE FEET) 6638,B100000,00000,0200,00000(SQUARE FEET) 6638,B100000,00000,0300,00000(ADJUSTED SALARIES) 6638,B100000,00000,0400,00000(ACCUM. COST) 6638,B100000,00000,0500,00000(SQUARE FEET) 6638,B100000,00000,0600,00000(PATIENT DAYS) 6638,B100000,00000,0700,00000(SQUARE FEET) 6638,B100000,00000,0800,00000(MEALS SERVED) 6638,B100000,00000,0900,00000(ADJUSTED SALARIES) 6638,B100000,00000,1000,00000(PATIENT DAYS) 6638,B100000,00000,1100,00000(COSTED REQUIS) 6638,B100000,00000,1200,00000(TOTAL CHARGES) 6638,B100000,00000,1300,00000(PATIENT DAYS) 6638,B100000,00000,1301,00000(PATIENT DAYS) 6638,B100000,00000,1400,00000(ASSIGNED TIME) 6638,E10A180,00301,0100,01/27/1999 6638,E10A180,00350,0100,06/14/1999 6638,E10A180,00351,0100,10/08/1999 6638,E10A180,00352,0100,12/09/1999 6638,E10A180,00353,0100,02/14/2000 6638,S000000,00100,0200,06/02/2000 6638,S200000,00100,0100,1405 WEST HIGHWAY 34 6638,S200000,00200,0100,GRAND ISLAND 6638,S200000,00200,0200,NE 6638,S200000,00200,0300,68803 6638,S200000,00300,0100,GRAND ISLAND 6638,S200000,00400,0100,LAKEVIEW NURSING CENTER 6638,S200000,00400,0200,285106 6638,S200000,00400,0300,06/01/1991 6638,S200000,00400,0500,P 6638,S200000,00600,0200,285106 6638,S200000,00600,0300,06/01/1991 6638,S200000,00600,0600,P 6638,S200000,01600,0100,Y 6641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6641,A000000,00300,0000,00300EMPLOYEE BENEFITS 6641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6641,A000000,00700,0000,00700HOUSEKEEPING 6641,A000000,00800,0000,00800DIETARY 6641,A000000,00900,0000,00900NURSING ADMINISTRATION 6641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6641,A000000,01100,0000,01100PHARMACY 6641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6641,A000000,01300,0000,01300SOCIAL SERVICE 6641,A000000,01301,0000,01301ACTIVITIES 6641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6641,A000000,01600,0000,01600SKILLED NURSING FACILITY 6641,A000000,01800,0000,01800NURSING FACILITY 6641,A000000,01810,0000,01810ICF/MR 6641,A000000,02100,0000,02100RADIOLOGY 6641,A000000,02200,0000,02200LABORATORY 6641,A000000,02500,0000,02500PHYSICAL THERAPY 6641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6641,A000000,02700,0000,02700SPEECH PATHOLOGY 6641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6641,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6641,A000000,03550,0000,03550FQHC 6641,A000000,05000,0000,05000CORF 6641,A000000,05010,0000,05010CMHC 6641,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6641,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6641,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6641,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6641,A81000A,00100,0100,Y 6641,A81000B,00100,0300,HOME OFFICE COST 6641,A81000B,00400,0300,HOME OFFICE COST 6641,A81000B,00500,0300,HOME OFFICE COST 6641,A81000B,00600,0300,HOME OFFICE COST 6641,A81000B,00800,0300,HOME OFFICE COST 6641,A81000C,00100,0100,B 6641,A81000C,00100,0200,BEVERLY ENTERPR 6641,B100000,00000,0100,00000(SQUARE FEET) 6641,B100000,00000,0200,00000(SQUARE FEET) 6641,B100000,00000,0300,00000(ADJUSTED SALARIES) 6641,B100000,00000,0400,00000(ACCUM. COST) 6641,B100000,00000,0500,00000(SQUARE FEET) 6641,B100000,00000,0600,00000(PATIENT DAYS) 6641,B100000,00000,0700,00000(SQUARE FEET) 6641,B100000,00000,0800,00000(MEALS SERVED) 6641,B100000,00000,0900,00000(ADJUSTED SALARIES) 6641,B100000,00000,1000,00000(PATIENT DAYS) 6641,B100000,00000,1100,00000(COSTED REQUIS) 6641,B100000,00000,1200,00000(TOTAL CHARGES) 6641,B100000,00000,1300,00000(PATIENT DAYS) 6641,B100000,00000,1301,00000(PATIENT DAYS) 6641,B100000,00000,1400,00000(ASSIGNED TIME) 6641,E10A180,00350,0100,01/27/1999 6641,E10A180,00351,0100,06/14/1999 6641,E10A180,00352,0100,10/08/1999 6641,E10A180,00353,0100,12/09/1999 6641,E10A180,00354,0100,02/14/2000 6641,S000000,00100,0200,06/02/2000 6641,S200000,00100,0100,4809 REDMAN AVENUE 6641,S200000,00200,0100,OMAHA 6641,S200000,00200,0200,NE 6641,S200000,00200,0300,68104 6641,S200000,00300,0100,DOUGLAS 6641,S200000,00400,0100,0490-OAK GROVE MANOR 6641,S200000,00400,0200,285107 6641,S200000,00400,0300,07/01/1991 6641,S200000,00400,0500,P 6641,S200000,00600,0200,285107 6641,S200000,00600,0300,07/01/1991 6641,S200000,00600,0600,P 6641,S200000,01600,0100,Y 6644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6644,A000000,00300,0000,00300EMPLOYEE BENEFITS 6644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6644,A000000,00700,0000,00700HOUSEKEEPING 6644,A000000,00800,0000,00800DIETARY 6644,A000000,00900,0000,00900NURSING ADMINISTRATION 6644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6644,A000000,01100,0000,01100PHARMACY 6644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6644,A000000,01300,0000,01300SOCIAL SERVICE 6644,A000000,01301,0000,01301ACTIVITIES 6644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6644,A000000,01600,0000,01600SKILLED NURSING FACILITY 6644,A000000,01800,0000,01800NURSING FACILITY 6644,A000000,01810,0000,01810ICF/MR 6644,A000000,02100,0000,02100RADIOLOGY 6644,A000000,02200,0000,02200LABORATORY 6644,A000000,02500,0000,02500PHYSICAL THERAPY 6644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6644,A000000,02700,0000,02700SPEECH PATHOLOGY 6644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6644,A000000,03550,0000,03550FQHC 6644,A000000,05000,0000,05000CORF 6644,A000000,05010,0000,05010CMHC 6644,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6644,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6644,A81000A,00100,0100,Y 6644,A81000B,00100,0300,HOME OFFICE COST 6644,A81000B,00400,0300,HOME OFFICE COST 6644,A81000B,00500,0300,HOME OFFICE COST 6644,A81000B,00600,0300,HOME OFFICE COST 6644,A81000B,00800,0300,HOME OFFICE COST 6644,A81000C,00100,0100,B 6644,A81000C,00100,0200,BEVERLY ENTERPR 6644,B100000,00000,0100,00000(SQUARE FEET) 6644,B100000,00000,0200,00000(SQUARE FEET) 6644,B100000,00000,0300,00000(ADJUSTED SALARIES) 6644,B100000,00000,0400,00000(ACCUM. COST) 6644,B100000,00000,0500,00000(SQUARE FEET) 6644,B100000,00000,0600,00000(PATIENT DAYS) 6644,B100000,00000,0700,00000(SQUARE FEET) 6644,B100000,00000,0800,00000(MEALS SERVED) 6644,B100000,00000,0900,00000(ADJUSTED SALARIES) 6644,B100000,00000,1000,00000(PATIENT DAYS) 6644,B100000,00000,1100,00000(COSTED REQUIS) 6644,B100000,00000,1200,00000(TOTAL CHARGES) 6644,B100000,00000,1300,00000(PATIENT DAYS) 6644,B100000,00000,1301,00000(PATIENT DAYS) 6644,B100000,00000,1400,00000(ASSIGNED TIME) 6644,E10A180,00301,0100,12/09/1999 6644,E10A180,00302,0100,02/14/2000 6644,E10A180,00350,0100,01/27/1999 6644,E10A180,00351,0100,06/14/1999 6644,E10A180,00352,0100,10/08/1999 6644,S000000,00100,0200,06/02/2000 6644,S200000,00100,0100,BOX 756 NORTH HIGHWAY 28 6644,S200000,00200,0100,ONEILL 6644,S200000,00200,0200,NE 6644,S200000,00200,0300,68763 6644,S200000,00300,0100,HOLT COUNTY 6644,S200000,00400,0100,ONEILL NURSING CENTER 6644,S200000,00400,0200,285108 6644,S200000,00400,0300,07/01/1991 6644,S200000,00400,0500,P 6644,S200000,00600,0200,285108 6644,S200000,00600,0300,07/01/1991 6644,S200000,00600,0600,P 6644,S200000,01600,0100,Y 6647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6647,A000000,00300,0000,00300EMPLOYEE BENEFITS 6647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6647,A000000,00700,0000,00700HOUSEKEEPING 6647,A000000,00800,0000,00800DIETARY 6647,A000000,00900,0000,00900NURSING ADMINISTRATION 6647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6647,A000000,01100,0000,01100PHARMACY 6647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6647,A000000,01300,0000,01300SOCIAL SERVICE 6647,A000000,01301,0000,01301ACTIVITIES 6647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6647,A000000,01600,0000,01600SKILLED NURSING FACILITY 6647,A000000,01800,0000,01800NURSING FACILITY 6647,A000000,01810,0000,01810ICF/MR 6647,A000000,02500,0000,02500PHYSICAL THERAPY 6647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6647,A000000,02700,0000,02700SPEECH PATHOLOGY 6647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6647,A000000,03550,0000,03550FQHC 6647,A000000,05000,0000,05000CORF 6647,A000000,05010,0000,05010CMHC 6647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6647,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6647,A81000A,00100,0100,Y 6647,A81000B,00100,0300,HOME OFFICE COST 6647,A81000B,00400,0300,HOME OFFICE COST 6647,A81000B,00500,0300,HOME OFFICE COST 6647,A81000B,00600,0300,HOME OFFICE COST 6647,A81000B,00800,0300,HOME OFFICE COST 6647,A81000C,00100,0100,B 6647,A81000C,00100,0200,BEVERLY ENTERPR 6647,B100000,00000,0100,00000(SQUARE FEET) 6647,B100000,00000,0200,00000(SQUARE FEET) 6647,B100000,00000,0300,00000(ADJUSTED SALARIES) 6647,B100000,00000,0400,00000(ACCUM. COST) 6647,B100000,00000,0500,00000(SQUARE FEET) 6647,B100000,00000,0600,00000(PATIENT DAYS) 6647,B100000,00000,0700,00000(SQUARE FEET) 6647,B100000,00000,0800,00000(MEALS SERVED) 6647,B100000,00000,0900,00000(ADJUSTED SALARIES) 6647,B100000,00000,1000,00000(PATIENT DAYS) 6647,B100000,00000,1100,00000(COSTED REQUIS) 6647,B100000,00000,1200,00000(TOTAL CHARGES) 6647,B100000,00000,1300,00000(PATIENT DAYS) 6647,B100000,00000,1301,00000(PATIENT DAYS) 6647,B100000,00000,1400,00000(ASSIGNED TIME) 6647,E10A180,00301,0100,12/09/1999 6647,E10A180,00350,0100,01/27/1999 6647,E10A180,00351,0100,06/14/1999 6647,E10A180,00352,0100,10/08/1999 6647,E10A180,00353,0100,02/14/2000 6647,S000000,00100,0200,06/02/2000 6647,S200000,00100,0100,1420 NORTH 10TH STREET 6647,S200000,00200,0100,NEBRASKA CITY 6647,S200000,00200,0200,NE 6647,S200000,00200,0300,68410 6647,S200000,00300,0100,OTOE 6647,S200000,00400,0100,NEBRASKA CITY MANOR 6647,S200000,00400,0200,285109 6647,S200000,00400,0300,06/25/1991 6647,S200000,00400,0500,P 6647,S200000,00600,0200,285109 6647,S200000,00600,0300,06/25/1991 6647,S200000,00600,0600,P 6647,S200000,01600,0100,Y 6650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6650,A000000,00300,0000,00300EMPLOYEE BENEFITS 6650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6650,A000000,00700,0000,00700HOUSEKEEPING 6650,A000000,00800,0000,00800DIETARY 6650,A000000,00900,0000,00900NURSING ADMINISTRATION 6650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6650,A000000,01100,0000,01100PHARMACY 6650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6650,A000000,01300,0000,01300SOCIAL SERVICE 6650,A000000,01301,0000,01301ACTIVITIES 6650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6650,A000000,01600,0000,01600SKILLED NURSING FACILITY 6650,A000000,01800,0000,01800NURSING FACILITY 6650,A000000,01810,0000,01810ICF/MR 6650,A000000,02100,0000,02100RADIOLOGY 6650,A000000,02200,0000,02200LABORATORY 6650,A000000,02500,0000,02500PHYSICAL THERAPY 6650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6650,A000000,02700,0000,02700SPEECH PATHOLOGY 6650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6650,A000000,03550,0000,03550FQHC 6650,A000000,05000,0000,05000CORF 6650,A000000,05010,0000,05010CMHC 6650,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6650,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6650,A81000A,00100,0100,Y 6650,A81000B,00100,0300,HOME OFFICE COST 6650,A81000B,00400,0300,HOME OFFICE COST 6650,A81000B,00500,0300,HOME OFFICE COST 6650,A81000B,00600,0300,HOME OFFICE COST 6650,A81000B,00800,0300,HOME OFFICE COST 6650,A81000C,00100,0100,B 6650,A81000C,00100,0200,BEVERLY ENTERPR 6650,B100000,00000,0100,00000(SQUARE FEET) 6650,B100000,00000,0200,00000(SQUARE FEET) 6650,B100000,00000,0300,00000(ADJUSTED SALARIES) 6650,B100000,00000,0400,00000(ACCUM. COST) 6650,B100000,00000,0500,00000(SQUARE FEET) 6650,B100000,00000,0600,00000(PATIENT DAYS) 6650,B100000,00000,0700,00000(SQUARE FEET) 6650,B100000,00000,0800,00000(MEALS SERVED) 6650,B100000,00000,0900,00000(ADJUSTED SALARIES) 6650,B100000,00000,1000,00000(PATIENT DAYS) 6650,B100000,00000,1100,00000(COSTED REQUIS) 6650,B100000,00000,1200,00000(TOTAL CHARGES) 6650,B100000,00000,1300,00000(PATIENT DAYS) 6650,B100000,00000,1301,00000(PATIENT DAYS) 6650,B100000,00000,1400,00000(ASSIGNED TIME) 6650,E10A180,00350,0100,01/27/1999 6650,E10A180,00351,0100,06/14/1999 6650,E10A180,00352,0100,10/08/1999 6650,E10A180,00353,0100,12/09/1999 6650,E10A180,00354,0100,02/14/2000 6650,S000000,00100,0200,06/02/2000 6650,S200000,00100,0100,2023 COLFAX AVENUE 6650,S200000,00200,0100,SCHUYLER 6650,S200000,00200,0200,NE 6650,S200000,00200,0300,68661 6650,S200000,00300,0100,COLFAX 6650,S200000,00400,0100,SCHUYLER NURSING CENTER 6650,S200000,00400,0200,285110 6650,S200000,00400,0300,09/01/1991 6650,S200000,00400,0500,P 6650,S200000,00600,0200,285110 6650,S200000,00600,0300,09/01/1991 6650,S200000,00600,0600,P 6650,S200000,01600,0100,Y 6653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6653,A000000,00300,0000,00300EMPLOYEE BENEFITS 6653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6653,A000000,00700,0000,00700HOUSEKEEPING 6653,A000000,00800,0000,00800DIETARY 6653,A000000,00900,0000,00900NURSING ADMINISTRATION 6653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6653,A000000,01100,0000,01100PHARMACY 6653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6653,A000000,01300,0000,01300SOCIAL SERVICE 6653,A000000,01301,0000,01301ACTIVITIES 6653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6653,A000000,01600,0000,01600SKILLED NURSING FACILITY 6653,A000000,01800,0000,01800NURSING FACILITY 6653,A000000,01810,0000,01810ICF/MR 6653,A000000,02200,0000,02200LABORATORY 6653,A000000,02500,0000,02500PHYSICAL THERAPY 6653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6653,A000000,02700,0000,02700SPEECH PATHOLOGY 6653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6653,A000000,03550,0000,03550FQHC 6653,A000000,05000,0000,05000CORF 6653,A000000,05010,0000,05010CMHC 6653,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6653,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6653,A81000A,00100,0100,Y 6653,A81000B,00100,0300,HOME OFFICE COST 6653,A81000B,00400,0300,HOME OFFICE COST 6653,A81000B,00500,0300,HOME OFFICE COST 6653,A81000B,00600,0300,HOME OFFICE COST 6653,A81000B,00800,0300,HOME OFFICE COST 6653,A81000C,00100,0100,B 6653,A81000C,00100,0200,BEVERLY ENTERPR 6653,B100000,00000,0100,00000(SQUARE FEET) 6653,B100000,00000,0200,00000(SQUARE FEET) 6653,B100000,00000,0300,00000(ADJUSTED SALARIES) 6653,B100000,00000,0400,00000(ACCUM. COST) 6653,B100000,00000,0500,00000(SQUARE FEET) 6653,B100000,00000,0600,00000(PATIENT DAYS) 6653,B100000,00000,0700,00000(SQUARE FEET) 6653,B100000,00000,0800,00000(MEALS SERVED) 6653,B100000,00000,0900,00000(ADJUSTED SALARIES) 6653,B100000,00000,1000,00000(PATIENT DAYS) 6653,B100000,00000,1100,00000(COSTED REQUIS) 6653,B100000,00000,1200,00000(TOTAL CHARGES) 6653,B100000,00000,1300,00000(PATIENT DAYS) 6653,B100000,00000,1301,00000(PATIENT DAYS) 6653,B100000,00000,1400,00000(ASSIGNED TIME) 6653,E10A180,00301,0100,06/14/1999 6653,E10A180,00302,0100,02/14/2000 6653,E10A180,00350,0100,01/27/1999 6653,E10A180,00351,0100,10/08/1999 6653,E10A180,00352,0100,12/09/1999 6653,S000000,00100,0200,06/02/2000 6653,S200000,00100,0100,703 SOUTH VIVIAN 6653,S200000,00200,0100,WAUSA 6653,S200000,00200,0200,NE 6653,S200000,00200,0300,68786 6653,S200000,00300,0100,KNOX 6653,S200000,00400,0100,WAUSA HEALTH CARE CENTER 6653,S200000,00400,0200,285111 6653,S200000,00400,0300,11/01/1991 6653,S200000,00400,0500,P 6653,S200000,00600,0200,285111 6653,S200000,00600,0300,11/01/1991 6653,S200000,00600,0600,P 6653,S200000,01600,0100,Y 6656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6656,A000000,00300,0000,00300EMPLOYEE BENEFITS 6656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6656,A000000,00700,0000,00700HOUSEKEEPING 6656,A000000,00800,0000,00800DIETARY 6656,A000000,00900,0000,00900NURSING ADMINISTRATION 6656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6656,A000000,01100,0000,01100PHARMACY 6656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6656,A000000,01300,0000,01300SOCIAL SERVICE 6656,A000000,01301,0000,01301ACTIVITIES 6656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6656,A000000,01600,0000,01600SKILLED NURSING FACILITY 6656,A000000,01800,0000,01800NURSING FACILITY 6656,A000000,01810,0000,01810ICF/MR 6656,A000000,02100,0000,02100RADIOLOGY 6656,A000000,02200,0000,02200LABORATORY 6656,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6656,A000000,02500,0000,02500PHYSICAL THERAPY 6656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6656,A000000,02700,0000,02700SPEECH PATHOLOGY 6656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6656,A000000,03550,0000,03550FQHC 6656,A000000,05000,0000,05000CORF 6656,A000000,05010,0000,05010CMHC 6656,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6656,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6656,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6656,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6656,A81000A,00100,0100,Y 6656,A81000B,00100,0300,HOME OFFICE COST 6656,A81000B,00400,0300,HOME OFFICE COST 6656,A81000B,00500,0300,HOME OFFICE COST 6656,A81000B,00600,0300,HOME OFFICE COST 6656,A81000B,00800,0300,HOME OFFICE COST 6656,A81000C,00100,0100,B 6656,A81000C,00100,0200,BEVERLY ENTERPR 6656,B100000,00000,0100,00000(SQUARE FEET) 6656,B100000,00000,0200,00000(SQUARE FEET) 6656,B100000,00000,0300,00000(ADJUSTED SALARIES) 6656,B100000,00000,0400,00000(ACCUM. COST) 6656,B100000,00000,0500,00000(SQUARE FEET) 6656,B100000,00000,0600,00000(PATIENT DAYS) 6656,B100000,00000,0700,00000(SQUARE FEET) 6656,B100000,00000,0800,00000(MEALS SERVED) 6656,B100000,00000,0900,00000(ADJUSTED SALARIES) 6656,B100000,00000,1000,00000(PATIENT DAYS) 6656,B100000,00000,1100,00000(COSTED REQUIS) 6656,B100000,00000,1200,00000(TOTAL CHARGES) 6656,B100000,00000,1300,00000(PATIENT DAYS) 6656,B100000,00000,1301,00000(PATIENT DAYS) 6656,B100000,00000,1400,00000(ASSIGNED TIME) 6656,E10A180,00301,0100,01/27/1999 6656,E10A180,00302,0100,12/09/1999 6656,E10A180,00350,0100,06/14/1999 6656,E10A180,00351,0100,10/08/1999 6656,E10A180,00352,0100,02/14/2000 6656,S000000,00100,0200,06/02/2000 6656,S200000,00100,0100,1435 TOLEDO 6656,S200000,00200,0100,SIDNEY 6656,S200000,00200,0200,NE 6656,S200000,00200,0300,69162 6656,S200000,00300,0100,CHEYENNE COUNTY 6656,S200000,00400,0100,SIDNEY NURSING CENTER 6656,S200000,00400,0200,285113 6656,S200000,00400,0300,12/01/1991 6656,S200000,00400,0500,P 6656,S200000,00600,0200,285113 6656,S200000,00600,0300,12/01/1991 6656,S200000,00600,0600,P 6656,S200000,01600,0100,Y 6659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6659,A000000,00300,0000,00300EMPLOYEE BENEFITS 6659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6659,A000000,00700,0000,00700HOUSEKEEPING 6659,A000000,00800,0000,00800DIETARY 6659,A000000,00900,0000,00900NURSING ADMINISTRATION 6659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6659,A000000,01100,0000,01100PHARMACY 6659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6659,A000000,01300,0000,01300SOCIAL SERVICE 6659,A000000,01301,0000,01301ACTIVITIES 6659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6659,A000000,01600,0000,01600SKILLED NURSING FACILITY 6659,A000000,01800,0000,01800NURSING FACILITY 6659,A000000,01810,0000,01810ICF/MR 6659,A000000,02500,0000,02500PHYSICAL THERAPY 6659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6659,A000000,02700,0000,02700SPEECH PATHOLOGY 6659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6659,A000000,03550,0000,03550FQHC 6659,A000000,05000,0000,05000CORF 6659,A000000,05010,0000,05010CMHC 6659,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6659,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6659,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6659,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6659,A81000A,00100,0100,Y 6659,A81000B,00100,0300,HOME OFFICE COST 6659,A81000B,00400,0300,HOME OFFICE COST 6659,A81000B,00500,0300,HOME OFFICE COST 6659,A81000B,00600,0300,HOME OFFICE COST 6659,A81000B,00800,0300,HOME OFFICE COST 6659,A81000C,00100,0100,B 6659,A81000C,00100,0200,BEVERLY ENTERPR 6659,B100000,00000,0100,00000(SQUARE FEET) 6659,B100000,00000,0200,00000(SQUARE FEET) 6659,B100000,00000,0300,00000(ADJUSTED SALARIES) 6659,B100000,00000,0400,00000(ACCUM. COST) 6659,B100000,00000,0500,00000(SQUARE FEET) 6659,B100000,00000,0600,00000(PATIENT DAYS) 6659,B100000,00000,0700,00000(SQUARE FEET) 6659,B100000,00000,0800,00000(MEALS SERVED) 6659,B100000,00000,0900,00000(ADJUSTED SALARIES) 6659,B100000,00000,1000,00000(PATIENT DAYS) 6659,B100000,00000,1100,00000(COSTED REQUIS) 6659,B100000,00000,1200,00000(TOTAL CHARGES) 6659,B100000,00000,1300,00000(PATIENT DAYS) 6659,B100000,00000,1301,00000(PATIENT DAYS) 6659,B100000,00000,1400,00000(ASSIGNED TIME) 6659,E10A180,00350,0100,01/27/1999 6659,E10A180,00351,0100,06/14/1999 6659,E10A180,00352,0100,10/08/1999 6659,E10A180,00353,0100,12/09/1999 6659,E10A180,00354,0100,02/14/2000 6659,S000000,00100,0200,06/02/2000 6659,S200000,00100,0100,202 NORTH ESTHER 6659,S200000,00200,0100,FULLERTON 6659,S200000,00200,0200,NE 6659,S200000,00200,0300,68638 6659,S200000,00300,0100,NANCE 6659,S200000,00400,0100,FULLERTON MANOR 6659,S200000,00400,0200,285115 6659,S200000,00400,0300,02/01/1992 6659,S200000,00400,0500,P 6659,S200000,00600,0200,285115 6659,S200000,00600,0300,02/01/1992 6659,S200000,00600,0600,P 6659,S200000,01600,0100,Y 6662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6662,A000000,00300,0000,00300EMPLOYEE BENEFITS 6662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6662,A000000,00700,0000,00700HOUSEKEEPING 6662,A000000,00800,0000,00800DIETARY 6662,A000000,00900,0000,00900NURSING ADMINISTRATION 6662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6662,A000000,01100,0000,01100PHARMACY 6662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6662,A000000,01300,0000,01300SOCIAL SERVICE 6662,A000000,01301,0000,01301ACTIVITIES 6662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6662,A000000,01600,0000,01600SKILLED NURSING FACILITY 6662,A000000,01800,0000,01800NURSING FACILITY 6662,A000000,01810,0000,01810ICF/MR 6662,A000000,01900,0000,01900OTHER LONG TERM CARE 6662,A000000,02100,0000,02100RADIOLOGY 6662,A000000,02200,0000,02200LABORATORY 6662,A000000,02500,0000,02500PHYSICAL THERAPY 6662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6662,A000000,02700,0000,02700SPEECH PATHOLOGY 6662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6662,A000000,03050,0000,03300OTHER ANCILLARY 6662,A000000,03550,0000,03550FQHC 6662,A000000,05000,0000,05000CORF 6662,A000000,05010,0000,05010CMHC 6662,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6662,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6662,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6662,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6662,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6662,A81000A,00100,0100,Y 6662,A81000B,00100,0300,HOME OFFICE COST 6662,A81000B,00400,0300,HOME OFFICE COST 6662,A81000B,00500,0300,HOME OFFICE COST 6662,A81000B,00600,0300,HOME OFFICE COST 6662,A81000B,00800,0300,HOME OFFICE COST 6662,A81000C,00100,0100,B 6662,A81000C,00100,0200,BEVERLY ENTERPR 6662,B100000,00000,0100,00000(SQUARE FEET) 6662,B100000,00000,0200,00000(SQUARE FEET) 6662,B100000,00000,0300,00000(ADJUSTED SALARIES) 6662,B100000,00000,0400,00000(ACCUM. COST) 6662,B100000,00000,0500,00000(SQUARE FEET) 6662,B100000,00000,0600,00000(PATIENT DAYS) 6662,B100000,00000,0700,00000(SQUARE FEET) 6662,B100000,00000,0800,00000(MEALS SERVED) 6662,B100000,00000,0900,00000(ADJUSTED SALARIES) 6662,B100000,00000,1000,00000(PATIENT DAYS) 6662,B100000,00000,1100,00000(COSTED REQUIS) 6662,B100000,00000,1200,00000(TOTAL CHARGES) 6662,B100000,00000,1300,00000(PATIENT DAYS) 6662,B100000,00000,1301,00000(PATIENT DAYS) 6662,B100000,00000,1400,00000(ASSIGNED TIME) 6662,E10A180,00301,0100,10/08/1999 6662,E10A180,00302,0100,12/09/1999 6662,E10A180,00350,0100,01/27/1999 6662,E10A180,00351,0100,06/14/1999 6662,E10A180,00352,0100,02/14/2000 6662,S000000,00100,0200,06/02/2000 6662,S200000,00100,0100,WEST 3RD SUNRISE DRIVE 6662,S200000,00200,0100,CLARKSON 6662,S200000,00200,0200,NE 6662,S200000,00200,0300,68629 6662,S200000,00300,0100,COLFAX 6662,S200000,00400,0100,COLONIAL MANOR OF CLARKSON 6662,S200000,00400,0200,285116 6662,S200000,00400,0300,04/01/1992 6662,S200000,00400,0500,P 6662,S200000,00600,0200,285116 6662,S200000,00600,0300,04/01/1992 6662,S200000,00600,0600,P 6662,S200000,01600,0100,Y 6667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6667,A000000,00300,0000,00300EMPLOYEE BENEFITS 6667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6667,A000000,00700,0000,00700HOUSEKEEPING 6667,A000000,00800,0000,00800DIETARY 6667,A000000,00900,0000,00900NURSING ADMINISTRATION 6667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6667,A000000,01100,0000,01100PHARMACY 6667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6667,A000000,01300,0000,01300SOCIAL SERVICE 6667,A000000,01301,0000,01301ACTIVITIES 6667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6667,A000000,01600,0000,01600SKILLED NURSING FACILITY 6667,A000000,01800,0000,01800NURSING FACILITY 6667,A000000,01810,0000,01810ICF/MR 6667,A000000,02500,0000,02500PHYSICAL THERAPY 6667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6667,A000000,02700,0000,02700SPEECH PATHOLOGY 6667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6667,A000000,03550,0000,03550FQHC 6667,A000000,05000,0000,05000CORF 6667,A000000,05010,0000,05010CMHC 6667,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6667,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6667,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6667,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6667,A81000A,00100,0100,Y 6667,A81000B,00100,0300,HOME OFFICE COST 6667,A81000B,00400,0300,HOME OFFICE COST 6667,A81000B,00500,0300,HOME OFFICE COST 6667,A81000B,00600,0300,HOME OFFICE COST 6667,A81000B,00800,0300,HOME OFFICE COST 6667,A81000C,00100,0100,B 6667,A81000C,00100,0200,BEVERLY ENTERPR 6667,B100000,00000,0100,00000(SQUARE FEET) 6667,B100000,00000,0200,00000(SQUARE FEET) 6667,B100000,00000,0300,00000(ADJUSTED SALARIES) 6667,B100000,00000,0400,00000(ACCUM. COST) 6667,B100000,00000,0500,00000(SQUARE FEET) 6667,B100000,00000,0600,00000(PATIENT DAYS) 6667,B100000,00000,0700,00000(SQUARE FEET) 6667,B100000,00000,0800,00000(MEALS SERVED) 6667,B100000,00000,0900,00000(ADJUSTED SALARIES) 6667,B100000,00000,1000,00000(PATIENT DAYS) 6667,B100000,00000,1100,00000(COSTED REQUIS) 6667,B100000,00000,1200,00000(TOTAL CHARGES) 6667,B100000,00000,1300,00000(PATIENT DAYS) 6667,B100000,00000,1301,00000(PATIENT DAYS) 6667,B100000,00000,1400,00000(ASSIGNED TIME) 6667,E10A180,00301,0100,01/27/1999 6667,E10A180,00350,0100,06/14/1999 6667,E10A180,00351,0100,10/08/1999 6667,E10A180,00352,0100,12/09/1999 6667,E10A180,00353,0100,02/14/2000 6667,S000000,00100,0200,06/02/2000 6667,S200000,00100,0100,823 M STREET 6667,S200000,00200,0100,TEKAMAH 6667,S200000,00200,0200,NE 6667,S200000,00200,0300,68061 6667,S200000,00300,0100,BURT 6667,S200000,00400,0100,TEKAMAH NURSING CENTER 6667,S200000,00400,0200,285118 6667,S200000,00400,0300,06/01/1992 6667,S200000,00400,0500,P 6667,S200000,00600,0200,285118 6667,S200000,00600,0300,06/01/1992 6667,S200000,00600,0600,P 6667,S200000,01600,0100,Y 6670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6670,A000000,00300,0000,00300EMPLOYEE BENEFITS 6670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6670,A000000,00700,0000,00700HOUSEKEEPING 6670,A000000,00800,0000,00800DIETARY 6670,A000000,00900,0000,00900NURSING ADMINISTRATION 6670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6670,A000000,01100,0000,01100PHARMACY 6670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6670,A000000,01300,0000,01300SOCIAL SERVICE 6670,A000000,01301,0000,01301ACTIVITIES 6670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6670,A000000,01600,0000,01600SKILLED NURSING FACILITY 6670,A000000,01800,0000,01800NURSING FACILITY 6670,A000000,01810,0000,01810ICF/MR 6670,A000000,01900,0000,01900OTHER LONG TERM CARE 6670,A000000,02100,0000,02100RADIOLOGY 6670,A000000,02200,0000,02200LABORATORY 6670,A000000,02500,0000,02500PHYSICAL THERAPY 6670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6670,A000000,02700,0000,02700SPEECH PATHOLOGY 6670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6670,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6670,A000000,03550,0000,03550FQHC 6670,A000000,05000,0000,05000CORF 6670,A000000,05010,0000,05010CMHC 6670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6670,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6670,A81000A,00100,0100,Y 6670,A81000B,00100,0300,HOME OFFICE COST 6670,A81000B,00400,0300,HOME OFFICE COST 6670,A81000B,00500,0300,HOME OFFICE COST 6670,A81000B,00600,0300,HOME OFFICE COST 6670,A81000B,00800,0300,HOME OFFICE COST 6670,A81000C,00100,0100,B 6670,A81000C,00100,0200,BEVERLY ENTERPR 6670,B100000,00000,0100,00000(SQUARE FEET) 6670,B100000,00000,0200,00000(SQUARE FEET) 6670,B100000,00000,0300,00000(ADJUSTED SALARIES) 6670,B100000,00000,0400,00000(ACCUM. COST) 6670,B100000,00000,0500,00000(SQUARE FEET) 6670,B100000,00000,0600,00000(PATIENT DAYS) 6670,B100000,00000,0700,00000(SQUARE FEET) 6670,B100000,00000,0800,00000(MEALS SERVED) 6670,B100000,00000,0900,00000(ADJUSTED SALARIES) 6670,B100000,00000,1000,00000(PATIENT DAYS) 6670,B100000,00000,1100,00000(COSTED REQUIS) 6670,B100000,00000,1200,00000(TOTAL CHARGES) 6670,B100000,00000,1300,00000(PATIENT DAYS) 6670,B100000,00000,1301,00000(PATIENT DAYS) 6670,B100000,00000,1400,00000(ASSIGNED TIME) 6670,E10A180,00301,0100,06/14/1999 6670,E10A180,00350,0100,01/27/1999 6670,E10A180,00351,0100,10/08/1999 6670,E10A180,00352,0100,12/09/1999 6670,E10A180,00353,0100,02/14/2000 6670,S000000,00100,0200,06/02/2000 6670,S200000,00100,0100,EAST HIGHWAY 2 6670,S200000,00200,0100,BROKEN BOW 6670,S200000,00200,0200,NE 6670,S200000,00200,0300,68822 6670,S200000,00300,0100,CUSTER COUNTY 6670,S200000,00400,0100,SANDHILLS MANOR 6670,S200000,00400,0200,285120 6670,S200000,00400,0300,07/01/1992 6670,S200000,00400,0500,P 6670,S200000,00600,0200,285120 6670,S200000,00600,0300,07/01/1992 6670,S200000,00600,0600,P 6670,S200000,01600,0100,Y 6673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6673,A000000,00300,0000,00300EMPLOYEE BENEFITS 6673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6673,A000000,00700,0000,00700HOUSEKEEPING 6673,A000000,00800,0000,00800DIETARY 6673,A000000,00900,0000,00900NURSING ADMINISTRATION 6673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6673,A000000,01100,0000,01100PHARMACY 6673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6673,A000000,01300,0000,01300SOCIAL SERVICE 6673,A000000,01301,0000,01301ACTIVITIES 6673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6673,A000000,01600,0000,01600SKILLED NURSING FACILITY 6673,A000000,01800,0000,01800NURSING FACILITY 6673,A000000,01810,0000,01810ICF/MR 6673,A000000,02500,0000,02500PHYSICAL THERAPY 6673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6673,A000000,02700,0000,02700SPEECH PATHOLOGY 6673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6673,A000000,03550,0000,03550FQHC 6673,A000000,05000,0000,05000CORF 6673,A000000,05010,0000,05010CMHC 6673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6673,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6673,A81000A,00100,0100,Y 6673,A81000B,00100,0300,HOME OFFICE COST 6673,A81000B,00400,0300,HOME OFFICE COST 6673,A81000B,00500,0300,HOME OFFICE COST 6673,A81000B,00600,0300,HOME OFFICE COST 6673,A81000B,00800,0300,HOME OFFICE COST 6673,A81000C,00100,0100,B 6673,A81000C,00100,0200,BEVERLY ENTERPR 6673,B100000,00000,0100,00000(SQUARE FEET) 6673,B100000,00000,0200,00000(SQUARE FEET) 6673,B100000,00000,0300,00000(ADJUSTED SALARIES) 6673,B100000,00000,0400,00000(ACCUM. COST) 6673,B100000,00000,0500,00000(SQUARE FEET) 6673,B100000,00000,0600,00000(PATIENT DAYS) 6673,B100000,00000,0700,00000(SQUARE FEET) 6673,B100000,00000,0800,00000(MEALS SERVED) 6673,B100000,00000,0900,00000(ADJUSTED SALARIES) 6673,B100000,00000,1000,00000(PATIENT DAYS) 6673,B100000,00000,1100,00000(COSTED REQUIS) 6673,B100000,00000,1200,00000(TOTAL CHARGES) 6673,B100000,00000,1300,00000(PATIENT DAYS) 6673,B100000,00000,1301,00000(PATIENT DAYS) 6673,B100000,00000,1400,00000(ASSIGNED TIME) 6673,E10A180,00301,0100,06/14/1999 6673,E10A180,00302,0100,10/08/1999 6673,E10A180,00303,0100,12/09/1999 6673,E10A180,00304,0100,02/14/2000 6673,S000000,00100,0200,06/02/2000 6673,S200000,00100,0100,401 PARK 6673,S200000,00200,0100,TILDEN 6673,S200000,00200,0200,NE 6673,S200000,00200,0300,68781 6673,S200000,00300,0100,MADISON 6673,S200000,00400,0100,TILDEN NURSING CENTER 6673,S200000,00400,0200,285122 6673,S200000,00400,0300,08/01/1992 6673,S200000,00400,0500,P 6673,S200000,00600,0200,285122 6673,S200000,00600,0300,08/01/1992 6673,S200000,00600,0600,P 6673,S200000,01600,0100,Y 6676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6676,A000000,00300,0000,00300EMPLOYEE BENEFITS 6676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6676,A000000,00700,0000,00700HOUSEKEEPING 6676,A000000,00800,0000,00800DIETARY 6676,A000000,00900,0000,00900NURSING ADMINISTRATION 6676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6676,A000000,01100,0000,01100PHARMACY 6676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6676,A000000,01300,0000,01300SOCIAL SERVICE 6676,A000000,01301,0000,01301ACTIVITIES 6676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6676,A000000,01600,0000,01600SKILLED NURSING FACILITY 6676,A000000,01800,0000,01800NURSING FACILITY 6676,A000000,01810,0000,01810ICF/MR 6676,A000000,02200,0000,02200LABORATORY 6676,A000000,02500,0000,02500PHYSICAL THERAPY 6676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6676,A000000,02700,0000,02700SPEECH PATHOLOGY 6676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6676,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6676,A000000,03550,0000,03550FQHC 6676,A000000,05000,0000,05000CORF 6676,A000000,05010,0000,05010CMHC 6676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6676,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6676,A81000A,00100,0100,Y 6676,A81000B,00100,0300,HOME OFFICE COST 6676,A81000B,00400,0300,HOME OFFICE COST 6676,A81000B,00500,0300,HOME OFFICE COST 6676,A81000B,00600,0300,HOME OFFICE COST 6676,A81000B,00800,0300,HOME OFFICE COST 6676,A81000C,00100,0100,B 6676,A81000C,00100,0200,BEVERLY ENTERPR 6676,B100000,00000,0100,00000(SQUARE FEET) 6676,B100000,00000,0200,00000(SQUARE FEET) 6676,B100000,00000,0300,00000(ADJUSTED SALARIES) 6676,B100000,00000,0400,00000(ACCUM. COST) 6676,B100000,00000,0500,00000(SQUARE FEET) 6676,B100000,00000,0600,00000(PATIENT DAYS) 6676,B100000,00000,0700,00000(SQUARE FEET) 6676,B100000,00000,0800,00000(MEALS SERVED) 6676,B100000,00000,0900,00000(ADJUSTED SALARIES) 6676,B100000,00000,1000,00000(PATIENT DAYS) 6676,B100000,00000,1100,00000(COSTED REQUIS) 6676,B100000,00000,1200,00000(TOTAL CHARGES) 6676,B100000,00000,1300,00000(PATIENT DAYS) 6676,B100000,00000,1301,00000(PATIENT DAYS) 6676,B100000,00000,1400,00000(ASSIGNED TIME) 6676,E10A180,00301,0100,06/14/1999 6676,E10A180,00302,0100,10/08/1999 6676,E10A180,00350,0100,01/27/1999 6676,E10A180,00351,0100,12/09/1999 6676,E10A180,00352,0100,02/14/2000 6676,S000000,00100,0200,06/02/2000 6676,S200000,00100,0100,S. HIGHWAY 183 BOX 480 6676,S200000,00200,0100,SARGENT 6676,S200000,00200,0200,NE 6676,S200000,00200,0300,68874 6676,S200000,00300,0100,SARGENT 6676,S200000,00400,0100,SARGENT NURSING CENTER 6676,S200000,00400,0200,285123 6676,S200000,00400,0300,08/01/1992 6676,S200000,00400,0500,P 6676,S200000,00600,0200,285123 6676,S200000,00600,0300,08/01/1992 6676,S200000,00600,0600,P 6676,S200000,01600,0100,Y 6679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6679,A000000,00300,0000,00300EMPLOYEE BENEFITS 6679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6679,A000000,00700,0000,00700HOUSEKEEPING 6679,A000000,00800,0000,00800DIETARY 6679,A000000,00900,0000,00900NURSING ADMINISTRATION 6679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6679,A000000,01100,0000,01100PHARMACY 6679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6679,A000000,01300,0000,01300SOCIAL SERVICE 6679,A000000,01301,0000,01301ACTIVITIES 6679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6679,A000000,01600,0000,01600SKILLED NURSING FACILITY 6679,A000000,01800,0000,01800NURSING FACILITY 6679,A000000,01810,0000,01810ICF/MR 6679,A000000,01900,0000,01900OTHER LONG TERM CARE 6679,A000000,02100,0000,02100RADIOLOGY 6679,A000000,02200,0000,02200LABORATORY 6679,A000000,02500,0000,02500PHYSICAL THERAPY 6679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6679,A000000,02700,0000,02700SPEECH PATHOLOGY 6679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6679,A000000,03550,0000,03550FQHC 6679,A000000,05000,0000,05000CORF 6679,A000000,05010,0000,05010CMHC 6679,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6679,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6679,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6679,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6679,A81000A,00100,0100,Y 6679,A81000B,00100,0300,HOME OFFICE COST 6679,A81000B,00400,0300,HOME OFFICE COST 6679,A81000B,00500,0300,HOME OFFICE COST 6679,A81000B,00600,0300,HOME OFFICE COST 6679,A81000B,00800,0300,HOME OFFICE COST 6679,A81000C,00100,0100,B 6679,A81000C,00100,0200,BEVERLY ENTERPR 6679,B100000,00000,0100,00000(SQUARE FEET) 6679,B100000,00000,0200,00000(SQUARE FEET) 6679,B100000,00000,0300,00000(ADJUSTED SALARIES) 6679,B100000,00000,0400,00000(ACCUM. COST) 6679,B100000,00000,0500,00000(SQUARE FEET) 6679,B100000,00000,0600,00000(PATIENT DAYS) 6679,B100000,00000,0700,00000(SQUARE FEET) 6679,B100000,00000,0800,00000(MEALS SERVED) 6679,B100000,00000,0900,00000(ADJUSTED SALARIES) 6679,B100000,00000,1000,00000(PATIENT DAYS) 6679,B100000,00000,1100,00000(COSTED REQUIS) 6679,B100000,00000,1200,00000(TOTAL CHARGES) 6679,B100000,00000,1300,00000(PATIENT DAYS) 6679,B100000,00000,1301,00000(PATIENT DAYS) 6679,B100000,00000,1400,00000(ASSIGNED TIME) 6679,E10A180,00301,0100,06/14/1999 6679,E10A180,00302,0100,02/14/2000 6679,E10A180,00350,0100,01/27/1999 6679,E10A180,00351,0100,10/08/1999 6679,E10A180,00352,0100,12/09/1999 6679,S000000,00100,0200,06/02/2000 6679,S200000,00100,0100,1100 NORTH T STREET 6679,S200000,00200,0100,NELIGH 6679,S200000,00200,0200,NE 6679,S200000,00200,0300,68756 6679,S200000,00300,0100,ANTELOPE 6679,S200000,00400,0100,NELIGH NURSING CENTER 6679,S200000,00400,0200,285124 6679,S200000,00400,0300,10/01/1992 6679,S200000,00400,0500,P 6679,S200000,00600,0200,285124 6679,S200000,00600,0300,10/01/1992 6679,S200000,00600,0600,P 6679,S200000,01600,0100,Y 6692,S000000,00100,0200,03/17/2000 6695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6695,A000000,00300,0000,00300EMPLOYEE BENEFITS 6695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6695,A000000,00700,0000,00700HOUSEKEEPING 6695,A000000,00800,0000,00800DIETARY 6695,A000000,00900,0000,00900NURSING ADMINISTRATION 6695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6695,A000000,01100,0000,01100PHARMACY 6695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6695,A000000,01300,0000,01300SOCIAL SERVICE 6695,A000000,01301,0000,01301ACTIVITIES 6695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6695,A000000,01600,0000,01600SKILLED NURSING FACILITY 6695,A000000,01800,0000,01800NURSING FACILITY 6695,A000000,01810,0000,01810ICF/MR 6695,A000000,02100,0000,02100RADIOLOGY 6695,A000000,02200,0000,02200LABORATORY 6695,A000000,02500,0000,02500PHYSICAL THERAPY 6695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6695,A000000,02700,0000,02700SPEECH PATHOLOGY 6695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6695,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6695,A000000,03550,0000,03550FQHC 6695,A000000,05000,0000,05000CORF 6695,A000000,05010,0000,05010CMHC 6695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6695,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6695,A81000A,00100,0100,Y 6695,A81000B,00100,0300,HOME OFFICE COST 6695,A81000B,00400,0300,HOME OFFICE COST 6695,A81000B,00500,0300,HOME OFFICE COST 6695,A81000B,00600,0300,HOME OFFICE COST 6695,A81000B,00800,0300,HOME OFFICE COST 6695,A81000C,00100,0100,B 6695,A81000C,00100,0200,BEVERLY ENTERPR 6695,B100000,00000,0100,00000(SQUARE FEET) 6695,B100000,00000,0200,00000(SQUARE FEET) 6695,B100000,00000,0300,00000(ADJUSTED SALARIES) 6695,B100000,00000,0400,00000(ACCUM. COST) 6695,B100000,00000,0500,00000(SQUARE FEET) 6695,B100000,00000,0600,00000(PATIENT DAYS) 6695,B100000,00000,0700,00000(SQUARE FEET) 6695,B100000,00000,0800,00000(MEALS SERVED) 6695,B100000,00000,0900,00000(ADJUSTED SALARIES) 6695,B100000,00000,1000,00000(PATIENT DAYS) 6695,B100000,00000,1100,00000(COSTED REQUIS) 6695,B100000,00000,1200,00000(TOTAL CHARGES) 6695,B100000,00000,1300,00000(PATIENT DAYS) 6695,B100000,00000,1301,00000(PATIENT DAYS) 6695,B100000,00000,1400,00000(ASSIGNED TIME) 6695,E10A180,00302,0100,06/14/1999 6695,E10A180,00303,0100,10/08/1999 6695,E10A180,00305,0100,02/14/2000 6695,E10A180,00350,0100,01/27/1999 6695,E10A180,00353,0100,12/09/1999 6695,S000000,00100,0200,06/02/2000 6695,S200000,00100,0100,6989 ROUTE 18 6695,S200000,00200,0100,OLD BRIDGE 6695,S200000,00200,0200,NJ 6695,S200000,00200,0300,08857 6695,S200000,00300,0100,MIDDLESEX 6695,S200000,00400,0100,BEVERLY HEALTHCARE-OLD BRIDGE 6695,S200000,00400,0200,315321 6695,S200000,00400,0300,03/01/1993 6695,S200000,00400,0500,P 6695,S200000,00600,0200,315321 6695,S200000,00600,0300,03/01/1993 6695,S200000,00600,0600,P 6695,S200000,01600,0100,Y 6698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6698,A000000,00300,0000,00300EMPLOYEE BENEFITS 6698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6698,A000000,00700,0000,00700HOUSEKEEPING 6698,A000000,00800,0000,00800DIETARY 6698,A000000,00900,0000,00900NURSING ADMINISTRATION 6698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6698,A000000,01100,0000,01100PHARMACY 6698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6698,A000000,01300,0000,01300SOCIAL SERVICE 6698,A000000,01301,0000,01301ACTIVITIES 6698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6698,A000000,01600,0000,01600SKILLED NURSING FACILITY 6698,A000000,01800,0000,01800NURSING FACILITY 6698,A000000,01810,0000,01810ICF/MR 6698,A000000,01900,0000,01900OTHER LONG TERM CARE 6698,A000000,02100,0000,02100RADIOLOGY 6698,A000000,02200,0000,02200LABORATORY 6698,A000000,02500,0000,02500PHYSICAL THERAPY 6698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6698,A000000,02700,0000,02700SPEECH PATHOLOGY 6698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6698,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6698,A000000,03550,0000,03550FQHC 6698,A000000,05000,0000,05000CORF 6698,A000000,05010,0000,05010CMHC 6698,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6698,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6698,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6698,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6698,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6698,A81000A,00100,0100,Y 6698,A81000B,00100,0300,HOME OFFICE COST 6698,A81000B,00400,0300,HOME OFFICE COST 6698,A81000B,00500,0300,HOME OFFICE COST 6698,A81000B,00600,0300,HOME OFFICE COST 6698,A81000B,00800,0300,HOME OFFICE COST 6698,A81000C,00100,0100,B 6698,A81000C,00100,0200,BEVERLY ENTERPR 6698,B100000,00000,0100,00000(SQUARE FEET) 6698,B100000,00000,0200,00000(SQUARE FEET) 6698,B100000,00000,0300,00000(ADJUSTED SALARIES) 6698,B100000,00000,0400,00000(ACCUM. COST) 6698,B100000,00000,0500,00000(SQUARE FEET) 6698,B100000,00000,0600,00000(PATIENT DAYS) 6698,B100000,00000,0700,00000(SQUARE FEET) 6698,B100000,00000,0800,00000(MEALS SERVED) 6698,B100000,00000,0900,00000(ADJUSTED SALARIES) 6698,B100000,00000,1000,00000(PATIENT DAYS) 6698,B100000,00000,1100,00000(COSTED REQUIS) 6698,B100000,00000,1200,00000(TOTAL CHARGES) 6698,B100000,00000,1300,00000(PATIENT DAYS) 6698,B100000,00000,1301,00000(PATIENT DAYS) 6698,B100000,00000,1400,00000(ASSIGNED TIME) 6698,E10A180,00301,0100,01/27/1999 6698,E10A180,00302,0100,06/14/1999 6698,E10A180,00303,0100,10/08/1999 6698,E10A180,00304,0100,02/14/2000 6698,E10A180,00350,0100,12/09/1999 6698,S000000,00100,0200,06/02/2000 6698,S200000,00100,0100,300 PROVIDENCE ROAD 6698,S200000,00200,0100,CHARLOTTE 6698,S200000,00200,0200,NC 6698,S200000,00200,0300,28207 6698,S200000,00300,0100,MECKLENBERG 6698,S200000,00400,0100,PROVIDENCE CONV RESIDENCE 6698,S200000,00400,0200,345008 6698,S200000,00400,0300,01/01/1982 6698,S200000,00400,0500,P 6698,S200000,00600,0200,345008 6698,S200000,00600,0300,01/01/1982 6698,S200000,00600,0600,P 6698,S200000,01600,0100,Y 6705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6705,A000000,00300,0000,00300EMPLOYEE BENEFITS 6705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6705,A000000,00700,0000,00700HOUSEKEEPING 6705,A000000,00800,0000,00800DIETARY 6705,A000000,00900,0000,00900NURSING ADMINISTRATION 6705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6705,A000000,01100,0000,01100PHARMACY 6705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6705,A000000,01300,0000,01300SOCIAL SERVICE 6705,A000000,01301,0000,01301ACTIVITIES 6705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6705,A000000,01600,0000,01600SKILLED NURSING FACILITY 6705,A000000,01800,0000,01800NURSING FACILITY 6705,A000000,01810,0000,01810ICF/MR 6705,A000000,02100,0000,02100RADIOLOGY 6705,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6705,A000000,02500,0000,02500PHYSICAL THERAPY 6705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6705,A000000,02700,0000,02700SPEECH PATHOLOGY 6705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6705,A000000,03550,0000,03550FQHC 6705,A000000,05000,0000,05000CORF 6705,A000000,05010,0000,05010CMHC 6705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6705,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6705,A81000A,00100,0100,Y 6705,A81000B,00100,0300,HOME OFFICE COST 6705,A81000B,00400,0300,HOME OFFICE COST 6705,A81000B,00500,0300,HOME OFFICE COST 6705,A81000B,00600,0300,HOME OFFICE COST 6705,A81000B,00800,0300,HOME OFFICE COST 6705,A81000C,00100,0100,B 6705,A81000C,00100,0200,BEVERLY ENTERPR 6705,B100000,00000,0100,00000(SQUARE FEET) 6705,B100000,00000,0200,00000(SQUARE FEET) 6705,B100000,00000,0300,00000(ADJUSTED SALARIES) 6705,B100000,00000,0400,00000(ACCUM. COST) 6705,B100000,00000,0500,00000(SQUARE FEET) 6705,B100000,00000,0600,00000(PATIENT DAYS) 6705,B100000,00000,0700,00000(SQUARE FEET) 6705,B100000,00000,0800,00000(MEALS SERVED) 6705,B100000,00000,0900,00000(ADJUSTED SALARIES) 6705,B100000,00000,1000,00000(PATIENT DAYS) 6705,B100000,00000,1100,00000(COSTED REQUIS) 6705,B100000,00000,1200,00000(TOTAL CHARGES) 6705,B100000,00000,1300,00000(PATIENT DAYS) 6705,B100000,00000,1301,00000(PATIENT DAYS) 6705,B100000,00000,1400,00000(ASSIGNED TIME) 6705,E10A180,00350,0100,01/27/1999 6705,E10A180,00351,0100,06/14/1999 6705,E10A180,00352,0100,10/08/1999 6705,E10A180,00353,0100,12/09/1999 6705,E10A180,00354,0100,02/14/2000 6705,S000000,00100,0200,06/02/2000 6705,S200000,00100,0100,109 SOUTH HOLDEN ROAD 6705,S200000,00200,0100,GREENSBORO 6705,S200000,00200,0200,NC 6705,S200000,00200,0300,27407 6705,S200000,00300,0100,GUILFORD 6705,S200000,00400,0100,STARMOUNT VILLA 6705,S200000,00400,0200,345116 6705,S200000,00400,0300,01/01/1982 6705,S200000,00400,0500,P 6705,S200000,00600,0200,345116 6705,S200000,00600,0300,01/01/1982 6705,S200000,00600,0600,P 6705,S200000,01600,0100,Y 6708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6708,A000000,00300,0000,00300EMPLOYEE BENEFITS 6708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6708,A000000,00700,0000,00700HOUSEKEEPING 6708,A000000,00800,0000,00800DIETARY 6708,A000000,00900,0000,00900NURSING ADMINISTRATION 6708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6708,A000000,01100,0000,01100PHARMACY 6708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6708,A000000,01300,0000,01300SOCIAL SERVICE 6708,A000000,01301,0000,01301ACTIVITIES 6708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6708,A000000,01600,0000,01600SKILLED NURSING FACILITY 6708,A000000,01800,0000,01800NURSING FACILITY 6708,A000000,01810,0000,01810ICF/MR 6708,A000000,02200,0000,02200LABORATORY 6708,A000000,02500,0000,02500PHYSICAL THERAPY 6708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6708,A000000,02700,0000,02700SPEECH PATHOLOGY 6708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6708,A000000,03550,0000,03550FQHC 6708,A000000,05000,0000,05000CORF 6708,A000000,05010,0000,05010CMHC 6708,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6708,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6708,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6708,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6708,A81000A,00100,0100,Y 6708,A81000B,00100,0300,HOME OFFICE COST 6708,A81000B,00400,0300,HOME OFFICE COST 6708,A81000B,00500,0300,HOME OFFICE COST 6708,A81000B,00600,0300,HOME OFFICE COST 6708,A81000B,00800,0300,HOME OFFICE COST 6708,A81000C,00100,0100,B 6708,A81000C,00100,0200,BEVERLY ENTERPR 6708,B100000,00000,0100,00000(SQUARE FEET) 6708,B100000,00000,0200,00000(SQUARE FEET) 6708,B100000,00000,0300,00000(ADJUSTED SALARIES) 6708,B100000,00000,0400,00000(ACCUM. COST) 6708,B100000,00000,0500,00000(SQUARE FEET) 6708,B100000,00000,0600,00000(PATIENT DAYS) 6708,B100000,00000,0700,00000(SQUARE FEET) 6708,B100000,00000,0800,00000(MEALS SERVED) 6708,B100000,00000,0900,00000(ADJUSTED SALARIES) 6708,B100000,00000,1000,00000(PATIENT DAYS) 6708,B100000,00000,1100,00000(COSTED REQUIS) 6708,B100000,00000,1200,00000(TOTAL CHARGES) 6708,B100000,00000,1300,00000(PATIENT DAYS) 6708,B100000,00000,1301,00000(PATIENT DAYS) 6708,B100000,00000,1400,00000(ASSIGNED TIME) 6708,E10A180,00301,0100,01/27/1999 6708,E10A180,00302,0100,02/14/2000 6708,E10A180,00350,0100,06/14/1999 6708,E10A180,00351,0100,10/08/1999 6708,E10A180,00352,0100,12/09/1999 6708,S000000,00100,0200,06/02/2000 6708,S200000,00100,0100,STANTONS BERG ROAD 6708,S200000,00200,0100,GREENVILLE 6708,S200000,00200,0200,NC 6708,S200000,00200,0300,27834 6708,S200000,00300,0100,PITT 6708,S200000,00400,0100,GREENVILLE VILLA 6708,S200000,00400,0200,345168 6708,S200000,00400,0300,01/01/1982 6708,S200000,00400,0500,P 6708,S200000,00600,0200,345168 6708,S200000,00600,0300,01/01/1982 6708,S200000,00600,0600,P 6708,S200000,01600,0100,Y 6711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6711,A000000,00300,0000,00300EMPLOYEE BENEFITS 6711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6711,A000000,00700,0000,00700HOUSEKEEPING 6711,A000000,00800,0000,00800DIETARY 6711,A000000,00900,0000,00900NURSING ADMINISTRATION 6711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6711,A000000,01100,0000,01100PHARMACY 6711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6711,A000000,01300,0000,01300SOCIAL SERVICE 6711,A000000,01301,0000,01301ACTIVITIES 6711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6711,A000000,01600,0000,01600SKILLED NURSING FACILITY 6711,A000000,01800,0000,01800NURSING FACILITY 6711,A000000,01810,0000,01810ICF/MR 6711,A000000,01900,0000,01900OTHER LONG TERM CARE 6711,A000000,02200,0000,02200LABORATORY 6711,A000000,02500,0000,02500PHYSICAL THERAPY 6711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6711,A000000,02700,0000,02700SPEECH PATHOLOGY 6711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6711,A000000,03550,0000,03550FQHC 6711,A000000,05000,0000,05000CORF 6711,A000000,05010,0000,05010CMHC 6711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6711,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6711,A81000A,00100,0100,Y 6711,A81000B,00100,0300,HOME OFFICE COST 6711,A81000B,00400,0300,HOME OFFICE COST 6711,A81000B,00500,0300,HOME OFFICE COST 6711,A81000B,00600,0300,HOME OFFICE COST 6711,A81000B,00800,0300,HOME OFFICE COST 6711,A81000C,00100,0100,B 6711,A81000C,00100,0200,BEVERLY ENTERPR 6711,B100000,00000,0100,00000(SQUARE FEET) 6711,B100000,00000,0200,00000(SQUARE FEET) 6711,B100000,00000,0300,00000(ADJUSTED SALARIES) 6711,B100000,00000,0400,00000(ACCUM. COST) 6711,B100000,00000,0500,00000(SQUARE FEET) 6711,B100000,00000,0600,00000(PATIENT DAYS) 6711,B100000,00000,0700,00000(SQUARE FEET) 6711,B100000,00000,0800,00000(MEALS SERVED) 6711,B100000,00000,0900,00000(ADJUSTED SALARIES) 6711,B100000,00000,1000,00000(PATIENT DAYS) 6711,B100000,00000,1100,00000(COSTED REQUIS) 6711,B100000,00000,1200,00000(TOTAL CHARGES) 6711,B100000,00000,1300,00000(PATIENT DAYS) 6711,B100000,00000,1301,00000(PATIENT DAYS) 6711,B100000,00000,1400,00000(ASSIGNED TIME) 6711,E10A180,00301,0100,01/27/1999 6711,E10A180,00350,0100,06/14/1999 6711,E10A180,00351,0100,10/08/1999 6711,E10A180,00352,0100,12/09/1999 6711,E10A180,00353,0100,02/14/2000 6711,S000000,00100,0200,06/02/2000 6711,S200000,00100,0100,542 ALLRED MILL ROAD 6711,S200000,00200,0100,MT. AIRY 6711,S200000,00200,0200,NC 6711,S200000,00200,0300,27030 6711,S200000,00300,0100,SURRY 6711,S200000,00400,0100,SURRY COMMUNITY NURSING CENTER 6711,S200000,00400,0200,345191 6711,S200000,00400,0300,01/01/1982 6711,S200000,00400,0500,P 6711,S200000,00600,0200,345191 6711,S200000,00600,0300,01/01/1982 6711,S200000,00600,0600,P 6711,S200000,01600,0100,Y 6714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6714,A000000,00300,0000,00300EMPLOYEE BENEFITS 6714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6714,A000000,00700,0000,00700HOUSEKEEPING 6714,A000000,00800,0000,00800DIETARY 6714,A000000,00900,0000,00900NURSING ADMINISTRATION 6714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6714,A000000,01100,0000,01100PHARMACY 6714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6714,A000000,01300,0000,01300SOCIAL SERVICE 6714,A000000,01301,0000,01301ACTIVITIES 6714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6714,A000000,01600,0000,01600SKILLED NURSING FACILITY 6714,A000000,01800,0000,01800NURSING FACILITY 6714,A000000,01810,0000,01810ICF/MR 6714,A000000,02200,0000,02200LABORATORY 6714,A000000,02500,0000,02500PHYSICAL THERAPY 6714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6714,A000000,02700,0000,02700SPEECH PATHOLOGY 6714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6714,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6714,A000000,03550,0000,03550FQHC 6714,A000000,05000,0000,05000CORF 6714,A000000,05010,0000,05010CMHC 6714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6714,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6714,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6714,A81000A,00100,0100,Y 6714,A81000B,00100,0300,HOME OFFICE COST 6714,A81000B,00400,0300,HOME OFFICE COST 6714,A81000B,00500,0300,HOME OFFICE COST 6714,A81000B,00600,0300,HOME OFFICE COST 6714,A81000B,00800,0300,HOME OFFICE COST 6714,A81000C,00100,0100,B 6714,A81000C,00100,0200,BEVERLY ENTERPR 6714,B100000,00000,0100,00000(SQUARE FEET) 6714,B100000,00000,0200,00000(SQUARE FEET) 6714,B100000,00000,0300,00000(ADJUSTED SALARIES) 6714,B100000,00000,0400,00000(ACCUM. COST) 6714,B100000,00000,0500,00000(SQUARE FEET) 6714,B100000,00000,0600,00000(PATIENT DAYS) 6714,B100000,00000,0700,00000(SQUARE FEET) 6714,B100000,00000,0800,00000(MEALS SERVED) 6714,B100000,00000,0900,00000(ADJUSTED SALARIES) 6714,B100000,00000,1000,00000(PATIENT DAYS) 6714,B100000,00000,1100,00000(COSTED REQUIS) 6714,B100000,00000,1200,00000(TOTAL CHARGES) 6714,B100000,00000,1300,00000(PATIENT DAYS) 6714,B100000,00000,1301,00000(PATIENT DAYS) 6714,B100000,00000,1400,00000(ASSIGNED TIME) 6714,E10A180,00301,0100,01/27/2000 6714,E10A180,00350,0100,06/14/1999 6714,E10A180,00351,0100,10/08/1999 6714,E10A180,00352,0100,12/09/1999 6714,E10A180,00353,0100,02/14/2000 6714,S000000,00100,0200,06/02/2000 6714,S200000,00100,0100,1000 WESTERN BLVD 6714,S200000,00200,0100,TARBORO 6714,S200000,00200,0200,NC 6714,S200000,00200,0300,27886 6714,S200000,00300,0100,EDGECOMBE 6714,S200000,00400,0100,BEVERLY HEALTH CARE CENTER (23 6714,S200000,00400,0200,345195 6714,S200000,00400,0300,01/01/1982 6714,S200000,00400,0500,P 6714,S200000,00600,0200,345195 6714,S200000,00600,0300,01/01/1982 6714,S200000,00600,0600,P 6714,S200000,01600,0100,Y 6717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6717,A000000,00300,0000,00300EMPLOYEE BENEFITS 6717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6717,A000000,00700,0000,00700HOUSEKEEPING 6717,A000000,00800,0000,00800DIETARY 6717,A000000,00900,0000,00900NURSING ADMINISTRATION 6717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6717,A000000,01100,0000,01100PHARMACY 6717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6717,A000000,01300,0000,01300SOCIAL SERVICE 6717,A000000,01301,0000,01301ACTIVITIES 6717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6717,A000000,01600,0000,01600SKILLED NURSING FACILITY 6717,A000000,01800,0000,01800NURSING FACILITY 6717,A000000,01810,0000,01810ICF/MR 6717,A000000,02100,0000,02100RADIOLOGY 6717,A000000,02200,0000,02200LABORATORY 6717,A000000,02500,0000,02500PHYSICAL THERAPY 6717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6717,A000000,02700,0000,02700SPEECH PATHOLOGY 6717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6717,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6717,A000000,03550,0000,03550FQHC 6717,A000000,05000,0000,05000CORF 6717,A000000,05010,0000,05010CMHC 6717,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6717,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6717,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6717,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6717,A81000A,00100,0100,Y 6717,A81000B,00100,0300,HOME OFFICE COST 6717,A81000B,00400,0300,HOME OFFICE COST 6717,A81000B,00500,0300,HOME OFFICE COST 6717,A81000B,00600,0300,HOME OFFICE COST 6717,A81000B,00800,0300,HOME OFFICE COST 6717,A81000C,00100,0100,B 6717,A81000C,00100,0200,BEVERLY ENTERPR 6717,B100000,00000,0100,00000(SQUARE FEET) 6717,B100000,00000,0200,00000(SQUARE FEET) 6717,B100000,00000,0300,00000(ADJUSTED SALARIES) 6717,B100000,00000,0400,00000(ACCUM. COST) 6717,B100000,00000,0500,00000(SQUARE FEET) 6717,B100000,00000,0600,00000(PATIENT DAYS) 6717,B100000,00000,0700,00000(SQUARE FEET) 6717,B100000,00000,0800,00000(MEALS SERVED) 6717,B100000,00000,0900,00000(ADJUSTED SALARIES) 6717,B100000,00000,1000,00000(PATIENT DAYS) 6717,B100000,00000,1100,00000(COSTED REQUIS) 6717,B100000,00000,1200,00000(TOTAL CHARGES) 6717,B100000,00000,1300,00000(PATIENT DAYS) 6717,B100000,00000,1301,00000(PATIENT DAYS) 6717,B100000,00000,1400,00000(ASSIGNED TIME) 6717,E10A180,00301,0100,01/27/1999 6717,E10A180,00350,0100,06/14/1999 6717,E10A180,00351,0100,10/08/1999 6717,E10A180,00352,0100,12/09/1999 6717,E10A180,00353,0100,02/14/2000 6717,S000000,00100,0200,06/02/2000 6717,S200000,00100,0100,2616 E 5TH STREET 6717,S200000,00200,0100,CHARLOTTE 6717,S200000,00200,0200,NC 6717,S200000,00200,0300,28222 6717,S200000,00300,0100,MECKLENBURG 6717,S200000,00400,0100,ATH-CHARLOTTE 6717,S200000,00400,0200,345201 6717,S200000,00400,0300,01/01/1982 6717,S200000,00400,0500,P 6717,S200000,00600,0200,345201 6717,S200000,00600,0300,01/01/1982 6717,S200000,00600,0600,P 6717,S200000,01600,0100,Y 6720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6720,A000000,00300,0000,00300EMPLOYEE BENEFITS 6720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6720,A000000,00700,0000,00700HOUSEKEEPING 6720,A000000,00800,0000,00800DIETARY 6720,A000000,00900,0000,00900NURSING ADMINISTRATION 6720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6720,A000000,01100,0000,01100PHARMACY 6720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6720,A000000,01300,0000,01300SOCIAL SERVICE 6720,A000000,01301,0000,01301ACTIVITIES 6720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6720,A000000,01600,0000,01600SKILLED NURSING FACILITY 6720,A000000,01800,0000,01800NURSING FACILITY 6720,A000000,01810,0000,01810ICF/MR 6720,A000000,02100,0000,02100RADIOLOGY 6720,A000000,02200,0000,02200LABORATORY 6720,A000000,02500,0000,02500PHYSICAL THERAPY 6720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6720,A000000,02700,0000,02700SPEECH PATHOLOGY 6720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6720,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6720,A000000,03550,0000,03550FQHC 6720,A000000,05000,0000,05000CORF 6720,A000000,05010,0000,05010CMHC 6720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6720,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6720,A81000A,00100,0100,Y 6720,A81000B,00100,0300,HOME OFFICE COST 6720,A81000B,00400,0300,HOME OFFICE COST 6720,A81000B,00500,0300,HOME OFFICE COST 6720,A81000B,00600,0300,HOME OFFICE COST 6720,A81000B,00800,0300,HOME OFFICE COST 6720,A81000C,00100,0100,B 6720,A81000C,00100,0200,BEVERLY ENTERPR 6720,B100000,00000,0100,00000(SQUARE FEET) 6720,B100000,00000,0200,00000(SQUARE FEET) 6720,B100000,00000,0300,00000(ADJUSTED SALARIES) 6720,B100000,00000,0400,00000(ACCUM. COST) 6720,B100000,00000,0500,00000(SQUARE FEET) 6720,B100000,00000,0600,00000(PATIENT DAYS) 6720,B100000,00000,0700,00000(SQUARE FEET) 6720,B100000,00000,0800,00000(MEALS SERVED) 6720,B100000,00000,0900,00000(ADJUSTED SALARIES) 6720,B100000,00000,1000,00000(PATIENT DAYS) 6720,B100000,00000,1100,00000(COSTED REQUIS) 6720,B100000,00000,1200,00000(TOTAL CHARGES) 6720,B100000,00000,1300,00000(PATIENT DAYS) 6720,B100000,00000,1301,00000(PATIENT DAYS) 6720,B100000,00000,1400,00000(ASSIGNED TIME) 6720,E10A180,00301,0100,06/14/1999 6720,E10A180,00302,0100,10/08/1999 6720,E10A180,00303,0100,12/09/1999 6720,E10A180,00304,0100,02/14/2000 6720,E10A180,00350,0100,01/27/1999 6720,S000000,00100,0200,06/02/2000 6720,S200000,00100,0100,1510 HEBRON STREET 6720,S200000,00200,0100,HENDERSONVILLE 6720,S200000,00200,0200,NC 6720,S200000,00200,0300,28739 6720,S200000,00300,0100,HENDERSON 6720,S200000,00400,0100,LAKEWOOD MANOR (235) B 6720,S200000,00400,0200,345223 6720,S200000,00400,0300,06/16/1982 6720,S200000,00400,0500,P 6720,S200000,00600,0200,345223 6720,S200000,00600,0300,06/16/1982 6720,S200000,00600,0600,P 6720,S200000,01600,0100,Y 6723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6723,A000000,00300,0000,00300EMPLOYEE BENEFITS 6723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6723,A000000,00700,0000,00700HOUSEKEEPING 6723,A000000,00800,0000,00800DIETARY 6723,A000000,00900,0000,00900NURSING ADMINISTRATION 6723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6723,A000000,01100,0000,01100PHARMACY 6723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6723,A000000,01300,0000,01300SOCIAL SERVICE 6723,A000000,01301,0000,01301ACTIVITIES 6723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6723,A000000,01600,0000,01600SKILLED NURSING FACILITY 6723,A000000,01800,0000,01800NURSING FACILITY 6723,A000000,01810,0000,01810ICF/MR 6723,A000000,01900,0000,01900OTHER LONG TERM CARE 6723,A000000,02100,0000,02100RADIOLOGY 6723,A000000,02200,0000,02200LABORATORY 6723,A000000,02500,0000,02500PHYSICAL THERAPY 6723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6723,A000000,02700,0000,02700SPEECH PATHOLOGY 6723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6723,A000000,03550,0000,03550FQHC 6723,A000000,05000,0000,05000CORF 6723,A000000,05010,0000,05010CMHC 6723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6723,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6723,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6723,A81000A,00100,0100,Y 6723,A81000B,00100,0300,HOME OFFICE COST 6723,A81000B,00400,0300,HOME OFFICE COST 6723,A81000B,00500,0300,HOME OFFICE COST 6723,A81000B,00600,0300,HOME OFFICE COST 6723,A81000B,00800,0300,HOME OFFICE COST 6723,A81000C,00100,0100,B 6723,A81000C,00100,0200,BEVERLY ENTERPR 6723,B100000,00000,0100,00000(SQUARE FEET) 6723,B100000,00000,0200,00000(SQUARE FEET) 6723,B100000,00000,0300,00000(ADJUSTED SALARIES) 6723,B100000,00000,0400,00000(ACCUM. COST) 6723,B100000,00000,0500,00000(SQUARE FEET) 6723,B100000,00000,0600,00000(PATIENT DAYS) 6723,B100000,00000,0700,00000(SQUARE FEET) 6723,B100000,00000,0800,00000(MEALS SERVED) 6723,B100000,00000,0900,00000(ADJUSTED SALARIES) 6723,B100000,00000,1000,00000(PATIENT DAYS) 6723,B100000,00000,1100,00000(COSTED REQUIS) 6723,B100000,00000,1200,00000(TOTAL CHARGES) 6723,B100000,00000,1300,00000(PATIENT DAYS) 6723,B100000,00000,1301,00000(PATIENT DAYS) 6723,B100000,00000,1400,00000(ASSIGNED TIME) 6723,E10A180,00301,0100,12/09/1999 6723,E10A180,00302,0100,02/14/2000 6723,E10A180,00350,0100,01/27/1999 6723,E10A180,00351,0100,06/14/1999 6723,E10A180,00352,0100,10/08/1999 6723,S000000,00100,0200,06/02/2000 6723,S200000,00100,0100,1029 BLAIR STREET 6723,S200000,00200,0100,THOMASVILLE 6723,S200000,00200,0200,NC 6723,S200000,00200,0300,27360 6723,S200000,00300,0100,DAVIDSON 6723,S200000,00400,0100,LIBERTY HOUSE NRSNG HOME 6723,S200000,00400,0200,345224 6723,S200000,00400,0300,06/08/1982 6723,S200000,00400,0500,P 6723,S200000,00600,0200,345224 6723,S200000,00600,0300,06/08/1982 6723,S200000,00600,0600,P 6723,S200000,01600,0100,Y 6726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6726,A000000,00300,0000,00300EMPLOYEE BENEFITS 6726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6726,A000000,00700,0000,00700HOUSEKEEPING 6726,A000000,00800,0000,00800DIETARY 6726,A000000,00900,0000,00900NURSING ADMINISTRATION 6726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6726,A000000,01100,0000,01100PHARMACY 6726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6726,A000000,01300,0000,01300SOCIAL SERVICE 6726,A000000,01301,0000,01301ACTIVITIES 6726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6726,A000000,01600,0000,01600SKILLED NURSING FACILITY 6726,A000000,01800,0000,01800NURSING FACILITY 6726,A000000,01810,0000,01810ICF/MR 6726,A000000,02200,0000,02200LABORATORY 6726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6726,A000000,02500,0000,02500PHYSICAL THERAPY 6726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6726,A000000,02700,0000,02700SPEECH PATHOLOGY 6726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6726,A000000,03550,0000,03550FQHC 6726,A000000,05000,0000,05000CORF 6726,A000000,05010,0000,05010CMHC 6726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6726,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6726,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6726,A81000A,00100,0100,Y 6726,A81000B,00100,0300,HOME OFFICE COST 6726,A81000B,00400,0300,HOME OFFICE COST 6726,A81000B,00500,0300,HOME OFFICE COST 6726,A81000B,00600,0300,HOME OFFICE COST 6726,A81000B,00800,0300,HOME OFFICE COST 6726,A81000C,00100,0100,B 6726,A81000C,00100,0200,BEVERLY ENTERPR 6726,B100000,00000,0100,00000(SQUARE FEET) 6726,B100000,00000,0200,00000(SQUARE FEET) 6726,B100000,00000,0300,00000(ADJUSTED SALARIES) 6726,B100000,00000,0400,00000(ACCUM. COST) 6726,B100000,00000,0500,00000(SQUARE FEET) 6726,B100000,00000,0600,00000(PATIENT DAYS) 6726,B100000,00000,0700,00000(SQUARE FEET) 6726,B100000,00000,0800,00000(MEALS SERVED) 6726,B100000,00000,0900,00000(ADJUSTED SALARIES) 6726,B100000,00000,1000,00000(PATIENT DAYS) 6726,B100000,00000,1100,00000(COSTED REQUIS) 6726,B100000,00000,1200,00000(TOTAL CHARGES) 6726,B100000,00000,1300,00000(PATIENT DAYS) 6726,B100000,00000,1301,00000(PATIENT DAYS) 6726,B100000,00000,1400,00000(ASSIGNED TIME) 6726,E10A180,00301,0100,06/14/1999 6726,E10A180,00302,0100,10/08/1999 6726,E10A180,00303,0100,02/14/2000 6726,E10A180,00350,0100,01/27/1999 6726,E10A180,00351,0100,12/09/1999 6726,S000000,00100,0200,06/02/2000 6726,S200000,00100,0100,1555 WILLIS AVENUE 6726,S200000,00200,0100,LUMBERTON 6726,S200000,00200,0200,NC 6726,S200000,00200,0300,28358 6726,S200000,00300,0100,ROBESON 6726,S200000,00400,0100,KINGSDALE MANOR NURSING HOME ( 6726,S200000,00400,0200,345234 6726,S200000,00400,0300,02/22/1983 6726,S200000,00400,0500,P 6726,S200000,00600,0200,345234 6726,S200000,00600,0300,02/22/1983 6726,S200000,00600,0600,P 6726,S200000,01600,0100,Y 6729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6729,A000000,00300,0000,00300EMPLOYEE BENEFITS 6729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6729,A000000,00700,0000,00700HOUSEKEEPING 6729,A000000,00800,0000,00800DIETARY 6729,A000000,00900,0000,00900NURSING ADMINISTRATION 6729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6729,A000000,01100,0000,01100PHARMACY 6729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6729,A000000,01300,0000,01300SOCIAL SERVICE 6729,A000000,01301,0000,01301ACTIVITIES 6729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6729,A000000,01600,0000,01600SKILLED NURSING FACILITY 6729,A000000,01800,0000,01800NURSING FACILITY 6729,A000000,01810,0000,01810ICF/MR 6729,A000000,02100,0000,02100RADIOLOGY 6729,A000000,02200,0000,02200LABORATORY 6729,A000000,02500,0000,02500PHYSICAL THERAPY 6729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6729,A000000,02700,0000,02700SPEECH PATHOLOGY 6729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6729,A000000,03550,0000,03550FQHC 6729,A000000,05000,0000,05000CORF 6729,A000000,05010,0000,05010CMHC 6729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6729,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6729,A81000A,00100,0100,Y 6729,A81000B,00100,0300,HOME OFFICE COST 6729,A81000B,00400,0300,HOME OFFICE COST 6729,A81000B,00500,0300,HOME OFFICE COST 6729,A81000B,00600,0300,HOME OFFICE COST 6729,A81000B,00800,0300,HOME OFFICE COST 6729,A81000C,00100,0100,B 6729,A81000C,00100,0200,BEVERLY ENTERPR 6729,B100000,00000,0100,00000(SQUARE FEET) 6729,B100000,00000,0200,00000(SQUARE FEET) 6729,B100000,00000,0300,00000(ADJUSTED SALARIES) 6729,B100000,00000,0400,00000(ACCUM. COST) 6729,B100000,00000,0500,00000(SQUARE FEET) 6729,B100000,00000,0600,00000(PATIENT DAYS) 6729,B100000,00000,0700,00000(SQUARE FEET) 6729,B100000,00000,0800,00000(MEALS SERVED) 6729,B100000,00000,0900,00000(ADJUSTED SALARIES) 6729,B100000,00000,1000,00000(PATIENT DAYS) 6729,B100000,00000,1100,00000(COSTED REQUIS) 6729,B100000,00000,1200,00000(TOTAL CHARGES) 6729,B100000,00000,1300,00000(PATIENT DAYS) 6729,B100000,00000,1301,00000(PATIENT DAYS) 6729,B100000,00000,1400,00000(ASSIGNED TIME) 6729,E10A180,00301,0100,10/08/1999 6729,E10A180,00302,0100,12/09/1999 6729,E10A180,00303,0100,02/14/2000 6729,E10A180,00350,0100,01/27/1999 6729,E10A180,00351,0100,06/14/1999 6729,S000000,00100,0200,06/02/2000 6729,S200000,00100,0100,850 W POE STREET 6729,S200000,00200,0100,BOWLING GREEN 6729,S200000,00200,0200,OH 6729,S200000,00200,0300,43402 6729,S200000,00300,0100,WOOD 6729,S200000,00400,0100,COMMUNITY NURSING HOME (209) B 6729,S200000,00400,0200,365076 6729,S200000,00400,0300,01/01/1982 6729,S200000,00400,0500,P 6729,S200000,00600,0200,365076 6729,S200000,00600,0300,01/01/1982 6729,S200000,00600,0600,P 6729,S200000,01600,0100,Y 6729,S200000,04200,0100,Y 6729,S200000,04300,0100,Y 6732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6732,A000000,00300,0000,00300EMPLOYEE BENEFITS 6732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6732,A000000,00700,0000,00700HOUSEKEEPING 6732,A000000,00800,0000,00800DIETARY 6732,A000000,00900,0000,00900NURSING ADMINISTRATION 6732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6732,A000000,01100,0000,01100PHARMACY 6732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6732,A000000,01300,0000,01300SOCIAL SERVICE 6732,A000000,01301,0000,01301ACTIVITIES 6732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6732,A000000,01600,0000,01600SKILLED NURSING FACILITY 6732,A000000,01800,0000,01800NURSING FACILITY 6732,A000000,01810,0000,01810ICF/MR 6732,A000000,02100,0000,02100RADIOLOGY 6732,A000000,02200,0000,02200LABORATORY 6732,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6732,A000000,02500,0000,02500PHYSICAL THERAPY 6732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6732,A000000,02700,0000,02700SPEECH PATHOLOGY 6732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6732,A000000,03550,0000,03550FQHC 6732,A000000,05000,0000,05000CORF 6732,A000000,05010,0000,05010CMHC 6732,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6732,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6732,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6732,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6732,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6732,A81000A,00100,0100,Y 6732,A81000B,00100,0300,HOME OFFICE COST 6732,A81000B,00400,0300,HOME OFFICE COST 6732,A81000B,00500,0300,HOME OFFICE COST 6732,A81000B,00600,0300,HOME OFFICE COST 6732,A81000B,00800,0300,HOME OFFICE COST 6732,A81000C,00100,0100,B 6732,A81000C,00100,0200,BEVERLY ENTERPR 6732,B100000,00000,0100,00000(SQUARE FEET) 6732,B100000,00000,0200,00000(SQUARE FEET) 6732,B100000,00000,0300,00000(ADJUSTED SALARIES) 6732,B100000,00000,0400,00000(ACCUM. COST) 6732,B100000,00000,0500,00000(SQUARE FEET) 6732,B100000,00000,0600,00000(PATIENT DAYS) 6732,B100000,00000,0700,00000(SQUARE FEET) 6732,B100000,00000,0800,00000(MEALS SERVED) 6732,B100000,00000,0900,00000(ADJUSTED SALARIES) 6732,B100000,00000,1000,00000(PATIENT DAYS) 6732,B100000,00000,1100,00000(COSTED REQUIS) 6732,B100000,00000,1200,00000(TOTAL CHARGES) 6732,B100000,00000,1300,00000(PATIENT DAYS) 6732,B100000,00000,1301,00000(PATIENT DAYS) 6732,B100000,00000,1400,00000(ASSIGNED TIME) 6732,E10A180,00301,0100,12/09/1999 6732,E10A180,00350,0100,01/27/1999 6732,E10A180,00351,0100,06/14/1999 6732,E10A180,00352,0100,10/08/1999 6732,E10A180,00353,0100,02/14/2000 6732,S000000,00100,0200,06/02/2000 6732,S200000,00100,0100,721 HICKORY ST 6732,S200000,00200,0100,AKRON 6732,S200000,00200,0200,OH 6732,S200000,00200,0300,44303 6732,S200000,00300,0100,SUMMIT 6732,S200000,00400,0100,VALLEY VIEW NURSING HOME (2147 6732,S200000,00400,0200,365134 6732,S200000,00400,0300,07/01/1984 6732,S200000,00400,0500,P 6732,S200000,00600,0200,365134 6732,S200000,00600,0300,07/01/1984 6732,S200000,00600,0600,P 6732,S200000,01600,0100,Y 6732,S200000,04300,0100,Y 6735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6735,A000000,00300,0000,00300EMPLOYEE BENEFITS 6735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6735,A000000,00700,0000,00700HOUSEKEEPING 6735,A000000,00800,0000,00800DIETARY 6735,A000000,00900,0000,00900NURSING ADMINISTRATION 6735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6735,A000000,01100,0000,01100PHARMACY 6735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6735,A000000,01300,0000,01300SOCIAL SERVICE 6735,A000000,01301,0000,01301ACTIVITIES 6735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6735,A000000,01600,0000,01600SKILLED NURSING FACILITY 6735,A000000,01800,0000,01800NURSING FACILITY 6735,A000000,01810,0000,01810ICF/MR 6735,A000000,02100,0000,02100RADIOLOGY 6735,A000000,02200,0000,02200LABORATORY 6735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6735,A000000,02500,0000,02500PHYSICAL THERAPY 6735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6735,A000000,02700,0000,02700SPEECH PATHOLOGY 6735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6735,A000000,03550,0000,03550FQHC 6735,A000000,05000,0000,05000CORF 6735,A000000,05010,0000,05010CMHC 6735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6735,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6735,A81000A,00100,0100,Y 6735,A81000B,00100,0300,HOME OFFICE COST 6735,A81000B,00400,0300,HOME OFFICE COST 6735,A81000B,00500,0300,HOME OFFICE COST 6735,A81000B,00600,0300,HOME OFFICE COST 6735,A81000B,00800,0300,HOME OFFICE COST 6735,A81000C,00100,0100,B 6735,A81000C,00100,0200,BEVERLY ENTERPR 6735,B100000,00000,0100,00000(SQUARE FEET) 6735,B100000,00000,0200,00000(SQUARE FEET) 6735,B100000,00000,0300,00000(ADJUSTED SALARIES) 6735,B100000,00000,0400,00000(ACCUM. COST) 6735,B100000,00000,0500,00000(SQUARE FEET) 6735,B100000,00000,0600,00000(PATIENT DAYS) 6735,B100000,00000,0700,00000(SQUARE FEET) 6735,B100000,00000,0800,00000(MEALS SERVED) 6735,B100000,00000,0900,00000(ADJUSTED SALARIES) 6735,B100000,00000,1000,00000(PATIENT DAYS) 6735,B100000,00000,1100,00000(COSTED REQUIS) 6735,B100000,00000,1200,00000(TOTAL CHARGES) 6735,B100000,00000,1300,00000(PATIENT DAYS) 6735,B100000,00000,1301,00000(PATIENT DAYS) 6735,B100000,00000,1400,00000(ASSIGNED TIME) 6735,E10A180,00301,0100,10/08/1999 6735,E10A180,00302,0100,02/14/2000 6735,E10A180,00350,0100,01/27/1999 6735,E10A180,00351,0100,06/14/1999 6735,E10A180,00352,0100,12/09/1999 6735,S000000,00100,0200,06/02/2000 6735,S200000,00100,0100,NORTHCREST DRIVE RT 2 6735,S200000,00200,0100,NAPOLEON 6735,S200000,00200,0200,OH 6735,S200000,00200,0300,43545 6735,S200000,00300,0100,HENRY 6735,S200000,00400,0100,NORTHCREST NURSING HOME (210) 6735,S200000,00400,0200,365163 6735,S200000,00400,0300,01/01/1983 6735,S200000,00400,0500,P 6735,S200000,00600,0200,365163 6735,S200000,00600,0300,01/01/1983 6735,S200000,00600,0600,P 6735,S200000,01600,0100,Y 6735,S200000,04300,0100,Y 6738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6738,A000000,00300,0000,00300EMPLOYEE BENEFITS 6738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6738,A000000,00700,0000,00700HOUSEKEEPING 6738,A000000,00800,0000,00800DIETARY 6738,A000000,00900,0000,00900NURSING ADMINISTRATION 6738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6738,A000000,01100,0000,01100PHARMACY 6738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6738,A000000,01300,0000,01300SOCIAL SERVICE 6738,A000000,01301,0000,01301ACTIVITIES 6738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6738,A000000,01600,0000,01600SKILLED NURSING FACILITY 6738,A000000,01800,0000,01800NURSING FACILITY 6738,A000000,01810,0000,01810ICF/MR 6738,A000000,02100,0000,02100RADIOLOGY 6738,A000000,02200,0000,02200LABORATORY 6738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6738,A000000,02500,0000,02500PHYSICAL THERAPY 6738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6738,A000000,02700,0000,02700SPEECH PATHOLOGY 6738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6738,A000000,03550,0000,03550FQHC 6738,A000000,05000,0000,05000CORF 6738,A000000,05010,0000,05010CMHC 6738,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6738,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6738,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6738,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6738,A81000A,00100,0100,Y 6738,A81000B,00100,0300,HOME OFFICE COST 6738,A81000B,00400,0300,HOME OFFICE COST 6738,A81000B,00500,0300,HOME OFFICE COST 6738,A81000B,00600,0300,HOME OFFICE COST 6738,A81000B,00800,0300,HOME OFFICE COST 6738,A81000C,00100,0100,B 6738,A81000C,00100,0200,BEVERLY ENTERPR 6738,B100000,00000,0100,00000(SQUARE FEET) 6738,B100000,00000,0200,00000(SQUARE FEET) 6738,B100000,00000,0300,00000(ADJUSTED SALARIES) 6738,B100000,00000,0400,00000(ACCUM. COST) 6738,B100000,00000,0500,00000(SQUARE FEET) 6738,B100000,00000,0600,00000(PATIENT DAYS) 6738,B100000,00000,0700,00000(SQUARE FEET) 6738,B100000,00000,0800,00000(MEALS SERVED) 6738,B100000,00000,0900,00000(ADJUSTED SALARIES) 6738,B100000,00000,1000,00000(PATIENT DAYS) 6738,B100000,00000,1100,00000(COSTED REQUIS) 6738,B100000,00000,1200,00000(TOTAL CHARGES) 6738,B100000,00000,1300,00000(PATIENT DAYS) 6738,B100000,00000,1301,00000(PATIENT DAYS) 6738,B100000,00000,1400,00000(ASSIGNED TIME) 6738,E10A180,00350,0100,01/27/1999 6738,E10A180,00351,0100,06/14/1999 6738,E10A180,00352,0100,10/08/1999 6738,E10A180,00353,0100,12/09/1999 6738,E10A180,00354,0100,02/14/2000 6738,S000000,00100,0200,06/02/2000 6738,S200000,00100,0100,1425 YORKLAND RD 6738,S200000,00200,0100,COLUMBUS 6738,S200000,00200,0200,OH 6738,S200000,00200,0300,43227 6738,S200000,00300,0100,FRANKLIN 6738,S200000,00400,0100,BEVERLY HEALTH & REHAB CENTER - COL 6738,S200000,00400,0200,365195 6738,S200000,00400,0300,01/01/1984 6738,S200000,00400,0500,P 6738,S200000,00600,0200,365195 6738,S200000,00600,0300,01/01/1984 6738,S200000,00600,0600,P 6738,S200000,01600,0100,Y 6738,S200000,04200,0100,Y 6738,S200000,04300,0100,Y 6741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6741,A000000,00300,0000,00300EMPLOYEE BENEFITS 6741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6741,A000000,00700,0000,00700HOUSEKEEPING 6741,A000000,00800,0000,00800DIETARY 6741,A000000,00900,0000,00900NURSING ADMINISTRATION 6741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6741,A000000,01100,0000,01100PHARMACY 6741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6741,A000000,01300,0000,01300SOCIAL SERVICE 6741,A000000,01301,0000,01301ACTIVITIES 6741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6741,A000000,01600,0000,01600SKILLED NURSING FACILITY 6741,A000000,01800,0000,01800NURSING FACILITY 6741,A000000,01810,0000,01810ICF/MR 6741,A000000,02100,0000,02100RADIOLOGY 6741,A000000,02200,0000,02200LABORATORY 6741,A000000,02500,0000,02500PHYSICAL THERAPY 6741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6741,A000000,02700,0000,02700SPEECH PATHOLOGY 6741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6741,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6741,A000000,03550,0000,03550FQHC 6741,A000000,05000,0000,05000CORF 6741,A000000,05010,0000,05010CMHC 6741,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6741,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6741,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6741,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6741,A81000A,00100,0100,Y 6741,A81000B,00100,0300,HOME OFFICE COST 6741,A81000B,00400,0300,HOME OFFICE COST 6741,A81000B,00500,0300,HOME OFFICE COST 6741,A81000B,00600,0300,HOME OFFICE COST 6741,A81000B,00800,0300,HOME OFFICE COST 6741,A81000C,00100,0100,B 6741,A81000C,00100,0200,BEVERLY ENTERPR 6741,B100000,00000,0100,00000(SQUARE FEET) 6741,B100000,00000,0200,00000(SQUARE FEET) 6741,B100000,00000,0300,00000(ADJUSTED SALARIES) 6741,B100000,00000,0400,00000(ACCUM. COST) 6741,B100000,00000,0500,00000(SQUARE FEET) 6741,B100000,00000,0600,00000(PATIENT DAYS) 6741,B100000,00000,0700,00000(SQUARE FEET) 6741,B100000,00000,0800,00000(MEALS SERVED) 6741,B100000,00000,0900,00000(ADJUSTED SALARIES) 6741,B100000,00000,1000,00000(PATIENT DAYS) 6741,B100000,00000,1100,00000(COSTED REQUIS) 6741,B100000,00000,1200,00000(TOTAL CHARGES) 6741,B100000,00000,1300,00000(PATIENT DAYS) 6741,B100000,00000,1301,00000(PATIENT DAYS) 6741,B100000,00000,1400,00000(ASSIGNED TIME) 6741,E10A180,00301,0100,10/08/1999 6741,E10A180,00350,0100,01/27/1999 6741,E10A180,00351,0100,06/14/1999 6741,E10A180,00352,0100,12/09/1999 6741,E10A180,00353,0100,02/14/2000 6741,S000000,00100,0200,06/02/2000 6741,S200000,00100,0100,599 SOUTH SHAWNEE STREET 6741,S200000,00200,0100,LIMA 6741,S200000,00200,0200,OH 6741,S200000,00200,0300,45804 6741,S200000,00300,0100,ALLEN 6741,S200000,00400,0100,OAKS CARE CENTER 6741,S200000,00400,0200,365202 6741,S200000,00400,0300,08/01/1981 6741,S200000,00400,0500,P 6741,S200000,00600,0200,365202 6741,S200000,00600,0300,08/01/1981 6741,S200000,00600,0600,P 6741,S200000,01600,0100,Y 6744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6744,A000000,00300,0000,00300EMPLOYEE BENEFITS 6744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6744,A000000,00700,0000,00700HOUSEKEEPING 6744,A000000,00800,0000,00800DIETARY 6744,A000000,00900,0000,00900NURSING ADMINISTRATION 6744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6744,A000000,01100,0000,01100PHARMACY 6744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6744,A000000,01300,0000,01300SOCIAL SERVICE 6744,A000000,01301,0000,01301ACTIVITIES 6744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6744,A000000,01600,0000,01600SKILLED NURSING FACILITY 6744,A000000,01800,0000,01800NURSING FACILITY 6744,A000000,01810,0000,01810ICF/MR 6744,A000000,02100,0000,02100RADIOLOGY 6744,A000000,02200,0000,02200LABORATORY 6744,A000000,02500,0000,02500PHYSICAL THERAPY 6744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6744,A000000,02700,0000,02700SPEECH PATHOLOGY 6744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6744,A000000,03550,0000,03550FQHC 6744,A000000,05000,0000,05000CORF 6744,A000000,05010,0000,05010CMHC 6744,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6744,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6744,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6744,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6744,A81000A,00100,0100,Y 6744,A81000B,00100,0300,HOME OFFICE COST 6744,A81000B,00400,0300,HOME OFFICE COST 6744,A81000B,00500,0300,HOME OFFICE COST 6744,A81000B,00600,0300,HOME OFFICE COST 6744,A81000B,00800,0300,HOME OFFICE COST 6744,A81000C,00100,0100,B 6744,A81000C,00100,0200,BEVERLY ENTERPR 6744,B100000,00000,0100,00000(SQUARE FEET) 6744,B100000,00000,0200,00000(SQUARE FEET) 6744,B100000,00000,0300,00000(ADJUSTED SALARIES) 6744,B100000,00000,0400,00000(ACCUM. COST) 6744,B100000,00000,0500,00000(SQUARE FEET) 6744,B100000,00000,0600,00000(PATIENT DAYS) 6744,B100000,00000,0700,00000(SQUARE FEET) 6744,B100000,00000,0800,00000(MEALS SERVED) 6744,B100000,00000,0900,00000(ADJUSTED SALARIES) 6744,B100000,00000,1000,00000(PATIENT DAYS) 6744,B100000,00000,1100,00000(COSTED REQUIS) 6744,B100000,00000,1200,00000(TOTAL CHARGES) 6744,B100000,00000,1300,00000(PATIENT DAYS) 6744,B100000,00000,1301,00000(PATIENT DAYS) 6744,B100000,00000,1400,00000(ASSIGNED TIME) 6744,E10A180,00350,0100,01/27/1999 6744,E10A180,00351,0100,06/14/1999 6744,E10A180,00352,0100,10/08/1999 6744,E10A180,00353,0100,12/09/1999 6744,E10A180,00354,0100,02/14/2000 6744,S000000,00100,0200,06/02/2000 6744,S200000,00100,0100,1140 KNOXVILLE RD 6744,S200000,00200,0100,ST. MARYS 6744,S200000,00200,0200,OH 6744,S200000,00200,0300,45885 6744,S200000,00300,0100,AUGLAIZE 6744,S200000,00400,0100,VALLEY NURSING HOME (208)B 6744,S200000,00400,0200,365232 6744,S200000,00400,0300,01/01/1982 6744,S200000,00400,0500,P 6744,S200000,00600,0200,365232 6744,S200000,00600,0300,01/01/1982 6744,S200000,00600,0600,P 6744,S200000,01600,0100,Y 6747,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6747,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6747,A000000,00300,0000,00300EMPLOYEE BENEFITS 6747,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6747,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6747,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6747,A000000,00700,0000,00700HOUSEKEEPING 6747,A000000,00800,0000,00800DIETARY 6747,A000000,00900,0000,00900NURSING ADMINISTRATION 6747,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6747,A000000,01100,0000,01100PHARMACY 6747,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6747,A000000,01300,0000,01300SOCIAL SERVICE 6747,A000000,01301,0000,01301ACTIVITIES 6747,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6747,A000000,01600,0000,01600SKILLED NURSING FACILITY 6747,A000000,01800,0000,01800NURSING FACILITY 6747,A000000,01810,0000,01810ICF/MR 6747,A000000,02100,0000,02100RADIOLOGY 6747,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6747,A000000,02500,0000,02500PHYSICAL THERAPY 6747,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6747,A000000,02700,0000,02700SPEECH PATHOLOGY 6747,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6747,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6747,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6747,A000000,03550,0000,03550FQHC 6747,A000000,05000,0000,05000CORF 6747,A000000,05010,0000,05010CMHC 6747,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6747,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6747,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6747,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6747,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6747,A81000A,00100,0100,Y 6747,A81000B,00100,0300,HOME OFFICE COST 6747,A81000B,00400,0300,HOME OFFICE COST 6747,A81000B,00500,0300,HOME OFFICE COST 6747,A81000B,00600,0300,HOME OFFICE COST 6747,A81000B,00800,0300,HOME OFFICE COST 6747,A81000C,00100,0100,B 6747,A81000C,00100,0200,BEVERLY ENTERPR 6747,B100000,00000,0100,00000(SQUARE FEET) 6747,B100000,00000,0200,00000(SQUARE FEET) 6747,B100000,00000,0300,00000(ADJUSTED SALARIES) 6747,B100000,00000,0400,00000(ACCUM. COST) 6747,B100000,00000,0500,00000(SQUARE FEET) 6747,B100000,00000,0600,00000(PATIENT DAYS) 6747,B100000,00000,0700,00000(SQUARE FEET) 6747,B100000,00000,0800,00000(MEALS SERVED) 6747,B100000,00000,0900,00000(ADJUSTED SALARIES) 6747,B100000,00000,1000,00000(PATIENT DAYS) 6747,B100000,00000,1100,00000(COSTED REQUIS) 6747,B100000,00000,1200,00000(TOTAL CHARGES) 6747,B100000,00000,1300,00000(PATIENT DAYS) 6747,B100000,00000,1301,00000(PATIENT DAYS) 6747,B100000,00000,1400,00000(ASSIGNED TIME) 6747,E10A180,00301,0100,01/27/1999 6747,E10A180,00350,0100,06/14/1999 6747,E10A180,00351,0100,10/08/1999 6747,E10A180,00352,0100,12/09/1999 6747,E10A180,00353,0100,02/14/2000 6747,S000000,00100,0200,06/02/2000 6747,S200000,00100,0100,9685 CHILLICOTHE RD 6747,S200000,00200,0100,KIRTLAND 6747,S200000,00200,0200,OH 6747,S200000,00200,0300,44094 6747,S200000,00300,0100,LAKE 6747,S200000,00400,0100,WESTERN RESERVE EXTENDED CARE 6747,S200000,00400,0200,365290 6747,S200000,00400,0300,06/04/1973 6747,S200000,00400,0500,P 6747,S200000,00600,0200,365290 6747,S200000,00600,0300,06/04/1973 6747,S200000,00600,0600,P 6747,S200000,01600,0100,Y 6750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6750,A000000,00300,0000,00300EMPLOYEE BENEFITS 6750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6750,A000000,00700,0000,00700HOUSEKEEPING 6750,A000000,00800,0000,00800DIETARY 6750,A000000,00900,0000,00900NURSING ADMINISTRATION 6750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6750,A000000,01100,0000,01100PHARMACY 6750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6750,A000000,01300,0000,01300SOCIAL SERVICE 6750,A000000,01301,0000,01301ACTIVITIES 6750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6750,A000000,01600,0000,01600SKILLED NURSING FACILITY 6750,A000000,01800,0000,01800NURSING FACILITY 6750,A000000,01810,0000,01810ICF/MR 6750,A000000,02100,0000,02100RADIOLOGY 6750,A000000,02200,0000,02200LABORATORY 6750,A000000,02500,0000,02500PHYSICAL THERAPY 6750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6750,A000000,02700,0000,02700SPEECH PATHOLOGY 6750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6750,A000000,03550,0000,03550FQHC 6750,A000000,05000,0000,05000CORF 6750,A000000,05010,0000,05010CMHC 6750,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6750,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6750,A81000A,00100,0100,Y 6750,A81000B,00100,0300,HOME OFFICE COST 6750,A81000B,00400,0300,HOME OFFICE COST 6750,A81000B,00500,0300,HOME OFFICE COST 6750,A81000B,00600,0300,HOME OFFICE COST 6750,A81000B,00800,0300,HOME OFFICE COST 6750,A81000C,00100,0100,B 6750,A81000C,00100,0200,BEVERLY ENTERPR 6750,B100000,00000,0100,00000(SQUARE FEET) 6750,B100000,00000,0200,00000(SQUARE FEET) 6750,B100000,00000,0300,00000(ADJUSTED SALARIES) 6750,B100000,00000,0400,00000(ACCUM. COST) 6750,B100000,00000,0500,00000(SQUARE FEET) 6750,B100000,00000,0600,00000(PATIENT DAYS) 6750,B100000,00000,0700,00000(SQUARE FEET) 6750,B100000,00000,0800,00000(MEALS SERVED) 6750,B100000,00000,0900,00000(ADJUSTED SALARIES) 6750,B100000,00000,1000,00000(PATIENT DAYS) 6750,B100000,00000,1100,00000(COSTED REQUIS) 6750,B100000,00000,1200,00000(TOTAL CHARGES) 6750,B100000,00000,1300,00000(PATIENT DAYS) 6750,B100000,00000,1301,00000(PATIENT DAYS) 6750,B100000,00000,1400,00000(ASSIGNED TIME) 6750,E10A180,00350,0100,01/27/1999 6750,E10A180,00351,0100,06/14/1999 6750,E10A180,00352,0100,10/08/1999 6750,E10A180,00353,0100,12/09/1999 6750,E10A180,00354,0100,02/14/2000 6750,S000000,00100,0200,06/02/2000 6750,S200000,00100,0100,651 COLUMBIA DRIVE 6750,S200000,00200,0100,LIMA 6750,S200000,00200,0200,OH 6750,S200000,00200,0300,45805 6750,S200000,00300,0100,ALLEN 6750,S200000,00400,0100,COLUMBIA NURSING HOME 6750,S200000,00400,0200,365328 6750,S200000,00400,0300,01/01/1982 6750,S200000,00400,0500,P 6750,S200000,00600,0200,365328 6750,S200000,00600,0300,01/01/1982 6750,S200000,00600,0600,P 6750,S200000,01600,0100,Y 6753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6753,A000000,00300,0000,00300EMPLOYEE BENEFITS 6753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6753,A000000,00700,0000,00700HOUSEKEEPING 6753,A000000,00800,0000,00800DIETARY 6753,A000000,00900,0000,00900NURSING ADMINISTRATION 6753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6753,A000000,01100,0000,01100PHARMACY 6753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6753,A000000,01300,0000,01300SOCIAL SERVICE 6753,A000000,01301,0000,01301ACTIVITIES 6753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6753,A000000,01600,0000,01600SKILLED NURSING FACILITY 6753,A000000,01800,0000,01800NURSING FACILITY 6753,A000000,01810,0000,01810ICF/MR 6753,A000000,01900,0000,01900OTHER LONG TERM CARE 6753,A000000,02100,0000,02100RADIOLOGY 6753,A000000,02200,0000,02200LABORATORY 6753,A000000,02500,0000,02500PHYSICAL THERAPY 6753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6753,A000000,02700,0000,02700SPEECH PATHOLOGY 6753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6753,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6753,A000000,03550,0000,03550FQHC 6753,A000000,05000,0000,05000CORF 6753,A000000,05010,0000,05010CMHC 6753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6753,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6753,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6753,A81000A,00100,0100,Y 6753,A81000B,00100,0300,HOME OFFICE COST 6753,A81000B,00400,0300,HOME OFFICE COST 6753,A81000B,00500,0300,HOME OFFICE COST 6753,A81000B,00600,0300,HOME OFFICE COST 6753,A81000B,00800,0300,HOME OFFICE COST 6753,A81000C,00100,0100,B 6753,A81000C,00100,0200,BEVERLY ENTERPR 6753,B100000,00000,0100,00000(SQUARE FEET) 6753,B100000,00000,0200,00000(SQUARE FEET) 6753,B100000,00000,0300,00000(ADJUSTED SALARIES) 6753,B100000,00000,0400,00000(ACCUM. COST) 6753,B100000,00000,0500,00000(SQUARE FEET) 6753,B100000,00000,0600,00000(PATIENT DAYS) 6753,B100000,00000,0700,00000(SQUARE FEET) 6753,B100000,00000,0800,00000(MEALS SERVED) 6753,B100000,00000,0900,00000(ADJUSTED SALARIES) 6753,B100000,00000,1000,00000(PATIENT DAYS) 6753,B100000,00000,1100,00000(COSTED REQUIS) 6753,B100000,00000,1200,00000(TOTAL CHARGES) 6753,B100000,00000,1300,00000(PATIENT DAYS) 6753,B100000,00000,1301,00000(PATIENT DAYS) 6753,B100000,00000,1400,00000(ASSIGNED TIME) 6753,E10A180,00301,0100,06/14/1999 6753,E10A180,00302,0100,10/08/1999 6753,E10A180,00303,0100,02/14/2000 6753,E10A180,00350,0100,01/27/1999 6753,E10A180,00351,0100,12/09/1999 6753,S000000,00100,0200,06/02/2000 6753,S200000,00100,0100,565 BRYN MAWR 6753,S200000,00200,0100,RAVENA 6753,S200000,00200,0200,OH 6753,S200000,00200,0300,44266 6753,S200000,00300,0100,PORTAGE 6753,S200000,00400,0100,02542-LONG MEADOW A 6753,S200000,00400,0200,365354 6753,S200000,00400,0300,12/01/1985 6753,S200000,00400,0500,P 6753,S200000,00600,0200,365354 6753,S200000,00600,0300,12/01/1985 6753,S200000,00600,0600,P 6753,S200000,01600,0100,Y 6753,S200000,04200,0100,Y 6753,S200000,04300,0100,Y 6756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6756,A000000,00300,0000,00300EMPLOYEE BENEFITS 6756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6756,A000000,00700,0000,00700HOUSEKEEPING 6756,A000000,00800,0000,00800DIETARY 6756,A000000,00900,0000,00900NURSING ADMINISTRATION 6756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6756,A000000,01100,0000,01100PHARMACY 6756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6756,A000000,01300,0000,01300SOCIAL SERVICE 6756,A000000,01301,0000,01301ACTIVITIES 6756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6756,A000000,01600,0000,01600SKILLED NURSING FACILITY 6756,A000000,01800,0000,01800NURSING FACILITY 6756,A000000,01810,0000,01810ICF/MR 6756,A000000,02100,0000,02100RADIOLOGY 6756,A000000,02200,0000,02200LABORATORY 6756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6756,A000000,02500,0000,02500PHYSICAL THERAPY 6756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6756,A000000,02700,0000,02700SPEECH PATHOLOGY 6756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6756,A000000,03550,0000,03550FQHC 6756,A000000,05000,0000,05000CORF 6756,A000000,05010,0000,05010CMHC 6756,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6756,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6756,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6756,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6756,A81000A,00100,0100,Y 6756,A81000B,00100,0300,HOME OFFICE COST 6756,A81000B,00400,0300,HOME OFFICE COST 6756,A81000B,00500,0300,HOME OFFICE COST 6756,A81000B,00600,0300,HOME OFFICE COST 6756,A81000B,00800,0300,HOME OFFICE COST 6756,A81000C,00100,0100,B 6756,A81000C,00100,0200,BEVERLY ENTERPR 6756,B100000,00000,0100,00000(SQUARE FEET) 6756,B100000,00000,0200,00000(SQUARE FEET) 6756,B100000,00000,0300,00000(ADJUSTED SALARIES) 6756,B100000,00000,0400,00000(ACCUM. COST) 6756,B100000,00000,0500,00000(SQUARE FEET) 6756,B100000,00000,0600,00000(PATIENT DAYS) 6756,B100000,00000,0700,00000(SQUARE FEET) 6756,B100000,00000,0800,00000(MEALS SERVED) 6756,B100000,00000,0900,00000(ADJUSTED SALARIES) 6756,B100000,00000,1000,00000(PATIENT DAYS) 6756,B100000,00000,1100,00000(COSTED REQUIS) 6756,B100000,00000,1200,00000(TOTAL CHARGES) 6756,B100000,00000,1300,00000(PATIENT DAYS) 6756,B100000,00000,1301,00000(PATIENT DAYS) 6756,B100000,00000,1400,00000(ASSIGNED TIME) 6756,E10A180,00301,0100,10/08/1999 6756,E10A180,00302,0100,02/14/2000 6756,E10A180,00350,0100,01/27/1999 6756,E10A180,00351,0100,06/14/1999 6756,E10A180,00352,0100,12/09/1999 6756,S000000,00100,0200,06/02/2000 6756,S200000,00100,0100,365 JOHNSON RD 6756,S200000,00200,0100,WADSWORTH 6756,S200000,00200,0200,OH 6756,S200000,00200,0300,44281 6756,S200000,00300,0100,MEDINA 6756,S200000,00400,0100,02543-MAGNOLIA NURSING HOME A 6756,S200000,00400,0200,365428 6756,S200000,00400,0300,12/01/1985 6756,S200000,00400,0500,P 6756,S200000,00600,0200,365428 6756,S200000,00600,0300,12/01/1985 6756,S200000,00600,0600,P 6756,S200000,01600,0100,Y 6759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6759,A000000,00300,0000,00300EMPLOYEE BENEFITS 6759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6759,A000000,00700,0000,00700HOUSEKEEPING 6759,A000000,00800,0000,00800DIETARY 6759,A000000,00900,0000,00900NURSING ADMINISTRATION 6759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6759,A000000,01100,0000,01100PHARMACY 6759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6759,A000000,01300,0000,01300SOCIAL SERVICE 6759,A000000,01301,0000,01301ACTIVITIES 6759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6759,A000000,01600,0000,01600SKILLED NURSING FACILITY 6759,A000000,01800,0000,01800NURSING FACILITY 6759,A000000,01810,0000,01810ICF/MR 6759,A000000,02100,0000,02100RADIOLOGY 6759,A000000,02200,0000,02200LABORATORY 6759,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6759,A000000,02500,0000,02500PHYSICAL THERAPY 6759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6759,A000000,02700,0000,02700SPEECH PATHOLOGY 6759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6759,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6759,A000000,03550,0000,03550FQHC 6759,A000000,05000,0000,05000CORF 6759,A000000,05010,0000,05010CMHC 6759,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6759,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6759,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6759,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6759,A81000A,00100,0100,Y 6759,A81000B,00100,0300,HOME OFFICE COST 6759,A81000B,00400,0300,HOME OFFICE COST 6759,A81000B,00500,0300,HOME OFFICE COST 6759,A81000B,00600,0300,HOME OFFICE COST 6759,A81000B,00800,0300,HOME OFFICE COST 6759,A81000C,00100,0100,B 6759,A81000C,00100,0200,BEVERLY ENTERPR 6759,B100000,00000,0100,00000(SQUARE FEET) 6759,B100000,00000,0200,00000(SQUARE FEET) 6759,B100000,00000,0300,00000(ADJUSTED SALARIES) 6759,B100000,00000,0400,00000(ACCUM. COST) 6759,B100000,00000,0500,00000(SQUARE FEET) 6759,B100000,00000,0600,00000(PATIENT DAYS) 6759,B100000,00000,0700,00000(SQUARE FEET) 6759,B100000,00000,0800,00000(MEALS SERVED) 6759,B100000,00000,0900,00000(ADJUSTED SALARIES) 6759,B100000,00000,1000,00000(PATIENT DAYS) 6759,B100000,00000,1100,00000(COSTED REQUIS) 6759,B100000,00000,1200,00000(TOTAL CHARGES) 6759,B100000,00000,1300,00000(PATIENT DAYS) 6759,B100000,00000,1301,00000(PATIENT DAYS) 6759,B100000,00000,1400,00000(ASSIGNED TIME) 6759,E10A180,00301,0100,01/27/1999 6759,E10A180,00302,0100,02/14/2000 6759,E10A180,00350,0100,06/14/1999 6759,E10A180,00351,0100,10/08/1999 6759,E10A180,00352,0100,12/09/1999 6759,S000000,00100,0200,06/02/2000 6759,S200000,00100,0100,9679 CHILLICOTHE RD 6759,S200000,00200,0100,KIRTLAND 6759,S200000,00200,0200,OH 6759,S200000,00200,0300,44094 6759,S200000,00300,0100,LAKE 6759,S200000,00400,0100,WESTERN RESERVE CONV HOME (983 6759,S200000,00400,0200,365613 6759,S200000,00400,0300,02/08/1984 6759,S200000,00400,0500,P 6759,S200000,00600,0200,365613 6759,S200000,00600,0300,02/08/1984 6759,S200000,00600,0600,P 6759,S200000,01600,0100,Y 6759,S200000,04200,0100,Y 6759,S200000,04300,0100,Y 6762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6762,A000000,00300,0000,00300EMPLOYEE BENEFITS 6762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6762,A000000,00700,0000,00700HOUSEKEEPING 6762,A000000,00800,0000,00800DIETARY 6762,A000000,00900,0000,00900NURSING ADMINISTRATION 6762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6762,A000000,01100,0000,01100PHARMACY 6762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6762,A000000,01300,0000,01300SOCIAL SERVICE 6762,A000000,01301,0000,01301ACTIVITIES 6762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6762,A000000,01600,0000,01600SKILLED NURSING FACILITY 6762,A000000,01800,0000,01800NURSING FACILITY 6762,A000000,01810,0000,01810ICF/MR 6762,A000000,02100,0000,02100RADIOLOGY 6762,A000000,02200,0000,02200LABORATORY 6762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6762,A000000,02500,0000,02500PHYSICAL THERAPY 6762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6762,A000000,02700,0000,02700SPEECH PATHOLOGY 6762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6762,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6762,A000000,03550,0000,03550FQHC 6762,A000000,05000,0000,05000CORF 6762,A000000,05010,0000,05010CMHC 6762,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6762,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6762,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6762,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6762,A81000A,00100,0100,Y 6762,A81000B,00100,0300,HOME OFFICE COST 6762,A81000B,00400,0300,HOME OFFICE COST 6762,A81000B,00500,0300,HOME OFFICE COST 6762,A81000B,00600,0300,HOME OFFICE COST 6762,A81000B,00800,0300,HOME OFFICE COST 6762,A81000C,00100,0100,B 6762,A81000C,00100,0200,BEVERLY ENTERPR 6762,B100000,00000,0100,00000(SQUARE FEET) 6762,B100000,00000,0200,00000(SQUARE FEET) 6762,B100000,00000,0300,00000(ADJUSTED SALARIES) 6762,B100000,00000,0400,00000(ACCUM. COST) 6762,B100000,00000,0500,00000(SQUARE FEET) 6762,B100000,00000,0600,00000(PATIENT DAYS) 6762,B100000,00000,0700,00000(SQUARE FEET) 6762,B100000,00000,0800,00000(MEALS SERVED) 6762,B100000,00000,0900,00000(ADJUSTED SALARIES) 6762,B100000,00000,1000,00000(PATIENT DAYS) 6762,B100000,00000,1100,00000(COSTED REQUIS) 6762,B100000,00000,1200,00000(TOTAL CHARGES) 6762,B100000,00000,1300,00000(PATIENT DAYS) 6762,B100000,00000,1301,00000(PATIENT DAYS) 6762,B100000,00000,1400,00000(ASSIGNED TIME) 6762,E10A180,00301,0100,01/27/1999 6762,E10A180,00350,0100,06/14/1999 6762,E10A180,00351,0100,10/08/1999 6762,E10A180,00352,0100,12/09/1999 6762,E10A180,00353,0100,02/14/2000 6762,S000000,00100,0200,06/02/2000 6762,S200000,00100,0100,555 SPRINGBROOK DR 6762,S200000,00200,0100,MEDINA 6762,S200000,00200,0200,OH 6762,S200000,00200,0300,44256 6762,S200000,00300,0100,MEDINA 6762,S200000,00400,0100,02228 - EVERGREEN CARE CENTER 6762,S200000,00400,0200,365667 6762,S200000,00400,0300,10/15/1985 6762,S200000,00400,0500,P 6762,S200000,00600,0200,365667 6762,S200000,00600,0300,10/15/1985 6762,S200000,00600,0600,P 6762,S200000,01600,0100,Y 6765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6765,A000000,00300,0000,00300EMPLOYEE BENEFITS 6765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6765,A000000,00700,0000,00700HOUSEKEEPING 6765,A000000,00800,0000,00800DIETARY 6765,A000000,00900,0000,00900NURSING ADMINISTRATION 6765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6765,A000000,01100,0000,01100PHARMACY 6765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6765,A000000,01300,0000,01300SOCIAL SERVICE 6765,A000000,01301,0000,01301ACTIVITIES 6765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6765,A000000,01600,0000,01600SKILLED NURSING FACILITY 6765,A000000,01800,0000,01800NURSING FACILITY 6765,A000000,01810,0000,01810ICF/MR 6765,A000000,02100,0000,02100RADIOLOGY 6765,A000000,02200,0000,02200LABORATORY 6765,A000000,02500,0000,02500PHYSICAL THERAPY 6765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6765,A000000,02700,0000,02700SPEECH PATHOLOGY 6765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6765,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6765,A000000,03550,0000,03550FQHC 6765,A000000,05000,0000,05000CORF 6765,A000000,05010,0000,05010CMHC 6765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6765,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6765,A81000A,00100,0100,Y 6765,A81000B,00100,0300,HOME OFFICE COST 6765,A81000B,00400,0300,HOME OFFICE COST 6765,A81000B,00500,0300,HOME OFFICE COST 6765,A81000B,00600,0300,HOME OFFICE COST 6765,A81000B,00800,0300,HOME OFFICE COST 6765,A81000C,00100,0100,B 6765,A81000C,00100,0200,BEVERLY ENTERPR 6765,B100000,00000,0100,00000(SQUARE FEET) 6765,B100000,00000,0200,00000(SQUARE FEET) 6765,B100000,00000,0300,00000(ADJUSTED SALARIES) 6765,B100000,00000,0400,00000(ACCUM. COST) 6765,B100000,00000,0500,00000(SQUARE FEET) 6765,B100000,00000,0600,00000(PATIENT DAYS) 6765,B100000,00000,0700,00000(SQUARE FEET) 6765,B100000,00000,0800,00000(MEALS SERVED) 6765,B100000,00000,0900,00000(ADJUSTED SALARIES) 6765,B100000,00000,1000,00000(PATIENT DAYS) 6765,B100000,00000,1100,00000(COSTED REQUIS) 6765,B100000,00000,1200,00000(TOTAL CHARGES) 6765,B100000,00000,1300,00000(PATIENT DAYS) 6765,B100000,00000,1301,00000(PATIENT DAYS) 6765,B100000,00000,1400,00000(ASSIGNED TIME) 6765,E10A180,00304,0100,12/09/1999 6765,E10A180,00350,0100,01/27/1999 6765,E10A180,00351,0100,06/14/1999 6765,E10A180,00352,0100,10/08/1999 6765,E10A180,00354,0100,02/14/2000 6765,S000000,00100,0200,06/02/2000 6765,S200000,00100,0100,26 ANN ST 6765,S200000,00200,0100,OAKMONT 6765,S200000,00200,0200,PA 6765,S200000,00200,0300,15139 6765,S200000,00300,0100,ALLEGHENY 6765,S200000,00400,0100,BEVERLY HEALTHCARE-OAKMONT 6765,S200000,00400,0200,395044 6765,S200000,00400,0300,07/03/1984 6765,S200000,00400,0500,P 6765,S200000,00600,0200,395044 6765,S200000,00600,0300,07/03/1984 6765,S200000,00600,0600,P 6765,S200000,01600,0100,Y 6768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6768,A000000,00300,0000,00300EMPLOYEE BENEFITS 6768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6768,A000000,00700,0000,00700HOUSEKEEPING 6768,A000000,00800,0000,00800DIETARY 6768,A000000,00900,0000,00900NURSING ADMINISTRATION 6768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6768,A000000,01100,0000,01100PHARMACY 6768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6768,A000000,01300,0000,01300SOCIAL SERVICE 6768,A000000,01301,0000,01301ACTIVITIES 6768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6768,A000000,01600,0000,01600SKILLED NURSING FACILITY 6768,A000000,01800,0000,01800NURSING FACILITY 6768,A000000,01810,0000,01810ICF/MR 6768,A000000,02100,0000,02100RADIOLOGY 6768,A000000,02200,0000,02200LABORATORY 6768,A000000,02500,0000,02500PHYSICAL THERAPY 6768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6768,A000000,02700,0000,02700SPEECH PATHOLOGY 6768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6768,A000000,03550,0000,03550FQHC 6768,A000000,05000,0000,05000CORF 6768,A000000,05010,0000,05010CMHC 6768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6768,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6768,A81000A,00100,0100,Y 6768,A81000B,00100,0300,HOME OFFICE COST 6768,A81000B,00400,0300,HOME OFFICE COST 6768,A81000B,00500,0300,HOME OFFICE COST 6768,A81000B,00600,0300,HOME OFFICE COST 6768,A81000B,00800,0300,HOME OFFICE COST 6768,A81000C,00100,0100,B 6768,A81000C,00100,0200,BEVERLY ENTERPR 6768,B100000,00000,0100,00000(SQUARE FEET) 6768,B100000,00000,0200,00000(SQUARE FEET) 6768,B100000,00000,0300,00000(ADJUSTED SALARIES) 6768,B100000,00000,0400,00000(ACCUM. COST) 6768,B100000,00000,0500,00000(SQUARE FEET) 6768,B100000,00000,0600,00000(PATIENT DAYS) 6768,B100000,00000,0700,00000(SQUARE FEET) 6768,B100000,00000,0800,00000(MEALS SERVED) 6768,B100000,00000,0900,00000(ADJUSTED SALARIES) 6768,B100000,00000,1000,00000(PATIENT DAYS) 6768,B100000,00000,1100,00000(COSTED REQUIS) 6768,B100000,00000,1200,00000(TOTAL CHARGES) 6768,B100000,00000,1300,00000(PATIENT DAYS) 6768,B100000,00000,1301,00000(PATIENT DAYS) 6768,B100000,00000,1400,00000(ASSIGNED TIME) 6768,E10A180,00303,0100,10/08/1999 6768,E10A180,00350,0100,01/27/1999 6768,E10A180,00351,0100,06/14/1999 6768,E10A180,00353,0100,12/09/1999 6768,E10A180,00354,0100,02/14/2000 6768,S000000,00100,0200,06/02/2000 6768,S200000,00100,0100,46 ERFORD ROAD 6768,S200000,00200,0100,CAMP HILL 6768,S200000,00200,0200,PA 6768,S200000,00200,0300,17011 6768,S200000,00300,0100,CUMBERLAND 6768,S200000,00400,0100,CAMP HILL CARE CENTER 6768,S200000,00400,0200,395123 6768,S200000,00400,0300,07/01/1984 6768,S200000,00400,0500,P 6768,S200000,00600,0200,395123 6768,S200000,00600,0300,07/01/1984 6768,S200000,00600,0600,P 6768,S200000,01600,0100,Y 6771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6771,A000000,00300,0000,00300EMPLOYEE BENEFITS 6771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6771,A000000,00700,0000,00700HOUSEKEEPING 6771,A000000,00800,0000,00800DIETARY 6771,A000000,00900,0000,00900NURSING ADMINISTRATION 6771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6771,A000000,01100,0000,01100PHARMACY 6771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6771,A000000,01300,0000,01300SOCIAL SERVICE 6771,A000000,01301,0000,01301ACTIVITIES 6771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6771,A000000,01600,0000,01600SKILLED NURSING FACILITY 6771,A000000,01800,0000,01800NURSING FACILITY 6771,A000000,01810,0000,01810ICF/MR 6771,A000000,02100,0000,02100RADIOLOGY 6771,A000000,02200,0000,02200LABORATORY 6771,A000000,02500,0000,02500PHYSICAL THERAPY 6771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6771,A000000,02700,0000,02700SPEECH PATHOLOGY 6771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6771,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6771,A000000,03550,0000,03550FQHC 6771,A000000,05000,0000,05000CORF 6771,A000000,05010,0000,05010CMHC 6771,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6771,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6771,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6771,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6771,A81000A,00100,0100,Y 6771,A81000B,00100,0300,HOME OFFICE COST 6771,A81000B,00400,0300,HOME OFFICE COST 6771,A81000B,00500,0300,HOME OFFICE COST 6771,A81000B,00600,0300,HOME OFFICE COST 6771,A81000B,00800,0300,HOME OFFICE COST 6771,A81000C,00100,0100,B 6771,A81000C,00100,0200,BEVERLY ENTERPR 6771,B100000,00000,0100,00000(SQUARE FEET) 6771,B100000,00000,0200,00000(SQUARE FEET) 6771,B100000,00000,0300,00000(ADJUSTED SALARIES) 6771,B100000,00000,0400,00000(ACCUM. COST) 6771,B100000,00000,0500,00000(SQUARE FEET) 6771,B100000,00000,0600,00000(PATIENT DAYS) 6771,B100000,00000,0700,00000(SQUARE FEET) 6771,B100000,00000,0800,00000(MEALS SERVED) 6771,B100000,00000,0900,00000(ADJUSTED SALARIES) 6771,B100000,00000,1000,00000(PATIENT DAYS) 6771,B100000,00000,1100,00000(COSTED REQUIS) 6771,B100000,00000,1200,00000(TOTAL CHARGES) 6771,B100000,00000,1300,00000(PATIENT DAYS) 6771,B100000,00000,1301,00000(PATIENT DAYS) 6771,B100000,00000,1400,00000(ASSIGNED TIME) 6771,E10A180,00305,0100,02/14/2000 6771,E10A180,00350,0100,01/27/1999 6771,E10A180,00351,0100,06/14/1999 6771,E10A180,00352,0100,10/08/1999 6771,E10A180,00353,0100,12/09/1999 6771,S000000,00100,0200,06/02/2000 6771,S200000,00100,0100,3625 N PROGRESS AVENUE 6771,S200000,00200,0100,HARRISBURG 6771,S200000,00200,0200,PA 6771,S200000,00200,0300,17110 6771,S200000,00300,0100,DAUPHIN 6771,S200000,00400,0100,BEVERLY HEALTHCARE-HARRISBURG 6771,S200000,00400,0200,395142 6771,S200000,00400,0300,01/01/1982 6771,S200000,00400,0500,P 6771,S200000,00600,0200,395142 6771,S200000,00600,0300,01/01/1982 6771,S200000,00600,0600,P 6771,S200000,01600,0100,Y 6774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6774,A000000,00300,0000,00300EMPLOYEE BENEFITS 6774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6774,A000000,00700,0000,00700HOUSEKEEPING 6774,A000000,00800,0000,00800DIETARY 6774,A000000,00900,0000,00900NURSING ADMINISTRATION 6774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6774,A000000,01100,0000,01100PHARMACY 6774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6774,A000000,01300,0000,01300SOCIAL SERVICE 6774,A000000,01301,0000,01301ACTIVITIES 6774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6774,A000000,01600,0000,01600SKILLED NURSING FACILITY 6774,A000000,01800,0000,01800NURSING FACILITY 6774,A000000,01810,0000,01810ICF/MR 6774,A000000,02100,0000,02100RADIOLOGY 6774,A000000,02200,0000,02200LABORATORY 6774,A000000,02500,0000,02500PHYSICAL THERAPY 6774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6774,A000000,02700,0000,02700SPEECH PATHOLOGY 6774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6774,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6774,A000000,03550,0000,03550FQHC 6774,A000000,05000,0000,05000CORF 6774,A000000,05010,0000,05010CMHC 6774,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6774,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6774,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6774,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6774,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6774,A81000A,00100,0100,Y 6774,A81000B,00100,0300,HOME OFFICE COST 6774,A81000B,00400,0300,HOME OFFICE COST 6774,A81000B,00500,0300,HOME OFFICE COST 6774,A81000B,00600,0300,HOME OFFICE COST 6774,A81000B,00800,0300,HOME OFFICE COST 6774,A81000C,00100,0100,B 6774,A81000C,00100,0200,BEVERLY ENTERPR 6774,B100000,00000,0100,00000(SQUARE FEET) 6774,B100000,00000,0200,00000(SQUARE FEET) 6774,B100000,00000,0300,00000(ADJUSTED SALARIES) 6774,B100000,00000,0400,00000(ACCUM. COST) 6774,B100000,00000,0500,00000(SQUARE FEET) 6774,B100000,00000,0600,00000(PATIENT DAYS) 6774,B100000,00000,0700,00000(SQUARE FEET) 6774,B100000,00000,0800,00000(MEALS SERVED) 6774,B100000,00000,0900,00000(ADJUSTED SALARIES) 6774,B100000,00000,1000,00000(PATIENT DAYS) 6774,B100000,00000,1100,00000(COSTED REQUIS) 6774,B100000,00000,1200,00000(TOTAL CHARGES) 6774,B100000,00000,1300,00000(PATIENT DAYS) 6774,B100000,00000,1301,00000(PATIENT DAYS) 6774,B100000,00000,1400,00000(ASSIGNED TIME) 6774,E10A180,00302,0100,06/14/1999 6774,E10A180,00304,0100,12/09/1999 6774,E10A180,00305,0100,02/14/2000 6774,E10A180,00350,0100,01/27/1999 6774,E10A180,00352,0100,10/08/1999 6774,S000000,00100,0200,06/02/2000 6774,S200000,00100,0100,425 NORTH DUKE STREET 6774,S200000,00200,0100,LANCASTER 6774,S200000,00200,0200,PA 6774,S200000,00200,0300,17602 6774,S200000,00300,0100,LANCASTER 6774,S200000,00400,0100,BEVERLY MANOR-LANCASTER 6774,S200000,00400,0200,395177 6774,S200000,00400,0300,10/01/1981 6774,S200000,00400,0500,P 6774,S200000,00600,0200,395177 6774,S200000,00600,0300,10/01/1981 6774,S200000,00600,0600,P 6774,S200000,01600,0100,Y 6777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6777,A000000,00300,0000,00300EMPLOYEE BENEFITS 6777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6777,A000000,00700,0000,00700HOUSEKEEPING 6777,A000000,00800,0000,00800DIETARY 6777,A000000,00900,0000,00900NURSING ADMINISTRATION 6777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6777,A000000,01100,0000,01100PHARMACY 6777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6777,A000000,01300,0000,01300SOCIAL SERVICE 6777,A000000,01301,0000,01301ACTIVITIES 6777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6777,A000000,01600,0000,01600SKILLED NURSING FACILITY 6777,A000000,01800,0000,01800NURSING FACILITY 6777,A000000,01810,0000,01810ICF/MR 6777,A000000,02100,0000,02100RADIOLOGY 6777,A000000,02200,0000,02200LABORATORY 6777,A000000,02500,0000,02500PHYSICAL THERAPY 6777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6777,A000000,02700,0000,02700SPEECH PATHOLOGY 6777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6777,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6777,A000000,03550,0000,03550FQHC 6777,A000000,05000,0000,05000CORF 6777,A000000,05010,0000,05010CMHC 6777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6777,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6777,A81000A,00100,0100,Y 6777,A81000B,00100,0300,HOME OFFICE COST 6777,A81000B,00400,0300,HOME OFFICE COST 6777,A81000B,00500,0300,HOME OFFICE COST 6777,A81000B,00600,0300,HOME OFFICE COST 6777,A81000B,00800,0300,HOME OFFICE COST 6777,A81000C,00100,0100,B 6777,A81000C,00100,0200,BEVERLY ENTERPR 6777,B100000,00000,0100,00000(SQUARE FEET) 6777,B100000,00000,0200,00000(SQUARE FEET) 6777,B100000,00000,0300,00000(ADJUSTED SALARIES) 6777,B100000,00000,0400,00000(ACCUM. COST) 6777,B100000,00000,0500,00000(SQUARE FEET) 6777,B100000,00000,0600,00000(PATIENT DAYS) 6777,B100000,00000,0700,00000(SQUARE FEET) 6777,B100000,00000,0800,00000(MEALS SERVED) 6777,B100000,00000,0900,00000(ADJUSTED SALARIES) 6777,B100000,00000,1000,00000(PATIENT DAYS) 6777,B100000,00000,1100,00000(COSTED REQUIS) 6777,B100000,00000,1200,00000(TOTAL CHARGES) 6777,B100000,00000,1300,00000(PATIENT DAYS) 6777,B100000,00000,1301,00000(PATIENT DAYS) 6777,B100000,00000,1400,00000(ASSIGNED TIME) 6777,E10A180,00303,0100,10/08/1999 6777,E10A180,00304,0100,12/09/1999 6777,E10A180,00305,0100,02/14/2000 6777,E10A180,00350,0100,01/27/1999 6777,E10A180,00351,0100,06/14/1999 6777,S000000,00100,0200,06/02/2000 6777,S200000,00100,0100,3301 LINCOLN WAY EAST 6777,S200000,00200,0100,FAYETTEVILLE 6777,S200000,00200,0200,PA 6777,S200000,00200,0300,17222 6777,S200000,00300,0100,FRANKLIN 6777,S200000,00400,0100,CALEDONIA MANOR 6777,S200000,00400,0200,395190 6777,S200000,00400,0300,11/15/1985 6777,S200000,00400,0500,P 6777,S200000,00600,0200,395190 6777,S200000,00600,0300,11/15/1985 6777,S200000,00600,0600,P 6777,S200000,01600,0100,Y 6780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6780,A000000,00300,0000,00300EMPLOYEE BENEFITS 6780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6780,A000000,00700,0000,00700HOUSEKEEPING 6780,A000000,00800,0000,00800DIETARY 6780,A000000,00900,0000,00900NURSING ADMINISTRATION 6780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6780,A000000,01100,0000,01100PHARMACY 6780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6780,A000000,01300,0000,01300SOCIAL SERVICE 6780,A000000,01301,0000,01301ACTIVITIES 6780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6780,A000000,01600,0000,01600SKILLED NURSING FACILITY 6780,A000000,01800,0000,01800NURSING FACILITY 6780,A000000,01810,0000,01810ICF/MR 6780,A000000,02100,0000,02100RADIOLOGY 6780,A000000,02200,0000,02200LABORATORY 6780,A000000,02500,0000,02500PHYSICAL THERAPY 6780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6780,A000000,02700,0000,02700SPEECH PATHOLOGY 6780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6780,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6780,A000000,03550,0000,03550FQHC 6780,A000000,05000,0000,05000CORF 6780,A000000,05010,0000,05010CMHC 6780,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6780,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6780,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6780,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6780,A81000A,00100,0100,Y 6780,A81000B,00100,0300,HOME OFFICE COST 6780,A81000B,00400,0300,HOME OFFICE COST 6780,A81000B,00500,0300,HOME OFFICE COST 6780,A81000B,00600,0300,HOME OFFICE COST 6780,A81000B,00800,0300,HOME OFFICE COST 6780,A81000C,00100,0100,B 6780,A81000C,00100,0200,BEVERLY ENTERPR 6780,B100000,00000,0100,00000(SQUARE FEET) 6780,B100000,00000,0200,00000(SQUARE FEET) 6780,B100000,00000,0300,00000(ADJUSTED SALARIES) 6780,B100000,00000,0400,00000(ACCUM. COST) 6780,B100000,00000,0500,00000(SQUARE FEET) 6780,B100000,00000,0600,00000(PATIENT DAYS) 6780,B100000,00000,0700,00000(SQUARE FEET) 6780,B100000,00000,0800,00000(MEALS SERVED) 6780,B100000,00000,0900,00000(ADJUSTED SALARIES) 6780,B100000,00000,1000,00000(PATIENT DAYS) 6780,B100000,00000,1100,00000(COSTED REQUIS) 6780,B100000,00000,1200,00000(TOTAL CHARGES) 6780,B100000,00000,1300,00000(PATIENT DAYS) 6780,B100000,00000,1301,00000(PATIENT DAYS) 6780,B100000,00000,1400,00000(ASSIGNED TIME) 6780,E10A180,00303,0100,10/08/1999 6780,E10A180,00305,0100,02/14/2000 6780,E10A180,00350,0100,01/27/1999 6780,E10A180,00351,0100,06/14/1999 6780,E10A180,00353,0100,12/09/1999 6780,S000000,00100,0200,06/02/2000 6780,S200000,00100,0100,35 ROSEMONT AVENUE 6780,S200000,00200,0100,ROSEMONT 6780,S200000,00200,0200,PA 6780,S200000,00200,0300,19010 6780,S200000,00300,0100,MONTGOMERY 6780,S200000,00400,0100,ROSEMONT MANOR (267) B 6780,S200000,00400,0200,395193 6780,S200000,00400,0300,10/01/1981 6780,S200000,00400,0500,P 6780,S200000,00600,0200,395193 6780,S200000,00600,0300,10/01/1981 6780,S200000,00600,0600,P 6780,S200000,01600,0100,Y 6783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6783,A000000,00300,0000,00300EMPLOYEE BENEFITS 6783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6783,A000000,00700,0000,00700HOUSEKEEPING 6783,A000000,00800,0000,00800DIETARY 6783,A000000,00900,0000,00900NURSING ADMINISTRATION 6783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6783,A000000,01100,0000,01100PHARMACY 6783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6783,A000000,01300,0000,01300SOCIAL SERVICE 6783,A000000,01301,0000,01301ACTIVITIES 6783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6783,A000000,01600,0000,01600SKILLED NURSING FACILITY 6783,A000000,01800,0000,01800NURSING FACILITY 6783,A000000,01810,0000,01810ICF/MR 6783,A000000,02100,0000,02100RADIOLOGY 6783,A000000,02200,0000,02200LABORATORY 6783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6783,A000000,02500,0000,02500PHYSICAL THERAPY 6783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6783,A000000,02700,0000,02700SPEECH PATHOLOGY 6783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6783,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6783,A000000,03550,0000,03550FQHC 6783,A000000,05000,0000,05000CORF 6783,A000000,05010,0000,05010CMHC 6783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6783,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6783,A81000A,00100,0100,Y 6783,A81000B,00100,0300,HOME OFFICE COST 6783,A81000B,00400,0300,HOME OFFICE COST 6783,A81000B,00500,0300,HOME OFFICE COST 6783,A81000B,00600,0300,HOME OFFICE COST 6783,A81000B,00800,0300,HOME OFFICE COST 6783,A81000C,00100,0100,B 6783,A81000C,00100,0200,BEVERLY ENTERPR 6783,B100000,00000,0100,00000(SQUARE FEET) 6783,B100000,00000,0200,00000(SQUARE FEET) 6783,B100000,00000,0300,00000(ADJUSTED SALARIES) 6783,B100000,00000,0400,00000(ACCUM. COST) 6783,B100000,00000,0500,00000(SQUARE FEET) 6783,B100000,00000,0600,00000(PATIENT DAYS) 6783,B100000,00000,0700,00000(SQUARE FEET) 6783,B100000,00000,0800,00000(MEALS SERVED) 6783,B100000,00000,0900,00000(ADJUSTED SALARIES) 6783,B100000,00000,1000,00000(PATIENT DAYS) 6783,B100000,00000,1100,00000(COSTED REQUIS) 6783,B100000,00000,1200,00000(TOTAL CHARGES) 6783,B100000,00000,1300,00000(PATIENT DAYS) 6783,B100000,00000,1301,00000(PATIENT DAYS) 6783,B100000,00000,1400,00000(ASSIGNED TIME) 6783,S000000,00100,0200,06/02/2000 6783,S200000,00100,0100,2686 PEACH ST 6783,S200000,00200,0100,ERIE 6783,S200000,00200,0200,PA 6783,S200000,00200,0300,16508 6783,S200000,00300,0100,ERIE 6783,S200000,00400,0100,ERIE REHAB AND NURSING 6783,S200000,00400,0200,395200 6783,S200000,00400,0300,05/14/1982 6783,S200000,00400,0500,P 6783,S200000,00600,0200,395200 6783,S200000,00600,0300,05/14/1982 6783,S200000,00600,0600,P 6783,S200000,01600,0100,Y 6786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6786,A000000,00300,0000,00300EMPLOYEE BENEFITS 6786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6786,A000000,00700,0000,00700HOUSEKEEPING 6786,A000000,00800,0000,00800DIETARY 6786,A000000,00900,0000,00900NURSING ADMINISTRATION 6786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6786,A000000,01100,0000,01100PHARMACY 6786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6786,A000000,01300,0000,01300SOCIAL SERVICE 6786,A000000,01301,0000,01301ACTIVITIES 6786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6786,A000000,01600,0000,01600SKILLED NURSING FACILITY 6786,A000000,01800,0000,01800NURSING FACILITY 6786,A000000,01810,0000,01810ICF/MR 6786,A000000,01900,0000,01900OTHER LONG TERM CARE 6786,A000000,02100,0000,02100RADIOLOGY 6786,A000000,02200,0000,02200LABORATORY 6786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6786,A000000,02500,0000,02500PHYSICAL THERAPY 6786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6786,A000000,02700,0000,02700SPEECH PATHOLOGY 6786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6786,A000000,03550,0000,03550FQHC 6786,A000000,05000,0000,05000CORF 6786,A000000,05010,0000,05010CMHC 6786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6786,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6786,A81000A,00100,0100,Y 6786,A81000B,00100,0300,HOME OFFICE COST 6786,A81000B,00400,0300,HOME OFFICE COST 6786,A81000B,00500,0300,HOME OFFICE COST 6786,A81000B,00600,0300,HOME OFFICE COST 6786,A81000B,00800,0300,HOME OFFICE COST 6786,A81000C,00100,0100,B 6786,A81000C,00100,0200,BEVERLY ENTERPR 6786,B100000,00000,0100,00000(SQUARE FEET) 6786,B100000,00000,0200,00000(SQUARE FEET) 6786,B100000,00000,0300,00000(ADJUSTED SALARIES) 6786,B100000,00000,0400,00000(ACCUM. COST) 6786,B100000,00000,0500,00000(SQUARE FEET) 6786,B100000,00000,0600,00000(PATIENT DAYS) 6786,B100000,00000,0700,00000(SQUARE FEET) 6786,B100000,00000,0800,00000(MEALS SERVED) 6786,B100000,00000,0900,00000(ADJUSTED SALARIES) 6786,B100000,00000,1000,00000(PATIENT DAYS) 6786,B100000,00000,1100,00000(COSTED REQUIS) 6786,B100000,00000,1200,00000(TOTAL CHARGES) 6786,B100000,00000,1300,00000(PATIENT DAYS) 6786,B100000,00000,1301,00000(PATIENT DAYS) 6786,B100000,00000,1400,00000(ASSIGNED TIME) 6786,S000000,00100,0200,06/02/2000 6786,S200000,00100,0100,770 POPLAR CHURCH RD 6786,S200000,00200,0100,CAMP HILL 6786,S200000,00200,0200,PA 6786,S200000,00200,0300,17011 6786,S200000,00300,0100,CUMBERLAND 6786,S200000,00400,0100,BEVERLY HEALTHCARE-WEST SHORE 6786,S200000,00400,0200,395223 6786,S200000,00400,0300,08/01/1981 6786,S200000,00400,0500,P 6786,S200000,00600,0200,395223 6786,S200000,00600,0300,08/01/1981 6786,S200000,00600,0600,P 6786,S200000,01600,0100,Y 6789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6789,A000000,00300,0000,00300EMPLOYEE BENEFITS 6789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6789,A000000,00700,0000,00700HOUSEKEEPING 6789,A000000,00800,0000,00800DIETARY 6789,A000000,00900,0000,00900NURSING ADMINISTRATION 6789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6789,A000000,01100,0000,01100PHARMACY 6789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6789,A000000,01300,0000,01300SOCIAL SERVICE 6789,A000000,01301,0000,01301ACTIVITIES 6789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6789,A000000,01600,0000,01600SKILLED NURSING FACILITY 6789,A000000,01800,0000,01800NURSING FACILITY 6789,A000000,01810,0000,01810ICF/MR 6789,A000000,02100,0000,02100RADIOLOGY 6789,A000000,02200,0000,02200LABORATORY 6789,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6789,A000000,02500,0000,02500PHYSICAL THERAPY 6789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6789,A000000,02700,0000,02700SPEECH PATHOLOGY 6789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6789,A000000,03550,0000,03550FQHC 6789,A000000,05000,0000,05000CORF 6789,A000000,05010,0000,05010CMHC 6789,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6789,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6789,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6789,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6789,A81000A,00100,0100,Y 6789,A81000B,00100,0300,HOME OFFICE COST 6789,A81000B,00400,0300,HOME OFFICE COST 6789,A81000B,00500,0300,HOME OFFICE COST 6789,A81000B,00600,0300,HOME OFFICE COST 6789,A81000B,00800,0300,HOME OFFICE COST 6789,A81000C,00100,0100,B 6789,A81000C,00100,0200,BEVERLY ENTERPR 6789,B100000,00000,0100,00000(SQUARE FEET) 6789,B100000,00000,0200,00000(SQUARE FEET) 6789,B100000,00000,0300,00000(ADJUSTED SALARIES) 6789,B100000,00000,0400,00000(ACCUM. COST) 6789,B100000,00000,0500,00000(SQUARE FEET) 6789,B100000,00000,0600,00000(PATIENT DAYS) 6789,B100000,00000,0700,00000(SQUARE FEET) 6789,B100000,00000,0800,00000(MEALS SERVED) 6789,B100000,00000,0900,00000(ADJUSTED SALARIES) 6789,B100000,00000,1000,00000(PATIENT DAYS) 6789,B100000,00000,1100,00000(COSTED REQUIS) 6789,B100000,00000,1200,00000(TOTAL CHARGES) 6789,B100000,00000,1300,00000(PATIENT DAYS) 6789,B100000,00000,1301,00000(PATIENT DAYS) 6789,B100000,00000,1400,00000(ASSIGNED TIME) 6789,E10A180,00301,0100,01/27/1999 6789,E10A180,00351,0100,06/14/1999 6789,E10A180,00352,0100,10/08/1999 6789,E10A180,00353,0100,12/09/1999 6789,E10A180,00354,0100,02/14/2000 6789,S000000,00100,0200,06/02/2000 6789,S200000,00100,0100,700 SOUTH CAYUGA 6789,S200000,00200,0100,ALTOONA 6789,S200000,00200,0200,PA 6789,S200000,00200,0300,16602 6789,S200000,00300,0100,BLAIR 6789,S200000,00400,0100,BEVERLY HEALTHCARE-HILLVIEW 6789,S200000,00400,0200,395241 6789,S200000,00400,0300,10/01/1981 6789,S200000,00400,0500,P 6789,S200000,00600,0200,395241 6789,S200000,00600,0300,10/01/1981 6789,S200000,00600,0600,P 6789,S200000,01600,0100,Y 6792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6792,A000000,00300,0000,00300EMPLOYEE BENEFITS 6792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6792,A000000,00700,0000,00700HOUSEKEEPING 6792,A000000,00800,0000,00800DIETARY 6792,A000000,00900,0000,00900NURSING ADMINISTRATION 6792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6792,A000000,01100,0000,01100PHARMACY 6792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6792,A000000,01300,0000,01300SOCIAL SERVICE 6792,A000000,01301,0000,01301ACTIVITIES 6792,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6792,A000000,01600,0000,01600SKILLED NURSING FACILITY 6792,A000000,01800,0000,01800NURSING FACILITY 6792,A000000,01810,0000,01810ICF/MR 6792,A000000,02100,0000,02100RADIOLOGY 6792,A000000,02200,0000,02200LABORATORY 6792,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6792,A000000,02500,0000,02500PHYSICAL THERAPY 6792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6792,A000000,02700,0000,02700SPEECH PATHOLOGY 6792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6792,A000000,03050,0000,03300OTHER ANCILLARY 6792,A000000,03550,0000,03550FQHC 6792,A000000,05000,0000,05000CORF 6792,A000000,05010,0000,05010CMHC 6792,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6792,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6792,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6792,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6792,A81000A,00100,0100,Y 6792,A81000B,00100,0300,HOME OFFICE COST 6792,A81000B,00400,0300,HOME OFFICE COST 6792,A81000B,00500,0300,HOME OFFICE COST 6792,A81000B,00600,0300,HOME OFFICE COST 6792,A81000B,00800,0300,HOME OFFICE COST 6792,A81000C,00100,0100,B 6792,A81000C,00100,0200,BEVERLY ENTERPR 6792,B100000,00000,0100,00000(SQUARE FEET) 6792,B100000,00000,0200,00000(SQUARE FEET) 6792,B100000,00000,0300,00000(ADJUSTED SALARIES) 6792,B100000,00000,0400,00000(ACCUM. COST) 6792,B100000,00000,0500,00000(SQUARE FEET) 6792,B100000,00000,0600,00000(PATIENT DAYS) 6792,B100000,00000,0700,00000(SQUARE FEET) 6792,B100000,00000,0800,00000(MEALS SERVED) 6792,B100000,00000,0900,00000(ADJUSTED SALARIES) 6792,B100000,00000,1000,00000(PATIENT DAYS) 6792,B100000,00000,1100,00000(COSTED REQUIS) 6792,B100000,00000,1200,00000(TOTAL CHARGES) 6792,B100000,00000,1300,00000(PATIENT DAYS) 6792,B100000,00000,1301,00000(PATIENT DAYS) 6792,B100000,00000,1400,00000(ASSIGNED TIME) 6792,S000000,00100,0200,06/02/2000 6792,S200000,00100,0100,741 CAHMBERSBURG RD. 6792,S200000,00200,0100,GETTYSBURG 6792,S200000,00200,0200,PA 6792,S200000,00200,0300,17325 6792,S200000,00300,0100,ADAMS 6792,S200000,00400,0100,BEVERLY HEALTHCARE-GETTYSBURG 6792,S200000,00400,0200,395247 6792,S200000,00400,0300,07/01/1984 6792,S200000,00400,0500,P 6792,S200000,00600,0200,395247 6792,S200000,00600,0300,07/01/1984 6792,S200000,00600,0600,P 6792,S200000,01600,0100,Y 6795,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6795,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6795,A000000,00300,0000,00300EMPLOYEE BENEFITS 6795,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6795,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6795,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6795,A000000,00700,0000,00700HOUSEKEEPING 6795,A000000,00800,0000,00800DIETARY 6795,A000000,00900,0000,00900NURSING ADMINISTRATION 6795,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6795,A000000,01100,0000,01100PHARMACY 6795,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6795,A000000,01300,0000,01300SOCIAL SERVICE 6795,A000000,01301,0000,01301ACTIVITIES 6795,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6795,A000000,01600,0000,01600SKILLED NURSING FACILITY 6795,A000000,01800,0000,01800NURSING FACILITY 6795,A000000,01810,0000,01810ICF/MR 6795,A000000,02100,0000,02100RADIOLOGY 6795,A000000,02200,0000,02200LABORATORY 6795,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6795,A000000,02500,0000,02500PHYSICAL THERAPY 6795,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6795,A000000,02700,0000,02700SPEECH PATHOLOGY 6795,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6795,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6795,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6795,A000000,03550,0000,03550FQHC 6795,A000000,05000,0000,05000CORF 6795,A000000,05010,0000,05010CMHC 6795,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6795,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6795,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6795,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6795,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6795,A81000A,00100,0100,Y 6795,A81000B,00100,0300,HOME OFFICE COST 6795,A81000B,00400,0300,HOME OFFICE COST 6795,A81000B,00500,0300,HOME OFFICE COST 6795,A81000B,00600,0300,HOME OFFICE COST 6795,A81000B,00800,0300,HOME OFFICE COST 6795,A81000C,00100,0100,B 6795,A81000C,00100,0200,BEVERLY ENTERPR 6795,B100000,00000,0100,00000(SQUARE FEET) 6795,B100000,00000,0200,00000(SQUARE FEET) 6795,B100000,00000,0300,00000(ADJUSTED SALARIES) 6795,B100000,00000,0400,00000(ACCUM. COST) 6795,B100000,00000,0500,00000(SQUARE FEET) 6795,B100000,00000,0600,00000(PATIENT DAYS) 6795,B100000,00000,0700,00000(SQUARE FEET) 6795,B100000,00000,0800,00000(MEALS SERVED) 6795,B100000,00000,0900,00000(ADJUSTED SALARIES) 6795,B100000,00000,1000,00000(PATIENT DAYS) 6795,B100000,00000,1100,00000(COSTED REQUIS) 6795,B100000,00000,1200,00000(TOTAL CHARGES) 6795,B100000,00000,1300,00000(PATIENT DAYS) 6795,B100000,00000,1301,00000(PATIENT DAYS) 6795,B100000,00000,1400,00000(ASSIGNED TIME) 6795,E10A180,00301,0100,01/27/1999 6795,E10A180,00351,0100,06/14/1999 6795,E10A180,00352,0100,10/08/1999 6795,E10A180,00353,0100,12/09/1999 6795,E10A180,00354,0100,02/14/2000 6795,S000000,00100,0200,06/02/2000 6795,S200000,00100,0100,24TH AND WEST MARKET 6795,S200000,00200,0100,POTTSVILLE 6795,S200000,00200,0200,PA 6795,S200000,00200,0300,27901 6795,S200000,00300,0100,SCHUYLKILL 6795,S200000,00400,0100,YORK TERRACE CONV CNTR 6795,S200000,00400,0200,395252 6795,S200000,00400,0300,02/01/1983 6795,S200000,00400,0500,P 6795,S200000,00600,0200,395252 6795,S200000,00600,0300,02/01/1983 6795,S200000,00600,0600,P 6795,S200000,01600,0100,Y 6798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6798,A000000,00300,0000,00300EMPLOYEE BENEFITS 6798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6798,A000000,00700,0000,00700HOUSEKEEPING 6798,A000000,00800,0000,00800DIETARY 6798,A000000,00900,0000,00900NURSING ADMINISTRATION 6798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6798,A000000,01100,0000,01100PHARMACY 6798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6798,A000000,01300,0000,01300SOCIAL SERVICE 6798,A000000,01301,0000,01301ACTIVITIES 6798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6798,A000000,01600,0000,01600SKILLED NURSING FACILITY 6798,A000000,01800,0000,01800NURSING FACILITY 6798,A000000,01810,0000,01810ICF/MR 6798,A000000,02100,0000,02100RADIOLOGY 6798,A000000,02200,0000,02200LABORATORY 6798,A000000,02500,0000,02500PHYSICAL THERAPY 6798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6798,A000000,02700,0000,02700SPEECH PATHOLOGY 6798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6798,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6798,A000000,03550,0000,03550FQHC 6798,A000000,05000,0000,05000CORF 6798,A000000,05010,0000,05010CMHC 6798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6798,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6798,A81000A,00100,0100,Y 6798,A81000B,00100,0300,HOME OFFICE COST 6798,A81000B,00400,0300,HOME OFFICE COST 6798,A81000B,00500,0300,HOME OFFICE COST 6798,A81000B,00600,0300,HOME OFFICE COST 6798,A81000B,00800,0300,HOME OFFICE COST 6798,A81000C,00100,0100,B 6798,A81000C,00100,0200,BEVERLY ENTERPR 6798,B100000,00000,0100,00000(SQUARE FEET) 6798,B100000,00000,0200,00000(SQUARE FEET) 6798,B100000,00000,0300,00000(ADJUSTED SALARIES) 6798,B100000,00000,0400,00000(ACCUM. COST) 6798,B100000,00000,0500,00000(SQUARE FEET) 6798,B100000,00000,0600,00000(PATIENT DAYS) 6798,B100000,00000,0700,00000(SQUARE FEET) 6798,B100000,00000,0800,00000(MEALS SERVED) 6798,B100000,00000,0900,00000(ADJUSTED SALARIES) 6798,B100000,00000,1000,00000(PATIENT DAYS) 6798,B100000,00000,1100,00000(COSTED REQUIS) 6798,B100000,00000,1200,00000(TOTAL CHARGES) 6798,B100000,00000,1300,00000(PATIENT DAYS) 6798,B100000,00000,1301,00000(PATIENT DAYS) 6798,B100000,00000,1400,00000(ASSIGNED TIME) 6798,E10A180,00305,0100,02/14/2000 6798,E10A180,00350,0100,01/27/1999 6798,E10A180,00351,0100,06/14/1999 6798,E10A180,00352,0100,10/08/1999 6798,E10A180,00353,0100,12/09/1999 6798,S000000,00100,0200,06/02/2000 6798,S200000,00100,0100,25 WEST 5TH STREET 6798,S200000,00200,0100,LANSDALE 6798,S200000,00200,0200,PA 6798,S200000,00200,0300,19446 6798,S200000,00300,0100,MONTGOMERY 6798,S200000,00400,0100,NORTH PENN CONV RESIDENCE (265 6798,S200000,00400,0200,395256 6798,S200000,00400,0300,10/01/1981 6798,S200000,00400,0500,P 6798,S200000,00600,0200,395256 6798,S200000,00600,0300,10/01/1981 6798,S200000,00600,0600,P 6798,S200000,01600,0100,Y 6801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6801,A000000,00300,0000,00300EMPLOYEE BENEFITS 6801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6801,A000000,00700,0000,00700HOUSEKEEPING 6801,A000000,00800,0000,00800DIETARY 6801,A000000,00900,0000,00900NURSING ADMINISTRATION 6801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6801,A000000,01100,0000,01100PHARMACY 6801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6801,A000000,01300,0000,01300SOCIAL SERVICE 6801,A000000,01301,0000,01301ACTIVITIES 6801,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6801,A000000,01600,0000,01600SKILLED NURSING FACILITY 6801,A000000,01800,0000,01800NURSING FACILITY 6801,A000000,01810,0000,01810ICF/MR 6801,A000000,02100,0000,02100RADIOLOGY 6801,A000000,02200,0000,02200LABORATORY 6801,A000000,02500,0000,02500PHYSICAL THERAPY 6801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6801,A000000,02700,0000,02700SPEECH PATHOLOGY 6801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6801,A000000,03050,0000,03300OTHER NON REIMBURSABLE COST CEN 6801,A000000,03550,0000,03550FQHC 6801,A000000,05000,0000,05000CORF 6801,A000000,05010,0000,05010CMHC 6801,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6801,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6801,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6801,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6801,A000000,06200,0000,06200PATIENTS LAUNDRY 6801,A81000A,00100,0100,Y 6801,A81000B,00100,0300,HOME OFFICE COST 6801,A81000B,00400,0300,HOME OFFICE COST 6801,A81000B,00500,0300,HOME OFFICE COST 6801,A81000B,00600,0300,HOME OFFICE COST 6801,A81000B,00800,0300,HOME OFFICE COST 6801,A81000C,00100,0100,B 6801,A81000C,00100,0200,BEVERLY ENTERPR 6801,B100000,00000,0100,00000(SQUARE FEET) 6801,B100000,00000,0200,00000(SQUARE FEET) 6801,B100000,00000,0300,00000(ADJUSTED SALARIES) 6801,B100000,00000,0400,00000(ACCUM. COST) 6801,B100000,00000,0500,00000(SQUARE FEET) 6801,B100000,00000,0600,00000(PATIENT DAYS) 6801,B100000,00000,0700,00000(SQUARE FEET) 6801,B100000,00000,0800,00000(MEALS SERVED) 6801,B100000,00000,0900,00000(ADJUSTED SALARIES) 6801,B100000,00000,1000,00000(PATIENT DAYS) 6801,B100000,00000,1100,00000(COSTED REQUIS) 6801,B100000,00000,1200,00000(TOTAL CHARGES) 6801,B100000,00000,1300,00000(PATIENT DAYS) 6801,B100000,00000,1301,00000(PATIENT DAYS) 6801,B100000,00000,1400,00000(ASSIGNED TIME) 6801,E10A180,00301,0100,01/27/1999 6801,E10A180,00304,0100,12/09/1999 6801,E10A180,00351,0100,06/14/1999 6801,E10A180,00352,0100,10/08/1999 6801,E10A180,00354,0100,02/14/2000 6801,S000000,00100,0200,06/02/2000 6801,S200000,00100,0100,1521 WEST 54TH STREET 6801,S200000,00200,0100,ERIE 6801,S200000,00200,0200,PA 6801,S200000,00200,0300,16501 6801,S200000,00300,0100,ERIE 6801,S200000,00400,0100,BEVERLY HEALTHCARE-WESTERN RESERVE 6801,S200000,00400,0200,395262 6801,S200000,00400,0300,01/01/1983 6801,S200000,00400,0500,P 6801,S200000,00600,0200,395262 6801,S200000,00600,0300,01/01/1983 6801,S200000,00600,0600,P 6801,S200000,01600,0100,Y 6804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6804,A000000,00300,0000,00300EMPLOYEE BENEFITS 6804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6804,A000000,00700,0000,00700HOUSEKEEPING 6804,A000000,00800,0000,00800DIETARY 6804,A000000,00900,0000,00900NURSING ADMINISTRATION 6804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6804,A000000,01100,0000,01100PHARMACY 6804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6804,A000000,01300,0000,01300SOCIAL SERVICE 6804,A000000,01301,0000,01301ACTIVITIES 6804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6804,A000000,01600,0000,01600SKILLED NURSING FACILITY 6804,A000000,01800,0000,01800NURSING FACILITY 6804,A000000,01810,0000,01810ICF/MR 6804,A000000,02100,0000,02100RADIOLOGY 6804,A000000,02200,0000,02200LABORATORY 6804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6804,A000000,02500,0000,02500PHYSICAL THERAPY 6804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6804,A000000,02700,0000,02700SPEECH PATHOLOGY 6804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6804,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6804,A000000,03550,0000,03550FQHC 6804,A000000,05000,0000,05000CORF 6804,A000000,05010,0000,05010CMHC 6804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6804,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6804,A81000A,00100,0100,Y 6804,A81000B,00100,0300,HOME OFFICE COST 6804,A81000B,00400,0300,HOME OFFICE COST 6804,A81000B,00500,0300,HOME OFFICE COST 6804,A81000B,00600,0300,HOME OFFICE COST 6804,A81000B,00800,0300,HOME OFFICE COST 6804,A81000C,00100,0100,B 6804,A81000C,00100,0200,BEVERLY ENTERPR 6804,B100000,00000,0100,00000(SQUARE FEET) 6804,B100000,00000,0200,00000(SQUARE FEET) 6804,B100000,00000,0300,00000(ADJUSTED SALARIES) 6804,B100000,00000,0400,00000(ACCUM. COST) 6804,B100000,00000,0500,00000(SQUARE FEET) 6804,B100000,00000,0600,00000(PATIENT DAYS) 6804,B100000,00000,0700,00000(SQUARE FEET) 6804,B100000,00000,0800,00000(MEALS SERVED) 6804,B100000,00000,0900,00000(ADJUSTED SALARIES) 6804,B100000,00000,1000,00000(PATIENT DAYS) 6804,B100000,00000,1100,00000(COSTED REQUIS) 6804,B100000,00000,1200,00000(TOTAL CHARGES) 6804,B100000,00000,1300,00000(PATIENT DAYS) 6804,B100000,00000,1301,00000(PATIENT DAYS) 6804,B100000,00000,1400,00000(ASSIGNED TIME) 6804,E10A180,00301,0100,01/27/1999 6804,E10A180,00351,0100,06/14/1999 6804,E10A180,00352,0100,10/08/1999 6804,E10A180,00353,0100,12/09/1999 6804,E10A180,00354,0100,02/14/2000 6804,S000000,00100,0200,06/02/2000 6804,S200000,00100,0100,824 ADAMS AVENUE 6804,S200000,00200,0100,SCRANTON 6804,S200000,00200,0200,PA 6804,S200000,00200,0300,18510 6804,S200000,00300,0100,LACKAWANNA 6804,S200000,00400,0100,ADAMS MANOR (262) B 6804,S200000,00400,0200,395273 6804,S200000,00400,0300,10/01/1981 6804,S200000,00400,0500,P 6804,S200000,00600,0200,395273 6804,S200000,00600,0300,10/01/1981 6804,S200000,00600,0600,P 6804,S200000,01600,0100,Y 6807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6807,A000000,00300,0000,00300EMPLOYEE BENEFITS 6807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6807,A000000,00700,0000,00700HOUSEKEEPING 6807,A000000,00800,0000,00800DIETARY 6807,A000000,00900,0000,00900NURSING ADMINISTRATION 6807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6807,A000000,01100,0000,01100PHARMACY 6807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6807,A000000,01300,0000,01300SOCIAL SERVICE 6807,A000000,01301,0000,01301ACTIVITIES 6807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6807,A000000,01600,0000,01600SKILLED NURSING FACILITY 6807,A000000,01800,0000,01800NURSING FACILITY 6807,A000000,01810,0000,01810ICF/MR 6807,A000000,02100,0000,02100RADIOLOGY 6807,A000000,02200,0000,02200LABORATORY 6807,A000000,02500,0000,02500PHYSICAL THERAPY 6807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6807,A000000,02700,0000,02700SPEECH PATHOLOGY 6807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6807,A000000,03550,0000,03550FQHC 6807,A000000,05000,0000,05000CORF 6807,A000000,05010,0000,05010CMHC 6807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6807,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6807,A81000A,00100,0100,Y 6807,A81000B,00100,0300,HOME OFFICE COST 6807,A81000B,00400,0300,HOME OFFICE COST 6807,A81000B,00500,0300,HOME OFFICE COST 6807,A81000B,00600,0300,HOME OFFICE COST 6807,A81000B,00800,0300,HOME OFFICE COST 6807,A81000C,00100,0100,B 6807,A81000C,00100,0200,BEVERLY ENTERPR 6807,B100000,00000,0100,00000(SQUARE FEET) 6807,B100000,00000,0200,00000(SQUARE FEET) 6807,B100000,00000,0300,00000(ADJUSTED SALARIES) 6807,B100000,00000,0400,00000(ACCUM. COST) 6807,B100000,00000,0500,00000(SQUARE FEET) 6807,B100000,00000,0600,00000(PATIENT DAYS) 6807,B100000,00000,0700,00000(SQUARE FEET) 6807,B100000,00000,0800,00000(MEALS SERVED) 6807,B100000,00000,0900,00000(ADJUSTED SALARIES) 6807,B100000,00000,1000,00000(PATIENT DAYS) 6807,B100000,00000,1100,00000(COSTED REQUIS) 6807,B100000,00000,1200,00000(TOTAL CHARGES) 6807,B100000,00000,1300,00000(PATIENT DAYS) 6807,B100000,00000,1301,00000(PATIENT DAYS) 6807,B100000,00000,1400,00000(ASSIGNED TIME) 6807,E10A180,00301,0100,01/27/1999 6807,E10A180,00304,0100,12/09/1999 6807,E10A180,00351,0100,06/14/1999 6807,E10A180,00352,0100,10/08/1999 6807,E10A180,00354,0100,02/14/2000 6807,S000000,00100,0200,06/02/2000 6807,S200000,00100,0100,MAPLE AVE AT EAST ST 6807,S200000,00200,0100,DOYLESTOWN 6807,S200000,00200,0200,PA 6807,S200000,00200,0300,18901 6807,S200000,00300,0100,BUCKS 6807,S200000,00400,0100,BEVERLY HEALTHCARE-DOYLESTOWN 6807,S200000,00400,0200,395277 6807,S200000,00400,0300,10/01/1981 6807,S200000,00400,0500,P 6807,S200000,00600,0200,395277 6807,S200000,00600,0300,10/01/1981 6807,S200000,00600,0600,P 6807,S200000,01600,0100,Y 6810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6810,A000000,00300,0000,00300EMPLOYEE BENEFITS 6810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6810,A000000,00700,0000,00700HOUSEKEEPING 6810,A000000,00800,0000,00800DIETARY 6810,A000000,00900,0000,00900NURSING ADMINISTRATION 6810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6810,A000000,01100,0000,01100PHARMACY 6810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6810,A000000,01300,0000,01300SOCIAL SERVICE 6810,A000000,01301,0000,01301ACTIVITIES 6810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6810,A000000,01600,0000,01600SKILLED NURSING FACILITY 6810,A000000,01800,0000,01800NURSING FACILITY 6810,A000000,01810,0000,01810ICF/MR 6810,A000000,02100,0000,02100RADIOLOGY 6810,A000000,02200,0000,02200LABORATORY 6810,A000000,02500,0000,02500PHYSICAL THERAPY 6810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6810,A000000,02700,0000,02700SPEECH PATHOLOGY 6810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6810,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6810,A000000,03550,0000,03550FQHC 6810,A000000,05000,0000,05000CORF 6810,A000000,05010,0000,05010CMHC 6810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6810,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6810,A81000A,00100,0100,Y 6810,A81000B,00100,0300,HOME OFFICE COST 6810,A81000B,00400,0300,HOME OFFICE COST 6810,A81000B,00500,0300,HOME OFFICE COST 6810,A81000B,00600,0300,HOME OFFICE COST 6810,A81000B,00800,0300,HOME OFFICE COST 6810,A81000C,00100,0100,B 6810,A81000C,00100,0200,BEVERLY ENTERPR 6810,B100000,00000,0100,00000(SQUARE FEET) 6810,B100000,00000,0200,00000(SQUARE FEET) 6810,B100000,00000,0300,00000(ADJUSTED SALARIES) 6810,B100000,00000,0400,00000(ACCUM. COST) 6810,B100000,00000,0500,00000(SQUARE FEET) 6810,B100000,00000,0600,00000(PATIENT DAYS) 6810,B100000,00000,0700,00000(SQUARE FEET) 6810,B100000,00000,0800,00000(MEALS SERVED) 6810,B100000,00000,0900,00000(ADJUSTED SALARIES) 6810,B100000,00000,1000,00000(PATIENT DAYS) 6810,B100000,00000,1100,00000(COSTED REQUIS) 6810,B100000,00000,1200,00000(TOTAL CHARGES) 6810,B100000,00000,1300,00000(PATIENT DAYS) 6810,B100000,00000,1301,00000(PATIENT DAYS) 6810,B100000,00000,1400,00000(ASSIGNED TIME) 6810,E10A180,00301,0100,01/27/1999 6810,E10A180,00305,0100,02/14/2000 6810,E10A180,00351,0100,06/14/1999 6810,E10A180,00352,0100,10/08/1999 6810,E10A180,00353,0100,12/09/1999 6810,S000000,00100,0200,06/02/2000 6810,S200000,00100,0100,833 SOUTH MAIN STREET 6810,S200000,00200,0100,PHOENIXVILLE 6810,S200000,00200,0200,PA 6810,S200000,00200,0300,19460 6810,S200000,00300,0100,CHESTER 6810,S200000,00400,0100,PHOENIXVILLE CONV MANOR (266) 6810,S200000,00400,0200,395284 6810,S200000,00400,0300,10/01/1981 6810,S200000,00400,0500,P 6810,S200000,00600,0200,395284 6810,S200000,00600,0300,10/01/1981 6810,S200000,00600,0600,P 6810,S200000,01600,0100,Y 6813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6813,A000000,00300,0000,00300EMPLOYEE BENEFITS 6813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6813,A000000,00700,0000,00700HOUSEKEEPING 6813,A000000,00800,0000,00800DIETARY 6813,A000000,00900,0000,00900NURSING ADMINISTRATION 6813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6813,A000000,01100,0000,01100PHARMACY 6813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6813,A000000,01300,0000,01300SOCIAL SERVICE 6813,A000000,01301,0000,01301ACTIVITIES 6813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6813,A000000,01600,0000,01600SKILLED NURSING FACILITY 6813,A000000,01800,0000,01800NURSING FACILITY 6813,A000000,01810,0000,01810ICF/MR 6813,A000000,02100,0000,02100RADIOLOGY 6813,A000000,02200,0000,02200LABORATORY 6813,A000000,02500,0000,02500PHYSICAL THERAPY 6813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6813,A000000,02700,0000,02700SPEECH PATHOLOGY 6813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6813,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6813,A000000,03550,0000,03550FQHC 6813,A000000,05000,0000,05000CORF 6813,A000000,05010,0000,05010CMHC 6813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6813,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6813,A81000A,00100,0100,Y 6813,A81000B,00100,0300,HOME OFFICE COST 6813,A81000B,00400,0300,HOME OFFICE COST 6813,A81000B,00500,0300,HOME OFFICE COST 6813,A81000B,00600,0300,HOME OFFICE COST 6813,A81000B,00800,0300,HOME OFFICE COST 6813,A81000C,00100,0100,B 6813,A81000C,00100,0200,BEVERLY ENTERPR 6813,B100000,00000,0100,00000(SQUARE FEET) 6813,B100000,00000,0200,00000(SQUARE FEET) 6813,B100000,00000,0300,00000(ADJUSTED SALARIES) 6813,B100000,00000,0400,00000(ACCUM. COST) 6813,B100000,00000,0500,00000(SQUARE FEET) 6813,B100000,00000,0600,00000(PATIENT DAYS) 6813,B100000,00000,0700,00000(SQUARE FEET) 6813,B100000,00000,0800,00000(MEALS SERVED) 6813,B100000,00000,0900,00000(ADJUSTED SALARIES) 6813,B100000,00000,1000,00000(PATIENT DAYS) 6813,B100000,00000,1100,00000(COSTED REQUIS) 6813,B100000,00000,1200,00000(TOTAL CHARGES) 6813,B100000,00000,1300,00000(PATIENT DAYS) 6813,B100000,00000,1301,00000(PATIENT DAYS) 6813,B100000,00000,1400,00000(ASSIGNED TIME) 6813,E10A180,00304,0100,12/09/1999 6813,E10A180,00350,0100,01/27/1999 6813,E10A180,00351,0100,06/14/1999 6813,E10A180,00352,0100,10/08/1999 6813,E10A180,00354,0100,02/14/2000 6813,S000000,00100,0200,06/02/2000 6813,S200000,00100,0100,221 EAST BROWN STREET 6813,S200000,00200,0100,E STROUDSBURG 6813,S200000,00200,0200,PA 6813,S200000,00200,0300,18301 6813,S200000,00300,0100,MONROE 6813,S200000,00400,0100,STROUD MANOR (268) B 6813,S200000,00400,0200,395288 6813,S200000,00400,0300,10/01/1981 6813,S200000,00400,0500,P 6813,S200000,00600,0200,395288 6813,S200000,00600,0300,10/01/1981 6813,S200000,00600,0600,P 6813,S200000,01600,0100,Y 6816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6816,A000000,00300,0000,00300EMPLOYEE BENEFITS 6816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6816,A000000,00700,0000,00700HOUSEKEEPING 6816,A000000,00800,0000,00800DIETARY 6816,A000000,00900,0000,00900NURSING ADMINISTRATION 6816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6816,A000000,01100,0000,01100PHARMACY 6816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6816,A000000,01300,0000,01300SOCIAL SERVICE 6816,A000000,01301,0000,01301ACTIVITIES 6816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6816,A000000,01600,0000,01600SKILLED NURSING FACILITY 6816,A000000,01800,0000,01800NURSING FACILITY 6816,A000000,01810,0000,01810ICF/MR 6816,A000000,02100,0000,02100RADIOLOGY 6816,A000000,02200,0000,02200LABORATORY 6816,A000000,02500,0000,02500PHYSICAL THERAPY 6816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6816,A000000,02700,0000,02700SPEECH PATHOLOGY 6816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6816,A000000,03050,0000,03300OTHER ANCILLARY COSTS 6816,A000000,03550,0000,03550FQHC 6816,A000000,05000,0000,05000CORF 6816,A000000,05010,0000,05010CMHC 6816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6816,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6816,A81000A,00100,0100,Y 6816,A81000B,00100,0300,HOME OFFICE COST 6816,A81000B,00400,0300,HOME OFFICE COST 6816,A81000B,00500,0300,HOME OFFICE COST 6816,A81000B,00600,0300,HOME OFFICE COST 6816,A81000B,00800,0300,HOME OFFICE COST 6816,A81000C,00100,0100,B 6816,A81000C,00100,0200,BEVERLY ENTERPR 6816,B100000,00000,0100,00000(SQUARE FEET) 6816,B100000,00000,0200,00000(SQUARE FEET) 6816,B100000,00000,0300,00000(ADJUSTED SALARIES) 6816,B100000,00000,0400,00000(ACCUM. COST) 6816,B100000,00000,0500,00000(SQUARE FEET) 6816,B100000,00000,0600,00000(PATIENT DAYS) 6816,B100000,00000,0700,00000(SQUARE FEET) 6816,B100000,00000,0800,00000(MEALS SERVED) 6816,B100000,00000,0900,00000(ADJUSTED SALARIES) 6816,B100000,00000,1000,00000(PATIENT DAYS) 6816,B100000,00000,1100,00000(COSTED REQUIS) 6816,B100000,00000,1200,00000(TOTAL CHARGES) 6816,B100000,00000,1300,00000(PATIENT DAYS) 6816,B100000,00000,1301,00000(PATIENT DAYS) 6816,B100000,00000,1400,00000(ASSIGNED TIME) 6816,E10A180,00301,0100,01/27/1999 6816,E10A180,00303,0100,10/08/1999 6816,E10A180,00351,0100,06/14/1999 6816,E10A180,00353,0100,12/09/1999 6816,E10A180,00354,0100,02/14/2000 6816,S000000,00100,0200,06/02/2000 6816,S200000,00100,0100,201 VILLAGE DRIVE 6816,S200000,00200,0100,CANNONSBURG 6816,S200000,00200,0200,PA 6816,S200000,00200,0300,15317 6816,S200000,00300,0100,WASHINGTON 6816,S200000,00400,0100,BEVERLY HEALTHCARE-SOUTH HILLS 6816,S200000,00400,0200,395289 6816,S200000,00400,0300,04/20/1971 6816,S200000,00400,0500,P 6816,S200000,00600,0200,395289 6816,S200000,00600,0300,04/20/1971 6816,S200000,00600,0600,P 6816,S200000,01600,0100,Y 6819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6819,A000000,00300,0000,00300EMPLOYEE BENEFITS 6819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6819,A000000,00700,0000,00700HOUSEKEEPING 6819,A000000,00800,0000,00800DIETARY 6819,A000000,00900,0000,00900NURSING ADMINISTRATION 6819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6819,A000000,01100,0000,01100PHARMACY 6819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6819,A000000,01300,0000,01300SOCIAL SERVICE 6819,A000000,01301,0000,01301ACTIVITIES 6819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6819,A000000,01600,0000,01600SKILLED NURSING FACILITY 6819,A000000,01800,0000,01800NURSING FACILITY 6819,A000000,01810,0000,01810ICF/MR 6819,A000000,02100,0000,02100RADIOLOGY 6819,A000000,02200,0000,02200LABORATORY 6819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6819,A000000,02500,0000,02500PHYSICAL THERAPY 6819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6819,A000000,02700,0000,02700SPEECH PATHOLOGY 6819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6819,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6819,A000000,03550,0000,03550FQHC 6819,A000000,05000,0000,05000CORF 6819,A000000,05010,0000,05010CMHC 6819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6819,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6819,A81000A,00100,0100,Y 6819,A81000B,00100,0300,HOME OFFICE COST 6819,A81000B,00400,0300,HOME OFFICE COST 6819,A81000B,00500,0300,HOME OFFICE COST 6819,A81000B,00600,0300,HOME OFFICE COST 6819,A81000B,00800,0300,HOME OFFICE COST 6819,A81000C,00100,0100,B 6819,A81000C,00100,0200,BEVERLY ENTERPR 6819,B100000,00000,0100,00000(SQUARE FEET) 6819,B100000,00000,0200,00000(SQUARE FEET) 6819,B100000,00000,0300,00000(ADJUSTED SALARIES) 6819,B100000,00000,0400,00000(ACCUM. COST) 6819,B100000,00000,0500,00000(SQUARE FEET) 6819,B100000,00000,0600,00000(PATIENT DAYS) 6819,B100000,00000,0700,00000(SQUARE FEET) 6819,B100000,00000,0800,00000(MEALS SERVED) 6819,B100000,00000,0900,00000(ADJUSTED SALARIES) 6819,B100000,00000,1000,00000(PATIENT DAYS) 6819,B100000,00000,1100,00000(COSTED REQUIS) 6819,B100000,00000,1200,00000(TOTAL CHARGES) 6819,B100000,00000,1300,00000(PATIENT DAYS) 6819,B100000,00000,1301,00000(PATIENT DAYS) 6819,B100000,00000,1400,00000(ASSIGNED TIME) 6819,E10A180,00301,0100,01/27/1999 6819,E10A180,00304,0100,12/09/1999 6819,E10A180,00351,0100,06/14/1999 6819,E10A180,00352,0100,10/08/1999 6819,E10A180,00354,0100,02/14/2000 6819,S000000,00100,0200,06/02/2000 6819,S200000,00100,0100,3300 LOGAN FERRY RD 6819,S200000,00200,0100,MURRAYSVILLE 6819,S200000,00200,0200,PA 6819,S200000,00200,0300,15668 6819,S200000,00300,0100,WESTMORELAND 6819,S200000,00400,0100,BEVERLY HEALTHCARE-MURRYSVILLE 6819,S200000,00400,0200,395295 6819,S200000,00400,0300,10/01/1981 6819,S200000,00400,0500,P 6819,S200000,00600,0200,395295 6819,S200000,00600,0300,10/01/1981 6819,S200000,00600,0600,P 6819,S200000,01600,0100,Y 6822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6822,A000000,00300,0000,00300EMPLOYEE BENEFITS 6822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6822,A000000,00700,0000,00700HOUSEKEEPING 6822,A000000,00800,0000,00800DIETARY 6822,A000000,00900,0000,00900NURSING ADMINISTRATION 6822,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6822,A000000,01100,0000,01100PHARMACY 6822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6822,A000000,01300,0000,01300SOCIAL SERVICE 6822,A000000,01301,0000,01301ACTIVITIES 6822,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6822,A000000,01600,0000,01600SKILLED NURSING FACILITY 6822,A000000,01800,0000,01800NURSING FACILITY 6822,A000000,01810,0000,01810ICF/MR 6822,A000000,02100,0000,02100RADIOLOGY 6822,A000000,02200,0000,02200LABORATORY 6822,A000000,02500,0000,02500PHYSICAL THERAPY 6822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6822,A000000,02700,0000,02700SPEECH PATHOLOGY 6822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6822,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6822,A000000,03550,0000,03550FQHC 6822,A000000,05000,0000,05000CORF 6822,A000000,05010,0000,05010CMHC 6822,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6822,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6822,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6822,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6822,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6822,A81000A,00100,0100,Y 6822,A81000B,00100,0300,HOME OFFICE COST 6822,A81000B,00400,0300,HOME OFFICE COST 6822,A81000B,00500,0300,HOME OFFICE COST 6822,A81000B,00600,0300,HOME OFFICE COST 6822,A81000B,00800,0300,HOME OFFICE COST 6822,A81000C,00100,0100,B 6822,A81000C,00100,0200,BEVERLY ENTERPR 6822,B100000,00000,0100,00000(SQUARE FEET) 6822,B100000,00000,0200,00000(SQUARE FEET) 6822,B100000,00000,0300,00000(ADJUSTED SALARIES) 6822,B100000,00000,0400,00000(ACCUM. COST) 6822,B100000,00000,0500,00000(SQUARE FEET) 6822,B100000,00000,0600,00000(PATIENT DAYS) 6822,B100000,00000,0700,00000(SQUARE FEET) 6822,B100000,00000,0800,00000(MEALS SERVED) 6822,B100000,00000,0900,00000(ADJUSTED SALARIES) 6822,B100000,00000,1000,00000(PATIENT DAYS) 6822,B100000,00000,1100,00000(COSTED REQUIS) 6822,B100000,00000,1200,00000(TOTAL CHARGES) 6822,B100000,00000,1300,00000(PATIENT DAYS) 6822,B100000,00000,1301,00000(PATIENT DAYS) 6822,B100000,00000,1400,00000(ASSIGNED TIME) 6822,E10A180,00301,0100,01/27/1999 6822,E10A180,00304,0100,12/09/1999 6822,E10A180,00305,0100,02/14/2000 6822,E10A180,00351,0100,06/14/2000 6822,E10A180,00352,0100,10/08/1999 6822,S000000,00100,0200,06/02/2000 6822,S200000,00100,0100,163 SUMMIT DRIVE 6822,S200000,00200,0100,LEWISTOWN 6822,S200000,00200,0200,PA 6822,S200000,00200,0300,17044 6822,S200000,00300,0100,MIFFLIN 6822,S200000,00400,0100,BEVERLY HEALTHCARE-WILLIAM PENN 6822,S200000,00400,0200,395335 6822,S200000,00400,0300,01/01/1982 6822,S200000,00400,0500,P 6822,S200000,00600,0200,395335 6822,S200000,00600,0300,01/01/1982 6822,S200000,00600,0600,P 6822,S200000,01600,0100,Y 6825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6825,A000000,00300,0000,00300EMPLOYEE BENEFITS 6825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6825,A000000,00700,0000,00700HOUSEKEEPING 6825,A000000,00800,0000,00800DIETARY 6825,A000000,00900,0000,00900NURSING ADMINISTRATION 6825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6825,A000000,01100,0000,01100PHARMACY 6825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6825,A000000,01300,0000,01300SOCIAL SERVICE 6825,A000000,01301,0000,01301ACTIVITIES 6825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6825,A000000,01600,0000,01600SKILLED NURSING FACILITY 6825,A000000,01800,0000,01800NURSING FACILITY 6825,A000000,01810,0000,01810ICF/MR 6825,A000000,02100,0000,02100RADIOLOGY 6825,A000000,02200,0000,02200LABORATORY 6825,A000000,02500,0000,02500PHYSICAL THERAPY 6825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6825,A000000,02700,0000,02700SPEECH PATHOLOGY 6825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6825,A000000,03550,0000,03550FQHC 6825,A000000,05000,0000,05000CORF 6825,A000000,05010,0000,05010CMHC 6825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6825,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6825,A81000A,00100,0100,Y 6825,A81000B,00100,0300,HOME OFFICE COST 6825,A81000B,00400,0300,HOME OFFICE COST 6825,A81000B,00500,0300,HOME OFFICE COST 6825,A81000B,00600,0300,HOME OFFICE COST 6825,A81000B,00800,0300,HOME OFFICE COST 6825,A81000C,00100,0100,B 6825,A81000C,00100,0200,BEVERLY ENTERPR 6825,B100000,00000,0100,00000(SQUARE FEET) 6825,B100000,00000,0200,00000(SQUARE FEET) 6825,B100000,00000,0300,00000(ADJUSTED SALARIES) 6825,B100000,00000,0400,00000(ACCUM. COST) 6825,B100000,00000,0500,00000(SQUARE FEET) 6825,B100000,00000,0600,00000(PATIENT DAYS) 6825,B100000,00000,0700,00000(SQUARE FEET) 6825,B100000,00000,0800,00000(MEALS SERVED) 6825,B100000,00000,0900,00000(ADJUSTED SALARIES) 6825,B100000,00000,1000,00000(PATIENT DAYS) 6825,B100000,00000,1100,00000(COSTED REQUIS) 6825,B100000,00000,1200,00000(TOTAL CHARGES) 6825,B100000,00000,1300,00000(PATIENT DAYS) 6825,B100000,00000,1301,00000(PATIENT DAYS) 6825,B100000,00000,1400,00000(ASSIGNED TIME) 6825,E10A180,00302,0100,06/14/1999 6825,E10A180,00303,0100,10/08/1999 6825,E10A180,00304,0100,12/09/1999 6825,E10A180,00350,0100,01/27/1999 6825,E10A180,00354,0100,02/14/2000 6825,S000000,00100,0200,06/02/2000 6825,S200000,00100,0100,205 WATER ST 6825,S200000,00200,0100,WARREN 6825,S200000,00200,0200,PA 6825,S200000,00200,0300,16365 6825,S200000,00300,0100,WARREN 6825,S200000,00400,0100,BEVERLY HEALTHCARE-KINZUA VALLEY 6825,S200000,00400,0200,395363 6825,S200000,00400,0300,03/01/1984 6825,S200000,00400,0500,P 6825,S200000,00600,0200,395363 6825,S200000,00600,0300,03/01/1984 6825,S200000,00600,0600,P 6825,S200000,01600,0100,Y 6828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6828,A000000,00300,0000,00300EMPLOYEE BENEFITS 6828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6828,A000000,00700,0000,00700HOUSEKEEPING 6828,A000000,00800,0000,00800DIETARY 6828,A000000,00900,0000,00900NURSING ADMINISTRATION 6828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6828,A000000,01100,0000,01100PHARMACY 6828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6828,A000000,01300,0000,01300SOCIAL SERVICE 6828,A000000,01301,0000,01301ACTIVITIES 6828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6828,A000000,01600,0000,01600SKILLED NURSING FACILITY 6828,A000000,01800,0000,01800NURSING FACILITY 6828,A000000,01810,0000,01810ICF/MR 6828,A000000,02100,0000,02100RADIOLOGY 6828,A000000,02200,0000,02200LABORATORY 6828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6828,A000000,02500,0000,02500PHYSICAL THERAPY 6828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6828,A000000,02700,0000,02700SPEECH PATHOLOGY 6828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6828,A000000,03550,0000,03550FQHC 6828,A000000,05000,0000,05000CORF 6828,A000000,05010,0000,05010CMHC 6828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6828,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6828,A81000A,00100,0100,Y 6828,A81000B,00100,0300,HOME OFFICE COST 6828,A81000B,00400,0300,HOME OFFICE COST 6828,A81000B,00500,0300,HOME OFFICE COST 6828,A81000B,00600,0300,HOME OFFICE COST 6828,A81000B,00800,0300,HOME OFFICE COST 6828,A81000C,00100,0100,B 6828,A81000C,00100,0200,BEVERLY ENTERPR 6828,B100000,00000,0100,00000(SQUARE FEET) 6828,B100000,00000,0200,00000(SQUARE FEET) 6828,B100000,00000,0300,00000(ADJUSTED SALARIES) 6828,B100000,00000,0400,00000(ACCUM. COST) 6828,B100000,00000,0500,00000(SQUARE FEET) 6828,B100000,00000,0600,00000(PATIENT DAYS) 6828,B100000,00000,0700,00000(SQUARE FEET) 6828,B100000,00000,0800,00000(MEALS SERVED) 6828,B100000,00000,0900,00000(ADJUSTED SALARIES) 6828,B100000,00000,1000,00000(PATIENT DAYS) 6828,B100000,00000,1100,00000(COSTED REQUIS) 6828,B100000,00000,1200,00000(TOTAL CHARGES) 6828,B100000,00000,1300,00000(PATIENT DAYS) 6828,B100000,00000,1301,00000(PATIENT DAYS) 6828,B100000,00000,1400,00000(ASSIGNED TIME) 6828,E10A180,00301,0100,01/27/1999 6828,E10A180,00302,0100,06/14/1999 6828,E10A180,00352,0100,10/08/1999 6828,E10A180,00353,0100,12/09/1999 6828,E10A180,00354,0100,02/14/2000 6828,S000000,00100,0200,06/02/2000 6828,S200000,00100,0100,RD #3 6828,S200000,00200,0100,TUNKHANNOCK 6828,S200000,00200,0200,PA 6828,S200000,00200,0300,18657 6828,S200000,00300,0100,WYOMING 6828,S200000,00400,0100,CARPENTERS CARE CTR A - (2315) 6828,S200000,00400,0200,395433 6828,S200000,00400,0300,07/01/1985 6828,S200000,00400,0500,P 6828,S200000,00600,0200,395433 6828,S200000,00600,0300,07/01/1985 6828,S200000,00600,0600,P 6828,S200000,01600,0100,Y 6831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6831,A000000,00300,0000,00300EMPLOYEE BENEFITS 6831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6831,A000000,00700,0000,00700HOUSEKEEPING 6831,A000000,00800,0000,00800DIETARY 6831,A000000,00900,0000,00900NURSING ADMINISTRATION 6831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6831,A000000,01100,0000,01100PHARMACY 6831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6831,A000000,01300,0000,01300SOCIAL SERVICE 6831,A000000,01301,0000,01301ACTIVITIES 6831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6831,A000000,01600,0000,01600SKILLED NURSING FACILITY 6831,A000000,01800,0000,01800NURSING FACILITY 6831,A000000,01810,0000,01810ICF/MR 6831,A000000,02100,0000,02100RADIOLOGY 6831,A000000,02200,0000,02200LABORATORY 6831,A000000,02500,0000,02500PHYSICAL THERAPY 6831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6831,A000000,02700,0000,02700SPEECH PATHOLOGY 6831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6831,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6831,A000000,03550,0000,03550FQHC 6831,A000000,05000,0000,05000CORF 6831,A000000,05010,0000,05010CMHC 6831,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6831,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6831,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6831,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6831,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6831,A81000A,00100,0100,Y 6831,A81000B,00100,0300,HOME OFFICE COST 6831,A81000B,00400,0300,HOME OFFICE COST 6831,A81000B,00500,0300,HOME OFFICE COST 6831,A81000B,00600,0300,HOME OFFICE COST 6831,A81000B,00800,0300,HOME OFFICE COST 6831,A81000C,00100,0100,B 6831,A81000C,00100,0200,BEVERLY ENTERPR 6831,B100000,00000,0100,00000(SQUARE FEET) 6831,B100000,00000,0200,00000(SQUARE FEET) 6831,B100000,00000,0300,00000(ADJUSTED SALARIES) 6831,B100000,00000,0400,00000(ACCUM. COST) 6831,B100000,00000,0500,00000(SQUARE FEET) 6831,B100000,00000,0600,00000(PATIENT DAYS) 6831,B100000,00000,0700,00000(SQUARE FEET) 6831,B100000,00000,0800,00000(MEALS SERVED) 6831,B100000,00000,0900,00000(ADJUSTED SALARIES) 6831,B100000,00000,1000,00000(PATIENT DAYS) 6831,B100000,00000,1100,00000(COSTED REQUIS) 6831,B100000,00000,1200,00000(TOTAL CHARGES) 6831,B100000,00000,1300,00000(PATIENT DAYS) 6831,B100000,00000,1301,00000(PATIENT DAYS) 6831,B100000,00000,1400,00000(ASSIGNED TIME) 6831,E10A180,00301,0100,01/27/1999 6831,E10A180,00351,0100,06/14/1999 6831,E10A180,00352,0100,10/08/1999 6831,E10A180,00353,0100,12/09/1999 6831,E10A180,00354,0100,02/14/2000 6831,S000000,00100,0200,06/02/2000 6831,S200000,00100,0100,350 OLD GILKESON RD 6831,S200000,00200,0100,MT LEBANON 6831,S200000,00200,0200,PA 6831,S200000,00200,0300,15228 6831,S200000,00300,0100,ALLEGHENY 6831,S200000,00400,0100,BEVERLY HEALTHCARE-MT LEBANON MANOR 6831,S200000,00400,0200,395434 6831,S200000,00400,0300,01/01/1982 6831,S200000,00400,0500,P 6831,S200000,00600,0200,395434 6831,S200000,00600,0300,01/01/1982 6831,S200000,00600,0600,P 6831,S200000,01600,0100,Y 6834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6834,A000000,00300,0000,00300EMPLOYEE BENEFITS 6834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6834,A000000,00700,0000,00700HOUSEKEEPING 6834,A000000,00800,0000,00800DIETARY 6834,A000000,00900,0000,00900NURSING ADMINISTRATION 6834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6834,A000000,01100,0000,01100PHARMACY 6834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6834,A000000,01300,0000,01300SOCIAL SERVICE 6834,A000000,01301,0000,01301ACTIVITIES 6834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6834,A000000,01600,0000,01600SKILLED NURSING FACILITY 6834,A000000,01800,0000,01800NURSING FACILITY 6834,A000000,01810,0000,01810ICF/MR 6834,A000000,02100,0000,02100RADIOLOGY 6834,A000000,02200,0000,02200LABORATORY 6834,A000000,02500,0000,02500PHYSICAL THERAPY 6834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6834,A000000,02700,0000,02700SPEECH PATHOLOGY 6834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6834,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6834,A000000,03550,0000,03550FQHC 6834,A000000,05000,0000,05000CORF 6834,A000000,05010,0000,05010CMHC 6834,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6834,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6834,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6834,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 6834,A81000A,00100,0100,Y 6834,A81000B,00100,0300,HOME OFFICE COST 6834,A81000B,00400,0300,HOME OFFICE COST 6834,A81000B,00500,0300,HOME OFFICE COST 6834,A81000B,00600,0300,HOME OFFICE COST 6834,A81000B,00800,0300,HOME OFFICE COST 6834,A81000C,00100,0100,B 6834,A81000C,00100,0200,BEVERLY ENTERPR 6834,B100000,00000,0100,00000(SQUARE FEET) 6834,B100000,00000,0200,00000(SQUARE FEET) 6834,B100000,00000,0300,00000(ADJUSTED SALARIES) 6834,B100000,00000,0400,00000(ACCUM. COST) 6834,B100000,00000,0500,00000(SQUARE FEET) 6834,B100000,00000,0600,00000(PATIENT DAYS) 6834,B100000,00000,0700,00000(SQUARE FEET) 6834,B100000,00000,0800,00000(MEALS SERVED) 6834,B100000,00000,0900,00000(ADJUSTED SALARIES) 6834,B100000,00000,1000,00000(PATIENT DAYS) 6834,B100000,00000,1100,00000(COSTED REQUIS) 6834,B100000,00000,1200,00000(TOTAL CHARGES) 6834,B100000,00000,1300,00000(PATIENT DAYS) 6834,B100000,00000,1301,00000(PATIENT DAYS) 6834,B100000,00000,1400,00000(ASSIGNED TIME) 6834,E10A180,00301,0100,01/27/1999 6834,E10A180,00351,0100,06/14/1999 6834,E10A180,00352,0100,10/08/1999 6834,E10A180,00353,0100,12/09/1999 6834,E10A180,00354,0100,02/14/2000 6834,S000000,00100,0200,06/02/2000 6834,S200000,00100,0100,50 N PENNSYLVANIA AVE 6834,S200000,00200,0100,WILKES-BARRE 6834,S200000,00200,0200,PA 6834,S200000,00200,0300,18701 6834,S200000,00300,0100,LUCERNE 6834,S200000,00400,0100,BEVERLY HEALTHCARE-SUMMIT 6834,S200000,00400,0200,395456 6834,S200000,00400,0300,08/01/1984 6834,S200000,00400,0500,P 6834,S200000,00600,0200,395456 6834,S200000,00600,0300,08/01/1984 6834,S200000,00600,0600,P 6834,S200000,01600,0100,Y 6837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6837,A000000,00300,0000,00300EMPLOYEE BENEFITS 6837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6837,A000000,00700,0000,00700HOUSEKEEPING 6837,A000000,00800,0000,00800DIETARY 6837,A000000,00900,0000,00900NURSING ADMINISTRATION 6837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6837,A000000,01100,0000,01100PHARMACY 6837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6837,A000000,01300,0000,01300SOCIAL SERVICE 6837,A000000,01301,0000,01301ACTIVITIES 6837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6837,A000000,01600,0000,01600SKILLED NURSING FACILITY 6837,A000000,01800,0000,01800NURSING FACILITY 6837,A000000,01810,0000,01810ICF/MR 6837,A000000,02200,0000,02200LABORATORY 6837,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6837,A000000,02500,0000,02500PHYSICAL THERAPY 6837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6837,A000000,02700,0000,02700SPEECH PATHOLOGY 6837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6837,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6837,A000000,03550,0000,03550FQHC 6837,A000000,05000,0000,05000CORF 6837,A000000,05010,0000,05010CMHC 6837,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6837,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6837,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6837,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6837,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6837,A81000A,00100,0100,Y 6837,A81000B,00100,0300,HOME OFFICE COST 6837,A81000B,00400,0300,HOME OFFICE COST 6837,A81000B,00500,0300,HOME OFFICE COST 6837,A81000B,00600,0300,HOME OFFICE COST 6837,A81000B,00800,0300,HOME OFFICE COST 6837,A81000C,00100,0100,B 6837,A81000C,00100,0200,BEVERLY ENTERPR 6837,B100000,00000,0100,00000(SQUARE FEET) 6837,B100000,00000,0200,00000(SQUARE FEET) 6837,B100000,00000,0300,00000(ADJUSTED SALARIES) 6837,B100000,00000,0400,00000(ACCUM. COST) 6837,B100000,00000,0500,00000(SQUARE FEET) 6837,B100000,00000,0600,00000(PATIENT DAYS) 6837,B100000,00000,0700,00000(SQUARE FEET) 6837,B100000,00000,0800,00000(MEALS SERVED) 6837,B100000,00000,0900,00000(ADJUSTED SALARIES) 6837,B100000,00000,1000,00000(PATIENT DAYS) 6837,B100000,00000,1100,00000(COSTED REQUIS) 6837,B100000,00000,1200,00000(TOTAL CHARGES) 6837,B100000,00000,1300,00000(PATIENT DAYS) 6837,B100000,00000,1301,00000(PATIENT DAYS) 6837,B100000,00000,1400,00000(ASSIGNED TIME) 6837,E10A180,00305,0100,02/14/2000 6837,E10A180,00350,0100,01/27/1999 6837,E10A180,00351,0100,06/14/1999 6837,E10A180,00352,0100,10/08/1999 6837,E10A180,00353,0100,12/09/1999 6837,S000000,00100,0200,06/02/2000 6837,S200000,00100,0100,1040 MARKET STREET 6837,S200000,00200,0100,SUNBURY 6837,S200000,00200,0200,PA 6837,S200000,00200,0300,17801 6837,S200000,00300,0100,NORTHUMBERLAND 6837,S200000,00400,0100,MANSION NURSING (296) B 6837,S200000,00400,0200,395482 6837,S200000,00400,0300,01/01/1983 6837,S200000,00400,0500,P 6837,S200000,00600,0200,395482 6837,S200000,00600,0300,01/01/1983 6837,S200000,00600,0600,P 6837,S200000,01600,0100,Y 6840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6840,A000000,00300,0000,00300EMPLOYEE BENEFITS 6840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6840,A000000,00700,0000,00700HOUSEKEEPING 6840,A000000,00800,0000,00800DIETARY 6840,A000000,00900,0000,00900NURSING ADMINISTRATION 6840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6840,A000000,01100,0000,01100PHARMACY 6840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6840,A000000,01300,0000,01300SOCIAL SERVICE 6840,A000000,01301,0000,01301ACTIVITIES 6840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6840,A000000,01600,0000,01600SKILLED NURSING FACILITY 6840,A000000,01800,0000,01800NURSING FACILITY 6840,A000000,01810,0000,01810ICF/MR 6840,A000000,02100,0000,02100RADIOLOGY 6840,A000000,02200,0000,02200LABORATORY 6840,A000000,02500,0000,02500PHYSICAL THERAPY 6840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6840,A000000,02700,0000,02700SPEECH PATHOLOGY 6840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6840,A000000,03550,0000,03550FQHC 6840,A000000,05000,0000,05000CORF 6840,A000000,05010,0000,05010CMHC 6840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6840,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 6840,A81000A,00100,0100,Y 6840,A81000B,00100,0300,HOME OFFICE COST 6840,A81000B,00400,0300,HOME OFFICE COST 6840,A81000B,00500,0300,HOME OFFICE COST 6840,A81000B,00600,0300,HOME OFFICE COST 6840,A81000B,00800,0300,HOME OFFICE COST 6840,A81000C,00100,0100,B 6840,A81000C,00100,0200,BEVERLY ENTERPR 6840,B100000,00000,0100,00000(SQUARE FEET) 6840,B100000,00000,0200,00000(SQUARE FEET) 6840,B100000,00000,0300,00000(ADJUSTED SALARIES) 6840,B100000,00000,0400,00000(ACCUM. COST) 6840,B100000,00000,0500,00000(SQUARE FEET) 6840,B100000,00000,0600,00000(PATIENT DAYS) 6840,B100000,00000,0700,00000(SQUARE FEET) 6840,B100000,00000,0800,00000(MEALS SERVED) 6840,B100000,00000,0900,00000(ADJUSTED SALARIES) 6840,B100000,00000,1000,00000(PATIENT DAYS) 6840,B100000,00000,1100,00000(COSTED REQUIS) 6840,B100000,00000,1200,00000(TOTAL CHARGES) 6840,B100000,00000,1300,00000(PATIENT DAYS) 6840,B100000,00000,1301,00000(PATIENT DAYS) 6840,B100000,00000,1400,00000(ASSIGNED TIME) 6840,E10A180,00303,0100,10/08/1999 6840,E10A180,00350,0100,01/27/1999 6840,E10A180,00351,0100,06/14/1999 6840,E10A180,00353,0100,12/09/1999 6840,E10A180,00354,0100,02/14/2000 6840,S000000,00100,0200,06/02/2000 6840,S200000,00100,0100,MOUNTAIN VIEW DR 6840,S200000,00200,0100,HILLSDALE 6840,S200000,00200,0200,PA 6840,S200000,00200,0300,15746 6840,S200000,00300,0100,INDIANA 6840,S200000,00400,0100,BEVERLY HEALTHCARE-MOUNTAIN VIEW 6840,S200000,00400,0200,395569 6840,S200000,00400,0300,07/01/1985 6840,S200000,00400,0500,P 6840,S200000,00600,0200,395569 6840,S200000,00600,0300,07/01/1985 6840,S200000,00600,0600,P 6840,S200000,01600,0100,Y 6843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6843,A000000,00300,0000,00300EMPLOYEE BENEFITS 6843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6843,A000000,00700,0000,00700HOUSEKEEPING 6843,A000000,00800,0000,00800DIETARY 6843,A000000,00900,0000,00900NURSING ADMINISTRATION 6843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6843,A000000,01100,0000,01100PHARMACY 6843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6843,A000000,01300,0000,01300SOCIAL SERVICE 6843,A000000,01301,0000,01301ACTIVITIES 6843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6843,A000000,01600,0000,01600SKILLED NURSING FACILITY 6843,A000000,01800,0000,01800NURSING FACILITY 6843,A000000,01810,0000,01810ICF/MR 6843,A000000,01900,0000,01900OTHER LONG TERM CARE 6843,A000000,02100,0000,02100RADIOLOGY 6843,A000000,02200,0000,02200LABORATORY 6843,A000000,02500,0000,02500PHYSICAL THERAPY 6843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6843,A000000,02700,0000,02700SPEECH PATHOLOGY 6843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6843,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6843,A000000,03550,0000,03550FQHC 6843,A000000,05000,0000,05000CORF 6843,A000000,05010,0000,05010CMHC 6843,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6843,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6843,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6843,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6843,A81000A,00100,0100,Y 6843,A81000B,00100,0300,HOME OFFICE COST 6843,A81000B,00400,0300,HOME OFFICE COST 6843,A81000B,00500,0300,HOME OFFICE COST 6843,A81000B,00600,0300,HOME OFFICE COST 6843,A81000B,00800,0300,HOME OFFICE COST 6843,A81000C,00100,0100,B 6843,A81000C,00100,0200,BEVERLY ENTERPR 6843,B100000,00000,0100,00000(SQUARE FEET) 6843,B100000,00000,0200,00000(SQUARE FEET) 6843,B100000,00000,0300,00000(ADJUSTED SALARIES) 6843,B100000,00000,0400,00000(ACCUM. COST) 6843,B100000,00000,0500,00000(SQUARE FEET) 6843,B100000,00000,0600,00000(PATIENT DAYS) 6843,B100000,00000,0700,00000(SQUARE FEET) 6843,B100000,00000,0800,00000(MEALS SERVED) 6843,B100000,00000,0900,00000(ADJUSTED SALARIES) 6843,B100000,00000,1000,00000(PATIENT DAYS) 6843,B100000,00000,1100,00000(COSTED REQUIS) 6843,B100000,00000,1200,00000(TOTAL CHARGES) 6843,B100000,00000,1300,00000(PATIENT DAYS) 6843,B100000,00000,1301,00000(PATIENT DAYS) 6843,B100000,00000,1400,00000(ASSIGNED TIME) 6843,E10A180,00302,0100,06/14/1999 6843,E10A180,00305,0100,02/14/2000 6843,E10A180,00350,0100,01/27/1999 6843,E10A180,00352,0100,10/08/1999 6843,E10A180,00353,0100,12/09/1999 6843,S000000,00100,0200,06/02/2000 6843,S200000,00100,0100,110 CANFIELD STREET 6843,S200000,00200,0100,CAMBRIDGE SPRINGS 6843,S200000,00200,0200,PA 6843,S200000,00200,0300,16403 6843,S200000,00300,0100,CRAWFORD 6843,S200000,00400,0100,BEVERLY HEALTHCARE-CAMBRIDGE SPRING 6843,S200000,00400,0200,395579 6843,S200000,00400,0300,03/01/1984 6843,S200000,00400,0500,P 6843,S200000,00600,0200,395579 6843,S200000,00600,0300,03/01/1984 6843,S200000,00600,0600,P 6843,S200000,01600,0100,Y 6846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6846,A000000,00300,0000,00300EMPLOYEE BENEFITS 6846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6846,A000000,00700,0000,00700HOUSEKEEPING 6846,A000000,00800,0000,00800DIETARY 6846,A000000,00900,0000,00900NURSING ADMINISTRATION 6846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6846,A000000,01100,0000,01100PHARMACY 6846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6846,A000000,01300,0000,01300SOCIAL SERVICE 6846,A000000,01301,0000,01301ACTIVITIES 6846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6846,A000000,01600,0000,01600SKILLED NURSING FACILITY 6846,A000000,01800,0000,01800NURSING FACILITY 6846,A000000,01810,0000,01810ICF/MR 6846,A000000,01900,0000,01900OTHER LONG TERM CARE 6846,A000000,02100,0000,02100RADIOLOGY 6846,A000000,02200,0000,02200LABORATORY 6846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6846,A000000,02500,0000,02500PHYSICAL THERAPY 6846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6846,A000000,02700,0000,02700SPEECH PATHOLOGY 6846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6846,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6846,A000000,03550,0000,03550FQHC 6846,A000000,05000,0000,05000CORF 6846,A000000,05010,0000,05010CMHC 6846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6846,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6846,A81000A,00100,0100,Y 6846,A81000B,00100,0300,HOME OFFICE COST 6846,A81000B,00400,0300,HOME OFFICE COST 6846,A81000B,00500,0300,HOME OFFICE COST 6846,A81000B,00600,0300,HOME OFFICE COST 6846,A81000B,00800,0300,HOME OFFICE COST 6846,A81000C,00100,0100,B 6846,A81000C,00100,0200,BEVERLY ENTERPR 6846,B100000,00000,0100,00000(SQUARE FEET) 6846,B100000,00000,0200,00000(SQUARE FEET) 6846,B100000,00000,0300,00000(ADJUSTED SALARIES) 6846,B100000,00000,0400,00000(ACCUM. COST) 6846,B100000,00000,0500,00000(SQUARE FEET) 6846,B100000,00000,0600,00000(PATIENT DAYS) 6846,B100000,00000,0700,00000(SQUARE FEET) 6846,B100000,00000,0800,00000(MEALS SERVED) 6846,B100000,00000,0900,00000(ADJUSTED SALARIES) 6846,B100000,00000,1000,00000(PATIENT DAYS) 6846,B100000,00000,1100,00000(COSTED REQUIS) 6846,B100000,00000,1200,00000(TOTAL CHARGES) 6846,B100000,00000,1300,00000(PATIENT DAYS) 6846,B100000,00000,1301,00000(PATIENT DAYS) 6846,B100000,00000,1400,00000(ASSIGNED TIME) 6846,E10A180,00301,0100,01/27/1999 6846,E10A180,00302,0100,06/14/1999 6846,E10A180,00303,0100,10/08/1999 6846,E10A180,00305,0100,02/14/2000 6846,E10A180,00353,0100,12/09/1999 6846,S000000,00100,0200,06/02/2000 6846,S200000,00100,0100,NORTH PARK AVE EXT. P. O. 6846,S200000,00200,0100,MEADVILLE 6846,S200000,00200,0200,PA 6846,S200000,00200,0300,16335 6846,S200000,00300,0100,CRAWFORD 6846,S200000,00400,0100,BEVERLY HEALTHCARE-MEADVILLE 6846,S200000,00400,0200,395588 6846,S200000,00400,0300,03/01/1984 6846,S200000,00400,0500,P 6846,S200000,00600,0200,395588 6846,S200000,00600,0300,03/01/1984 6846,S200000,00600,0600,P 6846,S200000,01600,0100,Y 6849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6849,A000000,00300,0000,00300EMPLOYEE BENEFITS 6849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6849,A000000,00700,0000,00700HOUSEKEEPING 6849,A000000,00800,0000,00800DIETARY 6849,A000000,00900,0000,00900NURSING ADMINISTRATION 6849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6849,A000000,01100,0000,01100PHARMACY 6849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6849,A000000,01300,0000,01300SOCIAL SERVICE 6849,A000000,01301,0000,01301ACTIVITIES 6849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6849,A000000,01600,0000,01600SKILLED NURSING FACILITY 6849,A000000,01800,0000,01800NURSING FACILITY 6849,A000000,01810,0000,01810ICF/MR 6849,A000000,02100,0000,02100RADIOLOGY 6849,A000000,02200,0000,02200LABORATORY 6849,A000000,02500,0000,02500PHYSICAL THERAPY 6849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6849,A000000,02700,0000,02700SPEECH PATHOLOGY 6849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6849,A000000,03550,0000,03550FQHC 6849,A000000,05000,0000,05000CORF 6849,A000000,05010,0000,05010CMHC 6849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6849,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6849,A81000A,00100,0100,Y 6849,A81000B,00100,0300,HOME OFFICE COST 6849,A81000B,00400,0300,HOME OFFICE COST 6849,A81000B,00500,0300,HOME OFFICE COST 6849,A81000B,00600,0300,HOME OFFICE COST 6849,A81000B,00800,0300,HOME OFFICE COST 6849,A81000C,00100,0100,B 6849,A81000C,00100,0200,BEVERLY ENTERPR 6849,B100000,00000,0100,00000(SQUARE FEET) 6849,B100000,00000,0200,00000(SQUARE FEET) 6849,B100000,00000,0300,00000(ADJUSTED SALARIES) 6849,B100000,00000,0400,00000(ACCUM. COST) 6849,B100000,00000,0500,00000(SQUARE FEET) 6849,B100000,00000,0600,00000(PATIENT DAYS) 6849,B100000,00000,0700,00000(SQUARE FEET) 6849,B100000,00000,0800,00000(MEALS SERVED) 6849,B100000,00000,0900,00000(ADJUSTED SALARIES) 6849,B100000,00000,1000,00000(PATIENT DAYS) 6849,B100000,00000,1100,00000(COSTED REQUIS) 6849,B100000,00000,1200,00000(TOTAL CHARGES) 6849,B100000,00000,1300,00000(PATIENT DAYS) 6849,B100000,00000,1301,00000(PATIENT DAYS) 6849,B100000,00000,1400,00000(ASSIGNED TIME) 6849,E10A180,00301,0100,01/27/1999 6849,E10A180,00304,0100,12/09/1999 6849,E10A180,00351,0100,06/14/1999 6849,E10A180,00352,0100,10/08/1999 6849,E10A180,00354,0100,02/14/2000 6849,S000000,00100,0200,06/02/2000 6849,S200000,00100,0100,3RD AVE EXTENSION 6849,S200000,00200,0100,HASTINGS 6849,S200000,00200,0200,PA 6849,S200000,00200,0300,16646 6849,S200000,00300,0100,CAMBRIA 6849,S200000,00400,0100,H.A.I.D.A. MANOR (772) B 6849,S200000,00400,0200,395592 6849,S200000,00400,0300,08/01/1984 6849,S200000,00400,0500,P 6849,S200000,00600,0200,395592 6849,S200000,00600,0300,08/01/1984 6849,S200000,00600,0600,P 6849,S200000,01600,0100,Y 6852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6852,A000000,00300,0000,00300EMPLOYEE BENEFITS 6852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6852,A000000,00700,0000,00700HOUSEKEEPING 6852,A000000,00800,0000,00800DIETARY 6852,A000000,00900,0000,00900NURSING ADMINISTRATION 6852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6852,A000000,01100,0000,01100PHARMACY 6852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6852,A000000,01300,0000,01300SOCIAL SERVICE 6852,A000000,01301,0000,01301ACTIVITIES 6852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6852,A000000,01600,0000,01600SKILLED NURSING FACILITY 6852,A000000,01800,0000,01800NURSING FACILITY 6852,A000000,01810,0000,01810ICF/MR 6852,A000000,01900,0000,01900OTHER LONG TERM CARE 6852,A000000,02100,0000,02100RADIOLOGY 6852,A000000,02200,0000,02200LABORATORY 6852,A000000,02500,0000,02500PHYSICAL THERAPY 6852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6852,A000000,02700,0000,02700SPEECH PATHOLOGY 6852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6852,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6852,A000000,03550,0000,03550FQHC 6852,A000000,05000,0000,05000CORF 6852,A000000,05010,0000,05010CMHC 6852,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6852,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6852,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6852,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6852,A81000A,00100,0100,Y 6852,A81000B,00100,0300,HOME OFFICE COST 6852,A81000B,00400,0300,HOME OFFICE COST 6852,A81000B,00500,0300,HOME OFFICE COST 6852,A81000B,00600,0300,HOME OFFICE COST 6852,A81000B,00800,0300,HOME OFFICE COST 6852,A81000C,00100,0100,B 6852,A81000C,00100,0200,BEVERLY ENTERPR 6852,B100000,00000,0100,00000(SQUARE FEET) 6852,B100000,00000,0200,00000(SQUARE FEET) 6852,B100000,00000,0300,00000(ADJUSTED SALARIES) 6852,B100000,00000,0400,00000(ACCUM. COST) 6852,B100000,00000,0500,00000(SQUARE FEET) 6852,B100000,00000,0600,00000(PATIENT DAYS) 6852,B100000,00000,0700,00000(SQUARE FEET) 6852,B100000,00000,0800,00000(MEALS SERVED) 6852,B100000,00000,0900,00000(ADJUSTED SALARIES) 6852,B100000,00000,1000,00000(PATIENT DAYS) 6852,B100000,00000,1100,00000(COSTED REQUIS) 6852,B100000,00000,1200,00000(TOTAL CHARGES) 6852,B100000,00000,1300,00000(PATIENT DAYS) 6852,B100000,00000,1301,00000(PATIENT DAYS) 6852,B100000,00000,1400,00000(ASSIGNED TIME) 6852,E10A180,00302,0100,06/14/1999 6852,E10A180,00303,0100,10/08/1999 6852,E10A180,00304,0100,12/09/1999 6852,E10A180,00305,0100,02/14/2000 6852,E10A180,00350,0100,01/27/1999 6852,S000000,00100,0200,06/02/2000 6852,S200000,00100,0100,1293 GRANDVIEW RD 6852,S200000,00200,0100,OIL CITY 6852,S200000,00200,0200,PA 6852,S200000,00200,0300,16301 6852,S200000,00300,0100,VENANGO 6852,S200000,00400,0100,BEVERLY HEALTHCARE-OIL CITY 6852,S200000,00400,0200,395594 6852,S200000,00400,0300,03/01/1984 6852,S200000,00400,0500,P 6852,S200000,00600,0200,395594 6852,S200000,00600,0300,03/01/1984 6852,S200000,00600,0600,P 6852,S200000,01600,0100,Y 6855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6855,A000000,00300,0000,00300EMPLOYEE BENEFITS 6855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6855,A000000,00700,0000,00700HOUSEKEEPING 6855,A000000,00800,0000,00800DIETARY 6855,A000000,00900,0000,00900NURSING ADMINISTRATION 6855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6855,A000000,01100,0000,01100PHARMACY 6855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6855,A000000,01300,0000,01300SOCIAL SERVICE 6855,A000000,01301,0000,01301ACTIVITIES 6855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6855,A000000,01600,0000,01600SKILLED NURSING FACILITY 6855,A000000,01800,0000,01800NURSING FACILITY 6855,A000000,01810,0000,01810ICF/MR 6855,A000000,02100,0000,02100RADIOLOGY 6855,A000000,02200,0000,02200LABORATORY 6855,A000000,02500,0000,02500PHYSICAL THERAPY 6855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6855,A000000,02700,0000,02700SPEECH PATHOLOGY 6855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6855,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6855,A000000,03550,0000,03550FQHC 6855,A000000,05000,0000,05000CORF 6855,A000000,05010,0000,05010CMHC 6855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6855,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6855,A81000A,00100,0100,Y 6855,A81000B,00100,0300,HOME OFFICE COST 6855,A81000B,00400,0300,HOME OFFICE COST 6855,A81000B,00500,0300,HOME OFFICE COST 6855,A81000B,00600,0300,HOME OFFICE COST 6855,A81000B,00800,0300,HOME OFFICE COST 6855,A81000C,00100,0100,B 6855,A81000C,00100,0200,BEVERLY ENTERPR 6855,B100000,00000,0100,00000(SQUARE FEET) 6855,B100000,00000,0200,00000(SQUARE FEET) 6855,B100000,00000,0300,00000(ADJUSTED SALARIES) 6855,B100000,00000,0400,00000(ACCUM. COST) 6855,B100000,00000,0500,00000(SQUARE FEET) 6855,B100000,00000,0600,00000(PATIENT DAYS) 6855,B100000,00000,0700,00000(SQUARE FEET) 6855,B100000,00000,0800,00000(MEALS SERVED) 6855,B100000,00000,0900,00000(ADJUSTED SALARIES) 6855,B100000,00000,1000,00000(PATIENT DAYS) 6855,B100000,00000,1100,00000(COSTED REQUIS) 6855,B100000,00000,1200,00000(TOTAL CHARGES) 6855,B100000,00000,1300,00000(PATIENT DAYS) 6855,B100000,00000,1301,00000(PATIENT DAYS) 6855,B100000,00000,1400,00000(ASSIGNED TIME) 6855,E10A180,00301,0100,01/27/1999 6855,E10A180,00302,0100,06/14/1999 6855,E10A180,00352,0100,10/08/1999 6855,E10A180,00353,0100,12/09/1999 6855,E10A180,00354,0100,02/14/2000 6855,S000000,00100,0200,06/02/2000 6855,S200000,00100,0100,512 S. PAINT BLVD. 6855,S200000,00200,0100,SHIPPENVILLE 6855,S200000,00200,0200,PA 6855,S200000,00200,0300,16254 6855,S200000,00300,0100,CLARION 6855,S200000,00400,0100,BEVERLY HEALTHCARE-SHIPPENVILLE 6855,S200000,00400,0200,395607 6855,S200000,00400,0300,11/07/1983 6855,S200000,00400,0500,P 6855,S200000,00600,0200,395607 6855,S200000,00600,0300,11/07/1983 6855,S200000,00600,0600,P 6855,S200000,01600,0100,Y 6858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6858,A000000,00300,0000,00300EMPLOYEE BENEFITS 6858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6858,A000000,00700,0000,00700HOUSEKEEPING 6858,A000000,00800,0000,00800DIETARY 6858,A000000,00900,0000,00900NURSING ADMINISTRATION 6858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6858,A000000,01100,0000,01100PHARMACY 6858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6858,A000000,01300,0000,01300SOCIAL SERVICE 6858,A000000,01301,0000,01301ACTIVITIES 6858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6858,A000000,01600,0000,01600SKILLED NURSING FACILITY 6858,A000000,01800,0000,01800NURSING FACILITY 6858,A000000,01810,0000,01810ICF/MR 6858,A000000,02100,0000,02100RADIOLOGY 6858,A000000,02200,0000,02200LABORATORY 6858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6858,A000000,02500,0000,02500PHYSICAL THERAPY 6858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6858,A000000,02700,0000,02700SPEECH PATHOLOGY 6858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6858,A000000,03550,0000,03550FQHC 6858,A000000,05000,0000,05000CORF 6858,A000000,05010,0000,05010CMHC 6858,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6858,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6858,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6858,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6858,A81000A,00100,0100,Y 6858,A81000B,00100,0300,HOME OFFICE COST 6858,A81000B,00400,0300,HOME OFFICE COST 6858,A81000B,00500,0300,HOME OFFICE COST 6858,A81000B,00600,0300,HOME OFFICE COST 6858,A81000B,00800,0300,HOME OFFICE COST 6858,A81000C,00100,0100,B 6858,A81000C,00100,0200,BEVERLY ENTERPR 6858,B100000,00000,0100,00000(SQUARE FEET) 6858,B100000,00000,0200,00000(SQUARE FEET) 6858,B100000,00000,0300,00000(ADJUSTED SALARIES) 6858,B100000,00000,0400,00000(ACCUM. COST) 6858,B100000,00000,0500,00000(SQUARE FEET) 6858,B100000,00000,0600,00000(PATIENT DAYS) 6858,B100000,00000,0700,00000(SQUARE FEET) 6858,B100000,00000,0800,00000(MEALS SERVED) 6858,B100000,00000,0900,00000(ADJUSTED SALARIES) 6858,B100000,00000,1000,00000(PATIENT DAYS) 6858,B100000,00000,1100,00000(COSTED REQUIS) 6858,B100000,00000,1200,00000(TOTAL CHARGES) 6858,B100000,00000,1300,00000(PATIENT DAYS) 6858,B100000,00000,1301,00000(PATIENT DAYS) 6858,B100000,00000,1400,00000(ASSIGNED TIME) 6858,E10A180,00305,0100,02/14/2000 6858,E10A180,00350,0100,01/27/1999 6858,E10A180,00351,0100,06/14/1999 6858,E10A180,00352,0100,10/08/1999 6858,E10A180,00353,0100,12/09/1999 6858,S000000,00100,0200,06/02/2000 6858,S200000,00100,0100,VO-TECH DR 6858,S200000,00200,0100,JOHNSTOWNE 6858,S200000,00200,0200,PA 6858,S200000,00200,0300,15904 6858,S200000,00300,0100,CAMBRIA 6858,S200000,00400,0100,BEVERLY HEALTHCARE-RICHLAND 6858,S200000,00400,0200,395610 6858,S200000,00400,0300,07/01/1984 6858,S200000,00400,0500,P 6858,S200000,00600,0200,395610 6858,S200000,00600,0300,07/01/1984 6858,S200000,00600,0600,P 6858,S200000,01600,0100,Y 6861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6861,A000000,00300,0000,00300EMPLOYEE BENEFITS 6861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6861,A000000,00700,0000,00700HOUSEKEEPING 6861,A000000,00800,0000,00800DIETARY 6861,A000000,00900,0000,00900NURSING ADMINISTRATION 6861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6861,A000000,01100,0000,01100PHARMACY 6861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6861,A000000,01300,0000,01300SOCIAL SERVICE 6861,A000000,01301,0000,01301ACTIVITIES 6861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6861,A000000,01600,0000,01600SKILLED NURSING FACILITY 6861,A000000,01800,0000,01800NURSING FACILITY 6861,A000000,01810,0000,01810ICF/MR 6861,A000000,01900,0000,01900OTHER LONG TERM CARE 6861,A000000,02100,0000,02100RADIOLOGY 6861,A000000,02200,0000,02200LABORATORY 6861,A000000,02500,0000,02500PHYSICAL THERAPY 6861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6861,A000000,02700,0000,02700SPEECH PATHOLOGY 6861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6861,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6861,A000000,03550,0000,03550FQHC 6861,A000000,05000,0000,05000CORF 6861,A000000,05010,0000,05010CMHC 6861,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6861,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6861,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6861,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6861,A81000A,00100,0100,Y 6861,A81000B,00100,0300,HOME OFFICE COST 6861,A81000B,00400,0300,HOME OFFICE COST 6861,A81000B,00500,0300,HOME OFFICE COST 6861,A81000B,00600,0300,HOME OFFICE COST 6861,A81000B,00800,0300,HOME OFFICE COST 6861,A81000C,00100,0100,B 6861,A81000C,00100,0200,BEVERLY ENTERPR 6861,B100000,00000,0100,00000(SQUARE FEET) 6861,B100000,00000,0200,00000(SQUARE FEET) 6861,B100000,00000,0300,00000(ADJUSTED SALARIES) 6861,B100000,00000,0400,00000(ACCUM. COST) 6861,B100000,00000,0500,00000(SQUARE FEET) 6861,B100000,00000,0600,00000(PATIENT DAYS) 6861,B100000,00000,0700,00000(SQUARE FEET) 6861,B100000,00000,0800,00000(MEALS SERVED) 6861,B100000,00000,0900,00000(ADJUSTED SALARIES) 6861,B100000,00000,1000,00000(PATIENT DAYS) 6861,B100000,00000,1100,00000(COSTED REQUIS) 6861,B100000,00000,1200,00000(TOTAL CHARGES) 6861,B100000,00000,1300,00000(PATIENT DAYS) 6861,B100000,00000,1301,00000(PATIENT DAYS) 6861,B100000,00000,1400,00000(ASSIGNED TIME) 6861,E10A180,00301,0100,01/27/1999 6861,E10A180,00351,0100,06/14/1999 6861,E10A180,00352,0100,10/08/1999 6861,E10A180,00353,0100,12/09/1999 6861,E10A180,00354,0100,02/14/2000 6861,S000000,00100,0200,06/02/2000 6861,S200000,00100,0100,ROAD #3 BOX 3559 6861,S200000,00200,0100,BIRDSBORO 6861,S200000,00200,0200,PA 6861,S200000,00200,0300,19508 6861,S200000,00300,0100,BERKS 6861,S200000,00400,0100,BEVERLY MANOR OF READING (269) 6861,S200000,00400,0200,395627 6861,S200000,00400,0300,10/03/1983 6861,S200000,00400,0500,P 6861,S200000,00600,0200,395627 6861,S200000,00600,0300,10/03/1983 6861,S200000,00600,0600,P 6861,S200000,01600,0100,Y 6864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6864,A000000,00300,0000,00300EMPLOYEE BENEFITS 6864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6864,A000000,00700,0000,00700HOUSEKEEPING 6864,A000000,00800,0000,00800DIETARY 6864,A000000,00900,0000,00900NURSING ADMINISTRATION 6864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6864,A000000,01100,0000,01100PHARMACY 6864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6864,A000000,01300,0000,01300SOCIAL SERVICE 6864,A000000,01301,0000,01301ACTIVITIES 6864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6864,A000000,01600,0000,01600SKILLED NURSING FACILITY 6864,A000000,01800,0000,01800NURSING FACILITY 6864,A000000,01810,0000,01810ICF/MR 6864,A000000,02100,0000,02100RADIOLOGY 6864,A000000,02200,0000,02200LABORATORY 6864,A000000,02500,0000,02500PHYSICAL THERAPY 6864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6864,A000000,02700,0000,02700SPEECH PATHOLOGY 6864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6864,A000000,03550,0000,03550FQHC 6864,A000000,05000,0000,05000CORF 6864,A000000,05010,0000,05010CMHC 6864,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6864,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6864,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6864,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6864,A81000A,00100,0100,Y 6864,A81000B,00100,0300,HOME OFFICE COST 6864,A81000B,00400,0300,HOME OFFICE COST 6864,A81000B,00500,0300,HOME OFFICE COST 6864,A81000B,00600,0300,HOME OFFICE COST 6864,A81000B,00800,0300,HOME OFFICE COST 6864,A81000C,00100,0100,B 6864,A81000C,00100,0200,BEVERLY ENTERPR 6864,B100000,00000,0100,00000(SQUARE FEET) 6864,B100000,00000,0200,00000(SQUARE FEET) 6864,B100000,00000,0300,00000(ADJUSTED SALARIES) 6864,B100000,00000,0400,00000(ACCUM. COST) 6864,B100000,00000,0500,00000(SQUARE FEET) 6864,B100000,00000,0600,00000(PATIENT DAYS) 6864,B100000,00000,0700,00000(SQUARE FEET) 6864,B100000,00000,0800,00000(MEALS SERVED) 6864,B100000,00000,0900,00000(ADJUSTED SALARIES) 6864,B100000,00000,1000,00000(PATIENT DAYS) 6864,B100000,00000,1100,00000(COSTED REQUIS) 6864,B100000,00000,1200,00000(TOTAL CHARGES) 6864,B100000,00000,1300,00000(PATIENT DAYS) 6864,B100000,00000,1301,00000(PATIENT DAYS) 6864,B100000,00000,1400,00000(ASSIGNED TIME) 6864,E10A180,00304,0100,12/09/1999 6864,E10A180,00305,0100,02/14/2000 6864,E10A180,00350,0100,01/27/1999 6864,E10A180,00351,0100,06/14/1999 6864,E10A180,00352,0100,10/08/1999 6864,S000000,00100,0200,06/02/2000 6864,S200000,00100,0100,210 HOSPITAL DR 6864,S200000,00200,0100,MEYERSDALE 6864,S200000,00200,0200,PA 6864,S200000,00200,0300,15552 6864,S200000,00300,0100,SOMERSET 6864,S200000,00400,0100,BEVERLY HEALTHCARE-MEYERSDALE 6864,S200000,00400,0200,395661 6864,S200000,00400,0300,07/01/1984 6864,S200000,00400,0500,P 6864,S200000,00600,0200,395661 6864,S200000,00600,0300,07/01/1984 6864,S200000,00600,0600,P 6864,S200000,01600,0100,Y 6867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6867,A000000,00300,0000,00300EMPLOYEE BENEFITS 6867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6867,A000000,00700,0000,00700HOUSEKEEPING 6867,A000000,00800,0000,00800DIETARY 6867,A000000,00900,0000,00900NURSING ADMINISTRATION 6867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6867,A000000,01100,0000,01100PHARMACY 6867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6867,A000000,01300,0000,01300SOCIAL SERVICE 6867,A000000,01301,0000,01301ACTIVITIES 6867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6867,A000000,01600,0000,01600SKILLED NURSING FACILITY 6867,A000000,01800,0000,01800NURSING FACILITY 6867,A000000,01810,0000,01810ICF/MR 6867,A000000,02100,0000,02100RADIOLOGY 6867,A000000,02200,0000,02200LABORATORY 6867,A000000,02500,0000,02500PHYSICAL THERAPY 6867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6867,A000000,02700,0000,02700SPEECH PATHOLOGY 6867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6867,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6867,A000000,03550,0000,03550FQHC 6867,A000000,05000,0000,05000CORF 6867,A000000,05010,0000,05010CMHC 6867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6867,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6867,A81000A,00100,0100,Y 6867,A81000B,00100,0300,HOME OFFICE COST 6867,A81000B,00400,0300,HOME OFFICE COST 6867,A81000B,00500,0300,HOME OFFICE COST 6867,A81000B,00600,0300,HOME OFFICE COST 6867,A81000B,00800,0300,HOME OFFICE COST 6867,A81000C,00100,0100,B 6867,A81000C,00100,0200,BEVERLY ENTERPR 6867,B100000,00000,0100,00000(SQUARE FEET) 6867,B100000,00000,0200,00000(SQUARE FEET) 6867,B100000,00000,0300,00000(ADJUSTED SALARIES) 6867,B100000,00000,0400,00000(ACCUM. COST) 6867,B100000,00000,0500,00000(SQUARE FEET) 6867,B100000,00000,0600,00000(PATIENT DAYS) 6867,B100000,00000,0700,00000(SQUARE FEET) 6867,B100000,00000,0800,00000(MEALS SERVED) 6867,B100000,00000,0900,00000(ADJUSTED SALARIES) 6867,B100000,00000,1000,00000(PATIENT DAYS) 6867,B100000,00000,1100,00000(COSTED REQUIS) 6867,B100000,00000,1200,00000(TOTAL CHARGES) 6867,B100000,00000,1300,00000(PATIENT DAYS) 6867,B100000,00000,1301,00000(PATIENT DAYS) 6867,B100000,00000,1400,00000(ASSIGNED TIME) 6867,E10A180,00302,0100,06/14/1999 6867,E10A180,00305,0100,02/14/2000 6867,E10A180,00350,0100,01/27/1999 6867,E10A180,00352,0100,10/08/1999 6867,E10A180,00353,0100,12/09/1999 6867,S000000,00100,0200,06/02/2000 6867,S200000,00100,0100,4142 MONROEVILLE BLVD 6867,S200000,00200,0100,MONROEVILLE 6867,S200000,00200,0200,PA 6867,S200000,00200,0300,15146 6867,S200000,00300,0100,ALLEGHENY 6867,S200000,00400,0100,BEVERLY HEALTHCARE-MONROEVILLE 6867,S200000,00400,0200,395670 6867,S200000,00400,0300,07/03/1984 6867,S200000,00400,0500,P 6867,S200000,00600,0200,395670 6867,S200000,00600,0300,07/03/1984 6867,S200000,00600,0600,P 6867,S200000,01600,0100,Y 6870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6870,A000000,00300,0000,00300EMPLOYEE BENEFITS 6870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6870,A000000,00700,0000,00700HOUSEKEEPING 6870,A000000,00800,0000,00800DIETARY 6870,A000000,00900,0000,00900NURSING ADMINISTRATION 6870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6870,A000000,01100,0000,01100PHARMACY 6870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6870,A000000,01300,0000,01300SOCIAL SERVICE 6870,A000000,01301,0000,01301ACTIVITIES 6870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6870,A000000,01600,0000,01600SKILLED NURSING FACILITY 6870,A000000,01800,0000,01800NURSING FACILITY 6870,A000000,01810,0000,01810ICF/MR 6870,A000000,02100,0000,02100RADIOLOGY 6870,A000000,02200,0000,02200LABORATORY 6870,A000000,02500,0000,02500PHYSICAL THERAPY 6870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6870,A000000,02700,0000,02700SPEECH PATHOLOGY 6870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6870,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6870,A000000,03550,0000,03550FQHC 6870,A000000,05000,0000,05000CORF 6870,A000000,05010,0000,05010CMHC 6870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6870,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6870,A81000A,00100,0100,Y 6870,A81000B,00100,0300,HOME OFFICE COST 6870,A81000B,00400,0300,HOME OFFICE COST 6870,A81000B,00500,0300,HOME OFFICE COST 6870,A81000B,00600,0300,HOME OFFICE COST 6870,A81000B,00800,0300,HOME OFFICE COST 6870,A81000C,00100,0100,B 6870,A81000C,00100,0200,BEVERLY ENTERPR 6870,B100000,00000,0100,00000(SQUARE FEET) 6870,B100000,00000,0200,00000(SQUARE FEET) 6870,B100000,00000,0300,00000(ADJUSTED SALARIES) 6870,B100000,00000,0400,00000(ACCUM. COST) 6870,B100000,00000,0500,00000(SQUARE FEET) 6870,B100000,00000,0600,00000(PATIENT DAYS) 6870,B100000,00000,0700,00000(SQUARE FEET) 6870,B100000,00000,0800,00000(MEALS SERVED) 6870,B100000,00000,0900,00000(ADJUSTED SALARIES) 6870,B100000,00000,1000,00000(PATIENT DAYS) 6870,B100000,00000,1100,00000(COSTED REQUIS) 6870,B100000,00000,1200,00000(TOTAL CHARGES) 6870,B100000,00000,1300,00000(PATIENT DAYS) 6870,B100000,00000,1301,00000(PATIENT DAYS) 6870,B100000,00000,1400,00000(ASSIGNED TIME) 6870,E10A180,00301,0100,01/27/1999 6870,E10A180,00304,0100,12/09/1999 6870,E10A180,00351,0100,06/14/1999 6870,E10A180,00352,0100,10/08/1999 6870,E10A180,00354,0100,02/14/2000 6870,S000000,00100,0200,06/02/2000 6870,S200000,00100,0100,WALNUT HILL 6870,S200000,00200,0100,UNIONTOWN 6870,S200000,00200,0200,PA 6870,S200000,00200,0300,15401 6870,S200000,00300,0100,FAYETTE 6870,S200000,00400,0100,BEVERLY HEALTHCARE-UNIONTOWN 6870,S200000,00400,0200,395674 6870,S200000,00400,0300,05/01/1984 6870,S200000,00400,0500,P 6870,S200000,00600,0200,395674 6870,S200000,00600,0300,05/01/1984 6870,S200000,00600,0600,P 6870,S200000,01600,0100,Y 6873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6873,A000000,00300,0000,00300EMPLOYEE BENEFITS 6873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6873,A000000,00700,0000,00700HOUSEKEEPING 6873,A000000,00800,0000,00800DIETARY 6873,A000000,00900,0000,00900NURSING ADMINISTRATION 6873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6873,A000000,01100,0000,01100PHARMACY 6873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6873,A000000,01300,0000,01300SOCIAL SERVICE 6873,A000000,01301,0000,01301ACTIVITIES 6873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6873,A000000,01600,0000,01600SKILLED NURSING FACILITY 6873,A000000,01800,0000,01800NURSING FACILITY 6873,A000000,01810,0000,01810ICF/MR 6873,A000000,02100,0000,02100RADIOLOGY 6873,A000000,02200,0000,02200LABORATORY 6873,A000000,02500,0000,02500PHYSICAL THERAPY 6873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6873,A000000,02700,0000,02700SPEECH PATHOLOGY 6873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6873,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 6873,A000000,03550,0000,03550FQHC 6873,A000000,05000,0000,05000CORF 6873,A000000,05010,0000,05010CMHC 6873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6873,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6873,A81000A,00100,0100,Y 6873,A81000B,00100,0300,HOME OFFICE COST 6873,A81000B,00400,0300,HOME OFFICE COST 6873,A81000B,00500,0300,HOME OFFICE COST 6873,A81000B,00600,0300,HOME OFFICE COST 6873,A81000B,00800,0300,HOME OFFICE COST 6873,A81000C,00100,0100,B 6873,A81000C,00100,0200,BEVERLY ENTERPR 6873,B100000,00000,0100,00000(SQUARE FEET) 6873,B100000,00000,0200,00000(SQUARE FEET) 6873,B100000,00000,0300,00000(ADJUSTED SALARIES) 6873,B100000,00000,0400,00000(ACCUM. COST) 6873,B100000,00000,0500,00000(SQUARE FEET) 6873,B100000,00000,0600,00000(PATIENT DAYS) 6873,B100000,00000,0700,00000(SQUARE FEET) 6873,B100000,00000,0800,00000(MEALS SERVED) 6873,B100000,00000,0900,00000(ADJUSTED SALARIES) 6873,B100000,00000,1000,00000(PATIENT DAYS) 6873,B100000,00000,1100,00000(COSTED REQUIS) 6873,B100000,00000,1200,00000(TOTAL CHARGES) 6873,B100000,00000,1300,00000(PATIENT DAYS) 6873,B100000,00000,1301,00000(PATIENT DAYS) 6873,B100000,00000,1400,00000(ASSIGNED TIME) 6873,E10A180,00301,0100,01/27/1999 6873,E10A180,00302,0100,06/14/1999 6873,E10A180,00303,0100,10/08/1999 6873,E10A180,00305,0100,02/14/2000 6873,E10A180,00353,0100,12/09/1999 6873,S000000,00100,0200,06/02/2000 6873,S200000,00100,0100,300 CENTER AVENUE 6873,S200000,00200,0100,WAYNESBURG 6873,S200000,00200,0200,PA 6873,S200000,00200,0300,15370 6873,S200000,00300,0100,GREENE 6873,S200000,00400,0100,BEVERLY HEALTHCARE-WAYNESBURG 6873,S200000,00400,0200,395675 6873,S200000,00400,0300,01/01/1988 6873,S200000,00400,0500,P 6873,S200000,00600,0200,395675 6873,S200000,00600,0300,01/01/1988 6873,S200000,00600,0600,P 6873,S200000,01600,0100,Y 6876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6876,A000000,00300,0000,00300EMPLOYEE BENEFITS 6876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6876,A000000,00700,0000,00700HOUSEKEEPING 6876,A000000,00800,0000,00800DIETARY 6876,A000000,00900,0000,00900NURSING ADMINISTRATION 6876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6876,A000000,01100,0000,01100PHARMACY 6876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6876,A000000,01300,0000,01300SOCIAL SERVICE 6876,A000000,01301,0000,01301ACTIVITIES 6876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6876,A000000,01600,0000,01600SKILLED NURSING FACILITY 6876,A000000,01800,0000,01800NURSING FACILITY 6876,A000000,01810,0000,01810ICF/MR 6876,A000000,02100,0000,02100RADIOLOGY 6876,A000000,02200,0000,02200LABORATORY 6876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6876,A000000,02500,0000,02500PHYSICAL THERAPY 6876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6876,A000000,02700,0000,02700SPEECH PATHOLOGY 6876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6876,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6876,A000000,03550,0000,03550FQHC 6876,A000000,05000,0000,05000CORF 6876,A000000,05010,0000,05010CMHC 6876,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6876,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6876,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6876,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6876,A81000A,00100,0100,Y 6876,A81000B,00100,0300,HOME OFFICE COST 6876,A81000B,00400,0300,HOME OFFICE COST 6876,A81000B,00500,0300,HOME OFFICE COST 6876,A81000B,00600,0300,HOME OFFICE COST 6876,A81000B,00800,0300,HOME OFFICE COST 6876,A81000C,00100,0100,B 6876,A81000C,00100,0200,BEVERLY ENTERPR 6876,B100000,00000,0100,00000(SQUARE FEET) 6876,B100000,00000,0200,00000(SQUARE FEET) 6876,B100000,00000,0300,00000(ADJUSTED SALARIES) 6876,B100000,00000,0400,00000(ACCUM. COST) 6876,B100000,00000,0500,00000(SQUARE FEET) 6876,B100000,00000,0600,00000(PATIENT DAYS) 6876,B100000,00000,0700,00000(SQUARE FEET) 6876,B100000,00000,0800,00000(MEALS SERVED) 6876,B100000,00000,0900,00000(ADJUSTED SALARIES) 6876,B100000,00000,1000,00000(PATIENT DAYS) 6876,B100000,00000,1100,00000(COSTED REQUIS) 6876,B100000,00000,1200,00000(TOTAL CHARGES) 6876,B100000,00000,1300,00000(PATIENT DAYS) 6876,B100000,00000,1301,00000(PATIENT DAYS) 6876,B100000,00000,1400,00000(ASSIGNED TIME) 6876,E10A180,00302,0100,06/14/1999 6876,E10A180,00304,0100,12/09/1999 6876,E10A180,00305,0100,02/14/2000 6876,E10A180,00350,0100,01/27/1999 6876,E10A180,00352,0100,10/08/1999 6876,S000000,00100,0200,06/02/2000 6876,S200000,00100,0100,101 E MOUNTAIN DR 6876,S200000,00200,0100,WILKES-BARRE 6876,S200000,00200,0200,PA 6876,S200000,00200,0300,18702 6876,S200000,00300,0100,LUZERNE 6876,S200000,00400,0100,EAST MOUNTAIN MANOR 6876,S200000,00400,0200,395706 6876,S200000,00400,0300,10/18/1985 6876,S200000,00400,0500,P 6876,S200000,00600,0200,395706 6876,S200000,00600,0300,10/18/1985 6876,S200000,00600,0600,P 6876,S200000,01600,0100,Y 6879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6879,A000000,00300,0000,00300EMPLOYEE BENEFITS 6879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6879,A000000,00700,0000,00700HOUSEKEEPING 6879,A000000,00800,0000,00800DIETARY 6879,A000000,00900,0000,00900NURSING ADMINISTRATION 6879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6879,A000000,01100,0000,01100PHARMACY 6879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6879,A000000,01300,0000,01300SOCIAL SERVICE 6879,A000000,01301,0000,01301ACTIVITIES 6879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6879,A000000,01600,0000,01600SKILLED NURSING FACILITY 6879,A000000,01800,0000,01800NURSING FACILITY 6879,A000000,01810,0000,01810ICF/MR 6879,A000000,01900,0000,01900OTHER LONG TERM CARE 6879,A000000,02100,0000,02100RADIOLOGY 6879,A000000,02200,0000,02200LABORATORY 6879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6879,A000000,02500,0000,02500PHYSICAL THERAPY 6879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6879,A000000,02700,0000,02700SPEECH PATHOLOGY 6879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6879,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6879,A000000,03550,0000,03550FQHC 6879,A000000,05000,0000,05000CORF 6879,A000000,05010,0000,05010CMHC 6879,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6879,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6879,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6879,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6879,A81000A,00100,0100,Y 6879,A81000B,00100,0300,HOME OFFICE COST 6879,A81000B,00400,0300,HOME OFFICE COST 6879,A81000B,00500,0300,HOME OFFICE COST 6879,A81000B,00600,0300,HOME OFFICE COST 6879,A81000B,00800,0300,HOME OFFICE COST 6879,A81000C,00100,0100,B 6879,A81000C,00100,0200,BEVERLY ENTERPR 6879,B100000,00000,0100,00000(SQUARE FEET) 6879,B100000,00000,0200,00000(SQUARE FEET) 6879,B100000,00000,0300,00000(ADJUSTED SALARIES) 6879,B100000,00000,0400,00000(ACCUM. COST) 6879,B100000,00000,0500,00000(SQUARE FEET) 6879,B100000,00000,0600,00000(PATIENT DAYS) 6879,B100000,00000,0700,00000(SQUARE FEET) 6879,B100000,00000,0800,00000(MEALS SERVED) 6879,B100000,00000,0900,00000(ADJUSTED SALARIES) 6879,B100000,00000,1000,00000(PATIENT DAYS) 6879,B100000,00000,1100,00000(COSTED REQUIS) 6879,B100000,00000,1200,00000(TOTAL CHARGES) 6879,B100000,00000,1300,00000(PATIENT DAYS) 6879,B100000,00000,1301,00000(PATIENT DAYS) 6879,B100000,00000,1400,00000(ASSIGNED TIME) 6879,E10A180,00305,0100,02/14/2000 6879,E10A180,00350,0100,01/27/1999 6879,E10A180,00351,0100,06/14/1999 6879,E10A180,00352,0100,10/08/1999 6879,E10A180,00353,0100,12/09/1999 6879,S000000,00100,0200,06/02/2000 6879,S200000,00100,0100,999 HEIDRICK STREET 6879,S200000,00200,0100,CLARION 6879,S200000,00200,0200,PA 6879,S200000,00200,0300,16214 6879,S200000,00300,0100,CLARION 6879,S200000,00400,0100,BEVERLY HEALTHCARE-CLARION 6879,S200000,00400,0200,395707 6879,S200000,00400,0300,03/01/1984 6879,S200000,00400,0500,P 6879,S200000,00600,0200,395707 6879,S200000,00600,0300,03/01/1984 6879,S200000,00600,0600,P 6879,S200000,01600,0100,Y 6882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6882,A000000,00300,0000,00300EMPLOYEE BENEFITS 6882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6882,A000000,00700,0000,00700HOUSEKEEPING 6882,A000000,00800,0000,00800DIETARY 6882,A000000,00900,0000,00900NURSING ADMINISTRATION 6882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6882,A000000,01100,0000,01100PHARMACY 6882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6882,A000000,01300,0000,01300SOCIAL SERVICE 6882,A000000,01301,0000,01301ACTIVITIES 6882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6882,A000000,01600,0000,01600SKILLED NURSING FACILITY 6882,A000000,01800,0000,01800NURSING FACILITY 6882,A000000,01810,0000,01810ICF/MR 6882,A000000,02100,0000,02100RADIOLOGY 6882,A000000,02200,0000,02200LABORATORY 6882,A000000,02500,0000,02500PHYSICAL THERAPY 6882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6882,A000000,02700,0000,02700SPEECH PATHOLOGY 6882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6882,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6882,A000000,03550,0000,03550FQHC 6882,A000000,05000,0000,05000CORF 6882,A000000,05010,0000,05010CMHC 6882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6882,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6882,A81000A,00100,0100,Y 6882,A81000B,00100,0300,HOME OFFICE COST 6882,A81000B,00400,0300,HOME OFFICE COST 6882,A81000B,00500,0300,HOME OFFICE COST 6882,A81000B,00600,0300,HOME OFFICE COST 6882,A81000B,00800,0300,HOME OFFICE COST 6882,A81000C,00100,0100,B 6882,A81000C,00100,0200,BEVERLY ENTERPR 6882,B100000,00000,0100,00000(SQUARE FEET) 6882,B100000,00000,0200,00000(SQUARE FEET) 6882,B100000,00000,0300,00000(ADJUSTED SALARIES) 6882,B100000,00000,0400,00000(ACCUM. COST) 6882,B100000,00000,0500,00000(SQUARE FEET) 6882,B100000,00000,0600,00000(PATIENT DAYS) 6882,B100000,00000,0700,00000(SQUARE FEET) 6882,B100000,00000,0800,00000(MEALS SERVED) 6882,B100000,00000,0900,00000(ADJUSTED SALARIES) 6882,B100000,00000,1000,00000(PATIENT DAYS) 6882,B100000,00000,1100,00000(COSTED REQUIS) 6882,B100000,00000,1200,00000(TOTAL CHARGES) 6882,B100000,00000,1300,00000(PATIENT DAYS) 6882,B100000,00000,1301,00000(PATIENT DAYS) 6882,B100000,00000,1400,00000(ASSIGNED TIME) 6882,E10A180,00302,0100,06/14/1999 6882,E10A180,00305,0100,02/14/2000 6882,E10A180,00350,0100,01/27/1999 6882,E10A180,00352,0100,10/08/1999 6882,E10A180,00353,0100,12/09/1999 6882,S000000,00100,0200,06/02/2000 6882,S200000,00100,0100,7310 STENTON AVE. 6882,S200000,00200,0100,PHILADELPHIA 6882,S200000,00200,0200,PA 6882,S200000,00200,0300,19159 6882,S200000,00300,0100,PHILADELPHIA 6882,S200000,00400,0100,STENTON HALL 6882,S200000,00400,0200,395764 6882,S200000,00400,0300,09/01/1988 6882,S200000,00400,0500,P 6882,S200000,00600,0200,395764 6882,S200000,00600,0300,09/01/1988 6882,S200000,00600,0600,P 6882,S200000,01600,0100,Y 6885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6885,A000000,00300,0000,00300EMPLOYEE BENEFITS 6885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6885,A000000,00700,0000,00700HOUSEKEEPING 6885,A000000,00800,0000,00800DIETARY 6885,A000000,00900,0000,00900NURSING ADMINISTRATION 6885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6885,A000000,01100,0000,01100PHARMACY 6885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6885,A000000,01300,0000,01300SOCIAL SERVICE 6885,A000000,01301,0000,01301ACTIVITIES 6885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6885,A000000,01600,0000,01600SKILLED NURSING FACILITY 6885,A000000,01800,0000,01800NURSING FACILITY 6885,A000000,01810,0000,01810ICF/MR 6885,A000000,02100,0000,02100RADIOLOGY 6885,A000000,02200,0000,02200LABORATORY 6885,A000000,02500,0000,02500PHYSICAL THERAPY 6885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6885,A000000,02700,0000,02700SPEECH PATHOLOGY 6885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6885,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6885,A000000,03550,0000,03550FQHC 6885,A000000,05000,0000,05000CORF 6885,A000000,05010,0000,05010CMHC 6885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6885,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 6885,A81000A,00100,0100,Y 6885,A81000B,00100,0300,HOME OFFICE COST 6885,A81000B,00400,0300,HOME OFFICE COST 6885,A81000B,00500,0300,HOME OFFICE COST 6885,A81000B,00600,0300,HOME OFFICE COST 6885,A81000B,00800,0300,HOME OFFICE COST 6885,A81000C,00100,0100,B 6885,A81000C,00100,0200,BEVERLY ENTERPR 6885,B100000,00000,0100,00000(SQUARE FEET) 6885,B100000,00000,0200,00000(SQUARE FEET) 6885,B100000,00000,0300,00000(ADJUSTED SALARIES) 6885,B100000,00000,0400,00000(ACCUM. COST) 6885,B100000,00000,0500,00000(SQUARE FEET) 6885,B100000,00000,0600,00000(PATIENT DAYS) 6885,B100000,00000,0700,00000(SQUARE FEET) 6885,B100000,00000,0800,00000(MEALS SERVED) 6885,B100000,00000,0900,00000(ADJUSTED SALARIES) 6885,B100000,00000,1000,00000(PATIENT DAYS) 6885,B100000,00000,1100,00000(COSTED REQUIS) 6885,B100000,00000,1200,00000(TOTAL CHARGES) 6885,B100000,00000,1300,00000(PATIENT DAYS) 6885,B100000,00000,1301,00000(PATIENT DAYS) 6885,B100000,00000,1400,00000(ASSIGNED TIME) 6885,E10A180,00301,0100,01/27/1999 6885,E10A180,00303,0100,10/08/1999 6885,E10A180,00305,0100,02/14/2000 6885,E10A180,00351,0100,06/14/1999 6885,E10A180,00353,0100,12/09/1999 6885,S000000,00100,0200,06/02/2000 6885,S200000,00100,0100,81 DILLON DRIVE 6885,S200000,00200,0100,TITUSVILLE 6885,S200000,00200,0200,PA 6885,S200000,00200,0300,16354 6885,S200000,00300,0100,TITUSVILLE 6885,S200000,00400,0100,BEVERLY HEALTHCARE-TITUSVILLE 6885,S200000,00400,0200,395901 6885,S200000,00400,0300,07/01/1993 6885,S200000,00400,0500,P 6885,S200000,00600,0200,395901 6885,S200000,00600,0300,07/01/1993 6885,S200000,00600,0600,P 6885,S200000,01600,0100,Y 6888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6888,A000000,00300,0000,00300EMPLOYEE BENEFITS 6888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6888,A000000,00700,0000,00700HOUSEKEEPING 6888,A000000,00800,0000,00800DIETARY 6888,A000000,00900,0000,00900NURSING ADMINISTRATION 6888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6888,A000000,01100,0000,01100PHARMACY 6888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6888,A000000,01300,0000,01300SOCIAL SERVICE 6888,A000000,01301,0000,01301ACTIVITIES 6888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6888,A000000,01600,0000,01600SKILLED NURSING FACILITY 6888,A000000,01800,0000,01800NURSING FACILITY 6888,A000000,01810,0000,01810ICF/MR 6888,A000000,02100,0000,02100RADIOLOGY 6888,A000000,02200,0000,02200LABORATORY 6888,A000000,02500,0000,02500PHYSICAL THERAPY 6888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6888,A000000,02700,0000,02700SPEECH PATHOLOGY 6888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6888,A000000,03550,0000,03550FQHC 6888,A000000,05000,0000,05000CORF 6888,A000000,05010,0000,05010CMHC 6888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6888,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6888,A81000A,00100,0100,Y 6888,A81000B,00100,0300,HOME OFFICE COST 6888,A81000B,00400,0300,HOME OFFICE COST 6888,A81000B,00500,0300,HOME OFFICE COST 6888,A81000B,00600,0300,HOME OFFICE COST 6888,A81000B,00800,0300,HOME OFFICE COST 6888,A81000C,00100,0100,B 6888,A81000C,00100,0200,BEVERLY ENTERPR 6888,B100000,00000,0100,00000(SQUARE FEET) 6888,B100000,00000,0200,00000(SQUARE FEET) 6888,B100000,00000,0300,00000(ADJUSTED SALARIES) 6888,B100000,00000,0400,00000(ACCUM. COST) 6888,B100000,00000,0500,00000(SQUARE FEET) 6888,B100000,00000,0600,00000(PATIENT DAYS) 6888,B100000,00000,0700,00000(SQUARE FEET) 6888,B100000,00000,0800,00000(MEALS SERVED) 6888,B100000,00000,0900,00000(ADJUSTED SALARIES) 6888,B100000,00000,1000,00000(PATIENT DAYS) 6888,B100000,00000,1100,00000(COSTED REQUIS) 6888,B100000,00000,1200,00000(TOTAL CHARGES) 6888,B100000,00000,1300,00000(PATIENT DAYS) 6888,B100000,00000,1301,00000(PATIENT DAYS) 6888,B100000,00000,1400,00000(ASSIGNED TIME) 6888,E10A180,00301,0100,01/27/1999 6888,E10A180,00304,0100,12/09/1999 6888,E10A180,00351,0100,06/14/1999 6888,E10A180,00352,0100,10/08/1999 6888,E10A180,00354,0100,02/14/2000 6888,S000000,00100,0200,06/02/2000 6888,S200000,00100,0100,121 CENTRAL AVE. 6888,S200000,00200,0100,WARREN 6888,S200000,00200,0200,PA 6888,S200000,00200,0300,16365 6888,S200000,00300,0100,WARREN 6888,S200000,00400,0100,BEVERLY HEALTHCARE-WARREN 6888,S200000,00400,0200,395924 6888,S200000,00400,0300,02/01/1994 6888,S200000,00400,0500,P 6888,S200000,00600,0200,395924 6888,S200000,00600,0300,02/01/1994 6888,S200000,00600,0600,P 6888,S200000,01600,0100,Y 6891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6891,A000000,00300,0000,00300EMPLOYEE BENEFITS 6891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6891,A000000,00700,0000,00700HOUSEKEEPING 6891,A000000,00800,0000,00800DIETARY 6891,A000000,00900,0000,00900NURSING ADMINISTRATION 6891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6891,A000000,01100,0000,01100PHARMACY 6891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6891,A000000,01300,0000,01300SOCIAL SERVICE 6891,A000000,01301,0000,01301ACTIVITIES 6891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6891,A000000,01600,0000,01600SKILLED NURSING FACILITY 6891,A000000,01800,0000,01800NURSING FACILITY 6891,A000000,01810,0000,01810ICF/MR 6891,A000000,02100,0000,02100RADIOLOGY 6891,A000000,02200,0000,02200LABORATORY 6891,A000000,02500,0000,02500PHYSICAL THERAPY 6891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6891,A000000,02700,0000,02700SPEECH PATHOLOGY 6891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6891,A000000,03550,0000,03550FQHC 6891,A000000,05000,0000,05000CORF 6891,A000000,05010,0000,05010CMHC 6891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6891,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6891,A81000A,00100,0100,Y 6891,A81000B,00100,0300,HOME OFFICE COST 6891,A81000B,00400,0300,HOME OFFICE COST 6891,A81000B,00500,0300,HOME OFFICE COST 6891,A81000B,00600,0300,HOME OFFICE COST 6891,A81000B,00800,0300,HOME OFFICE COST 6891,A81000C,00100,0100,B 6891,A81000C,00100,0200,BEVERLY ENTERPR 6891,B100000,00000,0100,00000(SQUARE FEET) 6891,B100000,00000,0200,00000(SQUARE FEET) 6891,B100000,00000,0300,00000(ADJUSTED SALARIES) 6891,B100000,00000,0400,00000(ACCUM. COST) 6891,B100000,00000,0500,00000(SQUARE FEET) 6891,B100000,00000,0600,00000(PATIENT DAYS) 6891,B100000,00000,0700,00000(SQUARE FEET) 6891,B100000,00000,0800,00000(MEALS SERVED) 6891,B100000,00000,0900,00000(ADJUSTED SALARIES) 6891,B100000,00000,1000,00000(PATIENT DAYS) 6891,B100000,00000,1100,00000(COSTED REQUIS) 6891,B100000,00000,1200,00000(TOTAL CHARGES) 6891,B100000,00000,1300,00000(PATIENT DAYS) 6891,B100000,00000,1301,00000(PATIENT DAYS) 6891,B100000,00000,1400,00000(ASSIGNED TIME) 6891,E10A180,00350,0100,01/27/1999 6891,E10A180,00351,0100,06/14/1999 6891,E10A180,00352,0100,10/08/1999 6891,E10A180,00353,0100,12/09/1999 6891,E10A180,00354,0100,02/14/2000 6891,S000000,00100,0200,06/02/2000 6891,S200000,00100,0100,123 DUPONT DRIVE 6891,S200000,00200,0100,AIKEN 6891,S200000,00200,0200,SC 6891,S200000,00200,0300,29801 6891,S200000,00300,0100,AIKEN 6891,S200000,00400,0100,AIKEN NURSING HOME (774) A 6891,S200000,00400,0200,425014 6891,S200000,00400,0300,07/01/1980 6891,S200000,00400,0500,P 6891,S200000,00600,0200,425014 6891,S200000,00600,0300,07/01/1980 6891,S200000,00600,0600,P 6891,S200000,01600,0100,Y 6894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6894,A000000,00300,0000,00300EMPLOYEE BENEFITS 6894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6894,A000000,00700,0000,00700HOUSEKEEPING 6894,A000000,00800,0000,00800DIETARY 6894,A000000,00900,0000,00900NURSING ADMINISTRATION 6894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6894,A000000,01100,0000,01100PHARMACY 6894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6894,A000000,01300,0000,01300SOCIAL SERVICE 6894,A000000,01301,0000,01301ACTIVITIES 6894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6894,A000000,01600,0000,01600SKILLED NURSING FACILITY 6894,A000000,01800,0000,01800NURSING FACILITY 6894,A000000,01810,0000,01810ICF/MR 6894,A000000,02500,0000,02500PHYSICAL THERAPY 6894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6894,A000000,02700,0000,02700SPEECH PATHOLOGY 6894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6894,A000000,03550,0000,03550FQHC 6894,A000000,05000,0000,05000CORF 6894,A000000,05010,0000,05010CMHC 6894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6894,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6894,A81000A,00100,0100,Y 6894,A81000B,00100,0300,HOME OFFICE COST 6894,A81000B,00400,0300,HOME OFFICE COST 6894,A81000B,00500,0300,HOME OFFICE COST 6894,A81000B,00600,0300,HOME OFFICE COST 6894,A81000B,00800,0300,HOME OFFICE COST 6894,A81000C,00100,0100,B 6894,A81000C,00100,0200,BEVERLY ENTERPR 6894,B100000,00000,0100,00000(SQUARE FEET) 6894,B100000,00000,0200,00000(SQUARE FEET) 6894,B100000,00000,0300,00000(ADJUSTED SALARIES) 6894,B100000,00000,0400,00000(ACCUM. COST) 6894,B100000,00000,0500,00000(SQUARE FEET) 6894,B100000,00000,0600,00000(PATIENT DAYS) 6894,B100000,00000,0700,00000(SQUARE FEET) 6894,B100000,00000,0800,00000(MEALS SERVED) 6894,B100000,00000,0900,00000(ADJUSTED SALARIES) 6894,B100000,00000,1000,00000(PATIENT DAYS) 6894,B100000,00000,1100,00000(COSTED REQUIS) 6894,B100000,00000,1200,00000(TOTAL CHARGES) 6894,B100000,00000,1300,00000(PATIENT DAYS) 6894,B100000,00000,1301,00000(PATIENT DAYS) 6894,B100000,00000,1400,00000(ASSIGNED TIME) 6894,E10A180,00301,0100,06/14/1999 6894,E10A180,00302,0100,10/08/1999 6894,E10A180,00303,0100,02/14/2000 6894,E10A180,00350,0100,01/27/1999 6894,E10A180,00351,0100,12/09/1999 6894,S000000,00100,0200,06/02/2000 6894,S200000,00100,0100,203 LAKESIDE DR 6894,S200000,00200,0100,DILLON 6894,S200000,00200,0200,SC 6894,S200000,00200,0300,29536 6894,S200000,00300,0100,DILLON 6894,S200000,00400,0100,THE PINES NURSING HOME 6894,S200000,00400,0200,425113 6894,S200000,00400,0300,04/01/1986 6894,S200000,00400,0500,P 6894,S200000,00600,0200,425113 6894,S200000,00600,0300,04/01/1986 6894,S200000,00600,0600,P 6894,S200000,01600,0100,Y 6899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6899,A000000,00300,0000,00300EMPLOYEE BENEFITS 6899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6899,A000000,00700,0000,00700HOUSEKEEPING 6899,A000000,00800,0000,00800DIETARY 6899,A000000,00900,0000,00900NURSING ADMINISTRATION 6899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6899,A000000,01100,0000,01100PHARMACY 6899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6899,A000000,01300,0000,01300SOCIAL SERVICE 6899,A000000,01301,0000,01301ACTIVITIES 6899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6899,A000000,01600,0000,01600SKILLED NURSING FACILITY 6899,A000000,01800,0000,01800NURSING FACILITY 6899,A000000,01810,0000,01810ICF/MR 6899,A000000,01900,0000,01900OTHER LONG TERM CARE 6899,A000000,02100,0000,02100RADIOLOGY 6899,A000000,02200,0000,02200LABORATORY 6899,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6899,A000000,02500,0000,02500PHYSICAL THERAPY 6899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6899,A000000,02700,0000,02700SPEECH PATHOLOGY 6899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6899,A000000,03550,0000,03550FQHC 6899,A000000,05000,0000,05000CORF 6899,A000000,05010,0000,05010CMHC 6899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6899,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6899,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 6899,A81000A,00100,0100,Y 6899,A81000B,00100,0300,HOME OFFICE COST 6899,A81000B,00400,0300,HOME OFFICE COST 6899,A81000B,00500,0300,HOME OFFICE COST 6899,A81000B,00600,0300,HOME OFFICE COST 6899,A81000B,00800,0300,HOME OFFICE COST 6899,A81000C,00100,0100,B 6899,A81000C,00100,0200,BEVERLY ENTERPR 6899,B100000,00000,0100,00000(SQUARE FEET) 6899,B100000,00000,0200,00000(SQUARE FEET) 6899,B100000,00000,0300,00000(ADJUSTED SALARIES) 6899,B100000,00000,0400,00000(ACCUM. COST) 6899,B100000,00000,0500,00000(SQUARE FEET) 6899,B100000,00000,0600,00000(PATIENT DAYS) 6899,B100000,00000,0700,00000(SQUARE FEET) 6899,B100000,00000,0800,00000(MEALS SERVED) 6899,B100000,00000,0900,00000(ADJUSTED SALARIES) 6899,B100000,00000,1000,00000(PATIENT DAYS) 6899,B100000,00000,1100,00000(COSTED REQUIS) 6899,B100000,00000,1200,00000(TOTAL CHARGES) 6899,B100000,00000,1300,00000(PATIENT DAYS) 6899,B100000,00000,1301,00000(PATIENT DAYS) 6899,B100000,00000,1400,00000(ASSIGNED TIME) 6899,E10A180,00301,0100,12/09/1999 6899,E10A180,00302,0100,02/14/2000 6899,E10A180,00350,0100,06/14/1999 6899,E10A180,00351,0100,10/08/1999 6899,S000000,00100,0200,06/02/2000 6899,S200000,00100,0100,1103 S 2ND ST 6899,S200000,00200,0100,MILBANK 6899,S200000,00200,0200,SD 6899,S200000,00200,0300,57252 6899,S200000,00300,0100,GRANT 6899,S200000,00400,0100,02415-WHETSTONE VALLEY A 6899,S200000,00400,0200,435009 6899,S200000,00400,0300,12/01/1985 6899,S200000,00400,0500,P 6899,S200000,00600,0200,435009 6899,S200000,00600,0300,12/01/1985 6899,S200000,00600,0600,P 6899,S200000,01600,0100,Y 6902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6902,A000000,00300,0000,00300EMPLOYEE BENEFITS 6902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6902,A000000,00700,0000,00700HOUSEKEEPING 6902,A000000,00800,0000,00800DIETARY 6902,A000000,00900,0000,00900NURSING ADMINISTRATION 6902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6902,A000000,01100,0000,01100PHARMACY 6902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6902,A000000,01300,0000,01300SOCIAL SERVICE 6902,A000000,01301,0000,01301ACTIVITIES 6902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6902,A000000,01600,0000,01600SKILLED NURSING FACILITY 6902,A000000,01800,0000,01800NURSING FACILITY 6902,A000000,01810,0000,01810ICF/MR 6902,A000000,02100,0000,02100RADIOLOGY 6902,A000000,02200,0000,02200LABORATORY 6902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6902,A000000,02500,0000,02500PHYSICAL THERAPY 6902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6902,A000000,02700,0000,02700SPEECH PATHOLOGY 6902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6902,A000000,03550,0000,03550FQHC 6902,A000000,05000,0000,05000CORF 6902,A000000,05010,0000,05010CMHC 6902,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6902,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6902,A81000A,00100,0100,Y 6902,A81000B,00100,0300,HOME OFFICE COST 6902,A81000B,00400,0300,HOME OFFICE COST 6902,A81000B,00500,0300,HOME OFFICE COST 6902,A81000B,00600,0300,HOME OFFICE COST 6902,A81000B,00800,0300,HOME OFFICE COST 6902,A81000C,00100,0100,B 6902,A81000C,00100,0200,BEVERLY ENTERPR 6902,B100000,00000,0100,00000(SQUARE FEET) 6902,B100000,00000,0200,00000(SQUARE FEET) 6902,B100000,00000,0300,00000(ADJUSTED SALARIES) 6902,B100000,00000,0400,00000(ACCUM. COST) 6902,B100000,00000,0500,00000(SQUARE FEET) 6902,B100000,00000,0600,00000(PATIENT DAYS) 6902,B100000,00000,0700,00000(SQUARE FEET) 6902,B100000,00000,0800,00000(MEALS SERVED) 6902,B100000,00000,0900,00000(ADJUSTED SALARIES) 6902,B100000,00000,1000,00000(PATIENT DAYS) 6902,B100000,00000,1100,00000(COSTED REQUIS) 6902,B100000,00000,1200,00000(TOTAL CHARGES) 6902,B100000,00000,1300,00000(PATIENT DAYS) 6902,B100000,00000,1301,00000(PATIENT DAYS) 6902,B100000,00000,1400,00000(ASSIGNED TIME) 6902,E10A180,00301,0100,01/27/1999 6902,E10A180,00302,0100,12/09/1999 6902,E10A180,00350,0100,06/14/1999 6902,E10A180,00351,0100,10/08/1999 6902,E10A180,00352,0100,02/14/2000 6902,S000000,00100,0200,06/02/2000 6902,S200000,00100,0100,3900 CATHIE DR 6902,S200000,00200,0100,SIOUX FALLS 6902,S200000,00200,0200,SD 6902,S200000,00200,0300,57106 6902,S200000,00300,0100,MINNEHAHA 6902,S200000,00400,0100,SIOUX FALLS CARE CTR (518) A 6902,S200000,00400,0200,435031 6902,S200000,00400,0300,10/01/1984 6902,S200000,00400,0500,P 6902,S200000,00600,0200,435031 6902,S200000,00600,0300,10/01/1984 6902,S200000,00600,0600,P 6902,S200000,01600,0100,Y 6905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6905,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6905,A000000,00300,0000,00300EMPLOYEE BENEFITS 6905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6905,A000000,00700,0000,00700HOUSEKEEPING 6905,A000000,00800,0000,00800DIETARY 6905,A000000,00900,0000,00900NURSING ADMINISTRATION 6905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6905,A000000,01100,0000,01100PHARMACY 6905,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6905,A000000,01300,0000,01300SOCIAL SERVICE 6905,A000000,01301,0000,01301ACTIVITIES 6905,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6905,A000000,01600,0000,01600SKILLED NURSING FACILITY 6905,A000000,01800,0000,01800NURSING FACILITY 6905,A000000,01810,0000,01810ICF/MR 6905,A000000,02100,0000,02100RADIOLOGY 6905,A000000,02200,0000,02200LABORATORY 6905,A000000,02500,0000,02500PHYSICAL THERAPY 6905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6905,A000000,02700,0000,02700SPEECH PATHOLOGY 6905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6905,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 6905,A000000,03550,0000,03550FQHC 6905,A000000,05000,0000,05000CORF 6905,A000000,05010,0000,05010CMHC 6905,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6905,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6905,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6905,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 6905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6905,A000000,06150,0000,06300OTHER NON REIMBURSABLE 6905,A81000A,00100,0100,Y 6905,A81000B,00100,0300,HOME OFFICE COST 6905,A81000B,00400,0300,HOME OFFICE COST 6905,A81000B,00500,0300,HOME OFFICE COST 6905,A81000B,00600,0300,HOME OFFICE COST 6905,A81000B,00800,0300,HOME OFFICE COST 6905,A81000C,00100,0100,B 6905,A81000C,00100,0200,BEVERLY ENTERPR 6905,B100000,00000,0100,00000(SQUARE FEET) 6905,B100000,00000,0200,00000(SQUARE FEET) 6905,B100000,00000,0300,00000(ADJUSTED SALARIES) 6905,B100000,00000,0400,00000(ACCUM. COST) 6905,B100000,00000,0500,00000(SQUARE FEET) 6905,B100000,00000,0600,00000(PATIENT DAYS) 6905,B100000,00000,0700,00000(SQUARE FEET) 6905,B100000,00000,0800,00000(MEALS SERVED) 6905,B100000,00000,0900,00000(ADJUSTED SALARIES) 6905,B100000,00000,1000,00000(PATIENT DAYS) 6905,B100000,00000,1100,00000(COSTED REQUIS) 6905,B100000,00000,1200,00000(TOTAL CHARGES) 6905,B100000,00000,1300,00000(PATIENT DAYS) 6905,B100000,00000,1301,00000(PATIENT DAYS) 6905,B100000,00000,1400,00000(ASSIGNED TIME) 6905,E10A180,00301,0100,12/09/1999 6905,E10A180,00302,0100,02/14/2000 6905,E10A180,00350,0100,06/14/1999 6905,E10A180,00351,0100,10/08/1999 6905,S000000,00100,0200,06/02/2000 6905,S200000,00100,0100,916 MOUNTAINVIEW RD 6905,S200000,00200,0100,RAPID CITY 6905,S200000,00200,0200,SD 6905,S200000,00200,0300,57701 6905,S200000,00300,0100,PENNINGTON 6905,S200000,00400,0100,02203 - RAPID CITY CARE CENTER 6905,S200000,00400,0200,435040 6905,S200000,00400,0300,09/01/1989 6905,S200000,00400,0500,P 6905,S200000,00600,0200,435040 6905,S200000,00600,0300,09/01/1989 6905,S200000,00600,0600,P 6905,S200000,01600,0100,Y 6908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6908,A000000,00300,0000,00300EMPLOYEE BENEFITS 6908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6908,A000000,00700,0000,00700HOUSEKEEPING 6908,A000000,00800,0000,00800DIETARY 6908,A000000,00900,0000,00900NURSING ADMINISTRATION 6908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6908,A000000,01100,0000,01100PHARMACY 6908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6908,A000000,01300,0000,01300SOCIAL SERVICE 6908,A000000,01301,0000,01301ACTIVITIES 6908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6908,A000000,01600,0000,01600SKILLED NURSING FACILITY 6908,A000000,01800,0000,01800NURSING FACILITY 6908,A000000,01810,0000,01810ICF/MR 6908,A000000,02100,0000,02100RADIOLOGY 6908,A000000,02200,0000,02200LABORATORY 6908,A000000,02500,0000,02500PHYSICAL THERAPY 6908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6908,A000000,02700,0000,02700SPEECH PATHOLOGY 6908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6908,A000000,03550,0000,03550FQHC 6908,A000000,05000,0000,05000CORF 6908,A000000,05010,0000,05010CMHC 6908,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6908,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6908,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6908,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6908,A81000A,00100,0100,Y 6908,A81000B,00100,0300,HOME OFFICE COST 6908,A81000B,00400,0300,HOME OFFICE COST 6908,A81000B,00500,0300,HOME OFFICE COST 6908,A81000B,00600,0300,HOME OFFICE COST 6908,A81000B,00800,0300,HOME OFFICE COST 6908,A81000C,00100,0100,B 6908,A81000C,00100,0200,BEVERLY ENTERPR 6908,B100000,00000,0100,00000(SQUARE FEET) 6908,B100000,00000,0200,00000(SQUARE FEET) 6908,B100000,00000,0300,00000(ADJUSTED SALARIES) 6908,B100000,00000,0400,00000(ACCUM. COST) 6908,B100000,00000,0500,00000(SQUARE FEET) 6908,B100000,00000,0600,00000(PATIENT DAYS) 6908,B100000,00000,0700,00000(SQUARE FEET) 6908,B100000,00000,0800,00000(MEALS SERVED) 6908,B100000,00000,0900,00000(ADJUSTED SALARIES) 6908,B100000,00000,1000,00000(PATIENT DAYS) 6908,B100000,00000,1100,00000(COSTED REQUIS) 6908,B100000,00000,1200,00000(TOTAL CHARGES) 6908,B100000,00000,1300,00000(PATIENT DAYS) 6908,B100000,00000,1301,00000(PATIENT DAYS) 6908,B100000,00000,1400,00000(ASSIGNED TIME) 6908,E10A180,00301,0100,01/27/1999 6908,E10A180,00350,0100,06/14/1999 6908,E10A180,00351,0100,10/08/1999 6908,E10A180,00352,0100,12/09/1999 6908,E10A180,00353,0100,02/14/2000 6908,S000000,00100,0200,06/02/2000 6908,S200000,00100,0100,950 EAST PARK STREET 6908,S200000,00200,0100,PIERRE 6908,S200000,00200,0200,SD 6908,S200000,00200,0300,57501 6908,S200000,00300,0100,HUGHES COUNTY 6908,S200000,00400,0100,MISSOURI VALLEY NURSING 6908,S200000,00400,0200,435047 6908,S200000,00400,0300,01/01/1991 6908,S200000,00400,0500,P 6908,S200000,00600,0200,435047 6908,S200000,00600,0300,01/01/1991 6908,S200000,00600,0600,P 6908,S200000,01600,0100,Y 6911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6911,A000000,00300,0000,00300EMPLOYEE BENEFITS 6911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6911,A000000,00700,0000,00700HOUSEKEEPING 6911,A000000,00800,0000,00800DIETARY 6911,A000000,00900,0000,00900NURSING ADMINISTRATION 6911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6911,A000000,01100,0000,01100PHARMACY 6911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6911,A000000,01300,0000,01300SOCIAL SERVICE 6911,A000000,01301,0000,01301ACTIVITIES 6911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6911,A000000,01600,0000,01600SKILLED NURSING FACILITY 6911,A000000,01800,0000,01800NURSING FACILITY 6911,A000000,01810,0000,01810ICF/MR 6911,A000000,02100,0000,02100RADIOLOGY 6911,A000000,02200,0000,02200LABORATORY 6911,A000000,02500,0000,02500PHYSICAL THERAPY 6911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6911,A000000,02700,0000,02700SPEECH PATHOLOGY 6911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6911,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6911,A000000,03550,0000,03550FQHC 6911,A000000,05000,0000,05000CORF 6911,A000000,05010,0000,05010CMHC 6911,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6911,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6911,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6911,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6911,A81000A,00100,0100,Y 6911,A81000B,00100,0300,HOME OFFICE COST 6911,A81000B,00400,0300,HOME OFFICE COST 6911,A81000B,00500,0300,HOME OFFICE COST 6911,A81000B,00600,0300,HOME OFFICE COST 6911,A81000B,00800,0300,HOME OFFICE COST 6911,A81000C,00100,0100,B 6911,A81000C,00100,0200,BEVERLY ENTERPR 6911,B100000,00000,0100,00000(SQUARE FEET) 6911,B100000,00000,0200,00000(SQUARE FEET) 6911,B100000,00000,0300,00000(ADJUSTED SALARIES) 6911,B100000,00000,0400,00000(ACCUM. COST) 6911,B100000,00000,0500,00000(SQUARE FEET) 6911,B100000,00000,0600,00000(PATIENT DAYS) 6911,B100000,00000,0700,00000(SQUARE FEET) 6911,B100000,00000,0800,00000(MEALS SERVED) 6911,B100000,00000,0900,00000(ADJUSTED SALARIES) 6911,B100000,00000,1000,00000(PATIENT DAYS) 6911,B100000,00000,1100,00000(COSTED REQUIS) 6911,B100000,00000,1200,00000(TOTAL CHARGES) 6911,B100000,00000,1300,00000(PATIENT DAYS) 6911,B100000,00000,1301,00000(PATIENT DAYS) 6911,B100000,00000,1400,00000(ASSIGNED TIME) 6911,E10A180,00301,0100,06/14/1999 6911,E10A180,00302,0100,10/08/1999 6911,E10A180,00350,0100,01/27/1999 6911,E10A180,00351,0100,12/09/1999 6911,E10A180,00352,0100,02/14/2000 6911,S000000,00100,0200,06/02/2000 6911,S200000,00100,0100,1106 SECOND STREET NORTH 6911,S200000,00200,0100,GROTON 6911,S200000,00200,0200,SD 6911,S200000,00200,0300,57445 6911,S200000,00300,0100,BROWN 6911,S200000,00400,0100,COLONIAL MANOR OF GROTON 6911,S200000,00400,0200,435048 6911,S200000,00400,0300,01/01/1991 6911,S200000,00400,0500,P 6911,S200000,00600,0200,435048 6911,S200000,00600,0300,01/01/1991 6911,S200000,00600,0600,P 6911,S200000,01600,0100,Y 6914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6914,A000000,00300,0000,00300EMPLOYEE BENEFITS 6914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6914,A000000,00700,0000,00700HOUSEKEEPING 6914,A000000,00800,0000,00800DIETARY 6914,A000000,00900,0000,00900NURSING ADMINISTRATION 6914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6914,A000000,01100,0000,01100PHARMACY 6914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6914,A000000,01300,0000,01300SOCIAL SERVICE 6914,A000000,01301,0000,01301ACTIVITIES 6914,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6914,A000000,01600,0000,01600SKILLED NURSING FACILITY 6914,A000000,01800,0000,01800NURSING FACILITY 6914,A000000,01810,0000,01810ICF/MR 6914,A000000,02100,0000,02100RADIOLOGY 6914,A000000,02200,0000,02200LABORATORY 6914,A000000,02500,0000,02500PHYSICAL THERAPY 6914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6914,A000000,02700,0000,02700SPEECH PATHOLOGY 6914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6914,A000000,03550,0000,03550FQHC 6914,A000000,05000,0000,05000CORF 6914,A000000,05010,0000,05010CMHC 6914,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6914,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6914,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6914,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6914,A81000A,00100,0100,Y 6914,A81000B,00100,0300,HOME OFFICE COST 6914,A81000B,00400,0300,HOME OFFICE COST 6914,A81000B,00500,0300,HOME OFFICE COST 6914,A81000B,00600,0300,HOME OFFICE COST 6914,A81000B,00800,0300,HOME OFFICE COST 6914,A81000C,00100,0100,B 6914,A81000C,00100,0200,BEVERLY ENTERPR 6914,B100000,00000,0100,00000(SQUARE FEET) 6914,B100000,00000,0200,00000(SQUARE FEET) 6914,B100000,00000,0300,00000(ADJUSTED SALARIES) 6914,B100000,00000,0400,00000(ACCUM. COST) 6914,B100000,00000,0500,00000(SQUARE FEET) 6914,B100000,00000,0600,00000(PATIENT DAYS) 6914,B100000,00000,0700,00000(SQUARE FEET) 6914,B100000,00000,0800,00000(MEALS SERVED) 6914,B100000,00000,0900,00000(ADJUSTED SALARIES) 6914,B100000,00000,1000,00000(PATIENT DAYS) 6914,B100000,00000,1100,00000(COSTED REQUIS) 6914,B100000,00000,1200,00000(TOTAL CHARGES) 6914,B100000,00000,1300,00000(PATIENT DAYS) 6914,B100000,00000,1301,00000(PATIENT DAYS) 6914,B100000,00000,1400,00000(ASSIGNED TIME) 6914,E10A180,00301,0100,01/27/1999 6914,E10A180,00302,0100,06/14/1999 6914,E10A180,00350,0100,10/08/1999 6914,E10A180,00351,0100,12/09/1999 6914,E10A180,00352,0100,02/14/2000 6914,S000000,00100,0200,06/02/2000 6914,S200000,00100,0100,500 COLONIAL DR BOX 460 6914,S200000,00200,0100,SALEM 6914,S200000,00200,0200,SD 6914,S200000,00200,0300,57058 6914,S200000,00300,0100,MCCOOK COUNTY 6914,S200000,00400,0100,COLONIAL MANOR OF SALEM 6914,S200000,00400,0200,435049 6914,S200000,00400,0300,01/01/1991 6914,S200000,00400,0500,P 6914,S200000,00600,0200,435049 6914,S200000,00600,0300,01/01/1991 6914,S200000,00600,0600,P 6914,S200000,01600,0100,Y 6917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6917,A000000,00300,0000,00300EMPLOYEE BENEFITS 6917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6917,A000000,00700,0000,00700HOUSEKEEPING 6917,A000000,00800,0000,00800DIETARY 6917,A000000,00900,0000,00900NURSING ADMINISTRATION 6917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6917,A000000,01100,0000,01100PHARMACY 6917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6917,A000000,01300,0000,01300SOCIAL SERVICE 6917,A000000,01301,0000,01301ACTIVITIES 6917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6917,A000000,01600,0000,01600SKILLED NURSING FACILITY 6917,A000000,01800,0000,01800NURSING FACILITY 6917,A000000,01810,0000,01810ICF/MR 6917,A000000,02200,0000,02200LABORATORY 6917,A000000,02500,0000,02500PHYSICAL THERAPY 6917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6917,A000000,02700,0000,02700SPEECH PATHOLOGY 6917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6917,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6917,A000000,03550,0000,03550FQHC 6917,A000000,05000,0000,05000CORF 6917,A000000,05010,0000,05010CMHC 6917,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6917,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6917,A81000A,00100,0100,Y 6917,A81000B,00100,0300,HOME OFFICE COST 6917,A81000B,00400,0300,HOME OFFICE COST 6917,A81000B,00500,0300,HOME OFFICE COST 6917,A81000B,00600,0300,HOME OFFICE COST 6917,A81000B,00800,0300,HOME OFFICE COST 6917,A81000C,00100,0100,B 6917,A81000C,00100,0200,BEVERLY ENTERPR 6917,B100000,00000,0100,00000(SQUARE FEET) 6917,B100000,00000,0200,00000(SQUARE FEET) 6917,B100000,00000,0300,00000(ADJUSTED SALARIES) 6917,B100000,00000,0400,00000(ACCUM. COST) 6917,B100000,00000,0500,00000(SQUARE FEET) 6917,B100000,00000,0600,00000(PATIENT DAYS) 6917,B100000,00000,0700,00000(SQUARE FEET) 6917,B100000,00000,0800,00000(MEALS SERVED) 6917,B100000,00000,0900,00000(ADJUSTED SALARIES) 6917,B100000,00000,1000,00000(PATIENT DAYS) 6917,B100000,00000,1100,00000(COSTED REQUIS) 6917,B100000,00000,1200,00000(TOTAL CHARGES) 6917,B100000,00000,1300,00000(PATIENT DAYS) 6917,B100000,00000,1301,00000(PATIENT DAYS) 6917,B100000,00000,1400,00000(ASSIGNED TIME) 6917,E10A180,00301,0100,12/09/1999 6917,E10A180,00302,0100,02/14/2000 6917,E10A180,00350,0100,01/27/1999 6917,E10A180,00351,0100,06/14/1999 6917,E10A180,00352,0100,10/08/1999 6917,S000000,00100,0200,06/02/2000 6917,S200000,00100,0100,403 NORTH FOURTH STREET 6917,S200000,00200,0100,ARLINGTON 6917,S200000,00200,0200,SD 6917,S200000,00200,0300,57212 6917,S200000,00300,0100,KINGSBURY 6917,S200000,00400,0100,ARLINGTON CARE CENTER 6917,S200000,00400,0200,435050 6917,S200000,00400,0300,01/01/1991 6917,S200000,00400,0500,P 6917,S200000,00600,0200,435050 6917,S200000,00600,0300,01/01/1991 6917,S200000,00600,0600,P 6917,S200000,01600,0100,Y 6920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6920,A000000,00300,0000,00300EMPLOYEE BENEFITS 6920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6920,A000000,00700,0000,00700HOUSEKEEPING 6920,A000000,00800,0000,00800DIETARY 6920,A000000,00900,0000,00900NURSING ADMINISTRATION 6920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6920,A000000,01100,0000,01100PHARMACY 6920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6920,A000000,01300,0000,01300SOCIAL SERVICE 6920,A000000,01301,0000,01301ACTIVITIES 6920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6920,A000000,01600,0000,01600SKILLED NURSING FACILITY 6920,A000000,01800,0000,01800NURSING FACILITY 6920,A000000,01810,0000,01810ICF/MR 6920,A000000,02100,0000,02100RADIOLOGY 6920,A000000,02200,0000,02200LABORATORY 6920,A000000,02500,0000,02500PHYSICAL THERAPY 6920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6920,A000000,02700,0000,02700SPEECH PATHOLOGY 6920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6920,A000000,03550,0000,03550FQHC 6920,A000000,05000,0000,05000CORF 6920,A000000,05010,0000,05010CMHC 6920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6920,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6920,A81000A,00100,0100,Y 6920,A81000B,00100,0300,HOME OFFICE COST 6920,A81000B,00400,0300,HOME OFFICE COST 6920,A81000B,00500,0300,HOME OFFICE COST 6920,A81000B,00600,0300,HOME OFFICE COST 6920,A81000B,00800,0300,HOME OFFICE COST 6920,A81000C,00100,0100,B 6920,A81000C,00100,0200,BEVERLY ENTERPR 6920,B100000,00000,0100,00000(SQUARE FEET) 6920,B100000,00000,0200,00000(SQUARE FEET) 6920,B100000,00000,0300,00000(ADJUSTED SALARIES) 6920,B100000,00000,0400,00000(ACCUM. COST) 6920,B100000,00000,0500,00000(SQUARE FEET) 6920,B100000,00000,0600,00000(PATIENT DAYS) 6920,B100000,00000,0700,00000(SQUARE FEET) 6920,B100000,00000,0800,00000(MEALS SERVED) 6920,B100000,00000,0900,00000(ADJUSTED SALARIES) 6920,B100000,00000,1000,00000(PATIENT DAYS) 6920,B100000,00000,1100,00000(COSTED REQUIS) 6920,B100000,00000,1200,00000(TOTAL CHARGES) 6920,B100000,00000,1300,00000(PATIENT DAYS) 6920,B100000,00000,1301,00000(PATIENT DAYS) 6920,B100000,00000,1400,00000(ASSIGNED TIME) 6920,S000000,00100,0200,06/02/2000 6920,S200000,00100,0100,2500 ARROWHEAD DRIVE 6920,S200000,00200,0100,RAPID CITY 6920,S200000,00200,0200,SD 6920,S200000,00200,0300,57702 6920,S200000,00300,0100,PENNINGTON 6920,S200000,00400,0100,MEADOWBROOK MANOR NURSING HOME 6920,S200000,00400,0200,435051 6920,S200000,00400,0300,01/01/1991 6920,S200000,00400,0500,P 6920,S200000,00600,0200,435051 6920,S200000,00600,0300,01/01/1991 6920,S200000,00600,0600,P 6920,S200000,01600,0100,Y 6925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6925,A000000,00300,0000,00300EMPLOYEE BENEFITS 6925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6925,A000000,00700,0000,00700HOUSEKEEPING 6925,A000000,00800,0000,00800DIETARY 6925,A000000,00900,0000,00900NURSING ADMINISTRATION 6925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6925,A000000,01100,0000,01100PHARMACY 6925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6925,A000000,01300,0000,01300SOCIAL SERVICE 6925,A000000,01301,0000,01301ACTIVITIES 6925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6925,A000000,01600,0000,01600SKILLED NURSING FACILITY 6925,A000000,01800,0000,01800NURSING FACILITY 6925,A000000,01810,0000,01810ICF/MR 6925,A000000,02100,0000,02100RADIOLOGY 6925,A000000,02200,0000,02200LABORATORY 6925,A000000,02500,0000,02500PHYSICAL THERAPY 6925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6925,A000000,02700,0000,02700SPEECH PATHOLOGY 6925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6925,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6925,A000000,03550,0000,03550FQHC 6925,A000000,05000,0000,05000CORF 6925,A000000,05010,0000,05010CMHC 6925,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6925,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6925,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6925,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6925,A81000A,00100,0100,Y 6925,A81000B,00100,0300,HOME OFFICE COST 6925,A81000B,00400,0300,HOME OFFICE COST 6925,A81000B,00500,0300,HOME OFFICE COST 6925,A81000B,00600,0300,HOME OFFICE COST 6925,A81000B,00800,0300,HOME OFFICE COST 6925,A81000C,00100,0100,B 6925,A81000C,00100,0200,BEVERLY ENTERPR 6925,B100000,00000,0100,00000(SQUARE FEET) 6925,B100000,00000,0200,00000(SQUARE FEET) 6925,B100000,00000,0300,00000(ADJUSTED SALARIES) 6925,B100000,00000,0400,00000(ACCUM. COST) 6925,B100000,00000,0500,00000(SQUARE FEET) 6925,B100000,00000,0600,00000(PATIENT DAYS) 6925,B100000,00000,0700,00000(SQUARE FEET) 6925,B100000,00000,0800,00000(MEALS SERVED) 6925,B100000,00000,0900,00000(ADJUSTED SALARIES) 6925,B100000,00000,1000,00000(PATIENT DAYS) 6925,B100000,00000,1100,00000(COSTED REQUIS) 6925,B100000,00000,1200,00000(TOTAL CHARGES) 6925,B100000,00000,1300,00000(PATIENT DAYS) 6925,B100000,00000,1301,00000(PATIENT DAYS) 6925,B100000,00000,1400,00000(ASSIGNED TIME) 6925,E10A180,00301,0100,12/09/1999 6925,E10A180,00350,0100,06/14/1999 6925,E10A180,00351,0100,10/08/1999 6925,E10A180,00352,0100,02/14/2000 6925,S000000,00100,0200,06/02/2000 6925,S200000,00100,0100,718 NORTHEAST EIGHTH STRE 6925,S200000,00200,0100,MADISON 6925,S200000,00200,0200,SD 6925,S200000,00200,0300,57042 6925,S200000,00300,0100,LAKE COUNTY 6925,S200000,00400,0100,EVERGREEN TERRACE HEALTHCARE CENTER 6925,S200000,00400,0200,435053 6925,S200000,00400,0300,02/01/1991 6925,S200000,00400,0500,P 6925,S200000,00600,0200,435053 6925,S200000,00600,0300,02/01/1991 6925,S200000,00600,0600,P 6925,S200000,01600,0100,Y 6928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6928,A000000,00300,0000,00300EMPLOYEE BENEFITS 6928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6928,A000000,00700,0000,00700HOUSEKEEPING 6928,A000000,00800,0000,00800DIETARY 6928,A000000,00900,0000,00900NURSING ADMINISTRATION 6928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6928,A000000,01100,0000,01100PHARMACY 6928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6928,A000000,01300,0000,01300SOCIAL SERVICE 6928,A000000,01301,0000,01301ACTIVITIES 6928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6928,A000000,01600,0000,01600SKILLED NURSING FACILITY 6928,A000000,01800,0000,01800NURSING FACILITY 6928,A000000,01810,0000,01810ICF/MR 6928,A000000,02100,0000,02100RADIOLOGY 6928,A000000,02200,0000,02200LABORATORY 6928,A000000,02500,0000,02500PHYSICAL THERAPY 6928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6928,A000000,02700,0000,02700SPEECH PATHOLOGY 6928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6928,A000000,03550,0000,03550FQHC 6928,A000000,05000,0000,05000CORF 6928,A000000,05010,0000,05010CMHC 6928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6928,A000000,06150,0000,06300OTHE NON REIMBURSABLE COSTS 6928,A81000A,00100,0100,Y 6928,A81000B,00100,0300,HOME OFFICE COST 6928,A81000B,00400,0300,HOME OFFICE COST 6928,A81000B,00500,0300,HOME OFFICE COST 6928,A81000B,00600,0300,HOME OFFICE COST 6928,A81000B,00800,0300,HOME OFFICE COST 6928,A81000C,00100,0100,B 6928,A81000C,00100,0200,BEVERLY ENTERPR 6928,B100000,00000,0100,00000(SQUARE FEET) 6928,B100000,00000,0200,00000(SQUARE FEET) 6928,B100000,00000,0300,00000(ADJUSTED SALARIES) 6928,B100000,00000,0400,00000(ACCUM. COST) 6928,B100000,00000,0500,00000(SQUARE FEET) 6928,B100000,00000,0600,00000(PATIENT DAYS) 6928,B100000,00000,0700,00000(SQUARE FEET) 6928,B100000,00000,0800,00000(MEALS SERVED) 6928,B100000,00000,0900,00000(ADJUSTED SALARIES) 6928,B100000,00000,1000,00000(PATIENT DAYS) 6928,B100000,00000,1100,00000(COSTED REQUIS) 6928,B100000,00000,1200,00000(TOTAL CHARGES) 6928,B100000,00000,1300,00000(PATIENT DAYS) 6928,B100000,00000,1301,00000(PATIENT DAYS) 6928,B100000,00000,1400,00000(ASSIGNED TIME) 6928,E10A180,00301,0100,01/27/1999 6928,E10A180,00350,0100,06/14/1999 6928,E10A180,00351,0100,10/08/1999 6928,E10A180,00352,0100,12/09/1999 6928,E10A180,00353,0100,02/14/2000 6928,S000000,00100,0200,06/02/2000 6928,S200000,00100,0100,1015 EAST THIRD STREET 6928,S200000,00200,0100,REDFIELD 6928,S200000,00200,0200,SD 6928,S200000,00200,0300,57469 6928,S200000,00300,0100,SPINK COUNTY 6928,S200000,00400,0100,JAMES VALLEY NURSING HOME 6928,S200000,00400,0200,435054 6928,S200000,00400,0300,02/01/1991 6928,S200000,00400,0500,P 6928,S200000,00600,0200,435054 6928,S200000,00600,0300,02/01/1991 6928,S200000,00600,0600,P 6928,S200000,01600,0100,Y 6931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6931,A000000,00300,0000,00300EMPLOYEE BENEFITS 6931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6931,A000000,00700,0000,00700HOUSEKEEPING 6931,A000000,00800,0000,00800DIETARY 6931,A000000,00900,0000,00900NURSING ADMINISTRATION 6931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6931,A000000,01100,0000,01100PHARMACY 6931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6931,A000000,01300,0000,01300SOCIAL SERVICE 6931,A000000,01301,0000,01301ACTIVITIES 6931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6931,A000000,01600,0000,01600SKILLED NURSING FACILITY 6931,A000000,01800,0000,01800NURSING FACILITY 6931,A000000,01810,0000,01810ICF/MR 6931,A000000,02100,0000,02100RADIOLOGY 6931,A000000,02200,0000,02200LABORATORY 6931,A000000,02500,0000,02500PHYSICAL THERAPY 6931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6931,A000000,02700,0000,02700SPEECH PATHOLOGY 6931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6931,A000000,03550,0000,03550FQHC 6931,A000000,05000,0000,05000CORF 6931,A000000,05010,0000,05010CMHC 6931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6931,A000000,06150,0000,06300OTHER NON REIMBURSALBE COST 6931,A81000A,00100,0100,Y 6931,A81000B,00100,0300,HOME OFFICE COST 6931,A81000B,00400,0300,HOME OFFICE COST 6931,A81000B,00500,0300,HOME OFFICE COST 6931,A81000B,00600,0300,HOME OFFICE COST 6931,A81000B,00800,0300,HOME OFFICE COST 6931,A81000C,00100,0100,B 6931,A81000C,00100,0200,BEVERLY ENTERPR 6931,B100000,00000,0100,00000(SQUARE FEET) 6931,B100000,00000,0200,00000(SQUARE FEET) 6931,B100000,00000,0300,00000(ADJUSTED SALARIES) 6931,B100000,00000,0400,00000(ACCUM. COST) 6931,B100000,00000,0500,00000(SQUARE FEET) 6931,B100000,00000,0600,00000(PATIENT DAYS) 6931,B100000,00000,0700,00000(SQUARE FEET) 6931,B100000,00000,0800,00000(MEALS SERVED) 6931,B100000,00000,0900,00000(ADJUSTED SALARIES) 6931,B100000,00000,1000,00000(PATIENT DAYS) 6931,B100000,00000,1100,00000(COSTED REQUIS) 6931,B100000,00000,1200,00000(TOTAL CHARGES) 6931,B100000,00000,1300,00000(PATIENT DAYS) 6931,B100000,00000,1301,00000(PATIENT DAYS) 6931,B100000,00000,1400,00000(ASSIGNED TIME) 6931,E10A180,00301,0100,06/14/1999 6931,E10A180,00302,0100,10/08/1999 6931,E10A180,00303,0100,02/14/2000 6931,E10A180,00350,0100,12/09/1999 6931,S000000,00100,0200,06/02/2000 6931,S200000,00100,0100,617 BLOEMENDAAL DRIVE 6931,S200000,00200,0100,IPSWICH 6931,S200000,00200,0200,SD 6931,S200000,00200,0300,57451 6931,S200000,00300,0100,EDMUNDS 6931,S200000,00400,0100,COLONIAL MANOR OF IPSWICH 6931,S200000,00400,0200,435055 6931,S200000,00400,0300,02/01/1991 6931,S200000,00400,0500,P 6931,S200000,00600,0200,435055 6931,S200000,00600,0300,02/01/1991 6931,S200000,00600,0600,P 6931,S200000,01600,0100,Y 6934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6934,A000000,00300,0000,00300EMPLOYEE BENEFITS 6934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6934,A000000,00700,0000,00700HOUSEKEEPING 6934,A000000,00800,0000,00800DIETARY 6934,A000000,00900,0000,00900NURSING ADMINISTRATION 6934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6934,A000000,01100,0000,01100PHARMACY 6934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6934,A000000,01300,0000,01300SOCIAL SERVICE 6934,A000000,01301,0000,01301ACTIVITIES 6934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6934,A000000,01600,0000,01600SKILLED NURSING FACILITY 6934,A000000,01800,0000,01800NURSING FACILITY 6934,A000000,01810,0000,01810ICF/MR 6934,A000000,02100,0000,02100RADIOLOGY 6934,A000000,02200,0000,02200LABORATORY 6934,A000000,02500,0000,02500PHYSICAL THERAPY 6934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6934,A000000,02700,0000,02700SPEECH PATHOLOGY 6934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6934,A000000,03550,0000,03550FQHC 6934,A000000,05000,0000,05000CORF 6934,A000000,05010,0000,05010CMHC 6934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6934,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6934,A81000A,00100,0100,Y 6934,A81000B,00100,0300,HOME OFFICE COST 6934,A81000B,00400,0300,HOME OFFICE COST 6934,A81000B,00500,0300,HOME OFFICE COST 6934,A81000B,00600,0300,HOME OFFICE COST 6934,A81000B,00800,0300,HOME OFFICE COST 6934,A81000C,00100,0100,B 6934,A81000C,00100,0200,BEVERLY ENTERPR 6934,B100000,00000,0100,00000(SQUARE FEET) 6934,B100000,00000,0200,00000(SQUARE FEET) 6934,B100000,00000,0300,00000(ADJUSTED SALARIES) 6934,B100000,00000,0400,00000(ACCUM. COST) 6934,B100000,00000,0500,00000(SQUARE FEET) 6934,B100000,00000,0600,00000(PATIENT DAYS) 6934,B100000,00000,0700,00000(SQUARE FEET) 6934,B100000,00000,0800,00000(MEALS SERVED) 6934,B100000,00000,0900,00000(ADJUSTED SALARIES) 6934,B100000,00000,1000,00000(PATIENT DAYS) 6934,B100000,00000,1100,00000(COSTED REQUIS) 6934,B100000,00000,1200,00000(TOTAL CHARGES) 6934,B100000,00000,1300,00000(PATIENT DAYS) 6934,B100000,00000,1301,00000(PATIENT DAYS) 6934,B100000,00000,1400,00000(ASSIGNED TIME) 6934,E10A180,00301,0100,01/27/1999 6934,E10A180,00350,0100,06/14/1999 6934,E10A180,00351,0100,10/08/1999 6934,E10A180,00352,0100,12/09/1999 6934,E10A180,00353,0100,02/14/2000 6934,S000000,00100,0200,06/02/2000 6934,S200000,00100,0100,HIGHWAY 281 P.O. BOX 489 6934,S200000,00200,0100,ARMOUR 6934,S200000,00200,0200,SD 6934,S200000,00200,0300,57313 6934,S200000,00300,0100,DOUGLASS 6934,S200000,00400,0100,COLONIAL MANOR ARMOUR 6934,S200000,00400,0200,435057 6934,S200000,00400,0300,02/01/1991 6934,S200000,00400,0500,P 6934,S200000,00600,0200,435057 6934,S200000,00600,0300,02/01/1991 6934,S200000,00600,0600,P 6934,S200000,01600,0100,Y 6937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6937,A000000,00300,0000,00300EMPLOYEE BENEFITS 6937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6937,A000000,00700,0000,00700HOUSEKEEPING 6937,A000000,00800,0000,00800DIETARY 6937,A000000,00900,0000,00900NURSING ADMINISTRATION 6937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6937,A000000,01100,0000,01100PHARMACY 6937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6937,A000000,01300,0000,01300SOCIAL SERVICE 6937,A000000,01301,0000,01301ACTIVITIES 6937,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6937,A000000,01600,0000,01600SKILLED NURSING FACILITY 6937,A000000,01800,0000,01800NURSING FACILITY 6937,A000000,01810,0000,01810ICF/MR 6937,A000000,02100,0000,02100RADIOLOGY 6937,A000000,02200,0000,02200LABORATORY 6937,A000000,02500,0000,02500PHYSICAL THERAPY 6937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6937,A000000,02700,0000,02700SPEECH PATHOLOGY 6937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6937,A000000,03050,0000,03300OTHER ACILLARY CONSOLIDATED BIL 6937,A000000,03550,0000,03550FQHC 6937,A000000,05000,0000,05000CORF 6937,A000000,05010,0000,05010CMHC 6937,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6937,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6937,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6937,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6937,A81000A,00100,0100,Y 6937,A81000B,00100,0300,HOME OFFICE COST 6937,A81000B,00400,0300,HOME OFFICE COST 6937,A81000B,00500,0300,HOME OFFICE COST 6937,A81000B,00600,0300,HOME OFFICE COST 6937,A81000B,00800,0300,HOME OFFICE COST 6937,A81000C,00100,0100,B 6937,A81000C,00100,0200,BEVERLY ENTERPR 6937,B100000,00000,0100,00000(SQUARE FEET) 6937,B100000,00000,0200,00000(SQUARE FEET) 6937,B100000,00000,0300,00000(ADJUSTED SALARIES) 6937,B100000,00000,0400,00000(ACCUM. COST) 6937,B100000,00000,0500,00000(SQUARE FEET) 6937,B100000,00000,0600,00000(PATIENT DAYS) 6937,B100000,00000,0700,00000(SQUARE FEET) 6937,B100000,00000,0800,00000(MEALS SERVED) 6937,B100000,00000,0900,00000(ADJUSTED SALARIES) 6937,B100000,00000,1000,00000(PATIENT DAYS) 6937,B100000,00000,1100,00000(COSTED REQUIS) 6937,B100000,00000,1200,00000(TOTAL CHARGES) 6937,B100000,00000,1300,00000(PATIENT DAYS) 6937,B100000,00000,1301,00000(PATIENT DAYS) 6937,B100000,00000,1400,00000(ASSIGNED TIME) 6937,E10A180,00301,0100,06/14/1999 6937,E10A180,00302,0100,10/08/1999 6937,E10A180,00303,0100,12/09/1999 6937,E10A180,00304,0100,02/14/2000 6937,E10A180,00350,0100,01/27/1999 6937,S000000,00100,0200,06/02/2000 6937,S200000,00100,0100,201 NW 8TH AVENUE 6937,S200000,00200,0100,CLARK 6937,S200000,00200,0200,SD 6937,S200000,00200,0300,57225 6937,S200000,00300,0100,CLARK 6937,S200000,00400,0100,CLARK CARE CENTER 6937,S200000,00400,0200,435058 6937,S200000,00400,0300,05/01/1991 6937,S200000,00400,0500,P 6937,S200000,00600,0200,435058 6937,S200000,00600,0300,05/01/1991 6937,S200000,00600,0600,P 6937,S200000,01600,0100,Y 6940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6940,A000000,00300,0000,00300EMPLOYEE BENEFITS 6940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6940,A000000,00700,0000,00700HOUSEKEEPING 6940,A000000,00800,0000,00800DIETARY 6940,A000000,00900,0000,00900NURSING ADMINISTRATION 6940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6940,A000000,01100,0000,01100PHARMACY 6940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6940,A000000,01300,0000,01300SOCIAL SERVICE 6940,A000000,01301,0000,01301ACTIVITIES 6940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6940,A000000,01600,0000,01600SKILLED NURSING FACILITY 6940,A000000,01800,0000,01800NURSING FACILITY 6940,A000000,01810,0000,01810ICF/MR 6940,A000000,02100,0000,02100RADIOLOGY 6940,A000000,02200,0000,02200LABORATORY 6940,A000000,02500,0000,02500PHYSICAL THERAPY 6940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6940,A000000,02700,0000,02700SPEECH PATHOLOGY 6940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6940,A000000,03550,0000,03550FQHC 6940,A000000,05000,0000,05000CORF 6940,A000000,05010,0000,05010CMHC 6940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6940,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6940,A81000A,00100,0100,Y 6940,A81000B,00100,0300,HOME OFFICE COST 6940,A81000B,00400,0300,HOME OFFICE COST 6940,A81000B,00500,0300,HOME OFFICE COST 6940,A81000B,00600,0300,HOME OFFICE COST 6940,A81000B,00800,0300,HOME OFFICE COST 6940,A81000C,00100,0100,B 6940,A81000C,00100,0200,BEVERLY ENTERPR 6940,B100000,00000,0100,00000(SQUARE FEET) 6940,B100000,00000,0200,00000(SQUARE FEET) 6940,B100000,00000,0300,00000(ADJUSTED SALARIES) 6940,B100000,00000,0400,00000(ACCUM. COST) 6940,B100000,00000,0500,00000(SQUARE FEET) 6940,B100000,00000,0600,00000(PATIENT DAYS) 6940,B100000,00000,0700,00000(SQUARE FEET) 6940,B100000,00000,0800,00000(MEALS SERVED) 6940,B100000,00000,0900,00000(ADJUSTED SALARIES) 6940,B100000,00000,1000,00000(PATIENT DAYS) 6940,B100000,00000,1100,00000(COSTED REQUIS) 6940,B100000,00000,1200,00000(TOTAL CHARGES) 6940,B100000,00000,1300,00000(PATIENT DAYS) 6940,B100000,00000,1301,00000(PATIENT DAYS) 6940,B100000,00000,1400,00000(ASSIGNED TIME) 6940,E10A180,00350,0100,06/14/1999 6940,E10A180,00351,0100,10/08/1999 6940,E10A180,00352,0100,12/09/1999 6940,E10A180,00353,0100,02/14/2000 6940,S000000,00100,0200,06/02/2000 6940,S200000,00100,0100,803 PARK STREET P.O. BOX 6940,S200000,00200,0100,LAKE NORDEN 6940,S200000,00200,0200,SD 6940,S200000,00200,0300,57248 6940,S200000,00300,0100,HAMLIN 6940,S200000,00400,0100,LAKE NORDEN CARE CENTER 6940,S200000,00400,0200,435059 6940,S200000,00400,0300,05/01/1991 6940,S200000,00400,0500,P 6940,S200000,00600,0200,435059 6940,S200000,00600,0300,05/01/1991 6940,S200000,00600,0600,P 6940,S200000,01600,0100,Y 6943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6943,A000000,00300,0000,00300EMPLOYEE BENEFITS 6943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6943,A000000,00700,0000,00700HOUSEKEEPING 6943,A000000,00800,0000,00800DIETARY 6943,A000000,00900,0000,00900NURSING ADMINISTRATION 6943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6943,A000000,01100,0000,01100PHARMACY 6943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6943,A000000,01300,0000,01300SOCIAL SERVICE 6943,A000000,01301,0000,01301ACTIVITIES 6943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6943,A000000,01600,0000,01600SKILLED NURSING FACILITY 6943,A000000,01800,0000,01800NURSING FACILITY 6943,A000000,01810,0000,01810ICF/MR 6943,A000000,02200,0000,02200LABORATORY 6943,A000000,02500,0000,02500PHYSICAL THERAPY 6943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6943,A000000,02700,0000,02700SPEECH PATHOLOGY 6943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6943,A000000,03550,0000,03550FQHC 6943,A000000,05000,0000,05000CORF 6943,A000000,05010,0000,05010CMHC 6943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6943,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6943,A81000A,00100,0100,Y 6943,A81000B,00100,0300,HOME OFFICE COST 6943,A81000B,00400,0300,HOME OFFICE COST 6943,A81000B,00500,0300,HOME OFFICE COST 6943,A81000B,00600,0300,HOME OFFICE COST 6943,A81000B,00800,0300,HOME OFFICE COST 6943,A81000C,00100,0100,B 6943,A81000C,00100,0200,BEVERLY ENTERPR 6943,B100000,00000,0100,00000(SQUARE FEET) 6943,B100000,00000,0200,00000(SQUARE FEET) 6943,B100000,00000,0300,00000(ADJUSTED SALARIES) 6943,B100000,00000,0400,00000(ACCUM. COST) 6943,B100000,00000,0500,00000(SQUARE FEET) 6943,B100000,00000,0600,00000(PATIENT DAYS) 6943,B100000,00000,0700,00000(SQUARE FEET) 6943,B100000,00000,0800,00000(MEALS SERVED) 6943,B100000,00000,0900,00000(ADJUSTED SALARIES) 6943,B100000,00000,1000,00000(PATIENT DAYS) 6943,B100000,00000,1100,00000(COSTED REQUIS) 6943,B100000,00000,1200,00000(TOTAL CHARGES) 6943,B100000,00000,1300,00000(PATIENT DAYS) 6943,B100000,00000,1301,00000(PATIENT DAYS) 6943,B100000,00000,1400,00000(ASSIGNED TIME) 6943,E10A180,00301,0100,06/14/1999 6943,E10A180,00302,0100,10/08/1999 6943,E10A180,00303,0100,12/09/1999 6943,E10A180,00304,0100,02/14/2000 6943,E10A180,00350,0100,01/27/1999 6943,S000000,00100,0200,06/02/2000 6943,S200000,00100,0100,302 ST CLOUD AVENUE 6943,S200000,00200,0100,RAPID CITY 6943,S200000,00200,0200,SD 6943,S200000,00200,0300,55701 6943,S200000,00300,0100,PENNINGTON 6943,S200000,00400,0100,BELLA VISTA NURSING HOME 6943,S200000,00400,0200,435060 6943,S200000,00400,0300,05/01/1991 6943,S200000,00400,0500,P 6943,S200000,00600,0200,435060 6943,S200000,00600,0300,05/01/1991 6943,S200000,00600,0600,P 6943,S200000,01600,0100,Y 6946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6946,A000000,00300,0000,00300EMPLOYEE BENEFITS 6946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6946,A000000,00700,0000,00700HOUSEKEEPING 6946,A000000,00800,0000,00800DIETARY 6946,A000000,00900,0000,00900NURSING ADMINISTRATION 6946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6946,A000000,01100,0000,01100PHARMACY 6946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6946,A000000,01300,0000,01300SOCIAL SERVICE 6946,A000000,01301,0000,01301ACTIVITIES 6946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6946,A000000,01600,0000,01600SKILLED NURSING FACILITY 6946,A000000,01800,0000,01800NURSING FACILITY 6946,A000000,01810,0000,01810ICF/MR 6946,A000000,02200,0000,02200LABORATORY 6946,A000000,02500,0000,02500PHYSICAL THERAPY 6946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6946,A000000,02700,0000,02700SPEECH PATHOLOGY 6946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6946,A000000,03550,0000,03550FQHC 6946,A000000,05000,0000,05000CORF 6946,A000000,05010,0000,05010CMHC 6946,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6946,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6946,A81000A,00100,0100,Y 6946,A81000B,00100,0300,HOME OFFICE COST 6946,A81000B,00400,0300,HOME OFFICE COST 6946,A81000B,00500,0300,HOME OFFICE COST 6946,A81000B,00600,0300,HOME OFFICE COST 6946,A81000B,00800,0300,HOME OFFICE COST 6946,A81000C,00100,0100,B 6946,A81000C,00100,0200,BEVERLY ENTERPR 6946,B100000,00000,0100,00000(SQUARE FEET) 6946,B100000,00000,0200,00000(SQUARE FEET) 6946,B100000,00000,0300,00000(ADJUSTED SALARIES) 6946,B100000,00000,0400,00000(ACCUM. COST) 6946,B100000,00000,0500,00000(SQUARE FEET) 6946,B100000,00000,0600,00000(PATIENT DAYS) 6946,B100000,00000,0700,00000(SQUARE FEET) 6946,B100000,00000,0800,00000(MEALS SERVED) 6946,B100000,00000,0900,00000(ADJUSTED SALARIES) 6946,B100000,00000,1000,00000(PATIENT DAYS) 6946,B100000,00000,1100,00000(COSTED REQUIS) 6946,B100000,00000,1200,00000(TOTAL CHARGES) 6946,B100000,00000,1300,00000(PATIENT DAYS) 6946,B100000,00000,1301,00000(PATIENT DAYS) 6946,B100000,00000,1400,00000(ASSIGNED TIME) 6946,E10A180,00350,0100,06/14/1999 6946,E10A180,00351,0100,10/08/1999 6946,E10A180,00352,0100,12/09/1999 6946,E10A180,00353,0100,02/14/2000 6946,S000000,00100,0200,06/02/2000 6946,S200000,00100,0100,1620 NORTH 7TH STREET 6946,S200000,00200,0100,RAPID CITY 6946,S200000,00200,0200,SD 6946,S200000,00200,0300,57701 6946,S200000,00300,0100,PENNINGTON 6946,S200000,00400,0100,BLACK HILLS RETIREMENT CENTER 6946,S200000,00400,0200,435064 6946,S200000,00400,0300,07/01/1992 6946,S200000,00400,0500,P 6946,S200000,00600,0200,435064 6946,S200000,00600,0300,07/01/1992 6946,S200000,00600,0600,P 6946,S200000,01600,0100,Y 6951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6951,A000000,00300,0000,00300EMPLOYEE BENEFITS 6951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6951,A000000,00700,0000,00700HOUSEKEEPING 6951,A000000,00800,0000,00800DIETARY 6951,A000000,00900,0000,00900NURSING ADMINISTRATION 6951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6951,A000000,01100,0000,01100PHARMACY 6951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6951,A000000,01300,0000,01300SOCIAL SERVICE 6951,A000000,01301,0000,01301ACTIVITIES 6951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6951,A000000,01600,0000,01600SKILLED NURSING FACILITY 6951,A000000,01800,0000,01800NURSING FACILITY 6951,A000000,01810,0000,01810ICF/MR 6951,A000000,02100,0000,02100RADIOLOGY 6951,A000000,02200,0000,02200LABORATORY 6951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6951,A000000,02500,0000,02500PHYSICAL THERAPY 6951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6951,A000000,02700,0000,02700SPEECH PATHOLOGY 6951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6951,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 6951,A000000,03550,0000,03550FQHC 6951,A000000,05000,0000,05000CORF 6951,A000000,05010,0000,05010CMHC 6951,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6951,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6951,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6951,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6951,A81000A,00100,0100,Y 6951,A81000B,00100,0300,HOME OFFICE COST 6951,A81000B,00400,0300,HOME OFFICE COST 6951,A81000B,00500,0300,HOME OFFICE COST 6951,A81000B,00600,0300,HOME OFFICE COST 6951,A81000B,00800,0300,HOME OFFICE COST 6951,A81000C,00100,0100,B 6951,A81000C,00100,0200,BEVERLY ENTERPR 6951,B100000,00000,0100,00000(SQUARE FEET) 6951,B100000,00000,0200,00000(SQUARE FEET) 6951,B100000,00000,0300,00000(ADJUSTED SALARIES) 6951,B100000,00000,0400,00000(ACCUM. COST) 6951,B100000,00000,0500,00000(SQUARE FEET) 6951,B100000,00000,0600,00000(PATIENT DAYS) 6951,B100000,00000,0700,00000(SQUARE FEET) 6951,B100000,00000,0800,00000(MEALS SERVED) 6951,B100000,00000,0900,00000(ADJUSTED SALARIES) 6951,B100000,00000,1000,00000(PATIENT DAYS) 6951,B100000,00000,1100,00000(COSTED REQUIS) 6951,B100000,00000,1200,00000(TOTAL CHARGES) 6951,B100000,00000,1300,00000(PATIENT DAYS) 6951,B100000,00000,1301,00000(PATIENT DAYS) 6951,B100000,00000,1400,00000(ASSIGNED TIME) 6951,E10A180,00302,0100,06/14/1999 6951,E10A180,00350,0100,01/27/1999 6951,E10A180,00352,0100,10/08/1999 6951,E10A180,00353,0100,12/09/1999 6951,E10A180,00354,0100,02/14/2000 6951,S000000,00100,0200,06/02/2000 6951,S200000,00100,0100,220 LONGMIRE ROAD 6951,S200000,00200,0100,CLINTON 6951,S200000,00200,0200,TN 6951,S200000,00200,0300,37716 6951,S200000,00300,0100,ANDERSON 6951,S200000,00400,0100,WINDWOOD HEALTH & REHAB CENTER 6951,S200000,00400,0200,445135 6951,S200000,00400,0300,07/30/1982 6951,S200000,00400,0500,P 6951,S200000,00600,0200,445135 6951,S200000,00600,0300,07/30/1982 6951,S200000,00600,0600,P 6951,S200000,01600,0100,Y 6954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6954,A000000,00300,0000,00300EMPLOYEE BENEFITS 6954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6954,A000000,00700,0000,00700HOUSEKEEPING 6954,A000000,00800,0000,00800DIETARY 6954,A000000,00900,0000,00900NURSING ADMINISTRATION 6954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6954,A000000,01100,0000,01100PHARMACY 6954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6954,A000000,01300,0000,01300SOCIAL SERVICE 6954,A000000,01301,0000,01301ACTIVITIES 6954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6954,A000000,01600,0000,01600SKILLED NURSING FACILITY 6954,A000000,01800,0000,01800NURSING FACILITY 6954,A000000,01810,0000,01810ICF/MR 6954,A000000,02100,0000,02100RADIOLOGY 6954,A000000,02200,0000,02200LABORATORY 6954,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6954,A000000,02500,0000,02500PHYSICAL THERAPY 6954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6954,A000000,02700,0000,02700SPEECH PATHOLOGY 6954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6954,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 6954,A000000,03550,0000,03550FQHC 6954,A000000,05000,0000,05000CORF 6954,A000000,05010,0000,05010CMHC 6954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6954,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6954,A81000A,00100,0100,Y 6954,A81000B,00100,0300,HOME OFFICE COST 6954,A81000B,00400,0300,HOME OFFICE COST 6954,A81000B,00500,0300,HOME OFFICE COST 6954,A81000B,00600,0300,HOME OFFICE COST 6954,A81000B,00800,0300,HOME OFFICE COST 6954,A81000C,00100,0100,B 6954,A81000C,00100,0200,BEVERLY ENTERPR 6954,B100000,00000,0100,00000(SQUARE FEET) 6954,B100000,00000,0200,00000(SQUARE FEET) 6954,B100000,00000,0300,00000(ADJUSTED SALARIES) 6954,B100000,00000,0400,00000(ACCUM. COST) 6954,B100000,00000,0500,00000(SQUARE FEET) 6954,B100000,00000,0600,00000(PATIENT DAYS) 6954,B100000,00000,0700,00000(SQUARE FEET) 6954,B100000,00000,0800,00000(MEALS SERVED) 6954,B100000,00000,0900,00000(ADJUSTED SALARIES) 6954,B100000,00000,1000,00000(PATIENT DAYS) 6954,B100000,00000,1100,00000(COSTED REQUIS) 6954,B100000,00000,1200,00000(TOTAL CHARGES) 6954,B100000,00000,1300,00000(PATIENT DAYS) 6954,B100000,00000,1301,00000(PATIENT DAYS) 6954,B100000,00000,1400,00000(ASSIGNED TIME) 6954,E10A180,00303,0100,10/08/1999 6954,E10A180,00305,0100,02/14/2000 6954,E10A180,00350,0100,01/27/1999 6954,E10A180,00351,0100,06/14/1999 6954,E10A180,00353,0100,12/09/1999 6954,S000000,00100,0200,06/02/2000 6954,S200000,00100,0100,104 WATSON ROAD 6954,S200000,00200,0100,SPRINGFIELD 6954,S200000,00200,0200,TN 6954,S200000,00200,0300,37172 6954,S200000,00300,0100,ROBERTSON 6954,S200000,00400,0100,BHRS/SPRINGFIELD 6954,S200000,00400,0200,445137 6954,S200000,00400,0300,08/01/1982 6954,S200000,00400,0500,P 6954,S200000,00600,0200,445137 6954,S200000,00600,0300,08/01/1982 6954,S200000,00600,0600,P 6954,S200000,01600,0100,Y 6957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6957,A000000,00300,0000,00300EMPLOYEE BENEFITS 6957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6957,A000000,00700,0000,00700HOUSEKEEPING 6957,A000000,00800,0000,00800DIETARY 6957,A000000,00900,0000,00900NURSING ADMINISTRATION 6957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6957,A000000,01100,0000,01100PHARMACY 6957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6957,A000000,01300,0000,01300SOCIAL SERVICE 6957,A000000,01301,0000,01301ACTIVITIES 6957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6957,A000000,01600,0000,01600SKILLED NURSING FACILITY 6957,A000000,01800,0000,01800NURSING FACILITY 6957,A000000,01810,0000,01810ICF/MR 6957,A000000,02100,0000,02100RADIOLOGY 6957,A000000,02200,0000,02200LABORATORY 6957,A000000,02500,0000,02500PHYSICAL THERAPY 6957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6957,A000000,02700,0000,02700SPEECH PATHOLOGY 6957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6957,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6957,A000000,03550,0000,03550FQHC 6957,A000000,05000,0000,05000CORF 6957,A000000,05010,0000,05010CMHC 6957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6957,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6957,A81000A,00100,0100,Y 6957,A81000B,00100,0300,HOME OFFICE COST 6957,A81000B,00400,0300,HOME OFFICE COST 6957,A81000B,00500,0300,HOME OFFICE COST 6957,A81000B,00600,0300,HOME OFFICE COST 6957,A81000B,00800,0300,HOME OFFICE COST 6957,A81000C,00100,0100,B 6957,A81000C,00100,0200,BEVERLY ENTERPR 6957,B100000,00000,0100,00000(SQUARE FEET) 6957,B100000,00000,0200,00000(SQUARE FEET) 6957,B100000,00000,0300,00000(ADJUSTED SALARIES) 6957,B100000,00000,0400,00000(ACCUM. COST) 6957,B100000,00000,0500,00000(SQUARE FEET) 6957,B100000,00000,0600,00000(PATIENT DAYS) 6957,B100000,00000,0700,00000(SQUARE FEET) 6957,B100000,00000,0800,00000(MEALS SERVED) 6957,B100000,00000,0900,00000(ADJUSTED SALARIES) 6957,B100000,00000,1000,00000(PATIENT DAYS) 6957,B100000,00000,1100,00000(COSTED REQUIS) 6957,B100000,00000,1200,00000(TOTAL CHARGES) 6957,B100000,00000,1300,00000(PATIENT DAYS) 6957,B100000,00000,1301,00000(PATIENT DAYS) 6957,B100000,00000,1400,00000(ASSIGNED TIME) 6957,E10A180,00302,0100,06/14/1999 6957,E10A180,00304,0100,12/09/1999 6957,E10A180,00305,0100,02/14/2000 6957,E10A180,00350,0100,01/27/1999 6957,E10A180,00352,0100,10/08/1999 6957,S000000,00100,0200,06/02/2000 6957,S200000,00100,0100,1105 SUNSWEPT DRIVE 6957,S200000,00200,0100,UNION CITY 6957,S200000,00200,0200,TN 6957,S200000,00200,0300,38261 6957,S200000,00300,0100,OBION 6957,S200000,00400,0100,UNION CITY HEALTH CARE CENTER 6957,S200000,00400,0200,445138 6957,S200000,00400,0300,07/30/1982 6957,S200000,00400,0500,P 6957,S200000,00600,0200,445138 6957,S200000,00600,0300,07/30/1982 6957,S200000,00600,0600,P 6957,S200000,01600,0100,Y 6960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6960,A000000,00300,0000,00300EMPLOYEE BENEFITS 6960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6960,A000000,00700,0000,00700HOUSEKEEPING 6960,A000000,00800,0000,00800DIETARY 6960,A000000,00900,0000,00900NURSING ADMINISTRATION 6960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6960,A000000,01100,0000,01100PHARMACY 6960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6960,A000000,01300,0000,01300SOCIAL SERVICE 6960,A000000,01301,0000,01301ACTIVITIES 6960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6960,A000000,01600,0000,01600SKILLED NURSING FACILITY 6960,A000000,01800,0000,01800NURSING FACILITY 6960,A000000,01810,0000,01810ICF/MR 6960,A000000,01900,0000,01900OTHER LONG TERM CARE 6960,A000000,02100,0000,02100RADIOLOGY 6960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6960,A000000,02500,0000,02500PHYSICAL THERAPY 6960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6960,A000000,02700,0000,02700SPEECH PATHOLOGY 6960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6960,A000000,03050,0000,03300OTHER ACILLARY CONSOLIDATED BIL 6960,A000000,03550,0000,03550FQHC 6960,A000000,05000,0000,05000CORF 6960,A000000,05010,0000,05010CMHC 6960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6960,A000000,06150,0000,06300OTHER NON REMBURSABLE COST 6960,A81000A,00100,0100,Y 6960,A81000B,00100,0300,HOME OFFICE COST 6960,A81000B,00400,0300,HOME OFFICE COST 6960,A81000B,00500,0300,HOME OFFICE COST 6960,A81000B,00600,0300,HOME OFFICE COST 6960,A81000B,00800,0300,HOME OFFICE COST 6960,A81000C,00100,0100,B 6960,A81000C,00100,0200,BEVERLY ENTERPR 6960,B100000,00000,0100,00000(SQUARE FEET) 6960,B100000,00000,0200,00000(SQUARE FEET) 6960,B100000,00000,0300,00000(ADJUSTED SALARIES) 6960,B100000,00000,0400,00000(ACCUM. COST) 6960,B100000,00000,0500,00000(SQUARE FEET) 6960,B100000,00000,0600,00000(PATIENT DAYS) 6960,B100000,00000,0700,00000(SQUARE FEET) 6960,B100000,00000,0800,00000(MEALS SERVED) 6960,B100000,00000,0900,00000(ADJUSTED SALARIES) 6960,B100000,00000,1000,00000(PATIENT DAYS) 6960,B100000,00000,1100,00000(COSTED REQUIS) 6960,B100000,00000,1200,00000(TOTAL CHARGES) 6960,B100000,00000,1300,00000(PATIENT DAYS) 6960,B100000,00000,1301,00000(PATIENT DAYS) 6960,B100000,00000,1400,00000(ASSIGNED TIME) 6960,E10A180,00350,0100,01/27/1999 6960,E10A180,00351,0100,06/14/1999 6960,E10A180,00352,0100,10/08/1999 6960,E10A180,00353,0100,12/09/1999 6960,E10A180,00354,0100,02/14/2000 6960,S000000,00100,0200,06/02/2000 6960,S200000,00100,0100,ROUTE 3 41A BYPASS 6960,S200000,00200,0100,WINCHESTER 6960,S200000,00200,0200,TN 6960,S200000,00200,0300,37398 6960,S200000,00300,0100,FRANKLIN 6960,S200000,00400,0100,MOUNTAINVIEW REHAB & NURSING 6960,S200000,00400,0200,445145 6960,S200000,00400,0300,08/17/1982 6960,S200000,00400,0500,P 6960,S200000,00600,0200,445145 6960,S200000,00600,0300,08/17/1982 6960,S200000,00600,0600,P 6960,S200000,01600,0100,Y 6963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6963,A000000,00300,0000,00300EMPLOYEE BENEFITS 6963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6963,A000000,00700,0000,00700HOUSEKEEPING 6963,A000000,00800,0000,00800DIETARY 6963,A000000,00900,0000,00900NURSING ADMINISTRATION 6963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6963,A000000,01100,0000,01100PHARMACY 6963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6963,A000000,01300,0000,01300SOCIAL SERVICE 6963,A000000,01301,0000,01301ACTIVITIES 6963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6963,A000000,01600,0000,01600SKILLED NURSING FACILITY 6963,A000000,01800,0000,01800NURSING FACILITY 6963,A000000,01810,0000,01810ICF/MR 6963,A000000,01900,0000,01900OTHER LONG TERM CARE 6963,A000000,02100,0000,02100RADIOLOGY 6963,A000000,02200,0000,02200LABORATORY 6963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6963,A000000,02500,0000,02500PHYSICAL THERAPY 6963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6963,A000000,02700,0000,02700SPEECH PATHOLOGY 6963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6963,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 6963,A000000,03550,0000,03550FQHC 6963,A000000,05000,0000,05000CORF 6963,A000000,05010,0000,05010CMHC 6963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6963,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 6963,A81000A,00100,0100,Y 6963,A81000B,00100,0300,HOME OFFICE COST 6963,A81000B,00400,0300,HOME OFFICE COST 6963,A81000B,00500,0300,HOME OFFICE COST 6963,A81000B,00600,0300,HOME OFFICE COST 6963,A81000B,00800,0300,HOME OFFICE COST 6963,A81000C,00100,0100,B 6963,A81000C,00100,0200,BEVERLY ENTERPR 6963,B100000,00000,0100,00000(SQUARE FEET) 6963,B100000,00000,0200,00000(SQUARE FEET) 6963,B100000,00000,0300,00000(ADJUSTED SALARIES) 6963,B100000,00000,0400,00000(ACCUM. COST) 6963,B100000,00000,0500,00000(SQUARE FEET) 6963,B100000,00000,0600,00000(PATIENT DAYS) 6963,B100000,00000,0700,00000(SQUARE FEET) 6963,B100000,00000,0800,00000(MEALS SERVED) 6963,B100000,00000,0900,00000(ADJUSTED SALARIES) 6963,B100000,00000,1000,00000(PATIENT DAYS) 6963,B100000,00000,1100,00000(COSTED REQUIS) 6963,B100000,00000,1200,00000(TOTAL CHARGES) 6963,B100000,00000,1300,00000(PATIENT DAYS) 6963,B100000,00000,1301,00000(PATIENT DAYS) 6963,B100000,00000,1400,00000(ASSIGNED TIME) 6963,E10A180,00301,0100,01/27/1999 6963,E10A180,00304,0100,12/09/1999 6963,E10A180,00305,0100,02/14/2000 6963,E10A180,00351,0100,06/14/1999 6963,E10A180,00352,0100,10/08/1999 6963,S000000,00100,0200,06/02/2000 6963,S200000,00100,0100,3933 ALLENBROOKE COVE 6963,S200000,00200,0100,MEMPHIS 6963,S200000,00200,0200,TN 6963,S200000,00200,0300,38118 6963,S200000,00300,0100,SHELBY 6963,S200000,00400,0100,ALLENBROOKE NURSING HOME 6963,S200000,00400,0200,445151 6963,S200000,00400,0300,03/01/1984 6963,S200000,00400,0500,P 6963,S200000,00600,0200,445151 6963,S200000,00600,0300,03/01/1984 6963,S200000,00600,0600,P 6963,S200000,01600,0100,Y 6966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 6966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 6966,A000000,00300,0000,00300EMPLOYEE BENEFITS 6966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 6966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 6966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 6966,A000000,00700,0000,00700HOUSEKEEPING 6966,A000000,00800,0000,00800DIETARY 6966,A000000,00900,0000,00900NURSING ADMINISTRATION 6966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 6966,A000000,01100,0000,01100PHARMACY 6966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 6966,A000000,01300,0000,01300SOCIAL SERVICE 6966,A000000,01301,0000,01301ACTIVITIES 6966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 6966,A000000,01600,0000,01600SKILLED NURSING FACILITY 6966,A000000,01800,0000,01800NURSING FACILITY 6966,A000000,01810,0000,01810ICF/MR 6966,A000000,02100,0000,02100RADIOLOGY 6966,A000000,02200,0000,02200LABORATORY 6966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 6966,A000000,02500,0000,02500PHYSICAL THERAPY 6966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 6966,A000000,02700,0000,02700SPEECH PATHOLOGY 6966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 6966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 6966,A000000,03050,0000,03300OTHER ANCILLIARY-CONSOLIDATED B 6966,A000000,03550,0000,03550FQHC 6966,A000000,05000,0000,05000CORF 6966,A000000,05010,0000,05010CMHC 6966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 6966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 6966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 6966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 6966,A000000,06150,0000,06300OTHER NON REIMBURSABLE COSTS 6966,A81000A,00100,0100,Y 6966,A81000B,00100,0300,HOME OFFICE COST 6966,A81000B,00400,0300,HOME OFFICE COST 6966,A81000B,00500,0300,HOME OFFICE COST 6966,A81000B,00600,0300,HOME OFFICE COST 6966,A81000B,00800,0300,HOME OFFICE COST 6966,A81000C,00100,0100,B 6966,A81000C,00100,0200,BEVERLY ENTERPR 6966,B100000,00000,0100,00000(SQUARE FEET) 6966,B100000,00000,0200,00000(SQUARE FEET) 6966,B100000,00000,0300,00000(ADJUSTED SALARIES) 6966,B100000,00000,0400,00000(ACCUM. COST) 6966,B100000,00000,0500,00000(SQUARE FEET) 6966,B100000,00000,0600,00000(PATIENT DAYS) 6966,B100000,00000,0700,00000(SQUARE FEET) 6966,B100000,00000,0800,00000(MEALS SERVED) 6966,B100000,00000,0900,00000(ADJUSTED SALARIES) 6966,B100000,00000,1000,00000(PATIENT DAYS) 6966,B100000,00000,1100,00000(COSTED REQUIS) 6966,B100000,00000,1200,00000(TOTAL CHARGES) 6966,B100000,00000,1300,00000(PATIENT DAYS) 6966,B100000,00000,1301,00000(PATIENT DAYS) 6966,B100000,00000,1400,00000(ASSIGNED TIME) 6966,E10A180,00301,0100,01/27/1999 6966,E10A180,00351,0100,06/14/1999 6966,E10A180,00352,0100,10/08/1999 6966,E10A180,00353,0100,12/09/1999 6966,E10A180,00354,0100,02/14/2000 6966,S000000,00100,0200,06/02/2000 6966,S200000,00100,0100,6733 QUINCE ROAD 6966,S200000,00200,0100,MEMPHIS 6966,S200000,00200,0200,TN 6966,S200000,00200,0300,38119 6966,S200000,00300,0100,SHELBY 6966,S200000,00400,0100,ATC-MEMPHIS 6966,S200000,00400,0200,445197 6966,S200000,00400,0300,07/30/1982 6966,S200000,00400,0500,P 6966,S200000,00600,0200,445197 6966,S200000,00600,0300,07/30/1982 6966,S200000,00600,0600,P 6966,S200000,01600,0100,Y 7098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7098,A000000,00300,0000,00300EMPLOYEE BENEFITS 7098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7098,A000000,00700,0000,00700HOUSEKEEPING 7098,A000000,00800,0000,00800DIETARY 7098,A000000,00900,0000,00900NURSING ADMINISTRATION 7098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7098,A000000,01100,0000,01100PHARMACY 7098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7098,A000000,01300,0000,01300SOCIAL SERVICE 7098,A000000,01301,0000,01301ACTIVITIES 7098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7098,A000000,01600,0000,01600SKILLED NURSING FACILITY 7098,A000000,01800,0000,01800NURSING FACILITY 7098,A000000,01810,0000,01810ICF/MR 7098,A000000,02200,0000,02200LABORATORY 7098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7098,A000000,02500,0000,02500PHYSICAL THERAPY 7098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7098,A000000,02700,0000,02700SPEECH PATHOLOGY 7098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7098,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7098,A000000,03550,0000,03550FQHC 7098,A000000,05000,0000,05000CORF 7098,A000000,05010,0000,05010CMHC 7098,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7098,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7098,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7098,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7098,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7098,A81000A,00100,0100,Y 7098,A81000B,00100,0300,HOME OFFICE COST 7098,A81000B,00400,0300,HOME OFFICE COST 7098,A81000B,00500,0300,HOME OFFICE COST 7098,A81000B,00600,0300,HOME OFFICE COST 7098,A81000B,00800,0300,HOME OFFICE COST 7098,A81000C,00100,0100,B 7098,A81000C,00100,0200,BEVERLY ENTERPR 7098,B100000,00000,0100,00000(SQUARE FEET) 7098,B100000,00000,0200,00000(SQUARE FEET) 7098,B100000,00000,0300,00000(ADJUSTED SALARIES) 7098,B100000,00000,0400,00000(ACCUM. COST) 7098,B100000,00000,0500,00000(SQUARE FEET) 7098,B100000,00000,0600,00000(PATIENT DAYS) 7098,B100000,00000,0700,00000(SQUARE FEET) 7098,B100000,00000,0800,00000(MEALS SERVED) 7098,B100000,00000,0900,00000(ADJUSTED SALARIES) 7098,B100000,00000,1000,00000(PATIENT DAYS) 7098,B100000,00000,1100,00000(COSTED REQUIS) 7098,B100000,00000,1200,00000(TOTAL CHARGES) 7098,B100000,00000,1300,00000(PATIENT DAYS) 7098,B100000,00000,1301,00000(PATIENT DAYS) 7098,B100000,00000,1400,00000(ASSIGNED TIME) 7098,S000000,00100,0200,06/02/2000 7098,S200000,00100,0100,ROSS-CARTER BLVD 7098,S200000,00200,0100,DUFFIELD 7098,S200000,00200,0200,VA 7098,S200000,00200,0300,24244 7098,S200000,00300,0100,SCOTT 7098,S200000,00400,0100,02560-RIDGECREST MANOR B 7098,S200000,00400,0200,495134 7098,S200000,00400,0300,11/24/1982 7098,S200000,00400,0500,P 7098,S200000,00600,0200,495134 7098,S200000,00600,0300,11/24/1982 7098,S200000,00600,0600,P 7098,S200000,01600,0100,Y 7101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7101,A000000,00300,0000,00300EMPLOYEE BENEFITS 7101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7101,A000000,00700,0000,00700HOUSEKEEPING 7101,A000000,00800,0000,00800DIETARY 7101,A000000,00900,0000,00900NURSING ADMINISTRATION 7101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7101,A000000,01100,0000,01100PHARMACY 7101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7101,A000000,01300,0000,01300SOCIAL SERVICE 7101,A000000,01301,0000,01301ACTIVITIES 7101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7101,A000000,01600,0000,01600SKILLED NURSING FACILITY 7101,A000000,01800,0000,01800NURSING FACILITY 7101,A000000,01810,0000,01810ICF/MR 7101,A000000,02200,0000,02200LABORATORY 7101,A000000,02500,0000,02500PHYSICAL THERAPY 7101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7101,A000000,02700,0000,02700SPEECH PATHOLOGY 7101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7101,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7101,A000000,03550,0000,03550FQHC 7101,A000000,05000,0000,05000CORF 7101,A000000,05010,0000,05010CMHC 7101,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7101,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7101,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7101,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7101,A81000A,00100,0100,Y 7101,A81000B,00100,0300,HOME OFFICE COST 7101,A81000B,00400,0300,HOME OFFICE COST 7101,A81000B,00500,0300,HOME OFFICE COST 7101,A81000B,00600,0300,HOME OFFICE COST 7101,A81000B,00800,0300,HOME OFFICE COST 7101,A81000C,00100,0100,B 7101,A81000C,00100,0200,BEVERLY ENTERPR 7101,B100000,00000,0100,00000(SQUARE FEET) 7101,B100000,00000,0200,00000(SQUARE FEET) 7101,B100000,00000,0300,00000(ADJUSTED SALARIES) 7101,B100000,00000,0400,00000(ACCUM. COST) 7101,B100000,00000,0500,00000(SQUARE FEET) 7101,B100000,00000,0600,00000(PATIENT DAYS) 7101,B100000,00000,0700,00000(SQUARE FEET) 7101,B100000,00000,0800,00000(MEALS SERVED) 7101,B100000,00000,0900,00000(ADJUSTED SALARIES) 7101,B100000,00000,1000,00000(PATIENT DAYS) 7101,B100000,00000,1100,00000(COSTED REQUIS) 7101,B100000,00000,1200,00000(TOTAL CHARGES) 7101,B100000,00000,1300,00000(PATIENT DAYS) 7101,B100000,00000,1301,00000(PATIENT DAYS) 7101,B100000,00000,1400,00000(ASSIGNED TIME) 7101,E10A180,00301,0100,01/27/1999 7101,E10A180,00302,0100,12/09/1999 7101,E10A180,00303,0100,02/14/2000 7101,E10A180,00350,0100,06/14/1999 7101,E10A180,00351,0100,10/08/1999 7101,S000000,00100,0200,06/02/2000 7101,S200000,00100,0100,110 CHALMERS COURT 7101,S200000,00200,0100,BERRYVILLE 7101,S200000,00200,0200,VA 7101,S200000,00200,0300,22611 7101,S200000,00300,0100,CLARKE 7101,S200000,00400,0100,ROSE HILL NURSING CENTER 7101,S200000,00400,0200,495140 7101,S200000,00400,0300,08/01/1984 7101,S200000,00400,0500,P 7101,S200000,00600,0200,495140 7101,S200000,00600,0300,08/01/1984 7101,S200000,00600,0600,P 7101,S200000,01600,0100,Y 7104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7104,A000000,00300,0000,00300EMPLOYEE BENEFITS 7104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7104,A000000,00700,0000,00700HOUSEKEEPING 7104,A000000,00800,0000,00800DIETARY 7104,A000000,00900,0000,00900NURSING ADMINISTRATION 7104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7104,A000000,01100,0000,01100PHARMACY 7104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7104,A000000,01300,0000,01300SOCIAL SERVICE 7104,A000000,01301,0000,01301ACTIVITIES 7104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7104,A000000,01600,0000,01600SKILLED NURSING FACILITY 7104,A000000,01800,0000,01800NURSING FACILITY 7104,A000000,01810,0000,01810ICF/MR 7104,A000000,02100,0000,02100RADIOLOGY 7104,A000000,02200,0000,02200LABORATORY 7104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7104,A000000,02500,0000,02500PHYSICAL THERAPY 7104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7104,A000000,02700,0000,02700SPEECH PATHOLOGY 7104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7104,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7104,A000000,03550,0000,03550FQHC 7104,A000000,05000,0000,05000CORF 7104,A000000,05010,0000,05010CMHC 7104,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7104,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7104,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7104,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7104,A81000A,00100,0100,Y 7104,A81000B,00100,0300,HOME OFFICE COST 7104,A81000B,00400,0300,HOME OFFICE COST 7104,A81000B,00500,0300,HOME OFFICE COST 7104,A81000B,00600,0300,HOME OFFICE COST 7104,A81000B,00800,0300,HOME OFFICE COST 7104,A81000C,00100,0100,B 7104,A81000C,00100,0200,BEVERLY ENTERPR 7104,B100000,00000,0100,00000(SQUARE FEET) 7104,B100000,00000,0200,00000(SQUARE FEET) 7104,B100000,00000,0300,00000(ADJUSTED SALARIES) 7104,B100000,00000,0400,00000(ACCUM. COST) 7104,B100000,00000,0500,00000(SQUARE FEET) 7104,B100000,00000,0600,00000(PATIENT DAYS) 7104,B100000,00000,0700,00000(SQUARE FEET) 7104,B100000,00000,0800,00000(MEALS SERVED) 7104,B100000,00000,0900,00000(ADJUSTED SALARIES) 7104,B100000,00000,1000,00000(PATIENT DAYS) 7104,B100000,00000,1100,00000(COSTED REQUIS) 7104,B100000,00000,1200,00000(TOTAL CHARGES) 7104,B100000,00000,1300,00000(PATIENT DAYS) 7104,B100000,00000,1301,00000(PATIENT DAYS) 7104,B100000,00000,1400,00000(ASSIGNED TIME) 7104,E10A180,00301,0100,06/14/1999 7104,E10A180,00302,0100,10/08/1999 7104,E10A180,00303,0100,02/14/2000 7104,E10A180,00350,0100,01/27/1999 7104,E10A180,00351,0100,12/09/1999 7104,S000000,00100,0200,06/02/2000 7104,S200000,00100,0100,DRAWER 604 7104,S200000,00200,0100,CLIFTON FORGE 7104,S200000,00200,0200,VA 7104,S200000,00200,0300,24422 7104,S200000,00300,0100,ALLEGHENY 7104,S200000,00400,0100,CLIFTON FORGE NURSING HOME 7104,S200000,00400,0200,495141 7104,S200000,00400,0300,07/01/1984 7104,S200000,00400,0500,P 7104,S200000,00600,0200,495141 7104,S200000,00600,0300,07/01/1984 7104,S200000,00600,0600,P 7104,S200000,01600,0100,Y 7107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7107,A000000,00300,0000,00300EMPLOYEE BENEFITS 7107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7107,A000000,00700,0000,00700HOUSEKEEPING 7107,A000000,00800,0000,00800DIETARY 7107,A000000,00900,0000,00900NURSING ADMINISTRATION 7107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7107,A000000,01100,0000,01100PHARMACY 7107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7107,A000000,01300,0000,01300SOCIAL SERVICE 7107,A000000,01301,0000,01301ACTIVITIES 7107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7107,A000000,01600,0000,01600SKILLED NURSING FACILITY 7107,A000000,01800,0000,01800NURSING FACILITY 7107,A000000,01810,0000,01810ICF/MR 7107,A000000,02200,0000,02200LABORATORY 7107,A000000,02500,0000,02500PHYSICAL THERAPY 7107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7107,A000000,02700,0000,02700SPEECH PATHOLOGY 7107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7107,A000000,03550,0000,03550FQHC 7107,A000000,05000,0000,05000CORF 7107,A000000,05010,0000,05010CMHC 7107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7107,A000000,06151,0000,06301OTHER NON REIMBURSABLE COST 7107,A81000A,00100,0100,Y 7107,A81000B,00100,0300,HOME OFFICE COST 7107,A81000B,00200,0300,HOME OFFICE COST 7107,A81000B,00500,0300,HOME OFFICE COST 7107,A81000B,00600,0300,HOME OFFICE COST 7107,A81000B,00800,0300,HOME OFFICE COST 7107,A81000C,00100,0100,B 7107,A81000C,00100,0200,BEVERLY ENTERPR 7107,B100000,00000,0100,00001(SQUARE FEET) 7107,B100000,00000,0200,00001(SQUARE FEET) 7107,B100000,00000,0300,00001(ADJUSTED SALARIES) 7107,B100000,00000,0400,00001(ACCUM. COST) 7107,B100000,00000,0500,00001(SQUARE FEET) 7107,B100000,00000,0600,00001(PATIENT DAYS) 7107,B100000,00000,0700,00001(SQUARE FEET) 7107,B100000,00000,0800,00001(MEALS SERVED) 7107,B100000,00000,0900,00001(ADJUSTED SALARIES) 7107,B100000,00000,1000,00001(PATIENT DAYS) 7107,B100000,00000,1100,00001(COSTED REQUIS) 7107,B100000,00000,1200,00001(TOTAL CHARGES) 7107,B100000,00000,1300,00001(PATIENT DAYS) 7107,B100000,00000,1301,00001(PATIENT DAYS) 7107,B100000,00000,1400,00001(ASSIGNED TIME) 7107,E10A180,00301,0100,06/14/1999 7107,E10A180,00302,0100,10/08/1999 7107,E10A180,00350,0100,01/27/1999 7107,S000000,00100,0200,12/23/1999 7107,S200000,00100,0100,380 MILLWOOD AVENUE 7107,S200000,00200,0100,WINCHESTER 7107,S200000,00200,0200,VA 7107,S200000,00200,0300,22601 7107,S200000,00300,0100,FREDERICK 7107,S200000,00400,0100,SHAWNEE SPRINGS HEALTH & REHAB 7107,S200000,00400,0200,495142 7107,S200000,00400,0300,09/01/1984 7107,S200000,00400,0500,P 7107,S200000,00600,0200,495142 7107,S200000,00600,0300,09/01/1984 7107,S200000,00600,0600,P 7107,S200000,01600,0100,Y 7110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7110,A000000,00300,0000,00300EMPLOYEE BENEFITS 7110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7110,A000000,00700,0000,00700HOUSEKEEPING 7110,A000000,00800,0000,00800DIETARY 7110,A000000,00900,0000,00900NURSING ADMINISTRATION 7110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7110,A000000,01100,0000,01100PHARMACY 7110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7110,A000000,01300,0000,01300SOCIAL SERVICE 7110,A000000,01301,0000,01301ACTIVITIES 7110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7110,A000000,01600,0000,01600SKILLED NURSING FACILITY 7110,A000000,01800,0000,01800NURSING FACILITY 7110,A000000,01810,0000,01810ICF/MR 7110,A000000,02200,0000,02200LABORATORY 7110,A000000,02500,0000,02500PHYSICAL THERAPY 7110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7110,A000000,02700,0000,02700SPEECH PATHOLOGY 7110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7110,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7110,A000000,03550,0000,03550FQHC 7110,A000000,05000,0000,05000CORF 7110,A000000,05010,0000,05010CMHC 7110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7110,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7110,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7110,A81000A,00100,0100,Y 7110,A81000B,00100,0300,HOME OFFICE COST 7110,A81000B,00400,0300,HOME OFFICE COST 7110,A81000B,00500,0300,HOME OFFICE COST 7110,A81000B,00600,0300,HOME OFFICE COST 7110,A81000B,00800,0300,HOME OFFICE COST 7110,A81000C,00100,0100,B 7110,A81000C,00100,0200,BEVERLY ENTERPR 7110,B100000,00000,0100,00000(SQUARE FEET) 7110,B100000,00000,0200,00000(SQUARE FEET) 7110,B100000,00000,0300,00000(ADJUSTED SALARIES) 7110,B100000,00000,0400,00000(ACCUM. COST) 7110,B100000,00000,0500,00000(SQUARE FEET) 7110,B100000,00000,0600,00000(PATIENT DAYS) 7110,B100000,00000,0700,00000(SQUARE FEET) 7110,B100000,00000,0800,00000(MEALS SERVED) 7110,B100000,00000,0900,00000(ADJUSTED SALARIES) 7110,B100000,00000,1000,00000(PATIENT DAYS) 7110,B100000,00000,1100,00000(COSTED REQUIS) 7110,B100000,00000,1200,00000(TOTAL CHARGES) 7110,B100000,00000,1300,00000(PATIENT DAYS) 7110,B100000,00000,1301,00000(PATIENT DAYS) 7110,B100000,00000,1400,00000(ASSIGNED TIME) 7110,E10A180,00301,0100,10/08/1999 7110,E10A180,00302,0100,02/14/2000 7110,E10A180,00350,0100,01/27/1999 7110,E10A180,00351,0100,06/14/1999 7110,E10A180,00352,0100,12/09/1999 7110,S000000,00100,0200,06/02/2000 7110,S200000,00100,0100,1607 SPRUCE STREET 7110,S200000,00200,0100,MARTINSVILLE 7110,S200000,00200,0200,VA 7110,S200000,00200,0300,24112 7110,S200000,00300,0100,HENRY COUNTY 7110,S200000,00400,0100,MARTINSVILLE CONVALESCENT CENT 7110,S200000,00400,0200,495143 7110,S200000,00400,0300,09/01/1984 7110,S200000,00400,0500,P 7110,S200000,00600,0200,495143 7110,S200000,00600,0300,09/01/1984 7110,S200000,00600,0600,P 7110,S200000,01600,0100,Y 7113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7113,A000000,00300,0000,00300EMPLOYEE BENEFITS 7113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7113,A000000,00700,0000,00700HOUSEKEEPING 7113,A000000,00800,0000,00800DIETARY 7113,A000000,00900,0000,00900NURSING ADMINISTRATION 7113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7113,A000000,01100,0000,01100PHARMACY 7113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7113,A000000,01300,0000,01300SOCIAL SERVICE 7113,A000000,01301,0000,01301ACTIVITIES 7113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7113,A000000,01600,0000,01600SKILLED NURSING FACILITY 7113,A000000,01800,0000,01800NURSING FACILITY 7113,A000000,01810,0000,01810ICF/MR 7113,A000000,02100,0000,02100RADIOLOGY 7113,A000000,02200,0000,02200LABORATORY 7113,A000000,02500,0000,02500PHYSICAL THERAPY 7113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7113,A000000,02700,0000,02700SPEECH PATHOLOGY 7113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7113,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7113,A000000,03550,0000,03550FQHC 7113,A000000,05000,0000,05000CORF 7113,A000000,05010,0000,05010CMHC 7113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7113,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7113,A81000A,00100,0100,Y 7113,A81000B,00100,0300,HOME OFFICE COST 7113,A81000B,00400,0300,HOME OFFICE COST 7113,A81000B,00500,0300,HOME OFFICE COST 7113,A81000B,00600,0300,HOME OFFICE COST 7113,A81000B,00800,0300,HOME OFFICE COST 7113,A81000C,00100,0100,B 7113,A81000C,00100,0200,BEVERLY ENTERPR 7113,B100000,00000,0100,00000(SQUARE FEET) 7113,B100000,00000,0200,00000(SQUARE FEET) 7113,B100000,00000,0300,00000(ADJUSTED SALARIES) 7113,B100000,00000,0400,00000(ACCUM. COST) 7113,B100000,00000,0500,00000(SQUARE FEET) 7113,B100000,00000,0600,00000(PATIENT DAYS) 7113,B100000,00000,0700,00000(SQUARE FEET) 7113,B100000,00000,0800,00000(MEALS SERVED) 7113,B100000,00000,0900,00000(ADJUSTED SALARIES) 7113,B100000,00000,1000,00000(PATIENT DAYS) 7113,B100000,00000,1100,00000(COSTED REQUIS) 7113,B100000,00000,1200,00000(TOTAL CHARGES) 7113,B100000,00000,1300,00000(PATIENT DAYS) 7113,B100000,00000,1301,00000(PATIENT DAYS) 7113,B100000,00000,1400,00000(ASSIGNED TIME) 7113,E10A180,00301,0100,06/14/1999 7113,E10A180,00302,0100,10/08/1999 7113,E10A180,00303,0100,02/14/2000 7113,E10A180,00350,0100,01/27/1999 7113,E10A180,00351,0100,12/09/1999 7113,S000000,00100,0200,06/02/2000 7113,S200000,00100,0100,287 SOUTH BOULEVARD 7113,S200000,00200,0100,PETERSBURG 7113,S200000,00200,0200,VA 7113,S200000,00200,0300,23805 7113,S200000,00300,0100,PETERSBURG 7113,S200000,00400,0100,WALNUT HILL COVALESCENT CENTER 7113,S200000,00400,0200,495144 7113,S200000,00400,0300,09/01/1984 7113,S200000,00400,0500,P 7113,S200000,00600,0200,495144 7113,S200000,00600,0300,09/01/1984 7113,S200000,00600,0600,P 7113,S200000,01600,0100,Y 7116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7116,A000000,00300,0000,00300EMPLOYEE BENEFITS 7116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7116,A000000,00700,0000,00700HOUSEKEEPING 7116,A000000,00800,0000,00800DIETARY 7116,A000000,00900,0000,00900NURSING ADMINISTRATION 7116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7116,A000000,01100,0000,01100PHARMACY 7116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7116,A000000,01300,0000,01300SOCIAL SERVICE 7116,A000000,01301,0000,01301ACTIVITIES 7116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7116,A000000,01600,0000,01600SKILLED NURSING FACILITY 7116,A000000,01800,0000,01800NURSING FACILITY 7116,A000000,01810,0000,01810ICF/MR 7116,A000000,02100,0000,02100RADIOLOGY 7116,A000000,02200,0000,02200LABORATORY 7116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7116,A000000,02500,0000,02500PHYSICAL THERAPY 7116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7116,A000000,02700,0000,02700SPEECH PATHOLOGY 7116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7116,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7116,A000000,03550,0000,03550FQHC 7116,A000000,05000,0000,05000CORF 7116,A000000,05010,0000,05010CMHC 7116,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7116,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7116,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7116,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7116,A81000A,00100,0100,Y 7116,A81000B,00100,0300,HOME OFFICE COST 7116,A81000B,00400,0300,HOME OFFICE COST 7116,A81000B,00500,0300,HOME OFFICE COST 7116,A81000B,00600,0300,HOME OFFICE COST 7116,A81000B,00800,0300,HOME OFFICE COST 7116,A81000C,00100,0100,B 7116,A81000C,00100,0200,BEVERLY ENTERPR 7116,B100000,00000,0100,00000(SQUARE FEET) 7116,B100000,00000,0200,00000(SQUARE FEET) 7116,B100000,00000,0300,00000(ADJUSTED SALARIES) 7116,B100000,00000,0400,00000(ACCUM. COST) 7116,B100000,00000,0500,00000(SQUARE FEET) 7116,B100000,00000,0600,00000(PATIENT DAYS) 7116,B100000,00000,0700,00000(SQUARE FEET) 7116,B100000,00000,0800,00000(MEALS SERVED) 7116,B100000,00000,0900,00000(ADJUSTED SALARIES) 7116,B100000,00000,1000,00000(PATIENT DAYS) 7116,B100000,00000,1100,00000(COSTED REQUIS) 7116,B100000,00000,1200,00000(TOTAL CHARGES) 7116,B100000,00000,1300,00000(PATIENT DAYS) 7116,B100000,00000,1301,00000(PATIENT DAYS) 7116,B100000,00000,1400,00000(ASSIGNED TIME) 7116,E10A180,00301,0100,02/14/2000 7116,E10A180,00350,0100,01/27/1999 7116,E10A180,00351,0100,06/14/1999 7116,E10A180,00352,0100,10/08/1999 7116,E10A180,00353,0100,12/09/1999 7116,S000000,00100,0200,06/02/2000 7116,S200000,00100,0100,900 LONDON BLVD 7116,S200000,00200,0100,PORTSMOUTH 7116,S200000,00200,0200,VA 7116,S200000,00200,0300,23704 7116,S200000,00300,0100,PORTSMOUTH 7116,S200000,00400,0100,BEVERLY MANOR OF PORTSMOUTH 7116,S200000,00400,0200,495149 7116,S200000,00400,0300,10/01/1984 7116,S200000,00400,0500,P 7116,S200000,00600,0200,495149 7116,S200000,00600,0300,10/01/1984 7116,S200000,00600,0600,P 7116,S200000,01600,0100,Y 7121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7121,A000000,00300,0000,00300EMPLOYEE BENEFITS 7121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7121,A000000,00700,0000,00700HOUSEKEEPING 7121,A000000,00800,0000,00800DIETARY 7121,A000000,00900,0000,00900NURSING ADMINISTRATION 7121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7121,A000000,01100,0000,01100PHARMACY 7121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7121,A000000,01300,0000,01300SOCIAL SERVICE 7121,A000000,01301,0000,01301ACTIVITIES 7121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7121,A000000,01600,0000,01600SKILLED NURSING FACILITY 7121,A000000,01800,0000,01800NURSING FACILITY 7121,A000000,01810,0000,01810ICF/MR 7121,A000000,01900,0000,01900OTHER LONG TERM CARE 7121,A000000,02100,0000,02100RADIOLOGY 7121,A000000,02200,0000,02200LABORATORY 7121,A000000,02500,0000,02500PHYSICAL THERAPY 7121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7121,A000000,02700,0000,02700SPEECH PATHOLOGY 7121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7121,A000000,03050,0000,03300OTHER ANCILLARY CONSOLIDATED BI 7121,A000000,03550,0000,03550FQHC 7121,A000000,05000,0000,05000CORF 7121,A000000,05010,0000,05010CMHC 7121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7121,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7121,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7121,A81000A,00100,0100,Y 7121,A81000B,00100,0300,HOME OFFICE COST 7121,A81000B,00400,0300,HOME OFFICE COST 7121,A81000B,00500,0300,HOME OFFICE COST 7121,A81000B,00600,0300,HOME OFFICE COST 7121,A81000B,00800,0300,HOME OFFICE COST 7121,A81000C,00100,0100,B 7121,A81000C,00100,0200,BEVERLY ENTERPR 7121,B100000,00000,0100,00000(SQUARE FEET) 7121,B100000,00000,0200,00000(SQUARE FEET) 7121,B100000,00000,0300,00000(ADJUSTED SALARIES) 7121,B100000,00000,0400,00000(ACCUM. COST) 7121,B100000,00000,0500,00000(SQUARE FEET) 7121,B100000,00000,0600,00000(PATIENT DAYS) 7121,B100000,00000,0700,00000(SQUARE FEET) 7121,B100000,00000,0800,00000(MEALS SERVED) 7121,B100000,00000,0900,00000(ADJUSTED SALARIES) 7121,B100000,00000,1000,00000(PATIENT DAYS) 7121,B100000,00000,1100,00000(COSTED REQUIS) 7121,B100000,00000,1200,00000(TOTAL CHARGES) 7121,B100000,00000,1300,00000(PATIENT DAYS) 7121,B100000,00000,1301,00000(PATIENT DAYS) 7121,B100000,00000,1400,00000(ASSIGNED TIME) 7121,E10A180,00301,0100,01/27/1999 7121,E10A180,00302,0100,06/14/1999 7121,E10A180,00303,0100,10/08/1999 7121,E10A180,00304,0100,02/14/2000 7121,E10A180,00350,0100,12/09/1999 7121,S000000,00100,0200,06/02/2000 7121,S200000,00100,0100,6700 COLUMBIA PIKE 7121,S200000,00200,0100,ANNANDALE 7121,S200000,00200,0200,VA 7121,S200000,00200,0300,22003 7121,S200000,00300,0100,FAIRFAX 7121,S200000,00400,0100,SLEEPY HOLLOW MANOR NURSING HOME 7121,S200000,00400,0200,495155 7121,S200000,00400,0300,04/01/1985 7121,S200000,00400,0500,P 7121,S200000,00600,0200,495155 7121,S200000,00600,0300,04/01/1985 7121,S200000,00600,0600,P 7121,S200000,01600,0100,Y 7124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7124,A000000,00300,0000,00300EMPLOYEE BENEFITS 7124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7124,A000000,00700,0000,00700HOUSEKEEPING 7124,A000000,00800,0000,00800DIETARY 7124,A000000,00900,0000,00900NURSING ADMINISTRATION 7124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7124,A000000,01100,0000,01100PHARMACY 7124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7124,A000000,01300,0000,01300SOCIAL SERVICE 7124,A000000,01301,0000,01301ACTIVITIES 7124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7124,A000000,01600,0000,01600SKILLED NURSING FACILITY 7124,A000000,01800,0000,01800NURSING FACILITY 7124,A000000,01810,0000,01810ICF/MR 7124,A000000,02100,0000,02100RADIOLOGY 7124,A000000,02200,0000,02200LABORATORY 7124,A000000,02500,0000,02500PHYSICAL THERAPY 7124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7124,A000000,02700,0000,02700SPEECH PATHOLOGY 7124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7124,A000000,03550,0000,03550FQHC 7124,A000000,05000,0000,05000CORF 7124,A000000,05010,0000,05010CMHC 7124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7124,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7124,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7124,A81000A,00100,0100,Y 7124,A81000B,00100,0300,HOME OFFICE COST 7124,A81000B,00400,0300,HOME OFFICE COST 7124,A81000B,00500,0300,HOME OFFICE COST 7124,A81000B,00600,0300,HOME OFFICE COST 7124,A81000B,00800,0300,HOME OFFICE COST 7124,A81000C,00100,0100,B 7124,A81000C,00100,0200,BEVERLY ENTERPR 7124,B100000,00000,0100,00000(SQUARE FEET) 7124,B100000,00000,0200,00000(SQUARE FEET) 7124,B100000,00000,0300,00000(ADJUSTED SALARIES) 7124,B100000,00000,0400,00000(ACCUM. COST) 7124,B100000,00000,0500,00000(SQUARE FEET) 7124,B100000,00000,0600,00000(PATIENT DAYS) 7124,B100000,00000,0700,00000(SQUARE FEET) 7124,B100000,00000,0800,00000(MEALS SERVED) 7124,B100000,00000,0900,00000(ADJUSTED SALARIES) 7124,B100000,00000,1000,00000(PATIENT DAYS) 7124,B100000,00000,1100,00000(COSTED REQUIS) 7124,B100000,00000,1200,00000(TOTAL CHARGES) 7124,B100000,00000,1300,00000(PATIENT DAYS) 7124,B100000,00000,1301,00000(PATIENT DAYS) 7124,B100000,00000,1400,00000(ASSIGNED TIME) 7124,E10A180,00301,0100,01/27/1999 7124,E10A180,00302,0100,06/14/1999 7124,E10A180,00303,0100,10/08/1999 7124,E10A180,00304,0100,02/14/2000 7124,E10A180,00350,0100,12/09/1999 7124,S000000,00100,0200,06/02/2000 7124,S200000,00100,0100,3737 CATALPA AVE 7124,S200000,00200,0100,BUENA VISTA 7124,S200000,00200,0200,VA 7124,S200000,00200,0300,24416 7124,S200000,00300,0100,ROCKBRIDGE 7124,S200000,00400,0100,02053 - SHENANDOAH VALLEY HEALTH CA 7124,S200000,00400,0200,495168 7124,S200000,00400,0300,01/27/1987 7124,S200000,00400,0500,P 7124,S200000,00600,0200,495168 7124,S200000,00600,0300,01/27/1987 7124,S200000,00600,0600,P 7124,S200000,01600,0100,Y 7127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7127,A000000,00300,0000,00300EMPLOYEE BENEFITS 7127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7127,A000000,00700,0000,00700HOUSEKEEPING 7127,A000000,00800,0000,00800DIETARY 7127,A000000,00900,0000,00900NURSING ADMINISTRATION 7127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7127,A000000,01100,0000,01100PHARMACY 7127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7127,A000000,01300,0000,01300SOCIAL SERVICE 7127,A000000,01301,0000,01301ACTIVITIES 7127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7127,A000000,01600,0000,01600SKILLED NURSING FACILITY 7127,A000000,01800,0000,01800NURSING FACILITY 7127,A000000,01810,0000,01810ICF/MR 7127,A000000,02100,0000,02100RADIOLOGY 7127,A000000,02200,0000,02200LABORATORY 7127,A000000,02500,0000,02500PHYSICAL THERAPY 7127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7127,A000000,02700,0000,02700SPEECH PATHOLOGY 7127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7127,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7127,A000000,03550,0000,03550FQHC 7127,A000000,05000,0000,05000CORF 7127,A000000,05010,0000,05010CMHC 7127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7127,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7127,A81000A,00100,0100,Y 7127,A81000B,00100,0300,HOME OFFICE COST 7127,A81000B,00400,0300,HOME OFFICE COST 7127,A81000B,00500,0300,HOME OFFICE COST 7127,A81000B,00600,0300,HOME OFFICE COST 7127,A81000B,00800,0300,HOME OFFICE COST 7127,A81000C,00100,0100,B 7127,A81000C,00100,0200,BEVERLY ENTERPR 7127,B100000,00000,0100,00000(SQUARE FEET) 7127,B100000,00000,0200,00000(SQUARE FEET) 7127,B100000,00000,0300,00000(ADJUSTED SALARIES) 7127,B100000,00000,0400,00000(ACCUM. COST) 7127,B100000,00000,0500,00000(SQUARE FEET) 7127,B100000,00000,0600,00000(PATIENT DAYS) 7127,B100000,00000,0700,00000(SQUARE FEET) 7127,B100000,00000,0800,00000(MEALS SERVED) 7127,B100000,00000,0900,00000(ADJUSTED SALARIES) 7127,B100000,00000,1000,00000(PATIENT DAYS) 7127,B100000,00000,1100,00000(COSTED REQUIS) 7127,B100000,00000,1200,00000(TOTAL CHARGES) 7127,B100000,00000,1300,00000(PATIENT DAYS) 7127,B100000,00000,1301,00000(PATIENT DAYS) 7127,B100000,00000,1400,00000(ASSIGNED TIME) 7127,E10A180,00301,0100,06/14/1999 7127,E10A180,00302,0100,02/14/2000 7127,E10A180,00350,0100,01/27/1999 7127,E10A180,00351,0100,10/08/1999 7127,E10A180,00352,0100,12/09/1999 7127,S000000,00100,0200,06/02/2000 7127,S200000,00100,0100,3900 PLANK ROAD 7127,S200000,00200,0100,FREDERICKSBURG 7127,S200000,00200,0200,VA 7127,S200000,00200,0300,22401 7127,S200000,00300,0100,SPOTSYLVANIA 7127,S200000,00400,0100,FREDERICKSBURG NURSING HOME 7127,S200000,00400,0200,495240 7127,S200000,00400,0300,05/01/1991 7127,S200000,00400,0500,P 7127,S200000,00600,0200,495240 7127,S200000,00600,0300,05/01/1991 7127,S200000,00600,0600,P 7127,S200000,01600,0100,Y 7130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7130,A000000,00300,0000,00300EMPLOYEE BENEFITS 7130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7130,A000000,00700,0000,00700HOUSEKEEPING 7130,A000000,00800,0000,00800DIETARY 7130,A000000,00900,0000,00900NURSING ADMINISTRATION 7130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7130,A000000,01100,0000,01100PHARMACY 7130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7130,A000000,01300,0000,01300SOCIAL SERVICE 7130,A000000,01301,0000,01301ACTIVITIES 7130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7130,A000000,01600,0000,01600SKILLED NURSING FACILITY 7130,A000000,01800,0000,01800NURSING FACILITY 7130,A000000,01810,0000,01810ICF/MR 7130,A000000,02200,0000,02200LABORATORY 7130,A000000,02500,0000,02500PHYSICAL THERAPY 7130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7130,A000000,02700,0000,02700SPEECH PATHOLOGY 7130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7130,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7130,A000000,03550,0000,03550FQHC 7130,A000000,05000,0000,05000CORF 7130,A000000,05010,0000,05010CMHC 7130,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7130,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7130,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7130,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7130,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7130,A81000A,00100,0100,Y 7130,A81000B,00100,0300,HOME OFFICE COST 7130,A81000B,00400,0300,HOME OFFICE COST 7130,A81000B,00500,0300,HOME OFFICE COST 7130,A81000B,00600,0300,HOME OFFICE COST 7130,A81000B,00800,0300,HOME OFFICE COST 7130,A81000C,00100,0100,B 7130,A81000C,00100,0200,BEVERLY ENTERPR 7130,B100000,00000,0100,00000(SQUARE FEET) 7130,B100000,00000,0200,00000(SQUARE FEET) 7130,B100000,00000,0300,00000(ADJUSTED SALARIES) 7130,B100000,00000,0400,00000(ACCUM. COST) 7130,B100000,00000,0500,00000(SQUARE FEET) 7130,B100000,00000,0600,00000(PATIENT DAYS) 7130,B100000,00000,0700,00000(SQUARE FEET) 7130,B100000,00000,0800,00000(MEALS SERVED) 7130,B100000,00000,0900,00000(ADJUSTED SALARIES) 7130,B100000,00000,1000,00000(PATIENT DAYS) 7130,B100000,00000,1100,00000(COSTED REQUIS) 7130,B100000,00000,1200,00000(TOTAL CHARGES) 7130,B100000,00000,1300,00000(PATIENT DAYS) 7130,B100000,00000,1301,00000(PATIENT DAYS) 7130,B100000,00000,1400,00000(ASSIGNED TIME) 7130,E10A180,00301,0100,02/14/2000 7130,E10A180,00350,0100,01/27/1999 7130,E10A180,00351,0100,06/14/1999 7130,E10A180,00352,0100,10/08/1999 7130,E10A180,00353,0100,12/09/1999 7130,S000000,00100,0200,06/02/2000 7130,S200000,00100,0100,835 CLANDALE ROAD P.O. BO 7130,S200000,00200,0100,GALAX 7130,S200000,00200,0200,VA 7130,S200000,00200,0300,24333 7130,S200000,00300,0100,CARROL 7130,S200000,00400,0100,BLUE RIDGE HIGHLANDS 7130,S200000,00400,0200,495250 7130,S200000,00400,0300,08/01/1991 7130,S200000,00400,0500,P 7130,S200000,00600,0200,495250 7130,S200000,00600,0300,08/01/1991 7130,S200000,00600,0600,P 7130,S200000,01600,0100,Y 7133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7133,A000000,00300,0000,00300EMPLOYEE BENEFITS 7133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7133,A000000,00700,0000,00700HOUSEKEEPING 7133,A000000,00800,0000,00800DIETARY 7133,A000000,00900,0000,00900NURSING ADMINISTRATION 7133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7133,A000000,01100,0000,01100PHARMACY 7133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7133,A000000,01300,0000,01300SOCIAL SERVICE 7133,A000000,01301,0000,01301ACTIVITIES 7133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7133,A000000,01600,0000,01600SKILLED NURSING FACILITY 7133,A000000,01800,0000,01800NURSING FACILITY 7133,A000000,01810,0000,01810ICF/MR 7133,A000000,02100,0000,02100RADIOLOGY 7133,A000000,02200,0000,02200LABORATORY 7133,A000000,02500,0000,02500PHYSICAL THERAPY 7133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7133,A000000,02700,0000,02700SPEECH PATHOLOGY 7133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7133,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7133,A000000,03550,0000,03550FQHC 7133,A000000,05000,0000,05000CORF 7133,A000000,05010,0000,05010CMHC 7133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7133,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7133,A81000A,00100,0100,Y 7133,A81000B,00100,0300,HOME OFFICE COST 7133,A81000B,00400,0300,HOME OFFICE COST 7133,A81000B,00500,0300,HOME OFFICE COST 7133,A81000B,00600,0300,HOME OFFICE COST 7133,A81000B,00800,0300,HOME OFFICE COST 7133,A81000C,00100,0100,B 7133,A81000C,00100,0200,BEVERLY ENTERPR 7133,B100000,00000,0100,00000(SQUARE FEET) 7133,B100000,00000,0200,00000(SQUARE FEET) 7133,B100000,00000,0300,00000(ADJUSTED SALARIES) 7133,B100000,00000,0400,00000(ACCUM. COST) 7133,B100000,00000,0500,00000(SQUARE FEET) 7133,B100000,00000,0600,00000(PATIENT DAYS) 7133,B100000,00000,0700,00000(SQUARE FEET) 7133,B100000,00000,0800,00000(MEALS SERVED) 7133,B100000,00000,0900,00000(ADJUSTED SALARIES) 7133,B100000,00000,1000,00000(PATIENT DAYS) 7133,B100000,00000,1100,00000(COSTED REQUIS) 7133,B100000,00000,1200,00000(TOTAL CHARGES) 7133,B100000,00000,1300,00000(PATIENT DAYS) 7133,B100000,00000,1301,00000(PATIENT DAYS) 7133,B100000,00000,1400,00000(ASSIGNED TIME) 7133,E10A180,00350,0100,01/27/1999 7133,E10A180,00351,0100,06/14/1999 7133,E10A180,00352,0100,10/08/1999 7133,E10A180,00353,0100,12/09/1999 7133,E10A180,00354,0100,02/14/2000 7133,S000000,00100,0200,06/02/2000 7133,S200000,00100,0100,250 FLANK ROAD 7133,S200000,00200,0100,PETERSBURG 7133,S200000,00200,0200,VA 7133,S200000,00200,0300,23803 7133,S200000,00300,0100,PRINCE GEORGE 7133,S200000,00400,0100,BATTLEFIELD PARK CONVALESCENT CENTE 7133,S200000,00400,0200,495252 7133,S200000,00400,0300,09/01/1991 7133,S200000,00400,0500,P 7133,S200000,00600,0200,495252 7133,S200000,00600,0300,09/01/1991 7133,S200000,00600,0600,P 7133,S200000,01600,0100,Y 7136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7136,A000000,00300,0000,00300EMPLOYEE BENEFITS 7136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7136,A000000,00700,0000,00700HOUSEKEEPING 7136,A000000,00800,0000,00800DIETARY 7136,A000000,00900,0000,00900NURSING ADMINISTRATION 7136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7136,A000000,01100,0000,01100PHARMACY 7136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7136,A000000,01300,0000,01300SOCIAL SERVICE 7136,A000000,01301,0000,01301ACTIVITIES 7136,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7136,A000000,01600,0000,01600SKILLED NURSING FACILITY 7136,A000000,01800,0000,01800NURSING FACILITY 7136,A000000,01810,0000,01810ICF/MR 7136,A000000,02100,0000,02100RADIOLOGY 7136,A000000,02200,0000,02200LABORATORY 7136,A000000,02500,0000,02500PHYSICAL THERAPY 7136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7136,A000000,02700,0000,02700SPEECH PATHOLOGY 7136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7136,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7136,A000000,03550,0000,03550FQHC 7136,A000000,05000,0000,05000CORF 7136,A000000,05010,0000,05010CMHC 7136,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7136,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7136,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7136,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7136,A81000A,00100,0100,Y 7136,A81000B,00100,0300,HOME OFFICE COST 7136,A81000B,00400,0300,HOME OFFICE COST 7136,A81000B,00500,0300,HOME OFFICE COST 7136,A81000B,00600,0300,HOME OFFICE COST 7136,A81000B,00800,0300,HOME OFFICE COST 7136,A81000C,00100,0100,B 7136,A81000C,00100,0200,BEVERLY ENTERPR 7136,B100000,00000,0100,00000(SQUARE FEET) 7136,B100000,00000,0200,00000(SQUARE FEET) 7136,B100000,00000,0300,00000(ADJUSTED SALARIES) 7136,B100000,00000,0400,00000(ACCUM. COST) 7136,B100000,00000,0500,00000(SQUARE FEET) 7136,B100000,00000,0600,00000(PATIENT DAYS) 7136,B100000,00000,0700,00000(SQUARE FEET) 7136,B100000,00000,0800,00000(MEALS SERVED) 7136,B100000,00000,0900,00000(ADJUSTED SALARIES) 7136,B100000,00000,1000,00000(PATIENT DAYS) 7136,B100000,00000,1100,00000(COSTED REQUIS) 7136,B100000,00000,1200,00000(TOTAL CHARGES) 7136,B100000,00000,1300,00000(PATIENT DAYS) 7136,B100000,00000,1301,00000(PATIENT DAYS) 7136,B100000,00000,1400,00000(ASSIGNED TIME) 7136,E10A180,00301,0100,06/14/1999 7136,E10A180,00302,0100,10/08/1999 7136,E10A180,00303,0100,02/14/2000 7136,E10A180,00350,0100,01/27/1999 7136,E10A180,00351,0100,12/09/1999 7136,S000000,00100,0200,06/02/2000 7136,S200000,00100,0100,1 VANTAGE DRIVE 7136,S200000,00200,0100,POQUOSON 7136,S200000,00200,0200,VA 7136,S200000,00200,0300,23662 7136,S200000,00300,0100,POQUOSON 7136,S200000,00400,0100,BAYSIDE CONVALESCENT CENTER 7136,S200000,00400,0200,495264 7136,S200000,00400,0300,06/01/1992 7136,S200000,00400,0500,P 7136,S200000,00600,0200,495264 7136,S200000,00600,0300,06/01/1992 7136,S200000,00600,0600,P 7136,S200000,01600,0100,Y 7139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7139,A000000,00300,0000,00300EMPLOYEE BENEFITS 7139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7139,A000000,00700,0000,00700HOUSEKEEPING 7139,A000000,00800,0000,00800DIETARY 7139,A000000,00900,0000,00900NURSING ADMINISTRATION 7139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7139,A000000,01100,0000,01100PHARMACY 7139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7139,A000000,01300,0000,01300SOCIAL SERVICE 7139,A000000,01301,0000,01301ACTIVITIES 7139,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7139,A000000,01600,0000,01600SKILLED NURSING FACILITY 7139,A000000,01800,0000,01800NURSING FACILITY 7139,A000000,01810,0000,01810ICF/MR 7139,A000000,02100,0000,02100RADIOLOGY 7139,A000000,02200,0000,02200LABORATORY 7139,A000000,02500,0000,02500PHYSICAL THERAPY 7139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7139,A000000,02700,0000,02700SPEECH PATHOLOGY 7139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7139,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7139,A000000,03550,0000,03550FQHC 7139,A000000,05000,0000,05000CORF 7139,A000000,05010,0000,05010CMHC 7139,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7139,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7139,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7139,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7139,A81000A,00100,0100,Y 7139,A81000B,00100,0300,HOME OFFICE COST 7139,A81000B,00400,0300,HOME OFFICE COST 7139,A81000B,00500,0300,HOME OFFICE COST 7139,A81000B,00600,0300,HOME OFFICE COST 7139,A81000B,00800,0300,HOME OFFICE COST 7139,A81000C,00100,0100,B 7139,A81000C,00100,0200,BEVERLY ENTERPR 7139,B100000,00000,0100,00000(SQUARE FEET) 7139,B100000,00000,0200,00000(SQUARE FEET) 7139,B100000,00000,0300,00000(ADJUSTED SALARIES) 7139,B100000,00000,0400,00000(ACCUM. COST) 7139,B100000,00000,0500,00000(SQUARE FEET) 7139,B100000,00000,0600,00000(PATIENT DAYS) 7139,B100000,00000,0700,00000(SQUARE FEET) 7139,B100000,00000,0800,00000(MEALS SERVED) 7139,B100000,00000,0900,00000(ADJUSTED SALARIES) 7139,B100000,00000,1000,00000(PATIENT DAYS) 7139,B100000,00000,1100,00000(COSTED REQUIS) 7139,B100000,00000,1200,00000(TOTAL CHARGES) 7139,B100000,00000,1300,00000(PATIENT DAYS) 7139,B100000,00000,1301,00000(PATIENT DAYS) 7139,B100000,00000,1400,00000(ASSIGNED TIME) 7139,E10A180,00301,0100,06/14/1999 7139,E10A180,00302,0100,10/08/1999 7139,E10A180,00303,0100,02/14/2000 7139,E10A180,00350,0100,01/27/1999 7139,E10A180,00351,0100,12/09/1999 7139,S000000,00100,0200,06/02/2000 7139,S200000,00100,0100,ALT ROUTE 58 P.O. BOX 59 7139,S200000,00200,0100,DRYDEN 7139,S200000,00200,0200,VA 7139,S200000,00200,0300,24243 7139,S200000,00300,0100,LEE 7139,S200000,00400,0100,CARTER HALL NURSING HOME 7139,S200000,00400,0200,495285 7139,S200000,00400,0300,11/01/1993 7139,S200000,00400,0500,P 7139,S200000,00600,0200,495285 7139,S200000,00600,0300,11/01/1993 7139,S200000,00600,0600,P 7139,S200000,01600,0100,Y 7142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7142,A000000,00300,0000,00300EMPLOYEE BENEFITS 7142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7142,A000000,00700,0000,00700HOUSEKEEPING 7142,A000000,00800,0000,00800DIETARY 7142,A000000,00900,0000,00900NURSING ADMINISTRATION 7142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7142,A000000,01100,0000,01100PHARMACY 7142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7142,A000000,01300,0000,01300SOCIAL SERVICE 7142,A000000,01301,0000,01301ACTIVITIES 7142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7142,A000000,01600,0000,01600SKILLED NURSING FACILITY 7142,A000000,01800,0000,01800NURSING FACILITY 7142,A000000,01810,0000,01810ICF/MR 7142,A000000,01900,0000,01900OTHER LONG TERM CARE 7142,A000000,02100,0000,02100RADIOLOGY 7142,A000000,02200,0000,02200LABORATORY 7142,A000000,02500,0000,02500PHYSICAL THERAPY 7142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7142,A000000,02700,0000,02700SPEECH PATHOLOGY 7142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7142,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7142,A000000,03550,0000,03550FQHC 7142,A000000,05000,0000,05000CORF 7142,A000000,05010,0000,05010CMHC 7142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7142,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7142,A81000A,00100,0100,Y 7142,A81000B,00100,0300,HOME OFFICE COST 7142,A81000B,00400,0300,HOME OFFICE COST 7142,A81000B,00500,0300,HOME OFFICE COST 7142,A81000B,00600,0300,HOME OFFICE COST 7142,A81000B,00800,0300,HOME OFFICE COST 7142,A81000C,00100,0100,B 7142,A81000C,00100,0200,BEVERLY ENTERPR 7142,B100000,00000,0100,00000(SQUARE FEET) 7142,B100000,00000,0200,00000(SQUARE FEET) 7142,B100000,00000,0300,00000(ADJUSTED SALARIES) 7142,B100000,00000,0400,00000(ACCUM. COST) 7142,B100000,00000,0500,00000(SQUARE FEET) 7142,B100000,00000,0600,00000(PATIENT DAYS) 7142,B100000,00000,0700,00000(SQUARE FEET) 7142,B100000,00000,0800,00000(MEALS SERVED) 7142,B100000,00000,0900,00000(ADJUSTED SALARIES) 7142,B100000,00000,1000,00000(PATIENT DAYS) 7142,B100000,00000,1100,00000(COSTED REQUIS) 7142,B100000,00000,1200,00000(TOTAL CHARGES) 7142,B100000,00000,1300,00000(PATIENT DAYS) 7142,B100000,00000,1301,00000(PATIENT DAYS) 7142,B100000,00000,1400,00000(ASSIGNED TIME) 7142,E10A180,00301,0100,06/14/1999 7142,E10A180,00302,0100,10/08/1999 7142,E10A180,00303,0100,02/14/2000 7142,E10A180,00350,0100,01/27/1999 7142,E10A180,00351,0100,12/09/1999 7142,S000000,00100,0200,06/02/2000 7142,S200000,00100,0100,3600 MOUNTAIN ROAD 7142,S200000,00200,0100,GLEN ALLEN 7142,S200000,00200,0200,VA 7142,S200000,00200,0300,23060 7142,S200000,00300,0100,HENRICO 7142,S200000,00400,0100,ELIZABETH ADAM CRUMP MANOR 7142,S200000,00400,0200,495299 7142,S200000,00400,0300,03/01/1995 7142,S200000,00400,0500,P 7142,S200000,00600,0200,495299 7142,S200000,00600,0300,03/01/1995 7142,S200000,00600,0600,P 7142,S200000,01600,0100,Y 7145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7145,A000000,00300,0000,00300EMPLOYEE BENEFITS 7145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7145,A000000,00700,0000,00700HOUSEKEEPING 7145,A000000,00800,0000,00800DIETARY 7145,A000000,00900,0000,00900NURSING ADMINISTRATION 7145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7145,A000000,01100,0000,01100PHARMACY 7145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7145,A000000,01300,0000,01300SOCIAL SERVICE 7145,A000000,01301,0000,01301ACTIVITIES 7145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7145,A000000,01600,0000,01600SKILLED NURSING FACILITY 7145,A000000,01800,0000,01800NURSING FACILITY 7145,A000000,01810,0000,01810ICF/MR 7145,A000000,02100,0000,02100RADIOLOGY 7145,A000000,02200,0000,02200LABORATORY 7145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7145,A000000,02500,0000,02500PHYSICAL THERAPY 7145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7145,A000000,02700,0000,02700SPEECH PATHOLOGY 7145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7145,A000000,03550,0000,03550FQHC 7145,A000000,05000,0000,05000CORF 7145,A000000,05010,0000,05010CMHC 7145,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7145,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7145,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7145,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7145,A81000A,00100,0100,Y 7145,A81000B,00100,0300,HOME OFFICE COST 7145,A81000B,00400,0300,HOME OFFICE COST 7145,A81000B,00500,0300,HOME OFFICE COST 7145,A81000B,00600,0300,HOME OFFICE COST 7145,A81000B,00800,0300,HOME OFFICE COST 7145,A81000C,00100,0100,B 7145,A81000C,00100,0200,BEVERLY ENTERPR 7145,B100000,00000,0100,00000(SQUARE FEET) 7145,B100000,00000,0200,00000(SQUARE FEET) 7145,B100000,00000,0300,00000(ADJUSTED SALARIES) 7145,B100000,00000,0400,00000(ACCUM. COST) 7145,B100000,00000,0500,00000(SQUARE FEET) 7145,B100000,00000,0600,00000(PATIENT DAYS) 7145,B100000,00000,0700,00000(SQUARE FEET) 7145,B100000,00000,0800,00000(MEALS SERVED) 7145,B100000,00000,0900,00000(ADJUSTED SALARIES) 7145,B100000,00000,1000,00000(PATIENT DAYS) 7145,B100000,00000,1100,00000(COSTED REQUIS) 7145,B100000,00000,1200,00000(TOTAL CHARGES) 7145,B100000,00000,1300,00000(PATIENT DAYS) 7145,B100000,00000,1301,00000(PATIENT DAYS) 7145,B100000,00000,1400,00000(ASSIGNED TIME) 7145,E10A180,00301,0100,06/14/1999 7145,E10A180,00302,0100,10/08/1999 7145,E10A180,00303,0100,02/14/2000 7145,E10A180,00350,0100,01/27/1999 7145,E10A180,00351,0100,12/09/1999 7145,S000000,00100,0200,06/02/2000 7145,S200000,00100,0100,920 ANDERSON DR 7145,S200000,00200,0100,ABERDEEN 7145,S200000,00200,0200,WA 7145,S200000,00200,0300,98520 7145,S200000,00300,0100,GRAYS HARBOR 7145,S200000,00400,0100,GRAYS HARBOR CONV CTR 7145,S200000,00400,0200,505016 7145,S200000,00400,0300,01/01/1986 7145,S200000,00400,0500,P 7145,S200000,00600,0200,505016 7145,S200000,00600,0300,01/01/1986 7145,S200000,00600,0600,P 7145,S200000,01600,0100,Y 7148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7148,A000000,00300,0000,00300EMPLOYEE BENEFITS 7148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7148,A000000,00700,0000,00700HOUSEKEEPING 7148,A000000,00800,0000,00800DIETARY 7148,A000000,00900,0000,00900NURSING ADMINISTRATION 7148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7148,A000000,01100,0000,01100PHARMACY 7148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7148,A000000,01300,0000,01300SOCIAL SERVICE 7148,A000000,01301,0000,01301ACTIVITIES 7148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7148,A000000,01600,0000,01600SKILLED NURSING FACILITY 7148,A000000,01800,0000,01800NURSING FACILITY 7148,A000000,01810,0000,01810ICF/MR 7148,A000000,02100,0000,02100RADIOLOGY 7148,A000000,02200,0000,02200LABORATORY 7148,A000000,02500,0000,02500PHYSICAL THERAPY 7148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7148,A000000,02700,0000,02700SPEECH PATHOLOGY 7148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7148,A000000,03550,0000,03550FQHC 7148,A000000,05000,0000,05000CORF 7148,A000000,05010,0000,05010CMHC 7148,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7148,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7148,A81000A,00100,0100,Y 7148,A81000B,00100,0300,HOME OFFICE COST 7148,A81000B,00400,0300,HOME OFFICE COST 7148,A81000B,00500,0300,HOME OFFICE COST 7148,A81000B,00600,0300,HOME OFFICE COST 7148,A81000B,00800,0300,HOME OFFICE COST 7148,A81000C,00100,0100,B 7148,A81000C,00100,0200,BEVERLY ENTERPR 7148,B100000,00000,0100,00000(SQUARE FEET) 7148,B100000,00000,0200,00000(SQUARE FEET) 7148,B100000,00000,0300,00000(ADJUSTED SALARIES) 7148,B100000,00000,0400,00000(ACCUM. COST) 7148,B100000,00000,0500,00000(SQUARE FEET) 7148,B100000,00000,0600,00000(PATIENT DAYS) 7148,B100000,00000,0700,00000(SQUARE FEET) 7148,B100000,00000,0800,00000(MEALS SERVED) 7148,B100000,00000,0900,00000(ADJUSTED SALARIES) 7148,B100000,00000,1000,00000(PATIENT DAYS) 7148,B100000,00000,1100,00000(COSTED REQUIS) 7148,B100000,00000,1200,00000(TOTAL CHARGES) 7148,B100000,00000,1300,00000(PATIENT DAYS) 7148,B100000,00000,1301,00000(PATIENT DAYS) 7148,B100000,00000,1400,00000(ASSIGNED TIME) 7148,E10A180,00301,0100,06/14/1999 7148,E10A180,00302,0100,10/08/1999 7148,E10A180,00303,0100,02/14/2000 7148,E10A180,00350,0100,01/27/1999 7148,E10A180,00351,0100,12/09/1999 7148,S000000,00100,0200,06/02/2000 7148,S200000,00100,0100,2004 N 22ND ST 7148,S200000,00200,0100,PASCO 7148,S200000,00200,0200,WA 7148,S200000,00200,0300,99301 7148,S200000,00300,0100,FRANKLIN 7148,S200000,00400,0100,HILLCREST CONVALESCENT CENTER 7148,S200000,00400,0200,505126 7148,S200000,00400,0300,06/01/1974 7148,S200000,00400,0500,P 7148,S200000,00600,0200,505126 7148,S200000,00600,0300,06/01/1974 7148,S200000,00600,0600,P 7148,S200000,01600,0100,Y 7148,S200000,04200,0100,Y 7148,S200000,04300,0100,Y 7151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7151,A000000,00300,0000,00300EMPLOYEE BENEFITS 7151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7151,A000000,00700,0000,00700HOUSEKEEPING 7151,A000000,00800,0000,00800DIETARY 7151,A000000,00900,0000,00900NURSING ADMINISTRATION 7151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7151,A000000,01100,0000,01100PHARMACY 7151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7151,A000000,01300,0000,01300SOCIAL SERVICE 7151,A000000,01301,0000,01301ACTIVITIES 7151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7151,A000000,01600,0000,01600SKILLED NURSING FACILITY 7151,A000000,01800,0000,01800NURSING FACILITY 7151,A000000,01810,0000,01810ICF/MR 7151,A000000,02500,0000,02500PHYSICAL THERAPY 7151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7151,A000000,02700,0000,02700SPEECH PATHOLOGY 7151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7151,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7151,A000000,03051,0000,03301OTHER ANCILLARY-CONSOLIDATED BI 7151,A000000,03550,0000,03550FQHC 7151,A000000,05000,0000,05000CORF 7151,A000000,05010,0000,05010CMHC 7151,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7151,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7151,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7151,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7151,A000000,06151,0000,06301OTHER NON-REIMBURSABLE COST 7151,A81000A,00100,0100,Y 7151,A81000B,00100,0300,HOME OFFICE COST 7151,A81000B,00400,0300,HOME OFFICE COST 7151,A81000B,00500,0300,HOME OFFICE COST 7151,A81000B,00600,0300,HOME OFFICE COST 7151,A81000B,00800,0300,HOME OFFICE COST 7151,A81000C,00100,0100,B 7151,A81000C,00100,0200,BEVERLY ENTERPR 7151,B100000,00000,0100,00001(SQUARE FEET) 7151,B100000,00000,0200,00001(SQUARE FEET) 7151,B100000,00000,0300,00001(ADJUSTED SALARIES) 7151,B100000,00000,0400,00001(ACCUM. COST) 7151,B100000,00000,0500,00001(SQUARE FEET) 7151,B100000,00000,0600,00001(PATIENT DAYS) 7151,B100000,00000,0700,00001(SQUARE FEET) 7151,B100000,00000,0800,00001(MEALS SERVED) 7151,B100000,00000,0900,00001(ADJUSTED SALARIES) 7151,B100000,00000,1000,00001(PATIENT DAYS) 7151,B100000,00000,1100,00001(COSTED REQUIS) 7151,B100000,00000,1200,00001(TOTAL CHARGES) 7151,B100000,00000,1300,00001(PATIENT DAYS) 7151,B100000,00000,1301,00001(PATIENT DAYS) 7151,B100000,00000,1400,00001(ASSIGNED TIME) 7151,E10A180,00301,0100,01/27/1999 7151,E10A180,00350,0100,06/14/1999 7151,E10A180,00351,0100,10/08/1999 7151,E10A180,00352,0100,12/09/1999 7151,E10A180,00353,0100,02/14/2000 7151,S000000,00100,0200,05/15/2000 7151,S200000,00100,0100,NORTHWEST 1310 DEANE 7151,S200000,00200,0100,PULLMAN 7151,S200000,00200,0200,WA 7151,S200000,00200,0300,99163 7151,S200000,00300,0100,KING 7151,S200000,00400,0100,PALOUSE HILLS CONV (3885) 7151,S200000,00400,0200,505246 7151,S200000,00400,0300,12/01/1987 7151,S200000,00400,0500,P 7151,S200000,00600,0200,505246 7151,S200000,00600,0300,12/01/1987 7151,S200000,00600,0600,P 7151,S200000,01600,0100,Y 7154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7154,A000000,00300,0000,00300EMPLOYEE BENEFITS 7154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7154,A000000,00700,0000,00700HOUSEKEEPING 7154,A000000,00800,0000,00800DIETARY 7154,A000000,00900,0000,00900NURSING ADMINISTRATION 7154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7154,A000000,01100,0000,01100PHARMACY 7154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7154,A000000,01300,0000,01300SOCIAL SERVICE 7154,A000000,01301,0000,01301ACTIVITIES 7154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7154,A000000,01600,0000,01600SKILLED NURSING FACILITY 7154,A000000,01800,0000,01800NURSING FACILITY 7154,A000000,01810,0000,01810ICF/MR 7154,A000000,02500,0000,02500PHYSICAL THERAPY 7154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7154,A000000,02700,0000,02700SPEECH PATHOLOGY 7154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7154,A000000,03550,0000,03550FQHC 7154,A000000,05000,0000,05000CORF 7154,A000000,05010,0000,05010CMHC 7154,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7154,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7154,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7154,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7154,A81000A,00100,0100,Y 7154,A81000B,00100,0300,HOME OFFICE COST 7154,A81000B,00400,0300,HOME OFFICE COST 7154,A81000B,00500,0300,HOME OFFICE COST 7154,A81000B,00600,0300,HOME OFFICE COST 7154,A81000B,00800,0300,HOME OFFICE COST 7154,A81000C,00100,0100,B 7154,A81000C,00100,0200,BEVERLY ENTERPR 7154,B100000,00000,0100,00000(SQUARE FEET) 7154,B100000,00000,0200,00000(SQUARE FEET) 7154,B100000,00000,0300,00000(ADJUSTED SALARIES) 7154,B100000,00000,0400,00000(ACCUM. COST) 7154,B100000,00000,0500,00000(SQUARE FEET) 7154,B100000,00000,0600,00000(PATIENT DAYS) 7154,B100000,00000,0700,00000(SQUARE FEET) 7154,B100000,00000,0800,00000(MEALS SERVED) 7154,B100000,00000,0900,00000(ADJUSTED SALARIES) 7154,B100000,00000,1000,00000(PATIENT DAYS) 7154,B100000,00000,1100,00000(COSTED REQUIS) 7154,B100000,00000,1200,00000(TOTAL CHARGES) 7154,B100000,00000,1300,00000(PATIENT DAYS) 7154,B100000,00000,1301,00000(PATIENT DAYS) 7154,B100000,00000,1400,00000(ASSIGNED TIME) 7154,E10A180,00301,0100,01/27/1999 7154,E10A180,00302,0100,10/08/1999 7154,E10A180,00350,0100,06/14/1999 7154,E10A180,00351,0100,12/09/1999 7154,E10A180,00352,0100,02/14/2000 7154,S000000,00100,0200,06/02/2000 7154,S200000,00100,0100,495 N. 13TH ST 7154,S200000,00200,0100,OTHELLO 7154,S200000,00200,0200,WA 7154,S200000,00200,0300,98344 7154,S200000,00300,0100,ADAMS 7154,S200000,00400,0100,02799 - OTHELLO CONVALESCENT H 7154,S200000,00400,0200,505255 7154,S200000,00400,0300,08/01/1986 7154,S200000,00400,0500,P 7154,S200000,00600,0200,505255 7154,S200000,00600,0300,08/01/1986 7154,S200000,00600,0600,P 7154,S200000,01600,0100,Y 7157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7157,A000000,00300,0000,00300EMPLOYEE BENEFITS 7157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7157,A000000,00700,0000,00700HOUSEKEEPING 7157,A000000,00800,0000,00800DIETARY 7157,A000000,00900,0000,00900NURSING ADMINISTRATION 7157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7157,A000000,01100,0000,01100PHARMACY 7157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7157,A000000,01300,0000,01300SOCIAL SERVICE 7157,A000000,01301,0000,01301ACTIVITIES 7157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7157,A000000,01600,0000,01600SKILLED NURSING FACILITY 7157,A000000,01800,0000,01800NURSING FACILITY 7157,A000000,01810,0000,01810ICF/MR 7157,A000000,01900,0000,01900OTHER LONG TERM CARE 7157,A000000,02100,0000,02100RADIOLOGY 7157,A000000,02200,0000,02200LABORATORY 7157,A000000,02500,0000,02500PHYSICAL THERAPY 7157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7157,A000000,02700,0000,02700SPEECH PATHOLOGY 7157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7157,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7157,A000000,03051,0000,03301OTHER-ANCILLARY-CONSOLIDATED BI 7157,A000000,03550,0000,03550FQHC 7157,A000000,05000,0000,05000CORF 7157,A000000,05010,0000,05010CMHC 7157,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7157,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7157,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7157,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7157,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7157,A000000,06151,0000,06301OTHER NON-REIMBURSABLE COST 7157,A81000A,00100,0100,Y 7157,A81000B,00100,0300,HOME OFFICE COST 7157,A81000B,00400,0300,HOME OFFICE COST 7157,A81000B,00500,0300,HOME OFFICE COST 7157,A81000B,00600,0300,HOME OFFICE COST 7157,A81000B,00800,0300,HOME OFFICE COST 7157,A81000C,00100,0100,B 7157,A81000C,00100,0200,BEVERLY ENTERPR 7157,B100000,00000,0100,00001(SQUARE FEET) 7157,B100000,00000,0200,00001(SQUARE FEET) 7157,B100000,00000,0300,00001(ADJUSTED SALARIES) 7157,B100000,00000,0400,00001(ACCUM. COST) 7157,B100000,00000,0500,00001(SQUARE FEET) 7157,B100000,00000,0600,00001(PATIENT DAYS) 7157,B100000,00000,0700,00001(SQUARE FEET) 7157,B100000,00000,0800,00001(MEALS SERVED) 7157,B100000,00000,0900,00001(ADJUSTED SALARIES) 7157,B100000,00000,1000,00001(PATIENT DAYS) 7157,B100000,00000,1100,00001(COSTED REQUIS) 7157,B100000,00000,1200,00001(TOTAL CHARGES) 7157,B100000,00000,1300,00001(PATIENT DAYS) 7157,B100000,00000,1301,00001(PATIENT DAYS) 7157,B100000,00000,1400,00001(ASSIGNED TIME) 7157,E10A180,00301,0100,01/27/1999 7157,E10A180,00302,0100,02/14/2000 7157,E10A180,00350,0100,06/14/1999 7157,E10A180,00351,0100,10/08/1999 7157,E10A180,00352,0100,12/09/1999 7157,S000000,00100,0200,05/15/2000 7157,S200000,00100,0100,1000 E. ELEP 7157,S200000,00200,0100,COLVILLE 7157,S200000,00200,0200,WA 7157,S200000,00200,0300,99114 7157,S200000,00300,0100,STEVENS 7157,S200000,00400,0100,PINEWOOD TERRACE 7157,S200000,00400,0200,505275 7157,S200000,00400,0300,09/01/1985 7157,S200000,00400,0500,P 7157,S200000,00600,0200,505275 7157,S200000,00600,0300,09/01/1985 7157,S200000,00600,0600,P 7157,S200000,01600,0100,Y 7157,S200000,04300,0100,Y 7160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7160,A000000,00300,0000,00300EMPLOYEE BENEFITS 7160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7160,A000000,00700,0000,00700HOUSEKEEPING 7160,A000000,00800,0000,00800DIETARY 7160,A000000,00900,0000,00900NURSING ADMINISTRATION 7160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7160,A000000,01100,0000,01100PHARMACY 7160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7160,A000000,01300,0000,01300SOCIAL SERVICE 7160,A000000,01301,0000,01301ACTIVITIES 7160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7160,A000000,01600,0000,01600SKILLED NURSING FACILITY 7160,A000000,01800,0000,01800NURSING FACILITY 7160,A000000,01810,0000,01810ICF/MR 7160,A000000,01900,0000,01900OTHER LONG TERM CARE 7160,A000000,02500,0000,02500PHYSICAL THERAPY 7160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7160,A000000,02700,0000,02700SPEECH PATHOLOGY 7160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7160,A000000,03550,0000,03550FQHC 7160,A000000,05000,0000,05000CORF 7160,A000000,05010,0000,05010CMHC 7160,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7160,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7160,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7160,A000000,06150,0000,06300OTHER NON REIM COSTS 7160,A81000A,00100,0100,Y 7160,A81000B,00100,0300,HOME OFFICE COST 7160,A81000B,00400,0300,HOME OFFICE COST 7160,A81000B,00500,0300,HOME OFFICE COST 7160,A81000B,00600,0300,HOME OFFICE COST 7160,A81000B,00800,0300,HOME OFFICE COST 7160,A81000C,00100,0100,B 7160,A81000C,00100,0200,BEVERLY ENTERPR 7160,B100000,00000,0100,00000(SQUARE FEET) 7160,B100000,00000,0200,00000(SQUARE FEET) 7160,B100000,00000,0300,00000(ADJUSTED SALARIES) 7160,B100000,00000,0400,00000(ACCUM. COST) 7160,B100000,00000,0500,00000(SQUARE FEET) 7160,B100000,00000,0600,00000(PATIENT DAYS) 7160,B100000,00000,0700,00000(SQUARE FEET) 7160,B100000,00000,0800,00000(MEALS SERVED) 7160,B100000,00000,0900,00000(ADJUSTED SALARIES) 7160,B100000,00000,1000,00000(PATIENT DAYS) 7160,B100000,00000,1100,00000(COSTED REQUIS) 7160,B100000,00000,1200,00000(TOTAL CHARGES) 7160,B100000,00000,1300,00000(PATIENT DAYS) 7160,B100000,00000,1301,00000(PATIENT DAYS) 7160,B100000,00000,1400,00000(ASSIGNED TIME) 7160,E10A180,00301,0100,06/14/1999 7160,E10A180,00302,0100,10/08/1999 7160,E10A180,00350,0100,01/27/1999 7160,E10A180,00351,0100,12/09/1999 7160,E10A180,00352,0100,02/14/2000 7160,S000000,00100,0200,06/02/2000 7160,S200000,00100,0100,6844 PORTLAND AVE 7160,S200000,00200,0100,TACOMA 7160,S200000,00200,0200,WA 7160,S200000,00200,0300,98404 7160,S200000,00300,0100,PIERCE 7160,S200000,00400,0100,02828 - CLEARVIEW MANOR B 7160,S200000,00400,0200,505335 7160,S200000,00400,0300,05/01/1989 7160,S200000,00400,0500,P 7160,S200000,00600,0200,505335 7160,S200000,00600,0300,05/01/1998 7160,S200000,00600,0600,P 7160,S200000,01600,0100,Y 7165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7165,A000000,00300,0000,00300EMPLOYEE BENEFITS 7165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7165,A000000,00700,0000,00700HOUSEKEEPING 7165,A000000,00800,0000,00800DIETARY 7165,A000000,00900,0000,00900NURSING ADMINISTRATION 7165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7165,A000000,01100,0000,01100PHARMACY 7165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7165,A000000,01300,0000,01300SOCIAL SERVICE 7165,A000000,01301,0000,01301ACTIVITIES 7165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7165,A000000,01600,0000,01600SKILLED NURSING FACILITY 7165,A000000,01800,0000,01800NURSING FACILITY 7165,A000000,01810,0000,01810ICF/MR 7165,A000000,02100,0000,02100RADIOLOGY 7165,A000000,02200,0000,02200LABORATORY 7165,A000000,02500,0000,02500PHYSICAL THERAPY 7165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7165,A000000,02700,0000,02700SPEECH PATHOLOGY 7165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7165,A000000,03550,0000,03550FQHC 7165,A000000,05000,0000,05000CORF 7165,A000000,05010,0000,05010CMHC 7165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7165,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7165,A81000A,00100,0100,Y 7165,A81000B,00100,0300,HOME OFFICE COST 7165,A81000B,00400,0300,HOME OFFICE COST 7165,A81000B,00500,0300,HOME OFFICE COST 7165,A81000B,00600,0300,HOME OFFICE COST 7165,A81000B,00800,0300,HOME OFFICE COST 7165,A81000C,00100,0100,B 7165,A81000C,00100,0200,BEVERLY ENTERPR 7165,B100000,00000,0100,00000(SQUARE FEET) 7165,B100000,00000,0200,00000(SQUARE FEET) 7165,B100000,00000,0300,00000(ADJUSTED SALARIES) 7165,B100000,00000,0400,00000(ACCUM. COST) 7165,B100000,00000,0500,00000(SQUARE FEET) 7165,B100000,00000,0600,00000(PATIENT DAYS) 7165,B100000,00000,0700,00000(SQUARE FEET) 7165,B100000,00000,0800,00000(MEALS SERVED) 7165,B100000,00000,0900,00000(ADJUSTED SALARIES) 7165,B100000,00000,1000,00000(PATIENT DAYS) 7165,B100000,00000,1100,00000(COSTED REQUIS) 7165,B100000,00000,1200,00000(TOTAL CHARGES) 7165,B100000,00000,1300,00000(PATIENT DAYS) 7165,B100000,00000,1301,00000(PATIENT DAYS) 7165,B100000,00000,1400,00000(ASSIGNED TIME) 7165,E10A180,00350,0100,01/27/1999 7165,E10A180,00351,0100,06/14/1999 7165,E10A180,00352,0100,10/08/1999 7165,E10A180,00353,0100,12/09/1999 7165,E10A180,00354,0100,02/14/2000 7165,S000000,00100,0200,06/02/2000 7165,S200000,00100,0100,1100 JACKSON STREET 7165,S200000,00200,0100,RAYMOND 7165,S200000,00200,0200,WA 7165,S200000,00200,0300,98577 7165,S200000,00300,0100,PACIFIC 7165,S200000,00400,0100,WILLAPA HARBOR CARE CENTER (48 7165,S200000,00400,0200,505349 7165,S200000,00400,0300,09/01/1989 7165,S200000,00400,0500,P 7165,S200000,00600,0200,505349 7165,S200000,00600,0300,09/01/1989 7165,S200000,00600,0600,P 7165,S200000,01600,0100,Y 7168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7168,A000000,00300,0000,00300EMPLOYEE BENEFITS 7168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7168,A000000,00700,0000,00700HOUSEKEEPING 7168,A000000,00800,0000,00800DIETARY 7168,A000000,00900,0000,00900NURSING ADMINISTRATION 7168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7168,A000000,01100,0000,01100PHARMACY 7168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7168,A000000,01300,0000,01300SOCIAL SERVICE 7168,A000000,01301,0000,01301ACTIVITIES 7168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7168,A000000,01600,0000,01600SKILLED NURSING FACILITY 7168,A000000,01800,0000,01800NURSING FACILITY 7168,A000000,01810,0000,01810ICF/MR 7168,A000000,02500,0000,02500PHYSICAL THERAPY 7168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7168,A000000,02700,0000,02700SPEECH PATHOLOGY 7168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7168,A000000,03550,0000,03550FQHC 7168,A000000,05000,0000,05000CORF 7168,A000000,05010,0000,05010CMHC 7168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7168,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7168,A000000,06151,0000,06301OTHER NON-REIMBURSABLE COST 7168,A81000A,00100,0100,Y 7168,A81000B,00100,0300,HOME OFFICE COST 7168,A81000B,00400,0300,HOME OFFICE COST 7168,A81000B,00500,0300,HOME OFFICE COST 7168,A81000B,00600,0300,HOME OFFICE COST 7168,A81000B,00800,0300,HOME OFFICE COST 7168,A81000C,00100,0100,B 7168,A81000C,00100,0200,BEVERLY ENTERPR 7168,B100000,00000,0100,00001(SQUARE FEET) 7168,B100000,00000,0200,00001(SQUARE FEET) 7168,B100000,00000,0300,00001(ADJUSTED SALARIES) 7168,B100000,00000,0400,00001(ACCUM. COST) 7168,B100000,00000,0500,00001(SQUARE FEET) 7168,B100000,00000,0600,00001(PATIENT DAYS) 7168,B100000,00000,0700,00001(SQUARE FEET) 7168,B100000,00000,0800,00001(MEALS SERVED) 7168,B100000,00000,0900,00001(ADJUSTED SALARIES) 7168,B100000,00000,1000,00001(PATIENT DAYS) 7168,B100000,00000,1100,00001(COSTED REQUIS) 7168,B100000,00000,1200,00001(TOTAL CHARGES) 7168,B100000,00000,1300,00001(PATIENT DAYS) 7168,B100000,00000,1301,00001(PATIENT DAYS) 7168,B100000,00000,1400,00001(ASSIGNED TIME) 7168,E10A180,00301,0100,12/09/1999 7168,E10A180,00350,0100,06/14/1999 7168,E10A180,00351,0100,10/08/1999 7168,E10A180,00352,0100,02/14/2000 7168,S000000,00100,0200,05/15/2000 7168,S200000,00100,0100,21428 PACIFIC HWY SO 7168,S200000,00200,0100,SEATTLE 7168,S200000,00200,0200,WA 7168,S200000,00200,0300,98198 7168,S200000,00300,0100,KING 7168,S200000,00400,0100,02745 - OLYMPIC CREST A 7168,S200000,00400,0200,505359 7168,S200000,00400,0300,12/01/1989 7168,S200000,00400,0500,P 7168,S200000,00600,0200,505359 7168,S200000,00600,0300,12/01/1989 7168,S200000,00600,0600,P 7168,S200000,01600,0100,Y 7171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7171,A000000,00300,0000,00300EMPLOYEE BENEFITS 7171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7171,A000000,00700,0000,00700HOUSEKEEPING 7171,A000000,00800,0000,00800DIETARY 7171,A000000,00900,0000,00900NURSING ADMINISTRATION 7171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7171,A000000,01100,0000,01100PHARMACY 7171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7171,A000000,01300,0000,01300SOCIAL SERVICE 7171,A000000,01301,0000,01301ACTIVITIES 7171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7171,A000000,01600,0000,01600SKILLED NURSING FACILITY 7171,A000000,01800,0000,01800NURSING FACILITY 7171,A000000,01810,0000,01810ICF/MR 7171,A000000,01900,0000,01900OTHER LONG TERM CARE 7171,A000000,02100,0000,02100RADIOLOGY 7171,A000000,02200,0000,02200LABORATORY 7171,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7171,A000000,02500,0000,02500PHYSICAL THERAPY 7171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7171,A000000,02700,0000,02700SPEECH PATHOLOGY 7171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7171,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7171,A000000,03550,0000,03550FQHC 7171,A000000,05000,0000,05000CORF 7171,A000000,05010,0000,05010CMHC 7171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7171,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7171,A81000A,00100,0100,Y 7171,A81000B,00100,0300,HOME OFFICE COST 7171,A81000B,00400,0300,HOME OFFICE COST 7171,A81000B,00500,0300,HOME OFFICE COST 7171,A81000B,00600,0300,HOME OFFICE COST 7171,A81000B,00800,0300,HOME OFFICE COST 7171,A81000C,00100,0100,B 7171,A81000C,00100,0200,BEVERLY ENTERPR 7171,B100000,00000,0100,00000(SQUARE FEET) 7171,B100000,00000,0200,00000(SQUARE FEET) 7171,B100000,00000,0300,00000(ADJUSTED SALARIES) 7171,B100000,00000,0400,00000(ACCUM. COST) 7171,B100000,00000,0500,00000(SQUARE FEET) 7171,B100000,00000,0600,00000(PATIENT DAYS) 7171,B100000,00000,0700,00000(SQUARE FEET) 7171,B100000,00000,0800,00000(MEALS SERVED) 7171,B100000,00000,0900,00000(ADJUSTED SALARIES) 7171,B100000,00000,1000,00000(PATIENT DAYS) 7171,B100000,00000,1100,00000(COSTED REQUIS) 7171,B100000,00000,1200,00000(TOTAL CHARGES) 7171,B100000,00000,1300,00000(PATIENT DAYS) 7171,B100000,00000,1301,00000(PATIENT DAYS) 7171,B100000,00000,1400,00000(ASSIGNED TIME) 7171,E10A180,00301,0100,02/14/2000 7171,E10A180,00350,0100,01/27/1999 7171,E10A180,00351,0100,06/14/1999 7171,E10A180,00352,0100,10/08/1999 7171,E10A180,00353,0100,12/09/1999 7171,S000000,00100,0200,06/02/2000 7171,S200000,00100,0100,9827 NORTH NEVADA 7171,S200000,00200,0100,SPOKANE 7171,S200000,00200,0200,WA 7171,S200000,00200,0300,99207 7171,S200000,00300,0100,SPOKANE 7171,S200000,00400,0100,BEV HEALTH & REHAB - NORTHPOINTE 7171,S200000,00400,0200,505496 7171,S200000,00400,0300,05/08/1996 7171,S200000,00400,0500,P 7171,S200000,00600,0200,505496 7171,S200000,00600,0300,05/08/1996 7171,S200000,00600,0600,P 7171,S200000,01600,0100,Y 7174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7174,A000000,00300,0000,00300EMPLOYEE BENEFITS 7174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7174,A000000,00700,0000,00700HOUSEKEEPING 7174,A000000,00800,0000,00800DIETARY 7174,A000000,00900,0000,00900NURSING ADMINISTRATION 7174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7174,A000000,01100,0000,01100PHARMACY 7174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7174,A000000,01300,0000,01300SOCIAL SERVICE 7174,A000000,01301,0000,01301ACTIVITIES 7174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7174,A000000,01600,0000,01600SKILLED NURSING FACILITY 7174,A000000,01800,0000,01800NURSING FACILITY 7174,A000000,01810,0000,01810ICF/MR 7174,A000000,02100,0000,02100RADIOLOGY 7174,A000000,02200,0000,02200LABORATORY 7174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7174,A000000,02500,0000,02500PHYSICAL THERAPY 7174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7174,A000000,02700,0000,02700SPEECH PATHOLOGY 7174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7174,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7174,A000000,03550,0000,03550FQHC 7174,A000000,05000,0000,05000CORF 7174,A000000,05010,0000,05010CMHC 7174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7174,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7174,A81000A,00100,0100,Y 7174,A81000B,00100,0300,HOME OFFICE COST 7174,A81000B,00400,0300,HOME OFFICE COST 7174,A81000B,00500,0300,HOME OFFICE COST 7174,A81000B,00600,0300,HOME OFFICE COST 7174,A81000B,00800,0300,HOME OFFICE COST 7174,A81000C,00100,0100,B 7174,A81000C,00100,0200,BEVERLY ENTERPR 7174,B100000,00000,0100,00000(SQUARE FEET) 7174,B100000,00000,0200,00000(SQUARE FEET) 7174,B100000,00000,0300,00000(ADJUSTED SALARIES) 7174,B100000,00000,0400,00000(ACCUM. COST) 7174,B100000,00000,0500,00000(SQUARE FEET) 7174,B100000,00000,0600,00000(PATIENT DAYS) 7174,B100000,00000,0700,00000(SQUARE FEET) 7174,B100000,00000,0800,00000(MEALS SERVED) 7174,B100000,00000,0900,00000(ADJUSTED SALARIES) 7174,B100000,00000,1000,00000(PATIENT DAYS) 7174,B100000,00000,1100,00000(COSTED REQUIS) 7174,B100000,00000,1200,00000(TOTAL CHARGES) 7174,B100000,00000,1300,00000(PATIENT DAYS) 7174,B100000,00000,1301,00000(PATIENT DAYS) 7174,B100000,00000,1400,00000(ASSIGNED TIME) 7174,E10A180,00301,0100,10/08/1999 7174,E10A180,00302,0100,02/14/2000 7174,E10A180,00350,0100,01/27/1999 7174,E10A180,00351,0100,06/14/1999 7174,E10A180,00352,0100,12/09/1999 7174,S000000,00100,0200,06/02/2000 7174,S200000,00100,0100,6500 MCCORKLE AVE SW 7174,S200000,00200,0100,ST ALBION 7174,S200000,00200,0200,WV 7174,S200000,00200,0300,25177 7174,S200000,00300,0100,KANAWHA 7174,S200000,00400,0100,RIVERSIDE NUR HOME CONV CTR (3 7174,S200000,00400,0200,515035 7174,S200000,00400,0300,03/01/1984 7174,S200000,00400,0500,P 7174,S200000,00600,0200,515035 7174,S200000,00600,0300,03/01/1984 7174,S200000,00600,0600,P 7174,S200000,01600,0100,Y 7177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7177,A000000,00300,0000,00300EMPLOYEE BENEFITS 7177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7177,A000000,00700,0000,00700HOUSEKEEPING 7177,A000000,00800,0000,00800DIETARY 7177,A000000,00900,0000,00900NURSING ADMINISTRATION 7177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7177,A000000,01100,0000,01100PHARMACY 7177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7177,A000000,01300,0000,01300SOCIAL SERVICE 7177,A000000,01301,0000,01301ACTIVITIES 7177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7177,A000000,01600,0000,01600SKILLED NURSING FACILITY 7177,A000000,01800,0000,01800NURSING FACILITY 7177,A000000,01810,0000,01810ICF/MR 7177,A000000,02100,0000,02100RADIOLOGY 7177,A000000,02200,0000,02200LABORATORY 7177,A000000,02500,0000,02500PHYSICAL THERAPY 7177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7177,A000000,02700,0000,02700SPEECH PATHOLOGY 7177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7177,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7177,A000000,03550,0000,03550FQHC 7177,A000000,05000,0000,05000CORF 7177,A000000,05010,0000,05010CMHC 7177,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7177,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7177,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7177,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7177,A81000A,00100,0100,Y 7177,A81000B,00100,0300,HOME OFFICE COST 7177,A81000B,00400,0300,HOME OFFICE COST 7177,A81000B,00500,0300,HOME OFFICE COST 7177,A81000B,00600,0300,HOME OFFICE COST 7177,A81000B,00800,0300,HOME OFFICE COST 7177,A81000C,00100,0100,B 7177,A81000C,00100,0200,BEVERLY ENTERPR 7177,B100000,00000,0100,00000(SQUARE FEET) 7177,B100000,00000,0200,00000(SQUARE FEET) 7177,B100000,00000,0300,00000(ADJUSTED SALARIES) 7177,B100000,00000,0400,00000(ACCUM. COST) 7177,B100000,00000,0500,00000(SQUARE FEET) 7177,B100000,00000,0600,00000(PATIENT DAYS) 7177,B100000,00000,0700,00000(SQUARE FEET) 7177,B100000,00000,0800,00000(MEALS SERVED) 7177,B100000,00000,0900,00000(ADJUSTED SALARIES) 7177,B100000,00000,1000,00000(PATIENT DAYS) 7177,B100000,00000,1100,00000(COSTED REQUIS) 7177,B100000,00000,1200,00000(TOTAL CHARGES) 7177,B100000,00000,1300,00000(PATIENT DAYS) 7177,B100000,00000,1301,00000(PATIENT DAYS) 7177,B100000,00000,1400,00000(ASSIGNED TIME) 7177,E10A180,00301,0100,10/08/1999 7177,E10A180,00302,0100,12/09/1999 7177,E10A180,00303,0100,02/14/2000 7177,E10A180,00350,0100,01/27/1999 7177,E10A180,00351,0100,06/14/1999 7177,S000000,00100,0200,06/02/2000 7177,S200000,00100,0100,1379 VANVOORHIS RD 7177,S200000,00200,0100,MORGANTOWN 7177,S200000,00200,0200,WV 7177,S200000,00200,0300,26505 7177,S200000,00300,0100,MAGNOLIA 7177,S200000,00400,0100,MORGAN MANOR CONV CTR (215) B 7177,S200000,00400,0200,515049 7177,S200000,00400,0300,01/01/1982 7177,S200000,00400,0500,P 7177,S200000,00600,0200,515049 7177,S200000,00600,0300,01/01/1982 7177,S200000,00600,0600,P 7177,S200000,01600,0100,Y 7180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7180,A000000,00300,0000,00300EMPLOYEE BENEFITS 7180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7180,A000000,00700,0000,00700HOUSEKEEPING 7180,A000000,00800,0000,00800DIETARY 7180,A000000,00900,0000,00900NURSING ADMINISTRATION 7180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7180,A000000,01100,0000,01100PHARMACY 7180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7180,A000000,01300,0000,01300SOCIAL SERVICE 7180,A000000,01301,0000,01301ACTIVITIES 7180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7180,A000000,01600,0000,01600SKILLED NURSING FACILITY 7180,A000000,01800,0000,01800NURSING FACILITY 7180,A000000,01810,0000,01810ICF/MR 7180,A000000,02100,0000,02100RADIOLOGY 7180,A000000,02200,0000,02200LABORATORY 7180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7180,A000000,02500,0000,02500PHYSICAL THERAPY 7180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7180,A000000,02700,0000,02700SPEECH PATHOLOGY 7180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7180,A000000,03550,0000,03550FQHC 7180,A000000,05000,0000,05000CORF 7180,A000000,05010,0000,05010CMHC 7180,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7180,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7180,A81000A,00100,0100,Y 7180,A81000B,00100,0300,HOME OFFICE COST 7180,A81000B,00400,0300,HOME OFFICE COST 7180,A81000B,00500,0300,HOME OFFICE COST 7180,A81000B,00600,0300,HOME OFFICE COST 7180,A81000B,00800,0300,HOME OFFICE COST 7180,A81000C,00100,0100,B 7180,A81000C,00100,0200,BEVERLY ENTERPR 7180,B100000,00000,0100,00000(SQUARE FEET) 7180,B100000,00000,0200,00000(SQUARE FEET) 7180,B100000,00000,0300,00000(ADJUSTED SALARIES) 7180,B100000,00000,0400,00000(ACCUM. COST) 7180,B100000,00000,0500,00000(SQUARE FEET) 7180,B100000,00000,0600,00000(PATIENT DAYS) 7180,B100000,00000,0700,00000(SQUARE FEET) 7180,B100000,00000,0800,00000(MEALS SERVED) 7180,B100000,00000,0900,00000(ADJUSTED SALARIES) 7180,B100000,00000,1000,00000(PATIENT DAYS) 7180,B100000,00000,1100,00000(COSTED REQUIS) 7180,B100000,00000,1200,00000(TOTAL CHARGES) 7180,B100000,00000,1300,00000(PATIENT DAYS) 7180,B100000,00000,1301,00000(PATIENT DAYS) 7180,B100000,00000,1400,00000(ASSIGNED TIME) 7180,E10A180,00301,0100,06/14/1999 7180,E10A180,00302,0100,10/08/1999 7180,E10A180,00350,0100,01/27/1999 7180,E10A180,00351,0100,12/09/1999 7180,E10A180,00352,0100,02/14/2000 7180,S000000,00100,0200,06/02/2000 7180,S200000,00100,0100,MELROSE AVE & US 60 7180,S200000,00200,0100,GLASGOW 7180,S200000,00200,0200,WV 7180,S200000,00200,0300,25086 7180,S200000,00300,0100,KANAWHA 7180,S200000,00400,0100,BEVERLY HEALTH CARE 7180,S200000,00400,0200,515118 7180,S200000,00400,0300,08/01/1992 7180,S200000,00400,0500,P 7180,S200000,00600,0200,515118 7180,S200000,00600,0300,08/01/1992 7180,S200000,00600,0600,P 7180,S200000,01600,0100,Y 7183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7183,A000000,00300,0000,00300EMPLOYEE BENEFITS 7183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7183,A000000,00700,0000,00700HOUSEKEEPING 7183,A000000,00800,0000,00800DIETARY 7183,A000000,00900,0000,00900NURSING ADMINISTRATION 7183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7183,A000000,01100,0000,01100PHARMACY 7183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7183,A000000,01300,0000,01300SOCIAL SERVICE 7183,A000000,01301,0000,01301ACTIVITIES 7183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7183,A000000,01600,0000,01600SKILLED NURSING FACILITY 7183,A000000,01800,0000,01800NURSING FACILITY 7183,A000000,02100,0000,02100RADIOLOGY 7183,A000000,02200,0000,02200LABORATORY 7183,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7183,A000000,02500,0000,02500PHYSICAL THERAPY 7183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7183,A000000,02700,0000,02700SPEECH PATHOLOGY 7183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7183,A000000,03550,0000,03550FQHC 7183,A000000,05000,0000,05000CORF 7183,A000000,05010,0000,05010CMHC 7183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7183,A000000,06151,0000,06301OTHER NON REIMBURSABLE COST 7183,A81000A,00100,0100,Y 7183,A81000B,00100,0300,HOME OFFICE COST 7183,A81000B,00200,0300,HOME OFFICE COST 7183,A81000B,00500,0300,HOME OFFICE COST 7183,A81000B,00600,0300,HOME OFFICE COST 7183,A81000B,00800,0300,HOME OFFICE COST 7183,A81000C,00100,0100,B 7183,A81000C,00100,0200,BEVERLY ENTERPR 7183,B100000,00000,0100,00001(SQUARE FEET) 7183,B100000,00000,0200,00001(SQUARE FEET) 7183,B100000,00000,0300,00001(ADJUSTED SALARIES) 7183,B100000,00000,0400,00001(ACCUM. COST) 7183,B100000,00000,0500,00001(SQUARE FEET) 7183,B100000,00000,0600,00001(PATIENT DAYS) 7183,B100000,00000,0700,00001(SQUARE FEET) 7183,B100000,00000,0800,00001(MEALS SERVED) 7183,B100000,00000,0900,00001(ADJUSTED SALARIES) 7183,B100000,00000,1000,00001(PATIENT DAYS) 7183,B100000,00000,1100,00001(COSTED REQUIS) 7183,B100000,00000,1200,00001(TOTAL CHARGES) 7183,B100000,00000,1300,00001(PATIENT DAYS) 7183,B100000,00000,1301,00001(PATIENT DAYS) 7183,B100000,00000,1400,00001(ASSIGNED TIME) 7183,E10A180,00350,0100,06/14/1999 7183,S000000,00100,0200,09/24/1999 7183,S200000,00100,0100,505 WEST 8TH STREET 7183,S200000,00200,0100,NEW RICHMOND 7183,S200000,00200,0200,WI 7183,S200000,00200,0300,54017 7183,S200000,00300,0100,ST. CROIX 7183,S200000,00400,0100,MAPLE HOMES OF NEW RICHMOND (9 7183,S200000,00400,0200,525019 7183,S200000,00400,0300,11/01/1977 7183,S200000,00400,0500,P 7183,S200000,00600,0200,525019 7183,S200000,00600,0300,11/01/1977 7183,S200000,00600,0600,P 7183,S200000,01600,0100,Y 7186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7186,A000000,00300,0000,00300EMPLOYEE BENEFITS 7186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7186,A000000,00700,0000,00700HOUSEKEEPING 7186,A000000,00800,0000,00800DIETARY 7186,A000000,00900,0000,00900NURSING ADMINISTRATION 7186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7186,A000000,01100,0000,01100PHARMACY 7186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7186,A000000,01300,0000,01300SOCIAL SERVICE 7186,A000000,01301,0000,01301ACTIVITIES 7186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7186,A000000,01600,0000,01600SKILLED NURSING FACILITY 7186,A000000,01800,0000,01800NURSING FACILITY 7186,A000000,01810,0000,01810ICF/MR 7186,A000000,02100,0000,02100RADIOLOGY 7186,A000000,02200,0000,02200LABORATORY 7186,A000000,02500,0000,02500PHYSICAL THERAPY 7186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7186,A000000,02700,0000,02700SPEECH PATHOLOGY 7186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7186,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7186,A000000,03550,0000,03550FQHC 7186,A000000,05000,0000,05000CORF 7186,A000000,05010,0000,05010CMHC 7186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7186,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7186,A81000A,00100,0100,Y 7186,A81000B,00100,0300,HOME OFFICE COST 7186,A81000B,00400,0300,HOME OFFICE COST 7186,A81000B,00500,0300,HOME OFFICE COST 7186,A81000B,00600,0300,HOME OFFICE COST 7186,A81000B,00800,0300,HOME OFFICE COST 7186,A81000C,00100,0100,B 7186,A81000C,00100,0200,BEVERLY ENTERPR 7186,B100000,00000,0100,00000(SQUARE FEET) 7186,B100000,00000,0200,00000(SQUARE FEET) 7186,B100000,00000,0300,00000(ADJUSTED SALARIES) 7186,B100000,00000,0400,00000(ACCUM. COST) 7186,B100000,00000,0500,00000(SQUARE FEET) 7186,B100000,00000,0600,00000(PATIENT DAYS) 7186,B100000,00000,0700,00000(SQUARE FEET) 7186,B100000,00000,0800,00000(MEALS SERVED) 7186,B100000,00000,0900,00000(ADJUSTED SALARIES) 7186,B100000,00000,1000,00000(PATIENT DAYS) 7186,B100000,00000,1100,00000(COSTED REQUIS) 7186,B100000,00000,1200,00000(TOTAL CHARGES) 7186,B100000,00000,1300,00000(PATIENT DAYS) 7186,B100000,00000,1301,00000(PATIENT DAYS) 7186,B100000,00000,1400,00000(ASSIGNED TIME) 7186,E10A180,00301,0100,12/09/1999 7186,E10A180,00350,0100,01/27/1999 7186,E10A180,00351,0100,06/14/1999 7186,E10A180,00352,0100,10/08/1999 7186,E10A180,00353,0100,02/14/2000 7186,S000000,00100,0200,06/02/2000 7186,S200000,00100,0100,1703 WEST 60TH STREET 7186,S200000,00200,0100,KENOSHA 7186,S200000,00200,0200,WI 7186,S200000,00200,0300,53140 7186,S200000,00300,0100,KENOSHA COUNTY 7186,S200000,00400,0100,KENOSHA CARE CENTER 7186,S200000,00400,0200,525125 7186,S200000,00400,0300,01/09/1967 7186,S200000,00400,0500,P 7186,S200000,00600,0200,525125 7186,S200000,00600,0300,01/09/1967 7186,S200000,00600,0600,P 7186,S200000,01600,0100,Y 7189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7189,A000000,00300,0000,00300EMPLOYEE BENEFITS 7189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7189,A000000,00700,0000,00700HOUSEKEEPING 7189,A000000,00800,0000,00800DIETARY 7189,A000000,00900,0000,00900NURSING ADMINISTRATION 7189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7189,A000000,01100,0000,01100PHARMACY 7189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7189,A000000,01300,0000,01300SOCIAL SERVICE 7189,A000000,01301,0000,01301ACTIVITIES 7189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7189,A000000,01600,0000,01600SKILLED NURSING FACILITY 7189,A000000,01800,0000,01800NURSING FACILITY 7189,A000000,01810,0000,01810ICF/MR 7189,A000000,02100,0000,02100RADIOLOGY 7189,A000000,02200,0000,02200LABORATORY 7189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7189,A000000,02500,0000,02500PHYSICAL THERAPY 7189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7189,A000000,02700,0000,02700SPEECH PATHOLOGY 7189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7189,A000000,03550,0000,03550FQHC 7189,A000000,05000,0000,05000CORF 7189,A000000,05010,0000,05010CMHC 7189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7189,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7189,A81000A,00100,0100,Y 7189,A81000B,00100,0300,HOME OFFICE COST 7189,A81000B,00400,0300,HOME OFFICE COST 7189,A81000B,00500,0300,HOME OFFICE COST 7189,A81000B,00600,0300,HOME OFFICE COST 7189,A81000B,00800,0300,HOME OFFICE COST 7189,A81000C,00100,0100,B 7189,A81000C,00100,0200,BEVERLY ENTERPR 7189,B100000,00000,0100,00000(SQUARE FEET) 7189,B100000,00000,0200,00000(SQUARE FEET) 7189,B100000,00000,0300,00000(ADJUSTED SALARIES) 7189,B100000,00000,0400,00000(ACCUM. COST) 7189,B100000,00000,0500,00000(SQUARE FEET) 7189,B100000,00000,0600,00000(PATIENT DAYS) 7189,B100000,00000,0700,00000(SQUARE FEET) 7189,B100000,00000,0800,00000(MEALS SERVED) 7189,B100000,00000,0900,00000(ADJUSTED SALARIES) 7189,B100000,00000,1000,00000(PATIENT DAYS) 7189,B100000,00000,1100,00000(COSTED REQUIS) 7189,B100000,00000,1200,00000(TOTAL CHARGES) 7189,B100000,00000,1300,00000(PATIENT DAYS) 7189,B100000,00000,1301,00000(PATIENT DAYS) 7189,B100000,00000,1400,00000(ASSIGNED TIME) 7189,S000000,00100,0200,06/02/2000 7189,S200000,00100,0100,430 WILCOX 7189,S200000,00200,0100,ATKINSON 7189,S200000,00200,0200,WI 7189,S200000,00200,0300,53538 7189,S200000,00300,0100,JEFFERSON 7189,S200000,00400,0100,FORT ATKINSON HEALTH CARE CENT 7189,S200000,00400,0200,525262 7189,S200000,00400,0300,03/17/1971 7189,S200000,00400,0500,P 7189,S200000,00600,0200,525262 7189,S200000,00600,0300,03/17/1971 7189,S200000,00600,0600,P 7189,S200000,01600,0100,Y 7192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7192,A000000,00300,0000,00300EMPLOYEE BENEFITS 7192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7192,A000000,00700,0000,00700HOUSEKEEPING 7192,A000000,00800,0000,00800DIETARY 7192,A000000,00900,0000,00900NURSING ADMINISTRATION 7192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7192,A000000,01100,0000,01100PHARMACY 7192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7192,A000000,01300,0000,01300SOCIAL SERVICE 7192,A000000,01301,0000,01301ACTIVITIES 7192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7192,A000000,01600,0000,01600SKILLED NURSING FACILITY 7192,A000000,01800,0000,01800NURSING FACILITY 7192,A000000,01810,0000,01810ICF/MR 7192,A000000,02200,0000,02200LABORATORY 7192,A000000,02500,0000,02500PHYSICAL THERAPY 7192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7192,A000000,02700,0000,02700SPEECH PATHOLOGY 7192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7192,A000000,03550,0000,03550FQHC 7192,A000000,05000,0000,05000CORF 7192,A000000,05010,0000,05010CMHC 7192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7192,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7192,A81000A,00100,0100,Y 7192,A81000B,00100,0300,HOME OFFICE COST 7192,A81000B,00400,0300,HOME OFFICE COST 7192,A81000B,00500,0300,HOME OFFICE COST 7192,A81000B,00600,0300,HOME OFFICE COST 7192,A81000B,00800,0300,HOME OFFICE COST 7192,A81000C,00100,0100,B 7192,A81000C,00100,0200,BEVERLY ENTERPR 7192,B100000,00000,0100,00000(SQUARE FEET) 7192,B100000,00000,0200,00000(SQUARE FEET) 7192,B100000,00000,0300,00000(ADJUSTED SALARIES) 7192,B100000,00000,0400,00000(ACCUM. COST) 7192,B100000,00000,0500,00000(SQUARE FEET) 7192,B100000,00000,0600,00000(PATIENT DAYS) 7192,B100000,00000,0700,00000(SQUARE FEET) 7192,B100000,00000,0800,00000(MEALS SERVED) 7192,B100000,00000,0900,00000(ADJUSTED SALARIES) 7192,B100000,00000,1000,00000(PATIENT DAYS) 7192,B100000,00000,1100,00000(COSTED REQUIS) 7192,B100000,00000,1200,00000(TOTAL CHARGES) 7192,B100000,00000,1300,00000(PATIENT DAYS) 7192,B100000,00000,1301,00000(PATIENT DAYS) 7192,B100000,00000,1400,00000(ASSIGNED TIME) 7192,E10A180,00301,0100,12/09/1999 7192,E10A180,00302,0100,02/14/2000 7192,E10A180,00350,0100,01/27/1999 7192,E10A180,00351,0100,06/14/1999 7192,E10A180,00352,0100,10/08/1999 7192,S000000,00100,0200,06/02/2000 7192,S200000,00100,0100,200 NORTH 7TH AVENUE 7192,S200000,00200,0100,STURGEON BAY 7192,S200000,00200,0200,WI 7192,S200000,00200,0300,54235 7192,S200000,00300,0100,DOOR 7192,S200000,00400,0100,DORCHESTER NURSING CENTER (959 7192,S200000,00400,0200,525306 7192,S200000,00400,0300,10/01/1979 7192,S200000,00400,0500,P 7192,S200000,00600,0200,525306 7192,S200000,00600,0300,10/01/1979 7192,S200000,00600,0600,P 7192,S200000,01600,0100,Y 7197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7197,A000000,00300,0000,00300EMPLOYEE BENEFITS 7197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7197,A000000,00700,0000,00700HOUSEKEEPING 7197,A000000,00800,0000,00800DIETARY 7197,A000000,00900,0000,00900NURSING ADMINISTRATION 7197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7197,A000000,01100,0000,01100PHARMACY 7197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7197,A000000,01300,0000,01300SOCIAL SERVICE 7197,A000000,01301,0000,01301ACTIVITIES 7197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7197,A000000,01600,0000,01600SKILLED NURSING FACILITY 7197,A000000,01800,0000,01800NURSING FACILITY 7197,A000000,01810,0000,01810ICF/MR 7197,A000000,02100,0000,02100RADIOLOGY 7197,A000000,02200,0000,02200LABORATORY 7197,A000000,02500,0000,02500PHYSICAL THERAPY 7197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7197,A000000,02700,0000,02700SPEECH PATHOLOGY 7197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7197,A000000,03550,0000,03550FQHC 7197,A000000,05000,0000,05000CORF 7197,A000000,05010,0000,05010CMHC 7197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7197,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7197,A81000A,00100,0100,Y 7197,A81000B,00100,0300,HOME OFFICE COST 7197,A81000B,00400,0300,HOME OFFICE COST 7197,A81000B,00500,0300,HOME OFFICE COST 7197,A81000B,00600,0300,HOME OFFICE COST 7197,A81000B,00800,0300,HOME OFFICE COST 7197,A81000C,00100,0100,B 7197,A81000C,00100,0200,BEVERLY ENTERPR 7197,B100000,00000,0100,00000(SQUARE FEET) 7197,B100000,00000,0200,00000(SQUARE FEET) 7197,B100000,00000,0300,00000(ADJUSTED SALARIES) 7197,B100000,00000,0400,00000(ACCUM. COST) 7197,B100000,00000,0500,00000(SQUARE FEET) 7197,B100000,00000,0600,00000(PATIENT DAYS) 7197,B100000,00000,0700,00000(SQUARE FEET) 7197,B100000,00000,0800,00000(MEALS SERVED) 7197,B100000,00000,0900,00000(ADJUSTED SALARIES) 7197,B100000,00000,1000,00000(PATIENT DAYS) 7197,B100000,00000,1100,00000(COSTED REQUIS) 7197,B100000,00000,1200,00000(TOTAL CHARGES) 7197,B100000,00000,1300,00000(PATIENT DAYS) 7197,B100000,00000,1301,00000(PATIENT DAYS) 7197,B100000,00000,1400,00000(ASSIGNED TIME) 7197,E10A180,00301,0100,12/09/1999 7197,E10A180,00350,0100,01/27/1999 7197,E10A180,00351,0100,06/14/1999 7197,E10A180,00352,0100,10/08/1999 7197,E10A180,00353,0100,02/14/2000 7197,S000000,00100,0200,06/02/2000 7197,S200000,00100,0100,1616 WEST BENDER ROAD 7197,S200000,00200,0100,MILWAUKEE 7197,S200000,00200,0200,WI 7197,S200000,00200,0300,53209 7197,S200000,00300,0100,MILWAUKEE 7197,S200000,00400,0100,COLONIAL MANOR (958) B 7197,S200000,00400,0200,525309 7197,S200000,00400,0300,11/01/1993 7197,S200000,00400,0500,P 7197,S200000,00600,0200,525309 7197,S200000,00600,0300,11/01/1993 7197,S200000,00600,0600,P 7197,S200000,01600,0100,Y 7200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7200,A000000,00300,0000,00300EMPLOYEE BENEFITS 7200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7200,A000000,00700,0000,00700HOUSEKEEPING 7200,A000000,00800,0000,00800DIETARY 7200,A000000,00900,0000,00900NURSING ADMINISTRATION 7200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7200,A000000,01100,0000,01100PHARMACY 7200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7200,A000000,01300,0000,01300SOCIAL SERVICE 7200,A000000,01301,0000,01301ACTIVITIES 7200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7200,A000000,01600,0000,01600SKILLED NURSING FACILITY 7200,A000000,01800,0000,01800NURSING FACILITY 7200,A000000,01810,0000,01810ICF/MR 7200,A000000,02100,0000,02100RADIOLOGY 7200,A000000,02200,0000,02200LABORATORY 7200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7200,A000000,02500,0000,02500PHYSICAL THERAPY 7200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7200,A000000,02700,0000,02700SPEECH PATHOLOGY 7200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7200,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7200,A000000,03550,0000,03550FQHC 7200,A000000,05000,0000,05000CORF 7200,A000000,05010,0000,05010CMHC 7200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7200,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7200,A81000A,00100,0100,Y 7200,A81000B,00100,0300,HOME OFFICE COST 7200,A81000B,00400,0300,HOME OFFICE COST 7200,A81000B,00500,0300,HOME OFFICE COST 7200,A81000B,00600,0300,HOME OFFICE COST 7200,A81000B,00800,0300,HOME OFFICE COST 7200,A81000C,00100,0100,B 7200,A81000C,00100,0200,BEVERLY ENTERPR 7200,B100000,00000,0100,00000(SQUARE FEET) 7200,B100000,00000,0200,00000(SQUARE FEET) 7200,B100000,00000,0300,00000(ADJUSTED SALARIES) 7200,B100000,00000,0400,00000(ACCUM. COST) 7200,B100000,00000,0500,00000(SQUARE FEET) 7200,B100000,00000,0600,00000(PATIENT DAYS) 7200,B100000,00000,0700,00000(SQUARE FEET) 7200,B100000,00000,0800,00000(MEALS SERVED) 7200,B100000,00000,0900,00000(ADJUSTED SALARIES) 7200,B100000,00000,1000,00000(PATIENT DAYS) 7200,B100000,00000,1100,00000(COSTED REQUIS) 7200,B100000,00000,1200,00000(TOTAL CHARGES) 7200,B100000,00000,1300,00000(PATIENT DAYS) 7200,B100000,00000,1301,00000(PATIENT DAYS) 7200,B100000,00000,1400,00000(ASSIGNED TIME) 7200,E10A180,00301,0100,06/14/1999 7200,E10A180,00302,0100,10/08/1999 7200,E10A180,00303,0100,02/14/2000 7200,E10A180,00350,0100,01/27/1999 7200,E10A180,00351,0100,12/09/1999 7200,S000000,00100,0200,06/02/2000 7200,S200000,00100,0100,100 N WISCONSIN 7200,S200000,00200,0100,MOSCODA 7200,S200000,00200,0200,WI 7200,S200000,00200,0300,53573 7200,S200000,00300,0100,GRANT 7200,S200000,00400,0100,RIVERDALE MANOR (966) B 7200,S200000,00400,0200,525321 7200,S200000,00400,0300,06/01/1982 7200,S200000,00400,0500,P 7200,S200000,00600,0200,525321 7200,S200000,00600,0300,06/01/1982 7200,S200000,00600,0600,P 7200,S200000,01600,0100,Y 7203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7203,A000000,00300,0000,00300EMPLOYEE BENEFITS 7203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7203,A000000,00700,0000,00700HOUSEKEEPING 7203,A000000,00800,0000,00800DIETARY 7203,A000000,00900,0000,00900NURSING ADMINISTRATION 7203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7203,A000000,01100,0000,01100PHARMACY 7203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7203,A000000,01300,0000,01300SOCIAL SERVICE 7203,A000000,01301,0000,01301ACTIVITIES 7203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7203,A000000,01600,0000,01600SKILLED NURSING FACILITY 7203,A000000,01800,0000,01800NURSING FACILITY 7203,A000000,01810,0000,01810ICF/MR 7203,A000000,02100,0000,02100RADIOLOGY 7203,A000000,02200,0000,02200LABORATORY 7203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7203,A000000,02500,0000,02500PHYSICAL THERAPY 7203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7203,A000000,02700,0000,02700SPEECH PATHOLOGY 7203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7203,A000000,03550,0000,03550FQHC 7203,A000000,05000,0000,05000CORF 7203,A000000,05010,0000,05010CMHC 7203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7203,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7203,A81000A,00100,0100,Y 7203,A81000B,00100,0300,HOME OFFICE COST 7203,A81000B,00400,0300,HOME OFFICE COST 7203,A81000B,00500,0300,HOME OFFICE COST 7203,A81000B,00600,0300,HOME OFFICE COST 7203,A81000B,00800,0300,HOME OFFICE COST 7203,A81000C,00100,0100,B 7203,A81000C,00100,0200,BEVERLY ENTERPR 7203,B100000,00000,0100,00000(SQUARE FEET) 7203,B100000,00000,0200,00000(SQUARE FEET) 7203,B100000,00000,0300,00000(ADJUSTED SALARIES) 7203,B100000,00000,0400,00000(ACCUM. COST) 7203,B100000,00000,0500,00000(SQUARE FEET) 7203,B100000,00000,0600,00000(PATIENT DAYS) 7203,B100000,00000,0700,00000(SQUARE FEET) 7203,B100000,00000,0800,00000(MEALS SERVED) 7203,B100000,00000,0900,00000(ADJUSTED SALARIES) 7203,B100000,00000,1000,00000(PATIENT DAYS) 7203,B100000,00000,1100,00000(COSTED REQUIS) 7203,B100000,00000,1200,00000(TOTAL CHARGES) 7203,B100000,00000,1300,00000(PATIENT DAYS) 7203,B100000,00000,1301,00000(PATIENT DAYS) 7203,B100000,00000,1400,00000(ASSIGNED TIME) 7203,E10A180,00350,0100,01/27/1999 7203,E10A180,00351,0100,06/14/1999 7203,E10A180,00352,0100,10/08/1999 7203,E10A180,00353,0100,12/09/1999 7203,E10A180,00354,0100,02/14/2000 7203,S000000,00100,0200,06/02/2000 7203,S200000,00100,0100,6735 W BRADLEY ROAD 7203,S200000,00200,0100,MILWAUKEE 7203,S200000,00200,0200,WI 7203,S200000,00200,0300,53223 7203,S200000,00300,0100,MILWAUKEE 7203,S200000,00400,0100,BRADLEY CONVALESCENT CENTER (9 7203,S200000,00400,0200,525325 7203,S200000,00400,0300,01/01/1983 7203,S200000,00400,0500,P 7203,S200000,00600,0200,525325 7203,S200000,00600,0300,01/01/1983 7203,S200000,00600,0600,P 7203,S200000,01600,0100,Y 7206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7206,A000000,00300,0000,00300EMPLOYEE BENEFITS 7206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7206,A000000,00700,0000,00700HOUSEKEEPING 7206,A000000,00800,0000,00800DIETARY 7206,A000000,00900,0000,00900NURSING ADMINISTRATION 7206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7206,A000000,01100,0000,01100PHARMACY 7206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7206,A000000,01300,0000,01300SOCIAL SERVICE 7206,A000000,01301,0000,01301ACTIVITIES 7206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7206,A000000,01600,0000,01600SKILLED NURSING FACILITY 7206,A000000,01800,0000,01800NURSING FACILITY 7206,A000000,01810,0000,01810ICF/MR 7206,A000000,02100,0000,02100RADIOLOGY 7206,A000000,02200,0000,02200LABORATORY 7206,A000000,02500,0000,02500PHYSICAL THERAPY 7206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7206,A000000,02700,0000,02700SPEECH PATHOLOGY 7206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7206,A000000,03550,0000,03550FQHC 7206,A000000,05000,0000,05000CORF 7206,A000000,05010,0000,05010CMHC 7206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7206,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7206,A81000A,00100,0100,Y 7206,A81000B,00100,0300,HOME OFFICE COST 7206,A81000B,00400,0300,HOME OFFICE COST 7206,A81000B,00500,0300,HOME OFFICE COST 7206,A81000B,00600,0300,HOME OFFICE COST 7206,A81000B,00800,0300,HOME OFFICE COST 7206,A81000C,00100,0100,B 7206,A81000C,00100,0200,BEVERLY ENTERPR 7206,B100000,00000,0100,00000(SQUARE FEET) 7206,B100000,00000,0200,00000(SQUARE FEET) 7206,B100000,00000,0300,00000(ADJUSTED SALARIES) 7206,B100000,00000,0400,00000(ACCUM. COST) 7206,B100000,00000,0500,00000(SQUARE FEET) 7206,B100000,00000,0600,00000(PATIENT DAYS) 7206,B100000,00000,0700,00000(SQUARE FEET) 7206,B100000,00000,0800,00000(MEALS SERVED) 7206,B100000,00000,0900,00000(ADJUSTED SALARIES) 7206,B100000,00000,1000,00000(PATIENT DAYS) 7206,B100000,00000,1100,00000(COSTED REQUIS) 7206,B100000,00000,1200,00000(TOTAL CHARGES) 7206,B100000,00000,1300,00000(PATIENT DAYS) 7206,B100000,00000,1301,00000(PATIENT DAYS) 7206,B100000,00000,1400,00000(ASSIGNED TIME) 7206,E10A180,00301,0100,12/09/1999 7206,E10A180,00302,0100,02/14/2000 7206,E10A180,00350,0100,01/27/1999 7206,E10A180,00351,0100,06/14/1999 7206,E10A180,00352,0100,10/08/1999 7206,S000000,00100,0200,06/02/2000 7206,S200000,00100,0100,911 3RD STREET 7206,S200000,00200,0100,ASHLAND 7206,S200000,00200,0200,WI 7206,S200000,00200,0300,54806 7206,S200000,00300,0100,ASHLAND 7206,S200000,00400,0100,COURT MANOR (863) A 7206,S200000,00400,0200,525328 7206,S200000,00400,0300,03/01/1983 7206,S200000,00400,0500,P 7206,S200000,00600,0200,525328 7206,S200000,00600,0300,03/01/1983 7206,S200000,00600,0600,P 7206,S200000,01600,0100,Y 7209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7209,A000000,00300,0000,00300EMPLOYEE BENEFITS 7209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7209,A000000,00700,0000,00700HOUSEKEEPING 7209,A000000,00800,0000,00800DIETARY 7209,A000000,00900,0000,00900NURSING ADMINISTRATION 7209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7209,A000000,01100,0000,01100PHARMACY 7209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7209,A000000,01300,0000,01300SOCIAL SERVICE 7209,A000000,01301,0000,01301ACTIVITIES 7209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7209,A000000,01600,0000,01600SKILLED NURSING FACILITY 7209,A000000,01800,0000,01800NURSING FACILITY 7209,A000000,01810,0000,01810ICF/MR 7209,A000000,02100,0000,02100RADIOLOGY 7209,A000000,02200,0000,02200LABORATORY 7209,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7209,A000000,02500,0000,02500PHYSICAL THERAPY 7209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7209,A000000,02700,0000,02700SPEECH PATHOLOGY 7209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7209,A000000,03550,0000,03550FQHC 7209,A000000,05000,0000,05000CORF 7209,A000000,05010,0000,05010CMHC 7209,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7209,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7209,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7209,A000000,05500,0000,05500HOSPICE 7209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7209,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7209,A81000A,00100,0100,Y 7209,A81000B,00100,0300,HOME OFFICE COST 7209,A81000B,00400,0300,HOME OFFICE COST 7209,A81000B,00500,0300,HOME OFFICE COST 7209,A81000B,00600,0300,HOME OFFICE COST 7209,A81000B,00800,0300,HOME OFFICE COST 7209,A81000C,00100,0100,B 7209,A81000C,00100,0200,BEVERLY ENTERPR 7209,B100000,00000,0100,00000(SQUARE FEET) 7209,B100000,00000,0200,00000(SQUARE FEET) 7209,B100000,00000,0300,00000(ADJUSTED SALARIES) 7209,B100000,00000,0400,00000(ACCUM. COST) 7209,B100000,00000,0500,00000(SQUARE FEET) 7209,B100000,00000,0600,00000(PATIENT DAYS) 7209,B100000,00000,0700,00000(SQUARE FEET) 7209,B100000,00000,0800,00000(MEALS SERVED) 7209,B100000,00000,0900,00000(ADJUSTED SALARIES) 7209,B100000,00000,1000,00000(PATIENT DAYS) 7209,B100000,00000,1100,00000(COSTED REQUIS) 7209,B100000,00000,1200,00000(TOTAL CHARGES) 7209,B100000,00000,1300,00000(PATIENT DAYS) 7209,B100000,00000,1301,00000(PATIENT DAYS) 7209,B100000,00000,1400,00000(ASSIGNED TIME) 7209,E10A180,00301,0100,12/09/1999 7209,E10A180,00302,0100,02/14/2000 7209,E10A180,00350,0100,01/27/1999 7209,E10A180,00351,0100,06/14/1999 7209,E10A180,00352,0100,10/08/1999 7209,S000000,00100,0200,06/02/2000 7209,S200000,00100,0100,650 PEARL STREET 7209,S200000,00200,0100,RIB LAKE 7209,S200000,00200,0200,WI 7209,S200000,00200,0300,54470 7209,S200000,00300,0100,TAYLOR 7209,S200000,00400,0100,RIB LAKE HEALTH CARE CTR (865) 7209,S200000,00400,0200,525329 7209,S200000,00400,0300,02/14/1983 7209,S200000,00400,0500,P 7209,S200000,00600,0200,525329 7209,S200000,00600,0300,02/14/1983 7209,S200000,00600,0600,P 7209,S200000,01600,0100,Y 7212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7212,A000000,00300,0000,00300EMPLOYEE BENEFITS 7212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7212,A000000,00700,0000,00700HOUSEKEEPING 7212,A000000,00800,0000,00800DIETARY 7212,A000000,00900,0000,00900NURSING ADMINISTRATION 7212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7212,A000000,01100,0000,01100PHARMACY 7212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7212,A000000,01300,0000,01300SOCIAL SERVICE 7212,A000000,01301,0000,01301ACTIVITIES 7212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7212,A000000,01600,0000,01600SKILLED NURSING FACILITY 7212,A000000,01800,0000,01800NURSING FACILITY 7212,A000000,01810,0000,01810ICF/MR 7212,A000000,02100,0000,02100RADIOLOGY 7212,A000000,02200,0000,02200LABORATORY 7212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7212,A000000,02500,0000,02500PHYSICAL THERAPY 7212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7212,A000000,02700,0000,02700SPEECH PATHOLOGY 7212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7212,A000000,03550,0000,03550FQHC 7212,A000000,05000,0000,05000CORF 7212,A000000,05010,0000,05010CMHC 7212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7212,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7212,A81000A,00100,0100,Y 7212,A81000B,00100,0300,HOME OFFICE COST 7212,A81000B,00400,0300,HOME OFFICE COST 7212,A81000B,00500,0300,HOME OFFICE COST 7212,A81000B,00600,0300,HOME OFFICE COST 7212,A81000B,00800,0300,HOME OFFICE COST 7212,A81000C,00100,0100,B 7212,A81000C,00100,0200,BEVERLY ENTERPR 7212,B100000,00000,0100,00000(SQUARE FEET) 7212,B100000,00000,0200,00000(SQUARE FEET) 7212,B100000,00000,0300,00000(ADJUSTED SALARIES) 7212,B100000,00000,0400,00000(ACCUM. COST) 7212,B100000,00000,0500,00000(SQUARE FEET) 7212,B100000,00000,0600,00000(PATIENT DAYS) 7212,B100000,00000,0700,00000(SQUARE FEET) 7212,B100000,00000,0800,00000(MEALS SERVED) 7212,B100000,00000,0900,00000(ADJUSTED SALARIES) 7212,B100000,00000,1000,00000(PATIENT DAYS) 7212,B100000,00000,1100,00000(COSTED REQUIS) 7212,B100000,00000,1200,00000(TOTAL CHARGES) 7212,B100000,00000,1300,00000(PATIENT DAYS) 7212,B100000,00000,1301,00000(PATIENT DAYS) 7212,B100000,00000,1400,00000(ASSIGNED TIME) 7212,E10A180,00301,0100,01/27/1999 7212,E10A180,00302,0100,12/09/1999 7212,E10A180,00350,0100,06/14/1999 7212,E10A180,00351,0100,10/08/1999 7212,E10A180,00352,0100,02/14/2000 7212,S000000,00100,0200,06/02/2000 7212,S200000,00100,0100,428 NORTH 6TH STREET 7212,S200000,00200,0100,TOMAHAWK 7212,S200000,00200,0200,WI 7212,S200000,00200,0300,54487 7212,S200000,00300,0100,LINCOLN 7212,S200000,00400,0100,RIVERVIEW TERRACE (867) A 7212,S200000,00400,0200,525332 7212,S200000,00400,0300,07/01/1983 7212,S200000,00400,0500,P 7212,S200000,00600,0200,525332 7212,S200000,00600,0300,07/01/1983 7212,S200000,00600,0600,P 7212,S200000,01600,0100,Y 7215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7215,A000000,00300,0000,00300EMPLOYEE BENEFITS 7215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7215,A000000,00700,0000,00700HOUSEKEEPING 7215,A000000,00800,0000,00800DIETARY 7215,A000000,00900,0000,00900NURSING ADMINISTRATION 7215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7215,A000000,01100,0000,01100PHARMACY 7215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7215,A000000,01300,0000,01300SOCIAL SERVICE 7215,A000000,01301,0000,01301ACTIVITIES 7215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7215,A000000,01600,0000,01600SKILLED NURSING FACILITY 7215,A000000,01800,0000,01800NURSING FACILITY 7215,A000000,01810,0000,01810ICF/MR 7215,A000000,02200,0000,02200LABORATORY 7215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7215,A000000,02500,0000,02500PHYSICAL THERAPY 7215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7215,A000000,02700,0000,02700SPEECH PATHOLOGY 7215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7215,A000000,03550,0000,03550FQHC 7215,A000000,05000,0000,05000CORF 7215,A000000,05010,0000,05010CMHC 7215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7215,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7215,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7215,A81000A,00100,0100,Y 7215,A81000B,00100,0300,HOME OFFICE COST 7215,A81000B,00400,0300,HOME OFFICE COST 7215,A81000B,00500,0300,HOME OFFICE COST 7215,A81000B,00600,0300,HOME OFFICE COST 7215,A81000B,00800,0300,HOME OFFICE COST 7215,A81000C,00100,0100,B 7215,A81000C,00100,0200,BEVERLY ENTERPR 7215,B100000,00000,0100,00000(SQUARE FEET) 7215,B100000,00000,0200,00000(SQUARE FEET) 7215,B100000,00000,0300,00000(ADJUSTED SALARIES) 7215,B100000,00000,0400,00000(ACCUM. COST) 7215,B100000,00000,0500,00000(SQUARE FEET) 7215,B100000,00000,0600,00000(PATIENT DAYS) 7215,B100000,00000,0700,00000(SQUARE FEET) 7215,B100000,00000,0800,00000(MEALS SERVED) 7215,B100000,00000,0900,00000(ADJUSTED SALARIES) 7215,B100000,00000,1000,00000(PATIENT DAYS) 7215,B100000,00000,1100,00000(COSTED REQUIS) 7215,B100000,00000,1200,00000(TOTAL CHARGES) 7215,B100000,00000,1300,00000(PATIENT DAYS) 7215,B100000,00000,1301,00000(PATIENT DAYS) 7215,B100000,00000,1400,00000(ASSIGNED TIME) 7215,E10A180,00301,0100,01/27/1999 7215,E10A180,00302,0100,12/09/1999 7215,E10A180,00350,0100,06/14/1999 7215,E10A180,00351,0100,10/08/1999 7215,E10A180,00352,0100,02/14/2000 7215,S000000,00100,0200,06/02/2000 7215,S200000,00100,0100,121 HOSPITAL STREET 7215,S200000,00200,0100,WATERTOWN 7215,S200000,00200,0200,WI 7215,S200000,00200,0300,53094 7215,S200000,00300,0100,JEFFERSON 7215,S200000,00400,0100,BEVERLY TERRACE (930) A 7215,S200000,00400,0200,525333 7215,S200000,00400,0300,07/01/1983 7215,S200000,00400,0500,P 7215,S200000,00600,0200,525333 7215,S200000,00600,0300,07/01/1983 7215,S200000,00600,0600,P 7215,S200000,01600,0100,Y 7218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7218,A000000,00300,0000,00300EMPLOYEE BENEFITS 7218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7218,A000000,00700,0000,00700HOUSEKEEPING 7218,A000000,00800,0000,00800DIETARY 7218,A000000,00900,0000,00900NURSING ADMINISTRATION 7218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7218,A000000,01100,0000,01100PHARMACY 7218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7218,A000000,01300,0000,01300SOCIAL SERVICE 7218,A000000,01301,0000,01301ACTIVITIES 7218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7218,A000000,01600,0000,01600SKILLED NURSING FACILITY 7218,A000000,01800,0000,01800NURSING FACILITY 7218,A000000,01810,0000,01810ICF/MR 7218,A000000,02100,0000,02100RADIOLOGY 7218,A000000,02200,0000,02200LABORATORY 7218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7218,A000000,02500,0000,02500PHYSICAL THERAPY 7218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7218,A000000,02700,0000,02700SPEECH PATHOLOGY 7218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7218,A000000,03550,0000,03550FQHC 7218,A000000,05000,0000,05000CORF 7218,A000000,05010,0000,05010CMHC 7218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7218,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7218,A81000A,00100,0100,Y 7218,A81000B,00100,0300,HOME OFFICE COST 7218,A81000B,00400,0300,HOME OFFICE COST 7218,A81000B,00500,0300,HOME OFFICE COST 7218,A81000B,00600,0300,HOME OFFICE COST 7218,A81000B,00800,0300,HOME OFFICE COST 7218,A81000C,00100,0100,B 7218,A81000C,00100,0200,BEVERLY ENTERPR 7218,B100000,00000,0100,00000(SQUARE FEET) 7218,B100000,00000,0200,00000(SQUARE FEET) 7218,B100000,00000,0300,00000(ADJUSTED SALARIES) 7218,B100000,00000,0400,00000(ACCUM. COST) 7218,B100000,00000,0500,00000(SQUARE FEET) 7218,B100000,00000,0600,00000(PATIENT DAYS) 7218,B100000,00000,0700,00000(SQUARE FEET) 7218,B100000,00000,0800,00000(MEALS SERVED) 7218,B100000,00000,0900,00000(ADJUSTED SALARIES) 7218,B100000,00000,1000,00000(PATIENT DAYS) 7218,B100000,00000,1100,00000(COSTED REQUIS) 7218,B100000,00000,1200,00000(TOTAL CHARGES) 7218,B100000,00000,1300,00000(PATIENT DAYS) 7218,B100000,00000,1301,00000(PATIENT DAYS) 7218,B100000,00000,1400,00000(ASSIGNED TIME) 7218,E10A180,00301,0100,01/27/1999 7218,E10A180,00302,0100,02/14/2000 7218,E10A180,00350,0100,06/14/1999 7218,E10A180,00351,0100,10/08/1999 7218,E10A180,00352,0100,12/09/1999 7218,S000000,00100,0200,06/02/2000 7218,S200000,00100,0100,720 EAST KINGS ROAD 7218,S200000,00200,0100,TOMAHAWK 7218,S200000,00200,0200,WI 7218,S200000,00200,0300,54487 7218,S200000,00300,0100,LINCOLN 7218,S200000,00400,0100,GOLDEN AGE NURSING HOME (864) 7218,S200000,00400,0200,525334 7218,S200000,00400,0300,12/01/1983 7218,S200000,00400,0500,P 7218,S200000,00600,0200,525334 7218,S200000,00600,0300,12/01/1983 7218,S200000,00600,0600,P 7218,S200000,01600,0100,Y 7221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7221,A000000,00300,0000,00300EMPLOYEE BENEFITS 7221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7221,A000000,00700,0000,00700HOUSEKEEPING 7221,A000000,00800,0000,00800DIETARY 7221,A000000,00900,0000,00900NURSING ADMINISTRATION 7221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7221,A000000,01100,0000,01100PHARMACY 7221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7221,A000000,01300,0000,01300SOCIAL SERVICE 7221,A000000,01301,0000,01301ACTIVITIES 7221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7221,A000000,01600,0000,01600SKILLED NURSING FACILITY 7221,A000000,01800,0000,01800NURSING FACILITY 7221,A000000,01810,0000,01810ICF/MR 7221,A000000,01900,0000,01900OTHER LONG TERM CARE 7221,A000000,02100,0000,02100RADIOLOGY 7221,A000000,02200,0000,02200LABORATORY 7221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7221,A000000,02500,0000,02500PHYSICAL THERAPY 7221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7221,A000000,02700,0000,02700SPEECH PATHOLOGY 7221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7221,A000000,03550,0000,03550FQHC 7221,A000000,05000,0000,05000CORF 7221,A000000,05010,0000,05010CMHC 7221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7221,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7221,A81000A,00100,0100,Y 7221,A81000B,00100,0300,HOME OFFICE COST 7221,A81000B,00400,0300,HOME OFFICE COST 7221,A81000B,00500,0300,HOME OFFICE COST 7221,A81000B,00600,0300,HOME OFFICE COST 7221,A81000B,00800,0300,HOME OFFICE COST 7221,A81000C,00100,0100,B 7221,A81000C,00100,0200,BEVERLY ENTERPR 7221,B100000,00000,0100,00000(SQUARE FEET) 7221,B100000,00000,0200,00000(SQUARE FEET) 7221,B100000,00000,0300,00000(ADJUSTED SALARIES) 7221,B100000,00000,0400,00000(ACCUM. COST) 7221,B100000,00000,0500,00000(SQUARE FEET) 7221,B100000,00000,0600,00000(PATIENT DAYS) 7221,B100000,00000,0700,00000(SQUARE FEET) 7221,B100000,00000,0800,00000(MEALS SERVED) 7221,B100000,00000,0900,00000(ADJUSTED SALARIES) 7221,B100000,00000,1000,00000(PATIENT DAYS) 7221,B100000,00000,1100,00000(COSTED REQUIS) 7221,B100000,00000,1200,00000(TOTAL CHARGES) 7221,B100000,00000,1300,00000(PATIENT DAYS) 7221,B100000,00000,1301,00000(PATIENT DAYS) 7221,B100000,00000,1400,00000(ASSIGNED TIME) 7221,E10A180,00301,0100,10/08/1999 7221,E10A180,00302,0100,12/09/1999 7221,E10A180,00303,0100,02/14/2000 7221,E10A180,00350,0100,01/27/1999 7221,E10A180,00351,0100,06/14/1999 7221,S000000,00100,0200,06/02/2000 7221,S200000,00100,0100,810 MEMORIAL DR 7221,S200000,00200,0100,CHILTON 7221,S200000,00200,0200,WI 7221,S200000,00200,0300,53014 7221,S200000,00300,0100,CHILTON 7221,S200000,00400,0100,02604 - CHILTON VILLAGE A 7221,S200000,00400,0200,525336 7221,S200000,00400,0300,06/01/1986 7221,S200000,00400,0500,P 7221,S200000,00600,0200,525336 7221,S200000,00600,0300,06/01/1986 7221,S200000,00600,0600,P 7221,S200000,01600,0100,Y 7224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7224,A000000,00300,0000,00300EMPLOYEE BENEFITS 7224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7224,A000000,00700,0000,00700HOUSEKEEPING 7224,A000000,00800,0000,00800DIETARY 7224,A000000,00900,0000,00900NURSING ADMINISTRATION 7224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7224,A000000,01100,0000,01100PHARMACY 7224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7224,A000000,01300,0000,01300SOCIAL SERVICE 7224,A000000,01301,0000,01301ACTIVITIES 7224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7224,A000000,01600,0000,01600SKILLED NURSING FACILITY 7224,A000000,01800,0000,01800NURSING FACILITY 7224,A000000,01810,0000,01810ICF/MR 7224,A000000,02100,0000,02100RADIOLOGY 7224,A000000,02200,0000,02200LABORATORY 7224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7224,A000000,02500,0000,02500PHYSICAL THERAPY 7224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7224,A000000,02700,0000,02700SPEECH PATHOLOGY 7224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7224,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7224,A000000,03550,0000,03550FQHC 7224,A000000,05000,0000,05000CORF 7224,A000000,05010,0000,05010CMHC 7224,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7224,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7224,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7224,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7224,A81000A,00100,0100,Y 7224,A81000B,00100,0300,HOME OFFICE COST 7224,A81000B,00400,0300,HOME OFFICE COST 7224,A81000B,00500,0300,HOME OFFICE COST 7224,A81000B,00600,0300,HOME OFFICE COST 7224,A81000B,00800,0300,HOME OFFICE COST 7224,A81000C,00100,0100,B 7224,A81000C,00100,0200,BEVERLY ENTERPR 7224,B100000,00000,0100,00000(SQUARE FEET) 7224,B100000,00000,0200,00000(SQUARE FEET) 7224,B100000,00000,0300,00000(ADJUSTED SALARIES) 7224,B100000,00000,0400,00000(ACCUM. COST) 7224,B100000,00000,0500,00000(SQUARE FEET) 7224,B100000,00000,0600,00000(PATIENT DAYS) 7224,B100000,00000,0700,00000(SQUARE FEET) 7224,B100000,00000,0800,00000(MEALS SERVED) 7224,B100000,00000,0900,00000(ADJUSTED SALARIES) 7224,B100000,00000,1000,00000(PATIENT DAYS) 7224,B100000,00000,1100,00000(COSTED REQUIS) 7224,B100000,00000,1200,00000(TOTAL CHARGES) 7224,B100000,00000,1300,00000(PATIENT DAYS) 7224,B100000,00000,1301,00000(PATIENT DAYS) 7224,B100000,00000,1400,00000(ASSIGNED TIME) 7224,E10A180,00301,0100,01/27/1999 7224,E10A180,00302,0100,06/14/1999 7224,E10A180,00303,0100,02/14/2000 7224,E10A180,00350,0100,10/08/1999 7224,E10A180,00351,0100,12/09/1999 7224,S000000,00100,0200,06/02/2000 7224,S200000,00100,0100,410 ROEDL COURT 7224,S200000,00200,0100,BEAVER DAM 7224,S200000,00200,0200,WI 7224,S200000,00200,0300,53916 7224,S200000,00300,0100,DODGE 7224,S200000,00400,0100,BEAVER DAM CARE CENTER (929) A 7224,S200000,00400,0200,525338 7224,S200000,00400,0300,09/01/1983 7224,S200000,00400,0500,P 7224,S200000,00600,0200,525338 7224,S200000,00600,0300,09/01/1983 7224,S200000,00600,0600,P 7224,S200000,01600,0100,Y 7227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7227,A000000,00300,0000,00300EMPLOYEE BENEFITS 7227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7227,A000000,00700,0000,00700HOUSEKEEPING 7227,A000000,00800,0000,00800DIETARY 7227,A000000,00900,0000,00900NURSING ADMINISTRATION 7227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7227,A000000,01100,0000,01100PHARMACY 7227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7227,A000000,01300,0000,01300SOCIAL SERVICE 7227,A000000,01301,0000,01301ACTIVITIES 7227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7227,A000000,01600,0000,01600SKILLED NURSING FACILITY 7227,A000000,01800,0000,01800NURSING FACILITY 7227,A000000,01810,0000,01810ICF/MR 7227,A000000,02100,0000,02100RADIOLOGY 7227,A000000,02200,0000,02200LABORATORY 7227,A000000,02500,0000,02500PHYSICAL THERAPY 7227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7227,A000000,02700,0000,02700SPEECH PATHOLOGY 7227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7227,A000000,03550,0000,03550FQHC 7227,A000000,05000,0000,05000CORF 7227,A000000,05010,0000,05010CMHC 7227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7227,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7227,A81000A,00100,0100,Y 7227,A81000B,00100,0300,HOME OFFICE COST 7227,A81000B,00400,0300,HOME OFFICE COST 7227,A81000B,00500,0300,HOME OFFICE COST 7227,A81000B,00600,0300,HOME OFFICE COST 7227,A81000B,00800,0300,HOME OFFICE COST 7227,A81000C,00100,0100,B 7227,A81000C,00100,0200,BEVERLY ENTERPR 7227,B100000,00000,0100,00000(SQUARE FEET) 7227,B100000,00000,0200,00000(SQUARE FEET) 7227,B100000,00000,0300,00000(ADJUSTED SALARIES) 7227,B100000,00000,0400,00000(ACCUM. COST) 7227,B100000,00000,0500,00000(SQUARE FEET) 7227,B100000,00000,0600,00000(PATIENT DAYS) 7227,B100000,00000,0700,00000(SQUARE FEET) 7227,B100000,00000,0800,00000(MEALS SERVED) 7227,B100000,00000,0900,00000(ADJUSTED SALARIES) 7227,B100000,00000,1000,00000(PATIENT DAYS) 7227,B100000,00000,1100,00000(COSTED REQUIS) 7227,B100000,00000,1200,00000(TOTAL CHARGES) 7227,B100000,00000,1300,00000(PATIENT DAYS) 7227,B100000,00000,1301,00000(PATIENT DAYS) 7227,B100000,00000,1400,00000(ASSIGNED TIME) 7227,E10A180,00301,0100,01/27/1999 7227,E10A180,00350,0100,06/14/1999 7227,E10A180,00351,0100,10/08/1999 7227,E10A180,00352,0100,12/09/1999 7227,E10A180,00353,0100,02/14/2000 7227,S000000,00100,0200,06/02/2000 7227,S200000,00100,0100,1640 SHAWAND AVE 7227,S200000,00200,0100,GREEN BAY 7227,S200000,00200,0200,WI 7227,S200000,00200,0300,54303 7227,S200000,00300,0100,BROWN 7227,S200000,00400,0100,02606 - WESTERN VILLAGE A 7227,S200000,00400,0200,525342 7227,S200000,00400,0300,06/01/1986 7227,S200000,00400,0500,P 7227,S200000,00600,0200,525342 7227,S200000,00600,0300,06/01/1986 7227,S200000,00600,0600,P 7227,S200000,01600,0100,Y 7230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7230,A000000,00300,0000,00300EMPLOYEE BENEFITS 7230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7230,A000000,00700,0000,00700HOUSEKEEPING 7230,A000000,00800,0000,00800DIETARY 7230,A000000,00900,0000,00900NURSING ADMINISTRATION 7230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7230,A000000,01100,0000,01100PHARMACY 7230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7230,A000000,01300,0000,01300SOCIAL SERVICE 7230,A000000,01301,0000,01301ACTIVITIES 7230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7230,A000000,01600,0000,01600SKILLED NURSING FACILITY 7230,A000000,01800,0000,01800NURSING FACILITY 7230,A000000,01810,0000,01810ICF/MR 7230,A000000,01900,0000,01900OTHER LONG TERM CARE 7230,A000000,02100,0000,02100RADIOLOGY 7230,A000000,02200,0000,02200LABORATORY 7230,A000000,02500,0000,02500PHYSICAL THERAPY 7230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7230,A000000,02700,0000,02700SPEECH PATHOLOGY 7230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7230,A000000,03550,0000,03550FQHC 7230,A000000,05000,0000,05000CORF 7230,A000000,05010,0000,05010CMHC 7230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7230,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7230,A81000A,00100,0100,Y 7230,A81000B,00100,0300,HOME OFFICE COST 7230,A81000B,00400,0300,HOME OFFICE COST 7230,A81000B,00500,0300,HOME OFFICE COST 7230,A81000B,00600,0300,HOME OFFICE COST 7230,A81000B,00800,0300,HOME OFFICE COST 7230,A81000C,00100,0100,B 7230,A81000C,00100,0200,BEVERLY ENTERPR 7230,B100000,00000,0100,00000(SQUARE FEET) 7230,B100000,00000,0200,00000(SQUARE FEET) 7230,B100000,00000,0300,00000(ADJUSTED SALARIES) 7230,B100000,00000,0400,00000(ACCUM. COST) 7230,B100000,00000,0500,00000(SQUARE FEET) 7230,B100000,00000,0600,00000(PATIENT DAYS) 7230,B100000,00000,0700,00000(SQUARE FEET) 7230,B100000,00000,0800,00000(MEALS SERVED) 7230,B100000,00000,0900,00000(ADJUSTED SALARIES) 7230,B100000,00000,1000,00000(PATIENT DAYS) 7230,B100000,00000,1100,00000(COSTED REQUIS) 7230,B100000,00000,1200,00000(TOTAL CHARGES) 7230,B100000,00000,1300,00000(PATIENT DAYS) 7230,B100000,00000,1301,00000(PATIENT DAYS) 7230,B100000,00000,1400,00000(ASSIGNED TIME) 7230,E10A180,00301,0100,06/14/1999 7230,E10A180,00302,0100,10/08/1999 7230,E10A180,00303,0100,02/14/2000 7230,E10A180,00350,0100,01/27/1999 7230,E10A180,00351,0100,12/09/1999 7230,S000000,00100,0200,06/02/2000 7230,S200000,00100,0100,502 S HIGH STREET 7230,S200000,00200,0100,RANDOLPH 7230,S200000,00200,0200,WI 7230,S200000,00200,0300,53956 7230,S200000,00300,0100,COLUMBIA 7230,S200000,00400,0100,CONTINENTAL MANOR-RANDOLPH (32 7230,S200000,00400,0200,525355 7230,S200000,00400,0300,04/01/1984 7230,S200000,00400,0500,P 7230,S200000,00600,0200,525355 7230,S200000,00600,0300,04/01/1984 7230,S200000,00600,0600,P 7230,S200000,01600,0100,Y 7233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7233,A000000,00300,0000,00300EMPLOYEE BENEFITS 7233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7233,A000000,00700,0000,00700HOUSEKEEPING 7233,A000000,00800,0000,00800DIETARY 7233,A000000,00900,0000,00900NURSING ADMINISTRATION 7233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7233,A000000,01100,0000,01100PHARMACY 7233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7233,A000000,01300,0000,01300SOCIAL SERVICE 7233,A000000,01301,0000,01301ACTIVITIES 7233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7233,A000000,01600,0000,01600SKILLED NURSING FACILITY 7233,A000000,01800,0000,01800NURSING FACILITY 7233,A000000,01810,0000,01810ICF/MR 7233,A000000,02200,0000,02200LABORATORY 7233,A000000,02500,0000,02500PHYSICAL THERAPY 7233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7233,A000000,02700,0000,02700SPEECH PATHOLOGY 7233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7233,A000000,03550,0000,03550FQHC 7233,A000000,05000,0000,05000CORF 7233,A000000,05010,0000,05010CMHC 7233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7233,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7233,A81000A,00100,0100,Y 7233,A81000B,00100,0300,HOME OFFICE COST 7233,A81000B,00400,0300,HOME OFFICE COST 7233,A81000B,00500,0300,HOME OFFICE COST 7233,A81000B,00600,0300,HOME OFFICE COST 7233,A81000B,00800,0300,HOME OFFICE COST 7233,A81000C,00100,0100,B 7233,A81000C,00100,0200,BEVERLY ENTERPR 7233,B100000,00000,0100,00000(SQUARE FEET) 7233,B100000,00000,0200,00000(SQUARE FEET) 7233,B100000,00000,0300,00000(ADJUSTED SALARIES) 7233,B100000,00000,0400,00000(ACCUM. COST) 7233,B100000,00000,0500,00000(SQUARE FEET) 7233,B100000,00000,0600,00000(PATIENT DAYS) 7233,B100000,00000,0700,00000(SQUARE FEET) 7233,B100000,00000,0800,00000(MEALS SERVED) 7233,B100000,00000,0900,00000(ADJUSTED SALARIES) 7233,B100000,00000,1000,00000(PATIENT DAYS) 7233,B100000,00000,1100,00000(COSTED REQUIS) 7233,B100000,00000,1200,00000(TOTAL CHARGES) 7233,B100000,00000,1300,00000(PATIENT DAYS) 7233,B100000,00000,1301,00000(PATIENT DAYS) 7233,B100000,00000,1400,00000(ASSIGNED TIME) 7233,E10A180,00301,0100,01/27/1999 7233,E10A180,00302,0100,10/08/1999 7233,E10A180,00303,0100,02/14/2000 7233,E10A180,00350,0100,06/14/1999 7233,E10A180,00351,0100,12/09/1999 7233,S000000,00100,0200,06/02/2000 7233,S200000,00100,0100,1000 CHAPIN ST 7233,S200000,00200,0100,FLORENCE 7233,S200000,00200,0200,WI 7233,S200000,00200,0300,54121 7233,S200000,00300,0100,FLORENCE 7233,S200000,00400,0100,02607 - FLORENCE VILLA A 7233,S200000,00400,0200,525358 7233,S200000,00400,0300,06/01/1986 7233,S200000,00400,0500,P 7233,S200000,00600,0200,525358 7233,S200000,00600,0300,06/01/1986 7233,S200000,00600,0600,P 7233,S200000,01600,0100,Y 7236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7236,A000000,00300,0000,00300EMPLOYEE BENEFITS 7236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7236,A000000,00700,0000,00700HOUSEKEEPING 7236,A000000,00800,0000,00800DIETARY 7236,A000000,00900,0000,00900NURSING ADMINISTRATION 7236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7236,A000000,01100,0000,01100PHARMACY 7236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7236,A000000,01300,0000,01300SOCIAL SERVICE 7236,A000000,01301,0000,01301ACTIVITIES 7236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7236,A000000,01600,0000,01600SKILLED NURSING FACILITY 7236,A000000,01800,0000,01800NURSING FACILITY 7236,A000000,01810,0000,01810ICF/MR 7236,A000000,01900,0000,01900OTHER LONG TERM CARE 7236,A000000,02200,0000,02200LABORATORY 7236,A000000,02500,0000,02500PHYSICAL THERAPY 7236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7236,A000000,02700,0000,02700SPEECH PATHOLOGY 7236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7236,A000000,03550,0000,03550FQHC 7236,A000000,05000,0000,05000CORF 7236,A000000,05010,0000,05010CMHC 7236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7236,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7236,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7236,A81000A,00100,0100,Y 7236,A81000B,00100,0300,HOME OFFICE COST 7236,A81000B,00400,0300,HOME OFFICE COST 7236,A81000B,00500,0300,HOME OFFICE COST 7236,A81000B,00600,0300,HOME OFFICE COST 7236,A81000B,00800,0300,HOME OFFICE COST 7236,A81000C,00100,0100,B 7236,A81000C,00100,0200,BEVERLY ENTERPR 7236,B100000,00000,0100,00000(SQUARE FEET) 7236,B100000,00000,0200,00000(SQUARE FEET) 7236,B100000,00000,0300,00000(ADJUSTED SALARIES) 7236,B100000,00000,0400,00000(ACCUM. COST) 7236,B100000,00000,0500,00000(SQUARE FEET) 7236,B100000,00000,0600,00000(PATIENT DAYS) 7236,B100000,00000,0700,00000(SQUARE FEET) 7236,B100000,00000,0800,00000(MEALS SERVED) 7236,B100000,00000,0900,00000(ADJUSTED SALARIES) 7236,B100000,00000,1000,00000(PATIENT DAYS) 7236,B100000,00000,1100,00000(COSTED REQUIS) 7236,B100000,00000,1200,00000(TOTAL CHARGES) 7236,B100000,00000,1300,00000(PATIENT DAYS) 7236,B100000,00000,1301,00000(PATIENT DAYS) 7236,B100000,00000,1400,00000(ASSIGNED TIME) 7236,E10A180,00301,0100,06/14/1999 7236,E10A180,00302,0100,02/14/2000 7236,E10A180,00350,0100,01/27/1999 7236,E10A180,00351,0100,10/08/1999 7236,E10A180,00352,0100,12/09/1999 7236,S000000,00100,0200,06/02/2000 7236,S200000,00100,0100,100 SCHERER AVE 7236,S200000,00200,0100,OCONTO 7236,S200000,00200,0200,WI 7236,S200000,00200,0300,54153 7236,S200000,00300,0100,OCONTO 7236,S200000,00400,0100,02602 - RIVERSIDE NURSING HOME 7236,S200000,00400,0200,525361 7236,S200000,00400,0300,06/01/1986 7236,S200000,00400,0500,P 7236,S200000,00600,0200,525361 7236,S200000,00600,0300,06/01/1986 7236,S200000,00600,0600,P 7236,S200000,01600,0100,Y 7239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7239,A000000,00300,0000,00300EMPLOYEE BENEFITS 7239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7239,A000000,00700,0000,00700HOUSEKEEPING 7239,A000000,00800,0000,00800DIETARY 7239,A000000,00900,0000,00900NURSING ADMINISTRATION 7239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7239,A000000,01100,0000,01100PHARMACY 7239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7239,A000000,01300,0000,01300SOCIAL SERVICE 7239,A000000,01301,0000,01301ACTIVITIES 7239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7239,A000000,01600,0000,01600SKILLED NURSING FACILITY 7239,A000000,01800,0000,01800NURSING FACILITY 7239,A000000,01810,0000,01810ICF/MR 7239,A000000,02100,0000,02100RADIOLOGY 7239,A000000,02200,0000,02200LABORATORY 7239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7239,A000000,02500,0000,02500PHYSICAL THERAPY 7239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7239,A000000,02700,0000,02700SPEECH PATHOLOGY 7239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7239,A000000,03550,0000,03550FQHC 7239,A000000,05000,0000,05000CORF 7239,A000000,05010,0000,05010CMHC 7239,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7239,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 7239,A81000A,00100,0100,Y 7239,A81000B,00100,0300,HOME OFFICE COST 7239,A81000B,00400,0300,HOME OFFICE COST 7239,A81000B,00500,0300,HOME OFFICE COST 7239,A81000B,00600,0300,HOME OFFICE COST 7239,A81000B,00800,0300,HOME OFFICE COST 7239,A81000C,00100,0100,B 7239,A81000C,00100,0200,BEVERLY ENTERPR 7239,B100000,00000,0100,00000(SQUARE FEET) 7239,B100000,00000,0200,00000(SQUARE FEET) 7239,B100000,00000,0300,00000(ADJUSTED SALARIES) 7239,B100000,00000,0400,00000(ACCUM. COST) 7239,B100000,00000,0500,00000(SQUARE FEET) 7239,B100000,00000,0600,00000(PATIENT DAYS) 7239,B100000,00000,0700,00000(SQUARE FEET) 7239,B100000,00000,0800,00000(MEALS SERVED) 7239,B100000,00000,0900,00000(ADJUSTED SALARIES) 7239,B100000,00000,1000,00000(PATIENT DAYS) 7239,B100000,00000,1100,00000(COSTED REQUIS) 7239,B100000,00000,1200,00000(TOTAL CHARGES) 7239,B100000,00000,1300,00000(PATIENT DAYS) 7239,B100000,00000,1301,00000(PATIENT DAYS) 7239,B100000,00000,1400,00000(ASSIGNED TIME) 7239,E10A180,00301,0100,06/14/1999 7239,E10A180,00302,0100,10/08/1999 7239,E10A180,00303,0100,02/14/2000 7239,E10A180,00350,0100,01/27/1999 7239,E10A180,00351,0100,12/09/1999 7239,S000000,00100,0200,06/02/2000 7239,S200000,00100,0100,1612 N 37TH ST 7239,S200000,00200,0100,SUPERIOR 7239,S200000,00200,0200,WI 7239,S200000,00200,0300,54880 7239,S200000,00300,0100,DOUGLAS 7239,S200000,00400,0100,FIELDVIEW CARE CTR (375) A 7239,S200000,00400,0200,525370 7239,S200000,00400,0300,06/01/1984 7239,S200000,00400,0500,P 7239,S200000,00600,0200,525370 7239,S200000,00600,0300,06/01/1984 7239,S200000,00600,0600,P 7239,S200000,01600,0100,Y 7242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7242,A000000,00300,0000,00300EMPLOYEE BENEFITS 7242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7242,A000000,00700,0000,00700HOUSEKEEPING 7242,A000000,00800,0000,00800DIETARY 7242,A000000,00900,0000,00900NURSING ADMINISTRATION 7242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7242,A000000,01100,0000,01100PHARMACY 7242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7242,A000000,01300,0000,01300SOCIAL SERVICE 7242,A000000,01301,0000,01301ACTIVITIES 7242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7242,A000000,01600,0000,01600SKILLED NURSING FACILITY 7242,A000000,01800,0000,01800NURSING FACILITY 7242,A000000,01810,0000,01810ICF/MR 7242,A000000,01900,0000,01900OTHER LONG TERM CARE 7242,A000000,02100,0000,02100RADIOLOGY 7242,A000000,02200,0000,02200LABORATORY 7242,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7242,A000000,02500,0000,02500PHYSICAL THERAPY 7242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7242,A000000,02700,0000,02700SPEECH PATHOLOGY 7242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7242,A000000,03550,0000,03550FQHC 7242,A000000,05000,0000,05000CORF 7242,A000000,05010,0000,05010CMHC 7242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7242,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 7242,A81000A,00100,0100,Y 7242,A81000B,00100,0300,HOME OFFICE COST 7242,A81000B,00400,0300,HOME OFFICE COST 7242,A81000B,00500,0300,HOME OFFICE COST 7242,A81000B,00600,0300,HOME OFFICE COST 7242,A81000B,00800,0300,HOME OFFICE COST 7242,A81000C,00100,0100,B 7242,A81000C,00100,0200,BEVERLY ENTERPR 7242,B100000,00000,0100,00000(SQUARE FEET) 7242,B100000,00000,0200,00000(SQUARE FEET) 7242,B100000,00000,0300,00000(ADJUSTED SALARIES) 7242,B100000,00000,0400,00000(ACCUM. COST) 7242,B100000,00000,0500,00000(SQUARE FEET) 7242,B100000,00000,0600,00000(PATIENT DAYS) 7242,B100000,00000,0700,00000(SQUARE FEET) 7242,B100000,00000,0800,00000(MEALS SERVED) 7242,B100000,00000,0900,00000(ADJUSTED SALARIES) 7242,B100000,00000,1000,00000(PATIENT DAYS) 7242,B100000,00000,1100,00000(COSTED REQUIS) 7242,B100000,00000,1200,00000(TOTAL CHARGES) 7242,B100000,00000,1300,00000(PATIENT DAYS) 7242,B100000,00000,1301,00000(PATIENT DAYS) 7242,B100000,00000,1400,00000(ASSIGNED TIME) 7242,E10A180,00301,0100,06/14/1999 7242,E10A180,00302,0100,02/14/2000 7242,E10A180,00350,0100,01/27/1999 7242,E10A180,00351,0100,10/08/1999 7242,E10A180,00352,0100,12/09/1999 7242,S000000,00100,0200,06/02/2000 7242,S200000,00100,0100,1300 W SILVER SPRING 7242,S200000,00200,0100,MILWAUKEE 7242,S200000,00200,0200,WI 7242,S200000,00200,0300,53209 7242,S200000,00300,0100,MILWAUKEE 7242,S200000,00400,0100,SILVER SPRING CONVALESCENT CEN 7242,S200000,00400,0200,525371 7242,S200000,00400,0300,10/01/1984 7242,S200000,00400,0500,P 7242,S200000,00600,0200,525371 7242,S200000,00600,0300,10/01/1984 7242,S200000,00600,0600,P 7242,S200000,01600,0100,Y 7245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7245,A000000,00300,0000,00300EMPLOYEE BENEFITS 7245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7245,A000000,00700,0000,00700HOUSEKEEPING 7245,A000000,00800,0000,00800DIETARY 7245,A000000,00900,0000,00900NURSING ADMINISTRATION 7245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7245,A000000,01100,0000,01100PHARMACY 7245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7245,A000000,01300,0000,01300SOCIAL SERVICE 7245,A000000,01301,0000,01301ACTIVITIES 7245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7245,A000000,01600,0000,01600SKILLED NURSING FACILITY 7245,A000000,01800,0000,01800NURSING FACILITY 7245,A000000,01810,0000,01810ICF/MR 7245,A000000,02100,0000,02100RADIOLOGY 7245,A000000,02200,0000,02200LABORATORY 7245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7245,A000000,02500,0000,02500PHYSICAL THERAPY 7245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7245,A000000,02700,0000,02700SPEECH PATHOLOGY 7245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7245,A000000,03550,0000,03550FQHC 7245,A000000,05000,0000,05000CORF 7245,A000000,05010,0000,05010CMHC 7245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7245,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7245,A81000A,00100,0100,Y 7245,A81000B,00100,0300,HOME OFFICE COST 7245,A81000B,00400,0300,HOME OFFICE COST 7245,A81000B,00500,0300,HOME OFFICE COST 7245,A81000B,00600,0300,HOME OFFICE COST 7245,A81000B,00800,0300,HOME OFFICE COST 7245,A81000C,00100,0100,B 7245,A81000C,00100,0200,BEVERLY ENTERPR 7245,B100000,00000,0100,00000(SQUARE FEET) 7245,B100000,00000,0200,00000(SQUARE FEET) 7245,B100000,00000,0300,00000(ADJUSTED SALARIES) 7245,B100000,00000,0400,00000(ACCUM. COST) 7245,B100000,00000,0500,00000(SQUARE FEET) 7245,B100000,00000,0600,00000(PATIENT DAYS) 7245,B100000,00000,0700,00000(SQUARE FEET) 7245,B100000,00000,0800,00000(MEALS SERVED) 7245,B100000,00000,0900,00000(ADJUSTED SALARIES) 7245,B100000,00000,1000,00000(PATIENT DAYS) 7245,B100000,00000,1100,00000(COSTED REQUIS) 7245,B100000,00000,1200,00000(TOTAL CHARGES) 7245,B100000,00000,1300,00000(PATIENT DAYS) 7245,B100000,00000,1301,00000(PATIENT DAYS) 7245,B100000,00000,1400,00000(ASSIGNED TIME) 7245,E10A180,00301,0100,10/08/1999 7245,E10A180,00302,0100,12/09/1999 7245,E10A180,00303,0100,02/14/2000 7245,E10A180,00350,0100,01/27/1999 7245,E10A180,00351,0100,06/14/1999 7245,S000000,00100,0200,06/02/2000 7245,S200000,00100,0100,300 RACE STREET 7245,S200000,00200,0100,WISC DELLS 7245,S200000,00200,0200,WI 7245,S200000,00200,0300,53965 7245,S200000,00300,0100,COLUMBIA 7245,S200000,00400,0100,00325 - CONTINENTAL MNR OF WIS 7245,S200000,00400,0200,525391 7245,S200000,00400,0300,12/01/1985 7245,S200000,00400,0500,P 7245,S200000,00600,0200,525391 7245,S200000,00600,0300,12/01/1985 7245,S200000,00600,0600,P 7245,S200000,01600,0100,Y 7248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7248,A000000,00300,0000,00300EMPLOYEE BENEFITS 7248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7248,A000000,00700,0000,00700HOUSEKEEPING 7248,A000000,00800,0000,00800DIETARY 7248,A000000,00900,0000,00900NURSING ADMINISTRATION 7248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7248,A000000,01100,0000,01100PHARMACY 7248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7248,A000000,01300,0000,01300SOCIAL SERVICE 7248,A000000,01301,0000,01301ACTIVITIES 7248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7248,A000000,01600,0000,01600SKILLED NURSING FACILITY 7248,A000000,01800,0000,01800NURSING FACILITY 7248,A000000,01810,0000,01810ICF/MR 7248,A000000,02100,0000,02100RADIOLOGY 7248,A000000,02200,0000,02200LABORATORY 7248,A000000,02500,0000,02500PHYSICAL THERAPY 7248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7248,A000000,02700,0000,02700SPEECH PATHOLOGY 7248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7248,A000000,03550,0000,03550FQHC 7248,A000000,05000,0000,05000CORF 7248,A000000,05010,0000,05010CMHC 7248,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7248,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7248,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 7248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7248,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7248,A81000A,00100,0100,Y 7248,A81000B,00100,0300,HOME OFFICE COST 7248,A81000B,00400,0300,HOME OFFICE COST 7248,A81000B,00500,0300,HOME OFFICE COST 7248,A81000B,00600,0300,HOME OFFICE COST 7248,A81000B,00800,0300,HOME OFFICE COST 7248,A81000C,00100,0100,B 7248,A81000C,00100,0200,BEVERLY ENTERPR 7248,B100000,00000,0100,00000(SQUARE FEET) 7248,B100000,00000,0200,00000(SQUARE FEET) 7248,B100000,00000,0300,00000(ADJUSTED SALARIES) 7248,B100000,00000,0400,00000(ACCUM. COST) 7248,B100000,00000,0500,00000(SQUARE FEET) 7248,B100000,00000,0600,00000(PATIENT DAYS) 7248,B100000,00000,0700,00000(SQUARE FEET) 7248,B100000,00000,0800,00000(MEALS SERVED) 7248,B100000,00000,0900,00000(ADJUSTED SALARIES) 7248,B100000,00000,1000,00000(PATIENT DAYS) 7248,B100000,00000,1100,00000(COSTED REQUIS) 7248,B100000,00000,1200,00000(TOTAL CHARGES) 7248,B100000,00000,1300,00000(PATIENT DAYS) 7248,B100000,00000,1301,00000(PATIENT DAYS) 7248,B100000,00000,1400,00000(ASSIGNED TIME) 7248,E10A180,00301,0100,06/14/1999 7248,E10A180,00302,0100,10/08/1999 7248,E10A180,00303,0100,02/14/2000 7248,E10A180,00350,0100,01/27/1999 7248,E10A180,00351,0100,12/09/1999 7248,S000000,00100,0200,06/02/2000 7248,S200000,00100,0100,2997 ST ANTHONY DR 7248,S200000,00200,0100,GREEN BAY 7248,S200000,00200,0200,WI 7248,S200000,00200,0300,54301 7248,S200000,00300,0100,BROWN 7248,S200000,00400,0100,02601 - HIGHLAND HEALTHCARE CENTER 7248,S200000,00400,0200,525404 7248,S200000,00400,0300,01/01/1987 7248,S200000,00400,0500,P 7248,S200000,00600,0200,525404 7248,S200000,00600,0300,01/01/1987 7248,S200000,00600,0600,P 7248,S200000,01600,0100,Y 7251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7251,A000000,00300,0000,00300EMPLOYEE BENEFITS 7251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7251,A000000,00700,0000,00700HOUSEKEEPING 7251,A000000,00800,0000,00800DIETARY 7251,A000000,00900,0000,00900NURSING ADMINISTRATION 7251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7251,A000000,01100,0000,01100PHARMACY 7251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7251,A000000,01300,0000,01300SOCIAL SERVICE 7251,A000000,01301,0000,01301ACTIVITIES 7251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7251,A000000,01600,0000,01600SKILLED NURSING FACILITY 7251,A000000,01800,0000,01800NURSING FACILITY 7251,A000000,01810,0000,01810ICF/MR 7251,A000000,02100,0000,02100RADIOLOGY 7251,A000000,02200,0000,02200LABORATORY 7251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7251,A000000,02500,0000,02500PHYSICAL THERAPY 7251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7251,A000000,02700,0000,02700SPEECH PATHOLOGY 7251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7251,A000000,03550,0000,03550FQHC 7251,A000000,05000,0000,05000CORF 7251,A000000,05010,0000,05010CMHC 7251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7251,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7251,A81000A,00100,0100,Y 7251,A81000B,00100,0300,HOME OFFICE COST 7251,A81000B,00400,0300,HOME OFFICE COST 7251,A81000B,00500,0300,HOME OFFICE COST 7251,A81000B,00600,0300,HOME OFFICE COST 7251,A81000B,00800,0300,HOME OFFICE COST 7251,A81000C,00100,0100,B 7251,A81000C,00100,0200,BEVERLY ENTERPR 7251,B100000,00000,0100,00000(SQUARE FEET) 7251,B100000,00000,0200,00000(SQUARE FEET) 7251,B100000,00000,0300,00000(ADJUSTED SALARIES) 7251,B100000,00000,0400,00000(ACCUM. COST) 7251,B100000,00000,0500,00000(SQUARE FEET) 7251,B100000,00000,0600,00000(PATIENT DAYS) 7251,B100000,00000,0700,00000(SQUARE FEET) 7251,B100000,00000,0800,00000(MEALS SERVED) 7251,B100000,00000,0900,00000(ADJUSTED SALARIES) 7251,B100000,00000,1000,00000(PATIENT DAYS) 7251,B100000,00000,1100,00000(COSTED REQUIS) 7251,B100000,00000,1200,00000(TOTAL CHARGES) 7251,B100000,00000,1300,00000(PATIENT DAYS) 7251,B100000,00000,1301,00000(PATIENT DAYS) 7251,B100000,00000,1400,00000(ASSIGNED TIME) 7251,E10A180,00301,0100,01/27/1999 7251,E10A180,00350,0100,06/14/1999 7251,E10A180,00351,0100,10/08/1999 7251,E10A180,00352,0100,12/09/1999 7251,E10A180,00353,0100,02/14/2000 7251,S000000,00100,0200,06/02/2000 7251,S200000,00100,0100,P.O. BOX 779 7251,S200000,00200,0100,HAYWARD 7251,S200000,00200,0200,WI 7251,S200000,00200,0300,54843 7251,S200000,00300,0100,HAYWARD 7251,S200000,00400,0100,02820 - VALLEY HEALTH CARE CEN 7251,S200000,00400,0200,525434 7251,S200000,00400,0300,09/01/1989 7251,S200000,00400,0500,P 7251,S200000,00600,0200,525434 7251,S200000,00600,0300,09/01/1989 7251,S200000,00600,0600,P 7251,S200000,01600,0100,Y 7254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7254,A000000,00300,0000,00300EMPLOYEE BENEFITS 7254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7254,A000000,00700,0000,00700HOUSEKEEPING 7254,A000000,00800,0000,00800DIETARY 7254,A000000,00900,0000,00900NURSING ADMINISTRATION 7254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7254,A000000,01100,0000,01100PHARMACY 7254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7254,A000000,01300,0000,01300SOCIAL SERVICE 7254,A000000,01301,0000,01301ACTIVITIES 7254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7254,A000000,01600,0000,01600SKILLED NURSING FACILITY 7254,A000000,01800,0000,01800NURSING FACILITY 7254,A000000,01810,0000,01810ICF/MR 7254,A000000,02100,0000,02100RADIOLOGY 7254,A000000,02200,0000,02200LABORATORY 7254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7254,A000000,02500,0000,02500PHYSICAL THERAPY 7254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7254,A000000,02700,0000,02700SPEECH PATHOLOGY 7254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7254,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7254,A000000,03550,0000,03550FQHC 7254,A000000,05000,0000,05000CORF 7254,A000000,05010,0000,05010CMHC 7254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7254,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7254,A81000A,00100,0100,Y 7254,A81000B,00100,0300,HOME OFFICE COST 7254,A81000B,00400,0300,HOME OFFICE COST 7254,A81000B,00500,0300,HOME OFFICE COST 7254,A81000B,00600,0300,HOME OFFICE COST 7254,A81000B,00800,0300,HOME OFFICE COST 7254,A81000C,00100,0100,B 7254,A81000C,00100,0200,BEVERLY ENTERPR 7254,B100000,00000,0100,00000(SQUARE FEET) 7254,B100000,00000,0200,00000(SQUARE FEET) 7254,B100000,00000,0300,00000(ADJUSTED SALARIES) 7254,B100000,00000,0400,00000(ACCUM. COST) 7254,B100000,00000,0500,00000(SQUARE FEET) 7254,B100000,00000,0600,00000(PATIENT DAYS) 7254,B100000,00000,0700,00000(SQUARE FEET) 7254,B100000,00000,0800,00000(MEALS SERVED) 7254,B100000,00000,0900,00000(ADJUSTED SALARIES) 7254,B100000,00000,1000,00000(PATIENT DAYS) 7254,B100000,00000,1100,00000(COSTED REQUIS) 7254,B100000,00000,1200,00000(TOTAL CHARGES) 7254,B100000,00000,1300,00000(PATIENT DAYS) 7254,B100000,00000,1301,00000(PATIENT DAYS) 7254,B100000,00000,1400,00000(ASSIGNED TIME) 7254,E10A180,00301,0100,06/14/1999 7254,E10A180,00302,0100,10/08/1999 7254,E10A180,00303,0100,12/09/1999 7254,E10A180,00304,0100,02/14/2000 7254,E10A180,00350,0100,01/27/1999 7254,S000000,00100,0200,06/02/2000 7254,S200000,00100,0100,600 E ELM ST 7254,S200000,00200,0100,ABBOTSFORD 7254,S200000,00200,0200,WI 7254,S200000,00200,0300,54405 7254,S200000,00300,0100,MARATHON 7254,S200000,00400,0100,00323 - CONTINENTAL MANOR A 7254,S200000,00400,0200,525435 7254,S200000,00400,0300,09/01/1989 7254,S200000,00400,0500,P 7254,S200000,00600,0200,525435 7254,S200000,00600,0300,09/01/1989 7254,S200000,00600,0600,P 7254,S200000,01600,0100,Y 7257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7257,A000000,00300,0000,00300EMPLOYEE BENEFITS 7257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7257,A000000,00700,0000,00700HOUSEKEEPING 7257,A000000,00800,0000,00800DIETARY 7257,A000000,00900,0000,00900NURSING ADMINISTRATION 7257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7257,A000000,01100,0000,01100PHARMACY 7257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7257,A000000,01300,0000,01300SOCIAL SERVICE 7257,A000000,01301,0000,01301ACTIVITIES 7257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7257,A000000,01600,0000,01600SKILLED NURSING FACILITY 7257,A000000,01800,0000,01800NURSING FACILITY 7257,A000000,01810,0000,01810ICF/MR 7257,A000000,02200,0000,02200LABORATORY 7257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7257,A000000,02500,0000,02500PHYSICAL THERAPY 7257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7257,A000000,02700,0000,02700SPEECH PATHOLOGY 7257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7257,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7257,A000000,03550,0000,03550FQHC 7257,A000000,05000,0000,05000CORF 7257,A000000,05010,0000,05010CMHC 7257,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7257,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7257,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7257,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7257,A81000A,00100,0100,Y 7257,A81000B,00100,0300,HOME OFFICE COST 7257,A81000B,00400,0300,HOME OFFICE COST 7257,A81000B,00500,0300,HOME OFFICE COST 7257,A81000B,00600,0300,HOME OFFICE COST 7257,A81000B,00800,0300,HOME OFFICE COST 7257,A81000C,00100,0100,B 7257,A81000C,00100,0200,BEVERLY ENTERPR 7257,B100000,00000,0100,00000(SQUARE FEET) 7257,B100000,00000,0200,00000(SQUARE FEET) 7257,B100000,00000,0300,00000(ADJUSTED SALARIES) 7257,B100000,00000,0400,00000(ACCUM. COST) 7257,B100000,00000,0500,00000(SQUARE FEET) 7257,B100000,00000,0600,00000(PATIENT DAYS) 7257,B100000,00000,0700,00000(SQUARE FEET) 7257,B100000,00000,0800,00000(MEALS SERVED) 7257,B100000,00000,0900,00000(ADJUSTED SALARIES) 7257,B100000,00000,1000,00000(PATIENT DAYS) 7257,B100000,00000,1100,00000(COSTED REQUIS) 7257,B100000,00000,1200,00000(TOTAL CHARGES) 7257,B100000,00000,1300,00000(PATIENT DAYS) 7257,B100000,00000,1301,00000(PATIENT DAYS) 7257,B100000,00000,1400,00000(ASSIGNED TIME) 7257,E10A180,00301,0100,12/09/1999 7257,E10A180,00302,0100,02/14/2000 7257,E10A180,00350,0100,01/27/1999 7257,E10A180,00351,0100,06/14/1999 7257,E10A180,00352,0100,10/08/1999 7257,S000000,00100,0200,06/02/2000 7257,S200000,00100,0100,1505 BUTTS AVE 7257,S200000,00200,0100,TOMAH 7257,S200000,00200,0200,WI 7257,S200000,00200,0300,54660 7257,S200000,00300,0100,MONROE 7257,S200000,00400,0100,00376 - TOMAH CARE CTR INC. A 7257,S200000,00400,0200,525442 7257,S200000,00400,0300,10/01/1989 7257,S200000,00400,0500,P 7257,S200000,00600,0200,525442 7257,S200000,00600,0300,10/01/1989 7257,S200000,00600,0600,P 7257,S200000,01600,0100,Y 7260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7260,A000000,00300,0000,00300EMPLOYEE BENEFITS 7260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7260,A000000,00700,0000,00700HOUSEKEEPING 7260,A000000,00800,0000,00800DIETARY 7260,A000000,00900,0000,00900NURSING ADMINISTRATION 7260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7260,A000000,01100,0000,01100PHARMACY 7260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7260,A000000,01300,0000,01300SOCIAL SERVICE 7260,A000000,01301,0000,01301ACTIVITIES 7260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7260,A000000,01600,0000,01600SKILLED NURSING FACILITY 7260,A000000,01800,0000,01800NURSING FACILITY 7260,A000000,01810,0000,01810ICF/MR 7260,A000000,02200,0000,02200LABORATORY 7260,A000000,02500,0000,02500PHYSICAL THERAPY 7260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7260,A000000,02700,0000,02700SPEECH PATHOLOGY 7260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7260,A000000,03550,0000,03550FQHC 7260,A000000,05000,0000,05000CORF 7260,A000000,05010,0000,05010CMHC 7260,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7260,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7260,A81000A,00100,0100,Y 7260,A81000B,00100,0300,HOME OFFICE COST 7260,A81000B,00400,0300,HOME OFFICE COST 7260,A81000B,00500,0300,HOME OFFICE COST 7260,A81000B,00600,0300,HOME OFFICE COST 7260,A81000B,00800,0300,HOME OFFICE COST 7260,A81000C,00100,0100,B 7260,A81000C,00100,0200,BEVERLY ENTERPR 7260,B100000,00000,0100,00000(SQUARE FEET) 7260,B100000,00000,0200,00000(SQUARE FEET) 7260,B100000,00000,0300,00000(ADJUSTED SALARIES) 7260,B100000,00000,0400,00000(ACCUM. COST) 7260,B100000,00000,0500,00000(SQUARE FEET) 7260,B100000,00000,0600,00000(PATIENT DAYS) 7260,B100000,00000,0700,00000(SQUARE FEET) 7260,B100000,00000,0800,00000(MEALS SERVED) 7260,B100000,00000,0900,00000(ADJUSTED SALARIES) 7260,B100000,00000,1000,00000(PATIENT DAYS) 7260,B100000,00000,1100,00000(COSTED REQUIS) 7260,B100000,00000,1200,00000(TOTAL CHARGES) 7260,B100000,00000,1300,00000(PATIENT DAYS) 7260,B100000,00000,1301,00000(PATIENT DAYS) 7260,B100000,00000,1400,00000(ASSIGNED TIME) 7260,E10A180,00301,0100,01/27/1999 7260,E10A180,00302,0100,12/09/1999 7260,E10A180,00350,0100,06/14/1999 7260,E10A180,00351,0100,10/08/1999 7260,E10A180,00352,0100,02/14/2000 7260,S000000,00100,0200,06/02/2000 7260,S200000,00100,0100,3129 MICHIGAN AVE 7260,S200000,00200,0100,SHEBOYGAN 7260,S200000,00200,0200,WI 7260,S200000,00200,0300,53082 7260,S200000,00300,0100,SHEBOYGAN 7260,S200000,00400,0100,02819 - GREENDALE HEALTH CARE 7260,S200000,00400,0200,525456 7260,S200000,00400,0300,11/01/1989 7260,S200000,00400,0500,P 7260,S200000,00600,0200,525456 7260,S200000,00600,0300,11/01/1989 7260,S200000,00600,0600,P 7260,S200000,01600,0100,Y 7263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7263,A000000,00300,0000,00300EMPLOYEE BENEFITS 7263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7263,A000000,00700,0000,00700HOUSEKEEPING 7263,A000000,00800,0000,00800DIETARY 7263,A000000,00900,0000,00900NURSING ADMINISTRATION 7263,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7263,A000000,01100,0000,01100PHARMACY 7263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7263,A000000,01300,0000,01300SOCIAL SERVICE 7263,A000000,01301,0000,01301ACTIVITIES 7263,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7263,A000000,01600,0000,01600SKILLED NURSING FACILITY 7263,A000000,01800,0000,01800NURSING FACILITY 7263,A000000,01810,0000,01810ICF/MR 7263,A000000,02100,0000,02100RADIOLOGY 7263,A000000,02200,0000,02200LABORATORY 7263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7263,A000000,02500,0000,02500PHYSICAL THERAPY 7263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7263,A000000,02700,0000,02700SPEECH PATHOLOGY 7263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7263,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7263,A000000,03550,0000,03550FQHC 7263,A000000,05000,0000,05000CORF 7263,A000000,05010,0000,05010CMHC 7263,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7263,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7263,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7263,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7263,A81000A,00100,0100,Y 7263,A81000B,00100,0300,HOME OFFICE COST 7263,A81000B,00400,0300,HOME OFFICE COST 7263,A81000B,00500,0300,HOME OFFICE COST 7263,A81000B,00600,0300,HOME OFFICE COST 7263,A81000B,00800,0300,HOME OFFICE COST 7263,A81000C,00100,0100,B 7263,A81000C,00100,0200,BEVERLY ENTERPR 7263,B100000,00000,0100,00000(SQUARE FEET) 7263,B100000,00000,0200,00000(SQUARE FEET) 7263,B100000,00000,0300,00000(ADJUSTED SALARIES) 7263,B100000,00000,0400,00000(ACCUM. COST) 7263,B100000,00000,0500,00000(SQUARE FEET) 7263,B100000,00000,0600,00000(PATIENT DAYS) 7263,B100000,00000,0700,00000(SQUARE FEET) 7263,B100000,00000,0800,00000(MEALS SERVED) 7263,B100000,00000,0900,00000(ADJUSTED SALARIES) 7263,B100000,00000,1000,00000(PATIENT DAYS) 7263,B100000,00000,1100,00000(COSTED REQUIS) 7263,B100000,00000,1200,00000(TOTAL CHARGES) 7263,B100000,00000,1300,00000(PATIENT DAYS) 7263,B100000,00000,1301,00000(PATIENT DAYS) 7263,B100000,00000,1400,00000(ASSIGNED TIME) 7263,E10A180,00301,0100,10/08/1999 7263,E10A180,00302,0100,12/09/1999 7263,E10A180,00350,0100,01/27/1999 7263,E10A180,00351,0100,06/14/1999 7263,E10A180,00352,0100,02/14/2000 7263,S000000,00100,0200,06/02/2000 7263,S200000,00100,0100,3710 N. OAKLAND AVE 7263,S200000,00200,0100,SHOREWOOD 7263,S200000,00200,0200,WI 7263,S200000,00200,0300,53211 7263,S200000,00300,0100,SHOREWOOD 7263,S200000,00400,0100,02817 - SHOREWOOD HEIGHTS 7263,S200000,00400,0200,525464 7263,S200000,00400,0300,03/01/1990 7263,S200000,00400,0500,P 7263,S200000,00600,0200,525464 7263,S200000,00600,0300,03/01/1990 7263,S200000,00600,0600,P 7263,S200000,01600,0100,Y 7266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7266,A000000,00300,0000,00300EMPLOYEE BENEFITS 7266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7266,A000000,00700,0000,00700HOUSEKEEPING 7266,A000000,00800,0000,00800DIETARY 7266,A000000,00900,0000,00900NURSING ADMINISTRATION 7266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7266,A000000,01100,0000,01100PHARMACY 7266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7266,A000000,01300,0000,01300SOCIAL SERVICE 7266,A000000,01301,0000,01301ACTIVITIES 7266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7266,A000000,01600,0000,01600SKILLED NURSING FACILITY 7266,A000000,01800,0000,01800NURSING FACILITY 7266,A000000,01810,0000,01810ICF/MR 7266,A000000,02100,0000,02100RADIOLOGY 7266,A000000,02200,0000,02200LABORATORY 7266,A000000,02500,0000,02500PHYSICAL THERAPY 7266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7266,A000000,02700,0000,02700SPEECH PATHOLOGY 7266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7266,A000000,03550,0000,03550FQHC 7266,A000000,05000,0000,05000CORF 7266,A000000,05010,0000,05010CMHC 7266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7266,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7266,A81000A,00100,0100,Y 7266,A81000B,00100,0300,HOME OFFICE COST 7266,A81000B,00400,0300,HOME OFFICE COST 7266,A81000B,00500,0300,HOME OFFICE COST 7266,A81000B,00600,0300,HOME OFFICE COST 7266,A81000B,00800,0300,HOME OFFICE COST 7266,A81000C,00100,0100,B 7266,A81000C,00100,0200,BEVERLY ENTERPR 7266,B100000,00000,0100,00000(SQUARE FEET) 7266,B100000,00000,0200,00000(SQUARE FEET) 7266,B100000,00000,0300,00000(ADJUSTED SALARIES) 7266,B100000,00000,0400,00000(ACCUM. COST) 7266,B100000,00000,0500,00000(SQUARE FEET) 7266,B100000,00000,0600,00000(PATIENT DAYS) 7266,B100000,00000,0700,00000(SQUARE FEET) 7266,B100000,00000,0800,00000(MEALS SERVED) 7266,B100000,00000,0900,00000(ADJUSTED SALARIES) 7266,B100000,00000,1000,00000(PATIENT DAYS) 7266,B100000,00000,1100,00000(COSTED REQUIS) 7266,B100000,00000,1200,00000(TOTAL CHARGES) 7266,B100000,00000,1300,00000(PATIENT DAYS) 7266,B100000,00000,1301,00000(PATIENT DAYS) 7266,B100000,00000,1400,00000(ASSIGNED TIME) 7266,E10A180,00301,0100,12/09/1999 7266,E10A180,00350,0100,01/27/1999 7266,E10A180,00351,0100,06/14/1999 7266,E10A180,00352,0100,10/08/1999 7266,E10A180,00353,0100,02/14/2000 7266,S000000,00100,0200,06/02/2000 7266,S200000,00100,0100,1915 EAST TRIPOLI 7266,S200000,00200,0100,ST. FRANCIS 7266,S200000,00200,0200,WI 7266,S200000,00200,0300,53207 7266,S200000,00300,0100,ST. FRANCIS 7266,S200000,00400,0100,SOUTH SHORE MANOR 7266,S200000,00400,0200,525477 7266,S200000,00400,0300,11/01/1991 7266,S200000,00400,0500,P 7266,S200000,00600,0200,525477 7266,S200000,00600,0300,11/01/1991 7266,S200000,00600,0600,P 7266,S200000,01600,0100,Y 7269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7269,A000000,00300,0000,00300EMPLOYEE BENEFITS 7269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7269,A000000,00700,0000,00700HOUSEKEEPING 7269,A000000,00800,0000,00800DIETARY 7269,A000000,00900,0000,00900NURSING ADMINISTRATION 7269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7269,A000000,01100,0000,01100PHARMACY 7269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7269,A000000,01300,0000,01300SOCIAL SERVICE 7269,A000000,01301,0000,01301ACTIVITIES 7269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7269,A000000,01600,0000,01600SKILLED NURSING FACILITY 7269,A000000,01800,0000,01800NURSING FACILITY 7269,A000000,01810,0000,01810ICF/MR 7269,A000000,01900,0000,01900OTHER LONG TERM CARE 7269,A000000,02100,0000,02100RADIOLOGY 7269,A000000,02200,0000,02200LABORATORY 7269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7269,A000000,02500,0000,02500PHYSICAL THERAPY 7269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7269,A000000,02700,0000,02700SPEECH PATHOLOGY 7269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7269,A000000,03550,0000,03550FQHC 7269,A000000,05000,0000,05000CORF 7269,A000000,05010,0000,05010CMHC 7269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7269,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7269,A81000A,00100,0100,Y 7269,A81000B,00100,0300,HOME OFFICE COST 7269,A81000B,00400,0300,HOME OFFICE COST 7269,A81000B,00500,0300,HOME OFFICE COST 7269,A81000B,00600,0300,HOME OFFICE COST 7269,A81000B,00800,0300,HOME OFFICE COST 7269,A81000C,00100,0100,B 7269,A81000C,00100,0200,BEVERLY ENTERPR 7269,B100000,00000,0100,00000(SQUARE FEET) 7269,B100000,00000,0200,00000(SQUARE FEET) 7269,B100000,00000,0300,00000(ADJUSTED SALARIES) 7269,B100000,00000,0400,00000(ACCUM. COST) 7269,B100000,00000,0500,00000(SQUARE FEET) 7269,B100000,00000,0600,00000(PATIENT DAYS) 7269,B100000,00000,0700,00000(SQUARE FEET) 7269,B100000,00000,0800,00000(MEALS SERVED) 7269,B100000,00000,0900,00000(ADJUSTED SALARIES) 7269,B100000,00000,1000,00000(PATIENT DAYS) 7269,B100000,00000,1100,00000(COSTED REQUIS) 7269,B100000,00000,1200,00000(TOTAL CHARGES) 7269,B100000,00000,1300,00000(PATIENT DAYS) 7269,B100000,00000,1301,00000(PATIENT DAYS) 7269,B100000,00000,1400,00000(ASSIGNED TIME) 7269,E10A180,00301,0100,12/09/1999 7269,E10A180,00350,0100,01/27/1999 7269,E10A180,00351,0100,06/14/1999 7269,E10A180,00352,0100,10/08/1999 7269,E10A180,00353,0100,02/14/2000 7269,S000000,00100,0200,06/02/2000 7269,S200000,00100,0100,2125 WEST KILBOURN AVE. 7269,S200000,00200,0100,MILWAUKEE 7269,S200000,00200,0200,WI 7269,S200000,00200,0300,53223 7269,S200000,00300,0100,MILWAUKEE 7269,S200000,00400,0100,KILBOURN CARE CENTER 7269,S200000,00400,0200,525500 7269,S200000,00400,0300,12/01/1992 7269,S200000,00400,0500,P 7269,S200000,00600,0200,525500 7269,S200000,00600,0300,12/01/1992 7269,S200000,00600,0600,P 7269,S200000,01600,0100,Y 7272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7272,A000000,00300,0000,00300EMPLOYEE BENEFITS 7272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7272,A000000,00700,0000,00700HOUSEKEEPING 7272,A000000,00800,0000,00800DIETARY 7272,A000000,00900,0000,00900NURSING ADMINISTRATION 7272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7272,A000000,01100,0000,01100PHARMACY 7272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7272,A000000,01300,0000,01300SOCIAL SERVICE 7272,A000000,01301,0000,01301ACTIVITIES 7272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7272,A000000,01600,0000,01600SKILLED NURSING FACILITY 7272,A000000,01800,0000,01800NURSING FACILITY 7272,A000000,01810,0000,01810ICF/MR 7272,A000000,01900,0000,01900OTHER LONG TERM CARE 7272,A000000,02100,0000,02100RADIOLOGY 7272,A000000,02200,0000,02200LABORATORY 7272,A000000,02500,0000,02500PHYSICAL THERAPY 7272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7272,A000000,02700,0000,02700SPEECH PATHOLOGY 7272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7272,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7272,A000000,03550,0000,03550FQHC 7272,A000000,05000,0000,05000CORF 7272,A000000,05010,0000,05010CMHC 7272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7272,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7272,A81000A,00100,0100,Y 7272,A81000B,00100,0300,HOME OFFICE COST 7272,A81000B,00400,0300,HOME OFFICE COST 7272,A81000B,00500,0300,HOME OFFICE COST 7272,A81000B,00600,0300,HOME OFFICE COST 7272,A81000B,00800,0300,HOME OFFICE COST 7272,A81000C,00100,0100,B 7272,A81000C,00100,0200,BEVERLY ENTERPR 7272,B100000,00000,0100,00000(SQUARE FEET) 7272,B100000,00000,0200,00000(SQUARE FEET) 7272,B100000,00000,0300,00000(ADJUSTED SALARIES) 7272,B100000,00000,0400,00000(ACCUM. COST) 7272,B100000,00000,0500,00000(SQUARE FEET) 7272,B100000,00000,0600,00000(PATIENT DAYS) 7272,B100000,00000,0700,00000(SQUARE FEET) 7272,B100000,00000,0800,00000(MEALS SERVED) 7272,B100000,00000,0900,00000(ADJUSTED SALARIES) 7272,B100000,00000,1000,00000(PATIENT DAYS) 7272,B100000,00000,1100,00000(COSTED REQUIS) 7272,B100000,00000,1200,00000(TOTAL CHARGES) 7272,B100000,00000,1300,00000(PATIENT DAYS) 7272,B100000,00000,1301,00000(PATIENT DAYS) 7272,B100000,00000,1400,00000(ASSIGNED TIME) 7272,E10A180,00301,0100,06/14/1999 7272,E10A180,00302,0100,02/14/2000 7272,E10A180,00350,0100,01/27/1999 7272,E10A180,00351,0100,10/08/1999 7272,E10A180,00352,0100,12/09/1999 7272,S000000,00100,0200,06/02/2000 7272,S200000,00100,0100,5404 WEST LOOMIS ROAD 7272,S200000,00200,0100,GREENDALE 7272,S200000,00200,0200,WI 7272,S200000,00200,0300,53129 7272,S200000,00300,0100,MILWAUKEE 7272,S200000,00400,0100,HERITAGE SQUARE HCC 7272,S200000,00400,0200,525549 7272,S200000,00400,0300,08/09/1994 7272,S200000,00400,0500,P 7272,S200000,00600,0200,525549 7272,S200000,00600,0300,08/09/1994 7272,S200000,00600,0600,P 7272,S200000,01600,0100,Y 7281,S000000,00100,0200,06/05/2000 7295,S000000,00100,0200,05/30/2000 7324,S000000,00100,0200,06/02/2000 7327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7327,A000000,00300,0000,00300EMPLOYEE BENEFITS 7327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7327,A000000,00700,0000,00700HOUSEKEEPING 7327,A000000,00800,0000,00800DIETARY 7327,A000000,00900,0000,00900NURSING ADMINISTRATION 7327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7327,A000000,01100,0000,01100PHARMACY 7327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7327,A000000,01300,0000,01300SOCIAL SERVICE 7327,A000000,01301,0000,01301ACTIVITIES 7327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7327,A000000,01600,0000,01600SKILLED NURSING FACILITY 7327,A000000,01810,0000,01810ICF/MR 7327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7327,A000000,02500,0000,02500PHYSICAL THERAPY 7327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7327,A000000,02700,0000,02700SPEECH PATHOLOGY 7327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7327,A000000,03550,0000,03550FQHC 7327,A000000,05000,0000,05000CORF 7327,A000000,05010,0000,05010CMHC 7327,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7327,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7327,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7327,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 7327,A81000A,00100,0100,Y 7327,A81000B,00100,0300,HOME OFFICE COST 7327,A81000B,00400,0300,HOME OFFICE COST 7327,A81000B,00500,0300,HOME OFFICE COST 7327,A81000B,00600,0300,HOME OFFICE COST 7327,A81000B,00800,0300,HOME OFFICE COST 7327,A81000C,00100,0100,B 7327,A81000C,00100,0200,BEVERLY ENTERPR 7327,B100000,00000,0100,00000(SQUARE FEET) 7327,B100000,00000,0200,00000(SQUARE FEET) 7327,B100000,00000,0300,00000(ADJUSTED SALARIES) 7327,B100000,00000,0400,00000(ACCUM. COST) 7327,B100000,00000,0500,00000(SQUARE FEET) 7327,B100000,00000,0600,00000(PATIENT DAYS) 7327,B100000,00000,0700,00000(SQUARE FEET) 7327,B100000,00000,0800,00000(MEALS SERVED) 7327,B100000,00000,0900,00000(ADJUSTED SALARIES) 7327,B100000,00000,1000,00000(PATIENT DAYS) 7327,B100000,00000,1100,00000(COSTED REQUIS) 7327,B100000,00000,1200,00000(TOTAL CHARGES) 7327,B100000,00000,1300,00000(PATIENT DAYS) 7327,B100000,00000,1301,00000(PATIENT DAYS) 7327,B100000,00000,1400,00000(ASSIGNED TIME) 7327,E10A180,00301,0100,06/14/1999 7327,E10A180,00350,0100,01/27/1999 7327,E10A180,00351,0100,10/08/1999 7327,E10A180,00352,0100,12/09/1999 7327,E10A180,00353,0100,02/14/2000 7327,S000000,00100,0200,06/02/2000 7327,S200000,00100,0100,556 TOYON ROAD 7327,S200000,00200,0100,SAN ANDREAS 7327,S200000,00200,0200,CA 7327,S200000,00200,0300,95249 7327,S200000,00300,0100,CALAVERAS 7327,S200000,00400,0100,SAN ANDREAS CONV HOSP (679) B 7327,S200000,00400,0200,555026 7327,S200000,00400,0300,01/01/1982 7327,S200000,00400,0500,P 7327,S200000,00600,0200,555026 7327,S200000,00600,0300,01/01/1982 7327,S200000,00600,0600,P 7327,S200000,01600,0100,Y 7400,S000000,00100,0200,04/11/2000 7411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7411,A000000,00300,0000,00300EMPLOYEE BENEFITS 7411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7411,A000000,00700,0000,00700HOUSEKEEPING 7411,A000000,00800,0000,00800DIETARY 7411,A000000,00900,0000,00900NURSING ADMINISTRATION 7411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7411,A000000,01100,0000,01100PHARMACY 7411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7411,A000000,01300,0000,01300SOCIAL SERVICE 7411,A000000,01301,0000,01301ACTIVITIES 7411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7411,A000000,01600,0000,01600SKILLED NURSING FACILITY 7411,A000000,01800,0000,01800NURSING FACILITY 7411,A000000,01810,0000,01810ICF/MR 7411,A000000,01900,0000,01900OTHER LONG TERM CARE 7411,A000000,02100,0000,02100RADIOLOGY 7411,A000000,02200,0000,02200LABORATORY 7411,A000000,02500,0000,02500PHYSICAL THERAPY 7411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7411,A000000,02700,0000,02700SPEECH PATHOLOGY 7411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7411,A000000,03550,0000,03550FQHC 7411,A000000,05000,0000,05000CORF 7411,A000000,05010,0000,05010CMHC 7411,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7411,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7411,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7411,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7411,A81000A,00100,0100,Y 7411,A81000B,00100,0300,HOME OFFICE COST 7411,A81000B,00400,0300,HOME OFFICE COST 7411,A81000B,00500,0300,HOME OFFICE COST 7411,A81000B,00600,0300,HOME OFFICE COST 7411,A81000B,00800,0300,HOME OFFICE COST 7411,A81000C,00100,0100,B 7411,A81000C,00100,0200,BEVERLY ENTERPR 7411,B100000,00000,0100,00000(SQUARE FEET) 7411,B100000,00000,0200,00000(SQUARE FEET) 7411,B100000,00000,0300,00000(ADJUSTED SALARIES) 7411,B100000,00000,0400,00000(ACCUM. COST) 7411,B100000,00000,0500,00000(SQUARE FEET) 7411,B100000,00000,0600,00000(PATIENT DAYS) 7411,B100000,00000,0700,00000(SQUARE FEET) 7411,B100000,00000,0800,00000(MEALS SERVED) 7411,B100000,00000,0900,00000(ADJUSTED SALARIES) 7411,B100000,00000,1000,00000(PATIENT DAYS) 7411,B100000,00000,1100,00000(COSTED REQUIS) 7411,B100000,00000,1200,00000(TOTAL CHARGES) 7411,B100000,00000,1300,00000(PATIENT DAYS) 7411,B100000,00000,1301,00000(PATIENT DAYS) 7411,B100000,00000,1400,00000(ASSIGNED TIME) 7411,E10A180,00301,0100,01/27/1999 7411,E10A180,00350,0100,06/14/1999 7411,E10A180,00351,0100,10/08/1999 7411,E10A180,00352,0100,12/09/1999 7411,E10A180,00353,0100,02/14/2000 7411,S000000,00100,0200,06/02/2000 7411,S200000,00100,0100,2740 N CALIFORNIA ST 7411,S200000,00200,0100,STOCKTON 7411,S200000,00200,0200,CA 7411,S200000,00200,0300,95204 7411,S200000,00300,0100,SAN JOAQUIN 7411,S200000,00400,0100,BEVERLY MANOR-STOCKTON (570) 7411,S200000,00400,0200,555105 7411,S200000,00400,0300,01/01/1982 7411,S200000,00400,0500,P 7411,S200000,00600,0200,555105 7411,S200000,00600,0300,01/01/1982 7411,S200000,00600,0600,P 7411,S200000,01600,0100,Y 7431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7431,A000000,00300,0000,00300EMPLOYEE BENEFITS 7431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7431,A000000,00700,0000,00700HOUSEKEEPING 7431,A000000,00800,0000,00800DIETARY 7431,A000000,00900,0000,00900NURSING ADMINISTRATION 7431,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7431,A000000,01100,0000,01100PHARMACY 7431,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7431,A000000,01300,0000,01300SOCIAL SERVICE 7431,A000000,01301,0000,01301ACTIVITIES 7431,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7431,A000000,01600,0000,01600SKILLED NURSING FACILITY 7431,A000000,01800,0000,01800NURSING FACILITY 7431,A000000,01810,0000,01810ICF/MR 7431,A000000,02100,0000,02100RADIOLOGY 7431,A000000,02200,0000,02200LABORATORY 7431,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7431,A000000,02500,0000,02500PHYSICAL THERAPY 7431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7431,A000000,02700,0000,02700SPEECH PATHOLOGY 7431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7431,A000000,03550,0000,03550FQHC 7431,A000000,05000,0000,05000CORF 7431,A000000,05010,0000,05010CMHC 7431,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7431,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7431,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7431,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7431,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7431,A81000A,00100,0100,Y 7431,A81000B,00100,0300,HOME OFFICE COST 7431,A81000B,00400,0300,HOME OFFICE COST 7431,A81000B,00500,0300,HOME OFFICE COST 7431,A81000B,00600,0300,HOME OFFICE COST 7431,A81000B,00800,0300,HOME OFFICE COST 7431,A81000C,00100,0100,B 7431,A81000C,00100,0200,BEVERLY ENTERPR 7431,B100000,00000,0100,00000(SQUARE FEET) 7431,B100000,00000,0200,00000(SQUARE FEET) 7431,B100000,00000,0300,00000(ADJUSTED SALARIES) 7431,B100000,00000,0400,00000(ACCUM. COST) 7431,B100000,00000,0500,00000(SQUARE FEET) 7431,B100000,00000,0600,00000(PATIENT DAYS) 7431,B100000,00000,0700,00000(SQUARE FEET) 7431,B100000,00000,0800,00000(MEALS SERVED) 7431,B100000,00000,0900,00000(ADJUSTED SALARIES) 7431,B100000,00000,1000,00000(PATIENT DAYS) 7431,B100000,00000,1100,00000(COSTED REQUIS) 7431,B100000,00000,1200,00000(TOTAL CHARGES) 7431,B100000,00000,1300,00000(PATIENT DAYS) 7431,B100000,00000,1301,00000(PATIENT DAYS) 7431,B100000,00000,1400,00000(ASSIGNED TIME) 7431,E10A180,00301,0100,01/27/1999 7431,E10A180,00350,0100,06/14/1999 7431,E10A180,00351,0100,10/08/1999 7431,E10A180,00352,0100,12/09/1999 7431,E10A180,00353,0100,02/14/2000 7431,S000000,00100,0200,06/02/2000 7431,S200000,00100,0100,101 MONROE STREET 7431,S200000,00200,0100,PETALUMA 7431,S200000,00200,0200,CA 7431,S200000,00200,0300,94952 7431,S200000,00300,0100,SONOMA 7431,S200000,00400,0100,BEVERLY MANOR-PETALUMA (556) 7431,S200000,00400,0200,555120 7431,S200000,00400,0300,01/01/1982 7431,S200000,00400,0500,P 7431,S200000,00600,0200,555120 7431,S200000,00600,0300,01/01/1982 7431,S200000,00600,0600,P 7431,S200000,01600,0100,Y 7446,S000000,00100,0200,06/23/2000 7545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7545,A000000,00300,0000,00300EMPLOYEE BENEFITS 7545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7545,A000000,00700,0000,00700HOUSEKEEPING 7545,A000000,00800,0000,00800DIETARY 7545,A000000,00900,0000,00900NURSING ADMINISTRATION 7545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7545,A000000,01100,0000,01100PHARMACY 7545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7545,A000000,01300,0000,01300SOCIAL SERVICE 7545,A000000,01301,0000,01301ACTIVITIES 7545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7545,A000000,01600,0000,01600SKILLED NURSING FACILITY 7545,A000000,01800,0000,01800NURSING FACILITY 7545,A000000,01810,0000,01810ICF/MR 7545,A000000,02100,0000,02100RADIOLOGY 7545,A000000,02200,0000,02200LABORATORY 7545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 7545,A000000,02500,0000,02500PHYSICAL THERAPY 7545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7545,A000000,02700,0000,02700SPEECH PATHOLOGY 7545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7545,A000000,03050,0000,03300OTHER ANCILLARY-CONSOLIDATED BI 7545,A000000,03550,0000,03550FQHC 7545,A000000,05000,0000,05000CORF 7545,A000000,05010,0000,05010CMHC 7545,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7545,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7545,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7545,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 7545,A81000A,00100,0100,Y 7545,A81000B,00100,0300,HOME OFFICE COST 7545,A81000B,00400,0300,HOME OFFICE COST 7545,A81000B,00500,0300,HOME OFFICE COST 7545,A81000B,00600,0300,HOME OFFICE COST 7545,A81000B,00800,0300,HOME OFFICE COST 7545,A81000C,00100,0100,B 7545,A81000C,00100,0200,BEVERLY ENTERPR 7545,B100000,00000,0100,00000(SQUARE FEET) 7545,B100000,00000,0200,00000(SQUARE FEET) 7545,B100000,00000,0300,00000(ADJUSTED SALARIES) 7545,B100000,00000,0400,00000(ACCUM. COST) 7545,B100000,00000,0500,00000(SQUARE FEET) 7545,B100000,00000,0600,00000(PATIENT DAYS) 7545,B100000,00000,0700,00000(SQUARE FEET) 7545,B100000,00000,0800,00000(MEALS SERVED) 7545,B100000,00000,0900,00000(ADJUSTED SALARIES) 7545,B100000,00000,1000,00000(PATIENT DAYS) 7545,B100000,00000,1100,00000(COSTED REQUIS) 7545,B100000,00000,1200,00000(TOTAL CHARGES) 7545,B100000,00000,1300,00000(PATIENT DAYS) 7545,B100000,00000,1301,00000(PATIENT DAYS) 7545,B100000,00000,1400,00000(ASSIGNED TIME) 7545,E10A180,00350,0100,01/27/1999 7545,E10A180,00351,0100,06/14/1999 7545,E10A180,00352,0100,10/08/1999 7545,E10A180,00353,0100,12/09/1999 7545,E10A180,00354,0100,02/14/2000 7545,S000000,00100,0200,06/02/2000 7545,S200000,00100,0100,39950 VISTA DEL SOL 7545,S200000,00200,0100,RANCHO MIRAGE 7545,S200000,00200,0200,CA 7545,S200000,00200,0300,92270 7545,S200000,00300,0100,RIVERSIDE 7545,S200000,00400,0100,RANCHO MIRAGE 7545,S200000,00400,0200,555247 7545,S200000,00400,0300,01/07/1987 7545,S200000,00400,0500,P 7545,S200000,00600,0200,555247 7545,S200000,00600,0300,01/07/1987 7545,S200000,00600,0600,P 7545,S200000,01600,0100,Y 7548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7548,A000000,00300,0000,00300EMPLOYEE BENEFITS 7548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7548,A000000,00700,0000,00700HOUSEKEEPING 7548,A000000,00800,0000,00800DIETARY 7548,A000000,00900,0000,00900NURSING ADMINISTRATION 7548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7548,A000000,01100,0000,01100PHARMACY 7548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7548,A000000,01300,0000,01300SOCIAL SERVICE 7548,A000000,01301,0000,01301ACTIVITIES 7548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7548,A000000,01600,0000,01600SKILLED NURSING FACILITY 7548,A000000,01800,0000,01800NURSING FACILITY 7548,A000000,01810,0000,01810ICF/MR 7548,A000000,02100,0000,02100RADIOLOGY 7548,A000000,02200,0000,02200LABORATORY 7548,A000000,02500,0000,02500PHYSICAL THERAPY 7548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7548,A000000,02700,0000,02700SPEECH PATHOLOGY 7548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7548,A000000,03550,0000,03550FQHC 7548,A000000,05000,0000,05000CORF 7548,A000000,05010,0000,05010CMHC 7548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7548,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7548,A81000A,00100,0100,Y 7548,A81000B,00100,0300,HOME OFFICE COST 7548,A81000B,00400,0300,HOME OFFICE COST 7548,A81000B,00500,0300,HOME OFFICE COST 7548,A81000B,00600,0300,HOME OFFICE COST 7548,A81000B,00800,0300,HOME OFFICE COST 7548,A81000C,00100,0100,B 7548,A81000C,00100,0200,BEVERLY ENTERPR 7548,B100000,00000,0100,00000(SQUARE FEET) 7548,B100000,00000,0200,00000(SQUARE FEET) 7548,B100000,00000,0300,00000(ADJUSTED SALARIES) 7548,B100000,00000,0400,00000(ACCUM. COST) 7548,B100000,00000,0500,00000(SQUARE FEET) 7548,B100000,00000,0600,00000(PATIENT DAYS) 7548,B100000,00000,0700,00000(SQUARE FEET) 7548,B100000,00000,0800,00000(MEALS SERVED) 7548,B100000,00000,0900,00000(ADJUSTED SALARIES) 7548,B100000,00000,1000,00000(PATIENT DAYS) 7548,B100000,00000,1100,00000(COSTED REQUIS) 7548,B100000,00000,1200,00000(TOTAL CHARGES) 7548,B100000,00000,1300,00000(PATIENT DAYS) 7548,B100000,00000,1301,00000(PATIENT DAYS) 7548,B100000,00000,1400,00000(ASSIGNED TIME) 7548,E10A180,00301,0100,02/14/2000 7548,E10A180,00350,0100,01/27/1999 7548,E10A180,00351,0100,06/14/1999 7548,E10A180,00352,0100,10/08/1999 7548,E10A180,00353,0100,12/09/1999 7548,S000000,00100,0200,06/02/2000 7548,S200000,00100,0100,1131 N CHINALAKE BLVD 7548,S200000,00200,0100,RIDGECREST 7548,S200000,00200,0200,CA 7548,S200000,00200,0300,93555 7548,S200000,00300,0100,KERN 7548,S200000,00400,0100,BEVERLY MANOR HEALTHCARE CENTER 7548,S200000,00400,0200,555248 7548,S200000,00400,0300,12/22/1986 7548,S200000,00400,0500,P 7548,S200000,00600,0200,555248 7548,S200000,00600,0300,12/22/1986 7548,S200000,00600,0600,P 7548,S200000,01600,0100,Y 7730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7730,A000000,00300,0000,00300EMPLOYEE BENEFITS 7730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7730,A000000,00700,0000,00700HOUSEKEEPING 7730,A000000,00800,0000,00800DIETARY 7730,A000000,00900,0000,00900NURSING ADMINISTRATION 7730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7730,A000000,01100,0000,01100PHARMACY 7730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7730,A000000,01300,0000,01300SOCIAL SERVICE 7730,A000000,01301,0000,01301ACTIVITIES 7730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7730,A000000,01600,0000,01600SKILLED NURSING FACILITY 7730,A000000,01810,0000,01810ICF/MR 7730,A000000,02100,0000,02100RADIOLOGY 7730,A000000,02200,0000,02200LABORATORY 7730,A000000,02500,0000,02500PHYSICAL THERAPY 7730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7730,A000000,02700,0000,02700SPEECH PATHOLOGY 7730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7730,A000000,03550,0000,03550FQHC 7730,A000000,05000,0000,05000CORF 7730,A000000,05010,0000,05010CMHC 7730,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7730,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7730,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7730,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7730,A81000A,00100,0100,Y 7730,A81000B,00100,0300,HOME OFFICE COST 7730,A81000B,00400,0300,HOME OFFICE COST 7730,A81000B,00500,0300,HOME OFFICE COST 7730,A81000B,00600,0300,HOME OFFICE COST 7730,A81000B,00800,0300,HOME OFFICE COST 7730,A81000C,00100,0100,B 7730,A81000C,00100,0200,BEVERLY ENTERPR 7730,B100000,00000,0100,00000(SQUARE FEET) 7730,B100000,00000,0200,00000(SQUARE FEET) 7730,B100000,00000,0300,00000(ADJUSTED SALARIES) 7730,B100000,00000,0400,00000(ACCUM. COST) 7730,B100000,00000,0500,00000(SQUARE FEET) 7730,B100000,00000,0600,00000(PATIENT DAYS) 7730,B100000,00000,0700,00000(SQUARE FEET) 7730,B100000,00000,0800,00000(MEALS SERVED) 7730,B100000,00000,0900,00000(ADJUSTED SALARIES) 7730,B100000,00000,1000,00000(PATIENT DAYS) 7730,B100000,00000,1100,00000(COSTED REQUIS) 7730,B100000,00000,1200,00000(TOTAL CHARGES) 7730,B100000,00000,1300,00000(PATIENT DAYS) 7730,B100000,00000,1301,00000(PATIENT DAYS) 7730,B100000,00000,1400,00000(ASSIGNED TIME) 7730,S000000,00100,0200,06/02/2000 7730,S200000,00100,0100,1300 NORTH C STREET 7730,S200000,00200,0100,OXNARD 7730,S200000,00200,0200,CA 7730,S200000,00200,0300,93030 7730,S200000,00300,0100,VENTURA 7730,S200000,00400,0100,GLENWOOD CONVALESCENT 7730,S200000,00400,0200,555458 7730,S200000,00400,0300,02/01/1999 7730,S200000,00400,0500,P 7730,S200000,00600,0200,555458 7730,S200000,00600,0300,02/01/1999 7730,S200000,00600,0600,P 7730,S200000,01600,0100,Y 7793,S000000,00100,0200,06/01/2000 7804,S000000,00100,0200,03/02/2000 7887,S000000,00100,0200,05/26/2000 7898,S000000,00100,0200,06/30/1999 7901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 7901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 7901,A000000,00300,0000,00300EMPLOYEE BENEFITS 7901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 7901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 7901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 7901,A000000,00700,0000,00700HOUSEKEEPING 7901,A000000,00800,0000,00800DIETARY 7901,A000000,00900,0000,00900NURSING ADMINISTRATION 7901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 7901,A000000,01100,0000,01100PHARMACY 7901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 7901,A000000,01300,0000,01300SOCIAL SERVICE 7901,A000000,01301,0000,01301ACTIVITIES 7901,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 7901,A000000,01600,0000,01600SKILLED NURSING FACILITY 7901,A000000,01800,0000,01800NURSING FACILITY 7901,A000000,01810,0000,01810ICF/MR 7901,A000000,02200,0000,02200LABORATORY 7901,A000000,02500,0000,02500PHYSICAL THERAPY 7901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 7901,A000000,02700,0000,02700SPEECH PATHOLOGY 7901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 7901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 7901,A000000,03550,0000,03550FQHC 7901,A000000,05000,0000,05000CORF 7901,A000000,05010,0000,05010CMHC 7901,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 7901,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 7901,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 7901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 7901,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 7901,A81000A,00100,0100,Y 7901,A81000B,00100,0300,HOME OFFICE COST 7901,A81000B,00400,0300,HOME OFFICE COST 7901,A81000B,00500,0300,HOME OFFICE COST 7901,A81000B,00600,0300,HOME OFFICE COST 7901,A81000B,00800,0300,HOME OFFICE COST 7901,A81000C,00100,0100,B 7901,A81000C,00100,0200,BEVERLY ENTERPR 7901,B100000,00000,0100,00000(SQUARE FEET) 7901,B100000,00000,0200,00000(SQUARE FEET) 7901,B100000,00000,0300,00000(ADJUSTED SALARIES) 7901,B100000,00000,0400,00000(ACCUM. COST) 7901,B100000,00000,0500,00000(SQUARE FEET) 7901,B100000,00000,0600,00000(PATIENT DAYS) 7901,B100000,00000,0700,00000(SQUARE FEET) 7901,B100000,00000,0800,00000(MEALS SERVED) 7901,B100000,00000,0900,00000(ADJUSTED SALARIES) 7901,B100000,00000,1000,00000(PATIENT DAYS) 7901,B100000,00000,1100,00000(COSTED REQUIS) 7901,B100000,00000,1200,00000(TOTAL CHARGES) 7901,B100000,00000,1300,00000(PATIENT DAYS) 7901,B100000,00000,1301,00000(PATIENT DAYS) 7901,B100000,00000,1400,00000(ASSIGNED TIME) 7901,S000000,00100,0200,06/02/2000 7901,S200000,00100,0100,19929 GREENLEY ROAD 7901,S200000,00200,0100,SONORA 7901,S200000,00200,0200,CA 7901,S200000,00200,0300,95370 7901,S200000,00300,0100,TUOLUMNE 7901,S200000,00400,0100,BEVERLY HEALTHCARE - SONORA 7901,S200000,00400,0200,555736 7901,S200000,00400,0300,06/15/1999 7901,S200000,00400,0500,P 7901,S200000,00600,0200,555736 7901,S200000,00600,0300,06/15/1999 7901,S200000,00600,0600,P 7901,S200000,01600,0100,Y 8381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8381,A000000,00300,0000,00300EMPLOYEE BENEFITS 8381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8381,A000000,00700,0000,00700HOUSEKEEPING 8381,A000000,00800,0000,00800DIETARY 8381,A000000,00900,0000,00900NURSING ADMINISTRATION 8381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8381,A000000,01100,0000,01100PHARMACY 8381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8381,A000000,01300,0000,01300SOCIAL SERVICE 8381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8381,A000000,01600,0000,01600SKILLED NURSING FACILITY 8381,A000000,01800,0000,01800NURSING FACILITY 8381,A000000,01900,0000,01900OTHER LONG TERM CARE 8381,A000000,02100,0000,02100RADIOLOGY 8381,A000000,02200,0000,02200LABORATORY 8381,A000000,02300,0000,02300INTRAVENOUS THERAPY 8381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8381,A000000,02500,0000,02500PHYSICAL THERAPY 8381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8381,A000000,02700,0000,02700SPEECH PATHOLOGY 8381,A000000,02800,0000,02800ELECTROCARDIOLOGY 8381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8381,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8381,A000000,03200,0000,03200SUPPORT SURFACES 8381,A000000,03400,0000,03400CLINIC 8381,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8381,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8381,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8381,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8381,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8381,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8381,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8381,A000000,04400,0000,04400DME RENTED - HHA 8381,A000000,04500,0000,04500DME SOLD - HHA 8381,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8381,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8381,A000000,04800,0000,04800AMBULANCE 8381,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8381,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8381,A000000,05300,0000,05300INTEREST EXPENSE 8381,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8381,A000000,05500,0000,05500HOSPICE 8381,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8381,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8381,A000000,06100,0000,06100NONPAID WORKERS 8381,A000000,06200,0000,06200PATIENTS LAUNDRY 8381,A81000A,00100,0100,Y 8381,A81000B,00100,0300,PHYSICAL THERAPY LABOR 8381,A81000C,00100,0100,B 8381,A81000C,00100,0400,HALIFAX COMM HL 8381,A81000C,00100,0600,HEALTHCARE SYS 8381,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8381,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8381,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 8381,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8381,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8381,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8381,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8381,B100000,00000,0800,00000MEALS SERVED :DIETARY 8381,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 8381,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8381,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8381,S000000,00100,0200,12/27/1999 8381,S200000,00100,0100,1001 S. BEACH ST. 8381,S200000,00200,0100,DAYTONA BEACH 8381,S200000,00200,0200,FL 8381,S200000,00200,0300,32114- 8381,S200000,00300,0100,VOLUSIA 8381,S200000,00300,0200,2020 8381,S200000,00300,0300,U 8381,S200000,00400,0100,CLYATTS QUALITY CARE 8381,S200000,00400,0200,105002 8381,S200000,00400,0300,01/01/1967 8381,S200000,00400,0500,P 8381,S200000,00400,0600,O 8381,S200000,01500,0100,Y 8383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8383,A000000,00300,0000,00300EMPLOYEE BENEFITS 8383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8383,A000000,00700,0000,00700HOUSEKEEPING 8383,A000000,00800,0000,00800DIETARY 8383,A000000,00900,0000,00900NURSING ADMINISTRATION 8383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8383,A000000,01100,0000,01100PHARMACY 8383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8383,A000000,01300,0000,01300SOCIAL SERVICE 8383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8383,A000000,01600,0000,01600SKILLED NURSING FACILITY 8383,A000000,01810,0000,01810ICF/MR 8383,A000000,02300,0000,02300INTRAVENOUS THERAPY 8383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8383,A000000,02500,0000,02500PHYSICAL THERAPY 8383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8383,A000000,02700,0000,02700SPEECH PATHOLOGY 8383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8383,A000000,03050,0000,02901EQUIPMENT RENTAL 8383,A000000,03051,0000,02902ENTERALS 8383,A000000,03550,0000,03550FQHC 8383,A000000,05000,0000,05000CORF 8383,A000000,05010,0000,05010CMHC 8383,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8383,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8383,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8383,A000000,05300,0000,05300INTEREST EXPENSE 8383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8383,A81000A,00100,0100,Y 8383,A81000B,00100,0300,OWNER SALARY 8383,A81000C,00100,0100,A 8383,A81000C,00100,0200,JOHN E. MCMULLA 8383,A81000C,00100,0400,REGENCY HOUSE S 8383,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8383,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8383,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8383,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8383,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8383,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8383,B100000,00000,0750,00000SQUARE FT. CLEANED :HOUSEKEEPING 8383,B100000,00000,0800,00000MEALS SERVED :DIETARY 8383,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8383,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8383,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8383,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8383,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8383,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8383,S000000,00100,0200,06/06/2000 8383,S200000,00100,0100,1001 SOUTH BEACH STREET 8383,S200000,00200,0100,DAYTONA BEACH 8383,S200000,00200,0200,FL 8383,S200000,00200,0300,32114- 8383,S200000,00300,0100,VOLUSIA 8383,S200000,00400,0100,REGENCY HOUSE SKILLED NURSING FCLT 8383,S200000,00400,0200,105002 8383,S200000,00400,0300,01/01/1967 8383,S200000,00400,0500,P 8383,S200000,01500,0100,Y 8383,S200000,04700,0100,Y 8391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8391,A000000,00300,0000,00300EMPLOYEE BENEFITS 8391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8391,A000000,00700,0000,00700HOUSEKEEPING 8391,A000000,00800,0000,00800DIETARY 8391,A000000,00900,0000,00900NURSING ADMINISTRATION 8391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8391,A000000,01100,0000,01100PHARMACY 8391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8391,A000000,01300,0000,01300SOCIAL SERVICE 8391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8391,A000000,01600,0000,01600SKILLED NURSING FACILITY 8391,A000000,01800,0000,01800NURSING FACILITY 8391,A000000,01900,0000,01900OTHER LONG TERM CARE 8391,A000000,02100,0000,02100RADIOLOGY 8391,A000000,02200,0000,02200LABORATORY 8391,A000000,02300,0000,02300INTRAVENOUS THERAPY 8391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8391,A000000,02500,0000,02500PHYSICAL THERAPY 8391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8391,A000000,02700,0000,02700SPEECH PATHOLOGY 8391,A000000,02800,0000,02800ELECTROCARDIOLOGY 8391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8391,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8391,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8391,A000000,03200,0000,03200SUPPORT SURFACES 8391,A000000,03400,0000,03400CLINIC 8391,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8391,A000000,03500,0000,03500RURAL HEALTH CLINIC 8391,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8391,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8391,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8391,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8391,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8391,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8391,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8391,A000000,04400,0000,04400DME RENTED - HHA 8391,A000000,04500,0000,04500DME SOLD - HHA 8391,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8391,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8391,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8391,A000000,04800,0000,04800AMBULANCE 8391,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8391,A000000,05000,0000,05000CORF 8391,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8391,A000000,05300,0000,05300INTEREST EXPENSE 8391,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8391,A000000,05500,0000,05500HOSPICE 8391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8391,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8391,A000000,06100,0000,06100NONPAID WORKERS 8391,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8391,A000000,06200,0000,06200PATIENTS LAUNDRY 8391,A81000A,00100,0100,Y 8391,A81000B,00100,0300,INTEREST 8391,A81000B,00200,0300,DEPRECIATION 8391,A81000B,00300,0300,RENT 8391,A81000B,00400,0300,INSURANCE 8391,A81000B,00500,0300,TAXES 8391,A81000B,00600,0300,INSURANCE 8391,A81000C,00100,0100,B 8391,A81000C,00100,0200,HEALTH TRUST PARTNERS 8391,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8391,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 8391,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8391,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8391,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8391,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8391,B100000,00000,0950,00000NURSING $ :NURSING ADMINISTRATION 8391,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8391,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8391,S000000,00100,0200,02/09/2000 8391,S200000,00100,0100,7060 S.W. 8TH STREET 8391,S200000,00200,0100,MIAMI 8391,S200000,00200,0200,FL 8391,S200000,00200,0300,33144- 8391,S200000,00300,0100,DADE 8391,S200000,00300,0200,5000 8391,S200000,00300,0300,U 8391,S200000,00400,0100,CORAL GABLES CONVALESCENT CENTER 8391,S200000,00400,0200,105005 8391,S200000,00400,0300,01/01/1990 8391,S200000,00400,0500,P 8391,S200000,00600,0200,105005 8391,S200000,00600,0300,01/01/1990 8391,S200000,00600,0600,P 8391,S200000,01004,0500,O 8391,S200000,01600,0100,Y 8393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8393,A000000,00300,0000,00300EMPLOYEE BENEFITS 8393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8393,A000000,00700,0000,00700HOUSEKEEPING 8393,A000000,00800,0000,00800DIETARY 8393,A000000,00900,0000,00900NURSING ADMINISTRATION 8393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8393,A000000,01100,0000,01100PHARMACY 8393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8393,A000000,01300,0000,01300SOCIAL SERVICE 8393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8393,A000000,01600,0000,01600SKILLED NURSING FACILITY 8393,A000000,01800,0000,01800NURSING FACILITY 8393,A000000,01900,0000,01900OTHER LONG TERM CARE 8393,A000000,02100,0000,02100RADIOLOGY 8393,A000000,02200,0000,02200LABORATORY 8393,A000000,02300,0000,02300INTRAVENOUS THERAPY 8393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8393,A000000,02500,0000,02500PHYSICAL THERAPY 8393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8393,A000000,02700,0000,02700SPEECH PATHOLOGY 8393,A000000,02800,0000,02800ELECTROCARDIOLOGY 8393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8393,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8393,A000000,03200,0000,03200SUPPORT SURFACES 8393,A000000,03400,0000,03400CLINIC 8393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8393,A000000,03500,0000,03500RURAL HEALTH CLINIC 8393,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8393,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8393,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8393,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8393,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8393,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8393,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8393,A000000,04400,0000,04400DME RENTED - HHA 8393,A000000,04500,0000,04500DME SOLD - HHA 8393,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8393,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8393,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8393,A000000,04800,0000,04800AMBULANCE 8393,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8393,A000000,05000,0000,05000CORF 8393,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8393,A000000,05300,0000,05300INTEREST EXPENSE 8393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8393,A000000,05500,0000,05500HOSPICE 8393,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8393,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8393,A000000,06100,0000,06100NONPAID WORKERS 8393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8393,A000000,06200,0000,06200PATIENTS LAUNDRY 8393,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8393,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 8393,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8393,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 8393,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8393,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8393,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8393,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8393,B100000,00000,0950,00000NURSING $ :NURSING ADMINISTRATION 8393,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 8393,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8393,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8393,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8393,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 8393,S000000,00100,0200,06/12/2000 8393,S200000,00100,0100,7060 S.W. 8TH STREET 8393,S200000,00200,0100,MIAMI 8393,S200000,00200,0200,FL 8393,S200000,00200,0300,33144- 8393,S200000,00300,0100,DADE 8393,S200000,00400,0100,CORAL GABLES CONVALESCENT CENTER 8393,S200000,00400,0200,105005 8393,S200000,00400,0300,01/01/1990 8393,S200000,00400,0500,P 8393,S200000,01004,0500,O 8393,S200000,01500,0100,Y 8396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8396,A000000,00300,0000,00300EMPLOYEE BENEFITS 8396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8396,A000000,00700,0000,00700HOUSEKEEPING 8396,A000000,00800,0000,00800DIETARY 8396,A000000,00900,0000,00900NURSING ADMINISTRATION 8396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8396,A000000,01100,0000,01100PHARMACY 8396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8396,A000000,01300,0000,01300SOCIAL SERVICE 8396,A000000,01350,0000,01500OTHER GENERAL SERVICES 8396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8396,A000000,01600,0000,01600SKILLED NURSING FACILITY 8396,A000000,01800,0000,01800NURSING FACILITY 8396,A000000,01810,0000,01801ICF/MR 8396,A000000,01900,0000,01900OTHER LONG TERM CARE 8396,A000000,02100,0000,02100RADIOLOGY 8396,A000000,02200,0000,02200LABORATORY 8396,A000000,02300,0000,02300INTRAVENOUS THERAPY 8396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8396,A000000,02500,0000,02500PHYSICAL THERAPY 8396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8396,A000000,02700,0000,02700SPEECH PATHOLOGY 8396,A000000,02800,0000,02800ELECTROCARDIOLOGY 8396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8396,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8396,A000000,03200,0000,03200SUPPORT SURFACES 8396,A000000,03400,0000,03400CLINIC 8396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8396,A000000,03500,0000,03500RURAL HEALTH CLINIC 8396,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8396,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8396,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8396,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8396,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8396,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8396,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8396,A000000,04400,0000,04400DME RENTED - HHA 8396,A000000,04500,0000,04500DME SOLD - HHA 8396,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8396,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8396,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8396,A000000,04800,0000,04800AMBULANCE 8396,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8396,A000000,05000,0000,05000CORF 8396,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8396,A000000,05300,0000,05300INTEREST EXPENSE 8396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8396,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8396,A000000,05500,0000,05500HOSPICE 8396,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8396,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8396,A000000,06100,0000,06100NONPAID WORKERS 8396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8396,A000000,06200,0000,06200PATIENTS LAUNDRY 8396,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8396,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8396,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8396,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8396,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8396,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8396,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8396,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8396,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8396,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8396,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 8396,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8396,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8396,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8396,B100000,00000,1450,00000COSTEDREQU UISITIONS :INTERNS & RE 8396,S000000,00100,0200,07/03/2000 8396,S200000,00100,0100,12505 NE 16 AVE 8396,S200000,00200,0100,NORTH MIAMI 8396,S200000,00200,0200,FL 8396,S200000,00200,0300,33161- 8396,S200000,00300,0100,MIAMI DADE 8396,S200000,00400,0100,HEBREW HOME - ARCH CREEK 8396,S200000,00400,0200,105008 8396,S200000,00400,0300,11/25/1998 8396,S200000,00400,0500,P 8396,S200000,01600,0100,Y 8396,S700003,00000,0100,1 8397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8397,A000000,00300,0000,00300EMPLOYEE BENEFITS 8397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8397,A000000,00700,0000,00700HOUSEKEEPING 8397,A000000,00800,0000,00800DIETARY 8397,A000000,00900,0000,00900NURSING ADMINISTRATION 8397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8397,A000000,01100,0000,01100PHARMACY 8397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8397,A000000,01300,0000,01300SOCIAL SERVICE 8397,A000000,01350,0000,01500OTHER GENERAL SERVICES 8397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8397,A000000,01600,0000,01600SKILLED NURSING FACILITY 8397,A000000,01800,0000,01800NURSING FACILITY 8397,A000000,01810,0000,01810ICF/MR 8397,A000000,01900,0000,01900OTHER LONG TERM CARE 8397,A000000,02100,0000,02100RADIOLOGY 8397,A000000,02200,0000,02200LABORATORY 8397,A000000,02300,0000,02300INTRAVENOUS THERAPY 8397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8397,A000000,02500,0000,02500PHYSICAL THERAPY 8397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8397,A000000,02700,0000,02700SPEECH PATHOLOGY 8397,A000000,02800,0000,02800ELECTROCARDIOLOGY 8397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8397,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8397,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8397,A000000,03200,0000,03200SUPPORT SURFACES 8397,A000000,03400,0000,03400CLINIC 8397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8397,A000000,03500,0000,03500RURAL HEALTH CLINIC 8397,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8397,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8397,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8397,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8397,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8397,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8397,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8397,A000000,04400,0000,04400DME RENTED - HHA 8397,A000000,04500,0000,04500DME SOLD - HHA 8397,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8397,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8397,A000000,04800,0000,04800AMBULANCE 8397,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8397,A000000,05000,0000,05000CORF 8397,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8397,A000000,05300,0000,05300INTEREST EXPENSE 8397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8397,A000000,05500,0000,05500HOSPICE 8397,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8397,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8397,A000000,06100,0000,06100NONPAID WORKERS 8397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8397,A000000,06200,0000,06200PATIENTS LAUNDRY 8397,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8397,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8397,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8397,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8397,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8397,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8397,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8397,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8397,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8397,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8397,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8397,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8397,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8397,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 8397,B100000,00000,1450,00000COSTED REQUIS. :INTERNS & RESIDENT 8397,S000000,00100,0200,07/07/2000 8397,S200000,00100,0100,12505 NE 16 AVE 8397,S200000,00200,0100,NORTH MIAMI 8397,S200000,00200,0200,FL 8397,S200000,00200,0300,33161- 8397,S200000,00300,0100,MIAMI DADE 8397,S200000,00400,0100,HEBREW HOME DBA ARCH CREEK 8397,S200000,00400,0200,105008 8397,S200000,00400,0300,11/25/1998 8397,S200000,00400,0500,P 8397,S200000,01600,0100,Y 8406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8406,A000000,00300,0000,00300EMPLOYEE BENEFITS 8406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8406,A000000,00700,0000,00700HOUSEKEEPING 8406,A000000,00800,0000,00800DIETARY 8406,A000000,00900,0000,00900NURSING ADMINISTRATION 8406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8406,A000000,01300,0000,01300SOCIAL SERVICE 8406,A000000,01600,0000,01600SKILLED NURSING FACILITY 8406,A000000,01800,0000,01800NURSING FACILITY 8406,A000000,01900,0000,01900OTHER LONG TERM CARE 8406,A000000,02100,0000,02100RADIOLOGY 8406,A000000,02200,0000,02200LABORATORY 8406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8406,A000000,02500,0000,02500PHYSICAL THERAPY 8406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8406,A000000,02700,0000,02700SPEECH PATHOLOGY 8406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8406,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8406,A000000,05300,0000,05300INTEREST EXPENSE 8406,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8406,A81000A,00100,0100,Y 8406,A81000B,00100,0300,GROUP INSURANCE 8406,A81000B,00200,0300,WORKERS COMPENSATION 8406,A81000C,00100,0100,B 8406,A81000C,00100,0200,R. BRENT MAGGIO 8406,A81000C,00100,0400,NATL BENEFIT RESOURCE AD 8406,A81000C,00100,0600,EMPLOYEE BENEFIT INS CO 8406,A81000C,00200,0100,B 8406,A81000C,00200,0200,R. BRENT MAGGIO 8406,A81000C,00200,0400,NATL BENEFIT RESOURCE AD 8406,A81000C,00200,0600,EMPLOYEE BENEFIT INS CO 8406,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8406,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8406,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8406,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8406,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8406,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 8406,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8406,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 8406,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 8406,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 8406,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 8406,S000000,00100,0200,07/07/2000 8406,S200000,00100,0100,600 NORTH 17TH AVENUE 8406,S200000,00200,0100,HOLLYWOOD 8406,S200000,00200,0200,FL 8406,S200000,00200,0300,33020- 8406,S200000,00300,0100,BROWARD 8406,S200000,00300,0200,2680 8406,S200000,00300,0300,U 8406,S200000,00400,0100,GOLFCREST NURSING HOME 8406,S200000,00400,0200,105009 8406,S200000,00400,0300,03/01/1980 8406,S200000,00400,0500,P 8406,S200000,00400,0600,O 8406,S200000,01004,0500,O 8406,S200000,01600,0100,Y 8416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8416,A000000,00300,0000,00300EMPLOYEE BENEFITS 8416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8416,A000000,00700,0000,00700HOUSEKEEPING 8416,A000000,00800,0000,00800DIETARY 8416,A000000,00900,0000,00900NURSING ADMINISTRATION 8416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8416,A000000,01100,0000,01100PHARMACY 8416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8416,A000000,01300,0000,01300SOCIAL SERVICE 8416,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8416,A000000,01600,0000,01600SKILLED NURSING FACILITY 8416,A000000,01800,0000,01800NURSING FACILITY 8416,A000000,01810,0000,01810ICF/MR 8416,A000000,02100,0000,02100RADIOLOGY 8416,A000000,02200,0000,02200LABORATORY 8416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8416,A000000,02500,0000,02500PHYSICAL THERAPY 8416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8416,A000000,02700,0000,02700SPEECH PATHOLOGY 8416,A000000,02800,0000,02800ELECTROCARDIOLOGY 8416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8416,A000000,03400,0000,03400CLINIC 8416,A000000,03550,0000,03550FQHC 8416,A000000,05000,0000,05000CORF 8416,A000000,05010,0000,05010CMHC 8416,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8416,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8416,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8416,A000000,05300,0000,05300INTEREST EXPENSE 8416,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8416,A000000,06150,0000,06300FAMILY CARE SUPPORT 8416,A000000,06200,0000,06200PATIENTS LAUNDRY 8416,A81000A,00100,0100,Y 8416,A81000B,00100,0300,COMPUTER LEASE 8416,A81000B,00200,0300,MANAGEMENT FEE 8416,A81000C,00100,0100,G 8416,A81000C,00100,0200,RESTRICTED FUND 8416,A81000C,00100,0600,CAPITAL FUND 8416,A81000C,00200,0100,B 8416,A81000C,00200,0200,RG HOLDING CO. 8416,A81000C,00200,0600,MANAGEMENT SERV 8416,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8416,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8416,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8416,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8416,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8416,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8416,B100000,00000,0800,00000MEALS SERVED :DIETARY 8416,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 8416,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8416,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8416,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8416,E10A180,00351,0100,08/11/1999 8416,S000000,00100,0200,05/31/2000 8416,S200000,00100,0100,11401 OLD ST. AUGUSTINE RD. 8416,S200000,00200,0100,JACKSONVILLE 8416,S200000,00200,0200,FL 8416,S200000,00200,0300,32258- 8416,S200000,00300,0100,DUVAL 8416,S200000,00300,0200,3600 8416,S200000,00300,0300,U 8416,S200000,00400,0100,RIVER GARDEN HEBREW HOME 8416,S200000,00400,0200,105016 8416,S200000,00400,0300,01/01/1967 8416,S200000,00400,0500,P 8416,S200000,01500,0100,Y 8416,S200000,01900,0100,501(C)3 8416,S200000,02200,0100,Y 8416,S200000,02800,0100,Y 8424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8424,A000000,00300,0000,00300EMPLOYEE BENEFITS 8424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8424,A000000,00700,0000,00700HOUSEKEEPING 8424,A000000,00800,0000,00800DIETARY 8424,A000000,00900,0000,00900NURSING ADMINISTRATION 8424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8424,A000000,01100,0000,01100PHARMACY 8424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8424,A000000,01300,0000,01300SOCIAL SERVICE 8424,A000000,01350,0000,01500ACTIVITIES 8424,A000000,01600,0000,01600SKILLED NURSING FACILITY 8424,A000000,01800,0000,01800NURSING FACILITY 8424,A000000,01810,0000,01810ICF/MR 8424,A000000,01900,0000,01900OTHER LONG TERM CARE 8424,A000000,02100,0000,02100RADIOLOGY 8424,A000000,02200,0000,02200LABORATORY 8424,A000000,02300,0000,02300INTRAVENOUS THERAPY 8424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8424,A000000,02500,0000,02500PHYSICAL THERAPY 8424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8424,A000000,02700,0000,02700SPEECH PATHOLOGY 8424,A000000,02800,0000,02800ELECTROCARDIOLOGY 8424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8424,A000000,03200,0000,03200SUPPORT SURFACES 8424,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8424,A000000,04800,0000,04800AMBULANCE 8424,A000000,05000,0000,05000CORF 8424,A000000,05300,0000,05300INTEREST EXPENSE 8424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8424,A000000,06150,0000,06300RETIREMENT CENTER 8424,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8424,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 8424,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8424,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8424,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8424,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8424,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8424,B100000,00000,0800,00000MEALS SERVED :DIETARY 8424,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8424,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8424,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 8424,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8424,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8424,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 8424,S000000,00100,0200,09/08/2000 8424,S200000,00100,0100,725 SOUTH PINE STREET 8424,S200000,00200,0100,SEBRING 8424,S200000,00200,0200,FL 8424,S200000,00200,0300,33870- 8424,S200000,00300,0100,HIGHLANDS 8424,S200000,00400,0100,THE PALMS OF SEBRING 8424,S200000,00400,0200,105037 8424,S200000,00400,0300,12/21/1966 8424,S200000,00400,0500,P 8424,S200000,01600,0100,Y 8424,S200000,01700,0100,Y 8424,S200000,02800,0100,Y 8440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8440,A000000,00300,0000,00300EMPLOYEE BENEFITS 8440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8440,A000000,00700,0000,00700HOUSEKEEPING 8440,A000000,00800,0000,00800DIETARY 8440,A000000,00900,0000,00900NURSING ADMINISTRATION 8440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8440,A000000,01100,0000,01100PHARMACY 8440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8440,A000000,01300,0000,01300SOCIAL SERVICE 8440,A000000,01350,0000,01500ACTIVITIES 8440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8440,A000000,01600,0000,01600SKILLED NURSING FACILITY 8440,A000000,01800,0000,01800NURSING FACILITY 8440,A000000,01810,0000,01810ICF/MR 8440,A000000,01900,0000,01900OTHER LONG TERM CARE 8440,A000000,02100,0000,02100RADIOLOGY 8440,A000000,02200,0000,02200LABORATORY 8440,A000000,02300,0000,02300INTRAVENOUS THERAPY 8440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8440,A000000,02500,0000,02500PHYSICAL THERAPY 8440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8440,A000000,02700,0000,02700SPEECH PATHOLOGY 8440,A000000,02800,0000,02800ELECTROCARDIOLOGY 8440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8440,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8440,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8440,A000000,03200,0000,03200SUPPORT SURFACES 8440,A000000,03400,0000,03400CLINIC 8440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8440,A000000,03500,0000,03500RURAL HEALTH CLINIC 8440,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8440,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8440,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8440,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8440,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8440,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8440,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8440,A000000,04400,0000,04400DME RENTED - HHA 8440,A000000,04500,0000,04500DME SOLD - HHA 8440,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8440,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8440,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8440,A000000,04800,0000,04800AMBULANCE 8440,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8440,A000000,05000,0000,05000CORF 8440,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8440,A000000,05300,0000,05300INTEREST EXPENSE 8440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8440,A000000,05500,0000,05500HOSPICE 8440,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8440,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8440,A000000,06100,0000,06100NONPAID WORKERS 8440,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8440,A000000,06200,0000,06200PATIENTS LAUNDRY 8440,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8440,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8440,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8440,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8440,B100000,00000,0750,00000SQUARE FT (MOD) :HOUSEKEEPING 8440,B100000,00000,0800,00000MEALS SERVED :DIETARY 8440,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8440,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8440,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8440,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 8440,S000000,00100,0200,02/07/2001 8440,S200000,00100,0100,7575 65TH WAY NORTH 8440,S200000,00200,0100,PINELLAS PARK 8440,S200000,00200,0200,FL 8440,S200000,00200,0300,34665- 8440,S200000,00300,0100,PINELLAS 8440,S200000,00300,0200,8280 8440,S200000,00300,0300,U 8440,S200000,00400,0100,LHA-PARKWAY NURSING HOME 8440,S200000,00400,0200,105046 8440,S200000,00400,0300,01/01/1967 8440,S200000,00400,0500,P 8440,S200000,01004,0500,O 8440,S200000,01600,0100,Y 8452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8452,A000000,00300,0000,00300EMPLOYEE BENEFITS 8452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8452,A000000,00700,0000,00700HOUSEKEEPING 8452,A000000,00800,0000,00800DIETARY 8452,A000000,00900,0000,00900NURSING ADMINISTRATION 8452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8452,A000000,01100,0000,01100PHARMACY 8452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8452,A000000,01300,0000,01300SOCIAL SERVICE 8452,A000000,01350,0000,01310ACTIVITIES 8452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8452,A000000,01600,0000,01600SKILLED NURSING FACILITY 8452,A000000,01800,0000,01800NURSING FACILITY 8452,A000000,01810,0000,01810ICF/MR 8452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8452,A000000,02500,0000,02500PHYSICAL THERAPY 8452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8452,A000000,02700,0000,02700SPEECH PATHOLOGY 8452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8452,A000000,03550,0000,03550FQHC 8452,A000000,05000,0000,05000CORF 8452,A000000,05010,0000,05010CMHC 8452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8452,A000000,05300,0000,05300INTEREST EXPENSE 8452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8452,A000000,06150,0000,06300CONTRACTED OFF-SITE REHAB 8452,A81000A,00100,0100,Y 8452,A81000B,00100,0300,HUMAN RESOURCES 8452,A81000B,00200,0300,ADMIN OVERHEAD 8452,A81000B,00300,0300,GROUNDSKEEPING 8452,A81000B,00400,0300,HOUSEKEEPING SUPPLIE 8452,A81000B,00500,0300,DIETARY CONTRACT SVC 8452,A81000B,00600,0300,SUPPLIES 8452,A81000B,00700,0300,SALARIES SUPPLIES 8452,A81000B,00800,0300,SALARIES SUPPLIES 8452,A81000B,00900,0300,SUPPLIES 8452,A81000B,01000,0300,SALARIES 8452,A81000B,01100,0300,SUPPLIES 8452,A81000B,01200,0300,SUPPLIES 8452,A81000B,01300,0300,DRUGS 8452,A81000C,00100,0100,B 8452,A81000C,00100,0400,JUPITER MEDICAL 8452,A81000C,00100,0600,HOSPITAL 8452,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8452,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8452,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8452,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8452,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8452,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8452,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8452,B100000,00000,0800,00000MEALS SERVED :DIETARY 8452,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8452,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 8452,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8452,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8452,B100000,00000,1330,00000PAT. DAYS :SOCIAL SERVICE 8452,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 8452,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8452,S000000,00100,0200,03/06/2000 8452,S200000,00100,0100,1230 SOUTH OLD DIXIE HIGHWAY 8452,S200000,00200,0100,JUPITER 8452,S200000,00200,0200,FL 8452,S200000,00200,0300,33458- 8452,S200000,00300,0100,PALM BEACH 8452,S200000,00400,0100,JUPITER CONVALESCENCE PAVILION 8452,S200000,00400,0200,105047 8452,S200000,00400,0300,09/01/1971 8452,S200000,00400,0500,P 8452,S200000,00600,0200,208485 8452,S200000,00600,0300,09/01/1971 8452,S200000,00600,0600,P 8452,S200000,01600,0100,Y 8452,S200000,01900,0100,501(C)(3) 8452,S200000,02200,0100,Y 8464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8464,A000000,00300,0000,00300EMPLOYEE BENEFITS 8464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8464,A000000,00700,0000,00700HOUSEKEEPING 8464,A000000,00800,0000,00800DIETARY 8464,A000000,00900,0000,00900NURSING ADMINISTRATION 8464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8464,A000000,01100,0000,01100PHARMACY 8464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8464,A000000,01300,0000,01300SOCIAL SERVICE 8464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8464,A000000,01600,0000,01600SKILLED NURSING FACILITY 8464,A000000,01800,0000,01800NURSING FACILITY 8464,A000000,01810,0000,01810ICF/MR 8464,A000000,02200,0000,02200LABORATORY 8464,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8464,A000000,02500,0000,02500PHYSICAL THERAPY 8464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8464,A000000,02700,0000,02700SPEECH PATHOLOGY 8464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8464,A000000,03550,0000,03550FQHC 8464,A000000,05000,0000,05000CORF 8464,A000000,05010,0000,05010CMHC 8464,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8464,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8464,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8464,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8464,A000000,06200,0000,06200PATIENTS LAUNDRY 8464,A81000A,00100,0100,Y 8464,A81000B,00100,0300,HOME OFFICE 8464,A81000B,00200,0300,HOME OFFICE 8464,A81000B,00300,0300,PROPERTY LEASE 8464,A81000B,00400,0300,SUPPLIES 8464,A81000B,00500,0300,SUPPLIES 8464,A81000B,00600,0300,SUPPLIES 8464,A81000B,00700,0300,SUPPLIES 8464,A81000B,00800,0300,SUPPLIES 8464,A81000B,00900,0300,SUPPLIES 8464,A81000B,01000,0300,SUPPLIES 8464,A81000B,01100,0300,SUPPLIES 8464,A81000B,01200,0300,SUPPLIES 8464,A81000B,01300,0300,SUPPLIES 8464,A81000B,01400,0300,SUPPLIES 8464,A81000C,00100,0100,A 8464,A81000C,00100,0200,SEE HCFA 339 8464,A81000C,00100,0400,DELTA HEALTH GR 8464,A81000C,00100,0600,NRSG HOME OPERA 8464,A81000C,00200,0100,A 8464,A81000C,00200,0200,SEE HCFA 339 8464,A81000C,00200,0400,SKYLER DAYTONA 8464,A81000C,00200,0600,PROPERTY LESSOR 8464,A81000C,00300,0100,A 8464,A81000C,00300,0200,SEE HCFA 339 8464,A81000C,00300,0400,DELTA DURABLES 8464,A81000C,00300,0600,SUPPLIES 8464,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8464,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8464,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8464,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8464,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8464,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8464,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8464,B100000,00000,0800,00000MEALS SERVED :DIETARY 8464,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8464,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8464,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8464,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8464,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8464,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8464,S000000,00100,0200,06/01/2000 8464,S200000,00100,0100,324 WILDER BLVD 8464,S200000,00200,0100,DAYTONA BEACH 8464,S200000,00200,0200,FL 8464,S200000,00200,0300,32114- 8464,S200000,00300,0100,VOLUSIA 8464,S200000,00400,0100,MANOR ON THE GREEN 8464,S200000,00400,0200,105052 8464,S200000,00400,0300,03/22/1990 8464,S200000,00400,0500,P 8464,S200000,00400,0600,O 8464,S200000,00600,0200,105052 8464,S200000,00600,0300,03/22/1990 8464,S200000,00600,0600,P 8464,S200000,01600,0100,Y 8471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8471,A000000,00300,0000,00300EMPLOYEE BENEFITS 8471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8471,A000000,00700,0000,00700HOUSEKEEPING 8471,A000000,00800,0000,00800DIETARY 8471,A000000,00900,0000,00900NURSING ADMINISTRATION 8471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8471,A000000,01100,0000,01100PHARMACY 8471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8471,A000000,01300,0000,01300SOCIAL SERVICE 8471,A000000,01350,0000,01500OTHER GENERAL SERVICES 8471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8471,A000000,01600,0000,01600SKILLED NURSING FACILITY 8471,A000000,01800,0000,01800NURSING FACILITY 8471,A000000,01810,0000,01810ICF/MR 8471,A000000,01900,0000,01900OTHER LONG TERM CARE 8471,A000000,02100,0000,02100RADIOLOGY 8471,A000000,02200,0000,02200LABORATORY 8471,A000000,02300,0000,02300INTRAVENOUS THERAPY 8471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8471,A000000,02500,0000,02500PHYSICAL THERAPY 8471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8471,A000000,02700,0000,02700SPEECH PATHOLOGY 8471,A000000,02800,0000,02800ELECTROCARDIOLOGY 8471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8471,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8471,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8471,A000000,03200,0000,03200SUPPORT SURFACES 8471,A000000,03400,0000,03400CLINIC 8471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8471,A000000,03500,0000,03500RURAL HEALTH CLINIC 8471,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8471,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8471,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8471,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8471,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8471,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8471,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8471,A000000,04400,0000,04400DME RENTED - HHA 8471,A000000,04500,0000,04500DME SOLD - HHA 8471,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8471,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8471,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8471,A000000,04800,0000,04800AMBULANCE 8471,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8471,A000000,05000,0000,05000CORF 8471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8471,A000000,05300,0000,05300INTEREST EXPENSE 8471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8471,A000000,05500,0000,05500HOSPICE 8471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8471,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8471,A000000,06100,0000,06100NONPAID WORKERS 8471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8471,A000000,06200,0000,06200PATIENTS LAUNDRY 8471,A81000A,00100,0100,Y 8471,A81000B,00100,0300,INTEREST EXPENSE 8471,A81000B,00200,0300,CONSULTING 8471,A81000C,00100,0100,D 8471,A81000C,00100,0200,FANIA AST 8471,A81000C,00200,0100,A 8471,A81000C,00200,0200,IRENA GOLDFINGER 8471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8471,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8471,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8471,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8471,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8471,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8471,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8471,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8471,S000000,00100,0200,06/16/2000 8471,S200000,00100,0100,301 N.E. 141ST STREET 8471,S200000,00200,0100,NORTH MIAMI 8471,S200000,00200,0200,FL 8471,S200000,00200,0300,33161- 8471,S200000,00300,0100,MIAMI DADE 8471,S200000,00400,0100,PINES NURSING HOME 8471,S200000,00400,0200,105057 8471,S200000,00400,0300,11/27/1977 8471,S200000,00400,0500,P 8471,S200000,01500,0100,Y 8478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8478,A000000,00300,0000,00300EMPLOYEE BENEFITS 8478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8478,A000000,00700,0000,00700HOUSEKEEPING 8478,A000000,00800,0000,00800DIETARY 8478,A000000,00900,0000,00900NURSING ADMINISTRATION 8478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8478,A000000,01100,0000,01100PHARMACY 8478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8478,A000000,01300,0000,01300SOCIAL SERVICE 8478,A000000,01350,0000,01500OTHER GENERAL SERVICES 8478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8478,A000000,01600,0000,01600SKILLED NURSING FACILITY 8478,A000000,01800,0000,01800NURSING FACILITY 8478,A000000,01900,0000,01900OTHER LONG TERM CARE 8478,A000000,02100,0000,02100RADIOLOGY 8478,A000000,02200,0000,02200LABORATORY 8478,A000000,02300,0000,02300INTRAVENOUS THERAPY 8478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8478,A000000,02500,0000,02500PHYSICAL THERAPY 8478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8478,A000000,02700,0000,02700SPEECH PATHOLOGY 8478,A000000,02800,0000,02800ELECTROCARDIOLOGY 8478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8478,A000000,03050,0000,03300AIR FLUIDIZATION 8478,A000000,03051,0000,03301RESPIRATORY THERAPY 8478,A000000,03200,0000,03200SUPPORT SURFACES 8478,A000000,03400,0000,03400CLINIC 8478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8478,A000000,03500,0000,03500RURAL HEALTH CLINIC 8478,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8478,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8478,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8478,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8478,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8478,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8478,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8478,A000000,04400,0000,04400DME RENTED - HHA 8478,A000000,04500,0000,04500DME SOLD - HHA 8478,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8478,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8478,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8478,A000000,04800,0000,04800AMBULANCE 8478,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8478,A000000,05000,0000,05000CORF 8478,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8478,A000000,05300,0000,05300INTEREST EXPENSE 8478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8478,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8478,A000000,05500,0000,05500HOSPICE 8478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8478,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8478,A000000,06001,0000,06001PEN PART B 8478,A000000,06002,0000,06002ASSISTED LIVING 8478,A000000,06003,0000,06003PHYSICIANS PRIVATE OFFICES 8478,A000000,06100,0000,06100NONPAID WORKERS 8478,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8478,A000000,06200,0000,06200PATIENTS LAUNDRY 8478,A81000A,00100,0100,Y 8478,A81000B,00100,0300,MANAGEMENT FEES - ADMIN 8478,A81000B,00200,0300,MANAGEMENT FEES-PROPERTY 8478,A81000B,00300,0300,MANAGEMENT FEES-ASSIS LIVING 8478,A81000C,00100,0100,B 8478,A81000C,00100,0200,RETIREMENT HOUSING 8478,A81000C,00200,0200,FOUNDATION INC. 8478,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8478,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 8478,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8478,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 8478,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8478,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8478,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8478,B100000,00000,0800,00000MEALS SERVED :DIETARY 8478,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 8478,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 8478,B100000,00000,1150,00000NO STATISTICS :PHARMACY 8478,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8478,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8478,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8478,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 8478,S000000,00100,0200,09/01/1999 8478,S200000,00100,0100,7200 CENTRAL AVENUE 8478,S200000,00200,0100,ST PETERSBURG 8478,S200000,00200,0200,FL 8478,S200000,00200,0300,33707- 8478,S200000,00300,0100,PINELLAS 8478,S200000,00400,0100,SWANHOLM NURSING AND REHABILITATION 8478,S200000,00400,0200,105062 8478,S200000,00400,0300,01/01/1967 8478,S200000,00400,0500,P 8478,S200000,00600,0200,105062 8478,S200000,00600,0300,01/01/1967 8478,S200000,00600,0600,P 8478,S200000,01600,0100,Y 8478,S700003,00000,0100,1 8480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8480,A000000,00300,0000,00300EMPLOYEE BENEFITS 8480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8480,A000000,00700,0000,00700HOUSEKEEPING 8480,A000000,00800,0000,00800DIETARY 8480,A000000,00900,0000,00900NURSING ADMINISTRATION 8480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8480,A000000,01100,0000,01100PHARMACY 8480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8480,A000000,01300,0000,01300SOCIAL SERVICE 8480,A000000,01350,0000,01500OTHER GENERAL SERVICES 8480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8480,A000000,01600,0000,01600SKILLED NURSING FACILITY 8480,A000000,01800,0000,01800NURSING FACILITY 8480,A000000,01900,0000,01900OTHER LONG TERM CARE 8480,A000000,02100,0000,02100RADIOLOGY 8480,A000000,02200,0000,02200LABORATORY 8480,A000000,02300,0000,02300INTRAVENOUS THERAPY 8480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8480,A000000,02500,0000,02500PHYSICAL THERAPY 8480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8480,A000000,02700,0000,02700SPEECH PATHOLOGY 8480,A000000,02800,0000,02800ELECTROCARDIOLOGY 8480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8480,A000000,03050,0000,03300AIR FLUIDIZATION 8480,A000000,03051,0000,03301RESPIRATORY THERAPY 8480,A000000,03200,0000,03200SUPPORT SURFACES 8480,A000000,03400,0000,03400CLINIC 8480,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8480,A000000,03500,0000,03500RURAL HEALTH CLINIC 8480,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8480,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8480,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8480,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8480,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8480,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8480,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8480,A000000,04400,0000,04400DME RENTED - HHA 8480,A000000,04500,0000,04500DME SOLD - HHA 8480,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8480,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8480,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8480,A000000,04800,0000,04800AMBULANCE 8480,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8480,A000000,05000,0000,05000CORF 8480,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8480,A000000,05300,0000,05300INTEREST EXPENSE 8480,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8480,A000000,05500,0000,05500HOSPICE 8480,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8480,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8480,A000000,06001,0000,06001PEN PART B 8480,A000000,06002,0000,06002ASSISTED LIVING 8480,A000000,06003,0000,06003PHYSICIANS PRIVATE OFFICES 8480,A000000,06100,0000,06100NONPAID WORKERS 8480,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8480,A000000,06200,0000,06200PATIENTS LAUNDRY 8480,A81000A,00100,0100,Y 8480,A81000B,00100,0300,MANAGEMENT FEES - ADMIN 8480,A81000B,00200,0300,MANAGEMENT FEES-PROPERTY 8480,A81000B,00300,0300,MANAGEMENT FEES-ASSIS LIVING 8480,A81000C,00100,0100,B 8480,A81000C,00100,0200,RETIREMENT HOUSING 8480,A81000C,00200,0200,FOUNDATION INC. 8480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8480,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 8480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8480,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8480,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8480,B100000,00000,0800,00000MEALS SERVED :DIETARY 8480,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 8480,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 8480,B100000,00000,1150,00000NO STATISTICS :PHARMACY 8480,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8480,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8480,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8480,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 8480,S000000,00100,0200,09/01/2000 8480,S200000,00100,0100,7200 CENTRAL AVENUE 8480,S200000,00200,0100,ST PETERSBURG 8480,S200000,00200,0200,FL 8480,S200000,00200,0300,33707- 8480,S200000,00300,0100,PINELLAS 8480,S200000,00400,0100,SWANHOLM NURSING AND REHABILITATION 8480,S200000,00400,0200,105062 8480,S200000,00400,0300,01/01/1967 8480,S200000,00400,0500,P 8480,S200000,00600,0200,105062 8480,S200000,00600,0300,01/01/1967 8480,S200000,00600,0600,P 8480,S200000,01600,0100,Y 8488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8488,A000000,00300,0000,00300EMPLOYEE BENEFITS 8488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8488,A000000,00700,0000,00700HOUSEKEEPING 8488,A000000,00800,0000,00800DIETARY 8488,A000000,00900,0000,00900NURSING ADMINISTRATION 8488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8488,A000000,01100,0000,01100PHARMACY 8488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8488,A000000,01300,0000,01300SOCIAL SERVICE 8488,A000000,01350,0000,01500OTHER GENERAL SERVICES 8488,A000000,01351,0000,01301ACTIVITIES 8488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8488,A000000,01600,0000,01600SKILLED NURSING FACILITY 8488,A000000,01800,0000,01800NURSING FACILITY 8488,A000000,01810,0000,01801ICF/MR 8488,A000000,01900,0000,01900OTHER LONG TERM CARE 8488,A000000,02100,0000,02100RADIOLOGY 8488,A000000,02200,0000,02200LABORATORY 8488,A000000,02300,0000,02300INTRAVENOUS THERAPY 8488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8488,A000000,02500,0000,02500PHYSICAL THERAPY 8488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8488,A000000,02700,0000,02700SPEECH PATHOLOGY 8488,A000000,02800,0000,02800ELECTROCARDIOLOGY 8488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8488,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8488,A000000,03200,0000,03200SUPPORT SURFACES 8488,A000000,03400,0000,03400CLINIC 8488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8488,A000000,03500,0000,03500RURAL HEALTH CLINIC 8488,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8488,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8488,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8488,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8488,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8488,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8488,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8488,A000000,04400,0000,04400DME RENTED - HHA 8488,A000000,04500,0000,04500DME SOLD - HHA 8488,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8488,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8488,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8488,A000000,04800,0000,04800AMBULANCE 8488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8488,A000000,05000,0000,05000CORF 8488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8488,A000000,05300,0000,05300INTEREST EXPENSE 8488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8488,A000000,05500,0000,05500HOSPICE 8488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8488,A000000,06100,0000,06100NONPAID WORKERS 8488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8488,A000000,06200,0000,06200PATIENTS LAUNDRY 8488,A81000A,00100,0100,Y 8488,A81000B,00100,0300,ADMINISTARTION 8488,A81000B,00200,0300,CAPITAL 8488,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8488,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8488,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8488,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8488,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8488,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8488,B100000,00000,0800,00000MEALS SERVED :DIETARY 8488,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 8488,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 8488,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8488,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8488,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8488,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 8488,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 8488,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8488,S000000,00100,0200,07/20/2000 8488,S200000,00100,0100,521 69TH AVENUE NORTH 8488,S200000,00200,0100,ST.PETERSBURG 8488,S200000,00200,0200,FL 8488,S200000,00200,0300,33702- 8488,S200000,00300,0100,PINNELLAS 8488,S200000,00400,0100,CRESTMARK AT HUBER GARDENS 8488,S200000,00400,0200,105065 8488,S200000,00400,0300,04/28/1995 8488,S200000,00400,0500,P 8488,S200000,01600,0100,Y 8488,S700003,00000,0100,1 8494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8494,A000000,00300,0000,00300EMPLOYEE BENEFITS 8494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8494,A000000,00700,0000,00700HOUSEKEEPING 8494,A000000,00800,0000,00800DIETARY 8494,A000000,00900,0000,00900NURSING ADMINISTRATION 8494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8494,A000000,01100,0000,01100PHARMACY 8494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8494,A000000,01300,0000,01300SOCIAL SERVICE 8494,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 8494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8494,A000000,01600,0000,01600SKILLED NURSING FACILITY 8494,A000000,01800,0000,01800NURSING FACILITY 8494,A000000,01810,0000,01801ICF/MR 8494,A000000,01900,0000,01900OTHER LONG TERM CARE 8494,A000000,02100,0000,02100RADIOLOGY 8494,A000000,02200,0000,02200LABORATORY 8494,A000000,02300,0000,02300INTRAVENOUS THERAPY 8494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8494,A000000,02500,0000,02500PHYSICAL THERAPY 8494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8494,A000000,02700,0000,02700SPEECH PATHOLOGY 8494,A000000,02800,0000,02800ELECTROCARDIOLOGY 8494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8494,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8494,A000000,03200,0000,03200SUPPORT SURFACES 8494,A000000,03400,0000,03400CLINIC 8494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8494,A000000,03500,0000,03500RURAL HEALTH CLINIC 8494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8494,A000000,04800,0000,04800AMBULANCE 8494,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8494,A000000,05000,0000,05000CORF 8494,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8494,A000000,05300,0000,05300INTEREST EXPENSE 8494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8494,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8494,A000000,05500,0000,05500HOSPICE 8494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8494,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8494,A000000,06100,0000,06100NONPAID WORKERS 8494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8494,A000000,06200,0000,06200PATIENTS LAUNDRY 8494,A81000A,00100,0100,Y 8494,A81000B,00100,0300,HOME OFFICE COSTS-ADMIN 8494,A81000B,00200,0300,HOME OFFICE COSTS-RENT 8494,A81000B,00300,0300,HOME OFFICE COSTS-DEPRECIATION 8494,A81000C,00100,0100,A 8494,A81000C,00100,0200,RALPH L. STACEY JR 8494,A81000C,00100,0400,STACEY ENTERPRISES INC. 8494,A81000C,00100,0600,NURSING HOME ADMIN. 8494,A81000C,00200,0100,A 8494,A81000C,00200,0200,RALPH L. STACEY JR. 8494,A81000C,00200,0400,STACEY ENTERPRISES INC. 8494,A81000C,00200,0600,NURSING HOME ADMIN. 8494,A81000C,00300,0100,A 8494,A81000C,00300,0200,RALPH L. STACEY JR. 8494,A81000C,00300,0400,STACEY ENTERPRISES INC. 8494,A81000C,00300,0600,NURSING HOME ADMIN. 8494,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8494,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8494,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8494,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8494,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8494,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8494,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8494,B100000,00000,0800,00000MEALS SERVED :DIETARY 8494,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 8494,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8494,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 8494,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8494,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8494,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 8494,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 8494,S000000,00100,0200,06/27/2000 8494,S200000,00100,0100,6901 YUMURI ST 8494,S200000,00200,0100,CORAL GABLES 8494,S200000,00200,0200,FL 8494,S200000,00200,0300,33146- 8494,S200000,00300,0100,DADE 8494,S200000,00400,0100,NEW RIVIERA HEALTH RESORT 8494,S200000,00400,0200,105075 8494,S200000,00400,0300,01/01/1983 8494,S200000,00400,0500,P 8494,S200000,01500,0100,Y 8504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8504,A000000,00300,0000,00300EMPLOYEE BENEFITS 8504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8504,A000000,00700,0000,00700HOUSEKEEPING 8504,A000000,00800,0000,00800DIETARY 8504,A000000,00900,0000,00900NURSING ADMINISTRATION 8504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8504,A000000,01100,0000,01100PHARMACY 8504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8504,A000000,01300,0000,01300SOCIAL SERVICE 8504,A000000,01350,0000,01500OTHER GENERAL SERVICES 8504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8504,A000000,01600,0000,01600SKILLED NURSING FACILITY 8504,A000000,01800,0000,01800NURSING FACILITY 8504,A000000,01810,0000,01810ICF/MR 8504,A000000,01900,0000,01900OTHER LONG TERM CARE 8504,A000000,02100,0000,02100RADIOLOGY 8504,A000000,02200,0000,02200LABORATORY 8504,A000000,02300,0000,02300INTRAVENOUS THERAPY 8504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8504,A000000,02500,0000,02500PHYSICAL THERAPY 8504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8504,A000000,02700,0000,02700SPEECH PATHOLOGY 8504,A000000,02800,0000,02800ELECTROCARDIOLOGY 8504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8504,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8504,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8504,A000000,03200,0000,03200SUPPORT SURFACES 8504,A000000,03400,0000,03400CLINIC 8504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8504,A000000,03500,0000,03500RURAL HEALTH CLINIC 8504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8504,A000000,04800,0000,04800AMBULANCE 8504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8504,A000000,05000,0000,05000CORF 8504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8504,A000000,05300,0000,05300INTEREST EXPENSE 8504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8504,A000000,05500,0000,05500HOSPICE 8504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8504,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8504,A000000,06100,0000,06100NONPAID WORKERS 8504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8504,A000000,06200,0000,06200PATIENTS LAUNDRY 8504,A81000A,00100,0100,Y 8504,A81000B,00100,0300,MANAGEMENT FEE-PROPERTY 8504,A81000B,00200,0300,MANAGEMENT FEE-ADMIN 8504,A81000C,00100,0100,A 8504,A81000C,00100,0200,GEORGE POLLACK 8504,A81000C,00100,0400,FLORIDA HEALTH CARE MGMT 8504,A81000C,00100,0600,MANAGEMENT COMPANY 8504,A81000C,00200,0100,A 8504,A81000C,00200,0200,CHARLES POLLACK 8504,A81000C,00200,0400,FLORDIA HEALTH CARE MGMT 8504,A81000C,00200,0600,MANAGEMENT COMPANY 8504,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8504,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8504,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8504,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8504,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8504,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8504,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8504,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8504,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8504,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 8504,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8504,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8504,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8504,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 8504,S000000,00100,0200,06/30/2000 8504,S200000,00100,0100,1101 54TH STREET 8504,S200000,00200,0100,WEST PALM BEACH 8504,S200000,00200,0200,FL 8504,S200000,00200,0300,33407- 8504,S200000,00300,0100,PALM BEACH 8504,S200000,00400,0100,GREENWOOD REHABILITATION 8504,S200000,00400,0200,105076 8504,S200000,00400,0300,07/01/1997 8504,S200000,00400,0500,P 8504,S200000,01600,0100,Y 8522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8522,A000000,00300,0000,00300EMPLOYEE BENEFITS 8522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8522,A000000,00700,0000,00700HOUSEKEEPING 8522,A000000,00800,0000,00800DIETARY 8522,A000000,00900,0000,00900NURSING ADMINISTRATION 8522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8522,A000000,01100,0000,01100PHARMACY 8522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8522,A000000,01300,0000,01300SOCIAL SERVICE 8522,A000000,01350,0000,01500OTHER GENERAL SERVICES 8522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8522,A000000,01600,0000,01600SKILLED NURSING FACILITY 8522,A000000,01800,0000,01800NURSING FACILITY 8522,A000000,01810,0000,01810ICF/MR 8522,A000000,01900,0000,01900OTHER LONG TERM CARE 8522,A000000,02100,0000,02100RADIOLOGY 8522,A000000,02200,0000,02200LABORATORY 8522,A000000,02300,0000,02300INTRAVENOUS THERAPY 8522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8522,A000000,02500,0000,02500PHYSICAL THERAPY 8522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8522,A000000,02700,0000,02700SPEECH PATHOLOGY 8522,A000000,02800,0000,02800ELECTROCARDIOLOGY 8522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8522,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8522,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8522,A000000,03200,0000,03200SUPPORT SURFACES 8522,A000000,03400,0000,03400CLINIC 8522,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8522,A000000,03500,0000,03500RURAL HEALTH CLINIC 8522,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8522,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8522,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8522,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8522,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8522,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8522,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8522,A000000,04400,0000,04400DME RENTED - HHA 8522,A000000,04500,0000,04500DME SOLD - HHA 8522,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8522,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8522,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8522,A000000,04800,0000,04800AMBULANCE 8522,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8522,A000000,05000,0000,05000CORF 8522,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8522,A000000,05300,0000,05300INTEREST EXPENSE 8522,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8522,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8522,A000000,05500,0000,05500HOSPICE 8522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8522,A000000,06100,0000,06100NONPAID WORKERS 8522,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8522,A000000,06200,0000,06200PATIENTS LAUNDRY 8522,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8522,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8522,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8522,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8522,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8522,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8522,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8522,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8522,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8522,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8522,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8522,S000000,00100,0200,06/01/2000 8522,S200000,00100,0100,320 COLLINS AVENUE 8522,S200000,00200,0100,MIAMI BEACH 8522,S200000,00200,0200,FL 8522,S200000,00200,0300,33139- 8522,S200000,00300,0100,DADE 8522,S200000,00300,0200,5000 8522,S200000,00300,0300,U 8522,S200000,00400,0100,HEBREW HOME FOR THE AGED-MIAMI BEACH 8522,S200000,00400,0200,105097 8522,S200000,00400,0300,01/06/1967 8522,S200000,00400,0500,P 8522,S200000,01600,0100,Y 8530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8530,A000000,00300,0000,00300EMPLOYEE BENEFITS 8530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8530,A000000,00700,0000,00700HOUSEKEEPING 8530,A000000,00800,0000,00800DIETARY 8530,A000000,00900,0000,00900NURSING ADMINISTRATION 8530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8530,A000000,01300,0000,01300SOCIAL SERVICE 8530,A000000,01350,0000,01500OTHER GENERAL SERVICES 8530,A000000,01600,0000,01600SKILLED NURSING FACILITY 8530,A000000,01800,0000,01800NURSING FACILITY 8530,A000000,02100,0000,02100RADIOLOGY 8530,A000000,02200,0000,02200LABORATORY 8530,A000000,02500,0000,02500PHYSICAL THERAPY 8530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8530,A000000,02700,0000,02700SPEECH PATHOLOGY 8530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8530,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 8530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8530,A81000A,00100,0100,Y 8530,A81000B,00100,0300,SUPPORT SERVICES 8530,A81000B,00200,0300,SUPPORT SERVICES 8530,A81000B,00300,0300,SUPPORT SERVICES 8530,A81000B,00400,0300,SUPPORT SERVICES 8530,A81000B,00500,0300,HOME OFFICE PROPERTY COST 8530,A81000B,00600,0300,HOME OFFICE PROPERTY COST 8530,A81000C,00100,0100,G 8530,A81000C,00100,0200,NATIONAL BENEVOLENT ASSOC 8530,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8530,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8530,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8530,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8530,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8530,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8530,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8530,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8530,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8530,S000000,00100,0200,06/07/2000 8530,S200000,00100,0100,1827 STOCKTON STREET 8530,S200000,00200,0100,JACKSONVILLE 8530,S200000,00200,0200,FL 8530,S200000,00200,0300,32204- 8530,S200000,00300,0100,DUVAL 8530,S200000,00300,0200,3600 8530,S200000,00300,0300,U 8530,S200000,00400,0100,FLORIDA CHRISTIAN HEALTH CENTER 8530,S200000,00400,0200,105100 8530,S200000,00400,0300,07/01/1973 8530,S200000,00400,0500,P 8530,S200000,01004,0500,O 8530,S200000,01600,0100,Y 8533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8533,A000000,00300,0000,00300EMPLOYEE BENEFITS 8533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8533,A000000,00700,0000,00700HOUSEKEEPING 8533,A000000,00800,0000,00800DIETARY 8533,A000000,00900,0000,00900NURSING ADMINISTRATION 8533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8533,A000000,01100,0000,01100PHARMACY 8533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8533,A000000,01300,0000,01300SOCIAL SERVICE 8533,A000000,01350,0000,01500OTHER GENERAL SERVICES 8533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8533,A000000,01600,0000,01600SKILLED NURSING FACILITY 8533,A000000,01800,0000,01800NURSING FACILITY 8533,A000000,01810,0000,01810ICF/MR 8533,A000000,01900,0000,01900OTHER LONG TERM CARE 8533,A000000,02100,0000,02100RADIOLOGY 8533,A000000,02200,0000,02200LABORATORY 8533,A000000,02300,0000,02300INTRAVENOUS THERAPY 8533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8533,A000000,02500,0000,02500PHYSICAL THERAPY 8533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8533,A000000,02700,0000,02700SPEECH PATHOLOGY 8533,A000000,02800,0000,02800ELECTROCARDIOLOGY 8533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8533,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8533,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8533,A000000,03200,0000,03200SUPPORT SURFACES 8533,A000000,03400,0000,03400CLINIC 8533,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8533,A000000,03500,0000,03500RURAL HEALTH CLINIC 8533,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8533,A000000,04800,0000,04800AMBULANCE 8533,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8533,A000000,05000,0000,05000CORF 8533,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8533,A000000,05300,0000,05300INTEREST EXPENSE 8533,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8533,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8533,A000000,05500,0000,05500HOSPICE 8533,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8533,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8533,A000000,06100,0000,06100NONPAID WORKERS 8533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8533,A000000,06200,0000,06200PATIENTS LAUNDRY 8533,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8533,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8533,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8533,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8533,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8533,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8533,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8533,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8533,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8533,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8533,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8533,S000000,00100,0200,12/11/2000 8533,S200000,00100,0100,16650 WEST DIXIE HIGHWAY 8533,S200000,00200,0100,NORTH MIAMI BEACH 8533,S200000,00200,0200,FL 8533,S200000,00200,0300,33160- 8533,S200000,00300,0100,MIAMI - DADE 8533,S200000,00300,0200,5000 8533,S200000,00300,0300,U 8533,S200000,00400,0100,WATERCREST CARE CENTER 8533,S200000,00400,0200,105120 8533,S200000,00400,0300,09/21/1970 8533,S200000,00400,0500,P 8533,S200000,01600,0100,Y 8541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8541,A000000,00300,0000,00300EMPLOYEE BENEFITS 8541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8541,A000000,00700,0000,00700HOUSEKEEPING 8541,A000000,00800,0000,00800DIETARY 8541,A000000,00900,0000,00900NURSING ADMINISTRATION 8541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8541,A000000,01100,0000,01100PHARMACY 8541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8541,A000000,01300,0000,01300SOCIAL SERVICE 8541,A000000,01350,0000,01500OTHER GENERAL SERVICES 8541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8541,A000000,01600,0000,01600SKILLED NURSING FACILITY 8541,A000000,01800,0000,01800NURSING FACILITY 8541,A000000,01810,0000,01810ICF/MR 8541,A000000,01900,0000,01900OTHER LONG TERM CARE 8541,A000000,02100,0000,02100RADIOLOGY 8541,A000000,02200,0000,02200LABORATORY 8541,A000000,02300,0000,02300INTRAVENOUS THERAPY 8541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8541,A000000,02500,0000,02500PHYSICAL THERAPY 8541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8541,A000000,02700,0000,02700SPEECH PATHOLOGY 8541,A000000,02800,0000,02800ELECTROCARDIOLOGY 8541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8541,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8541,A000000,03200,0000,03200SUPPORT SURFACES 8541,A000000,03400,0000,03400CLINIC 8541,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8541,A000000,03500,0000,03500RURAL HEALTH CLINIC 8541,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8541,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8541,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8541,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8541,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8541,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8541,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8541,A000000,04400,0000,04400DME RENTED - HHA 8541,A000000,04500,0000,04500DME SOLD - HHA 8541,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8541,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8541,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8541,A000000,04800,0000,04800AMBULANCE 8541,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8541,A000000,05000,0000,05000CORF 8541,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8541,A000000,05300,0000,05300INTEREST EXPENSE 8541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8541,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8541,A000000,05500,0000,05500HOSPICE 8541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8541,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8541,A000000,06100,0000,06100NONPAID WORKERS 8541,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8541,A000000,06200,0000,06200PATIENTS LAUNDRY 8541,A81000A,00100,0100,Y 8541,A81000B,00100,0300,HOME OFFICE PROPERTY 8541,A81000B,00200,0300,HOME OFFICE - ADMIN 8541,A81000B,00300,0300,FACILITY RENT 8541,A81000B,00400,0300,OTHER ADMIN EXPENSES 8541,A81000B,00500,0300,PROPERTY TAXES 8541,A81000B,00600,0300,PROPERTY INTEREST 8541,A81000B,00700,0300,DEPRECIATION 8541,A81000C,00100,0100,A 8541,A81000C,00100,0200,CHARLES POLLACK 8541,A81000C,00100,0400,FLORIDA HEALTH CARE MGMT 8541,A81000C,00100,0600,MANAGEMNET COMPANY 8541,A81000C,00200,0100,A 8541,A81000C,00200,0200,CHARLES POLLACK 8541,A81000C,00200,0400,FLORIDA HEALTH CARE MGMT 8541,A81000C,00200,0600,MANAGEMNET COMPANY 8541,A81000C,00300,0100,A 8541,A81000C,00300,0200,CHARLES POLLACK 8541,A81000C,00300,0400,BCLP INVESTMENTS 8541,A81000C,00300,0600,REAL ESTATE PARTNERSHIPS 8541,A81000C,00400,0100,A 8541,A81000C,00400,0200,CHARLES POLLACK 8541,A81000C,00400,0400,BCLP INVESTMENTS 8541,A81000C,00400,0600,REAL ESTATE PARTNERSHIPS 8541,A81000C,00500,0100,A 8541,A81000C,00500,0200,CHARLES POLLACK 8541,A81000C,00500,0400,BCLP INVESTMENTS 8541,A81000C,00500,0600,REAL ESTATE PARTNERSHIPS 8541,A81000C,00600,0100,A 8541,A81000C,00600,0200,CHARLES POLLACK 8541,A81000C,00600,0400,BCLP INVESTMENTS 8541,A81000C,00600,0600,REAL ESTATE PARTNERSHIPS 8541,A81000C,00700,0100,A 8541,A81000C,00700,0200,CHARLES POLLACK 8541,A81000C,00700,0400,BCLP INVESTMENTS 8541,A81000C,00700,0600,REAL ESTATE PARTNERSHIPS 8541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8541,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8541,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8541,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8541,B100000,00000,0950,00000SNF DAYS :NURSING ADMINISTRATION 8541,B100000,00000,1050,00000SNF DAYS :CENTRAL SERVICES & SUPPL 8541,B100000,00000,1250,00000SNF DAYS :MEDICAL RECORDS & LIBRAR 8541,B100000,00000,1330,00000SNF DAYS :SOCIAL SERVICE 8541,S000000,00100,0200,07/03/2000 8541,S200000,00100,0100,1711 SOUTH SIXTH AVENUE 8541,S200000,00200,0100,LAKE WORTH 8541,S200000,00200,0200,FL 8541,S200000,00200,0300,33460- 8541,S200000,00300,0100,PALM BEACH 8541,S200000,00300,0200,8960 8541,S200000,00300,0300,U 8541,S200000,00400,0100,EASON NURSING HOME 8541,S200000,00400,0200,105125 8541,S200000,00400,0300,01/01/1980 8541,S200000,00400,0500,P 8541,S200000,01500,0100,Y 8549,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8549,A000000,00300,0000,00300EMPLOYEE BENEFITS 8549,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8549,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8549,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8549,A000000,00700,0000,00700HOUSEKEEPING 8549,A000000,00800,0000,00800DIETARY 8549,A000000,00900,0000,00900NURSING ADMINISTRATION 8549,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8549,A000000,01300,0000,01300SOCIAL SERVICE 8549,A000000,01301,0000,01301SOCIAL SERVICE 8549,A000000,01600,0000,01600SKILLED NURSING FACILITY 8549,A000000,01800,0000,01800NURSING FACILITY 8549,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8549,A000000,02500,0000,02500PHYSICAL THERAPY 8549,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8549,A000000,02700,0000,02700SPEECH PATHOLOGY 8549,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8549,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8549,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8549,A000000,05300,0000,05300INTEREST EXPENSE 8549,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8549,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8549,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8549,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8549,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8549,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8549,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8549,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8549,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8549,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8549,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8549,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8549,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8549,S000000,00100,0200,12/20/1999 8549,S200000,00100,0100,5377 MONCRIEF ROAD 8549,S200000,00200,0100,JACKSONVILLE 8549,S200000,00200,0200,FL 8549,S200000,00200,0300,32209- 8549,S200000,00300,0100,DUVAL 8549,S200000,00300,0200,3600 8549,S200000,00300,0300,U 8549,S200000,00400,0100,EARTHA M.M. WHITE HEALTH CARE INC. 8549,S200000,00400,0200,105138 8549,S200000,00400,0300,05/09/1967 8549,S200000,00400,0500,P 8549,S200000,01600,0100,Y 8558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8558,A000000,00300,0000,00300EMPLOYEE BENEFITS 8558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8558,A000000,00700,0000,00700HOUSEKEEPING 8558,A000000,00800,0000,00800DIETARY 8558,A000000,00900,0000,00900NURSING ADMINISTRATION 8558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8558,A000000,01100,0000,01100PHARMACY 8558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8558,A000000,01300,0000,01300SOCIAL SERVICE 8558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8558,A000000,01600,0000,01600SKILLED NURSING FACILITY 8558,A000000,01800,0000,01800NURSING FACILITY 8558,A000000,01810,0000,01810ICF/MR 8558,A000000,02200,0000,02200LABORATORY 8558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8558,A000000,02500,0000,02500PHYSICAL THERAPY 8558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8558,A000000,02700,0000,02700SPEECH PATHOLOGY 8558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8558,A000000,03550,0000,03550FQHC 8558,A000000,05000,0000,05000CORF 8558,A000000,05010,0000,05010CMHC 8558,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8558,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8558,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8558,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8558,A000000,06200,0000,06200PATIENTS LAUNDRY 8558,A81000A,00100,0100,Y 8558,A81000B,00100,0300,HOME OFFICE 8558,A81000B,00200,0300,HOME OFFI CE 8558,A81000B,00300,0300,NURSING UNIFORMS 8558,A81000B,00400,0300,REPAIRS & MAINTENANC 8558,A81000B,00500,0300,SUPPLIES 8558,A81000B,00600,0300,NONPRESCRIPTION DRUG 8558,A81000B,00700,0300,CHARGEABLE MED.SUPPL 8558,A81000B,00800,0300,THERAPY SERVICE 8558,A81000B,00900,0300,SUPPLEMENTAL FEEDING 8558,A81000B,01000,0300,UNIFORMS 8558,A81000B,01100,0300,SUUPLIES 8558,A81000B,01200,0300,UNIFORMS 8558,A81000B,01300,0300,LINEN 8558,A81000B,01400,0300,SUPPLIES 8558,A81000B,01500,0300,UNIFORMS 8558,A81000B,01600,0300,SUPPLIES 8558,A81000B,01700,0300,SUPPLIES 8558,A81000B,01800,0300,PRINTING & FORMS 8558,A81000B,01900,0300,SUPPLIES 8558,A81000B,02000,0300,THERAPY SERVICES 8558,A81000B,02100,0300,PERSONAL NEEDS 8558,A81000C,00100,0100,A 8558,A81000C,00100,0200,SEE HCFA 339 8558,A81000C,00100,0400,DELTA HEALTH GR 8558,A81000C,00100,0600,NRSG HOME OPERA 8558,A81000C,00200,0100,A 8558,A81000C,00200,0200,SEE HCFA 339 8558,A81000C,00200,0400,DELTA DURABLES 8558,A81000C,00200,0600,SUPPLIES 8558,A81000C,00300,0100,A 8558,A81000C,00300,0200,SEE HCFA 339 8558,A81000C,00300,0400,DELTA REHAB 8558,A81000C,00300,0600,THERAPIST 8558,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8558,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8558,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8558,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8558,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8558,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 8558,B100000,00000,0800,00000MEALS SERVED :DIETARY 8558,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8558,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8558,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8558,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8558,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8558,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8558,S000000,00100,0200,06/01/2000 8558,S200000,00100,0100,1818 EAST FLETCHER AVENUE 8558,S200000,00200,0100,TAMPA 8558,S200000,00200,0200,FL 8558,S200000,00200,0300,33612- 8558,S200000,00300,0100,HILLSBOROUGH 8558,S200000,00400,0100,DELTA HEALTH CARE CTR.TAMPA 8558,S200000,00400,0200,105140 8558,S200000,00400,0300,08/01/1981 8558,S200000,00400,0500,P 8558,S200000,00400,0600,O 8558,S200000,00600,0200,105140 8558,S200000,00600,0300,08/01/1981 8558,S200000,00600,0600,P 8558,S200000,01600,0100,Y 8567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8567,A000000,00300,0000,00300EMPLOYEE BENEFITS 8567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8567,A000000,00700,0000,00700HOUSEKEEPING 8567,A000000,00800,0000,00800DIETARY 8567,A000000,00900,0000,00900NURSING ADMINISTRATION 8567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8567,A000000,01100,0000,01100PHARMACY 8567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8567,A000000,01300,0000,01300SOCIAL SERVICE 8567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8567,A000000,01600,0000,01600SKILLED NURSING FACILITY 8567,A000000,01800,0000,01800NURSING FACILITY 8567,A000000,01810,0000,01810ICF/MR 8567,A000000,02200,0000,02200LABORATORY 8567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8567,A000000,02500,0000,02500PHYSICAL THERAPY 8567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8567,A000000,02700,0000,02700SPEECH PATHOLOGY 8567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8567,A000000,03550,0000,03550FQHC 8567,A000000,05000,0000,05000CORF 8567,A000000,05010,0000,05010CMHC 8567,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8567,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8567,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8567,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8567,A000000,06200,0000,06200PATIENTS LAUNDRY 8567,A81000A,00100,0100,Y 8567,A81000B,00100,0300,RENT 8567,A81000B,00200,0300,MANAGEMENT FEES 8567,A81000B,00300,0300,MANAGEMENT FEES 8567,A81000B,00400,0300,DELTA DURABLES 8567,A81000B,00500,0300,DELTA DURABLES 8567,A81000B,00600,0300,DELTADURABLES 8567,A81000B,00700,0300,DELTA DURABLES 8567,A81000B,00800,0300,DELTA DURABLES 8567,A81000B,00900,0300,DELTA DURABLES 8567,A81000B,01000,0300,DELTA DURABLES 8567,A81000B,01100,0300,DELTA DURABLES 8567,A81000B,01200,0300,DELTA DURABLES 8567,A81000B,01300,0300,DELTA DURABLES 8567,A81000C,00100,0100,A 8567,A81000C,00100,0400,DELTA HEALTH GR 8567,A81000C,00100,0600,OPERATES NRSG H 8567,A81000C,00200,0100,B 8567,A81000C,00200,0200,SEE HCFA 339 8567,A81000C,00200,0400,DELTA DURABLES 8567,A81000C,00200,0600,SUPPLIES 8567,A81000C,00300,0100,B 8567,A81000C,00300,0200,SEE HCFA 339 8567,A81000C,00300,0400,SKYLER DAYTONA 8567,A81000C,00300,0600,PROPERTY LESSOR 8567,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8567,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8567,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8567,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8567,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8567,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8567,B100000,00000,0800,00000MEALS SERVED :DIETARY 8567,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8567,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8567,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8567,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8567,S000000,00100,0200,06/01/2000 8567,S200000,00100,0100,451 SOUTH AMELIA AVENUE 8567,S200000,00200,0100,DELAND 8567,S200000,00200,0200,FL 8567,S200000,00200,0300,32724-0760 8567,S200000,00300,0100,VOLUSIA 8567,S200000,00300,0200,2020 8567,S200000,00300,0300,U 8567,S200000,00400,0100,OAKWOOD GARDEN OF DELAND 8567,S200000,00400,0200,105145 8567,S200000,00400,0300,01/01/1990 8567,S200000,00400,0500,P 8567,S200000,00400,0600,O 8567,S200000,00600,0200,105145 8567,S200000,00600,0300,01/01/1990 8567,S200000,00600,0600,P 8567,S200000,01600,0100,Y 8575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8575,A000000,00300,0000,00300EMPLOYEE BENEFITS 8575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8575,A000000,00700,0000,00700HOUSEKEEPING 8575,A000000,00800,0000,00800DIETARY 8575,A000000,00900,0000,00900NURSING ADMINISTRATION 8575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8575,A000000,01100,0000,01100PHARMACY 8575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8575,A000000,01300,0000,01300SOCIAL SERVICE 8575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8575,A000000,01600,0000,01600SKILLED NURSING FACILITY 8575,A000000,01800,0000,01800NURSING FACILITY 8575,A000000,01810,0000,01810ICF/MR 8575,A000000,02200,0000,02200LABORATORY 8575,A000000,02500,0000,02500PHYSICAL THERAPY 8575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8575,A000000,02700,0000,02700SPEECH PATHOLOGY 8575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8575,A000000,03550,0000,03550FQHC 8575,A000000,05000,0000,05000CORF 8575,A000000,05010,0000,05010CMHC 8575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8575,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8575,A000000,06200,0000,06200PATIENTS LAUNDRY 8575,A81000A,00100,0100,Y 8575,A81000B,00100,0300,DELTA DURABLES 8575,A81000B,00200,0300,DELTA DURABLES 8575,A81000B,00300,0300,DELTA DURABLES 8575,A81000B,00400,0300,DELTA DURABLES 8575,A81000B,00500,0300,DELTA DURABLES 8575,A81000B,00600,0300,DELTA DURABLES 8575,A81000B,00700,0300,DELTA DURABLES 8575,A81000B,00800,0300,DELTA DURABLES 8575,A81000B,00900,0300,DELTA DURABLES 8575,A81000B,01000,0300,DELTA DURABLES 8575,A81000B,01100,0300,H/O ADJUSTMENT 8575,A81000B,01200,0300,H/O ADJUSTMENT 8575,A81000C,00100,0100,B 8575,A81000C,00100,0400,DHG INC. 8575,A81000C,00100,0600,OPERATE NURSING 8575,A81000C,00200,0100,A 8575,A81000C,00200,0200,SEE HCFA 339 8575,A81000C,00200,0400,SUNSHINE LAUNDR 8575,A81000C,00200,0600,LAUNDRY AND LIN 8575,A81000C,00300,0100,A 8575,A81000C,00300,0200,SEE HCFA 339 8575,A81000C,00300,0400,DELTA DURABLES 8575,A81000C,00300,0600,SUPPLIES 8575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8575,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8575,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8575,B100000,00000,0800,00000MEALS SERVED :DIETARY 8575,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8575,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8575,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8575,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8575,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8575,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8575,S000000,00100,0200,06/01/2000 8575,S200000,00100,0100,7900 VENTURE WAY 8575,S200000,00200,0100,BOYNTON BEACH 8575,S200000,00200,0200,FL 8575,S200000,00200,0300,33437- 8575,S200000,00300,0100,WEST PALM BEACH 8575,S200000,00400,0100,BOYNTON HEALTH C.C. 8575,S200000,00400,0200,105146 8575,S200000,00400,0300,07/31/1977 8575,S200000,00400,0500,P 8575,S200000,00400,0600,O 8575,S200000,00600,0200,105146 8575,S200000,00600,0300,07/31/1977 8575,S200000,00600,0600,P 8575,S200000,01600,0100,Y 8575,S200000,02800,0100,Y 8593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8593,A000000,00300,0000,00300EMPLOYEE BENEFITS 8593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8593,A000000,00700,0000,00700HOUSEKEEPING 8593,A000000,00800,0000,00800DIETARY 8593,A000000,00900,0000,00900NURSING ADMINISTRATION 8593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8593,A000000,01100,0000,01100PHARMACY 8593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8593,A000000,01300,0000,01300SOCIAL SERVICE 8593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8593,A000000,01600,0000,01600SKILLED NURSING FACILITY 8593,A000000,01800,0000,01800NURSING FACILITY 8593,A000000,01810,0000,01810ICF/MR 8593,A000000,02200,0000,02200LABORATORY 8593,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8593,A000000,02500,0000,02500PHYSICAL THERAPY 8593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8593,A000000,02700,0000,02700SPEECH PATHOLOGY 8593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8593,A000000,03500,0000,03500RURAL HEALTH CLINIC 8593,A000000,03550,0000,03550FQHC 8593,A000000,05000,0000,05000CORF 8593,A000000,05010,0000,05010CMHC 8593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8593,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8593,A000000,06200,0000,06200PATIENTS LAUNDRY 8593,A81000A,00100,0100,Y 8593,A81000B,00100,0300,DELTA DURABLES 8593,A81000B,00200,0300,DELTA DURABLES 8593,A81000B,00300,0300,DELTA DURABLES 8593,A81000B,00400,0300,DELTA DURABLES 8593,A81000B,00500,0300,DELTA DURABLES 8593,A81000B,00600,0300,DELTA DURABLES 8593,A81000B,00700,0300,DELTA DURABLES 8593,A81000B,00800,0300,DELTA DURABLES 8593,A81000B,00900,0300,DELTA DURABLES 8593,A81000B,01000,0300,DELTA DURABLES 8593,A81000B,01100,0300,DELTA DURABLES 8593,A81000B,01200,0300,DELTA REHAB 8593,A81000B,01300,0300,H/O ADJUSTMENTS 8593,A81000B,01400,0300,H/O ADJUSTMENTS 8593,A81000C,00100,0100,B 8593,A81000C,00100,0400,DELTA HLTH GRP 8593,A81000C,00100,0600,OPERATE NRSNG H 8593,A81000C,00200,0100,A 8593,A81000C,00200,0200,SEE HCFA 8593,A81000C,00200,0400,DELTA REHAB GRP 8593,A81000C,00200,0600,THERAPY 8593,A81000C,00300,0100,A 8593,A81000C,00300,0200,SEE HCFA 8593,A81000C,00300,0400,DELTA DURABLES 8593,A81000C,00300,0600,SUPPLIES 8593,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8593,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8593,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8593,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8593,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8593,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8593,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8593,B100000,00000,0800,00000MEALS SERVED :DIETARY 8593,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8593,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8593,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8593,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8593,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8593,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8593,S000000,00100,0200,06/01/2000 8593,S200000,00100,0100,924 WEST 13TH ST. 8593,S200000,00200,0100,PANAMA CITY 8593,S200000,00200,0200,FL 8593,S200000,00200,0300,32401- 8593,S200000,00300,0100,BAY 8593,S200000,00400,0100,PANAMA CITY NURSING CENTER 8593,S200000,00400,0200,105152 8593,S200000,00400,0300,08/01/1984 8593,S200000,00400,0500,P 8593,S200000,00400,0600,O 8593,S200000,00600,0200,105152 8593,S200000,00600,0300,08/01/1984 8593,S200000,00600,0600,P 8593,S200000,01600,0100,Y 8604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8604,A000000,00300,0000,00300EMPLOYEE BENEFITS 8604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8604,A000000,00700,0000,00700HOUSEKEEPING 8604,A000000,00800,0000,00800DIETARY 8604,A000000,00900,0000,00900NURSING ADMINISTRATION 8604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8604,A000000,01100,0000,01100PHARMACY 8604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8604,A000000,01300,0000,01300SOCIAL SERVICE 8604,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 8604,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8604,A000000,01600,0000,01600SKILLED NURSING FACILITY 8604,A000000,01800,0000,01800NURSING FACILITY 8604,A000000,01810,0000,01810ICF/MR 8604,A000000,01900,0000,01900OTHER LONG TERM CARE 8604,A000000,02100,0000,02100RADIOLOGY 8604,A000000,02200,0000,02200LABORATORY 8604,A000000,02300,0000,02300INTRAVENOUS THERAPY 8604,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8604,A000000,02500,0000,02500PHYSICAL THERAPY 8604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8604,A000000,02700,0000,02700SPEECH PATHOLOGY 8604,A000000,02800,0000,02800ELECTROCARDIOLOGY 8604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8604,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 8604,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8604,A000000,03200,0000,03200SUPPORT SURFACES 8604,A000000,03400,0000,03400CLINIC 8604,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 8604,A000000,03500,0000,03500RURAL HEALTH CLINIC 8604,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8604,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8604,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8604,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8604,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8604,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8604,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8604,A000000,04400,0000,04400DME RENTED - HHA 8604,A000000,04500,0000,04500DME SOLD - HHA 8604,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8604,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8604,A000000,04800,0000,04800AMBULANCE 8604,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8604,A000000,05000,0000,05000CORF 8604,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8604,A000000,05300,0000,05300INTEREST EXPENSE 8604,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8604,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8604,A000000,05500,0000,05500HOSPICE 8604,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8604,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8604,A000000,06100,0000,06100NONPAID WORKERS 8604,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 8604,A000000,06200,0000,06200PATIENTS LAUNDRY 8604,A81000A,00100,0100,Y 8604,A81000B,00100,0300,HOME OFFICE EXPENSE 8604,A81000B,00200,0300,HOME OFFICE EXPENSE 8604,A81000B,00300,0300,POSTAGE 8604,A81000B,00400,0300,LINEN REPLACEMENT 8604,A81000B,00500,0300,FOOD SUPPLEMENTS 8604,A81000B,00600,0300,NURSING SUPPLIES 8604,A81000B,00700,0300,PT SUPPLIES 8604,A81000B,00800,0300,OT SUPPLIES 8604,A81000B,00900,0300,MEDICAL SUPPLIES 8604,A81000C,00100,0100,B 8604,A81000C,00100,0200,SUNBELT LIVING 8604,A81000C,00100,0400,ADVENTIST CARE 8604,A81000C,00100,0600,NURSING HOME CO 8604,A81000C,00200,0100,G 8604,A81000C,00200,0200,SUNBELT LIVING 8604,A81000C,00200,0400,Q-CARE 8604,A81000C,00200,0600,MEDICAL SUPPLY 8604,A81000C,03100,0000,SUNBELT LIVING CENTER - ORLANDO 8604,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8604,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8604,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8604,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8604,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8604,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8604,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8604,B100000,00000,0800,00000MEALS SERVED :DIETARY 8604,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8604,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 8604,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 8604,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8604,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8604,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 8604,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8604,S000000,00100,0200,06/05/2000 8604,S200000,00100,0100,2414 BEDFORD ROAD 8604,S200000,00200,0100,ORLANDO 8604,S200000,00200,0200,FL 8604,S200000,00200,0300,32803- 8604,S200000,00300,0100,ORANGE 8604,S200000,00400,0100,SUNBELT LIVING CENTER-ORLANDO 8604,S200000,00400,0200,105163 8604,S200000,00400,0300,06/03/1968 8604,S200000,00400,0500,P 8604,S200000,01500,0100,Y 8626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8626,A000000,00300,0000,00300EMPLOYEE BENEFITS 8626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8626,A000000,00700,0000,00700HOUSEKEEPING 8626,A000000,00800,0000,00800DIETARY 8626,A000000,00900,0000,00900NURSING ADMINISTRATION 8626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8626,A000000,01100,0000,01100PHARMACY 8626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8626,A000000,01300,0000,01300SOCIAL SERVICE 8626,A000000,01600,0000,01600SKILLED NURSING FACILITY 8626,A000000,01800,0000,01800NURSING FACILITY 8626,A000000,01900,0000,01900OTHER LONG TERM CARE 8626,A000000,02100,0000,02100RADIOLOGY 8626,A000000,02200,0000,02200LABORATORY 8626,A000000,02300,0000,02300INTRAVENOUS THERAPY 8626,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8626,A000000,02500,0000,02500PHYSICAL THERAPY 8626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8626,A000000,02700,0000,02700SPEECH PATHOLOGY 8626,A000000,02800,0000,02800ELECTROCARDIOLOGY 8626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8626,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8626,A000000,03051,0000,03301NUTRITIONAL THERAPY 8626,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 8626,A000000,03053,0000,03303PHYSICIAN SERVICES 8626,A000000,03054,0000,03304MEDICAL SERVICES 8626,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 8626,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8626,A000000,03200,0000,03200SUPPORT SURFACES 8626,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8626,A000000,04800,0000,04800AMBULANCE 8626,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8626,A000000,05300,0000,05300INTEREST EXPENSE 8626,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8626,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8626,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8626,A000000,06100,0000,06100NONPAID WORKERS 8626,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8626,A000000,06200,0000,06200PATIENTS LAUNDRY 8626,A81000A,00100,0100,Y 8626,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 8626,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 8626,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 8626,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 8626,A81000B,00500,0300,REG ALLOCATION RELATED PARTY 8626,A81000B,00600,0300,PLEASE SEE ATTACHED TOTAL 8626,A81000C,00100,0100,B 8626,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 8626,A81000C,00200,0200,A-8-1. 8626,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8626,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8626,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8626,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8626,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8626,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8626,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 8626,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8626,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8626,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8626,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 8626,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8626,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8626,S000000,00100,0200,06/05/2000 8626,S200000,00100,0100,2021 SW FIRST AVENUE 8626,S200000,00200,0100,OCALA 8626,S200000,00200,0200,FL 8626,S200000,00200,0300,34474- 8626,S200000,00300,0100,MARION 8626,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR COVENTRY 8626,S200000,00400,0200,105183 8626,S200000,00400,0300,10/01/1980 8626,S200000,00400,0500,P 8626,S200000,01600,0100,Y 8626,S200000,02200,0100,Y 8626,S700003,00000,0200,2 8633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8633,A000000,00300,0000,00300EMPLOYEE BENEFITS 8633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8633,A000000,00700,0000,00700HOUSEKEEPING 8633,A000000,00800,0000,00800DIETARY 8633,A000000,00900,0000,00900NURSING ADMINISTRATION 8633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8633,A000000,01100,0000,01100PHARMACY 8633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8633,A000000,01300,0000,01300SOCIAL SERVICE 8633,A000000,01350,0000,01500OTHER GENERAL SERVICES 8633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8633,A000000,01600,0000,01600SKILLED NURSING FACILITY 8633,A000000,01800,0000,01800NURSING FACILITY 8633,A000000,01810,0000,01810ICF/MR 8633,A000000,01900,0000,01900OTHER LONG TERM CARE 8633,A000000,02100,0000,02100RADIOLOGY 8633,A000000,02200,0000,02200LABORATORY 8633,A000000,02300,0000,02300INTRAVENOUS THERAPY 8633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8633,A000000,02500,0000,02500PHYSICAL THERAPY 8633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8633,A000000,02700,0000,02700SPEECH PATHOLOGY 8633,A000000,02800,0000,02800ELECTROCARDIOLOGY 8633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8633,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8633,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8633,A000000,03200,0000,03200SUPPORT SURFACES 8633,A000000,03400,0000,03400CLINIC 8633,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8633,A000000,03500,0000,03500RURAL HEALTH CLINIC 8633,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8633,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8633,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8633,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8633,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8633,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8633,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8633,A000000,04400,0000,04400DME RENTED - HHA 8633,A000000,04500,0000,04500DME SOLD - HHA 8633,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8633,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8633,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8633,A000000,04800,0000,04800AMBULANCE 8633,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8633,A000000,05000,0000,05000CORF 8633,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8633,A000000,05300,0000,05300INTEREST EXPENSE 8633,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8633,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8633,A000000,05500,0000,05500HOSPICE 8633,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8633,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8633,A000000,06100,0000,06100NONPAID WORKERS 8633,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8633,A000000,06200,0000,06200PATIENTS LAUNDRY 8633,A81000A,00100,0100,Y 8633,A81000B,00100,0300,HOME OFFICE PROPERTY 8633,A81000B,00200,0300,HOME OFFICE ADMIN. 8633,A81000C,00100,0100,A 8633,A81000C,00100,0200,CHARLES POLLACK 8633,A81000C,00100,0400,FLORIDA HEALTH CARE MGMT 8633,A81000C,00100,0600,MANAGEMENT COMPANY 8633,A81000C,00200,0100,A 8633,A81000C,00200,0200,GEORGE POLLACK 8633,A81000C,00200,0400,FLORIDA HEALTH CARE MGMT 8633,A81000C,00200,0600,MANAGEMENT COMPANY 8633,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8633,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8633,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8633,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8633,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8633,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8633,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8633,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8633,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8633,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8633,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8633,S000000,00100,0200,06/19/2000 8633,S200000,00100,0100,2400 EAST HALLANDALE BOULEVARD 8633,S200000,00200,0100,HALLANDALE 8633,S200000,00200,0200,FL 8633,S200000,00200,0300,33009- 8633,S200000,00300,0100,BROWARD 8633,S200000,00300,0200,2680 8633,S200000,00300,0300,U 8633,S200000,00400,0100,GOLDEN ISLES D/B/A HALLANDALE REHAB 8633,S200000,00400,0200,105186 8633,S200000,00400,0300,09/01/1971 8633,S200000,00400,0500,P 8633,S200000,01600,0100,Y 8652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8652,A000000,00300,0000,00300EMPLOYEE BENEFITS 8652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8652,A000000,00700,0000,00700HOUSEKEEPING 8652,A000000,00800,0000,00800DIETARY 8652,A000000,00900,0000,00900NURSING ADMINISTRATION 8652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8652,A000000,01100,0000,01100PHARMACY 8652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8652,A000000,01300,0000,01300SOCIAL SERVICE 8652,A000000,01350,0000,01500ACTIVITIES 8652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8652,A000000,01600,0000,01600SKILLED NURSING FACILITY 8652,A000000,01800,0000,01800NURSING FACILITY 8652,A000000,01900,0000,01900OTHER LONG TERM CARE 8652,A000000,02100,0000,02100RADIOLOGY 8652,A000000,02200,0000,02200LABORATORY 8652,A000000,02300,0000,02300INTRAVENOUS THERAPY 8652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8652,A000000,02500,0000,02500PHYSICAL THERAPY 8652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8652,A000000,02700,0000,02700SPEECH PATHOLOGY 8652,A000000,02800,0000,02800ELECTROCARDIOLOGY 8652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8652,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8652,A000000,03200,0000,03200SUPPORT SURFACES 8652,A000000,03400,0000,03400CLINIC 8652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8652,A000000,03500,0000,03500RURAL HEALTH CLINIC 8652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8652,A000000,04400,0000,04400DME RENTED - HHA 8652,A000000,04500,0000,04500DME SOLD - HHA 8652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8652,A000000,04800,0000,04800AMBULANCE 8652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8652,A000000,05000,0000,05000CORF 8652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8652,A000000,05300,0000,05300INTEREST EXPENSE 8652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8652,A000000,05500,0000,05500HOSPICE 8652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8652,A000000,06100,0000,06100NONPAID WORKERS 8652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8652,A000000,06200,0000,06200PATIENTS LAUNDRY 8652,A81000A,00100,0100,Y 8652,A81000B,00100,0300,MANAGEMENT FEE 8652,A81000B,00200,0300,HOME OFFICE CAPITAL 8652,A81000B,00300,0300,RENT 8652,A81000C,00100,0100,A 8652,A81000C,00100,0200,H. CHADWICK/J. CHADWICK 8652,A81000C,00100,0400,CARTERET MANAGEMENT 8652,A81000C,00100,0600,HEALTH CARE MANAGEMENT 8652,A81000C,00200,0100,A 8652,A81000C,00200,0200,H. CHADWICK/J. CHADWICK 8652,A81000C,00200,0400,CARTERET MANAGEMENT 8652,A81000C,00200,0600,HEALTH CARE MANAGEMENT 8652,A81000C,00300,0100,A 8652,A81000C,00300,0200,H. CHADWICK/J. CHADWICK 8652,A81000C,00300,0600,BUILDING RENTAL 8652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8652,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 8652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8652,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8652,B100000,00000,0750,00000SQUARE FT (MOD) :HOUSEKEEPING 8652,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8652,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8652,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8652,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8652,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8652,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8652,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 8652,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8652,S000000,00100,0200,05/31/2000 8652,S200000,00100,0100,550 9TH AVENUE SOUTH 8652,S200000,00200,0100,ST. PETERSBURG 8652,S200000,00200,0200,FL 8652,S200000,00200,0300,33701- 8652,S200000,00300,0100,PINELLAS 8652,S200000,00400,0100,THE LAURELS REHABILITATION 8652,S200000,00400,0200,105198 8652,S200000,00400,0300,09/01/1988 8652,S200000,00400,0500,P 8652,S200000,01600,0100,Y 8672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8672,A000000,00300,0000,00300EMPLOYEE BENEFITS 8672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8672,A000000,00700,0000,00700HOUSEKEEPING 8672,A000000,00800,0000,00800DIETARY 8672,A000000,00900,0000,00900NURSING ADMINISTRATION 8672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8672,A000000,01100,0000,01100PHARMACY 8672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8672,A000000,01300,0000,01300SOCIAL SERVICE 8672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8672,A000000,01600,0000,01600SKILLED NURSING FACILITY 8672,A000000,01800,0000,01800NURSING FACILITY 8672,A000000,01810,0000,01810ICF/MR 8672,A000000,02200,0000,02200LABORATORY 8672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8672,A000000,02500,0000,02500PHYSICAL THERAPY 8672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8672,A000000,02700,0000,02700SPEECH PATHOLOGY 8672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8672,A000000,03550,0000,03550FQHC 8672,A000000,05000,0000,05000CORF 8672,A000000,05010,0000,05010CMHC 8672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8672,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8672,A000000,06200,0000,06200PATIENTS LAUNDRY 8672,A81000A,00100,0100,Y 8672,A81000B,00100,0300,HOME OFFICE COSTS 8672,A81000B,00200,0300,HOME OFFICE COSTS 8672,A81000B,00300,0300,SUPPLIES 8672,A81000B,00400,0300,SUPPLIES 8672,A81000B,00500,0300,SUPPLIES 8672,A81000B,00600,0300,SUPPLIES 8672,A81000B,00700,0300,SUPPLIES 8672,A81000B,00800,0300,SUPPLIES 8672,A81000B,00900,0300,SUPPLIES 8672,A81000B,01000,0300,SUPPLIES 8672,A81000B,01100,0300,SUPPLIES 8672,A81000B,01200,0300,SUPPLIES 8672,A81000C,00100,0100,A 8672,A81000C,00100,0200,SEE HCFA 339 8672,A81000C,00100,0400,DELTA HLTH GRP 8672,A81000C,00100,0600,NRSG HOME OPERA 8672,A81000C,00200,0100,A 8672,A81000C,00200,0200,SEE HCFA 339 8672,A81000C,00200,0400,DELTA DURABLES 8672,A81000C,00200,0600,SUPPLIES 8672,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8672,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8672,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8672,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8672,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8672,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8672,B100000,00000,0800,00000MEALS SERVED :DIETARY 8672,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8672,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8672,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8672,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8672,S000000,00100,0200,06/01/2000 8672,S200000,00100,0100,1415 SOUTH HICKORY STREET 8672,S200000,00200,0100,MELBOURNE 8672,S200000,00200,0200,FL 8672,S200000,00200,0300,32901- 8672,S200000,00300,0100,BREVARD 8672,S200000,00300,0200,4900 8672,S200000,00300,0300,U 8672,S200000,00400,0100,CARNEGIE GARDENS NURSING CENTER 8672,S200000,00400,0200,105207 8672,S200000,00400,0300,02/26/1973 8672,S200000,00400,0500,P 8672,S200000,00400,0600,O 8672,S200000,00600,0200,105207 8672,S200000,00600,0300,02/26/1973 8672,S200000,00600,0600,P 8672,S200000,01600,0100,Y 8677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8677,A000000,00300,0000,00300EMPLOYEE BENEFITS 8677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8677,A000000,00700,0000,00700HOUSEKEEPING 8677,A000000,00800,0000,00800DIETARY 8677,A000000,00900,0000,00900NURSING ADMINISTRATION 8677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8677,A000000,01100,0000,01100PHARMACY 8677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8677,A000000,01600,0000,01600SKILLED NURSING FACILITY 8677,A000000,02100,0000,02100RADIOLOGY 8677,A000000,02200,0000,02200LABORATORY 8677,A000000,02500,0000,02500PHYSICAL THERAPY 8677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8677,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8677,A81000A,00100,0100,Y 8677,A81000B,00100,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00200,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00300,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00400,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00500,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00600,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00700,0300,HOSPITAL ALLOCATION 8677,A81000B,00800,0300,HOSPITAL ALLOCATIONS 8677,A81000B,00900,0300,HOSPITAL ALLOCATIONS 8677,A81000B,01000,0300,HOSPITAL ALLOCATIONS 8677,A81000B,01100,0300,HOSPITAL ALLOCATIONS 8677,A81000C,00100,0100,B 8677,A81000C,00100,0200,BAKER COUNTY 8677,A81000C,00100,0400,ED FRASER HOSP 8677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8677,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8677,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 8677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8677,B100000,00000,0650,00000LAUNDRY :LAUNDRY & LINEN SERVICE 8677,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8677,B100000,00000,0800,00000MEALS :DIETARY 8677,B100000,00000,0950,00000NURSING FTE :NURSING ADMINISTRATIO 8677,B100000,00000,1000,00000COSTED REQS :CENTRAL SERVICES & SU 8677,B100000,00000,1100,00000COSTED REQS :PHARMACY 8677,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 8677,S000000,00100,0200,12/28/1999 8677,S200000,00100,0100,159 NORTH 3RD STREET 8677,S200000,00200,0100,MACCLENNY 8677,S200000,00200,0200,FL 8677,S200000,00200,0300,32063- 8677,S200000,00300,0100,BAKER 8677,S200000,00400,0100,W. FRANK WELLS NURSING HOME 8677,S200000,00400,0200,105210 8677,S200000,00400,0300,03/18/1990 8677,S200000,00400,0500,P 8677,S200000,01500,0100,Y 8677,S200000,02200,0100,Y 8699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8699,A000000,00300,0000,00300EMPLOYEE BENEFITS 8699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8699,A000000,00700,0000,00700HOUSEKEEPING 8699,A000000,00800,0000,00800DIETARY 8699,A000000,00900,0000,00900NURSING ADMINISTRATION 8699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8699,A000000,01100,0000,01100PHARMACY 8699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8699,A000000,01300,0000,01300SOCIAL SERVICE 8699,A000000,01350,0000,01500OTHER GENERAL SERVICES 8699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8699,A000000,01600,0000,01600SKILLED NURSING FACILITY 8699,A000000,01800,0000,01800NURSING FACILITY 8699,A000000,01810,0000,01810ICF/MR 8699,A000000,01900,0000,01900OTHER LONG TERM CARE 8699,A000000,02100,0000,02100RADIOLOGY 8699,A000000,02200,0000,02200LABORATORY 8699,A000000,02300,0000,02300INTRAVENOUS THERAPY 8699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8699,A000000,02500,0000,02500PHYSICAL THERAPY 8699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8699,A000000,02700,0000,02700SPEECH PATHOLOGY 8699,A000000,02800,0000,02800ELECTROCARDIOLOGY 8699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8699,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8699,A000000,03200,0000,03200SUPPORT SURFACES 8699,A000000,03400,0000,03400CLINIC 8699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8699,A000000,03500,0000,03500RURAL HEALTH CLINIC 8699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8699,A000000,04800,0000,04800AMBULANCE 8699,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8699,A000000,05000,0000,05000CORF 8699,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8699,A000000,05300,0000,05300INTEREST EXPENSE 8699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8699,A000000,05500,0000,05500HOSPICE 8699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8699,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8699,A000000,06100,0000,06100NONPAID WORKERS 8699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8699,A000000,06200,0000,06200PATIENTS LAUNDRY 8699,A81000A,00100,0100,Y 8699,A81000B,00100,0300,MANAGEMENT FEES 8699,A81000C,00100,0100,D 8699,A81000C,00100,0200,GEORGE WAGNER JR 8699,A81000C,00100,0400,NATIONAL ASSISTED LIVING 8699,A81000C,00100,0600,HEALTHCARE MGMT SVCS 8699,A81000C,00200,0100,D 8699,A81000C,00200,0200,ALAN PARRISH 8699,A81000C,00200,0400,NATIONAL ASSISTED LIVING 8699,A81000C,00200,0600,HEALTHCARE MGMT SVCS 8699,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 8699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8699,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 8699,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8699,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 8699,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8699,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 8699,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8699,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8699,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8699,S000000,00100,0200,06/28/2000 8699,S200000,00100,0100,3500 OAK MANOR LANE 8699,S200000,00200,0100,LARGO 8699,S200000,00200,0200,FL 8699,S200000,00200,0300,33774- 8699,S200000,00300,0100,PINELLAS 8699,S200000,00300,0200,8280 8699,S200000,00300,0300,U 8699,S200000,00400,0100,OAK MANOR NURSING CENTER 8699,S200000,00400,0200,105248 8699,S200000,00400,0300,07/01/1990 8699,S200000,00400,0500,P 8699,S200000,01004,0500,O 8699,S200000,01600,0100,Y 8719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8719,A000000,00300,0000,00300EMPLOYEE BENEFITS 8719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8719,A000000,00700,0000,00700HOUSEKEEPING 8719,A000000,00800,0000,00800DIETARY 8719,A000000,00900,0000,00900NURSING ADMINISTRATION 8719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8719,A000000,01300,0000,01300SOCIAL SERVICE 8719,A000000,01350,0000,01500RECREATIONAL THERAPY 8719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8719,A000000,01600,0000,01600SKILLED NURSING FACILITY 8719,A000000,01900,0000,01900OTHER LONG TERM CARE 8719,A000000,02500,0000,02500PHYSICAL THERAPY 8719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8719,A000000,02700,0000,02700SPEECH PATHOLOGY 8719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8719,A000000,05000,0000,05000CORF 8719,A000000,05010,0000,05010CMHC 8719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8719,A000000,06150,0000,06300DIALYSIS 8719,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8719,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8719,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8719,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8719,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8719,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8719,B100000,00000,0800,00000MEALS SERVED :DIETARY 8719,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8719,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 8719,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8719,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8719,B100000,00000,1350,00000SQUARE FEET :RECREATIONAL THERAPY 8719,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8719,S000000,00100,0200,02/29/2000 8719,S200000,00100,0100,19560 OLD CUTLER ROAD 8719,S200000,00200,0100,MIAMI 8719,S200000,00200,0200,FL 8719,S200000,00200,0300,33157- 8719,S200000,00300,0100,MIAMI-DADE 8719,S200000,00400,0100,PERDUE MEDICAL CENTER 8719,S200000,00400,0200,105252 8719,S200000,00400,0300,09/16/1971 8719,S200000,00400,0500,P 8719,S200000,01500,0100,Y 8719,S200000,02800,0100,Y 8726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8726,A000000,00300,0000,00300EMPLOYEE BENEFITS 8726,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL 8726,A000000,00402,0000,00402ADMIN & GENERAL COMBINED 8726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8726,A000000,00700,0000,00700HOUSEKEEPING 8726,A000000,00800,0000,00800DIETARY 8726,A000000,00900,0000,00900NURSING ADMINISTRATION 8726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8726,A000000,01100,0000,01100PHARMACY 8726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8726,A000000,01300,0000,01300SOCIAL SERVICE 8726,A000000,01350,0000,01500OTHER GENERAL SERVICES 8726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8726,A000000,01600,0000,01600SKILLED NURSING FACILITY 8726,A000000,01800,0000,01800NURSING FACILITY 8726,A000000,01810,0000,01810ICF/MR 8726,A000000,01900,0000,01900OTHER LONG TERM CARE 8726,A000000,02100,0000,02100RADIOLOGY 8726,A000000,02200,0000,02200LABORATORY 8726,A000000,02300,0000,02300INTRAVENOUS THERAPY 8726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8726,A000000,02500,0000,02500PHYSICAL THERAPY 8726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8726,A000000,02700,0000,02700SPEECH PATHOLOGY 8726,A000000,02800,0000,02800ELECTROCARDIOLOGY 8726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8726,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8726,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8726,A000000,03200,0000,03200SUPPORT SURFACES 8726,A000000,03400,0000,03400CLINIC 8726,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8726,A000000,03500,0000,03500RURAL HEALTH CLINIC 8726,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8726,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8726,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8726,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8726,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8726,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8726,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8726,A000000,04400,0000,04400DME RENTED - HHA 8726,A000000,04500,0000,04500DME SOLD - HHA 8726,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8726,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8726,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8726,A000000,04800,0000,04800AMBULANCE 8726,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8726,A000000,05000,0000,05000CORF 8726,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8726,A000000,05300,0000,05300INTEREST EXPENSE 8726,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8726,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8726,A000000,05500,0000,05500HOSPICE 8726,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8726,A000000,05801,0000,05801ADULT DAY CARE 8726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8726,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8726,A000000,06100,0000,06100NONPAID WORKERS 8726,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8726,A000000,06200,0000,06200PATIENTS LAUNDRY 8726,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8726,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8726,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8726,B100000,00000,0401,00000SNF ACCUM. :ADMINISTRATIVE & GENER 8726,B100000,00000,0402,00000 ACCUM. COST :ADMIN & GENERAL COMBI 8726,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8726,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8726,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8726,B100000,00000,0800,00000MEALS SERVED :DIETARY 8726,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8726,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8726,B100000,00000,1150,00000NO STATISTICS :PHARMACY 8726,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8726,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8726,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8726,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 8726,S000000,00100,0200,06/13/2000 8726,S200000,00100,0100,631SW SIXTH STREET 8726,S200000,00200,0100,POMPANO BEACH 8726,S200000,00200,0200,FL 8726,S200000,00200,0300,33060- 8726,S200000,00300,0100,BROWARD 8726,S200000,00400,0100,JOHN KNOX VILLAGE OF FLORIDA INC 8726,S200000,00400,0200,105255 8726,S200000,00400,0300,09/01/1982 8726,S200000,00400,0500,P 8726,S200000,00800,0200,107525 8726,S200000,00800,0300,06/12/1996 8726,S200000,00800,0500,P 8726,S200000,01600,0100,Y 8750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8750,A000000,00300,0000,00300EMPLOYEE BENEFITS 8750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8750,A000000,00700,0000,00700HOUSEKEEPING 8750,A000000,00800,0000,00800DIETARY 8750,A000000,00900,0000,00900NURSING ADMINISTRATION 8750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8750,A000000,01100,0000,01100PHARMACY 8750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8750,A000000,01300,0000,01300SOCIAL SERVICE 8750,A000000,01350,0000,01500ACTIVITIES 8750,A000000,01600,0000,01600SKILLED NURSING FACILITY 8750,A000000,01800,0000,01800NURSING FACILITY 8750,A000000,02100,0000,02100RADIOLOGY 8750,A000000,02200,0000,02200LABORATORY 8750,A000000,02300,0000,02300INTRAVENOUS THERAPY 8750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8750,A000000,02500,0000,02500PHYSICAL THERAPY 8750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8750,A000000,02700,0000,02700SPEECH PATHOLOGY 8750,A000000,02800,0000,02800ELECTROCARDIOLOGY 8750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8750,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8750,A000000,03400,0000,03400CLINIC 8750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 8750,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8750,A000000,04800,0000,04800AMBULANCE 8750,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8750,A000000,05300,0000,05300INTEREST EXPENSE 8750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8750,A81000A,00100,0100,Y 8750,A81000B,00100,0300,REL CO - EMP H & W 8750,A81000B,00200,0300,REL CO - ADMIN & GENERAL 8750,A81000B,00300,0300,REL CO - OPER & MAINT 8750,A81000B,00400,0300,REL CO - HOUSEKEEPING 8750,A81000B,00500,0300,REL CO - DIETARY 8750,A81000B,00600,0300,REL CO - SOCIAL SERVICE 8750,A81000B,00700,0300,REL CO - NURSING 8750,A81000B,00800,0300,REL CO - CENTRAL SUPPLIES 8750,A81000B,00900,0300,DEPR-BUILDING & FIXTURES 8750,A81000B,01000,0300,DEPR-MOVEABLE EQUIPMENT 8750,A81000C,00100,0100,B 8750,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 8750,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 8750,A81000C,00100,0600,REALTY & MANAGEMENT 8750,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8750,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8750,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8750,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8750,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8750,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8750,B100000,00000,0800,00000MEALS SERVED :DIETARY 8750,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 8750,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 8750,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8750,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8750,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8750,B100000,00000,1350,00000NO. OF PARTIC :ACTIVITIES 8750,S000000,00100,0200,05/31/2000 8750,S200000,00100,0100,1500 PALM BEACH RD. 8750,S200000,00200,0100,STUART 8750,S200000,00200,0200,FL 8750,S200000,00200,0300,34994- 8750,S200000,00300,0100,MARTIN 8750,S200000,00400,0100,STUART NURSING & RESTOR CARE CTR 8750,S200000,00400,0200,105277 8750,S200000,00400,0300,06/01/1973 8750,S200000,00400,0500,P 8750,S200000,01500,0100,Y 8763,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8763,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8763,A000000,00300,0000,00300EMPLOYEE BENEFITS 8763,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8763,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8763,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8763,A000000,00700,0000,00700HOUSEKEEPING 8763,A000000,00800,0000,00800DIETARY 8763,A000000,00900,0000,00900NURSING ADMINISTRATION 8763,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8763,A000000,01100,0000,01100PHARMACY 8763,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8763,A000000,01300,0000,01300SOCIAL SERVICE 8763,A000000,01350,0000,01500OTHER GENERAL SERVICES 8763,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8763,A000000,01600,0000,01600SKILLED NURSING FACILITY 8763,A000000,01800,0000,01800NURSING FACILITY 8763,A000000,01900,0000,01900OTHER LONG TERM CARE 8763,A000000,02100,0000,02100RADIOLOGY 8763,A000000,02200,0000,02200LABORATORY 8763,A000000,02300,0000,02300INTRAVENOUS THERAPY 8763,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8763,A000000,02500,0000,02500PHYSICAL THERAPY 8763,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8763,A000000,02700,0000,02700SPEECH PATHOLOGY 8763,A000000,02800,0000,02800ELECTROCARDIOLOGY 8763,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8763,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8763,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8763,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8763,A000000,03200,0000,03200SUPPORT SURFACES 8763,A000000,03400,0000,03400CLINIC 8763,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8763,A000000,03500,0000,03500RURAL HEALTH CLINIC 8763,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8763,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8763,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8763,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8763,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8763,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8763,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8763,A000000,04400,0000,04400DME RENTED - HHA 8763,A000000,04500,0000,04500DME SOLD - HHA 8763,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8763,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8763,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8763,A000000,04800,0000,04800AMBULANCE 8763,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8763,A000000,05000,0000,05000CORF 8763,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8763,A000000,05300,0000,05300INTEREST EXPENSE 8763,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8763,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8763,A000000,05500,0000,05500HOSPICE 8763,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8763,A000000,05801,0000,05801BARBER & BEAUTY SHOP 8763,A000000,05901,0000,05901PART B PPS THERAPIES 8763,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8763,A000000,06100,0000,06100NONPAID WORKERS 8763,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8763,A000000,06200,0000,06200PATIENTS LAUNDRY 8763,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8763,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 8763,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8763,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8763,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8763,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8763,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8763,B100000,00000,0800,00000MEALS SERVED :DIETARY 8763,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 8763,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 8763,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8763,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8763,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8763,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8763,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8763,S000000,00100,0200,10/13/2000 8763,S200000,00100,0300,549 8763,S200000,00200,0100,CRAWFORDVILLE 8763,S200000,00200,0200,FL 8763,S200000,00200,0300,32327- 8763,S200000,00300,0100,WAKULLA 8763,S200000,00400,0100,CLC EDEN SPRINGS 8763,S200000,00400,0200,105282 8763,S200000,00400,0300,05/31/1974 8763,S200000,00400,0500,P 8763,S200000,00600,0200,105282 8763,S200000,00600,0300,05/31/1974 8763,S200000,00600,0600,P 8763,S200000,01004,0500,O 8763,S200000,01600,0100,Y 8773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8773,A000000,00300,0000,00300EMPLOYEE BENEFITS 8773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8773,A000000,00700,0000,00700HOUSEKEEPING 8773,A000000,00800,0000,00800DIETARY 8773,A000000,00900,0000,00900NURSING ADMINISTRATION 8773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8773,A000000,01300,0000,01300SOCIAL SERVICE 8773,A000000,01600,0000,01600SKILLED NURSING FACILITY 8773,A000000,01800,0000,01800NURSING FACILITY 8773,A000000,02100,0000,02100RADIOLOGY 8773,A000000,02200,0000,02200LABORATORY 8773,A000000,02300,0000,02300INTRAVENOUS THERAPY 8773,A000000,02500,0000,02500PHYSICAL THERAPY 8773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8773,A000000,02700,0000,02700SPEECH PATHOLOGY 8773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8773,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8773,A000000,05300,0000,05300INTEREST EXPENSE 8773,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8773,A81000A,00100,0100,Y 8773,A81000B,00100,0300,GROUP INSURANCE 8773,A81000B,00200,0300,WORKERS COMPENSATION 8773,A81000C,00100,0100,B 8773,A81000C,00100,0200,R. BRENT MAGGIO 8773,A81000C,00100,0400,NATL BENEFIT RESOURCE AD 8773,A81000C,00100,0600,EMPLOYEE BENEFIT INS CO 8773,A81000C,00200,0100,B 8773,A81000C,00200,0200,R. BRENT MAGGIO 8773,A81000C,00200,0400,NATL BENEFIT RESOURCE AD 8773,A81000C,00200,0600,EMPLOYEE BENEFIT INS CO 8773,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8773,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8773,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8773,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8773,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 8773,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8773,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 8773,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 8773,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 8773,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 8773,S000000,00100,0200,07/07/2000 8773,S200000,00100,0100,2601 HYDE PARK BLVD 8773,S200000,00200,0100,JACKSONVILLE 8773,S200000,00200,0200,FL 8773,S200000,00200,0300,32210- 8773,S200000,00300,0100,DUVAL 8773,S200000,00400,0100,CEDAR HILLS NURSING CENTER 8773,S200000,00400,0200,105287 8773,S200000,00400,0300,03/01/1980 8773,S200000,00400,0500,P 8773,S200000,01600,0100,Y 8783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8783,A000000,00300,0000,00300EMPLOYEE BENEFITS 8783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8783,A000000,00700,0000,00700HOUSEKEEPING 8783,A000000,00800,0000,00800DIETARY 8783,A000000,00900,0000,00900NURSING ADMINISTRATION 8783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8783,A000000,01100,0000,01100PHARMACY 8783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8783,A000000,01300,0000,01300SOCIAL SERVICE 8783,A000000,01350,0000,01500OTHER GENERAL SERVICES 8783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8783,A000000,01600,0000,01600SKILLED NURSING FACILITY 8783,A000000,01800,0000,01800NURSING FACILITY 8783,A000000,01900,0000,01900OTHER LONG TERM CARE 8783,A000000,02100,0000,02100RADIOLOGY 8783,A000000,02200,0000,02200LABORATORY 8783,A000000,02300,0000,02300INTRAVENOUS THERAPY 8783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8783,A000000,02500,0000,02500PHYSICAL THERAPY 8783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8783,A000000,02700,0000,02700SPEECH PATHOLOGY 8783,A000000,02800,0000,02800ELECTROCARDIOLOGY 8783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8783,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8783,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8783,A000000,03200,0000,03200SUPPORT SURFACES 8783,A000000,03400,0000,03400CLINIC 8783,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8783,A000000,03500,0000,03500RURAL HEALTH CLINIC 8783,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8783,A000000,04800,0000,04800AMBULANCE 8783,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8783,A000000,05000,0000,05000CORF 8783,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8783,A000000,05300,0000,05300INTEREST EXPENSE 8783,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8783,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8783,A000000,05500,0000,05500HOSPICE 8783,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8783,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8783,A000000,06100,0000,06100NONPAID WORKERS 8783,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8783,A000000,06200,0000,06200PATIENTS LAUNDRY 8783,A81000A,00100,0100,Y 8783,A81000B,00100,0300,DEPRECIATION EXPENSE 8783,A81000C,00100,0100,B 8783,A81000C,00100,0400,THE OAKS OF CLEARWATER 8783,A81000C,00100,0600,RETIREMENT COMMUNITY 8783,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8783,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8783,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8783,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8783,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8783,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8783,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8783,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8783,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8783,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8783,S000000,00100,0200,06/01/2000 8783,S200000,00100,0100,210 OSCEOLA AVENUE 8783,S200000,00200,0100,CLEARWATER 8783,S200000,00200,0200,FL 8783,S200000,00200,0300,34616- 8783,S200000,00300,0100,PINELLAS 8783,S200000,00300,0200,8280 8783,S200000,00300,0300,U 8783,S200000,00400,0100,OAK COVE HEALTH CENTER 8783,S200000,00400,0200,105294 8783,S200000,00400,0300,07/01/1966 8783,S200000,00400,0500,P 8783,S200000,01004,0500,O 8783,S200000,01500,0100,Y 8800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8800,A000000,00300,0000,00300EMPLOYEE BENEFITS 8800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8800,A000000,00700,0000,00700HOUSEKEEPING 8800,A000000,00800,0000,00800DIETARY 8800,A000000,00900,0000,00900NURSING ADMINISTRATION 8800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8800,A000000,01100,0000,01100PHARMACY 8800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8800,A000000,01300,0000,01300SOCIAL SERVICE 8800,A000000,01350,0000,01500OTHER GENERAL SERVICES 8800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8800,A000000,01600,0000,01600SKILLED NURSING FACILITY 8800,A000000,01800,0000,01800NURSING FACILITY 8800,A000000,01810,0000,01810ICF/MR 8800,A000000,01900,0000,01900OTHER LONG TERM CARE 8800,A000000,02100,0000,02100RADIOLOGY 8800,A000000,02200,0000,02200LABORATORY 8800,A000000,02300,0000,02300INTRAVENOUS THERAPY 8800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8800,A000000,02500,0000,02500PHYSICAL THERAPY 8800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8800,A000000,02700,0000,02700SPEECH PATHOLOGY 8800,A000000,02800,0000,02800ELECTROCARDIOLOGY 8800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8800,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8800,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8800,A000000,03200,0000,03200SUPPORT SURFACES 8800,A000000,03400,0000,03400CLINIC 8800,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8800,A000000,03500,0000,03500RURAL HEALTH CLINIC 8800,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8800,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8800,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8800,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8800,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8800,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8800,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8800,A000000,04400,0000,04400DME RENTED - HHA 8800,A000000,04500,0000,04500DME SOLD - HHA 8800,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8800,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8800,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8800,A000000,04800,0000,04800AMBULANCE 8800,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8800,A000000,05000,0000,05000CORF 8800,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8800,A000000,05300,0000,05300INTEREST EXPENSE 8800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8800,A000000,05500,0000,05500HOSPICE 8800,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8800,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8800,A000000,06100,0000,06100NONPAID WORKERS 8800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8800,A000000,06200,0000,06200PATIENTS LAUNDRY 8800,A81000A,00100,0100,Y 8800,A81000B,00100,0300,MANAGEMENT FEES 8800,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 8800,A81000C,00100,0100,A 8800,A81000C,00100,0200,GEORGE WAGNER 8800,A81000C,00100,0400,LSL MGMT CORPORATION 8800,A81000C,00100,0600,HEALTHCARE MGMT 8800,A81000C,00200,0100,A 8800,A81000C,00200,0200,TOM RAWLES 8800,A81000C,00200,0400,LSL MGMT CORPORATION 8800,A81000C,00200,0600,HEALTHCARE MGMT 8800,A81000C,00300,0100,A 8800,A81000C,00300,0200,ALAN PARRISH 8800,A81000C,00300,0400,LSL MGMT CORPORATION 8800,A81000C,00300,0600,HEALTHCARE MGMT 8800,A81000C,00400,0100,E 8800,A81000C,00400,0200,SHARON OSWALD 8800,A81000C,00400,0400,LSL MGMT CORPORATION 8800,A81000C,00400,0600,HEALTHCARE MGMT 8800,A81000C,00500,0100,E 8800,A81000C,00600,0100,E 8800,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 8800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8800,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 8800,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8800,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 8800,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8800,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 8800,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8800,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8800,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8800,S000000,00100,0200,07/27/2000 8800,S200000,00100,0100,440 PHIPPEN ROAD 8800,S200000,00200,0100,DANIA 8800,S200000,00200,0200,FL 8800,S200000,00200,0300,33004- 8800,S200000,00300,0100,BROWARD 8800,S200000,00300,0200,2680 8800,S200000,00300,0300,U 8800,S200000,00400,0100,DANIA NURSING HOME 8800,S200000,00400,0200,105296 8800,S200000,00400,0300,08/01/1995 8800,S200000,00400,0500,P 8800,S200000,01004,0500,O 8800,S200000,01600,0100,Y 8810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8810,A000000,00300,0000,00300EMPLOYEE BENEFITS 8810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8810,A000000,00700,0000,00700HOUSEKEEPING 8810,A000000,00800,0000,00800DIETARY 8810,A000000,00900,0000,00900NURSING ADMINISTRATION 8810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8810,A000000,01100,0000,01100PHARMACY 8810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8810,A000000,01300,0000,01300SOCIAL SERVICE 8810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8810,A000000,01600,0000,01600SKILLED NURSING FACILITY 8810,A000000,01800,0000,01800NURSING FACILITY 8810,A000000,01810,0000,01810ICF/MR 8810,A000000,02100,0000,02100RADIOLOGY 8810,A000000,02200,0000,02200LABORATORY 8810,A000000,02300,0000,02300INTRAVENOUS THERAPY 8810,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8810,A000000,02500,0000,02500PHYSICAL THERAPY 8810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8810,A000000,02700,0000,02700SPEECH PATHOLOGY 8810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8810,A000000,03550,0000,03550FQHC 8810,A000000,05000,0000,05000CORF 8810,A000000,05010,0000,05010CMHC 8810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8810,A000000,05300,0000,05300INTEREST EXPENSE 8810,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8810,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8810,A81000A,00100,0100,Y 8810,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 8810,A81000C,00100,0100,B 8810,A81000C,00100,0200,LENOX HEALTHCAR 8810,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 8810,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 8810,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8810,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 8810,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 8810,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 8810,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 8810,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 8810,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 8810,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 8810,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 8810,S000000,00100,0200,05/30/2000 8810,S200000,00100,0100,1114 CHATMAN BLVD. 8810,S200000,00100,0300,10255 8810,S200000,00200,0100,BROOKSVILLE 8810,S200000,00200,0200,FL 8810,S200000,00200,0300,34603- 8810,S200000,00300,0100,HERNANDO 8810,S200000,00300,0200,8280 8810,S200000,00300,0300,U 8810,S200000,00400,0100,BROOKSVILLE NURSING MANOR 8810,S200000,00400,0200,105297 8810,S200000,00400,0300,10/01/1973 8810,S200000,00400,0500,P 8810,S200000,00600,0200,105297 8810,S200000,00600,0300,10/01/1973 8810,S200000,00600,0600,P 8810,S200000,01600,0100,Y 8821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8821,A000000,00300,0000,00300EMPLOYEE BENEFITS 8821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8821,A000000,00700,0000,00700HOUSEKEEPING 8821,A000000,00800,0000,00800DIETARY 8821,A000000,00900,0000,00900NURSING ADMINISTRATION 8821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8821,A000000,01100,0000,01100PHARMACY 8821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8821,A000000,01300,0000,01300SOCIAL SERVICE 8821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8821,A000000,01600,0000,01600SKILLED NURSING FACILITY 8821,A000000,01800,0000,01800NURSING FACILITY 8821,A000000,01810,0000,01810ICF/MR 8821,A000000,02100,0000,02100RADIOLOGY 8821,A000000,02200,0000,02200LABORATORY 8821,A000000,02300,0000,02300INTRAVENOUS THERAPY 8821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8821,A000000,02500,0000,02500PHYSICAL THERAPY 8821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8821,A000000,02700,0000,02700SPEECH PATHOLOGY 8821,A000000,02800,0000,02800ELECTROCARDIOLOGY 8821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8821,A000000,03550,0000,03550FQHC 8821,A000000,05000,0000,05000CORF 8821,A000000,05010,0000,05010CMHC 8821,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8821,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8821,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8821,A000000,05300,0000,05300INTEREST EXPENSE 8821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8821,A000000,06200,0000,06200PATIENTS LAUNDRY 8821,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 8821,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 8821,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 8821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8821,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 8821,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 8821,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 8821,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 8821,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 8821,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 8821,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 8821,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 8821,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 8821,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8821,S000000,00100,0200,05/26/2000 8821,S200000,00100,0100,2000 EAST COMMERCIAL BLVD. 8821,S200000,00100,0300,24550 8821,S200000,00200,0100,FT. LAUDERDALE 8821,S200000,00200,0200,FL 8821,S200000,00200,0300,33308- 8821,S200000,00300,0100,BROWARD 8821,S200000,00400,0100,FORT LAUDERDALE 8821,S200000,00400,0200,105298 8821,S200000,00400,0300,10/27/1976 8821,S200000,00400,0500,P 8821,S200000,00600,0200,105298 8821,S200000,00600,0300,10/27/1976 8821,S200000,00600,0600,P 8821,S200000,01600,0100,Y 8821,S200000,02200,0100,Y 8837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8837,A000000,00300,0000,00300EMPLOYEE BENEFITS 8837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8837,A000000,00700,0000,00700HOUSEKEEPING 8837,A000000,00800,0000,00800DIETARY 8837,A000000,00900,0000,00900NURSING ADMINISTRATION 8837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8837,A000000,01300,0000,01300SOCIAL SERVICE 8837,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 8837,A000000,01600,0000,01600SKILLED NURSING FACILITY 8837,A000000,01800,0000,01800NURSING FACILITY 8837,A000000,02200,0000,02200LABORATORY 8837,A000000,02500,0000,02500PHYSICAL THERAPY 8837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8837,A000000,02700,0000,02700SPEECH PATHOLOGY 8837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8837,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8837,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8837,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8837,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8837,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8837,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8837,B100000,00000,0800,00000MEALS SERVED :DIETARY 8837,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8837,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8837,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8837,B100000,00000,1350,00000PATIENT DAYS :DIVERSIONAL ACTIVITI 8837,S000000,00100,0200,06/06/2000 8837,S200000,00100,0100,9555 S.E. FEDERAL HWY 8837,S200000,00200,0100,HOBE SOUND 8837,S200000,00200,0200,FL 8837,S200000,00200,0300,33455- 8837,S200000,00300,0100,MARTIN 8837,S200000,00300,0200,2710 8837,S200000,00300,0300,U 8837,S200000,00400,0100,HOBE SOUND GERIATRIC VILLAGE INC. 8837,S200000,00400,0200,105300 8837,S200000,00400,0300,03/01/1977 8837,S200000,00400,0500,P 8837,S200000,01004,0500,O 8837,S200000,01600,0100,Y 8847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8847,A000000,00300,0000,00300EMPLOYEE BENEFITS 8847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8847,A000000,00700,0000,00700HOUSEKEEPING 8847,A000000,00800,0000,00800DIETARY 8847,A000000,00900,0000,00900NURSING ADMINISTRATION 8847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8847,A000000,01300,0000,01300SOCIAL SERVICE 8847,A000000,01350,0000,01500OTHER GENERAL SERVICES 8847,A000000,01600,0000,01600SKILLED NURSING FACILITY 8847,A000000,01800,0000,01800NURSING FACILITY 8847,A000000,02100,0000,02100RADIOLOGY 8847,A000000,02500,0000,02500PHYSICAL THERAPY 8847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8847,A000000,02700,0000,02700SPEECH PATHOLOGY 8847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8847,A000000,05300,0000,05300INTEREST EXPENSE 8847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8847,A81000A,00100,0100,Y 8847,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 8847,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 8847,A81000B,00300,0300,CENTRAL OFFICE COSTS 8847,A81000C,00100,0100,A 8847,A81000C,00100,0200,STEVE BRADLEY 8847,A81000C,00100,0400,HUNTER MANAGEMENT GROUP 8847,A81000C,00100,0600,MANAGEMENT SERVICES 8847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8847,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 8847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8847,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 8847,B100000,00000,0950,00000NURSING SALARY :NURSING ADMINISTRA 8847,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 8847,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 8847,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 8847,B100000,00000,1350,00000RESIDENT DAYS :OTHER GENERAL SERVI 8847,S000000,00100,0200,06/26/2000 8847,S200000,00100,0100,1350 SLEEPY HILL ROAD 8847,S200000,00200,0100,LAKELAND 8847,S200000,00200,0200,FL 8847,S200000,00200,0300,33810- 8847,S200000,00300,0100,POLK 8847,S200000,00300,0200,3980 8847,S200000,00300,0300,U 8847,S200000,00400,0100,MEADOWVIEW LIFECENTER 8847,S200000,00400,0200,105301 8847,S200000,00400,0300,01/01/1978 8847,S200000,00400,0500,P 8847,S200000,01004,0500,O 8847,S200000,01600,0100,Y 8850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8850,A000000,00300,0000,00300EMPLOYEE BENEFITS 8850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8850,A000000,00700,0000,00700HOUSEKEEPING 8850,A000000,00800,0000,00800DIETARY 8850,A000000,00900,0000,00900NURSING ADMINISTRATION 8850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8850,A000000,01100,0000,01100PHARMACY 8850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8850,A000000,01300,0000,01300SOCIAL SERVICE 8850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8850,A000000,01600,0000,01600SKILLED NURSING FACILITY 8850,A000000,01800,0000,01800NURSING FACILITY 8850,A000000,02200,0000,02200LABORATORY 8850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8850,A000000,02500,0000,02500PHYSICAL THERAPY 8850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8850,A000000,02700,0000,02700SPEECH PATHOLOGY 8850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8850,A000000,03550,0000,03550FQHC 8850,A000000,05000,0000,05000CORF 8850,A000000,05010,0000,05010CMHC 8850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8850,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8850,A000000,06200,0000,06200PATIENTS LAUNDRY 8850,A81000A,00100,0100,Y 8850,A81000B,00100,0300,SUPPLIES 8850,A81000B,00200,0300,SUPPLIES 8850,A81000B,00300,0300,SUPPLIES 8850,A81000B,00400,0300,SUPPLIES 8850,A81000B,00500,0300,SUPPLIES 8850,A81000B,00600,0300,SUPPLIES 8850,A81000B,00700,0300,SUPPLIES 8850,A81000B,00800,0300,SUPPLIES 8850,A81000B,00900,0300,SUPPLIES 8850,A81000B,01000,0300,SUPPLIES 8850,A81000B,01100,0300,SUPPLIES 8850,A81000B,01200,0300,SUPPLIES 8850,A81000B,01300,0300,SUPPLIES 8850,A81000B,01400,0300,SUPPLIES 8850,A81000B,01500,0300,SUPPLIES 8850,A81000B,01600,0300,SUPPLIES 8850,A81000B,01700,0300,SUPPLIES 8850,A81000B,01800,0300,SUPPLIES 8850,A81000B,01900,0300,SUPPLIES 8850,A81000B,02000,0300,HOME OFFICE COST 8850,A81000B,02100,0300,HOME OFFICE COST 8850,A81000C,00100,0100,A 8850,A81000C,00100,0200,SEE HCFA 339 8850,A81000C,00100,0400,DELTA HEALTH GR 8850,A81000C,00100,0600,NRSG HOME OPERA 8850,A81000C,00200,0100,A 8850,A81000C,00200,0200,SEE HCFA 339 8850,A81000C,00200,0400,DELTA DURABLES 8850,A81000C,00200,0600,SUPPLIES 8850,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8850,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8850,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8850,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8850,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8850,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8850,B100000,00000,0800,00000MEALS SERVED :DIETARY 8850,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8850,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8850,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8850,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8850,S000000,00100,0200,06/01/2000 8850,S200000,00100,0100,170 N. KINGS ROAD 8850,S200000,00200,0100,ORMOND BEACH 8850,S200000,00200,0200,FL 8850,S200000,00200,0300,32174- 8850,S200000,00300,0100,VOLUSIA 8850,S200000,00300,0200,2020 8850,S200000,00300,0300,U 8850,S200000,00400,0100,ORMOND BEACH HEALTH C.C.C 8850,S200000,00400,0200,105310 8850,S200000,00400,0300,10/01/1980 8850,S200000,00400,0500,P 8850,S200000,00400,0600,O 8850,S200000,00600,0200,105310 8850,S200000,00600,0300,10/01/1980 8850,S200000,00600,0600,P 8850,S200000,01600,0100,Y 8853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8853,A000000,00300,0000,00300EMPLOYEE BENEFITS 8853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8853,A000000,00700,0000,00700HOUSEKEEPING 8853,A000000,00800,0000,00800DIETARY 8853,A000000,00900,0000,00900NURSING ADMINISTRATION 8853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8853,A000000,01100,0000,01100PHARMACY 8853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8853,A000000,01300,0000,01300SOCIAL SERVICE 8853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8853,A000000,01600,0000,01600SKILLED NURSING FACILITY 8853,A000000,01800,0000,01800NURSING FACILITY 8853,A000000,01810,0000,01810ICF/MR 8853,A000000,02200,0000,02200LABORATORY 8853,A000000,02500,0000,02500PHYSICAL THERAPY 8853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8853,A000000,02700,0000,02700SPEECH PATHOLOGY 8853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8853,A000000,03550,0000,03550FQHC 8853,A000000,05000,0000,05000CORF 8853,A000000,05010,0000,05010CMHC 8853,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8853,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8853,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8853,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 8853,A000000,06200,0000,06200PATIENTS LAUNDRY 8853,A81000A,00100,0100,Y 8853,A81000B,00100,0300,HOME OFFICE MGT FEE 8853,A81000B,00200,0300,NRSG SUPPLIES 8853,A81000B,00300,0300,NRSG FORMS 8853,A81000B,00400,0300,NON-PRESC DRUGS 8853,A81000B,00500,0300,PATIENT PERS NEEDS 8853,A81000B,00600,0300,CHARGEABLE MED SUPP 8853,A81000B,00700,0300,SUPPLIES 8853,A81000B,00800,0300,SUPP FEEDING 8853,A81000B,00900,0300,SUPPLIES 8853,A81000B,01000,0300,PROF SVCS 8853,A81000B,01100,0300,LINEN 8853,A81000B,01200,0300,SUPPLIES 8853,A81000B,01300,0300,UNIFORMS 8853,A81000B,01400,0300,SUPPLIES 8853,A81000B,01500,0300,SUPPLIES 8853,A81000B,01600,0300,FORMS 8853,A81000B,01700,0300,REPAIR & MAINT 8853,A81000B,01800,0300,SUPPLIES 8853,A81000B,01900,0300,HOME OFFICE MGT FEE 8853,A81000C,00100,0100,A 8853,A81000C,00100,0200,SEE HCFA 339 8853,A81000C,00100,0400,DELTA HEALTH GR 8853,A81000C,00100,0600,OPERATES NRSG H 8853,A81000C,00200,0100,A 8853,A81000C,00200,0200,SEE HCFA 339 8853,A81000C,00200,0400,DELTA DURABLES 8853,A81000C,00200,0600,HEALTH CARE SUP 8853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8853,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8853,B100000,00000,0800,00000MEALS SERVED :DIETARY 8853,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8853,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8853,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 8853,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8853,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8853,S000000,00100,0200,06/01/2000 8853,S200000,00100,0100,37135 COLEMAN AVENUE 8853,S200000,00200,0100,DADE CITY 8853,S200000,00200,0200,FL 8853,S200000,00200,0300,33525- 8853,S200000,00300,0100,PASCO 8853,S200000,00400,0100,HERITAGE PARK 8853,S200000,00400,0200,105320 8853,S200000,00400,0300,08/01/1982 8853,S200000,00400,0500,P 8853,S200000,00400,0600,O 8853,S200000,00600,0200,105320 8853,S200000,00600,0300,08/01/1982 8853,S200000,00600,0600,P 8853,S200000,01600,0100,Y 8863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8863,A000000,00300,0000,00300EMPLOYEE BENEFITS 8863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8863,A000000,00700,0000,00700HOUSEKEEPING 8863,A000000,00800,0000,00800DIETARY 8863,A000000,00900,0000,00900NURSING ADMINISTRATION 8863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8863,A000000,01100,0000,01100PHARMACY 8863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8863,A000000,01300,0000,01300SOCIAL SERVICE 8863,A000000,01350,0000,01500OTHER GENERAL SERVICES 8863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8863,A000000,01600,0000,01600SKILLED NURSING FACILITY 8863,A000000,01800,0000,01800NURSING FACILITY 8863,A000000,01810,0000,01810ICF/MR 8863,A000000,01900,0000,01900OTHER LONG TERM CARE 8863,A000000,02100,0000,02100RADIOLOGY 8863,A000000,02200,0000,02200LABORATORY 8863,A000000,02300,0000,02300INTRAVENOUS THERAPY 8863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8863,A000000,02500,0000,02500PHYSICAL THERAPY 8863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8863,A000000,02700,0000,02700SPEECH PATHOLOGY 8863,A000000,02800,0000,02800ELECTROCARDIOLOGY 8863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8863,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8863,A000000,03200,0000,03200SUPPORT SURFACES 8863,A000000,03400,0000,03400CLINIC 8863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8863,A000000,03500,0000,03500RURAL HEALTH CLINIC 8863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8863,A000000,04800,0000,04800AMBULANCE 8863,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8863,A000000,05000,0000,05000CORF 8863,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8863,A000000,05300,0000,05300INTEREST EXPENSE 8863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8863,A000000,05500,0000,05500HOSPICE 8863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8863,A000000,06100,0000,06100NONPAID WORKERS 8863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8863,A000000,06200,0000,06200PATIENTS LAUNDRY 8863,A81000A,00100,0100,Y 8863,A81000B,00100,0300,DEPRECIATION EXPENSE 8863,A81000C,00100,0100,B 8863,A81000C,00100,0400,THE OAKS OF CLEARWATER 8863,A81000C,00100,0600,RETIREMENT COMMUNITY 8863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8863,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8863,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8863,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8863,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8863,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8863,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8863,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 8863,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8863,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8863,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 8863,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8863,S000000,00100,0200,06/01/2000 8863,S200000,00100,0100,420 BAY AVENUE 8863,S200000,00200,0100,CLEARWATER 8863,S200000,00200,0200,FL 8863,S200000,00200,0300,34616- 8863,S200000,00300,0100,PINELLAS 8863,S200000,00400,0100,OAK BLUFFS HEALTH CENTER 8863,S200000,00400,0200,105323 8863,S200000,00400,0300,02/14/1979 8863,S200000,00400,0500,P 8863,S200000,01500,0100,Y 8872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8872,A000000,00300,0000,00300EMPLOYEE BENEFITS 8872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8872,A000000,00700,0000,00700HOUSEKEEPING 8872,A000000,00800,0000,00800DIETARY 8872,A000000,00900,0000,00900NURSING ADMINISTRATION 8872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8872,A000000,01300,0000,01300SOCIAL SERVICE 8872,A000000,01600,0000,01600SKILLED NURSING FACILITY 8872,A000000,02500,0000,02500PHYSICAL THERAPY 8872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8872,A000000,02700,0000,02700SPEECH PATHOLOGY 8872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8872,A000000,06201,0000,06201NON-REIMBURSABLE COST CENTER 8872,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 8872,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 8872,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 8872,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 8872,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 8872,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 8872,B100000,00000,0800,00001MEALS SERVED :DIETARY 8872,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 8872,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 8872,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 8872,S000000,00100,0200,06/01/2000 8872,S200000,00100,0100,3501 BAYSHORE BOULEVARD 8872,S200000,00200,0100,TAMPA 8872,S200000,00200,0200,FL 8872,S200000,00200,0300,33629- 8872,S200000,00300,0100,HILLSBOROUGH 8872,S200000,00400,0100,CANTERBURY TOWER 8872,S200000,00400,0200,105326 8872,S200000,00400,0300,04/17/1978 8872,S200000,00400,0500,P 8872,S200000,01600,0100,Y 8884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8884,A000000,00300,0000,00300EMPLOYEE BENEFITS 8884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8884,A000000,00700,0000,00700HOUSEKEEPING 8884,A000000,00800,0000,00800DIETARY 8884,A000000,00900,0000,00900NURSING ADMINISTRATION 8884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8884,A000000,01100,0000,01100PHARMACY 8884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8884,A000000,01300,0000,01300SOCIAL SERVICE 8884,A000000,01350,0000,01500RECREATION 8884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8884,A000000,01600,0000,01600SKILLED NURSING FACILITY 8884,A000000,01800,0000,01800NURSING FACILITY 8884,A000000,01810,0000,01810ICF/MR 8884,A000000,02100,0000,02100RADIOLOGY 8884,A000000,02200,0000,02200LABORATORY 8884,A000000,02500,0000,02500PHYSICAL THERAPY 8884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8884,A000000,02700,0000,02700SPEECH PATHOLOGY 8884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8884,A000000,03550,0000,03550FQHC 8884,A000000,05000,0000,05000CORF 8884,A000000,05010,0000,05010CMHC 8884,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8884,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8884,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8884,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8884,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 8884,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8884,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8884,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 8884,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8884,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8884,B100000,00000,1350,00000PATIENT DAYS :RECREATION 8884,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 8884,S000000,00100,0200,05/31/2000 8884,S200000,00100,0100,550 9TH STREET 8884,S200000,00200,0100,MIAMI BEACH 8884,S200000,00200,0200,FL 8884,S200000,00200,0300,33139- 8884,S200000,00300,0100,DADE 8884,S200000,00400,0100,OCEANSIDE EXTENDED CARE CENTER 8884,S200000,00400,0200,105329 8884,S200000,00400,0300,01/01/1987 8884,S200000,00400,0500,P 8884,S200000,01600,0100,Y 8893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8893,A000000,00300,0000,00300EMPLOYEE BENEFITS 8893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8893,A000000,00700,0000,00700HOUSEKEEPING 8893,A000000,00800,0000,00800DIETARY 8893,A000000,00900,0000,00900NURSING ADMINISTRATION 8893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8893,A000000,01100,0000,01100PHARMACY 8893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8893,A000000,01300,0000,01300SOCIAL SERVICE 8893,A000000,01350,0000,01500OTHER GENERAL SERVICES 8893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8893,A000000,01600,0000,01600SKILLED NURSING FACILITY 8893,A000000,01800,0000,01800NURSING FACILITY 8893,A000000,01810,0000,01810ICF/MR 8893,A000000,01900,0000,01900OTHER LONG TERM CARE 8893,A000000,02100,0000,02100RADIOLOGY 8893,A000000,02200,0000,02200LABORATORY 8893,A000000,02300,0000,02300INTRAVENOUS THERAPY 8893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8893,A000000,02500,0000,02500PHYSICAL THERAPY 8893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8893,A000000,02700,0000,02700SPEECH PATHOLOGY 8893,A000000,02800,0000,02800ELECTROCARDIOLOGY 8893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8893,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8893,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8893,A000000,03200,0000,03200SUPPORT SURFACES 8893,A000000,03400,0000,03400CLINIC 8893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8893,A000000,03500,0000,03500RURAL HEALTH CLINIC 8893,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8893,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8893,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8893,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8893,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8893,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8893,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8893,A000000,04400,0000,04400DME RENTED - HHA 8893,A000000,04500,0000,04500DME SOLD - HHA 8893,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8893,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8893,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8893,A000000,04800,0000,04800AMBULANCE 8893,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8893,A000000,05000,0000,05000CORF 8893,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8893,A000000,05300,0000,05300INTEREST EXPENSE 8893,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8893,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8893,A000000,05500,0000,05500HOSPICE 8893,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8893,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8893,A000000,06100,0000,06100NONPAID WORKERS 8893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8893,A000000,06200,0000,06200PATIENTS LAUNDRY 8893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8893,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8893,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8893,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8893,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8893,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8893,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8893,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8893,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8893,S000000,00100,0200,06/06/2000 8893,S200000,00100,0100,1800 N.E. 168TH STREET 8893,S200000,00200,0100,NORTH MIAMI BEACH 8893,S200000,00200,0200,FL 8893,S200000,00200,0300,33162- 8893,S200000,00300,0100,DADE 8893,S200000,00300,0200,5000 8893,S200000,00300,0300,U 8893,S200000,00400,0100,HEBREW HOME FOR THE AGED -NORTH DADE 8893,S200000,00400,0200,105331 8893,S200000,00400,0300,07/01/1978 8893,S200000,00400,0500,P 8893,S200000,01600,0100,Y 8903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8903,A000000,00300,0000,00300EMPLOYEE BENEFITS 8903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8903,A000000,00700,0000,00700HOUSEKEEPING 8903,A000000,00800,0000,00800DIETARY 8903,A000000,00900,0000,00900NURSING ADMINISTRATION 8903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8903,A000000,01100,0000,01100PHARMACY 8903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8903,A000000,01300,0000,01300SOCIAL SERVICE 8903,A000000,01350,0000,01500OTHER GENERAL SERVICES 8903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8903,A000000,01600,0000,01600SKILLED NURSING FACILITY 8903,A000000,01800,0000,01800NURSING FACILITY 8903,A000000,01810,0000,01810ICF/MR 8903,A000000,01900,0000,01900OTHER LONG TERM CARE 8903,A000000,02100,0000,02100RADIOLOGY 8903,A000000,02200,0000,02200LABORATORY 8903,A000000,02300,0000,02300INTRAVENOUS THERAPY 8903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8903,A000000,02500,0000,02500PHYSICAL THERAPY 8903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8903,A000000,02700,0000,02700SPEECH PATHOLOGY 8903,A000000,02800,0000,02800ELECTROCARDIOLOGY 8903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8903,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8903,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8903,A000000,03200,0000,03200SUPPORT SURFACES 8903,A000000,03400,0000,03400CLINIC 8903,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8903,A000000,03500,0000,03500RURAL HEALTH CLINIC 8903,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8903,A000000,04800,0000,04800AMBULANCE 8903,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8903,A000000,05000,0000,05000CORF 8903,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8903,A000000,05300,0000,05300INTEREST EXPENSE 8903,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8903,A000000,05500,0000,05500HOSPICE 8903,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8903,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8903,A000000,06100,0000,06100NONPAID WORKERS 8903,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8903,A000000,06200,0000,06200PATIENTS LAUNDRY 8903,A81000A,00100,0100,Y 8903,A81000B,00100,0300,BUILDING RENT 8903,A81000B,00200,0300,DEPRECIATION 8903,A81000B,00300,0300,PROPERTY INTEREST 8903,A81000B,00400,0300,PROPERTY TAXES 8903,A81000C,00100,0100,A 8903,A81000C,00100,0200,GARY LAMPERT 8903,A81000C,00100,0400,GOLD COAST HEALTH 8903,A81000C,00100,0600,PROPERTY RENTAL 8903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8903,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8903,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8903,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8903,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8903,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8903,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8903,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8903,S000000,00100,0200,03/14/2000 8903,S200000,00100,0100,7370 NW 47TH STREET 8903,S200000,00200,0100,LAUDERDALE LAKES 8903,S200000,00200,0200,FL 8903,S200000,00200,0300,33319- 8903,S200000,00300,0100,BROWARD 8903,S200000,00300,0200,2680 8903,S200000,00300,0300,U 8903,S200000,00400,0100,COLONNADE MEDICAL CENTER 8903,S200000,00400,0200,105336 8903,S200000,00400,0300,07/01/1978 8903,S200000,00400,0500,P 8903,S200000,01600,0100,Y 8913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8913,A000000,00300,0000,00300EMPLOYEE BENEFITS 8913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8913,A000000,00700,0000,00700HOUSEKEEPING 8913,A000000,00800,0000,00800DIETARY 8913,A000000,00900,0000,00900NURSING ADMINISTRATION 8913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8913,A000000,01100,0000,01100PHARMACY 8913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8913,A000000,01300,0000,01300SOCIAL SERVICE 8913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8913,A000000,01600,0000,01600SKILLED NURSING FACILITY 8913,A000000,01800,0000,01800NURSING FACILITY 8913,A000000,01810,0000,01810ICF/MR 8913,A000000,02100,0000,02100RADIOLOGY 8913,A000000,02200,0000,02200LABORATORY 8913,A000000,02300,0000,02300INTRAVENOUS THERAPY 8913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8913,A000000,02500,0000,02500PHYSICAL THERAPY 8913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8913,A000000,02700,0000,02700SPEECH PATHOLOGY 8913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8913,A000000,03550,0000,03550FQHC 8913,A000000,05000,0000,05000CORF 8913,A000000,05010,0000,05010CMHC 8913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8913,A000000,05300,0000,05300INTEREST EXPENSE 8913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8913,A81000A,00100,0100,Y 8913,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 8913,A81000C,00100,0100,B 8913,A81000C,00100,0200,LENOX HEALTHCAR 8913,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 8913,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 8913,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8913,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 8913,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 8913,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 8913,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 8913,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 8913,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 8913,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 8913,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 8913,S000000,00100,0200,05/30/2000 8913,S200000,00100,0100,6630 KENTUCKY AVENUE 8913,S200000,00100,0300,638 8913,S200000,00200,0100,NEW PORT RICHEY 8913,S200000,00200,0200,FL 8913,S200000,00200,0300,34653- 8913,S200000,00300,0100,PASCO 8913,S200000,00300,0200,8280 8913,S200000,00300,0300,U 8913,S200000,00400,0100,HEATHER HILL NURSING HOME 8913,S200000,00400,0200,105343 8913,S200000,00400,0300,10/01/1973 8913,S200000,00400,0500,P 8913,S200000,00600,0200,105343 8913,S200000,00600,0300,10/01/1973 8913,S200000,00600,0600,P 8913,S200000,01600,0100,Y 8913,S200000,01900,0100,NON PROFIT 501C 8925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8925,A000000,00300,0000,00300EMPLOYEE BENEFITS 8925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8925,A000000,00700,0000,00700HOUSEKEEPING 8925,A000000,00800,0000,00800DIETARY 8925,A000000,00900,0000,00900NURSING ADMINISTRATION 8925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8925,A000000,01100,0000,01100PHARMACY 8925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8925,A000000,01300,0000,01300SOCIAL SERVICE 8925,A000000,01350,0000,01500OTHER GENERAL SERVICES 8925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8925,A000000,01600,0000,01600SKILLED NURSING FACILITY 8925,A000000,01800,0000,01800NURSING FACILITY 8925,A000000,01810,0000,01810ICF/MR 8925,A000000,01900,0000,01900OTHER LONG TERM CARE 8925,A000000,02100,0000,02100RADIOLOGY 8925,A000000,02200,0000,02200LABORATORY 8925,A000000,02300,0000,02300INTRAVENOUS THERAPY 8925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8925,A000000,02500,0000,02500PHYSICAL THERAPY 8925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8925,A000000,02700,0000,02700SPEECH PATHOLOGY 8925,A000000,02800,0000,02800ELECTROCARDIOLOGY 8925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8925,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 8925,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8925,A000000,03200,0000,03200SUPPORT SURFACES 8925,A000000,03400,0000,03400CLINIC 8925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 8925,A000000,03500,0000,03500RURAL HEALTH CLINIC 8925,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8925,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8925,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8925,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8925,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8925,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8925,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8925,A000000,04400,0000,04400DME RENTED - HHA 8925,A000000,04500,0000,04500DME SOLD - HHA 8925,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8925,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8925,A000000,04750,0000,05100OTHER REIMBURSABLE COST 8925,A000000,04800,0000,04800AMBULANCE 8925,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8925,A000000,05000,0000,05000CORF 8925,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8925,A000000,05300,0000,05300INTEREST EXPENSE 8925,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8925,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8925,A000000,05500,0000,05500HOSPICE 8925,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8925,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8925,A000000,06100,0000,06100NONPAID WORKERS 8925,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 8925,A000000,06200,0000,06200PATIENTS LAUNDRY 8925,A81000A,00100,0100,Y 8925,A81000B,00100,0300,SALARY TRANSFER 8925,A81000B,00200,0300,INTEREST EXPENSE 8925,A81000C,00100,0100,B 8925,A81000C,00100,0200,CHRISTIAN MISSIONARY ALL. 8925,A81000C,00100,0400,SHELL POINT VILLAGE 8925,A81000C,00100,0600,CCRC 8925,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8925,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8925,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8925,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8925,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8925,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8925,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8925,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 8925,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8925,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8925,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8925,S000000,00100,0200,05/31/2000 8925,S200000,00100,0100,130 WEST ARMSTRONG 8925,S200000,00200,0100,DELAND 8925,S200000,00200,0200,FL 8925,S200000,00200,0300,32720- 8925,S200000,00300,0100,VOLUSIA 8925,S200000,00300,0200,2020 8925,S200000,00300,0300,U 8925,S200000,00400,0100,ALLIANCE NURSING CENTER 8925,S200000,00400,0200,105349 8925,S200000,00400,0300,07/01/1979 8925,S200000,00400,0500,P 8925,S200000,01600,0100,Y 8946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8946,A000000,00300,0000,00300EMPLOYEE BENEFITS 8946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8946,A000000,00700,0000,00700HOUSEKEEPING 8946,A000000,00800,0000,00800DIETARY 8946,A000000,00900,0000,00900NURSING ADMINISTRATION 8946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8946,A000000,01100,0000,01100PHARMACY 8946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8946,A000000,01300,0000,01300SOCIAL SERVICE 8946,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 8946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8946,A000000,01600,0000,01600SKILLED NURSING FACILITY 8946,A000000,01800,0000,01800NURSING FACILITY 8946,A000000,01810,0000,01810ICF/MR 8946,A000000,01900,0000,01900OTHER LONG TERM CARE 8946,A000000,02100,0000,02100RADIOLOGY 8946,A000000,02200,0000,02200LABORATORY 8946,A000000,02300,0000,02300INTRAVENOUS THERAPY 8946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8946,A000000,02500,0000,02500PHYSICAL THERAPY 8946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8946,A000000,02700,0000,02700SPEECH PATHOLOGY 8946,A000000,02800,0000,02800ELECTROCARDIOLOGY 8946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8946,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 8946,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8946,A000000,03200,0000,03200SUPPORT SURFACES 8946,A000000,03400,0000,03400CLINIC 8946,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 8946,A000000,03500,0000,03500RURAL HEALTH CLINIC 8946,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 8946,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 8946,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 8946,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 8946,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 8946,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 8946,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 8946,A000000,04400,0000,04400DME RENTED - HHA 8946,A000000,04500,0000,04500DME SOLD - HHA 8946,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 8946,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 8946,A000000,04800,0000,04800AMBULANCE 8946,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 8946,A000000,05000,0000,05000CORF 8946,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8946,A000000,05300,0000,05300INTEREST EXPENSE 8946,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 8946,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8946,A000000,05500,0000,05500HOSPICE 8946,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8946,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 8946,A000000,06100,0000,06100NONPAID WORKERS 8946,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 8946,A000000,06200,0000,06200PATIENTS LAUNDRY 8946,A81000A,00100,0100,Y 8946,A81000B,00100,0300,HOME OFFICE EXPENSE 8946,A81000B,00200,0300,HOME OFFICE EXPENSE 8946,A81000B,00300,0300,UNIFORMS 8946,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 8946,A81000B,00500,0300,FOOD SUPPLEMENTS 8946,A81000B,00600,0300,NURSING SUPPLIES 8946,A81000B,00700,0300,MEDICAL SUPPLIES 8946,A81000B,00800,0300,PT SUPPLIES 8946,A81000B,00900,0300,OT SUPPLIES 8946,A81000B,01000,0300,ST SUPPLIES 8946,A81000B,01100,0300,MEDICAL SUPPLIES 8946,A81000C,00100,0100,B 8946,A81000C,00100,0200,FLORIDA LIVING 8946,A81000C,00100,0400,ADVENTIST CARE 8946,A81000C,00100,0600,NURSING HOME CO 8946,A81000C,00200,0100,G 8946,A81000C,00200,0200,FLORIDA LIVING 8946,A81000C,00200,0400,Q-CARE 8946,A81000C,00200,0600,MEDICAL SUPPLY 8946,A81000C,03100,0000,FLORIDA LIVING NURSING CENTER 8946,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8946,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8946,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8946,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8946,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8946,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8946,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8946,B100000,00000,0800,00000MEALS SERVED :DIETARY 8946,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 8946,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8946,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8946,S000000,00100,0200,06/05/2000 8946,S200000,00100,0100,3355 E. SEMORAN BLVD. 8946,S200000,00200,0100,APOPKA 8946,S200000,00200,0200,FL 8946,S200000,00200,0300,32703- 8946,S200000,00300,0100,SEMINOLE 8946,S200000,00300,0200,5960 8946,S200000,00300,0300,U 8946,S200000,00400,0100,FLORIDA LIVING NURSING CENTER 8946,S200000,00400,0200,105353 8946,S200000,00400,0300,10/01/1979 8946,S200000,00400,0500,P 8946,S200000,01600,0100,Y 8954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8954,A000000,00300,0000,00300EMPLOYEE BENEFITS 8954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8954,A000000,00700,0000,00700HOUSEKEEPING 8954,A000000,00800,0000,00800DIETARY 8954,A000000,00900,0000,00900NURSING ADMINISTRATION 8954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8954,A000000,01100,0000,01100PHARMACY 8954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8954,A000000,01300,0000,01300SOCIAL SERVICE 8954,A000000,01350,0000,01500PATIENT ACTIVITIES 8954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8954,A000000,01600,0000,01600SKILLED NURSING FACILITY 8954,A000000,01800,0000,01800NURSING FACILITY 8954,A000000,01810,0000,01810ICF/MR 8954,A000000,02100,0000,02100RADIOLOGY 8954,A000000,02200,0000,02200LABORATORY 8954,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8954,A000000,02500,0000,02500PHYSICAL THERAPY 8954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8954,A000000,02700,0000,02700SPEECH PATHOLOGY 8954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8954,A000000,03550,0000,03550FQHC 8954,A000000,05000,0000,05000CORF 8954,A000000,05010,0000,05010CMHC 8954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8954,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 8954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8954,A000000,06150,0000,06300NONREIMBURSABLE 8954,A81000A,00100,0100,Y 8954,A81000B,00100,0300,HOME OFFICE 8954,A81000B,00200,0300,HOME OFFICE - CAPITA 8954,A81000C,00100,0100,A 8954,A81000C,00100,0200,ACTS RETIREMENT 8954,A81000C,00100,0600,HOME OFFICE 8954,A81000C,00200,0100,B 8954,A81000C,00200,0200,ACTS RETIREMENT 8954,A81000C,00200,0600,HOME OFFICE 8954,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8954,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8954,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8954,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8954,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8954,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8954,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8954,B100000,00000,0800,00000MEALS SERVED :DIETARY 8954,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8954,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8954,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 8954,S000000,00100,0200,06/01/2000 8954,S200000,00100,0100,6152 NORTH VERDE TRAIL 8954,S200000,00200,0100,BOCA RATON 8954,S200000,00200,0200,FL 8954,S200000,00200,0300,33433-2430 8954,S200000,00300,0100,PALM BEACH 8954,S200000,00300,0200,8960 8954,S200000,00300,0300,U 8954,S200000,00400,0100,SAINT ANDREWS ESTATES 8954,S200000,00400,0200,105355 8954,S200000,00400,0300,06/13/1979 8954,S200000,00400,0500,P 8954,S200000,01600,0100,Y 8954,S200000,01900,0100,503C 8976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8976,A000000,00300,0000,00300EMPLOYEE BENEFITS 8976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8976,A000000,00700,0000,00700HOUSEKEEPING 8976,A000000,00800,0000,00800DIETARY 8976,A000000,00900,0000,00900NURSING ADMINISTRATION 8976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8976,A000000,01100,0000,01100PHARMACY 8976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8976,A000000,01300,0000,01300SOCIAL SERVICE 8976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8976,A000000,01600,0000,01600SKILLED NURSING FACILITY 8976,A000000,01800,0000,01800NURSING FACILITY 8976,A000000,01810,0000,01810ICF/MR 8976,A000000,02200,0000,02200LABORATORY 8976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8976,A000000,02500,0000,02500PHYSICAL THERAPY 8976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8976,A000000,02700,0000,02700SPEECH PATHOLOGY 8976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8976,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 8976,A000000,03550,0000,03550FQHC 8976,A000000,05000,0000,05000CORF 8976,A000000,05010,0000,05010CMHC 8976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 8976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 8976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 8976,A000000,05300,0000,05300INTEREST EXPENSE 8976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8976,A81000A,00100,0100,Y 8976,A81000B,00100,0300,SALARIES-SYS ALLOC.I 8976,A81000B,00200,0300,SUPPLIES-SYS.ALLOC.I 8976,A81000B,00300,0300,OTHER-SYS.ALLOC.IN 8976,A81000B,00400,0300,BSVHS HO ALLOC-A&G 8976,A81000B,00500,0300,BSVHS HO-OP PLANT 8976,A81000B,00600,0300,EMPLOYEE HEALTH-MIS 8976,A81000B,00700,0300,EMPLOYEE HEALTH-AHL 8976,A81000B,00800,0300,SVMC ALLC ADMIN& G(R 8976,A81000B,00900,0300,SVMC ALLC LAUNDRY&LI 8976,A81000B,01000,0300,SVMC ALLOC DIETARY 8976,A81000B,01100,0300,SVMC ALLOC SOCIAL SV 8976,A81000B,01200,0300,SVMC ALLOC PT 8976,A81000B,01300,0300,EMPLOYEE DEDUCTIONS 8976,A81000C,00100,0100,B 8976,A81000C,00100,0200,BAPTIST/ST VINC 8976,A81000C,00100,0400,BAPTIST/ST VINC 8976,A81000C,00100,0600,PARENT ORGANIZA 8976,A81000C,00200,0100,B 8976,A81000C,00200,0200,BAPTIST/ST VINC 8976,A81000C,00200,0400,BAPTIST/ST VINC 8976,A81000C,00200,0600,PARENT ORGANIZA 8976,A81000C,00300,0100,B 8976,A81000C,00300,0200,BAPTIST/ST VINC 8976,A81000C,00300,0400,BAPTIST/ST VINC 8976,A81000C,00300,0600,PARENT ORGANIZA 8976,A81000C,00400,0100,B 8976,A81000C,00400,0200,BAPTIST/ST VINC 8976,A81000C,00400,0400,BAPTIST/ST VINC 8976,A81000C,00400,0600,PARENT ORGANIZA 8976,A81000C,00500,0100,B 8976,A81000C,00500,0200,BAPTIST/ST VINC 8976,A81000C,00500,0400,BAPTIST/ST VINC 8976,A81000C,00500,0600,PARENT ORGANIZA 8976,A81000C,00600,0100,B 8976,A81000C,00600,0200,BAPTIST/ST VINC 8976,A81000C,00600,0400,BAPTIST/ST VINC 8976,A81000C,00600,0600,PARENT ORGANIZA 8976,A81000C,00700,0100,B 8976,A81000C,00700,0200,BAPTIST/ST VINC 8976,A81000C,00700,0400,BAPTIST/ST VINC 8976,A81000C,00700,0600,PARENT ORGANIZA 8976,A81000C,00800,0100,B 8976,A81000C,00800,0400,ST VINCENTS ME 8976,A81000C,00800,0600,HOSPITAL 8976,A81000C,00900,0100,B 8976,A81000C,00900,0400,ST VINCENTS ME 8976,A81000C,00900,0600,HOSPITAL 8976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8976,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 8976,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 8976,B100000,00000,0800,00000MEALS SERVED :DIETARY 8976,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8976,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 8976,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 8976,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 8976,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 8976,S000000,00100,0200,02/25/2000 8976,S200000,00100,0100,1750 STOCKTON STREET 8976,S200000,00200,0100,JACKSONVILLE 8976,S200000,00200,0200,FL 8976,S200000,00200,0300,32204- 8976,S200000,00300,0100,DUVAL 8976,S200000,00300,0200,3600 8976,S200000,00300,0300,U 8976,S200000,00400,0100,ST. CATHERINE LABOURE MANOR 8976,S200000,00400,0200,105358 8976,S200000,00400,0300,02/01/1979 8976,S200000,00400,0500,P 8976,S200000,01600,0100,Y 8976,S200000,02200,0100,Y 8976,S200000,02800,0100,Y 8988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8988,A000000,00300,0000,00300EMPLOYEE BENEFITS 8988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8988,A000000,00700,0000,00700HOUSEKEEPING 8988,A000000,00800,0000,00800DIETARY 8988,A000000,00900,0000,00900NURSING ADMINISTRATION 8988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8988,A000000,01100,0000,01100PHARMACY 8988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8988,A000000,01300,0000,01300SOCIAL SERVICE 8988,A000000,01350,0000,01500ACTIVITIES 8988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 8988,A000000,01600,0000,01600SKILLED NURSING FACILITY 8988,A000000,01800,0000,01800NURSING FACILITY 8988,A000000,01810,0000,01810ICF/MR 8988,A000000,02100,0000,02100RADIOLOGY 8988,A000000,02200,0000,02200LABORATORY 8988,A000000,02500,0000,02500PHYSICAL THERAPY 8988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8988,A000000,02700,0000,02700SPEECH PATHOLOGY 8988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8988,A000000,03050,0000,03300SPECIALIZED BEDS 8988,A000000,04800,0000,04800AMBULANCE 8988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 8988,A000000,05300,0000,05300INTEREST EXPENSE 8988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 8988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8988,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8988,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8988,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8988,B100000,00000,0800,00000MEALS SERVED :DIETARY 8988,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 8988,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 8988,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8988,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8988,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 8988,S000000,00100,0200,06/02/2000 8988,S200000,00100,0100,600 WEST GREGORY STREET 8988,S200000,00200,0100,PENSACOLA 8988,S200000,00200,0200,FL 8988,S200000,00200,0300,32501- 8988,S200000,00300,0100,ESCAMBIA 8988,S200000,00300,0200,6080 8988,S200000,00300,0300,U 8988,S200000,00400,0100,THE MAGNOLIAS 8988,S200000,00400,0200,105359 8988,S200000,00400,0300,09/01/1990 8988,S200000,00400,0500,P 8988,S200000,01600,0100,Y 8997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 8997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 8997,A000000,00300,0000,00300EMPLOYEE BENEFITS 8997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 8997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 8997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 8997,A000000,00700,0000,00700HOUSEKEEPING 8997,A000000,00800,0000,00800DIETARY 8997,A000000,00900,0000,00900NURSING ADMINISTRATION 8997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 8997,A000000,01100,0000,01100PHARMACY 8997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 8997,A000000,01300,0000,01300SOCIAL SERVICE 8997,A000000,01600,0000,01600SKILLED NURSING FACILITY 8997,A000000,01800,0000,01800NURSING FACILITY 8997,A000000,02100,0000,02100RADIOLOGY 8997,A000000,02200,0000,02200LABORATORY 8997,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 8997,A000000,02500,0000,02500PHYSICAL THERAPY 8997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 8997,A000000,02700,0000,02700SPEECH PATHOLOGY 8997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 8997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 8997,A000000,03200,0000,03200SUPPORT SURFACES 8997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 8997,A81000A,00100,0100,Y 8997,A81000B,00100,0300,MANAGEMENT FEES 8997,A81000B,00200,0300,NIURSING SUPPLIES 8997,A81000B,00300,0300,MEDICAL SUPPLIES 8997,A81000B,00400,0300,DIETARY SUPPLEMENTS 8997,A81000C,00100,0100,B 8997,A81000C,00100,0200,DIVERSICARE MGM 8997,A81000C,00100,0400,ADVOCAT INC. 8997,A81000C,00100,0600,HOME OFFICE/ MG 8997,A81000C,00200,0100,B 8997,A81000C,00200,0200,ADVOCAT DISTR S 8997,A81000C,00200,0400,ADVOCAT INC. 8997,A81000C,00200,0600,MEDICAL SUPPLIE 8997,A81000C,00300,0100,B 8997,A81000C,00300,0200,ADVOCAT DISTR S 8997,A81000C,00300,0400,ADVOCAT INC. 8997,A81000C,00300,0600,MEDICAL SUPPLIE 8997,A81000C,00400,0100,B 8997,A81000C,00400,0200,ADVOCAT DISTR S 8997,A81000C,00400,0400,ADVOCAT INC. 8997,A81000C,00400,0600,MEDICAL SUPPLIE 8997,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 8997,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 8997,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 8997,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 8997,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 8997,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 8997,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 8997,B100000,00000,0850,00000PATIENT DAYS :DIETARY 8997,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 8997,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 8997,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 8997,S000000,00100,0200,06/02/2000 8997,S200000,00100,0100,401 ORANGE PLACE 8997,S200000,00200,0100,WAUCHULA 8997,S200000,00200,0200,FL 8997,S200000,00200,0300,33873- 8997,S200000,00300,0100,HARDEE 8997,S200000,00300,0200,10 8997,S200000,00300,0300,R 8997,S200000,00400,0100,HARDEE MANOR CARE CENTER 8997,S200000,00400,0200,105362 8997,S200000,00400,0300,05/10/1994 8997,S200000,00400,0500,P 8997,S200000,01600,0100,Y 8997,S200000,02200,0100,Y 9026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9026,A000000,00300,0000,00300EMPLOYEE BENEFITS 9026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9026,A000000,00700,0000,00700HOUSEKEEPING 9026,A000000,00800,0000,00800DIETARY 9026,A000000,00900,0000,00900NURSING ADMINISTRATION 9026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9026,A000000,01100,0000,01100PHARMACY 9026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9026,A000000,01300,0000,01300SOCIAL SERVICE 9026,A000000,01350,0000,01500OTHER GENERAL SERVICES 9026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9026,A000000,01600,0000,01600SKILLED NURSING FACILITY 9026,A000000,01800,0000,01800NURSING FACILITY 9026,A000000,01810,0000,01810ICF/MR 9026,A000000,01900,0000,01900OTHER LONG TERM CARE 9026,A000000,02100,0000,02100RADIOLOGY 9026,A000000,02200,0000,02200LABORATORY 9026,A000000,02300,0000,02300INTRAVENOUS THERAPY 9026,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9026,A000000,02500,0000,02500PHYSICAL THERAPY 9026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9026,A000000,02700,0000,02700SPEECH PATHOLOGY 9026,A000000,02800,0000,02800ELECTROCARDIOLOGY 9026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9026,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9026,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9026,A000000,03200,0000,03200SUPPORT SURFACES 9026,A000000,03400,0000,03400CLINIC 9026,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9026,A000000,03500,0000,03500RURAL HEALTH CLINIC 9026,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9026,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9026,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9026,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9026,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9026,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9026,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9026,A000000,04400,0000,04400DME RENTED - HHA 9026,A000000,04500,0000,04500DME SOLD - HHA 9026,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9026,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9026,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9026,A000000,04800,0000,04800AMBULANCE 9026,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9026,A000000,05000,0000,05000CORF 9026,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9026,A000000,05300,0000,05300INTEREST EXPENSE 9026,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9026,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9026,A000000,05500,0000,05500HOSPICE 9026,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9026,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9026,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9026,A000000,06100,0000,06100NONPAID WORKERS 9026,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9026,A000000,06200,0000,06200PATIENTS LAUNDRY 9026,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9026,B100000,00000,0250,00000MED-CENTER R SQUARE F:CAP REL COSTS 9026,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9026,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9026,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9026,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9026,B100000,00000,0750,00000MED-CENTER R SQUARE F:HOUSEKEEPING 9026,B100000,00000,0800,00000MEALS SERVED :DIETARY 9026,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9026,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9026,S000000,00100,0200,07/21/2000 9026,S200000,00100,0100,101 NORTHLAKE DRIVE 9026,S200000,00200,0100,ORANGE CITY 9026,S200000,00200,0200,FL 9026,S200000,00200,0300,32763- 9026,S200000,00300,0100,VOLUSIA 9026,S200000,00300,0200,2020 9026,S200000,00300,0300,U 9026,S200000,00400,0100,JOHN KNOX VILLAGE OF CENTRAL FLORIDA 9026,S200000,00400,0200,105374 9026,S200000,00400,0300,09/01/1980 9026,S200000,00400,0500,P 9026,S200000,00600,0200,105374 9026,S200000,00600,0300,09/01/1980 9026,S200000,00600,0600,P 9026,S200000,01600,0100,Y 9026,S200000,02800,0100,Y 9026,S200000,04600,0100,Y 9040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9040,A000000,00300,0000,00300EMPLOYEE BENEFITS 9040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9040,A000000,00700,0000,00700HOUSEKEEPING 9040,A000000,00800,0000,00800DIETARY 9040,A000000,00900,0000,00900NURSING ADMINISTRATION 9040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9040,A000000,01100,0000,01100PHARMACY 9040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9040,A000000,01300,0000,01300SOCIAL SERVICE 9040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9040,A000000,01600,0000,01600SKILLED NURSING FACILITY 9040,A000000,01800,0000,01800NURSING FACILITY 9040,A000000,01810,0000,01810ICF/MR 9040,A000000,02200,0000,02200LABORATORY 9040,A000000,02500,0000,02500PHYSICAL THERAPY 9040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9040,A000000,02700,0000,02700SPEECH PATHOLOGY 9040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9040,A000000,03550,0000,03550FQHC 9040,A000000,05000,0000,05000CORF 9040,A000000,05010,0000,05010CMHC 9040,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9040,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9040,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9040,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9040,A000000,06200,0000,06200PATIENTS LAUNDRY 9040,A81000A,00100,0100,Y 9040,A81000B,00100,0300,HOME OFFICE COSTS 9040,A81000B,00200,0300,HOME OFFICE COSTS 9040,A81000B,00300,0300,SUPPLIES 9040,A81000B,00400,0300,SUPPLIES 9040,A81000B,00500,0300,SUPPLIES 9040,A81000B,00600,0300,SUPPLIES 9040,A81000B,00700,0300,SUPPLIES 9040,A81000B,00800,0300,SUPPLIES 9040,A81000B,00900,0300,SUPPLIES 9040,A81000B,01000,0300,SUPPLIES 9040,A81000B,01100,0300,SUPPLIES 9040,A81000B,01200,0300,SUPPLIES 9040,A81000B,01300,0300,SUPPLIES 9040,A81000C,00100,0100,A 9040,A81000C,00100,0200,SEE HCFA 339 9040,A81000C,00100,0400,DELTA HEALTH GR 9040,A81000C,00100,0600,NURSING HOMES 9040,A81000C,00200,0100,A 9040,A81000C,00200,0200,SEE HCFA 339 9040,A81000C,00200,0400,DELTA DURABLES 9040,A81000C,00200,0600,SUPPLIES 9040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9040,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9040,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9040,B100000,00000,0800,00000MEALS SERVED :DIETARY 9040,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9040,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9040,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9040,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9040,S000000,00100,0200,06/01/2000 9040,S200000,00100,0100,1520 SOUTH GRANT STREET 9040,S200000,00200,0100,LONGWOOD 9040,S200000,00200,0200,FL 9040,S200000,00200,0300,32750- 9040,S200000,00300,0100,SEMINOLE 9040,S200000,00300,0200,5960 9040,S200000,00300,0300,U 9040,S200000,00400,0100,LONGWOOD HEALTH C.C. 9040,S200000,00400,0200,105377 9040,S200000,00400,0300,08/01/1982 9040,S200000,00400,0500,P 9040,S200000,00400,0600,O 9040,S200000,00600,0200,105377 9040,S200000,00600,0300,08/01/1982 9040,S200000,00600,0600,P 9040,S200000,01600,0100,Y 9048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9048,A000000,00300,0000,00300EMPLOYEE BENEFITS 9048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9048,A000000,00700,0000,00700HOUSEKEEPING 9048,A000000,00800,0000,00800DIETARY 9048,A000000,00900,0000,00900NURSING ADMINISTRATION 9048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9048,A000000,01300,0000,01300SOCIAL SERVICE 9048,A000000,01600,0000,01600SKILLED NURSING FACILITY 9048,A000000,01800,0000,01800NURSING FACILITY 9048,A000000,02100,0000,02100RADIOLOGY 9048,A000000,02200,0000,02200LABORATORY 9048,A000000,02300,0000,02300INTRAVENOUS THERAPY 9048,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9048,A000000,02500,0000,02500PHYSICAL THERAPY 9048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9048,A000000,02700,0000,02700SPEECH PATHOLOGY 9048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9048,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9048,A000000,04800,0000,04800AMBULANCE 9048,A000000,05300,0000,05300INTEREST EXPENSE 9048,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9048,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9048,A81000A,00100,0100,Y 9048,A81000B,00100,0300,MAINTENANCE 9048,A81000C,00100,0100,D 9048,A81000C,00100,0200,DAVE FRESH 9048,A81000C,00100,0400,FRESH N GREEN 9048,A81000C,00100,0600,LANDSCAPE SVCS 9048,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9048,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9048,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9048,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9048,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 9048,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9048,B100000,00000,0800,00000MEALS SERVED :DIETARY 9048,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9048,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9048,E10A180,00301,0100,01/26/1998 9048,E10A180,00301,0300,02/23/1998 9048,E10A180,00302,0100,06/19/1998 9048,E10A180,00350,0100,02/23/1999 9048,E10A180,00351,0300,06/19/1998 9048,E10A180,00352,0300,10/26/1998 9048,S000000,00100,0200,06/05/2000 9048,S200000,00100,0100,2655 NEBRASKA AVENUE 9048,S200000,00200,0100,PALM HARBOR 9048,S200000,00200,0200,FL 9048,S200000,00200,0300,34684- 9048,S200000,00300,0100,PINELLAS 9048,S200000,00300,0200,8280 9048,S200000,00300,0300,U 9048,S200000,00400,0100,ST. MARK VILLAGE 9048,S200000,00400,0200,105378 9048,S200000,00400,0300,11/24/1980 9048,S200000,00400,0500,P 9048,S200000,01004,0500,O 9048,S200000,01500,0100,Y 9056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9056,A000000,00300,0000,00300EMPLOYEE BENEFITS 9056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9056,A000000,00700,0000,00700HOUSEKEEPING 9056,A000000,00800,0000,00800DIETARY 9056,A000000,00900,0000,00900NURSING ADMINISTRATION 9056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9056,A000000,01100,0000,01100PHARMACY 9056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9056,A000000,01300,0000,01300SOCIAL SERVICE 9056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9056,A000000,01600,0000,01600SKILLED NURSING FACILITY 9056,A000000,01800,0000,01800NURSING FACILITY 9056,A000000,01810,0000,01810ICF/MR 9056,A000000,02200,0000,02200LABORATORY 9056,A000000,02500,0000,02500PHYSICAL THERAPY 9056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9056,A000000,02700,0000,02700SPEECH PATHOLOGY 9056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9056,A000000,03550,0000,03550FQHC 9056,A000000,05000,0000,05000CORF 9056,A000000,05010,0000,05010CMHC 9056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9056,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9056,A000000,06200,0000,06200PATIENTS LAUNDRY 9056,A81000A,00100,0100,Y 9056,A81000B,00100,0300,UNIFORMS 9056,A81000B,00200,0300,SUPPLIES 9056,A81000B,00300,0300,WASTE 9056,A81000B,00400,0300,NON-PRESCRIP. DRUGS 9056,A81000B,00500,0300,SUPPLIES 9056,A81000B,00600,0300,SUPPLIES 9056,A81000B,00700,0300,SUPPLIES 9056,A81000B,00800,0300,UNIFORMS 9056,A81000B,00900,0300,SUPPLIES 9056,A81000B,01000,0300,LINENS 9056,A81000B,01100,0300,SUPPLIES 9056,A81000B,01200,0300,SUPPLIES 9056,A81000B,01300,0300,SUPPLIES 9056,A81000B,01400,0300,SUPPLIES 9056,A81000B,01500,0300,SUPPLIES 9056,A81000B,01600,0300,HOME OFFICE COST 9056,A81000B,01700,0300,HOME OFFICE COST 9056,A81000B,01800,0300,LEASE COST 9056,A81000C,00100,0100,A 9056,A81000C,00100,0200,SEE HCFA 339 9056,A81000C,00100,0400,DELTA HEALTH GR 9056,A81000C,00100,0600,NRSG HOME OPERA 9056,A81000C,00200,0100,A 9056,A81000C,00200,0200,SEE HCFA 339 9056,A81000C,00200,0400,DELTA DURABLES 9056,A81000C,00200,0600,SUPPLIES 9056,A81000C,00300,0100,A 9056,A81000C,00300,0200,SEE HCFA 339 9056,A81000C,00300,0400,DELTA FL. PROP. 9056,A81000C,00300,0600,PROPERTY LESSOR 9056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9056,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9056,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9056,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9056,B100000,00000,0800,00000MEALS SERVED :DIETARY 9056,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9056,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9056,B100000,00000,1250,00000NRSING SALARIES :MEDICAL RECORDS & 9056,S000000,00100,0200,06/01/2000 9056,S200000,00100,0100,320 N. MITCHELL STREET 9056,S200000,00200,0100,KISSIMMEE 9056,S200000,00200,0200,FL 9056,S200000,00200,0300,34741- 9056,S200000,00300,0100,OSCEOLA 9056,S200000,00300,0200,5960 9056,S200000,00300,0300,U 9056,S200000,00400,0100,OAKS OF KISSIMMEE 9056,S200000,00400,0200,105379 9056,S200000,00400,0300,03/28/1991 9056,S200000,00400,0500,P 9056,S200000,00400,0600,O 9056,S200000,00600,0200,105379 9056,S200000,00600,0300,03/28/1991 9056,S200000,00600,0600,P 9056,S200000,01600,0100,Y 9065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9065,A000000,00300,0000,00300EMPLOYEE BENEFITS 9065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9065,A000000,00700,0000,00700HOUSEKEEPING 9065,A000000,00800,0000,00800DIETARY 9065,A000000,00900,0000,00900NURSING ADMINISTRATION 9065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9065,A000000,01100,0000,01100PHARMACY 9065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9065,A000000,01300,0000,01300SOCIAL SERVICE 9065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9065,A000000,01600,0000,01600SKILLED NURSING FACILITY 9065,A000000,01800,0000,01800NURSING FACILITY 9065,A000000,01810,0000,01810ICF/MR 9065,A000000,02100,0000,02100RADIOLOGY 9065,A000000,02200,0000,02200LABORATORY 9065,A000000,02300,0000,02300INTRAVENOUS THERAPY 9065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9065,A000000,02500,0000,02500PHYSICAL THERAPY 9065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9065,A000000,02700,0000,02700SPEECH PATHOLOGY 9065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9065,A000000,03550,0000,03550FQHC 9065,A000000,05000,0000,05000CORF 9065,A000000,05010,0000,05010CMHC 9065,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9065,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9065,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9065,A000000,05300,0000,05300INTEREST EXPENSE 9065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9065,A81000A,00100,0100,Y 9065,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 9065,A81000C,00100,0100,B 9065,A81000C,00100,0200,LENOX HEALTHCAR 9065,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9065,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9065,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9065,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9065,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9065,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9065,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9065,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9065,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9065,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9065,S000000,00100,0200,05/26/2000 9065,S200000,00100,0100,37300 ROYAL OAK LANE 9065,S200000,00100,0300,1976 9065,S200000,00200,0100,DADE CITY 9065,S200000,00200,0200,FL 9065,S200000,00200,0300,33525- 9065,S200000,00300,0100,PASCO 9065,S200000,00300,0200,8280 9065,S200000,00300,0300,U 9065,S200000,00400,0100,ROYAL OAK NURSING CENTER 9065,S200000,00400,0200,105385 9065,S200000,00400,0300,10/01/1973 9065,S200000,00400,0500,P 9065,S200000,00600,0200,105385 9065,S200000,00600,0300,01/01/1973 9065,S200000,00600,0600,P 9065,S200000,01600,0100,Y 9075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9075,A000000,00300,0000,00300EMPLOYEE BENEFITS 9075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9075,A000000,00700,0000,00700HOUSEKEEPING 9075,A000000,00800,0000,00800DIETARY 9075,A000000,00900,0000,00900NURSING ADMINISTRATION 9075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9075,A000000,01100,0000,01100PHARMACY 9075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9075,A000000,01300,0000,01300SOCIAL SERVICE 9075,A000000,01350,0000,01500RECREATIONAL THERAPY 9075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9075,A000000,01600,0000,01600SKILLED NURSING FACILITY 9075,A000000,02500,0000,02500PHYSICAL THERAPY 9075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9075,A000000,02700,0000,02700SPEECH PATHOLOGY 9075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9075,A000000,05000,0000,05000CORF 9075,A000000,05010,0000,05010CMHC 9075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9075,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 9075,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 9075,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 9075,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 9075,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 9075,B100000,00000,0800,00040MEALS SERVED :DIETARY 9075,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 9075,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 9075,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 9075,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 9075,B100000,00000,1350,00040SQUARE FEE :RECREATIONAL THERAPY 9075,S000000,00100,0200,02/29/2000 9075,S200000,00100,0100,2500 NW 22ND AVENUE 9075,S200000,00200,0100,MIAMI 9075,S200000,00200,0200,FL 9075,S200000,00200,0300,33142- 9075,S200000,00300,0100,MIAMI-DADE 9075,S200000,00300,0200,5000 9075,S200000,00300,0300,U 9075,S200000,00400,0100,HUMAN RESOURCES HEALTH CENTER 9075,S200000,00400,0200,105392 9075,S200000,00400,0300,10/01/1981 9075,S200000,00400,0500,P 9075,S200000,01500,0100,Y 9075,S200000,02800,0100,Y 9083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9083,A000000,00300,0000,00300EMPLOYEE BENEFITS 9083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9083,A000000,00700,0000,00700HOUSEKEEPING 9083,A000000,00800,0000,00800DIETARY 9083,A000000,00900,0000,00900NURSING ADMINISTRATION 9083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9083,A000000,01100,0000,01100PHARMACY 9083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9083,A000000,01300,0000,01300SOCIAL SERVICE 9083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9083,A000000,01600,0000,01600SKILLED NURSING FACILITY 9083,A000000,01800,0000,01800NURSING FACILITY 9083,A000000,01810,0000,01810ICF/MR 9083,A000000,02100,0000,02100RADIOLOGY 9083,A000000,02200,0000,02200LABORATORY 9083,A000000,02300,0000,02300INTRAVENOUS THERAPY 9083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9083,A000000,02500,0000,02500PHYSICAL THERAPY 9083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9083,A000000,02700,0000,02700SPEECH PATHOLOGY 9083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9083,A000000,03550,0000,03550FQHC 9083,A000000,05000,0000,05000CORF 9083,A000000,05010,0000,05010CMHC 9083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9083,A000000,05300,0000,05300INTEREST EXPENSE 9083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9083,A81000A,00100,0100,Y 9083,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9083,A81000C,00100,0100,B 9083,A81000C,00100,0200,LENOX HEALTHCAR 9083,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9083,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9083,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9083,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9083,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9083,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9083,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9083,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9083,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9083,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9083,S000000,00100,0200,05/30/2000 9083,S200000,00100,0100,8041 STATE ROUTE 52 9083,S200000,00100,0300,5067 9083,S200000,00200,0100,HUDSON 9083,S200000,00200,0200,FL 9083,S200000,00200,0300,34667- 9083,S200000,00300,0100,PASCO 9083,S200000,00300,0200,8280 9083,S200000,00300,0300,U 9083,S200000,00400,0100,BEAR CREEK NURSING CENTER 9083,S200000,00400,0200,105393 9083,S200000,00400,0300,11/01/1990 9083,S200000,00400,0500,P 9083,S200000,00600,0200,105393 9083,S200000,00600,0300,11/01/1990 9083,S200000,00600,0600,P 9083,S200000,01600,0100,Y 9105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9105,A000000,00300,0000,00300EMPLOYEE BENEFITS 9105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9105,A000000,00700,0000,00700HOUSEKEEPING 9105,A000000,00800,0000,00800DIETARY 9105,A000000,00900,0000,00900NURSING ADMINISTRATION 9105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9105,A000000,01100,0000,01100PHARMACY 9105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9105,A000000,01300,0000,01300SOCIAL SERVICE 9105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9105,A000000,01600,0000,01600SKILLED NURSING FACILITY 9105,A000000,01800,0000,01800NURSING FACILITY 9105,A000000,01810,0000,01810ICF/MR 9105,A000000,02100,0000,02100RADIOLOGY 9105,A000000,02200,0000,02200LABORATORY 9105,A000000,02300,0000,02300INTRAVENOUS THERAPY 9105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9105,A000000,02500,0000,02500PHYSICAL THERAPY 9105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9105,A000000,02700,0000,02700SPEECH PATHOLOGY 9105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9105,A000000,03550,0000,03550FQHC 9105,A000000,05000,0000,05000CORF 9105,A000000,05010,0000,05010CMHC 9105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9105,A000000,05300,0000,05300INTEREST EXPENSE 9105,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9105,A81000A,00100,0100,Y 9105,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 9105,A81000B,00200,0300,ADMIN & GENERAL 9105,A81000B,00300,0300,NURSING ADMIN 9105,A81000C,00100,0100,B 9105,A81000C,00100,0200,LENOX HEALTHCAR 9105,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9105,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9105,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9105,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9105,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9105,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9105,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9105,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9105,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9105,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9105,S000000,00100,0200,05/30/2000 9105,S200000,00100,0100,606 NE 7TH STREET 9105,S200000,00100,0300,229 9105,S200000,00200,0100,TRENTON 9105,S200000,00200,0200,FL 9105,S200000,00200,0300,32693- 9105,S200000,00300,0100,GILCHRIST 9105,S200000,00300,0200,10 9105,S200000,00300,0300,R 9105,S200000,00400,0100,AYERS NURSING & REHAB CENTER 9105,S200000,00400,0200,105401 9105,S200000,00400,0300,10/01/1973 9105,S200000,00400,0500,P 9105,S200000,00600,0200,105411 9105,S200000,00600,0300,10/01/1973 9105,S200000,00600,0600,P 9105,S200000,01600,0100,Y 9135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9135,A000000,00300,0000,00300EMPLOYEE BENEFITS 9135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9135,A000000,00700,0000,00700HOUSEKEEPING 9135,A000000,00800,0000,00800DIETARY 9135,A000000,00900,0000,00900NURSING ADMINISTRATION 9135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9135,A000000,01100,0000,01100PHARMACY 9135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9135,A000000,01300,0000,01300SOCIAL SERVICE 9135,A000000,01350,0000,01500ACTIVITIES 9135,A000000,01600,0000,01600SKILLED NURSING FACILITY 9135,A000000,01800,0000,01800NURSING FACILITY 9135,A000000,02100,0000,02100RADIOLOGY 9135,A000000,02200,0000,02200LABORATORY 9135,A000000,02300,0000,02300INTRAVENOUS THERAPY 9135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9135,A000000,02500,0000,02500PHYSICAL THERAPY 9135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9135,A000000,02700,0000,02700SPEECH PATHOLOGY 9135,A000000,02800,0000,02800ELECTROCARDIOLOGY 9135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9135,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9135,A000000,03400,0000,03400CLINIC 9135,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 9135,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9135,A000000,04800,0000,04800AMBULANCE 9135,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9135,A000000,05300,0000,05300INTEREST EXPENSE 9135,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9135,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9135,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9135,A81000A,00100,0100,Y 9135,A81000B,00100,0300,REL CO - EMP H & W 9135,A81000B,00200,0300,REL CO - ADMIN & GENERAL 9135,A81000B,00300,0300,REL CO - OPER & MAINT 9135,A81000B,00400,0300,REL CO - HOUSEKEEPING 9135,A81000B,00500,0300,REL CO - DIETARY 9135,A81000B,00600,0300,REL CO - SOCIAL SERVICE 9135,A81000B,00700,0300,REL CO - NURSING 9135,A81000B,00800,0300,REL CO - CENTRAL SUPPLIES 9135,A81000B,00900,0300,DEPR-BUILDING & FIXTURES 9135,A81000B,01000,0300,DEPR-MOVEABLE EQUIPMENT 9135,A81000C,00100,0100,B 9135,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 9135,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 9135,A81000C,00100,0600,REALTY & MANAGEMENT 9135,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9135,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9135,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9135,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9135,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9135,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9135,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9135,B100000,00000,0800,00000MEALS SERVED :DIETARY 9135,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9135,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 9135,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9135,B100000,00000,1350,00000NO. OF PARTIC :ACTIVITIES 9135,S000000,00100,0200,05/31/2000 9135,S200000,00100,0100,7300 OLEANDER AVE. 9135,S200000,00200,0100,PORT ST. LUCIE 9135,S200000,00200,0200,FL 9135,S200000,00200,0300,34952- 9135,S200000,00300,0100,ST. LUCIE 9135,S200000,00300,0200,2710 9135,S200000,00300,0300,U 9135,S200000,00400,0100,PORT ST. LUCIE NURSING & RESTOR CARE 9135,S200000,00400,0200,105410 9135,S200000,00400,0300,08/01/1982 9135,S200000,00400,0500,P 9135,S200000,01500,0100,Y 9146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9146,A000000,00300,0000,00300EMPLOYEE BENEFITS 9146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9146,A000000,00700,0000,00700HOUSEKEEPING 9146,A000000,00800,0000,00800DIETARY 9146,A000000,00900,0000,00900NURSING ADMINISTRATION 9146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9146,A000000,01100,0000,01100PHARMACY 9146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9146,A000000,01300,0000,01300SOCIAL SERVICE 9146,A000000,01350,0000,01500ACTIVITIES 9146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9146,A000000,01600,0000,01600SKILLED NURSING FACILITY 9146,A000000,01800,0000,01800NURSING FACILITY 9146,A000000,01900,0000,01900OTHER LONG TERM CARE 9146,A000000,02100,0000,02100RADIOLOGY 9146,A000000,02200,0000,02200LABORATORY 9146,A000000,02300,0000,02300INTRAVENOUS THERAPY 9146,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9146,A000000,02500,0000,02500PHYSICAL THERAPY 9146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9146,A000000,02700,0000,02700SPEECH PATHOLOGY 9146,A000000,02800,0000,02800ELECTROCARDIOLOGY 9146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9146,A000000,03050,0000,03300AIR FLUIDIZED BEDS 9146,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9146,A000000,03200,0000,03200SUPPORT SURFACES 9146,A000000,03400,0000,03400CLINIC 9146,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9146,A000000,03500,0000,03500RURAL HEALTH CLINIC 9146,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9146,A000000,04800,0000,04800AMBULANCE 9146,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9146,A000000,05000,0000,05000CORF 9146,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9146,A000000,05300,0000,05300INTEREST EXPENSE 9146,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9146,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9146,A000000,05500,0000,05500HOSPICE 9146,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9146,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9146,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9146,A000000,06100,0000,06100NONPAID WORKERS 9146,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9146,A000000,06200,0000,06200PATIENTS LAUNDRY 9146,A81000A,00100,0100,Y 9146,A81000B,00100,0300,HOME OFFICE ADMIN & GENERAL 9146,A81000B,00200,0300,HOME OFFICE PROPERTY 9146,A81000C,00100,0100,A 9146,A81000C,00100,0200,R. ROSKAMP FRANK HAROLD 9146,A81000C,00100,0400,AMERICAN RETIREMENT CORP. 9146,A81000C,00100,0600,MANAGEMENT COMPANY 9146,A81000C,00200,0100,A 9146,A81000C,00200,0200,R ROSKAMP FRANK HAROLD 9146,A81000C,00200,0400,AMERICAN RETIREMENT CORP. 9146,A81000C,00200,0600,MANAGEMENT COMPANY 9146,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9146,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 9146,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9146,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9146,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9146,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9146,B100000,00000,0750,00000SQUARE FEET MOD :HOUSEKEEPING 9146,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9146,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9146,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9146,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 9146,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9146,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9146,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 9146,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9146,S000000,00100,0200,06/05/2000 9146,S200000,00100,0100,10800 TEMPLE TERRACE 9146,S200000,00200,0100,SEMINOLE 9146,S200000,00200,0200,FL 9146,S200000,00200,0300,33772- 9146,S200000,00300,0100,PINELLAS 9146,S200000,00400,0100,SEMINOLE NURSING PAVILION 9146,S200000,00400,0200,105412 9146,S200000,00400,0300,07/08/1982 9146,S200000,00400,0500,P 9146,S200000,01600,0100,Y 9155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9155,A000000,00300,0000,00300EMPLOYEE BENEFITS 9155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9155,A000000,00700,0000,00700HOUSEKEEPING 9155,A000000,00800,0000,00800DIETARY 9155,A000000,00900,0000,00900NURSING ADMINISTRATION 9155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9155,A000000,01300,0000,01300SOCIAL SERVICE 9155,A000000,01600,0000,01600SKILLED NURSING FACILITY 9155,A000000,01800,0000,01800NURSING FACILITY 9155,A000000,01900,0000,01900OTHER LONG TERM CARE 9155,A000000,02100,0000,02100RADIOLOGY 9155,A000000,02200,0000,02200LABORATORY 9155,A000000,02201,0000,02201GLUCOSE TESTING 9155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9155,A000000,02500,0000,02500PHYSICAL THERAPY 9155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9155,A000000,02700,0000,02700SPEECH PATHOLOGY 9155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9155,A000000,03050,0000,03300PSYCH EVALUATIONS 9155,A000000,03200,0000,03200SUPPORT SURFACES 9155,A81000A,00100,0100,Y 9155,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 9155,A81000C,00100,0100,B 9155,A81000C,00100,0400,C.M.E. INC. 9155,A81000C,00100,0600,HEALTHCARE 9155,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9155,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9155,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9155,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9155,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9155,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9155,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9155,B100000,00000,0800,00000MEALS SERVED :DIETARY 9155,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 9155,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9155,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9155,S000000,00100,0200,05/25/2000 9155,S200000,00100,0100,905 HIGHLAND AVENUE 9155,S200000,00200,0100,CLEARWATER 9155,S200000,00200,0200,FL 9155,S200000,00200,0300,33756- 9155,S200000,00300,0100,PINELLAS 9155,S200000,00300,0200,8280 9155,S200000,00300,0300,U 9155,S200000,00400,0100,GULF COAST NURSING & REHAB 9155,S200000,00400,0200,105414 9155,S200000,00400,0300,09/09/1982 9155,S200000,00400,0500,P 9155,S200000,01600,0100,Y 9174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9174,A000000,00300,0000,00300EMPLOYEE BENEFITS 9174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9174,A000000,00700,0000,00700HOUSEKEEPING 9174,A000000,00800,0000,00800DIETARY 9174,A000000,00900,0000,00900NURSING ADMINISTRATION 9174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9174,A000000,01100,0000,01100PHARMACY 9174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9174,A000000,01300,0000,01300SOCIAL SERVICE 9174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9174,A000000,01600,0000,01600SKILLED NURSING FACILITY 9174,A000000,01800,0000,01800NURSING FACILITY 9174,A000000,01900,0000,01900OTHER LONG TERM CARE 9174,A000000,02100,0000,02100RADIOLOGY 9174,A000000,02200,0000,02200LABORATORY 9174,A000000,02300,0000,02300INTRAVENOUS THERAPY 9174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9174,A000000,02500,0000,02500PHYSICAL THERAPY 9174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9174,A000000,02700,0000,02700SPEECH PATHOLOGY 9174,A000000,02800,0000,02800ELECTROCARDIOLOGY 9174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9174,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 9174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9174,A000000,03200,0000,03200SUPPORT SURFACES 9174,A000000,03400,0000,03400CLINIC 9174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 9174,A000000,04800,0000,04800AMBULANCE 9174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9174,A000000,05000,0000,05000CORF 9174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9174,A000000,05300,0000,05300INTEREST EXPENSE 9174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9174,A000000,05500,0000,05500HOSPICE 9174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9174,A000000,06100,0000,06100NONPAID WORKERS 9174,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 9174,A000000,06200,0000,06200PATIENTS LAUNDRY 9174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9174,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9174,B100000,00000,0800,00000MEALS SERVED :DIETARY 9174,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 9174,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9174,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9174,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9174,S000000,00100,0200,07/26/2000 9174,S200000,00100,0100,315 SOUTH FLAGLER 9174,S200000,00200,0100,WEST PALM BEACH FL 33401 9174,S200000,00200,0200,CA 9174,S200000,00300,0100,PALM BEACH COUNTY 9174,S200000,00300,0200,8960 9174,S200000,00300,0300,U 9174,S200000,00400,0100,LOURDES NOREEN MCKEEN RESIDENCE 9174,S200000,00400,0200,105420 9174,S200000,00400,0300,04/01/1982 9174,S200000,00400,0500,P 9174,S200000,01600,0100,Y 9174,S200000,01700,0100,Y 9182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9182,A000000,00300,0000,00300EMPLOYEE BENEFITS 9182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9182,A000000,00700,0000,00700HOUSEKEEPING 9182,A000000,00800,0000,00800DIETARY 9182,A000000,00900,0000,00900NURSING ADMINISTRATION 9182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9182,A000000,01100,0000,01100PHARMACY 9182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9182,A000000,01300,0000,01300SOCIAL SERVICE 9182,A000000,01350,0000,01500OTHER GENERAL SERVICES 9182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9182,A000000,01600,0000,01600SKILLED NURSING FACILITY 9182,A000000,01800,0000,01800NURSING FACILITY 9182,A000000,01810,0000,01810ICF/MR 9182,A000000,01900,0000,01900OTHER LONG TERM CARE 9182,A000000,02100,0000,02100RADIOLOGY 9182,A000000,02200,0000,02200LABORATORY 9182,A000000,02300,0000,02300INTRAVENOUS THERAPY 9182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9182,A000000,02500,0000,02500PHYSICAL THERAPY 9182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9182,A000000,02700,0000,02700SPEECH PATHOLOGY 9182,A000000,02800,0000,02800ELECTROCARDIOLOGY 9182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9182,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9182,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9182,A000000,03200,0000,03200SUPPORT SURFACES 9182,A000000,03400,0000,03400CLINIC 9182,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9182,A000000,03500,0000,03500RURAL HEALTH CLINIC 9182,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9182,A000000,04800,0000,04800AMBULANCE 9182,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9182,A000000,05000,0000,05000CORF 9182,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9182,A000000,05300,0000,05300INTEREST EXPENSE 9182,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9182,A000000,05500,0000,05500HOSPICE 9182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9182,A000000,06100,0000,06100NONPAID WORKERS 9182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9182,A000000,06200,0000,06200PATIENTS LAUNDRY 9182,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 9182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9182,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 9182,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9182,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 9182,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9182,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9182,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9182,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9182,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9182,S000000,00100,0200,05/31/2000 9182,S200000,00100,0100,10680 OLD ST AUGUSTINE RD 9182,S200000,00200,0100,JACKSONVILLE 9182,S200000,00200,0200,FL 9182,S200000,00200,0300,32257- 9182,S200000,00300,0100,DUVAL 9182,S200000,00300,0200,3600 9182,S200000,00300,0300,U 9182,S200000,00400,0100,SOUTHLAKE NURSING & REHAB CTR 9182,S200000,00400,0200,105423 9182,S200000,00400,0300,11/01/1982 9182,S200000,00400,0500,P 9182,S200000,01600,0100,Y 9185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9185,A000000,00300,0000,00300EMPLOYEE BENEFITS 9185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9185,A000000,00700,0000,00700HOUSEKEEPING 9185,A000000,00800,0000,00800DIETARY 9185,A000000,00900,0000,00900NURSING ADMINISTRATION 9185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9185,A000000,01100,0000,01100PHARMACY 9185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9185,A000000,01300,0000,01300SOCIAL SERVICE 9185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9185,A000000,01600,0000,01600SKILLED NURSING FACILITY 9185,A000000,01800,0000,01800NURSING FACILITY 9185,A000000,01810,0000,01810ICF/MR 9185,A000000,02200,0000,02200LABORATORY 9185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9185,A000000,02500,0000,02500PHYSICAL THERAPY 9185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9185,A000000,02700,0000,02700SPEECH PATHOLOGY 9185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9185,A000000,03550,0000,03550FQHC 9185,A000000,05000,0000,05000CORF 9185,A000000,05010,0000,05010CMHC 9185,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9185,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9185,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9185,A000000,06200,0000,06200PATIENTS LAUNDRY 9185,A81000A,00100,0100,Y 9185,A81000B,00100,0300,SUPPLIES 9185,A81000B,00200,0300,SUPPLIES 9185,A81000B,00300,0300,SUPPLIES 9185,A81000B,00400,0300,SUPPLIES 9185,A81000B,00500,0300,SUPPLIES 9185,A81000B,00600,0300,SUPPLIES 9185,A81000B,00700,0300,SUPPLIES 9185,A81000B,00800,0300,SUPPLIES 9185,A81000B,00900,0300,SUPPLIES 9185,A81000B,01000,0300,MANAGEMENT FEE 9185,A81000B,01100,0300,CAP-RELATED 9185,A81000C,00100,0100,A 9185,A81000C,00100,0200,SEE HCFA 339 9185,A81000C,00100,0400,DELTA HEALTH GR 9185,A81000C,00100,0600,NRSG HOME OPERA 9185,A81000C,00200,0100,A 9185,A81000C,00200,0200,SEE HCFA 339 9185,A81000C,00200,0400,DELTA DURABLES 9185,A81000C,00200,0600,SUPPLIER 9185,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9185,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9185,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9185,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9185,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9185,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9185,B100000,00000,0800,00000MEALS SERVED :DIETARY 9185,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9185,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9185,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9185,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9185,S000000,00100,0200,06/01/2000 9185,S200000,00100,0100,1700 MONROE AVENUE 9185,S200000,00200,0100,MAITLAND 9185,S200000,00200,0200,FL 9185,S200000,00200,0300,32751- 9185,S200000,00300,0100,ORANGE 9185,S200000,00300,0200,5960 9185,S200000,00300,0300,U 9185,S200000,00400,0100,MAITLAND HEALTH C.C. 9185,S200000,00400,0200,105430 9185,S200000,00400,0300,03/21/1983 9185,S200000,00400,0500,P 9185,S200000,00400,0600,O 9185,S200000,00600,0200,105430 9185,S200000,00600,0300,03/21/1983 9185,S200000,00600,0600,P 9185,S200000,01600,0100,Y 9193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9193,A000000,00300,0000,00300EMPLOYEE BENEFITS 9193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9193,A000000,00700,0000,00700HOUSEKEEPING 9193,A000000,00800,0000,00800DIETARY 9193,A000000,00900,0000,00900NURSING ADMINISTRATION 9193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9193,A000000,01100,0000,01100PHARMACY 9193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9193,A000000,01300,0000,01300SOCIAL SERVICE 9193,A000000,01350,0000,01500OTHER GENERAL SERVICES 9193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9193,A000000,01600,0000,01600SKILLED NURSING FACILITY 9193,A000000,01800,0000,01800NURSING FACILITY 9193,A000000,01810,0000,01810ICF/MR 9193,A000000,01900,0000,01900OTHER LONG TERM CARE 9193,A000000,02100,0000,02100RADIOLOGY 9193,A000000,02200,0000,02200LABORATORY 9193,A000000,02300,0000,02300INTRAVENOUS THERAPY 9193,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9193,A000000,02500,0000,02500PHYSICAL THERAPY 9193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9193,A000000,02700,0000,02700SPEECH PATHOLOGY 9193,A000000,02800,0000,02800ELECTROCARDIOLOGY 9193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9193,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9193,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9193,A000000,03200,0000,03200SUPPORT SURFACES 9193,A000000,03400,0000,03400CLINIC 9193,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9193,A000000,03500,0000,03500RURAL HEALTH CLINIC 9193,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9193,A000000,04800,0000,04800AMBULANCE 9193,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9193,A000000,05000,0000,05000CORF 9193,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9193,A000000,05300,0000,05300INTEREST EXPENSE 9193,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9193,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9193,A000000,05500,0000,05500HOSPICE 9193,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9193,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9193,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9193,A000000,06100,0000,06100NONPAID WORKERS 9193,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9193,A000000,06200,0000,06200PATIENTS LAUNDRY 9193,A81000A,00100,0100,Y 9193,A81000B,00100,0300,HOME OFFICE EXPENSE 9193,A81000C,00100,0100,A 9193,A81000C,00100,0200,RALPH L. STACEY JR. 9193,A81000C,00100,0400,STACEY ENTERPRISES 9193,A81000C,00100,0600,NURSING HOME ADMINISTR. 9193,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9193,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9193,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9193,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9193,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9193,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 9193,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9193,B100000,00000,0800,00000MEALS SERVED :DIETARY 9193,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 9193,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 9193,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 9193,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 9193,S000000,00100,0200,06/21/2000 9193,S200000,00100,0100,899 N W 4TH ST 9193,S200000,00200,0100,MIAMI 9193,S200000,00200,0200,FL 9193,S200000,00200,0300,33128- 9193,S200000,00300,0100,DADE 9193,S200000,00300,0200,5000 9193,S200000,00300,0300,U 9193,S200000,00400,0100,RIVERSIDE CARE CENTER 9193,S200000,00400,0200,105432 9193,S200000,00400,0300,04/18/1983 9193,S200000,00400,0500,P 9193,S200000,01500,0100,Y 9193,S200000,02800,0100,Y 9202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9202,A000000,00300,0000,00300EMPLOYEE BENEFITS 9202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9202,A000000,00700,0000,00700HOUSEKEEPING 9202,A000000,00800,0000,00800DIETARY 9202,A000000,00900,0000,00900NURSING ADMINISTRATION 9202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9202,A000000,01100,0000,01100PHARMACY 9202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9202,A000000,01300,0000,01300SOCIAL SERVICE 9202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9202,A000000,01600,0000,01600SKILLED NURSING FACILITY 9202,A000000,01800,0000,01800NURSING FACILITY 9202,A000000,01810,0000,01810ICF/MR 9202,A000000,02100,0000,02100RADIOLOGY 9202,A000000,02200,0000,02200LABORATORY 9202,A000000,02300,0000,02300INTRAVENOUS THERAPY 9202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9202,A000000,02500,0000,02500PHYSICAL THERAPY 9202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9202,A000000,02700,0000,02700SPEECH PATHOLOGY 9202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9202,A000000,03550,0000,03550FQHC 9202,A000000,05000,0000,05000CORF 9202,A000000,05010,0000,05010CMHC 9202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9202,A000000,05300,0000,05300INTEREST EXPENSE 9202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9202,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9202,A81000A,00100,0100,Y 9202,A81000B,00100,0300,MGMT FEE- HOME OFFIC 9202,A81000C,00100,0100,B 9202,A81000C,00100,0200,LENOX HEALTHCAR 9202,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9202,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9202,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9202,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9202,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9202,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9202,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9202,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9202,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9202,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9202,S000000,00100,0200,05/30/2000 9202,S200000,00100,0100,700 SE 8TH AVENUE 9202,S200000,00100,0300,880 9202,S200000,00200,0100,CRYSTAL RIVER 9202,S200000,00200,0200,FL 9202,S200000,00200,0300,34429- 9202,S200000,00300,0100,CITRUS 9202,S200000,00300,0200,10 9202,S200000,00300,0300,R 9202,S200000,00400,0100,CYPRESS COVE CARE CENTER 9202,S200000,00400,0200,105437 9202,S200000,00400,0300,10/01/1973 9202,S200000,00400,0500,P 9202,S200000,00600,0200,105437 9202,S200000,00600,0300,10/01/1973 9202,S200000,00600,0600,P 9202,S200000,01600,0100,Y 9213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9213,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 9213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9213,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 9213,A000000,00300,0000,00300EMPLOYEE BENEFITS 9213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9213,A000000,00700,0000,00700HOUSEKEEPING 9213,A000000,00800,0000,00800DIETARY 9213,A000000,00801,0000,00801CAFETERIA 9213,A000000,00900,0000,00900NURSING ADMINISTRATION 9213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9213,A000000,01100,0000,01100PHARMACY 9213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9213,A000000,01300,0000,01300SOCIAL SERVICE 9213,A000000,01350,0000,01500ACTIVITIES 9213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9213,A000000,01600,0000,01600SKILLED NURSING FACILITY 9213,A000000,01800,0000,01800NURSING FACILITY 9213,A000000,01900,0000,01900OTHER LONG TERM CARE 9213,A000000,02100,0000,02100RADIOLOGY 9213,A000000,02200,0000,02200LABORATORY 9213,A000000,02300,0000,02300INTRAVENOUS THERAPY 9213,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9213,A000000,02500,0000,02500PHYSICAL THERAPY 9213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9213,A000000,02700,0000,02700SPEECH PATHOLOGY 9213,A000000,02800,0000,02800ELECTROCARDIOLOGY 9213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9213,A000000,03050,0000,03300DME 9213,A000000,03051,0000,03301ORTHOTICS 9213,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 9213,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9213,A000000,03200,0000,03200SUPPORT SURFACES 9213,A000000,03400,0000,03400CLINIC 9213,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 9213,A000000,03500,0000,03500RURAL HEALTH CLINIC 9213,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9213,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9213,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9213,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9213,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9213,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9213,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9213,A000000,04400,0000,04400DME RENTED - HHA 9213,A000000,04500,0000,04500DME SOLD - HHA 9213,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9213,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9213,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9213,A000000,04800,0000,04800AMBULANCE 9213,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9213,A000000,05000,0000,05000CORF 9213,A000000,05010,0000,05010CMHC I 9213,A000000,05020,0000,05020OPT I 9213,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9213,A000000,05300,0000,05300INTEREST EXPENSE 9213,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 9213,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 9213,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9213,A000000,05500,0000,05500HOSPICE 9213,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9213,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9213,A000000,06100,0000,06100NONPAID WORKERS 9213,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9213,A000000,06200,0000,06200PATIENTS LAUNDRY 9213,A81000A,00100,0100,Y 9213,A81000B,00100,0300,HOME OFFICE ALLOCATION 9213,A81000B,00200,0300,THERACOR ACTUAL COSTS 9213,A81000B,00300,0300,THERACOR ACTUAL COSTS 9213,A81000B,00400,0300,THERACOR ACTUAL COSTS 9213,A81000C,00100,0100,B 9213,A81000C,00100,0200,HARBORSIDE 9213,A81000C,00200,0200,HEALTHCARE 9213,A81000C,00300,0200,LIMITED PSHIP 9213,A81000C,00300,0600,MANAGEMENT CO 9213,A81000C,00500,0100,B 9213,A81000C,00500,0200,HARBORSIDE 9213,A81000C,00600,0200,REHABILITITAION 9213,A81000C,00700,0200,LIMITED PSHIP 9213,A81000C,00700,0600,THERAPY 9213,A81000C,00800,0600,SERVICE AND 9213,A81000C,00900,0600,MANAGEMENT CO 9213,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9213,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9213,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9213,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9213,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 9213,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9213,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9213,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9213,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 9213,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 9213,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 9213,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 9213,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 9213,S000000,00100,0200,06/01/2000 9213,S200000,00100,0100,4927 VOORHEES RD 9213,S200000,00200,0100,NEW PORT RICHEY 9213,S200000,00200,0200,FL 9213,S200000,00200,0300,34653- 9213,S200000,00300,0100,PASCO 9213,S200000,00300,0200,8280 9213,S200000,00300,0300,U 9213,S200000,00400,0100,HHC - GULF COAST 9213,S200000,00400,0200,105438 9213,S200000,00400,0300,03/06/1990 9213,S200000,00400,0500,P 9213,S200000,01600,0100,Y 9213,S200000,02200,0100,Y 9213,S200000,04700,0100,Y 9213,S200000,04700,0200,Y 9213,S200000,04900,0100,Y 9232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9232,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9232,A000000,00300,0000,00300EMPLOYEE BENEFITS 9232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9232,A000000,00700,0000,00700HOUSEKEEPING 9232,A000000,00800,0000,00800DIETARY 9232,A000000,00900,0000,00900NURSING ADMINISTRATION 9232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9232,A000000,01100,0000,01100PHARMACY 9232,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9232,A000000,01300,0000,01300SOCIAL SERVICE 9232,A000000,01350,0000,01500OTHER GENERAL SERVICES 9232,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9232,A000000,01600,0000,01600SKILLED NURSING FACILITY 9232,A000000,01800,0000,01800NURSING FACILITY 9232,A000000,01810,0000,01801ICF/MR 9232,A000000,01900,0000,01900OTHER LONG TERM CARE 9232,A000000,02100,0000,02100RADIOLOGY 9232,A000000,02200,0000,02200LABORATORY 9232,A000000,02300,0000,02300INTRAVENOUS THERAPY 9232,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9232,A000000,02500,0000,02500PHYSICAL THERAPY 9232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9232,A000000,02700,0000,02700SPEECH PATHOLOGY 9232,A000000,02800,0000,02800ELECTROCARDIOLOGY 9232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9232,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9232,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9232,A000000,03200,0000,03200SUPPORT SURFACES 9232,A000000,03400,0000,03400CLINIC 9232,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9232,A000000,03500,0000,03500RURAL HEALTH CLINIC 9232,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9232,A000000,04800,0000,04800AMBULANCE 9232,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9232,A000000,05000,0000,05000CORF 9232,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9232,A000000,05300,0000,05300INTEREST EXPENSE 9232,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9232,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9232,A000000,05500,0000,05500HOSPICE 9232,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9232,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9232,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9232,A000000,06100,0000,06100NONPAID WORKERS 9232,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9232,A000000,06200,0000,06200PATIENTS LAUNDRY 9232,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9232,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9232,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9232,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9232,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9232,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9232,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9232,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9232,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9232,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9232,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 9232,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9232,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9232,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 9232,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9232,S000000,00100,0200,06/01/2000 9232,S200000,00100,0100,4800 NOB HILL ROAD 9232,S200000,00200,0100,SUNRISE 9232,S200000,00200,0200,FL 9232,S200000,00200,0300,33351- 9232,S200000,00300,0100,BROWARD 9232,S200000,00400,0100,SUNRISE HEALTH CARE CENTER 9232,S200000,00400,0200,105441 9232,S200000,00400,0300,10/01/1983 9232,S200000,00400,0500,P 9232,S200000,01600,0100,Y 9232,S700003,00000,0100,1 9239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9239,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 9239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9239,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 9239,A000000,00300,0000,00300EMPLOYEE BENEFITS 9239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9239,A000000,00700,0000,00700HOUSEKEEPING 9239,A000000,00800,0000,00800DIETARY 9239,A000000,00801,0000,00801CAFETERIA 9239,A000000,00900,0000,00900NURSING ADMINISTRATION 9239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9239,A000000,01100,0000,01100PHARMACY 9239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9239,A000000,01300,0000,01300SOCIAL SERVICE 9239,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 9239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9239,A000000,01600,0000,01600SKILLED NURSING FACILITY 9239,A000000,01800,0000,01800NURSING FACILITY 9239,A000000,01900,0000,01900OTHER LONG TERM CARE 9239,A000000,02100,0000,02100RADIOLOGY 9239,A000000,02200,0000,02200LABORATORY 9239,A000000,02300,0000,02300INTRAVENOUS THERAPY 9239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9239,A000000,02500,0000,02500PHYSICAL THERAPY 9239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9239,A000000,02700,0000,02700SPEECH PATHOLOGY 9239,A000000,02800,0000,02800ELECTROCARDIOLOGY 9239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9239,A000000,03050,0000,03300OTHER ANCILLARY 9239,A000000,03051,0000,03301OTHER ANCILLARY II 9239,A000000,03052,0000,03302OTHER ANCILLARY III 9239,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9239,A000000,03200,0000,03200SUPPORT SURFACES 9239,A000000,03400,0000,03400CLINIC 9239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 9239,A000000,03500,0000,03500RURAL HEALTH CLINIC 9239,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9239,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9239,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9239,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9239,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9239,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9239,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9239,A000000,04400,0000,04400DME RENTED - HHA 9239,A000000,04500,0000,04500DME SOLD - HHA 9239,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9239,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9239,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9239,A000000,04800,0000,04800AMBULANCE 9239,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9239,A000000,05000,0000,05000CORF 9239,A000000,05010,0000,05010CMHC I 9239,A000000,05020,0000,05020OPT I 9239,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9239,A000000,05300,0000,05300INTEREST EXPENSE 9239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 9239,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 9239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9239,A000000,05500,0000,05500HOSPICE 9239,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9239,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9239,A000000,06100,0000,06100NONPAID WORKERS 9239,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9239,A000000,06200,0000,06200PATIENTS LAUNDRY 9239,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9239,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9239,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9239,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9239,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9239,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9239,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9239,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9239,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 9239,S000000,00100,0200,05/19/2000 9239,S200000,00100,0100,409 10TH STREET 9239,S200000,00100,0300,1476 9239,S200000,00200,0100,HAINES CITY 9239,S200000,00200,0200,FL 9239,S200000,00200,0300,33844- 9239,S200000,00300,0100,POLK 9239,S200000,00300,0200,3980 9239,S200000,00300,0300,U 9239,S200000,00400,0100,HAINES CITY HEALTH CARE CENTER 9239,S200000,00400,0200,105442 9239,S200000,00400,0300,12/14/1983 9239,S200000,00400,0500,P 9239,S200000,00400,0600,O 9239,S200000,01600,0100,Y 9250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9250,A000000,00300,0000,00300EMPLOYEE BENEFITS 9250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9250,A000000,00700,0000,00700HOUSEKEEPING 9250,A000000,00800,0000,00800DIETARY 9250,A000000,00900,0000,00900NURSING ADMINISTRATION 9250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9250,A000000,01300,0000,01300SOCIAL SERVICE 9250,A000000,01350,0000,01500ACTIVITIES 9250,A000000,01600,0000,01600SKILLED NURSING FACILITY 9250,A000000,02100,0000,02100RADIOLOGY 9250,A000000,02200,0000,02200LABORATORY 9250,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9250,A000000,02500,0000,02500PHYSICAL THERAPY 9250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9250,A000000,02700,0000,02700SPEECH PATHOLOGY 9250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9250,A000000,03050,0000,03300PEN THERAPY 9250,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9250,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9250,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9250,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9250,A000000,05300,0000,05300INTEREST EXPENSE 9250,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9250,A000000,06150,0000,06300RETIREMENT CENTER 9250,A000000,06200,0000,06200PATIENTS LAUNDRY 9250,A81000A,00100,0100,Y 9250,A81000B,00100,0300,CAPITAL 9250,A81000B,00200,0300,CAPITAL 9250,A81000B,00300,0300,HOME OFFICE A&G 9250,A81000B,00500,0300,BAPTIST HOSPITAL 9250,A81000B,00600,0300,BAPTIST HOSPITAL 9250,A81000B,00700,0300,BAPTIST HOSPITAL 9250,A81000B,00800,0300,BATIST HOSPITAL 9250,A81000B,00900,0300,BAPTIST HOSPITAL 9250,A81000B,01000,0300,PROFESSIONAL REHAB 9250,A81000B,01100,0300,PROFESSIONAL REHAB 9250,A81000B,01200,0300,PROFESSIONAL REHAB 9250,A81000B,01300,0300,PROFESSIONAL REHAB 9250,A81000C,00100,0100,B 9250,A81000C,00100,0200,BAPTIST HEALTH 9250,A81000C,00100,0400,BAPTIST HEALTH 9250,A81000C,00100,0600,HOME OFFICE 9250,A81000C,00200,0100,B 9250,A81000C,00200,0200,BAPTIST HEALTH 9250,A81000C,00200,0400,PROF REHAB AFFI 9250,A81000C,00200,0600,REHAB SERVICE 9250,A81000C,00300,0100,B 9250,A81000C,00300,0200,BAPTIST HEALTH 9250,A81000C,00300,0400,BAPTIST HOSPITA 9250,A81000C,00300,0600,HOSPITAL 9250,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9250,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9250,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9250,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9250,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9250,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9250,B100000,00000,0800,00000MEALS SERVED :DIETARY 9250,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9250,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9250,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9250,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 9250,H510100,00000,0000,6080 9250,H510100,02400,0000,6080 9250,H710000,00305,0100,12/01/1999 9250,S000000,00100,0200,02/29/2000 9250,S200000,00100,0100,10100 HILLVIEW ROAD 9250,S200000,00200,0100,PENSACOLA 9250,S200000,00200,0200,FL 9250,S200000,00200,0300,32514- 9250,S200000,00300,0100,ESCAMBIA 9250,S200000,00300,0200,6080 9250,S200000,00300,0300,U 9250,S200000,00400,0100,AZALEA TRACE 9250,S200000,00400,0200,105444 9250,S200000,00400,0300,08/20/1983 9250,S200000,00400,0500,P 9250,S200000,00400,0600,O 9250,S200000,00800,0200,107519 9250,S200000,00800,0300,03/06/1996 9250,S200000,00800,0500,P 9250,S200000,01500,0100,Y 9250,S200000,01900,0100,CORPORATION 9262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9262,A000000,00300,0000,00300EMPLOYEE BENEFITS 9262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9262,A000000,00700,0000,00700HOUSEKEEPING 9262,A000000,00800,0000,00800DIETARY 9262,A000000,00900,0000,00900NURSING ADMINISTRATION 9262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9262,A000000,01100,0000,01100PHARMACY 9262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9262,A000000,01300,0000,01300SOCIAL SERVICE 9262,A000000,01350,0000,01500OTHER GENERAL SERVICES 9262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9262,A000000,01600,0000,01600SKILLED NURSING FACILITY 9262,A000000,01800,0000,01800NURSING FACILITY 9262,A000000,01810,0000,01810ICF/MR 9262,A000000,01900,0000,01900OTHER LONG TERM CARE 9262,A000000,02100,0000,02100RADIOLOGY 9262,A000000,02200,0000,02200LABORATORY 9262,A000000,02300,0000,02300INTRAVENOUS THERAPY 9262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9262,A000000,02500,0000,02500PHYSICAL THERAPY 9262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9262,A000000,02700,0000,02700SPEECH PATHOLOGY 9262,A000000,02800,0000,02800ELECTROCARDIOLOGY 9262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9262,A000000,03200,0000,03200SUPPORT SURFACES 9262,A000000,03400,0000,03400CLINIC 9262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9262,A000000,03500,0000,03500RURAL HEALTH CLINIC 9262,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9262,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9262,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9262,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9262,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9262,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9262,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9262,A000000,04400,0000,04400DME RENTED - HHA 9262,A000000,04500,0000,04500DME SOLD - HHA 9262,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9262,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9262,A000000,04800,0000,04800AMBULANCE 9262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9262,A000000,05000,0000,05000CORF 9262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9262,A000000,05300,0000,05300INTEREST EXPENSE 9262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9262,A000000,05500,0000,05500HOSPICE 9262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9262,A000000,06100,0000,06100NONPAID WORKERS 9262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9262,A000000,06200,0000,06200PATIENTS LAUNDRY 9262,A81000A,00100,0100,Y 9262,A81000B,00100,0300,HOME OFFICE - MANAGEMENT FEES 9262,A81000B,00200,0300,PHYSICAL THERAPY 9262,A81000B,00300,0300,OCCUPATIONAL THERAPY 9262,A81000B,00400,0300,SPEECH THERAPY 9262,A81000B,00500,0300,INTEREST EXPENSE - DOS HC 9262,A81000B,00600,0300,HOME OFFICE - PROPERTY 9262,A81000C,00100,0100,A 9262,A81000C,00100,0200,JORGE HERNANDO 9262,A81000C,00100,0400,DOS HEALTH CARE 9262,A81000C,00100,0600,MANAGEMENT COMPANY 9262,A81000C,00200,0100,A 9262,A81000C,00200,0200,JORGE HERNANDO 9262,A81000C,00200,0400,DOS/REHAB CONCEPTS 9262,A81000C,00200,0600,THERAPY COMPANY 9262,A81000C,00300,0100,A 9262,A81000C,00300,0200,JORGE HERNANDO 9262,A81000C,00300,0400,DOS/REHAB CONCEPTS 9262,A81000C,00300,0600,THERAPY COMPANY 9262,A81000C,00400,0100,A 9262,A81000C,00400,0200,JORGE HERNANDO 9262,A81000C,00400,0400,DOS/REHAB CONCEPTS 9262,A81000C,00400,0600,THERAPY COMPANY 9262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9262,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9262,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9262,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9262,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9262,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9262,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9262,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9262,S000000,00100,0200,03/16/2000 9262,S200000,00100,0100,9380 NW. 7TH AVENUE 9262,S200000,00200,0100,MIAMI 9262,S200000,00200,0200,FL 9262,S200000,00200,0300,33150- 9262,S200000,00300,0100,DADE 9262,S200000,00300,0200,5000 9262,S200000,00300,0300,U 9262,S200000,00400,0100,NORTH SHORE NURSING HOME 9262,S200000,00400,0200,105449 9262,S200000,00400,0300,03/01/1984 9262,S200000,00400,0500,P 9262,S200000,01600,0100,Y 9266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9266,A000000,00300,0000,00300EMPLOYEE BENEFITS 9266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9266,A000000,00700,0000,00700HOUSEKEEPING 9266,A000000,00800,0000,00800DIETARY 9266,A000000,00900,0000,00900NURSING ADMINISTRATION 9266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9266,A000000,01100,0000,01100PHARMACY 9266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9266,A000000,01300,0000,01300SOCIAL SERVICE 9266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9266,A000000,01600,0000,01600SKILLED NURSING FACILITY 9266,A000000,01800,0000,01800NURSING FACILITY 9266,A000000,01810,0000,01810ICF/MR 9266,A000000,02200,0000,02200LABORATORY 9266,A000000,02500,0000,02500PHYSICAL THERAPY 9266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9266,A000000,02700,0000,02700SPEECH PATHOLOGY 9266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9266,A000000,03550,0000,03550FQHC 9266,A000000,05000,0000,05000CORF 9266,A000000,05010,0000,05010CMHC 9266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9266,A000000,06150,0000,06300PATIENTS PERSONAL NEEDS 9266,A000000,06200,0000,06200PATIENTS LAUNDRY 9266,A81000A,00100,0100,Y 9266,A81000B,00100,0300,HOME OFFICE 9266,A81000B,00200,0300,HOME OFFICE 9266,A81000B,00300,0300,UNIFORMS 9266,A81000B,00400,0300,SUPPLIES 9266,A81000B,00500,0300,NONPRESCRIP.DRUGS 9266,A81000B,00600,0300,PERSONAL NEEDS 9266,A81000B,00700,0300,CHARGEABLE MED.SUPPL 9266,A81000B,00800,0300,SUPPLEM. FEEDING 9266,A81000B,00900,0300,UNIFORMS 9266,A81000B,01000,0300,FORMS & PRINTING 9266,A81000B,01100,0300,SUPPLIES 9266,A81000B,01200,0300,LINEN 9266,A81000B,01300,0300,SUPPLIES 9266,A81000B,01400,0300,UNIFORMS 9266,A81000B,01500,0300,SUPPLIES 9266,A81000B,01600,0300,SUPPLIES 9266,A81000B,01700,0300,REPAIRS & MAINTEN. 9266,A81000B,01800,0300,SUPPLIES 9266,A81000C,00100,0100,A 9266,A81000C,00100,0200,SEE HCFA 339 9266,A81000C,00100,0400,DELTA HEALTH GR 9266,A81000C,00100,0600,NRSG HOME OPERA 9266,A81000C,00200,0100,A 9266,A81000C,00200,0200,SEE HCFA 339 9266,A81000C,00200,0400,DELTA DURABLES 9266,A81000C,00200,0600,SUPPLIES 9266,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9266,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9266,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9266,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9266,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9266,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 9266,B100000,00000,0800,00000MEALS SERVED :DIETARY 9266,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9266,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9266,B100000,00000,1250,00000NURS. SALARIES :MEDICAL RECORDS & 9266,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9266,S000000,00100,0200,06/01/2000 9266,S200000,00100,0100,125 TOMOKA BOULEVARD SOUTH 9266,S200000,00200,0100,LAKE PLACID 9266,S200000,00200,0200,FL 9266,S200000,00200,0300,33852- 9266,S200000,00300,0100,HIGHLAND 9266,S200000,00300,0200,10 9266,S200000,00300,0300,R 9266,S200000,00400,0100,LAKE PLACID HEALTH CARE 9266,S200000,00400,0200,105455 9266,S200000,00400,0300,01/17/1984 9266,S200000,00400,0500,P 9266,S200000,00400,0600,O 9266,S200000,00600,0200,105455 9266,S200000,00600,0300,01/17/1984 9266,S200000,00600,0600,P 9266,S200000,01600,0100,Y 9274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9274,A000000,00300,0000,00300EMPLOYEE BENEFITS 9274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9274,A000000,00700,0000,00700HOUSEKEEPING 9274,A000000,00800,0000,00800DIETARY 9274,A000000,00900,0000,00900NURSING ADMINISTRATION 9274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9274,A000000,01100,0000,01100PHARMACY 9274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9274,A000000,01300,0000,01300SOCIAL SERVICE 9274,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9274,A000000,01600,0000,01600SKILLED NURSING FACILITY 9274,A000000,01900,0000,01900OTHER LONG TERM CARE 9274,A000000,02100,0000,02100RADIOLOGY 9274,A000000,02200,0000,02200LABORATORY 9274,A000000,02300,0000,02300INTRAVENOUS THERAPY 9274,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9274,A000000,02500,0000,02500PHYSICAL THERAPY 9274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9274,A000000,02700,0000,02700SPEECH PATHOLOGY 9274,A000000,02800,0000,02800ELECTROCARDIOLOGY 9274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9274,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9274,A000000,03200,0000,03200SUPPORT SURFACES 9274,A000000,03400,0000,03400CLINIC 9274,A000000,04800,0000,04800AMBULANCE 9274,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9274,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9274,A000000,05300,0000,05300INTEREST EXPENSE 9274,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9274,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9274,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9274,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9274,A000000,06100,0000,06100NONPAID WORKERS 9274,A000000,06200,0000,06200PATIENTS LAUNDRY 9274,A81000A,00100,0100,Y 9274,A81000B,00100,0300,HOME OFFICE COST 9274,A81000B,00200,0300,HOME OFFICE COST 9274,A81000C,00100,0100,B 9274,A81000C,00100,0200,COUNTRY HEALTH 9274,A81000C,00100,0600,MGMT. CO. 9274,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9274,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 9274,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9274,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9274,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9274,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9274,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9274,B100000,00000,0800,00000MEALS SERVED :DIETARY 9274,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9274,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 9274,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9274,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9274,S000000,00100,0200,06/01/2000 9274,S200000,00100,0100,5860 WEST JR. COLLEGE ROAD 9274,S200000,00200,0100,KEY WEST 9274,S200000,00200,0200,FL 9274,S200000,00200,0300,33040- 9274,S200000,00300,0100,MONROE 9274,S200000,00300,0200,10 9274,S200000,00300,0300,R 9274,S200000,00400,0100,KEY WEST CONVALESCENT CENTER 9274,S200000,00400,0200,105456 9274,S200000,00400,0300,01/01/1989 9274,S200000,00400,0500,P 9274,S200000,01600,0100,Y 9297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9297,A000000,00300,0000,00300EMPLOYEE BENEFITS 9297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9297,A000000,00700,0000,00700HOUSEKEEPING 9297,A000000,00800,0000,00800DIETARY 9297,A000000,00900,0000,00900NURSING ADMINISTRATION 9297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9297,A000000,01100,0000,01100PHARMACY 9297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9297,A000000,01300,0000,01300SOCIAL SERVICE 9297,A000000,01350,0000,01500OTHER GENERAL SERVICES 9297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9297,A000000,01600,0000,01600SKILLED NURSING FACILITY 9297,A000000,01800,0000,01800NURSING FACILITY 9297,A000000,01900,0000,01900OTHER LONG TERM CARE 9297,A000000,02100,0000,02100RADIOLOGY 9297,A000000,02200,0000,02200LABORATORY 9297,A000000,02300,0000,02300INTRAVENOUS THERAPY 9297,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9297,A000000,02500,0000,02500PHYSICAL THERAPY 9297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9297,A000000,02700,0000,02700SPEECH PATHOLOGY 9297,A000000,02800,0000,02800ELECTROCARDIOLOGY 9297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9297,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9297,A000000,03051,0000,03301AIR FLUIDIZATION 9297,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9297,A000000,03200,0000,03200SUPPORT SURFACES 9297,A000000,03400,0000,03400CLINIC 9297,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9297,A000000,03500,0000,03500RURAL HEALTH CLINIC 9297,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9297,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9297,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9297,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9297,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9297,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9297,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9297,A000000,04400,0000,04400DME RENTED - HHA 9297,A000000,04500,0000,04500DME SOLD - HHA 9297,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9297,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9297,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9297,A000000,04800,0000,04800AMBULANCE 9297,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9297,A000000,05000,0000,05000CORF 9297,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9297,A000000,05300,0000,05300INTEREST EXPENSE 9297,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9297,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9297,A000000,05500,0000,05500HOSPICE 9297,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9297,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9297,A000000,06100,0000,06100NONPAID WORKERS 9297,A000000,06150,0000,06300ACLF & RESIDENTIAL LIVING 9297,A000000,06151,0000,06301PART B PPS THERAPIES 9297,A000000,06200,0000,06200PATIENTS LAUNDRY 9297,A81000A,00100,0100,Y 9297,A81000B,00100,0300,HOME OFFICE ADMIN 9297,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 9297,A81000B,00300,0300,HOME OFFICE RES. COSTS 9297,A81000C,00100,0100,B 9297,A81000C,00100,0200,RETIREMENT HOUSING 9297,A81000C,00200,0200,FOUNDATION INC. 9297,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 9297,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 9297,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 9297,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 9297,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 9297,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 9297,B100000,00000,0800,00001MEALS SERVED :DIETARY 9297,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 9297,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 9297,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 9297,S000000,00100,0200,08/31/2000 9297,S200000,00100,0100,1100 S. COURTENAY PARKWAY 9297,S200000,00200,0100,MERRITT ISLAND 9297,S200000,00200,0200,FL 9297,S200000,00200,0300,32952- 9297,S200000,00300,0100,BREVARD 9297,S200000,00300,0200,4900 9297,S200000,00300,0300,U 9297,S200000,00400,0100,COURTENAY SPRINGS VILLAGE 9297,S200000,00400,0200,105463 9297,S200000,00400,0300,10/01/1985 9297,S200000,00400,0500,P 9297,S200000,00400,0600,O 9297,S200000,00600,0200,105463 9297,S200000,00600,0300,10/01/1985 9297,S200000,00600,0600,P 9297,S200000,01004,0500,O 9297,S200000,01500,0100,Y 9318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9318,A000000,00300,0000,00300EMPLOYEE BENEFITS 9318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9318,A000000,00700,0000,00700HOUSEKEEPING 9318,A000000,00800,0000,00800DIETARY 9318,A000000,00900,0000,00900NURSING ADMINISTRATION 9318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9318,A000000,01100,0000,01100PHARMACY 9318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9318,A000000,01300,0000,01300SOCIAL SERVICE 9318,A000000,01350,0000,01500ACTIVITIES 9318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9318,A000000,01600,0000,01600SKILLED NURSING FACILITY 9318,A000000,01800,0000,01800NURSING FACILITY 9318,A000000,01810,0000,01810ICF/MR 9318,A000000,01900,0000,01900OTHER LONG TERM CARE 9318,A000000,02100,0000,02100RADIOLOGY 9318,A000000,02200,0000,02200LABORATORY 9318,A000000,02300,0000,02300INTRAVENOUS THERAPY 9318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9318,A000000,02500,0000,02500PHYSICAL THERAPY 9318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9318,A000000,02700,0000,02700SPEECH PATHOLOGY 9318,A000000,02800,0000,02800ELECTROCARDIOLOGY 9318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9318,A000000,03050,0000,03300AIR FLUIDIZED BEDS 9318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9318,A000000,03200,0000,03200SUPPORT SURFACES 9318,A000000,03400,0000,03400CLINIC 9318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9318,A000000,03500,0000,03500RURAL HEALTH CLINIC 9318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9318,A000000,04400,0000,04400DME RENTED - HHA 9318,A000000,04500,0000,04500DME SOLD - HHA 9318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9318,A000000,04800,0000,04800AMBULANCE 9318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9318,A000000,05000,0000,05000CORF 9318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9318,A000000,05300,0000,05300INTEREST EXPENSE 9318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9318,A000000,05500,0000,05500HOSPICE 9318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9318,A000000,06100,0000,06100NONPAID WORKERS 9318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9318,A000000,06200,0000,06200PATIENTS LAUNDRY 9318,A81000A,00100,0100,Y 9318,A81000B,00100,0300,HOME OFFICE CAPITAL 9318,A81000B,00200,0300,MANAGEMENT FEES 9318,A81000C,00100,0100,B 9318,A81000C,00100,0200,AMERICAN MEDICAL ASSOC. 9318,A81000C,00100,0600,HOME OFFICE 9318,A81000C,00200,0100,B 9318,A81000C,00200,0200,AMERICAN MEDICAL ASSOC. 9318,A81000C,00200,0600,HOME OFFICE 9318,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9318,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9318,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9318,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9318,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9318,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9318,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9318,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9318,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9318,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9318,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 9318,S000000,00100,0200,06/01/2000 9318,S200000,00100,0100,300 NW 1ST AVENUE 9318,S200000,00200,0100,WILLISTON 9318,S200000,00200,0200,FL 9318,S200000,00200,0300,32696- 9318,S200000,00300,0100,LEVY 9318,S200000,00300,0200,10 9318,S200000,00300,0300,R 9318,S200000,00400,0100,OAKVIEW REHABILITATION & CARE CENTER 9318,S200000,00400,0200,105467 9318,S200000,00400,0300,05/01/1984 9318,S200000,00400,0500,P 9318,S200000,01600,0100,Y 9329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9329,A000000,00300,0000,00300EMPLOYEE BENEFITS 9329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9329,A000000,00700,0000,00700HOUSEKEEPING 9329,A000000,00800,0000,00800DIETARY 9329,A000000,00900,0000,00900NURSING ADMINISTRATION 9329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9329,A000000,01100,0000,01100PHARMACY 9329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9329,A000000,01300,0000,01300SOCIAL SERVICE 9329,A000000,01350,0000,01500ACTIVITIES 9329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9329,A000000,01600,0000,01600SKILLED NURSING FACILITY 9329,A000000,01800,0000,01800NURSING FACILITY 9329,A000000,01810,0000,01810ICF/MR 9329,A000000,02100,0000,02100RADIOLOGY 9329,A000000,02200,0000,02200LABORATORY 9329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9329,A000000,02500,0000,02500PHYSICAL THERAPY 9329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9329,A000000,02700,0000,02700SPEECH PATHOLOGY 9329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9329,A000000,03050,0000,03300AIR FLUIDIZED BEDS 9329,A000000,04800,0000,04800AMBULANCE 9329,A000000,05300,0000,05300INTEREST EXPENSE 9329,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9329,A81000A,00100,0100,Y 9329,A81000B,00100,0300,HOME OFFICE-CAPITAL 9329,A81000B,00200,0300,HOME OFFICE - A&G 9329,A81000C,00100,0100,B 9329,A81000C,00100,0400,HEALTHCARE PROPERTIES IN 9329,A81000C,00100,0600,HOME OFFICE/MNGMT SERV 9329,A81000C,00200,0100,B 9329,A81000C,00200,0400,HEALTHCARE PROPERTIES IN 9329,A81000C,00200,0600,HOME OFFICE/MNGMT SERV 9329,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9329,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9329,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9329,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9329,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9329,B100000,00000,0750,00000SQ. FEET MODIFIED :HOUSEKEEPING 9329,B100000,00000,0800,00000MEALS SERVED :DIETARY 9329,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9329,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9329,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9329,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9329,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 9329,S000000,00100,0200,05/25/2000 9329,S200000,00100,0100,1999 OLD MOULTRIE ROAD 9329,S200000,00200,0100,ST. AUGUSTINE 9329,S200000,00200,0200,FL 9329,S200000,00200,0300,32086- 9329,S200000,00300,0100,ST. JOHNS 9329,S200000,00300,0200,3600 9329,S200000,00300,0300,U 9329,S200000,00400,0100,PONCE DE LEON CARE CENTER 9329,S200000,00400,0200,105468 9329,S200000,00400,0300,01/01/1983 9329,S200000,00400,0500,P 9329,S200000,01600,0100,Y 9329,S200000,02800,0100,Y 9338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9338,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9338,A000000,00300,0000,00300EMPLOYEE BENEFITS 9338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9338,A000000,00700,0000,00700HOUSEKEEPING 9338,A000000,00800,0000,00800DIETARY 9338,A000000,00900,0000,00900NURSING ADMINISTRATION 9338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9338,A000000,01100,0000,01100PHARMACY 9338,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9338,A000000,01300,0000,01300SOCIAL SERVICE 9338,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9338,A000000,01600,0000,01600SKILLED NURSING FACILITY 9338,A000000,01800,0000,01800NURSING FACILITY 9338,A000000,01900,0000,01900OTHER LONG TERM CARE 9338,A000000,02100,0000,02100RADIOLOGY 9338,A000000,02200,0000,02200LABORATORY 9338,A000000,02300,0000,02300INTRAVENOUS THERAPY 9338,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9338,A000000,02500,0000,02500PHYSICAL THERAPY 9338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9338,A000000,02700,0000,02700SPEECH PATHOLOGY 9338,A000000,02800,0000,02800ELECTROCARDIOLOGY 9338,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9338,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9338,A000000,03200,0000,03200SUPPORT SURFACES 9338,A000000,03400,0000,03400CLINIC 9338,A000000,03500,0000,03500RURAL HEALTH CLINIC 9338,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9338,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9338,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9338,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9338,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9338,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9338,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9338,A000000,04400,0000,04400DME RENTED - HHA 9338,A000000,04500,0000,04500DME SOLD - HHA 9338,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9338,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9338,A000000,04800,0000,04800AMBULANCE 9338,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9338,A000000,05000,0000,05000CORF 9338,A000000,05010,0000,05010CMHC I 9338,A000000,05020,0000,05020OPT I 9338,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9338,A000000,05300,0000,05300INTEREST EXPENSE 9338,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9338,A000000,05500,0000,05500HOSPICE 9338,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9338,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9338,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9338,A000000,06100,0000,06100NONPAID WORKERS 9338,A000000,06200,0000,06200PATIENTS LAUNDRY 9338,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9338,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9338,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9338,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9338,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 9338,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9338,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9338,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9338,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 9338,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 9338,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 9338,S000000,00100,0200,05/30/2000 9338,S200000,00100,0100,1625 LIME ST 9338,S200000,00200,0100,FERNANDINA BEACH 9338,S200000,00200,0200,FL 9338,S200000,00200,0300,32034- 9338,S200000,00300,0100,NASSAU 9338,S200000,00300,0200,3600 9338,S200000,00300,0300,U 9338,S200000,00400,0100,QUALITY HEALTH OF FERNANDINA BEACH 9338,S200000,00400,0200,105470 9338,S200000,00400,0300,09/01/1984 9338,S200000,00400,0500,P 9338,S200000,00400,0600,O 9338,S200000,01600,0100,Y 9347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9347,A000000,00300,0000,00300EMPLOYEE BENEFITS 9347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9347,A000000,00502,0000,00502TRANSPORATION COSTS 9347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9347,A000000,00700,0000,00700HOUSEKEEPING 9347,A000000,00800,0000,00800DIETARY 9347,A000000,00900,0000,00900NURSING ADMINISTRATION 9347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9347,A000000,01300,0000,01300SOCIAL SERVICE 9347,A000000,01350,0000,01500ACTIVITIES 9347,A000000,01600,0000,01600SKILLED NURSING FACILITY 9347,A000000,01800,0000,01800NURSING FACILITY 9347,A000000,01900,0000,01900OTHER LONG TERM CARE 9347,A000000,02100,0000,02100RADIOLOGY 9347,A000000,02200,0000,02200LABORATORY 9347,A000000,02300,0000,02300INTRAVENOUS THERAPY 9347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9347,A000000,02500,0000,02500PHYSICAL THERAPY 9347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9347,A000000,02700,0000,02700SPEECH PATHOLOGY 9347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9347,A000000,03200,0000,03200SUPPORT SURFACES 9347,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9347,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9347,A000000,06200,0000,06200PATIENTS LAUNDRY 9347,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9347,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9347,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9347,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9347,B100000,00000,0552,00000MILEAGE LOGS :TRANSPORATION COSTS 9347,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9347,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9347,B100000,00000,0800,00000MEALS SERVED :DIETARY 9347,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 9347,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9347,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9347,B100000,00000,1350,00000FULL TIME EQUIVALENT :ACTIVITIES 9347,S000000,00100,0200,05/23/2000 9347,S200000,00100,0100,910 TAMIAMI TRAIL 9347,S200000,00200,0100,VENICE 9347,S200000,00200,0200,FL 9347,S200000,00200,0300,34285- 9347,S200000,00300,0100,SARASOTA 9347,S200000,00300,0200,7510 9347,S200000,00300,0300,U 9347,S200000,00400,0100,VILLAGE ON THE ISLE 9347,S200000,00400,0200,105472 9347,S200000,00400,0300,08/01/1984 9347,S200000,00400,0500,P 9347,S200000,01500,0100,Y 9357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9357,A000000,00300,0000,00300EMPLOYEE BENEFITS 9357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9357,A000000,00700,0000,00700HOUSEKEEPING 9357,A000000,00800,0000,00800DIETARY 9357,A000000,00900,0000,00900NURSING ADMINISTRATION 9357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9357,A000000,01300,0000,01300SOCIAL SERVICE 9357,A000000,01600,0000,01600SKILLED NURSING FACILITY 9357,A000000,01800,0000,01800NURSING FACILITY 9357,A000000,02200,0000,02200LABORATORY 9357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9357,A000000,02500,0000,02500PHYSICAL THERAPY 9357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9357,A000000,02700,0000,02700SPEECH PATHOLOGY 9357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9357,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9357,A000000,05300,0000,05300INTEREST EXPENSE 9357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9357,A000000,06100,0000,06100NONPAID WORKERS 9357,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9357,A000000,06200,0000,06200PATIENTS LAUNDRY 9357,A81000A,00100,0100,Y 9357,A81000B,00100,0300,MANAGEMENT FEES 9357,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 9357,A81000B,00300,0300,GROUP INSURANCE 9357,A81000B,00400,0300,WORKERS COMPENSATION INS 9357,A81000C,00100,0100,A 9357,A81000C,00100,0200,R. BRENT MAGGIO 9357,A81000C,00100,0400,EMERALD HEALTHCARE INC 9357,A81000C,00100,0600,MANAGEMENT COMPANY 9357,A81000C,00200,0100,A 9357,A81000C,00200,0200,R. BRENT MAGGIO 9357,A81000C,00200,0400,EMERALD HEALTHCARE INC 9357,A81000C,00200,0600,MANAGEMENT COMPANY 9357,A81000C,00300,0100,A 9357,A81000C,00300,0200,R. BRENT MAGGIO 9357,A81000C,00300,0400,NATL BENEFIT RESOURCE AD 9357,A81000C,00300,0600,EMPLOYEE BENEFIT INS CO 9357,A81000C,00400,0100,A 9357,A81000C,00400,0200,R. BRENT MAGGIO 9357,A81000C,00400,0400,NATL BENEFIT RESOURCE AD 9357,A81000C,00400,0600,EMPLOYEE BENEFIT INS CO 9357,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9357,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9357,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9357,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9357,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 9357,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9357,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 9357,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 9357,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 9357,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 9357,S000000,00100,0200,06/28/2000 9357,S200000,00100,0100,1510 CROZIER STREET 9357,S200000,00200,0100,BLOUNTSTOWN 9357,S200000,00200,0200,FL 9357,S200000,00200,0300,32424- 9357,S200000,00300,0100,CALHOUN 9357,S200000,00300,0200,0010 9357,S200000,00300,0300,R 9357,S200000,00400,0100,LANDMARK HEALTH AND REHAB CENTER 9357,S200000,00400,0200,105473 9357,S200000,00400,0300,11/01/1997 9357,S200000,00400,0500,P 9357,S200000,01004,0500,O 9357,S200000,01600,0100,Y 9381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9381,A000000,00300,0000,00300EMPLOYEE BENEFITS 9381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9381,A000000,00700,0000,00700HOUSEKEEPING 9381,A000000,00800,0000,00800DIETARY 9381,A000000,00900,0000,00900NURSING ADMINISTRATION 9381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9381,A000000,01100,0000,01100PHARMACY 9381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9381,A000000,01300,0000,01300SOCIAL SERVICE 9381,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 9381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9381,A000000,01600,0000,01600SKILLED NURSING FACILITY 9381,A000000,01800,0000,01800NURSING FACILITY 9381,A000000,01900,0000,01900OTHER LONG TERM CARE 9381,A000000,02100,0000,02100RADIOLOGY 9381,A000000,02200,0000,02200LABORATORY 9381,A000000,02300,0000,02300INTRAVENOUS THERAPY 9381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9381,A000000,02500,0000,02500PHYSICAL THERAPY 9381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9381,A000000,02700,0000,02700SPEECH PATHOLOGY 9381,A000000,02800,0000,02800ELECTROCARDIOLOGY 9381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9381,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 9381,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9381,A000000,03200,0000,03200SUPPORT SURFACES 9381,A000000,03400,0000,03400CLINIC 9381,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 9381,A000000,04800,0000,04800AMBULANCE 9381,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9381,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9381,A000000,05300,0000,05300INTEREST EXPENSE 9381,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9381,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9381,A000000,05500,0000,05500HOSPICE 9381,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9381,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9381,A000000,06100,0000,06100NONPAID WORKERS 9381,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 9381,A000000,06200,0000,06200PATIENTS LAUNDRY 9381,A81000A,00100,0100,Y 9381,A81000B,00100,0300,MANAGEMENT FEES 9381,A81000B,00200,0300,RENT 9381,A81000B,00300,0300,DEPRCIATION 9381,A81000B,00400,0300,ACCOUNTING 9381,A81000B,00500,0300,REAL ESTATE TAXES 9381,A81000B,00600,0300,INTEREST 9381,A81000B,00700,0300,MORTGAGE SERVICE 9381,A81000C,00100,0100,A 9381,A81000C,00100,0200,J RAJCHENBACH 9381,A81000C,00100,0400,JLR MGMT 9381,A81000C,00100,0600,MGMT 9381,A81000C,00200,0100,A 9381,A81000C,00200,0200,B HOLLANDER 9381,A81000C,00200,0400,SHAYMARK 9381,A81000C,00200,0600,MGMT 9381,A81000C,00300,0100,A 9381,A81000C,00300,0200,REGENTS PARK AS 9381,A81000C,00300,0400,REGENTS PARK AS 9381,A81000C,00300,0600,R/E PART 9381,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9381,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9381,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9381,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9381,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9381,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9381,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9381,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9381,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9381,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9381,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9381,E10A180,00301,0100,02/09/2000 9381,S000000,00100,0200,05/31/2000 9381,S200000,00100,0100,6363 VERDE TRAIL 9381,S200000,00200,0100,BOCA RATON /FL/33443 9381,S200000,00300,0100,PALM BEACH 9381,S200000,00300,0200,8960 9381,S200000,00300,0300,U 9381,S200000,00400,0100,REGENTS PARK OF BOCA RATON 9381,S200000,00400,0200,105476 9381,S200000,00400,0300,10/08/1991 9381,S200000,00400,0500,P 9381,S200000,01600,0100,Y 9393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9393,A000000,00300,0000,00300EMPLOYEE BENEFITS 9393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9393,A000000,00700,0000,00700HOUSEKEEPING 9393,A000000,00800,0000,00800DIETARY 9393,A000000,00900,0000,00900NURSING ADMINISTRATION 9393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9393,A000000,01300,0000,01300SOCIAL SERVICE 9393,A000000,01600,0000,01600SKILLED NURSING FACILITY 9393,A000000,01800,0000,01800NURSING FACILITY 9393,A000000,02100,0000,02100RADIOLOGY 9393,A000000,02200,0000,02200LABORATORY 9393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9393,A000000,02500,0000,02500PHYSICAL THERAPY 9393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9393,A000000,02700,0000,02700SPEECH PATHOLOGY 9393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9393,A000000,05300,0000,05300INTEREST EXPENSE 9393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9393,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9393,A81000A,00100,0100,Y 9393,A81000B,00100,0300,WOMH FINANCIAL ALLOCATION 9393,A81000B,00200,0300,WOMH DP ALLOCATION 9393,A81000B,00300,0300,WOMH MM MGMT SVC 9393,A81000C,00100,0100,B 9393,A81000C,00100,0200,HLTH CENTRAL TAX DISTRICT 9393,A81000C,00100,0400,HEALTH CENTRAL 9393,A81000C,00100,0600,HEALTH CARE 9393,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9393,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9393,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9393,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9393,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9393,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9393,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9393,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9393,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9393,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 9393,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9393,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9393,S000000,00100,0200,04/18/2000 9393,S200000,00100,0100,411 NORTH DILLARD STREET 9393,S200000,00200,0100,WINTER GARDEN 9393,S200000,00200,0200,FL 9393,S200000,00200,0300,34787- 9393,S200000,00300,0100,ORANGE 9393,S200000,00300,0200,5960 9393,S200000,00300,0300,U 9393,S200000,00400,0100,HEALTH CENTRAL PARK 9393,S200000,00400,0200,105479 9393,S200000,00400,0300,10/01/1986 9393,S200000,00400,0500,P 9393,S200000,00400,0600,O 9393,S200000,01600,0100,Y 9393,S200000,02800,0100,Y 9414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9414,A000000,00300,0000,00300EMPLOYEE BENEFITS 9414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9414,A000000,00700,0000,00700HOUSEKEEPING 9414,A000000,00800,0000,00800DIETARY 9414,A000000,00900,0000,00900NURSING ADMINISTRATION 9414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9414,A000000,01100,0000,01100PHARMACY 9414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9414,A000000,01300,0000,01300SOCIAL SERVICE 9414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9414,A000000,01600,0000,01600SKILLED NURSING FACILITY 9414,A000000,01800,0000,01800NURSING FACILITY 9414,A000000,02100,0000,02100RADIOLOGY 9414,A000000,02200,0000,02200LABORATORY 9414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9414,A000000,02500,0000,02500PHYSICAL THERAPY 9414,A000000,02800,0000,02800ELECTROCARDIOLOGY 9414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9414,A000000,03550,0000,03550FQHC 9414,A000000,05000,0000,05000CORF 9414,A000000,05010,0000,05010CMHC 9414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9414,A81000A,00100,0100,Y 9414,A81000B,00100,0300,HOSPITAL ALLOCATION 9414,A81000B,00200,0300,HOSPITAL ALLOCATION 9414,A81000B,00300,0300,HOSPITAL ALLOCATION 9414,A81000B,00400,0300,HOSPITAL ALLOCATION 9414,A81000B,00500,0300,HOSPITAL ALLOCATION 9414,A81000B,00600,0300,HOSPITAL ALLOCATION 9414,A81000C,00100,0100,B 9414,A81000C,00100,0200,LAKE WALES HOSP 9414,A81000C,00100,0400,LAKE WALES HOSP 9414,A81000C,00100,0600,HOSPITAL 9414,A81000C,00200,0100,B 9414,A81000C,00300,0100,B 9414,A81000C,00400,0100,B 9414,A81000C,00500,0100,B 9414,A81000C,00600,0100,B 9414,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 9414,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 9414,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 9414,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 9414,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 9414,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 9414,B100000,00000,0800,00040MEALS SERVED :DIETARY 9414,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 9414,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 9414,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 9414,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 9414,E10A180,00302,0100,12/02/1998 9414,E10A180,00303,0100,06/20/1996 9414,S000000,00100,0200,10/02/2000 9414,S200000,00100,0300,3460 9414,S200000,00200,0100,LAKE WALES 9414,S200000,00200,0200,FL 9414,S200000,00200,0300,33853- 9414,S200000,00300,0100,POLK 9414,S200000,00300,0200,3980 9414,S200000,00300,0300,U 9414,S200000,00400,0100,LAKE WALES MED.CENTER INC.-ECF 9414,S200000,00400,0200,105483 9414,S200000,00400,0300,10/01/1984 9414,S200000,00400,0500,P 9414,S200000,01600,0100,Y 9414,S200000,01900,0100,NON-PROFIT CORPORATI 9414,S200000,02200,0100,Y 9414,S200000,04300,0100,Y 9421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9421,A000000,00300,0000,00300EMPLOYEE BENEFITS 9421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9421,A000000,00700,0000,00700HOUSEKEEPING 9421,A000000,00800,0000,00800DIETARY 9421,A000000,00900,0000,00900NURSING ADMINISTRATION 9421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9421,A000000,01300,0000,01300SOCIAL SERVICE 9421,A000000,01350,0000,01500ACTIVITIES 9421,A000000,01600,0000,01600SKILLED NURSING FACILITY 9421,A000000,01800,0000,01800NURSING FACILITY 9421,A000000,02100,0000,02100RADIOLOGY 9421,A000000,02200,0000,02200LABORATORY 9421,A000000,02300,0000,02300INTRAVENOUS THERAPY 9421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9421,A000000,02500,0000,02500PHYSICAL THERAPY 9421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9421,A000000,02700,0000,02700SPEECH PATHOLOGY 9421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9421,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9421,A000000,03200,0000,03200SUPPORT SURFACES 9421,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9421,A000000,05300,0000,05300INTEREST EXPENSE 9421,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9421,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9421,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9421,A000000,06200,0000,06200PATIENTS LAUNDRY 9421,A81000A,00100,0100,Y 9421,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 9421,A81000B,00200,0300,HOME OFFICE COSTS 9421,A81000C,00100,0100,B 9421,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9421,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9421,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9421,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9421,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9421,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9421,B100000,00000,0800,00000MEALS SERVED :DIETARY 9421,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9421,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9421,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9421,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 9421,E10A180,00301,0100,03/01/1999 9421,S000000,00100,0200,06/01/2000 9421,S200000,00100,0100,1646 HIGHWAY 441 NORTH 9421,S200000,00200,0100,OKEECHOBEE 9421,S200000,00200,0200,FL 9421,S200000,00200,0300,34972- 9421,S200000,00300,0100,OKEECHOBEE 9421,S200000,00300,0200,0010 9421,S200000,00300,0300,R 9421,S200000,00400,0100,OKEECHOBEE HEALTH CARE FACILITY 9421,S200000,00400,0200,105484 9421,S200000,00400,0300,06/19/1990 9421,S200000,00400,0500,P 9421,S200000,01600,0100,Y 9430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9430,A000000,00300,0000,00300EMPLOYEE BENEFITS 9430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9430,A000000,00700,0000,00700HOUSEKEEPING 9430,A000000,00800,0000,00800DIETARY 9430,A000000,00900,0000,00900NURSING ADMINISTRATION 9430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9430,A000000,01100,0000,01100PHARMACY 9430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9430,A000000,01300,0000,01300SOCIAL SERVICE 9430,A000000,01350,0000,01500OTHER GENERAL SERVICES 9430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9430,A000000,01600,0000,01600SKILLED NURSING FACILITY 9430,A000000,01800,0000,01800NURSING FACILITY 9430,A000000,01810,0000,01810ICF/MR 9430,A000000,01900,0000,01900OTHER LONG TERM CARE 9430,A000000,02100,0000,02100RADIOLOGY 9430,A000000,02200,0000,02200LABORATORY 9430,A000000,02300,0000,02300INTRAVENOUS THERAPY 9430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9430,A000000,02500,0000,02500PHYSICAL THERAPY 9430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9430,A000000,02700,0000,02700SPEECH PATHOLOGY 9430,A000000,02800,0000,02800ELECTROCARDIOLOGY 9430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9430,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9430,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9430,A000000,03200,0000,03200SUPPORT SURFACES 9430,A000000,03400,0000,03400CLINIC 9430,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9430,A000000,03500,0000,03500RURAL HEALTH CLINIC 9430,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9430,A000000,04800,0000,04800AMBULANCE 9430,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9430,A000000,05000,0000,05000CORF 9430,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9430,A000000,05300,0000,05300INTEREST EXPENSE 9430,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9430,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9430,A000000,05500,0000,05500HOSPICE 9430,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9430,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9430,A000000,06100,0000,06100NONPAID WORKERS 9430,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9430,A000000,06200,0000,06200PATIENTS LAUNDRY 9430,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9430,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9430,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9430,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9430,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9430,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9430,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9430,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9430,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9430,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9430,S000000,00100,0200,07/31/2000 9430,S200000,00100,0100,2180 HYPOLUXO ROAD 9430,S200000,00200,0100,LANTANA 9430,S200000,00200,0200,FL 9430,S200000,00200,0300,33462- 9430,S200000,00300,0100,PALM BEACH 9430,S200000,00300,0200,8960 9430,S200000,00300,0300,U 9430,S200000,00400,0100,RIDGE TERRACE HEALTH CARE CENTER 9430,S200000,00400,0200,105485 9430,S200000,00400,0300,12/28/1984 9430,S200000,00400,0500,P 9430,S200000,01600,0100,Y 9438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9438,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 9438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9438,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 9438,A000000,00300,0000,00300EMPLOYEE BENEFITS 9438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9438,A000000,00700,0000,00700HOUSEKEEPING 9438,A000000,00800,0000,00800DIETARY 9438,A000000,00801,0000,00801CAFETERIA 9438,A000000,00900,0000,00900NURSING ADMINISTRATION 9438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9438,A000000,01100,0000,01100PHARMACY 9438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9438,A000000,01300,0000,01300SOCIAL SERVICE 9438,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 9438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9438,A000000,01600,0000,01600SKILLED NURSING FACILITY 9438,A000000,01800,0000,01800NURSING FACILITY 9438,A000000,01900,0000,01900OTHER LONG TERM CARE 9438,A000000,02100,0000,02100RADIOLOGY 9438,A000000,02200,0000,02200LABORATORY 9438,A000000,02300,0000,02300INTRAVENOUS THERAPY 9438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9438,A000000,02500,0000,02500PHYSICAL THERAPY 9438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9438,A000000,02700,0000,02700SPEECH PATHOLOGY 9438,A000000,02800,0000,02800ELECTROCARDIOLOGY 9438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9438,A000000,03050,0000,03300OTHER ANCILLARY 9438,A000000,03051,0000,03301OTHER ANCILLARY II 9438,A000000,03052,0000,03302OTHER ANCILLARY III 9438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9438,A000000,03200,0000,03200SUPPORT SURFACES 9438,A000000,03400,0000,03400CLINIC 9438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 9438,A000000,03500,0000,03500RURAL HEALTH CLINIC 9438,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9438,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9438,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9438,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9438,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9438,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9438,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9438,A000000,04400,0000,04400DME RENTED - HHA 9438,A000000,04500,0000,04500DME SOLD - HHA 9438,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9438,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9438,A000000,04800,0000,04800AMBULANCE 9438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9438,A000000,05000,0000,05000CORF 9438,A000000,05010,0000,05010CMHC I 9438,A000000,05020,0000,05020OPT I 9438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9438,A000000,05300,0000,05300INTEREST EXPENSE 9438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 9438,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 9438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9438,A000000,05500,0000,05500HOSPICE 9438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9438,A000000,06100,0000,06100NONPAID WORKERS 9438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9438,A000000,06200,0000,06200PATIENTS LAUNDRY 9438,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9438,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9438,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9438,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9438,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9438,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9438,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9438,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9438,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9438,S000000,00100,0200,05/19/2000 9438,S200000,00100,0100,8600 US HWY 19 NORTH 9438,S200000,00200,0100,PINELLAS PARK 9438,S200000,00200,0200,FL 9438,S200000,00200,0300,33782- 9438,S200000,00300,0100,PINELLAS 9438,S200000,00300,0200,8280 9438,S200000,00300,0300,U 9438,S200000,00400,0100,SUNSHINE VILLAGE NURSING HOME 9438,S200000,00400,0200,105486 9438,S200000,00400,0300,12/21/1984 9438,S200000,00400,0500,P 9438,S200000,00400,0600,O 9438,S200000,01600,0100,Y 9450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9450,A000000,00300,0000,00300EMPLOYEE BENEFITS 9450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9450,A000000,00700,0000,00700HOUSEKEEPING 9450,A000000,00800,0000,00800DIETARY 9450,A000000,00900,0000,00900NURSING ADMINISTRATION 9450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9450,A000000,01100,0000,01100PHARMACY 9450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9450,A000000,01300,0000,01300SOCIAL SERVICE 9450,A000000,01350,0000,01500PATIENT ACTIVITIES 9450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9450,A000000,01600,0000,01600SKILLED NURSING FACILITY 9450,A000000,01800,0000,01800NURSING FACILITY 9450,A000000,01810,0000,01810ICF/MR 9450,A000000,02100,0000,02100RADIOLOGY 9450,A000000,02200,0000,02200LABORATORY 9450,A000000,02300,0000,02300INTRAVENOUS THERAPY 9450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9450,A000000,02500,0000,02500PHYSICAL THERAPY 9450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9450,A000000,02700,0000,02700SPEECH PATHOLOGY 9450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9450,A000000,03550,0000,03550FQHC 9450,A000000,05000,0000,05000CORF 9450,A000000,05010,0000,05010CMHC 9450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9450,A000000,06150,0000,06300NONREIMBURSABLE 9450,A81000A,00100,0100,Y 9450,A81000B,00100,0300,HOME OFFICE 9450,A81000B,00200,0300,HOME OFFICE CAP RELA 9450,A81000C,00100,0100,A 9450,A81000C,00100,0200,ACTS RETIREMENT 9450,A81000C,00100,0600,HOME OFFICE 9450,A81000C,00200,0100,B 9450,A81000C,00200,0200,ACTS RETIREMENT 9450,A81000C,00200,0600,HOME OFFICE 9450,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9450,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9450,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9450,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9450,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9450,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9450,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9450,B100000,00000,0800,00000MEALS SERVED :DIETARY 9450,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9450,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9450,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 9450,S000000,00100,0200,06/02/2000 9450,S200000,00100,0100,23315 BLUEWATER CIRCLE 9450,S200000,00200,0100,BOCA RATON 9450,S200000,00200,0200,FL 9450,S200000,00200,0300,33433-7053 9450,S200000,00300,0100,PALM BEACH 9450,S200000,00300,0200,8960 9450,S200000,00300,0300,U 9450,S200000,00400,0100,EDGEWATER POINTE ESTATES 9450,S200000,00400,0200,105489 9450,S200000,00400,0300,11/07/1987 9450,S200000,00400,0500,P 9450,S200000,01500,0100,Y 9450,S200000,01900,0100,503C 9460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9460,A000000,00300,0000,00300EMPLOYEE BENEFITS 9460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9460,A000000,00700,0000,00700HOUSEKEEPING 9460,A000000,00800,0000,00800DIETARY 9460,A000000,00900,0000,00900NURSING ADMINISTRATION 9460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9460,A000000,01100,0000,01100PHARMACY 9460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9460,A000000,01300,0000,01300SOCIAL SERVICE 9460,A000000,01350,0000,01500OTHER GENERAL SERVICES 9460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9460,A000000,01600,0000,01600SKILLED NURSING FACILITY 9460,A000000,01800,0000,01800NURSING FACILITY 9460,A000000,01900,0000,01900OTHER LONG TERM CARE 9460,A000000,02100,0000,02100RADIOLOGY 9460,A000000,02200,0000,02200LABORATORY 9460,A000000,02300,0000,02300INTRAVENOUS THERAPY 9460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9460,A000000,02500,0000,02500PHYSICAL THERAPY 9460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9460,A000000,02700,0000,02700SPEECH PATHOLOGY 9460,A000000,02800,0000,02800ELECTROCARDIOLOGY 9460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9460,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 9460,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9460,A000000,03200,0000,03200SUPPORT SURFACES 9460,A000000,03400,0000,03400CLINIC 9460,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9460,A000000,03500,0000,03500RURAL HEALTH CLINIC 9460,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9460,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9460,A000000,05000,0000,05000CORF 9460,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9460,A000000,05300,0000,05300INTEREST EXPENSE 9460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9460,A000000,05500,0000,05500HOSPICE 9460,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9460,A000000,05801,0000,05801VENDING MACHINES 9460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9460,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9460,A000000,06100,0000,06100NONPAID WORKERS 9460,A000000,06150,0000,06300PEN PART B - NONREIMBURSEABLE 9460,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 9460,A000000,06200,0000,06200PATIENTS LAUNDRY 9460,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 9460,B100000,00000,0400,00001ACCUM COST :ADMINISTRATIVE & GENER 9460,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 9460,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 9460,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 9460,B100000,00000,0800,00001MEALS SERVED :DIETARY 9460,B100000,00000,0950,00001NURSING DOLLARS :NURSING ADMINISTR 9460,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 9460,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 9460,S000000,00100,0200,06/01/2000 9460,S200000,00100,0100,4610 SOUTH MANHATTAN AVENUE 9460,S200000,00200,0100,TAMPA 9460,S200000,00200,0200,FL 9460,S200000,00200,0300,33611- 9460,S200000,00300,0100,HILLSBOROUGH 9460,S200000,00300,0200,8280 9460,S200000,00300,0300,U 9460,S200000,00400,0100,SOUTH TAMPA HEALTH AND REHAB CENTER 9460,S200000,00400,0200,105491 9460,S200000,00400,0300,12/01/1984 9460,S200000,00400,0500,P 9460,S200000,00600,0200,105491 9460,S200000,00600,0300,12/01/1984 9460,S200000,00600,0600,P 9460,S200000,01004,0500,O 9460,S200000,01600,0100,Y 9476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9476,A000000,00300,0000,00300EMPLOYEE BENEFITS 9476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9476,A000000,00700,0000,00700HOUSEKEEPING 9476,A000000,00800,0000,00800DIETARY 9476,A000000,00900,0000,00900NURSING ADMINISTRATION 9476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9476,A000000,01100,0000,01100PHARMACY 9476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9476,A000000,01300,0000,01300SOCIAL SERVICE 9476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9476,A000000,01600,0000,01600SKILLED NURSING FACILITY 9476,A000000,01800,0000,01800NURSING FACILITY 9476,A000000,01810,0000,01810ICF/MR 9476,A000000,02200,0000,02200LABORATORY 9476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9476,A000000,02500,0000,02500PHYSICAL THERAPY 9476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9476,A000000,02700,0000,02700SPEECH PATHOLOGY 9476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9476,A000000,03550,0000,03550FQHC 9476,A000000,05000,0000,05000CORF 9476,A000000,05010,0000,05010CMHC 9476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9476,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9476,A000000,06200,0000,06200PATIENTS LAUNDRY 9476,A81000A,00100,0100,Y 9476,A81000B,00100,0300,SUPPLIES 9476,A81000B,00200,0300,SUPPLIES 9476,A81000B,00300,0300,SUPPLIES 9476,A81000B,00400,0300,SUPPLIES 9476,A81000B,00500,0300,SUPPLIES 9476,A81000B,00600,0300,SUPPLIES 9476,A81000B,00700,0300,SUPPLIES 9476,A81000B,00800,0300,SUPPLIES 9476,A81000B,00900,0300,SUPPLIES 9476,A81000B,01000,0300,SUPPLIES 9476,A81000B,01100,0300,SUPPLIES 9476,A81000B,01200,0300,SUPPLIES 9476,A81000B,01300,0300,SUPPLIES 9476,A81000B,01400,0300,SUPPLIES 9476,A81000B,01500,0300,SUPPLIES 9476,A81000B,01600,0300,SUPPLIES 9476,A81000B,01700,0300,HOME OFFICE 9476,A81000B,01800,0300,HOME OFFICE 9476,A81000C,00100,0100,A 9476,A81000C,00100,0200,SEE HCFA 339 9476,A81000C,00100,0400,DELTA HEALTH GR 9476,A81000C,00100,0600,NRSG HOE OPERAT 9476,A81000C,00200,0100,B 9476,A81000C,00200,0200,SEE HCFA 339 9476,A81000C,00200,0400,DELTA DURABLES 9476,A81000C,00200,0600,SUPPLIES 9476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9476,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9476,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9476,B100000,00000,0800,00000MEALS SERVED :DIETARY 9476,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9476,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9476,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9476,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9476,S000000,00100,0200,06/01/2000 9476,S200000,00100,0100,600 BUSINESS PARKWAY 9476,S200000,00200,0100,ROYAL PALM BEACH 9476,S200000,00200,0200,FL 9476,S200000,00200,0300,33411- 9476,S200000,00300,0100,PALM BEACH 9476,S200000,00300,0200,8960 9476,S200000,00300,0300,U 9476,S200000,00400,0100,ROYAL MANOR 9476,S200000,00400,0200,105494 9476,S200000,00400,0300,02/07/1985 9476,S200000,00400,0500,P 9476,S200000,00400,0600,O 9476,S200000,00600,0200,105494 9476,S200000,00600,0300,02/07/1985 9476,S200000,00600,0600,P 9476,S200000,01600,0100,Y 9512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9512,A000000,00300,0000,00300EMPLOYEE BENEFITS 9512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9512,A000000,00700,0000,00700HOUSEKEEPING 9512,A000000,00800,0000,00800DIETARY 9512,A000000,00900,0000,00900NURSING ADMINISTRATION 9512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9512,A000000,01100,0000,01100PHARMACY 9512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9512,A000000,01300,0000,01300SOCIAL SERVICE 9512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9512,A000000,01600,0000,01600SKILLED NURSING FACILITY 9512,A000000,01800,0000,01800NURSING FACILITY 9512,A000000,01810,0000,01810ICF/MR 9512,A000000,02200,0000,02200LABORATORY 9512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9512,A000000,02500,0000,02500PHYSICAL THERAPY 9512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9512,A000000,02700,0000,02700SPEECH PATHOLOGY 9512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9512,A000000,03550,0000,03550FQHC 9512,A000000,05000,0000,05000CORF 9512,A000000,05010,0000,05010CMHC 9512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9512,A000000,06151,0000,06300PATIENT PERSONAL NEEDS 9512,A000000,06200,0000,06200PATIENTS LAUNDRY 9512,A81000A,00100,0100,Y 9512,A81000B,00100,0300,SUPPLIES 9512,A81000B,00200,0300,SUPPLIES 9512,A81000B,00300,0300,SUPPLIES 9512,A81000B,00400,0300,SUPPLIES 9512,A81000B,00500,0300,SUPPLIES 9512,A81000B,00600,0300,SUPPLIES 9512,A81000B,00700,0300,SUPPLIES 9512,A81000B,00800,0300,SUPPLIES 9512,A81000B,00900,0300,SUPPLIES 9512,A81000B,01000,0300,SUPPLIES 9512,A81000B,01100,0300,SUPPLIES 9512,A81000B,01200,0300,SUPPLIES 9512,A81000B,01300,0300,SUPPLIES 9512,A81000B,01400,0300,FACILITY LEASE 9512,A81000B,01500,0300,HOME OFFICE COSTS 9512,A81000B,01600,0300,HOME OFFICE COSTS 9512,A81000C,00100,0100,A 9512,A81000C,00100,0200,SEE HCFA 339 9512,A81000C,00100,0400,DELTA DURABLES 9512,A81000C,00100,0600,SUPPLIER 9512,A81000C,00200,0100,A 9512,A81000C,00200,0200,SEE HCFA 339 9512,A81000C,00200,0400,SKYLER PENSACOL 9512,A81000C,00200,0600,LESSOR 9512,A81000C,00300,0100,A 9512,A81000C,00300,0200,SEE HCFA 339 9512,A81000C,00300,0400,DELTA HEALTH GR 9512,A81000C,00300,0600,NURSING HOMES 9512,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9512,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9512,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9512,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9512,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9512,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9512,B100000,00000,0800,00000MEALS SERVED :DIETARY 9512,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9512,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9512,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9512,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9512,S000000,00100,0200,06/01/2000 9512,S200000,00100,0100,5951 COLONIAL DRIVE 9512,S200000,00200,0100,MARGATE 9512,S200000,00200,0200,FL 9512,S200000,00200,0300,33063- 9512,S200000,00300,0100,BROWARD 9512,S200000,00300,0200,2680 9512,S200000,00300,0300,U 9512,S200000,00400,0100,MARGATE HEALTH C.C. 9512,S200000,00400,0200,105505 9512,S200000,00400,0300,06/10/1985 9512,S200000,00400,0500,P 9512,S200000,00400,0600,O 9512,S200000,00600,0200,105505 9512,S200000,00600,0300,06/10/1985 9512,S200000,00600,0600,P 9512,S200000,01600,0100,Y 9523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9523,A000000,00300,0000,00300EMPLOYEE BENEFITS 9523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9523,A000000,00700,0000,00700HOUSEKEEPING 9523,A000000,00800,0000,00800DIETARY 9523,A000000,00900,0000,00900NURSING ADMINISTRATION 9523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9523,A000000,01300,0000,01300SOCIAL SERVICE 9523,A000000,01301,0000,01301ACTIVITIES 9523,A000000,01350,0000,01500OTHER GENERAL SERVICES 9523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9523,A000000,01600,0000,01600SKILLED NURSING FACILITY 9523,A000000,01800,0000,01800NURSING FACILITY 9523,A000000,01810,0000,01810ICF/MR 9523,A000000,01900,0000,01900OTHER LONG TERM CARE 9523,A000000,02100,0000,02100RADIOLOGY 9523,A000000,02200,0000,02200LABORATORY 9523,A000000,02300,0000,02300INTRAVENOUS THERAPY 9523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9523,A000000,02500,0000,02500PHYSICAL THERAPY 9523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9523,A000000,02700,0000,02700SPEECH PATHOLOGY 9523,A000000,02800,0000,02800ELECTROCARDIOLOGY 9523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9523,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9523,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9523,A000000,03200,0000,03200SUPPORT SURFACES 9523,A000000,03400,0000,03400CLINIC 9523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9523,A000000,03500,0000,03500RURAL HEALTH CLINIC 9523,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9523,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9523,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9523,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9523,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9523,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9523,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9523,A000000,04400,0000,04400DME RENTED - HHA 9523,A000000,04500,0000,04500DME SOLD - HHA 9523,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9523,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9523,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9523,A000000,04800,0000,04800AMBULANCE 9523,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9523,A000000,05000,0000,05000CORF 9523,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9523,A000000,05300,0000,05300INTEREST EXPENSE 9523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9523,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9523,A000000,05500,0000,05500HOSPICE 9523,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9523,A000000,06100,0000,06100NONPAID WORKERS 9523,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9523,A000000,06200,0000,06200PATIENTS LAUNDRY 9523,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9523,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9523,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9523,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9523,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9523,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9523,B100000,00000,0800,00000MEALS SERVED :DIETARY 9523,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 9523,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 9523,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9523,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9523,B100000,00000,1331,00000GROSS CHARGES :ACTIVITIES 9523,E10A180,00301,0100,02/08/2000 9523,S000000,00100,0200,06/01/2000 9523,S200000,00100,0100,7300 DEL PRADO SOUTH 9523,S200000,00200,0100,BOCA RATON 9523,S200000,00200,0200,FL 9523,S200000,00200,0300,33433- 9523,S200000,00300,0100,PALM BEACH 9523,S200000,00300,0200,8960 9523,S200000,00300,0300,U 9523,S200000,00400,0100,WHITEHALL BOCA RATON 9523,S200000,00400,0200,105506 9523,S200000,00400,0300,07/01/1985 9523,S200000,00400,0500,P 9523,S200000,01600,0100,Y 9539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9539,A000000,00300,0000,00300EMPLOYEE BENEFITS 9539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9539,A000000,00700,0000,00700HOUSEKEEPING 9539,A000000,00800,0000,00800DIETARY 9539,A000000,00900,0000,00900NURSING ADMINISTRATION 9539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9539,A000000,01100,0000,01100PHARMACY 9539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9539,A000000,01300,0000,01300SOCIAL SERVICE 9539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9539,A000000,01600,0000,01600SKILLED NURSING FACILITY 9539,A000000,01800,0000,01800NURSING FACILITY 9539,A000000,01810,0000,01810ICF/MR 9539,A000000,02200,0000,02200LABORATORY 9539,A000000,02500,0000,02500PHYSICAL THERAPY 9539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9539,A000000,02700,0000,02700SPEECH PATHOLOGY 9539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9539,A000000,03550,0000,03550FQHC 9539,A000000,05000,0000,05000CORF 9539,A000000,05010,0000,05010CMHC 9539,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9539,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9539,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9539,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9539,A000000,06200,0000,06200PATIENTS LAUNDRY 9539,A81000A,00100,0100,Y 9539,A81000B,00100,0300,HOME OFFICE COSTS 9539,A81000B,00200,0300,HOME OFFICE COSTS 9539,A81000B,00300,0300,SUPPLIES 9539,A81000B,00400,0300,SUPPLIES 9539,A81000B,00500,0300,SUPPLIES 9539,A81000B,00600,0300,SUPPLIES 9539,A81000B,00700,0300,SUPPLIES 9539,A81000B,00800,0300,SUPPLIES 9539,A81000B,00900,0300,SUPPLIES 9539,A81000B,01000,0300,SUPPLIES 9539,A81000B,01100,0300,SUPPLIES 9539,A81000B,01200,0300,SUPPLIES 9539,A81000B,01300,0300,SUPPLIES 9539,A81000B,01400,0300,SUPPLIES 9539,A81000C,00100,0100,A 9539,A81000C,00100,0200,SEE HCFA 339 9539,A81000C,00100,0400,DELTA HEALTH GR 9539,A81000C,00100,0600,NURSING HOMES 9539,A81000C,00200,0100,A 9539,A81000C,00200,0200,SEE HCFA 339 9539,A81000C,00200,0400,DELTA DURABLES 9539,A81000C,00200,0600,SUPPLIES 9539,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9539,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9539,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9539,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9539,B100000,00000,0800,00000MEALS SERVED :DIETARY 9539,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9539,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9539,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9539,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9539,S000000,00100,0200,06/01/2000 9539,S200000,00100,0100,4801 S. E. COVE ROAD 9539,S200000,00200,0100,STUART 9539,S200000,00200,0200,FL 9539,S200000,00200,0300,34997- 9539,S200000,00300,0100,MARTIN 9539,S200000,00300,0200,2710 9539,S200000,00300,0300,U 9539,S200000,00400,0100,SALERNO BAY MANOR 9539,S200000,00400,0200,105509 9539,S200000,00400,0300,10/01/1985 9539,S200000,00400,0500,P 9539,S200000,00400,0600,O 9539,S200000,00600,0200,105509 9539,S200000,00600,0300,10/01/1985 9539,S200000,00600,0600,P 9539,S200000,01600,0100,Y 9545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9545,A000000,00300,0000,00300EMPLOYEE BENEFITS 9545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9545,A000000,00700,0000,00700HOUSEKEEPING 9545,A000000,00800,0000,00800DIETARY 9545,A000000,00900,0000,00900NURSING ADMINISTRATION 9545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9545,A000000,01100,0000,01100PHARMACY 9545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9545,A000000,01300,0000,01300SOCIAL SERVICE 9545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9545,A000000,01600,0000,01600SKILLED NURSING FACILITY 9545,A000000,01800,0000,01800NURSING FACILITY 9545,A000000,01900,0000,01900OTHER LONG TERM CARE 9545,A000000,02100,0000,02100RADIOLOGY 9545,A000000,02204,0000,02204AIR FLUIDIZATION 9545,A000000,02300,0000,02300INTRAVENOUS THERAPY 9545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9545,A000000,02500,0000,02500PHYSICAL THERAPY 9545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9545,A000000,02700,0000,02700SPEECH PATHOLOGY 9545,A000000,02800,0000,02800ELECTROCARDIOLOGY 9545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9545,A000000,03050,0000,03300CLINITRON 9545,A000000,03051,0000,03301AMBULANCE EKG PULMONARY 9545,A000000,03200,0000,03200SUPPORT SURFACES 9545,A000000,03201,0000,03201LABORATORY 9545,A000000,03400,0000,03400CLINIC 9545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 9545,A000000,03500,0000,03500RURAL HEALTH CLINIC 9545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9545,A000000,04400,0000,04400DME RENTED - HHA 9545,A000000,04500,0000,04500DME SOLD - HHA 9545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9545,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 9545,A000000,04800,0000,04800AMBULANCE 9545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9545,A000000,05000,0000,05000CORF 9545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9545,A000000,05300,0000,05300INTEREST EXPENSE 9545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 9545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9545,A000000,05500,0000,05500HOSPICE 9545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9545,A000000,06001,0000,06001ACLF & RESIDENTIAL LIVING 9545,A000000,06100,0000,06100NONPAID WORKERS 9545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9545,A000000,06200,0000,06200PATIENTS LAUNDRY 9545,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9545,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 9545,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9545,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9545,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9545,B100000,00000,0800,00000MEALS SERVED :DIETARY 9545,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 9545,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9545,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9545,E10A180,00301,0100,09/25/1998 9545,E10A180,00301,0300,09/25/1998 9545,E10A180,00302,0100,02/16/1999 9545,E10A180,00302,0300,02/16/1999 9545,S000000,00100,0200,06/29/2000 9545,S200000,00100,0100,151 EAST MINNEHAHA 9545,S200000,00200,0100,CLERMONT 9545,S200000,00200,0200,FL 9545,S200000,00200,0300,32711- 9545,S200000,00300,0100,LAKE 9545,S200000,00300,0200,5960 9545,S200000,00300,0300,U 9545,S200000,00400,0100,WESTMINSTER CARE OF CLERMONT 9545,S200000,00400,0200,105512 9545,S200000,00400,0300,04/01/1992 9545,S200000,00400,0500,P 9545,S200000,00600,0200,105512 9545,S200000,00600,0300,04/01/1992 9545,S200000,00600,0600,P 9545,S200000,01004,0500,O 9545,S200000,01600,0100,Y 9547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9547,A000000,00300,0000,00300EMPLOYEE BENEFITS 9547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9547,A000000,00700,0000,00700HOUSEKEEPING 9547,A000000,00800,0000,00800DIETARY 9547,A000000,00900,0000,00900NURSING ADMINISTRATION 9547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9547,A000000,01100,0000,01100PHARMACY 9547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9547,A000000,01300,0000,01300SOCIAL SERVICE 9547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9547,A000000,01600,0000,01600SKILLED NURSING FACILITY 9547,A000000,01800,0000,01800NURSING FACILITY 9547,A000000,01900,0000,01900OTHER LONG TERM CARE 9547,A000000,02100,0000,02100RADIOLOGY 9547,A000000,02204,0000,02204AIR FLUIDIZATION 9547,A000000,02300,0000,02300INTRAVENOUS THERAPY 9547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9547,A000000,02500,0000,02500PHYSICAL THERAPY 9547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9547,A000000,02700,0000,02700SPEECH PATHOLOGY 9547,A000000,02800,0000,02800ELECTROCARDIOLOGY 9547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9547,A000000,03050,0000,03300CLINITRON 9547,A000000,03051,0000,03301AMBULANCE EKG PULMONARY 9547,A000000,03200,0000,03200SUPPORT SURFACES 9547,A000000,03201,0000,03201LABORATORY 9547,A000000,03400,0000,03400CLINIC 9547,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 9547,A000000,03500,0000,03500RURAL HEALTH CLINIC 9547,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9547,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9547,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9547,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9547,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9547,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9547,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9547,A000000,04400,0000,04400DME RENTED - HHA 9547,A000000,04500,0000,04500DME SOLD - HHA 9547,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9547,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9547,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 9547,A000000,04800,0000,04800AMBULANCE 9547,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9547,A000000,05000,0000,05000CORF 9547,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9547,A000000,05300,0000,05300INTEREST EXPENSE 9547,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 9547,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9547,A000000,05500,0000,05500HOSPICE 9547,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9547,A000000,06001,0000,06001ACLF & RESIDENTIAL LIVING 9547,A000000,06100,0000,06100NONPAID WORKERS 9547,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9547,A000000,06200,0000,06200PATIENTS LAUNDRY 9547,A81000A,00100,0100,Y 9547,A81000B,00100,0300,MANAGEMENT FEES-PROPERTY 9547,A81000B,00200,0300,MANAGEMENT FEES 9547,A81000C,00100,0100,B 9547,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 9547,A81000C,00100,0400,HOME OFFICE 9547,A81000C,00200,0100,B 9547,A81000C,00200,0200,COMMUNITIES INC. 9547,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9547,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 9547,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9547,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9547,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9547,B100000,00000,0800,00000MEALS SERVED :DIETARY 9547,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 9547,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9547,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9547,S000000,00100,0200,06/29/2000 9547,S200000,00100,0100,151 EAST MINNEHAHA 9547,S200000,00200,0100,CLERMONT 9547,S200000,00200,0200,FL 9547,S200000,00200,0300,32711- 9547,S200000,00300,0100,LAKE 9547,S200000,00300,0200,5960 9547,S200000,00300,0300,U 9547,S200000,00400,0100,WESTMINSTER CARE OF CLERMONT 9547,S200000,00400,0200,105512 9547,S200000,00400,0300,04/01/1992 9547,S200000,00400,0500,P 9547,S200000,00600,0200,105512 9547,S200000,00600,0300,04/01/1992 9547,S200000,00600,0600,P 9547,S200000,01004,0500,O 9547,S200000,01600,0100,Y 9558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9558,A000000,00300,0000,00300EMPLOYEE BENEFITS 9558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9558,A000000,00700,0000,00700HOUSEKEEPING 9558,A000000,00800,0000,00800DIETARY 9558,A000000,00900,0000,00900NURSING ADMINISTRATION 9558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9558,A000000,01100,0000,01100PHARMACY 9558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9558,A000000,01300,0000,01300SOCIAL SERVICE 9558,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 9558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9558,A000000,01600,0000,01600SKILLED NURSING FACILITY 9558,A000000,01800,0000,01800NURSING FACILITY 9558,A000000,01900,0000,01900OTHER LONG TERM CARE 9558,A000000,02100,0000,02100RADIOLOGY 9558,A000000,02200,0000,02200LABORATORY 9558,A000000,02300,0000,02300INTRAVENOUS THERAPY 9558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9558,A000000,02500,0000,02500PHYSICAL THERAPY 9558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9558,A000000,02700,0000,02700SPEECH PATHOLOGY 9558,A000000,02800,0000,02800ELECTROCARDIOLOGY 9558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9558,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 9558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9558,A000000,03200,0000,03200SUPPORT SURFACES 9558,A000000,03400,0000,03400CLINIC 9558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 9558,A000000,04800,0000,04800AMBULANCE 9558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9558,A000000,05300,0000,05300INTEREST EXPENSE 9558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9558,A000000,05500,0000,05500HOSPICE 9558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9558,A000000,06100,0000,06100NONPAID WORKERS 9558,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 9558,A000000,06200,0000,06200PATIENTS LAUNDRY 9558,A81000A,00100,0100,Y 9558,A81000C,00100,0100,A 9558,A81000C,00100,0200,B.HOLLANDER 9558,A81000C,00100,0400,SHAYMARK 9558,A81000C,00100,0600,MGMT 9558,A81000C,00200,0100,A 9558,A81000C,00200,0200,J.RAJCHENBACH 9558,A81000C,00200,0400,JLR MGMT 9558,A81000C,00200,0600,MGMT 9558,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9558,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9558,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9558,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9558,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9558,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9558,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 9558,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9558,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9558,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9558,S000000,00100,0200,05/31/2000 9558,S200000,00100,0100,13900 NE 3RD COURT 9558,S200000,00200,0100,NORTH MIAMI 9558,S200000,00200,0200,CA 9558,S200000,00300,0100,DADE 9558,S200000,00300,0200,5000 9558,S200000,00300,0300,U 9558,S200000,00400,0100,CLARIDGE HOUSE 9558,S200000,00400,0200,105513 9558,S200000,00400,0300,08/01/1985 9558,S200000,00400,0500,P 9558,S200000,01600,0100,Y 9569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9569,A000000,00300,0000,00300EMPLOYEE BENEFITS 9569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9569,A000000,00700,0000,00700HOUSEKEEPING 9569,A000000,00800,0000,00800DIETARY 9569,A000000,00900,0000,00900NURSING ADMINISTRATION 9569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9569,A000000,01100,0000,01100PHARMACY 9569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9569,A000000,01300,0000,01300SOCIAL SERVICE 9569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9569,A000000,01600,0000,01600SKILLED NURSING FACILITY 9569,A000000,01800,0000,01800NURSING FACILITY 9569,A000000,01810,0000,01810ICF/MR 9569,A000000,02200,0000,02200LABORATORY 9569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9569,A000000,02500,0000,02500PHYSICAL THERAPY 9569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9569,A000000,02700,0000,02700SPEECH PATHOLOGY 9569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9569,A000000,03550,0000,03550FQHC 9569,A000000,05000,0000,05000CORF 9569,A000000,05010,0000,05010CMHC 9569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9569,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9569,A000000,06200,0000,06200PATIENTS LAUNDRY 9569,A81000A,00100,0100,Y 9569,A81000B,00100,0300,SUPPLIES 9569,A81000B,00200,0300,SUPPLIES 9569,A81000B,00300,0300,SUPPLIES 9569,A81000B,00400,0300,SUPPLIES 9569,A81000B,00500,0300,SUPPLIES 9569,A81000B,00600,0300,SUPPLIES 9569,A81000B,00700,0300,SUPPLIES 9569,A81000B,00800,0300,SUIPPLIES 9569,A81000B,00900,0300,SUPPLIES 9569,A81000B,01000,0300,SUPPLIES 9569,A81000B,01100,0300,SUPPLIES 9569,A81000B,01200,0300,SUPPLIES 9569,A81000B,01300,0300,SUPPLIES 9569,A81000B,01400,0300,SUPPLIES 9569,A81000B,01500,0300,SUPPLIES 9569,A81000B,01600,0300,SUPPLIES 9569,A81000B,01700,0300,SUPPLIES 9569,A81000B,01800,0300,SUPPLIES 9569,A81000B,01900,0300,SUPPLIES 9569,A81000B,02000,0300,SUPPLIES 9569,A81000B,02100,0300,SUPPLIES 9569,A81000B,02200,0300,SUPPLIES 9569,A81000B,02300,0300,SUPPLIES 9569,A81000B,02400,0300,SUPPLIES 9569,A81000B,02500,0300,SUPPLIES 9569,A81000B,02600,0300,SUPPLIES 9569,A81000B,02700,0300,SUPPLIES 9569,A81000B,02800,0300,HOME OFFICE MGT FEE 9569,A81000B,02900,0300,RENT 9569,A81000C,00100,0100,A 9569,A81000C,00100,0200,SEE HCFA 339 9569,A81000C,00100,0400,DELTA HEALTH GR 9569,A81000C,00100,0600,OPERATES NRSG H 9569,A81000C,00200,0100,A 9569,A81000C,00200,0200,SEE HCFA 339 9569,A81000C,00200,0400,DELTA DURABLES 9569,A81000C,00200,0600,MEDICAL SUPPLIE 9569,A81000C,00300,0100,A 9569,A81000C,00300,0200,SEE HCFA 339 9569,A81000C,00300,0400,SKYLER DAYTONA 9569,A81000C,00300,0600,PROPERTY LESSOR 9569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9569,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9569,B100000,00000,0800,00000MEALS SERVED :DIETARY 9569,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9569,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9569,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9569,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9569,S000000,00100,0200,06/02/2000 9569,S200000,00100,0100,60 NORTH HIGHWAY 17-92 9569,S200000,00100,0300,248 9569,S200000,00200,0100,DEBARY 9569,S200000,00200,0200,FL 9569,S200000,00200,0300,32713- 9569,S200000,00300,0100,VOLUSIA 9569,S200000,00300,0200,2020 9569,S200000,00300,0300,U 9569,S200000,00400,0100,DEBARY MANOR 9569,S200000,00400,0200,105514 9569,S200000,00400,0300,01/01/1985 9569,S200000,00400,0500,P 9569,S200000,00400,0600,O 9569,S200000,00600,0200,105514 9569,S200000,00600,0300,01/01/1985 9569,S200000,00600,0600,P 9569,S200000,01600,0100,Y 9580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9580,A000000,00300,0000,00300EMPLOYEE BENEFITS 9580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9580,A000000,00700,0000,00700HOUSEKEEPING 9580,A000000,00800,0000,00800DIETARY 9580,A000000,00900,0000,00900NURSING ADMINISTRATION 9580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9580,A000000,01100,0000,01100PHARMACY 9580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9580,A000000,01300,0000,01300SOCIAL SERVICE 9580,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9580,A000000,01600,0000,01600SKILLED NURSING FACILITY 9580,A000000,01800,0000,01800NURSING FACILITY 9580,A000000,01810,0000,01810ICF/MR 9580,A000000,02100,0000,02100RADIOLOGY 9580,A000000,02200,0000,02200LABORATORY 9580,A000000,02300,0000,02300INTRAVENOUS THERAPY 9580,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9580,A000000,02500,0000,02500PHYSICAL THERAPY 9580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9580,A000000,02700,0000,02700SPEECH PATHOLOGY 9580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9580,A000000,03550,0000,03550FQHC 9580,A000000,05000,0000,05000CORF 9580,A000000,05010,0000,05010CMHC 9580,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9580,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9580,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9580,A000000,05300,0000,05300INTEREST EXPENSE 9580,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9580,A81000A,00100,0100,Y 9580,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9580,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9580,A81000B,00300,0300,HEALTH INSURANCE 9580,A81000B,00400,0300,RETIREMENT 9580,A81000B,00500,0300,PHS COST 9580,A81000B,00600,0300,PHS COST 9580,A81000B,00700,0300,PHS COST 9580,A81000B,00800,0300,PHS COST 9580,A81000B,00900,0300,PHS COST 9580,A81000B,01000,0300,PHS COST 9580,A81000B,01100,0300,PHS COST 9580,A81000B,01200,0300,PHS COST 9580,A81000B,01300,0300,NON-ALLOWABLE SELF AUDIT COST 9580,A81000B,01400,0300,NON-ALLOWABLE SELF AUDIT COST 9580,A81000C,00100,0100,B 9580,A81000C,00100,0200,NATIONAL HEALTH 9580,A81000C,00200,0200,CARE CORPORATIO 9580,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9580,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9580,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9580,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9580,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9580,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9580,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9580,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9580,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9580,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9580,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9580,S000000,00100,0200,04/12/2000 9580,S200000,00100,0100,701 NORTH WILDER ROAD 9580,S200000,00100,0300,2568 9580,S200000,00200,0100,PLANT CITY 9580,S200000,00200,0200,FL 9580,S200000,00200,0300,33566- 9580,S200000,00300,0100,HILLSBOROUGH 9580,S200000,00300,0200,8280 9580,S200000,00300,0300,U 9580,S200000,00400,0100,NHC HEALTHCARE PLANT CITY 9580,S200000,00400,0200,105515 9580,S200000,00400,0300,07/01/1985 9580,S200000,00400,0500,P 9580,S200000,00600,0200,105515 9580,S200000,00600,0300,07/01/1985 9580,S200000,00600,0600,P 9580,S200000,01600,0100,Y 9589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9589,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 9589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9589,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 9589,A000000,00300,0000,00300EMPLOYEE BENEFITS 9589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9589,A000000,00700,0000,00700HOUSEKEEPING 9589,A000000,00800,0000,00800DIETARY 9589,A000000,00801,0000,00801CAFETERIA 9589,A000000,00900,0000,00900NURSING ADMINISTRATION 9589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9589,A000000,01100,0000,01100PHARMACY 9589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9589,A000000,01300,0000,01300SOCIAL SERVICE 9589,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 9589,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9589,A000000,01600,0000,01600SKILLED NURSING FACILITY 9589,A000000,01800,0000,01800NURSING FACILITY 9589,A000000,01900,0000,01900OTHER LONG TERM CARE 9589,A000000,02100,0000,02100RADIOLOGY 9589,A000000,02200,0000,02200LABORATORY 9589,A000000,02300,0000,02300INTRAVENOUS THERAPY 9589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9589,A000000,02500,0000,02500PHYSICAL THERAPY 9589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9589,A000000,02700,0000,02700SPEECH PATHOLOGY 9589,A000000,02800,0000,02800ELECTROCARDIOLOGY 9589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9589,A000000,03050,0000,03300OTHER ANCILLARY 9589,A000000,03051,0000,03301OTHER ANCILLARY II 9589,A000000,03052,0000,03302OTHER ANCILLARY III 9589,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9589,A000000,03200,0000,03200SUPPORT SURFACES 9589,A000000,03400,0000,03400CLINIC 9589,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 9589,A000000,03500,0000,03500RURAL HEALTH CLINIC 9589,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9589,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9589,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9589,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9589,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9589,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9589,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9589,A000000,04400,0000,04400DME RENTED - HHA 9589,A000000,04500,0000,04500DME SOLD - HHA 9589,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9589,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9589,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9589,A000000,04800,0000,04800AMBULANCE 9589,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9589,A000000,05000,0000,05000CORF 9589,A000000,05010,0000,05010CMHC I 9589,A000000,05020,0000,05020OPT I 9589,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9589,A000000,05300,0000,05300INTEREST EXPENSE 9589,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 9589,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 9589,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9589,A000000,05500,0000,05500HOSPICE 9589,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9589,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9589,A000000,06100,0000,06100NONPAID WORKERS 9589,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9589,A000000,06200,0000,06200PATIENTS LAUNDRY 9589,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9589,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9589,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9589,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 9589,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9589,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9589,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9589,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 9589,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 9589,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 9589,S000000,00100,0200,05/19/2000 9589,S200000,00100,0100,12751 W. COLONIAL DR. 9589,S200000,00200,0100,WINTER GARDEN 9589,S200000,00200,0200,FL 9589,S200000,00200,0300,32878- 9589,S200000,00300,0100,ORANGE 9589,S200000,00300,0200,5960 9589,S200000,00300,0300,U 9589,S200000,00400,0100,QUALITY HEALTH CARE CENTER 9589,S200000,00400,0200,105518 9589,S200000,00400,0300,12/09/1985 9589,S200000,00400,0500,P 9589,S200000,00400,0600,O 9589,S200000,01600,0100,Y 9600,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9600,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9600,A000000,00300,0000,00300EMPLOYEE BENEFITS 9600,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9600,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9600,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9600,A000000,00700,0000,00700HOUSEKEEPING 9600,A000000,00800,0000,00800DIETARY 9600,A000000,00900,0000,00900NURSING ADMINISTRATION 9600,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9600,A000000,01100,0000,01100PHARMACY 9600,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9600,A000000,01300,0000,01300SOCIAL SERVICE 9600,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9600,A000000,01600,0000,01600SKILLED NURSING FACILITY 9600,A000000,01800,0000,01800NURSING FACILITY 9600,A000000,01900,0000,01900OTHER LONG TERM CARE 9600,A000000,02100,0000,02100RADIOLOGY 9600,A000000,02200,0000,02200LABORATORY 9600,A000000,02300,0000,02300INTRAVENOUS THERAPY 9600,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9600,A000000,02500,0000,02500PHYSICAL THERAPY 9600,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9600,A000000,02700,0000,02700SPEECH PATHOLOGY 9600,A000000,02800,0000,02800ELECTROCARDIOLOGY 9600,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9600,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9600,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9600,A000000,03200,0000,03200SUPPORT SURFACES 9600,A000000,03400,0000,03400CLINIC 9600,A000000,03500,0000,03500RURAL HEALTH CLINIC 9600,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9600,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9600,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9600,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9600,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9600,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9600,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9600,A000000,04400,0000,04400DME RENTED - HHA 9600,A000000,04500,0000,04500DME SOLD - HHA 9600,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9600,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9600,A000000,04800,0000,04800AMBULANCE 9600,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9600,A000000,05000,0000,05000CORF 9600,A000000,05010,0000,05010CMHC I 9600,A000000,05020,0000,05020OPT I 9600,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9600,A000000,05300,0000,05300INTEREST EXPENSE 9600,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9600,A000000,05500,0000,05500HOSPICE 9600,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9600,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9600,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9600,A000000,06100,0000,06100NONPAID WORKERS 9600,A000000,06200,0000,06200PATIENTS LAUNDRY 9600,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9600,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9600,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9600,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9600,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9600,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9600,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9600,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 9600,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 9600,S000000,00100,0200,05/25/2000 9600,S200000,00100,0100,6940 PAN AMERICAN DRIVE 9600,S200000,00200,0100,NORTH PORT 9600,S200000,00200,0200,FL 9600,S200000,00200,0300,34287- 9600,S200000,00300,0100,SARASOTA 9600,S200000,00300,0200,7510 9600,S200000,00300,0300,U 9600,S200000,00400,0100,QUALITY HEALTH CARE CENTER 9600,S200000,00400,0200,105523 9600,S200000,00400,0300,01/01/1986 9600,S200000,00400,0500,P 9600,S200000,00400,0600,O 9600,S200000,01600,0100,Y 9610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9610,A000000,00300,0000,00300EMPLOYEE BENEFITS 9610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9610,A000000,00700,0000,00700HOUSEKEEPING 9610,A000000,00800,0000,00800DIETARY 9610,A000000,00900,0000,00900NURSING ADMINISTRATION 9610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9610,A000000,01100,0000,01100PHARMACY 9610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9610,A000000,01300,0000,01300SOCIAL SERVICE 9610,A000000,01350,0000,01500OTHER GENERAL SERVICES 9610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9610,A000000,01600,0000,01600SKILLED NURSING FACILITY 9610,A000000,01800,0000,01800NURSING FACILITY 9610,A000000,01900,0000,01900OTHER LONG TERM CARE 9610,A000000,02100,0000,02100RADIOLOGY 9610,A000000,02200,0000,02200LABORATORY 9610,A000000,02300,0000,02300INTRAVENOUS THERAPY 9610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9610,A000000,02500,0000,02500PHYSICAL THERAPY 9610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9610,A000000,02700,0000,02700SPEECH PATHOLOGY 9610,A000000,02800,0000,02800ELECTROCARDIOLOGY 9610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9610,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9610,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9610,A000000,03200,0000,03200SUPPORT SURFACES 9610,A000000,03400,0000,03400CLINIC 9610,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9610,A000000,03500,0000,03500RURAL HEALTH CLINIC 9610,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9610,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9610,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9610,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9610,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9610,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9610,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9610,A000000,04400,0000,04400DME RENTED - HHA 9610,A000000,04500,0000,04500DME SOLD - HHA 9610,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9610,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9610,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9610,A000000,04800,0000,04800AMBULANCE 9610,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9610,A000000,05000,0000,05000CORF 9610,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9610,A000000,05300,0000,05300INTEREST EXPENSE 9610,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9610,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9610,A000000,05500,0000,05500HOSPICE 9610,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9610,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9610,A000000,06001,0000,06001PART B PPS THERAPIES 9610,A000000,06100,0000,06100NONPAID WORKERS 9610,A000000,06150,0000,06300ACLF/RESIDENTIAL LIVING 9610,A000000,06200,0000,06200PATIENTS LAUNDRY 9610,A81000A,00100,0100,Y 9610,A81000B,00100,0300,HOME OFFICE CAPITAL 9610,A81000B,00200,0300,HOME OFFICE ADMIN - SNF 9610,A81000B,00300,0300,HOME OFFICE ADMIN - ACLF 9610,A81000C,00100,0100,B 9610,A81000C,00100,0200,RETIREMENT HOUSING 9610,A81000C,00200,0200,FOUNDATION INC. 9610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9610,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9610,B100000,00000,0800,00000MEALS SERVED :DIETARY 9610,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 9610,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9610,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9610,S000000,00100,0200,08/31/2000 9610,S200000,00100,0100,900 11TH STREET 9610,S200000,00200,0100,HOLLY HILL 9610,S200000,00200,0200,FL 9610,S200000,00200,0300,32017- 9610,S200000,00300,0100,VOLUSIA 9610,S200000,00300,0200,2020 9610,S200000,00300,0300,U 9610,S200000,00400,0100,BISHOPS GLEN HEALTH CARE 9610,S200000,00400,0200,105526 9610,S200000,00400,0300,12/28/1986 9610,S200000,00400,0500,P 9610,S200000,00400,0600,O 9610,S200000,00600,0200,105526 9610,S200000,00600,0300,12/28/1986 9610,S200000,00600,0600,P 9610,S200000,01004,0500,O 9610,S200000,01600,0100,Y 9622,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9622,A000000,00300,0000,00300EMPLOYEE BENEFITS 9622,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9622,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9622,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9622,A000000,00700,0000,00700HOUSEKEEPING 9622,A000000,00800,0000,00800DIETARY 9622,A000000,00900,0000,00900NURSING ADMINISTRATION 9622,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9622,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9622,A000000,01300,0000,01300SOCIAL SERVICE 9622,A000000,01600,0000,01600SKILLED NURSING FACILITY 9622,A000000,01800,0000,01800NURSING FACILITY 9622,A000000,02100,0000,02100RADIOLOGY 9622,A000000,02200,0000,02200LABORATORY 9622,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9622,A000000,02500,0000,02500PHYSICAL THERAPY 9622,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9622,A000000,02700,0000,02700SPEECH PATHOLOGY 9622,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9622,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9622,A000000,03050,0000,03001P.E.N. THERAPY 9622,A000000,05300,0000,05300INTEREST EXPENSE 9622,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9622,A81000A,00100,0100,Y 9622,A81000B,00100,0300,HOME OFFICE CAPITAL 9622,A81000B,00200,0300,HOME OFFICE EHW 9622,A81000B,00300,0300,HOME OFFICE A&G 9622,A81000B,00400,0300,AZALEA TRACE BUS OFF 9622,A81000B,00500,0300,AZALEA TRACE BUS OFF 9622,A81000B,00600,0300,RESP THPY 9622,A81000B,00700,0300,PHYSICAL THPY 9622,A81000B,00800,0300,OCCUP THPY 9622,A81000B,00900,0300,SPEECH THPY 9622,A81000C,00100,0100,B 9622,A81000C,00100,0400,BAPTIST HEALTH 9622,A81000C,00100,0600,HEALTH CARE MGM 9622,A81000C,00200,0100,G 9622,A81000C,00200,0400,AZALEA TRACE 9622,A81000C,00200,0600,SNF 9622,A81000C,00300,0100,G 9622,A81000C,00300,0400,FIRST REHAB 9622,A81000C,00300,0600,REHABILITATION 9622,A81000C,00400,0100,G 9622,A81000C,00400,0400,BAPTIST HOSPITA 9622,A81000C,00400,0600,HOSPITAL RESP T 9622,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9622,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9622,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9622,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9622,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9622,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9622,B100000,00000,0800,00000MEALS SERVED :DIETARY 9622,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9622,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 9622,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9622,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9622,S000000,00100,0200,02/29/2000 9622,S200000,00100,0100,10095 HILLVIEW ROAD 9622,S200000,00200,0100,PENSACOLA 9622,S200000,00200,0200,FL 9622,S200000,00200,0300,32514- 9622,S200000,00300,0100,ESAMBIA 9622,S200000,00400,0100,BAPTIST MANOR 9622,S200000,00400,0200,105532 9622,S200000,00400,0300,12/21/1985 9622,S200000,00400,0500,P 9622,S200000,00600,0200,105532 9622,S200000,00600,0300,12/21/1985 9622,S200000,00600,0600,P 9622,S200000,01600,0100,Y 9622,S200000,02200,0100,Y 9631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9631,A000000,00300,0000,00300EMPLOYEE BENEFITS 9631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9631,A000000,00700,0000,00700HOUSEKEEPING 9631,A000000,00800,0000,00800DIETARY 9631,A000000,00900,0000,00900NURSING ADMINISTRATION 9631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9631,A000000,01100,0000,01100PHARMACY 9631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9631,A000000,01300,0000,01300SOCIAL SERVICE 9631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9631,A000000,01600,0000,01600SKILLED NURSING FACILITY 9631,A000000,01900,0000,01900OTHER LONG TERM CARE 9631,A000000,02100,0000,02100RADIOLOGY 9631,A000000,02200,0000,02200LABORATORY 9631,A000000,02300,0000,02300INTRAVENOUS THERAPY 9631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9631,A000000,02500,0000,02500PHYSICAL THERAPY 9631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9631,A000000,02700,0000,02700SPEECH PATHOLOGY 9631,A000000,02800,0000,02800ELECTROCARDIOLOGY 9631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9631,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9631,A000000,03200,0000,03200SUPPORT SURFACES 9631,A000000,03400,0000,03400CLINIC 9631,A000000,04800,0000,04800AMBULANCE 9631,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9631,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9631,A000000,05300,0000,05300INTEREST EXPENSE 9631,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9631,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9631,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9631,A000000,06100,0000,06100NONPAID WORKERS 9631,A000000,06200,0000,06200PATIENTS LAUNDRY 9631,A81000A,00100,0100,Y 9631,A81000B,00100,0300,HOME OFFICE COST 9631,A81000B,00200,0300,HOME OFFICE COST 9631,A81000C,00100,0100,B 9631,A81000C,00100,0200,COUNTRY HEALTH 9631,A81000C,00100,0600,MGMT. CO. 9631,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9631,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 9631,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9631,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9631,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9631,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9631,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9631,B100000,00000,0800,00000MEALS SERVED :DIETARY 9631,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9631,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 9631,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9631,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9631,S000000,00100,0200,05/31/2000 9631,S200000,00100,0100,320 SOMBRERO ROAD 9631,S200000,00200,0100,MARATHON 9631,S200000,00200,0200,FL 9631,S200000,00200,0300,33050- 9631,S200000,00300,0100,MONROE 9631,S200000,00300,0200,10 9631,S200000,00300,0300,R 9631,S200000,00400,0100,MARATHON MANOR INC. 9631,S200000,00400,0200,105534 9631,S200000,00400,0300,11/10/1987 9631,S200000,00400,0500,P 9631,S200000,01600,0100,Y 9639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9639,A000000,00300,0000,00300EMPLOYEE BENEFITS 9639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9639,A000000,00700,0000,00700HOUSEKEEPING 9639,A000000,00800,0000,00800DIETARY 9639,A000000,00900,0000,00900NURSING ADMINISTRATION 9639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9639,A000000,01100,0000,01100PHARMACY 9639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9639,A000000,01300,0000,01300SOCIAL SERVICE 9639,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9639,A000000,01600,0000,01600SKILLED NURSING FACILITY 9639,A000000,01900,0000,01900OTHER LONG TERM CARE 9639,A000000,02100,0000,02100RADIOLOGY 9639,A000000,02200,0000,02200LABORATORY 9639,A000000,02300,0000,02300INTRAVENOUS THERAPY 9639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9639,A000000,02500,0000,02500PHYSICAL THERAPY 9639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9639,A000000,02700,0000,02700SPEECH PATHOLOGY 9639,A000000,02800,0000,02800ELECTROCARDIOLOGY 9639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9639,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9639,A000000,03200,0000,03200SUPPORT SURFACES 9639,A000000,03400,0000,03400CLINIC 9639,A000000,04800,0000,04800AMBULANCE 9639,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9639,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9639,A000000,05300,0000,05300INTEREST EXPENSE 9639,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9639,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9639,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9639,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9639,A000000,06100,0000,06100NONPAID WORKERS 9639,A000000,06200,0000,06200PATIENTS LAUNDRY 9639,A81000A,00100,0100,Y 9639,A81000B,00100,0300,HOME OFFICE COST 9639,A81000B,00200,0300,HOME OFFICE COST 9639,A81000C,00100,0100,B 9639,A81000C,00100,0200,COUNTRY HEALTH 9639,A81000C,00100,0600,MGMT. CO. 9639,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9639,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9639,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9639,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9639,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9639,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9639,B100000,00000,0800,00000MEALS SERVED :DIETARY 9639,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9639,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 9639,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9639,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9639,E10A180,00301,0100,12/31/1999 9639,S000000,00100,0200,06/01/2000 9639,S200000,00100,0100,48 HIGH POINT ROAD 9639,S200000,00200,0100,TAVERNIER 9639,S200000,00200,0200,FL 9639,S200000,00200,0300,33070- 9639,S200000,00300,0100,MONROE 9639,S200000,00300,0200,10 9639,S200000,00300,0300,R 9639,S200000,00400,0100,PLANTATION KEY CONVALESCENT CENTER 9639,S200000,00400,0200,105536 9639,S200000,00400,0300,03/15/1986 9639,S200000,00400,0500,P 9639,S200000,01004,0500,O 9639,S200000,01600,0100,Y 9663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9663,A000000,00300,0000,00300EMPLOYEE BENEFITS 9663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9663,A000000,00700,0000,00700HOUSEKEEPING 9663,A000000,00800,0000,00800DIETARY 9663,A000000,00900,0000,00900NURSING ADMINISTRATION 9663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9663,A000000,01100,0000,01100PHARMACY 9663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9663,A000000,01300,0000,01300SOCIAL SERVICE 9663,A000000,01350,0000,01500ACTIVITIES 9663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9663,A000000,01600,0000,01600SKILLED NURSING FACILITY 9663,A000000,01800,0000,01800NURSING FACILITY 9663,A000000,01810,0000,01810ICF/MR 9663,A000000,01900,0000,01900OTHER LONG TERM CARE 9663,A000000,02100,0000,02100RADIOLOGY 9663,A000000,02200,0000,02200LABORATORY 9663,A000000,02300,0000,02300INTRAVENOUS THERAPY 9663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9663,A000000,02500,0000,02500PHYSICAL THERAPY 9663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9663,A000000,02700,0000,02700SPEECH PATHOLOGY 9663,A000000,02800,0000,02800ELECTROCARDIOLOGY 9663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9663,A000000,03200,0000,03200SUPPORT SURFACES 9663,A000000,03400,0000,03400CLINIC 9663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9663,A000000,03500,0000,03500RURAL HEALTH CLINIC 9663,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9663,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9663,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9663,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9663,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9663,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9663,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9663,A000000,04400,0000,04400DME RENTED - HHA 9663,A000000,04500,0000,04500DME SOLD - HHA 9663,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9663,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9663,A000000,04800,0000,04800AMBULANCE 9663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9663,A000000,05000,0000,05000CORF 9663,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9663,A000000,05300,0000,05300INTEREST EXPENSE 9663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9663,A000000,05500,0000,05500HOSPICE 9663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9663,A000000,06100,0000,06100NONPAID WORKERS 9663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9663,A000000,06200,0000,06200PATIENTS LAUNDRY 9663,A81000A,00100,0100,Y 9663,A81000B,00100,0300,MANAGEMENT FEE 9663,A81000B,00200,0300,HOME OFFICE CAPITAL 9663,A81000C,00100,0100,B 9663,A81000C,00100,0200,JOHNSON EZELL CORPORATION 9663,A81000C,00100,0600,HOME OFFICE 9663,A81000C,00200,0100,B 9663,A81000C,00200,0200,JOHNSON EZELL CORPORATION 9663,A81000C,00200,0600,HOME OFFICE 9663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9663,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9663,B100000,00000,0750,00000SQUARE FEET(MOD) :HOUSEKEEPING 9663,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9663,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9663,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9663,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 9663,S000000,00100,0200,06/05/2000 9663,S200000,00100,0100,23013 WESTCHESTER BLVD. 9663,S200000,00200,0100,PORT CHARLOTTE 9663,S200000,00200,0200,FL 9663,S200000,00200,0300,33980- 9663,S200000,00300,0100,CHARLOTTE 9663,S200000,00300,0200,6580 9663,S200000,00300,0300,U 9663,S200000,00400,0100,SOUTH PORT NURSING CENTER 9663,S200000,00400,0200,105538 9663,S200000,00400,0300,07/08/1986 9663,S200000,00400,0500,P 9663,S200000,01004,0500,O 9663,S200000,01600,0100,Y 9673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9673,A000000,00300,0000,00300EMPLOYEE BENEFITS 9673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9673,A000000,00700,0000,00700HOUSEKEEPING 9673,A000000,00800,0000,00800DIETARY 9673,A000000,00900,0000,00900NURSING ADMINISTRATION 9673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9673,A000000,01100,0000,01100PHARMACY 9673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9673,A000000,01300,0000,01300SOCIAL SERVICE 9673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9673,A000000,01600,0000,01600SKILLED NURSING FACILITY 9673,A000000,01800,0000,01800NURSING FACILITY 9673,A000000,01810,0000,01810ICF/MR 9673,A000000,02100,0000,02100RADIOLOGY 9673,A000000,02200,0000,02200LABORATORY 9673,A000000,02300,0000,02300INTRAVENOUS THERAPY 9673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9673,A000000,02500,0000,02500PHYSICAL THERAPY 9673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9673,A000000,02700,0000,02700SPEECH PATHOLOGY 9673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9673,A000000,03550,0000,03550FQHC 9673,A000000,05000,0000,05000CORF 9673,A000000,05010,0000,05010CMHC 9673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9673,A000000,05300,0000,05300INTEREST EXPENSE 9673,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9673,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9673,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9673,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9673,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9673,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9673,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9673,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9673,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9673,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9673,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9673,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9673,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9673,S000000,00100,0200,04/12/2000 9673,S200000,00100,0100,2100 JENKS AVENUE 9673,S200000,00100,0300,16508 9673,S200000,00200,0100,PANAMA CITY 9673,S200000,00200,0200,FL 9673,S200000,00200,0300,32405- 9673,S200000,00300,0100,BAY 9673,S200000,00300,0200,6015 9673,S200000,00300,0300,U 9673,S200000,00400,0100,NHC OF PANAMA CITY 9673,S200000,00400,0200,105543 9673,S200000,00400,0300,01/01/1986 9673,S200000,00400,0500,P 9673,S200000,00600,0200,105543 9673,S200000,00600,0300,01/01/1986 9673,S200000,00600,0600,P 9673,S200000,01600,0100,Y 9685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9685,A000000,00300,0000,00300EMPLOYEE BENEFITS 9685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9685,A000000,00700,0000,00700HOUSEKEEPING 9685,A000000,00800,0000,00800DIETARY 9685,A000000,00900,0000,00900NURSING ADMINISTRATION 9685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9685,A000000,01100,0000,01100PHARMACY 9685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9685,A000000,01300,0000,01300SOCIAL SERVICE 9685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9685,A000000,01600,0000,01600SKILLED NURSING FACILITY 9685,A000000,01800,0000,01800NURSING FACILITY 9685,A000000,01810,0000,01810ICF/MR 9685,A000000,02100,0000,02100RADIOLOGY 9685,A000000,02200,0000,02200LABORATORY 9685,A000000,02300,0000,02300INTRAVENOUS THERAPY 9685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9685,A000000,02500,0000,02500PHYSICAL THERAPY 9685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9685,A000000,02700,0000,02700SPEECH PATHOLOGY 9685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9685,A000000,03550,0000,03550FQHC 9685,A000000,05000,0000,05000CORF 9685,A000000,05010,0000,05010CMHC 9685,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9685,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9685,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9685,A000000,05300,0000,05300INTEREST EXPENSE 9685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9685,A81000A,00100,0100,Y 9685,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9685,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9685,A81000B,00300,0300,HEALTH INSURANCE 9685,A81000B,00400,0300,RETIREMENT 9685,A81000B,00700,0300,PHS - NURSING 9685,A81000B,00800,0300,PHS - SOCIAL WORK 9685,A81000B,00900,0300,PHS - OCC THERAPY 9685,A81000B,01000,0300,PHS - SPEECH THERAPY 9685,A81000B,01100,0300,PHS - PHYS THERAPY 9685,A81000B,01200,0300,PHS - ACTIVITIES 9685,A81000B,01300,0300,PHS - DIETARY 9685,A81000B,01400,0300,PHS - MED RECORDS 9685,A81000B,01500,0300,PHS - ADMINISTRATIVE 9685,A81000B,01600,0300,NON-ALLOWABLE SELF AUDIT COST 9685,A81000C,00100,0100,B 9685,A81000C,00100,0200,NATIONAL HEALTH 9685,A81000C,00100,0400,PROF HEALTH SER 9685,A81000C,00100,0600,HEALTHCARE 9685,A81000C,00200,0200,CARE L.P. 9685,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9685,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9685,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9685,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9685,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9685,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9685,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9685,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9685,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9685,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9685,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9685,S000000,00100,0200,04/05/2000 9685,S200000,00100,0100,7210 BEACON WOODS DRIVE 9685,S200000,00100,0300,5487 9685,S200000,00200,0100,HUDSON 9685,S200000,00200,0200,FL 9685,S200000,00200,0300,34667- 9685,S200000,00300,0100,PASCO 9685,S200000,00300,0200,8280 9685,S200000,00300,0300,U 9685,S200000,00400,0100,NHC HEALTHCARE HUDSON 9685,S200000,00400,0200,105544 9685,S200000,00400,0300,07/17/1986 9685,S200000,00400,0500,P 9685,S200000,00600,0200,105544 9685,S200000,00600,0300,07/17/1986 9685,S200000,00600,0600,P 9685,S200000,01600,0100,Y 9696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9696,A000000,00300,0000,00300EMPLOYEE BENEFITS 9696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9696,A000000,00700,0000,00700HOUSEKEEPING 9696,A000000,00800,0000,00800DIETARY 9696,A000000,00900,0000,00900NURSING ADMINISTRATION 9696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9696,A000000,01300,0000,01300SOCIAL SERVICE 9696,A000000,01600,0000,01600SKILLED NURSING FACILITY 9696,A000000,01800,0000,01800NURSING FACILITY 9696,A000000,02100,0000,02100RADIOLOGY 9696,A000000,02200,0000,02200LABORATORY 9696,A000000,02300,0000,02300INTRAVENOUS THERAPY 9696,A000000,02500,0000,02500PHYSICAL THERAPY 9696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9696,A000000,02700,0000,02700SPEECH PATHOLOGY 9696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9696,A000000,03200,0000,03200SUPPORT SURFACES 9696,A000000,05300,0000,05300INTEREST EXPENSE 9696,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9696,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9696,A81000A,00100,0100,Y 9696,A81000B,00100,0300,DIRECTORS FEES 9696,A81000C,00100,0100,A 9696,A81000C,00100,0200,INTERRELATIONSHIP TO PROV 9696,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9696,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9696,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9696,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9696,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 9696,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9696,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 9696,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 9696,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 9696,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 9696,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 9696,S000000,00100,0200,06/05/2000 9696,S200000,00100,0100,115 HART STREET 9696,S200000,00200,0100,NICEVILLE 9696,S200000,00200,0200,FL 9696,S200000,00200,0300,32578-1098 9696,S200000,00300,0100,OKALOOSA 9696,S200000,00300,0200,2750 9696,S200000,00300,0300,U 9696,S200000,00400,0100,BAY HERITAGE NURSING & CONV CTR 9696,S200000,00400,0200,105545 9696,S200000,00400,0300,09/01/1986 9696,S200000,00400,0500,P 9696,S200000,01600,0100,Y 9696,S200000,02200,0100,Y 9708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9708,A000000,00300,0000,00300EMPLOYEE BENEFITS 9708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9708,A000000,00700,0000,00700HOUSEKEEPING 9708,A000000,00800,0000,00800DIETARY 9708,A000000,00900,0000,00900NURSING ADMINISTRATION 9708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9708,A000000,01100,0000,01100PHARMACY 9708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9708,A000000,01300,0000,01300SOCIAL SERVICE 9708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9708,A000000,01600,0000,01600SKILLED NURSING FACILITY 9708,A000000,01800,0000,01800NURSING FACILITY 9708,A000000,01810,0000,01810ICF/MR 9708,A000000,02200,0000,02200LABORATORY 9708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9708,A000000,02500,0000,02500PHYSICAL THERAPY 9708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9708,A000000,02700,0000,02700SPEECH PATHOLOGY 9708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9708,A000000,03550,0000,03550FQHC 9708,A000000,05000,0000,05000CORF 9708,A000000,05010,0000,05010CMHC 9708,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9708,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9708,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9708,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9708,A000000,06200,0000,06200PATIENTS LAUNDRY 9708,A81000A,00100,0100,Y 9708,A81000B,00100,0300,HOME OFFICE COSTS 9708,A81000B,00200,0300,HOME OFFICE COSTS 9708,A81000B,00300,0300,FACILITY LEASE 9708,A81000B,00400,0300,SUPPLIES 9708,A81000B,00500,0300,SUPPLIES 9708,A81000B,00600,0300,SUPPLIES 9708,A81000B,00700,0300,SUPPLIES 9708,A81000B,00800,0300,SUPPLIES 9708,A81000B,00900,0300,SUPPLIES 9708,A81000B,01000,0300,SUPPLIES 9708,A81000B,01100,0300,SUPPLIES 9708,A81000B,01200,0300,SUPPLIES 9708,A81000B,01300,0300,SUPPLIES 9708,A81000C,00100,0100,A 9708,A81000C,00100,0200,SEE HCFA 339 9708,A81000C,00100,0400,DELTA HEALTH GR 9708,A81000C,00100,0600,NURSING HOMES 9708,A81000C,00200,0100,A 9708,A81000C,00200,0200,SEE HCFA 339 9708,A81000C,00200,0400,SKYLER PREMIER 9708,A81000C,00200,0600,PROP LESSOR 9708,A81000C,00300,0100,A 9708,A81000C,00300,0200,SEE HCFA 339 9708,A81000C,00300,0400,DELTA DURABLES 9708,A81000C,00300,0600,SUPPLIES 9708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9708,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9708,B100000,00000,0800,00000MEALS SERVED :DIETARY 9708,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9708,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9708,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9708,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9708,S000000,00100,0200,06/02/2000 9708,S200000,00100,0100,300 S LEMON STREET 9708,S200000,00200,0100,BUNNELL 9708,S200000,00200,0200,FL 9708,S200000,00200,0300,32110- 9708,S200000,00300,0100,FLAGLER 9708,S200000,00300,0200,2020 9708,S200000,00300,0300,U 9708,S200000,00400,0100,FLAGLER PINES 9708,S200000,00400,0200,105547 9708,S200000,00400,0300,05/01/1986 9708,S200000,00400,0500,P 9708,S200000,00400,0600,O 9708,S200000,00600,0200,105547 9708,S200000,00600,0300,05/01/1986 9708,S200000,00600,0600,P 9708,S200000,01600,0100,Y 9717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9717,A000000,00300,0000,00300EMPLOYEE BENEFITS 9717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9717,A000000,00700,0000,00700HOUSEKEEPING 9717,A000000,00800,0000,00800DIETARY 9717,A000000,00900,0000,00900NURSING ADMINISTRATION 9717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9717,A000000,01100,0000,01100PHARMACY 9717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9717,A000000,01300,0000,01300SOCIAL SERVICE 9717,A000000,01350,0000,01500OTHER GENERAL SERVICES 9717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9717,A000000,01600,0000,01600SKILLED NURSING FACILITY 9717,A000000,01800,0000,01800NURSING FACILITY 9717,A000000,01810,0000,01810ICF/MR 9717,A000000,01900,0000,01900OTHER LONG TERM CARE 9717,A000000,02100,0000,02100RADIOLOGY 9717,A000000,02200,0000,02200LABORATORY 9717,A000000,02300,0000,02300INTRAVENOUS THERAPY 9717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9717,A000000,02500,0000,02500PHYSICAL THERAPY 9717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9717,A000000,02700,0000,02700SPEECH PATHOLOGY 9717,A000000,02800,0000,02800ELECTROCARDIOLOGY 9717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9717,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9717,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9717,A000000,03200,0000,03200SUPPORT SURFACES 9717,A000000,03400,0000,03400CLINIC 9717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9717,A000000,03500,0000,03500RURAL HEALTH CLINIC 9717,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9717,A000000,04800,0000,04800AMBULANCE 9717,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9717,A000000,05000,0000,05000CORF 9717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9717,A000000,05300,0000,05300INTEREST EXPENSE 9717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9717,A000000,05500,0000,05500HOSPICE 9717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9717,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9717,A000000,06100,0000,06100NONPAID WORKERS 9717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9717,A000000,06200,0000,06200PATIENTS LAUNDRY 9717,A81000A,00100,0100,Y 9717,A81000B,00100,0300,MANAGEMENT FEES 9717,A81000B,00200,0300,INTEREST-MGMT FEES 9717,A81000B,00300,0300,HOME OFFICE PROPERTY 9717,A81000C,00100,0100,A 9717,A81000C,00100,0200,MARYLYN GUMMELS 9717,A81000C,00100,0400,BROOKWOOD INVESTMENTS LTD 9717,A81000C,00100,0600,MANAGEMENT COMPANY 9717,A81000C,00200,0100,A 9717,A81000C,00200,0200,MARILYN GUMMELS 9717,A81000C,00200,0400,BROOKWOOD INVESTMENTS LTD 9717,A81000C,00200,0600,MANAGEMENT COMPANY 9717,A81000C,00300,0100,A 9717,A81000C,00300,0200,MARILYN GUMMELS 9717,A81000C,00300,0400,BROOKWOOD INVESTMENTS LTD 9717,A81000C,00300,0600,MANAGEMENT COMPANY 9717,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9717,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9717,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9717,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9717,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9717,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9717,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9717,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9717,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9717,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9717,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9717,S000000,00100,0200,06/02/2000 9717,S200000,00100,0100,1990 SOUTH CANAL DRIVE 9717,S200000,00200,0100,HOMESTEAD 9717,S200000,00200,0200,FL 9717,S200000,00200,0300,33035- 9717,S200000,00300,0100,DADE 9717,S200000,00300,0200,5000 9717,S200000,00300,0300,U 9717,S200000,00400,0100,BROOKWOOD GARDENS CONVALESCENT 9717,S200000,00400,0200,105550 9717,S200000,00400,0300,03/10/1987 9717,S200000,00400,0500,P 9717,S200000,01600,0100,Y 9728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9728,A000000,00300,0000,00300EMPLOYEE BENEFITS 9728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9728,A000000,00700,0000,00700HOUSEKEEPING 9728,A000000,00800,0000,00800DIETARY 9728,A000000,00900,0000,00900NURSING ADMINISTRATION 9728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9728,A000000,01100,0000,01100PHARMACY 9728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9728,A000000,01300,0000,01300SOCIAL SERVICE 9728,A000000,01350,0000,01500OTHER GENERAL SERVICES 9728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9728,A000000,01600,0000,01600SKILLED NURSING FACILITY 9728,A000000,01800,0000,01800NURSING FACILITY 9728,A000000,01810,0000,01810ICF/MR 9728,A000000,01900,0000,01900OTHER LONG TERM CARE 9728,A000000,02100,0000,02100RADIOLOGY 9728,A000000,02200,0000,02200LABORATORY 9728,A000000,02300,0000,02300INTRAVENOUS THERAPY 9728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9728,A000000,02500,0000,02500PHYSICAL THERAPY 9728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9728,A000000,02700,0000,02700SPEECH PATHOLOGY 9728,A000000,02800,0000,02800ELECTROCARDIOLOGY 9728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9728,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9728,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9728,A000000,03200,0000,03200SUPPORT SURFACES 9728,A000000,03400,0000,03400CLINIC 9728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9728,A000000,03500,0000,03500RURAL HEALTH CLINIC 9728,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9728,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9728,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9728,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9728,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9728,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9728,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9728,A000000,04400,0000,04400DME RENTED - HHA 9728,A000000,04500,0000,04500DME SOLD - HHA 9728,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9728,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9728,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9728,A000000,04800,0000,04800AMBULANCE 9728,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9728,A000000,05000,0000,05000CORF 9728,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9728,A000000,05300,0000,05300INTEREST EXPENSE 9728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9728,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9728,A000000,05500,0000,05500HOSPICE 9728,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9728,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9728,A000000,06100,0000,06100NONPAID WORKERS 9728,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9728,A000000,06200,0000,06200PATIENTS LAUNDRY 9728,A81000A,00100,0100,Y 9728,A81000B,00100,0300,HOME OFFICE - PROPERTY 9728,A81000B,00200,0300,HOME OFFICE - ADMIN 9728,A81000B,00300,0300,INTEREST MANAGEMENT FEES 9728,A81000C,00100,0100,A 9728,A81000C,00100,0200,MARILYN GUMMELS 9728,A81000C,00100,0400,BROOKWOOD INVESTMENTS 9728,A81000C,00100,0600,MANAGEMENT COMPANY 9728,A81000C,00200,0100,A 9728,A81000C,00200,0200,MARILYN GUMMELS 9728,A81000C,00200,0400,BROOKWOOD INVESTMENTS 9728,A81000C,00200,0600,MANAGEMENT COMPANY 9728,A81000C,00300,0100,A 9728,A81000C,00300,0200,MARILYN GUMMELS 9728,A81000C,00300,0400,BROOKWOOD INVESTMENTS 9728,A81000C,00300,0600,MANAGEMENT COMPANY 9728,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9728,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9728,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9728,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9728,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9728,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9728,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9728,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9728,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9728,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9728,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9728,E10A180,00301,0100,02/07/2000 9728,S000000,00100,0200,06/01/2000 9728,S200000,00100,0100,8333 WEST OKEECHOBEE ROAD 9728,S200000,00200,0100,HIALEAH GARDENS 9728,S200000,00200,0200,FL 9728,S200000,00200,0300,33016- 9728,S200000,00300,0100,DADE 9728,S200000,00300,0200,5000 9728,S200000,00300,0300,U 9728,S200000,00400,0100,THE WATERFORD CONV. CENTER 9728,S200000,00400,0200,105554 9728,S200000,00400,0300,02/27/1987 9728,S200000,00400,0500,P 9728,S200000,01600,0100,Y 9733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9733,A000000,00300,0000,00300EMPLOYEE BENEFITS 9733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9733,A000000,00700,0000,00700HOUSEKEEPING 9733,A000000,00800,0000,00800DIETARY 9733,A000000,00900,0000,00900NURSING ADMINISTRATION 9733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9733,A000000,01100,0000,01100PHARMACY 9733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9733,A000000,01300,0000,01300SOCIAL SERVICE 9733,A000000,01350,0000,01500OTHER GENERAL SERVICES 9733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9733,A000000,01600,0000,01600SKILLED NURSING FACILITY 9733,A000000,01800,0000,01800NURSING FACILITY 9733,A000000,01900,0000,01900OTHER LONG TERM CARE 9733,A000000,02100,0000,02100RADIOLOGY 9733,A000000,02200,0000,02200LABORATORY 9733,A000000,02300,0000,02300INTRAVENOUS THERAPY 9733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9733,A000000,02500,0000,02500PHYSICAL THERAPY 9733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9733,A000000,02700,0000,02700SPEECH PATHOLOGY 9733,A000000,02800,0000,02800ELECTROCARDIOLOGY 9733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9733,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 9733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9733,A000000,03200,0000,03200SUPPORT SURFACES 9733,A000000,03400,0000,03400CLINIC 9733,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9733,A000000,03500,0000,03500RURAL HEALTH CLINIC 9733,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9733,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9733,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9733,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9733,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9733,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9733,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9733,A000000,04400,0000,04400DME RENTED - HHA 9733,A000000,04500,0000,04500DME SOLD - HHA 9733,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9733,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9733,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9733,A000000,05000,0000,05000CORF 9733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9733,A000000,05300,0000,05300INTEREST EXPENSE 9733,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9733,A000000,05500,0000,05500HOSPICE 9733,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9733,A000000,05801,0000,05801VENDING 9733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9733,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9733,A000000,06100,0000,06100NONPAID WORKERS 9733,A000000,06150,0000,06300PEN PART B - NONREIMBURSEABLE 9733,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 9733,A000000,06200,0000,06200PATIENTS LAUNDRY 9733,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 9733,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 9733,B100000,00000,0400,00001ACCUM COST :ADMINISTRATIVE & GENER 9733,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 9733,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 9733,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 9733,B100000,00000,0800,00001MEALS SERVED :DIETARY 9733,B100000,00000,0950,00001NURSING DOLLARS :NURSING ADMINISTR 9733,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 9733,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 9733,S000000,00100,0200,06/01/2000 9733,S200000,00100,0100,17781 YANCEY ROAD 9733,S200000,00200,0100,JUPITER 9733,S200000,00200,0200,FL 9733,S200000,00200,0300,33458- 9733,S200000,00300,0100,PALM BEACH 9733,S200000,00300,0200,8960 9733,S200000,00300,0300,U 9733,S200000,00400,0100,JUPITER CARE CENTER 9733,S200000,00400,0200,105555 9733,S200000,00400,0300,09/01/1986 9733,S200000,00400,0500,P 9733,S200000,00600,0200,105555 9733,S200000,00600,0300,09/01/1996 9733,S200000,00600,0600,P 9733,S200000,01004,0500,O 9733,S200000,01600,0100,Y 9745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9745,A000000,00300,0000,00300EMPLOYEE BENEFITS 9745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9745,A000000,00700,0000,00700HOUSEKEEPING 9745,A000000,00800,0000,00800DIETARY 9745,A000000,00900,0000,00900NURSING ADMINISTRATION 9745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9745,A000000,01300,0000,01300SOCIAL SERVICE 9745,A000000,01350,0000,01500RECREATIONAL THERAPY 9745,A000000,01351,0000,01501PASTORAL CARE 9745,A000000,01600,0000,01600SKILLED NURSING FACILITY 9745,A000000,01900,0000,01900OTHER LONG TERM CARE 9745,A000000,02100,0000,02100RADIOLOGY 9745,A000000,02200,0000,02200LABORATORY 9745,A000000,02300,0000,02300INTRAVENOUS THERAPY 9745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9745,A000000,02500,0000,02500PHYSICAL THERAPY 9745,A000000,02501,0000,02501AIR FLUIDIZED THERAPY 9745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9745,A000000,02700,0000,02700SPEECH PATHOLOGY 9745,A000000,02800,0000,02800ELECTROCARDIOLOGY 9745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9745,A000000,04800,0000,04800AMBULANCE 9745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9745,A000000,05300,0000,05300INTEREST EXPENSE 9745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9745,A81000A,00100,0100,Y 9745,A81000B,00100,0300,HOME OFFICE COSTS 9745,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 9745,A81000C,00100,0100,B 9745,A81000C,00100,0200,ARCHDIOCESE OF MIAMI 9745,A81000C,00100,0400,CATHOLIC HEALTH SERVICES 9745,A81000C,00100,0600,MANAGEMENT COMPANY 9745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9745,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9745,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9745,B100000,00000,0800,00000MEALS SERVED :DIETARY 9745,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9745,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 9745,B100000,00000,1250,00000DISCHARGES S :MEDICAL RECORDS & LI 9745,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9745,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 9745,B100000,00000,1351,00000PATIENT DAYS :PASTORAL CARE 9745,S000000,00100,0200,02/29/2000 9745,S200000,00100,0100,11855 QUAILL ROOST DRIVE 9745,S200000,00200,0100,MIAMI 9745,S200000,00200,0200,FL 9745,S200000,00200,0300,33177- 9745,S200000,00300,0100,MIAMI-DADE 9745,S200000,00300,0200,5000 9745,S200000,00300,0300,U 9745,S200000,00400,0100,ST. ANNES NURSING CENTER 9745,S200000,00400,0200,105560 9745,S200000,00400,0300,05/15/1987 9745,S200000,00400,0500,P 9745,S200000,01600,0100,Y 9756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9756,A000000,00300,0000,00300EMPLOYEE BENEFITS 9756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9756,A000000,00700,0000,00700HOUSEKEEPING 9756,A000000,00800,0000,00800DIETARY 9756,A000000,00900,0000,00900NURSING ADMINISTRATION 9756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9756,A000000,01100,0000,01100PHARMACY 9756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9756,A000000,01300,0000,01300SOCIAL SERVICE 9756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9756,A000000,01600,0000,01600SKILLED NURSING FACILITY 9756,A000000,01800,0000,01800NURSING FACILITY 9756,A000000,02100,0000,02100RADIOLOGY 9756,A000000,02200,0000,02200LABORATORY 9756,A000000,02300,0000,02300INTRAVENOUS THERAPY 9756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9756,A000000,02500,0000,02500PHYSICAL THERAPY 9756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9756,A000000,02700,0000,02700SPEECH PATHOLOGY 9756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9756,A000000,03550,0000,03550FQHC 9756,A000000,05000,0000,05000CORF 9756,A000000,05010,0000,05010CMHC 9756,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9756,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9756,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9756,A000000,05300,0000,05300INTEREST EXPENSE 9756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9756,A81000A,00100,0100,Y 9756,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 9756,A81000B,00200,0300,CRC - HOME OFFICE 9756,A81000C,00100,0100,B 9756,A81000C,00100,0200,FLORIDA CONVALESCENT CTRS 9756,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9756,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9756,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9756,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9756,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9756,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9756,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9756,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9756,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9756,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9756,S000000,00100,0200,10/18/1999 9756,S200000,00100,0100,8475 UNIVERSITY PKWY 9756,S200000,00100,0300,15471 9756,S200000,00200,0100,PENSACOLA 9756,S200000,00200,0200,FL 9756,S200000,00200,0300,32514- 9756,S200000,00300,0100,ESCAMBIA 9756,S200000,00300,0200,6080 9756,S200000,00300,0300,U 9756,S200000,00400,0100,PALM GARDEN OF PENSACOLA 9756,S200000,00400,0200,105561 9756,S200000,00400,0300,01/01/1987 9756,S200000,00400,0500,P 9756,S200000,00600,0200,105561 9756,S200000,00600,0300,01/01/1987 9756,S200000,00600,0600,P 9756,S200000,01600,0100,Y 9758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9758,A000000,00300,0000,00300EMPLOYEE BENEFITS 9758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9758,A000000,00700,0000,00700HOUSEKEEPING 9758,A000000,00800,0000,00800DIETARY 9758,A000000,00900,0000,00900NURSING ADMINISTRATION 9758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9758,A000000,01100,0000,01100PHARMACY 9758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9758,A000000,01300,0000,01300SOCIAL SERVICE 9758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9758,A000000,01600,0000,01600SKILLED NURSING FACILITY 9758,A000000,01800,0000,01800NURSING FACILITY 9758,A000000,01810,0000,01810ICF/MR 9758,A000000,02100,0000,02100RADIOLOGY 9758,A000000,02200,0000,02200LABORATORY 9758,A000000,02300,0000,02300INTRAVENOUS THERAPY 9758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9758,A000000,02500,0000,02500PHYSICAL THERAPY 9758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9758,A000000,02700,0000,02700SPEECH PATHOLOGY 9758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9758,A000000,03550,0000,03550FQHC 9758,A000000,05000,0000,05000CORF 9758,A000000,05010,0000,05010CMHC 9758,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9758,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9758,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9758,A000000,05300,0000,05300INTEREST EXPENSE 9758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9758,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9758,A81000A,00100,0100,Y 9758,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9758,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9758,A81000B,00300,0300,HEALTH INSURANCE 9758,A81000B,00400,0300,RETIREMENT 9758,A81000B,00600,0300,PHS - NURSING 9758,A81000B,00700,0300,PHS - SOCIAL WORK 9758,A81000B,00800,0300,PHS - OCC THERAPY 9758,A81000B,00900,0300,PHS - SPEECH THERAPY 9758,A81000B,01000,0300,PHS - PHYS THERAPY 9758,A81000B,01100,0300,PHS - ACTIVITIES 9758,A81000B,01200,0300,PHS - DIETARY 9758,A81000B,01300,0300,PHS - MED RECORDS 9758,A81000B,01400,0300,PHS - ADMINISTRATIVE 9758,A81000B,01500,0300,NON-ALLOWABLE SELF AUDIT COST 9758,A81000C,00100,0100,B 9758,A81000C,00100,0200,NATIONAL HEALTH 9758,A81000C,00100,0400,PROF HEALTH SER 9758,A81000C,00100,0600,HEALTHCARE 9758,A81000C,00200,0200,CARE CORPORATIO 9758,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9758,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9758,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9758,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9758,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9758,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9758,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9758,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9758,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 9758,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9758,S000000,00100,0200,05/26/2000 9758,S200000,00100,0100,8475 UNIVERSITY PKWY 9758,S200000,00100,0300,15471 9758,S200000,00200,0100,PENSACOLA 9758,S200000,00200,0200,FL 9758,S200000,00200,0300,32514- 9758,S200000,00300,0100,ESCAMBIA 9758,S200000,00300,0200,6080 9758,S200000,00300,0300,U 9758,S200000,00400,0100,NHC HEALTHCARE PENSACOLA 9758,S200000,00400,0200,105561 9758,S200000,00400,0300,01/01/1987 9758,S200000,00400,0500,P 9758,S200000,00600,0200,105561 9758,S200000,00600,0300,01/01/1987 9758,S200000,00600,0600,P 9758,S200000,01600,0100,Y 9769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9769,A000000,00300,0000,00300EMPLOYEE BENEFITS 9769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9769,A000000,00700,0000,00700HOUSEKEEPING 9769,A000000,00800,0000,00800DIETARY 9769,A000000,00900,0000,00900NURSING ADMINISTRATION 9769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9769,A000000,01100,0000,01100PHARMACY 9769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9769,A000000,01300,0000,01300SOCIAL SERVICE 9769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9769,A000000,01600,0000,01600SKILLED NURSING FACILITY 9769,A000000,01800,0000,01800NURSING FACILITY 9769,A000000,01810,0000,01810ICF/MR 9769,A000000,02100,0000,02100RADIOLOGY 9769,A000000,02200,0000,02200LABORATORY 9769,A000000,02300,0000,02300INTRAVENOUS THERAPY 9769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9769,A000000,02500,0000,02500PHYSICAL THERAPY 9769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9769,A000000,02700,0000,02700SPEECH PATHOLOGY 9769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9769,A000000,03550,0000,03550FQHC 9769,A000000,04800,0000,04800AMBULANCE 9769,A000000,05000,0000,05000CORF 9769,A000000,05010,0000,05010CMHC 9769,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9769,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9769,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9769,A000000,05300,0000,05300INTEREST EXPENSE 9769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9769,A81000A,00100,0100,Y 9769,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9769,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9769,A81000C,00100,0100,B 9769,A81000C,00100,0200,FLORIDA CONVALE 9769,A81000C,00200,0200,CENT CENTERS 9769,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9769,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9769,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9769,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9769,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9769,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9769,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9769,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9769,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9769,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9769,S000000,00100,0200,01/05/2000 9769,S200000,00100,0100,3400 S.W. 27TH AVE. 9769,S200000,00100,0300,770479 9769,S200000,00200,0100,OCALA 9769,S200000,00200,0200,FL 9769,S200000,00200,0300,34477- 9769,S200000,00300,0100,MARION 9769,S200000,00300,0200,5790 9769,S200000,00300,0300,U 9769,S200000,00400,0100,PALM GARDEN OF OCALA 9769,S200000,00400,0200,105562 9769,S200000,00400,0300,01/01/1987 9769,S200000,00400,0500,P 9769,S200000,00600,0200,105562 9769,S200000,00600,0300,01/01/1987 9769,S200000,00600,0600,P 9769,S200000,01600,0100,Y 9769,S200000,04900,0100,Y 9778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9778,A000000,00300,0000,00300EMPLOYEE BENEFITS 9778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9778,A000000,00700,0000,00700HOUSEKEEPING 9778,A000000,00800,0000,00800DIETARY 9778,A000000,00900,0000,00900NURSING ADMINISTRATION 9778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9778,A000000,01100,0000,01100PHARMACY 9778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9778,A000000,01300,0000,01300SOCIAL SERVICE 9778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9778,A000000,01600,0000,01600SKILLED NURSING FACILITY 9778,A000000,01800,0000,01800NURSING FACILITY 9778,A000000,01810,0000,01810ICF/MR 9778,A000000,02200,0000,02200LABORATORY 9778,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9778,A000000,02500,0000,02500PHYSICAL THERAPY 9778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9778,A000000,02700,0000,02700SPEECH PATHOLOGY 9778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9778,A000000,03550,0000,03550FQHC 9778,A000000,05000,0000,05000CORF 9778,A000000,05010,0000,05010CMHC 9778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9778,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9778,A000000,06200,0000,06200PATIENTS LAUNDRY 9778,A81000A,00100,0100,Y 9778,A81000B,00100,0300,HOME OFFICE COSTS 9778,A81000B,00200,0300,HOME OFFICE COSTS 9778,A81000B,00300,0300,LEASE COSTS 9778,A81000B,00400,0300,UNIFORMS 9778,A81000B,00500,0300,SUPPLIES 9778,A81000B,00600,0300,OFFICE SUPPLIES 9778,A81000B,00700,0300,UNIFORMS 9778,A81000B,00800,0300,MEDICAL SUPPLIES 9778,A81000B,00900,0300,SUPPLIES 9778,A81000B,01000,0300,MEDICAL SUPPLIES 9778,A81000B,01100,0300,THERAPY SUPPLIES 9778,A81000B,01200,0300,SUPPLEMENTS 9778,A81000B,01300,0300,UNIFORMS 9778,A81000B,01400,0300,MAINTENANCE SUPPLIES 9778,A81000B,01500,0300,MAINTENANCE SUPPLIES 9778,A81000B,01600,0300,UNIFORMS 9778,A81000B,01700,0300,SUPPLIES 9778,A81000B,01800,0300,UNIFORMS 9778,A81000B,01900,0300,SUPPLIES 9778,A81000B,02000,0300,OFFICE SUPPLIES 9778,A81000B,02100,0300,SUPPLIES 9778,A81000B,02200,0300,OFFICE SUPPLIES 9778,A81000B,02300,0300,UNIFORMS 9778,A81000B,02400,0300,SUPPLIES 9778,A81000C,00100,0100,A 9778,A81000C,00100,0200,SEE HCFA 339 9778,A81000C,00100,0400,DELTA HEALTH GR 9778,A81000C,00100,0600,NURSG HOME OPER 9778,A81000C,00200,0100,A 9778,A81000C,00200,0200,SEE HCFA 339 9778,A81000C,00200,0400,DELTA DURABLES 9778,A81000C,00200,0600,SUPPLIES 9778,A81000C,00300,0100,A 9778,A81000C,00300,0200,SEE HCFA 339 9778,A81000C,00300,0400,SKYLER DAYTONA 9778,A81000C,00300,0600,PROPERTY LESSOR 9778,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9778,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9778,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9778,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9778,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9778,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9778,B100000,00000,0800,00000MEALS SERVED :DIETARY 9778,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9778,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9778,B100000,00000,1250,00000NRSING SALARIES :MEDICAL RECORDS & 9778,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 9778,S000000,00100,0200,06/02/2000 9778,S200000,00100,0100,820 NORTH CLYDE MORRIS BLVD 9778,S200000,00200,0100,DAYTONA BEACH 9778,S200000,00200,0200,FL 9778,S200000,00200,0300,32117- 9778,S200000,00300,0100,VOLUSIA 9778,S200000,00300,0200,2020 9778,S200000,00300,0300,U 9778,S200000,00400,0100,HALIFAX CONVALESCENT CTR. 9778,S200000,00400,0200,105565 9778,S200000,00400,0300,02/06/1987 9778,S200000,00400,0500,P 9778,S200000,00400,0600,O 9778,S200000,00600,0200,105565 9778,S200000,00600,0300,02/06/1987 9778,S200000,00600,0600,P 9778,S200000,01600,0100,Y 9788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9788,A000000,00300,0000,00300EMPLOYEE BENEFITS 9788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9788,A000000,00700,0000,00700HOUSEKEEPING 9788,A000000,00800,0000,00800DIETARY 9788,A000000,00900,0000,00900NURSING ADMINISTRATION 9788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9788,A000000,01100,0000,01100PHARMACY 9788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9788,A000000,01300,0000,01300SOCIAL SERVICE 9788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9788,A000000,01600,0000,01600SKILLED NURSING FACILITY 9788,A000000,01800,0000,01800NURSING FACILITY 9788,A000000,01810,0000,01810ICF/MR 9788,A000000,02100,0000,02100RADIOLOGY 9788,A000000,02200,0000,02200LABORATORY 9788,A000000,02300,0000,02300INTRAVENOUS THERAPY 9788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9788,A000000,02500,0000,02500PHYSICAL THERAPY 9788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9788,A000000,02700,0000,02700SPEECH PATHOLOGY 9788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9788,A000000,03550,0000,03550FQHC 9788,A000000,04800,0000,04800AMBULANCE 9788,A000000,05000,0000,05000CORF 9788,A000000,05010,0000,05010CMHC 9788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9788,A000000,05300,0000,05300INTEREST EXPENSE 9788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9788,A81000A,00100,0100,Y 9788,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9788,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9788,A81000C,00100,0100,B 9788,A81000C,00100,0200,FLORIDA CONVALE 9788,A81000C,00200,0200,CENTERS 9788,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9788,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 9788,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9788,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9788,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9788,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9788,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9788,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9788,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9788,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9788,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 9788,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9788,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9788,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9788,S000000,00100,0200,01/05/2000 9788,S200000,00100,0100,1120 CYPRESS GARDENS BLVD. 9788,S200000,00100,0300,9353 9788,S200000,00200,0100,WINTER HAVEN 9788,S200000,00200,0200,FL 9788,S200000,00200,0300,33880- 9788,S200000,00300,0100,POLK 9788,S200000,00400,0100,PALM GARDEN OF WINTERHAVEN 9788,S200000,00400,0200,105566 9788,S200000,00400,0300,01/01/1987 9788,S200000,00400,0500,P 9788,S200000,00600,0200,105566 9788,S200000,00600,0300,01/01/1987 9788,S200000,00600,0600,P 9788,S200000,01600,0100,Y 9788,S200000,04900,0100,Y 9788,S700003,00000,0100,1 9794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9794,A000000,00300,0000,00300EMPLOYEE BENEFITS 9794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9794,A000000,00700,0000,00700HOUSEKEEPING 9794,A000000,00800,0000,00800DIETARY 9794,A000000,00900,0000,00900NURSING ADMINISTRATION 9794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9794,A000000,01100,0000,01100PHARMACY 9794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9794,A000000,01300,0000,01300SOCIAL SERVICE 9794,A000000,01350,0000,01500OTHER GENERAL SERVICES 9794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9794,A000000,01600,0000,01600SKILLED NURSING FACILITY 9794,A000000,01800,0000,01800NURSING FACILITY 9794,A000000,01810,0000,01801ICF/MR 9794,A000000,01900,0000,01900OTHER LONG TERM CARE 9794,A000000,02100,0000,02100RADIOLOGY 9794,A000000,02200,0000,02200LABORATORY 9794,A000000,02300,0000,02300INTRAVENOUS THERAPY 9794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9794,A000000,02500,0000,02500PHYSICAL THERAPY 9794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9794,A000000,02700,0000,02700SPEECH PATHOLOGY 9794,A000000,02800,0000,02800ELECTROCARDIOLOGY 9794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9794,A000000,03200,0000,03200SUPPORT SURFACES 9794,A000000,03400,0000,03400CLINIC 9794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9794,A000000,03500,0000,03500RURAL HEALTH CLINIC 9794,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9794,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9794,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9794,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9794,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9794,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9794,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9794,A000000,04400,0000,04400DME RENTED - HHA 9794,A000000,04500,0000,04500DME SOLD - HHA 9794,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9794,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9794,A000000,04800,0000,04800AMBULANCE 9794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9794,A000000,05000,0000,05000CORF 9794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9794,A000000,05300,0000,05300INTEREST EXPENSE 9794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9794,A000000,05500,0000,05500HOSPICE 9794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9794,A000000,06100,0000,06100NONPAID WORKERS 9794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9794,A000000,06200,0000,06200PATIENTS LAUNDRY 9794,A81000A,00100,0100,Y 9794,A81000B,00100,0300,MANAGEMENT FEES 9794,A81000B,00200,0300,ASSET MANAGEMENT FEE 9794,A81000B,00300,0300,PROJECT MANAGEMENT FEE 9794,A81000C,00100,0100,A 9794,A81000C,00100,0200,COHEN-MADISON 9794,A81000C,00100,0400,COHEN-MADISON 9794,A81000C,00100,0600,CONSULTING 9794,A81000C,00200,0100,B 9794,A81000C,00200,0200,INDIGO MANOR 9794,A81000C,00200,0400,COHEN-MADISON 9794,A81000C,00200,0600,CONSULTING 9794,A81000C,00300,0100,A 9794,A81000C,00300,0200,INDIGO MANOR 9794,A81000C,00300,0400,GERI HEALTH 9794,A81000C,00300,0600,MANGEMENT COMPANY 9794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9794,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9794,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9794,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9794,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9794,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 9794,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 9794,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9794,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9794,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 9794,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9794,S000000,00100,0200,06/27/2000 9794,S200000,00100,0100,595 WILLIAMSON BOULEVARD 9794,S200000,00200,0100,DAYTONA BEACH 9794,S200000,00200,0200,FL 9794,S200000,00200,0300,32114- 9794,S200000,00300,0100,VOLUSIA 9794,S200000,00400,0100,INDIGO MANOR 9794,S200000,00400,0200,105570 9794,S200000,00400,0300,07/22/1987 9794,S200000,00400,0500,P 9794,S200000,01600,0100,Y 9804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9804,A000000,00300,0000,00300EMPLOYEE BENEFITS 9804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9804,A000000,00700,0000,00700HOUSEKEEPING 9804,A000000,00800,0000,00800DIETARY 9804,A000000,00900,0000,00900NURSING ADMINISTRATION 9804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9804,A000000,01100,0000,01100PHARMACY 9804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9804,A000000,01300,0000,01300SOCIAL SERVICE 9804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9804,A000000,01600,0000,01600SKILLED NURSING FACILITY 9804,A000000,01800,0000,01800NURSING FACILITY 9804,A000000,01810,0000,01810ICF/MR 9804,A000000,02100,0000,02100RADIOLOGY 9804,A000000,02200,0000,02200LABORATORY 9804,A000000,02300,0000,02300INTRAVENOUS THERAPY 9804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9804,A000000,02500,0000,02500PHYSICAL THERAPY 9804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9804,A000000,02700,0000,02700SPEECH PATHOLOGY 9804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9804,A000000,03550,0000,03550FQHC 9804,A000000,04800,0000,04800AMBULANCE 9804,A000000,05000,0000,05000CORF 9804,A000000,05010,0000,05010CMHC 9804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9804,A000000,05300,0000,05300INTEREST EXPENSE 9804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9804,A81000A,00100,0100,Y 9804,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 9804,A81000B,00200,0300,CRC \FIXED H.O. COST 9804,A81000C,00100,0100,B 9804,A81000C,00100,0200,FLORIDA CONVALE 9804,A81000C,00200,0200,SCENT CENTERS 9804,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9804,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9804,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9804,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9804,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9804,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9804,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9804,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9804,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9804,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9804,S000000,00100,0200,01/05/2000 9804,S200000,00100,0100,227 S.W. 62 BLVD. 9804,S200000,00100,0300,141330 9804,S200000,00200,0100,GAINESVILLE 9804,S200000,00200,0200,FL 9804,S200000,00200,0300,32607- 9804,S200000,00300,0100,ALACHUA 9804,S200000,00300,0200,2900 9804,S200000,00300,0300,U 9804,S200000,00400,0100,PALM GARDEN OF GAINESVILLE 9804,S200000,00400,0200,105571 9804,S200000,00400,0300,01/01/1987 9804,S200000,00400,0500,P 9804,S200000,00600,0200,105571 9804,S200000,00600,0300,01/01/1987 9804,S200000,00600,0600,P 9804,S200000,01600,0100,Y 9804,S200000,04900,0100,Y 9813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9813,A000000,00300,0000,00300EMPLOYEE BENEFITS 9813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9813,A000000,00700,0000,00700HOUSEKEEPING 9813,A000000,00800,0000,00800DIETARY 9813,A000000,00900,0000,00900NURSING ADMINISTRATION 9813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9813,A000000,01100,0000,01100PHARMACY 9813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9813,A000000,01300,0000,01300SOCIAL SERVICE 9813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9813,A000000,01600,0000,01600SKILLED NURSING FACILITY 9813,A000000,01800,0000,01800NURSING FACILITY 9813,A000000,01810,0000,01810ICF/MR 9813,A000000,02100,0000,02100RADIOLOGY 9813,A000000,02200,0000,02200LABORATORY 9813,A000000,02300,0000,02300INTRAVENOUS THERAPY 9813,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9813,A000000,02500,0000,02500PHYSICAL THERAPY 9813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9813,A000000,02700,0000,02700SPEECH PATHOLOGY 9813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9813,A000000,03550,0000,03550FQHC 9813,A000000,05000,0000,05000CORF 9813,A000000,05010,0000,05010CMHC 9813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9813,A000000,05300,0000,05300INTEREST EXPENSE 9813,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9813,A81000A,00100,0100,Y 9813,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9813,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9813,A81000C,00100,0100,B 9813,A81000C,00100,0200,FLORIDA CONVALE 9813,A81000C,00200,0200,SCENT CENTERS 9813,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9813,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 9813,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9813,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9813,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9813,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9813,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9813,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9813,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9813,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9813,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 9813,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9813,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9813,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9813,S000000,00100,0200,01/05/2000 9813,S200000,00100,0100,10500 STARKEY RD. 9813,S200000,00100,0300,5174 9813,S200000,00200,0100,LARGO 9813,S200000,00200,0200,FL 9813,S200000,00200,0300,33777- 9813,S200000,00300,0100,PINELLAS 9813,S200000,00400,0100,PALM GARDEN OF LARGO 9813,S200000,00400,0200,105574 9813,S200000,00400,0300,01/01/1987 9813,S200000,00400,0500,P 9813,S200000,00600,0200,105574 9813,S200000,00600,0300,01/01/1987 9813,S200000,00600,0600,P 9813,S200000,01600,0100,Y 9813,S700003,00000,0100,1 9817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9817,A000000,00300,0000,00300EMPLOYEE BENEFITS 9817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9817,A000000,00700,0000,00700HOUSEKEEPING 9817,A000000,00800,0000,00800DIETARY 9817,A000000,00900,0000,00900NURSING ADMINISTRATION 9817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9817,A000000,01100,0000,01100PHARMACY 9817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9817,A000000,01300,0000,01300SOCIAL SERVICE 9817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9817,A000000,01600,0000,01600SKILLED NURSING FACILITY 9817,A000000,01800,0000,01800NURSING FACILITY 9817,A000000,01810,0000,01810ICF/MR 9817,A000000,02100,0000,02100RADIOLOGY 9817,A000000,02200,0000,02200LABORATORY 9817,A000000,02300,0000,02300INTRAVENOUS THERAPY 9817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9817,A000000,02500,0000,02500PHYSICAL THERAPY 9817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9817,A000000,02700,0000,02700SPEECH PATHOLOGY 9817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9817,A000000,03550,0000,03550FQHC 9817,A000000,05000,0000,05000CORF 9817,A000000,05010,0000,05010CMHC 9817,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9817,A000000,05300,0000,05300INTEREST EXPENSE 9817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9817,A81000A,00100,0100,Y 9817,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9817,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9817,A81000C,00100,0100,B 9817,A81000C,00100,0200,FLORIDA CONVALE 9817,A81000C,00200,0200,SCENT CENTERS 9817,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9817,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9817,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9817,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9817,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9817,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9817,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9817,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9817,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9817,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9817,S000000,00100,0200,01/05/2000 9817,S200000,00100,0100,654 NORTH ECONLOCKHATCHE TRAIL 9817,S200000,00100,0300,678611 9817,S200000,00200,0100,ORLANDO 9817,S200000,00200,0200,FL 9817,S200000,00200,0300,32825- 9817,S200000,00300,0100,ORANGE 9817,S200000,00300,0200,5960 9817,S200000,00300,0300,U 9817,S200000,00400,0100,PALM GARDEN OF ORLANDO 9817,S200000,00400,0200,105577 9817,S200000,00400,0300,01/01/1987 9817,S200000,00400,0500,P 9817,S200000,00600,0200,105577 9817,S200000,00600,0300,01/01/1987 9817,S200000,00600,0600,P 9817,S200000,01600,0100,Y 9826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9826,A000000,00300,0000,00300EMPLOYEE BENEFITS 9826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9826,A000000,00700,0000,00700HOUSEKEEPING 9826,A000000,00800,0000,00800DIETARY 9826,A000000,00900,0000,00900NURSING ADMINISTRATION 9826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9826,A000000,01100,0000,01100PHARMACY 9826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9826,A000000,01300,0000,01300SOCIAL SERVICE 9826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9826,A000000,01600,0000,01600SKILLED NURSING FACILITY 9826,A000000,01800,0000,01800NURSING FACILITY 9826,A000000,01810,0000,01810ICF/MR 9826,A000000,02100,0000,02100RADIOLOGY 9826,A000000,02200,0000,02200LABORATORY 9826,A000000,02300,0000,02300INTRAVENOUS THERAPY 9826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9826,A000000,02500,0000,02500PHYSICAL THERAPY 9826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9826,A000000,02700,0000,02700SPEECH PATHOLOGY 9826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9826,A000000,03550,0000,03550FQHC 9826,A000000,04800,0000,04800AMBULANCE 9826,A000000,05000,0000,05000CORF 9826,A000000,05010,0000,05010CMHC 9826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9826,A000000,05300,0000,05300INTEREST EXPENSE 9826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9826,A81000A,00100,0100,Y 9826,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9826,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9826,A81000C,00100,0100,B 9826,A81000C,00100,0200,FLORIDA CONVA- 9826,A81000C,00200,0200,LESCENT CENTERS 9826,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9826,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9826,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9826,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9826,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9826,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9826,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9826,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9826,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9826,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9826,S000000,00100,0200,01/05/2000 9826,S200000,00100,0100,3480 MCMULLEN-BOOTH RD. 9826,S200000,00100,0300,1457 9826,S200000,00200,0100,CLEARWATER 9826,S200000,00200,0200,FL 9826,S200000,00200,0300,33761- 9826,S200000,00300,0100,PINELLAS 9826,S200000,00300,0200,8280 9826,S200000,00300,0300,U 9826,S200000,00400,0100,PALM GARDEN OF CLEARWATER 9826,S200000,00400,0200,105581 9826,S200000,00400,0300,01/01/1987 9826,S200000,00400,0500,P 9826,S200000,00600,0200,105581 9826,S200000,00600,0300,01/01/1987 9826,S200000,00600,0600,P 9826,S200000,01600,0100,Y 9826,S200000,04900,0100,Y 9833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9833,A000000,00300,0000,00300EMPLOYEE BENEFITS 9833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9833,A000000,00700,0000,00700HOUSEKEEPING 9833,A000000,00800,0000,00800DIETARY 9833,A000000,00900,0000,00900NURSING ADMINISTRATION 9833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9833,A000000,01100,0000,01100PHARMACY 9833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9833,A000000,01300,0000,01300SOCIAL SERVICE 9833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9833,A000000,01600,0000,01600SKILLED NURSING FACILITY 9833,A000000,01800,0000,01800NURSING FACILITY 9833,A000000,01810,0000,01810ICF/MR 9833,A000000,02100,0000,02100RADIOLOGY 9833,A000000,02300,0000,02300INTRAVENOUS THERAPY 9833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9833,A000000,02500,0000,02500PHYSICAL THERAPY 9833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9833,A000000,02700,0000,02700SPEECH PATHOLOGY 9833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9833,A000000,03550,0000,03550FQHC 9833,A000000,05000,0000,05000CORF 9833,A000000,05010,0000,05010CMHC 9833,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9833,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9833,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9833,A81000A,00100,0100,Y 9833,A81000B,00100,0300,INTERCO LAND LEASE 9833,A81000C,00100,0100,B 9833,A81000C,00100,0200,COMMUNITY HEALT 9833,A81000C,00100,0400,COMMUNITY HEALT 9833,A81000C,00100,0600,HEALTHCARE NON 9833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9833,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9833,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9833,B100000,00000,0800,00000MEALS SERVED :DIETARY 9833,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9833,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 9833,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 9833,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9833,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9833,S000000,00100,0200,05/26/2000 9833,S200000,00100,0100,5640 RAND BOULEVARD 9833,S200000,00200,0100,SARASOTA 9833,S200000,00200,0200,FL 9833,S200000,00200,0300,34238- 9833,S200000,00300,0100,SARASOTA 9833,S200000,00300,0200,7510 9833,S200000,00300,0300,U 9833,S200000,00400,0100,LAKESIDE TERRACE SKILLED NRSG. CTR. 9833,S200000,00400,0200,105584 9833,S200000,00400,0300,07/20/1987 9833,S200000,00400,0500,P 9833,S200000,00600,0200,105584 9833,S200000,00600,0300,07/20/1987 9833,S200000,00600,0600,P 9833,S200000,01600,0100,Y 9833,S200000,01900,0100,501 C 3 9833,S200000,02800,0100,Y 9838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9838,A000000,00300,0000,00300EMPLOYEE BENEFITS 9838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9838,A000000,00700,0000,00700HOUSEKEEPING 9838,A000000,00800,0000,00800DIETARY 9838,A000000,00900,0000,00900NURSING ADMINISTRATION 9838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9838,A000000,01100,0000,01100PHARMACY 9838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9838,A000000,01300,0000,01300SOCIAL SERVICE 9838,A000000,01350,0000,01500OTHER GENERAL SERVICES 9838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9838,A000000,01600,0000,01600SKILLED NURSING FACILITY 9838,A000000,01800,0000,01800NURSING FACILITY 9838,A000000,01900,0000,01900OTHER LONG TERM CARE 9838,A000000,02100,0000,02100RADIOLOGY 9838,A000000,02200,0000,02200LABORATORY 9838,A000000,02300,0000,02300INTRAVENOUS THERAPY 9838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9838,A000000,02500,0000,02500PHYSICAL THERAPY 9838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9838,A000000,02700,0000,02700SPEECH PATHOLOGY 9838,A000000,02800,0000,02800ELECTROCARDIOLOGY 9838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9838,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 9838,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9838,A000000,03200,0000,03200SUPPORT SURFACES 9838,A000000,03400,0000,03400CLINIC 9838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9838,A000000,03500,0000,03500RURAL HEALTH CLINIC 9838,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9838,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9838,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9838,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9838,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9838,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9838,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9838,A000000,04400,0000,04400DME RENTED - HHA 9838,A000000,04500,0000,04500DME SOLD - HHA 9838,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9838,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9838,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9838,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9838,A000000,05000,0000,05000CORF 9838,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9838,A000000,05300,0000,05300INTEREST EXPENSE 9838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9838,A000000,05500,0000,05500HOSPICE 9838,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9838,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9838,A000000,06100,0000,06100NONPAID WORKERS 9838,A000000,06150,0000,06300PEN PART B - NONREIMBURSEABLE 9838,A000000,06200,0000,06200PATIENTS LAUNDRY 9838,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9838,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 9838,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9838,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9838,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9838,B100000,00000,0800,00000MEALS SERVED :DIETARY 9838,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 9838,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9838,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9838,S000000,00100,0200,06/07/2000 9838,S200000,00100,0100,833 KINGSLEY AVENUE 9838,S200000,00200,0100,ORANGE PARK 9838,S200000,00200,0200,FL 9838,S200000,00200,0300,32073- 9838,S200000,00300,0100,CLAY 9838,S200000,00300,0200,3600 9838,S200000,00300,0300,U 9838,S200000,00400,0100,DOCTORS LAKE HEALTHCARE 9838,S200000,00400,0200,105586 9838,S200000,00400,0300,11/03/1987 9838,S200000,00400,0500,P 9838,S200000,00600,0200,105586 9838,S200000,00600,0300,11/03/1987 9838,S200000,00600,0600,P 9838,S200000,01004,0500,O 9838,S200000,01600,0100,Y 9850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9850,A000000,00300,0000,00300EMPLOYEE BENEFITS 9850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9850,A000000,00700,0000,00700HOUSEKEEPING 9850,A000000,00800,0000,00800DIETARY 9850,A000000,00900,0000,00900NURSING ADMINISTRATION 9850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9850,A000000,01100,0000,01100PHARMACY 9850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9850,A000000,01300,0000,01300SOCIAL SERVICE 9850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9850,A000000,01600,0000,01600SKILLED NURSING FACILITY 9850,A000000,01800,0000,01800NURSING FACILITY 9850,A000000,01810,0000,01810ICF/MR 9850,A000000,02100,0000,02100RADIOLOGY 9850,A000000,02200,0000,02200LABORATORY 9850,A000000,02300,0000,02300INTRAVENOUS THERAPY 9850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9850,A000000,02500,0000,02500PHYSICAL THERAPY 9850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9850,A000000,02700,0000,02700SPEECH PATHOLOGY 9850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9850,A000000,03550,0000,03550FQHC 9850,A000000,05000,0000,05000CORF 9850,A000000,05010,0000,05010CMHC 9850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9850,A000000,05300,0000,05300INTEREST EXPENSE 9850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9850,A81000A,00100,0100,Y 9850,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9850,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9850,A81000C,00100,0100,B 9850,A81000C,00100,0200,FLORIDA CONVALE 9850,A81000C,00200,0200,SCENT CENTERS 9850,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9850,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9850,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9850,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9850,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9850,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9850,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9850,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9850,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9850,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9850,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9850,S000000,00100,0200,01/05/2000 9850,S200000,00100,0100,3612 EAST 138TH AVE. 9850,S200000,00200,0100,TAMPA 9850,S200000,00200,0200,FL 9850,S200000,00200,0300,33613- 9850,S200000,00300,0100,HILLSBOROUGH 9850,S200000,00300,0200,8280 9850,S200000,00300,0300,U 9850,S200000,00400,0100,PALM GARDEN OF TAMPA 9850,S200000,00400,0200,105591 9850,S200000,00400,0300,01/01/1987 9850,S200000,00400,0500,P 9850,S200000,00600,0200,105591 9850,S200000,00600,0300,01/01/1987 9850,S200000,00600,0600,P 9850,S200000,01600,0100,Y 9859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9859,A000000,00300,0000,00300EMPLOYEE BENEFITS 9859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9859,A000000,00700,0000,00700HOUSEKEEPING 9859,A000000,00800,0000,00800DIETARY 9859,A000000,00900,0000,00900NURSING ADMINISTRATION 9859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9859,A000000,01100,0000,01100PHARMACY 9859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9859,A000000,01300,0000,01300SOCIAL SERVICE 9859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9859,A000000,01600,0000,01600SKILLED NURSING FACILITY 9859,A000000,01800,0000,01800NURSING FACILITY 9859,A000000,01810,0000,01810ICF/MR 9859,A000000,02100,0000,02100RADIOLOGY 9859,A000000,02200,0000,02200LABORATORY 9859,A000000,02300,0000,02300INTRAVENOUS THERAPY 9859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9859,A000000,02500,0000,02500PHYSICAL THERAPY 9859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9859,A000000,02700,0000,02700SPEECH PATHOLOGY 9859,A000000,02800,0000,02800ELECTROCARDIOLOGY 9859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9859,A000000,03550,0000,03550FQHC 9859,A000000,05000,0000,05000CORF 9859,A000000,05010,0000,05010CMHC 9859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9859,A000000,05300,0000,05300INTEREST EXPENSE 9859,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9859,A81000A,00100,0100,Y 9859,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9859,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9859,A81000B,00300,0300,NURSING ADMIN 9859,A81000C,00100,0100,B 9859,A81000C,00100,0200,FLORIDA CONVALE 9859,A81000C,00200,0200,SCENT CENTERS 9859,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9859,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 9859,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9859,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9859,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9859,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9859,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9859,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9859,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9859,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9859,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 9859,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9859,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9859,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9859,S000000,00100,0200,01/05/2000 9859,S200000,00100,0100,1755 37TH ST. 9859,S200000,00100,0300,6400 9859,S200000,00200,0100,VERO BEACH 9859,S200000,00200,0200,FL 9859,S200000,00200,0300,32960- 9859,S200000,00300,0100,INDIAN RIVER 9859,S200000,00400,0100,PALM GARDEN OF VERO BEACH 9859,S200000,00400,0200,105592 9859,S200000,00400,0300,01/01/1987 9859,S200000,00400,0500,P 9859,S200000,00600,0200,105592 9859,S200000,00600,0300,01/01/1987 9859,S200000,00600,0600,P 9859,S200000,01600,0100,Y 9866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9866,A000000,00300,0000,00300EMPLOYEE BENEFITS 9866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9866,A000000,00700,0000,00700HOUSEKEEPING 9866,A000000,00800,0000,00800DIETARY 9866,A000000,00900,0000,00900NURSING ADMINISTRATION 9866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9866,A000000,01100,0000,01100PHARMACY 9866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9866,A000000,01300,0000,01300SOCIAL SERVICE 9866,A000000,01350,0000,01500PATIENT ACTIVITIES 9866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9866,A000000,01600,0000,01600SKILLED NURSING FACILITY 9866,A000000,01800,0000,01800NURSING FACILITY 9866,A000000,01810,0000,01810ICF/MR 9866,A000000,02100,0000,02100RADIOLOGY 9866,A000000,02200,0000,02200LABORATORY 9866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9866,A000000,02500,0000,02500PHYSICAL THERAPY 9866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9866,A000000,02700,0000,02700SPEECH PATHOLOGY 9866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9866,A000000,03550,0000,03550FQHC 9866,A000000,05000,0000,05000CORF 9866,A000000,05010,0000,05010CMHC 9866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9866,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9866,A000000,06150,0000,06300NONREIMBURSABLE 9866,A81000A,00100,0100,Y 9866,A81000B,00100,0300,HOME OFFICE 9866,A81000B,00200,0300,HOME OFFICE CAP RELA 9866,A81000C,00100,0100,A 9866,A81000C,00100,0200,ACTS RETIREMENT 9866,A81000C,00100,0600,HOME OFFICE 9866,A81000C,00200,0100,B 9866,A81000C,00200,0200,ACTS RETIREMENT 9866,A81000C,00200,0600,HOME OFFICE 9866,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9866,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9866,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9866,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9866,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9866,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9866,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 9866,B100000,00000,0800,00000MEALS SERVED :DIETARY 9866,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9866,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9866,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 9866,S000000,00100,0200,06/01/2000 9866,S200000,00100,0100,22 INDIAN CREEK BLVD WEST 9866,S200000,00200,0100,VERO BEACH 9866,S200000,00200,0200,FL 9866,S200000,00200,0300,32966-1395 9866,S200000,00300,0100,INDIAN RIVER 9866,S200000,00300,0200,0010 9866,S200000,00300,0300,R 9866,S200000,00400,0100,INDIAN RIVER ESTATES 9866,S200000,00400,0200,105593 9866,S200000,00400,0300,11/25/1987 9866,S200000,00400,0500,P 9866,S200000,01500,0100,Y 9866,S200000,01900,0100,503C 9874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9874,A000000,00300,0000,00300EMPLOYEE BENEFITS 9874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9874,A000000,00700,0000,00700HOUSEKEEPING 9874,A000000,00800,0000,00800DIETARY 9874,A000000,00900,0000,00900NURSING ADMINISTRATION 9874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9874,A000000,01100,0000,01100PHARMACY 9874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9874,A000000,01300,0000,01300SOCIAL SERVICE 9874,A000000,01350,0000,01500OTHER GENERAL SERVICES 9874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9874,A000000,01600,0000,01600SKILLED NURSING FACILITY 9874,A000000,01800,0000,01800NURSING FACILITY 9874,A000000,01810,0000,01810ICF/MR 9874,A000000,01900,0000,01900OTHER LONG TERM CARE 9874,A000000,02100,0000,02100RADIOLOGY 9874,A000000,02200,0000,02200LABORATORY 9874,A000000,02300,0000,02300INTRAVENOUS THERAPY 9874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9874,A000000,02500,0000,02500PHYSICAL THERAPY 9874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9874,A000000,02700,0000,02700SPEECH PATHOLOGY 9874,A000000,02800,0000,02800ELECTROCARDIOLOGY 9874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9874,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9874,A000000,03200,0000,03200SUPPORT SURFACES 9874,A000000,03400,0000,03400CLINIC 9874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9874,A000000,03500,0000,03500RURAL HEALTH CLINIC 9874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9874,A000000,04800,0000,04800AMBULANCE 9874,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9874,A000000,05000,0000,05000CORF 9874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9874,A000000,05300,0000,05300INTEREST EXPENSE 9874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9874,A000000,05500,0000,05500HOSPICE 9874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9874,A000000,06100,0000,06100NONPAID WORKERS 9874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9874,A000000,06200,0000,06200PATIENTS LAUNDRY 9874,A81000A,00100,0100,Y 9874,A81000B,00100,0300,PARTNER INTEREST GENERAL 9874,A81000C,00100,0100,G 9874,A81000C,00100,0200,FRANK TOLIN 9874,A81000C,03100,0000,G 9874,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9874,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9874,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9874,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9874,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9874,B100000,00000,0800,00000MEALS SERVED :DIETARY 9874,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9874,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9874,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9874,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9874,S000000,00100,0200,06/02/2000 9874,S200000,00100,0100,18905 N.E. 25 AVENUE 9874,S200000,00200,0100,MIAMI BEACH 9874,S200000,00200,0200,FL 9874,S200000,00200,0300,33180- 9874,S200000,00300,0100,MIAMI- DADE 9874,S200000,00300,0200,5000 9874,S200000,00300,0300,U 9874,S200000,00400,0100,OAKWOOD TERRACE 9874,S200000,00400,0200,105596 9874,S200000,00400,0300,01/12/1988 9874,S200000,00400,0500,P 9874,S200000,01600,0100,Y 9874,S200000,04300,0100,Y 9885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9885,A000000,00300,0000,00300EMPLOYEE BENEFITS 9885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9885,A000000,00700,0000,00700HOUSEKEEPING 9885,A000000,00800,0000,00800DIETARY 9885,A000000,00900,0000,00900NURSING ADMINISTRATION 9885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9885,A000000,01100,0000,01100PHARMACY 9885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9885,A000000,01300,0000,01300SOCIAL SERVICE 9885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9885,A000000,01600,0000,01600SKILLED NURSING FACILITY 9885,A000000,01800,0000,01800NURSING FACILITY 9885,A000000,01810,0000,01810ICF/MR 9885,A000000,02100,0000,02100RADIOLOGY 9885,A000000,02200,0000,02200LABORATORY 9885,A000000,02300,0000,02300INTRAVENOUS THERAPY 9885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9885,A000000,02500,0000,02500PHYSICAL THERAPY 9885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9885,A000000,02700,0000,02700SPEECH PATHOLOGY 9885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9885,A000000,03550,0000,03550FQHC 9885,A000000,04800,0000,04800AMBULANCE 9885,A000000,05000,0000,05000CORF 9885,A000000,05010,0000,05010CMHC 9885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9885,A000000,05300,0000,05300INTEREST EXPENSE 9885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9885,A81000A,00100,0100,Y 9885,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 9885,A81000B,00200,0300,CRC/FIXED - HOME OFF 9885,A81000C,00100,0100,B 9885,A81000C,00100,0200,FLORIDA CONVALE 9885,A81000C,00200,0200,SCENT CENTERS 9885,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9885,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9885,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9885,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9885,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9885,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9885,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9885,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9885,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9885,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9885,S000000,00100,0200,01/05/2000 9885,S200000,00100,0100,1751 HILLMOOR DRIVE S.E. 9885,S200000,00100,0300,7340 9885,S200000,00200,0100,PORT ST. LUCIE 9885,S200000,00200,0200,FL 9885,S200000,00200,0300,34952- 9885,S200000,00300,0100,ST. LUCIE 9885,S200000,00300,0200,2710 9885,S200000,00300,0300,U 9885,S200000,00400,0100,PALM GARDEN OF PORT ST. LUCIE 9885,S200000,00400,0200,105600 9885,S200000,00400,0300,01/01/1988 9885,S200000,00400,0500,P 9885,S200000,00600,0200,105600 9885,S200000,00600,0300,01/01/1988 9885,S200000,00600,0600,P 9885,S200000,01600,0100,Y 9885,S200000,04900,0100,Y 9894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9894,A000000,00300,0000,00300EMPLOYEE BENEFITS 9894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9894,A000000,00700,0000,00700HOUSEKEEPING 9894,A000000,00800,0000,00800DIETARY 9894,A000000,00900,0000,00900NURSING ADMINISTRATION 9894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9894,A000000,01100,0000,01100PHARMACY 9894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9894,A000000,01300,0000,01300SOCIAL SERVICE 9894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9894,A000000,01600,0000,01600SKILLED NURSING FACILITY 9894,A000000,01800,0000,01800NURSING FACILITY 9894,A000000,01810,0000,01810ICF/MR 9894,A000000,01900,0000,01900OTHER LONG TERM CARE 9894,A000000,02200,0000,02200LABORATORY 9894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9894,A000000,02500,0000,02500PHYSICAL THERAPY 9894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9894,A000000,02700,0000,02700SPEECH PATHOLOGY 9894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9894,A000000,03550,0000,03550FQHC 9894,A000000,05000,0000,05000CORF 9894,A000000,05010,0000,05010CMHC 9894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9894,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 9894,A000000,06200,0000,06200PATIENTS LAUNDRY 9894,A81000A,00100,0100,Y 9894,A81000B,00100,0300,THERAPY SERVICES 9894,A81000B,00200,0300,THERAPY SERVICES 9894,A81000B,00300,0300,THERAPY SERVICES 9894,A81000B,00400,0300,HOME OFFICE COSTS 9894,A81000B,00500,0300,HOME OFFICE COSTS 9894,A81000B,00600,0300,SUPPLIES 9894,A81000B,00700,0300,SUPPLIES 9894,A81000B,00800,0300,SUPPLIES 9894,A81000B,00900,0300,SUPPLIES 9894,A81000B,01000,0300,SUPPLIES 9894,A81000B,01100,0300,SUPPLIES 9894,A81000B,01200,0300,SUPPLIES 9894,A81000B,01300,0300,SUPPLIES 9894,A81000B,01400,0300,SUPPLIES 9894,A81000B,01500,0300,FACILITY LEASE 9894,A81000C,00100,0100,A 9894,A81000C,00100,0200,SEE HCFA 339 9894,A81000C,00100,0400,DELTA HLTH GRP 9894,A81000C,00100,0600,NRSG. HOME OPER 9894,A81000C,00200,0100,A 9894,A81000C,00200,0200,SEE HCFA 339 9894,A81000C,00200,0400,SKYLER OF MS I 9894,A81000C,00200,0600,PROPERTY LESSOR 9894,A81000C,00300,0100,A 9894,A81000C,00300,0200,SEE HCFA 339 9894,A81000C,00300,0400,DELTA DURABLES 9894,A81000C,00300,0600,SUPPLIES 9894,A81000C,00400,0100,A 9894,A81000C,00400,0200,SEE HCFA 339 9894,A81000C,00400,0400,DELTA REHAB GRO 9894,A81000C,00400,0600,THERAPY SERVICE 9894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9894,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9894,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9894,B100000,00000,0800,00000MEALS SERVED :DIETARY 9894,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 9894,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9894,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 9894,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 9894,S000000,00100,0200,06/02/2000 9894,S200000,00100,0100,138 SANDESTIN LANE 9894,S200000,00200,0100,DESTIN 9894,S200000,00200,0200,FL 9894,S200000,00200,0300,32541- 9894,S200000,00300,0100,WALTON 9894,S200000,00300,0200,2750 9894,S200000,00300,0300,U 9894,S200000,00400,0100,DELTA HEALTH CARE CENTER 9894,S200000,00400,0200,105601 9894,S200000,00400,0300,06/30/1994 9894,S200000,00400,0500,P 9894,S200000,00400,0600,O 9894,S200000,00600,0200,105601 9894,S200000,00600,0300,06/30/1994 9894,S200000,00600,0600,P 9894,S200000,01600,0100,Y 9902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9902,A000000,00300,0000,00300EMPLOYEE BENEFITS 9902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9902,A000000,00700,0000,00700HOUSEKEEPING 9902,A000000,00800,0000,00800DIETARY 9902,A000000,00900,0000,00900NURSING ADMINISTRATION 9902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9902,A000000,01100,0000,01100PHARMACY 9902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9902,A000000,01300,0000,01300SOCIAL SERVICE 9902,A000000,01350,0000,01500ACTIVITIES 9902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9902,A000000,01600,0000,01600SKILLED NURSING FACILITY 9902,A000000,01800,0000,01800NURSING FACILITY 9902,A000000,01900,0000,01900OTHER LONG TERM CARE 9902,A000000,02100,0000,02100RADIOLOGY 9902,A000000,02200,0000,02200LABORATORY 9902,A000000,02300,0000,02300INTRAVENOUS THERAPY 9902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9902,A000000,02500,0000,02500PHYSICAL THERAPY 9902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9902,A000000,02700,0000,02700SPEECH PATHOLOGY 9902,A000000,02800,0000,02800ELECTROCARDIOLOGY 9902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9902,A000000,03050,0000,03300AIR FLUIDIZED BEDS 9902,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9902,A000000,03200,0000,03200SUPPORT SURFACES 9902,A000000,03400,0000,03400CLINIC 9902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9902,A000000,03500,0000,03500RURAL HEALTH CLINIC 9902,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9902,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9902,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9902,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9902,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9902,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9902,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9902,A000000,04400,0000,04400DME RENTED - HHA 9902,A000000,04500,0000,04500DME SOLD - HHA 9902,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9902,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9902,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9902,A000000,04800,0000,04800AMBULANCE 9902,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9902,A000000,05000,0000,05000CORF 9902,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9902,A000000,05300,0000,05300INTEREST EXPENSE 9902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9902,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9902,A000000,05500,0000,05500HOSPICE 9902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9902,A000000,06100,0000,06100NONPAID WORKERS 9902,A000000,06150,0000,06300ASSISTED LIVING FACILITY 9902,A000000,06200,0000,06200PATIENTS LAUNDRY 9902,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9902,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9902,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9902,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9902,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9902,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9902,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9902,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9902,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9902,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9902,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9902,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 9902,S000000,00100,0200,01/04/2000 9902,S200000,00100,0100,4100 SOUTHWEST 33RD AVENUE 9902,S200000,00200,0100,OCALA 9902,S200000,00200,0200,FL 9902,S200000,00200,0300,32674- 9902,S200000,00300,0100,MARION 9902,S200000,00300,0200,5790 9902,S200000,00300,0300,U 9902,S200000,00400,0100,SURREY PLACE CONVALESCENT CENTER 9902,S200000,00400,0200,105602 9902,S200000,00400,0300,03/04/1988 9902,S200000,00400,0500,P 9902,S200000,01600,0100,Y 9913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9913,A000000,00300,0000,00300EMPLOYEE BENEFITS 9913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9913,A000000,00700,0000,00700HOUSEKEEPING 9913,A000000,00800,0000,00800DIETARY 9913,A000000,00900,0000,00900NURSING ADMINISTRATION 9913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9913,A000000,01100,0000,01100PHARMACY 9913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9913,A000000,01300,0000,01300SOCIAL SERVICE 9913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9913,A000000,01600,0000,01600SKILLED NURSING FACILITY 9913,A000000,01800,0000,01800NURSING FACILITY 9913,A000000,01810,0000,01810ICF/MR 9913,A000000,02100,0000,02100RADIOLOGY 9913,A000000,02200,0000,02200LABORATORY 9913,A000000,02300,0000,02300INTRAVENOUS THERAPY 9913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9913,A000000,02500,0000,02500PHYSICAL THERAPY 9913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9913,A000000,02700,0000,02700SPEECH PATHOLOGY 9913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9913,A000000,03550,0000,03550FQHC 9913,A000000,05000,0000,05000CORF 9913,A000000,05010,0000,05010CMHC 9913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9913,A000000,05300,0000,05300INTEREST EXPENSE 9913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9913,A81000A,00100,0100,Y 9913,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9913,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9913,A81000C,00100,0100,B 9913,A81000C,00100,0200,FLORIDA CONVALE 9913,A81000C,00200,0200,SCENT CENTERS 9913,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9913,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 9913,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9913,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9913,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9913,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9913,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9913,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9913,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9913,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9913,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 9913,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9913,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9913,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9913,S000000,00100,0200,01/05/2000 9913,S200000,00100,0100,300 EXECUTIVE CENTER DRIVE 9913,S200000,00100,0300,NOT SET 9913,S200000,00200,0100,WEST PALM BEACH 9913,S200000,00200,0200,FL 9913,S200000,00200,0300,33401- 9913,S200000,00300,0100,PALM BEACH 9913,S200000,00400,0100,PALM GARDEN OF WEST PALM BEACH 9913,S200000,00400,0200,105607 9913,S200000,00400,0300,01/01/1988 9913,S200000,00400,0500,P 9913,S200000,00600,0200,105607 9913,S200000,00600,0300,01/01/1988 9913,S200000,00600,0600,P 9913,S200000,01600,0100,Y 9913,S700003,00000,0100,1 9921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9921,A000000,00300,0000,00300EMPLOYEE BENEFITS 9921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9921,A000000,00700,0000,00700HOUSEKEEPING 9921,A000000,00800,0000,00800DIETARY 9921,A000000,00900,0000,00900NURSING ADMINISTRATION 9921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9921,A000000,01100,0000,01100PHARMACY 9921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9921,A000000,01300,0000,01300SOCIAL SERVICE 9921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9921,A000000,01600,0000,01600SKILLED NURSING FACILITY 9921,A000000,01800,0000,01800NURSING FACILITY 9921,A000000,01810,0000,01810ICF/MR 9921,A000000,02100,0000,02100RADIOLOGY 9921,A000000,02200,0000,02200LABORATORY 9921,A000000,02300,0000,02300INTRAVENOUS THERAPY 9921,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9921,A000000,02500,0000,02500PHYSICAL THERAPY 9921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9921,A000000,02700,0000,02700SPEECH PATHOLOGY 9921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9921,A000000,03550,0000,03550FQHC 9921,A000000,04800,0000,04800AMBULANCE 9921,A000000,05000,0000,05000CORF 9921,A000000,05010,0000,05010CMHC 9921,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 9921,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 9921,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 9921,A000000,05300,0000,05300INTEREST EXPENSE 9921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9921,A81000A,00100,0100,Y 9921,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 9921,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 9921,A81000C,00100,0100,B 9921,A81000C,00100,0200,FLORIDA CONVALE 9921,A81000C,00200,0200,SCENT CENTERS 9921,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 9921,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 9921,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 9921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9921,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 9921,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 9921,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 9921,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 9921,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 9921,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 9921,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 9921,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 9921,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 9921,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9921,S000000,00100,0200,01/05/2000 9921,S200000,00100,0100,21251 EAST DIXIE HIGHWAY 9921,S200000,00100,0300,969 9921,S200000,00200,0100,N. MIAMI BEACH 9921,S200000,00200,0200,FL 9921,S200000,00200,0300,33180- 9921,S200000,00300,0100,DADE 9921,S200000,00400,0100,PALM GARDEN OF NO. MIAMI BEACH 9921,S200000,00400,0200,105610 9921,S200000,00400,0300,07/13/1988 9921,S200000,00400,0500,P 9921,S200000,00600,0200,105610 9921,S200000,00600,0300,07/13/1988 9921,S200000,00600,0600,P 9921,S200000,01600,0100,Y 9921,S200000,04900,0100,Y 9921,S700003,00000,0100,1 9933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9933,A000000,00300,0000,00300EMPLOYEE BENEFITS 9933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9933,A000000,00700,0000,00700HOUSEKEEPING 9933,A000000,00800,0000,00800DIETARY 9933,A000000,00900,0000,00900NURSING ADMINISTRATION 9933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9933,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 9933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9933,A000000,01300,0000,01300SOCIAL SERVICE 9933,A000000,01600,0000,01600SKILLED NURSING FACILITY 9933,A000000,01800,0000,01800NURSING FACILITY 9933,A000000,02100,0000,02100RADIOLOGY 9933,A000000,02101,0000,02101RADIOLOGY 9933,A000000,02200,0000,02200LABORATORY 9933,A000000,02201,0000,02201LABORATORY 9933,A000000,02300,0000,02300INTRAVENOUS THERAPY 9933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9933,A000000,02500,0000,02500PHYSICAL THERAPY 9933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9933,A000000,02700,0000,02700SPEECH PATHOLOGY 9933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9933,A000000,03050,0000,03300BED THERAPY 9933,A000000,03200,0000,03200SUPPORT SURFACES 9933,A000000,04800,0000,04800AMBULANCE 9933,A000000,05300,0000,05300INTEREST EXPENSE 9933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9933,A81000A,00100,0100,Y 9933,A81000B,00100,0300,MANAGEMENT FEE EXPENSE 9933,A81000B,00200,0300,HOME OFFICE PROPERTY COST 9933,A81000C,00100,0100,B 9933,A81000C,00100,0200,JAYLENE INC. 9933,A81000C,00100,0400,FILENE MANAGEMENT INC. 9933,A81000C,00100,0600,MANAGEMENT COMPANY 9933,A81000C,00200,0100,B 9933,A81000C,00200,0200,JAYLENE INC. 9933,A81000C,00200,0400,FILENE MANAGEMENT INC. 9933,A81000C,00200,0600,MANAGEMENT COMPANY 9933,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9933,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9933,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9933,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9933,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9933,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9933,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9933,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9933,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9933,E10A180,00350,0100,02/15/1998 9933,E10A180,00350,0300,02/15/1998 9933,E10A180,00351,0100,08/17/1998 9933,S000000,00100,0200,06/01/2000 9933,S200000,00100,0100,10501 ROOSEVELT BLVD NORTH 9933,S200000,00200,0100,ST. PETERSBURG 9933,S200000,00200,0200,FL 9933,S200000,00200,0300,33716- 9933,S200000,00300,0100,PINELLAS 9933,S200000,00300,0200,8280 9933,S200000,00300,0300,U 9933,S200000,00400,0100,CARRINGTON PLACE CONVALESCENT CENTER 9933,S200000,00400,0200,105616 9933,S200000,00400,0300,12/12/1988 9933,S200000,00400,0500,P 9933,S200000,01004,0500,O 9933,S200000,01500,0100,Y 9943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9943,A000000,00300,0000,00300EMPLOYEE BENEFITS 9943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9943,A000000,00700,0000,00700HOUSEKEEPING 9943,A000000,00800,0000,00800DIETARY 9943,A000000,00900,0000,00900NURSING ADMINISTRATION 9943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9943,A000000,01100,0000,01100PHARMACY 9943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9943,A000000,01300,0000,01300SOCIAL SERVICE 9943,A000000,01350,0000,01500OTHER GENERAL SERVICES 9943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9943,A000000,01600,0000,01600SKILLED NURSING FACILITY 9943,A000000,01800,0000,01800NURSING FACILITY 9943,A000000,01810,0000,01810ICF/MR 9943,A000000,01900,0000,01900OTHER LONG TERM CARE 9943,A000000,02100,0000,02100RADIOLOGY 9943,A000000,02200,0000,02200LABORATORY 9943,A000000,02300,0000,02300INTRAVENOUS THERAPY 9943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9943,A000000,02500,0000,02500PHYSICAL THERAPY 9943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9943,A000000,02700,0000,02700SPEECH PATHOLOGY 9943,A000000,02800,0000,02800ELECTROCARDIOLOGY 9943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9943,A000000,03200,0000,03200SUPPORT SURFACES 9943,A000000,03400,0000,03400CLINIC 9943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9943,A000000,03500,0000,03500RURAL HEALTH CLINIC 9943,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9943,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9943,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9943,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9943,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9943,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9943,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9943,A000000,04400,0000,04400DME RENTED - HHA 9943,A000000,04500,0000,04500DME SOLD - HHA 9943,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9943,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9943,A000000,04800,0000,04800AMBULANCE 9943,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9943,A000000,05000,0000,05000CORF 9943,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9943,A000000,05300,0000,05300INTEREST EXPENSE 9943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9943,A000000,05500,0000,05500HOSPICE 9943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9943,A000000,06100,0000,06100NONPAID WORKERS 9943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9943,A000000,06200,0000,06200PATIENTS LAUNDRY 9943,A81000A,00100,0100,Y 9943,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 9943,A81000B,00200,0300,HOME OFFICE EXPENSE ALLOCATION 9943,A81000B,00300,0300,INTEREST - MANAGEMENT FEE 9943,A81000B,00400,0300,HOME OFFICE PROPERTY 9943,A81000C,00100,0100,A 9943,A81000C,00100,0200,MARILYN GUMMELS 9943,A81000C,00100,0400,BROOKWOOD INVESTMENTS 9943,A81000C,00100,0600,MANAGEMENT COMPANY 9943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9943,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9943,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9943,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9943,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9943,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 9943,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9943,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9943,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 9943,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 9943,S000000,00100,0200,05/31/2000 9943,S200000,00100,0100,785 SOUTH 2ND STREET 9943,S200000,00200,0100,DEFUNIAK SPRINGS 9943,S200000,00200,0200,FL 9943,S200000,00200,0300,32433-2710 9943,S200000,00300,0100,WALTON 9943,S200000,00400,0100,WALTON COUNTY CONVALESCENT CENTER 9943,S200000,00400,0200,105626 9943,S200000,00400,0300,12/21/1991 9943,S200000,00400,0500,P 9943,S200000,01600,0100,Y 9951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9951,A000000,00300,0000,00300EMPLOYEE BENEFITS 9951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9951,A000000,00700,0000,00700HOUSEKEEPING 9951,A000000,00800,0000,00800DIETARY 9951,A000000,00900,0000,00900NURSING ADMINISTRATION 9951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9951,A000000,01600,0000,01600SKILLED NURSING FACILITY 9951,A000000,01800,0000,01800NURSING FACILITY 9951,A000000,01900,0000,01900OTHER LONG TERM CARE 9951,A000000,02100,0000,02100RADIOLOGY 9951,A000000,02200,0000,02200LABORATORY 9951,A000000,02300,0000,02300INTRAVENOUS THERAPY 9951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9951,A000000,02500,0000,02500PHYSICAL THERAPY 9951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9951,A000000,02700,0000,02700SPEECH PATHOLOGY 9951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9951,A000000,03200,0000,03200SUPPORT SURFACES 9951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9951,A000000,06150,0000,06300APARTMENTS 9951,A81000A,00100,0100,Y 9951,A81000B,00100,0300,MANAGEMENT FEES 9951,A81000B,00200,0300,RELATED PARTY INTEREST 9951,A81000B,00300,0300,RESIDENT GIFT/DECORATION 9951,A81000C,00100,0100,B 9951,A81000C,00100,0200,HOLIDAY RETIREMENT CENTER 9951,A81000C,00100,0600,ACCTG & MGMT 9951,A81000C,00200,0100,B 9951,A81000C,00200,0200,CITATION MORTGAGE 9951,A81000C,00200,0600,MORTGAGE HOLDER 9951,A81000C,00300,0100,B 9951,A81000C,00300,0200,HOLIDAY INTERIORS 9951,A81000C,00300,0600,INTERIOR DESIGN 9951,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9951,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9951,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9951,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9951,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9951,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9951,B100000,00000,0800,00000MEALS SERVED :DIETARY 9951,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 9951,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9951,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 9951,S000000,00100,0200,06/05/2000 9951,S200000,00100,0100,2701 NOURTH COURSE DRIVE 9951,S200000,00200,0100,POMPANO BEACH 9951,S200000,00200,0200,FL 9951,S200000,00200,0300,33069- 9951,S200000,00300,0100,BROWARD 9951,S200000,00300,0200,2680 9951,S200000,00300,0300,U 9951,S200000,00400,0100,THE COURT AT PALM AIRE 9951,S200000,00400,0200,105627 9951,S200000,00400,0300,12/01/1988 9951,S200000,00400,0500,P 9951,S200000,01600,0100,Y 9956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9956,A000000,00300,0000,00300EMPLOYEE BENEFITS 9956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9956,A000000,00700,0000,00700HOUSEKEEPING 9956,A000000,00800,0000,00800DIETARY 9956,A000000,00900,0000,00900NURSING ADMINISTRATION 9956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9956,A000000,01100,0000,01100PHARMACY 9956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9956,A000000,01300,0000,01300SOCIAL SERVICE 9956,A000000,01350,0000,01500OTHER GENERAL SERVICES 9956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9956,A000000,01600,0000,01600SKILLED NURSING FACILITY 9956,A000000,01800,0000,01800NURSING FACILITY 9956,A000000,01900,0000,01900OTHER LONG TERM CARE 9956,A000000,02100,0000,02100RADIOLOGY 9956,A000000,02200,0000,02200LABORATORY 9956,A000000,02300,0000,02300INTRAVENOUS THERAPY 9956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9956,A000000,02500,0000,02500PHYSICAL THERAPY 9956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9956,A000000,02700,0000,02700SPEECH PATHOLOGY 9956,A000000,02800,0000,02800ELECTROCARDIOLOGY 9956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9956,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 9956,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9956,A000000,03200,0000,03200SUPPORT SURFACES 9956,A000000,03400,0000,03400CLINIC 9956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9956,A000000,03500,0000,03500RURAL HEALTH CLINIC 9956,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9956,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9956,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9956,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9956,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9956,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9956,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9956,A000000,04400,0000,04400DME RENTED - HHA 9956,A000000,04500,0000,04500DME SOLD - HHA 9956,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9956,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9956,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9956,A000000,05000,0000,05000CORF 9956,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9956,A000000,05300,0000,05300INTEREST EXPENSE 9956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9956,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9956,A000000,05500,0000,05500HOSPICE 9956,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9956,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9956,A000000,06100,0000,06100NONPAID WORKERS 9956,A000000,06150,0000,06300PEN PART B - NONREIMBURSEABLE 9956,A000000,06200,0000,06200PATIENTS LAUNDRY 9956,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9956,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9956,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 9956,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9956,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9956,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9956,B100000,00000,0800,00000MEALS SERVED :DIETARY 9956,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 9956,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9956,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9956,S000000,00100,0200,06/01/2000 9956,S200000,00100,0100,1717 W. AVERY STREET 9956,S200000,00200,0100,PENSACOLA 9956,S200000,00200,0200,FL 9956,S200000,00200,0300,32501- 9956,S200000,00300,0100,ESCAMBIA 9956,S200000,00300,0200,6080 9956,S200000,00300,0300,U 9956,S200000,00400,0100,PENSACOLA HEALTH CARE FACILITY 9956,S200000,00400,0200,105628 9956,S200000,00400,0300,08/01/1997 9956,S200000,00400,0500,P 9956,S200000,00600,0200,105628 9956,S200000,00600,0300,08/01/1997 9956,S200000,00600,0600,P 9956,S200000,01004,0500,O 9956,S200000,01600,0100,Y 9964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9964,A000000,00300,0000,00300EMPLOYEE BENEFITS 9964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9964,A000000,00700,0000,00700HOUSEKEEPING 9964,A000000,00800,0000,00800DIETARY 9964,A000000,00900,0000,00900NURSING ADMINISTRATION 9964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9964,A000000,01300,0000,01300SOCIAL SERVICE 9964,A000000,01600,0000,01600SKILLED NURSING FACILITY 9964,A000000,01800,0000,01800NURSING FACILITY 9964,A000000,01900,0000,01900OTHER LONG TERM CARE 9964,A000000,02100,0000,02100RADIOLOGY 9964,A000000,02200,0000,02200LABORATORY 9964,A000000,02201,0000,02201GLUCOSE TESTING 9964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9964,A000000,02500,0000,02500PHYSICAL THERAPY 9964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9964,A000000,02700,0000,02700SPEECH PATHOLOGY 9964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9964,A000000,03200,0000,03200SUPPORT SURFACES 9964,A000000,06150,0000,06300ASSISTANCE IN LIVING 9964,A81000A,00100,0100,Y 9964,A81000B,00100,0300,MANAGEMENT FEES 9964,A81000C,00100,0100,B 9964,A81000C,00100,0400,CME INC. 9964,A81000C,00100,0600,HEALTHCARE 9964,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9964,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 9964,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9964,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9964,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9964,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9964,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9964,B100000,00000,0800,00000MEALS SERVED :DIETARY 9964,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 9964,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9964,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9964,S000000,00100,0200,05/30/2000 9964,S200000,00100,0100,5525 21ST AVENUE WEST 9964,S200000,00200,0100,BRADENTON 9964,S200000,00200,0200,FL 9964,S200000,00200,0300,34209- 9964,S200000,00300,0100,MANATEE 9964,S200000,00300,0200,7510 9964,S200000,00300,0300,U 9964,S200000,00400,0100,SURREY PLACE - BRADENTON 9964,S200000,00400,0200,105629 9964,S200000,00400,0300,02/08/1989 9964,S200000,00400,0500,P 9964,S200000,01600,0100,Y 9974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9974,A000000,00300,0000,00300EMPLOYEE BENEFITS 9974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9974,A000000,00700,0000,00700HOUSEKEEPING 9974,A000000,00800,0000,00800DIETARY 9974,A000000,00900,0000,00900NURSING ADMINISTRATION 9974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9974,A000000,01100,0000,01100PHARMACY 9974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9974,A000000,01300,0000,01300SOCIAL SERVICE 9974,A000000,01350,0000,01500OTHER GENERAL SERVICES 9974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9974,A000000,01600,0000,01600SKILLED NURSING FACILITY 9974,A000000,01800,0000,01800NURSING FACILITY 9974,A000000,01810,0000,01810ICF/MR 9974,A000000,01900,0000,01900OTHER LONG TERM CARE 9974,A000000,02100,0000,02100RADIOLOGY 9974,A000000,02200,0000,02200LABORATORY 9974,A000000,02300,0000,02300INTRAVENOUS THERAPY 9974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9974,A000000,02500,0000,02500PHYSICAL THERAPY 9974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9974,A000000,02700,0000,02700SPEECH PATHOLOGY 9974,A000000,02800,0000,02800ELECTROCARDIOLOGY 9974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9974,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9974,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9974,A000000,03200,0000,03200SUPPORT SURFACES 9974,A000000,03400,0000,03400CLINIC 9974,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9974,A000000,03500,0000,03500RURAL HEALTH CLINIC 9974,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9974,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9974,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9974,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9974,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9974,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9974,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9974,A000000,04400,0000,04400DME RENTED - HHA 9974,A000000,04500,0000,04500DME SOLD - HHA 9974,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9974,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9974,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9974,A000000,04800,0000,04800AMBULANCE 9974,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9974,A000000,05000,0000,05000CORF 9974,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9974,A000000,05300,0000,05300INTEREST EXPENSE 9974,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9974,A000000,05500,0000,05500HOSPICE 9974,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9974,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9974,A000000,06100,0000,06100NONPAID WORKERS 9974,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9974,A000000,06200,0000,06200PATIENTS LAUNDRY 9974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9974,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 9974,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9974,B100000,00000,0800,00000MEALS SERVED :DIETARY 9974,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 9974,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9974,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9974,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9974,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 9974,S000000,00100,0200,05/31/2000 9974,S200000,00100,0100,1000 VICARS LANDING WAY 9974,S200000,00200,0100,PONTE VEDRA BEACH 9974,S200000,00200,0200,FL 9974,S200000,00200,0300,32082- 9974,S200000,00300,0100,ST. JOHNS 9974,S200000,00300,0200,3600 9974,S200000,00300,0300,U 9974,S200000,00400,0100,VICARS LANDING 9974,S200000,00400,0200,105630 9974,S200000,00400,0300,12/06/1988 9974,S200000,00400,0500,P 9974,S200000,01004,0500,O 9974,S200000,01600,0100,Y 9985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9985,A000000,00300,0000,00300EMPLOYEE BENEFITS 9985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9985,A000000,00700,0000,00700HOUSEKEEPING 9985,A000000,00800,0000,00800DIETARY 9985,A000000,00900,0000,00900NURSING ADMINISTRATION 9985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9985,A000000,01100,0000,01100PHARMACY 9985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9985,A000000,01300,0000,01300SOCIAL SERVICE 9985,A000000,01350,0000,01500ACTIVITES 9985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9985,A000000,01600,0000,01600SKILLED NURSING FACILITY 9985,A000000,01800,0000,01800NURSING FACILITY 9985,A000000,01810,0000,01810ICF/MR 9985,A000000,01900,0000,01900OTHER LONG TERM CARE 9985,A000000,02100,0000,02100RADIOLOGY 9985,A000000,02200,0000,02200LABORATORY 9985,A000000,02300,0000,02300INTRAVENOUS THERAPY 9985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9985,A000000,02500,0000,02500PHYSICAL THERAPY 9985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9985,A000000,02700,0000,02700SPEECH PATHOLOGY 9985,A000000,02800,0000,02800ELECTROCARDIOLOGY 9985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9985,A000000,03050,0000,03300AIR FLUIDIZED BEDS 9985,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9985,A000000,03200,0000,03200SUPPORT SURFACES 9985,A000000,03400,0000,03400CLINIC 9985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9985,A000000,03500,0000,03500RURAL HEALTH CLINIC 9985,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 9985,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 9985,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 9985,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 9985,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 9985,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 9985,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 9985,A000000,04400,0000,04400DME RENTED - HHA 9985,A000000,04500,0000,04500DME SOLD - HHA 9985,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 9985,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 9985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9985,A000000,04800,0000,04800AMBULANCE 9985,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9985,A000000,05000,0000,05000CORF 9985,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9985,A000000,05300,0000,05300INTEREST EXPENSE 9985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9985,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9985,A000000,05500,0000,05500HOSPICE 9985,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9985,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9985,A000000,06100,0000,06100NONPAID WORKERS 9985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9985,A000000,06200,0000,06200PATIENTS LAUNDRY 9985,A81000A,00100,0100,Y 9985,A81000B,00100,0300,MANAGEMENT FEE 9985,A81000B,00200,0300,HOME OFFICE CAPITAL 9985,A81000C,00100,0100,B 9985,A81000C,00100,0400,AMERICAN MEDICAL ASSOC. 9985,A81000C,00100,0600,HOME OFFICE 9985,A81000C,00200,0100,B 9985,A81000C,00200,0400,AMERICAN MEDICAL ASSOC. 9985,A81000C,00200,0600,HOME OFFICE 9985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9985,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9985,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9985,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9985,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 9985,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9985,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9985,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9985,B100000,00000,1350,00000PATIENT DAYS :ACTIVITES 9985,S000000,00100,0200,05/31/2000 9985,S200000,00100,0100,1000 SW 16TH AVENUE 9985,S200000,00200,0100,GAINESVILLE 9985,S200000,00200,0200,FL 9985,S200000,00200,0300,32601- 9985,S200000,00300,0100,ALACHUA 9985,S200000,00300,0200,2900 9985,S200000,00300,0300,U 9985,S200000,00400,0100,ALACHUA NURSING & REHABILITATION CTR 9985,S200000,00400,0200,105638 9985,S200000,00400,0300,02/13/1989 9985,S200000,00400,0500,P 9985,S200000,01600,0100,Y 9994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9994,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 9994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 9994,A000000,00300,0000,00300EMPLOYEE BENEFITS 9994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9994,A000000,00700,0000,00700HOUSEKEEPING 9994,A000000,00800,0000,00800DIETARY 9994,A000000,00900,0000,00900NURSING ADMINISTRATION 9994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9994,A000000,01100,0000,01100PHARMACY 9994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9994,A000000,01300,0000,01300SOCIAL SERVICE 9994,A000000,01350,0000,01500OTHER GENERAL SERVICES 9994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 9994,A000000,01600,0000,01600SKILLED NURSING FACILITY 9994,A000000,01800,0000,01800NURSING FACILITY 9994,A000000,01900,0000,01900OTHER LONG TERM CARE 9994,A000000,02100,0000,02100RADIOLOGY 9994,A000000,02200,0000,02200LABORATORY 9994,A000000,02300,0000,02300INTRAVENOUS THERAPY 9994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 9994,A000000,02500,0000,02500PHYSICAL THERAPY 9994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9994,A000000,02700,0000,02700SPEECH PATHOLOGY 9994,A000000,02800,0000,02800ELECTROCARDIOLOGY 9994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9994,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 9994,A000000,03200,0000,03200SUPPORT SURFACES 9994,A000000,03400,0000,03400CLINIC 9994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 9994,A000000,03500,0000,03500RURAL HEALTH CLINIC 9994,A000000,04750,0000,05100OTHER REIMBURSABLE COST 9994,A000000,04800,0000,04800AMBULANCE 9994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 9994,A000000,05000,0000,05000CORF 9994,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9994,A000000,05300,0000,05300INTEREST EXPENSE 9994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9994,A000000,05500,0000,05500HOSPICE 9994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9994,A000000,06100,0000,06100NONPAID WORKERS 9994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9994,A000000,06200,0000,06200PATIENTS LAUNDRY 9994,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 9994,B100000,00000,0101,00000SQUARE FOOTAGE :CAP REL COSTS - BL 9994,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 9994,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9994,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 9994,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 9994,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 9994,B100000,00000,0850,00000PATIENT DAYS :DIETARY 9994,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 9994,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 9994,B100000,00000,1150,00000NO STATISTICS :PHARMACY 9994,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 9994,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 9994,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 9994,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 9994,S000000,00100,0200,09/02/1999 9994,S200000,00100,0100,490 S. OLD WIRE ROAD 9994,S200000,00200,0100,WILDWOOD 9994,S200000,00200,0200,FL 9994,S200000,00200,0300,32785- 9994,S200000,00300,0100,SUMTER 9994,S200000,00400,0100,WILDWOOD HEALTHCARE INC. 9994,S200000,00400,0200,105649 9994,S200000,00400,0300,05/01/1989 9994,S200000,00400,0500,P 9994,S200000,01600,0100,Y 9994,S700003,00000,0100,1 9996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 9996,A000000,00300,0000,00300EMPLOYEE BENEFITS 9996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 9996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 9996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 9996,A000000,00700,0000,00700HOUSEKEEPING 9996,A000000,00800,0000,00800DIETARY 9996,A000000,00900,0000,00900NURSING ADMINISTRATION 9996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 9996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 9996,A000000,01300,0000,01300SOCIAL SERVICE 9996,A000000,01600,0000,01600SKILLED NURSING FACILITY 9996,A000000,01800,0000,01800NURSING FACILITY 9996,A000000,02100,0000,02100RADIOLOGY 9996,A000000,02500,0000,02500PHYSICAL THERAPY 9996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 9996,A000000,02700,0000,02700SPEECH PATHOLOGY 9996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 9996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 9996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 9996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 9996,A000000,05300,0000,05300INTEREST EXPENSE 9996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 9996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 9996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 9996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 9996,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 9996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 9996,A000000,06200,0000,06200PATIENTS LAUNDRY 9996,A81000A,00100,0100,Y 9996,A81000B,00100,0300,PROPERTY COSTS 9996,A81000B,00200,0300,ADMINISTRATIVE/GENERAL 9996,A81000B,00300,0300,WORKING CAPITAL INTEREST 9996,A81000C,00100,0100,B 9996,A81000C,00100,0200,ALLIANCE FOUNDATION 9996,A81000C,00100,0400,ALLIANCE FOUNDATION 9996,A81000C,00100,0600,PARENT/MANAGEMENT 9996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 9996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 9996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 9996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 9996,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 9996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 9996,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 9996,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 9996,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 9996,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 9996,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 9996,S000000,00100,0200,06/13/2000 9996,S200000,00100,0100,490 S. OLD WIRE ROAD 9996,S200000,00200,0100,WILDWOOD 9996,S200000,00200,0200,FL 9996,S200000,00200,0300,32785- 9996,S200000,00300,0100,SUMTER 9996,S200000,00300,0200,10 9996,S200000,00300,0300,R 9996,S200000,00400,0100,ALLIANCE - WECARE 9996,S200000,00400,0200,105649 9996,S200000,00400,0300,05/01/1989 9996,S200000,00400,0500,P 9996,S200000,01004,0500,O 9996,S200000,01600,0100,Y 10006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10006,A000000,00300,0000,00300EMPLOYEE BENEFITS 10006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10006,A000000,00700,0000,00700HOUSEKEEPING 10006,A000000,00800,0000,00800DIETARY 10006,A000000,00900,0000,00900NURSING ADMINISTRATION 10006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10006,A000000,01100,0000,01100PHARMACY 10006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10006,A000000,01300,0000,01300SOCIAL SERVICE 10006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10006,A000000,01600,0000,01600SKILLED NURSING FACILITY 10006,A000000,01800,0000,01800NURSING FACILITY 10006,A000000,01810,0000,01810ICF/MR 10006,A000000,02200,0000,02200LABORATORY 10006,A000000,02300,0000,02300INTRAVENOUS THERAPY 10006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10006,A000000,02500,0000,02500PHYSICAL THERAPY 10006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10006,A000000,02700,0000,02700SPEECH PATHOLOGY 10006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10006,A000000,03550,0000,03550FQHC 10006,A000000,05000,0000,05000CORF 10006,A000000,05010,0000,05010CMHC 10006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10006,A000000,05300,0000,05300INTEREST EXPENSE 10006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10006,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10006,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10006,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10006,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10006,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10006,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10006,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10006,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10006,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10006,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10006,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10006,S000000,00100,0200,04/12/2000 10006,S200000,00100,0100,110 KAY LARKIN DR. 10006,S200000,00100,0300,1847 10006,S200000,00200,0100,PALATKA 10006,S200000,00200,0200,FL 10006,S200000,00200,0300,32177- 10006,S200000,00300,0100,PUTNAM 10006,S200000,00300,0200,10 10006,S200000,00300,0300,R 10006,S200000,00400,0100,PALATKA HEALTH CARE CENTER 10006,S200000,00400,0200,105652 10006,S200000,00400,0300,01/01/1989 10006,S200000,00400,0500,P 10006,S200000,00600,0200,105652 10006,S200000,00600,0300,01/01/1989 10006,S200000,00600,0600,P 10006,S200000,01600,0100,Y 10015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10015,A000000,00300,0000,00300EMPLOYEE BENEFITS 10015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10015,A000000,00700,0000,00700HOUSEKEEPING 10015,A000000,00800,0000,00800DIETARY 10015,A000000,00900,0000,00900NURSING ADMINISTRATION 10015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10015,A000000,01100,0000,01100PHARMACY 10015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10015,A000000,01300,0000,01300SOCIAL SERVICE 10015,A000000,01350,0000,01500OTHER GENERAL SERVICES 10015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10015,A000000,01600,0000,01600SKILLED NURSING FACILITY 10015,A000000,01800,0000,01800NURSING FACILITY 10015,A000000,01900,0000,01900OTHER LONG TERM CARE 10015,A000000,02100,0000,02100RADIOLOGY 10015,A000000,02200,0000,02200LABORATORY 10015,A000000,02300,0000,02300INTRAVENOUS THERAPY 10015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10015,A000000,02500,0000,02500PHYSICAL THERAPY 10015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10015,A000000,02700,0000,02700SPEECH PATHOLOGY 10015,A000000,02800,0000,02800ELECTROCARDIOLOGY 10015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10015,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10015,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10015,A000000,03200,0000,03200SUPPORT SURFACES 10015,A000000,03400,0000,03400CLINIC 10015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10015,A000000,03500,0000,03500RURAL HEALTH CLINIC 10015,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10015,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10015,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10015,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10015,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10015,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10015,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10015,A000000,04400,0000,04400DME RENTED - HHA 10015,A000000,04500,0000,04500DME SOLD - HHA 10015,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10015,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10015,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10015,A000000,04800,0000,04800AMBULANCE 10015,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10015,A000000,05000,0000,05000CORF 10015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10015,A000000,05300,0000,05300INTEREST EXPENSE 10015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10015,A000000,05500,0000,05500HOSPICE 10015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10015,A000000,06100,0000,06100NONPAID WORKERS 10015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10015,A000000,06200,0000,06200PATIENTS LAUNDRY 10015,A81000A,00100,0100,Y 10015,A81000B,00100,0300,ADMIN & GENERAL MGMT & ACCTG FEE 10015,A81000B,00200,0300,CAPITAL RELATED 10015,A81000C,00100,0100,A 10015,A81000C,00100,0200,JOHN B GOODMAN 10015,A81000C,00100,0400,SAGE COMPANY 10015,A81000C,00100,0600,MANAGEMENT COMPANY 10015,A81000C,00200,0100,A 10015,A81000C,00200,0200,SIDNEY A GOODMAN 10015,A81000C,00200,0400,SAGE COMPANY 10015,A81000C,00200,0600,MANAGEMENT COMPANY 10015,A81000C,00300,0100,B 10015,A81000C,00300,0200,SAGE COMPANY 10015,A81000C,00300,0600,MGMT CO/ PARTNER PROVIDER 10015,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10015,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10015,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10015,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10015,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10015,B100000,00000,0800,00000MEALS SERVED :DIETARY 10015,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 10015,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10015,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 10015,S000000,00100,0200,04/11/2000 10015,S200000,00100,0100,3301 MCMULLEN BOOTH ROAD 10015,S200000,00200,0100,CLEARWATER 10015,S200000,00200,0200,FL 10015,S200000,00200,0300,34621- 10015,S200000,00300,0100,PINELLAS 10015,S200000,00300,0200,8280 10015,S200000,00300,0300,U 10015,S200000,00400,0100,WESTCHESTER GARDENS REHAB & CARE CTR 10015,S200000,00400,0200,105654 10015,S200000,00400,0300,09/19/1989 10015,S200000,00400,0500,P 10015,S200000,01600,0100,Y 10015,S200000,02800,0100,Y 10026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10026,A000000,00300,0000,00300EMPLOYEE BENEFITS 10026,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL 10026,A000000,00402,0000,00402ADMISSIONS 10026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10026,A000000,00700,0000,00700HOUSEKEEPING 10026,A000000,00800,0000,00800DIETARY 10026,A000000,00900,0000,00900NURSING ADMINISTRATION 10026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10026,A000000,01100,0000,01100PHARMACY 10026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10026,A000000,01300,0000,01300SOCIAL SERVICE 10026,A000000,01350,0000,01500ACTIVITIES 10026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10026,A000000,01600,0000,01600SKILLED NURSING FACILITY 10026,A000000,01800,0000,01800NURSING FACILITY 10026,A000000,01900,0000,01900OTHER LONG TERM CARE 10026,A000000,02100,0000,02100RADIOLOGY 10026,A000000,02200,0000,02200LABORATORY 10026,A000000,02300,0000,02300INTRAVENOUS THERAPY 10026,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10026,A000000,02500,0000,02500PHYSICAL THERAPY 10026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10026,A000000,02700,0000,02700SPEECH PATHOLOGY 10026,A000000,02800,0000,02800ELECTROCARDIOLOGY 10026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10026,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10026,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10026,A000000,03200,0000,03200SUPPORT SURFACES 10026,A000000,03400,0000,03400CLINIC 10026,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10026,A000000,03500,0000,03500RURAL HEALTH CLINIC 10026,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10026,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10026,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10026,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10026,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10026,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10026,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10026,A000000,04400,0000,04400DME RENTED - HHA 10026,A000000,04500,0000,04500DME SOLD - HHA 10026,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10026,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10026,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10026,A000000,04800,0000,04800AMBULANCE 10026,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10026,A000000,05000,0000,05000CORF 10026,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10026,A000000,05300,0000,05300INTEREST EXPENSE 10026,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10026,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10026,A000000,05500,0000,05500HOSPICE 10026,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10026,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10026,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10026,A000000,06100,0000,06100NONPAID WORKERS 10026,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10026,A000000,06200,0000,06200PATIENTS LAUNDRY 10026,A81000A,00100,0100,Y 10026,A81000B,00100,0300,UMBRELLA INSURANCE 10026,A81000B,00200,0300,PACKAGE INSURANCE 10026,A81000B,00300,0300,LEGAL & ACCOUNTING 10026,A81000B,00400,0300,CONTRACT SERVICES 10026,A81000B,00500,0300,CONTRACT SERVICES 10026,A81000B,00600,0300,CONTRACT SERVICES 10026,A81000B,00700,0300,CONTRACT SERVICES 10026,A81000B,00800,0300,CONTRACT SERVICES 10026,A81000B,00900,0300,HOME OFFICE PROPERTY 10026,A81000B,01000,0300,MANAGEMENT SERVICES 10026,A81000C,00100,0100,A 10026,A81000C,00100,0200,DAVE VELTMAN 10026,A81000C,00100,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00100,0600,MANAGEMENT SERVICES 10026,A81000C,00200,0100,A 10026,A81000C,00200,0200,DAVE VELTMAN 10026,A81000C,00200,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00200,0600,MANAGEMENT SERVICES 10026,A81000C,00300,0100,A 10026,A81000C,00300,0200,DAVE VELTMAN 10026,A81000C,00300,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00300,0600,MANAGEMENT SERVICES 10026,A81000C,00400,0100,A 10026,A81000C,00400,0200,DAVE VELTMAN 10026,A81000C,00400,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00400,0600,MANAGEMENT SERVICES 10026,A81000C,00500,0100,A 10026,A81000C,00500,0200,DAVE VELTMAN 10026,A81000C,00500,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00500,0600,MANAGEMENT SERVICES 10026,A81000C,00600,0100,A 10026,A81000C,00600,0200,DAVE VELTMAN 10026,A81000C,00600,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00600,0600,MANAGEMENT SERVICES 10026,A81000C,00700,0100,A 10026,A81000C,00700,0200,DAVE VELTMAN 10026,A81000C,00700,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00700,0600,MANAGEMENT SERVICES 10026,A81000C,00800,0100,A 10026,A81000C,00800,0200,DAVE VELTMAN 10026,A81000C,00800,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00800,0600,MANAGEMENT SERVICES 10026,A81000C,00900,0100,A 10026,A81000C,00900,0200,DAVE VELTMAN 10026,A81000C,00900,0400,SOUTHERN MGMT SVCS INC. 10026,A81000C,00900,0600,MANAGEMENT SERVICES 10026,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10026,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 10026,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10026,B100000,00000,0401,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10026,B100000,00000,0452,00000NO.OF ADMISSIONS :ADMISSIONS 10026,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10026,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10026,B100000,00000,0750,00000SQUARE FT MODIFIED :HOUSEKEEPING 10026,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10026,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10026,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10026,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 10026,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10026,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10026,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10026,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 10026,S000000,00100,0200,04/10/2000 10026,S200000,00100,0100,6410 61ST AVENUE WEST 10026,S200000,00200,0100,BRADENTON 10026,S200000,00200,0200,FL 10026,S200000,00200,0300,34209- 10026,S200000,00300,0100,MANATEE 10026,S200000,00400,0100,FREEDOM VILLAGE NURSING CENTER 10026,S200000,00400,0200,105655 10026,S200000,00400,0300,06/23/1989 10026,S200000,00400,0500,P 10026,S200000,01600,0100,Y 10036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10036,A000000,00300,0000,00300EMPLOYEE BENEFITS 10036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10036,A000000,00700,0000,00700HOUSEKEEPING 10036,A000000,00800,0000,00800DIETARY 10036,A000000,00900,0000,00900NURSING ADMINISTRATION 10036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10036,A000000,01100,0000,01100PHARMACY 10036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10036,A000000,01300,0000,01300SOCIAL SERVICE 10036,A000000,01350,0000,01500ACTIVITIES 10036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10036,A000000,01600,0000,01600SKILLED NURSING FACILITY 10036,A000000,01800,0000,01800NURSING FACILITY 10036,A000000,01810,0000,01810ICF/MR 10036,A000000,01900,0000,01900OTHER LONG TERM CARE 10036,A000000,02100,0000,02100RADIOLOGY 10036,A000000,02200,0000,02200LABORATORY 10036,A000000,02300,0000,02300INTRAVENOUS THERAPY 10036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10036,A000000,02500,0000,02500PHYSICAL THERAPY 10036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10036,A000000,02700,0000,02700SPEECH PATHOLOGY 10036,A000000,02800,0000,02800ELECTROCARDIOLOGY 10036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10036,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10036,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10036,A000000,03200,0000,03200SUPPORT SURFACES 10036,A000000,03400,0000,03400CLINIC 10036,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10036,A000000,03500,0000,03500RURAL HEALTH CLINIC 10036,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10036,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10036,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10036,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10036,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10036,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10036,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10036,A000000,04400,0000,04400DME RENTED - HHA 10036,A000000,04500,0000,04500DME SOLD - HHA 10036,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10036,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10036,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10036,A000000,04800,0000,04800AMBULANCE 10036,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10036,A000000,05000,0000,05000CORF 10036,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10036,A000000,05300,0000,05300INTEREST EXPENSE 10036,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10036,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10036,A000000,05500,0000,05500HOSPICE 10036,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10036,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10036,A000000,06100,0000,06100NONPAID WORKERS 10036,A000000,06150,0000,06300ALF 10036,A000000,06151,0000,06301MARKETING/EDUCATION E COS 10036,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 10036,A000000,06200,0000,06200PATIENTS LAUNDRY 10036,A81000A,00100,0100,Y 10036,A81000B,00100,0300,CORPORATE CONSULTING 10036,A81000B,00200,0300,MANAGEMENT FEES 10036,A81000C,00100,0100,B 10036,A81000C,00100,0400,SUNRISE ASSISTED LIVING 10036,A81000C,00100,0600,HOME OFFICE 10036,A81000C,00200,0100,B 10036,A81000C,00200,0400,SUNRISE ASSISTED LIVING 10036,A81000C,00200,0600,HOME OFFICE 10036,B100000,00000,0100,00002SQ FT :CAP REL COSTS - BLDGS & FIX 10036,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 10036,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 10036,B100000,00000,0500,00002SQ FT :PLANT OPERATION MAINT. & R 10036,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 10036,B100000,00000,0750,00002MODIFIED SQ FT :HOUSEKEEPING 10036,B100000,00000,0850,00002PATIENT DAYS :DIETARY 10036,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 10036,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 10036,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 10036,S000000,00100,0200,06/12/2000 10036,S200000,00100,0100,939 BEACH DRIVE NORTHEAST 10036,S200000,00200,0100,ST PETERSBURG 10036,S200000,00200,0200,FL 10036,S200000,00200,0300,33701- 10036,S200000,00300,0100,PINELLAS 10036,S200000,00300,0200,8280 10036,S200000,00300,0300,U 10036,S200000,00400,0100,SUNRISE AT NORTH SHORE 10036,S200000,00400,0200,105656 10036,S200000,00400,0300,07/11/1989 10036,S200000,00400,0500,P 10036,S200000,01004,0500,O 10036,S200000,01500,0100,Y 10047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10047,A000000,00300,0000,00300EMPLOYEE BENEFITS 10047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10047,A000000,00700,0000,00700HOUSEKEEPING 10047,A000000,00800,0000,00800DIETARY 10047,A000000,00900,0000,00900NURSING ADMINISTRATION 10047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10047,A000000,01300,0000,01300SOCIAL SERVICE 10047,A000000,01600,0000,01600SKILLED NURSING FACILITY 10047,A000000,01800,0000,01800NURSING FACILITY 10047,A000000,01900,0000,01900OTHER LONG TERM CARE 10047,A000000,02100,0000,02100RADIOLOGY 10047,A000000,02200,0000,02200LABORATORY 10047,A000000,02201,0000,02201GLUCOSE TESTING 10047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10047,A000000,02500,0000,02500PHYSICAL THERAPY 10047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10047,A000000,02700,0000,02700SPEECH PATHOLOGY 10047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10047,A000000,03200,0000,03200SUPPORT SURFACES 10047,A000000,06150,0000,06300ASSISTANCE IN LIVING 10047,A81000A,00100,0100,Y 10047,A81000B,00100,0300,HOME OFFICE COSTS 10047,A81000C,00100,0100,B 10047,A81000C,00100,0400,CME INC. 10047,A81000C,00100,0600,HEALTHCARE 10047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10047,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10047,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10047,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10047,B100000,00000,0800,00000MEALS SERVED :DIETARY 10047,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10047,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10047,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10047,S000000,00100,0200,05/25/2000 10047,S200000,00100,0100,2730 WEST MARK KNIGHTON COURT 10047,S200000,00200,0100,LECANTO 10047,S200000,00200,0200,FL 10047,S200000,00200,0300,34461- 10047,S200000,00300,0100,CITRUS 10047,S200000,00300,0200,0010 10047,S200000,00300,0300,R 10047,S200000,00400,0100,SURREY PLACE OF LECANTO 10047,S200000,00400,0200,105657 10047,S200000,00400,0300,06/23/1989 10047,S200000,00400,0500,P 10047,S200000,01600,0100,Y 10060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10060,A000000,00300,0000,00300EMPLOYEE BENEFITS 10060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10060,A000000,00700,0000,00700HOUSEKEEPING 10060,A000000,00800,0000,00800DIETARY 10060,A000000,00900,0000,00900NURSING ADMINISTRATION 10060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10060,A000000,01100,0000,01100PHARMACY 10060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10060,A000000,01300,0000,01300SOCIAL SERVICE 10060,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10060,A000000,01600,0000,01600SKILLED NURSING FACILITY 10060,A000000,01800,0000,01800NURSING FACILITY 10060,A000000,01810,0000,01810ICF/MR 10060,A000000,01900,0000,01900OTHER LONG TERM CARE 10060,A000000,02100,0000,02100RADIOLOGY 10060,A000000,02200,0000,02200LABORATORY 10060,A000000,02300,0000,02300INTRAVENOUS THERAPY 10060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10060,A000000,02500,0000,02500PHYSICAL THERAPY 10060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10060,A000000,02700,0000,02700SPEECH PATHOLOGY 10060,A000000,02800,0000,02800ELECTROCARDIOLOGY 10060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10060,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10060,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10060,A000000,03200,0000,03200SUPPORT SURFACES 10060,A000000,03400,0000,03400CLINIC 10060,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 10060,A000000,03500,0000,03500RURAL HEALTH CLINIC 10060,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10060,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10060,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10060,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10060,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10060,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10060,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10060,A000000,04400,0000,04400DME RENTED - HHA 10060,A000000,04500,0000,04500DME SOLD - HHA 10060,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10060,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10060,A000000,04800,0000,04800AMBULANCE 10060,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10060,A000000,05000,0000,05000CORF 10060,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10060,A000000,05300,0000,05300INTEREST EXPENSE 10060,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10060,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10060,A000000,05500,0000,05500HOSPICE 10060,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10060,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10060,A000000,06100,0000,06100NONPAID WORKERS 10060,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 10060,A000000,06200,0000,06200PATIENTS LAUNDRY 10060,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10060,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10060,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10060,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10060,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10060,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10060,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10060,B100000,00000,0800,00000MEALS SERVED :DIETARY 10060,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10060,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10060,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10060,S000000,00100,0200,06/05/2000 10060,S200000,00100,0100,38250 A AVENUE 10060,S200000,00200,0100,ZEPHYRHILLS 10060,S200000,00200,0200,33 10060,S200000,00300,0100,PASCO 10060,S200000,00300,0200,8280 10060,S200000,00300,0300,U 10060,S200000,00400,0100,ZEPHYR HAVEN NURSING HOME 10060,S200000,00400,0200,105658 10060,S200000,00400,0300,06/28/1989 10060,S200000,00400,0500,P 10060,S200000,01500,0100,Y 10069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10069,A000000,00300,0000,00300EMPLOYEE BENEFITS 10069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10069,A000000,00700,0000,00700HOUSEKEEPING 10069,A000000,00800,0000,00800DIETARY 10069,A000000,00900,0000,00900NURSING ADMINISTRATION 10069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10069,A000000,01300,0000,01300SOCIAL SERVICE 10069,A000000,01600,0000,01600SKILLED NURSING FACILITY 10069,A000000,01800,0000,01800NURSING FACILITY 10069,A000000,02100,0000,02100RADIOLOGY 10069,A000000,02200,0000,02200LABORATORY 10069,A000000,02300,0000,02300INTRAVENOUS THERAPY 10069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10069,A000000,02500,0000,02500PHYSICAL THERAPY 10069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10069,A000000,02700,0000,02700SPEECH PATHOLOGY 10069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10069,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10069,A000000,04800,0000,04800AMBULANCE 10069,A000000,05300,0000,05300INTEREST EXPENSE 10069,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10069,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10069,A81000A,00100,0100,Y 10069,A81000B,00100,0300,MANAGEMENT FEES 10069,A81000B,00200,0300,MANAGEMENT FEES 10069,A81000B,00300,0300,MANAGEMENT FEES 10069,A81000C,00100,0100,B 10069,A81000C,00100,0400,HMS OF LAKELAND 10069,A81000C,00100,0600,MANAGEMENT COMPANY 10069,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10069,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10069,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10069,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10069,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 10069,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10069,B100000,00000,0800,00000MEALS SERVED :DIETARY 10069,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10069,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10069,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10069,S000000,00100,0200,06/05/2000 10069,S200000,00100,0100,1001 CARPENTERS WAY 10069,S200000,00200,0100,LAKELAND 10069,S200000,00200,0200,FL 10069,S200000,00200,0300,33809- 10069,S200000,00300,0100,POLK 10069,S200000,00300,0200,3980 10069,S200000,00300,0300,U 10069,S200000,00400,0100,CARPENTERS HOME MANOR 10069,S200000,00400,0200,105660 10069,S200000,00400,0300,07/06/1989 10069,S200000,00400,0500,P 10069,S200000,01004,0500,O 10069,S200000,01500,0100,Y 10079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10079,A000000,00300,0000,00300EMPLOYEE BENEFITS 10079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10079,A000000,00700,0000,00700HOUSEKEEPING 10079,A000000,00800,0000,00800DIETARY 10079,A000000,00900,0000,00900NURSING ADMINISTRATION 10079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10079,A000000,01100,0000,01100PHARMACY 10079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10079,A000000,01300,0000,01300SOCIAL SERVICE 10079,A000000,01350,0000,01500OTHER GENERAL SERVICES 10079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10079,A000000,01600,0000,01600SKILLED NURSING FACILITY 10079,A000000,01800,0000,01800NURSING FACILITY 10079,A000000,01810,0000,01810ICF/MR 10079,A000000,01900,0000,01900OTHER LONG TERM CARE 10079,A000000,02100,0000,02100RADIOLOGY 10079,A000000,02200,0000,02200LABORATORY 10079,A000000,02300,0000,02300INTRAVENOUS THERAPY 10079,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10079,A000000,02500,0000,02500PHYSICAL THERAPY 10079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10079,A000000,02700,0000,02700SPEECH PATHOLOGY 10079,A000000,02800,0000,02800ELECTROCARDIOLOGY 10079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10079,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10079,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10079,A000000,03200,0000,03200SUPPORT SURFACES 10079,A000000,03400,0000,03400CLINIC 10079,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10079,A000000,03500,0000,03500RURAL HEALTH CLINIC 10079,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10079,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10079,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10079,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10079,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10079,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10079,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10079,A000000,04400,0000,04400DME RENTED - HHA 10079,A000000,04500,0000,04500DME SOLD - HHA 10079,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10079,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10079,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10079,A000000,04800,0000,04800AMBULANCE 10079,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10079,A000000,05000,0000,05000CORF 10079,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10079,A000000,05300,0000,05300INTEREST EXPENSE 10079,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10079,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10079,A000000,05500,0000,05500HOSPICE 10079,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10079,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10079,A000000,06100,0000,06100NONPAID WORKERS 10079,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10079,A000000,06200,0000,06200PATIENTS LAUNDRY 10079,A81000A,00100,0100,Y 10079,A81000B,00100,0300,MANAGEMENT FEES 10079,A81000B,00200,0300,MANAGEMENT FEE INTEREST 10079,A81000B,00300,0300,HOME OFFICE EXPENSE ALLCOATION 10079,A81000B,00400,0300,HOME OFFICE PROPERTY 10079,A81000C,00100,0100,A 10079,A81000C,00100,0200,MARILYN GUMMELS 10079,A81000C,00100,0400,BROOKWOOD INVESTMENTS LT 10079,A81000C,00100,0600,MANAGEMENT COMPANY 10079,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10079,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10079,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10079,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10079,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10079,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10079,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10079,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10079,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10079,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10079,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10079,S000000,00100,0200,06/01/2000 10079,S200000,00100,0100,1083 SANDERS AVENUE 10079,S200000,00200,0100,GRACEVILLE 10079,S200000,00200,0200,FL 10079,S200000,00200,0300,32440- 10079,S200000,00300,0100,JACKSON 10079,S200000,00300,0200,9910 10079,S200000,00300,0300,R 10079,S200000,00400,0100,JACKSON COUNTY CONVALESCENT CENTER 10079,S200000,00400,0200,105662 10079,S200000,00400,0300,07/23/1991 10079,S200000,00400,0500,P 10079,S200000,01600,0100,Y 10085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10085,A000000,00300,0000,00300EMPLOYEE BENEFITS 10085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10085,A000000,00700,0000,00700HOUSEKEEPING 10085,A000000,00800,0000,00800DIETARY 10085,A000000,00900,0000,00900NURSING ADMINISTRATION 10085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10085,A000000,01100,0000,01100PHARMACY 10085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10085,A000000,01300,0000,01300SOCIAL SERVICE 10085,A000000,01600,0000,01600SKILLED NURSING FACILITY 10085,A000000,01800,0000,01800NURSING FACILITY 10085,A000000,01900,0000,01900OTHER LONG TERM CARE 10085,A000000,02100,0000,02100RADIOLOGY 10085,A000000,02200,0000,02200LABORATORY 10085,A000000,02300,0000,02300INTRAVENOUS THERAPY 10085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10085,A000000,02500,0000,02500PHYSICAL THERAPY 10085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10085,A000000,02700,0000,02700SPEECH PATHOLOGY 10085,A000000,02800,0000,02800ELECTROCARDIOLOGY 10085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10085,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10085,A000000,03051,0000,03301NUTRITIONAL THERAPY 10085,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 10085,A000000,03053,0000,03303PHYSICIAN SERVICES 10085,A000000,03054,0000,03304MEDICAL SERVICES 10085,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 10085,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10085,A000000,03200,0000,03200SUPPORT SURFACES 10085,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10085,A000000,04800,0000,04800AMBULANCE 10085,A000000,05300,0000,05300INTEREST EXPENSE 10085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10085,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10085,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10085,A000000,06100,0000,06100NONPAID WORKERS 10085,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10085,A000000,06200,0000,06200PATIENTS LAUNDRY 10085,A81000A,00100,0100,Y 10085,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 10085,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 10085,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 10085,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 10085,A81000B,00500,0300,REGIONAL ALLOCATION 10085,A81000B,00600,0300,PLEASE SEE ATTACHED 10085,A81000C,00100,0100,B 10085,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 10085,A81000C,00200,0200,A-8-1. 10085,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10085,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10085,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10085,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10085,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10085,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10085,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 10085,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10085,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10085,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10085,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 10085,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 10085,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10085,S000000,00100,0200,06/05/2000 10085,S200000,00100,0100,1301 KANSAS AVENUE 10085,S200000,00200,0100,ST CLOUD 10085,S200000,00200,0200,FL 10085,S200000,00200,0300,34769- 10085,S200000,00300,0100,OSCEOLA 10085,S200000,00400,0100,SUNBRIDGE CARE & RHAB FOR ST CLOUD 10085,S200000,00400,0200,105670 10085,S200000,00400,0300,07/01/1989 10085,S200000,00400,0500,P 10085,S200000,01600,0100,Y 10085,S200000,02200,0100,Y 10085,S700003,00000,0200,2 10096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10096,A000000,00101,0000,00101CAP REL COSTS - ALF 10096,A000000,00102,0000,00102CAP REL COSTS - NRSG CTR 10096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10096,A000000,00300,0000,00300EMPLOYEE BENEFITS 10096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10096,A000000,00501,0000,00501PLANT OPERATION NRSG 10096,A000000,00502,0000,00502PLANT OPERATION ALF 10096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10096,A000000,00700,0000,00700HOUSEKEEPING 10096,A000000,00701,0000,00701HOUSEKEEPING - NRSG CTR 10096,A000000,00702,0000,00702HOUSEKEEPING - ALF 10096,A000000,00800,0000,00800DIETARY 10096,A000000,00900,0000,00900NURSING ADMINISTRATION 10096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10096,A000000,01100,0000,01100PHARMACY 10096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10096,A000000,01300,0000,01300SOCIAL SERVICE 10096,A000000,01301,0000,01301ADMISSIONS 10096,A000000,01350,0000,01500ACTIVITIES 10096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10096,A000000,01600,0000,01600SKILLED NURSING FACILITY 10096,A000000,01800,0000,01800NURSING FACILITY 10096,A000000,01900,0000,01900OTHER LONG TERM CARE 10096,A000000,02100,0000,02100RADIOLOGY 10096,A000000,02200,0000,02200LABORATORY 10096,A000000,02300,0000,02300INTRAVENOUS THERAPY 10096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10096,A000000,02500,0000,02500PHYSICAL THERAPY 10096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10096,A000000,02700,0000,02700SPEECH PATHOLOGY 10096,A000000,02800,0000,02800ELECTROCARDIOLOGY 10096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10096,A000000,03050,0000,03300AIR FLUIDIZED BEDS 10096,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10096,A000000,03200,0000,03200SUPPORT SURFACES 10096,A000000,03400,0000,03400CLINIC 10096,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10096,A000000,03500,0000,03500RURAL HEALTH CLINIC 10096,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10096,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10096,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10096,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10096,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10096,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10096,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10096,A000000,04400,0000,04400DME RENTED - HHA 10096,A000000,04500,0000,04500DME SOLD - HHA 10096,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10096,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10096,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10096,A000000,04800,0000,04800AMBULANCE 10096,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10096,A000000,05000,0000,05000CORF 10096,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10096,A000000,05300,0000,05300INTEREST EXPENSE 10096,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10096,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10096,A000000,05500,0000,05500HOSPICE 10096,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10096,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10096,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10096,A81000A,00100,0100,Y 10096,A81000B,00100,0300,LEGAL & ACCOUNTING 10096,A81000B,00200,0300,PACKAGE INSURANCE 10096,A81000B,00300,0300,UMBRELLA INSURANCE 10096,A81000B,00400,0300,CONTRACT SERVICES 10096,A81000B,00500,0300,CONTRACT SERVICES 10096,A81000B,00600,0300,CONTRACT SERVICES 10096,A81000B,00700,0300,CONTRACT SERVICES 10096,A81000B,00800,0300,CONTRACT SERVICES 10096,A81000B,00900,0300,HOME OFFICE - POOLED 10096,A81000B,01000,0300,HOME OFFICE - POOLED 10096,A81000B,01100,0300,HOME OFFICE - CAPITAL - NH 10096,A81000B,01200,0300,HOME OFFICE - CAPITAL - ALF 10096,A81000B,01300,0300,LAUNDRY & LINEN SVCS 10096,A81000B,01400,0300,LAUNDRY & LINEN SVCS 10096,A81000C,00100,0100,A 10096,A81000C,00100,0200,DAVID VELTMAN 10096,A81000C,00100,0400,SOUTHERN MGMT SERVICES 10096,A81000C,00100,0600,MGMT COMPANY 10096,A81000C,00200,0100,G 10096,A81000C,00200,0200,PIONEER DEV CORP 10096,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10096,B100000,00000,0101,00000SQUARE FEET-ALF :CAP REL COSTS - A 10096,B100000,00000,0102,00000SQUARE FEET-NH :CAP REL COSTS - NR 10096,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10096,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10096,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10096,B100000,00000,0501,00000SQUARE FEET-NH :PLANT OPERATION N 10096,B100000,00000,0502,00000SQUARE FEET-ALF :PLANT OPERATION 10096,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10096,B100000,00000,0750,00000SQUARE FEET-MOD :HOUSEKEEPING 10096,B100000,00000,0751,00000NH-SQUARE FEET-(MOD) :HOUSEKEEPING 10096,B100000,00000,0752,00000ALF-SQUARE E FEET(M :HOUSEKEEPING - 10096,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10096,B100000,00000,0950,00000NUSRING SALARIES :NURSING ADMINIST 10096,B100000,00000,1050,00000PATIENT DAYS - NH:CENTRAL SERVICES 10096,B100000,00000,1250,00000PATIENT DAYS - NH:MEDICAL RECORDS & 10096,B100000,00000,1330,00000PATIENT DAYS - NH:SOCIAL SERVICE 10096,B100000,00000,1331,00000ADMISSIONS S :ADMISSIONS 10096,B100000,00000,1350,00000PATIENT DAYS - NH:ACTIVITIES 10096,S000000,00100,0200,04/10/2000 10096,S200000,00100,0100,11250 N. 22ND STREET 10096,S200000,00200,0100,TAMPA 10096,S200000,00200,0200,FL 10096,S200000,00200,0300,33612- 10096,S200000,00300,0100,HILLSBOROUGH 10096,S200000,00300,0200,8280 10096,S200000,00300,0300,U 10096,S200000,00400,0100,UNIVERSITY VILLAGE NURSING CTR 10096,S200000,00400,0200,105677 10096,S200000,00400,0300,11/09/1989 10096,S200000,00400,0500,P 10096,S200000,01600,0100,Y 10108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10108,A000000,00300,0000,00300EMPLOYEE BENEFITS 10108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10108,A000000,00700,0000,00700HOUSEKEEPING 10108,A000000,00800,0000,00800DIETARY 10108,A000000,00900,0000,00900NURSING ADMINISTRATION 10108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10108,A000000,01100,0000,01100PHARMACY 10108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10108,A000000,01300,0000,01300SOCIAL SERVICE 10108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10108,A000000,01600,0000,01600SKILLED NURSING FACILITY 10108,A000000,01800,0000,01800NURSING FACILITY 10108,A000000,01810,0000,01810ICF/MR 10108,A000000,02100,0000,02100RADIOLOGY 10108,A000000,02200,0000,02200LABORATORY 10108,A000000,02300,0000,02300INTRAVENOUS THERAPY 10108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10108,A000000,02500,0000,02500PHYSICAL THERAPY 10108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10108,A000000,02700,0000,02700SPEECH PATHOLOGY 10108,A000000,02800,0000,02800ELECTROCARDIOLOGY 10108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10108,A000000,03550,0000,03550FQHC 10108,A000000,04800,0000,04800AMBULANCE 10108,A000000,05000,0000,05000CORF 10108,A000000,05010,0000,05010CMHC 10108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10108,A000000,05300,0000,05300INTEREST EXPENSE 10108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10108,A81000A,00100,0100,Y 10108,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10108,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10108,A81000C,00100,0100,B 10108,A81000C,00100,0200,FLORIDA CONVALE 10108,A81000C,00200,0200,CENTERS 10108,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10108,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10108,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10108,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10108,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10108,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10108,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10108,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10108,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10108,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10108,S000000,00100,0200,01/05/2000 10108,S200000,00100,0100,5725 SPRING PARK ROAD 10108,S200000,00100,0300,550694 10108,S200000,00200,0100,JACKSONVILLE 10108,S200000,00200,0200,FL 10108,S200000,00200,0300,32216- 10108,S200000,00300,0100,DUVAL 10108,S200000,00300,0200,3600 10108,S200000,00300,0300,U 10108,S200000,00400,0100,PALM GARDEN OF JACKSONVILLE 10108,S200000,00400,0200,105682 10108,S200000,00400,0300,01/01/1990 10108,S200000,00400,0500,P 10108,S200000,00600,0200,105682 10108,S200000,00600,0300,01/01/1990 10108,S200000,00600,0600,P 10108,S200000,01600,0100,Y 10108,S200000,04900,0100,Y 10118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10118,A000000,00300,0000,00300EMPLOYEE BENEFITS 10118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10118,A000000,00700,0000,00700HOUSEKEEPING 10118,A000000,00800,0000,00800DIETARY 10118,A000000,00900,0000,00900NURSING ADMINISTRATION 10118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10118,A000000,01100,0000,01100PHARMACY 10118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10118,A000000,01300,0000,01300SOCIAL SERVICE 10118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10118,A000000,01600,0000,01600SKILLED NURSING FACILITY 10118,A000000,01800,0000,01800NURSING FACILITY 10118,A000000,01810,0000,01810ICF/MR 10118,A000000,02200,0000,02200LABORATORY 10118,A000000,02500,0000,02500PHYSICAL THERAPY 10118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10118,A000000,02700,0000,02700SPEECH PATHOLOGY 10118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10118,A000000,03550,0000,03550FQHC 10118,A000000,05000,0000,05000CORF 10118,A000000,05010,0000,05010CMHC 10118,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10118,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10118,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10118,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 10118,A000000,06200,0000,06200PATIENTS LAUNDRY 10118,A81000A,00100,0100,Y 10118,A81000B,00100,0300,HOME OFFICE COST 10118,A81000B,00200,0300,HOME OFFICE COST 10118,A81000B,00300,0300,FACILITY LEASE 10118,A81000B,00400,0300,SUPPLIES 10118,A81000B,00500,0300,SUPPLIES 10118,A81000B,00600,0300,SUPPLIES 10118,A81000B,00700,0300,SUPPLIES 10118,A81000B,00800,0300,SUPPLIES 10118,A81000B,00900,0300,SUPPLIES 10118,A81000B,01000,0300,SUPPLIES 10118,A81000B,01100,0300,SUPPLIES 10118,A81000B,01200,0300,SUPPLIES 10118,A81000B,01300,0300,SUPPLIES 10118,A81000B,01400,0300,SUPPLIES 10118,A81000B,01500,0300,SUPPLIES 10118,A81000B,01600,0300,SUPPLIES 10118,A81000B,01700,0300,SUPPLIES 10118,A81000B,01800,0300,SUPPLIES 10118,A81000B,01900,0300,SUPPLIES 10118,A81000C,00100,0100,A 10118,A81000C,00100,0200,SEE HCFA 339 10118,A81000C,00100,0400,DELTA HEALTH GR 10118,A81000C,00100,0600,NURSING HOMES 10118,A81000C,00200,0100,A 10118,A81000C,00200,0200,SEE HCFA 339 10118,A81000C,00200,0400,SKYLER PREMIER 10118,A81000C,00200,0600,PROP. LESSOR 10118,A81000C,00300,0100,A 10118,A81000C,00300,0200,SEE HCFA 339 10118,A81000C,00300,0400,DELTA DURABLES 10118,A81000C,00300,0600,SUPPLIES 10118,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10118,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10118,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10118,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10118,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10118,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10118,B100000,00000,0800,00000MEALS SERVED :DIETARY 10118,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 10118,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10118,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 10118,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 10118,S000000,00100,0200,06/01/2000 10118,S200000,00100,0100,250 BROWARD AVENUE 10118,S200000,00200,0100,LABELLE 10118,S200000,00200,0200,FL 10118,S200000,00200,0300,33935- 10118,S200000,00300,0100,HENDRY 10118,S200000,00300,0200,10 10118,S200000,00300,0300,R 10118,S200000,00400,0100,OAKBROOK OF LABELLE 10118,S200000,00400,0200,105683 10118,S200000,00400,0300,12/01/1989 10118,S200000,00400,0500,P 10118,S200000,00400,0600,O 10118,S200000,00600,0200,105683 10118,S200000,00600,0300,12/01/1989 10118,S200000,00600,0600,P 10118,S200000,01600,0100,Y 10128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10128,A000000,00300,0000,00300EMPLOYEE BENEFITS 10128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10128,A000000,00700,0000,00700HOUSEKEEPING 10128,A000000,00800,0000,00800DIETARY 10128,A000000,00900,0000,00900NURSING ADMINISTRATION 10128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10128,A000000,01100,0000,01100PHARMACY 10128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10128,A000000,01300,0000,01300SOCIAL SERVICE 10128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10128,A000000,01600,0000,01600SKILLED NURSING FACILITY 10128,A000000,01800,0000,01800NURSING FACILITY 10128,A000000,01810,0000,01810ICF/MR 10128,A000000,02100,0000,02100RADIOLOGY 10128,A000000,02200,0000,02200LABORATORY 10128,A000000,02300,0000,02300INTRAVENOUS THERAPY 10128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10128,A000000,02500,0000,02500PHYSICAL THERAPY 10128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10128,A000000,02700,0000,02700SPEECH PATHOLOGY 10128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10128,A000000,03550,0000,03550FQHC 10128,A000000,05000,0000,05000CORF 10128,A000000,05010,0000,05010CMHC 10128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10128,A000000,05300,0000,05300INTEREST EXPENSE 10128,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10128,A81000A,00100,0100,Y 10128,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10128,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10128,A81000B,00300,0300,HEALTH INSURANCE 10128,A81000B,00400,0300,RETIREMENT 10128,A81000B,00600,0300,PHS COST 10128,A81000B,00700,0300,PHS COST 10128,A81000B,00800,0300,PHS COST 10128,A81000B,00900,0300,PHS COST 10128,A81000B,01000,0300,PHS COST 10128,A81000B,01100,0300,PHS COST 10128,A81000B,01200,0300,PHS COST 10128,A81000B,01300,0300,PHS COST 10128,A81000B,01400,0300,NON-ALLOWABLE SELF AUDIT COST 10128,A81000B,01500,0300,NON-ALLOWABLE SELF AUDIT COST 10128,A81000C,00100,0100,B 10128,A81000C,00100,0200,NATIONAL HEALTH 10128,A81000C,00100,0400,PROFESSIONAL HE 10128,A81000C,00100,0600,HEALTH CARE CON 10128,A81000C,00200,0200,CARE CORPORATIO 10128,A81000C,00200,0400,SERVICES 10128,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10128,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10128,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10128,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10128,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10128,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10128,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10128,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10128,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10128,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10128,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10128,E10A180,00350,0100,05/08/2000 10128,S000000,00100,0200,05/26/2000 10128,S200000,00100,0100,800 SE CENTRAL PARKWAY 10128,S200000,00100,0300,1031 10128,S200000,00200,0100,STUART 10128,S200000,00200,0200,FL 10128,S200000,00200,0300,34994- 10128,S200000,00300,0100,MARTIN 10128,S200000,00300,0200,2710 10128,S200000,00300,0300,U 10128,S200000,00400,0100,NHC HEALTHCARE STUART 10128,S200000,00400,0200,105687 10128,S200000,00400,0300,03/22/1990 10128,S200000,00400,0500,P 10128,S200000,00600,0200,105687 10128,S200000,00600,0300,03/22/1990 10128,S200000,00600,0600,P 10128,S200000,01600,0100,Y 10152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10152,A000000,00300,0000,00300EMPLOYEE BENEFITS 10152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10152,A000000,00700,0000,00700HOUSEKEEPING 10152,A000000,00800,0000,00800DIETARY 10152,A000000,00900,0000,00900NURSING ADMINISTRATION 10152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10152,A000000,01100,0000,01100PHARMACY 10152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10152,A000000,01300,0000,01300SOCIAL SERVICE 10152,A000000,01350,0000,01500OTHER GENERAL SERVICES 10152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10152,A000000,01600,0000,01600SKILLED NURSING FACILITY 10152,A000000,01800,0000,01800NURSING FACILITY 10152,A000000,01900,0000,01900OTHER LONG TERM CARE 10152,A000000,02100,0000,02100RADIOLOGY 10152,A000000,02200,0000,02200LABORATORY 10152,A000000,02300,0000,02300INTRAVENOUS THERAPY 10152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10152,A000000,02500,0000,02500PHYSICAL THERAPY 10152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10152,A000000,02700,0000,02700SPEECH PATHOLOGY 10152,A000000,02800,0000,02800ELECTROCARDIOLOGY 10152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10152,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10152,A000000,03200,0000,03200SUPPORT SURFACES 10152,A000000,03400,0000,03400CLINIC 10152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10152,A000000,03500,0000,03500RURAL HEALTH CLINIC 10152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10152,A000000,04800,0000,04800AMBULANCE 10152,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10152,A000000,05000,0000,05000CORF 10152,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10152,A000000,05300,0000,05300INTEREST EXPENSE 10152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10152,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10152,A000000,05500,0000,05500HOSPICE 10152,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10152,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10152,A000000,06100,0000,06100NONPAID WORKERS 10152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10152,A000000,06151,0000,06301ASSISTED LIVING 10152,A000000,06152,0000,06302ADULT DAY CARE 10152,A000000,06200,0000,06200PATIENTS LAUNDRY 10152,A81000A,00100,0100,Y 10152,A81000B,00100,0300,MGMT & ACCTG FEES 10152,A81000B,00200,0300,CAP REL COSTS 10152,A81000C,00100,0100,A 10152,A81000C,00100,0200,JOHN B GOODMAN 10152,A81000C,00100,0400,SAGE COMPANY 10152,A81000C,00100,0600,MANAGEMENT COMPANY 10152,A81000C,00200,0100,A 10152,A81000C,00200,0200,SIDNEY A GOODMAN 10152,A81000C,00200,0400,SAGE COMPANY 10152,A81000C,00200,0600,MANAGEMENT COMPANY 10152,A81000C,00300,0100,A 10152,A81000C,00300,0200,SAGE COMPANY 10152,A81000C,00300,0600,MGMT CO / PARTNER PROVIDE 10152,B100000,00000,0100,00002SQUARE FOOTAGE :CAP REL COSTS - BL 10152,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 10152,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 10152,B100000,00000,0500,00002SQUARE FOOTAGE :PLANT OPERATION M 10152,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 10152,B100000,00000,0750,00002SQUARE FOOTAGE :HOUSEKEEPING 10152,B100000,00000,0800,00002MEALS SERVED :DIETARY 10152,B100000,00000,0900,00002HOURS OF SERVICE :NURSING ADMINISTR 10152,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 10152,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 10152,S000000,00100,0200,04/11/2000 10152,S200000,00100,0100,499 ALTERNATE KEENE ROAD 10152,S200000,00200,0100,LARGO 10152,S200000,00200,0200,FL 10152,S200000,00200,0300,34641- 10152,S200000,00300,0100,PINELLAS 10152,S200000,00300,0200,8280 10152,S200000,00300,0300,U 10152,S200000,00400,0100,SABAL PALMS HEALTH CARE CENTER 10152,S200000,00400,0200,105694 10152,S200000,00400,0300,05/18/1990 10152,S200000,00400,0500,P 10152,S200000,01004,0500,O 10152,S200000,01600,0100,Y 10152,S200000,02800,0100,Y 10152,S200000,04100,0100,Y 10167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10167,A000000,00300,0000,00300EMPLOYEE BENEFITS 10167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10167,A000000,00700,0000,00700HOUSEKEEPING 10167,A000000,00800,0000,00800DIETARY 10167,A000000,00900,0000,00900NURSING ADMINISTRATION 10167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10167,A000000,01100,0000,01100PHARMACY 10167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10167,A000000,01300,0000,01300SOCIAL SERVICE 10167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10167,A000000,01600,0000,01600SKILLED NURSING FACILITY 10167,A000000,01800,0000,01800NURSING FACILITY 10167,A000000,01810,0000,01810ICF/MR 10167,A000000,02100,0000,02100RADIOLOGY 10167,A000000,02200,0000,02200LABORATORY 10167,A000000,02300,0000,02300INTRAVENOUS THERAPY 10167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10167,A000000,02500,0000,02500PHYSICAL THERAPY 10167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10167,A000000,02700,0000,02700SPEECH PATHOLOGY 10167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10167,A000000,03550,0000,03550FQHC 10167,A000000,05000,0000,05000CORF 10167,A000000,05010,0000,05010CMHC 10167,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10167,A000000,05300,0000,05300INTEREST EXPENSE 10167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10167,A81000A,00100,0100,Y 10167,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10167,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10167,A81000B,00300,0300,HEALTH INSURANCE 10167,A81000B,00400,0300,RETIREMENT 10167,A81000B,00600,0300,PHS COST 10167,A81000B,00700,0300,PHS COST 10167,A81000B,00800,0300,PHS COST 10167,A81000B,00900,0300,PHS COST 10167,A81000B,01000,0300,PHS COST 10167,A81000B,01100,0300,PHS COST 10167,A81000B,01200,0300,PHS COST 10167,A81000B,01300,0300,PHS COST 10167,A81000B,01400,0300,NON-ALLOWABLE SELF AUDIT COSTS 10167,A81000B,01500,0300,NON-ALLOWABLE SELF AUDIT COSTS 10167,A81000C,00100,0100,B 10167,A81000C,00100,0200,NATIONAL HEALTH 10167,A81000C,00200,0200,CARE CORPORATIO 10167,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10167,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10167,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10167,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10167,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10167,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10167,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10167,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10167,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10167,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10167,S000000,00100,0200,04/07/2000 10167,S200000,00100,0100,500 CROCKETT BLVD. 10167,S200000,00100,0300,540760 10167,S200000,00200,0100,MERRITT ISLAND 10167,S200000,00200,0200,FL 10167,S200000,00200,0300,32953- 10167,S200000,00300,0100,BREVARD 10167,S200000,00300,0200,4900 10167,S200000,00300,0300,U 10167,S200000,00400,0100,NHC HEALTHCARE MERRITT ISLAND 10167,S200000,00400,0200,105701 10167,S200000,00400,0300,08/01/1990 10167,S200000,00400,0500,P 10167,S200000,00600,0200,105701 10167,S200000,00600,0300,08/01/1990 10167,S200000,00600,0600,P 10167,S200000,01600,0100,Y 10178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10178,A000000,00300,0000,00300EMPLOYEE BENEFITS 10178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10178,A000000,00700,0000,00700HOUSEKEEPING 10178,A000000,00800,0000,00800DIETARY 10178,A000000,00900,0000,00900NURSING ADMINISTRATION 10178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10178,A000000,01100,0000,01100PHARMACY 10178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10178,A000000,01300,0000,01300SOCIAL SERVICE 10178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10178,A000000,01600,0000,01600SKILLED NURSING FACILITY 10178,A000000,01800,0000,01800NURSING FACILITY 10178,A000000,01810,0000,01810ICF/MR 10178,A000000,02100,0000,02100RADIOLOGY 10178,A000000,02200,0000,02200LABORATORY 10178,A000000,02300,0000,02300INTRAVENOUS THERAPY 10178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10178,A000000,02500,0000,02500PHYSICAL THERAPY 10178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10178,A000000,02700,0000,02700SPEECH PATHOLOGY 10178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10178,A000000,03550,0000,03550FQHC 10178,A000000,05000,0000,05000CORF 10178,A000000,05010,0000,05010CMHC 10178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10178,A000000,05300,0000,05300INTEREST EXPENSE 10178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10178,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10178,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10178,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10178,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10178,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10178,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10178,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10178,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10178,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10178,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10178,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10178,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10178,S000000,00100,0200,04/12/2000 10178,S200000,00100,0100,5157 PARK CLUB DRIVE 10178,S200000,00100,0300,37598 10178,S200000,00200,0100,SARASOTA 10178,S200000,00200,0200,FL 10178,S200000,00200,0300,34235- 10178,S200000,00300,0100,SARASOTA 10178,S200000,00300,0200,7510 10178,S200000,00300,0300,U 10178,S200000,00400,0100,SARASOTA HEALTH CARE CENTER 10178,S200000,00400,0200,105702 10178,S200000,00400,0300,01/01/1990 10178,S200000,00400,0500,P 10178,S200000,00600,0200,105702 10178,S200000,00600,0300,01/01/1990 10178,S200000,00600,0600,P 10178,S200000,01600,0100,Y 10189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10189,A000000,00300,0000,00300EMPLOYEE BENEFITS 10189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10189,A000000,00700,0000,00700HOUSEKEEPING 10189,A000000,00800,0000,00800DIETARY 10189,A000000,00900,0000,00900NURSING ADMINISTRATION 10189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10189,A000000,01100,0000,01100PHARMACY 10189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10189,A000000,01300,0000,01300SOCIAL SERVICE 10189,A000000,01350,0000,01500ACTIVITIES 10189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10189,A000000,01600,0000,01600SKILLED NURSING FACILITY 10189,A000000,01800,0000,01800NURSING FACILITY 10189,A000000,01810,0000,01810ICF/MR 10189,A000000,01900,0000,01900OTHER LONG TERM CARE 10189,A000000,02100,0000,02100RADIOLOGY 10189,A000000,02200,0000,02200LABORATORY 10189,A000000,02300,0000,02300INTRAVENOUS THERAPY 10189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10189,A000000,02500,0000,02500PHYSICAL THERAPY 10189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10189,A000000,02700,0000,02700SPEECH PATHOLOGY 10189,A000000,02800,0000,02800ELECTROCARDIOLOGY 10189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10189,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10189,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10189,A000000,03200,0000,03200SUPPORT SURFACES 10189,A000000,03400,0000,03400CLINIC 10189,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10189,A000000,03500,0000,03500RURAL HEALTH CLINIC 10189,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10189,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10189,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10189,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10189,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10189,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10189,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10189,A000000,04400,0000,04400DME RENTED - HHA 10189,A000000,04500,0000,04500DME SOLD - HHA 10189,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10189,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10189,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10189,A000000,04800,0000,04800AMBULANCE 10189,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10189,A000000,05000,0000,05000CORF 10189,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10189,A000000,05300,0000,05300INTEREST EXPENSE 10189,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10189,A000000,05500,0000,05500HOSPICE 10189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10189,A000000,06100,0000,06100NONPAID WORKERS 10189,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10189,A000000,06200,0000,06200PATIENTS LAUNDRY 10189,A81000A,00100,0100,Y 10189,A81000B,00100,0300,MANAGEMENT FEE 10189,A81000B,00200,0300,HOME OFFICE CAPITAL 10189,A81000C,00100,0100,B 10189,A81000C,00100,0200,JOHNSON EZELL CORPORATION 10189,A81000C,00100,0600,HOME OFFICE 10189,A81000C,00200,0100,B 10189,A81000C,00200,0200,JOHNSON EZELL CORPORATION 10189,A81000C,00200,0600,HOME OFFICE 10189,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10189,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10189,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10189,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10189,B100000,00000,0750,00000SQUARE FEET(MOD) :HOUSEKEEPING 10189,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10189,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10189,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10189,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10189,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10189,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10189,S000000,00100,0200,06/02/2000 10189,S200000,00100,0100,701 LAKE PORT BOULEVARD 10189,S200000,00200,0100,LEESBURG 10189,S200000,00200,0200,FL 10189,S200000,00200,0300,34748- 10189,S200000,00300,0100,LAKE 10189,S200000,00300,0200,5960 10189,S200000,00300,0300,U 10189,S200000,00400,0100,LAKE PORT NURSING CENTER 10189,S200000,00400,0200,105705 10189,S200000,00400,0300,08/07/1990 10189,S200000,00400,0500,P 10189,S200000,01600,0100,Y 10199,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10199,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10199,A000000,00300,0000,00300EMPLOYEE BENEFITS 10199,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10199,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10199,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10199,A000000,00700,0000,00700HOUSEKEEPING 10199,A000000,00800,0000,00800DIETARY 10199,A000000,00900,0000,00900NURSING ADMINISTRATION 10199,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10199,A000000,01100,0000,01100PHARMACY 10199,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10199,A000000,01300,0000,01300SOCIAL SERVICE 10199,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10199,A000000,01600,0000,01600SKILLED NURSING FACILITY 10199,A000000,01800,0000,01800NURSING FACILITY 10199,A000000,01810,0000,01810ICF/MR 10199,A000000,02100,0000,02100RADIOLOGY 10199,A000000,02200,0000,02200LABORATORY 10199,A000000,02300,0000,02300INTRAVENOUS THERAPY 10199,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10199,A000000,02500,0000,02500PHYSICAL THERAPY 10199,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10199,A000000,02700,0000,02700SPEECH PATHOLOGY 10199,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10199,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10199,A000000,03550,0000,03550FQHC 10199,A000000,05000,0000,05000CORF 10199,A000000,05010,0000,05010CMHC 10199,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10199,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10199,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10199,A000000,05300,0000,05300INTEREST EXPENSE 10199,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10199,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10199,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10199,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10199,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10199,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10199,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10199,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10199,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10199,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10199,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10199,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10199,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10199,S000000,00100,0200,04/07/2000 10199,S200000,00100,0100,1556 MAGUIRE ROAD 10199,S200000,00100,0300,ER 400 10199,S200000,00200,0100,OCOEE 10199,S200000,00200,0200,FL 10199,S200000,00200,0300,34761- 10199,S200000,00300,0100,ORANGE 10199,S200000,00300,0200,5960 10199,S200000,00300,0300,U 10199,S200000,00400,0100,OCOEE HEALTH CARE CENTER 10199,S200000,00400,0200,105706 10199,S200000,00400,0300,01/01/1990 10199,S200000,00400,0500,P 10199,S200000,00600,0200,105706 10199,S200000,00600,0300,01/01/1990 10199,S200000,00600,0600,P 10199,S200000,01600,0100,Y 10208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10208,A000000,00300,0000,00300EMPLOYEE BENEFITS 10208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10208,A000000,00700,0000,00700HOUSEKEEPING 10208,A000000,00800,0000,00800DIETARY 10208,A000000,00900,0000,00900NURSING ADMINISTRATION 10208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10208,A000000,01100,0000,01100PHARMACY 10208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10208,A000000,01300,0000,01300SOCIAL SERVICE 10208,A000000,01350,0000,01500ACTIVITIES 10208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10208,A000000,01600,0000,01600SKILLED NURSING FACILITY 10208,A000000,01800,0000,01800NURSING FACILITY 10208,A000000,01810,0000,01810ICF/MR 10208,A000000,01900,0000,01900OTHER LONG TERM CARE 10208,A000000,02100,0000,02100RADIOLOGY 10208,A000000,02200,0000,02200LABORATORY 10208,A000000,02300,0000,02300INTRAVENOUS THERAPY 10208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10208,A000000,02500,0000,02500PHYSICAL THERAPY 10208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10208,A000000,02700,0000,02700SPEECH PATHOLOGY 10208,A000000,02800,0000,02800ELECTROCARDIOLOGY 10208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10208,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10208,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10208,A000000,03200,0000,03200SUPPORT SURFACES 10208,A000000,03400,0000,03400CLINIC 10208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10208,A000000,03500,0000,03500RURAL HEALTH CLINIC 10208,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10208,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10208,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10208,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10208,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10208,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10208,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10208,A000000,04400,0000,04400DME RENTED - HHA 10208,A000000,04500,0000,04500DME SOLD - HHA 10208,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10208,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10208,A000000,04800,0000,04800AMBULANCE 10208,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10208,A000000,05000,0000,05000CORF 10208,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10208,A000000,05300,0000,05300INTEREST EXPENSE 10208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10208,A000000,05500,0000,05500HOSPICE 10208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10208,A000000,06100,0000,06100NONPAID WORKERS 10208,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10208,A000000,06200,0000,06200PATIENTS LAUNDRY 10208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10208,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10208,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10208,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10208,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10208,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10208,S000000,00100,0200,06/26/2000 10208,S200000,00100,0100,7501 38TH AVENUE N 10208,S200000,00200,0100,ST. PETERSBURG 10208,S200000,00200,0200,FL 10208,S200000,00200,0300,33710- 10208,S200000,00300,0100,PINELLAS 10208,S200000,00300,0200,8280 10208,S200000,00300,0300,U 10208,S200000,00400,0100,THE ALHAMBRA NURSING HOME INC. 10208,S200000,00400,0200,105712 10208,S200000,00400,0300,11/30/1990 10208,S200000,00400,0500,P 10208,S200000,01600,0100,Y 10216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10216,A000000,00300,0000,00300EMPLOYEE BENEFITS 10216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10216,A000000,00700,0000,00700HOUSEKEEPING 10216,A000000,00800,0000,00800DIETARY 10216,A000000,00900,0000,00900NURSING ADMINISTRATION 10216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10216,A000000,01100,0000,01100PHARMACY 10216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10216,A000000,01300,0000,01300SOCIAL SERVICE 10216,A000000,01350,0000,01500OTHER GENERAL SERVICES 10216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10216,A000000,01600,0000,01600SKILLED NURSING FACILITY 10216,A000000,01800,0000,01800NURSING FACILITY 10216,A000000,01810,0000,01810ICF/MR 10216,A000000,01900,0000,01900OTHER LONG TERM CARE 10216,A000000,02100,0000,02100RADIOLOGY 10216,A000000,02200,0000,02200LABORATORY 10216,A000000,02300,0000,02300INTRAVENOUS THERAPY 10216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10216,A000000,02500,0000,02500PHYSICAL THERAPY 10216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10216,A000000,02700,0000,02700SPEECH PATHOLOGY 10216,A000000,02800,0000,02800ELECTROCARDIOLOGY 10216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10216,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10216,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10216,A000000,03200,0000,03200SUPPORT SURFACES 10216,A000000,03400,0000,03400CLINIC 10216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10216,A000000,03500,0000,03500RURAL HEALTH CLINIC 10216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10216,A000000,04800,0000,04800AMBULANCE 10216,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10216,A000000,05000,0000,05000CORF 10216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10216,A000000,05300,0000,05300INTEREST EXPENSE 10216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10216,A000000,05500,0000,05500HOSPICE 10216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10216,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10216,A000000,06100,0000,06100NONPAID WORKERS 10216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10216,A000000,06200,0000,06200PATIENTS LAUNDRY 10216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10216,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10216,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10216,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10216,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10216,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10216,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10216,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10216,S000000,00100,0200,03/17/2000 10216,S200000,00100,0100,16100 NW 2ND AVENUE 10216,S200000,00200,0100,NORTH MIAMI BEACH 10216,S200000,00200,0200,FL 10216,S200000,00200,0300,33169- 10216,S200000,00300,0100,DADE 10216,S200000,00300,0200,5000 10216,S200000,00300,0300,U 10216,S200000,00400,0100,HAMPTON COURT NURSING HOME 10216,S200000,00400,0200,105715 10216,S200000,00400,0300,01/03/1991 10216,S200000,00400,0500,P 10216,S200000,01600,0100,Y 10228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10228,A000000,00300,0000,00300EMPLOYEE BENEFITS 10228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10228,A000000,00700,0000,00700HOUSEKEEPING 10228,A000000,00800,0000,00800DIETARY 10228,A000000,00900,0000,00900NURSING ADMINISTRATION 10228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10228,A000000,01100,0000,01100PHARMACY 10228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10228,A000000,01300,0000,01300SOCIAL SERVICE 10228,A000000,01350,0000,01500OTHER GENERAL SERVICES 10228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10228,A000000,01600,0000,01600SKILLED NURSING FACILITY 10228,A000000,01800,0000,01800NURSING FACILITY 10228,A000000,01900,0000,01900OTHER LONG TERM CARE 10228,A000000,02200,0000,02201RADIOLOGY 10228,A000000,02201,0000,02803LABORATORY 10228,A000000,02301,0000,02301EQUIPMENTAL RENTAL - CLINITRON 10228,A000000,02302,0000,02801INTRAVENOUS THERAPY 10228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10228,A000000,02500,0000,02500PHYSICAL THERAPY 10228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10228,A000000,02700,0000,02700SPEECH PATHOLOGY 10228,A000000,02800,0000,02800ELECTROCARDIOLOGY 10228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10228,A000000,03050,0000,03300AIR FLUIDIZATION 10228,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10228,A000000,03200,0000,03200SUPPORT SURFACES 10228,A000000,03400,0000,03400CLINIC 10228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10228,A000000,03500,0000,03500RURAL HEALTH CLINIC 10228,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10228,A000000,04800,0000,04800AMBULANCE 10228,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10228,A000000,05000,0000,05000CORF 10228,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10228,A000000,05300,0000,05300INTEREST EXPENSE 10228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10228,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10228,A000000,05500,0000,05500HOSPICE 10228,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10228,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10228,A000000,06001,0000,06001PEN PART B 10228,A000000,06002,0000,06002VENDING 10228,A000000,06003,0000,06003PHYSICIANS PRIVATE OFFICES 10228,A000000,06100,0000,06100NONPAID WORKERS 10228,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10228,A000000,06200,0000,06200PATIENTS LAUNDRY 10228,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10228,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10228,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 10228,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10228,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10228,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10228,B100000,00000,0800,00000MEALS SERVED :DIETARY 10228,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10228,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10228,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10228,E10A180,00301,0100,11/18/1999 10228,E10A180,00302,0100,12/06/1999 10228,E10A180,00303,0100,04/10/2000 10228,S000000,00100,0200,01/09/2001 10228,S200000,00100,0100,9848 SW 110TH STREET 10228,S200000,00200,0100,OCALA 10228,S200000,00200,0200,FL 10228,S200000,00200,0300,34481-7653 10228,S200000,00300,0100,MARION 10228,S200000,00300,0200,5790 10228,S200000,00300,0300,U 10228,S200000,00400,0100,TIMBERRIDGE NURSING AND REHABILITATI 10228,S200000,00400,0200,105717 10228,S200000,00400,0300,01/01/1990 10228,S200000,00400,0500,P 10228,S200000,00600,0200,105717 10228,S200000,00600,0300,01/01/1990 10228,S200000,00600,0600,P 10228,S200000,01600,0100,Y 10238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10238,A000000,00300,0000,00300EMPLOYEE BENEFITS 10238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10238,A000000,00700,0000,00700HOUSEKEEPING 10238,A000000,00800,0000,00800DIETARY 10238,A000000,00900,0000,00900NURSING ADMINISTRATION 10238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10238,A000000,01100,0000,01100PHARMACY 10238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10238,A000000,01300,0000,01300SOCIAL SERVICE 10238,A000000,01350,0000,01500OTHER GENERAL SERVICES 10238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10238,A000000,01600,0000,01600SKILLED NURSING FACILITY 10238,A000000,01800,0000,01800NURSING FACILITY 10238,A000000,01810,0000,01810ICF/MR 10238,A000000,01900,0000,01900OTHER LONG TERM CARE 10238,A000000,02100,0000,02100RADIOLOGY 10238,A000000,02200,0000,02200LABORATORY 10238,A000000,02300,0000,02300INTRAVENOUS THERAPY 10238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10238,A000000,02500,0000,02500PHYSICAL THERAPY 10238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10238,A000000,02700,0000,02700SPEECH PATHOLOGY 10238,A000000,02800,0000,02800ELECTROCARDIOLOGY 10238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10238,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10238,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10238,A000000,03200,0000,03200SUPPORT SURFACES 10238,A000000,03400,0000,03400CLINIC 10238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10238,A000000,03500,0000,03500RURAL HEALTH CLINIC 10238,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10238,A000000,04800,0000,04800AMBULANCE 10238,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10238,A000000,05000,0000,05000CORF 10238,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10238,A000000,05300,0000,05300INTEREST EXPENSE 10238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10238,A000000,05500,0000,05500HOSPICE 10238,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10238,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10238,A000000,06100,0000,06100NONPAID WORKERS 10238,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10238,A000000,06200,0000,06200PATIENTS LAUNDRY 10238,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10238,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10238,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10238,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10238,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10238,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10238,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10238,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10238,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10238,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10238,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10238,S000000,00100,0200,06/05/2000 10238,S200000,00100,0100,11215 S.W. 84 STREET 10238,S200000,00200,0100,MIAMI 10238,S200000,00200,0200,FL 10238,S200000,00200,0300,33173- 10238,S200000,00300,0100,DADE 10238,S200000,00300,0200,5000 10238,S200000,00300,0300,U 10238,S200000,00400,0100,THE PALACE AT KENDALL NURSING & REHA 10238,S200000,00400,0200,105719 10238,S200000,00400,0300,03/18/1991 10238,S200000,00400,0500,P 10238,S200000,01600,0100,Y 10247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10247,A000000,00300,0000,00300EMPLOYEE BENEFITS 10247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10247,A000000,00700,0000,00700HOUSEKEEPING 10247,A000000,00800,0000,00800DIETARY 10247,A000000,00900,0000,00900NURSING ADMINISTRATION 10247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10247,A000000,01100,0000,01100PHARMACY 10247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10247,A000000,01300,0000,01300SOCIAL SERVICE 10247,A000000,01350,0000,01500ACTIVITIES 10247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10247,A000000,01600,0000,01600SKILLED NURSING FACILITY 10247,A000000,01800,0000,01800NURSING FACILITY 10247,A000000,01810,0000,01810ICF/MR 10247,A000000,01900,0000,01900OTHER LONG TERM CARE 10247,A000000,02100,0000,02100RADIOLOGY 10247,A000000,02200,0000,02200LABORATORY 10247,A000000,02300,0000,02300INTRAVENOUS THERAPY 10247,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10247,A000000,02500,0000,02500PHYSICAL THERAPY 10247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10247,A000000,02700,0000,02700SPEECH PATHOLOGY 10247,A000000,02800,0000,02800ELECTROCARDIOLOGY 10247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10247,A000000,03050,0000,03300AIR FLUIDIZED BEDS 10247,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10247,A000000,03200,0000,03200SUPPORT SURFACES 10247,A000000,03400,0000,03400CLINIC 10247,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10247,A000000,03500,0000,03500RURAL HEALTH CLINIC 10247,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10247,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10247,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10247,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10247,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10247,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10247,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10247,A000000,04400,0000,04400DME RENTED - HHA 10247,A000000,04500,0000,04500DME SOLD - HHA 10247,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10247,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10247,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10247,A000000,04800,0000,04800AMBULANCE 10247,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10247,A000000,05000,0000,05000CORF 10247,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10247,A000000,05300,0000,05300INTEREST EXPENSE 10247,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10247,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10247,A000000,05500,0000,05500HOSPICE 10247,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10247,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10247,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10247,A000000,06100,0000,06100NONPAID WORKERS 10247,A000000,06150,0000,06300RETIREMENT CENTER 10247,A000000,06151,0000,06301GUEST MEALS NONREIMB 10247,A000000,06200,0000,06200PATIENTS LAUNDRY 10247,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 10247,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 10247,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 10247,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 10247,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 10247,B100000,00000,0750,00001MOD SQUARE :HOUSEKEEPING 10247,B100000,00000,0800,00001MEALS SERVED :DIETARY 10247,B100000,00000,0950,00001NURSING SALARIES :NURSING ADMINIST 10247,B100000,00000,1050,00001GROSS CHARGES :CENTRAL SERVICES & 10247,B100000,00000,1250,00001GROSS CHARGES :MEDICAL RECORDS & L 10247,B100000,00000,1330,00001GROSS CHARGES :SOCIAL SERVICE 10247,B100000,00000,1350,00001GROSS CHARGES :ACTIVITIES 10247,S000000,00100,0200,05/30/2000 10247,S200000,00100,0100,1620 MAYFLOWER COURT 10247,S200000,00200,0100,WINTER PARK 10247,S200000,00200,0200,FL 10247,S200000,00200,0300,32792- 10247,S200000,00300,0100,ORANGE 10247,S200000,00300,0200,5960 10247,S200000,00300,0300,U 10247,S200000,00400,0100,MAYFLOWER RETIREMENT COMMUNITY 10247,S200000,00400,0200,105720 10247,S200000,00400,0300,03/28/1991 10247,S200000,00400,0500,P 10247,S200000,01600,0100,Y 10255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10255,A000000,00300,0000,00300EMPLOYEE BENEFITS 10255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10255,A000000,00700,0000,00700HOUSEKEEPING 10255,A000000,00800,0000,00800DIETARY 10255,A000000,00900,0000,00900NURSING ADMINISTRATION 10255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10255,A000000,01100,0000,01100PHARMACY 10255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10255,A000000,01300,0000,01300SOCIAL SERVICE 10255,A000000,01600,0000,01600SKILLED NURSING FACILITY 10255,A000000,01800,0000,01800NURSING FACILITY 10255,A000000,01810,0000,01810ICF/MR 10255,A000000,01900,0000,01900OTHER LONG TERM CARE 10255,A000000,02100,0000,02100RADIOLOGY 10255,A000000,02200,0000,02200LABORATORY 10255,A000000,02300,0000,02300INTRAVENOUS THERAPY 10255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10255,A000000,02500,0000,02500PHYSICAL THERAPY 10255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10255,A000000,02700,0000,02700SPEECH PATHOLOGY 10255,A000000,02800,0000,02800ELECTROCARDIOLOGY 10255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10255,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10255,A000000,03200,0000,03200SUPPORT SURFACES 10255,A000000,03400,0000,03400CLINIC 10255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10255,A000000,03500,0000,03500RURAL HEALTH CLINIC 10255,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10255,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10255,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10255,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10255,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10255,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10255,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10255,A000000,04400,0000,04400DME RENTED - HHA 10255,A000000,04500,0000,04500DME SOLD - HHA 10255,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10255,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10255,A000000,04800,0000,04800AMBULANCE 10255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10255,A000000,05000,0000,05000CORF 10255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10255,A000000,05300,0000,05300INTEREST EXPENSE 10255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10255,A000000,05500,0000,05500HOSPICE 10255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10255,A000000,06100,0000,06100NONPAID WORKERS 10255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10255,A000000,06200,0000,06200PATIENTS LAUNDRY 10255,A81000B,00100,0300,PENSION EXPENSE 10255,A81000B,00200,0300,WORK. COMP. EXPENSE 10255,A81000B,00300,0300,OTHER INSUR. EXPENSE 10255,A81000B,00400,0300,UNEMPLOY. EXPENSE 10255,A81000B,00500,0300,PROPERTY INSUR. EXPENSE 10255,A81000C,00100,0100,B 10255,A81000C,00100,0200,ALL SAINTS CATH NSG HOME 10255,A81000C,00100,0400,DIOCESE OF ST.AUGUSTINE 10255,A81000C,00100,0600,CHURCH 10255,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10255,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10255,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10255,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10255,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10255,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10255,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10255,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 10255,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10255,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10255,S000000,00100,0200,08/23/2000 10255,S200000,00100,0100,5888 BLANDING BLVD. 10255,S200000,00200,0100,JACKSONVILLE 10255,S200000,00200,0200,FL 10255,S200000,00200,0300,32244-1927 10255,S200000,00300,0100,DUVAL 10255,S200000,00300,0200,3600 10255,S200000,00300,0300,U 10255,S200000,00400,0100,ALL SAINTS CATHOLIC NURSING HOME 10255,S200000,00400,0200,105721 10255,S200000,00400,0300,04/19/1991 10255,S200000,00400,0500,P 10255,S200000,01500,0100,Y 10263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10263,A000000,00300,0000,00300EMPLOYEE BENEFITS 10263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10263,A000000,00700,0000,00700HOUSEKEEPING 10263,A000000,00800,0000,00800DIETARY 10263,A000000,00900,0000,00900NURSING ADMINISTRATION 10263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10263,A000000,01300,0000,01300SOCIAL SERVICE 10263,A000000,01600,0000,01600SKILLED NURSING FACILITY 10263,A000000,01800,0000,01800NURSING FACILITY 10263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10263,A000000,02500,0000,02500PHYSICAL THERAPY 10263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10263,A000000,02700,0000,02700SPEECH PATHOLOGY 10263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10263,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10263,A000000,03200,0000,03200SUPPORT SURFACES 10263,A000000,04800,0000,04800AMBULANCE 10263,A000000,05300,0000,05300INTEREST EXPENSE 10263,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10263,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10263,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10263,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10263,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10263,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10263,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10263,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10263,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10263,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10263,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10263,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10263,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10263,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10263,S000000,00100,0200,06/02/2000 10263,S200000,00100,0100,1203 22 STREET 10263,S200000,00200,0100,TAMPA 10263,S200000,00200,0200,FL 10263,S200000,00200,0300,33605- 10263,S200000,00300,0100,HILLSBOROUGH 10263,S200000,00300,0200,8280 10263,S200000,00300,0300,U 10263,S200000,00400,0100,THE HOME ASSOCIATION 10263,S200000,00400,0200,105725 10263,S200000,00400,0300,04/22/1991 10263,S200000,00400,0500,P 10263,S200000,01004,0500,O 10263,S200000,01600,0100,Y 10271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10271,A000000,00300,0000,00300EMPLOYEE BENEFITS 10271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10271,A000000,00700,0000,00700HOUSEKEEPING 10271,A000000,00800,0000,00800DIETARY 10271,A000000,00900,0000,00900NURSING ADMINISTRATION 10271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10271,A000000,01100,0000,01100PHARMACY 10271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10271,A000000,01300,0000,01300SOCIAL SERVICE 10271,A000000,01350,0000,01500OTHER GENERAL SERVICES 10271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10271,A000000,01600,0000,01600SKILLED NURSING FACILITY 10271,A000000,01800,0000,01800NURSING FACILITY 10271,A000000,01810,0000,01810ICF/MR 10271,A000000,01900,0000,01900OTHER LONG TERM CARE 10271,A000000,02100,0000,02100RADIOLOGY 10271,A000000,02200,0000,02200LABORATORY 10271,A000000,02300,0000,02300INTRAVENOUS THERAPY 10271,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10271,A000000,02500,0000,02500PHYSICAL THERAPY 10271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10271,A000000,02700,0000,02700SPEECH PATHOLOGY 10271,A000000,02800,0000,02800ELECTROCARDIOLOGY 10271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10271,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10271,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10271,A000000,03200,0000,03200SUPPORT SURFACES 10271,A000000,03400,0000,03400CLINIC 10271,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10271,A000000,03500,0000,03500RURAL HEALTH CLINIC 10271,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10271,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10271,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10271,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10271,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10271,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10271,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10271,A000000,04400,0000,04400DME RENTED - HHA 10271,A000000,04500,0000,04500DME SOLD - HHA 10271,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10271,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10271,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10271,A000000,04800,0000,04800AMBULANCE 10271,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10271,A000000,05000,0000,05000CORF 10271,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10271,A000000,05300,0000,05300INTEREST EXPENSE 10271,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10271,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10271,A000000,05500,0000,05500HOSPICE 10271,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10271,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10271,A000000,06100,0000,06100NONPAID WORKERS 10271,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10271,A000000,06200,0000,06200PATIENTS LAUNDRY 10271,A81000A,00100,0100,Y 10271,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEE 10271,A81000B,00200,0300,HOME OFFICE EXPENSE ALLOCATION 10271,A81000B,00300,0300,INTEREST - MANAGEMENT FEES 10271,A81000B,00400,0300,HOME OFFICE PROPERTY 10271,A81000C,00100,0100,A 10271,A81000C,00100,0200,MARILYN GUMMELS 10271,A81000C,00100,0400,BROOKWOOD INVESTMENTS 10271,A81000C,00100,0600,MANAGEMENT COMPANY 10271,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10271,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10271,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10271,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10271,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10271,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10271,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10271,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10271,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 10271,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10271,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10271,S000000,00100,0200,05/30/2000 10271,S200000,00100,0100,805 USERY ROAD 10271,S200000,00100,0300,917 10271,S200000,00200,0100,CHIPLEY 10271,S200000,00200,0200,FL 10271,S200000,00200,0300,32428- 10271,S200000,00300,0100,WASHINGTON 10271,S200000,00300,0200,10 10271,S200000,00300,0300,R 10271,S200000,00400,0100,WASHINGTON COUNTY CONVALESCENT CENTE 10271,S200000,00400,0200,105727 10271,S200000,00400,0300,06/01/1991 10271,S200000,00400,0500,P 10271,S200000,01600,0100,Y 10274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10274,A000000,00300,0000,00300EMPLOYEE BENEFITS 10274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10274,A000000,00700,0000,00700HOUSEKEEPING 10274,A000000,00800,0000,00800DIETARY 10274,A000000,00900,0000,00900NURSING ADMINISTRATION 10274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10274,A000000,01100,0000,01100PHARMACY 10274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10274,A000000,01300,0000,01300SOCIAL SERVICE 10274,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10274,A000000,01600,0000,01600SKILLED NURSING FACILITY 10274,A000000,01800,0000,01800NURSING FACILITY 10274,A000000,01900,0000,01900OTHER LONG TERM CARE 10274,A000000,02100,0000,02100RADIOLOGY 10274,A000000,02204,0000,02204AIR FLUIDIZATION 10274,A000000,02300,0000,02300INTRAVENOUS THERAPY 10274,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10274,A000000,02500,0000,02500PHYSICAL THERAPY 10274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10274,A000000,02700,0000,02700SPEECH PATHOLOGY 10274,A000000,02800,0000,02800ELECTROCARDIOLOGY 10274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10274,A000000,03050,0000,03300CLINITRON 10274,A000000,03051,0000,03301AMBULANCE EKG PULMONARY 10274,A000000,03200,0000,03200SUPPORT SURFACES 10274,A000000,03201,0000,03201LABORATORY 10274,A000000,03400,0000,03400CLINIC 10274,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10274,A000000,03500,0000,03500RURAL HEALTH CLINIC 10274,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10274,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10274,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10274,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10274,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10274,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10274,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10274,A000000,04400,0000,04400DME RENTED - HHA 10274,A000000,04500,0000,04500DME SOLD - HHA 10274,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10274,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10274,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10274,A000000,04800,0000,04800AMBULANCE 10274,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10274,A000000,05000,0000,05000CORF 10274,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10274,A000000,05300,0000,05300INTEREST EXPENSE 10274,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10274,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10274,A000000,05500,0000,05500HOSPICE 10274,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10274,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10274,A000000,06001,0000,06001ACLF & RESIDENTIAL LIVING 10274,A000000,06100,0000,06100NONPAID WORKERS 10274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10274,A000000,06200,0000,06200PATIENTS LAUNDRY 10274,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10274,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10274,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10274,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10274,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10274,B100000,00000,0800,00000MEALS SERVED :DIETARY 10274,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10274,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10274,S000000,00100,0200,01/08/2001 10274,S200000,00100,0100,830 WEST 29TH STREET 10274,S200000,00200,0100,ORLANDO 10274,S200000,00200,0200,FL 10274,S200000,00200,0300,32801- 10274,S200000,00300,0100,ORANGE 10274,S200000,00300,0200,5960 10274,S200000,00300,0300,U 10274,S200000,00400,0100,WESTMINSTER CARE OF ORLANDO 10274,S200000,00400,0200,105728 10274,S200000,00400,0300,09/06/1990 10274,S200000,00400,0500,P 10274,S200000,01004,0500,O 10274,S200000,01500,0100,Y 10284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10284,A000000,00300,0000,00300EMPLOYEE BENEFITS 10284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10284,A000000,00700,0000,00700HOUSEKEEPING 10284,A000000,00800,0000,00800DIETARY 10284,A000000,00900,0000,00900NURSING ADMINISTRATION 10284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10284,A000000,01100,0000,01100PHARMACY 10284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10284,A000000,01300,0000,01300SOCIAL SERVICE 10284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10284,A000000,01600,0000,01600SKILLED NURSING FACILITY 10284,A000000,01800,0000,01800NURSING FACILITY 10284,A000000,01810,0000,01810ICF/MR 10284,A000000,01900,0000,01900OTHER LONG TERM CARE 10284,A000000,02200,0000,02200LABORATORY 10284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10284,A000000,02500,0000,02500PHYSICAL THERAPY 10284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10284,A000000,02700,0000,02700SPEECH PATHOLOGY 10284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10284,A000000,03550,0000,03550FQHC 10284,A000000,05000,0000,05000CORF 10284,A000000,05010,0000,05010CMHC 10284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10284,A000000,06150,0000,06300PATIENT PERSONAL NEED 10284,A000000,06200,0000,06200PATIENTS LAUNDRY 10284,A81000A,00100,0100,Y 10284,A81000B,00100,0300,H/O ALLOWABLE 10284,A81000B,00200,0300,H/O ALLOWABLE 10284,A81000B,00300,0300,DELTA DURABLES ADJUS 10284,A81000B,00400,0300,DELTA DURABLES ADJ 10284,A81000B,00500,0300,DELTA DURABLES ADJ. 10284,A81000B,00600,0300,DELTA DURABLES ADJ. 10284,A81000B,00700,0300,DELTA DURABLES ADJ. 10284,A81000B,00800,0300,DELTA DURABLES ADJ. 10284,A81000B,00900,0300,DELTA DURABLES ADJ. 10284,A81000B,01000,0300,DELTA DURABLES ADJ. 10284,A81000B,01100,0300,DELTA DURABLES ADJ. 10284,A81000B,01200,0300,DELTA DURABLES ADJ. 10284,A81000B,01300,0300,DELTA DURABLES ADJ. 10284,A81000B,01400,0300,DELTA DURABLES ADJ. 10284,A81000B,01500,0300,RENT ADJUSTMENT 10284,A81000C,00100,0100,B 10284,A81000C,00100,0400,DHG INC. 10284,A81000C,00100,0600,OPERATE NURSING 10284,A81000C,00200,0100,A 10284,A81000C,00200,0200,SEE HCFA 339 10284,A81000C,00200,0400,DELTA FL PROPER 10284,A81000C,00200,0600,PROPERTY LESSOR 10284,A81000C,00300,0100,A 10284,A81000C,00300,0200,SEE HCFA 339 10284,A81000C,00300,0400,DELTA DURABLES 10284,A81000C,00300,0600,SUPPLIER 10284,A81000C,00400,0100,0 10284,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10284,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10284,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10284,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10284,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10284,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10284,B100000,00000,0800,00000MEALS SERVED :DIETARY 10284,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 10284,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10284,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 10284,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 10284,S000000,00100,0200,06/01/2000 10284,S200000,00100,0100,4294 3RD AVENUE 10284,S200000,00200,0100,MARIANNA 10284,S200000,00200,0200,FL 10284,S200000,00200,0300,32446- 10284,S200000,00300,0100,JACKSON 10284,S200000,00300,0200,10 10284,S200000,00300,0300,R 10284,S200000,00400,0100,CHIPOLA NURSING PAVILION 10284,S200000,00400,0200,105729 10284,S200000,00400,0300,05/07/1991 10284,S200000,00400,0500,P 10284,S200000,00400,0600,O 10284,S200000,00600,0200,105729 10284,S200000,00600,0300,05/07/1991 10284,S200000,00600,0600,P 10284,S200000,01600,0100,Y 10293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10293,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 10293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10293,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 10293,A000000,00300,0000,00300EMPLOYEE BENEFITS 10293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10293,A000000,00700,0000,00700HOUSEKEEPING 10293,A000000,00800,0000,00800DIETARY 10293,A000000,00801,0000,00801CAFETERIA 10293,A000000,00900,0000,00900NURSING ADMINISTRATION 10293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10293,A000000,01100,0000,01100PHARMACY 10293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10293,A000000,01300,0000,01300SOCIAL SERVICE 10293,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10293,A000000,01600,0000,01600SKILLED NURSING FACILITY 10293,A000000,01800,0000,01800NURSING FACILITY 10293,A000000,01900,0000,01900OTHER LONG TERM CARE 10293,A000000,02100,0000,02100RADIOLOGY 10293,A000000,02200,0000,02200LABORATORY 10293,A000000,02300,0000,02300INTRAVENOUS THERAPY 10293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10293,A000000,02500,0000,02500PHYSICAL THERAPY 10293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10293,A000000,02700,0000,02700SPEECH PATHOLOGY 10293,A000000,02800,0000,02800ELECTROCARDIOLOGY 10293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10293,A000000,03050,0000,03300EQUIPMENT RENTAL 10293,A000000,03051,0000,03301OTHER ANCILLARY II 10293,A000000,03052,0000,03302OTHER ANCILLARY III 10293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10293,A000000,03200,0000,03200SUPPORT SURFACES 10293,A000000,03400,0000,03400CLINIC 10293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 10293,A000000,03500,0000,03500RURAL HEALTH CLINIC 10293,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10293,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10293,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10293,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10293,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10293,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10293,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10293,A000000,04400,0000,04400DME RENTED - HHA 10293,A000000,04500,0000,04500DME SOLD - HHA 10293,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10293,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10293,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10293,A000000,04800,0000,04800AMBULANCE 10293,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10293,A000000,05000,0000,05000CORF 10293,A000000,05010,0000,05010CMHC I 10293,A000000,05020,0000,05020OPT I 10293,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10293,A000000,05300,0000,05300INTEREST EXPENSE 10293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 10293,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 10293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10293,A000000,05500,0000,05500HOSPICE 10293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10293,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10293,A000000,06100,0000,06100NONPAID WORKERS 10293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10293,A000000,06200,0000,06200PATIENTS LAUNDRY 10293,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10293,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10293,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10293,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10293,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10293,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10293,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10293,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 10293,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 10293,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10293,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10293,S000000,00100,0200,05/31/2000 10293,S200000,00100,0100,300 EAST CHURCH ST. 10293,S200000,00200,0100,ORLANDO 10293,S200000,00200,0200,FL 10293,S200000,00200,0300,32801- 10293,S200000,00300,0100,ORANGE 10293,S200000,00300,0200,5960 10293,S200000,00300,0300,U 10293,S200000,00400,0100,ORLANDO LUTHERAN TOWERS 10293,S200000,00400,0200,105731 10293,S200000,00400,0300,05/01/1991 10293,S200000,00400,0500,P 10293,S200000,01600,0100,Y 10293,S200000,02100,0100,A 10293,S200000,02200,0100,Y 10293,S200000,02800,0100,Y 10313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10313,A000000,00300,0000,00300EMPLOYEE BENEFITS 10313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10313,A000000,00700,0000,00700HOUSEKEEPING 10313,A000000,00800,0000,00800DIETARY 10313,A000000,00900,0000,00900NURSING ADMINISTRATION 10313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10313,A000000,01100,0000,01100PHARMACY 10313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10313,A000000,01300,0000,01300SOCIAL SERVICE 10313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10313,A000000,01600,0000,01600SKILLED NURSING FACILITY 10313,A000000,01800,0000,01800NURSING FACILITY 10313,A000000,01810,0000,01810ICF/MR 10313,A000000,02100,0000,02100RADIOLOGY 10313,A000000,02200,0000,02200LABORATORY 10313,A000000,02300,0000,02300INTRAVENOUS THERAPY 10313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10313,A000000,02500,0000,02500PHYSICAL THERAPY 10313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10313,A000000,02700,0000,02700SPEECH PATHOLOGY 10313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10313,A000000,03550,0000,03550FQHC 10313,A000000,05000,0000,05000CORF 10313,A000000,05010,0000,05010CMHC 10313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10313,A000000,05300,0000,05300INTEREST EXPENSE 10313,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10313,A81000A,00100,0100,Y 10313,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10313,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10313,A81000C,00100,0100,B 10313,A81000C,00100,0200,FLORIDA CONVALE 10313,A81000C,00200,0200,SCENT CENTERS 10313,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10313,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 10313,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10313,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10313,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10313,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10313,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10313,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10313,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10313,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10313,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 10313,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10313,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10313,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 10313,S000000,00100,0200,01/05/2000 10313,S200000,00100,0100,200 16TH AVE. SOUTH EAST 10313,S200000,00100,0300,2088 10313,S200000,00200,0100,LARGO 10313,S200000,00200,0200,FL 10313,S200000,00200,0300,33771- 10313,S200000,00300,0100,PINELLAS 10313,S200000,00400,0100,PALM GARDEN OF PINELLAS 10313,S200000,00400,0200,105733 10313,S200000,00400,0300,01/01/1991 10313,S200000,00400,0500,P 10313,S200000,00600,0200,105733 10313,S200000,00600,0300,01/01/1991 10313,S200000,00600,0600,P 10313,S200000,01600,0100,Y 10313,S700003,00000,0100,1 10320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10320,A000000,00300,0000,00300EMPLOYEE BENEFITS 10320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10320,A000000,00700,0000,00700HOUSEKEEPING 10320,A000000,00800,0000,00800DIETARY 10320,A000000,00900,0000,00900NURSING ADMINISTRATION 10320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10320,A000000,01100,0000,01100PHARMACY 10320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10320,A000000,01300,0000,01300SOCIAL SERVICE 10320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10320,A000000,01600,0000,01600SKILLED NURSING FACILITY 10320,A000000,01800,0000,01800NURSING FACILITY 10320,A000000,01810,0000,01810ICF/MR 10320,A000000,02100,0000,02100RADIOLOGY 10320,A000000,02200,0000,02200LABORATORY 10320,A000000,02300,0000,02300INTRAVENOUS THERAPY 10320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10320,A000000,02500,0000,02500PHYSICAL THERAPY 10320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10320,A000000,02700,0000,02700SPEECH PATHOLOGY 10320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10320,A000000,03550,0000,03550FQHC 10320,A000000,05000,0000,05000CORF 10320,A000000,05010,0000,05010CMHC 10320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10320,A000000,05300,0000,05300INTEREST EXPENSE 10320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10320,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10320,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10320,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10320,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10320,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10320,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10320,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10320,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10320,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10320,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 10320,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10320,S000000,00100,0200,04/12/2000 10320,S200000,00100,0100,4201 WEST NEW NOLTE ROAD 10320,S200000,00100,0300,702126 10320,S200000,00200,0100,ST. CLOUD 10320,S200000,00200,0200,FL 10320,S200000,00200,0300,34769- 10320,S200000,00300,0100,OSCEOLA 10320,S200000,00300,0200,5960 10320,S200000,00300,0300,U 10320,S200000,00400,0100,OSCEOLA HEALTH CARE CENTER 10320,S200000,00400,0200,105734 10320,S200000,00400,0300,01/01/1991 10320,S200000,00400,0500,P 10320,S200000,00600,0200,105734 10320,S200000,00600,0300,01/01/1991 10320,S200000,00600,0600,P 10320,S200000,01600,0100,Y 10320,S200000,02200,0100,Y 10330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10330,A000000,00300,0000,00300EMPLOYEE BENEFITS 10330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10330,A000000,00700,0000,00700HOUSEKEEPING 10330,A000000,00800,0000,00800DIETARY 10330,A000000,00900,0000,00900NURSING ADMINISTRATION 10330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10330,A000000,01100,0000,01100PHARMACY 10330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10330,A000000,01300,0000,01300SOCIAL SERVICE 10330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10330,A000000,01600,0000,01600SKILLED NURSING FACILITY 10330,A000000,01800,0000,01800NURSING FACILITY 10330,A000000,01810,0000,01810ICF/MR 10330,A000000,02100,0000,02100RADIOLOGY 10330,A000000,02200,0000,02200LABORATORY 10330,A000000,02300,0000,02300INTRAVENOUS THERAPY 10330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10330,A000000,02500,0000,02500PHYSICAL THERAPY 10330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10330,A000000,02700,0000,02700SPEECH PATHOLOGY 10330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10330,A000000,03550,0000,03550FQHC 10330,A000000,05000,0000,05000CORF 10330,A000000,05010,0000,05010CMHC 10330,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10330,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10330,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10330,A000000,05300,0000,05300INTEREST EXPENSE 10330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10330,A81000A,00100,0100,Y 10330,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 10330,A81000B,00200,0300,CRC/FIXED H.O. COSTS 10330,A81000C,00100,0100,B 10330,A81000C,00100,0200,FLORIDA CONVALE 10330,A81000C,00200,0200,SCENT CENTERS 10330,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10330,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 10330,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10330,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10330,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10330,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10330,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10330,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10330,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10330,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10330,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 10330,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10330,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10330,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 10330,S000000,00100,0200,01/05/2000 10330,S200000,00100,0100,3850 UPPER CREEK DRIVE 10330,S200000,00100,0300,5440 10330,S200000,00200,0100,SUN CITY CENTER 10330,S200000,00200,0200,FL 10330,S200000,00200,0300,33573- 10330,S200000,00300,0100,HILLSBOROUGH 10330,S200000,00400,0100,PALM GARDEN OF SUN CITY 10330,S200000,00400,0200,105736 10330,S200000,00400,0300,01/01/1991 10330,S200000,00400,0500,P 10330,S200000,00600,0200,105736 10330,S200000,00600,0300,01/01/1991 10330,S200000,00600,0600,P 10330,S200000,01600,0100,Y 10330,S700003,00000,0100,1 10339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10339,A000000,00300,0000,00300EMPLOYEE BENEFITS 10339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10339,A000000,00700,0000,00700HOUSEKEEPING 10339,A000000,00800,0000,00800DIETARY 10339,A000000,00900,0000,00900NURSING ADMINISTRATION 10339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10339,A000000,01100,0000,01100PHARMACY 10339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10339,A000000,01300,0000,01300SOCIAL SERVICE 10339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10339,A000000,01600,0000,01600SKILLED NURSING FACILITY 10339,A000000,01800,0000,01800NURSING FACILITY 10339,A000000,01810,0000,01810ICF/MR 10339,A000000,02100,0000,02100RADIOLOGY 10339,A000000,02200,0000,02200LABORATORY 10339,A000000,02300,0000,02300INTRAVENOUS THERAPY 10339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10339,A000000,02500,0000,02500PHYSICAL THERAPY 10339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10339,A000000,02700,0000,02700SPEECH PATHOLOGY 10339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10339,A000000,03550,0000,03550FQHC 10339,A000000,05000,0000,05000CORF 10339,A000000,05010,0000,05010CMHC 10339,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10339,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10339,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10339,A000000,05300,0000,05300INTEREST EXPENSE 10339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10339,A81000A,00100,0100,Y 10339,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10339,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10339,A81000B,00300,0300,HEALTH INSURANCE 10339,A81000B,00400,0300,RETIREMENT 10339,A81000B,00600,0300,PHS - NURSING 10339,A81000B,00700,0300,PHS - SOCIAL WORK 10339,A81000B,00800,0300,PHS - OCC THERAPY 10339,A81000B,00900,0300,PHS - SPEECH THERAPY 10339,A81000B,01000,0300,PHS - PHYS THERAPY 10339,A81000B,01100,0300,PHS - DIETARY 10339,A81000B,01200,0300,PHS - MED RECORDS 10339,A81000B,01300,0300,PHS - ADMINISTRATIVE 10339,A81000B,01400,0300,NON-ALLOWABLE SELF AUDIT COSTS 10339,A81000B,01500,0300,NON-ALLOWABLE SELF AUDIT COSTS 10339,A81000C,00100,0100,B 10339,A81000C,00100,0200,NATIONAL HEALTH 10339,A81000C,00100,0400,PROF HEALTH SER 10339,A81000C,00100,0600,HEALTHCARE 10339,A81000C,00200,0200,CARE CORPORATIO 10339,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10339,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10339,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10339,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10339,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10339,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10339,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10339,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10339,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10339,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10339,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10339,S000000,00100,0200,04/05/2000 10339,S200000,00100,0100,900 IMPERIAL GOLF COURSE BLVD. 10339,S200000,00100,0300,517 10339,S200000,00200,0100,NAPLES 10339,S200000,00200,0200,FL 10339,S200000,00200,0300,33942- 10339,S200000,00300,0100,NAPLES 10339,S200000,00300,0200,5345 10339,S200000,00300,0300,U 10339,S200000,00400,0100,NHC HEALTHCARE IMPERIAL 10339,S200000,00400,0200,105738 10339,S200000,00400,0300,06/21/1991 10339,S200000,00400,0500,P 10339,S200000,00600,0200,105738 10339,S200000,00600,0300,06/21/1991 10339,S200000,00600,0600,P 10339,S200000,01600,0100,Y 10352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10352,A000000,00300,0000,00300EMPLOYEE BENEFITS 10352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10352,A000000,00700,0000,00700HOUSEKEEPING 10352,A000000,00800,0000,00800DIETARY 10352,A000000,00900,0000,00900NURSING ADMINISTRATION 10352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10352,A000000,01100,0000,01100PHARMACY 10352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10352,A000000,01300,0000,01300SOCIAL SERVICE 10352,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 10352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10352,A000000,01600,0000,01600SKILLED NURSING FACILITY 10352,A000000,01800,0000,01800NURSING FACILITY 10352,A000000,01900,0000,01900OTHER LONG TERM CARE 10352,A000000,02100,0000,02100RADIOLOGY 10352,A000000,02200,0000,02200LABORATORY 10352,A000000,02300,0000,02300INTRAVENOUS THERAPY 10352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10352,A000000,02500,0000,02500PHYSICAL THERAPY 10352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10352,A000000,02700,0000,02700SPEECH PATHOLOGY 10352,A000000,02800,0000,02800ELECTROCARDIOLOGY 10352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10352,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10352,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10352,A000000,03200,0000,03200SUPPORT SURFACES 10352,A000000,03400,0000,03400CLINIC 10352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10352,A000000,03500,0000,03500RURAL HEALTH CLINIC 10352,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10352,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10352,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10352,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10352,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10352,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10352,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10352,A000000,04400,0000,04400DME RENTED - HHA 10352,A000000,04500,0000,04500DME SOLD - HHA 10352,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10352,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10352,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10352,A000000,04800,0000,04800AMBULANCE 10352,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10352,A000000,05000,0000,05000CORF 10352,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10352,A000000,05300,0000,05300INTEREST EXPENSE 10352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10352,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10352,A000000,05500,0000,05500HOSPICE 10352,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10352,A000000,05801,0000,05801ACLF AND RESIDENTIAL LIVING 10352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10352,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10352,A000000,06100,0000,06100NONPAID WORKERS 10352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10352,A000000,06200,0000,06200PATIENTS LAUNDRY 10352,A81000A,00100,0100,Y 10352,A81000B,00100,0300,HOME OFFICE - PROPERTYTY 10352,A81000B,00200,0300,HOME OFFICE - OPERATING 10352,A81000C,00100,0100,B 10352,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10352,A81000C,00100,0400,COMMUNITIES HOME OFFICE 10352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10352,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10352,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10352,B100000,00000,0800,00000MEALS SERVED :DIETARY 10352,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10352,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10352,S000000,00100,0200,08/31/2000 10352,S200000,00100,0100,125 56TH AVENUE SOUTH 10352,S200000,00200,0100,ST PETERSBURG 10352,S200000,00200,0200,FL 10352,S200000,00200,0300,33705- 10352,S200000,00300,0100,PINELLAS 10352,S200000,00300,0200,8280 10352,S200000,00300,0300,U 10352,S200000,00400,0100,WESTMINSTER SHORES 10352,S200000,00400,0200,105741 10352,S200000,00400,0300,08/22/1994 10352,S200000,00400,0500,P 10352,S200000,01004,0500,O 10352,S200000,01500,0100,Y 10362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10362,A000000,00300,0000,00300EMPLOYEE BENEFITS 10362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10362,A000000,00700,0000,00700HOUSEKEEPING 10362,A000000,00800,0000,00800DIETARY 10362,A000000,00900,0000,00900NURSING ADMINISTRATION 10362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10362,A000000,01100,0000,01100PHARMACY 10362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10362,A000000,01300,0000,01300SOCIAL SERVICE 10362,A000000,01350,0000,01500ACTIVITIES 10362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10362,A000000,01600,0000,01600SKILLED NURSING FACILITY 10362,A000000,01800,0000,01800NURSING FACILITY 10362,A000000,01810,0000,01810ICF/MR 10362,A000000,01900,0000,01900OTHER LONG TERM CARE 10362,A000000,02100,0000,02100RADIOLOGY 10362,A000000,02200,0000,02200LABORATORY 10362,A000000,02300,0000,02300INTRAVENOUS THERAPY 10362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10362,A000000,02500,0000,02500PHYSICAL THERAPY 10362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10362,A000000,02700,0000,02700SPEECH PATHOLOGY 10362,A000000,02800,0000,02800ELECTROCARDIOLOGY 10362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10362,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10362,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10362,A000000,03200,0000,03200SUPPORT SURFACES 10362,A000000,03400,0000,03400CLINIC 10362,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10362,A000000,03500,0000,03500RURAL HEALTH CLINIC 10362,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10362,A000000,04800,0000,04800AMBULANCE 10362,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10362,A000000,05000,0000,05000CORF 10362,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10362,A000000,05300,0000,05300INTEREST EXPENSE 10362,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10362,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10362,A000000,05500,0000,05500HOSPICE 10362,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10362,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10362,A000000,06100,0000,06100NONPAID WORKERS 10362,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10362,A000000,06200,0000,06200PATIENTS LAUNDRY 10362,A81000A,00100,0100,Y 10362,A81000B,00100,0300,MANAGEMENT FEE 10362,A81000B,00200,0300,HOME OFFICE CAPITAL 10362,A81000C,00100,0100,B 10362,A81000C,00100,0200,JOHNSON EZELL CORPORATION 10362,A81000C,00100,0600,HOME OFFICE 10362,A81000C,00200,0100,B 10362,A81000C,00200,0200,JOHNSON EZELL CORPORATION 10362,A81000C,00200,0600,HOME OFFICE 10362,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10362,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10362,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10362,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10362,B100000,00000,0750,00000SQUARE FEET (MOD :HOUSEKEEPING 10362,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10362,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10362,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10362,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10362,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10362,S000000,00100,0200,06/02/2000 10362,S200000,00100,0100,2770 REGENCY OAKS BLVD 10362,S200000,00200,0100,CLEARWATER 10362,S200000,00200,0200,FL 10362,S200000,00200,0300,33759- 10362,S200000,00300,0100,PINELLAS 10362,S200000,00300,0200,8280 10362,S200000,00300,0300,U 10362,S200000,00400,0100,REGENCY OAKS NURSING CENTER 10362,S200000,00400,0200,105744 10362,S200000,00400,0300,10/02/1991 10362,S200000,00400,0500,P 10362,S200000,01004,0500,O 10362,S200000,01600,0100,Y 10375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10375,A000000,00300,0000,00300EMPLOYEE BENEFITS 10375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10375,A000000,00700,0000,00700HOUSEKEEPING 10375,A000000,00800,0000,00800DIETARY 10375,A000000,00900,0000,00900NURSING ADMINISTRATION 10375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10375,A000000,01350,0000,01500OTHER GENERAL SERVICES 10375,A000000,01600,0000,01600SKILLED NURSING FACILITY 10375,A000000,01800,0000,01800NURSING FACILITY 10375,A000000,01900,0000,01900OTHER LONG TERM CARE 10375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10375,A000000,02500,0000,02500PHYSICAL THERAPY 10375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10375,A000000,02700,0000,02700SPEECH PATHOLOGY 10375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10375,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10375,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10375,A000000,03200,0000,03200SUPPORT SURFACES 10375,A000000,03400,0000,03400CLINIC 10375,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10375,A000000,03500,0000,03500RURAL HEALTH CLINIC 10375,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10375,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10375,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10375,A000000,05000,0000,05000CORF 10375,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10375,A000000,05300,0000,05300INTEREST EXPENSE 10375,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10375,A000000,05500,0000,05500HOSPICE 10375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10375,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10375,A000000,06100,0000,06100NONPAID WORKERS 10375,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10375,A000000,06200,0000,06200PATIENTS LAUNDRY 10375,A81000A,00100,0100,Y 10375,A81000B,00100,0300,CAP REL COSTS - BLDGS & F HOME OFFIC 10375,A81000B,00200,0300,ADMINISTRATIVE & GENERAL MANAGEMENT 10375,A81000C,00100,0100,G 10375,A81000C,00100,0400,NATL BEN ASSOC OF CHRIST 10375,A81000C,00100,0600,MANAGEMENT SERVICES 10375,A81000C,00200,0100,G 10375,A81000C,00200,0400,NATL BEN ASSOC OF CHRIST 10375,A81000C,00200,0600,MANAGEMENT SERVICES 10375,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10375,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10375,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10375,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10375,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10375,B100000,00000,0750,00000MODIFIED SQ FT :HOUSEKEEPING 10375,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10375,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10375,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10375,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10375,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 10375,S000000,00100,0200,05/12/2000 10375,S200000,00100,0100,4600 MIDDLETON PARK CIRCLE 10375,S200000,00200,0100,JACKSONVILLE 10375,S200000,00200,0200,FL 10375,S200000,00200,0300,32224- 10375,S200000,00300,0100,DUVAL 10375,S200000,00300,0200,3600 10375,S200000,00300,0300,U 10375,S200000,00400,0100,CYPRESS VILLAGE 10375,S200000,00400,0200,105745 10375,S200000,00400,0300,01/01/1995 10375,S200000,00400,0500,P 10375,S200000,01004,0500,O 10375,S200000,01600,0100,Y 10384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10384,A000000,00300,0000,00300EMPLOYEE BENEFITS 10384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10384,A000000,00700,0000,00700HOUSEKEEPING 10384,A000000,00800,0000,00800DIETARY 10384,A000000,00900,0000,00900NURSING ADMINISTRATION 10384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10384,A000000,01100,0000,01100PHARMACY 10384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10384,A000000,01300,0000,01300SOCIAL SERVICE 10384,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10384,A000000,01600,0000,01600SKILLED NURSING FACILITY 10384,A000000,01800,0000,01800NURSING FACILITY 10384,A000000,01810,0000,01810ICF/MR 10384,A000000,02200,0000,02200LABORATORY 10384,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10384,A000000,02500,0000,02500PHYSICAL THERAPY 10384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10384,A000000,02700,0000,02700SPEECH PATHOLOGY 10384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10384,A000000,03550,0000,03550FQHC 10384,A000000,05000,0000,05000CORF 10384,A000000,05010,0000,05010CMHC 10384,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10384,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10384,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10384,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 10384,A000000,06200,0000,06200PATIENTS LAUNDRY 10384,A81000A,00100,0100,Y 10384,A81000B,00100,0300,HOMEOFFICE 10384,A81000B,00200,0300,HOME OFFICE 10384,A81000B,00300,0300,THERAPY SERVICES 10384,A81000B,00400,0300,UNIFORMS 10384,A81000B,00500,0300,SUPPLIES 10384,A81000B,00600,0300,FORMS AND PRINTING 10384,A81000B,00700,0300,NONPRESCRIP. DRUGS 10384,A81000B,00800,0300,PERSONAL NEEDS 10384,A81000B,00900,0300,SUPPLIES 10384,A81000B,01000,0300,SUPPLIES 10384,A81000B,01100,0300,SUPPLEMENTAL FEEDING 10384,A81000B,01200,0300,UNIFORMS 10384,A81000B,01300,0300,FORMS & PRINTING 10384,A81000B,01400,0300,SUPPLIES 10384,A81000B,01500,0300,LINEN 10384,A81000B,01600,0300,SUPPLIES 10384,A81000B,01700,0300,UNIFORMS 10384,A81000B,01800,0300,SUPPLIES 10384,A81000B,01900,0300,SUPPLIES 10384,A81000B,02000,0300,FORMS & PRINTING 10384,A81000B,02100,0300,REPAIRS & MAINTENANC 10384,A81000B,02200,0300,SUPPLIES 10384,A81000B,02300,0300,LEASE 10384,A81000C,00100,0100,A 10384,A81000C,00100,0200,SEE HCFA 339 10384,A81000C,00100,0400,DELTA HEALTH GR 10384,A81000C,00100,0600,NRSG HOME OPERA 10384,A81000C,00200,0100,A 10384,A81000C,00200,0200,SEE HCFA 339 10384,A81000C,00200,0400,DELTA DURABLES 10384,A81000C,00200,0600,SUPPLIES 10384,A81000C,00300,0100,A 10384,A81000C,00300,0200,SEE HCFA 339 10384,A81000C,00300,0400,DELTA REHAB 10384,A81000C,00300,0600,REHAB SERVICES 10384,A81000C,00400,0100,A 10384,A81000C,00400,0200,SEE HCFA 339 10384,A81000C,00400,0400,SKYLER FL INC. 10384,A81000C,00400,0600,PROPERTY LESSOR 10384,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10384,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10384,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10384,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10384,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10384,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 10384,B100000,00000,0800,00000MEALS SERVED :DIETARY 10384,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 10384,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10384,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 10384,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 10384,S000000,00100,0200,06/01/2000 10384,S200000,00100,0100,3107 NORTH H STREET 10384,S200000,00200,0100,PENSACOLA 10384,S200000,00200,0200,FL 10384,S200000,00200,0300,32501- 10384,S200000,00300,0100,ESCAMBIA 10384,S200000,00300,0200,6080 10384,S200000,00300,0300,U 10384,S200000,00400,0100,ROSEWOOD MANOR 10384,S200000,00400,0200,105747 10384,S200000,00400,0300,04/01/1991 10384,S200000,00400,0500,P 10384,S200000,00400,0600,O 10384,S200000,00600,0200,105747 10384,S200000,00600,0300,04/01/1991 10384,S200000,00600,0600,P 10384,S200000,01600,0100,Y 10398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10398,A000000,00300,0000,00300EMPLOYEE BENEFITS 10398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10398,A000000,00700,0000,00700HOUSEKEEPING 10398,A000000,00800,0000,00800DIETARY 10398,A000000,00900,0000,00900NURSING ADMINISTRATION 10398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10398,A000000,01100,0000,01100PHARMACY 10398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10398,A000000,01300,0000,01300SOCIAL SERVICE 10398,A000000,01600,0000,01600SKILLED NURSING FACILITY 10398,A000000,01800,0000,01800NURSING FACILITY 10398,A000000,01900,0000,01900OTHER LONG TERM CARE 10398,A000000,02100,0000,02100RADIOLOGY 10398,A000000,02200,0000,02200LABORATORY 10398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10398,A000000,02500,0000,02500PHYSICAL THERAPY 10398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10398,A000000,02700,0000,02700SPEECH PATHOLOGY 10398,A000000,02800,0000,02800ELECTROCARDIOLOGY 10398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10398,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10398,A000000,03051,0000,03301COMPLEX MEDICAL EQUIPMENT 10398,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10398,A000000,03200,0000,03200SUPPORT SURFACES 10398,A000000,03400,0000,03400CLINIC 10398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10398,A000000,03500,0000,03500RURAL HEALTH CLINIC 10398,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10398,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10398,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10398,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10398,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10398,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10398,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10398,A000000,04400,0000,04400DME RENTED - HHA 10398,A000000,04500,0000,04500DME SOLD - HHA 10398,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10398,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10398,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10398,A000000,04800,0000,04800AMBULANCE 10398,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10398,A000000,05000,0000,05000CORF 10398,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10398,A000000,05300,0000,05300INTEREST EXPENSE 10398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10398,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10398,A000000,05500,0000,05500HOSPICE 10398,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10398,A000000,05801,0000,05801ACLF & RESIDENTIAL LIVING 10398,A000000,05802,0000,05802 10398,A000000,05803,0000,05803ENTERAL FEEDING 10398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10398,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10398,A000000,06100,0000,06100NONPAID WORKERS 10398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10398,A000000,06200,0000,06200PATIENTS LAUNDRY 10398,A81000A,00100,0100,Y 10398,A81000B,00100,0300,HOME OFFICE - PROPERTY 10398,A81000B,00300,0300,HOME OFFICE - OPERATING 10398,A81000C,00100,0100,B 10398,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10398,A81000C,00100,0400,HOME OFFICE 10398,A81000C,00200,0200,COMMUNITIES INC. 10398,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10398,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10398,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10398,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10398,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10398,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10398,B100000,00000,0800,00000MEALS SERVED :DIETARY 10398,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10398,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10398,S000000,00100,0200,08/31/2000 10398,S200000,00100,0100,70 WEST LUCERNE CIRCLE 10398,S200000,00200,0100,ORLANDO 10398,S200000,00200,0200,FL 10398,S200000,00200,0300,32801- 10398,S200000,00300,0100,ORANGE 10398,S200000,00300,0200,5960 10398,S200000,00300,0300,U 10398,S200000,00400,0100,WESTMINSTER TOWERS 10398,S200000,00400,0200,105757 10398,S200000,00400,0300,02/01/1992 10398,S200000,00400,0500,P 10398,S200000,01004,0500,O 10398,S200000,01500,0100,Y 10408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10408,A000000,00300,0000,00300EMPLOYEE BENEFITS 10408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10408,A000000,00700,0000,00700HOUSEKEEPING 10408,A000000,00800,0000,00800DIETARY 10408,A000000,00900,0000,00900NURSING ADMINISTRATION 10408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10408,A000000,01100,0000,01100PHARMACY 10408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10408,A000000,01300,0000,01300SOCIAL SERVICE 10408,A000000,01350,0000,01500OTHER GENERAL SERVICES 10408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10408,A000000,01600,0000,01600SKILLED NURSING FACILITY 10408,A000000,01800,0000,01800NURSING FACILITY 10408,A000000,01810,0000,01810ICF/MR 10408,A000000,01900,0000,01900OTHER LONG TERM CARE 10408,A000000,02100,0000,02100RADIOLOGY 10408,A000000,02200,0000,02200LABORATORY 10408,A000000,02300,0000,02300INTRAVENOUS THERAPY 10408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10408,A000000,02500,0000,02500PHYSICAL THERAPY 10408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10408,A000000,02700,0000,02700SPEECH PATHOLOGY 10408,A000000,02800,0000,02800ELECTROCARDIOLOGY 10408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10408,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10408,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10408,A000000,03200,0000,03200SUPPORT SURFACES 10408,A000000,03400,0000,03400CLINIC 10408,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10408,A000000,03500,0000,03500RURAL HEALTH CLINIC 10408,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10408,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10408,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10408,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10408,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10408,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10408,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10408,A000000,04400,0000,04400DME RENTED - HHA 10408,A000000,04500,0000,04500DME SOLD - HHA 10408,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10408,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10408,A000000,04800,0000,04800AMBULANCE 10408,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10408,A000000,05000,0000,05000CORF 10408,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10408,A000000,05300,0000,05300INTEREST EXPENSE 10408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10408,A000000,05500,0000,05500HOSPICE 10408,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10408,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10408,A000000,06100,0000,06100NONPAID WORKERS 10408,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10408,A000000,06200,0000,06200PATIENTS LAUNDRY 10408,A81000A,00100,0100,Y 10408,A81000B,00100,0300,MANAGEMENT FEES 10408,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 10408,A81000B,00300,0300,ADMINISTRATIVE SALARIES 10408,A81000B,00400,0300,ENVIRONMENTAL SVCS. SALARIES 10408,A81000C,00100,0100,A 10408,A81000C,00100,0200,PHILIP CASTLEBERG 10408,A81000C,00100,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00100,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00200,0100,A 10408,A81000C,00200,0200,TOMMY DAVIDSON 10408,A81000C,00200,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00200,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00300,0100,A 10408,A81000C,00300,0200,KEVIN PENNINGTON 10408,A81000C,00300,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00300,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00400,0100,A 10408,A81000C,00400,0200,ELLSWORTH MCKEE 10408,A81000C,00400,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00400,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00500,0100,A 10408,A81000C,00500,0200,RUSSELL MCKEE 10408,A81000C,00500,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00500,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00600,0100,A 10408,A81000C,00600,0200,SHARON MCKEE 10408,A81000C,00600,0400,DOVE HEALTHCARE L.L.C. 10408,A81000C,00600,0600,HEALTHCARE MANAGEMENT 10408,A81000C,00700,0100,F 10408,A81000C,00700,0200,BENJAMIN CASTLEBERG 10408,A81000C,00700,0400,PHILIP CASTLEBERG 10408,A81000C,00700,0600,RELATIVE OF NHA 10408,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10408,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10408,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10408,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10408,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10408,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10408,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10408,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 10408,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10408,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10408,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10408,S000000,00100,0200,06/06/2000 10408,S200000,00100,0100,730 N. SCENIC HIGHWAY 10408,S200000,00200,0100,LAKE WALES 10408,S200000,00200,0200,FL 10408,S200000,00200,0300,33853- 10408,S200000,00300,0100,POLK 10408,S200000,00300,0200,3980 10408,S200000,00300,0300,U 10408,S200000,00400,0100,DOVE HEALTHCARE AT LAKE WALES 10408,S200000,00400,0200,105760 10408,S200000,00400,0300,12/01/1995 10408,S200000,00400,0500,P 10408,S200000,01600,0100,Y 10430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10430,A000000,00300,0000,00300EMPLOYEE BENEFITS 10430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10430,A000000,00700,0000,00700HOUSEKEEPING 10430,A000000,00800,0000,00800DIETARY 10430,A000000,00900,0000,00900NURSING ADMINISTRATION 10430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10430,A000000,01100,0000,01100PHARMACY 10430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10430,A000000,01300,0000,01300SOCIAL SERVICE 10430,A000000,01350,0000,01500OTHER GENERAL SERVICES 10430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10430,A000000,01600,0000,01600SKILLED NURSING FACILITY 10430,A000000,01800,0000,01800NURSING FACILITY 10430,A000000,01810,0000,01810ICF/MR 10430,A000000,01900,0000,01900OTHER LONG TERM CARE 10430,A000000,02100,0000,02100RADIOLOGY 10430,A000000,02200,0000,02200LABORATORY 10430,A000000,02300,0000,02300INTRAVENOUS THERAPY 10430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10430,A000000,02500,0000,02500PHYSICAL THERAPY 10430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10430,A000000,02700,0000,02700SPEECH PATHOLOGY 10430,A000000,02800,0000,02800ELECTROCARDIOLOGY 10430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10430,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10430,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10430,A000000,03200,0000,03200SUPPORT SURFACES 10430,A000000,03400,0000,03400CLINIC 10430,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10430,A000000,03500,0000,03500RURAL HEALTH CLINIC 10430,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10430,A000000,04800,0000,04800AMBULANCE 10430,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10430,A000000,05000,0000,05000CORF 10430,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10430,A000000,05300,0000,05300INTEREST EXPENSE 10430,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10430,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10430,A000000,05500,0000,05500HOSPICE 10430,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10430,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10430,A000000,06100,0000,06100NONPAID WORKERS 10430,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10430,A000000,06200,0000,06200PATIENTS LAUNDRY 10430,A81000A,00100,0100,Y 10430,A81000B,00100,0300,CHILD CARE 10430,A81000C,00100,0100,A 10430,A81000C,00100,0200,SHIRLEY FELNER 10430,A81000C,00100,0400,MG INFANT & PRESCHOOL 10430,A81000C,00100,0600,CHILD DAY CARE 10430,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10430,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10430,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10430,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10430,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10430,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10430,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10430,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10430,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10430,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10430,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10430,S000000,00100,0200,06/02/2000 10430,S200000,00100,0100,190 N.E. 191ST STREET 10430,S200000,00200,0100,MIAMI 10430,S200000,00200,0200,FL 10430,S200000,00200,0300,33179- 10430,S200000,00300,0100,DADE 10430,S200000,00300,0200,5000 10430,S200000,00300,0300,U 10430,S200000,00400,0100,MIAMI GARDENS CARE CENTRE 10430,S200000,00400,0200,105765 10430,S200000,00400,0300,05/17/1992 10430,S200000,00400,0500,P 10430,S200000,01600,0100,Y 10438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10438,A000000,00300,0000,00300EMPLOYEE BENEFITS 10438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10438,A000000,00700,0000,00700HOUSEKEEPING 10438,A000000,00800,0000,00800DIETARY 10438,A000000,00900,0000,00900NURSING ADMINISTRATION 10438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10438,A000000,01100,0000,01100PHARMACY 10438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10438,A000000,01300,0000,01300SOCIAL SERVICE 10438,A000000,01350,0000,01500OTHER GENERAL SERVICES 10438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10438,A000000,01600,0000,01600SKILLED NURSING FACILITY 10438,A000000,01800,0000,01800NURSING FACILITY 10438,A000000,01810,0000,01810ICF/MR 10438,A000000,01900,0000,01900OTHER LONG TERM CARE 10438,A000000,02100,0000,02100RADIOLOGY 10438,A000000,02200,0000,02200LABORATORY 10438,A000000,02300,0000,02300INTRAVENOUS THERAPY 10438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10438,A000000,02500,0000,02500PHYSICAL THERAPY 10438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10438,A000000,02700,0000,02700SPEECH PATHOLOGY 10438,A000000,02800,0000,02800ELECTROCARDIOLOGY 10438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10438,A000000,03200,0000,03200SUPPORT SURFACES 10438,A000000,03400,0000,03400CLINIC 10438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10438,A000000,03500,0000,03500RURAL HEALTH CLINIC 10438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10438,A000000,04800,0000,04800AMBULANCE 10438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10438,A000000,05000,0000,05000CORF 10438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10438,A000000,05300,0000,05300INTEREST EXPENSE 10438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10438,A000000,05500,0000,05500HOSPICE 10438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10438,A000000,06100,0000,06100NONPAID WORKERS 10438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10438,A000000,06200,0000,06200PATIENTS LAUNDRY 10438,A81000A,00100,0100,Y 10438,A81000B,00100,0300,PROPERTY INTEREST 10438,A81000B,00200,0300,MANAGEMENT FEE - R. GALBUT 10438,A81000B,00300,0300,MANAGEMENT FEE - A. GALBUT 10438,A81000C,00100,0100,A 10438,A81000C,00100,0200,ABRAHAM GALBUT 10438,A81000C,00200,0100,A 10438,A81000C,00200,0200,RUSSELL GALBUT 10438,A81000C,00300,0100,A 10438,A81000C,00300,0200,ABRAHAM GALBUT 10438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10438,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10438,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10438,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10438,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10438,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10438,S000000,00100,0200,07/07/2000 10438,S200000,00100,0100,14601 NE 16 AVE 10438,S200000,00200,0100,NORTH MIAMI 10438,S200000,00200,0200,FL 10438,S200000,00200,0300,33161- 10438,S200000,00300,0100,MIAMI DADE 10438,S200000,00300,0200,5000 10438,S200000,00300,0300,U 10438,S200000,00400,0100,PLAZA NURSING & REHAB 10438,S200000,00400,0200,105767 10438,S200000,00400,0300,05/01/1992 10438,S200000,00400,0500,P 10438,S200000,01600,0100,Y 10447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10447,A000000,00300,0000,00300EMPLOYEE BENEFITS 10447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10447,A000000,00700,0000,00700HOUSEKEEPING 10447,A000000,00800,0000,00800DIETARY 10447,A000000,00900,0000,00900NURSING ADMINISTRATION 10447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10447,A000000,01100,0000,01100PHARMACY 10447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10447,A000000,01300,0000,01300SOCIAL SERVICE 10447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10447,A000000,01600,0000,01600SKILLED NURSING FACILITY 10447,A000000,01800,0000,01800NURSING FACILITY 10447,A000000,02100,0000,02100RADIOLOGY 10447,A000000,02200,0000,02200LABORATORY 10447,A000000,02300,0000,02300INTRAVENOUS THERAPY 10447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10447,A000000,02500,0000,02500PHYSICAL THERAPY 10447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10447,A000000,02700,0000,02700SPEECH PATHOLOGY 10447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10447,A000000,03550,0000,03550FQHC 10447,A000000,05000,0000,05000CORF 10447,A000000,05010,0000,05010CMHC 10447,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10447,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10447,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10447,A000000,05300,0000,05300INTEREST EXPENSE 10447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10447,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10447,A81000A,00100,0100,Y 10447,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10447,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10447,A81000B,00300,0300,NURSING ADMINISTRATION 10447,A81000C,00100,0100,B 10447,A81000C,00100,0200,FLORIDA CONVALESCENT CTRS 10447,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10447,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10447,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10447,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10447,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10447,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10447,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10447,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10447,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10447,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10447,S000000,00100,0200,10/18/1999 10447,S200000,00100,0100,920 MCFARLANE AVE. 10447,S200000,00100,0300,869 10447,S200000,00200,0100,LAKE CITY 10447,S200000,00200,0200,FL 10447,S200000,00200,0300,32055- 10447,S200000,00300,0100,COLUMBIA 10447,S200000,00300,0200,10 10447,S200000,00300,0300,R 10447,S200000,00400,0100,PALM GARDEN OF LAKE CITY 10447,S200000,00400,0200,105769 10447,S200000,00400,0300,01/01/1992 10447,S200000,00400,0500,P 10447,S200000,00600,0200,105769 10447,S200000,00600,0300,01/01/1992 10447,S200000,00600,0600,P 10447,S200000,01600,0100,Y 10449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10449,A000000,00300,0000,00300EMPLOYEE BENEFITS 10449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10449,A000000,00700,0000,00700HOUSEKEEPING 10449,A000000,00800,0000,00800DIETARY 10449,A000000,00900,0000,00900NURSING ADMINISTRATION 10449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10449,A000000,01100,0000,01100PHARMACY 10449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10449,A000000,01300,0000,01300SOCIAL SERVICE 10449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10449,A000000,01600,0000,01600SKILLED NURSING FACILITY 10449,A000000,01800,0000,01800NURSING FACILITY 10449,A000000,01810,0000,01810ICF/MR 10449,A000000,02100,0000,02100RADIOLOGY 10449,A000000,02200,0000,02200LABORATORY 10449,A000000,02300,0000,02300INTRAVENOUS THERAPY 10449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10449,A000000,02500,0000,02500PHYSICAL THERAPY 10449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10449,A000000,02700,0000,02700SPEECH PATHOLOGY 10449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10449,A000000,03550,0000,03550FQHC 10449,A000000,05000,0000,05000CORF 10449,A000000,05010,0000,05010CMHC 10449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10449,A000000,05300,0000,05300INTEREST EXPENSE 10449,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10449,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10449,A81000A,00100,0100,Y 10449,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10449,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10449,A81000B,00300,0300,HEALTH INSURANCE 10449,A81000B,00400,0300,RETIREMENT 10449,A81000B,00500,0300,PHS COST 10449,A81000B,00600,0300,PHS COST 10449,A81000B,00700,0300,PHS COST 10449,A81000B,00800,0300,PHS COST 10449,A81000B,00900,0300,PHS COST 10449,A81000B,01000,0300,PHS COST 10449,A81000B,01100,0300,PHS COST 10449,A81000B,01200,0300,PHS COST 10449,A81000B,01300,0300,PHS COST 10449,A81000B,01400,0300,SELF DISALLOWED ADMIN & GEN 10449,A81000C,00100,0100,B 10449,A81000C,00100,0200,NATIONAL HEALTH 10449,A81000C,00100,0400,PROFESSIONAL HE 10449,A81000C,00100,0600,HEALTHCARE CONS 10449,A81000C,00200,0200,CARE CORPORATIO 10449,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10449,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10449,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10449,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10449,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10449,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10449,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10449,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10449,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10449,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 10449,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10449,E10A180,00301,0300,05/11/2000 10449,E10A180,00350,0100,05/11/2000 10449,S000000,00100,0200,05/25/2000 10449,S200000,00100,0100,920 MCFARLANE AVE. 10449,S200000,00100,0300,869 10449,S200000,00200,0100,LAKE CITY 10449,S200000,00200,0200,FL 10449,S200000,00200,0300,32055- 10449,S200000,00300,0100,COLUMBIA 10449,S200000,00300,0200,10 10449,S200000,00300,0300,R 10449,S200000,00400,0100,NHC HEALTHCARE LAKE CITY 10449,S200000,00400,0200,105769 10449,S200000,00400,0300,01/01/1992 10449,S200000,00400,0500,P 10449,S200000,00600,0200,105769 10449,S200000,00600,0300,01/01/1992 10449,S200000,00600,0600,P 10449,S200000,01600,0100,Y 10469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10469,A000000,00300,0000,00300EMPLOYEE BENEFITS 10469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10469,A000000,00700,0000,00700HOUSEKEEPING 10469,A000000,00800,0000,00800DIETARY 10469,A000000,00900,0000,00900NURSING ADMINISTRATION 10469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10469,A000000,01100,0000,01100PHARMACY 10469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10469,A000000,01300,0000,01300SOCIAL SERVICE 10469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10469,A000000,01600,0000,01600SKILLED NURSING FACILITY 10469,A000000,01800,0000,01800NURSING FACILITY 10469,A000000,01810,0000,01810ICF/MR 10469,A000000,02100,0000,02100RADIOLOGY 10469,A000000,02200,0000,02200LABORATORY 10469,A000000,02300,0000,02300INTRAVENOUS THERAPY 10469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10469,A000000,02500,0000,02500PHYSICAL THERAPY 10469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10469,A000000,02700,0000,02700SPEECH PATHOLOGY 10469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10469,A000000,03550,0000,03550FQHC 10469,A000000,05000,0000,05000CORF 10469,A000000,05010,0000,05010CMHC 10469,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10469,A000000,05300,0000,05300INTEREST EXPENSE 10469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10469,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10469,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10469,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10469,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10469,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10469,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10469,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10469,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10469,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10469,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 10469,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10469,S000000,00100,0200,05/26/2000 10469,S200000,00100,0100,435 42ND AVE. SOUTH 10469,S200000,00100,0300,3842 10469,S200000,00200,0100,ST. PETERSBURG 10469,S200000,00200,0200,FL 10469,S200000,00200,0300,33705- 10469,S200000,00300,0100,PINELLAS 10469,S200000,00300,0200,8280 10469,S200000,00300,0300,U 10469,S200000,00400,0100,ST. PETERSBURG 10469,S200000,00400,0200,105772 10469,S200000,00400,0300,10/01/1973 10469,S200000,00400,0500,P 10469,S200000,00600,0200,105772 10469,S200000,00600,0300,10/01/1973 10469,S200000,00600,0600,P 10469,S200000,01600,0100,Y 10469,S200000,02200,0100,Y 10487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10487,A000000,00300,0000,00300EMPLOYEE BENEFITS 10487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10487,A000000,00700,0000,00700HOUSEKEEPING 10487,A000000,00800,0000,00800DIETARY 10487,A000000,00900,0000,00900NURSING ADMINISTRATION 10487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10487,A000000,01100,0000,01100PHARMACY 10487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10487,A000000,01300,0000,01300SOCIAL SERVICE 10487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10487,A000000,01600,0000,01600SKILLED NURSING FACILITY 10487,A000000,01800,0000,01800NURSING FACILITY 10487,A000000,01810,0000,01810ICF/MR 10487,A000000,02200,0000,02200LABORATORY 10487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10487,A000000,02500,0000,02500PHYSICAL THERAPY 10487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10487,A000000,02700,0000,02700SPEECH PATHOLOGY 10487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10487,A000000,03550,0000,03550FQHC 10487,A000000,05000,0000,05000CORF 10487,A000000,05010,0000,05010CMHC 10487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10487,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 10487,A000000,06200,0000,06200PATIENTS LAUNDRY 10487,A81000A,00100,0100,Y 10487,A81000B,00100,0300,SUPPLIES 10487,A81000B,00200,0300,SUPPLIES 10487,A81000B,00300,0300,SUPPLIES 10487,A81000B,00400,0300,SUPPLIES 10487,A81000B,00500,0300,SUPPLIES 10487,A81000B,00600,0300,SUPPLIES 10487,A81000B,00700,0300,SUPPLIES 10487,A81000B,00800,0300,SUPPLIES 10487,A81000B,00900,0300,SUPPLIES 10487,A81000B,01000,0300,SUPPLIES 10487,A81000B,01100,0300,SUPPLIES 10487,A81000B,01200,0300,SUPPLIES 10487,A81000B,01300,0300,SUPPLIES 10487,A81000B,01400,0300,SUPPLIES 10487,A81000B,01500,0300,SUPPLIES 10487,A81000B,01600,0300,SUPPLIES 10487,A81000B,01700,0300,SUPPLIES 10487,A81000B,01800,0300,SUPPLIES 10487,A81000B,01900,0300,SUPPLIES 10487,A81000B,02000,0300,HOME OFFICE COST 10487,A81000B,02100,0300,HOME OFFICE COST 10487,A81000B,02200,0300,LEASE COST 10487,A81000B,02300,0300,SUPPLIES 10487,A81000B,02400,0300,SUPPLIES 10487,A81000B,02500,0300,THERAPY 10487,A81000C,00100,0100,A 10487,A81000C,00100,0200,SEE HCFA 339 10487,A81000C,00100,0400,DELTA HEALTH GR 10487,A81000C,00100,0600,NRSG HOME OPERA 10487,A81000C,00200,0100,A 10487,A81000C,00200,0200,SEE HCFA 339 10487,A81000C,00200,0400,DELTA DURABLES 10487,A81000C,00200,0600,SUPPLIES 10487,A81000C,00300,0100,A 10487,A81000C,00300,0200,SEE HCFA 339 10487,A81000C,00300,0400,DELTA FL PROPER 10487,A81000C,00300,0600,LEASE PROPERTY 10487,A81000C,00400,0100,A 10487,A81000C,00400,0200,SEE HCFA 339 10487,A81000C,00400,0400,DELTA REHAB 10487,A81000C,00400,0600,THERAPY PROVIDE 10487,A81000C,00500,0100,A 10487,A81000C,00500,0200,SEE HCFA 339 10487,A81000C,00500,0400,CORDOVA REHAB 10487,A81000C,00500,0600,THERAPY PROVIDE 10487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10487,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10487,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10487,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10487,B100000,00000,0800,00000MEALS SERVED :DIETARY 10487,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 10487,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10487,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 10487,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 10487,S000000,00100,0200,06/01/2000 10487,S200000,00100,0100,1027 EAST HIGHWAY BUSINESS 98 10487,S200000,00200,0100,PANAMA CITY 10487,S200000,00200,0200,FL 10487,S200000,00200,0300,32401- 10487,S200000,00300,0100,BAY 10487,S200000,00300,0200,6015 10487,S200000,00300,0300,U 10487,S200000,00400,0100,GLENCOVE NURSING PAVILION 10487,S200000,00400,0200,105775 10487,S200000,00400,0300,05/07/1991 10487,S200000,00400,0500,P 10487,S200000,00400,0600,O 10487,S200000,00600,0200,105775 10487,S200000,00600,0300,05/07/1991 10487,S200000,00600,0600,P 10487,S200000,01600,0100,Y 10498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10498,A000000,00300,0000,00300EMPLOYEE BENEFITS 10498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10498,A000000,00700,0000,00700HOUSEKEEPING 10498,A000000,00800,0000,00800DIETARY 10498,A000000,00900,0000,00900NURSING ADMINISTRATION 10498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10498,A000000,01100,0000,01100PHARMACY 10498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10498,A000000,01300,0000,01300SOCIAL SERVICE 10498,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10498,A000000,01600,0000,01600SKILLED NURSING FACILITY 10498,A000000,01800,0000,01800NURSING FACILITY 10498,A000000,01810,0000,01810ICF/MR 10498,A000000,01900,0000,01900OTHER LONG TERM CARE 10498,A000000,02100,0000,02100RADIOLOGY 10498,A000000,02200,0000,02200LABORATORY 10498,A000000,02300,0000,02300INTRAVENOUS THERAPY 10498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10498,A000000,02500,0000,02500PHYSICAL THERAPY 10498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10498,A000000,02700,0000,02700SPEECH PATHOLOGY 10498,A000000,02800,0000,02800ELECTROCARDIOLOGY 10498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10498,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10498,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10498,A000000,03200,0000,03200SUPPORT SURFACES 10498,A000000,03400,0000,03400CLINIC 10498,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 10498,A000000,03500,0000,03500RURAL HEALTH CLINIC 10498,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10498,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10498,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10498,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10498,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10498,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10498,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10498,A000000,04400,0000,04400DME RENTED - HHA 10498,A000000,04500,0000,04500DME SOLD - HHA 10498,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10498,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10498,A000000,04800,0000,04800AMBULANCE 10498,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10498,A000000,05000,0000,05000CORF 10498,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10498,A000000,05300,0000,05300INTEREST EXPENSE 10498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10498,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10498,A000000,05500,0000,05500HOSPICE 10498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10498,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10498,A000000,06100,0000,06100NONPAID WORKERS 10498,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 10498,A000000,06200,0000,06200PATIENTS LAUNDRY 10498,A81000A,00100,0100,Y 10498,A81000B,00100,0300,HOME OFFICE EXPENSE 10498,A81000B,00200,0300,HOME OFFICE EXPENSE 10498,A81000B,00300,0300,UNIFORMS 10498,A81000B,00400,0300,LINEN REPLACEMENT 10498,A81000B,00500,0300,FOOD SUPPLEMENTS 10498,A81000B,00600,0300,NURSING SUPPLIES 10498,A81000B,00700,0300,PT SUPPLIES 10498,A81000B,00800,0300,OT SUPPLIES 10498,A81000B,00900,0300,ST SUPPLIES 10498,A81000B,01000,0300,MEDICAL SUPPLIES 10498,A81000B,01100,0300,COMPLEX MEDICAL EQUIPMENT 10498,A81000C,00100,0100,B 10498,A81000C,00100,0200,SUNBELT LIVING 10498,A81000C,00100,0400,ADVENTIST CARE 10498,A81000C,00100,0600,NURSING HOME CO 10498,A81000C,00200,0100,G 10498,A81000C,00200,0200,SUNBELT LIVING 10498,A81000C,00200,0400,Q-CARE 10498,A81000C,00200,0600,MEDICAL SUPPLY 10498,A81000C,03100,0000,SUNBELT LIVING CENTER - APOPKA 10498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10498,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10498,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10498,B100000,00000,0800,00000MEALS SERVED :DIETARY 10498,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10498,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10498,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10498,S000000,00100,0200,06/05/2000 10498,S200000,00100,0100,305 E. OAK STREET 10498,S200000,00200,0100,APOPKA 10498,S200000,00200,0200,FL 10498,S200000,00200,0300,32703- 10498,S200000,00300,0100,ORANGE 10498,S200000,00300,0200,5960 10498,S200000,00300,0300,U 10498,S200000,00400,0100,SUNBELT LIVING CENTER-APOPKA 10498,S200000,00400,0200,105782 10498,S200000,00400,0300,02/09/1993 10498,S200000,00400,0500,P 10498,S200000,01500,0100,Y 10509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10509,A000000,00300,0000,00300EMPLOYEE BENEFITS 10509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10509,A000000,00700,0000,00700HOUSEKEEPING 10509,A000000,00800,0000,00800DIETARY 10509,A000000,00900,0000,00900NURSING ADMINISTRATION 10509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10509,A000000,01100,0000,01100PHARMACY 10509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10509,A000000,01300,0000,01300SOCIAL SERVICE 10509,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10509,A000000,01600,0000,01600SKILLED NURSING FACILITY 10509,A000000,01800,0000,01800NURSING FACILITY 10509,A000000,01810,0000,01810ICF/MR 10509,A000000,01900,0000,01900OTHER LONG TERM CARE 10509,A000000,02100,0000,02100RADIOLOGY 10509,A000000,02200,0000,02200LABORATORY 10509,A000000,02300,0000,02300INTRAVENOUS THERAPY 10509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10509,A000000,02500,0000,02500PHYSICAL THERAPY 10509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10509,A000000,02700,0000,02700SPEECH PATHOLOGY 10509,A000000,02800,0000,02800ELECTROCARDIOLOGY 10509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10509,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10509,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10509,A000000,03200,0000,03200SUPPORT SURFACES 10509,A000000,03400,0000,03400CLINIC 10509,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 10509,A000000,03500,0000,03500RURAL HEALTH CLINIC 10509,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10509,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10509,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10509,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10509,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10509,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10509,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10509,A000000,04400,0000,04400DME RENTED - HHA 10509,A000000,04500,0000,04500DME SOLD - HHA 10509,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10509,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10509,A000000,04800,0000,04800AMBULANCE 10509,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10509,A000000,05000,0000,05000CORF 10509,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10509,A000000,05300,0000,05300INTEREST EXPENSE 10509,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10509,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10509,A000000,05500,0000,05500HOSPICE 10509,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10509,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10509,A000000,06100,0000,06100NONPAID WORKERS 10509,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 10509,A000000,06200,0000,06200PATIENTS LAUNDRY 10509,A81000A,00100,0100,Y 10509,A81000B,00100,0300,HOME OFFICE EXPENSE 10509,A81000B,00200,0300,HOME OFFICE EXPENSE 10509,A81000B,00300,0300,LAUNDRY SUPPLIES 10509,A81000B,00400,0300,FOOD SUPPLEMENTS 10509,A81000B,00500,0300,NURSING SUPPLIES 10509,A81000B,00600,0300,PT SUPPLIES 10509,A81000B,00700,0300,OT SUPPLIES 10509,A81000B,00800,0300,MEDICAL SUPPLIES 10509,A81000C,00100,0100,B 10509,A81000C,00100,0200,SUNBELT LIVING 10509,A81000C,00100,0400,ADVENTIST CARE 10509,A81000C,00100,0600,NURSING HOME CO 10509,A81000C,00200,0100,G 10509,A81000C,00200,0200,SUNBELT LIVING 10509,A81000C,00200,0400,Q-CARE 10509,A81000C,00200,0600,MEDICAL SUPPLY 10509,A81000C,03100,0000,SUNBELT LIVING CENTER - EAST 10509,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10509,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10509,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10509,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10509,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10509,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10509,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10509,B100000,00000,0800,00000MEALS SERVED :DIETARY 10509,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10509,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10509,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10509,S000000,00100,0200,06/05/2000 10509,S200000,00100,0100,250 S. CHICKASAW TRAIL 10509,S200000,00200,0100,ORLANDO 10509,S200000,00200,0200,FL 10509,S200000,00200,0300,32825- 10509,S200000,00300,0100,ORANGE 10509,S200000,00300,0200,5960 10509,S200000,00300,0300,U 10509,S200000,00400,0100,SUNBELT LIVING CENTER-EAST 10509,S200000,00400,0200,105783 10509,S200000,00400,0300,02/08/1993 10509,S200000,00400,0500,P 10509,S200000,01500,0100,Y 10518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10518,A000000,00300,0000,00300EMPLOYEE BENEFITS 10518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10518,A000000,00700,0000,00700HOUSEKEEPING 10518,A000000,00800,0000,00800DIETARY 10518,A000000,00900,0000,00900NURSING ADMINISTRATION 10518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10518,A000000,01100,0000,01100PHARMACY 10518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10518,A000000,01300,0000,01300SOCIAL SERVICE 10518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10518,A000000,01600,0000,01600SKILLED NURSING FACILITY 10518,A000000,01800,0000,01800NURSING FACILITY 10518,A000000,01810,0000,01810ICF/MR 10518,A000000,02100,0000,02100RADIOLOGY 10518,A000000,02200,0000,02200LABORATORY 10518,A000000,02300,0000,02300INTRAVENOUS THERAPY 10518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10518,A000000,02500,0000,02500PHYSICAL THERAPY 10518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10518,A000000,02700,0000,02700SPEECH PATHOLOGY 10518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10518,A000000,03550,0000,03550FQHC 10518,A000000,05000,0000,05000CORF 10518,A000000,05010,0000,05010CMHC 10518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10518,A000000,05300,0000,05300INTEREST EXPENSE 10518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10518,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10518,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10518,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10518,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10518,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10518,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10518,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10518,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10518,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10518,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10518,S000000,00100,0200,05/30/2000 10518,S200000,00100,0100,1500 NORTH WHITE POINT ROAD 10518,S200000,00100,0300,1254 10518,S200000,00200,0100,NICEVILLE 10518,S200000,00200,0200,FL 10518,S200000,00200,0300,32578- 10518,S200000,00300,0100,OKALOOSA 10518,S200000,00300,0200,2750 10518,S200000,00300,0300,U 10518,S200000,00400,0100,THE MANOR AT BLUE WATER BAY 10518,S200000,00400,0200,105784 10518,S200000,00400,0300,01/01/1993 10518,S200000,00400,0500,P 10518,S200000,00600,0200,105784 10518,S200000,00600,0300,01/01/1993 10518,S200000,00600,0600,P 10518,S200000,01600,0100,Y 10527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10527,A000000,00300,0000,00300EMPLOYEE BENEFITS 10527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10527,A000000,00700,0000,00700HOUSEKEEPING 10527,A000000,00800,0000,00800DIETARY 10527,A000000,01600,0000,01600SKILLED NURSING FACILITY 10527,A000000,02500,0000,02500PHYSICAL THERAPY 10527,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10527,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10527,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10527,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10527,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10527,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10527,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 10527,B100000,00000,0800,00000MEALS SERVED :DIETARY 10527,S000000,00100,0200,05/26/2000 10527,S200000,00100,0100,500 WEST MORSE BOULEVARD 10527,S200000,00200,0100,WINTER PARK 10527,S200000,00200,0200,FL 10527,S200000,00200,0300,32789-4200 10527,S200000,00300,0100,ORANGE 10527,S200000,00300,0200,5960 10527,S200000,00300,0300,U 10527,S200000,00400,0100,MARY LEE DEPUGH NURSING CENTER 10527,S200000,00400,0200,105785 10527,S200000,00400,0300,03/01/1993 10527,S200000,00400,0500,P 10527,S200000,01500,0100,Y 10527,S200000,01900,0100,CORPORATION 10536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10536,A000000,00300,0000,00300EMPLOYEE BENEFITS 10536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10536,A000000,00700,0000,00700HOUSEKEEPING 10536,A000000,00800,0000,00800DIETARY 10536,A000000,00900,0000,00900NURSING ADMINISTRATION 10536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10536,A000000,01100,0000,01100PHARMACY 10536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10536,A000000,01300,0000,01300SOCIAL SERVICE 10536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10536,A000000,01600,0000,01600SKILLED NURSING FACILITY 10536,A000000,01800,0000,01800NURSING FACILITY 10536,A000000,01810,0000,01810ICF/MR 10536,A000000,02100,0000,02100RADIOLOGY 10536,A000000,02200,0000,02200LABORATORY 10536,A000000,02300,0000,02300INTRAVENOUS THERAPY 10536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10536,A000000,02500,0000,02500PHYSICAL THERAPY 10536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10536,A000000,02700,0000,02700SPEECH PATHOLOGY 10536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10536,A000000,03550,0000,03550FQHC 10536,A000000,05000,0000,05000CORF 10536,A000000,05010,0000,05010CMHC 10536,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10536,A000000,05300,0000,05300INTEREST EXPENSE 10536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10536,A81000A,00100,0100,Y 10536,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10536,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10536,A81000B,00300,0300,HEALTH INSURANCE 10536,A81000B,00400,0300,RETIREMENT 10536,A81000B,00600,0300,PHS - NURSING 10536,A81000B,00700,0300,PHS - SOCIAL WORK 10536,A81000B,00800,0300,PHS - OCC THERAPY 10536,A81000B,00900,0300,PHS - SPEECH THERAPY 10536,A81000B,01000,0300,PHS - PHYS THERAPY 10536,A81000B,01100,0300,PHS -DIETARY 10536,A81000B,01200,0300,PHS - MED RECORDS 10536,A81000B,01300,0300,PHS - ADMINISTRATIVE 10536,A81000B,01400,0300,SELF-DISALLOWED A&G 10536,A81000B,01500,0300,SELF-DISALLOWED NURSING ADMIN COST 10536,A81000C,00100,0100,B 10536,A81000C,00100,0200,NATIONAL HEALTH 10536,A81000C,00100,0400,PROF HEALTH SER 10536,A81000C,00100,0600,HEALTHCARE 10536,A81000C,00200,0200,CARE CORPORATIO 10536,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10536,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10536,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10536,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10536,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10536,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10536,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10536,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10536,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10536,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10536,S000000,00100,0200,04/07/2000 10536,S200000,00100,0100,10949 PARNU STREET 10536,S200000,00100,0300,420240 10536,S200000,00200,0100,NAPLES 10536,S200000,00200,0200,FL 10536,S200000,00200,0300,34109- 10536,S200000,00300,0100,COLLIER 10536,S200000,00300,0200,5345 10536,S200000,00300,0300,U 10536,S200000,00400,0100,NHC HEALTHCARE NAPLES 10536,S200000,00400,0200,105790 10536,S200000,00400,0300,03/11/1993 10536,S200000,00400,0500,P 10536,S200000,00600,0200,105790 10536,S200000,00600,0300,03/11/1993 10536,S200000,00600,0600,P 10536,S200000,01600,0100,Y 10551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10551,A000000,00300,0000,00300EMPLOYEE BENEFITS 10551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10551,A000000,00700,0000,00700HOUSEKEEPING 10551,A000000,00800,0000,00800DIETARY 10551,A000000,00900,0000,00900NURSING ADMINISTRATION 10551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10551,A000000,01100,0000,01100PHARMACY 10551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10551,A000000,01300,0000,01300SOCIAL SERVICE 10551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10551,A000000,01600,0000,01600SKILLED NURSING FACILITY 10551,A000000,01800,0000,01800NURSING FACILITY 10551,A000000,01900,0000,01900OTHER LONG TERM CARE 10551,A000000,02100,0000,02100RADIOLOGY 10551,A000000,02200,0000,02200LABORATORY 10551,A000000,02202,0000,02202CLINITRON BEDS 10551,A000000,02300,0000,02300INTRAVENOUS THERAPY 10551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10551,A000000,02500,0000,02500PHYSICAL THERAPY 10551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10551,A000000,02700,0000,02700SPEECH PATHOLOGY 10551,A000000,02800,0000,02800ELECTROCARDIOLOGY 10551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10551,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10551,A000000,03051,0000,03301IV THERAPY 10551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10551,A000000,03200,0000,03200SUPPORT SURFACES 10551,A000000,03400,0000,03400CLINIC 10551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10551,A000000,03500,0000,03500RURAL HEALTH CLINIC 10551,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10551,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10551,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10551,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10551,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10551,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10551,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10551,A000000,04400,0000,04400DME RENTED - HHA 10551,A000000,04500,0000,04500DME SOLD - HHA 10551,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10551,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10551,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10551,A000000,04800,0000,04800AMBULANCE 10551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10551,A000000,05000,0000,05000CORF 10551,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10551,A000000,05300,0000,05300INTEREST EXPENSE 10551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10551,A000000,05500,0000,05500HOSPICE 10551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10551,A000000,06100,0000,06100NONPAID WORKERS 10551,A000000,06150,0000,06300ENTERNAL FEEDING 10551,A000000,06200,0000,06200PATIENTS LAUNDRY 10551,A000000,06201,0000,06201PART B PPS 10551,A81000A,00100,0100,Y 10551,A81000B,00100,0300,MANAGEMENT FEES-PROPERTY 10551,A81000B,00200,0300,MANAGEMENT FEES 10551,A81000C,00100,0100,B 10551,A81000C,00100,0200,CARELINK PARTNERSREMENT 10551,A81000C,00100,0400,CARELINK MANAGEMENT INC. 10551,A81000C,00100,0600,MANAGEMENT COMPANY 10551,A81000C,00200,0100,B 10551,A81000C,00200,0200,CARELINK PARTNERS 10551,A81000C,00200,0400,ORLANDO REGIONAL HLTH CTR 10551,A81000C,00200,0600,HOSPITAL 10551,A81000C,00300,0100,B 10551,A81000C,00400,0100,B 10551,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10551,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 10551,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10551,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10551,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10551,B100000,00000,0800,00000MEALS SERVED :DIETARY 10551,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10551,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10551,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10551,E10A180,00301,0100,09/20/1999 10551,S000000,00100,0200,12/04/2000 10551,S200000,00100,0100,215 ANNIE STREET 10551,S200000,00200,0100,ORLANDO 10551,S200000,00200,0200,FL 10551,S200000,00200,0300,32806- 10551,S200000,00300,0100,ORANGE 10551,S200000,00300,0200,5960 10551,S200000,00300,0300,U 10551,S200000,00400,0100,WESTMINSTER CARE OF DELANY PARK 10551,S200000,00400,0200,105791 10551,S200000,00400,0300,04/01/1993 10551,S200000,00400,0500,P 10551,S200000,00600,0200,105791 10551,S200000,00600,0300,04/01/1993 10551,S200000,00600,0600,P 10551,S200000,01600,0100,Y 10553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10553,A000000,00300,0000,00300EMPLOYEE BENEFITS 10553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10553,A000000,00700,0000,00700HOUSEKEEPING 10553,A000000,00800,0000,00800DIETARY 10553,A000000,00900,0000,00900NURSING ADMINISTRATION 10553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10553,A000000,01100,0000,01100PHARMACY 10553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10553,A000000,01300,0000,01300SOCIAL SERVICE 10553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10553,A000000,01600,0000,01600SKILLED NURSING FACILITY 10553,A000000,01800,0000,01800NURSING FACILITY 10553,A000000,01900,0000,01900OTHER LONG TERM CARE 10553,A000000,02100,0000,02100RADIOLOGY 10553,A000000,02200,0000,02200LABORATORY 10553,A000000,02202,0000,02202CLINITRON BEDS 10553,A000000,02300,0000,02300INTRAVENOUS THERAPY 10553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10553,A000000,02500,0000,02500PHYSICAL THERAPY 10553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10553,A000000,02700,0000,02700SPEECH PATHOLOGY 10553,A000000,02800,0000,02800ELECTROCARDIOLOGY 10553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10553,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10553,A000000,03051,0000,03301IV THERAPY 10553,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10553,A000000,03200,0000,03200SUPPORT SURFACES 10553,A000000,03400,0000,03400CLINIC 10553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10553,A000000,03500,0000,03500RURAL HEALTH CLINIC 10553,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10553,A000000,04800,0000,04800AMBULANCE 10553,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10553,A000000,05000,0000,05000CORF 10553,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10553,A000000,05300,0000,05300INTEREST EXPENSE 10553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10553,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10553,A000000,05500,0000,05500HOSPICE 10553,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10553,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10553,A000000,06100,0000,06100NONPAID WORKERS 10553,A000000,06150,0000,06300ENTERNAL FEEDING 10553,A000000,06200,0000,06200PATIENTS LAUNDRY 10553,A000000,06201,0000,06201PART B PPS 10553,A81000A,00100,0100,Y 10553,A81000B,00100,0300,MANAGEMENT FEES-PROPERTY 10553,A81000B,00200,0300,MANAGEMENT FEES 10553,A81000C,00100,0100,B 10553,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10553,A81000C,00100,0400,HOME OFFICE 10553,A81000C,00200,0100,B 10553,A81000C,00200,0200,COMMUNITIES INC 10553,A81000C,00300,0100,B 10553,A81000C,00400,0100,B 10553,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10553,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10553,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10553,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10553,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10553,B100000,00000,0800,00000MEALS SERVED :DIETARY 10553,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10553,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10553,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10553,S000000,00100,0200,03/21/2001 10553,S200000,00100,0100,215 ANNIE STREET 10553,S200000,00200,0100,ORLANDO 10553,S200000,00200,0200,FL 10553,S200000,00200,0300,32806- 10553,S200000,00300,0100,ORANGE 10553,S200000,00300,0200,5960 10553,S200000,00300,0300,U 10553,S200000,00400,0100,WESTMINSTER CARE OF DELANEY PARK 10553,S200000,00400,0200,105791 10553,S200000,00400,0300,04/01/1993 10553,S200000,00400,0500,P 10553,S200000,01004,0500,O 10553,S200000,01500,0100,Y 10563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10563,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 10563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10563,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 10563,A000000,00300,0000,00300EMPLOYEE BENEFITS 10563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10563,A000000,00700,0000,00700HOUSEKEEPING 10563,A000000,00800,0000,00800DIETARY 10563,A000000,00801,0000,00801CAFETERIA 10563,A000000,00900,0000,00900NURSING ADMINISTRATION 10563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10563,A000000,01100,0000,01100PHARMACY 10563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10563,A000000,01300,0000,01300SOCIAL SERVICE 10563,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10563,A000000,01600,0000,01600SKILLED NURSING FACILITY 10563,A000000,01800,0000,01800NURSING FACILITY 10563,A000000,01900,0000,01900OTHER LONG TERM CARE 10563,A000000,02100,0000,02100RADIOLOGY 10563,A000000,02200,0000,02200LABORATORY 10563,A000000,02300,0000,02300INTRAVENOUS THERAPY 10563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10563,A000000,02500,0000,02500PHYSICAL THERAPY 10563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10563,A000000,02700,0000,02700SPEECH PATHOLOGY 10563,A000000,02800,0000,02800ELECTROCARDIOLOGY 10563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10563,A000000,03050,0000,03300PT-NON-AHSEA 10563,A000000,03051,0000,03301OT-NON-AHSEA 10563,A000000,03052,0000,03302ST-NON-AHSEA 10563,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10563,A000000,03200,0000,03200SUPPORT SURFACES 10563,A000000,03400,0000,03400CLINIC 10563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 10563,A000000,03500,0000,03500RURAL HEALTH CLINIC 10563,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10563,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10563,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10563,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10563,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10563,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10563,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10563,A000000,04400,0000,04400DME RENTED - HHA 10563,A000000,04500,0000,04500DME SOLD - HHA 10563,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10563,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10563,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10563,A000000,04800,0000,04800AMBULANCE 10563,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10563,A000000,05000,0000,05000CORF 10563,A000000,05010,0000,05010CMHC I 10563,A000000,05020,0000,05020OPT I 10563,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10563,A000000,05300,0000,05300INTEREST EXPENSE 10563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 10563,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 10563,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10563,A000000,05500,0000,05500HOSPICE 10563,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10563,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10563,A000000,06100,0000,06100NONPAID WORKERS 10563,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10563,A000000,06200,0000,06200PATIENTS LAUNDRY 10563,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10563,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10563,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10563,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10563,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10563,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10563,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10563,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 10563,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 10563,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 10563,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 10563,S000000,00100,0200,07/05/2000 10563,S200000,00100,0100,445 WATERMAN AVE 10563,S200000,00200,0100,MOUNT DORA 10563,S200000,00200,0200,FL 10563,S200000,00200,0300,32757- 10563,S200000,00300,0100,LAKE 10563,S200000,00300,0200,5960 10563,S200000,00300,0300,U 10563,S200000,00400,0100,EDGEWATER AT WATERMAN VILLAGE 10563,S200000,00400,0200,105796 10563,S200000,00400,0300,05/03/1993 10563,S200000,00400,0500,P 10563,S200000,01600,0100,Y 10563,S200000,02200,0100,Y 10590,S000000,00100,0200,12/01/1999 10604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10604,A000000,00300,0000,00300EMPLOYEE BENEFITS 10604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10604,A000000,00700,0000,00700HOUSEKEEPING 10604,A000000,00800,0000,00800DIETARY 10604,A000000,00900,0000,00900NURSING ADMINISTRATION 10604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10604,A000000,01100,0000,01100PHARMACY 10604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10604,A000000,01300,0000,01300SOCIAL SERVICE 10604,A000000,01350,0000,01500ACTIVITIES 10604,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10604,A000000,01600,0000,01600SKILLED NURSING FACILITY 10604,A000000,01800,0000,01800NURSING FACILITY 10604,A000000,01900,0000,01900OTHER LONG TERM CARE 10604,A000000,02100,0000,02100RADIOLOGY 10604,A000000,02200,0000,02200LABORATORY 10604,A000000,02300,0000,02300INTRAVENOUS THERAPY 10604,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10604,A000000,02500,0000,02500PHYSICAL THERAPY 10604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10604,A000000,02700,0000,02700SPEECH PATHOLOGY 10604,A000000,02800,0000,02800ELECTROCARDIOLOGY 10604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10604,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10604,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10604,A000000,03200,0000,03200SUPPORT SURFACES 10604,A000000,03400,0000,03400CLINIC 10604,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10604,A000000,03500,0000,03500RURAL HEALTH CLINIC 10604,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10604,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10604,A000000,05000,0000,05000CORF 10604,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10604,A000000,05300,0000,05300INTEREST EXPENSE 10604,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10604,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10604,A000000,05500,0000,05500HOSPICE 10604,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10604,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10604,A000000,06100,0000,06100NONPAID WORKERS 10604,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10604,A000000,06200,0000,06200PATIENTS LAUNDRY 10604,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10604,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10604,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10604,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10604,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10604,B100000,00000,0750,00000MODIFIED SQ. FT. :HOUSEKEEPING 10604,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10604,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10604,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10604,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10604,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10604,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10604,S000000,00100,0200,03/01/2000 10604,S200000,00100,0100,700 SOUTH 29TH STREET 10604,S200000,00200,0100,FT. PIERCE 10604,S200000,00200,0200,FL 10604,S200000,00200,0300,34954- 10604,S200000,00300,0100,ST. LUCIE 10604,S200000,00300,0200,2710 10604,S200000,00300,0300,U 10604,S200000,00400,0100,ABBIEJEAN RUSSELL CARE CENTER 10604,S200000,00400,0200,105804 10604,S200000,00400,0300,07/01/1993 10604,S200000,00400,0500,P 10604,S200000,01600,0100,Y 10615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10615,A000000,00300,0000,00300EMPLOYEE BENEFITS 10615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10615,A000000,00700,0000,00700HOUSEKEEPING 10615,A000000,00800,0000,00800DIETARY 10615,A000000,00900,0000,00900NURSING ADMINISTRATION 10615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10615,A000000,01100,0000,01100PHARMACY 10615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10615,A000000,01300,0000,01300SOCIAL SERVICE 10615,A000000,01350,0000,01500OTHER GENERAL SERVICES 10615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10615,A000000,01600,0000,01600SKILLED NURSING FACILITY 10615,A000000,01800,0000,01800NURSING FACILITY 10615,A000000,01900,0000,01900OTHER LONG TERM CARE 10615,A000000,02100,0000,02100RADIOLOGY 10615,A000000,02200,0000,02200LABORATORY 10615,A000000,02300,0000,02300INTRAVENOUS THERAPY 10615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10615,A000000,02500,0000,02500PHYSICAL THERAPY 10615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10615,A000000,02700,0000,02700SPEECH PATHOLOGY 10615,A000000,02800,0000,02800ELECTROCARDIOLOGY 10615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10615,A000000,03200,0000,03200SUPPORT SURFACES 10615,A000000,03400,0000,03400CLINIC 10615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10615,A000000,03500,0000,03500RURAL HEALTH CLINIC 10615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10615,A000000,04400,0000,04400DME RENTED - HHA 10615,A000000,04500,0000,04500DME SOLD - HHA 10615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10615,A000000,04800,0000,04800AMBULANCE 10615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10615,A000000,05000,0000,05000CORF 10615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10615,A000000,05300,0000,05300INTEREST EXPENSE 10615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10615,A000000,05500,0000,05500HOSPICE 10615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10615,A000000,05801,0000,05801BARBER & BEAUTY SHOP 10615,A000000,05901,0000,05901PART B PPS THERAPIES 10615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10615,A000000,06100,0000,06100NONPAID WORKERS 10615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10615,A000000,06200,0000,06200PATIENTS LAUNDRY 10615,A81000A,00100,0100,Y 10615,A81000B,00100,0300,HOME OFFICE - PROPERTYG 10615,A81000B,00200,0300,HOME OFFICE - PATIENT CARE 10615,A81000B,00300,0300,HOME OFFICE - OPERATING 10615,A81000B,00400,0300,DATA PROCESSING 10615,A81000C,00100,0100,A 10615,A81000C,00100,0200,JOSEPH D. MITCHELL 10615,A81000C,00100,0400,SUMMIT CARE INC. 10615,A81000C,00100,0600,MANAGEMENT 10615,A81000C,00200,0100,A 10615,A81000C,00200,0200,C. GUY FARMER 10615,A81000C,00200,0400,SUMMIT CARE INC. 10615,A81000C,00200,0600,MANAGEMENT 10615,A81000C,00300,0100,A 10615,A81000C,00300,0200,JOSEPH D. MITCHELL 10615,A81000C,00300,0400,REMINGTON FINANCIAL SOLUT 10615,A81000C,00300,0600,BILLING COMPANY 10615,A81000C,00400,0100,A 10615,A81000C,00400,0200,C. GUY FARMER 10615,A81000C,00400,0400,REMINGTON FINANCIAL SOLUT 10615,A81000C,00400,0600,BILLING COMPANY 10615,A81000C,00500,0100,A 10615,A81000C,00600,0100,A 10615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10615,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10615,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10615,B100000,00000,0800,00000MEALS SERVED :DIETARY 10615,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10615,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10615,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10615,S000000,00100,0200,09/01/2000 10615,S200000,00100,0100,HIGHWAY 90 WEST 10615,S200000,00200,0100,MADISON 10615,S200000,00200,0200,FL 10615,S200000,00200,0300,32340- 10615,S200000,00300,0100,MADISON 10615,S200000,00300,0200,10 10615,S200000,00300,0300,R 10615,S200000,00400,0100,CONSOLIDATED GROUP OF MADISON 10615,S200000,00400,0200,105807 10615,S200000,00400,0300,08/28/1995 10615,S200000,00400,0500,P 10615,S200000,00600,0200,105807 10615,S200000,00600,0300,08/28/1995 10615,S200000,00600,0600,P 10615,S200000,01004,0500,O 10615,S200000,01600,0100,Y 10645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10645,A000000,00300,0000,00300EMPLOYEE BENEFITS 10645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10645,A000000,00700,0000,00700HOUSEKEEPING 10645,A000000,00800,0000,00800DIETARY 10645,A000000,00900,0000,00900NURSING ADMINISTRATION 10645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10645,A000000,01100,0000,01100PHARMACY 10645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10645,A000000,01300,0000,01300SOCIAL SERVICE 10645,A000000,01350,0000,01500OTHER GENERAL SERVICES 10645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10645,A000000,01600,0000,01600SKILLED NURSING FACILITY 10645,A000000,01800,0000,01800NURSING FACILITY 10645,A000000,01900,0000,01900OTHER LONG TERM CARE 10645,A000000,02100,0000,02100RADIOLOGY 10645,A000000,02200,0000,02200LABORATORY 10645,A000000,02300,0000,02300INTRAVENOUS THERAPY 10645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10645,A000000,02500,0000,02500PHYSICAL THERAPY 10645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10645,A000000,02700,0000,02700SPEECH PATHOLOGY 10645,A000000,02800,0000,02800ELECTROCARDIOLOGY 10645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10645,A000000,03200,0000,03200SUPPORT SURFACES 10645,A000000,03400,0000,03400CLINIC 10645,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10645,A000000,03500,0000,03500RURAL HEALTH CLINIC 10645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10645,A000000,04400,0000,04400DME RENTED - HHA 10645,A000000,04500,0000,04500DME SOLD - HHA 10645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10645,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10645,A000000,04800,0000,04800AMBULANCE 10645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10645,A000000,05000,0000,05000CORF 10645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10645,A000000,05300,0000,05300INTEREST EXPENSE 10645,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10645,A000000,05500,0000,05500HOSPICE 10645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10645,A000000,06100,0000,06100NONPAID WORKERS 10645,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10645,A000000,06200,0000,06200PATIENTS LAUNDRY 10645,A81000A,00100,0100,Y 10645,A81000B,00100,0300,MANAGEMENT FEES 10645,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 10645,A81000C,00100,0100,A 10645,A81000C,00100,0200,KATHY HARKINS 10645,A81000C,00100,0400,GOLDEN EAGLE MGT. 10645,A81000C,00100,0600,MANAGEMENT 10645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10645,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 10645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10645,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10645,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10645,B100000,00000,0800,00000MEALS SERVED :DIETARY 10645,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 10645,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10645,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10645,S000000,00100,0200,06/05/2000 10645,S200000,00100,0100,2510 MICCOSUKEE ROAD 10645,S200000,00200,0100,TALLAHASSEE 10645,S200000,00200,0200,FL 10645,S200000,00200,0300,32308- 10645,S200000,00300,0100,LEON 10645,S200000,00300,0200,8240 10645,S200000,00300,0300,U 10645,S200000,00400,0100,TALLAHASSEE CONVALESCENT HOME 10645,S200000,00400,0200,105815 10645,S200000,00400,0300,07/01/1993 10645,S200000,00400,0500,P 10645,S200000,01600,0100,Y 10654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10654,A000000,00300,0000,00300EMPLOYEE BENEFITS 10654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10654,A000000,00700,0000,00700HOUSEKEEPING 10654,A000000,00800,0000,00800DIETARY 10654,A000000,00900,0000,00900NURSING ADMINISTRATION 10654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10654,A000000,01300,0000,01300SOCIAL SERVICE 10654,A000000,01600,0000,01600SKILLED NURSING FACILITY 10654,A000000,01800,0000,01800NURSING FACILITY 10654,A000000,02100,0000,02100RADIOLOGY 10654,A000000,02200,0000,02200LABORATORY 10654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10654,A000000,02500,0000,02500PHYSICAL THERAPY 10654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10654,A000000,02700,0000,02700SPEECH PATHOLOGY 10654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10654,A000000,04800,0000,04800AMBULANCE 10654,A000000,05300,0000,05300INTEREST EXPENSE 10654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10654,A81000A,00100,0100,Y 10654,A81000B,00100,0300,MANAGEMENT FEES 10654,A81000B,00200,0300,HOME OFFICE PROPERTY COST 10654,A81000C,00100,0100,G 10654,A81000C,00100,0400,ST. JOHNS COUNTY WELFARE 10654,A81000C,00100,0600,HOME OFFICE 10654,A81000C,00200,0100,G 10654,A81000C,00200,0400,ST. JOHNS COUNTY 10654,A81000C,00200,0600,OWNS BUILDING 10654,A81000C,00300,0100,G 10654,A81000C,00300,0400,ST. JOHNS COUNTY 10654,A81000C,00300,0600,OWNS BUILDING 10654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10654,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10654,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10654,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10654,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10654,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10654,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10654,S000000,00100,0200,03/20/2000 10654,S200000,00100,0100,161 MARINE STREET 10654,S200000,00200,0100,ST. AUGUSTINE 10654,S200000,00200,0200,FL 10654,S200000,00200,0300,32084- 10654,S200000,00300,0100,ST. JOHNS 10654,S200000,00300,0200,3600 10654,S200000,00300,0300,U 10654,S200000,00400,0100,SAMANTHA R. WILSON 10654,S200000,00400,0200,105816 10654,S200000,00400,0300,07/01/1993 10654,S200000,00400,0500,P 10654,S200000,00400,0600,O 10654,S200000,01600,0100,Y 10663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10663,A000000,00300,0000,00300EMPLOYEE BENEFITS 10663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10663,A000000,00700,0000,00700HOUSEKEEPING 10663,A000000,00800,0000,00800DIETARY 10663,A000000,00900,0000,00900NURSING ADMINISTRATION 10663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10663,A000000,01100,0000,01100PHARMACY 10663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10663,A000000,01300,0000,01300SOCIAL SERVICE 10663,A000000,01350,0000,01500ACTIVITIES 10663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10663,A000000,01600,0000,01600SKILLED NURSING FACILITY 10663,A000000,01800,0000,01800NURSING FACILITY 10663,A000000,01810,0000,01810ICF/MR 10663,A000000,01900,0000,01900OTHER LONG TERM CARE 10663,A000000,02100,0000,02100RADIOLOGY 10663,A000000,02200,0000,02200LABORATORY 10663,A000000,02300,0000,02300INTRAVENOUS THERAPY 10663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10663,A000000,02500,0000,02500PHYSICAL THERAPY 10663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10663,A000000,02700,0000,02700SPEECH PATHOLOGY 10663,A000000,02800,0000,02800ELECTROCARDIOLOGY 10663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10663,A000000,03200,0000,03200SUPPORT SURFACES 10663,A000000,03400,0000,03400CLINIC 10663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10663,A000000,03500,0000,03500RURAL HEALTH CLINIC 10663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10663,A000000,04800,0000,04800AMBULANCE 10663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10663,A000000,05000,0000,05000CORF 10663,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10663,A000000,05300,0000,05300INTEREST EXPENSE 10663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10663,A000000,05500,0000,05500HOSPICE 10663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10663,A000000,06100,0000,06100NONPAID WORKERS 10663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10663,A000000,06200,0000,06200PATIENTS LAUNDRY 10663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10663,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10663,B100000,00000,0750,00000MODIFIED SQ. FEET :HOUSEKEEPING 10663,B100000,00000,0800,00000MEALS SERVED :DIETARY 10663,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10663,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10663,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10663,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10663,S000000,00100,0200,06/06/2000 10663,S200000,00100,0100,700 JOHN RINGLING BLVD 10663,S200000,00200,0100,SARASOTA 10663,S200000,00200,0200,FL 10663,S200000,00200,0300,34236- 10663,S200000,00300,0100,SARASOTA 10663,S200000,00300,0200,7510 10663,S200000,00300,0300,U 10663,S200000,00400,0100,PLYMOUTH HARBOR INC. 10663,S200000,00400,0200,105817 10663,S200000,00400,0300,06/22/1993 10663,S200000,00400,0500,P 10663,S200000,01500,0100,Y 10671,S000000,00100,0200,05/09/2000 10680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10680,A000000,00300,0000,00300EMPLOYEE BENEFITS 10680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10680,A000000,00700,0000,00700HOUSEKEEPING 10680,A000000,00800,0000,00800DIETARY 10680,A000000,00900,0000,00900NURSING ADMINISTRATION 10680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10680,A000000,01300,0000,01300SOCIAL SERVICE 10680,A000000,01350,0000,01500ACTIVITIES 10680,A000000,01600,0000,01600SKILLED NURSING FACILITY 10680,A000000,01800,0000,01800NURSING FACILITY 10680,A000000,02200,0000,02200LABORATORY 10680,A000000,02300,0000,02300INTRAVENOUS THERAPY 10680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10680,A000000,02500,0000,02500PHYSICAL THERAPY 10680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10680,A000000,02700,0000,02700SPEECH PATHOLOGY 10680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10680,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10680,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10680,A000000,05300,0000,05300INTEREST EXPENSE 10680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10680,A81000A,00100,0100,Y 10680,A81000B,00100,0300,MANAGEMENT FEES 10680,A81000B,00200,0300,HOME OFFICE PROPERTY 10680,A81000C,00100,0100,G 10680,A81000C,00100,0200,TAYLOR CARE CENTER INC. 10680,A81000C,00100,0400,TAYLOR FOUNDATION SERVICE 10680,A81000C,00100,0600,NON PROFIT FOUNDATION 10680,A81000C,00200,0100,G 10680,A81000C,00200,0200,TAYLOR CARE CENTER INC. 10680,A81000C,00200,0400,TAYLOR FOUNDATION SERVICE 10680,A81000C,00200,0600,NONPROFIT FOUNDATION 10680,A81000C,03100,0000,NON PROFIT FOUNDATION 10680,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10680,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10680,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10680,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10680,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10680,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 10680,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10680,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10680,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10680,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10680,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10680,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10680,S000000,00100,0200,05/31/2000 10680,S200000,00100,0100,6535 CHESTER AVENUE 10680,S200000,00200,0100,JACKSONVILLE 10680,S200000,00200,0200,FL 10680,S200000,00200,0300,32217- 10680,S200000,00300,0100,DUVAL 10680,S200000,00300,0200,3600 10680,S200000,00300,0300,U 10680,S200000,00400,0100,TAYLOR CARE CENTER 10680,S200000,00400,0200,105821 10680,S200000,00400,0300,07/01/1993 10680,S200000,00400,0500,P 10680,S200000,01004,0500,O 10680,S200000,01500,0100,Y 10688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10688,A000000,00300,0000,00300EMPLOYEE BENEFITS 10688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10688,A000000,00700,0000,00700HOUSEKEEPING 10688,A000000,00800,0000,00800DIETARY 10688,A000000,00900,0000,00900NURSING ADMINISTRATION 10688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10688,A000000,01300,0000,01300SOCIAL SERVICE 10688,A000000,01600,0000,01600SKILLED NURSING FACILITY 10688,A000000,01800,0000,01800NURSING FACILITY 10688,A000000,01810,0000,01810ICF/MR 10688,A000000,02100,0000,02100RADIOLOGY 10688,A000000,02200,0000,02200LABORATORY 10688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10688,A000000,02500,0000,02500PHYSICAL THERAPY 10688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10688,A000000,02700,0000,02700SPEECH PATHOLOGY 10688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10688,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10688,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10688,A000000,05300,0000,05300INTEREST EXPENSE 10688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10688,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10688,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10688,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10688,A000000,06100,0000,06100NONPAID WORKERS 10688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10688,A000000,06200,0000,06200PATIENTS LAUNDRY 10688,A81000A,00100,0100,Y 10688,A81000B,00100,0300,MANAGEMENT FEES 10688,A81000C,00100,0100,A 10688,A81000C,00100,0200,CHUCK SINGLETARY 10688,A81000C,00100,0400,MSW INC. 10688,A81000C,00100,0600,PARTNERSHIP 10688,A81000C,00200,0100,A 10688,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10688,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10688,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10688,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10688,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 10688,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10688,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 10688,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 10688,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 10688,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 10688,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 10688,S000000,00100,0200,02/24/2000 10688,S200000,00100,0100,1704 HUNTINGTON VILLAGE CIRCLE 10688,S200000,00200,0100,DAYTONA BEACH 10688,S200000,00200,0200,FL 10688,S200000,00200,0300,32114- 10688,S200000,00300,0100,VOLUSIA 10688,S200000,00400,0100,THE HUNTINGTON LLP 10688,S200000,00400,0200,105822 10688,S200000,00400,0300,07/01/1998 10688,S200000,00400,0500,P 10688,S200000,01600,0100,Y 10698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10698,A000000,00300,0000,00300EMPLOYEE BENEFITS 10698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10698,A000000,00700,0000,00700HOUSEKEEPING 10698,A000000,00800,0000,00800DIETARY 10698,A000000,00900,0000,00900NURSING ADMINISTRATION 10698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10698,A000000,01100,0000,01100PHARMACY 10698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10698,A000000,01300,0000,01300SOCIAL SERVICE 10698,A000000,01350,0000,01500ACTIVITIES 10698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10698,A000000,01600,0000,01600SKILLED NURSING FACILITY 10698,A000000,01800,0000,01800NURSING FACILITY 10698,A000000,01900,0000,01900OTHER LONG TERM CARE 10698,A000000,02100,0000,02100RADIOLOGY 10698,A000000,02200,0000,02200LABORATORY 10698,A000000,02300,0000,02300INTRAVENOUS THERAPY 10698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10698,A000000,02500,0000,02500PHYSICAL THERAPY 10698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10698,A000000,02700,0000,02700SPEECH PATHOLOGY 10698,A000000,02800,0000,02800ELECTROCARDIOLOGY 10698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10698,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10698,A000000,03200,0000,03200SUPPORT SURFACES 10698,A000000,03400,0000,03400CLINIC 10698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10698,A000000,03500,0000,03500RURAL HEALTH CLINIC 10698,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10698,A000000,04800,0000,04800AMBULANCE 10698,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10698,A000000,05000,0000,05000CORF 10698,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10698,A000000,05300,0000,05300INTEREST EXPENSE 10698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10698,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10698,A000000,05500,0000,05500HOSPICE 10698,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10698,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10698,A000000,06100,0000,06100NONPAID WORKERS 10698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10698,A000000,06200,0000,06200PATIENTS LAUNDRY 10698,A81000A,00100,0100,Y 10698,A81000B,00100,0300,A&G COUNTY ALLOCATION 10698,A81000B,00200,0300,INDIRECT EXP ALLOCATION 10698,A81000C,00100,0100,B 10698,A81000C,00100,0400,POLK COUNTY 10698,A81000C,00100,0600,COUNTY/GOVERNMENT 10698,A81000C,00200,0100,B 10698,A81000C,00200,0400,POLK COUNTY 10698,A81000C,00200,0600,COUNTY/GOVERNMENT 10698,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10698,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10698,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10698,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10698,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10698,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10698,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10698,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10698,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10698,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10698,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10698,S000000,00100,0200,03/03/2000 10698,S200000,00100,0100,1255 BRICE BOULEVARD 10698,S200000,00200,0100,BARTOW 10698,S200000,00200,0200,FL 10698,S200000,00200,0300,33830- 10698,S200000,00300,0100,POLK 10698,S200000,00300,0200,3980 10698,S200000,00300,0300,U 10698,S200000,00400,0100,THE ROHR HOME 10698,S200000,00400,0200,105823 10698,S200000,00400,0300,07/01/1993 10698,S200000,00400,0500,P 10698,S200000,01600,0100,Y 10708,S000000,00100,0200,12/01/1999 10731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10731,A000000,00300,0000,00300EMPLOYEE BENEFITS 10731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10731,A000000,00700,0000,00700HOUSEKEEPING 10731,A000000,00800,0000,00800DIETARY 10731,A000000,00900,0000,00900NURSING ADMINISTRATION 10731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10731,A000000,01100,0000,01100PHARMACY 10731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10731,A000000,01300,0000,01300SOCIAL SERVICE 10731,A000000,01350,0000,01500OTHER GENERAL SERVICES 10731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10731,A000000,01600,0000,01600SKILLED NURSING FACILITY 10731,A000000,01800,0000,01800NURSING FACILITY 10731,A000000,01900,0000,01900OTHER LONG TERM CARE 10731,A000000,02100,0000,02100RADIOLOGY 10731,A000000,02200,0000,02200LABORATORY 10731,A000000,02300,0000,02300INTRAVENOUS THERAPY 10731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10731,A000000,02500,0000,02500PHYSICAL THERAPY 10731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10731,A000000,02700,0000,02700SPEECH PATHOLOGY 10731,A000000,02800,0000,02800ELECTROCARDIOLOGY 10731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10731,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 10731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10731,A000000,03200,0000,03200SUPPORT SURFACES 10731,A000000,03400,0000,03400CLINIC 10731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10731,A000000,03500,0000,03500RURAL HEALTH CLINIC 10731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10731,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10731,A000000,04400,0000,04400DME RENTED - HHA 10731,A000000,04500,0000,04500DME SOLD - HHA 10731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10731,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10731,A000000,05000,0000,05000CORF 10731,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10731,A000000,05300,0000,05300INTEREST EXPENSE 10731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10731,A000000,05500,0000,05500HOSPICE 10731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10731,A000000,06100,0000,06100NONPAID WORKERS 10731,A000000,06150,0000,06300PEN PART B - NONREIMBURSEABLE 10731,A000000,06200,0000,06200PATIENTS LAUNDRY 10731,A81000A,00100,0100,Y 10731,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 10731,A81000B,00200,0300,HOME OFFICE ADMIN COSTS 10731,A81000B,00300,0300,HOME OFFICE DIETARY COSTS 10731,A81000C,00100,0100,B 10731,A81000C,00100,0200,CATHEDRAL FOUNDATION INC 10731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10731,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 10731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10731,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10731,B100000,00000,0800,00000MEALS SERVED :DIETARY 10731,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10731,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10731,S000000,00100,0200,03/01/2000 10731,S200000,00100,0100,333 EAST ASHLEY STREET 10731,S200000,00200,0100,JACKSONVILLE 10731,S200000,00200,0200,FL 10731,S200000,00200,0300,32202- 10731,S200000,00300,0100,DUVAL 10731,S200000,00300,0200,3600 10731,S200000,00300,0300,U 10731,S200000,00400,0100,CATHEDRAL CONVALESCENT CENTER 10731,S200000,00400,0200,105834 10731,S200000,00400,0300,10/15/1993 10731,S200000,00400,0500,P 10731,S200000,00600,0200,105834 10731,S200000,00600,0300,10/15/1993 10731,S200000,00600,0600,P 10731,S200000,01600,0100,Y 10741,S000000,00100,0200,02/29/2000 10761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10761,A000000,00300,0000,00300EMPLOYEE BENEFITS 10761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10761,A000000,00700,0000,00700HOUSEKEEPING 10761,A000000,00800,0000,00800DIETARY 10761,A000000,00900,0000,00900NURSING ADMINISTRATION 10761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10761,A000000,01100,0000,01100PHARMACY 10761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10761,A000000,01300,0000,01300SOCIAL SERVICE 10761,A000000,01350,0000,01500OTHER GENERAL SERVICES 10761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10761,A000000,01600,0000,01600SKILLED NURSING FACILITY 10761,A000000,01800,0000,01800NURSING FACILITY 10761,A000000,01900,0000,01900OTHER LONG TERM CARE 10761,A000000,02100,0000,02100RADIOLOGY 10761,A000000,02200,0000,02200LABORATORY 10761,A000000,02300,0000,02300INTRAVENOUS THERAPY 10761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10761,A000000,02500,0000,02500PHYSICAL THERAPY 10761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10761,A000000,02700,0000,02700SPEECH PATHOLOGY 10761,A000000,02800,0000,02800ELECTROCARDIOLOGY 10761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10761,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10761,A000000,03200,0000,03200SUPPORT SURFACES 10761,A000000,03400,0000,03400CLINIC 10761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10761,A000000,03500,0000,03500RURAL HEALTH CLINIC 10761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10761,A000000,04800,0000,04800AMBULANCE 10761,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10761,A000000,05000,0000,05000CORF 10761,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10761,A000000,05300,0000,05300INTEREST EXPENSE 10761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10761,A000000,05500,0000,05500HOSPICE 10761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10761,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10761,A000000,06100,0000,06100NONPAID WORKERS 10761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10761,A000000,06200,0000,06200PATIENTS LAUNDRY 10761,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10761,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10761,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10761,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10761,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10761,B100000,00000,0750,00000MODIFIED SQ. FT. :HOUSEKEEPING 10761,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10761,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10761,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10761,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10761,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10761,E10A180,00301,0100,08/01/2000 10761,S000000,00100,0200,06/02/2000 10761,S200000,00100,0100,11300 110TH AVENUE NORTH 10761,S200000,00200,0100,LARGO 10761,S200000,00200,0200,FL 10761,S200000,00200,0300,33778- 10761,S200000,00300,0100,PINELLAS 10761,S200000,00300,0200,8280 10761,S200000,00300,0300,U 10761,S200000,00400,0100,CANA CORP D/B/A WRIGHTS NURSING HOME 10761,S200000,00400,0200,105849 10761,S200000,00400,0300,12/16/1993 10761,S200000,00400,0500,P 10761,S200000,01600,0100,Y 10770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10770,A000000,00300,0000,00300EMPLOYEE BENEFITS 10770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10770,A000000,00700,0000,00700HOUSEKEEPING 10770,A000000,00800,0000,00800DIETARY 10770,A000000,00900,0000,00900NURSING ADMINISTRATION 10770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10770,A000000,01100,0000,01100PHARMACY 10770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10770,A000000,01300,0000,01300SOCIAL SERVICE 10770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10770,A000000,01600,0000,01600SKILLED NURSING FACILITY 10770,A000000,01800,0000,01800NURSING FACILITY 10770,A000000,01900,0000,01900OTHER LONG TERM CARE 10770,A000000,02100,0000,02100RADIOLOGY 10770,A000000,02200,0000,02200LABORATORY 10770,A000000,02300,0000,02300INTRAVENOUS THERAPY 10770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10770,A000000,02500,0000,02500PHYSICAL THERAPY 10770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10770,A000000,02700,0000,02700SPEECH PATHOLOGY 10770,A000000,02800,0000,02800ELECTROCARDIOLOGY 10770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10770,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10770,A000000,03200,0000,03200SUPPORT SURFACES 10770,A000000,03400,0000,03400CLINIC 10770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10770,A000000,03500,0000,03500RURAL HEALTH CLINIC 10770,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10770,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10770,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10770,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10770,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10770,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10770,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10770,A000000,04400,0000,04400DME RENTED - HHA 10770,A000000,04500,0000,04500DME SOLD - HHA 10770,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10770,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10770,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10770,A000000,04800,0000,04800AMBULANCE 10770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10770,A000000,05000,0000,05000CORF 10770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10770,A000000,05300,0000,05300INTEREST EXPENSE 10770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10770,A000000,05500,0000,05500HOSPICE 10770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10770,A000000,05801,0000,05801ACLF AND RESIDENTIAL LIVING 10770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10770,A000000,06100,0000,06100NONPAID WORKERS 10770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10770,A000000,06200,0000,06200PATIENTS LAUNDRY 10770,A81000A,00100,0100,Y 10770,A81000B,00100,0300,HOME OFFICE - PROPERTY 10770,A81000B,00200,0300,HOME OFFICE - OPERATING 10770,A81000C,00100,0100,B 10770,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10770,A81000C,00100,0400,HOME OFFICE 10770,A81000C,00200,0200,COMMUNITIES INC. 10770,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10770,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10770,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10770,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10770,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10770,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10770,B100000,00000,0800,00000MEALS SERVED :DIETARY 10770,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10770,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10770,S000000,00100,0200,08/31/2000 10770,S200000,00100,0100,4449 MEANDERING WAY 10770,S200000,00200,0100,TALLAHASSEE 10770,S200000,00200,0200,FL 10770,S200000,00200,0300,32308- 10770,S200000,00300,0100,LEON 10770,S200000,00300,0200,8240 10770,S200000,00300,0300,U 10770,S200000,00400,0100,WESTMINSTER OAKS 10770,S200000,00400,0200,105854 10770,S200000,00400,0300,11/01/1995 10770,S200000,00400,0500,P 10770,S200000,01004,0500,O 10770,S200000,01500,0100,Y 10778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10778,A000000,00300,0000,00300EMPLOYEE BENEFITS 10778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10778,A000000,00700,0000,00700HOUSEKEEPING 10778,A000000,00800,0000,00800DIETARY 10778,A000000,00900,0000,00900NURSING ADMINISTRATION 10778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10778,A000000,01100,0000,01100PHARMACY 10778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10778,A000000,01300,0000,01300SOCIAL SERVICE 10778,A000000,01350,0000,01500ACTIVITIES 10778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10778,A000000,01600,0000,01600SKILLED NURSING FACILITY 10778,A000000,01800,0000,01800NURSING FACILITY 10778,A000000,01810,0000,01810ICF/MR 10778,A000000,01900,0000,01900OTHER LONG TERM CARE 10778,A000000,02100,0000,02100RADIOLOGY 10778,A000000,02200,0000,02200LABORATORY 10778,A000000,02300,0000,02300INTRAVENOUS THERAPY 10778,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10778,A000000,02500,0000,02500PHYSICAL THERAPY 10778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10778,A000000,02700,0000,02700SPEECH PATHOLOGY 10778,A000000,02800,0000,02800ELECTROCARDIOLOGY 10778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10778,A000000,03050,0000,03300AIR FLUIDIZED BEDS 10778,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10778,A000000,03200,0000,03200SUPPORT SURFACES 10778,A000000,03400,0000,03400CLINIC 10778,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10778,A000000,03500,0000,03500RURAL HEALTH CLINIC 10778,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10778,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10778,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10778,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10778,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10778,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10778,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10778,A000000,04400,0000,04400DME RENTED - HHA 10778,A000000,04500,0000,04500DME SOLD - HHA 10778,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10778,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10778,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10778,A000000,04800,0000,04800AMBULANCE 10778,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10778,A000000,05000,0000,05000CORF 10778,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10778,A000000,05300,0000,05300INTEREST EXPENSE 10778,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10778,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10778,A000000,05500,0000,05500HOSPICE 10778,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10778,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10778,A000000,06100,0000,06100NONPAID WORKERS 10778,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10778,A000000,06200,0000,06200PATIENTS LAUNDRY 10778,A81000A,00100,0100,Y 10778,A81000C,00100,0100,E 10778,A81000C,00100,0200,VARIOUS 10778,A81000C,00100,0400,PELICAN BAY COOPERATIVE 10778,A81000C,00100,0600,RETIREMENT COMMUNITY 10778,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10778,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10778,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10778,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10778,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10778,B100000,00000,0750,00000SQUARE FEET MO :HOUSEKEEPING 10778,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10778,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10778,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10778,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10778,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10778,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10778,S000000,00100,0200,06/01/2000 10778,S200000,00100,0100,100 GLENVIEW PLACE 10778,S200000,00200,0100,NAPLES 10778,S200000,00200,0200,FL 10778,S200000,00200,0300,33963- 10778,S200000,00300,0100,COLLIER 10778,S200000,00300,0200,5345 10778,S200000,00300,0300,U 10778,S200000,00400,0100,PREMIER PLACE AT THE GLENVIEW 10778,S200000,00400,0200,105856 10778,S200000,00400,0300,04/05/1994 10778,S200000,00400,0500,P 10778,S200000,01600,0100,Y 10788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10788,A000000,00300,0000,00300EMPLOYEE BENEFITS 10788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10788,A000000,00700,0000,00700HOUSEKEEPING 10788,A000000,00800,0000,00800DIETARY 10788,A000000,00900,0000,00900NURSING ADMINISTRATION 10788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10788,A000000,01100,0000,01100PHARMACY 10788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10788,A000000,01300,0000,01300SOCIAL SERVICE 10788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10788,A000000,01600,0000,01600SKILLED NURSING FACILITY 10788,A000000,01800,0000,01800NURSING FACILITY 10788,A000000,01810,0000,01810ICF/MR 10788,A000000,02100,0000,02100RADIOLOGY 10788,A000000,02200,0000,02200LABORATORY 10788,A000000,02300,0000,02300INTRAVENOUS THERAPY 10788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10788,A000000,02500,0000,02500PHYSICAL THERAPY 10788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10788,A000000,02700,0000,02700SPEECH PATHOLOGY 10788,A000000,02800,0000,02800ELECTROCARDIOLOGY 10788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10788,A000000,03550,0000,03550FQHC 10788,A000000,05000,0000,05000CORF 10788,A000000,05010,0000,05010CMHC 10788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10788,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10788,A81000A,00100,0100,Y 10788,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10788,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10788,A81000B,00300,0300,HEALTH INSURANCE 10788,A81000B,00400,0300,RETIREMENT 10788,A81000B,00500,0300,PHS - NURSING 10788,A81000B,00600,0300,PHS - SOCIAL WORK 10788,A81000B,00700,0300,PHS - OT 10788,A81000B,00800,0300,PHS - ST 10788,A81000B,00900,0300,PHS - PT 10788,A81000B,01000,0300,PHS - DIETARY 10788,A81000B,01100,0300,PHS - MED RECORDS 10788,A81000B,01200,0300,PHS - ADMIN. 10788,A81000B,01300,0300,SELF-DISALLOWED A&G 10788,A81000B,01400,0300,SELF-DISALLOWED NURSING ADMIN 10788,A81000C,00100,0100,B 10788,A81000C,00100,0200,NATIONAL HEALTH 10788,A81000C,00200,0200,CARE CORPORATIO 10788,A81000C,00300,0100,B 10788,A81000C,00300,0200,PHS 10788,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10788,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10788,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10788,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10788,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10788,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10788,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10788,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10788,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10788,B100000,00000,1250,00000(GROSS REV CHARGES) :MEDICAL RECORD 10788,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10788,S000000,00100,0200,04/12/2000 10788,S200000,00100,0100,4000 KINGS HIGHWAY 10788,S200000,00100,0300,9056 10788,S200000,00200,0100,PORT CHARLOTTE 10788,S200000,00200,0200,FL 10788,S200000,00200,0300,33980- 10788,S200000,00300,0100,CHARLOTTE 10788,S200000,00300,0200,6580 10788,S200000,00300,0300,U 10788,S200000,00400,0100,NHC HEALTHCARE PT. CHARLOTTE 10788,S200000,00400,0200,105859 10788,S200000,00400,0300,06/02/1994 10788,S200000,00400,0500,P 10788,S200000,00600,0200,105859 10788,S200000,00600,0300,06/02/1994 10788,S200000,00600,0600,P 10788,S200000,01600,0100,Y 10803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10803,A000000,00300,0000,00300EMPLOYEE BENEFITS 10803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10803,A000000,00700,0000,00700HOUSEKEEPING 10803,A000000,00800,0000,00800DIETARY 10803,A000000,00900,0000,00900NURSING ADMINISTRATION 10803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10803,A000000,01300,0000,01300SOCIAL SERVICE 10803,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 10803,A000000,01600,0000,01600SKILLED NURSING FACILITY 10803,A000000,01800,0000,01800NURSING FACILITY 10803,A000000,02100,0000,02100RADIOLOGY 10803,A000000,02200,0000,02200LABORATORY 10803,A000000,02300,0000,02300INTRAVENOUS THERAPY 10803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10803,A000000,02500,0000,02500PHYSICAL THERAPY 10803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10803,A000000,02700,0000,02700SPEECH PATHOLOGY 10803,A000000,02800,0000,02800ELECTROCARDIOLOGY 10803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10803,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10803,A000000,03200,0000,03200SUPPORT SURFACES 10803,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10803,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10803,A000000,05300,0000,05300INTEREST EXPENSE 10803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10803,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10803,A000000,06200,0000,06200PATIENTS LAUNDRY 10803,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10803,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10803,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10803,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10803,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10803,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10803,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10803,B100000,00000,0950,00000PATIENT ADMISSIONS :NURSING ADMINI 10803,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 10803,B100000,00000,1250,00000PATIENT ADMISSIONS :MEDICAL RECORD 10803,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10803,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL ACTIVIT 10803,E10A180,00301,0100,02/11/2000 10803,S000000,00100,0200,03/03/2000 10803,S200000,00100,0100,2310 NORTH AIRPORT ROAD 10803,S200000,00200,0100,FORT MYERS 10803,S200000,00200,0200,FL 10803,S200000,00200,0300,33907- 10803,S200000,00300,0100,LEE 10803,S200000,00300,0200,2700 10803,S200000,00300,0300,U 10803,S200000,00400,0100,SHADY REST CARE PAVILION INC. 10803,S200000,00400,0200,105864 10803,S200000,00400,0300,10/01/1994 10803,S200000,00400,0500,P 10803,S200000,01600,0100,Y 10813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10813,A000000,00300,0000,00300EMPLOYEE BENEFITS 10813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10813,A000000,00700,0000,00700HOUSEKEEPING 10813,A000000,00800,0000,00800DIETARY 10813,A000000,00900,0000,00900NURSING ADMINISTRATION 10813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10813,A000000,01100,0000,01100PHARMACY 10813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10813,A000000,01300,0000,01300SOCIAL SERVICE 10813,A000000,01350,0000,01500ACTIVITES 10813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10813,A000000,01600,0000,01600SKILLED NURSING FACILITY 10813,A000000,01800,0000,01800NURSING FACILITY 10813,A000000,01900,0000,01900OTHER LONG TERM CARE 10813,A000000,02100,0000,02100RADIOLOGY 10813,A000000,02200,0000,02200LABORATORY 10813,A000000,02300,0000,02300INTRAVENOUS THERAPY 10813,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10813,A000000,02500,0000,02500PHYSICAL THERAPY 10813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10813,A000000,02700,0000,02700SPEECH PATHOLOGY 10813,A000000,02800,0000,02800ELECTROCARDIOLOGY 10813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10813,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10813,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10813,A000000,03200,0000,03200SUPPORT SURFACES 10813,A000000,03400,0000,03400CLINIC 10813,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10813,A000000,03500,0000,03500RURAL HEALTH CLINIC 10813,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10813,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10813,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10813,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10813,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10813,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10813,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10813,A000000,04400,0000,04400DME RENTED - HHA 10813,A000000,04500,0000,04500DME SOLD - HHA 10813,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10813,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10813,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10813,A000000,04800,0000,04800AMBULANCE 10813,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10813,A000000,05000,0000,05000CORF 10813,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10813,A000000,05300,0000,05300INTEREST EXPENSE 10813,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10813,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10813,A000000,05500,0000,05500HOSPICE 10813,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10813,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10813,A000000,06100,0000,06100NONPAID WORKERS 10813,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10813,A000000,06200,0000,06200PATIENTS LAUNDRY 10813,A81000A,00100,0100,Y 10813,A81000B,00100,0300,HOME OFFICE PROPERTY 10813,A81000B,00200,0300,HOME OFFICE MGMNT FEE 10813,A81000C,00100,0100,B 10813,A81000C,00100,0400,AMERICAN RETIREMENT CORP. 10813,A81000C,00100,0600,MGMT SVCS. 10813,A81000C,00200,0100,B 10813,A81000C,00200,0400,AMERICAN RETIREMENT CORP. 10813,A81000C,00200,0600,MGMT SVCS. 10813,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10813,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10813,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10813,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10813,B100000,00000,0650,00000PATIENT DAYS MODI :LAUNDRY & LINEN 10813,B100000,00000,0750,00000MODIFIED SQ.FT. :HOUSEKEEPING 10813,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10813,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10813,B100000,00000,1050,00000PATIENT DAYS MODI :CENTRAL SERVICES 10813,B100000,00000,1250,00000PATIENT DAYS MODI :MEDICAL RECORDS 10813,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10813,B100000,00000,1350,00000PATIENT DAYS :ACTIVITES 10813,E10A180,00301,0300,02/25/1999 10813,E10A180,00350,0100,02/25/1999 10813,S000000,00100,0200,06/05/2000 10813,S200000,00100,0100,912 AMERICAN EAGLE BLVD 10813,S200000,00200,0100,SUN CITY CENTER 10813,S200000,00200,0200,FL 10813,S200000,00200,0300,33573- 10813,S200000,00300,0100,HILLBOROUGH 10813,S200000,00300,0200,8280 10813,S200000,00300,0300,U 10813,S200000,00400,0100,PLAZA WEST 10813,S200000,00400,0200,105866 10813,S200000,00400,0300,06/10/1994 10813,S200000,00400,0500,P 10813,S200000,01600,0100,Y 10822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10822,A000000,00300,0000,00300EMPLOYEE BENEFITS 10822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10822,A000000,00700,0000,00700HOUSEKEEPING 10822,A000000,00800,0000,00800DIETARY 10822,A000000,00900,0000,00900NURSING ADMINISTRATION 10822,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10822,A000000,01100,0000,01100PHARMACY 10822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10822,A000000,01300,0000,01300SOCIAL SERVICE 10822,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10822,A000000,01600,0000,01600SKILLED NURSING FACILITY 10822,A000000,01800,0000,01800NURSING FACILITY 10822,A000000,01810,0000,01810ICF/MR 10822,A000000,02100,0000,02100RADIOLOGY 10822,A000000,02200,0000,02200LABORATORY 10822,A000000,02300,0000,02300INTRAVENOUS THERAPY 10822,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10822,A000000,02500,0000,02500PHYSICAL THERAPY 10822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10822,A000000,02700,0000,02700SPEECH PATHOLOGY 10822,A000000,02800,0000,02800ELECTROCARDIOLOGY 10822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10822,A000000,03550,0000,03550FQHC 10822,A000000,05000,0000,05000CORF 10822,A000000,05010,0000,05010CMHC 10822,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10822,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10822,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10822,A000000,05300,0000,05300INTEREST EXPENSE 10822,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10822,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10822,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10822,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10822,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10822,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10822,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10822,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10822,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10822,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10822,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10822,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10822,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10822,S000000,00100,0200,05/30/2000 10822,S200000,00100,0100,3671 SOUTH MIAMI AVE. 10822,S200000,00200,0100,MIAMI 10822,S200000,00200,0200,FL 10822,S200000,00200,0300,33133- 10822,S200000,00300,0100,DADE 10822,S200000,00300,0200,5000 10822,S200000,00300,0300,U 10822,S200000,00400,0100,THE NURSING CENTER AT MERCY 10822,S200000,00400,0200,105873 10822,S200000,00400,0300,12/06/1994 10822,S200000,00400,0500,P 10822,S200000,00600,0200,105873 10822,S200000,00600,0300,12/06/1994 10822,S200000,00600,0600,P 10822,S200000,01600,0100,Y 10831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10831,A000000,00300,0000,00300EMPLOYEE BENEFITS 10831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10831,A000000,00700,0000,00700HOUSEKEEPING 10831,A000000,00800,0000,00800DIETARY 10831,A000000,00900,0000,00900NURSING ADMINISTRATION 10831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10831,A000000,01100,0000,01100PHARMACY 10831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10831,A000000,01300,0000,01300SOCIAL SERVICE 10831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10831,A000000,01600,0000,01600SKILLED NURSING FACILITY 10831,A000000,01800,0000,01800NURSING FACILITY 10831,A000000,01900,0000,01900OTHER LONG TERM CARE 10831,A000000,02100,0000,02100RADIOLOGY 10831,A000000,02200,0000,02200LABORATORY 10831,A000000,02300,0000,02300INTRAVENOUS THERAPY 10831,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10831,A000000,02500,0000,02500PHYSICAL THERAPY 10831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10831,A000000,02700,0000,02700SPEECH PATHOLOGY 10831,A000000,02800,0000,02800ELECTROCARDIOLOGY 10831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10831,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10831,A000000,03051,0000,03301IV THERAPY 10831,A000000,03052,0000,02201LAB AND XRAY 10831,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10831,A000000,03200,0000,03200SUPPORT SURFACES 10831,A000000,03400,0000,03400CLINIC 10831,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10831,A000000,03500,0000,03500RURAL HEALTH CLINIC 10831,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10831,A000000,04800,0000,04800AMBULANCE 10831,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10831,A000000,05000,0000,05000CORF 10831,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10831,A000000,05300,0000,05300INTEREST EXPENSE 10831,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10831,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10831,A000000,05500,0000,05500HOSPICE 10831,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10831,A000000,05801,0000,05801ACLF & RESIDENTIAL LIVING 10831,A000000,05802,0000,05802ENTERALS 10831,A000000,05803,0000,05803GIFT FLOWER COFFEE SHOPS & CANTEE 10831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10831,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10831,A000000,06100,0000,06100NONPAID WORKERS 10831,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10831,A000000,06200,0000,06200PATIENTS LAUNDRY 10831,A81000A,00100,0100,Y 10831,A81000B,00100,0300,HOME OFFICE - PROPERTY 10831,A81000B,00300,0300,HOME OFFICE - OPERATING 10831,A81000C,00100,0100,B 10831,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10831,A81000C,00100,0400,HOME OFFICE 10831,A81000C,00200,0200,COMMUNITIES INC. 10831,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10831,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10831,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10831,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10831,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10831,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10831,B100000,00000,0800,00000MEALS SERVED :DIETARY 10831,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10831,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10831,S000000,00100,0200,09/01/2000 10831,S200000,00100,0100,1111 SOUTH LAKEMONT AVENUE 10831,S200000,00200,0100,WINTER PARK 10831,S200000,00200,0200,FL 10831,S200000,00200,0300,32792- 10831,S200000,00300,0100,ORANGE 10831,S200000,00300,0200,5960 10831,S200000,00300,0300,U 10831,S200000,00400,0100,WINTER PARK TOWERS 10831,S200000,00400,0200,105879 10831,S200000,00400,0300,03/03/1995 10831,S200000,00400,0500,P 10831,S200000,01004,0500,O 10831,S200000,01500,0100,Y 10839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10839,A000000,00300,0000,00300EMPLOYEE BENEFITS 10839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10839,A000000,00700,0000,00700HOUSEKEEPING 10839,A000000,00800,0000,00800DIETARY 10839,A000000,00900,0000,00900NURSING ADMINISTRATION 10839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10839,A000000,01100,0000,01100PHARMACY 10839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10839,A000000,01300,0000,01300SOCIAL SERVICE 10839,A000000,01350,0000,01500ACTIVITIES 10839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10839,A000000,01600,0000,01600SKILLED NURSING FACILITY 10839,A000000,01800,0000,01800NURSING FACILITY 10839,A000000,01900,0000,01900OTHER LONG TERM CARE 10839,A000000,02100,0000,02100RADIOLOGY 10839,A000000,02200,0000,02200LABORATORY 10839,A000000,02300,0000,02300INTRAVENOUS THERAPY 10839,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10839,A000000,02500,0000,02500PHYSICAL THERAPY 10839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10839,A000000,02700,0000,02700SPEECH PATHOLOGY 10839,A000000,02800,0000,02800ELECTROCARDIOLOGY 10839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10839,A000000,03050,0000,03300AIR FLUIDIZED BEDS 10839,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10839,A000000,03200,0000,03200SUPPORT SURFACES 10839,A000000,03400,0000,03400CLINIC 10839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10839,A000000,03500,0000,03500RURAL HEALTH CLINIC 10839,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10839,A000000,04800,0000,04800AMBULANCE 10839,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10839,A000000,05000,0000,05000CORF 10839,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10839,A000000,05300,0000,05300INTEREST EXPENSE 10839,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10839,A000000,05500,0000,05500HOSPICE 10839,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10839,A000000,05901,0000,05901VENDING 10839,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10839,A000000,06100,0000,06100NONPAID WORKERS 10839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10839,A000000,06200,0000,06200PATIENTS LAUNDRY 10839,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10839,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10839,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10839,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10839,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10839,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10839,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10839,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10839,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10839,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10839,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10839,S000000,00100,0200,01/04/2000 10839,S200000,00100,0100,851 WEST LUMSDEN ROAD 10839,S200000,00200,0100,BRANDON 10839,S200000,00200,0200,FL 10839,S200000,00200,0300,33511- 10839,S200000,00300,0100,HILLSBOROUGH 10839,S200000,00300,0200,8280 10839,S200000,00300,0300,U 10839,S200000,00400,0100,HAWTHORNE CARE CENTER 10839,S200000,00400,0200,105881 10839,S200000,00400,0300,03/27/1995 10839,S200000,00400,0500,P 10839,S200000,01004,0500,O 10839,S200000,01600,0100,Y 10839,S200000,04100,0100,Y 10850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10850,A000000,00300,0000,00300EMPLOYEE BENEFITS 10850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10850,A000000,00700,0000,00700HOUSEKEEPING 10850,A000000,00800,0000,00800DIETARY 10850,A000000,00900,0000,00900NURSING ADMINISTRATION 10850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10850,A000000,01100,0000,01100PHARMACY 10850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10850,A000000,01300,0000,01300SOCIAL SERVICE 10850,A000000,01350,0000,01500OTHER GENERAL SERVICES 10850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10850,A000000,01600,0000,01600SKILLED NURSING FACILITY 10850,A000000,01800,0000,01800NURSING FACILITY 10850,A000000,01810,0000,01810ICF/MR 10850,A000000,01900,0000,01900OTHER LONG TERM CARE 10850,A000000,02100,0000,02100RADIOLOGY 10850,A000000,02200,0000,02200LABORATORY 10850,A000000,02300,0000,02300INTRAVENOUS THERAPY 10850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10850,A000000,02500,0000,02500PHYSICAL THERAPY 10850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10850,A000000,02700,0000,02700SPEECH PATHOLOGY 10850,A000000,02800,0000,02800ELECTROCARDIOLOGY 10850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10850,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10850,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10850,A000000,03200,0000,03200SUPPORT SURFACES 10850,A000000,03400,0000,03400CLINIC 10850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10850,A000000,03500,0000,03500RURAL HEALTH CLINIC 10850,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10850,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10850,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10850,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10850,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10850,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10850,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10850,A000000,04400,0000,04400DME RENTED - HHA 10850,A000000,04500,0000,04500DME SOLD - HHA 10850,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10850,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10850,A000000,04800,0000,04800AMBULANCE 10850,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10850,A000000,05000,0000,05000CORF 10850,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10850,A000000,05300,0000,05300INTEREST EXPENSE 10850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10850,A000000,05500,0000,05500HOSPICE 10850,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10850,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10850,A000000,06100,0000,06100NONPAID WORKERS 10850,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10850,A000000,06200,0000,06200PATIENTS LAUNDRY 10850,A81000A,00100,0100,Y 10850,A81000B,00100,0300,WMH A & G ALLOCATION 10850,A81000B,00200,0300,WMH-SUPPLIED RESP THERAPY 10850,A81000C,00100,0100,B 10850,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 10850,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 10850,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 10850,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10850,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 10850,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 10850,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 10850,B100000,00000,0850,00000NO STATISTICS :DIETARY 10850,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 10850,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 10850,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 10850,S000000,00100,0200,09/01/2000 10850,S200000,00100,0100,110 LONGWOOD AVE. 10850,S200000,00100,0300,MAIL STOP #24 10850,S200000,00200,0100,ROCKLEDGE 10850,S200000,00200,0200,FL 10850,S200000,00200,0300,32955- 10850,S200000,00300,0100,BREVARD 10850,S200000,00300,0200,4900 10850,S200000,00300,0300,U 10850,S200000,00400,0100,WUESTHOFF PROGRESSIVE CARE CENTER 10850,S200000,00400,0200,105885 10850,S200000,00400,0300,05/30/1995 10850,S200000,00400,0500,P 10850,S200000,00600,0200,021182 10850,S200000,00600,0300,05/30/1995 10850,S200000,00600,0600,P 10850,S200000,01600,0100,Y 10850,S200000,02100,0100,A 10850,S200000,04100,0100,Y 10850,S200000,04300,0100,Y 10858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10858,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 10858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10858,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 10858,A000000,00300,0000,00300EMPLOYEE BENEFITS 10858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10858,A000000,00700,0000,00700HOUSEKEEPING 10858,A000000,00800,0000,00800DIETARY 10858,A000000,00801,0000,00801CAFETERIA 10858,A000000,00900,0000,00900NURSING ADMINISTRATION 10858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10858,A000000,01100,0000,01100PHARMACY 10858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10858,A000000,01300,0000,01300SOCIAL SERVICE 10858,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 10858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10858,A000000,01600,0000,01600SKILLED NURSING FACILITY 10858,A000000,01800,0000,01800NURSING FACILITY 10858,A000000,01900,0000,01900OTHER LONG TERM CARE 10858,A000000,02100,0000,02100RADIOLOGY 10858,A000000,02200,0000,02200LABORATORY 10858,A000000,02300,0000,02300INTRAVENOUS THERAPY 10858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10858,A000000,02500,0000,02500PHYSICAL THERAPY 10858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10858,A000000,02700,0000,02700SPEECH PATHOLOGY 10858,A000000,02800,0000,02800ELECTROCARDIOLOGY 10858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10858,A000000,03050,0000,03300OTHER ANCILLARY 10858,A000000,03051,0000,03301OTHER ANCILLARY II 10858,A000000,03052,0000,03302OTHER ANCILLARY III 10858,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10858,A000000,03200,0000,03200SUPPORT SURFACES 10858,A000000,03400,0000,03400CLINIC 10858,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 10858,A000000,03500,0000,03500RURAL HEALTH CLINIC 10858,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10858,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10858,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10858,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10858,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10858,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10858,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10858,A000000,04400,0000,04400DME RENTED - HHA 10858,A000000,04500,0000,04500DME SOLD - HHA 10858,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10858,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10858,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10858,A000000,04800,0000,04800AMBULANCE 10858,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10858,A000000,05000,0000,05000CORF 10858,A000000,05010,0000,05010CMHC I 10858,A000000,05020,0000,05020OPT I 10858,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10858,A000000,05300,0000,05300INTEREST EXPENSE 10858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 10858,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 10858,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10858,A000000,05500,0000,05500HOSPICE 10858,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10858,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10858,A000000,06100,0000,06100NONPAID WORKERS 10858,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10858,A000000,06200,0000,06200PATIENTS LAUNDRY 10858,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10858,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10858,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10858,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10858,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 10858,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10858,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10858,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 10858,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 10858,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 10858,S000000,00100,0200,07/24/2001 10858,S200000,00100,0100,2000 17TH AVE S 10858,S200000,00200,0100,ST PETERSBURG 10858,S200000,00200,0200,FL 10858,S200000,00200,0300,33712- 10858,S200000,00300,0100,PINELLAS 10858,S200000,00300,0200,8280 10858,S200000,00300,0300,U 10858,S200000,00400,0100,SUNCOAST NURSING HOME 10858,S200000,00400,0200,105890 10858,S200000,00400,0300,08/01/1995 10858,S200000,00400,0500,P 10858,S200000,01500,0100,Y 10866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10866,A000000,00300,0000,00300EMPLOYEE BENEFITS 10866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10866,A000000,00700,0000,00700HOUSEKEEPING 10866,A000000,00800,0000,00800DIETARY 10866,A000000,00900,0000,00900NURSING ADMINISTRATION 10866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10866,A000000,01100,0000,01100PHARMACY 10866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10866,A000000,01300,0000,01300SOCIAL SERVICE 10866,A000000,01350,0000,01500OTHER GENERAL SERVICES 10866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10866,A000000,01600,0000,01600SKILLED NURSING FACILITY 10866,A000000,01800,0000,01800NURSING FACILITY 10866,A000000,01900,0000,01900OTHER LONG TERM CARE 10866,A000000,02100,0000,02100RADIOLOGY 10866,A000000,02200,0000,02200LABORATORY 10866,A000000,02300,0000,02300INTRAVENOUS THERAPY 10866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10866,A000000,02500,0000,02500PHYSICAL THERAPY 10866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10866,A000000,02700,0000,02700SPEECH PATHOLOGY 10866,A000000,02800,0000,02800ELECTROCARDIOLOGY 10866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10866,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10866,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10866,A000000,03200,0000,03200SUPPORT SURFACES 10866,A000000,03400,0000,03400CLINIC 10866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10866,A000000,03500,0000,03500RURAL HEALTH CLINIC 10866,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10866,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10866,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10866,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10866,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10866,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10866,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10866,A000000,04400,0000,04400DME RENTED - HHA 10866,A000000,04500,0000,04500DME SOLD - HHA 10866,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10866,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10866,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10866,A000000,04800,0000,04800AMBULANCE 10866,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10866,A000000,05000,0000,05000CORF 10866,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10866,A000000,05300,0000,05300INTEREST EXPENSE 10866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10866,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10866,A000000,05500,0000,05500HOSPICE 10866,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10866,A000000,05901,0000,05901PART B PPS THERAPIES 10866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10866,A000000,06100,0000,06100NONPAID WORKERS 10866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10866,A000000,06200,0000,06200PATIENTS LAUNDRY 10866,A81000A,00100,0100,Y 10866,A81000B,00100,0300,HOME OFFICE - PROPERTYG 10866,A81000B,00200,0300,HOME OFFICE - PATIENT CARE 10866,A81000B,00300,0300,HOME OFFICE - OPERATING 10866,A81000B,00400,0300,DATA PROCESSING 10866,A81000C,00100,0100,A 10866,A81000C,00100,0200,JOSEPH D. MITCHELL 10866,A81000C,00100,0400,SUMMIT CARE INC. 10866,A81000C,00100,0600,MANAGEMENT 10866,A81000C,00200,0100,A 10866,A81000C,00200,0200,C. GUY FARMER 10866,A81000C,00200,0400,SUMMIT CARE INC. 10866,A81000C,00200,0600,MANAGEMENT 10866,A81000C,00300,0100,A 10866,A81000C,00300,0200,JOSEPH D. MITCHELL 10866,A81000C,00300,0400,REMINGTON FINANCIAL SOLUT 10866,A81000C,00300,0600,BILLING COMPANY 10866,A81000C,00400,0100,A 10866,A81000C,00400,0200,C. GUY FARMER 10866,A81000C,00400,0400,REMINGTON FINANCIAL SOLUT 10866,A81000C,00400,0600,BILLING COMPANY 10866,A81000C,00500,0100,A 10866,A81000C,00600,0100,A 10866,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10866,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10866,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10866,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10866,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10866,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10866,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10866,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10866,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10866,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10866,S000000,00100,0200,09/01/2000 10866,S200000,00100,0100,1709 TALIAFERRO AVENUE 10866,S200000,00200,0100,TAMPA 10866,S200000,00200,0200,FL 10866,S200000,00200,0300,33602- 10866,S200000,00300,0100,HILLSBOROUGH 10866,S200000,00300,0200,8280 10866,S200000,00300,0300,U 10866,S200000,00400,0100,YBOR CITY HEALTHCARE 10866,S200000,00400,0200,105891 10866,S200000,00400,0300,08/28/1995 10866,S200000,00400,0500,P 10866,S200000,00600,0200,105891 10866,S200000,00600,0300,08/28/1995 10866,S200000,00600,0600,P 10866,S200000,01004,0500,O 10866,S200000,01500,0100,Y 10874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10874,A000000,00300,0000,00300EMPLOYEE BENEFITS 10874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10874,A000000,00700,0000,00700HOUSEKEEPING 10874,A000000,00800,0000,00800DIETARY 10874,A000000,00900,0000,00900NURSING ADMINISTRATION 10874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10874,A000000,01100,0000,01100PHARMACY 10874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10874,A000000,01300,0000,01300SOCIAL SERVICE 10874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10874,A000000,01600,0000,01600SKILLED NURSING FACILITY 10874,A000000,01800,0000,01800NURSING FACILITY 10874,A000000,01810,0000,01810ICF/MR 10874,A000000,02100,0000,02100RADIOLOGY 10874,A000000,02200,0000,02200LABORATORY 10874,A000000,02300,0000,02300INTRAVENOUS THERAPY 10874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10874,A000000,02500,0000,02500PHYSICAL THERAPY 10874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10874,A000000,02700,0000,02700SPEECH PATHOLOGY 10874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10874,A000000,03550,0000,03550FQHC 10874,A000000,05000,0000,05000CORF 10874,A000000,05010,0000,05010CMHC 10874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10874,A000000,05300,0000,05300INTEREST EXPENSE 10874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10874,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10874,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10874,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10874,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10874,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10874,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10874,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10874,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10874,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10874,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10874,S000000,00100,0200,05/30/2000 10874,S200000,00100,0100,1900 COUNTRY CLUB ROAD 10874,S200000,00200,0100,MADISON 10874,S200000,00200,0200,FL 10874,S200000,00200,0300,32340- 10874,S200000,00300,0100,MADISON 10874,S200000,00300,0200,10 10874,S200000,00300,0300,R 10874,S200000,00400,0100,LAKE PARK OF MADISON 10874,S200000,00400,0200,105892 10874,S200000,00400,0300,03/04/1996 10874,S200000,00400,0500,P 10874,S200000,00600,0200,105892 10874,S200000,00600,0300,03/04/1996 10874,S200000,00600,0600,P 10874,S200000,01600,0100,Y 10885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10885,A000000,00300,0000,00300EMPLOYEE BENEFITS 10885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10885,A000000,00700,0000,00700HOUSEKEEPING 10885,A000000,00800,0000,00800DIETARY 10885,A000000,00900,0000,00900NURSING ADMINISTRATION 10885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10885,A000000,01100,0000,01100PHARMACY 10885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10885,A000000,01300,0000,01300SOCIAL SERVICE 10885,A000000,01350,0000,01500OTHER GENERAL SERVICES 10885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10885,A000000,01600,0000,01600SKILLED NURSING FACILITY 10885,A000000,01800,0000,01800NURSING FACILITY 10885,A000000,01900,0000,01900OTHER LONG TERM CARE 10885,A000000,02100,0000,02100RADIOLOGY 10885,A000000,02200,0000,02200LABORATORY 10885,A000000,02300,0000,02300INTRAVENOUS THERAPY 10885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10885,A000000,02500,0000,02500PHYSICAL THERAPY 10885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10885,A000000,02700,0000,02700SPEECH PATHOLOGY 10885,A000000,02800,0000,02800ELECTROCARDIOLOGY 10885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10885,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10885,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10885,A000000,03200,0000,03200SUPPORT SURFACES 10885,A000000,03400,0000,03400CLINIC 10885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10885,A000000,03500,0000,03500RURAL HEALTH CLINIC 10885,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10885,A000000,04800,0000,04800AMBULANCE 10885,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10885,A000000,05000,0000,05000CORF 10885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10885,A000000,05300,0000,05300INTEREST EXPENSE 10885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10885,A000000,05500,0000,05500HOSPICE 10885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10885,A000000,06100,0000,06100NONPAID WORKERS 10885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10885,A000000,06200,0000,06200PATIENTS LAUNDRY 10885,A81000A,00100,0100,Y 10885,A81000B,00100,0300,MANAGEMENT FEES 10885,A81000B,00200,0300,CONTRACTED THERAPY FEES 10885,A81000C,00100,0100,B 10885,A81000C,00100,0200,TANDEM HEALTHCARE 10885,A81000C,00100,0400,TANDEM HEALTHCARE 10885,A81000C,00100,0600,HEALTHCARE MANAGEMENT 10885,A81000C,00200,0100,B 10885,A81000C,00200,0200,TANDEM HEALTHCARE 10885,A81000C,00200,0400,TANDEM REHABILITATION 10885,A81000C,00200,0600,THERAPY SERVICES 10885,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 10885,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10885,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 10885,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10885,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 10885,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10885,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 10885,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10885,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10885,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10885,S000000,00100,0200,12/10/1999 10885,S200000,00100,0100,800 N.W. 1ST AVENUE 10885,S200000,00200,0100,MIAMI 10885,S200000,00200,0200,FL 10885,S200000,00200,0300,33150- 10885,S200000,00300,0100,DADE 10885,S200000,00300,0200,5000 10885,S200000,00300,0300,U 10885,S200000,00400,0100,FRANCO NURSING & REHAB CENTER 10885,S200000,00400,0200,105903 10885,S200000,00400,0300,01/04/1996 10885,S200000,00400,0500,P 10885,S200000,01004,0500,O 10885,S200000,01600,0100,Y 10895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10895,A000000,00300,0000,00300EMPLOYEE BENEFITS 10895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10895,A000000,00700,0000,00700HOUSEKEEPING 10895,A000000,00800,0000,00800DIETARY 10895,A000000,00900,0000,00900NURSING ADMINISTRATION 10895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10895,A000000,01100,0000,01100PHARMACY 10895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10895,A000000,01300,0000,01300SOCIAL SERVICE 10895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10895,A000000,01600,0000,01600SKILLED NURSING FACILITY 10895,A000000,01800,0000,01800NURSING FACILITY 10895,A000000,01810,0000,01810ICF/MR 10895,A000000,02100,0000,02100RADIOLOGY 10895,A000000,02200,0000,02200LABORATORY 10895,A000000,02300,0000,02300INTRAVENOUS THERAPY 10895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10895,A000000,02500,0000,02500PHYSICAL THERAPY 10895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10895,A000000,02700,0000,02700SPEECH PATHOLOGY 10895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10895,A000000,03550,0000,03550FQHC 10895,A000000,05000,0000,05000CORF 10895,A000000,05010,0000,05010CMHC 10895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10895,A000000,05300,0000,05300INTEREST EXPENSE 10895,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10895,A81000A,00100,0100,Y 10895,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10895,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10895,A81000B,00300,0300,HEALTH INSURANCE 10895,A81000B,00400,0300,RETIREMENT 10895,A81000B,00600,0300,PHS COST 10895,A81000B,00700,0300,PHS COST 10895,A81000B,00800,0300,PHS COST 10895,A81000B,00900,0300,PHS COST 10895,A81000B,01000,0300,PHS COST 10895,A81000B,01100,0300,PHS COST 10895,A81000B,01200,0300,PHS COST 10895,A81000B,01300,0300,PHS COST 10895,A81000B,01400,0300,SELF-DISALLOWED A&G COST 10895,A81000B,01500,0300,SELF-DISALLOWED NURSING ADMIN 10895,A81000C,00100,0100,B 10895,A81000C,00100,0200,NATIONAL HEALTH 10895,A81000C,00200,0200,CARE CORPORATIO 10895,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10895,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10895,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10895,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10895,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10895,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10895,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10895,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10895,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10895,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10895,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10895,S000000,00100,0200,04/05/2000 10895,S200000,00100,0100,550 NATIONAL HEALTHCARE DR. 10895,S200000,00200,0100,DAYTONA 10895,S200000,00200,0200,FL 10895,S200000,00200,0300,32114- 10895,S200000,00300,0100,VOLUSIA 10895,S200000,00300,0200,2020 10895,S200000,00300,0300,U 10895,S200000,00400,0100,NHC HEALTHCARE DAYTONA 10895,S200000,00400,0200,105915 10895,S200000,00400,0300,01/01/1995 10895,S200000,00400,0500,P 10895,S200000,00600,0200,109595 10895,S200000,00600,0300,01/01/1995 10895,S200000,00600,0600,P 10895,S200000,01600,0100,Y 10903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10903,A000000,00300,0000,00300EMPLOYEE BENEFITS 10903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10903,A000000,00700,0000,00700HOUSEKEEPING 10903,A000000,00800,0000,00800DIETARY 10903,A000000,00900,0000,00900NURSING ADMINISTRATION 10903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10903,A000000,01100,0000,01100PHARMACY 10903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10903,A000000,01300,0000,01300SOCIAL SERVICE 10903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10903,A000000,01600,0000,01600SKILLED NURSING FACILITY 10903,A000000,01800,0000,01800NURSING FACILITY 10903,A000000,01900,0000,01900OTHER LONG TERM CARE 10903,A000000,02100,0000,02100RADIOLOGY 10903,A000000,02200,0000,02200LABORATORY 10903,A000000,02300,0000,02300INTRAVENOUS THERAPY 10903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10903,A000000,02500,0000,02500PHYSICAL THERAPY 10903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10903,A000000,02700,0000,02700SPEECH PATHOLOGY 10903,A000000,02800,0000,02800ELECTROCARDIOLOGY 10903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10903,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10903,A000000,03051,0000,03301IV THERAPY 10903,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10903,A000000,03200,0000,03200SUPPORT SURFACES 10903,A000000,03400,0000,03400CLINIC 10903,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10903,A000000,03500,0000,03500RURAL HEALTH CLINIC 10903,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10903,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10903,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10903,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10903,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10903,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10903,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10903,A000000,04400,0000,04400DME RENTED - HHA 10903,A000000,04500,0000,04500DME SOLD - HHA 10903,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10903,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10903,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 10903,A000000,04800,0000,04800AMBULANCE 10903,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10903,A000000,05000,0000,05000CORF 10903,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10903,A000000,05300,0000,05300INTEREST EXPENSE 10903,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 10903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10903,A000000,05500,0000,05500HOSPICE 10903,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10903,A000000,05801,0000,05801ACLF & RESIDENTIAL LIVING 10903,A000000,05802,0000,05802PART B PPS 10903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10903,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10903,A000000,06100,0000,06100NONPAID WORKERS 10903,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10903,A000000,06200,0000,06200PATIENTS LAUNDRY 10903,A81000A,00100,0100,Y 10903,A81000B,00100,0300,HOME OFFICE-PROPERTY 10903,A81000B,00300,0300,HOME OFFICE-OPERATING 10903,A81000C,00100,0100,B 10903,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 10903,A81000C,00100,0400,HOME OFFICE 10903,A81000C,00200,0200,COMMUNITIES INC. 10903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10903,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10903,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10903,B100000,00000,0800,00000MEALS SERVED :DIETARY 10903,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 10903,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10903,S000000,00100,0200,09/01/2000 10903,S200000,00100,0100,1700 21ST AVENUE WEST 10903,S200000,00200,0100,BRADENTON 10903,S200000,00200,0200,FL 10903,S200000,00200,0300,34205- 10903,S200000,00300,0100,MANATEE 10903,S200000,00300,0200,7510 10903,S200000,00300,0300,U 10903,S200000,00400,0100,WESTMINSTER ASBURY MANOR 10903,S200000,00400,0200,105919 10903,S200000,00400,0300,04/02/1996 10903,S200000,00400,0500,P 10903,S200000,01004,0500,O 10903,S200000,01500,0100,Y 10911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10911,A000000,00300,0000,00300EMPLOYEE BENEFITS 10911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10911,A000000,00700,0000,00700HOUSEKEEPING 10911,A000000,00800,0000,00800DIETARY 10911,A000000,00900,0000,00900NURSING ADMINISTRATION 10911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10911,A000000,01100,0000,01100PHARMACY 10911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10911,A000000,01300,0000,01300SOCIAL SERVICE 10911,A000000,01350,0000,01500ACTIVITIES 10911,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 10911,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENTERS 10911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10911,A000000,01600,0000,01600SKILLED NURSING FACILITY 10911,A000000,01800,0000,01800NURSING FACILITY 10911,A000000,01810,0000,01801ICF/MR 10911,A000000,01900,0000,01900OTHER LONG TERM CARE 10911,A000000,02100,0000,02100RADIOLOGY 10911,A000000,02200,0000,02200LABORATORY 10911,A000000,02300,0000,02300INTRAVENOUS THERAPY 10911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10911,A000000,02500,0000,02500PHYSICAL THERAPY 10911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10911,A000000,02700,0000,02700SPEECH PATHOLOGY 10911,A000000,02800,0000,02800ELECTROCARDIOLOGY 10911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10911,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 10911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10911,A000000,03200,0000,03200SUPPORT SURFACES 10911,A000000,03400,0000,03400CLINIC 10911,A000000,03401,0000,03401CLINIC 10911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10911,A000000,03500,0000,03500RURAL HEALTH CLINIC 10911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10911,A000000,04400,0000,04400DME RENTED - HHA 10911,A000000,04500,0000,04500DME SOLD - HHA 10911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10911,A000000,04751,0000,05101OTHER REIMBURSABLE COST CENTERS 10911,A000000,04800,0000,04800AMBULANCE 10911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10911,A000000,05000,0000,05000CORF 10911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10911,A000000,05300,0000,05300INTEREST EXPENSE 10911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10911,A000000,05500,0000,05500HOSPICE 10911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10911,A000000,06100,0000,06100NONPAID WORKERS 10911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10911,A000000,06200,0000,06200PATIENTS LAUNDRY 10911,A81000A,00100,0100,Y 10911,A81000B,00100,0300,RENT - CAPITAL RELATED 10911,A81000B,00200,0300,HOME OFFICE COSTS 10911,A81000C,00100,0100,F 10911,A81000C,00100,0200,ABRAHAM GOSMAN 10911,A81000C,00100,0400,MEDITRUST 10911,A81000C,00100,0600,LANDLORD 10911,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10911,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10911,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10911,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10911,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10911,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 10911,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10911,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10911,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 10911,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 10911,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10911,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10911,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10911,B100000,00000,1351,00000NO STATISTICS :OTHER GENERAL SERVI 10911,B100000,00000,1352,00000PATIENT DAYS :OTHER GENERAL SERVIC 10911,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 10911,S000000,00100,0200,07/21/2000 10911,S200000,00100,0100,3803 PGA BOULEVARD 10911,S200000,00200,0100,PALM BEACH GARDENS 10911,S200000,00200,0200,FL 10911,S200000,00200,0300,33410- 10911,S200000,00300,0100,PALM BEACH 10911,S200000,00400,0100,GARDENS COURT 10911,S200000,00400,0200,105921 10911,S200000,00400,0300,08/13/1996 10911,S200000,00400,0500,P 10911,S200000,00600,0200,105921 10911,S200000,00600,0300,08/13/1996 10911,S200000,00600,0600,P 10911,S200000,01600,0100,Y 10911,S200000,04100,0100,Y 10920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10920,A000000,00300,0000,00300EMPLOYEE BENEFITS 10920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10920,A000000,00700,0000,00700HOUSEKEEPING 10920,A000000,00800,0000,00800DIETARY 10920,A000000,00900,0000,00900NURSING ADMINISTRATION 10920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10920,A000000,01100,0000,01100PHARMACY 10920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10920,A000000,01300,0000,01300SOCIAL SERVICE 10920,A000000,01350,0000,01500OTHER GENERAL SERVICES 10920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10920,A000000,01600,0000,01600SKILLED NURSING FACILITY 10920,A000000,01800,0000,01800NURSING FACILITY 10920,A000000,01810,0000,01810ICF/MR 10920,A000000,01900,0000,01900OTHER LONG TERM CARE 10920,A000000,02100,0000,02100RADIOLOGY 10920,A000000,02200,0000,02200LABORATORY 10920,A000000,02300,0000,02300INTRAVENOUS THERAPY 10920,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10920,A000000,02500,0000,02500PHYSICAL THERAPY 10920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10920,A000000,02700,0000,02700SPEECH PATHOLOGY 10920,A000000,02800,0000,02800ELECTROCARDIOLOGY 10920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10920,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10920,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10920,A000000,03200,0000,03200SUPPORT SURFACES 10920,A000000,03400,0000,03400CLINIC 10920,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10920,A000000,03500,0000,03500RURAL HEALTH CLINIC 10920,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10920,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10920,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10920,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10920,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10920,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10920,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10920,A000000,04400,0000,04400DME RENTED - HHA 10920,A000000,04500,0000,04500DME SOLD - HHA 10920,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10920,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10920,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10920,A000000,04800,0000,04800AMBULANCE 10920,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10920,A000000,05000,0000,05000CORF 10920,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10920,A000000,05300,0000,05300INTEREST EXPENSE 10920,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10920,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10920,A000000,05500,0000,05500HOSPICE 10920,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10920,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10920,A000000,06100,0000,06100NONPAID WORKERS 10920,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10920,A000000,06200,0000,06200PATIENTS LAUNDRY 10920,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10920,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10920,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10920,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10920,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10920,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10920,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10920,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10920,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10920,S000000,00100,0200,06/01/2000 10920,S200000,00100,0100,6909 9TH STREET SOUTH 10920,S200000,00200,0100,ST. PETERSBURG 10920,S200000,00200,0200,FL 10920,S200000,00200,0300,33705- 10920,S200000,00300,0100,PINELLAS 10920,S200000,00300,0200,8280 10920,S200000,00300,0300,U 10920,S200000,00400,0100,SUNCOAST MANOR HEALTH CENTER 10920,S200000,00400,0200,105926 10920,S200000,00400,0300,09/06/1996 10920,S200000,00400,0500,P 10920,S200000,01004,0500,O 10920,S200000,01500,0100,Y 10928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10928,A000000,00300,0000,00300EMPLOYEE BENEFITS 10928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10928,A000000,00700,0000,00700HOUSEKEEPING 10928,A000000,00800,0000,00800DIETARY 10928,A000000,00900,0000,00900NURSING ADMINISTRATION 10928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10928,A000000,01100,0000,01100PHARMACY 10928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10928,A000000,01300,0000,01300SOCIAL SERVICE 10928,A000000,01350,0000,01500RECREATION 10928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10928,A000000,01600,0000,01600SKILLED NURSING FACILITY 10928,A000000,01800,0000,01800NURSING FACILITY 10928,A000000,01810,0000,01810ICF/MR 10928,A000000,02100,0000,02100RADIOLOGY 10928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10928,A000000,02500,0000,02500PHYSICAL THERAPY 10928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10928,A000000,02700,0000,02700SPEECH PATHOLOGY 10928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10928,A000000,03550,0000,03550FQHC 10928,A000000,05000,0000,05000CORF 10928,A000000,05010,0000,05010CMHC 10928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10928,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10928,A81000A,00100,0100,Y 10928,A81000B,00100,0300,RENT EXPENSE 10928,A81000B,00200,0300,ADMIN EXPENSE 10928,A81000C,00100,0100,B 10928,A81000C,00100,0200,WESTMONT TERRAC 10928,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10928,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10928,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10928,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10928,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10928,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 10928,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10928,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 10928,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 10928,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10928,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10928,B100000,00000,1350,00000PATIENT DAYS :RECREATION 10928,S000000,00100,0200,05/31/2000 10928,S200000,00100,0100,120 CHIPOLA AVENUE 10928,S200000,00200,0100,DELAND 10928,S200000,00200,0200,FL 10928,S200000,00200,0300,32720-0000 10928,S200000,00300,0100,VOLUSIA 10928,S200000,00300,0200,2020 10928,S200000,00300,0300,U 10928,S200000,00400,0100,WOODLAND TERRACE EXTENDED CARE 10928,S200000,00400,0200,105930 10928,S200000,00400,0300,09/27/1996 10928,S200000,00400,0500,P 10928,S200000,01004,0500,O 10928,S200000,01600,0100,Y 10936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10936,A000000,00300,0000,00300EMPLOYEE BENEFITS 10936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10936,A000000,00700,0000,00700HOUSEKEEPING 10936,A000000,00800,0000,00800DIETARY 10936,A000000,00900,0000,00900NURSING ADMINISTRATION 10936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10936,A000000,01100,0000,01100PHARMACY 10936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10936,A000000,01300,0000,01300SOCIAL SERVICE 10936,A000000,01350,0000,01500OTHER GENERAL SERVICES 10936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10936,A000000,01600,0000,01600SKILLED NURSING FACILITY 10936,A000000,01800,0000,01800NURSING FACILITY 10936,A000000,01810,0000,01810ICF/MR 10936,A000000,01900,0000,01900OTHER LONG TERM CARE 10936,A000000,02100,0000,02100RADIOLOGY 10936,A000000,02200,0000,02200LABORATORY 10936,A000000,02300,0000,02300INTRAVENOUS THERAPY 10936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10936,A000000,02500,0000,02500PHYSICAL THERAPY 10936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10936,A000000,02700,0000,02700SPEECH PATHOLOGY 10936,A000000,02800,0000,02800ELECTROCARDIOLOGY 10936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10936,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10936,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10936,A000000,03200,0000,03200SUPPORT SURFACES 10936,A000000,03400,0000,03400CLINIC 10936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10936,A000000,03500,0000,03500RURAL HEALTH CLINIC 10936,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10936,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10936,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10936,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10936,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10936,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10936,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10936,A000000,04400,0000,04400DME RENTED - HHA 10936,A000000,04500,0000,04500DME SOLD - HHA 10936,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10936,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10936,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10936,A000000,04800,0000,04800AMBULANCE 10936,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10936,A000000,05000,0000,05000CORF 10936,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10936,A000000,05300,0000,05300INTEREST EXPENSE 10936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10936,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10936,A000000,05500,0000,05500HOSPICE 10936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10936,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10936,A000000,06100,0000,06100NONPAID WORKERS 10936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10936,A000000,06200,0000,06200PATIENTS LAUNDRY 10936,A81000A,00100,0100,Y 10936,A81000B,00100,0300,COMPLEX MEDICAL EQUIPMENT 10936,A81000B,00200,0300,RENT 10936,A81000B,00300,0300,PROPERTY INTEREST 10936,A81000B,00400,0300,DEPRECIATION 10936,A81000C,00100,0100,A 10936,A81000C,00100,0200,KHALID MIRZA 10936,A81000C,00100,0400,FLAGSHIP HEALTH CARE 10936,A81000C,00100,0600,DME 10936,A81000C,00200,0100,A 10936,A81000C,00200,0200,KHALID MIRZA 10936,A81000C,00200,0400,PALMETTO SUBACUTE 10936,A81000C,00200,0600,REAL ESTATE 10936,A81000C,00300,0100,A 10936,A81000C,00300,0200,KHALID MIRZA 10936,A81000C,00300,0400,PALMETTO SUBACUTE 10936,A81000C,00300,0600,REAL ESTATE 10936,A81000C,00400,0100,A 10936,A81000C,00400,0200,KHALID MIRZA 10936,A81000C,00400,0400,PALMETTO SUBACUTE 10936,A81000C,00400,0600,REAL ESTATE 10936,A81000C,00500,0100,A 10936,A81000C,00600,0100,A 10936,A81000C,00700,0100,A 10936,A81000C,00800,0100,A 10936,A81000C,00900,0100,A 10936,A81000C,01000,0100,A 10936,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10936,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10936,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10936,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10936,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10936,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10936,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10936,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10936,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10936,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10936,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10936,S000000,00100,0200,06/01/2000 10936,S200000,00100,0100,7600 S.W. 8TH STREET 10936,S200000,00200,0100,MIAMI 10936,S200000,00200,0200,FL 10936,S200000,00200,0300,33144- 10936,S200000,00300,0100,MIAMI DADE 10936,S200000,00300,0200,5000 10936,S200000,00300,0300,U 10936,S200000,00400,0100,PALMETTO SUB-ACUTE CARE CENTER 10936,S200000,00400,0200,105939 10936,S200000,00400,0300,01/24/1997 10936,S200000,00400,0500,P 10936,S200000,01600,0100,Y 10936,S200000,04100,0100,Y 10943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10943,A000000,00300,0000,00300EMPLOYEE BENEFITS 10943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10943,A000000,00700,0000,00700HOUSEKEEPING 10943,A000000,00800,0000,00800DIETARY 10943,A000000,00900,0000,00900NURSING ADMINISTRATION 10943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10943,A000000,01100,0000,01100PHARMACY 10943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10943,A000000,01300,0000,01300SOCIAL SERVICE 10943,A000000,01600,0000,01600SKILLED NURSING FACILITY 10943,A000000,01800,0000,01800NURSING FACILITY 10943,A000000,01900,0000,01900OTHER LONG TERM CARE 10943,A000000,02100,0000,02100RADIOLOGY 10943,A000000,02200,0000,02200LABORATORY 10943,A000000,02300,0000,02300INTRAVENOUS THERAPY 10943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10943,A000000,02500,0000,02500PHYSICAL THERAPY 10943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10943,A000000,02700,0000,02700SPEECH PATHOLOGY 10943,A000000,02800,0000,02800ELECTROCARDIOLOGY 10943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10943,A000000,03051,0000,03301NUTRITIONAL THERAPY 10943,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 10943,A000000,03053,0000,03303PHYSICIAN SERVICES 10943,A000000,03054,0000,03304MEDICAL SERVICES 10943,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 10943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10943,A000000,03200,0000,03200SUPPORT SURFACES 10943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10943,A000000,04800,0000,04800AMBULANCE 10943,A000000,05300,0000,05300INTEREST EXPENSE 10943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10943,A000000,06100,0000,06100NONPAID WORKERS 10943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10943,A000000,06200,0000,06200PATIENTS LAUNDRY 10943,A81000A,00100,0100,Y 10943,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 10943,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 10943,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 10943,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 10943,A81000B,00500,0300,REGIONAL ALLOCATION 10943,A81000B,00600,0300,SEE ATTACHMENT A-8-1 10943,A81000C,00100,0100,B 10943,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 10943,A81000C,00200,0200,A-8-1. 10943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10943,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 10943,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10943,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10943,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10943,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 10943,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10943,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10943,S000000,00100,0200,06/05/2000 10943,S200000,00100,0100,40 ACME STREET 10943,S200000,00200,0100,JACKSONVILLE 10943,S200000,00200,0200,FL 10943,S200000,00200,0300,32211- 10943,S200000,00300,0100,DUVAL 10943,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR SOUTHSIDE 10943,S200000,00400,0200,105945 10943,S200000,00400,0300,04/08/1997 10943,S200000,00400,0500,P 10943,S200000,01600,0100,Y 10943,S200000,02200,0100,Y 10943,S700003,00000,0400,4 10951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10951,A000000,00101,0000,00101CAP REL COSTS - ILU/ALF 10951,A000000,00102,0000,00102CAP REL COSTS - HC 10951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10951,A000000,00300,0000,00300EMPLOYEE BENEFITS 10951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10951,A000000,00700,0000,00700HOUSEKEEPING 10951,A000000,00800,0000,00800DIETARY 10951,A000000,00900,0000,00900NURSING ADMINISTRATION 10951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10951,A000000,01100,0000,01100PHARMACY 10951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10951,A000000,01300,0000,01300SOCIAL SERVICE 10951,A000000,01350,0000,01500ACTIVITIES 10951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10951,A000000,01600,0000,01600SKILLED NURSING FACILITY 10951,A000000,01800,0000,01800NURSING FACILITY 10951,A000000,01810,0000,01810ICF/MR 10951,A000000,01900,0000,01900OTHER LONG TERM CARE 10951,A000000,02100,0000,02100RADIOLOGY 10951,A000000,02200,0000,02200LABORATORY 10951,A000000,02300,0000,02300INTRAVENOUS THERAPY 10951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10951,A000000,02500,0000,02500PHYSICAL THERAPY 10951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10951,A000000,02700,0000,02700SPEECH PATHOLOGY 10951,A000000,02800,0000,02800ELECTROCARDIOLOGY 10951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10951,A000000,03050,0000,03300AIR FLUIDIZED BEDS 10951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10951,A000000,03200,0000,03200SUPPORT SURFACES 10951,A000000,03400,0000,03400CLINIC 10951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10951,A000000,03500,0000,03500RURAL HEALTH CLINIC 10951,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 10951,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 10951,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 10951,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 10951,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 10951,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 10951,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 10951,A000000,04400,0000,04400DME RENTED - HHA 10951,A000000,04500,0000,04500DME SOLD - HHA 10951,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 10951,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 10951,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10951,A000000,04800,0000,04800AMBULANCE 10951,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10951,A000000,05000,0000,05000CORF 10951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10951,A000000,05300,0000,05300INTEREST EXPENSE 10951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10951,A000000,05500,0000,05500HOSPICE 10951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10951,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10951,A000000,06100,0000,06100NONPAID WORKERS 10951,A000000,06150,0000,06300INDEPENDENT LIVING 10951,A000000,06200,0000,06200PATIENTS LAUNDRY 10951,B100000,00000,0101,00000SQUARE FEET IL :CAP REL COSTS - ILU 10951,B100000,00000,0102,00000SQUARE FEET :CAP REL COSTS - HC 10951,B100000,00000,0150,00000DOLLAR VALUE :CAP REL COSTS - BLDG 10951,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10951,B100000,00000,0500,00000SQUARE FEET ALL :PLANT OPERATION M 10951,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10951,B100000,00000,0750,00000MODIFIED SQ. FT. :HOUSEKEEPING 10951,B100000,00000,0800,00000MEALS SERVED :DIETARY 10951,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 10951,B100000,00000,1050,00000PATIENT DAYS HC/AL :CENTRAL SERVICE 10951,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10951,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10951,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10951,S000000,00100,0200,07/13/2000 10951,S200000,00100,0100,4600 54TH AVENUE 10951,S200000,00200,0100,ST. PETERSBURG 10951,S200000,00200,0200,FL 10951,S200000,00200,0300,33711- 10951,S200000,00300,0100,PINELLAS 10951,S200000,00300,0200,8280 10951,S200000,00300,0300,U 10951,S200000,00400,0100,COLLEGE HARBOR 10951,S200000,00400,0200,105959 10951,S200000,00400,0300,06/25/1997 10951,S200000,00400,0500,P 10951,S200000,01600,0100,Y 10958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10958,A000000,00300,0000,00300EMPLOYEE BENEFITS 10958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10958,A000000,00700,0000,00700HOUSEKEEPING 10958,A000000,00800,0000,00800DIETARY 10958,A000000,00900,0000,00900NURSING ADMINISTRATION 10958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10958,A000000,01100,0000,01100PHARMACY 10958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10958,A000000,01300,0000,01300SOCIAL SERVICE 10958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10958,A000000,01600,0000,01600SKILLED NURSING FACILITY 10958,A000000,01800,0000,01800NURSING FACILITY 10958,A000000,01810,0000,01810ICF/MR 10958,A000000,02100,0000,02100RADIOLOGY 10958,A000000,02200,0000,02200LABORATORY 10958,A000000,02300,0000,02300INTRAVENOUS THERAPY 10958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10958,A000000,02500,0000,02500PHYSICAL THERAPY 10958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10958,A000000,02700,0000,02700SPEECH PATHOLOGY 10958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10958,A000000,03550,0000,03550FQHC 10958,A000000,05000,0000,05000CORF 10958,A000000,05010,0000,05010CMHC 10958,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 10958,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 10958,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 10958,A000000,05300,0000,05300INTEREST EXPENSE 10958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10958,A81000A,00100,0100,Y 10958,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 10958,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 10958,A81000B,00300,0300,HEALTH INSURANCE 10958,A81000B,00400,0300,RETIREMENT 10958,A81000B,00600,0300,PHS COST 10958,A81000B,00700,0300,PHS COST 10958,A81000B,00800,0300,PHS COST 10958,A81000B,00900,0300,PHS COST 10958,A81000B,01000,0300,PHS COST 10958,A81000B,01100,0300,PHS COST 10958,A81000B,01200,0300,PHS COST 10958,A81000B,01300,0300,PHS COST 10958,A81000B,01400,0300,SELF-DISALLOWED A&G COST 10958,A81000C,00100,0100,B 10958,A81000C,00100,0200,NATIONAL HEALTH 10958,A81000C,00100,0400,PROFL HEALTH S 10958,A81000C,00100,0600,HEALTHCARE CONS 10958,A81000C,00200,0200,CARE CORPORATIO 10958,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 10958,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 10958,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10958,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 10958,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 10958,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 10958,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 10958,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 10958,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 10958,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 10958,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 10958,S000000,00100,0200,04/07/2000 10958,S200000,00100,0100,4875 CASON COVE DR. 10958,S200000,00100,0300,618246 10958,S200000,00200,0100,ORLANDO 10958,S200000,00200,0200,FL 10958,S200000,00200,0300,32811- 10958,S200000,00300,0100,ORANGE 10958,S200000,00300,0200,5960 10958,S200000,00300,0300,U 10958,S200000,00400,0100,NHC HEALTHCARE ORLANDO 10958,S200000,00400,0200,105960 10958,S200000,00400,0300,06/18/1997 10958,S200000,00400,0500,P 10958,S200000,00600,0200,105960 10958,S200000,00600,0300,04/01/1997 10958,S200000,00600,0600,P 10958,S200000,01600,0100,Y 10967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10967,A000000,00300,0000,00300EMPLOYEE BENEFITS 10967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10967,A000000,00700,0000,00700HOUSEKEEPING 10967,A000000,00800,0000,00800DIETARY 10967,A000000,00900,0000,00900NURSING ADMINISTRATION 10967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10967,A000000,01100,0000,01100PHARMACY 10967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10967,A000000,01300,0000,01300SOCIAL SERVICE 10967,A000000,01350,0000,01500OTHER GENERAL SERVICES 10967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10967,A000000,01600,0000,01600SKILLED NURSING FACILITY 10967,A000000,01800,0000,01800NURSING FACILITY 10967,A000000,01810,0000,01810ICF/MR 10967,A000000,01900,0000,01900OTHER LONG TERM CARE 10967,A000000,02100,0000,02100RADIOLOGY 10967,A000000,02200,0000,02200LABORATORY 10967,A000000,02300,0000,02300INTRAVENOUS THERAPY 10967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10967,A000000,02500,0000,02500PHYSICAL THERAPY 10967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10967,A000000,02700,0000,02700SPEECH PATHOLOGY 10967,A000000,02800,0000,02800ELECTROCARDIOLOGY 10967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10967,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10967,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10967,A000000,03200,0000,03200SUPPORT SURFACES 10967,A000000,03400,0000,03400CLINIC 10967,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10967,A000000,03500,0000,03500RURAL HEALTH CLINIC 10967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10967,A000000,04800,0000,04800AMBULANCE 10967,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10967,A000000,05000,0000,05000CORF 10967,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10967,A000000,05300,0000,05300INTEREST EXPENSE 10967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10967,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10967,A000000,05500,0000,05500HOSPICE 10967,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10967,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10967,A000000,06100,0000,06100NONPAID WORKERS 10967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10967,A000000,06200,0000,06200PATIENTS LAUNDRY 10967,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10967,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 10967,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10967,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10967,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 10967,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10967,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10967,B100000,00000,0850,00000PATIENT DAYS :DIETARY 10967,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 10967,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 10967,B100000,00000,1150,00000SCRIPTS FILLED :PHARMACY 10967,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10967,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10967,S000000,00100,0200,06/01/2000 10967,S200000,00100,0100,15000 SHELL POINT BOULEVARD 10967,S200000,00200,0100,FORT MYERS 10967,S200000,00200,0200,FL 10967,S200000,00200,0300,33908- 10967,S200000,00300,0100,LEE 10967,S200000,00300,0200,2700 10967,S200000,00300,0300,U 10967,S200000,00400,0100,SHELL POINT VILLAGE 10967,S200000,00400,0200,105966 10967,S200000,00400,0300,08/09/1997 10967,S200000,00400,0500,P 10967,S200000,01004,0500,O 10967,S200000,01600,0100,Y 10990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10990,A000000,00300,0000,00300EMPLOYEE BENEFITS 10990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10990,A000000,00700,0000,00700HOUSEKEEPING 10990,A000000,00800,0000,00800DIETARY 10990,A000000,00900,0000,00900NURSING ADMINISTRATION 10990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10990,A000000,01100,0000,01100PHARMACY 10990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10990,A000000,01300,0000,01300SOCIAL SERVICE 10990,A000000,01350,0000,01500ACTIVITIES 10990,A000000,01600,0000,01600SKILLED NURSING FACILITY 10990,A000000,01800,0000,01800NURSING FACILITY 10990,A000000,02100,0000,02100RADIOLOGY 10990,A000000,02200,0000,02200LABORATORY 10990,A000000,02300,0000,02300INTRAVENOUS THERAPY 10990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10990,A000000,02500,0000,02500PHYSICAL THERAPY 10990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10990,A000000,02700,0000,02700SPEECH PATHOLOGY 10990,A000000,02800,0000,02800ELECTROCARDIOLOGY 10990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10990,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 10990,A000000,03400,0000,03400CLINIC 10990,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 10990,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10990,A000000,04800,0000,04800AMBULANCE 10990,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10990,A000000,05300,0000,05300INTEREST EXPENSE 10990,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10990,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10990,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10990,A81000A,00100,0100,Y 10990,A81000B,00100,0300,REL CO - EMP H & W 10990,A81000B,00200,0300,REL CO - ADMIN & GENERAL 10990,A81000B,00300,0300,REL CO - OPER & MAINT 10990,A81000B,00400,0300,REL CO - HOUSEKEEPING 10990,A81000B,00500,0300,REL CO - DIETARY 10990,A81000B,00600,0300,REL CO - SOCIAL SERVICE 10990,A81000B,00700,0300,REL CO - NURSING 10990,A81000B,00800,0300,REL CO - CENTRAL SUPPLIES 10990,A81000B,00900,0300,DEPR-BUILDING & FIXTURES 10990,A81000B,01000,0300,DEPR-MOVEABLE EQUIPMENT 10990,A81000C,00100,0100,B 10990,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 10990,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 10990,A81000C,00100,0600,REALTY & MANAGEMENT 10990,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10990,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 10990,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10990,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10990,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10990,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10990,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 10990,B100000,00000,0800,00000MEALS SERVED :DIETARY 10990,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 10990,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 10990,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 10990,B100000,00000,1350,00000NO. OF PARTIC :ACTIVITIES 10990,S000000,00100,0200,05/31/2000 10990,S200000,00100,0100,6011 S.E. TOWER DR. 10990,S200000,00200,0100,STUART 10990,S200000,00200,0200,FL 10990,S200000,00200,0300,45997- 10990,S200000,00300,0100,MARTIN 10990,S200000,00300,0200,2710 10990,S200000,00300,0300,U 10990,S200000,00400,0100,MARTIN NURSING & RESTOR CARE CTR 10990,S200000,00400,0200,105972 10990,S200000,00400,0300,10/16/1997 10990,S200000,00400,0500,P 10990,S200000,01500,0100,Y 10995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10995,A000000,00300,0000,00300EMPLOYEE BENEFITS 10995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10995,A000000,00700,0000,00700HOUSEKEEPING 10995,A000000,00800,0000,00800DIETARY 10995,A000000,00900,0000,00900NURSING ADMINISTRATION 10995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10995,A000000,01100,0000,01100PHARMACY 10995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10995,A000000,01300,0000,01300SOCIAL SERVICE 10995,A000000,01350,0000,01500OTHER GENERAL SERVICES 10995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 10995,A000000,01600,0000,01600SKILLED NURSING FACILITY 10995,A000000,01800,0000,01800NURSING FACILITY 10995,A000000,01900,0000,01900OTHER LONG TERM CARE 10995,A000000,02101,0000,02101EQUIPMENT RENTAL 10995,A000000,02200,0000,02200LABORATORY 10995,A000000,02300,0000,02300INTRAVENOUS THERAPY 10995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10995,A000000,02500,0000,02500PHYSICAL THERAPY 10995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10995,A000000,02700,0000,02700SPEECH PATHOLOGY 10995,A000000,02800,0000,02800ELECTROCARDIOLOGY 10995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10995,A000000,03050,0000,03300AIR FLUIDIZATION 10995,A000000,03101,0000,03101CLINITRON BEDS 10995,A000000,03200,0000,03200SUPPORT SURFACES 10995,A000000,03400,0000,03400CLINIC 10995,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 10995,A000000,03500,0000,03500RURAL HEALTH CLINIC 10995,A000000,04750,0000,05100OTHER REIMBURSABLE COST 10995,A000000,04800,0000,04800AMBULANCE 10995,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10995,A000000,05000,0000,05000CORF 10995,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10995,A000000,05300,0000,05300INTEREST EXPENSE 10995,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10995,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10995,A000000,05500,0000,05500HOSPICE 10995,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10995,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10995,A000000,06001,0000,06001PEN PART B 10995,A000000,06002,0000,06002ASSISTED LIVING 10995,A000000,06003,0000,06003PHYSICIANS PRIVATE OFFICES 10995,A000000,06100,0000,06100NONPAID WORKERS 10995,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 10995,A000000,06200,0000,06200PATIENTS LAUNDRY 10995,A81000A,00100,0100,Y 10995,A81000B,00100,0300,DEPR. BLDG. & FIX.DMIN 10995,A81000B,00200,0300,ADMINISTRATIONS-PROPERTY 10995,A81000C,00100,0100,B 10995,A81000C,00100,0200,BAYCO DEVELOPMENT CO. 10995,A81000C,00200,0200,FOUNDATION INC. 10995,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10995,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 10995,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10995,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 10995,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10995,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 10995,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10995,B100000,00000,0800,00000MEALS SERVED :DIETARY 10995,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 10995,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 10995,B100000,00000,1150,00000NO STATISTICS :PHARMACY 10995,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10995,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10995,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 10995,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 10995,S000000,00100,0200,09/07/1999 10995,S200000,00100,0100,3611 TRANSMITTER ROAD 10995,S200000,00200,0100,PANAMA CITY 10995,S200000,00200,0200,FL 10995,S200000,00200,0300,32404- 10995,S200000,00300,0100,BAY 10995,S200000,00400,0100,BAY CREST NURSING CENTER 10995,S200000,00400,0200,105975 10995,S200000,00400,0300,12/17/1997 10995,S200000,00400,0500,P 10995,S200000,00600,0200,105975 10995,S200000,00600,0300,12/17/1997 10995,S200000,00600,0600,P 10995,S200000,01600,0100,Y 10995,S700003,00000,0400,4 10997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 10997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 10997,A000000,00300,0000,00300EMPLOYEE BENEFITS 10997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 10997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 10997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 10997,A000000,00700,0000,00700HOUSEKEEPING 10997,A000000,00800,0000,00800DIETARY 10997,A000000,00900,0000,00900NURSING ADMINISTRATION 10997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 10997,A000000,01100,0000,01100PHARMACY 10997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 10997,A000000,01300,0000,01300SOCIAL SERVICE 10997,A000000,01350,0000,01500ACTIVITIES 10997,A000000,01600,0000,01600SKILLED NURSING FACILITY 10997,A000000,01800,0000,01800NURSING FACILITY 10997,A000000,01900,0000,01900OTHER LONG TERM CARE 10997,A000000,02100,0000,02100RADIOLOGY 10997,A000000,02200,0000,02200LABORATORY 10997,A000000,02300,0000,02300INTRAVENOUS THERAPY 10997,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 10997,A000000,02500,0000,02500PHYSICAL THERAPY 10997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 10997,A000000,02700,0000,02700SPEECH PATHOLOGY 10997,A000000,02800,0000,02800ELECTROCARDIOLOGY 10997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 10997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 10997,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 10997,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 10997,A000000,03200,0000,03200SUPPORT SURFACES 10997,A000000,03400,0000,03400CLINIC 10997,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 10997,A000000,04800,0000,04800AMBULANCE 10997,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 10997,A000000,05000,0000,05000CORF 10997,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 10997,A000000,05300,0000,05300INTEREST EXPENSE 10997,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 10997,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 10997,A000000,05500,0000,05500HOSPICE 10997,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 10997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 10997,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 10997,A000000,06100,0000,06100NONPAID WORKERS 10997,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 10997,A000000,06200,0000,06200PATIENTS LAUNDRY 10997,A81000A,00100,0100,Y 10997,A81000B,00100,0300,HOME OFFICE 10997,A81000B,00200,0300,HOME OFFICE 10997,A81000B,00300,0300,LEASE 10997,A81000C,00100,0100,A 10997,A81000C,00100,0200,CLARENCE BALL 10997,A81000C,00100,0400,BALL HEALTH SER 10997,A81000C,00100,0600,MANAGEMENT 10997,A81000C,00200,0100,A 10997,A81000C,00200,0200,CLARENCE BALL 10997,A81000C,00200,0400,BALL HEALTHCARE 10997,A81000C,00200,0600,RENTAL 10997,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 10997,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 10997,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 10997,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 10997,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 10997,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 10997,B100000,00000,0800,00000MEALS SERVED :DIETARY 10997,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 10997,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 10997,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 10997,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 10997,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 10997,S000000,00100,0200,05/30/2000 10997,S200000,00100,0100,3611 TRANSMITTER ROAD 10997,S200000,00200,0100,PANAMA CITY 10997,S200000,00200,0200,FL 10997,S200000,00200,0300,32404- 10997,S200000,00300,0100,BAY 10997,S200000,00300,0200,6015 10997,S200000,00300,0300,U 10997,S200000,00400,0100,BAY CREST NURSING CENTER 10997,S200000,00400,0200,105975 10997,S200000,00400,0300,03/01/1999 10997,S200000,00400,0500,P 10997,S200000,01600,0100,Y 11003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11003,A000000,00300,0000,00300EMPLOYEE BENEFITS 11003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11003,A000000,00700,0000,00700HOUSEKEEPING 11003,A000000,00800,0000,00800DIETARY 11003,A000000,00900,0000,00900NURSING ADMINISTRATION 11003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11003,A000000,01100,0000,01100PHARMACY 11003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11003,A000000,01300,0000,01300SOCIAL SERVICE 11003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11003,A000000,01600,0000,01600SKILLED NURSING FACILITY 11003,A000000,01800,0000,01800NURSING FACILITY 11003,A000000,01810,0000,01810ICF/MR 11003,A000000,02100,0000,02100RADIOLOGY 11003,A000000,02200,0000,02200LABORATORY 11003,A000000,02300,0000,02300INTRAVENOUS THERAPY 11003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11003,A000000,02500,0000,02500PHYSICAL THERAPY 11003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11003,A000000,02700,0000,02700SPEECH PATHOLOGY 11003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11003,A000000,03550,0000,03550FQHC 11003,A000000,05000,0000,05000CORF 11003,A000000,05010,0000,05010CMHC 11003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 11003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 11003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 11003,A000000,05300,0000,05300INTEREST EXPENSE 11003,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11003,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11003,A81000A,00100,0100,Y 11003,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 11003,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 11003,A81000B,00300,0300,HEALTH INSURANCE 11003,A81000B,00400,0300,RETIREMENT 11003,A81000B,00500,0300,PHS ADJ COST 11003,A81000B,00600,0300,PHS ADJ COST 11003,A81000B,00700,0300,PHS ADJ COST 11003,A81000B,00800,0300,PHS ADJ COST 11003,A81000B,00900,0300,PHS ADJ COST 11003,A81000B,01000,0300,PHS ADJ COST 11003,A81000B,01100,0300,PHS ADJ COST 11003,A81000B,01200,0300,PHS ADJ COST 11003,A81000B,01300,0300,SELF-DISALLOWED COST 11003,A81000C,00100,0100,B 11003,A81000C,00100,0200,NATIONAL HEALTH 11003,A81000C,00100,0600,HEALTHCARE 11003,A81000C,00200,0100,B 11003,A81000C,00200,0400,PROF. HEALTH SV 11003,A81000C,00200,0600,HEALTHCARE CONS 11003,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11003,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11003,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11003,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11003,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 11003,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11003,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11003,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 11003,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 11003,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 11003,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 11003,S000000,00100,0200,04/05/2000 11003,S200000,00100,0100,4125 WEST SAMPLE ROAD 11003,S200000,00100,0300,934065 11003,S200000,00200,0100,COCONUT CREEK 11003,S200000,00200,0200,FL 11003,S200000,00200,0300,33073- 11003,S200000,00300,0100,BROWARD 11003,S200000,00300,0200,2680 11003,S200000,00300,0300,U 11003,S200000,00400,0100,NHC HEALTHCARE COCONUT CREEK 11003,S200000,00400,0200,105979 11003,S200000,00400,0300,12/12/1997 11003,S200000,00400,0500,P 11003,S200000,00600,0200,105979 11003,S200000,00600,0300,11/17/1997 11003,S200000,00600,0600,P 11003,S200000,01600,0100,Y 11010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11010,A000000,00300,0000,00300EMPLOYEE BENEFITS 11010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11010,A000000,00700,0000,00700HOUSEKEEPING 11010,A000000,00800,0000,00800DIETARY 11010,A000000,00900,0000,00900NURSING ADMINISTRATION 11010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11010,A000000,01100,0000,01100PHARMACY 11010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11010,A000000,01300,0000,01300SOCIAL SERVICE 11010,A000000,01600,0000,01600SKILLED NURSING FACILITY 11010,A000000,01800,0000,01800NURSING FACILITY 11010,A000000,01900,0000,01900OTHER LONG TERM CARE 11010,A000000,02100,0000,02100RADIOLOGY 11010,A000000,02200,0000,02200LABORATORY 11010,A000000,02300,0000,02300INTRAVENOUS THERAPY 11010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11010,A000000,02500,0000,02500PHYSICAL THERAPY 11010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11010,A000000,02700,0000,02700SPEECH PATHOLOGY 11010,A000000,02800,0000,02800ELECTROCARDIOLOGY 11010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11010,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11010,A000000,03051,0000,03301NUTRITIONAL THERAPY 11010,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 11010,A000000,03053,0000,03303PHYSICIAN SERVICES 11010,A000000,03054,0000,03304MEDICAL SERVICES 11010,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 11010,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11010,A000000,03200,0000,03200SUPPORT SURFACES 11010,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11010,A000000,04800,0000,04800AMBULANCE 11010,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11010,A000000,05300,0000,05300INTEREST EXPENSE 11010,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11010,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11010,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11010,A000000,06100,0000,06100NONPAID WORKERS 11010,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11010,A000000,06200,0000,06200PATIENTS LAUNDRY 11010,A81000A,00100,0100,Y 11010,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 11010,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 11010,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 11010,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 11010,A81000B,00500,0300,REG ALLOC RELATED PARTY 11010,A81000B,00600,0300,PLEASE SEE ATTACHED TOTAL 11010,A81000C,00100,0100,B 11010,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 11010,A81000C,00200,0200,A-8-1. 11010,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11010,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11010,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11010,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11010,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11010,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11010,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11010,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11010,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11010,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11010,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 11010,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11010,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11010,S000000,00100,0200,06/05/2000 11010,S200000,00100,0100,11411 ARMSDALE ROAD 11010,S200000,00200,0100,JACKSONVILLE 11010,S200000,00200,0200,FL 11010,S200000,00200,0300,32218- 11010,S200000,00300,0100,DUVAL 11010,S200000,00400,0100,SUNBRIDGE C & R FOR JACKSONVILLE 11010,S200000,00400,0200,105980 11010,S200000,00400,0300,02/27/1998 11010,S200000,00400,0500,P 11010,S200000,01600,0100,Y 11010,S200000,02200,0100,Y 11010,S700003,00000,0400,4 11015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11015,A000000,00300,0000,00300EMPLOYEE BENEFITS 11015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11015,A000000,00700,0000,00700HOUSEKEEPING 11015,A000000,00800,0000,00800DIETARY 11015,A000000,00900,0000,00900NURSING ADMINISTRATION 11015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11015,A000000,01100,0000,01100PHARMACY 11015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11015,A000000,01300,0000,01300SOCIAL SERVICE 11015,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11015,A000000,01600,0000,01600SKILLED NURSING FACILITY 11015,A000000,01800,0000,01800NURSING FACILITY 11015,A000000,01810,0000,01810ICF/MR 11015,A000000,01900,0000,01900OTHER LONG TERM CARE 11015,A000000,02100,0000,02100RADIOLOGY 11015,A000000,02200,0000,02200LABORATORY 11015,A000000,02300,0000,02300INTRAVENOUS THERAPY 11015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11015,A000000,02500,0000,02500PHYSICAL THERAPY 11015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11015,A000000,02700,0000,02700SPEECH PATHOLOGY 11015,A000000,02800,0000,02800ELECTROCARDIOLOGY 11015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11015,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 11015,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11015,A000000,03200,0000,03200SUPPORT SURFACES 11015,A000000,03400,0000,03400CLINIC 11015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 11015,A000000,03500,0000,03500RURAL HEALTH CLINIC 11015,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11015,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11015,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11015,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11015,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11015,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11015,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11015,A000000,04400,0000,04400DME RENTED - HHA 11015,A000000,04500,0000,04500DME SOLD - HHA 11015,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11015,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11015,A000000,04800,0000,04800AMBULANCE 11015,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11015,A000000,05000,0000,05000CORF 11015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11015,A000000,05300,0000,05300INTEREST EXPENSE 11015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11015,A000000,05500,0000,05500HOSPICE 11015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11015,A000000,06100,0000,06100NONPAID WORKERS 11015,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 11015,A000000,06200,0000,06200PATIENTS LAUNDRY 11015,A81000A,00100,0100,Y 11015,A81000B,00100,0300,HOME OFFICE EXPENSE 11015,A81000B,00200,0300,HOME OFFICE EXPENSE 11015,A81000B,00300,0300,UNIFORMS 11015,A81000B,00400,0300,PLANT SUPPLIES 11015,A81000B,00500,0300,LAUNDRY SUPPLIES 11015,A81000B,00600,0300,HOUSEKEEPING SUPPLIES 11015,A81000B,00700,0300,FOOD SUPPLEMENTS 11015,A81000B,00800,0300,NURSING SUPPLIES 11015,A81000B,00900,0300,PT SUPPLIES 11015,A81000B,01000,0300,OT SUPPLIES 11015,A81000B,01100,0300,ST SUPPLIES 11015,A81000B,01200,0300,MEDICAL SUPPLIES 11015,A81000C,00100,0100,B 11015,A81000C,00100,0200,SHCC OF ZEPHYRH 11015,A81000C,00100,0400,ADVENTIST CARE 11015,A81000C,00100,0600,NURSING HOME CO 11015,A81000C,00200,0100,G 11015,A81000C,00200,0200,SHCC OF ZEPHYRH 11015,A81000C,00200,0400,Q-CARE 11015,A81000C,00200,0600,MEDICAL SUPPLY 11015,A81000C,03100,0000,SHCC OF ZEPHYRHILLS 11015,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11015,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11015,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11015,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11015,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11015,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11015,B100000,00000,0800,00000MEALS SERVED :DIETARY 11015,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11015,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11015,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11015,S000000,00100,0200,06/05/2000 11015,S200000,00100,0100,7350 DAIRY ROAD 11015,S200000,00200,0100,ZEPHYRHILLS 11015,S200000,00200,0200,FL 11015,S200000,00200,0300,33541- 11015,S200000,00300,0100,PASCO 11015,S200000,00300,0200,8280 11015,S200000,00300,0300,U 11015,S200000,00400,0100,SUNBELT HEALTHCARE CENTER OF ZEPHYR 11015,S200000,00400,0200,105986 11015,S200000,00400,0300,06/23/1998 11015,S200000,00400,0500,P 11015,S200000,01500,0100,Y 11018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11018,A000000,00300,0000,00300EMPLOYEE BENEFITS 11018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11018,A000000,00700,0000,00700HOUSEKEEPING 11018,A000000,00800,0000,00800DIETARY 11018,A000000,00900,0000,00900NURSING ADMINISTRATION 11018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11018,A000000,01100,0000,01100PHARMACY 11018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11018,A000000,01300,0000,01300SOCIAL SERVICE 11018,A000000,01350,0000,01500ACTIVITIES 11018,A000000,01600,0000,01600SKILLED NURSING FACILITY 11018,A000000,01800,0000,01800NURSING FACILITY 11018,A000000,02100,0000,02100RADIOLOGY 11018,A000000,02200,0000,02200LABORATORY 11018,A000000,02300,0000,02300INTRAVENOUS THERAPY 11018,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11018,A000000,02500,0000,02500PHYSICAL THERAPY 11018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11018,A000000,02700,0000,02700SPEECH PATHOLOGY 11018,A000000,02800,0000,02800ELECTROCARDIOLOGY 11018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11018,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11018,A000000,03200,0000,03200SUPPORT SURFACES 11018,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11018,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11018,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11018,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11018,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11018,A000000,06200,0000,06200PATIENTS LAUNDRY 11018,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11018,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11018,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11018,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11018,B100000,00000,0650,00000DOLLAR VALUE :LAUNDRY & LINEN SERV 11018,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11018,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11018,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11018,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11018,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 11018,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11018,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11018,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 11018,S000000,00100,0200,12/06/1999 11018,S200000,00100,0100,6919 PARKWAY BOULEVARD 11018,S200000,00200,0100,LNAD O LAKES 11018,S200000,00200,0200,FL 11018,S200000,00200,0300,34639- 11018,S200000,00300,0100,PASCO 11018,S200000,00300,0200,8280 11018,S200000,00300,0300,U 11018,S200000,00400,0100,BALDOMERO LOPEZ MEMORIAL VETERANS NU 11018,S200000,00400,0200,106006 11018,S200000,00400,0300,04/26/1999 11018,S200000,00400,0500,P 11018,S200000,01600,0100,Y 11022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11022,A000000,00300,0000,00300EMPLOYEE BENEFITS 11022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11022,A000000,00700,0000,00700HOUSEKEEPING 11022,A000000,00800,0000,00800DIETARY 11022,A000000,00900,0000,00900NURSING ADMINISTRATION 11022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11022,A000000,01100,0000,01100PHARMACY 11022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11022,A000000,01300,0000,01300SOCIAL SERVICE 11022,A000000,01350,0000,01500OTHER GENERAL SERVICES 11022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11022,A000000,01600,0000,01600SKILLED NURSING FACILITY 11022,A000000,01800,0000,01800NURSING FACILITY 11022,A000000,01810,0000,01810ICF/MR 11022,A000000,01900,0000,01900OTHER LONG TERM CARE 11022,A000000,02100,0000,02100RADIOLOGY 11022,A000000,02200,0000,02200LABORATORY 11022,A000000,02300,0000,02300INTRAVENOUS THERAPY 11022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11022,A000000,02500,0000,02500PHYSICAL THERAPY 11022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11022,A000000,02700,0000,02700SPEECH PATHOLOGY 11022,A000000,02800,0000,02800ELECTROCARDIOLOGY 11022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11022,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11022,A000000,03200,0000,03200SUPPORT SURFACES 11022,A000000,03400,0000,03400CLINIC 11022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11022,A000000,03500,0000,03500RURAL HEALTH CLINIC 11022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11022,A000000,04800,0000,04800AMBULANCE 11022,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11022,A000000,05000,0000,05000CORF 11022,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11022,A000000,05300,0000,05300INTEREST EXPENSE 11022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11022,A000000,05500,0000,05500HOSPICE 11022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11022,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11022,A000000,06100,0000,06100NONPAID WORKERS 11022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11022,A000000,06200,0000,06200PATIENTS LAUNDRY 11022,A81000A,00100,0100,Y 11022,A81000B,00100,0300,MANAGEMENT FEES 11022,A81000C,00300,0100,B 11022,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11022,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11022,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11022,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11022,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11022,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 11022,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11022,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11022,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11022,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11022,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11022,S000000,00100,0200,06/02/2000 11022,S200000,00100,0100,1104 N. MAIN STREET 11022,S200000,00200,0100,BUSHNELL 11022,S200000,00200,0200,FL 11022,S200000,00200,0300,33513- 11022,S200000,00300,0100,SUMTER 11022,S200000,00300,0200,5960 11022,S200000,00300,0300,U 11022,S200000,00400,0100,OSPREY POINT NURSING CENTER 11022,S200000,00400,0200,106008 11022,S200000,00400,0300,07/02/1999 11022,S200000,00400,0500,P 11022,S200000,01004,0500,O 11022,S200000,01600,0100,Y 11025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11025,A000000,00300,0000,00300EMPLOYEE BENEFITS 11025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11025,A000000,00700,0000,00700HOUSEKEEPING 11025,A000000,00800,0000,00800DIETARY 11025,A000000,00900,0000,00900NURSING ADMINISTRATION 11025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11025,A000000,01100,0000,01100PHARMACY 11025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11025,A000000,01300,0000,01300SOCIAL SERVICE 11025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11025,A000000,01600,0000,01600SKILLED NURSING FACILITY 11025,A000000,01900,0000,01900OTHER LONG TERM CARE 11025,A000000,02100,0000,02100RADIOLOGY 11025,A000000,02200,0000,02200LABORATORY 11025,A000000,02300,0000,02300INTRAVENOUS THERAPY 11025,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11025,A000000,02500,0000,02500PHYSICAL THERAPY 11025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11025,A000000,02700,0000,02700SPEECH PATHOLOGY 11025,A000000,02800,0000,02800ELECTROCARDIOLOGY 11025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11025,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11025,A000000,03200,0000,03200SUPPORT SURFACES 11025,A000000,03400,0000,03400CLINIC 11025,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11025,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11025,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11025,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11025,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11025,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11025,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11025,A000000,04400,0000,04400DME RENTED - HHA 11025,A000000,04500,0000,04500DME SOLD - HHA 11025,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11025,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11025,A000000,04800,0000,04800AMBULANCE 11025,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11025,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11025,A000000,05300,0000,05300INTEREST EXPENSE 11025,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11025,A000000,05500,0000,05500HOSPICE 11025,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11025,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11025,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11025,A000000,06100,0000,06100NONPAID WORKERS 11025,A000000,06200,0000,06200PATIENTS LAUNDRY 11025,A81000A,00100,0100,Y 11025,A81000B,00100,0300,ADMIN & MGMT CRC: B&F 11025,A81000B,00200,0300,ADMIN & MGMT CRC: M.EQ. 11025,A81000B,00300,0300,ADMIN & MGMT EMPLOYEE BENEFITS 11025,A81000B,00400,0300,ADMIN & MGMT ADMIN & GENERAL 11025,A81000B,00500,0300,ADMIN & MGMT PLANT 11025,A81000B,00600,0300,ADMIN & MGMT ENTRANCE FEES 11025,A81000C,00100,0100,F 11025,A81000C,00100,0200,CREATIVE TRUST 11025,A81000C,00100,0600,PROPERTY MGMT. 11025,A81000C,00200,0100,F 11025,A81000C,00200,0200,DEVONSHIRE VENT 11025,A81000C,00200,0600,PROPERTY MGMT. 11025,A81000C,00300,0100,F 11025,A81000C,00300,0200,DEVONSHIRE LIFE 11025,A81000C,00300,0600,PROPERTY MGMT. 11025,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11025,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11025,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 11025,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11025,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11025,B100000,00000,0650,00000MEALS SERVED :LAUNDRY & LINEN SERV 11025,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11025,B100000,00000,0850,00000TIME SPENT :DIETARY 11025,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 11025,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 11025,S000000,00100,0200,06/06/2000 11025,S200000,00100,0100,347 HIATT DRIVE 11025,S200000,00200,0100,PALM BEACH GARDENS 11025,S200000,00200,0200,FL 11025,S200000,00200,0300,33418- 11025,S200000,00300,0100,WEST PALM BEACH 11025,S200000,00300,0200,8960 11025,S200000,00300,0300,U 11025,S200000,00400,0100,CHATSWORTH AT PGA NATIONAL 11025,S200000,00400,0200,106013 11025,S200000,00400,0300,08/25/1999 11025,S200000,00400,0500,P 11025,S200000,01500,0100,Y 11077,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11077,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11077,A000000,00300,0000,00300EMPLOYEE BENEFITS 11077,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11077,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11077,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11077,A000000,00700,0000,00700HOUSEKEEPING 11077,A000000,00800,0000,00800DIETARY 11077,A000000,00900,0000,00900NURSING ADMINISTRATION 11077,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11077,A000000,01100,0000,01100PHARMACY 11077,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11077,A000000,01300,0000,01300SOCIAL SERVICE 11077,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11077,A000000,01600,0000,01600SKILLED NURSING FACILITY 11077,A000000,01800,0000,01800NURSING FACILITY 11077,A000000,01900,0000,01900OTHER LONG TERM CARE 11077,A000000,02100,0000,02100RADIOLOGY 11077,A000000,02200,0000,02200LABORATORY 11077,A000000,02300,0000,02300INTRAVENOUS THERAPY 11077,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11077,A000000,02500,0000,02500PHYSICAL THERAPY 11077,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11077,A000000,02700,0000,02700SPEECH PATHOLOGY 11077,A000000,02800,0000,02800ELECTROCARDIOLOGY 11077,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11077,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11077,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 11077,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11077,A000000,03200,0000,03200SUPPORT SURFACES 11077,A000000,03400,0000,03400CLINIC 11077,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 11077,A000000,04800,0000,04800AMBULANCE 11077,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11077,A000000,05000,0000,05000CORF 11077,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11077,A000000,05300,0000,05300INTEREST EXPENSE 11077,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11077,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11077,A000000,05500,0000,05500HOSPICE 11077,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11077,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11077,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11077,A000000,06100,0000,06100NONPAID WORKERS 11077,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 11077,A000000,06200,0000,06200PATIENTS LAUNDRY 11077,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 11077,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 11077,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 11077,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11077,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 11077,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 11077,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 11077,B100000,00000,0800,00000MEALS SERVEDDIETARY 11077,B100000,00000,0900,00000NUMBER OF FTENURSING ADMINISTRATION 11077,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 11077,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 11077,B100000,00000,1200,00000PATIENT REVENUEMEDICAL RECORDS & 11077,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 11077,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 11077,S000000,00100,0200,02/29/2000 11077,S200000,00100,0100,1819 CLIFTON ROAD N.E. 11077,S200000,00200,0100,ATLANTA 11077,S200000,00200,0200,GA 11077,S200000,00200,0300,30329 11077,S200000,00300,0100,DEKALB 11077,S200000,00400,0100,A.G. RHODES AT WESLEY WOODS 11077,S200000,00400,0200,115002 11077,S200000,00400,0300,01/01/1967 11077,S200000,00400,0500,P 11077,S200000,01600,0100,Y 11077,S700003,00000,0100,1 11160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11160,A000000,00300,0000,00300EMPLOYEE BENEFITS 11160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11160,A000000,00700,0000,00700HOUSEKEEPING 11160,A000000,00800,0000,00800DIETARY 11160,A000000,00900,0000,00900NURSING ADMINISTRATION 11160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11160,A000000,01300,0000,01300SOCIAL SERVICE 11160,A000000,01600,0000,01600SKILLED NURSING FACILITY 11160,A000000,01800,0000,01800NURSING FACILITY 11160,A000000,01900,0000,01900OTHER LONG TERM CARE 11160,A000000,02100,0000,02100RADIOLOGY 11160,A000000,02200,0000,02200LABORATORY 11160,A000000,02500,0000,02500PHYSICAL THERAPY 11160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11160,A000000,02700,0000,02700SPEECH PATHOLOGY 11160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11160,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11160,A000000,05300,0000,05300INTEREST EXPENSE 11160,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11160,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 11160,A81000A,00100,0100,Y 11160,A81000B,00100,0300,HOME OFFICE-CAP 11160,A81000B,00200,0300,HOME OFFICE-A&G 11160,A81000C,00100,0100,B 11160,A81000C,00100,0400,DELMAR GARDENS 11160,A81000C,00100,0600,HOME OFFICE 11160,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 11160,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 11160,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11160,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 11160,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 11160,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 11160,B100000,00000,0800,00000MEALS SERVEDDIETARY 11160,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 11160,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 11160,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 11160,S000000,00100,0200,08/31/2000 11160,S200000,00100,0100,404 KING SPRINGS VILLAGE PARKWAY 11160,S200000,00200,0100,SMYRNA 11160,S200000,00200,0200,GEORGIA 11160,S200000,00200,0300,30082-4241 11160,S200000,00300,0100,COBB 11160,S200000,00300,0300,U 11160,S200000,00400,0100,LIFE CARE COMMUNITIES INC. 11160,S200000,00400,0200,115330 11160,S200000,00400,0300,01/09/1985 11160,S200000,00400,0500,P 11160,S200000,01600,0100,Y 11160,S200000,02200,0100,Y 11160,S700003,00000,0100,1 11167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11167,A000000,00300,0000,00300EMPLOYEE BENEFITS 11167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11167,A000000,00700,0000,00700HOUSEKEEPING 11167,A000000,00800,0000,00800DIETARY 11167,A000000,00900,0000,00900NURSING ADMINISTRATION 11167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11167,A000000,01300,0000,01300SOCIAL SERVICE 11167,A000000,01600,0000,01600SKILLED NURSING FACILITY 11167,A000000,01800,0000,01800NURSING FACILITY 11167,A000000,01900,0000,01900OTHER LONG TERM CARE 11167,A000000,02100,0000,02100RADIOLOGY 11167,A000000,02200,0000,02200LABORATORY 11167,A000000,02500,0000,02500PHYSICAL THERAPY 11167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11167,A000000,02700,0000,02700SPEECH PATHOLOGY 11167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11167,A000000,04800,0000,04800AMBULANCE 11167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11167,A000000,05300,0000,05300INTEREST EXPENSE 11167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11167,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 11167,A81000A,00100,0100,Y 11167,A81000B,00100,0300,HOME OFFICE-CAP 11167,A81000B,00200,0300,HOME OFFICE-A&G 11167,A81000C,00100,0100,B 11167,A81000C,00100,0400,DELMAR GARDENS 11167,A81000C,00100,0600,HOME OFFICE 11167,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 11167,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 11167,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11167,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 11167,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 11167,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 11167,B100000,00000,0800,00000MEALS SERVEDDIETARY 11167,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 11167,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 11167,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 11167,S000000,00100,0200,08/31/2000 11167,S200000,00100,0100,3100 CLUB DRIVE 11167,S200000,00200,0100,LAWRENCEVILLE 11167,S200000,00200,0200,GEORGIA 11167,S200000,00200,0300,30044-2545 11167,S200000,00300,0100,GWINNETT 11167,S200000,00300,0300,U 11167,S200000,00400,0100,DELMAR GARDENS OF GWINNETT INC. 11167,S200000,00400,0200,115350 11167,S200000,00400,0300,03/06/1989 11167,S200000,00400,0500,P 11167,S200000,01600,0100,Y 11167,S200000,02200,0100,Y 11167,S200000,04700,0100,Y 11167,S200000,04700,0200,Y 11167,S700003,00000,0100,1 11229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11229,A000000,00300,0000,00300EMPLOYEE BENEFITS 11229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11229,A000000,00700,0000,00700HOUSEKEEPING 11229,A000000,00800,0000,00800DIETARY 11229,A000000,00900,0000,00900NURSING ADMINISTRATION 11229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11229,A000000,01100,0000,01100PHARMACY 11229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11229,A000000,01300,0000,01300SOCIAL SERVICE 11229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11229,A000000,01600,0000,01600SKILLED NURSING FACILITY 11229,A000000,01800,0000,01800NURSING FACILITY 11229,A000000,01900,0000,01900OTHER LONG TERM CARE 11229,A000000,02100,0000,02100RADIOLOGY 11229,A000000,02200,0000,02200LABORATORY 11229,A000000,02300,0000,02300INTRAVENOUS THERAPY 11229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11229,A000000,02500,0000,02500PHYSICAL THERAPY 11229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11229,A000000,02700,0000,02700SPEECH PATHOLOGY 11229,A000000,02800,0000,02800ELECTROCARDIOLOGY 11229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11229,A000000,03200,0000,03200SUPPORT SURFACES 11229,A000000,03400,0000,03400CLINIC 11229,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11229,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11229,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11229,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11229,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11229,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11229,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11229,A000000,04400,0000,04400DME RENTED - HHA 11229,A000000,04500,0000,04500DME SOLD - HHA 11229,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11229,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11229,A000000,04800,0000,04800AMBULANCE 11229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11229,A000000,05300,0000,05300INTEREST EXPENSE 11229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11229,A000000,05500,0000,05500HOSPICE 11229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11229,A000000,06100,0000,06100NONPAID WORKERS 11229,A000000,06200,0000,06200PATIENTS LAUNDRY 11229,B100000,00000,0100,00000SQUARE FOOTAGECAP REL COSTS - BL 11229,B100000,00000,0200,00000SQUARE FOOTAGECAP REL COSTS - MO 11229,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 11229,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11229,B100000,00000,0500,00000SQUARE FOOTAGEPLANT OPERATION M 11229,B100000,00000,0600,00000PAT DAYSLAUNDRY & LINEN SERVICE 11229,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 11229,B100000,00000,0800,00000PAT DAYSDIETARY 11229,B100000,00000,0900,00000PAT DAYSNURSING ADMINISTRATION 11229,B100000,00000,1000,00000PAT DAYSCENTRAL SERVICES & SUPPLY 11229,B100000,00000,1100,00000PAT DAYSPHARMACY 11229,B100000,00000,1200,00000PAT DAYSMEDICAL RECORDS & LIBRARY 11229,B100000,00000,1300,00000PAT DAYSSOCIAL SERVICE 11229,B100000,00000,1400,00000PAT DAYSINTERNS & RESIDENTS (APPRVD 11229,E10A180,00301,0100,11/01/2000 11229,E10A180,00302,0100,01/25/2000 11229,S000000,00100,0200,12/01/2000 11229,S200000,00100,0100,3311 LEE STREET 11229,S200000,00100,0300,1993 11229,S200000,00200,0100,BRUNSWICK 11229,S200000,00200,0200,GA 11229,S200000,00200,0300,31520 11229,S200000,00300,0100,GLYNN 11229,S200000,00300,0300,R 11229,S200000,00400,0100,SEARS MANOR NURSING HOME 11229,S200000,00400,0200,115520 11229,S200000,00400,0300,07/01/1994 11229,S200000,00400,0500,P 11229,S200000,00400,0600,O 11229,S200000,01500,0100,Y 11229,S200000,02200,0100,Y 11229,S700003,00000,0200,2 11238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11238,A000000,00101,0000,00101CAP REL COSTS - NURSING 11238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11238,A000000,00201,0000,00201CAP REL COSTS - NH & APT 11238,A000000,00300,0000,00300EMPLOYEE BENEFITS 11238,A000000,00301,0000,00301EMPLOYEE BENEFITS - W/C 11238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11238,A000000,00501,0000,00501PLANT OPERATION-HEALTH CENTER 11238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11238,A000000,00700,0000,00700HOUSEKEEPING 11238,A000000,00800,0000,00800DIETARY 11238,A000000,00801,0000,00801DIETARY - HEALTH CENTER 11238,A000000,00802,0000,00802DIETARY - EMPLOYEES 11238,A000000,00900,0000,00900NURSING ADMINISTRATION 11238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11238,A000000,01100,0000,01100PHARMACY 11238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11238,A000000,01300,0000,01300SOCIAL SERVICE 11238,A000000,01350,0000,01500OTHER GENERAL SERVICES 11238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11238,A000000,01600,0000,01600SKILLED NURSING FACILITY 11238,A000000,01800,0000,01800NURSING FACILITY 11238,A000000,01810,0000,01801ICF/MR 11238,A000000,01900,0000,01900OTHER LONG TERM CARE 11238,A000000,02100,0000,02100RADIOLOGY 11238,A000000,02200,0000,02200LABORATORY 11238,A000000,02300,0000,02300INTRAVENOUS THERAPY 11238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11238,A000000,02500,0000,02500PHYSICAL THERAPY 11238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11238,A000000,02700,0000,02700SPEECH PATHOLOGY 11238,A000000,02800,0000,02800ELECTROCARDIOLOGY 11238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11238,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11238,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11238,A000000,03200,0000,03200SUPPORT SURFACES 11238,A000000,03400,0000,03400CLINIC 11238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11238,A000000,03500,0000,03500RURAL HEALTH CLINIC 11238,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11238,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11238,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11238,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11238,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11238,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11238,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11238,A000000,04400,0000,04400DME RENTED - HHA 11238,A000000,04500,0000,04500DME SOLD - HHA 11238,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11238,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11238,A000000,04750,0000,05100OSP 11238,A000000,04800,0000,04800AMBULANCE 11238,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11238,A000000,05000,0000,05000CORF 11238,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11238,A000000,05300,0000,05300INTEREST EXPENSE 11238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11238,A000000,05500,0000,05500HOSPICE 11238,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11238,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11238,A000000,06100,0000,06100NONPAID WORKERS 11238,A000000,06150,0000,06300TELEPHONE EXPENSE 11238,A000000,06151,0000,06301CABLE TV EXPENSE 11238,A000000,06152,0000,06302PEN SUPPLIES 11238,A000000,06153,0000,06303INDEPENDENT LIVING 11238,A000000,06200,0000,06200PATIENTS LAUNDRY 11238,A81000A,00100,0100,Y 11238,A81000B,00100,0300,HOME OFFICE 11238,A81000B,00200,0300,HOME OFFICE 11238,A81000B,00300,0300,LEGAL FEES 11238,A81000C,00100,0100,B 11238,A81000C,00100,0200,RET. SERVICES O 11238,A81000C,00100,0600,CORPORATE HOME 11238,A81000C,00200,0100,A 11238,A81000C,00200,0200,CHAMBLISS & BAH 11238,A81000C,00200,0600,LAW FIRM 11238,B100000,00000,0100,00003NO STATISTICSCAP REL COSTS - 11238,B100000,00000,0101,00003SQUARE FEET - NFCAP REL COSTS - 11238,B100000,00000,0200,00003NO STATISTICSCAP REL COSTS - 11238,B100000,00000,0201,00003SQUAREFEETT - TOTALCAP REL COSTS - 11238,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 11238,B100000,00000,0301,00003WEIGHTED SALARIESEMPLOYEE BENEFITS 11238,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 11238,B100000,00000,0500,00003SQUAREFEETT - TOTALPLANT OPERATION 11238,B100000,00000,0501,00003SQUARE FEET - NFPLANT OPERATION- 11238,B100000,00000,0600,00003POUNDS OF LAUNDRYLAUNDRY & LINEN SE 11238,B100000,00000,0700,00003TIME SPENTHOUSEKEEPING 11238,B100000,00000,0800,00003MEALS SERVEDDIETARY 11238,B100000,00000,0801,00003MEALS SERVED-HCDIETARY - HEALTH 11238,B100000,00000,0802,00003GROSS SALARIESDIETARY - EMPLOYE 11238,B100000,00000,0900,00003ACC COSTNURSING ADMINISTRATION 11238,B100000,00000,1000,00003COSTED REQUIS.CENTRAL SERVICES & 11238,B100000,00000,1100,00003COSTED REQUIS.PHARMACY 11238,B100000,00000,1200,00003TIME SPENTMEDICAL RECORDS & LI 11238,B100000,00000,1300,00003TIME SPENTSOCIAL SERVICE 11238,B100000,00000,1350,00003NO STATISTICSOTHER GENERAL S 11238,B100000,00000,1400,00003ASSIGNED TIMEINTERNS & RESIDENTS ( 11238,S000000,00100,0200,06/05/2000 11238,S200000,00100,0100,ONE SAVANNAH SQUARE DRIVE 11238,S200000,00200,0100,SAVANNAH 11238,S200000,00200,0200,GA 11238,S200000,00200,0300,31406- 11238,S200000,00300,0100,CHATHAM 11238,S200000,00300,0300,U 11238,S200000,00400,0100,SAVANNAH SQUARE INC. 11238,S200000,00400,0200,115546 11238,S200000,00400,0300,06/17/1988 11238,S200000,00400,0500,P 11238,S200000,01500,0100,Y 11238,S200000,01700,0100,Y 11238,S200000,01900,0100,N 11238,S200000,02200,0100,Y 11238,S700003,00000,0100,1 11247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11247,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11247,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11247,A000000,00300,0000,00300EMPLOYEE BENEFITS 11247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11247,A000000,00700,0000,00700HOUSEKEEPING 11247,A000000,00800,0000,00800DIETARY 11247,A000000,00801,0000,00801CAFETERIA 11247,A000000,00900,0000,00900NURSING ADMINISTRATION 11247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11247,A000000,01100,0000,01100PHARMACY 11247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11247,A000000,01300,0000,01300SOCIAL SERVICE 11247,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11247,A000000,01600,0000,01600SKILLED NURSING FACILITY 11247,A000000,01800,0000,01800NURSING FACILITY 11247,A000000,01900,0000,01900OTHER LONG TERM CARE 11247,A000000,02100,0000,02100RADIOLOGY 11247,A000000,02200,0000,02200LABORATORY 11247,A000000,02300,0000,02300INTRAVENOUS THERAPY 11247,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11247,A000000,02500,0000,02500PHYSICAL THERAPY 11247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11247,A000000,02700,0000,02700SPEECH PATHOLOGY 11247,A000000,02800,0000,02800ELECTROCARDIOLOGY 11247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11247,A000000,03050,0000,03300OTHER ANCILLARY 11247,A000000,03051,0000,03301OTHER ANCILLARY II 11247,A000000,03052,0000,03302OTHER ANCILLARY III 11247,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11247,A000000,03200,0000,03200SUPPORT SURFACES 11247,A000000,03400,0000,03400CLINIC 11247,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11247,A000000,03500,0000,03500RURAL HEALTH CLINIC 11247,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11247,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11247,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11247,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11247,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11247,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11247,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11247,A000000,04400,0000,04400DME RENTED - HHA 11247,A000000,04500,0000,04500DME SOLD - HHA 11247,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11247,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11247,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11247,A000000,04800,0000,04800AMBULANCE 11247,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11247,A000000,05000,0000,05000CORF I 11247,A000000,05010,0000,05010CMHC I 11247,A000000,05020,0000,05020OPT I 11247,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11247,A000000,05300,0000,05300INTEREST EXPENSE 11247,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11247,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11247,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11247,A000000,05500,0000,05500HOSPICE 11247,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11247,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11247,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11247,A000000,06100,0000,06100NONPAID WORKERS 11247,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11247,A000000,06200,0000,06200PATIENTS LAUNDRY 11247,A81000A,00100,0100,Y 11247,A81000B,00100,0300,RENT 11247,A81000B,00200,0300,INTEREST 11247,A81000B,00300,0300,DEPRECIATION 11247,A81000B,00400,0300,AMORT. OF DEF. LOAN 11247,A81000B,00700,0300,ADJ MGT FEE TO COST 11247,A81000C,00100,0100,A 11247,A81000C,00100,0400,WESTBURY ENTER. 11247,A81000C,00100,0600,RENTAL 11247,B100000,00000,0100,00000(SQUARE FEET) CAP REL COSTS - 11247,B100000,00000,0101,00000(SQUARE FEET) CAP REL COSTS - 11247,B100000,00000,0200,00000(SQUARE FEET) CAP REL COSTS - 11247,B100000,00000,0201,00000(SQUARE FEET) CAP REL COSTS - 11247,B100000,00000,0300,00000(GROSS SALARIES) EMPLOYEE BEN 11247,B100000,00000,0400,00000(ACCUM. COST) ADMINISTRATIVE & 11247,B100000,00000,0500,00000(SQUARE FEET) PLANT OPERATION 11247,B100000,00000,0600,00000(PATIENT DAYS) LAUNDRY & LINEN 11247,B100000,00000,0700,00000(SQUARE FEET) HOUSEKEEPING 11247,B100000,00000,0800,00000(MEALS SERVED) DIETARY 11247,B100000,00000,0801,00000(MEALS SERVED) CAFETERIA 11247,B100000,00000,0900,00000(NURSING SALARIES) NURSING ADMI 11247,B100000,00000,1000,00000(PATIENT DAYS) CENTRAL SERVICES 11247,B100000,00000,1100,00000(PATIENT DAYS) PHARMACY 11247,B100000,00000,1200,00000(PATIENT DAYS) MEDICAL RECORDS 11247,B100000,00000,1300,00000(PATIENT DAYS) SOCIAL SERVICE 11247,B100000,00000,1400,00000(ASSIGNED TIME) INTERNS & RESIDE 11247,B100000,00000,1500,00000(PATIENT DAYS) OTHER GENERAL SE 11247,E10A180,00301,0100,02/16/2000 11247,S000000,00100,0200,10/19/2001 11247,S200000,00100,0100,922 MCDONOUGH ROAD 11247,S200000,00200,0100,JACKSON 11247,S200000,00200,0200,GA 11247,S200000,00200,0300,30233 11247,S200000,00300,0100,BUTTS 11247,S200000,00400,0100,WESTBURY MEDICARL CARE HOME INC. 11247,S200000,00400,0200,115563 11247,S200000,00400,0300,01/01/1994 11247,S200000,00400,0500,P 11247,S200000,01600,0100,Y 11247,S200000,02100,0100,A 11247,S200000,04700,0100,Y 11247,S200000,04700,0200,Y 11247,S700003,00000,0200,X 11316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11316,A000000,00300,0000,00300EMPLOYEE BENEFITS 11316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11316,A000000,00700,0000,00700HOUSEKEEPING 11316,A000000,00800,0000,00800DIETARY 11316,A000000,00900,0000,00900NURSING ADMINISTRATION 11316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11316,A000000,01100,0000,01100PHARMACY 11316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11316,A000000,01300,0000,01300SOCIAL SERVICE 11316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11316,A000000,01600,0000,01600SKILLED NURSING FACILITY 11316,A000000,01800,0000,01800NURSING FACILITY 11316,A000000,01900,0000,01900OTHER LONG TERM CARE 11316,A000000,02100,0000,02100RADIOLOGY 11316,A000000,02200,0000,02200LABORATORY 11316,A000000,02300,0000,02300INTRAVENOUS THERAPY 11316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11316,A000000,02500,0000,02500PHYSICAL THERAPY 11316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11316,A000000,02700,0000,02700SPEECH PATHOLOGY 11316,A000000,02800,0000,02800ELECTROCARDIOLOGY 11316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11316,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11316,A000000,03200,0000,03200SUPPORT SURFACES 11316,A000000,03400,0000,03400CLINIC 11316,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11316,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11316,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11316,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11316,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11316,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11316,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11316,A000000,04400,0000,04400DME RENTED - HHA 11316,A000000,04500,0000,04500DME SOLD - HHA 11316,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11316,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11316,A000000,04800,0000,04800AMBULANCE 11316,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11316,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11316,A000000,05300,0000,05300INTEREST EXPENSE 11316,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11316,A000000,05500,0000,05500HOSPICE 11316,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11316,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11316,A000000,06100,0000,06100NONPAID WORKERS 11316,A000000,06200,0000,06200PATIENTS LAUNDRY 11316,B100000,00000,0100,00000SQUARE FOOTAGECAP REL COSTS - BL 11316,B100000,00000,0200,00000SQUARE FOOTAGECAP REL COSTS - MO 11316,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 11316,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11316,B100000,00000,0500,00000SQUARE FOOTAGEPLANT OPERATION M 11316,B100000,00000,0600,00000PAT DAYSLAUNDRY & LINEN SERVICE 11316,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 11316,B100000,00000,0800,00000PAT DAYSDIETARY 11316,B100000,00000,0900,00000PAT DAYSNURSING ADMINISTRATION 11316,B100000,00000,1000,00000PAT DAYSCENTRAL SERVICES & SUPPLY 11316,B100000,00000,1100,00000PAT DAYSPHARMACY 11316,B100000,00000,1200,00000PAT DAYSMEDICAL RECORDS & LIBRARY 11316,B100000,00000,1300,00000PAT DAYSSOCIAL SERVICE 11316,B100000,00000,1400,00000PAT DAYSINTERNS & RESIDENTS (APPRVD 11316,S000000,00100,0200,05/19/2000 11316,S200000,00100,0100,185 BOWENS MILL HIGHWAY 11316,S200000,00200,0100,FITZGERALD 11316,S200000,00200,0200,GA 11316,S200000,00200,0300,31750 11316,S200000,00300,0100,BEN HILL 11316,S200000,00300,0300,R 11316,S200000,00400,0100,FITZGERALD NURSING HOME 11316,S200000,00400,0200,115617 11316,S200000,00400,0300,10/14/1996 11316,S200000,00400,0500,P 11316,S200000,00400,0600,O 11316,S200000,01500,0100,Y 11316,S700003,00000,0400,4 11331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11331,A000000,00300,0000,00300EMPLOYEE BENEFITS 11331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11331,A000000,00700,0000,00700HOUSEKEEPING 11331,A000000,00800,0000,00800DIETARY 11331,A000000,00900,0000,00900NURSING ADMINISTRATION 11331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11331,A000000,01100,0000,01100PHARMACY 11331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11331,A000000,01300,0000,01300SOCIAL SERVICE 11331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11331,A000000,01600,0000,01600SKILLED NURSING FACILITY 11331,A000000,01900,0000,01900OTHER LONG TERM CARE 11331,A000000,02100,0000,02100RADIOLOGY 11331,A000000,02200,0000,02200LABORATORY 11331,A000000,02300,0000,02300INTRAVENOUS THERAPY 11331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11331,A000000,02500,0000,02500PHYSICAL THERAPY 11331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11331,A000000,02700,0000,02700SPEECH PATHOLOGY 11331,A000000,02800,0000,02800ELECTROCARDIOLOGY 11331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11331,A000000,03200,0000,03200SUPPORT SURFACES 11331,A000000,03400,0000,03400CLINIC 11331,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11331,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11331,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11331,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11331,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11331,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11331,A000000,04400,0000,04400DME RENTED - HHA 11331,A000000,04500,0000,04500DME SOLD - HHA 11331,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11331,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11331,A000000,04800,0000,04800AMBULANCE 11331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11331,A000000,05300,0000,05300INTEREST EXPENSE 11331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11331,A000000,05500,0000,05500HOSPICE 11331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11331,A000000,06100,0000,06100NONPAID WORKERS 11331,A000000,06200,0000,06200PATIENTS LAUNDRY 11331,A81000A,00100,0100,Y 11331,A81000B,00100,0300,MANAGEMENT FEES 11331,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOCATION 11331,A81000B,00300,0300,ADMINISTRATOR SALARY 11331,A81000B,00400,0300,ADMINISTRATOR BENEFITS 11331,A81000B,00500,0300,HOME OFFICE DIRECT ALLOCATION 11331,A81000C,00100,0100,E 11331,A81000C,00100,0200,GIL HARRINGTON 11331,A81000C,00100,0400,PINE CARE 11331,A81000C,00100,0600,MANAGEMENT 11331,B100000,00000,0100,00000SQUARE FOOTAGECAP REL COSTS - BL 11331,B100000,00000,0200,00000SQUARE FOOTAGECAP REL COSTS - MO 11331,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 11331,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11331,B100000,00000,0500,00000SQUARE FOOTAGEPLANT OPERATION M 11331,B100000,00000,0600,00000PAT DAYSLAUNDRY & LINEN SERVICE 11331,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 11331,B100000,00000,0800,00000PAT DAYSDIETARY 11331,B100000,00000,0900,00000PAT DAYSNURSING ADMINISTRATION 11331,B100000,00000,1000,00000PAT DAYSCENTRAL SERVICES & SUPPLY 11331,B100000,00000,1100,00000PAT DAYSPHARMACY 11331,B100000,00000,1200,00000PAT DAYSMEDICAL RECORDS & LIBRARY 11331,B100000,00000,1300,00000PAT DAYSSOCIAL SERVICE 11331,B100000,00000,1400,00000PAT DAYSINTERNS & RESIDENTS (APPRVD 11331,E10A180,00301,0100,12/23/1999 11331,E10A180,00302,0100,01/04/2000 11331,E10A180,00303,0100,09/27/2000 11331,S000000,00100,0200,01/02/2001 11331,S200000,00100,0300,699 11331,S200000,00200,0100,EASTMAN 11331,S200000,00200,0200,GA 11331,S200000,00200,0300,31023 11331,S200000,00300,0100,DODGE 11331,S200000,00300,0300,R 11331,S200000,00400,0100,MIDDLE GEORGIA NURSING HOME 11331,S200000,00400,0200,115622 11331,S200000,00400,0300,01/01/1997 11331,S200000,00400,0500,P 11331,S200000,00400,0600,O 11331,S200000,01500,0100,Y 11331,S200000,02200,0100,Y 11331,S700003,00000,0400,4 11375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11375,A000000,00300,0000,00300EMPLOYEE BENEFITS 11375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11375,A000000,00700,0000,00700HOUSEKEEPING 11375,A000000,00800,0000,00800DIETARY 11375,A000000,00900,0000,00900NURSING ADMINISTRATION 11375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11375,A000000,01100,0000,01100PHARMACY 11375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11375,A000000,01300,0000,01300SOCIAL SERVICE 11375,A000000,01600,0000,01600SKILLED NURSING FACILITY 11375,A000000,02200,0000,02200LABORATORY 11375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11375,A000000,02500,0000,02500PHYSICAL THERAPY 11375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11375,A000000,02700,0000,02700SPEECH PATHOLOGY 11375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11375,A000000,04800,0000,04800AMBULANCE 11375,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11375,A000000,05300,0000,05300INTEREST EXPENSE 11375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11375,A81000A,00100,0100,Y 11375,A81000B,00100,0300,GBHCS EXPENSE 11375,A81000C,00100,0100,B 11375,A81000C,00100,0200,GA BAPTIST HC S 11375,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 11375,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 11375,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 11375,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 11375,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 11375,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 11375,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 11375,B100000,00000,0800,00000MEALS SERVEDDIETARY 11375,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 11375,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 11375,B100000,00000,1100,00000PATIENT DAYSPHARMACY 11375,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 11375,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 11375,S000000,00100,0200,06/02/2000 11375,S200000,00100,0100,3200 PANTHERSVILLE ROAD 11375,S200000,00200,0100,DECATUR 11375,S200000,00200,0200,GA 11375,S200000,00200,0300,30034- 11375,S200000,00300,0100,DEKALB 11375,S200000,00300,0300,U 11375,S200000,00400,0100,HARVEST HEIGHTS NURSING HOME 11375,S200000,00400,0200,115647 11375,S200000,00400,0300,12/01/1997 11375,S200000,00400,0500,P 11375,S200000,00400,0600,O 11375,S200000,01600,0100,Y 11375,S200000,01900,0100,N 11375,S700003,00000,0100,1 11678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11678,A000000,00300,0000,00300EMPLOYEE BENEFITS 11678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11678,A000000,00700,0000,00700HOUSEKEEPING 11678,A000000,00800,0000,00800DIETARY 11678,A000000,00900,0000,00900NURSING ADMINISTRATION 11678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11678,A000000,01100,0000,01100PHARMACY 11678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11678,A000000,01300,0000,01300SOCIAL SERVICE 11678,A000000,01350,0000,01500OTHER GENERAL SERVICES 11678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11678,A000000,01600,0000,01600SKILLED NURSING FACILITY 11678,A000000,01800,0000,01800NURSING FACILITY 11678,A000000,01810,0000,01801ICF/MR 11678,A000000,01900,0000,01900OTHER LONG TERM CARE 11678,A000000,02100,0000,02100RADIOLOGY 11678,A000000,02200,0000,02200LABORATORY 11678,A000000,02300,0000,02300INTRAVENOUS THERAPY 11678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11678,A000000,02500,0000,02500PHYSICAL THERAPY 11678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11678,A000000,02700,0000,02700SPEECH PATHOLOGY 11678,A000000,02800,0000,02800ELECTROCARDIOLOGY 11678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11678,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11678,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11678,A000000,03200,0000,03200SUPPORT SURFACES 11678,A000000,03400,0000,03400CLINIC 11678,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11678,A000000,03500,0000,03500RURAL HEALTH CLINIC 11678,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11678,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11678,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11678,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11678,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11678,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11678,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11678,A000000,04400,0000,04400DME RENTED - HHA 11678,A000000,04500,0000,04500DME SOLD - HHA 11678,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11678,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11678,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11678,A000000,04800,0000,04800AMBULANCE 11678,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11678,A000000,05000,0000,05000CORF 11678,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11678,A000000,05300,0000,05300INTEREST EXPENSE 11678,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11678,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11678,A000000,05500,0000,05500HOSPICE 11678,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11678,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11678,A000000,06100,0000,06100NONPAID WORKERS 11678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11678,A000000,06200,0000,06200PATIENTS LAUNDRY 11678,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11678,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11678,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11678,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11678,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11678,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11678,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11678,B100000,00000,0800,00000MEALS SERVED :DIETARY 11678,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 11678,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11678,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11678,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 11678,B100000,00000,1330,00000AL & HC DAYS:SOCIAL SERVICE 11678,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11678,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11678,S000000,00100,0200,06/02/2000 11678,S200000,00100,0100,7090 EAST MESCAL ST 11678,S200000,00200,0100,SCOTTSDALE 11678,S200000,00200,0200,AZ 11678,S200000,00200,0300,85254- 11678,S200000,00300,0100,MARICOPA 11678,S200000,00400,0100,THE FORUM AT PUEBLO NORTE 11678,S200000,00400,0200,035090 11678,S200000,00400,0300,04/23/1988 11678,S200000,00400,0500,P 11678,S200000,01500,0100,Y 11678,S200000,01700,0100,Y 11678,S700003,00000,0100,1 11689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11689,A000000,00300,0000,00300EMPLOYEE BENEFITS 11689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11689,A000000,00700,0000,00700HOUSEKEEPING 11689,A000000,00800,0000,00800DIETARY 11689,A000000,00900,0000,00900NURSING ADMINISTRATION 11689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11689,A000000,01100,0000,01100PHARMACY 11689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11689,A000000,01300,0000,01300SOCIAL SERVICE 11689,A000000,01350,0000,01500OTHER GENERAL SERVICES 11689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11689,A000000,01600,0000,01600SKILLED NURSING FACILITY 11689,A000000,01800,0000,01800NURSING FACILITY 11689,A000000,01810,0000,01801ICF/MR 11689,A000000,01900,0000,01900OTHER LONG TERM CARE 11689,A000000,02100,0000,02100RADIOLOGY 11689,A000000,02200,0000,02200LABORATORY 11689,A000000,02300,0000,02300INTRAVENOUS THERAPY 11689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11689,A000000,02500,0000,02500PHYSICAL THERAPY 11689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11689,A000000,02700,0000,02700SPEECH PATHOLOGY 11689,A000000,02800,0000,02800ELECTROCARDIOLOGY 11689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11689,A000000,03200,0000,03200SUPPORT SURFACES 11689,A000000,03400,0000,03400CLINIC 11689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11689,A000000,03500,0000,03500RURAL HEALTH CLINIC 11689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11689,A000000,04400,0000,04400DME RENTED - HHA 11689,A000000,04500,0000,04500DME SOLD - HHA 11689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11689,A000000,04800,0000,04800AMBULANCE 11689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11689,A000000,05000,0000,05000CORF 11689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11689,A000000,05300,0000,05300INTEREST EXPENSE 11689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11689,A000000,05500,0000,05500HOSPICE 11689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11689,A000000,06100,0000,06100NONPAID WORKERS 11689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11689,A000000,06200,0000,06200PATIENTS LAUNDRY 11689,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11689,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11689,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11689,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11689,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11689,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11689,B100000,00000,0800,00000MEALS SERVED :DIETARY 11689,B100000,00000,0950,00000HEALTHCARE E PAT :NURSING ADMINISTR 11689,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11689,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11689,B100000,00000,1250,00000HEALTHCARE E PAT :MEDICAL RECORDS & 11689,B100000,00000,1330,00000HC & AL PAT:SOCIAL SERVICE 11689,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11689,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11689,S000000,00100,0200,06/02/2000 11689,S200000,00100,0100,2500 N. ROSEMONT 11689,S200000,00200,0100,TUCSON 11689,S200000,00200,0200,AZ 11689,S200000,00200,0300,85712- 11689,S200000,00300,0100,PIMA 11689,S200000,00400,0100,THE FORUM AT TUCSON 11689,S200000,00400,0200,035199 11689,S200000,00400,0300,02/13/1987 11689,S200000,00400,0500,P 11689,S200000,01600,0100,Y 11689,S200000,01700,0100,Y 11689,S700003,00000,0100,1 11699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11699,A000000,00300,0000,00300EMPLOYEE BENEFITS 11699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11699,A000000,00700,0000,00700HOUSEKEEPING 11699,A000000,00800,0000,00800DIETARY 11699,A000000,00900,0000,00900NURSING ADMINISTRATION 11699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11699,A000000,01100,0000,01100PHARMACY 11699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11699,A000000,01300,0000,01300SOCIAL SERVICE 11699,A000000,01350,0000,01500OTHER GENERAL SERVICES 11699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11699,A000000,01600,0000,01600SKILLED NURSING FACILITY 11699,A000000,01800,0000,01800NURSING FACILITY 11699,A000000,01810,0000,01801ICF/MR 11699,A000000,01900,0000,01900OTHER LONG TERM CARE 11699,A000000,02100,0000,02100RADIOLOGY 11699,A000000,02200,0000,02200LABORATORY 11699,A000000,02300,0000,02300INTRAVENOUS THERAPY 11699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11699,A000000,02500,0000,02500PHYSICAL THERAPY 11699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11699,A000000,02700,0000,02700SPEECH PATHOLOGY 11699,A000000,02800,0000,02800ELECTROCARDIOLOGY 11699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11699,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11699,A000000,03200,0000,03200SUPPORT SURFACES 11699,A000000,03400,0000,03400CLINIC 11699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11699,A000000,03500,0000,03500RURAL HEALTH CLINIC 11699,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11699,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11699,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11699,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11699,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11699,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11699,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11699,A000000,04400,0000,04400DME RENTED - HHA 11699,A000000,04500,0000,04500DME SOLD - HHA 11699,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11699,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11699,A000000,04800,0000,04800AMBULANCE 11699,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11699,A000000,05000,0000,05000CORF 11699,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11699,A000000,05300,0000,05300INTEREST EXPENSE 11699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11699,A000000,05500,0000,05500HOSPICE 11699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11699,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11699,A000000,06100,0000,06100NONPAID WORKERS 11699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11699,A000000,06200,0000,06200PATIENTS LAUNDRY 11699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11699,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11699,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11699,B100000,00000,0800,00000MEALS SERVED :DIETARY 11699,B100000,00000,0950,00000HEALTHCARE E PAT :NURSING ADMINISTR 11699,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11699,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11699,B100000,00000,1250,00000HEALTHCARE E PAT :MEDICAL RECORDS & 11699,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 11699,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11699,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11699,S000000,00100,0200,06/02/2000 11699,S200000,00100,0100,13840 NORTH DESERT HARBOR 11699,S200000,00200,0100,PEORIA 11699,S200000,00200,0200,AZ 11699,S200000,00200,0300,85345- 11699,S200000,00300,0100,MARICOPA 11699,S200000,00400,0100,THE FORUM AT DESERT HARBOR 11699,S200000,00400,0200,035201 11699,S200000,00400,0300,12/01/1990 11699,S200000,00400,0500,P 11699,S200000,01600,0100,Y 11699,S200000,01700,0100,Y 11699,S700003,00000,0100,1 11702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11702,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11702,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11702,A000000,00300,0000,00300EMPLOYEE BENEFITS 11702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11702,A000000,00700,0000,00700HOUSEKEEPING 11702,A000000,00800,0000,00800DIETARY 11702,A000000,00801,0000,00801CAFETERIA 11702,A000000,00900,0000,00900NURSING ADMINISTRATION 11702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11702,A000000,01100,0000,01100PHARMACY 11702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11702,A000000,01300,0000,01300SOCIAL SERVICE 11702,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11702,A000000,01600,0000,01600SKILLED NURSING FACILITY 11702,A000000,01800,0000,01800NURSING FACILITY 11702,A000000,01900,0000,01900OTHER LONG TERM CARE 11702,A000000,02100,0000,02100RADIOLOGY 11702,A000000,02200,0000,02200LABORATORY 11702,A000000,02300,0000,02300INTRAVENOUS THERAPY 11702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11702,A000000,02500,0000,02500PHYSICAL THERAPY 11702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11702,A000000,02700,0000,02700SPEECH PATHOLOGY 11702,A000000,02800,0000,02800ELECTROCARDIOLOGY 11702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11702,A000000,03050,0000,03300OTHER ANCILLARY 11702,A000000,03051,0000,03301OTHER ANCILLARY II 11702,A000000,03052,0000,03302OTHER ANCILLARY III 11702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11702,A000000,03200,0000,03200SUPPORT SURFACES 11702,A000000,03400,0000,03400CLINIC 11702,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11702,A000000,03500,0000,03500RURAL HEALTH CLINIC 11702,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11702,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11702,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11702,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11702,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11702,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11702,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11702,A000000,04400,0000,04400DME RENTED - HHA 11702,A000000,04500,0000,04500DME SOLD - HHA 11702,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11702,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11702,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11702,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11702,A000000,05000,0000,05000CORF 11702,A000000,05010,0000,05010CMHC I 11702,A000000,05020,0000,05020OPT I 11702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11702,A000000,05300,0000,05300INTEREST EXPENSE 11702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11702,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11702,A000000,05500,0000,05500HOSPICE 11702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11702,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11702,A000000,06100,0000,06100NONPAID WORKERS 11702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11702,A000000,06200,0000,06200PATIENTS LAUNDRY 11702,A81000A,00100,0100,Y 11702,A81000B,00100,0300,MANAGEMENT FEE 11702,A81000B,00200,0300,SUPPLIES 11702,A81000B,00300,0300,MED SUPPLIES 11702,A81000B,00400,0300,CONTRACTED SERVICES 11702,A81000B,00500,0300,CONTRACTED SERVICES 11702,A81000B,00600,0300,CONTRACTED SERVICES 11702,A81000B,00700,0300,PAYROLL PROC FEE 11702,A81000C,00100,0100,G 11702,A81000C,00100,0200,CENT HC MGMT CO 11702,A81000C,00100,0400,CENT HC CORP 11702,A81000C,00100,0600,HOME OFFICE 11702,A81000C,00200,0100,B 11702,A81000C,00200,0200,CENT PTS 11702,A81000C,00200,0400,CENT PTS CORP 11702,A81000C,00200,0600,SUPPLIES 11702,A81000C,00300,0100,B 11702,A81000C,00300,0200,CENT PTS 11702,A81000C,00300,0400,CENT PTS CORP 11702,A81000C,00300,0600,SUPPLIES 11702,A81000C,00400,0100,B 11702,A81000C,00400,0200,PARAGON 11702,A81000C,00400,0400,PARAGON 11702,A81000C,00400,0600,THERAPY 11702,A81000C,00500,0100,B 11702,A81000C,00500,0200,PARAGON 11702,A81000C,00500,0400,PARAGON 11702,A81000C,00500,0600,THERAPY 11702,A81000C,00600,0100,B 11702,A81000C,00600,0200,PARAGON 11702,A81000C,00600,0400,PARAGON 11702,A81000C,00600,0600,THERAPY 11702,A81000C,00700,0100,G 11702,A81000C,00700,0200,CENT EMP CORP 11702,A81000C,00700,0400,CENT EMP CORP 11702,A81000C,00700,0600,HOME OFFICE 11702,A81000C,03100,0000,PAYROLL 11702,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11702,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11702,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11702,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11702,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11702,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11702,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11702,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11702,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11702,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11702,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11702,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11702,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11702,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11702,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11702,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11702,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11702,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11702,S000000,00100,0200,07/01/1999 11702,S200000,00100,0100,960 EAST BOWLES 11702,S200000,00200,0100,DUMAS 11702,S200000,00200,0200,AR 11702,S200000,00200,0300,71639- 11702,S200000,00300,0100,DESHA 11702,S200000,00400,0100,DUMAS NURSING CENTER 11702,S200000,00400,0200,045175 11702,S200000,00400,0300,11/01/1991 11702,S200000,00400,0500,P 11702,S200000,01600,0100,Y 11702,S200000,02800,0100,Y 11702,S700003,00000,0100,1 11704,S000000,00100,0200,06/01/2000 11707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11707,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11707,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11707,A000000,00300,0000,00300EMPLOYEE BENEFITS 11707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11707,A000000,00700,0000,00700HOUSEKEEPING 11707,A000000,00800,0000,00800DIETARY 11707,A000000,00801,0000,00801CAFETERIA 11707,A000000,00900,0000,00900NURSING ADMINISTRATION 11707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11707,A000000,01100,0000,01100PHARMACY 11707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11707,A000000,01300,0000,01300SOCIAL SERVICE 11707,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11707,A000000,01600,0000,01600SKILLED NURSING FACILITY 11707,A000000,01800,0000,01800NURSING FACILITY 11707,A000000,01900,0000,01900OTHER LONG TERM CARE 11707,A000000,02100,0000,02100RADIOLOGY 11707,A000000,02200,0000,02200LABORATORY 11707,A000000,02300,0000,02300INTRAVENOUS THERAPY 11707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11707,A000000,02500,0000,02500PHYSICAL THERAPY 11707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11707,A000000,02700,0000,02700SPEECH PATHOLOGY 11707,A000000,02800,0000,02800ELECTROCARDIOLOGY 11707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11707,A000000,03050,0000,03300OTHER ANCILLARY 11707,A000000,03051,0000,03301OTHER ANCILLARY II 11707,A000000,03052,0000,03302OTHER ANCILLARY III 11707,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11707,A000000,03200,0000,03200SUPPORT SURFACES 11707,A000000,03400,0000,03400CLINIC 11707,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11707,A000000,03500,0000,03500RURAL HEALTH CLINIC 11707,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11707,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11707,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11707,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11707,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11707,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11707,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11707,A000000,04400,0000,04400DME RENTED - HHA 11707,A000000,04500,0000,04500DME SOLD - HHA 11707,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11707,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11707,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11707,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11707,A000000,05000,0000,05000CORF 11707,A000000,05010,0000,05010CMHC I 11707,A000000,05020,0000,05020OPT I 11707,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11707,A000000,05300,0000,05300INTEREST EXPENSE 11707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11707,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11707,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11707,A000000,05500,0000,05500HOSPICE 11707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11707,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11707,A000000,06100,0000,06100NONPAID WORKERS 11707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11707,A000000,06200,0000,06200PATIENTS LAUNDRY 11707,A81000A,00100,0100,Y 11707,A81000B,00100,0300,MANAGEMENT FEE 11707,A81000B,00200,0300,PAYROLL PROCESSING FEE 11707,A81000B,00300,0300,MED SUPPLIES 11707,A81000B,00400,0300,MED SUPPLIES 11707,A81000B,00500,0300,MED SUPPLIES 11707,A81000B,00600,0300,MED SUPPLIES 11707,A81000C,00100,0100,G 11707,A81000C,00100,0200,CENTENNIAL HC 11707,A81000C,00100,0400,CENT MGMT CORP 11707,A81000C,00100,0600,HOME OFFICE 11707,A81000C,00200,0100,G 11707,A81000C,00200,0200,CENTENNIAL HC 11707,A81000C,00200,0400,CENT EMP CORP 11707,A81000C,00200,0600,PAYROLL 11707,A81000C,00300,0100,B 11707,A81000C,00300,0200,CENT PTS 11707,A81000C,00300,0400,CENT HC 11707,A81000C,00300,0600,SUPPLIES 11707,A81000C,00400,0100,B 11707,A81000C,00400,0200,CENT PTS 11707,A81000C,00400,0400,CENT HC 11707,A81000C,00400,0600,SUPPLIES 11707,A81000C,00500,0100,B 11707,A81000C,00500,0200,CENT PTS 11707,A81000C,00500,0400,CENT HC 11707,A81000C,00500,0600,SUPPLIES 11707,A81000C,00600,0100,B 11707,A81000C,00600,0200,CENT PTS 11707,A81000C,00600,0400,CENT HC 11707,A81000C,00600,0600,SUPPLIES 11707,A81000C,03100,0000,SUPPLIES 11707,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11707,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11707,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11707,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11707,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11707,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11707,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11707,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11707,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11707,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11707,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11707,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11707,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11707,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11707,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11707,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11707,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11707,S000000,00100,0200,07/01/1999 11707,S200000,00100,0100,450 SOUTH NINTH 11707,S200000,00200,0100,PIGGOTT 11707,S200000,00200,0200,AR 11707,S200000,00200,0300,72451- 11707,S200000,00300,0100,CLAY 11707,S200000,00400,0100,PIGGOTT NURSING CENTER 11707,S200000,00400,0200,045178 11707,S200000,00400,0300,12/01/1991 11707,S200000,00400,0500,P 11707,S200000,01600,0100,Y 11707,S200000,02800,0100,Y 11707,S700003,00000,0100,1 11709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11709,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11709,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11709,A000000,00300,0000,00300EMPLOYEE BENEFITS 11709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11709,A000000,00700,0000,00700HOUSEKEEPING 11709,A000000,00800,0000,00800DIETARY 11709,A000000,00801,0000,00801CAFETERIA 11709,A000000,00900,0000,00900NURSING ADMINISTRATION 11709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11709,A000000,01100,0000,01100PHARMACY 11709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11709,A000000,01300,0000,01300SOCIAL SERVICE 11709,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11709,A000000,01600,0000,01600SKILLED NURSING FACILITY 11709,A000000,01800,0000,01800NURSING FACILITY 11709,A000000,01900,0000,01900OTHER LONG TERM CARE 11709,A000000,02100,0000,02100RADIOLOGY 11709,A000000,02200,0000,02200LABORATORY 11709,A000000,02300,0000,02300INTRAVENOUS THERAPY 11709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11709,A000000,02500,0000,02500PHYSICAL THERAPY 11709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11709,A000000,02700,0000,02700SPEECH PATHOLOGY 11709,A000000,02800,0000,02800ELECTROCARDIOLOGY 11709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11709,A000000,03050,0000,03300OTHER ANCILLARY 11709,A000000,03051,0000,03301OTHER ANCILLARY II 11709,A000000,03052,0000,03302OTHER ANCILLARY III 11709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11709,A000000,03200,0000,03200SUPPORT SURFACES 11709,A000000,03400,0000,03400CLINIC 11709,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11709,A000000,03500,0000,03500RURAL HEALTH CLINIC 11709,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11709,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11709,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11709,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11709,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11709,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11709,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11709,A000000,04400,0000,04400DME RENTED - HHA 11709,A000000,04500,0000,04500DME SOLD - HHA 11709,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11709,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11709,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11709,A000000,04800,0000,04800AMBULANCE 11709,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11709,A000000,05000,0000,05000CORF 11709,A000000,05010,0000,05010CMHC I 11709,A000000,05020,0000,05020OPT I 11709,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11709,A000000,05300,0000,05300INTEREST EXPENSE 11709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11709,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11709,A000000,05500,0000,05500HOSPICE 11709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11709,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11709,A000000,06100,0000,06100NONPAID WORKERS 11709,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11709,A000000,06200,0000,06200PATIENTS LAUNDRY 11709,A81000A,00100,0100,Y 11709,A81000B,00100,0300,MANAGEMENT FEE 11709,A81000B,00200,0300,PAYROLL PROCESSING 11709,A81000B,00300,0300,DIETARY 11709,A81000B,00400,0300,CENTRAL SUPPLY 11709,A81000B,00500,0300,MED SUPPLIES 11709,A81000B,00600,0300,MINOR EQUIPMENT 11709,A81000B,00700,0300,MED EQUIP RENTAL 11709,A81000B,00800,0300,PT SUPPLIES 11709,A81000B,00900,0300,OT SUPPLIES 11709,A81000C,00100,0100,G 11709,A81000C,00100,0200,CENT HC CORP 11709,A81000C,00100,0400,CENT HC CORP 11709,A81000C,00100,0600,HOME OFFICE 11709,A81000C,00200,0100,G 11709,A81000C,00200,0200,CENT HC CORP 11709,A81000C,00200,0400,CENT HC CORP 11709,A81000C,00200,0600,HOME OFFICE 11709,A81000C,00300,0100,G 11709,A81000C,00300,0200,CENTENNIAL PTS 11709,A81000C,00300,0400,CENT HC CORP 11709,A81000C,00300,0600,SUPPLIES 11709,A81000C,00400,0100,G 11709,A81000C,00400,0200,CENTENNIAL PTS 11709,A81000C,00400,0400,CENT HC CORP 11709,A81000C,00400,0600,MED SUPPLIES 11709,A81000C,00500,0100,G 11709,A81000C,00500,0200,CENTENNIAL PTS 11709,A81000C,00500,0400,CENT HC CORP 11709,A81000C,00500,0600,MED SUPPLIES 11709,A81000C,00600,0100,G 11709,A81000C,00600,0200,CENTENNIAL PTS 11709,A81000C,00600,0400,CENT HC CORP 11709,A81000C,00600,0600,MED SUPPLIES 11709,A81000C,00700,0100,G 11709,A81000C,00700,0200,CENTENNIAL PTS 11709,A81000C,00700,0400,CENT HC CORP 11709,A81000C,00700,0600,SUPPLIES 11709,A81000C,00800,0100,G 11709,A81000C,00800,0200,CENTENNIAL PTS 11709,A81000C,00800,0400,CENT HC CORP 11709,A81000C,00800,0600,MED SUPPLIES 11709,A81000C,00900,0100,G 11709,A81000C,00900,0200,CENTENNIAL PTS 11709,A81000C,00900,0400,CENT HC CORP 11709,A81000C,00900,0600,MED SUPPLIES 11709,A81000C,03100,0000,SUPPLIES 11709,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11709,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11709,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11709,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11709,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11709,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11709,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11709,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11709,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11709,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11709,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11709,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11709,S000000,00100,0200,06/01/2000 11709,S200000,00100,0100,450 S. 9TH STREET 11709,S200000,00200,0100,PIGGOTT 11709,S200000,00200,0200,AR 11709,S200000,00200,0300,72454- 11709,S200000,00300,0100,CLAY 11709,S200000,00300,0300,R 11709,S200000,00400,0100,PIGGOTT NURSING CENTER 11709,S200000,00400,0200,045178 11709,S200000,00400,0300,12/01/1991 11709,S200000,00400,0500,P 11709,S200000,01500,0100,Y 11711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11711,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11711,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11711,A000000,00300,0000,00300EMPLOYEE BENEFITS 11711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11711,A000000,00700,0000,00700HOUSEKEEPING 11711,A000000,00800,0000,00800DIETARY 11711,A000000,00801,0000,00801CAFETERIA 11711,A000000,00900,0000,00900NURSING ADMINISTRATION 11711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11711,A000000,01100,0000,01100PHARMACY 11711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11711,A000000,01300,0000,01300SOCIAL SERVICE 11711,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11711,A000000,01600,0000,01600SKILLED NURSING FACILITY 11711,A000000,01800,0000,01800NURSING FACILITY 11711,A000000,01900,0000,01900OTHER LONG TERM CARE 11711,A000000,02100,0000,02100RADIOLOGY 11711,A000000,02200,0000,02200LABORATORY 11711,A000000,02300,0000,02300INTRAVENOUS THERAPY 11711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11711,A000000,02500,0000,02500PHYSICAL THERAPY 11711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11711,A000000,02700,0000,02700SPEECH PATHOLOGY 11711,A000000,02800,0000,02800ELECTROCARDIOLOGY 11711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11711,A000000,03050,0000,03300OTHER ANCILLARY 11711,A000000,03051,0000,03301OTHER ANCILLARY II 11711,A000000,03052,0000,03302OTHER ANCILLARY III 11711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11711,A000000,03200,0000,03200SUPPORT SURFACES 11711,A000000,03400,0000,03400CLINIC 11711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11711,A000000,03500,0000,03500RURAL HEALTH CLINIC 11711,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11711,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11711,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11711,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11711,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11711,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11711,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11711,A000000,04400,0000,04400DME RENTED - HHA 11711,A000000,04500,0000,04500DME SOLD - HHA 11711,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11711,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11711,A000000,05000,0000,05000CORF 11711,A000000,05010,0000,05010CMHC I 11711,A000000,05020,0000,05020OPT I 11711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11711,A000000,05300,0000,05300INTEREST EXPENSE 11711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11711,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11711,A000000,05500,0000,05500HOSPICE 11711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11711,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11711,A000000,06100,0000,06100NONPAID WORKERS 11711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11711,A000000,06200,0000,06200PATIENTS LAUNDRY 11711,A81000A,00100,0100,Y 11711,A81000B,00100,0300,MANAGEMENT FEE 11711,A81000B,00200,0300,PAYROLL PROCESSING FEE 11711,A81000C,00100,0100,G 11711,A81000C,00100,0200,CENTENNIAL 11711,A81000C,00100,0400,CENT MGMT CORP 11711,A81000C,00100,0600,HOME OFFICE 11711,A81000C,00200,0100,G 11711,A81000C,00200,0200,CENTENNIAL 11711,A81000C,00200,0400,CENT EMP CORP 11711,A81000C,00200,0600,PAYROLL 11711,A81000C,03100,0000,PAYROLL 11711,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11711,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11711,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11711,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11711,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11711,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11711,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11711,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11711,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11711,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11711,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11711,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11711,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11711,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11711,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11711,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11711,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11711,S000000,00100,0200,07/01/1999 11711,S200000,00100,0100,MAPLE & FIRST STEETS 11711,S200000,00200,0100,JUNTION CITY 11711,S200000,00200,0200,AR 11711,S200000,00200,0300,71749- 11711,S200000,00300,0100,UNION 11711,S200000,00400,0100,JUNCTION CITY 11711,S200000,00400,0200,045186 11711,S200000,00400,0300,01/01/1992 11711,S200000,00400,0500,P 11711,S200000,01005,0500,O 11711,S200000,01600,0100,Y 11711,S200000,02800,0100,Y 11711,S700003,00000,0100,1 11713,S000000,00100,0200,06/01/2000 11723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11723,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11723,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11723,A000000,00300,0000,00300EMPLOYEE BENEFITS 11723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11723,A000000,00700,0000,00700HOUSEKEEPING 11723,A000000,00800,0000,00800DIETARY 11723,A000000,00801,0000,00801CAFETERIA 11723,A000000,00900,0000,00900NURSING ADMINISTRATION 11723,A000000,00901,0000,00901NURSING ADMINISTRATION 11723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11723,A000000,01100,0000,01100PHARMACY 11723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11723,A000000,01300,0000,01300SOCIAL SERVICE 11723,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11723,A000000,01600,0000,01600SKILLED NURSING FACILITY 11723,A000000,01800,0000,01800NURSING FACILITY 11723,A000000,01900,0000,01900OTHER LONG TERM CARE 11723,A000000,02100,0000,02100RADIOLOGY 11723,A000000,02200,0000,02200LABORATORY 11723,A000000,02300,0000,02300INTRAVENOUS THERAPY 11723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11723,A000000,02500,0000,02500PHYSICAL THERAPY 11723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11723,A000000,02700,0000,02700SPEECH PATHOLOGY 11723,A000000,02800,0000,02800ELECTROCARDIOLOGY 11723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11723,A000000,03050,0000,03300OTHER ANCILLARY 11723,A000000,03051,0000,03301OTHER ANCILLARY II 11723,A000000,03052,0000,03302OTHER ANCILLARY III 11723,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11723,A000000,03200,0000,03200SUPPORT SURFACES 11723,A000000,03400,0000,03400CLINIC 11723,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11723,A000000,03500,0000,03500RURAL HEALTH CLINIC 11723,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11723,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11723,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11723,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11723,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11723,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11723,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11723,A000000,04400,0000,04400DME RENTED - HHA 11723,A000000,04500,0000,04500DME SOLD - HHA 11723,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11723,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11723,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11723,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11723,A000000,05000,0000,05000CORF 11723,A000000,05010,0000,05010CMHC I 11723,A000000,05020,0000,05020OPT I 11723,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11723,A000000,05300,0000,05300INTEREST EXPENSE 11723,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11723,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11723,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11723,A000000,05500,0000,05500HOSPICE 11723,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11723,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11723,A000000,06100,0000,06100NONPAID WORKERS 11723,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11723,A000000,06200,0000,06200PATIENTS LAUNDRY 11723,A81000A,00100,0100,Y 11723,A81000B,00100,0300,MANAGEMENT FEE 11723,A81000B,00200,0300,PAYROLL PROCESSING FEE 11723,A81000B,00300,0300,PHYSICAL THERAPY 11723,A81000B,00400,0300,NON-BILL MED SUPP/DRUGS 11723,A81000B,00500,0300,SPECIALTY BEDS 11723,A81000B,00600,0300,DIETARY 11723,A81000B,00700,0300,OCCUPATIONAL THERAPY 11723,A81000B,00800,0300,SPEECH THERAPY 11723,A81000B,00900,0300,SEE ATTACHED 11723,A81000C,00100,0100,G 11723,A81000C,00100,0200,CENTENNIAL HC 11723,A81000C,00100,0400,CENTENNIAL HC 11723,A81000C,00100,0600,HOME OFFICE 11723,A81000C,00200,0100,G 11723,A81000C,00200,0200,CENTENNIAL HC 11723,A81000C,00200,0400,CENTENNIAL HC 11723,A81000C,00200,0600,HOME OFFICE 11723,A81000C,00300,0100,B 11723,A81000C,00300,0200,PARAGON REHAB 11723,A81000C,00300,0400,CENTENNIAL HC 11723,A81000C,00300,0600,THERAPY 11723,A81000C,00400,0100,B 11723,A81000C,00400,0200,CENTENNIAL PTS 11723,A81000C,00400,0400,CENTENNIAL HC 11723,A81000C,00400,0600,MED SUPPLIES 11723,A81000C,00500,0100,B 11723,A81000C,00500,0200,CENTENNIAL PTS 11723,A81000C,00500,0400,CENTENNIAL HC 11723,A81000C,00500,0600,MED SUPPLIES 11723,A81000C,00600,0100,B 11723,A81000C,00600,0200,CENTENNIAL PTS 11723,A81000C,00600,0400,CENTENNIAL HC 11723,A81000C,00600,0600,SUPPLIES 11723,A81000C,00700,0100,B 11723,A81000C,00700,0200,PARAGON REHAB 11723,A81000C,00700,0400,CENTENNIAL HC 11723,A81000C,00700,0600,THERAPY 11723,A81000C,00800,0100,B 11723,A81000C,00800,0200,PARAGON REHAB 11723,A81000C,00800,0400,CENTENNIAL HC 11723,A81000C,00800,0600,THERAPY 11723,A81000C,00900,0100,B 11723,A81000C,00900,0200,CENTENNIAL PTS 11723,A81000C,00900,0400,CENTENNIAL HC 11723,A81000C,00900,0600,SUPPLIES 11723,A81000C,03100,0000,MGMT 11723,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11723,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11723,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11723,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11723,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11723,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11723,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11723,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11723,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11723,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11723,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11723,B100000,00000,0950,00000(PATIEN DAYS) :NURSING ADMINISTRAT 11723,B100000,00000,0951,00000(PATIEN DAYS) :NURSING ADMINISTRAT 11723,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11723,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11723,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 11723,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 11723,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11723,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11723,S000000,00100,0200,07/02/1999 11723,S200000,00100,0100,3115 BOWMAN ROAD 11723,S200000,00200,0100,LITTLE ROCK 11723,S200000,00200,0200,AK 11723,S200000,00200,0300,72211- 11723,S200000,00300,0100,PULASHI 11723,S200000,00400,0100,CHENAL REHAB CENTER 11723,S200000,00400,0200,045288 11723,S200000,00400,0300,06/30/1995 11723,S200000,00400,0500,P 11723,S200000,01600,0100,Y 11723,S200000,02200,0100,Y 11723,S200000,02900,0100,Y 11723,S200000,04100,0100,Y 11723,S700003,00000,0100,1 11725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11725,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11725,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11725,A000000,00300,0000,00300EMPLOYEE BENEFITS 11725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11725,A000000,00700,0000,00700HOUSEKEEPING 11725,A000000,00800,0000,00800DIETARY 11725,A000000,00801,0000,00801CAFETERIA 11725,A000000,00900,0000,00900NURSING ADMINISTRATION 11725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11725,A000000,01100,0000,01100PHARMACY 11725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11725,A000000,01300,0000,01300SOCIAL SERVICE 11725,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11725,A000000,01600,0000,01600SKILLED NURSING FACILITY 11725,A000000,01800,0000,01800NURSING FACILITY 11725,A000000,01900,0000,01900OTHER LONG TERM CARE 11725,A000000,02100,0000,02100RADIOLOGY 11725,A000000,02200,0000,02200LABORATORY 11725,A000000,02300,0000,02300INTRAVENOUS THERAPY 11725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11725,A000000,02500,0000,02500PHYSICAL THERAPY 11725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11725,A000000,02700,0000,02700SPEECH PATHOLOGY 11725,A000000,02800,0000,02800ELECTROCARDIOLOGY 11725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11725,A000000,03050,0000,03300OTHER ANCILLARY 11725,A000000,03051,0000,03301OTHER ANCILLARY II 11725,A000000,03052,0000,03302OTHER ANCILLARY III 11725,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11725,A000000,03200,0000,03200SUPPORT SURFACES 11725,A000000,03400,0000,03400CLINIC 11725,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11725,A000000,03500,0000,03500RURAL HEALTH CLINIC 11725,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11725,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11725,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11725,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11725,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11725,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11725,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11725,A000000,04400,0000,04400DME RENTED - HHA 11725,A000000,04500,0000,04500DME SOLD - HHA 11725,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11725,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11725,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11725,A000000,04800,0000,04800AMBULANCE 11725,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11725,A000000,05000,0000,05000CORF 11725,A000000,05010,0000,05010CMHC I 11725,A000000,05020,0000,05020OPT I 11725,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11725,A000000,05300,0000,05300INTEREST EXPENSE 11725,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11725,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11725,A000000,05500,0000,05500HOSPICE 11725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11725,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11725,A000000,06100,0000,06100NONPAID WORKERS 11725,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11725,A000000,06200,0000,06200PATIENTS LAUNDRY 11725,A81000A,00100,0100,Y 11725,A81000B,00100,0300,MANAGEMENT FEE 11725,A81000B,00200,0300,PAYROLL PROCESS 11725,A81000B,00300,0300,PHYSICAL THERAPY 11725,A81000B,00400,0300,OCCUPATION THERAPY 11725,A81000B,00500,0300,SPEECH THERAPY 11725,A81000B,00600,0300,DIETARY 11725,A81000B,00700,0300,CENTRAL SUPPLY 11725,A81000B,00800,0300,MEDICAL SUPPLIES 11725,A81000B,00900,0300,MED EQUIP RENTAL 11725,A81000C,00100,0100,G 11725,A81000C,00100,0200,CENT HC CORP 11725,A81000C,00100,0400,CENT HC CORP 11725,A81000C,00100,0600,HOME OFFICE 11725,A81000C,00200,0100,G 11725,A81000C,00200,0200,CENT HC CORP 11725,A81000C,00200,0400,CENT HC CORP 11725,A81000C,00200,0600,HOME OFFICE 11725,A81000C,00300,0100,G 11725,A81000C,00300,0200,PARAGON 11725,A81000C,00300,0400,CENT HC CORP 11725,A81000C,00300,0600,THERAPY 11725,A81000C,00400,0100,G 11725,A81000C,00400,0200,PARAGON 11725,A81000C,00400,0400,CENT HC CORP 11725,A81000C,00400,0600,THERAPY 11725,A81000C,00500,0100,G 11725,A81000C,00500,0200,PARAGON 11725,A81000C,00500,0400,CENT HC CORP 11725,A81000C,00500,0600,THERAPY 11725,A81000C,00600,0100,G 11725,A81000C,00600,0200,CENTENNIAL PTS 11725,A81000C,00600,0400,CENT HC CORP 11725,A81000C,00600,0600,SUPPLIES 11725,A81000C,00700,0100,G 11725,A81000C,00700,0200,CENTENNIAL PTS 11725,A81000C,00700,0400,CENT HC CORP 11725,A81000C,00700,0600,MED SUPPLIES 11725,A81000C,00800,0100,G 11725,A81000C,00800,0200,CENTENNIAL PTS 11725,A81000C,00800,0400,CENT HC CORP 11725,A81000C,00800,0600,MED SUPPLIES 11725,A81000C,00900,0100,G 11725,A81000C,00900,0200,CENTENNIAL PTS 11725,A81000C,00900,0400,CENT HC CORP 11725,A81000C,00900,0600,SUPPLIES 11725,A81000C,03100,0000,EQUIPMENT 11725,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11725,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11725,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11725,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11725,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11725,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11725,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11725,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11725,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11725,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11725,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11725,S000000,00100,0200,06/01/2000 11725,S200000,00100,0100,3115 BOWMAN ROAD 11725,S200000,00200,0100,LITTLE ROCK 11725,S200000,00200,0200,AR 11725,S200000,00200,0300,72211- 11725,S200000,00300,0100,PULASKI 11725,S200000,00300,0200,4400 11725,S200000,00300,0300,U 11725,S200000,00400,0100,CHENAL REHAB & HEALTHCARE 11725,S200000,00400,0200,045288 11725,S200000,00400,0300,06/30/1995 11725,S200000,00400,0500,P 11725,S200000,01500,0100,Y 11725,S200000,02200,0100,Y 11734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11734,A000000,00300,0000,00300EMPLOYEE BENEFITS 11734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11734,A000000,00700,0000,00700HOUSEKEEPING 11734,A000000,00800,0000,00800DIETARY 11734,A000000,00900,0000,00900NURSING ADMINISTRATION 11734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11734,A000000,01100,0000,01100PHARMACY 11734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11734,A000000,01300,0000,01300SOCIAL SERVICE 11734,A000000,01350,0000,01500OTHER GENERAL SERVICES 11734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11734,A000000,01600,0000,01600SKILLED NURSING FACILITY 11734,A000000,01800,0000,01800NURSING FACILITY 11734,A000000,01810,0000,01801ICF/MR 11734,A000000,01900,0000,01900OTHER LONG TERM CARE 11734,A000000,02100,0000,02100RADIOLOGY 11734,A000000,02200,0000,02200LABORATORY 11734,A000000,02300,0000,02300INTRAVENOUS THERAPY 11734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11734,A000000,02500,0000,02500PHYSICAL THERAPY 11734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11734,A000000,02700,0000,02700SPEECH PATHOLOGY 11734,A000000,02800,0000,02800ELECTROCARDIOLOGY 11734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11734,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11734,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11734,A000000,03200,0000,03200SUPPORT SURFACES 11734,A000000,03400,0000,03400CLINIC 11734,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11734,A000000,03500,0000,03500RURAL HEALTH CLINIC 11734,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11734,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11734,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11734,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11734,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11734,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11734,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11734,A000000,04400,0000,04400DME RENTED - HHA 11734,A000000,04500,0000,04500DME SOLD - HHA 11734,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11734,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11734,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11734,A000000,04800,0000,04800AMBULANCE 11734,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11734,A000000,05000,0000,05000CORF 11734,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11734,A000000,05300,0000,05300INTEREST EXPENSE 11734,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11734,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11734,A000000,05500,0000,05500HOSPICE 11734,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11734,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11734,A000000,06100,0000,06100NONPAID WORKERS 11734,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11734,A000000,06200,0000,06200PATIENTS LAUNDRY 11734,A81000A,00100,0100,Y 11734,A81000B,00100,0300,CAPITAL 11734,A81000B,00200,0300,CAPITAL 11734,A81000B,00300,0300,ADMINISTRATION 11734,A81000B,00400,0300,NURSING 11734,A81000B,00500,0300,NURSING 11734,A81000C,00100,0100,B 11734,A81000C,00100,0200,MARRIOTT SEN LVG SVCS 11734,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 11734,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 11734,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 11734,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11734,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 11734,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11734,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 11734,B100000,00000,0800,00000MEALS :DIETARY 11734,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11734,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 11734,B100000,00000,1150,00000NO STATISTICS :PHARMACY 11734,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11734,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11734,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11734,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 11734,S000000,00100,0200,06/01/2000 11734,S200000,00100,0100,2500 S. ROSLYN STREET 11734,S200000,00200,0100,DENVER 11734,S200000,00200,0200,CO 11734,S200000,00200,0300,80231- 11734,S200000,00300,0100,ARAPAHOE 11734,S200000,00400,0100,BRIGHTON GARDENS OF SE DENVER 11734,S200000,00400,0200,065362 11734,S200000,00400,0300,09/01/1997 11734,S200000,00400,0500,P 11734,S200000,01500,0100,Y 11734,S700003,00000,0400,4 11750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11750,A000000,00300,0000,00300EMPLOYEE BENEFITS 11750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11750,A000000,00700,0000,00700HOUSEKEEPING 11750,A000000,00800,0000,00800DIETARY 11750,A000000,00900,0000,00900NURSING ADMINISTRATION 11750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11750,A000000,01100,0000,01100PHARMACY 11750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11750,A000000,01300,0000,01300SOCIAL SERVICE 11750,A000000,01350,0000,01500OTHER GENERAL SERVICES 11750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11750,A000000,01600,0000,01600SKILLED NURSING FACILITY 11750,A000000,01800,0000,01800NURSING FACILITY 11750,A000000,01900,0000,01900OTHER LONG TERM CARE 11750,A000000,02100,0000,02100RADIOLOGY 11750,A000000,02200,0000,02200LABORATORY 11750,A000000,02300,0000,02300INTRAVENOUS THERAPY 11750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11750,A000000,02500,0000,02500PHYSICAL THERAPY 11750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11750,A000000,02700,0000,02700SPEECH PATHOLOGY 11750,A000000,02800,0000,02800ELECTROCARDIOLOGY 11750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11750,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11750,A000000,03200,0000,03200SUPPORT SURFACES 11750,A000000,03400,0000,03400CLINIC 11750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11750,A000000,03500,0000,03500RURAL HEALTH CLINIC 11750,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11750,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11750,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11750,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11750,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11750,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11750,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11750,A000000,04400,0000,04400DME RENTED - HHA 11750,A000000,04500,0000,04500DME SOLD - HHA 11750,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11750,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11750,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11750,A000000,04800,0000,04800AMBULANCE 11750,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11750,A000000,05000,0000,05000CORF 11750,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11750,A000000,05300,0000,05300INTEREST EXPENSE 11750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11750,A000000,05500,0000,05500HOSPICE 11750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11750,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11750,A000000,06100,0000,06100NONPAID WORKERS 11750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11750,A000000,06200,0000,06200PATIENTS LAUNDRY 11750,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11750,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11750,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11750,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11750,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11750,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11750,B100000,00000,0800,00000MEALS SERVED :DIETARY 11750,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 11750,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11750,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11750,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 11750,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 11750,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 11750,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11750,S000000,00100,0200,06/02/2000 11750,S200000,00100,0100,255 POSSUM PARK ROAD 11750,S200000,00200,0100,NEWARK 11750,S200000,00200,0200,NJ 11750,S200000,00200,0300,19711- 11750,S200000,00300,0100,NEW CASTLE 11750,S200000,00400,0100,MILLCROFT 11750,S200000,00400,0200,085021 11750,S200000,00400,0300,03/17/1991 11750,S200000,00400,0500,P 11750,S200000,01600,0100,Y 11750,S700003,00000,0100,1 11771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11771,A000000,00300,0000,00300EMPLOYEE BENEFITS 11771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11771,A000000,00700,0000,00700HOUSEKEEPING 11771,A000000,00800,0000,00800DIETARY 11771,A000000,00900,0000,00900NURSING ADMINISTRATION 11771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11771,A000000,01100,0000,01100PHARMACY 11771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11771,A000000,01300,0000,01300SOCIAL SERVICE 11771,A000000,01350,0000,01500OTHER GENERAL SERVICES 11771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11771,A000000,01600,0000,01600SKILLED NURSING FACILITY 11771,A000000,01800,0000,01800NURSING FACILITY 11771,A000000,01810,0000,01810ICF/MR 11771,A000000,01900,0000,01900OTHER LONG TERM CARE 11771,A000000,02100,0000,02100RADIOLOGY 11771,A000000,02200,0000,02200LABORATORY 11771,A000000,02300,0000,02300INTRAVENOUS THERAPY 11771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11771,A000000,02500,0000,02500PHYSICAL THERAPY 11771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11771,A000000,02700,0000,02700SPEECH PATHOLOGY 11771,A000000,02800,0000,02800ELECTROCARDIOLOGY 11771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11771,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11771,A000000,03200,0000,03200SUPPORT SURFACES 11771,A000000,03400,0000,03400CLINIC 11771,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11771,A000000,03500,0000,03500RURAL HEALTH CLINIC 11771,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11771,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11771,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11771,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11771,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11771,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11771,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11771,A000000,04400,0000,04400DME RENTED - HHA 11771,A000000,04500,0000,04500DME SOLD - HHA 11771,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11771,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11771,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11771,A000000,04800,0000,04800AMBULANCE 11771,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11771,A000000,05000,0000,05000CORF 11771,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11771,A000000,05300,0000,05300INTEREST EXPENSE 11771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11771,A000000,05500,0000,05500HOSPICE 11771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11771,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11771,A000000,06100,0000,06100NONPAID WORKERS 11771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11771,A000000,06200,0000,06200PATIENTS LAUNDRY 11771,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11771,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 11771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11771,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11771,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11771,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11771,B100000,00000,0800,00000MEALS :DIETARY 11771,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 11771,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 11771,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 11771,S000000,00100,0200,08/28/2000 11771,S200000,00100,0100,2723 SHIPLEY RD 11771,S200000,00200,0100,WILMINGTON 11771,S200000,00200,0200,DE 11771,S200000,00200,0300,19810- 11771,S200000,00300,0100,NEW CASTLE 11771,S200000,00300,0200,9160 11771,S200000,00300,0300,U 11771,S200000,00400,0100,SHIPLEY MANOR 11771,S200000,00400,0200,085031 11771,S200000,00400,0300,05/07/1989 11771,S200000,00400,0500,P 11771,S200000,01600,0100,Y 11779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11779,A000000,00300,0000,00300EMPLOYEE BENEFITS 11779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11779,A000000,00700,0000,00700HOUSEKEEPING 11779,A000000,00800,0000,00800DIETARY 11779,A000000,00900,0000,00900NURSING ADMINISTRATION 11779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11779,A000000,01100,0000,01100PHARMACY 11779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11779,A000000,01300,0000,01300SOCIAL SERVICE 11779,A000000,01350,0000,01500OTHER GENERAL SERVICES 11779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11779,A000000,01600,0000,01600SKILLED NURSING FACILITY 11779,A000000,01800,0000,01800NURSING FACILITY 11779,A000000,01810,0000,01810ICF/MR 11779,A000000,01900,0000,01900OTHER LONG TERM CARE 11779,A000000,02100,0000,02100RADIOLOGY 11779,A000000,02200,0000,02200LABORATORY 11779,A000000,02300,0000,02300INTRAVENOUS THERAPY 11779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11779,A000000,02500,0000,02500PHYSICAL THERAPY 11779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11779,A000000,02700,0000,02700SPEECH PATHOLOGY 11779,A000000,02800,0000,02800ELECTROCARDIOLOGY 11779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11779,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11779,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11779,A000000,03200,0000,03200SUPPORT SURFACES 11779,A000000,03400,0000,03400CLINIC 11779,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11779,A000000,03500,0000,03500RURAL HEALTH CLINIC 11779,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11779,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11779,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11779,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11779,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11779,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11779,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11779,A000000,04400,0000,04400DME RENTED - HHA 11779,A000000,04500,0000,04500DME SOLD - HHA 11779,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11779,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11779,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11779,A000000,04800,0000,04800AMBULANCE 11779,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11779,A000000,05000,0000,05000CORF 11779,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11779,A000000,05300,0000,05300INTEREST EXPENSE 11779,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11779,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11779,A000000,05500,0000,05500HOSPICE 11779,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11779,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11779,A000000,06100,0000,06100NONPAID WORKERS 11779,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11779,A000000,06200,0000,06200PATIENTS LAUNDRY 11779,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 11779,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 11779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11779,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 11779,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11779,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 11779,B100000,00000,0800,00000MEALS SERVED :DIETARY 11779,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 11779,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 11779,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11779,S000000,00100,0200,08/28/2000 11779,S200000,00100,0100,1912 MARSH RD 11779,S200000,00200,0100,WILMINGTON 11779,S200000,00200,0200,DE 11779,S200000,00200,0300,19810- 11779,S200000,00300,0100,NEW CASTLE 11779,S200000,00300,0200,9160 11779,S200000,00300,0300,U 11779,S200000,00400,0100,FORWOOD MANOR 11779,S200000,00400,0200,085036 11779,S200000,00400,0300,04/13/1988 11779,S200000,00400,0500,P 11779,S200000,01600,0100,Y 11788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11788,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11788,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11788,A000000,00300,0000,00300EMPLOYEE BENEFITS 11788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11788,A000000,00700,0000,00700HOUSEKEEPING 11788,A000000,00800,0000,00800DIETARY 11788,A000000,00801,0000,00801CAFETERIA 11788,A000000,00900,0000,00900NURSING ADMINISTRATION 11788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11788,A000000,01100,0000,01100PHARMACY 11788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11788,A000000,01300,0000,01300SOCIAL SERVICE 11788,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11788,A000000,01600,0000,01600SKILLED NURSING FACILITY 11788,A000000,01800,0000,01800NURSING FACILITY 11788,A000000,01900,0000,01900OTHER LONG TERM CARE 11788,A000000,02100,0000,02100RADIOLOGY 11788,A000000,02200,0000,02200LABORATORY 11788,A000000,02300,0000,02300INTRAVENOUS THERAPY 11788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11788,A000000,02500,0000,02500PHYSICAL THERAPY 11788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11788,A000000,02700,0000,02700SPEECH PATHOLOGY 11788,A000000,02800,0000,02800ELECTROCARDIOLOGY 11788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11788,A000000,03050,0000,03300OTHER ANCILLARY 11788,A000000,03051,0000,03301OTHER ANCILLARY II 11788,A000000,03052,0000,03302OTHER ANCILLARY III 11788,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11788,A000000,03200,0000,03200SUPPORT SURFACES 11788,A000000,03400,0000,03400CLINIC 11788,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11788,A000000,03500,0000,03500RURAL HEALTH CLINIC 11788,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11788,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11788,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11788,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11788,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11788,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11788,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11788,A000000,04400,0000,04400DME RENTED - HHA 11788,A000000,04500,0000,04500DME SOLD - HHA 11788,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11788,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11788,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11788,A000000,04800,0000,04800AMBULANCE 11788,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11788,A000000,05000,0000,05000CORF 11788,A000000,05010,0000,05010CMHC I 11788,A000000,05020,0000,05020OPT I 11788,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11788,A000000,05300,0000,05300INTEREST EXPENSE 11788,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11788,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11788,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11788,A000000,05500,0000,05500HOSPICE 11788,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11788,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11788,A000000,06100,0000,06100NONPAID WORKERS 11788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11788,A000000,06200,0000,06200PATIENTS LAUNDRY 11788,A81000A,00100,0100,Y 11788,A81000B,00100,0300,MANAGEMENT FEE 11788,A81000B,00200,0300,PAYROLL PROCESSING 11788,A81000B,00300,0300,PHYSICAL THERAPY 11788,A81000B,00400,0300,OCCUPATION THERAPY 11788,A81000B,00500,0300,SPEECH THERAPY 11788,A81000B,00600,0300,DIETARY 11788,A81000B,00700,0300,CENTRAL SUPPLY 11788,A81000B,00800,0300,MEDICAL SUPPLIES 11788,A81000B,00900,0300,HSKP SUPPLIES 11788,A81000C,00100,0100,G 11788,A81000C,00100,0200,CENT HC CORP 11788,A81000C,00100,0400,CENT HC CORP 11788,A81000C,00100,0600,HOME OFFICE 11788,A81000C,00200,0100,G 11788,A81000C,00200,0200,CENT HC CORP 11788,A81000C,00200,0400,CENT HC CORP 11788,A81000C,00200,0600,HOME OFFICE 11788,A81000C,00300,0100,G 11788,A81000C,00300,0200,PARAGON 11788,A81000C,00300,0400,CENT HC CORP 11788,A81000C,00300,0600,THERAPY 11788,A81000C,00400,0100,G 11788,A81000C,00400,0200,PARAGON 11788,A81000C,00400,0400,CENT HC CORP 11788,A81000C,00400,0600,THERAPY 11788,A81000C,00500,0100,G 11788,A81000C,00500,0200,PARAGON 11788,A81000C,00500,0400,CENT HC CORP 11788,A81000C,00500,0600,THERAPY 11788,A81000C,00600,0100,G 11788,A81000C,00600,0200,CENTENNIAL PTS 11788,A81000C,00600,0400,CENT HC CORP 11788,A81000C,00600,0600,SUPPLIES 11788,A81000C,00700,0100,G 11788,A81000C,00700,0200,CENTENNIAL PTS 11788,A81000C,00700,0400,CENT HC CORP 11788,A81000C,00700,0600,MED SUPPLIES 11788,A81000C,00800,0100,G 11788,A81000C,00800,0200,CENTENNIAL PTS 11788,A81000C,00800,0400,CENT HC CORP 11788,A81000C,00800,0600,MED SUPPLIES 11788,A81000C,00900,0100,G 11788,A81000C,00900,0200,CENTENNIAL PTS 11788,A81000C,00900,0400,CENT HC CORP 11788,A81000C,00900,0600,SUPPLIES 11788,A81000C,03100,0000,SUPPLIES 11788,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11788,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11788,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11788,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11788,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11788,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11788,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11788,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11788,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11788,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11788,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11788,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11788,S000000,00100,0200,06/01/2000 11788,S200000,00100,0100,5000 NANNIE HELEN BURROUGHS AVE NE 11788,S200000,00200,0100,WASHINGTON 11788,S200000,00200,0200,DC 11788,S200000,00200,0300,20019- 11788,S200000,00300,0100,ROSALIND WRIGHT 11788,S200000,00300,0200,8840 11788,S200000,00300,0300,U 11788,S200000,00400,0100,GRANT PARK CARE CENTER 11788,S200000,00400,0200,095019 11788,S200000,00400,0300,05/24/1994 11788,S200000,00400,0500,P 11788,S200000,01500,0100,Y 11788,S200000,02200,0100,Y 11797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11797,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11797,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11797,A000000,00300,0000,00300EMPLOYEE BENEFITS 11797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11797,A000000,00700,0000,00700HOUSEKEEPING 11797,A000000,00800,0000,00800DIETARY 11797,A000000,00801,0000,00801CAFETERIA 11797,A000000,00900,0000,00900NURSING ADMINISTRATION 11797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11797,A000000,01100,0000,01100PHARMACY 11797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11797,A000000,01300,0000,01300SOCIAL SERVICE 11797,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11797,A000000,01600,0000,01600SKILLED NURSING FACILITY 11797,A000000,01800,0000,01800NURSING FACILITY 11797,A000000,01900,0000,01900OTHER LONG TERM CARE 11797,A000000,02100,0000,02100RADIOLOGY 11797,A000000,02200,0000,02200LABORATORY 11797,A000000,02300,0000,02300INTRAVENOUS THERAPY 11797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11797,A000000,02500,0000,02500PHYSICAL THERAPY 11797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11797,A000000,02700,0000,02700SPEECH PATHOLOGY 11797,A000000,02800,0000,02800ELECTROCARDIOLOGY 11797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11797,A000000,03050,0000,03300OTHER ANCILLARY 11797,A000000,03051,0000,03301OTHER ANCILLARY II 11797,A000000,03052,0000,03302OTHER ANCILLARY III 11797,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11797,A000000,03200,0000,03200SUPPORT SURFACES 11797,A000000,03400,0000,03400CLINIC 11797,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11797,A000000,03500,0000,03500RURAL HEALTH CLINIC 11797,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11797,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11797,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11797,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11797,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11797,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11797,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11797,A000000,04400,0000,04400DME RENTED - HHA 11797,A000000,04500,0000,04500DME SOLD - HHA 11797,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11797,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11797,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11797,A000000,04800,0000,04800AMBULANCE 11797,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11797,A000000,05000,0000,05000CORF 11797,A000000,05010,0000,05010CMHC I 11797,A000000,05020,0000,05020OPT I 11797,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11797,A000000,05300,0000,05300INTEREST EXPENSE 11797,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11797,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11797,A000000,05500,0000,05500HOSPICE 11797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11797,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11797,A000000,06100,0000,06100NONPAID WORKERS 11797,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11797,A000000,06200,0000,06200PATIENTS LAUNDRY 11797,A81000A,00100,0100,Y 11797,A81000B,00100,0300,MANAGEMENT FEE 11797,A81000B,00200,0300,PAYROLL PROCESSING 11797,A81000B,00300,0300,PHYSICAL THERAPY 11797,A81000B,00400,0300,OCCUPATION THERAPY 11797,A81000B,00500,0300,SPEECH THERAPY 11797,A81000B,00600,0300,DIETARY 11797,A81000B,00700,0300,CENTRAL SUPPLY 11797,A81000B,00800,0300,MEDICAL SUPPLIES 11797,A81000B,00900,0300,MED EQUIP RENTAL 11797,A81000C,00100,0100,G 11797,A81000C,00100,0200,CENT HC CORP 11797,A81000C,00100,0400,CENT HC CORP 11797,A81000C,00100,0600,HOME OFFICE 11797,A81000C,00200,0100,G 11797,A81000C,00200,0200,CENT HC CORP 11797,A81000C,00200,0400,CENT HC CORP 11797,A81000C,00200,0600,HOME OFFICE 11797,A81000C,00300,0100,G 11797,A81000C,00300,0200,PARAGON 11797,A81000C,00300,0400,CENT HC CORP 11797,A81000C,00300,0600,THERAPY 11797,A81000C,00400,0100,G 11797,A81000C,00400,0200,PARAGON 11797,A81000C,00400,0400,CENT HC CORP 11797,A81000C,00400,0600,THERAPY 11797,A81000C,00500,0100,G 11797,A81000C,00500,0200,PARAGON 11797,A81000C,00500,0400,CENT HC CORP 11797,A81000C,00500,0600,THERAPY 11797,A81000C,00600,0100,G 11797,A81000C,00600,0200,CENTENNIAL PTS 11797,A81000C,00600,0400,CENT HC CORP 11797,A81000C,00600,0600,SUPPLIES 11797,A81000C,00700,0100,G 11797,A81000C,00700,0200,CENTENNIAL PTS 11797,A81000C,00700,0400,CENT HC CORP 11797,A81000C,00700,0600,MED SUPPLIES 11797,A81000C,00800,0100,G 11797,A81000C,00800,0200,CENTENNIAL PTS 11797,A81000C,00800,0400,CENT HC CORP 11797,A81000C,00800,0600,MED SUPPLIES 11797,A81000C,00900,0100,G 11797,A81000C,00900,0200,CENTENNIAL PTS 11797,A81000C,00900,0400,CENT HC CORP 11797,A81000C,00900,0600,SUPPLIES 11797,A81000C,03100,0000,EQUIPMENT 11797,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11797,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11797,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11797,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11797,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11797,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11797,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11797,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11797,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11797,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11797,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11797,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11797,S000000,00100,0200,06/21/2000 11797,S200000,00100,0100,1820 SHORE DRIVE SOUTH 11797,S200000,00200,0100,ST. PETERSBURG 11797,S200000,00200,0200,FL 11797,S200000,00200,0300,33707- 11797,S200000,00300,0100,PINELLAS 11797,S200000,00300,0200,8280 11797,S200000,00300,0300,U 11797,S200000,00400,0100,DOLPHINS VIEW HEALTH & REHAB 11797,S200000,00400,0200,105012 11797,S200000,00400,0300,01/01/1990 11797,S200000,00400,0500,P 11797,S200000,01500,0100,Y 11797,S200000,02200,0100,Y 11800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11800,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11800,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11800,A000000,00300,0000,00300EMPLOYEE BENEFITS 11800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11800,A000000,00700,0000,00700HOUSEKEEPING 11800,A000000,00800,0000,00800DIETARY 11800,A000000,00801,0000,00801CAFETERIA 11800,A000000,00900,0000,00900NURSING ADMINISTRATION 11800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11800,A000000,01100,0000,01100PHARMACY 11800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11800,A000000,01300,0000,01300SOCIAL SERVICE 11800,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11800,A000000,01600,0000,01600SKILLED NURSING FACILITY 11800,A000000,01800,0000,01800NURSING FACILITY 11800,A000000,01900,0000,01900OTHER LONG TERM CARE 11800,A000000,02100,0000,02100RADIOLOGY 11800,A000000,02200,0000,02200LABORATORY 11800,A000000,02300,0000,02300INTRAVENOUS THERAPY 11800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11800,A000000,02500,0000,02500PHYSICAL THERAPY 11800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11800,A000000,02700,0000,02700SPEECH PATHOLOGY 11800,A000000,02800,0000,02800ELECTROCARDIOLOGY 11800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11800,A000000,03050,0000,03300OTHER ANCILLARY 11800,A000000,03051,0000,03301OTHER ANCILLARY II 11800,A000000,03052,0000,03302OTHER ANCILLARY III 11800,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11800,A000000,03200,0000,03200SUPPORT SURFACES 11800,A000000,03400,0000,03400CLINIC 11800,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11800,A000000,03500,0000,03500RURAL HEALTH CLINIC 11800,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11800,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11800,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11800,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11800,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11800,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11800,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11800,A000000,04400,0000,04400DME RENTED - HHA 11800,A000000,04500,0000,04500DME SOLD - HHA 11800,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11800,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11800,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11800,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11800,A000000,05000,0000,05000CORF 11800,A000000,05010,0000,05010CMHC I 11800,A000000,05020,0000,05020OPT I 11800,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11800,A000000,05300,0000,05300INTEREST EXPENSE 11800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11800,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11800,A000000,05500,0000,05500HOSPICE 11800,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11800,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11800,A000000,06100,0000,06100NONPAID WORKERS 11800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11800,A000000,06200,0000,06200PATIENTS LAUNDRY 11800,A81000A,00100,0100,Y 11800,A81000B,00100,0300,ADM SUPPLIES 11800,A81000B,00200,0300,PAYROLL PROCESSING FEE 11800,A81000B,00300,0300,MGMT FEE 11800,A81000B,00400,0300,DIETARY SUPP 11800,A81000B,00500,0300,FOOD 11800,A81000B,00600,0300,SUPPLEMENTS 11800,A81000B,00700,0300,DISHES 11800,A81000B,00800,0300,FREIGHT CHARGE 11800,A81000C,00100,0100,G 11800,A81000C,00100,0200,CENTENNIAL PTS 11800,A81000C,00100,0400,CENTENNIAL 11800,A81000C,00100,0600,SUPPLIES 11800,A81000C,00200,0100,G 11800,A81000C,00200,0200,CENTENNIAL 11800,A81000C,00200,0400,CENTENNIAL 11800,A81000C,00200,0600,HOME OFFICE 11800,A81000C,00300,0100,G 11800,A81000C,00300,0200,CENTENNIAL 11800,A81000C,00300,0400,CENTENNIAL 11800,A81000C,00300,0600,HOME OFFICE 11800,A81000C,00400,0100,G 11800,A81000C,00400,0200,CENTENNIAL PTS 11800,A81000C,00400,0400,CENTENNIAL 11800,A81000C,00400,0600,SUPPLIES 11800,A81000C,00500,0100,G 11800,A81000C,00500,0200,CENTENNIAL PTS 11800,A81000C,00500,0400,CENTENNIAL 11800,A81000C,00500,0600,SUPPLIES 11800,A81000C,00600,0100,G 11800,A81000C,00600,0200,CENTENNIALPTS 11800,A81000C,00600,0400,CENTENNIAL 11800,A81000C,00600,0600,SUPPLIES 11800,A81000C,00700,0100,G 11800,A81000C,00700,0200,CENTENNIAL PTS 11800,A81000C,00700,0400,CENTENNIAL 11800,A81000C,00700,0600,SUPPLIES 11800,A81000C,00800,0100,G 11800,A81000C,00800,0200,CENTENNIAL 11800,A81000C,00800,0400,CENTENNIAL 11800,A81000C,00800,0600,SUPPLIES 11800,A81000C,03100,0000,FREIGHT 11800,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11800,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11800,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11800,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11800,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11800,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11800,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11800,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11800,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11800,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11800,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11800,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11800,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11800,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11800,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11800,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11800,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11800,S000000,00100,0200,07/01/1999 11800,S200000,00100,0100,2400 SOUTH FIRST STREET 11800,S200000,00200,0100,LAKE CITY 11800,S200000,00200,0200,FL 11800,S200000,00300,0100,COLUMBIA 11800,S200000,00400,0100,AVALON HEALTH & REHAB. 11800,S200000,00400,0200,105346 11800,S200000,00400,0300,07/01/1979 11800,S200000,00400,0500,P 11800,S200000,01600,0100,Y 11800,S200000,02200,0100,Y 11800,S200000,02800,0100,Y 11800,S700003,00000,0100,1 11802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11802,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11802,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11802,A000000,00300,0000,00300EMPLOYEE BENEFITS 11802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11802,A000000,00700,0000,00700HOUSEKEEPING 11802,A000000,00800,0000,00800DIETARY 11802,A000000,00801,0000,00801CAFETERIA 11802,A000000,00900,0000,00900NURSING ADMINISTRATION 11802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11802,A000000,01100,0000,01100PHARMACY 11802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11802,A000000,01300,0000,01300SOCIAL SERVICE 11802,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11802,A000000,01600,0000,01600SKILLED NURSING FACILITY 11802,A000000,01800,0000,01800NURSING FACILITY 11802,A000000,01900,0000,01900OTHER LONG TERM CARE 11802,A000000,02100,0000,02100RADIOLOGY 11802,A000000,02200,0000,02200LABORATORY 11802,A000000,02300,0000,02300INTRAVENOUS THERAPY 11802,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11802,A000000,02500,0000,02500PHYSICAL THERAPY 11802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11802,A000000,02700,0000,02700SPEECH PATHOLOGY 11802,A000000,02800,0000,02800ELECTROCARDIOLOGY 11802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11802,A000000,03050,0000,03300OTHER ANCILLARY 11802,A000000,03051,0000,03301OTHER ANCILLARY II 11802,A000000,03052,0000,03302OTHER ANCILLARY III 11802,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11802,A000000,03200,0000,03200SUPPORT SURFACES 11802,A000000,03400,0000,03400CLINIC 11802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11802,A000000,03500,0000,03500RURAL HEALTH CLINIC 11802,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11802,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11802,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11802,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11802,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11802,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11802,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11802,A000000,04400,0000,04400DME RENTED - HHA 11802,A000000,04500,0000,04500DME SOLD - HHA 11802,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11802,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11802,A000000,04800,0000,04800AMBULANCE 11802,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11802,A000000,05000,0000,05000CORF 11802,A000000,05010,0000,05010CMHC I 11802,A000000,05020,0000,05020OPT I 11802,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11802,A000000,05300,0000,05300INTEREST EXPENSE 11802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11802,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11802,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11802,A000000,05500,0000,05500HOSPICE 11802,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11802,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11802,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11802,A000000,06100,0000,06100NONPAID WORKERS 11802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11802,A000000,06200,0000,06200PATIENTS LAUNDRY 11802,A81000A,00100,0100,Y 11802,A81000B,00100,0300,MANAGEMENT FEE 11802,A81000B,00200,0300,CAPITAL 11802,A81000B,00300,0300,PAYROLL PROCESSING 11802,A81000B,00400,0300,PHYSICAL THERAPY 11802,A81000B,00500,0300,OCCUPATION THERAPY 11802,A81000B,00600,0300,SPEECH THERAPY 11802,A81000B,00700,0300,DIETARY 11802,A81000B,00800,0300,CENTRAL SERVICES 11802,A81000B,00900,0300,MED SUPPLIES 11802,A81000C,00100,0100,G 11802,A81000C,00100,0200,CENT HC CORP 11802,A81000C,00100,0400,CENT HC CORP 11802,A81000C,00100,0600,HOME OFFICE 11802,A81000C,00200,0100,G 11802,A81000C,00200,0200,CENT HC CORP 11802,A81000C,00200,0400,CENT HC CORP 11802,A81000C,00200,0600,HOME OFFICE 11802,A81000C,00300,0100,G 11802,A81000C,00300,0200,CENT HC CORP 11802,A81000C,00300,0400,CENT HC CORP 11802,A81000C,00300,0600,HOME OFFICE 11802,A81000C,00400,0100,G 11802,A81000C,00400,0200,PARAGON 11802,A81000C,00400,0400,CENT HC CORP 11802,A81000C,00400,0600,THERAPY 11802,A81000C,00500,0100,G 11802,A81000C,00500,0200,PARAGON 11802,A81000C,00500,0400,CENT HC CORP 11802,A81000C,00500,0600,THERAPY 11802,A81000C,00600,0100,G 11802,A81000C,00600,0200,PARAGON 11802,A81000C,00600,0400,CENT HC CORP 11802,A81000C,00600,0600,THERAPY 11802,A81000C,00700,0100,G 11802,A81000C,00700,0200,CENTENNIAL PTS 11802,A81000C,00700,0400,CENT HC CORP 11802,A81000C,00700,0600,SUPPLIES 11802,A81000C,00800,0100,G 11802,A81000C,00800,0200,CENTENNIAL PTS 11802,A81000C,00800,0400,CENT HC CORP 11802,A81000C,00800,0600,MED SUPPLIES 11802,A81000C,00900,0100,G 11802,A81000C,00900,0200,CENTENNIAL PTS 11802,A81000C,00900,0400,CENT HC CORP 11802,A81000C,00900,0600,MED SUPPLIES 11802,A81000C,03100,0000,SUPPLIES 11802,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11802,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11802,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11802,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11802,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11802,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11802,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11802,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11802,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11802,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11802,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11802,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11802,S000000,00100,0200,06/01/2000 11802,S200000,00100,0100,2400 SOUTH FIRST STREET 11802,S200000,00200,0100,LAKE CITY 11802,S200000,00200,0200,FL 11802,S200000,00200,0300,32025- 11802,S200000,00300,0100,COLUMBIA 11802,S200000,00300,0200,10 11802,S200000,00300,0300,R 11802,S200000,00400,0100,AVALON HEALTH & REHAB 11802,S200000,00400,0200,105346 11802,S200000,00400,0300,07/01/1979 11802,S200000,00400,0500,P 11802,S200000,01500,0100,Y 11802,S200000,02200,0100,Y 11817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11817,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11817,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11817,A000000,00300,0000,00300EMPLOYEE BENEFITS 11817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11817,A000000,00700,0000,00700HOUSEKEEPING 11817,A000000,00800,0000,00800DIETARY 11817,A000000,00801,0000,00801CAFETERIA 11817,A000000,00900,0000,00900NURSING ADMINISTRATION 11817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11817,A000000,01100,0000,01100PHARMACY 11817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11817,A000000,01300,0000,01300SOCIAL SERVICE 11817,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11817,A000000,01600,0000,01600SKILLED NURSING FACILITY 11817,A000000,01800,0000,01800NURSING FACILITY 11817,A000000,01900,0000,01900OTHER LONG TERM CARE 11817,A000000,02100,0000,02100RADIOLOGY 11817,A000000,02200,0000,02200LABORATORY 11817,A000000,02300,0000,02300INTRAVENOUS THERAPY 11817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11817,A000000,02500,0000,02500PHYSICAL THERAPY 11817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11817,A000000,02700,0000,02700SPEECH PATHOLOGY 11817,A000000,02800,0000,02800ELECTROCARDIOLOGY 11817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11817,A000000,03050,0000,03300OTHER ANCILLARY 11817,A000000,03051,0000,03301OTHER ANCILLARY II 11817,A000000,03052,0000,03302OTHER ANCILLARY III 11817,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11817,A000000,03200,0000,03200SUPPORT SURFACES 11817,A000000,03400,0000,03400CLINIC 11817,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11817,A000000,03500,0000,03500RURAL HEALTH CLINIC 11817,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11817,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11817,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11817,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11817,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11817,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11817,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11817,A000000,04400,0000,04400DME RENTED - HHA 11817,A000000,04500,0000,04500DME SOLD - HHA 11817,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11817,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11817,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11817,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11817,A000000,05000,0000,05000CORF 11817,A000000,05010,0000,05010CMHC I 11817,A000000,05020,0000,05020OPT I 11817,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11817,A000000,05300,0000,05300INTEREST EXPENSE 11817,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11817,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11817,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11817,A000000,05500,0000,05500HOSPICE 11817,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11817,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11817,A000000,06100,0000,06100NONPAID WORKERS 11817,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11817,A000000,06200,0000,06200PATIENTS LAUNDRY 11817,A81000A,00100,0100,Y 11817,A81000B,00100,0300,MANAGEMENT FEE 11817,A81000B,00200,0300,PAYROLL PROCESSING 11817,A81000B,00300,0300,MINOR EQUIPMENT 11817,A81000B,00400,0300,DISHES 11817,A81000B,00500,0300,SUPPLEMENTS 11817,A81000B,00600,0300,FOOD 11817,A81000B,00700,0300,DIETARY SUPPLIES 11817,A81000C,00100,0100,G 11817,A81000C,00100,0200,CENTENNIAL 11817,A81000C,00100,0400,CENTENNIAL HEAL 11817,A81000C,00100,0600,HOME OFFICE 11817,A81000C,00200,0100,G 11817,A81000C,00200,0200,CENTENNIAL 11817,A81000C,00200,0400,CENTENNIAL HEAL 11817,A81000C,00200,0600,HOME OFFICE 11817,A81000C,00300,0100,G 11817,A81000C,00300,0200,CENTENNIAL PTS 11817,A81000C,00300,0400,CENTENNIAL PTS 11817,A81000C,00300,0600,SUPPLIES 11817,A81000C,00400,0100,G 11817,A81000C,00400,0200,CENTENNIAL PTS 11817,A81000C,00400,0400,CENTENNIAL PTS 11817,A81000C,00400,0600,SUPPLIES 11817,A81000C,00500,0100,G 11817,A81000C,00500,0200,CENTENNIAL PTS 11817,A81000C,00500,0400,CENTENNIAL PTS 11817,A81000C,00500,0600,SUPPLIES 11817,A81000C,00600,0100,G 11817,A81000C,00600,0200,CENTENNIAL PTS 11817,A81000C,00600,0400,CENTENNIAL PTS 11817,A81000C,00600,0600,SUPPLIES 11817,A81000C,00700,0100,G 11817,A81000C,00700,0200,CENTENNIAL PTS 11817,A81000C,00700,0400,CENTENNIAL PTS 11817,A81000C,00700,0600,SUPPLIES 11817,A81000C,03100,0000,DIETARY 11817,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11817,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11817,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11817,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11817,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11817,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11817,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11817,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11817,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11817,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11817,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11817,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11817,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11817,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11817,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11817,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11817,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11817,S000000,00100,0200,07/02/1999 11817,S200000,00100,0100,1730 LUCERNE TERRACE 11817,S200000,00200,0100,ORLANDO 11817,S200000,00200,0200,FL 11817,S200000,00300,0100,ORANGE 11817,S200000,00400,0100,TERRA VISTA REHAB & HLTH CTR. 11817,S200000,00400,0200,105546 11817,S200000,00400,0300,08/19/1986 11817,S200000,00400,0500,P 11817,S200000,01600,0100,Y 11817,S200000,02200,0100,Y 11817,S200000,04200,0100,Y 11817,S700003,00000,0200,2 11820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11820,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11820,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11820,A000000,00300,0000,00300EMPLOYEE BENEFITS 11820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11820,A000000,00700,0000,00700HOUSEKEEPING 11820,A000000,00800,0000,00800DIETARY 11820,A000000,00801,0000,00801CAFETERIA 11820,A000000,00900,0000,00900NURSING ADMINISTRATION 11820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11820,A000000,01100,0000,01100PHARMACY 11820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11820,A000000,01300,0000,01300SOCIAL SERVICE 11820,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11820,A000000,01600,0000,01600SKILLED NURSING FACILITY 11820,A000000,01800,0000,01800NURSING FACILITY 11820,A000000,01900,0000,01900OTHER LONG TERM CARE 11820,A000000,02100,0000,02100RADIOLOGY 11820,A000000,02200,0000,02200LABORATORY 11820,A000000,02300,0000,02300INTRAVENOUS THERAPY 11820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11820,A000000,02500,0000,02500PHYSICAL THERAPY 11820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11820,A000000,02700,0000,02700SPEECH PATHOLOGY 11820,A000000,02800,0000,02800ELECTROCARDIOLOGY 11820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11820,A000000,03050,0000,03300OTHER ANCILLARY 11820,A000000,03051,0000,03301OTHER ANCILLARY II 11820,A000000,03052,0000,03302OTHER ANCILLARY III 11820,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11820,A000000,03200,0000,03200SUPPORT SURFACES 11820,A000000,03400,0000,03400CLINIC 11820,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11820,A000000,03500,0000,03500RURAL HEALTH CLINIC 11820,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11820,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11820,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11820,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11820,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11820,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11820,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11820,A000000,04400,0000,04400DME RENTED - HHA 11820,A000000,04500,0000,04500DME SOLD - HHA 11820,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11820,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11820,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11820,A000000,04800,0000,04800AMBULANCE 11820,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11820,A000000,05000,0000,05000CORF 11820,A000000,05010,0000,05010CMHC I 11820,A000000,05020,0000,05020OPT I 11820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11820,A000000,05300,0000,05300INTEREST EXPENSE 11820,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11820,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11820,A000000,05500,0000,05500HOSPICE 11820,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11820,A000000,06100,0000,06100NONPAID WORKERS 11820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11820,A000000,06200,0000,06200PATIENTS LAUNDRY 11820,A81000A,00100,0100,Y 11820,A81000B,00100,0300,MANAGEMENT FEE 11820,A81000B,00300,0300,PAYROLL PROCESSING 11820,A81000B,00400,0300,PHYSICAL THERAPY 11820,A81000B,00500,0300,OCCUPATION THERAPY 11820,A81000B,00600,0300,SPEECH THERAPY 11820,A81000B,00700,0300,DIETARY 11820,A81000B,00800,0300,CENTRAL SUPPLY 11820,A81000B,00900,0300,MED SUPPLIES 11820,A81000C,00100,0100,G 11820,A81000C,00100,0200,CENT HC CORP 11820,A81000C,00100,0400,CENT HC CORP 11820,A81000C,00100,0600,HOME OFFICE 11820,A81000C,00300,0100,G 11820,A81000C,00300,0200,CENT HC CORP 11820,A81000C,00300,0400,CENT HC CORP 11820,A81000C,00300,0600,HOME OFFICE 11820,A81000C,00400,0100,G 11820,A81000C,00400,0200,PARAGON 11820,A81000C,00400,0400,CENT HC CORP 11820,A81000C,00400,0600,THERAPY 11820,A81000C,00500,0100,G 11820,A81000C,00500,0200,PARAGON 11820,A81000C,00500,0400,CENT HC CORP 11820,A81000C,00500,0600,THERAPY 11820,A81000C,00600,0100,G 11820,A81000C,00600,0200,PARAGON 11820,A81000C,00600,0400,CENT HC CORP 11820,A81000C,00600,0600,THERAPY 11820,A81000C,00700,0100,G 11820,A81000C,00700,0200,CENTENNIAL PTS 11820,A81000C,00700,0400,CENT HC CORP 11820,A81000C,00700,0600,SUPPLIES 11820,A81000C,00800,0100,G 11820,A81000C,00800,0200,CENTENNIAL PTS 11820,A81000C,00800,0400,CENT HC CORP 11820,A81000C,00800,0600,MED SUPPLIES 11820,A81000C,00900,0100,G 11820,A81000C,00900,0200,CENTENNIAL PTS 11820,A81000C,00900,0400,CENT HC CORP 11820,A81000C,00900,0600,MED SUPPLIES 11820,A81000C,03100,0000,SUPPLIES 11820,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11820,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11820,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11820,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11820,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11820,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11820,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11820,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11820,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11820,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11820,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11820,S000000,00100,0200,06/01/2000 11820,S200000,00100,0100,1730 LUCERNE TERRACE 11820,S200000,00200,0100,ORLANDA 11820,S200000,00200,0200,FL 11820,S200000,00200,0300,32806- 11820,S200000,00300,0100,ORANGE 11820,S200000,00300,0200,5960 11820,S200000,00300,0300,U 11820,S200000,00400,0100,TERRA VISTA REHAB 11820,S200000,00400,0200,105546 11820,S200000,00400,0300,08/19/1986 11820,S200000,00400,0500,P 11820,S200000,01500,0100,Y 11820,S200000,02200,0100,Y 11820,S200000,02800,0100,Y 11820,S200000,04200,0100,Y 11823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11823,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11823,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11823,A000000,00300,0000,00300EMPLOYEE BENEFITS 11823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11823,A000000,00700,0000,00700HOUSEKEEPING 11823,A000000,00800,0000,00800DIETARY 11823,A000000,00801,0000,00801CAFETERIA 11823,A000000,00900,0000,00900NURSING ADMINISTRATION 11823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11823,A000000,01100,0000,01100PHARMACY 11823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11823,A000000,01300,0000,01300SOCIAL SERVICE 11823,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11823,A000000,01600,0000,01600SKILLED NURSING FACILITY 11823,A000000,01800,0000,01800NURSING FACILITY 11823,A000000,01900,0000,01900OTHER LONG TERM CARE 11823,A000000,02100,0000,02100RADIOLOGY 11823,A000000,02200,0000,02200LABORATORY 11823,A000000,02300,0000,02300INTRAVENOUS THERAPY 11823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11823,A000000,02500,0000,02500PHYSICAL THERAPY 11823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11823,A000000,02700,0000,02700SPEECH PATHOLOGY 11823,A000000,02800,0000,02800ELECTROCARDIOLOGY 11823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11823,A000000,03050,0000,03300OTHER ANCILLARY 11823,A000000,03051,0000,03301OTHER ANCILLARY II 11823,A000000,03052,0000,03302OTHER ANCILLARY III 11823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11823,A000000,03200,0000,03200SUPPORT SURFACES 11823,A000000,03400,0000,03400CLINIC 11823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11823,A000000,03500,0000,03500RURAL HEALTH CLINIC 11823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11823,A000000,04400,0000,04400DME RENTED - HHA 11823,A000000,04500,0000,04500DME SOLD - HHA 11823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11823,A000000,05000,0000,05000CORF 11823,A000000,05010,0000,05010CMHC I 11823,A000000,05020,0000,05020OPT I 11823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11823,A000000,05300,0000,05300INTEREST EXPENSE 11823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11823,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11823,A000000,05500,0000,05500HOSPICE 11823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11823,A000000,06100,0000,06100NONPAID WORKERS 11823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11823,A000000,06200,0000,06200PATIENTS LAUNDRY 11823,A81000A,00100,0100,Y 11823,A81000B,00100,0300,MANAGEMENT FEE 11823,A81000B,00200,0300,PAYROLL PROCESS 11823,A81000B,00300,0300,HOUSEKEEPING SUPP 11823,A81000B,00400,0300,DISHES 11823,A81000B,00500,0300,SUPPLEMENTS 11823,A81000B,00600,0300,FOOD 11823,A81000B,00700,0300,DIETARY SUPP 11823,A81000C,00100,0100,G 11823,A81000C,00100,0200,CENTENNIAL 11823,A81000C,00100,0400,CENTENNIAL HEAL 11823,A81000C,00100,0600,HOME OFFICE 11823,A81000C,00200,0100,G 11823,A81000C,00200,0200,CENTENNIAL 11823,A81000C,00200,0400,CENTENNIAL HEAL 11823,A81000C,00200,0600,HOME OFFICE 11823,A81000C,00300,0100,G 11823,A81000C,00300,0200,CENTENNIAL PTS 11823,A81000C,00300,0400,CENTENNIAL 11823,A81000C,00300,0600,SUPPLIES 11823,A81000C,00400,0100,G 11823,A81000C,00400,0200,CENTENNIAL PTS 11823,A81000C,00400,0400,CENTENNIAL 11823,A81000C,00400,0600,SUPPLIES 11823,A81000C,00500,0100,G 11823,A81000C,00500,0200,CENTENNIAL PTS 11823,A81000C,00500,0400,CENTENNIAL 11823,A81000C,00500,0600,SUPSUPPLIES 11823,A81000C,00600,0100,G 11823,A81000C,00600,0200,CENTENNIAL PTS 11823,A81000C,00600,0400,CENTENNIAL 11823,A81000C,00600,0600,SUPPLIES 11823,A81000C,00700,0100,G 11823,A81000C,00700,0200,CENTENNIAL PTS 11823,A81000C,00700,0400,CENTENNIAL 11823,A81000C,00700,0600,SUPPLIES 11823,A81000C,03100,0000,DIET SUPP 11823,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11823,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 11823,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11823,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 11823,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11823,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11823,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11823,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11823,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11823,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 11823,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11823,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11823,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 11823,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11823,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11823,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 11823,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 11823,S000000,00100,0200,07/01/1999 11823,S200000,00100,0100,1655 S.E. WALTON ROAD 11823,S200000,00200,0100,PORT ST. LUCIE 11823,S200000,00200,0200,FL 11823,S200000,00200,0300,34952- 11823,S200000,00300,0100,SAINT LUCIE COUNTY 11823,S200000,00400,0100,EMERALD HEALTH CARE 11823,S200000,00400,0200,105579 11823,S200000,00400,0300,11/01/1987 11823,S200000,00400,0500,P 11823,S200000,01600,0100,Y 11823,S200000,02200,0100,Y 11823,S200000,02800,0100,Y 11823,S200000,04100,0100,Y 11823,S200000,04200,0100,Y 11823,S700003,00000,0100,1 11825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11825,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11825,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11825,A000000,00300,0000,00300EMPLOYEE BENEFITS 11825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11825,A000000,00700,0000,00700HOUSEKEEPING 11825,A000000,00800,0000,00800DIETARY 11825,A000000,00801,0000,00801CAFETERIA 11825,A000000,00900,0000,00900NURSING ADMINISTRATION 11825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11825,A000000,01100,0000,01100PHARMACY 11825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11825,A000000,01300,0000,01300SOCIAL SERVICE 11825,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11825,A000000,01600,0000,01600SKILLED NURSING FACILITY 11825,A000000,01800,0000,01800NURSING FACILITY 11825,A000000,01900,0000,01900OTHER LONG TERM CARE 11825,A000000,02100,0000,02100RADIOLOGY 11825,A000000,02200,0000,02200LABORATORY 11825,A000000,02300,0000,02300INTRAVENOUS THERAPY 11825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11825,A000000,02500,0000,02500PHYSICAL THERAPY 11825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11825,A000000,02700,0000,02700SPEECH PATHOLOGY 11825,A000000,02800,0000,02800ELECTROCARDIOLOGY 11825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11825,A000000,03050,0000,03300OTHER ANCILLARY 11825,A000000,03051,0000,03301OTHER ANCILLARY II 11825,A000000,03052,0000,03302OTHER ANCILLARY III 11825,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11825,A000000,03200,0000,03200SUPPORT SURFACES 11825,A000000,03400,0000,03400CLINIC 11825,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11825,A000000,03500,0000,03500RURAL HEALTH CLINIC 11825,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11825,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11825,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11825,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11825,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11825,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11825,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11825,A000000,04400,0000,04400DME RENTED - HHA 11825,A000000,04500,0000,04500DME SOLD - HHA 11825,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11825,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11825,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11825,A000000,04800,0000,04800AMBULANCE 11825,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11825,A000000,05000,0000,05000CORF 11825,A000000,05010,0000,05010CMHC I 11825,A000000,05020,0000,05020OPT I 11825,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11825,A000000,05300,0000,05300INTEREST EXPENSE 11825,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11825,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11825,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11825,A000000,05500,0000,05500HOSPICE 11825,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11825,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11825,A000000,06100,0000,06100NONPAID WORKERS 11825,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11825,A000000,06200,0000,06200PATIENTS LAUNDRY 11825,A81000A,00100,0100,Y 11825,A81000B,00100,0300,MANAGEMENT FEE 11825,A81000B,00200,0300,PAYROLL PROCESSING 11825,A81000B,00300,0300,PHYSICAL THERAPY 11825,A81000B,00400,0300,OCCUPATION THERAPY 11825,A81000B,00500,0300,SPEECH THERAPY 11825,A81000B,00600,0300,DIETARY 11825,A81000B,00700,0300,CENTRAL SUPPLY 11825,A81000B,00800,0300,MINOR EQUIPMENT 11825,A81000B,00900,0300,MEDICAL SUPPLIES 11825,A81000C,00100,0100,G 11825,A81000C,00100,0200,CENT HC CORP 11825,A81000C,00100,0400,CENT HC CORP 11825,A81000C,00100,0600,HOME OFFICE 11825,A81000C,00200,0100,G 11825,A81000C,00200,0200,CENT HC CORP 11825,A81000C,00200,0400,CENT HC CORP 11825,A81000C,00200,0600,HOME OFFICE 11825,A81000C,00300,0100,G 11825,A81000C,00300,0200,PARAGON 11825,A81000C,00300,0400,CENT HC CORP 11825,A81000C,00300,0600,THERAPY 11825,A81000C,00400,0100,G 11825,A81000C,00400,0200,PARAGON 11825,A81000C,00400,0400,CENT HC CORP 11825,A81000C,00400,0600,THERAPY 11825,A81000C,00500,0100,G 11825,A81000C,00500,0200,PARAGON 11825,A81000C,00500,0400,CENT HC CORP 11825,A81000C,00500,0600,THERAPY 11825,A81000C,00600,0100,G 11825,A81000C,00600,0200,CENTENNIAL PTS 11825,A81000C,00600,0400,CENT HC CORP 11825,A81000C,00600,0600,SUPPLIES 11825,A81000C,00700,0100,G 11825,A81000C,00700,0200,CENTENNIAL PTS 11825,A81000C,00700,0400,CENT HC CORP 11825,A81000C,00700,0600,MED SUPPLIES 11825,A81000C,00800,0100,G 11825,A81000C,00800,0200,CENTENNIAL PTS 11825,A81000C,00800,0400,CENT HC CORP 11825,A81000C,00800,0600,MED SUPPLIES 11825,A81000C,00900,0100,G 11825,A81000C,00900,0200,CENTENNIAL PTS 11825,A81000C,00900,0400,CENT HC CORP 11825,A81000C,00900,0600,MED SUPPLIES 11825,A81000C,03100,0000,SUPPLIES 11825,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11825,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11825,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11825,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11825,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11825,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11825,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11825,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11825,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11825,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11825,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11825,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11825,S000000,00100,0200,06/01/2000 11825,S200000,00100,0100,1655 S.E. WALTON ROAD 11825,S200000,00200,0100,PORT ST. LUCIE 11825,S200000,00200,0200,FL 11825,S200000,00200,0300,34952- 11825,S200000,00300,0100,SAINT LUCIE 11825,S200000,00300,0200,2710 11825,S200000,00300,0300,U 11825,S200000,00400,0100,EMERALD HEALTHCARE (SAVANA CAY) 11825,S200000,00400,0200,105579 11825,S200000,00400,0300,11/01/1987 11825,S200000,00400,0500,P 11825,S200000,01500,0100,Y 11825,S200000,02200,0100,Y 11834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11834,A000000,00300,0000,00300EMPLOYEE BENEFITS 11834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11834,A000000,00700,0000,00700HOUSEKEEPING 11834,A000000,00800,0000,00800DIETARY 11834,A000000,00900,0000,00900NURSING ADMINISTRATION 11834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11834,A000000,01100,0000,01100PHARMACY 11834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11834,A000000,01300,0000,01300SOCIAL SERVICE 11834,A000000,01350,0000,01500OTHER GENERAL SERVICES 11834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11834,A000000,01600,0000,01600SKILLED NURSING FACILITY 11834,A000000,01800,0000,01800NURSING FACILITY 11834,A000000,01810,0000,01810ICF/MR 11834,A000000,01900,0000,01900OTHER LONG TERM CARE 11834,A000000,02100,0000,02100RADIOLOGY 11834,A000000,02200,0000,02200LABORATORY 11834,A000000,02300,0000,02300INTRAVENOUS THERAPY 11834,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11834,A000000,02500,0000,02500PHYSICAL THERAPY 11834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11834,A000000,02700,0000,02700SPEECH PATHOLOGY 11834,A000000,02800,0000,02800ELECTROCARDIOLOGY 11834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11834,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11834,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11834,A000000,03200,0000,03200SUPPORT SURFACES 11834,A000000,03400,0000,03400CLINIC 11834,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11834,A000000,03500,0000,03500RURAL HEALTH CLINIC 11834,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11834,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11834,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11834,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11834,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11834,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11834,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11834,A000000,04400,0000,04400DME RENTED - HHA 11834,A000000,04500,0000,04500DME SOLD - HHA 11834,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11834,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11834,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11834,A000000,04800,0000,04800AMBULANCE 11834,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11834,A000000,05000,0000,05000CORF 11834,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11834,A000000,05300,0000,05300INTEREST EXPENSE 11834,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11834,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11834,A000000,05500,0000,05500HOSPICE 11834,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11834,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11834,A000000,06100,0000,06100NONPAID WORKERS 11834,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11834,A000000,06200,0000,06200PATIENTS LAUNDRY 11834,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11834,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11834,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11834,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11834,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11834,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11834,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11834,B100000,00000,0800,00000MEALS SERVED :DIETARY 11834,B100000,00000,0950,00000HEALTHCARE EPATIENT D :NURSING ADMI 11834,B100000,00000,1250,00000HEALTHCARE EPATIENT D :MEDICAL RECO 11834,B100000,00000,1330,00000AL & HC PATIENT:SOCIAL SERVICE 11834,S000000,00100,0200,08/28/2000 11834,S200000,00100,0100,3001 DEER CREEK COUNTRY CLUB BLVD 11834,S200000,00200,0100,DEERFIELD BEACH 11834,S200000,00200,0200,FL 11834,S200000,00200,0300,33442- 11834,S200000,00300,0100,BROWARD 11834,S200000,00300,0200,2680 11834,S200000,00300,0300,U 11834,S200000,00400,0100,THE FORUM AT DEER CREEK 11834,S200000,00400,0200,105691 11834,S200000,00400,0300,06/04/1990 11834,S200000,00400,0500,P 11834,S200000,01500,0100,Y 11834,S200000,01700,0100,Y 11840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11840,A000000,00300,0000,00300EMPLOYEE BENEFITS 11840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11840,A000000,00700,0000,00700HOUSEKEEPING 11840,A000000,00800,0000,00800DIETARY 11840,A000000,00900,0000,00900NURSING ADMINISTRATION 11840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11840,A000000,01100,0000,01100PHARMACY 11840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11840,A000000,01300,0000,01300SOCIAL SERVICE 11840,A000000,01350,0000,01500OTHER GENERAL SERVICES 11840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11840,A000000,01600,0000,01600SKILLED NURSING FACILITY 11840,A000000,01800,0000,01800NURSING FACILITY 11840,A000000,01810,0000,01801ICF/MR 11840,A000000,01900,0000,01900OTHER LONG TERM CARE 11840,A000000,02100,0000,02100RADIOLOGY 11840,A000000,02200,0000,02200LABORATORY 11840,A000000,02300,0000,02300INTRAVENOUS THERAPY 11840,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11840,A000000,02500,0000,02500PHYSICAL THERAPY 11840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11840,A000000,02700,0000,02700SPEECH PATHOLOGY 11840,A000000,02800,0000,02800ELECTROCARDIOLOGY 11840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11840,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11840,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11840,A000000,03200,0000,03200SUPPORT SURFACES 11840,A000000,03400,0000,03400CLINIC 11840,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11840,A000000,03500,0000,03500RURAL HEALTH CLINIC 11840,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11840,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11840,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11840,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11840,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11840,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11840,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11840,A000000,04400,0000,04400DME RENTED - HHA 11840,A000000,04500,0000,04500DME SOLD - HHA 11840,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11840,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11840,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11840,A000000,04800,0000,04800AMBULANCE 11840,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11840,A000000,05000,0000,05000CORF 11840,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11840,A000000,05300,0000,05300INTEREST EXPENSE 11840,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11840,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11840,A000000,05500,0000,05500HOSPICE 11840,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11840,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11840,A000000,06100,0000,06100NONPAID WORKERS 11840,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11840,A000000,06200,0000,06200PATIENTS LAUNDRY 11840,A81000A,00100,0100,Y 11840,A81000B,00100,0300,HOME OFFICE BUILDING 11840,A81000B,00200,0300,HOME OFFICE EQUIPMENT 11840,A81000B,00300,0300,HOME OFFICE A&G 11840,A81000B,00400,0300,HOME OFFICE CERT NURSING 11840,A81000B,00500,0300,HOME OFFICE OLTC 11840,A81000C,00100,0100,B 11840,A81000C,00100,0200,MARRIOTT SLS 11840,A81000C,00100,0600,HEALTHCARE 11840,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11840,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11840,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11840,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 11840,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11840,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11840,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 11840,B100000,00000,0800,00000MEALS SERVED :DIETARY 11840,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 11840,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11840,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11840,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 11840,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 11840,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11840,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11840,S000000,00100,0200,06/02/2000 11840,S200000,00100,0100,45 KATHERINE BLVD 11840,S200000,00200,0100,PALM HARBOR 11840,S200000,00200,0200,FL 11840,S200000,00200,0300,34684- 11840,S200000,00300,0100,PINELLAS 11840,S200000,00400,0100,STRATFORD COURT AT PALM HARBOR 11840,S200000,00400,0200,105758 11840,S200000,00400,0300,02/12/1992 11840,S200000,00400,0500,P 11840,S200000,01500,0100,Y 11840,S200000,01700,0100,Y 11840,S700003,00000,0100,1 11847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11847,A000000,00300,0000,00300EMPLOYEE BENEFITS 11847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11847,A000000,00700,0000,00700HOUSEKEEPING 11847,A000000,00800,0000,00800DIETARY 11847,A000000,00900,0000,00900NURSING ADMINISTRATION 11847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11847,A000000,01100,0000,01100PHARMACY 11847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11847,A000000,01300,0000,01300SOCIAL SERVICE 11847,A000000,01350,0000,01500OTHER GENERAL SERVICES 11847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11847,A000000,01600,0000,01600SKILLED NURSING FACILITY 11847,A000000,01800,0000,01800NURSING FACILITY 11847,A000000,01810,0000,01801ICF/MR 11847,A000000,01900,0000,01900OTHER LONG TERM CARE 11847,A000000,02100,0000,02100RADIOLOGY 11847,A000000,02200,0000,02200LABORATORY 11847,A000000,02300,0000,02300INTRAVENOUS THERAPY 11847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11847,A000000,02500,0000,02500PHYSICAL THERAPY 11847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11847,A000000,02700,0000,02700SPEECH PATHOLOGY 11847,A000000,02800,0000,02800ELECTROCARDIOLOGY 11847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11847,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11847,A000000,03200,0000,03200SUPPORT SURFACES 11847,A000000,03400,0000,03400CLINIC 11847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11847,A000000,03500,0000,03500RURAL HEALTH CLINIC 11847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11847,A000000,04800,0000,04800AMBULANCE 11847,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11847,A000000,05000,0000,05000CORF 11847,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11847,A000000,05300,0000,05300INTEREST EXPENSE 11847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11847,A000000,05500,0000,05500HOSPICE 11847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11847,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11847,A000000,06100,0000,06100NONPAID WORKERS 11847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11847,A000000,06200,0000,06200PATIENTS LAUNDRY 11847,A81000A,00100,0100,Y 11847,A81000B,00100,0300,HOME OFFICE BUILDING 11847,A81000B,00200,0300,HOME OFFICE EQUIPMENT 11847,A81000B,00300,0300,HOME OFFICE A&G 11847,A81000B,00400,0300,HOME OFFICE CERT NURSING 11847,A81000B,00500,0300,HOME OFFICE N/C NURSING 11847,A81000B,00600,0300,HOME OFFICE OLTC 11847,A81000C,00100,0100,B 11847,A81000C,00100,0200,MARRIOTT SLS 11847,A81000C,00100,0600,HEALTHCARE 11847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11847,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 11847,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 11847,B100000,00000,0800,00000MEALS SERVED :DIETARY 11847,B100000,00000,0950,00000HEALTHCARE E PATIENT :NURSING ADMIN 11847,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11847,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11847,B100000,00000,1250,00000HEALTHCARE E PATIENT :MEDICAL RECOR 11847,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 11847,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11847,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11847,E10A180,00501,0100,06/22/2000 11847,E10A180,00550,0300,06/22/2000 11847,S000000,00100,0200,06/02/2000 11847,S200000,00100,0100,1699 S.E. LYNGATE DRIVE 11847,S200000,00200,0100,PORT ST. LUCIE 11847,S200000,00200,0200,FL 11847,S200000,00200,0300,34952- 11847,S200000,00300,0100,ST. LUCIE 11847,S200000,00400,0100,BRIGHTON GARDENS OF PORT ST. LUCIE 11847,S200000,00400,0200,105832 11847,S200000,00400,0300,10/08/1993 11847,S200000,00400,0500,P 11847,S200000,01500,0100,Y 11847,S200000,01700,0100,Y 11847,S700003,00000,0100,1 11854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11854,A000000,00300,0000,00300EMPLOYEE BENEFITS 11854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11854,A000000,00700,0000,00700HOUSEKEEPING 11854,A000000,00800,0000,00800DIETARY 11854,A000000,00900,0000,00900NURSING ADMINISTRATION 11854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11854,A000000,01100,0000,01100PHARMACY 11854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11854,A000000,01300,0000,01300SOCIAL SERVICE 11854,A000000,01350,0000,01500OTHER GENERAL SERVICES 11854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11854,A000000,01600,0000,01600SKILLED NURSING FACILITY 11854,A000000,01800,0000,01800NURSING FACILITY 11854,A000000,01810,0000,01801ICF/MR 11854,A000000,01900,0000,01900OTHER LONG TERM CARE 11854,A000000,02100,0000,02100RADIOLOGY 11854,A000000,02200,0000,02200LABORATORY 11854,A000000,02300,0000,02300INTRAVENOUS THERAPY 11854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11854,A000000,02500,0000,02500PHYSICAL THERAPY 11854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11854,A000000,02700,0000,02700SPEECH PATHOLOGY 11854,A000000,02800,0000,02800ELECTROCARDIOLOGY 11854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11854,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11854,A000000,03200,0000,03200SUPPORT SURFACES 11854,A000000,03400,0000,03400CLINIC 11854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11854,A000000,03500,0000,03500RURAL HEALTH CLINIC 11854,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11854,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11854,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11854,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11854,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11854,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11854,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11854,A000000,04400,0000,04400DME RENTED - HHA 11854,A000000,04500,0000,04500DME SOLD - HHA 11854,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11854,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11854,A000000,04800,0000,04800AMBULANCE 11854,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11854,A000000,05000,0000,05000CORF 11854,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11854,A000000,05300,0000,05300INTEREST EXPENSE 11854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11854,A000000,05500,0000,05500HOSPICE 11854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11854,A000000,06100,0000,06100NONPAID WORKERS 11854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11854,A000000,06200,0000,06200PATIENTS LAUNDRY 11854,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11854,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11854,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11854,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11854,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11854,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11854,B100000,00000,0800,00000MEALS SERVED :DIETARY 11854,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11854,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11854,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11854,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11854,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11854,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11854,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11854,S000000,00100,0200,06/01/2000 11854,S200000,00100,0100,1425 SOUTH CONGRESS 11854,S200000,00200,0100,BOYNTON BEACH 11854,S200000,00200,0200,FL 11854,S200000,00200,0300,33426- 11854,S200000,00300,0100,PALM BEACH 11854,S200000,00400,0100,BRIGHTON GARDENS OF BOYNTON BEACH 11854,S200000,00400,0200,105850 11854,S200000,00400,0300,04/19/1994 11854,S200000,00400,0500,P 11854,S200000,01500,0100,Y 11854,S700003,00000,0100,1 11860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11860,A000000,00300,0000,00300EMPLOYEE BENEFITS 11860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11860,A000000,00700,0000,00700HOUSEKEEPING 11860,A000000,00800,0000,00800DIETARY 11860,A000000,00900,0000,00900NURSING ADMINISTRATION 11860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11860,A000000,01100,0000,01100PHARMACY 11860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11860,A000000,01300,0000,01300SOCIAL SERVICE 11860,A000000,01350,0000,01500OTHER GENERAL SERVICES 11860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11860,A000000,01600,0000,01600SKILLED NURSING FACILITY 11860,A000000,01800,0000,01800NURSING FACILITY 11860,A000000,01810,0000,01801ICF/MR 11860,A000000,01900,0000,01900OTHER LONG TERM CARE 11860,A000000,02100,0000,02100RADIOLOGY 11860,A000000,02200,0000,02200LABORATORY 11860,A000000,02300,0000,02300INTRAVENOUS THERAPY 11860,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11860,A000000,02500,0000,02500PHYSICAL THERAPY 11860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11860,A000000,02700,0000,02700SPEECH PATHOLOGY 11860,A000000,02800,0000,02800ELECTROCARDIOLOGY 11860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11860,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11860,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11860,A000000,03200,0000,03200SUPPORT SURFACES 11860,A000000,03400,0000,03400CLINIC 11860,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11860,A000000,03500,0000,03500RURAL HEALTH CLINIC 11860,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11860,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11860,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11860,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11860,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11860,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11860,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11860,A000000,04400,0000,04400DME RENTED - HHA 11860,A000000,04500,0000,04500DME SOLD - HHA 11860,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11860,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11860,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11860,A000000,04800,0000,04800AMBULANCE 11860,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11860,A000000,05000,0000,05000CORF 11860,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11860,A000000,05300,0000,05300INTEREST EXPENSE 11860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11860,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11860,A000000,05500,0000,05500HOSPICE 11860,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11860,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11860,A000000,06100,0000,06100NONPAID WORKERS 11860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11860,A000000,06200,0000,06200PATIENTS LAUNDRY 11860,A81000A,00100,0100,Y 11860,A81000B,00100,0300,HOME OFFICE BUILDING 11860,A81000B,00200,0300,HOME OFFICE EQUIPMENT 11860,A81000B,00300,0300,HOME OFFICE A&G 11860,A81000B,00400,0300,HOME OFFICE CERT NURSING 11860,A81000B,00500,0300,HOME OFFICE OLTC 11860,A81000C,00100,0100,B 11860,A81000C,00100,0200,MARRIOTT SLS 11860,A81000C,00100,0600,HEALTHCARE 11860,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11860,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11860,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11860,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 11860,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11860,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 11860,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 11860,B100000,00000,0800,00000MEALS SERVED :DIETARY 11860,B100000,00000,0950,00000HEALTHCARE E :NURSING ADMINISTRATI 11860,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11860,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11860,B100000,00000,1250,00000HEALTHCARE E :MEDICAL RECORDS & LI 11860,B100000,00000,1330,00000HC & AL &:SOCIAL SERVICE 11860,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11860,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11860,E10A180,00501,0100,06/22/2000 11860,S000000,00100,0200,06/02/2000 11860,S200000,00100,0100,6347 VIA DE SONRISA DEL SUR 11860,S200000,00200,0100,BOCA RATON 11860,S200000,00200,0200,FL 11860,S200000,00200,0300,33433- 11860,S200000,00300,0100,PALM BEACH 11860,S200000,00400,0100,STRATFORD COURT OF BOCA POINTE 11860,S200000,00400,0200,105851 11860,S200000,00400,0300,04/08/1994 11860,S200000,00400,0500,P 11860,S200000,01500,0100,Y 11860,S200000,01700,0100,Y 11860,S700003,00000,0100,1 11866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11866,A000000,00300,0000,00300EMPLOYEE BENEFITS 11866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11866,A000000,00700,0000,00700HOUSEKEEPING 11866,A000000,00800,0000,00800DIETARY 11866,A000000,00900,0000,00900NURSING ADMINISTRATION 11866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11866,A000000,01100,0000,01100PHARMACY 11866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11866,A000000,01300,0000,01300SOCIAL SERVICE 11866,A000000,01350,0000,01500OTHER GENERAL SERVICES 11866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11866,A000000,01600,0000,01600SKILLED NURSING FACILITY 11866,A000000,01800,0000,01800NURSING FACILITY 11866,A000000,01810,0000,01801ICF/MR 11866,A000000,01900,0000,01900OTHER LONG TERM CARE 11866,A000000,02100,0000,02100RADIOLOGY 11866,A000000,02200,0000,02200LABORATORY 11866,A000000,02300,0000,02300INTRAVENOUS THERAPY 11866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11866,A000000,02500,0000,02500PHYSICAL THERAPY 11866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11866,A000000,02700,0000,02700SPEECH PATHOLOGY 11866,A000000,02800,0000,02800ELECTROCARDIOLOGY 11866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11866,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11866,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11866,A000000,03200,0000,03200SUPPORT SURFACES 11866,A000000,03400,0000,03400CLINIC 11866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11866,A000000,03500,0000,03500RURAL HEALTH CLINIC 11866,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11866,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11866,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11866,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11866,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11866,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11866,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11866,A000000,04400,0000,04400DME RENTED - HHA 11866,A000000,04500,0000,04500DME SOLD - HHA 11866,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11866,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11866,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11866,A000000,04800,0000,04800AMBULANCE 11866,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11866,A000000,05000,0000,05000CORF 11866,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11866,A000000,05300,0000,05300INTEREST EXPENSE 11866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11866,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11866,A000000,05500,0000,05500HOSPICE 11866,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11866,A000000,06100,0000,06100NONPAID WORKERS 11866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11866,A000000,06200,0000,06200PATIENTS LAUNDRY 11866,A81000A,00100,0100,Y 11866,A81000B,00100,0300,HOME OFFICE BUILDING 11866,A81000B,00200,0300,HOME OFFICE EQUIPMENT 11866,A81000B,00300,0300,HOME OFFICE A&G 11866,A81000B,00400,0300,HOME OFFICE CERT NURSING 11866,A81000B,00500,0300,HOME OFFICE OLTC 11866,A81000C,00100,0100,B 11866,A81000C,00100,0200,MARRIOTT SLS 11866,A81000C,00100,0600,HEALTHCARE 11866,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11866,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11866,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11866,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11866,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11866,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11866,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11866,B100000,00000,0800,00000MEALS SERVED :DIETARY 11866,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 11866,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11866,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11866,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 11866,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11866,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11866,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11866,S000000,00100,0200,06/02/2000 11866,S200000,00100,0100,2090 N. CONGRESS AVE 11866,S200000,00200,0100,WEST PALM BEACH 11866,S200000,00200,0200,FL 11866,S200000,00200,0300,33401- 11866,S200000,00300,0100,PALM BEACH 11866,S200000,00400,0100,BRIGHTON GARDENS OF WEST PALM BEACH 11866,S200000,00400,0200,105875 11866,S200000,00400,0300,01/26/1995 11866,S200000,00400,0500,P 11866,S200000,01500,0100,Y 11866,S200000,01700,0100,Y 11866,S700003,00000,0400,4 11871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11871,A000000,00300,0000,00300EMPLOYEE BENEFITS 11871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11871,A000000,00700,0000,00700HOUSEKEEPING 11871,A000000,00800,0000,00800DIETARY 11871,A000000,00900,0000,00900NURSING ADMINISTRATION 11871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11871,A000000,01100,0000,01100PHARMACY 11871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11871,A000000,01300,0000,01300SOCIAL SERVICE 11871,A000000,01350,0000,01500OTHER GENERAL SERVICES 11871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11871,A000000,01600,0000,01600SKILLED NURSING FACILITY 11871,A000000,01800,0000,01800NURSING FACILITY 11871,A000000,01810,0000,01801ICF/MR 11871,A000000,01900,0000,01900OTHER LONG TERM CARE 11871,A000000,02100,0000,02100RADIOLOGY 11871,A000000,02200,0000,02200LABORATORY 11871,A000000,02300,0000,02300INTRAVENOUS THERAPY 11871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11871,A000000,02500,0000,02500PHYSICAL THERAPY 11871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11871,A000000,02700,0000,02700SPEECH PATHOLOGY 11871,A000000,02800,0000,02800ELECTROCARDIOLOGY 11871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11871,A000000,03200,0000,03200SUPPORT SURFACES 11871,A000000,03400,0000,03400CLINIC 11871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11871,A000000,03500,0000,03500RURAL HEALTH CLINIC 11871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11871,A000000,04400,0000,04400DME RENTED - HHA 11871,A000000,04500,0000,04500DME SOLD - HHA 11871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11871,A000000,04800,0000,04800AMBULANCE 11871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11871,A000000,05000,0000,05000CORF 11871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11871,A000000,05300,0000,05300INTEREST EXPENSE 11871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11871,A000000,05500,0000,05500HOSPICE 11871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11871,A000000,06100,0000,06100NONPAID WORKERS 11871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11871,A000000,06200,0000,06200PATIENTS LAUNDRY 11871,A81000A,00100,0100,Y 11871,A81000B,00100,0300,HOME OFFICE BUILDING 11871,A81000B,00200,0300,HOME OFFICE EQUIPMENT 11871,A81000B,00300,0300,HOME OFFICE A&G 11871,A81000B,00400,0300,HOME OFFICE CERT NURSING 11871,A81000B,00500,0300,HOME OFFICE N/C NURSING 11871,A81000B,00600,0300,HOME OFFICE OLTC 11871,A81000C,00100,0100,B 11871,A81000C,00100,0200,MARRIOTT SLS 11871,A81000C,00100,0600,HEALTHCARE 11871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11871,B100000,00000,0800,00000MEALS SERVED :DIETARY 11871,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 11871,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11871,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11871,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 11871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11871,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11871,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11871,S000000,00100,0200,06/01/2000 11871,S200000,00100,0100,1305 W. MAITLAND BLVD 11871,S200000,00200,0100,MAITLAND 11871,S200000,00200,0200,FL 11871,S200000,00200,0300,32751- 11871,S200000,00300,0100,ORANGE 11871,S200000,00400,0100,BRIGHTON GARDENS OF MAITLAND 11871,S200000,00400,0200,105886 11871,S200000,00400,0300,06/16/1995 11871,S200000,00400,0500,P 11871,S200000,01600,0100,Y 11871,S200000,01700,0100,Y 11871,S700003,00000,0400,4 11882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11882,A000000,00300,0000,00300EMPLOYEE BENEFITS 11882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11882,A000000,00700,0000,00700HOUSEKEEPING 11882,A000000,00800,0000,00800DIETARY 11882,A000000,00900,0000,00900NURSING ADMINISTRATION 11882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11882,A000000,01100,0000,01100PHARMACY 11882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11882,A000000,01300,0000,01300SOCIAL SERVICE 11882,A000000,01350,0000,01500OTHER GENERAL SERVICES 11882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11882,A000000,01600,0000,01600SKILLED NURSING FACILITY 11882,A000000,01800,0000,01800NURSING FACILITY 11882,A000000,01810,0000,01810ICF/MR 11882,A000000,01900,0000,01900OTHER LONG TERM CARE 11882,A000000,02100,0000,02100RADIOLOGY 11882,A000000,02200,0000,02200LABORATORY 11882,A000000,02300,0000,02300INTRAVENOUS THERAPY 11882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11882,A000000,02500,0000,02500PHYSICAL THERAPY 11882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11882,A000000,02700,0000,02700SPEECH PATHOLOGY 11882,A000000,02800,0000,02800ELECTROCARDIOLOGY 11882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11882,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11882,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11882,A000000,03200,0000,03200SUPPORT SURFACES 11882,A000000,03400,0000,03400CLINIC 11882,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11882,A000000,03500,0000,03500RURAL HEALTH CLINIC 11882,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11882,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11882,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11882,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11882,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11882,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11882,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11882,A000000,04400,0000,04400DME RENTED - HHA 11882,A000000,04500,0000,04500DME SOLD - HHA 11882,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11882,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11882,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11882,A000000,04800,0000,04800AMBULANCE 11882,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11882,A000000,05000,0000,05000CORF 11882,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11882,A000000,05300,0000,05300INTEREST EXPENSE 11882,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11882,A000000,05500,0000,05500HOSPICE 11882,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11882,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11882,A000000,06100,0000,06100NONPAID WORKERS 11882,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11882,A000000,06200,0000,06200PATIENTS LAUNDRY 11882,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11882,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11882,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11882,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11882,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11882,B100000,00000,0750,00000SQUARE FEET(MOD) :HOUSEKEEPING 11882,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11882,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 11882,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11882,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11882,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11882,S000000,00100,0200,06/02/2000 11882,S200000,00100,0100,224 CHIPOLA ROAD 11882,S200000,00100,0300,239 11882,S200000,00200,0100,BLOUNTSTOWN 11882,S200000,00200,0200,FL 11882,S200000,00200,0300,32424- 11882,S200000,00300,0100,CALHOUN 11882,S200000,00300,0200,10 11882,S200000,00300,0300,R 11882,S200000,00400,0100,BLOUNTSTOWN HEALTH AND REHAB 11882,S200000,00400,0200,105924 11882,S200000,00400,0300,08/01/1996 11882,S200000,00400,0500,P 11882,S200000,01600,0100,Y 11891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11891,A000000,00300,0000,00300EMPLOYEE BENEFITS 11891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11891,A000000,00700,0000,00700HOUSEKEEPING 11891,A000000,00800,0000,00800DIETARY 11891,A000000,00900,0000,00900NURSING ADMINISTRATION 11891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11891,A000000,01100,0000,01100PHARMACY 11891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11891,A000000,01300,0000,01300SOCIAL SERVICE 11891,A000000,01350,0000,01500OTHER GENERAL SERVICES 11891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11891,A000000,01600,0000,01600SKILLED NURSING FACILITY 11891,A000000,01800,0000,01800NURSING FACILITY 11891,A000000,01810,0000,01801ICF/MR 11891,A000000,01900,0000,01900OTHER LONG TERM CARE 11891,A000000,02100,0000,02100RADIOLOGY 11891,A000000,02200,0000,02200LABORATORY 11891,A000000,02300,0000,02300INTRAVENOUS THERAPY 11891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11891,A000000,02500,0000,02500PHYSICAL THERAPY 11891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11891,A000000,02700,0000,02700SPEECH PATHOLOGY 11891,A000000,02800,0000,02800ELECTROCARDIOLOGY 11891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11891,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11891,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11891,A000000,03200,0000,03200SUPPORT SURFACES 11891,A000000,03400,0000,03400CLINIC 11891,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11891,A000000,03500,0000,03500RURAL HEALTH CLINIC 11891,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11891,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11891,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11891,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11891,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11891,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11891,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11891,A000000,04400,0000,04400DME RENTED - HHA 11891,A000000,04500,0000,04500DME SOLD - HHA 11891,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11891,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11891,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11891,A000000,04800,0000,04800AMBULANCE 11891,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11891,A000000,05000,0000,05000CORF 11891,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11891,A000000,05300,0000,05300INTEREST EXPENSE 11891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11891,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11891,A000000,05500,0000,05500HOSPICE 11891,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11891,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11891,A000000,06100,0000,06100NONPAID WORKERS 11891,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11891,A000000,06200,0000,06200PATIENTS LAUNDRY 11891,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11891,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11891,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11891,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11891,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11891,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11891,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11891,B100000,00000,0800,00000MEALS SERVED :DIETARY 11891,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 11891,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11891,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11891,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 11891,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11891,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11891,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11891,S000000,00100,0200,06/02/2000 11891,S200000,00100,0100,950 PINE BROOK ROAD 11891,S200000,00200,0100,VENICE 11891,S200000,00200,0200,FL 11891,S200000,00200,0300,34292- 11891,S200000,00300,0100,SARASOTA 11891,S200000,00400,0100,BRIGHTON GARDENS OF VENICE 11891,S200000,00400,0200,105955 11891,S200000,00400,0300,06/02/1997 11891,S200000,00400,0500,P 11891,S200000,01500,0100,Y 11891,S200000,01700,0100,Y 11891,S700003,00000,0400,4 11899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11899,A000000,00300,0000,00300EMPLOYEE BENEFITS 11899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11899,A000000,00700,0000,00700HOUSEKEEPING 11899,A000000,00800,0000,00800DIETARY 11899,A000000,00900,0000,00900NURSING ADMINISTRATION 11899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11899,A000000,01100,0000,01100PHARMACY 11899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11899,A000000,01300,0000,01300SOCIAL SERVICE 11899,A000000,01350,0000,01500OTHER GENERAL SERVICES 11899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11899,A000000,01600,0000,01600SKILLED NURSING FACILITY 11899,A000000,01800,0000,01800NURSING FACILITY 11899,A000000,01810,0000,01810ICF/MR 11899,A000000,01900,0000,01900OTHER LONG TERM CARE 11899,A000000,02100,0000,02100RADIOLOGY 11899,A000000,02200,0000,02200LABORATORY 11899,A000000,02300,0000,02300INTRAVENOUS THERAPY 11899,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11899,A000000,02500,0000,02500PHYSICAL THERAPY 11899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11899,A000000,02700,0000,02700SPEECH PATHOLOGY 11899,A000000,02800,0000,02800ELECTROCARDIOLOGY 11899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11899,A000000,03050,0000,03300AIR FLUIDIZED BEDS 11899,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11899,A000000,03200,0000,03200SUPPORT SURFACES 11899,A000000,03400,0000,03400CLINIC 11899,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11899,A000000,03500,0000,03500RURAL HEALTH CLINIC 11899,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11899,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11899,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11899,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11899,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11899,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11899,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11899,A000000,04400,0000,04400DME RENTED - HHA 11899,A000000,04500,0000,04500DME SOLD - HHA 11899,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11899,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11899,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11899,A000000,04800,0000,04800AMBULANCE 11899,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11899,A000000,05000,0000,05000CORF 11899,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11899,A000000,05300,0000,05300INTEREST EXPENSE 11899,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11899,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11899,A000000,05500,0000,05500HOSPICE 11899,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11899,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11899,A000000,06100,0000,06100NONPAID WORKERS 11899,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11899,A000000,06200,0000,06200PATIENTS LAUNDRY 11899,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11899,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11899,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11899,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11899,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11899,B100000,00000,0750,00000MODIFED SQ FEET :HOUSEKEEPING 11899,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11899,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 11899,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11899,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11899,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11899,S000000,00100,0200,06/02/2000 11899,S200000,00100,0100,ROUTE 3 BOX 5 11899,S200000,00200,0100,MAYO 11899,S200000,00200,0200,FL 11899,S200000,00200,0300,32066- 11899,S200000,00300,0100,LAFAYETTE 11899,S200000,00300,0200,10 11899,S200000,00300,0300,R 11899,S200000,00400,0100,LAFAYETTE HEALTHCARE CENTER 11899,S200000,00400,0200,105963 11899,S200000,00400,0300,07/15/1997 11899,S200000,00400,0500,P 11899,S200000,01600,0100,Y 11904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11904,A000000,00300,0000,00300EMPLOYEE BENEFITS 11904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11904,A000000,00700,0000,00700HOUSEKEEPING 11904,A000000,00800,0000,00800DIETARY 11904,A000000,00900,0000,00900NURSING ADMINISTRATION 11904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11904,A000000,01100,0000,01100PHARMACY 11904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11904,A000000,01300,0000,01300SOCIAL SERVICE 11904,A000000,01350,0000,01500OTHER GENERAL SERVICES 11904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11904,A000000,01600,0000,01600SKILLED NURSING FACILITY 11904,A000000,01800,0000,01800NURSING FACILITY 11904,A000000,01810,0000,01810ICF/MR 11904,A000000,01900,0000,01900OTHER LONG TERM CARE 11904,A000000,02100,0000,02100RADIOLOGY 11904,A000000,02200,0000,02200LABORATORY 11904,A000000,02300,0000,02300INTRAVENOUS THERAPY 11904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11904,A000000,02500,0000,02500PHYSICAL THERAPY 11904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11904,A000000,02700,0000,02700SPEECH PATHOLOGY 11904,A000000,02800,0000,02800ELECTROCARDIOLOGY 11904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11904,A000000,03050,0000,03300AIR FLUIDIZED BEDS 11904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11904,A000000,03200,0000,03200SUPPORT SURFACES 11904,A000000,03400,0000,03400CLINIC 11904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11904,A000000,03500,0000,03500RURAL HEALTH CLINIC 11904,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11904,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11904,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11904,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11904,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11904,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11904,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11904,A000000,04400,0000,04400DME RENTED - HHA 11904,A000000,04500,0000,04500DME SOLD - HHA 11904,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11904,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11904,A000000,04800,0000,04800AMBULANCE 11904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11904,A000000,05000,0000,05000CORF 11904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11904,A000000,05300,0000,05300INTEREST EXPENSE 11904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11904,A000000,05500,0000,05500HOSPICE 11904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11904,A000000,06100,0000,06100NONPAID WORKERS 11904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11904,A000000,06200,0000,06200PATIENTS LAUNDRY 11904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11904,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11904,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11904,B100000,00000,0750,00000SQUARE FEET MO :HOUSEKEEPING 11904,B100000,00000,0850,00000PATIENT DAYS :DIETARY 11904,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 11904,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11904,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11904,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11904,S000000,00100,0200,06/02/2000 11904,S200000,00100,0100,6767 86TH AVENUE 11904,S200000,00200,0100,PINELLAS PARK 11904,S200000,00200,0200,FL 11904,S200000,00200,0300,33782- 11904,S200000,00300,0100,PINELLAS 11904,S200000,00300,0200,8280 11904,S200000,00300,0300,U 11904,S200000,00400,0100,CRYSTAL OAKS OF PINELLAS 11904,S200000,00400,0200,105978 11904,S200000,00400,0300,02/06/1998 11904,S200000,00400,0500,P 11904,S200000,01004,0500,O 11909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11909,A000000,00300,0000,00300EMPLOYEE BENEFITS 11909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11909,A000000,00700,0000,00700HOUSEKEEPING 11909,A000000,00800,0000,00800DIETARY 11909,A000000,00900,0000,00900NURSING ADMINISTRATION 11909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11909,A000000,01100,0000,01100PHARMACY 11909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11909,A000000,01300,0000,01300SOCIAL SERVICE 11909,A000000,01350,0000,01500OTHER GENERAL SERVICES 11909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11909,A000000,01600,0000,01600SKILLED NURSING FACILITY 11909,A000000,01800,0000,01800NURSING FACILITY 11909,A000000,01810,0000,01801ICF/MR 11909,A000000,01900,0000,01900OTHER LONG TERM CARE 11909,A000000,02100,0000,02100RADIOLOGY 11909,A000000,02200,0000,02200LABORATORY 11909,A000000,02300,0000,02300INTRAVENOUS THERAPY 11909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11909,A000000,02500,0000,02500PHYSICAL THERAPY 11909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11909,A000000,02700,0000,02700SPEECH PATHOLOGY 11909,A000000,02800,0000,02800ELECTROCARDIOLOGY 11909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11909,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11909,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11909,A000000,03200,0000,03200SUPPORT SURFACES 11909,A000000,03400,0000,03400CLINIC 11909,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11909,A000000,03500,0000,03500RURAL HEALTH CLINIC 11909,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11909,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11909,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11909,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11909,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11909,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11909,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11909,A000000,04400,0000,04400DME RENTED - HHA 11909,A000000,04500,0000,04500DME SOLD - HHA 11909,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11909,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11909,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11909,A000000,04800,0000,04800AMBULANCE 11909,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11909,A000000,05000,0000,05000CORF 11909,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11909,A000000,05300,0000,05300INTEREST EXPENSE 11909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11909,A000000,05500,0000,05500HOSPICE 11909,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11909,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11909,A000000,06100,0000,06100NONPAID WORKERS 11909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11909,A000000,06200,0000,06200PATIENTS LAUNDRY 11909,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11909,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11909,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11909,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11909,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11909,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11909,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11909,B100000,00000,0800,00000MEALS SERVED :DIETARY 11909,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 11909,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11909,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11909,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 11909,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11909,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11909,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11909,S000000,00100,0200,06/02/2000 11909,S200000,00100,0100,7801 AIRPORT PULLING ROAD NORTH 11909,S200000,00200,0100,NAPLES 11909,S200000,00200,0200,FL 11909,S200000,00200,0300,34109- 11909,S200000,00300,0100,COLLIER 11909,S200000,00400,0100,BRIGHTON GARDENS OF NAPLES 11909,S200000,00400,0200,105995 11909,S200000,00400,0300,06/16/1998 11909,S200000,00400,0500,P 11909,S200000,01500,0100,Y 11909,S200000,01700,0100,Y 11909,S700003,00000,0400,4 11933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11933,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11933,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11933,A000000,00300,0000,00300EMPLOYEE BENEFITS 11933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11933,A000000,00700,0000,00700HOUSEKEEPING 11933,A000000,00800,0000,00800DIETARY 11933,A000000,00801,0000,00801CAFETERIA 11933,A000000,00900,0000,00900NURSING ADMINISTRATION 11933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11933,A000000,01100,0000,01100PHARMACY 11933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11933,A000000,01300,0000,01300SOCIAL SERVICE 11933,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11933,A000000,01600,0000,01600SKILLED NURSING FACILITY 11933,A000000,01800,0000,01800NURSING FACILITY 11933,A000000,01900,0000,01900OTHER LONG TERM CARE 11933,A000000,02100,0000,02100RADIOLOGY 11933,A000000,02200,0000,02200LABORATORY 11933,A000000,02300,0000,02300INTRAVENOUS THERAPY 11933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11933,A000000,02500,0000,02500PHYSICAL THERAPY 11933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11933,A000000,02700,0000,02700SPEECH PATHOLOGY 11933,A000000,02800,0000,02800ELECTROCARDIOLOGY 11933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11933,A000000,03050,0000,03300OTHER ANCILLARY 11933,A000000,03051,0000,03301OTHER ANCILLARY II 11933,A000000,03052,0000,03302OTHER ANCILLARY III 11933,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11933,A000000,03200,0000,03200SUPPORT SURFACES 11933,A000000,03400,0000,03400CLINIC 11933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11933,A000000,03500,0000,03500RURAL HEALTH CLINIC 11933,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11933,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11933,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11933,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11933,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11933,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11933,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11933,A000000,04400,0000,04400DME RENTED - HHA 11933,A000000,04500,0000,04500DME SOLD - HHA 11933,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11933,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11933,A000000,04800,0000,04800AMBULANCE 11933,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11933,A000000,05000,0000,05000CORF 11933,A000000,05010,0000,05010CMHC I 11933,A000000,05020,0000,05020OPT I 11933,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11933,A000000,05300,0000,05300INTEREST EXPENSE 11933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11933,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11933,A000000,05500,0000,05500HOSPICE 11933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11933,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11933,A000000,06100,0000,06100NONPAID WORKERS 11933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11933,A000000,06200,0000,06200PATIENTS LAUNDRY 11933,A81000A,00100,0100,Y 11933,A81000B,00100,0300,MANAGEMENT FEES 11933,A81000B,00200,0300,CPTL RELATED MGMT FEE 11933,A81000B,00300,0300,BUILDING LEASE 11933,A81000B,00400,0300,PAYROLL PROCESSING FEE 11933,A81000B,00500,0300,PT 11933,A81000B,00600,0300,OT 11933,A81000B,00700,0300,ST 11933,A81000B,00800,0300,DIETARY 11933,A81000B,00900,0300,MEDICAL SUPPLIES 11933,A81000C,00100,0100,G 11933,A81000C,00100,0200,CENTENNIAL HC 11933,A81000C,00100,0400,CENT HC CORP 11933,A81000C,00100,0600,HOME OFFICE 11933,A81000C,00200,0100,G 11933,A81000C,00200,0200,CENTENNIAL HC 11933,A81000C,00200,0400,CENT HC CORP 11933,A81000C,00200,0600,HOME OFFICE 11933,A81000C,00300,0100,G 11933,A81000C,00300,0200,EBT HEALTHCARE 11933,A81000C,00300,0400,CENT HC CORP 11933,A81000C,00300,0600,LESSOR 11933,A81000C,00400,0100,G 11933,A81000C,00400,0200,CENTENNIAL HC 11933,A81000C,00400,0400,CENT HC CORP 11933,A81000C,00400,0600,HOME OFFICE 11933,A81000C,00500,0100,G 11933,A81000C,00500,0200,PARAGON REHAB 11933,A81000C,00500,0400,CENT HC CORP 11933,A81000C,00500,0600,THERAPY 11933,A81000C,00600,0100,G 11933,A81000C,00600,0200,PARAGON REHAB 11933,A81000C,00600,0400,CENT HC CORP 11933,A81000C,00600,0600,THERAPY 11933,A81000C,00700,0100,G 11933,A81000C,00700,0200,PARAGON REHAB 11933,A81000C,00700,0400,CENT HC CORP 11933,A81000C,00700,0600,THERAPY 11933,A81000C,00800,0100,G 11933,A81000C,00800,0200,CENTENNIAL PTS 11933,A81000C,00800,0400,CENT HC COPR 11933,A81000C,00800,0600,GPO 11933,A81000C,00900,0100,G 11933,A81000C,00900,0200,CENTENNIAL PTS 11933,A81000C,00900,0400,CENT HC CORP 11933,A81000C,00900,0600,GPO 11933,A81000C,03100,0000,SUPPLIES 11933,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11933,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11933,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11933,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11933,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11933,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11933,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11933,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11933,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11933,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11933,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11933,S000000,00100,0200,06/01/2000 11933,S200000,00100,0100,1204 SHRIVER ROAD 11933,S200000,00200,0100,OROFINO 11933,S200000,00200,0200,ID 11933,S200000,00200,0300,83544- 11933,S200000,00300,0100,CLEARWATER 11933,S200000,00300,0200,13 11933,S200000,00300,0300,R 11933,S200000,00400,0100,CLEARWATER HEALTH & REHAB 11933,S200000,00400,0200,135048 11933,S200000,00400,0300,01/16/1969 11933,S200000,00400,0500,P 11933,S200000,01500,0100,Y 11933,S200000,02200,0100,Y 11944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11944,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 11944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11944,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 11944,A000000,00300,0000,00300EMPLOYEE BENEFITS 11944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11944,A000000,00700,0000,00700HOUSEKEEPING 11944,A000000,00800,0000,00800DIETARY 11944,A000000,00801,0000,00801CAFETERIA 11944,A000000,00900,0000,00900NURSING ADMINISTRATION 11944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11944,A000000,01100,0000,01100PHARMACY 11944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11944,A000000,01300,0000,01300SOCIAL SERVICE 11944,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 11944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11944,A000000,01600,0000,01600SKILLED NURSING FACILITY 11944,A000000,01800,0000,01800NURSING FACILITY 11944,A000000,01900,0000,01900OTHER LONG TERM CARE 11944,A000000,02100,0000,02100RADIOLOGY 11944,A000000,02200,0000,02200LABORATORY 11944,A000000,02300,0000,02300INTRAVENOUS THERAPY 11944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11944,A000000,02500,0000,02500PHYSICAL THERAPY 11944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11944,A000000,02700,0000,02700SPEECH PATHOLOGY 11944,A000000,02800,0000,02800ELECTROCARDIOLOGY 11944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11944,A000000,03050,0000,03300OTHER ANCILLARY 11944,A000000,03051,0000,03301OTHER ANCILLARY II 11944,A000000,03052,0000,03302OTHER ANCILLARY III 11944,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11944,A000000,03200,0000,03200SUPPORT SURFACES 11944,A000000,03400,0000,03400CLINIC 11944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 11944,A000000,03500,0000,03500RURAL HEALTH CLINIC 11944,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11944,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11944,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11944,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11944,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11944,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11944,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11944,A000000,04400,0000,04400DME RENTED - HHA 11944,A000000,04500,0000,04500DME SOLD - HHA 11944,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11944,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11944,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11944,A000000,04800,0000,04800AMBULANCE 11944,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11944,A000000,05000,0000,05000CORF 11944,A000000,05010,0000,05010CMHC I 11944,A000000,05020,0000,05020OPT I 11944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11944,A000000,05300,0000,05300INTEREST EXPENSE 11944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 11944,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 11944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11944,A000000,05500,0000,05500HOSPICE 11944,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11944,A000000,06100,0000,06100NONPAID WORKERS 11944,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11944,A000000,06200,0000,06200PATIENTS LAUNDRY 11944,A81000A,00100,0100,Y 11944,A81000B,00100,0300,MANAGEMENT FEES 11944,A81000B,00200,0300,PAYROLL PROCESSING FEE 11944,A81000B,00300,0300,CPTL RELATED MGMT FEES 11944,A81000B,00400,0300,BUILDING LEASE 11944,A81000B,00500,0300,PT 11944,A81000B,00600,0300,OT 11944,A81000B,00700,0300,ST 11944,A81000B,00800,0300,MEDICAL SUPPLIES 11944,A81000B,00900,0300,DIETARY 11944,A81000C,00100,0100,G 11944,A81000C,00100,0200,CENT MGMT CORP 11944,A81000C,00100,0400,CENT HC CORP 11944,A81000C,00100,0600,HOME OFFICE 11944,A81000C,00200,0100,G 11944,A81000C,00200,0200,CENT MGMT CORP 11944,A81000C,00200,0400,CENT HC CORP 11944,A81000C,00200,0600,HOME OFFICE 11944,A81000C,00300,0100,G 11944,A81000C,00300,0200,CENT MGMT CORP 11944,A81000C,00300,0400,CENT HC CORP 11944,A81000C,00300,0600,HOME OFFICE 11944,A81000C,00400,0100,G 11944,A81000C,00400,0200,EBT HEALTHCARE 11944,A81000C,00400,0400,CENT HC CORP 11944,A81000C,00400,0600,LESSOR 11944,A81000C,00500,0100,G 11944,A81000C,00500,0200,PARAGON REHAB 11944,A81000C,00500,0400,CENT HC CORP 11944,A81000C,00500,0600,THERAPY 11944,A81000C,00600,0100,G 11944,A81000C,00600,0200,PARAGON REHAB 11944,A81000C,00600,0400,CENT HC CORP 11944,A81000C,00600,0600,THERAPY 11944,A81000C,00700,0100,G 11944,A81000C,00700,0200,PARAGON REHAB 11944,A81000C,00700,0400,CENT HC CORP 11944,A81000C,00700,0600,THERAPY 11944,A81000C,00800,0100,G 11944,A81000C,00800,0200,CENTENNIAL PTS 11944,A81000C,00800,0400,CENT HC CORP 11944,A81000C,00800,0600,GPO 11944,A81000C,00900,0100,G 11944,A81000C,00900,0200,CENTENNIAL PTS 11944,A81000C,00900,0400,CENT HC CORP 11944,A81000C,00900,0600,GPO 11944,A81000C,03100,0000,SUPPLIES 11944,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 11944,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 11944,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 11944,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11944,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 11944,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 11944,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 11944,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 11944,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 11944,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 11944,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 11944,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 11944,S000000,00100,0200,06/01/2000 11944,S200000,00100,0100,2514 N 7TH STREET 11944,S200000,00200,0100,COUER DALENE 11944,S200000,00200,0200,ID 11944,S200000,00200,0300,83814- 11944,S200000,00300,0100,KOOTENAI 11944,S200000,00300,0200,0013 11944,S200000,00300,0300,R 11944,S200000,00400,0100,PINEWOOD CARE CENTER 11944,S200000,00400,0200,135052 11944,S200000,00400,0300,01/01/1987 11944,S200000,00400,0500,P 11944,S200000,01500,0100,Y 11944,S200000,02200,0100,Y 11944,S200000,02800,0100,Y 11951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11951,A000000,00300,0000,00300EMPLOYEE BENEFITS 11951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11951,A000000,00700,0000,00700HOUSEKEEPING 11951,A000000,00800,0000,00800DIETARY 11951,A000000,00900,0000,00900NURSING ADMINISTRATION 11951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11951,A000000,01100,0000,01100PHARMACY 11951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11951,A000000,01300,0000,01300SOCIAL SERVICE 11951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11951,A000000,01600,0000,01600SKILLED NURSING FACILITY 11951,A000000,01800,0000,01800NURSING FACILITY 11951,A000000,01900,0000,01900OTHER LONG TERM CARE 11951,A000000,02100,0000,02100RADIOLOGY 11951,A000000,02200,0000,02200LABORATORY 11951,A000000,02300,0000,02300INTRAVENOUS THERAPY 11951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11951,A000000,02500,0000,02500PHYSICAL THERAPY 11951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11951,A000000,02700,0000,02700SPEECH PATHOLOGY 11951,A000000,02800,0000,02800ELECTROCARDIOLOGY 11951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11951,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 11951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11951,A000000,03200,0000,03200SUPPORT SURFACES 11951,A000000,03400,0000,03400CLINIC 11951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 11951,A000000,04800,0000,04800AMBULANCE 11951,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11951,A000000,05000,0000,05000CORF 11951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11951,A000000,05300,0000,05300INTEREST EXPENSE 11951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11951,A000000,05500,0000,05500HOSPICE 11951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11951,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11951,A000000,06100,0000,06100NONPAID WORKERS 11951,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 11951,A000000,06200,0000,06200PATIENTS LAUNDRY 11951,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11951,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11951,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11951,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11951,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11951,B100000,00000,0800,00000MEALS SERVED :DIETARY 11951,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 11951,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11951,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11951,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11951,S000000,00100,0200,02/01/2001 11951,S200000,00100,0100,1320 WEST 9TH ST. 11951,S200000,00200,0100,MT. CARMEL 11951,S200000,00200,0200,IL 11951,S200000,00200,0300,62863- 11951,S200000,00300,0100,WABASH 11951,S200000,00300,0200,14 11951,S200000,00300,0300,R 11951,S200000,00400,0100,GENERAL BAPTIST NURSING HOME 11951,S200000,00400,0200,145376 11951,S200000,00400,0300,02/01/1979 11951,S200000,00400,0500,P 11951,S200000,01600,0100,Y 11960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11960,A000000,00300,0000,00300EMPLOYEE BENEFITS 11960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11960,A000000,00700,0000,00700HOUSEKEEPING 11960,A000000,00800,0000,00800DIETARY 11960,A000000,00900,0000,00900NURSING ADMINISTRATION 11960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11960,A000000,01100,0000,01100PHARMACY 11960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11960,A000000,01300,0000,01300SOCIAL SERVICE 11960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11960,A000000,01600,0000,01600SKILLED NURSING FACILITY 11960,A000000,01800,0000,01800NURSING FACILITY 11960,A000000,01900,0000,01900OTHER LONG TERM CARE 11960,A000000,02100,0000,02100RADIOLOGY 11960,A000000,02200,0000,02200LABORATORY 11960,A000000,02300,0000,02300INTRAVENOUS THERAPY 11960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11960,A000000,02500,0000,02500PHYSICAL THERAPY 11960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11960,A000000,02700,0000,02700SPEECH PATHOLOGY 11960,A000000,02800,0000,02800ELECTROCARDIOLOGY 11960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11960,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11960,A000000,03200,0000,03200SUPPORT SURFACES 11960,A000000,03400,0000,03400CLINIC 11960,A000000,04800,0000,04800AMBULANCE 11960,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11960,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11960,A000000,05300,0000,05300INTEREST EXPENSE 11960,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11960,A000000,06100,0000,06100NONPAID WORKERS 11960,A000000,06200,0000,06200PATIENTS LAUNDRY 11960,A81000A,00100,0100,Y 11960,A81000B,00100,0300,CAPITAL 11960,A81000B,00200,0300,CAPITAL 11960,A81000B,00300,0300,ADMIN 11960,A81000B,00400,0300,NURSING 11960,A81000B,00500,0300,NURSING 11960,A81000C,00100,0100,B 11960,A81000C,00100,0200,MARRIOTT SLS 11960,A81000C,00100,0400,MARRIOTT SLS 11960,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11960,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 11960,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11960,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11960,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11960,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11960,B100000,00000,0800,00000MEALS SERVED :DIETARY 11960,B100000,00000,0950,00000HEALTHCARE DAYS :NURSING ADMINISTR 11960,B100000,00000,1250,00000HEALTHCARE DAYS :MEDICAL RECORDS & 11960,B100000,00000,1330,00000HEALTHCARE DAYS :SOCIAL SERVICE 11960,S000000,00100,0200,06/27/2001 11960,S200000,00100,0100,1250 WEST CENTRAL ROAD 11960,S200000,00200,0100,ARLINGTON HEIGHTS 11960,S200000,00200,0200,IL 11960,S200000,00200,0300,60005- 11960,S200000,00300,0100,COOK 11960,S200000,00300,0200,1600 11960,S200000,00300,0300,U 11960,S200000,00400,0100,CHURCH CREEK 11960,S200000,00400,0200,145640 11960,S200000,00400,0300,01/07/1999 11960,S200000,00400,0500,P 11960,S200000,00600,0200,145640 11960,S200000,00600,0300,01/07/1999 11960,S200000,00600,0600,P 11960,S200000,01600,0100,Y 11976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11976,A000000,00300,0000,00300EMPLOYEE BENEFITS 11976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11976,A000000,00700,0000,00700HOUSEKEEPING 11976,A000000,00800,0000,00800DIETARY 11976,A000000,00900,0000,00900NURSING ADMINISTRATION 11976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11976,A000000,01300,0000,01300SOCIAL SERVICE 11976,A000000,01600,0000,01600SKILLED NURSING FACILITY 11976,A000000,01800,0000,01800NURSING FACILITY 11976,A000000,02100,0000,02100RADIOLOGY 11976,A000000,02200,0000,02200LABORATORY 11976,A000000,02500,0000,02500PHYSICAL THERAPY 11976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11976,A000000,02700,0000,02700SPEECH PATHOLOGY 11976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11976,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11976,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11976,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11976,B100000,00000,0800,00000MEALS SERVED :DIETARY 11976,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 11976,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 11976,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11976,S000000,00100,0200,01/29/2001 11976,S200000,00100,0100,505 COLLEGE AVENUE 11976,S200000,00200,0100,OTTAWA 11976,S200000,00200,0200,IL 11976,S200000,00200,0300,61350- 11976,S200000,00300,0100,LASALLE 11976,S200000,00300,0200,1400 11976,S200000,00300,0300,R 11976,S200000,00400,0100,PLEASANT VIEW LUTHER HOME 11976,S200000,00400,0200,145801 11976,S200000,00400,0300,09/01/1994 11976,S200000,00400,0500,P 11976,S200000,00400,0600,O 11976,S200000,00600,0200,145801 11976,S200000,00600,0300,09/01/1994 11976,S200000,00600,0600,P 11976,S200000,01600,0100,Y 11983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11983,A000000,00300,0000,00300EMPLOYEE BENEFITS 11983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11983,A000000,00700,0000,00700HOUSEKEEPING 11983,A000000,00800,0000,00800DIETARY 11983,A000000,00900,0000,00900NURSING ADMINISTRATION 11983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11983,A000000,01100,0000,01100PHARMACY 11983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11983,A000000,01300,0000,01300SOCIAL SERVICE 11983,A000000,01350,0000,01500OTHER GENERAL SERVICES 11983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11983,A000000,01600,0000,01600SKILLED NURSING FACILITY 11983,A000000,01800,0000,01800NURSING FACILITY 11983,A000000,01810,0000,01801ICF/MR 11983,A000000,01900,0000,01900OTHER LONG TERM CARE 11983,A000000,02100,0000,02100RADIOLOGY 11983,A000000,02200,0000,02200LABORATORY 11983,A000000,02300,0000,02300INTRAVENOUS THERAPY 11983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11983,A000000,02500,0000,02500PHYSICAL THERAPY 11983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11983,A000000,02700,0000,02700SPEECH PATHOLOGY 11983,A000000,02800,0000,02800ELECTROCARDIOLOGY 11983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11983,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11983,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11983,A000000,03200,0000,03200SUPPORT SURFACES 11983,A000000,03400,0000,03400CLINIC 11983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11983,A000000,03500,0000,03500RURAL HEALTH CLINIC 11983,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 11983,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 11983,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 11983,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 11983,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 11983,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 11983,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 11983,A000000,04400,0000,04400DME RENTED - HHA 11983,A000000,04500,0000,04500DME SOLD - HHA 11983,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 11983,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 11983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11983,A000000,04800,0000,04800AMBULANCE 11983,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11983,A000000,05000,0000,05000CORF 11983,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11983,A000000,05300,0000,05300INTEREST EXPENSE 11983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11983,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11983,A000000,05500,0000,05500HOSPICE 11983,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11983,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11983,A000000,06100,0000,06100NONPAID WORKERS 11983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11983,A000000,06200,0000,06200PATIENTS LAUNDRY 11983,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 11983,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 11983,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 11983,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11983,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 11983,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11983,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 11983,B100000,00000,0800,00000MEALS :DIETARY 11983,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11983,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 11983,B100000,00000,1150,00000NO STATISTICS :PHARMACY 11983,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11983,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11983,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 11983,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 11983,S000000,00100,0200,06/01/2000 11983,S200000,00100,0100,700 EAST EUCLID 11983,S200000,00200,0100,PROSPECT HEIGHTS 11983,S200000,00200,0200,IL 11983,S200000,00200,0300,60070- 11983,S200000,00300,0100,COOK 11983,S200000,00400,0100,BRIGHTON GARDENS OF PROSPECT HEIGHTS 11983,S200000,00400,0200,145852 11983,S200000,00400,0300,11/01/1995 11983,S200000,00400,0500,P 11983,S200000,01004,0500,O 11983,S200000,01600,0100,Y 11983,S700003,00000,0400,4 11991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 11991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 11991,A000000,00300,0000,00300EMPLOYEE BENEFITS 11991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 11991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 11991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 11991,A000000,00700,0000,00700HOUSEKEEPING 11991,A000000,00800,0000,00800DIETARY 11991,A000000,00900,0000,00900NURSING ADMINISTRATION 11991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 11991,A000000,01100,0000,01100PHARMACY 11991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 11991,A000000,01300,0000,01300SOCIAL SERVICE 11991,A000000,01350,0000,01500OTHER GENERAL SERVICES 11991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 11991,A000000,01600,0000,01600SKILLED NURSING FACILITY 11991,A000000,01800,0000,01800NURSING FACILITY 11991,A000000,01900,0000,01900OTHER LONG TERM CARE 11991,A000000,02100,0000,02100RADIOLOGY 11991,A000000,02200,0000,02200LABORATORY 11991,A000000,02300,0000,02300INTRAVENOUS THERAPY 11991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 11991,A000000,02500,0000,02500PHYSICAL THERAPY 11991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 11991,A000000,02700,0000,02700SPEECH PATHOLOGY 11991,A000000,02800,0000,02800ELECTROCARDIOLOGY 11991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 11991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 11991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 11991,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 11991,A000000,03200,0000,03200SUPPORT SURFACES 11991,A000000,03400,0000,03400CLINIC 11991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 11991,A000000,03500,0000,03500RURAL HEALTH CLINIC 11991,A000000,04750,0000,05100OTHER REIMBURSABLE COST 11991,A000000,04800,0000,04800AMBULANCE 11991,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 11991,A000000,05000,0000,05000CORF 11991,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 11991,A000000,05300,0000,05300INTEREST EXPENSE 11991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 11991,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 11991,A000000,05500,0000,05500HOSPICE 11991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 11991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 11991,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 11991,A000000,06100,0000,06100NONPAID WORKERS 11991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 11991,A000000,06200,0000,06200PATIENTS LAUNDRY 11991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 11991,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 11991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 11991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 11991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 11991,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 11991,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 11991,B100000,00000,0800,00000MEALS SERVED :DIETARY 11991,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 11991,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 11991,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 11991,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 11991,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 11991,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 11991,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 11991,S000000,00100,0200,01/26/2000 11991,S200000,00100,0100,6801 HIGH GROVE ROAD 11991,S200000,00200,0100,BURR RIDGE 11991,S200000,00200,0200,IL 11991,S200000,00200,0300,60521- 11991,S200000,00300,0100,DUPAGE 11991,S200000,00400,0100,BRIGHTON GARDENS OF BURR RIDGE 11991,S200000,00400,0200,145854 11991,S200000,00400,0300,10/17/1995 11991,S200000,00400,0500,P 11991,S200000,01004,0500,O 11991,S200000,01600,0100,Y 11991,S700003,00000,0400,4 12002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12002,A000000,00300,0000,00300EMPLOYEE BENEFITS 12002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12002,A000000,00700,0000,00700HOUSEKEEPING 12002,A000000,00800,0000,00800DIETARY 12002,A000000,00900,0000,00900NURSING ADMINISTRATION 12002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12002,A000000,01100,0000,01100PHARMACY 12002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12002,A000000,01300,0000,01300SOCIAL SERVICE 12002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12002,A000000,01600,0000,01600SKILLED NURSING FACILITY 12002,A000000,01800,0000,01800NURSING FACILITY 12002,A000000,01810,0000,01810ICF/MR 12002,A000000,02100,0000,02100RADIOLOGY 12002,A000000,02200,0000,02200LABORATORY 12002,A000000,02500,0000,02500PHYSICAL THERAPY 12002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12002,A000000,02700,0000,02700SPEECH PATHOLOGY 12002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12002,A000000,03550,0000,03550FQHC 12002,A000000,04800,0000,04800AMBULANCE 12002,A000000,05000,0000,05000CORF 12002,A000000,05010,0000,05010CMHC 12002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12002,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12002,A000000,05901,0000,05910NONREIMBURSABLE SUPPLIES 12002,A000000,05902,0000,05920DAY CARE 12002,A81000A,00100,0100,Y 12002,A81000B,00100,0300,RENT 12002,A81000B,00200,0300,COMPUTER INTEREST 12002,A81000B,00300,0300,SPRINKLER INTEREST 12002,A81000B,00400,0300,MANAGEMENT SERVICES 12002,A81000B,00500,0300,HOUSEKEEPING SUPPLIE 12002,A81000B,00600,0300,FED DEFICIT INTEREST 12002,A81000C,00100,0100,G 12002,A81000C,00100,0200,JEWISH FEDERATI 12002,A81000C,00100,0400,CONSTITUENT AGE 12002,A81000C,00100,0600,RELIGIOUS ORG 12002,B100000,00000,0100,00020SQUARE FEET :CAP REL COSTS - BLDGS 12002,B100000,00000,0250,00020SQUARE FEET :CAP REL COSTS - MOVAB 12002,B100000,00000,0300,00020GROSS SALARIES :EMPLOYEE BENEFITS 12002,B100000,00000,0400,00020 ACCUM. COST :ADMINISTRATIVE & GENE 12002,B100000,00000,0500,00020SQUARE FEET :PLANT OPERATION MAIN 12002,B100000,00000,0600,00020POUNDS OF LAUNDRY :LAUNDRY & LINEN 12002,B100000,00000,0750,00020SQUARE FEET :HOUSEKEEPING 12002,B100000,00000,0800,00020MEALS SERVED :DIETARY 12002,B100000,00000,0950,00020DIRECT NRSG HRS :NURSING ADMINISTRA 12002,B100000,00000,1000,00020COSTED REQUIS :CENTRAL SERVICES & 12002,B100000,00000,1100,00020COSTED REQUIS :PHARMACY 12002,B100000,00000,1250,00020PATIENT REVENUES :MEDICAL RECORDS 12002,B100000,00000,1300,00020TIME SPENT :SOCIAL SERVICE 12002,B100000,00000,1400,00020ASSIGNED TIME :INTERNS & RESIDENTS 12002,S000000,00100,0200,05/31/2000 12002,S200000,00100,0100,7001 HOOVER ROAD 12002,S200000,00200,0100,INDIANAPOLIS 12002,S200000,00200,0200,IN 12002,S200000,00200,0300,46260- 12002,S200000,00300,0100,MARION 12002,S200000,00400,0100,HOOVERWOOD 12002,S200000,00400,0200,155001 12002,S200000,00400,0300,01/01/1967 12002,S200000,00400,0500,P 12002,S200000,00600,0200,155001 12002,S200000,00600,0300,01/01/1967 12002,S200000,00600,0600,P 12002,S200000,01600,0100,Y 12002,S200000,02200,0100,Y 12002,S700003,00000,0100,1 12006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12006,A000000,00300,0000,00300EMPLOYEE BENEFITS 12006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12006,A000000,00700,0000,00700HOUSEKEEPING 12006,A000000,00800,0000,00800DIETARY 12006,A000000,00900,0000,00900NURSING ADMINISTRATION 12006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12006,A000000,01300,0000,01300SOCIAL SERVICE 12006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12006,A000000,01600,0000,01600SKILLED NURSING FACILITY 12006,A000000,01800,0000,01800NURSING FACILITY 12006,A000000,01900,0000,01900OTHER LONG TERM CARE 12006,A000000,02500,0000,02500PHYSICAL THERAPY 12006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12006,A000000,02700,0000,02700SPEECH PATHOLOGY 12006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12006,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12006,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12006,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12006,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12006,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12006,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12006,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12006,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12006,B100000,00000,0800,00000MEALS SERVED :DIETARY 12006,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12006,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12006,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12006,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12006,S000000,00100,0200,05/02/2000 12006,S200000,00100,0100,900 PROVIDENT DRIVE 12006,S200000,00200,0100,WARSAW 12006,S200000,00200,0200,IN 12006,S200000,00200,0300,46580- 12006,S200000,00300,0100,KOSCIUSKO 12006,S200000,00400,0100,MASON HEALTH CARE FACILITY 12006,S200000,00400,0200,155003 12006,S200000,00400,0300,09/01/1989 12006,S200000,00400,0500,P 12006,S200000,01600,0100,Y 12008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12008,A000000,00300,0000,00300EMPLOYEE BENEFITS 12008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12008,A000000,00700,0000,00700HOUSEKEEPING 12008,A000000,00800,0000,00800DIETARY 12008,A000000,00900,0000,00900NURSING ADMINISTRATION 12008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12008,A000000,01100,0000,01100PHARMACY 12008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12008,A000000,01300,0000,01300SOCIAL SERVICE 12008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12008,A000000,01600,0000,01600SKILLED NURSING FACILITY 12008,A000000,01900,0000,01900OTHER LONG TERM CARE 12008,A000000,02100,0000,02100RADIOLOGY 12008,A000000,02200,0000,02200LABORATORY 12008,A000000,02300,0000,02300INTRAVENOUS THERAPY 12008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12008,A000000,02500,0000,02500PHYSICAL THERAPY 12008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12008,A000000,02700,0000,02700SPEECH PATHOLOGY 12008,A000000,02800,0000,02800ELECTROCARDIOLOGY 12008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12008,A000000,03200,0000,03200SUPPORT SURFACES 12008,A000000,03400,0000,03400CLINIC 12008,A000000,04800,0000,04800AMBULANCE 12008,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12008,A000000,05300,0000,05300INTEREST EXPENSE 12008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12008,A000000,06100,0000,06100NONPAID WORKERS 12008,A000000,06200,0000,06200PATIENTS LAUNDRY 12008,A81000A,00100,0100,Y 12008,A81000B,00100,0300,CAPITAL 12008,A81000B,00200,0300,ADMIN & GENERAL 12008,A81000C,00100,0100,F 12008,A81000C,00100,0200,TLC MANAGEMENT 12008,A81000C,00100,0400,TLC MANAGEMENT 12008,A81000C,00100,0600,HEALTHCARE MGMT 12008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12008,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12008,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 12008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12008,B100000,00000,0800,00000MEALS SERVED :DIETARY 12008,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 12008,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12008,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12008,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 12008,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12008,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12008,S000000,00100,0200,04/17/2000 12008,S200000,00100,0100,900 PROVIDENT DRIVE 12008,S200000,00200,0100,WARSAW 12008,S200000,00200,0200,IN 12008,S200000,00200,0300,46580- 12008,S200000,00300,0100,KOSCIUSKO 12008,S200000,00400,0100,MASON HEALTH CARE CENTER 12008,S200000,00400,0200,155003 12008,S200000,00400,0300,09/24/1999 12008,S200000,00400,0500,P 12008,S200000,01600,0100,Y 12008,S200000,04700,0100,Y 12008,S700003,00000,0200,2 12021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12021,A000000,00300,0000,00300EMPLOYEE BENEFITS 12021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12021,A000000,00700,0000,00700HOUSEKEEPING 12021,A000000,00800,0000,00800DIETARY 12021,A000000,00900,0000,00900NURSING ADMINISTRATION 12021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12021,A000000,01100,0000,01100PHARMACY 12021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12021,A000000,01300,0000,01300SOCIAL SERVICE 12021,A000000,01350,0000,01500OTHER GENERAL SERVICES 12021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12021,A000000,01600,0000,01600SKILLED NURSING FACILITY 12021,A000000,01800,0000,01800NURSING FACILITY 12021,A000000,01810,0000,01801ICF/MR 12021,A000000,01900,0000,01900OTHER LONG TERM CARE 12021,A000000,02100,0000,02100RADIOLOGY 12021,A000000,02200,0000,02200LABORATORY 12021,A000000,02300,0000,02300INTRAVENOUS THERAPY 12021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12021,A000000,02500,0000,02500PHYSICAL THERAPY 12021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12021,A000000,02700,0000,02700SPEECH PATHOLOGY 12021,A000000,02800,0000,02800ELECTROCARDIOLOGY 12021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12021,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12021,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12021,A000000,03200,0000,03200SUPPORT SURFACES 12021,A000000,03400,0000,03400CLINIC 12021,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12021,A000000,03500,0000,03500RURAL HEALTH CLINIC 12021,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12021,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12021,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12021,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12021,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12021,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12021,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12021,A000000,04400,0000,04400DME RENTED - HHA 12021,A000000,04500,0000,04500DME SOLD - HHA 12021,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12021,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12021,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12021,A000000,04800,0000,04800AMBULANCE 12021,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12021,A000000,05000,0000,05000CORF 12021,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12021,A000000,05300,0000,05300INTEREST EXPENSE 12021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12021,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12021,A000000,05500,0000,05500HOSPICE 12021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12021,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12021,A000000,06100,0000,06100NONPAID WORKERS 12021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12021,A000000,06200,0000,06200PATIENTS LAUNDRY 12021,A81000A,00100,0100,Y 12021,A81000B,00100,0300,HOME OFFICE COSTS 12021,A81000B,00200,0300,RELATED PARTY LEASE 12021,A81000B,00300,0300,RELATED PARTY THERAPY 12021,A81000B,00400,0300,RELATED PARTY THERAPY 12021,A81000B,00500,0300,RELATED PARTY THERAPY 12021,A81000C,00100,0100,B 12021,A81000C,00100,0400,MHS INC 12021,A81000C,00100,0600,NURSING HOMES 12021,A81000C,00200,0100,A 12021,A81000C,00200,0400,MMM INVESTMENT 12021,A81000C,00200,0600,PROPERTY LEASING 12021,A81000C,00300,0100,A 12021,A81000C,00300,0400,THERACARE 12021,A81000C,00300,0600,THERAPY MANAGEMENT 12021,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12021,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 12021,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12021,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12021,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12021,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12021,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12021,B100000,00000,0800,00000MEALS SERVED :DIETARY 12021,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12021,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12021,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12021,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12021,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12021,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12021,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12021,S000000,00100,0200,06/16/2000 12021,S200000,00100,0100,1035 MANCHESTER AVENUE 12021,S200000,00200,0100,WABASH 12021,S200000,00200,0200,IN 12021,S200000,00200,0300,46992- 12021,S200000,00300,0100,WABASH 12021,S200000,00400,0100,MHS INC. D/B/A MMM - WABASH EAST 12021,S200000,00400,0200,155006 12021,S200000,00400,0300,01/01/1967 12021,S200000,00400,0500,P 12021,S200000,01600,0100,Y 12021,S200000,02200,0100,Y 12021,S200000,02800,0100,Y 12033,S000000,00100,0200,03/02/2000 12041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12041,A000000,00300,0000,00300EMPLOYEE BENEFITS 12041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12041,A000000,00700,0000,00700HOUSEKEEPING 12041,A000000,00800,0000,00800DIETARY 12041,A000000,00900,0000,00900NURSING ADMINISTRATION 12041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12041,A000000,01100,0000,01100PHARMACY 12041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12041,A000000,01300,0000,01300SOCIAL SERVICE 12041,A000000,01350,0000,01500ACTIVITIES 12041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12041,A000000,01600,0000,01600SKILLED NURSING FACILITY 12041,A000000,01800,0000,01800NURSING FACILITY 12041,A000000,01900,0000,01900OTHER LONG TERM CARE 12041,A000000,02100,0000,02100RADIOLOGY 12041,A000000,02200,0000,02200LABORATORY 12041,A000000,02300,0000,02300INTRAVENOUS THERAPY 12041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12041,A000000,02500,0000,02500PHYSICAL THERAPY 12041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12041,A000000,02700,0000,02700SPEECH PATHOLOGY 12041,A000000,02800,0000,02800ELECTROCARDIOLOGY 12041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12041,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12041,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12041,A000000,03200,0000,03200SUPPORT SURFACES 12041,A000000,03400,0000,03400CLINIC 12041,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12041,A000000,03500,0000,03500RURAL HEALTH CLINIC 12041,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12041,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12041,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12041,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12041,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12041,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12041,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12041,A000000,04400,0000,04400DME RENTED - HHA 12041,A000000,04500,0000,04500DME SOLD - HHA 12041,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12041,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12041,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12041,A000000,04800,0000,04800AMBULANCE 12041,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12041,A000000,05000,0000,05000CORF 12041,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12041,A000000,05300,0000,05300INTEREST EXPENSE 12041,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12041,A000000,05500,0000,05500HOSPICE 12041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12041,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12041,A000000,06100,0000,06100NONPAID WORKERS 12041,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12041,A000000,06200,0000,06200PATIENTS LAUNDRY 12041,A81000A,00100,0100,Y 12041,A81000B,00100,0300,SPACE RENTAL INCOME 12041,A81000B,00200,0300,CAPITAL RELATED 12041,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 12041,A81000B,00400,0300,MANAGEMENT FEES 12041,A81000C,00100,0100,G 12041,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12041,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12041,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12041,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12041,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12041,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12041,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 12041,B100000,00000,0800,00000MEALS SERVED :DIETARY 12041,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 12041,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12041,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12041,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12041,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12041,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12041,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12041,S000000,00100,0200,08/04/1999 12041,S200000,00100,0100,2309 S. MILLER STREET 12041,S200000,00200,0100,SHELBYVILLE 12041,S200000,00200,0200,IN 12041,S200000,00200,0300,46176- 12041,S200000,00300,0100,SHELBY 12041,S200000,00400,0100,HERITAGE HOUSE CONVALESCENT CENTER 12041,S200000,00400,0200,155022 12041,S200000,00400,0300,01/01/1967 12041,S200000,00400,0500,P 12041,S200000,01600,0100,Y 12044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12044,A000000,00300,0000,00300EMPLOYEE BENEFITS 12044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12044,A000000,00700,0000,00700HOUSEKEEPING 12044,A000000,00800,0000,00800DIETARY 12044,A000000,00900,0000,00900NURSING ADMINISTRATION 12044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12044,A000000,01100,0000,01100PHARMACY 12044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12044,A000000,01300,0000,01300SOCIAL SERVICE 12044,A000000,01350,0000,01500ACTIVITIES 12044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12044,A000000,01600,0000,01600SKILLED NURSING FACILITY 12044,A000000,01800,0000,01800NURSING FACILITY 12044,A000000,01810,0000,01810ICF/MR 12044,A000000,01900,0000,01900OTHER LONG TERM CARE 12044,A000000,02100,0000,02100RADIOLOGY 12044,A000000,02200,0000,02200LABORATORY 12044,A000000,02300,0000,02300INTRAVENOUS THERAPY 12044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12044,A000000,02500,0000,02500PHYSICAL THERAPY 12044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12044,A000000,02700,0000,02700SPEECH PATHOLOGY 12044,A000000,02800,0000,02800ELECTROCARDIOLOGY 12044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12044,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12044,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12044,A000000,03200,0000,03200SUPPORT SURFACES 12044,A000000,03400,0000,03400CLINIC 12044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12044,A000000,03500,0000,03500RURAL HEALTH CLINIC 12044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12044,A000000,04800,0000,04800AMBULANCE 12044,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12044,A000000,05000,0000,05000CORF 12044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12044,A000000,05300,0000,05300INTEREST EXPENSE 12044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12044,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12044,A000000,05500,0000,05500HOSPICE 12044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12044,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12044,A000000,06100,0000,06100NONPAID WORKERS 12044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12044,A000000,06200,0000,06200PATIENTS LAUNDRY 12044,A81000A,00100,0100,Y 12044,A81000B,00100,0300,CAPITAL RELATED 12044,A81000B,00200,0300,ADMIN & GENERAL 12044,A81000B,00300,0300,MANAGEMENT FEES 12044,A81000C,00100,0100,G 12044,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12044,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12044,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12044,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12044,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 12044,B100000,00000,0800,00000MEALS SERVED :DIETARY 12044,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 12044,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12044,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12044,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12044,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12044,S000000,00100,0200,07/14/2000 12044,S200000,00100,0100,2309 S. MILLER STREET 12044,S200000,00200,0100,SHELBYVILLE 12044,S200000,00200,0200,IN 12044,S200000,00200,0300,46176- 12044,S200000,00300,0100,SHELBY 12044,S200000,00300,0200,3480 12044,S200000,00300,0300,U 12044,S200000,00400,0100,HERITAGE HOUSE CONVALESCENT CENTER 12044,S200000,00400,0200,155022 12044,S200000,00400,0300,01/01/1967 12044,S200000,00400,0500,P 12044,S200000,01600,0100,Y 12052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12052,A000000,00300,0000,00300EMPLOYEE BENEFITS 12052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12052,A000000,00700,0000,00700HOUSEKEEPING 12052,A000000,00800,0000,00800DIETARY 12052,A000000,00900,0000,00900NURSING ADMINISTRATION 12052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12052,A000000,01100,0000,01100PHARMACY 12052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12052,A000000,01300,0000,01300SOCIAL SERVICE 12052,A000000,01350,0000,01500RECREATIONAL THERAPY 12052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12052,A000000,01600,0000,01600SKILLED NURSING FACILITY 12052,A000000,01800,0000,01800NURSING FACILITY 12052,A000000,01810,0000,01810ICF/MR 12052,A000000,02100,0000,02100RADIOLOGY 12052,A000000,02200,0000,02200LABORATORY 12052,A000000,02500,0000,02500PHYSICAL THERAPY 12052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12052,A000000,02700,0000,02700SPEECH PATHOLOGY 12052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12052,A000000,03200,0000,03200SUPPORT SURFACES 12052,A000000,03550,0000,03550FQHC 12052,A000000,04800,0000,04800AMBULANCE 12052,A000000,05000,0000,05000CORF 12052,A000000,05010,0000,05010CMHC 12052,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12052,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12052,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12052,A81000A,00100,0100,Y 12052,A81000B,00100,0300,MANAGEMENT FEES 12052,A81000B,00200,0300,HOME OFFICE EXPENSES 12052,A81000B,00300,0300,ANCILLARY ADMIN EXP 12052,A81000B,00400,0300,BOOKKEEPING SVCS 12052,A81000B,00500,0300,ACCOUNTING FEES 12052,A81000B,00600,0300,DATA PROCESSING 12052,A81000B,00700,0300,DIETARY CONSULTANT 12052,A81000B,00800,0300,RENT 12052,A81000B,00900,0300,MORTGAGE INTEREST 12052,A81000B,01000,0300,DEPR EXPENSE 12052,A81000B,01100,0300,BLDG CO ADMIN EXP 12052,A81000C,00100,0100,A 12052,A81000C,00100,0200,ERIC ROTHNER 12052,A81000C,00100,0400,CARE CENTERS I 12052,A81000C,00100,0600,MAANAGEMENT CO. 12052,A81000C,00200,0100,B 12052,A81000C,00200,0200,ERIC ROTHNER 12052,A81000C,00200,0400,MIDTOWN H.C. PR 12052,A81000C,00200,0600,BUILDING CO. 12052,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 12052,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 12052,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 12052,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 12052,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 12052,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 12052,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 12052,B100000,00000,0800,00040MEALS SERVED :DIETARY 12052,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 12052,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 12052,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 12052,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 12052,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 12052,B100000,00000,1350,00040PATIENT DAYS :RECREATIONAL THERAPY 12052,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 12052,S000000,00100,0200,06/02/2000 12052,S200000,00100,0100,1700 N. ILLINOIS STREET 12052,S200000,00200,0100,INDIANAPOLIS 12052,S200000,00200,0200,IN 12052,S200000,00200,0300,46202- 12052,S200000,00300,0100,MARION 12052,S200000,00400,0100,MIDTOWN NRSG. & REHAB. CENTER 12052,S200000,00400,0200,155028 12052,S200000,00400,0300,01/19/1967 12052,S200000,00400,0500,P 12052,S200000,00600,0200,155028 12052,S200000,00600,0300,01/19/1967 12052,S200000,00600,0600,P 12052,S200000,01600,0100,Y 12052,S200000,02200,0100,Y 12052,S700003,00000,0100,1 12061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12061,A000000,00300,0000,00300EMPLOYEE BENEFITS 12061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12061,A000000,00700,0000,00700HOUSEKEEPING 12061,A000000,00800,0000,00800DIETARY 12061,A000000,00900,0000,00900NURSING ADMINISTRATION 12061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12061,A000000,01100,0000,01100PHARMACY 12061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12061,A000000,01300,0000,01300SOCIAL SERVICE 12061,A000000,01350,0000,01500RECREATIONAL THERAPY 12061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12061,A000000,01600,0000,01600SKILLED NURSING FACILITY 12061,A000000,01800,0000,01800NURSING FACILITY 12061,A000000,01810,0000,01810ICF/MR 12061,A000000,02100,0000,02100RADIOLOGY 12061,A000000,02200,0000,02200LABORATORY 12061,A000000,02500,0000,02500PHYSICAL THERAPY 12061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12061,A000000,02700,0000,02700SPEECH PATHOLOGY 12061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12061,A000000,03200,0000,03200SUPPORT SURFACES 12061,A000000,03550,0000,03550FQHC 12061,A000000,04800,0000,04800AMBULANCE 12061,A000000,05000,0000,05000CORF 12061,A000000,05010,0000,05010CMHC 12061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12061,A81000A,00100,0100,Y 12061,A81000B,00100,0300,MANAGEMENT FEES 12061,A81000B,00200,0300,HOME OFFICE EXPENSES 12061,A81000B,00300,0300,ANCILLARY ADMIN SVCS 12061,A81000B,00400,0300,DIETARY CONSULTANT 12061,A81000B,00500,0300,BOOKKEEPING SVCS 12061,A81000B,00600,0300,ACCOUNTING FEES 12061,A81000B,00700,0300,DATA PROCESSING 12061,A81000B,00800,0300,RENT 12061,A81000B,00900,0300,MORTGAGE INTEREST 12061,A81000B,01000,0300,DEPR EXPENSE 12061,A81000B,01100,0300,BLDG CO. ADMIN EXP 12061,A81000C,00100,0100,A 12061,A81000C,00100,0200,ERIC ROTHNER 12061,A81000C,00100,0400,CARE CENTERS I 12061,A81000C,00100,0600,MANAGEMENT CO. 12061,A81000C,00200,0100,B 12061,A81000C,00200,0200,ERIC ROTHNER 12061,A81000C,00200,0400,COMMUNITY H.C. 12061,A81000C,00200,0600,BUILDING CO. 12061,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12061,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12061,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12061,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12061,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12061,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12061,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12061,B100000,00000,0800,00000MEALS SERVED :DIETARY 12061,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12061,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12061,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12061,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12061,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12061,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12061,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12061,S000000,00100,0200,06/02/2000 12061,S200000,00100,0100,5600 EAST 16TH STREET 12061,S200000,00200,0100,INDIANAPOLIS 12061,S200000,00200,0200,IN 12061,S200000,00200,0300,46218- 12061,S200000,00300,0100,MARION 12061,S200000,00400,0100,COMMUNITY NRSG. & REHAB. CTR. 12061,S200000,00400,0200,155029 12061,S200000,00400,0300,01/19/1993 12061,S200000,00400,0500,P 12061,S200000,00600,0200,155029 12061,S200000,00600,0300,01/19/1993 12061,S200000,00600,0600,P 12061,S200000,01600,0100,Y 12061,S200000,02200,0100,Y 12061,S700003,00000,0100,1 12071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12071,A000000,00300,0000,00300EMPLOYEE BENEFITS 12071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12071,A000000,00700,0000,00700HOUSEKEEPING 12071,A000000,00800,0000,00800DIETARY 12071,A000000,00900,0000,00900NURSING ADMINISTRATION 12071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12071,A000000,01100,0000,01100PHARMACY 12071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12071,A000000,01300,0000,01300SOCIAL SERVICE 12071,A000000,01350,0000,01500OTHER GENERAL SERVICES 12071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12071,A000000,01600,0000,01600SKILLED NURSING FACILITY 12071,A000000,01800,0000,01800NURSING FACILITY 12071,A000000,01810,0000,01801ICF/MR 12071,A000000,01900,0000,01900OTHER LONG TERM CARE 12071,A000000,02100,0000,02100RADIOLOGY 12071,A000000,02200,0000,02200LABORATORY 12071,A000000,02300,0000,02300INTRAVENOUS THERAPY 12071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12071,A000000,02500,0000,02500PHYSICAL THERAPY 12071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12071,A000000,02700,0000,02700SPEECH PATHOLOGY 12071,A000000,02800,0000,02800ELECTROCARDIOLOGY 12071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12071,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12071,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12071,A000000,03200,0000,03200SUPPORT SURFACES 12071,A000000,03400,0000,03400CLINIC 12071,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12071,A000000,03500,0000,03500RURAL HEALTH CLINIC 12071,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12071,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12071,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12071,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12071,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12071,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12071,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12071,A000000,04400,0000,04400DME RENTED - HHA 12071,A000000,04500,0000,04500DME SOLD - HHA 12071,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12071,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12071,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12071,A000000,04800,0000,04800AMBULANCE 12071,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12071,A000000,05000,0000,05000CORF 12071,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12071,A000000,05300,0000,05300INTEREST EXPENSE 12071,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12071,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12071,A000000,05500,0000,05500HOSPICE 12071,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12071,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12071,A000000,06100,0000,06100NONPAID WORKERS 12071,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12071,A000000,06200,0000,06200PATIENTS LAUNDRY 12071,A81000A,00100,0100,Y 12071,A81000B,00100,0300,HOME OFFICE COSTS 12071,A81000B,00200,0300,RELATED PARTY LEASE 12071,A81000B,00300,0300,RELATED PARTY THERAPY 12071,A81000B,00400,0300,RELATED PARTY THERAPY 12071,A81000B,00500,0300,RELATED PARTY THERAPY 12071,A81000C,00100,0100,B 12071,A81000C,00100,0400,MHS INC 12071,A81000C,00100,0600,NURSING HOMES 12071,A81000C,00200,0100,A 12071,A81000C,00200,0400,MMM INVESTMENT 12071,A81000C,00200,0600,PROPERTY LEASING 12071,A81000C,00300,0100,A 12071,A81000C,00300,0400,THERACARE 12071,A81000C,00300,0600,THERAPY MANAGEMENT 12071,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12071,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12071,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12071,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12071,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12071,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12071,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12071,B100000,00000,0800,00000MEALS SERVED :DIETARY 12071,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12071,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12071,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12071,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12071,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12071,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12071,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12071,S000000,00100,0200,06/20/2000 12071,S200000,00100,0100,317 BLAIR PIKE 12071,S200000,00200,0100,PERU 12071,S200000,00200,0200,IN 12071,S200000,00200,0300,46970- 12071,S200000,00300,0100,MIAMI 12071,S200000,00400,0100,MHS INC. D/B/A MMM - PERU 12071,S200000,00400,0200,155039 12071,S200000,00400,0300,01/01/1967 12071,S200000,00400,0500,P 12071,S200000,01600,0100,Y 12071,S200000,02200,0100,Y 12071,S200000,02800,0100,Y 12081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12081,A000000,00300,0000,00300EMPLOYEE BENEFITS 12081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12081,A000000,00700,0000,00700HOUSEKEEPING 12081,A000000,00800,0000,00800DIETARY 12081,A000000,00900,0000,00900NURSING ADMINISTRATION 12081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12081,A000000,01100,0000,01100PHARMACY 12081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12081,A000000,01300,0000,01300SOCIAL SERVICE 12081,A000000,01350,0000,01301ACTIVITY 12081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12081,A000000,01600,0000,01600SKILLED NURSING FACILITY 12081,A000000,01800,0000,01800NURSING FACILITY 12081,A000000,01900,0000,01900OTHER LONG TERM CARE 12081,A000000,02100,0000,02100RADIOLOGY 12081,A000000,02200,0000,02200LABORATORY 12081,A000000,02300,0000,02300INTRAVENOUS THERAPY 12081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12081,A000000,02500,0000,02500PHYSICAL THERAPY 12081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12081,A000000,02700,0000,02700SPEECH PATHOLOGY 12081,A000000,02800,0000,02800ELECTROCARDIOLOGY 12081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12081,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12081,A000000,03200,0000,03200SUPPORT SURFACES 12081,A000000,03400,0000,03400CLINIC 12081,A000000,04800,0000,04800AMBULANCE 12081,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12081,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12081,A000000,05300,0000,05300INTEREST EXPENSE 12081,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12081,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12081,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12081,A000000,06100,0000,06100NONPAID WORKERS 12081,A000000,06200,0000,06200PATIENTS LAUNDRY 12081,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12081,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12081,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12081,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12081,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12081,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12081,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12081,B100000,00000,0800,00000MEALS SERVED :DIETARY 12081,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 12081,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12081,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12081,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12081,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12081,B100000,00000,1350,00000TIME SPENT :ACTIVITY 12081,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12081,S000000,00100,0200,05/11/2000 12081,S200000,00100,0100,6440 W. 34TH STREET 12081,S200000,00200,0100,INDIANAPOLIS 12081,S200000,00200,0200,IN 12081,S200000,00200,0300,46224- 12081,S200000,00300,0100,MARION 12081,S200000,00400,0100,NORTHWEST MANOR HEALTH CARE CENTER 12081,S200000,00400,0200,155041 12081,S200000,00400,0300,01/01/1968 12081,S200000,00400,0500,P 12081,S200000,00600,0200,155041 12081,S200000,00600,0300,01/01/1968 12081,S200000,00600,0600,P 12081,S200000,01600,0100,Y 12081,S700003,00000,0100,1 12091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12091,A000000,00300,0000,00300EMPLOYEE BENEFITS 12091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12091,A000000,00700,0000,00700HOUSEKEEPING 12091,A000000,00800,0000,00800DIETARY 12091,A000000,00900,0000,00900NURSING ADMINISTRATION 12091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12091,A000000,01100,0000,01100PHARMACY 12091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12091,A000000,01300,0000,01300SOCIAL SERVICE 12091,A000000,01350,0000,01500OTHER GENERAL SERVICES 12091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12091,A000000,01600,0000,01600SKILLED NURSING FACILITY 12091,A000000,01800,0000,01800NURSING FACILITY 12091,A000000,01810,0000,01801ICF/MR 12091,A000000,01900,0000,01900OTHER LONG TERM CARE 12091,A000000,02100,0000,02100RADIOLOGY 12091,A000000,02200,0000,02200LABORATORY 12091,A000000,02300,0000,02300INTRAVENOUS THERAPY 12091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12091,A000000,02500,0000,02500PHYSICAL THERAPY 12091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12091,A000000,02700,0000,02700SPEECH PATHOLOGY 12091,A000000,02800,0000,02800ELECTROCARDIOLOGY 12091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12091,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12091,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12091,A000000,03200,0000,03200SUPPORT SURFACES 12091,A000000,03400,0000,03400CLINIC 12091,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12091,A000000,03500,0000,03500RURAL HEALTH CLINIC 12091,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12091,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12091,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12091,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12091,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12091,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12091,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12091,A000000,04400,0000,04400DME RENTED - HHA 12091,A000000,04500,0000,04500DME SOLD - HHA 12091,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12091,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12091,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12091,A000000,04800,0000,04800AMBULANCE 12091,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12091,A000000,05000,0000,05000CORF 12091,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12091,A000000,05300,0000,05300INTEREST EXPENSE 12091,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12091,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12091,A000000,05500,0000,05500HOSPICE 12091,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12091,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12091,A000000,06100,0000,06100NONPAID WORKERS 12091,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12091,A000000,06200,0000,06200PATIENTS LAUNDRY 12091,A81000A,00100,0100,Y 12091,A81000B,00100,0300,HOME OFFICE COSTS 12091,A81000B,00200,0300,RELATED PARTY LEASE 12091,A81000B,00300,0300,RELATED PARTY THERAPY 12091,A81000B,00400,0300,RELATED PARTY THERAPY 12091,A81000B,00500,0300,RELATED PARTY THERAPY 12091,A81000C,00100,0100,B 12091,A81000C,00100,0400,MHS INC 12091,A81000C,00100,0600,NURSING HOMES 12091,A81000C,00200,0100,A 12091,A81000C,00200,0400,MMM INVESTMENT 12091,A81000C,00200,0600,PROPERTY LEASING 12091,A81000C,00300,0100,A 12091,A81000C,00300,0400,THERACARE 12091,A81000C,00300,0600,THERAPY MANAGEMENT 12091,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12091,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 12091,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12091,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12091,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12091,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12091,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12091,B100000,00000,0800,00000MEALS SERVED :DIETARY 12091,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12091,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12091,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12091,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12091,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12091,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12091,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12091,S000000,00100,0200,06/23/2000 12091,S200000,00100,0100,1630 S. COUNTY FARM ROAD 12091,S200000,00200,0100,WARSAW 12091,S200000,00200,0200,IN 12091,S200000,00200,0300,46580- 12091,S200000,00300,0100,KOSCIUSKO 12091,S200000,00400,0100,MHS INC. D/B/A MMM - WARSAW 12091,S200000,00400,0200,155049 12091,S200000,00400,0300,03/28/1967 12091,S200000,00400,0500,P 12091,S200000,01600,0100,Y 12091,S200000,02200,0100,Y 12091,S200000,02800,0100,Y 12101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12101,A000000,00300,0000,00300EMPLOYEE BENEFITS 12101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12101,A000000,00700,0000,00700HOUSEKEEPING 12101,A000000,00800,0000,00800DIETARY 12101,A000000,00900,0000,00900NURSING ADMINISTRATION 12101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12101,A000000,01100,0000,01100PHARMACY 12101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12101,A000000,01300,0000,01300SOCIAL SERVICE 12101,A000000,01350,0000,01500OTHER GENERAL SERVICES 12101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12101,A000000,01600,0000,01600SKILLED NURSING FACILITY 12101,A000000,01800,0000,01800NURSING FACILITY 12101,A000000,01810,0000,01801ICF/MR 12101,A000000,01900,0000,01900OTHER LONG TERM CARE 12101,A000000,02100,0000,02100RADIOLOGY 12101,A000000,02200,0000,02200LABORATORY 12101,A000000,02300,0000,02300INTRAVENOUS THERAPY 12101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12101,A000000,02500,0000,02500PHYSICAL THERAPY 12101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12101,A000000,02700,0000,02700SPEECH PATHOLOGY 12101,A000000,02800,0000,02800ELECTROCARDIOLOGY 12101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12101,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12101,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12101,A000000,03200,0000,03200SUPPORT SURFACES 12101,A000000,03400,0000,03400CLINIC 12101,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12101,A000000,03500,0000,03500RURAL HEALTH CLINIC 12101,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12101,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12101,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12101,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12101,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12101,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12101,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12101,A000000,04400,0000,04400DME RENTED - HHA 12101,A000000,04500,0000,04500DME SOLD - HHA 12101,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12101,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12101,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12101,A000000,04800,0000,04800AMBULANCE 12101,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12101,A000000,05000,0000,05000CORF 12101,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12101,A000000,05300,0000,05300INTEREST EXPENSE 12101,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12101,A000000,05500,0000,05500HOSPICE 12101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12101,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12101,A000000,06100,0000,06100NONPAID WORKERS 12101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12101,A000000,06200,0000,06200PATIENTS LAUNDRY 12101,A81000A,00100,0100,Y 12101,A81000B,00100,0300,HOME OFFICE COSTS 12101,A81000B,00200,0300,RELATED PARTY LEASE 12101,A81000B,00300,0300,RELATED PARTY THERAPY 12101,A81000B,00400,0300,RELATED PARTY THERAPY 12101,A81000B,00500,0300,RELATED PARTY THERAPY 12101,A81000C,00100,0100,B 12101,A81000C,00100,0400,MHS INC 12101,A81000C,00100,0600,NURSING HOMES 12101,A81000C,00200,0100,A 12101,A81000C,00200,0400,MMM INVESTMENT 12101,A81000C,00200,0600,PROPERTY LEASING 12101,A81000C,00300,0100,A 12101,A81000C,00300,0400,THERACARE 12101,A81000C,00300,0600,THERAPY MANAGEMENT 12101,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12101,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12101,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12101,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12101,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12101,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12101,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12101,B100000,00000,0800,00000MEALS SERVED :DIETARY 12101,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12101,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12101,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12101,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12101,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12101,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12101,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12101,S000000,00100,0200,06/20/2000 12101,S200000,00100,0100,612 EAST 11TH STREET 12101,S200000,00200,0100,RUSHVILLE 12101,S200000,00200,0200,IN 12101,S200000,00200,0300,46173- 12101,S200000,00300,0100,RUSH 12101,S200000,00400,0100,MHS INC. D/B/A MMM-RUSHVILLE 12101,S200000,00400,0200,155053 12101,S200000,00400,0300,03/21/1967 12101,S200000,00400,0500,P 12101,S200000,01600,0100,Y 12101,S200000,02200,0100,Y 12106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12106,A000000,00300,0000,00300EMPLOYEE BENEFITS 12106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12106,A000000,00700,0000,00700HOUSEKEEPING 12106,A000000,00800,0000,00800DIETARY 12106,A000000,00900,0000,00900NURSING ADMINISTRATION 12106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12106,A000000,01100,0000,01100PHARMACY 12106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12106,A000000,01300,0000,01300SOCIAL SERVICE 12106,A000000,01301,0000,01301ACTIVITIES 12106,A000000,01350,0000,01500OTHER GENERAL SERVICES 12106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12106,A000000,01600,0000,01600SKILLED NURSING FACILITY 12106,A000000,01800,0000,01800NURSING FACILITY 12106,A000000,01810,0000,01801ICF/MR 12106,A000000,01900,0000,01900OTHER LONG TERM CARE 12106,A000000,02100,0000,02100RADIOLOGY 12106,A000000,02200,0000,02200LABORATORY 12106,A000000,02300,0000,02300INTRAVENOUS THERAPY 12106,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12106,A000000,02500,0000,02500PHYSICAL THERAPY 12106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12106,A000000,02700,0000,02700SPEECH PATHOLOGY 12106,A000000,02800,0000,02800ELECTROCARDIOLOGY 12106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12106,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12106,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12106,A000000,03200,0000,03200SUPPORT SURFACES 12106,A000000,03400,0000,03400CLINIC 12106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12106,A000000,03500,0000,03500RURAL HEALTH CLINIC 12106,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12106,A000000,04800,0000,04800AMBULANCE 12106,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12106,A000000,05000,0000,05000CORF 12106,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12106,A000000,05300,0000,05300INTEREST EXPENSE 12106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12106,A000000,05500,0000,05500HOSPICE 12106,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12106,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12106,A000000,06100,0000,06100NONPAID WORKERS 12106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12106,A000000,06200,0000,06200PATIENTS LAUNDRY 12106,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12106,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12106,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12106,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12106,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12106,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12106,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12106,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12106,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 12106,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 12106,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12106,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 12106,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12106,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 12106,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 12106,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12106,S000000,00100,0200,08/15/2000 12106,S200000,00100,0100,1007 NORTH 9TH STREET 12106,S200000,00100,0300,28 12106,S200000,00200,0100,ELWOOD 12106,S200000,00200,0200,IN 12106,S200000,00200,0300,46036- 12106,S200000,00300,0100,MADISON 12106,S200000,00400,0100,DICKEY NURSING HOME INC. 12106,S200000,00400,0200,155055 12106,S200000,00400,0300,01/01/1968 12106,S200000,00400,0500,P 12106,S200000,01600,0100,Y 12106,S700003,00000,0100,1 12116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12116,A000000,00300,0000,00300EMPLOYEE BENEFITS 12116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12116,A000000,00700,0000,00700HOUSEKEEPING 12116,A000000,00800,0000,00800DIETARY 12116,A000000,00900,0000,00900NURSING ADMINISTRATION 12116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12116,A000000,01100,0000,01100PHARMACY 12116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12116,A000000,01300,0000,01300SOCIAL SERVICE 12116,A000000,01350,0000,01500OTHER GENERAL SERVICES 12116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12116,A000000,01600,0000,01600SKILLED NURSING FACILITY 12116,A000000,01800,0000,01800NURSING FACILITY 12116,A000000,01810,0000,01801ICF/MR 12116,A000000,01900,0000,01900OTHER LONG TERM CARE 12116,A000000,02100,0000,02100RADIOLOGY 12116,A000000,02200,0000,02200LABORATORY 12116,A000000,02300,0000,02300INTRAVENOUS THERAPY 12116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12116,A000000,02500,0000,02500PHYSICAL THERAPY 12116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12116,A000000,02700,0000,02700SPEECH PATHOLOGY 12116,A000000,02800,0000,02800ELECTROCARDIOLOGY 12116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12116,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12116,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12116,A000000,03200,0000,03200SUPPORT SURFACES 12116,A000000,03400,0000,03400CLINIC 12116,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12116,A000000,03500,0000,03500RURAL HEALTH CLINIC 12116,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12116,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12116,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12116,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12116,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12116,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12116,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12116,A000000,04400,0000,04400DME RENTED - HHA 12116,A000000,04500,0000,04500DME SOLD - HHA 12116,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12116,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12116,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12116,A000000,04800,0000,04800AMBULANCE 12116,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12116,A000000,05000,0000,05000CORF 12116,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12116,A000000,05300,0000,05300INTEREST EXPENSE 12116,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12116,A000000,05500,0000,05500HOSPICE 12116,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12116,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12116,A000000,06100,0000,06100NONPAID WORKERS 12116,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12116,A000000,06200,0000,06200PATIENTS LAUNDRY 12116,A81000A,00100,0100,Y 12116,A81000B,00100,0300,HOME OFFICE COSTS 12116,A81000B,00200,0300,RELATED PARTY LEASE 12116,A81000B,00300,0300,RELATED PARTY THERAPY 12116,A81000B,00400,0300,RELATED PARTY THERAPY 12116,A81000B,00500,0300,RELATED PARTY THERAPY 12116,A81000C,00100,0100,B 12116,A81000C,00100,0400,MHS INC 12116,A81000C,00100,0600,NURSING HOMES 12116,A81000C,00200,0100,A 12116,A81000C,00200,0400,MMM INVESTMENT 12116,A81000C,00200,0600,PROPERTY LEASING 12116,A81000C,00300,0100,A 12116,A81000C,00300,0400,THERACARE 12116,A81000C,00300,0600,THERAPY MANAGEMENT 12116,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12116,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 12116,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12116,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12116,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12116,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12116,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12116,B100000,00000,0800,00000MEALS SERVED :DIETARY 12116,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12116,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12116,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12116,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12116,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12116,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12116,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12116,S000000,00100,0200,06/12/2000 12116,S200000,00100,0100,1500 GRANT STREET 12116,S200000,00200,0100,HUNTINGTON 12116,S200000,00200,0200,IN 12116,S200000,00200,0300,46750- 12116,S200000,00300,0100,HUNTINGTON 12116,S200000,00400,0100,MHS INC D/B/A MMM - HUNTINGTON 12116,S200000,00400,0200,155059 12116,S200000,00400,0300,09/20/1967 12116,S200000,00400,0500,P 12116,S200000,01600,0100,Y 12116,S200000,02200,0100,Y 12127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12127,A000000,00300,0000,00300EMPLOYEE BENEFITS 12127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12127,A000000,00700,0000,00700HOUSEKEEPING 12127,A000000,00800,0000,00800DIETARY 12127,A000000,00900,0000,00900NURSING ADMINISTRATION 12127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12127,A000000,01300,0000,01300SOCIAL SERVICE 12127,A000000,01600,0000,01600SKILLED NURSING FACILITY 12127,A000000,01800,0000,01800NURSING FACILITY 12127,A000000,01900,0000,01900OTHER LONG TERM CARE 12127,A000000,02100,0000,02100RADIOLOGY 12127,A000000,02200,0000,02200LABORATORY 12127,A000000,02300,0000,02300INTRAVENOUS THERAPY 12127,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12127,A000000,02500,0000,02500PHYSICAL THERAPY 12127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12127,A000000,02700,0000,02700SPEECH PATHOLOGY 12127,A000000,02800,0000,02800ELECTROCARDIOLOGY 12127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12127,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 12127,A000000,03200,0000,03200SUPPORT SURFACES 12127,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 12127,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12127,A000000,05300,0000,05300INTEREST EXPENSE 12127,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12127,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12127,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12127,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 12127,A000000,06200,0000,06200PATIENTS LAUNDRY 12127,A81000A,00100,0100,Y 12127,A81000B,00100,0300,RENT EXPENSE 12127,A81000B,00200,0300,FINANCIAL SERVICE FEE 12127,A81000C,00100,0100,A 12127,A81000C,00100,0200,ROBERT ROETKER 12127,A81000C,00100,0600,PROPERTY MANAGE 12127,A81000C,00200,0100,A 12127,A81000C,00200,0200,ROBERT ROETKER 12127,A81000C,00200,0600,COMPUTER SERVIC 12127,A81000C,00300,0100,D 12127,A81000C,00300,0200,DAVID INGRAM 12127,A81000C,00300,0600,COMPUTER SERVIC 12127,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12127,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12127,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12127,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12127,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12127,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12127,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12127,B100000,00000,0800,00000MEALS SERVED :DIETARY 12127,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 12127,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12127,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12127,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12127,S000000,00100,0200,03/03/2000 12127,S200000,00100,0100,#2 CHASE PARK 12127,S200000,00200,0100,LOGANSPORT 12127,S200000,00200,0200,IN 12127,S200000,00200,0300,46947- 12127,S200000,00300,0100,CAS 12127,S200000,00400,0100,CHASE CENTER 12127,S200000,00400,0200,155060 12127,S200000,00400,0300,11/01/1967 12127,S200000,00400,0500,P 12127,S200000,01600,0100,Y 12127,S700003,00000,0100,1 12137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12137,A000000,00300,0000,00300EMPLOYEE BENEFITS 12137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12137,A000000,00700,0000,00700HOUSEKEEPING 12137,A000000,00800,0000,00800DIETARY 12137,A000000,00900,0000,00900NURSING ADMINISTRATION 12137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12137,A000000,01100,0000,01100PHARMACY 12137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12137,A000000,01300,0000,01300SOCIAL SERVICE 12137,A000000,01350,0000,01500ACTIVITIES 12137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12137,A000000,01600,0000,01600SKILLED NURSING FACILITY 12137,A000000,01800,0000,01800NURSING FACILITY 12137,A000000,01900,0000,01900OTHER LONG TERM CARE 12137,A000000,02100,0000,02100RADIOLOGY 12137,A000000,02200,0000,02200LABORATORY 12137,A000000,02300,0000,02300INTRAVENOUS THERAPY 12137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12137,A000000,02500,0000,02500PHYSICAL THERAPY 12137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12137,A000000,02700,0000,02700SPEECH PATHOLOGY 12137,A000000,02800,0000,02800ELECTROCARDIOLOGY 12137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12137,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12137,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12137,A000000,03200,0000,03200SUPPORT SURFACES 12137,A000000,03400,0000,03400CLINIC 12137,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12137,A000000,03500,0000,03500RURAL HEALTH CLINIC 12137,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12137,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12137,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12137,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12137,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12137,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12137,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12137,A000000,04400,0000,04400DME RENTED - HHA 12137,A000000,04500,0000,04500DME SOLD - HHA 12137,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12137,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12137,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12137,A000000,04800,0000,04800AMBULANCE 12137,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12137,A000000,05000,0000,05000CORF 12137,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12137,A000000,05300,0000,05300INTEREST EXPENSE 12137,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12137,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12137,A000000,05500,0000,05500HOSPICE 12137,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12137,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12137,A000000,06100,0000,06100NONPAID WORKERS 12137,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12137,A000000,06200,0000,06200PATIENTS LAUNDRY 12137,A81000A,00100,0100,Y 12137,A81000B,00100,0300,MGMT FEES 12137,A81000B,00200,0300,DATA PROCESSING 12137,A81000B,00300,0300,EX. OFF EXP 12137,A81000B,00400,0300,ACCT FEES 12137,A81000C,00100,0100,A 12137,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12137,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12137,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12137,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12137,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12137,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12137,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12137,B100000,00000,0800,00000MEALS SERVED :DIETARY 12137,B100000,00000,0900,00000DIRECT NSG. HOURS :NURSING ADMINIST 12137,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12137,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12137,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12137,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12137,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12137,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12137,S000000,00100,0200,06/05/2000 12137,S200000,00100,0100,403 BIELBY 12137,S200000,00200,0100,LAWRENCEBURG 12137,S200000,00200,0200,IN 12137,S200000,00200,0300,47025- 12137,S200000,00300,0100,DEARBORN 12137,S200000,00400,0100,WOODLAND HILLS CARE CENTER 12137,S200000,00400,0200,155061 12137,S200000,00400,0300,09/29/1990 12137,S200000,00400,0500,P 12137,S200000,01004,0500,O 12137,S200000,01600,0100,Y 12137,S700003,00000,0100,1 12159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12159,A000000,00300,0000,00300EMPLOYEE BENEFITS 12159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12159,A000000,00700,0000,00700HOUSEKEEPING 12159,A000000,00800,0000,00800DIETARY 12159,A000000,00900,0000,00900NURSING ADMINISTRATION 12159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12159,A000000,01100,0000,01100PHARMACY 12159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12159,A000000,01300,0000,01300SOCIAL SERVICE 12159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12159,A000000,01600,0000,01600SKILLED NURSING FACILITY 12159,A000000,02100,0000,02100RADIOLOGY 12159,A000000,02200,0000,02200LABORATORY 12159,A000000,02300,0000,02300INTRAVENOUS THERAPY 12159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12159,A000000,02500,0000,02500PHYSICAL THERAPY 12159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12159,A000000,02700,0000,02700SPEECH PATHOLOGY 12159,A000000,02800,0000,02800ELECTROCARDIOLOGY 12159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12159,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12159,A000000,03200,0000,03200SUPPORT SURFACES 12159,A000000,03400,0000,03400CLINIC 12159,A000000,04800,0000,04800AMBULANCE 12159,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12159,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12159,A000000,05300,0000,05300INTEREST EXPENSE 12159,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12159,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12159,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12159,A000000,06100,0000,06100NONPAID WORKERS 12159,A000000,06200,0000,06200PATIENTS LAUNDRY 12159,A81000A,00100,0100,Y 12159,A81000B,00100,0300,ADMINISTRATIVE 12159,A81000B,00200,0300,CAPITAL 12159,A81000B,00300,0300,RADIOLOGY 12159,A81000B,00400,0300,DRUGS 12159,A81000B,00500,0300,CAPITAL 12159,A81000C,00100,0100,B 12159,A81000C,00100,0200,EAGLECARE INC. 12159,A81000C,00100,0600,CENTRAL OFFICE 12159,A81000C,00200,0100,B 12159,A81000C,00200,0200,EAGLECARE INC. 12159,A81000C,00200,0600,CENTRAL OFFICE 12159,A81000C,00300,0100,B 12159,A81000C,00300,0200,VENTURA RADIOL. 12159,A81000C,00300,0600,RADIOLOGY 12159,A81000C,00400,0100,B 12159,A81000C,00400,0200,CORNERSTONE 12159,A81000C,00400,0600,PHARMACY 12159,A81000C,00500,0100,B 12159,A81000C,00500,0200,TURTLE CRK INV 12159,A81000C,00500,0600,PROPERTY OWNER 12159,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12159,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12159,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12159,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12159,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12159,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12159,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12159,B100000,00000,0800,00000MEALS SERVED :DIETARY 12159,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12159,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12159,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12159,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12159,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12159,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12159,S000000,00100,0200,05/31/2000 12159,S200000,00100,0100,1809 NORTH MADISON AVE 12159,S200000,00200,0100,ANDERSON 12159,S200000,00200,0200,IN 12159,S200000,00200,0300,46011- 12159,S200000,00300,0100,MADISON 12159,S200000,00400,0100,ANDERSON HEALTHCARE CENTER 12159,S200000,00400,0200,155066 12159,S200000,00400,0300,02/19/1968 12159,S200000,00400,0500,P 12159,S200000,01600,0100,Y 12172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12172,A000000,00300,0000,00300EMPLOYEE BENEFITS 12172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12172,A000000,00700,0000,00700HOUSEKEEPING 12172,A000000,00800,0000,00800DIETARY 12172,A000000,00900,0000,00900NURSING ADMINISTRATION 12172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12172,A000000,01100,0000,01100PHARMACY 12172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12172,A000000,01300,0000,01300SOCIAL SERVICE 12172,A000000,01350,0000,01500ACTIVITIES 12172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12172,A000000,01600,0000,01600SKILLED NURSING FACILITY 12172,A000000,01800,0000,01800NURSING FACILITY 12172,A000000,01810,0000,01801ICF/MR 12172,A000000,01900,0000,01900OTHER LONG TERM CARE 12172,A000000,02100,0000,02100RADIOLOGY 12172,A000000,02200,0000,02200LABORATORY 12172,A000000,02300,0000,02300INTRAVENOUS THERAPY 12172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12172,A000000,02500,0000,02500PHYSICAL THERAPY 12172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12172,A000000,02700,0000,02700SPEECH PATHOLOGY 12172,A000000,02800,0000,02800ELECTROCARDIOLOGY 12172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12172,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12172,A000000,03200,0000,03200SUPPORT SURFACES 12172,A000000,03400,0000,03400CLINIC 12172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12172,A000000,03500,0000,03500RURAL HEALTH CLINIC 12172,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12172,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12172,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12172,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12172,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12172,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12172,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12172,A000000,04400,0000,04400DME RENTED - HHA 12172,A000000,04500,0000,04500DME SOLD - HHA 12172,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12172,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12172,A000000,04800,0000,04800AMBULANCE 12172,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12172,A000000,05000,0000,05000CORF 12172,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12172,A000000,05300,0000,05300INTEREST EXPENSE 12172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12172,A000000,05500,0000,05500HOSPICE 12172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12172,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12172,A000000,06100,0000,06100NONPAID WORKERS 12172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12172,A000000,06200,0000,06200PATIENTS LAUNDRY 12172,A81000A,00100,0100,Y 12172,A81000B,00100,0300,CAPITAL RELATED 12172,A81000B,00200,0300,ADMIN & GENERAL 12172,A81000B,00300,0300,MANAGEMENT FEESQ 12172,A81000C,00100,0100,G 12172,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12172,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12172,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12172,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12172,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12172,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12172,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12172,B100000,00000,0800,00000MEALS SERVED :DIETARY 12172,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 12172,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12172,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12172,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12172,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12172,B100000,00000,1350,00000NO STATISTICS :ACTIVITIES 12172,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12172,S000000,00100,0200,08/18/2000 12172,S200000,00100,0100,1821 LINDBERG ROAD 12172,S200000,00200,0100,ANDERSON 12172,S200000,00200,0200,IN 12172,S200000,00200,0300,46012- 12172,S200000,00300,0100,MADISON 12172,S200000,00400,0100,ROLLING HILLS CONVALESCENT CENTER 12172,S200000,00400,0200,155068 12172,S200000,00400,0300,01/01/1982 12172,S200000,00400,0500,P 12172,S200000,01004,0500,O 12172,S200000,01600,0100,Y 12172,S700003,00000,0100,1 12182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12182,A000000,00300,0000,00300EMPLOYEE BENEFITS 12182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12182,A000000,00700,0000,00700HOUSEKEEPING 12182,A000000,00800,0000,00800DIETARY 12182,A000000,00900,0000,00900NURSING ADMINISTRATION 12182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12182,A000000,01100,0000,01100PHARMACY 12182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12182,A000000,01300,0000,01300SOCIAL SERVICE 12182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12182,A000000,01600,0000,01600SKILLED NURSING FACILITY 12182,A000000,02100,0000,02100RADIOLOGY 12182,A000000,02200,0000,02200LABORATORY 12182,A000000,02300,0000,02300INTRAVENOUS THERAPY 12182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12182,A000000,02500,0000,02500PHYSICAL THERAPY 12182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12182,A000000,02700,0000,02700SPEECH PATHOLOGY 12182,A000000,02800,0000,02800ELECTROCARDIOLOGY 12182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12182,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12182,A000000,03200,0000,03200SUPPORT SURFACES 12182,A000000,03400,0000,03400CLINIC 12182,A000000,04800,0000,04800AMBULANCE 12182,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12182,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12182,A000000,05300,0000,05300INTEREST EXPENSE 12182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12182,A000000,06100,0000,06100NONPAID WORKERS 12182,A000000,06200,0000,06200PATIENTS LAUNDRY 12182,A81000A,00100,0100,Y 12182,A81000B,00100,0300,ADMINISTRATIVE 12182,A81000B,00200,0300,CAPITAL 12182,A81000B,00300,0300,RADIOLOGY 12182,A81000B,00400,0300,DRUGS 12182,A81000B,00500,0300,CAPITAL 12182,A81000C,00100,0100,B 12182,A81000C,00100,0200,EAGLECARE INC. 12182,A81000C,00100,0600,CENTRAL OFFICE 12182,A81000C,00200,0100,B 12182,A81000C,00200,0200,EAGLECARE INC. 12182,A81000C,00200,0600,CENTRAL OFFICE 12182,A81000C,00300,0100,B 12182,A81000C,00300,0200,VENTURA RADIOL. 12182,A81000C,00300,0600,RADIOLOGY 12182,A81000C,00400,0100,B 12182,A81000C,00400,0200,CORNERSTONE 12182,A81000C,00400,0600,PHARMACY 12182,A81000C,00500,0100,B 12182,A81000C,00500,0200,TURTLE CRK INV 12182,A81000C,00500,0600,PROPERTY OWNER 12182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12182,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12182,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12182,B100000,00000,0800,00000MEALS SERVED :DIETARY 12182,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12182,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12182,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12182,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12182,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12182,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12182,S000000,00100,0200,05/31/2000 12182,S200000,00100,0100,2002 ALBANY AVENUE 12182,S200000,00200,0100,BEECH GROVE 12182,S200000,00200,0200,IN 12182,S200000,00200,0300,46107- 12182,S200000,00300,0100,MARION 12182,S200000,00400,0100,BEECH GROVE MEADOWS 12182,S200000,00400,0200,155072 12182,S200000,00400,0300,10/01/1984 12182,S200000,00400,0500,P 12182,S200000,01600,0100,Y 12192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12192,A000000,00300,0000,00300EMPLOYEE BENEFITS 12192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12192,A000000,00700,0000,00700HOUSEKEEPING 12192,A000000,00800,0000,00800DIETARY 12192,A000000,00900,0000,00900NURSING ADMINISTRATION 12192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12192,A000000,01300,0000,01300SOCIAL SERVICE 12192,A000000,01600,0000,01600SKILLED NURSING FACILITY 12192,A000000,01800,0000,01800NURSING FACILITY 12192,A000000,01900,0000,01900OTHER LONG TERM CARE 12192,A000000,02100,0000,02100RADIOLOGY 12192,A000000,02200,0000,02200LABORATORY 12192,A000000,02300,0000,02300INTRAVENOUS THERAPY 12192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12192,A000000,02500,0000,02500PHYSICAL THERAPY 12192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12192,A000000,02700,0000,02700SPEECH PATHOLOGY 12192,A000000,02800,0000,02800ELECTROCARDIOLOGY 12192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12192,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 12192,A000000,03200,0000,03200SUPPORT SURFACES 12192,A000000,04800,0000,04800AMBULANCE 12192,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12192,A000000,05300,0000,05300INTEREST EXPENSE 12192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12192,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 12192,A000000,06200,0000,06200PATIENTS LAUNDRY 12192,A81000A,00100,0100,Y 12192,A81000B,00100,0300,RENT EXPENSE 12192,A81000B,00200,0300,FINANCIAL SERVICE FEE 12192,A81000C,00100,0100,A 12192,A81000C,00100,0200,ROBERT ROETKER 12192,A81000C,00100,0600,PROPERTY MANAGE 12192,A81000C,00200,0100,A 12192,A81000C,00200,0200,ROBERT ROETKER 12192,A81000C,00200,0600,COMPUTER SERVIC 12192,A81000C,00300,0100,D 12192,A81000C,00300,0200,DAVID INGRAM 12192,A81000C,00300,0600,COMPUTER SERVIC 12192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12192,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12192,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12192,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12192,B100000,00000,0800,00000MEALS SERVED :DIETARY 12192,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 12192,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12192,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12192,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12192,E10A180,00301,0100,08/25/1999 12192,S000000,00100,0200,03/02/2000 12192,S200000,00100,0100,222 PARKVIEW AVENUE 12192,S200000,00200,0100,PLYMOUTH 12192,S200000,00200,0200,IN 12192,S200000,00200,0300,46563- 12192,S200000,00300,0100,MARSHALL 12192,S200000,00400,0100,PILGRIM MANOR 12192,S200000,00400,0200,155073 12192,S200000,00400,0300,10/01/1968 12192,S200000,00400,0500,P 12192,S200000,01600,0100,Y 12192,S700003,00000,0100,1 12203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12203,A000000,00300,0000,00300EMPLOYEE BENEFITS 12203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12203,A000000,00700,0000,00700HOUSEKEEPING 12203,A000000,00800,0000,00800DIETARY 12203,A000000,00900,0000,00900NURSING ADMINISTRATION 12203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12203,A000000,01300,0000,01300SOCIAL SERVICE 12203,A000000,01301,0000,01301ACTIVITIES 12203,A000000,01600,0000,01600SKILLED NURSING FACILITY 12203,A000000,01800,0000,01800NURSING FACILITY 12203,A000000,02100,0000,02100RADIOLOGY 12203,A000000,02200,0000,02200LABORATORY 12203,A000000,02500,0000,02500PHYSICAL THERAPY 12203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12203,A000000,02700,0000,02700SPEECH PATHOLOGY 12203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12203,A000000,03001,0000,03001AMBULANCE 12203,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 12203,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12203,A000000,06001,0000,06001ENTERAL 12203,A000000,06002,0000,06002SPECIAL PROJECTS 12203,B100000,00000,0100,00002(SQUARE FEET) :CAP REL COSTS - BLD 12203,B100000,00000,0250,00002(SQUARE FEET) :CAP REL COSTS - MOV 12203,B100000,00000,0300,00002(GROSS SALARIES) :EMPLOYEE BENEFIT 12203,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 12203,B100000,00000,0500,00002(SQUARE FEET) :PLANT OPERATION MA 12203,B100000,00000,0650,00002(PATIENT DAYS) :LAUNDRY & LINEN SE 12203,B100000,00000,0750,00002(SQUARE FEET) :HOUSEKEEPING 12203,B100000,00000,0850,00002(PATIENT DAYS) :DIETARY 12203,B100000,00000,0900,00002(DIR NRSG HOURS) :NURSING ADMINISTR 12203,B100000,00000,1000,00002(COSTED REQUIS) :CENTRAL SERVICES 12203,B100000,00000,1250,00002(PATIENT DAYS) :MEDICAL RECORDS & 12203,B100000,00000,1330,00002(PATIENT DAYS) :SOCIAL SERVICE 12203,B100000,00000,1331,00002(PATIENT DAYS) :ACTIVITIES 12203,S000000,00100,0200,03/01/2000 12203,S200000,00100,0100,45 BEACHWAY DR 12203,S200000,00200,0100,INDIANAPOLIS 12203,S200000,00200,0200,IN 12203,S200000,00200,0300,46224- 12203,S200000,00300,0100,MARION 12203,S200000,00400,0100,LAKEVIEW MANOR 12203,S200000,00400,0200,155077 12203,S200000,00400,0300,07/02/1968 12203,S200000,00400,0500,P 12203,S200000,01600,0100,Y 12203,S700003,00000,0100,1 12217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12217,A000000,00300,0000,00300EMPLOYEE BENEFITS 12217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12217,A000000,00700,0000,00700HOUSEKEEPING 12217,A000000,00800,0000,00800DIETARY 12217,A000000,00900,0000,00900NURSING ADMINISTRATION 12217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12217,A000000,01100,0000,01100PHARMACY 12217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12217,A000000,01300,0000,01300SOCIAL SERVICE 12217,A000000,01350,0000,01500ACTIVITIES AL SERVICES 12217,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12217,A000000,01600,0000,01600SKILLED NURSING FACILITY 12217,A000000,01800,0000,01800NURSING FACILITY 12217,A000000,01810,0000,01801ICF/MR 12217,A000000,01900,0000,01900OTHER LONG TERM CARE 12217,A000000,02100,0000,02100RADIOLOGY 12217,A000000,02200,0000,02200LABORATORY 12217,A000000,02300,0000,02300INTRAVENOUS THERAPY 12217,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12217,A000000,02500,0000,02500PHYSICAL THERAPY 12217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12217,A000000,02700,0000,02700SPEECH PATHOLOGY 12217,A000000,02800,0000,02800ELECTROCARDIOLOGY 12217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12217,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12217,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12217,A000000,03200,0000,03200SUPPORT SURFACES 12217,A000000,03400,0000,03400CLINIC 12217,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12217,A000000,03500,0000,03500RURAL HEALTH CLINIC 12217,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12217,A000000,04800,0000,04800AMBULANCE 12217,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12217,A000000,05000,0000,05000CORF 12217,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12217,A000000,05300,0000,05300INTEREST EXPENSE 12217,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12217,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12217,A000000,05500,0000,05500HOSPICE 12217,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12217,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12217,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12217,A000000,06100,0000,06100NONPAID WORKERS 12217,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12217,A000000,06200,0000,06200PATIENTS LAUNDRY 12217,A81000A,00100,0100,Y 12217,A81000B,00100,0300,CAP REL COSTS 12217,A81000B,00200,0300,A & G 12217,A81000B,00300,0300,A & G 12217,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 12217,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 12217,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 12217,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12217,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 12217,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 12217,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 12217,B100000,00000,0800,00000 MEALS SERVED :DIETARY 12217,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 12217,B100000,00000,1000,00000 COSTED REQUIS :CENTRAL SERVICES & 12217,B100000,00000,1150,00000 :PHARMACY 12217,B100000,00000,1200,00000 TIME STUDY :MEDICAL RECORDS & LIBR 12217,B100000,00000,1300,00000 TIME STUDY :SOCIAL SERVICE 12217,B100000,00000,1350,00000 TIME STUDY :ACTIVITIES AL SERVICES 12217,B100000,00000,1450,00000 :INTERNS & RESIDENTS (APPRVD PRO 12217,S000000,00100,0200,08/05/1999 12217,S200000,00100,0100,1023 N 20TH STREET 12217,S200000,00200,0100,NEW CASTLE 12217,S200000,00200,0200,IN 12217,S200000,00200,0300,47362- 12217,S200000,00300,0100,HENRY 12217,S200000,00400,0100,HERITAGE HOUSE OF NEW CASTLE 12217,S200000,00400,0200,155089 12217,S200000,00400,0300,03/14/1969 12217,S200000,00400,0500,P 12217,S200000,01600,0100,Y 12217,S700003,00000,0200,2 12219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12219,A000000,00300,0000,00300EMPLOYEE BENEFITS 12219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12219,A000000,00700,0000,00700HOUSEKEEPING 12219,A000000,00800,0000,00800DIETARY 12219,A000000,00900,0000,00900NURSING ADMINISTRATION 12219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12219,A000000,01100,0000,01100PHARMACY 12219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12219,A000000,01300,0000,01300SOCIAL SERVICE 12219,A000000,01350,0000,01500ACTIVITIES 12219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12219,A000000,01600,0000,01600SKILLED NURSING FACILITY 12219,A000000,01800,0000,01800NURSING FACILITY 12219,A000000,01810,0000,01810ICF/MR 12219,A000000,01900,0000,01900OTHER LONG TERM CARE 12219,A000000,02100,0000,02100RADIOLOGY 12219,A000000,02200,0000,02200LABORATORY 12219,A000000,02300,0000,02300INTRAVENOUS THERAPY 12219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12219,A000000,02500,0000,02500PHYSICAL THERAPY 12219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12219,A000000,02700,0000,02700SPEECH PATHOLOGY 12219,A000000,02800,0000,02800ELECTROCARDIOLOGY 12219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12219,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12219,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12219,A000000,03200,0000,03200SUPPORT SURFACES 12219,A000000,03400,0000,03400CLINIC 12219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12219,A000000,03500,0000,03500RURAL HEALTH CLINIC 12219,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12219,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12219,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12219,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12219,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12219,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12219,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12219,A000000,04400,0000,04400DME RENTED - HHA 12219,A000000,04500,0000,04500DME SOLD - HHA 12219,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12219,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12219,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12219,A000000,04800,0000,04800AMBULANCE 12219,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12219,A000000,05000,0000,05000CORF 12219,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12219,A000000,05300,0000,05300INTEREST EXPENSE 12219,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12219,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12219,A000000,05500,0000,05500HOSPICE 12219,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12219,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12219,A000000,06100,0000,06100NONPAID WORKERS 12219,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12219,A000000,06200,0000,06200PATIENTS LAUNDRY 12219,A81000A,00100,0100,Y 12219,A81000B,00100,0300,CAPITAL RELATED 12219,A81000B,00200,0300,ADMIN & GENERAL 12219,A81000B,00300,0300,MANAGEMENT FEES 12219,A81000C,00100,0100,G 12219,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12219,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12219,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12219,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12219,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12219,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12219,B100000,00000,0800,00000MEALS SERVED :DIETARY 12219,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12219,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12219,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12219,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12219,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12219,S000000,00100,0200,07/14/2000 12219,S200000,00100,0100,1023 N. 20TH STREET 12219,S200000,00200,0100,NEW CASTLE 12219,S200000,00200,0200,IN 12219,S200000,00200,0300,47362- 12219,S200000,00300,0100,HENRY 12219,S200000,00300,0200,9915 12219,S200000,00300,0300,R 12219,S200000,00400,0100,HERITAGE HOUSE OF NEW CASTLE 12219,S200000,00400,0200,155089 12219,S200000,00400,0300,03/14/1969 12219,S200000,00400,0500,P 12219,S200000,01600,0100,Y 12228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12228,A000000,00300,0000,00300EMPLOYEE BENEFITS 12228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12228,A000000,00700,0000,00700HOUSEKEEPING 12228,A000000,00800,0000,00800DIETARY 12228,A000000,00900,0000,00900NURSING ADMINISTRATION 12228,A000000,01300,0000,01300SOCIAL SERVICE 12228,A000000,01600,0000,01600SKILLED NURSING FACILITY 12228,A000000,01800,0000,01800NURSING FACILITY 12228,A000000,01900,0000,01900OTHER LONG TERM CARE 12228,A000000,02100,0000,02100RADIOLOGY 12228,A000000,02200,0000,02200LABORATORY 12228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12228,A000000,02500,0000,02500PHYSICAL THERAPY 12228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12228,A000000,02700,0000,02700SPEECH PATHOLOGY 12228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12228,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12228,A81000A,00100,0100,Y 12228,A81000B,00100,0300,ACCOUNTING FEES 12228,A81000B,00200,0300,INFO TECH SERVICES 12228,A81000B,00300,0300,FSCSC SPONSERSHIP FEES 12228,A81000B,00400,0300,FSCSC CEO MGMT FEE 12228,A81000B,00500,0300,FRANCISCAN HOME & COMM 12228,A81000C,00100,0100,B 12228,A81000C,00100,0400,ST. ANTHONY HOME 12228,A81000C,00100,0600,NURSING HOME 12228,A81000C,00200,0400,(FRANCISCAN HOME & 12228,A81000C,00300,0400,COMMUNITY SERVICES) 12228,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12228,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12228,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12228,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12228,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12228,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12228,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12228,B100000,00000,0800,00000MEALS SERVED :DIETARY 12228,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12228,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12228,S000000,00100,0200,12/02/1999 12228,S200000,00100,0100,2201 CASON STREET 12228,S200000,00200,0100,LAFAYETTE 12228,S200000,00200,0200,IN 12228,S200000,00200,0300,47904- 12228,S200000,00300,0100,TIPPECANOE 12228,S200000,00400,0100,ST. MARY HEALTHCARE CENTER 12228,S200000,00400,0200,155094 12228,S200000,00400,0300,01/01/1990 12228,S200000,00400,0500,P 12228,S200000,01004,0500,O 12228,S200000,01600,0100,Y 12228,S700003,00000,0100,1 12229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12229,A000000,00300,0000,00300EMPLOYEE BENEFITS 12229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12229,A000000,00700,0000,00700HOUSEKEEPING 12229,A000000,00800,0000,00800DIETARY 12229,A000000,00900,0000,00900NURSING ADMINISTRATION 12229,A000000,01100,0000,01100PHARMACY 12229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12229,A000000,01300,0000,01300SOCIAL SERVICE 12229,A000000,01350,0000,01500OTHER GENERAL SERVICES 12229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12229,A000000,01600,0000,01600SKILLED NURSING FACILITY 12229,A000000,01800,0000,01800NURSING FACILITY 12229,A000000,01810,0000,01810ICF/MR 12229,A000000,01900,0000,01900OTHER LONG TERM CARE 12229,A000000,02100,0000,02100RADIOLOGY 12229,A000000,02200,0000,02200LABORATORY 12229,A000000,02300,0000,02300INTRAVENOUS THERAPY 12229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12229,A000000,02500,0000,02500PHYSICAL THERAPY 12229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12229,A000000,02700,0000,02700SPEECH PATHOLOGY 12229,A000000,02800,0000,02800ELECTROCARDIOLOGY 12229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12229,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12229,A000000,03200,0000,03200SUPPORT SURFACES 12229,A000000,03400,0000,03400CLINIC 12229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12229,A000000,03500,0000,03500RURAL HEALTH CLINIC 12229,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12229,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12229,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12229,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12229,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12229,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12229,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12229,A000000,04400,0000,04400DME RENTED - HHA 12229,A000000,04500,0000,04500DME SOLD - HHA 12229,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12229,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12229,A000000,04800,0000,04800AMBULANCE 12229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12229,A000000,05000,0000,05000CORF 12229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12229,A000000,05300,0000,05300INTEREST EXPENSE 12229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12229,A000000,05500,0000,05500HOSPICE 12229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12229,A000000,06100,0000,06100NONPAID WORKERS 12229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12229,A000000,06200,0000,06200PATIENTS LAUNDRY 12229,A81000A,00100,0100,Y 12229,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 12229,A81000B,00200,0300,SALARIES ADMIN & GENERAL 12229,A81000B,00300,0300,MAINTENANCE SALARIES 12229,A81000B,00400,0300,BENEFITS 12229,A81000B,00500,0300,SALRARIES ADMIN & GENERAL 12229,A81000B,00600,0300,ADMINISTRATIVE & GENERAL 12229,A81000B,00700,0300,MAINTENANCE SUPPLIES 12229,A81000B,00800,0300,DIETARY-FOOD 12229,A81000B,00900,0300,FHCS MANAGEMENT FEES 12229,A81000C,00100,0100,B 12229,A81000C,00100,0400,ST. ANTHONY HOME 12229,A81000C,00100,0600,NURSING HOME 12229,A81000C,00200,0400,(FRANSCISCAN HOME & 12229,A81000C,00300,0400,COMMUNITY SERVICES) 12229,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12229,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12229,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12229,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12229,B100000,00000,0650,00000LAUNDRY PDS :LAUNDRY & LINEN SERVI 12229,B100000,00000,0700,00000HOUSEKEEPG G HO :HOUSEKEEPING 12229,B100000,00000,0800,00000MEALS SERVED :DIETARY 12229,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12229,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12229,S000000,00100,0200,12/04/2000 12229,S200000,00100,0100,2201 CASON STREET 12229,S200000,00200,0100,LAFAYETTE 12229,S200000,00200,0200,IN 12229,S200000,00200,0300,47904- 12229,S200000,00300,0100,TIPPECANOE 12229,S200000,00300,0200,3920 12229,S200000,00300,0300,U 12229,S200000,00400,0100,ST. MARY HEALTHCARE CENTER 12229,S200000,00400,0200,155094 12229,S200000,00400,0300,01/01/1990 12229,S200000,00400,0500,P 12229,S200000,01004,0500,O 12229,S200000,01600,0100,Y 12229,S200000,02800,0100,Y 12239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12239,A000000,00300,0000,00300EMPLOYEE BENEFITS 12239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12239,A000000,00700,0000,00700HOUSEKEEPING 12239,A000000,00800,0000,00800DIETARY 12239,A000000,00900,0000,00900NURSING ADMINISTRATION 12239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12239,A000000,01100,0000,01100PHARMACY 12239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12239,A000000,01300,0000,01300SOCIAL SERVICE 12239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12239,A000000,01600,0000,01600SKILLED NURSING FACILITY 12239,A000000,02100,0000,02100RADIOLOGY 12239,A000000,02200,0000,02200LABORATORY 12239,A000000,02300,0000,02300INTRAVENOUS THERAPY 12239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12239,A000000,02500,0000,02500PHYSICAL THERAPY 12239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12239,A000000,02700,0000,02700SPEECH PATHOLOGY 12239,A000000,02800,0000,02800ELECTROCARDIOLOGY 12239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12239,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12239,A000000,03200,0000,03200SUPPORT SURFACES 12239,A000000,03400,0000,03400CLINIC 12239,A000000,04800,0000,04800AMBULANCE 12239,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12239,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12239,A000000,05300,0000,05300INTEREST EXPENSE 12239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12239,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12239,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12239,A000000,06100,0000,06100NONPAID WORKERS 12239,A000000,06200,0000,06200PATIENTS LAUNDRY 12239,A81000A,00100,0100,Y 12239,A81000B,00100,0300,ADMIN 12239,A81000B,00200,0300,CAPITAL 12239,A81000B,00300,0300,RADIOLOGY 12239,A81000B,00400,0300,DRUGS 12239,A81000B,00500,0300,CAPITAL 12239,A81000C,00100,0100,B 12239,A81000C,00100,0200,EAGLECARE INC. 12239,A81000C,00100,0600,CENTRAL OFFICE 12239,A81000C,00200,0100,B 12239,A81000C,00200,0200,EAGLECARE INC. 12239,A81000C,00200,0600,CENTRAL OFFICE 12239,A81000C,00300,0100,B 12239,A81000C,00300,0200,VENTURA RADIOL. 12239,A81000C,00300,0600,XRAY 12239,A81000C,00400,0100,B 12239,A81000C,00400,0200,CORNERSTONE 12239,A81000C,00400,0600,PHARMACY 12239,A81000C,00500,0100,B 12239,A81000C,00500,0200,TURTLE CRK INV 12239,A81000C,00500,0600,PROPERTY OWNER 12239,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12239,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12239,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12239,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12239,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12239,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12239,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12239,B100000,00000,0800,00000MEALS SERVED :DIETARY 12239,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12239,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12239,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12239,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12239,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12239,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12239,S000000,00100,0200,05/31/2000 12239,S200000,00100,0100,2001 HOBSON ROAD 12239,S200000,00200,0100,FORT WAYNE 12239,S200000,00200,0200,IN 12239,S200000,00300,0100,46805 ALLEN 12239,S200000,00400,0100,HERITAGE PARK 12239,S200000,00400,0200,155095 12239,S200000,00400,0300,04/01/1975 12239,S200000,00400,0500,P 12239,S200000,01500,0100,Y 12251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12251,A000000,00300,0000,00300EMPLOYEE BENEFITS 12251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12251,A000000,00700,0000,00700HOUSEKEEPING 12251,A000000,00800,0000,00800DIETARY 12251,A000000,00900,0000,00900NURSING ADMINISTRATION 12251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12251,A000000,01100,0000,01100PHARMACY 12251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12251,A000000,01300,0000,01300SOCIAL SERVICE 12251,A000000,01350,0000,01500ACTIVITIES 12251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12251,A000000,01600,0000,01600SKILLED NURSING FACILITY 12251,A000000,01800,0000,01800NURSING FACILITY 12251,A000000,01810,0000,01801ICF/MR 12251,A000000,01900,0000,01900OTHER LONG TERM CARE 12251,A000000,02100,0000,02100RADIOLOGY 12251,A000000,02200,0000,02200LABORATORY 12251,A000000,02300,0000,02300INTRAVENOUS THERAPY 12251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12251,A000000,02500,0000,02500PHYSICAL THERAPY 12251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12251,A000000,02700,0000,02700SPEECH PATHOLOGY 12251,A000000,02800,0000,02800ELECTROCARDIOLOGY 12251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12251,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12251,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12251,A000000,03200,0000,03200SUPPORT SURFACES 12251,A000000,03400,0000,03400CLINIC 12251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12251,A000000,03500,0000,03500RURAL HEALTH CLINIC 12251,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12251,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12251,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12251,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12251,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12251,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12251,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12251,A000000,04400,0000,04400DME RENTED - HHA 12251,A000000,04500,0000,04500DME SOLD - HHA 12251,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12251,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12251,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12251,A000000,04800,0000,04800AMBULANCE 12251,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12251,A000000,05000,0000,05000CORF 12251,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12251,A000000,05300,0000,05300INTEREST EXPENSE 12251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12251,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12251,A000000,05500,0000,05500HOSPICE 12251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12251,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12251,A000000,06100,0000,06100NONPAID WORKERS 12251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12251,A000000,06200,0000,06200PATIENTS LAUNDRY 12251,A81000A,00100,0100,Y 12251,A81000B,00100,0300,CAPITAL RELATED 12251,A81000B,00200,0300,ADMIN & GENERAL 12251,A81000B,00300,0300,MANAGEMENT FEES 12251,A81000C,00100,0100,G 12251,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12251,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12251,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12251,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12251,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12251,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12251,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12251,B100000,00000,0800,00000MEALS SERVED :DIETARY 12251,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12251,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12251,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12251,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12251,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12251,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12251,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12251,S000000,00100,0200,09/01/2000 12251,S200000,00100,0100,1001 WEST HIVELY AVENUE 12251,S200000,00200,0100,ELKHART 12251,S200000,00200,0200,IN 12251,S200000,00200,0300,46517- 12251,S200000,00300,0100,ELKHART 12251,S200000,00400,0100,ROSEWOOD TERRACE 12251,S200000,00400,0200,155096 12251,S200000,00400,0300,02/01/1983 12251,S200000,00400,0500,P 12251,S200000,01600,0100,Y 12251,S700003,00000,0100,1 12262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12262,A000000,00300,0000,00300EMPLOYEE BENEFITS 12262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12262,A000000,00700,0000,00700HOUSEKEEPING 12262,A000000,00800,0000,00800DIETARY 12262,A000000,00900,0000,00900NURSING ADMINISTRATION 12262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12262,A000000,01100,0000,01100PHARMACY 12262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12262,A000000,01300,0000,01300SOCIAL SERVICE 12262,A000000,01350,0000,01500ACTIVITY 12262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12262,A000000,01600,0000,01600SKILLED NURSING FACILITY 12262,A000000,01900,0000,01900OTHER LONG TERM CARE 12262,A000000,02100,0000,02100RADIOLOGY 12262,A000000,02200,0000,02200LABORATORY 12262,A000000,02300,0000,02300INTRAVENOUS THERAPY 12262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12262,A000000,02500,0000,02500PHYSICAL THERAPY 12262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12262,A000000,02700,0000,02700SPEECH PATHOLOGY 12262,A000000,02800,0000,02800ELECTROCARDIOLOGY 12262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12262,A000000,03050,0000,03300PEN NUTRIENT 12262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12262,A000000,03200,0000,03200SUPPORT SURFACES 12262,A000000,03400,0000,03400CLINIC 12262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12262,A000000,03500,0000,03500RURAL HEALTH CLINIC 12262,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12262,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12262,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12262,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12262,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12262,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12262,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12262,A000000,04400,0000,04400DME RENTED - HHA 12262,A000000,04500,0000,04500DME SOLD - HHA 12262,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12262,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12262,A000000,05000,0000,05000CORF 12262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12262,A000000,05300,0000,05300INTEREST EXPENSE 12262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12262,A000000,05500,0000,05500HOSPICE 12262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12262,A000000,06100,0000,06100NONPAID WORKERS 12262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12262,A000000,06200,0000,06200PATIENTS LAUNDRY 12262,A81000A,00100,0100,Y 12262,A81000B,00100,0300,INTEREST EXPENSE 12262,A81000B,00200,0300,MANAGEMENT FEE 12262,A81000B,00300,0300,ADMINISTRATOR 12262,A81000B,00400,0300,HR CONSULT 12262,A81000B,00500,0300,CONTROLLER 12262,A81000B,00600,0300,DIR OF PHYSICAL THER 12262,A81000B,00700,0300,DIETITIAN 12262,A81000B,00800,0300,RESP. THERAPY 12262,A81000B,00900,0300,MANAGEMENT-MCBRIDE 12262,A81000B,01000,0300,MCGARVEY 12262,A81000B,01100,0300,OFFICE 12262,A81000B,01200,0300,PHYSICAL THERAPIST 12262,A81000B,01300,0300,OCCUPATIONAL THERAPIST 12262,A81000B,01400,0300,SPEECH THERAPIST 12262,A81000B,01500,0300,SR FLEX CONSULT 12262,A81000B,01600,0300,COMPUTER CONSULTANT 12262,A81000C,00100,0100,B 12262,A81000C,00100,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00100,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00100,0600,ACUTE HOSPITAL 12262,A81000C,00200,0100,B 12262,A81000C,00200,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00200,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00200,0600,ACUTE HOSPITAL 12262,A81000C,00300,0100,B 12262,A81000C,00300,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00300,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00300,0600,ACUTE HOSPITAL 12262,A81000C,00400,0100,B 12262,A81000C,00400,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00400,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00400,0600,ACUTE HOSPITAL 12262,A81000C,00500,0100,B 12262,A81000C,00500,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00500,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00500,0600,ACUTE HOSPITAL 12262,A81000C,00600,0100,B 12262,A81000C,00600,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00600,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00600,0600,ACUTE HOSPITAL 12262,A81000C,00700,0100,B 12262,A81000C,00700,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00700,0400,BLOOMINGTON HOSPITAL 12262,A81000C,00700,0600,ACUTE HOSPITAL 12262,A81000C,00800,0100,B 12262,A81000C,00800,0200,LOCAL COUNCIL OF WOMEN 12262,A81000C,00800,0400,BLOOMINGTON HOSPITAL 12262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12262,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12262,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12262,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12262,B100000,00000,0800,00000MEALS SERVED :DIETARY 12262,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 12262,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12262,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12262,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12262,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12262,B100000,00000,1350,00000TIME SPENT :ACTIVITY 12262,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 12262,S000000,00100,0200,03/02/2000 12262,S200000,00100,0100,2111 NORTON LANE 12262,S200000,00100,0300,1347 12262,S200000,00200,0100,BEDFORD 12262,S200000,00200,0200,IN 12262,S200000,00200,0300,47421- 12262,S200000,00300,0100,LAWRENCE 12262,S200000,00400,0100,HOSPITALITY HOUSE OF BEDFORD 12262,S200000,00400,0200,155100 12262,S200000,00400,0300,05/01/1996 12262,S200000,00400,0500,P 12262,S200000,00400,0600,O 12262,S200000,01600,0100,Y 12262,S200000,02200,0100,Y 12262,S700003,00000,0100,1 12272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12272,A000000,00300,0000,00300EMPLOYEE BENEFITS 12272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12272,A000000,00700,0000,00700HOUSEKEEPING 12272,A000000,00800,0000,00800DIETARY 12272,A000000,00900,0000,00900NURSING ADMINISTRATION 12272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12272,A000000,01100,0000,01100PHARMACY 12272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12272,A000000,01300,0000,01300SOCIAL SERVICE 12272,A000000,01350,0000,01500OTHER GENERAL SERVICES 12272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12272,A000000,01600,0000,01600SKILLED NURSING FACILITY 12272,A000000,01800,0000,01800NURSING FACILITY 12272,A000000,01810,0000,01801ICF/MR 12272,A000000,01900,0000,01900OTHER LONG TERM CARE 12272,A000000,02100,0000,02100RADIOLOGY 12272,A000000,02200,0000,02200LABORATORY 12272,A000000,02300,0000,02300INTRAVENOUS THERAPY 12272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12272,A000000,02500,0000,02500PHYSICAL THERAPY 12272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12272,A000000,02700,0000,02700SPEECH PATHOLOGY 12272,A000000,02800,0000,02800ELECTROCARDIOLOGY 12272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12272,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12272,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12272,A000000,03200,0000,03200SUPPORT SURFACES 12272,A000000,03400,0000,03400CLINIC 12272,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12272,A000000,03500,0000,03500RURAL HEALTH CLINIC 12272,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12272,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12272,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12272,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12272,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12272,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12272,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12272,A000000,04400,0000,04400DME RENTED - HHA 12272,A000000,04500,0000,04500DME SOLD - HHA 12272,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12272,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12272,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12272,A000000,04800,0000,04800AMBULANCE 12272,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12272,A000000,05000,0000,05000CORF 12272,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12272,A000000,05300,0000,05300INTEREST EXPENSE 12272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12272,A000000,05500,0000,05500HOSPICE 12272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12272,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12272,A000000,06100,0000,06100NONPAID WORKERS 12272,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12272,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 12272,A000000,06200,0000,06200PATIENTS LAUNDRY 12272,A81000A,00100,0100,Y 12272,A81000B,00100,0300,HOME OFFICE COSTS 12272,A81000B,00200,0300,RELATED PARTY LEASE 12272,A81000B,00300,0300,RELATED PARTY THERAPY 12272,A81000B,00400,0300,RELATED PARTY THERAPY 12272,A81000B,00500,0300,RELATED PARTY THERAPY 12272,A81000C,00100,0100,B 12272,A81000C,00100,0400,MHS INC 12272,A81000C,00100,0600,NURSING HOMES 12272,A81000C,00200,0100,A 12272,A81000C,00200,0400,MMM INVESTMENT 12272,A81000C,00200,0600,PROPERTY LEASING 12272,A81000C,00300,0100,A 12272,A81000C,00300,0400,THERACARE 12272,A81000C,00300,0600,THERAPY MANAGEMENT 12272,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12272,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 12272,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 12272,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12272,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12272,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 12272,B100000,00000,0750,00001SQUARE FOOTAGE :HOUSEKEEPING 12272,B100000,00000,0800,00001MEALS SERVED :DIETARY 12272,B100000,00000,0900,00001NURSING HOURS :NURSING ADMINISTRAT 12272,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 12272,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 12272,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 12272,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12272,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 12272,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 12272,S000000,00100,0200,06/23/2000 12272,S200000,00100,0100,600 WEST OAKHILL 12272,S200000,00100,0300,608 12272,S200000,00200,0100,PLYMOUTH 12272,S200000,00200,0200,IN 12272,S200000,00200,0300,46563- 12272,S200000,00300,0100,MARSHALL 12272,S200000,00400,0100,MHS INC. D/B/A MMM - PLYMOUTH 12272,S200000,00400,0200,155102 12272,S200000,00400,0300,10/16/1969 12272,S200000,00400,0500,P 12272,S200000,01600,0100,Y 12272,S200000,02200,0100,Y 12272,S200000,02800,0100,Y 12286,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12286,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12286,A000000,00300,0000,00300EMPLOYEE BENEFITS 12286,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12286,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12286,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12286,A000000,00700,0000,00700HOUSEKEEPING 12286,A000000,00800,0000,00800DIETARY 12286,A000000,00900,0000,00900NURSING ADMINISTRATION 12286,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12286,A000000,01100,0000,01100PHARMACY 12286,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12286,A000000,01300,0000,01300SOCIAL SERVICE 12286,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12286,A000000,01600,0000,01600SKILLED NURSING FACILITY 12286,A000000,01800,0000,01800NURSING FACILITY 12286,A000000,01900,0000,01900OTHER LONG TERM CARE 12286,A000000,02100,0000,02100RADIOLOGY 12286,A000000,02200,0000,02200LABORATORY 12286,A000000,02300,0000,02300INTRAVENOUS THERAPY 12286,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12286,A000000,02500,0000,02500PHYSICAL THERAPY 12286,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12286,A000000,02700,0000,02700SPEECH PATHOLOGY 12286,A000000,02800,0000,02800ELECTROCARDIOLOGY 12286,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12286,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12286,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12286,A000000,03200,0000,03200SUPPORT SURFACES 12286,A000000,03400,0000,03400CLINIC 12286,A000000,04800,0000,04800AMBULANCE 12286,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12286,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12286,A000000,05300,0000,05300INTEREST EXPENSE 12286,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12286,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12286,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12286,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12286,A000000,06100,0000,06100NONPAID WORKERS 12286,A000000,06200,0000,06200PATIENTS LAUNDRY 12286,A81000A,00100,0100,Y 12286,A81000B,00100,0300,PROPERTY TAXES 12286,A81000B,00200,0300,PROPERTY INSURANCE 12286,A81000B,00300,0300,LIABILITY INSURANCE 12286,A81000B,00400,0300,DEPRECIATION BUILDING & EQUIP 12286,A81000B,00500,0300,INTEREST EXPENSE 12286,A81000B,00600,0300,PROFESSIONAL FEES 12286,A81000B,00700,0300,HOUSEKEEPING 12286,A81000B,00800,0300,MAINTENANCE & UTILITIES EXP 12286,A81000B,00900,0300,DEPRECIATION - BUILDING 12286,A81000B,01000,0300,PROPERTY TAXES 12286,A81000B,01100,0300,INS. PENSION PAYROLL TAX 12286,A81000B,01200,0300,INTEREST EXPENSE 12286,A81000C,00100,0100,A 12286,A81000C,00100,0200,LARRY DUNIGAN 12286,A81000C,00100,0400,3-D CORP 12286,A81000C,00100,0600,LEASE RENTALS 12286,A81000C,00200,0100,A 12286,A81000C,00200,0200,L & S DUNIGAN 12286,A81000C,00200,0400,NSPB 12286,A81000C,00200,0600,DIETARY SUPPLY 12286,A81000C,00300,0100,A 12286,A81000C,00300,0200,L & S DUNIGAN 12286,A81000C,00300,0400,NSPB 12286,A81000C,00300,0600,ROUTINE SUPPLY 12286,A81000C,00400,0100,A 12286,A81000C,00400,0200,L & S DUNIGAN 12286,A81000C,00400,0400,NSPB 12286,A81000C,00400,0600,BILLABLE SUPPLY 12286,A81000C,00500,0100,A 12286,A81000C,00500,0200,L & S DUNIGAN 12286,A81000C,00500,0400,NSPB 12286,A81000C,00500,0600,PHARMACY 12286,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12286,B100000,00000,0250,00000SQUARE FEE :CAP REL COSTS - MOVABL 12286,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12286,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12286,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12286,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12286,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12286,B100000,00000,0800,00000MEALS SERVED :DIETARY 12286,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12286,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12286,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 12286,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12286,S000000,00100,0200,12/04/2000 12286,S200000,00100,0100,1201 W. BUENA VISTA ROAD 12286,S200000,00200,0100,EVANSVILLE 12286,S200000,00200,0200,IN 12286,S200000,00200,0300,47710- 12286,S200000,00300,0100,VANDERBURGH 12286,S200000,00300,0200,2440 12286,S200000,00300,0300,U 12286,S200000,00400,0100,HOLIDAY HOME HEALTH CARE CENTER 12286,S200000,00400,0200,155104 12286,S200000,00400,0300,07/01/1979 12286,S200000,00400,0500,P 12286,S200000,01600,0100,Y 12296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12296,A000000,00300,0000,00300EMPLOYEE BENEFITS 12296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12296,A000000,00700,0000,00700HOUSEKEEPING 12296,A000000,00800,0000,00800DIETARY 12296,A000000,00900,0000,00900NURSING ADMINISTRATION 12296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12296,A000000,01100,0000,01100PHARMACY 12296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12296,A000000,01300,0000,01300SOCIAL SERVICE 12296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12296,A000000,01600,0000,01600SKILLED NURSING FACILITY 12296,A000000,02100,0000,02100RADIOLOGY 12296,A000000,02200,0000,02200LABORATORY 12296,A000000,02300,0000,02300INTRAVENOUS THERAPY 12296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12296,A000000,02500,0000,02500PHYSICAL THERAPY 12296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12296,A000000,02700,0000,02700SPEECH PATHOLOGY 12296,A000000,02800,0000,02800ELECTROCARDIOLOGY 12296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12296,A000000,03200,0000,03200SUPPORT SURFACES 12296,A000000,03400,0000,03400CLINIC 12296,A000000,04800,0000,04800AMBULANCE 12296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12296,A000000,05300,0000,05300INTEREST EXPENSE 12296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12296,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12296,A000000,06100,0000,06100NONPAID WORKERS 12296,A000000,06200,0000,06200PATIENTS LAUNDRY 12296,A81000A,00100,0100,Y 12296,A81000B,00200,0300,DRUGS 12296,A81000B,00300,0300,ADMINISTRATIVE 12296,A81000B,00400,0300,CAPITAL 12296,A81000B,00500,0300,CAPITAL 12296,A81000C,00100,0100,B 12296,A81000C,00100,0400,VENTURA RADIOL. 12296,A81000C,00100,0600,RADIOLOGY 12296,A81000C,00200,0100,B 12296,A81000C,00200,0400,CORNERSTONE 12296,A81000C,00200,0600,PHARMACY 12296,A81000C,00300,0100,B 12296,A81000C,00300,0200,EAGLECARE INC. 12296,A81000C,00300,0600,CENTRAL OFFICE 12296,A81000C,00400,0100,B 12296,A81000C,00400,0200,EAGLECARE INC. 12296,A81000C,00400,0600,CENTRAL OFFICE 12296,A81000C,00500,0100,B 12296,A81000C,00500,0200,TURTLE CRK INV 12296,A81000C,00500,0600,PROPERTY OWNER 12296,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12296,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12296,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12296,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12296,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12296,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12296,B100000,00000,0800,00000MEALS SERVED :DIETARY 12296,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12296,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12296,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12296,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12296,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12296,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12296,S000000,00100,0200,05/31/2000 12296,S200000,00100,0100,295 WESTFIELD ROAD 12296,S200000,00200,0100,NOBLESVILLE 12296,S200000,00200,0200,IN 12296,S200000,00300,0100,46060 HAMILTON 12296,S200000,00400,0100,RIVERWALK VILLAGE 12296,S200000,00400,0200,155106 12296,S200000,00400,0300,06/05/1974 12296,S200000,00400,0500,P 12296,S200000,01600,0100,Y 12303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12303,A000000,00300,0000,00300EMPLOYEE BENEFITS 12303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12303,A000000,00700,0000,00700HOUSEKEEPING 12303,A000000,00800,0000,00800DIETARY 12303,A000000,00900,0000,00900NURSING ADMINISTRATION 12303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12303,A000000,01100,0000,01100PHARMACY 12303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12303,A000000,01300,0000,01300SOCIAL SERVICE 12303,A000000,01301,0000,01301ACTIVITIES 12303,A000000,01350,0000,01500OTHER GENERAL SERVICES 12303,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12303,A000000,01600,0000,01600SKILLED NURSING FACILITY 12303,A000000,01800,0000,01800NURSING FACILITY 12303,A000000,01900,0000,01900OTHER LONG TERM CARE 12303,A000000,02100,0000,02100RADIOLOGY 12303,A000000,02200,0000,02200LABORATORY 12303,A000000,02300,0000,02300INTRAVENOUS THERAPY 12303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12303,A000000,02500,0000,02500PHYSICAL THERAPY 12303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12303,A000000,02700,0000,02700SPEECH PATHOLOGY 12303,A000000,02800,0000,02800ELECTROCARDIOLOGY 12303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12303,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12303,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12303,A000000,03200,0000,03200SUPPORT SURFACES 12303,A000000,03400,0000,03400CLINIC 12303,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12303,A000000,03500,0000,03500RURAL HEALTH CLINIC 12303,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12303,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12303,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12303,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12303,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12303,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12303,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12303,A000000,04400,0000,04400DME RENTED - HHA 12303,A000000,04500,0000,04500DME SOLD - HHA 12303,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12303,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12303,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12303,A000000,04800,0000,04800AMBULANCE 12303,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12303,A000000,05000,0000,05000CORF 12303,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12303,A000000,05300,0000,05300INTEREST EXPENSE 12303,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12303,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12303,A000000,05500,0000,05500HOSPICE 12303,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12303,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12303,A000000,06100,0000,06100NONPAID WORKERS 12303,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12303,A000000,06200,0000,06200PATIENTS LAUNDRY 12303,A81000A,00100,0100,Y 12303,A81000B,00100,0300,MANAGEMENT FEES 12303,A81000B,00200,0300,CAPITAL 12303,A81000C,00100,0100,A 12303,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 12303,A81000C,00100,0400,LENOX HEALTHCARE INC. 12303,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12303,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12303,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12303,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12303,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12303,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12303,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12303,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12303,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12303,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12303,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12303,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12303,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12303,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 12303,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 12303,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 12303,S000000,00100,0200,06/27/2000 12303,S200000,00100,0100,617 OAKLEY STREET 12303,S200000,00200,0100,EVANSVILLE 12303,S200000,00200,0200,IN 12303,S200000,00200,0300,47710- 12303,S200000,00300,0100,VANDERBURGH 12303,S200000,00400,0100,CENTER FOR GERIATRIC NURSING 12303,S200000,00400,0200,155113 12303,S200000,00400,0300,10/01/1973 12303,S200000,00400,0500,P 12303,S200000,01600,0100,Y 12303,S700003,00000,0100,1 12311,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12311,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12311,A000000,00300,0000,00300EMPLOYEE BENEFITS 12311,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12311,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12311,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12311,A000000,00700,0000,00700HOUSEKEEPING 12311,A000000,00800,0000,00800DIETARY 12311,A000000,00900,0000,00900NURSING ADMINISTRATION 12311,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12311,A000000,01100,0000,01100PHARMACY 12311,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12311,A000000,01300,0000,01300SOCIAL SERVICE 12311,A000000,01350,0000,01500RECREATIONAL THERAPY 12311,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12311,A000000,01600,0000,01600SKILLED NURSING FACILITY 12311,A000000,01800,0000,01800NURSING FACILITY 12311,A000000,01810,0000,01810ICF/MR 12311,A000000,02100,0000,02100RADIOLOGY 12311,A000000,02200,0000,02200LABORATORY 12311,A000000,02500,0000,02500PHYSICAL THERAPY 12311,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12311,A000000,02700,0000,02700SPEECH PATHOLOGY 12311,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12311,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12311,A000000,03200,0000,03200SUPPORT SURFACES 12311,A000000,03550,0000,03550FQHC 12311,A000000,04800,0000,04800AMBULANCE 12311,A000000,05000,0000,05000CORF 12311,A000000,05010,0000,05010CMHC 12311,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12311,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12311,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12311,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12311,A81000A,00100,0100,Y 12311,A81000B,00100,0300,MANAGEMENT FEES 12311,A81000B,00200,0300,DIETARY CONSULTANT 12311,A81000B,00300,0300,HOME OFFICE EXPENSES 12311,A81000B,00400,0300,ANCILLARY ADMIN SVCS 12311,A81000B,00500,0300,BOOKKEEPING SVCS 12311,A81000B,00600,0300,ACCOUNTING FEES 12311,A81000B,00700,0300,DATA PROCESSING 12311,A81000B,00800,0300,RENT 12311,A81000B,00900,0300,MORTGAGE INTEREST 12311,A81000B,01000,0300,DEPR EXPENSE 12311,A81000B,01100,0300,BLDG CO - ADMIN EXP 12311,A81000C,00100,0100,A 12311,A81000C,00100,0200,ERIC ROTHNER 12311,A81000C,00100,0400,CARE CENTERS I 12311,A81000C,00100,0600,MANAGEMENT CO. 12311,A81000C,00200,0100,B 12311,A81000C,00200,0400,CARDINAL H. C. 12311,A81000C,00200,0600,BUILDING CO. 12311,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12311,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12311,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12311,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12311,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12311,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12311,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12311,B100000,00000,0800,00000MEALS SERVED :DIETARY 12311,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12311,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12311,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12311,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12311,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12311,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12311,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12311,S000000,00100,0200,06/02/2000 12311,S200000,00100,0100,1121 EAST LASALLE AVENUE 12311,S200000,00200,0100,SOUTH BEND 12311,S200000,00200,0200,IN 12311,S200000,00200,0300,46617- 12311,S200000,00300,0100,ST. JOSEPH 12311,S200000,00400,0100,CARDINAL NSRG. & REHAB. CENTER 12311,S200000,00400,0200,155115 12311,S200000,00400,0300,01/01/1967 12311,S200000,00400,0500,P 12311,S200000,00600,0200,155115 12311,S200000,00600,0300,01/01/1967 12311,S200000,00600,0600,P 12311,S200000,01600,0100,Y 12311,S200000,02200,0100,Y 12311,S700003,00000,0100,1 12321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12321,A000000,00300,0000,00300EMPLOYEE BENEFITS 12321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12321,A000000,00700,0000,00700HOUSEKEEPING 12321,A000000,00800,0000,00800DIETARY 12321,A000000,00900,0000,00900NURSING ADMINISTRATION 12321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12321,A000000,01100,0000,01100PHARMACY 12321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12321,A000000,01300,0000,01300SOCIAL SERVICE 12321,A000000,01350,0000,01500OTHER GENERAL SERVICES 12321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12321,A000000,01600,0000,01600SKILLED NURSING FACILITY 12321,A000000,01800,0000,01800NURSING FACILITY 12321,A000000,01810,0000,01801ICF/MR 12321,A000000,01900,0000,01900OTHER LONG TERM CARE 12321,A000000,02100,0000,02100RADIOLOGY 12321,A000000,02200,0000,02200LABORATORY 12321,A000000,02300,0000,02300INTRAVENOUS THERAPY 12321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12321,A000000,02500,0000,02500PHYSICAL THERAPY 12321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12321,A000000,02700,0000,02700SPEECH PATHOLOGY 12321,A000000,02800,0000,02800ELECTROCARDIOLOGY 12321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12321,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12321,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12321,A000000,03200,0000,03200SUPPORT SURFACES 12321,A000000,03400,0000,03400CLINIC 12321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12321,A000000,03500,0000,03500RURAL HEALTH CLINIC 12321,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12321,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12321,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12321,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12321,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12321,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12321,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12321,A000000,04400,0000,04400DME RENTED - HHA 12321,A000000,04500,0000,04500DME SOLD - HHA 12321,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12321,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12321,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12321,A000000,04800,0000,04800AMBULANCE 12321,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12321,A000000,05000,0000,05000CORF 12321,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12321,A000000,05300,0000,05300INTEREST EXPENSE 12321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12321,A000000,05500,0000,05500HOSPICE 12321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12321,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12321,A000000,06100,0000,06100NONPAID WORKERS 12321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12321,A000000,06200,0000,06200PATIENTS LAUNDRY 12321,A81000A,00100,0100,Y 12321,A81000B,00100,0300,HOME OFFICE COSTS 12321,A81000B,00200,0300,RELATED PARTY LEASE 12321,A81000B,00300,0300,RELATED PARTY THERAPY 12321,A81000B,00400,0300,RELATED PARTY THERAPY 12321,A81000B,00500,0300,RELATED PARTY THERAPY 12321,A81000C,00100,0100,B 12321,A81000C,00100,0400,MHS INC 12321,A81000C,00100,0600,NURSING HOMES 12321,A81000C,00200,0100,A 12321,A81000C,00200,0400,MMM INVESTMENT 12321,A81000C,00200,0600,PROPERTY LEASING 12321,A81000C,00300,0100,A 12321,A81000C,00300,0400,THERACARE 12321,A81000C,00300,0600,THERAPY MANAGEMENT 12321,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12321,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12321,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12321,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12321,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12321,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12321,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12321,B100000,00000,0800,00000MEALS SERVED :DIETARY 12321,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12321,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12321,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12321,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12321,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12321,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12321,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12321,S000000,00100,0200,06/23/2000 12321,S200000,00100,0300,89 12321,S200000,00200,0100,LAGRANGE 12321,S200000,00200,0200,IN 12321,S200000,00200,0300,46761- 12321,S200000,00300,0100,LAGRANGE 12321,S200000,00400,0100,MHS INC. D/B/A MMM - LAGRANGE 12321,S200000,00400,0200,155118 12321,S200000,00400,0300,08/11/1970 12321,S200000,00400,0500,P 12321,S200000,01004,0500,O 12321,S200000,01600,0100,Y 12321,S200000,02200,0100,Y 12332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12332,A000000,00300,0000,00300EMPLOYEE BENEFITS 12332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12332,A000000,00700,0000,00700HOUSEKEEPING 12332,A000000,00800,0000,00800DIETARY 12332,A000000,00900,0000,00900NURSING ADMINISTRATION 12332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12332,A000000,01100,0000,01100PHARMACY 12332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12332,A000000,01300,0000,01300SOCIAL SERVICE 12332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12332,A000000,01600,0000,01600SKILLED NURSING FACILITY 12332,A000000,02100,0000,02100RADIOLOGY 12332,A000000,02200,0000,02200LABORATORY 12332,A000000,02300,0000,02300INTRAVENOUS THERAPY 12332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12332,A000000,02500,0000,02500PHYSICAL THERAPY 12332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12332,A000000,02700,0000,02700SPEECH PATHOLOGY 12332,A000000,02800,0000,02800ELECTROCARDIOLOGY 12332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12332,A000000,03200,0000,03200SUPPORT SURFACES 12332,A000000,03400,0000,03400CLINIC 12332,A000000,04800,0000,04800AMBULANCE 12332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12332,A000000,05300,0000,05300INTEREST EXPENSE 12332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12332,A000000,06100,0000,06100NONPAID WORKERS 12332,A000000,06200,0000,06200PATIENTS LAUNDRY 12332,A81000A,00100,0100,Y 12332,A81000B,00100,0300,ADMINISTRATIVE 12332,A81000B,00200,0300,CAPITAL 12332,A81000B,00300,0300,RADIOLOGY 12332,A81000B,00400,0300,DRUGS 12332,A81000B,00500,0300,CAPITAL 12332,A81000C,00100,0100,B 12332,A81000C,00100,0200,EAGLECARE INC. 12332,A81000C,00100,0600,CENTRAL OFFICE 12332,A81000C,00200,0100,B 12332,A81000C,00200,0200,EAGLECARE INC. 12332,A81000C,00200,0600,CENTRAL OFFICE 12332,A81000C,00300,0100,B 12332,A81000C,00300,0200,VENTURA RADIOL. 12332,A81000C,00300,0600,RADIOLOGY 12332,A81000C,00400,0100,B 12332,A81000C,00400,0200,CORNERSTONE 12332,A81000C,00400,0600,PHARMACY 12332,A81000C,00500,0100,B 12332,A81000C,00500,0200,TURTLE CRK INV 12332,A81000C,00500,0600,PROPERTY OWNER 12332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12332,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12332,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12332,B100000,00000,0800,00000MEALS SERVED :DIETARY 12332,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12332,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12332,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12332,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12332,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12332,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12332,S000000,00100,0200,05/31/2000 12332,S200000,00100,0100,1903 UNION STREET 12332,S200000,00200,0100,LAFAYETTE 12332,S200000,00200,0200,IN 12332,S200000,00200,0300,47904- 12332,S200000,00300,0100,TIPPECANOE 12332,S200000,00400,0100,ROSEWALK VILLAGE AT LAFAYETTE 12332,S200000,00400,0200,155121 12332,S200000,00400,0300,12/08/1992 12332,S200000,00400,0500,P 12332,S200000,01600,0100,Y 12341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12341,A000000,00300,0000,00300EMPLOYEE BENEFITS 12341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12341,A000000,00700,0000,00700HOUSEKEEPING 12341,A000000,00800,0000,00800DIETARY 12341,A000000,00900,0000,00900NURSING ADMINISTRATION 12341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12341,A000000,01100,0000,01100PHARMACY 12341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12341,A000000,01300,0000,01300SOCIAL SERVICE 12341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12341,A000000,01600,0000,01600SKILLED NURSING FACILITY 12341,A000000,01800,0000,01800NURSING FACILITY 12341,A000000,01810,0000,01810ICF/MR 12341,A000000,02500,0000,02500PHYSICAL THERAPY 12341,A000000,02700,0000,02700SPEECH PATHOLOGY 12341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12341,A000000,03550,0000,03550FQHC 12341,A000000,05000,0000,05000CORF 12341,A000000,05010,0000,05010CMHC 12341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12341,A000000,05901,0000,05910INTERNAL FEEDING 12341,A81000A,00100,0100,Y 12341,A81000B,00100,0300,DRUGS - PARKE CLINIC 12341,A81000B,00200,0300,TRAVEL & EDUCATION 12341,A81000B,00300,0300,MEDICAL DIRECTOR 12341,A81000C,00100,0100,A 12341,A81000C,00100,0200,DR. J. F. SWAIM 12341,A81000C,00100,0400,PARKE CLINIC 12341,A81000C,00100,0600,PHYSICIAN CLINI 12341,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 12341,B100000,00000,0250,00010SQUARE FEET :CAP REL COSTS - MOVAB 12341,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 12341,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 12341,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 12341,B100000,00000,0650,00010PATIENT DAYS :LAUNDRY & LINEN SERV 12341,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 12341,B100000,00000,0800,00010MEALS SERVED :DIETARY 12341,B100000,00000,0950,00010DIRECT NRSG HRS :NURSING ADMINISTRA 12341,B100000,00000,1000,00010COSTED REQUIS :CENTRAL SERVICES & 12341,B100000,00000,1100,00010COSTED REQUIS :PHARMACY 12341,B100000,00000,1250,00010PATIEN DAYS :MEDICAL RECORDS & LIB 12341,B100000,00000,1330,00010PATIEN DAYS :SOCIAL SERVICE 12341,B100000,00000,1400,00010ASSIGNED TIME :INTERNS & RESIDENTS 12341,S000000,00100,0200,06/01/2000 12341,S200000,00100,0100,1705 SOUTH MAIN 12341,S200000,00200,0100,CLINTON 12341,S200000,00200,0200,IN 12341,S200000,00200,0300,47842- 12341,S200000,00300,0100,VERMILLION 12341,S200000,00400,0100,VERMILLION CONVALESCENT CENTER 12341,S200000,00400,0200,155124 12341,S200000,00400,0300,05/19/1977 12341,S200000,00400,0500,P 12341,S200000,00600,0200,155124 12341,S200000,00600,0300,05/19/1977 12341,S200000,00600,0600,P 12341,S200000,01004,0500,O 12341,S200000,01600,0100,Y 12341,S200000,02200,0100,Y 12341,S700003,00000,0100,1 12350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12350,A000000,00300,0000,00300EMPLOYEE BENEFITS 12350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12350,A000000,00700,0000,00700HOUSEKEEPING 12350,A000000,00800,0000,00800DIETARY 12350,A000000,00900,0000,00900NURSING ADMINISTRATION 12350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12350,A000000,01100,0000,01100PHARMACY 12350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12350,A000000,01300,0000,01300SOCIAL SERVICE 12350,A000000,01350,0000,01500OTHER GENERAL SERVICES 12350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12350,A000000,01600,0000,01600SKILLED NURSING FACILITY 12350,A000000,01800,0000,01800NURSING FACILITY 12350,A000000,01810,0000,01801ICF/MR 12350,A000000,01900,0000,01900OTHER LONG TERM CARE 12350,A000000,02100,0000,02100RADIOLOGY 12350,A000000,02200,0000,02200LABORATORY 12350,A000000,02300,0000,02300INTRAVENOUS THERAPY 12350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12350,A000000,02500,0000,02500PHYSICAL THERAPY 12350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12350,A000000,02700,0000,02700SPEECH PATHOLOGY 12350,A000000,02800,0000,02800ELECTROCARDIOLOGY 12350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12350,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12350,A000000,03200,0000,03200SUPPORT SURFACES 12350,A000000,03400,0000,03400CLINIC 12350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12350,A000000,03500,0000,03500RURAL HEALTH CLINIC 12350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12350,A000000,04400,0000,04400DME RENTED - HHA 12350,A000000,04500,0000,04500DME SOLD - HHA 12350,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12350,A000000,04800,0000,04800AMBULANCE 12350,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12350,A000000,05000,0000,05000CORF 12350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12350,A000000,05300,0000,05300INTEREST EXPENSE 12350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12350,A000000,05500,0000,05500HOSPICE 12350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12350,A000000,06100,0000,06100NONPAID WORKERS 12350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12350,A000000,06200,0000,06200PATIENTS LAUNDRY 12350,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12350,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12350,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12350,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12350,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12350,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12350,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12350,B100000,00000,0850,00000DAYS :DIETARY 12350,B100000,00000,0950,00000DIRECT NURS :NURSING ADMINISTRATIO 12350,B100000,00000,1050,00000DAYS :CENTRAL SERVICES & SUPPLY 12350,B100000,00000,1150,00000DAYS :PHARMACY 12350,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12350,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12350,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12350,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12350,S000000,00100,0200,05/31/2000 12350,S200000,00100,0100,7935 CALUMET AVE 12350,S200000,00200,0100,MUNSTER 12350,S200000,00200,0200,IN 12350,S200000,00200,0300,46321- 12350,S200000,00300,0100,LAKE 12350,S200000,00400,0100,MUNSTER MED-INN 12350,S200000,00400,0200,155131 12350,S200000,00400,0300,11/21/1972 12350,S200000,00400,0500,P 12350,S200000,01600,0100,Y 12361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12361,A000000,00300,0000,00300EMPLOYEE BENEFITS 12361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12361,A000000,00700,0000,00700HOUSEKEEPING 12361,A000000,00800,0000,00800DIETARY 12361,A000000,00900,0000,00900NURSING ADMINISTRATION 12361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12361,A000000,01100,0000,01100PHARMACY 12361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12361,A000000,01300,0000,01300SOCIAL SERVICE 12361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12361,A000000,01600,0000,01600SKILLED NURSING FACILITY 12361,A000000,02100,0000,02100RADIOLOGY 12361,A000000,02200,0000,02200LABORATORY 12361,A000000,02300,0000,02300INTRAVENOUS THERAPY 12361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12361,A000000,02500,0000,02500PHYSICAL THERAPY 12361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12361,A000000,02700,0000,02700SPEECH PATHOLOGY 12361,A000000,02800,0000,02800ELECTROCARDIOLOGY 12361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12361,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12361,A000000,03200,0000,03200SUPPORT SURFACES 12361,A000000,03400,0000,03400CLINIC 12361,A000000,04800,0000,04800AMBULANCE 12361,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12361,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12361,A000000,05300,0000,05300INTEREST EXPENSE 12361,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12361,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12361,A000000,06100,0000,06100NONPAID WORKERS 12361,A000000,06200,0000,06200PATIENTS LAUNDRY 12361,A81000A,00100,0100,Y 12361,A81000B,00100,0300,ADMINISTRATIVE 12361,A81000B,00200,0300,CAPITAL 12361,A81000B,00300,0300,RADIOLOGY 12361,A81000B,00400,0300,DRUGS 12361,A81000B,00500,0300,CAPITAL 12361,A81000C,00100,0100,B 12361,A81000C,00100,0200,EAGLECARE INC. 12361,A81000C,00100,0600,CENTRAL OFFICE 12361,A81000C,00200,0100,B 12361,A81000C,00200,0200,EAGLECARE INC. 12361,A81000C,00200,0600,CENTRAL OFFICE 12361,A81000C,00300,0100,B 12361,A81000C,00300,0200,VENTURA RDLGY 12361,A81000C,00300,0600,RADIOLOGY 12361,A81000C,00400,0100,B 12361,A81000C,00400,0200,CORNERSTONE 12361,A81000C,00400,0600,PHARMACY 12361,A81000C,00500,0100,B 12361,A81000C,00500,0200,TURTLE CRK INV 12361,A81000C,00500,0600,PROPERTY OWNER 12361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12361,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12361,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12361,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12361,B100000,00000,0800,00000MEALS SERVED :DIETARY 12361,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12361,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12361,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12361,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12361,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12361,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12361,S000000,00100,0200,05/31/2000 12361,S200000,00100,0100,2233 WEST JEFFERSON STREET 12361,S200000,00200,0100,KOKOMO 12361,S200000,00200,0200,IN 12361,S200000,00200,0300,46901- 12361,S200000,00300,0100,HOWARD 12361,S200000,00400,0100,NORTH WOODS VILLAGE 12361,S200000,00400,0200,155139 12361,S200000,00400,0300,01/01/1975 12361,S200000,00400,0500,P 12361,S200000,01600,0100,Y 12373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12373,A000000,00300,0000,00300EMPLOYEE BENEFITS 12373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12373,A000000,00700,0000,00700HOUSEKEEPING 12373,A000000,00800,0000,00800DIETARY 12373,A000000,00900,0000,00900NURSING ADMINISTRATION 12373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12373,A000000,01100,0000,01100PHARMACY 12373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12373,A000000,01300,0000,01300SOCIAL SERVICE 12373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12373,A000000,01600,0000,01600SKILLED NURSING FACILITY 12373,A000000,02100,0000,02100RADIOLOGY 12373,A000000,02200,0000,02200LABORATORY 12373,A000000,02300,0000,02300INTRAVENOUS THERAPY 12373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12373,A000000,02500,0000,02500PHYSICAL THERAPY 12373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12373,A000000,02700,0000,02700SPEECH PATHOLOGY 12373,A000000,02800,0000,02800ELECTROCARDIOLOGY 12373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12373,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12373,A000000,03200,0000,03200SUPPORT SURFACES 12373,A000000,03400,0000,03400CLINIC 12373,A000000,04800,0000,04800AMBULANCE 12373,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12373,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12373,A000000,05300,0000,05300INTEREST EXPENSE 12373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12373,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12373,A000000,06100,0000,06100NONPAID WORKERS 12373,A000000,06200,0000,06200PATIENTS LAUNDRY 12373,A81000A,00100,0100,Y 12373,A81000B,00100,0300,ADMINISTRATIVE 12373,A81000B,00200,0300,CAPITAL 12373,A81000B,00300,0300,RADIOLOGY 12373,A81000B,00400,0300,DRUGS 12373,A81000B,00500,0300,CAPITAL 12373,A81000C,00100,0100,B 12373,A81000C,00100,0200,EAGLECARE INC. 12373,A81000C,00100,0600,CENTRAL OFFICE 12373,A81000C,00200,0100,B 12373,A81000C,00200,0200,EAGLECARE INC. 12373,A81000C,00200,0600,CENTRAL OFFICE 12373,A81000C,00300,0100,B 12373,A81000C,00300,0200,VENTURA RADIOL. 12373,A81000C,00300,0600,RADIOLOGY 12373,A81000C,00400,0100,B 12373,A81000C,00400,0200,CORNERSTONE 12373,A81000C,00400,0600,PHARMACY 12373,A81000C,00500,0100,B 12373,A81000C,00500,0200,TURTLE CRK INV 12373,A81000C,00500,0600,PROPERTY OWNER 12373,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12373,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12373,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12373,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12373,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12373,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12373,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12373,B100000,00000,0800,00000MEALS SERVED :DIETARY 12373,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12373,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12373,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12373,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12373,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12373,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12373,S000000,00100,0200,05/31/2000 12373,S200000,00100,0100,2626 FAIRFIELD AVENUE 12373,S200000,00200,0100,FORT WAYNE 12373,S200000,00200,0200,IN 12373,S200000,00200,0300,46807- 12373,S200000,00300,0100,ALLEN 12373,S200000,00400,0100,ANTHONY WAYNE HEALTHCARE CENTER 12373,S200000,00400,0200,155140 12373,S200000,00400,0300,01/01/1974 12373,S200000,00400,0500,P 12373,S200000,01600,0100,Y 12383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12383,A000000,00300,0000,00300EMPLOYEE BENEFITS 12383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12383,A000000,00700,0000,00700HOUSEKEEPING 12383,A000000,00800,0000,00800DIETARY 12383,A000000,00900,0000,00900NURSING ADMINISTRATION 12383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12383,A000000,01100,0000,01100PHARMACY 12383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12383,A000000,01300,0000,01300SOCIAL SERVICE 12383,A000000,01350,0000,01500OTHER GENERAL SERVICES 12383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12383,A000000,01600,0000,01600SKILLED NURSING FACILITY 12383,A000000,01800,0000,01800NURSING FACILITY 12383,A000000,01810,0000,01801ICF/MR 12383,A000000,01900,0000,01900OTHER LONG TERM CARE 12383,A000000,02100,0000,02100RADIOLOGY 12383,A000000,02200,0000,02200LABORATORY 12383,A000000,02300,0000,02300INTRAVENOUS THERAPY 12383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12383,A000000,02500,0000,02500PHYSICAL THERAPY 12383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12383,A000000,02700,0000,02700SPEECH PATHOLOGY 12383,A000000,02800,0000,02800ELECTROCARDIOLOGY 12383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12383,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12383,A000000,03200,0000,03200SUPPORT SURFACES 12383,A000000,03400,0000,03400CLINIC 12383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12383,A000000,03500,0000,03500RURAL HEALTH CLINIC 12383,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12383,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12383,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12383,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12383,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12383,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12383,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12383,A000000,04400,0000,04400DME RENTED - HHA 12383,A000000,04500,0000,04500DME SOLD - HHA 12383,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12383,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12383,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12383,A000000,04800,0000,04800AMBULANCE 12383,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12383,A000000,05000,0000,05000CORF 12383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12383,A000000,05300,0000,05300INTEREST EXPENSE 12383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12383,A000000,05500,0000,05500HOSPICE 12383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12383,A000000,06100,0000,06100NONPAID WORKERS 12383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12383,A000000,06200,0000,06200PATIENTS LAUNDRY 12383,A81000A,00100,0100,Y 12383,A81000B,00100,0300,HOME OFFICE COSTS 12383,A81000B,00200,0300,RENT 12383,A81000B,00300,0300,LAUNDRY SERVICES 12383,A81000B,00400,0300,PHYSICAL THERAPY 12383,A81000C,00100,0100,B 12383,A81000C,00100,0400,SUNSET HARBOR INC. 12383,A81000C,00100,0600,MANAGEMENT/COMPUTER 12383,A81000C,00200,0100,B 12383,A81000C,00200,0400,SUNSET HARBOR INC. 12383,A81000C,00200,0600,MANAGEMENT 12383,A81000C,00300,0100,B 12383,A81000C,00300,0400,L.W.B. INC. 12383,A81000C,00300,0600,LAUNDRY SERVICE 12383,A81000C,00400,0100,B 12383,A81000C,00400,0400,L.W.B. INC. 12383,A81000C,00400,0600,PHYSICAL THERPAY SERVICES 12383,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12383,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12383,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12383,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12383,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12383,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12383,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12383,B100000,00000,0800,00000MEALS SERVED :DIETARY 12383,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12383,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12383,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12383,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12383,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12383,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12383,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12383,S000000,00100,0200,04/06/2000 12383,S200000,00100,0100,3150 NORTH 7TH STREET 12383,S200000,00200,0100,TERRE HAUTE 12383,S200000,00200,0200,IN 12383,S200000,00200,0300,47804- 12383,S200000,00300,0100,VIGO 12383,S200000,00400,0100,MEADOWS MANOR NORTH INC. 12383,S200000,00400,0200,155143 12383,S200000,00400,0300,01/25/1973 12383,S200000,00400,0500,P 12383,S200000,01600,0100,Y 12383,S200000,02200,0100,Y 12395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12395,A000000,00300,0000,00300EMPLOYEE BENEFITS 12395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12395,A000000,00700,0000,00700HOUSEKEEPING 12395,A000000,00800,0000,00800DIETARY 12395,A000000,00900,0000,00900NURSING ADMINISTRATION 12395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12395,A000000,01100,0000,01100PHARMACY 12395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12395,A000000,01300,0000,01300SOCIAL SERVICE 12395,A000000,01350,0000,01500ACTIVITIES 12395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12395,A000000,01600,0000,01600SKILLED NURSING FACILITY 12395,A000000,01800,0000,01800NURSING FACILITY 12395,A000000,01900,0000,01900OTHER LONG TERM CARE 12395,A000000,02100,0000,02100RADIOLOGY 12395,A000000,02200,0000,02200LABORATORY 12395,A000000,02300,0000,02300INTRAVENOUS THERAPY 12395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12395,A000000,02500,0000,02500PHYSICAL THERAPY 12395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12395,A000000,02700,0000,02700SPEECH PATHOLOGY 12395,A000000,02800,0000,02800ELECTROCARDIOLOGY 12395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12395,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12395,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12395,A000000,03200,0000,03200SUPPORT SURFACES 12395,A000000,03400,0000,03400CLINIC 12395,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12395,A000000,03500,0000,03500RURAL HEALTH CLINIC 12395,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12395,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12395,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12395,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12395,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12395,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12395,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12395,A000000,04400,0000,04400DME RENTED - HHA 12395,A000000,04500,0000,04500DME SOLD - HHA 12395,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12395,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12395,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12395,A000000,04800,0000,04800AMBULANCE 12395,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12395,A000000,05000,0000,05000CORF 12395,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12395,A000000,05300,0000,05300INTEREST EXPENSE 12395,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12395,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12395,A000000,05500,0000,05500HOSPICE 12395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12395,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12395,A000000,06100,0000,06100NONPAID WORKERS 12395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12395,A000000,06200,0000,06200PATIENTS LAUNDRY 12395,A81000A,00100,0100,Y 12395,A81000B,00400,0300,ACCOUNTING FEES 12395,A81000B,00500,0300,DATA PROCESSING 12395,A81000B,00600,0300,MANAGEMENT FEES 12395,A81000C,00100,0100,A 12395,A81000C,00100,0200,HOUSE INVESTMENTS INC 12395,A81000C,00100,0400,HOUSE INVESTMENTS INC 12395,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12395,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12395,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12395,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12395,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12395,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12395,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12395,B100000,00000,0800,00000MEALS SERVED :DIETARY 12395,B100000,00000,0950,00000DIRECTNURS SING HRS. :NURSING ADMIN 12395,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12395,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12395,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12395,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12395,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12395,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12395,S000000,00100,0200,06/05/2000 12395,S200000,00100,0100,603 EAST NATIONAL HIGHWAY 12395,S200000,00200,0100,WASHINGTON 12395,S200000,00200,0200,IN 12395,S200000,00200,0300,47501- 12395,S200000,00300,0100,DAVIES 12395,S200000,00400,0100,WASHINGTON NURSING CENTER 12395,S200000,00400,0200,155145 12395,S200000,00400,0300,04/01/1994 12395,S200000,00400,0500,P 12395,S200000,01004,0500,O 12395,S200000,01600,0100,Y 12395,S700003,00000,0100,1 12406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12406,A000000,00300,0000,00300EMPLOYEE BENEFITS 12406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12406,A000000,00700,0000,00700HOUSEKEEPING 12406,A000000,00800,0000,00800DIETARY 12406,A000000,00900,0000,00900NURSING ADMINISTRATION 12406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12406,A000000,01100,0000,01100PHARMACY 12406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12406,A000000,01300,0000,01300SOCIAL SERVICE 12406,A000000,01350,0000,01500OTHER GENERAL SERVICES 12406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12406,A000000,01600,0000,01600SKILLED NURSING FACILITY 12406,A000000,01800,0000,01800NURSING FACILITY 12406,A000000,01810,0000,01801ICF/MR 12406,A000000,01900,0000,01900OTHER LONG TERM CARE 12406,A000000,02100,0000,02100RADIOLOGY 12406,A000000,02200,0000,02200LABORATORY 12406,A000000,02300,0000,02300INTRAVENOUS THERAPY 12406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12406,A000000,02500,0000,02500PHYSICAL THERAPY 12406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12406,A000000,02700,0000,02700SPEECH PATHOLOGY 12406,A000000,02800,0000,02800ELECTROCARDIOLOGY 12406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12406,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12406,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12406,A000000,03200,0000,03200SUPPORT SURFACES 12406,A000000,03400,0000,03400CLINIC 12406,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12406,A000000,03500,0000,03500RURAL HEALTH CLINIC 12406,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12406,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12406,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12406,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12406,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12406,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12406,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12406,A000000,04400,0000,04400DME RENTED - HHA 12406,A000000,04500,0000,04500DME SOLD - HHA 12406,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12406,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12406,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12406,A000000,04800,0000,04800AMBULANCE 12406,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12406,A000000,05000,0000,05000CORF 12406,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12406,A000000,05300,0000,05300INTEREST EXPENSE 12406,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12406,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12406,A000000,05500,0000,05500HOSPICE 12406,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12406,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12406,A000000,06100,0000,06100NONPAID WORKERS 12406,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12406,A000000,06200,0000,06200PATIENTS LAUNDRY 12406,A81000A,00100,0100,Y 12406,A81000B,00100,0300,HOME OFFICE COSTS 12406,A81000B,00200,0300,RELATED PARTY LEASE 12406,A81000B,00300,0300,RELATED PARTY THERAPY 12406,A81000B,00400,0300,RELATED PARTY THERAPY 12406,A81000B,00500,0300,RELATED PARTY THERAPY 12406,A81000C,00100,0100,B 12406,A81000C,00100,0400,MHS INC 12406,A81000C,00100,0600,NURSING HOMES 12406,A81000C,00200,0100,A 12406,A81000C,00200,0400,MMM INVESTMENT 12406,A81000C,00200,0600,PROPERTY LEASING 12406,A81000C,00300,0100,A 12406,A81000C,00300,0400,THERACARE 12406,A81000C,00300,0600,THERAPY MANAGEMENT 12406,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12406,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12406,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12406,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12406,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12406,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12406,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12406,B100000,00000,0800,00000MEALS SERVED :DIETARY 12406,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12406,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12406,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12406,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12406,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12406,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12406,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12406,S000000,00100,0200,06/23/2000 12406,S200000,00100,0100,640 WEST ELLSWORTH 12406,S200000,00200,0100,COLUMBIA CITY 12406,S200000,00200,0200,IN 12406,S200000,00200,0300,46725- 12406,S200000,00300,0100,WHITLEY 12406,S200000,00400,0100,MHS INC. D/B/A MMM - COLUMBIA CITY 12406,S200000,00400,0200,155150 12406,S200000,00400,0300,01/04/1974 12406,S200000,00400,0500,P 12406,S200000,01600,0100,Y 12406,S200000,02200,0100,Y 12417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12417,A000000,00300,0000,00300EMPLOYEE BENEFITS 12417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12417,A000000,00700,0000,00700HOUSEKEEPING 12417,A000000,00800,0000,00800DIETARY 12417,A000000,00900,0000,00900NURSING ADMINISTRATION 12417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12417,A000000,01100,0000,01100PHARMACY 12417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12417,A000000,01300,0000,01300SOCIAL SERVICE 12417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12417,A000000,01600,0000,01600SKILLED NURSING FACILITY 12417,A000000,02100,0000,02100RADIOLOGY 12417,A000000,02200,0000,02200LABORATORY 12417,A000000,02300,0000,02300INTRAVENOUS THERAPY 12417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12417,A000000,02500,0000,02500PHYSICAL THERAPY 12417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12417,A000000,02700,0000,02700SPEECH PATHOLOGY 12417,A000000,02800,0000,02800ELECTROCARDIOLOGY 12417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12417,A000000,03200,0000,03200SUPPORT SURFACES 12417,A000000,03400,0000,03400CLINIC 12417,A000000,04800,0000,04800AMBULANCE 12417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12417,A000000,05300,0000,05300INTEREST EXPENSE 12417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12417,A000000,06100,0000,06100NONPAID WORKERS 12417,A000000,06200,0000,06200PATIENTS LAUNDRY 12417,A81000A,00100,0100,Y 12417,A81000B,00100,0300,ADMINISTRATIVE 12417,A81000B,00200,0300,CAPITAL 12417,A81000B,00300,0300,RADIOLOGY 12417,A81000B,00400,0300,DRUGS 12417,A81000B,00500,0300,CAPITAL 12417,A81000C,00100,0100,B 12417,A81000C,00100,0200,EAGLECARE INC. 12417,A81000C,00100,0600,CENTRAL OFFICE 12417,A81000C,00200,0100,B 12417,A81000C,00200,0200,EAGLECARE INC. 12417,A81000C,00200,0600,CENTRAL OFFICE 12417,A81000C,00300,0100,B 12417,A81000C,00300,0200,VENTURA RADIO. 12417,A81000C,00300,0600,RADIOLOGY 12417,A81000C,00400,0100,B 12417,A81000C,00400,0200,CORNERSTONE 12417,A81000C,00400,0600,PHARMACY 12417,A81000C,00500,0100,B 12417,A81000C,00500,0200,TURTLE CRK INV 12417,A81000C,00500,0600,PROPERTY OWNER 12417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12417,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12417,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12417,B100000,00000,0800,00000MEALS SERVED :DIETARY 12417,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12417,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12417,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12417,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12417,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12417,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12417,S000000,00100,0200,05/31/2000 12417,S200000,00100,0100,1120 NORTH MAIN ST 12417,S200000,00200,0100,MONTICELLO 12417,S200000,00200,0200,IN 12417,S200000,00200,0300,47960- 12417,S200000,00300,0100,WHITE 12417,S200000,00400,0100,MONTICELLO HEALTH CARE CENTER 12417,S200000,00400,0200,155152 12417,S200000,00400,0300,07/31/1981 12417,S200000,00400,0500,P 12417,S200000,01600,0100,Y 12417,S700003,00000,0100,1 12425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12425,A000000,00300,0000,00300EMPLOYEE BENEFITS 12425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12425,A000000,00700,0000,00700HOUSEKEEPING 12425,A000000,00800,0000,00800DIETARY 12425,A000000,00900,0000,00900NURSING ADMINISTRATION 12425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12425,A000000,01100,0000,01100PHARMACY 12425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12425,A000000,01300,0000,01300SOCIAL SERVICE 12425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12425,A000000,01600,0000,01600SKILLED NURSING FACILITY 12425,A000000,01800,0000,01800NURSING FACILITY 12425,A000000,01810,0000,01810ICF/MR 12425,A000000,01900,0000,01900OTHER LONG TERM CARE 12425,A000000,02100,0000,02100RADIOLOGY 12425,A000000,02200,0000,02200LABORATORY 12425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12425,A000000,02500,0000,02500PHYSICAL THERAPY 12425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12425,A000000,02700,0000,02700SPEECH PATHOLOGY 12425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12425,A000000,03550,0000,03550FQHC 12425,A000000,05000,0000,05000CORF 12425,A000000,05010,0000,05010CMHC 12425,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12425,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12425,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12425,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12425,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12425,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12425,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12425,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12425,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12425,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12425,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12425,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12425,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12425,B100000,00000,1250,00000PATIENT REVENUE :MEDICAL RECORDS & 12425,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12425,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12425,S000000,00100,0200,06/01/2000 12425,S200000,00100,0100,20351 DARDEN ROAD 12425,S200000,00200,0100,SOUTH BEND 12425,S200000,00200,0200,IN 12425,S200000,00200,0300,46634- 12425,S200000,00300,0100,ST. JOSEPH 12425,S200000,00400,0100,ST. CLAIR DARDEN HEALTH SYSTEM INC 12425,S200000,00400,0200,155153 12425,S200000,00400,0300,11/23/1973 12425,S200000,00400,0500,P 12425,S200000,00600,0200,155153 12425,S200000,00600,0300,11/23/1973 12425,S200000,00600,0600,P 12425,S200000,01004,0500,O 12425,S200000,01600,0100,Y 12425,S200000,02200,0100,Y 12425,S700003,00000,0100,1 12436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12436,A000000,00300,0000,00300EMPLOYEE BENEFITS 12436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12436,A000000,00700,0000,00700HOUSEKEEPING 12436,A000000,00800,0000,00800DIETARY 12436,A000000,00900,0000,00900NURSING ADMINISTRATION 12436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12436,A000000,01100,0000,01100PHARMACY 12436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12436,A000000,01300,0000,01300SOCIAL SERVICE 12436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12436,A000000,01600,0000,01600SKILLED NURSING FACILITY 12436,A000000,02100,0000,02100RADIOLOGY 12436,A000000,02200,0000,02200LABORATORY 12436,A000000,02300,0000,02300INTRAVENOUS THERAPY 12436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12436,A000000,02500,0000,02500PHYSICAL THERAPY 12436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12436,A000000,02700,0000,02700SPEECH PATHOLOGY 12436,A000000,02800,0000,02800ELECTROCARDIOLOGY 12436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12436,A000000,03200,0000,03200SUPPORT SURFACES 12436,A000000,03400,0000,03400CLINIC 12436,A000000,04800,0000,04800AMBULANCE 12436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12436,A000000,05300,0000,05300INTEREST EXPENSE 12436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12436,A000000,06100,0000,06100NONPAID WORKERS 12436,A000000,06200,0000,06200PATIENTS LAUNDRY 12436,A81000A,00100,0100,Y 12436,A81000B,00100,0300,ADMINISTRATIVE 12436,A81000B,00200,0300,CAPITAL 12436,A81000B,00300,0300,RADIOLOGY 12436,A81000B,00400,0300,DRUGS 12436,A81000B,00500,0300,CAPITAL 12436,A81000C,00100,0100,B 12436,A81000C,00100,0200,EAGLECARE INC. 12436,A81000C,00100,0600,CENTRAL OFFICE 12436,A81000C,00200,0100,B 12436,A81000C,00200,0200,EAGLECARE INC. 12436,A81000C,00200,0600,CENTRAL OFFICE 12436,A81000C,00300,0100,B 12436,A81000C,00300,0200,VENTURA RADIOL. 12436,A81000C,00300,0600,RADIOLOGY 12436,A81000C,00400,0100,B 12436,A81000C,00400,0200,CORNERSTONE 12436,A81000C,00400,0600,PHARMACY 12436,A81000C,00500,0100,B 12436,A81000C,00500,0200,CHILDRENS CONV 12436,A81000C,00500,0600,PROPERTY OWNER 12436,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12436,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12436,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12436,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12436,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12436,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12436,B100000,00000,0800,00000MEALS SERVED :DIETARY 12436,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12436,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12436,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12436,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12436,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12436,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12436,S000000,00100,0200,05/31/2000 12436,S200000,00100,0100,2140 WEST 86TH STREET 12436,S200000,00200,0100,INDIANAPOLIS 12436,S200000,00200,0200,IN 12436,S200000,00200,0300,46208- 12436,S200000,00300,0100,MARION 12436,S200000,00400,0100,COUNTRY TRACE 12436,S200000,00400,0200,155154 12436,S200000,00400,0300,05/01/1976 12436,S200000,00400,0500,P 12436,S200000,01600,0100,Y 12436,S700003,00000,0100,1 12450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12450,A000000,00300,0000,00300EMPLOYEE BENEFITS 12450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12450,A000000,00700,0000,00700HOUSEKEEPING 12450,A000000,00800,0000,00800DIETARY 12450,A000000,00900,0000,00900NURSING ADMINISTRATION 12450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12450,A000000,01100,0000,01100PHARMACY 12450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12450,A000000,01300,0000,01300SOCIAL SERVICE 12450,A000000,01350,0000,01500ACTIVITY 12450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12450,A000000,01600,0000,01600SKILLED NURSING FACILITY 12450,A000000,01800,0000,01800NURSING FACILITY 12450,A000000,01900,0000,01900OTHER LONG TERM CARE 12450,A000000,02100,0000,02100RADIOLOGY 12450,A000000,02200,0000,02200LABORATORY 12450,A000000,02300,0000,02300INTRAVENOUS THERAPY 12450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12450,A000000,02500,0000,02500PHYSICAL THERAPY 12450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12450,A000000,02700,0000,02700SPEECH PATHOLOGY 12450,A000000,02800,0000,02800ELECTROCARDIOLOGY 12450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12450,A000000,03050,0000,03300OTHER ANCILLARY - PEN 12450,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12450,A000000,03200,0000,03200SUPPORT SURFACES 12450,A000000,03400,0000,03400CLINIC 12450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12450,A000000,03500,0000,03500RURAL HEALTH CLINIC 12450,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12450,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12450,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12450,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12450,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12450,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12450,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12450,A000000,04400,0000,04400DME RENTED - HHA 12450,A000000,04500,0000,04500DME SOLD - HHA 12450,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12450,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12450,A000000,04800,0000,04800AMBULANCE 12450,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12450,A000000,05000,0000,05000CORF 12450,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12450,A000000,05300,0000,05300INTEREST EXPENSE 12450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12450,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12450,A000000,05500,0000,05500HOSPICE 12450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12450,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12450,A000000,06100,0000,06100NONPAID WORKERS 12450,A000000,06150,0000,06300OTHER NONREIMBURSE-RESIDENCE 12450,A000000,06200,0000,06200PATIENTS LAUNDRY 12450,A81000A,00100,0100,Y 12450,A81000B,00100,0300,DRUGS CHARGED TO PAT. 12450,A81000B,00200,0300,RESP. THERAPY SERVICES 12450,A81000B,00300,0300,EMPLOYEE BENEFITS 12450,A81000B,00400,0300,INTEREST EXPENSE 12450,A81000B,00500,0300,MANAGEMENT WAGES 12450,A81000B,00600,0300,CONSULTING 12450,A81000B,00700,0300,CONSULTING 12450,A81000B,00800,0300,BH COMPUTERS 12450,A81000B,00900,0300,CONSULTING 12450,A81000B,01000,0300,PT 12450,A81000B,01100,0300,SPEECH THERAPY 12450,A81000B,01200,0300,OCCU THERAPY 12450,A81000B,01300,0300,INTEREST EXPENSE 12450,A81000C,00100,0100,B 12450,A81000C,00100,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00100,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00100,0600,ACUTE HOSPITAL 12450,A81000C,00200,0100,B 12450,A81000C,00200,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00200,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00200,0600,ACUTE HOSPITAL 12450,A81000C,00300,0100,B 12450,A81000C,00300,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00300,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00300,0600,ACUTE HOSPITAL 12450,A81000C,00400,0100,B 12450,A81000C,00400,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00400,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00400,0600,ACUTE HOSPITAL 12450,A81000C,00500,0100,B 12450,A81000C,00500,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00500,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00500,0600,ACUTE HOSPITAL 12450,A81000C,00600,0100,B 12450,A81000C,00600,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00600,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00600,0600,ACUTE HOSPITAL 12450,A81000C,00700,0100,B 12450,A81000C,00700,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00700,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00700,0600,ACUTE HOSPITAL 12450,A81000C,00800,0100,B 12450,A81000C,00800,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00800,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00800,0600,ACUTE HOSPITAL 12450,A81000C,00900,0100,B 12450,A81000C,00900,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,00900,0400,BLOOMINGTON HOSPITAL 12450,A81000C,00900,0600,ACUTE HOSPITAL 12450,A81000C,01000,0100,B 12450,A81000C,01000,0200,LOCAL COUNCIL OF WOMEN 12450,A81000C,01000,0400,BLOOMINGTON HOSPITAL 12450,A81000C,01000,0600,ACUTE HOSPITAL 12450,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12450,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12450,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12450,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12450,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12450,B100000,00000,0650,00000TIME STUDY :LAUNDRY & LINEN SERVIC 12450,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12450,B100000,00000,0800,00000MEALS SERVED :DIETARY 12450,B100000,00000,0950,00000NURS. ADMIN. TI :NURSING ADMINISTRA 12450,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 12450,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12450,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12450,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12450,B100000,00000,1350,00000TIME SPENT :ACTIVITY 12450,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 12450,S000000,00100,0200,03/02/2000 12450,S200000,00100,0100,714 SOUTH ROGERS 12450,S200000,00200,0100,BLOOMINGTON 12450,S200000,00200,0200,IN 12450,S200000,00200,0300,47401- 12450,S200000,00300,0100,MONROE 12450,S200000,00400,0100,BLOOMINGTON CONVALESCENT CENTER 12450,S200000,00400,0200,155155 12450,S200000,00400,0300,04/01/1994 12450,S200000,00400,0500,P 12450,S200000,01600,0100,Y 12450,S200000,02800,0100,Y 12450,S700003,00000,0100,1 12460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12460,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 12460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12460,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 12460,A000000,00300,0000,00300EMPLOYEE BENEFITS 12460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12460,A000000,00700,0000,00700HOUSEKEEPING 12460,A000000,00800,0000,00800DIETARY 12460,A000000,00801,0000,00801CAFETERIA 12460,A000000,00900,0000,00900NURSING ADMINISTRATION 12460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12460,A000000,01100,0000,01100PHARMACY 12460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12460,A000000,01300,0000,01300SOCIAL SERVICE 12460,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12460,A000000,01600,0000,01600SKILLED NURSING FACILITY 12460,A000000,01800,0000,01800NURSING FACILITY 12460,A000000,01900,0000,01900OTHER LONG TERM CARE 12460,A000000,02100,0000,02100RADIOLOGY 12460,A000000,02200,0000,02200LABORATORY 12460,A000000,02300,0000,02300INTRAVENOUS THERAPY 12460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12460,A000000,02500,0000,02500PHYSICAL THERAPY 12460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12460,A000000,02700,0000,02700SPEECH PATHOLOGY 12460,A000000,02800,0000,02800ELECTROCARDIOLOGY 12460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12460,A000000,03050,0000,03300OTHER ANCILLARY 12460,A000000,03051,0000,03301OTHER ANCILLARY II 12460,A000000,03052,0000,03302OTHER ANCILLARY III 12460,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12460,A000000,03200,0000,03200SUPPORT SURFACES 12460,A000000,03400,0000,03400CLINIC 12460,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 12460,A000000,03500,0000,03500RURAL HEALTH CLINIC 12460,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12460,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12460,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12460,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12460,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12460,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12460,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12460,A000000,04400,0000,04400DME RENTED - HHA 12460,A000000,04500,0000,04500DME SOLD - HHA 12460,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12460,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12460,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12460,A000000,04800,0000,04800AMBULANCE 12460,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12460,A000000,05000,0000,05000CORF 12460,A000000,05010,0000,05010CMHC I 12460,A000000,05020,0000,05020OPT I 12460,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12460,A000000,05300,0000,05300INTEREST EXPENSE 12460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 12460,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 12460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12460,A000000,05500,0000,05500HOSPICE 12460,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12460,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12460,A000000,06100,0000,06100NONPAID WORKERS 12460,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12460,A000000,06200,0000,06200PATIENTS LAUNDRY 12460,A81000A,00100,0100,Y 12460,A81000B,00100,0300,EMPLOYEE BENEFITS 12460,A81000B,00200,0300,MANAGMENT FEES 12460,A81000B,00300,0300,HOUSEKEEPING SUPP 12460,A81000B,00400,0300,DIETARY SUPPLIES 12460,A81000B,00500,0300,CHGB MED SUPPLIES 12460,A81000B,00600,0300,PHYSICAL THERAPY 12460,A81000B,00700,0300,OCCUPATIONAL THERAPY 12460,A81000B,00800,0300,SPEECH THERAPY 12460,A81000B,00900,0300,PAYROLL PROCESSING FEES 12460,A81000C,00100,0100,G 12460,A81000C,00100,0200,CENT & CENT PTS 12460,A81000C,00100,0400,CENT HLTC 12460,A81000C,00100,0600,GPO 12460,A81000C,00200,0100,G 12460,A81000C,00200,0200,CENT PTS 12460,A81000C,00200,0400,CENT HLTC 12460,A81000C,00200,0600,HOME OFFICE 12460,A81000C,00300,0100,G 12460,A81000C,00300,0200,CENT PTS 12460,A81000C,00300,0400,CENT HLTC 12460,A81000C,00300,0600,GPO 12460,A81000C,00400,0100,G 12460,A81000C,00400,0200,CENT PTS 12460,A81000C,00400,0400,CENT HLTC 12460,A81000C,00400,0600,GPO 12460,A81000C,00500,0100,G 12460,A81000C,00500,0200,CENT PFS 12460,A81000C,00500,0400,CENT HLTC 12460,A81000C,00500,0600,GPO 12460,A81000C,00600,0100,G 12460,A81000C,00600,0200,PARAGON 12460,A81000C,00600,0400,CENT HLTC 12460,A81000C,00600,0600,THERAPY 12460,A81000C,00700,0100,G 12460,A81000C,00700,0200,PARAGON 12460,A81000C,00700,0400,CENT HLTC 12460,A81000C,00700,0600,THERAPY 12460,A81000C,00800,0100,G 12460,A81000C,00800,0200,PARAGON 12460,A81000C,00800,0400,CENT HLTC 12460,A81000C,00800,0600,THERAPY 12460,A81000C,00900,0100,G 12460,A81000C,00900,0200,CENT PTS 12460,A81000C,00900,0400,CENT HLTC 12460,A81000C,00900,0600,HOME OFFICE 12460,A81000C,03100,0000,A&G 12460,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 12460,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 12460,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 12460,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12460,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 12460,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 12460,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 12460,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 12460,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 12460,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 12460,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 12460,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 12460,S000000,00100,0200,06/01/2000 12460,S200000,00100,0100,910 SOUTH CARROLL AVE 12460,S200000,00200,0100,MICHIGAN CITY 12460,S200000,00200,0200,IN 12460,S200000,00200,0300,46360- 12460,S200000,00300,0100,LAPORTE 12460,S200000,00300,0200,15 12460,S200000,00300,0300,R 12460,S200000,00400,0100,RED OAKS HEALTHCARE 12460,S200000,00400,0200,155156 12460,S200000,00400,0300,04/10/1974 12460,S200000,00400,0500,P 12460,S200000,01500,0100,Y 12460,S200000,02200,0100,Y 12468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12468,A000000,00300,0000,00300EMPLOYEE BENEFITS 12468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12468,A000000,00700,0000,00700HOUSEKEEPING 12468,A000000,00800,0000,00800DIETARY 12468,A000000,00900,0000,00900NURSING ADMINISTRATION 12468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12468,A000000,01300,0000,01300SOCIAL SERVICE 12468,A000000,01301,0000,01301ACTIVITES 12468,A000000,01350,0000,01500REHABILITATION 12468,A000000,01600,0000,01600SKILLED NURSING FACILITY 12468,A000000,01800,0000,01800NURSING FACILITY 12468,A000000,01900,0000,01900OTHER LONG TERM CARE 12468,A000000,02100,0000,02100RADIOLOGY 12468,A000000,02200,0000,02200LABORATORY 12468,A000000,02300,0000,02300INTRAVENOUS THERAPY 12468,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12468,A000000,02500,0000,02500PHYSICAL THERAPY 12468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12468,A000000,02700,0000,02700SPEECH PATHOLOGY 12468,A000000,02800,0000,02800ELECTROCARDIOLOGY 12468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12468,A000000,03050,0000,03300EQUIPMENT RENTAL 12468,A000000,03051,0000,03301PEN THERAPY 12468,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12468,A000000,03200,0000,03200SUPPORT SURFACES 12468,A000000,04800,0000,04800AMBULANCE 12468,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12468,A000000,05300,0000,05300INTEREST EXPENSE 12468,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12468,A000000,06150,0000,06300VENDING 12468,A000000,06151,0000,06301STAND-BY 12468,A000000,06200,0000,06200PATIENTS LAUNDRY 12468,A81000A,00100,0100,Y 12468,A81000B,00100,0300,HOME OFFICE COST 12468,A81000B,00200,0300,CAPITAL 12468,A81000B,00300,0300,NSG SUPPLIES 12468,A81000B,00400,0300,REHAB 12468,A81000B,00500,0300,MEDICAL SUPPLIES 12468,A81000B,00600,0300,HOME OFFICE INTEREST 12468,A81000B,00700,0300,PHYSICAL THERAPY 12468,A81000B,00800,0300,OCCUPATIONAL THERAPY 12468,A81000B,00900,0300,SPEECH THERAPY 12468,A81000C,00100,0100,B 12468,A81000C,00100,0200,NEW CASTLE HC 12468,A81000C,00100,0400,MARINER PAN 12468,A81000C,00100,0600,NURSING HOMES 12468,A81000C,00200,0100,G 12468,A81000C,00200,0200,MARINER PAN 12468,A81000C,00200,0400,AMER PHARM SVCS 12468,A81000C,00200,0600,PHARMACEUTICALS 12468,A81000C,00300,0100,G 12468,A81000C,00300,0200,MARINER PAN 12468,A81000C,00300,0400,PRISM-ATS-ARS-T 12468,A81000C,00300,0600,THERAPIES 12468,A81000C,03100,0000,MARINER PAN 12468,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12468,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 12468,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 12468,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12468,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12468,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 12468,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 12468,B100000,00000,0800,00001MEALS SERVED :DIETARY 12468,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 12468,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 12468,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 12468,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12468,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 12468,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 12468,S000000,00100,0200,06/01/2000 12468,S200000,00100,0100,990 NORTH 16TH STREET 12468,S200000,00200,0100,NEW CASTLE 12468,S200000,00200,0200,IN 12468,S200000,00200,0300,47362- 12468,S200000,00300,0100,HENRY 12468,S200000,00400,0100,NEW CASTLE HEALTH CARE 12468,S200000,00400,0200,155160 12468,S200000,00400,0300,04/09/1974 12468,S200000,00400,0500,P 12468,S200000,01600,0100,Y 12468,S200000,02200,0100,Y 12468,S200000,04300,0100,Y 12468,S700003,00000,0100,1 12477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12477,A000000,00300,0000,00300EMPLOYEE BENEFITS 12477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12477,A000000,00700,0000,00700HOUSEKEEPING 12477,A000000,00800,0000,00800DIETARY 12477,A000000,00900,0000,00900NURSING ADMINISTRATION 12477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12477,A000000,01300,0000,01300SOCIAL SERVICE 12477,A000000,01301,0000,01301ACTIVITES 12477,A000000,01350,0000,01500REHABILITATION 12477,A000000,01600,0000,01600SKILLED NURSING FACILITY 12477,A000000,01800,0000,01800NURSING FACILITY 12477,A000000,01900,0000,01900OTHER LONG TERM CARE 12477,A000000,02100,0000,02100RADIOLOGY 12477,A000000,02200,0000,02200LABORATORY 12477,A000000,02300,0000,02300INTRAVENOUS THERAPY 12477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12477,A000000,02500,0000,02500PHYSICAL THERAPY 12477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12477,A000000,02700,0000,02700SPEECH PATHOLOGY 12477,A000000,02800,0000,02800ELECTROCARDIOLOGY 12477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12477,A000000,03050,0000,03300EQUIPMENT RENTAL 12477,A000000,03051,0000,03301PEN THERAPY 12477,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12477,A000000,03200,0000,03200SUPPORT SURFACES 12477,A000000,04800,0000,04800AMBULANCE 12477,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12477,A000000,05300,0000,05300INTEREST EXPENSE 12477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12477,A000000,06150,0000,06300VENDING 12477,A000000,06151,0000,06301STAND-BY 12477,A000000,06200,0000,06200PATIENTS LAUNDRY 12477,A81000A,00100,0100,Y 12477,A81000B,00100,0300,HOME OFFICE COST 12477,A81000B,00200,0300,MEDICAL SUPPLIES 12477,A81000B,00300,0300,HOME OFFICE INTEREST 12477,A81000B,00400,0300,PHYSICAL THERAPY 12477,A81000B,00500,0300,OCCUPATIONAL THERAPY 12477,A81000B,00600,0300,SPEECH THERAPY 12477,A81000C,00100,0100,B 12477,A81000C,00100,0200,WABASH HC 12477,A81000C,00100,0400,MARINER PAN 12477,A81000C,00100,0600,NURSING HOMES 12477,A81000C,00200,0100,G 12477,A81000C,00200,0200,MARINER PAN 12477,A81000C,00200,0400,AMER PHARM SVCS 12477,A81000C,00200,0600,PHARMACEUTICALS 12477,A81000C,00300,0100,G 12477,A81000C,00300,0200,MARINER PAN 12477,A81000C,00300,0400,PRISM-ATS-ARS-T 12477,A81000C,00300,0600,THERAPIES 12477,A81000C,03100,0000,MARINER PAN 12477,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12477,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 12477,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 12477,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12477,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12477,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 12477,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 12477,B100000,00000,0800,00001MEALS SERVED :DIETARY 12477,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 12477,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 12477,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 12477,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12477,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 12477,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 12477,S000000,00100,0200,06/01/2000 12477,S200000,00100,0100,600 WASHINGTON STREET 12477,S200000,00200,0100,WABASH 12477,S200000,00200,0200,IN 12477,S200000,00200,0300,46992- 12477,S200000,00300,0100,WABASH 12477,S200000,00400,0100,WABASH HEALTH CARE 12477,S200000,00400,0200,155162 12477,S200000,00400,0300,07/01/1979 12477,S200000,00400,0500,P 12477,S200000,01600,0100,Y 12477,S200000,02200,0100,Y 12477,S200000,04300,0100,Y 12477,S700003,00000,0100,1 12488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12488,A000000,00300,0000,00300EMPLOYEE BENEFITS 12488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12488,A000000,00700,0000,00700HOUSEKEEPING 12488,A000000,00800,0000,00800DIETARY 12488,A000000,00900,0000,00900NURSING ADMINISTRATION 12488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12488,A000000,01100,0000,01100PHARMACY 12488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12488,A000000,01300,0000,01300SOCIAL SERVICE 12488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12488,A000000,01600,0000,01600SKILLED NURSING FACILITY 12488,A000000,02100,0000,02100RADIOLOGY 12488,A000000,02200,0000,02200LABORATORY 12488,A000000,02300,0000,02300INTRAVENOUS THERAPY 12488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12488,A000000,02500,0000,02500PHYSICAL THERAPY 12488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12488,A000000,02700,0000,02700SPEECH PATHOLOGY 12488,A000000,02800,0000,02800ELECTROCARDIOLOGY 12488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12488,A000000,03200,0000,03200SUPPORT SURFACES 12488,A000000,03400,0000,03400CLINIC 12488,A000000,04800,0000,04800AMBULANCE 12488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12488,A000000,05300,0000,05300INTEREST EXPENSE 12488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12488,A000000,06100,0000,06100NONPAID WORKERS 12488,A000000,06200,0000,06200PATIENTS LAUNDRY 12488,A81000A,00100,0100,Y 12488,A81000B,00100,0300,ADMIN 12488,A81000B,00200,0300,CAPITAL 12488,A81000B,00300,0300,RADIOLOGY 12488,A81000B,00400,0300,DRUGS 12488,A81000B,00500,0300,CAPITAL 12488,A81000C,00100,0100,B 12488,A81000C,00100,0200,EAGLECARE INC. 12488,A81000C,00100,0600,CENTRAL OFFICE 12488,A81000C,00200,0100,B 12488,A81000C,00200,0200,EAGLECARE INC. 12488,A81000C,00200,0600,CENTRAL OFFICE 12488,A81000C,00300,0100,B 12488,A81000C,00300,0200,VENTURA RADIOL 12488,A81000C,00300,0600,XRAY 12488,A81000C,00400,0100,B 12488,A81000C,00400,0200,CORNERSTONE 12488,A81000C,00400,0600,PHARMACY 12488,A81000C,00500,0100,B 12488,A81000C,00500,0200,JACKSON LEASING 12488,A81000C,00500,0600,PROPERTY OWNER 12488,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12488,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12488,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12488,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12488,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12488,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12488,B100000,00000,0800,00000MEALS SERVED :DIETARY 12488,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12488,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12488,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12488,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12488,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12488,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12488,S000000,00100,0200,05/31/2000 12488,S200000,00100,0100,586 EASTERN BOULEVARD 12488,S200000,00200,0100,CLARKSVILLE 12488,S200000,00200,0200,IN 12488,S200000,00300,0100,47129 CLARK 12488,S200000,00400,0100,RIVERVIEW VILLAGE 12488,S200000,00400,0200,155165 12488,S200000,00400,0300,10/01/1985 12488,S200000,00400,0500,P 12488,S200000,01600,0100,Y 12488,S700003,00000,0100,1 12498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12498,A000000,00300,0000,00300EMPLOYEE BENEFITS 12498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12498,A000000,00700,0000,00700HOUSEKEEPING 12498,A000000,00800,0000,00800DIETARY 12498,A000000,00900,0000,00900NURSING ADMINISTRATION 12498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12498,A000000,01100,0000,01100PHARMACY 12498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12498,A000000,01300,0000,01300SOCIAL SERVICE 12498,A000000,01350,0000,01500RECREATIONAL THERAPY 12498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12498,A000000,01600,0000,01600SKILLED NURSING FACILITY 12498,A000000,01800,0000,01800NURSING FACILITY 12498,A000000,01810,0000,01810ICF/MR 12498,A000000,02100,0000,02100RADIOLOGY 12498,A000000,02200,0000,02200LABORATORY 12498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12498,A000000,02500,0000,02500PHYSICAL THERAPY 12498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12498,A000000,02700,0000,02700SPEECH PATHOLOGY 12498,A000000,02800,0000,02800ELECTROCARDIOLOGY 12498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12498,A000000,03550,0000,03550FQHC 12498,A000000,04800,0000,04800AMBULANCE 12498,A000000,05000,0000,05000CORF 12498,A000000,05010,0000,05010CMHC 12498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12498,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12498,A81000A,00100,0100,Y 12498,A81000B,00100,0300,MANAGEMENT FEES 12498,A81000B,00200,0300,DIETARY CONSULTANT 12498,A81000B,00300,0300,HOME OFFICE EXPENSES 12498,A81000B,00400,0300,ANCILLARY ADMIN SVCS 12498,A81000B,00500,0300,BOOKKEEPING SVCS 12498,A81000B,00600,0300,ACCOUNTING SVCS 12498,A81000B,00700,0300,DATA PROCESSING 12498,A81000B,00800,0300,RENT 12498,A81000B,00900,0300,MORTGAGE INTEREST 12498,A81000B,01000,0300,DEPR EXPENSE 12498,A81000B,01100,0300,BLDG CO ADMIN EXP 12498,A81000C,00100,0100,A 12498,A81000C,00100,0200,ERIC ROTHNER 12498,A81000C,00100,0400,CARE CENTERS I 12498,A81000C,00100,0600,MANAGEMENT CO. 12498,A81000C,00200,0100,B 12498,A81000C,00200,0200,ERIC ROTHNER 12498,A81000C,00200,0400,VALPARAISO H.C. 12498,A81000C,00200,0600,BUILDING CO. 12498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12498,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12498,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12498,B100000,00000,0800,00000MEALS SERVED :DIETARY 12498,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12498,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12498,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12498,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12498,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12498,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12498,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12498,S000000,00100,0200,06/02/2000 12498,S200000,00100,0100,606 WALL STREET 12498,S200000,00200,0100,VALPARAISO 12498,S200000,00200,0200,IN 12498,S200000,00200,0300,46383- 12498,S200000,00300,0100,PORTER 12498,S200000,00400,0100,VALPARISO CARE & REHAB. CENTER 12498,S200000,00400,0200,155166 12498,S200000,00400,0300,01/19/1994 12498,S200000,00400,0500,P 12498,S200000,00600,0200,155166 12498,S200000,00600,0300,01/19/1994 12498,S200000,00600,0600,P 12498,S200000,01600,0100,Y 12498,S200000,02200,0100,Y 12498,S700003,00000,0100,1 12507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12507,A000000,00300,0000,00300EMPLOYEE BENEFITS 12507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12507,A000000,00700,0000,00700HOUSEKEEPING 12507,A000000,00800,0000,00800DIETARY 12507,A000000,00900,0000,00900NURSING ADMINISTRATION 12507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12507,A000000,01300,0000,01300SOCIAL SERVICE 12507,A000000,01600,0000,01600SKILLED NURSING FACILITY 12507,A000000,01800,0000,01800NURSING FACILITY 12507,A000000,01900,0000,01900OTHER LONG TERM CARE 12507,A000000,02100,0000,02100RADIOLOGY 12507,A000000,02200,0000,02200LABORATORY 12507,A000000,02500,0000,02500PHYSICAL THERAPY 12507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12507,A000000,02700,0000,02700SPEECH PATHOLOGY 12507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12507,A000000,03200,0000,03200SUPPORT SURFACES 12507,A000000,04800,0000,04800AMBULANCE 12507,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12507,A000000,06151,0000,06301RESIDENTIAL CARE CENTER 12507,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12507,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 12507,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 12507,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12507,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12507,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 12507,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 12507,B100000,00000,0800,00001MEALS SERVED :DIETARY 12507,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 12507,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 12507,B100000,00000,1250,00001GROSS REVENUES :MEDICAL RECORDS & 12507,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12507,S000000,00100,0200,02/25/2000 12507,S200000,00100,0100,11050 PRESBYTERIAN DRIVE 12507,S200000,00200,0100,INDIANAPOLIS 12507,S200000,00200,0200,IN 12507,S200000,00200,0300,46236- 12507,S200000,00300,0100,MARION 12507,S200000,00400,0100,WESTMINSTER VILLAGE NORTH INC 12507,S200000,00400,0200,155167 12507,S200000,00400,0300,04/10/1975 12507,S200000,00400,0500,P 12507,S200000,01600,0100,Y 12507,S700003,00000,0100,1 12518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12518,A000000,00300,0000,00300EMPLOYEE BENEFITS 12518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12518,A000000,00700,0000,00700HOUSEKEEPING 12518,A000000,00800,0000,00800DIETARY 12518,A000000,00900,0000,00900NURSING ADMINISTRATION 12518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12518,A000000,01100,0000,01100PHARMACY 12518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12518,A000000,01300,0000,01300SOCIAL SERVICE 12518,A000000,01350,0000,01500OTHER GENERAL SERVICES 12518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12518,A000000,01600,0000,01600SKILLED NURSING FACILITY 12518,A000000,01800,0000,01800NURSING FACILITY 12518,A000000,01810,0000,01810ICF/MR 12518,A000000,01900,0000,01900OTHER LONG TERM CARE 12518,A000000,02100,0000,02100RADIOLOGY 12518,A000000,02200,0000,02200LABORATORY 12518,A000000,02300,0000,02300INTRAVENOUS THERAPY 12518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12518,A000000,02500,0000,02500PHYSICAL THERAPY 12518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12518,A000000,02700,0000,02700SPEECH PATHOLOGY 12518,A000000,02800,0000,02800ELECTROCARDIOLOGY 12518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12518,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12518,A000000,03200,0000,03200SUPPORT SURFACES 12518,A000000,03400,0000,03400CLINIC 12518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12518,A000000,03500,0000,03500RURAL HEALTH CLINIC 12518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12518,A000000,04800,0000,04800AMBULANCE 12518,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12518,A000000,05000,0000,05000CORF 12518,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12518,A000000,05300,0000,05300INTEREST EXPENSE 12518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12518,A000000,05500,0000,05500HOSPICE 12518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12518,A000000,06100,0000,06100NONPAID WORKERS 12518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12518,A000000,06200,0000,06200PATIENTS LAUNDRY 12518,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12518,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12518,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 12518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12518,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12518,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12518,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12518,B100000,00000,0800,00000MEALS SERVED :DIETARY 12518,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12518,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12518,S000000,00100,0200,11/29/2000 12518,S200000,00100,0100,5801 W. BETHEL AVENUE 12518,S200000,00200,0100,MUNCIE 12518,S200000,00200,0200,IN 12518,S200000,00200,0300,47304- 12518,S200000,00300,0100,DELAWARE 12518,S200000,00300,0200,5280 12518,S200000,00300,0300,U 12518,S200000,00400,0100,WESTMINSTER VILLAGE MUNCIE 12518,S200000,00400,0200,155170 12518,S200000,00400,0300,10/07/1975 12518,S200000,00400,0500,P 12518,S200000,01500,0100,Y 12528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12528,A000000,00300,0000,00300EMPLOYEE BENEFITS 12528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12528,A000000,00700,0000,00700HOUSEKEEPING 12528,A000000,00800,0000,00800DIETARY 12528,A000000,00900,0000,00900NURSING ADMINISTRATION 12528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12528,A000000,01100,0000,01100PHARMACY 12528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12528,A000000,01300,0000,01300SOCIAL SERVICE 12528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12528,A000000,01600,0000,01600SKILLED NURSING FACILITY 12528,A000000,02100,0000,02100RADIOLOGY 12528,A000000,02200,0000,02200LABORATORY 12528,A000000,02300,0000,02300INTRAVENOUS THERAPY 12528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12528,A000000,02500,0000,02500PHYSICAL THERAPY 12528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12528,A000000,02700,0000,02700SPEECH PATHOLOGY 12528,A000000,02800,0000,02800ELECTROCARDIOLOGY 12528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12528,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12528,A000000,03200,0000,03200SUPPORT SURFACES 12528,A000000,03400,0000,03400CLINIC 12528,A000000,04800,0000,04800AMBULANCE 12528,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12528,A000000,05300,0000,05300INTEREST EXPENSE 12528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12528,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12528,A000000,06100,0000,06100NONPAID WORKERS 12528,A000000,06200,0000,06200PATIENTS LAUNDRY 12528,A81000A,00100,0100,Y 12528,A81000B,00100,0300,ADMINISTRATIVE 12528,A81000B,00200,0300,CAPITAL 12528,A81000B,00300,0300,XRAY 12528,A81000B,00400,0300,DRUGS 12528,A81000B,00500,0300,CAPITAL 12528,A81000C,00100,0100,B 12528,A81000C,00100,0200,EAGLECARE INC 12528,A81000C,00100,0600,CENTRAL OFFICE 12528,A81000C,00200,0100,B 12528,A81000C,00200,0200,EAGLECARE INC 12528,A81000C,00200,0600,CENTRAL OFFICE 12528,A81000C,00300,0100,B 12528,A81000C,00300,0200,VENTURA RADIOL. 12528,A81000C,00300,0600,RADIOLOGY 12528,A81000C,00400,0100,B 12528,A81000C,00400,0200,CORNERSTONE 12528,A81000C,00400,0600,PHARMACY 12528,A81000C,00500,0100,B 12528,A81000C,00500,0200,JACKSON LEASING 12528,A81000C,00500,0600,PROPERTY OWNER 12528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12528,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12528,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12528,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12528,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12528,B100000,00000,0800,00000MEALS SERVED :DIETARY 12528,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12528,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12528,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12528,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12528,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12528,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12528,S000000,00100,0200,05/31/2000 12528,S200000,00100,0100,1285 WEST JEFFERSON STREET 12528,S200000,00200,0100,FRANKLIN 12528,S200000,00200,0200,IN 12528,S200000,00300,0100,46131 JOHNSON 12528,S200000,00400,0100,FRANKLIN MEADOWS 12528,S200000,00400,0200,155171 12528,S200000,00400,0300,05/01/1976 12528,S200000,00400,0500,P 12528,S200000,01600,0100,Y 12528,S700003,00000,0100,1 12539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12539,A000000,00300,0000,00300EMPLOYEE BENEFITS 12539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12539,A000000,00700,0000,00700HOUSEKEEPING 12539,A000000,00800,0000,00800DIETARY 12539,A000000,00900,0000,00900NURSING ADMINISTRATION 12539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12539,A000000,01100,0000,01100PHARMACY 12539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12539,A000000,01300,0000,01300SOCIAL SERVICE 12539,A000000,01350,0000,01500ACTIVITIES 12539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12539,A000000,01600,0000,01600SKILLED NURSING FACILITY 12539,A000000,01800,0000,01800NURSING FACILITY 12539,A000000,01810,0000,01801ICF/MR 12539,A000000,01900,0000,01900OTHER LONG TERM CARE 12539,A000000,02100,0000,02100RADIOLOGY 12539,A000000,02200,0000,02200LABORATORY 12539,A000000,02300,0000,02300INTRAVENOUS THERAPY 12539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12539,A000000,02500,0000,02500PHYSICAL THERAPY 12539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12539,A000000,02700,0000,02700SPEECH PATHOLOGY 12539,A000000,02800,0000,02800ELECTROCARDIOLOGY 12539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12539,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12539,A000000,03200,0000,03200SUPPORT SURFACES 12539,A000000,03400,0000,03400CLINIC 12539,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12539,A000000,03500,0000,03500RURAL HEALTH CLINIC 12539,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12539,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12539,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12539,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12539,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12539,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12539,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12539,A000000,04400,0000,04400DME RENTED - HHA 12539,A000000,04500,0000,04500DME SOLD - HHA 12539,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12539,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12539,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12539,A000000,04800,0000,04800AMBULANCE 12539,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12539,A000000,05000,0000,05000CORF 12539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12539,A000000,05300,0000,05300INTEREST EXPENSE 12539,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12539,A000000,05500,0000,05500HOSPICE 12539,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12539,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12539,A000000,06100,0000,06100NONPAID WORKERS 12539,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12539,A000000,06200,0000,06200PATIENTS LAUNDRY 12539,A81000A,00100,0100,Y 12539,A81000B,00100,0300,CAPITAL RELATED 12539,A81000B,00200,0300,ADMIN & GENERAL 12539,A81000B,00300,0300,MANAGEMENT FEES 12539,A81000C,00100,0100,G 12539,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12539,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12539,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12539,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12539,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12539,B100000,00000,0800,00000MEALS SERVED :DIETARY 12539,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12539,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12539,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12539,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12539,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12539,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12539,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12539,S000000,00100,0200,09/01/2000 12539,S200000,00100,0100,300 CULVER 12539,S200000,00200,0100,KNOX 12539,S200000,00200,0200,IN 12539,S200000,00200,0300,46534- 12539,S200000,00300,0100,STARKE 12539,S200000,00400,0100,COUNTRYSIDE PLACE OF KNOX 12539,S200000,00400,0200,155172 12539,S200000,00400,0300,02/01/1983 12539,S200000,00400,0500,P 12539,S200000,01600,0100,Y 12539,S700003,00000,0100,1 12548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12548,A000000,00300,0000,00300EMPLOYEE BENEFITS 12548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12548,A000000,00700,0000,00700HOUSEKEEPING 12548,A000000,00800,0000,00800DIETARY 12548,A000000,00801,0000,00801DIETARY SERVICES 12548,A000000,00900,0000,00900NURSING ADMINISTRATION 12548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12548,A000000,01100,0000,01100PHARMACY 12548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12548,A000000,01300,0000,01300SOCIAL SERVICE 12548,A000000,01301,0000,01301ACTIVITIES 12548,A000000,01350,0000,01500OTHER GENERAL SERVICES 12548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12548,A000000,01600,0000,01600SKILLED NURSING FACILITY 12548,A000000,01800,0000,01800NURSING FACILITY 12548,A000000,01810,0000,01801ICF/MR 12548,A000000,01900,0000,01900OTHER LONG TERM CARE 12548,A000000,02100,0000,02100RADIOLOGY 12548,A000000,02200,0000,02200LABORATORY 12548,A000000,02300,0000,02300INTRAVENOUS THERAPY 12548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12548,A000000,02500,0000,02500PHYSICAL THERAPY 12548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12548,A000000,02700,0000,02700SPEECH PATHOLOGY 12548,A000000,02800,0000,02800ELECTROCARDIOLOGY 12548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12548,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12548,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12548,A000000,03200,0000,03200SUPPORT SURFACES 12548,A000000,03400,0000,03400CLINIC 12548,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12548,A000000,03500,0000,03500RURAL HEALTH CLINIC 12548,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12548,A000000,04800,0000,04800AMBULANCE 12548,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12548,A000000,05000,0000,05000CORF 12548,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12548,A000000,05300,0000,05300INTEREST EXPENSE 12548,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12548,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12548,A000000,05500,0000,05500HOSPICE 12548,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12548,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12548,A000000,06100,0000,06100NONPAID WORKERS 12548,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12548,A000000,06200,0000,06200PATIENTS LAUNDRY 12548,A81000A,00100,0100,Y 12548,A81000B,00100,0300,FACILITY LEASE PAYMENT 12548,A81000B,00200,0300,FACILITY LEASE PAYMENT 12548,A81000C,00100,0100,D 12548,A81000C,00100,0200,ERIC B. WALTS 12548,A81000C,00100,0400,SYNECTIC PARTNERSHIP 12548,A81000C,00100,0600,REAL ESTATE PARTNERSHIP 12548,A81000C,00200,0100,A 12548,A81000C,00200,0200,ERIC B. WALTS 12548,A81000C,00200,0400,E & J INVESTMENTS LLC 12548,A81000C,00200,0600,REAL ESTATE RENTAL 12548,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12548,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12548,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12548,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12548,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12548,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12548,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 12548,B100000,00000,0800,00000MEALS SERVED :DIETARY 12548,B100000,00000,0801,00000MEALS SERVED :DIETARY SERVICES 12548,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12548,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12548,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12548,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12548,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12548,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 12548,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12548,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12548,S000000,00100,0200,09/01/2000 12548,S200000,00100,0100,505 NORTH BRADNER AVENUE 12548,S200000,00100,0300,408 12548,S200000,00200,0100,WABASH 12548,S200000,00200,0200,IN 12548,S200000,00200,0300,46952- 12548,S200000,00300,0100,GRANT 12548,S200000,00400,0100,BRADNER VILLAGE HEALTH CARE CENTER 12548,S200000,00400,0200,155173 12548,S200000,00400,0300,05/01/1991 12548,S200000,00400,0500,P 12548,S200000,01600,0100,Y 12548,S200000,02200,0100,Y 12548,S200000,02800,0100,Y 12548,S200000,03300,0100,Y 12548,S700003,00000,0100,1 12560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12560,A000000,00300,0000,00300EMPLOYEE BENEFITS 12560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12560,A000000,00700,0000,00700HOUSEKEEPING 12560,A000000,00800,0000,00800DIETARY 12560,A000000,00900,0000,00900NURSING ADMINISTRATION 12560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12560,A000000,01100,0000,01100PHARMACY 12560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12560,A000000,01300,0000,01300SOCIAL SERVICE 12560,A000000,01350,0000,01500ACTIVITIES 12560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12560,A000000,01600,0000,01600SKILLED NURSING FACILITY 12560,A000000,01800,0000,01800NURSING FACILITY 12560,A000000,01810,0000,01801ICF/MR 12560,A000000,01900,0000,01900OTHER LONG TERM CARE 12560,A000000,02100,0000,02100RADIOLOGY 12560,A000000,02200,0000,02200LABORATORY 12560,A000000,02300,0000,02300INTRAVENOUS THERAPY 12560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12560,A000000,02500,0000,02500PHYSICAL THERAPY 12560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12560,A000000,02700,0000,02700SPEECH PATHOLOGY 12560,A000000,02800,0000,02800ELECTROCARDIOLOGY 12560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12560,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12560,A000000,03200,0000,03200SUPPORT SURFACES 12560,A000000,03400,0000,03400CLINIC 12560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12560,A000000,03500,0000,03500RURAL HEALTH CLINIC 12560,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12560,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12560,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12560,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12560,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12560,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12560,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12560,A000000,04400,0000,04400DME RENTED - HHA 12560,A000000,04500,0000,04500DME SOLD - HHA 12560,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12560,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12560,A000000,04800,0000,04800AMBULANCE 12560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12560,A000000,05000,0000,05000CORF 12560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12560,A000000,05300,0000,05300INTEREST EXPENSE 12560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12560,A000000,05500,0000,05500HOSPICE 12560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12560,A000000,06100,0000,06100NONPAID WORKERS 12560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12560,A000000,06200,0000,06200PATIENTS LAUNDRY 12560,A81000A,00100,0100,Y 12560,A81000B,00100,0300,CAPITAL RELATED 12560,A81000B,00200,0300,ADMIN & GENERAL 12560,A81000B,00300,0300,MANAGEMENT FEES 12560,A81000C,00100,0100,G 12560,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12560,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12560,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12560,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12560,B100000,00000,0800,00000MEALS SERVED :DIETARY 12560,B100000,00000,0900,00000DIRECT NSG. HOURS :NURSING ADMINIST 12560,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12560,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12560,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12560,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12560,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12560,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12560,S000000,00100,0200,08/18/2000 12560,S200000,00100,0100,5353 EAST RAYMOND 12560,S200000,00200,0100,INDIANAPOLIS 12560,S200000,00200,0200,IN 12560,S200000,00200,0300,46203- 12560,S200000,00300,0100,MARION 12560,S200000,00400,0100,CANTERBURY VILLAGE 12560,S200000,00400,0200,155174 12560,S200000,00400,0300,02/01/1983 12560,S200000,00400,0500,P 12560,S200000,01004,0500,O 12560,S200000,01600,0100,Y 12560,S700003,00000,0100,1 12570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12570,A000000,00300,0000,00300EMPLOYEE BENEFITS 12570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12570,A000000,00700,0000,00700HOUSEKEEPING 12570,A000000,00800,0000,00800DIETARY 12570,A000000,00900,0000,00900NURSING ADMINISTRATION 12570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12570,A000000,01100,0000,01100PHARMACY 12570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12570,A000000,01300,0000,01300SOCIAL SERVICE 12570,A000000,01350,0000,01500ACTIVITIES 12570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12570,A000000,01600,0000,01600SKILLED NURSING FACILITY 12570,A000000,01800,0000,01800NURSING FACILITY 12570,A000000,01810,0000,01801ICF/MR 12570,A000000,01900,0000,01900OTHER LONG TERM CARE 12570,A000000,02100,0000,02100RADIOLOGY 12570,A000000,02200,0000,02200LABORATORY 12570,A000000,02300,0000,02300INTRAVENOUS THERAPY 12570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12570,A000000,02500,0000,02500PHYSICAL THERAPY 12570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12570,A000000,02700,0000,02700SPEECH PATHOLOGY 12570,A000000,02800,0000,02800ELECTROCARDIOLOGY 12570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12570,A000000,03200,0000,03200SUPPORT SURFACES 12570,A000000,03400,0000,03400CLINIC 12570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12570,A000000,03500,0000,03500RURAL HEALTH CLINIC 12570,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12570,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12570,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12570,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12570,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12570,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12570,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12570,A000000,04400,0000,04400DME RENTED - HHA 12570,A000000,04500,0000,04500DME SOLD - HHA 12570,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12570,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12570,A000000,04800,0000,04800AMBULANCE 12570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12570,A000000,05000,0000,05000CORF 12570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12570,A000000,05300,0000,05300INTEREST EXPENSE 12570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12570,A000000,05500,0000,05500HOSPICE 12570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12570,A000000,06100,0000,06100NONPAID WORKERS 12570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12570,A000000,06200,0000,06200PATIENTS LAUNDRY 12570,A81000A,00100,0100,Y 12570,A81000B,00100,0300,CAPITAL RELATED 12570,A81000B,00200,0300,ADMIN & GENERAL 12570,A81000B,00300,0300,MANAGEMENT FEES 12570,A81000C,00100,0100,G 12570,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12570,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12570,B100000,00000,0800,00000MEALS SERVED :DIETARY 12570,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12570,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12570,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12570,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12570,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12570,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12570,S000000,00100,0200,07/21/2000 12570,S200000,00100,0100,2400 COLLEGE AVENUE 12570,S200000,00200,0100,GOSHEN 12570,S200000,00200,0200,IN 12570,S200000,00200,0300,46526-5099 12570,S200000,00300,0100,ELKHART 12570,S200000,00400,0100,CARRIAGE MANOR 12570,S200000,00400,0200,155175 12570,S200000,00400,0300,02/01/1993 12570,S200000,00400,0500,P 12570,S200000,01600,0100,Y 12570,S700003,00000,0100,1 12578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12578,A000000,00300,0000,00300EMPLOYEE BENEFITS 12578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12578,A000000,00700,0000,00700HOUSEKEEPING 12578,A000000,00800,0000,00800DIETARY 12578,A000000,00900,0000,00900NURSING ADMINISTRATION 12578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12578,A000000,01401,0000,01401ACTIVITY SERVICES 12578,A000000,01600,0000,01600SKILLED NURSING FACILITY 12578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12578,A000000,02500,0000,02500PHYSICAL THERAPY 12578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12578,A000000,04800,0000,04800AMBULANCE 12578,A000000,05300,0000,05300INTEREST EXPENSE 12578,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12578,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12578,A000000,06100,0000,06100NONPAID WORKERS 12578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12578,A000000,06200,0000,06200PATIENTS LAUNDRY 12578,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12578,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12578,B100000,00000,0400,00000 ACCUM. 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LANGSTON 12587,A81000C,00100,0400,CARMEL CARE CENTER LLC 12587,A81000C,00100,0600,LANDLORD 12587,A81000C,00200,0100,A 12587,A81000C,00200,0200,DONALD E. SMITH 12587,A81000C,00200,0400,CARMEL CARE CENTER LLC 12587,A81000C,00200,0600,LANDLORD 12587,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12587,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12587,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12587,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12587,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12587,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12587,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12587,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12587,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12587,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12587,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12587,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12587,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12587,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12587,S000000,00100,0200,06/07/2000 12587,S200000,00100,0100,118 MEDICAL DRIVE 12587,S200000,00200,0100,CARMEL 12587,S200000,00200,0200,IN 12587,S200000,00200,0300,46032- 12587,S200000,00300,0100,HAMILTON 12587,S200000,00400,0100,CARMEL HEALTHCARE MANAGEMENT INC. 12587,S200000,00400,0200,155181 12587,S200000,00400,0300,08/01/1989 12587,S200000,00400,0500,P 12587,S200000,01600,0100,Y 12587,S200000,02200,0100,Y 12587,S700003,00000,0100,1 12605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12605,A000000,00300,0000,00300EMPLOYEE BENEFITS 12605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12605,A000000,00700,0000,00700HOUSEKEEPING 12605,A000000,00800,0000,00800DIETARY 12605,A000000,00900,0000,00900NURSING ADMINISTRATION 12605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12605,A000000,01100,0000,01100PHARMACY 12605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12605,A000000,01300,0000,01300SOCIAL SERVICE 12605,A000000,01350,0000,01500ACTIVITIES 12605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12605,A000000,01600,0000,01600SKILLED NURSING FACILITY 12605,A000000,01800,0000,01800NURSING FACILITY 12605,A000000,01810,0000,01801ICF/MR 12605,A000000,01900,0000,01900OTHER LONG TERM CARE 12605,A000000,02100,0000,02100RADIOLOGY 12605,A000000,02200,0000,02200LABORATORY 12605,A000000,02300,0000,02300INTRAVENOUS THERAPY 12605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12605,A000000,02500,0000,02500PHYSICAL THERAPY 12605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12605,A000000,02700,0000,02700SPEECH PATHOLOGY 12605,A000000,02800,0000,02800ELECTROCARDIOLOGY 12605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12605,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12605,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12605,A000000,03200,0000,03200SUPPORT SURFACES 12605,A000000,03400,0000,03400CLINIC 12605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12605,A000000,03500,0000,03500RURAL HEALTH CLINIC 12605,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12605,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12605,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12605,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12605,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12605,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12605,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12605,A000000,04400,0000,04400DME RENTED - HHA 12605,A000000,04500,0000,04500DME SOLD - HHA 12605,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12605,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12605,A000000,04800,0000,04800AMBULANCE 12605,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12605,A000000,05000,0000,05000CORF 12605,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12605,A000000,05300,0000,05300INTEREST EXPENSE 12605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12605,A000000,05500,0000,05500HOSPICE 12605,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12605,A000000,06100,0000,06100NONPAID WORKERS 12605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12605,A000000,06200,0000,06200PATIENTS LAUNDRY 12605,A81000A,00100,0100,Y 12605,A81000B,00100,0300,CAPITAL RELATED 12605,A81000B,00200,0300,ADMIN & GENERAL 12605,A81000B,00300,0300,MANAGEMENT FEES 12605,A81000C,00100,0100,G 12605,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12605,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12605,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12605,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12605,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 12605,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12605,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12605,B100000,00000,0800,00000MEALS SERVED :DIETARY 12605,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12605,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12605,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12605,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12605,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12605,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12605,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12605,S000000,00100,0200,08/18/2000 12605,S200000,00100,0100,2701 LYN-MAR DRIVE 12605,S200000,00200,0100,MUNCIE 12605,S200000,00200,0200,IN 12605,S200000,00200,0300,47302- 12605,S200000,00300,0100,DELAWARE 12605,S200000,00400,0100,WILLIAMSBURG VILLAGE 12605,S200000,00400,0200,155185 12605,S200000,00400,0300,01/01/1983 12605,S200000,00400,0500,P 12605,S200000,01004,0500,O 12605,S200000,01600,0100,Y 12605,S700003,00000,0100,1 12616,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12616,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12616,A000000,00300,0000,00300EMPLOYEE BENEFITS 12616,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12616,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12616,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12616,A000000,00700,0000,00700HOUSEKEEPING 12616,A000000,00800,0000,00800DIETARY 12616,A000000,00900,0000,00900NURSING ADMINISTRATION 12616,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12616,A000000,01100,0000,01100PHARMACY 12616,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12616,A000000,01300,0000,01300SOCIAL SERVICE 12616,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12616,A000000,01600,0000,01600SKILLED NURSING FACILITY 12616,A000000,01800,0000,01800NURSING FACILITY 12616,A000000,01900,0000,01900OTHER LONG TERM CARE 12616,A000000,02100,0000,02100RADIOLOGY 12616,A000000,02200,0000,02200LABORATORY 12616,A000000,02300,0000,02300INTRAVENOUS THERAPY 12616,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12616,A000000,02500,0000,02500PHYSICAL THERAPY 12616,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12616,A000000,02700,0000,02700SPEECH PATHOLOGY 12616,A000000,02800,0000,02800ELECTROCARDIOLOGY 12616,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12616,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12616,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 12616,A000000,03200,0000,03200SUPPORT SURFACES 12616,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 12616,A000000,04800,0000,04800AMBULANCE 12616,A000000,05000,0000,05000CORF 12616,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12616,A000000,05300,0000,05300INTEREST EXPENSE 12616,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12616,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12616,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12616,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12616,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12616,A000000,06100,0000,06100NONPAID WORKERS 12616,A000000,06150,0000,06300ASSISTED LIVING 12616,A000000,06151,0000,06301RESIDENTIAL 12616,A000000,06200,0000,06200PATIENTS LAUNDRY 12616,A81000A,00100,0100,Y 12616,A81000B,00100,0300,HOME OFFICE COSTS 12616,A81000B,00200,0300,HOME OFFICE COSTS 12616,A81000C,00100,0100,B 12616,A81000C,00100,0400,RHF 12616,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12616,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12616,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12616,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 12616,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 12616,B100000,00000,0800,00001MEALS SERVED :DIETARY 12616,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 12616,B100000,00000,1050,00001HOURS OF SERVICE :CENTRAL SERVICES 12616,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 12616,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12616,S000000,00100,0200,08/31/2000 12616,S200000,00100,0100,2200 GREENTREE NORTH 12616,S200000,00200,0100,CLARKSVILLE 12616,S200000,00200,0200,IN 12616,S200000,00200,0300,47129- 12616,S200000,00300,0100,CLARK 12616,S200000,00300,0200,4520 12616,S200000,00300,0300,U 12616,S200000,00400,0100,WESTMINSTER HEALTHCARE CENTER 12616,S200000,00400,0200,155191 12616,S200000,00400,0300,05/19/1980 12616,S200000,00400,0500,P 12616,S200000,01004,0500,O 12616,S200000,01600,0100,Y 12625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12625,A000000,00300,0000,00300EMPLOYEE BENEFITS 12625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12625,A000000,00700,0000,00700HOUSEKEEPING 12625,A000000,00800,0000,00800DIETARY 12625,A000000,00900,0000,00900NURSING ADMINISTRATION 12625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12625,A000000,01100,0000,01100PHARMACY 12625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12625,A000000,01300,0000,01300SOCIAL SERVICE 12625,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTER 12625,A000000,01600,0000,01600SKILLED NURSING FACILITY 12625,A000000,01800,0000,01800NURSING FACILITY 12625,A000000,01900,0000,01900OTHER LONG TERM CARE 12625,A000000,02100,0000,02100RADIOLOGY 12625,A000000,02200,0000,02200LABORATORY 12625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12625,A000000,02500,0000,02500PHYSICAL THERAPY 12625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12625,A000000,02700,0000,02700SPEECH PATHOLOGY 12625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12625,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12625,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12625,A81000A,00100,0100,Y 12625,A81000B,00100,0300,HOME OFFICE CAPITAL-BLDGS 12625,A81000B,00200,0300,HOME OFFICE CAPITAL-EQUIP 12625,A81000B,00300,0300,HOME OFFICE BENEFITS 12625,A81000B,00400,0300,HOME OFFICE A&G 12625,A81000B,00500,0300,FACILITY BENEFITS (HCRI) 12625,A81000B,00600,0300,FACILITY BENEFITS (HAVICAN) 12625,A81000B,00700,0300,LIABILITY INSURANCE (HAVICAN 12625,A81000B,00800,0300,MORTGAGE INTEREST 12625,A81000B,00900,0300,WC INTEREST 12625,A81000B,01000,0300,CHAPLAINCY 12625,A81000C,00100,0100,B 12625,A81000C,00100,0400,HC CARE SVCS 12625,A81000C,00100,0600,PARENT 12625,A81000C,00200,0100,B 12625,A81000C,00200,0400,HCCSI 12625,A81000C,00200,0600,PARENT 12625,A81000C,00300,0100,B 12625,A81000C,00300,0400,HCCSI 12625,A81000C,00300,0600,PARENT 12625,A81000C,00400,0100,B 12625,A81000C,00400,0400,HCCSI 12625,A81000C,00400,0600,PARENT 12625,A81000C,00500,0100,B 12625,A81000C,00500,0400,HCRI 12625,A81000C,00500,0600,REL. INSURANCE 12625,A81000C,00600,0100,B 12625,A81000C,00600,0400,HAVICAN 12625,A81000C,00600,0600,REL. INSURANCE 12625,A81000C,00700,0100,B 12625,A81000C,00700,0400,HAVICAN 12625,A81000C,00700,0600,REL. INSURANCE 12625,A81000C,00800,0100,B 12625,A81000C,00800,0400,HCHSC 12625,A81000C,00800,0600,HOLDING CO 12625,A81000C,00900,0100,B 12625,A81000C,00900,0400,HCHSC 12625,A81000C,00900,0600,HOLDING CO 12625,A81000C,00901,0100,B 12625,A81000C,00901,0400,SJRMC 12625,A81000C,00901,0600,REL. HOSPITAL 12625,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12625,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12625,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 12625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12625,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12625,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 12625,B100000,00000,0700,00000HOUSEKEEPI HOURS :HOUSEKEEPING 12625,B100000,00000,0800,00000MEALS SERVED :DIETARY 12625,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12625,B100000,00000,1250,00000HCC DAYS :MEDICAL RECORDS & LIBRAR 12625,B100000,00000,1330,00000HCC DAYS :SOCIAL SERVICE 12625,B100000,00000,1350,00000ACTIVITY HOURS :OTHER GENERAL SERV 12625,S000000,00100,0200,11/30/2000 12625,S200000,00100,0100,3602 SOUTH IRONWOOD DRIVE 12625,S200000,00200,0100,SOUTH BEND 12625,S200000,00200,0200,IN 12625,S200000,00200,0300,46614- 12625,S200000,00300,0100,ST. JOSEPH 12625,S200000,00300,0200,7800 12625,S200000,00300,0300,U 12625,S200000,00400,0100,ST. PAULS RETIREMENT COMMUNITY 12625,S200000,00400,0200,155197 12625,S200000,00400,0300,04/27/1981 12625,S200000,00400,0500,P 12625,S200000,00400,0600,O 12625,S200000,01600,0100,Y 12625,S200000,02200,0100,Y 12625,S200000,02800,0100,Y 12632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12632,A000000,00300,0000,00300EMPLOYEE BENEFITS 12632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12632,A000000,00700,0000,00700HOUSEKEEPING 12632,A000000,00800,0000,00800DIETARY 12632,A000000,00900,0000,00900NURSING ADMINISTRATION 12632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12632,A000000,01100,0000,01100PHARMACY 12632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12632,A000000,01300,0000,01300SOCIAL SERVICE 12632,A000000,01301,0000,01301ACTIVITIES 12632,A000000,01350,0000,01500OTHER GENERAL SERVICES 12632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12632,A000000,01600,0000,01600SKILLED NURSING FACILITY 12632,A000000,01800,0000,01800NURSING FACILITY 12632,A000000,01900,0000,01900OTHER LONG TERM CARE 12632,A000000,02100,0000,02100RADIOLOGY 12632,A000000,02200,0000,02200LABORATORY 12632,A000000,02300,0000,02300INTRAVENOUS THERAPY 12632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12632,A000000,02500,0000,02500PHYSICAL THERAPY 12632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12632,A000000,02700,0000,02700SPEECH PATHOLOGY 12632,A000000,02800,0000,02800ELECTROCARDIOLOGY 12632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12632,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12632,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12632,A000000,03200,0000,03200SUPPORT SURFACES 12632,A000000,03400,0000,03400CLINIC 12632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12632,A000000,03500,0000,03500RURAL HEALTH CLINIC 12632,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12632,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12632,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12632,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12632,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12632,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12632,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12632,A000000,04400,0000,04400DME RENTED - HHA 12632,A000000,04500,0000,04500DME SOLD - HHA 12632,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12632,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12632,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12632,A000000,04800,0000,04800AMBULANCE 12632,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12632,A000000,05000,0000,05000CORF 12632,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12632,A000000,05300,0000,05300INTEREST EXPENSE 12632,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12632,A000000,05500,0000,05500HOSPICE 12632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12632,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12632,A000000,06100,0000,06100NONPAID WORKERS 12632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12632,A000000,06200,0000,06200PATIENTS LAUNDRY 12632,A81000A,00100,0100,Y 12632,A81000B,00100,0300,MANAGEMENT FEES 12632,A81000B,00200,0300,CAPITAL 12632,A81000C,00100,0100,A 12632,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 12632,A81000C,00100,0400,LENOX HEALTHCARE INC 12632,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12632,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12632,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12632,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12632,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12632,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12632,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12632,B100000,00000,0800,00000MEALS SERVED :DIETARY 12632,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12632,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12632,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12632,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12632,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12632,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 12632,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 12632,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12632,S000000,00100,0200,06/27/2000 12632,S200000,00100,0100,776 NORTH UNION STREET 12632,S200000,00200,0100,WESTFIELD 12632,S200000,00200,0200,IN 12632,S200000,00200,0300,46074- 12632,S200000,00400,0100,WESTFIELD VILLAGE HEALTHCARE 12632,S200000,00400,0200,155199 12632,S200000,00400,0300,01/01/1973 12632,S200000,00400,0500,P 12632,S200000,01600,0100,Y 12632,S700003,00000,0100,1 12640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12640,A000000,00300,0000,00300EMPLOYEE BENEFITS 12640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12640,A000000,00700,0000,00700HOUSEKEEPING 12640,A000000,00800,0000,00800DIETARY 12640,A000000,00900,0000,00900NURSING ADMINISTRATION 12640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12640,A000000,01100,0000,01100PHARMACY 12640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12640,A000000,01300,0000,01300SOCIAL SERVICE 12640,A000000,01350,0000,01500ACTIVITIES 12640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12640,A000000,01600,0000,01600SKILLED NURSING FACILITY 12640,A000000,01800,0000,01800NURSING FACILITY 12640,A000000,01810,0000,01801ICF/MR 12640,A000000,01900,0000,01900OTHER LONG TERM CARE 12640,A000000,02100,0000,02100RADIOLOGY 12640,A000000,02200,0000,02200LABORATORY 12640,A000000,02300,0000,02300INTRAVENOUS THERAPY 12640,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12640,A000000,02500,0000,02500PHYSICAL THERAPY 12640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12640,A000000,02700,0000,02700SPEECH PATHOLOGY 12640,A000000,02800,0000,02800ELECTROCARDIOLOGY 12640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12640,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12640,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12640,A000000,03200,0000,03200SUPPORT SURFACES 12640,A000000,03400,0000,03400CLINIC 12640,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12640,A000000,03500,0000,03500RURAL HEALTH CLINIC 12640,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12640,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12640,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12640,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12640,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12640,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12640,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12640,A000000,04400,0000,04400DME RENTED - HHA 12640,A000000,04500,0000,04500DME SOLD - HHA 12640,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12640,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12640,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12640,A000000,04800,0000,04800AMBULANCE 12640,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12640,A000000,05000,0000,05000CORF 12640,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12640,A000000,05300,0000,05300INTEREST EXPENSE 12640,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12640,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12640,A000000,05500,0000,05500HOSPICE 12640,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12640,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12640,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12640,A000000,06100,0000,06100NONPAID WORKERS 12640,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12640,A000000,06200,0000,06200PATIENTS LAUNDRY 12640,A81000A,00100,0100,Y 12640,A81000B,00100,0300,CAPITAL RELATED 12640,A81000B,00200,0300,ADMIN & GENERAL 12640,A81000B,00300,0300,MANAGEMENT FEES 12640,A81000C,00100,0100,G 12640,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12640,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12640,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12640,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12640,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12640,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12640,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12640,B100000,00000,0800,00000MEALS SERVED :DIETARY 12640,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12640,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12640,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12640,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12640,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12640,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12640,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12640,S000000,00100,0200,07/21/2000 12640,S200000,00100,0100,1512 UNIVERSITY BLVD 12640,S200000,00200,0100,UPLAND 12640,S200000,00200,0200,IN 12640,S200000,00200,0300,46989- 12640,S200000,00300,0100,GRANT 12640,S200000,00400,0100,UNIVERSITY NURSING CENTER 12640,S200000,00400,0200,155200 12640,S200000,00400,0300,07/01/1989 12640,S200000,00400,0500,P 12640,S200000,01600,0100,Y 12640,S700003,00000,0100,1 12652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12652,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 12652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12652,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 12652,A000000,00300,0000,00300EMPLOYEE BENEFITS 12652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12652,A000000,00700,0000,00700HOUSEKEEPING 12652,A000000,00800,0000,00800DIETARY 12652,A000000,00801,0000,00801CAFETERIA 12652,A000000,00900,0000,00900NURSING ADMINISTRATION 12652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12652,A000000,01100,0000,01100PHARMACY 12652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12652,A000000,01300,0000,01300SOCIAL SERVICE 12652,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12652,A000000,01600,0000,01600SKILLED NURSING FACILITY 12652,A000000,01800,0000,01800NURSING FACILITY 12652,A000000,01900,0000,01900OTHER LONG TERM CARE 12652,A000000,02100,0000,02100RADIOLOGY 12652,A000000,02200,0000,02200LABORATORY 12652,A000000,02300,0000,02300INTRAVENOUS THERAPY 12652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12652,A000000,02500,0000,02500PHYSICAL THERAPY 12652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12652,A000000,02700,0000,02700SPEECH PATHOLOGY 12652,A000000,02800,0000,02800ELECTROCARDIOLOGY 12652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12652,A000000,03050,0000,03300OTHER ANCILLARY 12652,A000000,03051,0000,03301OTHER ANCILLARY II 12652,A000000,03052,0000,03302OTHER ANCILLARY III 12652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12652,A000000,03200,0000,03200SUPPORT SURFACES 12652,A000000,03400,0000,03400CLINIC 12652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 12652,A000000,03500,0000,03500RURAL HEALTH CLINIC 12652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12652,A000000,04400,0000,04400DME RENTED - HHA 12652,A000000,04500,0000,04500DME SOLD - HHA 12652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12652,A000000,04800,0000,04800AMBULANCE 12652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12652,A000000,05000,0000,05000CORF 12652,A000000,05010,0000,05010CMHC I 12652,A000000,05020,0000,05020OPT I 12652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12652,A000000,05300,0000,05300INTEREST EXPENSE 12652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 12652,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 12652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12652,A000000,05500,0000,05500HOSPICE 12652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12652,A000000,06100,0000,06100NONPAID WORKERS 12652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12652,A000000,06200,0000,06200PATIENTS LAUNDRY 12652,A81000A,00100,0100,Y 12652,A81000B,00100,0300,MANAGEMENT FEE 12652,A81000B,00200,0300,PAYROLL PROCESSING FEE 12652,A81000B,00300,0300,DIETARY SUPPLIES 12652,A81000B,00400,0300,NON-BILLABLE MED SUPPLIES 12652,A81000B,00500,0300,MEDICAL SUPPLIES 12652,A81000B,00600,0300,MEDICAL EQUIP RENT 12652,A81000B,00700,0300,PHYSICAL THERAPY 12652,A81000B,00800,0300,OCCUPATIONAL THERAPY 12652,A81000B,00900,0300,SPEECH THERAPY 12652,A81000C,00100,0100,G 12652,A81000C,00100,0200,CENTENNIAL HC 12652,A81000C,00100,0600,HOME OFFICE 12652,A81000C,00200,0100,G 12652,A81000C,00200,0200,CENTENNIAL HC 12652,A81000C,00200,0600,HOME OFFICE 12652,A81000C,00300,0100,G 12652,A81000C,00300,0200,CENTENNIAL HC 12652,A81000C,00300,0400,CENTENNIAL HC 12652,A81000C,00300,0600,GPO 12652,A81000C,00400,0100,G 12652,A81000C,00400,0200,CENTENNIAL HC 12652,A81000C,00400,0400,CENTENNIAL HC 12652,A81000C,00400,0600,GPO 12652,A81000C,00500,0100,G 12652,A81000C,00500,0200,CENTENNIAL HC 12652,A81000C,00500,0400,CENTENNIAL HC 12652,A81000C,00500,0600,GPO 12652,A81000C,00600,0100,G 12652,A81000C,00600,0200,CENTENNIAL HC 12652,A81000C,00600,0400,CENTENNIAL HC 12652,A81000C,00600,0600,GPO 12652,A81000C,00700,0100,G 12652,A81000C,00700,0200,CENTENNIAL HC 12652,A81000C,00700,0400,CENTENNIAL HC 12652,A81000C,00700,0600,THERAPY 12652,A81000C,00800,0100,G 12652,A81000C,00800,0200,CENTENNIAL HC 12652,A81000C,00800,0400,CENTENNIAL HC 12652,A81000C,00800,0600,THERAPY 12652,A81000C,00900,0100,G 12652,A81000C,00900,0200,CENTENNIAL HC 12652,A81000C,00900,0400,CENTENNIAL HC 12652,A81000C,00900,0600,THERAPY 12652,A81000C,03100,0000,THERAPY 12652,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 12652,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 12652,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 12652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12652,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 12652,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 12652,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 12652,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 12652,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12652,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 12652,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 12652,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 12652,S000000,00100,0200,06/01/2000 12652,S200000,00100,0100,203 SPARKS AVENUE 12652,S200000,00200,0100,JEFFERSONVILLE 12652,S200000,00200,0200,IN 12652,S200000,00200,0300,47130- 12652,S200000,00300,0100,CLARK 12652,S200000,00300,0200,4520 12652,S200000,00300,0300,U 12652,S200000,00400,0100,THS OF CLARK COUNTY 12652,S200000,00400,0200,155203 12652,S200000,00400,0300,08/14/1981 12652,S200000,00400,0500,P 12652,S200000,01500,0100,Y 12652,S200000,02200,0100,Y 12663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12663,A000000,00300,0000,00300EMPLOYEE BENEFITS 12663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12663,A000000,00700,0000,00700HOUSEKEEPING 12663,A000000,00800,0000,00800DIETARY 12663,A000000,00900,0000,00900NURSING ADMINISTRATION 12663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12663,A000000,01100,0000,01100PHARMACY 12663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12663,A000000,01300,0000,01300SOCIAL SERVICE 12663,A000000,01350,0000,01500OTHER GENERAL SERVICES 12663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12663,A000000,01600,0000,01600SKILLED NURSING FACILITY 12663,A000000,01800,0000,01800NURSING FACILITY 12663,A000000,01810,0000,01810ICF/MR 12663,A000000,01900,0000,01900OTHER LONG TERM CARE 12663,A000000,02100,0000,02100RADIOLOGY 12663,A000000,02200,0000,02200LABORATORY 12663,A000000,02300,0000,02300INTRAVENOUS THERAPY 12663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12663,A000000,02500,0000,02500PHYSICAL THERAPY 12663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12663,A000000,02700,0000,02700SPEECH PATHOLOGY 12663,A000000,02800,0000,02800ELECTROCARDIOLOGY 12663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12663,A000000,03200,0000,03200SUPPORT SURFACES 12663,A000000,03400,0000,03400CLINIC 12663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12663,A000000,03500,0000,03500RURAL HEALTH CLINIC 12663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12663,A000000,04800,0000,04800AMBULANCE 12663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12663,A000000,05000,0000,05000CORF 12663,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12663,A000000,05300,0000,05300INTEREST EXPENSE 12663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12663,A000000,05500,0000,05500HOSPICE 12663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12663,A000000,06100,0000,06100NONPAID WORKERS 12663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12663,A000000,06200,0000,06200PATIENTS LAUNDRY 12663,A81000A,00100,0100,Y 12663,A81000B,00100,0300,HOME OFFICE COSTS 12663,A81000B,00200,0300,DIETARY 12663,A81000C,00100,0100,G 12663,A81000C,00100,0400,GREENCROFT INC. 12663,A81000C,00100,0600,CONTROL MANAGEMENT 12663,A81000C,00200,0100,G 12663,A81000C,00200,0400,GREENCROFT GABLES 12663,A81000C,00200,0600,CONTROL SNF 12663,A81000C,03100,0000,OTHER 12663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12663,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12663,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12663,B100000,00000,0800,00000MEALS SERVED :DIETARY 12663,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12663,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12663,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12663,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12663,S000000,00100,0200,12/04/2000 12663,S200000,00100,0300,819 12663,S200000,00200,0100,GOSHEN 12663,S200000,00200,0200,IN 12663,S200000,00200,0300,46527-0819 12663,S200000,00300,0100,ELKART 12663,S200000,00300,0200,2330 12663,S200000,00300,0300,U 12663,S200000,00400,0100,GREENCROFT NURSING CENTER INC. 12663,S200000,00400,0200,155205 12663,S200000,00400,0300,01/01/1982 12663,S200000,00400,0500,P 12663,S200000,01600,0100,Y 12663,S200000,01900,0100,501 (C) (3) 12663,S200000,02200,0100,Y 12687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12687,A000000,00300,0000,00300EMPLOYEE BENEFITS 12687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12687,A000000,00700,0000,00700HOUSEKEEPING 12687,A000000,00800,0000,00800DIETARY 12687,A000000,00900,0000,00900NURSING ADMINISTRATION 12687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12687,A000000,01100,0000,01100PHARMACY 12687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12687,A000000,01300,0000,01300SOCIAL SERVICE 12687,A000000,01350,0000,01500OTHER GENERAL SERVICES 12687,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12687,A000000,01600,0000,01600SKILLED NURSING FACILITY 12687,A000000,01800,0000,01800NURSING FACILITY 12687,A000000,01810,0000,01810ICF/MR 12687,A000000,01900,0000,01900OTHER LONG TERM CARE 12687,A000000,02100,0000,02100RADIOLOGY 12687,A000000,02200,0000,02200LABORATORY 12687,A000000,02300,0000,02300INTRAVENOUS THERAPY 12687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12687,A000000,02500,0000,02500PHYSICAL THERAPY 12687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12687,A000000,02700,0000,02700SPEECH PATHOLOGY 12687,A000000,02800,0000,02800ELECTROCARDIOLOGY 12687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12687,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12687,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12687,A000000,03200,0000,03200SUPPORT SURFACES 12687,A000000,03400,0000,03400CLINIC 12687,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12687,A000000,03500,0000,03500RURAL HEALTH CLINIC 12687,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12687,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12687,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12687,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12687,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12687,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12687,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12687,A000000,04400,0000,04400DME RENTED - HHA 12687,A000000,04500,0000,04500DME SOLD - HHA 12687,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12687,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12687,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12687,A000000,04800,0000,04800AMBULANCE 12687,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12687,A000000,05000,0000,05000CORF 12687,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12687,A000000,05300,0000,05300INTEREST EXPENSE 12687,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12687,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12687,A000000,05500,0000,05500HOSPICE 12687,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12687,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12687,A000000,06100,0000,06100NONPAID WORKERS 12687,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12687,A000000,06200,0000,06200PATIENTS LAUNDRY 12687,A81000A,00100,0100,Y 12687,A81000B,00100,0300,CORPORATE EXPENSE 12687,A81000C,00100,0100,B 12687,A81000C,00100,0400,HOOSIER CARE 12687,A81000C,00100,0600,NURSING HOMES 12687,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12687,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12687,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12687,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12687,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12687,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12687,B100000,00000,0800,00000MEALS SERVED :DIETARY 12687,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12687,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12687,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12687,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12687,S000000,00100,0200,12/01/2000 12687,S200000,00100,0100,410 WEST LAGRANGE ROAD 12687,S200000,00200,0100,HANOVER 12687,S200000,00200,0200,IN 12687,S200000,00200,0300,47243-9439 12687,S200000,00300,0100,JEFFERSON 12687,S200000,00300,0200,0015 12687,S200000,00300,0300,R 12687,S200000,00400,0100,HANOVER NURSING CENTER 12687,S200000,00400,0200,155208 12687,S200000,00400,0300,12/10/1982 12687,S200000,00400,0500,P 12687,S200000,01600,0100,Y 12687,S200000,01900,0100,501(C)3-NON-PROFIT 12687,S200000,02200,0100,Y 12699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12699,A000000,00300,0000,00300EMPLOYEE BENEFITS 12699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12699,A000000,00700,0000,00700HOUSEKEEPING 12699,A000000,00800,0000,00800DIETARY 12699,A000000,00900,0000,00900NURSING ADMINISTRATION 12699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12699,A000000,01100,0000,01100PHARMACY 12699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12699,A000000,01300,0000,01300SOCIAL SERVICE 12699,A000000,01350,0000,01500ACTIVITIES 12699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12699,A000000,01600,0000,01600SKILLED NURSING FACILITY 12699,A000000,01800,0000,01800NURSING FACILITY 12699,A000000,01900,0000,01900OTHER LONG TERM CARE 12699,A000000,02100,0000,02100RADIOLOGY 12699,A000000,02200,0000,02200LABORATORY 12699,A000000,02300,0000,02300INTRAVENOUS THERAPY 12699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12699,A000000,02500,0000,02500PHYSICAL THERAPY 12699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12699,A000000,02700,0000,02700SPEECH PATHOLOGY 12699,A000000,02800,0000,02800ELECTROCARDIOLOGY 12699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12699,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12699,A000000,03200,0000,03200SUPPORT SURFACES 12699,A000000,03400,0000,03400CLINIC 12699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12699,A000000,03500,0000,03500RURAL HEALTH CLINIC 12699,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12699,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12699,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12699,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12699,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12699,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12699,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12699,A000000,04400,0000,04400DME RENTED - HHA 12699,A000000,04500,0000,04500DME SOLD - HHA 12699,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12699,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12699,A000000,04800,0000,04800AMBULANCE 12699,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12699,A000000,05000,0000,05000CORF 12699,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12699,A000000,05300,0000,05300INTEREST EXPENSE 12699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12699,A000000,05500,0000,05500HOSPICE 12699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12699,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12699,A000000,06100,0000,06100NONPAID WORKERS 12699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12699,A000000,06200,0000,06200PATIENTS LAUNDRY 12699,A81000A,00100,0100,Y 12699,A81000B,00100,0300,CAPITAL RELATED 12699,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 12699,A81000B,00300,0300,MANAGEMENT FEES 12699,A81000C,00100,0100,B 12699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12699,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12699,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 12699,B100000,00000,0800,00000MEALS SERVED :DIETARY 12699,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12699,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12699,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12699,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12699,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12699,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12699,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12699,S000000,00100,0200,07/23/1999 12699,S200000,00100,0100,410 PARK ROAD 12699,S200000,00200,0100,GREENSBURG 12699,S200000,00200,0200,IN 12699,S200000,00200,0300,47240- 12699,S200000,00300,0100,DECATUR 12699,S200000,00400,0100,HERITAGE HOUSE OF GREENSBURG 12699,S200000,00400,0200,155210 12699,S200000,00400,0300,04/01/1983 12699,S200000,00400,0500,P 12699,S200000,01600,0100,Y 12699,S700003,00000,0100,1 12702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12702,A000000,00300,0000,00300EMPLOYEE BENEFITS 12702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12702,A000000,00700,0000,00700HOUSEKEEPING 12702,A000000,00800,0000,00800DIETARY 12702,A000000,00900,0000,00900NURSING ADMINISTRATION 12702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12702,A000000,01100,0000,01100PHARMACY 12702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12702,A000000,01300,0000,01300SOCIAL SERVICE 12702,A000000,01350,0000,01500ACTIVITIES 12702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12702,A000000,01600,0000,01600SKILLED NURSING FACILITY 12702,A000000,01800,0000,01800NURSING FACILITY 12702,A000000,01810,0000,01801ICF/MR 12702,A000000,01900,0000,01900OTHER LONG TERM CARE 12702,A000000,02100,0000,02100RADIOLOGY 12702,A000000,02200,0000,02200LABORATORY 12702,A000000,02300,0000,02300INTRAVENOUS THERAPY 12702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12702,A000000,02500,0000,02500PHYSICAL THERAPY 12702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12702,A000000,02700,0000,02700SPEECH PATHOLOGY 12702,A000000,02800,0000,02800ELECTROCARDIOLOGY 12702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12702,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12702,A000000,03200,0000,03200SUPPORT SURFACES 12702,A000000,03400,0000,03400CLINIC 12702,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12702,A000000,03500,0000,03500RURAL HEALTH CLINIC 12702,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12702,A000000,04800,0000,04800AMBULANCE 12702,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12702,A000000,05000,0000,05000CORF 12702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12702,A000000,05300,0000,05300INTEREST EXPENSE 12702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12702,A000000,05500,0000,05500HOSPICE 12702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12702,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12702,A000000,06100,0000,06100NONPAID WORKERS 12702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12702,A000000,06200,0000,06200PATIENTS LAUNDRY 12702,A81000A,00100,0100,Y 12702,A81000B,00100,0300,CAPITAL RELATED 12702,A81000B,00200,0300,ADMIN & GENERAL 12702,A81000B,00300,0300,MANAGEMENT FEES 12702,A81000C,00100,0100,G 12702,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12702,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12702,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12702,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12702,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12702,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12702,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12702,B100000,00000,0800,00000MEALS SERVED :DIETARY 12702,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12702,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12702,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12702,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12702,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12702,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12702,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12702,S000000,00100,0200,07/12/2000 12702,S200000,00100,0100,410 PARK ROAD 12702,S200000,00200,0100,GREENSBURG 12702,S200000,00200,0200,IN 12702,S200000,00200,0300,47240- 12702,S200000,00300,0100,DECATUR 12702,S200000,00400,0100,HERITAGE HOUSE OF GREENSBURG 12702,S200000,00400,0200,155210 12702,S200000,00400,0300,04/01/1983 12702,S200000,00400,0500,P 12702,S200000,01600,0100,Y 12702,S700003,00000,0200,2 12737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12737,A000000,00300,0000,00300EMPLOYEE BENEFITS 12737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12737,A000000,00700,0000,00700HOUSEKEEPING 12737,A000000,00800,0000,00800DIETARY 12737,A000000,00900,0000,00900NURSING ADMINISTRATION 12737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12737,A000000,01100,0000,01100PHARMACY 12737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12737,A000000,01300,0000,01300SOCIAL SERVICE 12737,A000000,01350,0000,01500RECREATIONAL THERAPY 12737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12737,A000000,01600,0000,01600SKILLED NURSING FACILITY 12737,A000000,01800,0000,01800NURSING FACILITY 12737,A000000,01810,0000,01810ICF/MR 12737,A000000,02100,0000,02100RADIOLOGY 12737,A000000,02200,0000,02200LABORATORY 12737,A000000,02500,0000,02500PHYSICAL THERAPY 12737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12737,A000000,02700,0000,02700SPEECH PATHOLOGY 12737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12737,A000000,03200,0000,03200SUPPORT SURFACES 12737,A000000,03550,0000,03550FQHC 12737,A000000,04800,0000,04800AMBULANCE 12737,A000000,05000,0000,05000CORF 12737,A000000,05010,0000,05010CMHC 12737,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12737,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12737,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12737,A81000A,00100,0100,Y 12737,A81000B,00100,0300,MANAGEMENT FEES 12737,A81000B,00200,0300,HOME OFFICE EXPENSES 12737,A81000B,00300,0300,ANCILLARY ADMIN EXP 12737,A81000B,00400,0300,BOOKKEEPING SVCS 12737,A81000B,00500,0300,ACCOUNTING FEES 12737,A81000B,00600,0300,DATA PROCESSING 12737,A81000B,00700,0300,DIETARY CONSULTANT 12737,A81000B,00800,0300,RENT 12737,A81000B,00900,0300,MORTGAGE INTEREST 12737,A81000B,01000,0300,DEPR EXPENSE 12737,A81000B,01100,0300,BLDG CO ADMIN EXP 12737,A81000C,00100,0100,A 12737,A81000C,00100,0200,ERIC ROTHNER 12737,A81000C,00100,0400,CARE CENTERS I 12737,A81000C,00100,0600,MANAGEMENT CO. 12737,A81000C,00200,0100,B 12737,A81000C,00200,0200,ERIC ROTHNER 12737,A81000C,00200,0400,DYER HEALTHCARE 12737,A81000C,00200,0600,BUILDING CO. 12737,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12737,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12737,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12737,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12737,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12737,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12737,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12737,B100000,00000,0800,00000MEALS SERVED :DIETARY 12737,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12737,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12737,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12737,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12737,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12737,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12737,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12737,S000000,00100,0200,06/02/2000 12737,S200000,00100,0100,601 SHEFFIELD AVENUE 12737,S200000,00200,0100,DYER 12737,S200000,00200,0200,IN 12737,S200000,00200,0300,46311- 12737,S200000,00300,0100,LAKE 12737,S200000,00400,0100,DYER NRSG. & REHAB. CENTER 12737,S200000,00400,0200,155220 12737,S200000,00400,0300,01/01/1967 12737,S200000,00400,0500,P 12737,S200000,00600,0200,155220 12737,S200000,00600,0300,01/01/1967 12737,S200000,00600,0600,P 12737,S200000,01600,0100,Y 12737,S200000,02200,0100,Y 12737,S700003,00000,0100,1 12748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12748,A000000,00300,0000,00300EMPLOYEE BENEFITS 12748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12748,A000000,00700,0000,00700HOUSEKEEPING 12748,A000000,00800,0000,00800DIETARY 12748,A000000,00900,0000,00900NURSING ADMINISTRATION 12748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12748,A000000,01300,0000,01300SOCIAL SERVICE 12748,A000000,01301,0000,01301ACTIVITES 12748,A000000,01350,0000,01500REHABILITATION 12748,A000000,01600,0000,01600SKILLED NURSING FACILITY 12748,A000000,01800,0000,01800NURSING FACILITY 12748,A000000,01900,0000,01900OTHER LONG TERM CARE 12748,A000000,02100,0000,02100RADIOLOGY 12748,A000000,02200,0000,02200LABORATORY 12748,A000000,02300,0000,02300INTRAVENOUS THERAPY 12748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12748,A000000,02500,0000,02500PHYSICAL THERAPY 12748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12748,A000000,02700,0000,02700SPEECH PATHOLOGY 12748,A000000,02800,0000,02800ELECTROCARDIOLOGY 12748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12748,A000000,03050,0000,03300EQUIPMENT RENTAL 12748,A000000,03051,0000,03301PEN THERAPY 12748,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12748,A000000,03200,0000,03200SUPPORT SURFACES 12748,A000000,04800,0000,04800AMBULANCE 12748,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12748,A000000,05300,0000,05300INTEREST EXPENSE 12748,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12748,A000000,06150,0000,06300VENDING 12748,A000000,06151,0000,06301STAND-BY 12748,A000000,06200,0000,06200PATIENTS LAUNDRY 12748,A81000A,00100,0100,Y 12748,A81000B,00100,0300,HOME OFFICE COST 12748,A81000B,00200,0300,DIETARY SUPPLEMENTS 12748,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 12748,A81000B,00400,0300,SHORT TERM EQ. RENT 12748,A81000B,00500,0300,MEDICAL SUPPLIES 12748,A81000B,00600,0300,ADMIN COSTS 12748,A81000B,00700,0300,HOME OFFICE INTEREST 12748,A81000B,00800,0300,EQUIPMENT REPLACEMENT 12748,A81000B,00900,0300,IV THERAPY 12748,A81000B,01000,0300,THERAPY CONSULTING 12748,A81000B,01100,0300,PHYSICAL THERAPY 12748,A81000B,01200,0300,OCCUPATIONAL THERAPY 12748,A81000B,01300,0300,SPEECH THERAPY 12748,A81000B,01400,0300,ANC EQUIP RENTAL 12748,A81000C,00100,0100,B 12748,A81000C,00100,0200,EAST POINTE HEA 12748,A81000C,00100,0400,MARINER PAN 12748,A81000C,00100,0600,NURSING HOMES 12748,A81000C,00200,0100,G 12748,A81000C,00200,0200,MARINER PAN 12748,A81000C,00200,0400,AMER PHARM SVCS 12748,A81000C,00200,0600,PHARMACEUTICALS 12748,A81000C,00300,0100,G 12748,A81000C,00300,0200,MARINER PAN 12748,A81000C,00300,0400,PRISM-ATS-ARS-T 12748,A81000C,00300,0600,THERAPIES 12748,A81000C,03100,0000,MARINER PAN 12748,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 12748,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 12748,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 12748,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 12748,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 12748,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 12748,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 12748,B100000,00000,0800,00001MEALS SERVED :DIETARY 12748,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 12748,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 12748,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 12748,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 12748,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 12748,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 12748,S000000,00100,0200,06/01/2000 12748,S200000,00100,0100,4301 WASHINGTON AVE. 12748,S200000,00200,0100,EVANSVILLE 12748,S200000,00200,0200,IN 12748,S200000,00200,0300,47714- 12748,S200000,00300,0100,VANDERBURGH 12748,S200000,00400,0100,EAST POINTE HEALTH & REHAB CENTER 12748,S200000,00400,0200,155225 12748,S200000,00400,0300,10/01/1979 12748,S200000,00400,0500,P 12748,S200000,01600,0100,Y 12748,S200000,02200,0100,Y 12748,S200000,04300,0100,Y 12748,S700003,00000,0100,1 12758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12758,A000000,00300,0000,00300EMPLOYEE BENEFITS 12758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12758,A000000,00700,0000,00700HOUSEKEEPING 12758,A000000,00800,0000,00800DIETARY 12758,A000000,00900,0000,00900NURSING ADMINISTRATION 12758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12758,A000000,01100,0000,01100PHARMACY 12758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12758,A000000,01300,0000,01300SOCIAL SERVICE 12758,A000000,01350,0000,01500RECREATIONAL THERAPY 12758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12758,A000000,01600,0000,01600SKILLED NURSING FACILITY 12758,A000000,01800,0000,01800NURSING FACILITY 12758,A000000,01810,0000,01810ICF/MR 12758,A000000,02100,0000,02100RADIOLOGY 12758,A000000,02200,0000,02200LABORATORY 12758,A000000,02500,0000,02500PHYSICAL THERAPY 12758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12758,A000000,02700,0000,02700SPEECH PATHOLOGY 12758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12758,A000000,03550,0000,03550FQHC 12758,A000000,04800,0000,04800AMBULANCE 12758,A000000,05000,0000,05000CORF 12758,A000000,05010,0000,05010CMHC 12758,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12758,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12758,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12758,A81000A,00100,0100,Y 12758,A81000B,00100,0300,HOME OFFICE EXPENSES 12758,A81000B,00200,0300,ANCILLARY ADMIN EXP 12758,A81000B,00300,0300,BOOKKEEPING SVCS 12758,A81000B,00400,0300,ACCOUNTING FEES 12758,A81000B,00500,0300,DIETARY CONSULTANT 12758,A81000B,00600,0300,DATA PROCESSING 12758,A81000B,00700,0300,RENT 12758,A81000B,00800,0300,MORTGAGE INTEREST 12758,A81000B,00900,0300,DEPR EXPENSE 12758,A81000B,01000,0300,BLDG CO ADMIN EXP 12758,A81000C,00100,0100,A 12758,A81000C,00100,0200,ERIC ROTHNER 12758,A81000C,00100,0400,CARE CENTERS I 12758,A81000C,00100,0600,MANAGEMENT CO 12758,A81000C,00200,0100,B 12758,A81000C,00200,0200,ERIC ROTHNER 12758,A81000C,00200,0400,N. CAPITOL H.C. 12758,A81000C,00200,0600,BUILDING CO. 12758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12758,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12758,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12758,B100000,00000,0800,00000MEALS SERVED :DIETARY 12758,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12758,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12758,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12758,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12758,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12758,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12758,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12758,S000000,00100,0200,06/02/2000 12758,S200000,00100,0100,2010 NORTH CAPITOL STREET 12758,S200000,00200,0100,INDIANAPOLIS 12758,S200000,00200,0200,IN 12758,S200000,00200,0300,46202- 12758,S200000,00300,0100,MARION 12758,S200000,00400,0100,NORTH CAPITOL NRSG. & REHAB. CTR. 12758,S200000,00400,0200,155226 12758,S200000,00400,0300,05/01/1998 12758,S200000,00400,0500,P 12758,S200000,00600,0200,155226 12758,S200000,00600,0300,05/01/1998 12758,S200000,00600,0600,P 12758,S200000,01600,0100,Y 12758,S200000,02200,0100,Y 12758,S700003,00000,0100,1 12768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12768,A000000,00300,0000,00300EMPLOYEE BENEFITS 12768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12768,A000000,00700,0000,00700HOUSEKEEPING 12768,A000000,00800,0000,00800DIETARY 12768,A000000,00900,0000,00900NURSING ADMINISTRATION 12768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12768,A000000,01100,0000,01100PHARMACY 12768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12768,A000000,01300,0000,01300SOCIAL SERVICE 12768,A000000,01350,0000,01500OTHER GENERAL SERVICES 12768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12768,A000000,01600,0000,01600SKILLED NURSING FACILITY 12768,A000000,01800,0000,01800NURSING FACILITY 12768,A000000,01810,0000,01810ICF/MR 12768,A000000,01900,0000,01900OTHER LONG TERM CARE 12768,A000000,02100,0000,02100RADIOLOGY 12768,A000000,02200,0000,02200LABORATORY 12768,A000000,02300,0000,02300INTRAVENOUS THERAPY 12768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12768,A000000,02500,0000,02500PHYSICAL THERAPY 12768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12768,A000000,02700,0000,02700SPEECH PATHOLOGY 12768,A000000,02800,0000,02800ELECTROCARDIOLOGY 12768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12768,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12768,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12768,A000000,03200,0000,03200SUPPORT SURFACES 12768,A000000,03400,0000,03400CLINIC 12768,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12768,A000000,03500,0000,03500RURAL HEALTH CLINIC 12768,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12768,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12768,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12768,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12768,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12768,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12768,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12768,A000000,04400,0000,04400DME RENTED - HHA 12768,A000000,04500,0000,04500DME SOLD - HHA 12768,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12768,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12768,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12768,A000000,04800,0000,04800AMBULANCE 12768,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12768,A000000,05000,0000,05000CORF 12768,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12768,A000000,05300,0000,05300INTEREST EXPENSE 12768,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12768,A000000,05500,0000,05500HOSPICE 12768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12768,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12768,A000000,06100,0000,06100NONPAID WORKERS 12768,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12768,A000000,06200,0000,06200PATIENTS LAUNDRY 12768,A81000A,00100,0100,Y 12768,A81000B,00100,0300,CORPORATE EXPENSES 12768,A81000C,00100,0100,B 12768,A81000C,00100,0400,HOOSIER CARE 12768,A81000C,00100,0600,NURSING HOMES 12768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12768,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12768,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12768,B100000,00000,0800,00000MEALS SERVED :DIETARY 12768,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12768,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12768,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12768,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12768,S000000,00100,0200,12/01/2000 12768,S200000,00100,0100,1408 EAST HENDRIX 12768,S200000,00200,0100,BRAZIL 12768,S200000,00200,0200,IN 12768,S200000,00200,0300,47834- 12768,S200000,00300,0100,CLAY 12768,S200000,00300,0200,8320 12768,S200000,00300,0300,U 12768,S200000,00400,0100,CLAY COUNTY HEALTH CENTER 12768,S200000,00400,0200,155227 12768,S200000,00400,0300,03/01/1984 12768,S200000,00400,0500,P 12768,S200000,01500,0100,Y 12768,S200000,01900,0100,501(C) 3 NON-PROFIT 12768,S200000,02200,0100,Y 12780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12780,A000000,00300,0000,00300EMPLOYEE BENEFITS 12780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12780,A000000,00700,0000,00700HOUSEKEEPING 12780,A000000,00800,0000,00800DIETARY 12780,A000000,00900,0000,00900NURSING ADMINISTRATION 12780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12780,A000000,01100,0000,01100PHARMACY 12780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12780,A000000,01300,0000,01300SOCIAL SERVICE 12780,A000000,01350,0000,01500ACTIVITIES 12780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12780,A000000,01600,0000,01600SKILLED NURSING FACILITY 12780,A000000,01800,0000,01800NURSING FACILITY 12780,A000000,01900,0000,01900OTHER LONG TERM CARE 12780,A000000,02100,0000,02100RADIOLOGY 12780,A000000,02200,0000,02200LABORATORY 12780,A000000,02300,0000,02300INTRAVENOUS THERAPY 12780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12780,A000000,02500,0000,02500PHYSICAL THERAPY 12780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12780,A000000,02700,0000,02700SPEECH PATHOLOGY 12780,A000000,02800,0000,02800ELECTROCARDIOLOGY 12780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12780,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12780,A000000,03200,0000,03200SUPPORT SURFACES 12780,A000000,03400,0000,03400CLINIC 12780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12780,A000000,03500,0000,03500RURAL HEALTH CLINIC 12780,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12780,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12780,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12780,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12780,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12780,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12780,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12780,A000000,04400,0000,04400DME RENTED - HHA 12780,A000000,04500,0000,04500DME SOLD - HHA 12780,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12780,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12780,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12780,A000000,04800,0000,04800AMBULANCE 12780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12780,A000000,05000,0000,05000CORF 12780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12780,A000000,05300,0000,05300INTEREST EXPENSE 12780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12780,A000000,05500,0000,05500HOSPICE 12780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12780,A000000,06100,0000,06100NONPAID WORKERS 12780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12780,A000000,06200,0000,06200PATIENTS LAUNDRY 12780,A81000A,00100,0100,Y 12780,A81000B,00100,0300,CAPITAL RELATED 12780,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 12780,A81000B,00300,0300,MANAGEMENT FEES 12780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12780,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12780,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12780,B100000,00000,0800,00000MEALS SERVED :DIETARY 12780,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12780,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12780,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12780,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12780,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12780,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12780,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12780,S000000,00100,0200,07/23/1999 12780,S200000,00100,0100,2070 CHESTER BLVD 12780,S200000,00200,0100,RICHMOND 12780,S200000,00200,0200,IN 12780,S200000,00200,0300,47374- 12780,S200000,00300,0100,WAYNE 12780,S200000,00400,0100,HERITAGE HOUSE OF RICHMOND 12780,S200000,00400,0200,155228 12780,S200000,00400,0300,01/01/1984 12780,S200000,00400,0500,P 12780,S200000,01600,0100,Y 12780,S700003,00000,0200,2 12782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12782,A000000,00300,0000,00300EMPLOYEE BENEFITS 12782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12782,A000000,00700,0000,00700HOUSEKEEPING 12782,A000000,00800,0000,00800DIETARY 12782,A000000,00900,0000,00900NURSING ADMINISTRATION 12782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12782,A000000,01100,0000,01100PHARMACY 12782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12782,A000000,01300,0000,01300SOCIAL SERVICE 12782,A000000,01350,0000,01500ACTIVITIES 12782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12782,A000000,01600,0000,01600SKILLED NURSING FACILITY 12782,A000000,01800,0000,01800NURSING FACILITY 12782,A000000,01810,0000,01810ICF/MR 12782,A000000,01900,0000,01900OTHER LONG TERM CARE 12782,A000000,02100,0000,02100RADIOLOGY 12782,A000000,02200,0000,02200LABORATORY 12782,A000000,02300,0000,02300INTRAVENOUS THERAPY 12782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12782,A000000,02500,0000,02500PHYSICAL THERAPY 12782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12782,A000000,02700,0000,02700SPEECH PATHOLOGY 12782,A000000,02800,0000,02800ELECTROCARDIOLOGY 12782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12782,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12782,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12782,A000000,03200,0000,03200SUPPORT SURFACES 12782,A000000,03400,0000,03400CLINIC 12782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12782,A000000,03500,0000,03500RURAL HEALTH CLINIC 12782,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12782,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12782,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12782,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12782,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12782,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12782,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12782,A000000,04400,0000,04400DME RENTED - HHA 12782,A000000,04500,0000,04500DME SOLD - HHA 12782,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12782,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12782,A000000,04800,0000,04800AMBULANCE 12782,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12782,A000000,05000,0000,05000CORF 12782,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12782,A000000,05300,0000,05300INTEREST EXPENSE 12782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12782,A000000,05500,0000,05500HOSPICE 12782,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12782,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12782,A000000,06100,0000,06100NONPAID WORKERS 12782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12782,A000000,06200,0000,06200PATIENTS LAUNDRY 12782,A81000A,00100,0100,Y 12782,A81000B,00100,0300,CAPITAL RELATED 12782,A81000B,00200,0300,ADMIN. & GENERAL 12782,A81000B,00300,0300,MANAGEMENT FEES 12782,A81000C,00100,0100,G 12782,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12782,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12782,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12782,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12782,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12782,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12782,B100000,00000,0800,00000MEALS SERVED :DIETARY 12782,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12782,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12782,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12782,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12782,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12782,S000000,00100,0200,07/14/2000 12782,S200000,00100,0100,2070 CHESTER BLVD 12782,S200000,00200,0100,RICHMOND 12782,S200000,00200,0200,IN 12782,S200000,00200,0300,47374- 12782,S200000,00300,0100,WAYNE 12782,S200000,00300,0200,9915 12782,S200000,00300,0300,R 12782,S200000,00400,0100,REGENCY MANOR 12782,S200000,00400,0200,155228 12782,S200000,00400,0300,01/01/1984 12782,S200000,00400,0500,P 12782,S200000,01600,0100,Y 12795,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12795,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12795,A000000,00300,0000,00300EMPLOYEE BENEFITS 12795,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12795,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12795,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12795,A000000,00700,0000,00700HOUSEKEEPING 12795,A000000,00800,0000,00800DIETARY 12795,A000000,00900,0000,00900NURSING ADMINISTRATION 12795,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12795,A000000,01100,0000,01100PHARMACY 12795,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12795,A000000,01300,0000,01300SOCIAL SERVICE 12795,A000000,01350,0000,01500ACTIVITIES 12795,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12795,A000000,01600,0000,01600SKILLED NURSING FACILITY 12795,A000000,01800,0000,01800NURSING FACILITY 12795,A000000,01810,0000,01801ICF/MR 12795,A000000,01900,0000,01900OTHER LONG TERM CARE 12795,A000000,02100,0000,02100RADIOLOGY 12795,A000000,02200,0000,02200LABORATORY 12795,A000000,02300,0000,02300INTRAVENOUS THERAPY 12795,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12795,A000000,02500,0000,02500PHYSICAL THERAPY 12795,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12795,A000000,02700,0000,02700SPEECH PATHOLOGY 12795,A000000,02800,0000,02800ELECTROCARDIOLOGY 12795,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12795,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12795,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12795,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12795,A000000,03200,0000,03200SUPPORT SURFACES 12795,A000000,03400,0000,03400CLINIC 12795,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12795,A000000,03500,0000,03500RURAL HEALTH CLINIC 12795,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12795,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12795,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12795,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12795,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12795,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12795,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12795,A000000,04400,0000,04400DME RENTED - HHA 12795,A000000,04500,0000,04500DME SOLD - HHA 12795,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12795,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12795,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12795,A000000,04800,0000,04800AMBULANCE 12795,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12795,A000000,05000,0000,05000CORF 12795,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12795,A000000,05300,0000,05300INTEREST EXPENSE 12795,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12795,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12795,A000000,05500,0000,05500HOSPICE 12795,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12795,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12795,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12795,A000000,06100,0000,06100NONPAID WORKERS 12795,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12795,A000000,06200,0000,06200PATIENTS LAUNDRY 12795,A81000A,00100,0100,Y 12795,A81000B,00100,0300,CAPITAL RELATED 12795,A81000B,00200,0300,ADMIN & GENERAL 12795,A81000B,00300,0300,MANAGEMENT FEES 12795,A81000C,00100,0100,G 12795,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12795,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12795,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12795,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12795,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12795,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12795,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12795,B100000,00000,0800,00000MEALS SERVED :DIETARY 12795,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12795,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12795,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12795,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12795,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12795,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12795,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12795,S000000,00100,0200,07/14/2000 12795,S200000,00100,0100,2050 CHESTER BLVD. 12795,S200000,00200,0100,RICHMOND 12795,S200000,00200,0200,IN 12795,S200000,00200,0300,47374- 12795,S200000,00300,0100,WAYNE 12795,S200000,00400,0100,HERITAGE REGENCY 12795,S200000,00400,0200,155230 12795,S200000,00400,0300,10/01/1994 12795,S200000,00400,0500,P 12795,S200000,01004,0500,O 12795,S200000,01600,0100,Y 12795,S700003,00000,0200,2 12806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12806,A000000,00300,0000,00300EMPLOYEE BENEFITS 12806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12806,A000000,00700,0000,00700HOUSEKEEPING 12806,A000000,00800,0000,00800DIETARY 12806,A000000,00900,0000,00900NURSING ADMINISTRATION 12806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12806,A000000,01100,0000,01100PHARMACY 12806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12806,A000000,01300,0000,01300SOCIAL SERVICE 12806,A000000,01350,0000,01500OTHER GENERAL SERVICES 12806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12806,A000000,01600,0000,01600SKILLED NURSING FACILITY 12806,A000000,01800,0000,01800NURSING FACILITY 12806,A000000,01810,0000,01810ICF/MR 12806,A000000,01900,0000,01900OTHER LONG TERM CARE 12806,A000000,02100,0000,02100RADIOLOGY 12806,A000000,02200,0000,02200LABORATORY 12806,A000000,02300,0000,02300INTRAVENOUS THERAPY 12806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12806,A000000,02500,0000,02500PHYSICAL THERAPY 12806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12806,A000000,02700,0000,02700SPEECH PATHOLOGY 12806,A000000,02800,0000,02800ELECTROCARDIOLOGY 12806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12806,A000000,03200,0000,03200SUPPORT SURFACES 12806,A000000,03400,0000,03400CLINIC 12806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12806,A000000,03500,0000,03500RURAL HEALTH CLINIC 12806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12806,A000000,04400,0000,04400DME RENTED - HHA 12806,A000000,04500,0000,04500DME SOLD - HHA 12806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12806,A000000,04800,0000,04800AMBULANCE 12806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12806,A000000,05000,0000,05000CORF 12806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12806,A000000,05300,0000,05300INTEREST EXPENSE 12806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12806,A000000,05500,0000,05500HOSPICE 12806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12806,A000000,06100,0000,06100NONPAID WORKERS 12806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12806,A000000,06200,0000,06200PATIENTS LAUNDRY 12806,A81000A,00100,0100,Y 12806,A81000B,00100,0300,CORPORATE EXPENSES 12806,A81000C,00100,0100,B 12806,A81000C,00100,0400,HOOSIER CARE 12806,A81000C,00100,0600,NURSING HOMES 12806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12806,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12806,B100000,00000,0800,00000MEALS SERVED :DIETARY 12806,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12806,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12806,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12806,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12806,S000000,00100,0200,12/01/2000 12806,S200000,00100,0100,701 SOUTH OAK STREET 12806,S200000,00200,0100,WINCHESTER 12806,S200000,00200,0200,IN 12806,S200000,00200,0300,47394- 12806,S200000,00300,0100,RANDOLPH 12806,S200000,00300,0200,0015 12806,S200000,00300,0300,R 12806,S200000,00400,0100,RANDOLPH NURSING CENTER 12806,S200000,00400,0200,155231 12806,S200000,00400,0300,04/06/1984 12806,S200000,00400,0500,P 12806,S200000,01500,0100,Y 12806,S200000,01900,0100,OTHER - 501 (C) 3 12806,S200000,02200,0100,Y 12814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12814,A000000,00300,0000,00300EMPLOYEE BENEFITS 12814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12814,A000000,00700,0000,00700HOUSEKEEPING 12814,A000000,00800,0000,00800DIETARY 12814,A000000,00900,0000,00900NURSING ADMINISTRATION 12814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12814,A000000,01100,0000,01100PHARMACY 12814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12814,A000000,01300,0000,01300SOCIAL SERVICE 12814,A000000,01350,0000,01500ACTIVITIES 12814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12814,A000000,01600,0000,01600SKILLED NURSING FACILITY 12814,A000000,01800,0000,01800NURSING FACILITY 12814,A000000,01810,0000,01810ICF/MR 12814,A000000,01900,0000,01900OTHER LONG TERM CARE 12814,A000000,02100,0000,02100RADIOLOGY 12814,A000000,02200,0000,02200LABORATORY 12814,A000000,02300,0000,02300INTRAVENOUS THERAPY 12814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12814,A000000,02500,0000,02500PHYSICAL THERAPY 12814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12814,A000000,02700,0000,02700SPEECH PATHOLOGY 12814,A000000,02800,0000,02800ELECTROCARDIOLOGY 12814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12814,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12814,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12814,A000000,03200,0000,03200SUPPORT SURFACES 12814,A000000,03400,0000,03400CLINIC 12814,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12814,A000000,03500,0000,03500RURAL HEALTH CLINIC 12814,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12814,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12814,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12814,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12814,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12814,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12814,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12814,A000000,04400,0000,04400DME RENTED - HHA 12814,A000000,04500,0000,04500DME SOLD - HHA 12814,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12814,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12814,A000000,04800,0000,04800AMBULANCE 12814,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12814,A000000,05000,0000,05000CORF 12814,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12814,A000000,05300,0000,05300INTEREST EXPENSE 12814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12814,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12814,A000000,05500,0000,05500HOSPICE 12814,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12814,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12814,A000000,06100,0000,06100NONPAID WORKERS 12814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12814,A000000,06200,0000,06200PATIENTS LAUNDRY 12814,A81000A,00100,0100,Y 12814,A81000B,00100,0300,CAPITAL RELATED 12814,A81000B,00200,0300,ADMIN & GENERAL 12814,A81000B,00300,0300,MANAGEMENT FEES 12814,A81000C,00100,0100,G 12814,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12814,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12814,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12814,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12814,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12814,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12814,B100000,00000,0800,00000MEALS SERVED :DIETARY 12814,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12814,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12814,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12814,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12814,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12814,S000000,00100,0200,07/21/2000 12814,S200000,00100,0100,627 EAST NH STREET 12814,S200000,00200,0100,GAS CITY 12814,S200000,00200,0200,IN 12814,S200000,00200,0300,46933- 12814,S200000,00300,0100,GRANT 12814,S200000,00300,0200,9915 12814,S200000,00300,0300,R 12814,S200000,00400,0100,TWIN CITY NURSING HOME 12814,S200000,00400,0200,155232 12814,S200000,00400,0300,07/01/1989 12814,S200000,00400,0500,P 12814,S200000,01600,0100,Y 12826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12826,A000000,00300,0000,00300EMPLOYEE BENEFITS 12826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12826,A000000,00700,0000,00700HOUSEKEEPING 12826,A000000,00800,0000,00800DIETARY 12826,A000000,00900,0000,00900NURSING ADMINISTRATION 12826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12826,A000000,01100,0000,01100PHARMACY 12826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12826,A000000,01300,0000,01300SOCIAL SERVICE 12826,A000000,01350,0000,01500RECREATION 12826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12826,A000000,01600,0000,01600SKILLED NURSING FACILITY 12826,A000000,01800,0000,01800NURSING FACILITY 12826,A000000,02200,0000,02200LABORATORY 12826,A000000,02300,0000,02300INTRAVENOUS THERAPY 12826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12826,A000000,02500,0000,02500PHYSICAL THERAPY 12826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12826,A000000,02700,0000,02700SPEECH PATHOLOGY 12826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12826,A000000,03050,0000,03300PEN 12826,A000000,03051,0000,03310EQUIPMENT RENTAL 12826,A000000,03550,0000,03550FQHC 12826,A000000,05000,0000,05000CORF 12826,A000000,05010,0000,05010CMHC 12826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12826,A81000A,00100,0100,Y 12826,A81000B,00100,0300,HOME OFFICE COST 12826,A81000C,00100,0100,A 12826,A81000C,00100,0200,MID AMERICA 12826,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12826,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12826,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12826,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12826,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12826,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12826,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 12826,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12826,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12826,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12826,B100000,00000,1350,00000PATIENT DAYS :RECREATION 12826,S000000,00100,0200,11/30/2000 12826,S200000,00100,0100,120 MARGARET AVENUE 12826,S200000,00200,0100,TERRE HAUTE 12826,S200000,00200,0200,IN 12826,S200000,00200,0300,47802- 12826,S200000,00300,0100,VIGO 12826,S200000,00300,0200,8320 12826,S200000,00300,0300,U 12826,S200000,00400,0100,WESTRIDGE HEALTH CARE CENTER 12826,S200000,00400,0200,155234 12826,S200000,00400,0300,08/31/1984 12826,S200000,00400,0500,P 12826,S200000,01004,0500,O 12826,S200000,01600,0100,Y 12835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12835,A000000,00300,0000,00300EMPLOYEE BENEFITS 12835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12835,A000000,00700,0000,00700HOUSEKEEPING 12835,A000000,00800,0000,00800DIETARY 12835,A000000,00900,0000,00900NURSING ADMINISTRATION 12835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12835,A000000,01100,0000,01100PHARMACY 12835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12835,A000000,01300,0000,01300SOCIAL SERVICE 12835,A000000,01350,0000,01500OTHER GENERAL SERVICES 12835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12835,A000000,01600,0000,01600SKILLED NURSING FACILITY 12835,A000000,01800,0000,01800NURSING FACILITY 12835,A000000,01810,0000,01801ICF/MR 12835,A000000,01900,0000,01900OTHER LONG TERM CARE 12835,A000000,02100,0000,02100RADIOLOGY 12835,A000000,02200,0000,02200LABORATORY 12835,A000000,02300,0000,02300INTRAVENOUS THERAPY 12835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12835,A000000,02500,0000,02500PHYSICAL THERAPY 12835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12835,A000000,02700,0000,02700SPEECH PATHOLOGY 12835,A000000,02800,0000,02800ELECTROCARDIOLOGY 12835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12835,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12835,A000000,03200,0000,03200SUPPORT SURFACES 12835,A000000,03400,0000,03400CLINIC 12835,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12835,A000000,03500,0000,03500RURAL HEALTH CLINIC 12835,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12835,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12835,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12835,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12835,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12835,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12835,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12835,A000000,04400,0000,04400DME RENTED - HHA 12835,A000000,04500,0000,04500DME SOLD - HHA 12835,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12835,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12835,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12835,A000000,04800,0000,04800AMBULANCE 12835,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12835,A000000,05000,0000,05000CORF 12835,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12835,A000000,05300,0000,05300INTEREST EXPENSE 12835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12835,A000000,05500,0000,05500HOSPICE 12835,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12835,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12835,A000000,06100,0000,06100NONPAID WORKERS 12835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12835,A000000,06200,0000,06200PATIENTS LAUNDRY 12835,A81000A,00100,0100,Y 12835,A81000B,00100,0300,HOME OFFICE COSTS 12835,A81000B,00200,0300,RELATED PARTY LEASE 12835,A81000B,00300,0300,RELATED PARTY THERAPY 12835,A81000B,00400,0300,RELATED PARTY THERAPY 12835,A81000B,00500,0300,RELATED PARTY THERAPY 12835,A81000C,00100,0100,B 12835,A81000C,00100,0400,MHS INC 12835,A81000C,00100,0600,NURSING HOMES 12835,A81000C,00200,0100,A 12835,A81000C,00200,0400,MMM INVESTMENT 12835,A81000C,00200,0600,PROPERTY LEASING 12835,A81000C,00300,0100,A 12835,A81000C,00300,0400,THERACARE 12835,A81000C,00300,0600,THERAPY MANAGEMENT 12835,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12835,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12835,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12835,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12835,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12835,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12835,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12835,B100000,00000,0800,00000MEALS SERVED :DIETARY 12835,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12835,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12835,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12835,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12835,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12835,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12835,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12835,S000000,00100,0200,06/20/2000 12835,S200000,00100,0100,200 - 26TH STREET 12835,S200000,00200,0100,LOGANSPORT 12835,S200000,00200,0200,IN 12835,S200000,00200,0300,46947- 12835,S200000,00300,0100,CASS 12835,S200000,00400,0100,MHS INC D/B/A MMM-LOGANSPORT 12835,S200000,00400,0200,155235 12835,S200000,00400,0300,06/01/1984 12835,S200000,00400,0500,P 12835,S200000,01600,0100,Y 12835,S200000,02200,0100,Y 12844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12844,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 12844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12844,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 12844,A000000,00300,0000,00300EMPLOYEE BENEFITS 12844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12844,A000000,00700,0000,00700HOUSEKEEPING 12844,A000000,00800,0000,00800DIETARY 12844,A000000,00801,0000,00801CAFETERIA 12844,A000000,00900,0000,00900NURSING ADMINISTRATION 12844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12844,A000000,01100,0000,01100PHARMACY 12844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12844,A000000,01300,0000,01300SOCIAL SERVICE 12844,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12844,A000000,01600,0000,01600SKILLED NURSING FACILITY 12844,A000000,01800,0000,01800NURSING FACILITY 12844,A000000,01900,0000,01900OTHER LONG TERM CARE 12844,A000000,02100,0000,02100RADIOLOGY 12844,A000000,02200,0000,02200LABORATORY 12844,A000000,02300,0000,02300INTRAVENOUS THERAPY 12844,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12844,A000000,02500,0000,02500PHYSICAL THERAPY 12844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12844,A000000,02700,0000,02700SPEECH PATHOLOGY 12844,A000000,02800,0000,02800ELECTROCARDIOLOGY 12844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12844,A000000,03050,0000,03300OTHER ANCILLARY 12844,A000000,03051,0000,03301OTHER ANCILLARY II 12844,A000000,03052,0000,03302OTHER ANCILLARY III 12844,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12844,A000000,03200,0000,03200SUPPORT SURFACES 12844,A000000,03400,0000,03400CLINIC 12844,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 12844,A000000,03500,0000,03500RURAL HEALTH CLINIC 12844,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12844,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12844,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12844,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12844,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12844,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12844,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12844,A000000,04400,0000,04400DME RENTED - HHA 12844,A000000,04500,0000,04500DME SOLD - HHA 12844,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12844,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12844,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12844,A000000,04800,0000,04800AMBULANCE 12844,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12844,A000000,05000,0000,05000CORF 12844,A000000,05010,0000,05010CMHC I 12844,A000000,05020,0000,05020OPT I 12844,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12844,A000000,05300,0000,05300INTEREST EXPENSE 12844,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 12844,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 12844,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12844,A000000,05500,0000,05500HOSPICE 12844,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12844,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12844,A000000,06100,0000,06100NONPAID WORKERS 12844,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12844,A000000,06200,0000,06200PATIENTS LAUNDRY 12844,A81000A,00100,0100,Y 12844,A81000B,00100,0300,MGMT FEE 12844,A81000B,00200,0300,PAYROLL PROCESSING 12844,A81000B,00300,0300,PLANT O & M 12844,A81000B,00400,0300,HOUSEKEEPING 12844,A81000B,00500,0300,DIETARY 12844,A81000B,00600,0300,CENTRAL SERVICES 12844,A81000B,00700,0300,NURSING 12844,A81000B,00800,0300,PT 12844,A81000C,00100,0100,G 12844,A81000C,00100,0200,CENT 12844,A81000C,00100,0400,CENT HLTC 12844,A81000C,00100,0600,HOME OFFICE 12844,A81000C,00200,0100,G 12844,A81000C,00200,0200,CENT 12844,A81000C,00200,0400,CENT HLTC 12844,A81000C,00200,0600,HOME OFFICE 12844,A81000C,00300,0100,G 12844,A81000C,00300,0200,CENT PTS 12844,A81000C,00300,0400,CENT HLTC 12844,A81000C,00300,0600,SUPPLIES 12844,A81000C,00400,0100,G 12844,A81000C,00400,0200,CENT PTS 12844,A81000C,00400,0400,CENT HLTC 12844,A81000C,00400,0600,SUPPLIES 12844,A81000C,00500,0100,G 12844,A81000C,00500,0200,CENT PTS 12844,A81000C,00500,0400,CENT HLTC 12844,A81000C,00500,0600,SUPPLIES 12844,A81000C,00600,0100,G 12844,A81000C,00600,0200,CENTPTS 12844,A81000C,00600,0400,CENT HLTC 12844,A81000C,00600,0600,SUPPLIES 12844,A81000C,00700,0100,G 12844,A81000C,00700,0200,CENT PTS 12844,A81000C,00700,0400,CENT HLTC 12844,A81000C,00700,0600,SUPPLIES 12844,A81000C,00800,0100,G 12844,A81000C,00800,0200,CENT PTS 12844,A81000C,00800,0400,CENT HLTC 12844,A81000C,00800,0600,SUPPLIES 12844,A81000C,00900,0100,G 12844,A81000C,00900,0200,CENT PTS 12844,A81000C,00900,0400,CENT HLTC 12844,A81000C,00900,0600,SUPPLIES 12844,A81000C,03100,0000,EMP BENEFIT 12844,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 12844,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 12844,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 12844,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12844,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 12844,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 12844,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 12844,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 12844,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 12844,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 12844,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 12844,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 12844,S000000,00100,0200,06/01/2000 12844,S200000,00100,0100,75 SOUTH 400 EAST 12844,S200000,00200,0100,AVON 12844,S200000,00200,0200,IN 12844,S200000,00200,0300,46123- 12844,S200000,00300,0100,HENDRICKS 12844,S200000,00300,0200,3480 12844,S200000,00300,0300,U 12844,S200000,00400,0100,THS OF DANVILLE 12844,S200000,00400,0200,155236 12844,S200000,00400,0300,09/10/1984 12844,S200000,00400,0500,P 12844,S200000,01500,0100,Y 12844,S200000,02200,0100,Y 12844,S200000,02800,0100,Y 12854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12854,A000000,00300,0000,00300EMPLOYEE BENEFITS 12854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12854,A000000,00700,0000,00700HOUSEKEEPING 12854,A000000,00800,0000,00800DIETARY 12854,A000000,00900,0000,00900NURSING ADMINISTRATION 12854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12854,A000000,01300,0000,01300SOCIAL SERVICE 12854,A000000,01600,0000,01600SKILLED NURSING FACILITY 12854,A000000,01800,0000,01800NURSING FACILITY 12854,A000000,02100,0000,02100RADIOLOGY 12854,A000000,02200,0000,02200LABORATORY 12854,A000000,02500,0000,02500PHYSICAL THERAPY 12854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12854,A000000,02700,0000,02700SPEECH PATHOLOGY 12854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12854,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 12854,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 12854,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 12854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12854,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 12854,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 12854,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 12854,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 12854,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 12854,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 12854,B100000,00000,1250,00000(REVENUE) --------- :MEDICAL RECOR 12854,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 12854,S000000,00100,0200,04/23/2001 12854,S200000,00100,0100,3518 S SHELBY STREET 12854,S200000,00200,0100,INDIANAPOLIS 12854,S200000,00200,0200,IN 12854,S200000,00200,0300,46227- 12854,S200000,00300,0100,MARION 12854,S200000,00400,0100,BETHANY VILLAGE NURSING HOME 12854,S200000,00400,0200,155237 12854,S200000,00400,0300,09/26/1984 12854,S200000,00400,0500,P 12854,S200000,01004,0500,O 12854,S200000,01600,0100,Y 12854,S700003,00000,0100,1 12867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12867,A000000,00300,0000,00300EMPLOYEE BENEFITS 12867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12867,A000000,00700,0000,00700HOUSEKEEPING 12867,A000000,00800,0000,00800DIETARY 12867,A000000,00900,0000,00900NURSING ADMINISTRATION 12867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12867,A000000,01100,0000,01100PHARMACY 12867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12867,A000000,01300,0000,01300SOCIAL SERVICE 12867,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12867,A000000,01600,0000,01600SKILLED NURSING FACILITY 12867,A000000,01800,0000,01800NURSING FACILITY 12867,A000000,01810,0000,01810ICF/MR 12867,A000000,01900,0000,01900OTHER LONG TERM CARE 12867,A000000,02200,0000,02200LABORATORY 12867,A000000,02500,0000,02500PHYSICAL THERAPY 12867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12867,A000000,02700,0000,02700SPEECH PATHOLOGY 12867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12867,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12867,A81000A,00100,0100,Y 12867,A81000B,00100,0300,MANAGEMENT FEE 12867,A81000C,00100,0100,A 12867,A81000C,00100,0200,LARRY HANLON 12867,A81000C,00100,0400,SHOREWOOD MGMT 12867,A81000C,00100,0600,MGMT CO 12867,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12867,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12867,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12867,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12867,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12867,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12867,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12867,B100000,00000,0850,00000PATIENT DAYS :DIETARY 12867,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 12867,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12867,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 12867,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12867,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12867,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 12867,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12867,S000000,00100,0200,12/04/2000 12867,S200000,00100,0100,6320 RUCKER RD SUITE G 12867,S200000,00100,0300,P.O. BOX 20823 12867,S200000,00200,0100,INDIANAPOLIS 12867,S200000,00200,0200,IN 12867,S200000,00200,0300,46220- 12867,S200000,00300,0100,GREENE 12867,S200000,00400,0100,LYONS CONVALESCENT CENTER 12867,S200000,00400,0200,155240 12867,S200000,00400,0300,09/18/1984 12867,S200000,00400,0500,P 12867,S200000,01600,0100,Y 12867,S700003,00000,0100,1 12879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12879,A000000,00300,0000,00300EMPLOYEE BENEFITS 12879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12879,A000000,00700,0000,00700HOUSEKEEPING 12879,A000000,00800,0000,00800DIETARY 12879,A000000,00900,0000,00900NURSING ADMINISTRATION 12879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12879,A000000,01100,0000,01100PHARMACY 12879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12879,A000000,01300,0000,01300SOCIAL SERVICE 12879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12879,A000000,01600,0000,01600SKILLED NURSING FACILITY 12879,A000000,02100,0000,02100RADIOLOGY 12879,A000000,02200,0000,02200LABORATORY 12879,A000000,02300,0000,02300INTRAVENOUS THERAPY 12879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12879,A000000,02500,0000,02500PHYSICAL THERAPY 12879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12879,A000000,02700,0000,02700SPEECH PATHOLOGY 12879,A000000,02800,0000,02800ELECTROCARDIOLOGY 12879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12879,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12879,A000000,03200,0000,03200SUPPORT SURFACES 12879,A000000,03400,0000,03400CLINIC 12879,A000000,04800,0000,04800AMBULANCE 12879,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12879,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12879,A000000,05300,0000,05300INTEREST EXPENSE 12879,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12879,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12879,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12879,A000000,06100,0000,06100NONPAID WORKERS 12879,A000000,06200,0000,06200PATIENTS LAUNDRY 12879,A81000A,00100,0100,Y 12879,A81000B,00100,0300,ADMINISTRATIVE 12879,A81000B,00200,0300,CAPITAL 12879,A81000B,00300,0300,RADIOLOGY 12879,A81000B,00400,0300,DRUG 12879,A81000B,00500,0300,CAPITAL 12879,A81000C,00100,0100,B 12879,A81000C,00100,0200,EAGLECARE INC. 12879,A81000C,00100,0600,CENTRAL OFFICE 12879,A81000C,00200,0100,B 12879,A81000C,00200,0200,EAGLECARE INC. 12879,A81000C,00200,0600,CENTRAL OFFICE 12879,A81000C,00300,0100,B 12879,A81000C,00300,0200,VENTURA RADIOL. 12879,A81000C,00300,0600,RADIOLOGY 12879,A81000C,00400,0100,B 12879,A81000C,00400,0200,CORNERSTONE 12879,A81000C,00400,0600,PHARMACY 12879,A81000C,00500,0100,B 12879,A81000C,00500,0200,TURTLE CRK CONV 12879,A81000C,00500,0600,PROPERTY OWNER 12879,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12879,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12879,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12879,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12879,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12879,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12879,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12879,B100000,00000,0800,00000MEALS SERVED :DIETARY 12879,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12879,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12879,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12879,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 12879,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12879,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12879,S000000,00100,0200,05/31/2000 12879,S200000,00100,0100,525 EAST THOMPSON ROAD 12879,S200000,00200,0100,INDIANAPOLIS 12879,S200000,00200,0200,IN 12879,S200000,00300,0100,46227 MARION 12879,S200000,00400,0100,FOREST CREEK VILLAGE 12879,S200000,00400,0200,155241 12879,S200000,00400,0300,10/01/1984 12879,S200000,00400,0500,P 12879,S200000,01600,0100,Y 12894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12894,A000000,00300,0000,00300EMPLOYEE BENEFITS 12894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12894,A000000,00700,0000,00700HOUSEKEEPING 12894,A000000,00800,0000,00800DIETARY 12894,A000000,00900,0000,00900NURSING ADMINISTRATION 12894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12894,A000000,01100,0000,01100PHARMACY 12894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12894,A000000,01300,0000,01300SOCIAL SERVICE 12894,A000000,01350,0000,01500OTHER GENERAL SERVICES 12894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12894,A000000,01600,0000,01600SKILLED NURSING FACILITY 12894,A000000,01800,0000,01800NURSING FACILITY 12894,A000000,01810,0000,01801ICF/MR 12894,A000000,01900,0000,01900OTHER LONG TERM CARE 12894,A000000,02100,0000,02100RADIOLOGY 12894,A000000,02200,0000,02200LABORATORY 12894,A000000,02300,0000,02300INTRAVENOUS THERAPY 12894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12894,A000000,02500,0000,02500PHYSICAL THERAPY 12894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12894,A000000,02700,0000,02700SPEECH PATHOLOGY 12894,A000000,02800,0000,02800ELECTROCARDIOLOGY 12894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12894,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12894,A000000,03200,0000,03200SUPPORT SURFACES 12894,A000000,03400,0000,03400CLINIC 12894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12894,A000000,03500,0000,03500RURAL HEALTH CLINIC 12894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12894,A000000,04400,0000,04400DME RENTED - HHA 12894,A000000,04500,0000,04500DME SOLD - HHA 12894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12894,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12894,A000000,04800,0000,04800AMBULANCE 12894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12894,A000000,05000,0000,05000CORF 12894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12894,A000000,05300,0000,05300INTEREST EXPENSE 12894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12894,A000000,05500,0000,05500HOSPICE 12894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12894,A000000,06100,0000,06100NONPAID WORKERS 12894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12894,A000000,06200,0000,06200PATIENTS LAUNDRY 12894,A81000A,00100,0100,Y 12894,A81000B,00100,0300,HOME OFFICE COSTS 12894,A81000B,00200,0300,RELATED PARTY LEASE 12894,A81000B,00300,0300,RELATED PARTY THERAPY 12894,A81000B,00400,0300,RELATED PARTY THERAPY 12894,A81000B,00500,0300,RELATED PARTY THERAPY 12894,A81000C,00100,0100,B 12894,A81000C,00100,0400,MHS INC 12894,A81000C,00100,0600,NURSING HOMES 12894,A81000C,00200,0100,A 12894,A81000C,00200,0400,MMM INVESTMENT 12894,A81000C,00200,0600,PROPERTY LEASING 12894,A81000C,00300,0100,A 12894,A81000C,00300,0400,THERACARE 12894,A81000C,00300,0600,THERAPY MANAGEMENT 12894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12894,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12894,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12894,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12894,B100000,00000,0800,00000MEALS SERVED :DIETARY 12894,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12894,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12894,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12894,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12894,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12894,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12894,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12894,S000000,00100,0200,06/22/2000 12894,S200000,00100,0100,2901 WEST 37TH AVENUE 12894,S200000,00200,0100,HOBART 12894,S200000,00200,0200,IN 12894,S200000,00200,0300,46342- 12894,S200000,00300,0100,LAKE 12894,S200000,00400,0100,MHS INC. D/B/A MMM - HOBART 12894,S200000,00400,0200,155251 12894,S200000,00400,0300,04/11/1985 12894,S200000,00400,0500,P 12894,S200000,01600,0100,Y 12894,S200000,02200,0100,Y 12904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12904,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 12904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12904,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 12904,A000000,00300,0000,00300EMPLOYEE BENEFITS 12904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12904,A000000,00700,0000,00700HOUSEKEEPING 12904,A000000,00800,0000,00800DIETARY 12904,A000000,00801,0000,00801CAFETERIA 12904,A000000,00900,0000,00900NURSING ADMINISTRATION 12904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12904,A000000,01100,0000,01100PHARMACY 12904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12904,A000000,01300,0000,01300SOCIAL SERVICE 12904,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12904,A000000,01600,0000,01600SKILLED NURSING FACILITY 12904,A000000,01800,0000,01800NURSING FACILITY 12904,A000000,01900,0000,01900OTHER LONG TERM CARE 12904,A000000,02100,0000,02100RADIOLOGY 12904,A000000,02200,0000,02200LABORATORY 12904,A000000,02300,0000,02300INTRAVENOUS THERAPY 12904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12904,A000000,02500,0000,02500PHYSICAL THERAPY 12904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12904,A000000,02700,0000,02700SPEECH PATHOLOGY 12904,A000000,02800,0000,02800ELECTROCARDIOLOGY 12904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12904,A000000,03050,0000,03300OTHER ANCILLARY 12904,A000000,03051,0000,03301OTHER ANCILLARY II 12904,A000000,03052,0000,03302OTHER ANCILLARY III 12904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12904,A000000,03200,0000,03200SUPPORT SURFACES 12904,A000000,03400,0000,03400CLINIC 12904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 12904,A000000,03500,0000,03500RURAL HEALTH CLINIC 12904,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12904,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12904,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12904,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12904,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12904,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12904,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12904,A000000,04400,0000,04400DME RENTED - HHA 12904,A000000,04500,0000,04500DME SOLD - HHA 12904,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12904,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12904,A000000,04800,0000,04800AMBULANCE 12904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12904,A000000,05000,0000,05000CORF 12904,A000000,05010,0000,05010CMHC I 12904,A000000,05020,0000,05020OPT I 12904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12904,A000000,05300,0000,05300INTEREST EXPENSE 12904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 12904,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 12904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12904,A000000,05500,0000,05500HOSPICE 12904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12904,A000000,06100,0000,06100NONPAID WORKERS 12904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12904,A000000,06200,0000,06200PATIENTS LAUNDRY 12904,A81000A,00100,0100,Y 12904,A81000B,00100,0300,LBR DONALD WHEELER 12904,A81000B,00200,0300,LBR ROBERT WHEELER 12904,A81000C,00100,0100,A 12904,A81000C,00100,0200,DONALD WHEELER 12904,A81000C,00100,0600,LABOR 12904,A81000C,00200,0100,A 12904,A81000C,00200,0200,ROBERT WHEELER 12904,A81000C,00200,0600,LABOR 12904,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 12904,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 12904,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 12904,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 12904,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 12904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12904,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 12904,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 12904,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 12904,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 12904,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 12904,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 12904,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 12904,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 12904,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 12904,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 12904,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 12904,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 12904,S000000,00100,0200,07/27/2000 12904,S200000,00100,0100,2455 TAMARACK TRIAL 12904,S200000,00200,0100,BLOOMINGTON 12904,S200000,00200,0200,IN 12904,S200000,00300,0100,MONROE 12904,S200000,00400,0100,MEADOWWOOD HEALTH CENTER 12904,S200000,00400,0200,155253 12904,S200000,00400,0300,02/01/1985 12904,S200000,00400,0500,P 12904,S200000,01600,0100,Y 12904,S700003,00000,0100,1 12912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12912,A000000,00300,0000,00300EMPLOYEE BENEFITS 12912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12912,A000000,00700,0000,00700HOUSEKEEPING 12912,A000000,00800,0000,00800DIETARY 12912,A000000,00900,0000,00900NURSING ADMINISTRATION 12912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12912,A000000,01100,0000,01100PHARMACY 12912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12912,A000000,01300,0000,01300SOCIAL SERVICE 12912,A000000,01350,0000,01500ACTIVITIES 12912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12912,A000000,01600,0000,01600SKILLED NURSING FACILITY 12912,A000000,01800,0000,01800NURSING FACILITY 12912,A000000,01810,0000,01801ICF/MR 12912,A000000,01900,0000,01900OTHER LONG TERM CARE 12912,A000000,02100,0000,02100RADIOLOGY 12912,A000000,02200,0000,02200LABORATORY 12912,A000000,02300,0000,02300INTRAVENOUS THERAPY 12912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12912,A000000,02500,0000,02500PHYSICAL THERAPY 12912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12912,A000000,02700,0000,02700SPEECH PATHOLOGY 12912,A000000,02800,0000,02800ELECTROCARDIOLOGY 12912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12912,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12912,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12912,A000000,03200,0000,03200SUPPORT SURFACES 12912,A000000,03400,0000,03400CLINIC 12912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12912,A000000,03500,0000,03500RURAL HEALTH CLINIC 12912,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12912,A000000,04800,0000,04800AMBULANCE 12912,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12912,A000000,05000,0000,05000CORF 12912,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12912,A000000,05300,0000,05300INTEREST EXPENSE 12912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12912,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12912,A000000,05500,0000,05500HOSPICE 12912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12912,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12912,A000000,06100,0000,06100NONPAID WORKERS 12912,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12912,A000000,06200,0000,06200PATIENTS LAUNDRY 12912,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12912,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12912,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12912,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12912,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12912,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12912,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12912,B100000,00000,0800,00000MEALS SERVED :DIETARY 12912,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 12912,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12912,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12912,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12912,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12912,B100000,00000,1350,00000NO STATISTICS :ACTIVITIES 12912,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12912,S000000,00100,0200,05/31/2000 12912,S200000,00100,0100,3420 EAST STATE BLVD 12912,S200000,00200,0100,FORT WAYNE 12912,S200000,00200,0200,IN 12912,S200000,00200,0300,46805- 12912,S200000,00300,0100,ALLEN 12912,S200000,00400,0100,WOODVIEW HEALTHCARE INC. 12912,S200000,00400,0200,155255 12912,S200000,00400,0300,05/17/1985 12912,S200000,00400,0500,P 12912,S200000,01004,0500,O 12912,S200000,01600,0100,Y 12912,S700003,00000,0100,1 12922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12922,A000000,00300,0000,00300EMPLOYEE BENEFITS 12922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12922,A000000,00700,0000,00700HOUSEKEEPING 12922,A000000,00800,0000,00800DIETARY 12922,A000000,00900,0000,00900NURSING ADMINISTRATION 12922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12922,A000000,01100,0000,01100PHARMACY 12922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12922,A000000,01300,0000,01300SOCIAL SERVICE 12922,A000000,01350,0000,01500ACTIVITIES 12922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12922,A000000,01600,0000,01600SKILLED NURSING FACILITY 12922,A000000,01800,0000,01800NURSING FACILITY 12922,A000000,01900,0000,01900OTHER LONG TERM CARE 12922,A000000,02100,0000,02100RADIOLOGY 12922,A000000,02200,0000,02200LABORATORY 12922,A000000,02300,0000,02300INTRAVENOUS THERAPY 12922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12922,A000000,02500,0000,02500PHYSICAL THERAPY 12922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12922,A000000,02700,0000,02700SPEECH PATHOLOGY 12922,A000000,02800,0000,02800ELECTROCARDIOLOGY 12922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12922,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12922,A000000,03200,0000,03200SUPPORT SURFACES 12922,A000000,03400,0000,03400CLINIC 12922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12922,A000000,03500,0000,03500RURAL HEALTH CLINIC 12922,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12922,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12922,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12922,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12922,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12922,A000000,04400,0000,04400DME RENTED - HHA 12922,A000000,04500,0000,04500DME SOLD - HHA 12922,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12922,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12922,A000000,04800,0000,04800AMBULANCE 12922,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12922,A000000,05000,0000,05000CORF 12922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12922,A000000,05300,0000,05300INTEREST EXPENSE 12922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12922,A000000,05500,0000,05500HOSPICE 12922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12922,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12922,A000000,06100,0000,06100NONPAID WORKERS 12922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12922,A000000,06200,0000,06200PATIENTS LAUNDRY 12922,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12922,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12922,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12922,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12922,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12922,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12922,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12922,B100000,00000,0800,00000MEALS SERVED :DIETARY 12922,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 12922,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12922,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12922,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12922,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12922,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 12922,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12922,S000000,00100,0200,05/31/2000 12922,S200000,00100,0100,205 MARINE DRIVE 12922,S200000,00200,0100,ANDERSON 12922,S200000,00200,0200,IN 12922,S200000,00200,0300,46016- 12922,S200000,00300,0100,MADISON 12922,S200000,00400,0100,COUNTRYSIDE MANOR HEALTHCARE CENTER 12922,S200000,00400,0200,155258 12922,S200000,00400,0300,04/03/1985 12922,S200000,00400,0500,O 12922,S200000,01600,0100,Y 12922,S700003,00000,0100,1 12935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12935,A000000,00300,0000,00300EMPLOYEE BENEFITS 12935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12935,A000000,00700,0000,00700HOUSEKEEPING 12935,A000000,00800,0000,00800DIETARY 12935,A000000,00900,0000,00900NURSING ADMINISTRATION 12935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12935,A000000,01100,0000,01100PHARMACY 12935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12935,A000000,01300,0000,01300SOCIAL SERVICE 12935,A000000,01350,0000,01500OTHER GENERAL SERVICES 12935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12935,A000000,01600,0000,01600SKILLED NURSING FACILITY 12935,A000000,01800,0000,01800NURSING FACILITY 12935,A000000,01900,0000,01900OTHER LONG TERM CARE 12935,A000000,02100,0000,02100RADIOLOGY 12935,A000000,02200,0000,02200LABORATORY 12935,A000000,02300,0000,02300INTRAVENOUS THERAPY 12935,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12935,A000000,02500,0000,02500PHYSICAL THERAPY 12935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12935,A000000,02700,0000,02700SPEECH PATHOLOGY 12935,A000000,02800,0000,02800ELECTROCARDIOLOGY 12935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12935,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12935,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12935,A000000,03200,0000,03200SUPPORT SURFACES 12935,A000000,03400,0000,03400CLINIC 12935,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12935,A000000,03500,0000,03500RURAL HEALTH CLINIC 12935,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12935,A000000,04800,0000,04800AMBULANCE 12935,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12935,A000000,05000,0000,05000CORF 12935,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12935,A000000,05300,0000,05300INTEREST EXPENSE 12935,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12935,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12935,A000000,05500,0000,05500HOSPICE 12935,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12935,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12935,A000000,06100,0000,06100NONPAID WORKERS 12935,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12935,A000000,06200,0000,06200PATIENTS LAUNDRY 12935,A81000A,00100,0100,Y 12935,A81000B,00100,0300,HOME OFFICE GEN EXP 12935,A81000B,00200,0300,HOME OFFICE EXP POOL-BLDG. 12935,A81000B,00300,0300,HOME OFFICE EXP POOL-EQUIPMNT 12935,A81000B,00400,0300,HOME OFFICE EXP POOL-INTEREST 12935,A81000B,00500,0300,HOME OFFICE DIRECT ALLOC. 12935,A81000C,00100,0100,D 12935,A81000C,00100,0200,DAVID HOUSTON 12935,A81000C,00100,0400,HOUSTON COMPANIES INC 12935,A81000C,00100,0600,ACCT/FIN SERVICES 12935,A81000C,00200,0100,D 12935,A81000C,00200,0200,DAVID HOUSTON 12935,A81000C,00200,0400,VILLAGE DRUG STORE 12935,A81000C,00200,0600,PHARMACY 12935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12935,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12935,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12935,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 12935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12935,B100000,00000,0800,00000MEALS SERVED :DIETARY 12935,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12935,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12935,B100000,00000,1150,00000CENSUS DAYS :PHARMACY 12935,B100000,00000,1250,00000CENSUS DAYS :MEDICAL RECORDS & LIB 12935,B100000,00000,1330,00000CENSUS DAYS :SOCIAL SERVICE 12935,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12935,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12935,S000000,00100,0200,06/02/2000 12935,S200000,00100,0100,1609 LAFAYETTE ROAD 12935,S200000,00100,0300,661 12935,S200000,00200,0100,CRAWFORDSVILLE 12935,S200000,00200,0200,IN 12935,S200000,00200,0300,47933- 12935,S200000,00300,0100,MONTGOMERY 12935,S200000,00400,0100,HDI D/B/A WILLIAMSBURG 12935,S200000,00400,0200,155261 12935,S200000,00400,0300,03/01/1991 12935,S200000,00400,0500,P 12935,S200000,01600,0100,Y 12935,S200000,02800,0100,Y 12935,S700003,00000,0100,1 12945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12945,A000000,00300,0000,00300EMPLOYEE BENEFITS 12945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12945,A000000,00700,0000,00700HOUSEKEEPING 12945,A000000,00800,0000,00800DIETARY 12945,A000000,00900,0000,00900NURSING ADMINISTRATION 12945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12945,A000000,01100,0000,01100PHARMACY 12945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12945,A000000,01300,0000,01300SOCIAL SERVICE 12945,A000000,01350,0000,01500OTHER GENERAL SERVICES 12945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12945,A000000,01600,0000,01600SKILLED NURSING FACILITY 12945,A000000,01800,0000,01800NURSING FACILITY 12945,A000000,01810,0000,01801ICF/MR 12945,A000000,01900,0000,01900OTHER LONG TERM CARE 12945,A000000,02100,0000,02100RADIOLOGY 12945,A000000,02200,0000,02200LABORATORY 12945,A000000,02300,0000,02300INTRAVENOUS THERAPY 12945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12945,A000000,02500,0000,02500PHYSICAL THERAPY 12945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12945,A000000,02700,0000,02700SPEECH PATHOLOGY 12945,A000000,02800,0000,02800ELECTROCARDIOLOGY 12945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12945,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12945,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12945,A000000,03200,0000,03200SUPPORT SURFACES 12945,A000000,03400,0000,03400CLINIC 12945,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12945,A000000,03500,0000,03500RURAL HEALTH CLINIC 12945,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12945,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12945,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12945,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12945,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12945,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12945,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12945,A000000,04400,0000,04400DME RENTED - HHA 12945,A000000,04500,0000,04500DME SOLD - HHA 12945,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12945,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12945,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12945,A000000,04800,0000,04800AMBULANCE 12945,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12945,A000000,05000,0000,05000CORF 12945,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12945,A000000,05300,0000,05300INTEREST EXPENSE 12945,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12945,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12945,A000000,05500,0000,05500HOSPICE 12945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12945,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12945,A000000,06100,0000,06100NONPAID WORKERS 12945,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12945,A000000,06200,0000,06200PATIENTS LAUNDRY 12945,A81000A,00100,0100,Y 12945,A81000B,00100,0300,HOME OFFICE COSTS 12945,A81000B,00200,0300,RELATED PARTY LEASE 12945,A81000B,00300,0300,RELATED PARTY THERAPY 12945,A81000B,00400,0300,RELATED PARTY THERAPY 12945,A81000B,00500,0300,RELATED PARTY THERAPY 12945,A81000C,00100,0100,B 12945,A81000C,00100,0400,MHS INC 12945,A81000C,00100,0600,NURSING HOMES 12945,A81000C,00200,0100,A 12945,A81000C,00200,0400,MMM INVESTMENT 12945,A81000C,00200,0600,PROPERTY LEASING 12945,A81000C,00300,0100,A 12945,A81000C,00300,0400,THERACARE 12945,A81000C,00300,0600,THERAPY MANAGEMENT 12945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12945,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12945,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12945,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12945,B100000,00000,0800,00000MEALS SERVED :DIETARY 12945,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12945,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12945,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12945,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12945,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12945,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12945,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12945,S000000,00100,0200,06/19/2000 12945,S200000,00100,0100,505 WEST WOLFE STREET 12945,S200000,00200,0100,SULLIVAN 12945,S200000,00200,0200,IN 12945,S200000,00200,0300,47882- 12945,S200000,00300,0100,SULLIVAN 12945,S200000,00400,0100,MHS INC. D/B/A - MMM SULLIVAN 12945,S200000,00400,0200,155262 12945,S200000,00400,0300,06/19/1985 12945,S200000,00400,0500,P 12945,S200000,01600,0100,Y 12945,S200000,02200,0100,Y 12955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12955,A000000,00300,0000,00300EMPLOYEE BENEFITS 12955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12955,A000000,00700,0000,00700HOUSEKEEPING 12955,A000000,00800,0000,00800DIETARY 12955,A000000,00900,0000,00900NURSING ADMINISTRATION 12955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12955,A000000,01100,0000,01100PHARMACY 12955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12955,A000000,01300,0000,01300SOCIAL SERVICE 12955,A000000,01350,0000,01500ACTIVITIES 12955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12955,A000000,01600,0000,01600SKILLED NURSING FACILITY 12955,A000000,01800,0000,01800NURSING FACILITY 12955,A000000,01810,0000,01801ICF/MR 12955,A000000,01900,0000,01900OTHER LONG TERM CARE 12955,A000000,02100,0000,02100RADIOLOGY 12955,A000000,02200,0000,02200LABORATORY 12955,A000000,02300,0000,02300INTRAVENOUS THERAPY 12955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12955,A000000,02500,0000,02500PHYSICAL THERAPY 12955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12955,A000000,02700,0000,02700SPEECH PATHOLOGY 12955,A000000,02800,0000,02800ELECTROCARDIOLOGY 12955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12955,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12955,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12955,A000000,03200,0000,03200SUPPORT SURFACES 12955,A000000,03400,0000,03400CLINIC 12955,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12955,A000000,03500,0000,03500RURAL HEALTH CLINIC 12955,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12955,A000000,04800,0000,04800AMBULANCE 12955,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12955,A000000,05000,0000,05000CORF 12955,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12955,A000000,05300,0000,05300INTEREST EXPENSE 12955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12955,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12955,A000000,05500,0000,05500HOSPICE 12955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12955,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12955,A000000,06100,0000,06100NONPAID WORKERS 12955,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12955,A000000,06200,0000,06200PATIENTS LAUNDRY 12955,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 12955,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12955,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12955,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12955,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 12955,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12955,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 12955,B100000,00000,0800,00000MEALS SERVED :DIETARY 12955,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 12955,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12955,B100000,00000,1150,00000NO STATISTICS :PHARMACY 12955,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 12955,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 12955,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 12955,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 12955,S000000,00100,0200,06/07/2000 12955,S200000,00100,0100,ROUTE 1 12955,S200000,00100,0300,44B 12955,S200000,00200,0100,LOOGOOTEE 12955,S200000,00200,0200,IN 12955,S200000,00200,0300,47533- 12955,S200000,00300,0100,DAVIES 12955,S200000,00400,0100,LOOGOOTEE NURSING CENTER 12955,S200000,00400,0200,155263 12955,S200000,00400,0300,04/01/1994 12955,S200000,00400,0500,P 12955,S200000,01004,0500,O 12955,S200000,01600,0100,Y 12955,S700003,00000,0100,1 12966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12966,A000000,00300,0000,00300EMPLOYEE BENEFITS 12966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12966,A000000,00700,0000,00700HOUSEKEEPING 12966,A000000,00800,0000,00800DIETARY 12966,A000000,00900,0000,00900NURSING ADMINISTRATION 12966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12966,A000000,01100,0000,01100PHARMACY 12966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12966,A000000,01300,0000,01300SOCIAL SERVICE 12966,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 12966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12966,A000000,01600,0000,01600SKILLED NURSING FACILITY 12966,A000000,01800,0000,01800NURSING FACILITY 12966,A000000,01810,0000,01810ICF/MR 12966,A000000,01900,0000,01900OTHER LONG TERM CARE 12966,A000000,02100,0000,02100RADIOLOGY 12966,A000000,02200,0000,02200LABORATORY 12966,A000000,02300,0000,02300INTRAVENOUS THERAPY 12966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12966,A000000,02500,0000,02500PHYSICAL THERAPY 12966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12966,A000000,02700,0000,02700SPEECH PATHOLOGY 12966,A000000,02800,0000,02800ELECTROCARDIOLOGY 12966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12966,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 12966,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12966,A000000,03200,0000,03200SUPPORT SURFACES 12966,A000000,03400,0000,03400CLINIC 12966,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 12966,A000000,03500,0000,03500RURAL HEALTH CLINIC 12966,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12966,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12966,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12966,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12966,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12966,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12966,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12966,A000000,04400,0000,04400DME RENTED - HHA 12966,A000000,04500,0000,04500DME SOLD - HHA 12966,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12966,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12966,A000000,04800,0000,04800AMBULANCE 12966,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12966,A000000,05000,0000,05000CORF 12966,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12966,A000000,05300,0000,05300INTEREST EXPENSE 12966,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12966,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12966,A000000,05500,0000,05500HOSPICE 12966,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12966,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12966,A000000,06100,0000,06100NONPAID WORKERS 12966,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 12966,A000000,06200,0000,06200PATIENTS LAUNDRY 12966,A81000A,00100,0100,Y 12966,A81000B,00100,0300,HOME OFFICE EXPENSE 12966,A81000B,00200,0300,HOME OFFICE EXPENSE 12966,A81000B,00300,0300,LINEN REPLACEMENT 12966,A81000B,00400,0300,FOOD SUPPLEMENTS 12966,A81000B,00500,0300,MEDICAL SUPPLIES 12966,A81000B,00600,0300,NURSING SUPPLIES 12966,A81000B,00700,0300,MEDICAL SUPPLIES 12966,A81000C,00100,0100,B 12966,A81000C,00100,0200,SCOTT VILLA LIV 12966,A81000C,00100,0400,ADVENTIST CARE 12966,A81000C,00100,0600,NURSING HOME CO 12966,A81000C,00200,0100,G 12966,A81000C,00200,0200,SCOTT VILLA LIV 12966,A81000C,00200,0400,Q-CARE 12966,A81000C,00200,0600,MEDICAL SUPPLY 12966,A81000C,03100,0000,SCOTT VILLA LIVING CENTER 12966,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12966,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12966,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12966,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12966,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12966,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12966,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12966,B100000,00000,0800,00000MEALS SERVED :DIETARY 12966,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 12966,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 12966,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12966,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12966,S000000,00100,0200,06/05/2000 12966,S200000,00100,0100,545 W. MOONGLO ROAD 12966,S200000,00200,0100,SCOTTSBURG 12966,S200000,00200,0200,IN 12966,S200000,00200,0300,47170- 12966,S200000,00300,0100,SCOTT 12966,S200000,00300,0200,4520 12966,S200000,00300,0300,U 12966,S200000,00400,0100,SCOTT VILLA LIVING CENTER 12966,S200000,00400,0200,155267 12966,S200000,00400,0300,01/01/1986 12966,S200000,00400,0500,P 12966,S200000,01600,0100,Y 12966,S200000,04700,0100,Y 12966,S200000,04700,0200,Y 12976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12976,A000000,00300,0000,00300EMPLOYEE BENEFITS 12976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12976,A000000,00700,0000,00700HOUSEKEEPING 12976,A000000,00800,0000,00800DIETARY 12976,A000000,00900,0000,00900NURSING ADMINISTRATION 12976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12976,A000000,01100,0000,01100PHARMACY 12976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12976,A000000,01300,0000,01300SOCIAL SERVICE 12976,A000000,01350,0000,01500RECREATIONAL THERAPY 12976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12976,A000000,01600,0000,01600SKILLED NURSING FACILITY 12976,A000000,01800,0000,01800NURSING FACILITY 12976,A000000,01810,0000,01810ICF/MR 12976,A000000,02100,0000,02100RADIOLOGY 12976,A000000,02200,0000,02200LABORATORY 12976,A000000,02500,0000,02500PHYSICAL THERAPY 12976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12976,A000000,02700,0000,02700SPEECH PATHOLOGY 12976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12976,A000000,03200,0000,03200SUPPORT SURFACES 12976,A000000,03550,0000,03550FQHC 12976,A000000,04800,0000,04800AMBULANCE 12976,A000000,05000,0000,05000CORF 12976,A000000,05010,0000,05010CMHC 12976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 12976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 12976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 12976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12976,A81000A,00100,0100,Y 12976,A81000B,00100,0300,MANAGEMENT FEES 12976,A81000B,00200,0300,HOME OFFICE EXPENSES 12976,A81000B,00300,0300,ANCILLARY ADMIN SVCS 12976,A81000B,00400,0300,BOOKKEEPING SVCS 12976,A81000B,00500,0300,ACCOUNTING FEES 12976,A81000B,00600,0300,DIETARY CONSULTANT 12976,A81000B,00700,0300,DATA PROCESSING 12976,A81000B,00800,0300,RENT 12976,A81000B,00900,0300,MORTGAGE INTEREST 12976,A81000B,01000,0300,DEPR EXPENSE 12976,A81000B,01100,0300,BLDG CO ADMIN EXP 12976,A81000C,00100,0100,A 12976,A81000C,00100,0200,ERIC ROTHNER 12976,A81000C,00100,0400,CARE CENTERS I 12976,A81000C,00100,0600,MANAGEMENT CO. 12976,A81000C,00200,0100,B 12976,A81000C,00200,0200,ERIC ROTHNER 12976,A81000C,00200,0400,E. LAKE H. C. P 12976,A81000C,00200,0600,BUILDING CO. 12976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 12976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12976,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12976,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 12976,B100000,00000,0800,00000MEALS SERVED :DIETARY 12976,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 12976,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 12976,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 12976,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12976,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12976,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 12976,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12976,S000000,00100,0200,06/02/2000 12976,S200000,00100,0100,1900 JEANWOOD DRIVE 12976,S200000,00200,0100,ELKHART 12976,S200000,00200,0200,IN 12976,S200000,00200,0300,46514- 12976,S200000,00300,0100,ELKHART 12976,S200000,00400,0100,EAST LAKE NRSG. & REHAB. CENTER 12976,S200000,00400,0200,155269 12976,S200000,00400,0300,01/01/1967 12976,S200000,00400,0500,P 12976,S200000,00600,0200,155269 12976,S200000,00600,0300,01/01/1967 12976,S200000,00600,0600,P 12976,S200000,01600,0100,Y 12976,S200000,02200,0100,Y 12976,S700003,00000,0100,1 12988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12988,A000000,00300,0000,00300EMPLOYEE BENEFITS 12988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12988,A000000,00700,0000,00700HOUSEKEEPING 12988,A000000,00800,0000,00800DIETARY 12988,A000000,00900,0000,00900NURSING ADMINISTRATION 12988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12988,A000000,01100,0000,01100PHARMACY 12988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12988,A000000,01300,0000,01300SOCIAL SERVICE 12988,A000000,01350,0000,01500OTHER GENERAL SERVICES 12988,A000000,01351,0000,01501ACTIVITIES 12988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12988,A000000,01600,0000,01600SKILLED NURSING FACILITY 12988,A000000,01800,0000,01800NURSING FACILITY 12988,A000000,01810,0000,01810ICF/MR 12988,A000000,01900,0000,01900OTHER LONG TERM CARE 12988,A000000,02100,0000,02100RADIOLOGY 12988,A000000,02200,0000,02200LABORATORY 12988,A000000,02300,0000,02300INTRAVENOUS THERAPY 12988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12988,A000000,02500,0000,02500PHYSICAL THERAPY 12988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12988,A000000,02700,0000,02700SPEECH PATHOLOGY 12988,A000000,02800,0000,02800ELECTROCARDIOLOGY 12988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12988,A000000,03200,0000,03200SUPPORT SURFACES 12988,A000000,03400,0000,03400CLINIC 12988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12988,A000000,03500,0000,03500RURAL HEALTH CLINIC 12988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12988,A000000,04400,0000,04400DME RENTED - HHA 12988,A000000,04500,0000,04500DME SOLD - HHA 12988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12988,A000000,04800,0000,04800AMBULANCE 12988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12988,A000000,05000,0000,05000CORF 12988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12988,A000000,05300,0000,05300INTEREST EXPENSE 12988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12988,A000000,05500,0000,05500HOSPICE 12988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12988,A000000,06100,0000,06100NONPAID WORKERS 12988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12988,A000000,06200,0000,06200PATIENTS LAUNDRY 12988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12988,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12988,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12988,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 12988,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 12988,B100000,00000,0800,00000MEALS SERVED :DIETARY 12988,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 12988,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 12988,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12988,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 12988,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 12988,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 12988,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 12988,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12988,S000000,00100,0200,04/02/2001 12988,S200000,00100,0100,526 4TH STREET 12988,S200000,00200,0100,HUNTINGBURG 12988,S200000,00200,0200,IN 12988,S200000,00200,0300,47542- 12988,S200000,00300,0100,DUBOIS 12988,S200000,00400,0100,CORE OF HUNTINGBURG 12988,S200000,00400,0200,155270 12988,S200000,00400,0300,10/01/1997 12988,S200000,00400,0500,P 12988,S200000,00600,0200,155270 12988,S200000,00600,0300,10/01/1997 12988,S200000,01600,0100,Y 12988,S200000,02900,0100,Y 12988,S200000,03000,0100,Y 12997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 12997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 12997,A000000,00300,0000,00300EMPLOYEE BENEFITS 12997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 12997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 12997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 12997,A000000,00700,0000,00700HOUSEKEEPING 12997,A000000,00800,0000,00800DIETARY 12997,A000000,00900,0000,00900NURSING ADMINISTRATION 12997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 12997,A000000,01100,0000,01100PHARMACY 12997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 12997,A000000,01300,0000,01300SOCIAL SERVICE 12997,A000000,01350,0000,01500OTHER GENERAL SERVICES 12997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 12997,A000000,01600,0000,01600SKILLED NURSING FACILITY 12997,A000000,01800,0000,01800NURSING FACILITY 12997,A000000,01810,0000,01801ICF/MR 12997,A000000,01900,0000,01900OTHER LONG TERM CARE 12997,A000000,02100,0000,02100RADIOLOGY 12997,A000000,02200,0000,02200LABORATORY 12997,A000000,02300,0000,02300INTRAVENOUS THERAPY 12997,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 12997,A000000,02500,0000,02500PHYSICAL THERAPY 12997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 12997,A000000,02700,0000,02700SPEECH PATHOLOGY 12997,A000000,02800,0000,02800ELECTROCARDIOLOGY 12997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 12997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 12997,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 12997,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 12997,A000000,03200,0000,03200SUPPORT SURFACES 12997,A000000,03400,0000,03400CLINIC 12997,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 12997,A000000,03500,0000,03500RURAL HEALTH CLINIC 12997,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 12997,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 12997,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 12997,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 12997,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 12997,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 12997,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 12997,A000000,04400,0000,04400DME RENTED - HHA 12997,A000000,04500,0000,04500DME SOLD - HHA 12997,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 12997,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 12997,A000000,04750,0000,05100OTHER REIMBURSABLE COST 12997,A000000,04800,0000,04800AMBULANCE 12997,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 12997,A000000,05000,0000,05000CORF 12997,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 12997,A000000,05300,0000,05300INTEREST EXPENSE 12997,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 12997,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 12997,A000000,05500,0000,05500HOSPICE 12997,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 12997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 12997,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 12997,A000000,06100,0000,06100NONPAID WORKERS 12997,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 12997,A000000,06200,0000,06200PATIENTS LAUNDRY 12997,A81000A,00100,0100,Y 12997,A81000B,00100,0300,HOME OFFICE COSTS 12997,A81000B,00200,0300,RELATED PARTY LEASE 12997,A81000B,00300,0300,RELATED PARTY THERAPY 12997,A81000B,00400,0300,RELATED PARTY THERAPY 12997,A81000B,00500,0300,RELATED PARTY THERAPY 12997,A81000C,00100,0100,B 12997,A81000C,00100,0400,MHS INC 12997,A81000C,00100,0600,NURSING HOMES 12997,A81000C,00200,0100,A 12997,A81000C,00200,0400,MMM INVESTMENT 12997,A81000C,00200,0600,PROPERTY LEASING 12997,A81000C,00300,0100,A 12997,A81000C,00300,0400,THERACARE 12997,A81000C,00300,0600,THERAPY MANAGEMENT 12997,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 12997,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 12997,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 12997,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 12997,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 12997,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 12997,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 12997,B100000,00000,0800,00000MEALS SERVED :DIETARY 12997,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 12997,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 12997,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 12997,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 12997,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 12997,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 12997,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 12997,S000000,00100,0200,06/22/2000 12997,S200000,00100,0100,8400 CLEARVISTA PLACE 12997,S200000,00200,0100,INDIANAPOLIS 12997,S200000,00200,0200,IN 12997,S200000,00200,0300,45256- 12997,S200000,00300,0100,MARION 12997,S200000,00400,0100,MHS INC. D/B/A MMM - COVENTRY MANOR 12997,S200000,00400,0200,155271 12997,S200000,00400,0300,11/12/1985 12997,S200000,00400,0500,P 12997,S200000,01600,0100,Y 12997,S200000,02200,0100,Y 13005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13005,A000000,00300,0000,00300EMPLOYEE BENEFITS 13005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13005,A000000,00700,0000,00700HOUSEKEEPING 13005,A000000,00800,0000,00800DIETARY 13005,A000000,00900,0000,00900NURSING ADMINISTRATION 13005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13005,A000000,01100,0000,01100PHARMACY 13005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13005,A000000,01300,0000,01300SOCIAL SERVICE 13005,A000000,01350,0000,01500OTHER GENERAL SERVICES 13005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13005,A000000,01600,0000,01600SKILLED NURSING FACILITY 13005,A000000,01800,0000,01800NURSING FACILITY 13005,A000000,01810,0000,01801ICF/MR 13005,A000000,01900,0000,01900OTHER LONG TERM CARE 13005,A000000,02100,0000,02100RADIOLOGY 13005,A000000,02200,0000,02200LABORATORY 13005,A000000,02300,0000,02300INTRAVENOUS THERAPY 13005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13005,A000000,02500,0000,02500PHYSICAL THERAPY 13005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13005,A000000,02700,0000,02700SPEECH PATHOLOGY 13005,A000000,02800,0000,02800ELECTROCARDIOLOGY 13005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13005,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13005,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13005,A000000,03200,0000,03200SUPPORT SURFACES 13005,A000000,03400,0000,03400CLINIC 13005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13005,A000000,03500,0000,03500RURAL HEALTH CLINIC 13005,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13005,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13005,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13005,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13005,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13005,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13005,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13005,A000000,04400,0000,04400DME RENTED - HHA 13005,A000000,04500,0000,04500DME SOLD - HHA 13005,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13005,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13005,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13005,A000000,04800,0000,04800AMBULANCE 13005,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13005,A000000,05000,0000,05000CORF 13005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13005,A000000,05300,0000,05300INTEREST EXPENSE 13005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13005,A000000,05500,0000,05500HOSPICE 13005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13005,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13005,A000000,06100,0000,06100NONPAID WORKERS 13005,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13005,A000000,06200,0000,06200PATIENTS LAUNDRY 13005,A81000A,00100,0100,Y 13005,A81000B,00100,0300,HOME OFFICE COSTS 13005,A81000B,00200,0300,RELATED PARTY LEASE 13005,A81000B,00300,0300,RELATED PARTY THERAPY 13005,A81000B,00400,0300,RELATED PARTY THERAPY 13005,A81000B,00500,0300,RELATED PARTY THERAPY 13005,A81000C,00100,0100,B 13005,A81000C,00100,0400,MHS INC 13005,A81000C,00100,0600,NURSING HOMES 13005,A81000C,00200,0100,A 13005,A81000C,00200,0400,MMM INVESTMENT 13005,A81000C,00200,0600,PROPERTY LEASING 13005,A81000C,00300,0100,A 13005,A81000C,00300,0400,THERACARE 13005,A81000C,00300,0600,THERAPY MANAGEMENT 13005,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13005,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 13005,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13005,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13005,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13005,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13005,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 13005,B100000,00000,0800,00000MEALS SERVED :DIETARY 13005,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 13005,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13005,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13005,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13005,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13005,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13005,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13005,S000000,00100,0200,06/20/2000 13005,S200000,00100,0100,815 WEST WASHINGTON 13005,S200000,00200,0100,ROCKPORT 13005,S200000,00200,0200,IN 13005,S200000,00200,0300,47635- 13005,S200000,00300,0100,SPENCER 13005,S200000,00400,0100,MHS INC. D/B/A MMM - ROCKPORT 13005,S200000,00400,0200,155274 13005,S200000,00400,0300,12/09/1985 13005,S200000,00400,0500,P 13005,S200000,01600,0100,Y 13005,S200000,02200,0100,Y 13018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13018,A000000,00300,0000,00300EMPLOYEE BENEFITS 13018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13018,A000000,00700,0000,00700HOUSEKEEPING 13018,A000000,00800,0000,00800DIETARY 13018,A000000,00900,0000,00900NURSING ADMINISTRATION 13018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13018,A000000,01100,0000,01100PHARMACY 13018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13018,A000000,01300,0000,01300SOCIAL SERVICE 13018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13018,A000000,01600,0000,01600SKILLED NURSING FACILITY 13018,A000000,01800,0000,01800NURSING FACILITY 13018,A000000,01810,0000,01810ICF/MR 13018,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13018,A000000,02500,0000,02500PHYSICAL THERAPY 13018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13018,A000000,02700,0000,02700SPEECH PATHOLOGY 13018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13018,A000000,03550,0000,03550FQHC 13018,A000000,05000,0000,05000CORF 13018,A000000,05010,0000,05010CMHC 13018,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 13018,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 13018,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 13018,A000000,05500,0000,05500HOSPICE 13018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13018,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13018,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13018,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13018,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13018,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13018,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13018,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13018,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13018,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13018,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13018,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 13018,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13018,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13018,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13018,S000000,00100,0200,06/01/2000 13018,S200000,00100,0100,3301 NORTH CALUMET AVENUE 13018,S200000,00200,0100,VALPARAISO 13018,S200000,00200,0200,IN 13018,S200000,00200,0300,46383- 13018,S200000,00300,0100,PORTER 13018,S200000,00400,0100,WHISPERING PINES 13018,S200000,00400,0200,155277 13018,S200000,00400,0300,01/19/1986 13018,S200000,00400,0500,P 13018,S200000,00600,0200,155277 13018,S200000,00600,0300,01/19/1986 13018,S200000,00600,0600,P 13018,S200000,01004,0500,O 13018,S200000,01600,0100,Y 13018,S200000,02200,0100,Y 13018,S700003,00000,0100,1 13036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13036,A000000,00300,0000,00300EMPLOYEE BENEFITS 13036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13036,A000000,00700,0000,00700HOUSEKEEPING 13036,A000000,00800,0000,00800DIETARY 13036,A000000,00900,0000,00900NURSING ADMINISTRATION 13036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13036,A000000,01100,0000,01100PHARMACY 13036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13036,A000000,01300,0000,01300SOCIAL SERVICE 13036,A000000,01350,0000,01500ACTIVITIES 13036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13036,A000000,01600,0000,01600SKILLED NURSING FACILITY 13036,A000000,01800,0000,01800NURSING FACILITY 13036,A000000,01810,0000,01810ICF/MR 13036,A000000,01900,0000,01900OTHER LONG TERM CARE 13036,A000000,02100,0000,02100RADIOLOGY 13036,A000000,02200,0000,02200LABORATORY 13036,A000000,02300,0000,02300INTRAVENOUS THERAPY 13036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13036,A000000,02500,0000,02500PHYSICAL THERAPY 13036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13036,A000000,02700,0000,02700SPEECH PATHOLOGY 13036,A000000,02800,0000,02800ELECTROCARDIOLOGY 13036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13036,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13036,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13036,A000000,03200,0000,03200SUPPORT SURFACES 13036,A000000,03400,0000,03400CLINIC 13036,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13036,A000000,03500,0000,03500RURAL HEALTH CLINIC 13036,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13036,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13036,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13036,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13036,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13036,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13036,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13036,A000000,04400,0000,04400DME RENTED - HHA 13036,A000000,04500,0000,04500DME SOLD - HHA 13036,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13036,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13036,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13036,A000000,04800,0000,04800AMBULANCE 13036,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13036,A000000,05000,0000,05000CORF 13036,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13036,A000000,05300,0000,05300INTEREST EXPENSE 13036,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13036,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13036,A000000,05500,0000,05500HOSPICE 13036,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13036,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13036,A000000,06100,0000,06100NONPAID WORKERS 13036,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13036,A000000,06200,0000,06200PATIENTS LAUNDRY 13036,A81000A,00100,0100,Y 13036,A81000B,00100,0300,CAPITAL RELATED 13036,A81000B,00200,0300,ADMIN & GENERAL 13036,A81000B,00300,0300,MANAGEMENT FEES 13036,A81000C,00100,0100,G 13036,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13036,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13036,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13036,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13036,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13036,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13036,B100000,00000,0800,00000MEALS SERVED :DIETARY 13036,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13036,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13036,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13036,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13036,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13036,S000000,00100,0200,07/21/2000 13036,S200000,00100,0100,1005 SOUTH EDGEWOOD DRIVE 13036,S200000,00200,0100,KNOX 13036,S200000,00200,0200,IN 13036,S200000,00200,0300,46534- 13036,S200000,00300,0100,STARKE 13036,S200000,00300,0200,9915 13036,S200000,00300,0300,R 13036,S200000,00400,0100,WINTERSONG VILLAGE 13036,S200000,00400,0200,155283 13036,S200000,00400,0300,01/01/1969 13036,S200000,00400,0500,P 13036,S200000,01004,0500,O 13036,S200000,01600,0100,Y 13043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13043,A000000,00300,0000,00300EMPLOYEE BENEFITS 13043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13043,A000000,00700,0000,00700HOUSEKEEPING 13043,A000000,00800,0000,00800DIETARY 13043,A000000,00900,0000,00900NURSING ADMINISTRATION 13043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13043,A000000,01100,0000,01100PHARMACY 13043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13043,A000000,01300,0000,01300SOCIAL SERVICE 13043,A000000,01301,0000,01301ACTIVITIES 13043,A000000,01600,0000,01600SKILLED NURSING FACILITY 13043,A000000,01800,0000,01800NURSING FACILITY 13043,A000000,01900,0000,01900OTHER LONG TERM CARE 13043,A000000,02100,0000,02100RADIOLOGY 13043,A000000,02200,0000,02200LABORATORY 13043,A000000,02300,0000,02300INTRAVENOUS THERAPY 13043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13043,A000000,02500,0000,02500PHYSICAL THERAPY 13043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13043,A000000,02700,0000,02700SPEECH PATHOLOGY 13043,A000000,02800,0000,02800ELECTROCARDIOLOGY 13043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13043,A000000,03200,0000,03200SUPPORT SURFACES 13043,A000000,05300,0000,05300INTEREST EXPENSE 13043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13043,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13043,A000000,06100,0000,06100NONPAID WORKERS 13043,A000000,06200,0000,06200PATIENTS LAUNDRY 13043,A000000,06201,0000,06201APARTMENTS 13043,A000000,06202,0000,06202MARKETING 13043,A81000A,00100,0100,Y 13043,A81000B,00100,0300,MANAGEMENT FEES 13043,A81000C,00100,0100,B 13043,A81000C,00100,0400,KINGSTON HEALTH 13043,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 13043,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 13043,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 13043,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 13043,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 13043,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 13043,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 13043,B100000,00000,0800,00002MEALS SERVED :DIETARY 13043,B100000,00000,0900,00002HOURS OF SERVICE :NURSING ADMINISTR 13043,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 13043,B100000,00000,1150,00002PATIENT DAYS :PHARMACY 13043,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 13043,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 13043,B100000,00000,1331,00002PATIENT DAYS :ACTIVITIES 13043,S000000,00100,0200,06/16/2000 13043,S200000,00100,0100,200 KINGSTON CIRCLE 13043,S200000,00200,0100,LIGONIER 13043,S200000,00200,0200,IN 13043,S200000,00200,0300,46767- 13043,S200000,00300,0100,NOBLE 13043,S200000,00400,0100,KINGSTON OF LIGONIER 13043,S200000,00400,0200,155286 13043,S200000,00400,0300,08/11/1994 13043,S200000,00400,0500,P 13043,S200000,01500,0100,Y 13043,S200000,02200,0100,Y 13043,S200000,02800,0100,Y 13043,S200000,04300,0100,Y 13043,S700003,00000,0100,1 13050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13050,A000000,00300,0000,00300EMPLOYEE BENEFITS 13050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13050,A000000,00700,0000,00700HOUSEKEEPING 13050,A000000,00800,0000,00800DIETARY 13050,A000000,00900,0000,00900NURSING ADMINISTRATION 13050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13050,A000000,01100,0000,01100PHARMACY 13050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13050,A000000,01300,0000,01300SOCIAL SERVICE 13050,A000000,01350,0000,01500OTHER GENERAL SERVICES 13050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13050,A000000,01600,0000,01600SKILLED NURSING FACILITY 13050,A000000,01800,0000,01800NURSING FACILITY 13050,A000000,01900,0000,01900OTHER LONG TERM CARE 13050,A000000,02100,0000,02100RADIOLOGY 13050,A000000,02200,0000,02200LABORATORY 13050,A000000,02300,0000,02300INTRAVENOUS THERAPY 13050,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13050,A000000,02500,0000,02500PHYSICAL THERAPY 13050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13050,A000000,02700,0000,02700SPEECH PATHOLOGY 13050,A000000,02800,0000,02800ELECTROCARDIOLOGY 13050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13050,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13050,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13050,A000000,03200,0000,03200SUPPORT SURFACES 13050,A000000,03400,0000,03400CLINIC 13050,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13050,A000000,03500,0000,03500RURAL HEALTH CLINIC 13050,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13050,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13050,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13050,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13050,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13050,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13050,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13050,A000000,04400,0000,04400DME RENTED - HHA 13050,A000000,04500,0000,04500DME SOLD - HHA 13050,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13050,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13050,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13050,A000000,04800,0000,04800AMBULANCE 13050,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13050,A000000,05000,0000,05000CORF 13050,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13050,A000000,05300,0000,05300INTEREST EXPENSE 13050,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13050,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13050,A000000,05500,0000,05500HOSPICE 13050,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13050,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13050,A000000,06100,0000,06100NONPAID WORKERS 13050,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13050,A000000,06200,0000,06200PATIENTS LAUNDRY 13050,A81000A,00100,0100,Y 13050,A81000B,00100,0300,LAUNDRY AND LINEN SERVICE 13050,A81000B,00200,0300,PHYSICAL THERAPY SERVICE 13050,A81000B,00300,0300,OCCUPATIONAL THERAPY 13050,A81000B,00400,0300,SPEECH PATHOLOGY 13050,A81000C,00100,0100,B 13050,A81000C,00100,0400,ST. ELIZABETH HOSPITAL 13050,A81000C,00100,0600,HOSPITAL 13050,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13050,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13050,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13050,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13050,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13050,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13050,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13050,B100000,00000,0800,00000MEALS SERVED :DIETARY 13050,B100000,00000,0900,00000DIRECT NRSING HOU :NURSING ADMINIST 13050,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13050,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 13050,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13050,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13050,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 13050,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 13050,S000000,00100,0200,09/22/1999 13050,S200000,00100,0100,701 ARMORY ROAD 13050,S200000,00200,0100,DELPHI 13050,S200000,00200,0200,IN 13050,S200000,00200,0300,46923- 13050,S200000,00300,0100,CARROLL 13050,S200000,00400,0100,ST. ELIZABETH HEALTHCARE CENTER 13050,S200000,00400,0200,155290 13050,S200000,00400,0300,11/11/1986 13050,S200000,00400,0500,P 13050,S200000,01600,0100,Y 13050,S700003,00000,0100,1 13052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13052,A000000,00300,0000,00300EMPLOYEE BENEFITS 13052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13052,A000000,00700,0000,00700HOUSEKEEPING 13052,A000000,00800,0000,00800DIETARY 13052,A000000,00900,0000,00900NURSING ADMINISTRATION 13052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13052,A000000,01300,0000,01300SOCIAL SERVICE 13052,A000000,01600,0000,01600SKILLED NURSING FACILITY 13052,A000000,01800,0000,01800NURSING FACILITY 13052,A000000,01900,0000,01900OTHER LONG TERM CARE 13052,A000000,02100,0000,02100RADIOLOGY 13052,A000000,02200,0000,02200LABORATORY 13052,A000000,02300,0000,02300INTRAVENOUS THERAPY 13052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13052,A000000,02500,0000,02500PHYSICAL THERAPY 13052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13052,A000000,02700,0000,02700SPEECH PATHOLOGY 13052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13052,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13052,A000000,03051,0000,03301PATIENT TRANSPORTATION 13052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13052,A81000A,00100,0100,Y 13052,A81000B,00100,0300,FHCS ADMINISTRATION 13052,A81000C,00100,0100,B 13052,A81000C,00100,0400,ST ANTHONY HOME 13052,A81000C,00100,0600,NURSING HOME 13052,A81000C,00200,0400,(FRANCISCAN HOMES & 13052,A81000C,00300,0400,COMMUNITY SERVICES) 13052,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13052,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13052,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13052,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13052,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13052,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13052,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13052,B100000,00000,0800,00000MEALS SERVED :DIETARY 13052,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13052,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13052,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13052,S000000,00100,0200,12/02/1999 13052,S200000,00100,0100,701 ARMORY ROAD 13052,S200000,00200,0100,DELPHI 13052,S200000,00200,0200,IN 13052,S200000,00200,0300,46923- 13052,S200000,00300,0100,CARROLL 13052,S200000,00400,0100,ST. ELIZABETHS HEALTHCARE CENTER 13052,S200000,00400,0200,155290 13052,S200000,00400,0300,11/11/1986 13052,S200000,00400,0500,P 13052,S200000,01600,0100,Y 13052,S700003,00000,0200,2 13054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13054,A000000,00300,0000,00300EMPLOYEE BENEFITS 13054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13054,A000000,00700,0000,00700HOUSEKEEPING 13054,A000000,00800,0000,00800DIETARY 13054,A000000,00900,0000,00900NURSING ADMINISTRATION 13054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13054,A000000,01100,0000,01100PHARMACY 13054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13054,A000000,01300,0000,01300SOCIAL SERVICE 13054,A000000,01350,0000,01500OTHER GENERAL SERVICES 13054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13054,A000000,01600,0000,01600SKILLED NURSING FACILITY 13054,A000000,01800,0000,01800NURSING FACILITY 13054,A000000,01810,0000,01810ICF/MR 13054,A000000,01900,0000,01900OTHER LONG TERM CARE 13054,A000000,02100,0000,02100RADIOLOGY 13054,A000000,02200,0000,02200LABORATORY 13054,A000000,02300,0000,02300INTRAVENOUS THERAPY 13054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13054,A000000,02500,0000,02500PHYSICAL THERAPY 13054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13054,A000000,02700,0000,02700SPEECH PATHOLOGY 13054,A000000,02800,0000,02800ELECTROCARDIOLOGY 13054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13054,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13054,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13054,A000000,03200,0000,03200SUPPORT SURFACES 13054,A000000,03400,0000,03400CLINIC 13054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13054,A000000,03500,0000,03500RURAL HEALTH CLINIC 13054,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13054,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13054,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13054,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13054,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13054,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13054,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13054,A000000,04400,0000,04400DME RENTED - HHA 13054,A000000,04500,0000,04500DME SOLD - HHA 13054,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13054,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13054,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13054,A000000,04800,0000,04800AMBULANCE 13054,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13054,A000000,05000,0000,05000CORF 13054,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13054,A000000,05300,0000,05300INTEREST EXPENSE 13054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13054,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13054,A000000,05500,0000,05500HOSPICE 13054,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13054,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13054,A000000,06100,0000,06100NONPAID WORKERS 13054,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13054,A000000,06200,0000,06200PATIENTS LAUNDRY 13054,A81000A,00100,0100,Y 13054,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 13054,A81000B,00200,0300,MAINTENANCE SALARIES 13054,A81000B,00300,0300,ADMINISTRATIVE SALARIES 13054,A81000B,00400,0300,BENEFITS 13054,A81000B,00500,0300,ADMINISTRATIVE SALARIES 13054,A81000B,00600,0300,ADMINISTRATIVE & GENERAL 13054,A81000B,00700,0300,MAINTENANCE SUPPLIES 13054,A81000B,00800,0300,DIETARY FOOD 13054,A81000B,00900,0300,MANAGEMENT FEE 13054,A81000C,00100,0100,B 13054,A81000C,00100,0400,ST ANTHONY HOME 13054,A81000C,00100,0600,NURSING HOME 13054,A81000C,00200,0400,(FRANCISCAN HOMES & 13054,A81000C,00300,0400,COMMUNITY SERVICES) 13054,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13054,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13054,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13054,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13054,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13054,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13054,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13054,B100000,00000,0800,00000MEALS SERVED :DIETARY 13054,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 13054,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13054,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13054,S000000,00100,0200,12/04/2000 13054,S200000,00100,0100,701 ARMORY ROAD 13054,S200000,00200,0100,DELPHI 13054,S200000,00200,0200,IN 13054,S200000,00200,0300,46923- 13054,S200000,00300,0100,CARROLL 13054,S200000,00300,0200,15 13054,S200000,00300,0300,R 13054,S200000,00400,0100,ST. ELIZABETH HEALTHCARE CENTER 13054,S200000,00400,0200,155290 13054,S200000,00400,0300,11/11/1986 13054,S200000,00400,0500,P 13054,S200000,01600,0100,Y 13054,S200000,02800,0100,Y 13064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13064,A000000,00300,0000,00300EMPLOYEE BENEFITS 13064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13064,A000000,00700,0000,00700HOUSEKEEPING 13064,A000000,00800,0000,00800DIETARY 13064,A000000,00900,0000,00900NURSING ADMINISTRATION 13064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13064,A000000,01100,0000,01100PHARMACY 13064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13064,A000000,01300,0000,01300SOCIAL SERVICE 13064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13064,A000000,01600,0000,01600SKILLED NURSING FACILITY 13064,A000000,02100,0000,02100RADIOLOGY 13064,A000000,02200,0000,02200LABORATORY 13064,A000000,02300,0000,02300INTRAVENOUS THERAPY 13064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13064,A000000,02500,0000,02500PHYSICAL THERAPY 13064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13064,A000000,02700,0000,02700SPEECH PATHOLOGY 13064,A000000,02800,0000,02800ELECTROCARDIOLOGY 13064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13064,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13064,A000000,03200,0000,03200SUPPORT SURFACES 13064,A000000,03400,0000,03400CLINIC 13064,A000000,04800,0000,04800AMBULANCE 13064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13064,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13064,A000000,05300,0000,05300INTEREST EXPENSE 13064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13064,A000000,06100,0000,06100NONPAID WORKERS 13064,A000000,06200,0000,06200PATIENTS LAUNDRY 13064,A81000A,00100,0100,Y 13064,A81000B,00100,0300,ADMINISTRATIVE 13064,A81000B,00200,0300,CAPITAL 13064,A81000B,00300,0300,RADIOLOGY 13064,A81000B,00400,0300,DRUGS 13064,A81000B,00500,0300,CAPITAL 13064,A81000C,00100,0100,B 13064,A81000C,00100,0200,EAGLECARE INC. 13064,A81000C,00100,0600,CENTRAL OFFICE 13064,A81000C,00200,0100,B 13064,A81000C,00200,0200,EAGLECARE INC. 13064,A81000C,00200,0600,CENTRAL OFFICE 13064,A81000C,00300,0100,B 13064,A81000C,00300,0200,VENTURA RADIOL. 13064,A81000C,00300,0600,RADIOLOGY 13064,A81000C,00400,0100,B 13064,A81000C,00400,0200,CORNERSTONE 13064,A81000C,00400,0600,PHARMACY 13064,A81000C,00500,0100,B 13064,A81000C,00500,0200,JACKSON LEASING 13064,A81000C,00500,0600,PROPERTY OWNER 13064,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13064,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13064,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13064,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13064,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13064,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13064,B100000,00000,0800,00000MEALS SERVED :DIETARY 13064,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13064,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13064,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13064,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13064,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13064,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13064,S000000,00100,0200,05/31/2000 13064,S200000,00100,0100,3017 VALLEY FARMS ROAD 13064,S200000,00200,0100,INDIANAPOLIS 13064,S200000,00200,0200,IN 13064,S200000,00200,0300,46214- 13064,S200000,00300,0100,MARION 13064,S200000,00400,0100,EAGLE VALLEY MEADOWS 13064,S200000,00400,0200,155291 13064,S200000,00400,0300,03/06/1987 13064,S200000,00400,0500,P 13064,S200000,01600,0100,Y 13064,S700003,00000,0100,1 13071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13071,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13071,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13071,A000000,00300,0000,00300EMPLOYEE BENEFITS 13071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13071,A000000,00700,0000,00700HOUSEKEEPING 13071,A000000,00800,0000,00800DIETARY 13071,A000000,00801,0000,00801CAFETERIA 13071,A000000,00900,0000,00900NURSING ADMINISTRATION 13071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13071,A000000,01100,0000,01100PHARMACY 13071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13071,A000000,01300,0000,01300SOCIAL SERVICE 13071,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13071,A000000,01600,0000,01600SKILLED NURSING FACILITY 13071,A000000,01800,0000,01800NURSING FACILITY 13071,A000000,01900,0000,01900OTHER LONG TERM CARE 13071,A000000,02100,0000,02100RADIOLOGY 13071,A000000,02200,0000,02200LABORATORY 13071,A000000,02300,0000,02300INTRAVENOUS THERAPY 13071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13071,A000000,02500,0000,02500PHYSICAL THERAPY 13071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13071,A000000,02700,0000,02700SPEECH PATHOLOGY 13071,A000000,02800,0000,02800ELECTROCARDIOLOGY 13071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13071,A000000,03050,0000,03300OTHER ANCILLARY 13071,A000000,03051,0000,03301OTHER ANCILLARY II 13071,A000000,03052,0000,03302OTHER ANCILLARY III 13071,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13071,A000000,03200,0000,03200SUPPORT SURFACES 13071,A000000,03400,0000,03400CLINIC 13071,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13071,A000000,03500,0000,03500RURAL HEALTH CLINIC 13071,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13071,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13071,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13071,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13071,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13071,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13071,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13071,A000000,04400,0000,04400DME RENTED - HHA 13071,A000000,04500,0000,04500DME SOLD - HHA 13071,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13071,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13071,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13071,A000000,04800,0000,04800AMBULANCE 13071,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13071,A000000,05000,0000,05000CORF 13071,A000000,05010,0000,05010CMHC I 13071,A000000,05020,0000,05020OPT I 13071,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13071,A000000,05300,0000,05300INTEREST EXPENSE 13071,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13071,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13071,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13071,A000000,05500,0000,05500HOSPICE 13071,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13071,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13071,A000000,06100,0000,06100NONPAID WORKERS 13071,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13071,A000000,06200,0000,06200PATIENTS LAUNDRY 13071,A81000A,00100,0100,Y 13071,A81000B,00100,0300,LEASE EXPENSE 13071,A81000B,00200,0300,INTEREST 13071,A81000B,00300,0300,DEPRECIATION 13071,A81000B,00400,0300,ADMINISRATION 13071,A81000B,00500,0300,REAL ESTATE TAXES 13071,A81000C,00100,0100,B 13071,A81000C,00100,0200,HARRISION HEALT 13071,A81000C,00100,0400,PAV 13071,A81000C,00100,0600,LEASE 13071,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13071,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 13071,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13071,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 13071,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13071,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13071,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13071,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13071,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13071,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13071,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 13071,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13071,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13071,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 13071,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13071,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13071,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 13071,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 13071,E10A180,00301,0300,06/15/1998 13071,S000000,00100,0200,05/30/2000 13071,S200000,00100,0100,2026 EAST 54TH STREET 13071,S200000,00200,0100,INDIANAPOLIS 13071,S200000,00200,0200,IN 13071,S200000,00200,0300,46220- 13071,S200000,00300,0100,MARION 13071,S200000,00400,0100,HARRISION HEALTHCARE CORP 13071,S200000,00400,0200,155292 13071,S200000,00400,0300,03/01/1990 13071,S200000,00400,0500,P 13071,S200000,01600,0100,Y 13071,S700003,00000,0100,1 13083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13083,A000000,00300,0000,00300EMPLOYEE BENEFITS 13083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13083,A000000,00700,0000,00700HOUSEKEEPING 13083,A000000,00800,0000,00800DIETARY 13083,A000000,00900,0000,00900NURSING ADMINISTRATION 13083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13083,A000000,01100,0000,01100PHARMACY 13083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13083,A000000,01300,0000,01300SOCIAL SERVICE 13083,A000000,01350,0000,01500OTHER GENERAL SERVICES 13083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13083,A000000,01600,0000,01600SKILLED NURSING FACILITY 13083,A000000,01800,0000,01800NURSING FACILITY 13083,A000000,01810,0000,01801ICF/MR 13083,A000000,01900,0000,01900OTHER LONG TERM CARE 13083,A000000,02100,0000,02100RADIOLOGY 13083,A000000,02200,0000,02200LABORATORY 13083,A000000,02300,0000,02300INTRAVENOUS THERAPY 13083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13083,A000000,02500,0000,02500PHYSICAL THERAPY 13083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13083,A000000,02700,0000,02700SPEECH PATHOLOGY 13083,A000000,02800,0000,02800ELECTROCARDIOLOGY 13083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13083,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13083,A000000,03200,0000,03200SUPPORT SURFACES 13083,A000000,03400,0000,03400CLINIC 13083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13083,A000000,03500,0000,03500RURAL HEALTH CLINIC 13083,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13083,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13083,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13083,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13083,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13083,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13083,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13083,A000000,04400,0000,04400DME RENTED - HHA 13083,A000000,04500,0000,04500DME SOLD - HHA 13083,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13083,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13083,A000000,04800,0000,04800AMBULANCE 13083,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13083,A000000,05000,0000,05000CORF 13083,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13083,A000000,05300,0000,05300INTEREST EXPENSE 13083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13083,A000000,05500,0000,05500HOSPICE 13083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13083,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13083,A000000,06100,0000,06100NONPAID WORKERS 13083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13083,A000000,06200,0000,06200PATIENTS LAUNDRY 13083,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13083,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13083,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13083,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13083,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13083,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13083,B100000,00000,0800,00000MEALS SERVED :DIETARY 13083,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 13083,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13083,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13083,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 13083,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 13083,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13083,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13083,S000000,00100,0200,06/02/2000 13083,S200000,00100,0100,8505 WOODFIELD CROSSING BLVD 13083,S200000,00200,0100,INDIANAPOLIS 13083,S200000,00200,0200,IN 13083,S200000,00200,0300,46240- 13083,S200000,00300,0100,MARION 13083,S200000,00400,0100,THE FORUM AT THE CROSSING 13083,S200000,00400,0200,155294 13083,S200000,00400,0300,02/13/1987 13083,S200000,00400,0500,P 13083,S200000,01600,0100,Y 13083,S200000,01700,0100,Y 13083,S700003,00000,0100,1 13092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13092,A000000,00300,0000,00300EMPLOYEE BENEFITS 13092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13092,A000000,00700,0000,00700HOUSEKEEPING 13092,A000000,00800,0000,00800DIETARY 13092,A000000,00900,0000,00900NURSING ADMINISTRATION 13092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13092,A000000,01100,0000,01100PHARMACY 13092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13092,A000000,01300,0000,01300SOCIAL SERVICE 13092,A000000,01350,0000,01500ACTIVITIES 13092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13092,A000000,01600,0000,01600SKILLED NURSING FACILITY 13092,A000000,01800,0000,01800NURSING FACILITY 13092,A000000,01900,0000,01900OTHER LONG TERM CARE 13092,A000000,02100,0000,02100RADIOLOGY 13092,A000000,02200,0000,02200LABORATORY 13092,A000000,02300,0000,02300INTRAVENOUS THERAPY 13092,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13092,A000000,02500,0000,02500PHYSICAL THERAPY 13092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13092,A000000,02700,0000,02700SPEECH PATHOLOGY 13092,A000000,02800,0000,02800ELECTROCARDIOLOGY 13092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13092,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13092,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13092,A000000,03200,0000,03200SUPPORT SURFACES 13092,A000000,03400,0000,03400CLINIC 13092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13092,A000000,03500,0000,03500RURAL HEALTH CLINIC 13092,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13092,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13092,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13092,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13092,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13092,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13092,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13092,A000000,04400,0000,04400DME RENTED - HHA 13092,A000000,04500,0000,04500DME SOLD - HHA 13092,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13092,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13092,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13092,A000000,04800,0000,04800AMBULANCE 13092,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13092,A000000,05000,0000,05000CORF 13092,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13092,A000000,05300,0000,05300INTEREST EXPENSE 13092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13092,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13092,A000000,05500,0000,05500HOSPICE 13092,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13092,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13092,A000000,06100,0000,06100NONPAID WORKERS 13092,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13092,A000000,06200,0000,06200PATIENTS LAUNDRY 13092,A81000A,00100,0100,Y 13092,A81000B,00100,0300,CAPITAL RELATED 13092,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 13092,A81000B,00300,0300,MANAGEMENT FEES 13092,A81000C,00100,0100,B 13092,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13092,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13092,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13092,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13092,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13092,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13092,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13092,B100000,00000,0800,00000MEALS SERVED :DIETARY 13092,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13092,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13092,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13092,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13092,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13092,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13092,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13092,S000000,00100,0200,07/23/1999 13092,S200000,00100,0100,809 W. FREEMAN STREET 13092,S200000,00200,0100,FRANKFORT 13092,S200000,00200,0200,IN 13092,S200000,00200,0300,46041- 13092,S200000,00300,0100,CLINTON 13092,S200000,00400,0100,CLINTON HOUSE 13092,S200000,00400,0200,155295 13092,S200000,00400,0300,07/15/1991 13092,S200000,00400,0500,P 13092,S200000,01600,0100,Y 13092,S700003,00000,0100,1 13095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13095,A000000,00300,0000,00300EMPLOYEE BENEFITS 13095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13095,A000000,00700,0000,00700HOUSEKEEPING 13095,A000000,00800,0000,00800DIETARY 13095,A000000,00900,0000,00900NURSING ADMINISTRATION 13095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13095,A000000,01100,0000,01100PHARMACY 13095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13095,A000000,01300,0000,01300SOCIAL SERVICE 13095,A000000,01350,0000,01500ACTIVITIES 13095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13095,A000000,01600,0000,01600SKILLED NURSING FACILITY 13095,A000000,01800,0000,01800NURSING FACILITY 13095,A000000,01810,0000,01801ICF/MR 13095,A000000,01900,0000,01900OTHER LONG TERM CARE 13095,A000000,02100,0000,02100RADIOLOGY 13095,A000000,02200,0000,02200LABORATORY 13095,A000000,02300,0000,02300INTRAVENOUS THERAPY 13095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13095,A000000,02500,0000,02500PHYSICAL THERAPY 13095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13095,A000000,02700,0000,02700SPEECH PATHOLOGY 13095,A000000,02800,0000,02800ELECTROCARDIOLOGY 13095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13095,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13095,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13095,A000000,03200,0000,03200SUPPORT SURFACES 13095,A000000,03400,0000,03400CLINIC 13095,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13095,A000000,03500,0000,03500RURAL HEALTH CLINIC 13095,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13095,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13095,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13095,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13095,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13095,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13095,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13095,A000000,04400,0000,04400DME RENTED - HHA 13095,A000000,04500,0000,04500DME SOLD - HHA 13095,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13095,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13095,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13095,A000000,04800,0000,04800AMBULANCE 13095,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13095,A000000,05000,0000,05000CORF 13095,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13095,A000000,05300,0000,05300INTEREST EXPENSE 13095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13095,A000000,05500,0000,05500HOSPICE 13095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13095,A000000,06100,0000,06100NONPAID WORKERS 13095,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13095,A000000,06200,0000,06200PATIENTS LAUNDRY 13095,A81000A,00100,0100,Y 13095,A81000B,00100,0300,CAPITAL RELATED 13095,A81000B,00200,0300,ADMIN & GENERAL 13095,A81000B,00300,0300,MANAGEMENT FEES 13095,A81000C,00100,0100,G 13095,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13095,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13095,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13095,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13095,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13095,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13095,B100000,00000,0800,00000MEALS SERVED :DIETARY 13095,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13095,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13095,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13095,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13095,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13095,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 13095,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13095,S000000,00100,0200,07/14/2000 13095,S200000,00100,0100,809 W. FREEMAN STREET 13095,S200000,00200,0100,FRANKFORT 13095,S200000,00200,0200,IN 13095,S200000,00200,0300,46041- 13095,S200000,00300,0100,CLINTON 13095,S200000,00400,0100,CLINTON HOUSE 13095,S200000,00400,0200,155295 13095,S200000,00400,0300,07/15/1991 13095,S200000,00400,0500,P 13095,S200000,01600,0100,Y 13095,S700003,00000,0200,2 13105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13105,A000000,00300,0000,00300EMPLOYEE BENEFITS 13105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13105,A000000,00700,0000,00700HOUSEKEEPING 13105,A000000,00800,0000,00800DIETARY 13105,A000000,00900,0000,00900NURSING ADMINISTRATION 13105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13105,A000000,01100,0000,01100PHARMACY 13105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13105,A000000,01300,0000,01300SOCIAL SERVICE 13105,A000000,01350,0000,01500OTHER GENERAL SERVICES 13105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13105,A000000,01600,0000,01600SKILLED NURSING FACILITY 13105,A000000,01800,0000,01800NURSING FACILITY 13105,A000000,01810,0000,01801ICF/MR 13105,A000000,01900,0000,01900OTHER LONG TERM CARE 13105,A000000,02100,0000,02100RADIOLOGY 13105,A000000,02200,0000,02200LABORATORY 13105,A000000,02300,0000,02300INTRAVENOUS THERAPY 13105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13105,A000000,02500,0000,02500PHYSICAL THERAPY 13105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13105,A000000,02700,0000,02700SPEECH PATHOLOGY 13105,A000000,02800,0000,02800ELECTROCARDIOLOGY 13105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13105,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13105,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13105,A000000,03200,0000,03200SUPPORT SURFACES 13105,A000000,03400,0000,03400CLINIC 13105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13105,A000000,03500,0000,03500RURAL HEALTH CLINIC 13105,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13105,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13105,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13105,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13105,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13105,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13105,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13105,A000000,04400,0000,04400DME RENTED - HHA 13105,A000000,04500,0000,04500DME SOLD - HHA 13105,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13105,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13105,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13105,A000000,04800,0000,04800AMBULANCE 13105,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13105,A000000,05000,0000,05000CORF 13105,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13105,A000000,05300,0000,05300INTEREST EXPENSE 13105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13105,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13105,A000000,05500,0000,05500HOSPICE 13105,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13105,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13105,A000000,06100,0000,06100NONPAID WORKERS 13105,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13105,A000000,06200,0000,06200PATIENTS LAUNDRY 13105,A81000A,00100,0100,Y 13105,A81000B,00100,0300,HOME OFFICE COSTS 13105,A81000B,00200,0300,RELATED PARTY LEASE 13105,A81000B,00300,0300,RELATED PARTY THERAPY 13105,A81000B,00400,0300,RELATED PARTY THERAPY 13105,A81000B,00500,0300,RELATED PARTY THERAPY 13105,A81000C,00100,0100,B 13105,A81000C,00100,0400,MHS INC 13105,A81000C,00100,0600,NURSING HOMES 13105,A81000C,00200,0100,A 13105,A81000C,00200,0400,MMM INVESTMENT 13105,A81000C,00200,0600,PROPERTY LEASING 13105,A81000C,00300,0100,A 13105,A81000C,00300,0400,THERACARE 13105,A81000C,00300,0600,THERAPY MANAGEMENT 13105,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13105,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 13105,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13105,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13105,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13105,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 13105,B100000,00000,0800,00000MEALS SERVED :DIETARY 13105,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 13105,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13105,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13105,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13105,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13105,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13105,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13105,S000000,00100,0200,06/22/2000 13105,S200000,00100,0100,5909 LUTE ROAD 13105,S200000,00200,0100,PORTAGE 13105,S200000,00200,0200,IN 13105,S200000,00200,0300,46368- 13105,S200000,00300,0100,PORTER 13105,S200000,00400,0100,MHS INC. D/B/A MMM - PORTAGE 13105,S200000,00400,0200,155299 13105,S200000,00400,0300,06/18/1987 13105,S200000,00400,0500,P 13105,S200000,01600,0100,Y 13105,S200000,02200,0100,Y 13120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13120,A000000,00300,0000,00300EMPLOYEE BENEFITS 13120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13120,A000000,00700,0000,00700HOUSEKEEPING 13120,A000000,00800,0000,00800DIETARY 13120,A000000,00900,0000,00900NURSING ADMINISTRATION 13120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13120,A000000,01100,0000,01100PHARMACY 13120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13120,A000000,01300,0000,01300SOCIAL SERVICE 13120,A000000,01350,0000,01500ACTIVITIES 13120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13120,A000000,01600,0000,01600SKILLED NURSING FACILITY 13120,A000000,01800,0000,01800NURSING FACILITY 13120,A000000,01810,0000,01801ICF/MR 13120,A000000,01900,0000,01900OTHER LONG TERM CARE 13120,A000000,02100,0000,02100RADIOLOGY 13120,A000000,02200,0000,02200LABORATORY 13120,A000000,02300,0000,02300INTRAVENOUS THERAPY 13120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13120,A000000,02500,0000,02500PHYSICAL THERAPY 13120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13120,A000000,02700,0000,02700SPEECH PATHOLOGY 13120,A000000,02800,0000,02800ELECTROCARDIOLOGY 13120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13120,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13120,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13120,A000000,04800,0000,04800AMBULANCE 13120,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13120,A000000,05300,0000,05300INTEREST EXPENSE 13120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13120,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13120,A000000,06150,0000,06300INDEPENDANT LIVING 13120,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 13120,A000000,06152,0000,06302MARKETING 13120,A81000A,00100,0100,Y 13120,A81000B,00100,0300,A& G 13120,A81000B,00200,0300,BUILDING 13120,A81000B,00300,0300,MME 13120,A81000B,00400,0300,INTEREST 13120,A81000C,00100,0100,B 13120,A81000C,00100,0200,TOWN CENTRE 13120,A81000C,00100,0400,CAPITAL SR LIVING 13120,A81000C,00100,0600,CONCARECOMM 13120,A81000C,00200,0100,B 13120,A81000C,00200,0200,TOWN CENTRE 13120,A81000C,00200,0400,CAPITAL SR LIVING 13120,A81000C,00200,0600,CONCARECOMM 13120,B100000,00000,0100,00002SQ. FEET :CAP REL COSTS - BLDGS & 13120,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 13120,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 13120,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 13120,B100000,00000,0500,00002SQ. FEET :PLANT OPERATION MAINT. 13120,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 13120,B100000,00000,0750,00002SQ. FEET :HOUSEKEEPING 13120,B100000,00000,0800,00002MEALS SERVED :DIETARY 13120,B100000,00000,0950,00002PATIENT DAYS :NURSING ADMINISTRATI 13120,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 13120,B100000,00000,1150,00002PATIENT DAYS :PHARMACY 13120,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 13120,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 13120,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 13120,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 13120,S000000,00100,0200,06/01/2000 13120,S200000,00100,0100,7250 ARTHER BOULEVARD 13120,S200000,00200,0100,MERRILLVILLE 13120,S200000,00200,0200,IN 13120,S200000,00200,0300,46410- 13120,S200000,00300,0100,LAKE 13120,S200000,00400,0100,TOWNE CENTRE 13120,S200000,00400,0200,155307 13120,S200000,00400,0300,08/11/1997 13120,S200000,00400,0500,P 13120,S200000,01004,0500,O 13120,S200000,01600,0100,Y 13120,S200000,02200,0100,Y 13120,S700003,00000,0100,1 13132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13132,A000000,00300,0000,00300EMPLOYEE BENEFITS 13132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13132,A000000,00700,0000,00700HOUSEKEEPING 13132,A000000,00800,0000,00800DIETARY 13132,A000000,00900,0000,00900NURSING ADMINISTRATION 13132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13132,A000000,01100,0000,01100PHARMACY 13132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13132,A000000,01300,0000,01300SOCIAL SERVICE 13132,A000000,01350,0000,01500ACTIVITIES 13132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13132,A000000,01600,0000,01600SKILLED NURSING FACILITY 13132,A000000,01800,0000,01800NURSING FACILITY 13132,A000000,01900,0000,01900OTHER LONG TERM CARE 13132,A000000,02100,0000,02100RADIOLOGY 13132,A000000,02200,0000,02200LABORATORY 13132,A000000,02300,0000,02300INTRAVENOUS THERAPY 13132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13132,A000000,02500,0000,02500PHYSICAL THERAPY 13132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13132,A000000,02700,0000,02700SPEECH PATHOLOGY 13132,A000000,02800,0000,02800ELECTROCARDIOLOGY 13132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13132,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13132,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13132,A000000,03200,0000,03200SUPPORT SURFACES 13132,A000000,03400,0000,03400CLINIC 13132,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13132,A000000,03500,0000,03500RURAL HEALTH CLINIC 13132,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13132,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13132,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13132,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13132,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13132,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13132,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13132,A000000,04400,0000,04400DME RENTED - HHA 13132,A000000,04500,0000,04500DME SOLD - HHA 13132,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13132,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13132,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13132,A000000,04800,0000,04800AMBULANCE 13132,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13132,A000000,05000,0000,05000CORF 13132,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13132,A000000,05300,0000,05300INTEREST EXPENSE 13132,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13132,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13132,A000000,05500,0000,05500HOSPICE 13132,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13132,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13132,A000000,06100,0000,06100NONPAID WORKERS 13132,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13132,A000000,06200,0000,06200PATIENTS LAUNDRY 13132,A81000A,00100,0100,Y 13132,A81000B,00100,0300,CAPITAL RELATED 13132,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 13132,A81000B,00300,0300,MANAGEMENT FEES 13132,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13132,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13132,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13132,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13132,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13132,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13132,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13132,B100000,00000,0800,00000MEALS SERVED :DIETARY 13132,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13132,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13132,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13132,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13132,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13132,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13132,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13132,S000000,00100,0200,07/23/1999 13132,S200000,00100,0100,375 SOUTH ELEVENTH STREET 13132,S200000,00200,0100,CLINTON 13132,S200000,00200,0200,IN 13132,S200000,00200,0300,47842- 13132,S200000,00300,0100,VERMILLION 13132,S200000,00400,0100,HERITAGE HOUSE OF CLINTON 13132,S200000,00400,0200,155319 13132,S200000,00400,0300,10/01/1996 13132,S200000,00400,0500,P 13132,S200000,01600,0100,Y 13132,S700003,00000,0100,1 13134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13134,A000000,00300,0000,00300EMPLOYEE BENEFITS 13134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13134,A000000,00700,0000,00700HOUSEKEEPING 13134,A000000,00800,0000,00800DIETARY 13134,A000000,00900,0000,00900NURSING ADMINISTRATION 13134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13134,A000000,01100,0000,01100PHARMACY 13134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13134,A000000,01300,0000,01300SOCIAL SERVICE 13134,A000000,01350,0000,01500ACTIVITIES 13134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13134,A000000,01600,0000,01600SKILLED NURSING FACILITY 13134,A000000,01800,0000,01800NURSING FACILITY 13134,A000000,01810,0000,01810ICF/MR 13134,A000000,01900,0000,01900OTHER LONG TERM CARE 13134,A000000,02100,0000,02100RADIOLOGY 13134,A000000,02200,0000,02200LABORATORY 13134,A000000,02300,0000,02300INTRAVENOUS THERAPY 13134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13134,A000000,02500,0000,02500PHYSICAL THERAPY 13134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13134,A000000,02700,0000,02700SPEECH PATHOLOGY 13134,A000000,02800,0000,02800ELECTROCARDIOLOGY 13134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13134,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13134,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13134,A000000,03200,0000,03200SUPPORT SURFACES 13134,A000000,03400,0000,03400CLINIC 13134,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13134,A000000,03500,0000,03500RURAL HEALTH CLINIC 13134,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13134,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13134,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13134,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13134,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13134,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13134,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13134,A000000,04400,0000,04400DME RENTED - HHA 13134,A000000,04500,0000,04500DME SOLD - HHA 13134,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13134,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13134,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13134,A000000,04800,0000,04800AMBULANCE 13134,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13134,A000000,05000,0000,05000CORF 13134,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13134,A000000,05300,0000,05300INTEREST EXPENSE 13134,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13134,A000000,05500,0000,05500HOSPICE 13134,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13134,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13134,A000000,06100,0000,06100NONPAID WORKERS 13134,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13134,A000000,06200,0000,06200PATIENTS LAUNDRY 13134,A81000A,00100,0100,Y 13134,A81000B,00100,0300,CAPITAL RELATED 13134,A81000B,00200,0300,ADMIN & GENERAL 13134,A81000B,00300,0300,MANAGEMENT FEES 13134,A81000C,00100,0100,G 13134,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13134,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13134,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13134,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13134,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13134,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13134,B100000,00000,0800,00000MEALS SERVED :DIETARY 13134,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13134,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13134,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13134,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13134,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13134,S000000,00100,0200,07/14/2000 13134,S200000,00100,0100,375 SOUTH ELEVENTH STREET 13134,S200000,00200,0100,CLINTON 13134,S200000,00200,0200,IN 13134,S200000,00200,0300,47842- 13134,S200000,00300,0100,VERMILLION 13134,S200000,00300,0200,8320 13134,S200000,00300,0300,U 13134,S200000,00400,0100,HERITAGE HOUSE OF CLINTON 13134,S200000,00400,0200,155319 13134,S200000,00400,0300,10/01/1996 13134,S200000,00400,0500,P 13134,S200000,01600,0100,Y 13144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13144,A000000,00300,0000,00300EMPLOYEE BENEFITS 13144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13144,A000000,00700,0000,00700HOUSEKEEPING 13144,A000000,00800,0000,00800DIETARY 13144,A000000,00900,0000,00900NURSING ADMINISTRATION 13144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13144,A000000,01100,0000,01100PHARMACY 13144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13144,A000000,01300,0000,01300SOCIAL SERVICE 13144,A000000,01350,0000,01500OTHER GENERAL SERVICES 13144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13144,A000000,01600,0000,01600SKILLED NURSING FACILITY 13144,A000000,01800,0000,01800NURSING FACILITY 13144,A000000,01810,0000,01801ICF/MR 13144,A000000,01900,0000,01900OTHER LONG TERM CARE 13144,A000000,02100,0000,02100RADIOLOGY 13144,A000000,02200,0000,02200LABORATORY 13144,A000000,02300,0000,02300INTRAVENOUS THERAPY 13144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13144,A000000,02500,0000,02500PHYSICAL THERAPY 13144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13144,A000000,02700,0000,02700SPEECH PATHOLOGY 13144,A000000,02800,0000,02800ELECTROCARDIOLOGY 13144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13144,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13144,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13144,A000000,03200,0000,03200SUPPORT SURFACES 13144,A000000,03400,0000,03400CLINIC 13144,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13144,A000000,03500,0000,03500RURAL HEALTH CLINIC 13144,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13144,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13144,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13144,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13144,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13144,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13144,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13144,A000000,04400,0000,04400DME RENTED - HHA 13144,A000000,04500,0000,04500DME SOLD - HHA 13144,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13144,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13144,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13144,A000000,04800,0000,04800AMBULANCE 13144,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13144,A000000,05000,0000,05000CORF 13144,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13144,A000000,05300,0000,05300INTEREST EXPENSE 13144,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13144,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13144,A000000,05500,0000,05500HOSPICE 13144,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13144,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13144,A000000,06100,0000,06100NONPAID WORKERS 13144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13144,A000000,06200,0000,06200PATIENTS LAUNDRY 13144,A81000A,00100,0100,Y 13144,A81000B,00100,0300,HOME OFFICE COSTS 13144,A81000B,00200,0300,RELATED PARTY LEASE 13144,A81000B,00300,0300,RELATED PARTY THERAPY 13144,A81000B,00400,0300,RELATED PARTY THERAPY 13144,A81000B,00500,0300,RELATED PARTY THERAPY 13144,A81000C,00100,0100,B 13144,A81000C,00100,0400,MHS INC 13144,A81000C,00100,0600,NURSING HOMES 13144,A81000C,00200,0100,A 13144,A81000C,00200,0400,MMM INVESTMENT 13144,A81000C,00200,0600,PROPERTY LEASING 13144,A81000C,00300,0100,A 13144,A81000C,00300,0400,THERACARE 13144,A81000C,00300,0600,THERAPY MANAGEMENT 13144,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13144,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13144,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13144,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13144,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13144,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 13144,B100000,00000,0800,00000MEALS SERVED :DIETARY 13144,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 13144,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13144,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13144,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13144,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13144,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13144,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13144,S000000,00100,0200,06/23/2000 13144,S200000,00100,0100,5544 EAST STATE BLVD. 13144,S200000,00200,0100,FORT WAYNE 13144,S200000,00200,0200,IN 13144,S200000,00200,0300,46815- 13144,S200000,00300,0100,ALLEN 13144,S200000,00400,0100,MHS INC. D/B/A MMM-FORT WAYNE 13144,S200000,00400,0200,155321 13144,S200000,00400,0300,07/18/1988 13144,S200000,00400,0500,P 13144,S200000,01600,0100,Y 13144,S200000,02200,0100,Y 13153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13153,A000000,00300,0000,00300EMPLOYEE BENEFITS 13153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13153,A000000,00700,0000,00700HOUSEKEEPING 13153,A000000,00800,0000,00800DIETARY 13153,A000000,00900,0000,00900NURSING ADMINISTRATION 13153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13153,A000000,01100,0000,01100PHARMACY 13153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13153,A000000,01300,0000,01300SOCIAL SERVICE 13153,A000000,01350,0000,01500OTHER GENERAL SERVICES 13153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13153,A000000,01600,0000,01600SKILLED NURSING FACILITY 13153,A000000,01800,0000,01800NURSING FACILITY 13153,A000000,01900,0000,01900OTHER LONG TERM CARE 13153,A000000,02100,0000,02100RADIOLOGY 13153,A000000,02200,0000,02200LABORATORY 13153,A000000,02300,0000,02300INTRAVENOUS THERAPY 13153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13153,A000000,02500,0000,02500PHYSICAL THERAPY 13153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13153,A000000,02700,0000,02700SPEECH PATHOLOGY 13153,A000000,02800,0000,02800ELECTROCARDIOLOGY 13153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13153,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13153,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13153,A000000,03200,0000,03200SUPPORT SURFACES 13153,A000000,03400,0000,03400CLINIC 13153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13153,A000000,03500,0000,03500RURAL HEALTH CLINIC 13153,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13153,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13153,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13153,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13153,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13153,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13153,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13153,A000000,04400,0000,04400DME RENTED - HHA 13153,A000000,04500,0000,04500DME SOLD - HHA 13153,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13153,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13153,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13153,A000000,04800,0000,04800AMBULANCE 13153,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13153,A000000,05000,0000,05000CORF 13153,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13153,A000000,05300,0000,05300INTEREST EXPENSE 13153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13153,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13153,A000000,05500,0000,05500HOSPICE 13153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13153,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13153,A000000,06100,0000,06100NONPAID WORKERS 13153,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13153,A000000,06200,0000,06200PATIENTS LAUNDRY 13153,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13153,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13153,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13153,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13153,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13153,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13153,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13153,B100000,00000,0800,00000MEALS SERVED :DIETARY 13153,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 13153,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13153,B100000,00000,1100,00000COSTEDREQU UISTITION :PHARMACY 13153,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13153,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13153,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13153,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13153,S000000,00100,0200,03/01/2000 13153,S200000,00100,0100,6050 S 800 E-92 13153,S200000,00200,0100,FORT WAYNE 13153,S200000,00200,0200,IN 13153,S200000,00200,0300,46804- 13153,S200000,00300,0100,ALLEN 13153,S200000,00400,0100,RENAISSANCE VILLAGE 13153,S200000,00400,0200,155322 13153,S200000,00400,0300,08/15/1988 13153,S200000,00400,0500,P 13153,S200000,01600,0100,Y 13153,S200000,02200,0100,Y 13153,S700003,00000,0100,1 13165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13165,A000000,00300,0000,00300EMPLOYEE BENEFITS 13165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13165,A000000,00700,0000,00700HOUSEKEEPING 13165,A000000,00800,0000,00800DIETARY 13165,A000000,00900,0000,00900NURSING ADMINISTRATION 13165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13165,A000000,01300,0000,01300SOCIAL SERVICE 13165,A000000,01600,0000,01600SKILLED NURSING FACILITY 13165,A000000,01800,0000,01800NURSING FACILITY 13165,A000000,01900,0000,01900OTHER LONG TERM CARE 13165,A000000,02100,0000,02100RADIOLOGY 13165,A000000,02200,0000,02200LABORATORY 13165,A000000,02300,0000,02300INTRAVENOUS THERAPY 13165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13165,A000000,02500,0000,02500PHYSICAL THERAPY 13165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13165,A000000,02700,0000,02700SPEECH PATHOLOGY 13165,A000000,02800,0000,02800ELECTROCARDIOLOGY 13165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13165,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 13165,A000000,03200,0000,03200SUPPORT SURFACES 13165,A000000,03400,0000,03400CLINIC 13165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 13165,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13165,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13165,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13165,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13165,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13165,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13165,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13165,A000000,04400,0000,04400DME RENTED - HHA 13165,A000000,04500,0000,04500DME SOLD - HHA 13165,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13165,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13165,A000000,04800,0000,04800AMBULANCE 13165,A000000,05300,0000,05300INTEREST EXPENSE 13165,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13165,A81000A,00100,0100,Y 13165,A81000B,00100,0300,RENT EXPENSE 13165,A81000B,00200,0300,NURSE CONSULTING 13165,A81000C,00100,0100,C 13165,A81000C,00100,0200,INVERNESS CORP 13165,A81000C,00100,0400,TWIN LAKES LLC 13165,A81000C,00100,0600,PROPERTY MGMT 13165,A81000C,00200,0100,C 13165,A81000C,00200,0200,INVERNESS CORP 13165,A81000C,00200,0400,FIRST HEALTH CO 13165,A81000C,00200,0600,NURSE CONSULTIN 13165,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13165,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13165,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13165,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13165,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13165,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13165,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13165,B100000,00000,0800,00000MEALS SERVED :DIETARY 13165,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 13165,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13165,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13165,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13165,S000000,00100,0200,07/05/2000 13165,S200000,00100,0100,410 TIOGA ROAD 13165,S200000,00200,0100,MONTICELLO 13165,S200000,00200,0200,IN 13165,S200000,00200,0300,47960- 13165,S200000,00300,0100,WHITE 13165,S200000,00400,0100,TWIN LAKES VILLAGE 13165,S200000,00400,0200,155323 13165,S200000,00400,0300,06/20/1988 13165,S200000,00400,0500,P 13165,S200000,01600,0100,Y 13165,S700003,00000,0100,1 13174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13174,A000000,00300,0000,00300EMPLOYEE BENEFITS 13174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13174,A000000,00700,0000,00700HOUSEKEEPING 13174,A000000,00800,0000,00800DIETARY 13174,A000000,00900,0000,00900NURSING ADMINISTRATION 13174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13174,A000000,01100,0000,01100PHARMACY 13174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13174,A000000,01300,0000,01300SOCIAL SERVICE 13174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13174,A000000,01600,0000,01600SKILLED NURSING FACILITY 13174,A000000,01900,0000,01900OTHER LONG TERM CARE 13174,A000000,02100,0000,02100RADIOLOGY 13174,A000000,02200,0000,02200LABORATORY 13174,A000000,02300,0000,02300INTRAVENOUS THERAPY 13174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13174,A000000,02500,0000,02500PHYSICAL THERAPY 13174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13174,A000000,02700,0000,02700SPEECH PATHOLOGY 13174,A000000,02800,0000,02800ELECTROCARDIOLOGY 13174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13174,A000000,03200,0000,03200SUPPORT SURFACES 13174,A000000,03400,0000,03400CLINIC 13174,A000000,04800,0000,04800AMBULANCE 13174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13174,A000000,05300,0000,05300INTEREST EXPENSE 13174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13174,A000000,06100,0000,06100NONPAID WORKERS 13174,A000000,06200,0000,06200PATIENTS LAUNDRY 13174,A81000A,00100,0100,Y 13174,A81000B,00100,0300,MANAGEMENT FEES 13174,A81000B,00200,0300,RELATED PARTY FEES 13174,A81000B,00300,0300,RELATED PARTY FEES 13174,A81000B,00400,0300,RELATED PARTY FEES 13174,A81000B,00500,0300,RELATED PARTY FEES 13174,A81000B,00600,0300,INTEREST 13174,A81000B,00700,0300,ADMIN. EXPENSE 13174,A81000C,00100,0100,A 13174,A81000C,00100,0200,C&D MOORE 13174,A81000C,00100,0400,CARDON & ASSOC. 13174,A81000C,00100,0600,MANAGEMENT CO. 13174,A81000C,00200,0100,A 13174,A81000C,00200,0200,C&D MOORE 13174,A81000C,00200,0400,UH LTD 13174,A81000C,00200,0600,REALTY CO. 13174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13174,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13174,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13174,B100000,00000,0800,00000MEALS SERVED :DIETARY 13174,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 13174,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13174,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13174,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13174,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13174,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13174,S000000,00100,0200,06/01/2000 13174,S200000,00100,0100,1380 COUNTY LINE ROAD SOUTH 13174,S200000,00200,0100,INDIANAPOLIS 13174,S200000,00200,0200,IN 13174,S200000,00200,0300,46277- 13174,S200000,00300,0100,MARION 13174,S200000,00400,0100,UNIVERSITY HEIGHTS CONV. CENTER INC 13174,S200000,00400,0200,155327 13174,S200000,00400,0300,02/01/1989 13174,S200000,00400,0500,P 13174,S200000,01600,0100,Y 13174,S700003,00000,0100,1 13185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13185,A000000,00300,0000,00300EMPLOYEE BENEFITS 13185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13185,A000000,00700,0000,00700HOUSEKEEPING 13185,A000000,00800,0000,00800DIETARY 13185,A000000,00900,0000,00900NURSING ADMINISTRATION 13185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13185,A000000,01100,0000,01100PHARMACY 13185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13185,A000000,01300,0000,01300SOCIAL SERVICE 13185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13185,A000000,01600,0000,01600SKILLED NURSING FACILITY 13185,A000000,02100,0000,02100RADIOLOGY 13185,A000000,02200,0000,02200LABORATORY 13185,A000000,02300,0000,02300INTRAVENOUS THERAPY 13185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13185,A000000,02500,0000,02500PHYSICAL THERAPY 13185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13185,A000000,02700,0000,02700SPEECH PATHOLOGY 13185,A000000,02800,0000,02800ELECTROCARDIOLOGY 13185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13185,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13185,A000000,03200,0000,03200SUPPORT SURFACES 13185,A000000,03400,0000,03400CLINIC 13185,A000000,04800,0000,04800AMBULANCE 13185,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13185,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13185,A000000,05300,0000,05300INTEREST EXPENSE 13185,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13185,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13185,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13185,A000000,06100,0000,06100NONPAID WORKERS 13185,A000000,06200,0000,06200PATIENTS LAUNDRY 13185,A81000A,00100,0100,Y 13185,A81000B,00100,0300,ADMINISTRATIVE 13185,A81000B,00200,0300,CAPITAL 13185,A81000B,00300,0300,RADIOLOGY 13185,A81000B,00400,0300,DRUGS 13185,A81000B,00500,0300,CAPITAL 13185,A81000C,00100,0100,B 13185,A81000C,00100,0200,EAGLECARE INC 13185,A81000C,00100,0600,CENTRAL OFFICE 13185,A81000C,00200,0100,B 13185,A81000C,00200,0200,EAGLECARE INC. 13185,A81000C,00200,0600,CENTRAL OFFICE 13185,A81000C,00300,0100,B 13185,A81000C,00300,0200,VENTURA RADIOL. 13185,A81000C,00300,0600,RADIOLOGY 13185,A81000C,00400,0100,B 13185,A81000C,00400,0200,CORNERSTONE 13185,A81000C,00400,0600,PHARMACY 13185,A81000C,00500,0100,B 13185,A81000C,00500,0200,TURTLE CRK INV 13185,A81000C,00500,0600,PROPERTY OWNER 13185,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13185,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13185,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13185,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13185,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13185,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13185,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13185,B100000,00000,0800,00000MEALS SERVED :DIETARY 13185,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13185,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13185,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13185,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13185,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13185,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13185,S000000,00100,0200,05/31/2000 13185,S200000,00100,0100,1302 NORTH LESLEY AVENUE 13185,S200000,00200,0100,INDIANAPOLIS 13185,S200000,00200,0200,IN 13185,S200000,00300,0100,46219 MARION 13185,S200000,00400,0100,ROSEWALK VILLAGE 13185,S200000,00400,0200,155329 13185,S200000,00400,0300,04/01/1975 13185,S200000,00400,0500,P 13185,S200000,01600,0100,Y 13185,S700003,00000,0100,1 13195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13195,A000000,00300,0000,00300EMPLOYEE BENEFITS 13195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13195,A000000,00700,0000,00700HOUSEKEEPING 13195,A000000,00800,0000,00800DIETARY 13195,A000000,00900,0000,00900NURSING ADMINISTRATION 13195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13195,A000000,01100,0000,01100PHARMACY 13195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13195,A000000,01300,0000,01300SOCIAL SERVICE 13195,A000000,01350,0000,01500ACTIVITIES 13195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13195,A000000,01600,0000,01600SKILLED NURSING FACILITY 13195,A000000,01800,0000,01800NURSING FACILITY 13195,A000000,01900,0000,01900OTHER LONG TERM CARE 13195,A000000,02100,0000,02100RADIOLOGY 13195,A000000,02200,0000,02200LABORATORY 13195,A000000,02300,0000,02300INTRAVENOUS THERAPY 13195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13195,A000000,02500,0000,02500PHYSICAL THERAPY 13195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13195,A000000,02700,0000,02700SPEECH PATHOLOGY 13195,A000000,02800,0000,02800ELECTROCARDIOLOGY 13195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13195,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13195,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13195,A000000,03200,0000,03200SUPPORT SURFACES 13195,A000000,03400,0000,03400CLINIC 13195,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13195,A000000,03500,0000,03500RURAL HEALTH CLINIC 13195,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13195,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13195,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13195,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13195,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13195,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13195,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13195,A000000,04400,0000,04400DME RENTED - HHA 13195,A000000,04500,0000,04500DME SOLD - HHA 13195,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13195,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13195,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13195,A000000,04800,0000,04800AMBULANCE 13195,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13195,A000000,05000,0000,05000CORF 13195,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13195,A000000,05300,0000,05300INTEREST EXPENSE 13195,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13195,A000000,05500,0000,05500HOSPICE 13195,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13195,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13195,A000000,06100,0000,06100NONPAID WORKERS 13195,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13195,A000000,06200,0000,06200PATIENTS LAUNDRY 13195,A81000A,00100,0100,Y 13195,A81000B,00100,0300,CAPITAL RELATED 13195,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 13195,A81000B,00300,0300,MANAGEMENT FEES 13195,A81000C,00100,0100,B 13195,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13195,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13195,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13195,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13195,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13195,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13195,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13195,B100000,00000,0800,00000MEALS SERVED :DIETARY 13195,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13195,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13195,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13195,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13195,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13195,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 13195,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13195,E10A180,00301,0100,10/29/1998 13195,S000000,00100,0200,08/04/1999 13195,S200000,00100,0100,200 CONNIE AVE 13195,S200000,00200,0100,SALEM 13195,S200000,00200,0200,IN 13195,S200000,00200,0300,47167- 13195,S200000,00300,0100,WASHINGTON 13195,S200000,00400,0100,HERITAGE HOUSE OF SALEM 13195,S200000,00400,0200,155330 13195,S200000,00400,0300,03/23/1989 13195,S200000,00400,0500,P 13195,S200000,01600,0100,Y 13195,S700003,00000,0100,1 13198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13198,A000000,00300,0000,00300EMPLOYEE BENEFITS 13198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13198,A000000,00700,0000,00700HOUSEKEEPING 13198,A000000,00800,0000,00800DIETARY 13198,A000000,00900,0000,00900NURSING ADMINISTRATION 13198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13198,A000000,01100,0000,01100PHARMACY 13198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13198,A000000,01300,0000,01300SOCIAL SERVICE 13198,A000000,01350,0000,01500ACTIVITIES 13198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13198,A000000,01600,0000,01600SKILLED NURSING FACILITY 13198,A000000,01800,0000,01800NURSING FACILITY 13198,A000000,01810,0000,01801ICF/MR 13198,A000000,01900,0000,01900OTHER LONG TERM CARE 13198,A000000,02100,0000,02100RADIOLOGY 13198,A000000,02200,0000,02200LABORATORY 13198,A000000,02300,0000,02300INTRAVENOUS THERAPY 13198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13198,A000000,02500,0000,02500PHYSICAL THERAPY 13198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13198,A000000,02700,0000,02700SPEECH PATHOLOGY 13198,A000000,02800,0000,02800ELECTROCARDIOLOGY 13198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13198,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13198,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13198,A000000,03200,0000,03200SUPPORT SURFACES 13198,A000000,03400,0000,03400CLINIC 13198,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13198,A000000,03500,0000,03500RURAL HEALTH CLINIC 13198,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13198,A000000,04800,0000,04800AMBULANCE 13198,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13198,A000000,05000,0000,05000CORF 13198,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13198,A000000,05300,0000,05300INTEREST EXPENSE 13198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13198,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13198,A000000,05500,0000,05500HOSPICE 13198,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13198,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13198,A000000,06100,0000,06100NONPAID WORKERS 13198,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13198,A000000,06200,0000,06200PATIENTS LAUNDRY 13198,A81000A,00100,0100,Y 13198,A81000B,00100,0300,CAPITAL RELATED 13198,A81000B,00200,0300,ADMIN & GENERAL 13198,A81000B,00300,0300,MANAGEMENT FEES 13198,A81000C,00100,0100,G 13198,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13198,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13198,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13198,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13198,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13198,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13198,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13198,B100000,00000,0800,00000MEALS SERVED :DIETARY 13198,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13198,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13198,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13198,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13198,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13198,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13198,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13198,S000000,00100,0200,07/14/2000 13198,S200000,00100,0100,200 CONNIE AVE 13198,S200000,00200,0100,SALEM 13198,S200000,00200,0200,IN 13198,S200000,00200,0300,47167- 13198,S200000,00300,0100,WASHINGTON 13198,S200000,00400,0100,HERITAGE HOUSE OF SALEM 13198,S200000,00400,0200,155330 13198,S200000,00400,0300,03/23/1989 13198,S200000,00400,0500,P 13198,S200000,01600,0100,Y 13198,S700003,00000,0200,2 13207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13207,A000000,00300,0000,00300EMPLOYEE BENEFITS 13207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13207,A000000,00700,0000,00700HOUSEKEEPING 13207,A000000,00800,0000,00800DIETARY 13207,A000000,00900,0000,00900NURSING ADMINISTRATION 13207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13207,A000000,01100,0000,01100PHARMACY 13207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13207,A000000,01300,0000,01300SOCIAL SERVICE 13207,A000000,01350,0000,01500ACTIVITIES 13207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13207,A000000,01600,0000,01600SKILLED NURSING FACILITY 13207,A000000,01800,0000,01800NURSING FACILITY 13207,A000000,01900,0000,01900OTHER LONG TERM CARE 13207,A000000,02100,0000,02100RADIOLOGY 13207,A000000,02200,0000,02200LABORATORY 13207,A000000,02300,0000,02300INTRAVENOUS THERAPY 13207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13207,A000000,02500,0000,02500PHYSICAL THERAPY 13207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13207,A000000,02700,0000,02700SPEECH PATHOLOGY 13207,A000000,02800,0000,02800ELECTROCARDIOLOGY 13207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13207,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13207,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13207,A000000,03200,0000,03200SUPPORT SURFACES 13207,A000000,03400,0000,03400CLINIC 13207,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13207,A000000,03500,0000,03500RURAL HEALTH CLINIC 13207,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13207,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13207,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13207,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13207,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13207,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13207,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13207,A000000,04400,0000,04400DME RENTED - HHA 13207,A000000,04500,0000,04500DME SOLD - HHA 13207,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13207,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13207,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13207,A000000,04800,0000,04800AMBULANCE 13207,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13207,A000000,05000,0000,05000CORF 13207,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13207,A000000,05300,0000,05300INTEREST EXPENSE 13207,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13207,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13207,A000000,05500,0000,05500HOSPICE 13207,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13207,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13207,A000000,06100,0000,06100NONPAID WORKERS 13207,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13207,A000000,06200,0000,06200PATIENTS LAUNDRY 13207,A81000A,00100,0100,Y 13207,A81000B,00100,0300,CAPITAL RELATED 13207,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 13207,A81000B,00300,0300,MANAGEMENT FEES 13207,A81000C,00100,0100,B 13207,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13207,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13207,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13207,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13207,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13207,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13207,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13207,B100000,00000,0800,00000MEALS SERVED :DIETARY 13207,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13207,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13207,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13207,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13207,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13207,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13207,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13207,S000000,00100,0200,07/23/1999 13207,S200000,00100,0100,ROUTE 4 BOX 9 13207,S200000,00200,0100,CONNERSVILLE 13207,S200000,00200,0200,IN 13207,S200000,00200,0300,47331- 13207,S200000,00300,0100,FAYETTE 13207,S200000,00400,0100,HERITAGE HOUSE OF CONNERSVILLE 13207,S200000,00400,0200,155332 13207,S200000,00400,0300,04/26/1989 13207,S200000,00400,0500,P 13207,S200000,01600,0100,Y 13207,S700003,00000,0100,1 13210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13210,A000000,00300,0000,00300EMPLOYEE BENEFITS 13210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13210,A000000,00700,0000,00700HOUSEKEEPING 13210,A000000,00800,0000,00800DIETARY 13210,A000000,00900,0000,00900NURSING ADMINISTRATION 13210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13210,A000000,01100,0000,01100PHARMACY 13210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13210,A000000,01300,0000,01300SOCIAL SERVICE 13210,A000000,01350,0000,01500ACTIVITIES 13210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13210,A000000,01600,0000,01600SKILLED NURSING FACILITY 13210,A000000,01800,0000,01800NURSING FACILITY 13210,A000000,01810,0000,01801ICF/MR 13210,A000000,01900,0000,01900OTHER LONG TERM CARE 13210,A000000,02100,0000,02100RADIOLOGY 13210,A000000,02200,0000,02200LABORATORY 13210,A000000,02300,0000,02300INTRAVENOUS THERAPY 13210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13210,A000000,02500,0000,02500PHYSICAL THERAPY 13210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13210,A000000,02700,0000,02700SPEECH PATHOLOGY 13210,A000000,02800,0000,02800ELECTROCARDIOLOGY 13210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13210,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13210,A000000,03200,0000,03200SUPPORT SURFACES 13210,A000000,03400,0000,03400CLINIC 13210,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13210,A000000,03500,0000,03500RURAL HEALTH CLINIC 13210,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13210,A000000,04800,0000,04800AMBULANCE 13210,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13210,A000000,05000,0000,05000CORF 13210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13210,A000000,05300,0000,05300INTEREST EXPENSE 13210,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13210,A000000,05500,0000,05500HOSPICE 13210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13210,A000000,06100,0000,06100NONPAID WORKERS 13210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13210,A000000,06200,0000,06200PATIENTS LAUNDRY 13210,A81000A,00100,0100,Y 13210,A81000B,00100,0300,CAPITAL RELATED 13210,A81000B,00200,0300,ADMIN & GENERAL 13210,A81000B,00300,0300,MANAGEMENT FEES 13210,A81000C,00100,0100,G 13210,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13210,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13210,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13210,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13210,B100000,00000,0800,00000MEALS SERVED :DIETARY 13210,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13210,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13210,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13210,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13210,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13210,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13210,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13210,S000000,00100,0200,07/14/2000 13210,S200000,00100,0100,ROUTE 4 13210,S200000,00100,0300,9 13210,S200000,00200,0100,CONNERSVILLE 13210,S200000,00200,0200,IN 13210,S200000,00200,0300,47331- 13210,S200000,00300,0100,FAYETTE 13210,S200000,00400,0100,HERITAGE HOUSE REHAB. & HCC. 13210,S200000,00400,0200,155332 13210,S200000,00400,0300,04/26/1989 13210,S200000,00400,0500,P 13210,S200000,01004,0500,O 13210,S200000,01600,0100,Y 13210,S700003,00000,0200,2 13219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13219,A000000,00300,0000,00300EMPLOYEE BENEFITS 13219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13219,A000000,00700,0000,00700HOUSEKEEPING 13219,A000000,00800,0000,00800DIETARY 13219,A000000,00900,0000,00900NURSING ADMINISTRATION 13219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13219,A000000,01100,0000,01100PHARMACY 13219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13219,A000000,01300,0000,01300SOCIAL SERVICE 13219,A000000,01350,0000,01500OTHER GENERAL SERVICES 13219,A000000,01351,0000,01501INTEREST 13219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13219,A000000,01600,0000,01600SKILLED NURSING FACILITY 13219,A000000,01800,0000,01800NURSING FACILITY 13219,A000000,01900,0000,01900OTHER LONG TERM CARE 13219,A000000,02100,0000,02100RADIOLOGY 13219,A000000,02200,0000,02200LABORATORY 13219,A000000,02300,0000,02300INTRAVENOUS THERAPY 13219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13219,A000000,02500,0000,02500PHYSICAL THERAPY 13219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13219,A000000,02700,0000,02700SPEECH PATHOLOGY 13219,A000000,02800,0000,02800ELECTROCARDIOLOGY 13219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13219,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13219,A000000,03051,0000,03301PEN 13219,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13219,A000000,03200,0000,03200SUPPORT SURFACES 13219,A000000,03400,0000,03400CLINIC 13219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13219,A000000,03500,0000,03500RURAL HEALTH CLINIC 13219,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13219,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13219,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13219,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13219,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13219,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13219,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13219,A000000,04400,0000,04400DME RENTED - HHA 13219,A000000,04500,0000,04500DME SOLD - HHA 13219,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13219,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13219,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13219,A000000,04800,0000,04800AMBULANCE 13219,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13219,A000000,05000,0000,05000CORF 13219,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13219,A000000,05300,0000,05300INTEREST EXPENSE 13219,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13219,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13219,A000000,05500,0000,05500HOSPICE 13219,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13219,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13219,A000000,06100,0000,06100NONPAID WORKERS 13219,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13219,A000000,06200,0000,06200PATIENTS LAUNDRY 13219,A81000A,00100,0100,Y 13219,A81000B,00100,0300,BUILDING 13219,A81000B,00200,0300,EMPLOYEE BENEFITS 13219,A81000B,00300,0300,A&G 13219,A81000B,00400,0300,PLANT OPERATIONS 13219,A81000B,00500,0300,PHYSICAL THERAPIST 13219,A81000B,00600,0300,OCCUPATIONAL THERAPIST 13219,A81000B,00700,0300,RESP. THERAPY 13219,A81000C,00100,0100,A 13219,A81000C,00100,0200,CARDON & ASSOCIATES 13219,A81000C,00100,0400,REALITY CO 13219,A81000C,00200,0100,A 13219,A81000C,00200,0200,CARDON & ASSOCIATES 13219,A81000C,00200,0400,MGMT CO 13219,A81000C,00300,0100,A 13219,A81000C,00300,0200,CARDON & ASSOCIATES 13219,A81000C,00300,0400,MGMT CO 13219,A81000C,00400,0100,A 13219,A81000C,00400,0200,CARDON & ASSOCIATES 13219,A81000C,00400,0400,MGMT CO 13219,A81000C,00500,0100,A 13219,A81000C,00500,0200,CARDON & ASSOCIATES 13219,A81000C,00500,0400,MGMT CO 13219,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13219,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13219,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 13219,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13219,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13219,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13219,B100000,00000,0800,00000MEALS SERVED :DIETARY 13219,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13219,B100000,00000,1050,00000DAYS :CENTRAL SERVICES & SUPPLY 13219,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13219,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13219,S000000,00100,0200,10/03/2000 13219,S200000,00100,0100,LONGEST STREET 13219,S200000,00100,0300,299 13219,S200000,00200,0100,PAOLI 13219,S200000,00200,0200,IN 13219,S200000,00200,0300,47454- 13219,S200000,00300,0100,ORANGE 13219,S200000,00300,0200,0015 13219,S200000,00300,0300,R 13219,S200000,00400,0100,PAOLI CONVALESCENT CENTER 13219,S200000,00400,0200,155333 13219,S200000,00400,0300,06/01/1989 13219,S200000,00400,0500,P 13219,S200000,01004,0500,O 13219,S200000,01600,0100,Y 13219,S200000,02800,0100,Y 13219,S200000,04900,0100,Y 13224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13224,A000000,00300,0000,00300EMPLOYEE BENEFITS 13224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13224,A000000,00700,0000,00700HOUSEKEEPING 13224,A000000,00800,0000,00800DIETARY 13224,A000000,00900,0000,00900NURSING ADMINISTRATION 13224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13224,A000000,01100,0000,01100PHARMACY 13224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13224,A000000,01300,0000,01300SOCIAL SERVICE 13224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13224,A000000,01600,0000,01600SKILLED NURSING FACILITY 13224,A000000,01900,0000,01900OTHER LONG TERM CARE 13224,A000000,02100,0000,02100RADIOLOGY 13224,A000000,02200,0000,02200LABORATORY 13224,A000000,02300,0000,02300INTRAVENOUS THERAPY 13224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13224,A000000,02500,0000,02500PHYSICAL THERAPY 13224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13224,A000000,02700,0000,02700SPEECH PATHOLOGY 13224,A000000,02800,0000,02800ELECTROCARDIOLOGY 13224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13224,A000000,03200,0000,03200SUPPORT SURFACES 13224,A000000,03400,0000,03400CLINIC 13224,A000000,04800,0000,04800AMBULANCE 13224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13224,A000000,05300,0000,05300INTEREST EXPENSE 13224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13224,A000000,06100,0000,06100NONPAID WORKERS 13224,A000000,06200,0000,06200PATIENTS LAUNDRY 13224,A81000A,00100,0100,Y 13224,A81000B,00100,0300,CAPITAL 13224,A81000B,00200,0300,ADMIN & GENERAL 13224,A81000C,00100,0100,F 13224,A81000C,00100,0200,TLC MANAGEMENT 13224,A81000C,00100,0400,TLC MANAGEMENT 13224,A81000C,00100,0600,HEALTHCARE MGMT 13224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13224,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13224,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 13224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13224,B100000,00000,0800,00000MEALS SERVED :DIETARY 13224,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 13224,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13224,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13224,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 13224,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13224,S000000,00100,0200,04/17/2000 13224,S200000,00100,0100,215 DAVIS ROAD 13224,S200000,00100,0300,589 13224,S200000,00200,0100,OSSIAN 13224,S200000,00200,0200,IN 13224,S200000,00300,0100,46777 WELLS 13224,S200000,00400,0100,OSSIAN HEALTH & REHAB CENTER 13224,S200000,00400,0200,155335 13224,S200000,00400,0300,05/01/1998 13224,S200000,00400,0500,P 13224,S200000,01600,0100,Y 13224,S200000,04700,0100,Y 13224,S700003,00000,0100,1 13245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13245,A000000,00300,0000,00300EMPLOYEE BENEFITS 13245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13245,A000000,00700,0000,00700HOUSEKEEPING 13245,A000000,00800,0000,00800DIETARY 13245,A000000,00900,0000,00900NURSING ADMINISTRATION 13245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13245,A000000,01100,0000,01100PHARMACY 13245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13245,A000000,01300,0000,01300SOCIAL SERVICE 13245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13245,A000000,01600,0000,01600SKILLED NURSING FACILITY 13245,A000000,01800,0000,01800NURSING FACILITY 13245,A000000,01810,0000,01810ICF/MR 13245,A000000,02500,0000,02500PHYSICAL THERAPY 13245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13245,A000000,02700,0000,02700SPEECH PATHOLOGY 13245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13245,A000000,03550,0000,03550FQHC 13245,A000000,05000,0000,05000CORF 13245,A000000,05010,0000,05010CMHC 13245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 13245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 13245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 13245,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13245,A000000,05901,0000,05910DME 13245,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 13245,B100000,00000,0250,00010SQUARE FEET :CAP REL COSTS - MOVAB 13245,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 13245,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 13245,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 13245,B100000,00000,0600,00010POUNDS OF LAUNDRY :LAUNDRY & LINEN 13245,B100000,00000,0700,00010HOURS OF SERVICE :HOUSEKEEPING 13245,B100000,00000,0800,00010MEALS SERVED :DIETARY 13245,B100000,00000,0950,00010DIRECT NRSG HRS :NURSING ADMINISTRA 13245,B100000,00000,1050,00010PATIENT DYAS :CENTRAL SERVICES & S 13245,B100000,00000,1250,00010GROSS REVENUE :MEDICAL RECORDS & L 13245,B100000,00000,1330,00010PATIENT DAYS :SOCIAL SERVICE 13245,S000000,00100,0200,12/04/2000 13245,S200000,00100,0100,1900 RANDALLIA DR 13245,S200000,00200,0100,FORT WAYNE 13245,S200000,00200,0200,IN 13245,S200000,00200,0300,46805- 13245,S200000,00300,0100,ALLEN 13245,S200000,00300,0200,2760 13245,S200000,00300,0300,U 13245,S200000,00400,0100,ST. ANNE HOME 13245,S200000,00400,0200,155349 13245,S200000,00400,0300,11/01/1989 13245,S200000,00400,0500,P 13245,S200000,00600,0200,155349 13245,S200000,00600,0300,11/01/1989 13245,S200000,00600,0600,P 13245,S200000,01600,0100,Y 13245,S200000,01900,0100,501(C)(3) 13245,S200000,02200,0100,Y 13255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13255,A000000,00300,0000,00300EMPLOYEE BENEFITS 13255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13255,A000000,00700,0000,00700HOUSEKEEPING 13255,A000000,00800,0000,00800DIETARY 13255,A000000,00900,0000,00900NURSING ADMINISTRATION 13255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13255,A000000,01100,0000,01100PHARMACY 13255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13255,A000000,01300,0000,01300SOCIAL SERVICE 13255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13255,A000000,01600,0000,01600SKILLED NURSING FACILITY 13255,A000000,02100,0000,02100RADIOLOGY 13255,A000000,02200,0000,02200LABORATORY 13255,A000000,02300,0000,02300INTRAVENOUS THERAPY 13255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13255,A000000,02500,0000,02500PHYSICAL THERAPY 13255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13255,A000000,02700,0000,02700SPEECH PATHOLOGY 13255,A000000,02800,0000,02800ELECTROCARDIOLOGY 13255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13255,A000000,03200,0000,03200SUPPORT SURFACES 13255,A000000,03400,0000,03400CLINIC 13255,A000000,04800,0000,04800AMBULANCE 13255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13255,A000000,05300,0000,05300INTEREST EXPENSE 13255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13255,A000000,06100,0000,06100NONPAID WORKERS 13255,A000000,06200,0000,06200PATIENTS LAUNDRY 13255,A81000A,00100,0100,Y 13255,A81000B,01100,0300,ADMIN 13255,A81000C,01001,0100,B 13255,A81000C,01001,0200,EXTENDACARE IN 13255,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13255,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13255,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13255,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13255,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13255,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13255,B100000,00000,0800,00000MEALS SERVED :DIETARY 13255,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13255,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13255,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13255,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13255,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13255,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13255,S000000,00100,0200,03/01/2000 13255,S200000,00100,0100,1620 LINCOLN STREET 13255,S200000,00200,0100,GREENSBURG 13255,S200000,00200,0200,IN 13255,S200000,00200,0300,47240- 13255,S200000,00300,0100,47240 DECATUR 13255,S200000,00400,0100,EXTENDACARE OF GREENSBURG 13255,S200000,00400,0200,155353 13255,S200000,00400,0300,02/01/1996 13255,S200000,00400,0500,P 13255,S200000,01600,0100,Y 13255,S200000,02200,0100,Y 13255,S200000,03100,0100,Y 13255,S700003,00000,0100,1 13264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13264,A000000,00300,0000,00300EMPLOYEE BENEFITS 13264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13264,A000000,00700,0000,00700HOUSEKEEPING 13264,A000000,00800,0000,00800DIETARY 13264,A000000,00900,0000,00900NURSING ADMINISTRATION 13264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13264,A000000,01100,0000,01100PHARMACY 13264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13264,A000000,01300,0000,01300SOCIAL SERVICE 13264,A000000,01301,0000,01301ACTIVITIES 13264,A000000,01600,0000,01600SKILLED NURSING FACILITY 13264,A000000,01800,0000,01800NURSING FACILITY 13264,A000000,02100,0000,02100RADIOLOGY 13264,A000000,02200,0000,02200LABORATORY 13264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13264,A000000,02500,0000,02500PHYSICAL THERAPY 13264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13264,A000000,02700,0000,02700SPEECH PATHOLOGY 13264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13264,A000000,03050,0000,03300COMPLEX MEDICAL EQUIP 13264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13264,A81000A,00100,0100,Y 13264,A81000B,00100,0300,HOME OFFICE CAPITAL 13264,A81000B,00200,0300,HOME OFFICE CAPITAL 13264,A81000B,00300,0300,HOME OFFICE BENEFITS 13264,A81000B,00400,0300,HOME OFFICE A&G 13264,A81000B,00500,0300,EMPLOYEE BENEFITS HCRI 13264,A81000B,00600,0300,EMPLOYEE BENEFITS HAVICAN 13264,A81000B,00700,0300,MORTGAGE INTEREST 13264,A81000B,00800,0300,WC INTEREST 13264,A81000B,00900,0300,LIAB INSURANCE 13264,A81000B,01000,0300,CHAPLAINCY PROGRAM 13264,A81000C,00100,0100,B 13264,A81000C,00100,0400,HC CARE SVCS 13264,A81000C,00100,0600,PARENT 13264,A81000C,00200,0100,B 13264,A81000C,00200,0400,HCCSI 13264,A81000C,00200,0600,PARENT 13264,A81000C,00300,0100,B 13264,A81000C,00300,0400,HCCSI 13264,A81000C,00300,0600,PARENT 13264,A81000C,00400,0100,B 13264,A81000C,00400,0400,HCCSI 13264,A81000C,00400,0600,PARENT 13264,A81000C,00500,0100,B 13264,A81000C,00500,0400,HC RESOURCES 13264,A81000C,00500,0600,REL. INSURANCE 13264,A81000C,00600,0100,B 13264,A81000C,00600,0400,HAVICAN 13264,A81000C,00600,0600,REL. INSURANCE 13264,A81000C,00700,0100,B 13264,A81000C,00700,0400,HC HEALTH SYS 13264,A81000C,00700,0600,HOLDING CO 13264,A81000C,00800,0100,B 13264,A81000C,00800,0400,HCHSC 13264,A81000C,00800,0600,HOLDING CO 13264,A81000C,00900,0100,B 13264,A81000C,00900,0400,HAVICAN 13264,A81000C,00900,0600,REL. INSURANCE 13264,A81000C,00901,0100,B 13264,A81000C,00901,0400,SJRMC 13264,A81000C,00901,0600,REL. HOSPITAL 13264,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13264,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13264,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 13264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13264,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13264,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13264,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13264,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13264,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 13264,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13264,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13264,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13264,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 13264,S000000,00100,0200,11/30/2000 13264,S200000,00100,0100,4600 WEST WASHINGTON ST 13264,S200000,00200,0100,SOUTH BEND 13264,S200000,00200,0200,IN 13264,S200000,00200,0300,46619- 13264,S200000,00300,0100,ST. JOSEPH 13264,S200000,00300,0200,7800 13264,S200000,00300,0300,U 13264,S200000,00400,0100,ST. JOSEPHS CARE CENTER 13264,S200000,00400,0200,155355 13264,S200000,00400,0300,03/08/1990 13264,S200000,00400,0500,P 13264,S200000,01600,0100,Y 13264,S200000,02200,0100,Y 13264,S200000,02800,0100,Y 13273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13273,A000000,00300,0000,00300EMPLOYEE BENEFITS 13273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13273,A000000,00700,0000,00700HOUSEKEEPING 13273,A000000,00800,0000,00800DIETARY 13273,A000000,00900,0000,00900NURSING ADMINISTRATION 13273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13273,A000000,01100,0000,01100PHARMACY 13273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13273,A000000,01300,0000,01300SOCIAL SERVICE 13273,A000000,01350,0000,01500ACTIVITIES 13273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13273,A000000,01600,0000,01600SKILLED NURSING FACILITY 13273,A000000,01800,0000,01800NURSING FACILITY 13273,A000000,01900,0000,01900OTHER LONG TERM CARE 13273,A000000,02100,0000,02100RADIOLOGY 13273,A000000,02200,0000,02200LABORATORY 13273,A000000,02300,0000,02300INTRAVENOUS THERAPY 13273,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13273,A000000,02500,0000,02500PHYSICAL THERAPY 13273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13273,A000000,02700,0000,02700SPEECH PATHOLOGY 13273,A000000,02800,0000,02800ELECTROCARDIOLOGY 13273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13273,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13273,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13273,A000000,03200,0000,03200SUPPORT SURFACES 13273,A000000,03400,0000,03400CLINIC 13273,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13273,A000000,03500,0000,03500RURAL HEALTH CLINIC 13273,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13273,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13273,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13273,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13273,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13273,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13273,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13273,A000000,04400,0000,04400DME RENTED - HHA 13273,A000000,04500,0000,04500DME SOLD - HHA 13273,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13273,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13273,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13273,A000000,04800,0000,04800AMBULANCE 13273,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13273,A000000,05000,0000,05000CORF 13273,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13273,A000000,05300,0000,05300INTEREST EXPENSE 13273,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13273,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13273,A000000,05500,0000,05500HOSPICE 13273,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13273,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13273,A000000,06100,0000,06100NONPAID WORKERS 13273,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13273,A000000,06200,0000,06200PATIENTS LAUNDRY 13273,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13273,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13273,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13273,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13273,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13273,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13273,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13273,B100000,00000,0800,00000MEALS SERVED :DIETARY 13273,B100000,00000,0950,00000DIRECT SUPER VISE :NURSING ADMINIST 13273,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13273,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13273,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13273,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13273,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 13273,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13273,S000000,00100,0200,05/31/2000 13273,S200000,00100,0100,300 J.H. WALKER DRIVE 13273,S200000,00200,0100,PENDELTON 13273,S200000,00200,0200,IN 13273,S200000,00200,0300,46064- 13273,S200000,00300,0100,MADISON 13273,S200000,00400,0100,RAWLINS HOUSE 13273,S200000,00400,0200,155357 13273,S200000,00400,0300,02/13/1990 13273,S200000,00400,0500,P 13273,S200000,01004,0500,O 13273,S200000,01600,0100,Y 13273,S700003,00000,0100,1 13283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13283,A000000,00300,0000,00300EMPLOYEE BENEFITS 13283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13283,A000000,00700,0000,00700HOUSEKEEPING 13283,A000000,00800,0000,00800DIETARY 13283,A000000,00900,0000,00900NURSING ADMINISTRATION 13283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13283,A000000,01100,0000,01100PHARMACY 13283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13283,A000000,01300,0000,01300SOCIAL SERVICE 13283,A000000,01350,0000,01500OTHER GENERAL SERVICES 13283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13283,A000000,01600,0000,01600SKILLED NURSING FACILITY 13283,A000000,01800,0000,01800NURSING FACILITY 13283,A000000,01810,0000,01801ICF/MR 13283,A000000,01900,0000,01900OTHER LONG TERM CARE 13283,A000000,02100,0000,02100RADIOLOGY 13283,A000000,02200,0000,02200LABORATORY 13283,A000000,02300,0000,02300INTRAVENOUS THERAPY 13283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13283,A000000,02500,0000,02500PHYSICAL THERAPY 13283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13283,A000000,02700,0000,02700SPEECH PATHOLOGY 13283,A000000,02800,0000,02800ELECTROCARDIOLOGY 13283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13283,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13283,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13283,A000000,03200,0000,03200SUPPORT SURFACES 13283,A000000,03400,0000,03400CLINIC 13283,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13283,A000000,03500,0000,03500RURAL HEALTH CLINIC 13283,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13283,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13283,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13283,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13283,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13283,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13283,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13283,A000000,04400,0000,04400DME RENTED - HHA 13283,A000000,04500,0000,04500DME SOLD - HHA 13283,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13283,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13283,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13283,A000000,04800,0000,04800AMBULANCE 13283,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13283,A000000,05000,0000,05000CORF 13283,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13283,A000000,05300,0000,05300INTEREST EXPENSE 13283,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13283,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13283,A000000,05500,0000,05500HOSPICE 13283,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13283,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13283,A000000,06100,0000,06100NONPAID WORKERS 13283,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13283,A000000,06200,0000,06200PATIENTS LAUNDRY 13283,A81000A,00100,0100,Y 13283,A81000B,00100,0300,HOME OFFICE COSTS 13283,A81000B,00200,0300,RENT 13283,A81000B,00300,0300,LAUNDRY SERVICES 13283,A81000B,00400,0300,PHYSICAL THERAPY 13283,A81000C,00100,0100,B 13283,A81000C,00100,0400,SUNSET HARBOR INC. 13283,A81000C,00100,0600,MANAGEMENT/COMPUTER 13283,A81000C,00200,0100,B 13283,A81000C,00200,0400,SUNSET HARBOR INC. 13283,A81000C,00200,0600,MANAGEMENT 13283,A81000C,00300,0100,B 13283,A81000C,00300,0400,L.W.B. INC. 13283,A81000C,00300,0600,LAUNDRY SERVICE 13283,A81000C,00400,0100,B 13283,A81000C,00400,0400,L.W.B. INC. 13283,A81000C,00400,0600,PHYSICAL THERAPY SERVICES 13283,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13283,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13283,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13283,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13283,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13283,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13283,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13283,B100000,00000,0800,00000MEALS SERVED :DIETARY 13283,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 13283,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13283,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13283,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13283,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13283,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13283,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13283,S000000,00100,0200,04/06/2000 13283,S200000,00100,0100,3300 POPLAR STREET 13283,S200000,00200,0100,TERRE HAUTE 13283,S200000,00200,0200,IN 13283,S200000,00200,0300,47803- 13283,S200000,00300,0100,VIGO 13283,S200000,00400,0100,MEADOWS MANOR INC. 13283,S200000,00400,0200,155358 13283,S200000,00400,0300,05/15/1990 13283,S200000,00400,0500,P 13283,S200000,01600,0100,Y 13283,S200000,02200,0100,Y 13283,S700003,00000,0100,1 13291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13291,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13291,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13291,A000000,00300,0000,00300EMPLOYEE BENEFITS 13291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13291,A000000,00700,0000,00700HOUSEKEEPING 13291,A000000,00800,0000,00800DIETARY 13291,A000000,00801,0000,00801CAFETERIA 13291,A000000,00900,0000,00900NURSING ADMINISTRATION 13291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13291,A000000,01100,0000,01100PHARMACY 13291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13291,A000000,01300,0000,01300SOCIAL SERVICE 13291,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13291,A000000,01600,0000,01600SKILLED NURSING FACILITY 13291,A000000,01800,0000,01800NURSING FACILITY 13291,A000000,01900,0000,01900OTHER LONG TERM CARE 13291,A000000,02100,0000,02100RADIOLOGY 13291,A000000,02200,0000,02200LABORATORY 13291,A000000,02300,0000,02300INTRAVENOUS THERAPY 13291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13291,A000000,02500,0000,02500PHYSICAL THERAPY 13291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13291,A000000,02700,0000,02700SPEECH PATHOLOGY 13291,A000000,02800,0000,02800ELECTROCARDIOLOGY 13291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13291,A000000,03050,0000,03300OTHER ANCILLARY 13291,A000000,03051,0000,03301OTHER ANCILLARY II 13291,A000000,03052,0000,03302OTHER ANCILLARY III 13291,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13291,A000000,03200,0000,03200SUPPORT SURFACES 13291,A000000,03400,0000,03400CLINIC 13291,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13291,A000000,03500,0000,03500RURAL HEALTH CLINIC 13291,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13291,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13291,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13291,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13291,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13291,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13291,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13291,A000000,04400,0000,04400DME RENTED - HHA 13291,A000000,04500,0000,04500DME SOLD - HHA 13291,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13291,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13291,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13291,A000000,04800,0000,04800AMBULANCE 13291,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13291,A000000,05000,0000,05000CORF 13291,A000000,05010,0000,05010CMHC I 13291,A000000,05020,0000,05020OPT I 13291,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13291,A000000,05300,0000,05300INTEREST EXPENSE 13291,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13291,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13291,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13291,A000000,05500,0000,05500HOSPICE 13291,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13291,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13291,A000000,06100,0000,06100NONPAID WORKERS 13291,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13291,A000000,06200,0000,06200PATIENTS LAUNDRY 13291,A81000A,00100,0100,Y 13291,A81000B,00100,0300,MGMT FEE & PAYROLL PROC 13291,A81000B,00200,0300,THERAPY 13291,A81000B,00300,0300,THERAPY 13291,A81000B,00400,0300,THERAPY 13291,A81000B,00500,0300,DIETARY 13291,A81000B,00600,0300,CENTRAL SERVICE SUPPLIES 13291,A81000B,00700,0300,HOUSEKEEPING SUPPLIES 13291,A81000B,00800,0300,NURSING SUPPLIES 13291,A81000B,00900,0300,CHARGEABLE MEDICAL SUPPLIES 13291,A81000C,00100,0100,G 13291,A81000C,00100,0200,CENT & CENTPTS 13291,A81000C,00100,0400,CENT HLTC 13291,A81000C,00100,0600,HOME OFFICE 13291,A81000C,00200,0100,G 13291,A81000C,00200,0200,PARAGON 13291,A81000C,00200,0400,CENT HLTC 13291,A81000C,00200,0600,THERAPY 13291,A81000C,00300,0100,G 13291,A81000C,00300,0200,PARAGON 13291,A81000C,00300,0400,CENT HLTC 13291,A81000C,00300,0600,THERAPY 13291,A81000C,00400,0100,G 13291,A81000C,00400,0200,PARAGON 13291,A81000C,00400,0400,CENT HLTC 13291,A81000C,00400,0600,THERAPY 13291,A81000C,00500,0100,G 13291,A81000C,00500,0200,CENT PTS 13291,A81000C,00500,0400,CENT HLTC 13291,A81000C,00500,0600,GPO 13291,A81000C,00600,0100,G 13291,A81000C,00600,0200,CENT PTS 13291,A81000C,00600,0400,CENT HLTC 13291,A81000C,00600,0600,GPO 13291,A81000C,00700,0100,G 13291,A81000C,00700,0200,CENT PTS 13291,A81000C,00700,0400,CENT HLTC 13291,A81000C,00700,0600,GPO 13291,A81000C,00800,0100,G 13291,A81000C,00800,0200,CENT PTS 13291,A81000C,00800,0400,CENT HLTC 13291,A81000C,00800,0600,GPO 13291,A81000C,00900,0100,G 13291,A81000C,00900,0200,CENT PTS 13291,A81000C,00900,0400,CENT HLTC 13291,A81000C,00900,0600,GPO 13291,A81000C,03100,0000,SUPPLIES 13291,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13291,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13291,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13291,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13291,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13291,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13291,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13291,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13291,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13291,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13291,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13291,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13291,S000000,00100,0200,06/01/2000 13291,S200000,00100,0100,7519 WINCHESTER ROAD 13291,S200000,00200,0100,FORT WAYNE 13291,S200000,00200,0200,IN 13291,S200000,00200,0300,46819- 13291,S200000,00300,0100,ALLEN 13291,S200000,00300,0200,2760 13291,S200000,00300,0300,U 13291,S200000,00400,0100,RIVERBEND HEALTH CARE CENTER 13291,S200000,00400,0200,155359 13291,S200000,00400,0300,05/09/1990 13291,S200000,00400,0500,P 13291,S200000,01500,0100,Y 13291,S200000,02200,0100,Y 13304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13304,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13304,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13304,A000000,00300,0000,00300EMPLOYEE BENEFITS 13304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13304,A000000,00700,0000,00700HOUSEKEEPING 13304,A000000,00800,0000,00800DIETARY 13304,A000000,00801,0000,00801CAFETERIA 13304,A000000,00900,0000,00900NURSING ADMINISTRATION 13304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13304,A000000,01100,0000,01100PHARMACY 13304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13304,A000000,01300,0000,01300SOCIAL SERVICE 13304,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13304,A000000,01600,0000,01600SKILLED NURSING FACILITY 13304,A000000,01800,0000,01800NURSING FACILITY 13304,A000000,01900,0000,01900OTHER LONG TERM CARE 13304,A000000,02100,0000,02100RADIOLOGY 13304,A000000,02200,0000,02200LABORATORY 13304,A000000,02300,0000,02300INTRAVENOUS THERAPY 13304,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13304,A000000,02500,0000,02500PHYSICAL THERAPY 13304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13304,A000000,02700,0000,02700SPEECH PATHOLOGY 13304,A000000,02800,0000,02800ELECTROCARDIOLOGY 13304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13304,A000000,03050,0000,03300OTHER ANCILLARY 13304,A000000,03051,0000,03301OTHER ANCILLARY II 13304,A000000,03052,0000,03302OTHER ANCILLARY III 13304,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13304,A000000,03200,0000,03200SUPPORT SURFACES 13304,A000000,03400,0000,03400CLINIC 13304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13304,A000000,03500,0000,03500RURAL HEALTH CLINIC 13304,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13304,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13304,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13304,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13304,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13304,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13304,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13304,A000000,04400,0000,04400DME RENTED - HHA 13304,A000000,04500,0000,04500DME SOLD - HHA 13304,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13304,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13304,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13304,A000000,04800,0000,04800AMBULANCE 13304,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13304,A000000,05000,0000,05000CORF 13304,A000000,05010,0000,05010CMHC I 13304,A000000,05020,0000,05020OPT I 13304,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13304,A000000,05300,0000,05300INTEREST EXPENSE 13304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13304,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13304,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13304,A000000,05500,0000,05500HOSPICE 13304,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13304,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13304,A000000,06100,0000,06100NONPAID WORKERS 13304,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13304,A000000,06200,0000,06200PATIENTS LAUNDRY 13304,A81000A,00100,0100,Y 13304,A81000B,00100,0300,MANAGEMENT FEE 13304,A81000B,00200,0300,A&G 13304,A81000B,00300,0300,PAYROLL PROCESSING FEE 13304,A81000B,00400,0300,EMPLOYEE BENEFITS 13304,A81000B,00500,0300,DIETARY 13304,A81000B,00600,0300,CENTRAL SERVICES 13304,A81000B,00700,0300,MEDICAL SUPPLIES 13304,A81000B,00800,0300,SUPPORT SURFACES 13304,A81000B,00900,0300,NONREIMBURSEABLE 13304,A81000C,00100,0100,G 13304,A81000C,00100,0200,CENTENNIAL HEA 13304,A81000C,00100,0400,CENTENNIAL HEAL 13304,A81000C,00100,0600,HOME OFFICE 13304,A81000C,00200,0100,G 13304,A81000C,00200,0200,CENTENNIAL HEA 13304,A81000C,00200,0400,CENTENNIAL HEAL 13304,A81000C,00200,0600,SUPPLIES 13304,A81000C,00300,0100,G 13304,A81000C,00300,0200,CENTENNIAL HEAL 13304,A81000C,00300,0400,CENTENNIAL HEAL 13304,A81000C,00300,0600,HOME OFFICE 13304,A81000C,00400,0100,G 13304,A81000C,00400,0200,CENTENNIAL HEAL 13304,A81000C,00400,0400,CENTENNIAL HEAL 13304,A81000C,00400,0600,SUPPPLIES 13304,A81000C,00500,0100,G 13304,A81000C,00500,0200,CENTENNIAL HEAL 13304,A81000C,00500,0400,CENTENNIAL HEAL 13304,A81000C,00500,0600,SUPPLIES 13304,A81000C,00600,0100,G 13304,A81000C,00600,0200,CENTENNIAL HEAL 13304,A81000C,00600,0400,CENTENNIAL HEAL 13304,A81000C,00600,0600,SUPPLIES 13304,A81000C,00700,0100,G 13304,A81000C,00700,0200,CENTENNIAL HEAL 13304,A81000C,00700,0400,CENTENNIAL HEAL 13304,A81000C,00700,0600,MED SUPPLIES 13304,A81000C,00800,0100,G 13304,A81000C,00800,0200,CENTENNIAL HEAL 13304,A81000C,00800,0400,CENTENNIAL HEAL 13304,A81000C,00800,0600,SUPPLIES 13304,A81000C,00900,0100,G 13304,A81000C,00900,0200,CENTENNIAL HEAL 13304,A81000C,00900,0400,CENTENNIAL HEAL 13304,A81000C,00900,0600,SUPPLIES 13304,A81000C,03100,0000,CENT PTS 13304,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13304,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13304,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13304,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13304,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13304,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13304,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13304,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13304,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13304,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13304,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13304,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13304,S000000,00100,0200,06/01/2000 13304,S200000,00100,0100,801 E. ILLINOIS ST 13304,S200000,00100,0300,PO BX 277 13304,S200000,00200,0100,PETERSBURG 13304,S200000,00200,0200,IN 13304,S200000,00200,0300,47567- 13304,S200000,00300,0100,PIKE 13304,S200000,00300,0200,15 13304,S200000,00300,0300,R 13304,S200000,00400,0100,AMBER MANOR CARE 13304,S200000,00400,0200,155361 13304,S200000,00400,0300,07/01/1994 13304,S200000,00400,0500,P 13304,S200000,01500,0100,Y 13304,S200000,02200,0100,Y 13314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13314,A000000,00300,0000,00300EMPLOYEE BENEFITS 13314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13314,A000000,00700,0000,00700HOUSEKEEPING 13314,A000000,00800,0000,00800DIETARY 13314,A000000,00900,0000,00900NURSING ADMINISTRATION 13314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13314,A000000,01100,0000,01100PHARMACY 13314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13314,A000000,01300,0000,01300SOCIAL SERVICE 13314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13314,A000000,01600,0000,01600SKILLED NURSING FACILITY 13314,A000000,01800,0000,01800NURSING FACILITY 13314,A000000,01810,0000,01810ICF/MR 13314,A000000,01900,0000,01900OTHER LONG TERM CARE 13314,A000000,02100,0000,02100RADIOLOGY 13314,A000000,02200,0000,02200LABORATORY 13314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13314,A000000,02500,0000,02500PHYSICAL THERAPY 13314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13314,A000000,02700,0000,02700SPEECH PATHOLOGY 13314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13314,A000000,03400,0000,03400CLINIC 13314,A000000,03550,0000,03550FQHC 13314,A000000,05000,0000,05000CORF 13314,A000000,05010,0000,05010CMHC 13314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 13314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 13314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 13314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13314,A000000,05901,0000,05910WORK RELEASE 13314,A000000,05902,0000,05901UNUSED SQUARE FOOTAGE 13314,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 13314,B100000,00000,0250,00010SQUARE FEET :CAP REL COSTS - MOVAB 13314,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 13314,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 13314,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 13314,B100000,00000,0650,00010PATIENT DAYS :LAUNDRY & LINEN SERV 13314,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 13314,B100000,00000,0850,00010PATIENT DAYS :DIETARY 13314,B100000,00000,0950,00010NURSING WAGES :NURSING ADMINISTRAT 13314,B100000,00000,1050,00010PATIENT DAYS :CENTRAL SERVICES & S 13314,B100000,00000,1100,00010COST REQUIS :PHARMACY 13314,B100000,00000,1250,00010REVENUE :MEDICAL RECORDS & LIBRAR 13314,B100000,00000,1330,00010PATIENT DAYS :SOCIAL SERVICE 13314,B100000,00000,1400,00010ASSIGNED TIME :INTERNS & RESIDENTS 13314,S000000,00100,0200,06/02/2000 13314,S200000,00100,0100,12101 LIMA ROAD 13314,S200000,00200,0100,FORT WAYNE 13314,S200000,00200,0200,IN 13314,S200000,00200,0300,46818- 13314,S200000,00300,0100,ALLEN 13314,S200000,00400,0100,BYRON HEALTH CENTER 13314,S200000,00400,0200,155364 13314,S200000,00400,0300,08/02/1990 13314,S200000,00400,0500,P 13314,S200000,00600,0200,155364 13314,S200000,00600,0300,08/02/1990 13314,S200000,00600,0600,P 13314,S200000,01004,0500,O 13314,S200000,01600,0100,Y 13314,S200000,02200,0100,Y 13314,S700003,00000,0100,1 13326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13326,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13326,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13326,A000000,00300,0000,00300EMPLOYEE BENEFITS 13326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13326,A000000,00700,0000,00700HOUSEKEEPING 13326,A000000,00800,0000,00800DIETARY 13326,A000000,00801,0000,00801CAFETERIA 13326,A000000,00900,0000,00900NURSING ADMINISTRATION 13326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13326,A000000,01100,0000,01100PHARMACY 13326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13326,A000000,01300,0000,01300SOCIAL SERVICE 13326,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13326,A000000,01600,0000,01600SKILLED NURSING FACILITY 13326,A000000,01800,0000,01800NURSING FACILITY 13326,A000000,01900,0000,01900OTHER LONG TERM CARE 13326,A000000,02100,0000,02100RADIOLOGY 13326,A000000,02200,0000,02200LABORATORY 13326,A000000,02300,0000,02300INTRAVENOUS THERAPY 13326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13326,A000000,02500,0000,02500PHYSICAL THERAPY 13326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13326,A000000,02700,0000,02700SPEECH PATHOLOGY 13326,A000000,02800,0000,02800ELECTROCARDIOLOGY 13326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13326,A000000,03050,0000,03300OTHER ANCILLARY 13326,A000000,03051,0000,03301OTHER ANCILLARY II 13326,A000000,03052,0000,03302OTHER ANCILLARY III 13326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13326,A000000,03200,0000,03200SUPPORT SURFACES 13326,A000000,03400,0000,03400CLINIC 13326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13326,A000000,03500,0000,03500RURAL HEALTH CLINIC 13326,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13326,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13326,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13326,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13326,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13326,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13326,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13326,A000000,04400,0000,04400DME RENTED - HHA 13326,A000000,04500,0000,04500DME SOLD - HHA 13326,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13326,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13326,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13326,A000000,04800,0000,04800AMBULANCE 13326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13326,A000000,05000,0000,05000CORF 13326,A000000,05010,0000,05010CMHC I 13326,A000000,05020,0000,05020OPT I 13326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13326,A000000,05300,0000,05300INTEREST EXPENSE 13326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13326,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13326,A000000,05500,0000,05500HOSPICE 13326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13326,A000000,06100,0000,06100NONPAID WORKERS 13326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13326,A000000,06200,0000,06200PATIENTS LAUNDRY 13326,A81000A,00100,0100,Y 13326,A81000B,00100,0300,MGMT FEE & PAYROLL PCOR 13326,A81000B,00200,0300,HSKPG SUPPLIES 13326,A81000B,00300,0300,DIETARY SUPPLIES 13326,A81000B,00400,0300,NON CHG MED SUPPLIES 13326,A81000B,00500,0300,NURSING 13326,A81000B,00600,0300,CHG MED SUPP 13326,A81000B,00700,0300,MED EQ. RENTAL 13326,A81000B,00800,0300,PRIOR YR EXPENSES 13326,A81000C,00100,0100,G 13326,A81000C,00100,0200,CENTENNIA & CPS 13326,A81000C,00100,0400,CENT HLTC 13326,A81000C,00100,0600,HOME OFFICE 13326,A81000C,00200,0100,G 13326,A81000C,00200,0200,CENT PTS 13326,A81000C,00200,0400,CENT HLTC 13326,A81000C,00200,0600,SUPPLIES 13326,A81000C,00300,0100,G 13326,A81000C,00300,0200,CENT PTS 13326,A81000C,00300,0400,CENT HLTC 13326,A81000C,00300,0600,SUPPLIES 13326,A81000C,00400,0100,G 13326,A81000C,00400,0200,CENT PTS 13326,A81000C,00400,0400,CENT HLTC 13326,A81000C,00400,0600,SUPPLIES 13326,A81000C,00500,0100,G 13326,A81000C,00500,0200,CENT PTS 13326,A81000C,00500,0400,CENT HLTC 13326,A81000C,00500,0600,SUPPLIES 13326,A81000C,00600,0100,G 13326,A81000C,00600,0200,CENT PTS 13326,A81000C,00600,0400,CENT HLTC 13326,A81000C,00600,0600,SUPPLIES 13326,A81000C,00700,0100,G 13326,A81000C,00700,0200,CENT PTS 13326,A81000C,00700,0400,CENT HLTC 13326,A81000C,00700,0600,SUPPLIES 13326,A81000C,00800,0100,G 13326,A81000C,00800,0200,CENT PTS 13326,A81000C,00800,0400,CENT HLTC 13326,A81000C,00800,0600,SUPPLIES 13326,A81000C,03100,0000,NONREIMB 13326,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13326,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13326,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13326,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13326,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13326,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13326,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13326,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13326,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13326,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13326,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13326,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13326,S000000,00100,0200,06/01/2000 13326,S200000,00100,0100,251 HWY 66 13326,S200000,00200,0100,NEW HARMONY 13326,S200000,00200,0200,IN 13326,S200000,00200,0300,47631- 13326,S200000,00300,0100,POSEY 13326,S200000,00300,0200,2440 13326,S200000,00300,0300,U 13326,S200000,00400,0100,NEW HARMONIE HEALTHCARE 13326,S200000,00400,0200,155370 13326,S200000,00400,0300,02/08/1991 13326,S200000,00400,0500,P 13326,S200000,01500,0100,Y 13326,S200000,02200,0100,Y 13334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13334,A000000,00300,0000,00300EMPLOYEE BENEFITS 13334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13334,A000000,00700,0000,00700HOUSEKEEPING 13334,A000000,00800,0000,00800DIETARY 13334,A000000,00900,0000,00900NURSING ADMINISTRATION 13334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13334,A000000,01100,0000,01100PHARMACY 13334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13334,A000000,01300,0000,01300SOCIAL SERVICE 13334,A000000,01350,0000,01500ACTIVITIES 13334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13334,A000000,01600,0000,01600SKILLED NURSING FACILITY 13334,A000000,01800,0000,01800NURSING FACILITY 13334,A000000,01900,0000,01900OTHER LONG TERM CARE 13334,A000000,02100,0000,02100RADIOLOGY 13334,A000000,02200,0000,02200LABORATORY 13334,A000000,02300,0000,02300INTRAVENOUS THERAPY 13334,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13334,A000000,02500,0000,02500PHYSICAL THERAPY 13334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13334,A000000,02700,0000,02700SPEECH PATHOLOGY 13334,A000000,02800,0000,02800ELECTROCARDIOLOGY 13334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13334,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13334,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13334,A000000,03200,0000,03200SUPPORT SURFACES 13334,A000000,03400,0000,03400CLINIC 13334,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13334,A000000,03500,0000,03500RURAL HEALTH CLINIC 13334,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13334,A000000,04800,0000,04800AMBULANCE 13334,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13334,A000000,05000,0000,05000CORF 13334,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13334,A000000,05300,0000,05300INTEREST EXPENSE 13334,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13334,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13334,A000000,05500,0000,05500HOSPICE 13334,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13334,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13334,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13334,A000000,06100,0000,06100NONPAID WORKERS 13334,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13334,A000000,06200,0000,06200PATIENTS LAUNDRY 13334,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13334,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13334,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13334,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13334,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13334,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13334,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13334,B100000,00000,0800,00000MEALS SERVED :DIETARY 13334,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13334,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13334,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13334,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13334,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13334,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 13334,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13334,S000000,00100,0200,06/05/2000 13334,S200000,00100,0100,313 POPLAR STREET 13334,S200000,00200,0100,LOOGOOTEE 13334,S200000,00200,0200,IN 13334,S200000,00200,0300,47533- 13334,S200000,00300,0100,MARTIN 13334,S200000,00400,0100,MARTIN COUNTY NURSING CENTER 13334,S200000,00400,0200,155374 13334,S200000,00400,0300,04/01/1994 13334,S200000,00400,0500,O 13334,S200000,01004,0500,O 13334,S200000,01600,0100,Y 13334,S700003,00000,0100,1 13344,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13344,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13344,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13344,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13344,A000000,00300,0000,00300EMPLOYEE BENEFITS 13344,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13344,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13344,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13344,A000000,00700,0000,00700HOUSEKEEPING 13344,A000000,00800,0000,00800DIETARY 13344,A000000,00801,0000,00801CAFETERIA 13344,A000000,00900,0000,00900NURSING ADMINISTRATION 13344,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13344,A000000,01100,0000,01100PHARMACY 13344,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13344,A000000,01300,0000,01300SOCIAL SERVICE 13344,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13344,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13344,A000000,01600,0000,01600SKILLED NURSING FACILITY 13344,A000000,01800,0000,01800NURSING FACILITY 13344,A000000,01900,0000,01900OTHER LONG TERM CARE 13344,A000000,02100,0000,02100RADIOLOGY 13344,A000000,02200,0000,02200LABORATORY 13344,A000000,02300,0000,02300INTRAVENOUS THERAPY 13344,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13344,A000000,02500,0000,02500PHYSICAL THERAPY 13344,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13344,A000000,02700,0000,02700SPEECH PATHOLOGY 13344,A000000,02800,0000,02800ELECTROCARDIOLOGY 13344,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13344,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13344,A000000,03050,0000,03300OTHER ANCILLARY 13344,A000000,03051,0000,03301OTHER ANCILLARY II 13344,A000000,03052,0000,03302OTHER ANCILLARY III 13344,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13344,A000000,03200,0000,03200SUPPORT SURFACES 13344,A000000,03400,0000,03400CLINIC 13344,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13344,A000000,03500,0000,03500RURAL HEALTH CLINIC 13344,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13344,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13344,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13344,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13344,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13344,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13344,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13344,A000000,04400,0000,04400DME RENTED - HHA 13344,A000000,04500,0000,04500DME SOLD - HHA 13344,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13344,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13344,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13344,A000000,04800,0000,04800AMBULANCE 13344,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13344,A000000,05000,0000,05000CORF 13344,A000000,05010,0000,05010CMHC I 13344,A000000,05020,0000,05020OPT I 13344,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13344,A000000,05300,0000,05300INTEREST EXPENSE 13344,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13344,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13344,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13344,A000000,05500,0000,05500HOSPICE 13344,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13344,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13344,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13344,A000000,06100,0000,06100NONPAID WORKERS 13344,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13344,A000000,06200,0000,06200PATIENTS LAUNDRY 13344,A81000A,00100,0100,Y 13344,A81000B,00100,0300,MGMT FEE 13344,A81000B,00200,0300,PAYROLL PROCESSING 13344,A81000B,00300,0300,PHYSICAL THERAPY 13344,A81000B,00400,0300,OCCUPATIONAL THERAPY 13344,A81000B,00500,0300,SPEECH THERAPY 13344,A81000B,00600,0300,OT SUPPLIES 13344,A81000B,00700,0300,CENTRAL SERVICE 13344,A81000B,00800,0300,MED SUPPLIES 13344,A81000B,00900,0300,DIETARY 13344,A81000C,00100,0100,G 13344,A81000C,00100,0200,CENT & CPTS 13344,A81000C,00100,0400,CENT HLTC 13344,A81000C,00100,0600,HOME OFFICE 13344,A81000C,00200,0100,G 13344,A81000C,00200,0200,CENT PTS 13344,A81000C,00200,0400,CENT HLTC 13344,A81000C,00200,0600,HOME OFFICE 13344,A81000C,00300,0100,G 13344,A81000C,00300,0200,PARAGON 13344,A81000C,00300,0400,PARAGON 13344,A81000C,00300,0600,THERAPY 13344,A81000C,00400,0100,G 13344,A81000C,00400,0200,PARAGON 13344,A81000C,00400,0400,PARAGON 13344,A81000C,00400,0600,THERAPY 13344,A81000C,00500,0100,G 13344,A81000C,00500,0200,PARAGON 13344,A81000C,00500,0400,PARAGON 13344,A81000C,00500,0600,THERAPY 13344,A81000C,00600,0100,G 13344,A81000C,00600,0200,CENT PTS 13344,A81000C,00600,0400,CENT HLTC 13344,A81000C,00600,0600,SUPPLIES 13344,A81000C,00700,0100,G 13344,A81000C,00700,0200,CENT PTS 13344,A81000C,00700,0400,CENT HLTC 13344,A81000C,00700,0600,SUPPLIES 13344,A81000C,00800,0100,G 13344,A81000C,00800,0200,CENT PTS 13344,A81000C,00800,0400,CENT HLTC 13344,A81000C,00800,0600,SUPPLIES 13344,A81000C,00900,0100,G 13344,A81000C,00900,0200,CENT PTS 13344,A81000C,00900,0400,CENT HLTC 13344,A81000C,00900,0600,SUPPLIES 13344,A81000C,03100,0000,DIETARY 13344,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13344,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13344,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13344,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13344,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13344,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13344,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13344,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13344,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13344,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13344,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13344,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13344,S000000,00100,0200,06/01/2000 13344,S200000,00100,0100,803 HAMILTON AVE 13344,S200000,00200,0100,SHERIDAN 13344,S200000,00200,0200,IN 13344,S200000,00200,0300,46069- 13344,S200000,00300,0100,HAMILTON 13344,S200000,00300,0200,3480 13344,S200000,00300,0300,U 13344,S200000,00400,0100,SHERIDAN HEALTHCARE CENTER 13344,S200000,00400,0200,155376 13344,S200000,00400,0300,05/09/1991 13344,S200000,00400,0500,P 13344,S200000,01500,0100,Y 13344,S200000,02200,0100,Y 13354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13354,A000000,00300,0000,00300EMPLOYEE BENEFITS 13354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13354,A000000,00700,0000,00700HOUSEKEEPING 13354,A000000,00800,0000,00800DIETARY 13354,A000000,00900,0000,00900NURSING ADMINISTRATION 13354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13354,A000000,01100,0000,01100PHARMACY 13354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13354,A000000,01300,0000,01300SOCIAL SERVICE 13354,A000000,01350,0000,01500ACTIVITIES 13354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13354,A000000,01600,0000,01600SKILLED NURSING FACILITY 13354,A000000,01800,0000,01800NURSING FACILITY 13354,A000000,01900,0000,01900OTHER LONG TERM CARE 13354,A000000,02100,0000,02100RADIOLOGY 13354,A000000,02200,0000,02200LABORATORY 13354,A000000,02300,0000,02300INTRAVENOUS THERAPY 13354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13354,A000000,02500,0000,02500PHYSICAL THERAPY 13354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13354,A000000,02700,0000,02700SPEECH PATHOLOGY 13354,A000000,02800,0000,02800ELECTROCARDIOLOGY 13354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13354,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13354,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13354,A000000,03200,0000,03200SUPPORT SURFACES 13354,A000000,03400,0000,03400CLINIC 13354,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13354,A000000,03500,0000,03500RURAL HEALTH CLINIC 13354,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13354,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13354,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13354,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13354,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13354,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13354,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13354,A000000,04400,0000,04400DME RENTED - HHA 13354,A000000,04500,0000,04500DME SOLD - HHA 13354,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13354,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13354,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13354,A000000,04800,0000,04800AMBULANCE 13354,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13354,A000000,05000,0000,05000CORF 13354,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13354,A000000,05300,0000,05300INTEREST EXPENSE 13354,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13354,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13354,A000000,05500,0000,05500HOSPICE 13354,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13354,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13354,A000000,06100,0000,06100NONPAID WORKERS 13354,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13354,A000000,06200,0000,06200PATIENTS LAUNDRY 13354,A81000A,00100,0100,Y 13354,A81000B,00100,0300,CAPITAL RELATED 13354,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 13354,A81000B,00300,0300,MANAGEMENT FEES 13354,A81000C,00100,0100,B 13354,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13354,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13354,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13354,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13354,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13354,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13354,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13354,B100000,00000,0800,00000MEALS SERVED :DIETARY 13354,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13354,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13354,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13354,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13354,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13354,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13354,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13354,S000000,00100,0200,08/04/1999 13354,S200000,00100,0100,707 JACKSON PARK DRIVE 13354,S200000,00100,0300,705 13354,S200000,00200,0100,SEYMOUR 13354,S200000,00200,0200,IN 13354,S200000,00200,0300,47274-0705 13354,S200000,00300,0100,JACKSON 13354,S200000,00400,0100,HERITAGE HOUSE OF SEYMOUR 13354,S200000,00400,0200,155377 13354,S200000,00400,0300,05/09/1991 13354,S200000,00400,0500,P 13354,S200000,01600,0100,Y 13354,S700003,00000,0100,1 13357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13357,A000000,00300,0000,00300EMPLOYEE BENEFITS 13357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13357,A000000,00700,0000,00700HOUSEKEEPING 13357,A000000,00800,0000,00800DIETARY 13357,A000000,00900,0000,00900NURSING ADMINISTRATION 13357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13357,A000000,01100,0000,01100PHARMACY 13357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13357,A000000,01300,0000,01300SOCIAL SERVICE 13357,A000000,01350,0000,01500ACTIVITIES 13357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13357,A000000,01600,0000,01600SKILLED NURSING FACILITY 13357,A000000,01800,0000,01800NURSING FACILITY 13357,A000000,01810,0000,01801ICF/MR 13357,A000000,01900,0000,01900OTHER LONG TERM CARE 13357,A000000,02100,0000,02100RADIOLOGY 13357,A000000,02200,0000,02200LABORATORY 13357,A000000,02300,0000,02300INTRAVENOUS THERAPY 13357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13357,A000000,02500,0000,02500PHYSICAL THERAPY 13357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13357,A000000,02700,0000,02700SPEECH PATHOLOGY 13357,A000000,02800,0000,02800ELECTROCARDIOLOGY 13357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13357,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13357,A000000,03200,0000,03200SUPPORT SURFACES 13357,A000000,03400,0000,03400CLINIC 13357,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13357,A000000,03500,0000,03500RURAL HEALTH CLINIC 13357,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13357,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13357,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13357,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13357,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13357,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13357,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13357,A000000,04400,0000,04400DME RENTED - HHA 13357,A000000,04500,0000,04500DME SOLD - HHA 13357,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13357,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13357,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13357,A000000,04800,0000,04800AMBULANCE 13357,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13357,A000000,05000,0000,05000CORF 13357,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13357,A000000,05300,0000,05300INTEREST EXPENSE 13357,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13357,A000000,05500,0000,05500HOSPICE 13357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13357,A000000,06100,0000,06100NONPAID WORKERS 13357,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13357,A000000,06200,0000,06200PATIENTS LAUNDRY 13357,A81000A,00100,0100,Y 13357,A81000B,00100,0300,CAPITAL RELATED 13357,A81000B,00200,0300,ADMIN & GENERAL 13357,A81000B,00300,0300,MANAGEMENT FEES 13357,A81000C,00100,0100,G 13357,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13357,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13357,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13357,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13357,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13357,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13357,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13357,B100000,00000,0800,00000MEALS SERVED :DIETARY 13357,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 13357,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13357,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13357,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13357,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13357,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13357,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13357,S000000,00100,0200,06/14/2000 13357,S200000,00100,0100,707 JACKSON PARK DRIVE 13357,S200000,00100,0300,705 13357,S200000,00200,0100,SEYMOUR 13357,S200000,00200,0200,IN 13357,S200000,00200,0300,47274-0705 13357,S200000,00300,0100,JACKSON 13357,S200000,00400,0100,HERITAGE HOUSE OF SEYMOUR 13357,S200000,00400,0200,155377 13357,S200000,00400,0300,05/09/1991 13357,S200000,00400,0500,P 13357,S200000,01600,0100,Y 13357,S700003,00000,0200,2 13367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13367,A000000,00300,0000,00300EMPLOYEE BENEFITS 13367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13367,A000000,00700,0000,00700HOUSEKEEPING 13367,A000000,00800,0000,00800DIETARY 13367,A000000,00900,0000,00900NURSING ADMINISTRATION 13367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13367,A000000,01100,0000,01100PHARMACY 13367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13367,A000000,01300,0000,01300SOCIAL SERVICE 13367,A000000,01350,0000,01500ACTIVITIES 13367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13367,A000000,01600,0000,01600SKILLED NURSING FACILITY 13367,A000000,01800,0000,01800NURSING FACILITY 13367,A000000,01900,0000,01900OTHER LONG TERM CARE 13367,A000000,02100,0000,02100RADIOLOGY 13367,A000000,02200,0000,02200LABORATORY 13367,A000000,02300,0000,02300INTRAVENOUS THERAPY 13367,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13367,A000000,02500,0000,02500PHYSICAL THERAPY 13367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13367,A000000,02700,0000,02700SPEECH PATHOLOGY 13367,A000000,02800,0000,02800ELECTROCARDIOLOGY 13367,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13367,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13367,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13367,A000000,03200,0000,03200SUPPORT SURFACES 13367,A000000,03400,0000,03400CLINIC 13367,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13367,A000000,03500,0000,03500RURAL HEALTH CLINIC 13367,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13367,A000000,04800,0000,04800AMBULANCE 13367,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13367,A000000,05000,0000,05000CORF 13367,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13367,A000000,05300,0000,05300INTEREST EXPENSE 13367,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13367,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13367,A000000,05500,0000,05500HOSPICE 13367,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13367,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13367,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13367,A000000,06100,0000,06100NONPAID WORKERS 13367,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13367,A000000,06200,0000,06200PATIENTS LAUNDRY 13367,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13367,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13367,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13367,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13367,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13367,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13367,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13367,B100000,00000,0800,00000MEALS SERVED :DIETARY 13367,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 13367,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 13367,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13367,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13367,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13367,B100000,00000,1350,00000NO STATISTICS :ACTIVITIES 13367,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13367,S000000,00100,0200,05/31/2000 13367,S200000,00100,0100,1667 SHERIDAN ROAD 13367,S200000,00200,0100,NOBLESVILLE 13367,S200000,00200,0200,IN 13367,S200000,00200,0300,46060- 13367,S200000,00300,0100,HAMILTON 13367,S200000,00400,0100,HARBOUR MANOR CARE CENTER 13367,S200000,00400,0200,155381 13367,S200000,00400,0300,07/08/1991 13367,S200000,00400,0500,P 13367,S200000,01004,0500,O 13367,S200000,01600,0100,Y 13367,S700003,00000,0100,1 13386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13386,A000000,00300,0000,00300EMPLOYEE BENEFITS 13386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13386,A000000,00700,0000,00700HOUSEKEEPING 13386,A000000,00800,0000,00800DIETARY 13386,A000000,00900,0000,00900NURSING ADMINISTRATION 13386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13386,A000000,01100,0000,01100PHARMACY 13386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13386,A000000,01300,0000,01300SOCIAL SERVICE 13386,A000000,01301,0000,01301ACTIVITIES 13386,A000000,01350,0000,01500OTHER GENERAL SERVICES 13386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13386,A000000,01600,0000,01600SKILLED NURSING FACILITY 13386,A000000,01800,0000,01800NURSING FACILITY 13386,A000000,01900,0000,01900OTHER LONG TERM CARE 13386,A000000,02100,0000,02100RADIOLOGY 13386,A000000,02200,0000,02200LABORATORY 13386,A000000,02300,0000,02300INTRAVENOUS THERAPY 13386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13386,A000000,02500,0000,02500PHYSICAL THERAPY 13386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13386,A000000,02700,0000,02700SPEECH PATHOLOGY 13386,A000000,02800,0000,02800ELECTROCARDIOLOGY 13386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13386,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13386,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13386,A000000,03200,0000,03200SUPPORT SURFACES 13386,A000000,03400,0000,03400CLINIC 13386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13386,A000000,03500,0000,03500RURAL HEALTH CLINIC 13386,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13386,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13386,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13386,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13386,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13386,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13386,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13386,A000000,04400,0000,04400DME RENTED - HHA 13386,A000000,04500,0000,04500DME SOLD - HHA 13386,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13386,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13386,A000000,04800,0000,04800AMBULANCE 13386,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13386,A000000,05000,0000,05000CORF 13386,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13386,A000000,05300,0000,05300INTEREST EXPENSE 13386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13386,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13386,A000000,05500,0000,05500HOSPICE 13386,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13386,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13386,A000000,06100,0000,06100NONPAID WORKERS 13386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13386,A000000,06200,0000,06200PATIENTS LAUNDRY 13386,A81000A,00100,0100,Y 13386,A81000B,00100,0300,MANAGEMENT FEES 13386,A81000B,00200,0300,CAPITAL 13386,A81000C,00100,0100,A 13386,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 13386,A81000C,00100,0400,LENOX HEALTHCARE INC 13386,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13386,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13386,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13386,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13386,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13386,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13386,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13386,B100000,00000,0800,00000MEALS SERVED :DIETARY 13386,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13386,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13386,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13386,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13386,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13386,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 13386,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 13386,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13386,S000000,00100,0200,06/27/2000 13386,S200000,00100,0100,1555 COMMERCE STREET 13386,S200000,00200,0100,LOGANSPORT 13386,S200000,00200,0200,IN 13386,S200000,00200,0300,46947- 13386,S200000,00300,0100,CASS 13386,S200000,00400,0100,CAMELOT CARE CENTER 13386,S200000,00400,0200,155385 13386,S200000,00400,0300,10/01/1973 13386,S200000,00400,0500,P 13386,S200000,01600,0100,Y 13386,S700003,00000,0100,1 13394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13394,A000000,00300,0000,00300EMPLOYEE BENEFITS 13394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13394,A000000,00700,0000,00700HOUSEKEEPING 13394,A000000,00800,0000,00800DIETARY 13394,A000000,00900,0000,00900NURSING ADMINISTRATION 13394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13394,A000000,01100,0000,01100PHARMACY 13394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13394,A000000,01300,0000,01300SOCIAL SERVICE 13394,A000000,01350,0000,01500PATIENT ACTIVITIES 13394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13394,A000000,01600,0000,01600SKILLED NURSING FACILITY 13394,A000000,01800,0000,01800NURSING FACILITY 13394,A000000,01900,0000,01900OTHER LONG TERM CARE 13394,A000000,02100,0000,02100RADIOLOGY 13394,A000000,02200,0000,02200LABORATORY 13394,A000000,02300,0000,02300INTRAVENOUS THERAPY 13394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13394,A000000,02500,0000,02500PHYSICAL THERAPY 13394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13394,A000000,02700,0000,02700SPEECH PATHOLOGY 13394,A000000,02800,0000,02800ELECTROCARDIOLOGY 13394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13394,A000000,03050,0000,03300SPECIALIZED BEDS 13394,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13394,A000000,03400,0000,03400CLINIC 13394,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13394,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13394,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13394,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13394,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13394,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13394,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13394,A000000,04400,0000,04400DME RENTED - HHA 13394,A000000,04500,0000,04500DME SOLD - HHA 13394,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13394,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13394,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13394,A000000,05000,0000,05000CORF 13394,A000000,05010,0000,05010CMHC 13394,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13394,A000000,05300,0000,05300INTEREST EXPENSE 13394,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13394,A000000,05500,0000,05500HOSPICE 13394,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13394,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13394,A000000,06100,0000,06100NONPAID WORKERS 13394,A000000,06200,0000,06200PATIENTS LAUNDRY 13394,A81000A,00100,0100,Y 13394,A81000B,00100,0300,MANAGEMENT FEES 13394,A81000B,00200,0300,QUALITY ASSURANCE - HOME OFFICE 13394,A81000B,00300,0300,HOME OFFICE - CAPITAL 13394,A81000B,00400,0300,HOME OFFICE - OTHER 13394,A81000C,00100,0100,B 13394,A81000C,00100,0400,LAUREL HEALTH 13394,A81000C,00100,0600,MANAGEMENT CO. 13394,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13394,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13394,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 13394,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13394,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13394,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 13394,B100000,00000,0750,00000SQ FT EXCL DIETA:HOUSEKEEPING 13394,B100000,00000,0850,00000PAT DAYS :DIETARY 13394,B100000,00000,0950,00000HRS OF SVC :NURSING ADMINISTRATION 13394,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 13394,B100000,00000,1150,00000BLANK :PHARMACY 13394,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 13394,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 13394,B100000,00000,1350,00000PAT DAYS :PATIENT ACTIVITIES 13394,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 13394,S000000,00100,0200,05/30/2000 13394,S200000,00100,0100,520 W. LIBERTY 13394,S200000,00200,0100,BUTLER 13394,S200000,00200,0200,IN 13394,S200000,00200,0300,46721- 13394,S200000,00300,0100,DEKALB 13394,S200000,00400,0100,THE LAURELS OF DEKALB 13394,S200000,00400,0200,155386 13394,S200000,00400,0300,09/20/1991 13394,S200000,00400,0500,P 13394,S200000,01004,0500,O 13394,S200000,01600,0100,Y 13394,S200000,02200,0100,Y 13394,S700003,00000,0100,1 13402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13402,A000000,00300,0000,00300EMPLOYEE BENEFITS 13402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13402,A000000,00700,0000,00700HOUSEKEEPING 13402,A000000,00800,0000,00800DIETARY 13402,A000000,00900,0000,00900NURSING ADMINISTRATION 13402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13402,A000000,01100,0000,01100PHARMACY 13402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13402,A000000,01300,0000,01300SOCIAL SERVICE 13402,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13402,A000000,01600,0000,01600SKILLED NURSING FACILITY 13402,A000000,01800,0000,01800NURSING FACILITY 13402,A000000,01900,0000,01900OTHER LONG TERM CARE 13402,A000000,02100,0000,02100RADIOLOGY 13402,A000000,02200,0000,02200LABORATORY 13402,A000000,02300,0000,02300INTRAVENOUS THERAPY 13402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13402,A000000,02500,0000,02500PHYSICAL THERAPY 13402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13402,A000000,02700,0000,02700SPEECH PATHOLOGY 13402,A000000,02800,0000,02800ELECTROCARDIOLOGY 13402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13402,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 13402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 13402,A000000,04800,0000,04800AMBULANCE 13402,A000000,05000,0000,05000CORF 13402,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13402,A000000,05300,0000,05300INTEREST EXPENSE 13402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13402,A000000,06100,0000,06100NONPAID WORKERS 13402,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 13402,A000000,06200,0000,06200PATIENTS LAUNDRY 13402,A81000A,00100,0100,Y 13402,A81000B,00100,0300,HOME OFFICE COSTS 13402,A81000B,00200,0300,HOME OFFICE COSTS 13402,A81000C,00100,0100,B 13402,A81000C,00100,0200,BOND JOHNSON & 13402,A81000C,00100,0600,MANAGMENT COMPA 13402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13402,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13402,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13402,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13402,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 13402,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 13402,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 13402,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13402,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13402,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 13402,S000000,00100,0200,05/30/2000 13402,S200000,00100,0100,2500 IOWA AVE 13402,S200000,00200,0100,CONNERSVILLE 13402,S200000,00200,0200,IN 13402,S200000,00200,0300,47331- 13402,S200000,00300,0100,FAYETTE 13402,S200000,00400,0100,CAROLTON MANOR 13402,S200000,00400,0200,155387 13402,S200000,00400,0300,09/03/1991 13402,S200000,00400,0500,P 13402,S200000,01004,0500,O 13402,S200000,01600,0100,Y 13402,S700003,00000,0100,1 13410,S000000,00100,0200,05/22/2000 13418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13418,A000000,00300,0000,00300EMPLOYEE BENEFITS 13418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13418,A000000,00700,0000,00700HOUSEKEEPING 13418,A000000,00800,0000,00800DIETARY 13418,A000000,00900,0000,00900NURSING ADMINISTRATION 13418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13418,A000000,01100,0000,01100PHARMACY 13418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13418,A000000,01300,0000,01300SOCIAL SERVICE 13418,A000000,01350,0000,01500OTHER GENERAL SERVICES 13418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13418,A000000,01600,0000,01600SKILLED NURSING FACILITY 13418,A000000,01800,0000,01800NURSING FACILITY 13418,A000000,01810,0000,01810ICF/MR 13418,A000000,01900,0000,01900OTHER LONG TERM CARE 13418,A000000,02100,0000,02100RADIOLOGY 13418,A000000,02200,0000,02200LABORATORY 13418,A000000,02300,0000,02300INTRAVENOUS THERAPY 13418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13418,A000000,02500,0000,02500PHYSICAL THERAPY 13418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13418,A000000,02700,0000,02700SPEECH PATHOLOGY 13418,A000000,02800,0000,02800ELECTROCARDIOLOGY 13418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13418,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13418,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13418,A000000,03200,0000,03200SUPPORT SURFACES 13418,A000000,03400,0000,03400CLINIC 13418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13418,A000000,03500,0000,03500RURAL HEALTH CLINIC 13418,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13418,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13418,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13418,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13418,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13418,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13418,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13418,A000000,04400,0000,04400DME RENTED - HHA 13418,A000000,04500,0000,04500DME SOLD - HHA 13418,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13418,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13418,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13418,A000000,04800,0000,04800AMBULANCE 13418,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13418,A000000,05000,0000,05000CORF 13418,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13418,A000000,05300,0000,05300INTEREST EXPENSE 13418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13418,A000000,05500,0000,05500HOSPICE 13418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13418,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13418,A000000,06100,0000,06100NONPAID WORKERS 13418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13418,A000000,06200,0000,06200PATIENTS LAUNDRY 13418,A81000A,00100,0100,Y 13418,A81000B,00100,0300,RENT 13418,A81000C,00100,0100,A 13418,A81000C,00100,0200,DAVID MCCARROLL 13418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13418,B100000,00000,0800,00000MEALS SERVED :DIETARY 13418,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13418,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13418,S000000,00100,0200,05/31/2000 13418,S200000,00100,0100,1316 NORTH TIBBS AVENUE 13418,S200000,00200,0100,INDIANAPOLIS 13418,S200000,00200,0200,IN 13418,S200000,00200,0300,46222- 13418,S200000,00300,0100,MARION 13418,S200000,00300,0200,3480 13418,S200000,00300,0300,U 13418,S200000,00400,0100,WESTPARK HEALTHCARE CENTER 13418,S200000,00400,0200,155389 13418,S200000,00400,0300,11/01/1991 13418,S200000,00400,0500,P 13418,S200000,01004,0500,O 13418,S200000,01600,0100,Y 13430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13430,A000000,00300,0000,00300EMPLOYEE BENEFITS 13430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13430,A000000,00700,0000,00700HOUSEKEEPING 13430,A000000,00800,0000,00800DIETARY 13430,A000000,00900,0000,00900NURSING ADMINISTRATION 13430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13430,A000000,01100,0000,01100PHARMACY 13430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13430,A000000,01300,0000,01300SOCIAL SERVICE 13430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13430,A000000,01600,0000,01600SKILLED NURSING FACILITY 13430,A000000,02100,0000,02100RADIOLOGY 13430,A000000,02200,0000,02200LABORATORY 13430,A000000,02300,0000,02300INTRAVENOUS THERAPY 13430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13430,A000000,02500,0000,02500PHYSICAL THERAPY 13430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13430,A000000,02700,0000,02700SPEECH PATHOLOGY 13430,A000000,02800,0000,02800ELECTROCARDIOLOGY 13430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13430,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13430,A000000,03200,0000,03200SUPPORT SURFACES 13430,A000000,03400,0000,03400CLINIC 13430,A000000,04800,0000,04800AMBULANCE 13430,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13430,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13430,A000000,05300,0000,05300INTEREST EXPENSE 13430,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13430,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13430,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13430,A000000,06100,0000,06100NONPAID WORKERS 13430,A000000,06200,0000,06200PATIENTS LAUNDRY 13430,A81000A,00100,0100,Y 13430,A81000B,00100,0300,CAPITAL 13430,A81000B,00200,0300,ADMIN 13430,A81000C,00100,0100,B 13430,A81000C,00100,0200,EXTENDACARE INC 13430,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13430,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13430,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13430,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13430,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13430,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13430,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13430,B100000,00000,0800,00000MEALS SERVED :DIETARY 13430,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13430,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13430,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13430,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13430,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13430,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13430,S000000,00100,0200,03/01/2000 13430,S200000,00100,0100,1234 ROSSVILLE AVENUE 13430,S200000,00200,0100,FRANKFORT 13430,S200000,00200,0200,IN 13430,S200000,00300,0100,46041 CLINTON 13430,S200000,00400,0100,EXTENDACARE OF FRANKFORT 13430,S200000,00400,0200,155391 13430,S200000,00400,0300,04/01/1996 13430,S200000,00400,0500,P 13430,S200000,01600,0100,Y 13430,S200000,02200,0100,Y 13430,S200000,03100,0100,Y 13430,S700003,00000,0100,1 13442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13442,A000000,00300,0000,00300EMPLOYEE BENEFITS 13442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13442,A000000,00700,0000,00700HOUSEKEEPING 13442,A000000,00800,0000,00800DIETARY 13442,A000000,00900,0000,00900NURSING ADMINISTRATION 13442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13442,A000000,01100,0000,01100PHARMACY 13442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13442,A000000,01300,0000,01300SOCIAL SERVICE 13442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13442,A000000,01600,0000,01600SKILLED NURSING FACILITY 13442,A000000,02100,0000,02100RADIOLOGY 13442,A000000,02200,0000,02200LABORATORY 13442,A000000,02300,0000,02300INTRAVENOUS THERAPY 13442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13442,A000000,02500,0000,02500PHYSICAL THERAPY 13442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13442,A000000,02700,0000,02700SPEECH PATHOLOGY 13442,A000000,02800,0000,02800ELECTROCARDIOLOGY 13442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13442,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13442,A000000,03200,0000,03200SUPPORT SURFACES 13442,A000000,03400,0000,03400CLINIC 13442,A000000,04800,0000,04800AMBULANCE 13442,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13442,A000000,05300,0000,05300INTEREST EXPENSE 13442,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13442,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13442,A000000,06100,0000,06100NONPAID WORKERS 13442,A000000,06200,0000,06200PATIENTS LAUNDRY 13442,A81000A,00100,0100,Y 13442,A81000B,01000,0300,CAPITAL 13442,A81000B,01100,0300,ADMIN 13442,A81000C,01001,0100,B 13442,A81000C,01001,0200,EXTENDACARE INC 13442,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13442,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13442,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13442,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13442,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13442,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13442,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13442,B100000,00000,0800,00000MEALS SERVED :DIETARY 13442,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13442,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13442,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13442,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13442,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13442,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13442,S000000,00100,0200,03/01/2000 13442,S200000,00100,0100,1433 S MAIN STREET 13442,S200000,00200,0100,KENDALLVILLE 13442,S200000,00200,0200,IN 13442,S200000,00300,0100,46755 NOBLE 13442,S200000,00400,0100,EXTENDACARE OF KENDALLVILLE 13442,S200000,00400,0200,155392 13442,S200000,00400,0300,02/01/1996 13442,S200000,00400,0500,P 13442,S200000,01600,0100,Y 13442,S200000,02200,0100,Y 13442,S200000,03100,0100,Y 13442,S700003,00000,0100,1 13451,S000000,00100,0200,11/30/1999 13459,S000000,00100,0200,11/30/1999 13462,S000000,00100,0200,11/30/1999 13466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13466,A000000,00300,0000,00300EMPLOYEE BENEFITS 13466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13466,A000000,00700,0000,00700HOUSEKEEPING 13466,A000000,00800,0000,00800DIETARY 13466,A000000,00900,0000,00900NURSING ADMINISTRATION 13466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13466,A000000,01100,0000,01100PHARMACY 13466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13466,A000000,01300,0000,01300SOCIAL SERVICE 13466,A000000,01350,0000,01500ACTIVITIES 13466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13466,A000000,01600,0000,01600SKILLED NURSING FACILITY 13466,A000000,01800,0000,01800NURSING FACILITY 13466,A000000,01810,0000,01810ICF/MR 13466,A000000,01900,0000,01900OTHER LONG TERM CARE 13466,A000000,02100,0000,02100RADIOLOGY 13466,A000000,02200,0000,02200LABORATORY 13466,A000000,02300,0000,02300INTRAVENOUS THERAPY 13466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13466,A000000,02500,0000,02500PHYSICAL THERAPY 13466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13466,A000000,02700,0000,02700SPEECH PATHOLOGY 13466,A000000,02800,0000,02800ELECTROCARDIOLOGY 13466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13466,A000000,03200,0000,03200SUPPORT SURFACES 13466,A000000,03400,0000,03400CLINIC 13466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13466,A000000,03500,0000,03500RURAL HEALTH CLINIC 13466,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13466,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13466,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13466,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13466,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13466,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13466,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13466,A000000,04400,0000,04400DME RENTED - HHA 13466,A000000,04500,0000,04500DME SOLD - HHA 13466,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13466,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13466,A000000,04800,0000,04800AMBULANCE 13466,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13466,A000000,05000,0000,05000CORF 13466,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13466,A000000,05300,0000,05300INTEREST EXPENSE 13466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13466,A000000,05500,0000,05500HOSPICE 13466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13466,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13466,A000000,06100,0000,06100NONPAID WORKERS 13466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13466,A000000,06200,0000,06200PATIENTS LAUNDRY 13466,A81000A,00100,0100,Y 13466,A81000B,00100,0300,CAPITAL RELATED 13466,A81000B,00200,0300,ADMIN & GENERAL 13466,A81000B,00300,0300,MANAGEMENT FEES 13466,A81000C,00100,0100,G 13466,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13466,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13466,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13466,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13466,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13466,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13466,B100000,00000,0800,00000MEALS SERVED :DIETARY 13466,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13466,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13466,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13466,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13466,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13466,S000000,00100,0200,07/21/2000 13466,S200000,00100,0100,4600 EAST JACKSON STREET 13466,S200000,00200,0100,MUNCIE 13466,S200000,00200,0200,IN 13466,S200000,00200,0300,47308- 13466,S200000,00300,0100,DELAWARE 13466,S200000,00300,0200,5280 13466,S200000,00300,0300,U 13466,S200000,00400,0100,LIBERTY VILLAGE 13466,S200000,00400,0200,155400 13466,S200000,00400,0300,08/17/1989 13466,S200000,00400,0500,P 13466,S200000,01004,0500,O 13466,S200000,01600,0100,Y 13475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13475,A000000,00300,0000,00300EMPLOYEE BENEFITS 13475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13475,A000000,00700,0000,00700HOUSEKEEPING 13475,A000000,00800,0000,00800DIETARY 13475,A000000,00900,0000,00900NURSING ADMINISTRATION 13475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13475,A000000,01100,0000,01100PHARMACY 13475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13475,A000000,01300,0000,01300SOCIAL SERVICE 13475,A000000,01350,0000,01500OTHER GENERAL SERVICES 13475,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13475,A000000,01600,0000,01600SKILLED NURSING FACILITY 13475,A000000,01800,0000,01800NURSING FACILITY 13475,A000000,01900,0000,01900OTHER LONG TERM CARE 13475,A000000,02100,0000,02100RADIOLOGY 13475,A000000,02200,0000,02200LABORATORY 13475,A000000,02300,0000,02300INTRAVENOUS THERAPY 13475,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13475,A000000,02500,0000,02500PHYSICAL THERAPY 13475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13475,A000000,02700,0000,02700SPEECH PATHOLOGY 13475,A000000,02800,0000,02800ELECTROCARDIOLOGY 13475,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13475,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13475,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13475,A000000,03200,0000,03200SUPPORT SURFACES 13475,A000000,03400,0000,03400CLINIC 13475,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13475,A000000,03500,0000,03500RURAL HEALTH CLINIC 13475,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13475,A000000,04800,0000,04800AMBULANCE 13475,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13475,A000000,05000,0000,05000CORF 13475,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13475,A000000,05300,0000,05300INTEREST EXPENSE 13475,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13475,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13475,A000000,05500,0000,05500HOSPICE 13475,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13475,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13475,A000000,06100,0000,06100NONPAID WORKERS 13475,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13475,A000000,06200,0000,06200PATIENTS LAUNDRY 13475,A81000A,00100,0100,Y 13475,A81000B,00100,0300,HOME OFFICE EXPENSE 13475,A81000B,00200,0300,HOME OFFICE EXP POOL BLDG 13475,A81000B,00300,0300,HOME OFFICE EXP POOL EQUIPMNT 13475,A81000B,00400,0300,HOME OFFICE EXP POOL INTEREST 13475,A81000B,00500,0300,HOME OFFICE DIRECT ALLOC EXP 13475,A81000C,00100,0100,D 13475,A81000C,00100,0200,DANIEL HOUSTON 13475,A81000C,00100,0400,HOUSTON COMPANIES INC. 13475,A81000C,00100,0600,ACCT/FIN 13475,A81000C,00200,0100,D 13475,A81000C,00200,0200,DANIEL HOUSTON 13475,A81000C,00200,0400,VILLAGE DRUG STORE 13475,A81000C,00200,0600,PHARMACY 13475,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13475,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13475,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13475,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13475,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13475,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 13475,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13475,B100000,00000,0800,00000MEALS SERVED :DIETARY 13475,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13475,B100000,00000,1050,00000CENSUS DAYS :CENTRAL SERVICES & SU 13475,B100000,00000,1150,00000CENSUS DAYS :PHARMACY 13475,B100000,00000,1250,00000CENSUS DAYS :MEDICAL RECORDS & LIB 13475,B100000,00000,1330,00000CENSUS DAYS :SOCIAL SERVICE 13475,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13475,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13475,S000000,00100,0200,06/02/2000 13475,S200000,00100,0100,S. GRANT AVENUE 13475,S200000,00100,0300,661 13475,S200000,00200,0100,CRAWFORDSVILLE 13475,S200000,00200,0200,IN 13475,S200000,00200,0300,47933- 13475,S200000,00300,0100,MONTGOMERY 13475,S200000,00400,0100,DHE D/B/A BEN HUR 13475,S200000,00400,0200,155401 13475,S200000,00400,0300,01/01/1993 13475,S200000,00400,0500,P 13475,S200000,01600,0100,Y 13475,S700003,00000,0100,1 13483,S000000,00100,0200,11/30/1999 13485,S000000,00100,0200,08/30/2000 13493,S000000,00100,0200,11/30/1999 13502,S000000,00100,0200,11/30/1999 13504,S000000,00100,0200,08/30/2000 13514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13514,A000000,00300,0000,00300EMPLOYEE BENEFITS 13514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13514,A000000,00700,0000,00700HOUSEKEEPING 13514,A000000,00800,0000,00800DIETARY 13514,A000000,00900,0000,00900NURSING ADMINISTRATION 13514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13514,A000000,01100,0000,01100PHARMACY 13514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13514,A000000,01300,0000,01300SOCIAL SERVICE 13514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13514,A000000,01600,0000,01600SKILLED NURSING FACILITY 13514,A000000,02100,0000,02100RADIOLOGY 13514,A000000,02200,0000,02200LABORATORY 13514,A000000,02300,0000,02300INTRAVENOUS THERAPY 13514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13514,A000000,02500,0000,02500PHYSICAL THERAPY 13514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13514,A000000,02700,0000,02700SPEECH PATHOLOGY 13514,A000000,02800,0000,02800ELECTROCARDIOLOGY 13514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13514,A000000,03200,0000,03200SUPPORT SURFACES 13514,A000000,03400,0000,03400CLINIC 13514,A000000,04800,0000,04800AMBULANCE 13514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13514,A000000,05300,0000,05300INTEREST EXPENSE 13514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13514,A000000,06100,0000,06100NONPAID WORKERS 13514,A000000,06200,0000,06200PATIENTS LAUNDRY 13514,A81000A,00100,0100,Y 13514,A81000B,01000,0300,CAPITAL 13514,A81000B,01100,0300,ADMIN 13514,A81000C,01001,0100,B 13514,A81000C,01001,0200,EXTENDACARE INC 13514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13514,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13514,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13514,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13514,B100000,00000,0800,00000MEALS SERVED :DIETARY 13514,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13514,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13514,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13514,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13514,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13514,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13514,S000000,00100,0200,03/01/2000 13514,S200000,00100,0100,390 WEST BOULEVARD 13514,S200000,00200,0100,PERU 13514,S200000,00200,0200,IN 13514,S200000,00300,0100,46970 MIAMI 13514,S200000,00400,0100,EXTENDACARE OF PERU 13514,S200000,00400,0200,155406 13514,S200000,00400,0300,02/01/1996 13514,S200000,00400,0500,P 13514,S200000,01600,0100,Y 13514,S200000,02200,0100,Y 13514,S200000,03100,0100,Y 13514,S700003,00000,0100,1 13525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13525,A000000,00300,0000,00300EMPLOYEE BENEFITS 13525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13525,A000000,00700,0000,00700HOUSEKEEPING 13525,A000000,00800,0000,00800DIETARY 13525,A000000,00900,0000,00900NURSING ADMINISTRATION 13525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13525,A000000,01100,0000,01100PHARMACY 13525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13525,A000000,01300,0000,01300SOCIAL SERVICE 13525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13525,A000000,01600,0000,01600SKILLED NURSING FACILITY 13525,A000000,02100,0000,02100RADIOLOGY 13525,A000000,02200,0000,02200LABORATORY 13525,A000000,02300,0000,02300INTRAVENOUS THERAPY 13525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13525,A000000,02500,0000,02500PHYSICAL THERAPY 13525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13525,A000000,02700,0000,02700SPEECH PATHOLOGY 13525,A000000,02800,0000,02800ELECTROCARDIOLOGY 13525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13525,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13525,A000000,03200,0000,03200SUPPORT SURFACES 13525,A000000,03400,0000,03400CLINIC 13525,A000000,04800,0000,04800AMBULANCE 13525,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13525,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13525,A000000,05300,0000,05300INTEREST EXPENSE 13525,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13525,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13525,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13525,A000000,06100,0000,06100NONPAID WORKERS 13525,A000000,06200,0000,06200PATIENTS LAUNDRY 13525,A81000A,00100,0100,Y 13525,A81000B,00100,0300,CAPITAL 13525,A81000B,00200,0300,ADMIN 13525,A81000C,00100,0100,B 13525,A81000C,00100,0200,EXTENDACARE INC 13525,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13525,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13525,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13525,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13525,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13525,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13525,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13525,B100000,00000,0800,00000MEALS SERVED :DIETARY 13525,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13525,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13525,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13525,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13525,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13525,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13525,S000000,00100,0200,03/01/2000 13525,S200000,00100,0100,1001 S CLARK ROAD 13525,S200000,00200,0100,BLUFFTON 13525,S200000,00200,0200,IN 13525,S200000,00300,0100,46714 WELLS 13525,S200000,00400,0100,EXTENDACARE OF BLUFFTON 13525,S200000,00400,0200,155407 13525,S200000,00400,0300,02/01/1996 13525,S200000,00400,0500,P 13525,S200000,01600,0100,Y 13525,S200000,02200,0100,Y 13525,S200000,03100,0100,Y 13525,S700003,00000,0100,1 13532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13532,A000000,00300,0000,00300EMPLOYEE BENEFITS 13532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13532,A000000,00700,0000,00700HOUSEKEEPING 13532,A000000,00800,0000,00800DIETARY 13532,A000000,00900,0000,00900NURSING ADMINISTRATION 13532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13532,A000000,01100,0000,01100PHARMACY 13532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13532,A000000,01300,0000,01300SOCIAL SERVICE 13532,A000000,01350,0000,01500ACTIVITIES 13532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13532,A000000,01600,0000,01600SKILLED NURSING FACILITY 13532,A000000,01800,0000,01800NURSING FACILITY 13532,A000000,01810,0000,01801ICF/MR 13532,A000000,01900,0000,01900OTHER LONG TERM CARE 13532,A000000,02100,0000,02100RADIOLOGY 13532,A000000,02200,0000,02200LABORATORY 13532,A000000,02300,0000,02300INTRAVENOUS THERAPY 13532,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13532,A000000,02500,0000,02500PHYSICAL THERAPY 13532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13532,A000000,02700,0000,02700SPEECH PATHOLOGY 13532,A000000,02800,0000,02800ELECTROCARDIOLOGY 13532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13532,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13532,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13532,A000000,03200,0000,03200SUPPORT SURFACES 13532,A000000,03400,0000,03400CLINIC 13532,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13532,A000000,03500,0000,03500RURAL HEALTH CLINIC 13532,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13532,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13532,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13532,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13532,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13532,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13532,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13532,A000000,04400,0000,04400DME RENTED - HHA 13532,A000000,04500,0000,04500DME SOLD - HHA 13532,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13532,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13532,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13532,A000000,04800,0000,04800AMBULANCE 13532,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13532,A000000,05000,0000,05000CORF 13532,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13532,A000000,05300,0000,05300INTEREST EXPENSE 13532,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13532,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13532,A000000,05500,0000,05500HOSPICE 13532,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13532,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13532,A000000,06100,0000,06100NONPAID WORKERS 13532,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13532,A000000,06200,0000,06200PATIENTS LAUNDRY 13532,A81000A,00100,0100,Y 13532,A81000B,00100,0300,CAPITAL RELATED 13532,A81000B,00200,0300,ADMIN & GENERAL 13532,A81000B,00300,0300,MANAGEMENT FEES 13532,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 13532,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13532,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13532,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13532,B100000,00000,0550,00000TIME STUDY :PLANT OPERATION MAINT 13532,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13532,B100000,00000,0750,00000TIME STUDY :HOUSEKEEPING 13532,B100000,00000,0800,00000MEALS SERVED :DIETARY 13532,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 13532,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13532,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13532,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 13532,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 13532,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 13532,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13532,S000000,00100,0200,07/21/2000 13532,S200000,00100,0100,400 PONTIAC STREET 13532,S200000,00200,0100,LIGONIER 13532,S200000,00200,0200,IN 13532,S200000,00200,0300,46767- 13532,S200000,00300,0100,NOBLE 13532,S200000,00400,0100,OAK LEAF VILLAGE 13532,S200000,00400,0200,155408 13532,S200000,00400,0300,04/01/1996 13532,S200000,00400,0500,P 13532,S200000,01600,0100,Y 13532,S700003,00000,0100,1 13542,S000000,00100,0200,06/02/2000 13551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13551,A000000,00300,0000,00300EMPLOYEE BENEFITS 13551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13551,A000000,00700,0000,00700HOUSEKEEPING 13551,A000000,00800,0000,00800DIETARY 13551,A000000,00900,0000,00900NURSING ADMINISTRATION 13551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13551,A000000,01100,0000,01100PHARMACY 13551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13551,A000000,01300,0000,01300SOCIAL SERVICE 13551,A000000,01350,0000,01500OTHER GENERAL SERVICES 13551,A000000,01351,0000,01501INTEREST 13551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13551,A000000,01600,0000,01600SKILLED NURSING FACILITY 13551,A000000,01800,0000,01800NURSING FACILITY 13551,A000000,01900,0000,01900OTHER LONG TERM CARE 13551,A000000,02100,0000,02100RADIOLOGY 13551,A000000,02200,0000,02200LABORATORY 13551,A000000,02300,0000,02300INTRAVENOUS THERAPY 13551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13551,A000000,02500,0000,02500PHYSICAL THERAPY 13551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13551,A000000,02700,0000,02700SPEECH PATHOLOGY 13551,A000000,02800,0000,02800ELECTROCARDIOLOGY 13551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13551,A000000,03051,0000,03301PEN 13551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13551,A000000,03200,0000,03200SUPPORT SURFACES 13551,A000000,03400,0000,03400CLINIC 13551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13551,A000000,03500,0000,03500RURAL HEALTH CLINIC 13551,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13551,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13551,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13551,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13551,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13551,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13551,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13551,A000000,04400,0000,04400DME RENTED - HHA 13551,A000000,04500,0000,04500DME SOLD - HHA 13551,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13551,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13551,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13551,A000000,04800,0000,04800AMBULANCE 13551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13551,A000000,05000,0000,05000CORF 13551,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13551,A000000,05300,0000,05300INTEREST EXPENSE 13551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13551,A000000,05500,0000,05500HOSPICE 13551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13551,A000000,06100,0000,06100NONPAID WORKERS 13551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13551,A000000,06151,0000,06301PERSONAL PURCHASES 13551,A000000,06200,0000,06200PATIENTS LAUNDRY 13551,A81000A,00100,0100,Y 13551,A81000B,00100,0300,BUILDING 13551,A81000B,00200,0300,EMPLOYEE BENEFITS 13551,A81000B,00300,0300,A&G 13551,A81000B,00400,0300,PLANT OPERATIONS 13551,A81000B,00500,0300,PHYSICAL THERAPIST 13551,A81000B,00600,0300,OCCUPATIONAL THERAPIST 13551,A81000B,00700,0300,SPEECH PATHOLOGIST 13551,A81000C,00100,0100,A 13551,A81000C,00100,0200,CARDON & ASSOCIATES 13551,A81000C,00100,0400,REALTY COMPANY 13551,A81000C,00200,0100,A 13551,A81000C,00200,0200,CARDON & ASSOCIATES 13551,A81000C,00200,0400,MGMT CO 13551,A81000C,00300,0100,A 13551,A81000C,00300,0200,CARDON & ASSOCIATES 13551,A81000C,00300,0400,MGMT CO 13551,A81000C,00400,0100,A 13551,A81000C,00400,0200,CARDON & ASSOCIATES 13551,A81000C,00400,0400,MGMT CO 13551,A81000C,00500,0100,A 13551,A81000C,00500,0200,CARDON & ASSOCIATES 13551,A81000C,00500,0400,MGMT CO 13551,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 13551,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 13551,B100000,00000,0400,00001ACCUM. COST :ADMINISTRATIVE & GENE 13551,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 13551,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 13551,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 13551,B100000,00000,0800,00001MEALS SERVED :DIETARY 13551,B100000,00000,0950,00001TIME SPENT :NURSING ADMINISTRATION 13551,B100000,00000,1050,00001DAYS :CENTRAL SERVICES & SUPPLY 13551,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 13551,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 13551,S000000,00100,0200,08/30/2001 13551,S200000,00100,0100,937 FRY ROAD 13551,S200000,00200,0100,INDIANAPOLIS 13551,S200000,00200,0200,IN 13551,S200000,00300,0100,JOHNSON 13551,S200000,00300,0200,3480 13551,S200000,00300,0300,U 13551,S200000,00400,0100,GREENWOOD CONVALESCENT CTR 13551,S200000,00400,0200,155412 13551,S200000,00400,0300,03/01/1991 13551,S200000,00400,0500,P 13551,S200000,01004,0500,O 13551,S200000,01600,0100,Y 13551,S200000,04900,0100,Y 13560,S000000,00100,0200,11/30/1999 13569,S000000,00100,0200,11/30/1999 13579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13579,A000000,00300,0000,00300EMPLOYEE BENEFITS 13579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13579,A000000,00700,0000,00700HOUSEKEEPING 13579,A000000,00800,0000,00800DIETARY 13579,A000000,00900,0000,00900NURSING ADMINISTRATION 13579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13579,A000000,01100,0000,01100PHARMACY 13579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13579,A000000,01300,0000,01300SOCIAL SERVICE 13579,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13579,A000000,01600,0000,01600SKILLED NURSING FACILITY 13579,A000000,02100,0000,02100RADIOLOGY 13579,A000000,02200,0000,02200LABORATORY 13579,A000000,02300,0000,02300INTRAVENOUS THERAPY 13579,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13579,A000000,02500,0000,02500PHYSICAL THERAPY 13579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13579,A000000,02700,0000,02700SPEECH PATHOLOGY 13579,A000000,02800,0000,02800ELECTROCARDIOLOGY 13579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13579,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13579,A000000,03200,0000,03200SUPPORT SURFACES 13579,A000000,03400,0000,03400CLINIC 13579,A000000,04800,0000,04800AMBULANCE 13579,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13579,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13579,A000000,05300,0000,05300INTEREST EXPENSE 13579,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13579,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13579,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13579,A000000,06100,0000,06100NONPAID WORKERS 13579,A000000,06200,0000,06200PATIENTS LAUNDRY 13579,A81000A,00100,0100,Y 13579,A81000B,00100,0300,CAPITAL 13579,A81000B,00200,0300,ADMIN 13579,A81000C,00100,0100,B 13579,A81000C,00100,0200,EXTENDACARE INC 13579,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13579,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13579,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13579,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13579,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13579,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13579,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13579,B100000,00000,0800,00000MEALS SERVED :DIETARY 13579,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13579,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13579,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13579,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13579,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13579,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13579,S000000,00100,0200,03/01/2000 13579,S200000,00100,0100,522 N LINE STREET 13579,S200000,00200,0100,COLUMBIA CITY 13579,S200000,00200,0200,IN 13579,S200000,00300,0100,46725 WHITLEY 13579,S200000,00400,0100,EXTENDACARE OF COLUMBIA CITY 13579,S200000,00400,0200,155415 13579,S200000,00400,0300,02/01/1996 13579,S200000,00400,0500,P 13579,S200000,01600,0100,Y 13579,S200000,02200,0100,Y 13579,S200000,03100,0100,Y 13579,S700003,00000,0100,1 13588,S000000,00100,0200,11/30/1999 13599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13599,A000000,00300,0000,00300EMPLOYEE BENEFITS 13599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13599,A000000,00700,0000,00700HOUSEKEEPING 13599,A000000,00800,0000,00800DIETARY 13599,A000000,00900,0000,00900NURSING ADMINISTRATION 13599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13599,A000000,01100,0000,01100PHARMACY 13599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13599,A000000,01300,0000,01300SOCIAL SERVICE 13599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13599,A000000,01600,0000,01600SKILLED NURSING FACILITY 13599,A000000,02100,0000,02100RADIOLOGY 13599,A000000,02200,0000,02200LABORATORY 13599,A000000,02300,0000,02300INTRAVENOUS THERAPY 13599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13599,A000000,02500,0000,02500PHYSICAL THERAPY 13599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13599,A000000,02700,0000,02700SPEECH PATHOLOGY 13599,A000000,02800,0000,02800ELECTROCARDIOLOGY 13599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13599,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13599,A000000,03200,0000,03200SUPPORT SURFACES 13599,A000000,03400,0000,03400CLINIC 13599,A000000,04800,0000,04800AMBULANCE 13599,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13599,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13599,A000000,05300,0000,05300INTEREST EXPENSE 13599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13599,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13599,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13599,A000000,06100,0000,06100NONPAID WORKERS 13599,A000000,06200,0000,06200PATIENTS LAUNDRY 13599,A81000A,00100,0100,Y 13599,A81000B,00100,0300,CAPITAL 13599,A81000B,00200,0300,ADMIN 13599,A81000C,00100,0100,B 13599,A81000C,00100,0200,EXTENDACARE INC 13599,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13599,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13599,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13599,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13599,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13599,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13599,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13599,B100000,00000,0800,00000MEALS SERVED :DIETARY 13599,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13599,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13599,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13599,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13599,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13599,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13599,S000000,00100,0200,03/01/2000 13599,S200000,00100,0100,1100 N GARDNER STREET 13599,S200000,00200,0100,SCOTTSBURG 13599,S200000,00200,0200,IN 13599,S200000,00300,0100,47170 SCOTT 13599,S200000,00400,0100,EXTENDACARE OF SCOTTSBURG 13599,S200000,00400,0200,155417 13599,S200000,00400,0300,02/01/1996 13599,S200000,00400,0500,P 13599,S200000,01600,0100,Y 13599,S200000,02200,0100,Y 13599,S200000,03100,0100,Y 13599,S700003,00000,0100,1 13615,S000000,00100,0200,05/22/2000 13624,S000000,00100,0200,11/30/1999 13638,S000000,00100,0200,11/30/1999 13649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13649,A000000,00300,0000,00300EMPLOYEE BENEFITS 13649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13649,A000000,00700,0000,00700HOUSEKEEPING 13649,A000000,00800,0000,00800DIETARY 13649,A000000,00900,0000,00900NURSING ADMINISTRATION 13649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13649,A000000,01100,0000,01100PHARMACY 13649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13649,A000000,01300,0000,01300SOCIAL SERVICE 13649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13649,A000000,01600,0000,01600SKILLED NURSING FACILITY 13649,A000000,02100,0000,02100RADIOLOGY 13649,A000000,02200,0000,02200LABORATORY 13649,A000000,02300,0000,02300INTRAVENOUS THERAPY 13649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13649,A000000,02500,0000,02500PHYSICAL THERAPY 13649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13649,A000000,02700,0000,02700SPEECH PATHOLOGY 13649,A000000,02800,0000,02800ELECTROCARDIOLOGY 13649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13649,A000000,03050,0000,03001AMBULANCE 13649,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13649,A000000,03200,0000,03200SUPPORT SURFACES 13649,A000000,03400,0000,03400CLINIC 13649,A000000,04800,0000,04800AMBULANCE 13649,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13649,A000000,05300,0000,05300INTEREST EXPENSE 13649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13649,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13649,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13649,A000000,06100,0000,06100NONPAID WORKERS 13649,A000000,06200,0000,06200PATIENTS LAUNDRY 13649,A81000A,00100,0100,Y 13649,A81000B,00100,0300,CAPITAL 13649,A81000B,00200,0300,ADMIN 13649,A81000C,00100,0100,B 13649,A81000C,00100,0200,EXTENDACARE INC 13649,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13649,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13649,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13649,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13649,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13649,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13649,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13649,B100000,00000,0800,00000MEALS SERVED :DIETARY 13649,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13649,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13649,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13649,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13649,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13649,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13649,S000000,00100,0200,03/01/2000 13649,S200000,00100,0100,5480 EAST 25TH STREET 13649,S200000,00200,0100,COLUMBUS 13649,S200000,00200,0200,IN 13649,S200000,00300,0100,47203 BARTHOLOMEW 13649,S200000,00400,0100,EXTENDACARE OF COLUMBUS 13649,S200000,00400,0200,155424 13649,S200000,00400,0300,02/01/1996 13649,S200000,00400,0500,P 13649,S200000,01600,0100,Y 13649,S200000,02200,0100,Y 13649,S200000,03100,0100,Y 13649,S700003,00000,0100,1 13660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13660,A000000,00300,0000,00300EMPLOYEE BENEFITS 13660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13660,A000000,00700,0000,00700HOUSEKEEPING 13660,A000000,00800,0000,00800DIETARY 13660,A000000,00900,0000,00900NURSING ADMINISTRATION 13660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13660,A000000,01100,0000,01100PHARMACY 13660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13660,A000000,01300,0000,01300SOCIAL SERVICE 13660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13660,A000000,01600,0000,01600SKILLED NURSING FACILITY 13660,A000000,02100,0000,02100RADIOLOGY 13660,A000000,02200,0000,02200LABORATORY 13660,A000000,02300,0000,02300INTRAVENOUS THERAPY 13660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13660,A000000,02500,0000,02500PHYSICAL THERAPY 13660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13660,A000000,02700,0000,02700SPEECH PATHOLOGY 13660,A000000,02800,0000,02800ELECTROCARDIOLOGY 13660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13660,A000000,03050,0000,03101AMBULANCE 13660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13660,A000000,03200,0000,03200SUPPORT SURFACES 13660,A000000,03400,0000,03400CLINIC 13660,A000000,04800,0000,04800AMBULANCE 13660,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13660,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13660,A000000,05300,0000,05300INTEREST EXPENSE 13660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13660,A000000,06100,0000,06100NONPAID WORKERS 13660,A000000,06200,0000,06200PATIENTS LAUNDRY 13660,A81000A,00100,0100,Y 13660,A81000B,00100,0300,CAPITAL 13660,A81000B,00200,0300,ADMIN 13660,A81000C,00100,0100,B 13660,A81000C,00100,0200,EXTENDACARE INC 13660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13660,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13660,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13660,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13660,B100000,00000,0800,00000MEALS SERVED :DIETARY 13660,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13660,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13660,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13660,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13660,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13660,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13660,S000000,00100,0200,03/01/2000 13660,S200000,00100,0100,PO BOX 738 13660,S200000,00100,0300,PO BOX 73 13660,S200000,00200,0100,MADISON 13660,S200000,00200,0200,IN 13660,S200000,00300,0100,47250 JEFFERSON 13660,S200000,00400,0100,EXTENDACARE OF MADISON 13660,S200000,00400,0200,155427 13660,S200000,00400,0300,02/01/1996 13660,S200000,00400,0500,P 13660,S200000,01600,0100,Y 13660,S200000,02200,0100,Y 13660,S200000,03100,0100,Y 13660,S700003,00000,0100,1 13669,S000000,00100,0200,11/30/1999 13678,S000000,00100,0200,11/30/1999 13689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13689,A000000,00300,0000,00300EMPLOYEE BENEFITS 13689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13689,A000000,00700,0000,00700HOUSEKEEPING 13689,A000000,00800,0000,00800DIETARY 13689,A000000,00900,0000,00900NURSING ADMINISTRATION 13689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13689,A000000,01100,0000,01100PHARMACY 13689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13689,A000000,01300,0000,01300SOCIAL SERVICE 13689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13689,A000000,01600,0000,01600SKILLED NURSING FACILITY 13689,A000000,02100,0000,02100RADIOLOGY 13689,A000000,02200,0000,02200LABORATORY 13689,A000000,02300,0000,02300INTRAVENOUS THERAPY 13689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13689,A000000,02500,0000,02500PHYSICAL THERAPY 13689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13689,A000000,02700,0000,02700SPEECH PATHOLOGY 13689,A000000,02800,0000,02800ELECTROCARDIOLOGY 13689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13689,A000000,03200,0000,03200SUPPORT SURFACES 13689,A000000,03400,0000,03400CLINIC 13689,A000000,04800,0000,04800AMBULANCE 13689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13689,A000000,05300,0000,05300INTEREST EXPENSE 13689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13689,A000000,06100,0000,06100NONPAID WORKERS 13689,A000000,06200,0000,06200PATIENTS LAUNDRY 13689,A81000A,00100,0100,Y 13689,A81000B,01000,0300,CAPITAL 13689,A81000B,01100,0300,ADMIN 13689,A81000C,00100,0100,B 13689,A81000C,00100,0200,EXTENDACARE INC 13689,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13689,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13689,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13689,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13689,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13689,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13689,B100000,00000,0800,00000MEALS SERVED :DIETARY 13689,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13689,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13689,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13689,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13689,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13689,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13689,S000000,00100,0200,03/01/2000 13689,S200000,00100,0100,240 E 18TH STREET 13689,S200000,00200,0100,ROCHESTER 13689,S200000,00200,0200,IN 13689,S200000,00300,0100,46975 FULTON 13689,S200000,00400,0100,EXTENDACARE OF ROCHESTER 13689,S200000,00400,0200,155430 13689,S200000,00400,0300,02/01/1996 13689,S200000,00400,0500,P 13689,S200000,01600,0100,Y 13689,S200000,02200,0100,Y 13689,S200000,03100,0100,Y 13689,S700003,00000,0100,1 13701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13701,A000000,00300,0000,00300EMPLOYEE BENEFITS 13701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13701,A000000,00700,0000,00700HOUSEKEEPING 13701,A000000,00800,0000,00800DIETARY 13701,A000000,00900,0000,00900NURSING ADMINISTRATION 13701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13701,A000000,01100,0000,01100PHARMACY 13701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13701,A000000,01300,0000,01300SOCIAL SERVICE 13701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13701,A000000,01600,0000,01600SKILLED NURSING FACILITY 13701,A000000,01900,0000,01900OTHER LONG TERM CARE 13701,A000000,02100,0000,02100RADIOLOGY 13701,A000000,02200,0000,02200LABORATORY 13701,A000000,02300,0000,02300INTRAVENOUS THERAPY 13701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13701,A000000,02500,0000,02500PHYSICAL THERAPY 13701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13701,A000000,02700,0000,02700SPEECH PATHOLOGY 13701,A000000,02800,0000,02800ELECTROCARDIOLOGY 13701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13701,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13701,A000000,03200,0000,03200SUPPORT SURFACES 13701,A000000,03400,0000,03400CLINIC 13701,A000000,04800,0000,04800AMBULANCE 13701,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13701,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13701,A000000,05300,0000,05300INTEREST EXPENSE 13701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13701,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13701,A000000,06100,0000,06100NONPAID WORKERS 13701,A000000,06200,0000,06200PATIENTS LAUNDRY 13701,A81000A,00100,0100,Y 13701,A81000B,00100,0300,CAPITAL 13701,A81000B,00200,0300,ADMIN & GENERAL 13701,A81000C,00100,0100,F 13701,A81000C,00100,0200,TLC MANAGEMENT 13701,A81000C,00100,0400,TLC MANAGEMENT 13701,A81000C,00100,0600,HEALTHCARE MGMT 13701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13701,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13701,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 13701,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13701,B100000,00000,0800,00000MEALS SERVED :DIETARY 13701,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 13701,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13701,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13701,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 13701,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13701,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13701,S000000,00100,0200,04/17/2000 13701,S200000,00100,0100,910 WEST WALNUT STREET 13701,S200000,00100,0300,95 13701,S200000,00200,0100,ALBANY 13701,S200000,00200,0200,IN 13701,S200000,00300,0100,47320 DELAWARE 13701,S200000,00400,0100,ALBANY HEALTH & REHAB CENTER 13701,S200000,00400,0200,155432 13701,S200000,00400,0300,05/11/1998 13701,S200000,00400,0500,P 13701,S200000,01600,0100,Y 13701,S200000,04700,0100,Y 13701,S700003,00000,0100,1 13711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13711,A000000,00300,0000,00300EMPLOYEE BENEFITS 13711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13711,A000000,00700,0000,00700HOUSEKEEPING 13711,A000000,00800,0000,00800DIETARY 13711,A000000,00900,0000,00900NURSING ADMINISTRATION 13711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13711,A000000,01100,0000,01100PHARMACY 13711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13711,A000000,01300,0000,01300SOCIAL SERVICE 13711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13711,A000000,01600,0000,01600SKILLED NURSING FACILITY 13711,A000000,02100,0000,02100RADIOLOGY 13711,A000000,02200,0000,02200LABORATORY 13711,A000000,02300,0000,02300INTRAVENOUS THERAPY 13711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13711,A000000,02500,0000,02500PHYSICAL THERAPY 13711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13711,A000000,02700,0000,02700SPEECH PATHOLOGY 13711,A000000,02800,0000,02800ELECTROCARDIOLOGY 13711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13711,A000000,03200,0000,03200SUPPORT SURFACES 13711,A000000,03400,0000,03400CLINIC 13711,A000000,04800,0000,04800AMBULANCE 13711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13711,A000000,05300,0000,05300INTEREST EXPENSE 13711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13711,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13711,A000000,06100,0000,06100NONPAID WORKERS 13711,A000000,06200,0000,06200PATIENTS LAUNDRY 13711,A81000A,00100,0100,Y 13711,A81000B,00100,0300,CAPITAL 13711,A81000B,00200,0300,ADMIN 13711,A81000C,00100,0100,B 13711,A81000C,00100,0200,EXTENDACARE INC 13711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13711,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13711,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13711,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13711,B100000,00000,0800,00000MEALS SERVED :DIETARY 13711,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13711,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13711,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13711,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13711,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13711,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13711,S000000,00100,0200,03/01/2000 13711,S200000,00100,0100,2600 N GRAND AVENUE 13711,S200000,00200,0100,CONNERSVILLE 13711,S200000,00200,0200,IN 13711,S200000,00300,0100,47331 FAYETTE 13711,S200000,00400,0100,EXTENDACARE OF CONNERSVILLE 13711,S200000,00400,0200,155434 13711,S200000,00400,0300,02/01/1996 13711,S200000,00400,0500,P 13711,S200000,01600,0100,Y 13711,S200000,02200,0100,Y 13711,S200000,03100,0100,Y 13711,S700003,00000,0100,1 13725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13725,A000000,00300,0000,00300EMPLOYEE BENEFITS 13725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13725,A000000,00700,0000,00700HOUSEKEEPING 13725,A000000,00800,0000,00800DIETARY 13725,A000000,00900,0000,00900NURSING ADMINISTRATION 13725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13725,A000000,01100,0000,01100PHARMACY 13725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13725,A000000,01300,0000,01300SOCIAL SERVICE 13725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13725,A000000,01600,0000,01600SKILLED NURSING FACILITY 13725,A000000,02100,0000,02100RADIOLOGY 13725,A000000,02200,0000,02200LABORATORY 13725,A000000,02300,0000,02300INTRAVENOUS THERAPY 13725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13725,A000000,02500,0000,02500PHYSICAL THERAPY 13725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13725,A000000,02700,0000,02700SPEECH PATHOLOGY 13725,A000000,02800,0000,02800ELECTROCARDIOLOGY 13725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13725,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13725,A000000,03200,0000,03200SUPPORT SURFACES 13725,A000000,03400,0000,03400CLINIC 13725,A000000,04800,0000,04800AMBULANCE 13725,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13725,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13725,A000000,05300,0000,05300INTEREST EXPENSE 13725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13725,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13725,A000000,06100,0000,06100NONPAID WORKERS 13725,A000000,06200,0000,06200PATIENTS LAUNDRY 13725,A81000A,00100,0100,Y 13725,A81000B,00100,0300,CAPITAL 13725,A81000B,00200,0300,ADMIN 13725,A81000C,00100,0100,B 13725,A81000C,00100,0200,EXTENDACARE INC 13725,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13725,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13725,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13725,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13725,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13725,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13725,B100000,00000,0800,00000MEALS SERVED :DIETARY 13725,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13725,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13725,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13725,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13725,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13725,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13725,S000000,00100,0200,03/01/2000 13725,S200000,00100,0100,515 EAST 13TH STREET 13725,S200000,00200,0100,WINIMAC 13725,S200000,00200,0200,IN 13725,S200000,00300,0100,46996 PULASKI 13725,S200000,00400,0100,EXTENDACARE OF WINIMAC 13725,S200000,00400,0200,155436 13725,S200000,00400,0300,04/01/1996 13725,S200000,00400,0500,P 13725,S200000,01600,0100,Y 13725,S200000,02200,0100,Y 13725,S200000,03100,0100,Y 13725,S700003,00000,0100,1 13735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13735,A000000,00300,0000,00300EMPLOYEE BENEFITS 13735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13735,A000000,00700,0000,00700HOUSEKEEPING 13735,A000000,00800,0000,00800DIETARY 13735,A000000,00900,0000,00900NURSING ADMINISTRATION 13735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13735,A000000,01300,0000,01300SOCIAL SERVICE 13735,A000000,01600,0000,01600SKILLED NURSING FACILITY 13735,A000000,01800,0000,01800NURSING FACILITY 13735,A000000,02200,0000,02200LABORATORY 13735,A000000,02500,0000,02500PHYSICAL THERAPY 13735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13735,A000000,02700,0000,02700SPEECH PATHOLOGY 13735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13735,A000000,03201,0000,03201AMBULANCE 13735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13735,A000000,06201,0000,06201ENTERAL FEEDING 13735,A81000A,00100,0100,Y 13735,A81000B,00100,0300,MANAGEMENT FEE 13735,A81000B,00200,0300,RENT 13735,A81000B,00300,0300,UTILITIES 13735,A81000B,00400,0300,DATA PROCESSING 13735,A81000B,00500,0300,OTHER A & G 13735,A81000B,00600,0300,A & G SALARIES 13735,A81000C,00100,0100,A 13735,A81000C,00100,0200,MIKE SWEENEY 13735,A81000C,00100,0400,CENTRAL HC 13735,A81000C,00100,0600,MGT& ACCT SERV 13735,B100000,00000,0100,00001(SQUARE FEET) :CAP REL COSTS - BLD 13735,B100000,00000,0250,00001(SQUARE FEET) :CAP REL COSTS - MOV 13735,B100000,00000,0300,00001(GROSS SALARIES) :EMPLOYEE BENEFIT 13735,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 13735,B100000,00000,0500,00001(SQUARE FEET) :PLANT OPERATION MA 13735,B100000,00000,0650,00001(PATIENT DAYS) :LAUNDRY & LINEN SE 13735,B100000,00000,0750,00001(SQUARE FEET) :HOUSEKEEPING 13735,B100000,00000,0850,00001(PATIENT DAYS) :DIETARY 13735,B100000,00000,0900,00001(DIR NRSG HOURS) :NURSING ADMINISTR 13735,B100000,00000,1250,00001(PATIENT DAYS) :MEDICAL RECORDS & 13735,B100000,00000,1330,00001(PATIENT DAYS) :SOCIAL SERVICE 13735,S000000,00100,0200,04/23/2001 13735,S200000,00100,0100,2630 S KEYSTONE AVE 13735,S200000,00100,0300,0 13735,S200000,00200,0100,INDIANAPOLIS 13735,S200000,00200,0200,IN 13735,S200000,00200,0300,46203- 13735,S200000,00300,0100,MARION 13735,S200000,00300,0200,3480 13735,S200000,00300,0300,U 13735,S200000,00400,0100,KEYSTONE HEALTHCARE 13735,S200000,00400,0200,155437 13735,S200000,00400,0300,03/15/1997 13735,S200000,00400,0500,P 13735,S200000,01004,0500,O 13735,S200000,01600,0100,Y 13744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13744,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13744,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13744,A000000,00300,0000,00300EMPLOYEE BENEFITS 13744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13744,A000000,00700,0000,00700HOUSEKEEPING 13744,A000000,00800,0000,00800DIETARY 13744,A000000,00801,0000,00801CAFETERIA 13744,A000000,00900,0000,00900NURSING ADMINISTRATION 13744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13744,A000000,01100,0000,01100PHARMACY 13744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13744,A000000,01300,0000,01300SOCIAL SERVICE 13744,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13744,A000000,01600,0000,01600SKILLED NURSING FACILITY 13744,A000000,01800,0000,01800NURSING FACILITY 13744,A000000,01900,0000,01900OTHER LONG TERM CARE 13744,A000000,02100,0000,02100RADIOLOGY 13744,A000000,02200,0000,02200LABORATORY 13744,A000000,02300,0000,02300INTRAVENOUS THERAPY 13744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13744,A000000,02500,0000,02500PHYSICAL THERAPY 13744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13744,A000000,02700,0000,02700SPEECH PATHOLOGY 13744,A000000,02800,0000,02800ELECTROCARDIOLOGY 13744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13744,A000000,03050,0000,03300OTHER ANCILLARY 13744,A000000,03051,0000,03301OTHER ANCILLARY II 13744,A000000,03052,0000,03302OTHER ANCILLARY III 13744,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13744,A000000,03200,0000,03200SUPPORT SURFACES 13744,A000000,03400,0000,03400CLINIC 13744,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13744,A000000,03500,0000,03500RURAL HEALTH CLINIC 13744,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13744,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13744,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13744,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13744,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13744,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13744,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13744,A000000,04400,0000,04400DME RENTED - HHA 13744,A000000,04500,0000,04500DME SOLD - HHA 13744,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13744,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13744,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13744,A000000,04800,0000,04800AMBULANCE 13744,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13744,A000000,05000,0000,05000CORF 13744,A000000,05010,0000,05010CMHC I 13744,A000000,05020,0000,05020OPT I 13744,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13744,A000000,05300,0000,05300INTEREST EXPENSE 13744,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13744,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13744,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13744,A000000,05500,0000,05500HOSPICE 13744,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13744,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13744,A000000,06100,0000,06100NONPAID WORKERS 13744,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13744,A000000,06200,0000,06200PATIENTS LAUNDRY 13744,A81000A,00100,0100,Y 13744,A81000B,00100,0300,HOME OFFICE 13744,A81000B,00200,0300,HOME OFFICE 13744,A81000C,00100,0100,B 13744,A81000C,00100,0200,CLINTON 13744,A81000C,00100,0400,EXXEX HEALTHCAE 13744,A81000C,00100,0600,HOME OFFICE 13744,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13744,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 13744,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13744,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 13744,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13744,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13744,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13744,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 13744,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13744,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13744,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 13744,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 13744,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13744,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 13744,B100000,00000,1250,00000(GROSS CHARGES) :MEDICAL RECORDS & 13744,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13744,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 13744,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 13744,E10A180,00501,0100,08/29/2000 13744,S000000,00100,0200,08/17/2000 13744,S200000,00100,0100,700 SOUTH MAIN S PO BOX 13744,S200000,00200,0100,CLINTON 13744,S200000,00200,0200,IN 13744,S200000,00300,0100,VEMILLION 13744,S200000,00400,0100,CLINTON 13744,S200000,00400,0200,155440 13744,S200000,00400,0300,05/01/1992 13744,S200000,00400,0500,P 13744,S200000,01600,0100,Y 13744,S200000,04300,0100,Y 13744,S700003,00000,0100,1 13753,S000000,00100,0200,11/30/1999 13764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13764,A000000,00300,0000,00300EMPLOYEE BENEFITS 13764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13764,A000000,00700,0000,00700HOUSEKEEPING 13764,A000000,00800,0000,00800DIETARY 13764,A000000,00900,0000,00900NURSING ADMINISTRATION 13764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13764,A000000,01100,0000,01100PHARMACY 13764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13764,A000000,01300,0000,01300SOCIAL SERVICE 13764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13764,A000000,01600,0000,01600SKILLED NURSING FACILITY 13764,A000000,02100,0000,02100RADIOLOGY 13764,A000000,02200,0000,02200LABORATORY 13764,A000000,02300,0000,02300INTRAVENOUS THERAPY 13764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13764,A000000,02500,0000,02500PHYSICAL THERAPY 13764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13764,A000000,02700,0000,02700SPEECH PATHOLOGY 13764,A000000,02800,0000,02800ELECTROCARDIOLOGY 13764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13764,A000000,03200,0000,03200SUPPORT SURFACES 13764,A000000,03400,0000,03400CLINIC 13764,A000000,04800,0000,04800AMBULANCE 13764,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13764,A000000,05300,0000,05300INTEREST EXPENSE 13764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13764,A000000,06100,0000,06100NONPAID WORKERS 13764,A000000,06200,0000,06200PATIENTS LAUNDRY 13764,A81000A,00100,0100,Y 13764,A81000B,01000,0300,CAPITAL 13764,A81000B,01100,0300,ADMIN 13764,A81000C,00100,0100,B 13764,A81000C,00100,0200,EXTENDACARE IN 13764,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13764,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13764,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13764,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13764,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13764,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13764,B100000,00000,0800,00000MEALS SERVED :DIETARY 13764,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13764,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13764,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13764,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13764,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13764,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13764,S000000,00100,0200,03/01/2000 13764,S200000,00100,0100,1130 N MAIN STREET 13764,S200000,00200,0100,FRANKLIN 13764,S200000,00200,0200,IN 13764,S200000,00300,0100,46131 JOHNSON 13764,S200000,00400,0100,EXTENDACARE OF FRANKLIN 13764,S200000,00400,0200,155442 13764,S200000,00400,0300,02/01/1996 13764,S200000,00400,0500,P 13764,S200000,01600,0100,Y 13764,S200000,02200,0100,Y 13764,S200000,03100,0100,Y 13764,S700003,00000,0100,1 13773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13773,A000000,00300,0000,00300EMPLOYEE BENEFITS 13773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13773,A000000,00700,0000,00700HOUSEKEEPING 13773,A000000,00800,0000,00800DIETARY 13773,A000000,00900,0000,00900NURSING ADMINISTRATION 13773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13773,A000000,01100,0000,01100PHARMACY 13773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13773,A000000,01300,0000,01300SOCIAL SERVICE 13773,A000000,01600,0000,01600SKILLED NURSING FACILITY 13773,A000000,01800,0000,01800NURSING FACILITY 13773,A000000,01900,0000,01900OTHER LONG TERM CARE 13773,A000000,02100,0000,02100RADIOLOGY 13773,A000000,02200,0000,02200LABORATORY 13773,A000000,02300,0000,02300INTRAVENOUS THERAPY 13773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13773,A000000,02500,0000,02500PHYSICAL THERAPY 13773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13773,A000000,02700,0000,02700SPEECH PATHOLOGY 13773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13773,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 13773,A000000,04800,0000,04800AMBULANCE 13773,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13773,A81000A,00100,0100,Y 13773,A81000B,00100,0300,HOME OFFICE ALLOC 13773,A81000B,00200,0300,HOME OFFICE ALLOC 13773,A81000B,00400,0300,PHYSICAL THERAPY 13773,A81000B,00500,0300,OCCUPATIONAL THERAPY 13773,A81000B,00600,0300,SPEECH THERAPY 13773,A81000C,00100,0100,A 13773,A81000C,00100,0200,COVENANT CARE INC 13773,A81000C,00100,0400,COVENANT CARE INC. 13773,A81000C,00100,0600,HEALTH CARE 13773,A81000C,00200,0100,B 13773,A81000C,00200,0200,PHARMACY 13773,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 13773,A81000C,00200,0600,PHARMACY - HEALTH CARE 13773,A81000C,00300,0100,C 13773,A81000C,00300,0200,THERAPY 13773,A81000C,00300,0400,SELECT THEREAPY 13773,A81000C,00300,0600,THERAPY SERVICES 13773,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13773,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13773,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13773,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13773,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13773,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13773,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13773,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13773,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13773,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13773,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13773,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13773,S000000,00100,0200,06/01/2000 13773,S200000,00100,0100,3720 NORTH NORWOOD ROAD 13773,S200000,00200,0100,HUNTINGTON 13773,S200000,00200,0200,IN 13773,S200000,00200,0300,46750- 13773,S200000,00300,0100,FORT WAYNE 13773,S200000,00400,0100,NORWOOD NURSING CENTER 13773,S200000,00400,0200,155444 13773,S200000,00400,0300,06/01/1992 13773,S200000,00400,0500,P 13773,S200000,00600,0200,155444 13773,S200000,00600,0300,06/01/1992 13773,S200000,00600,0600,P 13773,S200000,01600,0100,Y 13773,S700003,00000,0100,1 13781,S000000,00100,0200,11/30/1999 13792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13792,A000000,00300,0000,00300EMPLOYEE BENEFITS 13792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13792,A000000,00700,0000,00700HOUSEKEEPING 13792,A000000,00800,0000,00800DIETARY 13792,A000000,00900,0000,00900NURSING ADMINISTRATION 13792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13792,A000000,01100,0000,01100PHARMACY 13792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13792,A000000,01300,0000,01300SOCIAL SERVICE 13792,A000000,01600,0000,01600SKILLED NURSING FACILITY 13792,A000000,01800,0000,01800NURSING FACILITY 13792,A000000,01900,0000,01900OTHER LONG TERM CARE 13792,A000000,02100,0000,02100RADIOLOGY 13792,A000000,02200,0000,02200LABORATORY 13792,A000000,02300,0000,02300INTRAVENOUS THERAPY 13792,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13792,A000000,02500,0000,02500PHYSICAL THERAPY 13792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13792,A000000,02700,0000,02700SPEECH PATHOLOGY 13792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13792,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 13792,A000000,04800,0000,04800AMBULANCE 13792,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13792,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13792,A81000A,00100,0100,Y 13792,A81000B,00100,0300,HOME OFFICE ALLOC 13792,A81000B,00200,0300,HOME OFFICE ALLOC 13792,A81000B,00400,0300,PHYSICAL THERAPY 13792,A81000B,00500,0300,OCCUPATIONAL THERAPY 13792,A81000B,00600,0300,SPEECH THERAPY 13792,A81000C,00100,0100,A 13792,A81000C,00100,0200,COVENANT CARE INC 13792,A81000C,00100,0400,COVENANT CARE INC. 13792,A81000C,00100,0600,HEALTH CARE 13792,A81000C,00200,0100,A 13792,A81000C,00300,0100,C 13792,A81000C,00300,0200,THERAPY 13792,A81000C,00300,0400,SELECT THEREAPY 13792,A81000C,00300,0600,THERAPY SERVICES 13792,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13792,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13792,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13792,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13792,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13792,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13792,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13792,B100000,00000,0850,00000SQUARE FEET :DIETARY 13792,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13792,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13792,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13792,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 13792,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13792,S000000,00100,0200,06/01/2000 13792,S200000,00100,0100,5700 WILKIE DRIVE 13792,S200000,00200,0100,FORT WAYNE 13792,S200000,00200,0200,IN 13792,S200000,00200,0300,46804- 13792,S200000,00300,0100,FORT WAYNE 13792,S200000,00400,0100,COVINGTON MANOR 13792,S200000,00400,0200,155446 13792,S200000,00400,0300,06/01/1992 13792,S200000,00400,0500,P 13792,S200000,00600,0200,155446 13792,S200000,00600,0300,06/01/1992 13792,S200000,01600,0100,Y 13792,S700003,00000,0100,1 13805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13805,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 13805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13805,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 13805,A000000,00300,0000,00300EMPLOYEE BENEFITS 13805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13805,A000000,00700,0000,00700HOUSEKEEPING 13805,A000000,00800,0000,00800DIETARY 13805,A000000,00801,0000,00801CAFETERIA 13805,A000000,00900,0000,00900NURSING ADMINISTRATION 13805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13805,A000000,01100,0000,01100PHARMACY 13805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13805,A000000,01300,0000,01300SOCIAL SERVICE 13805,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13805,A000000,01600,0000,01600SKILLED NURSING FACILITY 13805,A000000,01800,0000,01800NURSING FACILITY 13805,A000000,01900,0000,01900OTHER LONG TERM CARE 13805,A000000,02100,0000,02100RADIOLOGY 13805,A000000,02200,0000,02200LABORATORY 13805,A000000,02300,0000,02300INTRAVENOUS THERAPY 13805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13805,A000000,02500,0000,02500PHYSICAL THERAPY 13805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13805,A000000,02700,0000,02700SPEECH PATHOLOGY 13805,A000000,02800,0000,02800ELECTROCARDIOLOGY 13805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13805,A000000,03050,0000,03300OTHER ANCILLARY 13805,A000000,03051,0000,03301OTHER ANCILLARY II 13805,A000000,03052,0000,03302OTHER ANCILLARY III 13805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13805,A000000,03200,0000,03200SUPPORT SURFACES 13805,A000000,03400,0000,03400CLINIC 13805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 13805,A000000,03500,0000,03500RURAL HEALTH CLINIC 13805,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13805,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13805,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13805,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13805,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13805,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13805,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13805,A000000,04400,0000,04400DME RENTED - HHA 13805,A000000,04500,0000,04500DME SOLD - HHA 13805,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13805,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13805,A000000,04800,0000,04800AMBULANCE 13805,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13805,A000000,05000,0000,05000CORF 13805,A000000,05010,0000,05010CMHC I 13805,A000000,05020,0000,05020OPT I 13805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13805,A000000,05300,0000,05300INTEREST EXPENSE 13805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 13805,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 13805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13805,A000000,05500,0000,05500HOSPICE 13805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13805,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13805,A000000,06100,0000,06100NONPAID WORKERS 13805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13805,A000000,06200,0000,06200PATIENTS LAUNDRY 13805,A81000A,00100,0100,Y 13805,A81000B,00100,0300,MANGAMENT FEES 13805,A81000B,00200,0300,PAYROLL PROCESSING FEES 13805,A81000B,00300,0300,DIETARY SUPPLIES 13805,A81000B,00400,0300,CENTRAL SVC SUPP 13805,A81000B,00500,0300,CHARGEABLE MED.SUPPLIES 13805,A81000B,00600,0300,MED EQUIPMENT RENTAL 13805,A81000B,00700,0300,OCCUP THERAPY 13805,A81000B,00800,0300,SPEECH THERAPY 13805,A81000B,00900,0300,PHY THERAPY 13805,A81000C,00100,0100,G 13805,A81000C,00100,0200,CENT & CENTPTS 13805,A81000C,00100,0400,CENT HLTC 13805,A81000C,00100,0600,HO & SUPP 13805,A81000C,00200,0100,G 13805,A81000C,00200,0200,CENT PTS 13805,A81000C,00200,0400,CENT HLTC 13805,A81000C,00200,0600,SUPPLIES 13805,A81000C,00300,0100,G 13805,A81000C,00300,0200,CENT PTS 13805,A81000C,00300,0400,CENT HLTC 13805,A81000C,00300,0600,SUPPLIES 13805,A81000C,00400,0100,G 13805,A81000C,00400,0200,CENT PTS 13805,A81000C,00400,0400,CENT HLTC 13805,A81000C,00400,0600,SUPPLIES 13805,A81000C,00500,0100,G 13805,A81000C,00500,0200,CENT PTS 13805,A81000C,00500,0400,CENT HLTC 13805,A81000C,00500,0600,SUPPLIES 13805,A81000C,00600,0100,G 13805,A81000C,00600,0200,PARAGON 13805,A81000C,00600,0400,CENT HLTC 13805,A81000C,00600,0600,THERAPY 13805,A81000C,00700,0100,G 13805,A81000C,00700,0200,PARAGON 13805,A81000C,00700,0400,CENT HLTC 13805,A81000C,00700,0600,THERAPY 13805,A81000C,00800,0100,G 13805,A81000C,00800,0200,PARAGON 13805,A81000C,00800,0400,CENT HLTC 13805,A81000C,00800,0600,THERAPY 13805,A81000C,00900,0100,G 13805,A81000C,00900,0200,CENT PTS 13805,A81000C,00900,0400,CENT HLTC 13805,A81000C,00900,0600,SUPPLIES 13805,A81000C,03100,0000,NURSG 13805,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 13805,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 13805,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 13805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13805,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 13805,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 13805,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 13805,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 13805,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 13805,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 13805,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 13805,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 13805,S000000,00100,0200,06/01/2000 13805,S200000,00100,0100,710 MICHIGAN STREET 13805,S200000,00200,0100,LOWELL 13805,S200000,00200,0200,IN 13805,S200000,00200,0300,46356- 13805,S200000,00300,0100,LAKE 13805,S200000,00300,0200,2960 13805,S200000,00300,0300,U 13805,S200000,00400,0100,LOWELL HEALTHCARE 13805,S200000,00400,0200,155448 13805,S200000,00400,0300,07/01/1992 13805,S200000,00400,0500,P 13805,S200000,01500,0100,Y 13805,S200000,02200,0100,Y 13814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13814,A000000,00300,0000,00300EMPLOYEE BENEFITS 13814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13814,A000000,00700,0000,00700HOUSEKEEPING 13814,A000000,00800,0000,00800DIETARY 13814,A000000,00900,0000,00900NURSING ADMINISTRATION 13814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13814,A000000,01100,0000,01100PHARMACY 13814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13814,A000000,01300,0000,01300SOCIAL SERVICE 13814,A000000,01350,0000,01500OTHER GENERAL SERVICES 13814,A000000,01600,0000,01600SKILLED NURSING FACILITY 13814,A000000,01800,0000,01800NURSING FACILITY 13814,A000000,01900,0000,01900OTHER LONG TERM CARE 13814,A000000,02100,0000,02100RADIOLOGY 13814,A000000,02200,0000,02200LABORATORY 13814,A000000,02300,0000,02300INTRAVENOUS THERAPY 13814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13814,A000000,02500,0000,02500PHYSICAL THERAPY 13814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13814,A000000,02700,0000,02700SPEECH PATHOLOGY 13814,A000000,02800,0000,02800ELECTROCARDIOLOGY 13814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13814,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13814,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13814,A000000,03200,0000,03200SUPPORT SURFACES 13814,A000000,03400,0000,03400CLINIC 13814,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13814,A000000,03500,0000,03500RURAL HEALTH CLINIC 13814,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13814,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13814,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13814,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13814,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13814,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13814,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13814,A000000,04400,0000,04400DME RENTED - HHA 13814,A000000,04500,0000,04500DME SOLD - HHA 13814,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13814,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13814,A000000,04800,0000,04800AMBULANCE 13814,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13814,A000000,05000,0000,05000CORF 13814,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13814,A000000,05300,0000,05300INTEREST EXPENSE 13814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13814,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13814,A000000,05500,0000,05500HOSPICE 13814,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13814,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13814,A000000,06100,0000,06100NONPAID WORKERS 13814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13814,A000000,06200,0000,06200PATIENTS LAUNDRY 13814,A81000A,00100,0100,Y 13814,A81000B,00100,0300,HOME OFFICE EXPENSE 13814,A81000C,00100,0100,A 13814,A81000C,00100,0200,ROCKY LEMON 13814,A81000C,00100,0400,CRESCENT HEALTH SERVICES 13814,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13814,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13814,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13814,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13814,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13814,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13814,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13814,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13814,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13814,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13814,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13814,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13814,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13814,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13814,S000000,00100,0200,06/01/2000 13814,S200000,00100,0100,516 N. WILLIAMS STREET 13814,S200000,00200,0100,ANGOLA 13814,S200000,00200,0200,IN 13814,S200000,00200,0300,46703- 13814,S200000,00300,0100,STEUBEN 13814,S200000,00400,0100,CARLIN PARK 13814,S200000,00400,0200,155449 13814,S200000,00400,0300,07/01/1992 13814,S200000,00400,0500,P 13814,S200000,01600,0100,Y 13814,S700003,00000,0100,1 13828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13828,A000000,00300,0000,00300EMPLOYEE BENEFITS 13828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13828,A000000,00700,0000,00700HOUSEKEEPING 13828,A000000,00800,0000,00800DIETARY 13828,A000000,00900,0000,00900NURSING ADMINISTRATION 13828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13828,A000000,01100,0000,01100PHARMACY 13828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13828,A000000,01300,0000,01300SOCIAL SERVICE 13828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13828,A000000,01600,0000,01600SKILLED NURSING FACILITY 13828,A000000,02100,0000,02100RADIOLOGY 13828,A000000,02200,0000,02200LABORATORY 13828,A000000,02300,0000,02300INTRAVENOUS THERAPY 13828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13828,A000000,02500,0000,02500PHYSICAL THERAPY 13828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13828,A000000,02700,0000,02700SPEECH PATHOLOGY 13828,A000000,02800,0000,02800ELECTROCARDIOLOGY 13828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13828,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13828,A000000,03200,0000,03200SUPPORT SURFACES 13828,A000000,03400,0000,03400CLINIC 13828,A000000,04800,0000,04800AMBULANCE 13828,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13828,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13828,A000000,05300,0000,05300INTEREST EXPENSE 13828,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13828,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13828,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13828,A000000,06100,0000,06100NONPAID WORKERS 13828,A000000,06200,0000,06200PATIENTS LAUNDRY 13828,A81000A,00100,0100,Y 13828,A81000B,01000,0300,CAPITAL 13828,A81000B,01100,0300,ADMIN 13828,A81000C,00100,0100,B 13828,A81000C,00100,0200,EXTENDACARE INC 13828,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13828,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13828,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13828,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13828,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13828,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13828,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13828,B100000,00000,0800,00000MEALS SERVED :DIETARY 13828,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13828,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13828,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13828,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13828,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13828,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13828,S000000,00100,0200,03/01/2000 13828,S200000,00100,0100,2302 N CHESTER BLVD 13828,S200000,00200,0100,RICHMOND 13828,S200000,00200,0200,IN 13828,S200000,00300,0100,47374 WAYNE 13828,S200000,00400,0100,EXTENDACARE OF RICHMOND 13828,S200000,00400,0200,155451 13828,S200000,00400,0300,02/01/1996 13828,S200000,00400,0500,P 13828,S200000,01600,0100,Y 13828,S200000,02200,0100,Y 13828,S200000,03100,0100,Y 13828,S700003,00000,0100,1 13848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13848,A000000,00300,0000,00300EMPLOYEE BENEFITS 13848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13848,A000000,00700,0000,00700HOUSEKEEPING 13848,A000000,00800,0000,00800DIETARY 13848,A000000,00900,0000,00900NURSING ADMINISTRATION 13848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13848,A000000,01100,0000,01100PHARMACY 13848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13848,A000000,01300,0000,01300SOCIAL SERVICE 13848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13848,A000000,01600,0000,01600SKILLED NURSING FACILITY 13848,A000000,01900,0000,01900OTHER LONG TERM CARE 13848,A000000,02100,0000,02100RADIOLOGY 13848,A000000,02200,0000,02200LABORATORY 13848,A000000,02300,0000,02300INTRAVENOUS THERAPY 13848,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13848,A000000,02500,0000,02500PHYSICAL THERAPY 13848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13848,A000000,02700,0000,02700SPEECH PATHOLOGY 13848,A000000,02800,0000,02800ELECTROCARDIOLOGY 13848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13848,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13848,A000000,03200,0000,03200SUPPORT SURFACES 13848,A000000,03400,0000,03400CLINIC 13848,A000000,04800,0000,04800AMBULANCE 13848,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13848,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13848,A000000,05300,0000,05300INTEREST EXPENSE 13848,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13848,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13848,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13848,A000000,06100,0000,06100NONPAID WORKERS 13848,A000000,06200,0000,06200PATIENTS LAUNDRY 13848,A81000A,00100,0100,Y 13848,A81000B,00100,0300,CAPITAL 13848,A81000B,00200,0300,ADMIN. 13848,A81000C,00100,0100,B 13848,A81000C,00100,0200,EXTENDACARE INC 13848,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13848,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13848,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13848,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13848,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13848,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13848,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13848,B100000,00000,0800,00000MEALS SERVED :DIETARY 13848,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13848,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13848,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13848,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13848,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13848,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13848,S000000,00100,0200,03/01/2000 13848,S200000,00100,0100,801 N. ELM STREET 13848,S200000,00200,0100,NORTH VERNON 13848,S200000,00200,0200,IN 13848,S200000,00300,0100,47265 JENNINGS 13848,S200000,00400,0100,EXTENDACARE OF NORTH VERNON 13848,S200000,00400,0200,155453 13848,S200000,00400,0300,02/01/1996 13848,S200000,00400,0500,P 13848,S200000,01600,0100,Y 13848,S200000,02200,0100,Y 13848,S200000,03100,0100,Y 13848,S700003,00000,0100,1 13856,S000000,00100,0200,11/30/1999 13865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13865,A000000,00300,0000,00300EMPLOYEE BENEFITS 13865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13865,A000000,00700,0000,00700HOUSEKEEPING 13865,A000000,00800,0000,00800DIETARY 13865,A000000,00900,0000,00900NURSING ADMINISTRATION 13865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13865,A000000,01100,0000,01100PHARMACY 13865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13865,A000000,01300,0000,01300SOCIAL SERVICE 13865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13865,A000000,01600,0000,01600SKILLED NURSING FACILITY 13865,A000000,01900,0000,01900OTHER LONG TERM CARE 13865,A000000,02100,0000,02100RADIOLOGY 13865,A000000,02200,0000,02200LABORATORY 13865,A000000,02300,0000,02300INTRAVENOUS THERAPY 13865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13865,A000000,02500,0000,02500PHYSICAL THERAPY 13865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13865,A000000,02700,0000,02700SPEECH PATHOLOGY 13865,A000000,02800,0000,02800ELECTROCARDIOLOGY 13865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13865,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13865,A000000,03200,0000,03200SUPPORT SURFACES 13865,A000000,03400,0000,03400CLINIC 13865,A000000,04800,0000,04800AMBULANCE 13865,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13865,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13865,A000000,05300,0000,05300INTEREST EXPENSE 13865,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13865,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13865,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13865,A000000,06100,0000,06100NONPAID WORKERS 13865,A000000,06200,0000,06200PATIENTS LAUNDRY 13865,A81000A,00100,0100,Y 13865,A81000B,00100,0300,CAPITAL 13865,A81000B,00200,0300,ADMIN & GENERAL 13865,A81000C,00100,0100,F 13865,A81000C,00100,0200,TLC MANAGEMENT 13865,A81000C,00100,0400,TLC MANAGEMENT 13865,A81000C,00100,0600,HEALTHCARE MGMT 13865,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13865,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13865,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13865,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13865,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 13865,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13865,B100000,00000,0800,00000MEALS SERVED :DIETARY 13865,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 13865,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13865,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13865,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 13865,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 13865,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13865,S000000,00100,0200,04/17/2000 13865,S200000,00100,0100,730 WEST 35TH STREET 13865,S200000,00200,0100,MARION 13865,S200000,00200,0200,IN 13865,S200000,00300,0100,46953 GRANT 13865,S200000,00400,0100,WESLEYAN HEALTH CARE CENTER 13865,S200000,00400,0200,155455 13865,S200000,00400,0300,06/01/1992 13865,S200000,00400,0500,P 13865,S200000,01600,0100,Y 13865,S200000,04700,0100,Y 13865,S700003,00000,0100,1 13873,S000000,00100,0200,11/30/1999 13882,S000000,00100,0200,11/30/1999 13891,S000000,00100,0200,11/30/1999 13902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13902,A000000,00300,0000,00300EMPLOYEE BENEFITS 13902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13902,A000000,00700,0000,00700HOUSEKEEPING 13902,A000000,00800,0000,00800DIETARY 13902,A000000,00900,0000,00900NURSING ADMINISTRATION 13902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13902,A000000,01100,0000,01100PHARMACY 13902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13902,A000000,01300,0000,01300SOCIAL SERVICE 13902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13902,A000000,01600,0000,01600SKILLED NURSING FACILITY 13902,A000000,02100,0000,02100RADIOLOGY 13902,A000000,02200,0000,02200LABORATORY 13902,A000000,02300,0000,02300INTRAVENOUS THERAPY 13902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13902,A000000,02500,0000,02500PHYSICAL THERAPY 13902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13902,A000000,02700,0000,02700SPEECH PATHOLOGY 13902,A000000,02800,0000,02800ELECTROCARDIOLOGY 13902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13902,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13902,A000000,03200,0000,03200SUPPORT SURFACES 13902,A000000,03400,0000,03400CLINIC 13902,A000000,04800,0000,04800AMBULANCE 13902,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13902,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13902,A000000,05300,0000,05300INTEREST EXPENSE 13902,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13902,A000000,06100,0000,06100NONPAID WORKERS 13902,A000000,06200,0000,06200PATIENTS LAUNDRY 13902,A81000A,00100,0100,Y 13902,A81000B,01000,0300,CAPITAL 13902,A81000B,01100,0300,ADMIN 13902,A81000C,01001,0100,B 13902,A81000C,01001,0200,EXTENDACARE INC 13902,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13902,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 13902,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13902,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13902,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13902,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13902,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13902,B100000,00000,0800,00000MEALS SERVED :DIETARY 13902,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 13902,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 13902,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13902,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13902,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13902,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13902,S000000,00100,0200,03/01/2000 13902,S200000,00100,0100,901 N 16TH STREET 13902,S200000,00200,0100,NEW CASTLE 13902,S200000,00200,0200,IN 13902,S200000,00300,0100,47362 HENRY 13902,S200000,00400,0100,EXTENDACARE OF NEW CASTLE 13902,S200000,00400,0200,155459 13902,S200000,00400,0300,02/01/1996 13902,S200000,00400,0500,P 13902,S200000,01600,0100,Y 13902,S200000,02200,0100,Y 13902,S200000,03100,0100,Y 13902,S700003,00000,0100,1 13906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13906,A000000,00300,0000,00300EMPLOYEE BENEFITS 13906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13906,A000000,00700,0000,00700HOUSEKEEPING 13906,A000000,00800,0000,00800DIETARY 13906,A000000,00900,0000,00900NURSING ADMINISTRATION 13906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13906,A000000,01100,0000,01100PHARMACY 13906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13906,A000000,01300,0000,01300SOCIAL SERVICE 13906,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13906,A000000,01600,0000,01600SKILLED NURSING FACILITY 13906,A000000,01800,0000,01800NURSING FACILITY 13906,A000000,01810,0000,01810ICF/MR 13906,A000000,01900,0000,01900OTHER LONG TERM CARE 13906,A000000,02100,0000,02100RADIOLOGY 13906,A000000,02200,0000,02200LABORATORY 13906,A000000,02300,0000,02300INTRAVENOUS THERAPY 13906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13906,A000000,02500,0000,02500PHYSICAL THERAPY 13906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13906,A000000,02700,0000,02700SPEECH PATHOLOGY 13906,A000000,02800,0000,02800ELECTROCARDIOLOGY 13906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 13906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13906,A000000,03200,0000,03200SUPPORT SURFACES 13906,A000000,03400,0000,03400CLINIC 13906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 13906,A000000,03500,0000,03500RURAL HEALTH CLINIC 13906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13906,A000000,04400,0000,04400DME RENTED - HHA 13906,A000000,04500,0000,04500DME SOLD - HHA 13906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13906,A000000,04800,0000,04800AMBULANCE 13906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13906,A000000,05000,0000,05000CORF 13906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13906,A000000,05300,0000,05300INTEREST EXPENSE 13906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13906,A000000,05500,0000,05500HOSPICE 13906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13906,A000000,06100,0000,06100NONPAID WORKERS 13906,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 13906,A000000,06200,0000,06200PATIENTS LAUNDRY 13906,A81000A,00100,0100,Y 13906,A81000B,00100,0300,HOME OFFICE EXPENSE 13906,A81000B,00200,0300,HOME OFFICE EXPENSE 13906,A81000B,00300,0300,MAINTENANCE SUPPLIES 13906,A81000B,00400,0300,FOOD SUPPLEMENTS 13906,A81000B,00500,0300,NURSING SUPPLIES 13906,A81000B,00600,0300,OT SUPPLIES 13906,A81000B,00700,0300,MEDICAL SUPPLIES 13906,A81000C,00100,0100,B 13906,A81000C,00100,0200,PRAIRIE VILLAGE 13906,A81000C,00100,0400,ADVENTIST CARE 13906,A81000C,00100,0600,NURSING HOME CO 13906,A81000C,00200,0100,G 13906,A81000C,00200,0200,PRAIRIE VILLAGE 13906,A81000C,00200,0400,Q-CARE 13906,A81000C,00200,0600,MEDICAL SUPPLY 13906,A81000C,03100,0000,PRAIRIE VILLAGE LIVING CENTER 13906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13906,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13906,B100000,00000,0800,00000MEALS SERVED :DIETARY 13906,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13906,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 13906,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 13906,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13906,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13906,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 13906,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13906,S000000,00100,0200,06/05/2000 13906,S200000,00100,0100,1401 HIGHWAY 57 SOUTH 13906,S200000,00200,0100,WASHINGTON 13906,S200000,00200,0200,IN 13906,S200000,00200,0300,47501- 13906,S200000,00300,0100,DAVIESS 13906,S200000,00400,0100,PRAIRIE VILLAGE LIVING CENTER 13906,S200000,00400,0200,155461 13906,S200000,00400,0300,07/01/1992 13906,S200000,00400,0500,P 13906,S200000,01600,0100,Y 13906,S700003,00000,0100,1 13916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13916,A000000,00300,0000,00300EMPLOYEE BENEFITS 13916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13916,A000000,00700,0000,00700HOUSEKEEPING 13916,A000000,00800,0000,00800DIETARY 13916,A000000,00900,0000,00900NURSING ADMINISTRATION 13916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13916,A000000,01100,0000,01100PHARMACY 13916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13916,A000000,01300,0000,01300SOCIAL SERVICE 13916,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13916,A000000,01600,0000,01600SKILLED NURSING FACILITY 13916,A000000,01800,0000,01800NURSING FACILITY 13916,A000000,01810,0000,01810ICF/MR 13916,A000000,01900,0000,01900OTHER LONG TERM CARE 13916,A000000,02100,0000,02100RADIOLOGY 13916,A000000,02200,0000,02200LABORATORY 13916,A000000,02300,0000,02300INTRAVENOUS THERAPY 13916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13916,A000000,02500,0000,02500PHYSICAL THERAPY 13916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13916,A000000,02700,0000,02700SPEECH PATHOLOGY 13916,A000000,02800,0000,02800ELECTROCARDIOLOGY 13916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13916,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 13916,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13916,A000000,03200,0000,03200SUPPORT SURFACES 13916,A000000,03400,0000,03400CLINIC 13916,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 13916,A000000,03500,0000,03500RURAL HEALTH CLINIC 13916,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13916,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13916,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13916,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13916,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13916,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13916,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13916,A000000,04400,0000,04400DME RENTED - HHA 13916,A000000,04500,0000,04500DME SOLD - HHA 13916,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13916,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13916,A000000,04800,0000,04800AMBULANCE 13916,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13916,A000000,05000,0000,05000CORF 13916,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13916,A000000,05300,0000,05300INTEREST EXPENSE 13916,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13916,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13916,A000000,05500,0000,05500HOSPICE 13916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13916,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13916,A000000,06100,0000,06100NONPAID WORKERS 13916,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 13916,A000000,06200,0000,06200PATIENTS LAUNDRY 13916,A81000A,00100,0100,Y 13916,A81000B,00100,0300,HOME OFFICE EXPENSE 13916,A81000B,00200,0300,HOME OFFICE EXPENSE 13916,A81000B,00300,0300,LINEN REPLACEMENT 13916,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 13916,A81000B,00500,0300,FOOD SUPPLEMENTS 13916,A81000B,00600,0300,SUPPLIES 13916,A81000B,00700,0300,NURSING SUPPLIES 13916,A81000B,00800,0300,MEDICAL SUPPLIES 13916,A81000C,00100,0100,B 13916,A81000C,00100,0200,SWISS VILLA LIV 13916,A81000C,00100,0400,ADVENTIST CARE 13916,A81000C,00100,0600,NURSING HOME CO 13916,A81000C,00200,0100,G 13916,A81000C,00200,0200,SWISS VILLA LIV 13916,A81000C,00200,0400,Q-CARE 13916,A81000C,00200,0600,MEDICAL SUPPLY 13916,A81000C,03100,0000,SWISS VILLA LIVING CENTER 13916,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13916,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13916,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13916,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13916,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13916,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13916,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13916,B100000,00000,0800,00000MEALS SERVED :DIETARY 13916,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 13916,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 13916,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 13916,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13916,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13916,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 13916,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13916,S000000,00100,0200,06/05/2000 13916,S200000,00100,0100,1023 W. MAIN STREET 13916,S200000,00100,0300,135 13916,S200000,00200,0100,VEVAY 13916,S200000,00200,0200,IN 13916,S200000,00200,0300,47043- 13916,S200000,00300,0100,SWITZERLAND 13916,S200000,00400,0100,SWISS VILLA LIVING CENTER 13916,S200000,00400,0200,155462 13916,S200000,00400,0300,08/01/1992 13916,S200000,00400,0500,P 13916,S200000,01600,0100,Y 13916,S700003,00000,0100,1 13925,S000000,00100,0200,11/30/1999 13936,S000000,00100,0200,03/01/2000 13945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13945,A000000,00300,0000,00300EMPLOYEE BENEFITS 13945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13945,A000000,00700,0000,00700HOUSEKEEPING 13945,A000000,00800,0000,00800DIETARY 13945,A000000,00900,0000,00900NURSING ADMINISTRATION 13945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13945,A000000,01100,0000,01100PHARMACY 13945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13945,A000000,01300,0000,01300SOCIAL SERVICE 13945,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 13945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13945,A000000,01600,0000,01600SKILLED NURSING FACILITY 13945,A000000,01800,0000,01800NURSING FACILITY 13945,A000000,01810,0000,01810ICF/MR 13945,A000000,01900,0000,01900OTHER LONG TERM CARE 13945,A000000,02200,0000,02200LABORATORY 13945,A000000,02500,0000,02500PHYSICAL THERAPY 13945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13945,A000000,02700,0000,02700SPEECH PATHOLOGY 13945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13945,A81000A,00100,0100,Y 13945,A81000B,00100,0300,MANAGEMENT FEE 13945,A81000C,00100,0100,A 13945,A81000C,00100,0200,LARRY HANLON 13945,A81000C,00100,0400,SHOREWOOD MGMT 13945,A81000C,00100,0600,MGMT COMPANY 13945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13945,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13945,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13945,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13945,B100000,00000,0850,00000PATIENT DAYS :DIETARY 13945,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 13945,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13945,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 13945,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13945,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13945,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 13945,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13945,S000000,00100,0200,12/04/2000 13945,S200000,00100,0100,6320 RUCKER RD SUITE G 13945,S200000,00100,0300,P.O. BOX 20823 13945,S200000,00200,0100,INDIANAPOLIS 13945,S200000,00200,0200,IN 13945,S200000,00200,0300,46220- 13945,S200000,00300,0100,SULLIVAN 13945,S200000,00400,0100,SULLIVAN CONVALESCENT CENTER 13945,S200000,00400,0200,155468 13945,S200000,00400,0300,10/01/1992 13945,S200000,00400,0500,P 13945,S700003,00000,0100,1 13956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13956,A000000,00300,0000,00300EMPLOYEE BENEFITS 13956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13956,A000000,00700,0000,00700HOUSEKEEPING 13956,A000000,00800,0000,00800DIETARY 13956,A000000,00900,0000,00900NURSING ADMINISTRATION 13956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13956,A000000,01100,0000,01100PHARMACY 13956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13956,A000000,01300,0000,01300SOCIAL SERVICE 13956,A000000,01350,0000,01500RECREATIONAL THERAPY 13956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13956,A000000,01600,0000,01600SKILLED NURSING FACILITY 13956,A000000,01800,0000,01800NURSING FACILITY 13956,A000000,01810,0000,01810ICF/MR 13956,A000000,02100,0000,02100RADIOLOGY 13956,A000000,02200,0000,02200LABORATORY 13956,A000000,02500,0000,02500PHYSICAL THERAPY 13956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13956,A000000,02700,0000,02700SPEECH PATHOLOGY 13956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13956,A000000,03550,0000,03550FQHC 13956,A000000,04800,0000,04800AMBULANCE 13956,A000000,05000,0000,05000CORF 13956,A000000,05010,0000,05010CMHC 13956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 13956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 13956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 13956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13956,A81000A,00100,0100,Y 13956,A81000B,00100,0300,MANAGEMENT FEES 13956,A81000B,00200,0300,HOME OFFICE EXPENSE 13956,A81000B,00300,0300,ANCILLARY ADMIN EXP 13956,A81000B,00400,0300,DIETARY CONSULTANT 13956,A81000B,00500,0300,BOOKKEEPING SVCS 13956,A81000B,00600,0300,ACCOUNTING SVCS 13956,A81000B,00700,0300,DATA PROCESSING 13956,A81000B,00800,0300,RENT 13956,A81000B,00900,0300,MORTGAGE INTEREST 13956,A81000B,01000,0300,DEPR EXPENSE 13956,A81000B,01100,0300,BLDG CO ADMIN EXP 13956,A81000C,00100,0100,B 13956,A81000C,00100,0200,ERIC ROTHNER 13956,A81000C,00100,0400,SEBOS H.C. PRO 13956,A81000C,00100,0600,BUILDING CO. 13956,A81000C,00200,0100,A 13956,A81000C,00200,0200,ERIC ROTHNER 13956,A81000C,00200,0400,CARE CENTERS I 13956,A81000C,00200,0600,MANAGEMENT CO. 13956,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13956,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13956,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13956,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13956,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13956,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 13956,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 13956,B100000,00000,0800,00000MEALS SERVED :DIETARY 13956,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 13956,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 13956,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 13956,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 13956,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 13956,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 13956,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13956,S000000,00100,0200,06/02/2000 13956,S200000,00100,0100,4410 WEST 49TH AVENUE 13956,S200000,00200,0100,HOBART 13956,S200000,00200,0200,IN 13956,S200000,00200,0300,46342- 13956,S200000,00300,0100,LAKE 13956,S200000,00400,0100,SEBOS NSRG. & REHAB. CENTER 13956,S200000,00400,0200,155469 13956,S200000,00400,0300,10/01/1992 13956,S200000,00400,0500,P 13956,S200000,00600,0200,155469 13956,S200000,00600,0300,10/01/1992 13956,S200000,00600,0600,P 13956,S200000,01600,0100,Y 13956,S200000,02200,0100,Y 13964,S000000,00100,0200,05/22/2000 13973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13973,A000000,00300,0000,00300EMPLOYEE BENEFITS 13973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13973,A000000,00700,0000,00700HOUSEKEEPING 13973,A000000,00800,0000,00800DIETARY 13973,A000000,00900,0000,00900NURSING ADMINISTRATION 13973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13973,A000000,01100,0000,01100PHARMACY 13973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13973,A000000,01300,0000,01300SOCIAL SERVICE 13973,A000000,01350,0000,01500OTHER GENERAL SERVICES 13973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13973,A000000,01600,0000,01600SKILLED NURSING FACILITY 13973,A000000,01800,0000,01800NURSING FACILITY 13973,A000000,01810,0000,01801ICF/MR 13973,A000000,01900,0000,01900OTHER LONG TERM CARE 13973,A000000,02100,0000,02100RADIOLOGY 13973,A000000,02200,0000,02200LABORATORY 13973,A000000,02300,0000,02300INTRAVENOUS THERAPY 13973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13973,A000000,02500,0000,02500PHYSICAL THERAPY 13973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13973,A000000,02700,0000,02700SPEECH PATHOLOGY 13973,A000000,02800,0000,02800ELECTROCARDIOLOGY 13973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13973,A000000,03200,0000,03200SUPPORT SURFACES 13973,A000000,03400,0000,03400CLINIC 13973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13973,A000000,03500,0000,03500RURAL HEALTH CLINIC 13973,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13973,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13973,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13973,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13973,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13973,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13973,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13973,A000000,04400,0000,04400DME RENTED - HHA 13973,A000000,04500,0000,04500DME SOLD - HHA 13973,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13973,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13973,A000000,04800,0000,04800AMBULANCE 13973,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13973,A000000,05000,0000,05000CORF 13973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13973,A000000,05300,0000,05300INTEREST EXPENSE 13973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13973,A000000,05500,0000,05500HOSPICE 13973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13973,A000000,06100,0000,06100NONPAID WORKERS 13973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13973,A000000,06200,0000,06200PATIENTS LAUNDRY 13973,A81000A,00100,0100,Y 13973,A81000B,00100,0300,INTEREST EXPENSE 13973,A81000B,00200,0300,HOME OFFICE COSTS 13973,A81000C,00100,0100,G 13973,A81000C,00100,0400,BAPTIST HOMES 13973,A81000C,00100,0600,CONTROL MGMT 13973,A81000C,00200,0100,G 13973,A81000C,00200,0400,BAPTIST HOMES 13973,A81000C,00200,0600,CONTROL MGMT 13973,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 13973,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 13973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13973,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 13973,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13973,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 13973,B100000,00000,0800,00000MEALS SERVED :DIETARY 13973,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 13973,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13973,B100000,00000,1150,00000NO STATISTICS :PHARMACY 13973,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13973,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13973,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13973,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 13973,S000000,00100,0200,05/31/2000 13973,S200000,00100,0100,1901 TAYLOR ROAD 13973,S200000,00200,0100,COLUMBUS 13973,S200000,00200,0200,IN 13973,S200000,00200,0300,47203- 13973,S200000,00300,0100,BARTHLOMEW 13973,S200000,00400,0100,FOUR SEASONS RET. CNTR. 13973,S200000,00400,0200,155471 13973,S200000,00400,0300,01/01/1996 13973,S200000,00400,0500,P 13973,S200000,01004,0500,O 13973,S200000,01600,0100,Y 13973,S700003,00000,0100,1 13983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13983,A000000,00300,0000,00300EMPLOYEE BENEFITS 13983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13983,A000000,00700,0000,00700HOUSEKEEPING 13983,A000000,00800,0000,00800DIETARY 13983,A000000,00900,0000,00900NURSING ADMINISTRATION 13983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13983,A000000,01100,0000,01100PHARMACY 13983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13983,A000000,01300,0000,01300SOCIAL SERVICE 13983,A000000,01350,0000,01500OTHER GENERAL SERVICES 13983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13983,A000000,01600,0000,01600SKILLED NURSING FACILITY 13983,A000000,01800,0000,01800NURSING FACILITY 13983,A000000,01810,0000,01801ICF/MR 13983,A000000,01900,0000,01900OTHER LONG TERM CARE 13983,A000000,02100,0000,02100RADIOLOGY 13983,A000000,02200,0000,02200LABORATORY 13983,A000000,02300,0000,02300INTRAVENOUS THERAPY 13983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13983,A000000,02500,0000,02500PHYSICAL THERAPY 13983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13983,A000000,02700,0000,02700SPEECH PATHOLOGY 13983,A000000,02800,0000,02800ELECTROCARDIOLOGY 13983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13983,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13983,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13983,A000000,03200,0000,03200SUPPORT SURFACES 13983,A000000,03400,0000,03400CLINIC 13983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13983,A000000,03500,0000,03500RURAL HEALTH CLINIC 13983,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13983,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13983,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13983,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13983,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13983,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13983,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13983,A000000,04400,0000,04400DME RENTED - HHA 13983,A000000,04500,0000,04500DME SOLD - HHA 13983,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13983,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13983,A000000,04800,0000,04800AMBULANCE 13983,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13983,A000000,05000,0000,05000CORF 13983,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13983,A000000,05300,0000,05300INTEREST EXPENSE 13983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13983,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13983,A000000,05500,0000,05500HOSPICE 13983,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13983,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13983,A000000,06100,0000,06100NONPAID WORKERS 13983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13983,A000000,06200,0000,06200PATIENTS LAUNDRY 13983,A81000A,00100,0100,Y 13983,A81000B,00100,0300,INTEREST EXPENSE 13983,A81000B,00200,0300,HOME OFFICE COSTS 13983,A81000C,00100,0100,G 13983,A81000C,00100,0400,BAPTIST HOMES 13983,A81000C,00100,0600,CONTROL MANAGEMENT 13983,A81000C,00200,0100,G 13983,A81000C,00200,0400,BAPTIST HOMES 13983,A81000C,00200,0600,CONTROL MANAGEMENT 13983,A81000C,03100,0000,OTHER 13983,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13983,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13983,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13983,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13983,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13983,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13983,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13983,B100000,00000,0800,00000MEALS SERVED :DIETARY 13983,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 13983,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13983,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13983,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13983,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13983,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13983,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13983,S000000,00100,0200,05/31/2000 13983,S200000,00100,0100,5300 WEST 96TH STREET 13983,S200000,00200,0100,INDIANAPOLIS 13983,S200000,00200,0200,IN 13983,S200000,00200,0300,46268- 13983,S200000,00300,0100,MARION 13983,S200000,00400,0100,HOOSIER VILLAGE RETIREMENT CENTER 13983,S200000,00400,0200,155472 13983,S200000,00400,0300,12/01/1992 13983,S200000,00400,0500,P 13983,S200000,01600,0100,Y 13983,S700003,00000,0100,1 13996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 13996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 13996,A000000,00300,0000,00300EMPLOYEE BENEFITS 13996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 13996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 13996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 13996,A000000,00700,0000,00700HOUSEKEEPING 13996,A000000,00800,0000,00800DIETARY 13996,A000000,00900,0000,00900NURSING ADMINISTRATION 13996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 13996,A000000,01100,0000,01100PHARMACY 13996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 13996,A000000,01300,0000,01300SOCIAL SERVICE 13996,A000000,01350,0000,01500OTHER GENERAL SERVICES 13996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 13996,A000000,01600,0000,01600SKILLED NURSING FACILITY 13996,A000000,01800,0000,01800NURSING FACILITY 13996,A000000,01810,0000,01801ICF/MR 13996,A000000,01900,0000,01900OTHER LONG TERM CARE 13996,A000000,02100,0000,02100RADIOLOGY 13996,A000000,02200,0000,02200LABORATORY 13996,A000000,02300,0000,02300INTRAVENOUS THERAPY 13996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 13996,A000000,02500,0000,02500PHYSICAL THERAPY 13996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 13996,A000000,02700,0000,02700SPEECH PATHOLOGY 13996,A000000,02800,0000,02800ELECTROCARDIOLOGY 13996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 13996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 13996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 13996,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 13996,A000000,03200,0000,03200SUPPORT SURFACES 13996,A000000,03400,0000,03400CLINIC 13996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 13996,A000000,03500,0000,03500RURAL HEALTH CLINIC 13996,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 13996,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 13996,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 13996,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 13996,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 13996,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 13996,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 13996,A000000,04400,0000,04400DME RENTED - HHA 13996,A000000,04500,0000,04500DME SOLD - HHA 13996,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 13996,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 13996,A000000,04750,0000,05100OTHER REIMBURSABLE COST 13996,A000000,04800,0000,04800AMBULANCE 13996,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 13996,A000000,05000,0000,05000CORF 13996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 13996,A000000,05300,0000,05300INTEREST EXPENSE 13996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 13996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 13996,A000000,05500,0000,05500HOSPICE 13996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 13996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 13996,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 13996,A000000,06100,0000,06100NONPAID WORKERS 13996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 13996,A000000,06200,0000,06200PATIENTS LAUNDRY 13996,A81000A,00100,0100,Y 13996,A81000B,00100,0300,HOME OFFICE COSTS 13996,A81000B,00200,0300,INTEREST 13996,A81000C,00100,0100,G 13996,A81000C,00100,0400,BAPTIST HOMES 13996,A81000C,00100,0600,CONTROL MANAGEMENT 13996,A81000C,00200,0100,G 13996,A81000C,00200,0400,BAPTIST HOMES 13996,A81000C,00200,0600,CONTROL MANAGEMENT 13996,A81000C,03100,0000,OTHER 13996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 13996,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 13996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 13996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 13996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 13996,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 13996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 13996,B100000,00000,0800,00000MEALS SERVED :DIETARY 13996,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 13996,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 13996,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 13996,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 13996,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 13996,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 13996,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 13996,S000000,00100,0200,06/19/2000 13996,S200000,00100,0100,2209 ST. JOE CENTER ROAD 13996,S200000,00200,0100,FORT WAYNE 13996,S200000,00200,0200,IN 13996,S200000,00200,0300,46825- 13996,S200000,00300,0100,ALLEN 13996,S200000,00400,0100,THE TOWNE HOUSE RETIREMENT COMMUNITY 13996,S200000,00400,0200,155475 13996,S200000,00400,0300,12/01/1992 13996,S200000,00400,0500,P 13996,S200000,01004,0500,O 13996,S200000,01600,0100,Y 13996,S700003,00000,0100,1 14005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14005,A000000,00300,0000,00300EMPLOYEE BENEFITS 14005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14005,A000000,00700,0000,00700HOUSEKEEPING 14005,A000000,00800,0000,00800DIETARY 14005,A000000,00900,0000,00900NURSING ADMINISTRATION 14005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14005,A000000,01100,0000,01100PHARMACY 14005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14005,A000000,01300,0000,01300SOCIAL SERVICE 14005,A000000,01350,0000,01500ACTIVITIES 14005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14005,A000000,01600,0000,01600SKILLED NURSING FACILITY 14005,A000000,01900,0000,01900OTHER LONG TERM CARE 14005,A000000,02100,0000,02100RADIOLOGY 14005,A000000,02200,0000,02200LABORATORY 14005,A000000,02300,0000,02300INTRAVENOUS THERAPY 14005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14005,A000000,02500,0000,02500PHYSICAL THERAPY 14005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14005,A000000,02700,0000,02700SPEECH PATHOLOGY 14005,A000000,02800,0000,02800ELECTROCARDIOLOGY 14005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14005,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14005,A000000,03200,0000,03200SUPPORT SURFACES 14005,A000000,03400,0000,03400CLINIC 14005,A000000,04800,0000,04800AMBULANCE 14005,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14005,A000000,05300,0000,05300INTEREST EXPENSE 14005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14005,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14005,A000000,06100,0000,06100NONPAID WORKERS 14005,A000000,06200,0000,06200PATIENTS LAUNDRY 14005,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14005,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14005,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14005,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14005,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14005,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14005,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14005,B100000,00000,0800,00000MEALS SERVED :DIETARY 14005,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14005,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14005,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14005,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14005,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 14005,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 14005,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14005,S000000,00100,0200,05/15/2000 14005,S200000,00100,0100,2909 HOWARD DRIVE 14005,S200000,00200,0100,JASPER 14005,S200000,00200,0200,IN 14005,S200000,00300,0100,47546 DUBOIS 14005,S200000,00400,0100,HERITAGE HOUSE OF JASPER 14005,S200000,00400,0200,155478 14005,S200000,00400,0300,01/01/1993 14005,S200000,00400,0500,P 14005,S200000,01004,0500,O 14005,S200000,01600,0100,Y 14005,S700003,00000,0100,1 14012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14012,A000000,00300,0000,00300EMPLOYEE BENEFITS 14012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14012,A000000,00700,0000,00700HOUSEKEEPING 14012,A000000,00800,0000,00800DIETARY 14012,A000000,00900,0000,00900NURSING ADMINISTRATION 14012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14012,A000000,01100,0000,01100PHARMACY 14012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14012,A000000,01300,0000,01300SOCIAL SERVICE 14012,A000000,01301,0000,01301ACTIVITIES 14012,A000000,01302,0000,01302ADMISSIONS 14012,A000000,01600,0000,01600SKILLED NURSING FACILITY 14012,A000000,01800,0000,01800NURSING FACILITY 14012,A000000,01900,0000,01900OTHER LONG TERM CARE 14012,A000000,02100,0000,02100RADIOLOGY 14012,A000000,02200,0000,02200LABORATORY 14012,A000000,02300,0000,02300INTRAVENOUS THERAPY 14012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14012,A000000,02500,0000,02500PHYSICAL THERAPY 14012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14012,A000000,02700,0000,02700SPEECH PATHOLOGY 14012,A000000,02800,0000,02800ELECTROCARDIOLOGY 14012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14012,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14012,A000000,03200,0000,03200SUPPORT SURFACES 14012,A000000,05300,0000,05300INTEREST EXPENSE 14012,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14012,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14012,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14012,A000000,06100,0000,06100NONPAID WORKERS 14012,A000000,06200,0000,06200PATIENTS LAUNDRY 14012,A000000,06201,0000,06201MARKETING 14012,A81000A,00100,0100,Y 14012,A81000B,00100,0300,MANAGEMENT FEES H/O CHARGE 14012,A81000C,00100,0100,B 14012,A81000C,00100,0400,KINGSTON HEALTH 14012,A81000C,00100,0600,MANAGEMENT 14012,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 14012,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 14012,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 14012,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 14012,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 14012,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 14012,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 14012,B100000,00000,0800,00001MEALS SERVED :DIETARY 14012,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 14012,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 14012,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 14012,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 14012,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 14012,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 14012,B100000,00000,1332,00001PATIENT DAYS :ADMISSIONS 14012,S000000,00100,0200,06/16/2000 14012,S200000,00100,0100,1010 W. WASHINGTON CENTER RD 14012,S200000,00200,0100,FT. WAYNE 14012,S200000,00200,0200,IN 14012,S200000,00200,0300,46825- 14012,S200000,00300,0100,ALLEN 14012,S200000,00400,0100,KINGSTON CARE CENTER 14012,S200000,00400,0200,155479 14012,S200000,00400,0300,01/01/1993 14012,S200000,00400,0500,P 14012,S200000,01500,0100,Y 14012,S200000,02200,0100,Y 14012,S200000,02800,0100,Y 14012,S200000,04300,0100,Y 14012,S200000,04600,0100,Y 14012,S700003,00000,0100,1 14021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14021,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14021,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14021,A000000,00300,0000,00300EMPLOYEE BENEFITS 14021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14021,A000000,00700,0000,00700HOUSEKEEPING 14021,A000000,00800,0000,00800DIETARY 14021,A000000,00801,0000,00801CAFETERIA 14021,A000000,00900,0000,00900NURSING ADMINISTRATION 14021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14021,A000000,01100,0000,01100PHARMACY 14021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14021,A000000,01300,0000,01300SOCIAL SERVICE 14021,A000000,01350,0000,01500ACTIVITIES 14021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14021,A000000,01600,0000,01600SKILLED NURSING FACILITY 14021,A000000,01800,0000,01800NURSING FACILITY 14021,A000000,01900,0000,01900OTHER LONG TERM CARE 14021,A000000,02100,0000,02100RADIOLOGY 14021,A000000,02200,0000,02200LABORATORY 14021,A000000,02300,0000,02300INTRAVENOUS THERAPY 14021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14021,A000000,02500,0000,02500PHYSICAL THERAPY 14021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14021,A000000,02700,0000,02700SPEECH PATHOLOGY 14021,A000000,02800,0000,02800ELECTROCARDIOLOGY 14021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14021,A000000,03050,0000,03300MED EQUIP RENTAL 14021,A000000,03051,0000,03301OTHER ANCILLARY II 14021,A000000,03052,0000,03302OTHER ANCILLARY III 14021,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14021,A000000,03200,0000,03200SUPPORT SURFACES 14021,A000000,03400,0000,03400CLINIC 14021,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14021,A000000,03500,0000,03500RURAL HEALTH CLINIC 14021,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14021,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14021,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14021,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14021,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14021,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14021,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14021,A000000,04400,0000,04400DME RENTED - HHA 14021,A000000,04500,0000,04500DME SOLD - HHA 14021,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14021,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14021,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14021,A000000,04800,0000,04800AMBULANCE 14021,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14021,A000000,05000,0000,05000CORF 14021,A000000,05010,0000,05010CMHC I 14021,A000000,05020,0000,05020OPT I 14021,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14021,A000000,05300,0000,05300INTEREST EXPENSE 14021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14021,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14021,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14021,A000000,05500,0000,05500HOSPICE 14021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14021,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14021,A000000,06100,0000,06100NONPAID WORKERS 14021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14021,A000000,06200,0000,06200PATIENTS LAUNDRY 14021,A81000A,00100,0100,Y 14021,A81000B,00100,0300,MANAGEMENT FEES 14021,A81000B,00200,0300,PART B BILLING COST 14021,A81000B,00300,0300,NURSING CONS COST 14021,A81000B,00400,0300,ENVIRON CONS COST 14021,A81000B,00500,0300,DIETARY CONS 14021,A81000C,00100,0100,A 14021,A81000C,00100,0200,GEORGE P WAGNER 14021,A81000C,00100,0400,NAL MNT CORP 14021,A81000C,00100,0600,LTC OPERATION 14021,A81000C,00200,0100,A 14021,A81000C,00200,0200,ALAN D. PARISH 14021,A81000C,00200,0400,NAL MGT CORP 14021,A81000C,00200,0600,LTC OPERATION 14021,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14021,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 14021,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14021,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 14021,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14021,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14021,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14021,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 14021,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14021,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14021,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 14021,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 14021,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 14021,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 14021,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 14021,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 14021,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 14021,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 14021,S000000,00100,0200,07/19/2000 14021,S200000,00100,0100,11049 ST RD. 101 14021,S200000,00200,0100,BROOKVILLE 14021,S200000,00200,0200,IN 14021,S200000,00300,0100,FRANKLIN 14021,S200000,00400,0100,BROOKVILLE HEALTH CARE CENTER 14021,S200000,00400,0200,155480 14021,S200000,00400,0300,11/01/1992 14021,S200000,00400,0500,P 14021,S200000,00400,0600,P 14021,S200000,00600,0200,936551 14021,S200000,00600,0300,11/01/1992 14021,S200000,00600,0600,P 14021,S200000,01600,0100,Y 14021,S700003,00000,0100,1 14030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14030,A000000,00300,0000,00300EMPLOYEE BENEFITS 14030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14030,A000000,00700,0000,00700HOUSEKEEPING 14030,A000000,00800,0000,00800DIETARY 14030,A000000,00900,0000,00900NURSING ADMINISTRATION 14030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14030,A000000,01100,0000,01100PHARMACY 14030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14030,A000000,01300,0000,01300SOCIAL SERVICE 14030,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14030,A000000,01600,0000,01600SKILLED NURSING FACILITY 14030,A000000,01800,0000,01800NURSING FACILITY 14030,A000000,01810,0000,01810ICF/MR 14030,A000000,01900,0000,01900OTHER LONG TERM CARE 14030,A000000,02200,0000,02200LABORATORY 14030,A000000,02500,0000,02500PHYSICAL THERAPY 14030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14030,A000000,02700,0000,02700SPEECH PATHOLOGY 14030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14030,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14030,A81000A,00100,0100,Y 14030,A81000B,00100,0300,MANAGEMENT FEE 14030,A81000C,00100,0100,A 14030,A81000C,00100,0200,LARRY HANLON 14030,A81000C,00100,0400,SHOREWOOD MGMT 14030,A81000C,00100,0600,MGMT CO 14030,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14030,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14030,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14030,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14030,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14030,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14030,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14030,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14030,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 14030,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14030,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 14030,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14030,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14030,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 14030,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14030,S000000,00100,0200,12/04/2000 14030,S200000,00100,0100,6320 RUCKER RD SUITE G 14030,S200000,00100,0300,P.O. BOX 20823 14030,S200000,00200,0100,INDIANAPOLIS 14030,S200000,00200,0200,IN 14030,S200000,00200,0300,46220- 14030,S200000,00300,0100,WAYNE 14030,S200000,00400,0100,CHERISH NURSING CENTER 14030,S200000,00400,0200,155481 14030,S200000,00400,0300,01/29/1993 14030,S200000,00400,0500,P 14030,S200000,01004,0500,O 14030,S700003,00000,0100,1 14050,S000000,00100,0200,11/30/1999 14059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14059,A000000,00300,0000,00300EMPLOYEE BENEFITS 14059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14059,A000000,00700,0000,00700HOUSEKEEPING 14059,A000000,00800,0000,00800DIETARY 14059,A000000,00900,0000,00900NURSING ADMINISTRATION 14059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14059,A000000,01100,0000,01100PHARMACY 14059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14059,A000000,01300,0000,01300SOCIAL SERVICE 14059,A000000,01350,0000,01500ACTIVITIES 14059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14059,A000000,01600,0000,01600SKILLED NURSING FACILITY 14059,A000000,01800,0000,01800NURSING FACILITY 14059,A000000,01900,0000,01900OTHER LONG TERM CARE 14059,A000000,02100,0000,02100RADIOLOGY 14059,A000000,02200,0000,02200LABORATORY 14059,A000000,02300,0000,02300INTRAVENOUS THERAPY 14059,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14059,A000000,02500,0000,02500PHYSICAL THERAPY 14059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14059,A000000,02700,0000,02700SPEECH PATHOLOGY 14059,A000000,02800,0000,02800ELECTROCARDIOLOGY 14059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14059,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14059,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14059,A000000,03200,0000,03200SUPPORT SURFACES 14059,A000000,03400,0000,03400CLINIC 14059,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14059,A000000,03500,0000,03500RURAL HEALTH CLINIC 14059,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14059,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14059,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14059,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14059,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14059,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14059,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14059,A000000,04400,0000,04400DME RENTED - HHA 14059,A000000,04500,0000,04500DME SOLD - HHA 14059,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14059,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14059,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14059,A000000,04800,0000,04800AMBULANCE 14059,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14059,A000000,05000,0000,05000CORF 14059,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14059,A000000,05300,0000,05300INTEREST EXPENSE 14059,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14059,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14059,A000000,05500,0000,05500HOSPICE 14059,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14059,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14059,A000000,06100,0000,06100NONPAID WORKERS 14059,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14059,A000000,06200,0000,06200PATIENTS LAUNDRY 14059,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 14059,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14059,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14059,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14059,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14059,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14059,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14059,B100000,00000,0800,00000MEALS SERVED :DIETARY 14059,B100000,00000,0950,00000DIRECTNURS SING HRS. :NURSING ADMIN 14059,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14059,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14059,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14059,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14059,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 14059,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14059,S000000,00100,0200,05/31/2000 14059,S200000,00100,0100,131 SOUTH 10TH STREET 14059,S200000,00200,0100,MIDDLETOWN 14059,S200000,00200,0200,IN 14059,S200000,00200,0300,47356- 14059,S200000,00300,0100,HENRY 14059,S200000,00400,0100,MIDDLETOWN NURSING CENTER 14059,S200000,00400,0200,155486 14059,S200000,00400,0300,05/01/1993 14059,S200000,00400,0500,P 14059,S200000,01004,0500,O 14059,S200000,01600,0100,Y 14059,S700003,00000,0100,1 14072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14072,A000000,00300,0000,00300EMPLOYEE BENEFITS 14072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14072,A000000,00700,0000,00700HOUSEKEEPING 14072,A000000,00800,0000,00800DIETARY 14072,A000000,00900,0000,00900NURSING ADMINISTRATION 14072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14072,A000000,01100,0000,01100PHARMACY 14072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14072,A000000,01300,0000,01300SOCIAL SERVICE 14072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14072,A000000,01600,0000,01600SKILLED NURSING FACILITY 14072,A000000,01800,0000,01800NURSING FACILITY 14072,A000000,01900,0000,01900OTHER LONG TERM CARE 14072,A000000,02100,0000,02100RADIOLOGY 14072,A000000,02200,0000,02200LABORATORY 14072,A000000,02300,0000,02300INTRAVENOUS THERAPY 14072,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14072,A000000,02500,0000,02500PHYSICAL THERAPY 14072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14072,A000000,02700,0000,02700SPEECH PATHOLOGY 14072,A000000,02800,0000,02800ELECTROCARDIOLOGY 14072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14072,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14072,A000000,03200,0000,03200SUPPORT SURFACES 14072,A000000,03400,0000,03400CLINIC 14072,A000000,04800,0000,04800AMBULANCE 14072,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14072,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14072,A000000,05300,0000,05300INTEREST EXPENSE 14072,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14072,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14072,A000000,06100,0000,06100NONPAID WORKERS 14072,A000000,06200,0000,06200PATIENTS LAUNDRY 14072,A81000A,00100,0100,Y 14072,A81000B,00100,0300,EMPLOYEE BENEFITS 14072,A81000B,00200,0300,PLANT OPERATIONS 14072,A81000B,00300,0300,ADMINISTRATION 14072,A81000B,00400,0300,CAPITAL 14072,A81000C,00100,0100,A 14072,A81000C,00100,0200,C & D MOORE 14072,A81000C,00100,0400,CARDON & ASSOC. 14072,A81000C,00100,0600,MGMT CO. 14072,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14072,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14072,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14072,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14072,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14072,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14072,B100000,00000,0800,00000MEALS SERVED :DIETARY 14072,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14072,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14072,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14072,S000000,00100,0200,12/27/2000 14072,S200000,00100,0100,HIGHWAY 46 EAST 14072,S200000,00200,0100,NASHVILLE 14072,S200000,00200,0200,IN 14072,S200000,00200,0300,47448- 14072,S200000,00300,0100,BROWN 14072,S200000,00300,0200,9915 14072,S200000,00300,0300,R 14072,S200000,00400,0100,BROWN COUNTY COMMUNITY CARE CENTER 14072,S200000,00400,0200,155487 14072,S200000,00400,0300,04/01/1993 14072,S200000,00400,0500,P 14072,S200000,01600,0100,Y 14084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14084,A000000,00300,0000,00300EMPLOYEE BENEFITS 14084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14084,A000000,00700,0000,00700HOUSEKEEPING 14084,A000000,00800,0000,00800DIETARY 14084,A000000,00900,0000,00900NURSING ADMINISTRATION 14084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14084,A000000,01100,0000,01100PHARMACY 14084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14084,A000000,01300,0000,01300SOCIAL SERVICE 14084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14084,A000000,01600,0000,01600SKILLED NURSING FACILITY 14084,A000000,01900,0000,01900OTHER LONG TERM CARE 14084,A000000,02100,0000,02100RADIOLOGY 14084,A000000,02200,0000,02200LABORATORY 14084,A000000,02300,0000,02300INTRAVENOUS THERAPY 14084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14084,A000000,02500,0000,02500PHYSICAL THERAPY 14084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14084,A000000,02700,0000,02700SPEECH PATHOLOGY 14084,A000000,02800,0000,02800ELECTROCARDIOLOGY 14084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14084,A000000,03200,0000,03200SUPPORT SURFACES 14084,A000000,03400,0000,03400CLINIC 14084,A000000,04800,0000,04800AMBULANCE 14084,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14084,A000000,05300,0000,05300INTEREST EXPENSE 14084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14084,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14084,A000000,06100,0000,06100NONPAID WORKERS 14084,A000000,06200,0000,06200PATIENTS LAUNDRY 14084,A81000A,00100,0100,Y 14084,A81000B,00100,0300,CAPITAL 14084,A81000B,00200,0300,ADMIN & GENERAL 14084,A81000C,00100,0100,F 14084,A81000C,00100,0200,TLC MANAGEMENT 14084,A81000C,00100,0400,TLC MANAGEMENT 14084,A81000C,00100,0600,HEALTHCARE MGMT 14084,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14084,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14084,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14084,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14084,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14084,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14084,B100000,00000,0800,00000MEALS SERVED :DIETARY 14084,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 14084,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14084,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14084,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 14084,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14084,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14084,S000000,00100,0200,04/17/2000 14084,S200000,00100,0100,359 RANDOLPH STREET 14084,S200000,00100,0300,388 14084,S200000,00200,0100,PARKER 14084,S200000,00200,0200,IN 14084,S200000,00300,0100,47368 RANDOLPH 14084,S200000,00400,0100,PARKER HEALTH CARE 14084,S200000,00400,0200,155489 14084,S200000,00400,0300,05/11/1998 14084,S200000,00400,0500,P 14084,S200000,01600,0100,Y 14084,S200000,04700,0100,Y 14084,S700003,00000,0100,1 14093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14093,A000000,00300,0000,00300EMPLOYEE BENEFITS 14093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14093,A000000,00700,0000,00700HOUSEKEEPING 14093,A000000,00800,0000,00800DIETARY 14093,A000000,00900,0000,00900NURSING ADMINISTRATION 14093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14093,A000000,01100,0000,01100PHARMACY 14093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14093,A000000,01300,0000,01300SOCIAL SERVICE 14093,A000000,01350,0000,01500OTHER GENERAL SERVICES 14093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14093,A000000,01600,0000,01600SKILLED NURSING FACILITY 14093,A000000,01800,0000,01800NURSING FACILITY 14093,A000000,01810,0000,01801ICF/MR 14093,A000000,01900,0000,01900OTHER LONG TERM CARE 14093,A000000,02100,0000,02100RADIOLOGY 14093,A000000,02200,0000,02200LABORATORY 14093,A000000,02300,0000,02300INTRAVENOUS THERAPY 14093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14093,A000000,02500,0000,02500PHYSICAL THERAPY 14093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14093,A000000,02700,0000,02700SPEECH PATHOLOGY 14093,A000000,02800,0000,02800ELECTROCARDIOLOGY 14093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14093,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14093,A000000,03200,0000,03200SUPPORT SURFACES 14093,A000000,03400,0000,03400CLINIC 14093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14093,A000000,03500,0000,03500RURAL HEALTH CLINIC 14093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14093,A000000,04400,0000,04400DME RENTED - HHA 14093,A000000,04500,0000,04500DME SOLD - HHA 14093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14093,A000000,04800,0000,04800AMBULANCE 14093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14093,A000000,05000,0000,05000CORF 14093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14093,A000000,05300,0000,05300INTEREST EXPENSE 14093,A000000,05350,0000,05600APARTMENTS 14093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14093,A000000,05500,0000,05500HOSPICE 14093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14093,A000000,06100,0000,06100NONPAID WORKERS 14093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14093,A000000,06200,0000,06200PATIENTS LAUNDRY 14093,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 14093,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14093,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14093,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14093,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 14093,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14093,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14093,B100000,00000,0800,00000MEALS SERVED :DIETARY 14093,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14093,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14093,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14093,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14093,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14093,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14093,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14093,S000000,00100,0200,07/10/2000 14093,S200000,00100,0100,705 EAST MAIN STREET 14093,S200000,00200,0100,CENTERVILLE 14093,S200000,00200,0200,IN 14093,S200000,00200,0300,47330- 14093,S200000,00300,0100,WAYNE 14093,S200000,00400,0100,PINEHURST CARE CENTER 14093,S200000,00400,0200,155490 14093,S200000,00400,0300,06/01/1996 14093,S200000,00400,0500,P 14093,S200000,01004,0500,O 14093,S200000,01600,0100,Y 14093,S700003,00000,0100,1 14103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14103,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14103,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14103,A000000,00300,0000,00300EMPLOYEE BENEFITS 14103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14103,A000000,00700,0000,00700HOUSEKEEPING 14103,A000000,00800,0000,00800DIETARY 14103,A000000,00801,0000,00801CAFETERIA 14103,A000000,00900,0000,00900NURSING ADMINISTRATION 14103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14103,A000000,01100,0000,01100PHARMACY 14103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14103,A000000,01300,0000,01300SOCIAL SERVICE 14103,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14103,A000000,01600,0000,01600SKILLED NURSING FACILITY 14103,A000000,01800,0000,01800NURSING FACILITY 14103,A000000,01900,0000,01900OTHER LONG TERM CARE 14103,A000000,02100,0000,02100RADIOLOGY 14103,A000000,02200,0000,02200LABORATORY 14103,A000000,02300,0000,02300INTRAVENOUS THERAPY 14103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14103,A000000,02500,0000,02500PHYSICAL THERAPY 14103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14103,A000000,02700,0000,02700SPEECH PATHOLOGY 14103,A000000,02800,0000,02800ELECTROCARDIOLOGY 14103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14103,A000000,03050,0000,03300OTHER ANCILLARY 14103,A000000,03051,0000,03301OTHER ANCILLARY II 14103,A000000,03052,0000,03302OTHER ANCILLARY III 14103,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14103,A000000,03200,0000,03200SUPPORT SURFACES 14103,A000000,03400,0000,03400CLINIC 14103,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14103,A000000,03500,0000,03500RURAL HEALTH CLINIC 14103,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14103,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14103,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14103,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14103,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14103,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14103,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14103,A000000,04400,0000,04400DME RENTED - HHA 14103,A000000,04500,0000,04500DME SOLD - HHA 14103,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14103,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14103,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14103,A000000,04800,0000,04800AMBULANCE 14103,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14103,A000000,05000,0000,05000CORF 14103,A000000,05010,0000,05010CMHC I 14103,A000000,05020,0000,05020OPT I 14103,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14103,A000000,05300,0000,05300INTEREST EXPENSE 14103,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14103,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14103,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14103,A000000,05500,0000,05500HOSPICE 14103,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14103,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14103,A000000,06100,0000,06100NONPAID WORKERS 14103,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14103,A000000,06200,0000,06200PATIENTS LAUNDRY 14103,A81000A,00100,0100,Y 14103,A81000B,00100,0300,MANAGEMENT FEE 14103,A81000B,00200,0300,PAYROLL PROCESSING FEE 14103,A81000B,00300,0300,PHYSICAL THERAPY 14103,A81000B,00400,0300,OCCUPATIONAL THERAPY 14103,A81000B,00500,0300,SPEECH THERAPY 14103,A81000B,00600,0300,DIETARY SUPPLIES 14103,A81000B,00700,0300,CENTRAL SERVICES 14103,A81000B,00800,0300,MED EQUIPMENT RENTAL 14103,A81000B,00900,0300,MEDICAL SUPPLIES 14103,A81000C,00100,0100,G 14103,A81000C,00100,0200,CENTENNIAL HC 14103,A81000C,00100,0400,CENTENNIAL HC 14103,A81000C,00100,0600,HOME OFFICE 14103,A81000C,00200,0100,G 14103,A81000C,00200,0200,CENTENNIAL HC 14103,A81000C,00200,0400,CENTENNIAL HC 14103,A81000C,00200,0600,PR PROCESSING 14103,A81000C,00300,0100,G 14103,A81000C,00300,0200,PARAGON REHAB 14103,A81000C,00300,0400,CENTENNIAL HC 14103,A81000C,00300,0600,THERAPY 14103,A81000C,00400,0100,G 14103,A81000C,00400,0200,PARAGON REHAB 14103,A81000C,00400,0400,CENTENNIAL HC 14103,A81000C,00400,0600,THERAPY 14103,A81000C,00500,0100,G 14103,A81000C,00500,0200,PARAGON REHAB 14103,A81000C,00500,0400,CENTENNIAL HC 14103,A81000C,00500,0600,THERAPY 14103,A81000C,00600,0100,G 14103,A81000C,00600,0200,CENTENNIAL PTS 14103,A81000C,00600,0400,CENTENNIAL HC 14103,A81000C,00600,0600,GPO 14103,A81000C,00700,0100,G 14103,A81000C,00700,0200,CENTENNIAL PTS 14103,A81000C,00700,0400,CENTENNIAL HC 14103,A81000C,00700,0600,GPO 14103,A81000C,00800,0100,G 14103,A81000C,00800,0200,CENTENNIAL PTS 14103,A81000C,00800,0400,CENTENNIAL HC 14103,A81000C,00800,0600,GPO 14103,A81000C,00900,0100,G 14103,A81000C,00900,0200,CENTENNIAL PTS 14103,A81000C,00900,0400,CENTENNIAL HC 14103,A81000C,00900,0600,GPO 14103,A81000C,03100,0000,SUPPLIES 14103,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14103,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14103,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14103,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14103,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14103,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 14103,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14103,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14103,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 14103,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 14103,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 14103,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 14103,S000000,00100,0200,06/01/2000 14103,S200000,00100,0100,1029 EAST 5TH STREET 14103,S200000,00200,0100,CONNERSVILLE 14103,S200000,00200,0200,IN 14103,S200000,00200,0300,47331- 14103,S200000,00300,0100,FAYETTE 14103,S200000,00300,0200,15 14103,S200000,00300,0300,R 14103,S200000,00400,0100,LINCOLN CENTERS 14103,S200000,00400,0200,155491 14103,S200000,00400,0300,07/01/1993 14103,S200000,00400,0500,P 14103,S200000,01600,0100,Y 14112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14112,A000000,00300,0000,00300EMPLOYEE BENEFITS 14112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14112,A000000,00700,0000,00700HOUSEKEEPING 14112,A000000,00800,0000,00800DIETARY 14112,A000000,00900,0000,00900NURSING ADMINISTRATION 14112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14112,A000000,01100,0000,01100PHARMACY 14112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14112,A000000,01300,0000,01300SOCIAL SERVICE 14112,A000000,01600,0000,01600SKILLED NURSING FACILITY 14112,A000000,01800,0000,01800NURSING FACILITY 14112,A000000,01810,0000,01810ICF/MR 14112,A000000,01900,0000,01900OTHER LONG TERM CARE 14112,A000000,02100,0000,02100RADIOLOGY 14112,A000000,02200,0000,02200LABORATORY 14112,A000000,02300,0000,02300INTRAVENOUS THERAPY 14112,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14112,A000000,02500,0000,02500PHYSICAL THERAPY 14112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14112,A000000,02700,0000,02700SPEECH PATHOLOGY 14112,A000000,02800,0000,02800ELECTROCARDIOLOGY 14112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14112,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 14112,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14112,A000000,03200,0000,03200SUPPORT SURFACES 14112,A000000,03400,0000,03400CLINIC 14112,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 14112,A000000,03500,0000,03500RURAL HEALTH CLINIC 14112,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14112,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14112,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14112,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14112,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14112,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14112,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14112,A000000,04400,0000,04400DME RENTED - HHA 14112,A000000,04500,0000,04500DME SOLD - HHA 14112,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14112,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14112,A000000,04800,0000,04800AMBULANCE 14112,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14112,A000000,05000,0000,05000CORF 14112,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14112,A000000,05300,0000,05300INTEREST EXPENSE 14112,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14112,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14112,A000000,05500,0000,05500HOSPICE 14112,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14112,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14112,A000000,06100,0000,06100NONPAID WORKERS 14112,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 14112,A000000,06200,0000,06200PATIENTS LAUNDRY 14112,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14112,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14112,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14112,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14112,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14112,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14112,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14112,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14112,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 14112,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 14112,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 14112,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 14112,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14112,S000000,00100,0200,06/30/2000 14112,S200000,00100,0100,6324 GARDNER ROAD 14112,S200000,00200,0100,CHANDLER 14112,S200000,00200,0200,IN 14112,S200000,00200,0300,47610- 14112,S200000,00300,0100,VANDERBURGH 14112,S200000,00400,0100,CHANDLER HLTHCARE INC. 14112,S200000,00400,0200,155492 14112,S200000,00400,0300,05/24/1993 14112,S200000,00400,0500,P 14112,S700003,00000,0100,1 14121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14121,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14121,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14121,A000000,00300,0000,00300EMPLOYEE BENEFITS 14121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14121,A000000,00700,0000,00700HOUSEKEEPING 14121,A000000,00800,0000,00800DIETARY 14121,A000000,00801,0000,00801CAFETERIA 14121,A000000,00900,0000,00900NURSING ADMINISTRATION 14121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14121,A000000,01100,0000,01100PHARMACY 14121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14121,A000000,01300,0000,01300SOCIAL SERVICE 14121,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14121,A000000,01600,0000,01600SKILLED NURSING FACILITY 14121,A000000,01800,0000,01800NURSING FACILITY 14121,A000000,01900,0000,01900OTHER LONG TERM CARE 14121,A000000,02100,0000,02100RADIOLOGY 14121,A000000,02200,0000,02200LABORATORY 14121,A000000,02300,0000,02300INTRAVENOUS THERAPY 14121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14121,A000000,02500,0000,02500PHYSICAL THERAPY 14121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14121,A000000,02700,0000,02700SPEECH PATHOLOGY 14121,A000000,02800,0000,02800ELECTROCARDIOLOGY 14121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14121,A000000,03050,0000,03300OTHER ANCILLARY 14121,A000000,03051,0000,03301OTHER ANCILLARY II 14121,A000000,03052,0000,03302OTHER ANCILLARY III 14121,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14121,A000000,03200,0000,03200SUPPORT SURFACES 14121,A000000,03400,0000,03400CLINIC 14121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14121,A000000,03500,0000,03500RURAL HEALTH CLINIC 14121,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14121,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14121,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14121,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14121,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14121,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14121,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14121,A000000,04400,0000,04400DME RENTED - HHA 14121,A000000,04500,0000,04500DME SOLD - HHA 14121,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14121,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14121,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14121,A000000,04800,0000,04800AMBULANCE 14121,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14121,A000000,05000,0000,05000CORF 14121,A000000,05010,0000,05010CMHC I 14121,A000000,05020,0000,05020OPT I 14121,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14121,A000000,05300,0000,05300INTEREST EXPENSE 14121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14121,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14121,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14121,A000000,05500,0000,05500HOSPICE 14121,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14121,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14121,A000000,06100,0000,06100NONPAID WORKERS 14121,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14121,A000000,06200,0000,06200PATIENTS LAUNDRY 14121,A81000A,00100,0100,Y 14121,A81000B,00100,0300,MGMT FEE & PAYROLL 14121,A81000B,00200,0300,PAYROLL PROCESSING 14121,A81000B,00300,0300,DIETARY SUPPLIES 14121,A81000B,00400,0300,CHGB MED SUPPLIES 14121,A81000B,00500,0300,NURSING 14121,A81000B,00600,0300,OT SUPPLIES 14121,A81000B,00700,0300,MEDICAL SUPPLIES 14121,A81000B,00800,0300,SUPPORT SURFACES 14121,A81000B,00900,0300,HOUSEKEEPING SUPP 14121,A81000C,00100,0100,G 14121,A81000C,00100,0200,CENT 14121,A81000C,00100,0400,CENT HLTC 14121,A81000C,00100,0600,HO 14121,A81000C,00200,0100,G 14121,A81000C,00200,0200,CENT 14121,A81000C,00200,0400,CENT HLTC 14121,A81000C,00200,0600,HO 14121,A81000C,00300,0100,G 14121,A81000C,00300,0200,CENT PTS 14121,A81000C,00300,0400,CENT HLTC 14121,A81000C,00300,0600,SUPPLIES 14121,A81000C,00400,0100,G 14121,A81000C,00400,0200,CENT PTS 14121,A81000C,00400,0400,CENT HLTC 14121,A81000C,00400,0600,SUPPLIES 14121,A81000C,00500,0100,G 14121,A81000C,00500,0200,CENT PTS 14121,A81000C,00500,0400,CENT HLTC 14121,A81000C,00500,0600,SUPPLIES 14121,A81000C,00600,0100,G 14121,A81000C,00600,0200,CENT PTS 14121,A81000C,00600,0400,CENT HLTC 14121,A81000C,00600,0600,SUPPLIES 14121,A81000C,00700,0100,G 14121,A81000C,00700,0200,CENT PTS 14121,A81000C,00700,0400,CENT HLTC 14121,A81000C,00700,0600,SUPPLIES 14121,A81000C,00800,0100,G 14121,A81000C,00800,0200,CENT PTS 14121,A81000C,00800,0400,CENT HLTC 14121,A81000C,00800,0600,SUPPLIES 14121,A81000C,00900,0100,G 14121,A81000C,00900,0200,CENT PTS 14121,A81000C,00900,0400,CENT HLTC 14121,A81000C,00900,0600,SUPPLIES 14121,A81000C,03100,0000,HSKPG 14121,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14121,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14121,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14121,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14121,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 14121,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14121,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14121,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 14121,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 14121,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 14121,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 14121,S000000,00100,0200,06/01/2000 14121,S200000,00100,0100,311 EAST FIRST STREET 14121,S200000,00200,0100,FERDINAND 14121,S200000,00200,0200,IN 14121,S200000,00200,0300,47532- 14121,S200000,00300,0100,DUBOIS 14121,S200000,00300,0200,15 14121,S200000,00300,0300,R 14121,S200000,00400,0100,SCENIC HILLS CARE CENTER 14121,S200000,00400,0200,155493 14121,S200000,00400,0300,07/12/1993 14121,S200000,00400,0500,P 14121,S200000,01600,0100,Y 14121,S200000,02200,0100,Y 14131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14131,A000000,00300,0000,00300EMPLOYEE BENEFITS 14131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14131,A000000,00700,0000,00700HOUSEKEEPING 14131,A000000,00800,0000,00800DIETARY 14131,A000000,00900,0000,00900NURSING ADMINISTRATION 14131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14131,A000000,01100,0000,01100PHARMACY 14131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14131,A000000,01300,0000,01300SOCIAL SERVICE 14131,A000000,01301,0000,01301ACTIVITIES 14131,A000000,01350,0000,01500OTHER GENERAL SERVICES 14131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14131,A000000,01600,0000,01600SKILLED NURSING FACILITY 14131,A000000,01800,0000,01800NURSING FACILITY 14131,A000000,01900,0000,01900OTHER LONG TERM CARE 14131,A000000,02100,0000,02100RADIOLOGY 14131,A000000,02200,0000,02200LABORATORY 14131,A000000,02300,0000,02300INTRAVENOUS THERAPY 14131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14131,A000000,02500,0000,02500PHYSICAL THERAPY 14131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14131,A000000,02700,0000,02700SPEECH PATHOLOGY 14131,A000000,02800,0000,02800ELECTROCARDIOLOGY 14131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14131,A000000,03200,0000,03200SUPPORT SURFACES 14131,A000000,03400,0000,03400CLINIC 14131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14131,A000000,03500,0000,03500RURAL HEALTH CLINIC 14131,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14131,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14131,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14131,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14131,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14131,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14131,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14131,A000000,04400,0000,04400DME RENTED - HHA 14131,A000000,04500,0000,04500DME SOLD - HHA 14131,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14131,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14131,A000000,04800,0000,04800AMBULANCE 14131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14131,A000000,05000,0000,05000CORF 14131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14131,A000000,05300,0000,05300INTEREST EXPENSE 14131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14131,A000000,05500,0000,05500HOSPICE 14131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14131,A000000,06100,0000,06100NONPAID WORKERS 14131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14131,A000000,06200,0000,06200PATIENTS LAUNDRY 14131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14131,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14131,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14131,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14131,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14131,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14131,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14131,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14131,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14131,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14131,S000000,00100,0200,10/25/1999 14131,S200000,00100,0100,1350 NORTH TODD DRIVE 14131,S200000,00200,0100,SCOTTSBURG 14131,S200000,00200,0200,IN 14131,S200000,00200,0300,47170- 14131,S200000,00300,0100,SCOTT 14131,S200000,00400,0100,HEALTHCARE OF INDIANA INC. 14131,S200000,00400,0200,155494 14131,S200000,00400,0300,06/01/1993 14131,S200000,00400,0500,P 14131,S200000,01600,0100,Y 14131,S200000,02200,0100,Y 14131,S200000,02800,0100,Y 14131,S700003,00000,0100,1 14133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14133,A000000,00300,0000,00300EMPLOYEE BENEFITS 14133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14133,A000000,00700,0000,00700HOUSEKEEPING 14133,A000000,00800,0000,00800DIETARY 14133,A000000,00900,0000,00900NURSING ADMINISTRATION 14133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14133,A000000,01100,0000,01100PHARMACY 14133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14133,A000000,01300,0000,01300SOCIAL SERVICE 14133,A000000,01301,0000,01301ACTIVITIES 14133,A000000,01350,0000,01500OTHER GENERAL SERVICES 14133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14133,A000000,01600,0000,01600SKILLED NURSING FACILITY 14133,A000000,01800,0000,01800NURSING FACILITY 14133,A000000,01900,0000,01900OTHER LONG TERM CARE 14133,A000000,02100,0000,02100RADIOLOGY 14133,A000000,02200,0000,02200LABORATORY 14133,A000000,02300,0000,02300INTRAVENOUS THERAPY 14133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14133,A000000,02500,0000,02500PHYSICAL THERAPY 14133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14133,A000000,02700,0000,02700SPEECH PATHOLOGY 14133,A000000,02800,0000,02800ELECTROCARDIOLOGY 14133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14133,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14133,A000000,03200,0000,03200SUPPORT SURFACES 14133,A000000,03400,0000,03400CLINIC 14133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14133,A000000,03500,0000,03500RURAL HEALTH CLINIC 14133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14133,A000000,04800,0000,04800AMBULANCE 14133,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14133,A000000,05000,0000,05000CORF 14133,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14133,A000000,05300,0000,05300INTEREST EXPENSE 14133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14133,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14133,A000000,05500,0000,05500HOSPICE 14133,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14133,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14133,A000000,06100,0000,06100NONPAID WORKERS 14133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14133,A000000,06200,0000,06200PATIENTS LAUNDRY 14133,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14133,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14133,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14133,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14133,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14133,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14133,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14133,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14133,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 14133,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14133,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14133,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14133,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14133,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14133,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14133,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 14133,S000000,00100,0200,03/21/2000 14133,S200000,00100,0100,1350 NORTH TODD DRIVE 14133,S200000,00200,0100,SCOTTSBURG 14133,S200000,00200,0200,IN 14133,S200000,00200,0300,47170- 14133,S200000,00300,0100,SCOTT 14133,S200000,00400,0100,SCOTT COUNTY HEALTHCARE 14133,S200000,00400,0200,155494 14133,S200000,00400,0300,12/04/1998 14133,S200000,00400,0500,P 14133,S200000,01004,0500,O 14133,S200000,01600,0100,Y 14133,S700003,00000,0200,2 14144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14144,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14144,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14144,A000000,00300,0000,00300EMPLOYEE BENEFITS 14144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14144,A000000,00700,0000,00700HOUSEKEEPING 14144,A000000,00800,0000,00800DIETARY 14144,A000000,00801,0000,00801CAFETERIA 14144,A000000,00900,0000,00900NURSING ADMINISTRATION 14144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14144,A000000,01100,0000,01100PHARMACY 14144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14144,A000000,01300,0000,01300SOCIAL SERVICE 14144,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14144,A000000,01600,0000,01600SKILLED NURSING FACILITY 14144,A000000,01800,0000,01800NURSING FACILITY 14144,A000000,01900,0000,01900OTHER LONG TERM CARE 14144,A000000,02100,0000,02100RADIOLOGY 14144,A000000,02200,0000,02200LABORATORY 14144,A000000,02300,0000,02300INTRAVENOUS THERAPY 14144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14144,A000000,02500,0000,02500PHYSICAL THERAPY 14144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14144,A000000,02700,0000,02700SPEECH PATHOLOGY 14144,A000000,02800,0000,02800ELECTROCARDIOLOGY 14144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14144,A000000,03050,0000,03300OTHER ANCILLARY 14144,A000000,03051,0000,03301OTHER ANCILLARY II 14144,A000000,03052,0000,03302OTHER ANCILLARY III 14144,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14144,A000000,03200,0000,03200SUPPORT SURFACES 14144,A000000,03400,0000,03400CLINIC 14144,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14144,A000000,03500,0000,03500RURAL HEALTH CLINIC 14144,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14144,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14144,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14144,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14144,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14144,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14144,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14144,A000000,04400,0000,04400DME RENTED - HHA 14144,A000000,04500,0000,04500DME SOLD - HHA 14144,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14144,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14144,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14144,A000000,04800,0000,04800AMBULANCE 14144,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14144,A000000,05000,0000,05000CORF 14144,A000000,05010,0000,05010CMHC I 14144,A000000,05020,0000,05020OPT I 14144,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14144,A000000,05300,0000,05300INTEREST EXPENSE 14144,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14144,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14144,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14144,A000000,05500,0000,05500HOSPICE 14144,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14144,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14144,A000000,06100,0000,06100NONPAID WORKERS 14144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14144,A000000,06200,0000,06200PATIENTS LAUNDRY 14144,A81000A,00100,0100,Y 14144,A81000B,00100,0300,MANAGEMENT FEE 14144,A81000B,00200,0300,PAYROLL PROCESSING 14144,A81000B,00300,0300,CENTRAL SERVICES 14144,A81000B,00400,0300,MEDICAL SUPPLIES 14144,A81000B,00500,0300,SUPPORT SURFACE 14144,A81000B,00600,0300,HOUSEKEEPING 14144,A81000B,00700,0300,NURSING 14144,A81000B,00800,0300,NONREIMBURSEABLE 14144,A81000B,00900,0300,DIETARY 14144,A81000C,00100,0100,G 14144,A81000C,00100,0200,CENTENNIA & PTS 14144,A81000C,00100,0400,CENT HLTC 14144,A81000C,00100,0600,HO 14144,A81000C,00200,0100,G 14144,A81000C,00200,0200,CENTENNIAL PTS 14144,A81000C,00200,0400,CENT HLTC 14144,A81000C,00200,0600,HO 14144,A81000C,00300,0100,G 14144,A81000C,00300,0200,CENTENNIAL PTS 14144,A81000C,00300,0400,CENT HLTC 14144,A81000C,00300,0600,SUPPLIES 14144,A81000C,00400,0100,G 14144,A81000C,00400,0200,CENTENNIAL PTS 14144,A81000C,00400,0400,CENT HLTC 14144,A81000C,00400,0600,SUPPLIES 14144,A81000C,00500,0100,G 14144,A81000C,00500,0200,CENTENNIAL PTS 14144,A81000C,00500,0400,CENT HLTC 14144,A81000C,00500,0600,SUPPLIES 14144,A81000C,00600,0100,G 14144,A81000C,00600,0200,CENTENNIAL PTS 14144,A81000C,00600,0400,CENT HLTC 14144,A81000C,00600,0600,SUPPLIES 14144,A81000C,00700,0100,G 14144,A81000C,00700,0200,CENTENNIAL PTS 14144,A81000C,00700,0400,CENT HLTC 14144,A81000C,00700,0600,SUPPLIES 14144,A81000C,00800,0100,G 14144,A81000C,00800,0200,CENTENNIAL PTS 14144,A81000C,00800,0400,CENT HLTC 14144,A81000C,00800,0600,SUPPLIES 14144,A81000C,00900,0100,G 14144,A81000C,00900,0200,CENTENNIAL PTS 14144,A81000C,00900,0400,CENT HLTC 14144,A81000C,00900,0600,SUPPLIES 14144,A81000C,03100,0000,DIETARY 14144,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14144,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14144,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14144,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14144,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 14144,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14144,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14144,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 14144,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 14144,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 14144,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 14144,S000000,00100,0200,06/01/2000 14144,S200000,00100,0100,505 WEST 4TH STREET 14144,S200000,00200,0100,MILFORD 14144,S200000,00200,0200,IN 14144,S200000,00200,0300,46542- 14144,S200000,00300,0100,KOSCIUSKO 14144,S200000,00300,0200,15 14144,S200000,00300,0300,R 14144,S200000,00400,0100,LAKELAND HEALTHCARE & REHAB 14144,S200000,00400,0200,155495 14144,S200000,00400,0300,07/21/1993 14144,S200000,00400,0500,P 14144,S200000,01500,0100,Y 14144,S200000,02200,0100,Y 14156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14156,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14156,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14156,A000000,00300,0000,00300EMPLOYEE BENEFITS 14156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14156,A000000,00700,0000,00700HOUSEKEEPING 14156,A000000,00800,0000,00800DIETARY 14156,A000000,00801,0000,00801CAFETERIA 14156,A000000,00900,0000,00900NURSING ADMINISTRATION 14156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14156,A000000,01100,0000,01100PHARMACY 14156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14156,A000000,01300,0000,01300SOCIAL SERVICE 14156,A000000,01350,0000,01500ACTIVITIES 14156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14156,A000000,01600,0000,01600SKILLED NURSING FACILITY 14156,A000000,01800,0000,01800NURSING FACILITY 14156,A000000,01900,0000,01900OTHER LONG TERM CARE 14156,A000000,02100,0000,02100RADIOLOGY 14156,A000000,02200,0000,02200LABORATORY 14156,A000000,02300,0000,02300INTRAVENOUS THERAPY 14156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14156,A000000,02500,0000,02500PHYSICAL THERAPY 14156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14156,A000000,02700,0000,02700SPEECH PATHOLOGY 14156,A000000,02800,0000,02800ELECTROCARDIOLOGY 14156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14156,A000000,03050,0000,03300OTHER ANCILLARY 14156,A000000,03051,0000,03301OTHER ANCILLARY II 14156,A000000,03052,0000,03302OTHER ANCILLARY III 14156,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14156,A000000,03200,0000,03200SUPPORT SURFACES 14156,A000000,03400,0000,03400CLINIC 14156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14156,A000000,03500,0000,03500RURAL HEALTH CLINIC 14156,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14156,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14156,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14156,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14156,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14156,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14156,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14156,A000000,04400,0000,04400DME RENTED - HHA 14156,A000000,04500,0000,04500DME SOLD - HHA 14156,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14156,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14156,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14156,A000000,04800,0000,04800AMBULANCE 14156,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14156,A000000,05000,0000,05000CORF 14156,A000000,05010,0000,05010CMHC I 14156,A000000,05020,0000,05020OPT I 14156,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14156,A000000,05300,0000,05300INTEREST EXPENSE 14156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14156,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14156,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14156,A000000,05500,0000,05500HOSPICE 14156,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14156,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14156,A000000,06100,0000,06100NONPAID WORKERS 14156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14156,A000000,06200,0000,06200PATIENTS LAUNDRY 14156,A81000A,00100,0100,Y 14156,A81000B,00100,0300,A&G ACCOUNTING 14156,A81000B,00200,0300,CAPITAL 14156,A81000B,00300,0300,A&G MGT FEES 14156,A81000B,00400,0300,A&G INTEREST 14156,A81000B,00500,0300,ENTERAL SUPPLY 14156,A81000B,00600,0300,MEDICAL SUPPLIES 14156,A81000B,00700,0300,MEDICAL SUPPLIES 14156,A81000C,00100,0100,A 14156,A81000C,00100,0200,DOUG MITTLEIDER 14156,A81000C,00100,0600,L-T CARE MGMT 14156,A81000C,00200,0100,A 14156,A81000C,00200,0200,MIKE FOXWORTHY 14156,A81000C,00200,0600,L-T CARE MGMT 14156,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14156,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 14156,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14156,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 14156,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14156,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14156,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14156,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 14156,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14156,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14156,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 14156,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 14156,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 14156,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 14156,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 14156,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 14156,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 14156,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 14156,S000000,00100,0200,10/05/2000 14156,S200000,00100,0100,7465 S MADISON AVE 14156,S200000,00200,0100,INDIANAPOLIS 14156,S200000,00200,0200,IN 14156,S200000,00200,0300,46227- 14156,S200000,00300,0100,MARION 14156,S200000,00400,0100,WINDSOR MANOR HEALTHCARE CENTER 14156,S200000,00400,0200,155499 14156,S200000,00400,0300,10/12/1993 14156,S200000,00400,0500,P 14156,S200000,00800,0200,157458 14156,S200000,00800,0300,10/12/1993 14156,S200000,00800,0600,P 14156,S200000,01600,0100,Y 14156,S200000,02200,0100,Y 14156,S700003,00000,0100,1 14164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14164,A000000,00300,0000,00300EMPLOYEE BENEFITS 14164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14164,A000000,00700,0000,00700HOUSEKEEPING 14164,A000000,00800,0000,00800DIETARY 14164,A000000,00900,0000,00900NURSING ADMINISTRATION 14164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14164,A000000,01100,0000,01100PHARMACY 14164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14164,A000000,01300,0000,01300SOCIAL SERVICE 14164,A000000,01350,0000,01500OTHER GENERAL SERVICES 14164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14164,A000000,01600,0000,01600SKILLED NURSING FACILITY 14164,A000000,01800,0000,01800NURSING FACILITY 14164,A000000,01810,0000,01801ICF/MR 14164,A000000,01900,0000,01900OTHER LONG TERM CARE 14164,A000000,02100,0000,02100RADIOLOGY 14164,A000000,02200,0000,02200LABORATORY 14164,A000000,02300,0000,02300INTRAVENOUS THERAPY 14164,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14164,A000000,02500,0000,02500PHYSICAL THERAPY 14164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14164,A000000,02700,0000,02700SPEECH PATHOLOGY 14164,A000000,02800,0000,02800ELECTROCARDIOLOGY 14164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14164,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14164,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14164,A000000,03200,0000,03200SUPPORT SURFACES 14164,A000000,03400,0000,03400CLINIC 14164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14164,A000000,03500,0000,03500RURAL HEALTH CLINIC 14164,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14164,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14164,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14164,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14164,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14164,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14164,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14164,A000000,04400,0000,04400DME RENTED - HHA 14164,A000000,04500,0000,04500DME SOLD - HHA 14164,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14164,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14164,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14164,A000000,04800,0000,04800AMBULANCE 14164,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14164,A000000,05000,0000,05000CORF 14164,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14164,A000000,05300,0000,05300INTEREST EXPENSE 14164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14164,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14164,A000000,05500,0000,05500HOSPICE 14164,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14164,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14164,A000000,06100,0000,06100NONPAID WORKERS 14164,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14164,A000000,06200,0000,06200PATIENTS LAUNDRY 14164,A81000A,00100,0100,Y 14164,A81000B,00100,0300,BUILDING & RELATED COSTS 14164,A81000B,00200,0300,WORKING CAPITAL INTEREST 14164,A81000B,00300,0300,COMPUTER CONSULTING 14164,A81000C,00100,0100,A 14164,A81000C,00100,0200,TANYA A. DICKEY 14164,A81000C,00100,0400,TANYA A. DICKEY PROP MGMT 14164,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14164,A81000C,00200,0100,A 14164,A81000C,00200,0200,TANYA A. DICKEY 14164,A81000C,00200,0400,TANYA A. DICKEY 14164,A81000C,00200,0600,WORKING CAPITAL LOANS 14164,A81000C,00300,0100,D 14164,A81000C,00300,0200,MICHAEL DICKEY 14164,A81000C,00300,0400,SURF CITIES INC. 14164,A81000C,00300,0600,COMPUTER CONSULTING 14164,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14164,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14164,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14164,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14164,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14164,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14164,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14164,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14164,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14164,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14164,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14164,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14164,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14164,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14164,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14164,S000000,00100,0200,01/29/2001 14164,S200000,00100,0100,1817 SOUTH PARK AVENUE 14164,S200000,00200,0100,ALEXANDRIA 14164,S200000,00200,0200,IN 14164,S200000,00200,0300,46001- 14164,S200000,00300,0100,MADISON 14164,S200000,00400,0100,DICKEY ENTERPRISES INC. 14164,S200000,00400,0200,155500 14164,S200000,00400,0300,11/01/1993 14164,S200000,00400,0500,P 14164,S200000,01600,0100,Y 14164,S200000,02200,0100,Y 14164,S700003,00000,0100,1 14179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14179,A000000,00300,0000,00300EMPLOYEE BENEFITS 14179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14179,A000000,00700,0000,00700HOUSEKEEPING 14179,A000000,00800,0000,00800DIETARY 14179,A000000,00900,0000,00900NURSING ADMINISTRATION 14179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14179,A000000,01100,0000,01100PHARMACY 14179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14179,A000000,01300,0000,01300SOCIAL SERVICE 14179,A000000,01350,0000,01500ACTIVITIES 14179,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14179,A000000,01600,0000,01600SKILLED NURSING FACILITY 14179,A000000,01800,0000,01800NURSING FACILITY 14179,A000000,01810,0000,01810ICF/MR 14179,A000000,01900,0000,01900OTHER LONG TERM CARE 14179,A000000,02100,0000,02100RADIOLOGY 14179,A000000,02200,0000,02200LABORATORY 14179,A000000,02300,0000,02300INTRAVENOUS THERAPY 14179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14179,A000000,02500,0000,02500PHYSICAL THERAPY 14179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14179,A000000,02700,0000,02700SPEECH PATHOLOGY 14179,A000000,02800,0000,02800ELECTROCARDIOLOGY 14179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14179,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14179,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14179,A000000,03200,0000,03200SUPPORT SURFACES 14179,A000000,03400,0000,03400CLINIC 14179,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14179,A000000,03500,0000,03500RURAL HEALTH CLINIC 14179,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14179,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14179,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14179,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14179,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14179,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14179,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14179,A000000,04400,0000,04400DME RENTED - HHA 14179,A000000,04500,0000,04500DME SOLD - HHA 14179,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14179,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14179,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14179,A000000,04800,0000,04800AMBULANCE 14179,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14179,A000000,05000,0000,05000CORF 14179,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14179,A000000,05300,0000,05300INTEREST EXPENSE 14179,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14179,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14179,A000000,05500,0000,05500HOSPICE 14179,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14179,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14179,A000000,06100,0000,06100NONPAID WORKERS 14179,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14179,A000000,06200,0000,06200PATIENTS LAUNDRY 14179,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14179,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14179,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14179,B100000,00000,0800,00000MEALS SERVED :DIETARY 14179,B100000,00000,0900,00000DIRECT NSG. HOURS :NURSING ADMINIST 14179,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14179,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14179,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14179,S000000,00100,0200,08/15/2001 14179,S200000,00100,0100,501 S. MURPHY AVE 14179,S200000,00100,0300,130 14179,S200000,00200,0100,BRAZIL 14179,S200000,00200,0200,IN 14179,S200000,00200,0300,47834- 14179,S200000,00300,0100,CLAY 14179,S200000,00300,0200,8320 14179,S200000,00300,0300,U 14179,S200000,00400,0100,HOLLY HILL HEALTHCARE 14179,S200000,00400,0200,155503 14179,S200000,00400,0300,01/01/1994 14179,S200000,00400,0500,P 14179,S200000,01004,0500,O 14179,S200000,01600,0100,Y 14181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14181,A000000,00300,0000,00300EMPLOYEE BENEFITS 14181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14181,A000000,00700,0000,00700HOUSEKEEPING 14181,A000000,00800,0000,00800DIETARY 14181,A000000,00900,0000,00900NURSING ADMINISTRATION 14181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14181,A000000,01100,0000,01100PHARMACY 14181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14181,A000000,01300,0000,01300SOCIAL SERVICE 14181,A000000,01350,0000,01500ACTIVITIES 14181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14181,A000000,01600,0000,01600SKILLED NURSING FACILITY 14181,A000000,01800,0000,01800NURSING FACILITY 14181,A000000,01900,0000,01900OTHER LONG TERM CARE 14181,A000000,02100,0000,02100RADIOLOGY 14181,A000000,02200,0000,02200LABORATORY 14181,A000000,02300,0000,02300INTRAVENOUS THERAPY 14181,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14181,A000000,02500,0000,02500PHYSICAL THERAPY 14181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14181,A000000,02700,0000,02700SPEECH PATHOLOGY 14181,A000000,02800,0000,02800ELECTROCARDIOLOGY 14181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14181,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14181,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14181,A000000,03200,0000,03200SUPPORT SURFACES 14181,A000000,03400,0000,03400CLINIC 14181,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14181,A000000,03500,0000,03500RURAL HEALTH CLINIC 14181,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14181,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14181,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14181,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14181,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14181,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14181,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14181,A000000,04400,0000,04400DME RENTED - HHA 14181,A000000,04500,0000,04500DME SOLD - HHA 14181,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14181,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14181,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14181,A000000,04800,0000,04800AMBULANCE 14181,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14181,A000000,05000,0000,05000CORF 14181,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14181,A000000,05300,0000,05300INTEREST EXPENSE 14181,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14181,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14181,A000000,05500,0000,05500HOSPICE 14181,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14181,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14181,A000000,06100,0000,06100NONPAID WORKERS 14181,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14181,A000000,06200,0000,06200PATIENTS LAUNDRY 14181,A81000A,00100,0100,Y 14181,A81000B,00100,0300,CAPITAL RELATED 14181,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 14181,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14181,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14181,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14181,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14181,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14181,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14181,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14181,B100000,00000,0800,00000MEALS SERVED :DIETARY 14181,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14181,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14181,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14181,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14181,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14181,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 14181,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14181,S000000,00100,0200,08/13/1999 14181,S200000,00100,0100,501 S. MURPHY AVE 14181,S200000,00100,0300,130 14181,S200000,00200,0100,BRAZIL 14181,S200000,00200,0200,IN 14181,S200000,00200,0300,47834- 14181,S200000,00300,0100,CLAY 14181,S200000,00400,0100,HOLLY HILL HEALTHCARE 14181,S200000,00400,0200,155503 14181,S200000,00400,0300,01/01/1994 14181,S200000,00400,0500,P 14181,S200000,01600,0100,Y 14181,S700003,00000,0200,2 14183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14183,A000000,00300,0000,00300EMPLOYEE BENEFITS 14183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14183,A000000,00700,0000,00700HOUSEKEEPING 14183,A000000,00800,0000,00800DIETARY 14183,A000000,00900,0000,00900NURSING ADMINISTRATION 14183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14183,A000000,01100,0000,01100PHARMACY 14183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14183,A000000,01300,0000,01300SOCIAL SERVICE 14183,A000000,01350,0000,01500ACTIVITIES 14183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14183,A000000,01600,0000,01600SKILLED NURSING FACILITY 14183,A000000,01800,0000,01800NURSING FACILITY 14183,A000000,01810,0000,01810ICF/MR 14183,A000000,01900,0000,01900OTHER LONG TERM CARE 14183,A000000,02100,0000,02100RADIOLOGY 14183,A000000,02200,0000,02200LABORATORY 14183,A000000,02300,0000,02300INTRAVENOUS THERAPY 14183,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14183,A000000,02500,0000,02500PHYSICAL THERAPY 14183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14183,A000000,02700,0000,02700SPEECH PATHOLOGY 14183,A000000,02800,0000,02800ELECTROCARDIOLOGY 14183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14183,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14183,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14183,A000000,03200,0000,03200SUPPORT SURFACES 14183,A000000,03400,0000,03400CLINIC 14183,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14183,A000000,03500,0000,03500RURAL HEALTH CLINIC 14183,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14183,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14183,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14183,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14183,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14183,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14183,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14183,A000000,04400,0000,04400DME RENTED - HHA 14183,A000000,04500,0000,04500DME SOLD - HHA 14183,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14183,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14183,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14183,A000000,04800,0000,04800AMBULANCE 14183,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14183,A000000,05000,0000,05000CORF 14183,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14183,A000000,05300,0000,05300INTEREST EXPENSE 14183,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14183,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14183,A000000,05500,0000,05500HOSPICE 14183,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14183,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14183,A000000,06100,0000,06100NONPAID WORKERS 14183,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14183,A000000,06200,0000,06200PATIENTS LAUNDRY 14183,A81000A,00100,0100,Y 14183,A81000B,00100,0300,CAPITAL RELATED 14183,A81000B,00200,0300,ADMIN & GENERAL 14183,A81000B,00300,0300,MANAGEMENT FEES 14183,A81000C,00100,0100,G 14183,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14183,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14183,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14183,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14183,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14183,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14183,B100000,00000,0800,00000MEALS SERVED :DIETARY 14183,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 14183,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14183,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14183,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14183,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 14183,S000000,00100,0200,07/21/2000 14183,S200000,00100,0100,501 S. MURPHY AVE 14183,S200000,00100,0300,130 14183,S200000,00200,0100,BRAZIL 14183,S200000,00200,0200,IN 14183,S200000,00200,0300,47834- 14183,S200000,00300,0100,CLAY 14183,S200000,00300,0200,8320 14183,S200000,00300,0300,U 14183,S200000,00400,0100,HOLLY HILL HEALTHCARE 14183,S200000,00400,0200,155503 14183,S200000,00400,0300,01/01/1994 14183,S200000,00400,0500,P 14183,S200000,01600,0100,Y 14194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14194,A000000,00300,0000,00300EMPLOYEE BENEFITS 14194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14194,A000000,00700,0000,00700HOUSEKEEPING 14194,A000000,00800,0000,00800DIETARY 14194,A000000,00900,0000,00900NURSING ADMINISTRATION 14194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14194,A000000,01300,0000,01300SOCIAL SERVICE 14194,A000000,01600,0000,01600SKILLED NURSING FACILITY 14194,A000000,01800,0000,01800NURSING FACILITY 14194,A000000,01810,0000,01801ICF/MR 14194,A000000,01900,0000,01900OTHER LONG TERM CARE 14194,A000000,02100,0000,02100RADIOLOGY 14194,A000000,02200,0000,02200LABORATORY 14194,A000000,02300,0000,02300INTRAVENOUS THERAPY 14194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14194,A000000,02500,0000,02500PHYSICAL THERAPY 14194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14194,A000000,02700,0000,02700SPEECH PATHOLOGY 14194,A000000,02800,0000,02800ELECTROCARDIOLOGY 14194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14194,A000000,03200,0000,03200SUPPORT SURFACES 14194,A000000,03400,0000,03400CLINIC 14194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14194,A000000,03500,0000,03500RURAL HEALTH CLINIC 14194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14194,A000000,04400,0000,04400DME RENTED - HHA 14194,A000000,04500,0000,04500DME SOLD - HHA 14194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14194,A000000,04750,0000,05100RETIREMENT APARTMENTS 14194,A000000,04800,0000,04800AMBULANCE 14194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14194,A000000,05000,0000,05000CORF 14194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14194,A000000,05300,0000,05300INTEREST EXPENSE 14194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14194,A000000,05500,0000,05500HOSPICE 14194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14194,A000000,06100,0000,06100NONPAID WORKERS 14194,A000000,06150,0000,06300CHILD CARE 14194,A000000,06200,0000,06200PATIENTS LAUNDRY 14194,A81000A,00100,0100,Y 14194,A81000B,00100,0300,CAPITAL 14194,A81000B,00200,0300,ADMINISTRATION 14194,A81000C,00100,0100,B 14194,A81000C,00100,0400,NAT. BEN. ASSOCIATION 14194,A81000C,00100,0600,H/C MANAGEMENT 14194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14194,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14194,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14194,B100000,00000,0800,00000MEALS SERVED :DIETARY 14194,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14194,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14194,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14194,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14194,S000000,00100,0200,06/02/2000 14194,S200000,00100,0100,5354 W. 62ND STREET 14194,S200000,00200,0100,INDIANAPOLIS 14194,S200000,00200,0200,IN 14194,S200000,00200,0300,46268- 14194,S200000,00300,0100,MARION 14194,S200000,00400,0100,ROBIN RUN HEALTH CENTER 14194,S200000,00400,0200,155505 14194,S200000,00400,0300,10/11/1993 14194,S200000,00400,0500,P 14194,S200000,01004,0500,O 14194,S200000,01600,0100,Y 14194,S700003,00000,0100,1 14203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14203,A000000,00300,0000,00300EMPLOYEE BENEFITS 14203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14203,A000000,00700,0000,00700HOUSEKEEPING 14203,A000000,00800,0000,00800DIETARY 14203,A000000,00900,0000,00900NURSING ADMINISTRATION 14203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14203,A000000,01100,0000,01100PHARMACY 14203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14203,A000000,01300,0000,01300SOCIAL SERVICE 14203,A000000,01301,0000,01301ACTIVITIES 14203,A000000,01600,0000,01600SKILLED NURSING FACILITY 14203,A000000,01800,0000,01800NURSING FACILITY 14203,A000000,02100,0000,02100RADIOLOGY 14203,A000000,02200,0000,02200LABORATORY 14203,A000000,02300,0000,02300INTRAVENOUS THERAPY 14203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14203,A000000,02500,0000,02500PHYSICAL THERAPY 14203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14203,A000000,02700,0000,02700SPEECH PATHOLOGY 14203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14203,A000000,04800,0000,04800AMBULANCE 14203,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14203,A000000,05300,0000,05300INTEREST EXPENSE 14203,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14203,A81000A,00100,0100,Y 14203,A81000B,00100,0300,HOME OFFICE CAPITAL 14203,A81000B,00200,0300,HOME OFFICE CAPITAL 14203,A81000B,00300,0300,HOME OFFICE BENEFITS 14203,A81000B,00400,0300,HOME OFFICE A & G 14203,A81000B,00500,0300,EMPLOYEE BENEFITS 14203,A81000B,00600,0300,INTEREST EXPENSE 14203,A81000B,00700,0300,INTEREST EXPENSE 14203,A81000B,00800,0300,INSURANCE 14203,A81000B,00900,0300,CHAPLAINCY 14203,A81000C,00100,0100,B 14203,A81000C,00100,0400,HCCSI 14203,A81000C,00100,0600,PARENT 14203,A81000C,00200,0100,B 14203,A81000C,00200,0400,HCCSI 14203,A81000C,00200,0600,PARENT 14203,A81000C,00300,0100,B 14203,A81000C,00300,0400,HCCSI 14203,A81000C,00300,0600,PARENT 14203,A81000C,00400,0100,B 14203,A81000C,00400,0400,HCCSI 14203,A81000C,00400,0600,PARENT 14203,A81000C,00500,0100,B 14203,A81000C,00500,0400,HCRI 14203,A81000C,00500,0600,REL INSURANCE 14203,A81000C,00600,0100,B 14203,A81000C,00600,0400,HCHSC 14203,A81000C,00600,0600,PARENT 14203,A81000C,00700,0100,B 14203,A81000C,00700,0400,HCHSC 14203,A81000C,00700,0600,PARENT 14203,A81000C,00800,0100,B 14203,A81000C,00800,0400,HAVICAN 14203,A81000C,00800,0600,REL INSURANCE 14203,A81000C,00900,0100,B 14203,A81000C,00900,0400,SJRMC 14203,A81000C,00900,0600,REL HOSPITAL 14203,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14203,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14203,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 14203,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14203,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14203,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 14203,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14203,B100000,00000,0850,00000PAT DAYS :DIETARY 14203,B100000,00000,0900,00000NUR HOURS :NURSING ADMINISTRATION 14203,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 14203,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 14203,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 14203,B100000,00000,1331,00000PAT DAYS :ACTIVITIES 14203,S000000,00100,0200,11/30/2000 14203,S200000,00100,0100,17475 DUGDALE DRIVE 14203,S200000,00200,0100,SOUTH BEND 14203,S200000,00200,0200,IN 14203,S200000,00200,0300,46635-1545 14203,S200000,00300,0100,ST. JOSEPH 14203,S200000,00300,0200,7800 14203,S200000,00300,0300,U 14203,S200000,00400,0100,HOLY CROSS CARE & REHABILITATION CTR 14203,S200000,00400,0200,155506 14203,S200000,00400,0300,01/24/1994 14203,S200000,00400,0500,P 14203,S200000,00600,0200,155506 14203,S200000,00600,0300,01/24/1994 14203,S200000,00600,0600,P 14203,S200000,01600,0100,Y 14203,S200000,02200,0100,Y 14203,S200000,02800,0100,Y 14203,S200000,03300,0100,Y 14203,S200000,03300,0200,Y 14203,S200000,03500,0300,Y 14210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14210,A000000,00300,0000,00300EMPLOYEE BENEFITS 14210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14210,A000000,00700,0000,00700HOUSEKEEPING 14210,A000000,00800,0000,00800DIETARY 14210,A000000,00900,0000,00900NURSING ADMINISTRATION 14210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14210,A000000,01300,0000,01300SOCIAL SERVICE 14210,A000000,01600,0000,01600SKILLED NURSING FACILITY 14210,A000000,01800,0000,01800NURSING FACILITY 14210,A000000,02100,0000,02100RADIOLOGY 14210,A000000,02200,0000,02200LABORATORY 14210,A000000,02300,0000,02300INTRAVENOUS THERAPY 14210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14210,A000000,02500,0000,02500PHYSICAL THERAPY 14210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14210,A000000,02700,0000,02700SPEECH PATHOLOGY 14210,A000000,02800,0000,02800ELECTROCARDIOLOGY 14210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14210,A000000,03200,0000,03200SUPPORT SURFACES 14210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14210,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 14210,A000000,06200,0000,06200PATIENTS LAUNDRY 14210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14210,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14210,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14210,B100000,00000,0800,00000MEALS SERVED :DIETARY 14210,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14210,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14210,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14210,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14210,S000000,00100,0200,07/27/2000 14210,S200000,00100,0100,215 W HIGHT STREET 14210,S200000,00200,0100,LIBERTY 14210,S200000,00200,0200,IN 14210,S200000,00200,0300,47353- 14210,S200000,00300,0100,UNION 14210,S200000,00400,0100,HILLCREST ESTATES 14210,S200000,00400,0200,155507 14210,S200000,00400,0300,12/31/1983 14210,S200000,00400,0500,P 14210,S200000,01004,0500,O 14210,S200000,01600,0100,Y 14220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14220,A000000,00300,0000,00300EMPLOYEE BENEFITS 14220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14220,A000000,00700,0000,00700HOUSEKEEPING 14220,A000000,00800,0000,00800DIETARY 14220,A000000,01300,0000,01300SOCIAL SERVICE 14220,A000000,01600,0000,01600SKILLED NURSING FACILITY 14220,A000000,01800,0000,01800NURSING FACILITY 14220,A000000,01900,0000,01900OTHER LONG TERM CARE 14220,A000000,02100,0000,02100RADIOLOGY 14220,A000000,02500,0000,02500PHYSICAL THERAPY 14220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14220,A000000,02700,0000,02700SPEECH PATHOLOGY 14220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14220,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 14220,A81000A,00100,0100,Y 14220,A81000B,00100,0300,MANAGEMENT FEE 14220,A81000B,00200,0300,MAINTENANCE S&W 14220,A81000B,00300,0300,MAINTENANCE OTHER 14220,A81000B,00400,0300,MN EMPLOYEE BENEFITS 14220,A81000C,00100,0100,B 14220,A81000C,00100,0200,JANET LEMLER 14220,A81000C,00100,0400,CENTURY FIELDS 14220,A81000C,00100,0600,ASSISTED LIVING 14220,A81000C,00200,0100,D 14220,A81000C,00200,0200,JERRY MEURER 14220,A81000C,00200,0400,MEURER MAINTENA 14220,A81000C,00200,0600,MAINTENANCE COM 14220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14220,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14220,B100000,00000,0800,00000MEALS SERVED :DIETARY 14220,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14220,S000000,00100,0200,06/01/2000 14220,S200000,00100,0100,705 N. MERIDIAN STREET 14220,S200000,00200,0100,GREENTOWN 14220,S200000,00200,0200,IN 14220,S200000,00200,0300,46936- 14220,S200000,00300,0100,HOWARD 14220,S200000,00400,0100,CENTURY VILLA INC. 14220,S200000,00400,0200,155510 14220,S200000,00400,0300,03/01/1994 14220,S200000,00400,0500,P 14220,S200000,01600,0100,Y 14220,S700003,00000,0100,1 14229,S000000,00100,0200,11/30/1999 14241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14241,A000000,00300,0000,00300EMPLOYEE BENEFITS 14241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14241,A000000,00700,0000,00700HOUSEKEEPING 14241,A000000,00800,0000,00800DIETARY 14241,A000000,00900,0000,00900NURSING ADMINISTRATION 14241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14241,A000000,01100,0000,01100PHARMACY 14241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14241,A000000,01300,0000,01300SOCIAL SERVICE 14241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14241,A000000,01600,0000,01600SKILLED NURSING FACILITY 14241,A000000,01900,0000,01900OTHER LONG TERM CARE 14241,A000000,02100,0000,02100RADIOLOGY 14241,A000000,02200,0000,02200LABORATORY 14241,A000000,02300,0000,02300INTRAVENOUS THERAPY 14241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14241,A000000,02500,0000,02500PHYSICAL THERAPY 14241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14241,A000000,02700,0000,02700SPEECH PATHOLOGY 14241,A000000,02800,0000,02800ELECTROCARDIOLOGY 14241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14241,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14241,A000000,03200,0000,03200SUPPORT SURFACES 14241,A000000,03400,0000,03400CLINIC 14241,A000000,04800,0000,04800AMBULANCE 14241,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14241,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14241,A000000,05300,0000,05300INTEREST EXPENSE 14241,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14241,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14241,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14241,A000000,06100,0000,06100NONPAID WORKERS 14241,A000000,06101,0000,06101BAD DEBT 14241,A000000,06102,0000,06102DEVELOPMENT 14241,A000000,06200,0000,06200PATIENTS LAUNDRY 14241,A81000A,00100,0100,Y 14241,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 14241,A81000C,00100,0100,B 14241,A81000C,00100,0200,SENIOR SERVICE 14241,A81000C,00100,0600,HEALTH SERVICES 14241,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14241,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 14241,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14241,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14241,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14241,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14241,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 14241,B100000,00000,0800,00000MEALS SERVED :DIETARY 14241,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14241,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14241,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14241,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14241,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14241,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14241,S000000,00100,0200,06/29/2000 14241,S200000,00100,0100,515 N. MAIN STREET 14241,S200000,00200,0100,AVILLA 14241,S200000,00200,0200,IN 14241,S200000,00200,0300,46710- 14241,S200000,00300,0100,NOBLE 14241,S200000,00400,0100,PROVENA SACRED HEART HOME 14241,S200000,00400,0200,155512 14241,S200000,00400,0300,05/01/1993 14241,S200000,00400,0500,P 14241,S200000,01600,0100,Y 14241,S200000,04300,0100,Y 14241,S700003,00000,0100,1 14251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14251,A000000,00300,0000,00300EMPLOYEE BENEFITS 14251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14251,A000000,00700,0000,00700HOUSEKEEPING 14251,A000000,00800,0000,00800DIETARY 14251,A000000,00900,0000,00900NURSING ADMINISTRATION 14251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14251,A000000,01100,0000,01100PHARMACY 14251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14251,A000000,01300,0000,01300SOCIAL SERVICE 14251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14251,A000000,01600,0000,01600SKILLED NURSING FACILITY 14251,A000000,02100,0000,02100RADIOLOGY 14251,A000000,02200,0000,02200LABORATORY 14251,A000000,02300,0000,02300INTRAVENOUS THERAPY 14251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14251,A000000,02500,0000,02500PHYSICAL THERAPY 14251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14251,A000000,02700,0000,02700SPEECH PATHOLOGY 14251,A000000,02800,0000,02800ELECTROCARDIOLOGY 14251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14251,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14251,A000000,03200,0000,03200SUPPORT SURFACES 14251,A000000,03400,0000,03400CLINIC 14251,A000000,04800,0000,04800AMBULANCE 14251,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14251,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14251,A000000,05300,0000,05300INTEREST EXPENSE 14251,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14251,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14251,A000000,06100,0000,06100NONPAID WORKERS 14251,A000000,06200,0000,06200PATIENTS LAUNDRY 14251,A81000A,00100,0100,Y 14251,A81000B,00100,0300,CAPITAL 14251,A81000B,00200,0300,ADMIN 14251,A81000C,00100,0100,B 14251,A81000C,00100,0200,EXTENDACARE INC 14251,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14251,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14251,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14251,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14251,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14251,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14251,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14251,B100000,00000,0800,00000MEALS SERVED :DIETARY 14251,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14251,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14251,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14251,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14251,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14251,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14251,S000000,00100,0200,03/01/2000 14251,S200000,00100,0100,1101 W LINCOLN AVENUE 14251,S200000,00200,0100,GOSHEN 14251,S200000,00200,0200,IN 14251,S200000,00200,0300,46526- 14251,S200000,00300,0100,46526 ELKHART 14251,S200000,00400,0100,EXTENDACARE OF GOSHEN 14251,S200000,00400,0200,155513 14251,S200000,00400,0300,02/01/1996 14251,S200000,00400,0500,P 14251,S200000,01600,0100,Y 14251,S200000,02200,0100,Y 14251,S200000,03100,0100,Y 14251,S700003,00000,0100,1 14262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14262,A000000,00300,0000,00300EMPLOYEE BENEFITS 14262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14262,A000000,00700,0000,00700HOUSEKEEPING 14262,A000000,00800,0000,00800DIETARY 14262,A000000,00900,0000,00900NURSING ADMINISTRATION 14262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14262,A000000,01100,0000,01100PHARMACY 14262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14262,A000000,01300,0000,01300SOCIAL SERVICE 14262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14262,A000000,01600,0000,01600SKILLED NURSING FACILITY 14262,A000000,02100,0000,02100RADIOLOGY 14262,A000000,02200,0000,02200LABORATORY 14262,A000000,02300,0000,02300INTRAVENOUS THERAPY 14262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14262,A000000,02500,0000,02500PHYSICAL THERAPY 14262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14262,A000000,02700,0000,02700SPEECH PATHOLOGY 14262,A000000,02800,0000,02800ELECTROCARDIOLOGY 14262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14262,A000000,03200,0000,03200SUPPORT SURFACES 14262,A000000,03400,0000,03400CLINIC 14262,A000000,04800,0000,04800AMBULANCE 14262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14262,A000000,05300,0000,05300INTEREST EXPENSE 14262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14262,A000000,06100,0000,06100NONPAID WORKERS 14262,A000000,06200,0000,06200PATIENTS LAUNDRY 14262,A81000A,00100,0100,Y 14262,A81000B,00100,0300,CAPITAL 14262,A81000B,00200,0300,ADMIN 14262,A81000C,00100,0100,B 14262,A81000C,00100,0200,EXTENDACARE INC 14262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14262,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14262,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14262,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14262,B100000,00000,0800,00000MEALS SERVED :DIETARY 14262,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14262,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14262,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14262,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14262,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14262,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14262,S000000,00100,0200,03/01/2000 14262,S200000,00100,0100,1310 E MAIN STREET 14262,S200000,00200,0100,GREENFIELD 14262,S200000,00200,0200,IN 14262,S200000,00200,0300,46140- 14262,S200000,00300,0100,46140 HANCOCK 14262,S200000,00400,0100,EXTENDACARE OF GREENFIELD 14262,S200000,00400,0200,155514 14262,S200000,00400,0300,02/01/1996 14262,S200000,00400,0500,P 14262,S200000,01600,0100,Y 14262,S200000,02200,0100,Y 14262,S200000,03100,0100,Y 14262,S700003,00000,0100,1 14268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14268,A000000,00300,0000,00300EMPLOYEE BENEFITS 14268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14268,A000000,00700,0000,00700HOUSEKEEPING 14268,A000000,00800,0000,00800DIETARY 14268,A000000,00900,0000,00900NURSING ADMINISTRATION 14268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14268,A000000,01100,0000,01100PHARMACY 14268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14268,A000000,01300,0000,01300SOCIAL SERVICE 14268,A000000,01301,0000,01301ACTIVITIES 14268,A000000,01350,0000,01500OTHER GENERAL SERVICES 14268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14268,A000000,01600,0000,01600SKILLED NURSING FACILITY 14268,A000000,01800,0000,01800NURSING FACILITY 14268,A000000,01810,0000,01801ICF/MR 14268,A000000,01900,0000,01900OTHER LONG TERM CARE 14268,A000000,02100,0000,02100RADIOLOGY 14268,A000000,02200,0000,02200LABORATORY 14268,A000000,02300,0000,02300INTRAVENOUS THERAPY 14268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14268,A000000,02500,0000,02500PHYSICAL THERAPY 14268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14268,A000000,02700,0000,02700SPEECH PATHOLOGY 14268,A000000,02800,0000,02800ELECTROCARDIOLOGY 14268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14268,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14268,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14268,A000000,03200,0000,03200SUPPORT SURFACES 14268,A000000,03400,0000,03400CLINIC 14268,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14268,A000000,03500,0000,03500RURAL HEALTH CLINIC 14268,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14268,A000000,04800,0000,04800AMBULANCE 14268,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14268,A000000,05000,0000,05000CORF 14268,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14268,A000000,05300,0000,05300INTEREST EXPENSE 14268,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14268,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14268,A000000,05500,0000,05500HOSPICE 14268,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14268,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14268,A000000,06100,0000,06100NONPAID WORKERS 14268,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14268,A000000,06200,0000,06200PATIENTS LAUNDRY 14268,A81000A,00100,0100,Y 14268,A81000B,00100,0300,HOME OFFICE COSTS 14268,A81000B,00200,0300,HOME OFFICE COSTS 14268,A81000B,00300,0300,HOME OFFICE COSTS 14268,A81000B,00400,0300,RELATED PARTY VENDOR 14268,A81000B,00500,0300,RELATED PARTY VENDOR 14268,A81000B,00600,0300,RELATED PARTY VENDOR 14268,A81000B,00700,0300,RELATED PARTY VENDOR 14268,A81000C,00100,0100,D 14268,A81000C,00100,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00100,0400,TOBEY NEWBERRY GROUP 14268,A81000C,00100,0600,HOME OFFICE 14268,A81000C,00200,0100,D 14268,A81000C,00200,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00200,0400,TOBEY NEWBERRY GROUP 14268,A81000C,00200,0600,HOME OFFICE 14268,A81000C,00300,0100,D 14268,A81000C,00300,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00300,0400,TOBEY NEWBERRY GROUP 14268,A81000C,00300,0600,HOME OFFICE 14268,A81000C,00400,0100,A 14268,A81000C,00400,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00400,0400,FREEDOM REHAB & ASSOC 14268,A81000C,00400,0600,THERAPY & CONSULTANTS 14268,A81000C,00500,0100,A 14268,A81000C,00500,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00500,0400,FREEDOM REHAB & ASSOC 14268,A81000C,00500,0600,THERAPY & CONSULTANTS 14268,A81000C,00600,0100,A 14268,A81000C,00600,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00600,0400,FREEDOM REHAB & ASSOC 14268,A81000C,00600,0600,THERAPY & CONSULTANTS 14268,A81000C,00700,0100,A 14268,A81000C,00700,0200,ROBERT & DAPHNA TOBEY 14268,A81000C,00700,0400,FREEDOM REHAB & ASSOC 14268,A81000C,00700,0600,THERAPY & CONSULTANTS 14268,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14268,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14268,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14268,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14268,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14268,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14268,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14268,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14268,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14268,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14268,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14268,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14268,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14268,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14268,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14268,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14268,S000000,00100,0200,08/07/2000 14268,S200000,00100,0100,5055 WEST 52ND STREET 14268,S200000,00200,0100,INDIANAPOLIS 14268,S200000,00200,0200,IN 14268,S200000,00200,0300,46254- 14268,S200000,00300,0100,MARION 14268,S200000,00400,0100,GEORGETOWN MANOR HEALTHCARE 14268,S200000,00400,0200,155517 14268,S200000,00400,0300,09/01/1996 14268,S200000,00400,0500,P 14268,S200000,01004,0500,O 14268,S200000,01600,0100,Y 14268,S200000,03100,0100,Y 14268,S700003,00000,0100,1 14276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14276,A000000,00300,0000,00300EMPLOYEE BENEFITS 14276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14276,A000000,00700,0000,00700HOUSEKEEPING 14276,A000000,00800,0000,00800DIETARY 14276,A000000,00900,0000,00900NURSING ADMINISTRATION 14276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14276,A000000,01100,0000,01100PHARMACY 14276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14276,A000000,01300,0000,01300SOCIAL SERVICE 14276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14276,A000000,01600,0000,01600SKILLED NURSING FACILITY 14276,A000000,02100,0000,02100RADIOLOGY 14276,A000000,02200,0000,02200LABORATORY 14276,A000000,02300,0000,02300INTRAVENOUS THERAPY 14276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14276,A000000,02500,0000,02500PHYSICAL THERAPY 14276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14276,A000000,02700,0000,02700SPEECH PATHOLOGY 14276,A000000,02800,0000,02800ELECTROCARDIOLOGY 14276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14276,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14276,A000000,03200,0000,03200SUPPORT SURFACES 14276,A000000,03400,0000,03400CLINIC 14276,A000000,04800,0000,04800AMBULANCE 14276,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14276,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14276,A000000,05300,0000,05300INTEREST EXPENSE 14276,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14276,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14276,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14276,A000000,06100,0000,06100NONPAID WORKERS 14276,A000000,06200,0000,06200PATIENTS LAUNDRY 14276,A81000A,00100,0100,Y 14276,A81000B,00100,0300,CAPITAL 14276,A81000B,00200,0300,ADMIN 14276,A81000C,00100,0100,B 14276,A81000C,00100,0200,EXTENDACARE INC 14276,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14276,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14276,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14276,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14276,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14276,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14276,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14276,B100000,00000,0800,00000MEALS SERVED :DIETARY 14276,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14276,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14276,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14276,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14276,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14276,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14276,S000000,00100,0200,03/01/2000 14276,S200000,00100,0100,1560 SOUTH PLATE STREET 14276,S200000,00200,0100,KOKOMO 14276,S200000,00200,0200,IN 14276,S200000,00300,0100,46902 HOWARD 14276,S200000,00400,0100,EXTENDACARE OF KOKOMO 14276,S200000,00400,0200,155518 14276,S200000,00400,0300,05/01/1996 14276,S200000,00400,0500,P 14276,S200000,01600,0100,Y 14276,S200000,02200,0100,Y 14276,S200000,03100,0100,Y 14276,S700003,00000,0100,1 14286,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14286,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14286,A000000,00300,0000,00300EMPLOYEE BENEFITS 14286,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14286,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14286,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14286,A000000,00700,0000,00700HOUSEKEEPING 14286,A000000,00800,0000,00800DIETARY 14286,A000000,00900,0000,00900NURSING ADMINISTRATION 14286,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14286,A000000,01100,0000,01100PHARMACY 14286,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14286,A000000,01300,0000,01300SOCIAL SERVICE 14286,A000000,01350,0000,01500ACTIVITIES 14286,A000000,01600,0000,01600SKILLED NURSING FACILITY 14286,A000000,01800,0000,01800NURSING FACILITY 14286,A000000,02100,0000,02100RADIOLOGY 14286,A000000,02200,0000,02200LABORATORY 14286,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14286,A000000,02500,0000,02500PHYSICAL THERAPY 14286,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14286,A000000,02700,0000,02700SPEECH PATHOLOGY 14286,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14286,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14286,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14286,A000000,05300,0000,05300INTEREST EXPENSE 14286,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14286,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14286,A000000,06200,0000,06200PATIENTS LAUNDRY 14286,A81000A,00100,0100,Y 14286,A81000B,00100,0300,HO ALLOC - BLDG 14286,A81000B,00200,0300,HO ALLCO - MME 14286,A81000B,00300,0300,HO ALLOC - NON-CAP 14286,A81000B,00400,0300,HO ALLOC - INT 14286,A81000C,00100,0100,A 14286,A81000C,00100,0200,PETER GLAZIER 14286,A81000C,00100,0400,GENTLE CARE INC 14286,A81000C,00100,0600,NURSING HOME MANAGEMENT 14286,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14286,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14286,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14286,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14286,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14286,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14286,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14286,B100000,00000,0800,00000MEALS SERVED :DIETARY 14286,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14286,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14286,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14286,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14286,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14286,B100000,00000,1350,00000TIME :ACTIVITIES 14286,S000000,00100,0200,06/01/2000 14286,S200000,00100,0100,1202 S 16TH STREET 14286,S200000,00100,0300,903 14286,S200000,00200,0100,VINCENNES 14286,S200000,00200,0200,IN 14286,S200000,00200,0300,47591- 14286,S200000,00300,0100,KNOX 14286,S200000,00400,0100,GENTLE CARE OF VINCENNES 14286,S200000,00400,0200,155519 14286,S200000,00400,0300,04/01/1994 14286,S200000,00400,0500,P 14286,S200000,01600,0100,Y 14286,S700003,00000,0100,1 14298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14298,A000000,00300,0000,00300EMPLOYEE BENEFITS 14298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14298,A000000,00700,0000,00700HOUSEKEEPING 14298,A000000,00800,0000,00800DIETARY 14298,A000000,00900,0000,00900NURSING ADMINISTRATION 14298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14298,A000000,01100,0000,01100PHARMACY 14298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14298,A000000,01300,0000,01300SOCIAL SERVICE 14298,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 14298,A000000,01351,0000,01501ACTIVITIES 14298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14298,A000000,01600,0000,01600SKILLED NURSING FACILITY 14298,A000000,01800,0000,01800NURSING FACILITY 14298,A000000,01810,0000,01801ICF/MR 14298,A000000,01900,0000,01900OTHER LONG TERM CARE 14298,A000000,02100,0000,02100RADIOLOGY 14298,A000000,02200,0000,02200LABORATORY 14298,A000000,02300,0000,02300INTRAVENOUS THERAPY 14298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14298,A000000,02500,0000,02500PHYSICAL THERAPY 14298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14298,A000000,02700,0000,02700SPEECH PATHOLOGY 14298,A000000,02800,0000,02800ELECTROCARDIOLOGY 14298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14298,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14298,A000000,03200,0000,03200SUPPORT SURFACES 14298,A000000,03400,0000,03400CLINIC 14298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14298,A000000,03500,0000,03500RURAL HEALTH CLINIC 14298,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14298,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14298,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14298,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14298,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14298,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14298,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14298,A000000,04400,0000,04400DME RENTED - HHA 14298,A000000,04500,0000,04500DME SOLD - HHA 14298,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14298,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14298,A000000,04800,0000,04800AMBULANCE 14298,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14298,A000000,05000,0000,05000CORF 14298,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14298,A000000,05300,0000,05300INTEREST EXPENSE 14298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14298,A000000,05500,0000,05500HOSPICE 14298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14298,A000000,06100,0000,06100NONPAID WORKERS 14298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14298,A000000,06200,0000,06200PATIENTS LAUNDRY 14298,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 14298,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14298,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 14298,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 14298,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 14298,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 14298,B100000,00000,0850,00000NO STATISTICS :DIETARY 14298,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 14298,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 14298,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14298,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 14298,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 14298,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14298,B100000,00000,1351,00000NO STATISTICS :ACTIVITIES 14298,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14298,S000000,00100,0200,04/02/2001 14298,S200000,00100,0100,909 FIRST AVE 14298,S200000,00200,0100,EVANSVILLE 14298,S200000,00200,0200,IN 14298,S200000,00200,0300,47710- 14298,S200000,00300,0100,VANDEBURG 14298,S200000,00400,0100,CORE NURSING & REHAB OF EVANSVILLE 14298,S200000,00400,0200,155520 14298,S200000,00400,0300,10/01/1997 14298,S200000,00400,0500,P 14298,S200000,00400,0600,O 14298,S200000,01600,0100,Y 14298,S200000,02900,0100,Y 14298,S200000,03000,0100,Y 14298,S700003,00000,0100,1 14307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14307,A000000,00300,0000,00300EMPLOYEE BENEFITS 14307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14307,A000000,00700,0000,00700HOUSEKEEPING 14307,A000000,00800,0000,00800DIETARY 14307,A000000,00900,0000,00900NURSING ADMINISTRATION 14307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14307,A000000,01300,0000,01300SOCIAL SERVICE 14307,A000000,01600,0000,01600SKILLED NURSING FACILITY 14307,A000000,01800,0000,01800NURSING FACILITY 14307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14307,A000000,02500,0000,02500PHYSICAL THERAPY 14307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14307,A000000,02700,0000,02700SPEECH PATHOLOGY 14307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14307,A000000,06201,0000,06201ENTERAL FEEDINGS 14307,A81000A,00100,0100,Y 14307,A81000B,00100,0300,MGT FEES 14307,A81000B,00200,0300,OTHER EXP 14307,A81000B,00300,0300,BENEFITS 14307,A81000B,00400,0300,RENTAL 14307,A81000B,00500,0300,RENTAL 14307,A81000B,00600,0300,MAINTENANCE 14307,A81000B,00700,0300,SALARIES 14307,A81000C,00100,0100,B 14307,A81000C,00100,0200,DEACONESS LTC 14307,A81000C,00100,0400,DEACONESS LTC 14307,A81000C,00100,0600,HOME OFFICE 14307,B100000,00000,0100,00001(SQUARE FEET) :CAP REL COSTS - BLD 14307,B100000,00000,0250,00001(SQUARE FEET) :CAP REL COSTS - MOV 14307,B100000,00000,0300,00001(GROSS SALARIES) :EMPLOYEE BENEFIT 14307,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 14307,B100000,00000,0500,00001(SQUARE FEET) :PLANT OPERATION MA 14307,B100000,00000,0650,00001(PATIENT DAYS) :LAUNDRY & LINEN SE 14307,B100000,00000,0750,00001(SQUARE FEET) :HOUSEKEEPING 14307,B100000,00000,0850,00001(PATIENT DAYS) :DIETARY 14307,B100000,00000,0900,00001(DIR NRSG HOURS) :NURSING ADMINISTR 14307,B100000,00000,1250,00001(PATIENT DAYS) :MEDICAL RECORDS & 14307,B100000,00000,1330,00001(PATIENT DAYS) :SOCIAL SERVICE 14307,S000000,00100,0200,04/23/2001 14307,S200000,00100,0100,1912S PARK AVE 14307,S200000,00200,0100,ALEXANDRIA 14307,S200000,00200,0200,IN 14307,S200000,00200,0300,46001- 14307,S200000,00300,0100,MADISON 14307,S200000,00400,0100,ALEXANDRIA CARE CENTER 14307,S200000,00400,0200,155521 14307,S200000,00400,0300,10/01/1994 14307,S200000,00400,0500,P 14307,S200000,01004,0500,O 14307,S200000,01600,0100,Y 14307,S700003,00000,0100,1 14318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14318,A000000,00300,0000,00300EMPLOYEE BENEFITS 14318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14318,A000000,00700,0000,00700HOUSEKEEPING 14318,A000000,00800,0000,00800DIETARY 14318,A000000,00900,0000,00900NURSING ADMINISTRATION 14318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14318,A000000,01100,0000,01100PHARMACY 14318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14318,A000000,01300,0000,01300SOCIAL SERVICE 14318,A000000,01350,0000,01500OTHER GENERAL SERVICES 14318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14318,A000000,01600,0000,01600SKILLED NURSING FACILITY 14318,A000000,01800,0000,01800NURSING FACILITY 14318,A000000,01810,0000,01801ICF/MR 14318,A000000,01900,0000,01900OTHER LONG TERM CARE 14318,A000000,02100,0000,02100RADIOLOGY 14318,A000000,02200,0000,02200LABORATORY 14318,A000000,02300,0000,02300INTRAVENOUS THERAPY 14318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14318,A000000,02500,0000,02500PHYSICAL THERAPY 14318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14318,A000000,02700,0000,02700SPEECH PATHOLOGY 14318,A000000,02800,0000,02800ELECTROCARDIOLOGY 14318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14318,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14318,A000000,03200,0000,03200SUPPORT SURFACES 14318,A000000,03400,0000,03400CLINIC 14318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14318,A000000,03500,0000,03500RURAL HEALTH CLINIC 14318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14318,A000000,04400,0000,04400DME RENTED - HHA 14318,A000000,04500,0000,04500DME SOLD - HHA 14318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14318,A000000,04800,0000,04800AMBULANCE 14318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14318,A000000,05000,0000,05000CORF 14318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14318,A000000,05300,0000,05300INTEREST EXPENSE 14318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14318,A000000,05500,0000,05500HOSPICE 14318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14318,A000000,06100,0000,06100NONPAID WORKERS 14318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14318,A000000,06200,0000,06200PATIENTS LAUNDRY 14318,A81000A,00100,0100,Y 14318,A81000B,00100,0300,WIC INTEREST 14318,A81000B,00200,0300,CHA BENEFITS 14318,A81000B,00300,0300,CHA TRANSFER COST 14318,A81000B,00400,0300,MANAGEMENT FEE 14318,A81000C,00100,0100,B 14318,A81000C,00100,0400,COMMUNITY HOSPITAL 14318,A81000C,00100,0600,HOSPITAL 14318,A81000C,00200,0100,B 14318,A81000C,00200,0400,COMMUNITY HOSPITAL 14318,A81000C,00200,0600,HOSPITAL 14318,A81000C,00300,0100,B 14318,A81000C,00300,0400,COMMUNITY HOSPITAL 14318,A81000C,00300,0600,HOSPITAL 14318,A81000C,00400,0100,B 14318,A81000C,00400,0400,COMMUNITY HOSPITAL 14318,A81000C,00400,0600,HOSPITAL 14318,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14318,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14318,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14318,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14318,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14318,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14318,B100000,00000,0800,00000MEALS SERVED :DIETARY 14318,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14318,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14318,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14318,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14318,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14318,B100000,00000,1350,00000DOLLAR VALUE :OTHER GENERAL SERVIC 14318,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14318,S000000,00100,0200,06/02/2000 14318,S200000,00100,0100,2300 PARKVIEW LANE 14318,S200000,00100,0300,449 14318,S200000,00200,0100,ELWOOD 14318,S200000,00200,0200,IN 14318,S200000,00200,0300,46036- 14318,S200000,00300,0100,MADISON 14318,S200000,00400,0100,COMMUNITY PARKVIEW CARE CENTER 14318,S200000,00400,0200,155522 14318,S200000,00400,0300,09/01/1997 14318,S200000,00400,0500,P 14318,S200000,01600,0100,Y 14318,S200000,01900,0100,501 (C) (3) 14318,S200000,02200,0100,Y 14318,S700003,00000,0100,1 14328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14328,A000000,00300,0000,00300EMPLOYEE BENEFITS 14328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14328,A000000,00700,0000,00700HOUSEKEEPING 14328,A000000,00800,0000,00800DIETARY 14328,A000000,00900,0000,00900NURSING ADMINISTRATION 14328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14328,A000000,01100,0000,01100PHARMACY 14328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14328,A000000,01300,0000,01300SOCIAL SERVICE 14328,A000000,01350,0000,01500OTHER GENERAL SERVICES 14328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14328,A000000,01600,0000,01600SKILLED NURSING FACILITY 14328,A000000,01800,0000,01800NURSING FACILITY 14328,A000000,01810,0000,01810ICF/MR 14328,A000000,01900,0000,01900OTHER LONG TERM CARE 14328,A000000,02100,0000,02100RADIOLOGY 14328,A000000,02200,0000,02200LABORATORY 14328,A000000,02300,0000,02300INTRAVENOUS THERAPY 14328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14328,A000000,02500,0000,02500PHYSICAL THERAPY 14328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14328,A000000,02700,0000,02700SPEECH PATHOLOGY 14328,A000000,02800,0000,02800ELECTROCARDIOLOGY 14328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14328,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14328,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14328,A000000,03200,0000,03200SUPPORT SURFACES 14328,A000000,03400,0000,03400CLINIC 14328,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14328,A000000,03500,0000,03500RURAL HEALTH CLINIC 14328,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14328,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14328,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14328,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14328,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14328,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14328,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14328,A000000,04400,0000,04400DME RENTED - HHA 14328,A000000,04500,0000,04500DME SOLD - HHA 14328,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14328,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14328,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14328,A000000,04800,0000,04800AMBULANCE 14328,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14328,A000000,05000,0000,05000CORF 14328,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14328,A000000,05300,0000,05300INTEREST EXPENSE 14328,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14328,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14328,A000000,05500,0000,05500HOSPICE 14328,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14328,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14328,A000000,06100,0000,06100NONPAID WORKERS 14328,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14328,A000000,06200,0000,06200PATIENTS LAUNDRY 14328,A81000A,00100,0100,Y 14328,A81000B,00100,0300,CORPORATE EXPENSES 14328,A81000C,00100,0100,B 14328,A81000C,00100,0400,HOOSIER CARE 14328,A81000C,00100,0600,NURSING HOMES 14328,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14328,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14328,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14328,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14328,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14328,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14328,B100000,00000,0800,00000MEALS SERVED :DIETARY 14328,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14328,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14328,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14328,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14328,S000000,00100,0200,12/01/2000 14328,S200000,00100,0100,5911 W. STATE ROAD 46 14328,S200000,00100,0300,537 14328,S200000,00200,0100,ELLETTSVILLE 14328,S200000,00200,0200,IN 14328,S200000,00200,0300,47429- 14328,S200000,00300,0100,MONROE 14328,S200000,00300,0200,1020 14328,S200000,00300,0300,U 14328,S200000,00400,0100,RICHLAND-BEAN BLOSSOM HCC 14328,S200000,00400,0200,155523 14328,S200000,00400,0300,06/03/1994 14328,S200000,00400,0500,P 14328,S200000,01500,0100,Y 14328,S200000,01900,0100,OTHER - 501 (C) 3 14328,S200000,02200,0100,Y 14336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14336,A000000,00300,0000,00300EMPLOYEE BENEFITS 14336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14336,A000000,00700,0000,00700HOUSEKEEPING 14336,A000000,00800,0000,00800DIETARY 14336,A000000,00900,0000,00900NURSING ADMINISTRATION 14336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14336,A000000,01100,0000,01100PHARMACY 14336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14336,A000000,01300,0000,01300SOCIAL SERVICE 14336,A000000,01350,0000,01500OTHER GENERAL SERVICES 14336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14336,A000000,01600,0000,01600SKILLED NURSING FACILITY 14336,A000000,01800,0000,01800NURSING FACILITY 14336,A000000,01810,0000,01801ICF/MR 14336,A000000,01900,0000,01900OTHER LONG TERM CARE 14336,A000000,02100,0000,02100RADIOLOGY 14336,A000000,02200,0000,02200LABORATORY 14336,A000000,02300,0000,02300INTRAVENOUS THERAPY 14336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14336,A000000,02500,0000,02500PHYSICAL THERAPY 14336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14336,A000000,02700,0000,02700SPEECH PATHOLOGY 14336,A000000,02800,0000,02800ELECTROCARDIOLOGY 14336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14336,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14336,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14336,A000000,03200,0000,03200SUPPORT SURFACES 14336,A000000,03400,0000,03400CLINIC 14336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14336,A000000,03500,0000,03500RURAL HEALTH CLINIC 14336,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14336,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14336,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14336,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14336,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14336,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14336,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14336,A000000,04400,0000,04400DME RENTED - HHA 14336,A000000,04500,0000,04500DME SOLD - HHA 14336,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14336,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14336,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14336,A000000,04800,0000,04800AMBULANCE 14336,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14336,A000000,05000,0000,05000CORF 14336,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14336,A000000,05300,0000,05300INTEREST EXPENSE 14336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14336,A000000,05500,0000,05500HOSPICE 14336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14336,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14336,A000000,06100,0000,06100NONPAID WORKERS 14336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14336,A000000,06200,0000,06200PATIENTS LAUNDRY 14336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14336,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14336,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14336,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14336,B100000,00000,0800,00000MEALS SERVED :DIETARY 14336,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14336,B100000,00000,1050,00000MEDICAL SUPPLIES :CENTRAL SERVICES 14336,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14336,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14336,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14336,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14336,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14336,S000000,00100,0200,06/02/2000 14336,S200000,00100,0100,R.R. 2 BOX 273 GLENBURN ROAD 14336,S200000,00200,0100,LINTON 14336,S200000,00200,0200,IN 14336,S200000,00200,0300,47440- 14336,S200000,00300,0100,GREENE 14336,S200000,00400,0100,FRANKLIN/GLENBURN HOME INC. 14336,S200000,00400,0200,155524 14336,S200000,00400,0300,07/15/1994 14336,S200000,00400,0500,P 14336,S200000,01004,0500,O 14336,S200000,01600,0100,Y 14336,S200000,02200,0100,Y 14336,S700003,00000,0100,1 14347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14347,A000000,00300,0000,00300EMPLOYEE BENEFITS 14347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14347,A000000,00700,0000,00700HOUSEKEEPING 14347,A000000,00800,0000,00800DIETARY 14347,A000000,00900,0000,00900NURSING ADMINISTRATION 14347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14347,A000000,01100,0000,01100PHARMACY 14347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14347,A000000,01300,0000,01300SOCIAL SERVICE 14347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14347,A000000,01600,0000,01600SKILLED NURSING FACILITY 14347,A000000,01900,0000,01900OTHER LONG TERM CARE 14347,A000000,02100,0000,02100RADIOLOGY 14347,A000000,02200,0000,02200LABORATORY 14347,A000000,02300,0000,02300INTRAVENOUS THERAPY 14347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14347,A000000,02500,0000,02500PHYSICAL THERAPY 14347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14347,A000000,02700,0000,02700SPEECH PATHOLOGY 14347,A000000,02800,0000,02800ELECTROCARDIOLOGY 14347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14347,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14347,A000000,03200,0000,03200SUPPORT SURFACES 14347,A000000,03400,0000,03400CLINIC 14347,A000000,04800,0000,04800AMBULANCE 14347,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14347,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14347,A000000,05300,0000,05300INTEREST EXPENSE 14347,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14347,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14347,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14347,A000000,06100,0000,06100NONPAID WORKERS 14347,A000000,06200,0000,06200PATIENTS LAUNDRY 14347,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14347,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14347,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14347,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14347,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14347,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14347,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14347,B100000,00000,0800,00000MEALS SERVED :DIETARY 14347,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14347,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14347,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14347,B100000,00000,1250,00000REVENUE :MEDICAL RECORDS & LIBRAR 14347,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14347,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14347,S000000,00100,0200,03/01/2000 14347,S200000,00100,0100,36 VALLEY DRIVE 14347,S200000,00200,0100,LAWRENCEBURG 14347,S200000,00200,0200,IN 14347,S200000,00300,0100,47025 DEARBORN 14347,S200000,00400,0100,SHADY NOOK CARE CENTER 14347,S200000,00400,0200,155525 14347,S200000,00400,0300,05/09/1994 14347,S200000,00400,0500,P 14347,S200000,01600,0100,Y 14347,S700003,00000,0100,1 14355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14355,A000000,00300,0000,00300EMPLOYEE BENEFITS 14355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14355,A000000,00700,0000,00700HOUSEKEEPING 14355,A000000,00800,0000,00800DIETARY 14355,A000000,00900,0000,00900NURSING ADMINISTRATION 14355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14355,A000000,01100,0000,01100PHARMACY 14355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14355,A000000,01300,0000,01300SOCIAL SERVICE 14355,A000000,01301,0000,01301ACTIVITIES 14355,A000000,01350,0000,01500OTHER GENERAL SERVICES 14355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14355,A000000,01600,0000,01600SKILLED NURSING FACILITY 14355,A000000,01800,0000,01800NURSING FACILITY 14355,A000000,01810,0000,01801ICF/MR 14355,A000000,01900,0000,01900OTHER LONG TERM CARE 14355,A000000,02100,0000,02100RADIOLOGY 14355,A000000,02200,0000,02200LABORATORY 14355,A000000,02300,0000,02300INTRAVENOUS THERAPY 14355,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14355,A000000,02500,0000,02500PHYSICAL THERAPY 14355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14355,A000000,02700,0000,02700SPEECH PATHOLOGY 14355,A000000,02800,0000,02800ELECTROCARDIOLOGY 14355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14355,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14355,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14355,A000000,03200,0000,03200SUPPORT SURFACES 14355,A000000,03400,0000,03400CLINIC 14355,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14355,A000000,03500,0000,03500RURAL HEALTH CLINIC 14355,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14355,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14355,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14355,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14355,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14355,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14355,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14355,A000000,04400,0000,04400DME RENTED - HHA 14355,A000000,04500,0000,04500DME SOLD - HHA 14355,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14355,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14355,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14355,A000000,04800,0000,04800AMBULANCE 14355,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14355,A000000,05000,0000,05000CORF 14355,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14355,A000000,05300,0000,05300INTEREST EXPENSE 14355,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14355,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14355,A000000,05500,0000,05500HOSPICE 14355,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14355,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14355,A000000,06100,0000,06100NONPAID WORKERS 14355,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14355,A000000,06200,0000,06200PATIENTS LAUNDRY 14355,A81000A,00100,0100,Y 14355,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14355,A81000B,00200,0300,HOME OFFICE COST 14355,A81000B,00300,0300,HOME OFFICE COST 14355,A81000B,00400,0300,HOME OFFICE COST 14355,A81000C,00100,0100,A 14355,A81000C,00100,0200,DOUGLAS BRADBURN 14355,A81000C,00100,0400,DOUGLAS BRADBURN 14355,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14355,A81000C,00200,0100,B 14355,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14355,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14355,A81000C,00200,0600,HOME OFFICE 14355,A81000C,00300,0100,B 14355,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14355,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14355,A81000C,00300,0600,HOME OFFICE CAPITAL 14355,A81000C,00400,0100,B 14355,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14355,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14355,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14355,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14355,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14355,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14355,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14355,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14355,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14355,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14355,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14355,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14355,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14355,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14355,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14355,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14355,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14355,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14355,S000000,00100,0200,08/16/2000 14355,S200000,00100,0100,200 NORTH PARK STREET 14355,S200000,00200,0100,PORTLAND 14355,S200000,00200,0200,IN 14355,S200000,00200,0300,47371- 14355,S200000,00300,0100,JAY 14355,S200000,00400,0100,PORTLAND COMMUNITY CARE CENTER-WEST 14355,S200000,00400,0200,155526 14355,S200000,00400,0300,06/01/1994 14355,S200000,00400,0500,P 14355,S200000,01600,0100,Y 14355,S700003,00000,0100,1 14364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14364,A000000,00300,0000,00300EMPLOYEE BENEFITS 14364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14364,A000000,00700,0000,00700HOUSEKEEPING 14364,A000000,00800,0000,00800DIETARY 14364,A000000,00900,0000,00900NURSING ADMINISTRATION 14364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14364,A000000,01100,0000,01100PHARMACY 14364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14364,A000000,01300,0000,01300SOCIAL SERVICE 14364,A000000,01301,0000,01301ACTIVITIES 14364,A000000,01350,0000,01500OTHER GENERAL SERVICES 14364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14364,A000000,01600,0000,01600SKILLED NURSING FACILITY 14364,A000000,01800,0000,01800NURSING FACILITY 14364,A000000,01810,0000,01801ICF/MR 14364,A000000,01900,0000,01900OTHER LONG TERM CARE 14364,A000000,02100,0000,02100RADIOLOGY 14364,A000000,02200,0000,02200LABORATORY 14364,A000000,02300,0000,02300INTRAVENOUS THERAPY 14364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14364,A000000,02500,0000,02500PHYSICAL THERAPY 14364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14364,A000000,02700,0000,02700SPEECH PATHOLOGY 14364,A000000,02800,0000,02800ELECTROCARDIOLOGY 14364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14364,A000000,03200,0000,03200SUPPORT SURFACES 14364,A000000,03400,0000,03400CLINIC 14364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14364,A000000,03500,0000,03500RURAL HEALTH CLINIC 14364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14364,A000000,04400,0000,04400DME RENTED - HHA 14364,A000000,04500,0000,04500DME SOLD - HHA 14364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14364,A000000,04800,0000,04800AMBULANCE 14364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14364,A000000,05000,0000,05000CORF 14364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14364,A000000,05300,0000,05300INTEREST EXPENSE 14364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14364,A000000,05500,0000,05500HOSPICE 14364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14364,A000000,06100,0000,06100NONPAID WORKERS 14364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14364,A000000,06200,0000,06200PATIENTS LAUNDRY 14364,A81000A,00100,0100,Y 14364,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14364,A81000B,00200,0300,HOME OFFICE COST 14364,A81000B,00300,0300,HOME OFFICE COST 14364,A81000B,00400,0300,HOME OFFICE COST 14364,A81000C,00100,0100,A 14364,A81000C,00100,0200,DOUGLAS BRADBURN 14364,A81000C,00100,0400,DOUGLAS BRADBURN 14364,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14364,A81000C,00200,0100,B 14364,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14364,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14364,A81000C,00200,0600,HOME OFFICE 14364,A81000C,00300,0100,B 14364,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14364,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14364,A81000C,00300,0600,HOME OFFICE CAPITAL 14364,A81000C,00400,0100,B 14364,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14364,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14364,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14364,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14364,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14364,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14364,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14364,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14364,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14364,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14364,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14364,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14364,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14364,S000000,00100,0200,08/18/2000 14364,S200000,00100,0100,COUNTY ROAD 100 EAST 14364,S200000,00100,0300,347 14364,S200000,00200,0100,WINCHESTER 14364,S200000,00200,0200,IN 14364,S200000,00200,0300,47394- 14364,S200000,00300,0100,RANDOLPH 14364,S200000,00400,0100,COMMUNITY CARE CENTER OF WINCHESTER 14364,S200000,00400,0200,155527 14364,S200000,00400,0300,06/01/1994 14364,S200000,00400,0500,P 14364,S200000,01600,0100,Y 14364,S700003,00000,0100,1 14374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14374,A000000,00300,0000,00300EMPLOYEE BENEFITS 14374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14374,A000000,00700,0000,00700HOUSEKEEPING 14374,A000000,00800,0000,00800DIETARY 14374,A000000,00900,0000,00900NURSING ADMINISTRATION 14374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14374,A000000,01100,0000,01100PHARMACY 14374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14374,A000000,01300,0000,01300SOCIAL SERVICE 14374,A000000,01301,0000,01301ACTIVITIES 14374,A000000,01350,0000,01500OTHER GENERAL SERVICES 14374,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14374,A000000,01600,0000,01600SKILLED NURSING FACILITY 14374,A000000,01800,0000,01800NURSING FACILITY 14374,A000000,01810,0000,01801ICF/MR 14374,A000000,01900,0000,01900OTHER LONG TERM CARE 14374,A000000,02100,0000,02100RADIOLOGY 14374,A000000,02200,0000,02200LABORATORY 14374,A000000,02300,0000,02300INTRAVENOUS THERAPY 14374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14374,A000000,02500,0000,02500PHYSICAL THERAPY 14374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14374,A000000,02700,0000,02700SPEECH PATHOLOGY 14374,A000000,02800,0000,02800ELECTROCARDIOLOGY 14374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14374,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14374,A000000,03200,0000,03200SUPPORT SURFACES 14374,A000000,03400,0000,03400CLINIC 14374,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14374,A000000,03500,0000,03500RURAL HEALTH CLINIC 14374,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14374,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14374,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14374,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14374,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14374,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14374,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14374,A000000,04400,0000,04400DME RENTED - HHA 14374,A000000,04500,0000,04500DME SOLD - HHA 14374,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14374,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14374,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14374,A000000,04800,0000,04800AMBULANCE 14374,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14374,A000000,05000,0000,05000CORF 14374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14374,A000000,05300,0000,05300INTEREST EXPENSE 14374,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14374,A000000,05500,0000,05500HOSPICE 14374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14374,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14374,A000000,06100,0000,06100NONPAID WORKERS 14374,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14374,A000000,06200,0000,06200PATIENTS LAUNDRY 14374,A81000A,00100,0100,Y 14374,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14374,A81000B,00200,0300,HOME OFFICE COST 14374,A81000B,00300,0300,HOME OFFICE COST 14374,A81000B,00400,0300,HOME OFFICE COST 14374,A81000C,00100,0100,A 14374,A81000C,00100,0200,DOUGLAS BRADBURN 14374,A81000C,00100,0400,DOUGLAS BRADBURN 14374,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14374,A81000C,00200,0100,B 14374,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14374,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14374,A81000C,00200,0600,HOME OFFICE 14374,A81000C,00300,0100,B 14374,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14374,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14374,A81000C,00300,0600,HOME OFFICE CAPITAL 14374,A81000C,00400,0100,B 14374,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14374,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14374,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14374,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14374,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14374,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14374,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14374,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14374,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14374,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14374,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14374,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14374,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14374,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14374,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14374,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14374,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14374,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14374,S000000,00100,0200,08/18/2000 14374,S200000,00100,0100,RR #7. US 31 14374,S200000,00100,0300,769 14374,S200000,00200,0100,SEYMOUR 14374,S200000,00200,0200,IN 14374,S200000,00200,0300,47274- 14374,S200000,00300,0100,JACKSON 14374,S200000,00400,0100,COMMUNITY CARE CENTER OF SEYMOUR 14374,S200000,00400,0200,155529 14374,S200000,00400,0300,06/01/1994 14374,S200000,00400,0500,P 14374,S200000,01004,0500,O 14374,S200000,01600,0100,Y 14374,S700003,00000,0100,1 14393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14393,A000000,00300,0000,00300EMPLOYEE BENEFITS 14393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14393,A000000,00700,0000,00700HOUSEKEEPING 14393,A000000,00800,0000,00800DIETARY 14393,A000000,00900,0000,00900NURSING ADMINISTRATION 14393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14393,A000000,01100,0000,01100PHARMACY 14393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14393,A000000,01300,0000,01300SOCIAL SERVICE 14393,A000000,01301,0000,01301ACTIVITIES 14393,A000000,01350,0000,01500OTHER GENERAL SERVICES 14393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14393,A000000,01600,0000,01600SKILLED NURSING FACILITY 14393,A000000,01800,0000,01800NURSING FACILITY 14393,A000000,01810,0000,01801ICF/MR 14393,A000000,01900,0000,01900OTHER LONG TERM CARE 14393,A000000,02100,0000,02100RADIOLOGY 14393,A000000,02200,0000,02200LABORATORY 14393,A000000,02300,0000,02300INTRAVENOUS THERAPY 14393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14393,A000000,02500,0000,02500PHYSICAL THERAPY 14393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14393,A000000,02700,0000,02700SPEECH PATHOLOGY 14393,A000000,02800,0000,02800ELECTROCARDIOLOGY 14393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14393,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14393,A000000,03200,0000,03200SUPPORT SURFACES 14393,A000000,03400,0000,03400CLINIC 14393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14393,A000000,03500,0000,03500RURAL HEALTH CLINIC 14393,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14393,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14393,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14393,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14393,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14393,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14393,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14393,A000000,04400,0000,04400DME RENTED - HHA 14393,A000000,04500,0000,04500DME SOLD - HHA 14393,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14393,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14393,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14393,A000000,04800,0000,04800AMBULANCE 14393,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14393,A000000,05000,0000,05000CORF 14393,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14393,A000000,05300,0000,05300INTEREST EXPENSE 14393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14393,A000000,05500,0000,05500HOSPICE 14393,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14393,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14393,A000000,06100,0000,06100NONPAID WORKERS 14393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14393,A000000,06200,0000,06200PATIENTS LAUNDRY 14393,A81000A,00100,0100,Y 14393,A81000B,00100,0300,BUILDING INTEREST & DEPR. 14393,A81000B,00200,0300,HOME OFFICE COSTS 14393,A81000B,00300,0300,HOME OFFICE COSTS 14393,A81000B,00400,0300,HOME OFFICE COSTS 14393,A81000C,00100,0100,A 14393,A81000C,00100,0200,DOUGLAS BRADBURN 14393,A81000C,00100,0400,DOUGLAS BRADBURN 14393,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14393,A81000C,00200,0100,B 14393,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14393,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14393,A81000C,00200,0600,HOME OFFICE 14393,A81000C,00300,0100,B 14393,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14393,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14393,A81000C,00300,0600,HOME OFFICE CAPITAL 14393,A81000C,00400,0100,B 14393,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14393,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14393,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14393,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14393,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14393,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14393,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14393,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14393,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14393,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14393,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14393,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14393,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14393,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14393,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14393,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14393,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14393,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 14393,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 14393,S000000,00100,0200,08/18/2000 14393,S200000,00100,0100,850 ASH STREET 14393,S200000,00200,0100,HUNTINGTON 14393,S200000,00200,0200,IN 14393,S200000,00200,0300,46750- 14393,S200000,00300,0100,HUNTINGTON 14393,S200000,00400,0100,COMMUNITY CARE CENTER OF HUNTINGTON 14393,S200000,00400,0200,155531 14393,S200000,00400,0300,06/01/1994 14393,S200000,00400,0500,P 14393,S200000,01600,0100,Y 14393,S700003,00000,0100,1 14402,S000000,00100,0200,11/30/1999 14411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14411,A000000,00300,0000,00300EMPLOYEE BENEFITS 14411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14411,A000000,00700,0000,00700HOUSEKEEPING 14411,A000000,00800,0000,00800DIETARY 14411,A000000,00900,0000,00900NURSING ADMINISTRATION 14411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14411,A000000,01100,0000,01100PHARMACY 14411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14411,A000000,01300,0000,01300SOCIAL SERVICE 14411,A000000,01301,0000,01301ACTIVITIES 14411,A000000,01350,0000,01500OTHER GENERAL SERVICES 14411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14411,A000000,01600,0000,01600SKILLED NURSING FACILITY 14411,A000000,01800,0000,01800NURSING FACILITY 14411,A000000,01810,0000,01801ICF/MR 14411,A000000,01900,0000,01900OTHER LONG TERM CARE 14411,A000000,02100,0000,02100RADIOLOGY 14411,A000000,02200,0000,02200LABORATORY 14411,A000000,02300,0000,02300INTRAVENOUS THERAPY 14411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14411,A000000,02500,0000,02500PHYSICAL THERAPY 14411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14411,A000000,02700,0000,02700SPEECH PATHOLOGY 14411,A000000,02800,0000,02800ELECTROCARDIOLOGY 14411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14411,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14411,A000000,03200,0000,03200SUPPORT SURFACES 14411,A000000,03400,0000,03400CLINIC 14411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14411,A000000,03500,0000,03500RURAL HEALTH CLINIC 14411,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14411,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14411,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14411,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14411,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14411,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14411,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14411,A000000,04400,0000,04400DME RENTED - HHA 14411,A000000,04500,0000,04500DME SOLD - HHA 14411,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14411,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14411,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14411,A000000,04800,0000,04800AMBULANCE 14411,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14411,A000000,05000,0000,05000CORF 14411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14411,A000000,05300,0000,05300INTEREST EXPENSE 14411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14411,A000000,05500,0000,05500HOSPICE 14411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14411,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14411,A000000,06100,0000,06100NONPAID WORKERS 14411,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14411,A000000,06200,0000,06200PATIENTS LAUNDRY 14411,A81000A,00100,0100,Y 14411,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14411,A81000B,00200,0300,HOME OFFICE COST 14411,A81000B,00300,0300,HOME OFFICE COST 14411,A81000B,00400,0300,HOME OFFICE COST 14411,A81000C,00100,0100,A 14411,A81000C,00100,0200,DOUGLAS BRADBURN 14411,A81000C,00100,0400,DOUGLAS BRADBURN 14411,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14411,A81000C,00200,0100,B 14411,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14411,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14411,A81000C,00200,0600,HOME OFFICE 14411,A81000C,00300,0100,B 14411,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14411,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14411,A81000C,00300,0600,HOME OFFICE CAPITAL 14411,A81000C,00400,0100,B 14411,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14411,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14411,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14411,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14411,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14411,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14411,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14411,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14411,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14411,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14411,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14411,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14411,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14411,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14411,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14411,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14411,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14411,S000000,00100,0200,08/18/2000 14411,S200000,00100,0100,715 NORTH MILL STREET 14411,S200000,00200,0100,HARTFORD CITY 14411,S200000,00200,0200,IN 14411,S200000,00200,0300,47348- 14411,S200000,00300,0100,BLACKFORD 14411,S200000,00400,0100,HARTFORD CITY COMMUNITY CARE CENTER 14411,S200000,00400,0200,155533 14411,S200000,00400,0300,06/01/1994 14411,S200000,00400,0500,P 14411,S200000,01004,0500,O 14411,S200000,01600,0100,Y 14411,S200000,02200,0100,Y 14411,S700003,00000,0100,1 14415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14415,A000000,00300,0000,00300EMPLOYEE BENEFITS 14415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14415,A000000,00700,0000,00700HOUSEKEEPING 14415,A000000,00800,0000,00800DIETARY 14415,A000000,00900,0000,00900NURSING ADMINISTRATION 14415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14415,A000000,01100,0000,01100PHARMACY 14415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14415,A000000,01300,0000,01300SOCIAL SERVICE 14415,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14415,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14415,A000000,01600,0000,01600SKILLED NURSING FACILITY 14415,A000000,01800,0000,01800NURSING FACILITY 14415,A000000,01810,0000,01810ICF/MR 14415,A000000,01900,0000,01900OTHER LONG TERM CARE 14415,A000000,02100,0000,02100RADIOLOGY 14415,A000000,02200,0000,02200LABORATORY 14415,A000000,02300,0000,02300INTRAVENOUS THERAPY 14415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14415,A000000,02500,0000,02500PHYSICAL THERAPY 14415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14415,A000000,02700,0000,02700SPEECH PATHOLOGY 14415,A000000,02800,0000,02800ELECTROCARDIOLOGY 14415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14415,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 14415,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14415,A000000,03200,0000,03200SUPPORT SURFACES 14415,A000000,03400,0000,03400CLINIC 14415,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 14415,A000000,03500,0000,03500RURAL HEALTH CLINIC 14415,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14415,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14415,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14415,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14415,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14415,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14415,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14415,A000000,04400,0000,04400DME RENTED - HHA 14415,A000000,04500,0000,04500DME SOLD - HHA 14415,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14415,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14415,A000000,04800,0000,04800AMBULANCE 14415,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14415,A000000,05000,0000,05000CORF 14415,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14415,A000000,05300,0000,05300INTEREST EXPENSE 14415,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14415,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14415,A000000,05500,0000,05500HOSPICE 14415,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14415,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14415,A000000,06100,0000,06100NONPAID WORKERS 14415,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 14415,A000000,06200,0000,06200PATIENTS LAUNDRY 14415,A81000A,00100,0100,Y 14415,A81000B,00100,0300,HOME OFFICE EXPENSE 14415,A81000B,00200,0300,HOME OFFICE EXPENSE 14415,A81000B,00300,0300,LINEN REPLACEMENT 14415,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 14415,A81000B,00500,0300,FOOD SUPPLEMENTS 14415,A81000B,00600,0300,NURSING SUPPLIES 14415,A81000B,00700,0300,MEDICAL SUPPLIES 14415,A81000C,00100,0100,B 14415,A81000C,00100,0200,RIVER VALLEY LI 14415,A81000C,00100,0400,ADVENTIST CARE 14415,A81000C,00100,0600,NURSING HOME CO 14415,A81000C,00200,0100,G 14415,A81000C,00200,0200,RIVER VALLEY LI 14415,A81000C,00200,0400,Q-CARE 14415,A81000C,00200,0600,MEDICAL SUPPLY 14415,A81000C,03100,0000,RIVER VALLEY LIVING CENTER 14415,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14415,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14415,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14415,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14415,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14415,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14415,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14415,B100000,00000,0800,00000MEALS SERVED :DIETARY 14415,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14415,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 14415,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 14415,B100000,00000,1200,00000ASSIGNED TIME :MEDICAL RECORDS & L 14415,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14415,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 14415,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14415,S000000,00100,0200,06/05/2000 14415,S200000,00100,0100,702 ELM STREET 14415,S200000,00200,0100,MADISON 14415,S200000,00200,0200,IN 14415,S200000,00200,0300,47250- 14415,S200000,00300,0100,JEFFERSON 14415,S200000,00400,0100,RIVER VALLEY LIVING CENTER 14415,S200000,00400,0200,155534 14415,S200000,00400,0300,06/01/1994 14415,S200000,00400,0500,P 14415,S200000,01600,0100,Y 14415,S700003,00000,0100,1 14424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14424,A000000,00300,0000,00300EMPLOYEE BENEFITS 14424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14424,A000000,00700,0000,00700HOUSEKEEPING 14424,A000000,00800,0000,00800DIETARY 14424,A000000,00900,0000,00900NURSING ADMINISTRATION 14424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14424,A000000,01100,0000,01100PHARMACY 14424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14424,A000000,01300,0000,01300SOCIAL SERVICE 14424,A000000,01301,0000,01301ACTIVITIES 14424,A000000,01350,0000,01500OTHER GENERAL SERVICES 14424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14424,A000000,01600,0000,01600SKILLED NURSING FACILITY 14424,A000000,01800,0000,01800NURSING FACILITY 14424,A000000,01810,0000,01801ICF/MR 14424,A000000,01900,0000,01900OTHER LONG TERM CARE 14424,A000000,02100,0000,02100RADIOLOGY 14424,A000000,02200,0000,02200LABORATORY 14424,A000000,02300,0000,02300INTRAVENOUS THERAPY 14424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14424,A000000,02500,0000,02500PHYSICAL THERAPY 14424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14424,A000000,02700,0000,02700SPEECH PATHOLOGY 14424,A000000,02800,0000,02800ELECTROCARDIOLOGY 14424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14424,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14424,A000000,03200,0000,03200SUPPORT SURFACES 14424,A000000,03400,0000,03400CLINIC 14424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14424,A000000,03500,0000,03500RURAL HEALTH CLINIC 14424,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14424,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14424,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14424,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14424,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14424,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14424,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14424,A000000,04400,0000,04400DME RENTED - HHA 14424,A000000,04500,0000,04500DME SOLD - HHA 14424,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14424,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14424,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14424,A000000,04800,0000,04800AMBULANCE 14424,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14424,A000000,05000,0000,05000CORF 14424,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14424,A000000,05300,0000,05300INTEREST EXPENSE 14424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14424,A000000,05500,0000,05500HOSPICE 14424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14424,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14424,A000000,06100,0000,06100NONPAID WORKERS 14424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14424,A000000,06200,0000,06200PATIENTS LAUNDRY 14424,A81000A,00100,0100,Y 14424,A81000B,00100,0300,BUILDING INTEREST & DEPR. 14424,A81000B,00200,0300,HOME OFFICE COSTS 14424,A81000B,00300,0300,HOME OFFIC ECOSTS 14424,A81000B,00400,0300,HOME OFFICE COSTS 14424,A81000C,00100,0100,A 14424,A81000C,00100,0200,DOUGLAS BRADBURN 14424,A81000C,00100,0400,DOUGLAS BRADBURN 14424,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14424,A81000C,00200,0100,B 14424,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14424,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14424,A81000C,00200,0600,HOME OFFICE 14424,A81000C,00300,0100,B 14424,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14424,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14424,A81000C,00300,0600,HOME OFFICE CAPITAL 14424,A81000C,00400,0100,B 14424,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14424,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14424,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14424,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14424,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14424,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14424,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14424,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14424,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14424,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14424,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14424,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14424,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14424,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14424,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14424,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14424,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14424,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14424,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 14424,S000000,00100,0200,08/18/2000 14424,S200000,00100,0100,3550 CENTRAL AVENUE 14424,S200000,00200,0100,COLUMBUS 14424,S200000,00200,0200,IN 14424,S200000,00200,0300,47202- 14424,S200000,00300,0100,BARTHOLOWMEW 14424,S200000,00400,0100,COMMUNITY CARE CENTER OF COLUMBUS 14424,S200000,00400,0200,155535 14424,S200000,00400,0300,06/01/1994 14424,S200000,00400,0500,P 14424,S200000,01004,0500,O 14424,S200000,01600,0100,Y 14424,S700003,00000,0100,1 14432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14432,A000000,00300,0000,00300EMPLOYEE BENEFITS 14432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14432,A000000,00700,0000,00700HOUSEKEEPING 14432,A000000,00800,0000,00800DIETARY 14432,A000000,00900,0000,00900NURSING ADMINISTRATION 14432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14432,A000000,01100,0000,01100PHARMACY 14432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14432,A000000,01300,0000,01300SOCIAL SERVICE 14432,A000000,01301,0000,01301ACTIVITIES 14432,A000000,01350,0000,01500OTHER GENERAL SERVICES 14432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14432,A000000,01600,0000,01600SKILLED NURSING FACILITY 14432,A000000,01800,0000,01800NURSING FACILITY 14432,A000000,01810,0000,01801ICF/MR 14432,A000000,01900,0000,01900OTHER LONG TERM CARE 14432,A000000,02100,0000,02100RADIOLOGY 14432,A000000,02200,0000,02200LABORATORY 14432,A000000,02300,0000,02300INTRAVENOUS THERAPY 14432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14432,A000000,02500,0000,02500PHYSICAL THERAPY 14432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14432,A000000,02700,0000,02700SPEECH PATHOLOGY 14432,A000000,02800,0000,02800ELECTROCARDIOLOGY 14432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14432,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14432,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14432,A000000,03200,0000,03200SUPPORT SURFACES 14432,A000000,03400,0000,03400CLINIC 14432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14432,A000000,03500,0000,03500RURAL HEALTH CLINIC 14432,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14432,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14432,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14432,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14432,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14432,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14432,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14432,A000000,04400,0000,04400DME RENTED - HHA 14432,A000000,04500,0000,04500DME SOLD - HHA 14432,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14432,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14432,A000000,04800,0000,04800AMBULANCE 14432,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14432,A000000,05000,0000,05000CORF 14432,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14432,A000000,05300,0000,05300INTEREST EXPENSE 14432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14432,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14432,A000000,05500,0000,05500HOSPICE 14432,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14432,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14432,A000000,06100,0000,06100NONPAID WORKERS 14432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14432,A000000,06200,0000,06200PATIENTS LAUNDRY 14432,A81000A,00100,0100,Y 14432,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATON 14432,A81000B,00200,0300,HOME OFFICE COST 14432,A81000B,00300,0300,HOME OFFICE COST 14432,A81000B,00400,0300,HOME OFFICE COST 14432,A81000C,00100,0100,A 14432,A81000C,00100,0200,DOUGLAS BRADBURN 14432,A81000C,00100,0400,DOUGLAS BRADBURN 14432,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14432,A81000C,00200,0100,B 14432,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14432,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14432,A81000C,00200,0600,HOME OFFICE 14432,A81000C,00300,0100,B 14432,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14432,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14432,A81000C,00300,0600,HOME OFFICE CAPITAL 14432,A81000C,00400,0100,B 14432,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14432,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14432,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14432,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14432,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14432,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14432,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14432,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14432,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14432,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14432,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14432,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14432,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14432,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14432,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14432,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14432,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14432,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14432,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14432,S000000,00100,0200,08/18/2000 14432,S200000,00100,0100,HIGHWAY 68 WEST 14432,S200000,00100,0300,297 14432,S200000,00200,0100,DALE 14432,S200000,00200,0200,IN 14432,S200000,00200,0300,47523- 14432,S200000,00300,0100,SPENCER 14432,S200000,00400,0100,COMMUNITY CARE CENTER OF DALE 14432,S200000,00400,0200,155536 14432,S200000,00400,0300,06/01/1994 14432,S200000,00400,0500,P 14432,S200000,01600,0100,Y 14432,S700003,00000,0100,1 14440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14440,A000000,00300,0000,00300EMPLOYEE BENEFITS 14440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14440,A000000,00700,0000,00700HOUSEKEEPING 14440,A000000,00800,0000,00800DIETARY 14440,A000000,00900,0000,00900NURSING ADMINISTRATION 14440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14440,A000000,01100,0000,01100PHARMACY 14440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14440,A000000,01300,0000,01300SOCIAL SERVICE 14440,A000000,01301,0000,01301ACTIVITIES 14440,A000000,01350,0000,01500OTHER GENERAL SERVICES 14440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14440,A000000,01600,0000,01600SKILLED NURSING FACILITY 14440,A000000,01800,0000,01800NURSING FACILITY 14440,A000000,01810,0000,01801ICF/MR 14440,A000000,01900,0000,01900OTHER LONG TERM CARE 14440,A000000,02100,0000,02100RADIOLOGY 14440,A000000,02200,0000,02200LABORATORY 14440,A000000,02300,0000,02300INTRAVENOUS THERAPY 14440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14440,A000000,02500,0000,02500PHYSICAL THERAPY 14440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14440,A000000,02700,0000,02700SPEECH PATHOLOGY 14440,A000000,02800,0000,02800ELECTROCARDIOLOGY 14440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14440,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14440,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14440,A000000,03200,0000,03200SUPPORT SURFACES 14440,A000000,03400,0000,03400CLINIC 14440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14440,A000000,03500,0000,03500RURAL HEALTH CLINIC 14440,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14440,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14440,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14440,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14440,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14440,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14440,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14440,A000000,04400,0000,04400DME RENTED - HHA 14440,A000000,04500,0000,04500DME SOLD - HHA 14440,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14440,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14440,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14440,A000000,04800,0000,04800AMBULANCE 14440,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14440,A000000,05000,0000,05000CORF 14440,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14440,A000000,05300,0000,05300INTEREST EXPENSE 14440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14440,A000000,05500,0000,05500HOSPICE 14440,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14440,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14440,A000000,06100,0000,06100NONPAID WORKERS 14440,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14440,A000000,06200,0000,06200PATIENTS LAUNDRY 14440,A81000A,00100,0100,Y 14440,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14440,A81000B,00200,0300,HOME OFFICE COST 14440,A81000B,00300,0300,HOME OFFICE COST 14440,A81000B,00400,0300,HOME OFFICE COST 14440,A81000C,00100,0100,A 14440,A81000C,00100,0200,DOUGLAS BRADBURN 14440,A81000C,00100,0400,DOUGLAS BRADBURN 14440,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14440,A81000C,00200,0100,B 14440,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14440,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14440,A81000C,00200,0600,HOME OFFICE 14440,A81000C,00300,0100,B 14440,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14440,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14440,A81000C,00300,0600,HOME OFFICE CAPITAL 14440,A81000C,00400,0100,B 14440,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14440,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14440,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14440,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14440,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14440,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14440,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14440,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14440,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14440,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14440,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14440,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14440,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14440,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14440,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14440,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14440,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14440,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14440,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14440,S000000,00100,0200,08/18/2000 14440,S200000,00100,0100,115 NORTH 10TH STREET 14440,S200000,00200,0100,NEW CASTLE 14440,S200000,00200,0200,IN 14440,S200000,00200,0300,47362- 14440,S200000,00300,0100,HENRY 14440,S200000,00400,0100,NEW CASTLE COMMUNITY CARE CENTER 14440,S200000,00400,0200,155537 14440,S200000,00400,0300,06/01/1994 14440,S200000,00400,0500,P 14440,S200000,01004,0500,O 14440,S200000,01600,0100,Y 14440,S700003,00000,0100,1 14450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14450,A000000,00300,0000,00300EMPLOYEE BENEFITS 14450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14450,A000000,00700,0000,00700HOUSEKEEPING 14450,A000000,00800,0000,00800DIETARY 14450,A000000,00900,0000,00900NURSING ADMINISTRATION 14450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14450,A000000,01100,0000,01100PHARMACY 14450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14450,A000000,01300,0000,01300SOCIAL SERVICE 14450,A000000,01350,0000,01500ACTIVITIES 14450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14450,A000000,01600,0000,01600SKILLED NURSING FACILITY 14450,A000000,01800,0000,01800NURSING FACILITY 14450,A000000,01900,0000,01900OTHER LONG TERM CARE 14450,A000000,02100,0000,02100RADIOLOGY 14450,A000000,02200,0000,02200LABORATORY 14450,A000000,02300,0000,02300INTRAVENOUS THERAPY 14450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14450,A000000,02500,0000,02500PHYSICAL THERAPY 14450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14450,A000000,02700,0000,02700SPEECH PATHOLOGY 14450,A000000,02800,0000,02800ELECTROCARDIOLOGY 14450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14450,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14450,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14450,A000000,03200,0000,03200SUPPORT SURFACES 14450,A000000,03400,0000,03400CLINIC 14450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14450,A000000,03500,0000,03500RURAL HEALTH CLINIC 14450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14450,A000000,04800,0000,04800AMBULANCE 14450,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14450,A000000,05000,0000,05000CORF 14450,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14450,A000000,05300,0000,05300INTEREST EXPENSE 14450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14450,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14450,A000000,05500,0000,05500HOSPICE 14450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14450,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14450,A000000,06100,0000,06100NONPAID WORKERS 14450,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14450,A000000,06200,0000,06200PATIENTS LAUNDRY 14450,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 14450,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14450,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14450,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14450,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14450,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14450,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14450,B100000,00000,0800,00000MEALS SERVED :DIETARY 14450,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 14450,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14450,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14450,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 14450,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 14450,B100000,00000,1350,00000TIME STUDY :ACTIVITIES 14450,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14450,S000000,00100,0200,06/05/2000 14450,S200000,00100,0100,601 EAST RACE STREET 14450,S200000,00200,0100,ODON 14450,S200000,00200,0200,IN 14450,S200000,00200,0300,47562- 14450,S200000,00300,0100,DAVIES 14450,S200000,00400,0100,KETCHAM MEMORIAL CENTER 14450,S200000,00400,0200,155539 14450,S200000,00400,0300,10/10/1994 14450,S200000,00400,0500,O 14450,S200000,01004,0500,O 14450,S200000,01600,0100,Y 14450,S700003,00000,0100,1 14457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14457,A000000,00300,0000,00300EMPLOYEE BENEFITS 14457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14457,A000000,00700,0000,00700HOUSEKEEPING 14457,A000000,00800,0000,00800DIETARY 14457,A000000,00900,0000,00900NURSING ADMINISTRATION 14457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14457,A000000,01300,0000,01300SOCIAL SERVICE 14457,A000000,01600,0000,01600SKILLED NURSING FACILITY 14457,A000000,01800,0000,01800NURSING FACILITY 14457,A000000,01810,0000,01801ICF/MR 14457,A000000,01900,0000,01900OTHER LONG TERM CARE 14457,A000000,02100,0000,02100RADIOLOGY 14457,A000000,02200,0000,02200LABORATORY 14457,A000000,02300,0000,02300INTRAVENOUS THERAPY 14457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14457,A000000,02500,0000,02500PHYSICAL THERAPY 14457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14457,A000000,02700,0000,02700SPEECH PATHOLOGY 14457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14457,A000000,03200,0000,03200SUPPORT SURFACES 14457,A000000,03400,0000,03400CLINIC 14457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14457,A000000,03500,0000,03500RURAL HEALTH CLINIC 14457,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14457,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14457,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14457,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14457,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14457,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14457,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14457,A000000,04400,0000,04400DME RENTED - HHA 14457,A000000,04500,0000,04500DME SOLD - HHA 14457,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14457,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14457,A000000,04800,0000,04800AMBULANCE 14457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14457,A000000,05000,0000,05000CORF 14457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14457,A000000,05300,0000,05300INTEREST EXPENSE 14457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14457,A000000,05500,0000,05500HOSPICE 14457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14457,A000000,06100,0000,06100NONPAID WORKERS 14457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14457,A000000,06200,0000,06200PATIENTS LAUNDRY 14457,A81000A,00100,0100,Y 14457,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 14457,A81000B,00200,0300,CRC BUILDINGS 14457,A81000B,00300,0300,CRC MOVABLE EQUIPMENT 14457,A81000C,00100,0100,B 14457,A81000C,00100,0200,NBA 14457,A81000C,00100,0400,NATIONAL BENEVOLENT ASSOC 14457,A81000C,00100,0600,HEALTHCARE MGMT 14457,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14457,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14457,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 14457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14457,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14457,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14457,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14457,B100000,00000,0800,00000MEALS SERVED :DIETARY 14457,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14457,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14457,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14457,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14457,H510100,00000,0000,7040 14457,H510100,02400,0000,7040 14457,S000000,00100,0200,05/31/2000 14457,S200000,00100,0100,301 WEST HARRISON STREET 14457,S200000,00200,0100,MARTINSVILLE 14457,S200000,00200,0200,IN 14457,S200000,00200,0300,46151- 14457,S200000,00300,0100,MORGAN 14457,S200000,00400,0100,KENNEDY LIVING CENTER 14457,S200000,00400,0200,155540 14457,S200000,00400,0300,12/01/1994 14457,S200000,00400,0500,P 14457,S200000,00800,0200,157447 14457,S200000,00800,0300,11/17/1995 14457,S200000,00800,0500,P 14457,S200000,01600,0100,Y 14457,S700003,00000,0100,1 14461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14461,A000000,00300,0000,00300EMPLOYEE BENEFITS 14461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14461,A000000,00700,0000,00700HOUSEKEEPING 14461,A000000,00800,0000,00800DIETARY 14461,A000000,00900,0000,00900NURSING ADMINISTRATION 14461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14461,A000000,01100,0000,01100PHARMACY 14461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14461,A000000,01300,0000,01300SOCIAL SERVICE 14461,A000000,01301,0000,01301ACTIVITIES 14461,A000000,01350,0000,01500OTHER GENERAL SERVICES 14461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14461,A000000,01600,0000,01600SKILLED NURSING FACILITY 14461,A000000,01800,0000,01800NURSING FACILITY 14461,A000000,01810,0000,01801ICF/MR 14461,A000000,01900,0000,01900OTHER LONG TERM CARE 14461,A000000,02100,0000,02100RADIOLOGY 14461,A000000,02200,0000,02200LABORATORY 14461,A000000,02300,0000,02300INTRAVENOUS THERAPY 14461,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14461,A000000,02500,0000,02500PHYSICAL THERAPY 14461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14461,A000000,02700,0000,02700SPEECH PATHOLOGY 14461,A000000,02800,0000,02800ELECTROCARDIOLOGY 14461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14461,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14461,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14461,A000000,03200,0000,03200SUPPORT SURFACES 14461,A000000,03400,0000,03400CLINIC 14461,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14461,A000000,03500,0000,03500RURAL HEALTH CLINIC 14461,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14461,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14461,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14461,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14461,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14461,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14461,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14461,A000000,04400,0000,04400DME RENTED - HHA 14461,A000000,04500,0000,04500DME SOLD - HHA 14461,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14461,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14461,A000000,04800,0000,04800AMBULANCE 14461,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14461,A000000,05000,0000,05000CORF 14461,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14461,A000000,05300,0000,05300INTEREST EXPENSE 14461,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14461,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14461,A000000,05500,0000,05500HOSPICE 14461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14461,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14461,A000000,06100,0000,06100NONPAID WORKERS 14461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14461,A000000,06200,0000,06200PATIENTS LAUNDRY 14461,A81000A,00100,0100,Y 14461,A81000B,00100,0300,BUILDING INTEREST & DEPR. 14461,A81000B,00200,0300,HOME OFFICE COSTS 14461,A81000B,00300,0300,HOME OFFICE COSTS 14461,A81000B,00400,0300,HOME OFFICE COSTS 14461,A81000C,00100,0100,A 14461,A81000C,00100,0200,DOUGLAS BRADBURN 14461,A81000C,00100,0400,DOUGLAS BRADBURN 14461,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14461,A81000C,00200,0100,B 14461,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14461,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14461,A81000C,00200,0600,HOME OFFICE 14461,A81000C,00300,0100,B 14461,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14461,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14461,A81000C,00300,0600,HOME OFFICE CAPITAL 14461,A81000C,00400,0100,B 14461,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14461,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14461,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14461,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14461,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14461,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14461,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14461,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14461,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14461,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14461,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14461,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14461,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14461,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14461,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14461,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14461,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14461,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14461,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14461,S000000,00100,0200,08/18/2000 14461,S200000,00100,0100,1900 ALBER STREET 14461,S200000,00200,0100,WABASH 14461,S200000,00200,0200,IN 14461,S200000,00200,0300,46992- 14461,S200000,00300,0100,WABASH 14461,S200000,00400,0100,COMMUNITY CARE CENTER OF WABASH 14461,S200000,00400,0200,155541 14461,S200000,00400,0300,06/01/1994 14461,S200000,00400,0500,P 14461,S200000,01600,0100,Y 14461,S700003,00000,0100,1 14475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14475,A000000,00300,0000,00300EMPLOYEE BENEFITS 14475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14475,A000000,00700,0000,00700HOUSEKEEPING 14475,A000000,00800,0000,00800DIETARY 14475,A000000,00900,0000,00900NURSING ADMINISTRATION 14475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14475,A000000,01100,0000,01100PHARMACY 14475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14475,A000000,01300,0000,01300SOCIAL SERVICE 14475,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14475,A000000,01600,0000,01600SKILLED NURSING FACILITY 14475,A000000,02100,0000,02100RADIOLOGY 14475,A000000,02200,0000,02200LABORATORY 14475,A000000,02300,0000,02300INTRAVENOUS THERAPY 14475,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14475,A000000,02500,0000,02500PHYSICAL THERAPY 14475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14475,A000000,02700,0000,02700SPEECH PATHOLOGY 14475,A000000,02800,0000,02800ELECTROCARDIOLOGY 14475,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14475,A000000,03050,0000,03101AMBULANCE 14475,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14475,A000000,03200,0000,03200SUPPORT SURFACES 14475,A000000,03400,0000,03400CLINIC 14475,A000000,04800,0000,04800AMBULANCE 14475,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14475,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14475,A000000,05300,0000,05300INTEREST EXPENSE 14475,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14475,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14475,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14475,A000000,06100,0000,06100NONPAID WORKERS 14475,A000000,06200,0000,06200PATIENTS LAUNDRY 14475,A81000A,00100,0100,Y 14475,A81000B,01000,0300,CAPITAL 14475,A81000B,01100,0300,ADMIN 14475,A81000C,00100,0100,B 14475,A81000C,00100,0200,EXTENDACARE INC 14475,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14475,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14475,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14475,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14475,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14475,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14475,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14475,B100000,00000,0800,00000MEALS SERVED :DIETARY 14475,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14475,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14475,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14475,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14475,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14475,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14475,S000000,00100,0200,03/01/2000 14475,S200000,00100,0100,1425 GRANT STREET 14475,S200000,00200,0100,HUNTINGTON 14475,S200000,00200,0200,IN 14475,S200000,00300,0100,46750 HUNTINGTON 14475,S200000,00400,0100,EXTENDACARE OF HUNTINGTON 14475,S200000,00400,0200,155543 14475,S200000,00400,0300,02/01/1996 14475,S200000,00400,0500,P 14475,S200000,01600,0100,Y 14475,S200000,02200,0100,Y 14475,S200000,03100,0100,Y 14475,S700003,00000,0100,1 14484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14484,A000000,00300,0000,00300EMPLOYEE BENEFITS 14484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14484,A000000,00700,0000,00700HOUSEKEEPING 14484,A000000,00800,0000,00800DIETARY 14484,A000000,00900,0000,00900NURSING ADMINISTRATION 14484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14484,A000000,01100,0000,01100PHARMACY 14484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14484,A000000,01300,0000,01300SOCIAL SERVICE 14484,A000000,01301,0000,01301ACTIVITIES 14484,A000000,01350,0000,01500OTHER GENERAL SERVICES 14484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14484,A000000,01600,0000,01600SKILLED NURSING FACILITY 14484,A000000,01800,0000,01800NURSING FACILITY 14484,A000000,01810,0000,01801ICF/MR 14484,A000000,01900,0000,01900OTHER LONG TERM CARE 14484,A000000,02100,0000,02100RADIOLOGY 14484,A000000,02200,0000,02200LABORATORY 14484,A000000,02300,0000,02300INTRAVENOUS THERAPY 14484,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14484,A000000,02500,0000,02500PHYSICAL THERAPY 14484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14484,A000000,02700,0000,02700SPEECH PATHOLOGY 14484,A000000,02800,0000,02800ELECTROCARDIOLOGY 14484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14484,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14484,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14484,A000000,03200,0000,03200SUPPORT SURFACES 14484,A000000,03400,0000,03400CLINIC 14484,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14484,A000000,03500,0000,03500RURAL HEALTH CLINIC 14484,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14484,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14484,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14484,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14484,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14484,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14484,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14484,A000000,04400,0000,04400DME RENTED - HHA 14484,A000000,04500,0000,04500DME SOLD - HHA 14484,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14484,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14484,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14484,A000000,04800,0000,04800AMBULANCE 14484,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14484,A000000,05000,0000,05000CORF 14484,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14484,A000000,05300,0000,05300INTEREST EXPENSE 14484,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14484,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14484,A000000,05500,0000,05500HOSPICE 14484,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14484,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14484,A000000,06100,0000,06100NONPAID WORKERS 14484,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14484,A000000,06200,0000,06200PATIENTS LAUNDRY 14484,A81000A,00100,0100,Y 14484,A81000B,00100,0300,BUILDING INTEREST & DEPR. 14484,A81000B,00200,0300,HOME OFFICE COSTS 14484,A81000B,00300,0300,HOME OFFICE COSTS 14484,A81000B,00400,0300,HOME OFFICE COSTS 14484,A81000C,00100,0100,A 14484,A81000C,00100,0200,DOUGLAS BRADBURN 14484,A81000C,00100,0400,DOUGLAS BRADBURN 14484,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14484,A81000C,00200,0100,B 14484,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14484,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14484,A81000C,00200,0600,HOME OFFICE 14484,A81000C,00300,0100,B 14484,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14484,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14484,A81000C,00300,0600,HOME OFFICE CAPITAL 14484,A81000C,00400,0100,B 14484,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14484,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14484,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14484,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14484,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14484,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14484,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14484,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14484,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14484,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14484,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14484,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14484,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14484,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14484,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14484,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14484,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14484,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14484,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 14484,S000000,00100,0200,08/18/2000 14484,S200000,00100,0100,3400 WEST COMMUNITY DRIVE 14484,S200000,00200,0100,MUNCIE 14484,S200000,00200,0200,IN 14484,S200000,00200,0300,47304- 14484,S200000,00300,0100,DELAWARE 14484,S200000,00400,0100,COMMUNITY CARE CENTER OF MUNCIE 14484,S200000,00400,0200,155546 14484,S200000,00400,0300,06/01/1994 14484,S200000,00400,0500,P 14484,S200000,01600,0100,Y 14484,S700003,00000,0100,1 14494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14494,A000000,00300,0000,00300EMPLOYEE BENEFITS 14494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14494,A000000,00700,0000,00700HOUSEKEEPING 14494,A000000,00800,0000,00800DIETARY 14494,A000000,00900,0000,00900NURSING ADMINISTRATION 14494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14494,A000000,01100,0000,01100PHARMACY 14494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14494,A000000,01300,0000,01300SOCIAL SERVICE 14494,A000000,01301,0000,01301ACTIVITIES 14494,A000000,01350,0000,01500OTHER GENERAL SERVICES 14494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14494,A000000,01600,0000,01600SKILLED NURSING FACILITY 14494,A000000,01800,0000,01800NURSING FACILITY 14494,A000000,01810,0000,01801ICF/MR 14494,A000000,01900,0000,01900OTHER LONG TERM CARE 14494,A000000,02100,0000,02100RADIOLOGY 14494,A000000,02200,0000,02200LABORATORY 14494,A000000,02300,0000,02300INTRAVENOUS THERAPY 14494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14494,A000000,02500,0000,02500PHYSICAL THERAPY 14494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14494,A000000,02700,0000,02700SPEECH PATHOLOGY 14494,A000000,02800,0000,02800ELECTROCARDIOLOGY 14494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14494,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14494,A000000,03200,0000,03200SUPPORT SURFACES 14494,A000000,03400,0000,03400CLINIC 14494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14494,A000000,03500,0000,03500RURAL HEALTH CLINIC 14494,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14494,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14494,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14494,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14494,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14494,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14494,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14494,A000000,04400,0000,04400DME RENTED - HHA 14494,A000000,04500,0000,04500DME SOLD - HHA 14494,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14494,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14494,A000000,04800,0000,04800AMBULANCE 14494,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14494,A000000,05000,0000,05000CORF 14494,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14494,A000000,05300,0000,05300INTEREST EXPENSE 14494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14494,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14494,A000000,05500,0000,05500HOSPICE 14494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14494,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14494,A000000,06100,0000,06100NONPAID WORKERS 14494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14494,A000000,06200,0000,06200PATIENTS LAUNDRY 14494,A81000A,00100,0100,Y 14494,A81000B,00100,0300,BUILDING INTEREST & DEPRECIATION 14494,A81000B,00200,0300,HOME OFFICE COST 14494,A81000B,00300,0300,HOME OFFICE COST 14494,A81000B,00400,0300,HOME OFFICE COST 14494,A81000C,00100,0100,A 14494,A81000C,00100,0200,DOUGLAS BRADBURN 14494,A81000C,00100,0400,DOUGLAS BRADBURN 14494,A81000C,00100,0600,REAL ESTATE OWNERSHIP 14494,A81000C,00200,0100,B 14494,A81000C,00200,0200,LEGACY HEALTHCARE INC. 14494,A81000C,00200,0400,LEGACY HEALTHCARE INC. 14494,A81000C,00200,0600,HOME OFFICE 14494,A81000C,00300,0100,B 14494,A81000C,00300,0200,LEGACY HEALTHCARE INC. 14494,A81000C,00300,0400,LEGACY HEALTHCARE INC. 14494,A81000C,00300,0600,HOME OFFICE CAPITAL 14494,A81000C,00400,0100,B 14494,A81000C,00400,0200,LEGACY HEALTHCARE INC. 14494,A81000C,00400,0400,LEGACY HEALTHCARE INC. 14494,A81000C,00400,0600,HOME OFFICE EQUIPMENT 14494,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14494,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14494,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14494,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14494,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14494,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14494,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14494,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14494,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14494,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14494,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14494,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14494,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14494,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14494,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14494,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14494,S000000,00100,0200,08/18/2000 14494,S200000,00100,0100,510 WEST HIGH STREET 14494,S200000,00200,0100,PORTLAND 14494,S200000,00200,0200,IN 14494,S200000,00200,0300,47371- 14494,S200000,00300,0100,JAY 14494,S200000,00400,0100,PORTLAND COMMUNITY CARE CENTER EAST 14494,S200000,00400,0200,155548 14494,S200000,00400,0300,06/01/1994 14494,S200000,00400,0500,P 14494,S200000,01004,0500,O 14494,S200000,01600,0100,Y 14494,S700003,00000,0100,1 14505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14505,A000000,00300,0000,00300EMPLOYEE BENEFITS 14505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14505,A000000,00700,0000,00700HOUSEKEEPING 14505,A000000,00800,0000,00800DIETARY 14505,A000000,00900,0000,00900NURSING ADMINISTRATION 14505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14505,A000000,01100,0000,01100PHARMACY 14505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14505,A000000,01300,0000,01300SOCIAL SERVICE 14505,A000000,01350,0000,01500ACTIVITIES 14505,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14505,A000000,01600,0000,01600SKILLED NURSING FACILITY 14505,A000000,01800,0000,01800NURSING FACILITY 14505,A000000,01810,0000,01801ICF/MR 14505,A000000,01900,0000,01900OTHER LONG TERM CARE 14505,A000000,02100,0000,02100RADIOLOGY 14505,A000000,02200,0000,02200LABORATORY 14505,A000000,02300,0000,02300INTRAVENOUS THERAPY 14505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14505,A000000,02500,0000,02500PHYSICAL THERAPY 14505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14505,A000000,02700,0000,02700SPEECH PATHOLOGY 14505,A000000,02800,0000,02800ELECTROCARDIOLOGY 14505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14505,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14505,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14505,A000000,03200,0000,03200SUPPORT SURFACES 14505,A000000,03400,0000,03400CLINIC 14505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14505,A000000,03500,0000,03500RURAL HEALTH CLINIC 14505,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14505,A000000,04800,0000,04800AMBULANCE 14505,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14505,A000000,05000,0000,05000CORF 14505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14505,A000000,05300,0000,05300INTEREST EXPENSE 14505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14505,A000000,05500,0000,05500HOSPICE 14505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14505,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14505,A000000,06100,0000,06100NONPAID WORKERS 14505,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14505,A000000,06200,0000,06200PATIENTS LAUNDRY 14505,A81000A,00100,0100,Y 14505,A81000B,00100,0300,CAPITAL RELATED 14505,A81000B,00200,0300,ADMIN & GENERAL 14505,A81000B,00300,0300,MANAGEMENT FEES 14505,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 14505,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14505,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14505,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14505,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14505,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14505,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14505,B100000,00000,0800,00000MEALS SERVED :DIETARY 14505,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 14505,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14505,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14505,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14505,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14505,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 14505,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14505,S000000,00100,0200,08/18/2000 14505,S200000,00100,0100,7524 EAST JACKSON STREET 14505,S200000,00200,0100,MUNCIE 14505,S200000,00200,0200,CA 14505,S200000,00200,0300,47302- 14505,S200000,00300,0100,DELAWARE 14505,S200000,00400,0100,WILLOWBEND LIVING CENTER 14505,S200000,00400,0200,155549 14505,S200000,00400,0300,11/03/1994 14505,S200000,00400,0500,P 14505,S200000,01600,0100,Y 14505,S700003,00000,0100,1 14514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14514,A000000,00300,0000,00300EMPLOYEE BENEFITS 14514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14514,A000000,00700,0000,00700HOUSEKEEPING 14514,A000000,00800,0000,00800DIETARY 14514,A000000,00900,0000,00900NURSING ADMINISTRATION 14514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14514,A000000,01100,0000,01100PHARMACY 14514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14514,A000000,01300,0000,01300SOCIAL SERVICE 14514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14514,A000000,01600,0000,01600SKILLED NURSING FACILITY 14514,A000000,02100,0000,02100RADIOLOGY 14514,A000000,02200,0000,02200LABORATORY 14514,A000000,02300,0000,02300INTRAVENOUS THERAPY 14514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14514,A000000,02500,0000,02500PHYSICAL THERAPY 14514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14514,A000000,02700,0000,02700SPEECH PATHOLOGY 14514,A000000,02800,0000,02800ELECTROCARDIOLOGY 14514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14514,A000000,03200,0000,03200SUPPORT SURFACES 14514,A000000,03400,0000,03400CLINIC 14514,A000000,04800,0000,04800AMBULANCE 14514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14514,A000000,05300,0000,05300INTEREST EXPENSE 14514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14514,A000000,06100,0000,06100NONPAID WORKERS 14514,A000000,06200,0000,06200PATIENTS LAUNDRY 14514,A81000A,00100,0100,Y 14514,A81000B,00100,0300,CAPITAL 14514,A81000B,00200,0300,ADMIN 14514,A81000C,00100,0100,B 14514,A81000C,00100,0200,EXTENDACARE INC 14514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14514,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14514,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14514,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14514,B100000,00000,0800,00000MEALS SERVED :DIETARY 14514,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14514,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14514,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14514,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14514,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14514,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14514,S000000,00100,0200,03/01/2000 14514,S200000,00100,0100,2402 E CENTER STREET 14514,S200000,00200,0100,WARSAW 14514,S200000,00200,0200,IN 14514,S200000,00300,0100,46580 KOSCIOSKO 14514,S200000,00400,0100,EXTENDACARE OF WARSAW 14514,S200000,00400,0200,155550 14514,S200000,00400,0300,02/01/1996 14514,S200000,00400,0500,P 14514,S200000,01600,0100,Y 14514,S200000,02200,0100,Y 14514,S200000,03100,0100,Y 14514,S700003,00000,0100,1 14524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14524,A000000,00300,0000,00300EMPLOYEE BENEFITS 14524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14524,A000000,00700,0000,00700HOUSEKEEPING 14524,A000000,00800,0000,00800DIETARY 14524,A000000,00900,0000,00900NURSING ADMINISTRATION 14524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14524,A000000,01100,0000,01100PHARMACY 14524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14524,A000000,01300,0000,01300SOCIAL SERVICE 14524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14524,A000000,01600,0000,01600SKILLED NURSING FACILITY 14524,A000000,01900,0000,01900OTHER LONG TERM CARE 14524,A000000,02100,0000,02100RADIOLOGY 14524,A000000,02200,0000,02200LABORATORY 14524,A000000,02300,0000,02300INTRAVENOUS THERAPY 14524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14524,A000000,02500,0000,02500PHYSICAL THERAPY 14524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14524,A000000,02700,0000,02700SPEECH PATHOLOGY 14524,A000000,02800,0000,02800ELECTROCARDIOLOGY 14524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14524,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14524,A000000,03200,0000,03200SUPPORT SURFACES 14524,A000000,03400,0000,03400CLINIC 14524,A000000,04800,0000,04800AMBULANCE 14524,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14524,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14524,A000000,05300,0000,05300INTEREST EXPENSE 14524,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14524,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14524,A000000,06100,0000,06100NONPAID WORKERS 14524,A000000,06200,0000,06200PATIENTS LAUNDRY 14524,A81000A,00100,0100,Y 14524,A81000B,00100,0300,CAPITAL 14524,A81000B,00200,0300,ADMIN & GENERAL 14524,A81000C,00100,0100,F 14524,A81000C,00100,0200,TLC MANAGEMENT 14524,A81000C,00100,0400,TLC MANAGEMENT 14524,A81000C,00100,0600,HEALTHCARE MGMT 14524,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14524,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14524,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14524,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14524,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14524,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14524,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14524,B100000,00000,0800,00000MEALS SERVED :DIETARY 14524,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 14524,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14524,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14524,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14524,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14524,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14524,S000000,00100,0200,04/17/2000 14524,S200000,00100,0100,604 RENNEKER STREET 14524,S200000,00200,0100,LAFONTAINE 14524,S200000,00200,0200,IN 14524,S200000,00300,0100,46940 WABASH 14524,S200000,00400,0100,ROLLING MEADOWS HEALTH CARE CENTER 14524,S200000,00400,0200,155551 14524,S200000,00400,0300,01/01/1995 14524,S200000,00400,0500,P 14524,S200000,01600,0100,Y 14524,S200000,04700,0100,Y 14524,S700003,00000,0100,1 14536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14536,A000000,00300,0000,00300EMPLOYEE BENEFITS 14536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14536,A000000,00700,0000,00700HOUSEKEEPING 14536,A000000,00800,0000,00800DIETARY 14536,A000000,00900,0000,00900NURSING ADMINISTRATION 14536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14536,A000000,01100,0000,01100PHARMACY 14536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14536,A000000,01300,0000,01300SOCIAL SERVICE 14536,A000000,01350,0000,01500OTHER GENERAL SERVICES 14536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14536,A000000,01600,0000,01600SKILLED NURSING FACILITY 14536,A000000,01800,0000,01800NURSING FACILITY 14536,A000000,01810,0000,01801ICF/MR 14536,A000000,01900,0000,01900OTHER LONG TERM CARE 14536,A000000,02100,0000,02100RADIOLOGY 14536,A000000,02200,0000,02200LABORATORY 14536,A000000,02300,0000,02300INTRAVENOUS THERAPY 14536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14536,A000000,02500,0000,02500PHYSICAL THERAPY 14536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14536,A000000,02700,0000,02700SPEECH PATHOLOGY 14536,A000000,02800,0000,02800ELECTROCARDIOLOGY 14536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14536,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14536,A000000,03200,0000,03200SUPPORT SURFACES 14536,A000000,03400,0000,03400CLINIC 14536,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14536,A000000,03500,0000,03500RURAL HEALTH CLINIC 14536,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14536,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14536,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14536,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14536,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14536,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14536,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14536,A000000,04400,0000,04400DME RENTED - HHA 14536,A000000,04500,0000,04500DME SOLD - HHA 14536,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14536,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14536,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14536,A000000,04800,0000,04800AMBULANCE 14536,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14536,A000000,05000,0000,05000CORF 14536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14536,A000000,05300,0000,05300INTEREST EXPENSE 14536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14536,A000000,05500,0000,05500HOSPICE 14536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14536,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14536,A000000,06100,0000,06100NONPAID WORKERS 14536,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14536,A000000,06200,0000,06200PATIENTS LAUNDRY 14536,A81000A,00100,0100,Y 14536,A81000B,00100,0300,OXYGEN & SUPPLIES 14536,A81000B,00200,0300,SUPPLIES 14536,A81000B,00300,0300,SUPPLIES 14536,A81000B,00400,0300,SPACE RENTAL 14536,A81000C,00100,0100,A 14536,A81000C,00100,0200,MCCURDY HEALTHCARE 14536,A81000C,00100,0400,OHIO VALLEY 14536,A81000C,00100,0600,SUPPLIES 14536,A81000C,00200,0100,A 14536,A81000C,00200,0200,MCCURDY HEALTHCARE 14536,A81000C,00200,0400,OHIO VALLEY 14536,A81000C,00200,0600,SUPPLIES 14536,A81000C,00300,0100,A 14536,A81000C,00300,0200,MCCURDY HEALTHCARE 14536,A81000C,00300,0400,OHIO VALLEY 14536,A81000C,00300,0600,SUPPLIES 14536,A81000C,00400,0100,A 14536,A81000C,00400,0200,MCCURDY HEALTHCARE 14536,A81000C,00400,0400,OHIO VALLEY 14536,A81000C,00400,0600,SUPPLIES 14536,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14536,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14536,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14536,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14536,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14536,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14536,B100000,00000,0800,00000MEALS SERVED :DIETARY 14536,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14536,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14536,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14536,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14536,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14536,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14536,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14536,S000000,00100,0200,06/05/2000 14536,S200000,00100,0100,101 SE FIRST STREET 14536,S200000,00200,0100,EVANSVILLE 14536,S200000,00200,0200,IN 14536,S200000,00200,0300,47708- 14536,S200000,00300,0100,VANDERBURG 14536,S200000,00400,0100,MCCURDY HEALTHCARE CENTER 14536,S200000,00400,0200,155554 14536,S200000,00400,0300,02/21/1995 14536,S200000,00400,0500,P 14536,S200000,01004,0500,O 14536,S200000,01600,0100,Y 14536,S700003,00000,0100,1 14546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14546,A000000,00300,0000,00300EMPLOYEE BENEFITS 14546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14546,A000000,00700,0000,00700HOUSEKEEPING 14546,A000000,00800,0000,00800DIETARY 14546,A000000,00900,0000,00900NURSING ADMINISTRATION 14546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14546,A000000,01100,0000,01100PHARMACY 14546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14546,A000000,01300,0000,01300SOCIAL SERVICE 14546,A000000,01350,0000,01500OTHER GENERAL SERVICES 14546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14546,A000000,01600,0000,01600SKILLED NURSING FACILITY 14546,A000000,01800,0000,01800NURSING FACILITY 14546,A000000,01810,0000,01801ICF/MR 14546,A000000,01900,0000,01900OTHER LONG TERM CARE 14546,A000000,02100,0000,02100RADIOLOGY 14546,A000000,02200,0000,02200LABORATORY 14546,A000000,02300,0000,02300INTRAVENOUS THERAPY 14546,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14546,A000000,02500,0000,02500PHYSICAL THERAPY 14546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14546,A000000,02700,0000,02700SPEECH PATHOLOGY 14546,A000000,02800,0000,02800ELECTROCARDIOLOGY 14546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14546,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14546,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14546,A000000,03200,0000,03200SUPPORT SURFACES 14546,A000000,03400,0000,03400CLINIC 14546,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14546,A000000,03500,0000,03500RURAL HEALTH CLINIC 14546,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14546,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14546,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14546,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14546,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14546,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14546,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14546,A000000,04400,0000,04400DME RENTED - HHA 14546,A000000,04500,0000,04500DME SOLD - HHA 14546,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14546,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14546,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14546,A000000,04800,0000,04800AMBULANCE 14546,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14546,A000000,05000,0000,05000CORF 14546,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14546,A000000,05300,0000,05300INTEREST EXPENSE 14546,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14546,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14546,A000000,05500,0000,05500HOSPICE 14546,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14546,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14546,A000000,06100,0000,06100NONPAID WORKERS 14546,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14546,A000000,06200,0000,06200PATIENTS LAUNDRY 14546,A81000A,00100,0100,Y 14546,A81000B,00100,0300,HOME OFFICE COSTS 14546,A81000B,00200,0300,RELATED PARTY LEASE 14546,A81000B,00300,0300,RELATED PARTY THERAPY 14546,A81000B,00400,0300,RELATED PARTY THERAPY 14546,A81000B,00500,0300,RELATED PARTY THERAPY 14546,A81000C,00100,0100,B 14546,A81000C,00100,0400,MHS INC 14546,A81000C,00100,0600,NURSING HOMES 14546,A81000C,00200,0100,A 14546,A81000C,00200,0400,MMM INVESTMENT 14546,A81000C,00200,0600,PROPERTY LEASING 14546,A81000C,00300,0100,A 14546,A81000C,00300,0400,THERACARE 14546,A81000C,00300,0600,THERAPY MANAGEMENT 14546,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14546,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14546,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14546,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14546,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14546,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14546,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14546,B100000,00000,0800,00000MEALS SERVED :DIETARY 14546,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14546,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14546,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14546,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14546,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14546,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14546,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14546,S000000,00100,0200,06/12/2000 14546,S200000,00100,0100,300 FAIRGROUNDS ROAD 14546,S200000,00100,0300,265 14546,S200000,00200,0100,TIPTON 14546,S200000,00200,0200,IN 14546,S200000,00200,0300,46072-2065 14546,S200000,00300,0100,TIPTON 14546,S200000,00400,0100,MHS INC. D/B/A - MMM TIPTON 14546,S200000,00400,0200,155556 14546,S200000,00400,0300,04/01/1995 14546,S200000,00400,0500,P 14546,S200000,01600,0100,Y 14546,S200000,02200,0100,Y 14546,S200000,02800,0100,Y 14556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14556,A000000,00300,0000,00300EMPLOYEE BENEFITS 14556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14556,A000000,00700,0000,00700HOUSEKEEPING 14556,A000000,00800,0000,00800DIETARY 14556,A000000,00900,0000,00900NURSING ADMINISTRATION 14556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14556,A000000,01100,0000,01100PHARMACY 14556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14556,A000000,01300,0000,01300SOCIAL SERVICE 14556,A000000,01350,0000,01500OTHER GENERAL SERVICES 14556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14556,A000000,01600,0000,01600SKILLED NURSING FACILITY 14556,A000000,01800,0000,01800NURSING FACILITY 14556,A000000,01810,0000,01801ICF/MR 14556,A000000,01900,0000,01900OTHER LONG TERM CARE 14556,A000000,02100,0000,02100RADIOLOGY 14556,A000000,02200,0000,02200LABORATORY 14556,A000000,02300,0000,02300INTRAVENOUS THERAPY 14556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14556,A000000,02500,0000,02500PHYSICAL THERAPY 14556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14556,A000000,02700,0000,02700SPEECH PATHOLOGY 14556,A000000,02800,0000,02800ELECTROCARDIOLOGY 14556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14556,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14556,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14556,A000000,03200,0000,03200SUPPORT SURFACES 14556,A000000,03400,0000,03400CLINIC 14556,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14556,A000000,03500,0000,03500RURAL HEALTH CLINIC 14556,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14556,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14556,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14556,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14556,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14556,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14556,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14556,A000000,04400,0000,04400DME RENTED - HHA 14556,A000000,04500,0000,04500DME SOLD - HHA 14556,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14556,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14556,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14556,A000000,04800,0000,04800AMBULANCE 14556,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14556,A000000,05000,0000,05000CORF 14556,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14556,A000000,05300,0000,05300INTEREST EXPENSE 14556,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14556,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14556,A000000,05500,0000,05500HOSPICE 14556,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14556,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14556,A000000,06100,0000,06100NONPAID WORKERS 14556,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14556,A000000,06200,0000,06200PATIENTS LAUNDRY 14556,A81000A,00100,0100,Y 14556,A81000B,00100,0300,HOME OFFICE COSTS 14556,A81000B,00200,0300,RELATED PARTY LEASE 14556,A81000B,00300,0300,RELATED PARTY THERAPY 14556,A81000B,00400,0300,RELATED PARTY THERAPY 14556,A81000B,00500,0300,RELATED PARTY THERAPY 14556,A81000C,00100,0100,B 14556,A81000C,00100,0400,MHS INC 14556,A81000C,00100,0600,NURSING HOMES 14556,A81000C,00200,0100,A 14556,A81000C,00200,0400,MMM INVESTMENT 14556,A81000C,00200,0600,PROPERTY LEASING 14556,A81000C,00300,0100,A 14556,A81000C,00300,0400,THERACARE 14556,A81000C,00300,0600,THERAPY MANAGEMENT 14556,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14556,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14556,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14556,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14556,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14556,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14556,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14556,B100000,00000,0800,00000MEALS SERVED :DIETARY 14556,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14556,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14556,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14556,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14556,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14556,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14556,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14556,S000000,00100,0200,06/23/2000 14556,S200000,00100,0100,1651 NORTH CAMPBELL AVE. 14556,S200000,00200,0100,INDIANAPOLIS 14556,S200000,00200,0200,IN 14556,S200000,00200,0300,46218- 14556,S200000,00300,0100,MARION 14556,S200000,00400,0100,MHS INC. D/B/A MMM - INDY EAST 14556,S200000,00400,0200,155557 14556,S200000,00400,0300,04/01/1995 14556,S200000,00400,0500,P 14556,S200000,01600,0100,Y 14556,S200000,02200,0100,Y 14556,S200000,02800,0100,Y 14567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14567,A000000,00300,0000,00300EMPLOYEE BENEFITS 14567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14567,A000000,00700,0000,00700HOUSEKEEPING 14567,A000000,00800,0000,00800DIETARY 14567,A000000,00801,0000,00801CAFETERIA 14567,A000000,00900,0000,00900NURSING ADMINISTRATION 14567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14567,A000000,01100,0000,01100PHARMACY 14567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14567,A000000,01300,0000,01300SOCIAL SERVICE 14567,A000000,01350,0000,01500OTHER GENERAL SERVICES 14567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14567,A000000,01600,0000,01600SKILLED NURSING FACILITY 14567,A000000,01800,0000,01800NURSING FACILITY 14567,A000000,01810,0000,01810ICF/MR 14567,A000000,01900,0000,01900OTHER LONG TERM CARE 14567,A000000,02100,0000,02100RADIOLOGY 14567,A000000,02200,0000,02200LABORATORY 14567,A000000,02300,0000,02300INTRAVENOUS THERAPY 14567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14567,A000000,02500,0000,02500PHYSICAL THERAPY 14567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14567,A000000,02700,0000,02700SPEECH PATHOLOGY 14567,A000000,02800,0000,02800ELECTROCARDIOLOGY 14567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14567,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14567,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14567,A000000,03200,0000,03200SUPPORT SURFACES 14567,A000000,03400,0000,03400CLINIC 14567,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14567,A000000,03500,0000,03500RURAL HEALTH CLINIC 14567,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14567,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14567,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14567,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14567,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14567,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14567,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14567,A000000,04400,0000,04400DME RENTED - HHA 14567,A000000,04500,0000,04500DME SOLD - HHA 14567,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14567,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14567,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14567,A000000,04800,0000,04800AMBULANCE 14567,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14567,A000000,05000,0000,05000CORF 14567,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14567,A000000,05300,0000,05300INTEREST EXPENSE 14567,A000000,05350,0000,05600GREENCROFT NURSING CENTER 14567,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14567,A000000,05500,0000,05500HOSPICE 14567,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14567,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14567,A000000,06100,0000,06100NONPAID WORKERS 14567,A000000,06150,0000,06300AFFILIATE MEALS 14567,A000000,06200,0000,06200PATIENTS LAUNDRY 14567,A81000A,00100,0100,Y 14567,A81000B,00100,0300,HOME OFFICE COSTS 14567,A81000B,00200,0300,LAUNDRY SERVICES 14567,A81000C,00100,0100,G 14567,A81000C,00100,0400,GREENCROFT INC. 14567,A81000C,00100,0600,CONTROL MGMT 14567,A81000C,00200,0100,G 14567,A81000C,00200,0400,GREENCROFT NURS 14567,A81000C,00200,0600,CONTROL SNF 14567,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14567,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14567,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14567,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14567,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14567,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14567,B100000,00000,0800,00000MEALS SERVED :DIETARY 14567,B100000,00000,0801,00000MEALS SERVED :CAFETERIA 14567,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14567,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14567,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14567,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14567,S000000,00100,0200,12/04/2000 14567,S200000,00100,0300,819 14567,S200000,00200,0100,GOSHEN 14567,S200000,00200,0200,IN 14567,S200000,00200,0300,46527-0819 14567,S200000,00300,0100,ELKHART 14567,S200000,00300,0200,2330 14567,S200000,00300,0300,U 14567,S200000,00400,0100,GREENCROFT-GABLES HEALTH CARE 14567,S200000,00400,0200,155559 14567,S200000,00400,0300,03/16/1995 14567,S200000,00400,0500,P 14567,S200000,01600,0100,Y 14567,S200000,01900,0100,501 (C) (3) 14567,S200000,02200,0100,Y 14584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14584,A000000,00300,0000,00300EMPLOYEE BENEFITS 14584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14584,A000000,00700,0000,00700HOUSEKEEPING 14584,A000000,00800,0000,00800DIETARY 14584,A000000,00900,0000,00900NURSING ADMINISTRATION 14584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14584,A000000,01100,0000,01100PHARMACY 14584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14584,A000000,01300,0000,01300SOCIAL SERVICE 14584,A000000,01350,0000,01500OTHER GENERAL SERVICES 14584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14584,A000000,01600,0000,01600SKILLED NURSING FACILITY 14584,A000000,01800,0000,01800NURSING FACILITY 14584,A000000,01810,0000,01801ICF/MR 14584,A000000,01900,0000,01900OTHER LONG TERM CARE 14584,A000000,02100,0000,02100RADIOLOGY 14584,A000000,02200,0000,02200LABORATORY 14584,A000000,02300,0000,02300INTRAVENOUS THERAPY 14584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14584,A000000,02500,0000,02500PHYSICAL THERAPY 14584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14584,A000000,02700,0000,02700SPEECH PATHOLOGY 14584,A000000,02800,0000,02800ELECTROCARDIOLOGY 14584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14584,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14584,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14584,A000000,03200,0000,03200SUPPORT SURFACES 14584,A000000,03400,0000,03400CLINIC 14584,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14584,A000000,03500,0000,03500RURAL HEALTH CLINIC 14584,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14584,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14584,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14584,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14584,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14584,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14584,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14584,A000000,04400,0000,04400DME RENTED - HHA 14584,A000000,04500,0000,04500DME SOLD - HHA 14584,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14584,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14584,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14584,A000000,04800,0000,04800AMBULANCE 14584,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14584,A000000,05000,0000,05000CORF 14584,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14584,A000000,05300,0000,05300INTEREST EXPENSE 14584,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14584,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14584,A000000,05500,0000,05500HOSPICE 14584,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14584,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14584,A000000,06100,0000,06100NONPAID WORKERS 14584,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14584,A000000,06200,0000,06200PATIENTS LAUNDRY 14584,A81000A,00100,0100,Y 14584,A81000B,00100,0300,OXYGEN & SUPPLIES 14584,A81000B,00200,0300,OXYGEN & SUPPLIES 14584,A81000C,00100,0100,A 14584,A81000C,00100,0200,GOOD SAMARITAN HOME 14584,A81000C,00100,0400,OHIO VALLEY 14584,A81000C,00100,0600,SUPPLIES 14584,A81000C,00200,0100,A 14584,A81000C,00200,0200,GOOD SAMARITAN HOME 14584,A81000C,00200,0400,OHIO VALLEY 14584,A81000C,00200,0600,SUPPLIES 14584,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14584,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14584,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14584,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14584,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14584,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14584,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14584,B100000,00000,0800,00000MEALS SERVED :DIETARY 14584,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14584,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14584,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14584,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14584,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14584,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14584,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14584,S000000,00100,0200,05/31/2000 14584,S200000,00100,0100,210 NORTH GIBSON STREET 14584,S200000,00200,0100,OAKLAND CITY 14584,S200000,00200,0200,IN 14584,S200000,00200,0300,47660- 14584,S200000,00300,0100,GIBSON 14584,S200000,00400,0100,GOOD SAMARITAN HOME 14584,S200000,00400,0200,155561 14584,S200000,00400,0300,03/01/1995 14584,S200000,00400,0500,P 14584,S200000,01004,0500,O 14584,S200000,01600,0100,Y 14584,S200000,02800,0100,Y 14584,S700003,00000,0400,4 14595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14595,A000000,00300,0000,00300EMPLOYEE BENEFITS 14595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14595,A000000,00700,0000,00700HOUSEKEEPING 14595,A000000,00800,0000,00800DIETARY 14595,A000000,00900,0000,00900NURSING ADMINISTRATION 14595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14595,A000000,01100,0000,01100PHARMACY 14595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14595,A000000,01300,0000,01300SOCIAL SERVICE 14595,A000000,01350,0000,01500OTHER GENERAL SERVICES 14595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14595,A000000,01600,0000,01600SKILLED NURSING FACILITY 14595,A000000,01800,0000,01800NURSING FACILITY 14595,A000000,01810,0000,01801ICF/MR 14595,A000000,01900,0000,01900OTHER LONG TERM CARE 14595,A000000,02100,0000,02100RADIOLOGY 14595,A000000,02200,0000,02200LABORATORY 14595,A000000,02300,0000,02300INTRAVENOUS THERAPY 14595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14595,A000000,02500,0000,02500PHYSICAL THERAPY 14595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14595,A000000,02700,0000,02700SPEECH PATHOLOGY 14595,A000000,02800,0000,02800ELECTROCARDIOLOGY 14595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14595,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14595,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14595,A000000,03200,0000,03200SUPPORT SURFACES 14595,A000000,03400,0000,03400CLINIC 14595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14595,A000000,03500,0000,03500RURAL HEALTH CLINIC 14595,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14595,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14595,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14595,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14595,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14595,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14595,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14595,A000000,04400,0000,04400DME RENTED - HHA 14595,A000000,04500,0000,04500DME SOLD - HHA 14595,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14595,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14595,A000000,04800,0000,04800AMBULANCE 14595,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14595,A000000,05000,0000,05000CORF 14595,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14595,A000000,05300,0000,05300INTEREST EXPENSE 14595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14595,A000000,05500,0000,05500HOSPICE 14595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14595,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14595,A000000,06100,0000,06100NONPAID WORKERS 14595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14595,A000000,06200,0000,06200PATIENTS LAUNDRY 14595,A81000A,00100,0100,Y 14595,A81000B,00100,0300,HOME OFFICE COSTS 14595,A81000B,00200,0300,RELATED PARTY LEASE 14595,A81000B,00300,0300,RELATED PARTY THERAPY 14595,A81000B,00400,0300,RELATED PARTY THERAPY 14595,A81000B,00500,0300,RELATED PARTY THERAPY 14595,A81000C,00100,0100,B 14595,A81000C,00100,0400,MHS INC 14595,A81000C,00100,0600,NURSING HOMES 14595,A81000C,00200,0100,A 14595,A81000C,00200,0400,MMM INVESTMENT 14595,A81000C,00200,0600,PROPERTY LEASING 14595,A81000C,00300,0100,A 14595,A81000C,00300,0400,THERACARE 14595,A81000C,00300,0600,THERAPY MANAGEMENT 14595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14595,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14595,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14595,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14595,B100000,00000,0800,00000MEALS SERVED :DIETARY 14595,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14595,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14595,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14595,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14595,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14595,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14595,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14595,S000000,00100,0200,06/20/2000 14595,S200000,00100,0100,259 WEST HARRISON ST 14595,S200000,00200,0100,MOORESVILLE 14595,S200000,00200,0200,IN 14595,S200000,00200,0300,46158- 14595,S200000,00300,0100,MORGAN 14595,S200000,00400,0100,MHS INC. D/B/A MMM - MOORESVILLE 14595,S200000,00400,0200,155564 14595,S200000,00400,0300,04/01/1995 14595,S200000,00400,0500,P 14595,S200000,01600,0100,Y 14595,S200000,02200,0100,Y 14608,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14608,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14608,A000000,00300,0000,00300EMPLOYEE BENEFITS 14608,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14608,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14608,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14608,A000000,00700,0000,00700HOUSEKEEPING 14608,A000000,00800,0000,00800DIETARY 14608,A000000,00900,0000,00900NURSING ADMINISTRATION 14608,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14608,A000000,01300,0000,01300SOCIAL SERVICE 14608,A000000,01301,0000,01301ACTIVITIES 14608,A000000,01600,0000,01600SKILLED NURSING FACILITY 14608,A000000,01800,0000,01800NURSING FACILITY 14608,A000000,02100,0000,02100RADIOLOGY 14608,A000000,02200,0000,02200LABORATORY 14608,A000000,02500,0000,02500PHYSICAL THERAPY 14608,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14608,A000000,02700,0000,02700SPEECH PATHOLOGY 14608,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14608,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14608,A000000,03001,0000,03001AMBULANCE 14608,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14608,A000000,06201,0000,06201ENTERAL FEEDINGS 14608,A81000A,00100,0100,Y 14608,A81000B,00100,0300,MGT FEES 14608,A81000B,00200,0300,RENT 14608,A81000B,00300,0300,UTILITIES 14608,A81000B,00400,0300,OTHER EXPENSE 14608,A81000B,00500,0300,SALARIES 14608,A81000C,00100,0100,B 14608,A81000C,00100,0200,LANDMARK HC INVET 14608,A81000C,00100,0400,LANDMARK HC INVET 14608,A81000C,00100,0600,INVESTMENT 14608,A81000C,00200,0100,B 14608,A81000C,00200,0200,LANDMARK CORP 14608,A81000C,00200,0400,LANDMARK CORP 14608,A81000C,00200,0600,INVESTMENT 14608,A81000C,00300,0100,B 14608,A81000C,00300,0200,CENTRAL HC MGT 14608,A81000C,00300,0400,CENTRAL HC MGT 14608,A81000C,00300,0600,MANAGEMENT 14608,B100000,00000,0100,00001(SQUARE FEET) :CAP REL COSTS - BLD 14608,B100000,00000,0250,00001(SQUARE FEET) :CAP REL COSTS - MOV 14608,B100000,00000,0300,00001(GROSS SALARIES) :EMPLOYEE BENEFIT 14608,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 14608,B100000,00000,0500,00001(SQUARE FEET) :PLANT OPERATION MA 14608,B100000,00000,0650,00001(PATIENT DAYS) :LAUNDRY & LINEN SE 14608,B100000,00000,0750,00001(SQUARE FEET) :HOUSEKEEPING 14608,B100000,00000,0850,00001(PATIENT DAYS) :DIETARY 14608,B100000,00000,0900,00001(DIR NRSG HOURS) :NURSING ADMINISTR 14608,B100000,00000,1250,00001(PATIENT DAYS) :MEDICAL RECORDS & 14608,B100000,00000,1330,00001(PATIENT DAYS) :SOCIAL SERVICE 14608,B100000,00000,1331,00001(PATIENT DAYS) :ACTIVITIES 14608,S000000,00100,0200,04/23/2001 14608,S200000,00100,0100,300 PRAIRIE ST 14608,S200000,00100,0300,0 14608,S200000,00200,0100,WARSAW 14608,S200000,00200,0200,IN 14608,S200000,00200,0300,46580- 14608,S200000,00300,0100,KOSCIUSKO 14608,S200000,00400,0100,PRAIRIE VIEW HEALTH CARE 14608,S200000,00400,0200,155566 14608,S200000,00400,0300,04/01/1995 14608,S200000,00400,0500,P 14608,S200000,01004,0500,O 14608,S200000,01600,0100,Y 14608,S700003,00000,0100,1 14617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14617,A000000,00300,0000,00300EMPLOYEE BENEFITS 14617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14617,A000000,00700,0000,00700HOUSEKEEPING 14617,A000000,00800,0000,00800DIETARY 14617,A000000,00900,0000,00900NURSING ADMINISTRATION 14617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14617,A000000,01100,0000,01100PHARMACY 14617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14617,A000000,01300,0000,01300SOCIAL SERVICE 14617,A000000,01600,0000,01600SKILLED NURSING FACILITY 14617,A000000,01800,0000,01800NURSING FACILITY 14617,A000000,01900,0000,01900OTHER LONG TERM CARE 14617,A000000,02100,0000,02100RADIOLOGY 14617,A000000,02200,0000,02200LABORATORY 14617,A000000,02300,0000,02300INTRAVENOUS THERAPY 14617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14617,A000000,02500,0000,02500PHYSICAL THERAPY 14617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14617,A000000,02700,0000,02700SPEECH PATHOLOGY 14617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14617,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 14617,A000000,04800,0000,04800AMBULANCE 14617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14617,A81000A,00100,0100,Y 14617,A81000B,00100,0300,HOME OFFICE ALLOC 14617,A81000B,00200,0300,HOME OFFICE ALLOC 14617,A81000B,00400,0300,PHYSICAL THERAPY 14617,A81000B,00500,0300,OCCUPATIONAL THERAPY 14617,A81000B,00600,0300,SPEECH THERAPY 14617,A81000C,00100,0100,A 14617,A81000C,00100,0200,COVENANT CARE INC 14617,A81000C,00100,0400,COVENANT CARE INC. 14617,A81000C,00100,0600,HEALTH CARE 14617,A81000C,00200,0100,B 14617,A81000C,00200,0200,PHARMACY 14617,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 14617,A81000C,00200,0600,PHARMACY - HEALTH CARE 14617,A81000C,00300,0100,C 14617,A81000C,00300,0200,THERAPY 14617,A81000C,00300,0400,SELECT THEREAPY 14617,A81000C,00300,0600,THERAPY SERVICES 14617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14617,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14617,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14617,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14617,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14617,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14617,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 14617,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14617,S000000,00100,0200,06/01/2000 14617,S200000,00100,0100,1400 MEDICAL PARK DRIVE 14617,S200000,00200,0100,FORT WAYNE 14617,S200000,00200,0200,IN 14617,S200000,00200,0300,46825- 14617,S200000,00300,0100,FORT WAYNE 14617,S200000,00400,0100,UNIVERSITY PARK NURSING CENTER 14617,S200000,00400,0200,155567 14617,S200000,00400,0300,06/01/1995 14617,S200000,00400,0500,P 14617,S200000,01600,0100,Y 14617,S700003,00000,0100,1 14628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14628,A000000,00300,0000,00300EMPLOYEE BENEFITS 14628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14628,A000000,00700,0000,00700HOUSEKEEPING 14628,A000000,00800,0000,00800DIETARY 14628,A000000,00900,0000,00900NURSING ADMINISTRATION 14628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14628,A000000,01100,0000,01100PHARMACY 14628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14628,A000000,01300,0000,01300SOCIAL SERVICE 14628,A000000,01301,0000,01301ACTIVITIES 14628,A000000,01350,0000,01500OTHER GENERAL SERVICES 14628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14628,A000000,01600,0000,01600SKILLED NURSING FACILITY 14628,A000000,01800,0000,01800NURSING FACILITY 14628,A000000,01810,0000,01801ICF/MR 14628,A000000,01900,0000,01900OTHER LONG TERM CARE 14628,A000000,02100,0000,02100RADIOLOGY 14628,A000000,02200,0000,02200LABORATORY 14628,A000000,02300,0000,02300INTRAVENOUS THERAPY 14628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14628,A000000,02500,0000,02500PHYSICAL THERAPY 14628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14628,A000000,02700,0000,02700SPEECH PATHOLOGY 14628,A000000,02800,0000,02800ELECTROCARDIOLOGY 14628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14628,A000000,03200,0000,03200SUPPORT SURFACES 14628,A000000,03400,0000,03400CLINIC 14628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14628,A000000,03500,0000,03500RURAL HEALTH CLINIC 14628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14628,A000000,04400,0000,04400DME RENTED - HHA 14628,A000000,04500,0000,04500DME SOLD - HHA 14628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14628,A000000,04800,0000,04800AMBULANCE 14628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14628,A000000,05000,0000,05000CORF 14628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14628,A000000,05300,0000,05300INTEREST EXPENSE 14628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14628,A000000,05500,0000,05500HOSPICE 14628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14628,A000000,06100,0000,06100NONPAID WORKERS 14628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14628,A000000,06200,0000,06200PATIENTS LAUNDRY 14628,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14628,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14628,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14628,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14628,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14628,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14628,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14628,B100000,00000,0800,00000MEALS SERVED :DIETARY 14628,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14628,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14628,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14628,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14628,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14628,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14628,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 14628,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 14628,S000000,00100,0200,08/22/2000 14628,S200000,00100,0100,200 SHORT STREET 14628,S200000,00200,0100,WILLIAMSPORT 14628,S200000,00200,0200,IN 14628,S200000,00200,0300,47993- 14628,S200000,00300,0100,WARREN 14628,S200000,00400,0100,COUNTRY CARE NURSING CENTER 14628,S200000,00400,0200,155568 14628,S200000,00400,0300,03/01/1998 14628,S200000,00400,0500,P 14628,S200000,01600,0100,Y 14628,S200000,04700,0100,Y 14628,S700003,00000,0100,1 14641,S000000,00100,0200,04/12/2000 14652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14652,A000000,00300,0000,00300EMPLOYEE BENEFITS 14652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14652,A000000,00700,0000,00700HOUSEKEEPING 14652,A000000,00800,0000,00800DIETARY 14652,A000000,00900,0000,00900NURSING ADMINISTRATION 14652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14652,A000000,01100,0000,01100PHARMACY 14652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14652,A000000,01300,0000,01300SOCIAL SERVICE 14652,A000000,01350,0000,01500OTHER GENERAL SERVICES 14652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14652,A000000,01600,0000,01600SKILLED NURSING FACILITY 14652,A000000,01800,0000,01800NURSING FACILITY 14652,A000000,01810,0000,01801ICF/MR 14652,A000000,01900,0000,01900OTHER LONG TERM CARE 14652,A000000,02100,0000,02100RADIOLOGY 14652,A000000,02200,0000,02200LABORATORY 14652,A000000,02300,0000,02300INTRAVENOUS THERAPY 14652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14652,A000000,02500,0000,02500PHYSICAL THERAPY 14652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14652,A000000,02700,0000,02700SPEECH PATHOLOGY 14652,A000000,02800,0000,02800ELECTROCARDIOLOGY 14652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14652,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14652,A000000,03200,0000,03200SUPPORT SURFACES 14652,A000000,03400,0000,03400CLINIC 14652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14652,A000000,03500,0000,03500RURAL HEALTH CLINIC 14652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14652,A000000,04400,0000,04400DME RENTED - HHA 14652,A000000,04500,0000,04500DME SOLD - HHA 14652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14652,A000000,04800,0000,04800AMBULANCE 14652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14652,A000000,05000,0000,05000CORF 14652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14652,A000000,05300,0000,05300INTEREST EXPENSE 14652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14652,A000000,05500,0000,05500HOSPICE 14652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14652,A000000,06100,0000,06100NONPAID WORKERS 14652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14652,A000000,06200,0000,06200PATIENTS LAUNDRY 14652,A81000A,00100,0100,Y 14652,A81000B,00100,0300,HOME OFFICE COSTS 14652,A81000B,00200,0300,RELATED PARTY LEASE 14652,A81000B,00300,0300,RELATED PARTY THERAPY 14652,A81000B,00400,0300,RELATED PARTY THERAPY 14652,A81000B,00500,0300,RELATED PARTY THERAPY 14652,A81000C,00100,0100,B 14652,A81000C,00100,0400,MHS INC 14652,A81000C,00100,0600,NURSING HOMES 14652,A81000C,00200,0100,A 14652,A81000C,00200,0400,MMM INVESTMENT 14652,A81000C,00200,0600,PROPERTY LEASING 14652,A81000C,00300,0100,A 14652,A81000C,00300,0400,THERACARE 14652,A81000C,00300,0600,THERAPY MANAGEMENT 14652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14652,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14652,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14652,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14652,B100000,00000,0800,00000MEALS SERVED :DIETARY 14652,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14652,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14652,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14652,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14652,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14652,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14652,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14652,S000000,00100,0200,06/22/2000 14652,S200000,00100,0300,265 14652,S200000,00200,0100,DUNKIRK 14652,S200000,00200,0200,IN 14652,S200000,00200,0300,47336- 14652,S200000,00300,0100,JAY 14652,S200000,00400,0100,MHS INC. D/B/A MMM-DUNKIRK 14652,S200000,00400,0200,155571 14652,S200000,00400,0300,08/01/1995 14652,S200000,00400,0500,P 14652,S200000,01600,0100,Y 14652,S200000,02200,0100,Y 14660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14660,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 14660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14660,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 14660,A000000,00300,0000,00300EMPLOYEE BENEFITS 14660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14660,A000000,00700,0000,00700HOUSEKEEPING 14660,A000000,00800,0000,00800DIETARY 14660,A000000,00801,0000,00801CAFETERIA 14660,A000000,00900,0000,00900NURSING ADMINISTRATION 14660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14660,A000000,01100,0000,01100PHARMACY 14660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14660,A000000,01300,0000,01300SOCIAL SERVICE 14660,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14660,A000000,01600,0000,01600SKILLED NURSING FACILITY 14660,A000000,01800,0000,01800NURSING FACILITY 14660,A000000,01900,0000,01900OTHER LONG TERM CARE 14660,A000000,02100,0000,02100RADIOLOGY 14660,A000000,02200,0000,02200LABORATORY 14660,A000000,02300,0000,02300INTRAVENOUS THERAPY 14660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14660,A000000,02500,0000,02500PHYSICAL THERAPY 14660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14660,A000000,02700,0000,02700SPEECH PATHOLOGY 14660,A000000,02800,0000,02800ELECTROCARDIOLOGY 14660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14660,A000000,03050,0000,03300OTHER ANCILLARY 14660,A000000,03051,0000,03301OTHER ANCILLARY II 14660,A000000,03052,0000,03302OTHER ANCILLARY III 14660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14660,A000000,03200,0000,03200SUPPORT SURFACES 14660,A000000,03400,0000,03400CLINIC 14660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 14660,A000000,03500,0000,03500RURAL HEALTH CLINIC 14660,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14660,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14660,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14660,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14660,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14660,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14660,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14660,A000000,04400,0000,04400DME RENTED - HHA 14660,A000000,04500,0000,04500DME SOLD - HHA 14660,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14660,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14660,A000000,04800,0000,04800AMBULANCE 14660,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14660,A000000,05000,0000,05000CORF 14660,A000000,05010,0000,05010CMHC I 14660,A000000,05020,0000,05020OPT I 14660,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14660,A000000,05300,0000,05300INTEREST EXPENSE 14660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 14660,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 14660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14660,A000000,05500,0000,05500HOSPICE 14660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14660,A000000,06100,0000,06100NONPAID WORKERS 14660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14660,A000000,06200,0000,06200PATIENTS LAUNDRY 14660,A81000A,00100,0100,Y 14660,A81000B,00100,0300,MGT FEES 14660,A81000B,00200,0300,MGT FEES 14660,A81000C,00100,0100,B 14660,A81000C,00100,0200,SENIOR AMERICAN 14660,A81000C,00200,0100,D 14660,A81000C,00200,0200,MARK IDE MGT CO 14660,A81000C,00300,0100,D 14660,A81000C,00300,0200,M. HAYES & ASSC 14660,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 14660,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 14660,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 14660,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 14660,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 14660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14660,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 14660,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 14660,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 14660,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 14660,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 14660,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 14660,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 14660,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 14660,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 14660,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 14660,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 14660,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 14660,S000000,00100,0200,08/02/2000 14660,S200000,00100,0100,10352 NORTH 600 EAST 14660,S200000,00200,0100,DEMOTTE 14660,S200000,00200,0200,IN 14660,S200000,00200,0300,46310- 14660,S200000,00300,0100,NEWTON 14660,S200000,00400,0100,CRESTMARK OF ROSELAWN 14660,S200000,00400,0200,155572 14660,S200000,00400,0300,07/27/1995 14660,S200000,00400,0500,P 14660,S200000,01004,0500,O 14660,S200000,01600,0100,Y 14660,S200000,02200,0100,Y 14660,S700003,00000,0400,4 14669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14669,A000000,00300,0000,00300EMPLOYEE BENEFITS 14669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14669,A000000,00700,0000,00700HOUSEKEEPING 14669,A000000,00800,0000,00800DIETARY 14669,A000000,00900,0000,00900NURSING ADMINISTRATION 14669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14669,A000000,01100,0000,01100PHARMACY 14669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14669,A000000,01300,0000,01300SOCIAL SERVICE 14669,A000000,01350,0000,01500OTHER GENERAL SERVICES 14669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14669,A000000,01600,0000,01600SKILLED NURSING FACILITY 14669,A000000,01800,0000,01800NURSING FACILITY 14669,A000000,01810,0000,01801ICF/MR 14669,A000000,01900,0000,01900OTHER LONG TERM CARE 14669,A000000,02100,0000,02100RADIOLOGY 14669,A000000,02200,0000,02200LABORATORY 14669,A000000,02300,0000,02300INTRAVENOUS THERAPY 14669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14669,A000000,02500,0000,02500PHYSICAL THERAPY 14669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14669,A000000,02700,0000,02700SPEECH PATHOLOGY 14669,A000000,02800,0000,02800ELECTROCARDIOLOGY 14669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14669,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14669,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14669,A000000,03200,0000,03200SUPPORT SURFACES 14669,A000000,03400,0000,03400CLINIC 14669,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14669,A000000,03500,0000,03500RURAL HEALTH CLINIC 14669,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14669,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14669,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14669,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14669,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14669,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14669,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14669,A000000,04400,0000,04400DME RENTED - HHA 14669,A000000,04500,0000,04500DME SOLD - HHA 14669,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14669,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14669,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14669,A000000,04800,0000,04800AMBULANCE 14669,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14669,A000000,05000,0000,05000CORF 14669,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14669,A000000,05300,0000,05300INTEREST EXPENSE 14669,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14669,A000000,05500,0000,05500HOSPICE 14669,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14669,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14669,A000000,06100,0000,06100NONPAID WORKERS 14669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14669,A000000,06200,0000,06200PATIENTS LAUNDRY 14669,A81000A,00100,0100,Y 14669,A81000B,00100,0300,HOME OFFICE COSTS 14669,A81000B,00200,0300,RELATED PARTY LEASE 14669,A81000B,00300,0300,RELATED PARTY THERAPY 14669,A81000B,00400,0300,RELATED PARTY THERAPY 14669,A81000B,00500,0300,RELATED PARTY THERAPY 14669,A81000C,00100,0100,B 14669,A81000C,00100,0400,MHS INC 14669,A81000C,00100,0600,NURSING HOMES 14669,A81000C,00200,0100,A 14669,A81000C,00200,0400,MMM INVESTMENT 14669,A81000C,00200,0600,PROPERTY LEASING 14669,A81000C,00300,0100,A 14669,A81000C,00300,0400,THERACARE 14669,A81000C,00300,0600,THERAPY MANAGEMENT 14669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14669,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14669,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14669,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14669,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14669,B100000,00000,0800,00000MEALS SERVED :DIETARY 14669,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14669,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14669,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14669,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14669,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14669,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14669,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14669,S000000,00100,0200,06/16/2000 14669,S200000,00100,0300,160 14669,S200000,00200,0100,MIDDLETOWN 14669,S200000,00200,0200,IN 14669,S200000,00200,0300,47356- 14669,S200000,00300,0100,HENRY 14669,S200000,00400,0100,MHS INC. D/B/A MMM - MIDDLETOWN 14669,S200000,00400,0200,155573 14669,S200000,00400,0300,08/01/1995 14669,S200000,00400,0500,P 14669,S200000,01600,0100,Y 14669,S200000,02200,0100,Y 14669,S200000,02800,0100,Y 14677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14677,A000000,00300,0000,00300EMPLOYEE BENEFITS 14677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14677,A000000,00700,0000,00700HOUSEKEEPING 14677,A000000,00800,0000,00800DIETARY 14677,A000000,00900,0000,00900NURSING ADMINISTRATION 14677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14677,A000000,01100,0000,01100PHARMACY 14677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14677,A000000,01300,0000,01300SOCIAL SERVICE 14677,A000000,01350,0000,01500OTHER GENERAL SERVICES 14677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14677,A000000,01600,0000,01600SKILLED NURSING FACILITY 14677,A000000,01800,0000,01800NURSING FACILITY 14677,A000000,01810,0000,01801ICF/MR 14677,A000000,01900,0000,01900OTHER LONG TERM CARE 14677,A000000,02100,0000,02100RADIOLOGY 14677,A000000,02200,0000,02200LABORATORY 14677,A000000,02300,0000,02300INTRAVENOUS THERAPY 14677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14677,A000000,02500,0000,02500PHYSICAL THERAPY 14677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14677,A000000,02700,0000,02700SPEECH PATHOLOGY 14677,A000000,02800,0000,02800ELECTROCARDIOLOGY 14677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14677,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14677,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14677,A000000,03200,0000,03200SUPPORT SURFACES 14677,A000000,03400,0000,03400CLINIC 14677,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14677,A000000,03500,0000,03500RURAL HEALTH CLINIC 14677,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14677,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14677,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14677,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14677,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14677,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14677,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14677,A000000,04400,0000,04400DME RENTED - HHA 14677,A000000,04500,0000,04500DME SOLD - HHA 14677,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14677,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14677,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14677,A000000,04800,0000,04800AMBULANCE 14677,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14677,A000000,05000,0000,05000CORF 14677,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14677,A000000,05300,0000,05300INTEREST EXPENSE 14677,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14677,A000000,05500,0000,05500HOSPICE 14677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14677,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14677,A000000,06100,0000,06100NONPAID WORKERS 14677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14677,A000000,06200,0000,06200PATIENTS LAUNDRY 14677,A81000A,00100,0100,Y 14677,A81000B,00100,0300,HOME OFFICE COSTS 14677,A81000B,00200,0300,RELATED PARTY LEASE 14677,A81000B,00300,0300,RELATED PARTY THERAPY 14677,A81000B,00400,0300,RELATED PARTY THERAPY 14677,A81000B,00500,0300,RELATED PARTY THERAPY 14677,A81000C,00100,0100,B 14677,A81000C,00100,0400,MHS INC 14677,A81000C,00100,0600,NURSING HOMES 14677,A81000C,00200,0100,A 14677,A81000C,00200,0400,MMM INVESTMENT 14677,A81000C,00200,0600,PROPERTY LEASING 14677,A81000C,00300,0100,A 14677,A81000C,00300,0400,THERACARE 14677,A81000C,00300,0600,THERAPY MANAGEMENT 14677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14677,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14677,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14677,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14677,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14677,B100000,00000,0800,00000MEALS SERVED :DIETARY 14677,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14677,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14677,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14677,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14677,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14677,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14677,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14677,S000000,00100,0200,06/12/2000 14677,S200000,00100,0100,500 WALKERTON TRAIL 14677,S200000,00200,0100,WALKERTON 14677,S200000,00200,0200,IN 14677,S200000,00200,0300,46574- 14677,S200000,00300,0100,ST. JOSEPH 14677,S200000,00400,0100,MHS INC. D/B/A MMM - WALKERTON 14677,S200000,00400,0200,155574 14677,S200000,00400,0300,08/01/1995 14677,S200000,00400,0500,P 14677,S200000,01004,0500,O 14677,S200000,01600,0100,Y 14677,S200000,02200,0100,Y 14687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14687,A000000,00300,0000,00300EMPLOYEE BENEFITS 14687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14687,A000000,00700,0000,00700HOUSEKEEPING 14687,A000000,00800,0000,00800DIETARY 14687,A000000,00900,0000,00900NURSING ADMINISTRATION 14687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14687,A000000,01100,0000,01100PHARMACY 14687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14687,A000000,01300,0000,01300SOCIAL SERVICE 14687,A000000,01350,0000,01500OTHER GENERAL SERVICES 14687,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14687,A000000,01600,0000,01600SKILLED NURSING FACILITY 14687,A000000,01800,0000,01800NURSING FACILITY 14687,A000000,01810,0000,01801ICF/MR 14687,A000000,01900,0000,01900OTHER LONG TERM CARE 14687,A000000,02100,0000,02100RADIOLOGY 14687,A000000,02200,0000,02200LABORATORY 14687,A000000,02300,0000,02300INTRAVENOUS THERAPY 14687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14687,A000000,02500,0000,02500PHYSICAL THERAPY 14687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14687,A000000,02700,0000,02700SPEECH PATHOLOGY 14687,A000000,02800,0000,02800ELECTROCARDIOLOGY 14687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14687,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14687,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14687,A000000,03200,0000,03200SUPPORT SURFACES 14687,A000000,03400,0000,03400CLINIC 14687,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14687,A000000,03500,0000,03500RURAL HEALTH CLINIC 14687,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14687,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14687,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14687,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14687,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14687,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14687,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14687,A000000,04400,0000,04400DME RENTED - HHA 14687,A000000,04500,0000,04500DME SOLD - HHA 14687,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14687,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14687,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14687,A000000,04800,0000,04800AMBULANCE 14687,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14687,A000000,05000,0000,05000CORF 14687,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14687,A000000,05300,0000,05300INTEREST EXPENSE 14687,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14687,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14687,A000000,05500,0000,05500HOSPICE 14687,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14687,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14687,A000000,06100,0000,06100NONPAID WORKERS 14687,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14687,A000000,06200,0000,06200PATIENTS LAUNDRY 14687,A81000A,00100,0100,Y 14687,A81000B,00100,0300,HOME OFFICE COSTS 14687,A81000B,00200,0300,RELATED PARTY LEASE 14687,A81000B,00300,0300,RELATED PARTY THERAPY 14687,A81000B,00400,0300,RELATED PARTY THERAPY 14687,A81000B,00500,0300,RELATED PARTY THERAPY 14687,A81000C,00100,0100,B 14687,A81000C,00100,0400,MHS INC 14687,A81000C,00100,0600,NURSING HOMES 14687,A81000C,00200,0100,A 14687,A81000C,00200,0400,MMM INVESTMENT 14687,A81000C,00200,0600,PROPERTY LEASING 14687,A81000C,00300,0100,A 14687,A81000C,00300,0400,THERACARE 14687,A81000C,00300,0600,THERAPY MANAGEMENT 14687,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14687,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14687,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14687,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14687,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14687,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14687,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14687,B100000,00000,0800,00000MEALS SERVED :DIETARY 14687,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14687,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14687,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14687,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14687,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14687,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14687,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14687,S000000,00100,0200,06/20/2000 14687,S200000,00100,0100,0548 SOUTH 100 WEST 14687,S200000,00200,0100,HARTFORD CITY 14687,S200000,00200,0200,IN 14687,S200000,00200,0300,47348- 14687,S200000,00300,0100,BLACKFORD 14687,S200000,00400,0100,MHS INC. D/B/A MMM - HARTFORD CITY 14687,S200000,00400,0200,155576 14687,S200000,00400,0300,09/01/1995 14687,S200000,00400,0500,P 14687,S200000,01600,0100,Y 14687,S200000,02200,0100,Y 14687,S200000,02800,0100,Y 14695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14695,A000000,00300,0000,00300EMPLOYEE BENEFITS 14695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14695,A000000,00700,0000,00700HOUSEKEEPING 14695,A000000,00800,0000,00800DIETARY 14695,A000000,00900,0000,00900NURSING ADMINISTRATION 14695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14695,A000000,01100,0000,01100PHARMACY 14695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14695,A000000,01300,0000,01300SOCIAL SERVICE 14695,A000000,01350,0000,01500ACTIVITIES 14695,A000000,01600,0000,01600SKILLED NURSING FACILITY 14695,A000000,01800,0000,01800NURSING FACILITY 14695,A000000,02100,0000,02100RADIOLOGY 14695,A000000,02200,0000,02200LABORATORY 14695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14695,A000000,02500,0000,02500PHYSICAL THERAPY 14695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14695,A000000,02700,0000,02700SPEECH PATHOLOGY 14695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14695,A000000,05300,0000,05300INTEREST EXPENSE 14695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14695,A000000,06200,0000,06200PATIENTS LAUNDRY 14695,A81000A,00100,0100,Y 14695,A81000B,00100,0300,BLDG HO ALLOC 14695,A81000B,00200,0300,MME HO ALLOC 14695,A81000B,00300,0300,A&G HO ALLOC 14695,A81000B,00400,0300,INTEREST HO ALLOC 14695,A81000C,00100,0100,A 14695,A81000C,00100,0200,PETER GLAZIER 14695,A81000C,00100,0400,GENTLE CARE INC 14695,A81000C,00100,0600,NURSING HOME MANAGEMENT 14695,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14695,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14695,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14695,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14695,B100000,00000,0550,00000TIME :PLANT OPERATION MAINT. & R 14695,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14695,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14695,B100000,00000,0800,00000MEALS SERVED :DIETARY 14695,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14695,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14695,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14695,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14695,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14695,B100000,00000,1350,00000TIME :ACTIVITIES 14695,S000000,00100,0200,06/01/2000 14695,S200000,00100,0100,ROUTE 4 14695,S200000,00100,0300,286 14695,S200000,00200,0100,LOOGOOTEE 14695,S200000,00200,0200,IN 14695,S200000,00200,0300,47553- 14695,S200000,00300,0100,DAVIES 14695,S200000,00400,0100,GENTLE CARE OF LOOGOOTEE 14695,S200000,00400,0200,155577 14695,S200000,00400,0300,01/01/1995 14695,S200000,00400,0500,P 14695,S200000,01600,0100,Y 14695,S200000,02200,0100,Y 14695,S700003,00000,0400,4 14703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14703,A000000,00300,0000,00300EMPLOYEE BENEFITS 14703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14703,A000000,00700,0000,00700HOUSEKEEPING 14703,A000000,00800,0000,00800DIETARY 14703,A000000,00900,0000,00900NURSING ADMINISTRATION 14703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14703,A000000,01100,0000,01100PHARMACY 14703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14703,A000000,01300,0000,01300SOCIAL SERVICE 14703,A000000,01350,0000,01500OTHER GENERAL SERVICES 14703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14703,A000000,01600,0000,01600SKILLED NURSING FACILITY 14703,A000000,01800,0000,01800NURSING FACILITY 14703,A000000,01810,0000,01801ICF/MR 14703,A000000,01900,0000,01900OTHER LONG TERM CARE 14703,A000000,02100,0000,02100RADIOLOGY 14703,A000000,02200,0000,02200LABORATORY 14703,A000000,02300,0000,02300INTRAVENOUS THERAPY 14703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14703,A000000,02500,0000,02500PHYSICAL THERAPY 14703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14703,A000000,02700,0000,02700SPEECH PATHOLOGY 14703,A000000,02800,0000,02800ELECTROCARDIOLOGY 14703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14703,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14703,A000000,03200,0000,03200SUPPORT SURFACES 14703,A000000,03400,0000,03400CLINIC 14703,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14703,A000000,03500,0000,03500RURAL HEALTH CLINIC 14703,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14703,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14703,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14703,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14703,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14703,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14703,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14703,A000000,04400,0000,04400DME RENTED - HHA 14703,A000000,04500,0000,04500DME SOLD - HHA 14703,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14703,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14703,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14703,A000000,04800,0000,04800AMBULANCE 14703,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14703,A000000,05000,0000,05000CORF 14703,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14703,A000000,05300,0000,05300INTEREST EXPENSE 14703,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14703,A000000,05500,0000,05500HOSPICE 14703,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14703,A000000,06100,0000,06100NONPAID WORKERS 14703,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14703,A000000,06200,0000,06200PATIENTS LAUNDRY 14703,A81000A,00100,0100,Y 14703,A81000B,00100,0300,HOME OFFICE COSTS 14703,A81000B,00200,0300,RELATED PARTY LEASE 14703,A81000B,00300,0300,RELATED PARTY THERAPY 14703,A81000B,00400,0300,RELATED PARTY THERAPY 14703,A81000B,00500,0300,RELATED PARTY THERAPY 14703,A81000C,00100,0100,B 14703,A81000C,00100,0400,MHS INC 14703,A81000C,00100,0600,NURSING HOMES 14703,A81000C,00200,0100,A 14703,A81000C,00200,0400,MMM INVESTMENT 14703,A81000C,00200,0600,PROPERTY LEASING 14703,A81000C,00300,0100,A 14703,A81000C,00300,0400,THERACARE 14703,A81000C,00300,0600,THERAPY MANAGEMENT 14703,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14703,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14703,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14703,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14703,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14703,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14703,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14703,B100000,00000,0800,00000MEALS SERVED :DIETARY 14703,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14703,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14703,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14703,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14703,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14703,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14703,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14703,S000000,00100,0200,06/23/2000 14703,S200000,00100,0100,220 EAST DUNN ROAD 14703,S200000,00100,0300,660 14703,S200000,00200,0100,NEW CARLISLE 14703,S200000,00200,0200,IN 14703,S200000,00200,0300,46552- 14703,S200000,00300,0100,ST. JOSEPH 14703,S200000,00400,0100,MHS INC. D/B/A MMM - NEW CARLISLE 14703,S200000,00400,0200,155578 14703,S200000,00400,0300,09/01/1995 14703,S200000,00400,0500,P 14703,S200000,01004,0500,O 14703,S200000,01600,0100,Y 14703,S200000,02200,0100,Y 14713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14713,A000000,00300,0000,00300EMPLOYEE BENEFITS 14713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14713,A000000,00700,0000,00700HOUSEKEEPING 14713,A000000,00800,0000,00800DIETARY 14713,A000000,00900,0000,00900NURSING ADMINISTRATION 14713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14713,A000000,01100,0000,01100PHARMACY 14713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14713,A000000,01300,0000,01300SOCIAL SERVICE 14713,A000000,01350,0000,01500OTHER GENERAL SERVICES 14713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14713,A000000,01600,0000,01600SKILLED NURSING FACILITY 14713,A000000,01800,0000,01800NURSING FACILITY 14713,A000000,01810,0000,01801ICF/MR 14713,A000000,01900,0000,01900OTHER LONG TERM CARE 14713,A000000,02100,0000,02100RADIOLOGY 14713,A000000,02200,0000,02200LABORATORY 14713,A000000,02300,0000,02300INTRAVENOUS THERAPY 14713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14713,A000000,02500,0000,02500PHYSICAL THERAPY 14713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14713,A000000,02700,0000,02700SPEECH PATHOLOGY 14713,A000000,02800,0000,02800ELECTROCARDIOLOGY 14713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14713,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14713,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14713,A000000,03200,0000,03200SUPPORT SURFACES 14713,A000000,03400,0000,03400CLINIC 14713,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14713,A000000,03500,0000,03500RURAL HEALTH CLINIC 14713,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14713,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14713,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14713,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14713,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14713,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14713,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14713,A000000,04400,0000,04400DME RENTED - HHA 14713,A000000,04500,0000,04500DME SOLD - HHA 14713,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14713,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14713,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14713,A000000,04800,0000,04800AMBULANCE 14713,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14713,A000000,05000,0000,05000CORF 14713,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14713,A000000,05300,0000,05300INTEREST EXPENSE 14713,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14713,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14713,A000000,05500,0000,05500HOSPICE 14713,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14713,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14713,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14713,A000000,06100,0000,06100NONPAID WORKERS 14713,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14713,A000000,06200,0000,06200PATIENTS LAUNDRY 14713,A81000A,00100,0100,Y 14713,A81000B,00100,0300,HOME OFFICE COSTS 14713,A81000B,00200,0300,RELATED PARTY LEASE 14713,A81000B,00300,0300,RELATED PARTY THERAPY 14713,A81000B,00400,0300,RELATED PARTY THERAPY 14713,A81000B,00500,0300,RELATED PARTY THERAPY 14713,A81000C,00100,0100,B 14713,A81000C,00100,0400,MHS INC 14713,A81000C,00100,0600,NURSING HOMES 14713,A81000C,00200,0100,A 14713,A81000C,00200,0400,MMM INVESTMENT 14713,A81000C,00200,0600,PROPERTY LEASING 14713,A81000C,00300,0100,A 14713,A81000C,00300,0400,THERACARE 14713,A81000C,00300,0600,THERAPY MANAGEMENT 14713,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14713,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14713,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14713,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14713,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14713,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14713,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14713,B100000,00000,0800,00000MEALS SERVED :DIETARY 14713,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14713,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14713,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14713,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14713,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14713,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14713,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14713,S000000,00100,0200,06/12/2000 14713,S200000,00100,0100,7440 NORTH 825 EAST 14713,S200000,00200,0100,HOPE 14713,S200000,00200,0200,IN 14713,S200000,00200,0300,47246- 14713,S200000,00300,0100,BARTHOLOMEW 14713,S200000,00400,0100,MHS INC. D/B/A MMM - HOPE 14713,S200000,00400,0200,155579 14713,S200000,00400,0300,09/01/1995 14713,S200000,00400,0500,P 14713,S200000,01004,0500,O 14713,S200000,01600,0100,Y 14713,S200000,02200,0100,Y 14713,S200000,02800,0100,Y 14724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14724,A000000,00300,0000,00300EMPLOYEE BENEFITS 14724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14724,A000000,00700,0000,00700HOUSEKEEPING 14724,A000000,00800,0000,00800DIETARY 14724,A000000,00900,0000,00900NURSING ADMINISTRATION 14724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14724,A000000,01100,0000,01100PHARMACY 14724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14724,A000000,01300,0000,01300SOCIAL SERVICE 14724,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14724,A000000,01600,0000,01600SKILLED NURSING FACILITY 14724,A000000,01900,0000,01900OTHER LONG TERM CARE 14724,A000000,02100,0000,02100RADIOLOGY 14724,A000000,02200,0000,02200LABORATORY 14724,A000000,02300,0000,02300INTRAVENOUS THERAPY 14724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14724,A000000,02500,0000,02500PHYSICAL THERAPY 14724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14724,A000000,02700,0000,02700SPEECH PATHOLOGY 14724,A000000,02800,0000,02800ELECTROCARDIOLOGY 14724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14724,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14724,A000000,03200,0000,03200SUPPORT SURFACES 14724,A000000,03400,0000,03400CLINIC 14724,A000000,04800,0000,04800AMBULANCE 14724,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14724,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14724,A000000,05300,0000,05300INTEREST EXPENSE 14724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14724,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14724,A000000,06100,0000,06100NONPAID WORKERS 14724,A000000,06200,0000,06200PATIENTS LAUNDRY 14724,A81000A,00100,0100,Y 14724,A81000B,00100,0300,CAP REL COSTS 14724,A81000B,00200,0300,ADMIN & GENERAL 14724,A81000C,00100,0100,F 14724,A81000C,00100,0200,TLC MANAGEMENT 14724,A81000C,00100,0400,TLC MANAGEMENT 14724,A81000C,00100,0600,HEALTHCARE MGMT 14724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14724,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14724,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14724,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14724,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14724,B100000,00000,0800,00000MEALS SERVED :DIETARY 14724,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14724,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14724,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14724,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 14724,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14724,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14724,S000000,00100,0200,03/02/2000 14724,S200000,00100,0100,2350 TAFT STREET 14724,S200000,00200,0100,GARY 14724,S200000,00200,0200,IN 14724,S200000,00300,0100,46407 LAKE 14724,S200000,00400,0100,TIMBERVIEW HEALTH CARE CENTER 14724,S200000,00400,0200,155580 14724,S200000,00400,0300,10/25/1995 14724,S200000,00400,0500,P 14724,S200000,01600,0100,Y 14724,S700003,00000,0400,4 14735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14735,A000000,00300,0000,00300EMPLOYEE BENEFITS 14735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14735,A000000,00700,0000,00700HOUSEKEEPING 14735,A000000,00800,0000,00800DIETARY 14735,A000000,00900,0000,00900NURSING ADMINISTRATION 14735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14735,A000000,01100,0000,01100PHARMACY 14735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14735,A000000,01300,0000,01300SOCIAL SERVICE 14735,A000000,01350,0000,01500OTHER GENERAL SERVICES 14735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14735,A000000,01600,0000,01600SKILLED NURSING FACILITY 14735,A000000,01800,0000,01800NURSING FACILITY 14735,A000000,01810,0000,01801ICF/MR 14735,A000000,01900,0000,01900OTHER LONG TERM CARE 14735,A000000,02100,0000,02100RADIOLOGY 14735,A000000,02200,0000,02200LABORATORY 14735,A000000,02300,0000,02300INTRAVENOUS THERAPY 14735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14735,A000000,02500,0000,02500PHYSICAL THERAPY 14735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14735,A000000,02700,0000,02700SPEECH PATHOLOGY 14735,A000000,02800,0000,02800ELECTROCARDIOLOGY 14735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14735,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14735,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14735,A000000,03200,0000,03200SUPPORT SURFACES 14735,A000000,03400,0000,03400CLINIC 14735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14735,A000000,03500,0000,03500RURAL HEALTH CLINIC 14735,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14735,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14735,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14735,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14735,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14735,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14735,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14735,A000000,04400,0000,04400DME RENTED - HHA 14735,A000000,04500,0000,04500DME SOLD - HHA 14735,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14735,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14735,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14735,A000000,04800,0000,04800AMBULANCE 14735,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14735,A000000,05000,0000,05000CORF 14735,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14735,A000000,05300,0000,05300INTEREST EXPENSE 14735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14735,A000000,05500,0000,05500HOSPICE 14735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14735,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14735,A000000,06100,0000,06100NONPAID WORKERS 14735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14735,A000000,06200,0000,06200PATIENTS LAUNDRY 14735,A81000A,00100,0100,Y 14735,A81000B,00100,0300,HOME OFFICE COSTS 14735,A81000B,00200,0300,RELATED PARTY LEASE 14735,A81000B,00300,0300,RELATED PARTY THERAPY 14735,A81000B,00400,0300,RELATED PARTY THERAPY 14735,A81000B,00500,0300,RELATED PARTY THERAPY 14735,A81000C,00100,0100,B 14735,A81000C,00100,0400,MHS INC 14735,A81000C,00100,0600,NURSING HOMES 14735,A81000C,00200,0100,A 14735,A81000C,00200,0400,MMM INVESTMENT 14735,A81000C,00200,0600,PROPERTY LEASING 14735,A81000C,00300,0100,A 14735,A81000C,00300,0400,THERACARE 14735,A81000C,00300,0600,THERAPY MANAGEMENT 14735,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14735,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14735,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14735,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14735,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14735,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14735,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14735,B100000,00000,0800,00000MEALS SERVED :DIETARY 14735,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14735,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14735,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14735,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14735,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14735,B100000,00000,1350,00000HOURS OF SERVICE :OTHER GENERAL SER 14735,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14735,S000000,00100,0200,06/23/2000 14735,S200000,00100,0100,500 EAST PICKWICK DR 14735,S200000,00200,0100,SYRACUSE 14735,S200000,00200,0200,IN 14735,S200000,00200,0300,46567- 14735,S200000,00300,0100,KOSCUISKO 14735,S200000,00400,0100,MHS INC. D/B/A MMM - SYRACUSE 14735,S200000,00400,0200,155581 14735,S200000,00400,0300,10/01/1995 14735,S200000,00400,0500,P 14735,S200000,01004,0500,O 14735,S200000,01600,0100,Y 14735,S200000,02200,0100,Y 14735,S700003,00000,0400,4 14745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14745,A000000,00300,0000,00300EMPLOYEE BENEFITS 14745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14745,A000000,00700,0000,00700HOUSEKEEPING 14745,A000000,00800,0000,00800DIETARY 14745,A000000,00900,0000,00900NURSING ADMINISTRATION 14745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14745,A000000,01100,0000,01100PHARMACY 14745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14745,A000000,01300,0000,01300SOCIAL SERVICE 14745,A000000,01350,0000,01500OTHER GENERAL SERVICES 14745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14745,A000000,01600,0000,01600SKILLED NURSING FACILITY 14745,A000000,01800,0000,01800NURSING FACILITY 14745,A000000,01810,0000,01801ICF/MR 14745,A000000,01900,0000,01900OTHER LONG TERM CARE 14745,A000000,02100,0000,02100RADIOLOGY 14745,A000000,02200,0000,02200LABORATORY 14745,A000000,02300,0000,02300INTRAVENOUS THERAPY 14745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14745,A000000,02500,0000,02500PHYSICAL THERAPY 14745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14745,A000000,02700,0000,02700SPEECH PATHOLOGY 14745,A000000,02800,0000,02800ELECTROCARDIOLOGY 14745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14745,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14745,A000000,03200,0000,03200SUPPORT SURFACES 14745,A000000,03400,0000,03400CLINIC 14745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14745,A000000,03500,0000,03500RURAL HEALTH CLINIC 14745,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14745,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14745,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14745,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14745,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14745,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14745,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14745,A000000,04400,0000,04400DME RENTED - HHA 14745,A000000,04500,0000,04500DME SOLD - HHA 14745,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14745,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14745,A000000,04800,0000,04800AMBULANCE 14745,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14745,A000000,05000,0000,05000CORF 14745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14745,A000000,05300,0000,05300INTEREST EXPENSE 14745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14745,A000000,05500,0000,05500HOSPICE 14745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14745,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14745,A000000,06100,0000,06100NONPAID WORKERS 14745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14745,A000000,06200,0000,06200PATIENTS LAUNDRY 14745,A81000A,00100,0100,Y 14745,A81000B,00100,0300,HOME OFFICE COSTS 14745,A81000B,00200,0300,RELATED PARTY LEASE 14745,A81000B,00300,0300,RELATED PARTY THERAPY 14745,A81000B,00400,0300,RELATED PARTY THERAPY 14745,A81000B,00500,0300,RELATED PARTY THERAPY 14745,A81000C,00100,0100,B 14745,A81000C,00100,0400,MHS INC 14745,A81000C,00100,0600,NURSING HOMES 14745,A81000C,00200,0100,A 14745,A81000C,00200,0400,MMM INVESTMENT 14745,A81000C,00200,0600,PROPERTY LEASING 14745,A81000C,00300,0100,A 14745,A81000C,00300,0400,THERACARE 14745,A81000C,00300,0600,THERAPY MANAGEMENT 14745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14745,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14745,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14745,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14745,B100000,00000,0800,00000MEALS SERVED :DIETARY 14745,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14745,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14745,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14745,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14745,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14745,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14745,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14745,S000000,00100,0200,06/23/2000 14745,S200000,00100,0100,300 NORTH WASHINGTON 14745,S200000,00100,0300,710 14745,S200000,00200,0100,WAKARUSA 14745,S200000,00200,0200,IN 14745,S200000,00200,0300,46573- 14745,S200000,00300,0100,ELKHART 14745,S200000,00400,0100,MHS INC. D/B/A MMM - WAKARUSA 14745,S200000,00400,0200,155582 14745,S200000,00400,0300,01/01/1995 14745,S200000,00400,0500,P 14745,S200000,01004,0500,O 14745,S200000,01600,0100,Y 14745,S200000,02200,0100,Y 14745,S700003,00000,0400,4 14755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14755,A000000,00300,0000,00300EMPLOYEE BENEFITS 14755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14755,A000000,00700,0000,00700HOUSEKEEPING 14755,A000000,00800,0000,00800DIETARY 14755,A000000,00900,0000,00900NURSING ADMINISTRATION 14755,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14755,A000000,01100,0000,01100PHARMACY 14755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14755,A000000,01300,0000,01300SOCIAL SERVICE 14755,A000000,01350,0000,01500OTHER GENERAL SERVICES 14755,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14755,A000000,01600,0000,01600SKILLED NURSING FACILITY 14755,A000000,01800,0000,01800NURSING FACILITY 14755,A000000,01810,0000,01801ICF/MR 14755,A000000,01900,0000,01900OTHER LONG TERM CARE 14755,A000000,02100,0000,02100RADIOLOGY 14755,A000000,02200,0000,02200LABORATORY 14755,A000000,02300,0000,02300INTRAVENOUS THERAPY 14755,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14755,A000000,02500,0000,02500PHYSICAL THERAPY 14755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14755,A000000,02700,0000,02700SPEECH PATHOLOGY 14755,A000000,02800,0000,02800ELECTROCARDIOLOGY 14755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14755,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14755,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14755,A000000,03200,0000,03200SUPPORT SURFACES 14755,A000000,03400,0000,03400CLINIC 14755,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14755,A000000,03500,0000,03500RURAL HEALTH CLINIC 14755,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14755,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14755,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14755,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14755,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14755,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14755,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14755,A000000,04400,0000,04400DME RENTED - HHA 14755,A000000,04500,0000,04500DME SOLD - HHA 14755,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14755,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14755,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14755,A000000,04800,0000,04800AMBULANCE 14755,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14755,A000000,05000,0000,05000CORF 14755,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14755,A000000,05300,0000,05300INTEREST EXPENSE 14755,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14755,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14755,A000000,05500,0000,05500HOSPICE 14755,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14755,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14755,A000000,06100,0000,06100NONPAID WORKERS 14755,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14755,A000000,06200,0000,06200PATIENTS LAUNDRY 14755,A81000A,00100,0100,Y 14755,A81000B,00100,0300,HOME OFFICE COSTS 14755,A81000B,00200,0300,RELATED PARTY LEASE 14755,A81000B,00300,0300,RELATED PARTY THERAPY 14755,A81000B,00400,0300,RELATED PARTY THERAPY 14755,A81000B,00500,0300,RELATED PARTY THERAPY 14755,A81000C,00100,0100,B 14755,A81000C,00100,0400,MHS INC 14755,A81000C,00100,0600,NURSING HOMES 14755,A81000C,00200,0100,A 14755,A81000C,00200,0400,MMM INVESTMENT 14755,A81000C,00200,0600,PROPERTY LEASING 14755,A81000C,00300,0100,A 14755,A81000C,00300,0400,THERACARE 14755,A81000C,00300,0600,THERAPY MANAGEMENT 14755,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14755,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14755,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14755,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14755,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14755,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14755,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14755,B100000,00000,0800,00000MEALS SERVED :DIETARY 14755,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14755,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14755,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14755,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14755,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14755,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14755,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14755,S000000,00100,0200,06/16/2000 14755,S200000,00100,0100,1367 SOUTH RANDOLPH 14755,S200000,00100,0300,149 14755,S200000,00200,0100,GARRETT 14755,S200000,00200,0200,IN 14755,S200000,00200,0300,46738- 14755,S200000,00300,0100,DEKALB 14755,S200000,00400,0100,MHS INC. D/B/A MMM - GARRETT 14755,S200000,00400,0200,155583 14755,S200000,00400,0300,10/01/1995 14755,S200000,00400,0500,P 14755,S200000,01004,0500,O 14755,S200000,01600,0100,Y 14755,S200000,02200,0100,Y 14755,S200000,02800,0100,Y 14755,S700003,00000,0400,4 14773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14773,A000000,00300,0000,00300EMPLOYEE BENEFITS 14773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14773,A000000,00700,0000,00700HOUSEKEEPING 14773,A000000,00800,0000,00800DIETARY 14773,A000000,00900,0000,00900NURSING ADMINISTRATION 14773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14773,A000000,01100,0000,01100PHARMACY 14773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14773,A000000,01300,0000,01300SOCIAL SERVICE 14773,A000000,01350,0000,01500ACTIVITIES 14773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14773,A000000,01600,0000,01600SKILLED NURSING FACILITY 14773,A000000,01800,0000,01800NURSING FACILITY 14773,A000000,01810,0000,01810ICF/MR 14773,A000000,02100,0000,02100RADIOLOGY 14773,A000000,02200,0000,02200LABORATORY 14773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14773,A000000,02500,0000,02500PHYSICAL THERAPY 14773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14773,A000000,02700,0000,02700SPEECH PATHOLOGY 14773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14773,A000000,03550,0000,03550FQHC 14773,A000000,05000,0000,05000CORF 14773,A000000,05010,0000,05010CMHC 14773,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 14773,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 14773,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 14773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14773,A000000,05901,0000,05910SHEPHERD OF THE HILL 14773,A000000,05902,0000,05920CONCORD VILLAGE 14773,B100000,00000,0100,00020SQUARE FEET :CAP REL COSTS - BLDGS 14773,B100000,00000,0300,00020GROSS SALARIES :EMPLOYEE BENEFITS 14773,B100000,00000,0400,00020 ACCUM. COST :ADMINISTRATIVE & GENE 14773,B100000,00000,0500,00020SQUARE FEET :PLANT OPERATION MAIN 14773,B100000,00000,0650,00020PATIENT DAYS :LAUNDRY & LINEN SERV 14773,B100000,00000,0750,00020SQUARE FEET :HOUSEKEEPING 14773,B100000,00000,0850,00020PATIENT DAYS :DIETARY 14773,B100000,00000,0950,00020PATIENT DAYS :NURSING ADMINISTRATI 14773,B100000,00000,1250,00020PATIENT REVENUE :MEDICAL RECORDS & 14773,B100000,00000,1330,00020PATIENT DAYS :SOCIAL SERVICE 14773,B100000,00000,1350,00020PATIENT DAYS :ACTIVITIES 14773,S000000,00100,0200,02/01/2001 14773,S200000,00100,0100,6701 SOUTH ANTHONY BLVD 14773,S200000,00200,0100,FORT WAYNE 14773,S200000,00200,0200,IN 14773,S200000,00200,0300,46816- 14773,S200000,00300,0100,ALLEN 14773,S200000,00300,0200,2760 14773,S200000,00300,0300,U 14773,S200000,00400,0100,LUTHERAN HOMES INC. 14773,S200000,00400,0200,155586 14773,S200000,00400,0300,01/19/1996 14773,S200000,00400,0500,P 14773,S200000,00600,0200,155586 14773,S200000,00600,0300,01/19/1996 14773,S200000,00600,0600,P 14773,S200000,01004,0500,O 14773,S200000,01600,0100,Y 14773,S200000,01900,0100,401(C)(3) 14781,S000000,00100,0200,06/02/2000 14783,S000000,00100,0200,06/29/2001 14791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14791,A000000,00300,0000,00300EMPLOYEE BENEFITS 14791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14791,A000000,00700,0000,00700HOUSEKEEPING 14791,A000000,00800,0000,00800DIETARY 14791,A000000,00900,0000,00900NURSING ADMINISTRATION 14791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14791,A000000,01100,0000,01100PHARMACY 14791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14791,A000000,01300,0000,01300SOCIAL SERVICE 14791,A000000,01350,0000,01500OTHER GENERAL SERVICES 14791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14791,A000000,01600,0000,01600SKILLED NURSING FACILITY 14791,A000000,01800,0000,01800NURSING FACILITY 14791,A000000,01810,0000,01801ICF/MR 14791,A000000,01900,0000,01900OTHER LONG TERM CARE 14791,A000000,02100,0000,02100RADIOLOGY 14791,A000000,02200,0000,02200LABORATORY 14791,A000000,02300,0000,02300INTRAVENOUS THERAPY 14791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14791,A000000,02500,0000,02500PHYSICAL THERAPY 14791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14791,A000000,02700,0000,02700SPEECH PATHOLOGY 14791,A000000,02800,0000,02800ELECTROCARDIOLOGY 14791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14791,A000000,03200,0000,03200SUPPORT SURFACES 14791,A000000,03400,0000,03400CLINIC 14791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14791,A000000,03500,0000,03500RURAL HEALTH CLINIC 14791,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14791,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14791,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14791,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14791,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14791,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14791,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14791,A000000,04400,0000,04400DME RENTED - HHA 14791,A000000,04500,0000,04500DME SOLD - HHA 14791,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14791,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14791,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14791,A000000,04800,0000,04800AMBULANCE 14791,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14791,A000000,05000,0000,05000CORF 14791,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14791,A000000,05300,0000,05300INTEREST EXPENSE 14791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14791,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14791,A000000,05500,0000,05500HOSPICE 14791,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14791,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14791,A000000,06100,0000,06100NONPAID WORKERS 14791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14791,A000000,06200,0000,06200PATIENTS LAUNDRY 14791,A81000A,00100,0100,Y 14791,A81000B,00100,0300,HOME OFFICE COSTS 14791,A81000B,00200,0300,HOME OFFICE COSTS 14791,A81000B,00300,0300,HOME OFFICE COSTS 14791,A81000B,00400,0300,THERAPY RENT 14791,A81000B,00500,0300,THERAPY RENT 14791,A81000B,00600,0300,RELATED PARTY VENDOR 14791,A81000B,00700,0300,RELATED PARTY VENDOR 14791,A81000B,00800,0300,RELATED PARTY VENDOR 14791,A81000B,00900,0300,RELATED PARTY VENDOR 14791,A81000C,00100,0100,D 14791,A81000C,00100,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00100,0400,TOBEY NEWBERRY GROUP 14791,A81000C,00100,0600,HOME OFFICE 14791,A81000C,00200,0100,D 14791,A81000C,00200,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00200,0400,TOBEY NEWBERRY GROUP 14791,A81000C,00200,0600,HOME OFFICE CAPITAL 14791,A81000C,00300,0100,D 14791,A81000C,00300,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00300,0400,TOBEY NEWBERRY GROUP 14791,A81000C,00300,0600,HOME OFFICE EQUIPMENT 14791,A81000C,00400,0100,A 14791,A81000C,00400,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00400,0400,BICKNELL HEALTHCARE INC. 14791,A81000C,00400,0600,NURSING FACILITY 14791,A81000C,00500,0100,A 14791,A81000C,00500,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00500,0400,COUNTRYSIDE HEALTHCARE 14791,A81000C,00500,0600,NURSING FACILITY 14791,A81000C,00600,0100,A 14791,A81000C,00600,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00600,0400,FREEDOM REHAB & ASSOC 14791,A81000C,00600,0600,THERAPY & CONSULTANTS 14791,A81000C,00700,0100,A 14791,A81000C,00700,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00700,0400,FREEDOM REHAB & ASSOC 14791,A81000C,00700,0600,THERAPY & CONSULTANTS 14791,A81000C,00800,0100,A 14791,A81000C,00800,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00800,0400,FREEDOM REHAB & ASSOC 14791,A81000C,00800,0600,THERAPY & CONSULTANTS 14791,A81000C,00900,0100,A 14791,A81000C,00900,0200,ROBERT & DAPHNA TOBEY 14791,A81000C,00900,0400,FREEDOM REHAB & ASSOC 14791,A81000C,00900,0600,THERAPY & CONULTANTS 14791,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14791,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14791,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14791,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14791,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14791,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14791,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14791,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14791,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14791,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14791,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14791,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14791,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14791,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14791,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14791,S000000,00100,0200,07/21/2000 14791,S200000,00100,0100,150 NORTH SEMINARY 14791,S200000,00200,0100,BLOOMFIELD 14791,S200000,00200,0200,IN 14791,S200000,00200,0300,47424- 14791,S200000,00300,0100,GREENE 14791,S200000,00400,0100,GREENE COUNTY REHAB CENTER 14791,S200000,00400,0200,155588 14791,S200000,00400,0300,10/01/1997 14791,S200000,00400,0500,P 14791,S200000,01004,0500,O 14791,S200000,01600,0100,Y 14791,S700003,00000,0400,4 14800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14800,A000000,00300,0000,00300EMPLOYEE BENEFITS 14800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14800,A000000,00700,0000,00700HOUSEKEEPING 14800,A000000,00800,0000,00800DIETARY 14800,A000000,00900,0000,00900NURSING ADMINISTRATION 14800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14800,A000000,01100,0000,01100PHARMACY 14800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14800,A000000,01300,0000,01300SOCIAL SERVICE 14800,A000000,01350,0000,01500OTHER GENERAL SERVICES 14800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14800,A000000,01600,0000,01600SKILLED NURSING FACILITY 14800,A000000,01800,0000,01800NURSING FACILITY 14800,A000000,01810,0000,01801ICF/MR 14800,A000000,01900,0000,01900OTHER LONG TERM CARE 14800,A000000,02100,0000,02100RADIOLOGY 14800,A000000,02200,0000,02200LABORATORY 14800,A000000,02300,0000,02300INTRAVENOUS THERAPY 14800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14800,A000000,02500,0000,02500PHYSICAL THERAPY 14800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14800,A000000,02700,0000,02700SPEECH PATHOLOGY 14800,A000000,02800,0000,02800ELECTROCARDIOLOGY 14800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14800,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14800,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14800,A000000,03200,0000,03200SUPPORT SURFACES 14800,A000000,03400,0000,03400CLINIC 14800,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14800,A000000,03500,0000,03500RURAL HEALTH CLINIC 14800,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14800,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14800,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14800,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14800,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14800,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14800,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14800,A000000,04400,0000,04400DME RENTED - HHA 14800,A000000,04500,0000,04500DME SOLD - HHA 14800,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14800,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14800,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14800,A000000,04800,0000,04800AMBULANCE 14800,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14800,A000000,05000,0000,05000CORF 14800,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14800,A000000,05300,0000,05300INTEREST EXPENSE 14800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14800,A000000,05500,0000,05500HOSPICE 14800,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14800,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14800,A000000,06100,0000,06100NONPAID WORKERS 14800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14800,A000000,06200,0000,06200PATIENTS LAUNDRY 14800,A81000A,00100,0100,Y 14800,A81000B,00100,0300,HOME OFFICE COSTS 14800,A81000B,00200,0300,RELATED PARTY LEASE 14800,A81000B,00300,0300,RELATED PARTY THERAPY 14800,A81000B,00400,0300,RELATED PARTY THERAPY 14800,A81000B,00500,0300,RELATED PARTY THERAPY 14800,A81000C,00100,0100,B 14800,A81000C,00100,0400,MHS INC 14800,A81000C,00100,0600,NURSING HOMES 14800,A81000C,00200,0100,A 14800,A81000C,00200,0400,MMM INVESTMENT 14800,A81000C,00200,0600,PROPERTY LEASING 14800,A81000C,00300,0100,A 14800,A81000C,00300,0400,THERACARE 14800,A81000C,00300,0600,THERAPY MANAGEMENT 14800,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14800,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14800,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14800,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14800,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14800,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14800,B100000,00000,0800,00000MEALS SERVED :DIETARY 14800,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14800,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14800,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14800,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14800,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14800,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14800,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14800,S000000,00100,0200,06/16/2000 14800,S200000,00100,0100,730 SCHOOL STREET 14800,S200000,00100,0300,111 14800,S200000,00200,0100,CULVER 14800,S200000,00200,0200,IN 14800,S200000,00200,0300,46511- 14800,S200000,00300,0100,MARSHALL 14800,S200000,00400,0100,MHS INC. D/B/A MMM - CULVER 14800,S200000,00400,0200,155589 14800,S200000,00400,0300,11/01/1995 14800,S200000,00400,0500,P 14800,S200000,01004,0500,O 14800,S200000,01600,0100,Y 14800,S200000,02200,0100,Y 14800,S200000,02800,0100,Y 14800,S700003,00000,0400,4 14811,S000000,00100,0200,06/01/2000 14833,S000000,00100,0200,06/15/2000 14839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14839,A000000,00300,0000,00300EMPLOYEE BENEFITS 14839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14839,A000000,00700,0000,00700HOUSEKEEPING 14839,A000000,00800,0000,00800DIETARY 14839,A000000,00900,0000,00900NURSING ADMINISTRATION 14839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14839,A000000,01100,0000,01100PHARMACY 14839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14839,A000000,01300,0000,01300SOCIAL SERVICE 14839,A000000,01600,0000,01600SKILLED NURSING FACILITY 14839,A000000,01800,0000,01800NURSING FACILITY 14839,A000000,01900,0000,01900OTHER LONG TERM CARE 14839,A000000,02100,0000,02100RADIOLOGY 14839,A000000,02200,0000,02200LABORATORY 14839,A000000,02300,0000,02300INTRAVENOUS THERAPY 14839,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14839,A000000,02500,0000,02500PHYSICAL THERAPY 14839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14839,A000000,02700,0000,02700SPEECH PATHOLOGY 14839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14839,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 14839,A000000,04800,0000,04800AMBULANCE 14839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14839,A81000A,00100,0100,Y 14839,A81000B,00100,0300,HOME OFFICE ALLOC 14839,A81000B,00200,0300,HOME OFFICE ALLOC 14839,A81000B,00400,0300,PHYSICAL THERAPY 14839,A81000B,00500,0300,OCCUPATIONAL THERAPY 14839,A81000B,00600,0300,SPEECH THERAPY 14839,A81000C,00100,0100,A 14839,A81000C,00100,0200,COVENANT CARE INC 14839,A81000C,00100,0400,COVENANT CARE INC. 14839,A81000C,00100,0600,HEALTH CARE 14839,A81000C,00200,0100,B 14839,A81000C,00200,0200,PHARMACY 14839,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 14839,A81000C,00200,0600,PHARMACY - HEALTH CARE 14839,A81000C,00300,0100,C 14839,A81000C,00300,0200,THERAPY 14839,A81000C,00300,0400,SELECT THEREAPY 14839,A81000C,00300,0600,THERAPY SERVICES 14839,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14839,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14839,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14839,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14839,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14839,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14839,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14839,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 14839,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14839,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14839,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 14839,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14839,S000000,00100,0200,06/01/2000 14839,S200000,00100,0100,500 NORTH WILL.IAMS STREET 14839,S200000,00200,0100,ANGOLA 14839,S200000,00200,0200,IN 14839,S200000,00200,0300,46703- 14839,S200000,00300,0100,INDIANA - RURAL 14839,S200000,00400,0100,LAKELAND NURSING CENTER 14839,S200000,00400,0200,155596 14839,S200000,00400,0300,06/01/1992 14839,S200000,00400,0500,P 14839,S200000,00600,0200,155596 14839,S200000,00600,0300,06/01/1992 14839,S200000,01600,0100,Y 14839,S700003,00000,0400,4 14847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14847,A000000,00300,0000,00300EMPLOYEE BENEFITS 14847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14847,A000000,00700,0000,00700HOUSEKEEPING 14847,A000000,00800,0000,00800DIETARY 14847,A000000,00900,0000,00900NURSING ADMINISTRATION 14847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14847,A000000,01100,0000,01100PHARMACY 14847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14847,A000000,01300,0000,01300SOCIAL SERVICE 14847,A000000,01350,0000,01500DIVERSIONAL THERAPY 14847,A000000,01351,0000,01550RESTORATIVE THERAPY 14847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14847,A000000,01600,0000,01600SKILLED NURSING FACILITY 14847,A000000,01800,0000,01800NURSING FACILITY 14847,A000000,01810,0000,01810ICF/MR 14847,A000000,01900,0000,01900OTHER LONG TERM CARE 14847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14847,A000000,02500,0000,02500PHYSICAL THERAPY 14847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14847,A000000,02700,0000,02700SPEECH PATHOLOGY 14847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14847,A000000,03050,0000,03010DURABLE MEDICAL EQUIPMENT 14847,A000000,03550,0000,03550FQHC 14847,A000000,05000,0000,05000CORF 14847,A000000,05010,0000,05010CMHC 14847,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 14847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 14847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 14847,A000000,05300,0000,05300INTEREST EXPENSE 14847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14847,A000000,06150,0000,06300NON-REIMBURSABLE COST CENTER 14847,A000000,06200,0000,06200PATIENTS LAUNDRY 14847,A81000A,00100,0100,Y 14847,A81000B,00100,0300,HOMEOFFC - DIRECT 14847,A81000B,00200,0300,HOMEOFFC - POOLED 14847,A81000B,00300,0300,ON-SITE BILLING OFC 14847,A81000C,00100,0100,B 14847,A81000C,00100,0400,LSS OF MICHIGAN 14847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14847,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14847,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 14847,B100000,00000,0800,00000MEALS SERVED :DIETARY 14847,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14847,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 14847,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 14847,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14847,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14847,B100000,00000,1350,00000TIME SPENT :DIVERSIONAL THERAPY 14847,B100000,00000,1351,00000PATIENT DAYS :RESTORATIVE THERAPY 14847,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14847,S000000,00100,0200,05/31/2000 14847,S200000,00100,0100,502 W. JACKSON STREET 14847,S200000,00200,0100,MULBERRY 14847,S200000,00200,0200,IN 14847,S200000,00200,0300,46058- 14847,S200000,00300,0100,CLINTON 14847,S200000,00400,0100,MULBERRY LUTHERAN HOME 14847,S200000,00400,0200,155600 14847,S200000,00400,0300,07/12/1996 14847,S200000,00400,0500,P 14847,S200000,00400,0600,O 14847,S200000,01004,0500,O 14847,S200000,01600,0100,Y 14847,S200000,02200,0100,Y 14847,S200000,02800,0100,Y 14847,S700003,00000,0400,4 14852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14852,A000000,00300,0000,00300EMPLOYEE BENEFITS 14852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14852,A000000,00700,0000,00700HOUSEKEEPING 14852,A000000,00800,0000,00800DIETARY 14852,A000000,00900,0000,00900NURSING ADMINISTRATION 14852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14852,A000000,01100,0000,01100PHARMACY 14852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14852,A000000,01300,0000,01300SOCIAL SERVICE 14852,A000000,01301,0000,01301ACTIVITIES 14852,A000000,01350,0000,01500OTHER GENERAL SERVICES 14852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14852,A000000,01600,0000,01600SKILLED NURSING FACILITY 14852,A000000,01800,0000,01800NURSING FACILITY 14852,A000000,01810,0000,01801ICF/MR 14852,A000000,01900,0000,01900OTHER LONG TERM CARE 14852,A000000,02100,0000,02100RADIOLOGY 14852,A000000,02200,0000,02200LABORATORY 14852,A000000,02300,0000,02300INTRAVENOUS THERAPY 14852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14852,A000000,02500,0000,02500PHYSICAL THERAPY 14852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14852,A000000,02700,0000,02700SPEECH PATHOLOGY 14852,A000000,02800,0000,02800ELECTROCARDIOLOGY 14852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14852,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14852,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14852,A000000,03200,0000,03200SUPPORT SURFACES 14852,A000000,03400,0000,03400CLINIC 14852,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14852,A000000,03500,0000,03500RURAL HEALTH CLINIC 14852,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14852,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14852,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14852,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14852,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14852,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14852,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14852,A000000,04400,0000,04400DME RENTED - HHA 14852,A000000,04500,0000,04500DME SOLD - HHA 14852,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14852,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14852,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14852,A000000,04800,0000,04800AMBULANCE 14852,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14852,A000000,05000,0000,05000CORF 14852,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14852,A000000,05300,0000,05300INTEREST EXPENSE 14852,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14852,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14852,A000000,05500,0000,05500HOSPICE 14852,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14852,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14852,A000000,06100,0000,06100NONPAID WORKERS 14852,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14852,A000000,06200,0000,06200PATIENTS LAUNDRY 14852,A81000A,00100,0100,Y 14852,A81000B,00100,0300,HOME OFFICE COSTS 14852,A81000B,00200,0300,HOME OFFICE COSTS 14852,A81000B,00300,0300,HOME OFFICE COSTS 14852,A81000B,00400,0300,RELATED PARTY VENDOR 14852,A81000B,00500,0300,RELATED PARTY VENDOR 14852,A81000B,00600,0300,RELATED PARTY VENDOR 14852,A81000B,00700,0300,RELATED PARTY VENDOR 14852,A81000C,00100,0100,D 14852,A81000C,00100,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00100,0400,TOBEY NEWBERRY GROUP 14852,A81000C,00100,0600,HOME OFFICE 14852,A81000C,00200,0100,D 14852,A81000C,00200,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00200,0400,TOBEY NEWBERRY GROUP 14852,A81000C,00200,0600,HOME OFFICE CAPITAL 14852,A81000C,00300,0100,D 14852,A81000C,00300,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00300,0400,TOBEY NEWBERRY GROUP 14852,A81000C,00300,0600,HOME OFFICE EQUIPMENT 14852,A81000C,00400,0100,A 14852,A81000C,00400,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00400,0400,FREEDOM REHAB & ASSOC 14852,A81000C,00400,0600,THERAPY & CONSULTANTS 14852,A81000C,00500,0100,A 14852,A81000C,00500,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00500,0400,FREEDOM REHAB & ASSOC 14852,A81000C,00500,0600,THERAPY & CONSULTANTS 14852,A81000C,00600,0100,A 14852,A81000C,00600,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00600,0400,FREEDOM REHAB & ASSOC 14852,A81000C,00600,0600,THERAPY & CONSULTANTS 14852,A81000C,00700,0100,A 14852,A81000C,00700,0200,ROBERT & DAPHNA TOBEY 14852,A81000C,00700,0400,FREEDOM REHAB & ASSOC 14852,A81000C,00700,0600,THERAPY & CONSULTANTS 14852,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14852,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14852,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14852,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14852,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14852,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14852,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14852,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14852,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14852,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 14852,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14852,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 14852,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14852,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14852,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14852,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14852,S000000,00100,0200,08/07/2000 14852,S200000,00100,0100,1141 N. SHEFFILED AVENUE 14852,S200000,00200,0100,INDIANAPOLIS 14852,S200000,00200,0200,IN 14852,S200000,00200,0300,46222- 14852,S200000,00300,0100,MARION 14852,S200000,00400,0100,SHEFFIELD MANOR HEALTHCARE 14852,S200000,00400,0200,155601 14852,S200000,00400,0300,10/01/1996 14852,S200000,00400,0500,P 14852,S200000,01004,0500,O 14852,S200000,01600,0100,Y 14852,S200000,03100,0100,Y 14852,S700003,00000,0400,4 14855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14855,A000000,00300,0000,00300EMPLOYEE BENEFITS 14855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14855,A000000,00700,0000,00700HOUSEKEEPING 14855,A000000,00800,0000,00800DIETARY 14855,A000000,00900,0000,00900NURSING ADMINISTRATION 14855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14855,A000000,01300,0000,01300SOCIAL SERVICE 14855,A000000,01600,0000,01600SKILLED NURSING FACILITY 14855,A000000,01800,0000,01800NURSING FACILITY 14855,A000000,02100,0000,02100RADIOLOGY 14855,A000000,02200,0000,02200LABORATORY 14855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14855,A000000,02500,0000,02500PHYSICAL THERAPY 14855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14855,A000000,02700,0000,02700SPEECH PATHOLOGY 14855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14855,A000000,04750,0000,05100RESIDENTIAL 14855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14855,A81000A,00100,0100,Y 14855,A81000B,00100,0300,CAP. RELATED - BLDGS 14855,A81000B,00200,0300,ADMIN. & GENERAL 14855,A81000C,00100,0100,B 14855,A81000C,00100,0400,NAT. BEN. ASSOCIATION 14855,A81000C,00100,0600,H/C MANAGEMENT 14855,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14855,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14855,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14855,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14855,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14855,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14855,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14855,B100000,00000,0800,00000MEALS SERVED :DIETARY 14855,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 14855,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14855,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14855,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14855,S000000,00100,0200,05/31/2000 14855,S200000,00100,0100,614 WEST 14TH STREET 14855,S200000,00200,0100,MARION 14855,S200000,00200,0200,IN 14855,S200000,00200,0300,46953- 14855,S200000,00300,0100,GRANT 14855,S200000,00400,0100,EMILY E FLINN COMMUNITY CENTER 14855,S200000,00400,0200,155603 14855,S200000,00400,0300,11/01/1996 14855,S200000,00400,0500,P 14855,S200000,01004,0500,O 14855,S200000,01600,0100,Y 14855,S200000,04900,0100,Y 14855,S700003,00000,0400,4 14864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14864,A000000,00300,0000,00300EMPLOYEE BENEFITS 14864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14864,A000000,00700,0000,00700HOUSEKEEPING 14864,A000000,00800,0000,00800DIETARY 14864,A000000,00900,0000,00900NURSING ADMINISTRATION 14864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14864,A000000,01100,0000,01100PHARMACY 14864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14864,A000000,01300,0000,01300SOCIAL SERVICE 14864,A000000,01350,0000,01500OTHER GENERAL SERVICES 14864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14864,A000000,01600,0000,01600SKILLED NURSING FACILITY 14864,A000000,01800,0000,01800NURSING FACILITY 14864,A000000,01810,0000,01801ICF/MR 14864,A000000,01900,0000,01900OTHER LONG TERM CARE 14864,A000000,02100,0000,02100RADIOLOGY 14864,A000000,02200,0000,02200LABORATORY 14864,A000000,02300,0000,02300INTRAVENOUS THERAPY 14864,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14864,A000000,02500,0000,02500PHYSICAL THERAPY 14864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14864,A000000,02700,0000,02700SPEECH PATHOLOGY 14864,A000000,02800,0000,02800ELECTROCARDIOLOGY 14864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14864,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14864,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14864,A000000,03200,0000,03200SUPPORT SURFACES 14864,A000000,03400,0000,03400CLINIC 14864,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14864,A000000,03500,0000,03500RURAL HEALTH CLINIC 14864,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14864,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14864,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14864,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14864,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14864,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14864,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14864,A000000,04400,0000,04400DME RENTED - HHA 14864,A000000,04500,0000,04500DME SOLD - HHA 14864,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14864,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14864,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14864,A000000,04800,0000,04800AMBULANCE 14864,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14864,A000000,05000,0000,05000CORF 14864,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14864,A000000,05300,0000,05300INTEREST EXPENSE 14864,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14864,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14864,A000000,05500,0000,05500HOSPICE 14864,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14864,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14864,A000000,06100,0000,06100NONPAID WORKERS 14864,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14864,A000000,06200,0000,06200PATIENTS LAUNDRY 14864,A81000A,00100,0100,Y 14864,A81000B,00100,0300,RENT 14864,A81000B,00200,0300,PROFESSIONAL FEES 14864,A81000B,00300,0300,MAINTENANCE 14864,A81000B,00400,0300,INTEREST 14864,A81000B,00500,0300,DEPRECIATION 14864,A81000B,00600,0300,TAXES-PROPERTY 14864,A81000B,00700,0300,AMORTIZATION FINANCING FEES 14864,A81000B,00800,0300,DEPRECIATION 14864,A81000C,00100,0100,A 14864,A81000C,00100,0200,DR. JIM PICKERILL 14864,A81000C,00100,0400,PK REALTY 14864,A81000C,00100,0600,RENTAL 14864,A81000C,00200,0100,A 14864,A81000C,00200,0200,JEROME KLINKER 14864,A81000C,00200,0400,PK REALTY 14864,A81000C,00200,0600,RENTAL 14864,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14864,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14864,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14864,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14864,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14864,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14864,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14864,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14864,B100000,00000,1050,00000SUPPLY EXPENSE :CENTRAL SERVICES & 14864,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14864,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14864,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14864,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14864,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14864,S000000,00100,0200,05/16/2000 14864,S200000,00100,0100,1205 N. 14TH STREET 14864,S200000,00200,0100,LAFAYETTE 14864,S200000,00200,0200,IN 14864,S200000,00200,0300,47904- 14864,S200000,00300,0100,TIPPECANOE 14864,S200000,00400,0100,ST. ANTHONY HEALTH CARE INC. 14864,S200000,00400,0200,155604 14864,S200000,00400,0300,10/14/1996 14864,S200000,00400,0500,P 14864,S200000,01600,0100,Y 14864,S200000,02200,0100,Y 14864,S200000,02800,0100,Y 14864,S700003,00000,0400,4 14871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14871,A000000,00300,0000,00300EMPLOYEE BENEFITS 14871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14871,A000000,00700,0000,00700HOUSEKEEPING 14871,A000000,00800,0000,00800DIETARY 14871,A000000,00900,0000,00900NURSING ADMINISTRATION 14871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14871,A000000,01100,0000,01100PHARMACY 14871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14871,A000000,01300,0000,01300SOCIAL SERVICE 14871,A000000,01350,0000,01500OTHER GENERAL SERVICES 14871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14871,A000000,01600,0000,01600SKILLED NURSING FACILITY 14871,A000000,01800,0000,01800NURSING FACILITY 14871,A000000,01810,0000,01801ICF/MR 14871,A000000,01900,0000,01900OTHER LONG TERM CARE 14871,A000000,02100,0000,02100RADIOLOGY 14871,A000000,02200,0000,02200LABORATORY 14871,A000000,02300,0000,02300INTRAVENOUS THERAPY 14871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14871,A000000,02500,0000,02500PHYSICAL THERAPY 14871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14871,A000000,02700,0000,02700SPEECH PATHOLOGY 14871,A000000,02800,0000,02800ELECTROCARDIOLOGY 14871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14871,A000000,03200,0000,03200SUPPORT SURFACES 14871,A000000,03400,0000,03400CLINIC 14871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14871,A000000,03500,0000,03500RURAL HEALTH CLINIC 14871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14871,A000000,04400,0000,04400DME RENTED - HHA 14871,A000000,04500,0000,04500DME SOLD - HHA 14871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14871,A000000,04800,0000,04800AMBULANCE 14871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14871,A000000,05000,0000,05000CORF 14871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14871,A000000,05300,0000,05300INTEREST EXPENSE 14871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14871,A000000,05500,0000,05500HOSPICE 14871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14871,A000000,06100,0000,06100NONPAID WORKERS 14871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14871,A000000,06200,0000,06200PATIENTS LAUNDRY 14871,A81000A,00100,0100,Y 14871,A81000B,00100,0300,INTEREST EXPENSE 14871,A81000C,00100,0100,A 14871,A81000C,00100,0200,SHIRLENE SHOCKLEY 14871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14871,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14871,B100000,00000,0800,00000MEALS SERVED :DIETARY 14871,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14871,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14871,B100000,00000,1150,00000NO STATISTICS :PHARMACY 14871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14871,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14871,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14871,S000000,00100,0200,06/23/2000 14871,S200000,00100,0100,1959 E. COLUMBUS STREET 14871,S200000,00200,0100,MARTINSVILLE 14871,S200000,00200,0200,IN 14871,S200000,00200,0300,46151- 14871,S200000,00300,0100,MORGAN 14871,S200000,00400,0100,GRANDVIEW CONVALESCENT CENTER 14871,S200000,00400,0200,155605 14871,S200000,00400,0300,12/01/1996 14871,S200000,00400,0500,P 14871,S200000,01600,0100,Y 14871,S700003,00000,0400,4 14877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14877,A000000,00300,0000,00300EMPLOYEE BENEFITS 14877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14877,A000000,00700,0000,00700HOUSEKEEPING 14877,A000000,00800,0000,00800DIETARY 14877,A000000,00900,0000,00900NURSING ADMINISTRATION 14877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14877,A000000,01100,0000,01100PHARMACY 14877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14877,A000000,01300,0000,01300SOCIAL SERVICE 14877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14877,A000000,01600,0000,01600SKILLED NURSING FACILITY 14877,A000000,01900,0000,01900OTHER LONG TERM CARE 14877,A000000,02100,0000,02100RADIOLOGY 14877,A000000,02200,0000,02200LABORATORY 14877,A000000,02300,0000,02300INTRAVENOUS THERAPY 14877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14877,A000000,02500,0000,02500PHYSICAL THERAPY 14877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14877,A000000,02700,0000,02700SPEECH PATHOLOGY 14877,A000000,02800,0000,02800ELECTROCARDIOLOGY 14877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14877,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14877,A000000,03200,0000,03200SUPPORT SURFACES 14877,A000000,03400,0000,03400CLINIC 14877,A000000,04800,0000,04800AMBULANCE 14877,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14877,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14877,A000000,05300,0000,05300INTEREST EXPENSE 14877,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14877,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14877,A000000,06100,0000,06100NONPAID WORKERS 14877,A000000,06200,0000,06200PATIENTS LAUNDRY 14877,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14877,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14877,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14877,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14877,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14877,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14877,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14877,B100000,00000,0800,00000MEALS SERV :DIETARY 14877,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 14877,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 14877,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14877,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14877,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14877,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14877,S000000,00100,0200,05/24/2000 14877,S200000,00100,0100,6015 KRATZVILLE ROAD 14877,S200000,00200,0100,EVANSVILLE 14877,S200000,00200,0200,IN 14877,S200000,00300,0100,47710 VANDERBURGH 14877,S200000,00400,0100,HIGHLAND POINTE HEALTHCARE 14877,S200000,00400,0200,155607 14877,S200000,00400,0300,09/26/1996 14877,S200000,00400,0500,P 14877,S200000,01600,0100,Y 14877,S700003,00000,0400,4 14887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14887,A000000,00300,0000,00300EMPLOYEE BENEFITS 14887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14887,A000000,00700,0000,00700HOUSEKEEPING 14887,A000000,00800,0000,00800DIETARY 14887,A000000,00900,0000,00900NURSING ADMINISTRATION 14887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14887,A000000,01100,0000,01100PHARMACY 14887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14887,A000000,01300,0000,01300SOCIAL SERVICE 14887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14887,A000000,01600,0000,01600SKILLED NURSING FACILITY 14887,A000000,01800,0000,01800NURSING FACILITY 14887,A000000,01810,0000,01810ICF/MR 14887,A000000,02200,0000,02200LABORATORY 14887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14887,A000000,02500,0000,02500PHYSICAL THERAPY 14887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14887,A000000,02700,0000,02700SPEECH PATHOLOGY 14887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14887,A000000,03550,0000,03550FQHC 14887,A000000,05000,0000,05000CORF 14887,A000000,05010,0000,05010CMHC 14887,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 14887,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 14887,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 14887,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14887,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14887,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14887,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14887,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14887,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14887,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14887,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14887,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14887,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 14887,B100000,00000,1250,00000PATIENT REVENUE :MEDICAL RECORDS & 14887,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14887,S000000,00100,0200,12/04/2000 14887,S200000,00100,0100,1200 EAST LUTHER DRIVE 14887,S200000,00200,0100,CROWN POINT 14887,S200000,00200,0200,IN 14887,S200000,00200,0300,46307- 14887,S200000,00300,0100,LAKE 14887,S200000,00300,0200,2960 14887,S200000,00300,0300,U 14887,S200000,00400,0100,LUTHERAN HOME OF NW INDIANA INC. 14887,S200000,00400,0200,155608 14887,S200000,00400,0300,01/01/1997 14887,S200000,00400,0500,P 14887,S200000,00600,0200,155608 14887,S200000,00600,0300,01/01/1997 14887,S200000,00600,0600,P 14887,S200000,01004,0500,O 14887,S200000,01600,0100,Y 14887,S200000,01900,0100,501C3 14887,S200000,02200,0100,Y 14893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14893,A000000,00300,0000,00300EMPLOYEE BENEFITS 14893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14893,A000000,00700,0000,00700HOUSEKEEPING 14893,A000000,00800,0000,00800DIETARY 14893,A000000,00900,0000,00900NURSING ADMINISTRATION 14893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14893,A000000,01100,0000,01100PHARMACY 14893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14893,A000000,01300,0000,01300SOCIAL SERVICE 14893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14893,A000000,01600,0000,01600SKILLED NURSING FACILITY 14893,A000000,01800,0000,01800NURSING FACILITY 14893,A000000,01810,0000,01810ICF/MR 14893,A000000,02200,0000,02200LABORATORY 14893,A000000,02500,0000,02500PHYSICAL THERAPY 14893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14893,A000000,02700,0000,02700SPEECH PATHOLOGY 14893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14893,A000000,03550,0000,03550FQHC 14893,A000000,05000,0000,05000CORF 14893,A000000,05010,0000,05010CMHC 14893,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 14893,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 14893,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 14893,A000000,05300,0000,05300INTEREST EXPENSE 14893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14893,A000000,06150,0000,06300NON-REIMBURSABLE 14893,A81000A,00100,0100,Y 14893,A81000B,00100,0300,MANAGEMENT FEE 14893,A81000C,00100,0100,B 14893,A81000C,00100,0400,CHRISTIAN HOMES 14893,A81000C,00100,0600,CORP. OFFICE 14893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14893,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14893,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14893,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14893,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14893,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14893,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14893,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14893,S000000,00100,0200,12/01/2000 14893,S200000,00100,0100,621 S. SUGAR 14893,S200000,00200,0100,BROWNSTOWN 14893,S200000,00200,0200,IN 14893,S200000,00200,0300,47220- 14893,S200000,00300,0100,MACON 14893,S200000,00300,0200,15 14893,S200000,00300,0300,R 14893,S200000,00400,0100,HOOSIER CHRISTIAN VILLAGE 14893,S200000,00400,0200,155611 14893,S200000,00400,0300,04/01/1982 14893,S200000,00400,0500,P 14893,S200000,01004,0500,O 14893,S200000,01600,0100,Y 14893,S200000,02200,0100,Y 14893,S200000,04200,0100,Y 14900,S000000,00100,0200,06/01/2000 14908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14908,A000000,00300,0000,00300EMPLOYEE BENEFITS 14908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14908,A000000,00700,0000,00700HOUSEKEEPING 14908,A000000,00800,0000,00800DIETARY 14908,A000000,00900,0000,00900NURSING ADMINISTRATION 14908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14908,A000000,01100,0000,01100PHARMACY 14908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14908,A000000,01300,0000,01300SOCIAL SERVICE 14908,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 14908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14908,A000000,01600,0000,01600SKILLED NURSING FACILITY 14908,A000000,01800,0000,01800NURSING FACILITY 14908,A000000,02100,0000,02100RADIOLOGY 14908,A000000,02200,0000,02200LABORATORY 14908,A000000,02500,0000,02500PHYSICAL THERAPY 14908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14908,A000000,02700,0000,02700SPEECH PATHOLOGY 14908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14908,A000000,04800,0000,04800AMBULANCE 14908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14908,A81000A,00100,0100,Y 14908,A81000B,00100,0300,LEGAL FEES 14908,A81000B,00200,0300,INTEREST AND DEPRECIATION 14908,A81000C,00100,0100,G 14908,A81000C,00100,0200,KENT SMITH 14908,A81000C,00100,0400,HALL RENDER 14908,A81000C,00100,0600,LAW FIRM 14908,A81000C,00200,0100,F 14908,A81000C,00200,0200,ALL SHAREHOLDER 14908,A81000C,00200,0400,FRETINA CORP 14908,A81000C,00200,0600,REALTY COMPANY 14908,A81000C,03100,0000,KENT SMITH 14908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14908,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14908,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14908,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 14908,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14908,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 14908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14908,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 14908,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14908,S000000,00100,0200,03/12/2001 14908,S200000,00300,0100,FLOYD 14908,S200000,00400,0100,LINCOLN HILLS OF NEW ALBANY 14908,S200000,00400,0200,155614 14908,S200000,00400,0300,01/01/1997 14908,S200000,00400,0500,P 14908,S700003,00000,0400,4 14916,S000000,00100,0200,02/23/2001 14921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14921,A000000,00300,0000,00300EMPLOYEE BENEFITS 14921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14921,A000000,00700,0000,00700HOUSEKEEPING 14921,A000000,00800,0000,00800DIETARY 14921,A000000,00900,0000,00900NURSING ADMINISTRATION 14921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14921,A000000,01100,0000,01100PHARMACY 14921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14921,A000000,01300,0000,01300SOCIAL SERVICE 14921,A000000,01350,0000,01500OTHER GENERAL SERVICES 14921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14921,A000000,01600,0000,01600SKILLED NURSING FACILITY 14921,A000000,01800,0000,01800NURSING FACILITY 14921,A000000,01810,0000,01801ICF/MR 14921,A000000,01900,0000,01900OTHER LONG TERM CARE 14921,A000000,02100,0000,02100RADIOLOGY 14921,A000000,02200,0000,02200LABORATORY 14921,A000000,02300,0000,02300INTRAVENOUS THERAPY 14921,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14921,A000000,02500,0000,02500PHYSICAL THERAPY 14921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14921,A000000,02700,0000,02700SPEECH PATHOLOGY 14921,A000000,02800,0000,02800ELECTROCARDIOLOGY 14921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14921,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14921,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14921,A000000,03200,0000,03200SUPPORT SURFACES 14921,A000000,03400,0000,03400CLINIC 14921,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14921,A000000,03500,0000,03500RURAL HEALTH CLINIC 14921,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14921,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14921,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14921,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14921,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14921,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14921,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14921,A000000,04400,0000,04400DME RENTED - HHA 14921,A000000,04500,0000,04500DME SOLD - HHA 14921,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14921,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14921,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14921,A000000,04800,0000,04800AMBULANCE 14921,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14921,A000000,05000,0000,05000CORF 14921,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14921,A000000,05300,0000,05300INTEREST EXPENSE 14921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14921,A000000,05500,0000,05500HOSPICE 14921,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14921,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14921,A000000,06100,0000,06100NONPAID WORKERS 14921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14921,A000000,06200,0000,06200PATIENTS LAUNDRY 14921,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14921,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14921,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14921,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14921,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 14921,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 14921,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14921,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14921,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 14921,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 14921,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 14921,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14921,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14921,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14921,S000000,00100,0200,06/05/2000 14921,S200000,00100,0100,201 E. ELM STREET 14921,S200000,00200,0100,NEW ALBANY 14921,S200000,00200,0200,IN 14921,S200000,00200,0300,47150- 14921,S200000,00300,0100,FLOYD 14921,S200000,00400,0100,ROBERT E LEE RETIREMENT INN 14921,S200000,00400,0200,155616 14921,S200000,00400,0300,12/31/1996 14921,S200000,00400,0500,P 14921,S200000,01600,0100,Y 14921,S200000,04300,0100,Y 14921,S700003,00000,0400,4 14931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14931,A000000,00300,0000,00300EMPLOYEE BENEFITS 14931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14931,A000000,00700,0000,00700HOUSEKEEPING 14931,A000000,00800,0000,00800DIETARY 14931,A000000,00900,0000,00900NURSING ADMINISTRATION 14931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14931,A000000,01100,0000,01100PHARMACY 14931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14931,A000000,01300,0000,01300SOCIAL SERVICE 14931,A000000,01350,0000,01500OTHER GENERAL SERVICES 14931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14931,A000000,01600,0000,01600SKILLED NURSING FACILITY 14931,A000000,01800,0000,01800NURSING FACILITY 14931,A000000,01810,0000,01801ICF/MR 14931,A000000,01900,0000,01900OTHER LONG TERM CARE 14931,A000000,02100,0000,02100RADIOLOGY 14931,A000000,02200,0000,02200LABORATORY 14931,A000000,02300,0000,02300INTRAVENOUS THERAPY 14931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14931,A000000,02500,0000,02500PHYSICAL THERAPY 14931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14931,A000000,02700,0000,02700SPEECH PATHOLOGY 14931,A000000,02800,0000,02800ELECTROCARDIOLOGY 14931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14931,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14931,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14931,A000000,03200,0000,03200SUPPORT SURFACES 14931,A000000,03400,0000,03400CLINIC 14931,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14931,A000000,03500,0000,03500RURAL HEALTH CLINIC 14931,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14931,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14931,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14931,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14931,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14931,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14931,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14931,A000000,04400,0000,04400DME RENTED - HHA 14931,A000000,04500,0000,04500DME SOLD - HHA 14931,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14931,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14931,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14931,A000000,04800,0000,04800AMBULANCE 14931,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14931,A000000,05000,0000,05000CORF 14931,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14931,A000000,05300,0000,05300INTEREST EXPENSE 14931,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14931,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14931,A000000,05500,0000,05500HOSPICE 14931,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14931,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14931,A000000,06100,0000,06100NONPAID WORKERS 14931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14931,A000000,06200,0000,06200PATIENTS LAUNDRY 14931,A81000A,00100,0100,Y 14931,A81000B,00100,0300,HOME OFFICE COSTS 14931,A81000B,00200,0300,RELATED PARTY LEASE 14931,A81000B,00300,0300,RELATED PARTY THERAPY 14931,A81000B,00400,0300,RELATED PARTY THERAPY 14931,A81000B,00500,0300,RELATED PARTY THERAPY 14931,A81000C,00100,0100,B 14931,A81000C,00100,0400,MHS INC 14931,A81000C,00100,0600,NURSING HOMES 14931,A81000C,00200,0100,A 14931,A81000C,00200,0400,MMM INVESTMENT 14931,A81000C,00200,0600,PROPERTY LEASING 14931,A81000C,00300,0100,A 14931,A81000C,00300,0400,THERACARE 14931,A81000C,00300,0600,THERAPY MANAGEMENT 14931,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14931,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 14931,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14931,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14931,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14931,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14931,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 14931,B100000,00000,0800,00000MEALS SERVED :DIETARY 14931,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 14931,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14931,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14931,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14931,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14931,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14931,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14931,S000000,00100,0200,06/16/2000 14931,S200000,00100,0100,524 ANDERSON ROAD 14931,S200000,00200,0100,CHESTERFIELD 14931,S200000,00200,0200,IN 14931,S200000,00200,0300,46017- 14931,S200000,00300,0100,MADISON 14931,S200000,00400,0100,MHS INC. D/B/A MMM - CHESTERFIELD 14931,S200000,00400,0200,155617 14931,S200000,00400,0300,11/01/1996 14931,S200000,00400,0500,P 14931,S200000,01600,0100,Y 14931,S200000,02200,0100,Y 14931,S700003,00000,0400,4 14940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14940,A000000,00300,0000,00300EMPLOYEE BENEFITS 14940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14940,A000000,00700,0000,00700HOUSEKEEPING 14940,A000000,00800,0000,00800DIETARY 14940,A000000,00900,0000,00900NURSING ADMINISTRATION 14940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14940,A000000,01100,0000,01100PHARMACY 14940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14940,A000000,01300,0000,01300SOCIAL SERVICE 14940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14940,A000000,01600,0000,01600SKILLED NURSING FACILITY 14940,A000000,01800,0000,01800NURSING FACILITY 14940,A000000,01810,0000,01810ICF/MR 14940,A000000,02200,0000,02200LABORATORY 14940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14940,A000000,02500,0000,02500PHYSICAL THERAPY 14940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14940,A000000,02700,0000,02700SPEECH PATHOLOGY 14940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14940,A000000,03550,0000,03550FQHC 14940,A000000,05000,0000,05000CORF 14940,A000000,05010,0000,05010CMHC 14940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 14940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 14940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 14940,A000000,05300,0000,05300INTEREST EXPENSE 14940,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14940,A000000,06150,0000,06300NON-REIMBURSABLE 14940,A81000A,00100,0100,Y 14940,A81000B,00100,0300,MANAGEMENT FEE 14940,A81000C,00100,0100,B 14940,A81000C,00100,0400,CHRISTIAN HOMES 14940,A81000C,00100,0600,CORP. OFFICE 14940,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14940,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14940,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14940,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14940,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14940,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14940,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14940,B100000,00000,0850,00000PATIENT DAYS :DIETARY 14940,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14940,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14940,S000000,00100,0200,12/01/2000 14940,S200000,00100,0100,675 S. FORD ROAD 14940,S200000,00200,0100,ZIONSVILLE 14940,S200000,00200,0200,IN 14940,S200000,00200,0300,46077- 14940,S200000,00300,0100,MACON 14940,S200000,00300,0200,3480 14940,S200000,00300,0300,U 14940,S200000,00400,0100,VILLAGE CHRISTIAN PARKE 14940,S200000,00400,0200,155620 14940,S200000,00400,0300,04/01/1982 14940,S200000,00400,0500,P 14940,S200000,01600,0100,Y 14940,S200000,02200,0100,Y 14940,S200000,04200,0100,Y 14947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14947,A000000,00300,0000,00300EMPLOYEE BENEFITS 14947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14947,A000000,00700,0000,00700HOUSEKEEPING 14947,A000000,00800,0000,00800DIETARY 14947,A000000,00900,0000,00900NURSING ADMINISTRATION 14947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14947,A000000,01100,0000,01100PHARMACY 14947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14947,A000000,01300,0000,01300SOCIAL SERVICE 14947,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14947,A000000,01600,0000,01600SKILLED NURSING FACILITY 14947,A000000,01900,0000,01900OTHER LONG TERM CARE 14947,A000000,02100,0000,02100RADIOLOGY 14947,A000000,02200,0000,02200LABORATORY 14947,A000000,02300,0000,02300INTRAVENOUS THERAPY 14947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14947,A000000,02500,0000,02500PHYSICAL THERAPY 14947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14947,A000000,02700,0000,02700SPEECH PATHOLOGY 14947,A000000,02800,0000,02800ELECTROCARDIOLOGY 14947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14947,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14947,A000000,03200,0000,03200SUPPORT SURFACES 14947,A000000,03400,0000,03400CLINIC 14947,A000000,04800,0000,04800AMBULANCE 14947,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14947,A000000,05300,0000,05300INTEREST EXPENSE 14947,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14947,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14947,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14947,A000000,06100,0000,06100NONPAID WORKERS 14947,A000000,06200,0000,06200PATIENTS LAUNDRY 14947,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14947,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14947,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14947,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14947,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14947,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14947,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14947,B100000,00000,0800,00000MEALS SERVED :DIETARY 14947,B100000,00000,0950,00000PATIENT DA :NURSING ADMINISTRATION 14947,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14947,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14947,B100000,00000,1250,00000PATIENT DA :MEDICAL RECORDS & LIBR 14947,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 14947,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14947,S000000,00100,0200,06/02/2000 14947,S200000,00100,0100,3400 STOCKER DRIVE 14947,S200000,00200,0100,EVANSVILLE 14947,S200000,00200,0200,IN 14947,S200000,00300,0100,47712 VANDERBURGH 14947,S200000,00400,0100,PINE HAVEN HEALTH & REHABILITATION 14947,S200000,00400,0200,155621 14947,S200000,00400,0300,04/04/1997 14947,S200000,00400,0500,P 14947,S200000,01600,0100,Y 14947,S700003,00000,0400,4 14955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14955,A000000,00300,0000,00300EMPLOYEE BENEFITS 14955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14955,A000000,00700,0000,00700HOUSEKEEPING 14955,A000000,00800,0000,00800DIETARY 14955,A000000,00900,0000,00900NURSING ADMINISTRATION 14955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14955,A000000,01100,0000,01100PHARMACY 14955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14955,A000000,01300,0000,01300SOCIAL SERVICE 14955,A000000,01350,0000,01500OTHER GENERAL SERVICES 14955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14955,A000000,01600,0000,01600SKILLED NURSING FACILITY 14955,A000000,01800,0000,01800NURSING FACILITY 14955,A000000,01810,0000,01801ICF/MR 14955,A000000,01900,0000,01900OTHER LONG TERM CARE 14955,A000000,02100,0000,02100RADIOLOGY 14955,A000000,02200,0000,02200LABORATORY 14955,A000000,02300,0000,02300INTRAVENOUS THERAPY 14955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14955,A000000,02500,0000,02500PHYSICAL THERAPY 14955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14955,A000000,02700,0000,02700SPEECH PATHOLOGY 14955,A000000,02800,0000,02800ELECTROCARDIOLOGY 14955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14955,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14955,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14955,A000000,03200,0000,03200SUPPORT SURFACES 14955,A000000,03400,0000,03400CLINIC 14955,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14955,A000000,03500,0000,03500RURAL HEALTH CLINIC 14955,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14955,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14955,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14955,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14955,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14955,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14955,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14955,A000000,04400,0000,04400DME RENTED - HHA 14955,A000000,04500,0000,04500DME SOLD - HHA 14955,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14955,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14955,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14955,A000000,04800,0000,04800AMBULANCE 14955,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14955,A000000,05000,0000,05000CORF 14955,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14955,A000000,05300,0000,05300INTEREST EXPENSE 14955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14955,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14955,A000000,05500,0000,05500HOSPICE 14955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14955,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14955,A000000,06100,0000,06100NONPAID WORKERS 14955,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14955,A000000,06200,0000,06200PATIENTS LAUNDRY 14955,A81000A,00100,0100,Y 14955,A81000B,00100,0300,HOME OFFICE ALLOCATION 14955,A81000C,00100,0100,A 14955,A81000C,00100,0200,RES-CARE INC. 14955,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14955,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 14955,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14955,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14955,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14955,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14955,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14955,B100000,00000,0800,00000MEALS SERVED :DIETARY 14955,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 14955,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 14955,B100000,00000,1150,00000GROSS REVENUE :PHARMACY 14955,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14955,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14955,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 14955,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 14955,S000000,00100,0200,06/01/2000 14955,S200000,00100,0100,1800 KEM ROAD 14955,S200000,00200,0100,MARION 14955,S200000,00200,0200,IN 14955,S200000,00200,0300,46952- 14955,S200000,00300,0100,MARION 14955,S200000,00400,0100,NORTHGATE HEALTHCARE CENTER 14955,S200000,00400,0200,155622 14955,S200000,00400,0300,05/01/1997 14955,S200000,00400,0500,P 14955,S200000,01500,0100,Y 14955,S200000,02100,0100,E 14955,S200000,02800,0100,Y 14955,S700003,00000,0400,4 14973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14973,A000000,00300,0000,00300EMPLOYEE BENEFITS 14973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14973,A000000,00700,0000,00700HOUSEKEEPING 14973,A000000,00800,0000,00800DIETARY 14973,A000000,00900,0000,00900NURSING ADMINISTRATION 14973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14973,A000000,01100,0000,01100PHARMACY 14973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14973,A000000,01300,0000,01300SOCIAL SERVICE 14973,A000000,01350,0000,01500OTHER GENERAL SERVICES 14973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14973,A000000,01600,0000,01600SKILLED NURSING FACILITY 14973,A000000,01800,0000,01800NURSING FACILITY 14973,A000000,01810,0000,01810ICF/MR 14973,A000000,01900,0000,01900OTHER LONG TERM CARE 14973,A000000,02100,0000,02100RADIOLOGY 14973,A000000,02200,0000,02200LABORATORY 14973,A000000,02300,0000,02300INTRAVENOUS THERAPY 14973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14973,A000000,02500,0000,02500PHYSICAL THERAPY 14973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14973,A000000,02700,0000,02700SPEECH PATHOLOGY 14973,A000000,02800,0000,02800ELECTROCARDIOLOGY 14973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14973,A000000,03200,0000,03200SUPPORT SURFACES 14973,A000000,03400,0000,03400CLINIC 14973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14973,A000000,03500,0000,03500RURAL HEALTH CLINIC 14973,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14973,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14973,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14973,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14973,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14973,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14973,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14973,A000000,04400,0000,04400DME RENTED - HHA 14973,A000000,04500,0000,04500DME SOLD - HHA 14973,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14973,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14973,A000000,04800,0000,04800AMBULANCE 14973,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14973,A000000,05000,0000,05000CORF 14973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14973,A000000,05300,0000,05300INTEREST EXPENSE 14973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14973,A000000,05500,0000,05500HOSPICE 14973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14973,A000000,06100,0000,06100NONPAID WORKERS 14973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14973,A000000,06200,0000,06200PATIENTS LAUNDRY 14973,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14973,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14973,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14973,B100000,00000,0750,00000SQAURE FEET :HOUSEKEEPING 14973,B100000,00000,0800,00000MEALS SERVED :DIETARY 14973,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14973,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 14973,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14973,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14973,S000000,00100,0200,12/01/2000 14973,S200000,00100,0100,1021 EAST CENTRAL AVE 14973,S200000,00200,0100,GREENSBURG 14973,S200000,00200,0200,IN 14973,S200000,00200,0300,47240- 14973,S200000,00300,0100,DECATUR 14973,S200000,00300,0200,0015 14973,S200000,00300,0300,R 14973,S200000,00400,0100,ODD FELLOWS HOME 14973,S200000,00400,0200,155625 14973,S200000,00400,0300,05/01/1997 14973,S200000,00400,0500,P 14973,S200000,01004,0500,O 14973,S200000,01600,0100,Y 14981,S000000,00100,0200,06/05/2000 14989,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14989,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14989,A000000,00300,0000,00300EMPLOYEE BENEFITS 14989,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14989,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14989,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14989,A000000,00700,0000,00700HOUSEKEEPING 14989,A000000,00800,0000,00800DIETARY 14989,A000000,00900,0000,00900NURSING ADMINISTRATION 14989,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14989,A000000,01100,0000,01100PHARMACY 14989,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14989,A000000,01300,0000,01300SOCIAL SERVICE 14989,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14989,A000000,01600,0000,01600SKILLED NURSING FACILITY 14989,A000000,01900,0000,01900OTHER LONG TERM CARE 14989,A000000,02100,0000,02100RADIOLOGY 14989,A000000,02200,0000,02200LABORATORY 14989,A000000,02300,0000,02300INTRAVENOUS THERAPY 14989,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14989,A000000,02500,0000,02500PHYSICAL THERAPY 14989,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14989,A000000,02700,0000,02700SPEECH PATHOLOGY 14989,A000000,02800,0000,02800ELECTROCARDIOLOGY 14989,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14989,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14989,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14989,A000000,03200,0000,03200SUPPORT SURFACES 14989,A000000,03400,0000,03400CLINIC 14989,A000000,04800,0000,04800AMBULANCE 14989,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14989,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14989,A000000,05300,0000,05300INTEREST EXPENSE 14989,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14989,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14989,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14989,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14989,A000000,06100,0000,06100NONPAID WORKERS 14989,A000000,06200,0000,06200PATIENTS LAUNDRY 14989,A81000A,00100,0100,Y 14989,A81000B,00100,0300,CAPITAL 14989,A81000B,00200,0300,ADMIN & GENERAL 14989,A81000C,00100,0100,F 14989,A81000C,00100,0200,TLC MANAGEMENT 14989,A81000C,00100,0400,TLC MANAGEMENT 14989,A81000C,00100,0600,HEALTHCARE MGMT 14989,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14989,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14989,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14989,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14989,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14989,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 14989,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14989,B100000,00000,0800,00000MEALS SERVED :DIETARY 14989,B100000,00000,0900,00000WORKED HOU :NURSING ADMINISTRATION 14989,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14989,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14989,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 14989,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 14989,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 14989,S000000,00100,0200,04/06/2000 14989,S200000,00100,0100,3640 NORTH CENTRAL AVENUE 14989,S200000,00200,0100,INDIANAPOLIS 14989,S200000,00200,0200,IN 14989,S200000,00300,0100,46205 MARION 14989,S200000,00400,0100,BRIARWOOD HEALTH & REHABILIATION 14989,S200000,00400,0200,155628 14989,S200000,00400,0300,07/29/1997 14989,S200000,00400,0500,P 14989,S200000,01600,0100,Y 14989,S200000,04700,0100,Y 14989,S700003,00000,0400,4 14997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 14997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 14997,A000000,00300,0000,00300EMPLOYEE BENEFITS 14997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 14997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 14997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 14997,A000000,00700,0000,00700HOUSEKEEPING 14997,A000000,00800,0000,00800DIETARY 14997,A000000,00900,0000,00900NURSING ADMINISTRATION 14997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 14997,A000000,01100,0000,01100PHARMACY 14997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 14997,A000000,01300,0000,01300SOCIAL SERVICE 14997,A000000,01301,0000,01301ACTIVITIES 14997,A000000,01350,0000,01500OTHER GENERAL SERVICES 14997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 14997,A000000,01600,0000,01600SKILLED NURSING FACILITY 14997,A000000,01800,0000,01800NURSING FACILITY 14997,A000000,01900,0000,01900OTHER LONG TERM CARE 14997,A000000,02100,0000,02100RADIOLOGY 14997,A000000,02200,0000,02200LABORATORY 14997,A000000,02300,0000,02300INTRAVENOUS THERAPY 14997,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 14997,A000000,02500,0000,02500PHYSICAL THERAPY 14997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 14997,A000000,02700,0000,02700SPEECH PATHOLOGY 14997,A000000,02800,0000,02800ELECTROCARDIOLOGY 14997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 14997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 14997,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 14997,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 14997,A000000,03200,0000,03200SUPPORT SURFACES 14997,A000000,03400,0000,03400CLINIC 14997,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 14997,A000000,03500,0000,03500RURAL HEALTH CLINIC 14997,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 14997,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 14997,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 14997,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 14997,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 14997,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 14997,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 14997,A000000,04400,0000,04400DME RENTED - HHA 14997,A000000,04500,0000,04500DME SOLD - HHA 14997,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 14997,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 14997,A000000,04750,0000,05100OTHER REIMBURSABLE COST 14997,A000000,04800,0000,04800AMBULANCE 14997,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 14997,A000000,05000,0000,05000CORF 14997,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 14997,A000000,05300,0000,05300INTEREST EXPENSE 14997,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 14997,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 14997,A000000,05500,0000,05500HOSPICE 14997,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 14997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 14997,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 14997,A000000,06100,0000,06100NONPAID WORKERS 14997,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 14997,A000000,06200,0000,06200PATIENTS LAUNDRY 14997,A81000A,00100,0100,Y 14997,A81000B,00100,0300,MANAGEMENT FEES 14997,A81000B,00200,0300,CAPITAL 14997,A81000C,00100,0100,A 14997,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 14997,A81000C,00100,0400,LENOX HEALTHCARE INC. 14997,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 14997,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 14997,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 14997,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 14997,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 14997,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 14997,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 14997,B100000,00000,0800,00000MEALS SERVED :DIETARY 14997,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 14997,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 14997,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 14997,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 14997,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 14997,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 14997,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 14997,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 14997,S000000,00100,0200,06/27/2000 14997,S200000,00100,0100,170 NORTH TRACY STREET 14997,S200000,00200,0100,MARKLE 14997,S200000,00200,0200,IN 14997,S200000,00200,0300,46770- 14997,S200000,00300,0100,WELLS 14997,S200000,00400,0100,MARKLE HEALTHCARE CENTER 14997,S200000,00400,0200,155629 14997,S200000,00400,0300,06/17/1997 14997,S200000,00400,0500,P 14997,S200000,01600,0100,Y 14997,S700003,00000,0400,4 15004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15004,A000000,00300,0000,00300EMPLOYEE BENEFITS 15004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15004,A000000,00700,0000,00700HOUSEKEEPING 15004,A000000,00800,0000,00800DIETARY 15004,A000000,00900,0000,00900NURSING ADMINISTRATION 15004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15004,A000000,01100,0000,01100PHARMACY 15004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15004,A000000,01300,0000,01300SOCIAL SERVICE 15004,A000000,01350,0000,01500OTHER GENERAL SERVICES 15004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15004,A000000,01600,0000,01600SKILLED NURSING FACILITY 15004,A000000,01800,0000,01800NURSING FACILITY 15004,A000000,01810,0000,01801ICF/MR 15004,A000000,01900,0000,01900OTHER LONG TERM CARE 15004,A000000,02100,0000,02100RADIOLOGY 15004,A000000,02200,0000,02200LABORATORY 15004,A000000,02300,0000,02300INTRAVENOUS THERAPY 15004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15004,A000000,02500,0000,02500PHYSICAL THERAPY 15004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15004,A000000,02700,0000,02700SPEECH PATHOLOGY 15004,A000000,02800,0000,02800ELECTROCARDIOLOGY 15004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15004,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15004,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15004,A000000,03200,0000,03200SUPPORT SURFACES 15004,A000000,03400,0000,03400CLINIC 15004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15004,A000000,03500,0000,03500RURAL HEALTH CLINIC 15004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15004,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15004,A000000,04400,0000,04400DME RENTED - HHA 15004,A000000,04500,0000,04500DME SOLD - HHA 15004,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15004,A000000,04800,0000,04800AMBULANCE 15004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15004,A000000,05000,0000,05000CORF 15004,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15004,A000000,05300,0000,05300INTEREST EXPENSE 15004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15004,A000000,05500,0000,05500HOSPICE 15004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15004,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15004,A000000,06100,0000,06100NONPAID WORKERS 15004,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15004,A000000,06200,0000,06200PATIENTS LAUNDRY 15004,A81000A,00100,0100,Y 15004,A81000B,00100,0300,HOME OFFICE COST 15004,A81000B,00200,0300,WORKING CAPITAL INTEREST 15004,A81000C,00100,0100,B 15004,A81000C,00100,0400,REAL PROPERTY 15004,A81000C,00100,0600,MANAGEMENT 15004,A81000C,00200,0100,B 15004,A81000C,00200,0400,REAL PROPERTY 15004,A81000C,00200,0600,MANAGEMENT 15004,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15004,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 15004,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15004,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15004,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15004,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15004,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15004,B100000,00000,0800,00000MEALS SERVED :DIETARY 15004,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 15004,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15004,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15004,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15004,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15004,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15004,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15004,S000000,00100,0200,08/07/2000 15004,S200000,00100,0100,904 EAST 11TH STREET 15004,S200000,00200,0100,RUSHVILLE 15004,S200000,00200,0200,IN 15004,S200000,00200,0300,46173- 15004,S200000,00300,0100,RUSH 15004,S200000,00400,0100,FLATROCK RIVER LODGE 15004,S200000,00400,0200,155630 15004,S200000,00400,0300,07/25/1997 15004,S200000,00400,0500,P 15004,S200000,01004,0500,O 15004,S200000,01500,0100,Y 15004,S700003,00000,0400,4 15011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15011,A000000,00300,0000,00300EMPLOYEE BENEFITS 15011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15011,A000000,00700,0000,00700HOUSEKEEPING 15011,A000000,00800,0000,00800DIETARY 15011,A000000,00900,0000,00900NURSING ADMINISTRATION 15011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15011,A000000,01100,0000,01100PHARMACY 15011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15011,A000000,01300,0000,01300SOCIAL SERVICE 15011,A000000,01350,0000,01500OTHER GENERAL SERVICES 15011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15011,A000000,01600,0000,01600SKILLED NURSING FACILITY 15011,A000000,01800,0000,01800NURSING FACILITY 15011,A000000,01810,0000,01801ICF/MR 15011,A000000,01900,0000,01900OTHER LONG TERM CARE 15011,A000000,02100,0000,02100RADIOLOGY 15011,A000000,02200,0000,02200LABORATORY 15011,A000000,02300,0000,02300INTRAVENOUS THERAPY 15011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15011,A000000,02500,0000,02500PHYSICAL THERAPY 15011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15011,A000000,02700,0000,02700SPEECH PATHOLOGY 15011,A000000,02800,0000,02800ELECTROCARDIOLOGY 15011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15011,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15011,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15011,A000000,03200,0000,03200SUPPORT SURFACES 15011,A000000,03400,0000,03400CLINIC 15011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15011,A000000,03500,0000,03500RURAL HEALTH CLINIC 15011,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15011,A000000,04800,0000,04800AMBULANCE 15011,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15011,A000000,05000,0000,05000CORF 15011,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15011,A000000,05300,0000,05300INTEREST EXPENSE 15011,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15011,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15011,A000000,05500,0000,05500HOSPICE 15011,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15011,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15011,A000000,06100,0000,06100NONPAID WORKERS 15011,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15011,A000000,06200,0000,06200PATIENTS LAUNDRY 15011,A81000A,00100,0100,Y 15011,A81000B,00100,0300,HOME OFFICE COST 15011,A81000B,00200,0300,WORKING CAPITAL INTEREST 15011,A81000C,00100,0100,B 15011,A81000C,00100,0400,REAL PROPERTY 15011,A81000C,00100,0600,MANAGEMENT 15011,A81000C,00200,0100,B 15011,A81000C,00200,0400,REAL PROPERTY 15011,A81000C,00200,0600,MANAGEMENT 15011,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15011,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 15011,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15011,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15011,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15011,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15011,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15011,B100000,00000,0800,00000MEALS SERVED :DIETARY 15011,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 15011,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15011,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15011,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15011,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15011,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15011,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15011,S000000,00100,0200,09/20/2000 15011,S200000,00100,0100,3710 KENNY SIMPSON LANE 15011,S200000,00200,0100,BEDFORD 15011,S200000,00200,0200,IN 15011,S200000,00200,0300,47421-5632 15011,S200000,00300,0100,LAWRENCE 15011,S200000,00400,0100,WHITE RIVER LODGE 15011,S200000,00400,0200,155631 15011,S200000,00400,0300,08/13/1997 15011,S200000,00400,0500,P 15011,S200000,01004,0500,O 15011,S200000,01500,0100,Y 15011,S700003,00000,0400,4 15018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15018,A000000,00300,0000,00300EMPLOYEE BENEFITS 15018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15018,A000000,00700,0000,00700HOUSEKEEPING 15018,A000000,00800,0000,00800DIETARY 15018,A000000,00900,0000,00900NURSING ADMINISTRATION 15018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15018,A000000,01100,0000,01100PHARMACY 15018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15018,A000000,01300,0000,01300SOCIAL SERVICE 15018,A000000,01350,0000,01500OTHER GENERAL SERVICES 15018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15018,A000000,01600,0000,01600SKILLED NURSING FACILITY 15018,A000000,01800,0000,01800NURSING FACILITY 15018,A000000,01810,0000,01801ICF/MR 15018,A000000,01900,0000,01900OTHER LONG TERM CARE 15018,A000000,02100,0000,02100RADIOLOGY 15018,A000000,02200,0000,02200LABORATORY 15018,A000000,02300,0000,02300INTRAVENOUS THERAPY 15018,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15018,A000000,02500,0000,02500PHYSICAL THERAPY 15018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15018,A000000,02700,0000,02700SPEECH PATHOLOGY 15018,A000000,02800,0000,02800ELECTROCARDIOLOGY 15018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15018,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15018,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15018,A000000,03200,0000,03200SUPPORT SURFACES 15018,A000000,03400,0000,03400CLINIC 15018,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15018,A000000,03500,0000,03500RURAL HEALTH CLINIC 15018,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15018,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15018,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15018,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15018,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15018,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15018,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15018,A000000,04400,0000,04400DME RENTED - HHA 15018,A000000,04500,0000,04500DME SOLD - HHA 15018,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15018,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15018,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15018,A000000,04800,0000,04800AMBULANCE 15018,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15018,A000000,05000,0000,05000CORF 15018,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15018,A000000,05300,0000,05300INTEREST EXPENSE 15018,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15018,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15018,A000000,05500,0000,05500HOSPICE 15018,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15018,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15018,A000000,06100,0000,06100NONPAID WORKERS 15018,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15018,A000000,06200,0000,06200PATIENTS LAUNDRY 15018,A81000A,00100,0100,Y 15018,A81000B,00100,0300,HOME OFFICE COSTS 15018,A81000B,00200,0300,WORKING CAPITAL INTEREST 15018,A81000C,00100,0100,B 15018,A81000C,00100,0400,REAL PROPERTY 15018,A81000C,00100,0600,MANAGEMENT 15018,A81000C,00200,0100,B 15018,A81000C,00200,0400,REAL PROPERTY 15018,A81000C,00200,0600,MANAGEMENT 15018,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15018,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 15018,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15018,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15018,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15018,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15018,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15018,B100000,00000,0800,00000MEALS SERVED :DIETARY 15018,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 15018,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15018,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15018,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15018,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15018,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15018,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15018,S000000,00100,0200,08/07/2000 15018,S200000,00100,0100,723 EAST RAMSAY ROAD 15018,S200000,00200,0100,VINCENNES 15018,S200000,00200,0200,IN 15018,S200000,00200,0300,47591- 15018,S200000,00300,0100,KNOX 15018,S200000,00400,0100,LODGE OF THE WABASH 15018,S200000,00400,0200,155632 15018,S200000,00400,0300,08/01/1997 15018,S200000,00400,0500,P 15018,S200000,01500,0100,Y 15018,S700003,00000,0400,4 15029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15029,A000000,00300,0000,00300EMPLOYEE BENEFITS 15029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15029,A000000,00700,0000,00700HOUSEKEEPING 15029,A000000,00800,0000,00800DIETARY 15029,A000000,00900,0000,00900NURSING ADMINISTRATION 15029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15029,A000000,01100,0000,01100PHARMACY 15029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15029,A000000,01300,0000,01300SOCIAL SERVICE 15029,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTER 15029,A000000,01600,0000,01600SKILLED NURSING FACILITY 15029,A000000,01800,0000,01800NURSING FACILITY 15029,A000000,02100,0000,02100RADIOLOGY 15029,A000000,02200,0000,02200LABORATORY 15029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15029,A000000,02500,0000,02500PHYSICAL THERAPY 15029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15029,A000000,02700,0000,02700SPEECH PATHOLOGY 15029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15029,A000000,03200,0000,03200SUPPORT SURFACES 15029,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15029,A81000A,00100,0100,Y 15029,A81000B,00100,0300,HOME OFFICE CAPITAL - BLDGS 15029,A81000B,00200,0300,HOME OFFICE CAPITAL - EQUIP 15029,A81000B,00300,0300,HOME OFFICE BENEFITS 15029,A81000B,00400,0300,HOME OFFICE A&G 15029,A81000B,00500,0300,FACILITY BENEFITS (HCRI) 15029,A81000B,00600,0300,FACILITY BENEFITS (HAVICAN) 15029,A81000B,00700,0300,LIABILITY INSURANCE (HAVICAN) 15029,A81000B,00800,0300,MORTGAGE INTEREST 15029,A81000B,00900,0300,WC INTEREST 15029,A81000C,00100,0100,B 15029,A81000C,00100,0400,HC CARE SVCS 15029,A81000C,00100,0600,PARENT 15029,A81000C,00200,0100,B 15029,A81000C,00200,0400,HCCSI 15029,A81000C,00200,0600,PARENT 15029,A81000C,00300,0100,B 15029,A81000C,00300,0400,HCCSI 15029,A81000C,00300,0600,PARENT 15029,A81000C,00400,0100,B 15029,A81000C,00400,0400,HCCSI 15029,A81000C,00400,0600,PARENT 15029,A81000C,00500,0100,B 15029,A81000C,00500,0400,HCRI 15029,A81000C,00500,0600,REL INSURANCE 15029,A81000C,00600,0100,B 15029,A81000C,00600,0400,HAVICAN 15029,A81000C,00600,0600,REL INSURANCE 15029,A81000C,00700,0100,B 15029,A81000C,00700,0400,HAVICAN 15029,A81000C,00700,0600,REL INSURANCE 15029,A81000C,00800,0100,B 15029,A81000C,00800,0400,HCHSC 15029,A81000C,00800,0600,HOLDING CO 15029,A81000C,00900,0100,B 15029,A81000C,00900,0400,HCHSC 15029,A81000C,00900,0600,HOLDING CO 15029,B100000,00000,0150,00000BEDS AVAILABLE :CAP REL COSTS - BL 15029,B100000,00000,0250,00000BEDS AVAILABLE :CAP REL COSTS - MO 15029,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 15029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15029,B100000,00000,0550,00000BEDS AVAILABLE :PLANT OPERATION M 15029,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15029,B100000,00000,0750,00000BEDS AVAILABLE :HOUSEKEEPING 15029,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15029,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15029,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15029,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15029,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 15029,S000000,00100,0200,11/30/2000 15029,S200000,00100,0100,7520 SOUTH SR 421 15029,S200000,00200,0100,SAN PIERRE 15029,S200000,00200,0200,IN 15029,S200000,00200,0300,46374- 15029,S200000,00300,0100,STARKE 15029,S200000,00300,0200,0015 15029,S200000,00300,0300,R 15029,S200000,00400,0100,OUR LADY OF HOLY CROSS 15029,S200000,00400,0200,155633 15029,S200000,00400,0300,02/01/1997 15029,S200000,00400,0500,P 15029,S200000,00400,0600,O 15029,S200000,01600,0100,Y 15029,S200000,02200,0100,Y 15029,S200000,04300,0100,Y 15038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15038,A000000,00300,0000,00300EMPLOYEE BENEFITS 15038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15038,A000000,00700,0000,00700HOUSEKEEPING 15038,A000000,00800,0000,00800DIETARY 15038,A000000,00900,0000,00900NURSING ADMINISTRATION 15038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15038,A000000,01100,0000,01100PHARMACY 15038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15038,A000000,01300,0000,01300SOCIAL SERVICE 15038,A000000,01350,0000,01500OTHER GENERAL SERVICES 15038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15038,A000000,01600,0000,01600SKILLED NURSING FACILITY 15038,A000000,01800,0000,01800NURSING FACILITY 15038,A000000,01810,0000,01810ICF/MR 15038,A000000,01900,0000,01900OTHER LONG TERM CARE 15038,A000000,02100,0000,02100RADIOLOGY 15038,A000000,02200,0000,02200LABORATORY 15038,A000000,02300,0000,02300INTRAVENOUS THERAPY 15038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15038,A000000,02500,0000,02500PHYSICAL THERAPY 15038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15038,A000000,02700,0000,02700SPEECH PATHOLOGY 15038,A000000,02800,0000,02800ELECTROCARDIOLOGY 15038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15038,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15038,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15038,A000000,03200,0000,03200SUPPORT SURFACES 15038,A000000,03400,0000,03400CLINIC 15038,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15038,A000000,03500,0000,03500RURAL HEALTH CLINIC 15038,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15038,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15038,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15038,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15038,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15038,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15038,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15038,A000000,04400,0000,04400DME RENTED - HHA 15038,A000000,04500,0000,04500DME SOLD - HHA 15038,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15038,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15038,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15038,A000000,04800,0000,04800AMBULANCE 15038,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15038,A000000,05000,0000,05000CORF 15038,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15038,A000000,05300,0000,05300INTEREST EXPENSE 15038,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15038,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15038,A000000,05500,0000,05500HOSPICE 15038,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15038,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15038,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15038,A000000,06100,0000,06100NONPAID WORKERS 15038,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15038,A000000,06200,0000,06200PATIENTS LAUNDRY 15038,A81000A,00100,0100,Y 15038,A81000B,00100,0300,RENT EXPENSE 15038,A81000B,00200,0300,INTEREST EXPENSE 15038,A81000B,00300,0300,DEPRECIATION EXPENSE 15038,A81000C,00100,0100,G 15038,A81000C,00100,0400,NATL FELLOWSHIP BRETHREN 15038,A81000C,00100,0600,RETIREMENT HMS 15038,A81000C,00200,0100,G 15038,A81000C,00200,0400,NATL FELLOWSHIP BRETHREN 15038,A81000C,00200,0600,RETIREMENT HMS 15038,A81000C,00300,0100,G 15038,A81000C,00300,0400,NATL FELLOWSHIP BRETHREN 15038,A81000C,00300,0600,RETIREMENT HMS 15038,A81000C,03100,0000,OTHER 15038,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15038,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15038,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15038,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15038,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15038,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15038,B100000,00000,0800,00000MEALS SERVED :DIETARY 15038,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15038,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15038,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15038,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15038,S000000,00100,0200,11/08/2000 15038,S200000,00100,0100,1324 WOOSTER ROAD 15038,S200000,00100,0300,337 15038,S200000,00200,0100,WINONA LAKE 15038,S200000,00200,0200,IN 15038,S200000,00200,0300,46590- 15038,S200000,00300,0100,KOSCIUSKO 15038,S200000,00300,0200,15 15038,S200000,00300,0300,R 15038,S200000,00400,0100,GRACE VILLAGE HEALTH CARE FACILITY 15038,S200000,00400,0200,155635 15038,S200000,00400,0300,08/11/1997 15038,S200000,00400,0500,P 15038,S200000,01600,0100,Y 15038,S200000,02800,0100,Y 15047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15047,A000000,00300,0000,00300EMPLOYEE BENEFITS 15047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15047,A000000,00700,0000,00700HOUSEKEEPING 15047,A000000,00800,0000,00800DIETARY 15047,A000000,00900,0000,00900NURSING ADMINISTRATION 15047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15047,A000000,01100,0000,01100PHARMACY 15047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15047,A000000,01300,0000,01300SOCIAL SERVICE 15047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15047,A000000,01600,0000,01600SKILLED NURSING FACILITY 15047,A000000,01800,0000,01800NURSING FACILITY 15047,A000000,01810,0000,01810ICF/MR 15047,A000000,02100,0000,02100RADIOLOGY 15047,A000000,02200,0000,02200LABORATORY 15047,A000000,02500,0000,02500PHYSICAL THERAPY 15047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15047,A000000,02700,0000,02700SPEECH PATHOLOGY 15047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15047,A000000,03550,0000,03550FQHC 15047,A000000,05000,0000,05000CORF 15047,A000000,05010,0000,05010CMHC 15047,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15047,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15047,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15047,A000000,05300,0000,05300INTEREST EXPENSE 15047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15047,A000000,06150,0000,06300NON-REIMBURSABLE 15047,A81000A,00100,0100,Y 15047,A81000B,00100,0300,MANAGEMENT FEE 15047,A81000C,00100,0100,B 15047,A81000C,00100,0400,CHRISTIAN HOMES 15047,A81000C,00100,0600,CORP. OFFICE 15047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15047,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15047,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15047,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15047,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15047,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15047,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15047,S000000,00100,0200,12/01/2000 15047,S200000,00100,0100,6685 EAST 117TH AVENUE 15047,S200000,00200,0100,CROWN POINT 15047,S200000,00200,0200,IN 15047,S200000,00200,0300,46307- 15047,S200000,00300,0100,LAKE 15047,S200000,00300,0200,2960 15047,S200000,00300,0300,U 15047,S200000,00400,0100,CHICAGOLAND CHRISTIAN VILLAGE 15047,S200000,00400,0200,155637 15047,S200000,00400,0300,12/01/1997 15047,S200000,00400,0500,P 15047,S200000,01600,0100,Y 15047,S200000,04200,0100,Y 15059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15059,A000000,00300,0000,00300EMPLOYEE BENEFITS 15059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15059,A000000,00700,0000,00700HOUSEKEEPING 15059,A000000,00800,0000,00800DIETARY 15059,A000000,00900,0000,00900NURSING ADMINISTRATION 15059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15059,A000000,01100,0000,01100PHARMACY 15059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15059,A000000,01300,0000,01300SOCIAL SERVICE 15059,A000000,01350,0000,01500RECREATIONAL THERAPY 15059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15059,A000000,01600,0000,01600SKILLED NURSING FACILITY 15059,A000000,01800,0000,01800NURSING FACILITY 15059,A000000,01810,0000,01810ICF/MR 15059,A000000,02100,0000,02100RADIOLOGY 15059,A000000,02200,0000,02200LABORATORY 15059,A000000,02500,0000,02500PHYSICAL THERAPY 15059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15059,A000000,02700,0000,02700SPEECH PATHOLOGY 15059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15059,A000000,03200,0000,03200SUPPORT SURFACES 15059,A000000,03550,0000,03550FQHC 15059,A000000,04800,0000,04800AMBULANCE 15059,A000000,05000,0000,05000CORF 15059,A000000,05010,0000,05010CMHC 15059,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15059,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15059,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15059,A81000A,00100,0100,Y 15059,A81000B,00100,0300,MANAGEMENT FEES 15059,A81000B,00200,0300,HOME OFFICE EXPENSES 15059,A81000B,00300,0300,ANCILLARY ADMIN FEES 15059,A81000B,00400,0300,DIETARY CONSULTANT 15059,A81000B,00500,0300,BOOKKEEPING SVCS 15059,A81000B,00600,0300,ACCOUNTING FEES 15059,A81000B,00700,0300,DATA PROCESSING 15059,A81000B,00800,0300,BLDG RENTAL 15059,A81000B,00900,0300,MORTGAGE INTEREST 15059,A81000B,01000,0300,DEPR EXPENSE 15059,A81000B,01100,0300,BLDG CO ADMIN EXP 15059,A81000C,00100,0100,A 15059,A81000C,00100,0200,ERIC ROTHNER 15059,A81000C,00100,0400,CARE CENTERS I 15059,A81000C,00100,0600,MANAGEMENT CO. 15059,A81000C,00200,0100,B 15059,A81000C,00200,0400,CLARK-MOUNT HC 15059,A81000C,00200,0600,BUILDING CO. 15059,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15059,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15059,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15059,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15059,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15059,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 15059,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 15059,B100000,00000,0800,00000MEALS SERVED :DIETARY 15059,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 15059,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 15059,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 15059,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 15059,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15059,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 15059,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15059,S000000,00100,0200,06/02/2000 15059,S200000,00100,0100,1964 CLARK ROAD 15059,S200000,00200,0100,GARY 15059,S200000,00200,0200,IN 15059,S200000,00200,0300,46404- 15059,S200000,00300,0100,LAKE 15059,S200000,00400,0100,CLARK NRSG. & REHAB. CENTER 15059,S200000,00400,0200,155641 15059,S200000,00400,0300,01/01/1998 15059,S200000,00400,0500,P 15059,S200000,00600,0200,155641 15059,S200000,00600,0300,01/01/1998 15059,S200000,00600,0600,P 15059,S200000,01600,0100,Y 15059,S200000,02200,0100,Y 15059,S700003,00000,0400,4 15064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15064,A000000,00300,0000,00300EMPLOYEE BENEFITS 15064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15064,A000000,00700,0000,00700HOUSEKEEPING 15064,A000000,00800,0000,00800DIETARY 15064,A000000,00900,0000,00900NURSING ADMINISTRATION 15064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15064,A000000,01100,0000,01100PHARMACY 15064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15064,A000000,01300,0000,01300SOCIAL SERVICE 15064,A000000,01301,0000,01301ACTIVITIES 15064,A000000,01350,0000,01500OTHER GENERAL SERVICES 15064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15064,A000000,01600,0000,01600SKILLED NURSING FACILITY 15064,A000000,01800,0000,01800NURSING FACILITY 15064,A000000,01810,0000,01801ICF/MR 15064,A000000,01900,0000,01900OTHER LONG TERM CARE 15064,A000000,02100,0000,02100RADIOLOGY 15064,A000000,02200,0000,02200LABORATORY 15064,A000000,02300,0000,02300INTRAVENOUS THERAPY 15064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15064,A000000,02500,0000,02500PHYSICAL THERAPY 15064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15064,A000000,02700,0000,02700SPEECH PATHOLOGY 15064,A000000,02800,0000,02800ELECTROCARDIOLOGY 15064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15064,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15064,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15064,A000000,03200,0000,03200SUPPORT SURFACES 15064,A000000,03400,0000,03400CLINIC 15064,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15064,A000000,03500,0000,03500RURAL HEALTH CLINIC 15064,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15064,A000000,04800,0000,04800AMBULANCE 15064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15064,A000000,05000,0000,05000CORF 15064,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15064,A000000,05300,0000,05300INTEREST EXPENSE 15064,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15064,A000000,05500,0000,05500HOSPICE 15064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15064,A000000,06100,0000,06100NONPAID WORKERS 15064,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15064,A000000,06200,0000,06200PATIENTS LAUNDRY 15064,A81000A,00100,0100,Y 15064,A81000B,00100,0300,HOME OFFICE COSTS 15064,A81000B,00200,0300,HOME OFFICE COSTS 15064,A81000B,00300,0300,HOME OFFICE COSTS 15064,A81000B,00400,0300,RELATED PARTY VENDOR 15064,A81000B,00500,0300,RELATED PARTY VENDOR 15064,A81000B,00600,0300,RELATED PARTY VENDOR 15064,A81000B,00700,0300,RELATED PARTY VENDOR 15064,A81000C,00100,0100,D 15064,A81000C,00100,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00100,0400,TOBEY NEWBERRY GROUP 15064,A81000C,00100,0600,HOME OFFICE 15064,A81000C,00200,0100,D 15064,A81000C,00200,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00200,0400,TOBEY NEWBERRY GROUP 15064,A81000C,00200,0600,HOME OFFICE 15064,A81000C,00300,0100,D 15064,A81000C,00300,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00300,0400,TOBEY NEWBERRY GROUP 15064,A81000C,00300,0600,HOME OFFICE 15064,A81000C,00400,0100,A 15064,A81000C,00400,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00400,0400,FREEDOM REHAB & ASSOC 15064,A81000C,00400,0600,THERAPY & CONSULTANTS 15064,A81000C,00500,0100,A 15064,A81000C,00500,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00500,0400,FREEDOM REHAB & ASSOC 15064,A81000C,00500,0600,THERAPY & CONSULTANTS 15064,A81000C,00600,0100,A 15064,A81000C,00600,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00600,0400,FREEDOM REHAB & ASSOC 15064,A81000C,00600,0600,THERAPY & CONSULTANTS 15064,A81000C,00700,0100,A 15064,A81000C,00700,0200,ROBERT & DAPHNA TOBEY 15064,A81000C,00700,0400,FREEDOM REHAB & ASSOC 15064,A81000C,00700,0600,THERAPY & CONSULTANTS 15064,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15064,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15064,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15064,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15064,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15064,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15064,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15064,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 15064,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 15064,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15064,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 15064,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15064,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 15064,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 15064,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15064,S000000,00100,0200,08/07/2000 15064,S200000,00100,0100,5225 WEST MORRIS STREET 15064,S200000,00200,0100,INDIANAPOLIS 15064,S200000,00200,0200,IN 15064,S200000,00200,0300,46241- 15064,S200000,00300,0100,MARION 15064,S200000,00400,0100,LYNHURST HEALTHCARE CENTER 15064,S200000,00400,0200,155642 15064,S200000,00400,0300,01/01/1998 15064,S200000,00400,0500,P 15064,S200000,01004,0500,O 15064,S200000,01600,0100,Y 15064,S200000,03100,0100,Y 15064,S700003,00000,0400,4 15067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15067,A000000,00300,0000,00300EMPLOYEE BENEFITS 15067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15067,A000000,00700,0000,00700HOUSEKEEPING 15067,A000000,00800,0000,00800DIETARY 15067,A000000,00900,0000,00900NURSING ADMINISTRATION 15067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15067,A000000,01100,0000,01100PHARMACY 15067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15067,A000000,01300,0000,01300SOCIAL SERVICE 15067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15067,A000000,01600,0000,01600SKILLED NURSING FACILITY 15067,A000000,01800,0000,01800NURSING FACILITY 15067,A000000,01810,0000,01810ICF/MR 15067,A000000,01900,0000,01900OTHER LONG TERM CARE 15067,A000000,02300,0000,02300INTRAVENOUS THERAPY 15067,A000000,02500,0000,02500PHYSICAL THERAPY 15067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15067,A000000,02700,0000,02700SPEECH PATHOLOGY 15067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15067,A000000,03550,0000,03550FQHC 15067,A000000,05000,0000,05000CORF 15067,A000000,05010,0000,05010CMHC 15067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15067,A81000A,00100,0100,Y 15067,A81000B,00100,0300,RENT EXPENSE 15067,A81000B,00200,0300,MAINTENANCE FEES 15067,A81000B,00300,0300,PLANT OPERATION PERS 15067,A81000B,00400,0300,INTEREST EXPENSE 15067,A81000B,00500,0300,DEPRECIATION - BUILD 15067,A81000B,00600,0300,EQUIPMENT RENTAL 15067,A81000B,00700,0300,REPAIRS & MAINT. 15067,A81000B,00800,0300,AMORTIZATION EXPENSE 15067,A81000B,00900,0300,EMPLOYEE BENEFITS 15067,A81000B,01000,0300,INSURANCE 15067,A81000B,01100,0300,OTHER ADMIN COSTS 15067,A81000B,01200,0300,ACCOUNTING & LEGAL 15067,A81000C,00100,0100,C 15067,A81000C,00100,0200,LEE ALAN BRYANT 15067,A81000C,00100,0400,LAB PROPERTIES 15067,A81000C,00100,0600,REAL ESTATE ENT 15067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15067,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15067,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15067,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15067,B100000,00000,0800,00000MEALS SERVED :DIETARY 15067,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15067,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15067,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 15067,B100000,00000,1250,00000PATIENT REVENUE :MEDICAL RECORDS & 15067,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15067,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15067,S000000,00100,0200,06/01/2000 15067,S200000,00100,0100,ROUTE 5 15067,S200000,00100,0300,BOX 10 15067,S200000,00200,0100,ROCKVILLE 15067,S200000,00200,0200,IN 15067,S200000,00200,0300,47872- 15067,S200000,00400,0100,LEE ALAN BRYANT HEALTH CARE FACILITI 15067,S200000,00400,0200,155646 15067,S200000,00400,0300,04/01/1998 15067,S200000,00400,0500,P 15067,S200000,00600,0200,155646 15067,S200000,00600,0300,04/01/1998 15067,S200000,00600,0600,P 15067,S200000,01004,0500,O 15067,S200000,01600,0100,Y 15067,S700003,00000,0400,4 15073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15073,A000000,00300,0000,00300EMPLOYEE BENEFITS 15073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15073,A000000,00700,0000,00700HOUSEKEEPING 15073,A000000,00800,0000,00800DIETARY 15073,A000000,00900,0000,00900NURSING ADMINISTRATION 15073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15073,A000000,01100,0000,01100PHARMACY 15073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15073,A000000,01300,0000,01300SOCIAL SERVICE 15073,A000000,01350,0000,01500OTHER GENERAL SERVICES 15073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15073,A000000,01600,0000,01600SKILLED NURSING FACILITY 15073,A000000,01800,0000,01800NURSING FACILITY 15073,A000000,01810,0000,01801ICF/MR 15073,A000000,01900,0000,01900OTHER LONG TERM CARE 15073,A000000,02100,0000,02100RADIOLOGY 15073,A000000,02200,0000,02200LABORATORY 15073,A000000,02300,0000,02300INTRAVENOUS THERAPY 15073,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15073,A000000,02500,0000,02500PHYSICAL THERAPY 15073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15073,A000000,02700,0000,02700SPEECH PATHOLOGY 15073,A000000,02800,0000,02800ELECTROCARDIOLOGY 15073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15073,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15073,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15073,A000000,03200,0000,03200SUPPORT SURFACES 15073,A000000,03400,0000,03400CLINIC 15073,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15073,A000000,03500,0000,03500RURAL HEALTH CLINIC 15073,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15073,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15073,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15073,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15073,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15073,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15073,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15073,A000000,04400,0000,04400DME RENTED - HHA 15073,A000000,04500,0000,04500DME SOLD - HHA 15073,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15073,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15073,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15073,A000000,04800,0000,04800AMBULANCE 15073,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15073,A000000,05000,0000,05000CORF 15073,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15073,A000000,05300,0000,05300INTEREST EXPENSE 15073,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15073,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15073,A000000,05500,0000,05500HOSPICE 15073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15073,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15073,A000000,06100,0000,06100NONPAID WORKERS 15073,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15073,A000000,06200,0000,06200PATIENTS LAUNDRY 15073,A81000A,00100,0100,Y 15073,A81000B,00100,0300,HOME OFFICE COSTS 15073,A81000B,00200,0300,HOME OFFICE COSTS 15073,A81000B,00300,0300,HOME OFFICE COSTS 15073,A81000B,00400,0300,RELATED VENDOR COSTS 15073,A81000B,00500,0300,RELATED VENDOR COSTS 15073,A81000B,00600,0300,RELATED VENDOR COSTS 15073,A81000B,00700,0300,RELATED VENDOR COSTS 15073,A81000C,00100,0100,D 15073,A81000C,00100,0200,ROBERT & DAPHNA TOBEY 15073,A81000C,00100,0400,TOBEY NEWBERRY GROUP 15073,A81000C,00100,0600,HOME OFFICE 15073,A81000C,00200,0100,D 15073,A81000C,00200,0200,ROBERT & DAPHNA TOBEY 15073,A81000C,00200,0400,TOBEY NEWBERRY GROUP 15073,A81000C,00200,0600,HOME OFFICE CAPITAL 15073,A81000C,00300,0100,D 15073,A81000C,00300,0200,ROBERY & DAPHNA TOBEY 15073,A81000C,00300,0400,TOBEY NEWBERRY GROUP 15073,A81000C,00300,0600,HOME OFFICE EQUIPMENT 15073,A81000C,00400,0100,A 15073,A81000C,00400,0200,ROBERY & DAPHNA TOBEY 15073,A81000C,00400,0400,FREEDOM REHAB 15073,A81000C,00400,0600,THERAPY & CONSULTANTS 15073,A81000C,00500,0100,A 15073,A81000C,00500,0200,ROBERY & DAPHNA TOBEY 15073,A81000C,00500,0400,FREEDOM REHAB 15073,A81000C,00500,0600,THERAPY & CONSULTANTS 15073,A81000C,00600,0100,A 15073,A81000C,00600,0200,ROBERY & DAPHNA TOBEY 15073,A81000C,00600,0400,FREEDOM REHAB 15073,A81000C,00600,0600,THERAPY & CONSULTANTS 15073,A81000C,00700,0100,A 15073,A81000C,00700,0200,ROBERT & DAPHNA TOBEY 15073,A81000C,00700,0400,FREEDOM REHAB 15073,A81000C,00700,0600,THERAPY & CONSULTANTS 15073,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15073,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15073,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15073,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15073,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15073,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15073,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15073,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15073,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 15073,B100000,00000,1050,00000GROSS CHARGES :CENTRAL SERVICES & 15073,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15073,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 15073,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15073,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15073,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15073,S000000,00100,0200,07/21/2000 15073,S200000,00100,0100,424 NORTH PERKINS STREET 15073,S200000,00200,0100,RUSHVILLE 15073,S200000,00200,0200,IN 15073,S200000,00200,0300,46173- 15073,S200000,00300,0100,RUSH 15073,S200000,00400,0100,HILLSIDE HAVEN HEALTH CARE CENTER 15073,S200000,00400,0200,155648 15073,S200000,00400,0300,05/15/1998 15073,S200000,00400,0500,P 15073,S200000,01004,0500,O 15073,S200000,01600,0100,Y 15073,S200000,02800,0100,Y 15073,S700003,00000,0400,4 15078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15078,A000000,00300,0000,00300EMPLOYEE BENEFITS 15078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15078,A000000,00700,0000,00700HOUSEKEEPING 15078,A000000,00800,0000,00800DIETARY 15078,A000000,00900,0000,00900NURSING ADMINISTRATION 15078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15078,A000000,01100,0000,01100PHARMACY 15078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15078,A000000,01300,0000,01300SOCIAL SERVICE 15078,A000000,01350,0000,01500ACTIVITIES 15078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15078,A000000,01600,0000,01600SKILLED NURSING FACILITY 15078,A000000,01800,0000,01800NURSING FACILITY 15078,A000000,01900,0000,01900OTHER LONG TERM CARE 15078,A000000,02100,0000,02100RADIOLOGY 15078,A000000,02200,0000,02200LABORATORY 15078,A000000,02300,0000,02300INTRAVENOUS THERAPY 15078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15078,A000000,02500,0000,02500PHYSICAL THERAPY 15078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15078,A000000,02700,0000,02700SPEECH PATHOLOGY 15078,A000000,02800,0000,02800ELECTROCARDIOLOGY 15078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15078,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15078,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15078,A000000,03200,0000,03200SUPPORT SURFACES 15078,A000000,03400,0000,03400CLINIC 15078,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15078,A000000,03500,0000,03500RURAL HEALTH CLINIC 15078,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15078,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15078,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15078,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15078,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15078,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15078,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15078,A000000,04400,0000,04400DME RENTED - HHA 15078,A000000,04500,0000,04500DME SOLD - HHA 15078,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15078,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15078,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15078,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15078,A000000,05000,0000,05000CORF 15078,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15078,A000000,05300,0000,05300INTEREST EXPENSE 15078,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15078,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15078,A000000,05500,0000,05500HOSPICE 15078,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15078,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15078,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15078,A000000,06100,0000,06100NONPAID WORKERS 15078,A000000,06101,0000,06101BEAUTY 15078,A000000,06150,0000,06300ASSISTED LIVING 15078,A000000,06200,0000,06200PATIENTS LAUNDRY 15078,A81000A,00100,0100,Y 15078,A81000B,00100,0300,INTEREST 15078,A81000B,00200,0300,MANAGEMENT FEE 15078,A81000B,00300,0300,CORP. CONTROLLER 15078,A81000B,00400,0300,ADMINISTRATOR 15078,A81000B,00500,0300,DIETICIAN 15078,A81000B,00600,0300,HR CONSULTANT 15078,A81000B,00700,0300,INTERIM DON 15078,A81000B,00800,0300,SPEECH THERAPY SERVICES 15078,A81000B,00900,0300,PHYSICAL THERAPY SERVICES 15078,A81000B,01000,0300,OCCUPATIONAL THERAPY SERV. 15078,A81000B,01100,0300,THERAPY CONSULTANT 15078,A81000B,01200,0300,THERAPY CONSULTANT 00 15078,A81000B,01300,0300,THERAPY CONSULTANT 00 15078,A81000B,01400,0300,LEASE EXPENSE 00 15078,A81000B,01500,0300,DIETARY AIDE 15078,A81000B,01600,0300,COMPUTER ASST 15078,A81000B,01700,0300,RN 15078,A81000B,01800,0300,CNA 15078,A81000B,01900,0300,RT THERAPY SERVICE 15078,A81000B,02000,0300,THERAPY CONSULTANT 15078,A81000C,00100,0100,B 15078,A81000C,00100,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00200,0100,B 15078,A81000C,00200,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00300,0100,B 15078,A81000C,00300,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00400,0100,B 15078,A81000C,00400,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00500,0100,B 15078,A81000C,00500,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00600,0100,B 15078,A81000C,00600,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00700,0100,B 15078,A81000C,00700,0200,BLOOMINGTON HOSPITAL 15078,A81000C,00800,0100,B 15078,A81000C,00800,0200,BLOOMNGTON HOSPITAL 15078,A81000C,00900,0100,B 15078,A81000C,00900,0200,BLOOMINGTON HOSPITAL 15078,A81000C,01000,0100,B 15078,A81000C,01000,0200,BLOOMINGTON HOSPITAL 15078,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 15078,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 15078,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15078,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15078,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 15078,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15078,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 15078,B100000,00000,0800,00000MEALS SERVED :DIETARY 15078,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 15078,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15078,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15078,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15078,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15078,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 15078,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15078,S000000,00100,0200,03/02/2000 15078,S200000,00100,0100,RESIDENCE AT MCCORMICKS CREEK 15078,S200000,00100,0300,RURAL ROUTE 5 BOX 82 STATE RD 43 15078,S200000,00200,0100,SPENCER 15078,S200000,00200,0200,IN 15078,S200000,00200,0300,47460- 15078,S200000,00300,0100,OWEN 15078,S200000,00400,0100,RESIDENCE AT MCCORMICKS CREEK 15078,S200000,00400,0200,155649 15078,S200000,00400,0300,07/13/1998 15078,S200000,00400,0500,P 15078,S200000,00400,0600,O 15078,S200000,01600,0100,Y 15078,S200000,02200,0100,Y 15078,S700003,00000,0400,4 15085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15085,A000000,00300,0000,00300EMPLOYEE BENEFITS 15085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15085,A000000,00700,0000,00700HOUSEKEEPING 15085,A000000,00800,0000,00800DIETARY 15085,A000000,00900,0000,00900NURSING ADMINISTRATION 15085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15085,A000000,01100,0000,01100PHARMACY 15085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15085,A000000,01300,0000,01300SOCIAL SERVICE 15085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15085,A000000,01600,0000,01600SKILLED NURSING FACILITY 15085,A000000,01900,0000,01900OTHER LONG TERM CARE 15085,A000000,02100,0000,02100RADIOLOGY 15085,A000000,02200,0000,02200LABORATORY 15085,A000000,02300,0000,02300INTRAVENOUS THERAPY 15085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15085,A000000,02500,0000,02500PHYSICAL THERAPY 15085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15085,A000000,02700,0000,02700SPEECH PATHOLOGY 15085,A000000,02800,0000,02800ELECTROCARDIOLOGY 15085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15085,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15085,A000000,03200,0000,03200SUPPORT SURFACES 15085,A000000,03400,0000,03400CLINIC 15085,A000000,04800,0000,04800AMBULANCE 15085,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15085,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15085,A000000,05300,0000,05300INTEREST EXPENSE 15085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15085,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15085,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15085,A000000,06100,0000,06100NONPAID WORKERS 15085,A000000,06200,0000,06200PATIENTS LAUNDRY 15085,A81000A,00100,0100,Y 15085,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 15085,A81000B,00200,0300,CAPITAL 15085,A81000C,00100,0100,F 15085,A81000C,00100,0200,TLC MANAGEMENT 15085,A81000C,00100,0400,TLC MANAGEMENT 15085,A81000C,00100,0600,HEALTHCARE MGMT 15085,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15085,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 15085,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15085,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15085,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15085,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 15085,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15085,B100000,00000,0800,00000MEALS SERVED :DIETARY 15085,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 15085,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15085,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15085,B100000,00000,1250,00000GROSS SVC :MEDICAL RECORDS & LIBRA 15085,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15085,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15085,S000000,00100,0200,04/17/2000 15085,S200000,00100,0100,8380 VIRGINIA STREET 15085,S200000,00200,0100,MERRILLVILLE 15085,S200000,00200,0200,IN 15085,S200000,00300,0100,46410 LAKE 15085,S200000,00400,0100,LINCOLNSHIRE HEALTH CARE CENTER 15085,S200000,00400,0200,155650 15085,S200000,00400,0300,04/27/1998 15085,S200000,00400,0500,P 15085,S200000,01600,0100,Y 15085,S200000,04700,0100,Y 15085,S700003,00000,0400,4 15094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15094,A000000,00300,0000,00300EMPLOYEE BENEFITS 15094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15094,A000000,00700,0000,00700HOUSEKEEPING 15094,A000000,00800,0000,00800DIETARY 15094,A000000,00900,0000,00900NURSING ADMINISTRATION 15094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15094,A000000,01100,0000,01100PHARMACY 15094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15094,A000000,01300,0000,01300SOCIAL SERVICE 15094,A000000,01350,0000,01500RECREATIONAL THERAPY 15094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15094,A000000,01600,0000,01600SKILLED NURSING FACILITY 15094,A000000,01800,0000,01800NURSING FACILITY 15094,A000000,01810,0000,01810ICF/MR 15094,A000000,02100,0000,02100RADIOLOGY 15094,A000000,02200,0000,02200LABORATORY 15094,A000000,02500,0000,02500PHYSICAL THERAPY 15094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15094,A000000,02700,0000,02700SPEECH PATHOLOGY 15094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15094,A000000,03550,0000,03550FQHC 15094,A000000,04800,0000,04800AMBULANCE 15094,A000000,05000,0000,05000CORF 15094,A000000,05010,0000,05010CMHC 15094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15094,A81000A,00100,0100,Y 15094,A81000B,00100,0300,HOME OFFICE EXPENSES 15094,A81000B,00200,0300,ANCILLARY ADMIN EXP 15094,A81000B,00300,0300,BOOKKEEPING SVCS 15094,A81000B,00400,0300,ACCOUNTING FEES 15094,A81000B,00500,0300,DATA PROCESSING 15094,A81000B,00600,0300,DIETARY CONSULTANT 15094,A81000B,00700,0300,RENT 15094,A81000B,00800,0300,MORTGAGE INTEREST 15094,A81000B,00900,0300,DEPR EXPENSE 15094,A81000B,01000,0300,BLDG CO ADMIN EXP 15094,A81000C,00100,0100,A 15094,A81000C,00100,0200,ERIC ROTHNER 15094,A81000C,00100,0400,CARE CENTERS I 15094,A81000C,00100,0600,MANAGEMENT CO. 15094,A81000C,00200,0100,B 15094,A81000C,00200,0200,ERIC ROTHNER 15094,A81000C,00200,0400,E. CHICAGO NRSG 15094,A81000C,00200,0600,BUILDING CO. 15094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15094,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15094,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 15094,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 15094,B100000,00000,0800,00000MEALS SERVED :DIETARY 15094,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 15094,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 15094,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 15094,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 15094,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15094,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 15094,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15094,S000000,00100,0200,06/02/2000 15094,S200000,00100,0100,5025 MCCOOK AVENUE 15094,S200000,00200,0100,EAST CHICAGO 15094,S200000,00200,0200,IN 15094,S200000,00200,0300,46312- 15094,S200000,00300,0100,LAKE 15094,S200000,00400,0100,LAKE CTY NRSG. & REHAB. CENTER 15094,S200000,00400,0200,155653 15094,S200000,00400,0300,09/01/1998 15094,S200000,00400,0500,P 15094,S200000,00600,0200,155653 15094,S200000,00600,0300,09/01/1998 15094,S200000,00600,0600,P 15094,S200000,01600,0100,Y 15094,S200000,02200,0100,Y 15094,S700003,00000,0400,4 15099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15099,A000000,00300,0000,00300EMPLOYEE BENEFITS 15099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15099,A000000,00700,0000,00700HOUSEKEEPING 15099,A000000,00800,0000,00800DIETARY 15099,A000000,00900,0000,00900NURSING ADMINISTRATION 15099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15099,A000000,01100,0000,01100PHARMACY 15099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15099,A000000,01300,0000,01300SOCIAL SERVICE 15099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15099,A000000,01600,0000,01600SKILLED NURSING FACILITY 15099,A000000,01900,0000,01900OTHER LONG TERM CARE 15099,A000000,02100,0000,02100RADIOLOGY 15099,A000000,02200,0000,02200LABORATORY 15099,A000000,02300,0000,02300INTRAVENOUS THERAPY 15099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15099,A000000,02500,0000,02500PHYSICAL THERAPY 15099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15099,A000000,02700,0000,02700SPEECH PATHOLOGY 15099,A000000,02800,0000,02800ELECTROCARDIOLOGY 15099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15099,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15099,A000000,03200,0000,03200SUPPORT SURFACES 15099,A000000,03400,0000,03400CLINIC 15099,A000000,04800,0000,04800AMBULANCE 15099,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15099,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15099,A000000,05300,0000,05300INTEREST EXPENSE 15099,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15099,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15099,A000000,06100,0000,06100NONPAID WORKERS 15099,A000000,06200,0000,06200PATIENTS LAUNDRY 15099,A81000A,00100,0100,Y 15099,A81000B,00100,0300,CAPITAL 15099,A81000B,00200,0300,ADMIN & GENERAL 15099,A81000C,00100,0100,F 15099,A81000C,00100,0200,TLC MANAGEMENT 15099,A81000C,00100,0400,TLC MANAGEMENT 15099,A81000C,00100,0600,HEALTHCARE MGMT 15099,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15099,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 15099,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15099,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15099,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15099,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 15099,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15099,B100000,00000,0800,00000MEALS SERVED :DIETARY 15099,B100000,00000,0950,00000WORKED NSG :NURSING ADMINISTRATION 15099,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15099,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15099,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 15099,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15099,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15099,S000000,00100,0200,04/17/2000 15099,S200000,00100,0100,2237 ENGLE ROAD 15099,S200000,00200,0100,FORT WAYNE 15099,S200000,00200,0200,IN 15099,S200000,00300,0100,46809 ALLEN 15099,S200000,00400,0100,ENGLEWOOD HEALTH & REHAB 15099,S200000,00400,0200,155654 15099,S200000,00400,0300,10/05/1998 15099,S200000,00400,0500,P 15099,S200000,01600,0100,Y 15099,S200000,04700,0100,Y 15099,S700003,00000,0400,4 15103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15103,A000000,00300,0000,00300EMPLOYEE BENEFITS 15103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15103,A000000,00700,0000,00700HOUSEKEEPING 15103,A000000,00800,0000,00800DIETARY 15103,A000000,00900,0000,00900NURSING ADMINISTRATION 15103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15103,A000000,01100,0000,01100PHARMACY 15103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15103,A000000,01300,0000,01300SOCIAL SERVICE 15103,A000000,01350,0000,01500OTHER GENERAL SERVICES 15103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15103,A000000,01600,0000,01600SKILLED NURSING FACILITY 15103,A000000,01800,0000,01800NURSING FACILITY 15103,A000000,01900,0000,01900OTHER LONG TERM CARE 15103,A000000,02100,0000,02100RADIOLOGY 15103,A000000,02200,0000,02200LABORATORY 15103,A000000,02300,0000,02300INTRAVENOUS THERAPY 15103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15103,A000000,02500,0000,02500PHYSICAL THERAPY 15103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15103,A000000,02700,0000,02700SPEECH PATHOLOGY 15103,A000000,02800,0000,02800ELECTROCARDIOLOGY 15103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15103,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15103,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15103,A000000,03200,0000,03200SUPPORT SURFACES 15103,A000000,03400,0000,03400CLINIC 15103,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15103,A000000,03500,0000,03500RURAL HEALTH CLINIC 15103,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15103,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15103,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15103,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15103,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15103,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15103,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15103,A000000,04400,0000,04400DME RENTED - HHA 15103,A000000,04500,0000,04500DME SOLD - HHA 15103,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15103,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15103,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15103,A000000,04800,0000,04800AMBULANCE 15103,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15103,A000000,05000,0000,05000CORF 15103,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15103,A000000,05300,0000,05300INTEREST EXPENSE 15103,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15103,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15103,A000000,05500,0000,05500HOSPICE 15103,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15103,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15103,A000000,06100,0000,06100NONPAID WORKERS 15103,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15103,A000000,06200,0000,06200PATIENTS LAUNDRY 15103,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 15103,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 15103,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15103,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15103,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 15103,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 15103,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 15103,B100000,00000,0850,00000NO STATISTICS :DIETARY 15103,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 15103,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 15103,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15103,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 15103,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 15103,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15103,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15103,S000000,00100,0200,07/01/1999 15103,S200000,00100,0100,400 WEST 7TH STREET 15103,S200000,00200,0100,NORTH MANCHESTER 15103,S200000,00200,0200,IN 15103,S200000,00200,0300,46962- 15103,S200000,00300,0100,WABASH 15103,S200000,00400,0100,PEABODY RETIREMENT COMMUNITY 15103,S200000,00400,0200,155655 15103,S200000,00400,0300,10/01/1998 15103,S200000,00400,0500,P 15103,S200000,00600,0200,100291 15103,S200000,00600,0300,01/01/1967 15103,S200000,01600,0100,Y 15103,S200000,04100,0100,Y 15103,S700003,00000,0400,4 15105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15105,A000000,00300,0000,00300EMPLOYEE BENEFITS 15105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15105,A000000,00700,0000,00700HOUSEKEEPING 15105,A000000,00800,0000,00800DIETARY 15105,A000000,00900,0000,00900NURSING ADMINISTRATION 15105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15105,A000000,01100,0000,01100PHARMACY 15105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15105,A000000,01300,0000,01300SOCIAL SERVICE 15105,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15105,A000000,01600,0000,01600SKILLED NURSING FACILITY 15105,A000000,01800,0000,01800NURSING FACILITY 15105,A000000,01810,0000,01810ICF/MR 15105,A000000,01900,0000,01900OTHER LONG TERM CARE 15105,A000000,02100,0000,02100RADIOLOGY 15105,A000000,02200,0000,02200LABORATORY 15105,A000000,02300,0000,02300INTRAVENOUS THERAPY 15105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15105,A000000,02500,0000,02500PHYSICAL THERAPY 15105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15105,A000000,02700,0000,02700SPEECH PATHOLOGY 15105,A000000,02800,0000,02800ELECTROCARDIOLOGY 15105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15105,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 15105,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15105,A000000,03200,0000,03200SUPPORT SURFACES 15105,A000000,03400,0000,03400CLINIC 15105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 15105,A000000,03500,0000,03500RURAL HEALTH CLINIC 15105,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15105,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15105,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15105,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15105,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15105,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15105,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15105,A000000,04400,0000,04400DME RENTED - HHA 15105,A000000,04500,0000,04500DME SOLD - HHA 15105,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15105,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15105,A000000,04800,0000,04800AMBULANCE 15105,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15105,A000000,05000,0000,05000CORF 15105,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15105,A000000,05300,0000,05300INTEREST EXPENSE 15105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15105,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15105,A000000,05500,0000,05500HOSPICE 15105,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15105,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15105,A000000,06100,0000,06100NONPAID WORKERS 15105,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 15105,A000000,06200,0000,06200PATIENTS LAUNDRY 15105,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15105,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15105,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15105,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15105,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 15105,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15105,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15105,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 15105,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15105,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 15105,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 15105,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15105,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 15105,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15105,S000000,00100,0200,08/18/2000 15105,S200000,00100,0100,400 W. SEVENTH ST. 15105,S200000,00200,0100,NORTH MANCHESTER 15105,S200000,00200,0200,IN 15105,S200000,00200,0300,46962- 15105,S200000,00300,0100,WABASH 15105,S200000,00400,0100,PEABODY RETIREMENT COMMUNITY 15105,S200000,00400,0200,155655 15105,S200000,00400,0300,08/15/1998 15105,S200000,00400,0500,P 15105,S700003,00000,0400,4 15108,S000000,00100,0200,10/11/1999 15111,S000000,00100,0200,03/29/2000 15114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15114,A000000,00300,0000,00300EMPLOYEE BENEFITS 15114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15114,A000000,00700,0000,00700HOUSEKEEPING 15114,A000000,00800,0000,00800DIETARY 15114,A000000,00900,0000,00900NURSING ADMINISTRATION 15114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15114,A000000,01100,0000,01100PHARMACY 15114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15114,A000000,01300,0000,01300SOCIAL SERVICE 15114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15114,A000000,01600,0000,01600SKILLED NURSING FACILITY 15114,A000000,01900,0000,01900OTHER LONG TERM CARE 15114,A000000,02100,0000,02100RADIOLOGY 15114,A000000,02200,0000,02200LABORATORY 15114,A000000,02300,0000,02300INTRAVENOUS THERAPY 15114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15114,A000000,02500,0000,02500PHYSICAL THERAPY 15114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15114,A000000,02700,0000,02700SPEECH PATHOLOGY 15114,A000000,02800,0000,02800ELECTROCARDIOLOGY 15114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15114,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 0 15114,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15114,A000000,03200,0000,03200SUPPORT SURFACES 15114,A000000,03400,0000,03400CLINIC 15114,A000000,04800,0000,04800AMBULANCE 15114,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15114,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15114,A000000,05300,0000,05300INTEREST EXPENSE 15114,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15114,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15114,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15114,A000000,06100,0000,06100NONPAID WORKERS 15114,A000000,06150,0000,06300OTHER NONREIMBURSABLE 0 15114,A000000,06200,0000,06200PATIENTS LAUNDRY 15114,A81000A,00100,0100,Y 15114,A81000B,00100,0300,HOME OFFICE EXPENSE 15114,A81000B,00200,0300,HOME OFFICE EXPENSE 15114,A81000C,00100,0100,A 15114,A81000C,00100,0200,TRILOGY HEALTH 15114,A81000C,00100,0400,TRILOGY HEALTH 15114,A81000C,00100,0600,HOME OFFICE 15114,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15114,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15114,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15114,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15114,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15114,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 15114,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15114,B100000,00000,0800,00000MEALS SERV :DIETARY 15114,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 15114,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 15114,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15114,B100000,00000,1250,00000PATIENT DA :MEDICAL RECORDS & LIBR 15114,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 15114,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15114,S000000,00100,0200,06/02/2000 15114,S200000,00100,0100,ROUTE 5 15114,S200000,00100,0300,BOX 950 15114,S200000,00200,0100,SPENCER 15114,S200000,00200,0200,IN 15114,S200000,00300,0100,47460 OWEN 15114,S200000,00400,0100,OWEN VALLEY HEALTHCARE CENTER 15114,S200000,00400,0200,155661 15114,S200000,00400,0300,04/13/1999 15114,S200000,00400,0500,P 15114,S200000,01004,0500,O 15114,S200000,01600,0100,Y 15114,S700003,00000,0400,4 15117,S000000,00100,0200,02/01/2000 15118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15118,A000000,00300,0000,00300EMPLOYEE BENEFITS 15118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15118,A000000,00700,0000,00700HOUSEKEEPING 15118,A000000,00800,0000,00800DIETARY 15118,A000000,00900,0000,00900NURSING ADMINISTRATION 15118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15118,A000000,01100,0000,01100PHARMACY 15118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15118,A000000,01300,0000,01300SOCIAL SERVICE 15118,A000000,01350,0000,01500ACTIVITIES 15118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15118,A000000,01600,0000,01600SKILLED NURSING FACILITY 15118,A000000,01800,0000,01800NURSING FACILITY 15118,A000000,01810,0000,01810ICF/MR 15118,A000000,02100,0000,02100RADIOLOGY 15118,A000000,02200,0000,02200LABORATORY 15118,A000000,02500,0000,02500PHYSICAL THERAPY 15118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15118,A000000,02700,0000,02700SPEECH PATHOLOGY 15118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15118,A000000,03550,0000,03550FQHC 15118,A000000,04800,0000,04800AMBULANCE 15118,A000000,05000,0000,05000CORF 15118,A000000,05010,0000,05010CMHC 15118,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15118,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15118,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15118,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15118,A000000,05901,0000,05910AL/IL UNIT 15118,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 15118,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 15118,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 15118,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 15118,B100000,00000,0650,00010PATIENT DAYS :LAUNDRY & LINEN SERV 15118,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 15118,B100000,00000,0800,00010MEALS SERVED :DIETARY 15118,B100000,00000,0950,00010DIRECT NRSG HRS :NURSING ADMINISTRA 15118,B100000,00000,1050,00010PATIENT DAYS :CENTRAL SERVICES & S 15118,B100000,00000,1250,00010PATIENT REVENUE :MEDICAL RECORDS & 15118,B100000,00000,1330,00010PATIENT DAYS :SOCIAL SERVICE 15118,B100000,00000,1350,00010PATIENT DAYS :ACTIVITIES 15118,S000000,00100,0200,12/01/2000 15118,S200000,00100,0100,503 OTIS R. BOWEN DR 15118,S200000,00200,0100,MUNSTER 15118,S200000,00200,0200,IN 15118,S200000,00200,0300,46321- 15118,S200000,00300,0100,LAKE 15118,S200000,00300,0200,2960 15118,S200000,00300,0300,U 15118,S200000,00400,0100,THE CARE CENTER HARTSFIELD VILLAGE 15118,S200000,00400,0200,155662 15118,S200000,00400,0300,03/30/1999 15118,S200000,00400,0500,P 15118,S200000,00600,0200,155662 15118,S200000,00600,0300,03/30/1999 15118,S200000,00600,0600,P 15118,S200000,01004,0500,O 15118,S200000,01600,0100,Y 15118,S200000,01900,0100,501C3 15118,S200000,02200,0100,Y 15121,S000000,00100,0200,04/14/2000 15126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15126,A000000,00300,0000,00300EMPLOYEE BENEFITS 15126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15126,A000000,00700,0000,00700HOUSEKEEPING 15126,A000000,00800,0000,00800DIETARY 15126,A000000,00900,0000,00900NURSING ADMINISTRATION 15126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15126,A000000,01100,0000,01100PHARMACY 15126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15126,A000000,01300,0000,01300SOCIAL SERVICE 15126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15126,A000000,01600,0000,01600SKILLED NURSING FACILITY 15126,A000000,01900,0000,01900OTHER LONG TERM CARE 15126,A000000,02100,0000,02100RADIOLOGY 15126,A000000,02200,0000,02200LABORATORY 15126,A000000,02300,0000,02300INTRAVENOUS THERAPY 15126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15126,A000000,02500,0000,02500PHYSICAL THERAPY 15126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15126,A000000,02700,0000,02700SPEECH PATHOLOGY 15126,A000000,02800,0000,02800ELECTROCARDIOLOGY 15126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15126,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 0 15126,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15126,A000000,03200,0000,03200SUPPORT SURFACES 15126,A000000,03400,0000,03400CLINIC 15126,A000000,04800,0000,04800AMBULANCE 15126,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15126,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15126,A000000,05300,0000,05300INTEREST EXPENSE 15126,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15126,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15126,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15126,A000000,06100,0000,06100NONPAID WORKERS 15126,A000000,06150,0000,06300OTHER NONREIMBURSABLE 0 15126,A000000,06200,0000,06200PATIENTS LAUNDRY 15126,A81000A,00100,0100,Y 15126,A81000B,00100,0300,HOME OFFICE EXPENSE 15126,A81000B,00200,0300,CAPITAL 15126,A81000C,00100,0100,A 15126,A81000C,00100,0200,TRILOGY HEALTH 15126,A81000C,00100,0600,HOME OFFICE 15126,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15126,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15126,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15126,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15126,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15126,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 15126,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15126,B100000,00000,0800,00000MEALS SERV :DIETARY 15126,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 15126,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 15126,B100000,00000,1250,00000PATIENT DA :MEDICAL RECORDS & LIBR 15126,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 15126,S000000,00100,0200,06/02/2000 15126,S200000,00100,0100,701 HENRY STREET 15126,S200000,00200,0100,NORTH VERNON 15126,S200000,00200,0200,IN 15126,S200000,00300,0100,47265 JENNINGS 15126,S200000,00300,0300,R 15126,S200000,00400,0100,JENNINGS HEALTHCARE CENTER 15126,S200000,00400,0200,155665 15126,S200000,00400,0300,05/26/1999 15126,S200000,00400,0500,P 15126,S200000,01004,0500,O 15126,S200000,01600,0100,Y 15129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15129,A000000,00300,0000,00300EMPLOYEE BENEFITS 15129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15129,A000000,00700,0000,00700HOUSEKEEPING 15129,A000000,00800,0000,00800DIETARY 15129,A000000,00900,0000,00900NURSING ADMINISTRATION 15129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15129,A000000,01300,0000,01300SOCIAL SERVICE 15129,A000000,01301,0000,01301ACTIVITIES 15129,A000000,01600,0000,01600SKILLED NURSING FACILITY 15129,A000000,01800,0000,01800NURSING FACILITY 15129,A000000,02200,0000,02200LABORATORY 15129,A000000,02500,0000,02500PHYSICAL THERAPY 15129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15129,A000000,02700,0000,02700SPEECH PATHOLOGY 15129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15129,A000000,06201,0000,06201ENTERAL FEEDING 15129,B100000,00000,0100,00001(SQUARE FEET) :CAP REL COSTS - BLD 15129,B100000,00000,0250,00001(SQUARE FEET) :CAP REL COSTS - MOV 15129,B100000,00000,0300,00001(GROSS SALARIES) :EMPLOYEE BENEFIT 15129,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 15129,B100000,00000,0500,00001(SQUARE FEET) :PLANT OPERATION MA 15129,B100000,00000,0650,00001(PATIENT DAYS) :LAUNDRY & LINEN SE 15129,B100000,00000,0750,00001(SQUARE FEET) :HOUSEKEEPING 15129,B100000,00000,0850,00001(PATIENT DAYS) :DIETARY 15129,B100000,00000,0900,00001(DIR NRSG HOURS) :NURSING ADMINISTR 15129,B100000,00000,1250,00001(PATIENT DAYS) :MEDICAL RECORDS & 15129,B100000,00000,1330,00001(PATIENT DAYS) :SOCIAL SERVICE 15129,B100000,00000,1331,00001(PATIENT DAYS) :ACTIVITIES 15129,S000000,00100,0200,04/23/2001 15129,S200000,00100,0100,1751 WESLEY ROAD 15129,S200000,00200,0100,AUBURN 15129,S200000,00200,0200,IN 15129,S200000,00200,0300,46706- 15129,S200000,00300,0100,DEKALB 15129,S200000,00400,0100,WESLEY HEALTHCARE 15129,S200000,00400,0200,155666 15129,S200000,00400,0300,05/26/1999 15129,S200000,00400,0500,P 15129,S200000,01004,0500,O 15129,S200000,01500,0100,Y 15129,S700003,00000,0400,4 15133,S000000,00100,0200,04/26/2000 15167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15167,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15167,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15167,A000000,00300,0000,00300EMPLOYEE BENEFITS 15167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15167,A000000,00700,0000,00700HOUSEKEEPING 15167,A000000,00800,0000,00800DIETARY 15167,A000000,00801,0000,00801CAFETERIA 15167,A000000,00900,0000,00900NURSING ADMINISTRATION 15167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15167,A000000,01100,0000,01100PHARMACY 15167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15167,A000000,01300,0000,01300SOCIAL SERVICE 15167,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15167,A000000,01600,0000,01600SKILLED NURSING FACILITY 15167,A000000,01800,0000,01800NURSING FACILITY 15167,A000000,01900,0000,01900OTHER LONG TERM CARE 15167,A000000,02100,0000,02100RADIOLOGY 15167,A000000,02200,0000,02200LABORATORY 15167,A000000,02300,0000,02300INTRAVENOUS THERAPY 15167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15167,A000000,02500,0000,02500PHYSICAL THERAPY 15167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15167,A000000,02700,0000,02700SPEECH PATHOLOGY 15167,A000000,02800,0000,02800ELECTROCARDIOLOGY 15167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15167,A000000,03050,0000,03300OTHER ANCILLARY 15167,A000000,03051,0000,03301OTHER ANCILLARY II 15167,A000000,03052,0000,03302OTHER ANCILLARY III 15167,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15167,A000000,03200,0000,03200SUPPORT SURFACES 15167,A000000,03400,0000,03400CLINIC 15167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15167,A000000,03500,0000,03500RURAL HEALTH CLINIC 15167,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15167,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15167,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15167,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15167,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15167,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15167,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15167,A000000,04400,0000,04400DME RENTED - HHA 15167,A000000,04500,0000,04500DME SOLD - HHA 15167,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15167,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15167,A000000,04800,0000,04800AMBULANCE 15167,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15167,A000000,05000,0000,05000CORF 15167,A000000,05010,0000,05010CMHC I 15167,A000000,05020,0000,05020OPT I 15167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15167,A000000,05300,0000,05300INTEREST EXPENSE 15167,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15167,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15167,A000000,05500,0000,05500HOSPICE 15167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15167,A000000,06100,0000,06100NONPAID WORKERS 15167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15167,A000000,06200,0000,06200PATIENTS LAUNDRY 15167,A81000A,00100,0100,Y 15167,A81000B,00100,0300,MANAGEMENT FEE 15167,A81000B,00200,0300,PAYROLL PROCESSING 15167,A81000B,00300,0300,PHYSICAL THERAPY 15167,A81000B,00400,0300,OCCUPATIONAL THERAPY 15167,A81000B,00500,0300,SPEECH THERAPY 15167,A81000B,00600,0300,DIETARY 15167,A81000B,00700,0300,CENTRAL SUPPLY 15167,A81000B,00800,0300,MED SUPPLIES 15167,A81000C,00100,0100,G 15167,A81000C,00100,0200,CENT HC CORP 15167,A81000C,00100,0400,CENT HC CORP 15167,A81000C,00100,0600,HOME OFFICE 15167,A81000C,00200,0100,G 15167,A81000C,00200,0200,CENT HC CORP 15167,A81000C,00200,0400,CENT HC CORP 15167,A81000C,00200,0600,HOME OFFICE 15167,A81000C,00300,0100,G 15167,A81000C,00300,0200,PARAGON 15167,A81000C,00300,0400,CENT HC CORP 15167,A81000C,00300,0600,THERAPY 15167,A81000C,00400,0100,G 15167,A81000C,00400,0200,PARAGON 15167,A81000C,00400,0400,CENT HC CORP 15167,A81000C,00400,0600,THERAPY 15167,A81000C,00500,0100,G 15167,A81000C,00500,0200,PARAGON 15167,A81000C,00500,0400,CENT HC CORP 15167,A81000C,00500,0600,THERAPY 15167,A81000C,00600,0100,G 15167,A81000C,00600,0200,CENTENNIAL PTS 15167,A81000C,00600,0400,CENT HC CORP 15167,A81000C,00600,0600,SUPPLIES 15167,A81000C,00700,0100,G 15167,A81000C,00700,0200,CENTENNIAL PTS 15167,A81000C,00700,0400,CENT HC CORP 15167,A81000C,00700,0600,MED SUPPLIES 15167,A81000C,00800,0100,G 15167,A81000C,00800,0200,CENTENNIAL PTS 15167,A81000C,00800,0400,CENT HC CORP 15167,A81000C,00800,0600,MED SUPPLIES 15167,A81000C,03100,0000,SUPPLIES 15167,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15167,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15167,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15167,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15167,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15167,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15167,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15167,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15167,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15167,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15167,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15167,S000000,00100,0200,09/21/2000 15167,S200000,00100,0100,201 E. FLAMING DRIVE 15167,S200000,00200,0100,OLATHE 15167,S200000,00200,0200,KS 15167,S200000,00200,0300,66061- 15167,S200000,00300,0100,JOHNSON 15167,S200000,00300,0200,3760 15167,S200000,00300,0300,U 15167,S200000,00400,0100,ROYAL TERRACE 15167,S200000,00400,0200,175160 15167,S200000,00400,0300,08/01/1994 15167,S200000,00400,0500,P 15167,S200000,01500,0100,Y 15167,S200000,01900,0100,OTHER (SPECIFY) 15167,S200000,02200,0100,Y 15175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15175,A000000,00300,0000,00300EMPLOYEE BENEFITS 15175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15175,A000000,00700,0000,00700HOUSEKEEPING 15175,A000000,00800,0000,00800DIETARY 15175,A000000,00900,0000,00900NURSING ADMINISTRATION 15175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15175,A000000,01100,0000,01100PHARMACY 15175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15175,A000000,01300,0000,01300SOCIAL SERVICE 15175,A000000,01350,0000,01500OTHER GENERAL SERVICES 15175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15175,A000000,01600,0000,01600SKILLED NURSING FACILITY 15175,A000000,01800,0000,01800NURSING FACILITY 15175,A000000,01810,0000,01810ICF/MR 15175,A000000,01900,0000,01900OTHER LONG TERM CARE 15175,A000000,02100,0000,02100RADIOLOGY 15175,A000000,02200,0000,02200LABORATORY 15175,A000000,02300,0000,02300INTRAVENOUS THERAPY 15175,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15175,A000000,02500,0000,02500PHYSICAL THERAPY 15175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15175,A000000,02700,0000,02700SPEECH PATHOLOGY 15175,A000000,02800,0000,02800ELECTROCARDIOLOGY 15175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15175,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15175,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15175,A000000,03200,0000,03200SUPPORT SURFACES 15175,A000000,03400,0000,03400CLINIC 15175,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15175,A000000,03500,0000,03500RURAL HEALTH CLINIC 15175,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15175,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15175,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15175,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15175,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15175,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15175,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15175,A000000,04400,0000,04400DME RENTED - HHA 15175,A000000,04500,0000,04500DME SOLD - HHA 15175,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15175,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15175,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15175,A000000,04800,0000,04800AMBULANCE 15175,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15175,A000000,05000,0000,05000CORF 15175,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15175,A000000,05300,0000,05300INTEREST EXPENSE 15175,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15175,A000000,05500,0000,05500HOSPICE 15175,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15175,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15175,A000000,06100,0000,06100NONPAID WORKERS 15175,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15175,A000000,06200,0000,06200PATIENTS LAUNDRY 15175,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15175,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15175,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15175,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15175,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15175,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15175,B100000,00000,0800,00000MEALS SERVED :DIETARY 15175,B100000,00000,0950,00000HEALTHCARE E PAT :NURSING ADMINISTR 15175,B100000,00000,1250,00000HEALTHCARE E PAT :MEDICAL RECORDS & 15175,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 15175,S000000,00100,0200,08/28/2000 15175,S200000,00100,0100,3501 WEST 95THTH STREET 15175,S200000,00200,0100,OVERLAND PARK 15175,S200000,00200,0200,KS 15175,S200000,00200,0300,66206- 15175,S200000,00300,0100,JOHNSON 15175,S200000,00300,0200,3760 15175,S200000,00300,0300,U 15175,S200000,00400,0100,THE FORUM AT OVERLAND PARK 15175,S200000,00400,0200,175189 15175,S200000,00400,0300,08/10/1989 15175,S200000,00400,0500,P 15175,S200000,01600,0100,Y 15175,S200000,01700,0100,Y 15178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15178,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15178,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15178,A000000,00300,0000,00300EMPLOYEE BENEFITS 15178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15178,A000000,00700,0000,00700HOUSEKEEPING 15178,A000000,00800,0000,00800DIETARY 15178,A000000,00801,0000,00801CAFETERIA 15178,A000000,00900,0000,00900NURSING ADMINISTRATION 15178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15178,A000000,01100,0000,01100PHARMACY 15178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15178,A000000,01300,0000,01300SOCIAL SERVICE 15178,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15178,A000000,01600,0000,01600SKILLED NURSING FACILITY 15178,A000000,01800,0000,01800NURSING FACILITY 15178,A000000,01900,0000,01900OTHER LONG TERM CARE 15178,A000000,02100,0000,02100RADIOLOGY 15178,A000000,02200,0000,02200LABORATORY 15178,A000000,02300,0000,02300INTRAVENOUS THERAPY 15178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15178,A000000,02500,0000,02500PHYSICAL THERAPY 15178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15178,A000000,02700,0000,02700SPEECH PATHOLOGY 15178,A000000,02800,0000,02800ELECTROCARDIOLOGY 15178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15178,A000000,03050,0000,03300OTHER ANCILLARY 15178,A000000,03051,0000,03301OTHER ANCILLARY II 15178,A000000,03052,0000,03302OTHER ANCILLARY III 15178,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15178,A000000,03200,0000,03200SUPPORT SURFACES 15178,A000000,03400,0000,03400CLINIC 15178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15178,A000000,03500,0000,03500RURAL HEALTH CLINIC 15178,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15178,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15178,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15178,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15178,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15178,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15178,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15178,A000000,04400,0000,04400DME RENTED - HHA 15178,A000000,04500,0000,04500DME SOLD - HHA 15178,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15178,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15178,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15178,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15178,A000000,05000,0000,05000CORF 15178,A000000,05010,0000,05010CMHC I 15178,A000000,05020,0000,05020OPT I 15178,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15178,A000000,05300,0000,05300INTEREST EXPENSE 15178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15178,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15178,A000000,05500,0000,05500HOSPICE 15178,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15178,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15178,A000000,06100,0000,06100NONPAID WORKERS 15178,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15178,A000000,06200,0000,06200PATIENTS LAUNDRY 15178,A81000A,00100,0100,Y 15178,A81000B,00200,0300,MANAGEMENT FEE 15178,A81000B,00300,0300,PAYROLL PROCESSING 15178,A81000C,00200,0100,G 15178,A81000C,00200,0200,CENTENNIAL HC 15178,A81000C,00200,0400,CENTENNIAL HC 15178,A81000C,00200,0600,HOME OFFICE 15178,A81000C,00300,0100,G 15178,A81000C,00300,0200,CENTENNIAL HC 15178,A81000C,00300,0400,CENTENNIAL HC 15178,A81000C,00300,0600,HOME OFFICE 15178,A81000C,03100,0000,PAYROLL PROC 15178,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15178,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 15178,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15178,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 15178,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15178,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15178,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15178,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15178,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15178,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15178,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 15178,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15178,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15178,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 15178,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15178,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15178,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 15178,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 15178,S000000,00100,0200,07/02/1999 15178,S200000,00100,0100,900 ELMHURST BOULEVARD 15178,S200000,00200,0100,SALINA 15178,S200000,00200,0200,KS 15178,S200000,00200,0300,67401- 15178,S200000,00300,0100,SALINE 15178,S200000,00400,0100,KENWOOD VIEW NURSING CENTER 15178,S200000,00400,0200,175200 15178,S200000,00400,0300,10/01/1998 15178,S200000,00400,0500,P 15178,S200000,01600,0100,Y 15178,S200000,02800,0100,Y 15178,S700003,00000,0100,1 15180,S000000,00100,0200,06/01/2000 15189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15189,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15189,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15189,A000000,00300,0000,00300EMPLOYEE BENEFITS 15189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15189,A000000,00700,0000,00700HOUSEKEEPING 15189,A000000,00800,0000,00800DIETARY 15189,A000000,00801,0000,00801CAFETERIA 15189,A000000,00900,0000,00900NURSING ADMINISTRATION 15189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15189,A000000,01100,0000,01100PHARMACY 15189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15189,A000000,01300,0000,01300SOCIAL SERVICE 15189,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15189,A000000,01600,0000,01600SKILLED NURSING FACILITY 15189,A000000,01800,0000,01800NURSING FACILITY 15189,A000000,01900,0000,01900OTHER LONG TERM CARE 15189,A000000,02100,0000,02100RADIOLOGY 15189,A000000,02200,0000,02200LABORATORY 15189,A000000,02300,0000,02300INTRAVENOUS THERAPY 15189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15189,A000000,02500,0000,02500PHYSICAL THERAPY 15189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15189,A000000,02700,0000,02700SPEECH PATHOLOGY 15189,A000000,02800,0000,02800ELECTROCARDIOLOGY 15189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15189,A000000,03050,0000,03300OTHER ANCILLARY 15189,A000000,03051,0000,03301OTHER ANCILLARY II 15189,A000000,03052,0000,03302OTHER ANCILLARY III 15189,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15189,A000000,03200,0000,03200SUPPORT SURFACES 15189,A000000,03400,0000,03400CLINIC 15189,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15189,A000000,03500,0000,03500RURAL HEALTH CLINIC 15189,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15189,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15189,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15189,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15189,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15189,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15189,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15189,A000000,04400,0000,04400DME RENTED - HHA 15189,A000000,04500,0000,04500DME SOLD - HHA 15189,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15189,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15189,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15189,A000000,04800,0000,04800AMBULANCE 15189,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15189,A000000,05000,0000,05000CORF 15189,A000000,05010,0000,05010CMHC I 15189,A000000,05020,0000,05020OPT I 15189,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15189,A000000,05300,0000,05300INTEREST EXPENSE 15189,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15189,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15189,A000000,05500,0000,05500HOSPICE 15189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15189,A000000,06100,0000,06100NONPAID WORKERS 15189,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15189,A000000,06200,0000,06200PATIENTS LAUNDRY 15189,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15189,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15189,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15189,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15189,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15189,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15189,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15189,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15189,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15189,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15189,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15189,S000000,00100,0200,09/21/2000 15189,S200000,00100,0100,221 W. LOGAN STREET 15189,S200000,00200,0100,EMPORIA 15189,S200000,00200,0200,KS 15189,S200000,00200,0300,66801- 15189,S200000,00300,0200,17 15189,S200000,00300,0300,R 15189,S200000,00400,0100,EMPORIA REHAB 15189,S200000,00400,0200,175225 15189,S200000,00400,0300,07/01/1992 15189,S200000,00400,0500,P 15189,S200000,01500,0100,Y 15189,S200000,02200,0100,Y 15211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15211,A000000,00300,0000,00300EMPLOYEE BENEFITS 15211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15211,A000000,00700,0000,00700HOUSEKEEPING 15211,A000000,00800,0000,00800DIETARY 15211,A000000,00900,0000,00900NURSING ADMINISTRATION 15211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15211,A000000,01100,0000,01100PHARMACY 15211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15211,A000000,01300,0000,01300SOCIAL SERVICE 15211,A000000,01350,0000,01500OTHER GENERAL SERVICES 15211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15211,A000000,01600,0000,01600SKILLED NURSING FACILITY 15211,A000000,01800,0000,01800NURSING FACILITY 15211,A000000,01900,0000,01900OTHER LONG TERM CARE 15211,A000000,02100,0000,02100RADIOLOGY 15211,A000000,02200,0000,02200LABORATORY 15211,A000000,02300,0000,02300INTRAVENOUS THERAPY 15211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15211,A000000,02500,0000,02500PHYSICAL THERAPY 15211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15211,A000000,02700,0000,02700SPEECH PATHOLOGY 15211,A000000,02800,0000,02800ELECTROCARDIOLOGY 15211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15211,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15211,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15211,A000000,03200,0000,03200SUPPORT SURFACES 15211,A000000,03400,0000,03400CLINIC 15211,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15211,A000000,03500,0000,03500RURAL HEALTH CLINIC 15211,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15211,A000000,04800,0000,04800AMBULANCE 15211,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15211,A000000,05000,0000,05000CORF 15211,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15211,A000000,05300,0000,05300INTEREST EXPENSE 15211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15211,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15211,A000000,05500,0000,05500HOSPICE 15211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15211,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15211,A000000,06100,0000,06100NONPAID WORKERS 15211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15211,A000000,06200,0000,06200PATIENTS LAUNDRY 15211,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 15211,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 15211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15211,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 15211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15211,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 15211,B100000,00000,0850,00000PATIENT DAYS :DIETARY 15211,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15211,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 15211,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15211,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15211,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15211,S000000,00100,0200,07/06/2000 15211,S200000,00100,0100,700 MASON HEADLY ROAD 15211,S200000,00200,0100,LEXINGTON 15211,S200000,00200,0200,KY 15211,S200000,00200,0300,40504- 15211,S200000,00300,0100,FAYETTE 15211,S200000,00400,0100,LEXINGTON COUNTRY PLACE 15211,S200000,00400,0200,185160 15211,S200000,00400,0300,12/31/1986 15211,S200000,00400,0500,P 15211,S200000,01600,0100,Y 15211,S700003,00000,0100,1 15220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15220,A000000,00300,0000,00300EMPLOYEE BENEFITS 15220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15220,A000000,00700,0000,00700HOUSEKEEPING 15220,A000000,00800,0000,00800DIETARY 15220,A000000,00900,0000,00900NURSING ADMINISTRATION 15220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15220,A000000,01100,0000,01100PHARMACY 15220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15220,A000000,01300,0000,01300SOCIAL SERVICE 15220,A000000,01350,0000,01500OTHER GENERAL SERVICES 15220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15220,A000000,01600,0000,01600SKILLED NURSING FACILITY 15220,A000000,01800,0000,01800NURSING FACILITY 15220,A000000,01810,0000,01810ICF/MR 15220,A000000,01900,0000,01900OTHER LONG TERM CARE 15220,A000000,02100,0000,02100RADIOLOGY 15220,A000000,02200,0000,02200LABORATORY 15220,A000000,02300,0000,02300INTRAVENOUS THERAPY 15220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15220,A000000,02500,0000,02500PHYSICAL THERAPY 15220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15220,A000000,02700,0000,02700SPEECH PATHOLOGY 15220,A000000,02800,0000,02800ELECTROCARDIOLOGY 15220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15220,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15220,A000000,03200,0000,03200SUPPORT SURFACES 15220,A000000,03400,0000,03400CLINIC 15220,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15220,A000000,03500,0000,03500RURAL HEALTH CLINIC 15220,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15220,A000000,04800,0000,04800AMBULANCE 15220,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15220,A000000,05000,0000,05000CORF 15220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15220,A000000,05300,0000,05300INTEREST EXPENSE 15220,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15220,A000000,05500,0000,05500HOSPICE 15220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15220,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15220,A000000,06100,0000,06100NONPAID WORKERS 15220,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15220,A000000,06200,0000,06200PATIENTS LAUNDRY 15220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15220,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15220,B100000,00000,0800,00000MEALS SERVED :DIETARY 15220,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 15220,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 15220,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 15220,S000000,00100,0200,08/28/2000 15220,S200000,00100,0100,200 BROOKSIDE DRIVE 15220,S200000,00200,0100,LOUISVILLE 15220,S200000,00200,0200,KY 15220,S200000,00200,0300,40243- 15220,S200000,00300,0100,JEFFERSON 15220,S200000,00300,0200,4520 15220,S200000,00300,0300,U 15220,S200000,00400,0100,THE FORUM AT BROOKSIDE 15220,S200000,00400,0200,185194 15220,S200000,00400,0300,02/13/1987 15220,S200000,00400,0500,P 15220,S200000,01500,0100,Y 15220,S200000,01700,0100,Y 15229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15229,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15229,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15229,A000000,00300,0000,00300EMPLOYEE BENEFITS 15229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15229,A000000,00700,0000,00700HOUSEKEEPING 15229,A000000,00800,0000,00800DIETARY 15229,A000000,00801,0000,00801CAFETERIA 15229,A000000,00900,0000,00900NURSING ADMINISTRATION 15229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15229,A000000,01100,0000,01100PHARMACY 15229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15229,A000000,01300,0000,01300SOCIAL SERVICE 15229,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15229,A000000,01600,0000,01600SKILLED NURSING FACILITY 15229,A000000,01800,0000,01800NURSING FACILITY 15229,A000000,01900,0000,01900OTHER LONG TERM CARE 15229,A000000,02100,0000,02100RADIOLOGY 15229,A000000,02200,0000,02200LABORATORY 15229,A000000,02300,0000,02300INTRAVENOUS THERAPY 15229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15229,A000000,02500,0000,02500PHYSICAL THERAPY 15229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15229,A000000,02700,0000,02700SPEECH PATHOLOGY 15229,A000000,02800,0000,02800ELECTROCARDIOLOGY 15229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15229,A000000,03050,0000,03300OTHER ANCILLARY 15229,A000000,03051,0000,03301OTHER ANCILLARY II 15229,A000000,03052,0000,03302OTHER ANCILLARY III 15229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15229,A000000,03200,0000,03200SUPPORT SURFACES 15229,A000000,03400,0000,03400CLINIC 15229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15229,A000000,03500,0000,03500RURAL HEALTH CLINIC 15229,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15229,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15229,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15229,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15229,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15229,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15229,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15229,A000000,04400,0000,04400DME RENTED - HHA 15229,A000000,04500,0000,04500DME SOLD - HHA 15229,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15229,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15229,A000000,04800,0000,04800AMBULANCE 15229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15229,A000000,05000,0000,05000CORF 15229,A000000,05010,0000,05010CMHC I 15229,A000000,05020,0000,05020OPT I 15229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15229,A000000,05300,0000,05300INTEREST EXPENSE 15229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15229,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15229,A000000,05500,0000,05500HOSPICE 15229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15229,A000000,06100,0000,06100NONPAID WORKERS 15229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15229,A000000,06200,0000,06200PATIENTS LAUNDRY 15229,A81000A,00100,0100,Y 15229,A81000B,00100,0300,MANAGEMENT FEES 15229,A81000B,00200,0300,PAYROLL FEES 15229,A81000B,00300,0300,MANAGEMENT FEES - CPTL RELATED 15229,A81000B,00400,0300,DIETARY 15229,A81000B,00500,0300,CENTRAL SERVICES 15229,A81000B,00600,0300,NURSING SUPPLIES 15229,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 15229,A81000B,00800,0300,MEDICAL EQUIP. RENTAL 15229,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 15229,A81000C,00100,0100,G 15229,A81000C,00100,0200,CENTENNIAL HC 15229,A81000C,00100,0400,CENT HC CORP 15229,A81000C,00100,0600,HOME OFFICE 15229,A81000C,00200,0100,G 15229,A81000C,00200,0200,CENTENNIAL HC 15229,A81000C,00200,0400,CENT HC CORP 15229,A81000C,00200,0600,HOME OFFICE 15229,A81000C,00300,0100,G 15229,A81000C,00300,0200,CENTENNIAL PTS 15229,A81000C,00300,0400,CENT HC CORP 15229,A81000C,00300,0600,GPO 15229,A81000C,00400,0100,G 15229,A81000C,00400,0200,CENTENNIAL PTS 15229,A81000C,00400,0400,CENT HC CORP 15229,A81000C,00400,0600,GPO 15229,A81000C,00500,0100,G 15229,A81000C,00500,0200,CENTENNIAL PTS 15229,A81000C,00500,0400,CENT HC CORP 15229,A81000C,00500,0600,GPO 15229,A81000C,00600,0100,G 15229,A81000C,00600,0200,CENTENNIAL PTS 15229,A81000C,00600,0400,CENT HC CORP 15229,A81000C,00600,0600,GPO 15229,A81000C,00700,0100,G 15229,A81000C,00700,0200,CENTENNIAL PTS 15229,A81000C,00700,0400,CENT HC CORP 15229,A81000C,00700,0600,GPO 15229,A81000C,00800,0100,G 15229,A81000C,00800,0200,CENTENNIAL PTS 15229,A81000C,00800,0400,CENT HC CORP 15229,A81000C,00800,0600,GPO 15229,A81000C,00900,0100,G 15229,A81000C,00900,0200,CENTENNIAL PTS 15229,A81000C,00900,0400,CENT HC CORP 15229,A81000C,00900,0600,GPO 15229,A81000C,01000,0100,G 15229,A81000C,01000,0200,CENTENNIAL HC 15229,A81000C,01000,0400,CENT HC CORP 15229,A81000C,01000,0600,HOME OFFICE 15229,A81000C,03100,0000,FEE 15229,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15229,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15229,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15229,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15229,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15229,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15229,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15229,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15229,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15229,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15229,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15229,S000000,00100,0200,06/01/2000 15229,S200000,00100,0100,200 NURSING HOME LANE 15229,S200000,00200,0100,PIKEVILLE 15229,S200000,00200,0200,KY 15229,S200000,00200,0300,41501- 15229,S200000,00300,0100,PIKE 15229,S200000,00300,0300,R 15229,S200000,00400,0100,PARKVIEW NURSING & REHAB 15229,S200000,00400,0200,185256 15229,S200000,00400,0300,04/09/1991 15229,S200000,00400,0500,P 15229,S200000,01500,0100,Y 15229,S200000,02200,0100,Y 15229,S200000,02800,0100,Y 15238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15238,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15238,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15238,A000000,00300,0000,00300EMPLOYEE BENEFITS 15238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15238,A000000,00700,0000,00700HOUSEKEEPING 15238,A000000,00800,0000,00800DIETARY 15238,A000000,00801,0000,00801CAFETERIA 15238,A000000,00900,0000,00900NURSING ADMINISTRATION 15238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15238,A000000,01100,0000,01100PHARMACY 15238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15238,A000000,01300,0000,01300SOCIAL SERVICE 15238,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15238,A000000,01600,0000,01600SKILLED NURSING FACILITY 15238,A000000,01800,0000,01800NURSING FACILITY 15238,A000000,01900,0000,01900OTHER LONG TERM CARE 15238,A000000,02100,0000,02100RADIOLOGY 15238,A000000,02200,0000,02200LABORATORY 15238,A000000,02300,0000,02300INTRAVENOUS THERAPY 15238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15238,A000000,02500,0000,02500PHYSICAL THERAPY 15238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15238,A000000,02700,0000,02700SPEECH PATHOLOGY 15238,A000000,02800,0000,02800ELECTROCARDIOLOGY 15238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15238,A000000,03050,0000,03300OTHER ANCILLARY 15238,A000000,03051,0000,03301OTHER ANCILLARY II 15238,A000000,03052,0000,03302OTHER ANCILLARY III 15238,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15238,A000000,03200,0000,03200SUPPORT SURFACES 15238,A000000,03400,0000,03400CLINIC 15238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15238,A000000,03500,0000,03500RURAL HEALTH CLINIC 15238,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15238,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15238,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15238,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15238,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15238,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15238,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15238,A000000,04400,0000,04400DME RENTED - HHA 15238,A000000,04500,0000,04500DME SOLD - HHA 15238,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15238,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15238,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15238,A000000,04800,0000,04800AMBULANCE 15238,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15238,A000000,05000,0000,05000CORF 15238,A000000,05010,0000,05010CMHC I 15238,A000000,05020,0000,05020OPT I 15238,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15238,A000000,05300,0000,05300INTEREST EXPENSE 15238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15238,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15238,A000000,05500,0000,05500HOSPICE 15238,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15238,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15238,A000000,06100,0000,06100NONPAID WORKERS 15238,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15238,A000000,06200,0000,06200PATIENTS LAUNDRY 15238,A81000A,00100,0100,Y 15238,A81000B,00100,0300,MANAGEMENT FEES 15238,A81000B,00200,0300,PAYROLL FEES 15238,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 15238,A81000B,00400,0300,DIETARY 15238,A81000B,00500,0300,CENTRAL SUPPLIES 15238,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 15238,A81000B,00700,0300,PHYSICAL THERAPY 15238,A81000B,00800,0300,OCCUPATIONAL THERAPY 15238,A81000B,00900,0300,SPEECH THERAPY 15238,A81000C,00100,0100,G 15238,A81000C,00100,0200,CENTENNIAL MGMT 15238,A81000C,00100,0400,CENT HC CORP 15238,A81000C,00100,0600,HOME OFFICE 15238,A81000C,00200,0100,G 15238,A81000C,00200,0200,CENTENNIAL MGMT 15238,A81000C,00200,0400,CENT HC CORP 15238,A81000C,00200,0600,HOME OFFICE 15238,A81000C,00300,0100,G 15238,A81000C,00300,0200,CENTENNIAL PTS 15238,A81000C,00300,0400,CENT HC CORP 15238,A81000C,00300,0600,GPO 15238,A81000C,00400,0100,G 15238,A81000C,00400,0200,CENTENNIAL PTS 15238,A81000C,00400,0400,CENT HC CORP 15238,A81000C,00400,0600,GPO 15238,A81000C,00500,0100,G 15238,A81000C,00500,0200,CENTENNIAL PTS 15238,A81000C,00500,0400,CENT HC CORP 15238,A81000C,00500,0600,GPO 15238,A81000C,00600,0100,G 15238,A81000C,00600,0200,CENTENNIAL PTS 15238,A81000C,00600,0400,CENT CH CORP 15238,A81000C,00600,0600,GPO 15238,A81000C,00700,0100,G 15238,A81000C,00700,0200,PARAGON REHAB. 15238,A81000C,00700,0400,CENT HC CORP 15238,A81000C,00700,0600,THERAPY 15238,A81000C,00800,0100,G 15238,A81000C,00800,0200,PARAGON REHAB. 15238,A81000C,00800,0400,CENT HC CORP 15238,A81000C,00800,0600,THERAPY 15238,A81000C,00900,0100,G 15238,A81000C,00900,0200,PARAGON REHAB. 15238,A81000C,00900,0400,CENT HC CORP 15238,A81000C,00900,0600,THERAPY 15238,A81000C,03100,0000,THERAPY 15238,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15238,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15238,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15238,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15238,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15238,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15238,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15238,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15238,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15238,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15238,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15238,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15238,S000000,00100,0200,06/01/2000 15238,S200000,00100,0100,2200 STONY BROOK DR 15238,S200000,00200,0100,LOUISVILLE 15238,S200000,00200,0200,KY 15238,S200000,00200,0300,40220- 15238,S200000,00300,0100,JEFFERSON 15238,S200000,00300,0200,4520 15238,S200000,00300,0300,U 15238,S200000,00400,0100,HURSTBOURNE 15238,S200000,00400,0200,185289 15238,S200000,00400,0300,07/25/1991 15238,S200000,00400,0500,P 15238,S200000,01600,0100,Y 15238,S200000,02200,0100,Y 15238,S200000,02800,0100,Y 15247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15247,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15247,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15247,A000000,00300,0000,00300EMPLOYEE BENEFITS 15247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15247,A000000,00700,0000,00700HOUSEKEEPING 15247,A000000,00800,0000,00800DIETARY 15247,A000000,00801,0000,00801CAFETERIA 15247,A000000,00900,0000,00900NURSING ADMINISTRATION 15247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15247,A000000,01100,0000,01100PHARMACY 15247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15247,A000000,01300,0000,01300SOCIAL SERVICE 15247,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15247,A000000,01600,0000,01600SKILLED NURSING FACILITY 15247,A000000,01800,0000,01800NURSING FACILITY 15247,A000000,01900,0000,01900OTHER LONG TERM CARE 15247,A000000,02100,0000,02100RADIOLOGY 15247,A000000,02200,0000,02200LABORATORY 15247,A000000,02300,0000,02300INTRAVENOUS THERAPY 15247,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15247,A000000,02500,0000,02500PHYSICAL THERAPY 15247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15247,A000000,02700,0000,02700SPEECH PATHOLOGY 15247,A000000,02800,0000,02800ELECTROCARDIOLOGY 15247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15247,A000000,03050,0000,03300OTHER ANCILLARY 15247,A000000,03051,0000,03301OTHER ANCILLARY II 15247,A000000,03052,0000,03302OTHER ANCILLARY III 15247,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15247,A000000,03200,0000,03200SUPPORT SURFACES 15247,A000000,03400,0000,03400CLINIC 15247,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15247,A000000,03500,0000,03500RURAL HEALTH CLINIC 15247,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15247,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15247,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15247,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15247,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15247,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15247,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15247,A000000,04400,0000,04400DME RENTED - HHA 15247,A000000,04500,0000,04500DME SOLD - HHA 15247,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15247,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15247,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15247,A000000,04800,0000,04800AMBULANCE 15247,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15247,A000000,05000,0000,05000CORF 15247,A000000,05010,0000,05010CMHC I 15247,A000000,05020,0000,05020OPT I 15247,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15247,A000000,05300,0000,05300INTEREST EXPENSE 15247,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15247,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15247,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15247,A000000,05500,0000,05500HOSPICE 15247,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15247,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15247,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15247,A000000,06100,0000,06100NONPAID WORKERS 15247,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15247,A000000,06200,0000,06200PATIENTS LAUNDRY 15247,A81000A,00100,0100,Y 15247,A81000B,00100,0300,MANAGEMENT FEES 15247,A81000B,00200,0300,PAYROLL PROCESSING FEE 15247,A81000B,00300,0300,MGMT FEE CAPITAL RELATED 15247,A81000B,00400,0300,DIETARY 15247,A81000B,00500,0300,CENTRAL SUPPLIES 15247,A81000B,00600,0300,CHARGEABLE SUPPLIES 15247,A81000B,00700,0300,MED. EQUIP. RENTAL 15247,A81000B,00800,0300,NURSING 15247,A81000B,00900,0300,SEE OTHERS/ATTACHMENT 15247,A81000C,00100,0100,G 15247,A81000C,00100,0200,CENTENNIAL HC 15247,A81000C,00100,0400,CENT HC CORP 15247,A81000C,00100,0600,HOME OFFICE 15247,A81000C,00200,0100,G 15247,A81000C,00200,0200,CENTENNIAL HC 15247,A81000C,00200,0400,CENT HC CORP 15247,A81000C,00200,0600,HOME OFFICE 15247,A81000C,00300,0100,G 15247,A81000C,00300,0200,CENTENNIAL HC 15247,A81000C,00300,0400,CENT HC CORP 15247,A81000C,00300,0600,HOME OFFICE 15247,A81000C,00400,0100,G 15247,A81000C,00400,0200,CENTENNIAL PTS 15247,A81000C,00400,0400,CENT HC CORP 15247,A81000C,00400,0600,GPO 15247,A81000C,00500,0100,G 15247,A81000C,00500,0200,CENTENNIAL PTS 15247,A81000C,00500,0400,CENT HC CORP 15247,A81000C,00500,0600,GPO 15247,A81000C,00600,0100,G 15247,A81000C,00600,0200,CENTENNIAL PTS 15247,A81000C,00600,0400,CENT HC CORP 15247,A81000C,00600,0600,GPO 15247,A81000C,00700,0100,G 15247,A81000C,00700,0200,CENTENNIAL PTS 15247,A81000C,00700,0400,CENT HC CORP 15247,A81000C,00700,0600,GPO 15247,A81000C,00800,0100,G 15247,A81000C,00800,0200,CENTENNIAL PTS 15247,A81000C,00800,0400,CENT HC CORP 15247,A81000C,00800,0600,GPO 15247,A81000C,00900,0100,G 15247,A81000C,00900,0200,PARAGON 15247,A81000C,00900,0400,CENT HC CORP 15247,A81000C,00900,0600,THERAPY 15247,A81000C,03100,0000,THERAPY 15247,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15247,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15247,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15247,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15247,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15247,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15247,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15247,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15247,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15247,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15247,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15247,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15247,S000000,00100,0200,06/01/2000 15247,S200000,00100,0100,2141 SYCAMORE AVENUE 15247,S200000,00200,0100,LOUISVILLE 15247,S200000,00200,0200,KY 15247,S200000,00200,0300,40206- 15247,S200000,00300,0100,JEFFERSON 15247,S200000,00300,0200,4520 15247,S200000,00300,0300,U 15247,S200000,00400,0100,BROWNSBORO HILLS 15247,S200000,00400,0200,185348 15247,S200000,00400,0300,04/07/1992 15247,S200000,00400,0500,P 15247,S200000,01500,0100,Y 15247,S200000,02200,0100,Y 15255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15255,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15255,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15255,A000000,00300,0000,00300EMPLOYEE BENEFITS 15255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15255,A000000,00700,0000,00700HOUSEKEEPING 15255,A000000,00800,0000,00800DIETARY 15255,A000000,00801,0000,00801CAFETERIA 15255,A000000,00900,0000,00900NURSING ADMINISTRATION 15255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15255,A000000,01100,0000,01100PHARMACY 15255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15255,A000000,01300,0000,01300SOCIAL SERVICE 15255,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15255,A000000,01600,0000,01600SKILLED NURSING FACILITY 15255,A000000,01800,0000,01800NURSING FACILITY 15255,A000000,01900,0000,01900OTHER LONG TERM CARE 15255,A000000,02100,0000,02100RADIOLOGY 15255,A000000,02200,0000,02200LABORATORY 15255,A000000,02300,0000,02300INTRAVENOUS THERAPY 15255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15255,A000000,02500,0000,02500PHYSICAL THERAPY 15255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15255,A000000,02700,0000,02700SPEECH PATHOLOGY 15255,A000000,02800,0000,02800ELECTROCARDIOLOGY 15255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15255,A000000,03050,0000,03300OTHER ANCILLARY 15255,A000000,03051,0000,03301OTHER ANCILLARY II 15255,A000000,03052,0000,03302OTHER ANCILLARY III 15255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15255,A000000,03200,0000,03200SUPPORT SURFACES 15255,A000000,03400,0000,03400CLINIC 15255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15255,A000000,03500,0000,03500RURAL HEALTH CLINIC 15255,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15255,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15255,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15255,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15255,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15255,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15255,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15255,A000000,04400,0000,04400DME RENTED - HHA 15255,A000000,04500,0000,04500DME SOLD - HHA 15255,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15255,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15255,A000000,04800,0000,04800AMBULANCE 15255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15255,A000000,05000,0000,05000CORF 15255,A000000,05010,0000,05010CMHC I 15255,A000000,05020,0000,05020OPT I 15255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15255,A000000,05300,0000,05300INTEREST EXPENSE 15255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15255,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15255,A000000,05500,0000,05500HOSPICE 15255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15255,A000000,06100,0000,06100NONPAID WORKERS 15255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15255,A000000,06200,0000,06200PATIENTS LAUNDRY 15255,A81000A,00100,0100,Y 15255,A81000B,00100,0300,MANAGEMENT FEE 15255,A81000B,00200,0300,PAYROLL PROCESS 15255,A81000B,00300,0300,PHYSICAL THERAPY 15255,A81000B,00400,0300,OCCUPATION THERAPY 15255,A81000B,00500,0300,SPEECH THERAPY 15255,A81000B,00600,0300,DIETARY 15255,A81000B,00700,0300,CENTRAL SUPPLY 15255,A81000B,00800,0300,HSKP SUPPLIES 15255,A81000B,00900,0300,MED SUPPLIES 15255,A81000C,00100,0100,G 15255,A81000C,00100,0200,CENT HC CORP 15255,A81000C,00100,0400,CENT HC CORP 15255,A81000C,00100,0600,HOME OFFICE 15255,A81000C,00200,0100,G 15255,A81000C,00200,0200,CENT HC CORP 15255,A81000C,00200,0400,CENT HC CORP 15255,A81000C,00200,0600,HOME OFFICE 15255,A81000C,00300,0100,G 15255,A81000C,00300,0200,PARAGON 15255,A81000C,00300,0400,CENT HC CORP 15255,A81000C,00300,0600,THERAPY 15255,A81000C,00400,0100,G 15255,A81000C,00400,0200,PARAGON 15255,A81000C,00400,0400,CENT HC CORP 15255,A81000C,00400,0600,THERAPY 15255,A81000C,00500,0100,G 15255,A81000C,00500,0200,PARAGON 15255,A81000C,00500,0400,CENT HC CORP 15255,A81000C,00500,0600,THERAPY 15255,A81000C,00600,0100,G 15255,A81000C,00600,0200,CENTENNIAL PTS 15255,A81000C,00600,0400,CENT HC CORP 15255,A81000C,00600,0600,SUPPLIES 15255,A81000C,00700,0100,G 15255,A81000C,00700,0200,CENTENNIAL PTS 15255,A81000C,00700,0400,CENT HC CORP 15255,A81000C,00700,0600,MED SUPPLIES 15255,A81000C,00800,0100,G 15255,A81000C,00800,0200,CENTENNIAL PTS 15255,A81000C,00800,0400,CENT HC CORP 15255,A81000C,00800,0600,SUPPLIES 15255,A81000C,00900,0100,G 15255,A81000C,00900,0200,CENTENNIAL PTS 15255,A81000C,00900,0400,CENT HC CORP 15255,A81000C,00900,0600,MED SUPPLIES 15255,A81000C,03100,0000,SUPPLIES 15255,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15255,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15255,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15255,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15255,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15255,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15255,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15255,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15255,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15255,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15255,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15255,S000000,00100,0200,06/01/2000 15255,S200000,00100,0100,4405 AIRLINE DRIVE 15255,S200000,00200,0100,BOSSIER CITY 15255,S200000,00200,0200,LA 15255,S200000,00200,0300,71111- 15255,S200000,00300,0100,BOSSIER 15255,S200000,00300,0200,7680 15255,S200000,00300,0300,U 15255,S200000,00400,0100,GARDEN COURT NURSING CENTER 15255,S200000,00400,0200,195247 15255,S200000,00400,0300,01/09/1990 15255,S200000,00400,0500,P 15255,S200000,01500,0100,Y 15255,S200000,02200,0100,Y 15279,S000000,00100,0200,06/01/2000 15293,S000000,00100,0200,01/22/2001 15295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15295,A000000,00300,0000,00300EMPLOYEE BENEFITS 15295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15295,A000000,00700,0000,00700HOUSEKEEPING 15295,A000000,00800,0000,00800DIETARY 15295,A000000,00900,0000,00900NURSING ADMINISTRATION 15295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15295,A000000,01100,0000,01100PHARMACY 15295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15295,A000000,01300,0000,01300SOCIAL SERVICE 15295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15295,A000000,01600,0000,01600SKILLED NURSING FACILITY 15295,A000000,01800,0000,01800NURSING FACILITY 15295,A000000,01900,0000,01900OTHER LONG TERM CARE 15295,A000000,02100,0000,02100RADIOLOGY 15295,A000000,02200,0000,02200LABORATORY 15295,A000000,02300,0000,02300INTRAVENOUS THERAPY 15295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15295,A000000,02500,0000,02500PHYSICAL THERAPY 15295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15295,A000000,02700,0000,02700SPEECH PATHOLOGY 15295,A000000,02800,0000,02800ELECTROCARDIOLOGY 15295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15295,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15295,A000000,03200,0000,03200SUPPORT SURFACES 15295,A000000,03400,0000,03400CLINIC 15295,A000000,04800,0000,04800AMBULANCE 15295,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15295,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15295,A000000,05300,0000,05300INTEREST EXPENSE 15295,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15295,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15295,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15295,A000000,06100,0000,06100NONPAID WORKERS 15295,A000000,06200,0000,06200PATIENTS LAUNDRY 15295,A81000A,00100,0100,Y 15295,A81000B,00100,0300,CAPITAL 15295,A81000B,00200,0300,ADMIN 15295,A81000B,00300,0300,NURSING 15295,A81000B,00400,0300,NURSING 15295,A81000B,00500,0300,NURSING 15295,A81000C,00100,0100,B 15295,A81000C,00100,0200,MARRIOTT SLS 15295,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15295,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15295,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15295,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15295,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15295,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15295,B100000,00000,0800,00000MEALS SERVED :DIETARY 15295,B100000,00000,0950,00000HEALTHCARE DAYS :NURSING ADMINISTR 15295,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15295,B100000,00000,1250,00000HEALTHCARE DAYS :MEDICAL RECORDS & 15295,B100000,00000,1330,00000HEALTHCARE DAYS :SOCIAL SERVICE 15295,S000000,00100,0200,01/22/2001 15295,S200000,00100,0100,1701 INTERNATIONAL DRIVE 15295,S200000,00200,0100,SILVER SPRING 15295,S200000,00200,0200,MD 15295,S200000,00200,0300,20906- 15295,S200000,00300,0100,MONTGOMERY 15295,S200000,00300,0200,8840 15295,S200000,00300,0300,U 15295,S200000,00400,0100,BEDFORD COURT HEALTHCARE CENTER 15295,S200000,00400,0200,215246 15295,S200000,00400,0300,01/27/1993 15295,S200000,00400,0500,P 15295,S200000,00600,0200,215246 15295,S200000,00600,0300,01/27/1993 15295,S200000,00600,0600,P 15295,S200000,01600,0100,Y 15302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15302,A000000,00300,0000,00300EMPLOYEE BENEFITS 15302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15302,A000000,00700,0000,00700HOUSEKEEPING 15302,A000000,00800,0000,00800DIETARY 15302,A000000,00900,0000,00900NURSING ADMINISTRATION 15302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15302,A000000,01100,0000,01100PHARMACY 15302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15302,A000000,01300,0000,01300SOCIAL SERVICE 15302,A000000,01350,0000,01500OTHER GENERAL SERVICES 15302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15302,A000000,01600,0000,01600SKILLED NURSING FACILITY 15302,A000000,01800,0000,01800NURSING FACILITY 15302,A000000,01900,0000,01900OTHER LONG TERM CARE 15302,A000000,02100,0000,02100RADIOLOGY 15302,A000000,02200,0000,02200LABORATORY 15302,A000000,02300,0000,02300INTRAVENOUS THERAPY 15302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15302,A000000,02500,0000,02500PHYSICAL THERAPY 15302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15302,A000000,02700,0000,02700SPEECH PATHOLOGY 15302,A000000,02800,0000,02800ELECTROCARDIOLOGY 15302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15302,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15302,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15302,A000000,03200,0000,03200SUPPORT SURFACES 15302,A000000,03400,0000,03400CLINIC 15302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15302,A000000,03500,0000,03500RURAL HEALTH CLINIC 15302,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15302,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15302,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15302,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15302,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15302,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15302,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15302,A000000,04400,0000,04400DME RENTED - HHA 15302,A000000,04500,0000,04500DME SOLD - HHA 15302,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15302,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15302,A000000,04800,0000,04800AMBULANCE 15302,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15302,A000000,05000,0000,05000CORF 15302,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15302,A000000,05300,0000,05300INTEREST EXPENSE 15302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15302,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15302,A000000,05500,0000,05500HOSPICE 15302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15302,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15302,A000000,06100,0000,06100NONPAID WORKERS 15302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15302,A000000,06200,0000,06200PATIENTS LAUNDRY 15302,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15302,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15302,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15302,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15302,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15302,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15302,B100000,00000,0800,00000MEALS SERVED :DIETARY 15302,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15302,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15302,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15302,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15302,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15302,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15302,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15302,S000000,00100,0200,06/02/2000 15302,S200000,00100,0100,9707 OLD GEORGETOWN ROAD 15302,S200000,00200,0100,BETHESDA 15302,S200000,00200,0200,MD 15302,S200000,00200,0300,20814- 15302,S200000,00300,0100,MONTGOMERY 15302,S200000,00400,0100,MAPLEWOOD PARK PLACE 15302,S200000,00400,0200,215287 15302,S200000,00400,0300,04/16/1996 15302,S200000,00400,0500,P 15302,S200000,01600,0100,Y 15302,S200000,04100,0100,Y 15302,S700003,00000,0400,4 15309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15309,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15309,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15309,A000000,00300,0000,00300EMPLOYEE BENEFITS 15309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15309,A000000,00700,0000,00700HOUSEKEEPING 15309,A000000,00800,0000,00800DIETARY 15309,A000000,00801,0000,00801CAFETERIA 15309,A000000,00900,0000,00900NURSING ADMINISTRATION 15309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15309,A000000,01100,0000,01100PHARMACY 15309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15309,A000000,01300,0000,01300SOCIAL SERVICE 15309,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15309,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15309,A000000,01600,0000,01600SKILLED NURSING FACILITY 15309,A000000,01800,0000,01800NURSING FACILITY 15309,A000000,01900,0000,01900OTHER LONG TERM CARE 15309,A000000,02100,0000,02100RADIOLOGY 15309,A000000,02200,0000,02200LABORATORY 15309,A000000,02300,0000,02300INTRAVENOUS THERAPY 15309,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15309,A000000,02500,0000,02500PHYSICAL THERAPY 15309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15309,A000000,02700,0000,02700SPEECH PATHOLOGY 15309,A000000,02800,0000,02800ELECTROCARDIOLOGY 15309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15309,A000000,03050,0000,03300OTHER ANCILLARY 15309,A000000,03051,0000,03301OTHER ANCILLARY II 15309,A000000,03052,0000,03302OTHER ANCILLARY III 15309,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15309,A000000,03200,0000,03200SUPPORT SURFACES 15309,A000000,03400,0000,03400CLINIC 15309,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15309,A000000,03500,0000,03500RURAL HEALTH CLINIC 15309,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15309,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15309,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15309,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15309,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15309,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15309,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15309,A000000,04400,0000,04400DME RENTED - HHA 15309,A000000,04500,0000,04500DME SOLD - HHA 15309,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15309,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15309,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15309,A000000,04800,0000,04800AMBULANCE 15309,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15309,A000000,05000,0000,05000CORF 15309,A000000,05010,0000,05010CMHC I 15309,A000000,05020,0000,05020OPT I 15309,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15309,A000000,05300,0000,05300INTEREST EXPENSE 15309,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15309,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15309,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15309,A000000,05500,0000,05500HOSPICE 15309,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15309,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15309,A000000,06100,0000,06100NONPAID WORKERS 15309,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15309,A000000,06200,0000,06200PATIENTS LAUNDRY 15309,A81000A,00100,0100,Y 15309,A81000B,00100,0300,MNGMT FEES 15309,A81000B,00200,0300,MNGMT FEES 15309,A81000B,00300,0300,MNGMT FEES 15309,A81000B,00400,0300,MNGMT FEES 15309,A81000B,00500,0300,RELATED INSURANCE 15309,A81000B,00600,0300,CHAPLAINCY PROGRAM 15309,A81000B,00700,0300,RELATED INSURANCE 15309,A81000B,00800,0300,MORTGAGE INTEREST 15309,A81000B,00900,0300,WORKING CAPITAL INTEREST 15309,A81000C,00100,0100,A 15309,A81000C,00100,0200,HLYCRS RHB&NSG 15309,A81000C,00100,0400,HLYCRS CARE SRV 15309,A81000C,00100,0600,MGMT COMPANY 15309,A81000C,00200,0100,A 15309,A81000C,00200,0200,HOLY CROSS RES 15309,A81000C,00200,0400,HLYCRS CARE SRV 15309,A81000C,00200,0600,INSURANCE 15309,A81000C,00300,0100,G 15309,A81000C,00300,0200,HAVICAN 15309,A81000C,00300,0400,HLYCRS CARE SRV 15309,A81000C,00300,0600,INSURANCE 15309,A81000C,00400,0100,A 15309,A81000C,00400,0200,HLYCRS HLTH SYS 15309,A81000C,00400,0400,HLYCRS CARE SRV 15309,A81000C,00400,0600,HOLDING CO 15309,A81000C,00500,0100,A 15309,A81000C,00500,0200,HLYCRS HOSPITAL 15309,A81000C,00500,0400,HLYCRS CARE SRV 15309,A81000C,00500,0600,HOSPITAL 15309,A81000C,03100,0000,NON-FINANCIAL 15309,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15309,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15309,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15309,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15309,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15309,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15309,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15309,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15309,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 15309,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15309,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15309,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 15309,S000000,00100,0200,11/30/2000 15309,S200000,00100,0100,3415 GREENCASTLE ROAD 15309,S200000,00200,0100,BURTONSVILLE 15309,S200000,00200,0200,MD 15309,S200000,00200,0300,20866- 15309,S200000,00300,0100,MONTGOMERY 15309,S200000,00300,0200,8840 15309,S200000,00300,0300,U 15309,S200000,00400,0100,HOLY CROSS REHAB AND NURSING CENTER 15309,S200000,00400,0200,215315 15309,S200000,00400,0300,12/24/1997 15309,S200000,00400,0500,P 15309,S200000,01600,0100,Y 15309,S200000,04100,0100,Y 15315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15315,A000000,00300,0000,00300EMPLOYEE BENEFITS 15315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15315,A000000,00700,0000,00700HOUSEKEEPING 15315,A000000,00800,0000,00800DIETARY 15315,A000000,00900,0000,00900NURSING ADMINISTRATION 15315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15315,A000000,01100,0000,01100PHARMACY 15315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15315,A000000,01300,0000,01300SOCIAL SERVICE 15315,A000000,01350,0000,01500OTHER GENERAL SERVICES 15315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15315,A000000,01600,0000,01600SKILLED NURSING FACILITY 15315,A000000,01800,0000,01800NURSING FACILITY 15315,A000000,01900,0000,01900OTHER LONG TERM CARE 15315,A000000,02100,0000,02100RADIOLOGY 15315,A000000,02200,0000,02200LABORATORY 15315,A000000,02300,0000,02300INTRAVENOUS THERAPY 15315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15315,A000000,02500,0000,02500PHYSICAL THERAPY 15315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15315,A000000,02700,0000,02700SPEECH PATHOLOGY 15315,A000000,02800,0000,02800ELECTROCARDIOLOGY 15315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15315,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15315,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15315,A000000,03200,0000,03200SUPPORT SURFACES 15315,A000000,03400,0000,03400CLINIC 15315,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15315,A000000,03500,0000,03500RURAL HEALTH CLINIC 15315,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15315,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15315,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15315,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15315,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15315,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15315,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15315,A000000,04400,0000,04400DME RENTED - HHA 15315,A000000,04500,0000,04500DME SOLD - HHA 15315,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15315,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15315,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15315,A000000,04800,0000,04800AMBULANCE 15315,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15315,A000000,05000,0000,05000CORF 15315,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15315,A000000,05300,0000,05300INTEREST EXPENSE 15315,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15315,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15315,A000000,05500,0000,05500HOSPICE 15315,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15315,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15315,A000000,06100,0000,06100NONPAID WORKERS 15315,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15315,A000000,06200,0000,06200PATIENTS LAUNDRY 15315,A81000A,00100,0100,Y 15315,A81000B,00100,0300,CAPITAL 15315,A81000B,00200,0300,CAPITAL 15315,A81000B,00300,0300,ADMIN 15315,A81000B,00400,0300,NURSING 15315,A81000B,00500,0300,NURSING 15315,A81000B,00600,0300,NURSING 15315,A81000C,00100,0100,B 15315,A81000C,00100,0200,MARRIOTT SENIOR LVG SVCS 15315,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15315,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15315,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15315,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15315,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15315,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15315,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15315,B100000,00000,0800,00000MEALS SERVED :DIETARY 15315,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15315,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15315,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15315,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15315,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15315,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15315,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15315,S000000,00100,0200,06/02/2000 15315,S200000,00100,0100,5550 TUCKERMAN LANE 15315,S200000,00200,0100,ROCKVILLE 15315,S200000,00200,0200,MD 15315,S200000,00200,0300,20852- 15315,S200000,00300,0100,MONTGOMERY 15315,S200000,00400,0100,BRIGHTON GARDENS OF TUCKERMAN LANE 15315,S200000,00400,0200,215320 15315,S200000,00400,0300,04/01/1998 15315,S200000,00400,0500,P 15315,S200000,01600,0100,Y 15315,S700003,00000,0400,4 15318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15318,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15318,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15318,A000000,00300,0000,00300EMPLOYEE BENEFITS 15318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15318,A000000,00700,0000,00700HOUSEKEEPING 15318,A000000,00800,0000,00800DIETARY 15318,A000000,00801,0000,00801CAFETERIA 15318,A000000,00900,0000,00900NURSING ADMINISTRATION 15318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15318,A000000,01100,0000,01100PHARMACY 15318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15318,A000000,01300,0000,01300SOCIAL SERVICE 15318,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15318,A000000,01600,0000,01600SKILLED NURSING FACILITY 15318,A000000,01800,0000,01800NURSING FACILITY 15318,A000000,01900,0000,01900OTHER LONG TERM CARE 15318,A000000,02100,0000,02100RADIOLOGY 15318,A000000,02200,0000,02200LABORATORY 15318,A000000,02300,0000,02300INTRAVENOUS THERAPY 15318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15318,A000000,02500,0000,02500PHYSICAL THERAPY 15318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15318,A000000,02700,0000,02700SPEECH PATHOLOGY 15318,A000000,02800,0000,02800ELECTROCARDIOLOGY 15318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15318,A000000,03050,0000,03300OTHER ANCILLARY 15318,A000000,03051,0000,03301OTHER ANCILLARY II 15318,A000000,03052,0000,03302OTHER ANCILLARY III 15318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15318,A000000,03200,0000,03200SUPPORT SURFACES 15318,A000000,03400,0000,03400CLINIC 15318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15318,A000000,03500,0000,03500RURAL HEALTH CLINIC 15318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15318,A000000,04400,0000,04400DME RENTED - HHA 15318,A000000,04500,0000,04500DME SOLD - HHA 15318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15318,A000000,04800,0000,04800AMBULANCE 15318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15318,A000000,05000,0000,05000CORF 15318,A000000,05010,0000,05010CMHC I 15318,A000000,05020,0000,05020OPT I 15318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15318,A000000,05300,0000,05300INTEREST EXPENSE 15318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15318,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15318,A000000,05500,0000,05500HOSPICE 15318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15318,A000000,06100,0000,06100NONPAID WORKERS 15318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15318,A000000,06200,0000,06200PATIENTS LAUNDRY 15318,A81000A,00100,0100,Y 15318,A81000B,00100,0300,MANAGEMENT FEE 15318,A81000B,00200,0300,PAYROLL PROCESSING 15318,A81000B,00300,0300,PHYSICAL THERAPY 15318,A81000B,00400,0300,OCCUPATION THERAPY 15318,A81000B,00500,0300,SPEECH THERAPY 15318,A81000B,00600,0300,DIETARY 15318,A81000B,00700,0300,CENTRAL SUPPLY 15318,A81000B,00800,0300,MED SUPPLIES 15318,A81000C,00100,0100,G 15318,A81000C,00100,0200,CENT HC CORP 15318,A81000C,00100,0400,CENT HC CORP 15318,A81000C,00100,0600,HOME OFFICE 15318,A81000C,00200,0100,G 15318,A81000C,00200,0200,CENT HC CORP 15318,A81000C,00200,0400,CENT HC CORP 15318,A81000C,00200,0600,HOME OFFICE 15318,A81000C,00300,0100,G 15318,A81000C,00300,0200,PARAGON 15318,A81000C,00300,0400,CENT HC CORP 15318,A81000C,00300,0600,THERAPY 15318,A81000C,00400,0100,G 15318,A81000C,00400,0200,PARAGON 15318,A81000C,00400,0400,CENT HC CORP 15318,A81000C,00400,0600,THERAPY 15318,A81000C,00500,0100,G 15318,A81000C,00500,0200,PARAGON 15318,A81000C,00500,0400,CENT HC CORP 15318,A81000C,00500,0600,THERAPY 15318,A81000C,00600,0100,G 15318,A81000C,00600,0200,CENTENNIAL PTS 15318,A81000C,00600,0400,CENT HC CORP 15318,A81000C,00600,0600,SUPPLIES 15318,A81000C,00700,0100,G 15318,A81000C,00700,0200,CENTENNIAL PTS 15318,A81000C,00700,0400,CENT HC CORP 15318,A81000C,00700,0600,MED SUPPLIES 15318,A81000C,00800,0100,G 15318,A81000C,00800,0200,CENTENNIAL PTS 15318,A81000C,00800,0400,CENT HC CORP 15318,A81000C,00800,0600,MED SUPPLIES 15318,A81000C,03100,0000,SUPPLIES 15318,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15318,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15318,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15318,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15318,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15318,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15318,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15318,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15318,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15318,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15318,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15318,S000000,00100,0200,06/01/2000 15318,S200000,00100,0100,975 NORTH MAIN STREET 15318,S200000,00200,0100,RANDOLPH 15318,S200000,00200,0200,MA 15318,S200000,00200,0300,02368- 15318,S200000,00300,0100,NORFOLK 15318,S200000,00300,0200,1123 15318,S200000,00300,0300,U 15318,S200000,00400,0100,HOLLYWELL REHAB CTR 15318,S200000,00400,0200,225042 15318,S200000,00400,0300,07/01/1967 15318,S200000,00400,0500,P 15318,S200000,01600,0100,Y 15318,S200000,01900,0100,TRUST 15322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15322,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15322,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15322,A000000,00300,0000,00300EMPLOYEE BENEFITS 15322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15322,A000000,00700,0000,00700HOUSEKEEPING 15322,A000000,00800,0000,00800DIETARY 15322,A000000,00801,0000,00801CAFETERIA 15322,A000000,00900,0000,00900NURSING ADMINISTRATION 15322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15322,A000000,01100,0000,01100PHARMACY 15322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15322,A000000,01300,0000,01300SOCIAL SERVICE 15322,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15322,A000000,01600,0000,01600SKILLED NURSING FACILITY 15322,A000000,01800,0000,01800NURSING FACILITY 15322,A000000,01900,0000,01900OTHER LONG TERM CARE 15322,A000000,02100,0000,02100RADIOLOGY 15322,A000000,02200,0000,02200LABORATORY 15322,A000000,02300,0000,02300INTRAVENOUS THERAPY 15322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15322,A000000,02500,0000,02500PHYSICAL THERAPY 15322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15322,A000000,02700,0000,02700SPEECH PATHOLOGY 15322,A000000,02800,0000,02800ELECTROCARDIOLOGY 15322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15322,A000000,03050,0000,03300OTHER ANCILLARY 15322,A000000,03051,0000,03301OTHER ANCILLARY II 15322,A000000,03052,0000,03302OTHER ANCILLARY III 15322,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15322,A000000,03200,0000,03200SUPPORT SURFACES 15322,A000000,03400,0000,03400CLINIC 15322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15322,A000000,03500,0000,03500RURAL HEALTH CLINIC 15322,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15322,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15322,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15322,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15322,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15322,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15322,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15322,A000000,04400,0000,04400DME RENTED - HHA 15322,A000000,04500,0000,04500DME SOLD - HHA 15322,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15322,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15322,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15322,A000000,04800,0000,04800AMBULANCE 15322,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15322,A000000,05000,0000,05000CORF 15322,A000000,05010,0000,05010CMHC I 15322,A000000,05020,0000,05020OPT I 15322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15322,A000000,05300,0000,05300INTEREST EXPENSE 15322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15322,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15322,A000000,05500,0000,05500HOSPICE 15322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15322,A000000,06100,0000,06100NONPAID WORKERS 15322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15322,A000000,06200,0000,06200PATIENTS LAUNDRY 15322,A81000A,00100,0100,Y 15322,A81000B,00100,0300,MANAGEMENT FEE 15322,A81000B,00200,0300,PAYROLL PROCESSING 15322,A81000B,00300,0300,PHYSICAL THERAPY 15322,A81000B,00400,0300,OCCUPATION THERAPY 15322,A81000B,00500,0300,SPEECH THERAPY 15322,A81000B,00600,0300,DIETARY 15322,A81000B,00700,0300,MED SUPPLIES 15322,A81000B,00800,0300,MED EQUIP RENTAL 15322,A81000C,00100,0100,G 15322,A81000C,00100,0200,CENT HC CORP 15322,A81000C,00100,0400,CENT HC CORP 15322,A81000C,00100,0600,HOME OFFICE 15322,A81000C,00200,0100,G 15322,A81000C,00200,0200,CENT HC CORP 15322,A81000C,00200,0400,CENT HC CORP 15322,A81000C,00200,0600,HOME OFFICE 15322,A81000C,00300,0100,G 15322,A81000C,00300,0200,PARAGON 15322,A81000C,00300,0400,CENT HC CORP 15322,A81000C,00300,0600,THERAPY 15322,A81000C,00400,0100,G 15322,A81000C,00400,0200,PARAGON 15322,A81000C,00400,0400,CENT HC CORP 15322,A81000C,00400,0600,THERAPY 15322,A81000C,00500,0100,G 15322,A81000C,00500,0200,PARAGON 15322,A81000C,00500,0400,CENT HC CORP 15322,A81000C,00500,0600,THERAPY 15322,A81000C,00600,0100,G 15322,A81000C,00600,0200,CENTENNIAL PTS 15322,A81000C,00600,0400,CENT HC CORP 15322,A81000C,00600,0600,SUPPLIES 15322,A81000C,00700,0100,G 15322,A81000C,00700,0200,CENTENNIAL PTS 15322,A81000C,00700,0400,CENT HC CORP 15322,A81000C,00700,0600,MED SUPPLIES 15322,A81000C,00800,0100,G 15322,A81000C,00800,0200,CENTENNIAL PTS 15322,A81000C,00800,0400,CENT HC CORP 15322,A81000C,00800,0600,SUPPLIES 15322,A81000C,03100,0000,EQUIPMENT 15322,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15322,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15322,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15322,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15322,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15322,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15322,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15322,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15322,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15322,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15322,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15322,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15322,S000000,00100,0200,06/01/2000 15322,S200000,00100,0100,745 TRUMAN HIGHWAY 15322,S200000,00200,0100,HYDE PARK 15322,S200000,00200,0200,MA 15322,S200000,00200,0300,02136- 15322,S200000,00300,0100,SUFFOLK 15322,S200000,00300,0200,1123 15322,S200000,00300,0300,U 15322,S200000,00400,0100,PARKWELL NURSING CENTER 15322,S200000,00400,0200,225161 15322,S200000,00400,0300,03/01/1967 15322,S200000,00400,0500,P 15322,S200000,01600,0100,Y 15322,S200000,01900,0100,TRUST 15322,S200000,02200,0100,Y 15325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15325,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15325,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15325,A000000,00300,0000,00300EMPLOYEE BENEFITS 15325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15325,A000000,00700,0000,00700HOUSEKEEPING 15325,A000000,00800,0000,00800DIETARY 15325,A000000,00801,0000,00801CAFETERIA 15325,A000000,00900,0000,00900NURSING ADMINISTRATION 15325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15325,A000000,01100,0000,01100PHARMACY 15325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15325,A000000,01300,0000,01300SOCIAL SERVICE 15325,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15325,A000000,01600,0000,01600SKILLED NURSING FACILITY 15325,A000000,01800,0000,01800NURSING FACILITY 15325,A000000,01900,0000,01900OTHER LONG TERM CARE 15325,A000000,02100,0000,02100RADIOLOGY 15325,A000000,02200,0000,02200LABORATORY 15325,A000000,02300,0000,02300INTRAVENOUS THERAPY 15325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15325,A000000,02500,0000,02500PHYSICAL THERAPY 15325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15325,A000000,02700,0000,02700SPEECH PATHOLOGY 15325,A000000,02800,0000,02800ELECTROCARDIOLOGY 15325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15325,A000000,03050,0000,03300OTHER ANCILLARY 15325,A000000,03051,0000,03301OTHER ANCILLARY II 15325,A000000,03052,0000,03302OTHER ANCILLARY III 15325,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15325,A000000,03200,0000,03200SUPPORT SURFACES 15325,A000000,03400,0000,03400CLINIC 15325,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15325,A000000,03500,0000,03500RURAL HEALTH CLINIC 15325,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15325,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15325,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15325,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15325,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15325,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15325,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15325,A000000,04400,0000,04400DME RENTED - HHA 15325,A000000,04500,0000,04500DME SOLD - HHA 15325,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15325,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15325,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15325,A000000,04800,0000,04800AMBULANCE 15325,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15325,A000000,05000,0000,05000CORF 15325,A000000,05010,0000,05010CMHC I 15325,A000000,05020,0000,05020OPT I 15325,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15325,A000000,05300,0000,05300INTEREST EXPENSE 15325,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15325,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15325,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15325,A000000,05500,0000,05500HOSPICE 15325,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15325,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15325,A000000,06100,0000,06100NONPAID WORKERS 15325,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15325,A000000,06200,0000,06200PATIENTS LAUNDRY 15325,A81000A,00100,0100,Y 15325,A81000B,00100,0300,MANAGEMENT FEE 15325,A81000B,00200,0300,PAYROLL PROCESSING 15325,A81000B,00300,0300,PHYSICAL THERAPY 15325,A81000B,00400,0300,OCCUPATION THERAPY 15325,A81000B,00500,0300,SPEECH THERAPY 15325,A81000B,00600,0300,DIETARY 15325,A81000B,00700,0300,CENTRAL SUPPLY 15325,A81000B,00800,0300,MEDICAL SUPPLIES 15325,A81000B,00900,0300,MED EQUIP RENTAL 15325,A81000C,00100,0100,G 15325,A81000C,00100,0200,CENT HC CORP 15325,A81000C,00100,0400,CENT HC CORP 15325,A81000C,00100,0600,HOME OFFICE 15325,A81000C,00200,0100,G 15325,A81000C,00200,0200,CENT HC CORP 15325,A81000C,00200,0400,CENT HC CORP 15325,A81000C,00200,0600,HOME OFFICE 15325,A81000C,00300,0100,G 15325,A81000C,00300,0200,PARAGON 15325,A81000C,00300,0400,CENT HC CORP 15325,A81000C,00300,0600,THERAPY 15325,A81000C,00400,0100,G 15325,A81000C,00400,0200,PARAGON 15325,A81000C,00400,0400,CENT HC CORP 15325,A81000C,00400,0600,THERAPY 15325,A81000C,00500,0100,G 15325,A81000C,00500,0200,PARAGON 15325,A81000C,00500,0400,CENT HC CORP 15325,A81000C,00500,0600,THERAPY 15325,A81000C,00600,0100,G 15325,A81000C,00600,0200,CENTENNIAL PTS 15325,A81000C,00600,0400,CENT HC CORP 15325,A81000C,00600,0600,SUPPLIES 15325,A81000C,00700,0100,G 15325,A81000C,00700,0200,CENTENNIAL PTS 15325,A81000C,00700,0400,CENT HC CORP 15325,A81000C,00700,0600,MED SUPPLIES 15325,A81000C,00800,0100,G 15325,A81000C,00800,0200,CENTENNIAL PTS 15325,A81000C,00800,0400,CENT HC CORP 15325,A81000C,00800,0600,MED SUPPLIES 15325,A81000C,00900,0100,G 15325,A81000C,00900,0200,CENTENNIAL PTS 15325,A81000C,00900,0400,CENT HC CORP 15325,A81000C,00900,0600,SUPPLIES 15325,A81000C,03100,0000,EQUIPMENT 15325,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15325,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15325,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15325,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15325,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15325,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15325,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15325,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15325,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15325,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15325,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15325,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15325,S000000,00100,0200,06/01/2000 15325,S200000,00100,0100,485 FRANKLIN STREET 15325,S200000,00200,0100,FRAMINGHAM 15325,S200000,00200,0200,MA 15325,S200000,00200,0300,01702- 15325,S200000,00300,0100,MIDDLESEX 15325,S200000,00300,0200,1123 15325,S200000,00300,0300,U 15325,S200000,00400,0100,KATHLEEN DANIEL 15325,S200000,00400,0200,225179 15325,S200000,00400,0300,04/01/1967 15325,S200000,00400,0500,P 15325,S200000,01600,0100,Y 15325,S200000,01900,0100,TRUST 15325,S200000,02200,0100,Y 15328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15328,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15328,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15328,A000000,00300,0000,00300EMPLOYEE BENEFITS 15328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15328,A000000,00700,0000,00700HOUSEKEEPING 15328,A000000,00800,0000,00800DIETARY 15328,A000000,00801,0000,00801CAFETERIA 15328,A000000,00900,0000,00900NURSING ADMINISTRATION 15328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15328,A000000,01100,0000,01100PHARMACY 15328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15328,A000000,01300,0000,01300SOCIAL SERVICE 15328,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15328,A000000,01600,0000,01600SKILLED NURSING FACILITY 15328,A000000,01800,0000,01800NURSING FACILITY 15328,A000000,01900,0000,01900OTHER LONG TERM CARE 15328,A000000,02100,0000,02100RADIOLOGY 15328,A000000,02200,0000,02200LABORATORY 15328,A000000,02300,0000,02300INTRAVENOUS THERAPY 15328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15328,A000000,02500,0000,02500PHYSICAL THERAPY 15328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15328,A000000,02700,0000,02700SPEECH PATHOLOGY 15328,A000000,02800,0000,02800ELECTROCARDIOLOGY 15328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15328,A000000,03050,0000,03300OTHER ANCILLARY 15328,A000000,03051,0000,03301OTHER ANCILLARY II 15328,A000000,03052,0000,03302OTHER ANCILLARY III 15328,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15328,A000000,03200,0000,03200SUPPORT SURFACES 15328,A000000,03400,0000,03400CLINIC 15328,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15328,A000000,03500,0000,03500RURAL HEALTH CLINIC 15328,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15328,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15328,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15328,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15328,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15328,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15328,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15328,A000000,04400,0000,04400DME RENTED - HHA 15328,A000000,04500,0000,04500DME SOLD - HHA 15328,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15328,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15328,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15328,A000000,04800,0000,04800AMBULANCE 15328,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15328,A000000,05000,0000,05000CORF 15328,A000000,05010,0000,05010CMHC I 15328,A000000,05020,0000,05020OPT I 15328,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15328,A000000,05300,0000,05300INTEREST EXPENSE 15328,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15328,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15328,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15328,A000000,05500,0000,05500HOSPICE 15328,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15328,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15328,A000000,06100,0000,06100NONPAID WORKERS 15328,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15328,A000000,06200,0000,06200PATIENTS LAUNDRY 15328,A81000A,00100,0100,Y 15328,A81000B,00100,0300,MANAGEMENT FEE 15328,A81000B,00200,0300,PAYROLL PROCESSING 15328,A81000B,00300,0300,PHYSICAL THERAPY 15328,A81000B,00400,0300,OCCUPATION THERAPY 15328,A81000B,00500,0300,SPEECH THERAPY 15328,A81000B,00600,0300,DIETARY 15328,A81000B,00700,0300,CENTRAL SUPPLY 15328,A81000B,00800,0300,MED SUPPLIES 15328,A81000B,00900,0300,MED EQUIP RENTAL 15328,A81000C,00100,0100,G 15328,A81000C,00100,0200,CENT HC CORP 15328,A81000C,00100,0400,CENT HC CORP 15328,A81000C,00100,0600,HOME OFFICE 15328,A81000C,00200,0100,G 15328,A81000C,00200,0200,CENT HC CORP 15328,A81000C,00200,0400,CENT HC CORP 15328,A81000C,00200,0600,HOME OFFICE 15328,A81000C,00300,0100,G 15328,A81000C,00300,0200,PARAGON 15328,A81000C,00300,0400,CENT HC CORP 15328,A81000C,00300,0600,THERAPY 15328,A81000C,00400,0100,G 15328,A81000C,00400,0200,PARAGON 15328,A81000C,00400,0400,CENT HC CORP 15328,A81000C,00400,0600,THERAPY 15328,A81000C,00500,0100,G 15328,A81000C,00500,0200,PARAGON 15328,A81000C,00500,0400,CENT HC CORP 15328,A81000C,00500,0600,THERAPY 15328,A81000C,00600,0100,G 15328,A81000C,00600,0200,CENTENNIAL PTS 15328,A81000C,00600,0400,CENT HC CORP 15328,A81000C,00600,0600,SUPPLIES 15328,A81000C,00700,0100,G 15328,A81000C,00700,0200,CENTENNIAL PTS 15328,A81000C,00700,0400,CENT HC CORP 15328,A81000C,00700,0600,MED SUPPLIES 15328,A81000C,00800,0100,G 15328,A81000C,00800,0200,CENTENNIAL PTS 15328,A81000C,00800,0400,CENT HC CORP 15328,A81000C,00800,0600,MED SUPPLIES 15328,A81000C,00900,0100,G 15328,A81000C,00900,0200,CENTENNIAL PTS 15328,A81000C,00900,0400,CENT HC CORP 15328,A81000C,00900,0600,SUPPLIES 15328,A81000C,03100,0000,EQUIPMENT 15328,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15328,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15328,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15328,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15328,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15328,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15328,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15328,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15328,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15328,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15328,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15328,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15328,S000000,00100,0200,06/01/2000 15328,S200000,00100,0100,495 NEW BOSTON ROAD 15328,S200000,00200,0100,FALL RIVER 15328,S200000,00200,0200,MA 15328,S200000,00200,0300,02720- 15328,S200000,00300,0100,BRISTOL 15328,S200000,00300,0200,1123 15328,S200000,00300,0300,U 15328,S200000,00400,0100,KIMWELL NURSING CENTER 15328,S200000,00400,0200,225194 15328,S200000,00400,0300,02/01/1989 15328,S200000,00400,0500,P 15328,S200000,01600,0100,Y 15328,S200000,01900,0100,TRUST 15328,S200000,02200,0100,Y 15331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15331,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15331,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15331,A000000,00300,0000,00300EMPLOYEE BENEFITS 15331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15331,A000000,00700,0000,00700HOUSEKEEPING 15331,A000000,00800,0000,00800DIETARY 15331,A000000,00801,0000,00801CAFETERIA 15331,A000000,00900,0000,00900NURSING ADMINISTRATION 15331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15331,A000000,01100,0000,01100PHARMACY 15331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15331,A000000,01300,0000,01300SOCIAL SERVICE 15331,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15331,A000000,01600,0000,01600SKILLED NURSING FACILITY 15331,A000000,01800,0000,01800NURSING FACILITY 15331,A000000,01900,0000,01900OTHER LONG TERM CARE 15331,A000000,02100,0000,02100RADIOLOGY 15331,A000000,02200,0000,02200LABORATORY 15331,A000000,02300,0000,02300INTRAVENOUS THERAPY 15331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15331,A000000,02500,0000,02500PHYSICAL THERAPY 15331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15331,A000000,02700,0000,02700SPEECH PATHOLOGY 15331,A000000,02800,0000,02800ELECTROCARDIOLOGY 15331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15331,A000000,03050,0000,03300OTHER ANCILLARY 15331,A000000,03051,0000,03301OTHER ANCILLARY II 15331,A000000,03052,0000,03302OTHER ANCILLARY III 15331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15331,A000000,03200,0000,03200SUPPORT SURFACES 15331,A000000,03400,0000,03400CLINIC 15331,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15331,A000000,03500,0000,03500RURAL HEALTH CLINIC 15331,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15331,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15331,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15331,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15331,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15331,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15331,A000000,04400,0000,04400DME RENTED - HHA 15331,A000000,04500,0000,04500DME SOLD - HHA 15331,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15331,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15331,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15331,A000000,04800,0000,04800AMBULANCE 15331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15331,A000000,05000,0000,05000CORF 15331,A000000,05010,0000,05010CMHC I 15331,A000000,05020,0000,05020OPT I 15331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15331,A000000,05300,0000,05300INTEREST EXPENSE 15331,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15331,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15331,A000000,05500,0000,05500HOSPICE 15331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15331,A000000,06100,0000,06100NONPAID WORKERS 15331,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15331,A000000,06200,0000,06200PATIENTS LAUNDRY 15331,A81000A,00100,0100,Y 15331,A81000B,00100,0300,MANAGEMENT FEE 15331,A81000B,00200,0300,PAYROLL PROCESSING 15331,A81000B,00300,0300,PHYSICAL THERAPY 15331,A81000B,00400,0300,OCCUPATION THERAPY 15331,A81000B,00500,0300,SPEECH THERAPY 15331,A81000B,00600,0300,MED EQUIP RENTAL 15331,A81000B,00700,0300,MEDICAL SUPPLIES 15331,A81000B,00800,0300,EQUIPMENT RENTAL 15331,A81000B,00900,0300,SUPPLIES & FORMS 15331,A81000C,00100,0100,G 15331,A81000C,00100,0200,CENT HC CORP 15331,A81000C,00100,0400,CENT HC CORP 15331,A81000C,00100,0600,HOME OFFICE 15331,A81000C,00200,0100,G 15331,A81000C,00200,0200,CENT HC CORP 15331,A81000C,00200,0400,CENT HC CORP 15331,A81000C,00200,0600,HOME OFFICE 15331,A81000C,00300,0100,G 15331,A81000C,00300,0200,PARAGON 15331,A81000C,00300,0400,CENT HC CORP 15331,A81000C,00300,0600,THERAPY 15331,A81000C,00400,0100,G 15331,A81000C,00400,0200,PARAGON 15331,A81000C,00400,0400,CENT HC CORP 15331,A81000C,00400,0600,THERAPY 15331,A81000C,00500,0100,G 15331,A81000C,00500,0200,PARAGON 15331,A81000C,00500,0400,CENT HC CORP 15331,A81000C,00500,0600,THERAPY 15331,A81000C,00600,0100,G 15331,A81000C,00600,0200,CENTENNIAL PTS 15331,A81000C,00600,0400,CENT HC CORP 15331,A81000C,00600,0600,SUPPLIES 15331,A81000C,00700,0100,G 15331,A81000C,00700,0200,CENTENNIAL PTS 15331,A81000C,00700,0400,CENT HC CORP 15331,A81000C,00700,0600,MED SUPPLIES 15331,A81000C,00800,0100,G 15331,A81000C,00800,0200,CENTENNIAL PTS 15331,A81000C,00800,0400,CENT HC CORP 15331,A81000C,00800,0600,SUPPLIES 15331,A81000C,00900,0100,G 15331,A81000C,00900,0200,CENTENNIAL PTS 15331,A81000C,00900,0400,CENT HC CORP 15331,A81000C,00900,0600,SUPPLIES 15331,A81000C,03100,0000,SUPPLIES 15331,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15331,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15331,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15331,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15331,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15331,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15331,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15331,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15331,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15331,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15331,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15331,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15331,S000000,00100,0200,06/01/2000 15331,S200000,00100,0100,305 WALPOLE STREET 15331,S200000,00200,0100,NORWOOD 15331,S200000,00200,0200,MA 15331,S200000,00200,0300,02062- 15331,S200000,00300,0100,NORFOLK 15331,S200000,00300,0200,1123 15331,S200000,00300,0300,U 15331,S200000,00400,0100,CHARLWELL HOUSE 15331,S200000,00400,0200,225208 15331,S200000,00400,0300,02/01/1972 15331,S200000,00400,0500,P 15331,S200000,01600,0100,Y 15331,S200000,01900,0100,TRUST 15332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15332,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15332,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15332,A000000,00300,0000,00300EMPLOYEE BENEFITS 15332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15332,A000000,00700,0000,00700HOUSEKEEPING 15332,A000000,00800,0000,00800DIETARY 15332,A000000,00801,0000,00801CAFETERIA 15332,A000000,00900,0000,00900NURSING ADMINISTRATION 15332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15332,A000000,01100,0000,01100PHARMACY 15332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15332,A000000,01300,0000,01300SOCIAL SERVICE 15332,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15332,A000000,01600,0000,01600SKILLED NURSING FACILITY 15332,A000000,01800,0000,01800NURSING FACILITY 15332,A000000,01900,0000,01900OTHER LONG TERM CARE 15332,A000000,02100,0000,02100RADIOLOGY 15332,A000000,02200,0000,02200LABORATORY 15332,A000000,02300,0000,02300INTRAVENOUS THERAPY 15332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15332,A000000,02500,0000,02500PHYSICAL THERAPY 15332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15332,A000000,02700,0000,02700SPEECH PATHOLOGY 15332,A000000,02800,0000,02800ELECTROCARDIOLOGY 15332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15332,A000000,03050,0000,03300OTHER ANCILLARY 15332,A000000,03051,0000,03301OTHER ANCILLARY II 15332,A000000,03052,0000,03302OTHER ANCILLARY III 15332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15332,A000000,03200,0000,03200SUPPORT SURFACES 15332,A000000,03400,0000,03400CLINIC 15332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15332,A000000,03500,0000,03500RURAL HEALTH CLINIC 15332,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15332,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15332,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15332,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15332,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15332,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15332,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15332,A000000,04400,0000,04400DME RENTED - HHA 15332,A000000,04500,0000,04500DME SOLD - HHA 15332,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15332,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15332,A000000,04800,0000,04800AMBULANCE 15332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15332,A000000,05000,0000,05000CORF 15332,A000000,05010,0000,05010CMHC I 15332,A000000,05020,0000,05020OPT I 15332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15332,A000000,05300,0000,05300INTEREST EXPENSE 15332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15332,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15332,A000000,05500,0000,05500HOSPICE 15332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15332,A000000,06100,0000,06100NONPAID WORKERS 15332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15332,A000000,06200,0000,06200PATIENTS LAUNDRY 15332,A81000A,00100,0100,Y 15332,A81000B,00100,0300,MANAGEMENT FEE 15332,A81000B,00200,0300,PAYROLL PROCESSING FEE 15332,A81000B,00300,0300,PT THERAPY 15332,A81000B,00400,0300,OT THERAPY 15332,A81000B,00500,0300,ST THERAPY 15332,A81000B,00600,0300,DIETARY SUPPLIES 15332,A81000B,00700,0300,NON-CHARGEABLE MED SUPPLIES 15332,A81000B,00800,0300,CHARGEABLE MED SUPPLIES 15332,A81000B,00900,0300,MED EQUIP RENTAL 15332,A81000C,00100,0100,G 15332,A81000C,00100,0200,CENT HC CORP 15332,A81000C,00100,0400,CENT HC CORP 15332,A81000C,00100,0600,HOME OFFICE 15332,A81000C,00200,0100,G 15332,A81000C,00200,0200,CENT HC CORP 15332,A81000C,00200,0400,CENT HC CORP 15332,A81000C,00200,0600,HOME OFFICE 15332,A81000C,00300,0100,G 15332,A81000C,00300,0200,PARAGON 15332,A81000C,00300,0400,CENT HC CORP 15332,A81000C,00300,0600,THERAPY 15332,A81000C,00400,0100,G 15332,A81000C,00400,0200,PARAGON 15332,A81000C,00400,0400,CENT HC CORP 15332,A81000C,00400,0600,THERAPY 15332,A81000C,00500,0100,G 15332,A81000C,00500,0200,PARAGON 15332,A81000C,00500,0400,CENT HC CORP 15332,A81000C,00500,0600,THERAPY 15332,A81000C,00600,0100,G 15332,A81000C,00600,0200,CENTENNIAL PTS 15332,A81000C,00600,0400,CENT HC CORP 15332,A81000C,00600,0600,SUPPLIES 15332,A81000C,00700,0100,G 15332,A81000C,00700,0200,CENTENNIAL PTS 15332,A81000C,00700,0400,CENT HC CORP 15332,A81000C,00700,0600,MED SUPPLIES 15332,A81000C,00800,0100,G 15332,A81000C,00800,0200,CENTENNIAL PTS 15332,A81000C,00800,0400,CENT HC CORP 15332,A81000C,00800,0600,MED SUPPLIES 15332,A81000C,00900,0100,G 15332,A81000C,00900,0200,CENTENNIAL PTS 15332,A81000C,00900,0400,CENT HC CORP 15332,A81000C,00900,0600,SUPPLIES 15332,A81000C,03100,0000,EQUIPMENT 15332,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15332,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15332,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15332,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15332,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15332,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15332,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15332,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15332,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15332,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15332,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15332,S000000,00100,0200,06/01/2000 15332,S200000,00100,0100,1200 BRUSH HILL ROAD 15332,S200000,00200,0100,MILTON 15332,S200000,00200,0200,MA 15332,S200000,00200,0300,02186- 15332,S200000,00300,0100,NORFOLK 15332,S200000,00300,0200,1123 15332,S200000,00300,0300,U 15332,S200000,00400,0100,MILTON HEALTH CARE 15332,S200000,00400,0200,225274 15332,S200000,00400,0300,11/29/1983 15332,S200000,00400,0500,P 15332,S200000,01600,0100,Y 15332,S200000,01900,0100,TRUST 15332,S200000,02200,0100,Y 15343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15343,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15343,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15343,A000000,00300,0000,00300EMPLOYEE BENEFITS 15343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15343,A000000,00700,0000,00700HOUSEKEEPING 15343,A000000,00800,0000,00800DIETARY 15343,A000000,00801,0000,00801CAFETERIA 15343,A000000,00900,0000,00900NURSING ADMINISTRATION 15343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15343,A000000,01100,0000,01100PHARMACY 15343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15343,A000000,01300,0000,01300SOCIAL SERVICE 15343,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15343,A000000,01600,0000,01600SKILLED NURSING FACILITY 15343,A000000,01800,0000,01800NURSING FACILITY 15343,A000000,01900,0000,01900OTHER LONG TERM CARE 15343,A000000,02100,0000,02100RADIOLOGY 15343,A000000,02200,0000,02200LABORATORY 15343,A000000,02300,0000,02300INTRAVENOUS THERAPY 15343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15343,A000000,02500,0000,02500PHYSICAL THERAPY 15343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15343,A000000,02700,0000,02700SPEECH PATHOLOGY 15343,A000000,02800,0000,02800ELECTROCARDIOLOGY 15343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15343,A000000,03050,0000,03300OTHER ANCILLARY 15343,A000000,03051,0000,03301OTHER ANCILLARY II 15343,A000000,03052,0000,03302OTHER ANCILLARY III 15343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15343,A000000,03200,0000,03200SUPPORT SURFACES 15343,A000000,03400,0000,03400CLINIC 15343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15343,A000000,03500,0000,03500RURAL HEALTH CLINIC 15343,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15343,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15343,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15343,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15343,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15343,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15343,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15343,A000000,04400,0000,04400DME RENTED - HHA 15343,A000000,04500,0000,04500DME SOLD - HHA 15343,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15343,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15343,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15343,A000000,04800,0000,04800AMBULANCE 15343,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15343,A000000,05000,0000,05000CORF 15343,A000000,05010,0000,05010CMHC I 15343,A000000,05020,0000,05020OPT I 15343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15343,A000000,05300,0000,05300INTEREST EXPENSE 15343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15343,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15343,A000000,05500,0000,05500HOSPICE 15343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15343,A000000,06100,0000,06100NONPAID WORKERS 15343,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15343,A000000,06200,0000,06200PATIENTS LAUNDRY 15343,A81000A,00100,0100,Y 15343,A81000B,00100,0300,MANAGEMENT FEE 15343,A81000B,00200,0300,PAYROLL PROCESSING 15343,A81000B,00300,0300,PHYSICAL THERAPY 15343,A81000B,00400,0300,OCCUPATION THERAPY 15343,A81000B,00500,0300,SPEECH THERAPY 15343,A81000B,00600,0300,DIETARY 15343,A81000B,00700,0300,CENTRAL SUPPLY 15343,A81000B,00800,0300,MEDICAL SUPPLIES 15343,A81000B,00900,0300,HSKP SUPPLIES 15343,A81000C,00100,0100,G 15343,A81000C,00100,0200,CENT HC CORP 15343,A81000C,00100,0400,CENT HC CORP 15343,A81000C,00100,0600,HOME OFFICE 15343,A81000C,00200,0100,G 15343,A81000C,00200,0200,CENT HC CORP 15343,A81000C,00200,0400,CENT HC CORP 15343,A81000C,00200,0600,HOME OFFICE 15343,A81000C,00300,0100,G 15343,A81000C,00300,0200,PARAGON 15343,A81000C,00300,0400,CENT HC CORP 15343,A81000C,00300,0600,THERAPY 15343,A81000C,00400,0100,G 15343,A81000C,00400,0200,PARAGON 15343,A81000C,00400,0400,CENT HC CORP 15343,A81000C,00400,0600,THERAPY 15343,A81000C,00500,0100,G 15343,A81000C,00500,0200,PARAGON 15343,A81000C,00500,0400,CENT HC CORP 15343,A81000C,00500,0600,THERAPY 15343,A81000C,00600,0100,G 15343,A81000C,00600,0200,CENTENNIAL PTS 15343,A81000C,00600,0400,CENT HC CORP 15343,A81000C,00600,0600,SUPPLIES 15343,A81000C,00700,0100,G 15343,A81000C,00700,0200,CENTENNIAL PTS 15343,A81000C,00700,0400,CENT HC CORP 15343,A81000C,00700,0600,MED SUPPLIES 15343,A81000C,00800,0100,G 15343,A81000C,00800,0200,CENTENNIAL PTS 15343,A81000C,00800,0400,CENT HC CORP 15343,A81000C,00800,0600,MED SUPPLIES 15343,A81000C,00900,0100,G 15343,A81000C,00900,0200,CENTENNIAL PTS 15343,A81000C,00900,0400,CENT HC CORP 15343,A81000C,00900,0600,SUPPLIES 15343,A81000C,03100,0000,SUPPLIES 15343,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15343,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15343,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15343,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15343,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15343,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15343,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15343,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15343,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15343,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15343,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15343,S000000,00100,0200,06/01/2000 15343,S200000,00100,0100,355 HURON VIEW BOULEVARD 15343,S200000,00200,0100,ANN ARBOR 15343,S200000,00200,0200,MI 15343,S200000,00200,0300,48103- 15343,S200000,00300,0100,WASHTENAW 15343,S200000,00300,0200,0440 15343,S200000,00300,0300,U 15343,S200000,00400,0100,RIVERVIEW OF ANN ARBOR 15343,S200000,00400,0200,235010 15343,S200000,00400,0300,01/01/1980 15343,S200000,00400,0500,P 15343,S200000,01500,0100,Y 15343,S200000,02200,0100,Y 15353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15353,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15353,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15353,A000000,00300,0000,00300EMPLOYEE BENEFITS 15353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15353,A000000,00700,0000,00700HOUSEKEEPING 15353,A000000,00800,0000,00800DIETARY 15353,A000000,00801,0000,00801CAFETERIA 15353,A000000,00900,0000,00900NURSING ADMINISTRATION 15353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15353,A000000,01100,0000,01100PHARMACY 15353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15353,A000000,01300,0000,01300SOCIAL SERVICE 15353,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15353,A000000,01600,0000,01600SKILLED NURSING FACILITY 15353,A000000,01800,0000,01800NURSING FACILITY 15353,A000000,01900,0000,01900OTHER LONG TERM CARE 15353,A000000,02100,0000,02100RADIOLOGY 15353,A000000,02200,0000,02200LABORATORY 15353,A000000,02300,0000,02300INTRAVENOUS THERAPY 15353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15353,A000000,02500,0000,02500PHYSICAL THERAPY 15353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15353,A000000,02700,0000,02700SPEECH PATHOLOGY 15353,A000000,02800,0000,02800ELECTROCARDIOLOGY 15353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15353,A000000,03050,0000,03300OTHER ANCILLARY 15353,A000000,03051,0000,03301OTHER ANCILLARY II 15353,A000000,03052,0000,03302OTHER ANCILLARY III 15353,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15353,A000000,03200,0000,03200SUPPORT SURFACES 15353,A000000,03400,0000,03400CLINIC 15353,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15353,A000000,03500,0000,03500RURAL HEALTH CLINIC 15353,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15353,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15353,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15353,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15353,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15353,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15353,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15353,A000000,04400,0000,04400DME RENTED - HHA 15353,A000000,04500,0000,04500DME SOLD - HHA 15353,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15353,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15353,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15353,A000000,04800,0000,04800AMBULANCE 15353,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15353,A000000,05000,0000,05000CORF 15353,A000000,05010,0000,05010CMHC I 15353,A000000,05020,0000,05020OPT I 15353,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15353,A000000,05300,0000,05300INTEREST EXPENSE 15353,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15353,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15353,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15353,A000000,05500,0000,05500HOSPICE 15353,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15353,A000000,06100,0000,06100NONPAID WORKERS 15353,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15353,A000000,06200,0000,06200PATIENTS LAUNDRY 15353,A81000A,00100,0100,Y 15353,A81000B,00100,0300,MANAGEMENT FEE 15353,A81000B,00300,0300,PAYROLL PROCESSING 15353,A81000B,00400,0300,PHYSICAL THERAPY 15353,A81000B,00500,0300,OCCUPATION THERAPY 15353,A81000B,00600,0300,SPEECH THERAPY 15353,A81000B,00700,0300,DIETARY 15353,A81000B,00800,0300,CENTRAL SUPPLY 15353,A81000B,00900,0300,HSKP SUPPLIES 15353,A81000C,00100,0100,G 15353,A81000C,00100,0200,CENT HC CORP 15353,A81000C,00100,0400,CENT HC CORP 15353,A81000C,00100,0600,HOME OFFICE 15353,A81000C,00300,0100,G 15353,A81000C,00300,0200,CENT HC CORP 15353,A81000C,00300,0400,CENT HC CORP 15353,A81000C,00300,0600,HOME OFFICE 15353,A81000C,00400,0100,G 15353,A81000C,00400,0200,PARAGON 15353,A81000C,00400,0400,CENT HC CORP 15353,A81000C,00400,0600,THERAPY 15353,A81000C,00500,0100,G 15353,A81000C,00500,0200,PARAGON 15353,A81000C,00500,0400,CENT HC CORP 15353,A81000C,00500,0600,THERAPY 15353,A81000C,00600,0100,G 15353,A81000C,00600,0200,PARAGON 15353,A81000C,00600,0400,CENT HC CORP 15353,A81000C,00600,0600,THERAPY 15353,A81000C,00700,0100,G 15353,A81000C,00700,0200,CENTENNIAL PTS 15353,A81000C,00700,0400,CENT HC CORP 15353,A81000C,00700,0600,SUPPLIES 15353,A81000C,00800,0100,G 15353,A81000C,00800,0200,CENTENNIAL PTS 15353,A81000C,00800,0400,CENT HC CORP 15353,A81000C,00800,0600,MED SUPPLIES 15353,A81000C,00900,0100,G 15353,A81000C,00900,0200,CENTENNIAL PTS 15353,A81000C,00900,0400,CENT HC CORP 15353,A81000C,00900,0600,SUPPLIES 15353,A81000C,03100,0000,SUPPLIES 15353,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15353,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15353,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15353,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15353,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15353,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15353,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15353,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15353,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15353,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15353,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15353,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15353,S000000,00100,0200,06/01/2000 15353,S200000,00100,0100,4554 WEST 48TH STREET 15353,S200000,00200,0100,FREMONT 15353,S200000,00200,0200,MI 15353,S200000,00200,0300,49412- 15353,S200000,00300,0100,NEWAYGO 15353,S200000,00300,0300,R 15353,S200000,00400,0100,THS OF FREMONT 15353,S200000,00400,0200,235176 15353,S200000,00400,0300,01/01/1980 15353,S200000,00400,0500,P 15353,S200000,01500,0100,Y 15353,S200000,02200,0100,Y 15353,S200000,02800,0100,Y 15363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15363,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15363,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15363,A000000,00300,0000,00300EMPLOYEE BENEFITS 15363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15363,A000000,00700,0000,00700HOUSEKEEPING 15363,A000000,00800,0000,00800DIETARY 15363,A000000,00801,0000,00801CAFETERIA 15363,A000000,00900,0000,00900NURSING ADMINISTRATION 15363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15363,A000000,01100,0000,01100PHARMACY 15363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15363,A000000,01300,0000,01300SOCIAL SERVICE 15363,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15363,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15363,A000000,01600,0000,01600SKILLED NURSING FACILITY 15363,A000000,01800,0000,01800NURSING FACILITY 15363,A000000,01900,0000,01900OTHER LONG TERM CARE 15363,A000000,02100,0000,02100RADIOLOGY 15363,A000000,02200,0000,02200LABORATORY 15363,A000000,02300,0000,02300INTRAVENOUS THERAPY 15363,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15363,A000000,02500,0000,02500PHYSICAL THERAPY 15363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15363,A000000,02700,0000,02700SPEECH PATHOLOGY 15363,A000000,02800,0000,02800ELECTROCARDIOLOGY 15363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15363,A000000,03050,0000,03300OTHER ANCILLARY 15363,A000000,03051,0000,03301OTHER ANCILLARY II 15363,A000000,03052,0000,03302OTHER ANCILLARY III 15363,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15363,A000000,03200,0000,03200SUPPORT SURFACES 15363,A000000,03400,0000,03400CLINIC 15363,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15363,A000000,03500,0000,03500RURAL HEALTH CLINIC 15363,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15363,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15363,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15363,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15363,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15363,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15363,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15363,A000000,04400,0000,04400DME RENTED - HHA 15363,A000000,04500,0000,04500DME SOLD - HHA 15363,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15363,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15363,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15363,A000000,04800,0000,04800AMBULANCE 15363,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15363,A000000,05000,0000,05000CORF 15363,A000000,05010,0000,05010CMHC I 15363,A000000,05020,0000,05020OPT I 15363,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15363,A000000,05300,0000,05300INTEREST EXPENSE 15363,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15363,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15363,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15363,A000000,05500,0000,05500HOSPICE 15363,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15363,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15363,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15363,A000000,06100,0000,06100NONPAID WORKERS 15363,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15363,A000000,06200,0000,06200PATIENTS LAUNDRY 15363,A81000A,00100,0100,Y 15363,A81000B,00100,0300,MANAGEMENT FEE 15363,A81000B,00200,0300,PAYROLL PROCESSING 15363,A81000B,00300,0300,PHYSICAL THERAPY 15363,A81000B,00400,0300,OCCUPATION THERAPY 15363,A81000B,00500,0300,SPEECH THERAPY 15363,A81000B,00600,0300,DIETARY 15363,A81000B,00700,0300,CENTRAL SUPPLY 15363,A81000B,00800,0300,HSKP SUPPLIES 15363,A81000B,00900,0300,MED EQUIP RENTAL 15363,A81000C,00100,0100,G 15363,A81000C,00100,0200,CENT HC CORP 15363,A81000C,00100,0400,CENT HC CORP 15363,A81000C,00100,0600,HOME OFFICE 15363,A81000C,00200,0100,G 15363,A81000C,00200,0200,CENT HC CORP 15363,A81000C,00200,0400,CENT HC CORP 15363,A81000C,00200,0600,HOME OFFICE 15363,A81000C,00300,0100,G 15363,A81000C,00300,0200,PARAGON 15363,A81000C,00300,0400,CENT HC CORP 15363,A81000C,00300,0600,THERAPY 15363,A81000C,00400,0100,G 15363,A81000C,00400,0200,PARAGON 15363,A81000C,00400,0400,CENT HC CORP 15363,A81000C,00400,0600,THERAPY 15363,A81000C,00500,0100,G 15363,A81000C,00500,0200,PARAGON 15363,A81000C,00500,0400,CENT HC CORP 15363,A81000C,00500,0600,THERAPY 15363,A81000C,00600,0100,G 15363,A81000C,00600,0200,CENTENNIAL PTS 15363,A81000C,00600,0400,CENT HC CORP 15363,A81000C,00600,0600,SUPPLIES 15363,A81000C,00700,0100,G 15363,A81000C,00700,0200,CENTENNIAL PTS 15363,A81000C,00700,0400,CENT HC CORP 15363,A81000C,00700,0600,MED SUPPLIES 15363,A81000C,00800,0100,G 15363,A81000C,00800,0200,CENTENNIAL PTS 15363,A81000C,00800,0400,CENT HC CORP 15363,A81000C,00800,0600,SUPPLIES 15363,A81000C,00900,0100,G 15363,A81000C,00900,0200,CENTENNIAL PTS 15363,A81000C,00900,0400,CENT HC CORP 15363,A81000C,00900,0600,SUPPLIES 15363,A81000C,03100,0000,SUPPLIES 15363,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15363,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15363,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15363,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15363,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15363,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15363,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15363,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15363,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15363,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15363,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15363,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15363,S000000,00100,0200,06/01/2000 15363,S200000,00100,0100,1149 WEST MONROE RD 15363,S200000,00200,0100,ST. LOUIS 15363,S200000,00200,0200,MI 15363,S200000,00200,0300,48880- 15363,S200000,00300,0100,GRATIOT 15363,S200000,00300,0200,23 15363,S200000,00300,0300,R 15363,S200000,00400,0100,PINE RIVER HEALTHCARE CENTER 15363,S200000,00400,0200,235324 15363,S200000,00400,0300,01/01/1980 15363,S200000,00400,0500,P 15363,S200000,01500,0100,Y 15363,S200000,02200,0100,Y 15372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15372,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15372,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15372,A000000,00300,0000,00300EMPLOYEE BENEFITS 15372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15372,A000000,00700,0000,00700HOUSEKEEPING 15372,A000000,00800,0000,00800DIETARY 15372,A000000,00801,0000,00801CAFETERIA 15372,A000000,00900,0000,00900NURSING ADMINISTRATION 15372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15372,A000000,01100,0000,01100PHARMACY 15372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15372,A000000,01300,0000,01300SOCIAL SERVICE 15372,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15372,A000000,01600,0000,01600SKILLED NURSING FACILITY 15372,A000000,01800,0000,01800NURSING FACILITY 15372,A000000,01900,0000,01900OTHER LONG TERM CARE 15372,A000000,02100,0000,02100RADIOLOGY 15372,A000000,02200,0000,02200LABORATORY 15372,A000000,02300,0000,02300INTRAVENOUS THERAPY 15372,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15372,A000000,02500,0000,02500PHYSICAL THERAPY 15372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15372,A000000,02700,0000,02700SPEECH PATHOLOGY 15372,A000000,02800,0000,02800ELECTROCARDIOLOGY 15372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15372,A000000,03050,0000,03300OTHER ANCILLARY 15372,A000000,03051,0000,03301OTHER ANCILLARY II 15372,A000000,03052,0000,03302OTHER ANCILLARY III 15372,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15372,A000000,03200,0000,03200SUPPORT SURFACES 15372,A000000,03400,0000,03400CLINIC 15372,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15372,A000000,03500,0000,03500RURAL HEALTH CLINIC 15372,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15372,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15372,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15372,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15372,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15372,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15372,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15372,A000000,04400,0000,04400DME RENTED - HHA 15372,A000000,04500,0000,04500DME SOLD - HHA 15372,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15372,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15372,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15372,A000000,04800,0000,04800AMBULANCE 15372,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15372,A000000,05000,0000,05000CORF 15372,A000000,05010,0000,05010CMHC I 15372,A000000,05020,0000,05020OPT I 15372,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15372,A000000,05300,0000,05300INTEREST EXPENSE 15372,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15372,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15372,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15372,A000000,05500,0000,05500HOSPICE 15372,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15372,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15372,A000000,06100,0000,06100NONPAID WORKERS 15372,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15372,A000000,06200,0000,06200PATIENTS LAUNDRY 15372,A81000A,00100,0100,Y 15372,A81000B,00100,0300,MANAGEMENT FEE 15372,A81000B,00200,0300,PAYROLL PROCESSING 15372,A81000B,00300,0300,PHYSICAL THERAPY 15372,A81000B,00400,0300,OCCUPATION THERAPY 15372,A81000B,00500,0300,SPEECH THERAPY 15372,A81000B,00600,0300,DIETARY 15372,A81000B,00700,0300,CENTRAL SUPPLY 15372,A81000B,00800,0300,MEDICAL SUPPLIES 15372,A81000B,00900,0300,MED EQUIP RENTAL 15372,A81000C,00100,0100,G 15372,A81000C,00100,0200,CENT HC CORP 15372,A81000C,00100,0400,CENT HC CORP 15372,A81000C,00100,0600,HOME OFFICE 15372,A81000C,00200,0100,G 15372,A81000C,00200,0200,CENT HC CORP 15372,A81000C,00200,0400,CENT HC CORP 15372,A81000C,00200,0600,HOME OFFICE 15372,A81000C,00300,0100,G 15372,A81000C,00300,0200,PARAGON 15372,A81000C,00300,0400,CENT HC CORP 15372,A81000C,00300,0600,THERAPY 15372,A81000C,00400,0100,G 15372,A81000C,00400,0200,PARAGON 15372,A81000C,00400,0400,CENT HC CORP 15372,A81000C,00400,0600,THERAPY 15372,A81000C,00500,0100,G 15372,A81000C,00500,0200,PARAGON 15372,A81000C,00500,0400,CENT HC CORP 15372,A81000C,00500,0600,THERAPY 15372,A81000C,00600,0100,G 15372,A81000C,00600,0200,CENTENNIAL PTS 15372,A81000C,00600,0400,CENT HC CORP 15372,A81000C,00600,0600,SUPPLIES 15372,A81000C,00700,0100,G 15372,A81000C,00700,0200,CENTENNIAL PTS 15372,A81000C,00700,0400,CENT HC CORP 15372,A81000C,00700,0600,MED SUPPLIES 15372,A81000C,00800,0100,G 15372,A81000C,00800,0200,CENTENNIAL PTS 15372,A81000C,00800,0400,CENT HC CORP 15372,A81000C,00800,0600,MED SUPPLIES 15372,A81000C,00900,0100,G 15372,A81000C,00900,0200,CENTENNIAL PTS 15372,A81000C,00900,0400,CENT HC CORP 15372,A81000C,00900,0600,SUPPLIES 15372,A81000C,03100,0000,EQUIPMENT 15372,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15372,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15372,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15372,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15372,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15372,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15372,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15372,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15372,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15372,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15372,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15372,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15372,S000000,00100,0200,06/01/2000 15372,S200000,00100,0100,435 STONEVILLE ROAD 15372,S200000,00200,0100,ISHPEMING 15372,S200000,00200,0200,MI 15372,S200000,00200,0300,49849- 15372,S200000,00300,0100,MARQUETTE 15372,S200000,00300,0200,23 15372,S200000,00300,0300,R 15372,S200000,00400,0100,MATHER NURSING CENTER 15372,S200000,00400,0200,235349 15372,S200000,00400,0300,11/01/1980 15372,S200000,00400,0500,P 15372,S200000,01500,0100,Y 15372,S200000,02200,0100,Y 15380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15380,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15380,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15380,A000000,00300,0000,00300EMPLOYEE BENEFITS 15380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15380,A000000,00700,0000,00700HOUSEKEEPING 15380,A000000,00800,0000,00800DIETARY 15380,A000000,00801,0000,00801CAFETERIA 15380,A000000,00900,0000,00900NURSING ADMINISTRATION 15380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15380,A000000,01100,0000,01100PHARMACY 15380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15380,A000000,01300,0000,01300SOCIAL SERVICE 15380,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15380,A000000,01600,0000,01600SKILLED NURSING FACILITY 15380,A000000,01800,0000,01800NURSING FACILITY 15380,A000000,01900,0000,01900OTHER LONG TERM CARE 15380,A000000,02100,0000,02100RADIOLOGY 15380,A000000,02200,0000,02200LABORATORY 15380,A000000,02300,0000,02300INTRAVENOUS THERAPY 15380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15380,A000000,02500,0000,02500PHYSICAL THERAPY 15380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15380,A000000,02700,0000,02700SPEECH PATHOLOGY 15380,A000000,02800,0000,02800ELECTROCARDIOLOGY 15380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15380,A000000,03050,0000,03300OTHER ANCILLARY 15380,A000000,03051,0000,03301OTHER ANCILLARY II 15380,A000000,03052,0000,03302OTHER ANCILLARY III 15380,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15380,A000000,03200,0000,03200SUPPORT SURFACES 15380,A000000,03400,0000,03400CLINIC 15380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15380,A000000,03500,0000,03500RURAL HEALTH CLINIC 15380,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15380,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15380,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15380,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15380,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15380,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15380,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15380,A000000,04400,0000,04400DME RENTED - HHA 15380,A000000,04500,0000,04500DME SOLD - HHA 15380,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15380,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15380,A000000,04800,0000,04800AMBULANCE 15380,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15380,A000000,05000,0000,05000CORF 15380,A000000,05010,0000,05010CMHC I 15380,A000000,05020,0000,05020OPT I 15380,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15380,A000000,05300,0000,05300INTEREST EXPENSE 15380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15380,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15380,A000000,05500,0000,05500HOSPICE 15380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15380,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15380,A000000,06100,0000,06100NONPAID WORKERS 15380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15380,A000000,06200,0000,06200PATIENTS LAUNDRY 15380,A81000A,00100,0100,Y 15380,A81000B,00100,0300,MANAGEMENT FEE 15380,A81000B,00300,0300,PAYROLL PROCESSING 15380,A81000B,00400,0300,PHYSICAL THERAPY 15380,A81000B,00500,0300,OCCUPATION THERAPY 15380,A81000B,00600,0300,SPEECH THERAPY 15380,A81000B,00700,0300,DIETARY 15380,A81000B,00800,0300,CENTRAL SUPPLY 15380,A81000B,00900,0300,MED EQUIP RENTAL 15380,A81000C,00100,0100,G 15380,A81000C,00100,0200,CENT HC CORP 15380,A81000C,00100,0400,CENT HC CORP 15380,A81000C,00100,0600,HOME OFFICE 15380,A81000C,00300,0100,G 15380,A81000C,00300,0200,CENT HC CORP 15380,A81000C,00300,0400,CENT HC CORP 15380,A81000C,00300,0600,HOME OFFICE 15380,A81000C,00400,0100,G 15380,A81000C,00400,0200,PARAGON 15380,A81000C,00400,0400,CENT HC CORP 15380,A81000C,00400,0600,THERAPY 15380,A81000C,00500,0100,G 15380,A81000C,00500,0200,PARAGON 15380,A81000C,00500,0400,CENT HC CORP 15380,A81000C,00500,0600,THERAPY 15380,A81000C,00600,0100,G 15380,A81000C,00600,0200,PARAGON 15380,A81000C,00600,0400,CENT HC CORP 15380,A81000C,00600,0600,THERAPY 15380,A81000C,00700,0100,G 15380,A81000C,00700,0200,CENTENNIAL PTS 15380,A81000C,00700,0400,CENT HC CORP 15380,A81000C,00700,0600,SUPPLIES 15380,A81000C,00800,0100,G 15380,A81000C,00800,0200,CENTENNIAL PTS 15380,A81000C,00800,0400,CENT HC CORP 15380,A81000C,00800,0600,MED SUPPLIES 15380,A81000C,00900,0100,G 15380,A81000C,00900,0200,CENTENNIAL PTS 15380,A81000C,00900,0400,CENT HC CORP 15380,A81000C,00900,0600,SUPPLIES 15380,A81000C,03100,0000,EQUIPMENT 15380,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15380,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15380,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15380,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15380,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15380,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15380,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15380,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15380,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15380,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15380,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15380,S000000,00100,0200,06/01/2000 15380,S200000,00100,0100,512 BEACH STREET 15380,S200000,00100,0300,350 15380,S200000,00200,0100,FENTON 15380,S200000,00200,0200,MI 15380,S200000,00200,0300,48430- 15380,S200000,00300,0100,GENESEE 15380,S200000,00300,0200,2640 15380,S200000,00300,0300,U 15380,S200000,00400,0100,FENTON EXTENDED CARE 15380,S200000,00400,0200,235482 15380,S200000,00400,0300,01/01/1980 15380,S200000,00400,0500,P 15380,S200000,01500,0100,Y 15380,S200000,02200,0100,Y 15380,S200000,02800,0100,Y 15388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15388,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15388,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15388,A000000,00300,0000,00300EMPLOYEE BENEFITS 15388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15388,A000000,00700,0000,00700HOUSEKEEPING 15388,A000000,00800,0000,00800DIETARY 15388,A000000,00801,0000,00801CAFETERIA 15388,A000000,00900,0000,00900NURSING ADMINISTRATION 15388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15388,A000000,01100,0000,01100PHARMACY 15388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15388,A000000,01300,0000,01300SOCIAL SERVICE 15388,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15388,A000000,01600,0000,01600SKILLED NURSING FACILITY 15388,A000000,01800,0000,01800NURSING FACILITY 15388,A000000,01900,0000,01900OTHER LONG TERM CARE 15388,A000000,02100,0000,02100RADIOLOGY 15388,A000000,02200,0000,02200LABORATORY 15388,A000000,02300,0000,02300INTRAVENOUS THERAPY 15388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15388,A000000,02500,0000,02500PHYSICAL THERAPY 15388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15388,A000000,02700,0000,02700SPEECH PATHOLOGY 15388,A000000,02800,0000,02800ELECTROCARDIOLOGY 15388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15388,A000000,03050,0000,03300OTHER ANCILLARY 15388,A000000,03051,0000,03301OTHER ANCILLARY II 15388,A000000,03052,0000,03302OTHER ANCILLARY III 15388,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15388,A000000,03200,0000,03200SUPPORT SURFACES 15388,A000000,03400,0000,03400CLINIC 15388,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15388,A000000,03500,0000,03500RURAL HEALTH CLINIC 15388,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15388,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15388,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15388,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15388,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15388,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15388,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15388,A000000,04400,0000,04400DME RENTED - HHA 15388,A000000,04500,0000,04500DME SOLD - HHA 15388,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15388,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15388,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15388,A000000,04800,0000,04800AMBULANCE 15388,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15388,A000000,05000,0000,05000CORF 15388,A000000,05010,0000,05010CMHC I 15388,A000000,05020,0000,05020OPT I 15388,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15388,A000000,05300,0000,05300INTEREST EXPENSE 15388,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15388,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15388,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15388,A000000,05500,0000,05500HOSPICE 15388,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15388,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15388,A000000,06100,0000,06100NONPAID WORKERS 15388,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15388,A000000,06200,0000,06200PATIENTS LAUNDRY 15388,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15388,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15388,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15388,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15388,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15388,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15388,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15388,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15388,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15388,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15388,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15388,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15388,S000000,00100,0200,06/01/2000 15388,S200000,00100,0100,21017 MIDDLEBELT RC 15388,S200000,00200,0100,FARMINGTON HILLS 15388,S200000,00200,0200,MI 15388,S200000,00200,0300,48336- 15388,S200000,00300,0100,OAKLAND 15388,S200000,00300,0200,2160 15388,S200000,00300,0300,U 15388,S200000,00400,0100,CHARTER HOUSE OF FARMINGTON HILLS 15388,S200000,00400,0200,235508 15388,S200000,00400,0300,12/01/1990 15388,S200000,00400,0500,P 15388,S200000,01500,0100,Y 15388,S200000,02200,0100,Y 15397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15397,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15397,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15397,A000000,00300,0000,00300EMPLOYEE BENEFITS 15397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15397,A000000,00700,0000,00700HOUSEKEEPING 15397,A000000,00800,0000,00800DIETARY 15397,A000000,00801,0000,00801CAFETERIA 15397,A000000,00900,0000,00900NURSING ADMINISTRATION 15397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15397,A000000,01100,0000,01100PHARMACY 15397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15397,A000000,01300,0000,01300SOCIAL SERVICE 15397,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15397,A000000,01600,0000,01600SKILLED NURSING FACILITY 15397,A000000,01800,0000,01800NURSING FACILITY 15397,A000000,01900,0000,01900OTHER LONG TERM CARE 15397,A000000,02100,0000,02100RADIOLOGY 15397,A000000,02200,0000,02200LABORATORY 15397,A000000,02300,0000,02300INTRAVENOUS THERAPY 15397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15397,A000000,02500,0000,02500PHYSICAL THERAPY 15397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15397,A000000,02700,0000,02700SPEECH PATHOLOGY 15397,A000000,02800,0000,02800ELECTROCARDIOLOGY 15397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15397,A000000,03050,0000,03300OTHER ANCILLARY 15397,A000000,03051,0000,03301OTHER ANCILLARY II 15397,A000000,03052,0000,03302OTHER ANCILLARY III 15397,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15397,A000000,03200,0000,03200SUPPORT SURFACES 15397,A000000,03400,0000,03400CLINIC 15397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15397,A000000,03500,0000,03500RURAL HEALTH CLINIC 15397,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15397,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15397,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15397,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15397,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15397,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15397,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15397,A000000,04400,0000,04400DME RENTED - HHA 15397,A000000,04500,0000,04500DME SOLD - HHA 15397,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15397,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15397,A000000,04800,0000,04800AMBULANCE 15397,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15397,A000000,05000,0000,05000CORF 15397,A000000,05010,0000,05010CMHC I 15397,A000000,05020,0000,05020OPT I 15397,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15397,A000000,05300,0000,05300INTEREST EXPENSE 15397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15397,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15397,A000000,05500,0000,05500HOSPICE 15397,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15397,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15397,A000000,06100,0000,06100NONPAID WORKERS 15397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15397,A000000,06200,0000,06200PATIENTS LAUNDRY 15397,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15397,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15397,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15397,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15397,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15397,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15397,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15397,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15397,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15397,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15397,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15397,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15397,S000000,00100,0200,06/01/2000 15397,S200000,00100,0100,1290 E MICHIGAN ROAD 15397,S200000,00200,0100,ROSCOMMON 15397,S200000,00200,0200,MI 15397,S200000,00200,0300,48653- 15397,S200000,00300,0100,ROSCOMMON 15397,S200000,00300,0200,23 15397,S200000,00300,0300,R 15397,S200000,00400,0100,HILLTOP MANOR HEALTH CARE CENTER 15397,S200000,00400,0200,235511 15397,S200000,00400,0300,01/01/1990 15397,S200000,00400,0500,P 15397,S200000,01500,0100,Y 15397,S200000,02200,0100,Y 15405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15405,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15405,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15405,A000000,00300,0000,00300EMPLOYEE BENEFITS 15405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15405,A000000,00700,0000,00700HOUSEKEEPING 15405,A000000,00800,0000,00800DIETARY 15405,A000000,00801,0000,00801CAFETERIA 15405,A000000,00900,0000,00900NURSING ADMINISTRATION 15405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15405,A000000,01100,0000,01100PHARMACY 15405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15405,A000000,01300,0000,01300SOCIAL SERVICE 15405,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15405,A000000,01600,0000,01600SKILLED NURSING FACILITY 15405,A000000,01800,0000,01800NURSING FACILITY 15405,A000000,01900,0000,01900OTHER LONG TERM CARE 15405,A000000,02100,0000,02100RADIOLOGY 15405,A000000,02200,0000,02200LABORATORY 15405,A000000,02300,0000,02300INTRAVENOUS THERAPY 15405,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15405,A000000,02500,0000,02500PHYSICAL THERAPY 15405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15405,A000000,02700,0000,02700SPEECH PATHOLOGY 15405,A000000,02800,0000,02800ELECTROCARDIOLOGY 15405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15405,A000000,03050,0000,03300OTHER ANCILLARY 15405,A000000,03051,0000,03301OTHER ANCILLARY II 15405,A000000,03052,0000,03302OTHER ANCILLARY III 15405,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15405,A000000,03200,0000,03200SUPPORT SURFACES 15405,A000000,03400,0000,03400CLINIC 15405,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15405,A000000,03500,0000,03500RURAL HEALTH CLINIC 15405,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15405,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15405,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15405,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15405,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15405,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15405,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15405,A000000,04400,0000,04400DME RENTED - HHA 15405,A000000,04500,0000,04500DME SOLD - HHA 15405,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15405,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15405,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15405,A000000,04800,0000,04800AMBULANCE 15405,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15405,A000000,05000,0000,05000CORF 15405,A000000,05010,0000,05010CMHC I 15405,A000000,05020,0000,05020OPT I 15405,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15405,A000000,05300,0000,05300INTEREST EXPENSE 15405,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15405,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15405,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15405,A000000,05500,0000,05500HOSPICE 15405,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15405,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15405,A000000,06100,0000,06100NONPAID WORKERS 15405,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15405,A000000,06200,0000,06200PATIENTS LAUNDRY 15405,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15405,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15405,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15405,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15405,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15405,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15405,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15405,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15405,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15405,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15405,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15405,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15405,S000000,00100,0200,06/01/2000 15405,S200000,00100,0100,24500 MEADOWBROOK RD 15405,S200000,00200,0100,NOVI 15405,S200000,00200,0200,MI 15405,S200000,00200,0300,48375- 15405,S200000,00300,0100,OAKLAND 15405,S200000,00300,0200,2160 15405,S200000,00300,0300,U 15405,S200000,00400,0100,CHARTER HOUSE OF NOVI 15405,S200000,00400,0200,235529 15405,S200000,00400,0300,12/01/1990 15405,S200000,00400,0500,P 15405,S200000,01500,0100,Y 15405,S200000,02200,0100,Y 15414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15414,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15414,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15414,A000000,00300,0000,00300EMPLOYEE BENEFITS 15414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15414,A000000,00700,0000,00700HOUSEKEEPING 15414,A000000,00800,0000,00800DIETARY 15414,A000000,00801,0000,00801CAFETERIA 15414,A000000,00900,0000,00900NURSING ADMINISTRATION 15414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15414,A000000,01100,0000,01100PHARMACY 15414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15414,A000000,01300,0000,01300SOCIAL SERVICE 15414,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15414,A000000,01600,0000,01600SKILLED NURSING FACILITY 15414,A000000,01800,0000,01800NURSING FACILITY 15414,A000000,01900,0000,01900OTHER LONG TERM CARE 15414,A000000,02100,0000,02100RADIOLOGY 15414,A000000,02200,0000,02200LABORATORY 15414,A000000,02300,0000,02300INTRAVENOUS THERAPY 15414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15414,A000000,02500,0000,02500PHYSICAL THERAPY 15414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15414,A000000,02700,0000,02700SPEECH PATHOLOGY 15414,A000000,02800,0000,02800ELECTROCARDIOLOGY 15414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15414,A000000,03050,0000,03300OTHER ANCILLARY 15414,A000000,03051,0000,03301OTHER ANCILLARY II 15414,A000000,03052,0000,03302OTHER ANCILLARY III 15414,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15414,A000000,03200,0000,03200SUPPORT SURFACES 15414,A000000,03400,0000,03400CLINIC 15414,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15414,A000000,03500,0000,03500RURAL HEALTH CLINIC 15414,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15414,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15414,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15414,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15414,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15414,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15414,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15414,A000000,04400,0000,04400DME RENTED - HHA 15414,A000000,04500,0000,04500DME SOLD - HHA 15414,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15414,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15414,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15414,A000000,04800,0000,04800AMBULANCE 15414,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15414,A000000,05000,0000,05000CORF 15414,A000000,05010,0000,05010CMHC I 15414,A000000,05020,0000,05020OPT I 15414,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15414,A000000,05300,0000,05300INTEREST EXPENSE 15414,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15414,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15414,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15414,A000000,05500,0000,05500HOSPICE 15414,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15414,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15414,A000000,06100,0000,06100NONPAID WORKERS 15414,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15414,A000000,06200,0000,06200PATIENTS LAUNDRY 15414,A81000A,00100,0100,Y 15414,A81000B,00100,0300,MANAGEMENT FEE 15414,A81000B,00200,0300,PAYROLL PROCESSING 15414,A81000B,00300,0300,PHYSICAL THERAPY 15414,A81000B,00400,0300,OCCUPATION THERAPY 15414,A81000B,00500,0300,SPEECH THERAPY 15414,A81000B,00600,0300,DIETARY 15414,A81000B,00700,0300,CENTRAL SUPPLY 15414,A81000B,00800,0300,MED SUPPLIES 15414,A81000B,00900,0300,MINOR EQIPMENT 15414,A81000C,00100,0100,G 15414,A81000C,00100,0200,CENT HC CORP 15414,A81000C,00100,0400,CENT HC CORP 15414,A81000C,00100,0600,HOME OFFICE 15414,A81000C,00200,0100,G 15414,A81000C,00200,0200,CENT HC CORP 15414,A81000C,00200,0400,CENT HC CORP 15414,A81000C,00200,0600,HOME OFFICE 15414,A81000C,00300,0100,G 15414,A81000C,00300,0200,PARAGON 15414,A81000C,00300,0400,CENT HC CORP 15414,A81000C,00300,0600,THERAPY 15414,A81000C,00400,0100,G 15414,A81000C,00400,0200,PARAGON 15414,A81000C,00400,0400,CENT HC CORP 15414,A81000C,00400,0600,THERAPY 15414,A81000C,00500,0100,G 15414,A81000C,00500,0200,PARAGON 15414,A81000C,00500,0400,CENT HC CORP 15414,A81000C,00500,0600,THERAPY 15414,A81000C,00600,0100,G 15414,A81000C,00600,0200,CENTENNIAL PTS 15414,A81000C,00600,0400,CENT HC CORP 15414,A81000C,00600,0600,SUPPLIES 15414,A81000C,00700,0100,G 15414,A81000C,00700,0200,CENTENNIAL PTS 15414,A81000C,00700,0400,CENT HC CORP 15414,A81000C,00700,0600,MED SUPPLIES 15414,A81000C,00800,0100,G 15414,A81000C,00800,0200,CENTENNIAL PTS 15414,A81000C,00800,0400,CENT HC CORP 15414,A81000C,00800,0600,MED SUPPLIES 15414,A81000C,00900,0100,G 15414,A81000C,00900,0200,CENTENNIAL PTS 15414,A81000C,00900,0400,CENT HC CORP 15414,A81000C,00900,0600,MED SUPPLIES 15414,A81000C,03100,0000,SUPPLIES 15414,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15414,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15414,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15414,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15414,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15414,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15414,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15414,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15414,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15414,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15414,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15414,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15414,S000000,00100,0200,06/01/2000 15414,S200000,00100,0100,1400 POPLAR STREET 15414,S200000,00200,0100,HANCOCK 15414,S200000,00200,0200,MI 15414,S200000,00200,0300,49930- 15414,S200000,00300,0100,HOUGHTON 15414,S200000,00300,0200,0023 15414,S200000,00300,0300,R 15414,S200000,00400,0100,CYPRESS MANOR HEALTH AND REHAB 15414,S200000,00400,0200,235552 15414,S200000,00400,0300,07/01/1994 15414,S200000,00400,0500,P 15414,S200000,01500,0100,Y 15414,S200000,02200,0100,Y 15414,S200000,02800,0100,Y 15425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15425,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15425,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15425,A000000,00300,0000,00300EMPLOYEE BENEFITS 15425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15425,A000000,00700,0000,00700HOUSEKEEPING 15425,A000000,00800,0000,00800DIETARY 15425,A000000,00801,0000,00801CAFETERIA 15425,A000000,00900,0000,00900NURSING ADMINISTRATION 15425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15425,A000000,01100,0000,01100PHARMACY 15425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15425,A000000,01300,0000,01300SOCIAL SERVICE 15425,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15425,A000000,01600,0000,01600SKILLED NURSING FACILITY 15425,A000000,01800,0000,01800NURSING FACILITY 15425,A000000,01900,0000,01900OTHER LONG TERM CARE 15425,A000000,02100,0000,02100RADIOLOGY 15425,A000000,02200,0000,02200LABORATORY 15425,A000000,02300,0000,02300INTRAVENOUS THERAPY 15425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15425,A000000,02500,0000,02500PHYSICAL THERAPY 15425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15425,A000000,02700,0000,02700SPEECH PATHOLOGY 15425,A000000,02800,0000,02800ELECTROCARDIOLOGY 15425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15425,A000000,03050,0000,03300OTHER ANCILLARY 15425,A000000,03051,0000,03301OTHER ANCILLARY II 15425,A000000,03052,0000,03302OTHER ANCILLARY III 15425,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15425,A000000,03200,0000,03200SUPPORT SURFACES 15425,A000000,03400,0000,03400CLINIC 15425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15425,A000000,03500,0000,03500RURAL HEALTH CLINIC 15425,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15425,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15425,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15425,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15425,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15425,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15425,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15425,A000000,04400,0000,04400DME RENTED - HHA 15425,A000000,04500,0000,04500DME SOLD - HHA 15425,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15425,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15425,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15425,A000000,04800,0000,04800AMBULANCE 15425,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15425,A000000,05000,0000,05000CORF 15425,A000000,05010,0000,05010CMHC I 15425,A000000,05020,0000,05020OPT I 15425,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15425,A000000,05300,0000,05300INTEREST EXPENSE 15425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15425,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15425,A000000,05500,0000,05500HOSPICE 15425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15425,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15425,A000000,06100,0000,06100NONPAID WORKERS 15425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15425,A000000,06200,0000,06200PATIENTS LAUNDRY 15425,A81000A,00100,0100,Y 15425,A81000B,00100,0300,MANAGEMENT FEE 15425,A81000B,00200,0300,PAYROLL PROCESSING 15425,A81000B,00300,0300,PHYSICAL THERAPY 15425,A81000B,00400,0300,OCCUPATION THERAPY 15425,A81000B,00500,0300,SPEECH THERAPY 15425,A81000B,00600,0300,DIETARY 15425,A81000B,00700,0300,CENTRAL SUPPLY 15425,A81000B,00800,0300,MEDICAL SUPPLIES 15425,A81000B,00900,0300,MED EQUIP RENTAL 15425,A81000C,00100,0100,G 15425,A81000C,00100,0200,CENT HC CORP 15425,A81000C,00100,0400,CENT HC CORP 15425,A81000C,00100,0600,HOME OFFICE 15425,A81000C,00200,0100,G 15425,A81000C,00200,0200,CENT HC CORP 15425,A81000C,00200,0400,CENT HC CORP 15425,A81000C,00200,0600,HOME OFFICE 15425,A81000C,00300,0100,G 15425,A81000C,00300,0200,PARAGON 15425,A81000C,00300,0400,CENT HC CORP 15425,A81000C,00300,0600,THERAPY 15425,A81000C,00400,0100,G 15425,A81000C,00400,0200,PARAGON 15425,A81000C,00400,0400,CENT HC CORP 15425,A81000C,00400,0600,THERAPY 15425,A81000C,00500,0100,G 15425,A81000C,00500,0200,PARAGON 15425,A81000C,00500,0400,CENT HC CORP 15425,A81000C,00500,0600,THERAPY 15425,A81000C,00600,0100,G 15425,A81000C,00600,0200,CENTENNIAL PTS 15425,A81000C,00600,0400,CENT HC CORP 15425,A81000C,00600,0600,SUPPLIES 15425,A81000C,00700,0100,G 15425,A81000C,00700,0200,CENTENNIAL PTS 15425,A81000C,00700,0400,CENT HC CORP 15425,A81000C,00700,0600,MED SUPPLIES 15425,A81000C,00800,0100,G 15425,A81000C,00800,0200,CENTENNIAL PTS 15425,A81000C,00800,0400,CENT HC CORP 15425,A81000C,00800,0600,MED SUPPLIES 15425,A81000C,00900,0100,G 15425,A81000C,00900,0200,CENTENNIAL PTS 15425,A81000C,00900,0400,CENT HC CORP 15425,A81000C,00900,0600,SUPPLIES 15425,A81000C,03100,0000,EQUIPMENT 15425,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15425,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15425,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15425,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15425,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15425,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15425,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15425,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15425,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15425,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15425,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15425,S000000,00100,0200,06/01/2000 15425,S200000,00100,0100,34330 VAN BORN ROAD 15425,S200000,00200,0100,WAYNE 15425,S200000,00200,0200,MI 15425,S200000,00200,0300,48184- 15425,S200000,00300,0100,WAYNE 15425,S200000,00300,0200,2160 15425,S200000,00300,0300,U 15425,S200000,00400,0100,THS OF WAYNE 15425,S200000,00400,0200,235559 15425,S200000,00400,0300,01/01/1980 15425,S200000,00400,0500,P 15425,S200000,01600,0100,Y 15435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15435,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15435,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15435,A000000,00300,0000,00300EMPLOYEE BENEFITS 15435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15435,A000000,00700,0000,00700HOUSEKEEPING 15435,A000000,00800,0000,00800DIETARY 15435,A000000,00801,0000,00801CAFETERIA 15435,A000000,00900,0000,00900NURSING ADMINISTRATION 15435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15435,A000000,01100,0000,01100PHARMACY 15435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15435,A000000,01300,0000,01300SOCIAL SERVICE 15435,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15435,A000000,01600,0000,01600SKILLED NURSING FACILITY 15435,A000000,01800,0000,01800NURSING FACILITY 15435,A000000,01900,0000,01900OTHER LONG TERM CARE 15435,A000000,02100,0000,02100RADIOLOGY 15435,A000000,02200,0000,02200LABORATORY 15435,A000000,02300,0000,02300INTRAVENOUS THERAPY 15435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15435,A000000,02500,0000,02500PHYSICAL THERAPY 15435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15435,A000000,02700,0000,02700SPEECH PATHOLOGY 15435,A000000,02800,0000,02800ELECTROCARDIOLOGY 15435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15435,A000000,03050,0000,03300OTHER ANCILLARY 15435,A000000,03051,0000,03301OTHER ANCILLARY II 15435,A000000,03052,0000,03302OTHER ANCILLARY III 15435,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15435,A000000,03200,0000,03200SUPPORT SURFACES 15435,A000000,03400,0000,03400CLINIC 15435,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15435,A000000,03500,0000,03500RURAL HEALTH CLINIC 15435,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15435,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15435,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15435,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15435,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15435,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15435,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15435,A000000,04400,0000,04400DME RENTED - HHA 15435,A000000,04500,0000,04500DME SOLD - HHA 15435,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15435,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15435,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15435,A000000,04800,0000,04800AMBULANCE 15435,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15435,A000000,05000,0000,05000CORF 15435,A000000,05010,0000,05010CMHC I 15435,A000000,05020,0000,05020OPT I 15435,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15435,A000000,05300,0000,05300INTEREST EXPENSE 15435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15435,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15435,A000000,05500,0000,05500HOSPICE 15435,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15435,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15435,A000000,06100,0000,06100NONPAID WORKERS 15435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15435,A000000,06200,0000,06200PATIENTS LAUNDRY 15435,A81000A,00100,0100,Y 15435,A81000B,00100,0300,MANAGEMENT FEE 15435,A81000B,00200,0300,PAYROLL PROCESSING 15435,A81000B,00300,0300,PHYSICAL THERAPY 15435,A81000B,00400,0300,OCCUPATION THERAPY 15435,A81000B,00500,0300,SPEECH THERAPY 15435,A81000B,00600,0300,DIETARY 15435,A81000B,00700,0300,CENTRAL SERVICES 15435,A81000B,00800,0300,MED SUPPLIES 15435,A81000B,00900,0300,HSKP SUPPLIES 15435,A81000C,00100,0100,G 15435,A81000C,00100,0200,CENT HC CORP 15435,A81000C,00100,0400,CENT HC CORP 15435,A81000C,00100,0600,HOME OFFICE 15435,A81000C,00200,0100,G 15435,A81000C,00200,0200,CENT HC CORP 15435,A81000C,00200,0400,CENT HC CORP 15435,A81000C,00200,0600,HOME OFFICE 15435,A81000C,00300,0100,G 15435,A81000C,00300,0200,PARAGON 15435,A81000C,00300,0400,CENT HC CORP 15435,A81000C,00300,0600,THERAPY 15435,A81000C,00400,0100,G 15435,A81000C,00400,0200,PARAGON 15435,A81000C,00400,0400,CENT HC CORP 15435,A81000C,00400,0600,THERAPY 15435,A81000C,00500,0100,G 15435,A81000C,00500,0200,PARAGON 15435,A81000C,00500,0400,CENT HC CORP 15435,A81000C,00500,0600,THERAPY 15435,A81000C,00600,0100,G 15435,A81000C,00600,0200,CENTENNIAL PTS 15435,A81000C,00600,0400,CENT HC CORP 15435,A81000C,00600,0600,SUPPLIES 15435,A81000C,00700,0100,G 15435,A81000C,00700,0200,CENTENNIAL PTS 15435,A81000C,00700,0400,CENT HC CORP 15435,A81000C,00700,0600,MED SUPPLIES 15435,A81000C,00800,0100,G 15435,A81000C,00800,0200,CENTENNIAL PTS 15435,A81000C,00800,0400,CENT HC CORP 15435,A81000C,00800,0600,MED SUPPLIES 15435,A81000C,00900,0100,G 15435,A81000C,00900,0200,CENTENNIAL PTS 15435,A81000C,00900,0400,CENT HC CORP 15435,A81000C,00900,0600,SUPPLIES 15435,A81000C,03100,0000,SUPPLIES 15435,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15435,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15435,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15435,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15435,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15435,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15435,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15435,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15435,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15435,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15435,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15435,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15435,S000000,00100,0200,06/01/2000 15435,S200000,00100,0100,9480 E M-21 15435,S200000,00200,0100,OVID 15435,S200000,00200,0200,MI 15435,S200000,00200,0300,48866- 15435,S200000,00300,0100,CLINTON 15435,S200000,00300,0200,4040 15435,S200000,00300,0300,U 15435,S200000,00400,0100,OVID HEALTHCARE CENTER 15435,S200000,00400,0200,235569 15435,S200000,00400,0300,10/07/1996 15435,S200000,00400,0500,P 15435,S200000,01500,0100,Y 15435,S200000,02200,0100,Y 15435,S200000,02800,0100,Y 15443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15443,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15443,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15443,A000000,00300,0000,00300EMPLOYEE BENEFITS 15443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15443,A000000,00700,0000,00700HOUSEKEEPING 15443,A000000,00800,0000,00800DIETARY 15443,A000000,00801,0000,00801CAFETERIA 15443,A000000,00900,0000,00900NURSING ADMINISTRATION 15443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15443,A000000,01100,0000,01100PHARMACY 15443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15443,A000000,01300,0000,01300SOCIAL SERVICE 15443,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15443,A000000,01600,0000,01600SKILLED NURSING FACILITY 15443,A000000,01800,0000,01800NURSING FACILITY 15443,A000000,01900,0000,01900OTHER LONG TERM CARE 15443,A000000,02100,0000,02100RADIOLOGY 15443,A000000,02200,0000,02200LABORATORY 15443,A000000,02300,0000,02300INTRAVENOUS THERAPY 15443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15443,A000000,02500,0000,02500PHYSICAL THERAPY 15443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15443,A000000,02700,0000,02700SPEECH PATHOLOGY 15443,A000000,02800,0000,02800ELECTROCARDIOLOGY 15443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15443,A000000,03050,0000,03300OTHER ANCILLARY 15443,A000000,03051,0000,03301OTHER ANCILLARY II 15443,A000000,03052,0000,03302OTHER ANCILLARY III 15443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15443,A000000,03200,0000,03200SUPPORT SURFACES 15443,A000000,03400,0000,03400CLINIC 15443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15443,A000000,03500,0000,03500RURAL HEALTH CLINIC 15443,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15443,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15443,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15443,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15443,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15443,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15443,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15443,A000000,04400,0000,04400DME RENTED - HHA 15443,A000000,04500,0000,04500DME SOLD - HHA 15443,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15443,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15443,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15443,A000000,04800,0000,04800AMBULANCE 15443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15443,A000000,05000,0000,05000CORF 15443,A000000,05010,0000,05010CMHC I 15443,A000000,05020,0000,05020OPT I 15443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15443,A000000,05300,0000,05300INTEREST EXPENSE 15443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15443,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15443,A000000,05500,0000,05500HOSPICE 15443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15443,A000000,06100,0000,06100NONPAID WORKERS 15443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15443,A000000,06200,0000,06200PATIENTS LAUNDRY 15443,A81000A,00100,0100,Y 15443,A81000B,00100,0300,MANAGEMENT FEE 15443,A81000B,00200,0300,PAYROLL PROCESSING 15443,A81000B,00300,0300,PHYSICAL THERAPY 15443,A81000B,00400,0300,OCCUPATION THERAPY 15443,A81000B,00500,0300,SPEECH THERAPY 15443,A81000B,00600,0300,DIETARY 15443,A81000B,00700,0300,CENTRAL SUPPLY 15443,A81000B,00800,0300,MEDICAL SUPPLIES 15443,A81000B,00900,0300,MED EQUIP RENTAL 15443,A81000C,00100,0100,G 15443,A81000C,00100,0200,CENT HC CORP 15443,A81000C,00100,0400,CENT HC CORP 15443,A81000C,00100,0600,HOME OFFICE 15443,A81000C,00200,0100,G 15443,A81000C,00200,0200,CENT HC CORP 15443,A81000C,00200,0400,CENT HC CORP 15443,A81000C,00200,0600,HOME OFFICE 15443,A81000C,00300,0100,G 15443,A81000C,00300,0200,PARAGON 15443,A81000C,00300,0400,CENT HC CORP 15443,A81000C,00300,0600,THERAPY 15443,A81000C,00400,0100,G 15443,A81000C,00400,0200,PARAGON 15443,A81000C,00400,0400,CENT HC CORP 15443,A81000C,00400,0600,THERAPY 15443,A81000C,00500,0100,G 15443,A81000C,00500,0200,PARAGON 15443,A81000C,00500,0400,CENT HC CORP 15443,A81000C,00500,0600,THERAPY 15443,A81000C,00600,0100,G 15443,A81000C,00600,0200,CENTENNIAL PTS 15443,A81000C,00600,0400,CENT HC CORP 15443,A81000C,00600,0600,SUPPLIES 15443,A81000C,00700,0100,G 15443,A81000C,00700,0200,CENTENNIAL PTS 15443,A81000C,00700,0400,CENT HC CORP 15443,A81000C,00700,0600,MED SUPPLIES 15443,A81000C,00800,0100,G 15443,A81000C,00800,0200,CENTENNIAL PTS 15443,A81000C,00800,0400,CENT HC CORP 15443,A81000C,00800,0600,MED SUPPLIES 15443,A81000C,00900,0100,G 15443,A81000C,00900,0200,CENTENNIAL PTS 15443,A81000C,00900,0400,CENT HC CORP 15443,A81000C,00900,0600,SUPPLIES 15443,A81000C,03100,0000,EQUIPMENT 15443,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15443,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15443,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15443,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15443,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15443,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15443,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15443,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15443,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15443,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15443,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15443,S000000,00100,0200,06/01/2000 15443,S200000,00100,0100,3370 MORGAN ROAD 15443,S200000,00200,0100,ANN ARBOR 15443,S200000,00200,0200,MI 15443,S200000,00200,0300,48108- 15443,S200000,00300,0100,WASHTENAW 15443,S200000,00300,0200,0440 15443,S200000,00300,0300,U 15443,S200000,00400,0100,WHITEHALL HALTHCARE-ANN ARBOR 15443,S200000,00400,0200,235570 15443,S200000,00400,0300,01/29/1997 15443,S200000,00400,0500,P 15443,S200000,01500,0100,Y 15443,S200000,02200,0100,Y 15450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15450,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15450,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15450,A000000,00300,0000,00300EMPLOYEE BENEFITS 15450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15450,A000000,00700,0000,00700HOUSEKEEPING 15450,A000000,00800,0000,00800DIETARY 15450,A000000,00801,0000,00801CAFETERIA 15450,A000000,00900,0000,00900NURSING ADMINISTRATION 15450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15450,A000000,01100,0000,01100PHARMACY 15450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15450,A000000,01300,0000,01300SOCIAL SERVICE 15450,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15450,A000000,01600,0000,01600SKILLED NURSING FACILITY 15450,A000000,01800,0000,01800NURSING FACILITY 15450,A000000,01900,0000,01900OTHER LONG TERM CARE 15450,A000000,02100,0000,02100RADIOLOGY 15450,A000000,02200,0000,02200LABORATORY 15450,A000000,02300,0000,02300INTRAVENOUS THERAPY 15450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15450,A000000,02500,0000,02500PHYSICAL THERAPY 15450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15450,A000000,02700,0000,02700SPEECH PATHOLOGY 15450,A000000,02800,0000,02800ELECTROCARDIOLOGY 15450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15450,A000000,03050,0000,03300OTHER ANCILLARY 15450,A000000,03051,0000,03301OTHER ANCILLARY II 15450,A000000,03052,0000,03302OTHER ANCILLARY III 15450,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15450,A000000,03200,0000,03200SUPPORT SURFACES 15450,A000000,03400,0000,03400CLINIC 15450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15450,A000000,03500,0000,03500RURAL HEALTH CLINIC 15450,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15450,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15450,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15450,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15450,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15450,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15450,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15450,A000000,04400,0000,04400DME RENTED - HHA 15450,A000000,04500,0000,04500DME SOLD - HHA 15450,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15450,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15450,A000000,04800,0000,04800AMBULANCE 15450,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15450,A000000,05000,0000,05000CORF 15450,A000000,05010,0000,05010CMHC I 15450,A000000,05020,0000,05020OPT I 15450,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15450,A000000,05300,0000,05300INTEREST EXPENSE 15450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15450,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15450,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15450,A000000,05500,0000,05500HOSPICE 15450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15450,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15450,A000000,06100,0000,06100NONPAID WORKERS 15450,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15450,A000000,06200,0000,06200PATIENTS LAUNDRY 15450,A81000A,00100,0100,Y 15450,A81000B,00100,0300,MANAGEMENT FEE 15450,A81000B,00200,0300,PAYROLL PROCESSING 15450,A81000B,00300,0300,PHYSICAL THERAPY 15450,A81000B,00400,0300,OCCUPATION THERAPY 15450,A81000B,00500,0300,SPEECH THERAPY 15450,A81000B,00600,0300,DIETARY 15450,A81000B,00700,0300,CENTRAL SUPPLY 15450,A81000B,00800,0300,MEDICAL SUPPLIES 15450,A81000B,00900,0300,MED EQUIP RENTAL 15450,A81000C,00100,0100,G 15450,A81000C,00100,0200,CENT HC CORP 15450,A81000C,00100,0400,CENT HC CORP 15450,A81000C,00100,0600,HOME OFFICE 15450,A81000C,00200,0100,G 15450,A81000C,00200,0200,CENT HC CORP 15450,A81000C,00200,0400,CENT HC CORP 15450,A81000C,00200,0600,HOME OFFICE 15450,A81000C,00300,0100,G 15450,A81000C,00300,0200,PARAGON 15450,A81000C,00300,0400,CENT HC CORP 15450,A81000C,00300,0600,THERAPY 15450,A81000C,00400,0100,G 15450,A81000C,00400,0200,PARAGON 15450,A81000C,00400,0400,CENT HC CORP 15450,A81000C,00400,0600,THERAPY 15450,A81000C,00500,0100,G 15450,A81000C,00500,0200,PARAGON 15450,A81000C,00500,0400,CENT HC CORP 15450,A81000C,00500,0600,THERAPY 15450,A81000C,00600,0100,G 15450,A81000C,00600,0200,CENTENNIAL PTS 15450,A81000C,00600,0400,CENT HC CORP 15450,A81000C,00600,0600,SUPPLIES 15450,A81000C,00700,0100,G 15450,A81000C,00700,0200,CENTENNIAL PTS 15450,A81000C,00700,0400,CENT HC CORP 15450,A81000C,00700,0600,MED SUPPLIES 15450,A81000C,00800,0100,G 15450,A81000C,00800,0200,CENTENNIAL PTS 15450,A81000C,00800,0400,CENT HC CORP 15450,A81000C,00800,0600,MED SUPPLIES 15450,A81000C,00900,0100,G 15450,A81000C,00900,0200,CENTENNIAL PTS 15450,A81000C,00900,0400,CENT HC CORP 15450,A81000C,00900,0600,SUPPLIES 15450,A81000C,03100,0000,EQUIPMENT 15450,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15450,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15450,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15450,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15450,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15450,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15450,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15450,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15450,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15450,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15450,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15450,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15450,S000000,00100,0200,06/01/2000 15450,S200000,00100,0100,43455 WEST TEN MILE ROAD 15450,S200000,00200,0100,NOVI 15450,S200000,00200,0200,MI 15450,S200000,00200,0300,48375- 15450,S200000,00300,0100,OAKLAND 15450,S200000,00300,0200,2160 15450,S200000,00300,0300,U 15450,S200000,00400,0100,WHITEHALL HEALTHCARE-NOVI 15450,S200000,00400,0200,235572 15450,S200000,00400,0300,01/29/1997 15450,S200000,00400,0500,P 15450,S200000,01500,0100,Y 15450,S200000,02200,0100,Y 15450,S200000,02800,0100,Y 15459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15459,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15459,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15459,A000000,00300,0000,00300EMPLOYEE BENEFITS 15459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15459,A000000,00700,0000,00700HOUSEKEEPING 15459,A000000,00800,0000,00800DIETARY 15459,A000000,00801,0000,00801CAFETERIA 15459,A000000,00900,0000,00900NURSING ADMINISTRATION 15459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15459,A000000,01100,0000,01100PHARMACY 15459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15459,A000000,01300,0000,01300SOCIAL SERVICE 15459,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15459,A000000,01600,0000,01600SKILLED NURSING FACILITY 15459,A000000,01800,0000,01800NURSING FACILITY 15459,A000000,01900,0000,01900OTHER LONG TERM CARE 15459,A000000,02100,0000,02100RADIOLOGY 15459,A000000,02200,0000,02200LABORATORY 15459,A000000,02300,0000,02300INTRAVENOUS THERAPY 15459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15459,A000000,02500,0000,02500PHYSICAL THERAPY 15459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15459,A000000,02700,0000,02700SPEECH PATHOLOGY 15459,A000000,02800,0000,02800ELECTROCARDIOLOGY 15459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15459,A000000,03050,0000,03300OTHER ANCILLARY 15459,A000000,03051,0000,03301OTHER ANCILLARY II 15459,A000000,03052,0000,03302OTHER ANCILLARY III 15459,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15459,A000000,03200,0000,03200SUPPORT SURFACES 15459,A000000,03400,0000,03400CLINIC 15459,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15459,A000000,03500,0000,03500RURAL HEALTH CLINIC 15459,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15459,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15459,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15459,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15459,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15459,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15459,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15459,A000000,04400,0000,04400DME RENTED - HHA 15459,A000000,04500,0000,04500DME SOLD - HHA 15459,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15459,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15459,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15459,A000000,04800,0000,04800AMBULANCE 15459,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15459,A000000,05000,0000,05000CORF 15459,A000000,05010,0000,05010CMHC I 15459,A000000,05020,0000,05020OPT I 15459,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15459,A000000,05300,0000,05300INTEREST EXPENSE 15459,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15459,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15459,A000000,05500,0000,05500HOSPICE 15459,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15459,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15459,A000000,06100,0000,06100NONPAID WORKERS 15459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15459,A000000,06200,0000,06200PATIENTS LAUNDRY 15459,A81000A,00100,0100,Y 15459,A81000B,00100,0300,MANAGEMENT FEE 15459,A81000B,00200,0300,PAYROLL PROCESSING 15459,A81000B,00300,0300,PHYSICAL THERAPY 15459,A81000B,00400,0300,OCCUPATION THERAPY 15459,A81000B,00500,0300,SPEECH THERAPY 15459,A81000B,00600,0300,DIETARY 15459,A81000B,00700,0300,CENTRAL SUPPLY 15459,A81000B,00800,0300,MEDICAL SUPPLIES 15459,A81000B,00900,0300,BUILDING LEASE 15459,A81000C,00100,0100,G 15459,A81000C,00100,0200,CENT HC CORP 15459,A81000C,00100,0400,CENT HC CORP 15459,A81000C,00100,0600,HOME OFFICE 15459,A81000C,00200,0100,G 15459,A81000C,00200,0200,CENT HC CORP 15459,A81000C,00200,0400,CENT HC CORP 15459,A81000C,00200,0600,HOME OFFICE 15459,A81000C,00300,0100,G 15459,A81000C,00300,0200,PARAGON 15459,A81000C,00300,0400,CENT HC CORP 15459,A81000C,00300,0600,THERAPY 15459,A81000C,00400,0100,G 15459,A81000C,00400,0200,PARAGON 15459,A81000C,00400,0400,CENT HC CORP 15459,A81000C,00400,0600,THERAPY 15459,A81000C,00500,0100,G 15459,A81000C,00500,0200,PARAGON 15459,A81000C,00500,0400,CENT HC CORP 15459,A81000C,00500,0600,THERAPY 15459,A81000C,00600,0100,G 15459,A81000C,00600,0200,CENTENNIAL PTS 15459,A81000C,00600,0400,CENT HC CORP 15459,A81000C,00600,0600,SUPPLIES 15459,A81000C,00700,0100,G 15459,A81000C,00700,0200,CENTENNIAL PTS 15459,A81000C,00700,0400,CENT HC CORP 15459,A81000C,00700,0600,MED SUPPLIES 15459,A81000C,00800,0100,G 15459,A81000C,00800,0200,CENTENNIAL PTS 15459,A81000C,00800,0400,CENT HC CORP 15459,A81000C,00800,0600,MED SUPPLIES 15459,A81000C,00900,0100,B 15459,A81000C,00900,0200,DAHL & EATON 15459,A81000C,00900,0400,S.E. HEALTHCARE 15459,A81000C,00900,0600,BUILDING OWNER 15459,A81000C,03100,0000,SUPPLIES 15459,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15459,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15459,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15459,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15459,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15459,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15459,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15459,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15459,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15459,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15459,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15459,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15459,S000000,00100,0200,06/01/2000 15459,S200000,00100,0100,501 S. LOCUST 15459,S200000,00200,0100,MCCOMB 15459,S200000,00200,0200,MS 15459,S200000,00200,0300,39648- 15459,S200000,00300,0100,PIKE 15459,S200000,00300,0200,0025 15459,S200000,00300,0300,R 15459,S200000,00400,0100,MCCOMB EXTENDED CARE 15459,S200000,00400,0200,255145 15459,S200000,00400,0300,10/01/1993 15459,S200000,00400,0500,P 15459,S200000,01500,0100,Y 15469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15469,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15469,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15469,A000000,00300,0000,00300EMPLOYEE BENEFITS 15469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15469,A000000,00700,0000,00700HOUSEKEEPING 15469,A000000,00800,0000,00800DIETARY 15469,A000000,00801,0000,00801CAFETERIA 15469,A000000,00900,0000,00900NURSING ADMINISTRATION 15469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15469,A000000,01100,0000,01100PHARMACY 15469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15469,A000000,01300,0000,01300SOCIAL SERVICE 15469,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15469,A000000,01600,0000,01600SKILLED NURSING FACILITY 15469,A000000,01800,0000,01800NURSING FACILITY 15469,A000000,01900,0000,01900OTHER LONG TERM CARE 15469,A000000,02100,0000,02100RADIOLOGY 15469,A000000,02200,0000,02200LABORATORY 15469,A000000,02300,0000,02300INTRAVENOUS THERAPY 15469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15469,A000000,02500,0000,02500PHYSICAL THERAPY 15469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15469,A000000,02700,0000,02700SPEECH PATHOLOGY 15469,A000000,02800,0000,02800ELECTROCARDIOLOGY 15469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15469,A000000,03050,0000,03300OTHER ANCILLARY 15469,A000000,03051,0000,03301OTHER ANCILLARY II 15469,A000000,03052,0000,03302OTHER ANCILLARY III 15469,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15469,A000000,03200,0000,03200SUPPORT SURFACES 15469,A000000,03400,0000,03400CLINIC 15469,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15469,A000000,03500,0000,03500RURAL HEALTH CLINIC 15469,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15469,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15469,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15469,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15469,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15469,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15469,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15469,A000000,04400,0000,04400DME RENTED - HHA 15469,A000000,04500,0000,04500DME SOLD - HHA 15469,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15469,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15469,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15469,A000000,04800,0000,04800AMBULANCE 15469,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15469,A000000,05000,0000,05000CORF 15469,A000000,05010,0000,05010CMHC I 15469,A000000,05020,0000,05020OPT I 15469,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15469,A000000,05300,0000,05300INTEREST EXPENSE 15469,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15469,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15469,A000000,05500,0000,05500HOSPICE 15469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15469,A000000,06100,0000,06100NONPAID WORKERS 15469,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15469,A000000,06200,0000,06200PATIENTS LAUNDRY 15469,A81000A,00100,0100,Y 15469,A81000B,00100,0300,MANAGEMENT FEE 15469,A81000B,00200,0300,PAYROLL PROCESSING 15469,A81000B,00300,0300,PHYSICAL THERAPY 15469,A81000B,00400,0300,OCCUPATION THERAPY 15469,A81000B,00500,0300,SPEECH THERAPY 15469,A81000B,00600,0300,DIETARY 15469,A81000B,00700,0300,CENTRAL SUPPLY 15469,A81000B,00800,0300,MEDICAL SUPPLIES 15469,A81000B,00900,0300,CAP RELATED-BLDG 15469,A81000C,00100,0100,G 15469,A81000C,00100,0200,CENT HC CORP 15469,A81000C,00100,0400,CENT HC CORP 15469,A81000C,00100,0600,HOME OFFICE 15469,A81000C,00200,0100,G 15469,A81000C,00200,0200,CENT HC CORP 15469,A81000C,00200,0400,CENT HC CORP 15469,A81000C,00200,0600,HOME OFFICE 15469,A81000C,00300,0100,G 15469,A81000C,00300,0200,PARAGON 15469,A81000C,00300,0400,CENT HC CORP 15469,A81000C,00300,0600,THERAPY 15469,A81000C,00400,0100,G 15469,A81000C,00400,0200,PARAGON 15469,A81000C,00400,0400,CENT HC CORP 15469,A81000C,00400,0600,THERAPY 15469,A81000C,00500,0100,G 15469,A81000C,00500,0200,PARAGON 15469,A81000C,00500,0400,CENT HC CORP 15469,A81000C,00500,0600,THERAPY 15469,A81000C,00600,0100,G 15469,A81000C,00600,0200,CENTENNIAL PTS 15469,A81000C,00600,0400,CENT HC CORP 15469,A81000C,00600,0600,SUPPLIES 15469,A81000C,00700,0100,G 15469,A81000C,00700,0200,CENTENNIAL PTS 15469,A81000C,00700,0400,CENT HC CORP 15469,A81000C,00700,0600,MED SUPPLIES 15469,A81000C,00800,0100,G 15469,A81000C,00800,0200,CENTENNIAL PTS 15469,A81000C,00800,0400,CENT HC CORP 15469,A81000C,00800,0600,SUPPLIES 15469,A81000C,00900,0100,B 15469,A81000C,00900,0200,DAHL & EATON 15469,A81000C,00900,0400,S.E. HEALTHCARE 15469,A81000C,00900,0600,BUILDING OWNER 15469,A81000C,03100,0000,SUPPLIES 15469,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15469,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15469,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15469,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15469,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15469,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15469,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15469,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15469,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15469,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15469,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15469,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15469,S000000,00100,0200,06/01/2000 15469,S200000,00100,0100,627 MIDDLETON ROAD 15469,S200000,00200,0100,WINONA 15469,S200000,00200,0200,MS 15469,S200000,00200,0300,38967- 15469,S200000,00300,0100,MONTGOMERY 15469,S200000,00300,0200,25 15469,S200000,00300,0300,R 15469,S200000,00400,0100,WINONA MANOR 15469,S200000,00400,0200,255171 15469,S200000,00400,0300,03/01/1994 15469,S200000,00400,0500,P 15469,S200000,01500,0100,Y 15469,S200000,02200,0100,Y 15479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15479,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15479,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15479,A000000,00300,0000,00300EMPLOYEE BENEFITS 15479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15479,A000000,00700,0000,00700HOUSEKEEPING 15479,A000000,00800,0000,00800DIETARY 15479,A000000,00801,0000,00801CAFETERIA 15479,A000000,00900,0000,00900NURSING ADMINISTRATION 15479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15479,A000000,01100,0000,01100PHARMACY 15479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15479,A000000,01300,0000,01300SOCIAL SERVICE 15479,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15479,A000000,01600,0000,01600SKILLED NURSING FACILITY 15479,A000000,01800,0000,01800NURSING FACILITY 15479,A000000,01900,0000,01900OTHER LONG TERM CARE 15479,A000000,02100,0000,02100RADIOLOGY 15479,A000000,02200,0000,02200LABORATORY 15479,A000000,02300,0000,02300INTRAVENOUS THERAPY 15479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15479,A000000,02500,0000,02500PHYSICAL THERAPY 15479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15479,A000000,02700,0000,02700SPEECH PATHOLOGY 15479,A000000,02800,0000,02800ELECTROCARDIOLOGY 15479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15479,A000000,03050,0000,03300OTHER ANCILLARY 15479,A000000,03051,0000,03301OTHER ANCILLARY II 15479,A000000,03052,0000,03302OTHER ANCILLARY III 15479,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15479,A000000,03200,0000,03200SUPPORT SURFACES 15479,A000000,03400,0000,03400CLINIC 15479,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15479,A000000,03500,0000,03500RURAL HEALTH CLINIC 15479,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15479,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15479,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15479,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15479,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15479,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15479,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15479,A000000,04400,0000,04400DME RENTED - HHA 15479,A000000,04500,0000,04500DME SOLD - HHA 15479,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15479,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15479,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15479,A000000,04800,0000,04800AMBULANCE 15479,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15479,A000000,05000,0000,05000CORF 15479,A000000,05010,0000,05010CMHC I 15479,A000000,05020,0000,05020OPT I 15479,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15479,A000000,05300,0000,05300INTEREST EXPENSE 15479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15479,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15479,A000000,05500,0000,05500HOSPICE 15479,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15479,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15479,A000000,06100,0000,06100NONPAID WORKERS 15479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15479,A000000,06200,0000,06200PATIENTS LAUNDRY 15479,A81000A,00100,0100,Y 15479,A81000B,00100,0300,MANAGEMENT FEE 15479,A81000B,00200,0300,PAYROLL PROCESSING 15479,A81000B,00300,0300,PHYSICAL THERAPY 15479,A81000B,00400,0300,OCCUPATION THERAPY 15479,A81000B,00500,0300,SPEECH THERAPY 15479,A81000B,00600,0300,DIETARY 15479,A81000B,00700,0300,CENTRAL SUPPLY 15479,A81000B,00800,0300,MEDICAL SUPPLIES 15479,A81000B,00900,0300,BUILDING LEASE 15479,A81000C,00100,0100,G 15479,A81000C,00100,0200,CENT HC CORP 15479,A81000C,00100,0400,CENT HC CORP 15479,A81000C,00100,0600,HOME OFFICE 15479,A81000C,00200,0100,G 15479,A81000C,00200,0200,CENT HC CORP 15479,A81000C,00200,0400,CENT HC CORP 15479,A81000C,00200,0600,HOME OFFICE 15479,A81000C,00300,0100,G 15479,A81000C,00300,0200,PARAGON 15479,A81000C,00300,0400,CENT HC CORP 15479,A81000C,00300,0600,THERAPY 15479,A81000C,00400,0100,G 15479,A81000C,00400,0200,PARAGON 15479,A81000C,00400,0400,CENT HC CORP 15479,A81000C,00400,0600,THERAPY 15479,A81000C,00500,0100,G 15479,A81000C,00500,0200,PARAGON 15479,A81000C,00500,0400,CENT HC CORP 15479,A81000C,00500,0600,THERAPY 15479,A81000C,00600,0100,G 15479,A81000C,00600,0200,CENTENNIAL PTS 15479,A81000C,00600,0400,CENT HC CORP 15479,A81000C,00600,0600,SUPPLIES 15479,A81000C,00700,0100,G 15479,A81000C,00700,0200,CENTENNIAL PTS 15479,A81000C,00700,0400,CENT HC CORP 15479,A81000C,00700,0600,MED SUPPLIES 15479,A81000C,00800,0100,G 15479,A81000C,00800,0200,CENTENNIAL PTS 15479,A81000C,00800,0400,CENT HC CORP 15479,A81000C,00800,0600,MED SUPPLIES 15479,A81000C,00900,0100,B 15479,A81000C,00900,0200,DAHL & EATON 15479,A81000C,00900,0400,S.E. HEALTHCARE 15479,A81000C,00900,0600,BUILDING OWNER 15479,A81000C,03100,0000,SUPPLIES 15479,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15479,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15479,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15479,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15479,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15479,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15479,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15479,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15479,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15479,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15479,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15479,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15479,S000000,00100,0200,06/01/2000 15479,S200000,00100,0100,1001 HOSPITAL RD. 15479,S200000,00100,0300,1466 15479,S200000,00200,0100,STARKVILLE 15479,S200000,00200,0200,MS 15479,S200000,00200,0300,39760- 15479,S200000,00300,0100,OKTIBBEHA 15479,S200000,00300,0200,25 15479,S200000,00300,0300,R 15479,S200000,00400,0100,STARKVILLE MANOR 15479,S200000,00400,0200,255172 15479,S200000,00400,0300,03/31/1994 15479,S200000,00400,0500,P 15479,S200000,01500,0100,Y 15479,S200000,02200,0100,Y 15489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15489,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15489,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15489,A000000,00300,0000,00300EMPLOYEE BENEFITS 15489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15489,A000000,00700,0000,00700HOUSEKEEPING 15489,A000000,00800,0000,00800DIETARY 15489,A000000,00801,0000,00801CAFETERIA 15489,A000000,00900,0000,00900NURSING ADMINISTRATION 15489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15489,A000000,01100,0000,01100PHARMACY 15489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15489,A000000,01300,0000,01300SOCIAL SERVICE 15489,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15489,A000000,01600,0000,01600SKILLED NURSING FACILITY 15489,A000000,01800,0000,01800NURSING FACILITY 15489,A000000,01900,0000,01900OTHER LONG TERM CARE 15489,A000000,02100,0000,02100RADIOLOGY 15489,A000000,02200,0000,02200LABORATORY 15489,A000000,02300,0000,02300INTRAVENOUS THERAPY 15489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15489,A000000,02500,0000,02500PHYSICAL THERAPY 15489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15489,A000000,02700,0000,02700SPEECH PATHOLOGY 15489,A000000,02800,0000,02800ELECTROCARDIOLOGY 15489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15489,A000000,03050,0000,03300OTHER ANCILLARY 15489,A000000,03051,0000,03301OTHER ANCILLARY II 15489,A000000,03052,0000,03302OTHER ANCILLARY III 15489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15489,A000000,03200,0000,03200SUPPORT SURFACES 15489,A000000,03400,0000,03400CLINIC 15489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15489,A000000,03500,0000,03500RURAL HEALTH CLINIC 15489,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15489,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15489,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15489,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15489,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15489,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15489,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15489,A000000,04400,0000,04400DME RENTED - HHA 15489,A000000,04500,0000,04500DME SOLD - HHA 15489,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15489,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15489,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15489,A000000,04800,0000,04800AMBULANCE 15489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15489,A000000,05000,0000,05000CORF 15489,A000000,05010,0000,05010CMHC I 15489,A000000,05020,0000,05020OPT I 15489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15489,A000000,05300,0000,05300INTEREST EXPENSE 15489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15489,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15489,A000000,05500,0000,05500HOSPICE 15489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15489,A000000,06100,0000,06100NONPAID WORKERS 15489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15489,A000000,06200,0000,06200PATIENTS LAUNDRY 15489,A81000A,00100,0100,Y 15489,A81000B,00100,0300,MANAGEMENT FEE 15489,A81000B,00200,0300,PAYROLL PROCESSING 15489,A81000B,00300,0300,PHYSICAL THERAPY 15489,A81000B,00400,0300,OCCUPATION THERAPY 15489,A81000B,00500,0300,SPEECH THERAPY 15489,A81000B,00600,0300,DIETARY 15489,A81000B,00700,0300,CENTRAL SUPPLY 15489,A81000B,00800,0300,MED EQUIP RENTAL 15489,A81000B,00900,0300,BUILDING LEASE 15489,A81000C,00100,0100,G 15489,A81000C,00100,0200,CENT HC CORP 15489,A81000C,00100,0400,CENT HC CORP 15489,A81000C,00100,0600,HOME OFFICE 15489,A81000C,00200,0100,G 15489,A81000C,00200,0200,CENT HC CORP 15489,A81000C,00200,0400,CENT HC CORP 15489,A81000C,00200,0600,HOME OFFICE 15489,A81000C,00300,0100,G 15489,A81000C,00300,0200,PARAGON 15489,A81000C,00300,0400,CENT HC CORP 15489,A81000C,00300,0600,THERAPY 15489,A81000C,00400,0100,G 15489,A81000C,00400,0200,PARAGON 15489,A81000C,00400,0400,CENT HC CORP 15489,A81000C,00400,0600,THERAPY 15489,A81000C,00500,0100,G 15489,A81000C,00500,0200,PARAGON 15489,A81000C,00500,0400,CENT HC CORP 15489,A81000C,00500,0600,THERAPY 15489,A81000C,00600,0100,G 15489,A81000C,00600,0200,CENTENNIAL PTS 15489,A81000C,00600,0400,CENT HC CORP 15489,A81000C,00600,0600,SUPPLIES 15489,A81000C,00700,0100,G 15489,A81000C,00700,0200,CENTENNIAL PTS 15489,A81000C,00700,0400,CENT HC CORP 15489,A81000C,00700,0600,MED SUPPLIES 15489,A81000C,00800,0100,G 15489,A81000C,00800,0200,CENTENNIAL PTS 15489,A81000C,00800,0400,CENT HC CORP 15489,A81000C,00800,0600,SUPPLIES 15489,A81000C,00900,0100,B 15489,A81000C,00900,0200,DAHL & EATON 15489,A81000C,00900,0400,S.E. HEALTHCARE 15489,A81000C,00900,0600,BUILDING OWNER 15489,A81000C,03100,0000,EQUIPMENT 15489,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15489,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15489,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15489,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15489,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15489,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15489,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15489,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15489,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15489,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15489,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15489,S000000,00100,0200,06/01/2000 15489,S200000,00100,0100,555 JOHN R. JUNKIN ROAD 15489,S200000,00200,0100,NATCHEZ 15489,S200000,00200,0200,MS 15489,S200000,00200,0300,39120- 15489,S200000,00300,0100,ADAMS 15489,S200000,00300,0200,25 15489,S200000,00300,0300,R 15489,S200000,00400,0100,GLENBURNEY NURSING HOME 15489,S200000,00400,0200,255173 15489,S200000,00400,0300,03/31/1994 15489,S200000,00400,0500,P 15489,S200000,01500,0100,Y 15489,S200000,02200,0100,Y 15501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15501,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15501,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15501,A000000,00300,0000,00300EMPLOYEE BENEFITS 15501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15501,A000000,00700,0000,00700HOUSEKEEPING 15501,A000000,00800,0000,00800DIETARY 15501,A000000,00801,0000,00801CAFETERIA 15501,A000000,00900,0000,00900NURSING ADMINISTRATION 15501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15501,A000000,01100,0000,01100PHARMACY 15501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15501,A000000,01300,0000,01300SOCIAL SERVICE 15501,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15501,A000000,01600,0000,01600SKILLED NURSING FACILITY 15501,A000000,01800,0000,01800NURSING FACILITY 15501,A000000,01900,0000,01900OTHER LONG TERM CARE 15501,A000000,02100,0000,02100RADIOLOGY 15501,A000000,02200,0000,02200LABORATORY 15501,A000000,02300,0000,02300INTRAVENOUS THERAPY 15501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15501,A000000,02500,0000,02500PHYSICAL THERAPY 15501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15501,A000000,02700,0000,02700SPEECH PATHOLOGY 15501,A000000,02800,0000,02800ELECTROCARDIOLOGY 15501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15501,A000000,03050,0000,03300OTHER ANCILLARY 15501,A000000,03051,0000,03301OTHER ANCILLARY II 15501,A000000,03052,0000,03302OTHER ANCILLARY III 15501,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15501,A000000,03200,0000,03200SUPPORT SURFACES 15501,A000000,03400,0000,03400CLINIC 15501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15501,A000000,03500,0000,03500RURAL HEALTH CLINIC 15501,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15501,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15501,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15501,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15501,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15501,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15501,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15501,A000000,04400,0000,04400DME RENTED - HHA 15501,A000000,04500,0000,04500DME SOLD - HHA 15501,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15501,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15501,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15501,A000000,05000,0000,05000CORF 15501,A000000,05010,0000,05010CMHC I 15501,A000000,05020,0000,05020OPT I 15501,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15501,A000000,05300,0000,05300INTEREST EXPENSE 15501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15501,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15501,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15501,A000000,05500,0000,05500HOSPICE 15501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15501,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15501,A000000,06100,0000,06100NONPAID WORKERS 15501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15501,A000000,06200,0000,06200PATIENTS LAUNDRY 15501,A81000A,00100,0100,Y 15501,A81000B,00100,0300,MANAGEMENT FEE 15501,A81000B,00200,0300,PHYSICAL THERAPY 15501,A81000B,00300,0300,OCCUPATION THERAPY 15501,A81000B,00400,0300,SPEECH THERAPY 15501,A81000C,00100,0100,G 15501,A81000C,00100,0200,CENT MGMT CORP 15501,A81000C,00100,0400,CENT HC CORP 15501,A81000C,00100,0600,HOME OFFICE 15501,A81000C,00200,0100,G 15501,A81000C,00200,0200,PARAGON 15501,A81000C,00200,0400,CENT HC CORP 15501,A81000C,00200,0600,THERAPY 15501,A81000C,00300,0100,G 15501,A81000C,00300,0200,PARAGON 15501,A81000C,00300,0400,CENT HC CORP 15501,A81000C,00300,0600,THERAPY 15501,A81000C,00400,0100,G 15501,A81000C,00400,0200,PARAGON 15501,A81000C,00400,0400,CENT HC CORP 15501,A81000C,00400,0600,THERAPY 15501,A81000C,03100,0000,SPEECH 15501,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15501,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 15501,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15501,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 15501,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15501,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15501,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15501,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15501,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15501,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15501,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 15501,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15501,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15501,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 15501,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15501,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15501,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 15501,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 15501,S000000,00100,0200,07/02/1999 15501,S200000,00100,0100,2900 KENDALL WOOD PKWY 15501,S200000,00200,0100,GLADSTONE 15501,S200000,00200,0200,MO 15501,S200000,00200,0300,64119- 15501,S200000,00400,0100,WOODBINE HEALTHCARE & REHAB 15501,S200000,00400,0200,265137 15501,S200000,00400,0300,11/03/1993 15501,S200000,00400,0500,P 15501,S200000,01600,0100,Y 15501,S200000,02200,0100,Y 15501,S700003,00000,0100,1 15503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15503,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15503,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15503,A000000,00300,0000,00300EMPLOYEE BENEFITS 15503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15503,A000000,00700,0000,00700HOUSEKEEPING 15503,A000000,00800,0000,00800DIETARY 15503,A000000,00801,0000,00801CAFETERIA 15503,A000000,00900,0000,00900NURSING ADMINISTRATION 15503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15503,A000000,01100,0000,01100PHARMACY 15503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15503,A000000,01300,0000,01300SOCIAL SERVICE 15503,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15503,A000000,01600,0000,01600SKILLED NURSING FACILITY 15503,A000000,01800,0000,01800NURSING FACILITY 15503,A000000,01900,0000,01900OTHER LONG TERM CARE 15503,A000000,02100,0000,02100RADIOLOGY 15503,A000000,02200,0000,02200LABORATORY 15503,A000000,02300,0000,02300INTRAVENOUS THERAPY 15503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15503,A000000,02500,0000,02500PHYSICAL THERAPY 15503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15503,A000000,02700,0000,02700SPEECH PATHOLOGY 15503,A000000,02800,0000,02800ELECTROCARDIOLOGY 15503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15503,A000000,03050,0000,03300OTHER ANCILLARY 15503,A000000,03051,0000,03301OTHER ANCILLARY II 15503,A000000,03052,0000,03302OTHER ANCILLARY III 15503,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15503,A000000,03200,0000,03200SUPPORT SURFACES 15503,A000000,03400,0000,03400CLINIC 15503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15503,A000000,03500,0000,03500RURAL HEALTH CLINIC 15503,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15503,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15503,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15503,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15503,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15503,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15503,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15503,A000000,04400,0000,04400DME RENTED - HHA 15503,A000000,04500,0000,04500DME SOLD - HHA 15503,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15503,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15503,A000000,04800,0000,04800AMBULANCE 15503,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15503,A000000,05000,0000,05000CORF 15503,A000000,05010,0000,05010CMHC I 15503,A000000,05020,0000,05020OPT I 15503,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15503,A000000,05300,0000,05300INTEREST EXPENSE 15503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15503,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15503,A000000,05500,0000,05500HOSPICE 15503,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15503,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15503,A000000,06100,0000,06100NONPAID WORKERS 15503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15503,A000000,06200,0000,06200PATIENTS LAUNDRY 15503,A81000A,00100,0100,Y 15503,A81000B,00100,0300,MANAGEMENT FEE 15503,A81000B,00200,0300,PAYROLL PROCESSING 15503,A81000B,00300,0300,PHYSICAL THERAPY 15503,A81000B,00400,0300,OCCUPATION THERAPY 15503,A81000B,00500,0300,SPEECH THERAPY 15503,A81000B,00600,0300,DIETARY 15503,A81000B,00700,0300,CENTRAL SUPPLY 15503,A81000B,00800,0300,MEDICAL SUPPLIES 15503,A81000B,00900,0300,MED EQUIP RENTAL 15503,A81000C,00100,0100,G 15503,A81000C,00100,0200,CENT HC CORP 15503,A81000C,00100,0400,CENT HC CORP 15503,A81000C,00100,0600,HOME OFFICE 15503,A81000C,00200,0100,G 15503,A81000C,00200,0200,CENT HC CORP 15503,A81000C,00200,0400,CENT HC CORP 15503,A81000C,00200,0600,HOME OFFICE 15503,A81000C,00300,0100,G 15503,A81000C,00300,0200,PARAGON 15503,A81000C,00300,0400,CENT HC CORP 15503,A81000C,00300,0600,THERAPY 15503,A81000C,00400,0100,G 15503,A81000C,00400,0200,PARAGON 15503,A81000C,00400,0400,CENT HC CORP 15503,A81000C,00400,0600,THERAPY 15503,A81000C,00500,0100,G 15503,A81000C,00500,0200,PARAGON 15503,A81000C,00500,0400,CENT HC CORP 15503,A81000C,00500,0600,THERAPY 15503,A81000C,00600,0100,G 15503,A81000C,00600,0200,CENTENNIAL PTS 15503,A81000C,00600,0400,CENT HC CORP 15503,A81000C,00600,0600,SUPPLIES 15503,A81000C,00700,0100,G 15503,A81000C,00700,0200,CENTENNIAL PTS 15503,A81000C,00700,0400,CENT HC CORP 15503,A81000C,00700,0600,MED SUPPLIES 15503,A81000C,00800,0100,G 15503,A81000C,00800,0200,CENTENNIAL PTS 15503,A81000C,00800,0400,CENT HC CORP 15503,A81000C,00800,0600,MED SUPPLIES 15503,A81000C,00900,0100,G 15503,A81000C,00900,0200,CENTENNIAL PTS 15503,A81000C,00900,0400,CENT HC CORP 15503,A81000C,00900,0600,SUPPLIES 15503,A81000C,03100,0000,EQUIPMENT 15503,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15503,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15503,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15503,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15503,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15503,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15503,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15503,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15503,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15503,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15503,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15503,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15503,S000000,00100,0200,06/01/2000 15503,S200000,00100,0100,2900 KENDALLWOOD PARKWAY 15503,S200000,00200,0100,GLADSTONE 15503,S200000,00200,0200,MO 15503,S200000,00200,0300,64119- 15503,S200000,00300,0100,CLAY 15503,S200000,00300,0200,3760 15503,S200000,00300,0300,U 15503,S200000,00400,0100,WOODBINE HEALTHCARE & REHAB 15503,S200000,00400,0200,265137 15503,S200000,00400,0300,11/03/1993 15503,S200000,00400,0500,P 15503,S200000,01500,0100,Y 15503,S200000,01900,0100,TRUST 15503,S200000,02200,0100,Y 15506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15506,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15506,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15506,A000000,00300,0000,00300EMPLOYEE BENEFITS 15506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15506,A000000,00700,0000,00700HOUSEKEEPING 15506,A000000,00800,0000,00800DIETARY 15506,A000000,00801,0000,00801CAFETERIA 15506,A000000,00900,0000,00900NURSING ADMINISTRATION 15506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15506,A000000,01100,0000,01100PHARMACY 15506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15506,A000000,01300,0000,01300SOCIAL SERVICE 15506,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15506,A000000,01600,0000,01600SKILLED NURSING FACILITY 15506,A000000,01800,0000,01800NURSING FACILITY 15506,A000000,01900,0000,01900OTHER LONG TERM CARE 15506,A000000,02100,0000,02100RADIOLOGY 15506,A000000,02200,0000,02200LABORATORY 15506,A000000,02300,0000,02300INTRAVENOUS THERAPY 15506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15506,A000000,02500,0000,02500PHYSICAL THERAPY 15506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15506,A000000,02700,0000,02700SPEECH PATHOLOGY 15506,A000000,02800,0000,02800ELECTROCARDIOLOGY 15506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15506,A000000,03050,0000,03300OTHER ANCILLARY 15506,A000000,03051,0000,03301OTHER ANCILLARY II 15506,A000000,03052,0000,03302OTHER ANCILLARY III 15506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15506,A000000,03200,0000,03200SUPPORT SURFACES 15506,A000000,03400,0000,03400CLINIC 15506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15506,A000000,03500,0000,03500RURAL HEALTH CLINIC 15506,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15506,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15506,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15506,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15506,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15506,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15506,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15506,A000000,04400,0000,04400DME RENTED - HHA 15506,A000000,04500,0000,04500DME SOLD - HHA 15506,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15506,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15506,A000000,05000,0000,05000CORF 15506,A000000,05010,0000,05010CMHC I 15506,A000000,05020,0000,05020OPT I 15506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15506,A000000,05300,0000,05300INTEREST EXPENSE 15506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15506,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15506,A000000,05500,0000,05500HOSPICE 15506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15506,A000000,06100,0000,06100NONPAID WORKERS 15506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15506,A000000,06200,0000,06200PATIENTS LAUNDRY 15506,A81000A,00100,0100,Y 15506,A81000B,00100,0300,MANAGEMENT FEE 15506,A81000B,00200,0300,DIETARY 15506,A81000B,00300,0300,PHYSICAL THERAPY 15506,A81000B,00400,0300,OCCUPATION THERAPY 15506,A81000B,00500,0300,SPEECH THERAPY 15506,A81000C,00100,0100,G 15506,A81000C,00100,0200,CENT MGMT CORP 15506,A81000C,00100,0400,CENT HC CORP 15506,A81000C,00100,0600,HOME OFFICE 15506,A81000C,00200,0100,G 15506,A81000C,00200,0200,CENTENNIAL PTS 15506,A81000C,00200,0400,CENT HC CORP 15506,A81000C,00200,0600,MED SUPPLIES 15506,A81000C,00300,0100,G 15506,A81000C,00300,0200,PARAGON 15506,A81000C,00300,0400,CENT HC CORP 15506,A81000C,00300,0600,THERAPY 15506,A81000C,00400,0100,G 15506,A81000C,00400,0200,PARAGON 15506,A81000C,00400,0400,CENT HC CORP 15506,A81000C,00400,0600,THERAPY 15506,A81000C,00500,0100,G 15506,A81000C,00500,0200,PARAGON 15506,A81000C,00500,0400,CENT HC CORP 15506,A81000C,00500,0600,THERAPY 15506,A81000C,03100,0000,SPEECH 15506,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15506,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 15506,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15506,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 15506,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15506,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15506,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15506,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15506,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15506,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15506,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 15506,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15506,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15506,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 15506,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15506,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15506,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 15506,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 15506,S000000,00100,0200,07/02/1999 15506,S200000,00100,0100,1200 W. COLLEGE DRIVE 15506,S200000,00200,0100,LIBERTY 15506,S200000,00200,0200,MO 15506,S200000,00200,0300,64119- 15506,S200000,00400,0100,ASHTON COURT CARE & REHAB 15506,S200000,00400,0200,265437 15506,S200000,00400,0300,12/01/1995 15506,S200000,00400,0500,P 15506,S200000,01600,0100,Y 15506,S200000,02200,0100,Y 15506,S700003,00000,0100,1 15519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15519,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15519,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15519,A000000,00300,0000,00300EMPLOYEE BENEFITS 15519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15519,A000000,00700,0000,00700HOUSEKEEPING 15519,A000000,00800,0000,00800DIETARY 15519,A000000,00801,0000,00801CAFETERIA 15519,A000000,00900,0000,00900NURSING ADMINISTRATION 15519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15519,A000000,01100,0000,01100PHARMACY 15519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15519,A000000,01300,0000,01300SOCIAL SERVICE 15519,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15519,A000000,01600,0000,01600SKILLED NURSING FACILITY 15519,A000000,01800,0000,01800NURSING FACILITY 15519,A000000,01900,0000,01900OTHER LONG TERM CARE 15519,A000000,02100,0000,02100RADIOLOGY 15519,A000000,02200,0000,02200LABORATORY 15519,A000000,02300,0000,02300INTRAVENOUS THERAPY 15519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15519,A000000,02500,0000,02500PHYSICAL THERAPY 15519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15519,A000000,02700,0000,02700SPEECH PATHOLOGY 15519,A000000,02800,0000,02800ELECTROCARDIOLOGY 15519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15519,A000000,03050,0000,03300OTHER ANCILLARY 15519,A000000,03051,0000,03301OTHER ANCILLARY II 15519,A000000,03052,0000,03302OTHER ANCILLARY III 15519,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15519,A000000,03200,0000,03200SUPPORT SURFACES 15519,A000000,03400,0000,03400CLINIC 15519,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15519,A000000,03500,0000,03500RURAL HEALTH CLINIC 15519,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15519,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15519,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15519,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15519,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15519,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15519,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15519,A000000,04400,0000,04400DME RENTED - HHA 15519,A000000,04500,0000,04500DME SOLD - HHA 15519,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15519,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15519,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15519,A000000,04800,0000,04800AMBULANCE 15519,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15519,A000000,05000,0000,05000CORF 15519,A000000,05010,0000,05010CMHC I 15519,A000000,05020,0000,05020OPT I 15519,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15519,A000000,05300,0000,05300INTEREST EXPENSE 15519,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15519,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15519,A000000,05500,0000,05500HOSPICE 15519,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15519,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15519,A000000,06100,0000,06100NONPAID WORKERS 15519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15519,A000000,06200,0000,06200PATIENTS LAUNDRY 15519,A81000A,00100,0100,Y 15519,A81000B,00100,0300,HOME OFFICE COST 15519,A81000B,00200,0300,HOME OFFICE COST 15519,A81000B,00300,0300,HOME OFFICE COST 15519,A81000B,00400,0300,SP CONTRACTED SVCS 15519,A81000B,00500,0300,PT CONTRACTED SVCS 15519,A81000B,00600,0300,OT CONTRACTED SVCS 15519,A81000B,00700,0300,CPTS SUPPLIES 15519,A81000B,00800,0300,CAPITAL LEASE SNYTH 15519,A81000B,00900,0300,SEE ADDENDUM WORKSHEET FOR DETAILS 15519,A81000C,00100,0100,B 15519,A81000C,00100,0200,CTEN MGNT 15519,A81000C,00100,0400,CTEN MGNT 15519,A81000C,00100,0600,HOME OFFICE 15519,A81000C,00200,0100,B 15519,A81000C,00200,0200,CTEN MGNT 15519,A81000C,00200,0400,CTEN MGNT 15519,A81000C,00200,0600,HOME OFFICE 15519,A81000C,00300,0100,B 15519,A81000C,00300,0200,CTEN MGNT 15519,A81000C,00300,0400,CTEN MGNT 15519,A81000C,00300,0600,HOME OFFICE 15519,A81000C,00400,0100,G 15519,A81000C,00400,0200,CTEN HTH CORP 15519,A81000C,00400,0400,CTEN CORP 15519,A81000C,00400,0600,HEALTHCARE 15519,A81000C,00500,0100,G 15519,A81000C,00500,0200,CTEN HTH CORP 15519,A81000C,00500,0400,CTEN CORP 15519,A81000C,00500,0600,HEALTHCARE 15519,A81000C,00600,0100,G 15519,A81000C,00600,0200,CTEN HTH CORP 15519,A81000C,00600,0400,CTEN CORP 15519,A81000C,00600,0600,HEALTHCARE 15519,A81000C,00700,0100,G 15519,A81000C,00700,0200,CTEN PTS 15519,A81000C,00700,0400,CTEN PTS 15519,A81000C,00700,0600,HEALTHCARE 15519,A81000C,00800,0100,B 15519,A81000C,00800,0200,PARAGON REHAB 15519,A81000C,00800,0400,CENTENNIAL HC 15519,A81000C,00800,0600,THERAPY 15519,A81000C,00900,0100,B 15519,A81000C,00900,0200,PARAGON REHAB 15519,A81000C,00900,0400,CENTENNIAL HC 15519,A81000C,00900,0600,THERAPY 15519,A81000C,03100,0000,CPTS 15519,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15519,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15519,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15519,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15519,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15519,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15519,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15519,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15519,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15519,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15519,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15519,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15519,H510100,00000,0000,27 15519,H510100,02400,0000,27 15519,S000000,00100,0200,09/21/2000 15519,S200000,00100,0100,308 EAST 3RD STREET 15519,S200000,00200,0100,LIBBY 15519,S200000,00200,0200,MT 15519,S200000,00200,0300,59923- 15519,S200000,00300,0100,LINCOLN 15519,S200000,00300,0200,0027 15519,S200000,00300,0300,R 15519,S200000,00400,0100,LIBBY CARE CENTER 15519,S200000,00400,0200,275040 15519,S200000,00400,0300,10/01/1971 15519,S200000,00400,0500,P 15519,S200000,00800,0200,277085 15519,S200000,00800,0300,12/11/1995 15519,S200000,00800,0500,P 15519,S200000,01600,0100,Y 15519,S200000,02200,0100,Y 15527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15527,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15527,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15527,A000000,00300,0000,00300EMPLOYEE BENEFITS 15527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15527,A000000,00700,0000,00700HOUSEKEEPING 15527,A000000,00800,0000,00800DIETARY 15527,A000000,00801,0000,00801CAFETERIA 15527,A000000,00900,0000,00900NURSING ADMINISTRATION 15527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15527,A000000,01100,0000,01100PHARMACY 15527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15527,A000000,01300,0000,01300SOCIAL SERVICE 15527,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15527,A000000,01600,0000,01600SKILLED NURSING FACILITY 15527,A000000,01800,0000,01800NURSING FACILITY 15527,A000000,01900,0000,01900OTHER LONG TERM CARE 15527,A000000,02100,0000,02100RADIOLOGY 15527,A000000,02200,0000,02200LABORATORY 15527,A000000,02300,0000,02300INTRAVENOUS THERAPY 15527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15527,A000000,02500,0000,02500PHYSICAL THERAPY 15527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15527,A000000,02700,0000,02700SPEECH PATHOLOGY 15527,A000000,02800,0000,02800ELECTROCARDIOLOGY 15527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15527,A000000,03050,0000,03300OTHER ANCILLARY 15527,A000000,03051,0000,03301OTHER ANCILLARY II 15527,A000000,03052,0000,03302OTHER ANCILLARY III 15527,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15527,A000000,03200,0000,03200SUPPORT SURFACES 15527,A000000,03400,0000,03400CLINIC 15527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15527,A000000,03500,0000,03500RURAL HEALTH CLINIC 15527,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15527,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15527,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15527,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15527,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15527,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15527,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15527,A000000,04400,0000,04400DME RENTED - HHA 15527,A000000,04500,0000,04500DME SOLD - HHA 15527,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15527,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15527,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15527,A000000,04800,0000,04800AMBULANCE 15527,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15527,A000000,05000,0000,05000CORF 15527,A000000,05010,0000,05010CMHC I 15527,A000000,05020,0000,05020OPT I 15527,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15527,A000000,05300,0000,05300INTEREST EXPENSE 15527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15527,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15527,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15527,A000000,05500,0000,05500HOSPICE 15527,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15527,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15527,A000000,06100,0000,06100NONPAID WORKERS 15527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15527,A000000,06200,0000,06200PATIENTS LAUNDRY 15527,A81000A,00100,0100,Y 15527,A81000B,00100,0300,PAYROLL PROCESSING 15527,A81000B,00200,0300,MANAGEMENT FEE 15527,A81000B,00400,0300,PHYSICAL THERAPY 15527,A81000B,00500,0300,OCCUPATION THERAPY 15527,A81000B,00600,0300,SPEECH THERAPY 15527,A81000B,00700,0300,DIETARY 15527,A81000B,00800,0300,CENTRAL SUPPLY 15527,A81000B,00900,0300,MEDICAL SUPPLIES 15527,A81000C,00100,0100,G 15527,A81000C,00100,0200,CENT HC CORP 15527,A81000C,00100,0400,CENT HC CORP 15527,A81000C,00100,0600,HOME OFFICE 15527,A81000C,00200,0100,G 15527,A81000C,00200,0200,CENT HC CORP 15527,A81000C,00200,0400,CENT HC CORP 15527,A81000C,00200,0600,HOME OFFICE 15527,A81000C,00400,0100,G 15527,A81000C,00400,0200,PARAGON 15527,A81000C,00400,0400,CENT HC CORP 15527,A81000C,00400,0600,THERAPY 15527,A81000C,00500,0100,G 15527,A81000C,00500,0200,PARAGON 15527,A81000C,00500,0400,CENT HC CORP 15527,A81000C,00500,0600,THERAPY 15527,A81000C,00600,0100,G 15527,A81000C,00600,0200,PARAGON 15527,A81000C,00600,0400,CENT HC CORP 15527,A81000C,00600,0600,THERAPY 15527,A81000C,00700,0100,G 15527,A81000C,00700,0200,CENTENNIAL PTS 15527,A81000C,00700,0400,CENT HC CORP 15527,A81000C,00700,0600,SUPPLIES 15527,A81000C,00800,0100,G 15527,A81000C,00800,0200,CENTENNIAL PTS 15527,A81000C,00800,0400,CENT HC CORP 15527,A81000C,00800,0600,MED SUPPLIES 15527,A81000C,00900,0100,G 15527,A81000C,00900,0200,CENTENNIAL PTS 15527,A81000C,00900,0400,CENT HC CORP 15527,A81000C,00900,0600,MED SUPPLIES 15527,A81000C,03100,0000,SUPPLIES 15527,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15527,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15527,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15527,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15527,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15527,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15527,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15527,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15527,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15527,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15527,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15527,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15527,S000000,00100,0200,06/01/2000 15527,S200000,00100,0100,135 S. 135TH AVE 15527,S200000,00200,0100,OMAHA 15527,S200000,00200,0200,NE 15527,S200000,00200,0300,68144- 15527,S200000,00300,0100,DOUGLAS 15527,S200000,00300,0200,5920 15527,S200000,00300,0300,U 15527,S200000,00400,0100,MONTCLAIR NURSING & REHAB 15527,S200000,00400,0200,285054 15527,S200000,00400,0300,08/01/1975 15527,S200000,00400,0500,P 15527,S200000,01500,0100,Y 15527,S200000,02200,0100,Y 15527,S200000,02800,0100,Y 15533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15533,A000000,00300,0000,00300EMPLOYEE BENEFITS 15533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15533,A000000,00700,0000,00700HOUSEKEEPING 15533,A000000,00800,0000,00800DIETARY 15533,A000000,00900,0000,00900NURSING ADMINISTRATION 15533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15533,A000000,01100,0000,01100PHARMACY 15533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15533,A000000,01300,0000,01300SOCIAL SERVICE 15533,A000000,01350,0000,01500OTHER GENERAL SERVICES 15533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15533,A000000,01600,0000,01600SKILLED NURSING FACILITY 15533,A000000,01800,0000,01800NURSING FACILITY 15533,A000000,01810,0000,01801ICF/MR 15533,A000000,01900,0000,01900OTHER LONG TERM CARE 15533,A000000,02100,0000,02100RADIOLOGY 15533,A000000,02200,0000,02200LABORATORY 15533,A000000,02300,0000,02300INTRAVENOUS THERAPY 15533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15533,A000000,02500,0000,02500PHYSICAL THERAPY 15533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15533,A000000,02700,0000,02700SPEECH PATHOLOGY 15533,A000000,02800,0000,02800ELECTROCARDIOLOGY 15533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15533,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15533,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15533,A000000,03200,0000,03200SUPPORT SURFACES 15533,A000000,03400,0000,03400CLINIC 15533,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15533,A000000,03500,0000,03500RURAL HEALTH CLINIC 15533,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15533,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15533,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15533,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15533,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15533,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15533,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15533,A000000,04400,0000,04400DME RENTED - HHA 15533,A000000,04500,0000,04500DME SOLD - HHA 15533,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15533,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15533,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15533,A000000,04800,0000,04800AMBULANCE 15533,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15533,A000000,05000,0000,05000CORF 15533,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15533,A000000,05300,0000,05300INTEREST EXPENSE 15533,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15533,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15533,A000000,05500,0000,05500HOSPICE 15533,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15533,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15533,A000000,06100,0000,06100NONPAID WORKERS 15533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15533,A000000,06200,0000,06200PATIENTS LAUNDRY 15533,A81000A,00100,0100,Y 15533,A81000B,00100,0300,HOME OFFICE BUILDING 15533,A81000B,00200,0300,HOME OFFICE EQUIPMENT 15533,A81000B,00300,0300,HOME OFFICE A&G 15533,A81000B,00400,0300,HOME OFFICE CERT NURSING 15533,A81000B,00500,0300,HOME OFFICE OLTC 15533,A81000C,00100,0100,B 15533,A81000C,00100,0200,MARRIOTT SLS 15533,A81000C,00100,0600,HEALTHCARE 15533,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15533,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15533,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15533,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15533,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15533,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15533,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 15533,B100000,00000,0800,00000MEALS SERVED :DIETARY 15533,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 15533,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15533,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15533,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 15533,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 15533,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15533,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15533,S000000,00100,0200,06/02/2000 15533,S200000,00100,0100,1400 ROUTE 70 15533,S200000,00200,0100,LAKEWOOD 15533,S200000,00200,0200,NJ 15533,S200000,00200,0300,08701- 15533,S200000,00300,0100,OCEAN 15533,S200000,00400,0100,LEISURE PARK 15533,S200000,00400,0200,315256 15533,S200000,00400,0300,07/30/1994 15533,S200000,00400,0500,P 15533,S200000,01004,0500,O 15533,S200000,01500,0100,Y 15533,S200000,01700,0100,Y 15533,S700003,00000,0100,1 15539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15539,A000000,00300,0000,00300EMPLOYEE BENEFITS 15539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15539,A000000,00700,0000,00700HOUSEKEEPING 15539,A000000,00800,0000,00800DIETARY 15539,A000000,00900,0000,00900NURSING ADMINISTRATION 15539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15539,A000000,01100,0000,01100PHARMACY 15539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15539,A000000,01300,0000,01300SOCIAL SERVICE 15539,A000000,01350,0000,01500OTHER GENERAL SERVICES 15539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15539,A000000,01600,0000,01600SKILLED NURSING FACILITY 15539,A000000,01800,0000,01800NURSING FACILITY 15539,A000000,01810,0000,01801ICF/MR 15539,A000000,01900,0000,01900OTHER LONG TERM CARE 15539,A000000,02100,0000,02100RADIOLOGY 15539,A000000,02200,0000,02200LABORATORY 15539,A000000,02300,0000,02300INTRAVENOUS THERAPY 15539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15539,A000000,02500,0000,02500PHYSICAL THERAPY 15539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15539,A000000,02700,0000,02700SPEECH PATHOLOGY 15539,A000000,02800,0000,02800ELECTROCARDIOLOGY 15539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15539,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15539,A000000,03200,0000,03200SUPPORT SURFACES 15539,A000000,03400,0000,03400CLINIC 15539,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15539,A000000,03500,0000,03500RURAL HEALTH CLINIC 15539,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15539,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15539,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15539,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15539,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15539,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15539,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15539,A000000,04400,0000,04400DME RENTED - HHA 15539,A000000,04500,0000,04500DME SOLD - HHA 15539,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15539,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15539,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15539,A000000,04800,0000,04800AMBULANCE 15539,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15539,A000000,05000,0000,05000CORF 15539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15539,A000000,05300,0000,05300INTEREST EXPENSE 15539,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15539,A000000,05500,0000,05500HOSPICE 15539,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15539,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15539,A000000,06100,0000,06100NONPAID WORKERS 15539,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15539,A000000,06200,0000,06200PATIENTS LAUNDRY 15539,A81000A,00100,0100,Y 15539,A81000B,00100,0300,HOME OFFICE BUILDING 15539,A81000B,00200,0300,HOME OFFICE EQUIPMENT 15539,A81000B,00300,0300,HOME OFFICE A&G 15539,A81000B,00400,0300,HOME OFFICE CERT NURSING 15539,A81000B,00500,0300,HOME OFFICE N/C NURSING 15539,A81000B,00600,0300,HOME OFFICE OLTC 15539,A81000C,00100,0100,B 15539,A81000C,00100,0200,MARRIOTT SLS 15539,A81000C,00100,0600,HEALTHCARE 15539,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15539,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15539,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15539,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15539,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15539,B100000,00000,0800,00000MEALS SERVED :DIETARY 15539,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 15539,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15539,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15539,B100000,00000,1250,00000HEALTHCARE E PAT D:MEDICAL RECORDS 15539,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15539,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15539,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15539,S000000,00100,0200,06/02/2000 15539,S200000,00100,0100,1801 OAK TREE ROAD 15539,S200000,00200,0100,EDISON 15539,S200000,00200,0200,NJ 15539,S200000,00200,0300,08820- 15539,S200000,00300,0100,MIDDLESEX 15539,S200000,00400,0100,BRIGHTON GARDENS OF EDISON 15539,S200000,00400,0200,315351 15539,S200000,00400,0300,12/18/1995 15539,S200000,00400,0500,P 15539,S200000,01600,0100,Y 15539,S200000,01700,0100,Y 15539,S700003,00000,0400,4 15550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15550,A000000,00300,0000,00300EMPLOYEE BENEFITS 15550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15550,A000000,00700,0000,00700HOUSEKEEPING 15550,A000000,00800,0000,00800DIETARY 15550,A000000,00900,0000,00900NURSING ADMINISTRATION 15550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15550,A000000,01100,0000,01100PHARMACY 15550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15550,A000000,01300,0000,01300SOCIAL SERVICE 15550,A000000,01350,0000,01500OTHER GENERAL SERVICES 15550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15550,A000000,01600,0000,01600SKILLED NURSING FACILITY 15550,A000000,01800,0000,01800NURSING FACILITY 15550,A000000,01900,0000,01900OTHER LONG TERM CARE 15550,A000000,02100,0000,02100RADIOLOGY 15550,A000000,02200,0000,02200LABORATORY 15550,A000000,02300,0000,02300INTRAVENOUS THERAPY 15550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15550,A000000,02500,0000,02500PHYSICAL THERAPY 15550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15550,A000000,02700,0000,02700SPEECH PATHOLOGY 15550,A000000,02800,0000,02800ELECTROCARDIOLOGY 15550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15550,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15550,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15550,A000000,03200,0000,03200SUPPORT SURFACES 15550,A000000,03400,0000,03400CLINIC 15550,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15550,A000000,03500,0000,03500RURAL HEALTH CLINIC 15550,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15550,A000000,04800,0000,04800AMBULANCE 15550,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15550,A000000,05000,0000,05000CORF 15550,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15550,A000000,05300,0000,05300INTEREST EXPENSE 15550,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15550,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15550,A000000,05500,0000,05500HOSPICE 15550,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15550,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15550,A000000,06100,0000,06100NONPAID WORKERS 15550,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15550,A000000,06200,0000,06200PATIENTS LAUNDRY 15550,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15550,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15550,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15550,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15550,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15550,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15550,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15550,B100000,00000,0800,00000MEALS SERVED :DIETARY 15550,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15550,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15550,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15550,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15550,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15550,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15550,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15550,S000000,00100,0200,06/02/2000 15550,S200000,00100,0100,10500 ACADEMY BLVD NE 15550,S200000,00200,0100,ALBEQUERQUE 15550,S200000,00200,0200,NM 15550,S200000,00200,0300,87111- 15550,S200000,00300,0100,BERNALILLO 15550,S200000,00400,0100,THE MONTEBELLO ON ACADEMY 15550,S200000,00400,0200,325048 15550,S200000,00400,0300,04/01/1989 15550,S200000,00400,0500,P 15550,S200000,01600,0100,Y 15550,S700003,00000,0100,1 15563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15563,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15563,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15563,A000000,00300,0000,00300EMPLOYEE BENEFITS 15563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15563,A000000,00700,0000,00700HOUSEKEEPING 15563,A000000,00800,0000,00800DIETARY 15563,A000000,00801,0000,00801CAFETERIA 15563,A000000,00900,0000,00900NURSING ADMINISTRATION 15563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15563,A000000,01100,0000,01100PHARMACY 15563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15563,A000000,01300,0000,01300SOCIAL SERVICE 15563,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15563,A000000,01600,0000,01600SKILLED NURSING FACILITY 15563,A000000,01800,0000,01800NURSING FACILITY 15563,A000000,01900,0000,01900OTHER LONG TERM CARE 15563,A000000,02100,0000,02100RADIOLOGY 15563,A000000,02200,0000,02200LABORATORY 15563,A000000,02300,0000,02300INTRAVENOUS THERAPY 15563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15563,A000000,02500,0000,02500PHYSICAL THERAPY 15563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15563,A000000,02700,0000,02700SPEECH PATHOLOGY 15563,A000000,02800,0000,02800ELECTROCARDIOLOGY 15563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15563,A000000,03050,0000,03300OTHER ANCILLARY 15563,A000000,03051,0000,03301OTHER ANCILLARY II 15563,A000000,03052,0000,03302OTHER ANCILLARY III 15563,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15563,A000000,03200,0000,03200SUPPORT SURFACES 15563,A000000,03400,0000,03400CLINIC 15563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15563,A000000,03500,0000,03500RURAL HEALTH CLINIC 15563,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15563,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15563,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15563,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15563,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15563,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15563,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15563,A000000,04400,0000,04400DME RENTED - HHA 15563,A000000,04500,0000,04500DME SOLD - HHA 15563,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15563,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15563,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15563,A000000,04800,0000,04800AMBULANCE 15563,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15563,A000000,05000,0000,05000CORF 15563,A000000,05010,0000,05010CMHC I 15563,A000000,05020,0000,05020OPT I 15563,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15563,A000000,05300,0000,05300INTEREST EXPENSE 15563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15563,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15563,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15563,A000000,05500,0000,05500HOSPICE 15563,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15563,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15563,A000000,06100,0000,06100NONPAID WORKERS 15563,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15563,A000000,06200,0000,06200PATIENTS LAUNDRY 15563,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15563,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15563,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15563,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15563,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15563,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15563,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15563,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15563,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15563,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15563,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15563,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15563,S000000,00100,0200,06/01/2000 15563,S200000,00100,0100,1509 UNIVERSITY BLVD NE 15563,S200000,00200,0100,ALBUQUERQUE 15563,S200000,00200,0200,NM 15563,S200000,00200,0300,87102- 15563,S200000,00300,0100,BERNALILLO 15563,S200000,00300,0200,0200 15563,S200000,00300,0300,U 15563,S200000,00400,0100,PALOMA BLANCA HEALTH & REHAB 15563,S200000,00400,0200,325060 15563,S200000,00400,0300,12/16/1991 15563,S200000,00400,0500,P 15563,S200000,01500,0100,Y 15563,S200000,02200,0100,Y 15569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15569,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15569,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15569,A000000,00300,0000,00300EMPLOYEE BENEFITS 15569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15569,A000000,00700,0000,00700HOUSEKEEPING 15569,A000000,00800,0000,00800DIETARY 15569,A000000,00801,0000,00801CAFETERIA 15569,A000000,00900,0000,00900NURSING ADMINISTRATION 15569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15569,A000000,01100,0000,01100PHARMACY 15569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15569,A000000,01300,0000,01300SOCIAL SERVICE 15569,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15569,A000000,01600,0000,01600SKILLED NURSING FACILITY 15569,A000000,01800,0000,01800NURSING FACILITY 15569,A000000,01900,0000,01900OTHER LONG TERM CARE 15569,A000000,02100,0000,02100RADIOLOGY 15569,A000000,02200,0000,02200LABORATORY 15569,A000000,02300,0000,02300INTRAVENOUS THERAPY 15569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15569,A000000,02500,0000,02500PHYSICAL THERAPY 15569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15569,A000000,02700,0000,02700SPEECH PATHOLOGY 15569,A000000,02800,0000,02800ELECTROCARDIOLOGY 15569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15569,A000000,03050,0000,03300OTHER ANCILLARY 15569,A000000,03051,0000,03301OTHER ANCILLARY II 15569,A000000,03052,0000,03302OTHER ANCILLARY III 15569,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15569,A000000,03200,0000,03200SUPPORT SURFACES 15569,A000000,03400,0000,03400CLINIC 15569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15569,A000000,03500,0000,03500RURAL HEALTH CLINIC 15569,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15569,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15569,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15569,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15569,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15569,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15569,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15569,A000000,04400,0000,04400DME RENTED - HHA 15569,A000000,04500,0000,04500DME SOLD - HHA 15569,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15569,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15569,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15569,A000000,04800,0000,04800AMBULANCE 15569,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15569,A000000,05000,0000,05000CORF 15569,A000000,05010,0000,05010CMHC I 15569,A000000,05020,0000,05020OPT I 15569,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15569,A000000,05300,0000,05300INTEREST EXPENSE 15569,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15569,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15569,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15569,A000000,05500,0000,05500HOSPICE 15569,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15569,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15569,A000000,06100,0000,06100NONPAID WORKERS 15569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15569,A000000,06200,0000,06200PATIENTS LAUNDRY 15569,A81000A,00100,0100,Y 15569,A81000B,00100,0300,PAYROLL PROCESSING FEE 15569,A81000B,00200,0300,MANAGEMENT FEES 15569,A81000B,00300,0300,DIETARY 15569,A81000B,00400,0300,CENTRAL SERVICE SUPPLIES 15569,A81000B,00500,0300,THERAPY 15569,A81000B,00600,0300,THERAPY 15569,A81000B,00700,0300,THERAPY 15569,A81000B,00800,0300,CHARGEABLE MEDICAL SUPPLIES 15569,A81000B,00900,0300,PY EXPENSES 15569,A81000C,00100,0100,G 15569,A81000C,00100,0200,CENTENNIAL MGMT 15569,A81000C,00100,0400,CENT HC CORP 15569,A81000C,00100,0600,HOME OFFICE 15569,A81000C,00200,0100,G 15569,A81000C,00200,0200,CENTENNIAL MGMT 15569,A81000C,00200,0400,CENT HC CORP 15569,A81000C,00200,0600,HOME OFFICE 15569,A81000C,00300,0100,G 15569,A81000C,00300,0200,CENTENNIAL PTS 15569,A81000C,00300,0400,CENT HC CORP 15569,A81000C,00300,0600,GPO 15569,A81000C,00400,0100,G 15569,A81000C,00400,0200,CENTENNIAL PTS 15569,A81000C,00400,0400,CENT HC CORP 15569,A81000C,00400,0600,GPO 15569,A81000C,00500,0100,G 15569,A81000C,00500,0200,PARAGON REHAB 15569,A81000C,00500,0400,CENT HC CORP 15569,A81000C,00500,0600,THERAPY 15569,A81000C,00600,0100,G 15569,A81000C,00600,0200,PARAGON REHAB 15569,A81000C,00600,0400,CENT HC CORP 15569,A81000C,00600,0600,THERAPY 15569,A81000C,00700,0100,G 15569,A81000C,00700,0200,PARAGON REHAB 15569,A81000C,00700,0400,CENT HC CORP 15569,A81000C,00700,0600,THERAPY 15569,A81000C,00800,0100,G 15569,A81000C,00800,0200,CENTENNIAL PTS 15569,A81000C,00800,0400,CENT HC CORP 15569,A81000C,00800,0600,GPO 15569,A81000C,00900,0100,G 15569,A81000C,00900,0200,CENTENNIAL PTS 15569,A81000C,00900,0400,CENT HC CORP 15569,A81000C,00900,0600,GPO 15569,A81000C,03100,0000,PY EXP 15569,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15569,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15569,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15569,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15569,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15569,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15569,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15569,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15569,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15569,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15569,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15569,S000000,00100,0200,06/01/2000 15569,S200000,00100,0100,511 WINDMILL STREET 15569,S200000,00200,0100,WALNUT COVE 15569,S200000,00200,0200,NC 15569,S200000,00200,0300,27052- 15569,S200000,00300,0100,STOKES 15569,S200000,00300,0200,3120 15569,S200000,00300,0300,U 15569,S200000,00400,0100,WALNUT COVE 15569,S200000,00400,0200,345089 15569,S200000,00400,0300,10/01/1981 15569,S200000,00400,0500,P 15569,S200000,01600,0100,Y 15569,S200000,02200,0100,Y 15569,S200000,02800,0100,Y 15587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15587,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15587,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15587,A000000,00300,0000,00300EMPLOYEE BENEFITS 15587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15587,A000000,00700,0000,00700HOUSEKEEPING 15587,A000000,00800,0000,00800DIETARY 15587,A000000,00801,0000,00801CAFETERIA 15587,A000000,00900,0000,00900NURSING ADMINISTRATION 15587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15587,A000000,01100,0000,01100PHARMACY 15587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15587,A000000,01300,0000,01300SOCIAL SERVICE 15587,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15587,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15587,A000000,01600,0000,01600SKILLED NURSING FACILITY 15587,A000000,01800,0000,01800NURSING FACILITY 15587,A000000,01900,0000,01900OTHER LONG TERM CARE 15587,A000000,02100,0000,02100RADIOLOGY 15587,A000000,02200,0000,02200LABORATORY 15587,A000000,02300,0000,02300INTRAVENOUS THERAPY 15587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15587,A000000,02500,0000,02500PHYSICAL THERAPY 15587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15587,A000000,02700,0000,02700SPEECH PATHOLOGY 15587,A000000,02800,0000,02800ELECTROCARDIOLOGY 15587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15587,A000000,03050,0000,03300OTHER ANCILLARY 15587,A000000,03051,0000,03301OTHER ANCILLARY II 15587,A000000,03052,0000,03302OTHER ANCILLARY III 15587,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15587,A000000,03200,0000,03200SUPPORT SURFACES 15587,A000000,03400,0000,03400CLINIC 15587,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15587,A000000,03500,0000,03500RURAL HEALTH CLINIC 15587,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15587,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15587,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15587,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15587,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15587,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15587,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15587,A000000,04400,0000,04400DME RENTED - HHA 15587,A000000,04500,0000,04500DME SOLD - HHA 15587,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15587,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15587,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15587,A000000,04800,0000,04800AMBULANCE 15587,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15587,A000000,05000,0000,05000CORF 15587,A000000,05010,0000,05010CMHC I 15587,A000000,05020,0000,05020OPT I 15587,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15587,A000000,05300,0000,05300INTEREST EXPENSE 15587,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15587,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15587,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15587,A000000,05500,0000,05500HOSPICE 15587,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15587,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15587,A000000,06100,0000,06100NONPAID WORKERS 15587,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15587,A000000,06200,0000,06200PATIENTS LAUNDRY 15587,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15587,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15587,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15587,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15587,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15587,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15587,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15587,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15587,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15587,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15587,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15587,S000000,00100,0200,09/21/2000 15587,S200000,00100,0100,2030 HARPER AVENUE NW 15587,S200000,00200,0100,LENIOR 15587,S200000,00200,0200,NC 15587,S200000,00200,0300,28645- 15587,S200000,00300,0100,CALDWELL 15587,S200000,00300,0200,3290 15587,S200000,00300,0300,U 15587,S200000,00400,0100,GATEWAY NURSING CENTER 15587,S200000,00400,0200,345329 15587,S200000,00400,0300,07/01/1994 15587,S200000,00400,0500,P 15587,S200000,01600,0100,Y 15587,S200000,02200,0100,Y 15596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15596,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15596,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15596,A000000,00300,0000,00300EMPLOYEE BENEFITS 15596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15596,A000000,00700,0000,00700HOUSEKEEPING 15596,A000000,00800,0000,00800DIETARY 15596,A000000,00801,0000,00801CAFETERIA 15596,A000000,00900,0000,00900NURSING ADMINISTRATION 15596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15596,A000000,01100,0000,01100PHARMACY 15596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15596,A000000,01300,0000,01300SOCIAL SERVICE 15596,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15596,A000000,01600,0000,01600SKILLED NURSING FACILITY 15596,A000000,01800,0000,01800NURSING FACILITY 15596,A000000,01900,0000,01900OTHER LONG TERM CARE 15596,A000000,02100,0000,02100RADIOLOGY 15596,A000000,02200,0000,02200LABORATORY 15596,A000000,02300,0000,02300INTRAVENOUS THERAPY 15596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15596,A000000,02500,0000,02500PHYSICAL THERAPY 15596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15596,A000000,02700,0000,02700SPEECH PATHOLOGY 15596,A000000,02800,0000,02800ELECTROCARDIOLOGY 15596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15596,A000000,03050,0000,03300OTHER ANCILLARY 15596,A000000,03051,0000,03301OTHER ANCILLARY II 15596,A000000,03052,0000,03302OTHER ANCILLARY III 15596,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15596,A000000,03200,0000,03200SUPPORT SURFACES 15596,A000000,03400,0000,03400CLINIC 15596,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15596,A000000,03500,0000,03500RURAL HEALTH CLINIC 15596,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15596,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15596,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15596,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15596,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15596,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15596,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15596,A000000,04400,0000,04400DME RENTED - HHA 15596,A000000,04500,0000,04500DME SOLD - HHA 15596,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15596,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15596,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15596,A000000,04800,0000,04800AMBULANCE 15596,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15596,A000000,05000,0000,05000CORF 15596,A000000,05010,0000,05010CMHC I 15596,A000000,05020,0000,05020OPT I 15596,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15596,A000000,05300,0000,05300INTEREST EXPENSE 15596,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15596,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15596,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15596,A000000,05500,0000,05500HOSPICE 15596,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15596,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15596,A000000,06100,0000,06100NONPAID WORKERS 15596,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15596,A000000,06200,0000,06200PATIENTS LAUNDRY 15596,A81000A,00100,0100,Y 15596,A81000B,00100,0300,MANAGEMENT FEE 15596,A81000B,00200,0300,PAYROLL PROCESSING FEE 15596,A81000B,00300,0300,DIETARY SUPPLIES 15596,A81000B,00400,0300,CENTARL SVCS 15596,A81000B,00500,0300,PT 15596,A81000B,00600,0300,OT 15596,A81000B,00700,0300,ST 15596,A81000B,00800,0300,MED SUPPLIES 15596,A81000B,00900,0300,SUPPORT SURF 15596,A81000C,00100,0100,G 15596,A81000C,00100,0200,CENTENNIAL HC 15596,A81000C,00100,0400,CENTENNIAL HC 15596,A81000C,00100,0600,HOME OFFICE 15596,A81000C,00200,0100,G 15596,A81000C,00200,0200,CENTENNIAL HC 15596,A81000C,00200,0400,CENTENNIAL HC 15596,A81000C,00200,0600,PR PROCESS 15596,A81000C,00300,0100,G 15596,A81000C,00300,0200,CENTENNIAL PTS 15596,A81000C,00300,0400,CENTENNIAL HC 15596,A81000C,00300,0600,GPO 15596,A81000C,00400,0100,G 15596,A81000C,00400,0200,CENTENNIAL PTS 15596,A81000C,00400,0400,CENTENNIAL HC 15596,A81000C,00400,0600,GPO 15596,A81000C,00500,0100,G 15596,A81000C,00500,0200,PARAGON REHAB 15596,A81000C,00500,0400,CENTENNIAL HC 15596,A81000C,00500,0600,THERAPY 15596,A81000C,00600,0100,G 15596,A81000C,00600,0200,PARAGON REHAB 15596,A81000C,00600,0400,CENTENNIAL HC 15596,A81000C,00600,0600,THERAPY 15596,A81000C,00700,0100,G 15596,A81000C,00700,0200,PARAGON REHAB 15596,A81000C,00700,0400,CENTENNIAL HC 15596,A81000C,00700,0600,THERAPY 15596,A81000C,00800,0100,G 15596,A81000C,00800,0200,CENTENNIAL PTS 15596,A81000C,00800,0400,CENTENNIAL HC 15596,A81000C,00800,0600,GPO 15596,A81000C,00900,0100,G 15596,A81000C,00900,0200,CENTENNIAL PTS 15596,A81000C,00900,0400,CENTENNIAL HC 15596,A81000C,00900,0600,GPO 15596,A81000C,03100,0000,SUPPLIES 15596,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15596,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15596,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15596,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15596,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15596,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15596,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15596,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15596,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15596,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15596,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15596,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15596,S000000,00100,0200,09/21/2000 15596,S200000,00100,0100,931 NORTH ASPEN 15596,S200000,00200,0100,LINCOLNTON 15596,S200000,00200,0200,NC 15596,S200000,00200,0300,28092- 15596,S200000,00300,0100,LINCOLN 15596,S200000,00300,0200,1520 15596,S200000,00300,0300,U 15596,S200000,00400,0100,CARDINAL HEALTHCARE 15596,S200000,00400,0200,345385 15596,S200000,00400,0300,06/24/1991 15596,S200000,00400,0500,P 15596,S200000,01600,0100,Y 15596,S200000,02200,0100,Y 15606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15606,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15606,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15606,A000000,00300,0000,00300EMPLOYEE BENEFITS 15606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15606,A000000,00700,0000,00700HOUSEKEEPING 15606,A000000,00800,0000,00800DIETARY 15606,A000000,00801,0000,00801CAFETERIA 15606,A000000,00900,0000,00900NURSING ADMINISTRATION 15606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15606,A000000,01100,0000,01100PHARMACY 15606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15606,A000000,01300,0000,01300SOCIAL SERVICE 15606,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15606,A000000,01600,0000,01600SKILLED NURSING FACILITY 15606,A000000,01800,0000,01800NURSING FACILITY 15606,A000000,01900,0000,01900OTHER LONG TERM CARE 15606,A000000,02100,0000,02100RADIOLOGY 15606,A000000,02200,0000,02200LABORATORY 15606,A000000,02300,0000,02300INTRAVENOUS THERAPY 15606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15606,A000000,02500,0000,02500PHYSICAL THERAPY 15606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15606,A000000,02700,0000,02700SPEECH PATHOLOGY 15606,A000000,02800,0000,02800ELECTROCARDIOLOGY 15606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15606,A000000,03050,0000,03300OTHER ANCILLARY 15606,A000000,03051,0000,03301OTHER ANCILLARY II 15606,A000000,03052,0000,03302OTHER ANCILLARY III 15606,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15606,A000000,03200,0000,03200SUPPORT SURFACES 15606,A000000,03400,0000,03400CLINIC 15606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15606,A000000,03500,0000,03500RURAL HEALTH CLINIC 15606,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15606,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15606,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15606,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15606,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15606,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15606,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15606,A000000,04400,0000,04400DME RENTED - HHA 15606,A000000,04500,0000,04500DME SOLD - HHA 15606,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15606,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15606,A000000,04800,0000,04800AMBULANCE 15606,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15606,A000000,05000,0000,05000CORF 15606,A000000,05010,0000,05010CMHC I 15606,A000000,05020,0000,05020OPT I 15606,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15606,A000000,05300,0000,05300INTEREST EXPENSE 15606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15606,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15606,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15606,A000000,05500,0000,05500HOSPICE 15606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15606,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15606,A000000,06100,0000,06100NONPAID WORKERS 15606,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15606,A000000,06200,0000,06200PATIENTS LAUNDRY 15606,A81000A,00100,0100,Y 15606,A81000B,00100,0300,MANAGEMENT FEE 15606,A81000B,00200,0300,HOUSEKEEPING 15606,A81000B,00300,0300,PHYSICAL THERAPY 15606,A81000B,00400,0300,OCCUPATIONAL THERAPY 15606,A81000B,00500,0300,SPEECH THERAPY 15606,A81000B,00600,0300,MEDICAL SUPPLIES 15606,A81000B,00700,0300,SUPPORT SURFACES 15606,A81000B,00800,0300,NONREIMBURSEABLE 15606,A81000B,00900,0300,PAYROLL PROCESSING 15606,A81000C,00100,0100,G 15606,A81000C,00100,0200,CENTENNIAL HC 15606,A81000C,00100,0400,CENTENNIAL HC 15606,A81000C,00100,0600,HOME OFFICE 15606,A81000C,00200,0100,G 15606,A81000C,00200,0200,CENT PTS 15606,A81000C,00200,0400,CENTENNIAL HC 15606,A81000C,00200,0600,SUPPLIES 15606,A81000C,00300,0100,G 15606,A81000C,00300,0200,PARAGON 15606,A81000C,00300,0400,CENTENNIAL HC 15606,A81000C,00300,0600,THERAPY 15606,A81000C,00400,0100,G 15606,A81000C,00400,0200,PARAGON 15606,A81000C,00400,0400,CENTENNIAL HC 15606,A81000C,00400,0600,THERAPY 15606,A81000C,00500,0100,G 15606,A81000C,00500,0200,PARAGON 15606,A81000C,00500,0400,CENTENNIAL HC 15606,A81000C,00500,0600,THERAPY 15606,A81000C,00600,0100,G 15606,A81000C,00600,0200,CENT PTS 15606,A81000C,00600,0400,CENTENNIAL HC 15606,A81000C,00600,0600,SUPPLIES 15606,A81000C,00700,0100,G 15606,A81000C,00700,0200,CENT PTS 15606,A81000C,00700,0400,CENTENNIAL HC 15606,A81000C,00700,0600,SUPPLIES 15606,A81000C,00800,0100,G 15606,A81000C,00800,0200,CENT PTS 15606,A81000C,00800,0400,CENTENNIAL HC 15606,A81000C,00800,0600,SUPPLIES 15606,A81000C,00900,0100,G 15606,A81000C,00900,0200,CENT PTS 15606,A81000C,00900,0400,CENTENNIAL HC 15606,A81000C,00900,0600,HOME OFFICE 15606,A81000C,03100,0000,P/R 15606,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15606,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15606,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15606,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15606,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15606,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15606,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15606,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15606,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15606,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15606,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15606,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15606,S000000,00100,0200,09/21/2000 15606,S200000,00100,0100,620 TOM HUNTER ROAD 15606,S200000,00200,0100,CHARLOTTE 15606,S200000,00200,0200,NC 15606,S200000,00200,0300,28213- 15606,S200000,00300,0100,MECKLENBURG 15606,S200000,00300,0200,1520 15606,S200000,00300,0300,U 15606,S200000,00400,0100,HUNTER WOODS NURSING & REHAB 15606,S200000,00400,0200,345388 15606,S200000,00400,0300,01/01/1993 15606,S200000,00400,0500,P 15606,S200000,01600,0100,Y 15606,S200000,02200,0100,Y 15606,S200000,02800,0100,Y 15615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15615,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15615,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15615,A000000,00300,0000,00300EMPLOYEE BENEFITS 15615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15615,A000000,00700,0000,00700HOUSEKEEPING 15615,A000000,00800,0000,00800DIETARY 15615,A000000,00801,0000,00801CAFETERIA 15615,A000000,00900,0000,00900NURSING ADMINISTRATION 15615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15615,A000000,01100,0000,01100PHARMACY 15615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15615,A000000,01300,0000,01300SOCIAL SERVICE 15615,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15615,A000000,01600,0000,01600SKILLED NURSING FACILITY 15615,A000000,01800,0000,01800NURSING FACILITY 15615,A000000,01900,0000,01900OTHER LONG TERM CARE 15615,A000000,02100,0000,02100RADIOLOGY 15615,A000000,02200,0000,02200LABORATORY 15615,A000000,02300,0000,02300INTRAVENOUS THERAPY 15615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15615,A000000,02500,0000,02500PHYSICAL THERAPY 15615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15615,A000000,02700,0000,02700SPEECH PATHOLOGY 15615,A000000,02800,0000,02800ELECTROCARDIOLOGY 15615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15615,A000000,03050,0000,03300OTHER ANCILLARY 15615,A000000,03051,0000,03301OTHER ANCILLARY II 15615,A000000,03052,0000,03302OTHER ANCILLARY III 15615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15615,A000000,03200,0000,03200SUPPORT SURFACES 15615,A000000,03400,0000,03400CLINIC 15615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15615,A000000,03500,0000,03500RURAL HEALTH CLINIC 15615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15615,A000000,04400,0000,04400DME RENTED - HHA 15615,A000000,04500,0000,04500DME SOLD - HHA 15615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15615,A000000,04800,0000,04800AMBULANCE 15615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15615,A000000,05000,0000,05000CORF 15615,A000000,05010,0000,05010CMHC I 15615,A000000,05020,0000,05020OPT I 15615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15615,A000000,05300,0000,05300INTEREST EXPENSE 15615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15615,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15615,A000000,05500,0000,05500HOSPICE 15615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15615,A000000,06100,0000,06100NONPAID WORKERS 15615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15615,A000000,06200,0000,06200PATIENTS LAUNDRY 15615,A81000A,00100,0100,Y 15615,A81000B,00100,0300,EMPLOYEE BENEFITS 15615,A81000B,00200,0300,A & G 15615,A81000B,00300,0300,LAUNDRY 15615,A81000B,00400,0300,HOUSEKEEPING 15615,A81000B,00500,0300,DIETARY 15615,A81000B,00600,0300,CENTRAL SERVICES 15615,A81000B,00700,0300,PT 15615,A81000B,00800,0300,OT 15615,A81000B,00900,0300,ST 15615,A81000C,00100,0100,G 15615,A81000C,00100,0200,CENT & CEN PTS 15615,A81000C,00100,0400,CENT HLTCARE 15615,A81000C,00100,0600,SUPPLIES 15615,A81000C,00200,0100,G 15615,A81000C,00200,0200,CEN PTS 15615,A81000C,00200,0400,CENT HLTCARE 15615,A81000C,00200,0600,H.O. & SUPPLIES 15615,A81000C,00300,0100,G 15615,A81000C,00300,0200,CENT & CEN PTS 15615,A81000C,00300,0400,CENT HLTCARE 15615,A81000C,00300,0600,SUPPLIES 15615,A81000C,00400,0100,G 15615,A81000C,00400,0200,CENT PTS 15615,A81000C,00400,0400,CENT HLTCARE 15615,A81000C,00400,0600,SUPPLIES 15615,A81000C,00500,0100,G 15615,A81000C,00500,0200,CEN PTS 15615,A81000C,00500,0400,CENT HLTCARE 15615,A81000C,00500,0600,SUPPLIES 15615,A81000C,00600,0100,G 15615,A81000C,00600,0200,CENT PTS 15615,A81000C,00600,0400,CENT HLTCARE 15615,A81000C,00600,0600,SUPPLIES 15615,A81000C,00700,0100,G 15615,A81000C,00700,0200,CENT PTS 15615,A81000C,00700,0400,CENT HLTCARE 15615,A81000C,00700,0600,SUPPLIES 15615,A81000C,00800,0100,G 15615,A81000C,00800,0200,PARAGON 15615,A81000C,00800,0400,CENT HLTCARE 15615,A81000C,00800,0600,THERAPY 15615,A81000C,00900,0100,G 15615,A81000C,00900,0200,CENT PTS 15615,A81000C,00900,0400,CENT HLTCARE 15615,A81000C,00900,0600,SUPPLIES 15615,A81000C,03100,0000,MED SUPPLIES 15615,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15615,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15615,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15615,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15615,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15615,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15615,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15615,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15615,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15615,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15615,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15615,S000000,00100,0200,09/29/2000 15615,S200000,00100,0100,6590 TRYON ROAD 15615,S200000,00200,0100,CARY 15615,S200000,00200,0200,NC 15615,S200000,00200,0300,27511- 15615,S200000,00300,0100,WAKE 15615,S200000,00300,0200,6640 15615,S200000,00300,0300,U 15615,S200000,00400,0100,CARY HEALTH & REHAB 15615,S200000,00400,0200,345403 15615,S200000,00400,0300,09/24/1991 15615,S200000,00400,0500,P 15615,S200000,01600,0100,Y 15615,S200000,02200,0100,Y 15615,S200000,02800,0100,Y 15615,S200000,02900,0100,Y 15624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15624,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15624,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15624,A000000,00300,0000,00300EMPLOYEE BENEFITS 15624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15624,A000000,00700,0000,00700HOUSEKEEPING 15624,A000000,00800,0000,00800DIETARY 15624,A000000,00801,0000,00801CAFETERIA 15624,A000000,00900,0000,00900NURSING ADMINISTRATION 15624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15624,A000000,01100,0000,01100PHARMACY 15624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15624,A000000,01300,0000,01300SOCIAL SERVICE 15624,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15624,A000000,01600,0000,01600SKILLED NURSING FACILITY 15624,A000000,01800,0000,01800NURSING FACILITY 15624,A000000,01900,0000,01900OTHER LONG TERM CARE 15624,A000000,02100,0000,02100RADIOLOGY 15624,A000000,02200,0000,02200LABORATORY 15624,A000000,02300,0000,02300INTRAVENOUS THERAPY 15624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15624,A000000,02500,0000,02500PHYSICAL THERAPY 15624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15624,A000000,02700,0000,02700SPEECH PATHOLOGY 15624,A000000,02800,0000,02800ELECTROCARDIOLOGY 15624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15624,A000000,03050,0000,03300OTHER ANCILLARY 15624,A000000,03051,0000,03301OTHER ANCILLARY II 15624,A000000,03052,0000,03302OTHER ANCILLARY III 15624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15624,A000000,03200,0000,03200SUPPORT SURFACES 15624,A000000,03400,0000,03400CLINIC 15624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15624,A000000,03500,0000,03500RURAL HEALTH CLINIC 15624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15624,A000000,04400,0000,04400DME RENTED - HHA 15624,A000000,04500,0000,04500DME SOLD - HHA 15624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15624,A000000,04800,0000,04800AMBULANCE 15624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15624,A000000,05000,0000,05000CORF 15624,A000000,05010,0000,05010CMHC I 15624,A000000,05020,0000,05020OPT I 15624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15624,A000000,05300,0000,05300INTEREST EXPENSE 15624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15624,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15624,A000000,05500,0000,05500HOSPICE 15624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15624,A000000,06100,0000,06100NONPAID WORKERS 15624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15624,A000000,06200,0000,06200PATIENTS LAUNDRY 15624,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15624,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15624,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15624,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15624,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15624,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15624,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15624,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15624,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15624,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15624,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15624,S000000,00100,0200,09/21/2000 15624,S200000,00100,0100,ROUTE 1 BOX 224 15624,S200000,00200,0100,GATESVILLE 15624,S200000,00200,0200,NC 15624,S200000,00200,0300,27938- 15624,S200000,00300,0100,GATES 15624,S200000,00300,0200,0034 15624,S200000,00300,0300,R 15624,S200000,00400,0100,DOWN EAST HEALTH & REHAB CENTER 15624,S200000,00400,0200,345406 15624,S200000,00400,0300,12/01/1993 15624,S200000,00400,0500,P 15624,S200000,01600,0100,Y 15624,S200000,02200,0100,Y 15634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15634,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15634,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15634,A000000,00300,0000,00300EMPLOYEE BENEFITS 15634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15634,A000000,00700,0000,00700HOUSEKEEPING 15634,A000000,00800,0000,00800DIETARY 15634,A000000,00801,0000,00801CAFETERIA 15634,A000000,00900,0000,00900NURSING ADMINISTRATION 15634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15634,A000000,01100,0000,01100PHARMACY 15634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15634,A000000,01300,0000,01300SOCIAL SERVICE 15634,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15634,A000000,01600,0000,01600SKILLED NURSING FACILITY 15634,A000000,01800,0000,01800NURSING FACILITY 15634,A000000,01900,0000,01900OTHER LONG TERM CARE 15634,A000000,02100,0000,02100RADIOLOGY 15634,A000000,02200,0000,02200LABORATORY 15634,A000000,02300,0000,02300INTRAVENOUS THERAPY 15634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15634,A000000,02500,0000,02500PHYSICAL THERAPY 15634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15634,A000000,02700,0000,02700SPEECH PATHOLOGY 15634,A000000,02800,0000,02800ELECTROCARDIOLOGY 15634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15634,A000000,03050,0000,03300OTHER ANCILLARY 15634,A000000,03051,0000,03301OTHER ANCILLARY II 15634,A000000,03052,0000,03302OTHER ANCILLARY III 15634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15634,A000000,03200,0000,03200SUPPORT SURFACES 15634,A000000,03400,0000,03400CLINIC 15634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15634,A000000,03500,0000,03500RURAL HEALTH CLINIC 15634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15634,A000000,04400,0000,04400DME RENTED - HHA 15634,A000000,04500,0000,04500DME SOLD - HHA 15634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15634,A000000,04800,0000,04800AMBULANCE 15634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15634,A000000,05000,0000,05000CORF 15634,A000000,05010,0000,05010CMHC I 15634,A000000,05020,0000,05020OPT I 15634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15634,A000000,05300,0000,05300INTEREST EXPENSE 15634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15634,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15634,A000000,05500,0000,05500HOSPICE 15634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15634,A000000,06100,0000,06100NONPAID WORKERS 15634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15634,A000000,06200,0000,06200PATIENTS LAUNDRY 15634,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15634,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15634,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15634,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15634,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15634,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15634,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15634,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15634,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15634,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15634,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15634,S000000,00100,0200,09/21/2000 15634,S200000,00100,0100,551 KENTS STREET 15634,S200000,00200,0100,ANDREWS 15634,S200000,00200,0200,NC 15634,S200000,00200,0300,28901- 15634,S200000,00300,0100,CHEROKEE 15634,S200000,00300,0200,34 15634,S200000,00300,0300,R 15634,S200000,00400,0100,VALLEY VIEW CARE & REHAB 15634,S200000,00400,0200,345426 15634,S200000,00400,0300,01/01/1997 15634,S200000,00400,0500,P 15634,S200000,01600,0100,Y 15634,S200000,02200,0100,Y 15634,S200000,02800,0100,Y 15643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15643,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15643,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15643,A000000,00300,0000,00300EMPLOYEE BENEFITS 15643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15643,A000000,00700,0000,00700HOUSEKEEPING 15643,A000000,00800,0000,00800DIETARY 15643,A000000,00801,0000,00801CAFETERIA 15643,A000000,00900,0000,00900NURSING ADMINISTRATION 15643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15643,A000000,01100,0000,01100PHARMACY 15643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15643,A000000,01300,0000,01300SOCIAL SERVICE 15643,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15643,A000000,01600,0000,01600SKILLED NURSING FACILITY 15643,A000000,01800,0000,01800NURSING FACILITY 15643,A000000,01900,0000,01900OTHER LONG TERM CARE 15643,A000000,02100,0000,02100RADIOLOGY 15643,A000000,02200,0000,02200LABORATORY 15643,A000000,02300,0000,02300INTRAVENOUS THERAPY 15643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15643,A000000,02500,0000,02500PHYSICAL THERAPY 15643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15643,A000000,02700,0000,02700SPEECH PATHOLOGY 15643,A000000,02800,0000,02800ELECTROCARDIOLOGY 15643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15643,A000000,03050,0000,03300OTHER ANCILLARY 15643,A000000,03051,0000,03301OTHER ANCILLARY II 15643,A000000,03052,0000,03302OTHER ANCILLARY III 15643,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15643,A000000,03200,0000,03200SUPPORT SURFACES 15643,A000000,03400,0000,03400CLINIC 15643,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15643,A000000,03500,0000,03500RURAL HEALTH CLINIC 15643,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15643,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15643,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15643,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15643,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15643,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15643,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15643,A000000,04400,0000,04400DME RENTED - HHA 15643,A000000,04500,0000,04500DME SOLD - HHA 15643,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15643,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15643,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15643,A000000,04800,0000,04800AMBULANCE 15643,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15643,A000000,05000,0000,05000CORF 15643,A000000,05010,0000,05010CMHC I 15643,A000000,05020,0000,05020OPT I 15643,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15643,A000000,05300,0000,05300INTEREST EXPENSE 15643,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15643,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15643,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15643,A000000,05500,0000,05500HOSPICE 15643,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15643,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15643,A000000,06100,0000,06100NONPAID WORKERS 15643,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15643,A000000,06200,0000,06200PATIENTS LAUNDRY 15643,A81000A,00100,0100,Y 15643,A81000B,00100,0300,MANAGEMENT FEES 15643,A81000B,00200,0300,PAYROLL PROCESSING 15643,A81000B,00300,0300,DIETARY 15643,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 15643,A81000B,00500,0300,CENTRAL SERVICE SUP 15643,A81000B,00600,0300,THERAPY 15643,A81000B,00700,0300,THERAPY 15643,A81000B,00800,0300,THERAPY 15643,A81000B,00900,0300,MED SUPPLIES 15643,A81000C,00100,0100,G 15643,A81000C,00100,0200,CENTENNIAL MGMT 15643,A81000C,00100,0400,CENT HC CORP 15643,A81000C,00100,0600,HOME OFFICE 15643,A81000C,00200,0100,G 15643,A81000C,00200,0200,CENTENNIAL MGMT 15643,A81000C,00200,0400,CENT HC CORP 15643,A81000C,00200,0600,HOME OFFICE 15643,A81000C,00300,0100,G 15643,A81000C,00300,0200,CENTENNIAL PTS 15643,A81000C,00300,0400,CENT HC CORP 15643,A81000C,00300,0600,GPO 15643,A81000C,00400,0100,G 15643,A81000C,00400,0200,CENTENNIAL PTS 15643,A81000C,00400,0400,CENT HC CORP 15643,A81000C,00400,0600,GPO 15643,A81000C,00500,0100,G 15643,A81000C,00500,0200,CENTENNIAL PTS 15643,A81000C,00500,0400,CENT HC CORP 15643,A81000C,00500,0600,GPO 15643,A81000C,00600,0100,G 15643,A81000C,00600,0200,PARAGON REHAB 15643,A81000C,00600,0400,CENT HC CORP 15643,A81000C,00600,0600,THERAPY 15643,A81000C,00700,0100,G 15643,A81000C,00700,0200,PARAGON REHAB 15643,A81000C,00700,0400,CENT HC CORP 15643,A81000C,00700,0600,THERAPY 15643,A81000C,00800,0100,G 15643,A81000C,00800,0200,PARAGON REHAB 15643,A81000C,00800,0400,CENT HC CORP 15643,A81000C,00800,0600,THERAPY 15643,A81000C,00900,0100,G 15643,A81000C,00900,0200,CENTENNIAL PTS 15643,A81000C,00900,0400,CENT HC CORP 15643,A81000C,00900,0600,GPO 15643,A81000C,03100,0000,SUPPLIES 15643,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15643,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15643,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15643,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15643,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15643,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15643,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15643,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15643,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15643,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15643,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15643,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15643,S000000,00100,0200,09/21/2000 15643,S200000,00100,0100,801 PINEHURST AVE 15643,S200000,00200,0100,CARTHAGE 15643,S200000,00200,0200,NC 15643,S200000,00200,0300,28327- 15643,S200000,00300,0100,MOORE 15643,S200000,00300,0200,0034 15643,S200000,00300,0300,R 15643,S200000,00400,0100,PINELAKE HEALTH & REHAB 15643,S200000,00400,0200,345429 15643,S200000,00400,0300,12/07/1992 15643,S200000,00400,0500,P 15643,S200000,01600,0100,Y 15643,S200000,02200,0100,Y 15652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15652,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15652,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15652,A000000,00300,0000,00300EMPLOYEE BENEFITS 15652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15652,A000000,00700,0000,00700HOUSEKEEPING 15652,A000000,00800,0000,00800DIETARY 15652,A000000,00801,0000,00801CAFETERIA 15652,A000000,00900,0000,00900NURSING ADMINISTRATION 15652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15652,A000000,01100,0000,01100PHARMACY 15652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15652,A000000,01300,0000,01300SOCIAL SERVICE 15652,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15652,A000000,01600,0000,01600SKILLED NURSING FACILITY 15652,A000000,01800,0000,01800NURSING FACILITY 15652,A000000,01900,0000,01900OTHER LONG TERM CARE 15652,A000000,02100,0000,02100RADIOLOGY 15652,A000000,02200,0000,02200LABORATORY 15652,A000000,02300,0000,02300INTRAVENOUS THERAPY 15652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15652,A000000,02500,0000,02500PHYSICAL THERAPY 15652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15652,A000000,02700,0000,02700SPEECH PATHOLOGY 15652,A000000,02800,0000,02800ELECTROCARDIOLOGY 15652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15652,A000000,03050,0000,03300OTHER ANCILLARY 15652,A000000,03051,0000,03301OTHER ANCILLARY II 15652,A000000,03052,0000,03302OTHER ANCILLARY III 15652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15652,A000000,03200,0000,03200SUPPORT SURFACES 15652,A000000,03400,0000,03400CLINIC 15652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15652,A000000,03500,0000,03500RURAL HEALTH CLINIC 15652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15652,A000000,04400,0000,04400DME RENTED - HHA 15652,A000000,04500,0000,04500DME SOLD - HHA 15652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15652,A000000,04800,0000,04800AMBULANCE 15652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15652,A000000,05000,0000,05000CORF 15652,A000000,05010,0000,05010CMHC I 15652,A000000,05020,0000,05020OPT I 15652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15652,A000000,05300,0000,05300INTEREST EXPENSE 15652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15652,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15652,A000000,05500,0000,05500HOSPICE 15652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15652,A000000,06100,0000,06100NONPAID WORKERS 15652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15652,A000000,06200,0000,06200PATIENTS LAUNDRY 15652,A81000A,00100,0100,Y 15652,A81000B,00100,0300,MANAGEMENT FEE 15652,A81000B,00200,0300,PAYROLL PROCESSING 15652,A81000B,00300,0300,PHYSICAL THERAPY 15652,A81000B,00400,0300,OCCUPATIONAL THERAPY 15652,A81000B,00500,0300,SPEECH THERAPY 15652,A81000B,00600,0300,MEDICAL SUPPLIES 15652,A81000B,00700,0300,DIETARY SUPPLIES 15652,A81000B,00800,0300,MEDICAL SUPPLIES 15652,A81000C,00100,0100,G 15652,A81000C,00100,0200,CENTENNIAL HC 15652,A81000C,00100,0600,HOME OFFICE 15652,A81000C,00200,0100,G 15652,A81000C,00200,0200,CENTENNIAL HC 15652,A81000C,00200,0600,P/R PROCESSING 15652,A81000C,00300,0100,G 15652,A81000C,00300,0200,PARAGON REHAB 15652,A81000C,00300,0400,CENTENNIAL HC 15652,A81000C,00300,0600,THERAPY 15652,A81000C,00400,0100,G 15652,A81000C,00400,0200,PARAGON REHAB 15652,A81000C,00400,0400,CENTENNIAL HC 15652,A81000C,00400,0600,THERAPY 15652,A81000C,00500,0100,G 15652,A81000C,00500,0200,PARAGON REHAB 15652,A81000C,00500,0400,CENTENNIAL HC 15652,A81000C,00500,0600,THERAPY 15652,A81000C,00600,0100,G 15652,A81000C,00600,0200,CENTENNIAL PTS 15652,A81000C,00600,0400,CENTENNIAL HC 15652,A81000C,00600,0600,GPO 15652,A81000C,00700,0100,G 15652,A81000C,00700,0200,CENTENNIAL PTS 15652,A81000C,00700,0400,CENTENNIAL HC 15652,A81000C,00700,0600,GPO 15652,A81000C,00800,0100,G 15652,A81000C,00800,0200,CENTENNIAL PTS 15652,A81000C,00800,0400,CENTENNIAL HC 15652,A81000C,00800,0600,GPO 15652,A81000C,03100,0000,SUPPLIES 15652,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15652,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15652,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15652,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15652,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15652,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15652,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15652,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15652,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15652,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15652,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15652,S000000,00100,0200,09/21/2000 15652,S200000,00100,0100,STATE HWY 1140 15652,S200000,00100,0300,526 15652,S200000,00200,0100,HAYESVILLE 15652,S200000,00200,0200,NC 15652,S200000,00200,0300,28904- 15652,S200000,00300,0100,CLAY 15652,S200000,00300,0200,0034 15652,S200000,00300,0300,R 15652,S200000,00400,0100,CLAY COUNTY CARE CENTER 15652,S200000,00400,0200,345433 15652,S200000,00400,0300,03/30/1993 15652,S200000,00400,0500,P 15652,S200000,01600,0100,Y 15652,S200000,02200,0100,Y 15662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15662,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15662,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15662,A000000,00300,0000,00300EMPLOYEE BENEFITS 15662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15662,A000000,00700,0000,00700HOUSEKEEPING 15662,A000000,00800,0000,00800DIETARY 15662,A000000,00801,0000,00801CAFETERIA 15662,A000000,00900,0000,00900NURSING ADMINISTRATION 15662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15662,A000000,01100,0000,01100PHARMACY 15662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15662,A000000,01300,0000,01300SOCIAL SERVICE 15662,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15662,A000000,01600,0000,01600SKILLED NURSING FACILITY 15662,A000000,01800,0000,01800NURSING FACILITY 15662,A000000,01900,0000,01900OTHER LONG TERM CARE 15662,A000000,02100,0000,02100RADIOLOGY 15662,A000000,02200,0000,02200LABORATORY 15662,A000000,02300,0000,02300INTRAVENOUS THERAPY 15662,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15662,A000000,02500,0000,02500PHYSICAL THERAPY 15662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15662,A000000,02700,0000,02700SPEECH PATHOLOGY 15662,A000000,02800,0000,02800ELECTROCARDIOLOGY 15662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15662,A000000,03050,0000,03300OTHER ANCILLARY 15662,A000000,03051,0000,03301OTHER ANCILLARY II 15662,A000000,03052,0000,03302OTHER ANCILLARY III 15662,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15662,A000000,03200,0000,03200SUPPORT SURFACES 15662,A000000,03400,0000,03400CLINIC 15662,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15662,A000000,03500,0000,03500RURAL HEALTH CLINIC 15662,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15662,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15662,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15662,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15662,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15662,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15662,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15662,A000000,04400,0000,04400DME RENTED - HHA 15662,A000000,04500,0000,04500DME SOLD - HHA 15662,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15662,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15662,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15662,A000000,04800,0000,04800AMBULANCE 15662,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15662,A000000,05000,0000,05000CORF 15662,A000000,05010,0000,05010CMHC I 15662,A000000,05020,0000,05020OPT I 15662,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15662,A000000,05300,0000,05300INTEREST EXPENSE 15662,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15662,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15662,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15662,A000000,05500,0000,05500HOSPICE 15662,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15662,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15662,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15662,A000000,06100,0000,06100NONPAID WORKERS 15662,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15662,A000000,06200,0000,06200PATIENTS LAUNDRY 15662,A81000A,00100,0100,Y 15662,A81000B,00100,0300,MANAGEMENT FEE 15662,A81000B,00200,0300,PAYROLL PROCESSING FEE 15662,A81000B,00400,0300,DIETARY 15662,A81000B,00500,0300,CENTRAL SUPPLY 15662,A81000B,00600,0300,PT 15662,A81000B,00700,0300,OT 15662,A81000B,00800,0300,NURSING EQUIPMENT 15662,A81000B,00900,0300,ST 15662,A81000C,00100,0100,G 15662,A81000C,00100,0200,CENTENNIAL HC 15662,A81000C,00100,0400,CENTENNIAL HC 15662,A81000C,00100,0600,HOME OFFC 15662,A81000C,00200,0100,G 15662,A81000C,00200,0200,CENTENNIAL HC 15662,A81000C,00200,0400,CENTENNIAL HC 15662,A81000C,00200,0600,HOME OFFC 15662,A81000C,00400,0100,G 15662,A81000C,00400,0200,CENTENNIAL PTS 15662,A81000C,00400,0400,CENTENNIAL HC 15662,A81000C,00400,0600,GPO 15662,A81000C,00500,0100,G 15662,A81000C,00500,0200,CENTENNIAL PTS 15662,A81000C,00500,0400,CENTENNIAL HC 15662,A81000C,00500,0600,GPO 15662,A81000C,00600,0100,G 15662,A81000C,00600,0200,CENTENNIAL PTS 15662,A81000C,00600,0400,CENTENNIAL HC 15662,A81000C,00600,0600,GPO 15662,A81000C,00700,0100,G 15662,A81000C,00700,0200,PARAGON REHAB 15662,A81000C,00700,0400,PARAGON REHAB 15662,A81000C,00700,0600,THERAPY 15662,A81000C,00800,0100,G 15662,A81000C,00800,0200,PARAGON REHAB 15662,A81000C,00800,0400,PARAGON REHAB 15662,A81000C,00800,0600,THERAPY 15662,A81000C,00900,0100,G 15662,A81000C,00900,0200,CENTENNIAL PTS 15662,A81000C,00900,0400,CENTENNIAL HC 15662,A81000C,00900,0600,GPO 15662,A81000C,01000,0100,G 15662,A81000C,01000,0200,PARAGON REHAB 15662,A81000C,01000,0400,PARAGON REHAB 15662,A81000C,01000,0600,THERAPY 15662,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15662,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15662,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15662,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15662,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15662,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15662,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15662,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15662,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15662,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15662,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15662,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15662,S000000,00100,0200,09/21/2000 15662,S200000,00100,0100,1000 TANDAL PLACE 15662,S200000,00200,0100,KNIGHTDALE 15662,S200000,00200,0200,NC 15662,S200000,00200,0300,27545- 15662,S200000,00300,0100,WAKE 15662,S200000,00300,0200,6640 15662,S200000,00300,0300,U 15662,S200000,00400,0100,WELLINGTON NRSING CENTER KNIGHTDALE 15662,S200000,00400,0200,345436 15662,S200000,00400,0300,08/21/1991 15662,S200000,00400,0500,P 15662,S200000,01600,0100,Y 15662,S200000,02200,0100,Y 15673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15673,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15673,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15673,A000000,00300,0000,00300EMPLOYEE BENEFITS 15673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15673,A000000,00700,0000,00700HOUSEKEEPING 15673,A000000,00800,0000,00800DIETARY 15673,A000000,00801,0000,00801CAFETERIA 15673,A000000,00900,0000,00900NURSING ADMINISTRATION 15673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15673,A000000,01100,0000,01100PHARMACY 15673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15673,A000000,01300,0000,01300SOCIAL SERVICE 15673,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15673,A000000,01600,0000,01600SKILLED NURSING FACILITY 15673,A000000,01800,0000,01800NURSING FACILITY 15673,A000000,01900,0000,01900OTHER LONG TERM CARE 15673,A000000,02100,0000,02100RADIOLOGY 15673,A000000,02200,0000,02200LABORATORY 15673,A000000,02300,0000,02300INTRAVENOUS THERAPY 15673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15673,A000000,02500,0000,02500PHYSICAL THERAPY 15673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15673,A000000,02700,0000,02700SPEECH PATHOLOGY 15673,A000000,02800,0000,02800ELECTROCARDIOLOGY 15673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15673,A000000,03050,0000,03300OTHER ANCILLARY 15673,A000000,03051,0000,03301OTHER ANCILLARY II 15673,A000000,03052,0000,03302OTHER ANCILLARY III 15673,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15673,A000000,03200,0000,03200SUPPORT SURFACES 15673,A000000,03400,0000,03400CLINIC 15673,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15673,A000000,03500,0000,03500RURAL HEALTH CLINIC 15673,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15673,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15673,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15673,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15673,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15673,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15673,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15673,A000000,04400,0000,04400DME RENTED - HHA 15673,A000000,04500,0000,04500DME SOLD - HHA 15673,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15673,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15673,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15673,A000000,04800,0000,04800AMBULANCE 15673,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15673,A000000,05000,0000,05000CORF 15673,A000000,05010,0000,05010CMHC I 15673,A000000,05020,0000,05020OPT I 15673,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15673,A000000,05300,0000,05300INTEREST EXPENSE 15673,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15673,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15673,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15673,A000000,05500,0000,05500HOSPICE 15673,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15673,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15673,A000000,06100,0000,06100NONPAID WORKERS 15673,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15673,A000000,06200,0000,06200PATIENTS LAUNDRY 15673,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15673,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15673,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15673,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15673,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15673,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15673,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15673,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15673,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15673,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15673,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15673,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15673,S000000,00100,0200,09/21/2000 15673,S200000,00100,0100,620 HEATHWOOD DRIVE 15673,S200000,00200,0100,ALBERMARLE 15673,S200000,00200,0200,NC 15673,S200000,00200,0300,28001- 15673,S200000,00300,0100,STANLY 15673,S200000,00300,0200,1520 15673,S200000,00300,0300,U 15673,S200000,00400,0100,FORREST OAKES HEALTHCARE 15673,S200000,00400,0200,345442 15673,S200000,00400,0300,08/18/1993 15673,S200000,00400,0500,P 15673,S200000,01600,0100,Y 15673,S200000,02200,0100,Y 15682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15682,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15682,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15682,A000000,00300,0000,00300EMPLOYEE BENEFITS 15682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15682,A000000,00700,0000,00700HOUSEKEEPING 15682,A000000,00800,0000,00800DIETARY 15682,A000000,00801,0000,00801CAFETERIA 15682,A000000,00900,0000,00900NURSING ADMINISTRATION 15682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15682,A000000,01100,0000,01100PHARMACY 15682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15682,A000000,01300,0000,01300SOCIAL SERVICE 15682,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15682,A000000,01600,0000,01600SKILLED NURSING FACILITY 15682,A000000,01800,0000,01800NURSING FACILITY 15682,A000000,01900,0000,01900OTHER LONG TERM CARE 15682,A000000,02100,0000,02100RADIOLOGY 15682,A000000,02200,0000,02200LABORATORY 15682,A000000,02300,0000,02300INTRAVENOUS THERAPY 15682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15682,A000000,02500,0000,02500PHYSICAL THERAPY 15682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15682,A000000,02700,0000,02700SPEECH PATHOLOGY 15682,A000000,02800,0000,02800ELECTROCARDIOLOGY 15682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15682,A000000,03050,0000,03300OTHER ANCILLARY 15682,A000000,03051,0000,03301OTHER ANCILLARY II 15682,A000000,03052,0000,03302OTHER ANCILLARY III 15682,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15682,A000000,03200,0000,03200SUPPORT SURFACES 15682,A000000,03400,0000,03400CLINIC 15682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15682,A000000,03500,0000,03500RURAL HEALTH CLINIC 15682,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15682,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15682,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15682,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15682,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15682,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15682,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15682,A000000,04400,0000,04400DME RENTED - HHA 15682,A000000,04500,0000,04500DME SOLD - HHA 15682,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15682,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15682,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15682,A000000,04800,0000,04800AMBULANCE 15682,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15682,A000000,05000,0000,05000CORF 15682,A000000,05010,0000,05010CMHC I 15682,A000000,05020,0000,05020OPT I 15682,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15682,A000000,05300,0000,05300INTEREST EXPENSE 15682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15682,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15682,A000000,05500,0000,05500HOSPICE 15682,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15682,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15682,A000000,06100,0000,06100NONPAID WORKERS 15682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15682,A000000,06200,0000,06200PATIENTS LAUNDRY 15682,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15682,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15682,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15682,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15682,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15682,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15682,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15682,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15682,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15682,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15682,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15682,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15682,S000000,00100,0200,09/21/2000 15682,S200000,00100,0100,25 REYNOLDS MOUNTAIN BLVD 15682,S200000,00200,0100,ASHEVILLE 15682,S200000,00200,0200,NC 15682,S200000,00200,0300,28804- 15682,S200000,00300,0100,BUNCOMBE 15682,S200000,00300,0200,0480 15682,S200000,00300,0300,U 15682,S200000,00400,0100,EMERALD RIDGE REHAB 15682,S200000,00400,0200,345447 15682,S200000,00400,0300,07/01/1994 15682,S200000,00400,0500,P 15682,S200000,01600,0100,Y 15682,S200000,02200,0100,Y 15691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15691,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15691,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15691,A000000,00300,0000,00300EMPLOYEE BENEFITS 15691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15691,A000000,00700,0000,00700HOUSEKEEPING 15691,A000000,00800,0000,00800DIETARY 15691,A000000,00801,0000,00801CAFETERIA 15691,A000000,00900,0000,00900NURSING ADMINISTRATION 15691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15691,A000000,01100,0000,01100PHARMACY 15691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15691,A000000,01300,0000,01300SOCIAL SERVICE 15691,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15691,A000000,01600,0000,01600SKILLED NURSING FACILITY 15691,A000000,01800,0000,01800NURSING FACILITY 15691,A000000,01900,0000,01900OTHER LONG TERM CARE 15691,A000000,02100,0000,02100RADIOLOGY 15691,A000000,02200,0000,02200LABORATORY 15691,A000000,02300,0000,02300INTRAVENOUS THERAPY 15691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15691,A000000,02500,0000,02500PHYSICAL THERAPY 15691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15691,A000000,02700,0000,02700SPEECH PATHOLOGY 15691,A000000,02800,0000,02800ELECTROCARDIOLOGY 15691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15691,A000000,03050,0000,03300OTHER ANCILLARY 15691,A000000,03051,0000,03301OTHER ANCILLARY II 15691,A000000,03052,0000,03302OTHER ANCILLARY III 15691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15691,A000000,03200,0000,03200SUPPORT SURFACES 15691,A000000,03400,0000,03400CLINIC 15691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15691,A000000,03500,0000,03500RURAL HEALTH CLINIC 15691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15691,A000000,04400,0000,04400DME RENTED - HHA 15691,A000000,04500,0000,04500DME SOLD - HHA 15691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15691,A000000,04800,0000,04800AMBULANCE 15691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15691,A000000,05000,0000,05000CORF 15691,A000000,05010,0000,05010CMHC I 15691,A000000,05020,0000,05020OPT I 15691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15691,A000000,05300,0000,05300INTEREST EXPENSE 15691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15691,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15691,A000000,05500,0000,05500HOSPICE 15691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15691,A000000,06100,0000,06100NONPAID WORKERS 15691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15691,A000000,06200,0000,06200PATIENTS LAUNDRY 15691,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15691,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15691,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15691,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15691,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15691,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15691,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15691,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15691,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15691,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15691,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15691,S000000,00100,0200,09/27/2000 15691,S200000,00100,0100,115 WHITE ROAD 15691,S200000,00200,0100,KING 15691,S200000,00200,0200,NC 15691,S200000,00200,0300,27021- 15691,S200000,00300,0100,STOKES 15691,S200000,00300,0200,3120 15691,S200000,00300,0300,U 15691,S200000,00400,0100,SCENIC VIEW HEALTH & REHABILITATION 15691,S200000,00400,0200,345449 15691,S200000,00400,0300,07/01/1994 15691,S200000,00400,0500,P 15691,S200000,01600,0100,Y 15691,S200000,02200,0100,Y 15691,S200000,02800,0100,Y 15699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15699,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15699,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15699,A000000,00300,0000,00300EMPLOYEE BENEFITS 15699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15699,A000000,00700,0000,00700HOUSEKEEPING 15699,A000000,00800,0000,00800DIETARY 15699,A000000,00801,0000,00801CAFETERIA 15699,A000000,00900,0000,00900NURSING ADMINISTRATION 15699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15699,A000000,01100,0000,01100PHARMACY 15699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15699,A000000,01300,0000,01300SOCIAL SERVICE 15699,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15699,A000000,01600,0000,01600SKILLED NURSING FACILITY 15699,A000000,01800,0000,01800NURSING FACILITY 15699,A000000,01900,0000,01900OTHER LONG TERM CARE 15699,A000000,02100,0000,02100RADIOLOGY 15699,A000000,02200,0000,02200LABORATORY 15699,A000000,02300,0000,02300INTRAVENOUS THERAPY 15699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15699,A000000,02500,0000,02500PHYSICAL THERAPY 15699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15699,A000000,02700,0000,02700SPEECH PATHOLOGY 15699,A000000,02800,0000,02800ELECTROCARDIOLOGY 15699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15699,A000000,03050,0000,03300OTHER ANCILLARY 15699,A000000,03051,0000,03301OTHER ANCILLARY II 15699,A000000,03052,0000,03302OTHER ANCILLARY III 15699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15699,A000000,03200,0000,03200SUPPORT SURFACES 15699,A000000,03400,0000,03400CLINIC 15699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15699,A000000,03500,0000,03500RURAL HEALTH CLINIC 15699,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15699,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15699,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15699,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15699,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15699,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15699,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15699,A000000,04400,0000,04400DME RENTED - HHA 15699,A000000,04500,0000,04500DME SOLD - HHA 15699,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15699,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15699,A000000,04800,0000,04800AMBULANCE 15699,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15699,A000000,05000,0000,05000CORF 15699,A000000,05010,0000,05010CMHC I 15699,A000000,05020,0000,05020OPT I 15699,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15699,A000000,05300,0000,05300INTEREST EXPENSE 15699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15699,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15699,A000000,05500,0000,05500HOSPICE 15699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15699,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15699,A000000,06100,0000,06100NONPAID WORKERS 15699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15699,A000000,06200,0000,06200PATIENTS LAUNDRY 15699,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15699,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15699,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15699,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15699,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15699,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15699,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15699,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15699,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15699,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15699,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15699,S000000,00100,0200,06/01/2000 15699,S200000,00100,0100,625 ASHLAND DRIVE 15699,S200000,00200,0100,ARCHDALE 15699,S200000,00200,0200,NC 15699,S200000,00200,0300,27263- 15699,S200000,00300,0100,RANDOLPH 15699,S200000,00300,0200,3120 15699,S200000,00300,0300,U 15699,S200000,00400,0100,WESTWOOD HEALTH & REHAB 15699,S200000,00400,0200,345450 15699,S200000,00400,0300,12/13/1993 15699,S200000,00400,0500,P 15699,S200000,01600,0100,Y 15699,S200000,02200,0100,Y 15715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15715,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15715,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15715,A000000,00300,0000,00300EMPLOYEE BENEFITS 15715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15715,A000000,00700,0000,00700HOUSEKEEPING 15715,A000000,00800,0000,00800DIETARY 15715,A000000,00801,0000,00801CAFETERIA 15715,A000000,00900,0000,00900NURSING ADMINISTRATION 15715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15715,A000000,01100,0000,01100PHARMACY 15715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15715,A000000,01300,0000,01300SOCIAL SERVICE 15715,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15715,A000000,01600,0000,01600SKILLED NURSING FACILITY 15715,A000000,01800,0000,01800NURSING FACILITY 15715,A000000,01900,0000,01900OTHER LONG TERM CARE 15715,A000000,02100,0000,02100RADIOLOGY 15715,A000000,02200,0000,02200LABORATORY 15715,A000000,02300,0000,02300INTRAVENOUS THERAPY 15715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15715,A000000,02500,0000,02500PHYSICAL THERAPY 15715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15715,A000000,02700,0000,02700SPEECH PATHOLOGY 15715,A000000,02800,0000,02800ELECTROCARDIOLOGY 15715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15715,A000000,03050,0000,03300OTHER ANCILLARY 15715,A000000,03051,0000,03301OTHER ANCILLARY II 15715,A000000,03052,0000,03302OTHER ANCILLARY III 15715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15715,A000000,03200,0000,03200SUPPORT SURFACES 15715,A000000,03400,0000,03400CLINIC 15715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15715,A000000,03500,0000,03500RURAL HEALTH CLINIC 15715,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15715,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15715,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15715,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15715,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15715,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15715,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15715,A000000,04400,0000,04400DME RENTED - HHA 15715,A000000,04500,0000,04500DME SOLD - HHA 15715,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15715,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15715,A000000,04800,0000,04800AMBULANCE 15715,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15715,A000000,05000,0000,05000CORF 15715,A000000,05010,0000,05010CMHC I 15715,A000000,05020,0000,05020OPT I 15715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15715,A000000,05300,0000,05300INTEREST EXPENSE 15715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15715,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15715,A000000,05500,0000,05500HOSPICE 15715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15715,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15715,A000000,06100,0000,06100NONPAID WORKERS 15715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15715,A000000,06200,0000,06200PATIENTS LAUNDRY 15715,A81000A,00100,0100,Y 15715,A81000B,00100,0300,MGMT FEES & PAYROLL 15715,A81000B,00200,0300,DIETARY 15715,A81000B,00300,0300,SUPPLIES 15715,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 15715,A81000B,00500,0300,NURSING SUPPLIES 15715,A81000B,00600,0300,CHARGEABLE MEDICAL 15715,A81000B,00700,0300,THERAPY 15715,A81000B,00800,0300,THERAPY 15715,A81000B,00900,0300,THERAPY 15715,A81000C,00100,0100,G 15715,A81000C,00100,0200,CENTENNIAL MGMT 15715,A81000C,00100,0400,CENT HC CORP 15715,A81000C,00100,0600,HOME OFFICE 15715,A81000C,00200,0100,G 15715,A81000C,00200,0200,CENTENNIAL PTS 15715,A81000C,00200,0400,CENT HC CORP 15715,A81000C,00200,0600,GPO 15715,A81000C,00300,0100,G 15715,A81000C,00300,0200,CENTENNIAL PTS 15715,A81000C,00300,0400,CENT HC CORP 15715,A81000C,00300,0600,GPO 15715,A81000C,00400,0100,G 15715,A81000C,00400,0200,CENTENNIAL PTS 15715,A81000C,00400,0400,CENT HC CORP 15715,A81000C,00400,0600,GPO 15715,A81000C,00500,0100,G 15715,A81000C,00500,0200,CENTENNIAL PTS 15715,A81000C,00500,0400,CENT HC CORP 15715,A81000C,00500,0600,GPO 15715,A81000C,00600,0100,G 15715,A81000C,00600,0200,CENTENNIAL PTS 15715,A81000C,00600,0400,CENT HC CORP 15715,A81000C,00600,0600,GPO 15715,A81000C,00700,0100,G 15715,A81000C,00700,0200,PARAGON REHAB 15715,A81000C,00700,0400,CENT HC CORP 15715,A81000C,00700,0600,THERAPY 15715,A81000C,00800,0100,G 15715,A81000C,00800,0200,PARAGON REHAB 15715,A81000C,00800,0400,CENT HC CORP 15715,A81000C,00800,0600,THERAPY 15715,A81000C,00900,0100,G 15715,A81000C,00900,0200,PARAGON REHAB 15715,A81000C,00900,0400,CENT HC CORP 15715,A81000C,00900,0600,THERAPY 15715,A81000C,03100,0000,THERAPY 15715,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15715,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15715,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15715,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15715,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15715,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15715,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15715,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15715,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15715,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15715,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15715,S000000,00100,0200,09/21/2000 15715,S200000,00100,0100,518 OLD U. S. HWY 221 15715,S200000,00200,0100,RUTHERFORDTON 15715,S200000,00200,0200,NC 15715,S200000,00200,0300,28139- 15715,S200000,00300,0100,RUTHERFORD 15715,S200000,00300,0200,0034 15715,S200000,00300,0300,R 15715,S200000,00400,0100,OAK GROVE HEALTHCARE CTR 15715,S200000,00400,0200,345464 15715,S200000,00400,0300,09/08/1994 15715,S200000,00400,0500,P 15715,S200000,01600,0100,Y 15715,S200000,02200,0100,Y 15724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15724,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15724,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15724,A000000,00300,0000,00300EMPLOYEE BENEFITS 15724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15724,A000000,00700,0000,00700HOUSEKEEPING 15724,A000000,00800,0000,00800DIETARY 15724,A000000,00801,0000,00801CAFETERIA 15724,A000000,00900,0000,00900NURSING ADMINISTRATION 15724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15724,A000000,01100,0000,01100PHARMACY 15724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15724,A000000,01300,0000,01300SOCIAL SERVICE 15724,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15724,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15724,A000000,01600,0000,01600SKILLED NURSING FACILITY 15724,A000000,01800,0000,01800NURSING FACILITY 15724,A000000,01900,0000,01900OTHER LONG TERM CARE 15724,A000000,02100,0000,02100RADIOLOGY 15724,A000000,02200,0000,02200LABORATORY 15724,A000000,02300,0000,02300INTRAVENOUS THERAPY 15724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15724,A000000,02500,0000,02500PHYSICAL THERAPY 15724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15724,A000000,02700,0000,02700SPEECH PATHOLOGY 15724,A000000,02800,0000,02800ELECTROCARDIOLOGY 15724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15724,A000000,03050,0000,03300OTHER ANCILLARY 15724,A000000,03051,0000,03301OTHER ANCILLARY II 15724,A000000,03052,0000,03302OTHER ANCILLARY III 15724,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15724,A000000,03200,0000,03200SUPPORT SURFACES 15724,A000000,03400,0000,03400CLINIC 15724,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15724,A000000,03500,0000,03500RURAL HEALTH CLINIC 15724,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15724,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15724,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15724,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15724,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15724,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15724,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15724,A000000,04400,0000,04400DME RENTED - HHA 15724,A000000,04500,0000,04500DME SOLD - HHA 15724,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15724,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15724,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15724,A000000,04800,0000,04800AMBULANCE 15724,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15724,A000000,05000,0000,05000CORF 15724,A000000,05010,0000,05010CMHC I 15724,A000000,05020,0000,05020OPT I 15724,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15724,A000000,05300,0000,05300INTEREST EXPENSE 15724,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15724,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15724,A000000,05500,0000,05500HOSPICE 15724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15724,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15724,A000000,06100,0000,06100NONPAID WORKERS 15724,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15724,A000000,06200,0000,06200PATIENTS LAUNDRY 15724,A81000A,00100,0100,Y 15724,A81000B,00100,0300,MANAGEMENT FEES 15724,A81000B,00200,0300,PAYROLL PROCESSING 15724,A81000B,00300,0300,DIETARY 15724,A81000B,00400,0300,CENTRAL SERVICE SUPPLIES 15724,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 15724,A81000B,00600,0300,CHARGEABLE MED SUPP 15724,A81000B,00700,0300,THERAPY 15724,A81000B,00800,0300,THERAPY 15724,A81000B,00900,0300,THERAPY 15724,A81000C,00100,0100,G 15724,A81000C,00100,0200,CENTENNIAL MGMT 15724,A81000C,00100,0400,CENT HC CORP 15724,A81000C,00100,0600,HOME OFFICE 15724,A81000C,00200,0100,G 15724,A81000C,00200,0200,CENTENNIAL MGMT 15724,A81000C,00200,0400,CENT HC CORP 15724,A81000C,00200,0600,HOME OFFICE 15724,A81000C,00300,0100,G 15724,A81000C,00300,0200,CENTENNIAL PTS 15724,A81000C,00300,0400,CENT HC CORP 15724,A81000C,00300,0600,GPO 15724,A81000C,00400,0100,G 15724,A81000C,00400,0200,CENTENNIAL PTS 15724,A81000C,00400,0400,CENT HC CORP 15724,A81000C,00400,0600,GPO 15724,A81000C,00500,0100,G 15724,A81000C,00500,0200,CENTENNIAL PTS 15724,A81000C,00500,0400,CENT HC CORP 15724,A81000C,00500,0600,GPO 15724,A81000C,00600,0100,G 15724,A81000C,00600,0200,CENTENNIAL PTS 15724,A81000C,00600,0400,CENT HC CORP 15724,A81000C,00600,0600,GPO 15724,A81000C,00700,0100,G 15724,A81000C,00700,0200,PARAGON REHAB 15724,A81000C,00700,0400,CENT HC CORP 15724,A81000C,00700,0600,GPO 15724,A81000C,00800,0100,G 15724,A81000C,00800,0200,PARAGON REHAB 15724,A81000C,00800,0400,CENT HC CORP 15724,A81000C,00800,0600,GPO 15724,A81000C,00900,0100,G 15724,A81000C,00900,0200,PARAGON REHAB 15724,A81000C,00900,0400,CENT HC CORP 15724,A81000C,00900,0600,GPO 15724,A81000C,03100,0000,THERAPY 15724,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15724,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15724,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15724,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15724,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15724,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15724,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15724,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15724,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15724,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15724,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15724,S000000,00100,0200,09/21/2000 15724,S200000,00100,0100,333 EAST LEE AVE 15724,S200000,00200,0100,YADKINVILLE 15724,S200000,00200,0200,NC 15724,S200000,00200,0300,27055- 15724,S200000,00300,0100,YADKIN 15724,S200000,00300,0200,3120 15724,S200000,00300,0300,U 15724,S200000,00400,0100,WILLOWBROOK HEALTHCARE CENTER 15724,S200000,00400,0200,345466 15724,S200000,00400,0300,10/31/1994 15724,S200000,00400,0500,P 15724,S200000,01600,0100,Y 15724,S200000,02200,0100,Y 15742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15742,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15742,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15742,A000000,00300,0000,00300EMPLOYEE BENEFITS 15742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15742,A000000,00700,0000,00700HOUSEKEEPING 15742,A000000,00800,0000,00800DIETARY 15742,A000000,00801,0000,00801CAFETERIA 15742,A000000,00900,0000,00900NURSING ADMINISTRATION 15742,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15742,A000000,01100,0000,01100PHARMACY 15742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15742,A000000,01300,0000,01300SOCIAL SERVICE 15742,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15742,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15742,A000000,01600,0000,01600SKILLED NURSING FACILITY 15742,A000000,01800,0000,01800NURSING FACILITY 15742,A000000,01900,0000,01900OTHER LONG TERM CARE 15742,A000000,02100,0000,02100RADIOLOGY 15742,A000000,02200,0000,02200LABORATORY 15742,A000000,02300,0000,02300INTRAVENOUS THERAPY 15742,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15742,A000000,02500,0000,02500PHYSICAL THERAPY 15742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15742,A000000,02700,0000,02700SPEECH PATHOLOGY 15742,A000000,02800,0000,02800ELECTROCARDIOLOGY 15742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15742,A000000,03050,0000,03300OTHER ANCILLARY 15742,A000000,03051,0000,03301OTHER ANCILLARY II 15742,A000000,03052,0000,03302OTHER ANCILLARY III 15742,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15742,A000000,03200,0000,03200SUPPORT SURFACES 15742,A000000,03400,0000,03400CLINIC 15742,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15742,A000000,03500,0000,03500RURAL HEALTH CLINIC 15742,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15742,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15742,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15742,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15742,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15742,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15742,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15742,A000000,04400,0000,04400DME RENTED - HHA 15742,A000000,04500,0000,04500DME SOLD - HHA 15742,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15742,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15742,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15742,A000000,04800,0000,04800AMBULANCE 15742,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15742,A000000,05000,0000,05000CORF 15742,A000000,05010,0000,05010CMHC I 15742,A000000,05020,0000,05020OPT I 15742,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15742,A000000,05300,0000,05300INTEREST EXPENSE 15742,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15742,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15742,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15742,A000000,05500,0000,05500HOSPICE 15742,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15742,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15742,A000000,06100,0000,06100NONPAID WORKERS 15742,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15742,A000000,06200,0000,06200PATIENTS LAUNDRY 15742,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15742,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15742,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15742,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15742,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15742,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15742,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15742,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15742,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15742,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15742,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15742,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15742,S000000,00100,0200,09/21/2000 15742,S200000,00100,0100,3864 SWEETEN CREEK ROAD 15742,S200000,00200,0100,ARDEN 15742,S200000,00200,0200,NC 15742,S200000,00200,0300,28704- 15742,S200000,00300,0100,BUNCOMBE 15742,S200000,00300,0200,0480 15742,S200000,00300,0300,U 15742,S200000,00400,0100,THE OAKS @ SWEETEN CREEK 15742,S200000,00400,0200,345477 15742,S200000,00400,0300,07/02/1996 15742,S200000,00400,0500,P 15742,S200000,01600,0100,Y 15742,S200000,02200,0100,Y 15752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15752,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15752,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15752,A000000,00300,0000,00300EMPLOYEE BENEFITS 15752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15752,A000000,00700,0000,00700HOUSEKEEPING 15752,A000000,00800,0000,00800DIETARY 15752,A000000,00801,0000,00801CAFETERIA 15752,A000000,00900,0000,00900NURSING ADMINISTRATION 15752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15752,A000000,01100,0000,01100PHARMACY 15752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15752,A000000,01300,0000,01300SOCIAL SERVICE 15752,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15752,A000000,01600,0000,01600SKILLED NURSING FACILITY 15752,A000000,01800,0000,01800NURSING FACILITY 15752,A000000,01900,0000,01900OTHER LONG TERM CARE 15752,A000000,02100,0000,02100RADIOLOGY 15752,A000000,02200,0000,02200LABORATORY 15752,A000000,02300,0000,02300INTRAVENOUS THERAPY 15752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15752,A000000,02500,0000,02500PHYSICAL THERAPY 15752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15752,A000000,02700,0000,02700SPEECH PATHOLOGY 15752,A000000,02800,0000,02800ELECTROCARDIOLOGY 15752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15752,A000000,03050,0000,03300OTHER ANCILLARY 15752,A000000,03051,0000,03301OTHER ANCILLARY II 15752,A000000,03052,0000,03302OTHER ANCILLARY III 15752,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15752,A000000,03200,0000,03200SUPPORT SURFACES 15752,A000000,03400,0000,03400CLINIC 15752,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15752,A000000,03500,0000,03500RURAL HEALTH CLINIC 15752,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15752,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15752,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15752,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15752,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15752,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15752,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15752,A000000,04400,0000,04400DME RENTED - HHA 15752,A000000,04500,0000,04500DME SOLD - HHA 15752,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15752,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15752,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15752,A000000,04800,0000,04800AMBULANCE 15752,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15752,A000000,05000,0000,05000CORF 15752,A000000,05010,0000,05010CMHC I 15752,A000000,05020,0000,05020OPT I 15752,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15752,A000000,05300,0000,05300INTEREST EXPENSE 15752,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15752,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15752,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15752,A000000,05500,0000,05500HOSPICE 15752,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15752,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15752,A000000,06100,0000,06100NONPAID WORKERS 15752,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15752,A000000,06200,0000,06200PATIENTS LAUNDRY 15752,A81000A,00100,0100,Y 15752,A81000B,00100,0300,ADMIN H.O. COSTS 15752,A81000B,00200,0300,ADMIN H.O. COSTS 15752,A81000B,00300,0300,ADMIN H.O. COSTS 15752,A81000B,00400,0300,ADMIN H.O. COSTS 15752,A81000B,00500,0300,FACILITY BENEFITS 15752,A81000B,00600,0300,FACILITY BENEFITS 15752,A81000B,00700,0300,LIABILITY INSURANCE 15752,A81000B,00800,0300,MORTGAGE INTEREST 15752,A81000B,00900,0300,WORKING CAPITAL INTEREST 15752,A81000C,00100,0100,B 15752,A81000C,00100,0200,MT CARMEL HLTH 15752,A81000C,00100,0400,HOLY CROSS CARE 15752,A81000C,00100,0600,HOME OFFICE 15752,A81000C,00200,0100,A 15752,A81000C,00200,0200,HOLY CROSS RESO 15752,A81000C,00200,0400,HOLY CROSS CARE 15752,A81000C,00200,0600,INSURANCE 15752,A81000C,00300,0100,G 15752,A81000C,00300,0200,HAVICAN 15752,A81000C,00300,0400,HOLY CROSS CARE 15752,A81000C,00300,0600,INSURANCE 15752,A81000C,00400,0100,A 15752,A81000C,00400,0200,HOLY CROSS HEAL 15752,A81000C,00400,0400,HOLY CROSS CARE 15752,A81000C,00400,0600,HOLDING CO 15752,A81000C,03100,0000,INSURANCE 15752,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15752,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15752,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15752,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15752,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15752,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15752,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15752,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15752,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 15752,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15752,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15752,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 15752,S000000,00100,0200,11/30/2000 15752,S200000,00100,0100,5700 KARL ROAD 15752,S200000,00200,0100,COLUMBUS 15752,S200000,00200,0200,OH 15752,S200000,00200,0300,43229- 15752,S200000,00300,0100,FRANKLIN 15752,S200000,00300,0200,1840 15752,S200000,00300,0300,U 15752,S200000,00400,0100,ST. ANGELAS NURSING & REHAB CENTER 15752,S200000,00400,0200,365379 15752,S200000,00400,0300,07/01/1979 15752,S200000,00400,0500,P 15752,S200000,01600,0100,Y 15762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15762,A000000,00300,0000,00300EMPLOYEE BENEFITS 15762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15762,A000000,00700,0000,00700HOUSEKEEPING 15762,A000000,00800,0000,00800DIETARY 15762,A000000,00900,0000,00900NURSING ADMINISTRATION 15762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15762,A000000,01100,0000,01100PHARMACY 15762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15762,A000000,01300,0000,01300SOCIAL SERVICE 15762,A000000,01350,0000,01500OTHER GENERAL SERVICES 15762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15762,A000000,01600,0000,01600SKILLED NURSING FACILITY 15762,A000000,01800,0000,01800NURSING FACILITY 15762,A000000,01810,0000,01801ICF/MR 15762,A000000,01900,0000,01900OTHER LONG TERM CARE 15762,A000000,02100,0000,02100RADIOLOGY 15762,A000000,02200,0000,02200LABORATORY 15762,A000000,02300,0000,02300INTRAVENOUS THERAPY 15762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15762,A000000,02500,0000,02500PHYSICAL THERAPY 15762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15762,A000000,02700,0000,02700SPEECH PATHOLOGY 15762,A000000,02800,0000,02800ELECTROCARDIOLOGY 15762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15762,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15762,A000000,03200,0000,03200SUPPORT SURFACES 15762,A000000,03400,0000,03400CLINIC 15762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15762,A000000,03500,0000,03500RURAL HEALTH CLINIC 15762,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15762,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15762,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15762,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15762,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15762,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15762,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15762,A000000,04400,0000,04400DME RENTED - HHA 15762,A000000,04500,0000,04500DME SOLD - HHA 15762,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15762,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15762,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15762,A000000,04800,0000,04800AMBULANCE 15762,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15762,A000000,05000,0000,05000CORF 15762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15762,A000000,05300,0000,05300INTEREST EXPENSE 15762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15762,A000000,05500,0000,05500HOSPICE 15762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15762,A000000,06100,0000,06100NONPAID WORKERS 15762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15762,A000000,06200,0000,06200PATIENTS LAUNDRY 15762,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15762,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15762,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15762,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15762,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15762,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15762,B100000,00000,0800,00000MEALS SERVED :DIETARY 15762,B100000,00000,0950,00000HEALTHCARE EPATIENT D :NURSING ADMI 15762,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15762,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15762,B100000,00000,1250,00000HEALTHCARE EPATIENT D :MEDICAL RECO 15762,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 15762,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15762,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15762,S000000,00100,0200,06/02/2000 15762,S200000,00100,0100,4950 KNIGHTSBRIDGE ROAD 15762,S200000,00200,0100,COLUMBUS 15762,S200000,00200,0200,OH 15762,S200000,00200,0300,43214- 15762,S200000,00300,0100,FRANKLIN 15762,S200000,00400,0100,THE FORUM AT KNIGHTSBRIDGE 15762,S200000,00400,0200,365775 15762,S200000,00400,0300,01/29/1990 15762,S200000,00400,0500,P 15762,S200000,01600,0100,Y 15762,S200000,01700,0100,Y 15762,S700003,00000,0100,1 15770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15770,A000000,00300,0000,00300EMPLOYEE BENEFITS 15770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15770,A000000,00700,0000,00700HOUSEKEEPING 15770,A000000,00800,0000,00800DIETARY 15770,A000000,00900,0000,00900NURSING ADMINISTRATION 15770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15770,A000000,01100,0000,01100PHARMACY 15770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15770,A000000,01300,0000,01300SOCIAL SERVICE 15770,A000000,01350,0000,01500OTHER GENERAL SERVICES 15770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15770,A000000,01600,0000,01600SKILLED NURSING FACILITY 15770,A000000,01800,0000,01800NURSING FACILITY 15770,A000000,01810,0000,01810ICF/MR 15770,A000000,01900,0000,01900OTHER LONG TERM CARE 15770,A000000,02100,0000,02100RADIOLOGY 15770,A000000,02200,0000,02200LABORATORY 15770,A000000,02300,0000,02300INTRAVENOUS THERAPY 15770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15770,A000000,02500,0000,02500PHYSICAL THERAPY 15770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15770,A000000,02700,0000,02700SPEECH PATHOLOGY 15770,A000000,02800,0000,02800ELECTROCARDIOLOGY 15770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15770,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15770,A000000,03200,0000,03200SUPPORT SURFACES 15770,A000000,03400,0000,03400CLINIC 15770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15770,A000000,03500,0000,03500RURAL HEALTH CLINIC 15770,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15770,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15770,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15770,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15770,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15770,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15770,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15770,A000000,04400,0000,04400DME RENTED - HHA 15770,A000000,04500,0000,04500DME SOLD - HHA 15770,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15770,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15770,A000000,04800,0000,04800AMBULANCE 15770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15770,A000000,05000,0000,05000CORF 15770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15770,A000000,05300,0000,05300INTEREST EXPENSE 15770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15770,A000000,05500,0000,05500HOSPICE 15770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15770,A000000,06100,0000,06100NONPAID WORKERS 15770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15770,A000000,06200,0000,06200PATIENTS LAUNDRY 15770,A81000A,00100,0100,Y 15770,A81000B,00100,0300,HOME OFFICE COST BUILDING 15770,A81000B,00200,0300,HOME OFFICE COST EQUIPMENT 15770,A81000B,00300,0300,HOME OFFICE COST A&G 15770,A81000B,00400,0300,HOME OFFICE COST CERT NURSING 15770,A81000B,00500,0300,HOME OFFICE COST N/C NURSING 15770,A81000B,00600,0300,HOME OFFICE COST OLTC 15770,A81000C,00100,0100,B 15770,A81000C,00100,0200,MARRIOTT SLS 15770,A81000C,00100,0600,HEALTHCARE 15770,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15770,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15770,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15770,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 15770,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15770,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15770,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15770,B100000,00000,0800,00000MEALS SERVED :DIETARY 15770,B100000,00000,0950,00000HEALTHCARE E PAT D:NURSING ADMINIST 15770,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15770,B100000,00000,1330,00000AL & HC PAT:SOCIAL SERVICE 15770,S000000,00100,0200,06/02/2000 15770,S200000,00100,0100,3300 DARBY ROAD 15770,S200000,00200,0100,HAVERFORD 15770,S200000,00200,0200,PA 15770,S200000,00200,0300,19041- 15770,S200000,00300,0100,DELAWARE 15770,S200000,00300,0200,6160 15770,S200000,00300,0300,U 15770,S200000,00400,0100,THE QUADRANGLE 15770,S200000,00400,0200,395801 15770,S200000,00400,0300,07/30/1989 15770,S200000,00400,0500,P 15770,S200000,01600,0100,Y 15770,S200000,01700,0100,Y 15780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15780,A000000,00300,0000,00300EMPLOYEE BENEFITS 15780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15780,A000000,00700,0000,00700HOUSEKEEPING 15780,A000000,00800,0000,00800DIETARY 15780,A000000,00900,0000,00900NURSING ADMINISTRATION 15780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15780,A000000,01100,0000,01100PHARMACY 15780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15780,A000000,01300,0000,01300SOCIAL SERVICE 15780,A000000,01350,0000,01500OTHER GENERAL SERVICES 15780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15780,A000000,01600,0000,01600SKILLED NURSING FACILITY 15780,A000000,01800,0000,01800NURSING FACILITY 15780,A000000,01900,0000,01900OTHER LONG TERM CARE 15780,A000000,02100,0000,02100RADIOLOGY 15780,A000000,02200,0000,02200LABORATORY 15780,A000000,02300,0000,02300INTRAVENOUS THERAPY 15780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15780,A000000,02500,0000,02500PHYSICAL THERAPY 15780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15780,A000000,02700,0000,02700SPEECH PATHOLOGY 15780,A000000,02800,0000,02800ELECTROCARDIOLOGY 15780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15780,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15780,A000000,03200,0000,03200SUPPORT SURFACES 15780,A000000,03400,0000,03400CLINIC 15780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15780,A000000,03500,0000,03500RURAL HEALTH CLINIC 15780,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15780,A000000,04800,0000,04800AMBULANCE 15780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15780,A000000,05000,0000,05000CORF 15780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15780,A000000,05300,0000,05300INTEREST EXPENSE 15780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15780,A000000,05500,0000,05500HOSPICE 15780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15780,A000000,06100,0000,06100NONPAID WORKERS 15780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15780,A000000,06200,0000,06200PATIENTS LAUNDRY 15780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15780,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15780,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 15780,B100000,00000,0800,00000MEALS SERVED :DIETARY 15780,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15780,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15780,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15780,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15780,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15780,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15780,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15780,S000000,00100,0200,06/02/2000 15780,S200000,00100,0100,9547 HIGHWAY 17 NORTH 15780,S200000,00200,0100,MYRTLE BEACH 15780,S200000,00200,0200,SC 15780,S200000,00200,0300,29572- 15780,S200000,00300,0100,HORRY 15780,S200000,00400,0100,MYRTLE BEACH MANOR 15780,S200000,00400,0200,425070 15780,S200000,00400,0300,05/16/1974 15780,S200000,00400,0500,P 15780,S200000,01600,0100,Y 15780,S700003,00000,0100,1 15802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15802,A000000,00300,0000,00300EMPLOYEE BENEFITS 15802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15802,A000000,00700,0000,00700HOUSEKEEPING 15802,A000000,00800,0000,00800DIETARY 15802,A000000,00900,0000,00900NURSING ADMINISTRATION 15802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15802,A000000,01100,0000,01100PHARMACY 15802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15802,A000000,01300,0000,01300SOCIAL SERVICE 15802,A000000,01350,0000,01500OTHER GENERAL SERVICES 15802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15802,A000000,01600,0000,01600SKILLED NURSING FACILITY 15802,A000000,01800,0000,01800NURSING FACILITY 15802,A000000,01900,0000,01900OTHER LONG TERM CARE 15802,A000000,02100,0000,02100RADIOLOGY 15802,A000000,02200,0000,02200LABORATORY 15802,A000000,02300,0000,02300INTRAVENOUS THERAPY 15802,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15802,A000000,02500,0000,02500PHYSICAL THERAPY 15802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15802,A000000,02700,0000,02700SPEECH PATHOLOGY 15802,A000000,02800,0000,02800ELECTROCARDIOLOGY 15802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15802,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15802,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15802,A000000,03200,0000,03200SUPPORT SURFACES 15802,A000000,03400,0000,03400CLINIC 15802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15802,A000000,03500,0000,03500RURAL HEALTH CLINIC 15802,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15802,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15802,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15802,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15802,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15802,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15802,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15802,A000000,04400,0000,04400DME RENTED - HHA 15802,A000000,04500,0000,04500DME SOLD - HHA 15802,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15802,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15802,A000000,04800,0000,04800AMBULANCE 15802,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15802,A000000,05000,0000,05000CORF 15802,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15802,A000000,05300,0000,05300INTEREST EXPENSE 15802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15802,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15802,A000000,05500,0000,05500HOSPICE 15802,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15802,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15802,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15802,A000000,06100,0000,06100NONPAID WORKERS 15802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15802,A000000,06200,0000,06200PATIENTS LAUNDRY 15802,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15802,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15802,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15802,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15802,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15802,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15802,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15802,B100000,00000,0800,00000MEALS SERVED :DIETARY 15802,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15802,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15802,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15802,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15802,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15802,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15802,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15802,S000000,00100,0200,06/02/2000 15802,S200000,00100,0100,1575 BELVIDERE 15802,S200000,00200,0100,EL PASO 15802,S200000,00200,0200,TX 15802,S200000,00200,0300,79912- 15802,S200000,00300,0100,EL PASO 15802,S200000,00400,0100,THE MONTEVISTA AT CORONADO 15802,S200000,00400,0200,455705 15802,S200000,00400,0300,04/04/1987 15802,S200000,00400,0500,P 15802,S200000,01600,0100,Y 15802,S700003,00000,0100,1 15812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15812,A000000,00300,0000,00300EMPLOYEE BENEFITS 15812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15812,A000000,00700,0000,00700HOUSEKEEPING 15812,A000000,00800,0000,00800DIETARY 15812,A000000,00900,0000,00900NURSING ADMINISTRATION 15812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15812,A000000,01100,0000,01100PHARMACY 15812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15812,A000000,01300,0000,01300SOCIAL SERVICE 15812,A000000,01350,0000,01500OTHER GENERAL SERVICES 15812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15812,A000000,01600,0000,01600SKILLED NURSING FACILITY 15812,A000000,01800,0000,01800NURSING FACILITY 15812,A000000,01900,0000,01900OTHER LONG TERM CARE 15812,A000000,02100,0000,02100RADIOLOGY 15812,A000000,02200,0000,02200LABORATORY 15812,A000000,02300,0000,02300INTRAVENOUS THERAPY 15812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15812,A000000,02500,0000,02500PHYSICAL THERAPY 15812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15812,A000000,02700,0000,02700SPEECH PATHOLOGY 15812,A000000,02800,0000,02800ELECTROCARDIOLOGY 15812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15812,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15812,A000000,03200,0000,03200SUPPORT SURFACES 15812,A000000,03400,0000,03400CLINIC 15812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15812,A000000,03500,0000,03500RURAL HEALTH CLINIC 15812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15812,A000000,04400,0000,04400DME RENTED - HHA 15812,A000000,04500,0000,04500DME SOLD - HHA 15812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15812,A000000,04800,0000,04800AMBULANCE 15812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15812,A000000,05000,0000,05000CORF 15812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15812,A000000,05300,0000,05300INTEREST EXPENSE 15812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15812,A000000,05500,0000,05500HOSPICE 15812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15812,A000000,06100,0000,06100NONPAID WORKERS 15812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15812,A000000,06200,0000,06200PATIENTS LAUNDRY 15812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15812,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15812,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 15812,B100000,00000,0800,00000MEALS SERVED :DIETARY 15812,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15812,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15812,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15812,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15812,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15812,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15812,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15812,S000000,00100,0200,06/02/2000 15812,S200000,00100,0100,777 NORTH POST OAK ROAD 15812,S200000,00200,0100,HOUSTON 15812,S200000,00200,0200,TX 15812,S200000,00200,0300,77024- 15812,S200000,00300,0100,HARRIS 15812,S200000,00400,0100,THE FORUM AT MEMORIAL WOODS 15812,S200000,00400,0200,455854 15812,S200000,00400,0300,12/07/1989 15812,S200000,00400,0500,P 15812,S200000,01600,0100,Y 15812,S700003,00000,0100,1 15821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15821,A000000,00300,0000,00300EMPLOYEE BENEFITS 15821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15821,A000000,00700,0000,00700HOUSEKEEPING 15821,A000000,00800,0000,00800DIETARY 15821,A000000,00900,0000,00900NURSING ADMINISTRATION 15821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15821,A000000,01100,0000,01100PHARMACY 15821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15821,A000000,01300,0000,01300SOCIAL SERVICE 15821,A000000,01350,0000,01500OTHER GENERAL SERVICES 15821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15821,A000000,01600,0000,01600SKILLED NURSING FACILITY 15821,A000000,01800,0000,01800NURSING FACILITY 15821,A000000,01810,0000,01810ICF/MR 15821,A000000,01900,0000,01900OTHER LONG TERM CARE 15821,A000000,02100,0000,02100RADIOLOGY 15821,A000000,02200,0000,02200LABORATORY 15821,A000000,02300,0000,02300INTRAVENOUS THERAPY 15821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15821,A000000,02500,0000,02500PHYSICAL THERAPY 15821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15821,A000000,02700,0000,02700SPEECH PATHOLOGY 15821,A000000,02800,0000,02800ELECTROCARDIOLOGY 15821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15821,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15821,A000000,03200,0000,03200SUPPORT SURFACES 15821,A000000,03400,0000,03400CLINIC 15821,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15821,A000000,03500,0000,03500RURAL HEALTH CLINIC 15821,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15821,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15821,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15821,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15821,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15821,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15821,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15821,A000000,04400,0000,04400DME RENTED - HHA 15821,A000000,04500,0000,04500DME SOLD - HHA 15821,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15821,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15821,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15821,A000000,04800,0000,04800AMBULANCE 15821,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15821,A000000,05000,0000,05000CORF 15821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15821,A000000,05300,0000,05300INTEREST EXPENSE 15821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15821,A000000,05500,0000,05500HOSPICE 15821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15821,A000000,06100,0000,06100NONPAID WORKERS 15821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15821,A000000,06200,0000,06200PATIENTS LAUNDRY 15821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15821,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15821,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15821,B100000,00000,0800,00000MEALS SERVED :DIETARY 15821,B100000,00000,0950,00000HEALTHCARE EPATIENT D :NURSING ADMI 15821,B100000,00000,1250,00000HEALTHCARE EPATIENT D :MEDICAL RECO 15821,B100000,00000,1330,00000AL SCC & HC PAT:SOCIAL SERVICE 15821,S000000,00100,0200,08/28/2000 15821,S200000,00100,0100,311 NOTTINGHAM WEST 15821,S200000,00200,0100,SAN ANTONIO 15821,S200000,00200,0200,TX 15821,S200000,00200,0300,78209- 15821,S200000,00300,0100,BEXAR 15821,S200000,00300,0200,7240 15821,S200000,00300,0300,U 15821,S200000,00400,0100,THE FORUM AT LINCOLN HEIGHTS 15821,S200000,00400,0200,455870 15821,S200000,00400,0300,04/10/1990 15821,S200000,00400,0500,P 15821,S200000,01600,0100,Y 15821,S200000,01700,0100,Y 15831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15831,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15831,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15831,A000000,00300,0000,00300EMPLOYEE BENEFITS 15831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15831,A000000,00700,0000,00700HOUSEKEEPING 15831,A000000,00800,0000,00800DIETARY 15831,A000000,00801,0000,00801CAFETERIA 15831,A000000,00900,0000,00900NURSING ADMINISTRATION 15831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15831,A000000,01100,0000,01100PHARMACY 15831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15831,A000000,01300,0000,01300SOCIAL SERVICE 15831,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15831,A000000,01600,0000,01600SKILLED NURSING FACILITY 15831,A000000,01800,0000,01800NURSING FACILITY 15831,A000000,01900,0000,01900OTHER LONG TERM CARE 15831,A000000,02100,0000,02100RADIOLOGY 15831,A000000,02200,0000,02200LABORATORY 15831,A000000,02300,0000,02300INTRAVENOUS THERAPY 15831,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15831,A000000,02500,0000,02500PHYSICAL THERAPY 15831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15831,A000000,02700,0000,02700SPEECH PATHOLOGY 15831,A000000,02800,0000,02800ELECTROCARDIOLOGY 15831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15831,A000000,03050,0000,03300OTHER ANCILLARY 15831,A000000,03051,0000,03301OTHER ANCILLARY II 15831,A000000,03052,0000,03302OTHER ANCILLARY III 15831,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15831,A000000,03200,0000,03200SUPPORT SURFACES 15831,A000000,03400,0000,03400CLINIC 15831,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15831,A000000,03500,0000,03500RURAL HEALTH CLINIC 15831,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15831,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15831,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15831,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15831,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15831,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15831,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15831,A000000,04400,0000,04400DME RENTED - HHA 15831,A000000,04500,0000,04500DME SOLD - HHA 15831,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15831,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15831,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15831,A000000,04800,0000,04800AMBULANCE 15831,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15831,A000000,05000,0000,05000CORF 15831,A000000,05010,0000,05010CMHC I 15831,A000000,05020,0000,05020OPT I 15831,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15831,A000000,05300,0000,05300INTEREST EXPENSE 15831,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15831,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15831,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15831,A000000,05500,0000,05500HOSPICE 15831,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15831,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15831,A000000,06100,0000,06100NONPAID WORKERS 15831,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15831,A000000,06200,0000,06200PATIENTS LAUNDRY 15831,A81000A,00100,0100,Y 15831,A81000B,00100,0300,MGMT FEES & PAYROLL FEES 15831,A81000B,00200,0300,HOUSEKEEPING SUPPLIES 15831,A81000B,00300,0300,DIETARY 15831,A81000B,00400,0300,CENTRAL SUPPLIES 15831,A81000B,00500,0300,NURSING 15831,A81000B,00600,0300,RELATED PARTY LEASE 15831,A81000B,00700,0300,MEDICAL SUPPLIES 15831,A81000B,00800,0300,MEDICAL EQUIP. RENTAL 15831,A81000B,00900,0300,PRIOR YEAR EXPENSE 15831,A81000C,00100,0100,G 15831,A81000C,00100,0200,CENTENNIAL MGMT 15831,A81000C,00100,0400,CENT HC CORP 15831,A81000C,00100,0600,HOME OFFICE 15831,A81000C,00200,0100,G 15831,A81000C,00200,0200,CENTENNIAL PTS 15831,A81000C,00200,0400,CENT HC CORP 15831,A81000C,00200,0600,GPO 15831,A81000C,00300,0100,G 15831,A81000C,00300,0200,CENTENNAIL PTS 15831,A81000C,00300,0400,CENT HC CORP 15831,A81000C,00300,0600,GPO 15831,A81000C,00400,0100,G 15831,A81000C,00400,0200,CENTENNIAL PTS 15831,A81000C,00400,0400,CENT HC CORP 15831,A81000C,00400,0600,GPO 15831,A81000C,00500,0100,G 15831,A81000C,00500,0200,CENTENNIAL PTS 15831,A81000C,00500,0400,CENT HC CORP 15831,A81000C,00500,0600,GPO 15831,A81000C,00600,0100,G 15831,A81000C,00600,0200,EBT HEALTHCARE 15831,A81000C,00600,0400,CENT HC CORP 15831,A81000C,00600,0600,LESSOR 15831,A81000C,00700,0100,G 15831,A81000C,00700,0200,CENTENNIAL PTS 15831,A81000C,00700,0400,CENT HC CORP 15831,A81000C,00700,0600,GPO 15831,A81000C,00800,0100,G 15831,A81000C,00800,0200,CENTENNIAL PTS 15831,A81000C,00800,0400,CENT HC CORP 15831,A81000C,00800,0600,GPO 15831,A81000C,00900,0100,G 15831,A81000C,00900,0200,CENTENNIAL PTS 15831,A81000C,00900,0400,CENT HC CORP 15831,A81000C,00900,0600,GPO 15831,A81000C,03100,0000,PY EXP. 15831,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15831,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15831,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15831,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15831,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15831,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15831,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15831,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15831,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15831,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15831,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15831,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15831,S000000,00100,0200,06/01/2000 15831,S200000,00100,0100,900 W. LEUDA STREET 15831,S200000,00200,0100,FORT WORTH 15831,S200000,00200,0200,TX 15831,S200000,00200,0300,76104- 15831,S200000,00300,0100,TARRANT 15831,S200000,00300,0200,2800 15831,S200000,00300,0300,U 15831,S200000,00400,0100,KENTS NURSING CENTER 15831,S200000,00400,0200,455881 15831,S200000,00400,0300,06/28/1990 15831,S200000,00400,0500,P 15831,S200000,01500,0100,Y 15831,S200000,02200,0100,Y 15842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15842,A000000,00300,0000,00300EMPLOYEE BENEFITS 15842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15842,A000000,00700,0000,00700HOUSEKEEPING 15842,A000000,00800,0000,00800DIETARY 15842,A000000,00900,0000,00900NURSING ADMINISTRATION 15842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15842,A000000,01100,0000,01100PHARMACY 15842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15842,A000000,01300,0000,01300SOCIAL SERVICE 15842,A000000,01350,0000,01500OTHER GENERAL SERVICES 15842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15842,A000000,01600,0000,01600SKILLED NURSING FACILITY 15842,A000000,01800,0000,01800NURSING FACILITY 15842,A000000,01900,0000,01900OTHER LONG TERM CARE 15842,A000000,02100,0000,02100RADIOLOGY 15842,A000000,02200,0000,02200LABORATORY 15842,A000000,02300,0000,02300INTRAVENOUS THERAPY 15842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15842,A000000,02500,0000,02500PHYSICAL THERAPY 15842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15842,A000000,02700,0000,02700SPEECH PATHOLOGY 15842,A000000,02800,0000,02800ELECTROCARDIOLOGY 15842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15842,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15842,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15842,A000000,03200,0000,03200SUPPORT SURFACES 15842,A000000,03400,0000,03400CLINIC 15842,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15842,A000000,03500,0000,03500RURAL HEALTH CLINIC 15842,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15842,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15842,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15842,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15842,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15842,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15842,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15842,A000000,04400,0000,04400DME RENTED - HHA 15842,A000000,04500,0000,04500DME SOLD - HHA 15842,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15842,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15842,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15842,A000000,04800,0000,04800AMBULANCE 15842,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15842,A000000,05000,0000,05000CORF 15842,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15842,A000000,05300,0000,05300INTEREST EXPENSE 15842,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15842,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15842,A000000,05500,0000,05500HOSPICE 15842,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15842,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15842,A000000,06100,0000,06100NONPAID WORKERS 15842,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15842,A000000,06200,0000,06200PATIENTS LAUNDRY 15842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15842,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15842,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15842,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15842,B100000,00000,0800,00000MEALS SERVED :DIETARY 15842,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15842,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15842,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15842,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15842,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15842,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15842,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15842,S000000,00100,0200,06/02/2000 15842,S200000,00100,0100,7831 PARK LANE 15842,S200000,00200,0100,DALLAS 15842,S200000,00200,0200,TX 15842,S200000,00200,0300,77024- 15842,S200000,00300,0100,DALLAS 15842,S200000,00400,0100,THE FORUM AT PARK LANE 15842,S200000,00400,0200,455913 15842,S200000,00400,0300,02/07/1991 15842,S200000,00400,0500,P 15842,S200000,01600,0100,Y 15842,S700003,00000,0100,1 15847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15847,A000000,00300,0000,00300EMPLOYEE BENEFITS 15847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15847,A000000,00700,0000,00700HOUSEKEEPING 15847,A000000,00800,0000,00800DIETARY 15847,A000000,00900,0000,00900NURSING ADMINISTRATION 15847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15847,A000000,01100,0000,01100PHARMACY 15847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15847,A000000,01300,0000,01300SOCIAL SERVICE 15847,A000000,01350,0000,01500OTHER GENERAL SERVICES 15847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15847,A000000,01600,0000,01600SKILLED NURSING FACILITY 15847,A000000,01800,0000,01800NURSING FACILITY 15847,A000000,01900,0000,01900OTHER LONG TERM CARE 15847,A000000,02100,0000,02100RADIOLOGY 15847,A000000,02200,0000,02200LABORATORY 15847,A000000,02300,0000,02300INTRAVENOUS THERAPY 15847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15847,A000000,02500,0000,02500PHYSICAL THERAPY 15847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15847,A000000,02700,0000,02700SPEECH PATHOLOGY 15847,A000000,02800,0000,02800ELECTROCARDIOLOGY 15847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15847,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15847,A000000,03200,0000,03200SUPPORT SURFACES 15847,A000000,03400,0000,03400CLINIC 15847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15847,A000000,03500,0000,03500RURAL HEALTH CLINIC 15847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15847,A000000,04800,0000,04800AMBULANCE 15847,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15847,A000000,05000,0000,05000CORF 15847,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15847,A000000,05300,0000,05300INTEREST EXPENSE 15847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15847,A000000,05500,0000,05500HOSPICE 15847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15847,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15847,A000000,06100,0000,06100NONPAID WORKERS 15847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15847,A000000,06200,0000,06200PATIENTS LAUNDRY 15847,A81000A,00100,0100,Y 15847,A81000B,00100,0300,CAPITAL 15847,A81000B,00200,0300,CAPITAL 15847,A81000B,00300,0300,ADMIN 15847,A81000B,00400,0300,NURSING 15847,A81000B,00500,0300,NURSING 15847,A81000B,00600,0300,NURSING 15847,A81000C,00100,0100,B 15847,A81000C,00100,0200,MARRIOTT SENIOR LVG SVCS 15847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15847,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15847,B100000,00000,0800,00000MEALS SERVED :DIETARY 15847,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15847,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15847,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15847,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15847,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15847,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15847,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15847,S000000,00100,0200,06/02/2000 15847,S200000,00100,0100,4620 BELLAIRE BLVD 15847,S200000,00200,0100,BELLAIRE 15847,S200000,00200,0200,TX 15847,S200000,00200,0300,77401- 15847,S200000,00300,0100,HARRIS 15847,S200000,00400,0100,BRIGHTON GARDENS OF BELLAIRE 15847,S200000,00400,0200,455975 15847,S200000,00400,0300,12/31/1986 15847,S200000,00400,0500,P 15847,S200000,01600,0100,Y 15847,S700003,00000,0100,1 15855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15855,A000000,00300,0000,00300EMPLOYEE BENEFITS 15855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15855,A000000,00700,0000,00700HOUSEKEEPING 15855,A000000,00800,0000,00800DIETARY 15855,A000000,00900,0000,00900NURSING ADMINISTRATION 15855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15855,A000000,01100,0000,01100PHARMACY 15855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15855,A000000,01300,0000,01300SOCIAL SERVICE 15855,A000000,01350,0000,01500OTHER GENERAL SERVICES 15855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15855,A000000,01600,0000,01600SKILLED NURSING FACILITY 15855,A000000,01800,0000,01800NURSING FACILITY 15855,A000000,01900,0000,01900OTHER LONG TERM CARE 15855,A000000,02100,0000,02100RADIOLOGY 15855,A000000,02200,0000,02200LABORATORY 15855,A000000,02300,0000,02300INTRAVENOUS THERAPY 15855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15855,A000000,02500,0000,02500PHYSICAL THERAPY 15855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15855,A000000,02700,0000,02700SPEECH PATHOLOGY 15855,A000000,02800,0000,02800ELECTROCARDIOLOGY 15855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15855,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15855,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15855,A000000,03200,0000,03200SUPPORT SURFACES 15855,A000000,03400,0000,03400CLINIC 15855,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15855,A000000,03500,0000,03500RURAL HEALTH CLINIC 15855,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15855,A000000,04800,0000,04800AMBULANCE 15855,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15855,A000000,05000,0000,05000CORF 15855,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15855,A000000,05300,0000,05300INTEREST EXPENSE 15855,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15855,A000000,05500,0000,05500HOSPICE 15855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15855,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15855,A000000,06100,0000,06100NONPAID WORKERS 15855,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15855,A000000,06200,0000,06200PATIENTS LAUNDRY 15855,A81000A,00100,0100,Y 15855,A81000B,00100,0300,CAPITAL 15855,A81000B,00200,0300,CAPITAL 15855,A81000B,00300,0300,ADMIN 15855,A81000B,00400,0300,NURSING 15855,A81000B,00500,0300,NURSING 15855,A81000B,00600,0300,NURSING 15855,A81000C,00100,0100,B 15855,A81000C,00100,0200,MARRIOTT SENIOR LVG SVCS 15855,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15855,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15855,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15855,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15855,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15855,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15855,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15855,B100000,00000,0800,00000MEALS SERVED :DIETARY 15855,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15855,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15855,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15855,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15855,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15855,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15855,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15855,S000000,00100,0200,06/02/2000 15855,S200000,00100,0100,9160 FT BELVOIR PARKWAY 15855,S200000,00200,0100,FORT BELVOIR 15855,S200000,00200,0200,VA 15855,S200000,00200,0300,22060- 15855,S200000,00300,0100,FAIRFAX 15855,S200000,00400,0100,BELVOIR WOODS HEALTHCARE CENTER 15855,S200000,00400,0200,495197 15855,S200000,00400,0300,08/02/1989 15855,S200000,00400,0500,P 15855,S200000,01600,0100,Y 15855,S200000,01700,0100,Y 15855,S700003,00000,0100,1 15865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15865,A000000,00300,0000,00300EMPLOYEE BENEFITS 15865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15865,A000000,00700,0000,00700HOUSEKEEPING 15865,A000000,00800,0000,00800DIETARY 15865,A000000,00900,0000,00900NURSING ADMINISTRATION 15865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15865,A000000,01100,0000,01100PHARMACY 15865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15865,A000000,01300,0000,01300SOCIAL SERVICE 15865,A000000,01350,0000,01500OTHER GENERAL SERVICES 15865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15865,A000000,01600,0000,01600SKILLED NURSING FACILITY 15865,A000000,01800,0000,01800NURSING FACILITY 15865,A000000,01900,0000,01900OTHER LONG TERM CARE 15865,A000000,02100,0000,02100RADIOLOGY 15865,A000000,02200,0000,02200LABORATORY 15865,A000000,02300,0000,02300INTRAVENOUS THERAPY 15865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15865,A000000,02500,0000,02500PHYSICAL THERAPY 15865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15865,A000000,02700,0000,02700SPEECH PATHOLOGY 15865,A000000,02800,0000,02800ELECTROCARDIOLOGY 15865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15865,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15865,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15865,A000000,03200,0000,03200SUPPORT SURFACES 15865,A000000,03400,0000,03400CLINIC 15865,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15865,A000000,03500,0000,03500RURAL HEALTH CLINIC 15865,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15865,A000000,04800,0000,04800AMBULANCE 15865,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15865,A000000,05000,0000,05000CORF 15865,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15865,A000000,05300,0000,05300INTEREST EXPENSE 15865,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15865,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15865,A000000,05500,0000,05500HOSPICE 15865,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15865,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15865,A000000,06100,0000,06100NONPAID WORKERS 15865,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15865,A000000,06200,0000,06200PATIENTS LAUNDRY 15865,A81000A,00100,0100,Y 15865,A81000B,00100,0300,CAPITAL 15865,A81000B,00200,0300,ADMIN 15865,A81000B,00300,0300,NURSING 15865,A81000B,00400,0300,NURSING 15865,A81000B,00500,0300,NURSING 15865,A81000C,00100,0100,B 15865,A81000C,00100,0200,MARRIOTT SENIOR LIVING SV 15865,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15865,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15865,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15865,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 15865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15865,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15865,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15865,B100000,00000,0800,00000MEALS SERVED :DIETARY 15865,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15865,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15865,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15865,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15865,S000000,00100,0200,02/26/2001 15865,S200000,00100,0100,2600 BARRACKS ROAD 15865,S200000,00200,0100,CHARLOTTESVILLE 15865,S200000,00200,0200,VA 15865,S200000,00200,0300,22901- 15865,S200000,00300,0100,ALBEMARLE 15865,S200000,00300,0200,1540 15865,S200000,00300,0300,U 15865,S200000,00400,0100,THE COLONNADES 15865,S200000,00400,0200,495254 15865,S200000,00400,0300,09/05/1991 15865,S200000,00400,0500,P 15865,S200000,01600,0100,Y 15871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15871,A000000,00300,0000,00300EMPLOYEE BENEFITS 15871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15871,A000000,00700,0000,00700HOUSEKEEPING 15871,A000000,00800,0000,00800DIETARY 15871,A000000,00900,0000,00900NURSING ADMINISTRATION 15871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15871,A000000,01100,0000,01100PHARMACY 15871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15871,A000000,01300,0000,01300SOCIAL SERVICE 15871,A000000,01350,0000,01500OTHER GENERAL SERVICES 15871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15871,A000000,01600,0000,01600SKILLED NURSING FACILITY 15871,A000000,01800,0000,01800NURSING FACILITY 15871,A000000,01900,0000,01900OTHER LONG TERM CARE 15871,A000000,02100,0000,02100RADIOLOGY 15871,A000000,02200,0000,02200LABORATORY 15871,A000000,02300,0000,02300INTRAVENOUS THERAPY 15871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15871,A000000,02500,0000,02500PHYSICAL THERAPY 15871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15871,A000000,02700,0000,02700SPEECH PATHOLOGY 15871,A000000,02800,0000,02800ELECTROCARDIOLOGY 15871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15871,A000000,03200,0000,03200SUPPORT SURFACES 15871,A000000,03400,0000,03400CLINIC 15871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15871,A000000,03500,0000,03500RURAL HEALTH CLINIC 15871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15871,A000000,04800,0000,04800AMBULANCE 15871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15871,A000000,05000,0000,05000CORF 15871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15871,A000000,05300,0000,05300INTEREST EXPENSE 15871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15871,A000000,05500,0000,05500HOSPICE 15871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15871,A000000,06100,0000,06100NONPAID WORKERS 15871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15871,A000000,06200,0000,06200PATIENTS LAUNDRY 15871,A81000A,00100,0100,Y 15871,A81000B,00100,0300,CAPITAL 15871,A81000B,00200,0300,CAPITAL 15871,A81000B,00300,0300,ADMINISTRATIVE 15871,A81000B,00400,0300,NURSING 15871,A81000B,00500,0300,NURSING 15871,A81000B,00600,0300,NURSING 15871,A81000C,00100,0100,B 15871,A81000C,00100,0200,MARRIOTT SENIOR LVG SERV 15871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15871,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 15871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15871,B100000,00000,0800,00000MEALS SERVED :DIETARY 15871,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15871,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15871,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15871,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15871,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15871,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15871,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15871,S000000,00100,0200,02/26/2001 15871,S200000,00100,0100,900 NORTH TAYLOR 15871,S200000,00200,0100,ARLINGTON 15871,S200000,00200,0200,VA 15871,S200000,00200,0300,22203- 15871,S200000,00300,0100,ARLINGTON 15871,S200000,00400,0100,THE JEFFERSON 15871,S200000,00400,0200,495269 15871,S200000,00400,0300,10/21/1992 15871,S200000,00400,0500,P 15871,S200000,01600,0100,Y 15871,S700003,00000,0100,1 15875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15875,A000000,00300,0000,00300EMPLOYEE BENEFITS 15875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15875,A000000,00700,0000,00700HOUSEKEEPING 15875,A000000,00800,0000,00800DIETARY 15875,A000000,00900,0000,00900NURSING ADMINISTRATION 15875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15875,A000000,01100,0000,01100PHARMACY 15875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15875,A000000,01300,0000,01300SOCIAL SERVICE 15875,A000000,01350,0000,01500ACTIVITIES 15875,A000000,01600,0000,01600SKILLED NURSING FACILITY 15875,A000000,01800,0000,01800NURSING FACILITY 15875,A000000,02100,0000,02100RADIOLOGY 15875,A000000,02200,0000,02200LABORATORY 15875,A000000,02300,0000,02300INTRAVENOUS THERAPY 15875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15875,A000000,02500,0000,02500PHYSICAL THERAPY 15875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15875,A000000,02700,0000,02700SPEECH PATHOLOGY 15875,A000000,02800,0000,02800ELECTROCARDIOLOGY 15875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15875,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15875,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15875,A81000A,00100,0100,Y 15875,A81000B,00100,0300,INTEREST PAID TO RELATED PARTY 15875,A81000C,00100,0100,A 15875,A81000C,00100,0200,PARTNERS 15875,A81000C,00100,0400,PARTNERS 15875,A81000C,00100,0600,PARTNERS 15875,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 15875,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 15875,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15875,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15875,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 15875,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 15875,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 15875,B100000,00000,0800,00000MEALS SERVED :DIETARY 15875,B100000,00000,0900,00000DIRECT NURSE HOUR :NURSING ADMINIST 15875,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 15875,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 15875,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15875,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15875,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 15875,S000000,00100,0200,08/25/1999 15875,S200000,00100,0100,2578 W. 5TH STREET 15875,S200000,00200,0100,SOUTH BOSTON 15875,S200000,00200,0200,VA 15875,S200000,00200,0300,24592- 15875,S200000,00400,0100,TWIN OAKS CONVALESCENT CENTER 15875,S200000,00400,0200,495335 15875,S200000,00400,0300,10/15/1998 15875,S200000,00400,0500,P 15875,S200000,00600,0200,496800 15875,S200000,00600,0300,01/01/1966 15875,S200000,00600,0600,P 15875,S700003,00000,0400,4 15877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15877,A000000,00300,0000,00300EMPLOYEE BENEFITS 15877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15877,A000000,00700,0000,00700HOUSEKEEPING 15877,A000000,00800,0000,00800DIETARY 15877,A000000,00900,0000,00900NURSING ADMINISTRATION 15877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15877,A000000,01100,0000,01100PHARMACY 15877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15877,A000000,01300,0000,01300SOCIAL SERVICE 15877,A000000,01350,0000,01500ACTIVITIES 15877,A000000,01600,0000,01600SKILLED NURSING FACILITY 15877,A000000,01800,0000,01800NURSING FACILITY 15877,A000000,02100,0000,02100RADIOLOGY 15877,A000000,02200,0000,02200LABORATORY 15877,A000000,02300,0000,02300INTRAVENOUS THERAPY 15877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15877,A000000,02500,0000,02500PHYSICAL THERAPY 15877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15877,A000000,02700,0000,02700SPEECH PATHOLOGY 15877,A000000,02800,0000,02800ELECTROCARDIOLOGY 15877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15877,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15877,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 15877,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 15877,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15877,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15877,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 15877,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 15877,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 15877,B100000,00000,0800,00000MEALS SERVED :DIETARY 15877,B100000,00000,0950,00000 PAT. DAYS :NURSING ADMINISTRATION 15877,B100000,00000,1050,00000 PAT. DAYS :CENTRAL SERVICES & SUPP 15877,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15877,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 15877,S000000,00100,0200,06/05/2000 15877,S200000,00100,0100,2578 W. 5TH STREET 15877,S200000,00200,0100,SOUTH BOSTON 15877,S200000,00200,0200,VA 15877,S200000,00200,0300,24592- 15877,S200000,00300,0100,HALIFAX 15877,S200000,00300,0200,0049 15877,S200000,00300,0300,R 15877,S200000,00400,0100,TWIN OAKS CONVALESCENT CENTER 15877,S200000,00400,0200,495335 15877,S200000,00400,0300,10/15/1998 15877,S200000,00400,0500,P 15877,S200000,00600,0200,496800 15877,S200000,00600,0300,01/01/1966 15877,S200000,01600,0100,Y 15884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15884,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15884,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15884,A000000,00300,0000,00300EMPLOYEE BENEFITS 15884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15884,A000000,00700,0000,00700HOUSEKEEPING 15884,A000000,00800,0000,00800DIETARY 15884,A000000,00801,0000,00801CAFETERIA 15884,A000000,00900,0000,00900NURSING ADMINISTRATION 15884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15884,A000000,01100,0000,01100PHARMACY 15884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15884,A000000,01300,0000,01300SOCIAL SERVICE 15884,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15884,A000000,01600,0000,01600SKILLED NURSING FACILITY 15884,A000000,01800,0000,01800NURSING FACILITY 15884,A000000,01900,0000,01900OTHER LONG TERM CARE 15884,A000000,02100,0000,02100RADIOLOGY 15884,A000000,02200,0000,02200LABORATORY 15884,A000000,02300,0000,02300INTRAVENOUS THERAPY 15884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15884,A000000,02500,0000,02500PHYSICAL THERAPY 15884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15884,A000000,02700,0000,02700SPEECH PATHOLOGY 15884,A000000,02800,0000,02800ELECTROCARDIOLOGY 15884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15884,A000000,03050,0000,03300OTHER ANCILLARY 15884,A000000,03051,0000,03301OTHER ANCILLARY II 15884,A000000,03052,0000,03302OTHER ANCILLARY III 15884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15884,A000000,03200,0000,03200SUPPORT SURFACES 15884,A000000,03400,0000,03400CLINIC 15884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15884,A000000,03500,0000,03500RURAL HEALTH CLINIC 15884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15884,A000000,04400,0000,04400DME RENTED - HHA 15884,A000000,04500,0000,04500DME SOLD - HHA 15884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15884,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15884,A000000,04800,0000,04800AMBULANCE 15884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15884,A000000,05000,0000,05000CORF 15884,A000000,05010,0000,05010CMHC I 15884,A000000,05020,0000,05020OPT I 15884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15884,A000000,05300,0000,05300INTEREST EXPENSE 15884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15884,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15884,A000000,05500,0000,05500HOSPICE 15884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15884,A000000,06100,0000,06100NONPAID WORKERS 15884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15884,A000000,06200,0000,06200PATIENTS LAUNDRY 15884,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15884,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15884,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15884,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15884,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15884,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15884,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15884,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15884,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15884,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15884,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15884,S000000,00100,0200,09/21/2000 15884,S200000,00100,0100,1255 BELMONT WAY 15884,S200000,00100,0300,429 15884,S200000,00200,0100,CLARKSTON 15884,S200000,00200,0200,WA 15884,S200000,00200,0300,99403- 15884,S200000,00300,0100,ASOTIN 15884,S200000,00300,0200,50 15884,S200000,00300,0300,R 15884,S200000,00400,0100,TRISTATE HEALTH & REHAB 15884,S200000,00400,0200,505191 15884,S200000,00400,0300,07/31/1975 15884,S200000,00400,0500,P 15884,S200000,01500,0100,Y 15884,S200000,02200,0100,Y 15890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15890,A000000,00300,0000,00300EMPLOYEE BENEFITS 15890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15890,A000000,00700,0000,00700HOUSEKEEPING 15890,A000000,00800,0000,00800DIETARY 15890,A000000,00900,0000,00900NURSING ADMINISTRATION 15890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15890,A000000,01100,0000,01100PHARMACY 15890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15890,A000000,01300,0000,01300SOCIAL SERVICE 15890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15890,A000000,01600,0000,01600SKILLED NURSING FACILITY 15890,A000000,02100,0000,02100RADIOLOGY 15890,A000000,02200,0000,02200LABORATORY 15890,A000000,02300,0000,02300INTRAVENOUS THERAPY 15890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15890,A000000,02500,0000,02500PHYSICAL THERAPY 15890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15890,A000000,02700,0000,02700SPEECH PATHOLOGY 15890,A000000,02800,0000,02800ELECTROCARDIOLOGY 15890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15890,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15890,A000000,03200,0000,03200SUPPORT SURFACES 15890,A000000,03400,0000,03400CLINIC 15890,A000000,04800,0000,04800AMBULANCE 15890,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15890,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15890,A000000,05300,0000,05300INTEREST EXPENSE 15890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15890,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15890,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15890,A000000,06100,0000,06100NONPAID WORKERS 15890,A000000,06200,0000,06200PATIENTS LAUNDRY 15890,A81000A,00100,0100,Y 15890,A81000B,00100,0300,ADMINISTRATIVE 15890,A81000B,00200,0300,CAPITAL 15890,A81000B,00300,0300,XRAY 15890,A81000B,00400,0300,DRUGS 15890,A81000B,00500,0300,CAPITAL 15890,A81000C,00100,0100,B 15890,A81000C,00100,0200,EAGLECARE INC. 15890,A81000C,00100,0600,CENTRAL OFFICE 15890,A81000C,00200,0100,B 15890,A81000C,00200,0200,EAGLECARE INC. 15890,A81000C,00200,0600,CENTRAL OFFICE 15890,A81000C,00300,0100,B 15890,A81000C,00300,0200,VENTURA RADIOL. 15890,A81000C,00300,0600,RADIOLOGY 15890,A81000C,00400,0100,B 15890,A81000C,00400,0200,CORNERSTONE 15890,A81000C,00400,0600,PHARMACY 15890,A81000C,00500,0100,B 15890,A81000C,00500,0200,JACKSON LEASING 15890,A81000C,00500,0600,PROPERTY OWNER 15890,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15890,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 15890,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15890,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15890,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15890,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15890,B100000,00000,0800,00000MEALS SERVED :DIETARY 15890,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 15890,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15890,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15890,B100000,00000,1250,00000REVENUE :MEDICAL RECORDS & LIBRAR 15890,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 15890,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15890,S000000,00100,0200,05/31/2000 15890,S200000,00100,0100,1600 27TH STREET 15890,S200000,00200,0100,PARKERSBURG 15890,S200000,00200,0200,WV 15890,S200000,00200,0300,26101- 15890,S200000,00300,0100,WOOD 15890,S200000,00400,0100,PARKVIEW HEALTHCARE CENTER 15890,S200000,00400,0200,515159 15890,S200000,00400,0300,12/04/1997 15890,S200000,00400,0500,P 15890,S200000,01600,0100,Y 15895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15895,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15895,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15895,A000000,00300,0000,00300EMPLOYEE BENEFITS 15895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15895,A000000,00700,0000,00700HOUSEKEEPING 15895,A000000,00800,0000,00800DIETARY 15895,A000000,00801,0000,00801CAFETERIA 15895,A000000,00900,0000,00900NURSING ADMINISTRATION 15895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15895,A000000,01100,0000,01100PHARMACY 15895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15895,A000000,01300,0000,01300SOCIAL SERVICE 15895,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15895,A000000,01600,0000,01600SKILLED NURSING FACILITY 15895,A000000,01800,0000,01800NURSING FACILITY 15895,A000000,01900,0000,01900OTHER LONG TERM CARE 15895,A000000,02100,0000,02100RADIOLOGY 15895,A000000,02200,0000,02200LABORATORY 15895,A000000,02300,0000,02300INTRAVENOUS THERAPY 15895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15895,A000000,02500,0000,02500PHYSICAL THERAPY 15895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15895,A000000,02700,0000,02700SPEECH PATHOLOGY 15895,A000000,02800,0000,02800ELECTROCARDIOLOGY 15895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15895,A000000,03050,0000,03300OTHER ANCILLARY 15895,A000000,03051,0000,03301OTHER ANCILLARY II 15895,A000000,03052,0000,03302OTHER ANCILLARY III 15895,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15895,A000000,03200,0000,03200SUPPORT SURFACES 15895,A000000,03400,0000,03400CLINIC 15895,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15895,A000000,03500,0000,03500RURAL HEALTH CLINIC 15895,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15895,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15895,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15895,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15895,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15895,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15895,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15895,A000000,04400,0000,04400DME RENTED - HHA 15895,A000000,04500,0000,04500DME SOLD - HHA 15895,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15895,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15895,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15895,A000000,04800,0000,04800AMBULANCE 15895,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15895,A000000,05000,0000,05000CORF 15895,A000000,05010,0000,05010CMHC I 15895,A000000,05020,0000,05020OPT I 15895,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15895,A000000,05300,0000,05300INTEREST EXPENSE 15895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15895,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15895,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15895,A000000,05500,0000,05500HOSPICE 15895,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15895,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15895,A000000,06100,0000,06100NONPAID WORKERS 15895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15895,A000000,06200,0000,06200PATIENTS LAUNDRY 15895,A81000A,00100,0100,Y 15895,A81000B,00100,0300,MANAGEMENT FEE 15895,A81000B,00200,0300,PAYROLL PROCESSING 15895,A81000B,00300,0300,PHYSICAL THERAPY 15895,A81000B,00400,0300,OCCUPATION THERAPY 15895,A81000B,00500,0300,SPEECH THERAPY 15895,A81000B,00600,0300,DIETARY 15895,A81000B,00700,0300,CENTRAL SUPPLY 15895,A81000B,00800,0300,MEDICAL SUPPLIES 15895,A81000B,00900,0300,MINOR EQUIPMENT 15895,A81000C,00100,0100,G 15895,A81000C,00100,0200,CENT HC CORP 15895,A81000C,00100,0400,CENT HC CORP 15895,A81000C,00100,0600,HOME OFFICE 15895,A81000C,00200,0100,G 15895,A81000C,00200,0200,CENT HC CORP 15895,A81000C,00200,0400,CENT HC CORP 15895,A81000C,00200,0600,HOME OFFICE 15895,A81000C,00300,0100,G 15895,A81000C,00300,0200,PARAGON 15895,A81000C,00300,0400,CENT HC CORP 15895,A81000C,00300,0600,THERAPY 15895,A81000C,00400,0100,G 15895,A81000C,00400,0200,PARAGON 15895,A81000C,00400,0400,CENT HC CORP 15895,A81000C,00400,0600,THERAPY 15895,A81000C,00500,0100,G 15895,A81000C,00500,0200,PARAGON 15895,A81000C,00500,0400,CENT HC CORP 15895,A81000C,00500,0600,THERAPY 15895,A81000C,00600,0100,G 15895,A81000C,00600,0200,CENTENNIAL PTS 15895,A81000C,00600,0400,CENT HC CORP 15895,A81000C,00600,0600,SUPPLIES 15895,A81000C,00700,0100,G 15895,A81000C,00700,0200,CENTENNIAL PTS 15895,A81000C,00700,0400,CENT HC CORP 15895,A81000C,00700,0600,MED SUPPLIES 15895,A81000C,00800,0100,G 15895,A81000C,00800,0200,CENTENNIAL PTS 15895,A81000C,00800,0400,CENT HC CORP 15895,A81000C,00800,0600,MED SUPPLIES 15895,A81000C,00900,0100,G 15895,A81000C,00900,0200,CENTENNIAL PTS 15895,A81000C,00900,0400,CENT HC CORP 15895,A81000C,00900,0600,MED SUPPLIES 15895,A81000C,03100,0000,SUPPLIES 15895,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15895,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15895,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15895,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15895,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15895,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15895,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15895,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15895,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15895,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15895,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15895,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15895,S000000,00100,0200,06/01/2000 15895,S200000,00100,0100,2961 ST. ANTHONY DRIVE 15895,S200000,00200,0100,GREEN BAY 15895,S200000,00200,0200,WI 15895,S200000,00200,0300,54311- 15895,S200000,00300,0100,BROWN 15895,S200000,00300,0200,3080 15895,S200000,00300,0300,U 15895,S200000,00400,0100,PARKVIEW MANOR HEALTH & REHAB 15895,S200000,00400,0200,525307 15895,S200000,00400,0300,10/01/1979 15895,S200000,00400,0500,P 15895,S200000,01500,0100,Y 15895,S200000,02200,0100,Y 15906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15906,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15906,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15906,A000000,00300,0000,00300EMPLOYEE BENEFITS 15906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15906,A000000,00700,0000,00700HOUSEKEEPING 15906,A000000,00800,0000,00800DIETARY 15906,A000000,00801,0000,00801CAFETERIA 15906,A000000,00900,0000,00900NURSING ADMINISTRATION 15906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15906,A000000,01100,0000,01100PHARMACY 15906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15906,A000000,01300,0000,01300SOCIAL SERVICE 15906,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15906,A000000,01600,0000,01600SKILLED NURSING FACILITY 15906,A000000,01800,0000,01800NURSING FACILITY 15906,A000000,01900,0000,01900OTHER LONG TERM CARE 15906,A000000,02100,0000,02100RADIOLOGY 15906,A000000,02200,0000,02200LABORATORY 15906,A000000,02300,0000,02300INTRAVENOUS THERAPY 15906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15906,A000000,02500,0000,02500PHYSICAL THERAPY 15906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15906,A000000,02700,0000,02700SPEECH PATHOLOGY 15906,A000000,02800,0000,02800ELECTROCARDIOLOGY 15906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15906,A000000,03050,0000,03300OTHER ANCILLARY 15906,A000000,03051,0000,03301OTHER ANCILLARY II 15906,A000000,03052,0000,03302OTHER ANCILLARY III 15906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15906,A000000,03200,0000,03200SUPPORT SURFACES 15906,A000000,03400,0000,03400CLINIC 15906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15906,A000000,03500,0000,03500RURAL HEALTH CLINIC 15906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15906,A000000,04400,0000,04400DME RENTED - HHA 15906,A000000,04500,0000,04500DME SOLD - HHA 15906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15906,A000000,04800,0000,04800AMBULANCE 15906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15906,A000000,05000,0000,05000CORF 15906,A000000,05010,0000,05010CMHC I 15906,A000000,05020,0000,05020OPT I 15906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15906,A000000,05300,0000,05300INTEREST EXPENSE 15906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15906,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15906,A000000,05500,0000,05500HOSPICE 15906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15906,A000000,06100,0000,06100NONPAID WORKERS 15906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15906,A000000,06200,0000,06200PATIENTS LAUNDRY 15906,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15906,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15906,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15906,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15906,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15906,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15906,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15906,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15906,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15906,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15906,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15906,S000000,00100,0200,06/01/2000 15906,S200000,00100,0100,2730 W RAMSEY AVE 15906,S200000,00200,0100,MILWAUKEE 15906,S200000,00200,0200,WI 15906,S200000,00200,0300,53221- 15906,S200000,00300,0100,MILWAUKEE 15906,S200000,00300,0200,5080 15906,S200000,00300,0300,U 15906,S200000,00400,0100,HONEY CREEK HEALTH & REHABILITATION 15906,S200000,00400,0200,525359 15906,S200000,00400,0300,04/20/1984 15906,S200000,00400,0500,P 15906,S200000,01500,0100,Y 15906,S200000,02200,0100,Y 15911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15911,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 15911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15911,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 15911,A000000,00300,0000,00300EMPLOYEE BENEFITS 15911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15911,A000000,00700,0000,00700HOUSEKEEPING 15911,A000000,00800,0000,00800DIETARY 15911,A000000,00801,0000,00801CAFETERIA 15911,A000000,00900,0000,00900NURSING ADMINISTRATION 15911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15911,A000000,01100,0000,01100PHARMACY 15911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15911,A000000,01300,0000,01300SOCIAL SERVICE 15911,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 15911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15911,A000000,01600,0000,01600SKILLED NURSING FACILITY 15911,A000000,01800,0000,01800NURSING FACILITY 15911,A000000,01900,0000,01900OTHER LONG TERM CARE 15911,A000000,02100,0000,02100RADIOLOGY 15911,A000000,02200,0000,02200LABORATORY 15911,A000000,02300,0000,02300INTRAVENOUS THERAPY 15911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15911,A000000,02500,0000,02500PHYSICAL THERAPY 15911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15911,A000000,02700,0000,02700SPEECH PATHOLOGY 15911,A000000,02800,0000,02800ELECTROCARDIOLOGY 15911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15911,A000000,03050,0000,03300OTHER ANCILLARY 15911,A000000,03051,0000,03301OTHER ANCILLARY II 15911,A000000,03052,0000,03302OTHER ANCILLARY III 15911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15911,A000000,03200,0000,03200SUPPORT SURFACES 15911,A000000,03400,0000,03400CLINIC 15911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 15911,A000000,03500,0000,03500RURAL HEALTH CLINIC 15911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15911,A000000,04400,0000,04400DME RENTED - HHA 15911,A000000,04500,0000,04500DME SOLD - HHA 15911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15911,A000000,04800,0000,04800AMBULANCE 15911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15911,A000000,05000,0000,05000CORF 15911,A000000,05010,0000,05010CMHC I 15911,A000000,05020,0000,05020OPT I 15911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15911,A000000,05300,0000,05300INTEREST EXPENSE 15911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 15911,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 15911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15911,A000000,05500,0000,05500HOSPICE 15911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15911,A000000,06100,0000,06100NONPAID WORKERS 15911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15911,A000000,06200,0000,06200PATIENTS LAUNDRY 15911,A81000A,00100,0100,Y 15911,A81000B,00100,0300,MANAGEMENT FEE 15911,A81000B,00200,0300,PAYROLL PROCESSING 15911,A81000B,00300,0300,PHYSICAL THERAPY 15911,A81000B,00400,0300,OCCUPATION THERAPY 15911,A81000B,00500,0300,SPEECH THERAPY 15911,A81000B,00600,0300,DIETARY 15911,A81000B,00700,0300,CENTRAL SUPPLY 15911,A81000B,00800,0300,MEDICAL SUPPLIES 15911,A81000B,00900,0300,MED EQUIP RENTAL 15911,A81000C,00100,0100,G 15911,A81000C,00100,0200,CENT HC CORP 15911,A81000C,00100,0400,CENT HC CORP 15911,A81000C,00100,0600,HOME OFFICE 15911,A81000C,00200,0100,G 15911,A81000C,00200,0200,CENT HC CORP 15911,A81000C,00200,0400,CENT HC CORP 15911,A81000C,00200,0600,HOME OFFICE 15911,A81000C,00300,0100,G 15911,A81000C,00300,0200,PARAGON 15911,A81000C,00300,0400,CENT HC CORP 15911,A81000C,00300,0600,THERAPY 15911,A81000C,00400,0100,G 15911,A81000C,00400,0200,PARAGON 15911,A81000C,00400,0400,CENT HC CORP 15911,A81000C,00400,0600,THERAPY 15911,A81000C,00500,0100,G 15911,A81000C,00500,0200,PARAGON 15911,A81000C,00500,0400,CENT HC CORP 15911,A81000C,00500,0600,THERAPY 15911,A81000C,00600,0100,G 15911,A81000C,00600,0200,CENTENNIAL PTS 15911,A81000C,00600,0400,CENT HC CORP 15911,A81000C,00600,0600,SUPPLIES 15911,A81000C,00700,0100,G 15911,A81000C,00700,0200,CENTENNIAL PTS 15911,A81000C,00700,0400,CENT HC CORP 15911,A81000C,00700,0600,MED SUPPLIES 15911,A81000C,00800,0100,G 15911,A81000C,00800,0200,CENTENNIAL PTS 15911,A81000C,00800,0400,CENT HC CORP 15911,A81000C,00800,0600,MED SUPPLIES 15911,A81000C,00900,0100,G 15911,A81000C,00900,0200,CENTENNIAL PTS 15911,A81000C,00900,0400,CENT HC CORP 15911,A81000C,00900,0600,SUPPLIES 15911,A81000C,03100,0000,SUPPLIES 15911,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 15911,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 15911,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 15911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15911,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 15911,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 15911,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 15911,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 15911,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 15911,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 15911,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 15911,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 15911,S000000,00100,0200,06/01/2000 15911,S200000,00100,0100,500 S. GRANT AVE 15911,S200000,00200,0100,OMRO 15911,S200000,00200,0200,WI 15911,S200000,00200,0300,54963- 15911,S200000,00300,0100,WINNEBAGO 15911,S200000,00300,0200,5080 15911,S200000,00300,0300,U 15911,S200000,00400,0100,OMRO CARE CENTER 15911,S200000,00400,0200,525406 15911,S200000,00400,0300,03/01/1987 15911,S200000,00400,0500,P 15911,S200000,01500,0100,Y 15911,S200000,02200,0100,Y 15911,S200000,02800,0100,Y 15918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15918,A000000,00300,0000,00300EMPLOYEE BENEFITS 15918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15918,A000000,00700,0000,00700HOUSEKEEPING 15918,A000000,00800,0000,00800DIETARY 15918,A000000,00900,0000,00900NURSING ADMINISTRATION 15918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15918,A000000,01100,0000,01100PHARMACY 15918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15918,A000000,01300,0000,01300SOCIAL SERVICE 15918,A000000,01350,0000,01500OTHER GENERAL SERVICES 15918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15918,A000000,01600,0000,01600SKILLED NURSING FACILITY 15918,A000000,01800,0000,01800NURSING FACILITY 15918,A000000,01810,0000,01810ICF/MR 15918,A000000,01900,0000,01900OTHER LONG TERM CARE 15918,A000000,02100,0000,02100RADIOLOGY 15918,A000000,02200,0000,02200LABORATORY 15918,A000000,02300,0000,02300INTRAVENOUS THERAPY 15918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15918,A000000,02500,0000,02500PHYSICAL THERAPY 15918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15918,A000000,02700,0000,02700SPEECH PATHOLOGY 15918,A000000,02800,0000,02800ELECTROCARDIOLOGY 15918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15918,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15918,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15918,A000000,03200,0000,03200SUPPORT SURFACES 15918,A000000,03400,0000,03400CLINIC 15918,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15918,A000000,03500,0000,03500RURAL HEALTH CLINIC 15918,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15918,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15918,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15918,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15918,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15918,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15918,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15918,A000000,04400,0000,04400DME RENTED - HHA 15918,A000000,04500,0000,04500DME SOLD - HHA 15918,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15918,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15918,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15918,A000000,04800,0000,04800AMBULANCE 15918,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15918,A000000,05000,0000,05000CORF 15918,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15918,A000000,05300,0000,05300INTEREST EXPENSE 15918,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15918,A000000,05500,0000,05500HOSPICE 15918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15918,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15918,A000000,06100,0000,06100NONPAID WORKERS 15918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15918,A000000,06200,0000,06200PATIENTS LAUNDRY 15918,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 15918,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 15918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15918,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 15918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15918,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 15918,B100000,00000,0800,00000MEALS SERVED :DIETARY 15918,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15918,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15918,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15918,S000000,00100,0200,08/28/2000 15918,S200000,00100,0100,16925 HIEBA DRIVE 15918,S200000,00200,0100,SAN DIEGO 15918,S200000,00200,0200,CA 15918,S200000,00200,0300,92128- 15918,S200000,00300,0100,SAN DIEGO 15918,S200000,00300,0200,7320 15918,S200000,00300,0300,U 15918,S200000,00400,0100,REMINGTON CLUB I 15918,S200000,00400,0200,555296 15918,S200000,00400,0300,04/13/1988 15918,S200000,00400,0500,P 15918,S200000,01600,0100,Y 15924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15924,A000000,00300,0000,00300EMPLOYEE BENEFITS 15924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15924,A000000,00700,0000,00700HOUSEKEEPING 15924,A000000,00800,0000,00800DIETARY 15924,A000000,00900,0000,00900NURSING ADMINISTRATION 15924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15924,A000000,01100,0000,01100PHARMACY 15924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15924,A000000,01300,0000,01300SOCIAL SERVICE 15924,A000000,01350,0000,01500OTHER GENERAL SERVICES 15924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15924,A000000,01600,0000,01600SKILLED NURSING FACILITY 15924,A000000,01800,0000,01800NURSING FACILITY 15924,A000000,01900,0000,01900OTHER LONG TERM CARE 15924,A000000,02100,0000,02100RADIOLOGY 15924,A000000,02200,0000,02200LABORATORY 15924,A000000,02300,0000,02300INTRAVENOUS THERAPY 15924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15924,A000000,02500,0000,02500PHYSICAL THERAPY 15924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15924,A000000,02700,0000,02700SPEECH PATHOLOGY 15924,A000000,02800,0000,02800ELECTROCARDIOLOGY 15924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15924,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15924,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15924,A000000,03200,0000,03200SUPPORT SURFACES 15924,A000000,03400,0000,03400CLINIC 15924,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15924,A000000,03500,0000,03500RURAL HEALTH CLINIC 15924,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15924,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15924,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15924,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15924,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15924,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15924,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15924,A000000,04400,0000,04400DME RENTED - HHA 15924,A000000,04500,0000,04500DME SOLD - HHA 15924,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15924,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15924,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15924,A000000,04800,0000,04800AMBULANCE 15924,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15924,A000000,05000,0000,05000CORF 15924,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15924,A000000,05300,0000,05300INTEREST EXPENSE 15924,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15924,A000000,05500,0000,05500HOSPICE 15924,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15924,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15924,A000000,06100,0000,06100NONPAID WORKERS 15924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15924,A000000,06200,0000,06200PATIENTS LAUNDRY 15924,A81000A,00100,0100,Y 15924,A81000B,00100,0300,CAPITAL 15924,A81000B,00200,0300,CAPITAL 15924,A81000B,00300,0300,ADMINISTRATIVE 15924,A81000B,00400,0300,NURSING 15924,A81000B,00500,0300,NURSING 15924,A81000B,00600,0300,NURSING 15924,A81000C,00100,0100,B 15924,A81000C,00100,0200,MARRIOTT SLS 15924,A81000C,00100,0600,HEALTHCARE 15924,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15924,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15924,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15924,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15924,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15924,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15924,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15924,B100000,00000,0800,00000MEALS SERVED :DIETARY 15924,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15924,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15924,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15924,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15924,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15924,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15924,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15924,S000000,00100,0200,06/02/2000 15924,S200000,00100,0100,24552 PASEO DE VALENCIA 15924,S200000,00200,0100,LAGUNA HILLS 15924,S200000,00200,0200,CA 15924,S200000,00200,0300,92653- 15924,S200000,00300,0100,ORANGE 15924,S200000,00400,0100,VILLA VALENCIA HEALTHCARE CENTER 15924,S200000,00400,0200,555462 15924,S200000,00400,0300,06/24/1991 15924,S200000,00400,0500,P 15924,S200000,01600,0100,Y 15924,S700003,00000,0100,1 15939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15939,A000000,00300,0000,00300EMPLOYEE BENEFITS 15939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15939,A000000,00700,0000,00700HOUSEKEEPING 15939,A000000,00800,0000,00800DIETARY 15939,A000000,00900,0000,00900NURSING ADMINISTRATION 15939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15939,A000000,01100,0000,01100PHARMACY 15939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15939,A000000,01300,0000,01300SOCIAL SERVICE 15939,A000000,01350,0000,01500OTHER GENERAL SERVICES 15939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15939,A000000,01600,0000,01600SKILLED NURSING FACILITY 15939,A000000,01800,0000,01800NURSING FACILITY 15939,A000000,01900,0000,01900OTHER LONG TERM CARE 15939,A000000,02100,0000,02100RADIOLOGY 15939,A000000,02200,0000,02200LABORATORY 15939,A000000,02300,0000,02300INTRAVENOUS THERAPY 15939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15939,A000000,02500,0000,02500PHYSICAL THERAPY 15939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15939,A000000,02700,0000,02700SPEECH PATHOLOGY 15939,A000000,02800,0000,02800ELECTROCARDIOLOGY 15939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15939,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15939,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15939,A000000,03200,0000,03200SUPPORT SURFACES 15939,A000000,03400,0000,03400CLINIC 15939,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15939,A000000,03500,0000,03500RURAL HEALTH CLINIC 15939,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15939,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15939,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15939,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15939,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15939,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15939,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15939,A000000,04400,0000,04400DME RENTED - HHA 15939,A000000,04500,0000,04500DME SOLD - HHA 15939,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15939,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15939,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15939,A000000,04800,0000,04800AMBULANCE 15939,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15939,A000000,05000,0000,05000CORF 15939,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15939,A000000,05300,0000,05300INTEREST EXPENSE 15939,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15939,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15939,A000000,05500,0000,05500HOSPICE 15939,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15939,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15939,A000000,06100,0000,06100NONPAID WORKERS 15939,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15939,A000000,06200,0000,06200PATIENTS LAUNDRY 15939,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15939,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15939,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15939,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15939,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15939,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15939,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15939,B100000,00000,0800,00000MEALS SERVED :DIETARY 15939,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15939,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15939,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15939,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15939,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15939,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15939,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15939,S000000,00100,0200,06/02/2000 15939,S200000,00100,0100,1740 SAN DIMAS AVENUE 15939,S200000,00200,0100,SAN DIMAS 15939,S200000,00200,0200,CA 15939,S200000,00200,0300,91773- 15939,S200000,00300,0100,LOS ANGELES 15939,S200000,00400,0100,BRIGHTON GARDENS OF SAN DIMAS 15939,S200000,00400,0200,555737 15939,S200000,00400,0300,05/05/1999 15939,S200000,00400,0500,P 15939,S200000,01004,0500,O 15939,S200000,01600,0100,Y 15939,S200000,04100,0100,Y 15939,S700003,00000,0400,4 15961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15961,A000000,00300,0000,00300EMPLOYEE BENEFITS 15961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15961,A000000,00700,0000,00700HOUSEKEEPING 15961,A000000,00800,0000,00800DIETARY 15961,A000000,00900,0000,00900NURSING ADMINISTRATION 15961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15961,A000000,01100,0000,01100PHARMACY 15961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15961,A000000,01300,0000,01300SOCIAL SERVICE 15961,A000000,01350,0000,01500OTHER GENERAL SERVICES 15961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15961,A000000,01600,0000,01600SKILLED NURSING FACILITY 15961,A000000,01800,0000,01800NURSING FACILITY 15961,A000000,01810,0000,01801ICF/MR 15961,A000000,01900,0000,01900OTHER LONG TERM CARE 15961,A000000,02100,0000,02100RADIOLOGY 15961,A000000,02200,0000,02200LABORATORY 15961,A000000,02300,0000,02300INTRAVENOUS THERAPY 15961,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15961,A000000,02500,0000,02500PHYSICAL THERAPY 15961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15961,A000000,02700,0000,02700SPEECH PATHOLOGY 15961,A000000,02800,0000,02800ELECTROCARDIOLOGY 15961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15961,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15961,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15961,A000000,03200,0000,03200SUPPORT SURFACES 15961,A000000,03400,0000,03400CLINIC 15961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15961,A000000,03500,0000,03500RURAL HEALTH CLINIC 15961,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15961,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15961,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15961,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15961,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15961,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15961,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15961,A000000,04400,0000,04400DME RENTED - HHA 15961,A000000,04500,0000,04500DME SOLD - HHA 15961,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15961,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15961,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15961,A000000,04800,0000,04800AMBULANCE 15961,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15961,A000000,05000,0000,05000CORF 15961,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15961,A000000,05300,0000,05300INTEREST EXPENSE 15961,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15961,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15961,A000000,05500,0000,05500HOSPICE 15961,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15961,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15961,A000000,06100,0000,06100NONPAID WORKERS 15961,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15961,A000000,06200,0000,06200PATIENTS LAUNDRY 15961,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15961,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15961,B100000,00000,0350,00000SALARY :EMPLOYEE BENEFITS 15961,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15961,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15961,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15961,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15961,B100000,00000,0850,00000M :DIETARY 15961,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15961,B100000,00000,1050,00000SUPPLY COSTS :CENTRAL SERVICES & S 15961,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15961,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15961,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15961,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15961,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15961,S000000,00100,0200,06/01/2000 15961,S200000,00100,0100,4401 SPICEWOOD SPRINGS ROAD 15961,S200000,00200,0100,AUSTIN 15961,S200000,00200,0200,TX 15961,S200000,00200,0300,78759- 15961,S200000,00300,0100,TRAVIS 15961,S200000,00400,0100,BRIGHTON GARDENS OF AUSTIN 15961,S200000,00400,0200,675533 15961,S200000,00400,0300,08/25/1995 15961,S200000,00400,0500,P 15961,S200000,01600,0100,Y 15961,S700003,00000,0400,4 15967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15967,A000000,00300,0000,00300EMPLOYEE BENEFITS 15967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15967,A000000,00700,0000,00700HOUSEKEEPING 15967,A000000,00800,0000,00800DIETARY 15967,A000000,00900,0000,00900NURSING ADMINISTRATION 15967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15967,A000000,01100,0000,01100PHARMACY 15967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15967,A000000,01300,0000,01300SOCIAL SERVICE 15967,A000000,01350,0000,01500OTHER GENERAL SERVICES 15967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15967,A000000,01600,0000,01600SKILLED NURSING FACILITY 15967,A000000,01800,0000,01800NURSING FACILITY 15967,A000000,01810,0000,01801ICF/MR 15967,A000000,01900,0000,01900OTHER LONG TERM CARE 15967,A000000,02100,0000,02100RADIOLOGY 15967,A000000,02200,0000,02200LABORATORY 15967,A000000,02300,0000,02300INTRAVENOUS THERAPY 15967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15967,A000000,02500,0000,02500PHYSICAL THERAPY 15967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15967,A000000,02700,0000,02700SPEECH PATHOLOGY 15967,A000000,02800,0000,02800ELECTROCARDIOLOGY 15967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15967,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15967,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15967,A000000,03200,0000,03200SUPPORT SURFACES 15967,A000000,03400,0000,03400CLINIC 15967,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15967,A000000,03500,0000,03500RURAL HEALTH CLINIC 15967,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 15967,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 15967,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 15967,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 15967,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 15967,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 15967,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 15967,A000000,04400,0000,04400DME RENTED - HHA 15967,A000000,04500,0000,04500DME SOLD - HHA 15967,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 15967,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 15967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15967,A000000,04800,0000,04800AMBULANCE 15967,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15967,A000000,05000,0000,05000CORF 15967,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15967,A000000,05300,0000,05300INTEREST EXPENSE 15967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15967,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15967,A000000,05500,0000,05500HOSPICE 15967,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15967,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15967,A000000,06100,0000,06100NONPAID WORKERS 15967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15967,A000000,06200,0000,06200PATIENTS LAUNDRY 15967,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15967,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15967,B100000,00000,0350,00000SALARY :EMPLOYEE BENEFITS 15967,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15967,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15967,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15967,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15967,B100000,00000,0800,00000MEALS :DIETARY 15967,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 15967,B100000,00000,1000,00000COSTED REQ. :CENTRAL SERVICES & SU 15967,B100000,00000,1150,00000NO STATISTICS :PHARMACY 15967,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 15967,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 15967,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 15967,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 15967,S000000,00100,0200,06/01/2000 15967,S200000,00100,0100,8555 EAST BASSE ROAD 15967,S200000,00200,0100,SAN ANTONIO 15967,S200000,00200,0200,TX 15967,S200000,00200,0300,78209- 15967,S200000,00300,0100,BEXAR 15967,S200000,00400,0100,BRIGHTON GARDENS OF SAN ANTONIO 15967,S200000,00400,0200,675542 15967,S200000,00400,0300,11/30/1995 15967,S200000,00400,0500,P 15967,S200000,01004,0500,O 15967,S200000,01600,0100,Y 15967,S700003,00000,0400,4 15973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 15973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 15973,A000000,00300,0000,00300EMPLOYEE BENEFITS 15973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 15973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15973,A000000,00700,0000,00700HOUSEKEEPING 15973,A000000,00800,0000,00800DIETARY 15973,A000000,00900,0000,00900NURSING ADMINISTRATION 15973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15973,A000000,01100,0000,01100PHARMACY 15973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15973,A000000,01300,0000,01300SOCIAL SERVICE 15973,A000000,01350,0000,01500OTHER GENERAL SERVICES 15973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 15973,A000000,01600,0000,01600SKILLED NURSING FACILITY 15973,A000000,01800,0000,01800NURSING FACILITY 15973,A000000,01900,0000,01900OTHER LONG TERM CARE 15973,A000000,02100,0000,02100RADIOLOGY 15973,A000000,02200,0000,02200LABORATORY 15973,A000000,02300,0000,02300INTRAVENOUS THERAPY 15973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 15973,A000000,02500,0000,02500PHYSICAL THERAPY 15973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15973,A000000,02700,0000,02700SPEECH PATHOLOGY 15973,A000000,02800,0000,02800ELECTROCARDIOLOGY 15973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 15973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 15973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 15973,A000000,03200,0000,03200SUPPORT SURFACES 15973,A000000,03400,0000,03400CLINIC 15973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 15973,A000000,03500,0000,03500RURAL HEALTH CLINIC 15973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 15973,A000000,04800,0000,04800AMBULANCE 15973,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 15973,A000000,05000,0000,05000CORF 15973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 15973,A000000,05300,0000,05300INTEREST EXPENSE 15973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 15973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15973,A000000,05500,0000,05500HOSPICE 15973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 15973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 15973,A000000,06100,0000,06100NONPAID WORKERS 15973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 15973,A000000,06200,0000,06200PATIENTS LAUNDRY 15973,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 15973,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 15973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 15973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 15973,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 15973,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 15973,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 15973,B100000,00000,0800,00000MEALS SERVED :DIETARY 15973,B100000,00000,0950,00000HEALTHCARE E D :NURSING ADMINISTRAT 15973,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 15973,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 15973,B100000,00000,1250,00000HEALTHCARE E D :MEDICAL RECORDS & L 15973,B100000,00000,1330,00000HEALTHCARE E D :SOCIAL SERVICE 15973,B100000,00000,1350,00000HEALTHCARE E D :OTHER GENERAL SERVI 15973,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 15973,S000000,00100,0200,06/02/2000 15973,S200000,00100,0100,1600 AUGUSTA DRIVE 15973,S200000,00200,0100,HOUSTON 15973,S200000,00200,0200,TX 15973,S200000,00200,0300,77057- 15973,S200000,00300,0100,HARRIS 15973,S200000,00400,0100,BRIGHTON GARDENS OF TANGLEWOOD 15973,S200000,00400,0200,675662 15973,S200000,00400,0300,02/06/1997 15973,S200000,00400,0500,P 15973,S200000,01600,0100,Y 15973,S200000,04100,0100,Y 15973,S700003,00000,0400,4 15981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 15981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 15981,A000000,00300,0000,00300EMPLOYEE BENEFITS 15981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 15981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15981,A000000,00700,0000,00700HOUSEKEEPING 15981,A000000,00800,0000,00800DIETARY 15981,A000000,00900,0000,00900NURSING ADMINISTRATION 15981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15981,A000000,01100,0000,01100PHARMACY 15981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15981,A000000,01300,0000,01300SOCIAL SERVICE 15981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 15981,A000000,01600,0000,01600SKILLED NURSING FACILITY 15981,A000000,01800,0000,01800NURSING FACILITY 15981,A000000,01810,0000,01810ICF/MR 15981,A000000,02500,0000,02500PHYSICAL THERAPY 15981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15981,A000000,02700,0000,02700SPEECH PATHOLOGY 15981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 15981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15981,A000000,03550,0000,03550FQHC 15981,A000000,05000,0000,05000CORF 15981,A000000,05010,0000,05010CMHC 15981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15981,A81000A,00100,0100,Y 15981,A81000B,00100,0300,MGMT FEE NON-CAPITAL 15981,A81000B,00200,0300,MGMT FEE CAPITAL 15981,A81000C,00100,0100,B 15981,A81000C,00100,0200,COVENANT RET CO 15981,A81000C,00100,0400,N/A 15981,A81000C,00100,0600,N/A 15981,B100000,00000,0100,00000SQUARE FEET 15981,B100000,00000,0200,00000SQUARE FEET 15981,B100000,00000,0300,00000GROSS SALARIES 15981,B100000,00000,0400,00000ACCUM COST 15981,B100000,00000,0500,00000SQUARE FEET 15981,B100000,00000,0600,00000PATIENT DAYS 15981,B100000,00000,0700,00000SQUARE FEET 15981,B100000,00000,0800,00000MEALS SERVED 15981,B100000,00000,0900,00000DIRECT NRSG HRS 15981,B100000,00000,1000,00000COSTED REQUIS 15981,B100000,00000,1100,00000COSTED REQUIS 15981,B100000,00000,1200,00000GROSS REVENUE 15981,B100000,00000,1300,00000WEIGHTED STATISTIC 15981,B100000,00000,1400,00000ASSIGNED TIME 15981,S000000,00100,0200,07/03/2000 15981,S200000,00100,0100,9153 YARROW STREET 15981,S200000,00200,0100,WESTMINSTER 15981,S200000,00200,0200,CO 15981,S200000,00200,0300,80021 15981,S200000,00300,0100,JEFFERSON 15981,S200000,00400,0100,COVENANT VILLAGE OF COLORADO 15981,S200000,00400,0200,065367 15981,S200000,00400,0300,03/25/1998 15981,S200000,00400,0500,P 15981,S200000,01600,0100,Y 15981,S200000,02200,0100,Y 15981,S200000,04100,0100,Y 15988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 15988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 15988,A000000,00300,0000,00300EMPLOYEE BENEFITS 15988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 15988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15988,A000000,00700,0000,00700HOUSEKEEPING 15988,A000000,00800,0000,00800DIETARY 15988,A000000,00900,0000,00900NURSING ADMINISTRATION 15988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15988,A000000,01100,0000,01100PHARMACY 15988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15988,A000000,01300,0000,01300SOCIAL SERVICE 15988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 15988,A000000,01600,0000,01600SKILLED NURSING FACILITY 15988,A000000,01810,0000,01810ICF/MR 15988,A000000,02500,0000,02500PHYSICAL THERAPY 15988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15988,A000000,02700,0000,02700SPEECH PATHOLOGY 15988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 15988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15988,A000000,03550,0000,03550FQHC 15988,A000000,05000,0000,05000CORF 15988,A000000,05010,0000,05010CMHC 15988,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15988,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15988,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 15988,A81000A,00100,0100,Y 15988,A81000B,00100,0300,MGMT FEE NON-CAPITAL 15988,A81000B,00200,0300,MGMT FEE - CAPITAL 15988,A81000C,00100,0100,B 15988,A81000C,00100,0200,COVENANT RET. C 15988,A81000C,00100,0400,N/A 15988,A81000C,00100,0600,N/A 15988,B100000,00000,0100,00000SQUARE FEET 15988,B100000,00000,0200,00000SQUARE FEET 15988,B100000,00000,0300,00000GROSS SALARIES 15988,B100000,00000,0400,00000ACCUM COST 15988,B100000,00000,0500,00000SQUARE FEET 15988,B100000,00000,0600,00000PATIENT DAYS 15988,B100000,00000,0700,00000SQUARE FEET 15988,B100000,00000,0800,00000MEALS SERVED 15988,B100000,00000,0900,00000DIRECT NRSG HRS 15988,B100000,00000,1000,00000COSTED REQUIS 15988,B100000,00000,1100,00000COSTED REQUIS 15988,B100000,00000,1200,00000GROSS REVENUE 15988,B100000,00000,1300,00000PATIENT DAYS 15988,B100000,00000,1400,00000ASSIGNED TIME 15988,S000000,00100,0200,07/03/2000 15988,S200000,00100,0100,52 MISSIONARY ROAD 15988,S200000,00200,0100,CROMWELL 15988,S200000,00200,0200,CT 15988,S200000,00200,0300,06416 15988,S200000,00300,0100,MIDDLESEX 15988,S200000,00400,0100,PILGRIM MANOR 15988,S200000,00400,0200,075306 15988,S200000,00400,0300,02/01/1987 15988,S200000,00400,0500,P 15988,S200000,01500,0100,Y 15988,S200000,02200,0100,Y 15988,S200000,02800,0100,Y 15996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 15996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 15996,A000000,00300,0000,00300EMPLOYEE BENEFITS 15996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 15996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 15996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 15996,A000000,00700,0000,00700HOUSEKEEPING 15996,A000000,00800,0000,00800DIETARY 15996,A000000,00900,0000,00900NURSING ADMINISTRATION 15996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 15996,A000000,01100,0000,01100PHARMACY 15996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 15996,A000000,01300,0000,01300SOCIAL SERVICE 15996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 15996,A000000,01600,0000,01600SKILLED NURSING FACILITY 15996,A000000,01800,0000,01800NURSING FACILITY 15996,A000000,01810,0000,01810ICF/MR 15996,A000000,02500,0000,02500PHYSICAL THERAPY 15996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 15996,A000000,02700,0000,02700SPEECH PATHOLOGY 15996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 15996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 15996,A000000,03550,0000,03550FQHC 15996,A000000,05000,0000,05000CORF 15996,A000000,05010,0000,05010CMHC 15996,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 15996,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 15996,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 15996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 15996,A81000A,00100,0100,Y 15996,A81000B,00100,0300,MGMT. FEES - NON-CAP 15996,A81000B,00200,0300,MGMT. FEES - CAPITAL 15996,A81000C,00100,0100,B 15996,A81000C,00100,0200,COV.RET.COMM. I 15996,A81000C,00100,0400,N/A 15996,A81000C,00100,0600,N/A 15996,B100000,00000,0100,00000SQUARE FEET 15996,B100000,00000,0200,00000SQUARE FEET 15996,B100000,00000,0300,00000GROSS SALARIES 15996,B100000,00000,0400,00000ACCUM COST 15996,B100000,00000,0500,00000SQUARE FEET 15996,B100000,00000,0600,00000PATIENT DAYS 15996,B100000,00000,0700,00000SQUARE FEET 15996,B100000,00000,0800,00000MEALS SERVED 15996,B100000,00000,0900,00000DIRECT NRSG HRS 15996,B100000,00000,1000,00000COSTED REQUIS 15996,B100000,00000,1100,00000COSTED REQUIS 15996,B100000,00000,1200,00000GROSS REVENUE 15996,B100000,00000,1300,00000TIME SPENT 15996,B100000,00000,1400,00000ASSIGNED TIME 15996,S000000,00100,0200,07/03/2000 15996,S200000,00100,0100,9201 WEST BROWARD BOULEVARD 15996,S200000,00200,0100,PLANTATION 15996,S200000,00200,0200,FL 15996,S200000,00200,0300,33324 15996,S200000,00300,0100,BROWARD 15996,S200000,00400,0100,COVENANT VILLAGE CARE CENTERS 15996,S200000,00400,0200,105604 15996,S200000,00400,0300,03/15/1988 15996,S200000,00400,0500,P 15996,S200000,01600,0100,Y 15996,S200000,02200,0100,Y 15996,S200000,02800,0100,Y 16005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16005,A000000,00300,0000,00300EMPLOYEE BENEFITS 16005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16005,A000000,00700,0000,00700HOUSEKEEPING 16005,A000000,00800,0000,00800DIETARY 16005,A000000,00900,0000,00900NURSING ADMINISTRATION 16005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16005,A000000,01100,0000,01100PHARMACY 16005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16005,A000000,01300,0000,01300SOCIAL SERVICE 16005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16005,A000000,01600,0000,01600SKILLED NURSING FACILITY 16005,A000000,01800,0000,01800NURSING FACILITY 16005,A000000,01810,0000,01810ICF/MR 16005,A000000,02100,0000,02100RADIOLOGY 16005,A000000,02200,0000,02200LABORATORY 16005,A000000,02500,0000,02500PHYSICAL THERAPY 16005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16005,A000000,03550,0000,03550FQHC 16005,A000000,05000,0000,05000CORF 16005,A000000,05010,0000,05010CMHC 16005,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16005,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16005,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16005,A81000A,00100,0100,Y 16005,A81000B,00100,0300,HOSPITAL ALLOC-DEPRE 16005,A81000B,00200,0300,HOSPITAL ALLOC A&G 16005,A81000B,00300,0300,HOSPITAL ALLOC-PLANT 16005,A81000C,00100,0100,B 16005,A81000C,00100,0400,RESURRECTION HE 16005,A81000C,00100,0600,HEALTH CARE 16005,B100000,00000,0100,00000(SQUARE FEET) 16005,B100000,00000,0200,00000(SQUARE FEET) 16005,B100000,00000,0300,00000(GROSS SALARIES) 16005,B100000,00000,0400,00000(ACCUM COST) 16005,B100000,00000,0500,00000(SQUARE FEET) 16005,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 16005,B100000,00000,0700,00000(HOURS OF SERVICE) 16005,B100000,00000,0800,00000(MEALS SERVED) 16005,B100000,00000,0900,00000(DIRECT NRSG HRS) 16005,B100000,00000,1000,00000(COSTED REQUIS) 16005,B100000,00000,1100,00000(COSTED REQUIS) 16005,B100000,00000,1200,00000(TIME SPENT) 16005,B100000,00000,1300,00000TIME SPENT 16005,B100000,00000,1400,00000(ASSIGNED TIME) 16005,S000000,00100,0200,12/01/2000 16005,S200000,00100,0100,500 ASBURY STREET 16005,S200000,00200,0100,EVANSTON 16005,S200000,00200,0200,IL 16005,S200000,00200,0300,60202 16005,S200000,00300,0100,C 16005,S200000,00400,0100,ST. FRANCIS NURSING & REHAB CENTER 16005,S200000,00400,0200,145011 16005,S200000,00400,0300,03/08/1985 16005,S200000,00400,0500,P 16005,S200000,01600,0100,Y 16018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16018,A000000,00300,0000,00300EMPLOYEE BENEFITS 16018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16018,A000000,00700,0000,00700HOUSEKEEPING 16018,A000000,00800,0000,00800DIETARY 16018,A000000,00900,0000,00900NURSING ADMINISTRATION 16018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16018,A000000,01100,0000,01100PHARMACY 16018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16018,A000000,01300,0000,01300SOCIAL SERVICE 16018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16018,A000000,01600,0000,01600SKILLED NURSING FACILITY 16018,A000000,01800,0000,01800NURSING FACILITY 16018,A000000,01810,0000,01810ICF/MR 16018,A000000,02100,0000,02100RADIOLOGY 16018,A000000,02500,0000,02500PHYSICAL THERAPY 16018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16018,A000000,02700,0000,02700SPEECH PATHOLOGY 16018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16018,A000000,03400,0000,03400CLINIC 16018,A000000,03550,0000,03550FQHC 16018,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 16018,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 16018,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 16018,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 16018,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 16018,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 16018,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 16018,A000000,05000,0000,05000CORF 16018,A000000,05010,0000,05010CMHC 16018,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16018,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16018,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16018,A000000,06150,0000,06300MARKETING 16018,B100000,00000,0100,00000SQUARE FEET 16018,B100000,00000,0200,00000SQUARE FEET 16018,B100000,00000,0300,00000GROSS SALARIES 16018,B100000,00000,0400,00000ACCUM COST 16018,B100000,00000,0500,00000SQUARE FEET 16018,B100000,00000,0600,00000POUNDS OF LAUNDRY 16018,B100000,00000,0700,00000HOURS OF SERVICE 16018,B100000,00000,0800,00000MEALS SERVED 16018,B100000,00000,0900,00000DIRECT NRSG HRS 16018,B100000,00000,1000,00000COSTED REQUIS 16018,B100000,00000,1100,00000COSTED REQUIS 16018,B100000,00000,1200,00000TIME SPENT 16018,B100000,00000,1300,00000TIME SPENT 16018,B100000,00000,1400,00000ASSIGNED TIME 16018,H510100,00000,0000,1600 16018,H510100,02400,0000,1600 16018,S000000,00100,0200,09/11/2000 16018,S200000,00100,0100,3200 GRANT ST 16018,S200000,00200,0100,EVANSTON 16018,S200000,00200,0200,IL 16018,S200000,00200,0300,60201 16018,S200000,00300,0100,COOK 16018,S200000,00400,0100,PRESBYTERIAN HOME 16018,S200000,00400,0200,145026 16018,S200000,00400,0300,02/20/1967 16018,S200000,00400,0500,P 16018,S200000,00800,0200,147647 16018,S200000,00800,0300,11/19/1996 16018,S200000,00800,0500,P 16018,S200000,01700,0100,Y 16025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16025,A000000,00300,0000,00300EMPLOYEE BENEFITS 16025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16025,A000000,00700,0000,00700HOUSEKEEPING 16025,A000000,00800,0000,00800DIETARY 16025,A000000,00900,0000,00900NURSING ADMINISTRATION 16025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16025,A000000,01100,0000,01100PHARMACY 16025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16025,A000000,01300,0000,01300SOCIAL SERVICE 16025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16025,A000000,01600,0000,01600SKILLED NURSING FACILITY 16025,A000000,01810,0000,01810ICF/MR 16025,A000000,01900,0000,01900OTHER LONG TERM CARE 16025,A000000,02500,0000,02500PHYSICAL THERAPY 16025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16025,A000000,02700,0000,02700SPEECH PATHOLOGY 16025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16025,A000000,03550,0000,03550FQHC 16025,A000000,05000,0000,05000CORF 16025,A000000,05010,0000,05010CMHC 16025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16025,A000000,06101,0000,06101BAD DEBTS 16025,A000000,06102,0000,06102DEVELOPMENT 16025,A81000A,00100,0100,Y 16025,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 16025,A81000C,00100,0100,B 16025,A81000C,00100,0200,SENIOR SERVICE 16025,A81000C,00100,0600,HEALTH SERVICE 16025,B100000,00000,0100,00002SQUARE FEET 16025,B100000,00000,0200,00002DOLLAR VALUE 16025,B100000,00000,0300,00002GROSS SALARIES 16025,B100000,00000,0400,00002ACCUM. COST 16025,B100000,00000,0500,00002SQUARE FEET 16025,B100000,00000,0600,00002POUNDS OF LAUNDRY 16025,B100000,00000,0700,00002HOURS OF SERVICE 16025,B100000,00000,0800,00002MEALS SERVED 16025,B100000,00000,0900,00002DIRECT NRSING HRS 16025,B100000,00000,1000,00002COSTED REQUIS. 16025,B100000,00000,1100,00002COSTED REQUIS. 16025,B100000,00000,1200,00002TIME SPENT 16025,B100000,00000,1300,00002TIME SPENT 16025,B100000,00000,1400,00002ASSIGNED TIME 16025,S000000,00100,0200,06/30/2000 16025,S200000,00100,0100,210 NORTH SPRINGFIELD AVENUE 16025,S200000,00200,0100,JOLIET 16025,S200000,00200,0200,IL 16025,S200000,00200,0300,60435 16025,S200000,00300,0100,WILL 16025,S200000,00400,0100,PROVENA VILLA FRANCISCAN 16025,S200000,00400,0200,145029 16025,S200000,00400,0300,09/08/1987 16025,S200000,00400,0500,P 16025,S200000,01600,0100,Y 16025,S200000,04300,0100,Y 16033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16033,A000000,00300,0000,00300EMPLOYEE BENEFITS 16033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16033,A000000,00700,0000,00700HOUSEKEEPING 16033,A000000,00800,0000,00800DIETARY 16033,A000000,00900,0000,00900NURSING ADMINISTRATION 16033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16033,A000000,01100,0000,01100PHARMACY 16033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16033,A000000,01300,0000,01300SOCIAL SERVICE 16033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16033,A000000,01600,0000,01600SKILLED NURSING FACILITY 16033,A000000,01800,0000,01800NURSING FACILITY 16033,A000000,01810,0000,01810ICF/MR 16033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16033,A000000,02500,0000,02500PHYSICAL THERAPY 16033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16033,A000000,02700,0000,02700SPEECH PATHOLOGY 16033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16033,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 16033,A000000,05000,0000,05000CORF 16033,A000000,05010,0000,05010CMHC 16033,A000000,05020,0000,05020OPT 16033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16033,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 16033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16033,A000000,06150,0000,06300OTHER NON REIMBURSEABLE COST 16033,B100000,00000,0100,00000(SQUARE FEET) 16033,B100000,00000,0200,00000(SQUARE FEET) 16033,B100000,00000,0300,00000(GROSS SALARIES) 16033,B100000,00000,0400,00000(ACCUM COST) 16033,B100000,00000,0500,00000(SQUARE FEET) 16033,B100000,00000,0600,00000DAYS*1.33 LAUNDRY) 16033,B100000,00000,0700,00000SQUARE FET SERVICE) 16033,B100000,00000,0800,00000DAYS*3 SERVED) 16033,B100000,00000,0900,00000(DIR NRSG HOURS) 16033,B100000,00000,1000,00000CENSUS REQUIS) 16033,B100000,00000,1100,00000(COSTED REQUIS) 16033,B100000,00000,1200,00000(TIME SPENT) 16033,B100000,00000,1300,00000CENSUS SPENT) 16033,B100000,00000,1400,00000(ASSIGNED TIME) 16033,E10A180,00501,0300,01/02/2001 16033,E10A180,00550,0100,01/02/2001 16033,S000000,00100,0200,12/29/2000 16033,S200000,00100,0100,200 EAST LAKE 16033,S200000,00200,0100,ELMHURST 16033,S200000,00200,0200,ILLINOIS 16033,S200000,00200,0300,60126 16033,S200000,00300,0100,D 16033,S200000,00400,0100,ELMHURST EXTENDED CARE CENTER 16033,S200000,00400,0200,145111 16033,S200000,00400,0300,01/01/1966 16033,S200000,00400,0500,P 16033,S200000,01600,0100,Y 16033,S200000,02200,0100,Y 16040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16040,A000000,00300,0000,00300EMPLOYEE BENEFITS 16040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16040,A000000,00700,0000,00700HOUSEKEEPING 16040,A000000,00800,0000,00800DIETARY 16040,A000000,00900,0000,00900NURSING ADMINISTRATION 16040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16040,A000000,01100,0000,01100PHARMACY 16040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16040,A000000,01300,0000,01300SOCIAL SERVICE 16040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16040,A000000,01600,0000,01600SKILLED NURSING FACILITY 16040,A000000,01800,0000,01800NURSING FACILITY 16040,A000000,01810,0000,01810ICF/MR 16040,A000000,02100,0000,02100RADIOLOGY 16040,A000000,02200,0000,02200LABORATORY 16040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16040,A000000,02500,0000,02500PHYSICAL THERAPY 16040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16040,A000000,02700,0000,02700SPEECH PATHOLOGY 16040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16040,A000000,03200,0000,03200SUPPORT SURFACES 16040,A000000,03550,0000,03550FQHC 16040,A000000,05000,0000,05000CORF 16040,A000000,05010,0000,05010CMHC 16040,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16040,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16040,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16040,A000000,05300,0000,05300INTEREST EXPENSE 16040,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16040,A81000A,00100,0100,Y 16040,A81000B,00100,0300,HOME OFFICE CAPITAL 16040,A81000B,00200,0300,ADMIN. EXPENSE 16040,A81000C,00100,0100,G 16040,A81000C,00100,0200,SISTERS OF THE 16040,A81000C,00100,0400,HOLY FAMILY 16040,A81000C,00100,0600,HEALTH SYSTEM 16040,A81000C,00200,0200,FAMILY 16040,A81000C,00200,0400,HEALTH CARE SYS 16040,B100000,00000,0100,00000SQUARE FEET 16040,B100000,00000,0200,00000SQUARE FEET 16040,B100000,00000,0300,00000GROSS SALARIES 16040,B100000,00000,0400,00000ACCUM. COST 16040,B100000,00000,0500,00000SQUARE FEET 16040,B100000,00000,0600,00000POUNDS OF LAUNDRY 16040,B100000,00000,0700,00000SQUARE FOOTAGE 16040,B100000,00000,0800,00000MEALS SERVED 16040,B100000,00000,0900,00000DIRECT NRSG HRS 16040,B100000,00000,1000,00000PATIENT DAYS 16040,B100000,00000,1100,00000COSTED REQUIS 16040,B100000,00000,1200,00000PATIENT DAYS 16040,B100000,00000,1300,00000PATIENT DAYS 16040,B100000,00000,1400,00000ASSIGNED TIME 16040,S000000,00100,0200,06/01/2000 16040,S200000,00100,0100,2380 EAST DEMPSTER STREET 16040,S200000,00200,0100,DESPLAINES 16040,S200000,00200,0200,IL 16040,S200000,00200,0300,60016 16040,S200000,00300,0100,COOK 16040,S200000,00400,0100,HOLY FAMILY HEALTH CENTER 16040,S200000,00400,0200,145112 16040,S200000,00400,0300,05/01/1981 16040,S200000,00400,0500,P 16040,S200000,01600,0100,Y 16040,S200000,02800,0100,Y 16049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16049,A000000,00300,0000,00300EMPLOYEE BENEFITS 16049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16049,A000000,00700,0000,00700HOUSEKEEPING 16049,A000000,00800,0000,00800DIETARY 16049,A000000,00900,0000,00900NURSING ADMINISTRATION 16049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16049,A000000,01100,0000,01100PHARMACY 16049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16049,A000000,01300,0000,01300SOCIAL SERVICE 16049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16049,A000000,01600,0000,01600SKILLED NURSING FACILITY 16049,A000000,01800,0000,01800NURSING FACILITY 16049,A000000,01810,0000,01810ICF/MR 16049,A000000,02200,0000,02200LABORATORY 16049,A000000,02300,0000,02300INTRAVENOUS THERAPY 16049,A000000,02500,0000,02500PHYSICAL THERAPY 16049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16049,A000000,02700,0000,02700SPEECH PATHOLOGY 16049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16049,A000000,03200,0000,03200SUPPORT SURFACES 16049,A000000,03550,0000,03550FQHC 16049,A000000,05000,0000,05000CORF 16049,A000000,05010,0000,05010CMHC 16049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16049,A81000A,00100,0100,Y 16049,A81000B,00100,0300,PYR: TUBE FEEDINGS 16049,A81000B,00200,0300,PYR: URO/OSTOMY 16049,A81000B,00300,0300,PYR: NURSING SUPPLY 16049,A81000B,00400,0300,PYR: GENL ADMIN 16049,A81000B,00500,0300,AMS: RENT/CAPITAL 16049,A81000B,00600,0300,AMS:EMPLYEE BENEFITS 16049,A81000B,00700,0300,AMS:GENL /ADMIN 16049,A81000B,01000,0300,CPT: PHYSICAL THERAP 16049,A81000B,01100,0300,CPT: OCCUP.THERAPY 16049,A81000B,01200,0300,CPT: SPEECH THERAPY 16049,A81000B,01300,0300,FECII:DRUGS 16049,A81000B,01400,0300,FECII:IV DRUGS 16049,A81000B,01500,0300,FECII:ADMIN/GEN 16049,A81000B,01600,0300,FECII:HOUSE SUPPLIES 16049,A81000C,00100,0100,B 16049,A81000C,00100,0200,ALDEN MGT. SERV 16049,A81000C,00100,0400,ALDEN MANAGEMEN 16049,A81000C,00100,0600,MANAGEMENT SERV 16049,A81000C,00200,0100,F 16049,A81000C,00200,0200,FLOYD SCHLOSSBE 16049,A81000C,00200,0400,FORUM PROF. CEN 16049,A81000C,00200,0600,PROFESS. BLDG. 16049,A81000C,00300,0100,B 16049,A81000C,00300,0200,ALDEN MGT. SERV 16049,A81000C,00300,0400,PYRAMID HEALTH 16049,A81000C,00300,0600,NURSING SUPPLIE 16049,A81000C,00400,0100,B 16049,A81000C,00400,0200,ALDEN MGT. SERV 16049,A81000C,00400,0400,FORUM EXTEND. C 16049,A81000C,00400,0600,PHARMACY 16049,A81000C,00500,0100,F 16049,A81000C,00500,0200,ALDEN MGT. SERV 16049,A81000C,00500,0400,IL. HOME THERAP 16049,A81000C,00500,0600,THERAPY CO. 16049,B100000,00000,0100,00000SQUARE FEET 16049,B100000,00000,0200,00000SQUARE FEET 16049,B100000,00000,0300,00000GROSS SALARIES 16049,B100000,00000,0400,00000ACCUM COST 16049,B100000,00000,0500,00000SQUARE FEET 16049,B100000,00000,0600,00000POUNDS OF LAUNDRY 16049,B100000,00000,0700,00000HOURS OF SERVICE 16049,B100000,00000,0800,00000MEALS SERVED 16049,B100000,00000,0900,00000DIRECT NRSG HRS 16049,B100000,00000,1000,00000COSTED REQUIS 16049,B100000,00000,1100,00000COSTED REQUIS 16049,B100000,00000,1200,00000TIME SPENT 16049,B100000,00000,1300,00000TIME SPENT 16049,B100000,00000,1400,00000ASSIGNED TIME 16049,S000000,00100,0200,06/14/2000 16049,S200000,00100,0100,504 W. WELLINGTON 16049,S200000,00200,0100,CHICAGO 16049,S200000,00200,0200,IL 16049,S200000,00300,0100,COOK 16049,S200000,00400,0100,ALDEN NURSING CENTER LINCOLN PARK 16049,S200000,00400,0200,145126 16049,S200000,00400,0300,03/01/1995 16049,S200000,00400,0500,P 16049,S200000,00400,0600,O 16049,S200000,01600,0100,Y 16049,S200000,01800,0100,Y 16049,S200000,02200,0100,Y 16060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16060,A000000,00300,0000,00300EMPLOYEE BENEFITS 16060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16060,A000000,00700,0000,00700HOUSEKEEPING 16060,A000000,00800,0000,00800DIETARY 16060,A000000,00900,0000,00900NURSING ADMINISTRATION 16060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16060,A000000,01100,0000,01100PHARMACY 16060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16060,A000000,01300,0000,01300SOCIAL SERVICE 16060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16060,A000000,01600,0000,01600SKILLED NURSING FACILITY 16060,A000000,01800,0000,01800NURSING FACILITY 16060,A000000,01810,0000,01810ICF/MR 16060,A000000,02100,0000,02100RADIOLOGY 16060,A000000,02200,0000,02200LABORATORY 16060,A000000,02300,0000,02300INTRAVENOUS THERAPY 16060,A000000,02500,0000,02500PHYSICAL THERAPY 16060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16060,A000000,02700,0000,02700SPEECH PATHOLOGY 16060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16060,A000000,03200,0000,03200SUPPORT SURFACES 16060,A000000,03550,0000,03550FQHC 16060,A000000,05000,0000,05000CORF 16060,A000000,05010,0000,05010CMHC 16060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16060,A81000A,00100,0100,Y 16060,A81000B,00100,0300,PYR:TUBE FEEDING 16060,A81000B,00200,0300,PYR:NURSING:URO/OST 16060,A81000B,00300,0300,PYR:NURSING SUPPLY 16060,A81000B,00400,0300,PYR: ADMIN&GENL 16060,A81000B,00500,0300,AMS:CAPITAL COSTS 16060,A81000B,00600,0300,AMS:EMPLOYEE BENEF 16060,A81000B,00700,0300,AMS: ADMIN&GENL 16060,A81000B,01000,0300,CPT: PHYS.THERAPY 16060,A81000B,01100,0300,CPT: OCCUP.THERAPY 16060,A81000B,01200,0300,CPT: SPEECH THERAPY 16060,A81000B,01300,0300,FECII: DRUGS CHGD/PA 16060,A81000B,01400,0300,FECII:IV SUPPLIES 16060,A81000B,01500,0300,FECII: GENL /ADMIN 16060,A81000B,01600,0300,FECII: HOUSE STOCK 16060,A81000C,00100,0100,B 16060,A81000C,00100,0200,ALDEN MGT. SERV 16060,A81000C,00100,0400,ALDEN MGT. SERV 16060,A81000C,00100,0600,MANAGEMENT CO. 16060,A81000C,00200,0100,F 16060,A81000C,00200,0200,FLOYD SHLOSSBER 16060,A81000C,00200,0400,FORUM PROF. CEN 16060,A81000C,00200,0600,OFFICE BLDG 16060,A81000C,00300,0100,B 16060,A81000C,00300,0200,ALDEN MGT. SERV 16060,A81000C,00300,0400,PYRAMID HEALTH 16060,A81000C,00300,0600,MEDICAL SUPPLIE 16060,A81000C,00400,0100,B 16060,A81000C,00400,0200,ALDEN MGT. SERV 16060,A81000C,00400,0400,FORUM EXTENDED 16060,A81000C,00400,0600,PHARMACY 16060,A81000C,00500,0100,B 16060,A81000C,00500,0200,FLOYD SCHLOSSBE 16060,A81000C,00500,0400,IL. HOME THERAP 16060,A81000C,00500,0600,THERAPY CO. 16060,B100000,00000,0100,00000SQUARE FEET 16060,B100000,00000,0200,00000SQUARE FEET 16060,B100000,00000,0300,00000GROSS SALARIES 16060,B100000,00000,0400,00000ACCUM COST 16060,B100000,00000,0500,00000SQUARE FEET 16060,B100000,00000,0600,00000POUNDS OF LAUNDRY 16060,B100000,00000,0700,00000HOURS OF SERVICE 16060,B100000,00000,0800,00000MEALS SERVED 16060,B100000,00000,0900,00000DIRECT NRSG HRS 16060,B100000,00000,1000,00000COSTED REQUIS 16060,B100000,00000,1100,00000COSTED REQUIS 16060,B100000,00000,1200,00000TIME SPENT 16060,B100000,00000,1300,00000TIME SPENT 16060,B100000,00000,1400,00000ASSIGNED TIME 16060,S000000,00100,0200,06/14/2000 16060,S200000,00100,0100,15600 S. HONORE 16060,S200000,00200,0100,HARVEY 16060,S200000,00200,0200,IL 16060,S200000,00200,0300,60426 16060,S200000,00300,0100,COOK 16060,S200000,00400,0100,ALDEN NURSING CENTER HEATHER MANOR 16060,S200000,00400,0200,145173 16060,S200000,00400,0300,06/01/1981 16060,S200000,00400,0500,P 16060,S200000,00400,0600,O 16060,S200000,01600,0100,Y 16060,S200000,01800,0100,Y 16060,S200000,02200,0100,Y 16067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16067,A000000,00300,0000,00300EMPLOYEE BENEFITS 16067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16067,A000000,00700,0000,00700HOUSEKEEPING 16067,A000000,00800,0000,00800DIETARY 16067,A000000,00900,0000,00900NURSING ADMINISTRATION 16067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16067,A000000,01100,0000,01100PHARMACY 16067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16067,A000000,01300,0000,01300SOCIAL SERVICE 16067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16067,A000000,01600,0000,01600SKILLED NURSING FACILITY 16067,A000000,01800,0000,01800NURSING FACILITY 16067,A000000,01810,0000,01810ICF/MR 16067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16067,A000000,02500,0000,02500PHYSICAL THERAPY 16067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16067,A000000,03550,0000,03550FQHC 16067,A000000,05000,0000,05000CORF 16067,A000000,05010,0000,05010CMHC 16067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16067,A81000A,00100,0100,Y 16067,A81000B,00100,0300,HOSPITAL ACCOUNTING 16067,A81000B,00200,0300,HOSPITAL EDP 16067,A81000B,00300,0300,HOSPITAL PASTORAL CARE 16067,A81000B,00400,0300,HOSPITAL ADMIN 16067,A81000C,00100,0100,B 16067,A81000C,00100,0400,METHODIST HOSPI 16067,A81000C,00100,0600,HOSPITAL 16067,B100000,00000,0100,00040SQUARE FEET 16067,B100000,00000,0200,00040SQUARE FEET 16067,B100000,00000,0300,00040GROSS SALARIES 16067,B100000,00000,0400,00040ACCUM COST 16067,B100000,00000,0500,00040SQUARE FEET 16067,B100000,00000,0600,00040POUNDS OF LAUNDRY 16067,B100000,00000,0700,00040HOURS OF SERVICE 16067,B100000,00000,0800,00040MEALS SERVED 16067,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 16067,B100000,00000,1000,00040COSTED REQUISITIO 16067,B100000,00000,1100,00040COSTED REQUISITIO 16067,B100000,00000,1200,00040TIME SPENT 16067,B100000,00000,1300,00040TIME SPENT 16067,B100000,00000,1400,00040ASSIGNED TIME 16067,S000000,00100,0200,03/01/2000 16067,S200000,00100,0100,8425 NORTH WAUKEGAN 16067,S200000,00200,0100,MORTON GROVE 16067,S200000,00200,0200,IL 16067,S200000,00200,0300,60053 16067,S200000,00300,0100,COOK 16067,S200000,00400,0100,BETHANY TERRACE 16067,S200000,00400,0200,145198 16067,S200000,00400,0300,02/13/1969 16067,S200000,00400,0500,P 16067,S200000,01500,0100,Y 16067,S200000,02200,0100,Y 16079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16079,A000000,00300,0000,00300EMPLOYEE BENEFITS 16079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16079,A000000,00700,0000,00700HOUSEKEEPING 16079,A000000,00800,0000,00800DIETARY 16079,A000000,00900,0000,00900NURSING ADMINISTRATION 16079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16079,A000000,01100,0000,01100PHARMACY 16079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16079,A000000,01300,0000,01300SOCIAL SERVICE 16079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16079,A000000,01600,0000,01600SKILLED NURSING FACILITY 16079,A000000,01800,0000,01800NURSING FACILITY 16079,A000000,01810,0000,01810ICF/MR 16079,A000000,02100,0000,02100RADIOLOGY 16079,A000000,02200,0000,02200LABORATORY 16079,A000000,02300,0000,02300INTRAVENOUS THERAPY 16079,A000000,02500,0000,02500PHYSICAL THERAPY 16079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16079,A000000,02700,0000,02700SPEECH PATHOLOGY 16079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16079,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16079,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16079,A000000,03550,0000,03550FQHC 16079,A000000,05000,0000,05000CORF 16079,A000000,05010,0000,05010CMHC 16079,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16079,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16079,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16079,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16079,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16079,A81000A,00100,0100,Y 16079,A81000B,00100,0300,HOME OFFICE CAPITAL COST 16079,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COS 16079,A81000B,00300,0300,MANAGEMENT FEES 16079,A81000B,00400,0300,PHYSICAL THERAPY 16079,A81000B,00500,0300,OCCUPATIONAL THERAPY 16079,A81000B,00600,0300,SPEECH THERAPY 16079,A81000C,00100,0100,B 16079,A81000C,00100,0200,CENTRAL DUPAGE 16079,A81000C,00100,0400,CENTRAL DUPAGE 16079,A81000C,00100,0600,HOME OFFICE 16079,A81000C,00200,0100,G 16079,A81000C,00200,0200,CENTRAL DUPAGE 16079,A81000C,00200,0400,CENTRAL DUPAGE 16079,A81000C,00200,0600,HOSPITAL 16079,B100000,00000,0100,00000SQUARE FEET 16079,B100000,00000,0200,00000SQUARE FEET 16079,B100000,00000,0300,00000GROSS SALARIES 16079,B100000,00000,0400,00000ACCUM COST 16079,B100000,00000,0500,00000SQUARE FEET 16079,B100000,00000,0600,00000PATIENT DAYS 16079,B100000,00000,0700,00000SQUARE FEET 16079,B100000,00000,0800,00000MEALS SERVED 16079,B100000,00000,0900,00000GROSS SALARIES 16079,B100000,00000,1000,00000PATIENT DAYS 16079,B100000,00000,1100,00000COSTED REQUISITIO 16079,B100000,00000,1200,00000GROSS REVENUES 16079,B100000,00000,1300,00000PATIENT DAYS 16079,B100000,00000,1400,00000ASSIGNED TIME 16079,S000000,00100,0200,11/30/2000 16079,S200000,00100,0100,2180 MANCHESTER ROAD 16079,S200000,00200,0100,WHEATON 16079,S200000,00200,0200,ILLINOIS 16079,S200000,00200,0300,60187 16079,S200000,00300,0100,D 16079,S200000,00400,0100,WYNSCAPE HEALTHCARE CENTER 16079,S200000,00400,0200,145213 16079,S200000,00400,0300,02/24/1986 16079,S200000,00400,0500,P 16079,S200000,01600,0100,Y 16084,S000000,00100,0200,06/05/2000 16102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16102,A000000,00300,0000,00300EMPLOYEE BENEFITS 16102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16102,A000000,00700,0000,00700HOUSEKEEPING 16102,A000000,00800,0000,00800DIETARY 16102,A000000,00900,0000,00900NURSING ADMINISTRATION 16102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16102,A000000,01100,0000,01100PHARMACY 16102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16102,A000000,01300,0000,01300SOCIAL SERVICE 16102,A000000,01350,0000,01500ACTIVITIES 16102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16102,A000000,01600,0000,01600SKILLED NURSING FACILITY 16102,A000000,01800,0000,01800NURSING FACILITY 16102,A000000,01810,0000,01810ICF/MR 16102,A000000,02200,0000,02200LABORATORY 16102,A000000,02500,0000,02500PHYSICAL THERAPY 16102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16102,A000000,02700,0000,02700SPEECH PATHOLOGY 16102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16102,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 16102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 16102,A000000,03550,0000,03550FQHC 16102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 16102,A000000,05000,0000,05000CORF 16102,A000000,05010,0000,05010CMHC 16102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16102,A81000A,00100,0100,Y 16102,A81000B,00100,0300,HOME OFFICE CAPITAL 16102,A81000B,00200,0300,HOME OFFICE ADMIN 16102,A81000C,00100,0100,B 16102,A81000C,00100,0200,LIFELINK CORP 16102,A81000C,00100,0600,HOME OFFICE 16102,A81000C,00200,0100,B 16102,A81000C,00200,0200,LIFELINK CORP 16102,A81000C,00200,0600,HOME OFFICE 16102,B100000,00000,0100,00000SQUARE FEET 16102,B100000,00000,0200,00000SQUARE FEET 16102,B100000,00000,0300,00000GROSS SALARIES 16102,B100000,00000,0400,00000ACCUM. COST 16102,B100000,00000,0500,00000SQUARE FEET 16102,B100000,00000,0600,00000PATIENT DAYS 16102,B100000,00000,0700,00000MODIFIED SQUARE FEE 16102,B100000,00000,0800,00000PATIENT DAYS 16102,B100000,00000,0900,00000NURSING SALARIES 16102,B100000,00000,1000,00000PATIENT DAYS 16102,B100000,00000,1100,00000NO STATISTICS 16102,B100000,00000,1200,00000PATIENT DAYS 16102,B100000,00000,1300,00000PATIENT DAYS 16102,B100000,00000,1350,00000PATIENT DAYS 16102,B100000,00000,1400,00000NO STATISTICS 16102,E10A180,00550,0300,12/05/2000 16102,S000000,00100,0200,12/04/2000 16102,S200000,00100,0100,1212 SOUTH SECOND ST 16102,S200000,00200,0100,DEKALB 16102,S200000,00200,0200,IL 16102,S200000,00200,0300,60115 16102,S200000,00300,0100,D 16102,S200000,00400,0100,PINE ACRES CARE CENTER 16102,S200000,00400,0200,145261 16102,S200000,00400,0300,07/01/1994 16102,S200000,00400,0500,P 16102,S200000,01600,0100,Y 16108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16108,A000000,00300,0000,00300EMPLOYEE BENEFITS 16108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16108,A000000,00700,0000,00700HOUSEKEEPING 16108,A000000,00800,0000,00800DIETARY 16108,A000000,00900,0000,00900NURSING ADMINISTRATION 16108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16108,A000000,01100,0000,01100PHARMACY 16108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16108,A000000,01300,0000,01300SOCIAL SERVICE 16108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16108,A000000,01600,0000,01600SKILLED NURSING FACILITY 16108,A000000,01800,0000,01800NURSING FACILITY 16108,A000000,01810,0000,01810ICF/MR 16108,A000000,02500,0000,02500PHYSICAL THERAPY 16108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16108,A000000,03550,0000,03550FQHC 16108,A000000,05000,0000,05000CORF 16108,A000000,05010,0000,05010CMHC 16108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16108,A000000,06150,0000,06300ST. CLEMENT HOSPTIAL 16108,A81000A,00100,0100,Y 16108,A81000B,00200,0300,SCH EHW ALLOCATION 16108,A81000B,00300,0300,SCH COMM ALLOCATION 16108,A81000B,00400,0300,SCH PURCHASING ALLOCATION 16108,A81000B,00500,0300,SCH ADMIN & GEN ALLOCATIO 16108,A81000B,00600,0300,SCH MAINT ALLOCATION 16108,A81000B,00700,0300,SCH DIETARY ALLOCATION 16108,A81000B,00800,0300,SCH CAFETERIA ALLOCATION 16108,A81000B,00900,0300,SCH SOC SERV ALLOCATION 16108,A81000C,00100,0100,B 16108,A81000C,00100,0200,ST. CLEMENT HOSPITAL 16108,A81000C,00100,0400,HEALTH CARE 16108,B100000,00000,0100,00000SQUARE FEET 16108,B100000,00000,0200,00000SQUARE FEET 16108,B100000,00000,0300,00000GROSS SALARIES 16108,B100000,00000,0400,00000ACCUM. COST 16108,B100000,00000,0500,00000SQUARE FEET 16108,B100000,00000,0600,00000PATIENT DAYS 16108,B100000,00000,0700,00000PATIENT DAYS 16108,B100000,00000,0800,00000MEALS SERVED 16108,B100000,00000,0900,00000PATIENT DAYS 16108,B100000,00000,1000,00000COSTED REQUIS 16108,B100000,00000,1100,00000COSTED REQUIS 16108,B100000,00000,1200,00000GROSS CHARGES 16108,B100000,00000,1300,00000PATIENT DAYS 16108,B100000,00000,1400,00000ASSIGNED TIME 16108,S000000,00100,0200,11/29/2000 16108,S200000,00100,0100,350 W SOUTH 1ST STREET 16108,S200000,00200,0100,RED BUD 16108,S200000,00200,0200,IL 16108,S200000,00200,0300,62278 16108,S200000,00300,0100,R 16108,S200000,00400,0100,MARIA CARE 16108,S200000,00400,0200,145309 16108,S200000,00400,0300,02/01/1987 16108,S200000,00400,0500,P 16108,S200000,01600,0100,Y 16117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16117,A000000,00300,0000,00300EMPLOYEE BENEFITS 16117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16117,A000000,00700,0000,00700HOUSEKEEPING 16117,A000000,00800,0000,00800DIETARY 16117,A000000,00900,0000,00900NURSING ADMINISTRATION 16117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16117,A000000,01100,0000,01100PHARMACY 16117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16117,A000000,01300,0000,01300SOCIAL SERVICE 16117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16117,A000000,01600,0000,01600SKILLED NURSING FACILITY 16117,A000000,01800,0000,01800NURSING FACILITY 16117,A000000,01810,0000,01810ICF/MR 16117,A000000,02100,0000,02100RADIOLOGY 16117,A000000,02200,0000,02200LABORATORY 16117,A000000,02500,0000,02500PHYSICAL THERAPY 16117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16117,A000000,02700,0000,02700SPEECH PATHOLOGY 16117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16117,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16117,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16117,A000000,03550,0000,03550FQHC 16117,A000000,05000,0000,05000CORF 16117,A000000,05010,0000,05010CMHC 16117,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16117,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16117,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16117,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16117,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16117,A81000A,00100,0100,Y 16117,A81000B,00100,0300,PHYSICAL THERAPY EXPENSES 16117,A81000B,00200,0300,OCCUPATIONAL THERAPY EXPENSES 16117,A81000B,00300,0300,SPEECH THERAPY EXPENSES 16117,A81000C,00100,0100,B 16117,A81000C,00100,0200,MERCY HEALTH SY 16117,A81000C,00100,0400,MERCY HOSPITAL 16117,A81000C,00100,0600,HOSPITAL 16117,B100000,00000,0100,00000SQUARE FEET 16117,B100000,00000,0200,00000SQUARE FEET 16117,B100000,00000,0300,00000GROSS SALARIES 16117,B100000,00000,0400,00000ACCUM COST 16117,B100000,00000,0500,00000SQUARE FEET 16117,B100000,00000,0600,00000PATIENT DAYS 16117,B100000,00000,0700,00000SQUARE FEET 16117,B100000,00000,0800,00000MEALS SERVED 16117,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16117,B100000,00000,1000,00000PATIENT DAYS 16117,B100000,00000,1100,00000COSTED REQUISITIO 16117,B100000,00000,1200,00000PATIENT DAYS 16117,B100000,00000,1300,00000PATIENT DAYS 16117,B100000,00000,1400,00000ASSIGNED TIME 16117,E10A180,00301,0100,06/26/2000 16117,E10A180,00350,0100,02/03/2000 16117,E10A180,00550,0100,12/01/2000 16117,E10A180,00550,0300,12/01/2000 16117,S000000,00100,0200,12/01/2000 16117,S200000,00100,0100,19000 SOUTH HALSTED 16117,S200000,00200,0100,HOMEWOOD 16117,S200000,00200,0200,ILLINOIS 16117,S200000,00200,0300,60430 16117,S200000,00300,0100,C 16117,S200000,00400,0100,MERCY HEALTH CARE & REHAB CENTER 16117,S200000,00400,0200,145310 16117,S200000,00400,0300,07/01/1973 16117,S200000,00400,0500,P 16117,S200000,01600,0100,Y 16126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16126,A000000,00300,0000,00300EMPLOYEE BENEFITS 16126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16126,A000000,00700,0000,00700HOUSEKEEPING 16126,A000000,00800,0000,00800DIETARY 16126,A000000,00900,0000,00900NURSING ADMINISTRATION 16126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16126,A000000,01100,0000,01100PHARMACY 16126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16126,A000000,01300,0000,01300SOCIAL SERVICE 16126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16126,A000000,01600,0000,01600SKILLED NURSING FACILITY 16126,A000000,01800,0000,01800NURSING FACILITY 16126,A000000,01810,0000,01810ICF/MR 16126,A000000,02100,0000,02100RADIOLOGY 16126,A000000,02200,0000,02200LABORATORY 16126,A000000,02500,0000,02500PHYSICAL THERAPY 16126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16126,A000000,02700,0000,02700SPEECH PATHOLOGY 16126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16126,A000000,03550,0000,03550FQHC 16126,A000000,05000,0000,05000CORF 16126,A000000,05010,0000,05010CMHC 16126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16126,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16126,A000000,06150,0000,06300ADULT DAY CARE 16126,A81000A,00100,0100,Y 16126,A81000B,00100,0300,ADMINISTRATIVE FEES 16126,A81000B,00200,0300,ACCOUNTING FEES 16126,A81000B,00300,0300,MEDICAL DIRECTOR 16126,A81000B,00400,0300,PHYSICAL THERAPY 16126,A81000B,00500,0300,OCCUPATIONAL THERAPY 16126,A81000B,00600,0300,SPEECH THERAPY 16126,A81000B,00700,0300,GENERAL INSURANCE 16126,A81000B,00800,0300,ADMIN. & SUPPORT 16126,A81000B,00900,0300,EMPLOYEE BENEFITS 16126,A81000B,01000,0300,CENTRAL SUPPLIES 16126,A81000B,01100,0300,OFFICE SUPPLIES 16126,A81000B,01200,0300,PROFESSIONAL FEES 16126,A81000C,00100,0100,G 16126,A81000C,00100,0200,IL MASONIC HOSP 16126,B100000,00000,0100,00000SQUARE FEET 16126,B100000,00000,0200,00000SQUARE FEET 16126,B100000,00000,0300,00000GROSS SALARIES 16126,B100000,00000,0400,00000ACCUM COST 16126,B100000,00000,0500,00000SQUARE FEET 16126,B100000,00000,0600,00000POUNDS OF LAUNDRY 16126,B100000,00000,0700,00000HOURS OF SERVICE 16126,B100000,00000,0800,00000MEALS SERVED 16126,B100000,00000,0900,00000DIRECT NRSG HRS 16126,B100000,00000,1000,00000COSTED REQUIS 16126,B100000,00000,1100,00000COSTED REQUIS 16126,B100000,00000,1200,00000TIME SPENT 16126,B100000,00000,1300,00000TIME SPENT 16126,B100000,00000,1400,00000ASSIGNED TIME 16126,S000000,00100,0200,12/04/2000 16126,S200000,00100,0100,66 WEST OAK STREET 16126,S200000,00200,0100,CHICAGO 16126,S200000,00200,0200,IL 16126,S200000,00200,0300,60610 16126,S200000,00300,0100,C 16126,S200000,00400,0100,WARREN N. BARR PAVILION 16126,S200000,00400,0200,145336 16126,S200000,00400,0300,10/01/1976 16126,S200000,00400,0500,P 16126,S200000,01600,0100,Y 16126,S200000,04900,0100,Y 16133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16133,A000000,00300,0000,00300EMPLOYEE BENEFITS 16133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16133,A000000,00700,0000,00700HOUSEKEEPING 16133,A000000,00800,0000,00800DIETARY 16133,A000000,00900,0000,00900NURSING ADMINISTRATION 16133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16133,A000000,01100,0000,01100PHARMACY 16133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16133,A000000,01300,0000,01300SOCIAL SERVICE 16133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16133,A000000,01600,0000,01600SKILLED NURSING FACILITY 16133,A000000,01800,0000,01800NURSING FACILITY 16133,A000000,01810,0000,01810ICF/MR 16133,A000000,02200,0000,02200LABORATORY 16133,A000000,02500,0000,02500PHYSICAL THERAPY 16133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16133,A000000,02700,0000,02700SPEECH PATHOLOGY 16133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16133,A000000,03550,0000,03550FQHC 16133,A000000,05000,0000,05000CORF 16133,A000000,05010,0000,05010CMHC 16133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16133,A81000A,00100,0100,Y 16133,A81000B,00200,0300,RENT 16133,A81000B,00400,0300,HOME OFFICE 16133,A81000C,00200,0100,B 16133,A81000C,00200,0200,CRYSTAL LANE I 16133,A81000C,00400,0100,B 16133,A81000C,00400,0200,FAMILY CARE MGT 16133,B100000,00000,0100,00000SQUARE FEET 16133,B100000,00000,0200,00000SQUARE FEET 16133,B100000,00000,0300,00000GROSS SALARIES 16133,B100000,00000,0400,00000ACCUM COST 16133,B100000,00000,0500,00000SQUARE FEET 16133,B100000,00000,0600,00000PATIENT DAYS 16133,B100000,00000,0700,00000SQUARE FEET 16133,B100000,00000,0800,00000PATIENT DAYS 16133,B100000,00000,0900,00000PATIENT DAYS 16133,B100000,00000,1000,00000PATIENT DAYS 16133,B100000,00000,1100,00000COSTED REQUIS 16133,B100000,00000,1200,00000PATIENT DAYS 16133,B100000,00000,1300,00000PATIENT DAYS 16133,B100000,00000,1400,00000ASSIGNED TIME 16133,S000000,00100,0200,06/05/2000 16133,S200000,00400,0100,YORK CONVALESCENT CENTRE LTD. 16133,S200000,00400,0200,145339 16133,S200000,00400,0300,01/01/1979 16133,S200000,00400,0500,P 16133,S200000,01600,0100,Y 16143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16143,A000000,00300,0000,00300EMPLOYEE BENEFITS 16143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16143,A000000,00700,0000,00700HOUSEKEEPING 16143,A000000,00800,0000,00800DIETARY 16143,A000000,00900,0000,00900NURSING ADMINISTRATION 16143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16143,A000000,01100,0000,01100PHARMACY 16143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16143,A000000,01300,0000,01300SOCIAL SERVICE 16143,A000000,01301,0000,01301ACTIVITIES 16143,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 16143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16143,A000000,01600,0000,01600SKILLED NURSING FACILITY 16143,A000000,01800,0000,01800NURSING FACILITY 16143,A000000,01810,0000,01810ICF/MR 16143,A000000,02100,0000,02100RADIOLOGY 16143,A000000,02200,0000,02200LABORATORY 16143,A000000,02300,0000,02300INTRAVENOUS THERAPY 16143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16143,A000000,02500,0000,02500PHYSICAL THERAPY 16143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16143,A000000,02700,0000,02700SPEECH PATHOLOGY 16143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16143,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16143,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16143,A000000,03550,0000,03550FQHC 16143,A000000,05000,0000,05000CORF 16143,A000000,05010,0000,05010CMHC 16143,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16143,A000000,05300,0000,05300INTEREST EXPENSE 16143,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16143,A000000,06150,0000,06300VENDING 16143,A000000,06200,0000,06200PATIENTS LAUNDRY 16143,A81000A,00100,0100,Y 16143,A81000B,00100,0300,HOME OFFICE CAPITAL 16143,A81000B,00200,0300,HOME OFFICE COST 16143,A81000B,00300,0300,COGS NURSING SUPPLIES 16143,A81000B,00400,0300,ANCILLARY EQUIPMENT RENTAL 16143,A81000B,00500,0300,PHYSICAL THERAPY 16143,A81000B,00600,0300,OCCUPATIONAL THERAPY 16143,A81000B,00700,0300,SPEECH THERAPY 16143,A81000C,00100,0100,B 16143,A81000C,00100,0200,COMMUNITY HEALT 16143,A81000C,00100,0400,MARINER POST-AC 16143,A81000C,00100,0600,NURSING HOME 16143,A81000C,00200,0100,G 16143,A81000C,00200,0200,MARINER POST-AC 16143,A81000C,00200,0400,AMERICAN PHARMA 16143,A81000C,00200,0600,PHARMACEUTICALS 16143,A81000C,00300,0100,G 16143,A81000C,00300,0200,MARINER POST-AC 16143,A81000C,00300,0400,PRISM (ATS ARS 16143,A81000C,00300,0600,THERAPIES 16143,B100000,00000,0100,00000SQUARE FEET 16143,B100000,00000,0200,00000SQUARE FEET 16143,B100000,00000,0300,00000GROSS SALARIES 16143,B100000,00000,0400,00000ACCUM COST 16143,B100000,00000,0500,00000SQUARE FEET 16143,B100000,00000,0600,00000PATIENT DAYS 16143,B100000,00000,0700,00000SQUARE FEET 16143,B100000,00000,0800,00000MEALS SERVED 16143,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16143,B100000,00000,1000,00000COSTED REQUISITIO 16143,B100000,00000,1100,00000COSTED REQUIS 16143,B100000,00000,1200,00000PATIENT DAYS 16143,B100000,00000,1300,00000PATIENT DAYS 16143,B100000,00000,1301,00000PATIENT DAYS 16143,B100000,00000,1350,00000 16143,B100000,00000,1400,00000ASSIGNED TIME 16143,E10A180,00550,0300,06/02/2000 16143,S000000,00100,0200,06/02/2000 16143,S200000,00100,0100,1136 N. MILL STREET 16143,S200000,00200,0100,NAPERVILLE 16143,S200000,00200,0200,IL 16143,S200000,00200,0300,60563 16143,S200000,00300,0100,DUPAGE 16143,S200000,00400,0100,COMMUNITY HEALTHCARE CTR 16143,S200000,00400,0200,145358 16143,S200000,00400,0300,05/06/1996 16143,S200000,00400,0500,P 16143,S200000,01600,0100,Y 16155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16155,A000000,00300,0000,00300EMPLOYEE BENEFITS 16155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16155,A000000,00700,0000,00700HOUSEKEEPING 16155,A000000,00800,0000,00800DIETARY 16155,A000000,00900,0000,00900NURSING ADMINISTRATION 16155,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16155,A000000,01100,0000,01100PHARMACY 16155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16155,A000000,01300,0000,01300SOCIAL SERVICE 16155,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16155,A000000,01600,0000,01600SKILLED NURSING FACILITY 16155,A000000,01800,0000,01800NURSING FACILITY 16155,A000000,01810,0000,01810ICF/MR 16155,A000000,02200,0000,02200LABORATORY 16155,A000000,02300,0000,02300INTRAVENOUS THERAPY 16155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16155,A000000,02500,0000,02500PHYSICAL THERAPY 16155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16155,A000000,02700,0000,02700SPEECH PATHOLOGY 16155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16155,A000000,03200,0000,03200SUPPORT SURFACES 16155,A000000,03550,0000,03550FQHC 16155,A000000,05000,0000,05000CORF 16155,A000000,05010,0000,05010CMHC 16155,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16155,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16155,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16155,A000000,05350,0000,05600VA DOCTORS 16155,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16155,A81000A,00100,0100,Y 16155,A81000B,00100,0300,VR ASSOC:BLDG RENT 16155,A81000B,00200,0300,PYR: TUBE FEEDING 16155,A81000B,00300,0300,PYR: URO/OST SUPPLY 16155,A81000B,00400,0300,PYR: NURSING SUPPLY 16155,A81000B,00500,0300,PYR: GENL /ADMIN 16155,A81000B,00600,0300,AMS:CAPITAL/RENT 16155,A81000B,00700,0300,AMS:EMPLYEE BENEF 16155,A81000B,00800,0300,AMS:ADMIN/GENL 16155,A81000B,01100,0300,CPT: RESPIRTY THERPY 16155,A81000B,01200,0300,CPT: PHYSICAL THERPY 16155,A81000B,01300,0300,CPT: OCCUP.THERAPY 16155,A81000B,01400,0300,CPT: SPEECH THERAPY 16155,A81000B,01500,0300,FECII: DRUGS CHRGD P 16155,A81000B,01600,0300,FECII: IV SUPPLIES 16155,A81000B,01700,0300,FECII: GENL/ADMIN 16155,A81000B,01800,0300,FECII: HOUSE SUPPLIE 16155,A81000C,00100,0100,B 16155,A81000C,00100,0200,ALDEN MGT. SERV 16155,A81000C,00100,0400,ALDEN MANAGEMEN 16155,A81000C,00100,0600,MANAGEMENT CO. 16155,A81000C,00200,0100,F 16155,A81000C,00200,0200,FLOYD SCHLOSSBE 16155,A81000C,00200,0400,FORUM PROF. CEN 16155,A81000C,00200,0600,OFFICE BLDG. 16155,A81000C,00300,0100,B 16155,A81000C,00300,0200,ALDEN MGT. SERV 16155,A81000C,00300,0400,PYRAMID HEALTH 16155,A81000C,00300,0600,MEDICAL SUPPLIE 16155,A81000C,00400,0100,B 16155,A81000C,00400,0200,FLOYD SCHLOSSBE 16155,A81000C,00400,0400,VALLEY RIDGE AS 16155,A81000C,00400,0600,BLDG OWNERSHIP 16155,A81000C,00500,0100,B 16155,A81000C,00500,0200,ALDEN MGT. SERV 16155,A81000C,00500,0400,FORUM EXT. CARE 16155,A81000C,00500,0600,PHARMACY 16155,A81000C,00600,0100,B 16155,A81000C,00600,0200,FLOYD SCHLOSSBE 16155,A81000C,00600,0400,IL. HOME THERAP 16155,A81000C,00600,0600,THERAPY CO. 16155,B100000,00000,0100,00000SQUARE FEET 16155,B100000,00000,0200,00000SQUARE FEET 16155,B100000,00000,0300,00000GROSS SALARIES 16155,B100000,00000,0400,00000ACCUM COST 16155,B100000,00000,0500,00000SQUARE FEET 16155,B100000,00000,0600,00000POUNDS OF LAUNDRY 16155,B100000,00000,0700,00000HOURS OF SERVICE 16155,B100000,00000,0800,00000MEALS SERVED 16155,B100000,00000,0900,00000DIRECT NRSG HRS 16155,B100000,00000,1000,00000COSTED REQUIS 16155,B100000,00000,1100,00000COSTED REQUIS 16155,B100000,00000,1200,00000TIME SPENT 16155,B100000,00000,1300,00000TIME SPENT 16155,B100000,00000,1400,00000ASSIGNED TIME 16155,S000000,00100,0200,06/14/2000 16155,S200000,00100,0100,275 ARMY TRAIL RD. 16155,S200000,00200,0100,BLOOMINGDALE 16155,S200000,00200,0200,IL 16155,S200000,00300,0100,DUPAGE 16155,S200000,00400,0100,ALDEN NURSING CENTER VALLEY RIDGE 16155,S200000,00400,0200,145379 16155,S200000,00400,0300,02/01/1991 16155,S200000,00400,0500,P 16155,S200000,00400,0600,O 16155,S200000,01600,0100,Y 16155,S200000,01800,0100,Y 16155,S200000,02200,0100,Y 16160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16160,A000000,00300,0000,00300EMPLOYEE BENEFITS 16160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16160,A000000,00700,0000,00700HOUSEKEEPING 16160,A000000,00800,0000,00800DIETARY 16160,A000000,00900,0000,00900NURSING ADMINISTRATION 16160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16160,A000000,01100,0000,01100PHARMACY 16160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16160,A000000,01300,0000,01300SOCIAL SERVICE 16160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16160,A000000,01600,0000,01600SKILLED NURSING FACILITY 16160,A000000,01800,0000,01800NURSING FACILITY 16160,A000000,01810,0000,01810ICF/MR 16160,A000000,02100,0000,02100RADIOLOGY 16160,A000000,02200,0000,02200LABORATORY 16160,A000000,02500,0000,02500PHYSICAL THERAPY 16160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16160,A000000,02700,0000,02700SPEECH PATHOLOGY 16160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16160,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16160,A000000,03550,0000,03550FQHC 16160,A000000,05000,0000,05000CORF 16160,A000000,05010,0000,05010CMHC 16160,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16160,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16160,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16160,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16160,A81000A,00100,0100,Y 16160,A81000B,00100,0300,PAYROLL TAXES WORK COMP 16160,A81000B,00200,0300,OFFICE SUPPLIES EXPENSES 16160,A81000B,00300,0300,LEGAL AND ACCOUNTING 16160,A81000B,00400,0300,TELECOMMUNICATIONS 16160,A81000B,00500,0300,DUES AND SUBSCRIPTIONS 16160,A81000B,00600,0300,EDUCATION SEMINAR TRAVEL 16160,A81000B,00700,0300,DEPRECIATION 16160,A81000B,00800,0300,PROPERTY TAXES 16160,A81000B,00900,0300,PROPERTY INSURANCE 16160,A81000B,01000,0300,INTEREST EXPENSE 16160,A81000B,01100,0300,REPAIRS AND MAINT 16160,A81000B,01200,0300,UTILITIES 16160,A81000B,01300,0300,MEDICAL SUPPLIES 16160,A81000B,01400,0300,MANAGEMENT FEES 16160,A81000C,00100,0100,A 16160,A81000C,00100,0200,F.M. BRIDGES 16160,A81000C,00100,0400,LAKELAND HEALTH 16160,A81000C,00100,0600,MGMT. CO. 16160,A81000C,00200,0100,A 16160,A81000C,00200,0200,B.J. BRIDGES 16160,A81000C,00200,0400,LAKELAND HEALTH 16160,A81000C,00200,0600,MGMT. CO. 16160,B100000,00000,0100,00000SQUARE FEET 16160,B100000,00000,0200,00000SQUARE FEET 16160,B100000,00000,0300,00000GROSS SALARIES 16160,B100000,00000,0400,00000ACCUM COST 16160,B100000,00000,0500,00000SQUARE FEET 16160,B100000,00000,0600,00000PATIENT DAYS 16160,B100000,00000,0700,00000SQUARE FEET 16160,B100000,00000,0800,00000MEALS SERVED 16160,B100000,00000,0900,00000GROSS SALARIES 16160,B100000,00000,1000,00000PATIENT DAYS 16160,B100000,00000,1100,00000COSTED REQUISITIO 16160,B100000,00000,1200,00000PATIENT DAYS 16160,B100000,00000,1300,00000PATIENT DAYS 16160,B100000,00000,1400,00000ASSIGNED TIME 16160,S000000,00100,0200,09/15/2000 16160,S200000,00100,0100,410 EAST MACK 16160,S200000,00200,0100,OLNEY 16160,S200000,00200,0200,IL 16160,S200000,00200,0300,62450 16160,S200000,00300,0100,RICHLAND 16160,S200000,00400,0100,OLNEY CARE CENTER 16160,S200000,00400,0200,145388 16160,S200000,00400,0300,10/04/1979 16160,S200000,00400,0500,P 16160,S200000,01600,0100,Y 16171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16171,A000000,00300,0000,00300EMPLOYEE BENEFITS 16171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16171,A000000,00700,0000,00700HOUSEKEEPING 16171,A000000,00800,0000,00800DIETARY 16171,A000000,00900,0000,00900NURSING ADMINISTRATION 16171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16171,A000000,01100,0000,01100PHARMACY 16171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16171,A000000,01300,0000,01300SOCIAL SERVICE 16171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16171,A000000,01600,0000,01600SKILLED NURSING FACILITY 16171,A000000,01800,0000,01800NURSING FACILITY 16171,A000000,01810,0000,01810ICF/MR 16171,A000000,02200,0000,02200LABORATORY 16171,A000000,02300,0000,02300INTRAVENOUS THERAPY 16171,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16171,A000000,02500,0000,02500PHYSICAL THERAPY 16171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16171,A000000,02700,0000,02700SPEECH PATHOLOGY 16171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16171,A000000,03200,0000,03200SUPPORT SURFACES 16171,A000000,03550,0000,03550FQHC 16171,A000000,05000,0000,05000CORF 16171,A000000,05010,0000,05010CMHC 16171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16171,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16171,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16171,A81000A,00100,0100,Y 16171,A81000B,00100,0300,PC LLC: BLDG RENTAL 16171,A81000B,00200,0300,PYR: TUBE FEEDING 16171,A81000B,00300,0300,PYR: URO/OST 16171,A81000B,00400,0300,PYR: NURSING SUPPLY 16171,A81000B,00500,0300,PYR: ADMIN/GEL 16171,A81000B,00600,0300,AMS: CAPITAL/RENT 16171,A81000B,00700,0300,AMS: EMPLOYEE BENEF 16171,A81000B,00800,0300,AMS: GENL /ADMIN 16171,A81000B,01100,0300,CPT: RESPIRATORY THE 16171,A81000B,01200,0300,CPT: PHYSICAL THERAP 16171,A81000B,01300,0300,CPT: OCCUP. THERAPY 16171,A81000B,01400,0300,CPT: SPEECH THERAPY 16171,A81000B,01500,0300,FECII:DRUG COSTS 16171,A81000B,01600,0300,FECII:I.V. SUPPLIES 16171,A81000B,01700,0300,FECII:GENL/ADMIN 16171,A81000B,01800,0300,FECII:HOUSE STOCK 16171,A81000C,00100,0100,B 16171,A81000C,00100,0200,ALDEN MGT SERV 16171,A81000C,00100,0400,ALDEN MGT SERV 16171,A81000C,00100,0600,MANAGEMENT CO 16171,A81000C,00200,0100,F 16171,A81000C,00200,0200,FLOYD SHLOSSBER 16171,A81000C,00200,0400,FORUM PROF. CEN 16171,A81000C,00200,0600,OFFICE BLDG 16171,A81000C,00300,0100,B 16171,A81000C,00300,0200,ALDEN MGT SERV 16171,A81000C,00300,0400,PYRAMID HEALTH 16171,A81000C,00300,0600,MEDICAL SUPPLIE 16171,A81000C,00400,0100,B 16171,A81000C,00400,0200,ALDEN MGT SERV 16171,A81000C,00400,0400,FORUM EXT. CARE 16171,A81000C,00400,0600,PHARMACY 16171,A81000C,00500,0100,B 16171,A81000C,00500,0200,ALDEN MGT SERV 16171,A81000C,00500,0400,POPLAR CREEK L 16171,A81000C,00500,0600,BUILDING RENTAL 16171,A81000C,00600,0100,F 16171,A81000C,00600,0200,FLOYD SHLOSSBER 16171,A81000C,00600,0400,POPLAR CREEK L 16171,A81000C,00600,0600,BUILDING RENTAL 16171,A81000C,00700,0100,F 16171,A81000C,00700,0200,ALDEN MGT SERV 16171,A81000C,00700,0400,IL. HOME THERAP 16171,A81000C,00700,0600,THERAPY CO. 16171,B100000,00000,0100,00000SQUARE FEET 16171,B100000,00000,0200,00000SQUARE FEET 16171,B100000,00000,0300,00000GROSS SALARIES 16171,B100000,00000,0400,00000ACCUM COST 16171,B100000,00000,0500,00000SQUARE FEET 16171,B100000,00000,0600,00000POUNDS OF LAUNDRY 16171,B100000,00000,0700,00000HOURS OF SERVICE 16171,B100000,00000,0800,00000MEALS SERVED 16171,B100000,00000,0900,00000DIRECT NRSG HRS 16171,B100000,00000,1000,00000COSTED REQUIS 16171,B100000,00000,1100,00000COSTED REQUIS 16171,B100000,00000,1200,00000TIME SPENT 16171,B100000,00000,1300,00000TIME SPENT 16171,B100000,00000,1400,00000ASSIGNED TIME 16171,S000000,00100,0200,06/14/2000 16171,S200000,00100,0100,1545 BARRINGTON RD. 16171,S200000,00200,0100,HOFFMAN ESTATES 16171,S200000,00200,0200,IL 16171,S200000,00300,0100,COOK 16171,S200000,00400,0100,ALDEN NURSING CENTER POPLAR CREEK 16171,S200000,00400,0200,145403 16171,S200000,00400,0300,01/01/1988 16171,S200000,00400,0500,P 16171,S200000,00400,0600,O 16171,S200000,01600,0100,Y 16171,S200000,01800,0100,Y 16171,S200000,02200,0100,Y 16178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16178,A000000,00300,0000,00300EMPLOYEE BENEFITS 16178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16178,A000000,00700,0000,00700HOUSEKEEPING 16178,A000000,00800,0000,00800DIETARY 16178,A000000,00900,0000,00900NURSING ADMINISTRATION 16178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16178,A000000,01100,0000,01100PHARMACY 16178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16178,A000000,01300,0000,01300SOCIAL SERVICE 16178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16178,A000000,01600,0000,01600SKILLED NURSING FACILITY 16178,A000000,01800,0000,01800NURSING FACILITY 16178,A000000,01810,0000,01810ICF/MR 16178,A000000,02100,0000,02100RADIOLOGY 16178,A000000,02200,0000,02200LABORATORY 16178,A000000,02300,0000,02300INTRAVENOUS THERAPY 16178,A000000,02500,0000,02500PHYSICAL THERAPY 16178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16178,A000000,02700,0000,02700SPEECH PATHOLOGY 16178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16178,A000000,03200,0000,03200SUPPORT SURFACES 16178,A000000,03550,0000,03550FQHC 16178,A000000,04800,0000,04800AMBULANCE 16178,A000000,05000,0000,05000CORF 16178,A000000,05010,0000,05010CMHC 16178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16178,A81000A,00100,0100,Y 16178,A81000B,00200,0300,MANAGEMENT FEES 16178,A81000C,00200,0100,B 16178,A81000C,00200,0200,HOLT / ARM 16178,B100000,00000,0100,00000SQUARE FEET 16178,B100000,00000,0200,00000SQUARE FEET 16178,B100000,00000,0300,00000GROSS SALARIES 16178,B100000,00000,0400,00000ACCUM COST 16178,B100000,00000,0500,00000SQUARE FEET 16178,B100000,00000,0600,00000PATIENT DAYS 16178,B100000,00000,0700,00000SQUARE FEET 16178,B100000,00000,0800,00000PATIENT DAYS 16178,B100000,00000,0900,00000PATIENT DAYS 16178,B100000,00000,1000,00000PATIENT DAYS 16178,B100000,00000,1100,00000COSTED REQUIS 16178,B100000,00000,1200,00000PATIENT DAYS 16178,B100000,00000,1300,00000PATIENT DAYS 16178,B100000,00000,1400,00000ASSIGNED TIME 16178,S000000,00100,0200,05/17/2000 16178,S200000,00300,0100,DU PAGE 16178,S200000,00400,0100,WESTMONT CONVALESCENT CENTRE 16178,S200000,00400,0200,145405 16178,S200000,00400,0300,01/01/1980 16178,S200000,00400,0500,P 16178,S200000,01600,0100,Y 16186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16186,A000000,00300,0000,00300EMPLOYEE BENEFITS 16186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16186,A000000,00700,0000,00700HOUSEKEEPING 16186,A000000,00800,0000,00800DIETARY 16186,A000000,00801,0000,00810CAFETERIA 16186,A000000,00900,0000,00900NURSING ADMINISTRATION 16186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16186,A000000,01100,0000,01100PHARMACY 16186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16186,A000000,01300,0000,01300SOCIAL SERVICE 16186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16186,A000000,01600,0000,01600SKILLED NURSING FACILITY 16186,A000000,01800,0000,01800NURSING FACILITY 16186,A000000,01810,0000,01810ICF/MR 16186,A000000,02500,0000,02500PHYSICAL THERAPY 16186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16186,A000000,02700,0000,02700SPEECH PATHOLOGY 16186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16186,A000000,03550,0000,03550FQHC 16186,A000000,05000,0000,05000CORF 16186,A000000,05010,0000,05010CMHC 16186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16186,A81000A,00100,0100,Y 16186,A81000B,00100,0300,MGMT. FEE - NON CAPI 16186,A81000B,00200,0300,MGMT. FEE - CAPITAL 16186,A81000C,00100,0100,B 16186,A81000C,00100,0200,COVENANT RET. C 16186,A81000C,00100,0400,N/A 16186,A81000C,00100,0600,N/A 16186,B100000,00000,0100,00000SQUARE FEET 16186,B100000,00000,0200,00000SQUARE FEET 16186,B100000,00000,0300,00000GROSS SALARIES 16186,B100000,00000,0400,00000ACCUM COST 16186,B100000,00000,0500,00000SQUARE FEET 16186,B100000,00000,0600,00000PATIENT DAYS 16186,B100000,00000,0700,00000SQUARE FEET 16186,B100000,00000,0800,00000MEALS SERVED 16186,B100000,00000,0810,00000HOURS WORKED 16186,B100000,00000,0900,00000DIRECT NRSG HRS 16186,B100000,00000,1000,00000COSTED REQUIS 16186,B100000,00000,1100,00000COSTED REQUIS 16186,B100000,00000,1200,00000GROSS REVENUE 16186,B100000,00000,1300,00000WT PATIENT DAYS 16186,B100000,00000,1400,00000ASSIGNED TIME 16186,S000000,00100,0200,07/03/2000 16186,S200000,00100,0100,831 NORTH BATAVIA AVENUE 16186,S200000,00100,0300,IL 16186,S200000,00200,0100,BATAVIA 16186,S200000,00200,0200,IL 16186,S200000,00200,0300,60510 16186,S200000,00300,0100,KANE 16186,S200000,00400,0100,MICHEALSEN HEALTH CENTER 16186,S200000,00400,0200,145409 16186,S200000,00400,0300,12/05/1980 16186,S200000,00400,0500,P 16186,S200000,01600,0100,Y 16186,S200000,02200,0100,Y 16186,S200000,02800,0100,Y 16198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16198,A000000,00300,0000,00300EMPLOYEE BENEFITS 16198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16198,A000000,00700,0000,00700HOUSEKEEPING 16198,A000000,00800,0000,00800DIETARY 16198,A000000,00900,0000,00900NURSING ADMINISTRATION 16198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16198,A000000,01100,0000,01100PHARMACY 16198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16198,A000000,01300,0000,01300SOCIAL SERVICE 16198,A000000,01350,0000,01500ACTIVITIES 16198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16198,A000000,01600,0000,01600SKILLED NURSING FACILITY 16198,A000000,01800,0000,01800NURSING FACILITY 16198,A000000,01810,0000,01810ICF/MR 16198,A000000,02100,0000,02100RADIOLOGY 16198,A000000,02200,0000,02200LABORATORY 16198,A000000,02500,0000,02500PHYSICAL THERAPY 16198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16198,A000000,02700,0000,02700SPEECH PATHOLOGY 16198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16198,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 16198,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 16198,A000000,03550,0000,03550FQHC 16198,A000000,04750,0000,05100OTHER REIMBURSABLE COST 16198,A000000,05000,0000,05000CORF 16198,A000000,05010,0000,05010CMHC 16198,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16198,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16198,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16198,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16198,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16198,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16198,A81000A,00100,0100,Y 16198,A81000B,00100,0300,MANAGEMENT FEE 16198,A81000B,00200,0300,HOME OFFICE CAPITAL 16198,A81000C,00100,0100,B 16198,A81000C,00100,0200,LIFELINK CORPORATION 16198,A81000C,00100,0600,HOME OFFICE 16198,A81000C,00200,0100,B 16198,A81000C,00200,0200,LIFELINK CORPORATION 16198,A81000C,00200,0600,HOME OFFICE 16198,B100000,00000,0100,00000SQUARE FEET 16198,B100000,00000,0200,00000SQUARE FEET 16198,B100000,00000,0300,00000GROSS SALARIES 16198,B100000,00000,0400,00000ACCUM. COST 16198,B100000,00000,0500,00000SQUARE FEET 16198,B100000,00000,0600,00000PATIENT DAYS 16198,B100000,00000,0700,00000SQUARE FEET 16198,B100000,00000,0800,00000PATIENT DAYS 16198,B100000,00000,0900,00000NURSING SALARIES 16198,B100000,00000,1000,00000PATIENT DAYS 16198,B100000,00000,1100,00000COSTED REQUIS. 16198,B100000,00000,1200,00000PATIENT DAYS 16198,B100000,00000,1300,00000PATIENT DAYS 16198,B100000,00000,1350,00000PATIENT DAYS 16198,B100000,00000,1400,00000ASSIGNED TIME 16198,S000000,00100,0200,11/29/2000 16198,S200000,00100,0100,111 EAST WASHINGTON 16198,S200000,00200,0100,BENSENVILLE 16198,S200000,00200,0200,IL 16198,S200000,00200,0300,60106 16198,S200000,00300,0100,D 16198,S200000,00400,0100,ANCHORAGE NURSING HOME 16198,S200000,00400,0200,145420 16198,S200000,00400,0300,07/01/1988 16198,S200000,00400,0500,P 16198,S200000,01600,0100,Y 16206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16206,A000000,00300,0000,00300EMPLOYEE BENEFITS 16206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16206,A000000,00700,0000,00700HOUSEKEEPING 16206,A000000,00800,0000,00800DIETARY 16206,A000000,00900,0000,00900NURSING ADMINISTRATION 16206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16206,A000000,01100,0000,01100PHARMACY 16206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16206,A000000,01300,0000,01300SOCIAL SERVICE 16206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16206,A000000,01600,0000,01600SKILLED NURSING FACILITY 16206,A000000,01800,0000,01800NURSING FACILITY 16206,A000000,01810,0000,01810ICF/MR 16206,A000000,02100,0000,02100RADIOLOGY 16206,A000000,02200,0000,02200LABORATORY 16206,A000000,02300,0000,02300INTRAVENOUS THERAPY 16206,A000000,02500,0000,02500PHYSICAL THERAPY 16206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16206,A000000,02700,0000,02700SPEECH PATHOLOGY 16206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16206,A000000,03550,0000,03550FQHC 16206,A000000,05000,0000,05000CORF 16206,A000000,05010,0000,05010CMHC 16206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16206,A81000A,00100,0100,Y 16206,A81000B,00100,0300,PYR: TUBE FEEDING 16206,A81000B,00200,0300,PYR: URO/OST SUPPLY 16206,A81000B,00300,0300,PYR: NURSING SUPPLY 16206,A81000B,00400,0300,PYR: ADMIN/GENL 16206,A81000B,00500,0300,AMS: CAPITAL/RENT 16206,A81000B,00600,0300,AMS: EMPLYEE BENEF 16206,A81000B,00700,0300,AMS: ADMIN/GENL 16206,A81000B,01000,0300,CPT: PHYSICAL THERAP 16206,A81000B,01100,0300,CPT: OCCUP THERAPY 16206,A81000B,01200,0300,CPT: SPEECH THERAPY 16206,A81000B,01300,0300,FECII:DRUG COSTS 16206,A81000B,01400,0300,FECII:I.V. SUPPLIES 16206,A81000B,01500,0300,FECII:GENL/ADMIN 16206,A81000B,01600,0300,FECII:HOUSE STOCK 16206,A81000C,00100,0100,B 16206,A81000C,00100,0200,ALDEN MGT SERV 16206,A81000C,00100,0400,ALDEN MGT SERV 16206,A81000C,00100,0600,MANAGEMENT CO 16206,A81000C,00200,0100,F 16206,A81000C,00200,0200,FLOYD SCHLOSSBE 16206,A81000C,00200,0400,FORUM PROF. CEN 16206,A81000C,00200,0600,OFFICE BLDG 16206,A81000C,00300,0100,B 16206,A81000C,00300,0200,ALDEN MGT SERV 16206,A81000C,00300,0400,PYRAMID HEALTH 16206,A81000C,00300,0600,MEDICAL SUPPLIE 16206,A81000C,00400,0100,B 16206,A81000C,00400,0200,ALDEN MGT SERV. 16206,A81000C,00400,0400,FORUM EXTEND. C 16206,A81000C,00400,0600,PHARMACY 16206,A81000C,00500,0100,F 16206,A81000C,00500,0200,ALDEN MGT SERV 16206,A81000C,00500,0400,IL. HOME THERAP 16206,A81000C,00500,0600,THERAPY CO 16206,B100000,00000,0100,00000SQUARE FEET 16206,B100000,00000,0200,00000SQUARE FEET 16206,B100000,00000,0300,00000GROSS SALARIES 16206,B100000,00000,0400,00000ACCUM COST 16206,B100000,00000,0500,00000SQUARE FEET 16206,B100000,00000,0600,00000POUNDS OF LAUNDRY 16206,B100000,00000,0700,00000HOURS OF SERVICE 16206,B100000,00000,0800,00000MEALS SERVED 16206,B100000,00000,0900,00000DIRECT NRSG HRS 16206,B100000,00000,1000,00000COSTED REQUIS 16206,B100000,00000,1100,00000COSTED REQUIS 16206,B100000,00000,1200,00000TIME SPENT 16206,B100000,00000,1300,00000TIME SPENT 16206,B100000,00000,1400,00000ASSIGNED TIME 16206,S000000,00100,0200,06/14/2000 16206,S200000,00100,0100,201 W. 69TH ST. 16206,S200000,00200,0100,CHICAGO 16206,S200000,00200,0200,IL 16206,S200000,00300,0100,COOK 16206,S200000,00400,0100,ALDEN NURSING CENTER WENTWORTH 16206,S200000,00400,0200,145429 16206,S200000,00400,0300,09/03/1981 16206,S200000,00400,0500,P 16206,S200000,00400,0600,O 16206,S200000,01600,0100,Y 16206,S200000,01800,0100,Y 16206,S200000,02200,0100,Y 16217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16217,A000000,00300,0000,00300EMPLOYEE BENEFITS 16217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16217,A000000,00700,0000,00700HOUSEKEEPING 16217,A000000,00800,0000,00800DIETARY 16217,A000000,00900,0000,00900NURSING ADMINISTRATION 16217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16217,A000000,01100,0000,01100PHARMACY 16217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16217,A000000,01300,0000,01300SOCIAL SERVICE 16217,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16217,A000000,01600,0000,01600SKILLED NURSING FACILITY 16217,A000000,01810,0000,01810ICF/MR 16217,A000000,01900,0000,01900OTHER LONG TERM CARE 16217,A000000,02100,0000,02100RADIOLOGY 16217,A000000,02200,0000,02200LABORATORY 16217,A000000,02500,0000,02500PHYSICAL THERAPY 16217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16217,A000000,02700,0000,02700SPEECH PATHOLOGY 16217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16217,A000000,03550,0000,03550FQHC 16217,A000000,05000,0000,05000CORF 16217,A000000,05010,0000,05010CMHC 16217,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16217,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16217,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16217,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16217,A000000,06101,0000,06101BAD DEBTS 16217,A000000,06102,0000,06102DEVELOPMENT 16217,A81000A,00100,0100,Y 16217,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 16217,A81000C,00100,0100,B 16217,A81000C,00100,0200,SENIOR SERVICE 16217,A81000C,00100,0600,HEALTH SERVICE 16217,B100000,00000,0100,00002SQUARE FEET 16217,B100000,00000,0200,00002DOLLAR VALUE 16217,B100000,00000,0300,00002GROSS SALARIES 16217,B100000,00000,0400,00002ACCUM. COST 16217,B100000,00000,0500,00002SQUARE FEET 16217,B100000,00000,0600,00002POUNDS OF LAUNDRY 16217,B100000,00000,0700,00002HOURS OF SERVICE 16217,B100000,00000,0800,00002MEALS SERVED 16217,B100000,00000,0900,00002DIRECT NRSING HRS 16217,B100000,00000,1000,00002COSTED REQUIS. 16217,B100000,00000,1100,00002COSTED REQUIS. 16217,B100000,00000,1200,00002TIME SPENT 16217,B100000,00000,1300,00002TIME SPENT 16217,B100000,00000,1400,00002ASSIGNED TIME 16217,S000000,00100,0200,06/30/2000 16217,S200000,00100,0100,611 ALLEN LANE 16217,S200000,00200,0100,ST. CHARLES 16217,S200000,00200,0200,IL 16217,S200000,00200,0300,61074 16217,S200000,00300,0100,KANE 16217,S200000,00400,0100,PROVENA PINE VIEW CARE CENTER 16217,S200000,00400,0200,145433 16217,S200000,00400,0300,03/01/1998 16217,S200000,00400,0500,P 16217,S200000,01600,0100,Y 16217,S200000,04300,0100,Y 16221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16221,A000000,00300,0000,00300EMPLOYEE BENEFITS 16221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16221,A000000,00700,0000,00700HOUSEKEEPING 16221,A000000,00800,0000,00800DIETARY 16221,A000000,00900,0000,00900NURSING ADMINISTRATION 16221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16221,A000000,01100,0000,01100PHARMACY 16221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16221,A000000,01300,0000,01300SOCIAL SERVICE 16221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16221,A000000,01600,0000,01600SKILLED NURSING FACILITY 16221,A000000,01800,0000,01800NURSING FACILITY 16221,A000000,01810,0000,01810ICF/MR 16221,A000000,02200,0000,02200LABORATORY 16221,A000000,02500,0000,02500PHYSICAL THERAPY 16221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16221,A000000,02700,0000,02700SPEECH PATHOLOGY 16221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16221,A000000,03200,0000,03200SUPPORT SURFACES 16221,A000000,03550,0000,03550FQHC 16221,A000000,05000,0000,05000CORF 16221,A000000,05010,0000,05010CMHC 16221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16221,A81000A,00100,0100,Y 16221,A81000B,00100,0300,ADMIN AND GENERAL 16221,A81000C,00100,0100,A 16221,A81000C,00100,0400,OLYMPIA GROUP 16221,B100000,00000,0100,00000SQUARE FEET 16221,B100000,00000,0200,00000SQUARE FEET 16221,B100000,00000,0300,00000GROSS SALARIES 16221,B100000,00000,0400,00000ACCUM COST 16221,B100000,00000,0500,00000SQUARE FEET 16221,B100000,00000,0600,00000PATIENT DAYS 16221,B100000,00000,0700,00000SQUARE FEET 16221,B100000,00000,0800,00000MEALS SERVED 16221,B100000,00000,0900,00000DIRECT NRSG HRS 16221,B100000,00000,1000,00000PATIENT DAYS 16221,B100000,00000,1100,00000COSTED REQUIS 16221,B100000,00000,1200,00000PATIENT DAYS 16221,B100000,00000,1300,00000PATIENT DAYS 16221,B100000,00000,1400,00000ASSIGNED TIME 16221,E10A180,00550,0300,05/26/2000 16221,S000000,00100,0200,05/25/2000 16221,S200000,00100,0100,700 JENKINSSON AVENUE 16221,S200000,00200,0100,LAKE BLUFF 16221,S200000,00200,0200,IL 16221,S200000,00200,0300,60044 16221,S200000,00300,0100,LAKE 16221,S200000,00400,0100,PEBBLEBROOK NURSING AND REHAB 16221,S200000,00400,0200,145434 16221,S200000,00400,0300,01/01/1995 16221,S200000,00400,0500,P 16221,S200000,00600,0200,145434 16221,S200000,00600,0300,01/01/1995 16221,S200000,00600,0600,P 16223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16223,A000000,00300,0000,00300EMPLOYEE BENEFITS 16223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16223,A000000,00700,0000,00700HOUSEKEEPING 16223,A000000,00800,0000,00800DIETARY 16223,A000000,00900,0000,00900NURSING ADMINISTRATION 16223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16223,A000000,01100,0000,01100PHARMACY 16223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16223,A000000,01300,0000,01300SOCIAL SERVICE 16223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16223,A000000,01600,0000,01600SKILLED NURSING FACILITY 16223,A000000,01800,0000,01800NURSING FACILITY 16223,A000000,01810,0000,01810ICF/MR 16223,A000000,02100,0000,02100RADIOLOGY 16223,A000000,02200,0000,02200LABORATORY 16223,A000000,02500,0000,02500PHYSICAL THERAPY 16223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16223,A000000,02700,0000,02700SPEECH PATHOLOGY 16223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16223,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16223,A000000,03200,0000,03200SUPPORT SURFACES 16223,A000000,03550,0000,03550FQHC 16223,A000000,05000,0000,05000CORF 16223,A000000,05010,0000,05010CMHC 16223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16223,A81000A,00100,0100,Y 16223,A81000B,00100,0300,CAPITAL RELATED 16223,A81000B,00200,0300,EMPLOYEE BENEFITS 16223,A81000B,00300,0300,ADMIN. & GENERAL 16223,A81000B,00400,0300,SUPPLIES 16223,A81000C,00100,0100,A 16223,A81000C,00100,0400,LAKE KNOLL 16223,A81000C,00100,0600,BLDG. PARTNERSH 16223,B100000,00000,0100,00000SQUARE FEET 16223,B100000,00000,0200,00000SQUARE FEET 16223,B100000,00000,0300,00000GROSS SALARIES 16223,B100000,00000,0400,00000ACCUM COST 16223,B100000,00000,0500,00000SQUARE FEET 16223,B100000,00000,0600,00000PATIENT DAYS 16223,B100000,00000,0700,00000SQUARE FEET 16223,B100000,00000,0800,00000MEALS SERVED 16223,B100000,00000,0900,00000DIRECT NRSG HRS 16223,B100000,00000,1000,00000PATIENT DAYS 16223,B100000,00000,1100,00000COSTED REQUIS 16223,B100000,00000,1200,00000PATIENT DAYS 16223,B100000,00000,1300,00000PATIENT DAYS 16223,B100000,00000,1400,00000ASSIGNED TIME 16223,S000000,00100,0200,05/25/2000 16223,S200000,00100,0100,700 JENKINSON AVENUE 16223,S200000,00200,0100,LAKE BLUFF 16223,S200000,00200,0200,IL 16223,S200000,00200,0300,60044 16223,S200000,00300,0100,LAKE 16223,S200000,00400,0100,PEBBLE BROOK NURSING & REHAB. 16223,S200000,00400,0200,145434 16223,S200000,00400,0300,01/01/1995 16223,S200000,00400,0500,P 16223,S200000,01600,0100,Y 16240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16240,A000000,00300,0000,00300EMPLOYEE BENEFITS 16240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16240,A000000,00700,0000,00700HOUSEKEEPING 16240,A000000,00800,0000,00800DIETARY 16240,A000000,00900,0000,00900NURSING ADMINISTRATION 16240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16240,A000000,01100,0000,01100PHARMACY 16240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16240,A000000,01300,0000,01300SOCIAL SERVICE 16240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16240,A000000,01600,0000,01600SKILLED NURSING FACILITY 16240,A000000,01800,0000,01800NURSING FACILITY 16240,A000000,01810,0000,01810ICF/MR 16240,A000000,02100,0000,02100RADIOLOGY 16240,A000000,02200,0000,02200LABORATORY 16240,A000000,02300,0000,02300INTRAVENOUS THERAPY 16240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16240,A000000,02500,0000,02500PHYSICAL THERAPY 16240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16240,A000000,02700,0000,02700SPEECH PATHOLOGY 16240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16240,A000000,03200,0000,03200SUPPORT SURFACES 16240,A000000,03550,0000,03550FQHC 16240,A000000,05000,0000,05000CORF 16240,A000000,05010,0000,05010CMHC 16240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16240,A000000,06150,0000,06300VA DOCTORS 16240,A81000A,00100,0100,Y 16240,A81000B,00100,0300,LAW.AV.-RENT/BLDNG 16240,A81000B,00200,0300,LAW.AV.-RENT/ADM&GEN 16240,A81000B,00300,0300,TRIPOINT:HOUSEKEEPIN 16240,A81000B,00400,0300,PYR: TUBE FEEDING 16240,A81000B,00500,0300,PYR: URO/OST SUPPLY 16240,A81000B,00600,0300,PYR: NURSING SUPPLY 16240,A81000B,00700,0300,PYR: GENL & ADMIN 16240,A81000B,00800,0300,AMS:CAPITAL/RENT/ETC 16240,A81000B,00900,0300,AMS:EMPLOYEE BENEFI 16240,A81000B,01000,0300,AMS: GENL /ADMIN 16240,A81000B,01300,0300,CPT: PHYSICAL THERAP 16240,A81000B,01400,0300,CPT: OCCUP.THERAPY 16240,A81000B,01500,0300,CPT: SPEECH THERAPY 16240,A81000B,01600,0300,CPT: RESPIRATORY THE 16240,A81000B,01700,0300,FECII:DRUGS COSTS 16240,A81000B,01800,0300,FECII:I.V. COSTS 16240,A81000B,01900,0300,FECII:GENL/ADMIN 16240,A81000B,02000,0300,FECII:HOUSE SUPPLIES 16240,A81000C,00100,0100,B 16240,A81000C,00100,0200,ALDEN MGT SERV 16240,A81000C,00100,0400,ALDEN MGT. SERV 16240,A81000C,00100,0600,MANAGEMENT CO 16240,A81000C,00200,0100,F 16240,A81000C,00200,0200,FLOYD SCHLOSSBE 16240,A81000C,00200,0400,FORUM PROFESS C 16240,A81000C,00200,0600,OFFICE BLDG 16240,A81000C,00300,0100,B 16240,A81000C,00300,0200,ALDEN MGT. SERV 16240,A81000C,00300,0400,PYRAMID HEALTH 16240,A81000C,00300,0600,HEALTH CARE SUP 16240,A81000C,00400,0100,B 16240,A81000C,00400,0200,ALDEN MGT. SERV 16240,A81000C,00400,0400,FORUM EXTENDED 16240,A81000C,00400,0600,HOUSEKEEPING CO 16240,A81000C,00500,0100,B 16240,A81000C,00500,0200,ALDEN MGT. SERV 16240,A81000C,00500,0400,TRI-POINT SERV 16240,A81000C,00500,0600,THERAPY CO 16240,A81000C,00600,0100,F 16240,A81000C,00600,0200,ALDEN MGT. SERV 16240,A81000C,00600,0400,IL.HOME THERAP. 16240,B100000,00000,0100,00000SQUARE FEET 16240,B100000,00000,0200,00000SQUARE FEET 16240,B100000,00000,0300,00000GROSS SALARIES 16240,B100000,00000,0400,00000ACCUM COST 16240,B100000,00000,0500,00000SQUARE FEET 16240,B100000,00000,0600,00000POUNDS OF LAUNDRY 16240,B100000,00000,0700,00000HOURS OF SERVICE 16240,B100000,00000,0800,00000MEALS SERVED 16240,B100000,00000,0900,00000DIRECT NRSG HRS 16240,B100000,00000,1000,00000COSTED REQUIS 16240,B100000,00000,1100,00000COSTED REQUIS 16240,B100000,00000,1200,00000TIME SPENT 16240,B100000,00000,1300,00000TIME SPENT 16240,B100000,00000,1400,00000ASSIGNED TIME 16240,S000000,00100,0200,06/14/2000 16240,S200000,00100,0100,820 W. LAWRENCE 16240,S200000,00200,0100,CHICAGO 16240,S200000,00200,0200,IL 16240,S200000,00300,0100,COOK 16240,S200000,00400,0100,ALDEN LAKELAND NURISNG CENTER 16240,S200000,00400,0200,145450 16240,S200000,00400,0300,01/01/1972 16240,S200000,00400,0500,P 16240,S200000,00400,0600,O 16240,S200000,01600,0100,Y 16240,S200000,01800,0100,Y 16240,S200000,02200,0100,Y 16248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16248,A000000,00300,0000,00300EMPLOYEE BENEFITS 16248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16248,A000000,00700,0000,00700HOUSEKEEPING 16248,A000000,00800,0000,00800DIETARY 16248,A000000,00900,0000,00900NURSING ADMINISTRATION 16248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16248,A000000,01100,0000,01100PHARMACY 16248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16248,A000000,01300,0000,01300SOCIAL SERVICE 16248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16248,A000000,01600,0000,01600SKILLED NURSING FACILITY 16248,A000000,01800,0000,01800NURSING FACILITY 16248,A000000,01810,0000,01810ICF/MR 16248,A000000,02100,0000,02100RADIOLOGY 16248,A000000,02200,0000,02200LABORATORY 16248,A000000,02300,0000,02300INTRAVENOUS THERAPY 16248,A000000,02500,0000,02500PHYSICAL THERAPY 16248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16248,A000000,02700,0000,02700SPEECH PATHOLOGY 16248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16248,A000000,03200,0000,03200SUPPORT SURFACES 16248,A000000,03550,0000,03550FQHC 16248,A000000,05000,0000,05000CORF 16248,A000000,05010,0000,05010CMHC 16248,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16248,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16248,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16248,A81000A,00100,0100,Y 16248,A81000B,00100,0300,PYR:TUBE FEEDING 16248,A81000B,00200,0300,PYR: URO/OSTOMY SUPP 16248,A81000B,00300,0300,PYR:NURSING SUPPLY 16248,A81000B,00400,0300,PYR: ADMIN/GENL 16248,A81000B,00500,0300,AMS:RENT/CAPITAL 16248,A81000B,00600,0300,AMS:EMPLOYEE BENEF 16248,A81000B,00700,0300,AMS:ADMIN/GENL 16248,A81000B,01000,0300,CPT: PHYSICAL THERAP 16248,A81000B,01100,0300,CPT: OCCUP.THERAPY 16248,A81000B,01200,0300,CPT: SPEECH THERAPY 16248,A81000B,01300,0300,FECII:DRUG COSTS 16248,A81000B,01400,0300,FECII:IV COSTS 16248,A81000B,01500,0300,FECII:GEN/ADM 16248,A81000B,01600,0300,FECII:HOUSE SUPPLIES 16248,A81000C,00100,0100,B 16248,A81000C,00100,0200,ALDEN MGT. SERV 16248,A81000C,00100,0400,ALDEN MANAGEMEN 16248,A81000C,00100,0600,MANAGEMENT CO. 16248,A81000C,00200,0100,F 16248,A81000C,00200,0200,FLOYD SCHLOSSBE 16248,A81000C,00200,0400,FORUM PROF. CEN 16248,A81000C,00200,0600,PROFESS. BLDG 16248,A81000C,00300,0100,B 16248,A81000C,00300,0200,ALDEN MGT. SERV 16248,A81000C,00300,0400,PYRAMID HEALTH 16248,A81000C,00300,0600,HEALTHCARE SUPP 16248,A81000C,00400,0100,B 16248,A81000C,00400,0200,ALDEN MGT. SERV 16248,A81000C,00400,0400,FORUM EXT. CARE 16248,A81000C,00400,0600,PHARMACY 16248,A81000C,00500,0100,F 16248,A81000C,00500,0200,ALDEN MGT. SERV 16248,A81000C,00500,0400,IL. HOME THERAP 16248,A81000C,00500,0600,THERAPY CO. 16248,B100000,00000,0100,00000SQUARE FEET 16248,B100000,00000,0200,00000SQUARE FEET 16248,B100000,00000,0300,00000GROSS SALARIES 16248,B100000,00000,0400,00000ACCUM COST 16248,B100000,00000,0500,00000SQUARE FEET 16248,B100000,00000,0600,00000POUNDS OF LAUNDRY 16248,B100000,00000,0700,00000HOURS OF SERVICE 16248,B100000,00000,0800,00000MEALS SERVED 16248,B100000,00000,0900,00000DIRECT NRSG HRS 16248,B100000,00000,1000,00000COSTED REQUIS 16248,B100000,00000,1100,00000COSTED REQUIS 16248,B100000,00000,1200,00000TIME SPENT 16248,B100000,00000,1300,00000TIME SPENT 16248,B100000,00000,1400,00000ASSIGNED TIME 16248,S000000,00100,0200,06/14/2000 16248,S200000,00100,0100,803 ROYAL DR 16248,S200000,00200,0100,MCHENRY 16248,S200000,00200,0200,IL 16248,S200000,00300,0100,MCHENRY 16248,S200000,00400,0100,ALDEN TERRACE OF MCHENRY 16248,S200000,00400,0200,145453 16248,S200000,00400,0300,03/01/1995 16248,S200000,00400,0500,P 16248,S200000,00400,0600,O 16248,S200000,01600,0100,Y 16248,S200000,01800,0100,Y 16248,S200000,02200,0100,Y 16258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16258,A000000,00300,0000,00300EMPLOYEE BENEFITS 16258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16258,A000000,00700,0000,00700HOUSEKEEPING 16258,A000000,00800,0000,00800DIETARY 16258,A000000,00900,0000,00900NURSING ADMINISTRATION 16258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16258,A000000,01100,0000,01100PHARMACY 16258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16258,A000000,01300,0000,01300SOCIAL SERVICE 16258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16258,A000000,01600,0000,01600SKILLED NURSING FACILITY 16258,A000000,01800,0000,01800NURSING FACILITY 16258,A000000,01810,0000,01810ICF/MR 16258,A000000,02100,0000,02100RADIOLOGY 16258,A000000,02200,0000,02200LABORATORY 16258,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16258,A000000,02500,0000,02500PHYSICAL THERAPY 16258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16258,A000000,02700,0000,02700SPEECH PATHOLOGY 16258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16258,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 16258,A000000,03550,0000,03550FQHC 16258,A000000,04800,0000,04800AMBULANCE 16258,A000000,05000,0000,05000CORF 16258,A000000,05010,0000,05010CMHC 16258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16258,A81000A,00100,0100,Y 16258,A81000B,00100,0300,HOME OFFICE ALLOC 16258,A81000B,00200,0300,HOME OFFICE ALLOC 16258,A81000B,00400,0300,PHYSICAL THERAPY 16258,A81000B,00500,0300,OCCUPATIONAL THERAPY 16258,A81000B,00600,0300,SPEECH THERAPY 16258,A81000C,00100,0100,A 16258,A81000C,00100,0200,COVENANT CARE INC 16258,A81000C,00100,0400,COVENANT CARE INC. 16258,A81000C,00100,0600,HEALTH CARE 16258,A81000C,00200,0100,B 16258,A81000C,00200,0200,PHARMACY 16258,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 16258,A81000C,00200,0600,PHARMACY - HEALTH CARE 16258,A81000C,00300,0100,C 16258,A81000C,00300,0200,THERAPY 16258,A81000C,00300,0400,SELECT THEREAPY 16258,A81000C,00300,0600,THERAPY SERVICES 16258,B100000,00000,0100,00000SQUARE FEET 16258,B100000,00000,0200,00000SQUARE FEET 16258,B100000,00000,0300,00000GROSS SALARIES 16258,B100000,00000,0400,00000ACCUM. COST 16258,B100000,00000,0500,00000SQUARE FEET 16258,B100000,00000,0600,00000PATIENT DAYS 16258,B100000,00000,0700,00000SQUARE FEET 16258,B100000,00000,0800,00000PATIENT DAYS 16258,B100000,00000,0900,00000DIRECT NRSING HRS 16258,B100000,00000,1000,00000COSTED REQUIS. 16258,B100000,00000,1100,00000COSTED REQUIS. 16258,B100000,00000,1200,00000GROSS REVENUE 16258,B100000,00000,1300,00000PATIENT DAYS 16258,B100000,00000,1400,00000ASSIGNED TIME 16258,E10A180,00501,0100,06/07/2000 16258,E10A180,00550,0300,06/07/2000 16258,S000000,00100,0200,06/01/2000 16258,S200000,00100,0100,HIGHLAND HEALTH CARE CENTER 16258,S200000,00200,0100,1450 26TH STREET 16258,S200000,00200,0200,IL 16258,S200000,00200,0300,62249 16258,S200000,00300,0100,ST. LOUS 16258,S200000,00400,0100,HIGHLAND HEALTH CARE CENTER 16258,S200000,00400,0200,145508 16258,S200000,00400,0300,04/01/1997 16258,S200000,00400,0500,P 16258,S200000,00400,0600,O 16258,S200000,00600,0200,145508 16258,S200000,00600,0300,04/01/1997 16258,S200000,00600,0600,P 16258,S200000,01600,0100,Y 16264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16264,A000000,00300,0000,00300EMPLOYEE BENEFITS 16264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16264,A000000,00700,0000,00700HOUSEKEEPING 16264,A000000,00800,0000,00800DIETARY 16264,A000000,00900,0000,00900NURSING ADMINISTRATION 16264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16264,A000000,01100,0000,01100PHARMACY 16264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16264,A000000,01300,0000,01300SOCIAL SERVICE 16264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16264,A000000,01600,0000,01600SKILLED NURSING FACILITY 16264,A000000,01800,0000,01800NURSING FACILITY 16264,A000000,01810,0000,01810ICF/MR 16264,A000000,02200,0000,02200LABORATORY 16264,A000000,02500,0000,02500PHYSICAL THERAPY 16264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16264,A000000,02700,0000,02700SPEECH PATHOLOGY 16264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16264,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16264,A000000,03550,0000,03550FQHC 16264,A000000,04800,0000,04800AMBULANCE 16264,A000000,05000,0000,05000CORF 16264,A000000,05010,0000,05010CMHC 16264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16264,A000000,05300,0000,05300INTEREST EXPENSE 16264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16264,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16264,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16264,A81000A,00100,0100,Y 16264,A81000B,00100,0300,RENT EXPENSE 16264,A81000B,00200,0300,DEPRECIATION 16264,A81000B,00300,0300,PROPERTY TAXES 16264,A81000B,00400,0300,INTEREST EXPENSE 16264,A81000B,00500,0300,AMORT. OF MTG. COSTS 16264,A81000B,00600,0300,STATE REPLACEMENT TAX 16264,A81000B,00700,0300,BANK CHARGES 16264,A81000B,00800,0300,PROFESSIONAL FEES 16264,A81000B,00900,0300,MISCELLANEOUS EXPENSE 16264,A81000B,01000,0300,G&A COSTS - ROYAL 16264,A81000B,01100,0300,CAPITAL COSTS - ROYAL 16264,A81000C,00100,0100,A 16264,A81000C,00100,0200,JOHN SAMATAS 16264,A81000C,00100,0400,LHCS LOMBARD 16264,A81000C,00100,0600,LESSOR 16264,A81000C,00200,0100,A 16264,A81000C,00200,0200,JAMES SAMATAS 16264,A81000C,00200,0400,LHCS LOMBARD 16264,A81000C,00200,0600,LESSOR 16264,A81000C,00300,0100,A 16264,A81000C,00300,0200,CYNTHIA THIEM 16264,A81000C,00300,0400,LHCS LOMBARD 16264,A81000C,00300,0600,LESSOR 16264,A81000C,00400,0100,B 16264,A81000C,00400,0200,J SAMATAS ROYAL 16264,A81000C,00400,0400,ROYAL MGMT CORP 16264,A81000C,00400,0600,MGMT CO 16264,A81000C,00500,0100,B 16264,A81000C,00500,0200,J SAMATAS ROYAL 16264,A81000C,00500,0400,ROYAL MGMT CORP 16264,A81000C,00500,0600,MGMT CO 16264,B100000,00000,0100,00000SQUARE FEET 16264,B100000,00000,0200,00000SQUARE FEET 16264,B100000,00000,0300,00000GROSS SALARIES 16264,B100000,00000,0400,00000ACCUM COST 16264,B100000,00000,0500,00000SQUARE FEET 16264,B100000,00000,0600,00000PATIENT DAYS 16264,B100000,00000,0700,00000SQUARE FEET 16264,B100000,00000,0800,00000MEALS SERVED 16264,B100000,00000,0900,00000HOURS OF SERVICE 16264,B100000,00000,1000,00000PATIENT DAYS 16264,B100000,00000,1100,00000COSTED REQUISITIO 16264,B100000,00000,1200,00000PATIENT DAYS 16264,B100000,00000,1300,00000PATIENT DAYS 16264,B100000,00000,1400,00000ASSIGNED TIME 16264,S000000,00100,0200,06/01/2000 16264,S200000,00100,0100,2100 S. FINLEY ROAD 16264,S200000,00200,0100,LOMBARD 16264,S200000,00200,0200,IL 16264,S200000,00200,0300,60148 16264,S200000,00300,0100,DUPAGE 16264,S200000,00400,0100,LEXINGTON HCC - LOMBARD 16264,S200000,00400,0200,145511 16264,S200000,00400,0300,11/26/1984 16264,S200000,00400,0500,P 16264,S200000,01600,0100,Y 16273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16273,A000000,00300,0000,00300EMPLOYEE BENEFITS 16273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16273,A000000,00700,0000,00700HOUSEKEEPING 16273,A000000,00800,0000,00800DIETARY 16273,A000000,00900,0000,00900NURSING ADMINISTRATION 16273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16273,A000000,01100,0000,01100PHARMACY 16273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16273,A000000,01300,0000,01300SOCIAL SERVICE 16273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16273,A000000,01600,0000,01600SKILLED NURSING FACILITY 16273,A000000,01800,0000,01800NURSING FACILITY 16273,A000000,01810,0000,01810ICF/MR 16273,A000000,02500,0000,02500PHYSICAL THERAPY 16273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16273,A000000,02700,0000,02700SPEECH PATHOLOGY 16273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16273,A000000,03550,0000,03550FQHC 16273,A000000,05000,0000,05000CORF 16273,A000000,05010,0000,05010CMHC 16273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16273,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16273,A81000A,00100,0100,Y 16273,A81000B,00100,0300,MGT FEES - NON CAP 16273,A81000B,00200,0300,MGT FEE - CAPITAL 16273,A81000C,00100,0100,B 16273,A81000C,00100,0200,COVENANT RET CO 16273,A81000C,00100,0400,N/A 16273,A81000C,00100,0600,N/A 16273,B100000,00000,0100,00000SQUARE FEET 16273,B100000,00000,0200,00000SQUARE FEET 16273,B100000,00000,0300,00000GROSS SALARIES 16273,B100000,00000,0400,00000ACCUM COST 16273,B100000,00000,0500,00000SQUARE FEET 16273,B100000,00000,0600,00000PATIENT DAYS 16273,B100000,00000,0700,00000SQUARE FEET 16273,B100000,00000,0800,00000MEALS SERVED 16273,B100000,00000,0900,00000DIRECT NRSG HRS 16273,B100000,00000,1000,00000COSTED REQUIS 16273,B100000,00000,1100,00000COSTED REQUIS 16273,B100000,00000,1200,00000GROSS REVENUES 16273,B100000,00000,1300,00000TIME SPENT 16273,B100000,00000,1400,00000ASSIGNED TIME 16273,S000000,00100,0200,07/03/2000 16273,S200000,00100,0100,2155 PFINGSTEN ROAD 16273,S200000,00200,0100,NORTHBROOK 16273,S200000,00200,0200,IL 16273,S200000,00200,0300,60062 16273,S200000,00300,0100,COOK 16273,S200000,00400,0100,BRANDEL CARE CENTER 16273,S200000,00400,0200,145527 16273,S200000,00400,0300,10/18/1985 16273,S200000,00400,0500,P 16273,S200000,01600,0100,Y 16273,S200000,02200,0100,Y 16273,S200000,02800,0100,Y 16281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16281,A000000,00300,0000,00300EMPLOYEE BENEFITS 16281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16281,A000000,00700,0000,00700HOUSEKEEPING 16281,A000000,00800,0000,00800DIETARY 16281,A000000,00900,0000,00900NURSING ADMINISTRATION 16281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16281,A000000,01100,0000,01100PHARMACY 16281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16281,A000000,01300,0000,01300SOCIAL SERVICE 16281,A000000,01350,0000,01500ACTIVITIES 16281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16281,A000000,01600,0000,01600SKILLED NURSING FACILITY 16281,A000000,01800,0000,01800NURSING FACILITY 16281,A000000,01810,0000,01810ICF/MR 16281,A000000,02100,0000,02100RADIOLOGY 16281,A000000,02200,0000,02200LABORATORY 16281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16281,A000000,02500,0000,02500PHYSICAL THERAPY 16281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16281,A000000,02700,0000,02700SPEECH PATHOLOGY 16281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16281,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 16281,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 16281,A000000,03550,0000,03550FQHC 16281,A000000,04750,0000,05100OTHER REIMBURSABLE COST 16281,A000000,05000,0000,05000CORF 16281,A000000,05010,0000,05010CMHC 16281,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16281,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16281,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16281,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16281,A81000A,00100,0100,Y 16281,A81000C,00100,0100,B 16281,A81000C,00100,0200,LIFELINK CORPORATION 16281,A81000C,00100,0600,HOME OFFICE 16281,A81000C,00200,0100,B 16281,A81000C,00200,0200,LIFELINK CORPORATION 16281,A81000C,00200,0600,HOME OFFICE 16281,B100000,00000,0100,00000SQUARE FEET 16281,B100000,00000,0200,00000SQUARE FEET 16281,B100000,00000,0300,00000GROSS SALARIES 16281,B100000,00000,0400,00000ACCUM. COST 16281,B100000,00000,0500,00000SQUARE FEET 16281,B100000,00000,0600,00000PATIENT DAYS 16281,B100000,00000,0700,00000MODIFIED SQ. FT. 16281,B100000,00000,0800,00000PATIENT DAYS 16281,B100000,00000,0900,00000NURSING SALARIES 16281,B100000,00000,1000,00000PATIENT DAYS 16281,B100000,00000,1100,00000COSTED REQUIS. 16281,B100000,00000,1200,00000PATIENT DAYS 16281,B100000,00000,1300,00000PATIENT DAYS 16281,B100000,00000,1350,00000PATIENT DAYS 16281,B100000,00000,1400,00000ASSIGNED TIME 16281,S000000,00100,0200,11/29/2000 16281,S200000,00100,0100,1201 DIXIE HIGHWAY 16281,S200000,00200,0100,BEECHER 16281,S200000,00200,0200,IL 16281,S200000,00200,0300,60401 16281,S200000,00300,0100,W 16281,S200000,00400,0100,ANCHORAGE OF BEECHER 16281,S200000,00400,0200,145538 16281,S200000,00400,0300,07/01/1988 16281,S200000,00400,0500,P 16281,S200000,01600,0100,Y 16287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16287,A000000,00300,0000,00300EMPLOYEE BENEFITS 16287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16287,A000000,00700,0000,00700HOUSEKEEPING 16287,A000000,00800,0000,00800DIETARY 16287,A000000,00900,0000,00900NURSING ADMINISTRATION 16287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16287,A000000,01100,0000,01100PHARMACY 16287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16287,A000000,01300,0000,01300SOCIAL SERVICE 16287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16287,A000000,01600,0000,01600SKILLED NURSING FACILITY 16287,A000000,01800,0000,01800NURSING FACILITY 16287,A000000,01810,0000,01810ICF/MR 16287,A000000,02500,0000,02500PHYSICAL THERAPY 16287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16287,A000000,02700,0000,02700SPEECH PATHOLOGY 16287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16287,A000000,03550,0000,03550FQHC 16287,A000000,05000,0000,05000CORF 16287,A000000,05010,0000,05010CMHC 16287,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16287,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16287,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16287,A81000A,00100,0100,Y 16287,A81000B,00100,0300,MGMT FEE-NON-CAPITAL 16287,A81000B,00200,0300,MGMT FEE-CAPITAL 16287,A81000C,00100,0100,B 16287,A81000C,00100,0200,COVENANT RET. C 16287,A81000C,00100,0400,N/A 16287,A81000C,00100,0600,N/A 16287,B100000,00000,0100,00000SQUARE FEET 16287,B100000,00000,0200,00000SQUARE FEET 16287,B100000,00000,0300,00000GROSS SALARIES 16287,B100000,00000,0400,00000ACCUM COST 16287,B100000,00000,0500,00000SQUARE FEET 16287,B100000,00000,0600,00000PATIENT DAYS 16287,B100000,00000,0700,00000SQUARE FEET 16287,B100000,00000,0800,00000MEALS SERVED 16287,B100000,00000,0900,00000DIRECT NRSG HRS 16287,B100000,00000,1000,00000COSTED REQUIS 16287,B100000,00000,1100,00000COSTED REQUIS 16287,B100000,00000,1200,00000GROSS REVENUE 16287,B100000,00000,1300,00000PATIENT DAYS 16287,B100000,00000,1400,00000ASSIGNED TIME 16287,S000000,00100,0200,07/03/2000 16287,S200000,00100,0100,2725 WEST FOSTER AVENUE 16287,S200000,00200,0100,CHICAGO 16287,S200000,00200,0200,IL 16287,S200000,00200,0300,60625 16287,S200000,00400,0100,COVENANT HOME 16287,S200000,00400,0200,145540 16287,S200000,00400,0300,03/21/1986 16287,S200000,00400,0500,P 16287,S200000,01600,0100,Y 16287,S200000,02200,0100,Y 16297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16297,A000000,00300,0000,00300EMPLOYEE BENEFITS 16297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16297,A000000,00700,0000,00700HOUSEKEEPING 16297,A000000,00800,0000,00800DIETARY 16297,A000000,00900,0000,00900NURSING ADMINISTRATION 16297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16297,A000000,01100,0000,01100PHARMACY 16297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16297,A000000,01300,0000,01300SOCIAL SERVICE 16297,A000000,01350,0000,01500ACTIVITIES 16297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16297,A000000,01600,0000,01600SKILLED NURSING FACILITY 16297,A000000,01800,0000,01800NURSING FACILITY 16297,A000000,01810,0000,01810ICF/MR 16297,A000000,02200,0000,02200LABORATORY 16297,A000000,02500,0000,02500PHYSICAL THERAPY 16297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16297,A000000,02700,0000,02700SPEECH PATHOLOGY 16297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16297,A000000,03550,0000,03550FQHC 16297,A000000,04800,0000,04800AMBULANCE 16297,A000000,05000,0000,05000CORF 16297,A000000,05010,0000,05010CMHC 16297,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16297,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16297,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16297,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16297,B100000,00000,0100,00000SQUARE FEET 16297,B100000,00000,0200,00000NO STATISTICS 16297,B100000,00000,0300,00000GROSS SALARIES 16297,B100000,00000,0400,00000ACCUM. COST 16297,B100000,00000,0500,00000SQUARE FEET 16297,B100000,00000,0600,00000PATIENT DAYS 16297,B100000,00000,0700,00000SQUARE FEET 16297,B100000,00000,0800,00000MEALS SERVED 16297,B100000,00000,0900,00000DIRECT NRSING HRS 16297,B100000,00000,1000,00000PATIENT DAYS 16297,B100000,00000,1100,00000NO STATISTICS 16297,B100000,00000,1200,00000PATIENT DAYS 16297,B100000,00000,1300,00000PATIENT DAYS 16297,B100000,00000,1350,00000PATIENT DAYS 16297,B100000,00000,1400,00000NO STATISTICS 16297,S000000,00100,0200,04/28/2000 16297,S200000,00100,0100,2331 SYCAMORE ROAD 16297,S200000,00200,0100,DEKALB 16297,S200000,00200,0200,IL 16297,S200000,00300,0100,DEKALB 16297,S200000,00400,0100,DEKALB COUNTY NURSING HOME 16297,S200000,00400,0200,145547 16297,S200000,00400,0300,01/01/1986 16297,S200000,00400,0500,P 16297,S200000,01600,0100,Y 16297,S200000,04700,0100,Y 16306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16306,A000000,00300,0000,00300EMPLOYEE BENEFITS 16306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16306,A000000,00700,0000,00700HOUSEKEEPING 16306,A000000,00800,0000,00800DIETARY 16306,A000000,00900,0000,00900NURSING ADMINISTRATION 16306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16306,A000000,01100,0000,01100PHARMACY 16306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16306,A000000,01300,0000,01300SOCIAL SERVICE 16306,A000000,01350,0000,01500PATIENT ACTIVITIES 16306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16306,A000000,01600,0000,01600SKILLED NURSING FACILITY 16306,A000000,01800,0000,01800NURSING FACILITY 16306,A000000,01810,0000,01810ICF/MR 16306,A000000,02500,0000,02500PHYSICAL THERAPY 16306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16306,A000000,02700,0000,02700SPEECH PATHOLOGY 16306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16306,A000000,03550,0000,03550FQHC 16306,A000000,05000,0000,05000CORF 16306,A000000,05010,0000,05010CMHC 16306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16306,B100000,00000,0100,00000SQUARE FEET 16306,B100000,00000,0200,00000SQUARE FEET 16306,B100000,00000,0300,00000GROSS SALARIES 16306,B100000,00000,0400,00000ACCUM. COST 16306,B100000,00000,0500,00000SQUARE FEET 16306,B100000,00000,0600,00000POUNDS OF LAUNDRY 16306,B100000,00000,0700,00000SQUARE FEET 16306,B100000,00000,0800,00000PATIENT DAYS 16306,B100000,00000,0900,00000DIRECT NRSG HRS 16306,B100000,00000,1000,00000COSTED REQUIS 16306,B100000,00000,1100,00000COSTED REQUIS 16306,B100000,00000,1200,00000TIME SPENT 16306,B100000,00000,1300,00000TIME SPENT 16306,B100000,00000,1350,00000PATIENT DAYS 16306,B100000,00000,1400,00000ASSIGNED TIME 16306,S000000,00100,0200,06/01/2000 16306,S200000,00100,0100,11401 S OAKLEY AVENUE 16306,S200000,00200,0100,CHICAGO 16306,S200000,00200,0200,IL 16306,S200000,00200,0300,60643 16306,S200000,00300,0100,COOK 16306,S200000,00400,0100,BELHAVEN CONVALESCENT CENTER INC 16306,S200000,00400,0200,145549 16306,S200000,00400,0300,11/08/1996 16306,S200000,00400,0500,P 16306,S200000,01600,0100,Y 16314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16314,A000000,00300,0000,00300EMPLOYEE BENEFITS 16314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16314,A000000,00700,0000,00700HOUSEKEEPING 16314,A000000,00800,0000,00800DIETARY 16314,A000000,00900,0000,00900NURSING ADMINISTRATION 16314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16314,A000000,01100,0000,01100PHARMACY 16314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16314,A000000,01300,0000,01300SOCIAL SERVICE 16314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16314,A000000,01600,0000,01600SKILLED NURSING FACILITY 16314,A000000,01810,0000,01810ICF/MR 16314,A000000,01900,0000,01900OTHER LONG TERM CARE 16314,A000000,02500,0000,02500PHYSICAL THERAPY 16314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16314,A000000,02700,0000,02700SPEECH PATHOLOGY 16314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16314,A000000,03550,0000,03550FQHC 16314,A000000,05000,0000,05000CORF 16314,A000000,05010,0000,05010CMHC 16314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16314,A000000,06101,0000,06101BAD DEBTS 16314,A000000,06102,0000,06102DEVELOPMENT 16314,A81000A,00100,0100,Y 16314,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 16314,A81000C,00100,0100,B 16314,A81000C,00100,0200,SENIOR SERVICE 16314,A81000C,00100,0600,HEALTH SERVICE 16314,B100000,00000,0100,00002SQUARE FEET 16314,B100000,00000,0200,00002DOLLAR VALUE 16314,B100000,00000,0300,00002GROSS SALARIES 16314,B100000,00000,0400,00002ACCUM. COST 16314,B100000,00000,0500,00002SQUARE FEET 16314,B100000,00000,0600,00002POUNDS OF LAUNDRY 16314,B100000,00000,0700,00002HOURS OF SERVICE 16314,B100000,00000,0800,00002MEALS SERVED 16314,B100000,00000,0900,00002DIRECT NRSING HRS 16314,B100000,00000,1000,00002COSTED REQUIS. 16314,B100000,00000,1100,00002COSTED REQUIS. 16314,B100000,00000,1200,00002TIME SPENT 16314,B100000,00000,1300,00002TIME SPENT 16314,B100000,00000,1400,00002ASSIGNED TIME 16314,E10A180,00550,0100,07/13/2000 16314,S000000,00100,0200,06/30/2000 16314,S200000,00100,0100,4405 HIGHCREST RD. 16314,S200000,00200,0100,ROCKFORD 16314,S200000,00200,0200,IL 16314,S200000,00200,0300,61107 16314,S200000,00300,0100,NOBLE 16314,S200000,00400,0100,PROVENA ST. ANNE CENTER 16314,S200000,00400,0200,145563 16314,S200000,00400,0300,10/07/1986 16314,S200000,00400,0500,P 16314,S200000,01600,0100,Y 16314,S200000,04300,0100,Y 16321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16321,A000000,00300,0000,00300EMPLOYEE BENEFITS 16321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16321,A000000,00700,0000,00700HOUSEKEEPING 16321,A000000,00800,0000,00800DIETARY 16321,A000000,00900,0000,00900NURSING ADMINISTRATION 16321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16321,A000000,01100,0000,01100PHARMACY 16321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16321,A000000,01300,0000,01300SOCIAL SERVICE 16321,A000000,01350,0000,01500ACTIVITIES 16321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16321,A000000,01600,0000,01600SKILLED NURSING FACILITY 16321,A000000,01800,0000,01800NURSING FACILITY 16321,A000000,01810,0000,01810ICF/MR 16321,A000000,02200,0000,02200LABORATORY 16321,A000000,02500,0000,02500PHYSICAL THERAPY 16321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16321,A000000,02700,0000,02700SPEECH PATHOLOGY 16321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16321,A000000,03550,0000,03550FQHC 16321,A000000,04800,0000,04800AMBULANCE 16321,A000000,05000,0000,05000CORF 16321,A000000,05010,0000,05010CMHC 16321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16321,A000000,05300,0000,05300INTEREST EXPENSE 16321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16321,A81000A,00100,0100,Y 16321,A81000B,00100,0300,RENT 16321,A81000B,00200,0300,HOME OFFICE BLDG COST 16321,A81000B,00300,0300,HOME OFFICE EQUIP COST 16321,A81000B,00400,0300,HOME OFFICE A&G COSTS 16321,A81000C,00100,0100,A 16321,A81000C,00100,0200,DONALD FIKE 16321,A81000C,00100,0400,RFMS INC. 16321,A81000C,00100,0600,MANAGEMENT SERVICES 16321,A81000C,00200,0100,A 16321,A81000C,00200,0200,DONALD FIKE 16321,A81000C,00200,0400,MIDWEST HEALTHCARE INC. 16321,A81000C,00200,0600,FACILITY RENTAL 16321,A81000C,00300,0100,A 16321,A81000C,00300,0200,DONALD FIKE 16321,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16321,A81000C,00300,0600,VEHICLE RENTAL 16321,B100000,00000,0100,00000SQUARE FEET 16321,B100000,00000,0200,00000SQUARE FEET 16321,B100000,00000,0300,00000GROSS SALARIES 16321,B100000,00000,0400,00000ACCUM. COST 16321,B100000,00000,0500,00000SQUARE FEET 16321,B100000,00000,0600,00000PATIENT DAYS 16321,B100000,00000,0700,00000SQUARE FEET 16321,B100000,00000,0800,00000PATIENT DAYS 16321,B100000,00000,0900,00000GROSS SALARIES 16321,B100000,00000,1000,00000NO STATISTICS 16321,B100000,00000,1100,00000COSTED REQUIS. 16321,B100000,00000,1200,00000TIME SPENT 16321,B100000,00000,1300,00000PATIENT DAYS 16321,B100000,00000,1350,00000PATIENT DAYS 16321,B100000,00000,1400,00000ASSIGNED TIME 16321,S000000,00100,0200,06/01/2000 16321,S200000,00100,0100,801 WEST MARTIN STREET 16321,S200000,00200,0100,ABINGDON 16321,S200000,00200,0200,IL 16321,S200000,00200,0300,61410 16321,S200000,00300,0100,KNOX 16321,S200000,00400,0100,CARE CENTER OF ABINGDON 16321,S200000,00400,0200,145567 16321,S200000,00400,0300,03/01/1987 16321,S200000,00400,0500,P 16321,S200000,01600,0100,Y 16331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16331,A000000,00300,0000,00300EMPLOYEE BENEFITS 16331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16331,A000000,00700,0000,00700HOUSEKEEPING 16331,A000000,00800,0000,00800DIETARY 16331,A000000,00900,0000,00900NURSING ADMINISTRATION 16331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16331,A000000,01100,0000,01100PHARMACY 16331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16331,A000000,01300,0000,01300SOCIAL SERVICE 16331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16331,A000000,01600,0000,01600SKILLED NURSING FACILITY 16331,A000000,01800,0000,01800NURSING FACILITY 16331,A000000,01810,0000,01810ICF/MR 16331,A000000,02100,0000,02100RADIOLOGY 16331,A000000,02200,0000,02200LABORATORY 16331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16331,A000000,02500,0000,02500PHYSICAL THERAPY 16331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16331,A000000,02700,0000,02700SPEECH PATHOLOGY 16331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16331,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 16331,A000000,03550,0000,03550FQHC 16331,A000000,04800,0000,04800AMBULANCE 16331,A000000,05000,0000,05000CORF 16331,A000000,05010,0000,05010CMHC 16331,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16331,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16331,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16331,A81000A,00100,0100,Y 16331,A81000B,00100,0300,HOME OFFICE ALLOC 16331,A81000B,00200,0300,HOME OFFICE ALLOC 16331,A81000B,00400,0300,PHYSICAL THERAPY 16331,A81000B,00500,0300,OCCUPATIONAL THERAPY 16331,A81000B,00600,0300,SPEECH THERAPY 16331,A81000C,00100,0100,A 16331,A81000C,00100,0200,COVENANT CARE INC 16331,A81000C,00100,0400,COVENANT CARE INC. 16331,A81000C,00100,0600,HEALTH CARE 16331,A81000C,00200,0100,B 16331,A81000C,00200,0200,PHARMACY 16331,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 16331,A81000C,00200,0600,PHARMACY - HEALTH CARE 16331,A81000C,00300,0100,C 16331,A81000C,00300,0200,THERAPY 16331,A81000C,00300,0400,SELECT THEREAPY 16331,A81000C,00300,0600,THERAPY SERVICES 16331,B100000,00000,0100,00040SQUARE FEET 16331,B100000,00000,0200,00040SQUARE FEET 16331,B100000,00000,0300,00040GROSS SALARIES 16331,B100000,00000,0400,00040ACCUM. COST 16331,B100000,00000,0500,00040SQUARE FEET 16331,B100000,00000,0600,00040PATIENT DAYS 16331,B100000,00000,0700,00040SQUARE FEET 16331,B100000,00000,0800,00040PATIENT DAYS 16331,B100000,00000,0900,00040DIRECT NRSING HRS 16331,B100000,00000,1000,00040COSTED REQUIS. 16331,B100000,00000,1100,00040COSTED REQUIS. 16331,B100000,00000,1200,00040GROSS REVENUE 16331,B100000,00000,1300,00040PATIENT DAYS 16331,B100000,00000,1400,00040ASSIGNED TIME 16331,E10A180,00301,0100,09/24/1999 16331,E10A180,00501,0100,05/23/2001 16331,E10A180,00501,0300,05/23/2001 16331,E10A180,00550,0300,06/01/2000 16331,S000000,00100,0200,06/01/2000 16331,S200000,00100,0100,ONE PERRYMAN STREET 16331,S200000,00200,0100,LEBANON 16331,S200000,00200,0200,IL 16331,S200000,00200,0300,62254 16331,S200000,00300,0100,ST. LOUIS 16331,S200000,00400,0100,CEDAR RIDGE HEALTH CARE CENTER 16331,S200000,00400,0200,145571 16331,S200000,00400,0300,04/01/1997 16331,S200000,00400,0500,P 16331,S200000,00600,0200,145571 16331,S200000,00600,0300,04/01/1997 16331,S200000,01600,0100,Y 16341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16341,A000000,00300,0000,00300EMPLOYEE BENEFITS 16341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16341,A000000,00700,0000,00700HOUSEKEEPING 16341,A000000,00800,0000,00800DIETARY 16341,A000000,00900,0000,00900NURSING ADMINISTRATION 16341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16341,A000000,01100,0000,01100PHARMACY 16341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16341,A000000,01300,0000,01300SOCIAL SERVICE 16341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16341,A000000,01600,0000,01600SKILLED NURSING FACILITY 16341,A000000,01800,0000,01800NURSING FACILITY 16341,A000000,01810,0000,01810ICF/MR 16341,A000000,02100,0000,02100RADIOLOGY 16341,A000000,02200,0000,02200LABORATORY 16341,A000000,02300,0000,02300INTRAVENOUS THERAPY 16341,A000000,02500,0000,02500PHYSICAL THERAPY 16341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16341,A000000,02700,0000,02700SPEECH PATHOLOGY 16341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16341,A000000,03200,0000,03200SUPPORT SURFACES 16341,A000000,03550,0000,03550FQHC 16341,A000000,05000,0000,05000CORF 16341,A000000,05010,0000,05010CMHC 16341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16341,A000000,06150,0000,06300VA DOCTORS 16341,A81000A,00100,0100,Y 16341,A81000B,00100,0300,PYR:TUBE FEEDING 16341,A81000B,00200,0300,PYR:URO/OST SUPPLY 16341,A81000B,00300,0300,PYR:NURSING SUPPLY 16341,A81000B,00400,0300,PYR: ADMIN/GENL 16341,A81000B,00500,0300,AMS:CAPITAL/RENT/ETC 16341,A81000B,00600,0300,AMS:EMPLOYEE BENEF 16341,A81000B,00700,0300,AMS: GENL /ADMIN 16341,A81000B,01000,0300,CPT:PHYS THERAPY 16341,A81000B,01100,0300,CPT: OCCUP THERAPY 16341,A81000B,01200,0300,CPT: SPEECH THERAPY 16341,A81000B,01300,0300,FECII:DRUG COSTS 16341,A81000B,01400,0300,FECII:I.V. SUPPLIES 16341,A81000B,01500,0300,FECII:GENL/ADMIN 16341,A81000B,01600,0300,FECII:HOUSE STOCK 16341,A81000C,00100,0100,B 16341,A81000C,00100,0200,ALDEN MGT SERV 16341,A81000C,00100,0400,ALDEN MANAGEMEN 16341,A81000C,00100,0600,MANAGEMENT CO 16341,A81000C,00200,0100,F 16341,A81000C,00200,0200,FLOYD SCHLOSSBE 16341,A81000C,00200,0400,FORUM PROFESS.C 16341,A81000C,00200,0600,PROFESSIONAL BL 16341,A81000C,00300,0100,B 16341,A81000C,00300,0200,ALDEN MGT SERV 16341,A81000C,00300,0400,PYRAMID HEALTH 16341,A81000C,00300,0600,HEALTH CARE SUP 16341,A81000C,00400,0100,B 16341,A81000C,00400,0200,ALDEN MGT SERV 16341,A81000C,00400,0400,FORUM EXTENDED 16341,A81000C,00400,0600,PHARMACY 16341,A81000C,00500,0100,F 16341,A81000C,00500,0200,ALDEN MGT SERV 16341,A81000C,00500,0400,IL. HOME THERAP 16341,A81000C,00500,0600,THERAPY CO 16341,B100000,00000,0100,00000SQUARE FEET 16341,B100000,00000,0200,00000SQUARE FEET 16341,B100000,00000,0300,00000GROSS SALARIES 16341,B100000,00000,0400,00000ACCUM COST 16341,B100000,00000,0500,00000SQUARE FEET 16341,B100000,00000,0600,00000POUNDS OF LAUNDRY 16341,B100000,00000,0700,00000HOURS OF SERVICE 16341,B100000,00000,0800,00000MEALS SERVED 16341,B100000,00000,0900,00000DIRECT NRSG HRS 16341,B100000,00000,1000,00000COSTED REQUIS 16341,B100000,00000,1100,00000COSTED REQUIS 16341,B100000,00000,1200,00000TIME SPENT 16341,B100000,00000,1300,00000TIME SPENT 16341,B100000,00000,1400,00000ASSIGNED TIME 16341,S000000,00100,0200,06/14/2000 16341,S200000,00100,0100,1525 OXFORD LN 16341,S200000,00200,0100,NAPERVILLE 16341,S200000,00200,0200,IL 16341,S200000,00300,0100,DUPAGE 16341,S200000,00400,0100,ALDEN NURSING CENTER NAPERVILLE 16341,S200000,00400,0200,145582 16341,S200000,00400,0300,10/07/1987 16341,S200000,00400,0500,P 16341,S200000,00400,0600,O 16341,S200000,01600,0100,Y 16341,S200000,01800,0100,Y 16341,S200000,02200,0100,Y 16350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16350,A000000,00300,0000,00300EMPLOYEE BENEFITS 16350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16350,A000000,00700,0000,00700HOUSEKEEPING 16350,A000000,00800,0000,00800DIETARY 16350,A000000,00900,0000,00900NURSING ADMINISTRATION 16350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16350,A000000,01100,0000,01100PHARMACY 16350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16350,A000000,01300,0000,01300SOCIAL SERVICE 16350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16350,A000000,01600,0000,01600SKILLED NURSING FACILITY 16350,A000000,01800,0000,01800NURSING FACILITY 16350,A000000,01810,0000,01810ICF/MR 16350,A000000,02200,0000,02200LABORATORY 16350,A000000,02500,0000,02500PHYSICAL THERAPY 16350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16350,A000000,02700,0000,02700SPEECH PATHOLOGY 16350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16350,A000000,03201,0000,03201BGM 16350,A000000,03550,0000,03550FQHC 16350,A000000,05000,0000,05000CORF 16350,A000000,05010,0000,05010CMHC 16350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16350,A000000,05300,0000,05300INTEREST EXPENSE 16350,B100000,00000,0100,00000SQUARE FEET 16350,B100000,00000,0200,00000SQUARE FEET 16350,B100000,00000,0300,00000GROSS SALARIES 16350,B100000,00000,0400,00000ACCUM COST 16350,B100000,00000,0500,00000SQUARE FEET 16350,B100000,00000,0600,00000PATIENT DAYS 16350,B100000,00000,0700,00000SQUARE FEET 16350,B100000,00000,0800,00000MEALS SERVED 16350,B100000,00000,0900,00000DIRECT NRSG HRS 16350,B100000,00000,1000,00000COSTED REQUIS 16350,B100000,00000,1100,00000COSTED REQUIS 16350,B100000,00000,1200,00000PATIENT DAYS 16350,B100000,00000,1300,00000PATIENT DAYS 16350,B100000,00000,1400,00000ASSIGNED TIME 16350,S000000,00100,0200,05/30/2000 16350,S200000,00100,0100,1415 W. FOSTER 16350,S200000,00200,0100,CHICAGO 16350,S200000,00200,0200,IL 16350,S200000,00200,0300,60640 16350,S200000,00300,0100,COOK 16350,S200000,00400,0100,METHODIST HOME 16350,S200000,00400,0200,145591 16350,S200000,00400,0300,01/01/1988 16350,S200000,00400,0500,P 16350,S200000,01600,0100,Y 16350,S200000,01900,0100,NOT FOR PROFIT 16350,S200000,04300,0100,Y 16350,S200000,04900,0100,Y 16358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16358,A000000,00300,0000,00300EMPLOYEE BENEFITS 16358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16358,A000000,00700,0000,00700HOUSEKEEPING 16358,A000000,00800,0000,00800DIETARY 16358,A000000,00900,0000,00900NURSING ADMINISTRATION 16358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16358,A000000,01100,0000,01100PHARMACY 16358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16358,A000000,01300,0000,01300SOCIAL SERVICE 16358,A000000,01350,0000,01500ACTIVITIES 16358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16358,A000000,01600,0000,01600SKILLED NURSING FACILITY 16358,A000000,01800,0000,01800NURSING FACILITY 16358,A000000,01810,0000,01810ICF/MR 16358,A000000,02100,0000,02100RADIOLOGY 16358,A000000,02200,0000,02200LABORATORY 16358,A000000,02500,0000,02500PHYSICAL THERAPY 16358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16358,A000000,02700,0000,02700SPEECH PATHOLOGY 16358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16358,A000000,03550,0000,03550FQHC 16358,A000000,05000,0000,05000CORF 16358,A000000,05010,0000,05010CMHC 16358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16358,A81000A,00100,0100,Y 16358,A81000B,00100,0300,RENT . 16358,A81000B,00200,0300,HOME OFFICE BLDG. COSTS 16358,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 16358,A81000B,00400,0300,HOME OFFICE A & G COSTS 16358,A81000B,00500,0300,MGMT THERAPY FEES 16358,A81000C,00100,0100,A 16358,A81000C,00100,0200,DONALD FIKE 16358,A81000C,00100,0400,RFMS INC. 16358,A81000C,00100,0600,MANAGEMENT SERVICES 16358,A81000C,00200,0100,A 16358,A81000C,00200,0200,DONALD FIKE 16358,A81000C,00200,0400,ILLINI MANOR INC. 16358,A81000C,00200,0600,FACILITY RENTAL 16358,A81000C,00300,0100,A 16358,A81000C,00300,0200,DONALD FIKE 16358,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16358,A81000C,00300,0600,VEHICLE RENTAL 16358,B100000,00000,0100,00000SQUARE FEET 16358,B100000,00000,0200,00000SQUARE FEET 16358,B100000,00000,0300,00000GROSS SALARIES 16358,B100000,00000,0400,00000ACCUM. COST 16358,B100000,00000,0500,00000SQUARE FEET 16358,B100000,00000,0600,00000PATIENT DAYS 16358,B100000,00000,0700,00000SQUARE FEET 16358,B100000,00000,0800,00000PATIENT DAYS 16358,B100000,00000,0900,00000LABOR COSTS 16358,B100000,00000,1000,00000NO STATISTICS 16358,B100000,00000,1100,00000COSTED REQUIS. 16358,B100000,00000,1200,00000TIME SPENT 16358,B100000,00000,1300,00000PATIENT DAYS 16358,B100000,00000,1350,00000PATIENT DAYS 16358,B100000,00000,1400,00000ASSIGNED TIME 16358,S000000,00100,0200,06/01/2000 16358,S200000,00100,0100,1520 EL CAMINO DRIVE 16358,S200000,00200,0100,PEKIN 16358,S200000,00200,0200,IL 16358,S200000,00200,0300,61554 16358,S200000,00300,0100,TAZEWELL 16358,S200000,00400,0100,PEKIN MANOR 16358,S200000,00400,0200,145597 16358,S200000,00400,0300,12/01/1988 16358,S200000,00400,0500,P 16358,S200000,01600,0100,Y 16366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16366,A000000,00300,0000,00300EMPLOYEE BENEFITS 16366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16366,A000000,00700,0000,00700HOUSEKEEPING 16366,A000000,00800,0000,00800DIETARY 16366,A000000,00900,0000,00900NURSING ADMINISTRATION 16366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16366,A000000,01100,0000,01100PHARMACY 16366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16366,A000000,01300,0000,01300SOCIAL SERVICE 16366,A000000,01350,0000,01500ACTIVITIES 16366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16366,A000000,01600,0000,01600SKILLED NURSING FACILITY 16366,A000000,01800,0000,01800NURSING FACILITY 16366,A000000,01810,0000,01810ICF/MR 16366,A000000,02100,0000,02100RADIOLOGY 16366,A000000,02200,0000,02200LABORATORY 16366,A000000,02500,0000,02500PHYSICAL THERAPY 16366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16366,A000000,02700,0000,02700SPEECH PATHOLOGY 16366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16366,A000000,03550,0000,03550FQHC 16366,A000000,04800,0000,04800AMBULANCE 16366,A000000,05000,0000,05000CORF 16366,A000000,05010,0000,05010CMHC 16366,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16366,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16366,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16366,A81000A,00100,0100,Y 16366,A81000B,00100,0300,RENT 16366,A81000B,00200,0300,HOME OFFICE BLDG. COST 16366,A81000B,00300,0300,HOME OFFICE EQUIP. COST 16366,A81000B,00400,0300,HOME OFFICE A&G COST 16366,A81000C,00100,0100,A 16366,A81000C,00100,0200,DONALD FIKE 16366,A81000C,00100,0400,RFMS INC. 16366,A81000C,00100,0600,MANAGEMENT SERVICES 16366,A81000C,00200,0100,A 16366,A81000C,00200,0200,DONALD FIKE 16366,A81000C,00200,0400,ILLNI MANOR 16366,A81000C,00200,0600,FACILITY RENTAL 16366,A81000C,00300,0100,A 16366,A81000C,00300,0200,DONALD FIKE 16366,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16366,A81000C,00300,0600,VEHICLE RENTAL 16366,B100000,00000,0100,00000SQUARE FEET 16366,B100000,00000,0200,00000SQUARE FEET 16366,B100000,00000,0300,00000GROSS SALARIES 16366,B100000,00000,0400,00000ACCUM. COST 16366,B100000,00000,0500,00000SQUARE FEET 16366,B100000,00000,0600,00000PATIENT DAYS 16366,B100000,00000,0700,00000SQUARE FEET 16366,B100000,00000,0800,00000PATIENT DAYS 16366,B100000,00000,0900,00000SALARIES 16366,B100000,00000,1000,00000COSTED REQUIS. 16366,B100000,00000,1100,00000COSTED REQUIS. 16366,B100000,00000,1200,00000TIME SPENT 16366,B100000,00000,1300,00000PATIENT DAYS 16366,B100000,00000,1350,00000PATIENT DAYS 16366,B100000,00000,1400,00000ASSIGNED TIME 16366,S000000,00100,0200,06/01/2000 16366,S200000,00100,0100,2345 NORTH SEMINARY STREET 16366,S200000,00200,0100,GALESBURG 16366,S200000,00200,0200,IL 16366,S200000,00200,0300,61401 16366,S200000,00300,0100,KNOX 16366,S200000,00400,0100,SEMINARY MANOR 16366,S200000,00400,0200,145598 16366,S200000,00400,0300,11/04/1988 16366,S200000,00400,0500,P 16366,S200000,01600,0100,Y 16376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16376,A000000,00300,0000,00300EMPLOYEE BENEFITS 16376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16376,A000000,00700,0000,00700HOUSEKEEPING 16376,A000000,00800,0000,00800DIETARY 16376,A000000,00900,0000,00900NURSING ADMINISTRATION 16376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16376,A000000,01100,0000,01100PHARMACY 16376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16376,A000000,01300,0000,01300SOCIAL SERVICE 16376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16376,A000000,01600,0000,01600SKILLED NURSING FACILITY 16376,A000000,01800,0000,01800NURSING FACILITY 16376,A000000,01810,0000,01810ICF/MR 16376,A000000,02200,0000,02200LABORATORY 16376,A000000,02500,0000,02500PHYSICAL THERAPY 16376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16376,A000000,02700,0000,02700SPEECH PATHOLOGY 16376,A000000,02800,0000,02800ELECTROCARDIOLOGY 16376,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16376,A000000,03550,0000,03550FQHC 16376,A000000,05000,0000,05000CORF 16376,A000000,05010,0000,05010CMHC 16376,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16376,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16376,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16376,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16376,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16376,A000000,06001,0000,06001ADULT DAY CARE 16376,A81000A,00100,0100,Y 16376,A81000B,00100,0300,MANAGEMENT SERVICES 16376,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOCATION 16376,A81000B,00300,0300,INTERCORP LAB SERVICES 16376,A81000C,00100,0100,B 16376,A81000C,00100,0200,VICTORY HLTH SE 16376,A81000C,00100,0400,VICTORY MEM HOS 16376,A81000C,00100,0600,HEALTH CARE 16376,B100000,00000,0100,00001(SQUARE FEET) 16376,B100000,00000,0200,00001(SQUARE FEET) 16376,B100000,00000,0300,00001(GROSS SALARIES) 16376,B100000,00000,0400,00001(ACCUM COST) 16376,B100000,00000,0500,00001(SQUARE FEET) 16376,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 16376,B100000,00000,0700,00001(SQUARE FEET) 16376,B100000,00000,0800,00001(MEALS SERVED) 16376,B100000,00000,0900,00001(DIRECT NRSG HRS) 16376,B100000,00000,1000,00001(COSTED REQUIS) 16376,B100000,00000,1100,00001(COSTED REQUIS) 16376,B100000,00000,1200,00001(TIME SPENT) 16376,B100000,00000,1300,00001(TIME SPENT) 16376,B100000,00000,1400,00001(ASSIGNED TIME) 16376,S000000,00100,0200,06/07/2000 16376,S200000,00100,0100,1055 EAST GRAND AVENEUE 16376,S200000,00200,0100,LINDENHURST 16376,S200000,00200,0200,IL 16376,S200000,00200,0300,60046 16376,S200000,00300,0100,LAKE 16376,S200000,00400,0100,VICTORY LAKES CONTINUING 16376,S200000,00400,0200,145602 16376,S200000,00400,0300,02/01/1989 16376,S200000,00400,0500,P 16376,S200000,00600,0200,145602 16376,S200000,00600,0300,02/01/1989 16376,S200000,00600,0600,P 16376,S200000,01600,0100,Y 16376,S200000,01700,0100,Y 16387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16387,A000000,00300,0000,00300EMPLOYEE BENEFITS 16387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16387,A000000,00700,0000,00700HOUSEKEEPING 16387,A000000,00800,0000,00800DIETARY 16387,A000000,00900,0000,00900NURSING ADMINISTRATION 16387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16387,A000000,01100,0000,01100PHARMACY 16387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16387,A000000,01300,0000,01300SOCIAL SERVICE 16387,A000000,01350,0000,01500ACTIVITIES 16387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16387,A000000,01600,0000,01600SKILLED NURSING FACILITY 16387,A000000,01800,0000,01800NURSING FACILITY 16387,A000000,01810,0000,01810ICF/MR 16387,A000000,02100,0000,02100RADIOLOGY 16387,A000000,02200,0000,02200LABORATORY 16387,A000000,02300,0000,02300INTRAVENOUS THERAPY 16387,A000000,02500,0000,02500PHYSICAL THERAPY 16387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16387,A000000,02700,0000,02700SPEECH PATHOLOGY 16387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16387,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 16387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 16387,A000000,03550,0000,03550FQHC 16387,A000000,04750,0000,05100OTHER REIMBURSABLE COST 16387,A000000,04800,0000,04800AMBULANCE 16387,A000000,05000,0000,05000CORF 16387,A000000,05010,0000,05010CMHC 16387,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16387,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16387,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16387,A81000A,00100,0100,Y 16387,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 16387,A81000C,00100,0100,B 16387,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 16387,B100000,00000,0100,00000SQUARE FEET 16387,B100000,00000,0200,00000SQUARE FEET 16387,B100000,00000,0300,00000GROSS SALARIES 16387,B100000,00000,0400,00000ACCUM. COST 16387,B100000,00000,0500,00000SQUARE FEET 16387,B100000,00000,0600,00000PATIENT DAYS 16387,B100000,00000,0700,00000PATIENT DAYS 16387,B100000,00000,0800,00000MEALS SERVED 16387,B100000,00000,0900,00000DIRECT NRSING HRS 16387,B100000,00000,1000,00000PATIENT DAYS 16387,B100000,00000,1100,00000PATIENT DAYS 16387,B100000,00000,1200,00000PATIENT DAYS 16387,B100000,00000,1300,00000PATIENT DAYS 16387,B100000,00000,1350,00000PATIENT DAYS 16387,B100000,00000,1400,00000ASSIGNED TIME 16387,S000000,00100,0200,12/04/2000 16387,S200000,00100,0100,1000 N BRIGHTON CIRCLE WEST 16387,S200000,00200,0100,CRYSTAL LAKE 16387,S200000,00200,0200,IL 16387,S200000,00200,0300,60012 16387,S200000,00300,0100,M 16387,S200000,00400,0100,THE SPRINGS AT CRYSTAL LAKE 16387,S200000,00400,0200,145612 16387,S200000,00400,0300,12/05/1995 16387,S200000,00400,0500,P 16387,S200000,01600,0100,Y 16394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16394,A000000,00300,0000,00300EMPLOYEE BENEFITS 16394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16394,A000000,00700,0000,00700HOUSEKEEPING 16394,A000000,00800,0000,00800DIETARY 16394,A000000,00900,0000,00900NURSING ADMINISTRATION 16394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16394,A000000,01100,0000,01100PHARMACY 16394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16394,A000000,01300,0000,01300SOCIAL SERVICE 16394,A000000,01350,0000,01500ACTIVITIES 16394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16394,A000000,01600,0000,01600SKILLED NURSING FACILITY 16394,A000000,01800,0000,01800NURSING FACILITY 16394,A000000,01810,0000,01810ICF/MR 16394,A000000,02200,0000,02200LABORATORY 16394,A000000,02500,0000,02500PHYSICAL THERAPY 16394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16394,A000000,02700,0000,02700SPEECH PATHOLOGY 16394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16394,A000000,03550,0000,03550FQHC 16394,A000000,05000,0000,05000CORF 16394,A000000,05010,0000,05010CMHC 16394,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16394,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16394,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16394,A000000,05901,0000,05910COTTAGES 16394,A81000A,00100,0100,Y 16394,A81000B,00100,0300,MANAGEMENT FEES 16394,A81000B,00200,0300,ALLOCATED CAPITAL 16394,A81000B,00300,0300,ALLOCATED G&A 16394,A81000C,00100,0100,A 16394,A81000C,00100,0200,HARRIS WEBBER L 16394,A81000C,00100,0400,HARRIS WEBBER L 16394,A81000C,00100,0600,MGMT SERVICES 16394,B100000,00000,0100,00010SQUARE FEET 16394,B100000,00000,0200,00010SQUARE FEET 16394,B100000,00000,0300,00010GROSS SALARIES 16394,B100000,00000,0400,00010ACCUM COST 16394,B100000,00000,0500,00010SQUARE FEET 16394,B100000,00000,0600,00010PATIENT DAYS 16394,B100000,00000,0700,00010SQUARE FEET 16394,B100000,00000,0800,00010MEALS SERVED 16394,B100000,00000,0900,00010PATIENT DAYS 16394,B100000,00000,1000,00010PATIENT DAYS 16394,B100000,00000,1100,00010COSTED REQUIS 16394,B100000,00000,1200,00010PATIENT DAYS 16394,B100000,00000,1300,00010PATIENT DAYS 16394,B100000,00000,1350,00010PATIENT DAYS 16394,B100000,00000,1400,00010ASSIGNED TIME 16394,S000000,00100,0200,06/01/2000 16394,S200000,00100,0100,612 W. ST. MARYS ROAD 16394,S200000,00200,0100,STERLING 16394,S200000,00200,0200,IL 16394,S200000,00200,0300,61081 16394,S200000,00300,0100,WHITESIDE 16394,S200000,00400,0100,COVENTRY VILLAGE 16394,S200000,00400,0200,145615 16394,S200000,00400,0300,05/22/1989 16394,S200000,00400,0500,P 16394,S200000,00600,0200,145615 16394,S200000,00600,0300,05/22/1989 16394,S200000,00600,0600,P 16394,S200000,01600,0100,Y 16405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16405,A000000,00300,0000,00300EMPLOYEE BENEFITS 16405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16405,A000000,00700,0000,00700HOUSEKEEPING 16405,A000000,00800,0000,00800DIETARY 16405,A000000,00900,0000,00900NURSING ADMINISTRATION 16405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16405,A000000,01100,0000,01100PHARMACY 16405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16405,A000000,01300,0000,01300SOCIAL SERVICE 16405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16405,A000000,01600,0000,01600SKILLED NURSING FACILITY 16405,A000000,01800,0000,01800NURSING FACILITY 16405,A000000,01810,0000,01810ICF/MR 16405,A000000,02100,0000,02100RADIOLOGY 16405,A000000,02200,0000,02200LABORATORY 16405,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16405,A000000,02500,0000,02500PHYSICAL THERAPY 16405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16405,A000000,02700,0000,02700SPEECH PATHOLOGY 16405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16405,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16405,A000000,03200,0000,03200SUPPORT SURFACES 16405,A000000,03550,0000,03550FQHC 16405,A000000,05000,0000,05000CORF 16405,A000000,05010,0000,05010CMHC 16405,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16405,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16405,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16405,A81000A,00100,0100,Y 16405,A81000B,00100,0300,RENT 16405,A81000B,00200,0300,REAL ESTATE TAX 16405,A81000B,00300,0300,INTEREST 16405,A81000B,00400,0300,DEPRECIATION 16405,A81000B,00500,0300,A&G 16405,A81000B,00600,0300,HO COST 16405,A81000B,00700,0300,CAPITAL 16405,A81000B,00800,0300,EMPLOYEE BENEFITS 16405,A81000B,00900,0300,A&G 16405,A81000B,01000,0300,PLANT OPERATION 16405,A81000C,00100,0100,A 16405,A81000C,00100,0400,SALEM VILLAGE P 16405,A81000C,00100,0600,BUILDING CO 16405,A81000C,00200,0100,A 16405,A81000C,00200,0400,HEALTHCARE MGMT 16405,A81000C,00200,0600,MGMT 16405,B100000,00000,0100,00000SQUARE FEET 16405,B100000,00000,0200,00000SQUARE FEET 16405,B100000,00000,0300,00000GROSS SALARIES 16405,B100000,00000,0400,00000ACCUM COST 16405,B100000,00000,0500,00000SQUARE FEET 16405,B100000,00000,0600,00000PATIENT DAYS 16405,B100000,00000,0700,00000SQUARE FEET 16405,B100000,00000,0800,00000MEALS SERVED 16405,B100000,00000,0900,00000DIRECT NRSG HRS 16405,B100000,00000,1000,00000PATIENT DAYS 16405,B100000,00000,1100,00000COSTED REQUIS 16405,B100000,00000,1200,00000PATIENT DAYS 16405,B100000,00000,1300,00000PATIENT DAYS 16405,B100000,00000,1400,00000ASSIGNED TIME 16405,E10A180,00550,0300,05/31/2000 16405,S000000,00100,0200,05/31/2000 16405,S200000,00100,0100,1314 ROWELL 16405,S200000,00200,0100,JOLIET 16405,S200000,00200,0200,IL 16405,S200000,00200,0300,60433 16405,S200000,00300,0100,WILL 16405,S200000,00400,0100,SALEM VILLAGE NURSING & REHAB 16405,S200000,00400,0200,145618 16405,S200000,00400,0300,02/16/1989 16405,S200000,00400,0500,P 16405,S200000,01600,0100,Y 16405,S200000,01900,0100,LIMITED LIABILITY COMPANY 16415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16415,A000000,00300,0000,00300EMPLOYEE BENEFITS 16415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16415,A000000,00700,0000,00700HOUSEKEEPING 16415,A000000,00800,0000,00800DIETARY 16415,A000000,00900,0000,00900NURSING ADMINISTRATION 16415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16415,A000000,01100,0000,01100PHARMACY 16415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16415,A000000,01300,0000,01300SOCIAL SERVICE 16415,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16415,A000000,01600,0000,01600SKILLED NURSING FACILITY 16415,A000000,01800,0000,01800NURSING FACILITY 16415,A000000,01810,0000,01810ICF/MR 16415,A000000,02200,0000,02200LABORATORY 16415,A000000,02300,0000,02300INTRAVENOUS THERAPY 16415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16415,A000000,02500,0000,02500PHYSICAL THERAPY 16415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16415,A000000,02700,0000,02700SPEECH PATHOLOGY 16415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16415,A000000,03200,0000,03200SUPPORT SURFACES 16415,A000000,03550,0000,03550FQHC 16415,A000000,05000,0000,05000CORF 16415,A000000,05010,0000,05010CMHC 16415,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16415,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16415,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16415,A81000A,00100,0100,Y 16415,A81000B,00200,0300,RENT 16415,A81000B,00400,0300,MANAGEMENT FEES 16415,A81000C,00200,0100,B 16415,A81000C,00200,0200,GWH LTD. PARTNE 16415,A81000C,00400,0100,B 16415,A81000C,00400,0200,HOWARD GELLER 16415,A81000C,00600,0100,B 16415,A81000C,00600,0200,DAVID STERN 16415,B100000,00000,0100,00000SQUARE FEET 16415,B100000,00000,0200,00000SQUARE FEET 16415,B100000,00000,0300,00000GROSS SALARIES 16415,B100000,00000,0400,00000ACCUM COST 16415,B100000,00000,0500,00000SQUARE FEET 16415,B100000,00000,0600,00000PATIENT DAYS 16415,B100000,00000,0700,00000SQUARE FEET 16415,B100000,00000,0800,00000PATIENT DAYS 16415,B100000,00000,0900,00000PATIENT DAYS 16415,B100000,00000,1000,00000PATIENT DAYS 16415,B100000,00000,1100,00000COSTED REQUIS 16415,B100000,00000,1200,00000PATIENT DAYS 16415,B100000,00000,1300,00000PATIENT DAYS 16415,B100000,00000,1400,00000ASSIGNED TIME 16415,S000000,00100,0200,05/17/2000 16415,S200000,00400,0100,PAVILION OF WAUKEGAN INC. 16415,S200000,00400,0200,145621 16415,S200000,00400,0300,01/01/1987 16415,S200000,00400,0500,P 16415,S200000,01600,0100,Y 16422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16422,A000000,00300,0000,00300EMPLOYEE BENEFITS 16422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16422,A000000,00700,0000,00700HOUSEKEEPING 16422,A000000,00800,0000,00800DIETARY 16422,A000000,00900,0000,00900NURSING ADMINISTRATION 16422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16422,A000000,01100,0000,01100PHARMACY 16422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16422,A000000,01300,0000,01300SOCIAL SERVICE 16422,A000000,01350,0000,01500ACTIVITIES 16422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16422,A000000,01600,0000,01600SKILLED NURSING FACILITY 16422,A000000,01800,0000,01800NURSING FACILITY 16422,A000000,01810,0000,01810ICF/MR 16422,A000000,01900,0000,01900OTHER LONG TERM CARE 16422,A000000,02100,0000,02100RADIOLOGY 16422,A000000,02200,0000,02200LABORATORY 16422,A000000,02500,0000,02500PHYSICAL THERAPY 16422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16422,A000000,02700,0000,02700SPEECH PATHOLOGY 16422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16422,A000000,03550,0000,03550FQHC 16422,A000000,05000,0000,05000CORF 16422,A000000,05010,0000,05010CMHC 16422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16422,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16422,A000000,05901,0000,05910COTTAGES 16422,A81000A,00100,0100,Y 16422,A81000B,00100,0300,MANAGEMENT FEES 16422,A81000B,00200,0300,ALLOCATED CAPITAL 16422,A81000B,00300,0300,ALLOCATED NON-CAPITA 16422,A81000C,00100,0100,A 16422,A81000C,00100,0200,HARRIS WEBBER 16422,A81000C,00100,0400,HARRIS WEBBER L 16422,A81000C,00100,0600,MNGMT SERVICES 16422,B100000,00000,0100,00010SQUARE FEET 16422,B100000,00000,0200,00010SQUARE FEET 16422,B100000,00000,0300,00010GROSS SALARIES 16422,B100000,00000,0400,00010ACCUM COST 16422,B100000,00000,0500,00010SQUARE FEET 16422,B100000,00000,0600,00010PATIENT DAYS 16422,B100000,00000,0700,00010SQUARE FEET 16422,B100000,00000,0800,00010MEALS SERVED 16422,B100000,00000,0900,00010PATIENT DAYS 16422,B100000,00000,1000,00010PATIENT DAYS 16422,B100000,00000,1100,00010COSTED REQUIS 16422,B100000,00000,1200,00010PATIENT DAYS 16422,B100000,00000,1300,00010PATIENT DAYS 16422,B100000,00000,1350,00010PATIENT DAYS 16422,B100000,00000,1400,00010ASSIGNED TIME 16422,S000000,00100,0200,06/01/2000 16422,S200000,00100,0100,1095 TWILIGHT DRIVE 16422,S200000,00200,0100,MORRIS 16422,S200000,00200,0200,IL 16422,S200000,00200,0300,60450 16422,S200000,00300,0100,GRUNDY 16422,S200000,00400,0100,WALNUT GROVE VILLAGE 16422,S200000,00400,0200,145623 16422,S200000,00400,0300,04/28/1989 16422,S200000,00400,0500,P 16422,S200000,00600,0200,145623 16422,S200000,00600,0300,04/28/1989 16422,S200000,00600,0600,P 16422,S200000,01600,0100,Y 16429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16429,A000000,00300,0000,00300EMPLOYEE BENEFITS 16429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16429,A000000,00700,0000,00700HOUSEKEEPING 16429,A000000,00800,0000,00800DIETARY 16429,A000000,00900,0000,00900NURSING ADMINISTRATION 16429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16429,A000000,01100,0000,01100PHARMACY 16429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16429,A000000,01300,0000,01300SOCIAL SERVICE 16429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16429,A000000,01600,0000,01600SKILLED NURSING FACILITY 16429,A000000,01800,0000,01800NURSING FACILITY 16429,A000000,01810,0000,01810ICF/MR 16429,A000000,02100,0000,02100RADIOLOGY 16429,A000000,02200,0000,02200LABORATORY 16429,A000000,02300,0000,02300INTRAVENOUS THERAPY 16429,A000000,02500,0000,02500PHYSICAL THERAPY 16429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16429,A000000,02700,0000,02700SPEECH PATHOLOGY 16429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16429,A000000,03550,0000,03550FQHC 16429,A000000,05000,0000,05000CORF 16429,A000000,05010,0000,05010CMHC 16429,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16429,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16429,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16429,A81000A,00100,0100,Y 16429,A81000B,00200,0300,HOME OFFICE 16429,A81000C,00200,0100,B 16429,A81000C,00200,0200,CERTIFIED HEALT 16429,B100000,00000,0100,00000SQUARE FEET 16429,B100000,00000,0200,00000SQUARE FEET 16429,B100000,00000,0300,00000GROSS SALARIES 16429,B100000,00000,0400,00000ACCUM COST 16429,B100000,00000,0500,00000SQUARE FEET 16429,B100000,00000,0600,00000PATIENT DAYS 16429,B100000,00000,0700,00000SQUARE FEET 16429,B100000,00000,0800,00000PATIENT DAYS 16429,B100000,00000,0900,00000PATIENT DAYS 16429,B100000,00000,1000,00000PATIENT DAYS 16429,B100000,00000,1100,00000COSTED REQUIS 16429,B100000,00000,1200,00000PATIENT DAYS 16429,B100000,00000,1300,00000PATIENT DAYS 16429,B100000,00000,1400,00000ASSIGNED TIME 16429,S000000,00100,0200,04/05/2000 16429,S200000,00400,0100,FLORA PAVILION NURSING HOME INC. 16429,S200000,00400,0200,145624 16429,S200000,00400,0300,01/01/1990 16429,S200000,00400,0500,P 16429,S200000,01600,0100,Y 16436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16436,A000000,00300,0000,00300EMPLOYEE BENEFITS 16436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16436,A000000,00700,0000,00700HOUSEKEEPING 16436,A000000,00800,0000,00800DIETARY 16436,A000000,00900,0000,00900NURSING ADMINISTRATION 16436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16436,A000000,01100,0000,01100PHARMACY 16436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16436,A000000,01300,0000,01300SOCIAL SERVICE 16436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16436,A000000,01600,0000,01600SKILLED NURSING FACILITY 16436,A000000,01800,0000,01800NURSING FACILITY 16436,A000000,01810,0000,01810ICF/MR 16436,A000000,02100,0000,02100RADIOLOGY 16436,A000000,02200,0000,02200LABORATORY 16436,A000000,02500,0000,02500PHYSICAL THERAPY 16436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16436,A000000,02700,0000,02700SPEECH PATHOLOGY 16436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16436,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16436,A000000,03200,0000,03200SUPPORT SURFACES 16436,A000000,03550,0000,03550FQHC 16436,A000000,05000,0000,05000CORF 16436,A000000,05010,0000,05010CMHC 16436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16436,A81000A,00100,0100,Y 16436,A81000B,00100,0300,MISC CAPITAL 16436,A81000B,00200,0300,MISC EMPLOYEE BEN 16436,A81000B,00300,0300,VARIOUS A & G 16436,A81000B,00400,0300,PLANT RELATED 16436,A81000B,00500,0300,CS & S 16436,A81000B,00600,0300,MED SUPPLIES 16436,A81000C,00100,0100,A 16436,A81000C,00100,0400,NUCARE SERVICES 16436,A81000C,00100,0600,MGMT COMPANY 16436,A81000C,00200,0100,A 16436,A81000C,00200,0400,CALIF GARDENS A 16436,A81000C,00200,0600,BLDG COMPANY 16436,A81000C,00300,0100,A 16436,A81000C,00300,0400,CAREPATH 16436,A81000C,00300,0600,COMPUTER SVCS 16436,A81000C,00400,0100,A 16436,A81000C,00400,0400,DIAMOND INSURAN 16436,A81000C,00400,0600,INSURANCE 16436,A81000C,00500,0100,A 16436,A81000C,00500,0400,S & E MEDICAL 16436,A81000C,00500,0600,MEDICAL SUPPLIE 16436,B100000,00000,0100,00000SQUARE FEET 16436,B100000,00000,0200,00000SQUARE FEET 16436,B100000,00000,0300,00000GROSS SALARIES 16436,B100000,00000,0400,00000ACCUM COST 16436,B100000,00000,0500,00000SQUARE FEET 16436,B100000,00000,0600,00000PATIENT DAYS 16436,B100000,00000,0700,00000SQUARE FEET 16436,B100000,00000,0800,00000MEALS SERVED 16436,B100000,00000,0900,00000DIRECT NRSG HRS 16436,B100000,00000,1000,00000PATIENT DAYS 16436,B100000,00000,1100,00000COSTED REQUIS 16436,B100000,00000,1200,00000PATIENT DAYS 16436,B100000,00000,1300,00000PATIENT DAYS 16436,B100000,00000,1400,00000ASSIGNED TIME 16436,S000000,00100,0200,05/26/2000 16436,S200000,00100,0100,2829 SOUTH CALIFORNIA AVE 16436,S200000,00200,0100,CHICAGO 16436,S200000,00200,0200,IL 16436,S200000,00200,0300,60606 16436,S200000,00300,0100,COOK 16436,S200000,00400,0100,CALIFORNIA GARDENS CORPORATION 16436,S200000,00400,0200,145625 16436,S200000,00400,0300,11/01/1989 16436,S200000,00400,0500,P 16436,S200000,01600,0100,Y 16442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16442,A000000,00300,0000,00300EMPLOYEE BENEFITS 16442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16442,A000000,00700,0000,00700HOUSEKEEPING 16442,A000000,00800,0000,00800DIETARY 16442,A000000,00900,0000,00900NURSING ADMINISTRATION 16442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16442,A000000,01100,0000,01100PHARMACY 16442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16442,A000000,01300,0000,01300SOCIAL SERVICE 16442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16442,A000000,01600,0000,01600SKILLED NURSING FACILITY 16442,A000000,01800,0000,01800NURSING FACILITY 16442,A000000,01810,0000,01810ICF/MR 16442,A000000,02100,0000,02100RADIOLOGY 16442,A000000,02200,0000,02200LABORATORY 16442,A000000,02500,0000,02500PHYSICAL THERAPY 16442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16442,A000000,02700,0000,02700SPEECH PATHOLOGY 16442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16442,A000000,03200,0000,03200SUPPORT SURFACES 16442,A000000,03550,0000,03550FQHC 16442,A000000,05000,0000,05000CORF 16442,A000000,05010,0000,05010CMHC 16442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16442,A81000A,00100,0100,Y 16442,A81000B,00200,0300,RENT 16442,A81000C,00200,0100,B 16442,A81000C,00200,0200,OAKTON TERRACE 16442,B100000,00000,0100,00000SQUARE FEET 16442,B100000,00000,0200,00000SQUARE FEET 16442,B100000,00000,0300,00000GROSS SALARIES 16442,B100000,00000,0400,00000ACCUM COST 16442,B100000,00000,0500,00000SQUARE FEET 16442,B100000,00000,0600,00000PATIENT DAYS 16442,B100000,00000,0700,00000SQUARE FEET 16442,B100000,00000,0800,00000PATIENT DAYS 16442,B100000,00000,0900,00000PATIENT DAYS 16442,B100000,00000,1000,00000PATIENT DAYS 16442,B100000,00000,1100,00000COSTED REQUIS 16442,B100000,00000,1200,00000PATIENT DAYS 16442,B100000,00000,1300,00000PATIENT DAYS 16442,B100000,00000,1400,00000ASSIGNED TIME 16442,S000000,00100,0200,04/12/2000 16442,S200000,00300,0100,COOK 16442,S200000,00400,0100,OAKTON PAVILLION 16442,S200000,00400,0200,145626 16442,S200000,00400,0300,01/01/1990 16442,S200000,00400,0500,P 16442,S200000,01600,0100,Y 16450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16450,A000000,00300,0000,00300EMPLOYEE BENEFITS 16450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16450,A000000,00700,0000,00700HOUSEKEEPING 16450,A000000,00800,0000,00800DIETARY 16450,A000000,00900,0000,00900NURSING ADMINISTRATION 16450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16450,A000000,01100,0000,01100PHARMACY 16450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16450,A000000,01300,0000,01300SOCIAL SERVICE 16450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16450,A000000,01600,0000,01600SKILLED NURSING FACILITY 16450,A000000,01800,0000,01800NURSING FACILITY 16450,A000000,01810,0000,01810ICF/MR 16450,A000000,02200,0000,02200LABORATORY 16450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16450,A000000,02500,0000,02500PHYSICAL THERAPY 16450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16450,A000000,02700,0000,02700SPEECH PATHOLOGY 16450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16450,A000000,03200,0000,03200SUPPORT SURFACES 16450,A000000,03550,0000,03550FQHC 16450,A000000,05000,0000,05000CORF 16450,A000000,05010,0000,05010CMHC 16450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16450,A000000,06150,0000,06300ASSISTANCE IN LIVING 16450,A81000A,00100,0100,Y 16450,A81000B,00100,0300,HOME OFFICE COSTS 16450,A81000C,00100,0100,B 16450,A81000C,00100,0400,C.M.E. INC. 16450,A81000C,00100,0600,HEALTHCARE 16450,B100000,00000,0100,00000SQUARE FEET 16450,B100000,00000,0200,00000SQUARE FEET 16450,B100000,00000,0300,00000GROSS SALARIES 16450,B100000,00000,0400,00000ACCUM COST 16450,B100000,00000,0500,00000SQUARE FEET 16450,B100000,00000,0600,00000PATIENT DAYS 16450,B100000,00000,0700,00000SQUARE FEET 16450,B100000,00000,0800,00000MEALS SERVED 16450,B100000,00000,0900,00000PATIENT DAYS 16450,B100000,00000,1000,00000COSTED REQUIS 16450,B100000,00000,1100,00000COSTED REQUIS 16450,B100000,00000,1200,00000PATIENT DAYS 16450,B100000,00000,1300,00000PATIENT DAYS 16450,B100000,00000,1400,00000ASSIGNED TIME 16450,S000000,00100,0200,05/25/2000 16450,S200000,00100,0100,345 DIXIE HIGHWAY 16450,S200000,00200,0100,CHICAGO HEIGHTS 16450,S200000,00200,0200,IL 16450,S200000,00200,0300,60411 16450,S200000,00300,0100,COOK 16450,S200000,00400,0100,PRAIRIE MANOR HEALTH CARE CTR. 16450,S200000,00400,0200,145629 16450,S200000,00400,0300,09/15/1994 16450,S200000,00400,0500,P 16450,S200000,01600,0100,Y 16457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16457,A000000,00300,0000,00300EMPLOYEE BENEFITS 16457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16457,A000000,00700,0000,00700HOUSEKEEPING 16457,A000000,00800,0000,00800DIETARY 16457,A000000,00900,0000,00900NURSING ADMINISTRATION 16457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16457,A000000,01100,0000,01100PHARMACY 16457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16457,A000000,01300,0000,01300SOCIAL SERVICE 16457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16457,A000000,01600,0000,01600SKILLED NURSING FACILITY 16457,A000000,01800,0000,01800NURSING FACILITY 16457,A000000,01810,0000,01810ICF/MR 16457,A000000,02500,0000,02500PHYSICAL THERAPY 16457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16457,A000000,02700,0000,02700SPEECH PATHOLOGY 16457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16457,A000000,03550,0000,03550FQHC 16457,A000000,05000,0000,05000CORF 16457,A000000,05010,0000,05010CMHC 16457,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16457,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16457,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16457,A81000A,00100,0100,Y 16457,A81000B,00200,0300,RENT 16457,A81000B,00400,0300,HOME OFFICE 16457,A81000C,00200,0100,B 16457,A81000C,00200,0200,6840 PARTNERSHI 16457,A81000C,00400,0100,B 16457,A81000C,00400,0200,FAMILY CARE MGT 16457,B100000,00000,0100,00000SQUARE FEET 16457,B100000,00000,0200,00000SQUARE FEET 16457,B100000,00000,0300,00000GROSS SALARIES 16457,B100000,00000,0400,00000ACCUM COST 16457,B100000,00000,0500,00000SQUARE FEET 16457,B100000,00000,0600,00000PATIENT DAYS 16457,B100000,00000,0700,00000SQUARE FEET 16457,B100000,00000,0800,00000PATIENT DAYS 16457,B100000,00000,0900,00000PATIENT DAYS 16457,B100000,00000,1000,00000PATIENT DAYS 16457,B100000,00000,1100,00000COSTED REQUIS 16457,B100000,00000,1200,00000PATIENT DAYS 16457,B100000,00000,1300,00000PATIENT DAYS 16457,B100000,00000,1400,00000ASSIGNED TIME 16457,S000000,00100,0200,06/05/2000 16457,S200000,00400,0100,FOREST VILLA LTD. 16457,S200000,00400,0200,145630 16457,S200000,00400,0300,01/01/1989 16457,S200000,00400,0500,P 16457,S200000,01600,0100,Y 16463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16463,A000000,00300,0000,00300EMPLOYEE BENEFITS 16463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16463,A000000,00700,0000,00700HOUSEKEEPING 16463,A000000,00800,0000,00800DIETARY 16463,A000000,00900,0000,00900NURSING ADMINISTRATION 16463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16463,A000000,01100,0000,01100PHARMACY 16463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16463,A000000,01300,0000,01300SOCIAL SERVICE 16463,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16463,A000000,01600,0000,01600SKILLED NURSING FACILITY 16463,A000000,01810,0000,01810ICF/MR 16463,A000000,02100,0000,02100RADIOLOGY 16463,A000000,02200,0000,02200LABORATORY 16463,A000000,02500,0000,02500PHYSICAL THERAPY 16463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16463,A000000,02700,0000,02700SPEECH PATHOLOGY 16463,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16463,A000000,03050,0000,03300BGM 16463,A000000,03200,0000,03200SUPPORT SURFACES 16463,A000000,03550,0000,03550FQHC 16463,A000000,05000,0000,05000CORF 16463,A000000,05010,0000,05010CMHC 16463,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16463,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16463,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16463,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16463,B100000,00000,0100,00000SQUARE FEET 16463,B100000,00000,0200,00000SQUARE FEET 16463,B100000,00000,0300,00000GROSS SALARIES 16463,B100000,00000,0400,00000ACCUM COST 16463,B100000,00000,0500,00000SQUARE FEET 16463,B100000,00000,0600,00000PATIENT DAYS 16463,B100000,00000,0700,00000SQUARE FEET 16463,B100000,00000,0800,00000MEALS SERVED 16463,B100000,00000,0900,00000DIRECT NRSG HRS 16463,B100000,00000,1000,00000PATIENT DAYS 16463,B100000,00000,1100,00000COSTED REQUIS 16463,B100000,00000,1200,00000PATIENT DAYS 16463,B100000,00000,1300,00000PATIENT DAYS 16463,B100000,00000,1400,00000ASSIGNED TIME 16463,S000000,00100,0200,05/22/2000 16463,S200000,00100,0100,6300 N. CAROLINA 16463,S200000,00200,0100,CHICAGO 16463,S200000,00200,0200,IL 16463,S200000,00200,0300,60659 16463,S200000,00300,0100,COOK 16463,S200000,00400,0100,NORTHWEST HOME FOR THE AGED 16463,S200000,00400,0200,145634 16463,S200000,00400,0300,09/01/1989 16463,S200000,00400,0500,P 16463,S200000,01500,0100,Y 16463,S200000,01900,0100,CHARITABLE CORP. 16472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16472,A000000,00300,0000,00300EMPLOYEE BENEFITS 16472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16472,A000000,00700,0000,00700HOUSEKEEPING 16472,A000000,00800,0000,00800DIETARY 16472,A000000,00900,0000,00900NURSING ADMINISTRATION 16472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16472,A000000,01100,0000,01100PHARMACY 16472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16472,A000000,01300,0000,01300SOCIAL SERVICE 16472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16472,A000000,01600,0000,01600SKILLED NURSING FACILITY 16472,A000000,01800,0000,01800NURSING FACILITY 16472,A000000,01810,0000,01810ICF/MR 16472,A000000,02200,0000,02200LABORATORY 16472,A000000,02300,0000,02300INTRAVENOUS THERAPY 16472,A000000,02500,0000,02500PHYSICAL THERAPY 16472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16472,A000000,02700,0000,02700SPEECH PATHOLOGY 16472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16472,A000000,03200,0000,03200SUPPORT SURFACES 16472,A000000,03550,0000,03550FQHC 16472,A000000,05000,0000,05000CORF 16472,A000000,05010,0000,05010CMHC 16472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16472,A81000A,00100,0100,Y 16472,A81000B,00200,0300,HOME OFFICE 16472,A81000C,00200,0100,B 16472,A81000C,00200,0200,CERTIFIED HEALT 16472,B100000,00000,0100,00000SQUARE FEET 16472,B100000,00000,0200,00000SQUARE FEET 16472,B100000,00000,0300,00000GROSS SALARIES 16472,B100000,00000,0400,00000ACCUM COST 16472,B100000,00000,0500,00000SQUARE FEET 16472,B100000,00000,0600,00000PATIENT DAYS 16472,B100000,00000,0700,00000PATIENT DAYS 16472,B100000,00000,0800,00000PATIENT DAYS 16472,B100000,00000,0900,00000PATIENT DAYS 16472,B100000,00000,1000,00000PATIENT DAYS 16472,B100000,00000,1100,00000COSTED REQUIS 16472,B100000,00000,1200,00000PATIENT DAYS 16472,B100000,00000,1300,00000PATIENT DAYS 16472,B100000,00000,1400,00000ASSIGNED TIME 16472,S000000,00100,0200,04/05/2000 16472,S200000,00400,0100,PRAIRIE VIEW CARE CTR-CHARLESTON IN 16472,S200000,00400,0200,145636 16472,S200000,00400,0300,01/01/1993 16472,S200000,00400,0500,P 16472,S200000,01600,0100,Y 16484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16484,A000000,00300,0000,00300EMPLOYEE BENEFITS 16484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16484,A000000,00700,0000,00700HOUSEKEEPING 16484,A000000,00800,0000,00800DIETARY 16484,A000000,00900,0000,00900NURSING ADMINISTRATION 16484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16484,A000000,01100,0000,01100PHARMACY 16484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16484,A000000,01300,0000,01300SOCIAL SERVICE 16484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16484,A000000,01600,0000,01600SKILLED NURSING FACILITY 16484,A000000,01800,0000,01800NURSING FACILITY 16484,A000000,01810,0000,01810ICF/MR 16484,A000000,02500,0000,02500PHYSICAL THERAPY 16484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16484,A000000,02700,0000,02700SPEECH PATHOLOGY 16484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16484,A000000,03550,0000,03550FQHC 16484,A000000,05000,0000,05000CORF 16484,A000000,05010,0000,05010CMHC 16484,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16484,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16484,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16484,A81000A,00100,0100,Y 16484,A81000B,00100,0300,ADMINISTRATIVE COST 16484,A81000C,00100,0100,G 16484,A81000C,00100,0200,FSCSC 16484,A81000C,00100,0600,CORPORATE OFFICE 16484,B100000,00000,0100,00000SQUARE FEET 16484,B100000,00000,0200,00000SQUARE FEET 16484,B100000,00000,0300,00000GROSS SALARIES 16484,B100000,00000,0400,00000ACCUM. COST 16484,B100000,00000,0500,00000SQUARE FEET 16484,B100000,00000,0600,00000PATIENT DAYS 16484,B100000,00000,0700,00000SQUARE FEET 16484,B100000,00000,0800,00000PATIENT DAYS 16484,B100000,00000,0900,00000PATIENT DAYS 16484,B100000,00000,1000,00000PATIENT DAYS 16484,B100000,00000,1100,00000PATIENT DAYS 16484,B100000,00000,1200,00000PATIENT DAYS 16484,B100000,00000,1300,00000PATIENT DAYS 16484,B100000,00000,1400,00000ASSIGNED TIME 16484,S000000,00100,0200,12/18/2000 16484,S200000,00100,0100,2650 NORTH RIDGEWAY 16484,S200000,00200,0100,CHICAGO 16484,S200000,00200,0200,IL 16484,S200000,00200,0300,60647 16484,S200000,00300,0100,C 16484,S200000,00400,0100,ST. JOSEPH HOME OF CHICAGO 16484,S200000,00400,0200,145637 16484,S200000,00400,0300,07/01/1989 16484,S200000,00400,0500,P 16484,S200000,00400,0600,O 16484,S200000,01500,0100,Y 16484,S200000,02200,0100,Y 16490,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16490,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16490,A000000,00300,0000,00300EMPLOYEE BENEFITS 16490,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16490,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16490,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16490,A000000,00700,0000,00700HOUSEKEEPING 16490,A000000,00800,0000,00800DIETARY 16490,A000000,00900,0000,00900NURSING ADMINISTRATION 16490,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16490,A000000,01100,0000,01100PHARMACY 16490,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16490,A000000,01300,0000,01300SOCIAL SERVICE 16490,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16490,A000000,01600,0000,01600SKILLED NURSING FACILITY 16490,A000000,01800,0000,01800NURSING FACILITY 16490,A000000,01810,0000,01810ICF/MR 16490,A000000,02200,0000,02200LABORATORY 16490,A000000,02500,0000,02500PHYSICAL THERAPY 16490,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16490,A000000,02700,0000,02700SPEECH PATHOLOGY 16490,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16490,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16490,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16490,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16490,A000000,03550,0000,03550FQHC 16490,A000000,04800,0000,04800AMBULANCE 16490,A000000,05000,0000,05000CORF 16490,A000000,05010,0000,05010CMHC 16490,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16490,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16490,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16490,A000000,05300,0000,05300INTEREST EXPENSE 16490,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16490,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16490,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16490,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16490,A81000A,00100,0100,Y 16490,A81000B,00100,0300,RENT EXPENSE 16490,A81000B,00200,0300,DEPRECIATION EXPENSE 16490,A81000B,00300,0300,PROPERTY TAXES 16490,A81000B,00400,0300,INTEREST EXPENSE 16490,A81000B,00500,0300,AMORT OF MTG COSTS 16490,A81000B,00600,0300,REPLACEMENT TAX 16490,A81000B,00700,0300,BANK CHARGES 16490,A81000B,00800,0300,ADMINISTRATIVE FEES 16490,A81000B,00900,0300,PROFESSIONAL FEES 16490,A81000B,01000,0300,ROYAL CAPITAL COSTS 16490,A81000B,01100,0300,ROYAL G&A COSTS 16490,A81000C,00100,0100,B 16490,A81000C,00100,0200,J SAMATAS TRUST 16490,A81000C,00100,0400,S/B BLOOMINGDAL 16490,A81000C,00100,0600,LESSOR 16490,A81000C,00200,0100,B 16490,A81000C,00200,0200,J SAMATAS TRUST 16490,A81000C,00200,0400,S/B BLOOMINGDAL 16490,A81000C,00200,0600,LESSOR 16490,A81000C,00300,0100,B 16490,A81000C,00300,0200,C THIEM TRUST 16490,A81000C,00300,0400,S/B BLOOMINGDAL 16490,A81000C,00300,0600,LESSOR 16490,A81000C,00400,0100,A 16490,A81000C,00400,0200,JAMES BELL 16490,A81000C,00400,0400,S/B BLOOMINGDAL 16490,A81000C,00400,0600,LESSOR 16490,A81000C,00500,0100,A 16490,A81000C,00500,0200,JEFFREY BELL 16490,A81000C,00500,0400,S/B BLOOMINGDAL 16490,A81000C,00500,0600,LESSOR 16490,A81000C,00600,0100,A 16490,A81000C,00600,0200,DAVID BELL 16490,A81000C,00600,0400,S/B BLOOMINGDAL 16490,A81000C,00600,0600,LESSOR 16490,A81000C,00700,0100,A 16490,A81000C,00700,0200,LARRY BELL 16490,A81000C,00700,0400,S/B BLOOMINGDAL 16490,A81000C,00700,0600,LESSOR 16490,A81000C,00800,0100,B 16490,A81000C,00800,0200,BELL INV PTSHP 16490,A81000C,00800,0400,S/B BLOOMINGDAL 16490,A81000C,00800,0600,LESSOR 16490,A81000C,00900,0100,A 16490,A81000C,00900,0200,GEORGE SAMATAS 16490,A81000C,00900,0400,S/B BLOOMINGDAL 16490,A81000C,00900,0600,LESSOR 16490,A81000C,01000,0100,A 16490,A81000C,01000,0200,JOHN SAMATAS 16490,A81000C,01000,0400,S/B BLOOMINGDAL 16490,A81000C,01000,0600,LESSOR 16490,B100000,00000,0100,00000SQUARE FEET 16490,B100000,00000,0200,00000SQUARE FEET 16490,B100000,00000,0300,00000GROSS SALARIES 16490,B100000,00000,0400,00000ACCUM COST 16490,B100000,00000,0500,00000SQUARE FEET 16490,B100000,00000,0600,00000PATIENT DAYS 16490,B100000,00000,0700,00000SQUARE FEET 16490,B100000,00000,0800,00000MEALS SERVED 16490,B100000,00000,0900,00000HOURS OF SERVICE 16490,B100000,00000,1000,00000PATIENT DAYS 16490,B100000,00000,1100,00000COSTED REQUISITIO 16490,B100000,00000,1200,00000TIME SPENT 16490,B100000,00000,1300,00000PATIENT DAYS 16490,B100000,00000,1400,00000ASSIGNED TIME 16490,S000000,00100,0200,06/01/2000 16490,S200000,00100,0100,165 S. BLOOMINGDALE RD 16490,S200000,00200,0100,BLOOMINGDALE 16490,S200000,00200,0200,IL 16490,S200000,00200,0300,60108 16490,S200000,00300,0100,DUPAGE 16490,S200000,00400,0100,LEXINGTON HCC - BLOOMINGDALE 16490,S200000,00400,0200,145638 16490,S200000,00400,0300,07/13/1989 16490,S200000,00400,0500,P 16490,S200000,01600,0100,Y 16502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16502,A000000,00300,0000,00300EMPLOYEE BENEFITS 16502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16502,A000000,00700,0000,00700HOUSEKEEPING 16502,A000000,00800,0000,00800DIETARY 16502,A000000,00900,0000,00900NURSING ADMINISTRATION 16502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16502,A000000,01100,0000,01100PHARMACY 16502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16502,A000000,01300,0000,01300SOCIAL SERVICE 16502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16502,A000000,01600,0000,01600SKILLED NURSING FACILITY 16502,A000000,01800,0000,01800NURSING FACILITY 16502,A000000,01810,0000,01810ICF/MR 16502,A000000,02200,0000,02200LABORATORY 16502,A000000,02500,0000,02500PHYSICAL THERAPY 16502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16502,A000000,02700,0000,02700SPEECH PATHOLOGY 16502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16502,A000000,03550,0000,03550FQHC 16502,A000000,05000,0000,05000CORF 16502,A000000,05010,0000,05010CMHC 16502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16502,A81000A,00100,0100,Y 16502,A81000B,00100,0300,RENT 16502,A81000B,00200,0300,INTEREST 16502,A81000B,00300,0300,DEPRECIATION 16502,A81000B,00400,0300,AMORTIZATION 16502,A81000B,00500,0300,MANAGEMENT FEES 16502,A81000C,00100,0100,A 16502,A81000C,00100,0200,MICHAEL LERNER 16502,A81000C,00100,0400,GEM HEALTHCARE 16502,A81000C,00100,0600,PROPERTY MANAGE 16502,B100000,00000,0100,00000SQUARE FEET 16502,B100000,00000,0200,00000SQUARE FEET 16502,B100000,00000,0300,00000GROSS SALARIES 16502,B100000,00000,0400,00000ACCUM COST 16502,B100000,00000,0500,00000SQUARE FEET 16502,B100000,00000,0600,00000PATIENT DAYS 16502,B100000,00000,0700,00000SQUARE FOOTAGE 16502,B100000,00000,0800,00000MEALS SERVED 16502,B100000,00000,0900,00000PATIENT DAYS 16502,B100000,00000,1000,00000PATIENT DAYS 16502,B100000,00000,1100,00000PATIENT DAYS 16502,B100000,00000,1200,00000NUMBER OF ADMISSIONS 16502,B100000,00000,1300,00000PATIENT DAYS 16502,B100000,00000,1400,00000ASSIGNED TIME 16502,S000000,00100,0200,06/02/2000 16502,S200000,00100,0100,4747 ELEVENTH STREET 16502,S200000,00200,0100,EAST MOLINE 16502,S200000,00200,0200,IL 16502,S200000,00200,0300,61244 16502,S200000,00400,0100,FOREST HILL NURSING & REHAB CENTER 16502,S200000,00400,0200,145645 16502,S200000,00400,0300,08/01/1996 16502,S200000,00400,0500,P 16502,S200000,01600,0100,Y 16511,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16511,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16511,A000000,00300,0000,00300EMPLOYEE BENEFITS 16511,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16511,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16511,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16511,A000000,00700,0000,00700HOUSEKEEPING 16511,A000000,00800,0000,00800DIETARY 16511,A000000,00900,0000,00900NURSING ADMINISTRATION 16511,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16511,A000000,01100,0000,01100PHARMACY 16511,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16511,A000000,01300,0000,01300SOCIAL SERVICE 16511,A000000,01301,0000,01301ACTIVITES 16511,A000000,01350,0000,01500REHABILITATION 16511,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16511,A000000,01600,0000,01600SKILLED NURSING FACILITY 16511,A000000,01800,0000,01800NURSING FACILITY 16511,A000000,01810,0000,01810ICF/MR 16511,A000000,02200,0000,02200LABORATORY 16511,A000000,02500,0000,02500PHYSICAL THERAPY 16511,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16511,A000000,02700,0000,02700SPEECH PATHOLOGY 16511,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16511,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16511,A000000,03050,0000,03300EQUIPMENT RENTAL 16511,A000000,03051,0000,03301PEN THERAPY 16511,A000000,03550,0000,03550FQHC 16511,A000000,05000,0000,05000CORF 16511,A000000,05010,0000,05010CMHC 16511,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16511,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16511,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16511,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16511,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16511,A000000,06150,0000,06300VENDING 16511,A000000,06151,0000,06301STAND-BY 16511,A81000A,00100,0100,Y 16511,A81000B,00100,0300,HOME OFFICE COST 16511,A81000B,00200,0300,HOME OFFICE INTEREST 16511,A81000C,00100,0100,B 16511,A81000C,00100,0200,ODIN PS# 11564 16511,A81000C,00100,0400,MARINER PAN 16511,A81000C,00100,0600,NURSING HOMES 16511,A81000C,00200,0100,G 16511,A81000C,00200,0200,MARINER PAN 16511,A81000C,00200,0400,AMER PHARM SVCS 16511,A81000C,00200,0600,PHARMACEUTICALS 16511,A81000C,00300,0100,G 16511,A81000C,00300,0200,MARINER PAN 16511,A81000C,00300,0400,PRISM-ATS-ARS-T 16511,A81000C,00300,0600,THERAPIES 16511,B100000,00000,0100,00001SQUARE FEET 16511,B100000,00000,0200,00001SQUARE FEET 16511,B100000,00000,0300,00001GROSS SALARIES 16511,B100000,00000,0400,00001ACCUM COST 16511,B100000,00000,0500,00001SQUARE FEET 16511,B100000,00000,0600,00001PATIENT DAYS 16511,B100000,00000,0700,00001SQUARE FEET 16511,B100000,00000,0800,00001MEALS SERVED 16511,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 16511,B100000,00000,1000,00001COSTED REQUISITIO 16511,B100000,00000,1100,00001COSTED REQUIS 16511,B100000,00000,1200,00001PATIENT DAYS 16511,B100000,00000,1300,00001PATIENT DAYS 16511,B100000,00000,1301,00001PATIENT DAYS 16511,B100000,00000,1350,00001UNITS OF SERVICE 16511,B100000,00000,1400,00001ASSIGNED TIME 16511,E10A180,00350,0100,06/03/1999 16511,S000000,00100,0200,06/02/2000 16511,S200000,00100,0100,300 N. GREEN ST. 16511,S200000,00200,0100,ODIN 16511,S200000,00200,0200,IL 16511,S200000,00200,0300,62870 16511,S200000,00300,0100,MARION 16511,S200000,00400,0100,ODIN HEALTHCARE CENTER 16511,S200000,00400,0200,145649 16511,S200000,00400,0300,01/05/1990 16511,S200000,00400,0500,P 16511,S200000,01600,0100,Y 16511,S200000,02200,0100,Y 16518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16518,A000000,00300,0000,00300EMPLOYEE BENEFITS 16518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16518,A000000,00700,0000,00700HOUSEKEEPING 16518,A000000,00800,0000,00800DIETARY 16518,A000000,00900,0000,00900NURSING ADMINISTRATION 16518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16518,A000000,01100,0000,01100PHARMACY 16518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16518,A000000,01300,0000,01300SOCIAL SERVICE 16518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16518,A000000,01600,0000,01600SKILLED NURSING FACILITY 16518,A000000,01800,0000,01800NURSING FACILITY 16518,A000000,01810,0000,01810ICF/MR 16518,A000000,02200,0000,02200LABORATORY 16518,A000000,02500,0000,02500PHYSICAL THERAPY 16518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16518,A000000,02700,0000,02700SPEECH PATHOLOGY 16518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16518,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16518,A000000,03200,0000,03200SUPPORT SURFACES 16518,A000000,03550,0000,03550FQHC 16518,A000000,05000,0000,05000CORF 16518,A000000,05010,0000,05010CMHC 16518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16518,A81000A,00100,0100,Y 16518,A81000B,00100,0300,RENT 16518,A81000B,00200,0300,DEPRECIATION 16518,A81000B,00300,0300,REAL ESTATE TAXES 16518,A81000B,00400,0300,INTEREST 16518,A81000B,00500,0300,PT COSTS 16518,A81000B,00600,0300,OT COSTS 16518,A81000B,00700,0300,ST COSTS 16518,A81000C,00100,0100,A 16518,A81000C,00100,0400,10418 S. ROBERT 16518,A81000C,00100,0600,OFFICE RENTAL 16518,A81000C,00200,0400,RENEW SOLUTIONS 16518,A81000C,00200,0600,THERAPY SERVICE 16518,B100000,00000,0100,00000SQUARE FEET 16518,B100000,00000,0200,00000SQUARE FEET 16518,B100000,00000,0300,00000GROSS SALARIES 16518,B100000,00000,0400,00000ACCUM COST 16518,B100000,00000,0500,00000SQUARE FEET 16518,B100000,00000,0600,00000PATIENT DAYS 16518,B100000,00000,0700,00000SQUARE FEET 16518,B100000,00000,0800,00000MEALS SERVED 16518,B100000,00000,0900,00000DIRECT NRSG HRS 16518,B100000,00000,1000,00000PATIENT DAYS 16518,B100000,00000,1100,00000COSTED REQUIS 16518,B100000,00000,1200,00000PATIENT DAYS 16518,B100000,00000,1300,00000PATIEN DAYS 16518,B100000,00000,1400,00000ASSIGNED TIME 16518,S000000,00100,0200,05/31/2000 16518,S200000,00100,0100,10426 SOUTH ROBERTS ROAD 16518,S200000,00200,0100,PALOS HILLS 16518,S200000,00200,0200,IL 16518,S200000,00300,0100,COOK 16518,S200000,00400,0100,WINDSOR MANOR NURSING & REHAB CTR. 16518,S200000,00400,0200,145650 16518,S200000,00400,0300,08/24/1989 16518,S200000,00400,0500,P 16518,S200000,01600,0100,Y 16518,S200000,01900,0100,SUBCHAPTER S 16518,S200000,04900,0100,Y 16526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16526,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16526,A000000,00300,0000,00300EMPLOYEE BENEFITS 16526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16526,A000000,00700,0000,00700HOUSEKEEPING 16526,A000000,00800,0000,00800DIETARY 16526,A000000,00900,0000,00900NURSING ADMINISTRATION 16526,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16526,A000000,01100,0000,01100PHARMACY 16526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16526,A000000,01300,0000,01300SOCIAL SERVICE 16526,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16526,A000000,01600,0000,01600SKILLED NURSING FACILITY 16526,A000000,01800,0000,01800NURSING FACILITY 16526,A000000,01810,0000,01810ICF/MR 16526,A000000,02200,0000,02200LABORATORY 16526,A000000,02500,0000,02500PHYSICAL THERAPY 16526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16526,A000000,02700,0000,02700SPEECH PATHOLOGY 16526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16526,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16526,A000000,03200,0000,03200SUPPORT SURFACES 16526,A000000,03550,0000,03550FQHC 16526,A000000,05000,0000,05000CORF 16526,A000000,05010,0000,05010CMHC 16526,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16526,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16526,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16526,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16526,A81000A,00100,0100,Y 16526,A81000B,00100,0300,CAPITAL RELATED COST 16526,A81000B,00200,0300,ADMIN. & GENERAL 16526,A81000C,00100,0100,B 16526,A81000C,00100,0200,MCHENRY COUNTY 16526,A81000C,00100,0600,COUNTY GOVERNME 16526,B100000,00000,0100,00000SQUARE FEET 16526,B100000,00000,0200,00000SQUARE FEET 16526,B100000,00000,0300,00000GROSS SALARIES 16526,B100000,00000,0400,00000ACCUM COST 16526,B100000,00000,0500,00000SQUARE FEET 16526,B100000,00000,0600,00000PATIENT DAYS 16526,B100000,00000,0700,00000SQUARE FEET 16526,B100000,00000,0800,00000MEALS SERVED 16526,B100000,00000,0900,00000DIRECT NRSG HRS 16526,B100000,00000,1000,00000PATIENT DAYS 16526,B100000,00000,1100,00000COSTED REQUIS 16526,B100000,00000,1200,00000PATIENT DAYS 16526,B100000,00000,1300,00000PATIENT DAYS 16526,B100000,00000,1400,00000ASSIGNED TIME 16526,S000000,00100,0200,04/27/2000 16526,S200000,00100,0100,2406 HARTLAND ROAD 16526,S200000,00200,0100,WOODSTOCK 16526,S200000,00200,0200,IL 16526,S200000,00200,0300,60098 16526,S200000,00300,0100,MCHENRY 16526,S200000,00400,0100,VALLEY HI NURSING HOME 16526,S200000,00400,0200,145652 16526,S200000,00400,0300,10/01/1989 16526,S200000,00400,0500,P 16526,S200000,00600,0200,145652 16526,S200000,00600,0300,10/01/1989 16526,S200000,00600,0600,P 16526,S200000,01600,0100,Y 16534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16534,A000000,00300,0000,00300EMPLOYEE BENEFITS 16534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16534,A000000,00700,0000,00700HOUSEKEEPING 16534,A000000,00800,0000,00800DIETARY 16534,A000000,00900,0000,00900NURSING ADMINISTRATION 16534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16534,A000000,01100,0000,01100PHARMACY 16534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16534,A000000,01300,0000,01300SOCIAL SERVICE 16534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16534,A000000,01600,0000,01600SKILLED NURSING FACILITY 16534,A000000,01800,0000,01800NURSING FACILITY 16534,A000000,01810,0000,01810ICF/MR 16534,A000000,02100,0000,02100RADIOLOGY 16534,A000000,02200,0000,02200LABORATORY 16534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16534,A000000,02500,0000,02500PHYSICAL THERAPY 16534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16534,A000000,02700,0000,02700SPEECH PATHOLOGY 16534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16534,A000000,03200,0000,03200SUPPORT SURFACES 16534,A000000,03550,0000,03550FQHC 16534,A000000,05000,0000,05000CORF 16534,A000000,05010,0000,05010CMHC 16534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16534,A81000A,00100,0100,Y 16534,A81000B,00200,0300,LEGAL FEES 16534,A81000B,00400,0300,MANAGEMENT FEES 16534,A81000C,00200,0100,B 16534,A81000C,00200,0200,BOREK & GOLDHIR 16534,A81000C,00400,0100,B 16534,A81000C,00400,0200,CONS. CORP. MGT 16534,B100000,00000,0100,00000SQUARE FEET 16534,B100000,00000,0200,00000SQUARE FEET 16534,B100000,00000,0300,00000GROSS SALARIES 16534,B100000,00000,0400,00000ACCUM COST 16534,B100000,00000,0500,00000SQUARE FEET 16534,B100000,00000,0600,00000PATIENT DAYS 16534,B100000,00000,0700,00000SQUARE FEET 16534,B100000,00000,0800,00000PATIENT DAYS 16534,B100000,00000,0900,00000PATIENT DAYS 16534,B100000,00000,1000,00000PATIENT DAYS 16534,B100000,00000,1100,00000COSTED REQUIS 16534,B100000,00000,1200,00000PATIENT DAYS 16534,B100000,00000,1300,00000PATIENT DAYS 16534,B100000,00000,1400,00000ASSIGNED TIME 16534,S000000,00100,0200,05/30/2000 16534,S200000,00400,0100,LAKEVIEW NURSING & GERIATRIC CTR IN 16534,S200000,00400,0200,145654 16534,S200000,00400,0300,01/01/1987 16534,S200000,00400,0500,P 16534,S200000,01600,0100,Y 16541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16541,A000000,00300,0000,00300EMPLOYEE BENEFITS 16541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16541,A000000,00700,0000,00700HOUSEKEEPING 16541,A000000,00800,0000,00800DIETARY 16541,A000000,00900,0000,00900NURSING ADMINISTRATION 16541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16541,A000000,01100,0000,01100PHARMACY 16541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16541,A000000,01300,0000,01300SOCIAL SERVICE 16541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16541,A000000,01600,0000,01600SKILLED NURSING FACILITY 16541,A000000,01800,0000,01800NURSING FACILITY 16541,A000000,01810,0000,01810ICF/MR 16541,A000000,01900,0000,01900OTHER LONG TERM CARE 16541,A000000,02200,0000,02200LABORATORY 16541,A000000,02500,0000,02500PHYSICAL THERAPY 16541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16541,A000000,02700,0000,02700SPEECH PATHOLOGY 16541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16541,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16541,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16541,A000000,03550,0000,03550FQHC 16541,A000000,05000,0000,05000CORF 16541,A000000,05010,0000,05010CMHC 16541,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16541,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16541,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16541,A000000,05300,0000,05300INTEREST EXPENSE 16541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16541,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16541,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16541,A81000A,00100,0100,Y 16541,A81000B,00100,0300,CAPITAL RELATED EXPENSES 16541,A81000B,00200,0300,ADMIN & GENERAL EXPENSES 16541,A81000B,00300,0300,MANAGEMENT ALLOCATION 16541,A81000B,00400,0300,MARIANJOY - P/T 16541,A81000B,00500,0300,MARIANJOY - O/T 16541,A81000B,00600,0300,MARIANJOY - S/T 16541,A81000C,00100,0100,B 16541,A81000C,00100,0400,REST HAVEN CHRI 16541,A81000C,00100,0600,OWNER OF NURSIN 16541,A81000C,00200,0100,B 16541,A81000C,00200,0400,MARIANJOY 16541,A81000C,00200,0600,JOINT VENTURE 16541,B100000,00000,0100,00000SQUARE FEET 16541,B100000,00000,0200,00000SQUARE FEET 16541,B100000,00000,0300,00000GROSS SALARIES 16541,B100000,00000,0400,00000ACCUM COST 16541,B100000,00000,0500,00000SQUARE FEET 16541,B100000,00000,0600,00000PATIENT DAYS 16541,B100000,00000,0700,00000SQUARE FEET 16541,B100000,00000,0800,00000MEALS SERVED 16541,B100000,00000,0900,00000HOURS OF SERVICE 16541,B100000,00000,1000,00000PATIENT DAYS 16541,B100000,00000,1100,00000COSTED REQUISITIO 16541,B100000,00000,1200,00000PATIENT DAYS 16541,B100000,00000,1300,00000PATIENT DAYS 16541,B100000,00000,1400,00000ASSIGNED TIME 16541,S000000,00100,0200,06/01/2000 16541,S200000,00100,0100,3540 SARATOGA GROVE 16541,S200000,00200,0100,DOWNERS GROVE 16541,S200000,00200,0200,IL 16541,S200000,00200,0300,60515 16541,S200000,00300,0100,DUPAGE 16541,S200000,00400,0100,REST HAVEN WEST 16541,S200000,00400,0200,145657 16541,S200000,00400,0300,03/26/1990 16541,S200000,00400,0500,P 16541,S200000,01600,0100,Y 16548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16548,A000000,00300,0000,00300EMPLOYEE BENEFITS 16548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16548,A000000,00700,0000,00700HOUSEKEEPING 16548,A000000,00800,0000,00800DIETARY 16548,A000000,00900,0000,00900NURSING ADMINISTRATION 16548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16548,A000000,01100,0000,01100PHARMACY 16548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16548,A000000,01300,0000,01300SOCIAL SERVICE 16548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16548,A000000,01600,0000,01600SKILLED NURSING FACILITY 16548,A000000,01800,0000,01800NURSING FACILITY 16548,A000000,01810,0000,01810ICF/MR 16548,A000000,02200,0000,02200LABORATORY 16548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16548,A000000,02500,0000,02500PHYSICAL THERAPY 16548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16548,A000000,02700,0000,02700SPEECH PATHOLOGY 16548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16548,A000000,03050,0000,03300BGM 16548,A000000,03051,0000,03301AMBULANCE 16548,A000000,03550,0000,03550FQHC 16548,A000000,05000,0000,05000CORF 16548,A000000,05010,0000,05010CMHC 16548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16548,A81000A,00100,0100,Y 16548,A81000B,00100,0300,RENT & RE TAXES 16548,A81000B,00200,0300,PROFESSIONAL FEES 16548,A81000B,00300,0300,RE TAXES 16548,A81000B,00400,0300,DEPRECIATION 16548,A81000B,00500,0300,INTEREST EXPENSE 16548,A81000B,00600,0300,AMORT OF MTGE COSTS 16548,A81000B,00700,0300,INTEREST INCOME 16548,A81000B,00800,0300,MGMT FEES 16548,A81000B,00900,0300,SALARY 16548,A81000B,01000,0300,PAYROLL TAXES 16548,A81000C,00100,0100,A 16548,A81000C,00100,0400,DEAUVILLE HEALT 16548,A81000C,00100,0600,RENTAL OF FACIL 16548,A81000C,00200,0400,CARE CENTER 16548,A81000C,00300,0100,A 16548,A81000C,00300,0400,PRO HEALTH CARE 16548,A81000C,00300,0600,MGMT SERVICE 16548,B100000,00000,0100,00040SQUARE FEET 16548,B100000,00000,0200,00040SQUARE FEET 16548,B100000,00000,0300,00040GROSS SALARIES 16548,B100000,00000,0400,00040ACCUM COST 16548,B100000,00000,0500,00040SQUARE FEET 16548,B100000,00000,0600,00040PATIENT DAYS 16548,B100000,00000,0700,00040SQUARE FEET 16548,B100000,00000,0800,00040MEALS SERVED 16548,B100000,00000,0900,00040DIRECT NRSG HRS 16548,B100000,00000,1000,00040PATIENT DAYS 16548,B100000,00000,1100,00040COSTED REQUIS 16548,B100000,00000,1200,00040PATIE DAYS 16548,B100000,00000,1300,00040PATIEN DAYS 16548,B100000,00000,1400,00040ASSIGNED TIME 16548,S000000,00100,0200,06/01/2000 16548,S200000,00100,0100,7445 NORTH SHERIDAN ROAD 16548,S200000,00200,0100,CHICAGO 16548,S200000,00200,0200,IL 16548,S200000,00200,0300,60626 16548,S200000,00300,0100,COOK 16548,S200000,00400,0100,DEAUVILLE HEALTH CARE CENTER 16548,S200000,00400,0200,145659 16548,S200000,00400,0300,10/20/1989 16548,S200000,00400,0500,P 16548,S200000,01600,0100,Y 16548,S200000,01900,0100,SUBCHAPTER S 16555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16555,A000000,00300,0000,00300EMPLOYEE BENEFITS 16555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16555,A000000,00700,0000,00700HOUSEKEEPING 16555,A000000,00800,0000,00800DIETARY 16555,A000000,00900,0000,00900NURSING ADMINISTRATION 16555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16555,A000000,01100,0000,01100PHARMACY 16555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16555,A000000,01300,0000,01300SOCIAL SERVICE 16555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16555,A000000,01600,0000,01600SKILLED NURSING FACILITY 16555,A000000,01800,0000,01800NURSING FACILITY 16555,A000000,01810,0000,01810ICF/MR 16555,A000000,02100,0000,02100RADIOLOGY 16555,A000000,02200,0000,02200LABORATORY 16555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16555,A000000,02500,0000,02500PHYSICAL THERAPY 16555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16555,A000000,02700,0000,02700SPEECH PATHOLOGY 16555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16555,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16555,A000000,03200,0000,03200SUPPORT SURFACES 16555,A000000,03550,0000,03550FQHC 16555,A000000,04800,0000,04800AMBULANCE 16555,A000000,05000,0000,05000CORF 16555,A000000,05010,0000,05010CMHC 16555,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16555,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16555,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16555,A000000,06100,0000,06100NONPAID WORKERS 16555,A81000A,00100,0100,Y 16555,A81000B,00100,0300,MANAGEMENT FEE 16555,A81000B,00200,0300,CAP REL COST 16555,A81000B,00300,0300,EMPLOYEE BENEFIT 16555,A81000B,00400,0300,ADMIN & GEN 16555,A81000B,00500,0300,PLANT OPTR 16555,A81000B,00600,0300,MANAGEMENT FEE 16555,A81000B,00700,0300,ADMIN & GEN 16555,A81000B,00800,0300,RENT 16555,A81000B,00900,0300,INTEREST EXP MORTAGE 16555,A81000B,01000,0300,ACCT FEE 16555,A81000B,01100,0300,AMORTIZATION 16555,A81000B,01200,0300,DEPRECIATION 16555,A81000B,01300,0300,SUPPLEMENTS 16555,A81000B,01400,0300,ENTERNAL SUPPLEMENTS 16555,A81000B,01500,0300,WORKMAN COMP 16555,A81000C,00100,0100,A 16555,A81000C,00100,0400,NUCARE SERVICES 16555,A81000C,00100,0600,MANAGEMENT 16555,A81000C,00200,0100,A 16555,A81000C,00200,0400,CARE PATH 16555,A81000C,00200,0600,MANAGEMENT 16555,A81000C,00300,0100,A 16555,A81000C,00300,0400,JACKSON ASSOCIA 16555,A81000C,00300,0600,BLDG PARTNERSHI 16555,A81000C,00400,0100,A 16555,A81000C,00400,0400,S&E MEDICAL SUP 16555,A81000C,00400,0600,MEDICAL SUPPLIE 16555,A81000C,00500,0100,A 16555,A81000C,00500,0400,DIAMOND INSURAN 16555,A81000C,00500,0600,INSURANCE 16555,B100000,00000,0100,00000SQUARE FEET 16555,B100000,00000,0200,00000SQUARE FEET 16555,B100000,00000,0300,00000GROSS SALARIES 16555,B100000,00000,0400,00000ACCUM COST 16555,B100000,00000,0500,00000SQUARE FEET 16555,B100000,00000,0600,00000PATIENT DAYS 16555,B100000,00000,0700,00000SQUARE FEET 16555,B100000,00000,0800,00000MEALS SERVED 16555,B100000,00000,0900,00000DIRECT NRSG HRS 16555,B100000,00000,1000,00000PATIENT DAYS 16555,B100000,00000,1100,00000COSTED REQUIS 16555,B100000,00000,1200,00000PATIENT DAYS 16555,B100000,00000,1300,00000PATIENT DAYS 16555,B100000,00000,1400,00000ASSIGNED TIME 16555,S000000,00100,0200,05/26/2000 16555,S200000,00100,0100,5130 W JACKSON BOULEVARD 16555,S200000,00200,0100,CHICAGO 16555,S200000,00200,0200,IL 16555,S200000,00200,0300,60616 16555,S200000,00300,0100,COOK 16555,S200000,00400,0100,JACKSON SQUARE NURSING CENTER 16555,S200000,00400,0200,145661 16555,S200000,00400,0300,10/02/1989 16555,S200000,00400,0500,P 16555,S200000,01600,0100,Y 16555,S200000,01900,0100,SUB S CORP 16555,S200000,04700,0100,Y 16561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16561,A000000,00300,0000,00300EMPLOYEE BENEFITS 16561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16561,A000000,00700,0000,00700HOUSEKEEPING 16561,A000000,00800,0000,00800DIETARY 16561,A000000,00900,0000,00900NURSING ADMINISTRATION 16561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16561,A000000,01100,0000,01100PHARMACY 16561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16561,A000000,01300,0000,01300SOCIAL SERVICE 16561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16561,A000000,01600,0000,01600SKILLED NURSING FACILITY 16561,A000000,01800,0000,01800NURSING FACILITY 16561,A000000,01810,0000,01810ICF/MR 16561,A000000,02100,0000,02100RADIOLOGY 16561,A000000,02200,0000,02200LABORATORY 16561,A000000,02500,0000,02500PHYSICAL THERAPY 16561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16561,A000000,02700,0000,02700SPEECH PATHOLOGY 16561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16561,A000000,03200,0000,03200SUPPORT SURFACES 16561,A000000,03550,0000,03550FQHC 16561,A000000,05000,0000,05000CORF 16561,A000000,05010,0000,05010CMHC 16561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16561,A000000,06150,0000,06300ADULT DAY CARE 16561,A81000A,00100,0100,Y 16561,A81000B,00100,0300,ADMIN. SALARY 16561,A81000B,00200,0300,MGMT FEES 16561,A81000B,00300,0300,PAYROLL SALARIES 16561,A81000B,00400,0300,PAYROLL TAX 16561,A81000C,00100,0100,A 16561,A81000C,00100,0400,PRO HEALTH 16561,A81000C,00100,0600,MGMT COMPANY 16561,A81000C,00200,0100,A 16561,A81000C,00200,0400,FINN CONSULTING 16561,A81000C,00200,0600,MGMT COMPANY 16561,A81000C,00300,0100,A 16561,A81000C,00300,0400,SHABAT & ASSOC. 16561,A81000C,00300,0600,MGMT COMPANY 16561,B100000,00000,0100,00000SQUARE FEET 16561,B100000,00000,0200,00000SQUARE FEET 16561,B100000,00000,0300,00000GROSS SALARIES 16561,B100000,00000,0400,00000ACCUM COST 16561,B100000,00000,0500,00000SQUARE FEET 16561,B100000,00000,0600,00000PATIENT DAYS 16561,B100000,00000,0700,00000SQUARE FEET 16561,B100000,00000,0800,00000MEALS SERVED 16561,B100000,00000,0900,00000DIRECT NRSG HRS 16561,B100000,00000,1000,00000PATIENT DAYS 16561,B100000,00000,1100,00000COSTED REQUIS 16561,B100000,00000,1200,00000PATIENT DAYS 16561,B100000,00000,1300,00000PATIENT DAYS 16561,B100000,00000,1400,00000ASSIGNED TIME 16561,S000000,00100,0200,05/30/2000 16561,S200000,00100,0100,2534 ELIM AVENUE 16561,S200000,00200,0100,ZION 16561,S200000,00200,0200,IL 16561,S200000,00200,0300,60099 16561,S200000,00300,0100,LAKE 16561,S200000,00400,0100,SHERIDAN HEALTH CARE NURSING CENTER 16561,S200000,00400,0200,145665 16561,S200000,00400,0300,12/01/1989 16561,S200000,00400,0500,P 16561,S200000,01600,0100,Y 16561,S200000,01900,0100,LIMITED PARTNERSHIP 16567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16567,A000000,00300,0000,00300EMPLOYEE BENEFITS 16567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16567,A000000,00700,0000,00700HOUSEKEEPING 16567,A000000,00800,0000,00800DIETARY 16567,A000000,00900,0000,00900NURSING ADMINISTRATION 16567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16567,A000000,01100,0000,01100PHARMACY 16567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16567,A000000,01300,0000,01300SOCIAL SERVICE 16567,A000000,01350,0000,01500ACTIVITIES 16567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16567,A000000,01600,0000,01600SKILLED NURSING FACILITY 16567,A000000,01800,0000,01800NURSING FACILITY 16567,A000000,01810,0000,01810ICF/MR 16567,A000000,02100,0000,02100RADIOLOGY 16567,A000000,02200,0000,02200LABORATORY 16567,A000000,02500,0000,02500PHYSICAL THERAPY 16567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16567,A000000,02700,0000,02700SPEECH PATHOLOGY 16567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16567,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 16567,A000000,03550,0000,03550FQHC 16567,A000000,04750,0000,05100OTHER REIMBURSABLE COST 16567,A000000,04800,0000,04800AMBULANCE 16567,A000000,05000,0000,05000CORF 16567,A000000,05010,0000,05010CMHC 16567,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16567,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16567,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16567,A000000,05300,0000,05300INTEREST EXPENSE 16567,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16567,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16567,A81000A,00100,0100,Y 16567,A81000B,00100,0300,BLDG. RENTAL COSTS 16567,A81000B,00200,0300,HOME OFFICE BLDG. COSTS 16567,A81000B,00300,0300,HOME OFFICE EQUIP. COSTS 16567,A81000B,00400,0300,HOME OFFICE A&G COSTS 16567,A81000B,00500,0300,NURSING ADMIN 16567,A81000C,00100,0100,A 16567,A81000C,00100,0200,DONALD FIKE 16567,A81000C,00100,0400,RFMS INC. 16567,A81000C,00100,0600,MANAGEMENT SERVICES 16567,A81000C,00200,0100,A 16567,A81000C,00200,0200,DONALD FIKE 16567,A81000C,00200,0400,ILLINI MANOR INC. 16567,A81000C,00200,0600,FACILITY RENTAL 16567,A81000C,00300,0100,A 16567,A81000C,00300,0200,DONALD FIKE 16567,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16567,A81000C,00300,0600,VEHICLE RENTAL 16567,B100000,00000,0100,00000SQUARE FEET 16567,B100000,00000,0200,00000SQUARE FEET 16567,B100000,00000,0300,00000GROSS SALARIES 16567,B100000,00000,0400,00000ACCUM. COST 16567,B100000,00000,0500,00000SQUARE FEET 16567,B100000,00000,0600,00000PATIENT DAYS 16567,B100000,00000,0700,00000SQUARE FEET 16567,B100000,00000,0800,00000PATIENT DAYS 16567,B100000,00000,0900,00000GROSS WAGES 16567,B100000,00000,1000,00000NO STATISTICS 16567,B100000,00000,1100,00000COSTED REQUIS. 16567,B100000,00000,1200,00000TIME SPENT 16567,B100000,00000,1300,00000PATIENT DAYS 16567,B100000,00000,1350,00000PATIENT DAYS 16567,B100000,00000,1400,00000ASSIGNED TIME 16567,S000000,00100,0200,06/01/2000 16567,S200000,00100,0100,1910 EAST MCCORD 16567,S200000,00200,0100,CENTRALIA 16567,S200000,00200,0200,IL 16567,S200000,00200,0300,62801 16567,S200000,00300,0100,MARION 16567,S200000,00400,0100,CENTRALIA MANOR 16567,S200000,00400,0200,145666 16567,S200000,00400,0300,12/11/1989 16567,S200000,00400,0500,P 16567,S200000,01600,0100,Y 16577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16577,A000000,00300,0000,00300EMPLOYEE BENEFITS 16577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16577,A000000,00700,0000,00700HOUSEKEEPING 16577,A000000,00800,0000,00800DIETARY 16577,A000000,00900,0000,00900NURSING ADMINISTRATION 16577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16577,A000000,01100,0000,01100PHARMACY 16577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16577,A000000,01300,0000,01300SOCIAL SERVICE 16577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16577,A000000,01600,0000,01600SKILLED NURSING FACILITY 16577,A000000,01800,0000,01800NURSING FACILITY 16577,A000000,01810,0000,01810ICF/MR 16577,A000000,02500,0000,02500PHYSICAL THERAPY 16577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16577,A000000,02700,0000,02700SPEECH PATHOLOGY 16577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16577,A000000,03550,0000,03550FQHC 16577,A000000,05000,0000,05000CORF 16577,A000000,05010,0000,05010CMHC 16577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16577,A000000,05300,0000,05300INTEREST EXPENSE 16577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16577,A81000A,00100,0100,Y 16577,A81000B,00100,0300,BUILDING 16577,A81000B,00200,0300,MOVEABLE EQUIPMENT 16577,A81000B,00300,0300,MANAGEMENT ALLOCATION 16577,A81000C,00100,0100,B 16577,A81000C,00100,0200,LUTHERAN SOCIAL SERVICES 16577,A81000C,00100,0400,CENTRAL OFFICE 16577,B100000,00000,0100,00000SQUARE FEET 16577,B100000,00000,0200,00000SQUARE FEET 16577,B100000,00000,0300,00000GROSS SALARIES 16577,B100000,00000,0400,00000ACCUM. COST 16577,B100000,00000,0500,00000SQUARE FEET 16577,B100000,00000,0600,00000PATIENT DAYS 16577,B100000,00000,0700,00000SQUARE FEET 16577,B100000,00000,0800,00000MEALS SERVED 16577,B100000,00000,0900,00000DIRECT NRSG HRS 16577,B100000,00000,1000,00000COSTED REQUIS 16577,B100000,00000,1100,00000COSTED REQUIS 16577,B100000,00000,1200,00000TIME SPENT 16577,B100000,00000,1300,00000PATIENT DAYS 16577,B100000,00000,1400,00000ASSIGNED TIME 16577,E10A180,00550,0300,11/29/2000 16577,S000000,00100,0200,11/29/2000 16577,S200000,00100,0100,1001 EAST TOUHY AVENUE SUITE 50 16577,S200000,00200,0100,DES PLAINS 16577,S200000,00200,0200,IL 16577,S200000,00200,0300,60018 16577,S200000,00300,0100,C 16577,S200000,00400,0100,ST MATTHEW LUTHERAN HOME 16577,S200000,00400,0200,145667 16577,S200000,00400,0300,10/31/1989 16577,S200000,00400,0500,P 16577,S200000,01600,0100,Y 16584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16584,A000000,00300,0000,00300EMPLOYEE BENEFITS 16584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16584,A000000,00700,0000,00700HOUSEKEEPING 16584,A000000,00800,0000,00800DIETARY 16584,A000000,00900,0000,00900NURSING ADMINISTRATION 16584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16584,A000000,01100,0000,01100PHARMACY 16584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16584,A000000,01300,0000,01300SOCIAL SERVICE 16584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16584,A000000,01600,0000,01600SKILLED NURSING FACILITY 16584,A000000,01800,0000,01800NURSING FACILITY 16584,A000000,01810,0000,01810ICF/MR 16584,A000000,02200,0000,02200LABORATORY 16584,A000000,02500,0000,02500PHYSICAL THERAPY 16584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16584,A000000,02700,0000,02700SPEECH PATHOLOGY 16584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16584,A000000,03550,0000,03550FQHC 16584,A000000,05000,0000,05000CORF 16584,A000000,05010,0000,05010CMHC 16584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16584,B100000,00000,0100,00000SQUARE FEET 16584,B100000,00000,0200,00000SQUARE FEET 16584,B100000,00000,0300,00000GROSS SALARIES 16584,B100000,00000,0400,00000ACCUM COST 16584,B100000,00000,0500,00000SQUARE FEET 16584,B100000,00000,0600,00000PATIENT DAYS 16584,B100000,00000,0700,00000SQUARE FEET 16584,B100000,00000,0800,00000PATIENT DAYS 16584,B100000,00000,0900,00000PATIENT DAYS 16584,B100000,00000,1000,00000PATIENT DAYS 16584,B100000,00000,1100,00000COSTED REQUIS 16584,B100000,00000,1200,00000PATIENT DAYS 16584,B100000,00000,1300,00000PATIENT DAYS 16584,B100000,00000,1400,00000ASSIGNED TIME 16584,S000000,00100,0200,06/05/2000 16584,S200000,00400,0100,NORTH SHORE TERRACE LTD. 16584,S200000,00400,0200,145669 16584,S200000,00400,0300,01/01/1990 16584,S200000,00400,0500,P 16584,S200000,01600,0100,Y 16586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16586,A000000,00300,0000,00300EMPLOYEE BENEFITS 16586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16586,A000000,00700,0000,00700HOUSEKEEPING 16586,A000000,00800,0000,00800DIETARY 16586,A000000,00900,0000,00900NURSING ADMINISTRATION 16586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16586,A000000,01100,0000,01100PHARMACY 16586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16586,A000000,01300,0000,01300SOCIAL SERVICE 16586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16586,A000000,01600,0000,01600SKILLED NURSING FACILITY 16586,A000000,01800,0000,01800NURSING FACILITY 16586,A000000,01810,0000,01810ICF/MR 16586,A000000,02100,0000,02100RADIOLOGY 16586,A000000,02200,0000,02200LABORATORY 16586,A000000,02500,0000,02500PHYSICAL THERAPY 16586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16586,A000000,02700,0000,02700SPEECH PATHOLOGY 16586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16586,A000000,03050,0000,03300AMBULANCE 16586,A000000,03200,0000,03200SUPPORT SURFACES 16586,A000000,03550,0000,03550FQHC 16586,A000000,05000,0000,05000CORF 16586,A000000,05010,0000,05010CMHC 16586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16586,A81000A,00100,0100,Y 16586,A81000B,00100,0300,CAPITAL RELATED 16586,A81000B,00200,0300,EMPLOYEE BENEFITS 16586,A81000B,00300,0300,MISC A&G 16586,A81000B,00400,0300,MAINTENANCE 16586,A81000B,00500,0300,HOUSEKEEPING 16586,A81000B,00600,0300,DIETARY 16586,A81000B,00700,0300,NURSING ADMIN 16586,A81000B,00800,0300,SOCIAL SERVICE 16586,A81000C,00100,0100,A 16586,A81000C,00100,0400,CARE CENTERS I 16586,A81000C,00100,0600,MANAGEMENT 16586,A81000C,00200,0100,B 16586,A81000C,00200,0400,NORTHSHORE PROP 16586,A81000C,00200,0600,BUILDING CO. 16586,B100000,00000,0100,00000SQUARE FEET 16586,B100000,00000,0200,00000SQUARE FEET 16586,B100000,00000,0300,00000GROSS SALARIES 16586,B100000,00000,0400,00000ACCUM COST 16586,B100000,00000,0500,00000SQUARE FEET 16586,B100000,00000,0600,00000PATIENT DAYS 16586,B100000,00000,0700,00000SQUARE FEET 16586,B100000,00000,0800,00000MEALS SERVED 16586,B100000,00000,0900,00000DIRECT NRSG HRS 16586,B100000,00000,1000,00000PATIENT DAYS 16586,B100000,00000,1100,00000COSTED REQUIS 16586,B100000,00000,1200,00000PATIENT DAYS 16586,B100000,00000,1300,00000PATIENT DAYS 16586,B100000,00000,1400,00000ASSIGNED TIME 16586,S000000,00100,0200,06/13/2001 16586,S200000,00100,0100,2222 WEST 14TH STREET 16586,S200000,00200,0100,WAUKEGAN 16586,S200000,00200,0200,IL 16586,S200000,00200,0300,60085 16586,S200000,00300,0100,LAKE 16586,S200000,00400,0100,NORTHSHORE NURSING & REHAB 16586,S200000,00400,0200,145669 16586,S200000,00400,0300,08/01/1999 16586,S200000,00400,0500,P 16586,S200000,01600,0100,Y 16586,S200000,01900,0100,LLC 16586,S200000,04700,0100,Y 16596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16596,A000000,00300,0000,00300EMPLOYEE BENEFITS 16596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16596,A000000,00700,0000,00700HOUSEKEEPING 16596,A000000,00800,0000,00800DIETARY 16596,A000000,00900,0000,00900NURSING ADMINISTRATION 16596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16596,A000000,01100,0000,01100PHARMACY 16596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16596,A000000,01300,0000,01300SOCIAL SERVICE 16596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16596,A000000,01600,0000,01600SKILLED NURSING FACILITY 16596,A000000,01810,0000,01810ICF/MR 16596,A000000,02100,0000,02100RADIOLOGY 16596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16596,A000000,02500,0000,02500PHYSICAL THERAPY 16596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16596,A000000,02700,0000,02700SPEECH PATHOLOGY 16596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16596,A000000,03200,0000,03200SUPPORT SURFACES 16596,A000000,03550,0000,03550FQHC 16596,A000000,05000,0000,05000CORF 16596,A000000,05010,0000,05010CMHC 16596,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16596,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16596,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16596,B100000,00000,0100,00000SQUARE FEET 16596,B100000,00000,0200,00000SQUARE FEET 16596,B100000,00000,0300,00000GROSS SALARIES 16596,B100000,00000,0400,00000ACCUM COST 16596,B100000,00000,0500,00000SQUARE FEET 16596,B100000,00000,0600,00000PATIENT DAYS 16596,B100000,00000,0700,00000SQUARE FEET 16596,B100000,00000,0800,00000PATIENT DAYS 16596,B100000,00000,0900,00000PATIENT DAYS 16596,B100000,00000,1000,00000PATIENT DAYS 16596,B100000,00000,1100,00000COSTED REQUIS 16596,B100000,00000,1200,00000PATIENT DAYS 16596,B100000,00000,1300,00000PATIENT DAYS 16596,B100000,00000,1400,00000ASSIGNED TIME 16596,S000000,00100,0200,06/30/2000 16596,S200000,00400,0100,SHERWIN MANOR NURSING CENTRE INC. 16596,S200000,00400,0200,145670 16596,S200000,00400,0300,01/01/1990 16596,S200000,00400,0500,P 16596,S200000,01500,0100,Y 16603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16603,A000000,00300,0000,00300EMPLOYEE BENEFITS 16603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16603,A000000,00700,0000,00700HOUSEKEEPING 16603,A000000,00800,0000,00800DIETARY 16603,A000000,00900,0000,00900NURSING ADMINISTRATION 16603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16603,A000000,01100,0000,01100PHARMACY 16603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16603,A000000,01300,0000,01300SOCIAL SERVICE 16603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16603,A000000,01600,0000,01600SKILLED NURSING FACILITY 16603,A000000,01800,0000,01800NURSING FACILITY 16603,A000000,01810,0000,01810ICF/MR 16603,A000000,02100,0000,02100RADIOLOGY 16603,A000000,02200,0000,02200LABORATORY 16603,A000000,02500,0000,02500PHYSICAL THERAPY 16603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16603,A000000,02700,0000,02700SPEECH PATHOLOGY 16603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16603,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16603,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16603,A000000,03550,0000,03550FQHC 16603,A000000,05000,0000,05000CORF 16603,A000000,05010,0000,05010CMHC 16603,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16603,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16603,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16603,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16603,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16603,A81000A,00100,0100,Y 16603,A81000B,00100,0300,CAPITAL RELATED COSTS 16603,A81000B,00200,0300,A & G COSTS 16603,A81000B,00300,0300,HEADQUARTERS ALLOCATION 16603,A81000B,00400,0300,MARIANJOY P/T 16603,A81000B,00500,0300,MARIANJOY O/T 16603,A81000B,00600,0300,MARIANJOY S/T 16603,A81000C,00100,0100,B 16603,A81000C,00100,0400,REST HAVEN CHRI 16603,A81000C,00100,0600,OWNER OF NURSIN 16603,A81000C,00200,0100,B 16603,A81000C,00200,0400,MARIANJOY 16603,A81000C,00200,0600,JOINT VENTURE 16603,B100000,00000,0100,00000SQUARE FEET 16603,B100000,00000,0200,00000SQUARE FEET 16603,B100000,00000,0300,00000GROSS SALARIES 16603,B100000,00000,0400,00000ACCUM COST 16603,B100000,00000,0500,00000SQUARE FEET 16603,B100000,00000,0600,00000PATIENT DAYS 16603,B100000,00000,0700,00000SQUARE FEET 16603,B100000,00000,0800,00000MEALS SERVED 16603,B100000,00000,0900,00000HOURS OF SERVICE 16603,B100000,00000,1000,00000PATIENT DAYS 16603,B100000,00000,1100,00000COSTED REQUISITIO 16603,B100000,00000,1200,00000PATIENT DAYS 16603,B100000,00000,1300,00000PATIENT DAYS 16603,B100000,00000,1400,00000ASSIGNED TIME 16603,S000000,00100,0200,06/01/2000 16603,S200000,00100,0100,16300 WAUSAU STREET 16603,S200000,00200,0100,SOUTH HOLLAND 16603,S200000,00200,0200,IL 16603,S200000,00200,0300,60403 16603,S200000,00300,0100,COOK 16603,S200000,00400,0100,REST HAVEN SOUTH 16603,S200000,00400,0200,145671 16603,S200000,00400,0300,05/03/1990 16603,S200000,00400,0500,P 16603,S200000,01600,0100,Y 16610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16610,A000000,00300,0000,00300EMPLOYEE BENEFITS 16610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16610,A000000,00700,0000,00700HOUSEKEEPING 16610,A000000,00800,0000,00800DIETARY 16610,A000000,00900,0000,00900NURSING ADMINISTRATION 16610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16610,A000000,01100,0000,01100PHARMACY 16610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16610,A000000,01300,0000,01300SOCIAL SERVICE 16610,A000000,01350,0000,01500ACTIVITIES 16610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16610,A000000,01600,0000,01600SKILLED NURSING FACILITY 16610,A000000,01800,0000,01800NURSING FACILITY 16610,A000000,01810,0000,01810ICF/MR 16610,A000000,02200,0000,02200LABORATORY 16610,A000000,02500,0000,02500PHYSICAL THERAPY 16610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16610,A000000,02700,0000,02700SPEECH PATHOLOGY 16610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16610,A000000,03550,0000,03550FQHC 16610,A000000,05000,0000,05000CORF 16610,A000000,05010,0000,05010CMHC 16610,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16610,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16610,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16610,A000000,05300,0000,05300INTEREST EXPENSE 16610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16610,A81000A,00100,0100,Y 16610,A81000B,00100,0300,RENT 16610,A81000B,00200,0300,HOME OFFICE BLDG. COST 16610,A81000B,00300,0300,HOME OFFICE EQUIP. COST 16610,A81000B,00400,0300,HOME OFFICE A&G COST 16610,A81000B,00500,0300,NURSING ADMIN 16610,A81000C,00100,0100,A 16610,A81000C,00100,0200,DONALD FIKE 16610,A81000C,00100,0400,RFMS INC. 16610,A81000C,00100,0600,MANAGEMENT SERVICES 16610,A81000C,00200,0100,A 16610,A81000C,00200,0200,DONALD FIKE 16610,A81000C,00200,0400,ILLINI MANOR INC. 16610,A81000C,00200,0600,FACILITY RENTAL 16610,A81000C,00300,0100,A 16610,A81000C,00300,0200,DONALD FIKE 16610,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16610,A81000C,00300,0600,VEHICLE RNETAL 16610,B100000,00000,0100,00000SQUARE FEET 16610,B100000,00000,0200,00000SQUARE FEET 16610,B100000,00000,0300,00000GROSS SALARIES 16610,B100000,00000,0400,00000ACCUM. COST 16610,B100000,00000,0500,00000SQUARE FEET 16610,B100000,00000,0600,00000PATIENT DAYS 16610,B100000,00000,0700,00000SQUARE FEET 16610,B100000,00000,0800,00000PATIENT DAYS 16610,B100000,00000,0900,00000GROSS WAGES 16610,B100000,00000,1000,00000NO STATISTICS 16610,B100000,00000,1100,00000COSTED REQUIS. 16610,B100000,00000,1200,00000TIME SPENT 16610,B100000,00000,1300,00000PATIENT DAYS 16610,B100000,00000,1350,00000PATIENT DAYS 16610,B100000,00000,1400,00000ASSIGNED TIME 16610,S000000,00100,0200,06/01/2000 16610,S200000,00100,0100,509 SOUTH BURK ROAD 16610,S200000,00200,0100,LEROY 16610,S200000,00200,0200,IL 16610,S200000,00200,0300,61752 16610,S200000,00300,0100,MCCLEAN 16610,S200000,00400,0100,LEROY MANOR 16610,S200000,00400,0200,145674 16610,S200000,00400,0300,09/01/1989 16610,S200000,00400,0500,P 16610,S200000,01600,0100,Y 16619,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16619,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16619,A000000,00300,0000,00300EMPLOYEE BENEFITS 16619,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16619,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16619,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16619,A000000,00700,0000,00700HOUSEKEEPING 16619,A000000,00800,0000,00800DIETARY 16619,A000000,00900,0000,00900NURSING ADMINISTRATION 16619,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16619,A000000,01100,0000,01100PHARMACY 16619,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16619,A000000,01300,0000,01300SOCIAL SERVICE 16619,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16619,A000000,01600,0000,01600SKILLED NURSING FACILITY 16619,A000000,01800,0000,01800NURSING FACILITY 16619,A000000,01810,0000,01810ICF/MR 16619,A000000,02200,0000,02200LABORATORY 16619,A000000,02300,0000,02300INTRAVENOUS THERAPY 16619,A000000,02500,0000,02500PHYSICAL THERAPY 16619,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16619,A000000,02700,0000,02700SPEECH PATHOLOGY 16619,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16619,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16619,A000000,03200,0000,03200SUPPORT SURFACES 16619,A000000,03550,0000,03550FQHC 16619,A000000,05000,0000,05000CORF 16619,A000000,05010,0000,05010CMHC 16619,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16619,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16619,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16619,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16619,A000000,06150,0000,06300VA DOCTORS 16619,A81000A,00100,0100,Y 16619,A81000B,00100,0300,PYR: TUBE FEEDING 16619,A81000B,00200,0300,PYR: URO/OST SUPP 16619,A81000B,00300,0300,PYR: NURSING SUPPLIE 16619,A81000B,00400,0300,PYR: GENL/ADMIN 16619,A81000B,00500,0300,AMS: CAPITAL/RENT 16619,A81000B,00600,0300,AMS: EMPLYEE BENEF 16619,A81000B,00700,0300,AMS:ADMIN/GENL 16619,A81000B,01000,0300,CPT: PHYS THERAPY 16619,A81000B,01100,0300,CPT: OCCUP THERAPY 16619,A81000B,01200,0300,CPT: SPEECH THERAPY 16619,A81000B,01300,0300,FECII:DRUG COSTS 16619,A81000B,01400,0300,FECII:I.V. SUPPLIES 16619,A81000B,01500,0300,FECII:GENL/ADMIN 16619,A81000B,01600,0300,FECII:HOUSE STOCK 16619,A81000C,00100,0100,B 16619,A81000C,00100,0200,ALDEN MANAGEMEN 16619,A81000C,00100,0400,ALDEN MGT SERV 16619,A81000C,00100,0600,MANAGEMENT CO 16619,A81000C,00200,0100,F 16619,A81000C,00200,0200,FLOYD SCHLOSSBE 16619,A81000C,00200,0400,FORUM PROF. CEN 16619,A81000C,00200,0600,PROFESS. BLDG. 16619,A81000C,00300,0100,B 16619,A81000C,00300,0200,ALDEN MANAGEMEN 16619,A81000C,00300,0400,PYRAMID HEALTH 16619,A81000C,00300,0600,HEALTH CARE SUP 16619,A81000C,00400,0100,B 16619,A81000C,00400,0200,ALDEN MANAGEMEN 16619,A81000C,00400,0400,FORUM EXTENDED 16619,A81000C,00400,0600,PHARMACY 16619,A81000C,00500,0100,F 16619,A81000C,00500,0200,ALDEN MANAGEMEN 16619,A81000C,00500,0400,IL. HOME THERAP 16619,A81000C,00500,0600,THERAPY CO 16619,B100000,00000,0100,00000SQUARE FEET 16619,B100000,00000,0200,00000SQUARE FEET 16619,B100000,00000,0300,00000GROSS SALARIES 16619,B100000,00000,0400,00000ACCUM COST 16619,B100000,00000,0500,00000SQUARE FEET 16619,B100000,00000,0600,00000POUNDS OF LAUNDRY 16619,B100000,00000,0700,00000HOURS OF SERVICE 16619,B100000,00000,0800,00000MEALS SERVED 16619,B100000,00000,0900,00000DIRECT NRSG HRS 16619,B100000,00000,1000,00000COSTED REQUIS 16619,B100000,00000,1100,00000COSTED REQUIS 16619,B100000,00000,1200,00000TIME SPENT 16619,B100000,00000,1300,00000TIME SPENT 16619,B100000,00000,1400,00000ASSIGNED TIME 16619,S000000,00100,0200,06/14/2000 16619,S200000,00100,0100,5001 S. MICHIGAN 16619,S200000,00200,0100,CHICAGO 16619,S200000,00200,0200,IL 16619,S200000,00300,0100,COOK 16619,S200000,00400,0100,ALDEN NURSING CENTER MORROW 16619,S200000,00400,0200,145677 16619,S200000,00400,0300,12/01/1989 16619,S200000,00400,0500,P 16619,S200000,00400,0600,O 16619,S200000,01600,0100,Y 16619,S200000,01800,0100,Y 16619,S200000,02200,0100,Y 16626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16626,A000000,00300,0000,00300EMPLOYEE BENEFITS 16626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16626,A000000,00700,0000,00700HOUSEKEEPING 16626,A000000,00800,0000,00800DIETARY 16626,A000000,00900,0000,00900NURSING ADMINISTRATION 16626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16626,A000000,01100,0000,01100PHARMACY 16626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16626,A000000,01300,0000,01300SOCIAL SERVICE 16626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16626,A000000,01600,0000,01600SKILLED NURSING FACILITY 16626,A000000,01800,0000,01800NURSING FACILITY 16626,A000000,01810,0000,01810ICF/MR 16626,A000000,02100,0000,02100RADIOLOGY 16626,A000000,02200,0000,02200LABORATORY 16626,A000000,02500,0000,02500PHYSICAL THERAPY 16626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16626,A000000,02700,0000,02700SPEECH PATHOLOGY 16626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16626,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16626,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16626,A000000,03550,0000,03550FQHC 16626,A000000,04800,0000,04800AMBULANCE 16626,A000000,05000,0000,05000CORF 16626,A000000,05010,0000,05010CMHC 16626,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16626,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16626,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16626,A000000,05300,0000,05300INTEREST EXPENSE 16626,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16626,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16626,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16626,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16626,A81000A,00100,0100,Y 16626,A81000B,00100,0300,RENTAL INCOME 16626,A81000B,00200,0300,INTEREST EXPENSE 16626,A81000B,00300,0300,REAL ESTATE TAXES 16626,A81000B,00400,0300,INSURANCE 16626,A81000B,00500,0300,STATE REPLACEMENT TAX 16626,A81000B,00600,0300,BANK CHARGES 16626,A81000B,00700,0300,MORTGAGE INSURANCE 16626,A81000B,00800,0300,PROFESSIONAL FEES 16626,A81000B,00900,0300,RENT EXPENSE 16626,A81000B,01000,0300,DEPRECIATION EXPENSE 16626,A81000B,01100,0300,INTEREST INCOME 16626,A81000B,01200,0300,INTEREST EXPENSE 16626,A81000B,01300,0300,G&A COSTS - ROYAL MGMT 16626,A81000B,01400,0300,CAPITAL COST - ROYAL 16626,A81000C,00100,0100,B 16626,A81000C,00100,0200,J SAMATAS TRUST 16626,A81000C,00100,0400,SAMBELL OF SCHA 16626,A81000C,00100,0600,LESSOR 16626,A81000C,00200,0100,B 16626,A81000C,00200,0200,J SAMATAS TRUST 16626,A81000C,00200,0400,SAMBELL OF SCHA 16626,A81000C,00200,0600,LESSOR 16626,A81000C,00300,0100,B 16626,A81000C,00300,0200,C THIEM TRUST 16626,A81000C,00300,0400,SAMBELL OF SCHA 16626,A81000C,00300,0600,LESSOR 16626,A81000C,00400,0100,A 16626,A81000C,00400,0200,JAMES BELL 16626,A81000C,00400,0400,SAMBELL OF SCHA 16626,A81000C,00400,0600,LESSOR 16626,A81000C,00500,0100,A 16626,A81000C,00500,0200,JEFFREY BELL 16626,A81000C,00500,0400,SAMBELL OF SCHA 16626,A81000C,00500,0600,LESSOR 16626,A81000C,00600,0100,A 16626,A81000C,00600,0200,DAVID BELL 16626,A81000C,00600,0400,SAMBELL OF SCHA 16626,A81000C,00600,0600,LESSOR 16626,A81000C,00700,0100,A 16626,A81000C,00700,0200,LARRY BELL 16626,A81000C,00700,0400,SAMBELL OF SCHA 16626,A81000C,00700,0600,LESSOR 16626,A81000C,00800,0100,B 16626,A81000C,00800,0200,BELL INVST PTSP 16626,A81000C,00800,0400,SAMBELL OF SCHA 16626,A81000C,00800,0600,LESSOR 16626,A81000C,00900,0100,B 16626,A81000C,00900,0200,J SAMATAS ROYAL 16626,A81000C,00900,0400,ROYAL MGMT 16626,A81000C,00900,0600,MGMT COMPANY 16626,A81000C,01000,0100,B 16626,A81000C,01000,0200,TRUST 16626,B100000,00000,0100,00000SQUARE FEET 16626,B100000,00000,0200,00000SQUARE FEET 16626,B100000,00000,0300,00000GROSS SALARIES 16626,B100000,00000,0400,00000ACCUM COST 16626,B100000,00000,0500,00000SQUARE FEET 16626,B100000,00000,0600,00000PATIENT DAYS 16626,B100000,00000,0700,00000SQUARE FEET 16626,B100000,00000,0800,00000MEALS SERVED 16626,B100000,00000,0900,00000HOURS OF SERVICE 16626,B100000,00000,1000,00000PATIENT DAYS 16626,B100000,00000,1100,00000COSTED REQUISITIO 16626,B100000,00000,1200,00000PATIENT DAYS 16626,B100000,00000,1300,00000PATIENT DAYS 16626,B100000,00000,1400,00000ASSIGNED TIME 16626,S000000,00100,0200,06/01/2000 16626,S200000,00100,0100,653 ROSELLE ROAD 16626,S200000,00200,0100,SCHAUMBURG 16626,S200000,00200,0200,IL 16626,S200000,00200,0300,60193 16626,S200000,00300,0100,COOK 16626,S200000,00400,0100,LEXINGTON HCC - SCHAUMBURG 16626,S200000,00400,0200,145678 16626,S200000,00400,0300,06/28/1990 16626,S200000,00400,0500,P 16626,S200000,01600,0100,Y 16634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16634,A000000,00300,0000,00300EMPLOYEE BENEFITS 16634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16634,A000000,00700,0000,00700HOUSEKEEPING 16634,A000000,00800,0000,00800DIETARY 16634,A000000,00900,0000,00900NURSING ADMINISTRATION 16634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16634,A000000,01100,0000,01100PHARMACY 16634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16634,A000000,01300,0000,01300SOCIAL SERVICE 16634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16634,A000000,01600,0000,01600SKILLED NURSING FACILITY 16634,A000000,01800,0000,01800NURSING FACILITY 16634,A000000,01810,0000,01810ICF/MR 16634,A000000,02200,0000,02200LABORATORY 16634,A000000,02500,0000,02500PHYSICAL THERAPY 16634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16634,A000000,02700,0000,02700SPEECH PATHOLOGY 16634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16634,A000000,03050,0000,03300AMBULANCE 16634,A000000,03200,0000,03200SUPPORT SURFACES 16634,A000000,03550,0000,03550FQHC 16634,A000000,05000,0000,05000CORF 16634,A000000,05010,0000,05010CMHC 16634,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16634,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16634,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16634,A81000A,00100,0100,Y 16634,A81000B,00100,0300,CAPITAL RELATED 16634,A81000B,00200,0300,EMPLOYEE BENEFITS 16634,A81000B,00300,0300,ADMIN. & GENERAL 16634,A81000B,00400,0300,MAINTENANCE 16634,A81000B,00500,0300,HOUSEKEEPING 16634,A81000B,00600,0300,DIETARY 16634,A81000C,00100,0100,A 16634,A81000C,00100,0400,ITEX 16634,A81000C,00100,0600,BOOKKEEPING COM 16634,A81000C,00200,0100,A 16634,A81000C,00200,0400,CAREPATH 16634,A81000C,00200,0600,BOOKKEEPING COM 16634,A81000C,00300,0100,A 16634,A81000C,00300,0400,CARLTON ASSOC. 16634,A81000C,00300,0600,BUILDING PARTNE 16634,A81000C,00400,0100,A 16634,A81000C,00400,0400,JLR MANAGEMENT 16634,A81000C,00400,0600,MANAGMEENT COMP 16634,B100000,00000,0100,00000SQUARE FEET 16634,B100000,00000,0200,00000SQUARE FEET 16634,B100000,00000,0300,00000GROSS SALARIES 16634,B100000,00000,0400,00000ACCUM COST 16634,B100000,00000,0500,00000SQUARE FEET 16634,B100000,00000,0600,00000PATIENT DAYS 16634,B100000,00000,0700,00000SQUARE FOOTAGE 16634,B100000,00000,0800,00000MEALS SERVED 16634,B100000,00000,0900,00000DIRECT NRSG HRS 16634,B100000,00000,1000,00000PATIENT DAYS 16634,B100000,00000,1100,00000COSTED REQUIS 16634,B100000,00000,1200,00000PATIEN DAYS 16634,B100000,00000,1300,00000PATIENT DAYS 16634,B100000,00000,1400,00000ASSIGNED TIME 16634,S000000,00100,0200,05/30/2000 16634,S200000,00100,0100,725 W. MONTROSE 16634,S200000,00200,0100,CHICAGO 16634,S200000,00200,0200,IL 16634,S200000,00200,0300,60613 16634,S200000,00300,0100,COOK 16634,S200000,00400,0100,CARLTON AT THE LAKE 16634,S200000,00400,0200,145679 16634,S200000,00400,0300,12/01/1990 16634,S200000,00400,0500,P 16634,S200000,01600,0100,Y 16634,S200000,04700,0100,Y 16634,S200000,04700,0200,Y 16644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16644,A000000,00300,0000,00300EMPLOYEE BENEFITS 16644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16644,A000000,00700,0000,00700HOUSEKEEPING 16644,A000000,00800,0000,00800DIETARY 16644,A000000,00900,0000,00900NURSING ADMINISTRATION 16644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16644,A000000,01100,0000,01100PHARMACY 16644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16644,A000000,01300,0000,01300SOCIAL SERVICE 16644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16644,A000000,01600,0000,01600SKILLED NURSING FACILITY 16644,A000000,01800,0000,01800NURSING FACILITY 16644,A000000,01810,0000,01810ICF/MR 16644,A000000,02100,0000,02100RADIOLOGY 16644,A000000,02200,0000,02200LABORATORY 16644,A000000,02500,0000,02500PHYSICAL THERAPY 16644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16644,A000000,02700,0000,02700SPEECH PATHOLOGY 16644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16644,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16644,A000000,03550,0000,03550FQHC 16644,A000000,05000,0000,05000CORF 16644,A000000,05010,0000,05010CMHC 16644,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16644,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16644,A81000A,00100,0100,Y 16644,A81000B,00100,0300,CAPITAL ALLOCATION 16644,A81000B,00200,0300,A & G ALLOCATION 16644,A81000B,00300,0300,MANAGEMENT FEES 16644,A81000B,00400,0300,MARIANJOY P/T 16644,A81000B,00500,0300,MARIANJOY O/T 16644,A81000B,00600,0300,MARIANJOY S/T 16644,A81000C,00100,0100,B 16644,A81000C,00100,0400,REST HAVEN CHRI 16644,A81000C,00100,0600,OWNER OF NURSIN 16644,A81000C,00200,0100,B 16644,A81000C,00200,0400,MARIANJOY 16644,A81000C,00200,0600,JOINT VENTURE 16644,B100000,00000,0100,00000SQUARE FEET 16644,B100000,00000,0200,00000SQUARE FEET 16644,B100000,00000,0300,00000GROSS SALARIES 16644,B100000,00000,0400,00000ACCUM COST 16644,B100000,00000,0500,00000SQUARE FEET 16644,B100000,00000,0600,00000PATIENT DAYS 16644,B100000,00000,0700,00000SQUARE FEET 16644,B100000,00000,0800,00000MEALS SERVED 16644,B100000,00000,0900,00000HOURS OF SERVICE 16644,B100000,00000,1000,00000PATIENT DAYS 16644,B100000,00000,1100,00000COSTED REQUISITIO 16644,B100000,00000,1200,00000PATIENT DAYS 16644,B100000,00000,1300,00000PATIENT DAYS 16644,B100000,00000,1400,00000ASSIGNED TIME 16644,S000000,00100,0200,06/01/2000 16644,S200000,00100,0100,13259 SOUTH CENTRAL AVENUE 16644,S200000,00200,0100,PALOS HEIGHTS 16644,S200000,00200,0200,IL 16644,S200000,00200,0300,60463 16644,S200000,00300,0100,COOK 16644,S200000,00400,0100,REST HAVEN CENTRAL 16644,S200000,00400,0200,145681 16644,S200000,00400,0300,10/01/1990 16644,S200000,00400,0500,P 16644,S200000,01600,0100,Y 16650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16650,A000000,00300,0000,00300EMPLOYEE BENEFITS 16650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16650,A000000,00700,0000,00700HOUSEKEEPING 16650,A000000,00800,0000,00800DIETARY 16650,A000000,00900,0000,00900NURSING ADMINISTRATION 16650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16650,A000000,01100,0000,01100PHARMACY 16650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16650,A000000,01300,0000,01300SOCIAL SERVICE 16650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16650,A000000,01600,0000,01600SKILLED NURSING FACILITY 16650,A000000,01800,0000,01800NURSING FACILITY 16650,A000000,01810,0000,01810ICF/MR 16650,A000000,02100,0000,02100RADIOLOGY 16650,A000000,02200,0000,02200LABORATORY 16650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16650,A000000,02500,0000,02500PHYSICAL THERAPY 16650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16650,A000000,02700,0000,02700SPEECH PATHOLOGY 16650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16650,A000000,03200,0000,03200SUPPORT SURFACES 16650,A000000,03550,0000,03550FQHC 16650,A000000,05000,0000,05000CORF 16650,A000000,05010,0000,05010CMHC 16650,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16650,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16650,A81000A,00100,0100,Y 16650,A81000B,00200,0300,MANAGEMENT FEES 16650,A81000C,00200,0100,B 16650,A81000C,00200,0200,GLENVIEW HCC LL 16650,B100000,00000,0100,00000SQUARE FEET 16650,B100000,00000,0200,00000SQUARE FEET 16650,B100000,00000,0300,00000GROSS SALARIES 16650,B100000,00000,0400,00000ACCUM COST 16650,B100000,00000,0500,00000SQUARE FEET 16650,B100000,00000,0600,00000PATIENT DAYS 16650,B100000,00000,0700,00000SQUARE FEET 16650,B100000,00000,0800,00000PATIENT DAYS 16650,B100000,00000,0900,00000PATIENT DAYS 16650,B100000,00000,1000,00000PATIENT DAYS 16650,B100000,00000,1100,00000COSTED REQUIS 16650,B100000,00000,1200,00000PATIENT DAYS 16650,B100000,00000,1300,00000PATIENT DAYS 16650,B100000,00000,1400,00000ASSIGNED TIME 16650,S000000,00100,0200,05/03/2000 16650,S200000,00200,0100,GLENVIEW 16650,S200000,00200,0200,IL 16650,S200000,00300,0100,COOK 16650,S200000,00400,0100,ABINGTON OF GLENVIEW 16650,S200000,00400,0200,145683 16650,S200000,00400,0300,01/01/1990 16650,S200000,00400,0500,P 16650,S200000,01600,0100,Y 16658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16658,A000000,00300,0000,00300EMPLOYEE BENEFITS 16658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16658,A000000,00700,0000,00700HOUSEKEEPING 16658,A000000,00800,0000,00800DIETARY 16658,A000000,00900,0000,00900NURSING ADMINISTRATION 16658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16658,A000000,01100,0000,01100PHARMACY 16658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16658,A000000,01300,0000,01300SOCIAL SERVICE 16658,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16658,A000000,01600,0000,01600SKILLED NURSING FACILITY 16658,A000000,01800,0000,01800NURSING FACILITY 16658,A000000,01810,0000,01810ICF/MR 16658,A000000,02100,0000,02100RADIOLOGY 16658,A000000,02200,0000,02200LABORATORY 16658,A000000,02500,0000,02500PHYSICAL THERAPY 16658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16658,A000000,02700,0000,02700SPEECH PATHOLOGY 16658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16658,A000000,03550,0000,03550FQHC 16658,A000000,05000,0000,05000CORF 16658,A000000,05010,0000,05010CMHC 16658,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16658,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16658,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16658,A81000A,00100,0100,Y 16658,A81000B,00200,0300,HOME OFFICE 16658,A81000C,00200,0100,B 16658,A81000C,00200,0200,FAMILY CARE MGT 16658,B100000,00000,0100,00040SQUARE FEET 16658,B100000,00000,0200,00040SQUARE FEET 16658,B100000,00000,0300,00040GROSS SALARIES 16658,B100000,00000,0400,00040ACCUM COST 16658,B100000,00000,0500,00040SQUARE FEET 16658,B100000,00000,0600,00040PATIENT DAYS 16658,B100000,00000,0700,00040SQUARE FEET 16658,B100000,00000,0800,00040PATIENT DAYS 16658,B100000,00000,0900,00040PATIENT DAYS 16658,B100000,00000,1000,00040PATIENT DAYS 16658,B100000,00000,1100,00040COSTED REQUIS 16658,B100000,00000,1200,00040PATIENT DAYS 16658,B100000,00000,1300,00040PATIENT DAYS 16658,B100000,00000,1400,00040ASSIGNED TIME 16658,S000000,00100,0200,06/05/2000 16658,S200000,00400,0100,MORTON TERRACE LTD. 16658,S200000,00400,0200,145686 16658,S200000,00400,0300,01/01/1992 16658,S200000,00400,0500,P 16658,S200000,01600,0100,Y 16667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16667,A000000,00300,0000,00300EMPLOYEE BENEFITS 16667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16667,A000000,00700,0000,00700HOUSEKEEPING 16667,A000000,00800,0000,00800DIETARY 16667,A000000,00900,0000,00900NURSING ADMINISTRATION 16667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16667,A000000,01100,0000,01100PHARMACY 16667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16667,A000000,01300,0000,01300SOCIAL SERVICE 16667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16667,A000000,01600,0000,01600SKILLED NURSING FACILITY 16667,A000000,01800,0000,01800NURSING FACILITY 16667,A000000,01810,0000,01810ICF/MR 16667,A000000,02200,0000,02200LABORATORY 16667,A000000,02300,0000,02300INTRAVENOUS THERAPY 16667,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16667,A000000,02500,0000,02500PHYSICAL THERAPY 16667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16667,A000000,02700,0000,02700SPEECH PATHOLOGY 16667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16667,A000000,03550,0000,03550FQHC 16667,A000000,05000,0000,05000CORF 16667,A000000,05010,0000,05010CMHC 16667,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16667,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16667,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16667,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16667,A81000A,00100,0100,Y 16667,A81000B,00100,0300,PRN ASSOC:BLDG RENT 16667,A81000B,00200,0300,PYR: TUBE FEEDING 16667,A81000B,00300,0300,PYR: URO/OST SUPPLY 16667,A81000B,00400,0300,PYR: NURSING SUPPLY 16667,A81000B,00500,0300,PYR: ADMIN/GENL 16667,A81000B,00600,0300,AMS: CAPITAL/RENT 16667,A81000B,00700,0300,AMS: EMPLYEE BENEF 16667,A81000B,00800,0300,AMS: ADMIN/GENL 16667,A81000B,01100,0300,CPT: RESPIRATORY THE 16667,A81000B,01200,0300,CPT: PHYSICAL THERAP 16667,A81000B,01300,0300,CPT: OCCUP.THERAPY 16667,A81000B,01400,0300,CPT: SPEECH THERAPY 16667,A81000B,01500,0300,FECII:DRUGS COSTS 16667,A81000B,01600,0300,FECII:I.V. SUPPLIES 16667,A81000B,01700,0300,FECII:GENL/ADMIN 16667,A81000B,01800,0300,FECII:HOUSE STOCK 16667,A81000C,00100,0100,B 16667,A81000C,00100,0200,ALDEN MGT. SERV 16667,A81000C,00100,0400,ALDEN MANAGEMEN 16667,A81000C,00100,0600,MANAGEMENT CO. 16667,A81000C,00200,0100,F 16667,A81000C,00200,0200,FLOYD SCHLOSSBE 16667,A81000C,00200,0400,FORUM PROF. CEN 16667,A81000C,00200,0600,OFFICE BLDG. 16667,A81000C,00300,0100,B 16667,A81000C,00300,0200,ALDEN MGT. SERV 16667,A81000C,00300,0400,PYRAMID HEALTH 16667,A81000C,00300,0600,MEDICAL SUPPLIE 16667,A81000C,00400,0100,B 16667,A81000C,00400,0200,ALDEN MGT. SERV 16667,A81000C,00400,0400,FORUM EXT. CARE 16667,A81000C,00400,0600,PHARMACY 16667,A81000C,00500,0100,F 16667,A81000C,00500,0200,FLOYD SCHLOSSBE 16667,A81000C,00500,0400,PRINCETON ASSOC 16667,A81000C,00500,0600,BLDG. RENTAL SN 16667,A81000C,00600,0100,F 16667,A81000C,00600,0200,JOAN CARL 16667,A81000C,00600,0400,PRINCETON ASSOC 16667,A81000C,00600,0600,BLDG. RENTAL SN 16667,A81000C,00700,0100,F 16667,A81000C,00700,0200,FLOYD SCHLOSSBE 16667,A81000C,00700,0400,IL. HOME THERAP 16667,A81000C,00700,0600,THERAPY CO. 16667,B100000,00000,0100,00000SQUARE FEET 16667,B100000,00000,0200,00000SQUARE FEET 16667,B100000,00000,0300,00000GROSS SALARIES 16667,B100000,00000,0400,00000ACCUM COST 16667,B100000,00000,0500,00000SQUARE FEET 16667,B100000,00000,0600,00000POUNDS OF LAUNDRY 16667,B100000,00000,0700,00000HOURS OF SERVICE 16667,B100000,00000,0800,00000MEALS SERVED 16667,B100000,00000,0900,00000DIRECT NRSG HRS 16667,B100000,00000,1000,00000COSTED REQUIS 16667,B100000,00000,1100,00000COSTED REQUIS 16667,B100000,00000,1200,00000TIME SPENT 16667,B100000,00000,1300,00000TIME SPENT 16667,B100000,00000,1400,00000ASSIGNED TIME 16667,S000000,00100,0200,06/14/2000 16667,S200000,00100,0100,255 W. 69TH ST. 16667,S200000,00200,0100,CHICAGO 16667,S200000,00200,0200,IL 16667,S200000,00300,0100,COOK 16667,S200000,00400,0100,ALDEN NURISNG CENTER PRINCETON 16667,S200000,00400,0200,145688 16667,S200000,00400,0300,08/24/1990 16667,S200000,00400,0500,P 16667,S200000,00400,0600,O 16667,S200000,01600,0100,Y 16667,S200000,01800,0100,Y 16667,S200000,02200,0100,Y 16673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16673,A000000,00300,0000,00300EMPLOYEE BENEFITS 16673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16673,A000000,00700,0000,00700HOUSEKEEPING 16673,A000000,00800,0000,00800DIETARY 16673,A000000,00900,0000,00900NURSING ADMINISTRATION 16673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16673,A000000,01100,0000,01100PHARMACY 16673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16673,A000000,01300,0000,01300SOCIAL SERVICE 16673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16673,A000000,01600,0000,01600SKILLED NURSING FACILITY 16673,A000000,01800,0000,01800NURSING FACILITY 16673,A000000,01810,0000,01810ICF/MR 16673,A000000,02100,0000,02100RADIOLOGY 16673,A000000,02200,0000,02200LABORATORY 16673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16673,A000000,02500,0000,02500PHYSICAL THERAPY 16673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16673,A000000,02700,0000,02700SPEECH PATHOLOGY 16673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16673,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16673,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16673,A000000,03550,0000,03550FQHC 16673,A000000,05000,0000,05000CORF 16673,A000000,05010,0000,05010CMHC 16673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16673,A000000,05300,0000,05300INTEREST EXPENSE 16673,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16673,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16673,A81000A,00100,0100,Y 16673,A81000B,00100,0300,MANAGEMANT FEE 16673,A81000B,00200,0300,ADMINISTRATIVE EXPENSE 16673,A81000C,00100,0100,A 16673,A81000C,00100,0200,LLOYD W. MILLER 16673,A81000C,00100,0400,ADVANCE CAPITAL 16673,A81000C,00100,0600,MGMT CO. 16673,A81000C,00200,0100,A 16673,A81000C,00200,0200,LLOYD W. MILLER 16673,A81000C,00200,0400,PEKIN INV. GROU 16673,A81000C,00200,0600,BLGD RENTAL 16673,B100000,00000,0100,00000SQUARE FEET 16673,B100000,00000,0200,00000SQUARE FEET 16673,B100000,00000,0300,00000GROSS SALARIES 16673,B100000,00000,0400,00000ACCUM COST 16673,B100000,00000,0500,00000SQUARE FEET 16673,B100000,00000,0600,00000PATIENT DAYS 16673,B100000,00000,0700,00000SQUARE FEET 16673,B100000,00000,0800,00000MEALS SERVED 16673,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16673,B100000,00000,1000,00000PATIENT DAYS 16673,B100000,00000,1100,00000COSTED REQUISITIO 16673,B100000,00000,1200,00000PATIENT DAYS 16673,B100000,00000,1300,00000PATIENT DAYS 16673,B100000,00000,1400,00000ASSIGNED TIME 16673,S000000,00100,0200,05/19/2000 16673,S200000,00100,0100,2501 ALLENTOWN ROAD 16673,S200000,00200,0100,PEKIN 16673,S200000,00200,0200,ILLINOIS 16673,S200000,00200,0300,61554 16673,S200000,00300,0100,TAZEWELL 16673,S200000,00400,0100,HALLMARK HOUSE NURSING CENTER 16673,S200000,00400,0200,145691 16673,S200000,00400,0300,03/01/1991 16673,S200000,00400,0500,P 16673,S200000,01600,0100,Y 16680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16680,A000000,00300,0000,00300EMPLOYEE BENEFITS 16680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16680,A000000,00700,0000,00700HOUSEKEEPING 16680,A000000,00800,0000,00800DIETARY 16680,A000000,00900,0000,00900NURSING ADMINISTRATION 16680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16680,A000000,01100,0000,01100PHARMACY 16680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16680,A000000,01300,0000,01300SOCIAL SERVICE 16680,A000000,01301,0000,01301ACTIVITES 16680,A000000,01350,0000,01500REHABILITATION 16680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16680,A000000,01600,0000,01600SKILLED NURSING FACILITY 16680,A000000,01800,0000,01800NURSING FACILITY 16680,A000000,01810,0000,01810ICF/MR 16680,A000000,02100,0000,02100RADIOLOGY 16680,A000000,02200,0000,02200LABORATORY 16680,A000000,02300,0000,02300INTRAVENOUS THERAPY 16680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16680,A000000,02500,0000,02500PHYSICAL THERAPY 16680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16680,A000000,02700,0000,02700SPEECH PATHOLOGY 16680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16680,A000000,03050,0000,03300EQUIPMENT RENTAL 16680,A000000,03051,0000,03301PEN THERAPY 16680,A000000,03550,0000,03550FQHC 16680,A000000,05000,0000,05000CORF 16680,A000000,05010,0000,05010CMHC 16680,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16680,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16680,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16680,A000000,05300,0000,05300INTEREST EXPENSE 16680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16680,A000000,06150,0000,06300VENDING 16680,A000000,06151,0000,06301STAND-BY 16680,A81000A,00100,0100,Y 16680,A81000B,00100,0300,HOME OFFICE ADMIN 16680,A81000B,00700,0300,HOME OFFICE CAPITAL 16680,A81000C,00100,0100,B 16680,A81000C,00100,0200,FLORA PS# 11557 16680,A81000C,00100,0400,MARINER PAN 16680,A81000C,00100,0600,NURSING HOMES 16680,A81000C,00200,0100,G 16680,A81000C,00200,0200,MARINER PAN 16680,A81000C,00200,0400,AMER PHARM SVCS 16680,A81000C,00200,0600,PHARMACEUTICALS 16680,A81000C,00300,0100,G 16680,A81000C,00300,0200,MARINER PAN 16680,A81000C,00300,0400,PRISM-ATS-ARS-T 16680,A81000C,00300,0600,THERAPIES 16680,B100000,00000,0100,00001SQUARE FEET 16680,B100000,00000,0200,00001SQUARE FEET 16680,B100000,00000,0300,00001GROSS SALARIES 16680,B100000,00000,0400,00001ACCUM COST 16680,B100000,00000,0500,00001SQUARE FEET 16680,B100000,00000,0600,00001PATIENT DAYS 16680,B100000,00000,0700,00001SQUARE FEET 16680,B100000,00000,0800,00001MEALS SERVED 16680,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 16680,B100000,00000,1000,00001COSTED REQUISITIO 16680,B100000,00000,1100,00001COSTED REQUIS 16680,B100000,00000,1200,00001PATIENT DAYS 16680,B100000,00000,1300,00001PATIENT DAYS 16680,B100000,00000,1301,00001PATIENT DAYS 16680,B100000,00000,1350,00001UNITS OF SERVICE 16680,B100000,00000,1400,00001ASSIGNED TIME 16680,E10A180,00550,0300,06/02/2000 16680,S000000,00100,0200,06/02/2000 16680,S200000,00100,0100,FRONTAGE ROAD WEST 16680,S200000,00200,0100,FLORA 16680,S200000,00200,0200,IL 16680,S200000,00200,0300,62839 16680,S200000,00300,0100,CLAY 16680,S200000,00400,0100,FLORA HEALTHCARE CENTER 16680,S200000,00400,0200,145692 16680,S200000,00400,0300,05/19/1991 16680,S200000,00400,0500,P 16680,S200000,01600,0100,Y 16680,S200000,02200,0100,Y 16686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16686,A000000,00300,0000,00300EMPLOYEE BENEFITS 16686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16686,A000000,00700,0000,00700HOUSEKEEPING 16686,A000000,00800,0000,00800DIETARY 16686,A000000,00900,0000,00900NURSING ADMINISTRATION 16686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16686,A000000,01100,0000,01100PHARMACY 16686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16686,A000000,01300,0000,01300SOCIAL SERVICE 16686,A000000,01301,0000,01301ACTIVITES 16686,A000000,01350,0000,01500REHABILITATION 16686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16686,A000000,01600,0000,01600SKILLED NURSING FACILITY 16686,A000000,01800,0000,01800NURSING FACILITY 16686,A000000,01810,0000,01810ICF/MR 16686,A000000,02100,0000,02100RADIOLOGY 16686,A000000,02200,0000,02200LABORATORY 16686,A000000,02300,0000,02300INTRAVENOUS THERAPY 16686,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16686,A000000,02500,0000,02500PHYSICAL THERAPY 16686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16686,A000000,02700,0000,02700SPEECH PATHOLOGY 16686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16686,A000000,03050,0000,03300EQUIPMENT RENTAL 16686,A000000,03051,0000,03301PEN THERAPY 16686,A000000,03550,0000,03550FQHC 16686,A000000,05000,0000,05000CORF 16686,A000000,05010,0000,05010CMHC 16686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16686,A000000,05300,0000,05300INTEREST EXPENSE 16686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16686,A000000,06150,0000,06300VENDING 16686,A000000,06151,0000,06301STAND-BY 16686,A81000A,00100,0100,Y 16686,A81000B,00100,0300,HOME OFFICE ADMIN 16686,A81000B,00700,0300,HOME OFFICE CAPITAL 16686,A81000B,00800,0300,PLANT 16686,A81000B,01100,0300,PHYSICAL THERAPY 16686,A81000B,01200,0300,OCCUPATIONAL THERAPY 16686,A81000B,01300,0300,SPEECH THERAPY 16686,A81000C,00100,0100,B 16686,A81000C,00100,0400,MARINER PAN 16686,A81000C,00100,0600,NURSING HOMES 16686,A81000C,00200,0100,G 16686,A81000C,00200,0200,MARINER PAN 16686,A81000C,00200,0400,AMER PHARM SVCS 16686,A81000C,00200,0600,PHARMACEUTICALS 16686,A81000C,00300,0100,G 16686,A81000C,00300,0200,MARINER PAN 16686,A81000C,00300,0400,PRISM-ATS-ARS-T 16686,A81000C,00300,0600,THERAPIES 16686,A81000C,00400,0100,G 16686,A81000C,00400,0200,MARINER PAN 16686,A81000C,00400,0400,REHABLINK 16686,A81000C,00400,0600,THERAPIES 16686,B100000,00000,0100,00001SQUARE FEET 16686,B100000,00000,0200,00001SQUARE FEET 16686,B100000,00000,0300,00001GROSS SALARIES 16686,B100000,00000,0400,00001ACCUM COST 16686,B100000,00000,0500,00001SQUARE FEET 16686,B100000,00000,0600,00001PATIENT DAYS 16686,B100000,00000,0700,00001SQUARE FEET 16686,B100000,00000,0800,00001MEALS SERVED 16686,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 16686,B100000,00000,1000,00001COSTED REQUISITIO 16686,B100000,00000,1100,00001COSTED REQUIS 16686,B100000,00000,1200,00001PATIENT DAYS 16686,B100000,00000,1300,00001PATIENT DAYS 16686,B100000,00000,1301,00001PATIENT DAYS 16686,B100000,00000,1350,00001UNITS OF SERVICE 16686,B100000,00000,1400,00001ASSIGNED TIME 16686,E10A180,00550,0300,06/02/2000 16686,S000000,00100,0200,06/02/2000 16686,S200000,00100,0100,219 E. PARKWAY DRIVE 16686,S200000,00200,0100,WHEATON 16686,S200000,00200,0200,IL 16686,S200000,00200,0300,60187 16686,S200000,00300,0100,DUPAGE 16686,S200000,00400,0100,PARKWAY HEALTHCARE CENTER 16686,S200000,00400,0200,145693 16686,S200000,00400,0300,07/01/1991 16686,S200000,00400,0500,P 16686,S200000,01600,0100,Y 16686,S200000,02200,0100,Y 16695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16695,A000000,00300,0000,00300EMPLOYEE BENEFITS 16695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16695,A000000,00700,0000,00700HOUSEKEEPING 16695,A000000,00800,0000,00800DIETARY 16695,A000000,00900,0000,00900NURSING ADMINISTRATION 16695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16695,A000000,01100,0000,01100PHARMACY 16695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16695,A000000,01300,0000,01300SOCIAL SERVICE 16695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16695,A000000,01600,0000,01600SKILLED NURSING FACILITY 16695,A000000,01800,0000,01800NURSING FACILITY 16695,A000000,01810,0000,01810ICF/MR 16695,A000000,02100,0000,02100RADIOLOGY 16695,A000000,02500,0000,02500PHYSICAL THERAPY 16695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16695,A000000,02700,0000,02700SPEECH PATHOLOGY 16695,A000000,02800,0000,02800ELECTROCARDIOLOGY 16695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16695,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16695,A000000,03550,0000,03550FQHC 16695,A000000,05000,0000,05000CORF 16695,A000000,05010,0000,05010CMHC 16695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16695,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16695,A81000A,00100,0100,Y 16695,A81000B,00100,0300,RENT 16695,A81000B,00200,0300,RENT 16695,A81000B,00300,0300,PROPERTY TAXES 16695,A81000B,00400,0300,DEPRECIATION 16695,A81000B,00500,0300,INTEREST 16695,A81000B,00600,0300,FEDERAL INCOME TAXES 16695,A81000B,00700,0300,OFFICERS SALARIES 16695,A81000B,00800,0300,TELEPHONE 16695,A81000B,00900,0300,AUTO 16695,A81000B,01000,0300,AUTO LEASING 16695,A81000B,01100,0300,OFFICE CONSULTANT 16695,A81000B,01200,0300,OFFICE-OTHER 16695,A81000B,01300,0300,AMORTIZATION 16695,A81000B,01400,0300,STATE INCOME TAXES 16695,A81000B,01500,0300,EMPLOYEE BENEFITS 16695,A81000B,01600,0300,DUES & SUBSCRIPTIONS 16695,A81000B,01700,0300,PROFESSIONAL FEES 16695,A81000B,01800,0300,INTEREST INCOME 16695,A81000B,01900,0300,MANAGEMENT FEES 16695,A81000B,02000,0300,MEDICAL SUPPLIES 16695,A81000C,00100,0100,A 16695,A81000C,00100,0200,HAROLD GEISER 16695,A81000C,00100,0400,LLW MGMT. CO. 16695,A81000C,00100,0600,MGMT CO. 16695,A81000C,00200,0100,B 16695,A81000C,00200,0200,RELATED ENTITIE 16695,A81000C,00200,0400,HAMPTON PL. R.E 16695,A81000C,00200,0600,LESSOR 16695,A81000C,00300,0100,A 16695,A81000C,00300,0200,B. BEHR & FAMIL 16695,A81000C,00400,0100,B 16695,A81000C,00400,0200,GOLDBERG FAMILY 16695,A81000C,00500,0100,B 16695,A81000C,00500,0200,LINDSAY J. INC 16695,B100000,00000,0100,00000SQUARE FEET 16695,B100000,00000,0200,00000COSTED REQUISITIO 16695,B100000,00000,0300,00000GROSS SALARIES 16695,B100000,00000,0400,00000ACCUM COST 16695,B100000,00000,0500,00000SQUARE FEET 16695,B100000,00000,0600,00000PATIENT DAYS 16695,B100000,00000,0700,00000SQUARE FEET 16695,B100000,00000,0800,00000MEALS SERVED 16695,B100000,00000,0900,00000HOURS OF SERVICE 16695,B100000,00000,1000,00000PATIENT DAYS 16695,B100000,00000,1100,00000COSTED REQUISITIO 16695,B100000,00000,1200,00000GROSS REVENUES 16695,B100000,00000,1300,00000PATIENT DAYS 16695,B100000,00000,1400,00000ASSIGNED TIME 16695,S000000,00100,0200,05/26/2000 16695,S200000,00100,0100,9777 GREENWOOD 16695,S200000,00200,0100,NILES 16695,S200000,00200,0200,IL 16695,S200000,00200,0300,60174 16695,S200000,00300,0100,COOK 16695,S200000,00400,0100,HAMPTON PLAZA HEALTH CARE CENTRE 16695,S200000,00400,0200,145696 16695,S200000,00400,0300,08/17/1992 16695,S200000,00400,0500,P 16695,S200000,01600,0100,Y 16704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16704,A000000,00300,0000,00300EMPLOYEE BENEFITS 16704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16704,A000000,00700,0000,00700HOUSEKEEPING 16704,A000000,00800,0000,00800DIETARY 16704,A000000,00900,0000,00900NURSING ADMINISTRATION 16704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16704,A000000,01100,0000,01100PHARMACY 16704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16704,A000000,01300,0000,01300SOCIAL SERVICE 16704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16704,A000000,01600,0000,01600SKILLED NURSING FACILITY 16704,A000000,01800,0000,01800NURSING FACILITY 16704,A000000,01810,0000,01810ICF/MR 16704,A000000,02200,0000,02200LABORATORY 16704,A000000,02500,0000,02500PHYSICAL THERAPY 16704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16704,A000000,02700,0000,02700SPEECH PATHOLOGY 16704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16704,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16704,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16704,A000000,03550,0000,03550FQHC 16704,A000000,05000,0000,05000CORF 16704,A000000,05010,0000,05010CMHC 16704,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16704,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16704,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16704,A000000,05300,0000,05300INTEREST EXPENSE 16704,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16704,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16704,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16704,A81000A,00100,0100,Y 16704,A81000B,00100,0300,MEDICAL SUPPLIES 16704,A81000B,00200,0300,DIETARY 16704,A81000B,00300,0300,MAINTANENCE SUPPLIES 16704,A81000B,00400,0300,ADMINISTRATIVE SUPPLIES 16704,A81000B,00500,0300,MANAGEMENT FEES 16704,A81000B,00600,0300,G&A PORTION OF H/O C/R 16704,A81000B,00700,0300,CAPITAL PORTION OF H/O C/R 16704,A81000C,00100,0100,B 16704,A81000C,00100,0400,SHERMAN HEALTH 16704,A81000C,00100,0600,HEALTH CARE MAN 16704,B100000,00000,0100,00000SQUARE FEET 16704,B100000,00000,0200,00000SQUARE FEET 16704,B100000,00000,0300,00000GROSS SALARIES 16704,B100000,00000,0400,00000ACCUM COST 16704,B100000,00000,0500,00000SQUARE FEET 16704,B100000,00000,0600,00000PATIENT DAYS 16704,B100000,00000,0700,00000SQUARE FEET 16704,B100000,00000,0800,00000MEALS SERVED 16704,B100000,00000,0900,00000HOURS OF SERVICE 16704,B100000,00000,1000,00000PATIENT DAYS 16704,B100000,00000,1100,00000COSTED REQUISITIO 16704,B100000,00000,1200,00000PATIENT DAYS 16704,B100000,00000,1300,00000PATIENT DAYS 16704,B100000,00000,1400,00000ASSIGNED TIME 16704,E10A180,00550,0300,10/03/2000 16704,S000000,00100,0200,10/03/2000 16704,S200000,00100,0100,1950 LARKIN AVENUE 16704,S200000,00200,0100,ELGIN 16704,S200000,00200,0200,IL 16704,S200000,00200,0300,60123 16704,S200000,00300,0100,KANE 16704,S200000,00400,0100,SHERMAN WEST COURT 16704,S200000,00400,0200,145699 16704,S200000,00400,0300,09/16/1991 16704,S200000,00400,0500,P 16704,S200000,01600,0100,Y 16711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16711,A000000,00300,0000,00300EMPLOYEE BENEFITS 16711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16711,A000000,00700,0000,00700HOUSEKEEPING 16711,A000000,00800,0000,00800DIETARY 16711,A000000,00900,0000,00900NURSING ADMINISTRATION 16711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16711,A000000,01100,0000,01100PHARMACY 16711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16711,A000000,01300,0000,01300SOCIAL SERVICE 16711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16711,A000000,01600,0000,01600SKILLED NURSING FACILITY 16711,A000000,01800,0000,01800NURSING FACILITY 16711,A000000,01810,0000,01810ICF/MR 16711,A000000,02100,0000,02100RADIOLOGY 16711,A000000,02200,0000,02200LABORATORY 16711,A000000,02500,0000,02500PHYSICAL THERAPY 16711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16711,A000000,02700,0000,02700SPEECH PATHOLOGY 16711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16711,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16711,A000000,03550,0000,03550FQHC 16711,A000000,05000,0000,05000CORF 16711,A000000,05010,0000,05010CMHC 16711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16711,A000000,05300,0000,05300INTEREST EXPENSE 16711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16711,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16711,A81000A,00100,0100,Y 16711,A81000B,00100,0300,RENT INCOME 16711,A81000B,00200,0300,DEPRECIATION 16711,A81000B,00300,0300,INTEREST EXPENSE 16711,A81000B,00400,0300,AMORTIZATION OF MTG. COSTS 16711,A81000B,00500,0300,PROPERTY TAXES 16711,A81000B,00600,0300,STATE REPLACEMENT TAXES 16711,A81000B,00700,0300,BANK CHARGES 16711,A81000B,00800,0300,PROFESSIONAL FEES 16711,A81000B,00900,0300,MISCELLANEOUS EXPENSE 16711,A81000B,01000,0300,CAPITAL COSTS - ROYAL MANAGEME 16711,A81000B,01100,0300,G&A COSTS - ROYAL MGMT 16711,A81000C,00100,0100,A 16711,A81000C,00100,0200,JOHN SAMATAS 16711,A81000C,00100,0400,SAMBELL CHGO RI 16711,A81000C,00100,0600,LESSOR 16711,A81000C,00200,0100,A 16711,A81000C,00200,0200,JAMES SAMATAS 16711,A81000C,00200,0400,SAMBELL CHGO RI 16711,A81000C,00200,0600,LESSOR 16711,A81000C,00300,0100,A 16711,A81000C,00300,0200,CYNTHIA THIEM 16711,A81000C,00300,0400,SAMBELL CHGO RI 16711,A81000C,00300,0600,LESSOR 16711,A81000C,00400,0100,A 16711,A81000C,00400,0200,JAMES BELL 16711,A81000C,00400,0400,SAMBELL CHGO RI 16711,A81000C,00400,0600,LESSOR 16711,A81000C,00500,0100,A 16711,A81000C,00500,0200,JEFFREY BELL 16711,A81000C,00500,0400,SAMBELL CHGO RI 16711,A81000C,00500,0600,LESSOR 16711,A81000C,00600,0100,A 16711,A81000C,00600,0200,LAWRENCE BELL 16711,A81000C,00600,0400,SAMBELL CHGO RI 16711,A81000C,00600,0600,LESSOR 16711,A81000C,00700,0100,A 16711,A81000C,00700,0200,DAVID BELL 16711,A81000C,00700,0400,SAMBELL CHGO RI 16711,A81000C,00700,0600,LESSOR 16711,A81000C,00800,0100,B 16711,A81000C,00800,0200,J SAMATAS ROYAL 16711,A81000C,00800,0400,ROYAL MGMT CORP 16711,A81000C,00800,0600,MGMT CO 16711,A81000C,00900,0100,B 16711,A81000C,00900,0200,TRUST 16711,A81000C,01000,0100,B 16711,A81000C,01000,0200,J SAMATAS ROYAL 16711,A81000C,01000,0400,ROYAL MGMT CORP 16711,A81000C,01000,0600,MGMT CO 16711,B100000,00000,0100,00000SQUARE FEET 16711,B100000,00000,0200,00000SQUARE FEET 16711,B100000,00000,0300,00000GROSS SALARIES 16711,B100000,00000,0400,00000ACCUM COST 16711,B100000,00000,0500,00000SQUARE FEET 16711,B100000,00000,0600,00000PATIENT DAYS 16711,B100000,00000,0700,00000SQUARE FEET 16711,B100000,00000,0800,00000MEALS SERVED 16711,B100000,00000,0900,00000HOURS OF SERVICE 16711,B100000,00000,1000,00000PATIENT DAYS 16711,B100000,00000,1100,00000COSTED REQUISITIO 16711,B100000,00000,1200,00000PATIENT DAYS 16711,B100000,00000,1300,00000PATIENT DAYS 16711,B100000,00000,1400,00000ASSIGNED TIME 16711,S000000,00100,0200,06/01/2000 16711,S200000,00100,0100,10300 SOUTHWEST HIGHWAY 16711,S200000,00200,0100,CHICAGO RIDGE 16711,S200000,00200,0200,IL 16711,S200000,00200,0300,60415 16711,S200000,00300,0100,COOK 16711,S200000,00400,0100,LEXINGTON HCC - CHICAGO RIDGE 16711,S200000,00400,0200,145700 16711,S200000,00400,0300,08/01/1991 16711,S200000,00400,0500,P 16711,S200000,01600,0100,Y 16711,S200000,02200,0100,Y 16717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16717,A000000,00300,0000,00300EMPLOYEE BENEFITS 16717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16717,A000000,00700,0000,00700HOUSEKEEPING 16717,A000000,00800,0000,00800DIETARY 16717,A000000,00900,0000,00900NURSING ADMINISTRATION 16717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16717,A000000,01100,0000,01100PHARMACY 16717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16717,A000000,01300,0000,01300SOCIAL SERVICE 16717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16717,A000000,01600,0000,01600SKILLED NURSING FACILITY 16717,A000000,01800,0000,01800NURSING FACILITY 16717,A000000,01810,0000,01810ICF/MR 16717,A000000,02100,0000,02100RADIOLOGY 16717,A000000,02200,0000,02200LABORATORY 16717,A000000,02500,0000,02500PHYSICAL THERAPY 16717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16717,A000000,02700,0000,02700SPEECH PATHOLOGY 16717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16717,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16717,A000000,03550,0000,03550FQHC 16717,A000000,04800,0000,04800AMBULANCE 16717,A000000,05000,0000,05000CORF 16717,A000000,05010,0000,05010CMHC 16717,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16717,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16717,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16717,A000000,05300,0000,05300INTEREST EXPENSE 16717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16717,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16717,A81000A,00100,0100,Y 16717,A81000B,00100,0300,RENT EXPENSE 16717,A81000B,00200,0300,DEPRECIATION EXPENSE 16717,A81000B,00300,0300,INTEREST EXPENSE 16717,A81000B,00400,0300,PROPERTY TAXES 16717,A81000B,00500,0300,AMORT OF LOAN COSTS 16717,A81000B,00600,0300,REPLACEMENT TAX 16717,A81000B,00700,0300,BANK CHARGES 16717,A81000B,00800,0300,PROFESSIONAL FEES 16717,A81000B,00900,0300,OTHER ADMIN EXPENSE 16717,A81000B,01000,0300,ROYAL G&A ALLOCATION 16717,A81000B,01100,0300,ROYAL CAPITAL ALLOCATION 16717,A81000C,00100,0100,B 16717,A81000C,00100,0200,J SAMATAS TRUST 16717,A81000C,00100,0400,S/B STREAMWOOD 16717,A81000C,00100,0600,LESSOR 16717,A81000C,00200,0100,B 16717,A81000C,00200,0200,J SAMATAS TRUST 16717,A81000C,00200,0400,S/B STREAMWOOD 16717,A81000C,00200,0600,LESSOR 16717,A81000C,00300,0100,B 16717,A81000C,00300,0200,C THIEM TRUST 16717,A81000C,00300,0400,S/B STREAMWOOD 16717,A81000C,00300,0600,LESSOR 16717,A81000C,00400,0100,A 16717,A81000C,00400,0200,JAMES BELL 16717,A81000C,00400,0400,S/B STREAMWOOD 16717,A81000C,00400,0600,LESSOR 16717,A81000C,00500,0100,A 16717,A81000C,00500,0200,JEFFREY BELL 16717,A81000C,00500,0400,S/B STREAMWOOD 16717,A81000C,00500,0600,LESSOR 16717,A81000C,00600,0100,A 16717,A81000C,00600,0200,DAVID BELL 16717,A81000C,00600,0400,S/B STREAMWOOD 16717,A81000C,00600,0600,LESSOR 16717,A81000C,00700,0100,A 16717,A81000C,00700,0200,LARRY BELL 16717,A81000C,00700,0400,S/B STREAMWOOD 16717,A81000C,00700,0600,LESSOR 16717,A81000C,00800,0100,B 16717,A81000C,00800,0200,BELL INV PSHP 16717,A81000C,00800,0400,S/B STREAMWOOD 16717,A81000C,00800,0600,LESSOR 16717,A81000C,00900,0100,B 16717,A81000C,00900,0200,J SAMATAS ROYAL 16717,A81000C,00900,0400,ROYAL MGMT CORP 16717,A81000C,00900,0600,MGMT CO 16717,A81000C,01000,0100,B 16717,A81000C,01000,0200,J SAMATAS ROYAL 16717,A81000C,01000,0400,ROYAL MGMT CORP 16717,A81000C,01000,0600,MGMT CO 16717,B100000,00000,0100,00000SQUARE FEET 16717,B100000,00000,0200,00000SQUARE FEET 16717,B100000,00000,0300,00000GROSS SALARIES 16717,B100000,00000,0400,00000ACCUM COST 16717,B100000,00000,0500,00000SQUARE FEET 16717,B100000,00000,0600,00000PATIENT DAYS 16717,B100000,00000,0700,00000SQUARE FEET 16717,B100000,00000,0800,00000MEALS SERVED 16717,B100000,00000,0900,00000HOURS OF SERVICE 16717,B100000,00000,1000,00000PATIENT DAYS 16717,B100000,00000,1100,00000COSTED REQUISITIO 16717,B100000,00000,1200,00000TIME SPENT 16717,B100000,00000,1300,00000PATIENT DAYS 16717,B100000,00000,1400,00000ASSIGNED TIME 16717,S000000,00100,0200,06/01/2000 16717,S200000,00100,0100,815 E. IRVING PARK ROAD 16717,S200000,00200,0100,STREAMWOOD 16717,S200000,00200,0200,IL 16717,S200000,00200,0300,60107 16717,S200000,00300,0100,COOK 16717,S200000,00400,0100,LEXINGTON HCC - STREAMWOOD 16717,S200000,00400,0200,145701 16717,S200000,00400,0300,08/28/1991 16717,S200000,00400,0500,P 16717,S200000,01600,0100,Y 16727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16727,A000000,00300,0000,00300EMPLOYEE BENEFITS 16727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16727,A000000,00700,0000,00700HOUSEKEEPING 16727,A000000,00800,0000,00800DIETARY 16727,A000000,00900,0000,00900NURSING ADMINISTRATION 16727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16727,A000000,01100,0000,01100PHARMACY 16727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16727,A000000,01300,0000,01300SOCIAL SERVICE 16727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16727,A000000,01600,0000,01600SKILLED NURSING FACILITY 16727,A000000,01800,0000,01800NURSING FACILITY 16727,A000000,01810,0000,01810ICF/MR 16727,A000000,02100,0000,02100RADIOLOGY 16727,A000000,02200,0000,02200LABORATORY 16727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16727,A000000,02500,0000,02500PHYSICAL THERAPY 16727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16727,A000000,02700,0000,02700SPEECH PATHOLOGY 16727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16727,A000000,03200,0000,03200SUPPORT SURFACES 16727,A000000,03550,0000,03550FQHC 16727,A000000,04800,0000,04800AMBULANCE 16727,A000000,05000,0000,05000CORF 16727,A000000,05010,0000,05010CMHC 16727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16727,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16727,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16727,A81000A,00100,0100,Y 16727,A81000B,00100,0300,MANAGEMENT FEES 16727,A81000B,00200,0300,SALES EXP-STEVEN MGM 16727,A81000B,00300,0300,FEES-STEVEN MGMT 16727,A81000B,00400,0300,PROFESS FEES-MC MGMT 16727,A81000C,00100,0100,A 16727,A81000C,00100,0400,MC MANAGEMENT 16727,A81000C,00100,0600,MANAGEMENT COMP 16727,A81000C,00200,0100,A 16727,A81000C,00200,0400,STEVEN MANAGEME 16727,A81000C,00200,0600,MANAGEMENT COMP 16727,B100000,00000,0100,00000SQUARE FEET 16727,B100000,00000,0200,00000SQUARE FEET 16727,B100000,00000,0300,00000GROSS SALARIES 16727,B100000,00000,0400,00000ACCUM COST 16727,B100000,00000,0500,00000SQUARE FEET 16727,B100000,00000,0600,00000PATIENT DAYS 16727,B100000,00000,0700,00000SQUARE FEET 16727,B100000,00000,0800,00000MEALS SERVED 16727,B100000,00000,0900,00000DIRECT NRSG HOURS 16727,B100000,00000,1000,00000PATIENT DAYS 16727,B100000,00000,1100,00000COSTED REQUIS 16727,B100000,00000,1200,00000PATIENT DAYS 16727,B100000,00000,1300,00000PATIENT DAYS 16727,B100000,00000,1400,00000ASSIGNED TIME 16727,E10A180,00301,0100,11/23/1999 16727,E10A180,00501,0100,03/09/2000 16727,S000000,00100,0200,02/24/2000 16727,S200000,00100,0100,300 NORTH WAUKEGAN ROAD 16727,S200000,00200,0100,DEERFIELD 16727,S200000,00200,0200,IL 16727,S200000,00200,0300,60015 16727,S200000,00300,0100,LAKE 16727,S200000,00400,0100,WHITEHALL NORTH NURSING & REHAB CTR 16727,S200000,00400,0200,145706 16727,S200000,00400,0300,12/01/1991 16727,S200000,00400,0500,P 16727,S200000,00600,0200,145706 16727,S200000,00600,0300,12/01/1991 16727,S200000,00600,0600,P 16727,S200000,01600,0100,Y 16727,S200000,02200,0100,Y 16735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16735,A000000,00300,0000,00300EMPLOYEE BENEFITS 16735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16735,A000000,00700,0000,00700HOUSEKEEPING 16735,A000000,00800,0000,00800DIETARY 16735,A000000,00900,0000,00900NURSING ADMINISTRATION 16735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16735,A000000,01100,0000,01100PHARMACY 16735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16735,A000000,01300,0000,01300SOCIAL SERVICE 16735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16735,A000000,01600,0000,01600SKILLED NURSING FACILITY 16735,A000000,01800,0000,01800NURSING FACILITY 16735,A000000,01810,0000,01810ICF/MR 16735,A000000,02100,0000,02100RADIOLOGY 16735,A000000,02500,0000,02500PHYSICAL THERAPY 16735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16735,A000000,02700,0000,02700SPEECH PATHOLOGY 16735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16735,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16735,A000000,03201,0000,03201DIALYSIS 16735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16735,A000000,03550,0000,03550FQHC 16735,A000000,05000,0000,05000CORF 16735,A000000,05010,0000,05010CMHC 16735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16735,A000000,06001,0000,06001DAY CARE 16735,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16735,A81000A,00100,0100,Y 16735,A81000B,00100,0300,RENT EXPENSE 16735,A81000B,00200,0300,DEPRECIATION 16735,A81000B,00300,0300,INTEREST EXPENSE 16735,A81000B,00400,0300,REAL ESTATE TAXES 16735,A81000B,00500,0300,PROFESSIONAL FEES 16735,A81000B,00600,0300,TRUST FEES 16735,A81000B,00700,0300,OFFICE WAGES 16735,A81000B,00800,0300,OTHER EMPLOYEE BENEFITS 16735,A81000B,00900,0300,MANAGEMENT FEES 16735,A81000B,01000,0300,PROFESSIONAL FEES 16735,A81000B,01100,0300,LICENSE & FEES 16735,A81000B,01200,0300,OFFICE EXPENSE 16735,A81000B,01300,0300,RENT 16735,A81000C,00100,0100,A 16735,A81000C,00100,0200,KIANOOSH & SOUS 16735,A81000C,00100,0400,J&D PARTNERS 16735,A81000C,00100,0600,LESSOR 16735,A81000C,00200,0100,A 16735,A81000C,00200,0200,ROBERT JAFARI 16735,A81000C,00200,0400,J&D PARTNERS 16735,A81000C,00200,0600,LESSOR 16735,A81000C,00300,0100,A 16735,A81000C,00300,0200,EVA DIMAS 16735,A81000C,00300,0400,J&D PARTNERS 16735,A81000C,00300,0600,LESSOR 16735,A81000C,00400,0100,A 16735,A81000C,00400,0200,LOUIS DIMAS 16735,A81000C,00400,0400,J&D PARTNERS 16735,A81000C,00400,0600,LESSOR 16735,A81000C,00500,0100,A 16735,A81000C,00500,0200,NICHOLAS & DORO 16735,A81000C,00500,0400,J&D PARTNERS 16735,A81000C,00500,0600,LESSOR 16735,A81000C,00600,0100,A 16735,A81000C,00600,0200,KIANOOSH & SOUS 16735,A81000C,00600,0400,BUTTERFIELD H.C 16735,A81000C,00600,0600,MGMT. CO. 16735,A81000C,00700,0100,A 16735,A81000C,00700,0200,ROBERT JAFARI 16735,A81000C,00700,0400,BUTTERFIELD H.C 16735,A81000C,00700,0600,MGMT. CO 16735,A81000C,00800,0100,A 16735,A81000C,00800,0200,EVA DIMAS 16735,A81000C,00800,0400,BUTTERFIELD H.C 16735,A81000C,00800,0600,MGMT CO. 16735,A81000C,00900,0100,A 16735,A81000C,00900,0200,LOUIS DIMAS 16735,A81000C,00900,0400,BUTTERFIELD H.C 16735,A81000C,00900,0600,MGMT. CO 16735,A81000C,01000,0100,A 16735,A81000C,01000,0200,NICHOLAS & DORO 16735,A81000C,01000,0400,BUTTERFILED H.C 16735,A81000C,01000,0600,MGMT CO. 16735,B100000,00000,0100,00000SQUARE FEET 16735,B100000,00000,0200,00000SQUARE FEET 16735,B100000,00000,0300,00000GROSS SALARIES 16735,B100000,00000,0400,00000ACCUM COST 16735,B100000,00000,0500,00000SQUARE FEET 16735,B100000,00000,0600,00000PATIENT DAYS 16735,B100000,00000,0700,00000SQUARE FEET 16735,B100000,00000,0800,00000MEALS SERVED 16735,B100000,00000,0900,00000HOURS OF SERVICE 16735,B100000,00000,1000,00000PATIENT DAYS 16735,B100000,00000,1100,00000COSTED REQUISITIO 16735,B100000,00000,1200,00000PATIENT DAYS 16735,B100000,00000,1300,00000PATIENT DAYS 16735,B100000,00000,1400,00000ASSIGNED TIME 16735,S000000,00100,0200,05/31/2000 16735,S200000,00100,0100,431 W. REMINGTON BLVD 16735,S200000,00200,0100,BOLINGBROOK 16735,S200000,00200,0200,IL 16735,S200000,00200,0300,60440 16735,S200000,00300,0100,WILL 16735,S200000,00400,0100,MEADOWBROOK MANOR 16735,S200000,00400,0200,145710 16735,S200000,00400,0300,01/02/1992 16735,S200000,00400,0500,P 16735,S200000,01600,0100,Y 16740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16740,A000000,00300,0000,00300EMPLOYEE BENEFITS 16740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16740,A000000,00700,0000,00700HOUSEKEEPING 16740,A000000,00800,0000,00800DIETARY 16740,A000000,00900,0000,00900NURSING ADMINISTRATION 16740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16740,A000000,01100,0000,01100PHARMACY 16740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16740,A000000,01300,0000,01300SOCIAL SERVICE 16740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16740,A000000,01600,0000,01600SKILLED NURSING FACILITY 16740,A000000,01800,0000,01800NURSING FACILITY 16740,A000000,01810,0000,01810ICF/MR 16740,A000000,02100,0000,02100RADIOLOGY 16740,A000000,02200,0000,02200LABORATORY 16740,A000000,02500,0000,02500PHYSICAL THERAPY 16740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16740,A000000,02700,0000,02700SPEECH PATHOLOGY 16740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16740,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16740,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16740,A000000,03550,0000,03550FQHC 16740,A000000,05000,0000,05000CORF 16740,A000000,05010,0000,05010CMHC 16740,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16740,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16740,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16740,A000000,05300,0000,05300INTEREST EXPENSE 16740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16740,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16740,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16740,A81000A,00100,0100,Y 16740,A81000B,00100,0300,RENT EXPENSE 16740,A81000B,00200,0300,DEPRECIATION EXPENSE 16740,A81000B,00300,0300,PROPERTY TAXES 16740,A81000B,00400,0300,INTEREST EXPENSE 16740,A81000B,00500,0300,AMORT OF MTG COSTS 16740,A81000B,00600,0300,REPLACEMENT TAX 16740,A81000B,00700,0300,BANK CHARGES 16740,A81000B,00800,0300,PROFESSIONAL FEES 16740,A81000B,00900,0300,MISCELLANEOUS EXPENSE 16740,A81000B,01000,0300,ROYAL CAPITAL COSTS 16740,A81000B,01100,0300,ROYAL G&A COSTS 16740,A81000C,00100,0100,B 16740,A81000C,00100,0200,J SAMATAS TRUST 16740,A81000C,00100,0400,S/B ELMHURST 16740,A81000C,00100,0600,LESSOR 16740,A81000C,00200,0100,B 16740,A81000C,00200,0200,J SAMATAS TRUST 16740,A81000C,00200,0400,S/B ELMHURST 16740,A81000C,00200,0600,LESSOR 16740,A81000C,00300,0100,B 16740,A81000C,00300,0200,C THIEM TRUST 16740,A81000C,00300,0400,S/B ELMHURST 16740,A81000C,00300,0600,LESSOR 16740,A81000C,00400,0100,A 16740,A81000C,00400,0200,JAMES BELL 16740,A81000C,00400,0400,S/B ELMHURST 16740,A81000C,00400,0600,LESSOR 16740,A81000C,00500,0100,A 16740,A81000C,00500,0200,JEFFREY BELL 16740,A81000C,00500,0400,S/B ELMHURST 16740,A81000C,00500,0600,LESSOR 16740,A81000C,00600,0100,A 16740,A81000C,00600,0200,DAVID BELL 16740,A81000C,00600,0400,S/B ELMHURST 16740,A81000C,00600,0600,LESSOR 16740,A81000C,00700,0100,A 16740,A81000C,00700,0200,LARRY BELL 16740,A81000C,00700,0400,S/B ELMHURST 16740,A81000C,00700,0600,LESSOR 16740,A81000C,00800,0100,B 16740,A81000C,00800,0200,BELL INV PTSHP 16740,A81000C,00800,0400,S/B ELMHURST 16740,A81000C,00800,0600,LESSOR 16740,A81000C,00900,0100,B 16740,A81000C,00900,0200,J SAMATAS ROYAL 16740,A81000C,00900,0400,ROYAL MGMT CORP 16740,A81000C,00900,0600,MGMT CO 16740,A81000C,01000,0100,B 16740,A81000C,01000,0200,J SAMATAS ROYAL 16740,A81000C,01000,0400,ROYAL MGMT CORP 16740,A81000C,01000,0600,MGMT CO 16740,B100000,00000,0100,00000SQUARE FEET 16740,B100000,00000,0200,00000SQUARE FEET 16740,B100000,00000,0300,00000GROSS SALARIES 16740,B100000,00000,0400,00000ACCUM COST 16740,B100000,00000,0500,00000SQUARE FEET 16740,B100000,00000,0600,00000PATIENT DAYS 16740,B100000,00000,0700,00000SQUARE FEET 16740,B100000,00000,0800,00000MEALS SERVED 16740,B100000,00000,0900,00000HOURS OF SERVICE 16740,B100000,00000,1000,00000PATIENT DAYS 16740,B100000,00000,1100,00000COSTED REQUISITIO 16740,B100000,00000,1200,00000TIME SPENT 16740,B100000,00000,1300,00000PATIENT DAYS 16740,B100000,00000,1400,00000ASSIGNED TIME 16740,S000000,00100,0200,06/01/2000 16740,S200000,00100,0100,420 W. BUTTERFIELD ROAD 16740,S200000,00200,0100,ELMHURST 16740,S200000,00200,0200,IL 16740,S200000,00200,0300,60126 16740,S200000,00300,0100,DUPAGE 16740,S200000,00400,0100,LEXINGTON HCC - ELMHURST 16740,S200000,00400,0200,145711 16740,S200000,00400,0300,01/06/1992 16740,S200000,00400,0500,P 16740,S200000,01600,0100,Y 16746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16746,A000000,00300,0000,00300EMPLOYEE BENEFITS 16746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16746,A000000,00700,0000,00700HOUSEKEEPING 16746,A000000,00800,0000,00800DIETARY 16746,A000000,00900,0000,00900NURSING ADMINISTRATION 16746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16746,A000000,01100,0000,01100PHARMACY 16746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16746,A000000,01300,0000,01300SOCIAL SERVICE 16746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16746,A000000,01600,0000,01600SKILLED NURSING FACILITY 16746,A000000,01800,0000,01800NURSING FACILITY 16746,A000000,01810,0000,01810ICF/MR 16746,A000000,02200,0000,02200LABORATORY 16746,A000000,02500,0000,02500PHYSICAL THERAPY 16746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16746,A000000,02700,0000,02700SPEECH PATHOLOGY 16746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16746,A000000,03200,0000,03200SUPPORT SURFACES 16746,A000000,03550,0000,03550FQHC 16746,A000000,05000,0000,05000CORF 16746,A000000,05010,0000,05010CMHC 16746,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16746,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16746,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16746,A81000A,00100,0100,Y 16746,A81000B,00200,0300,HOME OFFICE 16746,A81000C,00200,0100,B 16746,A81000C,00200,0200,PREMIER MGT. 16746,B100000,00000,0100,00040SQUARE FEET 16746,B100000,00000,0200,00040SQUARE FEET 16746,B100000,00000,0300,00040GROSS SALARIES 16746,B100000,00000,0400,00040ACCUM COST 16746,B100000,00000,0500,00040SQUARE FEET 16746,B100000,00000,0600,00040PATIENT DAYS 16746,B100000,00000,0700,00040SQUARE FEET 16746,B100000,00000,0800,00040PATIENT DAYS 16746,B100000,00000,0900,00040PATIENT DAYS 16746,B100000,00000,1000,00040PATIENT DAYS 16746,B100000,00000,1100,00040COSTED REQUIS 16746,B100000,00000,1200,00040PATIENT DAYS 16746,B100000,00000,1300,00040PATIENT DAYS 16746,B100000,00000,1400,00040ASSIGNED TIME 16746,S000000,00100,0200,05/31/2000 16746,S200000,00400,0100,MOMENCE MEADOWS NURSING CENTER 16746,S200000,00400,0200,145713 16746,S200000,00400,0300,01/01/1989 16746,S200000,00400,0500,P 16746,S200000,01600,0100,Y 16759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16759,A000000,00300,0000,00300EMPLOYEE BENEFITS 16759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16759,A000000,00700,0000,00700HOUSEKEEPING 16759,A000000,00800,0000,00800DIETARY 16759,A000000,00900,0000,00900NURSING ADMINISTRATION 16759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16759,A000000,01100,0000,01100PHARMACY 16759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16759,A000000,01300,0000,01300SOCIAL SERVICE 16759,A000000,01350,0000,01500RECREATIONAL THERAPY 16759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16759,A000000,01600,0000,01600SKILLED NURSING FACILITY 16759,A000000,01800,0000,01800NURSING FACILITY 16759,A000000,01810,0000,01810ICF/MR 16759,A000000,02100,0000,02100RADIOLOGY 16759,A000000,02200,0000,02200LABORATORY 16759,A000000,02500,0000,02500PHYSICAL THERAPY 16759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16759,A000000,02700,0000,02700SPEECH PATHOLOGY 16759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16759,A000000,03550,0000,03550FQHC 16759,A000000,05000,0000,05000CORF 16759,A000000,05010,0000,05010CMHC 16759,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16759,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16759,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16759,A81000A,00100,0100,Y 16759,A81000B,00100,0300,MANAGEMENT FEES 16759,A81000B,00200,0300,HOME OFFICE EXPENSES 16759,A81000B,00300,0300,ANCILLARY ADM SVCS 16759,A81000B,00400,0300,BOOKKEEPING SVCS 16759,A81000B,00500,0300,ACCOUNTING FEES 16759,A81000B,00600,0300,ADVERTISING & PROMO 16759,A81000B,00700,0300,LEGAL FEES 16759,A81000B,00800,0300,DIETARY CONSULTANT 16759,A81000B,00900,0300,DATA PROCESSING 16759,A81000C,00100,0100,A 16759,A81000C,00100,0200,ERIC ROTHNER 16759,A81000C,00100,0400,CARE CENTERS I 16759,A81000C,00100,0600,MANAGEMENT CO. 16759,B100000,00000,0100,00000SQUARE FEET 16759,B100000,00000,0200,00000SQUARE FEET 16759,B100000,00000,0300,00000GROSS SALARIES 16759,B100000,00000,0400,00000ACCUM COST 16759,B100000,00000,0500,00000SQUARE FEET 16759,B100000,00000,0600,00000POUNDS OF LAUNDRY 16759,B100000,00000,0700,00000HOURS OF SERVICE 16759,B100000,00000,0800,00000MEALS SERVED 16759,B100000,00000,0900,00000DIRECT NRSG HRS 16759,B100000,00000,1000,00000COSTED REQUIS 16759,B100000,00000,1100,00000COSTED REQUIS 16759,B100000,00000,1200,00000TIME SPENT 16759,B100000,00000,1300,00000TIME SPENT 16759,B100000,00000,1350,00000PATIENT DAYS 16759,B100000,00000,1400,00000ASSIGNED TIME 16759,S000000,00100,0200,06/30/2000 16759,S200000,00100,0100,1325 MANCHESTER ROAD 16759,S200000,00200,0100,WHEATON 16759,S200000,00200,0200,IL 16759,S200000,00200,0300,60187 16759,S200000,00300,0100,COOK 16759,S200000,00400,0100,WHEATON CARE CENTER 16759,S200000,00400,0200,145715 16759,S200000,00400,0300,09/01/1993 16759,S200000,00400,0500,P 16759,S200000,00600,0200,145715 16759,S200000,00600,0300,09/01/1993 16759,S200000,00600,0600,P 16759,S200000,01600,0100,Y 16759,S200000,02200,0100,Y 16765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16765,A000000,00300,0000,00300EMPLOYEE BENEFITS 16765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16765,A000000,00700,0000,00700HOUSEKEEPING 16765,A000000,00800,0000,00800DIETARY 16765,A000000,00900,0000,00900NURSING ADMINISTRATION 16765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16765,A000000,01100,0000,01100PHARMACY 16765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16765,A000000,01300,0000,01300SOCIAL SERVICE 16765,A000000,01301,0000,01301ACTIVITES 16765,A000000,01350,0000,01500REHABILITATION 16765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16765,A000000,01600,0000,01600SKILLED NURSING FACILITY 16765,A000000,01800,0000,01800NURSING FACILITY 16765,A000000,01810,0000,01810ICF/MR 16765,A000000,02100,0000,02100RADIOLOGY 16765,A000000,02200,0000,02200LABORATORY 16765,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16765,A000000,02500,0000,02500PHYSICAL THERAPY 16765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16765,A000000,02700,0000,02700SPEECH PATHOLOGY 16765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16765,A000000,03050,0000,03300EQUIPMENT RENTAL 16765,A000000,03051,0000,03301PEN THERAPY 16765,A000000,03550,0000,03550FQHC 16765,A000000,05000,0000,05000CORF 16765,A000000,05010,0000,05010CMHC 16765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16765,A000000,06150,0000,06300VENDING 16765,A000000,06151,0000,06301STAND-BY 16765,A81000A,00100,0100,Y 16765,A81000B,00100,0300,HOME OFFICE ADMIN 16765,A81000B,00200,0300,NSG SUPPL/OSHA SUPP 16765,A81000B,00300,0300,HOME OFFICE CAPITAL 16765,A81000C,00100,0100,B 16765,A81000C,00100,0200,SPRINGFIELD PS# 16765,A81000C,00100,0400,MARINER PAN 16765,A81000C,00100,0600,NURSING HOMES 16765,A81000C,00200,0100,G 16765,A81000C,00200,0200,MARINER PAN 16765,A81000C,00200,0400,AMER PHARM SVCS 16765,A81000C,00200,0600,PHARMACEUTICALS 16765,A81000C,00300,0100,G 16765,A81000C,00300,0200,MARINER PAN 16765,A81000C,00300,0400,PRISM-ATS-ARS-T 16765,A81000C,00300,0600,THERAPIES 16765,B100000,00000,0100,00001SQUARE FEET 16765,B100000,00000,0200,00001SQUARE FEET 16765,B100000,00000,0300,00001GROSS SALARIES 16765,B100000,00000,0400,00001ACCUM COST 16765,B100000,00000,0500,00001SQUARE FEET 16765,B100000,00000,0600,00001PATIENT DAYS 16765,B100000,00000,0700,00001SQUARE FEET 16765,B100000,00000,0800,00001MEALS SERVED 16765,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 16765,B100000,00000,1000,00001COSTED REQUISITIO 16765,B100000,00000,1100,00001COSTED REQUIS 16765,B100000,00000,1200,00001PATIENT DAYS 16765,B100000,00000,1300,00001PATIENT DAYS 16765,B100000,00000,1301,00001PATIENT DAYS 16765,B100000,00000,1350,00001UNITS OF SERVICE 16765,B100000,00000,1400,00001ASSIGNED TIME 16765,E10A180,00551,0300,06/02/2000 16765,S000000,00100,0200,06/02/2000 16765,S200000,00100,0100,2800 LAWRENCE AVE. 16765,S200000,00200,0100,SPRINGFIELD 16765,S200000,00200,0200,IL 16765,S200000,00200,0300,62704 16765,S200000,00300,0100,SANGAMON 16765,S200000,00400,0100,SPRINGFIELD HEALTHCARE CENTER 16765,S200000,00400,0200,145716 16765,S200000,00400,0300,04/01/1992 16765,S200000,00400,0500,P 16765,S200000,01600,0100,Y 16765,S200000,02200,0100,Y 16772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16772,A000000,00300,0000,00300EMPLOYEE BENEFITS 16772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16772,A000000,00700,0000,00700HOUSEKEEPING 16772,A000000,00800,0000,00800DIETARY 16772,A000000,00900,0000,00900NURSING ADMINISTRATION 16772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16772,A000000,01100,0000,01100PHARMACY 16772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16772,A000000,01300,0000,01300SOCIAL SERVICE 16772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16772,A000000,01600,0000,01600SKILLED NURSING FACILITY 16772,A000000,01800,0000,01800NURSING FACILITY 16772,A000000,01810,0000,01810ICF/MR 16772,A000000,02100,0000,02100RADIOLOGY 16772,A000000,02200,0000,02200LABORATORY 16772,A000000,02500,0000,02500PHYSICAL THERAPY 16772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16772,A000000,02700,0000,02700SPEECH PATHOLOGY 16772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16772,A000000,03550,0000,03550FQHC 16772,A000000,04800,0000,04800AMBULANCE 16772,A000000,05000,0000,05000CORF 16772,A000000,05010,0000,05010CMHC 16772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16772,A000000,05300,0000,05300INTEREST EXPENSE 16772,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16772,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16772,B100000,00000,0100,00000SQUARE FEET 16772,B100000,00000,0200,00000SQUARE FEET 16772,B100000,00000,0300,00000GROSS SALARIES 16772,B100000,00000,0400,00000ACCUM COST 16772,B100000,00000,0500,00000SQUARE FEET 16772,B100000,00000,0600,00000POUNDS OF LAUNDRY 16772,B100000,00000,0700,00000SQUARE FEET 16772,B100000,00000,0800,00000MEALS SERVED 16772,B100000,00000,0900,00000GROSS SAL. NURSING 16772,B100000,00000,1000,00000COSTED REQUISITIO 16772,B100000,00000,1100,00000COSTED REQUISITIO 16772,B100000,00000,1200,00000GROSS REVENUES 16772,B100000,00000,1300,00000PATIENT DAYS 16772,B100000,00000,1400,00000ASSIGNED TIME 16772,S000000,00100,0200,06/01/2000 16772,S200000,00100,0100,253 BRADINGTON DRIVE 16772,S200000,00200,0100,COLUMBIA 16772,S200000,00200,0200,IL 16772,S200000,00200,0300,62236 16772,S200000,00300,0100,MONROE 16772,S200000,00400,0100,COLUMBIA CONVALESCENT CENTER 16772,S200000,00400,0200,145717 16772,S200000,00400,0300,02/06/1992 16772,S200000,00400,0500,P 16772,S200000,01600,0100,Y 16779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16779,A000000,00300,0000,00300EMPLOYEE BENEFITS 16779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16779,A000000,00700,0000,00700HOUSEKEEPING 16779,A000000,00800,0000,00800DIETARY 16779,A000000,00900,0000,00900NURSING ADMINISTRATION 16779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16779,A000000,01100,0000,01100PHARMACY 16779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16779,A000000,01300,0000,01300SOCIAL SERVICE 16779,A000000,01350,0000,01500ACTIVITIES 16779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16779,A000000,01600,0000,01600SKILLED NURSING FACILITY 16779,A000000,01800,0000,01800NURSING FACILITY 16779,A000000,01810,0000,01810ICF/MR 16779,A000000,02200,0000,02200LABORATORY 16779,A000000,02500,0000,02500PHYSICAL THERAPY 16779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16779,A000000,02700,0000,02700SPEECH PATHOLOGY 16779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16779,A000000,03550,0000,03550FQHC 16779,A000000,05000,0000,05000CORF 16779,A000000,05010,0000,05010CMHC 16779,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16779,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16779,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16779,A81000A,00100,0100,Y 16779,A81000B,00100,0300,RENT 16779,A81000B,00200,0300,HOME OFFICE B&F COSTS 16779,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 16779,A81000B,00400,0300,HOME OFFICE A&G COSTS 16779,A81000B,00500,0300,NURSING ADMIN 16779,A81000C,00100,0100,A 16779,A81000C,00100,0200,DONALD FIKE 16779,A81000C,00100,0400,RFMS INC 16779,A81000C,00100,0600,MANAGEMENT SERVICES 16779,A81000C,00200,0100,A 16779,A81000C,00200,0200,DONALD FIKE 16779,A81000C,00200,0400,ILLINI MANOR INC. 16779,A81000C,00200,0600,FACILITY RENTAL 16779,B100000,00000,0100,00000SQUARE FEET 16779,B100000,00000,0200,00000SQUARE FEET 16779,B100000,00000,0300,00000GROSS SALARIES 16779,B100000,00000,0400,00000ACCUM. COST 16779,B100000,00000,0500,00000SQUARE FEET 16779,B100000,00000,0600,00000PATIENT DAYS 16779,B100000,00000,0700,00000SQUARE FEET 16779,B100000,00000,0800,00000PATIENT DAYS 16779,B100000,00000,0900,00000GROSS WAGES 16779,B100000,00000,1000,00000CENTRAL SUPPLY 16779,B100000,00000,1100,00000COSTED REQUIS. 16779,B100000,00000,1200,00000TIME SPENT 16779,B100000,00000,1300,00000PATIENT DAYS 16779,B100000,00000,1350,00000PATIENT DAYS 16779,B100000,00000,1400,00000ASSIGNED TIME 16779,S000000,00100,0200,06/01/2000 16779,S200000,00100,0100,2101 JAMES STREET 16779,S200000,00200,0100,LAWRENCEVILLE 16779,S200000,00200,0200,IL 16779,S200000,00200,0300,62439 16779,S200000,00300,0100,LAWRENCE 16779,S200000,00400,0100,LAWRENCEVILLE NURSING FACILITY 16779,S200000,00400,0200,145722 16779,S200000,00400,0300,02/20/1992 16779,S200000,00400,0500,P 16779,S200000,01600,0100,Y 16793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16793,A000000,00300,0000,00300EMPLOYEE BENEFITS 16793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16793,A000000,00700,0000,00700HOUSEKEEPING 16793,A000000,00800,0000,00800DIETARY 16793,A000000,00900,0000,00900NURSING ADMINISTRATION 16793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16793,A000000,01100,0000,01100PHARMACY 16793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16793,A000000,01300,0000,01300SOCIAL SERVICE 16793,A000000,01350,0000,01500ACTIVITIES 16793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16793,A000000,01600,0000,01600SKILLED NURSING FACILITY 16793,A000000,01800,0000,01800NURSING FACILITY 16793,A000000,01810,0000,01810ICF/MR 16793,A000000,02100,0000,02100RADIOLOGY 16793,A000000,02500,0000,02500PHYSICAL THERAPY 16793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16793,A000000,02700,0000,02700SPEECH PATHOLOGY 16793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16793,A000000,03550,0000,03550FQHC 16793,A000000,05000,0000,05000CORF 16793,A000000,05010,0000,05010CMHC 16793,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16793,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16793,A81000A,00100,0100,Y 16793,A81000B,00100,0300,RENT 16793,A81000B,00200,0300,HOME OFFICE B&F COSTS 16793,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 16793,A81000B,00400,0300,HOME OFFICE A&G COSTS 16793,A81000B,00500,0300,NURSING ADMIN 16793,A81000C,00100,0100,A 16793,A81000C,00100,0200,DONALD FIKE 16793,A81000C,00100,0400,RFMS INC. 16793,A81000C,00100,0600,MANAGEMENT SERVICES 16793,A81000C,00200,0100,A 16793,A81000C,00200,0200,DONALD FIKE 16793,A81000C,00200,0400,ILLINI MANOR INC. 16793,A81000C,00200,0600,FACILITY RENTAL 16793,B100000,00000,0100,00000SQUARE FEET 16793,B100000,00000,0200,00000SQUARE FEET 16793,B100000,00000,0300,00000GROSS SALARIES 16793,B100000,00000,0400,00000ACCUM. COST 16793,B100000,00000,0500,00000SQUARE FEET 16793,B100000,00000,0600,00000PATIENT DAYS 16793,B100000,00000,0700,00000SQUARE FEET 16793,B100000,00000,0800,00000PATIENT DAYS 16793,B100000,00000,0900,00000GROSS WAGES 16793,B100000,00000,1000,00000NO STATISTICS 16793,B100000,00000,1100,00000COSTED REQUIS. 16793,B100000,00000,1200,00000TIME SPENT 16793,B100000,00000,1300,00000PATIENT DAYS 16793,B100000,00000,1350,00000PATIENT DAYS 16793,B100000,00000,1400,00000ASSIGNED TIME 16793,S000000,00100,0200,06/01/2000 16793,S200000,00100,0100,700 VADALABENE DRIVE 16793,S200000,00200,0100,MARYVILLE 16793,S200000,00200,0200,IL 16793,S200000,00200,0300,62062 16793,S200000,00300,0100,MADISON 16793,S200000,00400,0100,MARYVILLE MANOR 16793,S200000,00400,0200,145728 16793,S200000,00400,0300,03/19/1992 16793,S200000,00400,0500,P 16793,S200000,01600,0100,Y 16803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16803,A000000,00300,0000,00300EMPLOYEE BENEFITS 16803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16803,A000000,00700,0000,00700HOUSEKEEPING 16803,A000000,00800,0000,00800DIETARY 16803,A000000,00900,0000,00900NURSING ADMINISTRATION 16803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16803,A000000,01100,0000,01100PHARMACY 16803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16803,A000000,01300,0000,01300SOCIAL SERVICE 16803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16803,A000000,01600,0000,01600SKILLED NURSING FACILITY 16803,A000000,01800,0000,01800NURSING FACILITY 16803,A000000,01810,0000,01810ICF/MR 16803,A000000,02100,0000,02100RADIOLOGY 16803,A000000,02200,0000,02200LABORATORY 16803,A000000,02500,0000,02500PHYSICAL THERAPY 16803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16803,A000000,02700,0000,02700SPEECH PATHOLOGY 16803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16803,A000000,03200,0000,03200SUPPORT SURFACES 16803,A000000,03550,0000,03550FQHC 16803,A000000,05000,0000,05000CORF 16803,A000000,05010,0000,05010CMHC 16803,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16803,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16803,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16803,A000000,06150,0000,06300DAY CARE 16803,A000000,06151,0000,06301ASSISTED LIVING 16803,A000000,06152,0000,06302INDEPENDENT LIVING 16803,A81000A,00100,0100,Y 16803,A81000B,00100,0300,DIV ADMIN SUPPORT 16803,A81000B,00200,0300,OTHER DIV WAGES 16803,A81000B,00300,0300,CATH CHAR ADMIN SUPP 16803,A81000B,00400,0300,OTHER DIV EXPENSE 16803,A81000C,00100,0100,A 16803,A81000C,00100,0400,CATHOLIC CHARIT 16803,B100000,00000,0100,00002SQUARE FEET 16803,B100000,00000,0200,00002SQUARE FEET 16803,B100000,00000,0300,00002GROSS SALARIES 16803,B100000,00000,0400,00002ACCUM COST 16803,B100000,00000,0500,00002SQUARE FEET 16803,B100000,00000,0600,00002PATIENT DAYS 16803,B100000,00000,0700,00002SQUARE FEET 16803,B100000,00000,0800,00002MEALS SERVED 16803,B100000,00000,0900,00002DIRECT NRSG HRS 16803,B100000,00000,1000,00002PATIENT DAYS 16803,B100000,00000,1100,00002COSTED REQUIS 16803,B100000,00000,1200,00002PATIENT DAYS 16803,B100000,00000,1300,00002PATIENT DAYS 16803,B100000,00000,1400,00002ASSIGNED TIME 16803,S000000,00100,0200,08/11/2000 16803,S200000,00100,0100,6930 W. TOUHY AVENUE 16803,S200000,00200,0100,NILES 16803,S200000,00200,0200,IL 16803,S200000,00200,0300,60714 16803,S200000,00300,0100,COOK 16803,S200000,00400,0100,ST. BENEDICTS HOME FOR THE AGED 16803,S200000,00400,0200,145731 16803,S200000,00400,0300,08/01/1992 16803,S200000,00400,0500,P 16803,S200000,01600,0100,Y 16811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16811,A000000,00300,0000,00300EMPLOYEE BENEFITS 16811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16811,A000000,00700,0000,00700HOUSEKEEPING 16811,A000000,00800,0000,00800DIETARY 16811,A000000,00900,0000,00900NURSING ADMINISTRATION 16811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16811,A000000,01100,0000,01100PHARMACY 16811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16811,A000000,01300,0000,01300SOCIAL SERVICE 16811,A000000,01350,0000,01500ACTIVITIES 16811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16811,A000000,01600,0000,01600SKILLED NURSING FACILITY 16811,A000000,01800,0000,01800NURSING FACILITY 16811,A000000,01810,0000,01810ICF/MR 16811,A000000,02100,0000,02100RADIOLOGY 16811,A000000,02200,0000,02200LABORATORY 16811,A000000,02500,0000,02500PHYSICAL THERAPY 16811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16811,A000000,02700,0000,02700SPEECH PATHOLOGY 16811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16811,A000000,03550,0000,03550FQHC 16811,A000000,05000,0000,05000CORF 16811,A000000,05010,0000,05010CMHC 16811,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16811,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16811,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16811,A81000A,00100,0100,Y 16811,A81000B,00100,0300,RENT 16811,A81000B,00200,0300,HOME OFFICE BLDG COSTS 16811,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 16811,A81000B,00400,0300,HOME OFFICE A&G COSTS 16811,A81000B,00500,0300,NURSING ADMIN 16811,A81000C,00100,0100,A 16811,A81000C,00100,0200,DONALD FIKE 16811,A81000C,00100,0400,RFMS INC 16811,A81000C,00100,0600,MANAGEMENT SERVICES 16811,A81000C,00200,0100,A 16811,A81000C,00200,0200,DONALD FIKE 16811,A81000C,00200,0400,ILLINI MANOR INC 16811,A81000C,00200,0600,FACILITY RENTAL 16811,A81000C,00300,0100,A 16811,A81000C,00300,0200,DONALD FIKE 16811,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 16811,A81000C,00300,0600,VEHICLE RENTAL 16811,B100000,00000,0100,00000SQUARE FEET 16811,B100000,00000,0200,00000SQUARE FEET 16811,B100000,00000,0300,00000GROSS SALARIES 16811,B100000,00000,0400,00000ACCUM. COST 16811,B100000,00000,0500,00000SQUARE FEET 16811,B100000,00000,0600,00000PATIENT DAYS 16811,B100000,00000,0700,00000SQUARE FEET 16811,B100000,00000,0800,00000PATIENT DAYS 16811,B100000,00000,0900,00000GROSS WAGES 16811,B100000,00000,1000,00000NO STATISTICS 16811,B100000,00000,1100,00000COSTED REQUIS. 16811,B100000,00000,1200,00000TIME SPENT 16811,B100000,00000,1300,00000PATIENT DAYS 16811,B100000,00000,1350,00000PATIENT DAYS 16811,B100000,00000,1400,00000ASSIGNED TIME 16811,S000000,00100,0200,06/01/2000 16811,S200000,00100,0100,1251 NORTH STATE STREET 16811,S200000,00200,0100,JERSEYVILLE 16811,S200000,00200,0200,IL 16811,S200000,00200,0300,62052 16811,S200000,00300,0100,JERSEY 16811,S200000,00400,0100,JERSEYVILLE MANOR 16811,S200000,00400,0200,145733 16811,S200000,00400,0300,09/01/1992 16811,S200000,00400,0500,P 16811,S200000,01600,0100,Y 16818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16818,A000000,00300,0000,00300EMPLOYEE BENEFITS 16818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16818,A000000,00700,0000,00700HOUSEKEEPING 16818,A000000,00800,0000,00800DIETARY 16818,A000000,00900,0000,00900NURSING ADMINISTRATION 16818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16818,A000000,01100,0000,01100PHARMACY 16818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16818,A000000,01300,0000,01300SOCIAL SERVICE 16818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16818,A000000,01600,0000,01600SKILLED NURSING FACILITY 16818,A000000,01800,0000,01800NURSING FACILITY 16818,A000000,01810,0000,01810ICF/MR 16818,A000000,02100,0000,02100RADIOLOGY 16818,A000000,02200,0000,02200LABORATORY 16818,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16818,A000000,02500,0000,02500PHYSICAL THERAPY 16818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16818,A000000,02700,0000,02700SPEECH PATHOLOGY 16818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16818,A000000,03550,0000,03550FQHC 16818,A000000,05000,0000,05000CORF 16818,A000000,05010,0000,05010CMHC 16818,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16818,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16818,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16818,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16818,A81000A,00100,0100,Y 16818,A81000B,00100,0300,IR/D EMP HEALTH SRV 16818,A81000B,00200,0300,I/C-PROFESS FEE-PAI 16818,A81000B,00300,0300,I/D-INTEREST EXPENSE 16818,A81000B,00400,0300,I/D ACTG SERV-IN 16818,A81000B,00500,0300,IRD PRINTING SER IN 16818,A81000B,00600,0300,INTRNL STAFFING AGEN 16818,A81000B,00700,0300,I/C-ECC/HIS INTERCO 16818,A81000B,00800,0300,INTERDIV-TRANSFER 16818,A81000B,00900,0300,I/D-SUBACUTE REHAB 16818,A81000B,01000,0300,CORP SVCES-ADMIN 16818,A81000B,01100,0300,CORPORATE CAPITAL 16818,A81000B,01200,0300,CORPORATE BENEFITS 16818,A81000B,01300,0300,CORPORATE DATA PRO. 16818,A81000B,01400,0300,CORPORATE NON-CAPITA 16818,A81000C,00100,0100,B 16818,A81000C,00100,0400,ADVOCATE ECD 16818,A81000C,00100,0600,HEALTHCARE 16818,A81000C,00200,0100,C 16818,A81000C,00200,0400,ADVOCATE OBSC 16818,A81000C,00200,0600,HEALTHCARE 16818,B100000,00000,0100,00000SQUARE FEET 16818,B100000,00000,0200,00000SQUARE FEET 16818,B100000,00000,0300,00000GROSS SALARIES 16818,B100000,00000,0400,00000ACCUM COST 16818,B100000,00000,0500,00000SQUARE FEET 16818,B100000,00000,0600,00000PATIENT DAYS 16818,B100000,00000,0700,00000SQUARE FEET 16818,B100000,00000,0800,00000MEALS SERVED 16818,B100000,00000,0900,00000NURSING HOURS 16818,B100000,00000,1000,00000PATIENT DAYS 16818,B100000,00000,1100,00000COSTED REQUIS 16818,B100000,00000,1200,00000PATIENT DAYS 16818,B100000,00000,1300,00000PATIENT DAYS 16818,B100000,00000,1400,00000ASSIGNED TIME 16818,E10A180,00550,0300,05/19/2000 16818,S000000,00100,0200,05/18/2000 16818,S200000,00100,0100,10124 SOUTH KEDZIE AVENUE 16818,S200000,00200,0100,EVERGREEN PARK 16818,S200000,00200,0200,IL 16818,S200000,00200,0300,60642 16818,S200000,00300,0100,COOK 16818,S200000,00400,0100,ADVOCATE TRANSITIONAL CARE CENTER 16818,S200000,00400,0200,145734 16818,S200000,00400,0300,07/15/1992 16818,S200000,00400,0500,P 16818,S200000,01600,0100,Y 16818,S200000,02800,0100,Y 16827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16827,A000000,00300,0000,00300EMPLOYEE BENEFITS 16827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16827,A000000,00700,0000,00700HOUSEKEEPING 16827,A000000,00800,0000,00800DIETARY 16827,A000000,00900,0000,00900NURSING ADMINISTRATION 16827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16827,A000000,01100,0000,01100PHARMACY 16827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16827,A000000,01300,0000,01300SOCIAL SERVICE 16827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16827,A000000,01600,0000,01600SKILLED NURSING FACILITY 16827,A000000,01800,0000,01800NURSING FACILITY 16827,A000000,01810,0000,01810ICF/MR 16827,A000000,02100,0000,02100RADIOLOGY 16827,A000000,02200,0000,02200LABORATORY 16827,A000000,02300,0000,02300INTRAVENOUS THERAPY 16827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16827,A000000,02500,0000,02500PHYSICAL THERAPY 16827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16827,A000000,02700,0000,02700SPEECH PATHOLOGY 16827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16827,A000000,03200,0000,03200SUPPORT SURFACES 16827,A000000,03550,0000,03550FQHC 16827,A000000,05000,0000,05000CORF 16827,A000000,05010,0000,05010CMHC 16827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16827,A000000,06150,0000,06300VA DOCTORS 16827,A81000A,00100,0100,Y 16827,A81000B,00100,0300,CICERO ASS:BLDG RENT 16827,A81000B,00200,0300,PYR: TUBE FEEDING 16827,A81000B,00300,0300,PYR: URO/OST SUPPLY 16827,A81000B,00400,0300,PYR: NURSING SUPPLY 16827,A81000B,00500,0300,PYR: ADMIN/GENL 16827,A81000B,00600,0300,AMS: RENT/CAPITAL 16827,A81000B,00700,0300,AMS: EMPLYEE BENEF 16827,A81000B,00800,0300,AMS: ADMIN/GENL 16827,A81000B,01100,0300,CPT: RESPIRATORY THE 16827,A81000B,01200,0300,CPT: PHYSICAL THERAP 16827,A81000B,01300,0300,CPT: OCCUP. THERAPY 16827,A81000B,01400,0300,CPT: SPEECH THERAPY 16827,A81000B,01500,0300,FECII:DRUGS 16827,A81000B,01600,0300,FECII:I.V.SUPPLIES 16827,A81000B,01700,0300,FECII:GENL/ADMIN 16827,A81000B,01800,0300,FECII:HOUSE STOCK 16827,A81000C,00100,0100,B 16827,A81000C,00100,0200,ALDEN MGT SERV 16827,A81000C,00100,0400,ALDEN MANAGEMEN 16827,A81000C,00100,0600,MANAGEMENT SERV 16827,A81000C,00200,0100,F 16827,A81000C,00200,0200,FLOYD SCHLOSSBE 16827,A81000C,00200,0400,FORUM PROF. CEN 16827,A81000C,00200,0600,OFFICE BLDG 16827,A81000C,00300,0100,B 16827,A81000C,00300,0200,ALDEN MGT SERV 16827,A81000C,00300,0400,PYRAMID HEALTHC 16827,A81000C,00300,0600,MEDICAL SUPPLIE 16827,A81000C,00400,0100,B 16827,A81000C,00400,0200,ALDEN MGT SERV 16827,A81000C,00400,0400,FORUM EXT. CARE 16827,A81000C,00400,0600,PHARMACY 16827,A81000C,00500,0100,B 16827,A81000C,00500,0200,FLOYD SCHLOSSBE 16827,A81000C,00500,0400,CICERO ASSOC. 16827,A81000C,00500,0600,BLDG OWNERSHIP 16827,A81000C,00600,0100,B 16827,A81000C,00600,0200,ALDEN MGT SERV 16827,A81000C,00600,0400,IL. HOME THERAP 16827,A81000C,00600,0600,THERAPY CO. 16827,B100000,00000,0100,00000SQUARE FEET 16827,B100000,00000,0200,00000SQUARE FEET 16827,B100000,00000,0300,00000GROSS SALARIES 16827,B100000,00000,0400,00000ACCUM COST 16827,B100000,00000,0500,00000SQUARE FEET 16827,B100000,00000,0600,00000POUNDS OF LAUNDRY 16827,B100000,00000,0700,00000HOURS OF SERVICE 16827,B100000,00000,0800,00000MEALS SERVED 16827,B100000,00000,0900,00000DIRECT NRSG HRS 16827,B100000,00000,1000,00000COSTED REQUIS 16827,B100000,00000,1100,00000COSTED REQUIS 16827,B100000,00000,1200,00000TIME SPENT 16827,B100000,00000,1300,00000TIME SPENT 16827,B100000,00000,1400,00000ASSIGNED TIME 16827,S000000,00100,0200,06/14/2000 16827,S200000,00100,0100,6120 W. OGDEN 16827,S200000,00200,0100,CICERO 16827,S200000,00200,0200,IL 16827,S200000,00300,0100,COOK 16827,S200000,00400,0100,ALDEN NURSING CENTER TOWN MANOR 16827,S200000,00400,0200,145736 16827,S200000,00400,0300,09/16/1992 16827,S200000,00400,0500,P 16827,S200000,00400,0600,O 16827,S200000,01600,0100,Y 16827,S200000,01800,0100,Y 16827,S200000,02200,0100,Y 16833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16833,A000000,00300,0000,00300EMPLOYEE BENEFITS 16833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16833,A000000,00700,0000,00700HOUSEKEEPING 16833,A000000,00800,0000,00800DIETARY 16833,A000000,00900,0000,00900NURSING ADMINISTRATION 16833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16833,A000000,01100,0000,01100PHARMACY 16833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16833,A000000,01300,0000,01300SOCIAL SERVICE 16833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16833,A000000,01600,0000,01600SKILLED NURSING FACILITY 16833,A000000,01800,0000,01800NURSING FACILITY 16833,A000000,01810,0000,01810ICF/MR 16833,A000000,02200,0000,02200LABORATORY 16833,A000000,02500,0000,02500PHYSICAL THERAPY 16833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16833,A000000,02700,0000,02700SPEECH PATHOLOGY 16833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16833,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16833,A000000,03550,0000,03550FQHC 16833,A000000,05000,0000,05000CORF 16833,A000000,05010,0000,05010CMHC 16833,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16833,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16833,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16833,A000000,05300,0000,05300INTEREST EXPENSE 16833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16833,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16833,A81000A,00100,0100,Y 16833,A81000B,00100,0300,RENTAL INCOME 16833,A81000B,00200,0300,DEPRECIATION 16833,A81000B,00300,0300,INTEREST EXPENSE 16833,A81000B,00400,0300,REAL ESTATE TAXES 16833,A81000B,00500,0300,AMORT. LOAN COSTS 16833,A81000B,00600,0300,STATE REPLACEMENT TAX 16833,A81000B,00700,0300,BANK CHARGES 16833,A81000B,00800,0300,PROFESSIONAL FEES 16833,A81000B,00900,0300,MISCELLANEOUS EXPENSE 16833,A81000B,01000,0300,CAPITAL COSTS - ROYAL MGMT 16833,A81000B,01100,0300,G&A COSTS - ROYAL MGMT 16833,A81000C,00100,0100,B 16833,A81000C,00100,0200,J SAMATAS TRUST 16833,A81000C,00100,0400,SAMBELL OF LAGR 16833,A81000C,00100,0600,LESSOR 16833,A81000C,00200,0100,B 16833,A81000C,00200,0200,J SAMATAS TRUST 16833,A81000C,00200,0400,SAMBELL OF LAGR 16833,A81000C,00200,0600,LESSOR 16833,A81000C,00300,0100,B 16833,A81000C,00300,0200,C THIEM TRUST 16833,A81000C,00300,0400,SAMBELL OF LAGR 16833,A81000C,00300,0600,LESSOR 16833,A81000C,00400,0100,A 16833,A81000C,00400,0200,JAMES BELL 16833,A81000C,00400,0400,SAMBELL OF LAGR 16833,A81000C,00400,0600,LESSOR 16833,A81000C,00500,0100,A 16833,A81000C,00500,0200,JEFFREY BELL 16833,A81000C,00500,0400,SAMBELL OF LAGR 16833,A81000C,00500,0600,LESSOR 16833,A81000C,00600,0100,A 16833,A81000C,00600,0200,DAVID BELL 16833,A81000C,00600,0400,SAMBELL OF LAGR 16833,A81000C,00600,0600,LESSOR 16833,A81000C,00700,0100,A 16833,A81000C,00700,0200,LAWRENCE BELL 16833,A81000C,00700,0400,SAMBELL OF LAGR 16833,A81000C,00700,0600,LESSOR 16833,A81000C,00800,0100,B 16833,A81000C,00800,0200,BELL INVST PTSP 16833,A81000C,00800,0400,SAMBELL OF LAGR 16833,A81000C,00800,0600,LESSOR 16833,A81000C,00900,0100,B 16833,A81000C,00900,0200,J SAMATAS ROYAL 16833,A81000C,00900,0400,ROYAL MGMT CO. 16833,A81000C,00900,0600,MGMT CO 16833,A81000C,01000,0100,B 16833,A81000C,01000,0200,J SAMATAS ROYAL 16833,A81000C,01000,0400,ROYAL MGMT CO. 16833,A81000C,01000,0600,MGMT CO 16833,B100000,00000,0100,00000SQUARE FEET 16833,B100000,00000,0200,00000SQUARE FEET 16833,B100000,00000,0300,00000GROSS SALARIES 16833,B100000,00000,0400,00000ACCUM COST 16833,B100000,00000,0500,00000SQUARE FEET 16833,B100000,00000,0600,00000PATIENT DAYS 16833,B100000,00000,0700,00000SQUARE FEET 16833,B100000,00000,0800,00000MEALS SERVED 16833,B100000,00000,0900,00000HOURS OF SERVICE 16833,B100000,00000,1000,00000PATIENT DAYS 16833,B100000,00000,1100,00000COSTED REQUISITIO 16833,B100000,00000,1200,00000PATIENT DAYS 16833,B100000,00000,1300,00000PATIENT DAYS 16833,B100000,00000,1400,00000ASSIGNED TIME 16833,S000000,00100,0200,06/01/2000 16833,S200000,00100,0100,4735 WILLOW SPRINGS ROAD 16833,S200000,00200,0100,LAGRANGE 16833,S200000,00200,0200,IL 16833,S200000,00200,0300,60525 16833,S200000,00300,0100,COOK 16833,S200000,00400,0100,LEXINGTON HCC - LAGRANGE 16833,S200000,00400,0200,145737 16833,S200000,00400,0300,09/07/1992 16833,S200000,00400,0500,P 16833,S200000,01600,0100,Y 16844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16844,A000000,00300,0000,00300EMPLOYEE BENEFITS 16844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16844,A000000,00700,0000,00700HOUSEKEEPING 16844,A000000,00800,0000,00800DIETARY 16844,A000000,00900,0000,00900NURSING ADMINISTRATION 16844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16844,A000000,01100,0000,01100PHARMACY 16844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16844,A000000,01300,0000,01300SOCIAL SERVICE 16844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16844,A000000,01600,0000,01600SKILLED NURSING FACILITY 16844,A000000,01800,0000,01800NURSING FACILITY 16844,A000000,01810,0000,01810ICF/MR 16844,A000000,01900,0000,01900OTHER LONG TERM CARE 16844,A000000,02100,0000,02100RADIOLOGY 16844,A000000,02200,0000,02200LABORATORY 16844,A000000,02500,0000,02500PHYSICAL THERAPY 16844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16844,A000000,02700,0000,02700SPEECH PATHOLOGY 16844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16844,A000000,03550,0000,03550FQHC 16844,A000000,04800,0000,04800AMBULANCE 16844,A000000,05000,0000,05000CORF 16844,A000000,05010,0000,05010CMHC 16844,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16844,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16844,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16844,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16844,A81000A,00100,0100,Y 16844,A81000B,00100,0300,LHSA 16844,A81000B,00200,0300,LHSA 16844,A81000B,00300,0300,LHSA 16844,A81000B,00400,0300,LHSA 16844,A81000B,00500,0300,LHSA 16844,A81000B,00600,0300,LHSA 16844,A81000B,00700,0300,LHSA 16844,A81000B,00800,0300,LFA 16844,A81000B,00900,0300,LFA 16844,A81000B,01000,0300,LFA 16844,A81000B,01100,0300,LFA 16844,A81000B,01200,0300,INTERIOR DESIGN 16844,A81000B,01300,0300,PHARMACY 16844,A81000B,01400,0300,PHARMACY 16844,A81000B,01500,0300,THERAPY 16844,A81000B,01600,0300,THERAPY 16844,A81000B,01700,0300,THERAPY 16844,A81000C,00100,0100,B 16844,A81000C,00100,0400,LUTHERAN HOME A 16844,A81000C,00100,0600,PARENT 16844,A81000C,00200,0100,B 16844,A81000C,00200,0400,LUTHERAN FOUNDA 16844,A81000C,00200,0600,FUNDRAISING CO 16844,A81000C,00300,0100,E 16844,A81000C,00300,0400,PENNY PAULSBERG 16844,A81000C,00300,0600,INTERIOR DESIGN 16844,A81000C,00400,0100,E 16844,A81000C,00400,0400,SUNSCRIPT PHARM 16844,A81000C,00400,0600,PHARMACY 16844,A81000C,00500,0100,E 16844,A81000C,00500,0400,ALLIANCE REHAB 16844,A81000C,00500,0600,REHAB. 16844,B100000,00000,0100,00000SQUARE FEET 16844,B100000,00000,0200,00000SQUARE FEET 16844,B100000,00000,0300,00000GROSS SALARIES 16844,B100000,00000,0400,00000ACCUM COST 16844,B100000,00000,0500,00000SQUARE FEET 16844,B100000,00000,0600,00000PATIENT DAYS 16844,B100000,00000,0700,00000SQUARE FEET 16844,B100000,00000,0800,00000MEALS SERVED 16844,B100000,00000,0900,00000DIRECT NRSG HRS 16844,B100000,00000,1000,00000PATIENT DAYS 16844,B100000,00000,1100,00000COSTED REQUIS 16844,B100000,00000,1200,00000PATIENT DAYS 16844,B100000,00000,1300,00000PATIEN DAYS 16844,B100000,00000,1400,00000ASSIGNED TIME 16844,S000000,00100,0200,12/04/2000 16844,S200000,00100,0100,800 WEST OAKTON STREET 16844,S200000,00200,0100,ARLINGTON HEIGHTS 16844,S200000,00200,0200,IL 16844,S200000,00200,0300,60004 16844,S200000,00300,0100,C 16844,S200000,00400,0100,LUTHERAN HOME FOR THE AGED 16844,S200000,00400,0200,145739 16844,S200000,00400,0300,12/17/1992 16844,S200000,00400,0500,P 16844,S200000,00400,0600,O 16844,S200000,01600,0100,Y 16844,S200000,01900,0100,CORPORATE-NOT FOR PROFIT 16844,S200000,04700,0100,Y 16854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16854,A000000,00300,0000,00300EMPLOYEE BENEFITS 16854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16854,A000000,00700,0000,00700HOUSEKEEPING 16854,A000000,00800,0000,00800DIETARY 16854,A000000,00900,0000,00900NURSING ADMINISTRATION 16854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16854,A000000,01100,0000,01100PHARMACY 16854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16854,A000000,01300,0000,01300SOCIAL SERVICE 16854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16854,A000000,01600,0000,01600SKILLED NURSING FACILITY 16854,A000000,01800,0000,01800NURSING FACILITY 16854,A000000,01810,0000,01810ICF/MR 16854,A000000,02200,0000,02200LABORATORY 16854,A000000,02500,0000,02500PHYSICAL THERAPY 16854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16854,A000000,02700,0000,02700SPEECH PATHOLOGY 16854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16854,A000000,03200,0000,03200SUPPORT SURFACES 16854,A000000,03550,0000,03550FQHC 16854,A000000,05000,0000,05000CORF 16854,A000000,05010,0000,05010CMHC 16854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16854,A000000,06001,0000,06001CATHOLIC HOME CARE EXPENSE 16854,A81000A,00100,0100,Y 16854,A81000B,00100,0300,DIV ADMIN SUPPORT 16854,A81000B,00200,0300,DIV OTHER WAGES 16854,A81000B,00300,0300,CC ADMIN SUPPORT 16854,A81000B,00400,0300,DIV OTHER EXPENSE 16854,A81000C,00100,0100,A 16854,A81000C,00100,0200,CATHOLIC CHARIT 16854,B100000,00000,0100,00001SQUARE FEET 16854,B100000,00000,0200,00001SQUARE FEET 16854,B100000,00000,0300,00001GROSS SALARIES 16854,B100000,00000,0400,00001ACCUM COST 16854,B100000,00000,0500,00001SQUARE FEET 16854,B100000,00000,0600,00001PATIENT DAYS 16854,B100000,00000,0700,00001SQUARE FEET 16854,B100000,00000,0800,00001MEALS SERVED 16854,B100000,00000,0900,00001DIRECT NRSG HRS 16854,B100000,00000,1000,00001PATIENT DAYS 16854,B100000,00000,1100,00001COSTED REQUIS 16854,B100000,00000,1200,00001PATIENT DAYS 16854,B100000,00000,1300,00001PATIENT DAYS 16854,B100000,00000,1400,00001ASSIGNED TIME 16854,S000000,00100,0200,08/11/2000 16854,S200000,00100,0100,1700 EAST LAKE STREET 16854,S200000,00200,0100,GLENVIEW 16854,S200000,00200,0200,IL 16854,S200000,00200,0300,60025 16854,S200000,00300,0100,COOK 16854,S200000,00400,0100,MARYHAVEN INC. 16854,S200000,00400,0200,145741 16854,S200000,00400,0300,04/01/1993 16854,S200000,00400,0500,P 16854,S200000,01600,0100,Y 16854,S200000,01900,0100,SUB-S CORP. 16865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16865,A000000,00300,0000,00300EMPLOYEE BENEFITS 16865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16865,A000000,00700,0000,00700HOUSEKEEPING 16865,A000000,00800,0000,00800DIETARY 16865,A000000,00900,0000,00900NURSING ADMINISTRATION 16865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16865,A000000,01100,0000,01100PHARMACY 16865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16865,A000000,01300,0000,01300SOCIAL SERVICE 16865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16865,A000000,01600,0000,01600SKILLED NURSING FACILITY 16865,A000000,01800,0000,01800NURSING FACILITY 16865,A000000,01810,0000,01810ICF/MR 16865,A000000,02500,0000,02500PHYSICAL THERAPY 16865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16865,A000000,02700,0000,02700SPEECH PATHOLOGY 16865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16865,A000000,03550,0000,03550FQHC 16865,A000000,05000,0000,05000CORF 16865,A000000,05010,0000,05010CMHC 16865,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16865,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16865,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16865,A000000,06100,0000,06100NONPAID WORKERS 16865,A81000A,00100,0100,Y 16865,A81000B,00200,0300,RENT 16865,A81000B,00400,0300,PT 16865,A81000B,00600,0300,OT 16865,A81000B,00800,0300,ST 16865,A81000C,00200,0100,B 16865,A81000C,00200,0200,RON HUNTER 16865,A81000C,00400,0100,B 16865,A81000C,00400,0200,JIM MORRIS 16865,A81000C,00600,0100,B 16865,A81000C,00600,0200,TRINITY HEALTH 16865,B100000,00000,0100,00000SQUARE FEET 16865,B100000,00000,0200,00000SQUARE FEET 16865,B100000,00000,0300,00000GROSS SALARIES 16865,B100000,00000,0400,00000ACCUM COST 16865,B100000,00000,0500,00000SQUARE FEET 16865,B100000,00000,0600,00000PATIENT DAYS 16865,B100000,00000,0700,00000SQUARE FEET 16865,B100000,00000,0800,00000PATIENT DAYS 16865,B100000,00000,0900,00000DIRECT NRSG HRS 16865,B100000,00000,1000,00000PATIENT DAYS 16865,B100000,00000,1100,00000COSTED REQUIS 16865,B100000,00000,1200,00000PATIENT DAYS 16865,B100000,00000,1300,00000PATIENT DAYS 16865,B100000,00000,1400,00000ASSIGNED TIME 16865,E10A180,00550,0300,11/23/1999 16865,S000000,00100,0200,11/23/1999 16865,S200000,00400,0100,CARBONDALE HEALTH CARE 16865,S200000,00400,0200,145750 16865,S200000,00400,0300,06/01/1993 16865,S200000,00400,0500,P 16865,S200000,01600,0100,Y 16866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16866,A000000,00300,0000,00300EMPLOYEE BENEFITS 16866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16866,A000000,00700,0000,00700HOUSEKEEPING 16866,A000000,00800,0000,00800DIETARY 16866,A000000,00900,0000,00900NURSING ADMINISTRATION 16866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16866,A000000,01100,0000,01100PHARMACY 16866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16866,A000000,01300,0000,01300SOCIAL SERVICE 16866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16866,A000000,01600,0000,01600SKILLED NURSING FACILITY 16866,A000000,01800,0000,01800NURSING FACILITY 16866,A000000,01810,0000,01810ICF/MR 16866,A000000,02500,0000,02500PHYSICAL THERAPY 16866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16866,A000000,02700,0000,02700SPEECH PATHOLOGY 16866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16866,A000000,03550,0000,03550FQHC 16866,A000000,05000,0000,05000CORF 16866,A000000,05010,0000,05010CMHC 16866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16866,A81000A,00100,0100,Y 16866,A81000B,00200,0300,HOME OFFICE 16866,A81000C,00200,0100,B 16866,A81000C,00200,0200,HI-CARE MGT. 16866,B100000,00000,0100,00000SQUARE FEET 16866,B100000,00000,0200,00000SQUARE FEET 16866,B100000,00000,0300,00000GROSS SALARIES 16866,B100000,00000,0400,00000ACCUM COST 16866,B100000,00000,0500,00000SQUARE FEET 16866,B100000,00000,0600,00000PATIENT DAYS 16866,B100000,00000,0700,00000SQUARE FEET 16866,B100000,00000,0800,00000PATIENT DAYS 16866,B100000,00000,0900,00000PATIENT DAYS 16866,B100000,00000,1000,00000PATIENT DAYS 16866,B100000,00000,1100,00000COSTED REQUIS 16866,B100000,00000,1200,00000TIME SPENT 16866,B100000,00000,1300,00000PATIENT DAYS 16866,B100000,00000,1400,00000ASSIGNED TIME 16866,S000000,00100,0200,05/23/2000 16866,S200000,00400,0100,CARBONDALE HEALTH CARE 16866,S200000,00400,0200,145750 16866,S200000,00400,0300,06/01/1993 16866,S200000,00400,0500,P 16866,S200000,01600,0100,Y 16877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16877,A000000,00300,0000,00300EMPLOYEE BENEFITS 16877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16877,A000000,00700,0000,00700HOUSEKEEPING 16877,A000000,00800,0000,00800DIETARY 16877,A000000,00900,0000,00900NURSING ADMINISTRATION 16877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16877,A000000,01100,0000,01100PHARMACY 16877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16877,A000000,01300,0000,01300SOCIAL SERVICE 16877,A000000,01350,0000,01500ACTIVITIES 16877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16877,A000000,01600,0000,01600SKILLED NURSING FACILITY 16877,A000000,01800,0000,01800NURSING FACILITY 16877,A000000,01810,0000,01810ICF/MR 16877,A000000,02200,0000,02200LABORATORY 16877,A000000,02500,0000,02500PHYSICAL THERAPY 16877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16877,A000000,02700,0000,02700SPEECH PATHOLOGY 16877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16877,A000000,03550,0000,03550FQHC 16877,A000000,05000,0000,05000CORF 16877,A000000,05010,0000,05010CMHC 16877,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16877,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16877,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16877,A000000,05300,0000,05300INTEREST EXPENSE 16877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16877,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 16877,A81000A,00100,0100,Y 16877,A81000B,00100,0300,BUILDING 16877,A81000B,00200,0300,MOVEABLE EQUIPMENT 16877,A81000B,00300,0300,HOME OFFICE ALLOCATION 16877,A81000C,00100,0100,B 16877,A81000C,00100,0200,LUTHERAN SOCIAL SERVICES 16877,A81000C,00100,0400,CENTRAL OFFICE 16877,B100000,00000,0100,00000SQUARE FEET 16877,B100000,00000,0200,00000SQUARE FEET 16877,B100000,00000,0300,00000GROSS SALARIES 16877,B100000,00000,0400,00000ACCUM. COST 16877,B100000,00000,0500,00000SQUARE FEET 16877,B100000,00000,0600,00000PATIENT DAYS 16877,B100000,00000,0700,00000SQUARE FEET 16877,B100000,00000,0800,00000MEALS SERVED 16877,B100000,00000,0900,00000DIRECT NRSG HRS 16877,B100000,00000,1000,00000COSTED REQUIS 16877,B100000,00000,1100,00000COSTED REQUIS 16877,B100000,00000,1200,00000TIME SPENT 16877,B100000,00000,1300,00000ADMISSIONS S 16877,B100000,00000,1350,00000PATIENT DAYS 16877,B100000,00000,1400,00000ASSIGNED TIME 16877,E10A180,00550,0300,11/29/2000 16877,S000000,00100,0200,11/29/2000 16877,S200000,00100,0100,1311 PARKVIEW HOME 16877,S200000,00200,0100,ROCKFORD 16877,S200000,00200,0200,IL 16877,S200000,00200,0300,61107 16877,S200000,00300,0100,W 16877,S200000,00400,0100,P.A. PETERSON 16877,S200000,00400,0200,145751 16877,S200000,00400,0300,09/01/1993 16877,S200000,00400,0500,P 16877,S200000,01600,0100,Y 16882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16882,A000000,00300,0000,00300EMPLOYEE BENEFITS 16882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16882,A000000,00700,0000,00700HOUSEKEEPING 16882,A000000,00800,0000,00800DIETARY 16882,A000000,00900,0000,00900NURSING ADMINISTRATION 16882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16882,A000000,01100,0000,01100PHARMACY 16882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16882,A000000,01300,0000,01300SOCIAL SERVICE 16882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16882,A000000,01600,0000,01600SKILLED NURSING FACILITY 16882,A000000,01800,0000,01800NURSING FACILITY 16882,A000000,01810,0000,01810ICF/MR 16882,A000000,02200,0000,02200LABORATORY 16882,A000000,02300,0000,02300INTRAVENOUS THERAPY 16882,A000000,02500,0000,02500PHYSICAL THERAPY 16882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16882,A000000,02700,0000,02700SPEECH PATHOLOGY 16882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16882,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16882,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16882,A000000,03550,0000,03550FQHC 16882,A000000,05000,0000,05000CORF 16882,A000000,05010,0000,05010CMHC 16882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16882,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16882,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16882,A81000A,00100,0100,Y 16882,A81000B,00100,0300,RENTAL INCOME 16882,A81000B,00200,0300,DEPRECIATION 16882,A81000B,00300,0300,AMORTIZATION OF MTG. COSTS 16882,A81000B,00400,0300,INTEREST INCOME 16882,A81000B,00500,0300,PROPERTY TAXES 16882,A81000B,00600,0300,INSURANCE 16882,A81000B,00700,0300,BANK CHARGES 16882,A81000B,00800,0300,STATE REPLACEMENT TAX 16882,A81000B,00900,0300,INTEREST EXPENSE 16882,A81000B,01000,0300,INTEREST INCOME 16882,A81000C,00100,0100,A 16882,A81000C,00100,0200,J. FLORINA JR. 16882,A81000C,00100,0400,ITASCA SHELTER 16882,A81000C,00100,0600,LESSOR 16882,A81000C,00200,0100,A 16882,A81000C,00200,0200,J. FLORINA SR. 16882,A81000C,00200,0400,CARE HOME 16882,A81000C,00200,0600,LESSOR 16882,A81000C,00300,0100,A 16882,A81000C,00300,0200,D. JACOBSON 16882,A81000C,00300,0600,LESSOR 16882,A81000C,00400,0100,A 16882,A81000C,00400,0200,C. RICCI 16882,A81000C,00400,0600,LESSOR 16882,B100000,00000,0100,00000SQUARE FEET 16882,B100000,00000,0200,00000SQUARE FEET 16882,B100000,00000,0300,00000GROSS SALARIES 16882,B100000,00000,0400,00000ACCUM COST 16882,B100000,00000,0500,00000SQUARE FEET 16882,B100000,00000,0600,00000PATIENT DAYS 16882,B100000,00000,0700,00000SQUARE FEET 16882,B100000,00000,0800,00000MEALS SERVED 16882,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16882,B100000,00000,1000,00000PATIENT DAYS 16882,B100000,00000,1100,00000COSTED REQUISITIO 16882,B100000,00000,1200,00000PATIENT DAYS 16882,B100000,00000,1300,00000PATIENT DAYS 16882,B100000,00000,1400,00000ASSIGNED TIME 16882,S000000,00100,0200,05/31/2000 16882,S200000,00100,0100,535 ELM STREET 16882,S200000,00200,0100,ITASCA 16882,S200000,00200,0200,IL 16882,S200000,00200,0300,60143 16882,S200000,00300,0100,DUPAGE 16882,S200000,00400,0100,THE ARBOR OF ITASCA 16882,S200000,00400,0200,145752 16882,S200000,00400,0300,07/01/1993 16882,S200000,00400,0500,P 16882,S200000,01600,0100,Y 16889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16889,A000000,00300,0000,00300EMPLOYEE BENEFITS 16889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16889,A000000,00700,0000,00700HOUSEKEEPING 16889,A000000,00800,0000,00800DIETARY 16889,A000000,00900,0000,00900NURSING ADMINISTRATION 16889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16889,A000000,01100,0000,01100PHARMACY 16889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16889,A000000,01300,0000,01300SOCIAL SERVICE 16889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16889,A000000,01600,0000,01600SKILLED NURSING FACILITY 16889,A000000,01800,0000,01800NURSING FACILITY 16889,A000000,01810,0000,01810ICF/MR 16889,A000000,02200,0000,02200LABORATORY 16889,A000000,02300,0000,02300INTRAVENOUS THERAPY 16889,A000000,02500,0000,02500PHYSICAL THERAPY 16889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16889,A000000,02700,0000,02700SPEECH PATHOLOGY 16889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16889,A000000,03550,0000,03550FQHC 16889,A000000,05000,0000,05000CORF 16889,A000000,05010,0000,05010CMHC 16889,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16889,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16889,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16889,A81000A,00100,0100,Y 16889,A81000B,00200,0300,HOME OFFICE 16889,A81000B,00400,0300,RENT 16889,A81000C,00200,0100,B 16889,A81000C,00200,0200,CERTIFIED HEALT 16889,A81000C,00400,0100,B 16889,A81000C,00400,0200,DANVILLE CC LLC 16889,B100000,00000,0100,00000SQUARE FEET 16889,B100000,00000,0200,00000SQUARE FEET 16889,B100000,00000,0300,00000GROSS SALARIES 16889,B100000,00000,0400,00000ACCUM COST 16889,B100000,00000,0500,00000SQUARE FEET 16889,B100000,00000,0600,00000PATIENT DAYS 16889,B100000,00000,0700,00000SQUARE FEET 16889,B100000,00000,0800,00000PATIENT DAYS 16889,B100000,00000,0900,00000PATIENT DAYS 16889,B100000,00000,1000,00000PATIENT DAYS 16889,B100000,00000,1100,00000COSTED REQUIS 16889,B100000,00000,1200,00000PATIENT DAYS 16889,B100000,00000,1300,00000PATIENT DAYS 16889,B100000,00000,1400,00000ASSIGNED TIME 16889,S000000,00100,0200,04/05/2000 16889,S200000,00400,0100,DANVILLE CARE CENTRE LTD. 16889,S200000,00400,0200,145753 16889,S200000,00400,0300,06/01/1993 16889,S200000,00400,0500,P 16889,S200000,01600,0100,Y 16897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16897,A000000,00300,0000,00300EMPLOYEE BENEFITS 16897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16897,A000000,00700,0000,00700HOUSEKEEPING 16897,A000000,00800,0000,00800DIETARY 16897,A000000,00900,0000,00900NURSING ADMINISTRATION 16897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16897,A000000,01100,0000,01100PHARMACY 16897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16897,A000000,01300,0000,01300SOCIAL SERVICE 16897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16897,A000000,01600,0000,01600SKILLED NURSING FACILITY 16897,A000000,01800,0000,01800NURSING FACILITY 16897,A000000,01810,0000,01810ICF/MR 16897,A000000,01900,0000,01900OTHER LONG TERM CARE 16897,A000000,02100,0000,02100RADIOLOGY 16897,A000000,02200,0000,02200LABORATORY 16897,A000000,02300,0000,02300INTRAVENOUS THERAPY 16897,A000000,02500,0000,02500PHYSICAL THERAPY 16897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16897,A000000,02700,0000,02700SPEECH PATHOLOGY 16897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16897,A000000,03050,0000,03300AMBULANCE 16897,A000000,03051,0000,03301BLOOD GLUCOSE 16897,A000000,03200,0000,03200SUPPORT SURFACES 16897,A000000,03550,0000,03550FQHC 16897,A000000,05000,0000,05000CORF 16897,A000000,05010,0000,05010CMHC 16897,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16897,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16897,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16897,A81000A,00100,0100,Y 16897,A81000B,00100,0300,CAPITAL RELATED 16897,A81000B,00200,0300,ADMIN & GENERAL 16897,A81000B,00300,0300,CAPITAL RELATED 16897,A81000B,00400,0300,EMPLOYEE BENEFITS 16897,A81000B,00500,0300,ADMIN. & GENERAL 16897,A81000B,00600,0300,PLANT OPERATION 16897,A81000C,00100,0100,A 16897,A81000C,00100,0400,ABBEY OF CARBON 16897,A81000C,00100,0600,BUILDING PARTNE 16897,A81000C,00200,0100,A 16897,A81000C,00200,0400,ABS MANAGEMENT 16897,A81000C,00200,0600,BOOKKEEPING/MGM 16897,B100000,00000,0100,00000SQUARE FEET 16897,B100000,00000,0200,00000SQUARE FEET 16897,B100000,00000,0300,00000GROSS SALARIES 16897,B100000,00000,0400,00000ACCUM COST 16897,B100000,00000,0500,00000SQUARE FEET 16897,B100000,00000,0600,00000PATIENT DAYS 16897,B100000,00000,0700,00000SQUARE FEET 16897,B100000,00000,0800,00000MEALS SERVED 16897,B100000,00000,0900,00000DIRECT NRSG HRS 16897,B100000,00000,1000,00000PATIENT DAYS 16897,B100000,00000,1100,00000COSTED REQUIS 16897,B100000,00000,1200,00000PATIENT DAYS 16897,B100000,00000,1300,00000PATIENT DAYS 16897,B100000,00000,1400,00000ASSIGNED TIME 16897,S000000,00100,0200,05/31/2000 16897,S200000,00100,0100,120 N. TOWER RD. 16897,S200000,00200,0100,CARBONDALE 16897,S200000,00200,0200,IL 16897,S200000,00200,0300,62901 16897,S200000,00300,0100,JACKSON 16897,S200000,00400,0100,THE ABBEY OF CARBONDALE INC. 16897,S200000,00400,0200,145757 16897,S200000,00400,0300,09/01/1993 16897,S200000,00400,0500,P 16897,S200000,01600,0100,Y 16897,S200000,01900,0100,SUB-S CORP. 16897,S200000,04700,0100,Y 16897,S200000,04700,0200,Y 16904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16904,A000000,00300,0000,00300EMPLOYEE BENEFITS 16904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16904,A000000,00700,0000,00700HOUSEKEEPING 16904,A000000,00800,0000,00800DIETARY 16904,A000000,00900,0000,00900NURSING ADMINISTRATION 16904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16904,A000000,01100,0000,01100PHARMACY 16904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16904,A000000,01300,0000,01300SOCIAL SERVICE 16904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16904,A000000,01600,0000,01600SKILLED NURSING FACILITY 16904,A000000,01800,0000,01800NURSING FACILITY 16904,A000000,01810,0000,01810ICF/MR 16904,A000000,02100,0000,02100RADIOLOGY 16904,A000000,02200,0000,02200LABORATORY 16904,A000000,02300,0000,02300INTRAVENOUS THERAPY 16904,A000000,02500,0000,02500PHYSICAL THERAPY 16904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16904,A000000,02700,0000,02700SPEECH PATHOLOGY 16904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16904,A000000,03550,0000,03550FQHC 16904,A000000,05000,0000,05000CORF 16904,A000000,05010,0000,05010CMHC 16904,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16904,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16904,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16904,A81000A,00100,0100,Y 16904,A81000B,00200,0300,HOME OFFICE 16904,A81000B,00400,0300,HO - MEDICAL RECORDS 16904,A81000B,00600,0300,RENT 16904,A81000C,00200,0100,B 16904,A81000C,00200,0200,CERTIFIED HEALT 16904,A81000C,00400,0100,B 16904,A81000C,00400,0200,GLENWOOD TERRAC 16904,B100000,00000,0100,00000SQUARE FEET 16904,B100000,00000,0200,00000SQUARE FEET 16904,B100000,00000,0300,00000GROSS SALARIES 16904,B100000,00000,0400,00000ACCUM COST 16904,B100000,00000,0500,00000SQUARE FEET 16904,B100000,00000,0600,00000PATIENT DAYS 16904,B100000,00000,0700,00000SQUARE FEET 16904,B100000,00000,0800,00000PATIENT DAYS 16904,B100000,00000,0900,00000PATIENT DAYS 16904,B100000,00000,1000,00000PATIENT DAYS 16904,B100000,00000,1100,00000COSTED REQUIS 16904,B100000,00000,1200,00000PATIENT DAYS 16904,B100000,00000,1300,00000PATIENT DAYS 16904,B100000,00000,1400,00000ASSIGNED TIME 16904,S000000,00100,0200,04/05/2000 16904,S200000,00400,0100,GLENWOOD TERRACE LTD. 16904,S200000,00400,0200,145758 16904,S200000,00400,0300,06/01/1993 16904,S200000,00400,0500,P 16904,S200000,01600,0100,Y 16910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16910,A000000,00300,0000,00300EMPLOYEE BENEFITS 16910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16910,A000000,00700,0000,00700HOUSEKEEPING 16910,A000000,00800,0000,00800DIETARY 16910,A000000,00900,0000,00900NURSING ADMINISTRATION 16910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16910,A000000,01100,0000,01100PHARMACY 16910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16910,A000000,01300,0000,01300SOCIAL SERVICE 16910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16910,A000000,01600,0000,01600SKILLED NURSING FACILITY 16910,A000000,01800,0000,01800NURSING FACILITY 16910,A000000,01810,0000,01810ICF/MR 16910,A000000,02100,0000,02100RADIOLOGY 16910,A000000,02200,0000,02200LABORATORY 16910,A000000,02500,0000,02500PHYSICAL THERAPY 16910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16910,A000000,02700,0000,02700SPEECH PATHOLOGY 16910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16910,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16910,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16910,A000000,03550,0000,03550FQHC 16910,A000000,05000,0000,05000CORF 16910,A000000,05010,0000,05010CMHC 16910,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16910,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16910,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16910,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16910,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16910,A81000A,00100,0100,Y 16910,A81000B,00100,0300,CAPITAL COST 16910,A81000B,00200,0300,MANAGEMENT FEE 16910,A81000B,00300,0300,ADMINISTRATIVE COST 16910,A81000B,00400,0300,ADMINISTRATIVE SALARIES 16910,A81000C,00100,0100,A 16910,A81000C,00100,0200,SEE ATTACHED 16910,A81000C,00100,0400,COLUMBIA CORPOR 16910,A81000C,00100,0600,HOME OFFICE 16910,B100000,00000,0100,00000SQUARE FEET 16910,B100000,00000,0200,00000SQUARE FEET 16910,B100000,00000,0300,00000GROSS SALARIES 16910,B100000,00000,0400,00000ACCUM COST 16910,B100000,00000,0500,00000SQUARE FEET 16910,B100000,00000,0600,00000PATIENT DAYS 16910,B100000,00000,0700,00000SQUARE FEET 16910,B100000,00000,0800,00000MEALS SERVED 16910,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16910,B100000,00000,1000,00000PATIENT DAYS 16910,B100000,00000,1100,00000COSTED REQUISITIO 16910,B100000,00000,1200,00000PATIENT DAYS 16910,B100000,00000,1300,00000PATIENT DAYS 16910,B100000,00000,1400,00000ASSIGNED TIME 16910,S000000,00100,0200,06/01/2000 16910,S200000,00100,0100,600 E. ROBINSON DR. 16910,S200000,00200,0100,ROBINSON 16910,S200000,00200,0200,IL 16910,S200000,00200,0300,62454 16910,S200000,00300,0100,CRAWFORD 16910,S200000,00400,0100,COTILLION RIDGE NURSING CENTER 16910,S200000,00400,0200,145760 16910,S200000,00400,0300,01/01/1994 16910,S200000,00400,0500,P 16910,S200000,01600,0100,Y 16916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16916,A000000,00300,0000,00300EMPLOYEE BENEFITS 16916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16916,A000000,00700,0000,00700HOUSEKEEPING 16916,A000000,00800,0000,00800DIETARY 16916,A000000,00900,0000,00900NURSING ADMINISTRATION 16916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16916,A000000,01100,0000,01100PHARMACY 16916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16916,A000000,01300,0000,01300SOCIAL SERVICE 16916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16916,A000000,01600,0000,01600SKILLED NURSING FACILITY 16916,A000000,01800,0000,01800NURSING FACILITY 16916,A000000,01810,0000,01810ICF/MR 16916,A000000,02200,0000,02200LABORATORY 16916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16916,A000000,02500,0000,02500PHYSICAL THERAPY 16916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16916,A000000,02700,0000,02700SPEECH PATHOLOGY 16916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16916,A000000,03050,0000,03300ACCU CHECKS 16916,A000000,03200,0000,03200SUPPORT SURFACES 16916,A000000,03550,0000,03550FQHC 16916,A000000,05000,0000,05000CORF 16916,A000000,05010,0000,05010CMHC 16916,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16916,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16916,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16916,A81000A,00100,0100,Y 16916,A81000B,00100,0300,RENT & R/E TAXES 16916,A81000B,00200,0300,MANAGEMENT FEES 16916,A81000B,00300,0300,PROFESSIONAL FEES 16916,A81000B,00400,0300,R/E TAXES - NET 16916,A81000B,00500,0300,DEPRECIATION 16916,A81000B,00600,0300,INTEREST EXPENSE 16916,A81000B,00700,0300,INTEREST INCOME 16916,A81000B,00800,0300,SALARY 16916,A81000B,00900,0300,PAYROLL TAXES 16916,A81000C,00100,0100,A 16916,A81000C,00100,0400,HERITAGE HEALTH 16916,A81000C,00100,0600,RENTAL OF FACIL 16916,A81000C,00200,0100,A 16916,A81000C,00200,0400,PRO HEALTH 16916,A81000C,00200,0600,MANAGEMENT COMP 16916,B100000,00000,0100,00040SQUARE FEET 16916,B100000,00000,0200,00040SQUARE FEET 16916,B100000,00000,0300,00040GROSS SALARIES 16916,B100000,00000,0400,00040ACCUM COST 16916,B100000,00000,0500,00040SQUARE FEET 16916,B100000,00000,0600,00040PATIENT DAYS 16916,B100000,00000,0700,00040SQUARE FEET 16916,B100000,00000,0800,00040MEALS SERVED 16916,B100000,00000,0900,00040DIRECT NRSG HRS 16916,B100000,00000,1000,00040PATIENT DAYS 16916,B100000,00000,1100,00040COSTED REQUIS 16916,B100000,00000,1200,00040PATIENT DAYS 16916,B100000,00000,1300,00040PATIENT DAYS 16916,B100000,00000,1400,00040ASSIGNED TIME 16916,S000000,00100,0200,06/01/2000 16916,S200000,00100,0100,5888 NORTH RIDGE AVENUE 16916,S200000,00200,0100,CHICAGO 16916,S200000,00200,0200,IL 16916,S200000,00200,0300,60660 16916,S200000,00300,0100,COOK 16916,S200000,00400,0100,HERITAGE NURSING HOME 16916,S200000,00400,0200,145765 16916,S200000,00400,0300,12/01/1993 16916,S200000,00400,0500,P 16916,S200000,01600,0100,Y 16926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16926,A000000,00300,0000,00300EMPLOYEE BENEFITS 16926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16926,A000000,00700,0000,00700HOUSEKEEPING 16926,A000000,00800,0000,00800DIETARY 16926,A000000,00900,0000,00900NURSING ADMINISTRATION 16926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16926,A000000,01100,0000,01100PHARMACY 16926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16926,A000000,01300,0000,01300SOCIAL SERVICE 16926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16926,A000000,01600,0000,01600SKILLED NURSING FACILITY 16926,A000000,01800,0000,01800NURSING FACILITY 16926,A000000,01810,0000,01810ICF/MR 16926,A000000,01900,0000,01900OTHER LONG TERM CARE 16926,A000000,02100,0000,02100RADIOLOGY 16926,A000000,02200,0000,02200LABORATORY 16926,A000000,02500,0000,02500PHYSICAL THERAPY 16926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16926,A000000,02700,0000,02700SPEECH PATHOLOGY 16926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16926,A000000,03050,0000,03300BLOOD GLUCOSE 16926,A000000,03051,0000,03301ENTERAL FEEDING 16926,A000000,03200,0000,03200SUPPORT SURFACES 16926,A000000,03550,0000,03550FQHC 16926,A000000,05000,0000,05000CORF 16926,A000000,05010,0000,05010CMHC 16926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 16926,A81000A,00100,0100,Y 16926,A81000B,00100,0300,INVESTMENT INCOME 16926,A81000B,00200,0300,GAIN ON SALE OF INVE 16926,A81000B,00300,0300,UNREALIZED GAIN 16926,A81000C,00100,0100,B 16926,A81000C,00100,0200,ST. PAULS FOUND 16926,B100000,00000,0100,00000SQUARE FEET 16926,B100000,00000,0200,00000SQUARE FEET 16926,B100000,00000,0300,00000GROSS SALARIES 16926,B100000,00000,0400,00000ACCUM COST 16926,B100000,00000,0500,00000SQUARE FEET 16926,B100000,00000,0600,00000PATIENT DAYS 16926,B100000,00000,0700,00000SQUARE FEET 16926,B100000,00000,0800,00000MEALS SERVED 16926,B100000,00000,0900,00000DIRECT NRSG HRS 16926,B100000,00000,1000,00000PATIENT DAYS 16926,B100000,00000,1100,00000COSTED REQUIS 16926,B100000,00000,1200,00000PATIENT DAYS 16926,B100000,00000,1300,00000PATIENT DAYS 16926,B100000,00000,1400,00000ASSIGNED TIME 16926,S000000,00100,0200,12/01/2000 16926,S200000,00100,0100,3831 NORTH MOZART 16926,S200000,00200,0100,CHICAGO 16926,S200000,00200,0200,IL 16926,S200000,00200,0300,60618 16926,S200000,00300,0100,C 16926,S200000,00400,0100,ST. PAULS HOUSE & HEALTH CARE CENTER 16926,S200000,00400,0200,145767 16926,S200000,00400,0300,12/01/1993 16926,S200000,00400,0500,P 16926,S200000,00400,0600,O 16926,S200000,00600,0200,145767 16926,S200000,00600,0300,12/01/1993 16926,S200000,00600,0600,P 16926,S200000,00610,0200,145767 16926,S200000,00610,0300,12/01/1993 16926,S200000,00610,0600,O 16926,S200000,01600,0100,Y 16926,S200000,01900,0100,501C3 16932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16932,A000000,00300,0000,00300EMPLOYEE BENEFITS 16932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16932,A000000,00700,0000,00700HOUSEKEEPING 16932,A000000,00800,0000,00800DIETARY 16932,A000000,00900,0000,00900NURSING ADMINISTRATION 16932,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16932,A000000,01100,0000,01100PHARMACY 16932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16932,A000000,01300,0000,01300SOCIAL SERVICE 16932,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16932,A000000,01600,0000,01600SKILLED NURSING FACILITY 16932,A000000,01800,0000,01800NURSING FACILITY 16932,A000000,01810,0000,01810ICF/MR 16932,A000000,02100,0000,02100RADIOLOGY 16932,A000000,02200,0000,02200LABORATORY 16932,A000000,02500,0000,02500PHYSICAL THERAPY 16932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16932,A000000,02700,0000,02700SPEECH PATHOLOGY 16932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16932,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16932,A000000,03200,0000,03200SUPPORT SURFACES 16932,A000000,03550,0000,03550FQHC 16932,A000000,05000,0000,05000CORF 16932,A000000,05010,0000,05010CMHC 16932,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16932,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16932,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16932,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16932,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16932,B100000,00000,0100,00000SQUARE FEET 16932,B100000,00000,0200,00000SQUARE FEET 16932,B100000,00000,0300,00000GROSS SALARIES 16932,B100000,00000,0400,00000ACCUM COST 16932,B100000,00000,0500,00000SQUARE FEET 16932,B100000,00000,0600,00000PATIENT DAYS 16932,B100000,00000,0700,00000SQUARE FEET 16932,B100000,00000,0800,00000MEALS SERVED 16932,B100000,00000,0900,00000DIRECT NRSG HRS 16932,B100000,00000,1000,00000PATIENT DAYS 16932,B100000,00000,1100,00000COSTED REQUIS 16932,B100000,00000,1200,00000PATIENT DAYS 16932,B100000,00000,1300,00000PATIENT DAYS 16932,B100000,00000,1400,00000ASSIGNED TIME 16932,S000000,00100,0200,05/11/2000 16932,S200000,00100,0100,7019 NORTH GALENA ROAD 16932,S200000,00200,0100,PEORIA 16932,S200000,00200,0200,IL 16932,S200000,00200,0300,61614 16932,S200000,00300,0100,PEORIA 16932,S200000,00400,0100,THE LUTHERAN HOME INC. 16932,S200000,00400,0200,145768 16932,S200000,00400,0300,01/01/1994 16932,S200000,00400,0500,P 16932,S200000,01600,0100,Y 16932,S200000,01900,0100,CHARITABLE CORP 16932,S200000,02800,0100,Y 16932,S200000,04700,0100,Y 16932,S200000,04700,0200,Y 16939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16939,A000000,00300,0000,00300EMPLOYEE BENEFITS 16939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16939,A000000,00700,0000,00700HOUSEKEEPING 16939,A000000,00800,0000,00800DIETARY 16939,A000000,00900,0000,00900NURSING ADMINISTRATION 16939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16939,A000000,01100,0000,01100PHARMACY 16939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16939,A000000,01300,0000,01300SOCIAL SERVICE 16939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16939,A000000,01600,0000,01600SKILLED NURSING FACILITY 16939,A000000,01800,0000,01800NURSING FACILITY 16939,A000000,01810,0000,01810ICF/MR 16939,A000000,02100,0000,02100RADIOLOGY 16939,A000000,02200,0000,02200LABORATORY 16939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16939,A000000,02500,0000,02500PHYSICAL THERAPY 16939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16939,A000000,02700,0000,02700SPEECH PATHOLOGY 16939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16939,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 16939,A000000,03550,0000,03550FQHC 16939,A000000,05000,0000,05000CORF 16939,A000000,05010,0000,05010CMHC 16939,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16939,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16939,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16939,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 16939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16939,A81000A,00100,0100,Y 16939,A81000B,00100,0300,HOME OFFICE ALLOC 16939,A81000B,00200,0300,HOME OFFICE ALLOC 16939,A81000B,00400,0300,PHYSICAL THERAPY 16939,A81000B,00500,0300,OCCUPATIONAL THERAPY 16939,A81000B,00600,0300,SPEECH THERAPY 16939,A81000C,00100,0100,A 16939,A81000C,00100,0200,COVENANT CARE INC 16939,A81000C,00100,0400,COVENANT CARE INC. 16939,A81000C,00100,0600,HEALTH CARE 16939,A81000C,00200,0100,B 16939,A81000C,00200,0200,PHARMACY 16939,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 16939,A81000C,00200,0600,PHARMACY - HEALTH CARE 16939,A81000C,00300,0100,C 16939,A81000C,00300,0200,THERAPY 16939,A81000C,00300,0400,SELECT THEREAPY 16939,A81000C,00300,0600,THERAPY SERVICES 16939,B100000,00000,0100,00000SQUARE FEET 16939,B100000,00000,0200,00000SQUARE FEET 16939,B100000,00000,0300,00000GROSS SALARIES 16939,B100000,00000,0400,00000ACCUM. COST 16939,B100000,00000,0500,00000SQUARE FEET 16939,B100000,00000,0600,00000PATIENT DAYS 16939,B100000,00000,0700,00000SQUARE FEET 16939,B100000,00000,0800,00000PATIENT DAYS 16939,B100000,00000,0900,00000DIRECT NRSING HRS 16939,B100000,00000,1000,00000COSTED REQUIS. 16939,B100000,00000,1100,00000COSTED REQUIS. 16939,B100000,00000,1200,00000GROSS REVENUE 16939,B100000,00000,1300,00000PATIENT DAYS 16939,B100000,00000,1400,00000ASSIGNED TIME 16939,S000000,00100,0200,06/01/2000 16939,S200000,00100,0100,826 NORTH HIGH STREET 16939,S200000,00200,0100,CARLINVILLE 16939,S200000,00200,0200,IL 16939,S200000,00200,0300,62626 16939,S200000,00300,0100,ILLINOIS - RURAL 16939,S200000,00400,0100,FRIENDSHIP HOME 16939,S200000,00400,0200,145769 16939,S200000,00400,0300,04/01/1997 16939,S200000,00400,0500,P 16939,S200000,00400,0600,O 16939,S200000,00600,0200,145769 16939,S200000,00600,0300,04/01/1997 16939,S200000,00600,0600,P 16939,S200000,01600,0100,Y 16945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16945,A000000,00300,0000,00300EMPLOYEE BENEFITS 16945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16945,A000000,00700,0000,00700HOUSEKEEPING 16945,A000000,00800,0000,00800DIETARY 16945,A000000,00900,0000,00900NURSING ADMINISTRATION 16945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16945,A000000,01100,0000,01100PHARMACY 16945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16945,A000000,01300,0000,01300SOCIAL SERVICE 16945,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 16945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16945,A000000,01600,0000,01600SKILLED NURSING FACILITY 16945,A000000,01800,0000,01800NURSING FACILITY 16945,A000000,01810,0000,01810ICF/MR 16945,A000000,02100,0000,02100RADIOLOGY 16945,A000000,02200,0000,02200LABORATORY 16945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 16945,A000000,02500,0000,02500PHYSICAL THERAPY 16945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16945,A000000,02700,0000,02700SPEECH PATHOLOGY 16945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16945,A000000,03550,0000,03550FQHC 16945,A000000,05000,0000,05000CORF 16945,A000000,05010,0000,05010CMHC 16945,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16945,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16945,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16945,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16945,A000000,05500,0000,05500HOSPICE 16945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16945,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16945,B100000,00000,0100,00000SQUARE FEET 16945,B100000,00000,0200,00000SQUARE FEET 16945,B100000,00000,0300,00000GROSS SALARIES 16945,B100000,00000,0400,00000ACCUM COST 16945,B100000,00000,0500,00000SQUARE FEET 16945,B100000,00000,0600,00000POUNDS OF LAUNDRY 16945,B100000,00000,0700,00000SQUARE FEET 16945,B100000,00000,0800,00000MEALS SERVED 16945,B100000,00000,0900,00000PATIENT DAYS 16945,B100000,00000,1000,00000PATIENT DAYS 16945,B100000,00000,1100,00000COSTED REQUISITIO 16945,B100000,00000,1200,00000PATIENT DAYS 16945,B100000,00000,1300,00000PATIENT DAYS 16945,B100000,00000,1350,00000 16945,B100000,00000,1400,00000ASSIGNED TIME 16945,E10A180,00550,0300,02/29/2000 16945,S000000,00100,0200,02/28/2000 16945,S200000,00100,0100,4401 NORTH MAIN STREET 16945,S200000,00200,0100,ROCKFORD 16945,S200000,00200,0200,IL 16945,S200000,00200,0300,61103 16945,S200000,00300,0100,WINNEBAGO 16945,S200000,00400,0100,RIVER BLUFF NURSING HOME 16945,S200000,00400,0200,145771 16945,S200000,00400,0300,04/08/1993 16945,S200000,00400,0500,P 16945,S200000,01600,0100,Y 16945,S200000,02200,0100,Y 16945,S200000,04100,0100,Y 16956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16956,A000000,00300,0000,00300EMPLOYEE BENEFITS 16956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16956,A000000,00700,0000,00700HOUSEKEEPING 16956,A000000,00800,0000,00800DIETARY 16956,A000000,00900,0000,00900NURSING ADMINISTRATION 16956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16956,A000000,01100,0000,01100PHARMACY 16956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16956,A000000,01300,0000,01300SOCIAL SERVICE 16956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16956,A000000,01600,0000,01600SKILLED NURSING FACILITY 16956,A000000,01800,0000,01800NURSING FACILITY 16956,A000000,01810,0000,01810ICF/MR 16956,A000000,02200,0000,02200LABORATORY 16956,A000000,02500,0000,02500PHYSICAL THERAPY 16956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16956,A000000,02700,0000,02700SPEECH PATHOLOGY 16956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16956,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 16956,A000000,03550,0000,03550FQHC 16956,A000000,05000,0000,05000CORF 16956,A000000,05010,0000,05010CMHC 16956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16956,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16956,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16956,B100000,00000,0100,00000SQUARE FEET 16956,B100000,00000,0200,00000SQUARE FEET 16956,B100000,00000,0300,00000GROSS SALARIES 16956,B100000,00000,0400,00000ACCUM COST 16956,B100000,00000,0500,00000SQUARE FEET 16956,B100000,00000,0600,00000PATIENT DAYS 16956,B100000,00000,0700,00000SQUARE FEET 16956,B100000,00000,0800,00000MEALS SERVED 16956,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 16956,B100000,00000,1000,00000PATIENT DAYS 16956,B100000,00000,1100,00000COSTED REQUISITIO 16956,B100000,00000,1200,00000PATIENT DAYS 16956,B100000,00000,1300,00000PATIENT DAYS 16956,B100000,00000,1400,00000ASSIGNED TIME 16956,S000000,00100,0200,12/01/2000 16956,S200000,00100,0100,201 LAFAYETTE AVE. EAST 16956,S200000,00200,0100,MATTOON 16956,S200000,00200,0200,IL 16956,S200000,00200,0300,61938 16956,S200000,00300,0100,C 16956,S200000,00400,0100,ODD FELLOW - REBEKAH HOME 16956,S200000,00400,0200,145772 16956,S200000,00400,0300,01/01/1994 16956,S200000,00400,0500,P 16956,S200000,01600,0100,Y 16962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16962,A000000,00300,0000,00300EMPLOYEE BENEFITS 16962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16962,A000000,00700,0000,00700HOUSEKEEPING 16962,A000000,00800,0000,00800DIETARY 16962,A000000,00900,0000,00900NURSING ADMINISTRATION 16962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16962,A000000,01100,0000,01100PHARMACY 16962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16962,A000000,01300,0000,01300SOCIAL SERVICE 16962,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16962,A000000,01600,0000,01600SKILLED NURSING FACILITY 16962,A000000,01800,0000,01800NURSING FACILITY 16962,A000000,01810,0000,01810ICF/MR 16962,A000000,02100,0000,02100RADIOLOGY 16962,A000000,02200,0000,02200LABORATORY 16962,A000000,02300,0000,02300INTRAVENOUS THERAPY 16962,A000000,02500,0000,02500PHYSICAL THERAPY 16962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16962,A000000,02700,0000,02700SPEECH PATHOLOGY 16962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16962,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 16962,A000000,03550,0000,03550FQHC 16962,A000000,05000,0000,05000CORF 16962,A000000,05010,0000,05010CMHC 16962,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16962,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16962,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16962,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 16962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 16962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16962,A000000,06100,0000,06100NONPAID WORKERS 16962,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 16962,B100000,00000,0100,00000SQUARE FEET 16962,B100000,00000,0200,00000SQUARE FEET 16962,B100000,00000,0300,00000GROSS SALARIES 16962,B100000,00000,0400,00000ACCUM COST 16962,B100000,00000,0500,00000SQUARE FEET 16962,B100000,00000,0600,00000PATIENT DAYS 16962,B100000,00000,0700,00000SQUARE FEET 16962,B100000,00000,0800,00000MEALS SERVED 16962,B100000,00000,0900,00000WAGES 16962,B100000,00000,1000,00000PATIENT DAYS 16962,B100000,00000,1100,00000COSTED REQUISITIO 16962,B100000,00000,1200,00000TIME SPENT 16962,B100000,00000,1300,00000PATIENT DAYS 16962,B100000,00000,1400,00000ASSIGNED TIME 16962,E10A180,00501,0300,03/22/2000 16962,S000000,00100,0200,02/28/2000 16962,S200000,00100,0100,2130 HARRISON STREET 16962,S200000,00200,0100,QUINCY 16962,S200000,00200,0200,IL 16962,S200000,00200,0300,62301 16962,S200000,00300,0100,ADAMS 16962,S200000,00400,0100,THE GOOD SAMARITAN HOME OF QUINCY 16962,S200000,00400,0200,145773 16962,S200000,00400,0300,04/01/1994 16962,S200000,00400,0500,P 16962,S200000,01600,0100,Y 16973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16973,A000000,00300,0000,00300EMPLOYEE BENEFITS 16973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16973,A000000,00700,0000,00700HOUSEKEEPING 16973,A000000,00800,0000,00800DIETARY 16973,A000000,00900,0000,00900NURSING ADMINISTRATION 16973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16973,A000000,01100,0000,01100PHARMACY 16973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16973,A000000,01300,0000,01300SOCIAL SERVICE 16973,A000000,01301,0000,01301ACTIVITES 16973,A000000,01350,0000,01500REHABILITATION 16973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16973,A000000,01600,0000,01600SKILLED NURSING FACILITY 16973,A000000,01800,0000,01800NURSING FACILITY 16973,A000000,01810,0000,01810ICF/MR 16973,A000000,02100,0000,02100RADIOLOGY 16973,A000000,02200,0000,02200LABORATORY 16973,A000000,02300,0000,02300INTRAVENOUS THERAPY 16973,A000000,02500,0000,02500PHYSICAL THERAPY 16973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16973,A000000,02700,0000,02700SPEECH PATHOLOGY 16973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16973,A000000,03050,0000,03300EQUIPMENT RENTAL 16973,A000000,03051,0000,03301PEN THERAPY 16973,A000000,03550,0000,03550FQHC 16973,A000000,05000,0000,05000CORF 16973,A000000,05010,0000,05010CMHC 16973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16973,A000000,05300,0000,05300INTEREST EXPENSE 16973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16973,A000000,06150,0000,06300VENDING 16973,A000000,06151,0000,06301STAND-BY 16973,A81000A,00100,0100,Y 16973,A81000B,00100,0300,HOME OFFICE COST 16973,A81000B,00700,0300,HOME OFFICE CAPITAL 16973,A81000B,01000,0300,THERAPY CONSULTING 16973,A81000B,01100,0300,PHYSICAL THERAPY 16973,A81000B,01200,0300,OCCUPATIONAL THERAPY 16973,A81000B,01300,0300,SPEECH THERAPY 16973,A81000C,00100,0100,B 16973,A81000C,00100,0200,HAVANA PS# 1155 16973,A81000C,00100,0400,MARINER PAN 16973,A81000C,00100,0600,NURSING HOMES 16973,A81000C,00200,0100,G 16973,A81000C,00200,0200,MARINER PAN 16973,A81000C,00200,0400,AMER PHARM SVCS 16973,A81000C,00200,0600,PHARMACEUTICALS 16973,A81000C,00300,0100,G 16973,A81000C,00300,0200,MARINER PAN 16973,A81000C,00300,0400,PRISM-ATS-ARS-T 16973,A81000C,00300,0600,THERAPIES 16973,B100000,00000,0100,00001SQUARE FEET 16973,B100000,00000,0200,00001SQUARE FEET 16973,B100000,00000,0300,00001GROSS SALARIES 16973,B100000,00000,0400,00001ACCUM COST 16973,B100000,00000,0500,00001SQUARE FEET 16973,B100000,00000,0600,00001PATIENT DAYS 16973,B100000,00000,0700,00001SQUARE FEET 16973,B100000,00000,0800,00001MEALS SERVED 16973,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 16973,B100000,00000,1000,00001PATIENT DAYS 16973,B100000,00000,1100,00001COSTED REQUIS 16973,B100000,00000,1200,00001PATIENT DAYS 16973,B100000,00000,1300,00001PATIENT DAYS 16973,B100000,00000,1301,00001PATIENT DAYS 16973,B100000,00000,1350,00001UNITS OF SERVICE 16973,B100000,00000,1400,00001ASSIGNED TIME 16973,S000000,00100,0200,06/02/2000 16973,S200000,00100,0100,609 N. HARPHAN ST. 16973,S200000,00200,0100,HAVANA 16973,S200000,00200,0200,IL 16973,S200000,00200,0300,62644 16973,S200000,00300,0100,MASON 16973,S200000,00400,0100,HAVANA HEALTHCARE CENTER 16973,S200000,00400,0200,145774 16973,S200000,00400,0300,02/01/1994 16973,S200000,00400,0500,P 16973,S200000,01600,0100,Y 16973,S200000,02200,0100,Y 16973,S200000,04300,0100,Y 16983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16983,A000000,00300,0000,00300EMPLOYEE BENEFITS 16983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16983,A000000,00700,0000,00700HOUSEKEEPING 16983,A000000,00800,0000,00800DIETARY 16983,A000000,00900,0000,00900NURSING ADMINISTRATION 16983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16983,A000000,01100,0000,01100PHARMACY 16983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16983,A000000,01300,0000,01300SOCIAL SERVICE 16983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16983,A000000,01600,0000,01600SKILLED NURSING FACILITY 16983,A000000,01800,0000,01800NURSING FACILITY 16983,A000000,01810,0000,01810ICF/MR 16983,A000000,02200,0000,02200LABORATORY 16983,A000000,02500,0000,02500PHYSICAL THERAPY 16983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16983,A000000,02700,0000,02700SPEECH PATHOLOGY 16983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16983,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 16983,A000000,03200,0000,03200SUPPORT SURFACES 16983,A000000,03550,0000,03550FQHC 16983,A000000,04800,0000,04800AMBULANCE 16983,A000000,05000,0000,05000CORF 16983,A000000,05010,0000,05010CMHC 16983,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16983,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16983,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16983,A81000A,00100,0100,Y 16983,A81000B,00100,0300,HOME OFFICE 16983,A81000B,00200,0300,CAPTIAL RELATED 16983,A81000B,00300,0300,EMPLOYEE BENEFITS 16983,A81000B,00400,0300,ADMIN & GEN 16983,A81000B,00500,0300,ADMIN SALARY 16983,A81000B,00600,0300,PLANT & OPTR 16983,A81000B,00700,0300,HOUSEKEEPING 16983,A81000B,00800,0300,DIETARY 16983,A81000B,00900,0300,HOME OFFICE 16983,A81000B,01000,0300,ADMIN & GEN 16983,A81000B,01100,0300,CAPTIAL RELATED COST 16983,A81000B,01200,0300,ADMIN & GEN 16983,A81000B,01300,0300,RENT 16983,A81000C,00100,0100,A 16983,A81000C,00100,0400,ITEX / AK CARE 16983,A81000C,00100,0600,MANAGEMENT 16983,A81000C,00200,0100,A 16983,A81000C,00200,0400,CAREPATH 16983,A81000C,00200,0600,MANAGEMENT 16983,A81000C,00300,0100,A 16983,A81000C,00300,0400,KEIRO BUILDING 16983,A81000C,00300,0600,BUILDING COMPAN 16983,A81000C,00400,0100,A 16983,A81000C,00400,0400,S & E MEDICAL 16983,A81000C,00400,0600,MEDICAL SUPPLY 16983,B100000,00000,0100,00000SQUARE FEET 16983,B100000,00000,0200,00000SQUARE FEET 16983,B100000,00000,0300,00000GROSS SALARIES 16983,B100000,00000,0400,00000ACCUM COST 16983,B100000,00000,0500,00000SQUARE FEET 16983,B100000,00000,0600,00000PATIENT DAYS 16983,B100000,00000,0700,00000SQUARE FEET 16983,B100000,00000,0800,00000MEALS SERVED 16983,B100000,00000,0900,00000DIRECT NRSG COST 16983,B100000,00000,1000,00000PATIENT DAYS 16983,B100000,00000,1100,00000COSTED REQUIS 16983,B100000,00000,1200,00000PATIENT DAYS 16983,B100000,00000,1300,00000PATIENT DAYS 16983,B100000,00000,1400,00000ASSIGNED TIME 16983,E10A180,00550,0100,05/15/2001 16983,S000000,00100,0200,05/30/2000 16983,S200000,00100,0100,3919 WEST FOSTER AVENUE 16983,S200000,00200,0100,CHICAGO 16983,S200000,00200,0200,IL 16983,S200000,00200,0300,60625 16983,S200000,00300,0100,COOK 16983,S200000,00400,0100,HARMONY NURSING AND REHAB 16983,S200000,00400,0200,145775 16983,S200000,00400,0300,02/15/1994 16983,S200000,00400,0500,P 16983,S200000,01600,0100,Y 16983,S200000,01900,0100,SUB S CORP 16983,S200000,04700,0100,Y 16983,S200000,04700,0200,Y 16991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16991,A000000,00300,0000,00300EMPLOYEE BENEFITS 16991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16991,A000000,00700,0000,00700HOUSEKEEPING 16991,A000000,00800,0000,00800DIETARY 16991,A000000,00900,0000,00900NURSING ADMINISTRATION 16991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16991,A000000,01100,0000,01100PHARMACY 16991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16991,A000000,01300,0000,01300SOCIAL SERVICE 16991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16991,A000000,01600,0000,01600SKILLED NURSING FACILITY 16991,A000000,01800,0000,01800NURSING FACILITY 16991,A000000,01810,0000,01810ICF/MR 16991,A000000,02100,0000,02100RADIOLOGY 16991,A000000,02200,0000,02200LABORATORY 16991,A000000,02500,0000,02500PHYSICAL THERAPY 16991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16991,A000000,02700,0000,02700SPEECH PATHOLOGY 16991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16991,A000000,03050,0000,03300AMBULANCE 16991,A000000,03051,0000,03301BLOOD GLUCOSE MONITORING 16991,A000000,03200,0000,03200SUPPORT SURFACES 16991,A000000,03550,0000,03550FQHC 16991,A000000,05000,0000,05000CORF 16991,A000000,05010,0000,05010CMHC 16991,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16991,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16991,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16991,A81000A,00100,0100,Y 16991,A81000B,00100,0300,CAPITAL COSTS 16991,A81000B,00200,0300,A&G COSTS 16991,A81000B,00300,0300,RENT 16991,A81000B,00400,0300,CAPITAL COSTS 16991,A81000B,00500,0300,EMPLOYEE BENEFITS 16991,A81000B,00600,0300,A&G 16991,A81000B,00700,0300,PLANT OPERATION 16991,A81000B,00800,0300,HOUSEKEEPING 16991,A81000B,00900,0300,BOOKKEEPING FEES 16991,A81000B,01000,0300,CAPITAL 16991,A81000B,01100,0300,EMPLOYEE BENEFITS 16991,A81000B,01200,0300,A&G 16991,A81000B,01300,0300,MANAGEMENT FEES 16991,A81000B,01400,0300,CAPITAL 16991,A81000B,01500,0300,EMPLOYEE BENEFITS 16991,A81000B,01600,0300,A&G 16991,A81000B,01700,0300,PLANT OPERATION 16991,A81000B,01800,0300,RENT 16991,A81000C,00100,0100,A 16991,A81000C,00100,0400,BRIGHTVIEW BLDG 16991,A81000C,00100,0600,BUILDING CO 16991,A81000C,00200,0100,A 16991,A81000C,00200,0400,INTERCARE 16991,A81000C,00200,0600,MANAGEMENT 16991,A81000C,00300,0100,A 16991,A81000C,00300,0400,MANAGCARE 16991,A81000C,00300,0600,BOOKKEEPING 16991,A81000C,00400,0100,A 16991,A81000C,00400,0400,MAZEL MANAGEMEN 16991,A81000C,00400,0600,MANAGEMENT 16991,B100000,00000,0100,00040SQUARE FEET 16991,B100000,00000,0200,00040SQUARE FEET 16991,B100000,00000,0300,00040GROSS SALARIES 16991,B100000,00000,0400,00040ACCUM COST 16991,B100000,00000,0500,00040SQUARE FEET 16991,B100000,00000,0600,00040PATIENT DAYS 16991,B100000,00000,0700,00040SQUARE FEET 16991,B100000,00000,0800,00040MEALS SERVED 16991,B100000,00000,0900,00040DIRECT NRSG HRS 16991,B100000,00000,1000,00040PATIENT DAYS 16991,B100000,00000,1100,00040COSTED REQUIS 16991,B100000,00000,1200,00040PATIENT DAYS 16991,B100000,00000,1300,00040PATIENT DAYS 16991,B100000,00000,1400,00040ASSIGNED TIME 16991,S000000,00100,0200,06/01/2000 16991,S200000,00100,0100,4538 NORTH BEACON STREET 16991,S200000,00200,0100,CHICAGO 16991,S200000,00200,0200,IL 16991,S200000,00200,0300,60640 16991,S200000,00300,0100,COOK 16991,S200000,00400,0100,BRIGHTVIEW CARE CENTER INC. 16991,S200000,00400,0200,145776 16991,S200000,00400,0300,03/01/1994 16991,S200000,00400,0500,P 16991,S200000,01600,0100,Y 16991,S200000,04700,0100,Y 16991,S200000,04700,0200,Y 16999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 16999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 16999,A000000,00300,0000,00300EMPLOYEE BENEFITS 16999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 16999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 16999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 16999,A000000,00700,0000,00700HOUSEKEEPING 16999,A000000,00800,0000,00800DIETARY 16999,A000000,00900,0000,00900NURSING ADMINISTRATION 16999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 16999,A000000,01100,0000,01100PHARMACY 16999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 16999,A000000,01300,0000,01300SOCIAL SERVICE 16999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 16999,A000000,01600,0000,01600SKILLED NURSING FACILITY 16999,A000000,01800,0000,01800NURSING FACILITY 16999,A000000,01810,0000,01810ICF/MR 16999,A000000,02200,0000,02200LABORATORY 16999,A000000,02500,0000,02500PHYSICAL THERAPY 16999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 16999,A000000,02700,0000,02700SPEECH PATHOLOGY 16999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 16999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 16999,A000000,03200,0000,03200SUPPORT SURFACES 16999,A000000,03550,0000,03550FQHC 16999,A000000,05000,0000,05000CORF 16999,A000000,05010,0000,05010CMHC 16999,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 16999,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 16999,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 16999,A000000,05300,0000,05300INTEREST EXPENSE 16999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 16999,B100000,00000,0100,00000SQUARE FEET 16999,B100000,00000,0200,00000SQUARE FEET 16999,B100000,00000,0300,00000GROSS SALARIES 16999,B100000,00000,0400,00000ACCUM COST 16999,B100000,00000,0500,00000SQUARE FEET 16999,B100000,00000,0600,00000PATIENT DAYS 16999,B100000,00000,0700,00000SQUARE FEET 16999,B100000,00000,0800,00000MEALS SERVED 16999,B100000,00000,0900,00000PATIENT DAYS 16999,B100000,00000,1000,00000PATIENT DAYS 16999,B100000,00000,1100,00000PATIENT DAYS 16999,B100000,00000,1200,00000PATIENT DAYS 16999,B100000,00000,1300,00000PATIENT DAYS 16999,B100000,00000,1400,00000ASSIGNED TIME 16999,S000000,00100,0200,06/26/2001 16999,S200000,00100,0100,8540 S. HARLEM AVENUE 16999,S200000,00200,0100,BRIDGEVIEW 16999,S200000,00200,0200,IL 16999,S200000,00200,0300,60455 16999,S200000,00300,0100,COOK 16999,S200000,00400,0100,METROPOLITAN NURSING CENTER 16999,S200000,00400,0200,145778 16999,S200000,00400,0300,01/10/1977 16999,S200000,00400,0500,P 16999,S200000,01600,0100,Y 17012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17012,A000000,00300,0000,00300EMPLOYEE BENEFITS 17012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17012,A000000,00700,0000,00700HOUSEKEEPING 17012,A000000,00800,0000,00800DIETARY 17012,A000000,00900,0000,00900NURSING ADMINISTRATION 17012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17012,A000000,01100,0000,01100PHARMACY 17012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17012,A000000,01300,0000,01300SOCIAL SERVICE 17012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17012,A000000,01600,0000,01600SKILLED NURSING FACILITY 17012,A000000,01810,0000,01810ICF/MR 17012,A000000,01900,0000,01900OTHER LONG TERM CARE 17012,A000000,02500,0000,02500PHYSICAL THERAPY 17012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17012,A000000,02700,0000,02700SPEECH PATHOLOGY 17012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17012,A000000,03550,0000,03550FQHC 17012,A000000,05000,0000,05000CORF 17012,A000000,05010,0000,05010CMHC 17012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17012,A000000,06201,0000,06201INDEPENDENT LIVING 17012,B100000,00000,0100,00001SQUARE FEET 17012,B100000,00000,0200,00001DOLLAR VALUE 17012,B100000,00000,0300,00001GROSS SALARIES 17012,B100000,00000,0400,00001ACCUM. COST 17012,B100000,00000,0500,00001SQUARE FEET 17012,B100000,00000,0600,00001POUNDS OF LAUNDRY 17012,B100000,00000,0700,00001HOURS OF SERVICE 17012,B100000,00000,0800,00001MEALS SERVED 17012,B100000,00000,0900,00001DIRECT NRSING HRS 17012,B100000,00000,1000,00001COSTED REQUIS. 17012,B100000,00000,1100,00001COSTED REQUIS. 17012,B100000,00000,1200,00001TIME SPENT 17012,B100000,00000,1300,00001TIME SPENT 17012,B100000,00000,1400,00001ASSIGNED TIME 17012,E10A180,00550,0100,12/01/2000 17012,E10A180,00550,0300,12/01/2000 17012,S000000,00100,0200,12/01/2000 17012,S200000,00100,0100,7060 NORTH MCCORMICK BOULEVARD 17012,S200000,00200,0100,LINCOLNWOOD 17012,S200000,00200,0200,IL 17012,S200000,00200,0300,60645 17012,S200000,00300,0100,C 17012,S200000,00400,0100,MANOR AT LINCOLNWOOD 17012,S200000,00400,0200,145786 17012,S200000,00400,0300,04/01/1994 17012,S200000,00400,0500,P 17012,S200000,01600,0100,Y 17019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17019,A000000,00300,0000,00300EMPLOYEE BENEFITS 17019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17019,A000000,00700,0000,00700HOUSEKEEPING 17019,A000000,00800,0000,00800DIETARY 17019,A000000,00900,0000,00900NURSING ADMINISTRATION 17019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17019,A000000,01100,0000,01100PHARMACY 17019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17019,A000000,01300,0000,01300SOCIAL SERVICE 17019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17019,A000000,01600,0000,01600SKILLED NURSING FACILITY 17019,A000000,01800,0000,01800NURSING FACILITY 17019,A000000,01810,0000,01810ICF/MR 17019,A000000,02100,0000,02100RADIOLOGY 17019,A000000,02200,0000,02200LABORATORY 17019,A000000,02500,0000,02500PHYSICAL THERAPY 17019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17019,A000000,02700,0000,02700SPEECH PATHOLOGY 17019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17019,A000000,03200,0000,03200SUPPORT SURFACES 17019,A000000,03550,0000,03550FQHC 17019,A000000,05000,0000,05000CORF 17019,A000000,05010,0000,05010CMHC 17019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17019,A81000A,00100,0100,Y 17019,A81000B,00200,0300,HOME OFFICE 17019,A81000C,00200,0100,B 17019,A81000C,00200,0200,CERTIFIED HEALT 17019,B100000,00000,0100,00040SQUARE FEET 17019,B100000,00000,0200,00040SQUARE FEET 17019,B100000,00000,0300,00040GROSS SALARIES 17019,B100000,00000,0400,00040ACCUM COST 17019,B100000,00000,0500,00040SQUARE FEET 17019,B100000,00000,0600,00040PATIENT DAYS 17019,B100000,00000,0700,00040SQUARE FEET 17019,B100000,00000,0800,00040PATIENT DAYS 17019,B100000,00000,0900,00040PATIENT DAYS 17019,B100000,00000,1000,00040PATIENT DAYS 17019,B100000,00000,1100,00040COSTED REQUIS 17019,B100000,00000,1200,00040PATIENT DAYS 17019,B100000,00000,1300,00040PATIENT DAYS 17019,B100000,00000,1400,00040ASSIGNED TIME 17019,S000000,00100,0200,04/05/2000 17019,S200000,00400,0100,RENAISSANCE CARE CENTER 17019,S200000,00400,0200,145793 17019,S200000,00400,0300,01/01/1994 17019,S200000,00400,0500,P 17019,S200000,01600,0100,Y 17026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17026,A000000,00300,0000,00300EMPLOYEE BENEFITS 17026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17026,A000000,00700,0000,00700HOUSEKEEPING 17026,A000000,00800,0000,00800DIETARY 17026,A000000,00900,0000,00900NURSING ADMINISTRATION 17026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17026,A000000,01100,0000,01100PHARMACY 17026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17026,A000000,01300,0000,01300SOCIAL SERVICE 17026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17026,A000000,01600,0000,01600SKILLED NURSING FACILITY 17026,A000000,01800,0000,01800NURSING FACILITY 17026,A000000,01810,0000,01810ICF/MR 17026,A000000,02500,0000,02500PHYSICAL THERAPY 17026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17026,A000000,02700,0000,02700SPEECH PATHOLOGY 17026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17026,A000000,03550,0000,03550FQHC 17026,A000000,05000,0000,05000CORF 17026,A000000,05010,0000,05010CMHC 17026,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17026,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17026,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17026,A000000,05300,0000,05300INTEREST EXPENSE 17026,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17026,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17026,B100000,00000,0100,00000SQUARE FEET 17026,B100000,00000,0200,00000SQUARE FEET 17026,B100000,00000,0300,00000GROSS SALARIES 17026,B100000,00000,0400,00000ACCUM COST 17026,B100000,00000,0500,00000SQUARE FEET 17026,B100000,00000,0600,00000POUNDS OF LAUNDRY 17026,B100000,00000,0700,00000HOURS OF SERVICE 17026,B100000,00000,0800,00000MEALS SERVED 17026,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 17026,B100000,00000,1000,00000COSTED REQUIS 17026,B100000,00000,1100,00000COSTED REQUIS 17026,B100000,00000,1200,00000TIME SPENT 17026,B100000,00000,1300,00000TIME SPENT 17026,B100000,00000,1400,00000ASSIGNED TIME 17026,S000000,00100,0200,12/01/2000 17026,S200000,00100,0100,605 NORTH FOURTH STREET 17026,S200000,00200,0100,FAIRBURY 17026,S200000,00200,0200,ILLINOIS 17026,S200000,00200,0300,61739 17026,S200000,00300,0100,L 17026,S200000,00400,0100,FAIRVIEW HAVEN INC. 17026,S200000,00400,0200,145794 17026,S200000,00400,0300,01/01/1994 17026,S200000,00400,0500,P 17026,S200000,01600,0100,Y 17032,S000000,00100,0200,03/01/2000 17033,S000000,00100,0200,05/22/2000 17037,S000000,00100,0200,03/01/2000 17038,S000000,00100,0200,05/22/2000 17046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17046,A000000,00300,0000,00300EMPLOYEE BENEFITS 17046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17046,A000000,00700,0000,00700HOUSEKEEPING 17046,A000000,00800,0000,00800DIETARY 17046,A000000,00900,0000,00900NURSING ADMINISTRATION 17046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17046,A000000,01100,0000,01100PHARMACY 17046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17046,A000000,01300,0000,01300SOCIAL SERVICE 17046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17046,A000000,01600,0000,01600SKILLED NURSING FACILITY 17046,A000000,01800,0000,01800NURSING FACILITY 17046,A000000,01810,0000,01810ICF/MR 17046,A000000,02200,0000,02200LABORATORY 17046,A000000,02500,0000,02500PHYSICAL THERAPY 17046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17046,A000000,02700,0000,02700SPEECH PATHOLOGY 17046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17046,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17046,A000000,03200,0000,03200SUPPORT SURFACES 17046,A000000,03400,0000,03400CLINIC 17046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17046,A000000,03550,0000,03550FQHC 17046,A000000,05000,0000,05000CORF 17046,A000000,05010,0000,05010CMHC 17046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17046,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17046,A81000A,00100,0100,Y 17046,A81000B,00100,0300,CAPITAL EXPENSES 17046,A81000B,00200,0300,ADMINISTRATIVE 17046,A81000B,00300,0300,BUILDING DEPRECIATION 17046,A81000B,00400,0300,REAL ESTATE TAXES 17046,A81000C,00100,0100,G 17046,A81000C,00100,0200,THE MATHER FOUN 17046,A81000C,00100,0400,THE MATHER FOUN 17046,A81000C,00100,0600,CORP OFFICE 17046,A81000C,00200,0100,G 17046,A81000C,00200,0200,THE MATHER FOUN 17046,A81000C,00200,0400,WAGNER REAL EST 17046,A81000C,00200,0600,REAL ESTATE 17046,B100000,00000,0100,00000SQUARE FEET 17046,B100000,00000,0200,00000SQUARE FEET 17046,B100000,00000,0300,00000GROSS SALARIES 17046,B100000,00000,0400,00000ACCUM COST 17046,B100000,00000,0500,00000SQUARE FEET 17046,B100000,00000,0600,00000PATIENT DAYS 17046,B100000,00000,0700,00000SQUARE FEET 17046,B100000,00000,0800,00000MEALS SERVED 17046,B100000,00000,0900,00000HOURS OF SERVICE 17046,B100000,00000,1000,00000PATIENT DAYS 17046,B100000,00000,1100,00000COSTED REQUISITIO 17046,B100000,00000,1200,00000PATIENT DAYS 17046,B100000,00000,1300,00000PATIENT DAYS 17046,B100000,00000,1400,00000ASSIGNED TIME 17046,S000000,00100,0200,06/05/2000 17046,S200000,00100,0100,820 FOSTER 17046,S200000,00200,0100,EVANSTON 17046,S200000,00200,0200,IL 17046,S200000,00200,0300,60201 17046,S200000,00300,0100,COOK 17046,S200000,00400,0100,WAGNER HEALTH CENTER 17046,S200000,00400,0200,145803 17046,S200000,00400,0300,07/05/1994 17046,S200000,00400,0500,P 17046,S200000,01600,0100,Y 17052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17052,A000000,00300,0000,00300EMPLOYEE BENEFITS 17052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17052,A000000,00700,0000,00700HOUSEKEEPING 17052,A000000,00800,0000,00800DIETARY 17052,A000000,00900,0000,00900NURSING ADMINISTRATION 17052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17052,A000000,01100,0000,01100PHARMACY 17052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17052,A000000,01300,0000,01300SOCIAL SERVICE 17052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17052,A000000,01600,0000,01600SKILLED NURSING FACILITY 17052,A000000,01800,0000,01800NURSING FACILITY 17052,A000000,01810,0000,01810ICF/MR 17052,A000000,02100,0000,02100RADIOLOGY 17052,A000000,02200,0000,02200LABORATORY 17052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17052,A000000,02500,0000,02500PHYSICAL THERAPY 17052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17052,A000000,02700,0000,02700SPEECH PATHOLOGY 17052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17052,A000000,03200,0000,03200SUPPORT SURFACES 17052,A000000,03550,0000,03550FQHC 17052,A000000,05000,0000,05000CORF 17052,A000000,05010,0000,05010CMHC 17052,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17052,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17052,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17052,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17052,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17052,A81000A,00100,0100,Y 17052,A81000B,00100,0300,MANAGEMENT FEE 17052,A81000B,00200,0300,INTEREST 17052,A81000B,00300,0300,AMORITIZATION 17052,A81000B,00400,0300,DEPRECIATION 17052,A81000B,00500,0300,BENEFITS 17052,A81000B,00600,0300,ADMIN & GENERAL 17052,A81000B,00700,0300,PLANT OPTR. & MAINT. 17052,A81000B,00800,0300,SOCIAL SERV 17052,A81000C,00100,0100,B 17052,A81000C,00100,0400,FAIRVIEW MINIST 17052,A81000C,00100,0600,PARENT CORPORAT 17052,A81000C,00200,0100,B 17052,A81000C,00200,0400,FAIRVIEW VILLAG 17052,A81000C,00200,0600,UNLICENSED HOUS 17052,A81000C,00300,0100,B 17052,A81000C,00300,0400,FAIRVIEW FOUNDA 17052,A81000C,00300,0600,FUND RAISING 17052,A81000C,00400,0100,B 17052,A81000C,00400,0400,FAIRVIEW ELDER 17052,A81000C,00400,0600,RESIDENT ACTIVI 17052,B100000,00000,0100,00000SQUARE FEET 17052,B100000,00000,0200,00000SQUARE FEET 17052,B100000,00000,0300,00000GROSS SALARIES 17052,B100000,00000,0400,00000ACCUM COST 17052,B100000,00000,0500,00000SQUARE FEET 17052,B100000,00000,0600,00000PATIENT DAYS 17052,B100000,00000,0700,00000SQUARE FEET 17052,B100000,00000,0800,00000MEALS SERVED 17052,B100000,00000,0900,00000DIRECT NRSG HRS 17052,B100000,00000,1000,00000PATIENT DAYS 17052,B100000,00000,1100,00000COSTED REQUIS 17052,B100000,00000,1200,00000PATIENT DAYS 17052,B100000,00000,1300,00000PATIENT DAYS 17052,B100000,00000,1400,00000ASSIGNED TIME 17052,E10A180,00301,0100,11/29/1999 17052,E10A180,00501,0100,12/21/2000 17052,E10A180,00501,0300,12/21/2000 17052,S000000,00100,0200,03/01/2000 17052,S200000,00100,0100,250 VILLAGE ROAD 17052,S200000,00200,0100,DOWNERS GROVE 17052,S200000,00200,0200,IL 17052,S200000,00200,0300,60516 17052,S200000,00300,0100,DU PAGE 17052,S200000,00400,0100,FAIRVIEW BAPTIST HOME 17052,S200000,00400,0200,145804 17052,S200000,00400,0300,09/01/1994 17052,S200000,00400,0500,P 17052,S200000,00400,0600,O 17052,S200000,00600,0200,145804 17052,S200000,00600,0300,09/01/1994 17052,S200000,00600,0600,P 17052,S200000,01600,0100,Y 17066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17066,A000000,00300,0000,00300EMPLOYEE BENEFITS 17066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17066,A000000,00700,0000,00700HOUSEKEEPING 17066,A000000,00800,0000,00800DIETARY 17066,A000000,00900,0000,00900NURSING ADMINISTRATION 17066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17066,A000000,01100,0000,01100PHARMACY 17066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17066,A000000,01300,0000,01300SOCIAL SERVICE 17066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17066,A000000,01600,0000,01600SKILLED NURSING FACILITY 17066,A000000,01810,0000,01810ICF/MR 17066,A000000,01900,0000,01900OTHER LONG TERM CARE 17066,A000000,02200,0000,02200LABORATORY 17066,A000000,02500,0000,02500PHYSICAL THERAPY 17066,A000000,02700,0000,02700SPEECH PATHOLOGY 17066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17066,A000000,03550,0000,03550FQHC 17066,A000000,05000,0000,05000CORF 17066,A000000,05010,0000,05010CMHC 17066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17066,A81000A,00100,0100,Y 17066,A81000B,00100,0300,RENT 17066,A81000B,00200,0300,DEPRECIATION 17066,A81000C,00100,0100,A 17066,A81000C,00100,0200,KAREN KINDER 17066,B100000,00000,0100,00000SQUARE FEET 17066,B100000,00000,0200,00000DOLLAR VALUE 17066,B100000,00000,0300,00000GROSS SALARIES 17066,B100000,00000,0400,00000ACCUM. COST 17066,B100000,00000,0500,00000SQUARE FEET 17066,B100000,00000,0600,00000PATIENT DA 17066,B100000,00000,0700,00000SQUARE FEET 17066,B100000,00000,0800,00000MEALS SERVED 17066,B100000,00000,0900,00000DIRECT NRSING HRS 17066,B100000,00000,1000,00000COSTED REQUIS. 17066,B100000,00000,1100,00000COSTED REQUIS. 17066,B100000,00000,1200,00000PATIENT DA 17066,B100000,00000,1300,00000PATIENT DA 17066,B100000,00000,1400,00000ASSIGNED TIME 17066,E10A180,00550,0100,10/26/2001 17066,S000000,00100,0200,12/01/2000 17066,S200000,00100,0100,300 SOUTH SCOTT STREET 17066,S200000,00200,0100,NEWTON 17066,S200000,00200,0200,IL 17066,S200000,00200,0300,62448 17066,S200000,00300,0100,J 17066,S200000,00400,0100,NEWTON REST HAVEN 17066,S200000,00400,0200,145807 17066,S200000,00400,0300,09/01/1994 17066,S200000,00400,0500,P 17066,S200000,01600,0100,Y 17066,S200000,02200,0100,Y 17066,S200000,02800,0100,Y 17070,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17070,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17070,A000000,00300,0000,00300EMPLOYEE BENEFITS 17070,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17070,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17070,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17070,A000000,00700,0000,00700HOUSEKEEPING 17070,A000000,00800,0000,00800DIETARY 17070,A000000,00900,0000,00900NURSING ADMINISTRATION 17070,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17070,A000000,01100,0000,01100PHARMACY 17070,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17070,A000000,01300,0000,01300SOCIAL SERVICE 17070,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17070,A000000,01600,0000,01600SKILLED NURSING FACILITY 17070,A000000,01800,0000,01800NURSING FACILITY 17070,A000000,01810,0000,01810ICF/MR 17070,A000000,02100,0000,02100RADIOLOGY 17070,A000000,02200,0000,02200LABORATORY 17070,A000000,02500,0000,02500PHYSICAL THERAPY 17070,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17070,A000000,02700,0000,02700SPEECH PATHOLOGY 17070,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17070,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17070,A000000,03550,0000,03550FQHC 17070,A000000,05000,0000,05000CORF 17070,A000000,05010,0000,05010CMHC 17070,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17070,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17070,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17070,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17070,A81000A,00100,0100,Y 17070,A81000B,00100,0300,RENT INT. & DEPR. 17070,A81000B,00200,0300,EMPLOYEE BENEFITS 17070,A81000B,00300,0300,R.P. SALARY 17070,A81000B,00400,0300,SRT & TRUST FEES 17070,A81000B,00500,0300,MANAGEMENT FEES 17070,A81000C,00100,0100,A 17070,A81000C,00100,0400,GAF PARTNERSHIP 17070,A81000C,00100,0600,BUILDING PARTNE 17070,A81000C,00200,0100,A 17070,A81000C,00200,0400,PRO HEALTH 17070,A81000C,00200,0600,MGMT COMPANY 17070,A81000C,00300,0100,A 17070,A81000C,00300,0400,GAF LTD. 17070,A81000C,00300,0600,MGMT COMPANY 17070,A81000C,00400,0100,A 17070,A81000C,00400,0400,FINN CONSULTING 17070,A81000C,00400,0600,MGMT COMPANY 17070,B100000,00000,0100,00000SQUARE FEET 17070,B100000,00000,0200,00000SQUARE FEET 17070,B100000,00000,0300,00000GROSS SALARIES 17070,B100000,00000,0400,00000ACCUM COST 17070,B100000,00000,0500,00000SQUARE FEET 17070,B100000,00000,0600,00000PATIENT DAYS 17070,B100000,00000,0700,00000SQUARE FEET 17070,B100000,00000,0800,00000MEALS SERVED 17070,B100000,00000,0900,00000DIRECT NRSG HRS 17070,B100000,00000,1000,00000PATIENT DAYS 17070,B100000,00000,1100,00000COSTED REQUIS 17070,B100000,00000,1200,00000PATIENT DAYS 17070,B100000,00000,1300,00000PATIENT DAYS 17070,B100000,00000,1400,00000ASSIGNED TIME 17070,S000000,00100,0200,05/30/2000 17070,S200000,00100,0100,263 SKOKIE BOULEVARD 17070,S200000,00200,0100,NORTHBROOK 17070,S200000,00200,0200,IL 17070,S200000,00200,0300,60062 17070,S200000,00300,0100,COOK 17070,S200000,00400,0100,G.A.F. LAKE COOK TERRACE 17070,S200000,00400,0200,145809 17070,S200000,00400,0300,11/01/1994 17070,S200000,00400,0500,P 17070,S200000,01600,0100,Y 17070,S200000,01900,0100,S CORPORATION 17070,S200000,04900,0100,Y 17076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17076,A000000,00300,0000,00300EMPLOYEE BENEFITS 17076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17076,A000000,00700,0000,00700HOUSEKEEPING 17076,A000000,00800,0000,00800DIETARY 17076,A000000,00900,0000,00900NURSING ADMINISTRATION 17076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17076,A000000,01100,0000,01100PHARMACY 17076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17076,A000000,01300,0000,01300SOCIAL SERVICE 17076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17076,A000000,01600,0000,01600SKILLED NURSING FACILITY 17076,A000000,01800,0000,01800NURSING FACILITY 17076,A000000,01810,0000,01810ICF/MR 17076,A000000,02200,0000,02200LABORATORY 17076,A000000,02500,0000,02500PHYSICAL THERAPY 17076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17076,A000000,02700,0000,02700SPEECH PATHOLOGY 17076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17076,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17076,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17076,A000000,03550,0000,03550FQHC 17076,A000000,04800,0000,04800AMBULANCE 17076,A000000,05000,0000,05000CORF 17076,A000000,05010,0000,05010CMHC 17076,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17076,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17076,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17076,A000000,05300,0000,05300INTEREST EXPENSE 17076,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17076,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17076,A81000A,00100,0100,Y 17076,A81000B,00100,0300,RENT EXPENSE 17076,A81000B,00200,0300,DEPRECIATION 17076,A81000B,00300,0300,INTEREST EXPENSE 17076,A81000B,00400,0300,INTEREST EXPENSE 17076,A81000B,00500,0300,REAL ESTATE TAXES 17076,A81000B,00600,0300,BANK CHARGES 17076,A81000B,00700,0300,PROFESSIONAL FEES 17076,A81000B,00800,0300,MISCELLANEOUS EXPENSE 17076,A81000B,00900,0300,CAPITAL - ROYAL 17076,A81000B,01000,0300,G&A - ROYAL 17076,A81000C,00100,0100,B 17076,A81000C,00100,0200,J SAMATAS ROYAL 17076,A81000C,00100,0400,ROYAL MGMT CO. 17076,A81000C,00100,0600,MGMT CO 17076,A81000C,00200,0100,B 17076,A81000C,00200,0200,J SAMATAS ROYAL 17076,A81000C,00200,0400,ROYAL MGMT CO. 17076,A81000C,00200,0600,MGMT CO 17076,A81000C,00300,0100,B 17076,A81000C,00300,0200,J SAMATAS TRUST 17076,A81000C,00300,0400,LHCS LAKE ZURIC 17076,A81000C,00300,0600,LESSOR 17076,A81000C,00400,0100,B 17076,A81000C,00400,0200,J SAMATAS TRUST 17076,A81000C,00400,0400,LHCS LAKE ZURIC 17076,A81000C,00400,0600,LESSOR 17076,A81000C,00500,0100,B 17076,A81000C,00500,0200,C THIEM TRUST 17076,A81000C,00500,0400,LHCS LAKE ZURIC 17076,A81000C,00500,0600,LESSOR 17076,B100000,00000,0100,00000SQUARE FEET 17076,B100000,00000,0200,00000SQUARE FEET 17076,B100000,00000,0300,00000GROSS SALARIES 17076,B100000,00000,0400,00000ACCUM COST 17076,B100000,00000,0500,00000SQUARE FEET 17076,B100000,00000,0600,00000PATIENT DAYS 17076,B100000,00000,0700,00000SQUARE FEET 17076,B100000,00000,0800,00000MEALS SERVED 17076,B100000,00000,0900,00000HOURS OF SERVICE 17076,B100000,00000,1000,00000PATIENT DAYS 17076,B100000,00000,1100,00000COSTED REQUISITIO 17076,B100000,00000,1200,00000PATIENT DAYS 17076,B100000,00000,1300,00000PATIENT DAYS 17076,B100000,00000,1400,00000ASSIGNED TIME 17076,E10A180,00501,0100,08/27/2001 17076,S000000,00100,0200,06/01/2000 17076,S200000,00100,0100,930 SOUTH RAND ROAD 17076,S200000,00200,0100,LAKE ZURICH 17076,S200000,00200,0200,IL 17076,S200000,00200,0300,60047 17076,S200000,00300,0100,LAKE 17076,S200000,00400,0100,LEXINGTON HCC - LAKE ZURICH 17076,S200000,00400,0200,145816 17076,S200000,00400,0300,09/07/1994 17076,S200000,00400,0500,P 17076,S200000,01600,0100,Y 17085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17085,A000000,00300,0000,00300EMPLOYEE BENEFITS 17085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17085,A000000,00700,0000,00700HOUSEKEEPING 17085,A000000,00800,0000,00800DIETARY 17085,A000000,00900,0000,00900NURSING ADMINISTRATION 17085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17085,A000000,01100,0000,01100PHARMACY 17085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17085,A000000,01300,0000,01300SOCIAL SERVICE 17085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17085,A000000,01600,0000,01600SKILLED NURSING FACILITY 17085,A000000,01800,0000,01800NURSING FACILITY 17085,A000000,01810,0000,01810ICF/MR 17085,A000000,02200,0000,02200LABORATORY 17085,A000000,02500,0000,02500PHYSICAL THERAPY 17085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17085,A000000,02700,0000,02700SPEECH PATHOLOGY 17085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17085,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 17085,A000000,03550,0000,03550FQHC 17085,A000000,05000,0000,05000CORF 17085,A000000,05010,0000,05010CMHC 17085,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17085,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17085,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17085,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17085,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17085,A000000,06150,0000,06300RENEW HOME CARE 17085,A81000A,00100,0100,Y 17085,A81000B,00100,0300,CAPITAL RELATED 17085,A81000C,00100,0100,A 17085,A81000C,00100,0400,WINDSOR HC MGMT 17085,A81000C,00100,0600,BLDG MANAGEMENT 17085,A81000C,00200,0100,A 17085,A81000C,00200,0400,WINDSOR MANOR 17085,A81000C,00200,0600,SNF 17085,B100000,00000,0100,00000SQUARE FEET 17085,B100000,00000,0200,00000SQUARE FEET 17085,B100000,00000,0300,00000GROSS SALARIES 17085,B100000,00000,0400,00000ACCUM COST 17085,B100000,00000,0500,00000SQUARE FEET 17085,B100000,00000,0600,00000PATIENT DAYS 17085,B100000,00000,0700,00000SQUARE FEET 17085,B100000,00000,0800,00000MEALS SERVED 17085,B100000,00000,0900,00000DIRECT NRSG HRS 17085,B100000,00000,1000,00000PATIENT DAYS 17085,B100000,00000,1100,00000COSTED REQUIS 17085,B100000,00000,1200,00000PATIENT DAYS 17085,B100000,00000,1300,00000PATIENT DAYS 17085,B100000,00000,1400,00000ASSIGNED TIME 17085,S000000,00100,0200,06/01/2000 17085,S200000,00100,0100,150 NORTH WEILAND 17085,S200000,00200,0100,BUFFALO GROVE 17085,S200000,00200,0200,IL 17085,S200000,00200,0300,60089 17085,S200000,00300,0100,LAKE 17085,S200000,00400,0100,CLAREMONT REHAB & LIVING CENTER 17085,S200000,00400,0200,145819 17085,S200000,00400,0300,01/02/1995 17085,S200000,00400,0500,P 17085,S200000,01600,0100,Y 17090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17090,A000000,00300,0000,00300EMPLOYEE BENEFITS 17090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17090,A000000,00700,0000,00700HOUSEKEEPING 17090,A000000,00800,0000,00800DIETARY 17090,A000000,00900,0000,00900NURSING ADMINISTRATION 17090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17090,A000000,01100,0000,01100PHARMACY 17090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17090,A000000,01300,0000,01300SOCIAL SERVICE 17090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17090,A000000,01600,0000,01600SKILLED NURSING FACILITY 17090,A000000,01800,0000,01800NURSING FACILITY 17090,A000000,01810,0000,01810ICF/MR 17090,A000000,02200,0000,02200LABORATORY 17090,A000000,02500,0000,02500PHYSICAL THERAPY 17090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17090,A000000,02700,0000,02700SPEECH PATHOLOGY 17090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17090,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 17090,A000000,03550,0000,03550FQHC 17090,A000000,05000,0000,05000CORF 17090,A000000,05010,0000,05010CMHC 17090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17090,A81000A,00100,0100,Y 17090,A81000B,00100,0300,CAPITAL RELATED 17090,A81000B,00200,0300,EMPLOYEE BENEFITS 17090,A81000B,00300,0300,ADMIN & GENERAL 17090,A81000B,00400,0300,PLANT 17090,A81000C,00100,0100,A 17090,A81000C,00100,0400,WILLOW OF ELDOR 17090,A81000C,00100,0600,BLDG PARTNERSHI 17090,A81000C,00200,0100,A 17090,A81000C,00200,0400,ABS MANAGEMENT 17090,A81000C,00200,0600,MGMT/BOOKKEEPIN 17090,B100000,00000,0100,00000SQUARE FEET 17090,B100000,00000,0200,00000SQUARE FEET 17090,B100000,00000,0300,00000GROSS SALARIES 17090,B100000,00000,0400,00000ACCUM COST 17090,B100000,00000,0500,00000SQUARE FEET 17090,B100000,00000,0600,00000PATIENT DAYS 17090,B100000,00000,0700,00000SQUARE FEET 17090,B100000,00000,0800,00000MEALS SERVED 17090,B100000,00000,0900,00000DIRECT NRSG HRS 17090,B100000,00000,1000,00000PATIENT DAYS 17090,B100000,00000,1100,00000COSTED REQUIS 17090,B100000,00000,1200,00000PATIENT DAYS 17090,B100000,00000,1300,00000PATIENT DAYS 17090,B100000,00000,1400,00000ASSIGNED TIME 17090,S000000,00100,0200,06/21/2000 17090,S200000,00100,0100,1700 JASPER 17090,S200000,00200,0100,ELDORADO 17090,S200000,00200,0200,IL 17090,S200000,00200,0300,62930 17090,S200000,00300,0100,SALINE 17090,S200000,00400,0100,CITY CARE CENTER (ELDORADO) 17090,S200000,00400,0200,145824 17090,S200000,00400,0300,01/01/1995 17090,S200000,00400,0500,P 17090,S200000,01600,0100,Y 17095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17095,A000000,00300,0000,00300EMPLOYEE BENEFITS 17095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17095,A000000,00700,0000,00700HOUSEKEEPING 17095,A000000,00800,0000,00800DIETARY 17095,A000000,00900,0000,00900NURSING ADMINISTRATION 17095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17095,A000000,01100,0000,01100PHARMACY 17095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17095,A000000,01300,0000,01300SOCIAL SERVICE 17095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17095,A000000,01600,0000,01600SKILLED NURSING FACILITY 17095,A000000,01800,0000,01800NURSING FACILITY 17095,A000000,01810,0000,01810ICF/MR 17095,A000000,02100,0000,02100RADIOLOGY 17095,A000000,02200,0000,02200LABORATORY 17095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17095,A000000,02500,0000,02500PHYSICAL THERAPY 17095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17095,A000000,02700,0000,02700SPEECH PATHOLOGY 17095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17095,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17095,A000000,03550,0000,03550FQHC 17095,A000000,05000,0000,05000CORF 17095,A000000,05010,0000,05010CMHC 17095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17095,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17095,B100000,00000,0100,00000SQUARE FEET 17095,B100000,00000,0200,00000SQUARE FEET 17095,B100000,00000,0300,00000GROSS SALARIES 17095,B100000,00000,0400,00000ACCUM COST 17095,B100000,00000,0500,00000SQUARE FEET 17095,B100000,00000,0600,00000POUNDS OF LAUNDRY 17095,B100000,00000,0700,00000SQUARE FEET 17095,B100000,00000,0800,00000MEALS SERVED 17095,B100000,00000,0900,00000DIRECT WAGES 17095,B100000,00000,1000,00000PATIENT CENSUS 17095,B100000,00000,1100,00000COSTED REQUISITIO 17095,B100000,00000,1200,00000TIME SPENT 17095,B100000,00000,1300,00000PATIENT CENSUS 17095,B100000,00000,1400,00000ASSIGNED TIME 17095,E10A180,00501,0100,03/06/2000 17095,E10A180,00550,0300,03/06/2000 17095,S000000,00100,0200,03/03/2000 17095,S200000,00100,0100,8700 WEST 31ST STREET 17095,S200000,00200,0100,BROOKFIELD 17095,S200000,00200,0200,ILLINOIS 17095,S200000,00200,0300,60603 17095,S200000,00300,0100,COOK 17095,S200000,00400,0100,THE BRITISH HOME 17095,S200000,00400,0200,145827 17095,S200000,00400,0300,04/01/1995 17095,S200000,00400,0500,P 17095,S200000,01600,0100,Y 17100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17100,A000000,00300,0000,00300EMPLOYEE BENEFITS 17100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17100,A000000,00700,0000,00700HOUSEKEEPING 17100,A000000,00800,0000,00800DIETARY 17100,A000000,00900,0000,00900NURSING ADMINISTRATION 17100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17100,A000000,01100,0000,01100PHARMACY 17100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17100,A000000,01300,0000,01300SOCIAL SERVICE 17100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17100,A000000,01600,0000,01600SKILLED NURSING FACILITY 17100,A000000,01800,0000,01800NURSING FACILITY 17100,A000000,01810,0000,01810ICF/MR 17100,A000000,02500,0000,02500PHYSICAL THERAPY 17100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17100,A000000,02700,0000,02700SPEECH PATHOLOGY 17100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17100,A000000,03550,0000,03550FQHC 17100,A000000,05000,0000,05000CORF 17100,A000000,05010,0000,05010CMHC 17100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17100,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17100,A81000A,00100,0100,Y 17100,A81000B,00100,0300,CAPITAL RELATED COST 17100,A81000B,00200,0300,ADMIN & GENERAL 17100,A81000B,00300,0300,SECURITY 17100,A81000C,00100,0100,A 17100,A81000C,00100,0400,WOOD GLEN PAV.R 17100,A81000C,00100,0600,REALTY CO./BLDG 17100,A81000C,00200,0100,A 17100,A81000C,00200,0400,WOOD GLEN ASSOC 17100,B100000,00000,0100,00000SQUARE FEET 17100,B100000,00000,0200,00000SQUARE FEET 17100,B100000,00000,0300,00000GROSS SALARIES 17100,B100000,00000,0400,00000ACCUM COST 17100,B100000,00000,0500,00000SQUARE FEET 17100,B100000,00000,0600,00000PATIENT DAYS 17100,B100000,00000,0700,00000SQUARE FOOTAGE 17100,B100000,00000,0800,00000MEALS SERVED 17100,B100000,00000,0900,00000DIRECT NRSG HRS 17100,B100000,00000,1000,00000PATIENT DAYS 17100,B100000,00000,1100,00000COSTED REQUIS 17100,B100000,00000,1200,00000PATIENT DAYS 17100,B100000,00000,1300,00000PATIENT DAYS 17100,B100000,00000,1400,00000ASSIGNED TIME 17100,S000000,00100,0200,05/11/2000 17100,S200000,00100,0100,201 W. NORTH AVENUE 17100,S200000,00200,0100,WEST CHICAGO 17100,S200000,00200,0200,IL 17100,S200000,00200,0300,60185 17100,S200000,00300,0100,DUPAGE 17100,S200000,00400,0100,WOOD GLEN PAVILION LLC 17100,S200000,00400,0200,145830 17100,S200000,00400,0300,03/03/1995 17100,S200000,00400,0500,P 17100,S200000,01600,0100,Y 17108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17108,A000000,00300,0000,00300EMPLOYEE BENEFITS 17108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17108,A000000,00700,0000,00700HOUSEKEEPING 17108,A000000,00800,0000,00800DIETARY 17108,A000000,00900,0000,00900NURSING ADMINISTRATION 17108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17108,A000000,01100,0000,01100PHARMACY 17108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17108,A000000,01300,0000,01300SOCIAL SERVICE 17108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17108,A000000,01600,0000,01600SKILLED NURSING FACILITY 17108,A000000,01800,0000,01800NURSING FACILITY 17108,A000000,01810,0000,01810ICF/MR 17108,A000000,02500,0000,02500PHYSICAL THERAPY 17108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17108,A000000,02700,0000,02700SPEECH PATHOLOGY 17108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17108,A000000,03550,0000,03550FQHC 17108,A000000,05000,0000,05000CORF 17108,A000000,05010,0000,05010CMHC 17108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17108,A000000,05901,0000,05901ASA TALCOTT/DEVELOPMENT 17108,A81000A,00100,0100,Y 17108,A81000B,00100,0300,MARKETING COST 17108,A81000B,00200,0300,SUPPORTIVE SERVICES 17108,A81000B,00300,0300,DEPRECIATION 17108,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 17108,A81000B,00500,0300,PLANT OPERATION 17108,A81000B,00600,0300,MARKETING COST 17108,A81000C,00100,0100,A 17108,A81000C,00100,0200,NATL BENEVOLENT ASSN 17108,A81000C,00100,0600,HOME OFFICE 17108,B100000,00000,0100,00001SQUARE FEET 17108,B100000,00000,0200,00001SQUARE FEET 17108,B100000,00000,0300,00001GROSS SALARIES 17108,B100000,00000,0400,00001ACCUM. COST 17108,B100000,00000,0500,00001SQUARE FEET 17108,B100000,00000,0600,00001PATIENT DAYS 17108,B100000,00000,0700,00001SQUARE FEET 17108,B100000,00000,0800,00001MEALS SERVED 17108,B100000,00000,0900,00001DIRECT NRSING HRS 17108,B100000,00000,1000,00001PATIENT DAYS 17108,B100000,00000,1100,00001COSTED REQUIS 17108,B100000,00000,1200,00001PATIENT DAYS 17108,B100000,00000,1300,00001PATIENT DAYS 17108,B100000,00000,1400,00001ASSIGNED TIME 17108,S000000,00100,0200,02/11/2000 17108,S200000,00100,0100,873 GROVE STREET 17108,S200000,00200,0100,JACKSONVILLE 17108,S200000,00200,0200,IL 17108,S200000,00300,0100,MORGAN 17108,S200000,00400,0100,BARTON W. STONE CHRISTIAN HOME 17108,S200000,00400,0200,145831 17108,S200000,00400,0300,03/01/1995 17108,S200000,00400,0500,P 17108,S200000,01600,0100,Y 17108,S200000,03100,0100,Y 17113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17113,A000000,00300,0000,00300EMPLOYEE BENEFITS 17113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17113,A000000,00700,0000,00700HOUSEKEEPING 17113,A000000,00800,0000,00800DIETARY 17113,A000000,00900,0000,00900NURSING ADMINISTRATION 17113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17113,A000000,01100,0000,01100PHARMACY 17113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17113,A000000,01300,0000,01300SOCIAL SERVICE 17113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17113,A000000,01600,0000,01600SKILLED NURSING FACILITY 17113,A000000,01800,0000,01800NURSING FACILITY 17113,A000000,01810,0000,01810ICF/MR 17113,A000000,02100,0000,02100RADIOLOGY 17113,A000000,02200,0000,02200LABORATORY 17113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17113,A000000,02500,0000,02500PHYSICAL THERAPY 17113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17113,A000000,02700,0000,02700SPEECH PATHOLOGY 17113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17113,A000000,03200,0000,03200SUPPORT SURFACES 17113,A000000,03550,0000,03550FQHC 17113,A000000,05000,0000,05000CORF 17113,A000000,05010,0000,05010CMHC 17113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17113,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17113,A81000A,00100,0100,Y 17113,A81000B,00100,0300,RENT 17113,A81000B,00200,0300,AMORTIZATION 17113,A81000B,00300,0300,BANK CHARGES 17113,A81000B,00400,0300,DEPRECIATION 17113,A81000B,00500,0300,INTEREST 17113,A81000B,00600,0300,LICENSES AND FEES 17113,A81000C,00100,0100,A 17113,A81000C,00100,0400,DEVON RIDGE MAN 17113,A81000C,00100,0600,BUILDING COMPAN 17113,B100000,00000,0100,00000SQUARE FEET 17113,B100000,00000,0200,00000SQUARE FEET 17113,B100000,00000,0300,00000GROSS SALARIES 17113,B100000,00000,0400,00000ACCUM COST 17113,B100000,00000,0500,00000SQUARE FEET 17113,B100000,00000,0600,00000PATIENT DAYS 17113,B100000,00000,0700,00000SQUARE FEET 17113,B100000,00000,0800,00000MEALS SERVED 17113,B100000,00000,0900,00000DIRECT NRSG HRS 17113,B100000,00000,1000,00000PATIENT DAYS 17113,B100000,00000,1100,00000COSTED REQUIS 17113,B100000,00000,1200,00000PATIENT DAYS 17113,B100000,00000,1300,00000PATIENT DAYS 17113,B100000,00000,1400,00000ASSIGNED TIME 17113,S000000,00100,0200,05/11/2000 17113,S200000,00100,0100,6450 NORTH RIDGE AVENUE 17113,S200000,00200,0100,CHICAGO 17113,S200000,00200,0200,IL 17113,S200000,00200,0300,60626 17113,S200000,00300,0100,COOK 17113,S200000,00400,0100,GARDEN VIEW HOME INC. 17113,S200000,00400,0200,145832 17113,S200000,00400,0300,06/01/1995 17113,S200000,00400,0500,P 17113,S200000,01600,0100,Y 17113,S200000,01900,0100,S-CORP 17120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17120,A000000,00300,0000,00300EMPLOYEE BENEFITS 17120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17120,A000000,00700,0000,00700HOUSEKEEPING 17120,A000000,00800,0000,00800DIETARY 17120,A000000,00900,0000,00900NURSING ADMINISTRATION 17120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17120,A000000,01100,0000,01100PHARMACY 17120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17120,A000000,01300,0000,01300SOCIAL SERVICE 17120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17120,A000000,01600,0000,01600SKILLED NURSING FACILITY 17120,A000000,01800,0000,01800NURSING FACILITY 17120,A000000,01810,0000,01810ICF/MR 17120,A000000,02200,0000,02200LABORATORY 17120,A000000,02500,0000,02500PHYSICAL THERAPY 17120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17120,A000000,02700,0000,02700SPEECH PATHOLOGY 17120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17120,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17120,A000000,03550,0000,03550FQHC 17120,A000000,04800,0000,04800AMBULANCE 17120,A000000,05000,0000,05000CORF 17120,A000000,05010,0000,05010CMHC 17120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17120,A000000,05300,0000,05300INTEREST EXPENSE 17120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17120,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17120,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17120,A81000A,00100,0100,Y 17120,A81000B,00100,0300,RENT EXPENSE 17120,A81000B,00200,0300,AMORT OF MTG COSTS 17120,A81000B,00300,0300,PROPERTY TAXES 17120,A81000B,00400,0300,REPLACEMENT TAXES 17120,A81000B,00500,0300,PROFESSIONAL FEES 17120,A81000B,00600,0300,BANK CHARGES 17120,A81000B,00700,0300,DEPRECIAION EXPENSE 17120,A81000B,00800,0300,MISCELLANEOUS EXPENSE 17120,A81000B,00900,0300,INTEREST EXPENSE 17120,A81000B,01000,0300,ROYAL CAPITAL COSTS 17120,A81000B,01100,0300,ROYAL G&A COSTS 17120,A81000C,00100,0100,A 17120,A81000C,00100,0200,JOHN SAMATAS 17120,A81000C,00100,0400,LHCS WHEELING 17120,A81000C,00100,0600,LESSOR 17120,A81000C,00200,0100,A 17120,A81000C,00200,0200,JAMES SAMATAS 17120,A81000C,00200,0400,LHCS WHEELING 17120,A81000C,00200,0600,LESSOR 17120,A81000C,00300,0100,A 17120,A81000C,00300,0200,CYNTHIA THIEM 17120,A81000C,00300,0400,LHCS WHEELING 17120,A81000C,00300,0600,LESSOR 17120,A81000C,00400,0100,B 17120,A81000C,00400,0200,J SAMATAS ROYAL 17120,A81000C,00400,0400,ROYAL MGMT CORP 17120,A81000C,00400,0600,MGMT CO 17120,A81000C,00500,0100,B 17120,A81000C,00500,0200,J SAMATAS ROYAL 17120,A81000C,00500,0400,ROYAL MGMT CORP 17120,A81000C,00500,0600,MGMT CO 17120,B100000,00000,0100,00000SQUARE FEET 17120,B100000,00000,0200,00000SQUARE FEET 17120,B100000,00000,0300,00000GROSS SALARIES 17120,B100000,00000,0400,00000ACCUM COST 17120,B100000,00000,0500,00000SQUARE FEET 17120,B100000,00000,0600,00000PATIENT DAYS 17120,B100000,00000,0700,00000SQUARE FEET 17120,B100000,00000,0800,00000MEALS SERVED 17120,B100000,00000,0900,00000HOURS OF SERVICE 17120,B100000,00000,1000,00000PATIENT DAYS 17120,B100000,00000,1100,00000COSTED REQUISITIO 17120,B100000,00000,1200,00000TIME SPENT 17120,B100000,00000,1300,00000PATIENT DAYS 17120,B100000,00000,1400,00000ASSIGNED TIME 17120,S000000,00100,0200,06/01/2000 17120,S200000,00100,0100,730 WEST HINTZ ROAD 17120,S200000,00200,0100,WHEELING 17120,S200000,00200,0200,IL 17120,S200000,00200,0300,60090 17120,S200000,00300,0100,COOK 17120,S200000,00400,0100,LEXINGTON HCC - WHEELING 17120,S200000,00400,0200,145835 17120,S200000,00400,0300,05/07/1995 17120,S200000,00400,0500,P 17120,S200000,01600,0100,Y 17128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17128,A000000,00300,0000,00300EMPLOYEE BENEFITS 17128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17128,A000000,00700,0000,00700HOUSEKEEPING 17128,A000000,00800,0000,00800DIETARY 17128,A000000,00900,0000,00900NURSING ADMINISTRATION 17128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17128,A000000,01100,0000,01100PHARMACY 17128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17128,A000000,01300,0000,01300SOCIAL SERVICE 17128,A000000,01350,0000,01500ACTIVITIES 17128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17128,A000000,01600,0000,01600SKILLED NURSING FACILITY 17128,A000000,01800,0000,01800NURSING FACILITY 17128,A000000,01810,0000,01810ICF/MR 17128,A000000,02200,0000,02200LABORATORY 17128,A000000,02500,0000,02500PHYSICAL THERAPY 17128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17128,A000000,02700,0000,02700SPEECH PATHOLOGY 17128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17128,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 17128,A000000,03550,0000,03550FQHC 17128,A000000,04750,0000,05100OTHER REIMBURSABLE COST 17128,A000000,05000,0000,05000CORF 17128,A000000,05010,0000,05010CMHC 17128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17128,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17128,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 17128,A81000A,00100,0100,Y 17128,A81000B,00100,0300,BLDG. RENTAL COST 17128,A81000B,00200,0300,HOME OFFICE BLDG. COST 17128,A81000B,00300,0300,HOME OFFICE EQUIP. COST 17128,A81000B,00400,0300,HOME OFFICE A&G COST 17128,A81000B,00500,0300,NURSING ADMIN 17128,A81000C,00100,0100,A 17128,A81000C,00100,0200,DONALD FIKE 17128,A81000C,00100,0400,RFMS INC. 17128,A81000C,00100,0600,MANAGEMENT SERVICES 17128,A81000C,00200,0100,A 17128,A81000C,00200,0200,DONALD FIKE 17128,A81000C,00200,0400,ILLINI MANOR 17128,A81000C,00200,0600,FACILITY RENTAL 17128,A81000C,00300,0100,A 17128,A81000C,00300,0200,DONALD FIKE 17128,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 17128,A81000C,00300,0600,VEHICLE RENTAL 17128,B100000,00000,0100,00000SQUARE FEET 17128,B100000,00000,0200,00000SQUARE FEET 17128,B100000,00000,0300,00000GROSS SALARIES 17128,B100000,00000,0400,00000ACCUM. COST 17128,B100000,00000,0500,00000SQUARE FEET 17128,B100000,00000,0600,00000PATIENT DAYS 17128,B100000,00000,0700,00000SQUARE FEET 17128,B100000,00000,0800,00000PATIENT DAYS 17128,B100000,00000,0900,00000SALARIES 17128,B100000,00000,1000,00000NO STATISTICS 17128,B100000,00000,1100,00000COSTED REQUIS. 17128,B100000,00000,1200,00000TIME SPENT 17128,B100000,00000,1300,00000PATIENT DISCHARGES 17128,B100000,00000,1350,00000PATIENT DISCHARGES 17128,B100000,00000,1400,00000ASSIGNED TIME 17128,S000000,00100,0200,06/01/2000 17128,S200000,00100,0100,610 LOWRY STREETSTREET 17128,S200000,00200,0100,PITTSFIELD 17128,S200000,00200,0200,IL 17128,S200000,00200,0300,62363 17128,S200000,00300,0100,PIKE 17128,S200000,00400,0100,PITTSFIELD MANOR 17128,S200000,00400,0200,145837 17128,S200000,00400,0300,04/27/1995 17128,S200000,00400,0500,P 17128,S200000,01600,0100,Y 17135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17135,A000000,00300,0000,00300EMPLOYEE BENEFITS 17135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17135,A000000,00700,0000,00700HOUSEKEEPING 17135,A000000,00800,0000,00800DIETARY 17135,A000000,00900,0000,00900NURSING ADMINISTRATION 17135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17135,A000000,01100,0000,01100PHARMACY 17135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17135,A000000,01300,0000,01300SOCIAL SERVICE 17135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17135,A000000,01600,0000,01600SKILLED NURSING FACILITY 17135,A000000,01800,0000,01800NURSING FACILITY 17135,A000000,01810,0000,01810ICF/MR 17135,A000000,02200,0000,02200LABORATORY 17135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17135,A000000,02500,0000,02500PHYSICAL THERAPY 17135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17135,A000000,02700,0000,02700SPEECH PATHOLOGY 17135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17135,A000000,03050,0000,03300BGM 17135,A000000,03051,0000,03310AMBULANCE 17135,A000000,03200,0000,03200SUPPORT SURFACES 17135,A000000,03550,0000,03550FQHC 17135,A000000,05000,0000,05000CORF 17135,A000000,05010,0000,05010CMHC 17135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17135,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17135,A81000A,00100,0100,Y 17135,A81000B,00100,0300,CAPITAL EXPENSES 17135,A81000B,00200,0300,EMPLOYEE BENEFITS 17135,A81000B,00300,0300,SALARIES 17135,A81000B,00400,0300,OTHER ADMIN & GENL 17135,A81000B,00500,0300,MAINTENANCE 17135,A81000B,00600,0300,MANAGEMENT FEES 17135,A81000C,00100,0100,A 17135,A81000C,00100,0200,N DRAIMAN 17135,A81000C,00100,0400,FUTURE ASSOCIAT 17135,A81000C,00100,0600,MANAGEMENT COMP 17135,A81000C,00200,0100,A 17135,A81000C,00200,0200,R 17135,A81000C,00200,0400,SHABAT & ASSOC 17135,A81000C,00200,0600,MANAGEMENT COMP 17135,B100000,00000,0100,00000SQUARE FEET 17135,B100000,00000,0200,00000SQUARE FEET 17135,B100000,00000,0300,00000GROSS SALARIES 17135,B100000,00000,0400,00000ACCUM COST 17135,B100000,00000,0500,00000SQUARE FEET 17135,B100000,00000,0600,00000PATIENT DAYS 17135,B100000,00000,0700,00000SQUARE FEET 17135,B100000,00000,0800,00000MEALS SERVED 17135,B100000,00000,0900,00000DIRECT NRSG HRS 17135,B100000,00000,1000,00000PATIENT DAYS 17135,B100000,00000,1100,00000COSTED REQUIS 17135,B100000,00000,1200,00000PATIENT DAYS 17135,B100000,00000,1300,00000PATIENT DAYS 17135,B100000,00000,1400,00000ASSIGNED TIME 17135,S000000,00100,0200,06/05/2000 17135,S200000,00100,0100,6141 N. PULASKI 17135,S200000,00200,0100,CHICAGO 17135,S200000,00200,0200,IL 17135,S200000,00200,0300,60646 17135,S200000,00300,0100,COOK 17135,S200000,00400,0100,PETERSON PARK HEALTH CARE CENTER 17135,S200000,00400,0200,145838 17135,S200000,00400,0300,08/01/1995 17135,S200000,00400,0500,P 17135,S200000,01600,0100,Y 17135,S200000,01900,0100,SUBCHAPTER S 17135,S200000,04700,0100,Y 17142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17142,A000000,00300,0000,00300EMPLOYEE BENEFITS 17142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17142,A000000,00700,0000,00700HOUSEKEEPING 17142,A000000,00800,0000,00800DIETARY 17142,A000000,00900,0000,00900NURSING ADMINISTRATION 17142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17142,A000000,01100,0000,01100PHARMACY 17142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17142,A000000,01300,0000,01300SOCIAL SERVICE 17142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17142,A000000,01600,0000,01600SKILLED NURSING FACILITY 17142,A000000,01800,0000,01800NURSING FACILITY 17142,A000000,01810,0000,01810ICF/MR 17142,A000000,02100,0000,02100RADIOLOGY 17142,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17142,A000000,02500,0000,02500PHYSICAL THERAPY 17142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17142,A000000,02700,0000,02700SPEECH PATHOLOGY 17142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17142,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17142,A000000,03550,0000,03550FQHC 17142,A000000,05000,0000,05000CORF 17142,A000000,05010,0000,05010CMHC 17142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17142,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17142,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17142,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17142,B100000,00000,0100,00000SQUARE FEET 17142,B100000,00000,0200,00000SQUARE FEET 17142,B100000,00000,0300,00000GROSS SALARIES 17142,B100000,00000,0400,00000ACCUM COST 17142,B100000,00000,0500,00000SQUARE FEET 17142,B100000,00000,0600,00000PATIENT DAYS 17142,B100000,00000,0700,00000SQUARE FEET 17142,B100000,00000,0800,00000MEALS SERVED 17142,B100000,00000,0900,00000HOURS OF SERVICE 17142,B100000,00000,1000,00000PATIENT DAYS 17142,B100000,00000,1100,00000COSTED REQUISITIO 17142,B100000,00000,1200,00000PATIENT DAYS 17142,B100000,00000,1300,00000PATIENT DAYS 17142,B100000,00000,1400,00000ASSIGNED TIME 17142,S000000,00100,0200,03/01/2000 17142,S200000,00100,0100,1347 CRYSTAL COURT 17142,S200000,00200,0100,NAPERVILLE 17142,S200000,00200,0200,IL 17142,S200000,00200,0300,60563 17142,S200000,00300,0100,DUPAGE 17142,S200000,00400,0100,TABOR HILLS HEALTH CARE FACILITY 17142,S200000,00400,0200,145840 17142,S200000,00400,0300,05/25/1995 17142,S200000,00400,0500,P 17142,S200000,01600,0100,Y 17152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17152,A000000,00300,0000,00300EMPLOYEE BENEFITS 17152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17152,A000000,00700,0000,00700HOUSEKEEPING 17152,A000000,00800,0000,00800DIETARY 17152,A000000,00900,0000,00900NURSING ADMINISTRATION 17152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17152,A000000,01100,0000,01100PHARMACY 17152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17152,A000000,01300,0000,01300SOCIAL SERVICE 17152,A000000,01350,0000,01500ACTIVITIES 17152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17152,A000000,01600,0000,01600SKILLED NURSING FACILITY 17152,A000000,01800,0000,01800NURSING FACILITY 17152,A000000,01810,0000,01810ICF/MR 17152,A000000,02200,0000,02200LABORATORY 17152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17152,A000000,02500,0000,02500PHYSICAL THERAPY 17152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17152,A000000,02700,0000,02700SPEECH PATHOLOGY 17152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17152,A000000,03550,0000,03550FQHC 17152,A000000,05000,0000,05000CORF 17152,A000000,05010,0000,05010CMHC 17152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17152,A81000A,00100,0100,Y 17152,A81000B,00100,0300,RENT 17152,A81000B,00200,0300,HOME OFFICE BLDG. COSTS 17152,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 17152,A81000B,00400,0300,HOME OFFICE A&G COSTS 17152,A81000B,00500,0300,MGT THERAPY FEE 17152,A81000C,00100,0100,A 17152,A81000C,00100,0200,DONALD FIKE 17152,A81000C,00100,0400,RFMS INC. 17152,A81000C,00100,0600,MANAGEMENT SERVICES 17152,A81000C,00200,0100,A 17152,A81000C,00200,0200,DONALD FIKE 17152,A81000C,00200,0400,ILLINI MANOR 17152,A81000C,00200,0600,FACILITY RENTAL 17152,A81000C,00300,0100,A 17152,A81000C,00300,0200,DONALD FIKE 17152,A81000C,00300,0400,COMM. LIVING ALTERNATIVES 17152,A81000C,00300,0600,VEHICLE RENTAL 17152,B100000,00000,0100,00040SQUARE FEET 17152,B100000,00000,0200,00040SQUARE FEET 17152,B100000,00000,0300,00040GROSS SALARIES 17152,B100000,00000,0400,00040ACCUM. COST 17152,B100000,00000,0500,00040SQUARE FEET 17152,B100000,00000,0600,00040PATIENT DAYS 17152,B100000,00000,0700,00040SQUARE FEET 17152,B100000,00000,0800,00040PATIENT DAYS 17152,B100000,00000,0900,00040GROSS WAGES 17152,B100000,00000,1000,00040NO STATISTICS 17152,B100000,00000,1100,00040NO STATISTICS 17152,B100000,00000,1200,00040TIME SPENT 17152,B100000,00000,1300,00040PATIENT DISCHARGES 17152,B100000,00000,1350,00040PATIENT DISCHARGES 17152,B100000,00000,1400,00040ASSIGNED TIME 17152,S000000,00100,0200,06/01/2000 17152,S200000,00100,0100,3116 WILLIAMSON CITY PARKWAY 17152,S200000,00200,0100,MARION 17152,S200000,00200,0200,IL 17152,S200000,00300,0100,WILLIAMSON 17152,S200000,00400,0100,PARKWAY MANOR 17152,S200000,00400,0200,145841 17152,S200000,00400,0300,06/22/1995 17152,S200000,00400,0500,P 17152,S200000,01600,0100,Y 17152,S200000,04100,0100,Y 17159,S000000,00100,0200,12/01/2000 17161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17161,A000000,00300,0000,00300EMPLOYEE BENEFITS 17161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17161,A000000,00700,0000,00700HOUSEKEEPING 17161,A000000,00800,0000,00800DIETARY 17161,A000000,00900,0000,00900NURSING ADMINISTRATION 17161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17161,A000000,01100,0000,01100PHARMACY 17161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17161,A000000,01300,0000,01300SOCIAL SERVICE 17161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17161,A000000,01600,0000,01600SKILLED NURSING FACILITY 17161,A000000,01800,0000,01800NURSING FACILITY 17161,A000000,01810,0000,01810ICF/MR 17161,A000000,02100,0000,02100RADIOLOGY 17161,A000000,02200,0000,02200LABORATORY 17161,A000000,02500,0000,02500PHYSICAL THERAPY 17161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17161,A000000,02700,0000,02700SPEECH PATHOLOGY 17161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17161,A000000,03550,0000,03550FQHC 17161,A000000,05000,0000,05000CORF 17161,A000000,05010,0000,05010CMHC 17161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17161,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17161,B100000,00000,0100,00000SQUARE FEET 17161,B100000,00000,0200,00000SQUARE FEET 17161,B100000,00000,0300,00000GROSS SALARIES 17161,B100000,00000,0400,00000ACCUM COST 17161,B100000,00000,0500,00000SQUARE FEET 17161,B100000,00000,0600,00000PATIENTS DAYS 17161,B100000,00000,0700,00000SQUARE FEET 17161,B100000,00000,0800,00000MEALS SERVED 17161,B100000,00000,0900,00000DIRECT NRSG HRS 17161,B100000,00000,1000,00000PATIENT DAYS 17161,B100000,00000,1100,00000COSTED REQUIS 17161,B100000,00000,1200,00000PATIENT DAYS 17161,B100000,00000,1300,00000PATIENT DAYS 17161,B100000,00000,1400,00000ASSIGNED TIME 17161,S000000,00100,0200,05/20/2000 17161,S200000,00100,0100,2833 N. NORDICA AVENUE 17161,S200000,00200,0100,CHICAGO 17161,S200000,00200,0200,IL 17161,S200000,00300,0100,COOK 17161,S200000,00400,0100,NORWEGIAN LUTHERAN BETHESDA HOME 17161,S200000,00400,0200,145844 17161,S200000,00400,0300,08/01/1995 17161,S200000,00400,0500,P 17161,S200000,01600,0100,Y 17167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17167,A000000,00300,0000,00300EMPLOYEE BENEFITS 17167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17167,A000000,00700,0000,00700HOUSEKEEPING 17167,A000000,00800,0000,00800DIETARY 17167,A000000,00900,0000,00900NURSING ADMINISTRATION 17167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17167,A000000,01100,0000,01100PHARMACY 17167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17167,A000000,01300,0000,01300SOCIAL SERVICE 17167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17167,A000000,01600,0000,01600SKILLED NURSING FACILITY 17167,A000000,01800,0000,01800NURSING FACILITY 17167,A000000,01810,0000,01810ICF/MR 17167,A000000,01900,0000,01900OTHER LONG TERM CARE 17167,A000000,02200,0000,02200LABORATORY 17167,A000000,02500,0000,02500PHYSICAL THERAPY 17167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17167,A000000,02700,0000,02700SPEECH PATHOLOGY 17167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17167,A000000,03050,0000,03300AMBULANCE 17167,A000000,03051,0000,03301BLOOD GLUCOSE 17167,A000000,03550,0000,03550FQHC 17167,A000000,05000,0000,05000CORF 17167,A000000,05010,0000,05010CMHC 17167,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17167,A000000,06101,0000,06101OTHER NON-REIMBURSABLE 17167,B100000,00000,0100,00001SQUARE FEET 17167,B100000,00000,0200,00001SQUARE FEET 17167,B100000,00000,0300,00001GROSS SALARIES 17167,B100000,00000,0400,00001ACCUM COST 17167,B100000,00000,0500,00001SQUARE FEET 17167,B100000,00000,0600,00001PATIENT DAYS 17167,B100000,00000,0700,00001SQUARE FEET 17167,B100000,00000,0800,00001MEALS SERVED 17167,B100000,00000,0900,00001DIRECT NRSG HRS 17167,B100000,00000,1000,00001PATIENT DAYS 17167,B100000,00000,1100,00001COSTED REQUIS 17167,B100000,00000,1200,00001PATIENT DAYS 17167,B100000,00000,1300,00001PATIENT DAYS 17167,B100000,00000,1400,00001ASSIGNED TIME 17167,S000000,00100,0200,05/24/2000 17167,S200000,00100,0100,4750 N. ORANGE 17167,S200000,00200,0100,NORRIDGE 17167,S200000,00200,0200,IL 17167,S200000,00200,0300,60656 17167,S200000,00300,0100,COOK 17167,S200000,00400,0100,CENTRAL BAPTIST HOME 17167,S200000,00400,0200,145853 17167,S200000,00400,0300,01/01/1996 17167,S200000,00400,0500,P 17167,S200000,01600,0100,Y 17167,S200000,01900,0100,CHARITABLE CORP 17175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17175,A000000,00300,0000,00300EMPLOYEE BENEFITS 17175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17175,A000000,00700,0000,00700HOUSEKEEPING 17175,A000000,00800,0000,00800DIETARY 17175,A000000,00900,0000,00900NURSING ADMINISTRATION 17175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17175,A000000,01100,0000,01100PHARMACY 17175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17175,A000000,01300,0000,01300SOCIAL SERVICE 17175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17175,A000000,01600,0000,01600SKILLED NURSING FACILITY 17175,A000000,01800,0000,01800NURSING FACILITY 17175,A000000,01810,0000,01810ICF/MR 17175,A000000,02100,0000,02100RADIOLOGY 17175,A000000,02200,0000,02200LABORATORY 17175,A000000,02500,0000,02500PHYSICAL THERAPY 17175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17175,A000000,02700,0000,02700SPEECH PATHOLOGY 17175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17175,A000000,03200,0000,03200SUPPORT SURFACES 17175,A000000,03550,0000,03550FQHC 17175,A000000,05000,0000,05000CORF 17175,A000000,05010,0000,05010CMHC 17175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17175,B100000,00000,0100,00000SQUARE FEET 17175,B100000,00000,0200,00000SQUARE FEET 17175,B100000,00000,0300,00000GROSS SALARIES 17175,B100000,00000,0400,00000ACCUM COST 17175,B100000,00000,0500,00000SQUARE FEET 17175,B100000,00000,0600,00000PATIENT DAYS 17175,B100000,00000,0700,00000SQUARE FEET 17175,B100000,00000,0800,00000PATIENT DAYS 17175,B100000,00000,0900,00000PATIENT DAYS 17175,B100000,00000,1000,00000PATIENT DAYS 17175,B100000,00000,1100,00000COSTED REQUIS 17175,B100000,00000,1200,00000PATIENT DAYS 17175,B100000,00000,1300,00000PATIENT DAYS 17175,B100000,00000,1400,00000ASSIGNED TIME 17175,S000000,00100,0200,07/07/2000 17175,S200000,00100,0100,3500 S. GILES AVENUE 17175,S200000,00200,0100,CHICAGO 17175,S200000,00200,0200,IL 17175,S200000,00200,0300,60653 17175,S200000,00300,0100,COOK 17175,S200000,00400,0100,WILLIAM L. DAWSON NURSING CENTER 17175,S200000,00400,0200,145856 17175,S200000,00400,0300,01/01/1996 17175,S200000,00400,0500,P 17175,S200000,01600,0100,Y 17179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17179,A000000,00300,0000,00300EMPLOYEE BENEFITS 17179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17179,A000000,00700,0000,00700HOUSEKEEPING 17179,A000000,00800,0000,00800DIETARY 17179,A000000,00900,0000,00900NURSING ADMINISTRATION 17179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17179,A000000,01100,0000,01100PHARMACY 17179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17179,A000000,01300,0000,01300SOCIAL SERVICE 17179,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17179,A000000,01600,0000,01600SKILLED NURSING FACILITY 17179,A000000,01800,0000,01800NURSING FACILITY 17179,A000000,01810,0000,01810ICF/MR 17179,A000000,02200,0000,02200LABORATORY 17179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17179,A000000,02500,0000,02500PHYSICAL THERAPY 17179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17179,A000000,02700,0000,02700SPEECH PATHOLOGY 17179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17179,A000000,03550,0000,03550FQHC 17179,A000000,05000,0000,05000CORF 17179,A000000,05010,0000,05010CMHC 17179,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17179,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17179,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17179,B100000,00000,0100,00040SQUARE FEET 17179,B100000,00000,0200,00040SQUARE FEET 17179,B100000,00000,0300,00040GROSS SALARIES 17179,B100000,00000,0400,00040ACCUM COST 17179,B100000,00000,0500,00040SQUARE FEET 17179,B100000,00000,0600,00040PATIENT DATS 17179,B100000,00000,0700,00040SQUARE FEET 17179,B100000,00000,0800,00040PATIENT DAYS 17179,B100000,00000,0900,00040DIRECT NRSG HRS 17179,B100000,00000,1000,00040COSTED REQUIS 17179,B100000,00000,1100,00040PATIENT DAYS 17179,B100000,00000,1200,00040TIME SPENT 17179,B100000,00000,1300,00040TIME SPENT 17179,B100000,00000,1400,00040ASSIGNED TIME 17179,S000000,00100,0200,06/07/2000 17179,S200000,00100,0100,231 EAST CUMBERLAND ROAD 17179,S200000,00200,0100,ST. ELMO 17179,S200000,00200,0200,IL 17179,S200000,00200,0300,62458 17179,S200000,00300,0100,FAYETTE 17179,S200000,00400,0100,FRIENDSHIP MANOR 17179,S200000,00400,0200,145857 17179,S200000,00400,0300,03/01/1999 17179,S200000,00400,0500,P 17179,S200000,00600,0200,014857 17179,S200000,00600,0300,03/01/1999 17179,S200000,00600,0600,P 17179,S200000,01600,0100,Y 17179,S200000,02200,0100,Y 17182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17182,A000000,00300,0000,00300EMPLOYEE BENEFITS 17182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17182,A000000,00700,0000,00700HOUSEKEEPING 17182,A000000,00800,0000,00800DIETARY 17182,A000000,00900,0000,00900NURSING ADMINISTRATION 17182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17182,A000000,01100,0000,01100PHARMACY 17182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17182,A000000,01300,0000,01300SOCIAL SERVICE 17182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17182,A000000,01600,0000,01600SKILLED NURSING FACILITY 17182,A000000,01800,0000,01800NURSING FACILITY 17182,A000000,01810,0000,01810ICF/MR 17182,A000000,02100,0000,02100RADIOLOGY 17182,A000000,02200,0000,02200LABORATORY 17182,A000000,02500,0000,02500PHYSICAL THERAPY 17182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17182,A000000,02700,0000,02700SPEECH PATHOLOGY 17182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17182,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 17182,A000000,03550,0000,03550FQHC 17182,A000000,05000,0000,05000CORF 17182,A000000,05010,0000,05010CMHC 17182,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17182,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17182,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17182,A81000A,00100,0100,Y 17182,A81000B,00100,0300,RENT 17182,A81000B,00200,0300,REAL ESTATE TAX 17182,A81000B,00300,0300,LEGAL 17182,A81000C,00100,0100,A 17182,A81000C,00100,0400,LAVERGNE ASSOC 17182,A81000C,00100,0600,BLDG PARTNERSHI 17182,B100000,00000,0100,00000SQUARE FEET 17182,B100000,00000,0200,00000SQUARE FEET 17182,B100000,00000,0300,00000GROSS SALARIES 17182,B100000,00000,0400,00000ACCUM COST 17182,B100000,00000,0500,00000SQUARE FEET 17182,B100000,00000,0600,00000PATIENT DAYS 17182,B100000,00000,0700,00000SQUARE FEET 17182,B100000,00000,0800,00000MEALS SERVED 17182,B100000,00000,0900,00000DIRECT NRSG HRS 17182,B100000,00000,1000,00000PATIENT DAYS 17182,B100000,00000,1100,00000COSTED REQUIS 17182,B100000,00000,1200,00000PATIENT DAYS 17182,B100000,00000,1300,00000PATIENT DAYS 17182,B100000,00000,1400,00000ASSIGNED TIME 17182,S000000,00100,0200,05/31/2000 17182,S200000,00100,0100,9000 NORTH LAVERGNE AVENUE 17182,S200000,00200,0100,SKOKIE 17182,S200000,00200,0200,IL 17182,S200000,00200,0300,60077 17182,S200000,00300,0100,COOK 17182,S200000,00400,0100,VILLAGE NURSING HOME 17182,S200000,00400,0200,145860 17182,S200000,00400,0300,03/01/1996 17182,S200000,00400,0500,P 17182,S200000,01600,0100,Y 17188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17188,A000000,00300,0000,00300EMPLOYEE BENEFITS 17188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17188,A000000,00700,0000,00700HOUSEKEEPING 17188,A000000,00800,0000,00800DIETARY 17188,A000000,00900,0000,00900NURSING ADMINISTRATION 17188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17188,A000000,01100,0000,01100PHARMACY 17188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17188,A000000,01300,0000,01300SOCIAL SERVICE 17188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17188,A000000,01600,0000,01600SKILLED NURSING FACILITY 17188,A000000,01800,0000,01800NURSING FACILITY 17188,A000000,01810,0000,01810ICF/MR 17188,A000000,02100,0000,02100RADIOLOGY 17188,A000000,02200,0000,02200LABORATORY 17188,A000000,02500,0000,02500PHYSICAL THERAPY 17188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17188,A000000,02700,0000,02700SPEECH PATHOLOGY 17188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17188,A000000,03550,0000,03550FQHC 17188,A000000,05000,0000,05000CORF 17188,A000000,05010,0000,05010CMHC 17188,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17188,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17188,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17188,A81000A,00100,0100,Y 17188,A81000B,00100,0300,RENT 17188,A81000B,00200,0300,CAPITAL 17188,A81000B,00300,0300,OFFICE EXP 17188,A81000B,00400,0300,MANAGEMENT FEES 17188,A81000B,00500,0300,RENT 17188,A81000B,00600,0300,EMP. BENEFITS 17188,A81000B,00700,0300,A&G 17188,A81000B,00800,0300,A&G SALARY 17188,A81000B,00900,0300,MAINT. 17188,A81000C,00100,0100,A 17188,A81000C,00100,0400,WILLOW/FOUNTAIN 17188,A81000C,00100,0600,BLDG RENTAL 17188,A81000C,00200,0100,A 17188,A81000C,00200,0400,ABS MANAGEMENT 17188,A81000C,00200,0600,MANAGEMENT 17188,B100000,00000,0100,00000SQUARE FEET 17188,B100000,00000,0200,00000SQUARE FEET 17188,B100000,00000,0300,00000GROSS SALARIES 17188,B100000,00000,0400,00000ACCUM COST 17188,B100000,00000,0500,00000SQUARE FEET 17188,B100000,00000,0600,00000PATIENT DAYS 17188,B100000,00000,0700,00000SQUARE FEET 17188,B100000,00000,0800,00000MEALS SERVED 17188,B100000,00000,0900,00000DIRECT NRSG HRS 17188,B100000,00000,1000,00000PATIENT DAYS 17188,B100000,00000,1100,00000COSTED REQUIS 17188,B100000,00000,1200,00000PATIENT DAYS 17188,B100000,00000,1300,00000PATIENT DAYS 17188,B100000,00000,1400,00000ASSIGNED TIME 17188,S000000,00100,0200,05/31/2000 17188,S200000,00100,0100,1301 EAST DEYOUNG 17188,S200000,00200,0100,MARION 17188,S200000,00200,0200,IL 17188,S200000,00200,0300,62959 17188,S200000,00300,0100,MARION 17188,S200000,00400,0100,THE WILLOW OF THE FOUNTAINS INC. 17188,S200000,00400,0200,145863 17188,S200000,00400,0300,02/01/1996 17188,S200000,00400,0500,P 17188,S200000,01600,0100,Y 17199,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17199,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17199,A000000,00300,0000,00300EMPLOYEE BENEFITS 17199,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17199,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17199,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17199,A000000,00700,0000,00700HOUSEKEEPING 17199,A000000,00800,0000,00800DIETARY 17199,A000000,00900,0000,00900NURSING ADMINISTRATION 17199,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17199,A000000,01100,0000,01100PHARMACY 17199,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17199,A000000,01300,0000,01300SOCIAL SERVICE 17199,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17199,A000000,01600,0000,01600SKILLED NURSING FACILITY 17199,A000000,01800,0000,01800NURSING FACILITY 17199,A000000,01810,0000,01810ICF/MR 17199,A000000,02100,0000,02100RADIOLOGY 17199,A000000,02200,0000,02200LABORATORY 17199,A000000,02300,0000,02300INTRAVENOUS THERAPY 17199,A000000,02500,0000,02500PHYSICAL THERAPY 17199,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17199,A000000,02700,0000,02700SPEECH PATHOLOGY 17199,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17199,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17199,A000000,03200,0000,03200SUPPORT SURFACES 17199,A000000,03550,0000,03550FQHC 17199,A000000,05000,0000,05000CORF 17199,A000000,05010,0000,05010CMHC 17199,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17199,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17199,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17199,A000000,05350,0000,05600VA DOCTORS 17199,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17199,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17199,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17199,A81000A,00100,0100,Y 17199,A81000B,00100,0300,PYR: TUBE FEEDING 17199,A81000B,00200,0300,PYR: URO/OSTOMY 17199,A81000B,00300,0300,PYR: NURSING SUPPLY 17199,A81000B,00400,0300,PYR: ADMIN/GENL 17199,A81000B,00500,0300,AMS:RENT/CAPITAL 17199,A81000B,00600,0300,AMS:EMPLOYEE BENEF 17199,A81000B,00700,0300,AMS:ADMIN/GENL 17199,A81000B,01000,0300,CPT: PHYSICAL THERAP 17199,A81000B,01100,0300,CPT: OCCUP. THERAPY 17199,A81000B,01200,0300,CPT: SPEECH THERAPY 17199,A81000B,01300,0300,FECII:DRUGS 17199,A81000B,01400,0300,FECII:IV DRUGS 17199,A81000B,01500,0300,FECII:ADMIN/GEN 17199,A81000B,01600,0300,FECII:HOUSE SUPPLIES 17199,A81000C,00100,0100,B 17199,A81000C,00100,0200,ALDEN MGT. SERV 17199,A81000C,00100,0400,ALDEN MANAGEMEN 17199,A81000C,00100,0600,MANAGEMENT CO. 17199,A81000C,00200,0100,F 17199,A81000C,00200,0200,FLOYD SCHLOSSBE 17199,A81000C,00200,0400,FORUM PROF. CEN 17199,A81000C,00200,0600,PROFESS. BLDG 17199,A81000C,00300,0100,B 17199,A81000C,00300,0200,ALDEN MGT. SERV 17199,A81000C,00300,0400,PYRAMID HEALTH 17199,A81000C,00300,0600,HEALTHCARE SUPP 17199,A81000C,00400,0100,B 17199,A81000C,00400,0200,ALDEN MGT. SERV 17199,A81000C,00400,0400,FORUM EXT. CARE 17199,A81000C,00400,0600,PHARMACY 17199,A81000C,00500,0100,F 17199,A81000C,00500,0200,ALDEN MGT. SERV 17199,A81000C,00500,0400,IL.HOME THERAPE 17199,A81000C,00500,0600,THERAPY CO. 17199,B100000,00000,0100,00000SQUARE FEET 17199,B100000,00000,0200,00000SQUARE FEET 17199,B100000,00000,0300,00000GROSS SALARIES 17199,B100000,00000,0400,00000ACCUM COST 17199,B100000,00000,0500,00000SQUARE FEET 17199,B100000,00000,0600,00000POUNDS OF LAUNDRY 17199,B100000,00000,0700,00000HOURS OF SERVICE 17199,B100000,00000,0800,00000MEALS SERVED 17199,B100000,00000,0900,00000DIRECT NRSG HRS 17199,B100000,00000,1000,00000COSTED REQUIS 17199,B100000,00000,1100,00000COSTED REQUIS 17199,B100000,00000,1200,00000TIME SPENT 17199,B100000,00000,1300,00000TIME SPENT 17199,B100000,00000,1400,00000ASSIGNED TIME 17199,S000000,00100,0200,06/14/2000 17199,S200000,00100,0100,BOX 2308 OLD HICKS ROAD 17199,S200000,00200,0100,LONG GROVE 17199,S200000,00200,0200,IL 17199,S200000,00300,0100,LAKE 17199,S200000,00400,0100,ALDEN NURSING CENTER LONG GROVE 17199,S200000,00400,0200,145872 17199,S200000,00400,0300,03/12/1996 17199,S200000,00400,0500,P 17199,S200000,00400,0600,O 17199,S200000,01600,0100,Y 17199,S200000,01800,0100,Y 17199,S200000,02200,0100,Y 17203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17203,A000000,00300,0000,00300EMPLOYEE BENEFITS 17203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17203,A000000,00700,0000,00700HOUSEKEEPING 17203,A000000,00800,0000,00800DIETARY 17203,A000000,00900,0000,00900NURSING ADMINISTRATION 17203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17203,A000000,01100,0000,01100PHARMACY 17203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17203,A000000,01300,0000,01300SOCIAL SERVICE 17203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17203,A000000,01600,0000,01600SKILLED NURSING FACILITY 17203,A000000,01800,0000,01800NURSING FACILITY 17203,A000000,01810,0000,01810ICF/MR 17203,A000000,02100,0000,02100RADIOLOGY 17203,A000000,02200,0000,02200LABORATORY 17203,A000000,02500,0000,02500PHYSICAL THERAPY 17203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17203,A000000,02700,0000,02700SPEECH PATHOLOGY 17203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17203,A000000,03550,0000,03550FQHC 17203,A000000,05000,0000,05000CORF 17203,A000000,05010,0000,05010CMHC 17203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17203,A81000A,00100,0100,Y 17203,A81000B,00100,0300,CAPITAL RELATED 17203,A81000B,00200,0300,REPLACEMENT TAX 17203,A81000C,00100,0100,A 17203,A81000C,00100,0400,LINCOLN PARK AS 17203,A81000C,00100,0600,BUILDING PARTNE 17203,B100000,00000,0100,00040SQUARE FEET 17203,B100000,00000,0200,00040SQUARE FEET 17203,B100000,00000,0300,00040GROSS SALARIES 17203,B100000,00000,0400,00040ACCUM COST 17203,B100000,00000,0500,00040SQUARE FEET 17203,B100000,00000,0600,00040PATIENT DAYS 17203,B100000,00000,0700,00040SQUARE FEET 17203,B100000,00000,0800,00040MEALS SERVED 17203,B100000,00000,0900,00040DIRECT NRSG HRS 17203,B100000,00000,1000,00040PATIENT DAYS 17203,B100000,00000,1100,00040COSTED REQUIS 17203,B100000,00000,1200,00040PATIENT DAYS 17203,B100000,00000,1300,00040PATIENT DAYS 17203,B100000,00000,1400,00040ASSIGNED TIME 17203,S000000,00100,0200,05/31/2000 17203,S200000,00100,0100,2732 N. HAMPDEN COURT 17203,S200000,00200,0100,CHICAGO 17203,S200000,00200,0200,IL 17203,S200000,00200,0300,60614 17203,S200000,00300,0100,COOK 17203,S200000,00400,0100,LINCOLN PARK TERRACE 17203,S200000,00400,0200,145875 17203,S200000,00400,0300,07/01/1996 17203,S200000,00400,0500,P 17203,S200000,01600,0100,Y 17209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17209,A000000,00300,0000,00300EMPLOYEE BENEFITS 17209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17209,A000000,00700,0000,00700HOUSEKEEPING 17209,A000000,00800,0000,00800DIETARY 17209,A000000,00900,0000,00900NURSING ADMINISTRATION 17209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17209,A000000,01100,0000,01100PHARMACY 17209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17209,A000000,01300,0000,01300SOCIAL SERVICE 17209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17209,A000000,01600,0000,01600SKILLED NURSING FACILITY 17209,A000000,01800,0000,01800NURSING FACILITY 17209,A000000,01810,0000,01810ICF/MR 17209,A000000,02100,0000,02100RADIOLOGY 17209,A000000,02200,0000,02200LABORATORY 17209,A000000,02300,0000,02300INTRAVENOUS THERAPY 17209,A000000,02500,0000,02500PHYSICAL THERAPY 17209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17209,A000000,02700,0000,02700SPEECH PATHOLOGY 17209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17209,A000000,03200,0000,03200SUPPORT SURFACES 17209,A000000,03550,0000,03550FQHC 17209,A000000,05000,0000,05000CORF 17209,A000000,05010,0000,05010CMHC 17209,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17209,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17209,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17209,A81000A,00100,0100,Y 17209,A81000B,00200,0300,HOME OFFICE 17209,A81000C,00200,0100,B 17209,A81000C,00200,0200,CERTIFIED HEALT 17209,B100000,00000,0100,00000SQUARE FEET 17209,B100000,00000,0200,00000SQUARE FEET 17209,B100000,00000,0300,00000GROSS SALARIES 17209,B100000,00000,0400,00000ACCUM COST 17209,B100000,00000,0500,00000SQUARE FEET 17209,B100000,00000,0600,00000PATIENT DAYS 17209,B100000,00000,0700,00000SQUARE FEET 17209,B100000,00000,0800,00000PATIENT DAYS 17209,B100000,00000,0900,00000PATIENT DAYS 17209,B100000,00000,1000,00000PATIENT DAYS 17209,B100000,00000,1100,00000COSTED REQUIS 17209,B100000,00000,1200,00000PATIENT DAYS 17209,B100000,00000,1300,00000PATIENT DAYS 17209,B100000,00000,1400,00000ASSIGNED TIME 17209,S000000,00100,0200,04/05/2000 17209,S200000,00400,0100,URBANA CARE & REHAB. CTR. INC. 17209,S200000,00400,0200,145876 17209,S200000,00400,0300,06/01/1996 17209,S200000,00400,0500,P 17209,S200000,01600,0100,Y 17215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17215,A000000,00300,0000,00300EMPLOYEE BENEFITS 17215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17215,A000000,00700,0000,00700HOUSEKEEPING 17215,A000000,00800,0000,00800DIETARY 17215,A000000,00900,0000,00900NURSING ADMINISTRATION 17215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17215,A000000,01100,0000,01100PHARMACY 17215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17215,A000000,01300,0000,01300SOCIAL SERVICE 17215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17215,A000000,01600,0000,01600SKILLED NURSING FACILITY 17215,A000000,01800,0000,01800NURSING FACILITY 17215,A000000,01810,0000,01810ICF/MR 17215,A000000,02200,0000,02200LABORATORY 17215,A000000,02500,0000,02500PHYSICAL THERAPY 17215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17215,A000000,02700,0000,02700SPEECH PATHOLOGY 17215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17215,A000000,03550,0000,03550FQHC 17215,A000000,05000,0000,05000CORF 17215,A000000,05010,0000,05010CMHC 17215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17215,A81000A,00100,0100,Y 17215,A81000B,00200,0300,MANAGEMENT FEES 17215,A81000B,00400,0300,ADMIN. CONSULTANT 17215,A81000B,00600,0300,DIETARY CONSULTANT 17215,A81000C,00200,0100,B 17215,A81000C,00200,0200,LANCASTER LTD. 17215,A81000C,00400,0100,B 17215,A81000C,00400,0200,IL. HEALTH ALLI 17215,A81000C,00600,0100,B 17215,A81000C,00600,0200,CYNTHIA CHOW & 17215,B100000,00000,0100,00040SQUARE FEET 17215,B100000,00000,0200,00040SQUARE FEET 17215,B100000,00000,0300,00040GROSS SALARIES 17215,B100000,00000,0400,00040ACCUM COST 17215,B100000,00000,0500,00040SQUARE FEET 17215,B100000,00000,0600,00040PATIENT DAYS 17215,B100000,00000,0700,00040SQUARE FEET 17215,B100000,00000,0800,00040PATIENT DAYS 17215,B100000,00000,0900,00040PATIENT DAYS 17215,B100000,00000,1000,00040PATIENT DAYS 17215,B100000,00000,1100,00040COSTED REQUIS 17215,B100000,00000,1200,00040PATIENT DAYS 17215,B100000,00000,1300,00040PATIENT DAYS 17215,B100000,00000,1400,00040ASSIGNED TIME 17215,S000000,00100,0200,04/10/2000 17215,S200000,00200,0100,DOLTON 17215,S200000,00200,0200,IL 17215,S200000,00300,0100,COOK 17215,S200000,00400,0100,DOLTON HEALTHCARE & REHAB CTR. INC. 17215,S200000,00400,0200,145877 17215,S200000,00400,0300,05/01/1996 17215,S200000,00400,0500,P 17215,S200000,01600,0100,Y 17223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17223,A000000,00300,0000,00300EMPLOYEE BENEFITS 17223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17223,A000000,00700,0000,00700HOUSEKEEPING 17223,A000000,00800,0000,00800DIETARY 17223,A000000,00900,0000,00900NURSING ADMINISTRATION 17223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17223,A000000,01100,0000,01100PHARMACY 17223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17223,A000000,01300,0000,01300SOCIAL SERVICE 17223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17223,A000000,01600,0000,01600SKILLED NURSING FACILITY 17223,A000000,01800,0000,01800NURSING FACILITY 17223,A000000,01810,0000,01810ICF/MR 17223,A000000,02100,0000,02100RADIOLOGY 17223,A000000,02200,0000,02200LABORATORY 17223,A000000,02500,0000,02500PHYSICAL THERAPY 17223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17223,A000000,02700,0000,02700SPEECH PATHOLOGY 17223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17223,A000000,03050,0000,03300AMBULANCE 17223,A000000,03051,0000,03301BGM 17223,A000000,03052,0000,03302TREATMENT ROOM 17223,A000000,03200,0000,03200SUPPORT SURFACES 17223,A000000,03550,0000,03550FQHC 17223,A000000,05000,0000,05000CORF 17223,A000000,05010,0000,05010CMHC 17223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17223,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17223,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17223,A81000A,00100,0100,Y 17223,A81000B,00100,0300,ADMINISTRATIVE SAL 17223,A81000B,00200,0300,LAUNDRY SAL 17223,A81000B,00300,0300,NURSE ADMIN. SAL 17223,A81000B,00400,0300,SOCIAL SERVICE SAL 17223,A81000B,00500,0300,NURSING SAL 17223,A81000C,00100,0100,A 17223,A81000C,00100,0400,CARMELITE SISTE 17223,A81000C,00100,0600,MOTHER HOUSE 17223,B100000,00000,0100,00000SQUARE FEET 17223,B100000,00000,0200,00000SQUARE FEET 17223,B100000,00000,0300,00000GROSS SALARIES 17223,B100000,00000,0400,00000ACCUM COST 17223,B100000,00000,0500,00000SQUARE FEET 17223,B100000,00000,0600,00000PATIENT DAYS 17223,B100000,00000,0700,00000SQUARE FEET 17223,B100000,00000,0800,00000MEALS SERVED 17223,B100000,00000,0900,00000DIRECT NRSG HRS 17223,B100000,00000,1000,00000PATIENT DAYS 17223,B100000,00000,1100,00000COSTED REQUIS 17223,B100000,00000,1200,00000PATIENT DAYS 17223,B100000,00000,1300,00000PATIENT DAYS 17223,B100000,00000,1400,00000ASSIGNED TIME 17223,E10A180,00550,0300,05/26/2000 17223,S000000,00100,0200,05/26/2000 17223,S200000,00100,0100,1400 BROOKDALE ROAD 17223,S200000,00200,0100,NAPERVILLE 17223,S200000,00200,0200,IL 17223,S200000,00300,0100,DUPAGE 17223,S200000,00400,0100,ST. PATRICKS RESIDENCE 17223,S200000,00400,0200,145878 17223,S200000,00400,0300,06/01/1996 17223,S200000,00400,0500,P 17223,S200000,01600,0100,Y 17223,S200000,01900,0100,CORPORATION 17223,S200000,04700,0100,Y 17223,S200000,04700,0200,Y 17223,S200000,04900,0100,Y 17230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17230,A000000,00300,0000,00300EMPLOYEE BENEFITS 17230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17230,A000000,00700,0000,00700HOUSEKEEPING 17230,A000000,00800,0000,00800DIETARY 17230,A000000,00900,0000,00900NURSING ADMINISTRATION 17230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17230,A000000,01100,0000,01100PHARMACY 17230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17230,A000000,01300,0000,01300SOCIAL SERVICE 17230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17230,A000000,01600,0000,01600SKILLED NURSING FACILITY 17230,A000000,01800,0000,01800NURSING FACILITY 17230,A000000,01810,0000,01810ICF/MR 17230,A000000,02100,0000,02100RADIOLOGY 17230,A000000,02200,0000,02200LABORATORY 17230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17230,A000000,02500,0000,02500PHYSICAL THERAPY 17230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17230,A000000,02700,0000,02700SPEECH PATHOLOGY 17230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17230,A000000,03050,0000,03300BLOOD GLUCOSE 17230,A000000,03200,0000,03200SUPPORT SURFACES 17230,A000000,03550,0000,03550FQHC 17230,A000000,05000,0000,05000CORF 17230,A000000,05010,0000,05010CMHC 17230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17230,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17230,A81000A,00100,0100,Y 17230,A81000B,00100,0300,ADMIN & GENERAL 17230,A81000B,00200,0300,CAPITAL RELATED 17230,A81000B,00300,0300,EMPLOYEE BENEFITS 17230,A81000B,00400,0300,PLANT OPERATION 17230,A81000B,00500,0300,HOUSEKEEPING 17230,A81000B,00600,0300,NURSING ADMIN 17230,A81000B,00700,0300,ADMIN & GENERAL 17230,A81000B,00800,0300,CAPITAL RELATED 17230,A81000B,00900,0300,EMPLOYEE BENEFITS 17230,A81000B,01000,0300,CAPITAL RELATED 17230,A81000B,01100,0300,EMPLOYEE BENEFITS 17230,A81000B,01200,0300,ADMIN & GENERAL 17230,A81000B,01300,0300,PLANT OPERATION 17230,A81000C,00100,0100,A 17230,A81000C,00100,0400,INTERCARE 17230,A81000C,00100,0600,ADMIN SERVICES 17230,A81000C,00200,0100,A 17230,A81000C,00200,0400,MANAGCARE 17230,A81000C,00200,0600,BOOKKEEPING 17230,A81000C,00300,0100,A 17230,A81000C,00300,0400,MAZEL 17230,A81000C,00300,0600,MANAGEMENT COMP 17230,B100000,00000,0100,00000SQUARE FEET 17230,B100000,00000,0200,00000SQUARE FEET 17230,B100000,00000,0300,00000GROSS SALARIES 17230,B100000,00000,0400,00000ACCUM COST 17230,B100000,00000,0500,00000SQUARE FEET 17230,B100000,00000,0600,00000PATIENT DAYS 17230,B100000,00000,0700,00000SQUARE FEET 17230,B100000,00000,0800,00000MEALS SERVED 17230,B100000,00000,0900,00000DIRECT NRSG HRS 17230,B100000,00000,1000,00000PATIENT DAYS 17230,B100000,00000,1100,00000COSTED REQUIS 17230,B100000,00000,1200,00000PATIENT DAYS 17230,B100000,00000,1300,00000PATIENT DAYS 17230,B100000,00000,1400,00000ASSIGNED TIME 17230,S000000,00100,0200,05/31/2000 17230,S200000,00100,0100,4920 NORTH KENMORE AVENUE 17230,S200000,00200,0100,CHICAGO 17230,S200000,00200,0200,IL 17230,S200000,00200,0300,60640 17230,S200000,00300,0100,COOK 17230,S200000,00400,0100,MID-AMERICA CONVALESCENT CENTER 17230,S200000,00400,0200,145881 17230,S200000,00400,0300,08/01/1996 17230,S200000,00400,0500,P 17230,S200000,01600,0100,Y 17234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17234,A000000,00300,0000,00300EMPLOYEE BENEFITS 17234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17234,A000000,00700,0000,00700HOUSEKEEPING 17234,A000000,00800,0000,00800DIETARY 17234,A000000,00900,0000,00900NURSING ADMINISTRATION 17234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17234,A000000,01100,0000,01100PHARMACY 17234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17234,A000000,01300,0000,01300SOCIAL SERVICE 17234,A000000,01350,0000,01500ACTIVITIES 17234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17234,A000000,01600,0000,01600SKILLED NURSING FACILITY 17234,A000000,01810,0000,01810ICF/MR 17234,A000000,02200,0000,02200LABORATORY 17234,A000000,02500,0000,02500PHYSICAL THERAPY 17234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17234,A000000,02700,0000,02700SPEECH PATHOLOGY 17234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17234,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17234,A000000,03550,0000,03550FQHC 17234,A000000,05000,0000,05000CORF 17234,A000000,05010,0000,05010CMHC 17234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17234,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17234,B100000,00000,0100,00000SQUARE FEET 17234,B100000,00000,0200,00000SQUARE FEET 17234,B100000,00000,0300,00000GROSS SALARIES 17234,B100000,00000,0400,00000ACCUM COST 17234,B100000,00000,0500,00000SQUARE FEET 17234,B100000,00000,0600,00000PATIENT DAYS 17234,B100000,00000,0700,00000SQUARE FEET 17234,B100000,00000,0800,00000MEALS SERVED 17234,B100000,00000,0900,00000HOURS OF SERVICE 17234,B100000,00000,1000,00000PATIENT DAYS 17234,B100000,00000,1100,00000COSTED REQUIS 17234,B100000,00000,1200,00000TIME SPENT 17234,B100000,00000,1300,00000TIME SPENT 17234,B100000,00000,1350,00000PATIENT DAYS 17234,B100000,00000,1400,00000ASSIGNED TIME 17234,S000000,00100,0200,05/01/2000 17234,S200000,00100,0100,1111 NORTH STATE STREET 17234,S200000,00100,0300,410 17234,S200000,00200,0100,MONTICELLO 17234,S200000,00200,0200,IL 17234,S200000,00200,0300,61856 17234,S200000,00300,0100,PIATT 17234,S200000,00400,0100,PIATT COUNTY NURSING HOME 17234,S200000,00400,0200,145883 17234,S200000,00400,0300,07/01/1996 17234,S200000,00400,0500,P 17234,S200000,01500,0100,Y 17234,S200000,04300,0100,Y 17241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17241,A000000,00300,0000,00300EMPLOYEE BENEFITS 17241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17241,A000000,00700,0000,00700HOUSEKEEPING 17241,A000000,00800,0000,00800DIETARY 17241,A000000,00900,0000,00900NURSING ADMINISTRATION 17241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17241,A000000,01100,0000,01100PHARMACY 17241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17241,A000000,01300,0000,01300SOCIAL SERVICE 17241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17241,A000000,01600,0000,01600SKILLED NURSING FACILITY 17241,A000000,01800,0000,01800NURSING FACILITY 17241,A000000,01810,0000,01810ICF/MR 17241,A000000,02100,0000,02100RADIOLOGY 17241,A000000,02200,0000,02200LABORATORY 17241,A000000,02500,0000,02500PHYSICAL THERAPY 17241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17241,A000000,02700,0000,02700SPEECH PATHOLOGY 17241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17241,A000000,03050,0000,03300BLOOD GLUCOSE 17241,A000000,03051,0000,03301AMBULANCE 17241,A000000,03200,0000,03200SUPPORT SURFACES 17241,A000000,03550,0000,03550FQHC 17241,A000000,05000,0000,05000CORF 17241,A000000,05010,0000,05010CMHC 17241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17241,A81000A,00100,0100,Y 17241,A81000B,00100,0300,CAPITAL 17241,A81000B,00200,0300,ADMIN & GENERAL 17241,A81000B,00300,0300,CAPITAL 17241,A81000B,00400,0300,EMPLOYEE BENEFITS 17241,A81000B,00500,0300,ADMIN & GENERAL 17241,A81000B,00600,0300,PLANT OPERATION 17241,A81000B,00700,0300,HOUSEKEEPING 17241,A81000B,00800,0300,NURSING ADMIN 17241,A81000B,00900,0300,CAPITAL 17241,A81000B,01000,0300,EMPLOYEE BENEFITS 17241,A81000B,01100,0300,ADMIN & GENERAL 17241,A81000B,01200,0300,CAPITAL 17241,A81000B,01300,0300,EMPLOYEE BENEFITS 17241,A81000B,01400,0300,ADMIN & GENERAL 17241,A81000B,01500,0300,PLANT OPERATION 17241,A81000C,00100,0100,A 17241,A81000C,00100,0400,MAYFIELD BUILDI 17241,A81000C,00100,0600,BUILDING COMPAN 17241,A81000C,00200,0100,A 17241,A81000C,00200,0400,INTER CARE LTD. 17241,A81000C,00200,0600,MANAGMENT 17241,A81000C,00300,0100,A 17241,A81000C,00300,0400,MAZEL MANAGMENT 17241,A81000C,00300,0600,MANAGEMENT 17241,A81000C,00400,0100,A 17241,A81000C,00400,0400,MANAGCARE 17241,A81000C,00400,0600,BOOKKEEPING/MGM 17241,B100000,00000,0100,00040SQUARE FEET 17241,B100000,00000,0200,00040SQUARE FEET 17241,B100000,00000,0300,00040GROSS SALARIES 17241,B100000,00000,0400,00040ACCUM COST 17241,B100000,00000,0500,00040SQUARE FEET 17241,B100000,00000,0600,00040PATIENT DAYS 17241,B100000,00000,0700,00040SQUARE FEET 17241,B100000,00000,0800,00040MEALS SERVED 17241,B100000,00000,0900,00040DIRECT NRSG HRS 17241,B100000,00000,1000,00040PATIENT DAYS 17241,B100000,00000,1100,00040COSTED REQUIS 17241,B100000,00000,1200,00040PATIENT DAYS 17241,B100000,00000,1300,00040PATIENT DAYS 17241,B100000,00000,1400,00040ASSIGNED TIME 17241,S000000,00100,0200,06/01/2000 17241,S200000,00100,0100,5905 WEST WASHINGTON BLVD 17241,S200000,00200,0100,CHICAGO 17241,S200000,00200,0200,IL 17241,S200000,00200,0300,60644 17241,S200000,00300,0100,COOK 17241,S200000,00400,0100,MAYFIELD CARE CENTER INC. 17241,S200000,00400,0200,145885 17241,S200000,00400,0300,12/01/1996 17241,S200000,00400,0500,P 17241,S200000,01600,0100,Y 17241,S200000,02200,0100,Y 17241,S200000,04700,0100,Y 17241,S200000,04700,0200,Y 17251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17251,A000000,00300,0000,00300EMPLOYEE BENEFITS 17251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17251,A000000,00700,0000,00700HOUSEKEEPING 17251,A000000,00800,0000,00800DIETARY 17251,A000000,00900,0000,00900NURSING ADMINISTRATION 17251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17251,A000000,01100,0000,01100PHARMACY 17251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17251,A000000,01300,0000,01300SOCIAL SERVICE 17251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17251,A000000,01600,0000,01600SKILLED NURSING FACILITY 17251,A000000,01800,0000,01800NURSING FACILITY 17251,A000000,01810,0000,01810ICF/MR 17251,A000000,02100,0000,02100RADIOLOGY 17251,A000000,02200,0000,02200LABORATORY 17251,A000000,02300,0000,02300INTRAVENOUS THERAPY 17251,A000000,02500,0000,02500PHYSICAL THERAPY 17251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17251,A000000,02700,0000,02700SPEECH PATHOLOGY 17251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17251,A000000,03200,0000,03200SUPPORT SURFACES 17251,A000000,03550,0000,03550FQHC 17251,A000000,05000,0000,05000CORF 17251,A000000,05010,0000,05010CMHC 17251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17251,A000000,05350,0000,05600VA DOCTORS 17251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17251,A81000A,00100,0100,Y 17251,A81000B,00100,0300,NM ASSOC:BLDG RENT 17251,A81000B,00200,0300,TRIPOINT:HOUSEKEEPIN 17251,A81000B,00300,0300,PYR: TUBE FEEDING 17251,A81000B,00400,0300,PYR: URO/OST SUPPLY 17251,A81000B,00500,0300,PYR: NURSING SUPPLY 17251,A81000B,00600,0300,PYR:ADMIN/GENL 17251,A81000B,00700,0300,AMS: RENT/CAPITAL 17251,A81000B,00800,0300,AMS:EMPLYEE BENEF 17251,A81000B,00900,0300,AMS:ADMIN/GENL 17251,A81000B,01200,0300,CPT:PHYSICAL THERAPY 17251,A81000B,01300,0300,CPT: OCCUP.THERPY 17251,A81000B,01400,0300,CPT:SPEECH THERAPY 17251,A81000B,01500,0300,FECII:DRUG COSTS 17251,A81000B,01600,0300,FECII:IV COSTS 17251,A81000B,01700,0300,FECII:GENL/ADMIN 17251,A81000B,01800,0300,FECII:HOUSE SUPPLIES 17251,A81000C,00100,0100,B 17251,A81000C,00100,0200,ALDEN MGT SERV 17251,A81000C,00100,0400,ALDEN MANAGEMEN 17251,A81000C,00100,0600,MANAGEMENT CO. 17251,A81000C,00200,0100,F 17251,A81000C,00200,0200,FLOYD SCHLOSSBE 17251,A81000C,00200,0400,FORUM PROF. CEN 17251,A81000C,00200,0600,OFFICE BLDG. 17251,A81000C,00300,0100,B 17251,A81000C,00300,0200,ALDEN MGT SERV 17251,A81000C,00300,0400,PYRAMID HEALTH 17251,A81000C,00300,0600,MEDICAL SUPPLIE 17251,A81000C,00400,0100,B 17251,A81000C,00400,0200,ALDEN MGT SERV 17251,A81000C,00400,0400,FORUM EXT. CARE 17251,A81000C,00400,0600,PHARMACY 17251,A81000C,00500,0100,B 17251,A81000C,00500,0200,ALDEN MGT SERV 17251,A81000C,00500,0400,TRI-POINT SERV 17251,A81000C,00500,0600,HOUSEKEEPING 17251,A81000C,00600,0100,B 17251,A81000C,00600,0200,FLOYD SCHLOSSBE 17251,A81000C,00600,0400,NORTHMOOR ASSOC 17251,A81000C,00600,0600,BLDG. OWNERSHIP 17251,A81000C,00700,0100,B 17251,A81000C,00700,0200,FLOYD SCHLOSSBE 17251,A81000C,00700,0400,IL.HOME THERAPE 17251,A81000C,00700,0600,THERAPY CO. 17251,B100000,00000,0100,00000SQUARE FEET 17251,B100000,00000,0200,00000SQUARE FEET 17251,B100000,00000,0300,00000GROSS SALARIES 17251,B100000,00000,0400,00000ACCUM COST 17251,B100000,00000,0500,00000SQUARE FEET 17251,B100000,00000,0600,00000POUNDS OF LAUNDRY 17251,B100000,00000,0700,00000HOURS OF SERVICE 17251,B100000,00000,0800,00000MEALS SERVED 17251,B100000,00000,0900,00000DIRECT NRSG HRS 17251,B100000,00000,1000,00000COSTED REQUIS 17251,B100000,00000,1100,00000COSTED REQUIS 17251,B100000,00000,1200,00000TIME SPENT 17251,B100000,00000,1300,00000TIME SPENT 17251,B100000,00000,1400,00000ASSIGNED TIME 17251,S000000,00100,0200,06/14/2000 17251,S200000,00100,0100,5831 N. NORTHWEST HWY. 17251,S200000,00200,0100,CHICAGO 17251,S200000,00200,0200,IL 17251,S200000,00300,0100,COOK 17251,S200000,00400,0100,ALDEN NURSING CENTER NORTHMOOR 17251,S200000,00400,0200,145888 17251,S200000,00400,0300,07/08/1996 17251,S200000,00400,0500,P 17251,S200000,00400,0600,O 17251,S200000,01600,0100,Y 17251,S200000,01800,0100,Y 17251,S200000,02200,0100,Y 17255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17255,A000000,00300,0000,00300EMPLOYEE BENEFITS 17255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17255,A000000,00700,0000,00700HOUSEKEEPING 17255,A000000,00800,0000,00800DIETARY 17255,A000000,00900,0000,00900NURSING ADMINISTRATION 17255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17255,A000000,01100,0000,01100PHARMACY 17255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17255,A000000,01300,0000,01300SOCIAL SERVICE 17255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17255,A000000,01600,0000,01600SKILLED NURSING FACILITY 17255,A000000,01800,0000,01800NURSING FACILITY 17255,A000000,01810,0000,01810ICF/MR 17255,A000000,02500,0000,02500PHYSICAL THERAPY 17255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17255,A000000,02700,0000,02700SPEECH PATHOLOGY 17255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17255,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17255,A000000,03550,0000,03550FQHC 17255,A000000,05000,0000,05000CORF 17255,A000000,05010,0000,05010CMHC 17255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17255,A000000,05300,0000,05300INTEREST EXPENSE 17255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17255,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17255,B100000,00000,0100,00000SQUARE FEET 17255,B100000,00000,0200,00000SQUARE FEET 17255,B100000,00000,0300,00000GROSS SALARIES 17255,B100000,00000,0400,00000ACCUM COST 17255,B100000,00000,0500,00000SQUARE FEET 17255,B100000,00000,0600,00000PATIENT DAYS 17255,B100000,00000,0700,00000SQUARE FEET 17255,B100000,00000,0800,00000MEALS SERVED 17255,B100000,00000,0900,00000HOURS OF SERVICE 17255,B100000,00000,1000,00000PATIENT DAYS 17255,B100000,00000,1100,00000COSTED REQUISITIO 17255,B100000,00000,1200,00000PATIENT DAYS 17255,B100000,00000,1300,00000PATIENT DAYS 17255,B100000,00000,1400,00000ASSIGNED TIME 17255,E10A180,00550,0100,05/30/2000 17255,S000000,00100,0200,05/30/2000 17255,S200000,00100,0100,1201 NORTH ALTON 17255,S200000,00200,0100,LEBANON 17255,S200000,00200,0200,IL 17255,S200000,00200,0300,62254 17255,S200000,00300,0100,ST. CLAIR 17255,S200000,00400,0100,BOHANNON NURSING HOME 17255,S200000,00400,0200,145897 17255,S200000,00400,0300,06/11/1996 17255,S200000,00400,0500,P 17255,S200000,01600,0100,Y 17260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17260,A000000,00300,0000,00300EMPLOYEE BENEFITS 17260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17260,A000000,00700,0000,00700HOUSEKEEPING 17260,A000000,00800,0000,00800DIETARY 17260,A000000,00900,0000,00900NURSING ADMINISTRATION 17260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17260,A000000,01100,0000,01100PHARMACY 17260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17260,A000000,01300,0000,01300SOCIAL SERVICE 17260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17260,A000000,01600,0000,01600SKILLED NURSING FACILITY 17260,A000000,01800,0000,01800NURSING FACILITY 17260,A000000,01810,0000,01810ICF/MR 17260,A000000,02100,0000,02100RADIOLOGY 17260,A000000,02200,0000,02200LABORATORY 17260,A000000,02500,0000,02500PHYSICAL THERAPY 17260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17260,A000000,02700,0000,02700SPEECH PATHOLOGY 17260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17260,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17260,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17260,A000000,03550,0000,03550FQHC 17260,A000000,04800,0000,04800AMBULANCE 17260,A000000,05000,0000,05000CORF 17260,A000000,05010,0000,05010CMHC 17260,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17260,A000000,05300,0000,05300INTEREST EXPENSE 17260,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17260,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17260,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17260,A81000A,00100,0100,Y 17260,A81000B,00100,0300,RENT EXPENSE 17260,A81000B,00200,0300,DEPRECIATION EXPENSE 17260,A81000B,00300,0300,PROPERTY TAXES 17260,A81000B,00400,0300,INTEREST EXPENSE 17260,A81000B,00500,0300,REPLACEMENT TAX 17260,A81000B,00600,0300,BANK CHARGES 17260,A81000B,00700,0300,OFFICE EXPENSE 17260,A81000B,00800,0300,PROFESSIONAL FEES 17260,A81000B,00900,0300,ROYAL CAPITAL COSTS 17260,A81000B,01000,0300,ROYAL G&A COSTS 17260,A81000C,00100,0100,B 17260,A81000C,00100,0200,J SAMATAS TRUST 17260,A81000C,00100,0400,LHCS ORLAND PAR 17260,A81000C,00100,0600,LESSOR 17260,A81000C,00200,0100,B 17260,A81000C,00200,0200,J SAMATAS TRUST 17260,A81000C,00200,0400,LHCS ORLAND PAR 17260,A81000C,00200,0600,LESSOR 17260,A81000C,00300,0100,B 17260,A81000C,00300,0200,C THIEM TRUST 17260,A81000C,00300,0400,LHCS ORLAND PAR 17260,A81000C,00300,0600,LESSOR 17260,A81000C,00400,0100,A 17260,A81000C,00400,0200,DEAN SWEITZER 17260,A81000C,00400,0400,LHCS ORLAND PAR 17260,A81000C,00400,0600,LESSOR 17260,A81000C,00500,0100,B 17260,A81000C,00500,0200,J SAMATAS ROYAL 17260,A81000C,00500,0400,ROYAL MGMT 17260,A81000C,00500,0600,MGMT CO 17260,A81000C,00600,0100,B 17260,A81000C,00600,0200,J SAMATAS ROYAL 17260,A81000C,00600,0400,ROYAL MGMT 17260,A81000C,00600,0600,MGMT CO 17260,B100000,00000,0100,00000SQUARE FEET 17260,B100000,00000,0200,00000SQUARE FEET 17260,B100000,00000,0300,00000GROSS SALARIES 17260,B100000,00000,0400,00000ACCUM COST 17260,B100000,00000,0500,00000SQUARE FEET 17260,B100000,00000,0600,00000PATIENT DAYS 17260,B100000,00000,0700,00000SQUARE FEET 17260,B100000,00000,0800,00000MEALS SERVED 17260,B100000,00000,0900,00000HOURS OF SERVICE 17260,B100000,00000,1000,00000PATIENT DAYS 17260,B100000,00000,1100,00000COSTED REQUISITIO 17260,B100000,00000,1200,00000TIME SPENT 17260,B100000,00000,1300,00000PATIENT DAYS 17260,B100000,00000,1400,00000ASSIGNED TIME 17260,S000000,00100,0200,06/01/2000 17260,S200000,00100,0100,14601 S. JOHN HUMPHREY DRIVE 17260,S200000,00200,0100,ORLAND PARK 17260,S200000,00200,0200,IL 17260,S200000,00200,0300,60462 17260,S200000,00300,0100,COOK 17260,S200000,00400,0100,LEXINGTON HCC - ORLAND PARK 17260,S200000,00400,0200,145899 17260,S200000,00400,0300,08/23/1996 17260,S200000,00400,0500,P 17260,S200000,01600,0100,Y 17267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17267,A000000,00300,0000,00300EMPLOYEE BENEFITS 17267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17267,A000000,00700,0000,00700HOUSEKEEPING 17267,A000000,00800,0000,00800DIETARY 17267,A000000,00900,0000,00900NURSING ADMINISTRATION 17267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17267,A000000,01100,0000,01100PHARMACY 17267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17267,A000000,01300,0000,01300SOCIAL SERVICE 17267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17267,A000000,01600,0000,01600SKILLED NURSING FACILITY 17267,A000000,01800,0000,01800NURSING FACILITY 17267,A000000,01810,0000,01810ICF/MR 17267,A000000,02100,0000,02100RADIOLOGY 17267,A000000,02200,0000,02200LABORATORY 17267,A000000,02300,0000,02300INTRAVENOUS THERAPY 17267,A000000,02500,0000,02500PHYSICAL THERAPY 17267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17267,A000000,02700,0000,02700SPEECH PATHOLOGY 17267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17267,A000000,03200,0000,03200SUPPORT SURFACES 17267,A000000,03550,0000,03550FQHC 17267,A000000,05000,0000,05000CORF 17267,A000000,05010,0000,05010CMHC 17267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17267,A81000A,00100,0100,Y 17267,A81000B,00200,0300,HOME OFFICE 17267,A81000C,00200,0100,B 17267,A81000C,00200,0200,CERTIFIED HEALT 17267,B100000,00000,0100,00000SQUARE FEET 17267,B100000,00000,0200,00000SQUARE FEET 17267,B100000,00000,0300,00000GROSS SALARIES 17267,B100000,00000,0400,00000ACCUM COST 17267,B100000,00000,0500,00000SQUARE FEET 17267,B100000,00000,0600,00000PATIENT DAYS 17267,B100000,00000,0700,00000SQUARE FEET 17267,B100000,00000,0800,00000PATIENT DAYS 17267,B100000,00000,0900,00000PATIENT DAYS 17267,B100000,00000,1000,00000PATIENT DAYS 17267,B100000,00000,1100,00000COSTED REQUIS 17267,B100000,00000,1200,00000PATIENT DAYS 17267,B100000,00000,1300,00000PATIENT DAYS 17267,B100000,00000,1400,00000ASSIGNED TIME 17267,S000000,00100,0200,04/05/2000 17267,S200000,00400,0100,PRAIRIE VIEW CARE CTR OF LEWISTOWN 17267,S200000,00400,0200,145900 17267,S200000,00400,0300,09/29/1996 17267,S200000,00400,0500,P 17267,S200000,01600,0100,Y 17275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17275,A000000,00300,0000,00300EMPLOYEE BENEFITS 17275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17275,A000000,00700,0000,00700HOUSEKEEPING 17275,A000000,00800,0000,00800DIETARY 17275,A000000,00900,0000,00900NURSING ADMINISTRATION 17275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17275,A000000,01100,0000,01100PHARMACY 17275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17275,A000000,01300,0000,01300SOCIAL SERVICE 17275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17275,A000000,01600,0000,01600SKILLED NURSING FACILITY 17275,A000000,01800,0000,01800NURSING FACILITY 17275,A000000,01810,0000,01810ICF/MR 17275,A000000,01900,0000,01900OTHER LONG TERM CARE 17275,A000000,02500,0000,02500PHYSICAL THERAPY 17275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17275,A000000,02700,0000,02700SPEECH PATHOLOGY 17275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17275,A000000,03550,0000,03550FQHC 17275,A000000,05000,0000,05000CORF 17275,A000000,05010,0000,05010CMHC 17275,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17275,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17275,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17275,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17275,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17275,A000000,06150,0000,06300APARTMENT BUILDING 17275,A81000A,00100,0100,Y 17275,A81000B,00100,0300,INSURANCE 17275,A81000B,00200,0300,INSURANCE 17275,A81000B,00300,0300,INSURANCE 17275,A81000B,00400,0300,INSURANCE 17275,A81000B,00500,0300,LEGAL 17275,A81000B,00600,0300,LEGAL 17275,A81000B,00700,0300,INVESTMENT ADVISORY 17275,A81000C,00100,0100,E 17275,A81000C,00100,0200,ALLEN FLAGLER 17275,A81000C,00100,0400,FLAGLER AGENCY 17275,A81000C,00100,0600,INSURANCE 17275,A81000C,00200,0100,E 17275,A81000C,00200,0200,THOMAS CHOMICZ 17275,A81000C,00200,0400,WILSON & MCILVA 17275,A81000C,00200,0600,LEGAL 17275,A81000C,00300,0100,E 17275,A81000C,00300,0200,JAMES NEMEC 17275,A81000C,00300,0400,HERITAGE CAPITA 17275,A81000C,00300,0600,INVESTMENT ADVI 17275,B100000,00000,0100,00000SQUARE FEET 17275,B100000,00000,0200,00000SQUARE FEET 17275,B100000,00000,0300,00000GROSS SALARIES 17275,B100000,00000,0400,00000ACCUM COST 17275,B100000,00000,0500,00000SQUARE FEET 17275,B100000,00000,0600,00000PATIENT DAYS 17275,B100000,00000,0700,00000SQUARE FEET 17275,B100000,00000,0800,00000MEALS SERVED 17275,B100000,00000,0900,00000DIRECT NRSG HRS 17275,B100000,00000,1000,00000PATIENT DAYS 17275,B100000,00000,1100,00000COSTED REQUIS 17275,B100000,00000,1200,00000PATIENT DAYS 17275,B100000,00000,1300,00000PATIENT DAYS 17275,B100000,00000,1400,00000ASSIGNED TIME 17275,S000000,00100,0200,01/25/2001 17275,S200000,00100,0100,2340 W. 113TH PLACE 17275,S200000,00200,0100,CHICAGO 17275,S200000,00200,0200,IL 17275,S200000,00200,0300,60643 17275,S200000,00300,0100,C 17275,S200000,00400,0100,WASHINGTON AND JANE SMITH HOME 17275,S200000,00400,0200,145904 17275,S200000,00400,0300,09/06/1996 17275,S200000,00400,0500,P 17275,S200000,00400,0600,O 17275,S200000,01600,0100,Y 17275,S200000,01900,0100,CHARITABLE CORP. 17280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17280,A000000,00300,0000,00300EMPLOYEE BENEFITS 17280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17280,A000000,00700,0000,00700HOUSEKEEPING 17280,A000000,00800,0000,00800DIETARY 17280,A000000,00900,0000,00900NURSING ADMINISTRATION 17280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17280,A000000,01100,0000,01100PHARMACY 17280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17280,A000000,01300,0000,01300SOCIAL SERVICE 17280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17280,A000000,01600,0000,01600SKILLED NURSING FACILITY 17280,A000000,01800,0000,01800NURSING FACILITY 17280,A000000,01810,0000,01810ICF/MR 17280,A000000,02100,0000,02100RADIOLOGY 17280,A000000,02200,0000,02200LABORATORY 17280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17280,A000000,02500,0000,02500PHYSICAL THERAPY 17280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17280,A000000,02700,0000,02700SPEECH PATHOLOGY 17280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17280,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17280,A000000,03201,0000,03201COMPLEX MEDICAL EQUIPMENT 17280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17280,A000000,03550,0000,03550FQHC 17280,A000000,05000,0000,05000CORF 17280,A000000,05010,0000,05010CMHC 17280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17280,A000000,05300,0000,05300INTEREST EXPENSE 17280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17280,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17280,B100000,00000,0100,00000SQUARE FEET 17280,B100000,00000,0200,00000SQUARE FEET 17280,B100000,00000,0300,00000GROSS SALARIES 17280,B100000,00000,0400,00000ACCUM COST 17280,B100000,00000,0500,00000SQUARE FEET 17280,B100000,00000,0600,00000PATIENT DAYS 17280,B100000,00000,0700,00000SQUARE FEET 17280,B100000,00000,0800,00000MEALS SERVED 17280,B100000,00000,0900,00000HOURS OF SERVICE 17280,B100000,00000,1000,00000PATIENT DAYS 17280,B100000,00000,1100,00000COSTED REQUISITIO 17280,B100000,00000,1200,00000PATIENT DAYS 17280,B100000,00000,1300,00000PATIENT DAYS 17280,B100000,00000,1400,00000ASSIGNED TIME 17280,S000000,00100,0200,05/31/2000 17280,S200000,00100,0100,800 DIVISION STREET 17280,S200000,00200,0100,DIXON 17280,S200000,00200,0200,IL 17280,S200000,00200,0300,61021 17280,S200000,00300,0100,LEE 17280,S200000,00400,0100,CLAREMONT OF LEE COUNTY LLC 17280,S200000,00400,0200,145906 17280,S200000,00400,0300,06/01/1998 17280,S200000,00400,0500,P 17280,S200000,01600,0100,Y 17288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17288,A000000,00300,0000,00300EMPLOYEE BENEFITS 17288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17288,A000000,00700,0000,00700HOUSEKEEPING 17288,A000000,00800,0000,00800DIETARY 17288,A000000,00900,0000,00900NURSING ADMINISTRATION 17288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17288,A000000,01100,0000,01100PHARMACY 17288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17288,A000000,01300,0000,01300SOCIAL SERVICE 17288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17288,A000000,01600,0000,01600SKILLED NURSING FACILITY 17288,A000000,01800,0000,01800NURSING FACILITY 17288,A000000,01810,0000,01810ICF/MR 17288,A000000,01900,0000,01900OTHER LONG TERM CARE 17288,A000000,02200,0000,02200LABORATORY 17288,A000000,02300,0000,02300INTRAVENOUS THERAPY 17288,A000000,02500,0000,02500PHYSICAL THERAPY 17288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17288,A000000,02700,0000,02700SPEECH PATHOLOGY 17288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17288,A000000,03200,0000,03200SUPPORT SURFACES 17288,A000000,03550,0000,03550FQHC 17288,A000000,05000,0000,05000CORF 17288,A000000,05010,0000,05010CMHC 17288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17288,A81000A,00100,0100,Y 17288,A81000B,00100,0300,EV PRTNRSHP:BLD RENT 17288,A81000B,00200,0300,PYR: TUBE FEEDING 17288,A81000B,00300,0300,PYR:URO/OSTOMY 17288,A81000B,00400,0300,PYR:NURSING SUPPLY 17288,A81000B,00500,0300,PYR: GENL /ADMIN 17288,A81000B,00600,0300,AMS: RENT/CAPITAL 17288,A81000B,00700,0300,AMS: EMPLYEE BENEF 17288,A81000B,00800,0300,AMS:ADMIN/GENL 17288,A81000B,01100,0300,CPT: PHYSICAL THERAP 17288,A81000B,01200,0300,CPT: OCCUP.THERAPY 17288,A81000B,01300,0300,CPT: SPEECH THERAPY 17288,A81000B,01400,0300,FECII:DRUGS 17288,A81000B,01500,0300,FECII:IV DRUGS 17288,A81000B,01600,0300,FECII:ADMIN/GEN 17288,A81000B,01700,0300,FECII:HOUSE SUPPLIES 17288,A81000C,00100,0100,B 17288,A81000C,00100,0200,ALDEN MGT. SERV 17288,A81000C,00100,0400,ALDEN MANAGEMEN 17288,A81000C,00100,0600,MANAGEMENT CO. 17288,A81000C,00200,0100,F 17288,A81000C,00200,0200,FLOYD SCHLOSSBE 17288,A81000C,00200,0400,FORUM PROF. CEN 17288,A81000C,00200,0600,PROFESS. BLDG. 17288,A81000C,00300,0100,B 17288,A81000C,00300,0200,ALDEN MGT. SERV 17288,A81000C,00300,0400,PYRAMID HEALTH 17288,A81000C,00300,0600,HEALTHCARE SUPP 17288,A81000C,00400,0100,B 17288,A81000C,00400,0200,ALDEN MGT. SERV 17288,A81000C,00400,0400,FORUM EXT. CARE 17288,A81000C,00400,0600,PHARMACY 17288,A81000C,00500,0100,B 17288,A81000C,00500,0200,ALDEN MGT. SERV 17288,A81000C,00500,0400,EVANSTON ESTATE 17288,A81000C,00500,0600,SNF BLDG RENTAL 17288,A81000C,00600,0100,F 17288,A81000C,00600,0200,FLOYD SCHLOSSBE 17288,A81000C,00600,0400,EVANSTON ESTATE 17288,A81000C,00600,0600,SNF BLDG RENTAL 17288,A81000C,00700,0100,F 17288,A81000C,00700,0200,ALDEN MGT. SERV 17288,A81000C,00700,0400,IL.HOME THERAPE 17288,A81000C,00700,0600,THERAPY CO. 17288,B100000,00000,0100,00000SQUARE FEET 17288,B100000,00000,0200,00000SQUARE FEET 17288,B100000,00000,0300,00000GROSS SALARIES 17288,B100000,00000,0400,00000ACCUM COST 17288,B100000,00000,0500,00000SQUARE FEET 17288,B100000,00000,0600,00000POUNDS OF LAUNDRY 17288,B100000,00000,0700,00000HOURS OF SERVICE 17288,B100000,00000,0800,00000MEALS SERVED 17288,B100000,00000,0900,00000DIRECT NRSG HRS 17288,B100000,00000,1000,00000COSTED REQUIS 17288,B100000,00000,1100,00000COSTED REQUIS 17288,B100000,00000,1200,00000TIME SPENT 17288,B100000,00000,1300,00000TIME SPENT 17288,B100000,00000,1400,00000ASSIGNED TIME 17288,S000000,00100,0200,06/14/2000 17288,S200000,00100,0100,2520 GROSS POINT RD 17288,S200000,00200,0100,EVANSTON 17288,S200000,00200,0200,IL 17288,S200000,00300,0100,COOK 17288,S200000,00400,0100,ALDEN ESTATES OF EVANSTON 17288,S200000,00400,0200,145907 17288,S200000,00400,0300,10/09/1996 17288,S200000,00400,0500,P 17288,S200000,00400,0600,O 17288,S200000,01600,0100,Y 17288,S200000,01800,0100,Y 17288,S200000,02200,0100,Y 17291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17291,A000000,00300,0000,00300EMPLOYEE BENEFITS 17291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17291,A000000,00700,0000,00700HOUSEKEEPING 17291,A000000,00800,0000,00800DIETARY 17291,A000000,00900,0000,00900NURSING ADMINISTRATION 17291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17291,A000000,01100,0000,01100PHARMACY 17291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17291,A000000,01300,0000,01300SOCIAL SERVICE 17291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17291,A000000,01600,0000,01600SKILLED NURSING FACILITY 17291,A000000,01800,0000,01800NURSING FACILITY 17291,A000000,01810,0000,01810ICF/MR 17291,A000000,02100,0000,02100RADIOLOGY 17291,A000000,02200,0000,02200LABORATORY 17291,A000000,02500,0000,02500PHYSICAL THERAPY 17291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17291,A000000,02700,0000,02700SPEECH PATHOLOGY 17291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17291,A000000,03200,0000,03200SUPPORT SURFACES 17291,A000000,03550,0000,03550FQHC 17291,A000000,05000,0000,05000CORF 17291,A000000,05010,0000,05010CMHC 17291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17291,A81000A,00100,0100,Y 17291,A81000B,00100,0300,CAPITAL COSTS 17291,A81000B,00200,0300,MANAGEMENT FEES 17291,A81000B,00300,0300,ADMIN & GENERAL 17291,A81000B,00400,0300,MAINT & UTILITIES 17291,A81000C,00100,0100,A 17291,A81000C,00100,0200,NACHSHON DRAIMA 17291,A81000C,00100,0400,FUTURE ASSOCIAT 17291,A81000C,00100,0600,MGMT SERVICE 17291,B100000,00000,0100,00000SQUARE FEET 17291,B100000,00000,0200,00000SQUARE FEET 17291,B100000,00000,0300,00000GROSS SALARIES 17291,B100000,00000,0400,00000ACCUM COST 17291,B100000,00000,0500,00000SQUARE FEET 17291,B100000,00000,0600,00000PATIENT DAYS 17291,B100000,00000,0700,00000SQUARE FEET 17291,B100000,00000,0800,00000MEALS SERVED 17291,B100000,00000,0900,00000DIRECT NRSG HRS 17291,B100000,00000,1000,00000PATIENT DAYS 17291,B100000,00000,1100,00000COSTED REQUIS 17291,B100000,00000,1200,00000PATIENT DAYS 17291,B100000,00000,1300,00000PATIENT DAYS 17291,B100000,00000,1400,00000ASSIGNED TIME 17291,S000000,00100,0200,05/30/2000 17291,S200000,00100,0100,2313 N. ROCKTON AVENUE 17291,S200000,00200,0100,ROCKFORD 17291,S200000,00200,0200,IL 17291,S200000,00200,0300,61103 17291,S200000,00300,0100,WINNEBAGO 17291,S200000,00400,0100,COURTYARD TERRACE 17291,S200000,00400,0200,145908 17291,S200000,00400,0300,11/01/1996 17291,S200000,00400,0500,P 17291,S200000,01600,0100,Y 17291,S200000,04900,0100,Y 17298,S000000,00100,0200,05/22/2000 17307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17307,A000000,00300,0000,00300EMPLOYEE BENEFITS 17307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17307,A000000,00700,0000,00700HOUSEKEEPING 17307,A000000,00800,0000,00800DIETARY 17307,A000000,00900,0000,00900NURSING ADMINISTRATION 17307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17307,A000000,01100,0000,01100PHARMACY 17307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17307,A000000,01300,0000,01300SOCIAL SERVICE 17307,A000000,01350,0000,01500RECREATIONAL THERAPY 17307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17307,A000000,01600,0000,01600SKILLED NURSING FACILITY 17307,A000000,01800,0000,01800NURSING FACILITY 17307,A000000,01810,0000,01810ICF/MR 17307,A000000,02100,0000,02100RADIOLOGY 17307,A000000,02200,0000,02200LABORATORY 17307,A000000,02500,0000,02500PHYSICAL THERAPY 17307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17307,A000000,02700,0000,02700SPEECH PATHOLOGY 17307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17307,A000000,03200,0000,03200SUPPORT SURFACES 17307,A000000,03550,0000,03550FQHC 17307,A000000,05000,0000,05000CORF 17307,A000000,05010,0000,05010CMHC 17307,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17307,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17307,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17307,A81000A,00100,0100,Y 17307,A81000B,00100,0300,ACCOUNTING FEES 17307,A81000B,00200,0300,DATA PROCESSING 17307,A81000B,00300,0300,HOME OFFICE EXPENSES 17307,A81000B,00400,0300,ANCILLARY ADM SVCS 17307,A81000B,00500,0300,MANAGEMENT FEES 17307,A81000B,00600,0300,LEGAL FEES 17307,A81000B,00700,0300,DIETARY CONSULTANT 17307,A81000B,00800,0300,ADVERTISING & PROMO 17307,A81000B,00900,0300,BOOKKEEPING SVCS 17307,A81000B,01000,0300,RENT 17307,A81000B,01100,0300,RENT - R E TAX EXP 17307,A81000B,01200,0300,INTEREST INC 17307,A81000B,01300,0300,MORTGAGE INTEREST 17307,A81000B,01400,0300,OTHER INTEREST 17307,A81000B,01500,0300,DEPR EXPENSE 17307,A81000B,01600,0300,BLDG CO ADMIN EXP 17307,A81000C,00100,0100,A 17307,A81000C,00100,0200,ERIC ROTHNER 17307,A81000C,00100,0400,CARE CENTERS I 17307,A81000C,00100,0600,MANAGEMENT CO. 17307,A81000C,00200,0100,B 17307,A81000C,00200,0400,WASH HGHTS C C 17307,A81000C,00200,0600,BLDG CO 17307,B100000,00000,0100,00000SQUARE FEET 17307,B100000,00000,0200,00000SQUARE FEET 17307,B100000,00000,0300,00000GROSS SALARIES 17307,B100000,00000,0400,00000ACCUM COST 17307,B100000,00000,0500,00000SQUARE FEET 17307,B100000,00000,0600,00000POUNDS OF LAUNDRY 17307,B100000,00000,0700,00000HOURS OF SERVICE 17307,B100000,00000,0800,00000MEALS SERVED 17307,B100000,00000,0900,00000DIRECT NRSG HRS 17307,B100000,00000,1000,00000COSTED REQUIS 17307,B100000,00000,1100,00000COSTED REQUIS 17307,B100000,00000,1200,00000TIME SPENT 17307,B100000,00000,1300,00000TIME SPENT 17307,B100000,00000,1350,00000PATIENT DAYS 17307,B100000,00000,1400,00000ASSIGNED TIME 17307,S000000,00100,0200,06/02/2000 17307,S200000,00100,0100,1010 WEST 95TH STREET 17307,S200000,00200,0100,CHICAGO 17307,S200000,00200,0200,IL 17307,S200000,00200,0300,60643 17307,S200000,00300,0100,COOK 17307,S200000,00400,0100,WASHINGTON HEIGHTS NRSG. & REH.CTR. 17307,S200000,00400,0200,145914 17307,S200000,00400,0300,10/29/1996 17307,S200000,00400,0500,P 17307,S200000,00600,0200,145914 17307,S200000,00600,0300,10/29/1996 17307,S200000,00600,0600,P 17307,S200000,01600,0100,Y 17307,S200000,02200,0100,Y 17307,S200000,04100,0100,Y 17312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17312,A000000,00300,0000,00300EMPLOYEE BENEFITS 17312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17312,A000000,00700,0000,00700HOUSEKEEPING 17312,A000000,00800,0000,00800DIETARY 17312,A000000,00900,0000,00900NURSING ADMINISTRATION 17312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17312,A000000,01100,0000,01100PHARMACY 17312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17312,A000000,01300,0000,01300SOCIAL SERVICE 17312,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17312,A000000,01600,0000,01600SKILLED NURSING FACILITY 17312,A000000,01800,0000,01800NURSING FACILITY 17312,A000000,01810,0000,01810ICF/MR 17312,A000000,02100,0000,02100RADIOLOGY 17312,A000000,02200,0000,02200LABORATORY 17312,A000000,02300,0000,02300INTRAVENOUS THERAPY 17312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17312,A000000,02500,0000,02500PHYSICAL THERAPY 17312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17312,A000000,02700,0000,02700SPEECH PATHOLOGY 17312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17312,A000000,03200,0000,03200SUPPORT SURFACES 17312,A000000,03550,0000,03550FQHC 17312,A000000,05000,0000,05000CORF 17312,A000000,05010,0000,05010CMHC 17312,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17312,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17312,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17312,A81000A,00100,0100,Y 17312,A81000B,00100,0300,HOME OFFICE COSTS 17312,A81000C,00100,0100,G 17312,A81000C,00100,0200,WISCONSIN ILLIN 17312,A81000C,00100,0400,HOUSING INC. 17312,A81000C,00100,0600,VOL NON-PROF HE 17312,A81000C,00200,0100,B 17312,A81000C,00200,0200,CONSULTING MAN 17312,A81000C,00200,0400,EDUCATION INC. 17312,A81000C,00200,0600,HEALTHCARE 17312,B100000,00000,0100,00000SQUARE FEET 17312,B100000,00000,0200,00000SQUARE FEET 17312,B100000,00000,0300,00000GROSS SALARIES 17312,B100000,00000,0400,00000ACCUM COST 17312,B100000,00000,0500,00000SQUARE FEET 17312,B100000,00000,0600,00000PATIENT DAYS 17312,B100000,00000,0700,00000SQUARE FEET 17312,B100000,00000,0800,00000MEALS SERVED 17312,B100000,00000,0900,00000HOURS OF SERVICE 17312,B100000,00000,1000,00000PATIENT DAYS 17312,B100000,00000,1100,00000COSTED REQUIS 17312,B100000,00000,1200,00000PATIENT DAYS 17312,B100000,00000,1300,00000PATIENT DAYS 17312,B100000,00000,1400,00000ASSIGNED TIME 17312,S000000,00100,0200,05/26/2000 17312,S200000,00100,0100,471 WEST TERRA COTTA 17312,S200000,00200,0100,CRYSTAL LAKE 17312,S200000,00200,0200,IL 17312,S200000,00300,0100,MCHENRY 17312,S200000,00400,0100,FAIR OAKS HEALTH CARE CTR. 17312,S200000,00400,0200,145917 17312,S200000,00400,0300,12/19/1996 17312,S200000,00400,0500,P 17312,S200000,01600,0100,Y 17312,S200000,02800,0100,Y 17312,S200000,04700,0100,Y 17312,S200000,04700,0200,Y 17318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17318,A000000,00300,0000,00300EMPLOYEE BENEFITS 17318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17318,A000000,00700,0000,00700HOUSEKEEPING 17318,A000000,00800,0000,00800DIETARY 17318,A000000,00900,0000,00900NURSING ADMINISTRATION 17318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17318,A000000,01100,0000,01100PHARMACY 17318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17318,A000000,01300,0000,01300SOCIAL SERVICE 17318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17318,A000000,01600,0000,01600SKILLED NURSING FACILITY 17318,A000000,01800,0000,01800NURSING FACILITY 17318,A000000,01810,0000,01810ICF/MR 17318,A000000,02200,0000,02200LABORATORY 17318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17318,A000000,02500,0000,02500PHYSICAL THERAPY 17318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17318,A000000,02700,0000,02700SPEECH PATHOLOGY 17318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17318,A000000,03550,0000,03550FQHC 17318,A000000,04800,0000,04800AMBULANCE 17318,A000000,05000,0000,05000CORF 17318,A000000,05010,0000,05010CMHC 17318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17318,A81000A,00100,0100,Y 17318,A81000B,00100,0300,MANAGEMENT FEES 17318,B100000,00000,0100,00000SQUARE FEET 17318,B100000,00000,0200,00000SQUARE FEET 17318,B100000,00000,0300,00000GROSS SALARIES 17318,B100000,00000,0400,00000ACCUM COST 17318,B100000,00000,0500,00000SQUARE FEET 17318,B100000,00000,0600,00000PATIENT DAYS 17318,B100000,00000,0700,00000SQUARE FEET 17318,B100000,00000,0800,00000PATIENT DAYS 17318,B100000,00000,0900,00000DIRECT NRSG HRS 17318,B100000,00000,1000,00000COSTED REQUIS 17318,B100000,00000,1100,00000COSTED REQUIS 17318,B100000,00000,1200,00000TIME SPENT 17318,B100000,00000,1300,00000TIME SPENT 17318,B100000,00000,1400,00000ASSIGNED TIME 17318,S000000,00100,0200,06/01/2000 17318,S200000,00100,0100,900 EAST CORPORATION STREET 17318,S200000,00200,0100,BRIDGEPORT 17318,S200000,00200,0200,IL 17318,S200000,00200,0300,62417 17318,S200000,00300,0100,LAWRENCE 17318,S200000,00400,0100,LAWRENCE COMMUNITY HLTHCARE CENTER 17318,S200000,00400,0200,145918 17318,S200000,00400,0300,01/14/1997 17318,S200000,00400,0500,P 17318,S200000,00600,0200,145918 17318,S200000,00600,0300,01/14/1997 17318,S200000,00600,0600,P 17318,S200000,01600,0100,Y 17318,S200000,02200,0100,Y 17326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17326,A000000,00300,0000,00300EMPLOYEE BENEFITS 17326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17326,A000000,00700,0000,00700HOUSEKEEPING 17326,A000000,00800,0000,00800DIETARY 17326,A000000,00900,0000,00900NURSING ADMINISTRATION 17326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17326,A000000,01100,0000,01100PHARMACY 17326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17326,A000000,01300,0000,01300SOCIAL SERVICE 17326,A000000,01350,0000,01500ACTIVITIES 17326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17326,A000000,01600,0000,01600SKILLED NURSING FACILITY 17326,A000000,01800,0000,01800NURSING FACILITY 17326,A000000,01810,0000,01810ICF/MR 17326,A000000,02500,0000,02500PHYSICAL THERAPY 17326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17326,A000000,02700,0000,02700SPEECH PATHOLOGY 17326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17326,A000000,03550,0000,03550FQHC 17326,A000000,05000,0000,05000CORF 17326,A000000,05010,0000,05010CMHC 17326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17326,A000000,05300,0000,05300INTEREST EXPENSE 17326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 17326,A81000A,00100,0100,Y 17326,A81000B,00100,0300,HUMAN RESOURCES 17326,A81000B,00200,0300,MARKETING 17326,A81000B,00300,0300,DEVELOPMENT 17326,A81000B,00400,0300,LAUNDRY 17326,A81000B,00500,0300,CHAPLAIN 17326,A81000C,00100,0100,B 17326,A81000C,00100,0400,WESLEY WILLOWS CORP 17326,A81000C,00100,0600,LONG TERM CARE 17326,B100000,00000,0100,00000SQUARE FEET 17326,B100000,00000,0200,00000SQUARE FEET 17326,B100000,00000,0300,00000GROSS SALARIES 17326,B100000,00000,0400,00000ACCUM. COST 17326,B100000,00000,0500,00000SQUARE FEET 17326,B100000,00000,0600,00000PATIENT DAYS 17326,B100000,00000,0700,00000SQUARE FEET 17326,B100000,00000,0800,00000PATIENT DAYS 17326,B100000,00000,0900,00000PATIENT DAYS 17326,B100000,00000,1000,00000COSTED REQUIS 17326,B100000,00000,1100,00000COSTED REQUIS 17326,B100000,00000,1200,00000TIME SPENT 17326,B100000,00000,1300,00000PATIENT DAYS 17326,B100000,00000,1350,00000PATIENT DAYS 17326,B100000,00000,1400,00000ASSIGNED TIME 17326,S000000,00100,0200,11/27/2000 17326,S200000,00100,0100,1920 NORTH MAIN STREET 17326,S200000,00200,0100,ROCKFORD 17326,S200000,00200,0200,IL 17326,S200000,00200,0300,61103 17326,S200000,00300,0100,WINNEBAGO 17326,S200000,00400,0100,WILLOWS ON MAIN 17326,S200000,00400,0200,145919 17326,S200000,00400,0300,02/03/1997 17326,S200000,00400,0500,P 17326,S200000,01600,0100,Y 17329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17329,A000000,00300,0000,00300EMPLOYEE BENEFITS 17329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17329,A000000,00700,0000,00700HOUSEKEEPING 17329,A000000,00800,0000,00800DIETARY 17329,A000000,00900,0000,00900NURSING ADMINISTRATION 17329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17329,A000000,01100,0000,01100PHARMACY 17329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17329,A000000,01300,0000,01300SOCIAL SERVICE 17329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17329,A000000,01600,0000,01600SKILLED NURSING FACILITY 17329,A000000,01800,0000,01800NURSING FACILITY 17329,A000000,01810,0000,01810ICF/MR 17329,A000000,02500,0000,02500PHYSICAL THERAPY 17329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17329,A000000,02700,0000,02700SPEECH PATHOLOGY 17329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17329,A000000,03550,0000,03550FQHC 17329,A000000,05000,0000,05000CORF 17329,A000000,05010,0000,05010CMHC 17329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17329,A81000A,00100,0100,Y 17329,A81000B,00100,0300,INTEREST DEPREC 17329,A81000B,00200,0300,ADMIN & GENERAL 17329,A81000B,00300,0300,ADMIN & GENERAL 17329,A81000B,00400,0300,PLANT OPERATION 17329,A81000B,00500,0300,CAPITAL 17329,A81000B,00600,0300,EMPLOYEE BENEFITS 17329,A81000C,00100,0100,A 17329,A81000C,00100,0400,THE WILLOW OF C 17329,A81000C,00100,0600,BUILDING PARTNE 17329,A81000C,00200,0100,A 17329,A81000C,00200,0400,ABS MANAGMENT 17329,B100000,00000,0100,00000SQUARE FEET 17329,B100000,00000,0200,00000SQUARE FEET 17329,B100000,00000,0300,00000GROSS SALARIES 17329,B100000,00000,0400,00000ACCUM COST 17329,B100000,00000,0500,00000SQUARE FEET 17329,B100000,00000,0600,00000PATIENT DAYS 17329,B100000,00000,0700,00000SQUARE FEET 17329,B100000,00000,0800,00000MEALS SERVED 17329,B100000,00000,0900,00000DIRECT NRSG HRS 17329,B100000,00000,1000,00000PATIENT DAYS 17329,B100000,00000,1100,00000COSTED REQUIS 17329,B100000,00000,1200,00000PATIENT DAYS 17329,B100000,00000,1300,00000PATIENT DAYS 17329,B100000,00000,1400,00000ASSIGNED TIME 17329,S000000,00100,0200,05/31/2000 17329,S200000,00100,0100,430 S. FRONT STREET 17329,S200000,00200,0100,COBDEN 17329,S200000,00200,0200,IL 17329,S200000,00200,0300,62920 17329,S200000,00300,0100,UNION 17329,S200000,00400,0100,CITY CARE CENTER-COBDEN 17329,S200000,00400,0200,145922 17329,S200000,00400,0300,05/01/1997 17329,S200000,00400,0500,P 17329,S200000,01600,0100,Y 17335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17335,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17335,A000000,00300,0000,00300EMPLOYEE BENEFITS 17335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17335,A000000,00700,0000,00700HOUSEKEEPING 17335,A000000,00800,0000,00800DIETARY 17335,A000000,00900,0000,00900NURSING ADMINISTRATION 17335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17335,A000000,01100,0000,01100PHARMACY 17335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17335,A000000,01300,0000,01300SOCIAL SERVICE 17335,A000000,01350,0000,01500PATIENT ACTIVITIES 17335,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17335,A000000,01600,0000,01600SKILLED NURSING FACILITY 17335,A000000,01810,0000,01810ICF/MR 17335,A000000,02500,0000,02500PHYSICAL THERAPY 17335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17335,A000000,02700,0000,02700SPEECH PATHOLOGY 17335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17335,A000000,03550,0000,03550FQHC 17335,A000000,05000,0000,05000CORF 17335,A000000,05010,0000,05010CMHC 17335,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17335,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17335,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17335,B100000,00000,0100,00000SQUARE FEET 17335,B100000,00000,0200,00000SQUARE FEET 17335,B100000,00000,0300,00000GROSS SALARIES 17335,B100000,00000,0400,00000ACCUM. COST 17335,B100000,00000,0500,00000SQUARE FEET 17335,B100000,00000,0600,00000POUNDS OF LAUNDRY 17335,B100000,00000,0700,00000SQUARE FEET 17335,B100000,00000,0800,00000PATIENT DAYS 17335,B100000,00000,0900,00000DIRECT NRSG HRS 17335,B100000,00000,1000,00000COSTED REQUIS 17335,B100000,00000,1100,00000COSTED REQUIS 17335,B100000,00000,1200,00000TIME SPENT 17335,B100000,00000,1300,00000TIME SPENT 17335,B100000,00000,1350,00000PATIENT DAYS 17335,B100000,00000,1400,00000ASSIGNED TIME 17335,S000000,00100,0200,06/01/2000 17335,S200000,00100,0100,2773 SKOKIE VALLEY ROAD 17335,S200000,00200,0100,HIGHLAND PARK 17335,S200000,00200,0200,IL 17335,S200000,00200,0300,60035 17335,S200000,00300,0100,LAKE 17335,S200000,00400,0100,RED OAKS OF HIGHLAND PARKS 17335,S200000,00400,0200,145923 17335,S200000,00400,0300,03/10/1997 17335,S200000,00400,0500,P 17335,S200000,01500,0100,Y 17343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17343,A000000,00300,0000,00300EMPLOYEE BENEFITS 17343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17343,A000000,00700,0000,00700HOUSEKEEPING 17343,A000000,00800,0000,00800DIETARY 17343,A000000,00900,0000,00900NURSING ADMINISTRATION 17343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17343,A000000,01100,0000,01100PHARMACY 17343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17343,A000000,01300,0000,01300SOCIAL SERVICE 17343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17343,A000000,01600,0000,01600SKILLED NURSING FACILITY 17343,A000000,01800,0000,01800NURSING FACILITY 17343,A000000,01810,0000,01810ICF/MR 17343,A000000,02200,0000,02200LABORATORY 17343,A000000,02500,0000,02500PHYSICAL THERAPY 17343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17343,A000000,02700,0000,02700SPEECH PATHOLOGY 17343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17343,A000000,03200,0000,03200SUPPORT SURFACES 17343,A000000,03550,0000,03550FQHC 17343,A000000,05000,0000,05000CORF 17343,A000000,05010,0000,05010CMHC 17343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17343,A81000A,00100,0100,Y 17343,A81000B,00200,0300,HOME OFFICE 17343,A81000B,00400,0300,HO - MEDICAL RECORDS 17343,A81000C,00200,0100,B 17343,A81000C,00200,0200,CERTIFIED HEALT 17343,B100000,00000,0100,00040SQUARE FEET 17343,B100000,00000,0200,00040SQUARE FEET 17343,B100000,00000,0300,00040GROSS SALARIES 17343,B100000,00000,0400,00040ACCUM COST 17343,B100000,00000,0500,00040SQUARE FEET 17343,B100000,00000,0600,00040PATIENT DAYS 17343,B100000,00000,0700,00040SQUARE FEET 17343,B100000,00000,0800,00040PATIENT DAYS 17343,B100000,00000,0900,00040PATIENT DAYS 17343,B100000,00000,1000,00040PATIENT DAYS 17343,B100000,00000,1100,00040COSTED REQUIS 17343,B100000,00000,1200,00040PATIENT DAYS 17343,B100000,00000,1300,00040PATIENT DAYS 17343,B100000,00000,1400,00040ASSIGNED TIME 17343,S000000,00100,0200,04/05/2000 17343,S200000,00400,0100,CARE CENTER OF CHAMPAIGN INC. 17343,S200000,00400,0200,145924 17343,S200000,00400,0300,02/05/1997 17343,S200000,00400,0500,P 17343,S200000,01600,0100,Y 17350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17350,A000000,00300,0000,00300EMPLOYEE BENEFITS 17350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17350,A000000,00700,0000,00700HOUSEKEEPING 17350,A000000,00800,0000,00800DIETARY 17350,A000000,00900,0000,00900NURSING ADMINISTRATION 17350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17350,A000000,01100,0000,01100PHARMACY 17350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17350,A000000,01300,0000,01300SOCIAL SERVICE 17350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17350,A000000,01600,0000,01600SKILLED NURSING FACILITY 17350,A000000,01800,0000,01800NURSING FACILITY 17350,A000000,01810,0000,01810ICF/MR 17350,A000000,02100,0000,02100RADIOLOGY 17350,A000000,02200,0000,02200LABORATORY 17350,A000000,02500,0000,02500PHYSICAL THERAPY 17350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17350,A000000,02700,0000,02700SPEECH PATHOLOGY 17350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17350,A000000,03050,0000,03300CLIA - BGM 17350,A000000,03051,0000,03301AMBULANCE 17350,A000000,03200,0000,03200SUPPORT SURFACES 17350,A000000,03550,0000,03550FQHC 17350,A000000,05000,0000,05000CORF 17350,A000000,05010,0000,05010CMHC 17350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17350,A81000A,00100,0100,Y 17350,A81000B,00100,0300,NRSG HOME COMMITTEE 17350,A81000B,00200,0300,AUDIT 17350,A81000B,00300,0300,ACCOUNTING / PAYROLL 17350,A81000B,00400,0300,GROUP INSURANCE 17350,A81000C,00100,0100,G 17350,A81000C,00100,0400,VERMILION COUNT 17350,A81000C,00100,0600,GOVERNMENT 17350,B100000,00000,0100,00000SQUARE FEET 17350,B100000,00000,0200,00000SQUARE FEET 17350,B100000,00000,0300,00000GROSS SALARIES 17350,B100000,00000,0400,00000ACCUM COST 17350,B100000,00000,0500,00000SQUARE FEET 17350,B100000,00000,0600,00000PATIENT DAYS 17350,B100000,00000,0700,00000SQUARE FEET 17350,B100000,00000,0800,00000MEALS SERVED 17350,B100000,00000,0900,00000DIRECT NRSG HRS 17350,B100000,00000,1000,00000PATIENT DAYS 17350,B100000,00000,1100,00000COSTED REQUIS 17350,B100000,00000,1200,00000PATIENT DAYS 17350,B100000,00000,1300,00000PATIENT DAYS 17350,B100000,00000,1400,00000ASSIGNED TIME 17350,E10A180,00551,0300,04/28/2000 17350,S000000,00100,0200,04/28/2000 17350,S200000,00100,0100,14792 CATLIN TILTON ROAD 17350,S200000,00200,0100,DANVILLE 17350,S200000,00200,0200,IL 17350,S200000,00200,0300,61834 17350,S200000,00300,0100,VERMILION 17350,S200000,00400,0100,VERMILION MANOR NURSING HOME 17350,S200000,00400,0200,145926 17350,S200000,00400,0300,05/01/1997 17350,S200000,00400,0500,P 17350,S200000,01600,0100,Y 17350,S200000,04700,0100,Y 17350,S200000,04700,0200,Y 17355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17355,A000000,00300,0000,00300EMPLOYEE BENEFITS 17355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17355,A000000,00700,0000,00700HOUSEKEEPING 17355,A000000,00800,0000,00800DIETARY 17355,A000000,00900,0000,00900NURSING ADMINISTRATION 17355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17355,A000000,01100,0000,01100PHARMACY 17355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17355,A000000,01300,0000,01300SOCIAL SERVICE 17355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17355,A000000,01600,0000,01600SKILLED NURSING FACILITY 17355,A000000,01800,0000,01800NURSING FACILITY 17355,A000000,01810,0000,01810ICF/MR 17355,A000000,02200,0000,02200LABORATORY 17355,A000000,02500,0000,02500PHYSICAL THERAPY 17355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17355,A000000,02700,0000,02700SPEECH PATHOLOGY 17355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17355,A000000,03550,0000,03550FQHC 17355,A000000,05000,0000,05000CORF 17355,A000000,05010,0000,05010CMHC 17355,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17355,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17355,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17355,A81000A,00100,0100,Y 17355,A81000B,00200,0300,RENT 17355,A81000B,00400,0300,HOME OFFICE 17355,A81000B,00600,0300,PLANT CONSULTING 17355,A81000B,00800,0300,SOCIAL SERVICE CONSU 17355,A81000C,00200,0100,B 17355,A81000C,00200,0200,SKYVIEW NURSING 17355,A81000C,00400,0100,B 17355,A81000C,00400,0200,MAVIN ENTERPRIS 17355,A81000C,00600,0100,B 17355,A81000C,00600,0200,SWS CONSULTING 17355,B100000,00000,0100,00000SQUARE FEET 17355,B100000,00000,0200,00000SQUARE FEET 17355,B100000,00000,0300,00000GROSS SALARIES 17355,B100000,00000,0400,00000ACCUM COST 17355,B100000,00000,0500,00000SQUARE FEET 17355,B100000,00000,0600,00000PATIENT DAYS 17355,B100000,00000,0700,00000SQUARE FEET 17355,B100000,00000,0800,00000PATIENT DAYS 17355,B100000,00000,0900,00000PATIENT DAYS 17355,B100000,00000,1000,00000PATIENT DAYS 17355,B100000,00000,1100,00000COSTED REQUIS 17355,B100000,00000,1200,00000PATIENT DAYS 17355,B100000,00000,1300,00000PATIENT DAYS 17355,B100000,00000,1400,00000ASSIGNED TIME 17355,S000000,00100,0200,06/12/2000 17355,S200000,00400,0100,SKYVIEW TERRACE LTD. 17355,S200000,00400,0200,145928 17355,S200000,00400,0300,04/15/1997 17355,S200000,00400,0500,P 17355,S200000,01600,0100,Y 17358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17358,A000000,00300,0000,00300EMPLOYEE BENEFITS 17358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17358,A000000,00700,0000,00700HOUSEKEEPING 17358,A000000,00800,0000,00800DIETARY 17358,A000000,00900,0000,00900NURSING ADMINISTRATION 17358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17358,A000000,01100,0000,01100PHARMACY 17358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17358,A000000,01300,0000,01300SOCIAL SERVICE 17358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17358,A000000,01600,0000,01600SKILLED NURSING FACILITY 17358,A000000,01800,0000,01800NURSING FACILITY 17358,A000000,01810,0000,01810ICF/MR 17358,A000000,02100,0000,02100RADIOLOGY 17358,A000000,02200,0000,02200LABORATORY 17358,A000000,02500,0000,02500PHYSICAL THERAPY 17358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17358,A000000,02700,0000,02700SPEECH PATHOLOGY 17358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17358,A000000,03050,0000,03300BGM 17358,A000000,03200,0000,03200SUPPORT SURFACES 17358,A000000,03550,0000,03550FQHC 17358,A000000,04800,0000,04800AMBULANCE 17358,A000000,05000,0000,05000CORF 17358,A000000,05010,0000,05010CMHC 17358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17358,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17358,A81000A,00100,0100,Y 17358,A81000B,00100,0300,IMRF 17358,A81000B,00200,0300,FICA 17358,A81000B,00300,0300,WORKERS COMP 17358,A81000B,00400,0300,LIABILITY INSURANCE 17358,A81000B,00500,0300,BOOKKEEPING 17358,A81000C,00100,0100,B 17358,A81000C,00100,0400,LIVINGSTON COUN 17358,A81000C,00100,0600,COUNTY SERVICES 17358,B100000,00000,0100,00000SQUARE FEET 17358,B100000,00000,0200,00000SQUARE FEET 17358,B100000,00000,0300,00000GROSS SALARIES 17358,B100000,00000,0400,00000ACCUM COST 17358,B100000,00000,0500,00000SQUARE FEET 17358,B100000,00000,0600,00000PATIENT DAYS 17358,B100000,00000,0700,00000SQUARE FEET 17358,B100000,00000,0800,00000MEALS SERVED 17358,B100000,00000,0900,00000DIRECT NRSG HRS 17358,B100000,00000,1000,00000PATIENT DAYS 17358,B100000,00000,1100,00000COSTED REQUIS 17358,B100000,00000,1200,00000PATIENT DAYS 17358,B100000,00000,1300,00000PATIEN DAYS 17358,B100000,00000,1400,00000ASSIGNED TIME 17358,S000000,00100,0200,04/28/2000 17358,S200000,00100,0100,14335 USHWY 66 17358,S200000,00200,0100,PONTIAC 17358,S200000,00200,0200,IL 17358,S200000,00200,0300,61764 17358,S200000,00300,0100,LIVINGSTON 17358,S200000,00400,0100,LIVINGSTON MANOR 17358,S200000,00400,0200,145930 17358,S200000,00400,0300,08/01/1997 17358,S200000,00400,0500,P 17358,S200000,01600,0100,Y 17358,S200000,04700,0100,Y 17358,S200000,04700,0200,Y 17364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17364,A000000,00300,0000,00300EMPLOYEE BENEFITS 17364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17364,A000000,00700,0000,00700HOUSEKEEPING 17364,A000000,00800,0000,00800DIETARY 17364,A000000,00900,0000,00900NURSING ADMINISTRATION 17364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17364,A000000,01100,0000,01100PHARMACY 17364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17364,A000000,01300,0000,01300SOCIAL SERVICE 17364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17364,A000000,01600,0000,01600SKILLED NURSING FACILITY 17364,A000000,01800,0000,01800NURSING FACILITY 17364,A000000,01810,0000,01810ICF/MR 17364,A000000,02100,0000,02100RADIOLOGY 17364,A000000,02200,0000,02200LABORATORY 17364,A000000,02500,0000,02500PHYSICAL THERAPY 17364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17364,A000000,02700,0000,02700SPEECH PATHOLOGY 17364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17364,A000000,03050,0000,03300BGM 17364,A000000,03200,0000,03200SUPPORT SURFACES 17364,A000000,03550,0000,03550FQHC 17364,A000000,05000,0000,05000CORF 17364,A000000,05010,0000,05010CMHC 17364,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17364,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17364,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17364,A81000A,00100,0100,Y 17364,A81000B,00100,0300,ALLOC SAL-CJE 17364,A81000B,00200,0300,ALLOC SAL-CJE 17364,A81000B,00300,0300,ALLOC DATA PROC.-CJE 17364,A81000B,00400,0300,ALLOC SAL -CJE 17364,A81000B,00500,0300,ALLOC SAL-CJE 17364,A81000B,00600,0300,ALLOC LOAN-CJE 17364,A81000B,00700,0300,ALLOC LOAN-CJE 17364,A81000B,00800,0300,FEES & SUBSCRIPTIONS 17364,A81000B,00900,0300,OFFICE EXPENSE 17364,A81000B,01000,0300,EMPLOYEE BENEFITS 17364,A81000B,01100,0300,TRANSPORTATION EXP. 17364,A81000B,01200,0300,INSURANCE EXP. 17364,A81000C,00100,0100,B 17364,A81000C,00100,0400,COUNCIL FOR JEW 17364,A81000C,00100,0600,MANAGEMENT 17364,A81000C,00200,0400,ELDERLY 17364,B100000,00000,0100,00000SQUARE FEET 17364,B100000,00000,0200,00000SQUARE FEET 17364,B100000,00000,0300,00000GROSS SALARIES 17364,B100000,00000,0400,00000ACCUM COST 17364,B100000,00000,0500,00000SQUARE FEET 17364,B100000,00000,0600,00000PATIENT DAYS 17364,B100000,00000,0700,00000SQUARE FEET 17364,B100000,00000,0800,00000PATIENT DAYS 17364,B100000,00000,0900,00000DIRECT NRSG HRS 17364,B100000,00000,1000,00000PATIENT DAYS 17364,B100000,00000,1100,00000COSTED REQUIS 17364,B100000,00000,1200,00000PATIENT DAYS 17364,B100000,00000,1300,00000PATIENT DAYS 17364,B100000,00000,1400,00000ASSIGNED TIME 17364,S000000,00100,0200,12/01/2000 17364,S200000,00100,0100,9700 GROSS POINT ROAD 17364,S200000,00200,0100,SKOKIE 17364,S200000,00200,0200,IL 17364,S200000,00200,0300,60076 17364,S200000,00300,0100,C 17364,S200000,00400,0100,LIEBERMAN GERIATRIC HEALTH CENTER 17364,S200000,00400,0200,145931 17364,S200000,00400,0300,07/01/1997 17364,S200000,00400,0500,P 17364,S200000,00400,0600,O 17364,S200000,01600,0100,Y 17364,S200000,01900,0100,CHARITABLE CORP. 17366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17366,A000000,00300,0000,00300EMPLOYEE BENEFITS 17366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17366,A000000,00700,0000,00700HOUSEKEEPING 17366,A000000,00800,0000,00800DIETARY 17366,A000000,00900,0000,00900NURSING ADMINISTRATION 17366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17366,A000000,01100,0000,01100PHARMACY 17366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17366,A000000,01300,0000,01300SOCIAL SERVICE 17366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17366,A000000,01600,0000,01600SKILLED NURSING FACILITY 17366,A000000,01800,0000,01800NURSING FACILITY 17366,A000000,01810,0000,01810ICF/MR 17366,A000000,01900,0000,01900OTHER LONG TERM CARE 17366,A000000,02200,0000,02200LABORATORY 17366,A000000,02500,0000,02500PHYSICAL THERAPY 17366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17366,A000000,02700,0000,02700SPEECH PATHOLOGY 17366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17366,A000000,03550,0000,03550FQHC 17366,A000000,05000,0000,05000CORF 17366,A000000,05010,0000,05010CMHC 17366,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17366,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17366,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17366,A000000,05801,0000,05801APARTMENTS 17366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17366,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17366,B100000,00000,0100,00000SQUARE FEET 17366,B100000,00000,0200,00000SQUARE FEET 17366,B100000,00000,0300,00000GROSS SALARIES 17366,B100000,00000,0400,00000ACCUM COST 17366,B100000,00000,0500,00000SQUARE FEET 17366,B100000,00000,0600,00000POUNDS OF LAUNDRY 17366,B100000,00000,0700,00000HOURS OF SERVICE 17366,B100000,00000,0800,00000MEALS SERVED 17366,B100000,00000,0900,00000DIRECT NRSG HRS 17366,B100000,00000,1000,00000COSTED REQUIS 17366,B100000,00000,1100,00000COSTED REQUIS 17366,B100000,00000,1200,00000TIME SPENT 17366,B100000,00000,1300,00000TIME SPENT 17366,B100000,00000,1400,00000ASSIGNED TIME 17366,S000000,00100,0200,05/24/2000 17366,S200000,00100,0100,7023 NE SKYLINE DR. 17366,S200000,00200,0100,PEORIA 17366,S200000,00200,0200,IL 17366,S200000,00200,0300,61614 17366,S200000,00300,0100,PEORIA 17366,S200000,00400,0100,APOSTOLIC CHRISTIAN HOME 17366,S200000,00400,0200,145933 17366,S200000,00400,0300,05/01/1997 17366,S200000,00400,0500,P 17366,S200000,01600,0100,Y 17366,S200000,04300,0100,Y 17373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17373,A000000,00300,0000,00300EMPLOYEE BENEFITS 17373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17373,A000000,00700,0000,00700HOUSEKEEPING 17373,A000000,00800,0000,00800DIETARY 17373,A000000,00900,0000,00900NURSING ADMINISTRATION 17373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17373,A000000,01100,0000,01100PHARMACY 17373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17373,A000000,01300,0000,01300SOCIAL SERVICE 17373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17373,A000000,01600,0000,01600SKILLED NURSING FACILITY 17373,A000000,01810,0000,01810ICF/MR 17373,A000000,01900,0000,01900OTHER LONG TERM CARE 17373,A000000,02500,0000,02500PHYSICAL THERAPY 17373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17373,A000000,02700,0000,02700SPEECH PATHOLOGY 17373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17373,A000000,03550,0000,03550FQHC 17373,A000000,05000,0000,05000CORF 17373,A000000,05010,0000,05010CMHC 17373,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17373,A000000,06101,0000,06101BAD DEBTS 17373,A000000,06102,0000,06102DEVELOPMENT 17373,A81000A,00100,0100,Y 17373,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 17373,A81000C,00100,0100,B 17373,A81000C,00100,0200,SENIOR SERVICE 17373,A81000C,00100,0600,HEALTH SERVICES 17373,B100000,00000,0100,00002SQUARE FEET 17373,B100000,00000,0200,00002DOLLAR VALUE 17373,B100000,00000,0300,00002GROSS SALARIES 17373,B100000,00000,0400,00002ACCUM. COST 17373,B100000,00000,0500,00002SQUARE FEET 17373,B100000,00000,0600,00002POUNDS OF LAUNDRY 17373,B100000,00000,0700,00002HOURS OF SERVICE 17373,B100000,00000,0800,00002MEALS SERVED 17373,B100000,00000,0900,00002DIRECT NRSING HRS 17373,B100000,00000,1000,00002COSTED REQUIS. 17373,B100000,00000,1100,00002COSTED REQUIS. 17373,B100000,00000,1200,00002TIME SPENT 17373,B100000,00000,1300,00002TIME SPENT 17373,B100000,00000,1400,00002ASSIGNED TIME 17373,E10A180,00550,0100,07/13/2000 17373,S000000,00100,0200,06/30/2000 17373,S200000,00100,0100,659 E. JEFFERSON 17373,S200000,00200,0100,FREEPORT 17373,S200000,00200,0200,IL 17373,S200000,00200,0300,61032 17373,S200000,00300,0100,STEPHENSON 17373,S200000,00400,0100,PROVENA ST. JOSEPH HOME 17373,S200000,00400,0200,145935 17373,S200000,00400,0300,03/14/1997 17373,S200000,00400,0500,P 17373,S200000,01600,0100,Y 17373,S200000,04300,0100,Y 17379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17379,A000000,00300,0000,00300EMPLOYEE BENEFITS 17379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17379,A000000,00700,0000,00700HOUSEKEEPING 17379,A000000,00800,0000,00800DIETARY 17379,A000000,00900,0000,00900NURSING ADMINISTRATION 17379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17379,A000000,01100,0000,01100PHARMACY 17379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17379,A000000,01300,0000,01300SOCIAL SERVICE 17379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17379,A000000,01600,0000,01600SKILLED NURSING FACILITY 17379,A000000,01800,0000,01800NURSING FACILITY 17379,A000000,01810,0000,01810ICF/MR 17379,A000000,02500,0000,02500PHYSICAL THERAPY 17379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17379,A000000,02700,0000,02700SPEECH PATHOLOGY 17379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17379,A000000,03550,0000,03550FQHC 17379,A000000,05000,0000,05000CORF 17379,A000000,05010,0000,05010CMHC 17379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17379,A81000A,00100,0100,Y 17379,A81000B,00100,0300,MANAGEMENT FEES 17379,A81000B,00200,0300,SALARY 17379,A81000C,00100,0100,A 17379,A81000C,00100,0200,MIKE LERNER 17379,A81000C,00100,0400,GEM HEALTHCARE 17379,A81000C,00100,0600,MANAGEMENT COMP 17379,B100000,00000,0100,00000SQUARE FEET 17379,B100000,00000,0200,00000SQUARE FEET 17379,B100000,00000,0300,00000GROSS SALARIES 17379,B100000,00000,0400,00000ACCUM COST 17379,B100000,00000,0500,00000SQUARE FEET 17379,B100000,00000,0600,00000PATIENT DAYS 17379,B100000,00000,0700,00000SQUARE FOOTAGE 17379,B100000,00000,0800,00000PATIENT DAYS 17379,B100000,00000,0900,00000PATIENT DAYS 17379,B100000,00000,1000,00000PATIENT DAYS 17379,B100000,00000,1100,00000PATIENT DAYS 17379,B100000,00000,1200,00000PATIENT DAYS 17379,B100000,00000,1300,00000PATIENT DAYS 17379,B100000,00000,1400,00000ASSIGNED TIME 17379,S000000,00100,0200,06/02/2000 17379,S200000,00100,0100,9525 S. MAYFIELD 17379,S200000,00200,0100,OAK LAWN 17379,S200000,00200,0200,IL 17379,S200000,00200,0300,60453 17379,S200000,00400,0100,OAK LAWN PAVILION 17379,S200000,00400,0200,145942 17379,S200000,00400,0300,01/01/1997 17379,S200000,00400,0500,P 17379,S200000,01600,0100,Y 17384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17384,A000000,00300,0000,00300EMPLOYEE BENEFITS 17384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17384,A000000,00700,0000,00700HOUSEKEEPING 17384,A000000,00800,0000,00800DIETARY 17384,A000000,00900,0000,00900NURSING ADMINISTRATION 17384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17384,A000000,01100,0000,01100PHARMACY 17384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17384,A000000,01300,0000,01300SOCIAL SERVICE 17384,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17384,A000000,01600,0000,01600SKILLED NURSING FACILITY 17384,A000000,01810,0000,01810ICF/MR 17384,A000000,01900,0000,01900OTHER LONG TERM CARE 17384,A000000,02500,0000,02500PHYSICAL THERAPY 17384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17384,A000000,02700,0000,02700SPEECH PATHOLOGY 17384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17384,A000000,03550,0000,03550FQHC 17384,A000000,05000,0000,05000CORF 17384,A000000,05010,0000,05010CMHC 17384,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17384,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17384,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17384,A000000,06101,0000,06101BAD DEBT 17384,A000000,06102,0000,06102DEVELOPMENT 17384,A81000A,00100,0100,Y 17384,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 17384,A81000C,00100,0100,B 17384,A81000C,00100,0200,SENIOR SERVICE 17384,A81000C,00100,0600,HEALTH SERVICES 17384,B100000,00000,0100,00002SQUARE FEET 17384,B100000,00000,0200,00002DOLLAR VALUE 17384,B100000,00000,0300,00002GROSS SALARIES 17384,B100000,00000,0400,00002ACCUM. COST 17384,B100000,00000,0500,00002SQUARE FEET 17384,B100000,00000,0600,00002POUNDS OF LAUNDRY 17384,B100000,00000,0700,00002HOURS OF SERVICE 17384,B100000,00000,0800,00002MEALS SERVED 17384,B100000,00000,0900,00002DIRECT NRSING HRS 17384,B100000,00000,1000,00002COSTED REQUIS. 17384,B100000,00000,1100,00002COSTED REQUIS. 17384,B100000,00000,1200,00002TIME SPENT 17384,B100000,00000,1300,00002TIME SPENT 17384,B100000,00000,1400,00002ASSIGNED TIME 17384,E10A180,00550,0100,07/13/2000 17384,S000000,00100,0200,06/30/2000 17384,S200000,00100,0100,400 W. SULLIVAN RD. 17384,S200000,00200,0100,AURORA 17384,S200000,00200,0200,IL 17384,S200000,00200,0300,60506 17384,S200000,00300,0100,KANKAKEE 17384,S200000,00400,0100,PROVENA MCAULEY MANOR 17384,S200000,00400,0200,145944 17384,S200000,00400,0300,12/01/1997 17384,S200000,00400,0500,P 17384,S200000,01600,0100,Y 17384,S200000,04300,0100,Y 17389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17389,A000000,00300,0000,00300EMPLOYEE BENEFITS 17389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17389,A000000,00700,0000,00700HOUSEKEEPING 17389,A000000,00800,0000,00800DIETARY 17389,A000000,00900,0000,00900NURSING ADMINISTRATION 17389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17389,A000000,01100,0000,01100PHARMACY 17389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17389,A000000,01300,0000,01300SOCIAL SERVICE 17389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17389,A000000,01600,0000,01600SKILLED NURSING FACILITY 17389,A000000,01810,0000,01810ICF/MR 17389,A000000,02200,0000,02200LABORATORY 17389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17389,A000000,02500,0000,02500PHYSICAL THERAPY 17389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17389,A000000,02700,0000,02700SPEECH PATHOLOGY 17389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17389,A000000,03550,0000,03550FQHC 17389,A000000,05000,0000,05000CORF 17389,A000000,05010,0000,05010CMHC 17389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17389,B100000,00000,0100,00000SQUARE FEET 17389,B100000,00000,0200,00000SQUARE FEET 17389,B100000,00000,0300,00000GROSS SALARIES 17389,B100000,00000,0400,00000ACCUM. COST 17389,B100000,00000,0500,00000SQUARE FEET 17389,B100000,00000,0600,00000PATIENT DAYS 17389,B100000,00000,0700,00000SQUARE FEET 17389,B100000,00000,0800,00000MEALS SERVED 17389,B100000,00000,0900,00000PATIENT DAYS 17389,B100000,00000,1000,00000PATIENT DAYS 17389,B100000,00000,1100,00000PATIENT DAYS 17389,B100000,00000,1200,00000PATIENT DAYS 17389,B100000,00000,1300,00000PATIENT DAYS 17389,B100000,00000,1400,00000ASSIGNED TIME 17389,S000000,00100,0200,03/01/2000 17389,S200000,00100,0100,180 W. IMBODEN DRIVE 17389,S200000,00200,0100,DECATUR 17389,S200000,00200,0200,IL 17389,S200000,00300,0100,MACON 17389,S200000,00400,0100,IMBODEN CREEK LIVING CENTER 17389,S200000,00400,0200,145945 17389,S200000,00400,0300,10/01/1997 17389,S200000,00400,0500,P 17389,S200000,01500,0100,Y 17394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17394,A000000,00300,0000,00300EMPLOYEE BENEFITS 17394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17394,A000000,00700,0000,00700HOUSEKEEPING 17394,A000000,00800,0000,00800DIETARY 17394,A000000,00900,0000,00900NURSING ADMINISTRATION 17394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17394,A000000,01100,0000,01100PHARMACY 17394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17394,A000000,01300,0000,01300SOCIAL SERVICE 17394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17394,A000000,01600,0000,01600SKILLED NURSING FACILITY 17394,A000000,01800,0000,01800NURSING FACILITY 17394,A000000,01810,0000,01810ICF/MR 17394,A000000,02200,0000,02200LABORATORY 17394,A000000,02500,0000,02500PHYSICAL THERAPY 17394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17394,A000000,02700,0000,02700SPEECH PATHOLOGY 17394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17394,A000000,03550,0000,03550FQHC 17394,A000000,05000,0000,05000CORF 17394,A000000,05010,0000,05010CMHC 17394,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17394,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17394,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17394,A81000A,00100,0100,Y 17394,A81000B,00100,0300,RENT 17394,A81000B,00200,0300,REAL ESTATE TAX 17394,A81000B,00300,0300,DEPRECIATION 17394,A81000B,00400,0300,AMORTIZATION 17394,A81000B,00500,0300,INTEREST 17394,A81000B,00600,0300,OFFICE EXPENSE 17394,A81000C,00100,0100,A 17394,A81000C,00100,0400,ABS MANAGEMENT 17394,A81000C,00100,0600,MANAGEMENT 17394,A81000C,00200,0100,A 17394,A81000C,00200,0400,PLAZA TERRACE P 17394,A81000C,00200,0600,BLDG PARTNERSHI 17394,B100000,00000,0100,00000SQUARE FEET 17394,B100000,00000,0200,00000SQUARE FEET 17394,B100000,00000,0300,00000GROSS SALARIES 17394,B100000,00000,0400,00000ACCUM COST 17394,B100000,00000,0500,00000SQUARE FEET 17394,B100000,00000,0600,00000PATIENT DAYS 17394,B100000,00000,0700,00000SQUARE FEET 17394,B100000,00000,0800,00000MEALS SERVED 17394,B100000,00000,0900,00000DIRECT NRSG HRS 17394,B100000,00000,1000,00000PATIENT DAYS 17394,B100000,00000,1100,00000COSTED REQUIS 17394,B100000,00000,1200,00000PATIENT DAYS 17394,B100000,00000,1300,00000PATIENT DAYS 17394,B100000,00000,1400,00000ASSIGNED TIME 17394,S000000,00100,0200,05/31/2000 17394,S200000,00100,0100,3249 WEST 147TH STREET 17394,S200000,00200,0100,MIDLOTHIAN 17394,S200000,00200,0200,IL 17394,S200000,00200,0300,60445 17394,S200000,00300,0100,COOK 17394,S200000,00400,0100,PLAZA TERRACE INC 17394,S200000,00400,0200,145947 17394,S200000,00400,0300,12/01/1997 17394,S200000,00400,0500,P 17394,S200000,01600,0100,Y 17394,S200000,01900,0100,SUB -S CORP 17398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17398,A000000,00300,0000,00300EMPLOYEE BENEFITS 17398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17398,A000000,00700,0000,00700HOUSEKEEPING 17398,A000000,00800,0000,00800DIETARY 17398,A000000,00900,0000,00900NURSING ADMINISTRATION 17398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17398,A000000,01100,0000,01100PHARMACY 17398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17398,A000000,01300,0000,01300SOCIAL SERVICE 17398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17398,A000000,01600,0000,01600SKILLED NURSING FACILITY 17398,A000000,01800,0000,01800NURSING FACILITY 17398,A000000,01810,0000,01810ICF/MR 17398,A000000,02100,0000,02100RADIOLOGY 17398,A000000,02200,0000,02200LABORATORY 17398,A000000,02500,0000,02500PHYSICAL THERAPY 17398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17398,A000000,02700,0000,02700SPEECH PATHOLOGY 17398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17398,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17398,A000000,03550,0000,03550FQHC 17398,A000000,05000,0000,05000CORF 17398,A000000,05010,0000,05010CMHC 17398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17398,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17398,A81000A,00100,0100,Y 17398,A81000B,00100,0300,MANAGEMENT FEES 17398,A81000B,00200,0300,OTHER CAPITAL 17398,A81000B,00300,0300,OTHER G&A 17398,A81000C,00100,0100,A 17398,A81000C,00100,0200,JAMES PETERSEN 17398,A81000C,00100,0400,PETERSEN HEALTH 17398,A81000C,00100,0600,MGMT CO. 17398,A81000C,00200,0100,A 17398,A81000C,00200,0200,MARK PETERSEN 17398,B100000,00000,0100,00000SQUARE FEET 17398,B100000,00000,0200,00000SQUARE FEET 17398,B100000,00000,0300,00000GROSS SALARIES 17398,B100000,00000,0400,00000ACCUM COST 17398,B100000,00000,0500,00000SQUARE FEET 17398,B100000,00000,0600,00000PATIENT DAYS 17398,B100000,00000,0700,00000SQUARE FEET 17398,B100000,00000,0800,00000MEALS SERVED 17398,B100000,00000,0900,00000HOURS OF SERVICE 17398,B100000,00000,1000,00000PATIENT DAYS 17398,B100000,00000,1100,00000COSTED REQUISITIO 17398,B100000,00000,1200,00000PATIENT DAYS 17398,B100000,00000,1300,00000PATIENT DAYS 17398,B100000,00000,1400,00000ASSIGNED TIME 17398,S000000,00100,0200,06/01/2000 17398,S200000,00100,0100,601 NORTH MORGAN STREET 17398,S200000,00200,0100,BEMENT IL 61813 17398,S200000,00300,0100,PIATT 17398,S200000,00400,0100,BEMENT HEALTH CARE CENTER 17398,S200000,00400,0200,145948 17398,S200000,00400,0300,02/02/1996 17398,S200000,00400,0500,P 17398,S200000,01600,0100,Y 17404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17404,A000000,00300,0000,00300EMPLOYEE BENEFITS 17404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17404,A000000,00700,0000,00700HOUSEKEEPING 17404,A000000,00800,0000,00800DIETARY 17404,A000000,00900,0000,00900NURSING ADMINISTRATION 17404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17404,A000000,01100,0000,01100PHARMACY 17404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17404,A000000,01300,0000,01300SOCIAL SERVICE 17404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17404,A000000,01600,0000,01600SKILLED NURSING FACILITY 17404,A000000,01800,0000,01800NURSING FACILITY 17404,A000000,01810,0000,01810ICF/MR 17404,A000000,02100,0000,02100RADIOLOGY 17404,A000000,02200,0000,02200LABORATORY 17404,A000000,02500,0000,02500PHYSICAL THERAPY 17404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17404,A000000,02700,0000,02700SPEECH PATHOLOGY 17404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17404,A000000,03550,0000,03550FQHC 17404,A000000,05000,0000,05000CORF 17404,A000000,05010,0000,05010CMHC 17404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17404,A81000A,00100,0100,Y 17404,A81000B,00200,0300,RENT 17404,A81000B,00400,0300,MANAGEMENT FEES 17404,A81000C,00200,0100,B 17404,A81000C,00200,0200,NIVRAM MGT. 17404,A81000C,00400,0100,B 17404,A81000C,00400,0200,MERMELSTEIN PAR 17404,B100000,00000,0100,00000SQUARE FEET 17404,B100000,00000,0200,00000SQUARE FEET 17404,B100000,00000,0300,00000GROSS SALARIES 17404,B100000,00000,0400,00000ACCUM COST 17404,B100000,00000,0500,00000SQUARE FEET 17404,B100000,00000,0600,00000PATIENT DAYS 17404,B100000,00000,0700,00000SQUARE FEET 17404,B100000,00000,0800,00000PATIENT DAYS 17404,B100000,00000,0900,00000PATIENT DAYS 17404,B100000,00000,1000,00000PATIENT DAYS 17404,B100000,00000,1100,00000COSTED REQUIS 17404,B100000,00000,1200,00000PATIENT DAYS 17404,B100000,00000,1300,00000PATIENT DAYS 17404,B100000,00000,1400,00000ASSIGNED TIME 17404,S000000,00100,0200,05/31/2000 17404,S200000,00400,0100,EMERALD PARK HEALTHCARE CENTER 17404,S200000,00400,0200,145954 17404,S200000,00400,0300,02/01/1998 17404,S200000,00400,0500,P 17404,S200000,01600,0100,Y 17412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17412,A000000,00300,0000,00300EMPLOYEE BENEFITS 17412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17412,A000000,00700,0000,00700HOUSEKEEPING 17412,A000000,00800,0000,00800DIETARY 17412,A000000,00900,0000,00900NURSING ADMINISTRATION 17412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17412,A000000,01100,0000,01100PHARMACY 17412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17412,A000000,01300,0000,01300SOCIAL SERVICE 17412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17412,A000000,01600,0000,01600SKILLED NURSING FACILITY 17412,A000000,01800,0000,01800NURSING FACILITY 17412,A000000,01810,0000,01810ICF/MR 17412,A000000,01900,0000,01900OTHER LONG TERM CARE 17412,A000000,02200,0000,02200LABORATORY 17412,A000000,02500,0000,02500PHYSICAL THERAPY 17412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17412,A000000,02700,0000,02700SPEECH PATHOLOGY 17412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17412,A000000,03200,0000,03200SUPPORT SURFACES 17412,A000000,03550,0000,03550FQHC 17412,A000000,05000,0000,05000CORF 17412,A000000,05010,0000,05010CMHC 17412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17412,A000000,06150,0000,06300CONVENT 17412,A81000A,00100,0100,Y 17412,A81000B,00100,0300,DIV - ADMIN SUPPORT 17412,A81000B,00200,0300,DIV - OTHER WAGES 17412,A81000B,00300,0300,DIV - OTHER EXPENSE 17412,A81000B,00400,0300,ADMIN WAGES 17412,A81000C,00100,0100,A 17412,A81000C,00100,0400,CATHOLIC CHARIT 17412,B100000,00000,0100,00000SQUARE FEET 17412,B100000,00000,0200,00000SQUARE FEET 17412,B100000,00000,0300,00000GROSS SALARIES 17412,B100000,00000,0400,00000ACCUM COST 17412,B100000,00000,0500,00000SQUARE FEET 17412,B100000,00000,0600,00000PATIENT DAYS 17412,B100000,00000,0700,00000SQUARE FEET 17412,B100000,00000,0800,00000MEALS SERVED 17412,B100000,00000,0900,00000NURSING SALARIES 17412,B100000,00000,1000,00000PATIENT DAYS 17412,B100000,00000,1100,00000COSTED REQUIS 17412,B100000,00000,1200,00000PATIENT DAYS 17412,B100000,00000,1300,00000PATIENT DAYS 17412,B100000,00000,1400,00000ASSIGNED TIME 17412,S000000,00100,0200,08/07/2000 17412,S200000,00100,0100,480 NORTH WOLF ROAD 17412,S200000,00200,0100,NORTHLAKE 17412,S200000,00200,0200,IL 17412,S200000,00200,0300,60164 17412,S200000,00300,0100,COOK 17412,S200000,00400,0100,VILLA SCALLABRINI HOME FOR THE AGED 17412,S200000,00400,0200,145956 17412,S200000,00400,0300,04/13/1998 17412,S200000,00400,0500,P 17412,S200000,01600,0100,Y 17412,S200000,01900,0100,SUB-S CORP. 17421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17421,A000000,00300,0000,00300EMPLOYEE BENEFITS 17421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17421,A000000,00700,0000,00700HOUSEKEEPING 17421,A000000,00800,0000,00800DIETARY 17421,A000000,00900,0000,00900NURSING ADMINISTRATION 17421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17421,A000000,01100,0000,01100PHARMACY 17421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17421,A000000,01300,0000,01300SOCIAL SERVICE 17421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17421,A000000,01600,0000,01600SKILLED NURSING FACILITY 17421,A000000,01800,0000,01800NURSING FACILITY 17421,A000000,01810,0000,01810ICF/MR 17421,A000000,01900,0000,01900OTHER LONG TERM CARE 17421,A000000,02200,0000,02200LABORATORY 17421,A000000,02500,0000,02500PHYSICAL THERAPY 17421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17421,A000000,02700,0000,02700SPEECH PATHOLOGY 17421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17421,A000000,03200,0000,03200SUPPORT SURFACES 17421,A000000,03550,0000,03550FQHC 17421,A000000,05000,0000,05000CORF 17421,A000000,05010,0000,05010CMHC 17421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17421,A81000A,00100,0100,Y 17421,A81000B,00100,0300,CAPITAL RELATED 17421,A81000B,00200,0300,EMPLOYEE BENEFITS 17421,A81000B,00300,0300,MANAGEMENT FEE 17421,A81000B,00400,0300,SALARY 17421,A81000B,00500,0300,DATA PROCESSING 17421,A81000B,00600,0300,PURCHASING 17421,A81000B,00700,0300,MISC A&G 17421,A81000B,00800,0300,MAINTENANCE 17421,A81000B,00900,0300,NURSING 17421,A81000B,01000,0300,PHARMACY 17421,A81000C,00100,0100,A 17421,A81000C,00100,0400,RESURRECTION HE 17421,A81000C,00100,0600,HEALTH CARE PRO 17421,B100000,00000,0100,00000SQUARE FEET 17421,B100000,00000,0200,00000SQUARE FEET 17421,B100000,00000,0300,00000GROSS SALARIES 17421,B100000,00000,0400,00000ACCUM COST 17421,B100000,00000,0500,00000SQUARE FEET 17421,B100000,00000,0600,00000PATIENT DAYS 17421,B100000,00000,0700,00000SQUARE FEET 17421,B100000,00000,0800,00000MEALS SERVED 17421,B100000,00000,0900,00000DIRECT NRSG HRS 17421,B100000,00000,1000,00000COSTED REQUIS 17421,B100000,00000,1100,00000COSTED REQUIS 17421,B100000,00000,1200,00000PATIENT DAYS 17421,B100000,00000,1300,00000PATIENT DAYS 17421,B100000,00000,1400,00000ASSIGNED TIME 17421,E10A180,00550,0300,12/11/2000 17421,S000000,00100,0200,12/11/2000 17421,S200000,00100,0100,7370 WEST TALCOTT AVENUE 17421,S200000,00200,0100,CHICAGO 17421,S200000,00200,0200,IL 17421,S200000,00200,0300,60631 17421,S200000,00300,0100,C 17421,S200000,00400,0100,RESURRECTION LIFE CENTER 17421,S200000,00400,0200,145960 17421,S200000,00400,0300,03/26/1998 17421,S200000,00400,0500,P 17421,S200000,01600,0100,Y 17421,S200000,01900,0100,CHARITABLE CORP. 17426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17426,A000000,00300,0000,00300EMPLOYEE BENEFITS 17426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17426,A000000,00700,0000,00700HOUSEKEEPING 17426,A000000,00800,0000,00800DIETARY 17426,A000000,00900,0000,00900NURSING ADMINISTRATION 17426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17426,A000000,01100,0000,01100PHARMACY 17426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17426,A000000,01300,0000,01300SOCIAL SERVICE 17426,A000000,01350,0000,01500OTHER GENERAL SERVICES 17426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17426,A000000,01600,0000,01600SKILLED NURSING FACILITY 17426,A000000,01800,0000,01800NURSING FACILITY 17426,A000000,01810,0000,01810ICF/MR 17426,A000000,02300,0000,02300INTRAVENOUS THERAPY 17426,A000000,02500,0000,02500PHYSICAL THERAPY 17426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17426,A000000,02700,0000,02700SPEECH PATHOLOGY 17426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17426,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 17426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 17426,A000000,03550,0000,03550FQHC 17426,A000000,04750,0000,05100OTHER REIMBURSABLE COST 17426,A000000,05000,0000,05000CORF 17426,A000000,05010,0000,05010CMHC 17426,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17426,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17426,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17426,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 17426,A81000A,00100,0100,Y 17426,A81000B,00100,0300,PEORIA COUNTY IL OVERHEAD 17426,A81000C,00100,0100,G 17426,A81000C,00100,0200,PEORIA COUNTY ILLINOIS 17426,A81000C,00100,0600,COUNTY GOVERNMENT 17426,B100000,00000,0100,00000SQUARE FOOTAGE 17426,B100000,00000,0200,00000SQUARE FOOTAGE 17426,B100000,00000,0300,00000GROSS SALARIES 17426,B100000,00000,0400,00000ACCUM. COST 17426,B100000,00000,0500,00000SQUARE FOOTAGE 17426,B100000,00000,0600,00000PATIENT DAYS 17426,B100000,00000,0700,00000SQUARE FOOTAGE 17426,B100000,00000,0800,00000MEALS SERVED 17426,B100000,00000,0900,00000PATIENT DAYS 17426,B100000,00000,1000,00000NO STATISTICS 17426,B100000,00000,1100,00000NO STATISTICS 17426,B100000,00000,1200,00000PATIENT DAYS 17426,B100000,00000,1300,00000PATIENT DAYS 17426,B100000,00000,1350,00000SQUARE FEET 17426,B100000,00000,1400,00000NO STATISTICS 17426,S000000,00100,0200,05/31/2000 17426,S200000,00100,0100,6701 W. PLANK ROAD 17426,S200000,00200,0100,PEORIA 17426,S200000,00200,0200,IL 17426,S200000,00200,0300,61604 17426,S200000,00300,0100,PEORIA 17426,S200000,00400,0100,BEL-WOOD NURSING HOME 17426,S200000,00400,0200,145961 17426,S200000,00400,0300,04/01/1998 17426,S200000,00400,0500,P 17426,S200000,00400,0600,O 17426,S200000,01600,0100,Y 17426,S200000,02800,0100,Y 17432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17432,A000000,00300,0000,00300EMPLOYEE BENEFITS 17432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17432,A000000,00700,0000,00700HOUSEKEEPING 17432,A000000,00800,0000,00800DIETARY 17432,A000000,00900,0000,00900NURSING ADMINISTRATION 17432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17432,A000000,01100,0000,01100PHARMACY 17432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17432,A000000,01300,0000,01300SOCIAL SERVICE 17432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17432,A000000,01600,0000,01600SKILLED NURSING FACILITY 17432,A000000,01800,0000,01800NURSING FACILITY 17432,A000000,01810,0000,01810ICF/MR 17432,A000000,02100,0000,02100RADIOLOGY 17432,A000000,02200,0000,02200LABORATORY 17432,A000000,02500,0000,02500PHYSICAL THERAPY 17432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17432,A000000,02700,0000,02700SPEECH PATHOLOGY 17432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17432,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17432,A000000,03550,0000,03550FQHC 17432,A000000,05000,0000,05000CORF 17432,A000000,05010,0000,05010CMHC 17432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17432,A000000,05300,0000,05300INTEREST EXPENSE 17432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17432,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17432,A81000A,00100,0100,Y 17432,A81000B,00100,0300,G&A EXPENSES 17432,A81000B,00200,0300,CAPITAL EXPENSE 17432,A81000B,00300,0300,BENEFITS EXPENSES 17432,A81000B,00400,0300,MAINTENANCE EXPENSES 17432,A81000B,00500,0300,INTEREST INCOME 17432,A81000C,00100,0100,A 17432,A81000C,00100,0200,GARY TOWLER 17432,A81000C,00100,0400,G&T RESOURCES 17432,A81000C,00100,0600,MGMT CO 17432,B100000,00000,0100,00000SQUARE FEET 17432,B100000,00000,0200,00000SQUARE FEET 17432,B100000,00000,0300,00000GROSS SALARIES 17432,B100000,00000,0400,00000ACCUM COST 17432,B100000,00000,0500,00000SQUARE FEET 17432,B100000,00000,0600,00000PATIENT DAYS 17432,B100000,00000,0700,00000SQUARE FEET 17432,B100000,00000,0800,00000MEALS SERVED 17432,B100000,00000,0900,00000HOURS OF SERVICE 17432,B100000,00000,1000,00000COSTED REQUISITIO 17432,B100000,00000,1100,00000COSTED REQUISITIO 17432,B100000,00000,1200,00000TIME SPENT 17432,B100000,00000,1300,00000PATIENT DAYS 17432,B100000,00000,1400,00000ASSIGNED TIME 17432,S000000,00100,0200,06/01/2000 17432,S200000,00100,0100,2101 METROPOLIS STREET 17432,S200000,00200,0100,METROPOLIS 17432,S200000,00200,0200,IL 17432,S200000,00200,0300,62960 17432,S200000,00300,0100,MASSAC 17432,S200000,00400,0100,MAGNOLIA MANOR INC. 17432,S200000,00400,0200,145962 17432,S200000,00400,0300,12/19/1997 17432,S200000,00400,0500,P 17432,S200000,01600,0100,Y 17436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17436,A000000,00300,0000,00300EMPLOYEE BENEFITS 17436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17436,A000000,00700,0000,00700HOUSEKEEPING 17436,A000000,00800,0000,00800DIETARY 17436,A000000,00900,0000,00900NURSING ADMINISTRATION 17436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17436,A000000,01100,0000,01100PHARMACY 17436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17436,A000000,01300,0000,01300SOCIAL SERVICE 17436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17436,A000000,01600,0000,01600SKILLED NURSING FACILITY 17436,A000000,01800,0000,01800NURSING FACILITY 17436,A000000,01810,0000,01810ICF/MR 17436,A000000,02100,0000,02100RADIOLOGY 17436,A000000,02200,0000,02200LABORATORY 17436,A000000,02300,0000,02300INTRAVENOUS THERAPY 17436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17436,A000000,02500,0000,02500PHYSICAL THERAPY 17436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17436,A000000,02700,0000,02700SPEECH PATHOLOGY 17436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17436,A000000,03200,0000,03200SUPPORT SURFACES 17436,A000000,03550,0000,03550FQHC 17436,A000000,05000,0000,05000CORF 17436,A000000,05010,0000,05010CMHC 17436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17436,A81000A,00100,0100,Y 17436,A81000B,00100,0300,ORL.PARK:BLDG RENT 17436,A81000B,00200,0300,TRIPOINT:HOUSEKEEPIN 17436,A81000B,00300,0300,PYR:TUBE FEEDING 17436,A81000B,00400,0300,PYR: URO/OST SUPPLY 17436,A81000B,00500,0300,PYR:NURSING SUPPLY 17436,A81000B,00600,0300,PYR:ADMIN/GENL 17436,A81000B,00700,0300,AMS:RENT/CAPITAL 17436,A81000B,00800,0300,AMS:EMPLYEE BENEF 17436,A81000B,00900,0300,AMS:ADMIN/GENL 17436,A81000B,01200,0300,FECII:DRUGS 17436,A81000B,01300,0300,FECII:IV DRUGS 17436,A81000B,01400,0300,FECII:GEN/ADM 17436,A81000B,01500,0300,FECII:HOUSE SUPPLIES 17436,A81000B,01600,0300,CPT: PHYS. THERAPY 17436,A81000B,01700,0300,CPT: OCCUP. THERAPY 17436,A81000B,01800,0300,CPT: SPEECH THERAPY 17436,A81000C,00100,0100,B 17436,A81000C,00100,0200,ALDEN MGT.SERV. 17436,A81000C,00100,0400,ALDEN MANAGEMEN 17436,A81000C,00100,0600,MANAGEMENT CO. 17436,A81000C,00200,0100,F 17436,A81000C,00200,0200,FLOYD SCHLOSSBE 17436,A81000C,00200,0400,FORUM PROF. CEN 17436,A81000C,00200,0600,BLDG.- OFFICE 17436,A81000C,00300,0100,B 17436,A81000C,00300,0200,ALDEN MGT. SERV 17436,A81000C,00300,0400,PYRAMID HEALTH 17436,A81000C,00300,0600,HEALTHCARE SUPP 17436,A81000C,00400,0100,B 17436,A81000C,00400,0200,ALDEN MGT. SERV 17436,A81000C,00400,0400,FORUM EXT. CARE 17436,A81000C,00400,0600,PHARMACY 17436,A81000C,00500,0100,F 17436,A81000C,00500,0200,FLOYD SCHLOSSBE 17436,A81000C,00500,0400,ORL. PARK ASSOC 17436,A81000C,00500,0600,BLDG. RENTAL 17436,A81000C,00600,0100,F 17436,A81000C,00600,0200,ALDEN MGT. SERV 17436,A81000C,00600,0400,IL. HOME THERAP 17436,A81000C,00600,0600,THERAPY SERVICE 17436,B100000,00000,0100,00000SQUARE FEET 17436,B100000,00000,0200,00000SQUARE FEET 17436,B100000,00000,0300,00000GROSS SALARIES 17436,B100000,00000,0400,00000ACCUM COST 17436,B100000,00000,0500,00000SQUARE FEET 17436,B100000,00000,0600,00000POUNDS OF LAUNDRY 17436,B100000,00000,0700,00000HOURS OF SERVICE 17436,B100000,00000,0800,00000MEALS SERVED 17436,B100000,00000,0900,00000DIRECT NRSG HRS 17436,B100000,00000,1000,00000COSTED REQUIS 17436,B100000,00000,1100,00000COSTED REQUIS 17436,B100000,00000,1200,00000TIME SPENT 17436,B100000,00000,1300,00000TIME SPENT 17436,B100000,00000,1400,00000ASSIGNED TIME 17436,S000000,00100,0200,06/15/2000 17436,S200000,00100,0100,16450 SOUTH 97TH AV 17436,S200000,00200,0100,ORLAND PARK 17436,S200000,00200,0200,IL 17436,S200000,00300,0100,COOK 17436,S200000,00400,0100,ALDEN-ORLAND PARK 17436,S200000,00400,0200,145963 17436,S200000,00400,0300,03/24/1998 17436,S200000,00400,0500,P 17436,S200000,00400,0600,O 17436,S200000,01600,0100,Y 17436,S200000,01800,0100,Y 17436,S200000,02200,0100,Y 17440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17440,A000000,00300,0000,00300EMPLOYEE BENEFITS 17440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17440,A000000,00700,0000,00700HOUSEKEEPING 17440,A000000,00800,0000,00800DIETARY 17440,A000000,00900,0000,00900NURSING ADMINISTRATION 17440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17440,A000000,01100,0000,01100PHARMACY 17440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17440,A000000,01300,0000,01300SOCIAL SERVICE 17440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17440,A000000,01600,0000,01600SKILLED NURSING FACILITY 17440,A000000,01800,0000,01800NURSING FACILITY 17440,A000000,01810,0000,01810ICF/MR 17440,A000000,02100,0000,02100RADIOLOGY 17440,A000000,02200,0000,02200LABORATORY 17440,A000000,02500,0000,02500PHYSICAL THERAPY 17440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17440,A000000,02700,0000,02700SPEECH PATHOLOGY 17440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17440,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17440,A000000,03550,0000,03550FQHC 17440,A000000,05000,0000,05000CORF 17440,A000000,05010,0000,05010CMHC 17440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17440,A000000,05300,0000,05300INTEREST EXPENSE 17440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17440,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17440,A81000A,00100,0100,Y 17440,A81000B,00100,0300,RENT EXPENSE 17440,A81000B,00200,0300,DEPRECIATION EXPENSE 17440,A81000B,00300,0300,MORTGAGE INTEREST EXPENSE 17440,A81000C,00100,0100,A 17440,A81000C,00100,0200,THERESA RUSSO 17440,A81000C,00100,0400,MCALLISTER 17440,A81000C,00100,0600,REAL ESTATE 17440,A81000C,00200,0100,A 17440,A81000C,00200,0200,ANGELINE 17440,A81000C,00200,0400,PARTNERSHIP 17440,A81000C,00300,0100,A 17440,A81000C,00300,0200,OLIVOTTO 17440,A81000C,00400,0100,A 17440,A81000C,00400,0200,ESTATE OF GERAL 17440,A81000C,00500,0100,A 17440,A81000C,00500,0200,MCALLISTER 17440,B100000,00000,0100,00000SQUARE FEET 17440,B100000,00000,0200,00000SQUARE FEET 17440,B100000,00000,0300,00000GROSS SALARIES 17440,B100000,00000,0400,00000ACCUM COST 17440,B100000,00000,0500,00000SQUARE FEET 17440,B100000,00000,0600,00000PATIENT DAYS 17440,B100000,00000,0700,00000SQUARE FEET 17440,B100000,00000,0800,00000MEALS SERVED 17440,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 17440,B100000,00000,1000,00000PATIENT DAYS 17440,B100000,00000,1100,00000COSTED REQUISITIO 17440,B100000,00000,1200,00000PATIENT DAYS 17440,B100000,00000,1300,00000PATIENT DAYS 17440,B100000,00000,1400,00000ASSIGNED TIME 17440,S000000,00100,0200,06/08/2000 17440,S200000,00100,0100,18300 LAVERGNE LANE 17440,S200000,00200,0100,TINLEY PARK 17440,S200000,00200,0200,IL 17440,S200000,00200,0300,60477 17440,S200000,00300,0100,COOK 17440,S200000,00400,0100,THE MCALLISTER NURSING HOME INC. 17440,S200000,00400,0200,145967 17440,S200000,00400,0300,07/01/1998 17440,S200000,00400,0500,P 17440,S200000,01600,0100,Y 17444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17444,A000000,00300,0000,00300EMPLOYEE BENEFITS 17444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17444,A000000,00700,0000,00700HOUSEKEEPING 17444,A000000,00800,0000,00800DIETARY 17444,A000000,00900,0000,00900NURSING ADMINISTRATION 17444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17444,A000000,01100,0000,01100PHARMACY 17444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17444,A000000,01300,0000,01300SOCIAL SERVICE 17444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17444,A000000,01600,0000,01600SKILLED NURSING FACILITY 17444,A000000,01800,0000,01800NURSING FACILITY 17444,A000000,01810,0000,01810ICF/MR 17444,A000000,02100,0000,02100RADIOLOGY 17444,A000000,02200,0000,02200LABORATORY 17444,A000000,02500,0000,02500PHYSICAL THERAPY 17444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17444,A000000,02700,0000,02700SPEECH PATHOLOGY 17444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17444,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 17444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 17444,A000000,03550,0000,03550FQHC 17444,A000000,05000,0000,05000CORF 17444,A000000,05010,0000,05010CMHC 17444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 17444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17444,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 17444,A81000A,00100,0100,Y 17444,A81000B,00100,0300,MANAGEMENT FEES 17444,A81000B,00200,0300,CAPITAL COST 17444,A81000B,00300,0300,ADMINISTRATIVE EXPENSE 17444,A81000C,00100,0100,A 17444,A81000C,00100,0200,JAMES PETERSEN 17444,A81000C,00100,0400,PETERSEN HEALTH 17444,A81000C,00100,0600,MGMT CO. 17444,A81000C,00200,0100,A 17444,A81000C,00200,0200,MARK PETERSEN 17444,B100000,00000,0100,00000SQUARE FEET 17444,B100000,00000,0200,00000SQUARE FEET 17444,B100000,00000,0300,00000GROSS SALARIES 17444,B100000,00000,0400,00000ACCUM COST 17444,B100000,00000,0500,00000SQUARE FEET 17444,B100000,00000,0600,00000PATIENT DAYS 17444,B100000,00000,0700,00000SQUARE FEET 17444,B100000,00000,0800,00000MEALS SERVED 17444,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 17444,B100000,00000,1000,00000PATIENT DAYS 17444,B100000,00000,1100,00000COSTED REQUISITIO 17444,B100000,00000,1200,00000TIME SPENT 17444,B100000,00000,1300,00000PATIENT DAYS 17444,B100000,00000,1400,00000ASSIGNED TIME 17444,S000000,00100,0200,06/01/2000 17444,S200000,00100,0100,144 JUNIOR AVENUE SOUTH 17444,S200000,00200,0100,KEWANEE 17444,S200000,00200,0200,ILLINOIS 17444,S200000,00200,0300,61443 17444,S200000,00300,0100,HENRY 17444,S200000,00400,0100,KEWANEE CARE HOME 17444,S200000,00400,0200,145968 17444,S200000,00400,0300,06/05/1998 17444,S200000,00400,0500,P 17444,S200000,01600,0100,Y 17450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17450,A000000,00300,0000,00300EMPLOYEE BENEFITS 17450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17450,A000000,00700,0000,00700HOUSEKEEPING 17450,A000000,00800,0000,00800DIETARY 17450,A000000,00900,0000,00900NURSING ADMINISTRATION 17450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17450,A000000,01100,0000,01100PHARMACY 17450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17450,A000000,01300,0000,01300SOCIAL SERVICE 17450,A000000,01350,0000,01500RECREATIONAL THERAPY 17450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17450,A000000,01600,0000,01600SKILLED NURSING FACILITY 17450,A000000,01800,0000,01800NURSING FACILITY 17450,A000000,01810,0000,01810ICF/MR 17450,A000000,02100,0000,02100RADIOLOGY 17450,A000000,02200,0000,02200LABORATORY 17450,A000000,02500,0000,02500PHYSICAL THERAPY 17450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17450,A000000,02700,0000,02700SPEECH PATHOLOGY 17450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17450,A000000,03200,0000,03200SUPPORT SURFACES 17450,A000000,03550,0000,03550FQHC 17450,A000000,05000,0000,05000CORF 17450,A000000,05010,0000,05010CMHC 17450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17450,A81000A,00100,0100,Y 17450,A81000B,00100,0300,ACCOUNTING FEES 17450,A81000B,00200,0300,DATA PROCESSING 17450,A81000B,00300,0300,MANAGEMENT FEES 17450,A81000B,00400,0300,HOME OFFICE EXPENSES 17450,A81000B,00500,0300,ANCILLARY ADM EXP 17450,A81000B,00600,0300,DIETARY CONSULTANT 17450,A81000B,00700,0300,LEGAL 17450,A81000B,00800,0300,ADVERTISING & PROMO 17450,A81000B,00900,0300,BOOKKEEPING SVCS 17450,A81000B,01000,0300,RENT 17450,A81000B,01100,0300,MORTGAGE INTEREST 17450,A81000B,01200,0300,R. E. TAXES 17450,A81000B,01300,0300,DEPR 17450,A81000B,01400,0300,BLDG CO ADM EXP 17450,A81000C,00100,0100,B 17450,A81000C,00100,0400,FOREST PARK BLD 17450,A81000C,00100,0600,BUILDING CO 17450,A81000C,00200,0100,A 17450,A81000C,00200,0400,CARE CENTERS I 17450,A81000C,00200,0600,MANAGEMENT CO. 17450,B100000,00000,0100,00000SQUARE FEET 17450,B100000,00000,0200,00000SQUARE FEET 17450,B100000,00000,0300,00000GROSS SALARIES 17450,B100000,00000,0400,00000ACCUM COST 17450,B100000,00000,0500,00000SQUARE FEET 17450,B100000,00000,0600,00000POUNDS OF LAUNDRY 17450,B100000,00000,0700,00000HOURS OF SERVICE 17450,B100000,00000,0800,00000MEALS SERVED 17450,B100000,00000,0900,00000DIRECT NRSG HRS 17450,B100000,00000,1000,00000COSTED REQUIS 17450,B100000,00000,1100,00000COSTED REQUIS 17450,B100000,00000,1200,00000TIME SPENT 17450,B100000,00000,1300,00000TIME SPENT 17450,B100000,00000,1350,00000PATIENT DAYS 17450,B100000,00000,1400,00000ASSIGNED TIME 17450,S000000,00100,0200,06/02/2000 17450,S200000,00100,0100,8200 ROOSEVELT ROAD 17450,S200000,00200,0100,FOREST PARK 17450,S200000,00200,0200,IL 17450,S200000,00200,0300,60130 17450,S200000,00300,0100,COOK 17450,S200000,00400,0100,PAVILLION OF FOREST PARK 17450,S200000,00400,0200,145969 17450,S200000,00400,0300,06/19/1998 17450,S200000,00400,0500,P 17450,S200000,00600,0200,145969 17450,S200000,00600,0300,06/19/1998 17450,S200000,00600,0600,P 17450,S200000,01600,0100,Y 17450,S200000,02200,0100,Y 17456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17456,A000000,00300,0000,00300EMPLOYEE BENEFITS 17456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17456,A000000,00700,0000,00700HOUSEKEEPING 17456,A000000,00800,0000,00800DIETARY 17456,A000000,00900,0000,00900NURSING ADMINISTRATION 17456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17456,A000000,01100,0000,01100PHARMACY 17456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17456,A000000,01300,0000,01300SOCIAL SERVICE 17456,A000000,01350,0000,01500RECREATIONAL THERAPY 17456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17456,A000000,01600,0000,01600SKILLED NURSING FACILITY 17456,A000000,01800,0000,01800NURSING FACILITY 17456,A000000,01810,0000,01810ICF/MR 17456,A000000,02100,0000,02100RADIOLOGY 17456,A000000,02200,0000,02200LABORATORY 17456,A000000,02500,0000,02500PHYSICAL THERAPY 17456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17456,A000000,02700,0000,02700SPEECH PATHOLOGY 17456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17456,A000000,03200,0000,03200SUPPORT SURFACES 17456,A000000,03550,0000,03550FQHC 17456,A000000,04800,0000,04800AMBULANCE 17456,A000000,05000,0000,05000CORF 17456,A000000,05010,0000,05010CMHC 17456,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17456,A81000A,00100,0100,Y 17456,A81000B,00100,0300,ACCOUNTING FEES 17456,A81000B,00200,0300,LEGAL FEES 17456,A81000B,00300,0300,ADVERTISING AND PROM 17456,A81000B,00400,0300,DIETARY CONSULTING 17456,A81000B,00500,0300,DATA PROCESSING 17456,A81000B,00600,0300,MANAGEMENT FEES 17456,A81000B,00700,0300,HOME OFFICE EXPENSES 17456,A81000B,00800,0300,ANCILLARY ADMIN FEES 17456,A81000B,00900,0300,BOOKKEEPING 17456,A81000B,01000,0300,RENT 17456,A81000B,01100,0300,DEPR EXPENSE 17456,A81000B,01200,0300,MORTGAGE INTEREST 17456,A81000B,01300,0300,BLDG CO ADMIN EXP 17456,A81000C,00100,0100,A 17456,A81000C,00100,0200,ERIC ROTHNER 17456,A81000C,00100,0400,CARE CENTERS I 17456,A81000C,00100,0600,MANAGEMENT CO. 17456,A81000C,00200,0100,B 17456,A81000C,00200,0400,SOUTH SHORE CC 17456,A81000C,00200,0600,BLDG. CO. 17456,B100000,00000,0100,00000SQUARE FEET 17456,B100000,00000,0200,00000SQUARE FEET 17456,B100000,00000,0300,00000GROSS SALARIES 17456,B100000,00000,0400,00000ACCUM COST 17456,B100000,00000,0500,00000SQUARE FEET 17456,B100000,00000,0600,00000POUNDS OF LAUNDRY 17456,B100000,00000,0700,00000HOURS OF SERVICE 17456,B100000,00000,0800,00000MEALS SERVED 17456,B100000,00000,0900,00000DIRECT NRSG HRS 17456,B100000,00000,1000,00000COSTED REQUIS 17456,B100000,00000,1100,00000COSTED REQUIS 17456,B100000,00000,1200,00000TIME SPENT 17456,B100000,00000,1300,00000TIME SPENT 17456,B100000,00000,1350,00000PATIENT DAYS 17456,B100000,00000,1400,00000ASSIGNED TIME 17456,S000000,00100,0200,06/02/2000 17456,S200000,00100,0100,2649 EAST 75TH STREET 17456,S200000,00200,0100,CHICAGO 17456,S200000,00200,0200,IL 17456,S200000,00200,0300,60649 17456,S200000,00300,0100,COOK 17456,S200000,00400,0100,SOUTH SHORE CARE CENTER 17456,S200000,00400,0200,145970 17456,S200000,00400,0300,06/16/1998 17456,S200000,00400,0500,P 17456,S200000,00600,0200,145970 17456,S200000,00600,0300,06/16/1998 17456,S200000,00600,0600,P 17456,S200000,01600,0100,Y 17456,S200000,02200,0100,Y 17459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17459,A000000,00300,0000,00300EMPLOYEE BENEFITS 17459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17459,A000000,00700,0000,00700HOUSEKEEPING 17459,A000000,00800,0000,00800DIETARY 17459,A000000,00900,0000,00900NURSING ADMINISTRATION 17459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17459,A000000,01100,0000,01100PHARMACY 17459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17459,A000000,01300,0000,01300SOCIAL SERVICE 17459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17459,A000000,01600,0000,01600SKILLED NURSING FACILITY 17459,A000000,01810,0000,01810ICF/MR 17459,A000000,01900,0000,01900OTHER LONG TERM CARE 17459,A000000,02500,0000,02500PHYSICAL THERAPY 17459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17459,A000000,02700,0000,02700SPEECH PATHOLOGY 17459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17459,A000000,03550,0000,03550FQHC 17459,A000000,05000,0000,05000CORF 17459,A000000,05010,0000,05010CMHC 17459,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17459,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17459,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17459,A000000,06101,0000,06101BAD DEBTS 17459,A000000,06102,0000,06102DEVELOPMENT 17459,A81000A,00100,0100,Y 17459,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 17459,A81000C,00100,0100,B 17459,A81000C,00100,0200,SENIOR SERVICE 17459,A81000C,00100,0600,HEALTH SERVICES 17459,B100000,00000,0100,00002SQUARE FEET 17459,B100000,00000,0200,00002DOLLAR VALUE 17459,B100000,00000,0300,00002GROSS SALARIES 17459,B100000,00000,0400,00002ACCUM. COST 17459,B100000,00000,0500,00002SQUARE FEET 17459,B100000,00000,0600,00002POUNDS OF LAUNDRY 17459,B100000,00000,0700,00002HOURS OF SERVICE 17459,B100000,00000,0800,00002MEALS SERVED 17459,B100000,00000,0900,00002DIRECT NRSING HRS 17459,B100000,00000,1000,00002COSTED REQUIS. 17459,B100000,00000,1100,00002COSTED REQUIS. 17459,B100000,00000,1200,00002TIME SPENT 17459,B100000,00000,1300,00002TIME SPENT 17459,B100000,00000,1400,00002ASSIGNED TIME 17459,S000000,00100,0200,06/30/2000 17459,S200000,00100,0100,3330 MARIA LINDEN DRIVE 17459,S200000,00200,0100,ROCKFORD 17459,S200000,00200,0200,IL 17459,S200000,00200,0300,61114 17459,S200000,00300,0100,KANKAKEE 17459,S200000,00400,0100,PROVENA COR MARIAE CENTER 17459,S200000,00400,0200,145972 17459,S200000,00400,0300,02/01/1999 17459,S200000,00400,0500,P 17459,S200000,01600,0100,Y 17459,S200000,04300,0100,Y 17461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17461,A000000,00300,0000,00300EMPLOYEE BENEFITS 17461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17461,A000000,00700,0000,00700HOUSEKEEPING 17461,A000000,00800,0000,00800DIETARY 17461,A000000,00900,0000,00900NURSING ADMINISTRATION 17461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17461,A000000,01100,0000,01100PHARMACY 17461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17461,A000000,01300,0000,01300SOCIAL SERVICE 17461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17461,A000000,01600,0000,01600SKILLED NURSING FACILITY 17461,A000000,01800,0000,01800NURSING FACILITY 17461,A000000,01810,0000,01810ICF/MR 17461,A000000,01900,0000,01900OTHER LONG TERM CARE 17461,A000000,02100,0000,02100RADIOLOGY 17461,A000000,02200,0000,02200LABORATORY 17461,A000000,02500,0000,02500PHYSICAL THERAPY 17461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17461,A000000,02700,0000,02700SPEECH PATHOLOGY 17461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17461,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 17461,A000000,03550,0000,03550FQHC 17461,A000000,05000,0000,05000CORF 17461,A000000,05010,0000,05010CMHC 17461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17461,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17461,A000000,06001,0000,06001NPSN 17461,B100000,00000,0100,00001SQUARE FEET 17461,B100000,00000,0200,00001SQUARE FEET 17461,B100000,00000,0300,00001GROSS SALARIES 17461,B100000,00000,0400,00001ACCUM COST 17461,B100000,00000,0500,00001SQUARE FEET 17461,B100000,00000,0600,00001PATIENT DAYS 17461,B100000,00000,0700,00001SQUARE FOOTAGE 17461,B100000,00000,0800,00001MEALS SERVED 17461,B100000,00000,0900,00001DIRECT NRSG HRS 17461,B100000,00000,1000,00001PATIENT DAYS 17461,B100000,00000,1100,00001COSTED REQUIS 17461,B100000,00000,1200,00001PATIENT DAYS 17461,B100000,00000,1300,00001PATIENT DAYS 17461,B100000,00000,1400,00001ASSIGNED TIME 17461,S000000,00100,0200,06/01/2000 17461,S200000,00100,0100,6016 NORTH NINA AVENUE 17461,S200000,00200,0100,CHICAGO 17461,S200000,00200,0200,IL 17461,S200000,00200,0300,60631 17461,S200000,00300,0100,COOK 17461,S200000,00400,0100,NORWOOD PARK HOME 17461,S200000,00400,0200,145974 17461,S200000,00400,0300,09/15/1998 17461,S200000,00400,0500,P 17461,S200000,01600,0100,Y 17461,S200000,01900,0100,CORPORATION 17466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17466,A000000,00300,0000,00300EMPLOYEE BENEFITS 17466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17466,A000000,00700,0000,00700HOUSEKEEPING 17466,A000000,00800,0000,00800DIETARY 17466,A000000,00900,0000,00900NURSING ADMINISTRATION 17466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17466,A000000,01100,0000,01100PHARMACY 17466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17466,A000000,01300,0000,01300SOCIAL SERVICE 17466,A000000,01301,0000,01301ACTIVITES 17466,A000000,01350,0000,01500REHABILITATION 17466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17466,A000000,01600,0000,01600SKILLED NURSING FACILITY 17466,A000000,01800,0000,01800NURSING FACILITY 17466,A000000,01810,0000,01810ICF/MR 17466,A000000,02100,0000,02100RADIOLOGY 17466,A000000,02200,0000,02200LABORATORY 17466,A000000,02300,0000,02300INTRAVENOUS THERAPY 17466,A000000,02500,0000,02500PHYSICAL THERAPY 17466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17466,A000000,02700,0000,02700SPEECH PATHOLOGY 17466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17466,A000000,03050,0000,03300EQUIPMENT RENTAL 17466,A000000,03051,0000,03301PEN THERAPY 17466,A000000,03550,0000,03550FQHC 17466,A000000,05000,0000,05000CORF 17466,A000000,05010,0000,05010CMHC 17466,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17466,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17466,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17466,A000000,06150,0000,06300VENDING 17466,A000000,06151,0000,06301STAND-BY 17466,A81000A,00100,0100,Y 17466,A81000B,00100,0300,HOME OFFICE ADMIN 17466,A81000B,00700,0300,HOME OFFICE CAPITAL 17466,A81000C,00100,0100,B 17466,A81000C,00100,0200,ROCHELLE WEST 17466,A81000C,00100,0400,MARINER PAN 17466,A81000C,00100,0600,NURSING HOMES 17466,A81000C,00200,0100,G 17466,A81000C,00200,0200,MARINER PAN 17466,A81000C,00200,0400,AMER PHARM SVCS 17466,A81000C,00200,0600,PHARMACEUTICALS 17466,A81000C,00300,0100,G 17466,A81000C,00300,0200,MARINER PAN 17466,A81000C,00300,0400,PRISM-ATS-ARS-T 17466,A81000C,00300,0600,THERAPIES 17466,B100000,00000,0100,00001SQUARE FEET 17466,B100000,00000,0200,00001SQUARE FEET 17466,B100000,00000,0300,00001GROSS SALARIES 17466,B100000,00000,0400,00001ACCUM COST 17466,B100000,00000,0500,00001SQUARE FEET 17466,B100000,00000,0600,00001PATIENT DAYS 17466,B100000,00000,0700,00001SQUARE FEET 17466,B100000,00000,0800,00001MEALS SERVED 17466,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 17466,B100000,00000,1000,00001COSTED REQUISITIO 17466,B100000,00000,1100,00001COSTED REQUIS 17466,B100000,00000,1200,00001PATIENT DAYS 17466,B100000,00000,1300,00001PATIENT DAYS 17466,B100000,00000,1301,00001PATIENT DAYS 17466,B100000,00000,1350,00001UNITS OF SERVICE 17466,B100000,00000,1400,00001ASSIGNED TIME 17466,S000000,00100,0200,06/02/2000 17466,S200000,00100,0100,900 N. 3RD STREET 17466,S200000,00200,0100,ROCHELLE 17466,S200000,00200,0200,IL 17466,S200000,00200,0300,61068 17466,S200000,00300,0100,OGLE 17466,S200000,00400,0100,ROCHELLE HEALTHCARE CENTER-WEST 17466,S200000,00400,0200,145975 17466,S200000,00400,0300,04/13/1998 17466,S200000,00400,0500,P 17466,S200000,01600,0100,Y 17466,S200000,02200,0100,Y 17471,S000000,00100,0200,09/24/1999 17473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17473,A000000,00300,0000,00300EMPLOYEE BENEFITS 17473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17473,A000000,00700,0000,00700HOUSEKEEPING 17473,A000000,00800,0000,00800DIETARY 17473,A000000,00900,0000,00900NURSING ADMINISTRATION 17473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17473,A000000,01100,0000,01100PHARMACY 17473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17473,A000000,01300,0000,01300SOCIAL SERVICE 17473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17473,A000000,01600,0000,01600SKILLED NURSING FACILITY 17473,A000000,01800,0000,01800NURSING FACILITY 17473,A000000,01810,0000,01810ICF/MR 17473,A000000,02100,0000,02100RADIOLOGY 17473,A000000,02200,0000,02200LABORATORY 17473,A000000,02500,0000,02500PHYSICAL THERAPY 17473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17473,A000000,02700,0000,02700SPEECH PATHOLOGY 17473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17473,A000000,03050,0000,03300BGM 17473,A000000,03200,0000,03200SUPPORT SURFACES 17473,A000000,03550,0000,03550FQHC 17473,A000000,04800,0000,04800AMBULANCE 17473,A000000,05000,0000,05000CORF 17473,A000000,05010,0000,05010CMHC 17473,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17473,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17473,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17473,A81000A,00100,0100,Y 17473,A81000B,00100,0300,MANAGEMENT FEES 17473,A81000B,00200,0300,ADMIN. & GENERAL 17473,A81000B,00300,0300,WORKERS COMP 17473,A81000B,00400,0300,CAREPATH MGMT FEES 17473,A81000B,00500,0300,CAREPATH A&G 17473,A81000B,00600,0300,NURCARE MGMT FEES 17473,A81000B,00700,0300,CRC 17473,A81000B,00800,0300,EMPLOYEE BENEFITS 17473,A81000B,00900,0300,ADMIN & GEN 17473,A81000B,01000,0300,PLANT OPERAT.MAINT. 17473,A81000B,01100,0300,RENT 17473,A81000B,01200,0300,CRC 17473,A81000B,01300,0300,ADMIN & GEN 17473,A81000B,01400,0300,ENTERAL & UROLOGICAL 17473,A81000B,01500,0300,ENTERAL & UROLOGICAL 17473,A81000B,01600,0300,SUPPLEMENTS 17473,A81000C,00100,0100,A 17473,A81000C,00100,0400,JLR MANAGEMENT 17473,A81000C,00100,0600,MANAGEMENT 17473,A81000C,00200,0100,A 17473,A81000C,00200,0400,SOUTH SHORE LTD 17473,A81000C,00200,0600,BLDG PARTNERSHI 17473,A81000C,00300,0100,A 17473,A81000C,00300,0400,DIAMOND INSURAN 17473,A81000C,00300,0600,INSURANCE 17473,A81000C,00400,0100,A 17473,A81000C,00400,0400,CAREPATH 17473,A81000C,00400,0600,COMPUTER SERVIC 17473,A81000C,00500,0100,A 17473,A81000C,00500,0400,NUCARE SERVICES 17473,A81000C,00500,0600,BOOKKEEP./MANAG 17473,A81000C,00600,0100,A 17473,A81000C,00600,0400,S&E 17473,A81000C,00600,0600,MEDICAL SUPPLIE 17473,B100000,00000,0100,00000SQUARE FEET 17473,B100000,00000,0200,00000SQUARE FEET 17473,B100000,00000,0300,00000GROSS SALARIES 17473,B100000,00000,0400,00000ACCUM COST 17473,B100000,00000,0500,00000SQUARE FEET 17473,B100000,00000,0600,00000PATIENT DAYS 17473,B100000,00000,0700,00000SQUARE FEET 17473,B100000,00000,0800,00000MEALS SERVED 17473,B100000,00000,0900,00000DIRECT NRSG HRS 17473,B100000,00000,1000,00000PATIENT DAYS 17473,B100000,00000,1100,00000COSTED REQUIS 17473,B100000,00000,1200,00000PATIENT DAYS 17473,B100000,00000,1300,00000PATIENT DAYS 17473,B100000,00000,1400,00000ASSIGNED TIME 17473,S000000,00100,0200,06/08/2000 17473,S200000,00100,0100,2425 EAST 71ST STREET 17473,S200000,00200,0100,CHICAGO 17473,S200000,00200,0200,IL 17473,S200000,00200,0300,60649 17473,S200000,00300,0100,COOK 17473,S200000,00400,0100,RENAISSANCE AT SOUTH SHORE 17473,S200000,00400,0200,145977 17473,S200000,00400,0300,11/12/1998 17473,S200000,00400,0500,P 17473,S200000,01600,0100,Y 17473,S200000,01900,0100,SUB S CORP 17473,S200000,04700,0100,Y 17473,S200000,04700,0200,Y 17476,S000000,00100,0200,01/08/2001 17479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17479,A000000,00300,0000,00300EMPLOYEE BENEFITS 17479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17479,A000000,00700,0000,00700HOUSEKEEPING 17479,A000000,00800,0000,00800DIETARY 17479,A000000,00900,0000,00900NURSING ADMINISTRATION 17479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17479,A000000,01100,0000,01100PHARMACY 17479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17479,A000000,01300,0000,01300SOCIAL SERVICE 17479,A000000,01301,0000,01301ACTIVITES 17479,A000000,01350,0000,01500REHABILITATION 17479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17479,A000000,01600,0000,01600SKILLED NURSING FACILITY 17479,A000000,01800,0000,01800NURSING FACILITY 17479,A000000,01810,0000,01810ICF/MR 17479,A000000,02100,0000,02100RADIOLOGY 17479,A000000,02200,0000,02200LABORATORY 17479,A000000,02300,0000,02300INTRAVENOUS THERAPY 17479,A000000,02500,0000,02500PHYSICAL THERAPY 17479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17479,A000000,02700,0000,02700SPEECH PATHOLOGY 17479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17479,A000000,03050,0000,03300EQUIPMENT RENTAL 17479,A000000,03051,0000,03301PEN THERAPY 17479,A000000,03550,0000,03550FQHC 17479,A000000,05000,0000,05000CORF 17479,A000000,05010,0000,05010CMHC 17479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17479,A000000,06150,0000,06300VENDING 17479,A000000,06151,0000,06301STAND-BY 17479,A81000A,00100,0100,Y 17479,A81000B,00100,0300,HOME OFFICE ADMIN 17479,A81000B,00700,0300,HOME OFFICE CAPITAL 17479,A81000C,00100,0100,B 17479,A81000C,00100,0200,ROCHELLE WEST 17479,A81000C,00100,0400,MARINER PAN 17479,A81000C,00100,0600,NURSING HOMES 17479,A81000C,00200,0100,G 17479,A81000C,00200,0200,MARINER PAN 17479,A81000C,00200,0400,AMER PHARM SVCS 17479,A81000C,00200,0600,PHARMACEUTICALS 17479,A81000C,00300,0100,G 17479,A81000C,00300,0200,MARINER PAN 17479,A81000C,00300,0400,PRISM-ATS-ARS-T 17479,A81000C,00300,0600,THERAPIES 17479,B100000,00000,0100,00001SQUARE FEET 17479,B100000,00000,0200,00001SQUARE FEET 17479,B100000,00000,0300,00001GROSS SALARIES 17479,B100000,00000,0400,00001ACCUM COST 17479,B100000,00000,0500,00001SQUARE FEET 17479,B100000,00000,0600,00001PATIENT DAYS 17479,B100000,00000,0700,00001SQUARE FEET 17479,B100000,00000,0800,00001MEALS SERVED 17479,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 17479,B100000,00000,1000,00001COSTED REQUISITIO 17479,B100000,00000,1100,00001COSTED REQUIS 17479,B100000,00000,1200,00001PATIENT DAYS 17479,B100000,00000,1300,00001PATIENT DAYS 17479,B100000,00000,1301,00001PATIENT DAYS 17479,B100000,00000,1350,00001UNITS OF SERVICE 17479,B100000,00000,1400,00001ASSIGNED TIME 17479,S000000,00100,0200,06/02/2000 17479,S200000,00100,0100,900 N. 3RD STREET 17479,S200000,00200,0100,ROCHELLE 17479,S200000,00200,0200,IL 17479,S200000,00200,0300,61068 17479,S200000,00300,0100,OGLE 17479,S200000,00400,0100,ROCHELLE HEALTHCARE CENTER-WEST 17479,S200000,00400,0200,145979 17479,S200000,00400,0300,04/13/1998 17479,S200000,00400,0500,P 17479,S200000,01600,0100,Y 17479,S200000,02200,0100,Y 17480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17480,A000000,00300,0000,00300EMPLOYEE BENEFITS 17480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17480,A000000,00700,0000,00700HOUSEKEEPING 17480,A000000,00800,0000,00800DIETARY 17480,A000000,00900,0000,00900NURSING ADMINISTRATION 17480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17480,A000000,01100,0000,01100PHARMACY 17480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17480,A000000,01300,0000,01300SOCIAL SERVICE 17480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17480,A000000,01600,0000,01600SKILLED NURSING FACILITY 17480,A000000,01800,0000,01800NURSING FACILITY 17480,A000000,01810,0000,01810ICF/MR 17480,A000000,02100,0000,02100RADIOLOGY 17480,A000000,02200,0000,02200LABORATORY 17480,A000000,02500,0000,02500PHYSICAL THERAPY 17480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17480,A000000,02700,0000,02700SPEECH PATHOLOGY 17480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17480,A000000,03200,0000,03200SUPPORT SURFACES 17480,A000000,03550,0000,03550FQHC 17480,A000000,04800,0000,04800AMBULANCE 17480,A000000,05000,0000,05000CORF 17480,A000000,05010,0000,05010CMHC 17480,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17480,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17480,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17480,A81000A,00100,0100,Y 17480,A81000B,00100,0300,MANAGEMENT FEE 17480,A81000B,00200,0300,ADMIN SALARY 17480,A81000B,00300,0300,OFFICE EXPENSE 17480,A81000B,00400,0300,PAYROLL TAXES 17480,A81000B,00500,0300,LEGAL EXPENSE 17480,A81000B,00600,0300,ACCOUNTING FEE 17480,A81000B,00700,0300,INTEREST EXPENSE 17480,A81000B,00800,0300,REAL ESTATE TAX 17480,A81000B,00900,0300,DEPRECIATION EXPENSE 17480,A81000B,01000,0300,AMORTIZATION 17480,A81000B,01100,0300,MANAGEMENT FEE 17480,A81000B,01200,0300,CAP REL COST 17480,A81000B,01300,0300,EMPLOYEE BENEFIT 17480,A81000B,01400,0300,ADMIN & GEN 17480,A81000B,01500,0300,PLANT OPERATION & MA 17480,A81000C,00100,0100,A 17480,A81000C,00100,0400,NUCARE SERVICE 17480,A81000C,00100,0600,MANAGEMENT 17480,A81000C,00200,0100,A 17480,A81000C,00200,0400,RENAISSANCE @BE 17480,A81000C,00200,0600,BLDG PARTNERSHI 17480,A81000C,00300,0100,A 17480,A81000C,00300,0400,JLR MANAGEMENT 17480,A81000C,00300,0600,MANAGEMENT 17480,B100000,00000,0100,00000SQUARE FEET 17480,B100000,00000,0200,00000SQUARE FEET 17480,B100000,00000,0300,00000GROSS SALARIES 17480,B100000,00000,0400,00000ACCUM COST 17480,B100000,00000,0500,00000SQUARE FEET 17480,B100000,00000,0600,00000PATIENT DAYS 17480,B100000,00000,0700,00000SQUARE FEET 17480,B100000,00000,0800,00000MEALS SERVED 17480,B100000,00000,0900,00000DIRECT NRSG HRS 17480,B100000,00000,1000,00000PATIENT DAYS 17480,B100000,00000,1100,00000COSTED REQUIS 17480,B100000,00000,1200,00000PATIENT DAYS 17480,B100000,00000,1300,00000PATIENT DAYS 17480,B100000,00000,1400,00000ASSIGNED TIME 17480,S000000,00100,0200,05/31/2000 17480,S200000,00100,0100,2940 WEST 87TH STREET 17480,S200000,00200,0100,CHICAGO 17480,S200000,00200,0200,IL 17480,S200000,00200,0300,60652 17480,S200000,00300,0100,COOK 17480,S200000,00400,0100,RENAISSANCE AT 87TH STREET 17480,S200000,00400,0200,145983 17480,S200000,00400,0300,09/23/1999 17480,S200000,00400,0500,P 17480,S200000,01500,0100,Y 17480,S200000,01900,0100,SUB S CORP 17484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17484,A000000,00300,0000,00300EMPLOYEE BENEFITS 17484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17484,A000000,00700,0000,00700HOUSEKEEPING 17484,A000000,00800,0000,00800DIETARY 17484,A000000,00900,0000,00900NURSING ADMINISTRATION 17484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17484,A000000,01100,0000,01100PHARMACY 17484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17484,A000000,01300,0000,01300SOCIAL SERVICE 17484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17484,A000000,01600,0000,01600SKILLED NURSING FACILITY 17484,A000000,01800,0000,01800NURSING FACILITY 17484,A000000,01810,0000,01810ICF/MR 17484,A000000,02100,0000,02100RADIOLOGY 17484,A000000,02200,0000,02200LABORATORY 17484,A000000,02300,0000,02300INTRAVENOUS THERAPY 17484,A000000,02500,0000,02500PHYSICAL THERAPY 17484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17484,A000000,02700,0000,02700SPEECH PATHOLOGY 17484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17484,A000000,03200,0000,03200SUPPORT SURFACES 17484,A000000,03550,0000,03550FQHC 17484,A000000,05000,0000,05000CORF 17484,A000000,05010,0000,05010CMHC 17484,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17484,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17484,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17484,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17484,A81000A,00100,0100,Y 17484,A81000B,00100,0300,PYR: TUBE FEEDING 17484,A81000B,00200,0300,PYR: URO/OSTOMY 17484,A81000B,00300,0300,PYR: NURSING SUPPLY 17484,A81000B,00400,0300,PYR: ADMIN/GENL 17484,A81000B,00500,0300,CPT: PHYSICAL THERAP 17484,A81000B,00600,0300,CPT: OCCUP. THERAPY 17484,A81000B,00700,0300,CPT: SPEECH THERAPY 17484,A81000B,00800,0300,AMS: RENT/CAPITAL 17484,A81000B,00900,0300,AMS: EMPLYEE BENEF 17484,A81000B,01000,0300,AMS:GENL/ADMIN 17484,A81000B,01300,0300,NS ASSOC-RENTAL 17484,A81000B,01400,0300,FECII:DRUGS 17484,A81000B,01500,0300,FECII:IV DRUGS 17484,A81000B,01600,0300,FECII:GEN/ADMIN 17484,A81000B,01700,0300,FECII:HOUSE SUPPLIES 17484,A81000C,00100,0100,B 17484,A81000C,00100,0200,ALDEN MGMNT. SE 17484,A81000C,00100,0400,ALDEN MANAGEMEN 17484,A81000C,00100,0600,MANAGEMENT CO. 17484,A81000C,00200,0100,F 17484,A81000C,00200,0200,FLOYD SCHLOSSBE 17484,A81000C,00200,0400,FORUM PROF. CEN 17484,A81000C,00200,0600,PROFESS. BLDG. 17484,A81000C,00300,0100,B 17484,A81000C,00300,0200,ALDEN MNGMNT SE 17484,A81000C,00300,0400,PYRAMID HEALTH 17484,A81000C,00300,0600,HEALTHCARE SUPP 17484,A81000C,00400,0100,B 17484,A81000C,00400,0200,ALDEN MNGMENT S 17484,A81000C,00400,0400,FORUM EXTEND. C 17484,A81000C,00400,0600,PHARMACY 17484,A81000C,00500,0100,F 17484,A81000C,00500,0200,ALDEN MANAGEMEN 17484,A81000C,00500,0400,IL. HOME THERAP 17484,A81000C,00500,0600,THERAPY CO. 17484,A81000C,00600,0100,B 17484,A81000C,00600,0200,ALDEN MANAGEMEN 17484,A81000C,00600,0400,NORTH SHORE ASS 17484,A81000C,00600,0600,BUILDING RENTAL 17484,B100000,00000,0100,00000SQUARE FEET 17484,B100000,00000,0200,00000SQUARE FEET 17484,B100000,00000,0300,00000GROSS SALARIES 17484,B100000,00000,0400,00000ACCUM COST 17484,B100000,00000,0500,00000SQUARE FEET 17484,B100000,00000,0600,00000POUNDS OF LAUNDRY 17484,B100000,00000,0700,00000HOURS OF SERVICE 17484,B100000,00000,0800,00000MEALS SERVED 17484,B100000,00000,0900,00000DIRECT NRSG HRS 17484,B100000,00000,1000,00000COSTED REQUIS 17484,B100000,00000,1100,00000COSTED REQUIS 17484,B100000,00000,1200,00000TIME SPENT 17484,B100000,00000,1300,00000TIME SPENT 17484,B100000,00000,1400,00000ASSIGNED TIME 17484,S000000,00100,0200,06/14/2000 17484,S200000,00100,0100,5050 WEST TOUHY 17484,S200000,00200,0100,SKOKIE 17484,S200000,00200,0200,IL 17484,S200000,00200,0300,60077 17484,S200000,00300,0100,COOK 17484,S200000,00400,0100,ALDEN - NORTH SHORE 17484,S200000,00400,0200,145984 17484,S200000,00400,0300,09/29/1999 17484,S200000,00400,0500,P 17484,S200000,00400,0600,O 17484,S200000,01600,0100,Y 17484,S200000,01800,0100,Y 17484,S200000,02200,0100,Y 17487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17487,A000000,00300,0000,00300EMPLOYEE BENEFITS 17487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17487,A000000,00700,0000,00700HOUSEKEEPING 17487,A000000,00800,0000,00800DIETARY 17487,A000000,00900,0000,00900NURSING ADMINISTRATION 17487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17487,A000000,01100,0000,01100PHARMACY 17487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17487,A000000,01300,0000,01300SOCIAL SERVICE 17487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17487,A000000,01600,0000,01600SKILLED NURSING FACILITY 17487,A000000,01810,0000,01810ICF/MR 17487,A000000,02500,0000,02500PHYSICAL THERAPY 17487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17487,A000000,02700,0000,02700SPEECH PATHOLOGY 17487,A000000,03400,0000,03400CLINIC 17487,A000000,03550,0000,03550FQHC 17487,A000000,05000,0000,05000CORF 17487,A000000,05010,0000,05010CMHC 17487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17487,A000000,06150,0000,06300MARKETING 17487,B100000,00000,0100,00000SQUARE FEET 17487,B100000,00000,0200,00000SQUARE FEET 17487,B100000,00000,0300,00000GROSS SALARIES 17487,B100000,00000,0400,00000ACCUM COST 17487,B100000,00000,0500,00000SQUARE FEET 17487,B100000,00000,0600,00000POUNDS OF LAUNDRY 17487,B100000,00000,0700,00000HOURS OF SERVICE 17487,B100000,00000,0800,00000MEALS SERVED 17487,B100000,00000,0900,00000DIRECT NRSG HRS 17487,B100000,00000,1000,00000COSTED REQUIS 17487,B100000,00000,1100,00000COSTED REQUIS 17487,B100000,00000,1200,00000TIME SPENT 17487,B100000,00000,1300,00000TIME SPENT 17487,B100000,00000,1400,00000ASSIGNED TIME 17487,S000000,00100,0200,09/08/2000 17487,S200000,00100,0100,1100 PEMBRIDGE DRIVE 17487,S200000,00200,0100,LAKE FOREST 17487,S200000,00200,0200,IL 17487,S200000,00200,0300,60045 17487,S200000,00300,0100,LAKE 17487,S200000,00400,0100,LAKE FOREST PLACE 17487,S200000,00400,0200,145986 17487,S200000,00400,0300,09/23/1999 17487,S200000,00400,0500,P 17487,S200000,01500,0100,Y 17487,S200000,02200,0100,Y 17489,S000000,00100,0200,04/03/2000 17491,S000000,00100,0200,06/21/2000 17494,S000000,00100,0200,04/03/2000 17513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17513,A000000,00300,0000,00300EMPLOYEE BENEFITS 17513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17513,A000000,00700,0000,00700HOUSEKEEPING 17513,A000000,00800,0000,00800DIETARY 17513,A000000,00900,0000,00900NURSING ADMINISTRATION 17513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17513,A000000,01100,0000,01100PHARMACY 17513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17513,A000000,01300,0000,01300SOCIAL SERVICE 17513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17513,A000000,01600,0000,01600SKILLED NURSING FACILITY 17513,A000000,01800,0000,01800NURSING FACILITY 17513,A000000,01810,0000,01810ICF/MR 17513,A000000,02100,0000,02100RADIOLOGY 17513,A000000,02200,0000,02200LABORATORY 17513,A000000,02500,0000,02500PHYSICAL THERAPY 17513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17513,A000000,02700,0000,02700SPEECH PATHOLOGY 17513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17513,A000000,03010,0000,03001COMPLEX MEDICAL EQUIPMENT 17513,A000000,03550,0000,03550FQHC 17513,A000000,05000,0000,05000CORF 17513,A000000,05010,0000,05010CMHC 17513,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17513,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17513,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17513,A81000A,00100,0100,Y 17513,A81000B,00100,0300,HOME OFFICE ALLOC 17513,A81000B,00200,0300,HOME OFFICE ALLOC 17513,A81000C,00100,0100,A 17513,A81000C,00100,0200,COVENANT CARE INC 17513,A81000C,00100,0400,COVENANT CARE INC. 17513,A81000C,00100,0600,HEALTH CARE 17513,A81000C,00200,0100,A 17513,A81000C,00300,0100,C 17513,A81000C,00300,0200,THERAPY 17513,A81000C,00300,0400,SELECT THEREAPY 17513,A81000C,00300,0600,THERAPY SERVICES 17513,B100000,00000,0100,00000SQUARE FEET 17513,B100000,00000,0200,00000SQUARE FEET 17513,B100000,00000,0300,00000GROSS SALARIES 17513,B100000,00000,0400,00000ACCUM. COST 17513,B100000,00000,0500,00000SQUARE FEET 17513,B100000,00000,0600,00000PATIENT DAYS 17513,B100000,00000,0700,00000SQUARE FEET 17513,B100000,00000,0800,00000PATIENT DAYS 17513,B100000,00000,0900,00000DIRECT NRSING HRS 17513,B100000,00000,1000,00000COSTED REQUIS. 17513,B100000,00000,1100,00000COSTED REQUIS. 17513,B100000,00000,1200,00000GROSS REVENUE 17513,B100000,00000,1300,00000PATIENT DAYS 17513,B100000,00000,1400,00000ASSIGNED TIME 17513,E10A180,00550,0300,06/01/2000 17513,S000000,00100,0200,06/01/2000 17513,S200000,00100,0100,801 28TH AVENUE NORTH 17513,S200000,00200,0100,CLINTON 17513,S200000,00200,0200,IA 17513,S200000,00200,0300,66000 17513,S200000,00300,0100,IOWA - RURAL 17513,S200000,00400,0100,EAGLE POINT NURSING & REHAB CENTER 17513,S200000,00400,0200,165218 17513,S200000,00400,0300,04/01/1997 17513,S200000,00400,0500,P 17513,S200000,00600,0200,165218 17513,S200000,00600,0300,04/01/1997 17513,S200000,01600,0100,Y 17519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17519,A000000,00300,0000,00300EMPLOYEE BENEFITS 17519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17519,A000000,00700,0000,00700HOUSEKEEPING 17519,A000000,00800,0000,00800DIETARY 17519,A000000,00900,0000,00900NURSING ADMINISTRATION 17519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17519,A000000,01100,0000,01100PHARMACY 17519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17519,A000000,01300,0000,01300SOCIAL SERVICE 17519,A000000,01350,0000,01500DIVERSIONAL THERAPY 17519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17519,A000000,01600,0000,01600SKILLED NURSING FACILITY 17519,A000000,01800,0000,01800NURSING FACILITY 17519,A000000,01810,0000,01810ICF/MR 17519,A000000,01900,0000,01900OTHER LONG TERM CARE 17519,A000000,02100,0000,02100RADIOLOGY 17519,A000000,02200,0000,02200LABORATORY 17519,A000000,02300,0000,02300INTRAVENOUS THERAPY 17519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17519,A000000,02500,0000,02500PHYSICAL THERAPY 17519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17519,A000000,02700,0000,02700SPEECH PATHOLOGY 17519,A000000,02800,0000,02800ELECTROCARDIOLOGY 17519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17519,A000000,03550,0000,03550FQHC 17519,A000000,05000,0000,05000CORF 17519,A000000,05010,0000,05010CMHC 17519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17519,A81000A,00100,0100,Y 17519,A81000B,00100,0300,RENTAL LAND/BLDG 17519,A81000B,00300,0300,CENTRAL OFFICE COSTS 17519,A81000C,00100,0100,F 17519,A81000C,00100,0200,RAYMOND TUTWILE 17519,A81000C,00100,0400,DOUG LIMITED PT 17519,A81000C,00100,0600,RENTAL LAND/BLD 17519,A81000C,00200,0100,F 17519,A81000C,00200,0200,JANET TUTWILER 17519,A81000C,00200,0400,DOUG LIMITED PT 17519,A81000C,00200,0600,RENTAL LAND/BLD 17519,A81000C,00300,0100,F 17519,A81000C,00300,0200,RAYMOND TUTWILE 17519,A81000C,00300,0400,RET HEALTHCARE 17519,A81000C,00300,0600,CENTRAL OFFICE 17519,A81000C,00400,0100,D 17519,A81000C,00400,0200,JANET TUTWILER 17519,A81000C,00400,0400,RET HEALTHCARE 17519,A81000C,00400,0600,CENTRAL OFFICE 17519,B100000,00000,0100,00000SQUARE FEET 17519,B100000,00000,0200,00000SQUARE FEET 17519,B100000,00000,0300,00000GROSS SALARIES 17519,B100000,00000,0400,00000ACCUM COST 17519,B100000,00000,0500,00000SQUARE FEET 17519,B100000,00000,0600,00000POUNDS OF LAUNDRY 17519,B100000,00000,0700,00000HOURS OF SERVICE 17519,B100000,00000,0800,00000MEALS SERVED 17519,B100000,00000,0900,00000DIRECT NRSG HRS 17519,B100000,00000,1000,00000COSTED REQUIS 17519,B100000,00000,1100,00000COSTED REQUIS 17519,B100000,00000,1200,00000TIME SPENT 17519,B100000,00000,1300,00000TIME SPENT 17519,B100000,00000,1350,00000TIME SPENT 17519,B100000,00000,1400,00000ASSIGNED TIME 17519,S000000,00100,0200,06/19/2000 17519,S200000,00100,0100,243 130TH AVENUE 17519,S200000,00200,0100,DOUGLAS 17519,S200000,00200,0200,MI 17519,S200000,00200,0300,49403 17519,S200000,00300,0100,OTTAWA 17519,S200000,00400,0100,HARBORS HEALTH FACILITY 17519,S200000,00400,0200,235447 17519,S200000,00400,0300,01/01/1990 17519,S200000,00400,0500,P 17519,S200000,00400,0600,O 17519,S200000,00600,0200,235447 17519,S200000,00600,0300,01/01/1990 17519,S200000,00600,0600,P 17519,S200000,01600,0100,Y 17519,S200000,04700,0100,Y 17519,S200000,04700,0200,Y 17525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17525,A000000,00300,0000,00300EMPLOYEE BENEFITS 17525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17525,A000000,00700,0000,00700HOUSEKEEPING 17525,A000000,00800,0000,00800DIETARY 17525,A000000,00900,0000,00900NURSING ADMINISTRATION 17525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17525,A000000,01100,0000,01100PHARMACY 17525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17525,A000000,01300,0000,01300SOCIAL SERVICE 17525,A000000,01350,0000,01500DIVERSIONAL THERAPY 17525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17525,A000000,01600,0000,01600SKILLED NURSING FACILITY 17525,A000000,01800,0000,01800NURSING FACILITY 17525,A000000,01810,0000,01810ICF/MR 17525,A000000,01900,0000,01900OTHER LONG TERM CARE 17525,A000000,02100,0000,02100RADIOLOGY 17525,A000000,02200,0000,02200LABORATORY 17525,A000000,02300,0000,02300INTRAVENOUS THERAPY 17525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 17525,A000000,02500,0000,02500PHYSICAL THERAPY 17525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17525,A000000,02700,0000,02700SPEECH PATHOLOGY 17525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17525,A000000,03050,0000,03300THERAPY BEDS 17525,A000000,03550,0000,03550FQHC 17525,A000000,05000,0000,05000CORF 17525,A000000,05010,0000,05010CMHC 17525,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17525,A81000A,00100,0100,Y 17525,A81000B,00100,0300,CENTRAL OFFICE 17525,A81000C,00100,0100,A 17525,A81000C,00100,0200,RAYMOND TUTWILE 17525,A81000C,00100,0400,RET & ASSOCIATE 17525,A81000C,00100,0600,CENTRAL OFFICE 17525,B100000,00000,0100,00000SQUARE FEET 17525,B100000,00000,0200,00000SQUARE FEET 17525,B100000,00000,0300,00000GROSS SALARIES 17525,B100000,00000,0400,00000ACCUM COST 17525,B100000,00000,0500,00000SQUARE FEET 17525,B100000,00000,0600,00000POUNDS OF LAUNDRY 17525,B100000,00000,0700,00000HOURS OF SERVICE 17525,B100000,00000,0800,00000MEALS SERVED 17525,B100000,00000,0900,00000DIRECT NRSG HRS 17525,B100000,00000,1000,00000COSTED REQUIS 17525,B100000,00000,1100,00000COSTED REQUIS 17525,B100000,00000,1200,00000TIME SPENT 17525,B100000,00000,1300,00000TIME SPENT 17525,B100000,00000,1350,00000(TIME SPENT) 17525,B100000,00000,1400,00000ASSIGNED TIME 17525,S000000,00100,0200,06/19/2000 17525,S200000,00100,0100,120 BASELINE ROAD 17525,S200000,00200,0100,SOUTH HAVEN 17525,S200000,00200,0200,MI 17525,S200000,00200,0300,49090 17525,S200000,00300,0100,VAN BUREN 17525,S200000,00400,0100,COUNTRYSIDE NUSRING HOME 17525,S200000,00400,0200,235573 17525,S200000,00400,0300,01/01/1980 17525,S200000,00400,0500,P 17525,S200000,00400,0600,O 17525,S200000,00600,0200,235573 17525,S200000,00600,0300,01/01/1980 17525,S200000,00600,0600,P 17525,S200000,01600,0100,Y 17535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17535,A000000,00300,0000,00300EMPLOYEE BENEFITS 17535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17535,A000000,00700,0000,00700HOUSEKEEPING 17535,A000000,00800,0000,00800DIETARY 17535,A000000,00900,0000,00900NURSING ADMINISTRATION 17535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17535,A000000,01100,0000,01100PHARMACY 17535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17535,A000000,01300,0000,01300SOCIAL SERVICE 17535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17535,A000000,01600,0000,01600SKILLED NURSING FACILITY 17535,A000000,01800,0000,01800NURSING FACILITY 17535,A000000,01810,0000,01810ICF/MR 17535,A000000,02500,0000,02500PHYSICAL THERAPY 17535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17535,A000000,02700,0000,02700SPEECH PATHOLOGY 17535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17535,A000000,03550,0000,03550FQHC 17535,A000000,05000,0000,05000CORF 17535,A000000,05010,0000,05010CMHC 17535,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17535,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17535,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17535,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 17535,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17535,A000000,06150,0000,06300DAY CARE 17535,A81000A,00100,0100,Y 17535,A81000B,00100,0300,MGMT FEE NON-CAPITAL 17535,A81000B,00200,0300,MGMT FEE CAPITAL 17535,A81000C,00100,0100,B 17535,A81000C,00100,0200,COVENANT RET. C 17535,A81000C,00100,0400,N/A 17535,A81000C,00100,0600,N/A 17535,B100000,00000,0100,00000SQUARE FEET 17535,B100000,00000,0200,00000SQUARE FEET 17535,B100000,00000,0300,00000GROSS SALARIES 17535,B100000,00000,0400,00000ACCUM COST 17535,B100000,00000,0500,00000SQUARE FEET 17535,B100000,00000,0600,00000PATIENT DAYS 17535,B100000,00000,0700,00000SQUARE FEET 17535,B100000,00000,0800,00000MEALS SERVED 17535,B100000,00000,0900,00000DIRECT NRSG HRS 17535,B100000,00000,1000,00000COSTED REQUIS 17535,B100000,00000,1100,00000COSTED REQUIS 17535,B100000,00000,1200,00000GROSS REVENUE 17535,B100000,00000,1300,00000WEIGHTED STATISTIC 17535,B100000,00000,1400,00000ASSIGNED TIME 17535,S000000,00100,0200,07/03/2000 17535,S200000,00100,0100,5825 ST. CROIX AVENUE 17535,S200000,00200,0100,MINNEAPOLIS 17535,S200000,00200,0200,MN 17535,S200000,00200,0300,55422 17535,S200000,00300,0100,HENNEPIN 17535,S200000,00400,0100,COLONIAL ACRES HEALTH CARE CENTER 17535,S200000,00400,0200,245322 17535,S200000,00400,0300,07/01/1986 17535,S200000,00400,0500,P 17535,S200000,01600,0100,Y 17535,S200000,02200,0100,Y 17542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17542,A000000,00300,0000,00300EMPLOYEE BENEFITS 17542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17542,A000000,00700,0000,00700HOUSEKEEPING 17542,A000000,00800,0000,00800DIETARY 17542,A000000,00900,0000,00900NURSING ADMINISTRATION 17542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17542,A000000,01100,0000,01100PHARMACY 17542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17542,A000000,01300,0000,01300SOCIAL SERVICE 17542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17542,A000000,01600,0000,01600SKILLED NURSING FACILITY 17542,A000000,01810,0000,01810ICF/MR 17542,A000000,02500,0000,02500PHYSICAL THERAPY 17542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17542,A000000,02700,0000,02700SPEECH PATHOLOGY 17542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17542,A000000,03550,0000,03550FQHC 17542,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 17542,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 17542,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 17542,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 17542,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 17542,A000000,05000,0000,05000CORF 17542,A000000,05010,0000,05010CMHC 17542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17542,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 17542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17542,A81000A,00100,0100,Y 17542,A81000B,00100,0300,MGMT. FEE - NON CAP 17542,A81000B,00200,0300,MGMT. FEE - CAPITAL 17542,A81000C,00100,0100,B 17542,A81000C,00100,0200,COVENANT RET. C 17542,A81000C,00100,0400,N/A 17542,A81000C,00100,0600,N/A 17542,B100000,00000,0100,00000SQUARE FEET 17542,B100000,00000,0200,00000SQUARE FEET 17542,B100000,00000,0300,00000GROSS SALARIES 17542,B100000,00000,0400,00000ACCUM COST 17542,B100000,00000,0500,00000SQUARE FEET 17542,B100000,00000,0600,00000PATIENT DAYS 17542,B100000,00000,0700,00000SQUARE FEET 17542,B100000,00000,0800,00000MEALS SERVED 17542,B100000,00000,0900,00000DIRECT NRSG HRS 17542,B100000,00000,1000,00000COSTED REQUIS 17542,B100000,00000,1100,00000COSTED REQUIS 17542,B100000,00000,1200,00000GROSS REVENUE 17542,B100000,00000,1300,00000PATIENT DAYS 17542,B100000,00000,1400,00000ASSIGNED TIME 17542,H510100,00000,0000,5120 17542,H510100,02400,0000,5120 17542,S000000,00100,0200,07/03/2000 17542,S200000,00100,0100,310 LAKE BOULEVARD 17542,S200000,00200,0100,BUFFALO 17542,S200000,00200,0200,MN 17542,S200000,00200,0300,55313 17542,S200000,00300,0100,WRIGHT 17542,S200000,00400,0100,EBENEZER COVENANT HOME 17542,S200000,00400,0200,245513 17542,S200000,00400,0300,02/01/1988 17542,S200000,00400,0500,P 17542,S200000,00800,0200,248067 17542,S200000,00800,0300,02/25/1999 17542,S200000,00800,0500,P 17542,S200000,01500,0100,Y 17542,S200000,02200,0100,Y 17548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17548,A000000,00300,0000,00300EMPLOYEE BENEFITS 17548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17548,A000000,00700,0000,00700HOUSEKEEPING 17548,A000000,00800,0000,00800DIETARY 17548,A000000,00900,0000,00900NURSING ADMINISTRATION 17548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17548,A000000,01100,0000,01100PHARMACY 17548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17548,A000000,01300,0000,01300SOCIAL SERVICE 17548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17548,A000000,01600,0000,01600SKILLED NURSING FACILITY 17548,A000000,01800,0000,01800NURSING FACILITY 17548,A000000,01810,0000,01810ICF/MR 17548,A000000,02500,0000,02500PHYSICAL THERAPY 17548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17548,A000000,02700,0000,02700SPEECH PATHOLOGY 17548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17548,A000000,03550,0000,03550FQHC 17548,A000000,05000,0000,05000CORF 17548,A000000,05010,0000,05010CMHC 17548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17548,A81000A,00100,0100,Y 17548,A81000B,00100,0300,MGMT-FEE NON-CAPITAL 17548,A81000B,00200,0300,MGMT FEE - CAPITAL 17548,A81000C,00100,0100,B 17548,A81000C,00100,0200,COVENANT RET. C 17548,A81000C,00100,0400,N/A 17548,A81000C,00100,0600,N/A 17548,B100000,00000,0100,00000SQUARE FEET 17548,B100000,00000,0200,00000SQUARE FEET 17548,B100000,00000,0300,00000GROSS SALARIES 17548,B100000,00000,0400,00000ACCUM COST 17548,B100000,00000,0500,00000SQUARE FEET 17548,B100000,00000,0600,00000PATIENT DAYS 17548,B100000,00000,0700,00000SQUARE FEET 17548,B100000,00000,0800,00000MEALS SERVED 17548,B100000,00000,0900,00000DIRECT NRSG HRS 17548,B100000,00000,1000,00000COSTED REQUIS 17548,B100000,00000,1100,00000COSTED REQUIS 17548,B100000,00000,1200,00000GROSS REVENUES 17548,B100000,00000,1300,00000TIME SPENT 17548,B100000,00000,1400,00000ASSIGNED TIME 17548,S000000,00100,0200,07/10/2000 17548,S200000,00100,0100,2309 HAYES STREET N.E. 17548,S200000,00200,0100,MINNEAPOLIS 17548,S200000,00200,0200,MN 17548,S200000,00200,0300,55418 17548,S200000,00300,0100,HENNEPIN 17548,S200000,00400,0100,BETHANY COVENANT HOME 17548,S200000,00400,0200,245578 17548,S200000,00400,0300,09/01/1991 17548,S200000,00400,0500,P 17548,S200000,01600,0100,Y 17548,S200000,02200,0100,Y 17558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17558,A000000,00300,0000,00300EMPLOYEE BENEFITS 17558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17558,A000000,00700,0000,00700HOUSEKEEPING 17558,A000000,00800,0000,00800DIETARY 17558,A000000,00900,0000,00900NURSING ADMINISTRATION 17558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17558,A000000,01100,0000,01100PHARMACY 17558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17558,A000000,01300,0000,01300SOCIAL SERVICE 17558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17558,A000000,01600,0000,01600SKILLED NURSING FACILITY 17558,A000000,01800,0000,01800NURSING FACILITY 17558,A000000,01810,0000,01810ICF/MR 17558,A000000,02100,0000,02100RADIOLOGY 17558,A000000,02200,0000,02200LABORATORY 17558,A000000,02500,0000,02500PHYSICAL THERAPY 17558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17558,A000000,02700,0000,02700SPEECH PATHOLOGY 17558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17558,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 17558,A000000,03550,0000,03550FQHC 17558,A000000,04800,0000,04800AMBULANCE 17558,A000000,05000,0000,05000CORF 17558,A000000,05010,0000,05010CMHC 17558,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17558,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17558,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 17558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17558,A81000A,00100,0100,Y 17558,A81000B,00100,0300,HOME OFFICE ALLOC 17558,A81000B,00200,0300,HOME OFFICE ALLOC 17558,A81000B,00400,0300,PHYSICAL THERAPY 17558,A81000B,00500,0300,OCCUPATIONAL THERAPY 17558,A81000B,00600,0300,SPEECH THERAPY 17558,A81000C,00100,0100,A 17558,A81000C,00100,0200,COVENANT CARE INC 17558,A81000C,00100,0400,COVENANT CARE INC. 17558,A81000C,00100,0600,HEALTH CARE 17558,A81000C,00200,0100,B 17558,A81000C,00200,0200,PHARMACY 17558,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 17558,A81000C,00200,0600,PHARMACY - HEALTH CARE 17558,A81000C,00300,0100,C 17558,A81000C,00300,0200,THERAPY 17558,A81000C,00300,0400,SELECT THEREAPY 17558,A81000C,00300,0600,THERAPY SERVICES 17558,B100000,00000,0100,00000SQUARE FEET 17558,B100000,00000,0200,00000SQUARE FEET 17558,B100000,00000,0300,00000GROSS SALARIES 17558,B100000,00000,0400,00000ACCUM. COST 17558,B100000,00000,0500,00000SQUARE FEET 17558,B100000,00000,0600,00000PATIENT DAYS 17558,B100000,00000,0700,00000SQUARE FEET 17558,B100000,00000,0800,00000PATIENT DAYS 17558,B100000,00000,0900,00000DIRECT NRSING HRS 17558,B100000,00000,1000,00000COSTED REQUIS. 17558,B100000,00000,1100,00000COSTED REQUIS. 17558,B100000,00000,1200,00000GROSS REVENUE 17558,B100000,00000,1300,00000PATIENT DAYS 17558,B100000,00000,1400,00000ASSIGNED TIME 17558,E10A180,00501,0100,06/01/2000 17558,E10A180,00550,0300,06/01/2000 17558,S000000,00100,0200,06/27/2000 17558,S200000,00100,0100,7410 MERCY ROAD 17558,S200000,00200,0100,OMAHA 17558,S200000,00200,0200,NE 17558,S200000,00200,0300,68124 17558,S200000,00300,0100,OMAHA 17558,S200000,00400,0100,NEBRASKA SKILLED NURSING & REHAB 17558,S200000,00400,0200,285058 17558,S200000,00400,0300,04/01/1997 17558,S200000,00400,0500,P 17558,S200000,00600,0200,285058 17558,S200000,00600,0300,04/01/1997 17558,S200000,01600,0100,Y 17564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17564,A000000,00300,0000,00300EMPLOYEE BENEFITS 17564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17564,A000000,00700,0000,00700HOUSEKEEPING 17564,A000000,00800,0000,00800DIETARY 17564,A000000,00900,0000,00900NURSING ADMINISTRATION 17564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17564,A000000,01100,0000,01100PHARMACY 17564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17564,A000000,01300,0000,01300SOCIAL SERVICE 17564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17564,A000000,01600,0000,01600SKILLED NURSING FACILITY 17564,A000000,01800,0000,01800NURSING FACILITY 17564,A000000,01810,0000,01810ICF/MR 17564,A000000,02500,0000,02500PHYSICAL THERAPY 17564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17564,A000000,02700,0000,02700SPEECH PATHOLOGY 17564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17564,A000000,03550,0000,03550FQHC 17564,A000000,05000,0000,05000CORF 17564,A000000,05010,0000,05010CMHC 17564,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17564,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17564,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17564,A81000A,00100,0100,Y 17564,A81000B,00100,0300,MGMT. FEE - NON CAPI 17564,A81000B,00200,0300,MGMT. FEE - CAPITAL 17564,A81000C,00100,0100,B 17564,A81000C,00100,0200,COVENANT RET. C 17564,A81000C,00100,0400,N/A 17564,A81000C,00100,0600,N/A 17564,B100000,00000,0100,00000SQUARE FEET 17564,B100000,00000,0200,00000SQUARE FEET 17564,B100000,00000,0300,00000GROSS SALARIES 17564,B100000,00000,0400,00000ACCUM COST 17564,B100000,00000,0500,00000SQUARE FEET 17564,B100000,00000,0600,00000PATIENT DAYS 17564,B100000,00000,0700,00000SQUARE FEET 17564,B100000,00000,0800,00000MEALS SERVED 17564,B100000,00000,0900,00000DIRECT NRSG HRS 17564,B100000,00000,1000,00000COSTED REQUIS 17564,B100000,00000,1100,00000COSTED REQUIS 17564,B100000,00000,1200,00000GROSS REVENUE 17564,B100000,00000,1300,00000TIME SPENT 17564,B100000,00000,1400,00000ASSIGNED TIME 17564,S000000,00100,0200,07/03/2000 17564,S200000,00100,0100,9150 NORTH MERCER WAY 17564,S200000,00200,0100,MERCER ISLAND 17564,S200000,00200,0200,WA 17564,S200000,00200,0300,98040 17564,S200000,00300,0100,KING 17564,S200000,00400,0100,COVENANT SHORES 17564,S200000,00400,0200,505504 17564,S200000,00400,0300,09/04/1997 17564,S200000,00400,0500,P 17564,S200000,01500,0100,Y 17564,S200000,02200,0100,Y 17564,S200000,04100,0100,Y 17575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17575,A000000,00300,0000,00300EMPLOYEE BENEFITS 17575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17575,A000000,00700,0000,00700HOUSEKEEPING 17575,A000000,00800,0000,00800DIETARY 17575,A000000,00900,0000,00900NURSING ADMINISTRATION 17575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17575,A000000,01100,0000,01100PHARMACY 17575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17575,A000000,01300,0000,01300SOCIAL SERVICE 17575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17575,A000000,01600,0000,01600SKILLED NURSING FACILITY 17575,A000000,01800,0000,01800NURSING FACILITY 17575,A000000,01810,0000,01810ICF/MR 17575,A000000,02500,0000,02500PHYSICAL THERAPY 17575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17575,A000000,02700,0000,02700SPEECH PATHOLOGY 17575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17575,A000000,03550,0000,03550FQHC 17575,A000000,05000,0000,05000CORF 17575,A000000,05010,0000,05010CMHC 17575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17575,A81000A,00100,0100,Y 17575,A81000B,00100,0300,MGMT FEE NON-CAPITAL 17575,A81000B,00200,0300,MGMT FEE - CAPITAL 17575,A81000C,00100,0100,B 17575,A81000C,00100,0200,COVENANT RET. C 17575,A81000C,00100,0400,N/A 17575,B100000,00000,0100,00000SQUARE FEET 17575,B100000,00000,0200,00000SQUARE FEET 17575,B100000,00000,0300,00000GROSS SALARIES 17575,B100000,00000,0400,00000ACCUM COST 17575,B100000,00000,0500,00000SQUARE FEET 17575,B100000,00000,0600,00000PATIENT DAYS 17575,B100000,00000,0700,00000SQUARE FEET 17575,B100000,00000,0800,00000MEALS SERVED 17575,B100000,00000,0900,00000DIRECT NRSG HRS 17575,B100000,00000,1000,00000COSTED REQUIS 17575,B100000,00000,1100,00000COSTED REQUIS 17575,B100000,00000,1200,00000GROSS REVENUES 17575,B100000,00000,1300,00000TIME SPENT 17575,B100000,00000,1400,00000ASSIGNED TIME 17575,S000000,00100,0200,07/03/2000 17575,S200000,00100,0100,325 KEMPTON STREET 17575,S200000,00200,0100,SPRING VALLEY 17575,S200000,00200,0200,CA 17575,S200000,00200,0300,91977 17575,S200000,00300,0100,SAN DIEGO 17575,S200000,00400,0100,MOUNT MIGUEL 17575,S200000,00400,0200,555134 17575,S200000,00400,0300,07/01/1966 17575,S200000,00400,0500,P 17575,S200000,01600,0100,Y 17575,S200000,02200,0100,Y 17579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 17579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 17579,A000000,00300,0000,00300EMPLOYEE BENEFITS 17579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 17579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17579,A000000,00700,0000,00700HOUSEKEEPING 17579,A000000,00800,0000,00800DIETARY 17579,A000000,00900,0000,00900NURSING ADMINISTRATION 17579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17579,A000000,01100,0000,01100PHARMACY 17579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17579,A000000,01300,0000,01300SOCIAL SERVICE 17579,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 17579,A000000,01600,0000,01600SKILLED NURSING FACILITY 17579,A000000,01800,0000,01800NURSING FACILITY 17579,A000000,01810,0000,01810ICF/MR 17579,A000000,02500,0000,02500PHYSICAL THERAPY 17579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17579,A000000,02700,0000,02700SPEECH PATHOLOGY 17579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 17579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 17579,A000000,03550,0000,03550FQHC 17579,A000000,05000,0000,05000CORF 17579,A000000,05010,0000,05010CMHC 17579,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 17579,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 17579,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 17579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 17579,A81000A,00100,0100,Y 17579,A81000B,00100,0300,MGT FEE - NON CAP 17579,A81000B,00200,0300,MGT FEE - CAP 17579,A81000C,00100,0100,B 17579,A81000C,00100,0200,COV RET COMM IN 17579,A81000C,00100,0400,N/A 17579,A81000C,00100,0600,N/A 17579,B100000,00000,0100,00000SQUARE FEET 17579,B100000,00000,0200,00000SQUARE FEET 17579,B100000,00000,0300,00000GROSS SALARIES 17579,B100000,00000,0400,00000ACCUM COST 17579,B100000,00000,0500,00000SQUARE FEET 17579,B100000,00000,0600,00000PATIENT DAYS 17579,B100000,00000,0700,00000SQUARE FEET 17579,B100000,00000,0800,00000MEALS SERVED 17579,B100000,00000,0900,00000DIRECT NRSG HRS 17579,B100000,00000,1000,00000COSTED REQUIS 17579,B100000,00000,1100,00000COSTED REQUIS 17579,B100000,00000,1200,00000GROSS REVENUE 17579,B100000,00000,1300,00000TIME SPENT 17579,B100000,00000,1400,00000ASSIGNED TIME 17579,S000000,00100,0200,07/03/2000 17579,S200000,00100,0100,2125 NORTH OLIVE AVENUE 17579,S200000,00200,0100,TURLOCK 17579,S200000,00200,0200,CA 17579,S200000,00300,0100,STANISLAUS 17579,S200000,00400,0100,COVENENT VILLAGE CARE CTR.-TURLOCK 17579,S200000,00400,0200,555749 17579,S200000,00400,0300,11/30/1999 17579,S200000,00400,0500,P 17579,S200000,01500,0100,Y 17579,S200000,02200,0100,Y 17807,S000000,00100,0200,07/20/1999 17845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 17845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 17845,A000000,00300,0000,00300EMPLOYEE BENEFITS 17845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 17845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 17845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 17845,A000000,00700,0000,00700HOUSEKEEPING 17845,A000000,00800,0000,00800DIETARY 17845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 17845,A000000,01100,0000,01100PHARMACY 17845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 17845,A000000,01300,0000,01300SOCIAL SERVICE 17845,A000000,01600,0000,01600SKILLED NURSING FACILITY 17845,A000000,01800,0000,01800NURSING FACILITY 17845,A000000,01900,0000,01900OTHER LONG TERM CARE 17845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 17845,A000000,02700,0000,02700SPEECH PATHOLOGY 17845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 17845,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 17845,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 17845,A000000,06150,0000,06300GUEST DAY MEALS & MOW 17845,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 17845,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 17845,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 17845,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 17845,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 17845,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 17845,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 17845,B100000,00000,0800,00000MEALS SERVEDDIETARY 17845,B100000,00000,1000,00000COSTED REQUISITIOCENTRAL SERVICE 17845,B100000,00000,1100,00000COSTED REQUISITIOPHARMACY 17845,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 17845,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 17845,S000000,00100,0200,04/03/2000 17845,S200000,00100,0100,8TH AVENUE WEST 17845,S200000,00200,0100,HARTLRY 17845,S200000,00200,0200,IA 17845,S200000,00200,0300,51346 17845,S200000,00300,0100,OBRIEN 17845,S200000,00400,0100,COMMUNITY MEMORIAL HEALTH CENTER 17845,S200000,00400,0200,165177 17845,S200000,00400,0300,09/24/1992 17845,S200000,00400,0500,P 17845,S200000,01500,0100,Y 17845,S700003,00000,0100,1 17903,S000000,00100,0200,03/01/2000 18145,S000000,00100,0200,07/02/1999 18151,S000000,00100,0200,07/02/1999 18175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18175,A000000,00300,0000,00300EMPLOYEE BENEFITS 18175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18175,A000000,00700,0000,00700HOUSEKEEPING 18175,A000000,00800,0000,00800DIETARY 18175,A000000,00900,0000,00900NURSING ADMINISTRATION 18175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18175,A000000,01100,0000,01100PHARMACY 18175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18175,A000000,01300,0000,01300SOCIAL SERVICE 18175,A000000,01350,0000,01500RECREATION 18175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18175,A000000,01600,0000,01600SKILLED NURSING FACILITY 18175,A000000,01800,0000,01800NURSING FACILITY 18175,A000000,01810,0000,01810ICF/MR 18175,A000000,02500,0000,02500PHYSICAL THERAPY 18175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18175,A000000,02700,0000,02700SPEECH PATHOLOGY 18175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18175,A000000,03550,0000,03550FQHC 18175,A000000,05000,0000,05000CORF 18175,A000000,05010,0000,05010CMHC 18175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 18175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 18175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 18175,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18175,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 18175,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 18175,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 18175,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 18175,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 18175,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 18175,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 18175,B100000,00000,0800,00000PATIENT DAYSDIETARY 18175,B100000,00000,0900,00000NURSING SALARIESNURSING ADMINISTR 18175,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 18175,B100000,00000,1100,00000COSTED REQUISPHARMACY 18175,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 18175,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 18175,B100000,00000,1350,00000PATIENT DAYSRECREATION 18175,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 18175,S000000,00100,0200,06/05/2000 18175,S200000,00100,0100,910 EAST OLIVE STREET 18175,S200000,00200,0100,MARSHALLTOWN 18175,S200000,00200,0200,IA 18175,S200000,00200,0300,50158 18175,S200000,00300,0100,POLK 18175,S200000,00300,0300,R 18175,S200000,00400,0100,GRANDVIEW HEIGHTS 18175,S200000,00400,0200,165385 18175,S200000,00400,0300,02/01/1998 18175,S200000,00400,0500,P 18175,S200000,01600,0100,Y 18175,S700003,00000,0400,4 18183,S000000,00100,0200,11/30/1999 18214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18214,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18214,A000000,00300,0000,00300EMPLOYEE BENEFITS 18214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18214,A000000,00700,0000,00700HOUSEKEEPING 18214,A000000,00800,0000,00800DIETARY 18214,A000000,00801,0000,00801CAFETERIA 18214,A000000,00900,0000,00900NURSING ADMINISTRATION 18214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18214,A000000,01100,0000,01100PHARMACY 18214,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18214,A000000,01300,0000,01300SOCIAL SERVICE 18214,A000000,01600,0000,01600SKILLED NURSING FACILITY 18214,A000000,01800,0000,01800NURSING FACILITY 18214,A000000,01900,0000,01900OTHER LONG TERM CARE 18214,A000000,02100,0000,02100RADIOLOGY 18214,A000000,02200,0000,02200LABORATORY 18214,A000000,02300,0000,02300INTRAVENOUS THERAPY 18214,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18214,A000000,02500,0000,02500PHYSICAL THERAPY 18214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18214,A000000,02700,0000,02700SPEECH PATHOLOGY 18214,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18214,A000000,03200,0000,03200SUPPORT SURFACES 18214,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18214,A000000,05300,0000,05300INTEREST EXPENSE 18214,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18214,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18214,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 18214,A000000,06151,0000,06301HOME HEALTH AGENCY 18214,A81000A,00100,0100,Y 18214,A81000B,00100,0300,CENTRAL OFC COSTS 18214,A81000B,00200,0300,UNEMP EXPENSES 18214,A81000B,00300,0300,WORKERS COMP COSTS 18214,A81000B,00400,0300,FIRE & CASUALTY INSUR 18214,A81000B,00500,0300,LIABILITY INSUR 18214,A81000B,00600,0300,VEHICLE INSUR 18214,A81000B,00700,0300,NURSING SUPPLIES 18214,A81000B,00800,0300,INCONTINENT SUPPLIES 18214,A81000B,00900,0300,DIETARY SUPPLIES 18214,A81000B,00901,0300,SMALL EQUIPMENT 18214,A81000B,00902,0300,TEXTILES 18214,A81000C,00100,0100,B 18214,A81000C,00200,0100,B 18214,A81000C,00200,0400,OMNICARE SUPPLY 18214,A81000C,00200,0600,SUPPLY CO. 18214,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 18214,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 18214,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 18214,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 18214,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 18214,B100000,00000,0600,00001PATIENT DAYSLAUNDRY & LINEN SERVI 18214,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 18214,B100000,00000,0800,00001MEALS SERVEDDIETARY 18214,B100000,00000,0801,00001FTE EMPLOYEESCAFETERIA 18214,B100000,00000,0900,00001DIR NURSINHRS OF SVCNURSING ADMINIS 18214,B100000,00000,1000,00001COSTED REQUISITIOCENTRAL SERVICE 18214,B100000,00000,1100,00001COSTED REQUISITIOPHARMACY 18214,B100000,00000,1200,00001ACC COSTMEDICAL RECORDS & LIBRARY 18214,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 18214,E10A180,00350,0100,01/07/2000 18214,E10A180,00501,0100,07/12/2000 18214,E10A180,00501,0300,07/12/2000 18214,S000000,00100,0200,06/02/2000 18214,S200000,00100,0100,27TH & CANAL BLVD. 18214,S200000,00200,0100,HAYS 18214,S200000,00200,0200,KS 18214,S200000,00200,0300,67601-1798 18214,S200000,00300,0100,ELLIS 18214,S200000,00300,0300,R 18214,S200000,00400,0100,HAYS GOOD SAMARITAN 18214,S200000,00400,0200,175322 18214,S200000,00400,0300,12/01/1994 18214,S200000,00400,0500,P 18214,S200000,01500,0100,Y 18214,S700003,00000,0100,1 18819,S000000,00100,0200,05/03/2000 18900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18900,A000000,00300,0000,00300EMPLOYEE BENEFITS 18900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18900,A000000,00700,0000,00700HOUSEKEEPING 18900,A000000,00800,0000,00800DIETARY 18900,A000000,00900,0000,00900NURSING ADMINISTRATION 18900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18900,A000000,01100,0000,01100PHARMACY 18900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18900,A000000,01300,0000,01300SOCIAL SERVICE 18900,A000000,01350,0000,01500OTHER GENERAL SERVICES 18900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18900,A000000,01600,0000,01600SKILLED NURSING FACILITY 18900,A000000,01800,0000,01800NURSING FACILITY 18900,A000000,01900,0000,01900OTHER LONG TERM CARE 18900,A000000,02100,0000,02100RADIOLOGY 18900,A000000,02200,0000,02200LABORATORY 18900,A000000,02300,0000,02300INTRAVENOUS THERAPY 18900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18900,A000000,02500,0000,02500PHYSICAL THERAPY 18900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18900,A000000,02700,0000,02700SPEECH PATHOLOGY 18900,A000000,02800,0000,02800ELECTROCARDIOLOGY 18900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18900,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18900,A000000,03200,0000,03200SUPPORT SURFACES 18900,A000000,03400,0000,03400CLINIC 18900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18900,A000000,03500,0000,03500RURAL HEALTH CLINIC 18900,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18900,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18900,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18900,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18900,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18900,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18900,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18900,A000000,04400,0000,04400DME RENTED - HHA 18900,A000000,04500,0000,04500DME SOLD - HHA 18900,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18900,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18900,A000000,04750,0000,05100OSP 18900,A000000,04800,0000,04800AMBULANCE 18900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18900,A000000,05000,0000,05000CORF 18900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18900,A000000,05300,0000,05300INTEREST EXPENSE 18900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18900,A000000,05500,0000,05500HOSPICE 18900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18900,A000000,06100,0000,06100NONPAID WORKERS 18900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18900,A000000,06200,0000,06200PATIENTS LAUNDRY 18900,A81000A,00100,0100,Y 18900,A81000B,00901,0300,POOLED -- CAPITAL RELATED 18900,A81000B,00902,0300,POOLED -- CAPITAL RELATED 18900,A81000B,00903,0300,POOLED -- HOME OFFICE 18900,A81000C,00100,0100,B 18900,A81000C,00100,0200,MEDICALODGES I 18900,A81000C,00100,0600,HEALTH CARE 18900,E10A180,00501,0100,04/04/2000 18900,E10A180,00550,0300,04/04/2000 18900,S000000,00100,0200,04/04/2000 18900,S200000,00100,0100,1621 EAST 42ND STREET 18900,S200000,00200,0100,TEXARKANA 18900,S200000,00200,0200,AR 18900,S200000,00200,0300,71854- 18900,S200000,00300,0100,MILLER 18900,S200000,00400,0100,PROGRESSIVE CARE & REHAB CENTER 18900,S200000,00400,0200,045241 18900,S200000,00400,0300,09/01/1994 18900,S200000,00400,0500,P 18900,S200000,01600,0100,Y 18900,S700003,00000,0100,1 18909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18909,A000000,00300,0000,00300EMPLOYEE BENEFITS 18909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18909,A000000,00700,0000,00700HOUSEKEEPING 18909,A000000,00800,0000,00800DIETARY 18909,A000000,00900,0000,00900NURSING ADMINISTRATION 18909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18909,A000000,01100,0000,01100PHARMACY 18909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18909,A000000,01300,0000,01300SOCIAL SERVICE 18909,A000000,01350,0000,01500OTHER GENERAL SERVICES 18909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18909,A000000,01600,0000,01600SKILLED NURSING FACILITY 18909,A000000,01800,0000,01800NURSING FACILITY 18909,A000000,01900,0000,01900OTHER LONG TERM CARE 18909,A000000,02100,0000,02100RADIOLOGY 18909,A000000,02200,0000,02200LABORATORY 18909,A000000,02300,0000,02300INTRAVENOUS THERAPY 18909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18909,A000000,02500,0000,02500PHYSICAL THERAPY 18909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18909,A000000,02700,0000,02700SPEECH PATHOLOGY 18909,A000000,02800,0000,02800ELECTROCARDIOLOGY 18909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18909,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18909,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18909,A000000,03200,0000,03200SUPPORT SURFACES 18909,A000000,03400,0000,03400CLINIC 18909,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18909,A000000,03500,0000,03500RURAL HEALTH CLINIC 18909,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18909,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18909,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18909,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18909,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18909,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18909,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18909,A000000,04400,0000,04400DME RENTED - HHA 18909,A000000,04500,0000,04500DME SOLD - HHA 18909,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18909,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18909,A000000,04750,0000,05100OSP 18909,A000000,04800,0000,04800AMBULANCE 18909,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18909,A000000,05000,0000,05000CORF 18909,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18909,A000000,05300,0000,05300INTEREST EXPENSE 18909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18909,A000000,05500,0000,05500HOSPICE 18909,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18909,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18909,A000000,06100,0000,06100NONPAID WORKERS 18909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18909,A000000,06200,0000,06200PATIENTS LAUNDRY 18909,A81000A,00100,0100,Y 18909,A81000B,00901,0300,POOLED -- CAPITAL RELATED 18909,A81000B,00902,0300,POOLED -- CAPITAL RELATED 18909,A81000B,00903,0300,POOLED -- HOME OFFICE 18909,A81000C,00100,0100,B 18909,A81000C,00100,0200,MEDICALODGES I 18909,A81000C,00100,0600,HEALTH CARE 18909,E10A180,00501,0100,04/18/2000 18909,E10A180,00550,0100,03/28/2001 18909,E10A180,00550,0300,04/18/2000 18909,E10A180,00551,0300,03/28/2001 18909,S000000,00100,0200,04/04/2000 18909,S200000,00100,0100,2280 S MINNEAPOLIS STREET 18909,S200000,00200,0100,WICHITA 18909,S200000,00200,0200,KS 18909,S200000,00200,0300,67211-5398 18909,S200000,00300,0100,SEDGWICK 18909,S200000,00400,0100,MEDICALODGE OF WICHITA 18909,S200000,00400,0200,175008 18909,S200000,00400,0300,07/01/1992 18909,S200000,00400,0500,P 18909,S200000,01600,0100,Y 18909,S700003,00000,0100,1 18919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18919,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 18919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18919,A000000,00300,0000,00300EMPLOYEE BENEFITS 18919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18919,A000000,00700,0000,00700HOUSEKEEPING 18919,A000000,00800,0000,00800DIETARY 18919,A000000,00900,0000,00900NURSING ADMINISTRATION 18919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18919,A000000,01100,0000,01100PHARMACY 18919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18919,A000000,01300,0000,01300SOCIAL SERVICE 18919,A000000,01350,0000,01500OTHER GENERAL SERVICES 18919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18919,A000000,01600,0000,01600SKILLED NURSING FACILITY 18919,A000000,01800,0000,01800NURSING FACILITY 18919,A000000,01900,0000,01900OTHER LONG TERM CARE 18919,A000000,02100,0000,02100RADIOLOGY 18919,A000000,02200,0000,02200LABORATORY 18919,A000000,02300,0000,02300INTRAVENOUS THERAPY 18919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18919,A000000,02500,0000,02500PHYSICAL THERAPY 18919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18919,A000000,02700,0000,02700SPEECH PATHOLOGY 18919,A000000,02800,0000,02800ELECTROCARDIOLOGY 18919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18919,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18919,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18919,A000000,03200,0000,03200SUPPORT SURFACES 18919,A000000,03400,0000,03400CLINIC 18919,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18919,A000000,03500,0000,03500RURAL HEALTH CLINIC 18919,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18919,A000000,04750,0000,05100OTHER REIMBURSABLE COST 18919,A000000,04800,0000,04800AMBULANCE 18919,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18919,A000000,05000,0000,05000CORF 18919,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18919,A000000,05300,0000,05300INTEREST EXPENSE 18919,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18919,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18919,A000000,05500,0000,05500HOSPICE 18919,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18919,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18919,A000000,06100,0000,06100NONPAID WORKERS 18919,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18919,A000000,06151,0000,06301RETIREMENT APARTMENTS COST 18919,A000000,06152,0000,06302CONTRUCTION IN PROGRESS 18919,A000000,06153,0000,06303GUEST MEALS 18919,A000000,06154,0000,06304CATERING 18919,A000000,06155,0000,06305WELLNESS PROGRAM 18919,A000000,06200,0000,06200PATIENTS LAUNDRY 18919,S000000,00100,0200,10/12/2000 18919,S200000,00100,0100,1205 SW 29TH STREET 18919,S200000,00200,0100,TOPEKA 18919,S200000,00200,0200,KS 18919,S200000,00200,0300,66611- 18919,S200000,00300,0100,SHAWNEE 18919,S200000,00300,0300,U 18919,S200000,00400,0100,BREWSTER PLACE 18919,S200000,00400,0200,175044 18919,S200000,00400,0300,01/01/1967 18919,S200000,00400,0500,P 18919,S200000,01600,0100,Y 18919,S200000,01900,0100,N 18919,S200000,04600,0100,Y 18919,S700003,00000,0100,1 18928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18928,A000000,00300,0000,00300EMPLOYEE BENEFITS 18928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18928,A000000,00700,0000,00700HOUSEKEEPING 18928,A000000,00800,0000,00800DIETARY 18928,A000000,00900,0000,00900NURSING ADMINISTRATION 18928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18928,A000000,01100,0000,01100PHARMACY 18928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18928,A000000,01300,0000,01300SOCIAL SERVICE 18928,A000000,01350,0000,01500OTHER GENERAL SERVICES 18928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18928,A000000,01600,0000,01600SKILLED NURSING FACILITY 18928,A000000,01800,0000,01800NURSING FACILITY 18928,A000000,01900,0000,01900OTHER LONG TERM CARE 18928,A000000,02100,0000,02100RADIOLOGY 18928,A000000,02200,0000,02200LABORATORY 18928,A000000,02300,0000,02300INTRAVENOUS THERAPY 18928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18928,A000000,02500,0000,02500PHYSICAL THERAPY 18928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18928,A000000,02700,0000,02700SPEECH PATHOLOGY 18928,A000000,02800,0000,02800ELECTROCARDIOLOGY 18928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18928,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18928,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18928,A000000,03200,0000,03200SUPPORT SURFACES 18928,A000000,03400,0000,03400CLINIC 18928,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18928,A000000,03500,0000,03500RURAL HEALTH CLINIC 18928,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18928,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18928,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18928,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18928,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18928,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18928,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18928,A000000,04400,0000,04400DME RENTED - HHA 18928,A000000,04500,0000,04500DME SOLD - HHA 18928,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18928,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18928,A000000,04750,0000,05100OSP 18928,A000000,04800,0000,04800AMBULANCE 18928,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18928,A000000,05000,0000,05000CORF 18928,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18928,A000000,05300,0000,05300INTEREST EXPENSE 18928,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18928,A000000,05500,0000,05500HOSPICE 18928,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18928,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18928,A000000,06100,0000,06100NONPAID WORKERS 18928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18928,A000000,06200,0000,06200PATIENTS LAUNDRY 18928,A81000A,00100,0100,Y 18928,A81000B,00901,0300,POOLED -- CAPITAL RELATED 18928,A81000B,00902,0300,POOLED -- CAPITAL RELATED 18928,A81000B,00903,0300,POOLED -- HOME OFFICE 18928,A81000C,00100,0100,B 18928,A81000C,00100,0200,MEDICALODGES I 18928,A81000C,00100,0600,HEALTH CARE 18928,E10A180,00301,0100,09/17/1999 18928,E10A180,00501,0100,04/04/2000 18928,E10A180,00550,0300,04/04/2000 18928,S000000,00100,0200,04/04/2000 18928,S200000,00100,0100,2520 SOUTH ROUSE 18928,S200000,00200,0100,PITTSBURG 18928,S200000,00200,0200,KS 18928,S200000,00200,0300,66762-6699 18928,S200000,00300,0100,CRAWFORD 18928,S200000,00400,0100,MEDICALODGE SOUTH OF PITTSBURG 18928,S200000,00400,0200,175070 18928,S200000,00400,0300,06/01/1993 18928,S200000,00400,0500,P 18928,S200000,01600,0100,Y 18928,S700003,00000,0100,1 18940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18940,A000000,00300,0000,00300EMPLOYEE BENEFITS 18940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18940,A000000,00700,0000,00700HOUSEKEEPING 18940,A000000,00800,0000,00800DIETARY 18940,A000000,00801,0000,00801CAFETERIA 18940,A000000,01100,0000,01100PHARMACY 18940,A000000,01300,0000,01300SOCIAL SERVICE 18940,A000000,01350,0000,01500ACTIVITIES 18940,A000000,01600,0000,01600SKILLED NURSING FACILITY 18940,A000000,01800,0000,01800NURSING FACILITY 18940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18940,A000000,02500,0000,02500PHYSICAL THERAPY 18940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18940,A000000,02700,0000,02700SPEECH PATHOLOGY 18940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18940,A000000,03050,0000,03300RESTORATIVE SERVICES 18940,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18940,A000000,05300,0000,05300INTEREST EXPENSE 18940,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18940,A000000,06150,0000,06300GUEST MEALS 18940,A81000A,00100,0100,Y 18940,A81000B,00901,0300,SALARIES AND BENEFITS 18940,A81000B,00902,0300,SALARIES AND BENEFITS 18940,A81000B,00903,0300,MANAGEMENT FEES 18940,A81000C,00100,0100,B 18940,A81000C,00100,0400,VIA CHRISTI SEN 18940,A81000C,00100,0600,MANAGEMENT 18940,A81000C,00200,0100,B 18940,A81000C,00200,0400,VIA CHRISTI SEN 18940,A81000C,00200,0600,MANAGEMENT 18940,A81000C,00300,0100,B 18940,A81000C,00300,0400,VIA CHRISTI SEN 18940,A81000C,00300,0600,MANAGEMENT 18940,E10A180,00501,0100,02/28/2000 18940,E10A180,00550,0300,02/28/2000 18940,S000000,00100,0200,02/28/2000 18940,S200000,00100,0100,2423 KIMBALL AVE 18940,S200000,00200,0100,MANHATTAN 18940,S200000,00200,0200,KS 18940,S200000,00200,0300,66502- 18940,S200000,00300,0100,RILEY 18940,S200000,00400,0100,ST. JOSEPH SENIOR COMMUNITY 18940,S200000,00400,0200,175100 18940,S200000,00400,0300,07/19/1984 18940,S200000,00400,0500,P 18940,S200000,00600,0200,411042 18940,S200000,00600,0300,07/19/1984 18940,S200000,00600,0600,P 18940,S200000,01500,0100,Y 18940,S700003,00000,0100,1 18944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18944,A000000,00300,0000,00300EMPLOYEE BENEFITS 18944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18944,A000000,00700,0000,00700HOUSEKEEPING 18944,A000000,00800,0000,00800DIETARY 18944,A000000,00900,0000,00900NURSING ADMINISTRATION 18944,A000000,01100,0000,01100PHARMACY 18944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18944,A000000,01300,0000,01300SOCIAL SERVICE 18944,A000000,01350,0000,01500OTHER GENERAL SERVICES 18944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18944,A000000,01600,0000,01600SKILLED NURSING FACILITY 18944,A000000,01800,0000,01800NURSING FACILITY 18944,A000000,01810,0000,01801ICF/MR 18944,A000000,01900,0000,01900OTHER LONG TERM CARE 18944,A000000,02100,0000,02100RADIOLOGY 18944,A000000,02200,0000,02200LABORATORY 18944,A000000,02300,0000,02300INTRAVENOUS THERAPY 18944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18944,A000000,02500,0000,02500PHYSICAL THERAPY 18944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18944,A000000,02700,0000,02700SPEECH PATHOLOGY 18944,A000000,02800,0000,02800ELECTROCARDIOLOGY 18944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18944,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18944,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18944,A000000,03200,0000,03200SUPPORT SURFACES 18944,A000000,03400,0000,03400CLINIC 18944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18944,A000000,03500,0000,03500RURAL HEALTH CLINIC 18944,A000000,04750,0000,05100OSP 18944,A000000,04800,0000,04800AMBULANCE 18944,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18944,A000000,05000,0000,05000CORF 18944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18944,A000000,05300,0000,05300INTEREST EXPENSE 18944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18944,A000000,05500,0000,05500HOSPICE 18944,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18944,A000000,06100,0000,06100NONPAID WORKERS 18944,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18944,A000000,06200,0000,06200PATIENTS LAUNDRY 18944,E10A180,00501,0300,06/30/2000 18944,S000000,00100,0200,05/24/2000 18944,S200000,00100,0100,2015 EAST TENTH STREET 18944,S200000,00200,0100,TOPEKA 18944,S200000,00200,0200,KS 18944,S200000,00200,0300,66607- 18944,S200000,00300,0100,SHAWNEE 18944,S200000,00300,0300,U 18944,S200000,00400,0100,EVENTIDE CONVALESCENT CENTER 18944,S200000,00400,0200,175113 18944,S200000,00400,0300,02/01/1978 18944,S200000,00400,0500,P 18944,S200000,01600,0100,Y 18944,S200000,01900,0100,N 18944,S200000,02900,0100,Y 18944,S200000,03000,0100,Y 18944,S700003,00000,0100,1 18955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18955,A000000,00300,0000,00300EMPLOYEE BENEFITS 18955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18955,A000000,00700,0000,00700HOUSEKEEPING 18955,A000000,00800,0000,00800DIETARY 18955,A000000,00900,0000,00900NURSING ADMINISTRATION 18955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18955,A000000,01100,0000,01100PHARMACY 18955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18955,A000000,01300,0000,01300SOCIAL SERVICE 18955,A000000,01350,0000,01500OTHER GENERAL SERVICES 18955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18955,A000000,01600,0000,01600SKILLED NURSING FACILITY 18955,A000000,01800,0000,01800NURSING FACILITY 18955,A000000,01810,0000,01801ICF/MR 18955,A000000,01900,0000,01900OTHER LONG TERM CARE 18955,A000000,02100,0000,02100RADIOLOGY 18955,A000000,02200,0000,02200LABORATORY 18955,A000000,02300,0000,02300INTRAVENOUS THERAPY 18955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18955,A000000,02500,0000,02500PHYSICAL THERAPY 18955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18955,A000000,02700,0000,02700SPEECH PATHOLOGY 18955,A000000,02800,0000,02800ELECTROCARDIOLOGY 18955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18955,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18955,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18955,A000000,03200,0000,03200SUPPORT SURFACES 18955,A000000,03400,0000,03400CLINIC 18955,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18955,A000000,03500,0000,03500RURAL HEALTH CLINIC 18955,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18955,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18955,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18955,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18955,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18955,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18955,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18955,A000000,04400,0000,04400DME RENTED - HHA 18955,A000000,04500,0000,04500DME SOLD - HHA 18955,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18955,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18955,A000000,04750,0000,05100OSP 18955,A000000,04800,0000,04800AMBULANCE 18955,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18955,A000000,05000,0000,05000CORF 18955,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18955,A000000,05300,0000,05300INTEREST EXPENSE 18955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18955,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18955,A000000,05500,0000,05500HOSPICE 18955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18955,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18955,A000000,06100,0000,06100NONPAID WORKERS 18955,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18955,A000000,06151,0000,06301INDEPENDENT LIVING 18955,A000000,06152,0000,06302ASSISTED LIVING 18955,A000000,06200,0000,06200PATIENTS LAUNDRY 18955,E10A180,00501,0300,06/23/2000 18955,H510100,02400,0000,9040 18955,H710000,00501,0300,06/23/2000 18955,H710000,00550,0100,06/23/2000 18955,S000000,00100,0200,06/01/2000 18955,S200000,00100,0100,401 E. SENECA 18955,S200000,00200,0100,WICHITA 18955,S200000,00200,0200,KS 18955,S200000,00200,0300,67213- 18955,S200000,00300,0100,SEDGWICK 18955,S200000,00300,0300,U 18955,S200000,00400,0100,THE KANSAS MASONIC HOME 18955,S200000,00400,0200,175118 18955,S200000,00400,0300,06/01/1980 18955,S200000,00400,0500,P 18955,S200000,00400,0600,O 18955,S200000,00800,0200,177098 18955,S200000,00800,0300,06/01/1985 18955,S200000,00800,0500,P 18955,S200000,01500,0100,Y 18955,S200000,01900,0100,N 18955,S200000,04300,0100,Y 18955,S700003,00000,0100,1 18962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18962,A000000,00300,0000,00300EMPLOYEE BENEFITS 18962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18962,A000000,00700,0000,00700HOUSEKEEPING 18962,A000000,00800,0000,00800DIETARY 18962,A000000,00900,0000,00900NURSING ADMINISTRATION 18962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18962,A000000,01300,0000,01300SOCIAL SERVICE 18962,A000000,01600,0000,01600SKILLED NURSING FACILITY 18962,A000000,01800,0000,01800NURSING FACILITY 18962,A000000,02100,0000,02100RADIOLOGY 18962,A000000,02200,0000,02200LABORATORY 18962,A000000,02500,0000,02500PHYSICAL THERAPY 18962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18962,A000000,02700,0000,02700SPEECH PATHOLOGY 18962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18962,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18962,A000000,05300,0000,05300INTEREST EXPENSE 18962,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 18962,A81000A,00100,0100,Y 18962,A81000B,00100,0300,HOME OFFICE-CAP 18962,A81000B,00200,0300,HOME OFFICE-A&G 18962,A81000C,00100,0100,B 18962,A81000C,00100,0400,DELMAR GARDENS 18962,A81000C,00100,0600,HOME OFFICE 18962,E10A180,00501,0100,09/19/2000 18962,E10A180,00501,0300,09/19/2000 18962,S000000,00100,0200,08/31/2000 18962,S200000,00100,0100,9701 MONROVIA 18962,S200000,00200,0100,LENEXA 18962,S200000,00200,0200,KS 18962,S200000,00200,0300,66215-1598 18962,S200000,00300,0100,JOHNSON 18962,S200000,00300,0300,U 18962,S200000,00400,0100,DELMAR GARDENS OF JOHNSON CNTY INC 18962,S200000,00400,0200,175122 18962,S200000,00400,0300,01/01/1981 18962,S200000,00400,0500,P 18962,S200000,01600,0100,Y 18962,S200000,02200,0100,Y 18962,S700003,00000,0100,1 18971,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18971,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18971,A000000,00300,0000,00300EMPLOYEE BENEFITS 18971,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18971,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18971,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18971,A000000,00700,0000,00700HOUSEKEEPING 18971,A000000,00800,0000,00800DIETARY 18971,A000000,00900,0000,00900NURSING ADMINISTRATION 18971,A000000,01100,0000,01100PHARMACY 18971,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18971,A000000,01300,0000,01300SOCIAL SERVICE 18971,A000000,01301,0000,01301RESIDENT ACTIVITIES 18971,A000000,01600,0000,01600SKILLED NURSING FACILITY 18971,A000000,01800,0000,01800NURSING FACILITY 18971,A000000,01900,0000,01900OTHER LONG TERM CARE 18971,A000000,02100,0000,02100RADIOLOGY 18971,A000000,02200,0000,02200LABORATORY 18971,A000000,02500,0000,02500PHYSICAL THERAPY 18971,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18971,A000000,02700,0000,02700SPEECH PATHOLOGY 18971,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18971,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18971,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18971,A000000,05300,0000,05300INTEREST EXPENSE 18971,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18971,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18971,A000000,06200,0000,06200PATIENTS LAUNDRY 18971,E10A180,00501,0100,04/14/2000 18971,E10A180,00550,0300,04/14/2000 18971,S000000,00100,0200,05/05/2000 18971,S200000,00100,0100,1313 SOUTH HIGH 18971,S200000,00200,0100,EL DORADO 18971,S200000,00200,0200,KS 18971,S200000,00200,0300,67042- 18971,S200000,00300,0100,BUTLER 18971,S200000,00400,0100,KNUTSON MANOR NURSING HOME 18971,S200000,00400,0200,175124 18971,S200000,00400,0300,01/01/1996 18971,S200000,00400,0500,P 18971,S200000,01600,0100,Y 18971,S200000,02800,0100,Y 18971,S700003,00000,0400,4 18973,S000000,00100,0200,05/26/2000 18980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18980,A000000,00300,0000,00300EMPLOYEE BENEFITS 18980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18980,A000000,00700,0000,00700HOUSEKEEPING 18980,A000000,00800,0000,00800DIETARY 18980,A000000,00900,0000,00900NURSING ADMINISTRATION 18980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18980,A000000,01100,0000,01100PHARMACY 18980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18980,A000000,01300,0000,01300SOCIAL SERVICE 18980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18980,A000000,01600,0000,01600SKILLED NURSING FACILITY 18980,A000000,01800,0000,01800NURSING FACILITY 18980,A000000,02500,0000,02500PHYSICAL THERAPY 18980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18980,A000000,02700,0000,02700SPEECH PATHOLOGY 18980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18980,A000000,05000,0000,05000CORF 18980,A000000,05010,0000,05010CMHC 18980,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 18980,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 18980,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 18980,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18980,A81000A,00100,0100,Y 18980,A81000B,00100,0300,MANAGEMENT FEES 18980,A81000C,00100,0100,A 18980,A81000C,00100,0200,JACK FERGUSON 18980,S000000,00100,0200,05/17/2000 18980,S200000,00100,0100,623 SOUTH 3RD STREET 18980,S200000,00200,0100,SALINA 18980,S200000,00200,0200,KS 18980,S200000,00200,0300,67401 18980,S200000,00300,0100,SALINE 18980,S200000,00300,0300,R 18980,S200000,00400,0100,WINDSOR ESTATES 18980,S200000,00400,0200,175127 18980,S200000,00400,0300,03/01/1981 18980,S200000,00400,0500,P 18980,S200000,01600,0100,Y 18980,S700003,00000,0400,4 18988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18988,A000000,00300,0000,00300EMPLOYEE BENEFITS 18988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18988,A000000,00700,0000,00700HOUSEKEEPING 18988,A000000,00800,0000,00800DIETARY 18988,A000000,00900,0000,00900NURSING ADMINISTRATION 18988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18988,A000000,01100,0000,01100PHARMACY 18988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18988,A000000,01300,0000,01300SOCIAL SERVICE 18988,A000000,01350,0000,01500OTHER GENERAL SERVICES 18988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18988,A000000,01600,0000,01600SKILLED NURSING FACILITY 18988,A000000,01800,0000,01800NURSING FACILITY 18988,A000000,01900,0000,01900OTHER LONG TERM CARE 18988,A000000,02100,0000,02100RADIOLOGY 18988,A000000,02200,0000,02200LABORATORY 18988,A000000,02300,0000,02300INTRAVENOUS THERAPY 18988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18988,A000000,02500,0000,02500PHYSICAL THERAPY 18988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18988,A000000,02700,0000,02700SPEECH PATHOLOGY 18988,A000000,02800,0000,02800ELECTROCARDIOLOGY 18988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18988,A000000,03200,0000,03200SUPPORT SURFACES 18988,A000000,03400,0000,03400CLINIC 18988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18988,A000000,03500,0000,03500RURAL HEALTH CLINIC 18988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18988,A000000,04400,0000,04400DME RENTED - HHA 18988,A000000,04500,0000,04500DME SOLD - HHA 18988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18988,A000000,04750,0000,05100OSP 18988,A000000,04800,0000,04800AMBULANCE 18988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18988,A000000,05000,0000,05000CORF 18988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18988,A000000,05300,0000,05300INTEREST EXPENSE 18988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18988,A000000,05500,0000,05500HOSPICE 18988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18988,A000000,06100,0000,06100NONPAID WORKERS 18988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18988,A000000,06200,0000,06200PATIENTS LAUNDRY 18988,A81000A,00100,0100,Y 18988,A81000B,00901,0300,POOLED -- CAPITAL RELATED 18988,A81000B,00902,0300,POOLED -- CAPITAL RELATED 18988,A81000B,00903,0300,POOLED -- HOME OFFICE 18988,A81000C,00100,0100,B 18988,A81000C,00100,0200,MEDICALODGES I 18988,A81000C,00100,0600,HEALTH CARE 18988,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 18988,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 18988,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 18988,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 18988,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 18988,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 18988,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 18988,B100000,00000,0800,00000PATIENT DAYSDIETARY 18988,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 18988,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 18988,B100000,00000,1100,00000NO STATISTICSPHARMACY 18988,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 18988,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 18988,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 18988,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 18988,E10A180,00301,0100,09/17/1999 18988,E10A180,00501,0100,04/14/2000 18988,E10A180,00550,0300,04/14/2000 18988,S000000,00100,0200,04/04/2000 18988,S200000,00100,0100,6500 GREELEY 18988,S200000,00200,0100,KANSAS CITY 18988,S200000,00200,0200,KS 18988,S200000,00200,0300,66104-2698 18988,S200000,00300,0100,WYANDOTTE 18988,S200000,00400,0100,MEDICALODGE POST ACUTE CARE CENTER 18988,S200000,00400,0200,175135 18988,S200000,00400,0300,01/01/1992 18988,S200000,00400,0500,P 18988,S200000,01600,0100,Y 18988,S700003,00000,0100,1 18996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 18996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 18996,A000000,00300,0000,00300EMPLOYEE BENEFITS 18996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 18996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 18996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 18996,A000000,00700,0000,00700HOUSEKEEPING 18996,A000000,00800,0000,00800DIETARY 18996,A000000,00900,0000,00900NURSING ADMINISTRATION 18996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 18996,A000000,01100,0000,01100PHARMACY 18996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 18996,A000000,01300,0000,01300SOCIAL SERVICE 18996,A000000,01350,0000,01500OTHER GENERAL SERVICES 18996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 18996,A000000,01600,0000,01600SKILLED NURSING FACILITY 18996,A000000,01800,0000,01800NURSING FACILITY 18996,A000000,01900,0000,01900OTHER LONG TERM CARE 18996,A000000,02100,0000,02100RADIOLOGY 18996,A000000,02200,0000,02200LABORATORY 18996,A000000,02300,0000,02300INTRAVENOUS THERAPY 18996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 18996,A000000,02500,0000,02500PHYSICAL THERAPY 18996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 18996,A000000,02700,0000,02700SPEECH PATHOLOGY 18996,A000000,02800,0000,02800ELECTROCARDIOLOGY 18996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 18996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 18996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 18996,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 18996,A000000,03200,0000,03200SUPPORT SURFACES 18996,A000000,03400,0000,03400CLINIC 18996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 18996,A000000,03500,0000,03500RURAL HEALTH CLINIC 18996,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 18996,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 18996,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 18996,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 18996,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 18996,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 18996,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 18996,A000000,04400,0000,04400DME RENTED - HHA 18996,A000000,04500,0000,04500DME SOLD - HHA 18996,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 18996,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 18996,A000000,04750,0000,05100OSP 18996,A000000,04800,0000,04800AMBULANCE 18996,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 18996,A000000,05000,0000,05000CORF 18996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 18996,A000000,05300,0000,05300INTEREST EXPENSE 18996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 18996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 18996,A000000,05500,0000,05500HOSPICE 18996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 18996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 18996,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 18996,A000000,06100,0000,06100NONPAID WORKERS 18996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 18996,A000000,06200,0000,06200PATIENTS LAUNDRY 18996,A81000A,00100,0100,Y 18996,A81000B,00901,0300,POOLED -- CAPITAL RELATED 18996,A81000B,00902,0300,POOLED -- CAPITAL RELATED 18996,A81000B,00903,0300,POOLED -- HOME OFFICE 18996,A81000C,00100,0100,B 18996,A81000C,00100,0200,MEDICALODGES I 18996,A81000C,00100,0600,HEALTH CARE 18996,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 18996,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 18996,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 18996,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 18996,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 18996,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 18996,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 18996,B100000,00000,0800,00000PATIENT DAYSDIETARY 18996,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 18996,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 18996,B100000,00000,1100,00000NO STATISTICSPHARMACY 18996,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 18996,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 18996,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 18996,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 18996,E10A180,00301,0100,09/17/1999 18996,E10A180,00501,0100,04/12/2000 18996,E10A180,00501,0300,04/12/2000 18996,S000000,00100,0200,04/04/2000 18996,S200000,00100,0100,1637 RILEY 18996,S200000,00200,0100,ATCHISON 18996,S200000,00200,0200,KS 18996,S200000,00200,0300,66002-1514 18996,S200000,00300,0100,ATCHISON 18996,S200000,00400,0100,MEDICALODGE OF ATCHISON 18996,S200000,00400,0200,175141 18996,S200000,00400,0300,02/01/1992 18996,S200000,00400,0500,P 18996,S200000,01600,0100,Y 18996,S700003,00000,0100,1 19003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19003,A000000,00300,0000,00300EMPLOYEE BENEFITS 19003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19003,A000000,00700,0000,00700HOUSEKEEPING 19003,A000000,00800,0000,00800DIETARY 19003,A000000,00900,0000,00900NURSING ADMINISTRATION 19003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19003,A000000,01100,0000,01100PHARMACY 19003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19003,A000000,01300,0000,01300SOCIAL SERVICE 19003,A000000,01350,0000,01500OTHER GENERAL SERVICES 19003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19003,A000000,01600,0000,01600SKILLED NURSING FACILITY 19003,A000000,01800,0000,01800NURSING FACILITY 19003,A000000,01900,0000,01900OTHER LONG TERM CARE 19003,A000000,02100,0000,02100RADIOLOGY 19003,A000000,02200,0000,02200LABORATORY 19003,A000000,02300,0000,02300INTRAVENOUS THERAPY 19003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19003,A000000,02500,0000,02500PHYSICAL THERAPY 19003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19003,A000000,02700,0000,02700SPEECH PATHOLOGY 19003,A000000,02800,0000,02800ELECTROCARDIOLOGY 19003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19003,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19003,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19003,A000000,03200,0000,03200SUPPORT SURFACES 19003,A000000,03400,0000,03400CLINIC 19003,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19003,A000000,03500,0000,03500RURAL HEALTH CLINIC 19003,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19003,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19003,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19003,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19003,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19003,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19003,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19003,A000000,04400,0000,04400DME RENTED - HHA 19003,A000000,04500,0000,04500DME SOLD - HHA 19003,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19003,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19003,A000000,04750,0000,05100OSP 19003,A000000,04800,0000,04800AMBULANCE 19003,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19003,A000000,05000,0000,05000CORF 19003,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19003,A000000,05300,0000,05300INTEREST EXPENSE 19003,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19003,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19003,A000000,05500,0000,05500HOSPICE 19003,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19003,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19003,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19003,A000000,06100,0000,06100NONPAID WORKERS 19003,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19003,A000000,06200,0000,06200PATIENTS LAUNDRY 19003,A81000A,00100,0100,Y 19003,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19003,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19003,A81000B,00903,0300,POOLED -- HOME OFFICE 19003,A81000C,00100,0100,B 19003,A81000C,00100,0200,MEDICALODGES I 19003,A81000C,00100,0600,HEALTH CARE 19003,E10A180,00301,0100,09/17/1999 19003,E10A180,00501,0100,04/11/2000 19003,E10A180,00501,0300,04/11/2000 19003,S000000,00100,0200,04/04/2000 19003,S200000,00100,0100,2614 NORTH JOPLIN 19003,S200000,00200,0100,PITTSBURG 19003,S200000,00200,0200,KS 19003,S200000,00200,0300,66762-2690 19003,S200000,00300,0100,CRAWFORD 19003,S200000,00400,0100,MEDICALODGE NORTH OF PITTSBURG 19003,S200000,00400,0200,175150 19003,S200000,00400,0300,09/01/1991 19003,S200000,00400,0500,P 19003,S200000,01600,0100,Y 19003,S700003,00000,0100,1 19016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19016,A000000,00300,0000,00300EMPLOYEE BENEFITS 19016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19016,A000000,00700,0000,00700HOUSEKEEPING 19016,A000000,00800,0000,00800DIETARY 19016,A000000,00900,0000,00900NURSING ADMINISTRATION 19016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19016,A000000,01300,0000,01300SOCIAL SERVICE 19016,A000000,01600,0000,01600SKILLED NURSING FACILITY 19016,A000000,01800,0000,01800NURSING FACILITY 19016,A000000,01810,0000,01801ICF/MR 19016,A000000,01900,0000,01900OTHER LONG TERM CARE 19016,A000000,02100,0000,02100RADIOLOGY 19016,A000000,02200,0000,02200LABORATORY 19016,A000000,02300,0000,02300INTRAVENOUS THERAPY 19016,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19016,A000000,02500,0000,02500PHYSICAL THERAPY 19016,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19016,A000000,02700,0000,02700SPEECH PATHOLOGY 19016,A000000,02800,0000,02800ELECTROCARDIOLOGY 19016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19016,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19016,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19016,A000000,03200,0000,03200SUPPORT SURFACES 19016,A000000,03400,0000,03400CLINIC 19016,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19016,A000000,03500,0000,03500RURAL HEALTH CLINIC 19016,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19016,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19016,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19016,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19016,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19016,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19016,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19016,A000000,04400,0000,04400DME RENTED - HHA 19016,A000000,04500,0000,04500DME SOLD - HHA 19016,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19016,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19016,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19016,A000000,04800,0000,04800AMBULANCE 19016,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19016,A000000,05000,0000,05000CORF 19016,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19016,A000000,05300,0000,05300INTEREST EXPENSE 19016,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19016,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19016,A000000,05500,0000,05500HOSPICE 19016,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19016,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19016,A000000,06100,0000,06100NONPAID WORKERS 19016,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19016,A000000,06200,0000,06200PATIENTS LAUNDRY 19016,A81000A,00100,0100,Y 19016,A81000B,00100,0300,CAPITAL RELATED COSTS - LEASE 19016,A81000B,00200,0300,DIETARY EXPENSE 19016,A81000B,00300,0300,SOCIAL SERVICE 19016,A81000B,00400,0300,A & G 19016,A81000B,00500,0300,EMPLOYEE BENEFITS 19016,A81000B,00600,0300,EQUIPMENT RENTAL 19016,A81000B,00700,0300,LAWN AND SNOW REMOVAL 19016,A81000B,00800,0300,A & G PHONE SERVICE 19016,A81000B,00900,0300,REPAIR AND MAINTENANCE 19016,A81000B,00901,0300,A & G 19016,A81000B,00902,0300,SNU UNIT SUPPLIES 19016,A81000B,00903,0300,ICU UNIT SUPPLIES 19016,A81000B,00904,0300,LAB SERVICES 19016,A81000B,00905,0300,WORKERS COMP CLAIMS 19016,A81000B,00906,0300,WOUND CARE SUPPLIES 19016,A81000B,00907,0300,WORKERS COMP 19016,A81000B,00908,0300,A & G DATA PROCESSING 19016,A81000B,00909,0300,A & G INCOME TAXES 19016,A81000B,00910,0300,HOUSEKEEPING 19016,A81000B,00911,0300,EMPLOYEE BENEFIT - LIFE INSUR. 19016,A81000B,00912,0300,A & G CARITAS MGMT FEE 19016,A81000B,00913,0300,A & G 19016,A81000B,00914,0300,EMPLOYEE BENEFIT HEALTH INSUR 19016,A81000B,00915,0300,MAINTENANCE SUPPLIES 19016,A81000C,00100,0100,G 19016,A81000C,00100,0200,SISTERS OF CHAR 19016,A81000C,00100,0400,HOME OFFICE 19016,A81000C,00200,0100,G 19016,A81000C,00200,0200,PROVIDENCE MEDI 19016,A81000C,00200,0400,HOSPITAL 19016,A81000C,00300,0100,B 19016,A81000C,00300,0200,PHYSICIAN RESOU 19016,A81000C,00300,0400,MGMT CO OF MEDI 19016,E10A180,00501,0100,12/06/2000 19016,S000000,00100,0200,11/01/2000 19016,S200000,00100,0100,8909 PARALLEL PARKWAY 19016,S200000,00200,0100,KANSAS CITY 19016,S200000,00200,0200,KS 19016,S200000,00200,0300,66112- 19016,S200000,00300,0100,WYANDOTTE 19016,S200000,00300,0300,U 19016,S200000,00400,0100,PROVIDENCE PLACE 19016,S200000,00400,0200,175159 19016,S200000,00400,0300,01/01/1987 19016,S200000,00400,0500,P 19016,S200000,01600,0100,Y 19016,S200000,01900,0100,N 19016,S700003,00000,0100,1 19022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19022,A000000,00300,0000,00300EMPLOYEE BENEFITS 19022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19022,A000000,00700,0000,00700HOUSEKEEPING 19022,A000000,00800,0000,00800DIETARY 19022,A000000,00900,0000,00900NURSING ADMINISTRATION 19022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19022,A000000,01100,0000,01100PHARMACY 19022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19022,A000000,01300,0000,01300SOCIAL SERVICE 19022,A000000,01350,0000,01500OTHER GENERAL SERVICES 19022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19022,A000000,01600,0000,01600SKILLED NURSING FACILITY 19022,A000000,01800,0000,01800NURSING FACILITY 19022,A000000,01900,0000,01900OTHER LONG TERM CARE 19022,A000000,02100,0000,02100RADIOLOGY 19022,A000000,02200,0000,02200LABORATORY 19022,A000000,02300,0000,02300INTRAVENOUS THERAPY 19022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19022,A000000,02500,0000,02500PHYSICAL THERAPY 19022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19022,A000000,02700,0000,02700SPEECH PATHOLOGY 19022,A000000,02800,0000,02800ELECTROCARDIOLOGY 19022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19022,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19022,A000000,03200,0000,03200SUPPORT SURFACES 19022,A000000,03400,0000,03400CLINIC 19022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19022,A000000,03500,0000,03500RURAL HEALTH CLINIC 19022,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19022,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19022,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19022,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19022,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19022,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19022,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19022,A000000,04400,0000,04400DME RENTED - HHA 19022,A000000,04500,0000,04500DME SOLD - HHA 19022,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19022,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19022,A000000,04750,0000,05100OSP 19022,A000000,04800,0000,04800AMBULANCE 19022,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19022,A000000,05000,0000,05000CORF 19022,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19022,A000000,05300,0000,05300INTEREST EXPENSE 19022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19022,A000000,05500,0000,05500HOSPICE 19022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19022,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19022,A000000,06100,0000,06100NONPAID WORKERS 19022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19022,A000000,06200,0000,06200PATIENTS LAUNDRY 19022,A81000A,00100,0100,Y 19022,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19022,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19022,A81000B,00903,0300,POOLED -- HOME OFFICE 19022,A81000C,00100,0100,B 19022,A81000C,00100,0200,MEDICALODGES I 19022,A81000C,00100,0600,HEALTH CARE 19022,E10A180,00501,0100,10/31/1999 19022,E10A180,00550,0100,04/04/2000 19022,E10A180,00550,0300,04/04/2000 19022,E10A180,00551,0300,10/31/1999 19022,S000000,00100,0200,04/04/2000 19022,S200000,00100,0100,1503 WEST OHIO STREET 19022,S200000,00200,0100,LEAVENWORTH 19022,S200000,00200,0200,KS 19022,S200000,00200,0300,66048-2999 19022,S200000,00300,0100,LEAVENWORTH 19022,S200000,00400,0100,MEDICALODGE OF LEAVENWORTH 19022,S200000,00400,0200,175162 19022,S200000,00400,0300,04/20/1993 19022,S200000,00400,0500,P 19022,S200000,01600,0100,Y 19022,S700003,00000,0100,1 19032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19032,A000000,00300,0000,00300EMPLOYEE BENEFITS 19032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19032,A000000,00700,0000,00700HOUSEKEEPING 19032,A000000,00800,0000,00800DIETARY 19032,A000000,00900,0000,00900NURSING ADMINISTRATION 19032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19032,A000000,01100,0000,01100PHARMACY 19032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19032,A000000,01300,0000,01300SOCIAL SERVICE 19032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19032,A000000,01600,0000,01600SKILLED NURSING FACILITY 19032,A000000,01800,0000,01800NURSING FACILITY 19032,A000000,01810,0000,01801ICF/MR 19032,A000000,01900,0000,01900OTHER LONG TERM CARE 19032,A000000,02100,0000,02100RADIOLOGY 19032,A000000,02200,0000,02200LABORATORY 19032,A000000,02300,0000,02300INTRAVENOUS THERAPY 19032,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19032,A000000,02500,0000,02500PHYSICAL THERAPY 19032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19032,A000000,02700,0000,02700SPEECH PATHOLOGY 19032,A000000,02800,0000,02800ELECTROCARDIOLOGY 19032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19032,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19032,A000000,03200,0000,03200SUPPORT SURFACES 19032,A000000,03400,0000,03400CLINIC 19032,A000000,03500,0000,03500RURAL HEALTH CLINIC 19032,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19032,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19032,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19032,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19032,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19032,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19032,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19032,A000000,04400,0000,04400DME RENTED - HHA 19032,A000000,04500,0000,04500DME SOLD - HHA 19032,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19032,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19032,A000000,04800,0000,04800AMBULANCE 19032,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19032,A000000,05000,0000,05000CORF 19032,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19032,A000000,05300,0000,05300INTEREST EXPENSE 19032,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19032,A000000,05500,0000,05500HOSPICE 19032,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19032,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19032,A000000,06100,0000,06100NONPAID WORKERS 19032,A000000,06150,0000,06300WELLNESS CENTER 19032,A000000,06151,0000,06301LIFE ENRICHMENT 19032,A000000,06152,0000,06302APARTMENTS 19032,A000000,06153,0000,06303MARKETING 19032,A000000,06200,0000,06200PATIENTS LAUNDRY 19032,A81000A,00100,0100,Y 19032,A81000B,00100,0300,ACTIVITIES DIRECTOR SALARY 19032,A81000B,00200,0300,ACTIVITIES DIRECTOR BENEFITS 19032,A81000C,00100,0100,C 19032,A81000C,00100,0400,WHARTON MANOR 19032,A81000C,00100,0600,NURSING FACILIT 19032,E10A180,00501,0300,12/20/2000 19032,E10A180,00550,0100,12/20/2000 19032,H510100,02400,0000,17 19032,S000000,00100,0200,12/01/2000 19032,S200000,00100,0100,2121 MEADOWLARK ROAD 19032,S200000,00200,0100,MANHATTAN 19032,S200000,00200,0200,KS 19032,S200000,00200,0300,66502- 19032,S200000,00300,0100,RILEY 19032,S200000,00300,0300,R 19032,S200000,00400,0100,MEADOWLARK HILLS 19032,S200000,00400,0200,175174 19032,S200000,00400,0300,05/27/1988 19032,S200000,00400,0500,P 19032,S200000,00400,0600,O 19032,S200000,00800,0200,177289 19032,S200000,00800,0300,08/07/1995 19032,S200000,00800,0500,P 19032,S200000,00800,0600,P 19032,S200000,01600,0100,Y 19032,S200000,01900,0100,N 19032,S700003,00000,0200,2 19039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19039,A000000,00700,0000,00700HOUSEKEEPING 19039,A000000,00800,0000,00800DIETARY 19039,A000000,00900,0000,00900NURSING ADMINISTRATION 19039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19039,A000000,01300,0000,01300SOCIAL SERVICE 19039,A000000,01350,0000,01500ACTIVITIES 19039,A000000,01600,0000,01600SKILLED NURSING FACILITY 19039,A000000,01800,0000,01800NURSING FACILITY 19039,A000000,01900,0000,01900OTHER LONG TERM CARE 19039,A000000,02200,0000,02200LABORATORY 19039,A000000,02500,0000,02500PHYSICAL THERAPY 19039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19039,A000000,02700,0000,02700SPEECH PATHOLOGY 19039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19039,A000000,03050,0000,03300RESTORATIVE 19039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19039,A000000,05300,0000,05300INTEREST EXPENSE 19039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19039,A000000,06150,0000,06300MARKETING 19039,E10A180,00501,0100,06/09/2000 19039,E10A180,00550,0300,06/09/2000 19039,S000000,00100,0200,05/31/2000 19039,S200000,00100,0100,1505 EAST SPRUCE 19039,S200000,00200,0100,GARDEN CITY 19039,S200000,00200,0200,KS 19039,S200000,00200,0300,67846- 19039,S200000,00300,0100,FINNEY 19039,S200000,00300,0300,R 19039,S200000,00400,0100,GARDEN VALLEY RETIREMENT VILLAGE 19039,S200000,00400,0200,175175 19039,S200000,00400,0300,08/26/1988 19039,S200000,00400,0500,P 19039,S200000,00600,0200,411344 19039,S200000,00600,0300,08/26/1988 19039,S200000,00600,0600,P 19039,S200000,01600,0100,Y 19039,S200000,01900,0100,N 19039,S200000,02200,0100,Y 19039,S200000,02800,0100,Y 19039,S700003,00000,0100,1 19044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19044,A000000,00700,0000,00700HOUSEKEEPING 19044,A000000,00800,0000,00800DIETARY 19044,A000000,00900,0000,00900NURSING ADMINISTRATION 19044,A000000,01600,0000,01600SKILLED NURSING FACILITY 19044,A000000,02100,0000,02100RADIOLOGY 19044,A000000,02500,0000,02500PHYSICAL THERAPY 19044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19044,A000000,02700,0000,02700SPEECH PATHOLOGY 19044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19044,E10A180,00501,0300,12/19/2000 19044,E10A180,00550,0100,12/19/2000 19044,S000000,00100,0200,12/04/2000 19044,S200000,00100,0100,7373 E. 29 ST. NORTH 19044,S200000,00200,0100,WICHITA 19044,S200000,00200,0200,KS 19044,S200000,00200,0300,67226- 19044,S200000,00300,0100,SEDGWICK 19044,S200000,00300,0300,U 19044,S200000,00400,0100,LARKSFIELD PLACE 19044,S200000,00400,0200,175181 19044,S200000,00400,0300,03/06/1989 19044,S200000,00400,0500,P 19044,S200000,01500,0100,Y 19044,S200000,01900,0100,N 19044,S200000,02800,0100,Y 19044,S700003,00000,0200,2 19061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19061,A000000,00300,0000,00300EMPLOYEE BENEFITS 19061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19061,A000000,00700,0000,00700HOUSEKEEPING 19061,A000000,00800,0000,00800DIETARY 19061,A000000,00801,0000,00801CAFETERIA 19061,A000000,00900,0000,00900NURSING ADMINISTRATION 19061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19061,A000000,01100,0000,01100PHARMACY 19061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19061,A000000,01300,0000,01300SOCIAL SERVICE 19061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19061,A000000,01600,0000,01600SKILLED NURSING FACILITY 19061,A000000,01800,0000,01800NURSING FACILITY 19061,A000000,01900,0000,01900OTHER LONG TERM CARE 19061,A000000,02100,0000,02100RADIOLOGY 19061,A000000,02200,0000,02200LABORATORY 19061,A000000,02300,0000,02300INTRAVENOUS THERAPY 19061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19061,A000000,02500,0000,02500PHYSICAL THERAPY 19061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19061,A000000,02700,0000,02700SPEECH PATHOLOGY 19061,A000000,02800,0000,02800ELECTROCARDIOLOGY 19061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19061,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19061,A000000,03200,0000,03200SUPPORT SURFACES 19061,A000000,03400,0000,03400CLINIC 19061,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19061,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19061,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19061,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19061,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19061,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19061,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19061,A000000,04400,0000,04400DME RENTED - HHA 19061,A000000,04500,0000,04500DME SOLD - HHA 19061,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19061,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19061,A000000,04800,0000,04800AMBULANCE 19061,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19061,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19061,A000000,05300,0000,05300INTEREST EXPENSE 19061,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19061,A000000,05500,0000,05500HOSPICE 19061,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19061,A000000,05901,0000,05901MARKETING 19061,A000000,05902,0000,05902GUEST MEALS 19061,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19061,A000000,06100,0000,06100NONPAID WORKERS 19061,A000000,06200,0000,06200PATIENTS LAUNDRY 19061,A81000A,00100,0100,Y 19061,A81000B,00100,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00200,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00300,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00400,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00500,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00600,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00700,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00800,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00900,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00901,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00902,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00903,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00904,0300,SHAWNEE MISSION ALLOCATION 19061,A81000B,00905,0300,HOME OFFICE COST ALLOCATION 19061,A81000B,00906,0300,HOME OFFICE COST ALLOCATION 19061,A81000C,00100,0100,B 19061,A81000C,00100,0400,SMMC 19061,A81000C,00100,0600,HOSPITAL 19061,A81000C,00200,0100,B 19061,A81000C,00200,0400,SLSMHS 19061,A81000C,00200,0600,MANAGEMENT CO. 19061,E10A180,00501,0100,06/01/2000 19061,E10A180,00501,0300,06/01/2000 19061,S000000,00100,0200,05/26/2000 19061,S200000,00100,0100,6501 WEST 75TH STREET 19061,S200000,00200,0100,OVERLAND PARK 19061,S200000,00200,0200,KS 19061,S200000,00200,0300,66204 19061,S200000,00300,0100,JOHNSON 19061,S200000,00300,0300,U 19061,S200000,00400,0100,OVERLAND PARK MANOR 19061,S200000,00400,0200,175187 19061,S200000,00400,0300,05/24/1989 19061,S200000,00400,0500,P 19061,S200000,00400,0600,O 19061,S200000,00600,0200,175187 19061,S200000,00600,0300,05/24/1989 19061,S200000,00600,0600,P 19061,S200000,01600,0100,Y 19061,S700003,00000,0100,1 19070,S000000,00100,0200,10/03/2000 19079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19079,A000000,00300,0000,00300EMPLOYEE BENEFITS 19079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19079,A000000,00700,0000,00700HOUSEKEEPING 19079,A000000,00800,0000,00800DIETARY 19079,A000000,00900,0000,00900NURSING ADMINISTRATION 19079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19079,A000000,01100,0000,01100PHARMACY 19079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19079,A000000,01300,0000,01300SOCIAL SERVICE 19079,A000000,01350,0000,01500OTHER GENERAL SERVICES 19079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19079,A000000,01600,0000,01600SKILLED NURSING FACILITY 19079,A000000,01800,0000,01800NURSING FACILITY 19079,A000000,01900,0000,01900OTHER LONG TERM CARE 19079,A000000,02100,0000,02100RADIOLOGY 19079,A000000,02200,0000,02200LABORATORY 19079,A000000,02300,0000,02300INTRAVENOUS THERAPY 19079,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19079,A000000,02500,0000,02500PHYSICAL THERAPY 19079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19079,A000000,02700,0000,02700SPEECH PATHOLOGY 19079,A000000,02800,0000,02800ELECTROCARDIOLOGY 19079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19079,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19079,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19079,A000000,03200,0000,03200SUPPORT SURFACES 19079,A000000,03400,0000,03400CLINIC 19079,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19079,A000000,03500,0000,03500RURAL HEALTH CLINIC 19079,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19079,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19079,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19079,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19079,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19079,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19079,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19079,A000000,04400,0000,04400DME RENTED - HHA 19079,A000000,04500,0000,04500DME SOLD - HHA 19079,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19079,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19079,A000000,04750,0000,05100OSP 19079,A000000,04800,0000,04800AMBULANCE 19079,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19079,A000000,05000,0000,05000CORF 19079,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19079,A000000,05300,0000,05300INTEREST EXPENSE 19079,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19079,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19079,A000000,05500,0000,05500HOSPICE 19079,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19079,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19079,A000000,06100,0000,06100NONPAID WORKERS 19079,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19079,A000000,06200,0000,06200PATIENTS LAUNDRY 19079,A81000A,00100,0100,Y 19079,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19079,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19079,A81000B,00903,0300,POOLED -- HOME OFFICE 19079,A81000C,00100,0100,B 19079,A81000C,00100,0200,MEDICALODGES I 19079,A81000C,00100,0600,HEALTH CARE 19079,E10A180,00301,0100,09/17/1999 19079,E10A180,00501,0100,04/18/2000 19079,E10A180,00550,0300,04/18/2000 19079,S000000,00100,0200,04/04/2000 19079,S200000,00100,0100,720 WEST FIRST STREET 19079,S200000,00200,0100,COFFEYVILLE 19079,S200000,00200,0200,KS 19079,S200000,00200,0300,67337-3899 19079,S200000,00300,0100,MONTGOMERY 19079,S200000,00400,0100,MEDICALODGE OF COFFEYVILLE 19079,S200000,00400,0200,175237 19079,S200000,00400,0300,02/05/1993 19079,S200000,00400,0500,P 19079,S200000,01600,0100,Y 19079,S700003,00000,0100,1 19087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19087,A000000,00300,0000,00300EMPLOYEE BENEFITS 19087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19087,A000000,00700,0000,00700HOUSEKEEPING 19087,A000000,00800,0000,00800DIETARY 19087,A000000,00900,0000,00900NURSING ADMINISTRATION 19087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19087,A000000,01100,0000,01100PHARMACY 19087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19087,A000000,01300,0000,01300SOCIAL SERVICE 19087,A000000,01350,0000,01500OTHER GENERAL SERVICES 19087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19087,A000000,01600,0000,01600SKILLED NURSING FACILITY 19087,A000000,01800,0000,01800NURSING FACILITY 19087,A000000,01810,0000,01801ICF/MR 19087,A000000,01900,0000,01900OTHER LONG TERM CARE 19087,A000000,02100,0000,02100RADIOLOGY 19087,A000000,02200,0000,02200LABORATORY 19087,A000000,02300,0000,02300INTRAVENOUS THERAPY 19087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19087,A000000,02500,0000,02500PHYSICAL THERAPY 19087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19087,A000000,02700,0000,02700SPEECH PATHOLOGY 19087,A000000,02800,0000,02800ELECTROCARDIOLOGY 19087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19087,A000000,03200,0000,03200SUPPORT SURFACES 19087,A000000,03400,0000,03400CLINIC 19087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19087,A000000,03500,0000,03500RURAL HEALTH CLINIC 19087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19087,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19087,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19087,A000000,04400,0000,04400DME RENTED - HHA 19087,A000000,04500,0000,04500DME SOLD - HHA 19087,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19087,A000000,04750,0000,05100OSP 19087,A000000,04800,0000,04800AMBULANCE 19087,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19087,A000000,05000,0000,05000CORF 19087,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19087,A000000,05300,0000,05300INTEREST EXPENSE 19087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19087,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19087,A000000,05500,0000,05500HOSPICE 19087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19087,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19087,A000000,06100,0000,06100NONPAID WORKERS 19087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19087,A000000,06200,0000,06200PATIENTS LAUNDRY 19087,A81000A,00100,0100,Y 19087,A81000B,00901,0300,MANAGEMENT FEE 19087,A81000C,00100,0100,A 19087,A81000C,00100,0200,TOM REDDY 19087,A81000C,00100,0400,VINTAGE PARK 19087,A81000C,00100,0600,MANAGEMENT AND 19087,E10A180,00501,0100,06/09/2000 19087,E10A180,00501,0300,06/09/2000 19087,S000000,00100,0200,06/01/2000 19087,S200000,00100,0100,1200 SOUTH BROADWAY 19087,S200000,00200,0100,LOUISBURG 19087,S200000,00200,0200,KS 19087,S200000,00200,0300,66053- 19087,S200000,00300,0100,MIAMI 19087,S200000,00300,0300,R 19087,S200000,00400,0100,LOUISBURG CARE CENTER 19087,S200000,00400,0200,175238 19087,S200000,00400,0300,02/19/1993 19087,S200000,00400,0500,P 19087,S200000,01600,0100,Y 19087,S200000,01900,0100,N 19087,S700003,00000,0100,1 19098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19098,A000000,00300,0000,00300EMPLOYEE BENEFITS 19098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19098,A000000,00700,0000,00700HOUSEKEEPING 19098,A000000,00800,0000,00800DIETARY 19098,A000000,00900,0000,00900NURSING ADMINISTRATION 19098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19098,A000000,01100,0000,01100PHARMACY 19098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19098,A000000,01300,0000,01300SOCIAL SERVICE 19098,A000000,01350,0000,01500OTHER GENERAL SERVICES 19098,A000000,01600,0000,01600SKILLED NURSING FACILITY 19098,A000000,01800,0000,01800NURSING FACILITY 19098,A000000,01810,0000,01801ICF/MR 19098,A000000,01900,0000,01900OTHER LONG TERM CARE 19098,A000000,02100,0000,02100RADIOLOGY 19098,A000000,02200,0000,02200LABORATORY 19098,A000000,02300,0000,02300INTRAVENOUS THERAPY 19098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19098,A000000,02500,0000,02500PHYSICAL THERAPY 19098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19098,A000000,02700,0000,02700SPEECH PATHOLOGY 19098,A000000,02800,0000,02800ELECTROCARDIOLOGY 19098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19098,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19098,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19098,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19098,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19098,A000000,05300,0000,05300INTEREST EXPENSE 19098,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19098,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19098,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19098,A000000,06100,0000,06100NONPAID WORKERS 19098,A000000,06150,0000,06300INDENPENDENT LIVING 19098,A000000,06151,0000,06301WELLNESS CENTER 19098,A000000,06154,0000,06304MARKETING 19098,A000000,06200,0000,06200PATIENTS LAUNDRY 19098,S000000,00100,0200,06/01/2000 19098,S200000,00100,0100,9100 PARK STREET 19098,S200000,00200,0100,LENEXA 19098,S200000,00200,0200,KS 19098,S200000,00200,0300,66215- 19098,S200000,00300,0100,JOHNSON 19098,S200000,00300,0300,U 19098,S200000,00400,0100,LAKEVIEW VILLAGE 19098,S200000,00400,0200,175242 19098,S200000,00400,0300,03/22/1993 19098,S200000,00400,0500,P 19098,S200000,01600,0100,Y 19098,S200000,01900,0100,N 19098,S700003,00000,0100,1 19101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19101,A000000,00300,0000,00300EMPLOYEE BENEFITS 19101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19101,A000000,00700,0000,00700HOUSEKEEPING 19101,A000000,00800,0000,00800DIETARY 19101,A000000,00900,0000,00900NURSING ADMINISTRATION 19101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19101,A000000,01100,0000,01100PHARMACY 19101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19101,A000000,01300,0000,01300SOCIAL SERVICE 19101,A000000,01350,0000,01500OTHER GENERAL SERVICES 19101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19101,A000000,01600,0000,01600SKILLED NURSING FACILITY 19101,A000000,01800,0000,01800NURSING FACILITY 19101,A000000,01900,0000,01900OTHER LONG TERM CARE 19101,A000000,02100,0000,02100RADIOLOGY 19101,A000000,02200,0000,02200LABORATORY 19101,A000000,02300,0000,02300INTRAVENOUS THERAPY 19101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19101,A000000,02500,0000,02500PHYSICAL THERAPY 19101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19101,A000000,02700,0000,02700SPEECH PATHOLOGY 19101,A000000,02800,0000,02800ELECTROCARDIOLOGY 19101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19101,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19101,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19101,A000000,03200,0000,03200SUPPORT SURFACES 19101,A000000,03400,0000,03400CLINIC 19101,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19101,A000000,03500,0000,03500RURAL HEALTH CLINIC 19101,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19101,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19101,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19101,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19101,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19101,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19101,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19101,A000000,04400,0000,04400DME RENTED - HHA 19101,A000000,04500,0000,04500DME SOLD - HHA 19101,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19101,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19101,A000000,04750,0000,05100OSP 19101,A000000,04800,0000,04800AMBULANCE 19101,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19101,A000000,05000,0000,05000CORF 19101,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19101,A000000,05300,0000,05300INTEREST EXPENSE 19101,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19101,A000000,05500,0000,05500HOSPICE 19101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19101,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19101,A000000,06100,0000,06100NONPAID WORKERS 19101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19101,A000000,06200,0000,06200PATIENTS LAUNDRY 19101,A81000A,00100,0100,Y 19101,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19101,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19101,A81000B,00903,0300,POOLED -- HOME OFFICE 19101,A81000C,00100,0100,B 19101,A81000C,00100,0200,MEDICALODGES I 19101,A81000C,00100,0600,HEALTH CARE 19101,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19101,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19101,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19101,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19101,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19101,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19101,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19101,B100000,00000,0800,00000PATIENT DAYSDIETARY 19101,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19101,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 19101,B100000,00000,1100,00000NO STATISTICSPHARMACY 19101,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19101,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 19101,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19101,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 19101,E10A180,00501,0300,04/04/2000 19101,E10A180,00550,0100,04/04/2000 19101,S000000,00100,0200,04/04/2000 19101,S200000,00100,0100,223 BEDFORD STREET 19101,S200000,00200,0100,GARDNER 19101,S200000,00200,0200,KS 19101,S200000,00200,0300,66030- 19101,S200000,00300,0100,JOHNSON 19101,S200000,00400,0100,MEDICALODGE OF GARDNER 19101,S200000,00400,0200,175243 19101,S200000,00400,0300,03/01/1999 19101,S200000,00400,0500,P 19101,S200000,01600,0100,Y 19101,S700003,00000,0100,1 19107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19107,A000000,00300,0000,00300EMPLOYEE BENEFITS 19107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19107,A000000,00700,0000,00700HOUSEKEEPING 19107,A000000,00800,0000,00800DIETARY 19107,A000000,00900,0000,00900NURSING ADMINISTRATION 19107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19107,A000000,01100,0000,01100PHARMACY 19107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19107,A000000,01300,0000,01300SOCIAL SERVICE 19107,A000000,01350,0000,01500OTHER GENERAL SERVICES 19107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19107,A000000,01600,0000,01600SKILLED NURSING FACILITY 19107,A000000,01800,0000,01800NURSING FACILITY 19107,A000000,01900,0000,01900OTHER LONG TERM CARE 19107,A000000,02100,0000,02100RADIOLOGY 19107,A000000,02200,0000,02200LABORATORY 19107,A000000,02300,0000,02300INTRAVENOUS THERAPY 19107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19107,A000000,02500,0000,02500PHYSICAL THERAPY 19107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19107,A000000,02700,0000,02700SPEECH PATHOLOGY 19107,A000000,02800,0000,02800ELECTROCARDIOLOGY 19107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19107,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19107,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19107,A000000,03200,0000,03200SUPPORT SURFACES 19107,A000000,03400,0000,03400CLINIC 19107,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19107,A000000,03500,0000,03500RURAL HEALTH CLINIC 19107,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19107,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19107,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19107,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19107,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19107,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19107,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19107,A000000,04400,0000,04400DME RENTED - HHA 19107,A000000,04500,0000,04500DME SOLD - HHA 19107,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19107,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19107,A000000,04750,0000,05100OSP 19107,A000000,04800,0000,04800AMBULANCE 19107,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19107,A000000,05000,0000,05000CORF 19107,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19107,A000000,05300,0000,05300INTEREST EXPENSE 19107,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19107,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19107,A000000,05500,0000,05500HOSPICE 19107,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19107,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19107,A000000,06100,0000,06100NONPAID WORKERS 19107,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19107,A000000,06200,0000,06200PATIENTS LAUNDRY 19107,A81000A,00100,0100,Y 19107,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19107,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19107,A81000B,00903,0300,POOLED -- HOME OFFICE 19107,A81000C,00100,0100,B 19107,A81000C,00100,0200,MEDICALODGES I 19107,A81000C,00100,0600,HEALTH CARE 19107,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19107,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19107,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19107,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19107,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19107,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19107,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19107,B100000,00000,0800,00000PATIENT DAYSDIETARY 19107,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19107,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 19107,B100000,00000,1100,00000NO STATISTICSPHARMACY 19107,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19107,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 19107,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19107,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 19107,E10A180,00301,0100,09/17/1999 19107,E10A180,00501,0100,04/14/2000 19107,E10A180,00501,0300,04/14/2000 19107,S000000,00100,0200,04/04/2000 19107,S200000,00100,0100,2575 GREENWAY 19107,S200000,00200,0100,ARKANSAS CITY 19107,S200000,00200,0200,KS 19107,S200000,00200,0300,67005-1068 19107,S200000,00300,0100,COWLEY 19107,S200000,00400,0100,MEDICALODGE NORTH OF ARKANSAS CITY 19107,S200000,00400,0200,175252 19107,S200000,00400,0300,09/01/1993 19107,S200000,00400,0500,P 19107,S200000,01600,0100,Y 19107,S700003,00000,0100,1 19117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19117,A000000,00300,0000,00300EMPLOYEE BENEFITS 19117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19117,A000000,00700,0000,00700HOUSEKEEPING 19117,A000000,00800,0000,00800DIETARY 19117,A000000,00900,0000,00900NURSING ADMINISTRATION 19117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19117,A000000,01100,0000,01100PHARMACY 19117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19117,A000000,01300,0000,01300SOCIAL SERVICE 19117,A000000,01350,0000,01500OTHER GENERAL SERVICES 19117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19117,A000000,01600,0000,01600SKILLED NURSING FACILITY 19117,A000000,01800,0000,01800NURSING FACILITY 19117,A000000,01810,0000,01801ICF/MR 19117,A000000,01900,0000,01900OTHER LONG TERM CARE 19117,A000000,02100,0000,02100RADIOLOGY 19117,A000000,02200,0000,02200LABORATORY 19117,A000000,02300,0000,02300INTRAVENOUS THERAPY 19117,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19117,A000000,02500,0000,02500PHYSICAL THERAPY 19117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19117,A000000,02700,0000,02700SPEECH PATHOLOGY 19117,A000000,02800,0000,02800ELECTROCARDIOLOGY 19117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19117,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19117,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19117,A000000,03200,0000,03200SUPPORT SURFACES 19117,A000000,03400,0000,03400CLINIC 19117,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19117,A000000,03500,0000,03500RURAL HEALTH CLINIC 19117,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19117,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19117,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19117,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19117,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19117,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19117,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19117,A000000,04400,0000,04400DME RENTED - HHA 19117,A000000,04500,0000,04500DME SOLD - HHA 19117,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19117,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19117,A000000,04750,0000,05100OSP 19117,A000000,04800,0000,04800AMBULANCE 19117,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19117,A000000,05000,0000,05000CORF 19117,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19117,A000000,05300,0000,05300INTEREST EXPENSE 19117,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19117,A000000,05500,0000,05500HOSPICE 19117,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19117,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19117,A000000,06100,0000,06100NONPAID WORKERS 19117,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19117,A000000,06200,0000,06200PATIENTS LAUNDRY 19117,A81000A,00100,0100,Y 19117,A81000B,00901,0300,ADMINISTRATIVE & GENERAL 19117,A81000C,00100,0100,A 19117,A81000C,00100,0200,JOHN BRAY 19117,A81000C,00100,0400,HEALTH SERVICES 19117,A81000C,00100,0600,HEALTH CARE MAN 19117,E10A180,00501,0100,05/25/2000 19117,E10A180,00550,0300,05/25/2000 19117,S000000,00100,0200,05/17/2000 19117,S200000,00100,0100,10315 JOHNSON DRIVE 19117,S200000,00200,0100,SHAWNEE 19117,S200000,00200,0200,KS 19117,S200000,00200,0300,66203- 19117,S200000,00300,0100,JOHNSON 19117,S200000,00400,0100,SHARONLANE NURSING HOME 19117,S200000,00400,0200,175257 19117,S200000,00400,0300,08/01/1993 19117,S200000,00400,0500,P 19117,S200000,01600,0100,Y 19117,S200000,01900,0100,N 19117,S200000,04300,0100,Y 19117,S700003,00000,0100,1 19128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19128,A000000,00300,0000,00300EMPLOYEE BENEFITS 19128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19128,A000000,00700,0000,00700HOUSEKEEPING 19128,A000000,00800,0000,00800DIETARY 19128,A000000,00900,0000,00900NURSING ADMINISTRATION 19128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19128,A000000,01100,0000,01100PHARMACY 19128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19128,A000000,01300,0000,01300SOCIAL SERVICE 19128,A000000,01350,0000,01500OTHER GENERAL SERVICES 19128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19128,A000000,01600,0000,01600SKILLED NURSING FACILITY 19128,A000000,01800,0000,01800NURSING FACILITY 19128,A000000,01900,0000,01900OTHER LONG TERM CARE 19128,A000000,02100,0000,02100RADIOLOGY 19128,A000000,02200,0000,02200LABORATORY 19128,A000000,02300,0000,02300INTRAVENOUS THERAPY 19128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19128,A000000,02500,0000,02500PHYSICAL THERAPY 19128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19128,A000000,02700,0000,02700SPEECH PATHOLOGY 19128,A000000,02800,0000,02800ELECTROCARDIOLOGY 19128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19128,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19128,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19128,A000000,03200,0000,03200SUPPORT SURFACES 19128,A000000,03400,0000,03400CLINIC 19128,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19128,A000000,03500,0000,03500RURAL HEALTH CLINIC 19128,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19128,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19128,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19128,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19128,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19128,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19128,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19128,A000000,04400,0000,04400DME RENTED - HHA 19128,A000000,04500,0000,04500DME SOLD - HHA 19128,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19128,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19128,A000000,04750,0000,05100OSP 19128,A000000,04800,0000,04800AMBULANCE 19128,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19128,A000000,05000,0000,05000CORF 19128,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19128,A000000,05300,0000,05300INTEREST EXPENSE 19128,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19128,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19128,A000000,05500,0000,05500HOSPICE 19128,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19128,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19128,A000000,06100,0000,06100NONPAID WORKERS 19128,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19128,A000000,06200,0000,06200PATIENTS LAUNDRY 19128,A81000A,00100,0100,Y 19128,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19128,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19128,A81000B,00903,0300,POOLED -- HOME OFFICE 19128,A81000C,00100,0100,B 19128,A81000C,00100,0200,MEDICALODGES I 19128,A81000C,00100,0600,HEALTH CARE 19128,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19128,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19128,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19128,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19128,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19128,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19128,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19128,B100000,00000,0800,00000PATIENT DAYSDIETARY 19128,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19128,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 19128,B100000,00000,1100,00000NO STATISTICSPHARMACY 19128,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19128,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 19128,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19128,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 19128,E10A180,00302,0100,09/17/1999 19128,E10A180,00501,0100,04/14/2000 19128,E10A180,00550,0100,03/23/2001 19128,E10A180,00550,0300,04/14/2000 19128,E10A180,00551,0300,03/23/2001 19128,S000000,00100,0200,04/04/2000 19128,S200000,00100,0100,915 SOUTH HORTON 19128,S200000,00200,0100,FT. SCOTT 19128,S200000,00200,0200,KS 19128,S200000,00200,0300,66701- 19128,S200000,00300,0100,BOURBON 19128,S200000,00400,0100,MEDICALODGE OF FT. SCOTT 19128,S200000,00400,0200,175258 19128,S200000,00400,0300,08/16/1993 19128,S200000,00400,0500,P 19128,S200000,01600,0100,Y 19128,S700003,00000,0100,1 19136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19136,A000000,00300,0000,00300EMPLOYEE BENEFITS 19136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19136,A000000,00700,0000,00700HOUSEKEEPING 19136,A000000,00800,0000,00800DIETARY 19136,A000000,00900,0000,00900NURSING ADMINISTRATION 19136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19136,A000000,01100,0000,01100PHARMACY 19136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19136,A000000,01300,0000,01300SOCIAL SERVICE 19136,A000000,01350,0000,01500OTHER GENERAL SERVICES 19136,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19136,A000000,01600,0000,01600SKILLED NURSING FACILITY 19136,A000000,01800,0000,01800NURSING FACILITY 19136,A000000,01900,0000,01900OTHER LONG TERM CARE 19136,A000000,02100,0000,02100RADIOLOGY 19136,A000000,02200,0000,02200LABORATORY 19136,A000000,02300,0000,02300INTRAVENOUS THERAPY 19136,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19136,A000000,02500,0000,02500PHYSICAL THERAPY 19136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19136,A000000,02700,0000,02700SPEECH PATHOLOGY 19136,A000000,02800,0000,02800ELECTROCARDIOLOGY 19136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19136,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19136,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19136,A000000,03200,0000,03200SUPPORT SURFACES 19136,A000000,03400,0000,03400CLINIC 19136,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19136,A000000,03500,0000,03500RURAL HEALTH CLINIC 19136,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19136,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19136,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19136,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19136,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19136,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19136,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19136,A000000,04400,0000,04400DME RENTED - HHA 19136,A000000,04500,0000,04500DME SOLD - HHA 19136,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19136,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19136,A000000,04750,0000,05100OSP 19136,A000000,04800,0000,04800AMBULANCE 19136,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19136,A000000,05000,0000,05000CORF 19136,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19136,A000000,05300,0000,05300INTEREST EXPENSE 19136,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19136,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19136,A000000,05500,0000,05500HOSPICE 19136,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19136,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19136,A000000,06100,0000,06100NONPAID WORKERS 19136,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19136,A000000,06200,0000,06200PATIENTS LAUNDRY 19136,A81000A,00100,0100,Y 19136,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19136,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19136,A81000B,00903,0300,POOLED -- HOME OFFICE 19136,A81000C,00100,0100,B 19136,A81000C,00100,0200,MEDICALODGES I 19136,A81000C,00100,0600,HEALTH CARE 19136,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19136,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19136,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19136,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19136,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19136,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19136,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19136,B100000,00000,0800,00000PATIENT DAYSDIETARY 19136,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19136,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 19136,B100000,00000,1100,00000NO STATISTICSPHARMACY 19136,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19136,B100000,00000,1300,00000NO STATISTICSSOCIAL SERVICE 19136,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19136,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 19136,E10A180,00301,0100,09/17/1999 19136,E10A180,00501,0100,06/20/2000 19136,E10A180,00501,0300,06/20/2000 19136,S000000,00100,0200,04/04/2000 19136,S200000,00100,0100,101 NORTH LEE 19136,S200000,00100,0300,16 19136,S200000,00200,0100,COLUMBUS 19136,S200000,00200,0200,KS 19136,S200000,00200,0300,66725-0016 19136,S200000,00300,0100,CHEROKEE 19136,S200000,00400,0100,MEDICALODGE OF COLUMBUS 19136,S200000,00400,0200,175264 19136,S200000,00400,0300,11/01/1993 19136,S200000,00400,0500,P 19136,S200000,01600,0100,Y 19136,S700003,00000,0100,1 19145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19145,A000000,00300,0000,00300EMPLOYEE BENEFITS 19145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19145,A000000,00700,0000,00700HOUSEKEEPING 19145,A000000,00800,0000,00800DIETARY 19145,A000000,00900,0000,00900NURSING ADMINISTRATION 19145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19145,A000000,01300,0000,01300SOCIAL SERVICE 19145,A000000,01301,0000,01301ACTIVITIES 19145,A000000,01600,0000,01600SKILLED NURSING FACILITY 19145,A000000,01800,0000,01800NURSING FACILITY 19145,A000000,01900,0000,01900OTHER LONG TERM CARE 19145,A000000,02100,0000,02100RADIOLOGY 19145,A000000,02200,0000,02200LABORATORY 19145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19145,A000000,02500,0000,02500PHYSICAL THERAPY 19145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19145,A000000,02700,0000,02700SPEECH PATHOLOGY 19145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19145,A000000,04800,0000,04800AMBULANCE 19145,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19145,A000000,05300,0000,05300INTEREST EXPENSE 19145,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19145,A81000A,00100,0100,Y 19145,A81000B,00901,0300,MANAGEMENT EXPENSES - CAPITAL 19145,A81000B,00902,0300,MANAGEMENT EXPENSES - OPERATING 19145,A81000C,00100,0100,B 19145,A81000C,00100,0400,KELLY MGT. CO. 19145,A81000C,00100,0600,MGT. CO. 19145,E10A180,00501,0100,06/09/2000 19145,E10A180,00501,0300,06/09/2000 19145,S000000,00100,0200,05/31/2000 19145,S200000,00100,0100,6416 LONG 19145,S200000,00200,0100,SHAWNEE 19145,S200000,00200,0200,KS 19145,S200000,00200,0300,66216 19145,S200000,00300,0100,JOHNSON 19145,S200000,00300,0300,U 19145,S200000,00400,0100,SHAWNEE GARDENS NURSING CENTER 19145,S200000,00400,0200,175267 19145,S200000,00400,0300,12/01/1993 19145,S200000,00400,0500,P 19145,S200000,01600,0100,Y 19145,S200000,02200,0100,Y 19145,S200000,02800,0100,Y 19145,S200000,04700,0100,Y 19145,S200000,04700,0200,Y 19145,S700003,00000,0100,1 19152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19152,A000000,00300,0000,00300EMPLOYEE BENEFITS 19152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19152,A000000,00700,0000,00700HOUSEKEEPING 19152,A000000,00800,0000,00800DIETARY 19152,A000000,00900,0000,00900NURSING ADMINISTRATION 19152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19152,A000000,01100,0000,01100PHARMACY 19152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19152,A000000,01300,0000,01300SOCIAL SERVICE 19152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19152,A000000,01600,0000,01600SKILLED NURSING FACILITY 19152,A000000,01800,0000,01800NURSING FACILITY 19152,A000000,02100,0000,02100RADIOLOGY 19152,A000000,02300,0000,02300INTRAVENOUS THERAPY 19152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19152,A000000,02500,0000,02500PHYSICAL THERAPY 19152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19152,A000000,02700,0000,02700SPEECH PATHOLOGY 19152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19152,A000000,05000,0000,05000CORF 19152,A000000,05010,0000,05010CMHC 19152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19152,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19152,A81000A,00100,0100,Y 19152,A81000B,00901,0300,MANAGEMENT FEES 19152,A81000C,00100,0100,A 19152,A81000C,00100,0200,MICHAEL WILCOX 19152,A81000C,00100,0400,PHS INC. 19152,A81000C,00100,0600,MANAGEMENT COMP 19152,A81000C,00200,0100,A 19152,A81000C,00200,0200,VIRGIL GORACKE 19152,A81000C,00200,0400,PHS INC. 19152,A81000C,00200,0600,MANAGEMENT COMP 19152,A81000C,00300,0100,A 19152,A81000C,00300,0200,DOUGLAS GORACKE 19152,A81000C,00300,0400,PHS INC. 19152,A81000C,00300,0600,MANAGEMENT COMP 19152,A81000C,00400,0100,A 19152,A81000C,00400,0200,SHARON DURRELL 19152,A81000C,00400,0400,PHS INC. 19152,A81000C,00400,0600,MANAGEMENT COMP 19152,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDGS 19152,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVABL 19152,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFITS 19152,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19152,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAINT 19152,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERVI 19152,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 19152,B100000,00000,0800,00000(PATIENT DAYS)DIETARY 19152,B100000,00000,0900,00000(PATIENT DAYS)NURSING ADMINISTRATIO 19152,B100000,00000,1000,00000(COSTED REQUIS)CENTRAL SERVICES & S 19152,B100000,00000,1100,00000(COSTED REQUIS)PHARMACY 19152,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LIB 19152,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 19152,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 19152,E10A180,00501,0300,06/08/2000 19152,E10A180,00550,0100,06/08/2000 19152,S000000,00100,0200,05/26/2000 19152,S200000,00100,0100,4101 S.W. MARTIN DRIVE 19152,S200000,00200,0100,TOPEKA 19152,S200000,00200,0200,KS 19152,S200000,00200,0300,66609 19152,S200000,00300,0100,SHAWNEE 19152,S200000,00300,0300,U 19152,S200000,00400,0100,MANOR OF TOPEKA INC. 19152,S200000,00400,0200,175269 19152,S200000,00400,0300,11/08/1993 19152,S200000,00400,0500,P 19152,S200000,01600,0100,Y 19152,S700003,00000,0100,1 19156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19156,A000000,00300,0000,00300EMPLOYEE BENEFITS 19156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19156,A000000,00700,0000,00700HOUSEKEEPING 19156,A000000,00800,0000,00800DIETARY 19156,A000000,00900,0000,00900NURSING ADMINISTRATION 19156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19156,A000000,01100,0000,01100PHARMACY 19156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19156,A000000,01300,0000,01300SOCIAL SERVICE 19156,A000000,01350,0000,01500OTHER GENERAL SERVICES 19156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19156,A000000,01600,0000,01600SKILLED NURSING FACILITY 19156,A000000,01800,0000,01800NURSING FACILITY 19156,A000000,01900,0000,01900OTHER LONG TERM CARE 19156,A000000,02100,0000,02100RADIOLOGY 19156,A000000,02200,0000,02200LABORATORY 19156,A000000,02300,0000,02300INTRAVENOUS THERAPY 19156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19156,A000000,02500,0000,02500PHYSICAL THERAPY 19156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19156,A000000,02700,0000,02700SPEECH PATHOLOGY 19156,A000000,02800,0000,02800ELECTROCARDIOLOGY 19156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19156,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19156,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19156,A000000,03200,0000,03200SUPPORT SURFACES 19156,A000000,03400,0000,03400CLINIC 19156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19156,A000000,03500,0000,03500RURAL HEALTH CLINIC 19156,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19156,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19156,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19156,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19156,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19156,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19156,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19156,A000000,04400,0000,04400DME RENTED - HHA 19156,A000000,04500,0000,04500DME SOLD - HHA 19156,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19156,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19156,A000000,04750,0000,05100OSP 19156,A000000,04800,0000,04800AMBULANCE 19156,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19156,A000000,05000,0000,05000CORF 19156,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19156,A000000,05300,0000,05300INTEREST EXPENSE 19156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19156,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19156,A000000,05500,0000,05500HOSPICE 19156,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19156,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19156,A000000,06100,0000,06100NONPAID WORKERS 19156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19156,A000000,06200,0000,06200PATIENTS LAUNDRY 19156,A81000A,00100,0100,Y 19156,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19156,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19156,A81000B,00903,0300,POOLED -- HOME OFFICE 19156,A81000C,00100,0100,B 19156,A81000C,00100,0200,MEDICALODGES I 19156,A81000C,00100,0600,HEALTH CARE 19156,E10A180,00301,0100,09/17/1999 19156,E10A180,00501,0100,04/11/2000 19156,E10A180,00550,0300,04/11/2000 19156,S000000,00100,0200,04/04/2000 19156,S200000,00100,0100,ROUTE 2 BOX 65A 19156,S200000,00200,0100,KINSLEY 19156,S200000,00200,0200,KS 19156,S200000,00200,0300,67547-9500 19156,S200000,00300,0100,EDWARDS 19156,S200000,00400,0100,MEDICALODGE OF KINSLEY 19156,S200000,00400,0200,175275 19156,S200000,00400,0300,01/01/1994 19156,S200000,00400,0500,P 19156,S200000,01600,0100,Y 19156,S700003,00000,0100,1 19165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19165,A000000,00300,0000,00300EMPLOYEE BENEFITS 19165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19165,A000000,00700,0000,00700HOUSEKEEPING 19165,A000000,00800,0000,00800DIETARY 19165,A000000,00900,0000,00900NURSING ADMINISTRATION 19165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19165,A000000,01100,0000,01100PHARMACY 19165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19165,A000000,01300,0000,01300SOCIAL SERVICE 19165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19165,A000000,01600,0000,01600SKILLED NURSING FACILITY 19165,A000000,01800,0000,01800NURSING FACILITY 19165,A000000,02100,0000,02100RADIOLOGY 19165,A000000,02300,0000,02300INTRAVENOUS THERAPY 19165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19165,A000000,02500,0000,02500PHYSICAL THERAPY 19165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19165,A000000,02700,0000,02700SPEECH PATHOLOGY 19165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19165,A000000,05000,0000,05000CORF 19165,A000000,05010,0000,05010CMHC 19165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19165,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19165,A81000A,00100,0100,Y 19165,A81000B,00901,0300,MANAGEMENT FEES 19165,A81000C,00100,0100,A 19165,A81000C,00100,0200,MICHAEL WILCOX 19165,A81000C,00100,0400,PHS INC. 19165,A81000C,00100,0600,MANAGEMENT COMP 19165,A81000C,00200,0100,A 19165,A81000C,00200,0200,VIRGIL GORACKE 19165,A81000C,00200,0400,PHS INC. 19165,A81000C,00200,0600,MANAGEMENT COMP 19165,A81000C,00300,0100,A 19165,A81000C,00300,0200,DOUGLAS GORACKE 19165,A81000C,00300,0400,PHS INC. 19165,A81000C,00300,0600,MANAGEMENT COMP 19165,E10A180,00501,0100,06/06/2000 19165,E10A180,00501,0300,06/06/2000 19165,S000000,00100,0200,05/26/2000 19165,S200000,00100,0100,1620 WHEELER STREET 19165,S200000,00200,0100,EMPORIA 19165,S200000,00200,0200,KS 19165,S200000,00200,0300,66801-6199 19165,S200000,00300,0100,LYON 19165,S200000,00300,0300,R 19165,S200000,00400,0100,FLINT HILLS INC. 19165,S200000,00400,0200,175280 19165,S200000,00400,0300,01/01/1994 19165,S200000,00400,0500,P 19165,S200000,01600,0100,Y 19165,S700003,00000,0100,1 19172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19172,A000000,00300,0000,00300EMPLOYEE BENEFITS 19172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19172,A000000,00700,0000,00700HOUSEKEEPING 19172,A000000,00800,0000,00800DIETARY 19172,A000000,00900,0000,00900NURSING ADMINISTRATION 19172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19172,A000000,01100,0000,01100PHARMACY 19172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19172,A000000,01300,0000,01300SOCIAL SERVICE 19172,A000000,01350,0000,01500OTHER GENERAL SERVICES 19172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19172,A000000,01600,0000,01600SKILLED NURSING FACILITY 19172,A000000,01800,0000,01800NURSING FACILITY 19172,A000000,01900,0000,01900OTHER LONG TERM CARE 19172,A000000,02100,0000,02100RADIOLOGY 19172,A000000,02200,0000,02200LABORATORY 19172,A000000,02300,0000,02300INTRAVENOUS THERAPY 19172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19172,A000000,02500,0000,02500PHYSICAL THERAPY 19172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19172,A000000,02700,0000,02700SPEECH PATHOLOGY 19172,A000000,02800,0000,02800ELECTROCARDIOLOGY 19172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19172,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19172,A000000,03200,0000,03200SUPPORT SURFACES 19172,A000000,03400,0000,03400CLINIC 19172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19172,A000000,03500,0000,03500RURAL HEALTH CLINIC 19172,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19172,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19172,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19172,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19172,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19172,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19172,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19172,A000000,04400,0000,04400DME RENTED - HHA 19172,A000000,04500,0000,04500DME SOLD - HHA 19172,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19172,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19172,A000000,04750,0000,05100OSP 19172,A000000,04800,0000,04800AMBULANCE 19172,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19172,A000000,05000,0000,05000CORF 19172,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19172,A000000,05300,0000,05300INTEREST EXPENSE 19172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19172,A000000,05500,0000,05500HOSPICE 19172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19172,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19172,A000000,06100,0000,06100NONPAID WORKERS 19172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19172,A000000,06200,0000,06200PATIENTS LAUNDRY 19172,A81000A,00100,0100,Y 19172,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19172,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19172,A81000B,00903,0300,POOLED -- HOME OFFICE 19172,A81000C,00100,0100,B 19172,A81000C,00100,0200,MEDICALODGES I 19172,A81000C,00100,0600,HEALTH CARE 19172,E10A180,00301,0100,09/17/1999 19172,E10A180,00501,0100,04/18/2000 19172,E10A180,00501,0300,04/18/2000 19172,S000000,00100,0200,04/04/2000 19172,S200000,00100,0100,1020 NORTH SCHOOL 19172,S200000,00200,0100,EUREKA 19172,S200000,00200,0200,KS 19172,S200000,00200,0300,67045-1106 19172,S200000,00300,0100,GREENWOOD 19172,S200000,00400,0100,MEDICALODGE OF EUREKA 19172,S200000,00400,0200,175287 19172,S200000,00400,0300,02/25/1994 19172,S200000,00400,0500,P 19172,S200000,01600,0100,Y 19172,S700003,00000,0100,1 19178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19178,A000000,00300,0000,00300EMPLOYEE BENEFITS 19178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19178,A000000,00700,0000,00700HOUSEKEEPING 19178,A000000,00800,0000,00800DIETARY 19178,A000000,00900,0000,00900NURSING ADMINISTRATION 19178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19178,A000000,01100,0000,01100PHARMACY 19178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19178,A000000,01300,0000,01300SOCIAL SERVICE 19178,A000000,01350,0000,01500OTHER GENERAL SERVICES 19178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19178,A000000,01600,0000,01600SKILLED NURSING FACILITY 19178,A000000,01800,0000,01800NURSING FACILITY 19178,A000000,01900,0000,01900OTHER LONG TERM CARE 19178,A000000,02100,0000,02100RADIOLOGY 19178,A000000,02200,0000,02200LABORATORY 19178,A000000,02300,0000,02300INTRAVENOUS THERAPY 19178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19178,A000000,02500,0000,02500PHYSICAL THERAPY 19178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19178,A000000,02700,0000,02700SPEECH PATHOLOGY 19178,A000000,02800,0000,02800ELECTROCARDIOLOGY 19178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19178,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19178,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19178,A000000,03200,0000,03200SUPPORT SURFACES 19178,A000000,03400,0000,03400CLINIC 19178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19178,A000000,03500,0000,03500RURAL HEALTH CLINIC 19178,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19178,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19178,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19178,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19178,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19178,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19178,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19178,A000000,04400,0000,04400DME RENTED - HHA 19178,A000000,04500,0000,04500DME SOLD - HHA 19178,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19178,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19178,A000000,04750,0000,05100OSP 19178,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19178,A000000,05000,0000,05000CORF 19178,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19178,A000000,05300,0000,05300INTEREST EXPENSE 19178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19178,A000000,05500,0000,05500HOSPICE 19178,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19178,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19178,A000000,06100,0000,06100NONPAID WORKERS 19178,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19178,A000000,06200,0000,06200PATIENTS LAUNDRY 19178,A81000A,00100,0100,Y 19178,A81000B,00901,0300,MANAGEMENT FEES 19178,A81000B,00902,0300,OWNERS COMPENSATION 19178,A81000C,00100,0100,B 19178,A81000C,00100,0200,VINTAGE GROUP 19178,A81000C,00100,0600,HEALTH CARE 19178,E10A180,00301,0100,06/04/1999 19178,E10A180,00302,0100,08/11/1999 19178,E10A180,00303,0100,01/10/2000 19178,E10A180,00501,0100,06/06/2000 19178,E10A180,00501,0300,06/06/2000 19178,S000000,00100,0200,05/31/2000 19178,S200000,00100,0100,2921 WEST 1ST STREET 19178,S200000,00200,0100,COFFEYVILLE 19178,S200000,00200,0200,KS 19178,S200000,00200,0300,67337- 19178,S200000,00300,0100,MONTGOMERY 19178,S200000,00300,0300,R 19178,S200000,00400,0100,WINDSOR PLACE 19178,S200000,00400,0200,175290 19178,S200000,00400,0300,05/01/1994 19178,S200000,00400,0500,P 19178,S200000,01500,0100,Y 19178,S200000,01900,0100,N 19178,S200000,02200,0100,Y 19178,S700003,00000,0100,1 19186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19186,A000000,00300,0000,00300EMPLOYEE BENEFITS 19186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19186,A000000,00700,0000,00700HOUSEKEEPING 19186,A000000,00800,0000,00800DIETARY 19186,A000000,00900,0000,00900NURSING ADMINISTRATION 19186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19186,A000000,01100,0000,01100PHARMACY 19186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19186,A000000,01300,0000,01300SOCIAL SERVICE 19186,A000000,01350,0000,01500OTHER GENERAL SERVICES 19186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19186,A000000,01600,0000,01600SKILLED NURSING FACILITY 19186,A000000,01800,0000,01800NURSING FACILITY 19186,A000000,01900,0000,01900OTHER LONG TERM CARE 19186,A000000,02100,0000,02100RADIOLOGY 19186,A000000,02200,0000,02200LABORATORY 19186,A000000,02300,0000,02300INTRAVENOUS THERAPY 19186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19186,A000000,02500,0000,02500PHYSICAL THERAPY 19186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19186,A000000,02700,0000,02700SPEECH PATHOLOGY 19186,A000000,02800,0000,02800ELECTROCARDIOLOGY 19186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19186,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19186,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19186,A000000,03200,0000,03200SUPPORT SURFACES 19186,A000000,03400,0000,03400CLINIC 19186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19186,A000000,03500,0000,03500RURAL HEALTH CLINIC 19186,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19186,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19186,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19186,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19186,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19186,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19186,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19186,A000000,04400,0000,04400DME RENTED - HHA 19186,A000000,04500,0000,04500DME SOLD - HHA 19186,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19186,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19186,A000000,04750,0000,05100OSP 19186,A000000,04800,0000,04800AMBULANCE 19186,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19186,A000000,05000,0000,05000CORF 19186,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19186,A000000,05300,0000,05300INTEREST EXPENSE 19186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19186,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19186,A000000,05500,0000,05500HOSPICE 19186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19186,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19186,A000000,06100,0000,06100NONPAID WORKERS 19186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19186,A000000,06200,0000,06200PATIENTS LAUNDRY 19186,A81000A,00100,0100,Y 19186,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19186,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19186,A81000B,00903,0300,POOLED -- HOME OFFICE 19186,A81000C,00100,0100,B 19186,A81000C,00100,0200,MEDICALODGES I 19186,A81000C,00100,0600,HEALTH CARE 19186,E10A180,00301,0100,09/17/1999 19186,E10A180,00550,0100,04/12/2000 19186,E10A180,00550,0300,04/12/2000 19186,H510100,02400,0000,9040 19186,H710000,00501,0100,04/12/2000 19186,H710000,00501,0300,04/12/2000 19186,S000000,00100,0200,04/04/2000 19186,S200000,00100,0100,6191 SOUTH HIGHWAY 77 19186,S200000,00100,0300,479 19186,S200000,00200,0100,DOUGLASS 19186,S200000,00200,0200,KS 19186,S200000,00200,0300,67039-0479 19186,S200000,00300,0100,BUTLER 19186,S200000,00400,0100,MEDICALODGE OF DOUGLASS 19186,S200000,00400,0200,175292 19186,S200000,00400,0300,06/01/1994 19186,S200000,00400,0500,P 19186,S200000,00800,0200,177269 19186,S200000,00800,0300,09/02/1994 19186,S200000,00800,0500,P 19186,S200000,01600,0100,Y 19186,S700003,00000,0100,1 19194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19194,A000000,00300,0000,00300EMPLOYEE BENEFITS 19194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19194,A000000,00700,0000,00700HOUSEKEEPING 19194,A000000,00800,0000,00800DIETARY 19194,A000000,00900,0000,00900NURSING ADMINISTRATION 19194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19194,A000000,01100,0000,01100PHARMACY 19194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19194,A000000,01300,0000,01300SOCIAL SERVICE 19194,A000000,01350,0000,01500OTHER GENERAL SERVICES 19194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19194,A000000,01600,0000,01600SKILLED NURSING FACILITY 19194,A000000,01800,0000,01800NURSING FACILITY 19194,A000000,01900,0000,01900OTHER LONG TERM CARE 19194,A000000,02100,0000,02100RADIOLOGY 19194,A000000,02200,0000,02200LABORATORY 19194,A000000,02300,0000,02300INTRAVENOUS THERAPY 19194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19194,A000000,02500,0000,02500PHYSICAL THERAPY 19194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19194,A000000,02700,0000,02700SPEECH PATHOLOGY 19194,A000000,02800,0000,02800ELECTROCARDIOLOGY 19194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19194,A000000,03200,0000,03200SUPPORT SURFACES 19194,A000000,03400,0000,03400CLINIC 19194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19194,A000000,03500,0000,03500RURAL HEALTH CLINIC 19194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19194,A000000,04400,0000,04400DME RENTED - HHA 19194,A000000,04500,0000,04500DME SOLD - HHA 19194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19194,A000000,04750,0000,05100OSP 19194,A000000,04800,0000,04800AMBULANCE 19194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19194,A000000,05000,0000,05000CORF 19194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19194,A000000,05300,0000,05300INTEREST EXPENSE 19194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19194,A000000,05500,0000,05500HOSPICE 19194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19194,A000000,06100,0000,06100NONPAID WORKERS 19194,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19194,A000000,06200,0000,06200PATIENTS LAUNDRY 19194,A81000A,00100,0100,Y 19194,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19194,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19194,A81000B,00903,0300,POOLED -- HOME OFFICE 19194,A81000C,00100,0100,B 19194,A81000C,00100,0200,MEDICALODGES I 19194,A81000C,00100,0600,HEALTH CARE 19194,E10A180,00301,0100,09/17/1999 19194,E10A180,00501,0100,04/25/2000 19194,E10A180,00550,0300,04/25/2000 19194,S000000,00100,0200,04/04/2000 19194,S200000,00100,0100,501 EASY STREET 19194,S200000,00200,0100,GODDARD 19194,S200000,00200,0200,KS 19194,S200000,00200,0300,67052-9235 19194,S200000,00300,0100,SEDGWICK 19194,S200000,00400,0100,MEDICALODGE OF GODDARD 19194,S200000,00400,0200,175294 19194,S200000,00400,0300,06/01/1994 19194,S200000,00400,0500,P 19194,S200000,01600,0100,Y 19194,S700003,00000,0100,1 19200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19200,A000000,00300,0000,00300EMPLOYEE BENEFITS 19200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19200,A000000,00700,0000,00700HOUSEKEEPING 19200,A000000,00800,0000,00800DIETARY 19200,A000000,00900,0000,00900NURSING ADMINISTRATION 19200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19200,A000000,01100,0000,01100PHARMACY 19200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19200,A000000,01300,0000,01300SOCIAL SERVICE 19200,A000000,01350,0000,01500RECREATION 19200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19200,A000000,01600,0000,01600SKILLED NURSING FACILITY 19200,A000000,01810,0000,01810ICF/MR 19200,A000000,02100,0000,02100RADIOLOGY 19200,A000000,02200,0000,02200LABORATORY 19200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19200,A000000,02500,0000,02500PHYSICAL THERAPY 19200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19200,A000000,02700,0000,02700SPEECH PATHOLOGY 19200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19200,A000000,03550,0000,03550FQHC 19200,A000000,05000,0000,05000CORF 19200,A000000,05010,0000,05010CMHC 19200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19200,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19200,A81000A,00100,0100,Y 19200,A81000B,00901,0300,HOME OFFICE CAPITAL 19200,A81000B,00902,0300,H.O. ADMIN & GENERAL 19200,A81000B,00903,0300,HOME OFFICE INTEREST 19200,A81000C,00100,0100,F 19200,A81000C,00100,0200,POTOMAC 19200,A81000C,00100,0400,INFINA HLTH CAR 19200,E10A180,00501,0100,06/09/2000 19200,E10A180,00501,0300,06/09/2000 19200,S000000,00100,0200,06/01/2000 19200,S200000,00100,0100,117 W. 1ST STREET 19200,S200000,00100,0300,369 19200,S200000,00200,0100,SMITH CENTER 19200,S200000,00200,0200,KS 19200,S200000,00200,0300,66967 19200,S200000,00300,0100,SMITH 19200,S200000,00300,0300,R 19200,S200000,00400,0100,POTOMAC OF SMITH CENTER 19200,S200000,00400,0200,175295 19200,S200000,00400,0300,07/01/1994 19200,S200000,00400,0500,P 19200,S200000,01500,0100,Y 19200,S200000,01900,0100,Y 19200,S700003,00000,0200,2 19227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19227,A000000,00300,0000,00300EMPLOYEE BENEFITS 19227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19227,A000000,00700,0000,00700HOUSEKEEPING 19227,A000000,00800,0000,00800DIETARY 19227,A000000,01300,0000,01300SOCIAL SERVICE 19227,A000000,01350,0000,01500OTHER GENERAL SERVICES 19227,A000000,01600,0000,01600SKILLED NURSING FACILITY 19227,A000000,02100,0000,02100RADIOLOGY 19227,A000000,02200,0000,02200LABORATORY 19227,A000000,02500,0000,02500PHYSICAL THERAPY 19227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19227,A000000,02700,0000,02700SPEECH PATHOLOGY 19227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19227,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19227,A000000,04800,0000,04800AMBULANCE 19227,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19227,A81000A,00100,0100,Y 19227,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19227,A81000B,00200,0300,CAPITAL 19227,A81000C,00100,0100,B 19227,A81000C,00100,0400,PRESBYTERIAN MA 19227,E10A180,00501,0100,12/15/2000 19227,E10A180,00501,0300,12/15/2000 19227,S000000,00100,0200,12/01/2000 19227,S200000,00100,0100,204 WEST WASHINGTON 19227,S200000,00200,0100,STERLING 19227,S200000,00200,0200,KS 19227,S200000,00200,0300,67579- 19227,S200000,00300,0100,RICE 19227,S200000,00300,0300,R 19227,S200000,00400,0100,STERLING PRESBYTERIAN MANOR 19227,S200000,00400,0200,175299 19227,S200000,00400,0300,07/01/1994 19227,S200000,00400,0500,P 19227,S200000,01500,0100,Y 19227,S200000,01900,0100,N 19227,S700003,00000,0200,2 19236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19236,A000000,00300,0000,00300EMPLOYEE BENEFITS 19236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19236,A000000,00700,0000,00700HOUSEKEEPING 19236,A000000,00800,0000,00800DIETARY 19236,A000000,01300,0000,01300SOCIAL SERVICE 19236,A000000,01350,0000,01500OTHER GENERAL SERVICES 19236,A000000,01600,0000,01600SKILLED NURSING FACILITY 19236,A000000,02100,0000,02100RADIOLOGY 19236,A000000,02200,0000,02200LABORATORY 19236,A000000,02500,0000,02500PHYSICAL THERAPY 19236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19236,A000000,02700,0000,02700SPEECH PATHOLOGY 19236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19236,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19236,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19236,A81000A,00100,0100,Y 19236,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19236,A81000B,00200,0300,CAPITAL 19236,A81000B,00300,0300,INTEREST 19236,A81000C,00100,0100,B 19236,A81000C,00100,0400,PRESBYTERIAN MA 19236,E10A180,00501,0300,12/01/2000 19236,E10A180,00550,0100,12/01/2000 19236,S000000,00100,0200,12/01/2000 19236,S200000,00100,0100,2601 EAST CRAWFORD STREET 19236,S200000,00200,0100,SALINA 19236,S200000,00200,0200,KS 19236,S200000,00200,0300,67401- 19236,S200000,00300,0100,SALINE 19236,S200000,00300,0300,R 19236,S200000,00400,0100,SALINA PRESBYTERIAN MANOR 19236,S200000,00400,0200,175300 19236,S200000,00400,0300,07/01/1994 19236,S200000,00400,0500,P 19236,S200000,01500,0100,Y 19236,S200000,01900,0100,N 19236,S700003,00000,0200,2 19242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19242,A000000,00300,0000,00300EMPLOYEE BENEFITS 19242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19242,A000000,00700,0000,00700HOUSEKEEPING 19242,A000000,00800,0000,00800DIETARY 19242,A000000,01300,0000,01300SOCIAL SERVICE 19242,A000000,01350,0000,01500OTHER GENERAL SERVICES 19242,A000000,01600,0000,01600SKILLED NURSING FACILITY 19242,A000000,02100,0000,02100RADIOLOGY 19242,A000000,02200,0000,02200LABORATORY 19242,A000000,02500,0000,02500PHYSICAL THERAPY 19242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19242,A000000,02700,0000,02700SPEECH PATHOLOGY 19242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19242,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19242,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19242,A81000A,00100,0100,Y 19242,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19242,A81000B,00200,0300,CAPITAL 19242,A81000B,00300,0300,INTEREST 19242,A81000C,00100,0100,B 19242,A81000C,00100,0400,PRESBYTERIAN MA 19242,E10A180,00501,0100,12/19/2000 19242,E10A180,00501,0300,12/19/2000 19242,S000000,00100,0200,12/06/2000 19242,S200000,00100,0100,4700 WEST 13TH 19242,S200000,00200,0100,WICHITA 19242,S200000,00200,0200,KS 19242,S200000,00200,0300,67212- 19242,S200000,00300,0100,SEDGWICK 19242,S200000,00300,0300,U 19242,S200000,00400,0100,WICHITA PRESBYTERIAN MANOR 19242,S200000,00400,0200,175301 19242,S200000,00400,0300,07/01/1994 19242,S200000,00400,0500,P 19242,S200000,01500,0100,Y 19242,S200000,01900,0100,N 19242,S700003,00000,0200,2 19249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19249,A000000,00300,0000,00300EMPLOYEE BENEFITS 19249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19249,A000000,00700,0000,00700HOUSEKEEPING 19249,A000000,00800,0000,00800DIETARY 19249,A000000,01300,0000,01300SOCIAL SERVICE 19249,A000000,01350,0000,01500OTHER GENERAL SERVICES 19249,A000000,01600,0000,01600SKILLED NURSING FACILITY 19249,A000000,02100,0000,02100RADIOLOGY 19249,A000000,02200,0000,02200LABORATORY 19249,A000000,02500,0000,02500PHYSICAL THERAPY 19249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19249,A000000,02700,0000,02700SPEECH PATHOLOGY 19249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19249,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19249,A81000A,00100,0100,Y 19249,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19249,A81000B,00200,0300,CAPITAL 19249,A81000B,00300,0300,INTEREST 19249,A81000C,00100,0100,B 19249,A81000C,00100,0400,PRESBYTERIAN MA 19249,E10A180,00501,0100,12/15/2000 19249,E10A180,00501,0300,12/15/2000 19249,E10A180,00502,0100,03/23/2001 19249,S000000,00100,0200,12/01/2000 19249,S200000,00100,0100,1200 EAST 7TH STREET 19249,S200000,00200,0100,NEWTON 19249,S200000,00200,0200,KS 19249,S200000,00200,0300,67114- 19249,S200000,00300,0100,HARVEY 19249,S200000,00300,0300,U 19249,S200000,00400,0100,NEWTON PRESBYTERIAN MANOR 19249,S200000,00400,0200,175302 19249,S200000,00400,0300,07/01/1994 19249,S200000,00400,0500,P 19249,S200000,01500,0100,Y 19249,S200000,01900,0100,N 19249,S700003,00000,0200,2 19255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19255,A000000,00300,0000,00300EMPLOYEE BENEFITS 19255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19255,A000000,00700,0000,00700HOUSEKEEPING 19255,A000000,00800,0000,00800DIETARY 19255,A000000,01300,0000,01300SOCIAL SERVICE 19255,A000000,01350,0000,01500OTHER GENERAL SERVICES 19255,A000000,01600,0000,01600SKILLED NURSING FACILITY 19255,A000000,02100,0000,02100RADIOLOGY 19255,A000000,02200,0000,02200LABORATORY 19255,A000000,02500,0000,02500PHYSICAL THERAPY 19255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19255,A000000,02700,0000,02700SPEECH PATHOLOGY 19255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19255,A81000A,00100,0100,Y 19255,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19255,A81000B,00200,0300,CAPITAL 19255,A81000B,00300,0300,INTEREST 19255,A81000C,00100,0100,B 19255,A81000C,00100,0400,PRESBYTERIAN MA 19255,E10A180,00501,0100,12/12/2000 19255,E10A180,00501,0300,12/12/2000 19255,S000000,00100,0200,12/04/2000 19255,S200000,00100,0100,3501 DIRR AVENUE 19255,S200000,00200,0100,PARSONS 19255,S200000,00200,0200,KS 19255,S200000,00200,0300,67357- 19255,S200000,00300,0100,LABETTE 19255,S200000,00300,0300,R 19255,S200000,00400,0100,PARSONS PRESBYTERIAN MANOR 19255,S200000,00400,0200,175303 19255,S200000,00400,0300,07/01/1994 19255,S200000,00400,0500,P 19255,S200000,01500,0100,Y 19255,S200000,01900,0100,N 19255,S700003,00000,0200,2 19263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19263,A000000,00300,0000,00300EMPLOYEE BENEFITS 19263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19263,A000000,00700,0000,00700HOUSEKEEPING 19263,A000000,00800,0000,00800DIETARY 19263,A000000,01300,0000,01300SOCIAL SERVICE 19263,A000000,01350,0000,01500OTHER GENERAL SERVICES 19263,A000000,01600,0000,01600SKILLED NURSING FACILITY 19263,A000000,02100,0000,02100RADIOLOGY 19263,A000000,02200,0000,02200LABORATORY 19263,A000000,02500,0000,02500PHYSICAL THERAPY 19263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19263,A000000,02700,0000,02700SPEECH PATHOLOGY 19263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19263,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19263,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19263,A81000A,00100,0100,Y 19263,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19263,A81000B,00200,0300,CAPITAL 19263,A81000B,00300,0300,INTEREST 19263,A81000C,00100,0100,B 19263,A81000C,00100,0400,PRESBYTERIAN MA 19263,E10A180,00550,0100,12/01/2000 19263,S000000,00100,0200,12/01/2000 19263,S200000,00100,0100,2300 INDUSTRIAL ROAD 19263,S200000,00200,0100,EMPORIA 19263,S200000,00200,0200,KS 19263,S200000,00200,0300,66801- 19263,S200000,00300,0100,LYON 19263,S200000,00300,0300,R 19263,S200000,00400,0100,EMPORIA PRESBYTERIAN MANOR 19263,S200000,00400,0200,175304 19263,S200000,00400,0300,07/01/1994 19263,S200000,00400,0500,P 19263,S200000,01500,0100,Y 19263,S200000,01900,0100,N 19263,S700003,00000,0200,2 19270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19270,A000000,00300,0000,00300EMPLOYEE BENEFITS 19270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19270,A000000,00700,0000,00700HOUSEKEEPING 19270,A000000,00800,0000,00800DIETARY 19270,A000000,01300,0000,01300SOCIAL SERVICE 19270,A000000,01350,0000,01500OTHER GENERAL SERVICES 19270,A000000,01600,0000,01600SKILLED NURSING FACILITY 19270,A000000,02100,0000,02100RADIOLOGY 19270,A000000,02200,0000,02200LABORATORY 19270,A000000,02500,0000,02500PHYSICAL THERAPY 19270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19270,A000000,02700,0000,02700SPEECH PATHOLOGY 19270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19270,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19270,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19270,A81000A,00100,0100,Y 19270,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19270,A81000B,00200,0300,CAPITAL 19270,A81000B,00300,0300,INTEREST 19270,A81000C,00100,0100,B 19270,A81000C,00100,0400,PRESBYTERIAN MA 19270,E10A180,00501,0100,12/07/2000 19270,S000000,00100,0200,12/01/2000 19270,S200000,00100,0100,1429 KASOLD DRIVE 19270,S200000,00200,0100,LAWRENCE 19270,S200000,00200,0200,KS 19270,S200000,00200,0300,66049- 19270,S200000,00300,0100,DOUGLAS 19270,S200000,00300,0300,U 19270,S200000,00400,0100,LAWRENCE PRESBYTERIAN MANOR 19270,S200000,00400,0200,175305 19270,S200000,00400,0300,07/01/1994 19270,S200000,00400,0500,P 19270,S200000,01500,0100,Y 19270,S200000,01900,0100,N 19270,S700003,00000,0200,2 19280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19280,A000000,00300,0000,00300EMPLOYEE BENEFITS 19280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19280,A000000,00700,0000,00700HOUSEKEEPING 19280,A000000,00800,0000,00800DIETARY 19280,A000000,01300,0000,01300SOCIAL SERVICE 19280,A000000,01350,0000,01500OTHER GENERAL SERVICES 19280,A000000,01600,0000,01600SKILLED NURSING FACILITY 19280,A000000,02100,0000,02100RADIOLOGY 19280,A000000,02200,0000,02200LABORATORY 19280,A000000,02500,0000,02500PHYSICAL THERAPY 19280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19280,A000000,02700,0000,02700SPEECH PATHOLOGY 19280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19280,A81000A,00100,0100,Y 19280,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19280,A81000B,00200,0300,CAPITAL 19280,A81000B,00300,0300,INTEREST 19280,A81000C,00100,0100,B 19280,A81000C,00100,0400,PRESBYTERIAN MA 19280,E10A180,00550,0100,12/01/2000 19280,S000000,00100,0200,12/01/2000 19280,S200000,00100,0100,200 CAMPUS DRIVE 19280,S200000,00200,0100,DODGE CITY 19280,S200000,00200,0200,KS 19280,S200000,00200,0300,67801- 19280,S200000,00300,0100,FORD 19280,S200000,00300,0300,R 19280,S200000,00400,0100,MANOR OF THE PLAINS 19280,S200000,00400,0200,175306 19280,S200000,00400,0300,07/01/1994 19280,S200000,00400,0500,P 19280,S200000,01500,0100,Y 19280,S200000,01900,0100,N 19280,S700003,00000,0200,2 19289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19289,A000000,00300,0000,00300EMPLOYEE BENEFITS 19289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19289,A000000,00700,0000,00700HOUSEKEEPING 19289,A000000,00800,0000,00800DIETARY 19289,A000000,00900,0000,00900NURSING ADMINISTRATION 19289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19289,A000000,01100,0000,01100PHARMACY 19289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19289,A000000,01300,0000,01300SOCIAL SERVICE 19289,A000000,01350,0000,01500OTHER GENERAL SERVICES 19289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19289,A000000,01600,0000,01600SKILLED NURSING FACILITY 19289,A000000,01800,0000,01800NURSING FACILITY 19289,A000000,01900,0000,01900OTHER LONG TERM CARE 19289,A000000,02100,0000,02100RADIOLOGY 19289,A000000,02200,0000,02200LABORATORY 19289,A000000,02300,0000,02300INTRAVENOUS THERAPY 19289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19289,A000000,02500,0000,02500PHYSICAL THERAPY 19289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19289,A000000,02700,0000,02700SPEECH PATHOLOGY 19289,A000000,02800,0000,02800ELECTROCARDIOLOGY 19289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19289,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19289,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19289,A000000,03200,0000,03200SUPPORT SURFACES 19289,A000000,03400,0000,03400CLINIC 19289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19289,A000000,03500,0000,03500RURAL HEALTH CLINIC 19289,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19289,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19289,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19289,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19289,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19289,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19289,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19289,A000000,04400,0000,04400DME RENTED - HHA 19289,A000000,04500,0000,04500DME SOLD - HHA 19289,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19289,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19289,A000000,04750,0000,05100OSP 19289,A000000,04800,0000,04800AMBULANCE 19289,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19289,A000000,05000,0000,05000CORF 19289,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19289,A000000,05300,0000,05300INTEREST EXPENSE 19289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19289,A000000,05500,0000,05500HOSPICE 19289,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19289,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19289,A000000,06100,0000,06100NONPAID WORKERS 19289,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19289,A000000,06200,0000,06200PATIENTS LAUNDRY 19289,A81000A,00100,0100,Y 19289,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19289,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19289,A81000B,00903,0300,POOLED -- HOME OFFICE 19289,A81000C,00100,0100,B 19289,A81000C,00100,0200,MEDICALODGES I 19289,A81000C,00100,0600,HEALTH CARE 19289,E10A180,00301,0100,09/17/1999 19289,E10A180,00501,0100,04/12/2000 19289,E10A180,00501,0300,04/12/2000 19289,S000000,00100,0200,04/04/2000 19289,S200000,00100,0100,6261 LEAVNWORTH ROAD 19289,S200000,00200,0100,KANSAS CITY 19289,S200000,00200,0200,KS 19289,S200000,00200,0300,66104-1400 19289,S200000,00300,0100,WYANDOTTE 19289,S200000,00400,0100,MEDICALODGE EAST OF KANSAS CITY 19289,S200000,00400,0200,175307 19289,S200000,00400,0300,08/01/1994 19289,S200000,00400,0500,P 19289,S200000,01600,0100,Y 19289,S700003,00000,0100,1 19293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19293,A000000,00300,0000,00300EMPLOYEE BENEFITS 19293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19293,A000000,00700,0000,00700HOUSEKEEPING 19293,A000000,00800,0000,00800DIETARY 19293,A000000,00900,0000,00900NURSING ADMINISTRATION 19293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19293,A000000,01100,0000,01100PHARMACY 19293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19293,A000000,01300,0000,01300SOCIAL SERVICE 19293,A000000,01350,0000,01500OTHER GENERAL SERVICES 19293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19293,A000000,01600,0000,01600SKILLED NURSING FACILITY 19293,A000000,01800,0000,01800NURSING FACILITY 19293,A000000,01900,0000,01900OTHER LONG TERM CARE 19293,A000000,02100,0000,02100RADIOLOGY 19293,A000000,02200,0000,02200LABORATORY 19293,A000000,02300,0000,02300INTRAVENOUS THERAPY 19293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19293,A000000,02500,0000,02500PHYSICAL THERAPY 19293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19293,A000000,02700,0000,02700SPEECH PATHOLOGY 19293,A000000,02800,0000,02800ELECTROCARDIOLOGY 19293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19293,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19293,A000000,03200,0000,03200SUPPORT SURFACES 19293,A000000,03400,0000,03400CLINIC 19293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19293,A000000,03500,0000,03500RURAL HEALTH CLINIC 19293,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19293,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19293,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19293,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19293,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19293,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19293,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19293,A000000,04400,0000,04400DME RENTED - HHA 19293,A000000,04500,0000,04500DME SOLD - HHA 19293,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19293,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19293,A000000,04750,0000,05100OSP 19293,A000000,04800,0000,04800AMBULANCE 19293,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19293,A000000,05000,0000,05000CORF 19293,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19293,A000000,05300,0000,05300INTEREST EXPENSE 19293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19293,A000000,05500,0000,05500HOSPICE 19293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19293,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19293,A000000,06100,0000,06100NONPAID WORKERS 19293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19293,A000000,06200,0000,06200PATIENTS LAUNDRY 19293,A81000A,00100,0100,Y 19293,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19293,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19293,A81000B,00903,0300,POOLED -- HOME OFFICE 19293,A81000C,00100,0100,B 19293,A81000C,00100,0200,MEDICALODGES I 19293,A81000C,00100,0600,HEALTH CARE 19293,E10A180,00301,0100,09/17/1999 19293,E10A180,00501,0100,04/12/2000 19293,E10A180,00501,0300,04/12/2000 19293,S000000,00100,0200,04/04/2000 19293,S200000,00100,0100,6501 GREELEY 19293,S200000,00200,0100,KANSAS CITY 19293,S200000,00200,0200,KS 19293,S200000,00200,0300,66104-2648 19293,S200000,00300,0100,WYANDOTTE 19293,S200000,00400,0100,ALZHEIMERS CENTER OF KANSAS CITY 19293,S200000,00400,0200,175308 19293,S200000,00400,0300,07/01/1994 19293,S200000,00400,0500,P 19293,S200000,01600,0100,Y 19293,S700003,00000,0100,1 19298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19298,A000000,00300,0000,00300EMPLOYEE BENEFITS 19298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19298,A000000,00700,0000,00700HOUSEKEEPING 19298,A000000,00800,0000,00800DIETARY 19298,A000000,01300,0000,01300SOCIAL SERVICE 19298,A000000,01350,0000,01500OTHER GENERAL SERVICES 19298,A000000,01600,0000,01600SKILLED NURSING FACILITY 19298,A000000,02100,0000,02100RADIOLOGY 19298,A000000,02200,0000,02200LABORATORY 19298,A000000,02500,0000,02500PHYSICAL THERAPY 19298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19298,A000000,02700,0000,02700SPEECH PATHOLOGY 19298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19298,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19298,A81000A,00100,0100,Y 19298,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19298,A81000B,00200,0300,CAPITAL 19298,A81000B,00300,0300,INTEREST 19298,A81000C,00100,0100,B 19298,A81000C,00100,0400,PRESBYTERIAN MA 19298,E10A180,00501,0100,12/07/2000 19298,E10A180,00501,0300,12/07/2000 19298,S000000,00100,0200,12/01/2000 19298,S200000,00100,0100,711 NORTH 4TH 19298,S200000,00200,0100,ARKANSAS CITY 19298,S200000,00200,0200,KS 19298,S200000,00200,0300,67005- 19298,S200000,00300,0100,COWLEY 19298,S200000,00300,0300,R 19298,S200000,00400,0100,ARKANSAS CITY PRESBYTERIAN MANOR 19298,S200000,00400,0200,175309 19298,S200000,00400,0300,07/01/1994 19298,S200000,00400,0500,P 19298,S200000,01500,0100,Y 19298,S200000,01900,0100,N 19298,S700003,00000,0200,2 19305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19305,A000000,00300,0000,00300EMPLOYEE BENEFITS 19305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19305,A000000,00700,0000,00700HOUSEKEEPING 19305,A000000,00800,0000,00800DIETARY 19305,A000000,01300,0000,01300SOCIAL SERVICE 19305,A000000,01350,0000,01500OTHER GENERAL SERVICES 19305,A000000,01600,0000,01600SKILLED NURSING FACILITY 19305,A000000,02100,0000,02100RADIOLOGY 19305,A000000,02200,0000,02200LABORATORY 19305,A000000,02500,0000,02500PHYSICAL THERAPY 19305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19305,A000000,02700,0000,02700SPEECH PATHOLOGY 19305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19305,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19305,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19305,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19305,A81000A,00100,0100,Y 19305,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19305,A81000B,00200,0300,CAPITAL 19305,A81000C,00100,0100,B 19305,A81000C,00100,0400,PRESBYTERIAN MA 19305,S000000,00100,0200,12/01/2000 19305,S200000,00100,0100,924 8TH STREET 19305,S200000,00200,0100,CLAY CENTER 19305,S200000,00200,0200,KS 19305,S200000,00200,0300,67432- 19305,S200000,00300,0100,CLAY 19305,S200000,00300,0300,R 19305,S200000,00400,0100,CLAY CENTER PRESBYTERIAN MANOR 19305,S200000,00400,0200,175310 19305,S200000,00400,0300,07/01/1994 19305,S200000,00400,0500,P 19305,S200000,01500,0100,Y 19305,S200000,01900,0100,N 19313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19313,A000000,00300,0000,00300EMPLOYEE BENEFITS 19313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19313,A000000,00700,0000,00700HOUSEKEEPING 19313,A000000,00800,0000,00800DIETARY 19313,A000000,00900,0000,00900NURSING ADMINISTRATION 19313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19313,A000000,01100,0000,01100PHARMACY 19313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19313,A000000,01300,0000,01300SOCIAL SERVICE 19313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19313,A000000,01600,0000,01600SKILLED NURSING FACILITY 19313,A000000,01800,0000,01800NURSING FACILITY 19313,A000000,02100,0000,02100RADIOLOGY 19313,A000000,02300,0000,02300INTRAVENOUS THERAPY 19313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19313,A000000,02500,0000,02500PHYSICAL THERAPY 19313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19313,A000000,02700,0000,02700SPEECH PATHOLOGY 19313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19313,A000000,05000,0000,05000CORF 19313,A000000,05010,0000,05010CMHC 19313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19313,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19313,A81000A,00100,0100,Y 19313,A81000B,00901,0300,MANAGEMENT FEES 19313,A81000C,00100,0100,A 19313,A81000C,00100,0200,MICHAEL WILCOX 19313,A81000C,00100,0400,PHS INC. 19313,A81000C,00100,0600,MANAGEMENT COMP 19313,A81000C,00200,0100,A 19313,A81000C,00200,0200,VIRGIL GORACKE 19313,A81000C,00200,0400,PHS INC. 19313,A81000C,00200,0600,MANAGEMENT COMP 19313,A81000C,00300,0100,A 19313,A81000C,00300,0200,DOUGLAS GORACKE 19313,A81000C,00300,0400,PHS INC. 19313,A81000C,00300,0600,MANAGEMENT COMP 19313,E10A180,00301,0100,01/07/1999 19313,E10A180,00501,0100,06/01/2000 19313,E10A180,00550,0300,06/01/2000 19313,S000000,00100,0200,05/26/2000 19313,S200000,00100,0100,401 PROSPECT PLACE 19313,S200000,00200,0100,BURLINGAME 19313,S200000,00200,0200,KS 19313,S200000,00200,0300,66413 19313,S200000,00300,0100,OSAGE 19313,S200000,00300,0300,R 19313,S200000,00400,0100,MANOR OF BURLINGAME INC. 19313,S200000,00400,0200,175312 19313,S200000,00400,0300,09/01/1994 19313,S200000,00400,0500,P 19313,S200000,01600,0100,Y 19313,S700003,00000,0100,1 19322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19322,A000000,00300,0000,00300EMPLOYEE BENEFITS 19322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19322,A000000,00700,0000,00700HOUSEKEEPING 19322,A000000,00800,0000,00800DIETARY 19322,A000000,00900,0000,00900NURSING ADMINISTRATION 19322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19322,A000000,01100,0000,01100PHARMACY 19322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19322,A000000,01300,0000,01300SOCIAL SERVICE 19322,A000000,01350,0000,01500OTHER GENERAL SERVICES 19322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19322,A000000,01600,0000,01600SKILLED NURSING FACILITY 19322,A000000,01800,0000,01800NURSING FACILITY 19322,A000000,01900,0000,01900OTHER LONG TERM CARE 19322,A000000,02100,0000,02100RADIOLOGY 19322,A000000,02200,0000,02200LABORATORY 19322,A000000,02300,0000,02300INTRAVENOUS THERAPY 19322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19322,A000000,02500,0000,02500PHYSICAL THERAPY 19322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19322,A000000,02700,0000,02700SPEECH PATHOLOGY 19322,A000000,02800,0000,02800ELECTROCARDIOLOGY 19322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19322,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19322,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19322,A000000,03200,0000,03200SUPPORT SURFACES 19322,A000000,03400,0000,03400CLINIC 19322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19322,A000000,03500,0000,03500RURAL HEALTH CLINIC 19322,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19322,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19322,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19322,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19322,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19322,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19322,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19322,A000000,04400,0000,04400DME RENTED - HHA 19322,A000000,04500,0000,04500DME SOLD - HHA 19322,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19322,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19322,A000000,04750,0000,05100OSP 19322,A000000,04800,0000,04800AMBULANCE 19322,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19322,A000000,05000,0000,05000CORF 19322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19322,A000000,05300,0000,05300INTEREST EXPENSE 19322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19322,A000000,05500,0000,05500HOSPICE 19322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19322,A000000,06100,0000,06100NONPAID WORKERS 19322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19322,A000000,06200,0000,06200PATIENTS LAUNDRY 19322,A81000A,00100,0100,Y 19322,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19322,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19322,A81000B,00903,0300,POOLED -- HOME OFFICE 19322,A81000B,00904,0300,POOLED -- CAPITAL RELATED 19322,A81000B,00905,0300,POOLED -- CAPITAL RELATED 19322,A81000B,00906,0300,POOLED -- HOME OFFICE 19322,A81000C,00100,0100,B 19322,A81000C,00100,0200,MEDICALODGES I 19322,A81000C,00100,0600,HEALTH CARE 19322,E10A180,00301,0100,09/17/1999 19322,E10A180,00501,0300,04/12/2000 19322,E10A180,00550,0100,04/12/2000 19322,H510100,02400,0000,9917 19322,S000000,00100,0200,04/04/2000 19322,S200000,00100,0100,203 EAST OSAGE 19322,S200000,00200,0100,ARKANSAS CITY 19322,S200000,00200,0200,KS 19322,S200000,00200,0300,67005-0878 19322,S200000,00300,0100,COWLEY 19322,S200000,00400,0100,MEDICALODGE EAST HEALTHCARE CENTER 19322,S200000,00400,0200,175313 19322,S200000,00400,0300,08/01/1994 19322,S200000,00400,0500,P 19322,S200000,00800,0200,177292 19322,S200000,00800,0300,01/04/1996 19322,S200000,00800,0500,P 19322,S200000,01600,0100,Y 19322,S700003,00000,0100,1 19334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19334,A000000,00300,0000,00300EMPLOYEE BENEFITS 19334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19334,A000000,00700,0000,00700HOUSEKEEPING 19334,A000000,00800,0000,00800DIETARY 19334,A000000,00900,0000,00900NURSING ADMINISTRATION 19334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19334,A000000,01100,0000,01100PHARMACY 19334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19334,A000000,01300,0000,01300SOCIAL SERVICE 19334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19334,A000000,01600,0000,01600SKILLED NURSING FACILITY 19334,A000000,01800,0000,01800NURSING FACILITY 19334,A000000,02100,0000,02100RADIOLOGY 19334,A000000,02300,0000,02300INTRAVENOUS THERAPY 19334,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19334,A000000,02500,0000,02500PHYSICAL THERAPY 19334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19334,A000000,02700,0000,02700SPEECH PATHOLOGY 19334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19334,A000000,05000,0000,05000CORF 19334,A000000,05010,0000,05010CMHC 19334,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19334,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19334,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19334,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19334,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19334,A81000A,00100,0100,Y 19334,A81000B,00901,0300,MANAGEMENT FEES 19334,A81000C,00100,0100,A 19334,A81000C,00100,0200,MICHAEL WILCOX 19334,A81000C,00100,0400,PHS INC. 19334,A81000C,00100,0600,MANAGEMENT COMP 19334,A81000C,00200,0100,A 19334,A81000C,00200,0200,VIRGIL GORACKE 19334,A81000C,00200,0400,PHS INC. 19334,A81000C,00200,0600,MANAGEMENT COMP 19334,A81000C,00300,0100,A 19334,A81000C,00300,0200,DOUGLAS GORACKE 19334,A81000C,00300,0400,PHS INC. 19334,A81000C,00300,0600,MANAGEMENT COMP 19334,A81000C,00400,0100,A 19334,A81000C,00400,0200,SHARON DURRELL 19334,A81000C,00400,0400,PHS INC. 19334,A81000C,00400,0600,MANAGEMENT COMP 19334,E10A180,00550,0300,05/26/2000 19334,S000000,00100,0200,05/26/2000 19334,S200000,00100,0100,WALNUT & TAGGERT STREET 19334,S200000,00200,0100,NORTONVILLE 19334,S200000,00200,0200,KS 19334,S200000,00200,0300,66060 19334,S200000,00300,0100,JEFFERSON 19334,S200000,00300,0300,R 19334,S200000,00400,0100,MANOR OF NORTONVILLE INC. 19334,S200000,00400,0200,175323 19334,S200000,00400,0300,11/01/1994 19334,S200000,00400,0500,P 19334,S200000,01600,0100,Y 19334,S700003,00000,0100,1 19343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19343,A000000,00300,0000,00300EMPLOYEE BENEFITS 19343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19343,A000000,00700,0000,00700HOUSEKEEPING 19343,A000000,00800,0000,00800DIETARY 19343,A000000,00900,0000,00900NURSING ADMINISTRATION 19343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19343,A000000,01100,0000,01100PHARMACY 19343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19343,A000000,01300,0000,01300SOCIAL SERVICE 19343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19343,A000000,01600,0000,01600SKILLED NURSING FACILITY 19343,A000000,01800,0000,01800NURSING FACILITY 19343,A000000,02100,0000,02100RADIOLOGY 19343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19343,A000000,02500,0000,02500PHYSICAL THERAPY 19343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19343,A000000,02700,0000,02700SPEECH PATHOLOGY 19343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19343,A000000,05000,0000,05000CORF 19343,A000000,05010,0000,05010CMHC 19343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19343,A81000A,00100,0100,Y 19343,A81000B,00100,0300,MANAGEMENT FEES 19343,A81000C,00100,0100,A 19343,A81000C,00100,0200,MICHAEL WILCOX 19343,A81000C,00100,0400,PHS INC. 19343,A81000C,00100,0600,MANAGEMENT COMP 19343,A81000C,00200,0100,A 19343,A81000C,00200,0200,VIRGIL GORACKE 19343,A81000C,00200,0400,PHS INC. 19343,A81000C,00200,0600,MANAGEMENT COMP 19343,A81000C,00300,0100,A 19343,A81000C,00300,0200,DOUGLAS GORACKE 19343,A81000C,00300,0400,PHS INC. 19343,A81000C,00300,0600,MANAGEMENT COMP 19343,A81000C,00400,0100,A 19343,A81000C,00400,0200,SHARON DURRELL 19343,A81000C,00400,0400,PHS INC. 19343,A81000C,00400,0600,MANAGEMENT COMP 19343,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 19343,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 19343,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 19343,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19343,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 19343,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SER 19343,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 19343,B100000,00000,0800,00000(PATIENT DAYS)DIETARY 19343,B100000,00000,0900,00000(PATIENT DAYS)NURSING ADMINISTRAT 19343,B100000,00000,1000,00000(COSTED REQUIS)CENTRAL SERVICES & 19343,B100000,00000,1100,00000(COSTED REQUIS)PHARMACY 19343,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & L 19343,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 19343,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 19343,S000000,00100,0200,05/26/2000 19343,S200000,00100,0100,2813 BROADACRES ROAD 19343,S200000,00200,0100,HUTCHINSON 19343,S200000,00200,0200,KS 19343,S200000,00200,0300,67501 19343,S200000,00300,0100,RENO 19343,S200000,00300,0300,R 19343,S200000,00400,0100,MANOR OF HUTCHINSON INC. 19343,S200000,00400,0200,175331 19343,S200000,00400,0300,12/01/1994 19343,S200000,00400,0500,P 19343,S200000,01600,0100,Y 19343,S700003,00000,0100,1 19350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19350,A000000,00300,0000,00300EMPLOYEE BENEFITS 19350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19350,A000000,00700,0000,00700HOUSEKEEPING 19350,A000000,00800,0000,00800DIETARY 19350,A000000,00900,0000,00900NURSING ADMINISTRATION 19350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19350,A000000,01100,0000,01100PHARMACY 19350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19350,A000000,01300,0000,01300SOCIAL SERVICE 19350,A000000,01350,0000,01500OTHER GENERAL SERVICES 19350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19350,A000000,01600,0000,01600SKILLED NURSING FACILITY 19350,A000000,01800,0000,01800NURSING FACILITY 19350,A000000,01810,0000,01801ICF/MR 19350,A000000,01900,0000,01900OTHER LONG TERM CARE 19350,A000000,02100,0000,02100RADIOLOGY 19350,A000000,02200,0000,02200LABORATORY 19350,A000000,02300,0000,02300INTRAVENOUS THERAPY 19350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19350,A000000,02500,0000,02500PHYSICAL THERAPY 19350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19350,A000000,02700,0000,02700SPEECH PATHOLOGY 19350,A000000,02800,0000,02800ELECTROCARDIOLOGY 19350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19350,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19350,A000000,03200,0000,03200SUPPORT SURFACES 19350,A000000,03400,0000,03400CLINIC 19350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19350,A000000,03500,0000,03500RURAL HEALTH CLINIC 19350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19350,A000000,04400,0000,04400DME RENTED - HHA 19350,A000000,04500,0000,04500DME SOLD - HHA 19350,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19350,A000000,04750,0000,05100OSP 19350,A000000,04800,0000,04800AMBULANCE 19350,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19350,A000000,05000,0000,05000CORF 19350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19350,A000000,05300,0000,05300INTEREST EXPENSE 19350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19350,A000000,05500,0000,05500HOSPICE 19350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19350,A000000,06100,0000,06100NONPAID WORKERS 19350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19350,A000000,06200,0000,06200PATIENTS LAUNDRY 19350,A81000A,00100,0100,Y 19350,A81000B,00100,0300,MANAGEMENT FEES 19350,A81000B,00200,0300,MANAGEMENT FEES 19350,A81000C,00100,0100,B 19350,A81000C,00100,0400,DEACONESS LTC O 19350,A81000C,00100,0600,HOME OFFICE 19350,E10A180,00550,0300,06/09/2000 19350,H510100,02400,0000,9917 19350,H710000,00501,0100,06/09/2000 19350,S000000,00100,0200,05/31/2000 19350,S200000,00100,0100,1100 WEST 15TH 19350,S200000,00200,0100,OTTAWA 19350,S200000,00200,0200,KS 19350,S200000,00200,0300,66067- 19350,S200000,00300,0100,FRANKLIN 19350,S200000,00300,0300,R 19350,S200000,00400,0100,OTTAWA RETIREMENT VILLAGE 19350,S200000,00400,0200,175332 19350,S200000,00400,0300,01/17/1997 19350,S200000,00400,0500,P 19350,S200000,00800,0200,178038 19350,S200000,00800,0300,03/31/1997 19350,S200000,00800,0500,P 19350,S200000,01600,0100,Y 19350,S200000,01900,0100,N 19350,S700003,00000,0400,4 19360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19360,A000000,00300,0000,00300EMPLOYEE BENEFITS 19360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19360,A000000,00700,0000,00700HOUSEKEEPING 19360,A000000,00800,0000,00800DIETARY 19360,A000000,00900,0000,00900NURSING ADMINISTRATION 19360,A000000,01100,0000,01100PHARMACY 19360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19360,A000000,01300,0000,01300SOCIAL SERVICE 19360,A000000,01600,0000,01600SKILLED NURSING FACILITY 19360,A000000,01800,0000,01800NURSING FACILITY 19360,A000000,01810,0000,01810ICF/MR 19360,A000000,01900,0000,01900OTHER LONG TERM CARE 19360,A000000,02100,0000,02100RADIOLOGY 19360,A000000,02200,0000,02200LABORATORY 19360,A000000,02300,0000,02300INTRAVENOUS THERAPY 19360,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19360,A000000,02500,0000,02500PHYSICAL THERAPY 19360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19360,A000000,02700,0000,02700SPEECH PATHOLOGY 19360,A000000,02800,0000,02800ELECTROCARDIOLOGY 19360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19360,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 19360,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19360,A000000,03200,0000,03200SUPPORT SURFACES 19360,A000000,03400,0000,03400CLINIC 19360,A000000,04800,0000,04800AMBULANCE 19360,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19360,A000000,05000,0000,05000CORF 19360,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19360,A000000,05300,0000,05300INTEREST EXPENSE 19360,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19360,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19360,A000000,05500,0000,05500HOSPICE 19360,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19360,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19360,A000000,06100,0000,06100NONPAID WORKERS 19360,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 19360,A000000,06200,0000,06200PATIENTS LAUNDRY 19360,A81000A,00100,0100,Y 19360,A81000B,00100,0300,MANAGEMENT FEE 19360,A81000B,00200,0300,MANAGEMENT FEE 19360,A81000B,00300,0300,MANAGEMENT FEE 19360,A81000B,00400,0300,MANAGEMENT FEE 19360,A81000C,00100,0100,B 19360,A81000C,00100,0200,REAL PROPERTIES 19360,A81000C,00100,0600,REAL ESTATE 19360,S000000,00100,0200,06/02/2000 19360,S200000,00100,0100,700 CHEROKEE 19360,S200000,00100,0300,307 19360,S200000,00200,0100,OSKALOOSA 19360,S200000,00200,0200,KANSAS 19360,S200000,00200,0300,66066 19360,S200000,00300,0100,JEFFERSON 19360,S200000,00300,0300,R 19360,S200000,00400,0100,HICKORY POINTE CARE & REHAB CENTER 19360,S200000,00400,0200,175333 19360,S200000,00400,0300,12/01/1994 19360,S200000,00400,0500,P 19360,S200000,01500,0100,Y 19360,S200000,02800,0100,Y 19360,S700003,00000,0100,1 19366,S000000,00100,0200,05/19/2000 19374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19374,A000000,00300,0000,00300EMPLOYEE BENEFITS 19374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19374,A000000,00700,0000,00700HOUSEKEEPING 19374,A000000,00800,0000,00800DIETARY 19374,A000000,00900,0000,00900NURSING ADMINISTRATION 19374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19374,A000000,01100,0000,01100PHARMACY 19374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19374,A000000,01300,0000,01300SOCIAL SERVICE 19374,A000000,01350,0000,01500OTHER GENERAL SERVICES 19374,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19374,A000000,01600,0000,01600SKILLED NURSING FACILITY 19374,A000000,01800,0000,01800NURSING FACILITY 19374,A000000,01810,0000,01801ICF/MR 19374,A000000,01900,0000,01900OTHER LONG TERM CARE 19374,A000000,02100,0000,02100RADIOLOGY 19374,A000000,02200,0000,02200LABORATORY 19374,A000000,02300,0000,02300INTRAVENOUS THERAPY 19374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19374,A000000,02500,0000,02500PHYSICAL THERAPY 19374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19374,A000000,02700,0000,02700SPEECH PATHOLOGY 19374,A000000,02800,0000,02800ELECTROCARDIOLOGY 19374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19374,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19374,A000000,03200,0000,03200SUPPORT SURFACES 19374,A000000,03400,0000,03400CLINIC 19374,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19374,A000000,03500,0000,03500RURAL HEALTH CLINIC 19374,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19374,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19374,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19374,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19374,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19374,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19374,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19374,A000000,04400,0000,04400DME RENTED - HHA 19374,A000000,04500,0000,04500DME SOLD - HHA 19374,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19374,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19374,A000000,04750,0000,05100OSP 19374,A000000,04800,0000,04800AMBULANCE 19374,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19374,A000000,05000,0000,05000CORF 19374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19374,A000000,05300,0000,05300INTEREST EXPENSE 19374,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19374,A000000,05500,0000,05500HOSPICE 19374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19374,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19374,A000000,06100,0000,06100NONPAID WORKERS 19374,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19374,A000000,06200,0000,06200PATIENTS LAUNDRY 19374,A81000A,00100,0100,Y 19374,A81000B,00901,0300,MGMT FEES/HOME OFFICE 19374,A81000C,00100,0100,A 19374,A81000C,00100,0200,TOM REDDYARK 19374,A81000C,00100,0400,VINTAGE PARK CE 19374,A81000C,00100,0600,MANAGEMENT AND 19374,E10A180,00501,0100,06/20/2000 19374,E10A180,00501,0300,06/20/2000 19374,S000000,00100,0200,06/01/2000 19374,S200000,00100,0100,1223 ORCHARD LANE 19374,S200000,00200,0100,BALDWIN CITY 19374,S200000,00200,0200,KS 19374,S200000,00200,0300,66006- 19374,S200000,00300,0100,DOUGLAS 19374,S200000,00300,0300,R 19374,S200000,00400,0100,BALDWIN CARE CENTER 19374,S200000,00400,0200,175338 19374,S200000,00400,0300,04/01/1996 19374,S200000,00400,0500,P 19374,S200000,01600,0100,Y 19374,S200000,01900,0100,N 19374,S700003,00000,0100,1 19392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19392,A000000,00300,0000,00300EMPLOYEE BENEFITS 19392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19392,A000000,00501,0000,00501OPERATION OF PLANT 19392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19392,A000000,00700,0000,00700HOUSEKEEPING 19392,A000000,00800,0000,00800DIETARY 19392,A000000,00900,0000,00900NURSING ADMINISTRATION 19392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19392,A000000,01100,0000,01100PHARMACY 19392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19392,A000000,01300,0000,01300SOCIAL SERVICE 19392,A000000,01301,0000,01301PROGRAM RECREATION 19392,A000000,01350,0000,01500HEALTH CENTER ACTIVITIES 19392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19392,A000000,01600,0000,01600SKILLED NURSING FACILITY 19392,A000000,01800,0000,01800NURSING FACILITY 19392,A000000,01900,0000,01900OTHER LONG TERM CARE 19392,A000000,02100,0000,02100RADIOLOGY 19392,A000000,02200,0000,02200LABORATORY 19392,A000000,02300,0000,02300INTRAVENOUS THERAPY 19392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19392,A000000,02500,0000,02500PHYSICAL THERAPY 19392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19392,A000000,02700,0000,02700SPEECH PATHOLOGY 19392,A000000,02800,0000,02800ELECTROCARDIOLOGY 19392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19392,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19392,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19392,A000000,03200,0000,03200SUPPORT SURFACES 19392,A000000,03400,0000,03400CLINIC 19392,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19392,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19392,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19392,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19392,A000000,04750,0000,05100OSP 19392,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19392,A000000,05300,0000,05300INTEREST EXPENSE 19392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19392,A000000,05500,0000,05500HOSPICE 19392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19392,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19392,A000000,06100,0000,06100NONPAID WORKERS 19392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19392,A000000,06200,0000,06200PATIENTS LAUNDRY 19392,A81000A,00100,0100,Y 19392,A81000B,00100,0300,CAPITAL RELATED COSTS 19392,A81000B,00200,0300,CORPORATE GENERAL EXP 19392,A81000C,00100,0100,G 19392,A81000C,00100,0200,CORPORATE COSTS 19392,A81000C,00100,0400,UNITED METHODIS 19392,A81000C,00100,0600,ELDERLY HOUSING 19392,S000000,00100,0200,06/01/2000 19392,S200000,00100,0100,7220 S.W. ASBURY DRIVE 19392,S200000,00200,0100,TOPEKA 19392,S200000,00200,0200,KS 19392,S200000,00200,0300,66614- 19392,S200000,00300,0100,SHAWNEE 19392,S200000,00300,0300,U 19392,S200000,00400,0100,ALDERSGATE VILLAGE 19392,S200000,00400,0200,175340 19392,S200000,00400,0300,02/02/1995 19392,S200000,00400,0500,P 19392,S200000,01600,0100,Y 19392,S200000,01900,0100,N 19392,S200000,02200,0100,Y 19392,S700003,00000,0100,1 19402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19402,A000000,00300,0000,00300EMPLOYEE BENEFITS 19402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19402,A000000,00700,0000,00700HOUSEKEEPING 19402,A000000,00800,0000,00800DIETARY 19402,A000000,00900,0000,00900NURSING ADMINISTRATION 19402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19402,A000000,01100,0000,01100PHARMACY 19402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19402,A000000,01300,0000,01300SOCIAL SERVICE 19402,A000000,01350,0000,01500OTHER GENERAL SERVICES 19402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19402,A000000,01600,0000,01600SKILLED NURSING FACILITY 19402,A000000,01800,0000,01800NURSING FACILITY 19402,A000000,01810,0000,01801ICF/MR 19402,A000000,01900,0000,01900OTHER LONG TERM CARE 19402,A000000,02100,0000,02100RADIOLOGY 19402,A000000,02200,0000,02200LABORATORY 19402,A000000,02300,0000,02300INTRAVENOUS THERAPY 19402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19402,A000000,02500,0000,02500PHYSICAL THERAPY 19402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19402,A000000,02700,0000,02700SPEECH PATHOLOGY 19402,A000000,02800,0000,02800ELECTROCARDIOLOGY 19402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19402,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19402,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19402,A000000,03200,0000,03200SUPPORT SURFACES 19402,A000000,03400,0000,03400CLINIC 19402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19402,A000000,03500,0000,03500RURAL HEALTH CLINIC 19402,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19402,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19402,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19402,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19402,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19402,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19402,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19402,A000000,04400,0000,04400DME RENTED - HHA 19402,A000000,04500,0000,04500DME SOLD - HHA 19402,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19402,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19402,A000000,04750,0000,05100OSP 19402,A000000,04800,0000,04800AMBULANCE 19402,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19402,A000000,05000,0000,05000CORF 19402,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19402,A000000,05300,0000,05300INTEREST EXPENSE 19402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19402,A000000,05500,0000,05500HOSPICE 19402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19402,A000000,06100,0000,06100NONPAID WORKERS 19402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19402,A000000,06200,0000,06200PATIENTS LAUNDRY 19402,E10A180,00301,0100,12/13/1999 19402,E10A180,00501,0100,06/09/2000 19402,E10A180,00501,0300,06/09/2000 19402,S000000,00100,0200,06/02/2000 19402,S200000,00100,0100,5808 W. 8TH 19402,S200000,00200,0100,WICHITA 19402,S200000,00200,0200,KS 19402,S200000,00200,0300,67212- 19402,S200000,00300,0100,SEDGWICK 19402,S200000,00300,0300,U 19402,S200000,00400,0100,SANDPIPER BAY HEALTH CARE CENTER 19402,S200000,00400,0200,175344 19402,S200000,00400,0300,05/01/1995 19402,S200000,00400,0500,P 19402,S200000,01600,0100,Y 19402,S200000,01900,0100,N 19402,S700003,00000,0100,1 19410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19410,A000000,00300,0000,00300EMPLOYEE BENEFITS 19410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19410,A000000,00700,0000,00700HOUSEKEEPING 19410,A000000,00800,0000,00800DIETARY 19410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19410,A000000,01300,0000,01300SOCIAL SERVICE 19410,A000000,01600,0000,01600SKILLED NURSING FACILITY 19410,A000000,01800,0000,01800NURSING FACILITY 19410,A000000,01810,0000,01801ICF/MR 19410,A000000,01900,0000,01900OTHER LONG TERM CARE 19410,A000000,02100,0000,02100RADIOLOGY 19410,A000000,02200,0000,02200LABORATORY 19410,A000000,02300,0000,02300INTRAVENOUS THERAPY 19410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19410,A000000,02500,0000,02500PHYSICAL THERAPY 19410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19410,A000000,02700,0000,02700SPEECH PATHOLOGY 19410,A000000,02800,0000,02800ELECTROCARDIOLOGY 19410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19410,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19410,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19410,A000000,03200,0000,03200SUPPORT SURFACES 19410,A000000,03400,0000,03400CLINIC 19410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19410,A000000,03500,0000,03500RURAL HEALTH CLINIC 19410,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19410,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19410,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19410,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19410,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19410,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19410,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19410,A000000,04400,0000,04400DME RENTED - HHA 19410,A000000,04500,0000,04500DME SOLD - HHA 19410,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19410,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19410,A000000,04750,0000,05100OSP 19410,A000000,04800,0000,04800AMBULANCE 19410,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19410,A000000,05000,0000,05000CORF 19410,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19410,A000000,05300,0000,05300INTEREST EXPENSE 19410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19410,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19410,A000000,05500,0000,05500HOSPICE 19410,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19410,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19410,A000000,06100,0000,06100NONPAID WORKERS 19410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19410,A000000,06200,0000,06200PATIENTS LAUNDRY 19410,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19410,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19410,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19410,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19410,B100000,00000,0600,00000INPATIENT DAYLAUNDRY & LINEN SERVIC 19410,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19410,B100000,00000,0800,00000INPATIENT DAYDIETARY 19410,B100000,00000,1000,00000INPATIENT DAYCENTRAL SERVICES & SUP 19410,B100000,00000,1200,00000INPATIENT DAYMEDICAL RECORDS & LIBR 19410,B100000,00000,1300,00000INPATIENT DAYSSOCIAL SERVICE 19410,E10A180,00501,0100,06/08/2000 19410,E10A180,00501,0300,06/08/2000 19410,S000000,00100,0200,05/31/2000 19410,S200000,00100,0100,815 N INDEPENDENCE AVENUE 19410,S200000,00200,0100,BELOIT 19410,S200000,00200,0200,KS 19410,S200000,00200,0300,67420- 19410,S200000,00300,0100,MITCHELL 19410,S200000,00400,0100,HILLTOP LOODGE INC 19410,S200000,00400,0200,175348 19410,S200000,00400,0300,07/01/1995 19410,S200000,00400,0500,P 19410,S200000,01600,0100,Y 19410,S200000,01900,0100,N 19410,S200000,02800,0100,Y 19410,S700003,00000,0400,4 19418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19418,A000000,00300,0000,00300EMPLOYEE BENEFITS 19418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19418,A000000,00700,0000,00700HOUSEKEEPING 19418,A000000,00800,0000,00800DIETARY 19418,A000000,00900,0000,00900NURSING ADMINISTRATION 19418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19418,A000000,01100,0000,01100PHARMACY 19418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19418,A000000,01300,0000,01300SOCIAL SERVICE 19418,A000000,01350,0000,01500OTHER GENERAL SERVICES 19418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19418,A000000,01600,0000,01600SKILLED NURSING FACILITY 19418,A000000,01800,0000,01800NURSING FACILITY 19418,A000000,01810,0000,01801ICF/MR 19418,A000000,01900,0000,01900OTHER LONG TERM CARE 19418,A000000,02100,0000,02100RADIOLOGY 19418,A000000,02200,0000,02200LABORATORY 19418,A000000,02300,0000,02300INTRAVENOUS THERAPY 19418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19418,A000000,02500,0000,02500PHYSICAL THERAPY 19418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19418,A000000,02700,0000,02700SPEECH PATHOLOGY 19418,A000000,02800,0000,02800ELECTROCARDIOLOGY 19418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19418,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19418,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19418,A000000,03200,0000,03200SUPPORT SURFACES 19418,A000000,03400,0000,03400CLINIC 19418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19418,A000000,03500,0000,03500RURAL HEALTH CLINIC 19418,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19418,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19418,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19418,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19418,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19418,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19418,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19418,A000000,04400,0000,04400DME RENTED - HHA 19418,A000000,04500,0000,04500DME SOLD - HHA 19418,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19418,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19418,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19418,A000000,04800,0000,04800AMBULANCE 19418,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19418,A000000,05000,0000,05000CORF 19418,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19418,A000000,05300,0000,05300INTEREST EXPENSE 19418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19418,A000000,05500,0000,05500HOSPICE 19418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19418,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19418,A000000,06100,0000,06100NONPAID WORKERS 19418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19418,A000000,06151,0000,06301HOME HEALTH 19418,A000000,06152,0000,06302APARTMENTS/RESIDENTIAL 19418,A000000,06200,0000,06200PATIENTS LAUNDRY 19418,A81000A,00100,0100,Y 19418,A81000B,00200,0300,INTEREST PAYMENTS ON MORTGAGE 19418,A81000B,00300,0300,INSURANCE 19418,A81000B,00400,0300,TAXES 19418,A81000B,00500,0300,DEPRECIATION 19418,A81000B,00600,0300,RENT A/C # 6325 19418,A81000C,00100,0100,B 19418,A81000C,00100,0200,BLUE VALLEY NUR 19418,A81000C,00100,0400,MARYSVILLE HEAL 19418,A81000C,00100,0600,HEALTH CARE ENT 19418,E10A180,00501,0100,03/06/2001 19418,E10A180,00501,0300,03/06/2001 19418,S000000,00100,0200,01/09/2001 19418,S200000,00100,0100,1100 N. 16TH STREET 19418,S200000,00200,0100,MARYSVILLE 19418,S200000,00200,0200,KS 19418,S200000,00200,0300,66508- 19418,S200000,00300,0100,MARSHALL 19418,S200000,00300,0300,R 19418,S200000,00400,0100,CAMBRIDGE PLACE 19418,S200000,00400,0200,175350 19418,S200000,00400,0300,07/01/1995 19418,S200000,00400,0500,P 19418,S200000,00400,0600,O 19418,S200000,01500,0100,Y 19418,S200000,01900,0100,N 19418,S700003,00000,0400,4 19423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19423,A000000,00300,0000,00300EMPLOYEE BENEFITS 19423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19423,A000000,00700,0000,00700HOUSEKEEPING 19423,A000000,00800,0000,00800DIETARY 19423,A000000,00900,0000,00900NURSING ADMINISTRATION 19423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19423,A000000,01100,0000,01100PHARMACY 19423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19423,A000000,01300,0000,01300SOCIAL SERVICE 19423,A000000,01350,0000,01500OTHER GENERAL SERVICES 19423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19423,A000000,01600,0000,01600SKILLED NURSING FACILITY 19423,A000000,01800,0000,01800NURSING FACILITY 19423,A000000,01900,0000,01900OTHER LONG TERM CARE 19423,A000000,02100,0000,02100RADIOLOGY 19423,A000000,02200,0000,02200LABORATORY 19423,A000000,02300,0000,02300INTRAVENOUS THERAPY 19423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19423,A000000,02500,0000,02500PHYSICAL THERAPY 19423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19423,A000000,02700,0000,02700SPEECH PATHOLOGY 19423,A000000,02800,0000,02800ELECTROCARDIOLOGY 19423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19423,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19423,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19423,A000000,03200,0000,03200SUPPORT SURFACES 19423,A000000,03400,0000,03400CLINIC 19423,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19423,A000000,03500,0000,03500RURAL HEALTH CLINIC 19423,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19423,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19423,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19423,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19423,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19423,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19423,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19423,A000000,04400,0000,04400DME RENTED - HHA 19423,A000000,04500,0000,04500DME SOLD - HHA 19423,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19423,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19423,A000000,04750,0000,05100OSP 19423,A000000,04800,0000,04800AMBULANCE 19423,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19423,A000000,05000,0000,05000CORF 19423,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19423,A000000,05300,0000,05300INTEREST EXPENSE 19423,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19423,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19423,A000000,05500,0000,05500HOSPICE 19423,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19423,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19423,A000000,06100,0000,06100NONPAID WORKERS 19423,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19423,A000000,06200,0000,06200PATIENTS LAUNDRY 19423,A81000A,00100,0100,Y 19423,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19423,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19423,A81000B,00903,0300,POOLED -- HOME OFFICE 19423,A81000C,00100,0100,B 19423,A81000C,00100,0200,MEDICALODGES I 19423,A81000C,00100,0600,HEALTH CARE 19423,E10A180,00302,0100,09/17/1999 19423,E10A180,00501,0100,04/11/2000 19423,E10A180,00550,0300,04/11/2000 19423,S000000,00100,0200,04/04/2000 19423,S200000,00100,0100,715 LIBERTY 19423,S200000,00100,0300,517 19423,S200000,00200,0100,CLAY CENTER 19423,S200000,00200,0200,KS 19423,S200000,00200,0300,67432-0517 19423,S200000,00300,0100,CLAY 19423,S200000,00400,0100,MEDICALODGE OF CLAY CENTER 19423,S200000,00400,0200,175351 19423,S200000,00400,0300,05/01/1995 19423,S200000,00400,0500,P 19423,S200000,01600,0100,Y 19423,S700003,00000,0100,1 19428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19428,A000000,00300,0000,00300EMPLOYEE BENEFITS 19428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19428,A000000,00700,0000,00700HOUSEKEEPING 19428,A000000,00800,0000,00800DIETARY 19428,A000000,00900,0000,00900NURSING ADMINISTRATION 19428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19428,A000000,01100,0000,01100PHARMACY 19428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19428,A000000,01300,0000,01300SOCIAL SERVICE 19428,A000000,01350,0000,01500RECREATION 19428,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19428,A000000,01600,0000,01600SKILLED NURSING FACILITY 19428,A000000,01800,0000,01800NURSING FACILITY 19428,A000000,01810,0000,01810ICF/MR 19428,A000000,02200,0000,02200LABORATORY 19428,A000000,02500,0000,02500PHYSICAL THERAPY 19428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19428,A000000,02700,0000,02700SPEECH PATHOLOGY 19428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19428,A000000,03550,0000,03550FQHC 19428,A000000,05000,0000,05000CORF 19428,A000000,05010,0000,05010CMHC 19428,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19428,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19428,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19428,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19428,A81000A,00100,0100,Y 19428,A81000B,00901,0300,HOME OFFICE CAPITAL 19428,A81000B,00902,0300,HOME OFFICE INTEREST 19428,A81000B,00903,0300,HOME OFFICE ADMIN 19428,A81000C,00100,0100,B 19428,A81000C,00100,0200,INFINIA HEALTH 19428,E10A180,00501,0100,06/09/2000 19428,E10A180,00501,0300,06/09/2000 19428,S000000,00100,0200,06/01/2000 19428,S200000,00100,0100,605 EAST MELVIN 19428,S200000,00100,0300,789 19428,S200000,00200,0100,ARMA 19428,S200000,00200,0200,KS 19428,S200000,00200,0300,66712 19428,S200000,00300,0100,CRAWFORD 19428,S200000,00300,0300,R 19428,S200000,00400,0100,POTOMAC OF ARMA 19428,S200000,00400,0200,175353 19428,S200000,00400,0300,08/01/1998 19428,S200000,00400,0500,P 19428,S200000,01600,0100,Y 19428,S200000,01900,0100,Y 19428,S700003,00000,0400,4 19436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19436,A000000,00300,0000,00300EMPLOYEE BENEFITS 19436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19436,A000000,00700,0000,00700HOUSEKEEPING 19436,A000000,00800,0000,00800DIETARY 19436,A000000,00900,0000,00900NURSING ADMINISTRATION 19436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19436,A000000,01100,0000,01100PHARMACY 19436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19436,A000000,01300,0000,01300SOCIAL SERVICE 19436,A000000,01600,0000,01600SKILLED NURSING FACILITY 19436,A000000,01800,0000,01800NURSING FACILITY 19436,A000000,01900,0000,01900OTHER LONG TERM CARE 19436,A000000,02100,0000,02100RADIOLOGY 19436,A000000,02200,0000,02200LABORATORY 19436,A000000,02300,0000,02300INTRAVENOUS THERAPY 19436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19436,A000000,02500,0000,02500PHYSICAL THERAPY 19436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19436,A000000,02700,0000,02700SPEECH PATHOLOGY 19436,A000000,02800,0000,02800ELECTROCARDIOLOGY 19436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19436,A000000,03200,0000,03200SUPPORT SURFACES 19436,A000000,03400,0000,03400CLINIC 19436,A000000,03500,0000,03500RURAL HEALTH CLINIC 19436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19436,A000000,04400,0000,04400DME RENTED - HHA 19436,A000000,04500,0000,04500DME SOLD - HHA 19436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19436,A000000,04800,0000,04800AMBULANCE 19436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19436,A000000,05000,0000,05000CORF 19436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19436,A000000,05300,0000,05300INTEREST EXPENSE 19436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19436,A000000,05500,0000,05500HOSPICE 19436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19436,A000000,06100,0000,06100NONPAID WORKERS 19436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19436,A000000,06200,0000,06200PATIENTS LAUNDRY 19436,E10A180,00501,0100,05/17/2000 19436,E10A180,00501,0300,05/17/2000 19436,S000000,00100,0200,05/09/2000 19436,S200000,00100,0100,11875 S. SUNSET SUITE 200 19436,S200000,00200,0100,OLATHE 19436,S200000,00200,0200,KS 19436,S200000,00200,0300,66061- 19436,S200000,00300,0100,JOHNSON 19436,S200000,00300,0300,U 19436,S200000,00400,0100,JOHNSON COUNTY NURSING CENTER 19436,S200000,00400,0200,175355 19436,S200000,00400,0300,01/01/1996 19436,S200000,00400,0500,P 19436,S200000,01500,0100,Y 19436,S200000,01900,0100,N 19436,S700003,00000,0400,4 19443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19443,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 19443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19443,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 19443,A000000,00300,0000,00300EMPLOYEE BENEFITS 19443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19443,A000000,00700,0000,00700HOUSEKEEPING 19443,A000000,00800,0000,00800DIETARY 19443,A000000,00801,0000,00801CAFETERIA 19443,A000000,00900,0000,00900NURSING ADMINISTRATION 19443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19443,A000000,01100,0000,01100PHARMACY 19443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19443,A000000,01300,0000,01300SOCIAL SERVICE 19443,A000000,01350,0000,01500ACTIVITIES 19443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19443,A000000,01600,0000,01600SKILLED NURSING FACILITY 19443,A000000,01800,0000,01800NURSING FACILITY 19443,A000000,01900,0000,01900OTHER LONG TERM CARE 19443,A000000,02100,0000,02100RADIOLOGY 19443,A000000,02200,0000,02200LABORATORY 19443,A000000,02300,0000,02300INTRAVENOUS THERAPY 19443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19443,A000000,02500,0000,02500PHYSICAL THERAPY 19443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19443,A000000,02700,0000,02700SPEECH PATHOLOGY 19443,A000000,02800,0000,02800ELECTROCARDIOLOGY 19443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19443,A000000,03050,0000,03300OTHER ANCILLARY 19443,A000000,03051,0000,03301OTHER ANCILLARY II 19443,A000000,03052,0000,03302OTHER ANCILLARY III 19443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19443,A000000,03200,0000,03200SUPPORT SURFACES 19443,A000000,03400,0000,03400CLINIC 19443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 19443,A000000,03500,0000,03500RURAL HEALTH CLINIC 19443,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19443,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19443,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19443,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19443,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19443,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19443,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19443,A000000,04400,0000,04400DME RENTED - HHA 19443,A000000,04500,0000,04500DME SOLD - HHA 19443,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19443,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19443,A000000,04750,0000,05100OSP 19443,A000000,04800,0000,04800AMBULANCE 19443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19443,A000000,05000,0000,05000CORF 19443,A000000,05010,0000,05010CMHC I 19443,A000000,05020,0000,05020OPT I 19443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19443,A000000,05300,0000,05300INTEREST EXPENSE 19443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 19443,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 19443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19443,A000000,05500,0000,05500HOSPICE 19443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19443,A000000,06100,0000,06100NONPAID WORKERS 19443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19443,A000000,06200,0000,06200PATIENTS LAUNDRY 19443,A81000A,00100,0100,Y 19443,A81000B,00901,0300,ADMINISTRATOR 19443,A81000B,00902,0300,DIR MARKETING 19443,A81000B,00903,0300,MAINTENANCE 19443,A81000B,00904,0300,ACTIV/BARBER 19443,A81000B,00905,0300,THERAPIST 19443,A81000B,00906,0300,CNA 19443,A81000C,00100,0100,G 19443,A81000C,00100,0200,KEVIN KNAUP 19443,A81000C,00200,0100,G 19443,A81000C,00200,0200,MIKE KNAUP 19443,A81000C,00300,0100,G 19443,A81000C,00300,0200,ANSON KNAUP 19443,A81000C,00400,0100,G 19443,A81000C,00400,0200,RAY KNAUP SR. 19443,A81000C,00500,0100,G 19443,A81000C,00500,0200,DON KNAUP 19443,A81000C,00600,0100,G 19443,A81000C,00600,0200,BRETT KNAUP 19443,A81000C,03100,0000,RELATIVE 19443,E10A180,00501,0100,06/22/2000 19443,E10A180,00501,0300,06/22/2000 19443,S000000,00100,0200,05/31/2000 19443,S200000,00100,0100,206 S. DITTMAN 19443,S200000,00200,0100,FRONTENAC 19443,S200000,00200,0200,KS 19443,S200000,00200,0300,66763-2299 19443,S200000,00300,0100,CRAWFORD 19443,S200000,00300,0300,R 19443,S200000,00400,0100,SUNSET MANOR NURSING CENTER INC. 19443,S200000,00400,0200,175363 19443,S200000,00400,0300,03/01/1996 19443,S200000,00400,0500,P 19443,S200000,01500,0100,Y 19443,S200000,01900,0100,N 19450,S000000,00100,0200,06/05/2000 19459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19459,A000000,00300,0000,00300EMPLOYEE BENEFITS 19459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19459,A000000,00700,0000,00700HOUSEKEEPING 19459,A000000,00800,0000,00800DIETARY 19459,A000000,00900,0000,00900NURSING ADMINISTRATION 19459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19459,A000000,01100,0000,01100PHARMACY 19459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19459,A000000,01300,0000,01300SOCIAL SERVICE 19459,A000000,01350,0000,01500OTHER GENERAL SERVICES 19459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19459,A000000,01600,0000,01600SKILLED NURSING FACILITY 19459,A000000,01800,0000,01800NURSING FACILITY 19459,A000000,01810,0000,01801ICF/MR 19459,A000000,01900,0000,01900OTHER LONG TERM CARE 19459,A000000,02100,0000,02100RADIOLOGY 19459,A000000,02200,0000,02200LABORATORY 19459,A000000,02300,0000,02300INTRAVENOUS THERAPY 19459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19459,A000000,02500,0000,02500PHYSICAL THERAPY 19459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19459,A000000,02700,0000,02700SPEECH PATHOLOGY 19459,A000000,02800,0000,02800ELECTROCARDIOLOGY 19459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19459,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19459,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19459,A000000,03200,0000,03200SUPPORT SURFACES 19459,A000000,03400,0000,03400CLINIC 19459,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19459,A000000,03500,0000,03500RURAL HEALTH CLINIC 19459,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19459,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19459,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19459,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19459,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19459,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19459,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19459,A000000,04400,0000,04400DME RENTED - HHA 19459,A000000,04500,0000,04500DME SOLD - HHA 19459,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19459,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19459,A000000,04750,0000,05100OSP 19459,A000000,04800,0000,04800AMBULANCE 19459,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19459,A000000,05000,0000,05000CORF 19459,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19459,A000000,05300,0000,05300INTEREST EXPENSE 19459,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19459,A000000,05500,0000,05500HOSPICE 19459,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19459,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19459,A000000,06100,0000,06100NONPAID WORKERS 19459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19459,A000000,06200,0000,06200PATIENTS LAUNDRY 19459,S000000,00100,0200,08/08/2000 19459,S200000,00100,0100,109 WEST EMPIRE 19459,S200000,00200,0100,GALENA 19459,S200000,00200,0200,KS 19459,S200000,00200,0300,66739- 19459,S200000,00300,0100,CHEROKEE 19459,S200000,00300,0300,R 19459,S200000,00400,0100,BARKER REST HOME 19459,S200000,00400,0200,175365 19459,S200000,00400,0300,01/11/1996 19459,S200000,00400,0500,P 19459,S200000,01500,0100,Y 19459,S200000,01900,0100,N 19459,S700003,00000,0400,4 19469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19469,A000000,00300,0000,00300EMPLOYEE BENEFITS 19469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19469,A000000,00700,0000,00700HOUSEKEEPING 19469,A000000,00800,0000,00800DIETARY 19469,A000000,00900,0000,00900NURSING ADMINISTRATION 19469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19469,A000000,01100,0000,01100PHARMACY 19469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19469,A000000,01300,0000,01300SOCIAL SERVICE 19469,A000000,01350,0000,01500OTHER GENERAL SERVICES 19469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19469,A000000,01600,0000,01600SKILLED NURSING FACILITY 19469,A000000,01800,0000,01800NURSING FACILITY 19469,A000000,01810,0000,01801ICF/MR 19469,A000000,01900,0000,01900OTHER LONG TERM CARE 19469,A000000,02100,0000,02100RADIOLOGY 19469,A000000,02200,0000,02200LABORATORY 19469,A000000,02300,0000,02300INTRAVENOUS THERAPY 19469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19469,A000000,02500,0000,02500PHYSICAL THERAPY 19469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19469,A000000,02700,0000,02700SPEECH PATHOLOGY 19469,A000000,02800,0000,02800ELECTROCARDIOLOGY 19469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19469,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19469,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19469,A000000,03200,0000,03200SUPPORT SURFACES 19469,A000000,03400,0000,03400CLINIC 19469,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19469,A000000,03500,0000,03500RURAL HEALTH CLINIC 19469,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19469,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19469,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19469,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19469,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19469,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19469,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19469,A000000,04400,0000,04400DME RENTED - HHA 19469,A000000,04500,0000,04500DME SOLD - HHA 19469,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19469,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19469,A000000,04750,0000,05100OSP 19469,A000000,04800,0000,04800AMBULANCE 19469,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19469,A000000,05000,0000,05000CORF 19469,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19469,A000000,05300,0000,05300INTEREST EXPENSE 19469,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19469,A000000,05500,0000,05500HOSPICE 19469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19469,A000000,06100,0000,06100NONPAID WORKERS 19469,A000000,06150,0000,06300HOSPITAL HOME HEALTH 19469,A000000,06151,0000,06301CLINIC 19469,A000000,06200,0000,06200PATIENTS LAUNDRY 19469,A81000A,00100,0100,Y 19469,A81000B,00100,0300,LAB EXPENSE 19469,A81000B,00200,0300,HOSPITAL OVERHEAD COSTS 19469,A81000C,00100,0100,G 19469,A81000C,00100,0200,COMMUNITY HOSPI 19469,E10A180,00550,0300,08/30/2000 19469,S000000,00100,0200,08/30/2000 19469,S200000,00100,0100,FIRST AND MAIN 19469,S200000,00200,0100,CENTRALIA 19469,S200000,00200,0200,MO 19469,S200000,00200,0300,66415- 19469,S200000,00300,0100,SHAWNEE 19469,S200000,00300,0300,R 19469,S200000,00400,0100,EASTRIDGE SKILLED 19469,S200000,00400,0200,175374 19469,S200000,00400,0300,07/19/1996 19469,S200000,00400,0500,P 19469,S200000,01500,0100,Y 19469,S200000,01900,0100,N 19469,S700003,00000,0400,4 19474,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19474,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19474,A000000,00300,0000,00300EMPLOYEE BENEFITS 19474,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19474,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19474,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19474,A000000,00700,0000,00700HOUSEKEEPING 19474,A000000,00800,0000,00800DIETARY 19474,A000000,00801,0000,00801CAFETERIA 19474,A000000,00900,0000,00900NURSING ADMINISTRATION 19474,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19474,A000000,01300,0000,01300SOCIAL SERVICE 19474,A000000,01350,0000,01500ACTIVITIES 19474,A000000,01600,0000,01600SKILLED NURSING FACILITY 19474,A000000,01900,0000,01900OTHER LONG TERM CARE 19474,A000000,02500,0000,02500PHYSICAL THERAPY 19474,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19474,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19474,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19474,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19474,A000000,05300,0000,05300INTEREST EXPENSE 19474,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19474,A000000,06150,0000,06300MENTAL HEALTH 19474,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 19474,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 19474,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 19474,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 19474,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 19474,B100000,00000,0600,00000RESIDENT DAYS LAUNDRY & LINEN S 19474,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 19474,B100000,00000,0800,00000MEALS SERVED DIETARY 19474,B100000,00000,0801,00000MEALS SERVED CAFETERIA 19474,B100000,00000,0900,00000RESIDENT DAYS NURSING ADMINISTR 19474,B100000,00000,1200,00000RESIDENT DAYS MEDICAL RECORDS & 19474,B100000,00000,1300,00000RESIDENT DAYS SOCIAL SERVICE 19474,B100000,00000,1500,00000RESIDENT DAYS ACTIVITIES 19474,E10A180,00501,0300,02/21/2001 19474,S000000,00100,0200,01/30/2001 19474,S200000,00100,0100,511 PARAMOUNT STREET 19474,S200000,00200,0100,SABETHA 19474,S200000,00200,0200,KS 19474,S200000,00200,0300,66534- 19474,S200000,00300,0100,NEMAHA 19474,S200000,00400,0100,APOSTOLIC CHRISTIAN HOME 19474,S200000,00400,0200,175376 19474,S200000,00400,0300,07/01/1996 19474,S200000,00400,0500,P 19474,S200000,01500,0100,Y 19474,S200000,02800,0100,Y 19474,S700003,00000,0400,X 19480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19480,A000000,00101,0000,00101CAP REL COSTS - NON-REIMB BLGDS 19480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19480,A000000,00201,0000,00201CAP REL COSTS - NON-REIMB MME 19480,A000000,00300,0000,00300EMPLOYEE BENEFITS 19480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19480,A000000,00700,0000,00700HOUSEKEEPING 19480,A000000,00800,0000,00800DIETARY 19480,A000000,00900,0000,00900NURSING ADMINISTRATION 19480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19480,A000000,01100,0000,01100PHARMACY 19480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19480,A000000,01300,0000,01300SOCIAL SERVICE 19480,A000000,01350,0000,01500OTHER GENERAL SERVICES 19480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19480,A000000,01600,0000,01600SKILLED NURSING FACILITY 19480,A000000,01800,0000,01800NURSING FACILITY 19480,A000000,01810,0000,01801ICF/MR 19480,A000000,01900,0000,01900OTHER LONG TERM CARE 19480,A000000,02100,0000,02100RADIOLOGY 19480,A000000,02200,0000,02200LABORATORY 19480,A000000,02300,0000,02300INTRAVENOUS THERAPY 19480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19480,A000000,02500,0000,02500PHYSICAL THERAPY 19480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19480,A000000,02700,0000,02700SPEECH PATHOLOGY 19480,A000000,02800,0000,02800ELECTROCARDIOLOGY 19480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19480,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19480,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19480,A000000,03200,0000,03200SUPPORT SURFACES 19480,A000000,03400,0000,03400CLINIC 19480,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19480,A000000,03500,0000,03500RURAL HEALTH CLINIC 19480,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19480,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19480,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19480,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19480,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19480,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19480,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19480,A000000,04400,0000,04400DME RENTED - HHA 19480,A000000,04500,0000,04500DME SOLD - HHA 19480,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19480,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19480,A000000,04750,0000,05100OSP 19480,A000000,04800,0000,04800AMBULANCE 19480,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19480,A000000,05000,0000,05000CORF 19480,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19480,A000000,05300,0000,05300INTEREST EXPENSE 19480,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19480,A000000,05500,0000,05500HOSPICE 19480,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19480,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19480,A000000,06100,0000,06100NONPAID WORKERS 19480,A000000,06150,0000,06300INDEPENDENT LIVING UNITS 19480,A000000,06151,0000,06301FOUNDATION 19480,A000000,06152,0000,06302GUEST MEALS 19480,A000000,06153,0000,06303FUNDRAISING 19480,A000000,06200,0000,06200PATIENTS LAUNDRY 19480,E10A180,00501,0300,03/09/2000 19480,S000000,00100,0200,03/01/2000 19480,S200000,00100,0100,408 FRONTVIEW 19480,S200000,00100,0300,788 19480,S200000,00200,0100,DODGE CITY 19480,S200000,00200,0200,KS 19480,S200000,00200,0300,67801- 19480,S200000,00300,0100,FORD 19480,S200000,00400,0100,TRINITY ASSOCIATION 19480,S200000,00400,0200,175377 19480,S200000,00400,0300,10/01/1996 19480,S200000,00400,0500,P 19480,S200000,01500,0100,Y 19480,S200000,02800,0100,Y 19480,S700003,00000,0400,4 19489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19489,A000000,00300,0000,00300EMPLOYEE BENEFITS 19489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19489,A000000,00700,0000,00700HOUSEKEEPING 19489,A000000,00800,0000,00800DIETARY 19489,A000000,00900,0000,00900NURSING ADMINISTRATION 19489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19489,A000000,01100,0000,01100PHARMACY 19489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19489,A000000,01300,0000,01300SOCIAL SERVICE 19489,A000000,01350,0000,01500OTHER GENERAL SERVICES 19489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19489,A000000,01600,0000,01600SKILLED NURSING FACILITY 19489,A000000,01800,0000,01800NURSING FACILITY 19489,A000000,01810,0000,01801ICF/MR 19489,A000000,01900,0000,01900OTHER LONG TERM CARE 19489,A000000,02100,0000,02100RADIOLOGY 19489,A000000,02200,0000,02200LABORATORY 19489,A000000,02300,0000,02300INTRAVENOUS THERAPY 19489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19489,A000000,02500,0000,02500PHYSICAL THERAPY 19489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19489,A000000,02700,0000,02700SPEECH PATHOLOGY 19489,A000000,02800,0000,02800ELECTROCARDIOLOGY 19489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19489,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19489,A000000,03200,0000,03200SUPPORT SURFACES 19489,A000000,03400,0000,03400CLINIC 19489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19489,A000000,03500,0000,03500RURAL HEALTH CLINIC 19489,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19489,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19489,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19489,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19489,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19489,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19489,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19489,A000000,04400,0000,04400DME RENTED - HHA 19489,A000000,04500,0000,04500DME SOLD - HHA 19489,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19489,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19489,A000000,04750,0000,05100OSP 19489,A000000,04800,0000,04800AMBULANCE 19489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19489,A000000,05000,0000,05000CORF 19489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19489,A000000,05300,0000,05300INTEREST EXPENSE 19489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19489,A000000,05500,0000,05500HOSPICE 19489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19489,A000000,06100,0000,06100NONPAID WORKERS 19489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19489,A000000,06151,0000,06301ASSISTED LIVING 19489,A000000,06200,0000,06200PATIENTS LAUNDRY 19489,E10A180,00501,0100,06/06/2000 19489,E10A180,00501,0300,06/06/2000 19489,S000000,00100,0200,06/01/2000 19489,S200000,00100,0100,600 WEST BLANCHARD 19489,S200000,00200,0100,SOUTH HUTCHINSON 19489,S200000,00200,0200,KS 19489,S200000,00200,0300,67505- 19489,S200000,00300,0100,RENO 19489,S200000,00300,0300,R 19489,S200000,00400,0100,MENNONITE FRIENDSHIP MANOR 19489,S200000,00400,0200,175379 19489,S200000,00400,0300,08/01/1996 19489,S200000,00400,0500,P 19489,S200000,01500,0100,Y 19489,S200000,01900,0100,N 19489,S200000,04300,0100,Y 19489,S700003,00000,0400,4 19495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19495,A000000,00300,0000,00300EMPLOYEE BENEFITS 19495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19495,A000000,00700,0000,00700HOUSEKEEPING 19495,A000000,00800,0000,00800DIETARY 19495,A000000,00900,0000,00900NURSING ADMINISTRATION 19495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19495,A000000,01100,0000,01100PHARMACY 19495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19495,A000000,01300,0000,01300SOCIAL SERVICE 19495,A000000,01301,0000,01301ACTIVITIES 19495,A000000,01350,0000,01500OTHER GENERAL SERVICES 19495,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19495,A000000,01600,0000,01600SKILLED NURSING FACILITY 19495,A000000,01800,0000,01800NURSING FACILITY 19495,A000000,01810,0000,01801ICF/MR 19495,A000000,01900,0000,01900OTHER LONG TERM CARE 19495,A000000,02100,0000,02100RADIOLOGY 19495,A000000,02200,0000,02200LABORATORY 19495,A000000,02300,0000,02300INTRAVENOUS THERAPY 19495,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19495,A000000,02500,0000,02500PHYSICAL THERAPY 19495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19495,A000000,02700,0000,02700SPEECH PATHOLOGY 19495,A000000,02800,0000,02800ELECTROCARDIOLOGY 19495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19495,A000000,03050,0000,03300DME OXYGEN 19495,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19495,A000000,03200,0000,03200SUPPORT SURFACES 19495,A000000,03400,0000,03400CLINIC 19495,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19495,A000000,03500,0000,03500RURAL HEALTH CLINIC 19495,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19495,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19495,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19495,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19495,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19495,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19495,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19495,A000000,04400,0000,04400DME RENTED - HHA 19495,A000000,04500,0000,04500DME SOLD - HHA 19495,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19495,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19495,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19495,A000000,04800,0000,04800AMBULANCE 19495,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19495,A000000,05000,0000,05000CORF 19495,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19495,A000000,05300,0000,05300INTEREST EXPENSE 19495,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19495,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19495,A000000,05500,0000,05500HOSPICE 19495,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19495,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19495,A000000,06100,0000,06100NONPAID WORKERS 19495,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19495,A000000,06151,0000,06301DEVELOPMENT 19495,A000000,06200,0000,06200PATIENTS LAUNDRY 19495,E10A180,00501,0300,12/12/2000 19495,S000000,00100,0200,11/28/2000 19495,S200000,00100,0100,1021 CEDARS DRIVE 19495,S200000,00200,0100,MCPHERSON 19495,S200000,00200,0200,KS 19495,S200000,00200,0300,67460-5098 19495,S200000,00300,0100,MCPHERSON 19495,S200000,00300,0300,R 19495,S200000,00400,0100,THE CEDARS 19495,S200000,00400,0200,175380 19495,S200000,00400,0300,07/01/1996 19495,S200000,00400,0500,P 19495,S200000,01500,0100,Y 19495,S200000,01900,0100,N 19495,S700003,00000,0400,4 19505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19505,A000000,00101,0000,00101BUILDINGS & FIXTURES - DUPLEX 19505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19505,A000000,00201,0000,00201MOVEABLE EQUIPMENT - DUPLEXES 19505,A000000,00300,0000,00300EMPLOYEE BENEFITS 19505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19505,A000000,00700,0000,00700HOUSEKEEPING 19505,A000000,00800,0000,00800DIETARY 19505,A000000,00900,0000,00900NURSING ADMINISTRATION 19505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19505,A000000,01100,0000,01100PHARMACY 19505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19505,A000000,01300,0000,01300SOCIAL SERVICE 19505,A000000,01350,0000,01500OTHER GENERAL SERVICES 19505,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19505,A000000,01600,0000,01600SKILLED NURSING FACILITY 19505,A000000,01800,0000,01800NURSING FACILITY 19505,A000000,01900,0000,01900OTHER LONG TERM CARE 19505,A000000,02100,0000,02100RADIOLOGY 19505,A000000,02200,0000,02200LABORATORY 19505,A000000,02300,0000,02300INTRAVENOUS THERAPY 19505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19505,A000000,02500,0000,02500PHYSICAL THERAPY 19505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19505,A000000,02700,0000,02700SPEECH PATHOLOGY 19505,A000000,02800,0000,02800ELECTROCARDIOLOGY 19505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19505,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19505,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19505,A000000,03200,0000,03200SUPPORT SURFACES 19505,A000000,03400,0000,03400CLINIC 19505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19505,A000000,03500,0000,03500RURAL HEALTH CLINIC 19505,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19505,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19505,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19505,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19505,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19505,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19505,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19505,A000000,04400,0000,04400DME RENTED - HHA 19505,A000000,04500,0000,04500DME SOLD - HHA 19505,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19505,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19505,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19505,A000000,04800,0000,04800AMBULANCE 19505,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19505,A000000,05000,0000,05000CORF 19505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19505,A000000,05300,0000,05300INTEREST EXPENSE 19505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19505,A000000,05500,0000,05500HOSPICE 19505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19505,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19505,A000000,06100,0000,06100NONPAID WORKERS 19505,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19505,A000000,06200,0000,06200PATIENTS LAUNDRY 19505,E10A180,00550,0300,11/17/2000 19505,S000000,00100,0200,11/17/2000 19505,S200000,00100,0100,700 MONTEREY PLACE 19505,S200000,00200,0100,HUTCHINSON 19505,S200000,00200,0200,KS 19505,S200000,00200,0300,67502- 19505,S200000,00300,0100,RENO 19505,S200000,00300,0300,R 19505,S200000,00400,0100,WESLEY TOWERS 19505,S200000,00400,0200,175383 19505,S200000,00400,0300,09/01/1996 19505,S200000,00400,0500,P 19505,S200000,01500,0100,Y 19505,S200000,01900,0100,N 19505,S200000,02200,0100,Y 19505,S200000,02800,0100,Y 19505,S700003,00000,0400,4 19511,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19511,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19511,A000000,00300,0000,00300EMPLOYEE BENEFITS 19511,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19511,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19511,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19511,A000000,00700,0000,00700HOUSEKEEPING 19511,A000000,00800,0000,00800DIETARY 19511,A000000,00900,0000,00900NURSING ADMINISTRATION 19511,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19511,A000000,01100,0000,01100PHARMACY 19511,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19511,A000000,01300,0000,01300SOCIAL SERVICE 19511,A000000,01350,0000,01500OTHER GENERAL SERVICES 19511,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19511,A000000,01600,0000,01600SKILLED NURSING FACILITY 19511,A000000,01800,0000,01800NURSING FACILITY 19511,A000000,01810,0000,01801ICF/MR 19511,A000000,01900,0000,01900OTHER LONG TERM CARE 19511,A000000,02100,0000,02100RADIOLOGY 19511,A000000,02200,0000,02200LABORATORY 19511,A000000,02300,0000,02300INTRAVENOUS THERAPY 19511,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19511,A000000,02500,0000,02500PHYSICAL THERAPY 19511,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19511,A000000,02700,0000,02700SPEECH PATHOLOGY 19511,A000000,02800,0000,02800ELECTROCARDIOLOGY 19511,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19511,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19511,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19511,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19511,A000000,03200,0000,03200SUPPORT SURFACES 19511,A000000,03400,0000,03400CLINIC 19511,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19511,A000000,03500,0000,03500RURAL HEALTH CLINIC 19511,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19511,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19511,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19511,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19511,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19511,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19511,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19511,A000000,04400,0000,04400DME RENTED - HHA 19511,A000000,04500,0000,04500DME SOLD - HHA 19511,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19511,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19511,A000000,04750,0000,05100OSP 19511,A000000,04800,0000,04800AMBULANCE 19511,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19511,A000000,05000,0000,05000CORF 19511,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19511,A000000,05300,0000,05300INTEREST EXPENSE 19511,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19511,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19511,A000000,05500,0000,05500HOSPICE 19511,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19511,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19511,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19511,A000000,06100,0000,06100NONPAID WORKERS 19511,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19511,A000000,06151,0000,06301ASSISTED LIVING 19511,A000000,06200,0000,06200PATIENTS LAUNDRY 19511,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS & 19511,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVABLE 19511,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 19511,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 19511,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAINT. 19511,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 19511,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 19511,B100000,00000,0800,00001MEALS SERVEDDIETARY 19511,B100000,00000,0900,00001PATIENT DAYSNURSING ADMINISTRATION 19511,B100000,00000,1000,00001PATIENT DAYSCENTRAL SERVICES & SUPP 19511,B100000,00000,1100,00001PATIENT DAYSPHARMACY 19511,B100000,00000,1200,00001PATIENT DAYSMEDICAL RECORDS & LIBRA 19511,B100000,00000,1300,00001PATIENT DAYSSOCIAL SERVICE 19511,B100000,00000,1350,00001NO STATISTICSOTHER GENERAL SERVICES 19511,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS (A 19511,E10A180,00501,0100,06/13/2000 19511,E10A180,00501,0300,06/13/2000 19511,S000000,00100,0200,06/01/2000 19511,S200000,00100,0100,200 S.W. 14TH STREET 19511,S200000,00100,0300,648 19511,S200000,00200,0100,NEWTON 19511,S200000,00200,0200,KS 19511,S200000,00200,0300,67114- 19511,S200000,00300,0100,HARVEY 19511,S200000,00300,0300,U 19511,S200000,00400,0100,FRIENDLY ACRES 19511,S200000,00400,0200,175385 19511,S200000,00400,0300,10/01/1996 19511,S200000,00400,0500,P 19511,S200000,00400,0600,O 19511,S200000,01600,0100,Y 19511,S200000,01900,0100,N 19511,S200000,02800,0100,Y 19511,S200000,04300,0100,Y 19511,S700003,00000,0400,4 19517,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19517,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19517,A000000,00300,0000,00300EMPLOYEE BENEFITS 19517,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19517,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19517,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19517,A000000,00700,0000,00700HOUSEKEEPING 19517,A000000,00800,0000,00800DIETARY 19517,A000000,00900,0000,00900NURSING ADMINISTRATION 19517,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19517,A000000,01300,0000,01300SOCIAL SERVICE 19517,A000000,01350,0000,01500ACTIVITIES 19517,A000000,01600,0000,01600SKILLED NURSING FACILITY 19517,A000000,02100,0000,02100RADIOLOGY 19517,A000000,02500,0000,02500PHYSICAL THERAPY 19517,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19517,A000000,02700,0000,02700SPEECH PATHOLOGY 19517,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19517,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19517,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19517,A000000,05300,0000,05300INTEREST EXPENSE 19517,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19517,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19517,A000000,06150,0000,06300INDEPENDENT LIVING 19517,A000000,06151,0000,06301MARKETING 19517,A000000,06152,0000,06302GUEST MEALS 19517,B100000,00000,0100,00002SQUARE FEETCAP REL COSTS - BLDGS 19517,B100000,00000,0200,00002SQUARE FEETCAP REL COSTS - MOVAB 19517,B100000,00000,0300,00002GROSS SALARIESEMPLOYEE BENEFITS 19517,B100000,00000,0400,00002ACC COSTADMINISTRATIVE & GENERAL 19517,B100000,00000,0500,00002SQUARE FEETPLANT OPERATION MAIN 19517,B100000,00000,0600,00002RESIDENT DAYSLAUNDRY & LINEN SERVI 19517,B100000,00000,0700,00002SQUARE FEETHOUSEKEEPING 19517,B100000,00000,0800,00002MEALS SERVEDDIETARY 19517,B100000,00000,0900,00002RESIDENT DAYSNURSING ADMINISTRATIO 19517,B100000,00000,1200,00002RESIDENT DAYSMEDICAL RECORDS & LIB 19517,B100000,00000,1300,00002RESIDENT DAYSSOCIAL SERVICE 19517,B100000,00000,1350,00002RESIDENT DAYSACTIVITIES 19517,E10A180,00501,0100,06/08/2000 19517,E10A180,00550,0300,06/08/2000 19517,S000000,00100,0200,05/26/2000 19517,S200000,00100,0100,200 WEST CEDAR 19517,S200000,00100,0300,5000 19517,S200000,00200,0100,HESSTON 19517,S200000,00200,0200,KS 19517,S200000,00200,0300,67062-5000 19517,S200000,00300,0100,HARVEY 19517,S200000,00300,0300,U 19517,S200000,00400,0100,SCHOWALTER VILLA 19517,S200000,00400,0200,175386 19517,S200000,00400,0300,10/01/1996 19517,S200000,00400,0500,P 19517,S200000,01500,0100,Y 19517,S200000,01900,0100,N 19517,S700003,00000,0400,4 19521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19521,A000000,00300,0000,00300EMPLOYEE BENEFITS 19521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19521,A000000,00700,0000,00700HOUSEKEEPING 19521,A000000,00800,0000,00800DIETARY 19521,A000000,00801,0000,00801CAFETERIA 19521,A000000,00900,0000,00900NURSING ADMINISTRATION 19521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19521,A000000,01300,0000,01300SOCIAL SERVICE 19521,A000000,01350,0000,01500ACTIVITIES 19521,A000000,01600,0000,01600SKILLED NURSING FACILITY 19521,A000000,02100,0000,02100RADIOLOGY 19521,A000000,02200,0000,02200LABORATORY 19521,A000000,02500,0000,02500PHYSICAL THERAPY 19521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19521,A000000,02700,0000,02700SPEECH PATHOLOGY 19521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19521,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19521,A000000,05300,0000,05300INTEREST EXPENSE 19521,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19521,A000000,06150,0000,06300INDEPENDENT LIVING 19521,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 19521,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 19521,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19521,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19521,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 19521,B100000,00000,0600,00000RESIDENT DAYSLAUNDRY & LINEN SERVI 19521,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19521,B100000,00000,0800,00000MEALS SERVEDDIETARY 19521,B100000,00000,0801,00000FTESCAFETERIA 19521,B100000,00000,0900,00000RESIDENT DAYSNURSING ADMINISTRATIO 19521,B100000,00000,1200,00000RESIDENT DAYSMEDICAL RECORDS & LIB 19521,B100000,00000,1300,00000RESIDENT DAYSSOCIAL SERVICE 19521,B100000,00000,1350,00000RESIDENT DAYSACTIVITIES 19521,E10A180,00501,0100,02/24/2000 19521,E10A180,00550,0300,02/24/2000 19521,S000000,00100,0200,02/16/2000 19521,S200000,00100,0100,200 WILLOW ROAD 19521,S200000,00200,0100,HILLSBORO 19521,S200000,00200,0200,KS 19521,S200000,00200,0300,67063- 19521,S200000,00300,0100,MARION 19521,S200000,00400,0100,PARKSIDE HOMES INC. 19521,S200000,00400,0200,175387 19521,S200000,00400,0300,10/01/1996 19521,S200000,00400,0500,P 19521,S200000,01500,0100,Y 19521,S200000,02800,0100,Y 19521,S700003,00000,0400,4 19530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19530,A000000,00300,0000,00300EMPLOYEE BENEFITS 19530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19530,A000000,00700,0000,00700HOUSEKEEPING 19530,A000000,00800,0000,00800DIETARY 19530,A000000,00900,0000,00900NURSING ADMINISTRATION 19530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19530,A000000,01100,0000,01100PHARMACY 19530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19530,A000000,01300,0000,01300SOCIAL SERVICE 19530,A000000,01350,0000,01500ACTIVITIES 19530,A000000,01600,0000,01600SKILLED NURSING FACILITY 19530,A000000,01800,0000,01800NURSING FACILITY 19530,A000000,01810,0000,01810ICF/MR 19530,A000000,01900,0000,01900OTHER LONG TERM CARE 19530,A000000,02100,0000,02100RADIOLOGY 19530,A000000,02200,0000,02200LABORATORY 19530,A000000,02300,0000,02300INTRAVENOUS THERAPY 19530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19530,A000000,02500,0000,02500PHYSICAL THERAPY 19530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19530,A000000,02700,0000,02700SPEECH PATHOLOGY 19530,A000000,02800,0000,02800ELECTROCARDIOLOGY 19530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19530,A000000,03050,0000,03300THERAPUETIC CHEMO 19530,A000000,03051,0000,03301TREATMENT ROOM 19530,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19530,A000000,03200,0000,03200SUPPORT SURFACES 19530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 19530,A000000,04800,0000,04800AMBULANCE 19530,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19530,A000000,05300,0000,05300INTEREST EXPENSE 19530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19530,A000000,05500,0000,05500HOSPICE 19530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19530,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 19530,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19530,A000000,06100,0000,06100NONPAID WORKERS 19530,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 19530,A000000,06200,0000,06200PATIENTS LAUNDRY 19530,E10A180,00501,0100,12/19/2000 19530,E10A180,00501,0300,12/19/2000 19530,S000000,00100,0200,11/29/2000 19530,S200000,00100,0100,2101 CLAFLIN RD 19530,S200000,00200,0100,MANHATTAN 19530,S200000,00200,0200,KS 19530,S200000,00200,0300,66502 19530,S200000,00300,0100,RILEY 19530,S200000,00300,0300,R 19530,S200000,00400,0100,WHARTON MANOR INC. 19530,S200000,00400,0200,175388 19530,S200000,00400,0300,10/01/1996 19530,S200000,00400,0500,P 19530,S200000,01500,0100,Y 19530,S200000,04300,0100,Y 19530,S700003,00000,0400,4 19554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19554,A000000,00300,0000,00300EMPLOYEE BENEFITS 19554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19554,A000000,00700,0000,00700HOUSEKEEPING 19554,A000000,00800,0000,00800DIETARY 19554,A000000,00900,0000,00900NURSING ADMINISTRATION 19554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19554,A000000,01100,0000,01100PHARMACY 19554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19554,A000000,01300,0000,01300SOCIAL SERVICE 19554,A000000,01350,0000,01500OTHER GENERAL SERVICES 19554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19554,A000000,01600,0000,01600SKILLED NURSING FACILITY 19554,A000000,01800,0000,01800NURSING FACILITY 19554,A000000,01900,0000,01900OTHER LONG TERM CARE 19554,A000000,02100,0000,02100RADIOLOGY 19554,A000000,02200,0000,02200LABORATORY 19554,A000000,02300,0000,02300INTRAVENOUS THERAPY 19554,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19554,A000000,02500,0000,02500PHYSICAL THERAPY 19554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19554,A000000,02700,0000,02700SPEECH PATHOLOGY 19554,A000000,02800,0000,02800ELECTROCARDIOLOGY 19554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19554,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19554,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19554,A000000,03200,0000,03200SUPPORT SURFACES 19554,A000000,03400,0000,03400CLINIC 19554,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19554,A000000,03500,0000,03500RURAL HEALTH CLINIC 19554,A000000,04750,0000,05100OSP 19554,A000000,04800,0000,04800AMBULANCE 19554,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19554,A000000,05000,0000,05000CORF 19554,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19554,A000000,05300,0000,05300INTEREST EXPENSE 19554,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19554,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19554,A000000,05500,0000,05500HOSPICE 19554,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19554,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19554,A000000,06100,0000,06100NONPAID WORKERS 19554,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19554,A000000,06200,0000,06200PATIENTS LAUNDRY 19554,A81000A,00100,0100,Y 19554,A81000B,00100,0300,FACILITY RENT 19554,A81000B,00200,0300,BUILDING DEPRECIATION 19554,A81000B,00300,0300,BUILDING INTEREST 19554,A81000B,00400,0300,MAINTENANCE & UPKEEP 19554,A81000B,00500,0300,ADMINISTRATIVE 19554,A81000B,00600,0300,DIETARY 19554,A81000B,00700,0300,HOUSEKEEPING 19554,A81000B,00800,0300,PLANT 19554,A81000C,00100,0100,A 19554,A81000C,00100,0200,DONALD & BETTY 19554,A81000C,00100,0400,WOODWORTH ENTER 19554,A81000C,00100,0600,NURSING HOME 19554,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 19554,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 19554,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19554,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19554,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 19554,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 19554,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19554,B100000,00000,0800,00000MEALS SERVEDDIETARY 19554,B100000,00000,0900,00000DIRECT NSG HOURSNURSING ADMINIST 19554,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 19554,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 19554,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 19554,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 19554,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 19554,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 19554,E10A180,00501,0100,06/08/2000 19554,E10A180,00501,0300,06/08/2000 19554,S000000,00100,0200,05/30/2000 19554,S200000,00100,0100,814 WALNUT 19554,S200000,00200,0100,CHETOPA 19554,S200000,00200,0200,KS 19554,S200000,00200,0300,67336- 19554,S200000,00300,0100,LABETTE 19554,S200000,00400,0100,CHETOPA MANOR 19554,S200000,00400,0200,175396 19554,S200000,00400,0300,01/01/1997 19554,S200000,00400,0500,P 19554,S200000,01500,0100,Y 19554,S200000,01900,0100,N 19554,S200000,02800,0100,Y 19554,S700003,00000,0400,4 19561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19561,A000000,00300,0000,00300EMPLOYEE BENEFITS 19561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19561,A000000,00700,0000,00700HOUSEKEEPING 19561,A000000,00800,0000,00800DIETARY 19561,A000000,00900,0000,00900NURSING ADMINISTRATION 19561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19561,A000000,01100,0000,01100PHARMACY 19561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19561,A000000,01300,0000,01300SOCIAL SERVICE 19561,A000000,01350,0000,01500OTHER GENERAL SERVICES 19561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19561,A000000,01600,0000,01600SKILLED NURSING FACILITY 19561,A000000,01800,0000,01800NURSING FACILITY 19561,A000000,01810,0000,01801ICF/MR 19561,A000000,01900,0000,01900OTHER LONG TERM CARE 19561,A000000,02100,0000,02100RADIOLOGY 19561,A000000,02200,0000,02200LABORATORY 19561,A000000,02300,0000,02300INTRAVENOUS THERAPY 19561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19561,A000000,02500,0000,02500PHYSICAL THERAPY 19561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19561,A000000,02700,0000,02700SPEECH PATHOLOGY 19561,A000000,02800,0000,02800ELECTROCARDIOLOGY 19561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19561,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19561,A000000,03200,0000,03200SUPPORT SURFACES 19561,A000000,03400,0000,03400CLINIC 19561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19561,A000000,03500,0000,03500RURAL HEALTH CLINIC 19561,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19561,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19561,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19561,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19561,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19561,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19561,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19561,A000000,04400,0000,04400DME RENTED - HHA 19561,A000000,04500,0000,04500DME SOLD - HHA 19561,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19561,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19561,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19561,A000000,04800,0000,04800AMBULANCE 19561,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19561,A000000,05000,0000,05000CORF 19561,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19561,A000000,05300,0000,05300INTEREST EXPENSE 19561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19561,A000000,05500,0000,05500HOSPICE 19561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19561,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19561,A000000,06100,0000,06100NONPAID WORKERS 19561,A000000,06150,0000,06300RESIDENTIAL CARE UNIT 19561,A000000,06200,0000,06200PATIENTS LAUNDRY 19561,A81000A,00100,0100,Y 19561,A81000B,00100,0300,INTEREST 19561,A81000B,00200,0300,LAB COSTS 19561,A81000B,00300,0300,HOSPITAL OVERHEAD COSTS 19561,A81000C,00100,0100,G 19561,A81000C,00100,0200,COMMUNITY HOSPI 19561,A81000C,00100,0600,HOSPITAL 19561,E10A180,00501,0100,10/11/2000 19561,S000000,00100,0200,08/30/2000 19561,S200000,00100,0100,600 PERRY 19561,S200000,00200,0100,ROSSVILLE 19561,S200000,00200,0200,KS 19561,S200000,00200,0300,66533- 19561,S200000,00300,0100,SHAWNEE 19561,S200000,00300,0300,U 19561,S200000,00400,0100,ROSSVILLE VALLEY MANOR 19561,S200000,00400,0200,175397 19561,S200000,00400,0300,02/01/1997 19561,S200000,00400,0500,P 19561,S200000,01600,0100,Y 19561,S200000,01900,0100,N 19561,S700003,00000,0400,4 19568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19568,A000000,00300,0000,00300EMPLOYEE BENEFITS 19568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19568,A000000,00700,0000,00700HOUSEKEEPING 19568,A000000,00800,0000,00800DIETARY 19568,A000000,00900,0000,00900NURSING ADMINISTRATION 19568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19568,A000000,01100,0000,01100PHARMACY 19568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19568,A000000,01300,0000,01300SOCIAL SERVICE 19568,A000000,01301,0000,01301ACTIVITIES 19568,A000000,01350,0000,01500OTHER GENERAL SERVICES 19568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19568,A000000,01600,0000,01600SKILLED NURSING FACILITY 19568,A000000,01800,0000,01800NURSING FACILITY 19568,A000000,01810,0000,01801ICF/MR 19568,A000000,01900,0000,01900OTHER LONG TERM CARE 19568,A000000,02100,0000,02100RADIOLOGY 19568,A000000,02200,0000,02200LABORATORY 19568,A000000,02300,0000,02300INTRAVENOUS THERAPY 19568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19568,A000000,02500,0000,02500PHYSICAL THERAPY 19568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19568,A000000,02700,0000,02700SPEECH PATHOLOGY 19568,A000000,02800,0000,02800ELECTROCARDIOLOGY 19568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19568,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19568,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19568,A000000,03200,0000,03200SUPPORT SURFACES 19568,A000000,03400,0000,03400CLINIC 19568,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19568,A000000,03500,0000,03500RURAL HEALTH CLINIC 19568,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19568,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19568,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19568,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19568,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19568,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19568,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19568,A000000,04400,0000,04400DME RENTED - HHA 19568,A000000,04500,0000,04500DME SOLD - HHA 19568,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19568,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19568,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19568,A000000,04800,0000,04800AMBULANCE 19568,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19568,A000000,05000,0000,05000CORF 19568,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19568,A000000,05300,0000,05300INTEREST EXPENSE 19568,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19568,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19568,A000000,05500,0000,05500HOSPICE 19568,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19568,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19568,A000000,06100,0000,06100NONPAID WORKERS 19568,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19568,A000000,06200,0000,06200PATIENTS LAUNDRY 19568,A81000A,00100,0100,Y 19568,A81000B,00100,0300,ADMINISTRATIVE SALARIES 19568,A81000B,00200,0300,ADMINISTRATIVE SUPPLIES 19568,A81000B,00300,0300,EMPLOYEE BENEFITS 19568,A81000B,00400,0300,PHYSICAL THERAPY 19568,A81000B,00500,0300,OCCUPATIONAL THERAPY 19568,A81000B,00600,0300,SPEECH PATHOLOGY 19568,A81000B,00700,0300,PROGRESSIVE HC DUES 19568,A81000B,00800,0300,DEPRECIATION EXPENSE 19568,A81000C,00100,0100,C 19568,A81000C,00100,0200,CHENEY GOLDEN A 19568,A81000C,00100,0400,PROGRESSIVE HEA 19568,A81000C,00100,0600,NPF HEALTH CARE 19568,E10A180,00501,0300,03/06/2001 19568,S000000,00100,0200,02/01/2001 19568,S200000,00100,0100,724 NORTH JEFFERSON 19568,S200000,00100,0300,370 19568,S200000,00200,0100,CHENEY 19568,S200000,00200,0200,KS 19568,S200000,00200,0300,67025- 19568,S200000,00300,0100,SEDGWICK 19568,S200000,00300,0300,U 19568,S200000,00400,0100,CHENEY GOLDEN AGE HOME INC. 19568,S200000,00400,0200,175399 19568,S200000,00400,0300,01/01/1997 19568,S200000,00400,0500,P 19568,S200000,00400,0600,O 19568,S200000,01500,0100,Y 19568,S200000,01900,0100,N 19568,S700003,00000,0400,4 19577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19577,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 19577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19577,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIPMENT 19577,A000000,00300,0000,00300EMPLOYEE BENEFITS 19577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19577,A000000,00501,0000,00501PLANT OPERATION MAINT. & REPAIRS 19577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19577,A000000,00700,0000,00700HOUSEKEEPING 19577,A000000,00800,0000,00800DIETARY 19577,A000000,00900,0000,00900NURSING ADMINISTRATION 19577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19577,A000000,01100,0000,01100PHARMACY 19577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19577,A000000,01300,0000,01300SOCIAL SERVICE 19577,A000000,01301,0000,01301ACTIVITIES 19577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19577,A000000,01600,0000,01600SKILLED NURSING FACILITY 19577,A000000,01800,0000,01800NURSING FACILITY 19577,A000000,01810,0000,01801ICF/MR 19577,A000000,01900,0000,01900OTHER LONG TERM CARE 19577,A000000,02100,0000,02100RADIOLOGY 19577,A000000,02200,0000,02200LABORATORY 19577,A000000,02300,0000,02300INTRAVENOUS THERAPY 19577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19577,A000000,02500,0000,02500PHYSICAL THERAPY 19577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19577,A000000,02700,0000,02700SPEECH PATHOLOGY 19577,A000000,02800,0000,02800ELECTROCARDIOLOGY 19577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19577,A000000,03200,0000,03200SUPPORT SURFACES 19577,A000000,03400,0000,03400CLINIC 19577,A000000,03500,0000,03500RURAL HEALTH CLINIC 19577,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19577,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19577,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19577,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19577,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19577,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19577,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19577,A000000,04400,0000,04400DME RENTED - HHA 19577,A000000,04500,0000,04500DME SOLD - HHA 19577,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19577,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19577,A000000,04800,0000,04800AMBULANCE 19577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19577,A000000,05000,0000,05000CORF 19577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19577,A000000,05300,0000,05300INTEREST EXPENSE 19577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 19577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19577,A000000,05500,0000,05500HOSPICE 19577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19577,A000000,06100,0000,06100NONPAID WORKERS 19577,A000000,06150,0000,06300FUNDRAISING 19577,A000000,06151,0000,06301HCBS 19577,A000000,06152,0000,06302WELLNESS CENTER 19577,A000000,06153,0000,06303ILU/ALU 19577,A000000,06154,0000,06304GUEST/STAFF MEALS 19577,A000000,06155,0000,06305CHAPLAIN 19577,A000000,06200,0000,06200PATIENTS LAUNDRY 19577,E10A180,00501,0100,09/19/2000 19577,E10A180,00501,0300,09/19/2000 19577,S000000,00100,0200,08/30/2000 19577,S200000,00100,0100,3001 IVY DRIVE 19577,S200000,00200,0100,NORTH NEWTON 19577,S200000,00200,0200,KS 19577,S200000,00200,0300,67117- 19577,S200000,00300,0100,HARVEY 19577,S200000,00300,0300,U 19577,S200000,00400,0100,BETHEL CARE CENTER 19577,S200000,00400,0200,175402 19577,S200000,00400,0300,01/01/1997 19577,S200000,00400,0500,P 19577,S200000,01500,0100,Y 19577,S200000,01900,0100,N 19577,S200000,02800,0100,Y 19577,S700003,00000,0400,4 19584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19584,A000000,00101,0000,00101CAP REL COSTS - DUPLEX 19584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19584,A000000,00300,0000,00300EMPLOYEE BENEFITS 19584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19584,A000000,00700,0000,00700HOUSEKEEPING 19584,A000000,00800,0000,00800DIETARY 19584,A000000,00900,0000,00900NURSING ADMINISTRATION 19584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19584,A000000,01100,0000,01100PHARMACY 19584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19584,A000000,01300,0000,01300SOCIAL SERVICE 19584,A000000,01301,0000,01301ACTIVITIES 19584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19584,A000000,01600,0000,01600SKILLED NURSING FACILITY 19584,A000000,01800,0000,01800NURSING FACILITY 19584,A000000,01810,0000,01801ICF/MR 19584,A000000,01900,0000,01900OTHER LONG TERM CARE 19584,A000000,02100,0000,02100RADIOLOGY 19584,A000000,02200,0000,02200LABORATORY 19584,A000000,02300,0000,02300INTRAVENOUS THERAPY 19584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19584,A000000,02500,0000,02500PHYSICAL THERAPY 19584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19584,A000000,02700,0000,02700SPEECH PATHOLOGY 19584,A000000,02800,0000,02800ELECTROCARDIOLOGY 19584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19584,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19584,A000000,03200,0000,03200SUPPORT SURFACES 19584,A000000,03400,0000,03400CLINIC 19584,A000000,03500,0000,03500RURAL HEALTH CLINIC 19584,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19584,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19584,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19584,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19584,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19584,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19584,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19584,A000000,04400,0000,04400DME RENTED - HHA 19584,A000000,04500,0000,04500DME SOLD - HHA 19584,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19584,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19584,A000000,04800,0000,04800AMBULANCE 19584,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19584,A000000,05000,0000,05000CORF 19584,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19584,A000000,05300,0000,05300INTEREST EXPENSE 19584,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19584,A000000,05500,0000,05500HOSPICE 19584,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19584,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19584,A000000,06100,0000,06100NONPAID WORKERS 19584,A000000,06150,0000,06300FUND RAISING 19584,A000000,06151,0000,06301ASSISTED LIVING 19584,A000000,06200,0000,06200PATIENTS LAUNDRY 19584,E10A180,00501,0100,09/20/2000 19584,E10A180,00501,0300,09/20/2000 19584,S000000,00100,0200,09/01/2000 19584,S200000,00100,0100,408 E. MAIN 19584,S200000,00100,0300,37 19584,S200000,00200,0100,GOESSEL 19584,S200000,00200,0200,KS 19584,S200000,00200,0300,67053- 19584,S200000,00300,0100,MARION 19584,S200000,00300,0300,R 19584,S200000,00400,0100,BETHESDA HOME 19584,S200000,00400,0200,175403 19584,S200000,00400,0300,01/01/1997 19584,S200000,00400,0500,P 19584,S200000,01500,0100,Y 19584,S200000,01900,0100,N 19584,S200000,02800,0100,Y 19584,S700003,00000,0400,4 19590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19590,A000000,00300,0000,00300EMPLOYEE BENEFITS 19590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19590,A000000,00700,0000,00700HOUSEKEEPING 19590,A000000,00800,0000,00800DIETARY 19590,A000000,00900,0000,00900NURSING ADMINISTRATION 19590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19590,A000000,01100,0000,01100PHARMACY 19590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19590,A000000,01300,0000,01300SOCIAL SERVICE 19590,A000000,01301,0000,01301ACTIVITIES 19590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19590,A000000,01600,0000,01600SKILLED NURSING FACILITY 19590,A000000,01800,0000,01800NURSING FACILITY 19590,A000000,01810,0000,01801ICF/MR 19590,A000000,01900,0000,01900OTHER LONG TERM CARE 19590,A000000,02100,0000,02100RADIOLOGY 19590,A000000,02200,0000,02200LABORATORY 19590,A000000,02300,0000,02300INTRAVENOUS THERAPY 19590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19590,A000000,02500,0000,02500PHYSICAL THERAPY 19590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19590,A000000,02700,0000,02700SPEECH PATHOLOGY 19590,A000000,02800,0000,02800ELECTROCARDIOLOGY 19590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19590,A000000,03200,0000,03200SUPPORT SURFACES 19590,A000000,03400,0000,03400CLINIC 19590,A000000,03500,0000,03500RURAL HEALTH CLINIC 19590,A000000,04800,0000,04800AMBULANCE 19590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19590,A000000,05000,0000,05000CORF 19590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19590,A000000,05300,0000,05300INTEREST EXPENSE 19590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19590,A000000,05500,0000,05500HOSPICE 19590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19590,A000000,06100,0000,06100NONPAID WORKERS 19590,A000000,06150,0000,06300MARKETING/FUND RAISING 19590,A000000,06151,0000,06301APARTMENTS 19590,A000000,06152,0000,06302CONGREGATE CARE 19590,A000000,06153,0000,06303DUPLEXES 19590,A000000,06154,0000,06304ELDERCARE 19590,A000000,06155,0000,06305RENTAL PROPERTY 19590,A000000,06200,0000,06200PATIENTS LAUNDRY 19590,E10A180,00501,0100,06/22/2000 19590,E10A180,00501,0300,06/22/2000 19590,S000000,00100,0200,05/31/2000 19590,S200000,00100,0100,400 S. BUHLER RD 19590,S200000,00100,0300,380 19590,S200000,00200,0100,BUHLER 19590,S200000,00200,0200,KS 19590,S200000,00200,0300,67522- 19590,S200000,00300,0100,RENO 19590,S200000,00300,0300,R 19590,S200000,00400,0100,BUHLER SUNSHINE HOME 19590,S200000,00400,0200,175404 19590,S200000,00400,0300,01/01/1997 19590,S200000,00400,0500,P 19590,S200000,00400,0600,O 19590,S200000,01500,0100,Y 19590,S200000,01900,0100,N 19590,S700003,00000,0400,4 19598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19598,A000000,00300,0000,00300EMPLOYEE BENEFITS 19598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19598,A000000,00700,0000,00700HOUSEKEEPING 19598,A000000,00800,0000,00800DIETARY 19598,A000000,00900,0000,00900NURSING ADMINISTRATION 19598,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19598,A000000,01100,0000,01100PHARMACY 19598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19598,A000000,01300,0000,01300SOCIAL SERVICE 19598,A000000,01350,0000,01500OTHER GENERAL SERVICES 19598,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19598,A000000,01600,0000,01600SKILLED NURSING FACILITY 19598,A000000,01800,0000,01800NURSING FACILITY 19598,A000000,01810,0000,01801ICF/MR 19598,A000000,01900,0000,01900OTHER LONG TERM CARE 19598,A000000,02100,0000,02100RADIOLOGY 19598,A000000,02200,0000,02200LABORATORY 19598,A000000,02300,0000,02300INTRAVENOUS THERAPY 19598,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19598,A000000,02500,0000,02500PHYSICAL THERAPY 19598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19598,A000000,02700,0000,02700SPEECH PATHOLOGY 19598,A000000,02800,0000,02800ELECTROCARDIOLOGY 19598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19598,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19598,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19598,A000000,03200,0000,03200SUPPORT SURFACES 19598,A000000,03400,0000,03400CLINIC 19598,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19598,A000000,03500,0000,03500RURAL HEALTH CLINIC 19598,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19598,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19598,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19598,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19598,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19598,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19598,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19598,A000000,04400,0000,04400DME RENTED - HHA 19598,A000000,04500,0000,04500DME SOLD - HHA 19598,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19598,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19598,A000000,04750,0000,05100OTHER REIMBURSABLE COST 19598,A000000,04800,0000,04800AMBULANCE 19598,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19598,A000000,05000,0000,05000CORF 19598,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19598,A000000,05300,0000,05300INTEREST EXPENSE 19598,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19598,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19598,A000000,05500,0000,05500HOSPICE 19598,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19598,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19598,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19598,A000000,06100,0000,06100NONPAID WORKERS 19598,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19598,A000000,06151,0000,06301MARKETING 19598,A000000,06152,0000,06302INDEPENDENT LIVING 19598,A000000,06200,0000,06200PATIENTS LAUNDRY 19598,A81000A,00100,0100,Y 19598,A81000B,00100,0300,DIETARY SALARIES 19598,A81000B,00200,0300,MAINTENANCE SALARIES 19598,A81000B,00300,0300,HOUSEKEEPING SALARIES 19598,A81000B,00400,0300,LAUNDRY SALARIES & ALLOCATIONS 19598,A81000B,00500,0300,ADMIN & GEN SALARIES 19598,A81000B,00600,0300,PUBLIC INFO SALARIES 19598,A81000B,00700,0300,SHARED SERVICE BENEFITS 19598,A81000B,00800,0300,RENT 19598,A81000B,00900,0300,COST OF DEBT AMORTIZATION 19598,A81000B,00901,0300,BANK FEES 19598,A81000B,00902,0300,DEPRECIATION 19598,A81000B,00903,0300,INTEREST EXPENSE NET OF INCOME 19598,A81000C,00100,0100,B 19598,A81000C,00100,0200,501(C) 3 ENTITY 19598,A81000C,00100,0400,HEALTH CARE IN 19598,A81000C,00100,0600,NFP HEALTH CARE 19598,S000000,00100,0200,11/27/2000 19598,S200000,00100,0100,1901 EAST 23 RD STREET 19598,S200000,00200,0100,HUTCHINSON 19598,S200000,00200,0200,KS 19598,S200000,00200,0300,67502- 19598,S200000,00300,0100,RENO 19598,S200000,00300,0300,R 19598,S200000,00400,0100,RAY E.DILLON LIVING CENTER 19598,S200000,00400,0200,175405 19598,S200000,00400,0300,02/01/1997 19598,S200000,00400,0500,P 19598,S200000,00400,0600,O 19598,S200000,01500,0100,Y 19598,S200000,01900,0100,N 19598,S700003,00000,0400,4 19605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19605,A000000,00300,0000,00300EMPLOYEE BENEFITS 19605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19605,A000000,00700,0000,00700HOUSEKEEPING 19605,A000000,00800,0000,00800DIETARY 19605,A000000,00900,0000,00900NURSING ADMINISTRATION 19605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19605,A000000,01100,0000,01100PHARMACY 19605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19605,A000000,01300,0000,01300SOCIAL SERVICE 19605,A000000,01350,0000,01500OTHER GENERAL SERVICES 19605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19605,A000000,01600,0000,01600SKILLED NURSING FACILITY 19605,A000000,01800,0000,01800NURSING FACILITY 19605,A000000,01810,0000,01801ICF/MR 19605,A000000,01900,0000,01900OTHER LONG TERM CARE 19605,A000000,02100,0000,02100RADIOLOGY 19605,A000000,02200,0000,02200LABORATORY 19605,A000000,02300,0000,02300INTRAVENOUS THERAPY 19605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19605,A000000,02500,0000,02500PHYSICAL THERAPY 19605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19605,A000000,02700,0000,02700SPEECH PATHOLOGY 19605,A000000,02800,0000,02800ELECTROCARDIOLOGY 19605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19605,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19605,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19605,A000000,03200,0000,03200SUPPORT SURFACES 19605,A000000,03400,0000,03400CLINIC 19605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19605,A000000,03500,0000,03500RURAL HEALTH CLINIC 19605,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19605,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19605,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19605,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19605,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19605,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19605,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19605,A000000,04400,0000,04400DME RENTED - HHA 19605,A000000,04500,0000,04500DME SOLD - HHA 19605,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19605,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19605,A000000,04750,0000,05100OSP 19605,A000000,04800,0000,04800AMBULANCE 19605,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19605,A000000,05000,0000,05000CORF 19605,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19605,A000000,05300,0000,05300INTEREST EXPENSE 19605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19605,A000000,05500,0000,05500HOSPICE 19605,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19605,A000000,06100,0000,06100NONPAID WORKERS 19605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19605,A000000,06151,0000,06301HOME CARE 19605,A000000,06152,0000,06302PLEASANT VIEW ESTATES 19605,A000000,06153,0000,06303MEALS ON WHEELS 19605,A000000,06200,0000,06200PATIENTS LAUNDRY 19605,A81000A,00100,0100,Y 19605,A81000B,00100,0300,DEPRECIATION AND AMORTIZATION 19605,A81000B,00200,0300,EMPLOYEE BENEFITS 19605,A81000B,00300,0300,ADMINISTRATIVE SALARIES 19605,A81000B,00400,0300,ADMINISTRATIVE SUPPLIES 19605,A81000B,00500,0300,PHYSICAL THERAPY CONTRACT LABOR 19605,A81000B,00600,0300,OCCUPATIONAL THERAPY CONTRACT LABOR 19605,A81000B,00700,0300,SPEECH THERAPY CONTRACT LABOR 19605,A81000B,00800,0300,PROGRESSIVE ALLIANCE DUES 19605,A81000C,00100,0100,C 19605,A81000C,00100,0200,PLEASANT VIEW H 19605,A81000C,00100,0400,PROGRESSIVE HEA 19605,A81000C,00100,0600,SERVICE COOPERA 19605,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 19605,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 19605,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 19605,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 19605,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 19605,B100000,00000,0600,00003PATIENT DAYSLAUNDRY & LINEN SERVI 19605,B100000,00000,0700,00003SQUARE FEETHOUSEKEEPING 19605,B100000,00000,0800,00003MEALS SERVEDDIETARY 19605,B100000,00000,0900,00003NO STATISTICNURSING ADMINIST 19605,B100000,00000,1000,00003COSTED REQUIS.CENTRAL SERVICES & 19605,B100000,00000,1100,00003COSTED REQUIS.PHARMACY 19605,B100000,00000,1200,00003NO STATISTICMEDICAL RECORDS 19605,B100000,00000,1300,00003PATIENT DAYSSOCIAL SERVICE 19605,B100000,00000,1350,00003NO STATISTICSOTHER GENERAL S 19605,B100000,00000,1400,00003NO STATISTICINTERNS & RESIDE 19605,E10A180,00501,0100,06/08/2000 19605,E10A180,00501,0300,06/08/2000 19605,S000000,00100,0200,05/30/2000 19605,S200000,00100,0100,108 N. WALNUT 19605,S200000,00100,0300,249 19605,S200000,00200,0100,INMAN 19605,S200000,00200,0200,KS 19605,S200000,00200,0300,67546- 19605,S200000,00300,0100,MCPHERSON 19605,S200000,00300,0300,R 19605,S200000,00400,0100,PLEASANT VIEW MANOR 19605,S200000,00400,0200,175406 19605,S200000,00400,0300,01/01/1997 19605,S200000,00400,0500,P 19605,S200000,00400,0600,O 19605,S200000,01500,0100,Y 19605,S200000,01900,0100,N 19605,S200000,04300,0100,Y 19605,S700003,00000,0400,4 19613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19613,A000000,00300,0000,00300EMPLOYEE BENEFITS 19613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19613,A000000,00700,0000,00700HOUSEKEEPING 19613,A000000,00800,0000,00800DIETARY 19613,A000000,00900,0000,00900NURSING ADMINISTRATION 19613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19613,A000000,01100,0000,01100PHARMACY 19613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19613,A000000,01300,0000,01300SOCIAL SERVICE 19613,A000000,01350,0000,01500ACTIVITIES 19613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19613,A000000,01600,0000,01600SKILLED NURSING FACILITY 19613,A000000,01800,0000,01800NURSING FACILITY 19613,A000000,01900,0000,01900OTHER LONG TERM CARE 19613,A000000,02100,0000,02100RADIOLOGY 19613,A000000,02200,0000,02200LABORATORY 19613,A000000,02300,0000,02300INTRAVENOUS THERAPY 19613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19613,A000000,02500,0000,02500PHYSICAL THERAPY 19613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19613,A000000,02700,0000,02700SPEECH PATHOLOGY 19613,A000000,02800,0000,02800ELECTROCARDIOLOGY 19613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19613,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19613,A000000,03200,0000,03200SUPPORT SURFACES 19613,A000000,03400,0000,03400CLINIC 19613,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19613,A000000,03500,0000,03500RURAL HEALTH CLINIC 19613,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19613,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19613,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19613,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19613,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19613,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19613,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19613,A000000,04400,0000,04400DME RENTED - HHA 19613,A000000,04500,0000,04500DME SOLD - HHA 19613,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19613,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19613,A000000,04750,0000,05100OSP 19613,A000000,04800,0000,04800AMBULANCE 19613,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19613,A000000,05000,0000,05000CORF 19613,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19613,A000000,05300,0000,05300INTEREST EXPENSE 19613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19613,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19613,A000000,05500,0000,05500HOSPICE 19613,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19613,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19613,A000000,06100,0000,06100NONPAID WORKERS 19613,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19613,A000000,06200,0000,06200PATIENTS LAUNDRY 19613,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19613,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19613,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19613,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19613,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19613,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19613,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19613,B100000,00000,0800,00000MEALS SERVEDDIETARY 19613,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19613,B100000,00000,1000,00000GROSS CHARGECENTRAL SERVICES & SUPP 19613,B100000,00000,1100,00000NO STATISTICSPHARMACY 19613,B100000,00000,1200,00000GROSS CHARGEMEDICAL RECORDS & LIBRA 19613,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 19613,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 19613,B100000,00000,1400,00000NO STATISTICSINTERNS & RESIDENTS (A 19613,E10A180,00501,0100,07/11/2000 19613,E10A180,00501,0300,07/11/2000 19613,S000000,00100,0200,07/03/2000 19613,S200000,00100,0100,811 NORTH FIRST STREET 19613,S200000,00200,0100,OSBORN 19613,S200000,00200,0200,KS 19613,S200000,00200,0300,67473- 19613,S200000,00300,0100,OSBORN 19613,S200000,00300,0300,R 19613,S200000,00400,0100,PARKVIEW CARE CENTER 19613,S200000,00400,0200,175409 19613,S200000,00400,0300,03/01/1997 19613,S200000,00400,0500,P 19613,S200000,01600,0100,Y 19613,S200000,01900,0100,N 19613,S700003,00000,0100,1 19622,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19622,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19622,A000000,00300,0000,00300EMPLOYEE BENEFITS 19622,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19622,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19622,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19622,A000000,00700,0000,00700HOUSEKEEPING 19622,A000000,00800,0000,00800DIETARY 19622,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19622,A000000,01350,0000,01500ACTIVITIES 19622,A000000,01600,0000,01600SKILLED NURSING FACILITY 19622,A000000,02100,0000,02100RADIOLOGY 19622,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19622,A000000,02500,0000,02500PHYSICAL THERAPY 19622,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19622,A000000,02700,0000,02700SPEECH PATHOLOGY 19622,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19622,A000000,03050,0000,03300RESTORATIVE SERVICES 19622,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19622,A000000,05300,0000,05300INTEREST EXPENSE 19622,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19622,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19622,A000000,06150,0000,06300OTHER MEALS 19622,A81000A,00100,0100,Y 19622,A81000B,00901,0300,SALARIES AND BENEFITS 19622,A81000B,00902,0300,SALARIES AND BENEFITS 19622,A81000B,00903,0300,SALARIES AND BENEFITS 19622,A81000B,00904,0300,MANAGEMENT FEES 19622,A81000C,00100,0100,B 19622,A81000C,00100,0400,VIA CHRISTI SEN 19622,A81000C,00100,0600,MANAGEMENT SERV 19622,A81000C,00200,0100,B 19622,A81000C,00200,0400,VIA CHRISTI SEN 19622,A81000C,00200,0600,MANAGEMENT SERV 19622,A81000C,00300,0100,B 19622,A81000C,00300,0400,VIA CHRISTI SEN 19622,A81000C,00300,0600,MANAGEMENT SERV 19622,A81000C,00400,0100,B 19622,A81000C,00400,0400,VIA CHRISTI SEN 19622,A81000C,00400,0600,MANAGEMENT SERV 19622,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19622,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19622,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19622,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19622,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19622,B100000,00000,0600,00000RESIDENT DAYSLAUNDRY & LINEN SERVIC 19622,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19622,B100000,00000,0800,00000MEALS SERVEDDIETARY 19622,B100000,00000,1200,00000RESIDENT DAYSMEDICAL RECORDS & LIBR 19622,B100000,00000,1350,00000RESIDENT DAYSACTIVITIES 19622,S000000,00100,0200,02/29/2000 19622,S200000,00100,0100,6700 E 45TH ST. N 19622,S200000,00200,0100,WICHITA 19622,S200000,00200,0200,KS 19622,S200000,00200,0300,67226- 19622,S200000,00300,0100,SEDGWICK 19622,S200000,00400,0100,CATHOLIC CARE CENTER INC. 19622,S200000,00400,0200,175410 19622,S200000,00400,0300,02/04/1997 19622,S200000,00400,0500,P 19622,S200000,01500,0100,Y 19622,S200000,02200,0100,Y 19622,S200000,02800,0100,Y 19622,S700003,00000,0400,4 19631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19631,A000000,00300,0000,00300EMPLOYEE BENEFITS 19631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19631,A000000,00700,0000,00700HOUSEKEEPING 19631,A000000,00800,0000,00800DIETARY 19631,A000000,00900,0000,00900NURSING ADMINISTRATION 19631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19631,A000000,01100,0000,01100PHARMACY 19631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19631,A000000,01300,0000,01300SOCIAL SERVICE 19631,A000000,01350,0000,01500OTHER GENERAL SERVICES 19631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19631,A000000,01600,0000,01600SKILLED NURSING FACILITY 19631,A000000,01800,0000,01800NURSING FACILITY 19631,A000000,01810,0000,01801ICF/MR 19631,A000000,01900,0000,01900OTHER LONG TERM CARE 19631,A000000,02100,0000,02100RADIOLOGY 19631,A000000,02200,0000,02200LABORATORY 19631,A000000,02300,0000,02300INTRAVENOUS THERAPY 19631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19631,A000000,02500,0000,02500PHYSICAL THERAPY 19631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19631,A000000,02700,0000,02700SPEECH PATHOLOGY 19631,A000000,02800,0000,02800ELECTROCARDIOLOGY 19631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19631,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19631,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19631,A000000,03200,0000,03200SUPPORT SURFACES 19631,A000000,03400,0000,03400CLINIC 19631,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19631,A000000,03500,0000,03500RURAL HEALTH CLINIC 19631,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19631,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19631,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19631,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19631,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19631,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19631,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19631,A000000,04400,0000,04400DME RENTED - HHA 19631,A000000,04500,0000,04500DME SOLD - HHA 19631,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19631,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19631,A000000,04750,0000,05100OSP 19631,A000000,04800,0000,04800AMBULANCE 19631,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19631,A000000,05000,0000,05000CORF 19631,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19631,A000000,05300,0000,05300INTEREST EXPENSE 19631,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19631,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19631,A000000,05500,0000,05500HOSPICE 19631,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19631,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19631,A000000,06100,0000,06100NONPAID WORKERS 19631,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19631,A000000,06200,0000,06200PATIENTS LAUNDRY 19631,A81000A,00100,0100,Y 19631,A81000B,00901,0300,MANAGEMENT FEES 19631,A81000C,00100,0100,A 19631,A81000C,00100,0200,TOM REDDY 19631,A81000C,00100,0400,VINTAGE PARK 19631,A81000C,00100,0600,MANAGEMENT AND 19631,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19631,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19631,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19631,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19631,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19631,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19631,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19631,B100000,00000,0800,00000MEALSDIETARY 19631,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINISTRA 19631,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SUPP 19631,B100000,00000,1100,00000PATIENT DAYSPHARMACY 19631,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19631,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 19631,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19631,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 19631,E10A180,00501,0100,06/08/2000 19631,E10A180,00501,0300,06/08/2000 19631,S000000,00100,0200,06/01/2000 19631,S200000,00100,0100,402 SOUTH AVENUE 19631,S200000,00200,0100,HIGHLAND 19631,S200000,00200,0200,KS 19631,S200000,00200,0300,66035- 19631,S200000,00300,0100,DONIPHAN 19631,S200000,00300,0300,R 19631,S200000,00400,0100,HIGHLAND CARE CENTER 19631,S200000,00400,0200,175412 19631,S200000,00400,0300,04/04/1997 19631,S200000,00400,0500,P 19631,S200000,01600,0100,Y 19631,S200000,01900,0100,N 19631,S700003,00000,0400,4 19638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19638,A000000,00300,0000,00300EMPLOYEE BENEFITS 19638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19638,A000000,00700,0000,00700HOUSEKEEPING 19638,A000000,00800,0000,00800DIETARY 19638,A000000,00900,0000,00900NURSING ADMINISTRATION 19638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19638,A000000,01100,0000,01100PHARMACY 19638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19638,A000000,01300,0000,01300SOCIAL SERVICE 19638,A000000,01350,0000,01500OTHER GENERAL SERVICES 19638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19638,A000000,01600,0000,01600SKILLED NURSING FACILITY 19638,A000000,01800,0000,01800NURSING FACILITY 19638,A000000,01900,0000,01900OTHER LONG TERM CARE 19638,A000000,02100,0000,02100RADIOLOGY 19638,A000000,02200,0000,02200LABORATORY 19638,A000000,02300,0000,02300INTRAVENOUS THERAPY 19638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19638,A000000,02500,0000,02500PHYSICAL THERAPY 19638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19638,A000000,02700,0000,02700SPEECH PATHOLOGY 19638,A000000,02800,0000,02800ELECTROCARDIOLOGY 19638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19638,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19638,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19638,A000000,03200,0000,03200SUPPORT SURFACES 19638,A000000,03400,0000,03400CLINIC 19638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19638,A000000,03500,0000,03500RURAL HEALTH CLINIC 19638,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19638,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19638,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19638,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19638,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19638,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19638,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19638,A000000,04400,0000,04400DME RENTED - HHA 19638,A000000,04500,0000,04500DME SOLD - HHA 19638,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19638,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19638,A000000,04750,0000,05100OSP 19638,A000000,04800,0000,04800AMBULANCE 19638,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19638,A000000,05000,0000,05000CORF 19638,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19638,A000000,05300,0000,05300INTEREST EXPENSE 19638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19638,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19638,A000000,05500,0000,05500HOSPICE 19638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19638,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19638,A000000,06100,0000,06100NONPAID WORKERS 19638,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19638,A000000,06200,0000,06200PATIENTS LAUNDRY 19638,A81000A,00100,0100,Y 19638,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19638,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19638,A81000B,00903,0300,POOLED -- HOME OFFICE 19638,A81000C,00100,0100,B 19638,A81000C,00100,0200,MEDICALODGES I 19638,A81000C,00100,0600,HEALTH CARE 19638,E10A180,00501,0300,04/11/2000 19638,S000000,00100,0200,04/04/2000 19638,S200000,00100,0100,501 ASSEMBLY LANE 19638,S200000,00200,0100,PAOLA 19638,S200000,00200,0200,KS 19638,S200000,00200,0300,66071-1854 19638,S200000,00300,0100,MIAMI 19638,S200000,00400,0100,MEDICALODGE OF PAOLA 19638,S200000,00400,0200,175413 19638,S200000,00400,0300,02/01/1997 19638,S200000,00400,0500,P 19638,S200000,01600,0100,Y 19638,S700003,00000,0100,1 19645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19645,A000000,00300,0000,00300EMPLOYEE BENEFITS 19645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19645,A000000,00700,0000,00700HOUSEKEEPING 19645,A000000,00800,0000,00800DIETARY 19645,A000000,00900,0000,00900NURSING ADMINISTRATION 19645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19645,A000000,01100,0000,01100PHARMACY 19645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19645,A000000,01300,0000,01300SOCIAL SERVICE 19645,A000000,01350,0000,01500OTHER GENERAL SERVICES 19645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19645,A000000,01600,0000,01600SKILLED NURSING FACILITY 19645,A000000,01800,0000,01800NURSING FACILITY 19645,A000000,01810,0000,01801ICF/MR 19645,A000000,01900,0000,01900OTHER LONG TERM CARE 19645,A000000,02100,0000,02100RADIOLOGY 19645,A000000,02200,0000,02200LABORATORY 19645,A000000,02300,0000,02300INTRAVENOUS THERAPY 19645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19645,A000000,02500,0000,02500PHYSICAL THERAPY 19645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19645,A000000,02700,0000,02700SPEECH PATHOLOGY 19645,A000000,02800,0000,02800ELECTROCARDIOLOGY 19645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19645,A000000,03200,0000,03200SUPPORT SURFACES 19645,A000000,03400,0000,03400CLINIC 19645,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19645,A000000,03500,0000,03500RURAL HEALTH CLINIC 19645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19645,A000000,04400,0000,04400DME RENTED - HHA 19645,A000000,04500,0000,04500DME SOLD - HHA 19645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19645,A000000,04750,0000,05100OSP 19645,A000000,04800,0000,04800AMBULANCE 19645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19645,A000000,05000,0000,05000CORF 19645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19645,A000000,05300,0000,05300INTEREST EXPENSE 19645,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19645,A000000,05500,0000,05500HOSPICE 19645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19645,A000000,06100,0000,06100NONPAID WORKERS 19645,A000000,06150,0000,06300MARKETING 19645,A000000,06151,0000,06301WELLNESS CENTER 19645,A000000,06152,0000,06302ASST LIVING/PERSONAL CARE 19645,A000000,06153,0000,06303INDEPENDENT LIVING UNITS 19645,A000000,06154,0000,06304GUEST MEALS 19645,A000000,06200,0000,06200PATIENTS LAUNDRY 19645,A81000A,00100,0100,Y 19645,A81000B,00100,0300,DEPRECIATION/AMORTIZATION 19645,A81000B,00200,0300,EMPLOYEE BENEFITS 19645,A81000B,00300,0300,ADMINISTRATIVE SALARIES 19645,A81000B,00400,0300,ADMINISTRATIVE SUPPLIES 19645,A81000B,00500,0300,PHYSICAL THERAPY CONTRACT LABOR 19645,A81000B,00600,0300,OCCUPATIONAL THERAPY CONTRACT LABOR 19645,A81000B,00700,0300,SPEECH THERAPY CONTRACT LABOR 19645,A81000B,00800,0300,PROGRESSIVE ALLIANCE DUES 19645,A81000C,00100,0100,C 19645,A81000C,00100,0200,MEMORIAL HOME 19645,A81000C,00100,0400,PROGRESSIVE HEA 19645,A81000C,00100,0600,SERVICE COOPERA 19645,A81000C,00200,0100,C 19645,S000000,00100,0200,05/30/2000 19645,S200000,00100,0100,86 22ND AVENUE 19645,S200000,00200,0100,MOUNDRIDGE 19645,S200000,00200,0200,KS 19645,S200000,00200,0300,67107- 19645,S200000,00300,0100,MCPHERSON 19645,S200000,00300,0300,R 19645,S200000,00400,0100,MEMORIAL HOME INC. 19645,S200000,00400,0200,175414 19645,S200000,00400,0300,01/01/1997 19645,S200000,00400,0500,P 19645,S200000,00400,0600,O 19645,S200000,01500,0100,Y 19645,S200000,01900,0100,N 19645,S200000,02800,0100,Y 19645,S700003,00000,0400,4 19651,S000000,00100,0200,05/30/2000 19658,S000000,00100,0200,04/12/2000 19665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19665,A000000,00300,0000,00300EMPLOYEE BENEFITS 19665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19665,A000000,00700,0000,00700HOUSEKEEPING 19665,A000000,00800,0000,00800DIETARY 19665,A000000,00900,0000,00900NURSING ADMINISTRATION 19665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19665,A000000,01100,0000,01100PHARMACY 19665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19665,A000000,01300,0000,01300SOCIAL SERVICE 19665,A000000,01350,0000,01500OTHER GENERAL SERVICES 19665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19665,A000000,01600,0000,01600SKILLED NURSING FACILITY 19665,A000000,01800,0000,01800NURSING FACILITY 19665,A000000,01810,0000,01801ICF/MR 19665,A000000,01900,0000,01900OTHER LONG TERM CARE 19665,A000000,02100,0000,02100RADIOLOGY 19665,A000000,02200,0000,02200LABORATORY 19665,A000000,02300,0000,02300INTRAVENOUS THERAPY 19665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19665,A000000,02500,0000,02500PHYSICAL THERAPY 19665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19665,A000000,02700,0000,02700SPEECH PATHOLOGY 19665,A000000,02800,0000,02800ELECTROCARDIOLOGY 19665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19665,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19665,A000000,03200,0000,03200SUPPORT SURFACES 19665,A000000,03400,0000,03400CLINIC 19665,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19665,A000000,03500,0000,03500RURAL HEALTH CLINIC 19665,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19665,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19665,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19665,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19665,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19665,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19665,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19665,A000000,04400,0000,04400DME RENTED - HHA 19665,A000000,04500,0000,04500DME SOLD - HHA 19665,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19665,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19665,A000000,04750,0000,05100OSP 19665,A000000,04800,0000,04800AMBULANCE 19665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19665,A000000,05000,0000,05000CORF 19665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19665,A000000,05300,0000,05300INTEREST EXPENSE 19665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19665,A000000,05500,0000,05500HOSPICE 19665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19665,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19665,A000000,06100,0000,06100NONPAID WORKERS 19665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19665,A000000,06151,0000,06301ASSISTED LIVING 19665,A000000,06200,0000,06200PATIENTS LAUNDRY 19665,E10A180,00501,0100,05/31/2000 19665,E10A180,00550,0300,05/31/2000 19665,S000000,00100,0200,05/31/2000 19665,S200000,00100,0100,510 WALNUT 19665,S200000,00200,0100,FRANKFORT 19665,S200000,00200,0200,KS 19665,S200000,00200,0300,66427- 19665,S200000,00300,0100,MARSHALL 19665,S200000,00300,0300,R 19665,S200000,00400,0100,FRANKFORT COMMUNITY CARE HOME INC. 19665,S200000,00400,0200,175417 19665,S200000,00400,0300,07/01/1997 19665,S200000,00400,0500,P 19665,S200000,00400,0600,O 19665,S200000,01500,0100,Y 19665,S200000,01900,0100,N 19665,S700003,00000,0400,4 19672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19672,A000000,00300,0000,00300EMPLOYEE BENEFITS 19672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19672,A000000,00700,0000,00700HOUSEKEEPING 19672,A000000,00800,0000,00800DIETARY 19672,A000000,00900,0000,00900NURSING ADMINISTRATION 19672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19672,A000000,01100,0000,01100PHARMACY 19672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19672,A000000,01300,0000,01300SOCIAL SERVICE 19672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19672,A000000,01600,0000,01600SKILLED NURSING FACILITY 19672,A000000,01800,0000,01800NURSING FACILITY 19672,A000000,02100,0000,02100RADIOLOGY 19672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19672,A000000,02500,0000,02500PHYSICAL THERAPY 19672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19672,A000000,02700,0000,02700SPEECH PATHOLOGY 19672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19672,A000000,05000,0000,05000CORF 19672,A000000,05010,0000,05010CMHC 19672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19672,A81000A,00100,0100,Y 19672,A81000B,00100,0300,MANAGEMENT FEES 19672,A81000C,00100,0100,A 19672,A81000C,00100,0200,MICHAEL WILCOX 19672,A81000C,00100,0400,PHS INC. 19672,A81000C,00100,0600,MANAGEMENT COMP 19672,A81000C,00200,0100,A 19672,A81000C,00200,0200,VIRGIL GORACKE 19672,A81000C,00200,0400,PHS INC. 19672,A81000C,00200,0600,MANAGEMENT COMP 19672,A81000C,00300,0100,A 19672,A81000C,00300,0200,DOUGLAS GORACKE 19672,A81000C,00300,0400,PHS INC. 19672,A81000C,00300,0600,MANAGEMENT COMP 19672,E10A180,00501,0100,06/06/2000 19672,E10A180,00501,0300,06/06/2000 19672,S000000,00100,0200,05/26/2000 19672,S200000,00100,0100,1112 REPUBLICAN STREET 19672,S200000,00200,0100,TOPEKA 19672,S200000,00200,0200,KS 19672,S200000,00200,0300,66607-1699 19672,S200000,00300,0100,SHAWNEE 19672,S200000,00300,0300,U 19672,S200000,00400,0100,INDIAN TRIALS MANOR 19672,S200000,00400,0200,175418 19672,S200000,00400,0300,08/01/1997 19672,S200000,00400,0500,P 19672,S200000,01600,0100,Y 19672,S200000,04900,0100,Y 19672,S700003,00000,0400,4 19679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19679,A000000,00300,0000,00300EMPLOYEE BENEFITS 19679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19679,A000000,00700,0000,00700HOUSEKEEPING 19679,A000000,00800,0000,00800DIETARY 19679,A000000,00900,0000,00900NURSING ADMINISTRATION 19679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19679,A000000,01100,0000,01100PHARMACY 19679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19679,A000000,01300,0000,01300SOCIAL SERVICE 19679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19679,A000000,01600,0000,01600SKILLED NURSING FACILITY 19679,A000000,01800,0000,01800NURSING FACILITY 19679,A000000,01810,0000,01801ICF/MR 19679,A000000,01900,0000,01900OTHER LONG TERM CARE 19679,A000000,02100,0000,02100RADIOLOGY 19679,A000000,02200,0000,02200LABORATORY 19679,A000000,02300,0000,02300INTRAVENOUS THERAPY 19679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19679,A000000,02500,0000,02500PHYSICAL THERAPY 19679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19679,A000000,02700,0000,02700SPEECH PATHOLOGY 19679,A000000,02800,0000,02800ELECTROCARDIOLOGY 19679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19679,A000000,03200,0000,03200SUPPORT SURFACES 19679,A000000,03400,0000,03400CLINIC 19679,A000000,03500,0000,03500RURAL HEALTH CLINIC 19679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19679,A000000,04400,0000,04400DME RENTED - HHA 19679,A000000,04500,0000,04500DME SOLD - HHA 19679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19679,A000000,04800,0000,04800AMBULANCE 19679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19679,A000000,05000,0000,05000CORF 19679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19679,A000000,05300,0000,05300INTEREST EXPENSE 19679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19679,A000000,05500,0000,05500HOSPICE 19679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19679,A000000,06100,0000,06100NONPAID WORKERS 19679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19679,A000000,06200,0000,06200PATIENTS LAUNDRY 19679,E10A180,00501,0100,06/20/2000 19679,E10A180,00501,0300,06/20/2000 19679,S000000,00100,0200,06/01/2000 19679,S200000,00100,0100,922 NORTH FIFTH STREET 19679,S200000,00200,0100,LINCOLN 19679,S200000,00200,0200,KS 19679,S200000,00200,0300,67455-0466 19679,S200000,00300,0100,LINCOLN 19679,S200000,00300,0300,R 19679,S200000,00400,0100,MID-AMERICA NURSING CTR OF LINCOLN 19679,S200000,00400,0200,175419 19679,S200000,00400,0300,09/01/1997 19679,S200000,00400,0500,P 19679,S200000,00400,0600,O 19679,S200000,01500,0100,Y 19679,S200000,01900,0100,N 19679,S200000,04300,0100,Y 19679,S700003,00000,0400,4 19684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19684,A000000,00300,0000,00300EMPLOYEE BENEFITS 19684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19684,A000000,00700,0000,00700HOUSEKEEPING 19684,A000000,00800,0000,00800DIETARY 19684,A000000,00900,0000,00900NURSING ADMINISTRATION 19684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19684,A000000,01300,0000,01300SOCIAL SERVICE 19684,A000000,01350,0000,01500ACTIVITIES 19684,A000000,01600,0000,01600SKILLED NURSING FACILITY 19684,A000000,01900,0000,01900OTHER LONG TERM CARE 19684,A000000,02500,0000,02500PHYSICAL THERAPY 19684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19684,A000000,02700,0000,02700SPEECH PATHOLOGY 19684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19684,A000000,03050,0000,03300RESTORATIVE SERVICES 19684,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19684,A000000,05300,0000,05300INTEREST EXPENSE 19684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19684,A000000,06150,0000,06300INDEPENDENT LIVING 19684,A000000,06151,0000,06301OTHER MEALS 19684,A81000A,00100,0100,Y 19684,A81000B,00100,0300,SALARIES AND BENEFITS 19684,A81000B,00200,0300,SALARIES AND BENEFITS 19684,A81000B,00300,0300,MANAGEMENT FEES 19684,A81000C,00100,0100,B 19684,A81000C,00100,0400,VIA CHRISTI SEN 19684,A81000C,00100,0600,MANAGEMENT 19684,A81000C,00200,0100,B 19684,A81000C,00200,0400,VIA CHRISTI SEN 19684,A81000C,00200,0600,MANAGEMENT 19684,A81000C,00300,0100,B 19684,A81000C,00300,0400,VIA CHRISTI SEN 19684,A81000C,00300,0600,MANAGEMENT 19684,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 19684,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 19684,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 19684,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 19684,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 19684,B100000,00000,0600,00001TOTAL DAYSLAUNDRY & LINEN SERVI 19684,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 19684,B100000,00000,0800,00001MEALS SERVEDDIETARY 19684,B100000,00000,0900,00001NURSING DAYSNURSING ADMINISTRATIO 19684,B100000,00000,1200,00001NURSING DAYSMEDICAL RECORDS & LIB 19684,B100000,00000,1300,00001NURSING DAYSSOCIAL SERVICE 19684,B100000,00000,1350,00001NURSING DAYSACTIVITIES 19684,S000000,00100,0200,02/24/2000 19684,S200000,00100,0100,1110 WEST 11TH 19684,S200000,00200,0100,CONCORDIA 19684,S200000,00200,0200,KS 19684,S200000,00200,0300,66901- 19684,S200000,00300,0100,CLOUD 19684,S200000,00400,0100,MT. JOSEPH SENIOR COMMUNITY 19684,S200000,00400,0200,175420 19684,S200000,00400,0300,09/08/1997 19684,S200000,00400,0500,P 19684,S200000,01500,0100,Y 19684,S200000,02800,0100,Y 19684,S700003,00000,0400,4 19692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19692,A000000,00300,0000,00300EMPLOYEE BENEFITS 19692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19692,A000000,00700,0000,00700HOUSEKEEPING 19692,A000000,00800,0000,00800DIETARY 19692,A000000,00900,0000,00900NURSING ADMINISTRATION 19692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19692,A000000,01100,0000,01100PHARMACY 19692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19692,A000000,01300,0000,01300SOCIAL SERVICE 19692,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19692,A000000,01600,0000,01600SKILLED NURSING FACILITY 19692,A000000,01800,0000,01800NURSING FACILITY 19692,A000000,01810,0000,01801ICF/MR 19692,A000000,01900,0000,01900OTHER LONG TERM CARE 19692,A000000,02100,0000,02100RADIOLOGY 19692,A000000,02200,0000,02200LABORATORY 19692,A000000,02300,0000,02300INTRAVENOUS THERAPY 19692,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19692,A000000,02500,0000,02500PHYSICAL THERAPY 19692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19692,A000000,02700,0000,02700SPEECH PATHOLOGY 19692,A000000,02800,0000,02800ELECTROCARDIOLOGY 19692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19692,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19692,A000000,03200,0000,03200SUPPORT SURFACES 19692,A000000,03400,0000,03400CLINIC 19692,A000000,03500,0000,03500RURAL HEALTH CLINIC 19692,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19692,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19692,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19692,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19692,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19692,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19692,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19692,A000000,04400,0000,04400DME RENTED - HHA 19692,A000000,04500,0000,04500DME SOLD - HHA 19692,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19692,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19692,A000000,04800,0000,04800AMBULANCE 19692,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19692,A000000,05000,0000,05000CORF 19692,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19692,A000000,05300,0000,05300INTEREST EXPENSE 19692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19692,A000000,05500,0000,05500HOSPICE 19692,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19692,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19692,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19692,A000000,06100,0000,06100NONPAID WORKERS 19692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19692,A000000,06200,0000,06200PATIENTS LAUNDRY 19692,S000000,00100,0200,08/10/2000 19692,S200000,00100,0100,710 S.W. AVENUE 19692,S200000,00200,0100,BLUE RAPIDS 19692,S200000,00200,0200,KS 19692,S200000,00200,0300,66411- 19692,S200000,00300,0100,MARSHALL 19692,S200000,00300,0300,R 19692,S200000,00400,0100,BLUE VALLEY NURSING HOME INC. 19692,S200000,00400,0200,175421 19692,S200000,00400,0300,08/01/1997 19692,S200000,00400,0500,P 19692,S200000,00400,0600,O 19692,S200000,01500,0100,Y 19692,S200000,01900,0100,N 19692,S200000,02800,0100,Y 19692,S200000,03100,0100,Y 19692,S700003,00000,0400,4 19698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19698,A000000,00300,0000,00300EMPLOYEE BENEFITS 19698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19698,A000000,00700,0000,00700HOUSEKEEPING 19698,A000000,00800,0000,00800DIETARY 19698,A000000,00900,0000,00900NURSING ADMINISTRATION 19698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19698,A000000,01100,0000,01100PHARMACY 19698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19698,A000000,01300,0000,01300SOCIAL SERVICE 19698,A000000,01350,0000,01500OTHER GENERAL SERVICES 19698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19698,A000000,01600,0000,01600SKILLED NURSING FACILITY 19698,A000000,01800,0000,01800NURSING FACILITY 19698,A000000,01810,0000,01801ICF/MR 19698,A000000,01900,0000,01900OTHER LONG TERM CARE 19698,A000000,02100,0000,02100RADIOLOGY 19698,A000000,02200,0000,02200LABORATORY 19698,A000000,02300,0000,02300INTRAVENOUS THERAPY 19698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19698,A000000,02500,0000,02500PHYSICAL THERAPY 19698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19698,A000000,02700,0000,02700SPEECH PATHOLOGY 19698,A000000,02800,0000,02800ELECTROCARDIOLOGY 19698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19698,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19698,A000000,03200,0000,03200SUPPORT SURFACES 19698,A000000,03400,0000,03400CLINIC 19698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19698,A000000,03500,0000,03500RURAL HEALTH CLINIC 19698,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19698,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19698,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19698,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19698,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19698,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19698,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19698,A000000,04400,0000,04400DME RENTED - HHA 19698,A000000,04500,0000,04500DME SOLD - HHA 19698,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19698,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19698,A000000,04750,0000,05100OSP 19698,A000000,04800,0000,04800AMBULANCE 19698,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19698,A000000,05000,0000,05000CORF 19698,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19698,A000000,05300,0000,05300INTEREST EXPENSE 19698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19698,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19698,A000000,05500,0000,05500HOSPICE 19698,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19698,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19698,A000000,06100,0000,06100NONPAID WORKERS 19698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19698,A000000,06200,0000,06200PATIENTS LAUNDRY 19698,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19698,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVABLE 19698,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19698,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19698,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19698,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 19698,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19698,B100000,00000,0800,00000PATIENT DAYSDIETARY 19698,B100000,00000,0900,00000NO STATISTICSNURSING ADMINISTRATION 19698,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICES & SUP 19698,B100000,00000,1100,00000NO STATISTICSPHARMACY 19698,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 19698,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 19698,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL SERVICES 19698,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 19698,E10A180,00501,0100,06/08/2000 19698,E10A180,00501,0300,06/08/2000 19698,S000000,00100,0200,05/30/2000 19698,S200000,00100,0100,620 2ND AVENUE 19698,S200000,00200,0100,CONCORDIA 19698,S200000,00200,0200,KS 19698,S200000,00200,0300,66901-2799 19698,S200000,00300,0100,CLOUD 19698,S200000,00400,0100,SUNSET HOME INC. 19698,S200000,00400,0200,175422 19698,S200000,00400,0300,09/08/1997 19698,S200000,00400,0500,P 19698,S200000,00400,0600,O 19698,S200000,01500,0100,Y 19698,S200000,01900,0100,N 19698,S700003,00000,0400,4 19704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19704,A000000,00300,0000,00300EMPLOYEE BENEFITS 19704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19704,A000000,00700,0000,00700HOUSEKEEPING 19704,A000000,00800,0000,00800DIETARY 19704,A000000,00900,0000,00900NURSING ADMINISTRATION 19704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19704,A000000,01351,0000,01201SOCIAL SERVICES 19704,A000000,01352,0000,01202ACTIVITIES 19704,A000000,01600,0000,01600SKILLED NURSING FACILITY 19704,A000000,01800,0000,01800NURSING FACILITY 19704,A000000,01900,0000,01900OTHER LONG TERM CARE 19704,A000000,02100,0000,02100RADIOLOGY 19704,A000000,02500,0000,02500PHYSICAL THERAPY 19704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19704,A000000,02700,0000,02700SPEECH PATHOLOGY 19704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19704,A000000,05300,0000,05300INTEREST EXPENSE 19704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19704,A000000,06200,0000,06200PATIENTS LAUNDRY 19704,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 19704,B100000,00000,0200,00000DAYSCAP REL COSTS - MOVABLE EQUIPME 19704,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19704,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19704,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 19704,B100000,00000,0600,00000DAYSLAUNDRY & LINEN SERVICE 19704,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19704,B100000,00000,0800,00000DAYSDIETARY 19704,B100000,00000,0900,00000DAYSNURSING ADMINISTRATION 19704,B100000,00000,1200,00000GROSS REVENUESMEDICAL RECORDS & 19704,B100000,00000,1201,00000DAYSSOCIAL SERVICES 19704,B100000,00000,1202,00000DAYSACTIVITIES 19704,S000000,00100,0200,05/31/2000 19704,S200000,00100,0100,901 LAKEPOINT DR. 19704,S200000,00200,0100,AUGUSTA 19704,S200000,00200,0200,KS 19704,S200000,00200,0300,67010- 19704,S200000,00300,0100,BUTLER 19704,S200000,00300,0300,U 19704,S200000,00400,0100,LAKEPOINT NURSING CENTER 19704,S200000,00400,0200,175424 19704,S200000,00400,0300,12/23/1997 19704,S200000,00400,0500,P 19704,S200000,01500,0100,Y 19704,S200000,01900,0100,N 19704,S200000,02200,0100,Y 19704,S700003,00000,0400,4 19709,S000000,00100,0200,06/01/2000 19712,S000000,00100,0200,06/08/2000 19716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19716,A000000,00300,0000,00300EMPLOYEE BENEFITS 19716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19716,A000000,00700,0000,00700HOUSEKEEPING 19716,A000000,00800,0000,00800DIETARY 19716,A000000,00900,0000,00900NURSING ADMINISTRATION 19716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19716,A000000,01100,0000,01100PHARMACY 19716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19716,A000000,01300,0000,01300SOCIAL SERVICE 19716,A000000,01350,0000,01500OTHER GENERAL SERVICES 19716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19716,A000000,01600,0000,01600SKILLED NURSING FACILITY 19716,A000000,01800,0000,01800NURSING FACILITY 19716,A000000,01810,0000,01801ICF/MR 19716,A000000,01900,0000,01900OTHER LONG TERM CARE 19716,A000000,02100,0000,02100RADIOLOGY 19716,A000000,02200,0000,02200LABORATORY 19716,A000000,02300,0000,02300INTRAVENOUS THERAPY 19716,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19716,A000000,02500,0000,02500PHYSICAL THERAPY 19716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19716,A000000,02700,0000,02700SPEECH PATHOLOGY 19716,A000000,02800,0000,02800ELECTROCARDIOLOGY 19716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19716,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19716,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19716,A000000,03200,0000,03200SUPPORT SURFACES 19716,A000000,03400,0000,03400CLINIC 19716,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19716,A000000,03500,0000,03500RURAL HEALTH CLINIC 19716,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19716,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19716,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19716,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19716,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19716,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19716,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19716,A000000,04400,0000,04400DME RENTED - HHA 19716,A000000,04500,0000,04500DME SOLD - HHA 19716,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19716,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19716,A000000,04750,0000,05100OSP 19716,A000000,04800,0000,04800AMBULANCE 19716,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19716,A000000,05000,0000,05000CORF 19716,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19716,A000000,05300,0000,05300INTEREST EXPENSE 19716,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19716,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19716,A000000,05500,0000,05500HOSPICE 19716,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19716,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19716,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19716,A000000,06100,0000,06100NONPAID WORKERS 19716,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19716,A000000,06200,0000,06200PATIENTS LAUNDRY 19716,E10A180,00501,0100,06/09/2000 19716,E10A180,00501,0300,06/09/2000 19716,S000000,00100,0200,05/31/2000 19716,S200000,00100,0300,327 19716,S200000,00200,0100,MOUND CITY 19716,S200000,00200,0200,KS 19716,S200000,00200,0300,66059-9998 19716,S200000,00300,0100,LINN 19716,S200000,00300,0300,R 19716,S200000,00400,0100,CRYSTAL CARE CENTER 19716,S200000,00400,0200,175428 19716,S200000,00400,0300,04/01/1998 19716,S200000,00400,0500,P 19716,S200000,01500,0100,Y 19716,S200000,01900,0100,N 19716,S700003,00000,0400,4 19717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19717,A000000,00300,0000,00300EMPLOYEE BENEFITS 19717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19717,A000000,00700,0000,00700HOUSEKEEPING 19717,A000000,00800,0000,00800DIETARY 19717,A000000,00900,0000,00900NURSING ADMINISTRATION 19717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19717,A000000,01100,0000,01100PHARMACY 19717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19717,A000000,01300,0000,01300SOCIAL SERVICE 19717,A000000,01350,0000,01500RECREATION 19717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19717,A000000,01600,0000,01600SKILLED NURSING FACILITY 19717,A000000,01810,0000,01810ICF/MR 19717,A000000,02500,0000,02500PHYSICAL THERAPY 19717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19717,A000000,02700,0000,02700SPEECH PATHOLOGY 19717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19717,A000000,03550,0000,03550FQHC 19717,A000000,05000,0000,05000CORF 19717,A000000,05010,0000,05010CMHC 19717,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19717,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19717,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19717,A81000A,00100,0100,Y 19717,A81000B,00100,0300,HOME OFFICE A&G 19717,A81000B,00200,0300,HOME OFFICE CAPITAL 19717,A81000B,00300,0300,HOME OFFICE INTEREST 19717,A81000C,00100,0100,B 19717,A81000C,00100,0200,INFINIA HEALTH 19717,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 19717,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 19717,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19717,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19717,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 19717,B100000,00000,0600,00000PATIENT CENSUSLAUNDRY & LINEN SER 19717,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19717,B100000,00000,0800,00000PATIENT CENSUSDIETARY 19717,B100000,00000,0900,00000GROSS SALARIESNURSING ADMINISTR 19717,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 19717,B100000,00000,1100,00000COSTED REQUISPHARMACY 19717,B100000,00000,1200,00000PATIENT CENSUSMEDICAL RECORDS & L 19717,B100000,00000,1300,00000PATIENT CENSUSSOCIAL SERVICE 19717,B100000,00000,1350,00000PATIENT CENSUSRECREATION 19717,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 19717,E10A180,00501,0300,06/08/2000 19717,S000000,00100,0200,06/01/2000 19717,S200000,00100,0100,1212 OHIO 19717,S200000,00200,0100,OSWEGO 19717,S200000,00200,0200,KS 19717,S200000,00200,0300,67356 19717,S200000,00300,0100,LABETTE 19717,S200000,00300,0300,R 19717,S200000,00400,0100,INFINIA AT OSWEGO 19717,S200000,00400,0200,175434 19717,S200000,00400,0300,01/27/1999 19717,S200000,00400,0500,P 19717,S200000,01500,0100,Y 19717,S200000,01900,0100,Y 19717,S700003,00000,0400,4 19720,S000000,00100,0200,04/12/2000 19722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19722,A000000,00300,0000,00300EMPLOYEE BENEFITS 19722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19722,A000000,00700,0000,00700HOUSEKEEPING 19722,A000000,00800,0000,00800DIETARY 19722,A000000,00900,0000,00900NURSING ADMINISTRATION 19722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19722,A000000,01100,0000,01100PHARMACY 19722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19722,A000000,01300,0000,01300SOCIAL SERVICE 19722,A000000,01350,0000,01500RECREATION 19722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19722,A000000,01600,0000,01600SKILLED NURSING FACILITY 19722,A000000,01810,0000,01810ICF/MR 19722,A000000,02500,0000,02500PHYSICAL THERAPY 19722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19722,A000000,02700,0000,02700SPEECH PATHOLOGY 19722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19722,A000000,03550,0000,03550FQHC 19722,A000000,05000,0000,05000CORF 19722,A000000,05010,0000,05010CMHC 19722,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19722,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19722,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19722,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19722,A81000A,00100,0100,Y 19722,A81000B,00901,0300,HOME OFFICE CAPITAL 19722,A81000B,00902,0300,HOME OFFICE INTEREST 19722,A81000B,00903,0300,HOME OFFICE ADMIN 19722,A81000C,00100,0100,B 19722,A81000C,00100,0200,INFINIA HEALTH 19722,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 19722,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 19722,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 19722,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 19722,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 19722,B100000,00000,0600,00000PATIENT CENSUSLAUNDRY & LINEN SERVI 19722,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 19722,B100000,00000,0800,00000PATIENT CENSUSDIETARY 19722,B100000,00000,0900,00000GROSS SALARIESNURSING ADMINISTRATIO 19722,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & SUP 19722,B100000,00000,1100,00000COSTED REQUISPHARMACY 19722,B100000,00000,1200,00000PATIENT CENSUSMEDICAL RECORDS & LIB 19722,B100000,00000,1300,00000PATIENT CENSUSSOCIAL SERVICE 19722,B100000,00000,1350,00000PATIENT CENSUSRECREATION 19722,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 19722,S000000,00100,0200,06/01/2000 19722,S200000,00100,0100,1601 NORTH MAIN 19722,S200000,00200,0100,MCPHERSON 19722,S200000,00200,0200,KS 19722,S200000,00200,0300,67460 19722,S200000,00300,0100,MCPHERSON 19722,S200000,00300,0300,R 19722,S200000,00400,0100,INFINIA AT MCPHERSON 19722,S200000,00400,0200,175437 19722,S200000,00400,0300,09/01/1999 19722,S200000,00400,0500,P 19722,S200000,01500,0100,Y 19722,S200000,01900,0100,LLC 19722,S700003,00000,0400,4 19735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19735,A000000,00300,0000,00300EMPLOYEE BENEFITS 19735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19735,A000000,00700,0000,00700HOUSEKEEPING 19735,A000000,00800,0000,00800DIETARY 19735,A000000,00900,0000,00900NURSING ADMINISTRATION 19735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19735,A000000,01100,0000,01100PHARMACY 19735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19735,A000000,01300,0000,01300SOCIAL SERVICE 19735,A000000,01350,0000,01500OTHER GENERAL SERVICES 19735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19735,A000000,01600,0000,01600SKILLED NURSING FACILITY 19735,A000000,01800,0000,01800NURSING FACILITY 19735,A000000,01900,0000,01900OTHER LONG TERM CARE 19735,A000000,02100,0000,02100RADIOLOGY 19735,A000000,02200,0000,02200LABORATORY 19735,A000000,02300,0000,02300INTRAVENOUS THERAPY 19735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19735,A000000,02500,0000,02500PHYSICAL THERAPY 19735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19735,A000000,02700,0000,02700SPEECH PATHOLOGY 19735,A000000,02800,0000,02800ELECTROCARDIOLOGY 19735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19735,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19735,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19735,A000000,03200,0000,03200SUPPORT SURFACES 19735,A000000,03400,0000,03400CLINIC 19735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19735,A000000,03500,0000,03500RURAL HEALTH CLINIC 19735,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19735,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19735,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19735,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19735,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19735,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19735,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19735,A000000,04400,0000,04400DME RENTED - HHA 19735,A000000,04500,0000,04500DME SOLD - HHA 19735,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19735,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19735,A000000,04750,0000,05100OSP 19735,A000000,04800,0000,04800AMBULANCE 19735,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19735,A000000,05000,0000,05000CORF 19735,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19735,A000000,05300,0000,05300INTEREST EXPENSE 19735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19735,A000000,05500,0000,05500HOSPICE 19735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19735,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19735,A000000,06100,0000,06100NONPAID WORKERS 19735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19735,A000000,06200,0000,06200PATIENTS LAUNDRY 19735,A81000A,00100,0100,Y 19735,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19735,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19735,A81000B,00903,0300,POOLED -- HOME OFFICE 19735,A81000C,00100,0100,B 19735,A81000C,00100,0200,MEDICALODGES I 19735,A81000C,00100,0600,HEALTH CARE 19735,E10A180,00501,0100,04/12/2000 19735,E10A180,00550,0300,04/12/2000 19735,S000000,00100,0200,04/04/2000 19735,S200000,00100,0100,400 LYON DRIVE 19735,S200000,00200,0100,NEOSHO 19735,S200000,00200,0200,MO 19735,S200000,00200,0300,64850-9105 19735,S200000,00300,0100,NEWTON 19735,S200000,00400,0100,MEDICALODGE OF NEOSHO 19735,S200000,00400,0200,265266 19735,S200000,00400,0300,11/01/1991 19735,S200000,00400,0500,P 19735,S200000,01600,0100,Y 19735,S700003,00000,0100,1 19737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19737,A000000,00300,0000,00300EMPLOYEE BENEFITS 19737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19737,A000000,00700,0000,00700HOUSEKEEPING 19737,A000000,00800,0000,00800DIETARY 19737,A000000,00900,0000,00900NURSING ADMINISTRATION 19737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19737,A000000,01100,0000,01100PHARMACY 19737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19737,A000000,01300,0000,01300SOCIAL SERVICE 19737,A000000,01350,0000,01500OTHER GENERAL SERVICES 19737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19737,A000000,01600,0000,01600SKILLED NURSING FACILITY 19737,A000000,01800,0000,01800NURSING FACILITY 19737,A000000,01900,0000,01900OTHER LONG TERM CARE 19737,A000000,02100,0000,02100RADIOLOGY 19737,A000000,02200,0000,02200LABORATORY 19737,A000000,02300,0000,02300INTRAVENOUS THERAPY 19737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19737,A000000,02500,0000,02500PHYSICAL THERAPY 19737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19737,A000000,02700,0000,02700SPEECH PATHOLOGY 19737,A000000,02800,0000,02800ELECTROCARDIOLOGY 19737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19737,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19737,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19737,A000000,03200,0000,03200SUPPORT SURFACES 19737,A000000,03400,0000,03400CLINIC 19737,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19737,A000000,03500,0000,03500RURAL HEALTH CLINIC 19737,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19737,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19737,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19737,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19737,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19737,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19737,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19737,A000000,04400,0000,04400DME RENTED - HHA 19737,A000000,04500,0000,04500DME SOLD - HHA 19737,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19737,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19737,A000000,04750,0000,05100OSP 19737,A000000,04800,0000,04800AMBULANCE 19737,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19737,A000000,05000,0000,05000CORF 19737,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19737,A000000,05300,0000,05300INTEREST EXPENSE 19737,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19737,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19737,A000000,05500,0000,05500HOSPICE 19737,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19737,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19737,A000000,06100,0000,06100NONPAID WORKERS 19737,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19737,A000000,06200,0000,06200PATIENTS LAUNDRY 19737,A81000A,00100,0100,Y 19737,A81000B,00100,0300,POOLED -- CAPITAL RELATED 19737,A81000B,00200,0300,POOLED -- CAPITAL RELATED 19737,A81000B,00300,0300,POOLED -- HOME OFFICE 19737,A81000C,00100,0100,B 19737,A81000C,00100,0200,MEDICALODGES I 19737,A81000C,00100,0600,HEALTH CARE 19737,E10A180,00501,0100,04/04/2000 19737,E10A180,00550,0300,04/04/2000 19737,S000000,00100,0200,04/04/2000 19737,S200000,00100,0100,103 EAST NURSERY 19737,S200000,00200,0100,BUTLER 19737,S200000,00200,0200,MO 19737,S200000,00200,0300,64730-9309 19737,S200000,00300,0100,BATES 19737,S200000,00400,0100,MEDICALODGE OF BUTLER 19737,S200000,00400,0200,265564 19737,S200000,00400,0300,02/01/1994 19737,S200000,00400,0500,P 19737,S200000,01600,0100,Y 19737,S700003,00000,0100,1 19745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19745,A000000,00300,0000,00300EMPLOYEE BENEFITS 19745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19745,A000000,00700,0000,00700HOUSEKEEPING 19745,A000000,00800,0000,00800DIETARY 19745,A000000,01300,0000,01300SOCIAL SERVICE 19745,A000000,01350,0000,01500OTHER GENERAL SERVICES 19745,A000000,01600,0000,01600SKILLED NURSING FACILITY 19745,A000000,02100,0000,02100RADIOLOGY 19745,A000000,02200,0000,02200LABORATORY 19745,A000000,02500,0000,02500PHYSICAL THERAPY 19745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19745,A000000,02700,0000,02700SPEECH PATHOLOGY 19745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19745,A81000A,00100,0100,Y 19745,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19745,A81000B,00200,0300,CAPITAL 19745,A81000B,00300,0300,INTEREST 19745,A81000C,00100,0100,B 19745,A81000C,00100,0400,PRESBYTERIAN MA 19745,S000000,00100,0200,12/01/2000 19745,S200000,00100,0100,1200 HOMELIFE PLAZA 19745,S200000,00200,0100,ROLLA 19745,S200000,00200,0200,MO 19745,S200000,00200,0300,65401- 19745,S200000,00300,0100,PHELPS 19745,S200000,00300,0300,R 19745,S200000,00400,0100,ROLLA PRESBYTERIAN MANOR 19745,S200000,00400,0200,265580 19745,S200000,00400,0300,07/01/1994 19745,S200000,00400,0500,P 19745,S200000,00400,0600,O 19745,S200000,01500,0100,Y 19745,S200000,01900,0100,N 19745,S700003,00000,0200,2 19754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19754,A000000,00300,0000,00300EMPLOYEE BENEFITS 19754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19754,A000000,00700,0000,00700HOUSEKEEPING 19754,A000000,00800,0000,00800DIETARY 19754,A000000,01300,0000,01300SOCIAL SERVICE 19754,A000000,01350,0000,01500OTHER GENERAL SERVICES 19754,A000000,01600,0000,01600SKILLED NURSING FACILITY 19754,A000000,02100,0000,02100RADIOLOGY 19754,A000000,02200,0000,02200LABORATORY 19754,A000000,02500,0000,02500PHYSICAL THERAPY 19754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19754,A000000,02700,0000,02700SPEECH PATHOLOGY 19754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19754,A81000A,00100,0100,Y 19754,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19754,A81000B,00200,0300,CAPITAL 19754,A81000B,00300,0300,INTEREST 19754,A81000C,00100,0100,B 19754,A81000C,00100,0400,PRESBYTERIAN MA 19754,S000000,00100,0200,11/30/2000 19754,S200000,00100,0100,811 CENTER 19754,S200000,00200,0100,FULTON 19754,S200000,00200,0200,KS 19754,S200000,00200,0300,65251- 19754,S200000,00300,0100,CALLAWAY 19754,S200000,00300,0300,R 19754,S200000,00400,0100,FULTON PRESBYTERIAN MANOR 19754,S200000,00400,0200,265581 19754,S200000,00400,0300,07/01/1994 19754,S200000,00400,0500,P 19754,S200000,01500,0100,Y 19754,S200000,01900,0100,N 19754,S700003,00000,0200,2 19764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19764,A000000,00300,0000,00300EMPLOYEE BENEFITS 19764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19764,A000000,00700,0000,00700HOUSEKEEPING 19764,A000000,00800,0000,00800DIETARY 19764,A000000,01300,0000,01300SOCIAL SERVICE 19764,A000000,01350,0000,01500OTHER GENERAL SERVICES 19764,A000000,01600,0000,01600SKILLED NURSING FACILITY 19764,A000000,02100,0000,02100RADIOLOGY 19764,A000000,02200,0000,02200LABORATORY 19764,A000000,02500,0000,02500PHYSICAL THERAPY 19764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19764,A000000,02700,0000,02700SPEECH PATHOLOGY 19764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19764,A81000A,00100,0100,Y 19764,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 19764,A81000B,00200,0300,CAPITAL 19764,A81000B,00300,0300,INTEREST 19764,A81000C,00100,0100,B 19764,A81000C,00100,0400,PRESBYTERIAN MA 19764,S000000,00100,0200,12/04/2000 19764,S200000,00100,0100,500 CAYCE COURT 19764,S200000,00200,0100,FARMINGTON 19764,S200000,00200,0200,KS 19764,S200000,00200,0300,63640- 19764,S200000,00300,0100,ST FRANCIS 19764,S200000,00300,0300,R 19764,S200000,00400,0100,FARMINGTON PRESBYTERIAN MANOR 19764,S200000,00400,0200,265583 19764,S200000,00400,0300,07/01/1994 19764,S200000,00400,0500,P 19764,S200000,01500,0100,Y 19764,S200000,01900,0100,N 19764,S700003,00000,0200,2 19767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19767,A000000,00300,0000,00300EMPLOYEE BENEFITS 19767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19767,A000000,00700,0000,00700HOUSEKEEPING 19767,A000000,00800,0000,00800DIETARY 19767,A000000,00900,0000,00900NURSING ADMINISTRATION 19767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19767,A000000,01100,0000,01100PHARMACY 19767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19767,A000000,01300,0000,01300SOCIAL SERVICE 19767,A000000,01350,0000,01500OTHER GENERAL SERVICES 19767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19767,A000000,01600,0000,01600SKILLED NURSING FACILITY 19767,A000000,01800,0000,01800NURSING FACILITY 19767,A000000,01900,0000,01900OTHER LONG TERM CARE 19767,A000000,02100,0000,02100RADIOLOGY 19767,A000000,02200,0000,02200LABORATORY 19767,A000000,02300,0000,02300INTRAVENOUS THERAPY 19767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19767,A000000,02500,0000,02500PHYSICAL THERAPY 19767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19767,A000000,02700,0000,02700SPEECH PATHOLOGY 19767,A000000,02800,0000,02800ELECTROCARDIOLOGY 19767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19767,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 19767,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19767,A000000,03200,0000,03200SUPPORT SURFACES 19767,A000000,03400,0000,03400CLINIC 19767,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 19767,A000000,03500,0000,03500RURAL HEALTH CLINIC 19767,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19767,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19767,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19767,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19767,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19767,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19767,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19767,A000000,04400,0000,04400DME RENTED - HHA 19767,A000000,04500,0000,04500DME SOLD - HHA 19767,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19767,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19767,A000000,04750,0000,05100OSP 19767,A000000,04800,0000,04800AMBULANCE 19767,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19767,A000000,05000,0000,05000CORF 19767,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19767,A000000,05300,0000,05300INTEREST EXPENSE 19767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19767,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19767,A000000,05500,0000,05500HOSPICE 19767,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19767,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19767,A000000,06100,0000,06100NONPAID WORKERS 19767,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 19767,A000000,06200,0000,06200PATIENTS LAUNDRY 19767,A81000A,00100,0100,Y 19767,A81000B,00901,0300,POOLED -- CAPITAL RELATED 19767,A81000B,00902,0300,POOLED -- CAPITAL RELATED 19767,A81000B,00903,0300,POOLED -- HOME OFFICE 19767,A81000C,00100,0100,B 19767,A81000C,00100,0200,MEDICALODGES I 19767,A81000C,00100,0600,HEALTH CARE 19767,E10A180,00301,0100,09/17/1999 19767,E10A180,00501,0300,04/14/2000 19767,E10A180,00550,0100,04/14/2000 19767,S000000,00100,0200,04/04/2000 19767,S200000,00100,0100,HIGHWAY 123 19767,S200000,00100,0300,520 19767,S200000,00200,0100,DEWEY 19767,S200000,00200,0200,OK 19767,S200000,00200,0300,74029-0520 19767,S200000,00300,0100,WASHINGTON 19767,S200000,00400,0100,MEDICALODGE OF DEWEY 19767,S200000,00400,0200,375150 19767,S200000,00400,0300,01/01/1994 19767,S200000,00400,0500,P 19767,S200000,01600,0100,Y 19767,S700003,00000,0100,1 19770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19770,A000000,00300,0000,00300EMPLOYEE BENEFITS 19770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19770,A000000,00700,0000,00700HOUSEKEEPING 19770,A000000,00800,0000,00800DIETARY 19770,A000000,00900,0000,00900NURSING ADMINISTRATION 19770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19770,A000000,01300,0000,01300SOCIAL SERVICE 19770,A000000,01600,0000,01600SKILLED NURSING FACILITY 19770,A000000,01800,0000,01800NURSING FACILITY 19770,A000000,01810,0000,01810ICF/MR 19770,A000000,01900,0000,01900OTHER LONG TERM CARE 19770,A000000,02100,0000,02100RADIOLOGY 19770,A000000,02200,0000,02200LABORATORY 19770,A000000,02300,0000,02300INTRAVENOUS THERAPY 19770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19770,A000000,02500,0000,02500PHYSICAL THERAPY 19770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19770,A000000,02700,0000,02700SPEECH PATHOLOGY 19770,A000000,02800,0000,02800ELECTROCARDIOLOGY 19770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19770,A000000,03200,0000,03200SUPPORT SURFACES 19770,A000000,03400,0000,03400CLINIC 19770,A000000,03500,0000,03500RURAL HEALTH CLINIC 19770,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 19770,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19770,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19770,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19770,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19770,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19770,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19770,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19770,A000000,04400,0000,04400DME RENTED - HHA 19770,A000000,04500,0000,04500DME SOLD - HHA 19770,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19770,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19770,A000000,04800,0000,04800AMBULANCE 19770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19770,A000000,05000,0000,05000CORF 19770,A000000,05010,0000,05010CMHC 19770,A000000,05020,0000,05020OPT 19770,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19770,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19770,A000000,05300,0000,05300INTEREST EXPENSE 19770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19770,A000000,05500,0000,05500HOSPICE 19770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19770,A000000,06100,0000,06100NONPAID WORKERS 19770,A000000,06200,0000,06200PATIENTS LAUNDRY 19770,A81000A,00100,0100,Y 19770,A81000B,00100,0300,REAL ESTATE TAXES 19770,A81000B,00200,0300,DEPRECIATION 19770,A81000B,00300,0300,DEPRECIATION 19770,A81000B,00400,0300,MORTGAGE INTEREST 19770,A81000B,00500,0300,LEGAL & ACCOUNTING 19770,A81000B,00600,0300,MISCELLANEOUS 19770,A81000C,00100,0100,B 19770,A81000C,00100,0400,TWIN WILLOWS N.H. 19770,A81000C,00100,0600,OWNS BUILDING 19770,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 19770,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 19770,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 19770,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19770,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 19770,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 19770,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 19770,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 19770,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 19770,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 19770,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 19770,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 19770,E10A180,00601,0100,03/12/2001 19770,E10A180,00601,0300,03/12/2001 19770,S000000,00100,0200,07/05/2000 19770,S200000,00100,0100,514 EAST JACKSON 19770,S200000,00200,0100,DUQUOIN 19770,S200000,00200,0200,IL 19770,S200000,00200,0300,62832- 19770,S200000,00300,0100,PERRY 19770,S200000,00400,0100,FAIR ACRES NURSING HOME INC 19770,S200000,00400,0200,145008 19770,S200000,00400,0300,01/01/1967 19770,S200000,00400,0500,P 19770,S200000,01600,0100,Y 19782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19782,A000000,00300,0000,00300EMPLOYEE BENEFITS 19782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19782,A000000,00700,0000,00700HOUSEKEEPING 19782,A000000,00800,0000,00800DIETARY 19782,A000000,00900,0000,00900NURSING ADMINISTRATION 19782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19782,A000000,01100,0000,01100PHARMACY 19782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19782,A000000,01300,0000,01300SOCIAL SERVICE 19782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19782,A000000,01600,0000,01600SKILLED NURSING FACILITY 19782,A000000,01800,0000,01800NURSING FACILITY 19782,A000000,01810,0000,01810ICF/MR 19782,A000000,02100,0000,02100RADIOLOGY 19782,A000000,02200,0000,02200LABORATORY 19782,A000000,02300,0000,02300INTRAVENOUS THERAPY 19782,A000000,02500,0000,02500PHYSICAL THERAPY 19782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19782,A000000,02700,0000,02700SPEECH PATHOLOGY 19782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19782,A000000,03550,0000,03550FQHC 19782,A000000,04800,0000,04800AMBULANCE 19782,A000000,05000,0000,05000CORF 19782,A000000,05010,0000,05010CMHC 19782,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19782,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19782,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19782,A81000A,00100,0100,Y 19782,A81000B,00200,0300,RENT 19782,A81000B,00400,0300,MANAGEMENT FEES 19782,A81000C,00200,0100,B 19782,A81000C,00200,0200,TERRACE INVESTO 19782,A81000C,00400,0100,B 19782,A81000C,00400,0200,EKS 19782,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19782,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19782,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19782,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19782,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19782,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19782,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19782,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19782,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19782,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19782,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19782,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 19782,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19782,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19782,E10A180,00601,0100,07/11/2001 19782,E10A180,00650,0300,07/11/2001 19782,S000000,00100,0200,05/17/2000 19782,S200000,00200,0200,CA 19782,S200000,00300,0100,LAKE 19782,S200000,00400,0100,TERRACE NURSING HOME INC. 19782,S200000,00400,0200,145033 19782,S200000,00400,0300,07/01/1966 19782,S200000,00400,0500,P 19782,S200000,01004,0500,O 19782,S200000,01600,0100,Y 19782,S200000,04900,0100,Y 19795,S000000,00100,0200,06/02/2000 19805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19805,A000000,00300,0000,00300EMPLOYEE BENEFITS 19805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19805,A000000,00700,0000,00700HOUSEKEEPING 19805,A000000,00800,0000,00800DIETARY 19805,A000000,00900,0000,00900NURSING ADMINISTRATION 19805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19805,A000000,01100,0000,01100PHARMACY 19805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19805,A000000,01300,0000,01300SOCIAL SERVICE 19805,A000000,01350,0000,01500RECREATIONAL THERAPY 19805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19805,A000000,01600,0000,01600SKILLED NURSING FACILITY 19805,A000000,01800,0000,01800NURSING FACILITY 19805,A000000,01810,0000,01810ICF/MR 19805,A000000,02100,0000,02100RADIOLOGY 19805,A000000,02200,0000,02200LABORATORY 19805,A000000,02500,0000,02500PHYSICAL THERAPY 19805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19805,A000000,02700,0000,02700SPEECH PATHOLOGY 19805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19805,A000000,03200,0000,03200SUPPORT SURFACES 19805,A000000,03550,0000,03550FQHC 19805,A000000,05000,0000,05000CORF 19805,A000000,05010,0000,05010CMHC 19805,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19805,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19805,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19805,A81000A,00100,0100,Y 19805,A81000B,00100,0300,MANAGEMENT FEES 19805,A81000B,00200,0300,HOME OFFICE EXPENSES 19805,A81000B,00300,0300,ANCILLARY ADMIN FEES 19805,A81000B,00400,0300,LEGAL SVCS 19805,A81000B,00500,0300,DIETARY CONSULTANT 19805,A81000B,00600,0300,PROMOTION SVCS 19805,A81000B,00700,0300,ACCOUNTING FEES 19805,A81000B,00800,0300,DATAT PROCESSING 19805,A81000B,00900,0300,BOOKKEEPING SVCS 19805,A81000B,01000,0300,RENT 19805,A81000B,01100,0300,MORTGAGE INTEREST 19805,A81000B,01200,0300,R. E. TAX 19805,A81000B,01300,0300,DEPR EXPENSE 19805,A81000B,01400,0300,BLDG CO ADMIN EXP 19805,A81000C,00100,0100,B 19805,A81000C,00100,0400,FAIRFAX H. C. P 19805,A81000C,00100,0600,BUILDING CO. 19805,A81000C,00200,0100,A 19805,A81000C,00200,0200,ERIC ROTHNER 19805,A81000C,00200,0400,CARE CENTERS I 19805,A81000C,00200,0600,MANAGEMENT CO. 19805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19805,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 19805,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 19805,B100000,00000,0800,00000MEALS SERVED :DIETARY 19805,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19805,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 19805,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19805,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 19805,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 19805,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 19805,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19805,E10A180,00601,0100,04/23/2001 19805,E10A180,00650,0300,04/23/2001 19805,S000000,00100,0200,06/05/2000 19805,S200000,00100,0100,3601 S. HARLEM AVE. 19805,S200000,00200,0100,BERWYN 19805,S200000,00200,0200,IL 19805,S200000,00200,0300,60402- 19805,S200000,00300,0100,COOK 19805,S200000,00400,0100,FAIRFAX OF BERWYN 19805,S200000,00400,0200,145070 19805,S200000,00400,0300,04/16/1993 19805,S200000,00400,0500,P 19805,S200000,00600,0200,145070 19805,S200000,00600,0300,04/16/1993 19805,S200000,00600,0600,P 19805,S200000,01600,0100,Y 19805,S200000,02200,0100,Y 19814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19814,A000000,00300,0000,00300EMPLOYEE BENEFITS 19814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19814,A000000,00700,0000,00700HOUSEKEEPING 19814,A000000,00800,0000,00800DIETARY 19814,A000000,00900,0000,00900NURSING ADMINISTRATION 19814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19814,A000000,01100,0000,01100PHARMACY 19814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19814,A000000,01300,0000,01300SOCIAL SERVICE 19814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19814,A000000,01600,0000,01600SKILLED NURSING FACILITY 19814,A000000,01800,0000,01800NURSING FACILITY 19814,A000000,01900,0000,01900OTHER LONG TERM CARE 19814,A000000,02100,0000,02100RADIOLOGY 19814,A000000,02200,0000,02200LABORATORY 19814,A000000,02300,0000,02300INTRAVENOUS THERAPY 19814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19814,A000000,02500,0000,02500PHYSICAL THERAPY 19814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19814,A000000,02700,0000,02700SPEECH PATHOLOGY 19814,A000000,02800,0000,02800ELECTROCARDIOLOGY 19814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19814,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19814,A000000,03200,0000,03200SUPPORT SURFACES 19814,A000000,03400,0000,03400CLINIC 19814,A000000,03500,0000,03500RURAL HEALTH CLINIC 19814,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 19814,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 19814,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 19814,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 19814,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 19814,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 19814,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 19814,A000000,04400,0000,04400DME RENTED - HHA 19814,A000000,04500,0000,04500DME SOLD - HHA 19814,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 19814,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 19814,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19814,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19814,A000000,05300,0000,05300INTEREST EXPENSE 19814,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19814,A000000,05500,0000,05500HOSPICE 19814,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19814,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19814,A000000,06100,0000,06100NONPAID WORKERS 19814,A000000,06200,0000,06200PATIENTS LAUNDRY 19814,A81000A,00100,0100,Y 19814,A81000B,00100,0300,MANAGEMENT FEE 19814,A81000B,00200,0300,DIRECT ACCOUNTING ALLOCATION 19814,A81000C,00100,0100,A 19814,A81000C,00100,0200,SAM & RAY KLEIN 19814,A81000C,00100,0400,NURS. HOME MNGR 19814,A81000C,00100,0600,MANAGEMENT 19814,B100000,00000,0100,00000SQ. FT. :CAP REL COSTS - BLDGS & F 19814,B100000,00000,0250,00000SQ. FT. :CAP REL COSTS - MOVABLE E 19814,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 19814,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19814,B100000,00000,0500,00000SQ. FT. :PLANT OPERATION MAINT. & 19814,B100000,00000,0650,00000LBS. LAUNDRY :LAUNDRY & LINEN SERV 19814,B100000,00000,0750,00000HSKP. HRS. :HOUSEKEEPING 19814,B100000,00000,0800,00000MEALS SERVED :DIETARY 19814,B100000,00000,0950,00000NURSING HRS. :NURSING ADMINISTRATI 19814,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 19814,B100000,00000,1150,00000PAT DAYS :PHARMACY 19814,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 19814,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 19814,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 19814,E10A180,00650,0100,03/12/2001 19814,E10A180,00650,0300,03/12/2001 19814,S000000,00100,0200,05/02/2000 19814,S200000,00100,0100,120 WEST ANTLE 19814,S200000,00200,0100,PETERSBURG 19814,S200000,00200,0200,IL 19814,S200000,00200,0300,62675- 19814,S200000,00300,0100,MENARD 19814,S200000,00400,0100,MENARD CONVALESCENT CENTER 19814,S200000,00400,0200,145079 19814,S200000,00400,0300,02/01/1966 19814,S200000,00400,0500,P 19814,S200000,01600,0100,Y 19817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19817,A000000,00300,0000,00300EMPLOYEE BENEFITS 19817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19817,A000000,00700,0000,00700HOUSEKEEPING 19817,A000000,00800,0000,00800DIETARY 19817,A000000,00900,0000,00900NURSING ADMINISTRATION 19817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19817,A000000,01300,0000,01300SOCIAL SERVICE 19817,A000000,01350,0000,01500ACTIVITIES 19817,A000000,01600,0000,01600SKILLED NURSING FACILITY 19817,A000000,01800,0000,01800NURSING FACILITY 19817,A000000,01900,0000,01900OTHER LONG TERM CARE 19817,A000000,02100,0000,02100RADIOLOGY 19817,A000000,02200,0000,02200LABORATORY 19817,A000000,02300,0000,02300INTRAVENOUS THERAPY 19817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19817,A000000,02500,0000,02500PHYSICAL THERAPY 19817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19817,A000000,02700,0000,02700SPEECH PATHOLOGY 19817,A000000,02800,0000,02800ELECTROCARDIOLOGY 19817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19817,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 19817,A000000,03200,0000,03200SUPPORT SURFACES 19817,A000000,05300,0000,05300INTEREST EXPENSE 19817,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19817,A81000A,00100,0100,Y 19817,A81000B,00100,0300,MANAGEMENT FEE 19817,A81000B,00200,0300,COMPUTER LEASE 19817,A81000C,00100,0100,A 19817,A81000C,00100,0200,J. MICHAEL GREE 19817,A81000C,00100,0400,GREER MANAGEMEN 19817,A81000C,00100,0600,MANAGEMENT COMP 19817,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19817,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19817,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19817,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19817,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19817,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19817,B100000,00000,0800,00000MEALS SERVED :DIETARY 19817,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 19817,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19817,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 19817,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 19817,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 19817,E10A180,00650,0100,03/12/2001 19817,S000000,00100,0200,06/07/2000 19817,S200000,00100,0100,700 WEBER DRIVE 19817,S200000,00200,0100,OFALLON 19817,S200000,00200,0200,IL 19817,S200000,00200,0300,62269- 19817,S200000,00300,0100,ST. CLAIR 19817,S200000,00400,0100,OFALLON HEALTHCARE CENTER INC. 19817,S200000,00400,0200,145144 19817,S200000,00400,0300,05/31/1990 19817,S200000,00400,0500,P 19817,S200000,01004,0500,O 19817,S200000,01600,0100,Y 19817,S200000,02900,0100,Y 19817,S200000,03000,0100,Y 19817,S200000,04300,0100,Y 19824,S000000,00100,0200,01/18/2000 19832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19832,A000000,00300,0000,00300EMPLOYEE BENEFITS 19832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19832,A000000,00700,0000,00700HOUSEKEEPING 19832,A000000,00800,0000,00800DIETARY 19832,A000000,00900,0000,00900NURSING ADMINISTRATION 19832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19832,A000000,01100,0000,01100PHARMACY 19832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19832,A000000,01300,0000,01300SOCIAL SERVICE 19832,A000000,01350,0000,01500RECREATIONAL THERAPY 19832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19832,A000000,01600,0000,01600SKILLED NURSING FACILITY 19832,A000000,01800,0000,01800NURSING FACILITY 19832,A000000,01810,0000,01810ICF/MR 19832,A000000,02100,0000,02100RADIOLOGY 19832,A000000,02200,0000,02200LABORATORY 19832,A000000,02500,0000,02500PHYSICAL THERAPY 19832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19832,A000000,02700,0000,02700SPEECH PATHOLOGY 19832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19832,A000000,03200,0000,03200SUPPORT SURFACES 19832,A000000,03550,0000,03550FQHC 19832,A000000,04800,0000,04800AMBULANCE 19832,A000000,05000,0000,05000CORF 19832,A000000,05010,0000,05010CMHC 19832,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19832,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19832,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19832,A81000A,00100,0100,Y 19832,A81000B,00100,0300,ACCOUNTING FEES 19832,A81000B,00200,0300,DATA PROCESSING 19832,A81000B,00300,0300,HOME OFFICE EXPENSES 19832,A81000B,00400,0300,AMCILLARY ADMIN FEES 19832,A81000B,00500,0300,MANAGEMENT FEES 19832,A81000B,00600,0300,BOOKKEEPING SVCS 19832,A81000B,00700,0300,PROMOTION 19832,A81000B,00800,0300,DIETARY CONSULTANT 19832,A81000B,00900,0300,LEGAL CONSULTANT 19832,A81000C,00100,0100,A 19832,A81000C,00100,0200,ERIC ROTHNER 19832,A81000C,00100,0400,CARE CENTERS I 19832,A81000C,00100,0600,MANAGEMENT CO. 19832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19832,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19832,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 19832,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 19832,B100000,00000,0800,00000MEALS SERVED :DIETARY 19832,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19832,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 19832,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19832,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 19832,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 19832,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 19832,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19832,E10A180,00601,0100,07/31/2001 19832,E10A180,00650,0300,07/31/2001 19832,S000000,00100,0200,06/05/2000 19832,S200000,00100,0100,9401 S. RIDGELAND 19832,S200000,00200,0100,OAK LAWN 19832,S200000,00200,0200,IL 19832,S200000,00200,0300,60453- 19832,S200000,00300,0100,COOK 19832,S200000,00400,0100,CONCORD EXTENDED CARE 19832,S200000,00400,0200,145197 19832,S200000,00400,0300,01/01/1987 19832,S200000,00400,0500,P 19832,S200000,00600,0200,145197 19832,S200000,00600,0300,01/01/1987 19832,S200000,00600,0600,P 19832,S200000,01600,0100,Y 19832,S200000,02200,0100,Y 19843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19843,A000000,00300,0000,00300EMPLOYEE BENEFITS 19843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19843,A000000,00700,0000,00700HOUSEKEEPING 19843,A000000,00800,0000,00800DIETARY 19843,A000000,00900,0000,00900NURSING ADMINISTRATION 19843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19843,A000000,01100,0000,01100PHARMACY 19843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19843,A000000,01300,0000,01300SOCIAL SERVICE 19843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19843,A000000,01600,0000,01600SKILLED NURSING FACILITY 19843,A000000,01800,0000,01800NURSING FACILITY 19843,A000000,01810,0000,01810ICF/MR 19843,A000000,02200,0000,02200LABORATORY 19843,A000000,02500,0000,02500PHYSICAL THERAPY 19843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19843,A000000,02700,0000,02700SPEECH PATHOLOGY 19843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19843,A000000,03200,0000,03200SUPPORT SURFACES 19843,A000000,03550,0000,03550FQHC 19843,A000000,05000,0000,05000CORF 19843,A000000,05010,0000,05010CMHC 19843,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19843,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19843,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19843,A81000A,00100,0100,Y 19843,A81000B,00200,0300,HOME OFFICE 19843,A81000B,00400,0300,INTEREST 19843,A81000B,00600,0300,DIETARY CONSULTANT 19843,A81000B,00800,0300,PT OT ST 19843,A81000C,00200,0100,B 19843,A81000C,00200,0200,HUNTER MGT. 19843,A81000C,00400,0100,B 19843,A81000C,00400,0200,CARE PLUS MGT. 19843,A81000C,00600,0100,B 19843,A81000C,00600,0200,CARE PLUS REHAB 19843,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19843,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19843,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19843,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19843,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19843,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19843,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19843,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19843,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19843,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19843,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19843,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19843,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19843,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19843,E10A180,00650,0100,03/12/2001 19843,S000000,00100,0200,05/31/2000 19843,S200000,00200,0200,CA 19843,S200000,00300,0100,COOK 19843,S200000,00400,0100,IMPERIAL OF HAZELCREST INC. 19843,S200000,00400,0200,145220 19843,S200000,00400,0300,01/01/1975 19843,S200000,00400,0500,P 19843,S200000,01004,0500,O 19843,S200000,01600,0100,Y 19853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19853,A000000,00300,0000,00300EMPLOYEE BENEFITS 19853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19853,A000000,00700,0000,00700HOUSEKEEPING 19853,A000000,00800,0000,00800DIETARY 19853,A000000,00900,0000,00900NURSING ADMINISTRATION 19853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19853,A000000,01100,0000,01100PHARMACY 19853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19853,A000000,01300,0000,01300SOCIAL SERVICE 19853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19853,A000000,01600,0000,01600SKILLED NURSING FACILITY 19853,A000000,01800,0000,01800NURSING FACILITY 19853,A000000,01810,0000,01810ICF/MR 19853,A000000,02200,0000,02200LABORATORY 19853,A000000,02500,0000,02500PHYSICAL THERAPY 19853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19853,A000000,02700,0000,02700SPEECH PATHOLOGY 19853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19853,A000000,03200,0000,03200SUPPORT SURFACES 19853,A000000,03550,0000,03550FQHC 19853,A000000,05000,0000,05000CORF 19853,A000000,05010,0000,05010CMHC 19853,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19853,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19853,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19853,A81000A,00100,0100,Y 19853,A81000B,00200,0300,HOME OFFICE 19853,A81000B,00400,0300,INTEREST 19853,A81000B,00600,0300,DIETARY CONSULTANT 19853,A81000B,00800,0300,PT OT ST 19853,A81000C,00200,0100,B 19853,A81000C,00200,0200,HUNTER HGT. 19853,A81000C,00400,0100,B 19853,A81000C,00400,0200,CARE PLUS MGT. 19853,A81000C,00600,0100,B 19853,A81000C,00600,0200,CARE PLUS REHAB 19853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19853,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19853,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19853,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19853,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19853,S000000,00100,0200,06/01/2000 19853,S200000,00200,0200,CA 19853,S200000,00400,0100,GLENWOOD CARE CENTER INC. 19853,S200000,00400,0200,145221 19853,S200000,00400,0300,01/01/1975 19853,S200000,00400,0500,P 19853,S200000,01004,0500,O 19853,S200000,01600,0100,Y 19864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19864,A000000,00300,0000,00300EMPLOYEE BENEFITS 19864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19864,A000000,00700,0000,00700HOUSEKEEPING 19864,A000000,00800,0000,00800DIETARY 19864,A000000,00900,0000,00900NURSING ADMINISTRATION 19864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19864,A000000,01100,0000,01100PHARMACY 19864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19864,A000000,01300,0000,01300SOCIAL SERVICE 19864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19864,A000000,01600,0000,01600SKILLED NURSING FACILITY 19864,A000000,01800,0000,01800NURSING FACILITY 19864,A000000,01810,0000,01810ICF/MR 19864,A000000,02200,0000,02200LABORATORY 19864,A000000,02500,0000,02500PHYSICAL THERAPY 19864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19864,A000000,02700,0000,02700SPEECH PATHOLOGY 19864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19864,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 19864,A000000,03200,0000,03200SUPPORT SURFACES 19864,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19864,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19864,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19864,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19864,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19864,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19864,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 19864,B100000,00000,0800,00000MEALS SERVED :DIETARY 19864,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19864,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19864,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19864,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19864,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19864,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19864,E10A180,00601,0100,07/11/2001 19864,E10A180,00601,0300,07/11/2001 19864,S000000,00100,0200,05/19/2000 19864,S200000,00100,0100,309 MCHENRY AVENUE 19864,S200000,00200,0100,WOODSTOCK 19864,S200000,00200,0200,IL 19864,S200000,00200,0300,60098- 19864,S200000,00300,0100,MCHENRY 19864,S200000,00400,0100,WOODSTOCK RESIDENCE 19864,S200000,00400,0200,145222 19864,S200000,00400,0300,01/01/1996 19864,S200000,00400,0500,P 19864,S200000,01600,0100,Y 19875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19875,A000000,00300,0000,00300EMPLOYEE BENEFITS 19875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19875,A000000,00700,0000,00700HOUSEKEEPING 19875,A000000,00800,0000,00800DIETARY 19875,A000000,00900,0000,00900NURSING ADMINISTRATION 19875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19875,A000000,01100,0000,01100PHARMACY 19875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19875,A000000,01300,0000,01300SOCIAL SERVICE 19875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19875,A000000,01600,0000,01600SKILLED NURSING FACILITY 19875,A000000,01800,0000,01800NURSING FACILITY 19875,A000000,01810,0000,01810ICF/MR 19875,A000000,02200,0000,02200LABORATORY 19875,A000000,02500,0000,02500PHYSICAL THERAPY 19875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19875,A000000,02700,0000,02700SPEECH PATHOLOGY 19875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19875,A000000,03200,0000,03200SUPPORT SURFACES 19875,A000000,03550,0000,03550FQHC 19875,A000000,04800,0000,04800AMBULANCE 19875,A000000,05000,0000,05000CORF 19875,A000000,05010,0000,05010CMHC 19875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19875,A81000A,00100,0100,Y 19875,A81000B,00200,0300,BUILDING RENT 19875,A81000B,00400,0300,OFFICE RENT 19875,A81000B,00600,0300,PT 19875,A81000C,00200,0100,B 19875,A81000C,00200,0200,REGENCY BLDG. P 19875,A81000C,00400,0100,B 19875,A81000C,00400,0200,REGENCY REHAB 19875,A81000C,00600,0100,B 19875,A81000C,00600,0200,KNR PARTNERSHIP 19875,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19875,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19875,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19875,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19875,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19875,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19875,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19875,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19875,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19875,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19875,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19875,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19875,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19875,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19875,E10A180,00601,0100,03/12/2001 19875,E10A180,00650,0300,03/12/2001 19875,S000000,00100,0200,03/17/2000 19875,S200000,00100,0100,6631 N. MILWAUKEE 19875,S200000,00200,0100,NILES 19875,S200000,00200,0200,IL 19875,S200000,00200,0300,60714- 19875,S200000,00300,0100,COOK 19875,S200000,00400,0100,REGENCY NURSING CENTRE INC. 19875,S200000,00400,0200,145237 19875,S200000,00400,0300,01/01/1976 19875,S200000,00400,0500,P 19875,S200000,01004,0500,O 19875,S200000,01600,0100,Y 19884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19884,A000000,00300,0000,00300EMPLOYEE BENEFITS 19884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19884,A000000,00700,0000,00700HOUSEKEEPING 19884,A000000,00800,0000,00800DIETARY 19884,A000000,00900,0000,00900NURSING ADMINISTRATION 19884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19884,A000000,01100,0000,01100PHARMACY 19884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19884,A000000,01300,0000,01300SOCIAL SERVICE 19884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19884,A000000,01600,0000,01600SKILLED NURSING FACILITY 19884,A000000,01810,0000,01810ICF/MR 19884,A000000,02100,0000,02100RADIOLOGY 19884,A000000,02200,0000,02200LABORATORY 19884,A000000,02500,0000,02500PHYSICAL THERAPY 19884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19884,A000000,02700,0000,02700SPEECH PATHOLOGY 19884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19884,A000000,03200,0000,03200SUPPORT SURFACES 19884,A000000,03550,0000,03550FQHC 19884,A000000,05000,0000,05000CORF 19884,A000000,05010,0000,05010CMHC 19884,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19884,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19884,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19884,A81000A,00100,0100,Y 19884,A81000B,00200,0300,DIETARY CONSULTANT 19884,A81000B,00400,0300,RENT 19884,A81000B,00600,0300,LAKESHORE ASSOC A&G 19884,A81000B,00800,0300,MANAGEMENT FEES 19884,A81000B,01000,0300,ADMIN CONSULTANT 19884,A81000B,01100,0300,INTEREST 19884,A81000B,01200,0300,PT / OT / ST 19884,A81000C,00200,0100,B 19884,A81000C,00200,0200,LAKESHORE ASSOC 19884,A81000C,00400,0100,B 19884,A81000C,00400,0200,LANCASTER LTD 19884,A81000C,00600,0100,B 19884,A81000C,00600,0200,CYNTHIA CHOW AS 19884,A81000C,00800,0100,B 19884,A81000C,00800,0200,IL HEALTH ALLIA 19884,A81000C,01000,0100,B 19884,A81000C,01000,0200,MSCI 19884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19884,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19884,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19884,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19884,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19884,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19884,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19884,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19884,E10A180,00601,0100,05/04/2001 19884,S000000,00100,0200,04/11/2000 19884,S200000,00100,0100,7200 N. SHERIDAN 19884,S200000,00200,0100,CHICAGO 19884,S200000,00200,0200,IL 19884,S200000,00300,0100,COOK 19884,S200000,00400,0100,LAKESHORE NURSING & REHAB. CENTRE 19884,S200000,00400,0200,145244 19884,S200000,00400,0300,01/01/1970 19884,S200000,00400,0500,P 19884,S200000,01500,0100,Y 19888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19888,A000000,00300,0000,00300EMPLOYEE BENEFITS 19888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19888,A000000,00700,0000,00700HOUSEKEEPING 19888,A000000,00800,0000,00800DIETARY 19888,A000000,00900,0000,00900NURSING ADMINISTRATION 19888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19888,A000000,01100,0000,01100PHARMACY 19888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19888,A000000,01300,0000,01300SOCIAL SERVICE 19888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19888,A000000,01600,0000,01600SKILLED NURSING FACILITY 19888,A000000,01800,0000,01800NURSING FACILITY 19888,A000000,01810,0000,01810ICF/MR 19888,A000000,02200,0000,02200LABORATORY 19888,A000000,02500,0000,02500PHYSICAL THERAPY 19888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19888,A000000,02700,0000,02700SPEECH PATHOLOGY 19888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19888,A000000,03550,0000,03550FQHC 19888,A000000,05000,0000,05000CORF 19888,A000000,05010,0000,05010CMHC 19888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19888,A81000A,00100,0100,Y 19888,A81000B,00200,0300,HOME OFFICE 19888,A81000C,00200,0100,B 19888,A81000C,00200,0200,FAMILY CARE MGT 19888,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19888,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19888,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19888,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19888,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19888,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19888,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19888,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19888,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19888,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19888,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 19888,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19888,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19888,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19888,E10A180,00601,0100,03/12/2001 19888,S000000,00100,0200,06/05/2000 19888,S200000,00200,0200,CA 19888,S200000,00400,0100,MORTON VILLA NURSING CENTER INC. 19888,S200000,00400,0200,145248 19888,S200000,00400,0300,01/01/1970 19888,S200000,00400,0500,P 19888,S200000,01004,0500,O 19888,S200000,01600,0100,Y 19905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19905,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19905,A000000,00300,0000,00300EMPLOYEE BENEFITS 19905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19905,A000000,00700,0000,00700HOUSEKEEPING 19905,A000000,00800,0000,00800DIETARY 19905,A000000,00900,0000,00900NURSING ADMINISTRATION 19905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19905,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19905,A000000,01300,0000,01300SOCIAL SERVICE 19905,A000000,01301,0000,01301ACTIVITES 19905,A000000,01350,0000,01500REHABILITATION 19905,A000000,01600,0000,01600SKILLED NURSING FACILITY 19905,A000000,01800,0000,01800NURSING FACILITY 19905,A000000,01900,0000,01900OTHER LONG TERM CARE 19905,A000000,02100,0000,02100RADIOLOGY 19905,A000000,02200,0000,02200LABORATORY 19905,A000000,02300,0000,02300INTRAVENOUS THERAPY 19905,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19905,A000000,02500,0000,02500PHYSICAL THERAPY 19905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19905,A000000,02700,0000,02700SPEECH PATHOLOGY 19905,A000000,02800,0000,02800ELECTROCARDIOLOGY 19905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19905,A000000,03050,0000,03300EQUIPMENT RENTAL 19905,A000000,03051,0000,03301PEN THERAPY 19905,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19905,A000000,03200,0000,03200SUPPORT SURFACES 19905,A000000,04800,0000,04800AMBULANCE 19905,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19905,A000000,05300,0000,05300INTEREST EXPENSE 19905,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19905,A000000,06150,0000,06300VENDING 19905,A000000,06151,0000,06301STAND-BY 19905,A000000,06200,0000,06200PATIENTS LAUNDRY 19905,A81000A,00100,0100,Y 19905,A81000B,00100,0300,HOME OFFICE ADMIN 19905,A81000B,00200,0300,DIETARY SUPPLEMENTS 19905,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 19905,A81000B,00400,0300,PRESCRIPTION DRUGS 19905,A81000B,00500,0300,MEDICAL SUPPLIES 19905,A81000B,00600,0300,ADMIN COSTS 19905,A81000B,00700,0300,HOME OFFICE CAPITAL 19905,A81000B,00800,0300,EQUIPMENT REPLACEMENT 19905,A81000B,00900,0300,IV THERAPY 19905,A81000B,01000,0300,THERAPY CONSULTING 19905,A81000B,01100,0300,PHYSICAL THERAPY 19905,A81000B,01200,0300,OCCUPATIONAL THERAPY 19905,A81000B,01300,0300,SPEECH THERAPY 19905,A81000B,01400,0300,ANC EQUIP RENTAL 19905,A81000C,00100,0100,B 19905,A81000C,00100,0200,LITCHFIELD PS# 19905,A81000C,00100,0400,MARINER PAN 19905,A81000C,00100,0600,NURSING HOMES 19905,A81000C,00200,0100,G 19905,A81000C,00200,0200,MARINER PAN 19905,A81000C,00200,0400,AMER PHARM SVCS 19905,A81000C,00200,0600,PHARMACEUTICALS 19905,A81000C,00300,0100,G 19905,A81000C,00300,0200,MARINER PAN 19905,A81000C,00300,0400,PRISM-ATS-ARS-T 19905,A81000C,00300,0600,THERAPIES 19905,A81000C,03100,0000,MARINER PAN 19905,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 19905,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 19905,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 19905,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 19905,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 19905,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 19905,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 19905,B100000,00000,0800,00001MEALS SERVED :DIETARY 19905,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 19905,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 19905,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 19905,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 19905,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 19905,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 19905,E10A180,00601,0100,07/31/2001 19905,E10A180,00601,0300,07/31/2001 19905,S000000,00100,0200,06/02/2000 19905,S200000,00100,0100,1285 EAST UNION AVE. 19905,S200000,00200,0100,LITCHFIELD 19905,S200000,00200,0200,IL 19905,S200000,00200,0300,62056- 19905,S200000,00300,0100,MONTGOMERY 19905,S200000,00400,0100,LITCHFIELD HEALTHCARE CENTER 19905,S200000,00400,0200,145276 19905,S200000,00400,0300,10/01/1983 19905,S200000,00400,0500,P 19905,S200000,01600,0100,Y 19905,S200000,02200,0100,Y 19914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19914,A000000,00300,0000,00300EMPLOYEE BENEFITS 19914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19914,A000000,00700,0000,00700HOUSEKEEPING 19914,A000000,00800,0000,00800DIETARY 19914,A000000,00900,0000,00900NURSING ADMINISTRATION 19914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19914,A000000,01300,0000,01300SOCIAL SERVICE 19914,A000000,01600,0000,01600SKILLED NURSING FACILITY 19914,A000000,01800,0000,01800NURSING FACILITY 19914,A000000,02200,0000,02200LABORATORY 19914,A000000,02500,0000,02500PHYSICAL THERAPY 19914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19914,A000000,02700,0000,02700SPEECH PATHOLOGY 19914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19914,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 19914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19914,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19914,A81000A,00100,0100,Y 19914,A81000B,00100,0300,CAPITAL RELATED 19914,A81000B,00200,0300,EMPLOYEE BENEFITS 19914,A81000B,00300,0300,ADMIN & GENERAL 19914,A81000B,00400,0300,PLANT 19914,A81000C,00100,0100,A 19914,A81000C,00100,0400,BELLEVILLE HEAL 19914,A81000C,00100,0600,PROPERTY MANAGE 19914,A81000C,00200,0100,A 19914,A81000C,00200,0400,HEALTHCARE MGMT 19914,A81000C,00200,0600,MANAGEMENT 19914,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19914,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19914,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19914,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19914,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19914,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19914,B100000,00000,0800,00000MEALS SERVED :DIETARY 19914,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19914,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19914,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19914,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19914,E10A180,00650,0100,04/19/2001 19914,E10A180,00650,0300,04/19/2001 19914,S000000,00100,0200,06/01/2000 19914,S200000,00100,0100,900 ROYAL HEIGHTS DRIVE 19914,S200000,00200,0100,BELLEVILLE 19914,S200000,00200,0200,IL 19914,S200000,00200,0300,62223- 19914,S200000,00300,0100,ST. CLAIRE 19914,S200000,00400,0100,ROYAL HEIGHTS NURSING & REHAB 19914,S200000,00400,0200,145291 19914,S200000,00400,0300,12/01/1991 19914,S200000,00400,0500,P 19914,S200000,01600,0100,Y 19922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19922,A000000,00300,0000,00300EMPLOYEE BENEFITS 19922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19922,A000000,00700,0000,00700HOUSEKEEPING 19922,A000000,00800,0000,00800DIETARY 19922,A000000,00900,0000,00900NURSING ADMINISTRATION 19922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19922,A000000,01100,0000,01100PHARMACY 19922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19922,A000000,01300,0000,01300SOCIAL SERVICE 19922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19922,A000000,01600,0000,01600SKILLED NURSING FACILITY 19922,A000000,01800,0000,01800NURSING FACILITY 19922,A000000,01810,0000,01810ICF/MR 19922,A000000,02500,0000,02500PHYSICAL THERAPY 19922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19922,A000000,02700,0000,02700SPEECH PATHOLOGY 19922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19922,A000000,03550,0000,03550FQHC 19922,A000000,05000,0000,05000CORF 19922,A000000,05010,0000,05010CMHC 19922,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19922,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19922,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19922,A81000A,00100,0100,Y 19922,A81000B,00200,0300,RENT 19922,A81000B,00400,0300,HOME OFFICE 19922,A81000B,00600,0300,INTEREST 19922,A81000B,00800,0300,PT OT ST 19922,A81000C,00200,0100,B 19922,A81000C,00200,0200,CARE PLUS MGT. 19922,A81000C,00400,0100,B 19922,A81000C,00400,0200,CARE PLUS REHAB 19922,A81000C,00600,0100,B 19922,A81000C,00600,0200,PR. VILLAGE HC 19922,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19922,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19922,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19922,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19922,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19922,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19922,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19922,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19922,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19922,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19922,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19922,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19922,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19922,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19922,E10A180,00601,0100,07/20/2001 19922,S000000,00100,0200,06/01/2000 19922,S200000,00100,0100,1024 W WALNUT STREET 19922,S200000,00200,0100,JACKSONVILLE 19922,S200000,00200,0200,IL 19922,S200000,00200,0300,62650- 19922,S200000,00300,0100,MORGAN 19922,S200000,00400,0100,PRAIRIE VILLAGE HLTH/CARE CTR. INC. 19922,S200000,00400,0200,145294 19922,S200000,00400,0300,01/01/1975 19922,S200000,00400,0500,P 19922,S200000,01004,0500,O 19922,S200000,01600,0100,Y 19931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19931,A000000,00300,0000,00300EMPLOYEE BENEFITS 19931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19931,A000000,00700,0000,00700HOUSEKEEPING 19931,A000000,00800,0000,00800DIETARY 19931,A000000,00900,0000,00900NURSING ADMINISTRATION 19931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19931,A000000,01100,0000,01100PHARMACY 19931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19931,A000000,01300,0000,01300SOCIAL SERVICE 19931,A000000,01350,0000,01500RECREATIONAL THERAPY 19931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19931,A000000,01600,0000,01600SKILLED NURSING FACILITY 19931,A000000,01800,0000,01800NURSING FACILITY 19931,A000000,01810,0000,01810ICF/MR 19931,A000000,02100,0000,02100RADIOLOGY 19931,A000000,02200,0000,02200LABORATORY 19931,A000000,02500,0000,02500PHYSICAL THERAPY 19931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19931,A000000,02700,0000,02700SPEECH PATHOLOGY 19931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19931,A000000,03200,0000,03200SUPPORT SURFACES 19931,A000000,03550,0000,03550FQHC 19931,A000000,04800,0000,04800AMBULANCE 19931,A000000,05000,0000,05000CORF 19931,A000000,05010,0000,05010CMHC 19931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19931,A81000A,00100,0100,Y 19931,A81000B,00100,0300,MANAGEMENT FEES 19931,A81000B,00200,0300,HOME OFFICE EXPENSES 19931,A81000B,00300,0300,ANCILLARY ADM FEES 19931,A81000B,00400,0300,ACCOUNTING FEES 19931,A81000B,00500,0300,DATA PROCESSING 19931,A81000B,00600,0300,BOOKKEEPING SVCS 19931,A81000B,00700,0300,DIETARY CONSULTANT 19931,A81000B,00800,0300,LEGAL CONSULTANT 19931,A81000B,00900,0300,PROMOTION FEES 19931,A81000B,01000,0300,RENT 19931,A81000B,01100,0300,MORTGAGE INTEREST 19931,A81000B,01200,0300,R. E. TAXES 19931,A81000B,01300,0300,DEPR EXPENSE 19931,A81000B,01400,0300,BLDG CO. ADM EXP 19931,A81000C,00100,0100,B 19931,A81000C,00100,0400,FAIRVIEW H. C. 19931,A81000C,00100,0600,BLDG CO. 19931,A81000C,00200,0100,A 19931,A81000C,00200,0200,ERIC ROTHNER 19931,A81000C,00200,0400,CARE CENTERS I 19931,A81000C,00200,0600,MANAGEMENT CO. 19931,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19931,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19931,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19931,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19931,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19931,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 19931,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 19931,B100000,00000,0800,00000MEALS SERVED :DIETARY 19931,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19931,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 19931,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19931,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 19931,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 19931,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 19931,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19931,E10A180,00601,0100,07/03/2001 19931,E10A180,00650,0300,07/03/2001 19931,S000000,00100,0200,06/05/2000 19931,S200000,00100,0100,701 NORTH LAGRANGE ROAD 19931,S200000,00200,0100,LAGRANGE PARK 19931,S200000,00200,0200,IL 19931,S200000,00200,0300,60526- 19931,S200000,00300,0100,COOK 19931,S200000,00400,0100,FAIRVIEW OF LAGRANGE PARK 19931,S200000,00400,0200,145307 19931,S200000,00400,0300,04/16/1993 19931,S200000,00400,0500,P 19931,S200000,00600,0200,145307 19931,S200000,00600,0300,04/16/1993 19931,S200000,00600,0600,P 19931,S200000,01600,0100,Y 19931,S200000,02200,0100,Y 19938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19938,A000000,00300,0000,00300EMPLOYEE BENEFITS 19938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19938,A000000,00700,0000,00700HOUSEKEEPING 19938,A000000,00800,0000,00800DIETARY 19938,A000000,00900,0000,00900NURSING ADMINISTRATION 19938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19938,A000000,01300,0000,01300SOCIAL SERVICE 19938,A000000,01600,0000,01600SKILLED NURSING FACILITY 19938,A000000,01800,0000,01800NURSING FACILITY 19938,A000000,02200,0000,02200LABORATORY 19938,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19938,A000000,02500,0000,02500PHYSICAL THERAPY 19938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19938,A000000,02700,0000,02700SPEECH PATHOLOGY 19938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19938,A000000,03050,0000,03300BLOOD GLUCOSE 19938,A000000,03051,0000,03301AMBULANCE 19938,A000000,03200,0000,03200SUPPORT SURFACES 19938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19938,A81000A,00100,0100,Y 19938,A81000B,00100,0300,CAPITAL RELATED 19938,A81000B,00200,0300,EMPLOYEE BENEFITS 19938,A81000B,00300,0300,ADMIN. & GENERAL 19938,A81000B,00400,0300,PLANT OPERATION 19938,A81000B,00500,0300,HOUSEKEEPING 19938,A81000B,00600,0300,DIETARY 19938,A81000B,00700,0300,NURSING ADMIN. 19938,A81000B,00800,0300,CENTRAL SUPPLY 19938,A81000C,00100,0100,A 19938,A81000C,00100,0400,MAPLEWOOD LLC 19938,A81000C,00100,0600,BUILDING PARTNE 19938,A81000C,00200,0100,A 19938,A81000C,00200,0400,PREFERRED BOOKK 19938,A81000C,00200,0600,BOOKKEEPPING 19938,A81000C,00300,0100,A 19938,A81000C,00300,0400,SIR PROPERTIES 19938,A81000C,00300,0600,BUILDING PARTNE 19938,A81000C,00400,0100,A 19938,A81000C,00400,0400,SIR MANAGEMENT 19938,A81000C,00400,0600,MANAGEMENT CO. 19938,A81000C,00500,0100,A 19938,A81000C,00500,0400,PARAMOUNT 19938,A81000C,00500,0600,ENTERAL SUPPLY 19938,A81000C,00600,0100,A 19938,A81000C,00600,0400,ECM-OWNERS COUN 19938,A81000C,00600,0600,MANAGEMENT CO. 19938,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19938,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19938,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19938,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19938,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19938,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19938,B100000,00000,0800,00000MEALS SERVED :DIETARY 19938,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19938,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19938,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19938,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19938,E10A180,00601,0100,04/19/2001 19938,S000000,00100,0200,06/02/2000 19938,S200000,00100,0100,50 NORTH JANE 19938,S200000,00200,0100,ELGIN 19938,S200000,00200,0200,IL 19938,S200000,00200,0300,60123- 19938,S200000,00300,0100,KANE 19938,S200000,00400,0100,MAPLEWOOD CARE INC. 19938,S200000,00400,0200,145308 19938,S200000,00400,0300,07/26/1983 19938,S200000,00400,0500,P 19938,S200000,01600,0100,Y 19938,S200000,04600,0100,Y 19938,S200000,04700,0100,Y 19945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19945,A000000,00300,0000,00300EMPLOYEE BENEFITS 19945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19945,A000000,00700,0000,00700HOUSEKEEPING 19945,A000000,00800,0000,00800DIETARY 19945,A000000,00900,0000,00900NURSING ADMINISTRATION 19945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19945,A000000,01100,0000,01100PHARMACY 19945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19945,A000000,01300,0000,01300SOCIAL SERVICE 19945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19945,A000000,01600,0000,01600SKILLED NURSING FACILITY 19945,A000000,01800,0000,01800NURSING FACILITY 19945,A000000,01810,0000,01810ICF/MR 19945,A000000,02200,0000,02200LABORATORY 19945,A000000,02500,0000,02500PHYSICAL THERAPY 19945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19945,A000000,02700,0000,02700SPEECH PATHOLOGY 19945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19945,A000000,03200,0000,03200SUPPORT SURFACES 19945,A000000,03550,0000,03550FQHC 19945,A000000,05000,0000,05000CORF 19945,A000000,05010,0000,05010CMHC 19945,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19945,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19945,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19945,A81000A,00100,0100,Y 19945,A81000B,00200,0300,HOME OFFICE 19945,A81000B,00400,0300,INTEREST 19945,A81000B,00600,0300,DIETARY CONSULTANT 19945,A81000B,00800,0300,PT OT ST 19945,A81000C,00200,0100,B 19945,A81000C,00200,0200,CARE PLUS MGT. 19945,A81000C,00400,0100,B 19945,A81000C,00400,0200,CARE PLUS REHAB 19945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19945,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19945,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19945,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19945,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19945,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19945,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19945,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19945,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19945,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19945,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19945,E10A180,00601,0100,04/19/2001 19945,S000000,00100,0200,06/01/2000 19945,S200000,00200,0200,CA 19945,S200000,00400,0100,HILLCREST HEALTHCARE CENTER INC. 19945,S200000,00400,0200,145311 19945,S200000,00400,0300,01/01/1975 19945,S200000,00400,0500,P 19945,S200000,01004,0500,O 19945,S200000,01600,0100,Y 19950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19950,A000000,00300,0000,00300EMPLOYEE BENEFITS 19950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19950,A000000,00700,0000,00700HOUSEKEEPING 19950,A000000,00800,0000,00800DIETARY 19950,A000000,00900,0000,00900NURSING ADMINISTRATION 19950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19950,A000000,01100,0000,01100PHARMACY 19950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19950,A000000,01300,0000,01300SOCIAL SERVICE 19950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19950,A000000,01600,0000,01600SKILLED NURSING FACILITY 19950,A000000,01800,0000,01800NURSING FACILITY 19950,A000000,01900,0000,01900OTHER LONG TERM CARE 19950,A000000,02100,0000,02100RADIOLOGY 19950,A000000,02200,0000,02200LABORATORY 19950,A000000,02300,0000,02300INTRAVENOUS THERAPY 19950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19950,A000000,02500,0000,02500PHYSICAL THERAPY 19950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19950,A000000,02700,0000,02700SPEECH PATHOLOGY 19950,A000000,02800,0000,02800ELECTROCARDIOLOGY 19950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19950,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 19950,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19950,A000000,03200,0000,03200SUPPORT SURFACES 19950,A000000,03400,0000,03400CLINIC 19950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 19950,A000000,04800,0000,04800AMBULANCE 19950,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19950,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19950,A000000,05300,0000,05300INTEREST EXPENSE 19950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19950,A000000,05500,0000,05500HOSPICE 19950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19950,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19950,A000000,06100,0000,06100NONPAID WORKERS 19950,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 19950,A000000,06200,0000,06200PATIENTS LAUNDRY 19950,A81000A,00100,0100,Y 19950,A81000B,00100,0300,AUTO 19950,A81000B,00200,0300,DEPRECIATION 19950,A81000B,00300,0300,DUES & SUBSCRIPTIONS 19950,A81000B,00400,0300,INSURANCE-LIABILITY 19950,A81000B,00500,0300,INSURANCE-EE MEDICAL 19950,A81000B,00600,0300,LAUNDRY SUPPLIES 19950,A81000B,00700,0300,PROFESSIONAL FEES 19950,A81000B,00800,0300,OFFICE SUPPLIES 19950,A81000B,00900,0300,REPAIRS & MAINTENANCE 19950,A81000B,01000,0300,JANITORIAL SUPPLIES 19950,A81000B,01100,0300,TAXES-REAL ESTATE 19950,A81000B,01200,0300,TAXES-PAYROLL 19950,A81000B,01300,0300,TELEPHONE 19950,A81000B,01400,0300,OTHER ADMIN SALARIES 19950,A81000B,01500,0300,CASUAL LABOR-MAINTENANCE 19950,A81000B,01600,0300,LICENSES FEES PERMITS 19950,A81000B,01700,0300,MISCELLANEOUS 19950,A81000B,01800,0300,UTILITIES 19950,A81000B,01900,0300,OWNERS SALARY 19950,A81000B,02000,0300,MANAGEMENT FEES 19950,A81000C,00100,0100,A 19950,A81000C,00100,0200,ROGER K. HERRIN 19950,A81000C,00100,0400,RDK MANAGEMENT 19950,A81000C,00100,0600,MGMT. COMPANY 19950,A81000C,00200,0100,A 19950,A81000C,00200,0200,GROVER S. SLOAN 19950,A81000C,00300,0100,A 19950,A81000C,00300,0200,ALICE STALLINGS 19950,A81000C,00400,0100,A 19950,A81000C,00400,0200,PENNY SISK 19950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19950,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19950,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19950,B100000,00000,0800,00000MEALS SERVED :DIETARY 19950,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 19950,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19950,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 19950,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19950,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19950,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19950,E10A180,00601,0100,04/19/2001 19950,E10A180,00650,0300,04/19/2001 19950,S000000,00100,0200,05/31/2000 19950,S200000,00100,0300,68 19950,S200000,00200,0100,CARRIER MILLS 19950,S200000,00200,0200,IL 19950,S200000,00200,0300,62917- 19950,S200000,00300,0100,SALINE 19950,S200000,00400,0100,CARRIER MILLS NURSING HOME 19950,S200000,00400,0200,145323 19950,S200000,00400,0300,01/01/1968 19950,S200000,00400,0500,P 19961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19961,A000000,00300,0000,00300EMPLOYEE BENEFITS 19961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19961,A000000,00700,0000,00700HOUSEKEEPING 19961,A000000,00800,0000,00800DIETARY 19961,A000000,00900,0000,00900NURSING ADMINISTRATION 19961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19961,A000000,01100,0000,01100PHARMACY 19961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19961,A000000,01300,0000,01300SOCIAL SERVICE 19961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19961,A000000,01600,0000,01600SKILLED NURSING FACILITY 19961,A000000,01800,0000,01800NURSING FACILITY 19961,A000000,01810,0000,01810ICF/MR 19961,A000000,02100,0000,02100RADIOLOGY 19961,A000000,02200,0000,02200LABORATORY 19961,A000000,02500,0000,02500PHYSICAL THERAPY 19961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19961,A000000,02700,0000,02700SPEECH PATHOLOGY 19961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19961,A000000,03200,0000,03200SUPPORT SURFACES 19961,A000000,03550,0000,03550FQHC 19961,A000000,05000,0000,05000CORF 19961,A000000,05010,0000,05010CMHC 19961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19961,A81000A,00100,0100,Y 19961,A81000B,00200,0300,RENT 19961,A81000B,00400,0300,NORRIDGE ASSOC A&G 19961,A81000B,00600,0300,MANAGEMENT FEES 19961,A81000B,00800,0300,ADMIN CONSULTANT 19961,A81000B,01000,0300,DIETARY CONSULTANT 19961,A81000B,01100,0300,PT / OT / ST 19961,A81000B,01200,0300,INTEREST 19961,A81000C,00200,0100,B 19961,A81000C,00200,0200,NORRIDGE ASSOC 19961,A81000C,00400,0100,B 19961,A81000C,00400,0200,LANCASTER LTD 19961,A81000C,00600,0100,B 19961,A81000C,00600,0200,CYNTHIA CHOW AS 19961,A81000C,00800,0100,B 19961,A81000C,00800,0200,IL HEALTH ALLIA 19961,A81000C,01000,0100,B 19961,A81000C,01000,0200,MSCI 19961,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19961,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 19961,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19961,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19961,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19961,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19961,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19961,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19961,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19961,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19961,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 19961,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19961,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19961,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 19961,E10A180,00650,0100,07/20/2001 19961,E10A180,00650,0300,07/20/2001 19961,S000000,00100,0200,04/11/2000 19961,S200000,00200,0100,NORRIDGE 19961,S200000,00200,0200,IL 19961,S200000,00300,0100,COOK 19961,S200000,00400,0100,NORRIDGE NURSING CENTRE 19961,S200000,00400,0200,145329 19961,S200000,00400,0300,07/01/1966 19961,S200000,00400,0500,P 19961,S200000,01004,0500,O 19961,S200000,01600,0100,Y 19969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19969,A000000,00300,0000,00300EMPLOYEE BENEFITS 19969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19969,A000000,00700,0000,00700HOUSEKEEPING 19969,A000000,00800,0000,00800DIETARY 19969,A000000,00900,0000,00900NURSING ADMINISTRATION 19969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19969,A000000,01100,0000,01100PHARMACY 19969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19969,A000000,01300,0000,01300SOCIAL SERVICE 19969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19969,A000000,01600,0000,01600SKILLED NURSING FACILITY 19969,A000000,01800,0000,01800NURSING FACILITY 19969,A000000,01810,0000,01810ICF/MR 19969,A000000,02100,0000,02100RADIOLOGY 19969,A000000,02200,0000,02200LABORATORY 19969,A000000,02300,0000,02300INTRAVENOUS THERAPY 19969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19969,A000000,02500,0000,02500PHYSICAL THERAPY 19969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19969,A000000,02700,0000,02700SPEECH PATHOLOGY 19969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19969,A000000,03200,0000,03200SUPPORT SURFACES 19969,A000000,03550,0000,03550FQHC 19969,A000000,05000,0000,05000CORF 19969,A000000,05010,0000,05010CMHC 19969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 19969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 19969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 19969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19969,A81000A,00100,0100,Y 19969,A81000B,00200,0300,RENT 19969,A81000B,00400,0300,MANAGEMENT FEES 19969,A81000C,00200,0100,B 19969,A81000C,00200,0200,BALLARD PARTNER 19969,A81000C,00400,0100,B 19969,A81000C,00400,0200,PICK MANAGEMENT 19969,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19969,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19969,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19969,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19969,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19969,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19969,B100000,00000,0850,00000PATIENT DAYS :DIETARY 19969,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 19969,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19969,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19969,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19969,E10A180,00501,0100,07/27/2000 19969,E10A180,00601,0100,08/20/2001 19969,E10A180,00650,0300,08/20/2001 19969,S000000,00100,0200,06/01/2000 19969,S200000,00200,0200,CA 19969,S200000,00300,0200,1600 19969,S200000,00300,0300,U 19969,S200000,00400,0100,BALLARD NURSING CENTRE INC. 19969,S200000,00400,0200,145334 19969,S200000,00400,0300,01/01/1978 19969,S200000,00400,0500,P 19969,S200000,01600,0100,Y 19979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19979,A000000,00300,0000,00300EMPLOYEE BENEFITS 19979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19979,A000000,00700,0000,00700HOUSEKEEPING 19979,A000000,00800,0000,00800DIETARY 19979,A000000,00900,0000,00900NURSING ADMINISTRATION 19979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19979,A000000,01300,0000,01300SOCIAL SERVICE 19979,A000000,01600,0000,01600SKILLED NURSING FACILITY 19979,A000000,01800,0000,01800NURSING FACILITY 19979,A000000,01900,0000,01900OTHER LONG TERM CARE 19979,A000000,02200,0000,02200LABORATORY 19979,A000000,02500,0000,02500PHYSICAL THERAPY 19979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19979,A000000,02700,0000,02700SPEECH PATHOLOGY 19979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19979,A000000,06150,0000,06300ADULT DAY CARE 19979,A81000A,00100,0100,Y 19979,A81000B,00100,0300,IMRF 19979,A81000B,00200,0300,FICA 19979,A81000B,00300,0300,WORKERS COMP 19979,A81000B,00400,0300,UNEMPLOYMENT INS 19979,A81000B,00500,0300,HEALTH INSURANCE 19979,A81000B,00600,0300,TREASURY SERVICES 19979,A81000B,00700,0300,AUDITORS OFFICE SVC 19979,A81000C,00100,0100,B 19979,A81000C,00100,0400,CHAMPAIGN COUNT 19979,A81000C,00100,0600,COUNTY GOVERNME 19979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19979,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19979,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19979,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19979,B100000,00000,0800,00000MEALS SERVED :DIETARY 19979,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 19979,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19979,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 19979,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19979,E10A180,00550,0300,04/27/2000 19979,E10A180,00601,0100,03/12/2001 19979,E10A180,00650,0300,03/12/2001 19979,S000000,00100,0200,04/27/2000 19979,S200000,00100,0100,1701 EAST MAIN STREET 19979,S200000,00200,0100,URBANA 19979,S200000,00200,0200,IL 19979,S200000,00200,0300,61802- 19979,S200000,00300,0100,CHAMPAIGN 19979,S200000,00400,0100,CHAMPAIGN COUNTY NURSING HOME 19979,S200000,00400,0200,145364 19979,S200000,00400,0300,07/12/1989 19979,S200000,00400,0500,P 19979,S200000,01600,0100,Y 19990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 19990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 19990,A000000,00300,0000,00300EMPLOYEE BENEFITS 19990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 19990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 19990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 19990,A000000,00700,0000,00700HOUSEKEEPING 19990,A000000,00800,0000,00800DIETARY 19990,A000000,00900,0000,00900NURSING ADMINISTRATION 19990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 19990,A000000,01100,0000,01100PHARMACY 19990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 19990,A000000,01300,0000,01300SOCIAL SERVICE 19990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 19990,A000000,01600,0000,01600SKILLED NURSING FACILITY 19990,A000000,01800,0000,01800NURSING FACILITY 19990,A000000,01900,0000,01900OTHER LONG TERM CARE 19990,A000000,02100,0000,02100RADIOLOGY 19990,A000000,02200,0000,02200LABORATORY 19990,A000000,02300,0000,02300INTRAVENOUS THERAPY 19990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 19990,A000000,02500,0000,02500PHYSICAL THERAPY 19990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 19990,A000000,02700,0000,02700SPEECH PATHOLOGY 19990,A000000,02800,0000,02800ELECTROCARDIOLOGY 19990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 19990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 19990,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 19990,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 19990,A000000,03200,0000,03200SUPPORT SURFACES 19990,A000000,03400,0000,03400CLINIC 19990,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 19990,A000000,04800,0000,04800AMBULANCE 19990,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 19990,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 19990,A000000,05300,0000,05300INTEREST EXPENSE 19990,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 19990,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 19990,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 19990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 19990,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 19990,A000000,06100,0000,06100NONPAID WORKERS 19990,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 19990,A000000,06200,0000,06200PATIENTS LAUNDRY 19990,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 19990,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 19990,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 19990,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 19990,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 19990,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 19990,B100000,00000,0800,00000MEALS SERVED :DIETARY 19990,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 19990,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 19990,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 19990,E10A180,00650,0100,09/19/2001 19990,E10A180,00650,0300,09/19/2001 19990,S000000,00100,0200,06/07/2000 19990,S200000,00100,0100,900 EAST 9TH STREET 19990,S200000,00200,0100,METROPOLIS 19990,S200000,00200,0200,IL 19990,S200000,00200,0300,62960- 19990,S200000,00300,0100,MASSAC 19990,S200000,00300,0200,14 19990,S200000,00300,0300,R 19990,S200000,00400,0100,SOUTHGATE HEALTHCARE CENTER 19990,S200000,00400,0200,145386 19990,S200000,00400,0300,08/01/1979 19990,S200000,00400,0500,P 19990,S200000,01004,0500,O 19990,S200000,01600,0100,Y 20002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20002,A000000,00300,0000,00300EMPLOYEE BENEFITS 20002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20002,A000000,00700,0000,00700HOUSEKEEPING 20002,A000000,00800,0000,00800DIETARY 20002,A000000,00900,0000,00900NURSING ADMINISTRATION 20002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20002,A000000,01300,0000,01300SOCIAL SERVICE 20002,A000000,01301,0000,01301ACTIVITES 20002,A000000,01350,0000,01500REHABILITATION 20002,A000000,01600,0000,01600SKILLED NURSING FACILITY 20002,A000000,01800,0000,01800NURSING FACILITY 20002,A000000,01900,0000,01900OTHER LONG TERM CARE 20002,A000000,02100,0000,02100RADIOLOGY 20002,A000000,02200,0000,02200LABORATORY 20002,A000000,02300,0000,02300INTRAVENOUS THERAPY 20002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20002,A000000,02500,0000,02500PHYSICAL THERAPY 20002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20002,A000000,02700,0000,02700SPEECH PATHOLOGY 20002,A000000,02800,0000,02800ELECTROCARDIOLOGY 20002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20002,A000000,03050,0000,03300EQUIPMENT RENTAL 20002,A000000,03051,0000,03301PEN THERAPY 20002,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20002,A000000,03200,0000,03200SUPPORT SURFACES 20002,A000000,04800,0000,04800AMBULANCE 20002,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20002,A000000,05300,0000,05300INTEREST EXPENSE 20002,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20002,A000000,06150,0000,06300VENDING 20002,A000000,06151,0000,06301STAND-BY 20002,A000000,06200,0000,06200PATIENTS LAUNDRY 20002,A81000A,00100,0100,Y 20002,A81000B,00100,0300,HOME OFFICE ADMIN 20002,A81000B,00200,0300,DIETARY SUPPLEMENTS 20002,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 20002,A81000B,00400,0300,PRESCRIPTION DRUGS 20002,A81000B,00500,0300,MEDICAL SUPPLIES 20002,A81000B,00600,0300,ADMIN COSTS 20002,A81000B,00700,0300,HOME OFFICE CAPITAL 20002,A81000B,00800,0300,EQUIPMENT REPLACEMENT 20002,A81000B,00900,0300,IV THERAPY 20002,A81000B,01000,0300,THERAPY CONSULTING 20002,A81000B,01100,0300,PHYSICAL THERAPY 20002,A81000B,01200,0300,OCCUPATIONAL THERAPY 20002,A81000B,01300,0300,SPEECH THERAPY 20002,A81000B,01400,0300,ANC EQUIP RENTAL 20002,A81000C,00100,0100,B 20002,A81000C,00100,0200,LASALLE PS# 115 20002,A81000C,00100,0400,MARINER PAN 20002,A81000C,00100,0600,NURSING HOMES 20002,A81000C,00200,0100,G 20002,A81000C,00200,0200,MARINER PAN 20002,A81000C,00200,0400,AMER PHARM SVCS 20002,A81000C,00200,0600,PHARMACEUTICALS 20002,A81000C,00300,0100,G 20002,A81000C,00300,0200,MARINER PAN 20002,A81000C,00300,0400,PRISM-ATS-ARS-T 20002,A81000C,00300,0600,THERAPIES 20002,A81000C,03100,0000,MARINER PAN 20002,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 20002,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 20002,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 20002,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 20002,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 20002,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 20002,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 20002,B100000,00000,0800,00001MEALS SERVED :DIETARY 20002,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 20002,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 20002,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 20002,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 20002,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 20002,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 20002,E10A180,00550,0300,06/02/2000 20002,E10A180,00650,0100,08/13/2001 20002,E10A180,00650,0300,08/13/2001 20002,S000000,00100,0200,06/02/2000 20002,S200000,00100,0100,1445 CHARTRESS STREET 20002,S200000,00200,0100,LASALLE 20002,S200000,00200,0200,IL 20002,S200000,00200,0300,61301- 20002,S200000,00300,0100,LASALLE 20002,S200000,00400,0100,LASALLE HEALTH & REHABILITATION 20002,S200000,00400,0200,145394 20002,S200000,00400,0300,12/20/1979 20002,S200000,00400,0500,P 20002,S200000,01600,0100,Y 20002,S200000,02200,0100,Y 20013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20013,A000000,00300,0000,00300EMPLOYEE BENEFITS 20013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20013,A000000,00700,0000,00700HOUSEKEEPING 20013,A000000,00800,0000,00800DIETARY 20013,A000000,00900,0000,00900NURSING ADMINISTRATION 20013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20013,A000000,01300,0000,01300SOCIAL SERVICE 20013,A000000,01600,0000,01600SKILLED NURSING FACILITY 20013,A000000,01800,0000,01800NURSING FACILITY 20013,A000000,01900,0000,01900OTHER LONG TERM CARE 20013,A000000,02100,0000,02100RADIOLOGY 20013,A000000,02200,0000,02200LABORATORY 20013,A000000,02300,0000,02300INTRAVENOUS THERAPY 20013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20013,A000000,02500,0000,02500PHYSICAL THERAPY 20013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20013,A000000,02700,0000,02700SPEECH PATHOLOGY 20013,A000000,02800,0000,02800ELECTROCARDIOLOGY 20013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20013,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20013,A000000,03200,0000,03200SUPPORT SURFACES 20013,A000000,03400,0000,03400CLINIC 20013,A000000,03500,0000,03500RURAL HEALTH CLINIC 20013,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20013,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20013,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20013,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20013,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20013,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20013,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20013,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20013,A000000,04400,0000,04400DME RENTED - HHA 20013,A000000,04500,0000,04500DME SOLD - HHA 20013,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20013,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20013,A000000,04800,0000,04800AMBULANCE 20013,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20013,A000000,05000,0000,05000CORF 20013,A000000,05010,0000,05010CMHC 20013,A000000,05020,0000,05020OPT 20013,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20013,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20013,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20013,A000000,05300,0000,05300INTEREST EXPENSE 20013,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20013,A000000,05500,0000,05500HOSPICE 20013,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20013,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20013,A000000,06100,0000,06100NONPAID WORKERS 20013,A000000,06200,0000,06200PATIENTS LAUNDRY 20013,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20013,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20013,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20013,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20013,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20013,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20013,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20013,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20013,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20013,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20013,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20013,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20013,E10A180,00601,0300,07/31/2001 20013,E10A180,00650,0100,07/31/2001 20013,S000000,00100,0200,03/14/2000 20013,S200000,00100,0100,310 WEST BELMONT 20013,S200000,00200,0100,SPARTA 20013,S200000,00200,0200,IL 20013,S200000,00200,0300,62286- 20013,S200000,00300,0100,RANDOLPH 20013,S200000,00400,0100,RANDOLPH COUNTY CARE CENTER 20013,S200000,00400,0200,145406 20013,S200000,00400,0300,04/01/1980 20013,S200000,00400,0500,P 20013,S200000,01600,0100,Y 20022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20022,A000000,00300,0000,00300EMPLOYEE BENEFITS 20022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20022,A000000,00700,0000,00700HOUSEKEEPING 20022,A000000,00800,0000,00800DIETARY 20022,A000000,00900,0000,00900NURSING ADMINISTRATION 20022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20022,A000000,01300,0000,01300SOCIAL SERVICE 20022,A000000,01350,0000,01500ACTIVITIES 20022,A000000,01600,0000,01600SKILLED NURSING FACILITY 20022,A000000,01800,0000,01800NURSING FACILITY 20022,A000000,01900,0000,01900OTHER LONG TERM CARE 20022,A000000,02100,0000,02100RADIOLOGY 20022,A000000,02200,0000,02200LABORATORY 20022,A000000,02300,0000,02300INTRAVENOUS THERAPY 20022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20022,A000000,02500,0000,02500PHYSICAL THERAPY 20022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20022,A000000,02700,0000,02700SPEECH PATHOLOGY 20022,A000000,02800,0000,02800ELECTROCARDIOLOGY 20022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20022,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20022,A000000,03200,0000,03200SUPPORT SURFACES 20022,A000000,05300,0000,05300INTEREST EXPENSE 20022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20022,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20022,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20022,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20022,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20022,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20022,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20022,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20022,B100000,00000,0800,00000MEALS SERVED :DIETARY 20022,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20022,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20022,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20022,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20022,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 20022,E10A180,00550,0300,06/02/2000 20022,E10A180,00601,0100,03/21/2001 20022,S000000,00100,0200,06/01/2000 20022,S200000,00100,0100,1155 NORTH FIRST STREET 20022,S200000,00200,0100,BREESE 20022,S200000,00200,0200,IL 20022,S200000,00200,0300,62230- 20022,S200000,00300,0100,CLINTON 20022,S200000,00400,0100,BREESE NURSING HOME 20022,S200000,00400,0200,145410 20022,S200000,00400,0300,03/06/1990 20022,S200000,00400,0500,P 20022,S200000,01600,0100,Y 20022,S200000,04300,0100,Y 20027,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20027,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20027,A000000,00300,0000,00300EMPLOYEE BENEFITS 20027,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20027,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20027,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20027,A000000,00700,0000,00700HOUSEKEEPING 20027,A000000,00800,0000,00800DIETARY 20027,A000000,00900,0000,00900NURSING ADMINISTRATION 20027,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20027,A000000,01100,0000,01100PHARMACY 20027,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20027,A000000,01300,0000,01300SOCIAL SERVICE 20027,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20027,A000000,01600,0000,01600SKILLED NURSING FACILITY 20027,A000000,01800,0000,01800NURSING FACILITY 20027,A000000,01810,0000,01810ICF/MR 20027,A000000,02200,0000,02200LABORATORY 20027,A000000,02500,0000,02500PHYSICAL THERAPY 20027,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20027,A000000,02700,0000,02700SPEECH PATHOLOGY 20027,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20027,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20027,A000000,03550,0000,03550FQHC 20027,A000000,05000,0000,05000CORF 20027,A000000,05010,0000,05010CMHC 20027,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20027,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20027,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20027,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20027,A81000A,00100,0100,Y 20027,A81000B,00200,0300,HOME OFFICE 20027,A81000C,00200,0100,B 20027,A81000C,00200,0200,ASTA HEALTHCARE 20027,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20027,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20027,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20027,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20027,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20027,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20027,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20027,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20027,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20027,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20027,E10A180,00601,0100,08/29/2001 20027,E10A180,00650,0300,08/29/2001 20027,S000000,00100,0200,05/03/2000 20027,S200000,00200,0200,CA 20027,S200000,00300,0200,14 20027,S200000,00300,0300,R 20027,S200000,00400,0100,ASTA CARE CTR. OF TOLUCA 20027,S200000,00400,0200,145413 20027,S200000,00400,0300,01/01/1980 20027,S200000,00400,0500,P 20027,S200000,01004,0500,O 20027,S200000,01600,0100,Y 20035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20035,A000000,00300,0000,00300EMPLOYEE BENEFITS 20035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20035,A000000,00700,0000,00700HOUSEKEEPING 20035,A000000,00800,0000,00800DIETARY 20035,A000000,00900,0000,00900NURSING ADMINISTRATION 20035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20035,A000000,01100,0000,01100PHARMACY 20035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20035,A000000,01300,0000,01300SOCIAL SERVICE 20035,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20035,A000000,01600,0000,01600SKILLED NURSING FACILITY 20035,A000000,01800,0000,01800NURSING FACILITY 20035,A000000,01810,0000,01810ICF/MR 20035,A000000,02200,0000,02200LABORATORY 20035,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20035,A000000,02500,0000,02500PHYSICAL THERAPY 20035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20035,A000000,02700,0000,02700SPEECH PATHOLOGY 20035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20035,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20035,A000000,03200,0000,03200SUPPORT SURFACES 20035,A000000,03550,0000,03550FQHC 20035,A000000,05000,0000,05000CORF 20035,A000000,05010,0000,05010CMHC 20035,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20035,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20035,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20035,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20035,A81000A,00100,0100,Y 20035,A81000B,00100,0300,CAPITAL RELATED 20035,A81000B,00200,0300,EMPLOYEE BENEFITS 20035,A81000B,00300,0300,ADMIN & GENERAL 20035,A81000B,00400,0300,PLANT OPERATION 20035,A81000B,00500,0300,HOUSEKEEPING 20035,A81000B,00600,0300,DIETARY 20035,A81000B,00700,0300,NURSING ADMIN 20035,A81000B,00800,0300,CAPITAL RELATED 20035,A81000B,00900,0300,CAPITAL RELATED 20035,A81000B,01000,0300,CAPITAL 20035,A81000B,01100,0300,EMPLOYEE BENEFITS 20035,A81000B,01200,0300,ADMIN & GENERAL 20035,A81000B,01300,0300,CENTRAL SERVICE 20035,A81000B,01400,0300,ADMIN & GENERAL 20035,A81000C,00100,0100,A 20035,A81000C,00100,0400,PREFERRED BOOKK 20035,A81000C,00100,0600,BOOKKEEPING 20035,A81000C,00200,0100,A 20035,A81000C,00200,0400,SIR MANAGMENT 20035,A81000C,00200,0600,MANAGEMENT CO. 20035,A81000C,00300,0100,A 20035,A81000C,00300,0400,ECM OWNERS COUN 20035,A81000C,00300,0600,MANAGEMENT 20035,A81000C,00400,0100,A 20035,A81000C,00400,0400,PARAMOUNT HEALT 20035,A81000C,00400,0600,MEDICAL SUPPLY 20035,A81000C,00500,0100,A 20035,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20035,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20035,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20035,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20035,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20035,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20035,B100000,00000,0800,00000MEALS SERVED :DIETARY 20035,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20035,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20035,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20035,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20035,E10A180,00650,0100,08/29/2001 20035,S000000,00100,0200,06/02/2000 20035,S200000,00100,0100,7733 WEST GRAND AVENUE 20035,S200000,00200,0100,ELMWOOD PARK 20035,S200000,00200,0200,IL 20035,S200000,00200,0300,60635- 20035,S200000,00300,0100,COOK 20035,S200000,00300,0200,1600 20035,S200000,00300,0300,U 20035,S200000,00400,0100,ELMWOOD CARE CENTER INC. 20035,S200000,00400,0200,145419 20035,S200000,00400,0300,04/01/1977 20035,S200000,00400,0500,P 20035,S200000,01600,0100,Y 20035,S200000,02200,0100,Y 20052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20052,A000000,00300,0000,00300EMPLOYEE BENEFITS 20052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20052,A000000,00700,0000,00700HOUSEKEEPING 20052,A000000,00800,0000,00800DIETARY 20052,A000000,00900,0000,00900NURSING ADMINISTRATION 20052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20052,A000000,01100,0000,01100PHARMACY 20052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20052,A000000,01300,0000,01300SOCIAL SERVICE 20052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20052,A000000,01600,0000,01600SKILLED NURSING FACILITY 20052,A000000,01800,0000,01800NURSING FACILITY 20052,A000000,01810,0000,01810ICF/MR 20052,A000000,02200,0000,02200LABORATORY 20052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20052,A000000,02500,0000,02500PHYSICAL THERAPY 20052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20052,A000000,02700,0000,02700SPEECH PATHOLOGY 20052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20052,A000000,03550,0000,03550FQHC 20052,A000000,05000,0000,05000CORF 20052,A000000,05010,0000,05010CMHC 20052,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20052,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20052,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20052,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20052,A81000A,00100,0100,Y 20052,A81000B,00100,0300,WHIRPOOL LEASE 20052,A81000B,00200,0300,MANAGEMENT CONTRACT 20052,A81000B,00300,0300,INTEREST EXPENSE 20052,A81000B,00400,0300,INTEREST EXPENSE 20052,A81000C,00100,0100,F 20052,A81000C,00100,0200,WAYNE MESSICK 20052,A81000C,00100,0400,WDM HEALTH SERV 20052,A81000C,00100,0600,HEALTHCARE MANA 20052,A81000C,00200,0100,F 20052,A81000C,00200,0200,WAYNE MESSICK 20052,A81000C,00200,0400,WDM HEALTH SERV 20052,A81000C,00200,0600,HEALTHCARE MANA 20052,A81000C,00300,0100,B 20052,A81000C,00300,0200,CARLYLE HEALTHC 20052,A81000C,00400,0100,A 20052,A81000C,00400,0200,WAYNE MESSICK\ 20052,A81000C,00400,0400,CARLYLE HEALTHC 20052,A81000C,00400,0600,ICF/SNF NURSING 20052,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20052,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20052,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20052,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20052,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20052,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20052,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 20052,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20052,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20052,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20052,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20052,B100000,00000,1250,00000PATEINT DAYS :MEDICAL RECORDS & LI 20052,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20052,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20052,E10A180,00601,0100,08/08/2001 20052,S000000,00100,0200,05/23/2000 20052,S200000,00100,0100,1440 NORTH 10TH STREET 20052,S200000,00200,0100,QUINCY 20052,S200000,00200,0200,IL 20052,S200000,00200,0300,62301- 20052,S200000,00300,0100,ADAMS 20052,S200000,00400,0100,ST. VINCENTS HOME INC. 20052,S200000,00400,0200,145457 20052,S200000,00400,0300,01/01/1993 20052,S200000,00400,0500,P 20052,S200000,01600,0100,Y 20052,S200000,02200,0100,Y 20063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20063,A000000,00300,0000,00300EMPLOYEE BENEFITS 20063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20063,A000000,00700,0000,00700HOUSEKEEPING 20063,A000000,00800,0000,00800DIETARY 20063,A000000,00900,0000,00900NURSING ADMINISTRATION 20063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20063,A000000,01100,0000,01100PHARMACY 20063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20063,A000000,01300,0000,01300SOCIAL SERVICE 20063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20063,A000000,01600,0000,01600SKILLED NURSING FACILITY 20063,A000000,01800,0000,01800NURSING FACILITY 20063,A000000,01810,0000,01810ICF/MR 20063,A000000,02100,0000,02100RADIOLOGY 20063,A000000,02200,0000,02200LABORATORY 20063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20063,A000000,02500,0000,02500PHYSICAL THERAPY 20063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20063,A000000,02700,0000,02700SPEECH PATHOLOGY 20063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20063,A000000,03200,0000,03200SUPPORT SURFACES 20063,A000000,03550,0000,03550FQHC 20063,A000000,05000,0000,05000CORF 20063,A000000,05010,0000,05010CMHC 20063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20063,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20063,A81000A,00100,0100,Y 20063,A81000B,00200,0300,RENT 20063,A81000B,00400,0300,INTEREST 20063,A81000B,00600,0300,MANAGEMENT FEES 20063,A81000B,00800,0300,ADMIN CONSULTANT 20063,A81000B,01000,0300,DIETARY CONSULTANT 20063,A81000B,01100,0300,PT / OT / ST 20063,A81000C,00200,0100,B 20063,A81000C,00200,0200,OAK BROOK ASSOC 20063,A81000C,00400,0100,B 20063,A81000C,00400,0200,LANCASTER LTD 20063,A81000C,00600,0100,B 20063,A81000C,00600,0200,IL HEALTH ALLIA 20063,A81000C,00800,0100,B 20063,A81000C,00800,0200,CYNTHIA CHOW AS 20063,A81000C,01000,0100,B 20063,A81000C,01000,0200,MSCI 20063,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20063,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20063,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20063,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20063,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20063,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20063,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20063,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20063,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20063,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20063,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20063,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20063,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20063,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20063,E10A180,00601,0100,04/10/2001 20063,E10A180,00601,0300,04/10/2001 20063,S000000,00100,0200,04/11/2000 20063,S200000,00200,0100,OAK BROOK 20063,S200000,00200,0200,IL 20063,S200000,00300,0100,DU PAGE 20063,S200000,00400,0100,OAK BROOK HEALTHCARE CENTRE 20063,S200000,00400,0200,145458 20063,S200000,00400,0300,01/01/1983 20063,S200000,00400,0500,P 20063,S200000,01600,0100,Y 20067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20067,A000000,00300,0000,00300EMPLOYEE BENEFITS 20067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20067,A000000,00700,0000,00700HOUSEKEEPING 20067,A000000,00800,0000,00800DIETARY 20067,A000000,00900,0000,00900NURSING ADMINISTRATION 20067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20067,A000000,01100,0000,01100PHARMACY 20067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20067,A000000,01300,0000,01300SOCIAL SERVICE 20067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20067,A000000,01600,0000,01600SKILLED NURSING FACILITY 20067,A000000,01800,0000,01800NURSING FACILITY 20067,A000000,01810,0000,01810ICF/MR 20067,A000000,02100,0000,02100RADIOLOGY 20067,A000000,02200,0000,02200LABORATORY 20067,A000000,02500,0000,02500PHYSICAL THERAPY 20067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20067,A000000,02700,0000,02700SPEECH PATHOLOGY 20067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20067,A000000,03200,0000,03200SUPPORT SURFACES 20067,A000000,03550,0000,03550FQHC 20067,A000000,05000,0000,05000CORF 20067,A000000,05010,0000,05010CMHC 20067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20067,A81000A,00100,0100,Y 20067,A81000B,00200,0300,HOME OFFICE 20067,A81000C,00200,0100,B 20067,A81000C,00200,0200,PREMIER MGT. 20067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20067,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20067,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20067,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20067,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20067,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20067,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20067,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20067,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20067,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20067,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20067,E10A180,00601,0100,08/13/2001 20067,S000000,00100,0200,05/31/2000 20067,S200000,00200,0200,CA 20067,S200000,00300,0100,COOK 20067,S200000,00400,0100,SKOKIE MEADOWS NRSG. CTR. INC. 20067,S200000,00400,0200,145468 20067,S200000,00400,0300,01/01/1970 20067,S200000,00400,0500,P 20067,S200000,01004,0500,O 20067,S200000,01600,0100,Y 20076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20076,A000000,00300,0000,00300EMPLOYEE BENEFITS 20076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20076,A000000,00700,0000,00700HOUSEKEEPING 20076,A000000,00800,0000,00800DIETARY 20076,A000000,00900,0000,00900NURSING ADMINISTRATION 20076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20076,A000000,01300,0000,01300SOCIAL SERVICE 20076,A000000,01301,0000,01301ACTIVITES 20076,A000000,01350,0000,01500REHABILITATION 20076,A000000,01600,0000,01600SKILLED NURSING FACILITY 20076,A000000,01800,0000,01800NURSING FACILITY 20076,A000000,01900,0000,01900OTHER LONG TERM CARE 20076,A000000,02100,0000,02100RADIOLOGY 20076,A000000,02200,0000,02200LABORATORY 20076,A000000,02300,0000,02300INTRAVENOUS THERAPY 20076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20076,A000000,02500,0000,02500PHYSICAL THERAPY 20076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20076,A000000,02700,0000,02700SPEECH PATHOLOGY 20076,A000000,02800,0000,02800ELECTROCARDIOLOGY 20076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20076,A000000,03050,0000,03300EQUIPMENT RENTAL 20076,A000000,03051,0000,03301PEN THERAPY 20076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20076,A000000,03200,0000,03200SUPPORT SURFACES 20076,A000000,04800,0000,04800AMBULANCE 20076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20076,A000000,05300,0000,05300INTEREST EXPENSE 20076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20076,A000000,06150,0000,06300VENDING 20076,A000000,06151,0000,06301STAND-BY 20076,A000000,06200,0000,06200PATIENTS LAUNDRY 20076,A81000A,00100,0100,Y 20076,A81000B,00100,0300,HOME OFFICE ADMIN 20076,A81000B,00200,0300,DIETARY SUPPLEMENTS 20076,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 20076,A81000B,00400,0300,PRESCRIPTION DRUGS 20076,A81000B,00500,0300,MEDICAL SUPPLIES 20076,A81000B,00600,0300,ADMIN COSTS 20076,A81000B,00700,0300,HOME OFFICE CAPITAL 20076,A81000B,00800,0300,EQUIPMENT REPLACEMENT 20076,A81000B,00900,0300,IV THERAPY 20076,A81000B,01000,0300,THERAPY CONSULTING 20076,A81000B,01100,0300,PHYSICAL THERAPY 20076,A81000B,01200,0300,OCCUPATIONAL THERAPY 20076,A81000B,01300,0300,SPEECH THERAPY 20076,A81000B,01400,0300,ANC EQUIP RENTAL 20076,A81000C,00100,0100,B 20076,A81000C,00100,0200,MONTOBELLO PS# 20076,A81000C,00100,0400,MARINER PAN 20076,A81000C,00100,0600,NURSING HOMES 20076,A81000C,00200,0100,G 20076,A81000C,00200,0200,MARINER PAN 20076,A81000C,00200,0400,AMER PHARM SVCS 20076,A81000C,00200,0600,PHARMACEUTICALS 20076,A81000C,00300,0100,G 20076,A81000C,00300,0200,MARINER PAN 20076,A81000C,00300,0400,PRISM-ATS-ARS-T 20076,A81000C,00300,0600,THERAPIES 20076,A81000C,03100,0000,MARINER PAN 20076,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 20076,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 20076,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 20076,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 20076,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 20076,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 20076,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 20076,B100000,00000,0800,00001MEALS SERVED :DIETARY 20076,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 20076,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 20076,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 20076,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 20076,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 20076,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 20076,E10A180,00650,0100,03/12/2001 20076,S000000,00100,0200,06/02/2000 20076,S200000,00100,0100,16TH ST. & KEOKUK 20076,S200000,00200,0100,HAMILTON 20076,S200000,00200,0200,IL 20076,S200000,00200,0300,62341- 20076,S200000,00300,0100,HANCOCK 20076,S200000,00400,0100,MONTEBELLO HEALTHCARE CTR 20076,S200000,00400,0200,145471 20076,S200000,00400,0300,10/01/1982 20076,S200000,00400,0500,P 20076,S200000,01004,0500,O 20076,S200000,01600,0100,Y 20076,S200000,02200,0100,Y 20082,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20082,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20082,A000000,00300,0000,00300EMPLOYEE BENEFITS 20082,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20082,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20082,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20082,A000000,00700,0000,00700HOUSEKEEPING 20082,A000000,00800,0000,00800DIETARY 20082,A000000,00900,0000,00900NURSING ADMINISTRATION 20082,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20082,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20082,A000000,01300,0000,01300SOCIAL SERVICE 20082,A000000,01350,0000,01500ACTIVITIES 20082,A000000,01600,0000,01600SKILLED NURSING FACILITY 20082,A000000,01800,0000,01800NURSING FACILITY 20082,A000000,01900,0000,01900OTHER LONG TERM CARE 20082,A000000,02100,0000,02100RADIOLOGY 20082,A000000,02200,0000,02200LABORATORY 20082,A000000,02300,0000,02300INTRAVENOUS THERAPY 20082,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20082,A000000,02500,0000,02500PHYSICAL THERAPY 20082,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20082,A000000,02700,0000,02700SPEECH PATHOLOGY 20082,A000000,02800,0000,02800ELECTROCARDIOLOGY 20082,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20082,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20082,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20082,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20082,A000000,03200,0000,03200SUPPORT SURFACES 20082,A000000,05300,0000,05300INTEREST EXPENSE 20082,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20082,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20082,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20082,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 20082,A81000A,00100,0100,Y 20082,A81000B,00100,0300,MANAGEMENT FEES-KING MANAGEMENT 20082,A81000B,00200,0300,MANAGEMENT COSTS-KING MANAGEMENT 20082,A81000B,00300,0300,MANAGEMENT COSTS-KING MANAGEMENT 20082,A81000B,00400,0300,MANAGEMENT COSTS-KING MANAGEMENT 20082,A81000C,00100,0100,A 20082,A81000C,00100,0200,JERRY KING 20082,A81000C,00100,0400,KING MANAGEMEN 20082,A81000C,00100,0600,MANAGEMENT COMP 20082,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20082,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20082,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20082,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20082,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20082,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20082,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20082,B100000,00000,0800,00000MEALS SERVED :DIETARY 20082,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20082,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20082,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20082,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20082,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 20082,E10A180,00501,0300,06/01/2000 20082,E10A180,00550,0100,06/01/2000 20082,E10A180,00650,0300,08/08/2001 20082,S000000,00100,0200,06/01/2000 20082,S200000,00100,0100,505 STEVENS 20082,S200000,00200,0100,NOKOMIS 20082,S200000,00200,0200,IL 20082,S200000,00200,0300,62075- 20082,S200000,00300,0100,MONTGOMERY 20082,S200000,00400,0100,NOKOMIS GOLDEN MANOR 20082,S200000,00400,0200,145478 20082,S200000,00400,0300,05/01/1989 20082,S200000,00400,0500,P 20082,S200000,01600,0100,Y 20082,S200000,04300,0100,Y 20091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20091,A000000,00300,0000,00300EMPLOYEE BENEFITS 20091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20091,A000000,00700,0000,00700HOUSEKEEPING 20091,A000000,00800,0000,00800DIETARY 20091,A000000,00900,0000,00900NURSING ADMINISTRATION 20091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20091,A000000,01100,0000,01100PHARMACY 20091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20091,A000000,01300,0000,01300SOCIAL SERVICE 20091,A000000,01350,0000,01500RECREATIONAL THERAPY 20091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20091,A000000,01600,0000,01600SKILLED NURSING FACILITY 20091,A000000,01800,0000,01800NURSING FACILITY 20091,A000000,01810,0000,01810ICF/MR 20091,A000000,02100,0000,02100RADIOLOGY 20091,A000000,02200,0000,02200LABORATORY 20091,A000000,02500,0000,02500PHYSICAL THERAPY 20091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20091,A000000,02700,0000,02700SPEECH PATHOLOGY 20091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20091,A000000,03200,0000,03200SUPPORT SURFACES 20091,A000000,03550,0000,03550FQHC 20091,A000000,05000,0000,05000CORF 20091,A000000,05010,0000,05010CMHC 20091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20091,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20091,A81000A,00100,0100,Y 20091,A81000B,00100,0300,MANAGEMENT FEES 20091,A81000B,00200,0300,HOME OFFICE EXPENSES 20091,A81000B,00300,0300,ANCILLARY ADMIN SVCS 20091,A81000B,00400,0300,DATA PROCESSING 20091,A81000B,00500,0300,ACCOUNTING FEES 20091,A81000B,00600,0300,LEGAL FEES 20091,A81000B,00700,0300,DIETARY CONSULTANT 20091,A81000B,00800,0300,ADVERTISING/PROMOTIO 20091,A81000B,00900,0300,BOOKKEEPING SVCS 20091,A81000B,01000,0300,RENT EXPENSE 20091,A81000B,01100,0300,BLDG CO. ADM EXP 20091,A81000B,01200,0300,R. E. EXPENSE 20091,A81000C,00100,0100,A 20091,A81000C,00100,0200,ERIC ROTHNER 20091,A81000C,00100,0400,CARE CENTERS I 20091,A81000C,00100,0600,MANAGEMENT CO. 20091,A81000C,00200,0100,B 20091,A81000C,00200,0400,EDGEWATER CARE 20091,A81000C,00200,0600,BUILDING CO. 20091,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20091,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20091,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20091,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20091,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20091,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20091,B100000,00000,0800,00000MEALS SERVED :DIETARY 20091,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20091,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20091,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20091,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20091,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 20091,E10A180,00601,0100,09/14/2001 20091,E10A180,00601,0300,09/14/2001 20091,S000000,00100,0200,06/05/2000 20091,S200000,00100,0100,5838 NORTH SHERIDAN ROAD 20091,S200000,00200,0100,CHICAGO 20091,S200000,00200,0200,IL 20091,S200000,00200,0300,60660- 20091,S200000,00300,0100,COOK 20091,S200000,00300,0200,1600 20091,S200000,00300,0300,U 20091,S200000,00400,0100,SHERIDAN SHORES 20091,S200000,00400,0200,145482 20091,S200000,00400,0300,05/01/1993 20091,S200000,00400,0500,P 20091,S200000,00600,0200,145482 20091,S200000,00600,0300,05/01/1993 20091,S200000,00600,0600,P 20091,S200000,01600,0100,Y 20091,S200000,02200,0100,Y 20095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20095,A000000,00300,0000,00300EMPLOYEE BENEFITS 20095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20095,A000000,00700,0000,00700HOUSEKEEPING 20095,A000000,00800,0000,00800DIETARY 20095,A000000,00900,0000,00900NURSING ADMINISTRATION 20095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20095,A000000,01300,0000,01300SOCIAL SERVICE 20095,A000000,01600,0000,01600SKILLED NURSING FACILITY 20095,A000000,01800,0000,01800NURSING FACILITY 20095,A000000,01810,0000,01810ICF/MR 20095,A000000,01900,0000,01900OTHER LONG TERM CARE 20095,A000000,02100,0000,02100RADIOLOGY 20095,A000000,02200,0000,02200LABORATORY 20095,A000000,02300,0000,02300INTRAVENOUS THERAPY 20095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20095,A000000,02500,0000,02500PHYSICAL THERAPY 20095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20095,A000000,02700,0000,02700SPEECH PATHOLOGY 20095,A000000,02800,0000,02800ELECTROCARDIOLOGY 20095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20095,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20095,A000000,03200,0000,03200SUPPORT SURFACES 20095,A000000,03400,0000,03400CLINIC 20095,A000000,03500,0000,03500RURAL HEALTH CLINIC 20095,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20095,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20095,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20095,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20095,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20095,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20095,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20095,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20095,A000000,04400,0000,04400DME RENTED - HHA 20095,A000000,04500,0000,04500DME SOLD - HHA 20095,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20095,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20095,A000000,04800,0000,04800AMBULANCE 20095,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20095,A000000,05000,0000,05000CORF 20095,A000000,05010,0000,05010CMHC 20095,A000000,05020,0000,05020OPT 20095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20095,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20095,A000000,05300,0000,05300INTEREST EXPENSE 20095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20095,A000000,05500,0000,05500HOSPICE 20095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20095,A000000,06100,0000,06100NONPAID WORKERS 20095,A000000,06200,0000,06200PATIENTS LAUNDRY 20095,A81000A,00100,0100,Y 20095,A81000B,00100,0300,REAL ESTATE TAXES 20095,A81000B,00200,0300,DEPRECIATION - BLDG 20095,A81000C,00100,0100,A 20095,A81000C,00100,0200,IRENE WELGE 20095,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20095,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20095,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20095,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20095,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20095,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20095,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20095,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20095,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20095,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20095,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20095,E10A180,00601,0100,08/08/2001 20095,E10A180,00601,0300,08/08/2001 20095,S000000,00100,0200,07/05/2000 20095,S200000,00100,0100,161 THREE SPRINGS ROAD 20095,S200000,00200,0100,CHESTER 20095,S200000,00200,0200,IL 20095,S200000,00200,0300,62233- 20095,S200000,00300,0100,RANDOLPH 20095,S200000,00400,0100,THREE SPRINGS LODGE NURSING HO 20095,S200000,00400,0200,145497 20095,S200000,00400,0300,09/11/1984 20095,S200000,00400,0500,P 20095,S200000,01600,0100,Y 20105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20105,A000000,00300,0000,00300EMPLOYEE BENEFITS 20105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20105,A000000,00700,0000,00700HOUSEKEEPING 20105,A000000,00800,0000,00800DIETARY 20105,A000000,00900,0000,00900NURSING ADMINISTRATION 20105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20105,A000000,01300,0000,01300SOCIAL SERVICE 20105,A000000,01350,0000,01500ACTIVITIES 20105,A000000,01600,0000,01600SKILLED NURSING FACILITY 20105,A000000,01800,0000,01800NURSING FACILITY 20105,A000000,01900,0000,01900OTHER LONG TERM CARE 20105,A000000,02100,0000,02100RADIOLOGY 20105,A000000,02200,0000,02200LABORATORY 20105,A000000,02300,0000,02300INTRAVENOUS THERAPY 20105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20105,A000000,02500,0000,02500PHYSICAL THERAPY 20105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20105,A000000,02700,0000,02700SPEECH PATHOLOGY 20105,A000000,02800,0000,02800ELECTROCARDIOLOGY 20105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20105,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20105,A000000,03200,0000,03200SUPPORT SURFACES 20105,A000000,05300,0000,05300INTEREST EXPENSE 20105,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20105,A81000A,00100,0100,Y 20105,A81000B,00100,0300,LIABILITY INSURANCE - JERRY KING 20105,A81000B,00200,0300,MANAGEMENT FEES - KING MANAGEMENT 20105,A81000B,00300,0300,PROPERTY RENTAL - JERRY KING 20105,A81000B,00400,0300,DEPR. PROP. INS. R.E. TAXES - JERR 20105,A81000B,00500,0300,MANAGEMENT COSTS - KING MANAGEMENT 20105,A81000B,00600,0300,MANAGEMENT COSTS - KING MANAGEMENT 20105,A81000B,00700,0300,MANAGEMENT COSTS - KING MANAGEMENT 20105,A81000C,00100,0100,A 20105,A81000C,00100,0200,JERRY KING 20105,A81000C,00100,0400,KING MANAGEMENT 20105,A81000C,00100,0600,MANAGEMENT COMP 20105,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20105,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20105,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20105,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20105,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20105,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20105,B100000,00000,0800,00000MEALS SERVED :DIETARY 20105,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20105,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20105,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20105,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20105,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 20105,E10A180,00601,0100,08/08/2001 20105,E10A180,00601,0300,08/08/2001 20105,S000000,00100,0200,06/02/2000 20105,S200000,00100,0100,600 SOUTH HOUSTON 20105,S200000,00200,0100,TAYLORVILLE 20105,S200000,00200,0200,IL 20105,S200000,00200,0300,62568- 20105,S200000,00300,0100,CHRISTIAN 20105,S200000,00400,0100,TAYLORVILLE CARE CENTER 20105,S200000,00400,0200,145502 20105,S200000,00400,0300,06/01/1987 20105,S200000,00400,0500,P 20105,S200000,01600,0100,Y 20105,S200000,04300,0100,Y 20113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20113,A000000,00300,0000,00300EMPLOYEE BENEFITS 20113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20113,A000000,00700,0000,00700HOUSEKEEPING 20113,A000000,00800,0000,00800DIETARY 20113,A000000,00900,0000,00900NURSING ADMINISTRATION 20113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20113,A000000,01300,0000,01300SOCIAL SERVICE 20113,A000000,01600,0000,01600SKILLED NURSING FACILITY 20113,A000000,01800,0000,01800NURSING FACILITY 20113,A000000,01810,0000,01810ICF/MR 20113,A000000,01900,0000,01900OTHER LONG TERM CARE 20113,A000000,02100,0000,02100RADIOLOGY 20113,A000000,02200,0000,02200LABORATORY 20113,A000000,02300,0000,02300INTRAVENOUS THERAPY 20113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20113,A000000,02500,0000,02500PHYSICAL THERAPY 20113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20113,A000000,02700,0000,02700SPEECH PATHOLOGY 20113,A000000,02800,0000,02800ELECTROCARDIOLOGY 20113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20113,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20113,A000000,03200,0000,03200SUPPORT SURFACES 20113,A000000,03400,0000,03400CLINIC 20113,A000000,03500,0000,03500RURAL HEALTH CLINIC 20113,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20113,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20113,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20113,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20113,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20113,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20113,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20113,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20113,A000000,04400,0000,04400DME RENTED - HHA 20113,A000000,04500,0000,04500DME SOLD - HHA 20113,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20113,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20113,A000000,04800,0000,04800AMBULANCE 20113,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20113,A000000,05000,0000,05000CORF 20113,A000000,05010,0000,05010CMHC 20113,A000000,05020,0000,05020OPT 20113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20113,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20113,A000000,05300,0000,05300INTEREST EXPENSE 20113,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20113,A000000,05500,0000,05500HOSPICE 20113,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20113,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20113,A000000,06100,0000,06100NONPAID WORKERS 20113,A000000,06200,0000,06200PATIENTS LAUNDRY 20113,A81000B,00100,0300,INTEREST PAID TO OWNERS 20113,A81000B,00200,0300,BUILDING DEPRECIATION 20113,A81000B,00300,0300,EQUIPMENT DEPRECIATION 20113,A81000C,00100,0100,A 20113,A81000C,00100,0200,ALL OWNERS 20113,A81000C,00200,0100,B 20113,A81000C,00200,0400,ST CLAIR ESTATES 20113,A81000C,00200,0600,OWNS BUILDING 20113,A81000C,00300,0100,B 20113,A81000C,00300,0400,ST CLAIR ESTATES 20113,A81000C,00300,0600,OWNS EQUIPMENT 20113,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20113,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20113,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20113,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20113,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20113,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20113,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20113,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20113,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20113,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20113,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20113,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20113,E10A180,00601,0100,07/31/2001 20113,E10A180,00650,0300,07/31/2001 20113,S000000,00100,0200,07/05/2000 20113,S200000,00100,0100,746 URBANNA DRIVE 20113,S200000,00200,0100,FREEBURG 20113,S200000,00200,0200,IL 20113,S200000,00200,0300,62243- 20113,S200000,00300,0100,ST. CLAIR 20113,S200000,00400,0100,FREEBURG CARE CENTER INC. 20113,S200000,00400,0200,145515 20113,S200000,00400,0300,01/01/1981 20113,S200000,00400,0500,P 20113,S200000,01600,0100,Y 20123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20123,A000000,00300,0000,00300EMPLOYEE BENEFITS 20123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20123,A000000,00700,0000,00700HOUSEKEEPING 20123,A000000,00800,0000,00800DIETARY 20123,A000000,00900,0000,00900NURSING ADMINISTRATION 20123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20123,A000000,01100,0000,01100PHARMACY 20123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20123,A000000,01300,0000,01300SOCIAL SERVICE 20123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20123,A000000,01600,0000,01600SKILLED NURSING FACILITY 20123,A000000,01900,0000,01900OTHER LONG TERM CARE 20123,A000000,02100,0000,02100RADIOLOGY 20123,A000000,02200,0000,02200LABORATORY 20123,A000000,02300,0000,02300INTRAVENOUS THERAPY 20123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20123,A000000,02500,0000,02500PHYSICAL THERAPY 20123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20123,A000000,02700,0000,02700SPEECH PATHOLOGY 20123,A000000,02800,0000,02800ELECTROCARDIOLOGY 20123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20123,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20123,A000000,03200,0000,03200SUPPORT SURFACES 20123,A000000,03400,0000,03400CLINIC 20123,A000000,04800,0000,04800AMBULANCE 20123,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20123,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20123,A000000,05300,0000,05300INTEREST EXPENSE 20123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20123,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20123,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20123,A000000,06100,0000,06100NONPAID WORKERS 20123,A000000,06101,0000,06101BAD DEBT 20123,A000000,06102,0000,06102DEVELOPMENT 20123,A000000,06200,0000,06200PATIENTS LAUNDRY 20123,A81000A,00100,0100,Y 20123,A81000B,00100,0300,ADMINISTRATIVE + GENERAL 20123,A81000C,00100,0100,B 20123,A81000C,00100,0200,SENIOR SERVICE 20123,A81000C,00100,0600,HEALTH SERVICE 20123,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20123,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 20123,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20123,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20123,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20123,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20123,B100000,00000,0800,00000MEALS SERVED :DIETARY 20123,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20123,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20123,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20123,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20123,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20123,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20123,E10A180,00601,0100,07/31/2001 20123,E10A180,00650,0300,07/31/2001 20123,S000000,00100,0200,07/19/2000 20123,S200000,00100,0100,20 BRIARCLIFF LANE 20123,S200000,00200,0100,BOURBONNAIS 20123,S200000,00200,0200,IL 20123,S200000,00200,0300,60914- 20123,S200000,00300,0100,KANKAKEE 20123,S200000,00400,0100,PROVENA OUR LADY OF VICTORY 20123,S200000,00400,0200,145536 20123,S200000,00400,0300,01/29/1986 20123,S200000,00400,0500,P 20123,S200000,01600,0100,Y 20123,S200000,04300,0100,Y 20139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20139,A000000,00300,0000,00300EMPLOYEE BENEFITS 20139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20139,A000000,00700,0000,00700HOUSEKEEPING 20139,A000000,00800,0000,00800DIETARY 20139,A000000,00900,0000,00900NURSING ADMINISTRATION 20139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20139,A000000,01300,0000,01300SOCIAL SERVICE 20139,A000000,01350,0000,01500ACTIVITIES 20139,A000000,01600,0000,01600SKILLED NURSING FACILITY 20139,A000000,01800,0000,01800NURSING FACILITY 20139,A000000,01900,0000,01900OTHER LONG TERM CARE 20139,A000000,02100,0000,02100RADIOLOGY 20139,A000000,02200,0000,02200LABORATORY 20139,A000000,02300,0000,02300INTRAVENOUS THERAPY 20139,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20139,A000000,02500,0000,02500PHYSICAL THERAPY 20139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20139,A000000,02700,0000,02700SPEECH PATHOLOGY 20139,A000000,02800,0000,02800ELECTROCARDIOLOGY 20139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20139,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20139,A000000,03200,0000,03200SUPPORT SURFACES 20139,A000000,05300,0000,05300INTEREST EXPENSE 20139,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20139,A81000A,00100,0100,Y 20139,A81000B,00100,0300,DIRECT MANAGEMENT COSTS-KING MGMT 20139,A81000B,00200,0300,GROUND LEASES - KING MANAGEMENT 20139,A81000B,00300,0300,HOME OFFICE COSTS - KING MANAGEMENT 20139,A81000B,00400,0300,EQUIPMENT DEPRECIATION - KING MANAGE 20139,A81000B,00500,0300,BUILDING DEPRECIATION - KING MANAGEM 20139,A81000B,00600,0300,MANAGEMENT FEES - KING MANAGEMENT 20139,A81000C,00100,0100,A 20139,A81000C,00100,0200,JERRY KING 20139,A81000C,00100,0400,KING MANAGEMENT 20139,A81000C,00100,0600,MANAGEMENT COMP 20139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20139,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20139,B100000,00000,0800,00000MEALS SERVED :DIETARY 20139,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20139,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20139,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20139,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20139,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 20139,E10A180,00601,0100,04/19/2001 20139,E10A180,00601,0300,04/19/2001 20139,S000000,00100,0200,06/02/2000 20139,S200000,00100,0100,450 WEST FIRST STREET 20139,S200000,00200,0100,AVISTON 20139,S200000,00200,0200,IL 20139,S200000,00200,0300,62216- 20139,S200000,00300,0100,CLINTON 20139,S200000,00400,0100,AVISTON NURSING CENTER INC. 20139,S200000,00400,0200,145601 20139,S200000,00400,0300,12/12/1988 20139,S200000,00400,0500,P 20139,S200000,01600,0100,Y 20139,S200000,04300,0100,Y 20162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20162,A000000,00300,0000,00300EMPLOYEE BENEFITS 20162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20162,A000000,00700,0000,00700HOUSEKEEPING 20162,A000000,00800,0000,00800DIETARY 20162,A000000,00900,0000,00900NURSING ADMINISTRATION 20162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20162,A000000,01100,0000,01100PHARMACY 20162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20162,A000000,01300,0000,01300SOCIAL SERVICE 20162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20162,A000000,01600,0000,01600SKILLED NURSING FACILITY 20162,A000000,01800,0000,01800NURSING FACILITY 20162,A000000,01810,0000,01810ICF/MR 20162,A000000,02100,0000,02100RADIOLOGY 20162,A000000,02200,0000,02200LABORATORY 20162,A000000,02500,0000,02500PHYSICAL THERAPY 20162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20162,A000000,02700,0000,02700SPEECH PATHOLOGY 20162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20162,A000000,03550,0000,03550FQHC 20162,A000000,04800,0000,04800AMBULANCE 20162,A000000,05000,0000,05000CORF 20162,A000000,05010,0000,05010CMHC 20162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20162,A81000A,00100,0100,Y 20162,A81000B,00200,0300,RENT 20162,A81000B,00400,0300,HOME OFFICE 20162,A81000B,00600,0300,PLANT CONSULTING 20162,A81000B,00800,0300,ACTIVITY CONSULTING 20162,A81000C,00200,0100,B 20162,A81000C,00200,0200,LINCOLN ASSOC L 20162,A81000C,00400,0100,B 20162,A81000C,00400,0200,MAVIN ENTERPRIS 20162,A81000C,00600,0100,B 20162,A81000C,00600,0200,SWS CONSULTING 20162,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20162,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20162,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20162,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20162,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20162,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20162,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20162,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20162,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20162,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20162,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20162,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20162,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20162,E10A180,00650,0100,03/12/2001 20162,S000000,00100,0200,05/31/2000 20162,S200000,00200,0200,CA 20162,S200000,00300,0100,ST CLAIR 20162,S200000,00400,0100,THE LINCOLN HOME INC. 20162,S200000,00400,0200,145668 20162,S200000,00400,0300,01/01/1990 20162,S200000,00400,0500,P 20162,S200000,01004,0500,O 20162,S200000,01600,0100,Y 20170,S000000,00100,0200,05/05/2000 20179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20179,A000000,00300,0000,00300EMPLOYEE BENEFITS 20179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20179,A000000,00700,0000,00700HOUSEKEEPING 20179,A000000,00800,0000,00800DIETARY 20179,A000000,00900,0000,00900NURSING ADMINISTRATION 20179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20179,A000000,01300,0000,01300SOCIAL SERVICE 20179,A000000,01350,0000,01500ACTIVITIES 20179,A000000,01600,0000,01600SKILLED NURSING FACILITY 20179,A000000,01800,0000,01800NURSING FACILITY 20179,A000000,01900,0000,01900OTHER LONG TERM CARE 20179,A000000,02100,0000,02100RADIOLOGY 20179,A000000,02200,0000,02200LABORATORY 20179,A000000,02300,0000,02300INTRAVENOUS THERAPY 20179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20179,A000000,02500,0000,02500PHYSICAL THERAPY 20179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20179,A000000,02700,0000,02700SPEECH PATHOLOGY 20179,A000000,02800,0000,02800ELECTROCARDIOLOGY 20179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20179,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20179,A000000,03200,0000,03200SUPPORT SURFACES 20179,A000000,05300,0000,05300INTEREST EXPENSE 20179,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20179,A81000A,00100,0100,Y 20179,A81000B,00100,0300,MANAGEMENT COSTS - KING MGMT 20179,A81000B,00200,0300,GROUND LEASE - KING MANAGEMENT 20179,A81000B,00300,0300,MANAGEMENT COSTS - KING MANAGEMENT 20179,A81000B,00400,0300,MANAGEMENT COSTS - KING MANAGEMENT 20179,A81000B,00500,0300,MANAGEMENT FEES - KING MANAGEMENT 20179,A81000C,00100,0100,A 20179,A81000C,00100,0200,JERRY KING 20179,A81000C,00100,0400,KING MANAGEMENT 20179,A81000C,00100,0600,MANAGEMENT COMP 20179,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20179,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20179,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20179,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20179,B100000,00000,0800,00000MEALS SERVED :DIETARY 20179,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20179,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20179,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20179,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20179,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 20179,E10A180,00601,0100,02/28/2001 20179,E10A180,00601,0300,02/28/2001 20179,S000000,00100,0200,06/02/2000 20179,S200000,00100,0100,606 NEW FAIRFIELD ROAD 20179,S200000,00200,0100,MT. VERNON 20179,S200000,00200,0200,IL 20179,S200000,00200,0300,62864- 20179,S200000,00300,0100,JEFFERSON 20179,S200000,00400,0100,MT. VERNON COUNTRYSIDE MANOR 20179,S200000,00400,0200,145685 20179,S200000,00400,0300,06/05/1990 20179,S200000,00400,0500,P 20179,S200000,01600,0100,Y 20179,S200000,04300,0100,Y 20189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20189,A000000,00300,0000,00300EMPLOYEE BENEFITS 20189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20189,A000000,00700,0000,00700HOUSEKEEPING 20189,A000000,00800,0000,00800DIETARY 20189,A000000,00900,0000,00900NURSING ADMINISTRATION 20189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20189,A000000,01300,0000,01300SOCIAL SERVICE 20189,A000000,01600,0000,01600SKILLED NURSING FACILITY 20189,A000000,01800,0000,01800NURSING FACILITY 20189,A000000,01900,0000,01900OTHER LONG TERM CARE 20189,A000000,02200,0000,02200LABORATORY 20189,A000000,02500,0000,02500PHYSICAL THERAPY 20189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20189,A000000,02700,0000,02700SPEECH PATHOLOGY 20189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20189,A000000,04800,0000,04800AMBULANCE 20189,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20189,A000000,05300,0000,05300INTEREST EXPENSE 20189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20189,A81000A,00100,0100,Y 20189,A81000B,00100,0300,BOOKKEEPING & GENERAL 20189,A81000C,00100,0100,B 20189,A81000C,00100,0400,KNOX COUNTY 20189,A81000C,00100,0600,COUNTY GOVT 20189,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20189,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20189,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20189,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20189,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20189,B100000,00000,0800,00000MEALS SERVED :DIETARY 20189,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20189,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 20189,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20189,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20189,E10A180,00601,0100,09/04/2001 20189,E10A180,00601,0300,09/04/2001 20189,S000000,00100,0200,05/01/2000 20189,S200000,00100,0100,800 NORTH MARKET STREET 20189,S200000,00200,0100,KNOXVILLE 20189,S200000,00200,0200,IL 20189,S200000,00200,0300,61448- 20189,S200000,00300,0100,KNOX 20189,S200000,00300,0200,14 20189,S200000,00300,0300,R 20189,S200000,00400,0100,KNOX COUNTY NURSING HOME 20189,S200000,00400,0200,145697 20189,S200000,00400,0300,09/01/1991 20189,S200000,00400,0500,P 20189,S200000,01600,0100,Y 20189,S200000,02800,0100,Y 20194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20194,A000000,00300,0000,00300EMPLOYEE BENEFITS 20194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20194,A000000,00700,0000,00700HOUSEKEEPING 20194,A000000,00800,0000,00800DIETARY 20194,A000000,00900,0000,00900NURSING ADMINISTRATION 20194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20194,A000000,01100,0000,01100PHARMACY 20194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20194,A000000,01300,0000,01300SOCIAL SERVICE 20194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20194,A000000,01600,0000,01600SKILLED NURSING FACILITY 20194,A000000,01800,0000,01800NURSING FACILITY 20194,A000000,01810,0000,01810ICF/MR 20194,A000000,02100,0000,02100RADIOLOGY 20194,A000000,02200,0000,02200LABORATORY 20194,A000000,02500,0000,02500PHYSICAL THERAPY 20194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20194,A000000,02700,0000,02700SPEECH PATHOLOGY 20194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20194,A000000,03550,0000,03550FQHC 20194,A000000,05000,0000,05000CORF 20194,A000000,05010,0000,05010CMHC 20194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20194,A81000A,00100,0100,Y 20194,A81000B,00200,0300,RENT 20194,A81000B,00400,0300,HOME OFFICE 20194,A81000B,00600,0300,INTEREST 20194,A81000B,00800,0300,PT OT ST 20194,A81000C,00200,0100,B 20194,A81000C,00200,0200,TIMBER POINT LL 20194,A81000C,00400,0100,B 20194,A81000C,00400,0200,CARE PLUS MGT. 20194,A81000C,00600,0100,B 20194,A81000C,00600,0200,CARE PLUS REHAB 20194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20194,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20194,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20194,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20194,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20194,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20194,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20194,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20194,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20194,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20194,E10A180,00601,0100,04/10/2001 20194,E10A180,00650,0300,04/10/2001 20194,S000000,00100,0200,05/31/2000 20194,S200000,00200,0200,CA 20194,S200000,00400,0100,TIMBER POINT HEALTHCARE 20194,S200000,00400,0200,145726 20194,S200000,00400,0300,01/01/1998 20194,S200000,00400,0500,P 20194,S200000,01004,0500,O 20194,S200000,01600,0100,Y 20202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20202,A000000,00300,0000,00300EMPLOYEE BENEFITS 20202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20202,A000000,00700,0000,00700HOUSEKEEPING 20202,A000000,00800,0000,00800DIETARY 20202,A000000,00900,0000,00900NURSING ADMINISTRATION 20202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20202,A000000,01100,0000,01100PHARMACY 20202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20202,A000000,01300,0000,01300SOCIAL SERVICE 20202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20202,A000000,01600,0000,01600SKILLED NURSING FACILITY 20202,A000000,01800,0000,01800NURSING FACILITY 20202,A000000,01810,0000,01810ICF/MR 20202,A000000,02200,0000,02200LABORATORY 20202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20202,A000000,02500,0000,02500PHYSICAL THERAPY 20202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20202,A000000,02700,0000,02700SPEECH PATHOLOGY 20202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20202,A000000,03550,0000,03550FQHC 20202,A000000,05000,0000,05000CORF 20202,A000000,05010,0000,05010CMHC 20202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20202,A81000A,00100,0100,Y 20202,A81000B,00200,0300,HOME OFFICE 20202,A81000C,00200,0100,B 20202,A81000C,00200,0200,ASTA HEALTHCARE 20202,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 20202,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 20202,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 20202,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 20202,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 20202,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 20202,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 20202,B100000,00000,0850,00040PATIENT DAYS :DIETARY 20202,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 20202,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 20202,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 20202,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 20202,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 20202,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 20202,E10A180,00601,0100,07/26/2001 20202,E10A180,00650,0300,07/26/2001 20202,S000000,00100,0200,05/03/2000 20202,S200000,00200,0200,CA 20202,S200000,00400,0100,ASTA CARE OF ELGIN 20202,S200000,00400,0200,145740 20202,S200000,00400,0300,01/01/1994 20202,S200000,00400,0500,P 20202,S200000,01004,0500,O 20202,S200000,01600,0100,Y 20213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20213,A000000,00300,0000,00300EMPLOYEE BENEFITS 20213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20213,A000000,00700,0000,00700HOUSEKEEPING 20213,A000000,00800,0000,00800DIETARY 20213,A000000,00900,0000,00900NURSING ADMINISTRATION 20213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20213,A000000,01300,0000,01300SOCIAL SERVICE 20213,A000000,01301,0000,01301ACTIVITES 20213,A000000,01350,0000,01500REHABILITATION 20213,A000000,01600,0000,01600SKILLED NURSING FACILITY 20213,A000000,01800,0000,01800NURSING FACILITY 20213,A000000,01900,0000,01900OTHER LONG TERM CARE 20213,A000000,02100,0000,02100RADIOLOGY 20213,A000000,02200,0000,02200LABORATORY 20213,A000000,02300,0000,02300INTRAVENOUS THERAPY 20213,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20213,A000000,02500,0000,02500PHYSICAL THERAPY 20213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20213,A000000,02700,0000,02700SPEECH PATHOLOGY 20213,A000000,02800,0000,02800ELECTROCARDIOLOGY 20213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20213,A000000,03050,0000,03300EQUIPMENT RENTAL 20213,A000000,03051,0000,03301PEN THERAPY 20213,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20213,A000000,03200,0000,03200SUPPORT SURFACES 20213,A000000,04800,0000,04800AMBULANCE 20213,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20213,A000000,05300,0000,05300INTEREST EXPENSE 20213,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20213,A000000,06150,0000,06300VENDING 20213,A000000,06151,0000,06301STAND-BY 20213,A000000,06200,0000,06200PATIENTS LAUNDRY 20213,A81000A,00100,0100,Y 20213,A81000B,00100,0300,HOME OFFICE ADMIN 20213,A81000B,00200,0300,DIETARY SUPPLEMENTS 20213,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 20213,A81000B,00400,0300,PRESCRIPTION DRUGS 20213,A81000B,00500,0300,MEDICAL SUPPLIES 20213,A81000B,00600,0300,ADMIN COSTS 20213,A81000B,00700,0300,HOME OFFICE CAPITAL 20213,A81000B,00800,0300,EQUIPMENT REPLACEMENT 20213,A81000B,00900,0300,IV THERAPY 20213,A81000B,01000,0300,THERAPY CONSULTING 20213,A81000B,01100,0300,PHYSICAL THERAPY 20213,A81000B,01200,0300,OCCUPATIONAL THERAPY 20213,A81000B,01300,0300,SPEECH THERAPY 20213,A81000B,01400,0300,ANC EQUIP RENTAL 20213,A81000C,00100,0100,B 20213,A81000C,00100,0200,DIXON PS#11555 20213,A81000C,00100,0400,MARINER PAN 20213,A81000C,00100,0600,NURSING HOMES 20213,A81000C,00200,0100,G 20213,A81000C,00200,0200,MARINER PAN 20213,A81000C,00200,0400,AMER PHARM SVCS 20213,A81000C,00200,0600,PHARMACEUTICALS 20213,A81000C,00300,0100,G 20213,A81000C,00300,0200,MARINER PAN 20213,A81000C,00300,0400,PRISM-ATS-ARS-T 20213,A81000C,00300,0600,THERAPIES 20213,A81000C,03100,0000,MARINER PAN 20213,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 20213,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 20213,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 20213,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 20213,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 20213,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 20213,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 20213,B100000,00000,0800,00001MEALS SERVED :DIETARY 20213,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 20213,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 20213,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 20213,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 20213,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 20213,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 20213,E10A180,00650,0100,05/04/2001 20213,S000000,00100,0200,06/02/2000 20213,S200000,00100,0100,141 NORTH COURT 20213,S200000,00200,0100,DIXON 20213,S200000,00200,0200,IL 20213,S200000,00200,0300,61021- 20213,S200000,00400,0100,DIXON HEALTHCARE CENTER 20213,S200000,00400,0200,145747 20213,S200000,00400,0300,05/01/1993 20213,S200000,00400,0500,P 20213,S200000,01004,0500,O 20213,S200000,01600,0100,Y 20213,S200000,02200,0100,Y 20230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20230,A000000,00300,0000,00300EMPLOYEE BENEFITS 20230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20230,A000000,00700,0000,00700HOUSEKEEPING 20230,A000000,00800,0000,00800DIETARY 20230,A000000,00900,0000,00900NURSING ADMINISTRATION 20230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20230,A000000,01100,0000,01100PHARMACY 20230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20230,A000000,01300,0000,01300SOCIAL SERVICE 20230,A000000,01350,0000,01500RECREATIONAL THERAPY 20230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20230,A000000,01600,0000,01600SKILLED NURSING FACILITY 20230,A000000,01800,0000,01800NURSING FACILITY 20230,A000000,01810,0000,01810ICF/MR 20230,A000000,02100,0000,02100RADIOLOGY 20230,A000000,02200,0000,02200LABORATORY 20230,A000000,02500,0000,02500PHYSICAL THERAPY 20230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20230,A000000,02700,0000,02700SPEECH PATHOLOGY 20230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20230,A000000,03200,0000,03200SUPPORT SURFACES 20230,A000000,03550,0000,03550FQHC 20230,A000000,04800,0000,04800AMBULANCE 20230,A000000,05000,0000,05000CORF 20230,A000000,05010,0000,05010CMHC 20230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20230,A81000A,00100,0100,Y 20230,A81000B,00100,0300,ACCOUNTING 20230,A81000B,00200,0300,BOOKKEEPING 20230,A81000B,00300,0300,DATA PROCESSING 20230,A81000B,00400,0300,MANAGEMENT 20230,A81000B,00500,0300,HOME OFFICE EXPENSES 20230,A81000B,00600,0300,RENT 20230,A81000B,00700,0300,PROPERTY TAXES 20230,A81000B,00800,0300,BLDG DEPR 20230,A81000B,00900,0300,BLDG INTEREST 20230,A81000B,01000,0300,OTHER BLDG COSTS 20230,A81000C,00100,0100,A 20230,A81000C,00100,0200,ERIC ROTHNER 20230,A81000C,00100,0400,CARE CENTERS I 20230,A81000C,00100,0600,MANAGEMENT 20230,A81000C,00200,0100,B 20230,A81000C,00200,0400,EXTENDED CARE 20230,A81000C,00200,0600,MANAGEMENT 20230,A81000C,00300,0100,B 20230,A81000C,00300,0400,GWH LTD. PARTNE 20230,A81000C,00300,0600,BLDG OWNER 20230,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20230,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20230,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20230,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20230,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20230,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20230,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20230,B100000,00000,0800,00000MEALS SERVED :DIETARY 20230,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20230,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20230,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20230,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20230,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20230,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 20230,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20230,E10A180,00601,0100,02/27/2001 20230,E10A180,00650,0300,02/27/2001 20230,S000000,00100,0200,06/05/2000 20230,S200000,00100,0100,6800 WEST JOLIET ROAD 20230,S200000,00200,0100,INDIAN HEAD PARK 20230,S200000,00200,0200,IL 20230,S200000,00200,0300,60525- 20230,S200000,00300,0100,COOK 20230,S200000,00400,0100,BRIAR PLACE 20230,S200000,00400,0200,145784 20230,S200000,00400,0300,02/01/1994 20230,S200000,00400,0500,P 20230,S200000,00600,0200,145784 20230,S200000,00600,0300,02/01/1994 20230,S200000,00600,0600,P 20230,S200000,01600,0100,Y 20230,S200000,02200,0100,Y 20233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20233,A000000,00300,0000,00300EMPLOYEE BENEFITS 20233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20233,A000000,00700,0000,00700HOUSEKEEPING 20233,A000000,00800,0000,00800DIETARY 20233,A000000,00900,0000,00900NURSING ADMINISTRATION 20233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20233,A000000,01300,0000,01300SOCIAL SERVICE 20233,A000000,01600,0000,01600SKILLED NURSING FACILITY 20233,A000000,01800,0000,01800NURSING FACILITY 20233,A000000,01810,0000,01810ICF/MR 20233,A000000,01900,0000,01900OTHER LONG TERM CARE 20233,A000000,02100,0000,02100RADIOLOGY 20233,A000000,02200,0000,02200LABORATORY 20233,A000000,02300,0000,02300INTRAVENOUS THERAPY 20233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20233,A000000,02500,0000,02500PHYSICAL THERAPY 20233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20233,A000000,02700,0000,02700SPEECH PATHOLOGY 20233,A000000,02800,0000,02800ELECTROCARDIOLOGY 20233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20233,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20233,A000000,03200,0000,03200SUPPORT SURFACES 20233,A000000,03400,0000,03400CLINIC 20233,A000000,03500,0000,03500RURAL HEALTH CLINIC 20233,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20233,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20233,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20233,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20233,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20233,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20233,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20233,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20233,A000000,04400,0000,04400DME RENTED - HHA 20233,A000000,04500,0000,04500DME SOLD - HHA 20233,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20233,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20233,A000000,04800,0000,04800AMBULANCE 20233,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20233,A000000,05000,0000,05000CORF 20233,A000000,05010,0000,05010CMHC 20233,A000000,05020,0000,05020OPT 20233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20233,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20233,A000000,05300,0000,05300INTEREST EXPENSE 20233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20233,A000000,05500,0000,05500HOSPICE 20233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20233,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20233,A000000,06100,0000,06100NONPAID WORKERS 20233,A000000,06200,0000,06200PATIENTS LAUNDRY 20233,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20233,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20233,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20233,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20233,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20233,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20233,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20233,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20233,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20233,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20233,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20233,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20233,S000000,00100,0200,07/05/2000 20233,S200000,00100,0100,901 NORTH 10TH STREET 20233,S200000,00200,0100,MASCOUTAH 20233,S200000,00200,0200,IL 20233,S200000,00200,0300,62258- 20233,S200000,00300,0100,ST. CLAIR 20233,S200000,00400,0100,THE GRANGE NURSING HOME INC. 20233,S200000,00400,0200,145785 20233,S200000,00400,0300,04/01/1995 20233,S200000,00400,0500,P 20233,S200000,01600,0100,Y 20241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20241,A000000,00300,0000,00300EMPLOYEE BENEFITS 20241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20241,A000000,00700,0000,00700HOUSEKEEPING 20241,A000000,00800,0000,00800DIETARY 20241,A000000,00900,0000,00900NURSING ADMINISTRATION 20241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20241,A000000,01100,0000,01100PHARMACY 20241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20241,A000000,01300,0000,01300SOCIAL SERVICE 20241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20241,A000000,01600,0000,01600SKILLED NURSING FACILITY 20241,A000000,01800,0000,01800NURSING FACILITY 20241,A000000,01810,0000,01810ICF/MR 20241,A000000,02200,0000,02200LABORATORY 20241,A000000,02500,0000,02500PHYSICAL THERAPY 20241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20241,A000000,02700,0000,02700SPEECH PATHOLOGY 20241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20241,A000000,03200,0000,03200SUPPORT SURFACES 20241,A000000,03550,0000,03550FQHC 20241,A000000,05000,0000,05000CORF 20241,A000000,05010,0000,05010CMHC 20241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20241,A81000A,00100,0100,Y 20241,A81000B,00200,0300,RENT 20241,A81000B,00400,0300,HOME OFFICE 20241,A81000B,00600,0300,INTEREST 20241,A81000B,00800,0300,DIETARY CONSULTANT 20241,A81000B,01000,0300,PT OT ST 20241,A81000C,00200,0100,B 20241,A81000C,00200,0200,COUNTRYSIDE HCC 20241,A81000C,00400,0100,B 20241,A81000C,00400,0200,CARE PLUS MGT. 20241,A81000C,00600,0100,B 20241,A81000C,00600,0200,CARE PLUS REHAB 20241,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20241,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20241,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20241,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20241,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20241,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20241,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20241,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20241,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20241,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20241,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20241,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20241,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20241,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20241,E10A180,00601,0100,04/10/2001 20241,S000000,00100,0200,06/01/2000 20241,S200000,00200,0200,CA 20241,S200000,00400,0100,COUNTRYSIDE HEALTHCARE CTR. INC. 20241,S200000,00400,0200,145798 20241,S200000,00400,0300,01/01/1995 20241,S200000,00400,0500,P 20241,S200000,01004,0500,O 20241,S200000,01600,0100,Y 20249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20249,A000000,00300,0000,00300EMPLOYEE BENEFITS 20249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20249,A000000,00700,0000,00700HOUSEKEEPING 20249,A000000,00800,0000,00800DIETARY 20249,A000000,00900,0000,00900NURSING ADMINISTRATION 20249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20249,A000000,01100,0000,01100PHARMACY 20249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20249,A000000,01300,0000,01300SOCIAL SERVICE 20249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20249,A000000,01600,0000,01600SKILLED NURSING FACILITY 20249,A000000,01800,0000,01800NURSING FACILITY 20249,A000000,01810,0000,01810ICF/MR 20249,A000000,02200,0000,02200LABORATORY 20249,A000000,02500,0000,02500PHYSICAL THERAPY 20249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20249,A000000,02700,0000,02700SPEECH PATHOLOGY 20249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20249,A000000,03200,0000,03200SUPPORT SURFACES 20249,A000000,03550,0000,03550FQHC 20249,A000000,05000,0000,05000CORF 20249,A000000,05010,0000,05010CMHC 20249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20249,A81000A,00100,0100,Y 20249,A81000B,00200,0300,RENT 20249,A81000B,00400,0300,HOME OFFICE 20249,A81000B,00600,0300,INTEREST 20249,A81000B,00800,0300,PT OT ST 20249,A81000C,00200,0100,B 20249,A81000C,00200,0200,ROSE GARDEN CC 20249,A81000C,00400,0100,B 20249,A81000C,00400,0200,HUNTER MGT. 20249,A81000C,00600,0100,B 20249,A81000C,00600,0200,CARE PLUS MGT. 20249,A81000C,00800,0100,B 20249,A81000C,00800,0200,CARE PLUS REHAB 20249,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 20249,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 20249,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 20249,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 20249,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 20249,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 20249,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 20249,B100000,00000,0850,00040PATIENT DAYS :DIETARY 20249,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 20249,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 20249,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 20249,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 20249,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 20249,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 20249,E10A180,00601,0100,07/31/2001 20249,S000000,00100,0200,06/01/2000 20249,S200000,00100,0100,ROSE GARDEN CARE CENTER 20249,S200000,00200,0100,NILES 20249,S200000,00200,0200,IL 20249,S200000,00200,0300,60714- 20249,S200000,00300,0100,PEORIA 20249,S200000,00400,0100,ROSE GARDEN CARE CENTER INC. 20249,S200000,00400,0200,145811 20249,S200000,00400,0300,01/01/1995 20249,S200000,00400,0500,P 20249,S200000,01004,0500,O 20249,S200000,01600,0100,Y 20258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20258,A000000,00300,0000,00300EMPLOYEE BENEFITS 20258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20258,A000000,00700,0000,00700HOUSEKEEPING 20258,A000000,00800,0000,00800DIETARY 20258,A000000,00900,0000,00900NURSING ADMINISTRATION 20258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20258,A000000,01100,0000,01100PHARMACY 20258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20258,A000000,01300,0000,01300SOCIAL SERVICE 20258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20258,A000000,01600,0000,01600SKILLED NURSING FACILITY 20258,A000000,01800,0000,01800NURSING FACILITY 20258,A000000,01810,0000,01810ICF/MR 20258,A000000,02100,0000,02100RADIOLOGY 20258,A000000,02200,0000,02200LABORATORY 20258,A000000,02500,0000,02500PHYSICAL THERAPY 20258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20258,A000000,02700,0000,02700SPEECH PATHOLOGY 20258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20258,A000000,03550,0000,03550FQHC 20258,A000000,05000,0000,05000CORF 20258,A000000,05010,0000,05010CMHC 20258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20258,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20258,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20258,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20258,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20258,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20258,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20258,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20258,B100000,00000,0800,00000MEALS SERVED :DIETARY 20258,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20258,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20258,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20258,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20258,E10A180,00601,0100,09/04/2001 20258,E10A180,00601,0300,09/04/2001 20258,S000000,00100,0200,06/07/2000 20258,S200000,00100,0100,2299 METROPOLIS STREET 20258,S200000,00200,0100,METROPOLIS 20258,S200000,00200,0200,IL 20258,S200000,00200,0300,62960- 20258,S200000,00300,0100,MASSAC 20258,S200000,00300,0200,14 20258,S200000,00300,0300,R 20258,S200000,00400,0100,METROPOLIS GOOD SAMARITAN HOME 20258,S200000,00400,0200,145813 20258,S200000,00400,0300,10/10/1994 20258,S200000,00400,0500,P 20258,S200000,00600,0200,145813 20258,S200000,00600,0300,10/10/1994 20258,S200000,00600,0600,P 20258,S200000,01004,0500,O 20258,S200000,01600,0100,Y 20266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20266,A000000,00300,0000,00300EMPLOYEE BENEFITS 20266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20266,A000000,00700,0000,00700HOUSEKEEPING 20266,A000000,00800,0000,00800DIETARY 20266,A000000,00900,0000,00900NURSING ADMINISTRATION 20266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20266,A000000,01100,0000,01100PHARMACY 20266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20266,A000000,01300,0000,01300SOCIAL SERVICE 20266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20266,A000000,01600,0000,01600SKILLED NURSING FACILITY 20266,A000000,01800,0000,01800NURSING FACILITY 20266,A000000,01810,0000,01810ICF/MR 20266,A000000,02200,0000,02200LABORATORY 20266,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20266,A000000,02500,0000,02500PHYSICAL THERAPY 20266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20266,A000000,02700,0000,02700SPEECH PATHOLOGY 20266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20266,A000000,03550,0000,03550FQHC 20266,A000000,05000,0000,05000CORF 20266,A000000,05010,0000,05010CMHC 20266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20266,A81000A,00100,0100,Y 20266,A81000B,00200,0300,RENT 20266,A81000B,00400,0300,HOME OFFICE 20266,A81000C,00200,0100,B 20266,A81000C,00200,0200,HOLT HEALTH CAR 20266,A81000C,00400,0100,B 20266,A81000C,00400,0200,ASTA HEALTHCARE 20266,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20266,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20266,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20266,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20266,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20266,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20266,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20266,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20266,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20266,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20266,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20266,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20266,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20266,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20266,E10A180,00601,0100,03/21/2001 20266,E10A180,00650,0300,03/21/2001 20266,S000000,00100,0200,05/03/2000 20266,S200000,00200,0200,CA 20266,S200000,00400,0100,ASTA CARE OF ROCKFORD 20266,S200000,00400,0200,145818 20266,S200000,00400,0300,01/01/1997 20266,S200000,00400,0500,P 20266,S200000,01600,0100,Y 20273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20273,A000000,00300,0000,00300EMPLOYEE BENEFITS 20273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20273,A000000,00700,0000,00700HOUSEKEEPING 20273,A000000,00800,0000,00800DIETARY 20273,A000000,00900,0000,00900NURSING ADMINISTRATION 20273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20273,A000000,01100,0000,01100PHARMACY 20273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20273,A000000,01300,0000,01300SOCIAL SERVICE 20273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20273,A000000,01600,0000,01600SKILLED NURSING FACILITY 20273,A000000,01800,0000,01800NURSING FACILITY 20273,A000000,01810,0000,01810ICF/MR 20273,A000000,02200,0000,02200LABORATORY 20273,A000000,02500,0000,02500PHYSICAL THERAPY 20273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20273,A000000,02700,0000,02700SPEECH PATHOLOGY 20273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20273,A000000,03200,0000,03200SUPPORT SURFACES 20273,A000000,03550,0000,03550FQHC 20273,A000000,05000,0000,05000CORF 20273,A000000,05010,0000,05010CMHC 20273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20273,A81000A,00100,0100,Y 20273,A81000B,00200,0300,RENT 20273,A81000B,00400,0300,HOME OFFICE 20273,A81000B,00600,0300,INTEREST 20273,A81000B,00800,0300,DIETARY CONSULTANT 20273,A81000B,01000,0300,PT OT ST 20273,A81000C,00200,0100,B 20273,A81000C,00200,0200,AVENUE ASSOC. 20273,A81000C,00400,0100,B 20273,A81000C,00400,0200,CARE PLUS MGT. 20273,A81000C,00600,0100,B 20273,A81000C,00600,0200,CARE PLUS REHAB 20273,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20273,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20273,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20273,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20273,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20273,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20273,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20273,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20273,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20273,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20273,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20273,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20273,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20273,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20273,E10A180,00501,0100,07/14/2001 20273,E10A180,00650,0100,04/23/2000 20273,S000000,00100,0200,05/31/2000 20273,S200000,00200,0200,CA 20273,S200000,00400,0100,AVENUE CARE CENTER INC. 20273,S200000,00400,0200,145828 20273,S200000,00400,0300,01/01/1995 20273,S200000,00400,0500,P 20273,S200000,01600,0100,Y 20279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20279,A000000,00300,0000,00300EMPLOYEE BENEFITS 20279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20279,A000000,00700,0000,00700HOUSEKEEPING 20279,A000000,00800,0000,00800DIETARY 20279,A000000,00900,0000,00900NURSING ADMINISTRATION 20279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20279,A000000,01100,0000,01100PHARMACY 20279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20279,A000000,01300,0000,01300SOCIAL SERVICE 20279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20279,A000000,01600,0000,01600SKILLED NURSING FACILITY 20279,A000000,01800,0000,01800NURSING FACILITY 20279,A000000,01810,0000,01810ICF/MR 20279,A000000,02500,0000,02500PHYSICAL THERAPY 20279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20279,A000000,03550,0000,03550FQHC 20279,A000000,05000,0000,05000CORF 20279,A000000,05010,0000,05010CMHC 20279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20279,A81000A,00100,0100,Y 20279,A81000B,00200,0300,RENT 20279,A81000B,00400,0300,HOME OFFICE 20279,A81000B,00600,0300,INTEREST 20279,A81000B,00800,0300,DIETARY CONSULTANT 20279,A81000B,01000,0300,PT OT ST 20279,A81000C,00200,0100,B 20279,A81000C,00200,0200,BOULEVARD PROPE 20279,A81000C,00400,0100,B 20279,A81000C,00400,0200,CARE PLUS MGT. 20279,A81000C,00600,0100,B 20279,A81000C,00600,0200,CARE PLUS REHAB 20279,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20279,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20279,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20279,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20279,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20279,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20279,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20279,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20279,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20279,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20279,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20279,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20279,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20279,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20279,E10A180,00601,0100,04/19/2001 20279,S000000,00100,0200,05/31/2000 20279,S200000,00200,0200,CA 20279,S200000,00400,0100,BOULEVARD CARE CENTER INC. 20279,S200000,00400,0200,145829 20279,S200000,00400,0300,01/01/1995 20279,S200000,00400,0500,P 20279,S200000,01600,0100,Y 20288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20288,A000000,00300,0000,00300EMPLOYEE BENEFITS 20288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20288,A000000,00700,0000,00700HOUSEKEEPING 20288,A000000,00800,0000,00800DIETARY 20288,A000000,00900,0000,00900NURSING ADMINISTRATION 20288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20288,A000000,01100,0000,01100PHARMACY 20288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20288,A000000,01300,0000,01300SOCIAL SERVICE 20288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20288,A000000,01600,0000,01600SKILLED NURSING FACILITY 20288,A000000,01800,0000,01800NURSING FACILITY 20288,A000000,01810,0000,01810ICF/MR 20288,A000000,02200,0000,02200LABORATORY 20288,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20288,A000000,02500,0000,02500PHYSICAL THERAPY 20288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20288,A000000,02700,0000,02700SPEECH PATHOLOGY 20288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20288,A000000,03200,0000,03200SUPPORT SURFACES 20288,A000000,03550,0000,03550FQHC 20288,A000000,05000,0000,05000CORF 20288,A000000,05010,0000,05010CMHC 20288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20288,A81000A,00100,0100,Y 20288,A81000B,00100,0300,CAPITAL RELATED 20288,A81000B,00200,0300,EMPLOYEE BENEFITS 20288,A81000B,00300,0300,ADMIN & GENERAL 20288,A81000B,00400,0300,PLANT OPERATION 20288,A81000B,00500,0300,HOUSEKEEPING 20288,A81000B,00600,0300,DIETARY 20288,A81000B,00700,0300,NURSING ADMIN 20288,A81000B,00800,0300,CAPITAL RELATED 20288,A81000B,00900,0300,ADMIN & GENERAL 20288,A81000B,01000,0300,EMPLOYEE BENEFITS 20288,A81000B,01100,0300,CENTRAL SERVICE 20288,A81000C,00100,0100,A 20288,A81000C,00100,0400,SIR MANAGMENT 20288,A81000C,00100,0600,MANAGEMENT COMP 20288,A81000C,00200,0100,A 20288,A81000C,00200,0400,PREFERRED BOOKK 20288,A81000C,00200,0600,BOOKKEEPING SER 20288,A81000C,00300,0100,A 20288,A81000C,00300,0400,ECM OWNERS COU 20288,A81000C,00300,0600,MANAGEMENT 20288,A81000C,00400,0100,A 20288,A81000C,00400,0400,PARAMOUNT HEALT 20288,A81000C,00400,0600,MEDICAL SUPPLIE 20288,A81000C,00500,0100,A 20288,A81000C,00500,0400,SIR PROPERTIES 20288,A81000C,00500,0600,BLDG LESSOR 20288,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 20288,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 20288,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 20288,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 20288,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 20288,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 20288,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 20288,B100000,00000,0800,00040MEALS SERVED :DIETARY 20288,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 20288,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 20288,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 20288,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 20288,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 20288,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 20288,E10A180,00601,0100,03/12/2001 20288,E10A180,00601,0300,03/12/2001 20288,S000000,00100,0200,06/02/2000 20288,S200000,00100,0100,901 S. AUSTIN 20288,S200000,00200,0100,CHICAGO 20288,S200000,00200,0200,IL 20288,S200000,00200,0300,60644- 20288,S200000,00300,0100,COOK 20288,S200000,00400,0100,COLUMBUS PARK NURSING AND REHAB 20288,S200000,00400,0200,145834 20288,S200000,00400,0300,06/01/1995 20288,S200000,00400,0500,P 20288,S200000,01600,0100,Y 20296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20296,A000000,00300,0000,00300EMPLOYEE BENEFITS 20296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20296,A000000,00700,0000,00700HOUSEKEEPING 20296,A000000,00800,0000,00800DIETARY 20296,A000000,00900,0000,00900NURSING ADMINISTRATION 20296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20296,A000000,01100,0000,01100PHARMACY 20296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20296,A000000,01300,0000,01300SOCIAL SERVICE 20296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20296,A000000,01600,0000,01600SKILLED NURSING FACILITY 20296,A000000,01800,0000,01800NURSING FACILITY 20296,A000000,01900,0000,01900OTHER LONG TERM CARE 20296,A000000,02100,0000,02100RADIOLOGY 20296,A000000,02200,0000,02200LABORATORY 20296,A000000,02300,0000,02300INTRAVENOUS THERAPY 20296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20296,A000000,02500,0000,02500PHYSICAL THERAPY 20296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20296,A000000,02700,0000,02700SPEECH PATHOLOGY 20296,A000000,02800,0000,02800ELECTROCARDIOLOGY 20296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20296,A000000,03200,0000,03200SUPPORT SURFACES 20296,A000000,03400,0000,03400CLINIC 20296,A000000,03500,0000,03500RURAL HEALTH CLINIC 20296,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20296,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20296,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20296,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20296,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20296,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20296,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20296,A000000,04400,0000,04400DME RENTED - HHA 20296,A000000,04500,0000,04500DME SOLD - HHA 20296,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20296,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20296,A000000,05300,0000,05300INTEREST EXPENSE 20296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20296,A000000,05500,0000,05500HOSPICE 20296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20296,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20296,A000000,06100,0000,06100NONPAID WORKERS 20296,A000000,06200,0000,06200PATIENTS LAUNDRY 20296,A81000A,00100,0100,Y 20296,A81000B,00100,0300,RENT 20296,A81000B,00200,0300,DEPRECIATION 20296,A81000B,00300,0300,DEPRECIATION 20296,A81000B,00400,0300,OFFICE EXPENSE 20296,A81000B,00500,0300,TRUST FEES 20296,A81000B,00600,0300,MANAGEMENT FEES 20296,A81000B,00700,0300,ACCOUNTING FEES / DIRECT ALLOCATION 20296,A81000C,00100,0100,A 20296,A81000C,00100,0200,SAM & HR KLEIN 20296,A81000C,00100,0400,NRSG HOME MNGRS 20296,A81000C,00100,0600,MANAGEMENT 20296,A81000C,00200,0100,B 20296,A81000C,00200,0400,DADR LANDTRUST 20296,A81000C,00200,0600,LEASE 20296,B100000,00000,0100,00000SQ. FT. :CAP REL COSTS - BLDGS & F 20296,B100000,00000,0250,00000SQ. FT. :CAP REL COSTS - MOVABLE E 20296,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 20296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20296,B100000,00000,0500,00000SQ. FT. :PLANT OPERATION MAINT. & 20296,B100000,00000,0650,00000LBS. LAUNDRY :LAUNDRY & LINEN SERV 20296,B100000,00000,0750,00000HSKP. HRS. :HOUSEKEEPING 20296,B100000,00000,0800,00000MEALS SERVED :DIETARY 20296,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 20296,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 20296,B100000,00000,1150,00000PAT DAYS :PHARMACY 20296,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 20296,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 20296,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 20296,E10A180,00501,0100,06/09/2000 20296,E10A180,00550,0300,06/09/2000 20296,E10A180,00601,0300,04/19/2001 20296,E10A180,00650,0100,04/19/2001 20296,S000000,00100,0200,05/31/2000 20296,S200000,00100,0100,1373 DADRIAN PROFESSIONAL PARK 20296,S200000,00200,0100,GODFREY 20296,S200000,00200,0200,IL 20296,S200000,00200,0300,62035- 20296,S200000,00300,0100,MADISON 20296,S200000,00400,0100,DADRIAN CONVALESCENT CENTER INC. 20296,S200000,00400,0200,145849 20296,S200000,00400,0300,11/01/1995 20296,S200000,00400,0500,P 20296,S200000,01600,0100,Y 20309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20309,A000000,00300,0000,00300EMPLOYEE BENEFITS 20309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20309,A000000,00700,0000,00700HOUSEKEEPING 20309,A000000,00800,0000,00800DIETARY 20309,A000000,00900,0000,00900NURSING ADMINISTRATION 20309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20309,A000000,01300,0000,01300SOCIAL SERVICE 20309,A000000,01600,0000,01600SKILLED NURSING FACILITY 20309,A000000,01800,0000,01800NURSING FACILITY 20309,A000000,02100,0000,02100RADIOLOGY 20309,A000000,02200,0000,02200LABORATORY 20309,A000000,02500,0000,02500PHYSICAL THERAPY 20309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20309,A000000,02700,0000,02700SPEECH PATHOLOGY 20309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20309,A000000,03050,0000,03300BLOOD GLUCOSE MONITORIING 20309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20309,A81000A,00100,0100,Y 20309,A81000B,00100,0300,VARIOUS CAPITAL 20309,A81000B,00200,0300,VARIOUS EMP BENEFITS 20309,A81000B,00300,0300,VARIOUS A & G 20309,A81000B,00400,0300,VARIOUS PLANT 20309,A81000C,00100,0100,A 20309,A81000C,00100,0200,HEALTHCARE MGMT 20309,A81000C,00100,0600,MANAGEMENT 20309,A81000C,00200,0100,A 20309,A81000C,00200,0200,MARYVILLE HEALT 20309,A81000C,00200,0600,BLDG COMPANY 20309,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20309,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20309,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20309,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20309,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20309,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20309,B100000,00000,0800,00000MEALS SERVED :DIETARY 20309,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20309,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20309,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20309,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20309,E10A180,00601,0100,07/06/2001 20309,E10A180,00601,0300,07/06/2001 20309,S000000,00100,0200,06/01/2000 20309,S200000,00100,0100,RT 159 & I-70 20309,S200000,00200,0100,MARYVILLE 20309,S200000,00200,0200,IL 20309,S200000,00200,0300,62062- 20309,S200000,00300,0100,MADISON 20309,S200000,00400,0100,ELMWOOD NURSING & REHAB 20309,S200000,00400,0200,145858 20309,S200000,00400,0300,03/01/1996 20309,S200000,00400,0500,P 20309,S200000,01600,0100,Y 20318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20318,A000000,00300,0000,00300EMPLOYEE BENEFITS 20318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20318,A000000,00700,0000,00700HOUSEKEEPING 20318,A000000,00800,0000,00800DIETARY 20318,A000000,00900,0000,00900NURSING ADMINISTRATION 20318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20318,A000000,01100,0000,01100PHARMACY 20318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20318,A000000,01300,0000,01300SOCIAL SERVICE 20318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20318,A000000,01600,0000,01600SKILLED NURSING FACILITY 20318,A000000,01800,0000,01800NURSING FACILITY 20318,A000000,01900,0000,01900OTHER LONG TERM CARE 20318,A000000,02100,0000,02100RADIOLOGY 20318,A000000,02200,0000,02200LABORATORY 20318,A000000,02300,0000,02300INTRAVENOUS THERAPY 20318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20318,A000000,02500,0000,02500PHYSICAL THERAPY 20318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20318,A000000,02700,0000,02700SPEECH PATHOLOGY 20318,A000000,02800,0000,02800ELECTROCARDIOLOGY 20318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20318,A000000,03200,0000,03200SUPPORT SURFACES 20318,A000000,03400,0000,03400CLINIC 20318,A000000,03500,0000,03500RURAL HEALTH CLINIC 20318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20318,A000000,04400,0000,04400DME RENTED - HHA 20318,A000000,04500,0000,04500DME SOLD - HHA 20318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20318,A000000,05300,0000,05300INTEREST EXPENSE 20318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20318,A000000,05500,0000,05500HOSPICE 20318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20318,A000000,06100,0000,06100NONPAID WORKERS 20318,A000000,06200,0000,06200PATIENTS LAUNDRY 20318,A81000A,00100,0100,Y 20318,A81000B,00100,0300,MANAGEMENT FEE 20318,A81000B,00200,0300,DIRECT ACCOUNTING FEE 20318,A81000C,00100,0100,A 20318,A81000C,00100,0200,H. R. KLEIN 20318,A81000C,00100,0400,NURS. HOME MNGR 20318,A81000C,00100,0600,MANAGEMENT 20318,B100000,00000,0100,00000SQ. FT. :CAP REL COSTS - BLDGS & F 20318,B100000,00000,0250,00000SQ. FT. :CAP REL COSTS - MOVABLE E 20318,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 20318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20318,B100000,00000,0500,00000SQ. FT. :PLANT OPERATION MAINT. & 20318,B100000,00000,0650,00000LBS LAUNDRY :LAUNDRY & LINEN SERVI 20318,B100000,00000,0700,00000HSKP HOURS :HOUSEKEEPING 20318,B100000,00000,0800,00000MEALS SERVED :DIETARY 20318,B100000,00000,0900,00000NURSES HOURS :NURSING ADMINISTRATI 20318,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 20318,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 20318,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 20318,E10A180,00601,0100,03/15/2002 20318,E10A180,00601,0300,03/15/2002 20318,S000000,00100,0200,01/03/2001 20318,S200000,00100,0100,910 WEST POLK 20318,S200000,00200,0100,CHARLESTON 20318,S200000,00200,0200,IL 20318,S200000,00200,0300,61920- 20318,S200000,00300,0100,COLES 20318,S200000,00300,0200,0014 20318,S200000,00300,0300,R 20318,S200000,00400,0100,HILLTOP NURSING HOME INC. 20318,S200000,00400,0200,145862 20318,S200000,00400,0300,01/01/1996 20318,S200000,00400,0500,P 20318,S200000,01600,0100,Y 20325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20325,A000000,00300,0000,00300EMPLOYEE BENEFITS 20325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20325,A000000,00700,0000,00700HOUSEKEEPING 20325,A000000,00800,0000,00800DIETARY 20325,A000000,00900,0000,00900NURSING ADMINISTRATION 20325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20325,A000000,01100,0000,01100PHARMACY 20325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20325,A000000,01300,0000,01300SOCIAL SERVICE 20325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20325,A000000,01600,0000,01600SKILLED NURSING FACILITY 20325,A000000,01800,0000,01800NURSING FACILITY 20325,A000000,01810,0000,01810ICF/MR 20325,A000000,02100,0000,02100RADIOLOGY 20325,A000000,02200,0000,02200LABORATORY 20325,A000000,02500,0000,02500PHYSICAL THERAPY 20325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20325,A000000,02700,0000,02700SPEECH PATHOLOGY 20325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20325,A000000,03200,0000,03200SUPPORT SURFACES 20325,A000000,03550,0000,03550FQHC 20325,A000000,05000,0000,05000CORF 20325,A000000,05010,0000,05010CMHC 20325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20325,A81000A,00100,0100,Y 20325,A81000B,00200,0300,DIETARY CONSULTANT 20325,A81000B,00400,0300,RENT 20325,A81000B,00600,0300,MANAGEMENT FEES 20325,A81000B,00800,0300,ADMIN. CONSULTANT 20325,A81000B,01000,0300,INTEREST 20325,A81000B,01100,0300,PT / OT / ST 20325,A81000B,01200,0300,INTEREST 20325,A81000C,00200,0100,B 20325,A81000C,00200,0200,FAIRMONT ASSOC. 20325,A81000C,00400,0100,B 20325,A81000C,00400,0200,LANCASTER 20325,A81000C,00600,0100,B 20325,A81000C,00600,0200,CYNTHIA CHOW AS 20325,A81000C,00800,0100,B 20325,A81000C,00800,0200,IL HEALTH ALLIA 20325,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20325,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20325,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20325,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20325,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20325,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20325,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20325,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20325,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20325,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20325,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20325,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20325,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20325,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20325,E10A180,00601,0100,04/19/2001 20325,E10A180,00650,0300,04/19/2001 20325,S000000,00100,0200,04/12/2000 20325,S200000,00200,0100,CHICAGO 20325,S200000,00200,0200,IL 20325,S200000,00300,0100,COOK 20325,S200000,00400,0100,FAIRMONT CARE CENTER 20325,S200000,00400,0200,145867 20325,S200000,00400,0300,02/01/1996 20325,S200000,00400,0500,P 20325,S200000,01004,0500,O 20325,S200000,01600,0100,Y 20333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20333,A000000,00300,0000,00300EMPLOYEE BENEFITS 20333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20333,A000000,00700,0000,00700HOUSEKEEPING 20333,A000000,00800,0000,00800DIETARY 20333,A000000,00900,0000,00900NURSING ADMINISTRATION 20333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20333,A000000,01100,0000,01100PHARMACY 20333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20333,A000000,01300,0000,01300SOCIAL SERVICE 20333,A000000,01350,0000,01500RECREATIONAL THERAPY 20333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20333,A000000,01600,0000,01600SKILLED NURSING FACILITY 20333,A000000,01800,0000,01800NURSING FACILITY 20333,A000000,01810,0000,01810ICF/MR 20333,A000000,02100,0000,02100RADIOLOGY 20333,A000000,02200,0000,02200LABORATORY 20333,A000000,02500,0000,02500PHYSICAL THERAPY 20333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20333,A000000,02700,0000,02700SPEECH PATHOLOGY 20333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20333,A000000,03200,0000,03200SUPPORT SURFACES 20333,A000000,03550,0000,03550FQHC 20333,A000000,05000,0000,05000CORF 20333,A000000,05010,0000,05010CMHC 20333,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20333,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20333,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20333,A81000A,00100,0100,Y 20333,A81000B,00100,0300,HOME OFFICE EXPENSES 20333,A81000B,00200,0300,ANCILLARY ADMIN EXP 20333,A81000B,00300,0300,DATA PROCESSING 20333,A81000B,00400,0300,MANAGEMENT FEES 20333,A81000B,00500,0300,LEGAL FEES 20333,A81000B,00600,0300,ADVERTISING & PROMO 20333,A81000B,00700,0300,DIETARY CONSULTANT 20333,A81000B,00800,0300,ACCOUNTING FEES 20333,A81000B,00900,0300,BOOKKEEPING SERVICE 20333,A81000B,01000,0300,RENT 20333,A81000B,01100,0300,MORTGAGE INTEREST 20333,A81000B,01200,0300,DEPR EXPENSE 20333,A81000B,01300,0300,BLDG CO ADMIN EXP 20333,A81000C,00100,0100,A 20333,A81000C,00100,0200,ERIC ROTHNER 20333,A81000C,00100,0400,CARE CENTERS I 20333,A81000C,00100,0600,MANAGEMENT CO. 20333,A81000C,00200,0100,B 20333,A81000C,00200,0400,LANSING H. C. P 20333,A81000C,00200,0600,BLDG CO. 20333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20333,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20333,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20333,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20333,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20333,B100000,00000,0800,00000MEALS SERVED :DIETARY 20333,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20333,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20333,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20333,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20333,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20333,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 20333,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20333,E10A180,00601,0100,08/13/2001 20333,E10A180,00601,0300,08/13/2001 20333,S000000,00100,0200,06/05/2000 20333,S200000,00100,0100,2500 175TH STREET 20333,S200000,00200,0100,LANSING 20333,S200000,00200,0200,IL 20333,S200000,00200,0300,60438- 20333,S200000,00300,0100,COOK 20333,S200000,00400,0100,TRI-STATE NURSING & REHAB. CENTER 20333,S200000,00400,0200,145879 20333,S200000,00400,0300,05/01/1996 20333,S200000,00400,0500,P 20333,S200000,00600,0200,145879 20333,S200000,00600,0300,05/01/1996 20333,S200000,00600,0600,P 20333,S200000,01600,0100,Y 20333,S200000,02200,0100,Y 20337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20337,A000000,00300,0000,00300EMPLOYEE BENEFITS 20337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20337,A000000,00700,0000,00700HOUSEKEEPING 20337,A000000,00800,0000,00800DIETARY 20337,A000000,00900,0000,00900NURSING ADMINISTRATION 20337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20337,A000000,01300,0000,01300SOCIAL SERVICE 20337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20337,A000000,01600,0000,01600SKILLED NURSING FACILITY 20337,A000000,01800,0000,01800NURSING FACILITY 20337,A000000,01810,0000,01810ICF/MR 20337,A000000,01900,0000,01900OTHER LONG TERM CARE 20337,A000000,02100,0000,02100RADIOLOGY 20337,A000000,02200,0000,02200LABORATORY 20337,A000000,02300,0000,02300INTRAVENOUS THERAPY 20337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20337,A000000,02500,0000,02500PHYSICAL THERAPY 20337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20337,A000000,02700,0000,02700SPEECH PATHOLOGY 20337,A000000,02800,0000,02800ELECTROCARDIOLOGY 20337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20337,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20337,A000000,03200,0000,03200SUPPORT SURFACES 20337,A000000,03400,0000,03400CLINIC 20337,A000000,03500,0000,03500RURAL HEALTH CLINIC 20337,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20337,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20337,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20337,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20337,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20337,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20337,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20337,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20337,A000000,04400,0000,04400DME RENTED - HHA 20337,A000000,04500,0000,04500DME SOLD - HHA 20337,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20337,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20337,A000000,04800,0000,04800AMBULANCE 20337,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20337,A000000,05000,0000,05000CORF 20337,A000000,05010,0000,05010CMHC 20337,A000000,05020,0000,05020OPT 20337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20337,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20337,A000000,05300,0000,05300INTEREST EXPENSE 20337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20337,A000000,05500,0000,05500HOSPICE 20337,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20337,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20337,A000000,06100,0000,06100NONPAID WORKERS 20337,A000000,06200,0000,06200PATIENTS LAUNDRY 20337,A81000A,00100,0100,Y 20337,A81000B,00100,0300,REAL ESTATE TAXES 20337,A81000B,00200,0300,DEPRECIATION 20337,A81000B,00300,0300,MORTGAGE INTEREST 20337,A81000B,00400,0300,LEGAL & ACCOUNTING 20337,A81000B,00500,0300,MANAGEMENT 20337,A81000C,00100,0100,B 20337,A81000C,00100,0400,WATERLOO NH L/T 20337,A81000C,00100,0600,OWNS BUILDING 20337,A81000C,00200,0100,B 20337,A81000C,00200,0400,JAMESTOWN MGMT CP 20337,A81000C,00200,0600,MANAGEMENT 20337,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20337,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20337,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20337,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20337,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20337,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20337,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20337,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20337,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20337,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20337,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20337,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20337,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20337,E10A180,00601,0300,04/19/2001 20337,E10A180,00650,0100,04/19/2001 20337,S000000,00100,0200,07/05/2000 20337,S200000,00100,0100,718 MARKET STREET 20337,S200000,00200,0100,WATERLOO 20337,S200000,00200,0200,IL 20337,S200000,00200,0300,62298- 20337,S200000,00300,0100,MONROE 20337,S200000,00400,0100,CANTERBURY MANOR NURSING CTR 20337,S200000,00400,0200,145884 20337,S200000,00400,0300,07/01/1996 20337,S200000,00400,0500,P 20337,S200000,01600,0100,Y 20345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20345,A000000,00300,0000,00300EMPLOYEE BENEFITS 20345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20345,A000000,00700,0000,00700HOUSEKEEPING 20345,A000000,00800,0000,00800DIETARY 20345,A000000,00900,0000,00900NURSING ADMINISTRATION 20345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20345,A000000,01300,0000,01300SOCIAL SERVICE 20345,A000000,01600,0000,01600SKILLED NURSING FACILITY 20345,A000000,01800,0000,01800NURSING FACILITY 20345,A000000,01810,0000,01810ICF/MR 20345,A000000,01900,0000,01900OTHER LONG TERM CARE 20345,A000000,02100,0000,02100RADIOLOGY 20345,A000000,02200,0000,02200LABORATORY 20345,A000000,02300,0000,02300INTRAVENOUS THERAPY 20345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20345,A000000,02500,0000,02500PHYSICAL THERAPY 20345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20345,A000000,02700,0000,02700SPEECH PATHOLOGY 20345,A000000,02800,0000,02800ELECTROCARDIOLOGY 20345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20345,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20345,A000000,03200,0000,03200SUPPORT SURFACES 20345,A000000,03400,0000,03400CLINIC 20345,A000000,03500,0000,03500RURAL HEALTH CLINIC 20345,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20345,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20345,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20345,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20345,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20345,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20345,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20345,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20345,A000000,04400,0000,04400DME RENTED - HHA 20345,A000000,04500,0000,04500DME SOLD - HHA 20345,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20345,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20345,A000000,04800,0000,04800AMBULANCE 20345,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20345,A000000,05000,0000,05000CORF 20345,A000000,05010,0000,05010CMHC 20345,A000000,05020,0000,05020OPT 20345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20345,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20345,A000000,05300,0000,05300INTEREST EXPENSE 20345,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20345,A000000,05500,0000,05500HOSPICE 20345,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20345,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20345,A000000,06100,0000,06100NONPAID WORKERS 20345,A000000,06200,0000,06200PATIENTS LAUNDRY 20345,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20345,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20345,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20345,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20345,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20345,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20345,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20345,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20345,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20345,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20345,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20345,E10A180,00601,0100,03/15/2002 20345,E10A180,00601,0300,03/15/2002 20345,S000000,00100,0200,01/03/2001 20345,S200000,00100,0100,1001A JEFFERSON STREET 20345,S200000,00200,0100,ELDORADO 20345,S200000,00200,0200,IL 20345,S200000,00200,0300,62930- 20345,S200000,00300,0100,SALINE 20345,S200000,00300,0200,0014 20345,S200000,00300,0300,R 20345,S200000,00400,0100,FOUNTAINVIEW INC. 20345,S200000,00400,0200,145890 20345,S200000,00400,0300,04/01/1997 20345,S200000,00400,0500,P 20345,S200000,01600,0100,Y 20348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20348,A000000,00300,0000,00300EMPLOYEE BENEFITS 20348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20348,A000000,00700,0000,00700HOUSEKEEPING 20348,A000000,00800,0000,00800DIETARY 20348,A000000,00900,0000,00900NURSING ADMINISTRATION 20348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20348,A000000,01300,0000,01300SOCIAL SERVICE 20348,A000000,01600,0000,01600SKILLED NURSING FACILITY 20348,A000000,01800,0000,01800NURSING FACILITY 20348,A000000,01810,0000,01810ICF/MR 20348,A000000,01900,0000,01900OTHER LONG TERM CARE 20348,A000000,02100,0000,02100RADIOLOGY 20348,A000000,02200,0000,02200LABORATORY 20348,A000000,02300,0000,02300INTRAVENOUS THERAPY 20348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20348,A000000,02500,0000,02500PHYSICAL THERAPY 20348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20348,A000000,02700,0000,02700SPEECH PATHOLOGY 20348,A000000,02800,0000,02800ELECTROCARDIOLOGY 20348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20348,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20348,A000000,03200,0000,03200SUPPORT SURFACES 20348,A000000,03400,0000,03400CLINIC 20348,A000000,03500,0000,03500RURAL HEALTH CLINIC 20348,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20348,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20348,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20348,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20348,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20348,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20348,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20348,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20348,A000000,04400,0000,04400DME RENTED - HHA 20348,A000000,04500,0000,04500DME SOLD - HHA 20348,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20348,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20348,A000000,04800,0000,04800AMBULANCE 20348,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20348,A000000,05000,0000,05000CORF 20348,A000000,05010,0000,05010CMHC 20348,A000000,05020,0000,05020OPT 20348,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20348,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20348,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20348,A000000,05300,0000,05300INTEREST EXPENSE 20348,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20348,A000000,05500,0000,05500HOSPICE 20348,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20348,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20348,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20348,A000000,06100,0000,06100NONPAID WORKERS 20348,A000000,06200,0000,06200PATIENTS LAUNDRY 20348,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20348,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20348,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20348,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20348,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20348,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20348,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20348,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20348,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20348,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20348,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20348,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20348,E10A180,00601,0300,04/19/2001 20348,S000000,00100,0200,07/05/2000 20348,S200000,00100,0100,301 ROSALIE STREET 20348,S200000,00200,0100,GOLCONDA 20348,S200000,00200,0200,IL 20348,S200000,00200,0300,62938- 20348,S200000,00300,0100,POPE 20348,S200000,00400,0100,POPE COUNTY CARE CENTER 20348,S200000,00400,0200,145912 20348,S200000,00400,0300,11/01/1996 20348,S200000,00400,0500,P 20348,S200000,01600,0100,Y 20354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20354,A000000,00300,0000,00300EMPLOYEE BENEFITS 20354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20354,A000000,00700,0000,00700HOUSEKEEPING 20354,A000000,00800,0000,00800DIETARY 20354,A000000,00900,0000,00900NURSING ADMINISTRATION 20354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20354,A000000,01300,0000,01300SOCIAL SERVICE 20354,A000000,01600,0000,01600SKILLED NURSING FACILITY 20354,A000000,01800,0000,01800NURSING FACILITY 20354,A000000,01810,0000,01810ICF/MR 20354,A000000,01900,0000,01900OTHER LONG TERM CARE 20354,A000000,02100,0000,02100RADIOLOGY 20354,A000000,02200,0000,02200LABORATORY 20354,A000000,02300,0000,02300INTRAVENOUS THERAPY 20354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20354,A000000,02500,0000,02500PHYSICAL THERAPY 20354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20354,A000000,02700,0000,02700SPEECH PATHOLOGY 20354,A000000,02800,0000,02800ELECTROCARDIOLOGY 20354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20354,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20354,A000000,03200,0000,03200SUPPORT SURFACES 20354,A000000,03400,0000,03400CLINIC 20354,A000000,03500,0000,03500RURAL HEALTH CLINIC 20354,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 20354,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20354,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20354,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20354,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20354,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20354,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20354,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20354,A000000,04400,0000,04400DME RENTED - HHA 20354,A000000,04500,0000,04500DME SOLD - HHA 20354,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20354,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20354,A000000,04800,0000,04800AMBULANCE 20354,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20354,A000000,05000,0000,05000CORF 20354,A000000,05010,0000,05010CMHC 20354,A000000,05020,0000,05020OPT 20354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20354,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20354,A000000,05300,0000,05300INTEREST EXPENSE 20354,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20354,A000000,05500,0000,05500HOSPICE 20354,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20354,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20354,A000000,06100,0000,06100NONPAID WORKERS 20354,A000000,06200,0000,06200PATIENTS LAUNDRY 20354,A81000A,00100,0100,Y 20354,A81000B,00100,0300,LEGAL & ACCOUNTING 20354,A81000B,00200,0300,MISCELLANEOUS 20354,A81000B,00300,0300,REAL ESTATE TAX 20354,A81000B,00400,0300,DEPRECIATION BLDG 20354,A81000B,00500,0300,MANAGEMENT FEES 20354,A81000C,00100,0100,B 20354,A81000C,00100,0400,4TH STR LAND TR 20354,A81000C,00100,0600,RENTAL 20354,A81000C,00200,0100,B 20354,A81000C,00200,0400,JAMESTOWN MGMT 20354,A81000C,00200,0600,MANAGEMENT 20354,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20354,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20354,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20354,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20354,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20354,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 20354,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 20354,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20354,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 20354,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 20354,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 20354,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 20354,E10A180,00601,0300,04/19/2001 20354,S000000,00100,0200,07/05/2000 20354,S200000,00100,0100,223 EAST FOURTH STREET 20354,S200000,00200,0100,SPARTA 20354,S200000,00200,0200,IL 20354,S200000,00200,0300,62286- 20354,S200000,00300,0100,RANDOLPH 20354,S200000,00400,0100,SENIOR MANOR NURSING CENTER 20354,S200000,00400,0200,145916 20354,S200000,00400,0300,12/01/1996 20354,S200000,00400,0500,P 20354,S200000,01600,0100,Y 20358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20358,A000000,00300,0000,00300EMPLOYEE BENEFITS 20358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20358,A000000,00700,0000,00700HOUSEKEEPING 20358,A000000,00800,0000,00800DIETARY 20358,A000000,00900,0000,00900NURSING ADMINISTRATION 20358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20358,A000000,01100,0000,01100PHARMACY 20358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20358,A000000,01300,0000,01300SOCIAL SERVICE 20358,A000000,01600,0000,01600SKILLED NURSING FACILITY 20358,A000000,01800,0000,01800NURSING FACILITY 20358,A000000,02100,0000,02100RADIOLOGY 20358,A000000,02200,0000,02200LABORATORY 20358,A000000,02500,0000,02500PHYSICAL THERAPY 20358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20358,A000000,02700,0000,02700SPEECH PATHOLOGY 20358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20358,A000000,03050,0000,03300BLOOD GLUCOSE 20358,A000000,03200,0000,03200SUPPORT SURFACES 20358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20358,A81000A,00100,0100,Y 20358,A81000B,00100,0300,CAPITAL RELATED 20358,A81000B,00200,0300,EMPLOYEE BENEFITS 20358,A81000B,00300,0300,ADMIN & GENERAL 20358,A81000B,00400,0300,PLANT OPERATION 20358,A81000B,00500,0300,HOUSEKEEPING 20358,A81000B,00600,0300,DIETARY 20358,A81000B,00700,0300,RENT 20358,A81000B,00800,0300,AMORTIZATION 20358,A81000B,00900,0300,DEPRECIATION 20358,A81000B,01000,0300,INTEREST-MORTGAGE 20358,A81000B,01100,0300,CAPITAL 20358,A81000B,01200,0300,EMPLOYEE BENEFITS 20358,A81000B,01300,0300,ADMIN & GENERAL 20358,A81000B,01400,0300,MEDICAL SUPPLIES 20358,A81000C,00100,0100,A 20358,A81000C,00100,0400,PREFERRED BOOK 20358,A81000C,00100,0600,BOOKKEEPING 20358,A81000C,00200,0100,A 20358,A81000C,00200,0400,SIR MANAGEMENT 20358,A81000C,00200,0600,MANAGMENT CO. 20358,A81000C,00300,0100,A 20358,A81000C,00300,0400,SIR PROPERTIES 20358,A81000C,00300,0600,BUILDING CO 20358,A81000C,00400,0100,A 20358,A81000C,00400,0400,EXTENDED CARE O 20358,A81000C,00400,0600,MANAGMENT CO 20358,A81000C,00500,0100,A 20358,A81000C,00500,0400,PARAMOUNT HEALT 20358,A81000C,00500,0600,TUBE FEEDING SU 20358,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20358,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20358,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20358,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20358,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20358,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20358,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20358,B100000,00000,0800,00000MEALS SERVED :DIETARY 20358,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20358,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20358,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20358,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20358,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20358,E10A180,00650,0100,08/08/2001 20358,S000000,00100,0200,06/02/2000 20358,S200000,00100,0100,50 PLEASANT AVENUE 20358,S200000,00200,0100,HIGHLAND PARK 20358,S200000,00200,0200,IL 20358,S200000,00200,0300,60040- 20358,S200000,00300,0100,COOK 20358,S200000,00400,0100,HIGHLAND PARK HEALTH CARE CENTER 20358,S200000,00400,0200,145936 20358,S200000,00400,0300,07/01/1997 20358,S200000,00400,0500,P 20358,S200000,01600,0100,Y 20358,S200000,02200,0100,Y 20361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20361,A000000,00300,0000,00300EMPLOYEE BENEFITS 20361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20361,A000000,00700,0000,00700HOUSEKEEPING 20361,A000000,00800,0000,00800DIETARY 20361,A000000,00900,0000,00900NURSING ADMINISTRATION 20361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20361,A000000,01300,0000,01300SOCIAL SERVICE 20361,A000000,01600,0000,01600SKILLED NURSING FACILITY 20361,A000000,01800,0000,01800NURSING FACILITY 20361,A000000,02200,0000,02200LABORATORY 20361,A000000,02500,0000,02500PHYSICAL THERAPY 20361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20361,A000000,02700,0000,02700SPEECH PATHOLOGY 20361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20361,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 20361,A000000,03200,0000,03200SUPPORT SURFACES 20361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20361,A81000A,00100,0100,Y 20361,A81000B,00100,0300,MISC CAPITAL RELATED 20361,A81000B,00200,0300,MISC EMPL BENEFITS 20361,A81000B,00300,0300,MISC ADMIN & GENERAL 20361,A81000B,00400,0300,MISC PLANT 20361,A81000B,00500,0300,MISC HOUSEKEEPING 20361,A81000B,00600,0300,MISC DIETARY 20361,A81000B,00700,0300,MISC NURSING 20361,A81000C,00100,0100,A 20361,A81000C,00100,0400,PREFERRED BOOKK 20361,A81000C,00100,0600,BOOKKEEPING 20361,A81000C,00200,0100,A 20361,A81000C,00200,0400,SIR MANAGEMENT 20361,A81000C,00200,0600,MGMT CO. 20361,A81000C,00300,0100,A 20361,A81000C,00300,0400,SIR PROPERTIES 20361,A81000C,00300,0600,BLDG CO. 20361,A81000C,00400,0100,A 20361,A81000C,00400,0400,PARAMOUNT HC SY 20361,A81000C,00400,0600,MED SUPPLIES 20361,A81000C,00500,0100,A 20361,A81000C,00500,0400,ECM OWNER COUNC 20361,A81000C,00500,0600,MANAGEMENT 20361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20361,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20361,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20361,B100000,00000,0800,00000MEALS SERVED :DIETARY 20361,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20361,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20361,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20361,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20361,E10A180,00601,0100,05/08/2001 20361,S000000,00100,0200,06/02/2000 20361,S200000,00100,0100,321 ARNOLD AVENUE 20361,S200000,00200,0100,ROCKFORD 20361,S200000,00200,0200,IL 20361,S200000,00200,0300,61108- 20361,S200000,00300,0100,WINNEBAGO 20361,S200000,00400,0100,FAIRVIEW NURSING PLAZA INC. 20361,S200000,00400,0200,145937 20361,S200000,00400,0300,07/01/1997 20361,S200000,00400,0500,P 20361,S200000,01600,0100,Y 20367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20367,A000000,00300,0000,00300EMPLOYEE BENEFITS 20367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20367,A000000,00700,0000,00700HOUSEKEEPING 20367,A000000,00800,0000,00800DIETARY 20367,A000000,00900,0000,00900NURSING ADMINISTRATION 20367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20367,A000000,01100,0000,01100PHARMACY 20367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20367,A000000,01300,0000,01300SOCIAL SERVICE 20367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20367,A000000,01600,0000,01600SKILLED NURSING FACILITY 20367,A000000,01800,0000,01800NURSING FACILITY 20367,A000000,01810,0000,01810ICF/MR 20367,A000000,02200,0000,02200LABORATORY 20367,A000000,02500,0000,02500PHYSICAL THERAPY 20367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20367,A000000,02700,0000,02700SPEECH PATHOLOGY 20367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20367,A000000,03200,0000,03200SUPPORT SURFACES 20367,A000000,03550,0000,03550FQHC 20367,A000000,05000,0000,05000CORF 20367,A000000,05010,0000,05010CMHC 20367,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20367,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20367,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20367,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20367,A81000A,00100,0100,Y 20367,A81000B,00200,0300,RENT 20367,A81000B,00400,0300,HOME OFFICE 20367,A81000B,00600,0300,INTEREST 20367,A81000B,00800,0300,DIETARY CONSULTANT 20367,A81000B,01000,0300,PT OT ST 20367,A81000C,00200,0100,B 20367,A81000C,00200,0200,RIVER PARK HCC 20367,A81000C,00400,0100,B 20367,A81000C,00400,0200,CARE PLUS MGT. 20367,A81000C,00600,0100,B 20367,A81000C,00600,0200,CARE PLUS REHAB 20367,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20367,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20367,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20367,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20367,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20367,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20367,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20367,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20367,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20367,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20367,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20367,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20367,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20367,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20367,E10A180,00601,0100,04/10/2001 20367,S000000,00100,0200,05/31/2000 20367,S200000,00200,0200,CA 20367,S200000,00300,0100,ROCK ISLAND 20367,S200000,00400,0100,RIVER PARK HEALTHCARE CTR. INC. 20367,S200000,00400,0200,145950 20367,S200000,00400,0300,06/19/1997 20367,S200000,00400,0500,P 20367,S200000,01004,0500,O 20367,S200000,01600,0100,Y 20387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20387,A000000,00300,0000,00300EMPLOYEE BENEFITS 20387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20387,A000000,00700,0000,00700HOUSEKEEPING 20387,A000000,00800,0000,00800DIETARY 20387,A000000,00900,0000,00900NURSING ADMINISTRATION 20387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20387,A000000,01100,0000,01100PHARMACY 20387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20387,A000000,01300,0000,01300SOCIAL SERVICE 20387,A000000,01350,0000,01500OTHER GENERAL SERVICES 20387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20387,A000000,01600,0000,01600SKILLED NURSING FACILITY 20387,A000000,01800,0000,01800NURSING FACILITY 20387,A000000,01810,0000,01810ICF/MR 20387,A000000,01900,0000,01900OTHER LONG TERM CARE 20387,A000000,02100,0000,02100RADIOLOGY 20387,A000000,02200,0000,02200LABORATORY 20387,A000000,02300,0000,02300INTRAVENOUS THERAPY 20387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20387,A000000,02500,0000,02500PHYSICAL THERAPY 20387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20387,A000000,02700,0000,02700SPEECH PATHOLOGY 20387,A000000,02800,0000,02800ELECTROCARDIOLOGY 20387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20387,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20387,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20387,A000000,03200,0000,03200SUPPORT SURFACES 20387,A000000,03400,0000,03400CLINIC 20387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20387,A000000,03500,0000,03500RURAL HEALTH CLINIC 20387,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20387,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20387,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20387,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20387,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20387,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20387,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20387,A000000,04400,0000,04400DME RENTED - HHA 20387,A000000,04500,0000,04500DME SOLD - HHA 20387,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20387,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20387,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20387,A000000,04800,0000,04800AMBULANCE 20387,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20387,A000000,05000,0000,05000CORF 20387,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20387,A000000,05300,0000,05300INTEREST EXPENSE 20387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20387,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20387,A000000,05500,0000,05500HOSPICE 20387,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20387,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20387,A000000,06100,0000,06100NONPAID WORKERS 20387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20387,A000000,06200,0000,06200PATIENTS LAUNDRY 20387,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20387,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20387,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20387,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20387,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20387,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20387,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20387,B100000,00000,0800,00000MEALS SERVED :DIETARY 20387,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20387,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20387,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20387,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20387,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20387,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20387,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20387,E10A180,00601,0100,08/03/2001 20387,E10A180,00601,0300,08/03/2001 20387,S000000,00100,0200,07/10/2000 20387,S200000,00100,0100,208 WEST 12TH STREET 20387,S200000,00100,0300,1800 20387,S200000,00200,0100,LONDON 20387,S200000,00200,0200,KY 20387,S200000,00200,0300,40744- 20387,S200000,00300,0100,LAUREL 20387,S200000,00400,0100,LAUREL HEIGHTS HOME FOR THE ELDERLY 20387,S200000,00400,0200,185003 20387,S200000,00400,0300,09/03/1966 20387,S200000,00400,0500,P 20387,S200000,01600,0100,Y 20397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20397,A000000,00300,0000,00300EMPLOYEE BENEFITS 20397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20397,A000000,00700,0000,00700HOUSEKEEPING 20397,A000000,00800,0000,00800DIETARY 20397,A000000,00900,0000,00900NURSING ADMINISTRATION 20397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20397,A000000,01100,0000,01100PHARMACY 20397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20397,A000000,01300,0000,01300SOCIAL SERVICE 20397,A000000,01350,0000,01500PATIENT ACTIVITIES 20397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20397,A000000,01600,0000,01600SKILLED NURSING FACILITY 20397,A000000,01800,0000,01800NURSING FACILITY 20397,A000000,01810,0000,01810ICF/MR 20397,A000000,01900,0000,01900OTHER LONG TERM CARE 20397,A000000,02100,0000,02100RADIOLOGY 20397,A000000,02200,0000,02200LABORATORY 20397,A000000,02300,0000,02300INTRAVENOUS THERAPY 20397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20397,A000000,02500,0000,02500PHYSICAL THERAPY 20397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20397,A000000,02700,0000,02700SPEECH PATHOLOGY 20397,A000000,02800,0000,02800ELECTROCARDIOLOGY 20397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20397,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20397,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20397,A000000,03200,0000,03200SUPPORT SURFACES 20397,A000000,03400,0000,03400CLINIC 20397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20397,A000000,03500,0000,03500RURAL HEALTH CLINIC 20397,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20397,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20397,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20397,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20397,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20397,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20397,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20397,A000000,04400,0000,04400DME RENTED - HHA 20397,A000000,04500,0000,04500DME SOLD - HHA 20397,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20397,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20397,A000000,04800,0000,04800AMBULANCE 20397,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20397,A000000,05000,0000,05000CORF 20397,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20397,A000000,05300,0000,05300INTEREST EXPENSE 20397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20397,A000000,05500,0000,05500HOSPICE 20397,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20397,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20397,A000000,06100,0000,06100NONPAID WORKERS 20397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20397,A000000,06200,0000,06200PATIENTS LAUNDRY 20397,A81000A,00100,0100,Y 20397,A81000B,00100,0300,HOME OFFICE 20397,A81000B,00200,0300,HOME OFFICE CAPITAL 20397,A81000B,00300,0300,HOME OFFICE NON CAP 20397,A81000B,00400,0300,HOME OFFICE CAPITAL 20397,A81000B,00500,0300,HOME OFFICE NON CAP 20397,A81000B,00600,0300,ANCILLARY MGMT FEE 20397,A81000B,00700,0300,ANCILLARY MGMT FEE 20397,A81000B,00800,0300,ANCILLARY MGMT FEE 20397,A81000C,00100,0100,B 20397,A81000C,00100,0200,FHS INC. 20397,A81000C,00100,0400,FHS INC. 20397,A81000C,00100,0600,HOME OFFICE 20397,A81000C,00200,0100,B 20397,A81000C,00200,0200,SOUTHERN HC SYS 20397,A81000C,00200,0400,SOUTHERN HC SYS 20397,A81000C,00200,0600,HOME OFFICE 20397,A81000C,00300,0100,B 20397,A81000C,00300,0200,FAS INC 20397,A81000C,00300,0400,FAS INC 20397,A81000C,00300,0600,ANCILLARY MGMT 20397,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20397,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 20397,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20397,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20397,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20397,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20397,B100000,00000,0750,00000SQ FT EXCL DIET:HOUSEKEEPING 20397,B100000,00000,0800,00000MEALS SERVED :DIETARY 20397,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 20397,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 20397,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 20397,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20397,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20397,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 20397,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20397,E10A180,00601,0100,07/31/2001 20397,E10A180,00650,0300,07/31/2001 20397,S000000,00100,0200,06/01/2000 20397,S200000,00100,0100,P.O. BOX 159 SOUTH WARREN STREET 20397,S200000,00200,0100,MORGANTOWN 20397,S200000,00200,0200,KY 20397,S200000,00200,0300,42261- 20397,S200000,00300,0100,BUTLER 20397,S200000,00400,0100,LAKEVIEW HEALTHCARE CENTER 20397,S200000,00400,0200,185006 20397,S200000,00400,0300,01/01/1967 20397,S200000,00400,0500,P 20397,S200000,01600,0100,Y 20397,S200000,02800,0100,Y 20406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20406,A000000,00300,0000,00300EMPLOYEE BENEFITS 20406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20406,A000000,00700,0000,00700HOUSEKEEPING 20406,A000000,00800,0000,00800DIETARY 20406,A000000,00900,0000,00900NURSING ADMINISTRATION 20406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20406,A000000,01100,0000,01100PHARMACY 20406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20406,A000000,01300,0000,01300SOCIAL SERVICE 20406,A000000,01350,0000,01500OTHER GENERAL SERVICES 20406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20406,A000000,01600,0000,01600SKILLED NURSING FACILITY 20406,A000000,01800,0000,01800NURSING FACILITY 20406,A000000,01810,0000,01801ICF/MR 20406,A000000,01900,0000,01900OTHER LONG TERM CARE 20406,A000000,02100,0000,02100RADIOLOGY 20406,A000000,02200,0000,02200LABORATORY 20406,A000000,02300,0000,02300INTRAVENOUS THERAPY 20406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20406,A000000,02500,0000,02500PHYSICAL THERAPY 20406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20406,A000000,02700,0000,02700SPEECH PATHOLOGY 20406,A000000,02800,0000,02800ELECTROCARDIOLOGY 20406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20406,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20406,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20406,A000000,03200,0000,03200SUPPORT SURFACES 20406,A000000,03400,0000,03400CLINIC 20406,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20406,A000000,03500,0000,03500RURAL HEALTH CLINIC 20406,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20406,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20406,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20406,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20406,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20406,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20406,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20406,A000000,04400,0000,04400DME RENTED - HHA 20406,A000000,04500,0000,04500DME SOLD - HHA 20406,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20406,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20406,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20406,A000000,04800,0000,04800AMBULANCE 20406,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20406,A000000,05000,0000,05000CORF 20406,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20406,A000000,05300,0000,05300INTEREST EXPENSE 20406,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20406,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20406,A000000,05500,0000,05500HOSPICE 20406,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20406,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20406,A000000,06100,0000,06100NONPAID WORKERS 20406,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20406,A000000,06200,0000,06200PATIENTS LAUNDRY 20406,A81000A,00100,0100,Y 20406,A81000B,00100,0300,RENT 20406,A81000B,00200,0300,INTEREST 20406,A81000B,00300,0300,DEPRECIATION 20406,A81000B,00400,0300,AMORTIZATION-CPI 20406,A81000C,00100,0100,A 20406,A81000C,00100,0200,SANDRA HIGGINS 20406,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20406,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20406,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20406,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20406,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20406,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20406,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20406,B100000,00000,0800,00000MEALS SERVED :DIETARY 20406,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20406,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20406,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20406,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20406,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20406,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20406,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20406,E10A180,00601,0100,05/04/2001 20406,E10A180,00650,0300,05/04/2001 20406,S000000,00100,0200,05/30/2000 20406,S200000,00100,0300,743 20406,S200000,00200,0100,MADISONVILLE 20406,S200000,00200,0200,KY 20406,S200000,00200,0300,42431- 20406,S200000,00300,0100,HOPKINS 20406,S200000,00400,0100,SENIOR CITIZENS NURSING HOME 20406,S200000,00400,0200,185012 20406,S200000,00400,0300,01/01/1983 20406,S200000,00400,0500,P 20406,S200000,01600,0100,Y 20406,S200000,04700,0100,Y 20411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20411,A000000,00300,0000,00300EMPLOYEE BENEFITS 20411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20411,A000000,00700,0000,00700HOUSEKEEPING 20411,A000000,00800,0000,00800DIETARY 20411,A000000,00900,0000,00900NURSING ADMINISTRATION 20411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20411,A000000,01100,0000,01100PHARMACY 20411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20411,A000000,01300,0000,01300SOCIAL SERVICE 20411,A000000,01350,0000,01500OTHER GENERAL SERVICES 20411,A000000,01600,0000,01600SKILLED NURSING FACILITY 20411,A000000,01800,0000,01800NURSING FACILITY 20411,A000000,01810,0000,01810ICF/MR 20411,A000000,01900,0000,01900OTHER LONG TERM CARE 20411,A000000,02100,0000,02100RADIOLOGY 20411,A000000,02200,0000,02200LABORATORY 20411,A000000,02300,0000,02300INTRAVENOUS THERAPY 20411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20411,A000000,02500,0000,02500PHYSICAL THERAPY 20411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20411,A000000,02700,0000,02700SPEECH PATHOLOGY 20411,A000000,02800,0000,02800ELECTROCARDIOLOGY 20411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20411,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20411,A000000,03200,0000,03200SUPPORT SURFACES 20411,A000000,03400,0000,03400CLINIC 20411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20411,A000000,03500,0000,03500RURAL HEALTH CLINIC 20411,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20411,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20411,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20411,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20411,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20411,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20411,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20411,A000000,04400,0000,04400DME RENTED - HHA 20411,A000000,04500,0000,04500DME SOLD - HHA 20411,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20411,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20411,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20411,A000000,04800,0000,04800AMBULANCE 20411,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20411,A000000,05000,0000,05000CORF 20411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20411,A000000,05300,0000,05300INTEREST EXPENSE 20411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20411,A000000,05500,0000,05500HOSPICE 20411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20411,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20411,A000000,06100,0000,06100NONPAID WORKERS 20411,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20411,A000000,06200,0000,06200PATIENTS LAUNDRY 20411,A81000A,00100,0100,Y 20411,A81000B,00100,0300,BLDGS & F RENT 20411,A81000B,00200,0300,BLDGS & F DEPRECIATION 20411,A81000B,00300,0300,MOVABLE E DEPRECIATION 20411,A81000B,00400,0300,BLDGS & F INTEREST 20411,A81000C,00100,0100,A 20411,A81000C,00100,0200,FRANK VERSNICK 20411,A81000C,00100,0400,FRANK VERSNICK 20411,A81000C,00100,0600,RENTAL 20411,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20411,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20411,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20411,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20411,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20411,B100000,00000,0800,00000MEALS SERVED :DIETARY 20411,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20411,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20411,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20411,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20411,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20411,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20411,E10A180,00601,0300,07/06/2001 20411,S000000,00100,0200,07/27/2000 20411,S200000,00100,0100,55 EAST NORTH STREET 20411,S200000,00200,0100,MADISONVILLE 20411,S200000,00200,0200,KY 20411,S200000,00200,0300,42431- 20411,S200000,00300,0100,HOPKINS 20411,S200000,00400,0100,VERSNICK HEALTH CARE CENTER 20411,S200000,00400,0200,185013 20411,S200000,00400,0300,01/01/1967 20411,S200000,00400,0500,P 20411,S200000,01500,0100,Y 20434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20434,A000000,00300,0000,00300EMPLOYEE BENEFITS 20434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20434,A000000,00700,0000,00700HOUSEKEEPING 20434,A000000,00800,0000,00800DIETARY 20434,A000000,00900,0000,00900NURSING ADMINISTRATION 20434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20434,A000000,01100,0000,01100PHARMACY 20434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20434,A000000,01300,0000,01300SOCIAL SERVICE 20434,A000000,01350,0000,01500OTHER GENERAL SERVICES 20434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20434,A000000,01600,0000,01600SKILLED NURSING FACILITY 20434,A000000,01800,0000,01800NURSING FACILITY 20434,A000000,01900,0000,01900OTHER LONG TERM CARE 20434,A000000,02100,0000,02100RADIOLOGY 20434,A000000,02200,0000,02200LABORATORY 20434,A000000,02300,0000,02300INTRAVENOUS THERAPY 20434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20434,A000000,02500,0000,02500PHYSICAL THERAPY 20434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20434,A000000,02700,0000,02700SPEECH PATHOLOGY 20434,A000000,02800,0000,02800ELECTROCARDIOLOGY 20434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20434,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20434,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20434,A000000,03200,0000,03200SUPPORT SURFACES 20434,A000000,03400,0000,03400CLINIC 20434,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20434,A000000,03500,0000,03500RURAL HEALTH CLINIC 20434,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20434,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20434,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20434,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20434,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20434,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20434,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20434,A000000,04400,0000,04400DME RENTED - HHA 20434,A000000,04500,0000,04500DME SOLD - HHA 20434,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20434,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20434,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20434,A000000,04800,0000,04800AMBULANCE 20434,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20434,A000000,05000,0000,05000CORF 20434,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20434,A000000,05300,0000,05300INTEREST EXPENSE 20434,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20434,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20434,A000000,05500,0000,05500HOSPICE 20434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20434,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20434,A000000,06100,0000,06100NONPAID WORKERS 20434,A000000,06150,0000,06300ADULT DAY CARE 20434,A000000,06200,0000,06200PATIENTS LAUNDRY 20434,A81000A,00100,0100,Y 20434,A81000B,00100,0300,MGT FEES/HO COSTS 20434,A81000C,00100,0100,A 20434,A81000C,00100,0200,CHRISTIAN CHURCH HOMES 20434,A81000C,00100,0400,HOME OFFICE 20434,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20434,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20434,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20434,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20434,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20434,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20434,B100000,00000,0800,00000MEALS SERVED :DIETARY 20434,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 20434,B100000,00000,1050,00000TIME SPENT :CENTRAL SERVICES & SUP 20434,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20434,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20434,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20434,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20434,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 20434,S000000,00100,0200,06/30/2000 20434,S200000,00100,0100,920 SOUTH 4TH STREET 20434,S200000,00200,0100,LOUISVILLE 20434,S200000,00200,0200,KY 20434,S200000,00200,0300,40207- 20434,S200000,00300,0100,JEFFERSON 20434,S200000,00400,0100,CHRISTIAN HEALTH CENTER 20434,S200000,00400,0200,185029 20434,S200000,00400,0300,01/01/1989 20434,S200000,00400,0500,P 20434,S200000,01600,0100,Y 20434,S700003,00000,0100,1 20439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20439,A000000,00300,0000,00300EMPLOYEE BENEFITS 20439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20439,A000000,00700,0000,00700HOUSEKEEPING 20439,A000000,00800,0000,00800DIETARY 20439,A000000,00900,0000,00900NURSING ADMINISTRATION 20439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20439,A000000,01100,0000,01100PHARMACY 20439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20439,A000000,01300,0000,01300SOCIAL SERVICE 20439,A000000,01350,0000,01500OTHER GENERAL SERVICES 20439,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20439,A000000,01600,0000,01600SKILLED NURSING FACILITY 20439,A000000,01800,0000,01800NURSING FACILITY 20439,A000000,01810,0000,01801ICF/MR 20439,A000000,01900,0000,01900OTHER LONG TERM CARE 20439,A000000,02100,0000,02100RADIOLOGY 20439,A000000,02200,0000,02200LABORATORY 20439,A000000,02300,0000,02300INTRAVENOUS THERAPY 20439,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20439,A000000,02500,0000,02500PHYSICAL THERAPY 20439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20439,A000000,02700,0000,02700SPEECH PATHOLOGY 20439,A000000,02800,0000,02800ELECTROCARDIOLOGY 20439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20439,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20439,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20439,A000000,03200,0000,03200SUPPORT SURFACES 20439,A000000,03400,0000,03400CLINIC 20439,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20439,A000000,03500,0000,03500RURAL HEALTH CLINIC 20439,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20439,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20439,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20439,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20439,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20439,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20439,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20439,A000000,04400,0000,04400DME RENTED - HHA 20439,A000000,04500,0000,04500DME SOLD - HHA 20439,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20439,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20439,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20439,A000000,04800,0000,04800AMBULANCE 20439,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20439,A000000,05000,0000,05000CORF 20439,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20439,A000000,05300,0000,05300INTEREST EXPENSE 20439,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20439,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20439,A000000,05500,0000,05500HOSPICE 20439,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20439,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20439,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20439,A000000,06100,0000,06100NONPAID WORKERS 20439,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20439,A000000,06200,0000,06200PATIENTS LAUNDRY 20439,A81000A,00100,0100,Y 20439,A81000B,00100,0300,HOME OFFICE COSTS 20439,A81000C,00100,0100,A 20439,A81000C,00100,0200,RALPH L. STACEY JR. 20439,A81000C,00100,0400,STACEY ENTERPRISES INC. 20439,A81000C,00100,0600,MANAGEMENT CORP. 20439,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20439,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20439,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20439,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20439,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20439,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20439,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 20439,B100000,00000,0800,00000MEALS SERVED :DIETARY 20439,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20439,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20439,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20439,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20439,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20439,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20439,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20439,E10A180,00650,0300,04/19/2001 20439,S000000,00100,0200,07/03/2000 20439,S200000,00100,0100,421 GARRARD ST 20439,S200000,00200,0100,COVINGTON 20439,S200000,00200,0200,KY 20439,S200000,00200,0300,41011- 20439,S200000,00300,0100,KENTON 20439,S200000,00400,0100,GARRARD CONVALESCENT HOME 20439,S200000,00400,0200,185038 20439,S200000,00400,0300,01/01/1967 20439,S200000,00400,0500,P 20447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20447,A000000,00300,0000,00300EMPLOYEE BENEFITS 20447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20447,A000000,00700,0000,00700HOUSEKEEPING 20447,A000000,00800,0000,00800DIETARY 20447,A000000,00900,0000,00900NURSING ADMINISTRATION 20447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20447,A000000,01100,0000,01100PHARMACY 20447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20447,A000000,01300,0000,01300SOCIAL SERVICE 20447,A000000,01350,0000,01500OTHER GENERAL SERVICES 20447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20447,A000000,01600,0000,01600SKILLED NURSING FACILITY 20447,A000000,01800,0000,01800NURSING FACILITY 20447,A000000,01810,0000,01810ICF/MR 20447,A000000,01900,0000,01900OTHER LONG TERM CARE 20447,A000000,02100,0000,02100RADIOLOGY 20447,A000000,02200,0000,02200LABORATORY 20447,A000000,02300,0000,02300INTRAVENOUS THERAPY 20447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20447,A000000,02500,0000,02500PHYSICAL THERAPY 20447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20447,A000000,02700,0000,02700SPEECH PATHOLOGY 20447,A000000,02800,0000,02800ELECTROCARDIOLOGY 20447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20447,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20447,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20447,A000000,03200,0000,03200SUPPORT SURFACES 20447,A000000,03400,0000,03400CLINIC 20447,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20447,A000000,03500,0000,03500RURAL HEALTH CLINIC 20447,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20447,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20447,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20447,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20447,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20447,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20447,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20447,A000000,04400,0000,04400DME RENTED - HHA 20447,A000000,04500,0000,04500DME SOLD - HHA 20447,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20447,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20447,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20447,A000000,04800,0000,04800AMBULANCE 20447,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20447,A000000,05000,0000,05000CORF 20447,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20447,A000000,05300,0000,05300INTEREST EXPENSE 20447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20447,A000000,05500,0000,05500HOSPICE 20447,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20447,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20447,A000000,06100,0000,06100NONPAID WORKERS 20447,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20447,A000000,06200,0000,06200PATIENTS LAUNDRY 20447,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20447,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20447,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20447,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20447,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20447,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20447,B100000,00000,0800,00000MEALS SERVED :DIETARY 20447,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 20447,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20447,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20447,E10A180,00550,0300,04/19/2001 20447,E10A180,00601,0300,01/11/2002 20447,S000000,00100,0200,07/07/2000 20447,S200000,00100,0100,THE KINGS DAUGHTERS & SONS HOME IN 20447,S200000,00200,0100,LOUISVILLE 20447,S200000,00200,0200,KY 20447,S200000,00200,0300,40205- 20447,S200000,00300,0100,JEFFERSON 20447,S200000,00300,0200,4520 20447,S200000,00300,0300,U 20447,S200000,00400,0100,THE KINGS DAUGHTERS & SONS HOME I 20447,S200000,00400,0200,185039 20447,S200000,00400,0300,07/01/1966 20447,S200000,00400,0500,P 20447,S200000,01500,0100,Y 20457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20457,A000000,00300,0000,00300EMPLOYEE BENEFITS 20457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20457,A000000,00700,0000,00700HOUSEKEEPING 20457,A000000,00800,0000,00800DIETARY 20457,A000000,00900,0000,00900NURSING ADMINISTRATION 20457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20457,A000000,01100,0000,01100PHARMACY 20457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20457,A000000,01300,0000,01300SOCIAL SERVICE 20457,A000000,01350,0000,01500OTHER GENERAL SERVICES 20457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20457,A000000,01600,0000,01600SKILLED NURSING FACILITY 20457,A000000,01800,0000,01800NURSING FACILITY 20457,A000000,01900,0000,01900OTHER LONG TERM CARE 20457,A000000,02100,0000,02100RADIOLOGY 20457,A000000,02200,0000,02200LABORATORY 20457,A000000,02300,0000,02300INTRAVENOUS THERAPY 20457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20457,A000000,02500,0000,02500PHYSICAL THERAPY 20457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20457,A000000,02700,0000,02700SPEECH PATHOLOGY 20457,A000000,02800,0000,02800ELECTROCARDIOLOGY 20457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20457,A000000,03200,0000,03200SUPPORT SURFACES 20457,A000000,03400,0000,03400CLINIC 20457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20457,A000000,03500,0000,03500RURAL HEALTH CLINIC 20457,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20457,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20457,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20457,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20457,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20457,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20457,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20457,A000000,04400,0000,04400DME RENTED - HHA 20457,A000000,04500,0000,04500DME SOLD - HHA 20457,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20457,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20457,A000000,04800,0000,04800AMBULANCE 20457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20457,A000000,05000,0000,05000CORF 20457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20457,A000000,05300,0000,05300INTEREST EXPENSE 20457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20457,A000000,05500,0000,05500HOSPICE 20457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20457,A000000,06100,0000,06100NONPAID WORKERS 20457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20457,A000000,06200,0000,06200PATIENTS LAUNDRY 20457,A81000A,00100,0100,Y 20457,A81000B,00100,0300,PARKING LOT LEASE 20457,A81000C,00100,0100,A 20457,A81000C,00100,0200,DON METZMEIER 20457,A81000C,00100,0400,METZMEIER BROS. PSHIP 20457,A81000C,00100,0600,REAL ESTATE 20457,A81000C,00200,0100,A 20457,A81000C,00200,0200,FRANK METZMEIER 20457,A81000C,00200,0400,METZMEIER BROS. PSHIP 20457,A81000C,00200,0600,REAL ESTATE 20457,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20457,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20457,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20457,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20457,B100000,00000,0650,00000LBS :LAUNDRY & LINEN SERVICE 20457,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20457,B100000,00000,0800,00000MEALS :DIETARY 20457,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 20457,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 20457,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20457,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20457,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20457,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 20457,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20457,E10A180,00601,0100,05/08/2001 20457,E10A180,00601,0300,05/08/2001 20457,S000000,00100,0200,06/30/2000 20457,S200000,00100,0100,700 NORTH CENTRAL AVENUE 20457,S200000,00200,0100,CAMPBELLSVILLE 20457,S200000,00200,0200,KY 20457,S200000,00200,0300,42718- 20457,S200000,00300,0100,TAYLOR 20457,S200000,00400,0100,METZMEIER NURSING HOME INC. 20457,S200000,00400,0200,185042 20457,S200000,00400,0300,07/01/1966 20457,S200000,00400,0500,P 20457,S200000,01500,0100,Y 20467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20467,A000000,00300,0000,00300EMPLOYEE BENEFITS 20467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20467,A000000,00700,0000,00700HOUSEKEEPING 20467,A000000,00800,0000,00800DIETARY 20467,A000000,00900,0000,00900NURSING ADMINISTRATION 20467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20467,A000000,01100,0000,01100PHARMACY 20467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20467,A000000,01300,0000,01300SOCIAL SERVICE 20467,A000000,01350,0000,01500ACTIVITIES 20467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20467,A000000,01600,0000,01600SKILLED NURSING FACILITY 20467,A000000,01800,0000,01800NURSING FACILITY 20467,A000000,02100,0000,02100RADIOLOGY 20467,A000000,02200,0000,02200LABORATORY 20467,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20467,A000000,02500,0000,02500PHYSICAL THERAPY 20467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20467,A000000,02700,0000,02700SPEECH PATHOLOGY 20467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20467,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20467,A000000,03550,0000,03550FQHC 20467,A000000,05000,0000,05000CORF 20467,A000000,05010,0000,05010CMHC 20467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 20467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 20467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 20467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20467,A81000A,00100,0100,Y 20467,A81000B,00100,0300,HOME OFFICE COST 20467,A81000C,00100,0100,A 20467,A81000C,00100,0200,AUBREY PRESTON 20467,A81000C,00100,0400,DENVER HEALTH G 20467,A81000C,00100,0600,MANAGEMENT CO. 20467,A81000C,00200,0100,F 20467,A81000C,00200,0200,PENNY PRESTON 20467,A81000C,00200,0400,DENVER HEALTH G 20467,A81000C,00200,0600,MANAGEMENT CO. 20467,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20467,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20467,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20467,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20467,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20467,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20467,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20467,B100000,00000,0800,00000MEALS SERVED :DIETARY 20467,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 20467,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20467,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 20467,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20467,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20467,B100000,00000,1350,00000PT. DAYS :ACTIVITIES 20467,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20467,E10A180,00650,0100,08/03/2001 20467,E10A180,00650,0300,08/03/2001 20467,S000000,00100,0200,05/23/2000 20467,S200000,00100,0100,1004 HOLIDAY LANE 20467,S200000,00200,0100,FULTON 20467,S200000,00200,0200,KY 20467,S200000,00200,0300,42041- 20467,S200000,00400,0100,HAWS MEMORIAL NURSING HOME 20467,S200000,00400,0200,185047 20467,S200000,00400,0300,05/01/1984 20467,S200000,00400,0500,P 20467,S200000,00600,0200,185047 20467,S200000,00600,0300,05/01/1984 20467,S200000,00600,0600,P 20467,S200000,01004,0500,O 20467,S200000,01600,0100,Y 20467,S200000,02200,0100,Y 20474,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20474,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20474,A000000,00300,0000,00300EMPLOYEE BENEFITS 20474,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20474,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20474,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20474,A000000,00700,0000,00700HOUSEKEEPING 20474,A000000,00800,0000,00800DIETARY 20474,A000000,00900,0000,00900NURSING ADMINISTRATION 20474,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20474,A000000,01100,0000,01100PHARMACY 20474,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20474,A000000,01300,0000,01300SOCIAL SERVICE 20474,A000000,01350,0000,01500OTHER GENERAL SERVICES 20474,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20474,A000000,01600,0000,01600SKILLED NURSING FACILITY 20474,A000000,01800,0000,01800NURSING FACILITY 20474,A000000,01810,0000,01810ICF/MR 20474,A000000,01900,0000,01900OTHER LONG TERM CARE 20474,A000000,02100,0000,02100RADIOLOGY 20474,A000000,02200,0000,02200LABORATORY 20474,A000000,02300,0000,02300INTRAVENOUS THERAPY 20474,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20474,A000000,02500,0000,02500PHYSICAL THERAPY 20474,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20474,A000000,02700,0000,02700SPEECH PATHOLOGY 20474,A000000,02800,0000,02800ELECTROCARDIOLOGY 20474,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20474,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20474,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20474,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20474,A000000,03200,0000,03200SUPPORT SURFACES 20474,A000000,03400,0000,03400CLINIC 20474,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20474,A000000,03500,0000,03500RURAL HEALTH CLINIC 20474,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20474,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20474,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20474,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20474,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20474,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20474,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20474,A000000,04400,0000,04400DME RENTED - HHA 20474,A000000,04500,0000,04500DME SOLD - HHA 20474,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20474,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20474,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20474,A000000,04800,0000,04800AMBULANCE 20474,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20474,A000000,05000,0000,05000CORF 20474,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20474,A000000,05300,0000,05300INTEREST EXPENSE 20474,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20474,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20474,A000000,05500,0000,05500HOSPICE 20474,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20474,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20474,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20474,A000000,06100,0000,06100NONPAID WORKERS 20474,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20474,A000000,06200,0000,06200PATIENTS LAUNDRY 20474,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20474,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20474,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20474,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20474,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20474,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20474,B100000,00000,0800,00000MEALS SERVED :DIETARY 20474,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20474,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20474,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20474,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20474,E10A180,00601,0100,08/29/2001 20474,E10A180,00650,0300,08/29/2001 20474,S000000,00100,0200,05/30/2000 20474,S200000,00100,0100,2365 NASHVILLE ROAD 20474,S200000,00200,0100,BOWLING GREEN 20474,S200000,00200,0200,KY 20474,S200000,00200,0300,42101- 20474,S200000,00300,0100,WARREN 20474,S200000,00300,0200,18 20474,S200000,00300,0300,R 20474,S200000,00400,0100,COLONIAL MANOR NURSING HOME 20474,S200000,00400,0200,185048 20474,S200000,00400,0300,01/01/1974 20474,S200000,00400,0500,P 20474,S200000,01500,0100,Y 20474,S200000,04700,0100,Y 20474,S200000,04700,0200,Y 20477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20477,A000000,00300,0000,00300EMPLOYEE BENEFITS 20477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20477,A000000,00700,0000,00700HOUSEKEEPING 20477,A000000,00800,0000,00800DIETARY 20477,A000000,00900,0000,00900NURSING ADMINISTRATION 20477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20477,A000000,01100,0000,01100PHARMACY 20477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20477,A000000,01300,0000,01300SOCIAL SERVICE 20477,A000000,01350,0000,01500OTHER GENERAL SERVICES 20477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20477,A000000,01600,0000,01600SKILLED NURSING FACILITY 20477,A000000,01800,0000,01800NURSING FACILITY 20477,A000000,01810,0000,01810ICF/MR 20477,A000000,01900,0000,01900OTHER LONG TERM CARE 20477,A000000,02100,0000,02100RADIOLOGY 20477,A000000,02200,0000,02200LABORATORY 20477,A000000,02300,0000,02300INTRAVENOUS THERAPY 20477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20477,A000000,02500,0000,02500PHYSICAL THERAPY 20477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20477,A000000,02700,0000,02700SPEECH PATHOLOGY 20477,A000000,02800,0000,02800ELECTROCARDIOLOGY 20477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20477,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20477,A000000,03051,0000,03001AMBULANCE 20477,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20477,A000000,03200,0000,03200SUPPORT SURFACES 20477,A000000,03400,0000,03400CLINIC 20477,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20477,A000000,03500,0000,03500RURAL HEALTH CLINIC 20477,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20477,A000000,04800,0000,04800AMBULANCE 20477,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20477,A000000,05000,0000,05000CORF 20477,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20477,A000000,05300,0000,05300INTEREST EXPENSE 20477,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20477,A000000,05500,0000,05500HOSPICE 20477,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20477,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20477,A000000,06100,0000,06100NONPAID WORKERS 20477,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20477,A000000,06200,0000,06200PATIENTS LAUNDRY 20477,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20477,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 20477,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 20477,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20477,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20477,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20477,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20477,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20477,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20477,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20477,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20477,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20477,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20477,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20477,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20477,E10A180,00601,0100,08/03/2001 20477,E10A180,00650,0300,08/03/2001 20477,S000000,00100,0200,05/15/2000 20477,S200000,00100,0100,139 PEARL STREET 20477,S200000,00200,0100,AUBURN 20477,S200000,00200,0200,KY 20477,S200000,00200,0300,42206- 20477,S200000,00300,0100,LOGAN 20477,S200000,00400,0100,AUBURN HEALTH CARE 20477,S200000,00400,0200,185049 20477,S200000,00400,0300,01/01/1965 20477,S200000,00400,0500,P 20477,S200000,01500,0100,Y 20477,S200000,04700,0100,Y 20486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20486,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20486,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20486,A000000,00300,0000,00300EMPLOYEE BENEFITS 20486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20486,A000000,00700,0000,00700HOUSEKEEPING 20486,A000000,00800,0000,00800DIETARY 20486,A000000,00801,0000,00801CAFETERIA 20486,A000000,00900,0000,00900NURSING ADMINISTRATION 20486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20486,A000000,01100,0000,01100PHARMACY 20486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20486,A000000,01300,0000,01300SOCIAL SERVICE 20486,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20486,A000000,01600,0000,01600SKILLED NURSING FACILITY 20486,A000000,01800,0000,01800NURSING FACILITY 20486,A000000,01900,0000,01900OTHER LONG TERM CARE 20486,A000000,02100,0000,02100RADIOLOGY 20486,A000000,02200,0000,02200LABORATORY 20486,A000000,02300,0000,02300INTRAVENOUS THERAPY 20486,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20486,A000000,02500,0000,02500PHYSICAL THERAPY 20486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20486,A000000,02700,0000,02700SPEECH PATHOLOGY 20486,A000000,02800,0000,02800ELECTROCARDIOLOGY 20486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20486,A000000,03050,0000,03300OTHER ANCILLARY 20486,A000000,03051,0000,03301OTHER ANCILLARY II 20486,A000000,03052,0000,03302OTHER ANCILLARY III 20486,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20486,A000000,03200,0000,03200SUPPORT SURFACES 20486,A000000,03400,0000,03400CLINIC 20486,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20486,A000000,03500,0000,03500RURAL HEALTH CLINIC 20486,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20486,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20486,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20486,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20486,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20486,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20486,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20486,A000000,04400,0000,04400DME RENTED - HHA 20486,A000000,04500,0000,04500DME SOLD - HHA 20486,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20486,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20486,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20486,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20486,A000000,05000,0000,05000CORF 20486,A000000,05010,0000,05010CMHC I 20486,A000000,05020,0000,05020OPT I 20486,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20486,A000000,05300,0000,05300INTEREST EXPENSE 20486,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20486,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20486,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20486,A000000,05500,0000,05500HOSPICE 20486,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20486,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20486,A000000,06100,0000,06100NONPAID WORKERS 20486,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20486,A000000,06200,0000,06200PATIENTS LAUNDRY 20486,A81000A,00100,0100,Y 20486,A81000B,00100,0300,HOME OFFICE COSTS 20486,A81000B,00200,0300,MDS FEES 20486,A81000B,00300,0300,REHAB. FEES 20486,A81000B,00400,0300,REHAB. FFES 20486,A81000B,00500,0300,REHAB. FEES 20486,A81000C,00100,0100,B 20486,A81000C,00100,0400,EPI CORPORATION 20486,A81000C,00100,0600,NURSING HOMES 20486,A81000C,00200,0100,C 20486,A81000C,00200,0400,RMS INC. 20486,A81000C,00200,0600,MDS CONSULTING 20486,A81000C,00300,0100,C 20486,A81000C,00300,0400,RMS INC. 20486,A81000C,00300,0600,THERAPY 20486,A81000C,00400,0100,C 20486,A81000C,00400,0400,RMS INC 20486,A81000C,00400,0600,THERAPY 20486,A81000C,00500,0100,C 20486,A81000C,00500,0400,RMS INC. 20486,A81000C,00500,0600,THERAPY 20486,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20486,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20486,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20486,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20486,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20486,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20486,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20486,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20486,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20486,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20486,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20486,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20486,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20486,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20486,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20486,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20486,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20486,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20486,E10A180,00501,0100,06/29/1999 20486,E10A180,00550,0300,06/29/1999 20486,E10A180,00650,0100,08/07/2000 20486,E10A180,00650,0300,08/07/2000 20486,S000000,00100,0200,06/29/1999 20486,S200000,00100,0100,400 BOMAR HEIGHTS 20486,S200000,00200,0100,COLUMBIA 20486,S200000,00200,0200,KY 20486,S200000,00200,0300,42728- 20486,S200000,00300,0100,ADAIR 20486,S200000,00400,0100,SUMMIT MANOR 20486,S200000,00400,0200,185052 20486,S200000,00400,0300,04/01/1984 20486,S200000,00400,0500,P 20486,S200000,01500,0100,Y 20486,S200000,02200,0100,Y 20486,S700003,00000,0100,1 20488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20488,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20488,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20488,A000000,00300,0000,00300EMPLOYEE BENEFITS 20488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20488,A000000,00700,0000,00700HOUSEKEEPING 20488,A000000,00800,0000,00800DIETARY 20488,A000000,00801,0000,00801CAFETERIA 20488,A000000,00900,0000,00900NURSING ADMINISTRATION 20488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20488,A000000,01100,0000,01100PHARMACY 20488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20488,A000000,01300,0000,01300SOCIAL SERVICE 20488,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20488,A000000,01600,0000,01600SKILLED NURSING FACILITY 20488,A000000,01800,0000,01800NURSING FACILITY 20488,A000000,01900,0000,01900OTHER LONG TERM CARE 20488,A000000,02100,0000,02100RADIOLOGY 20488,A000000,02200,0000,02200LABORATORY 20488,A000000,02300,0000,02300INTRAVENOUS THERAPY 20488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20488,A000000,02500,0000,02500PHYSICAL THERAPY 20488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20488,A000000,02700,0000,02700SPEECH PATHOLOGY 20488,A000000,02800,0000,02800ELECTROCARDIOLOGY 20488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20488,A000000,03050,0000,03300OTHER ANCILLARY 20488,A000000,03051,0000,03301OTHER ANCILLARY II 20488,A000000,03052,0000,03302OTHER ANCILLARY III 20488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20488,A000000,03200,0000,03200SUPPORT SURFACES 20488,A000000,03400,0000,03400CLINIC 20488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20488,A000000,03500,0000,03500RURAL HEALTH CLINIC 20488,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20488,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20488,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20488,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20488,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20488,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20488,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20488,A000000,04400,0000,04400DME RENTED - HHA 20488,A000000,04500,0000,04500DME SOLD - HHA 20488,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20488,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20488,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20488,A000000,04800,0000,04800AMBULANCE 20488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20488,A000000,05000,0000,05000CORF 20488,A000000,05010,0000,05010CMHC I 20488,A000000,05020,0000,05020OPT I 20488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20488,A000000,05300,0000,05300INTEREST EXPENSE 20488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20488,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20488,A000000,05500,0000,05500HOSPICE 20488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20488,A000000,06100,0000,06100NONPAID WORKERS 20488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20488,A000000,06200,0000,06200PATIENTS LAUNDRY 20488,A81000A,00100,0100,Y 20488,A81000B,00100,0300,HOME OFFICE COSTS 20488,A81000B,00200,0300,MDS FEES 20488,A81000B,00300,0300,REHAB. FEES 20488,A81000B,00400,0300,REHAB. FEES 20488,A81000B,00500,0300,REHAB. FEES 20488,A81000C,00100,0100,B 20488,A81000C,00100,0400,EPI CORPORATION 20488,A81000C,00100,0600,NURSING HOMES 20488,A81000C,00200,0100,C 20488,A81000C,00200,0400,RMS INC. 20488,A81000C,00200,0600,MDS CONSULTING 20488,A81000C,00300,0100,C 20488,A81000C,00300,0400,RMS INC. 20488,A81000C,00300,0600,THERAPY 20488,A81000C,00400,0100,C 20488,A81000C,00400,0400,RMS INC. 20488,A81000C,00400,0600,THERAPY 20488,A81000C,00500,0100,C 20488,A81000C,00500,0400,RMS INC. 20488,A81000C,00500,0600,THERAPY 20488,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20488,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20488,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20488,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20488,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20488,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20488,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20488,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20488,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20488,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20488,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20488,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20488,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20488,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20488,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20488,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20488,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20488,S000000,00100,0200,12/22/1999 20488,S200000,00100,0100,400 BOMAR HEIGHTS 20488,S200000,00200,0100,COLUMBIA 20488,S200000,00200,0200,KY 20488,S200000,00200,0300,42728- 20488,S200000,00300,0100,ADAIR 20488,S200000,00400,0100,SUMMIT MANOR 20488,S200000,00400,0200,185052 20488,S200000,00400,0300,04/01/1984 20488,S200000,00400,0500,P 20488,S200000,01500,0100,Y 20488,S200000,02200,0100,Y 20488,S700003,00000,0200,2 20489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20489,A000000,00300,0000,00300EMPLOYEE BENEFITS 20489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20489,A000000,00700,0000,00700HOUSEKEEPING 20489,A000000,00800,0000,00800DIETARY 20489,A000000,00900,0000,00900NURSING ADMINISTRATION 20489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20489,A000000,01100,0000,01100PHARMACY 20489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20489,A000000,01300,0000,01300SOCIAL SERVICE 20489,A000000,01350,0000,01500OTHER GENERAL SERVICES 20489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20489,A000000,01600,0000,01600SKILLED NURSING FACILITY 20489,A000000,01800,0000,01800NURSING FACILITY 20489,A000000,01810,0000,01810ICF/MR 20489,A000000,01900,0000,01900OTHER LONG TERM CARE 20489,A000000,02100,0000,02100RADIOLOGY 20489,A000000,02200,0000,02200LABORATORY 20489,A000000,02300,0000,02300INTRAVENOUS THERAPY 20489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20489,A000000,02500,0000,02500PHYSICAL THERAPY 20489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20489,A000000,02700,0000,02700SPEECH PATHOLOGY 20489,A000000,02800,0000,02800ELECTROCARDIOLOGY 20489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20489,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20489,A000000,03200,0000,03200SUPPORT SURFACES 20489,A000000,03400,0000,03400CLINIC 20489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20489,A000000,03500,0000,03500RURAL HEALTH CLINIC 20489,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20489,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20489,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20489,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20489,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20489,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20489,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20489,A000000,04400,0000,04400DME RENTED - HHA 20489,A000000,04500,0000,04500DME SOLD - HHA 20489,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20489,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20489,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20489,A000000,04800,0000,04800AMBULANCE 20489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20489,A000000,05000,0000,05000CORF 20489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20489,A000000,05300,0000,05300INTEREST EXPENSE 20489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20489,A000000,05500,0000,05500HOSPICE 20489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20489,A000000,06100,0000,06100NONPAID WORKERS 20489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20489,A000000,06200,0000,06200PATIENTS LAUNDRY 20489,A81000A,00100,0100,Y 20489,A81000B,00100,0300,HOME OFFICE COSTS 20489,A81000B,00200,0300,MDS FEES 20489,A81000B,00300,0300,REHAB FEES 20489,A81000B,00400,0300,REHAB FEES 20489,A81000B,00500,0300,REHAB FEES 20489,A81000C,00100,0100,B 20489,A81000C,00100,0400,EPI CORPORATION 20489,A81000C,00100,0600,NURSING HOMES 20489,A81000C,00200,0100,C 20489,A81000C,00200,0400,RMS INC. 20489,A81000C,00200,0600,MDS CONSULTING 20489,A81000C,00300,0100,C 20489,A81000C,00300,0400,RMS INC. 20489,A81000C,00300,0600,THERAPY 20489,A81000C,00400,0100,C 20489,A81000C,00400,0400,RMS INC. 20489,A81000C,00400,0600,THERAPY 20489,A81000C,00500,0100,C 20489,A81000C,00500,0400,RMS INC. 20489,A81000C,00500,0600,THERAPY 20489,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20489,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20489,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20489,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20489,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20489,B100000,00000,0800,00000MEALS SERVED :DIETARY 20489,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 20489,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20489,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20489,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20489,E10A180,00501,0100,07/27/2000 20489,E10A180,00501,0300,07/27/2000 20489,E10A180,00601,0100,09/04/2001 20489,E10A180,00601,0300,09/04/2001 20489,S000000,00100,0200,05/31/2000 20489,S200000,00100,0100,400 BOMAR HEIGHTS 20489,S200000,00200,0100,COLUMBIA 20489,S200000,00200,0200,KY 20489,S200000,00200,0300,42728- 20489,S200000,00300,0100,ADAIR 20489,S200000,00300,0200,18 20489,S200000,00300,0300,R 20489,S200000,00400,0100,SUMMIT MANOR 20489,S200000,00400,0200,185052 20489,S200000,00400,0300,04/01/1984 20489,S200000,00400,0500,P 20489,S200000,01500,0100,Y 20489,S200000,02800,0100,Y 20497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20497,A000000,00300,0000,00300EMPLOYEE BENEFITS 20497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20497,A000000,00700,0000,00700HOUSEKEEPING 20497,A000000,00800,0000,00800DIETARY 20497,A000000,00900,0000,00900NURSING ADMINISTRATION 20497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20497,A000000,01100,0000,01100PHARMACY 20497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20497,A000000,01300,0000,01300SOCIAL SERVICE 20497,A000000,01350,0000,01500OTHER GENERAL SERVICES 20497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20497,A000000,01600,0000,01600SKILLED NURSING FACILITY 20497,A000000,01800,0000,01800NURSING FACILITY 20497,A000000,01810,0000,01810ICF/MR 20497,A000000,01900,0000,01900OTHER LONG TERM CARE 20497,A000000,02100,0000,02100RADIOLOGY 20497,A000000,02200,0000,02200LABORATORY 20497,A000000,02300,0000,02300INTRAVENOUS THERAPY 20497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20497,A000000,02500,0000,02500PHYSICAL THERAPY 20497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20497,A000000,02700,0000,02700SPEECH PATHOLOGY 20497,A000000,02800,0000,02800ELECTROCARDIOLOGY 20497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20497,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20497,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20497,A000000,03200,0000,03200SUPPORT SURFACES 20497,A000000,03400,0000,03400CLINIC 20497,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20497,A000000,03500,0000,03500RURAL HEALTH CLINIC 20497,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20497,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20497,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20497,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20497,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20497,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20497,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20497,A000000,04400,0000,04400DME RENTED - HHA 20497,A000000,04500,0000,04500DME SOLD - HHA 20497,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20497,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20497,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20497,A000000,04800,0000,04800AMBULANCE 20497,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20497,A000000,05000,0000,05000CORF 20497,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20497,A000000,05300,0000,05300INTEREST EXPENSE 20497,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20497,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20497,A000000,05500,0000,05500HOSPICE 20497,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20497,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20497,A000000,06100,0000,06100NONPAID WORKERS 20497,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20497,A000000,06200,0000,06200PATIENTS LAUNDRY 20497,A81000A,00100,0100,Y 20497,A81000B,00100,0300,DEPRECIATION-BLDG & FIXT 20497,A81000B,00200,0300,INTEREST 20497,A81000B,00300,0300,AMORTIZATON 20497,A81000C,00100,0100,B 20497,A81000C,00100,0200,SUNRISE MANOR 20497,A81000C,00100,0400,LARUE COUNTY PUBLIC PROP 20497,A81000C,00100,0600,HOLDING COMPANY 20497,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20497,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20497,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20497,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20497,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20497,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20497,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20497,B100000,00000,0800,00000MEALS SERVED :DIETARY 20497,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20497,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20497,E10A180,00550,0100,09/14/2000 20497,E10A180,00601,0100,09/12/2001 20497,E10A180,00601,0300,09/12/2001 20497,S000000,00100,0200,09/05/2000 20497,S200000,00100,0100,PHILLIPS LANE 20497,S200000,00200,0100,HODGENVILLE 20497,S200000,00200,0200,KY 20497,S200000,00200,0300,42748- 20497,S200000,00300,0100,LARUE 20497,S200000,00300,0200,9918 20497,S200000,00300,0300,R 20497,S200000,00400,0100,LARUE COUNTY GERIATRIC CENTER INC. 20497,S200000,00400,0200,185057 20497,S200000,00400,0300,11/14/1967 20497,S200000,00400,0500,P 20497,S200000,01600,0100,Y 20505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20505,A000000,00300,0000,00300EMPLOYEE BENEFITS 20505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20505,A000000,00700,0000,00700HOUSEKEEPING 20505,A000000,00800,0000,00800DIETARY 20505,A000000,00900,0000,00900NURSING ADMINISTRATION 20505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20505,A000000,01100,0000,01100PHARMACY 20505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20505,A000000,01300,0000,01300SOCIAL SERVICE 20505,A000000,01350,0000,01500OTHER GENERAL SERVICES 20505,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20505,A000000,01600,0000,01600SKILLED NURSING FACILITY 20505,A000000,01800,0000,01800NURSING FACILITY 20505,A000000,01810,0000,01801ICF/MR 20505,A000000,01900,0000,01900OTHER LONG TERM CARE 20505,A000000,02100,0000,02100RADIOLOGY 20505,A000000,02200,0000,02200LABORATORY 20505,A000000,02300,0000,02300INTRAVENOUS THERAPY 20505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20505,A000000,02500,0000,02500PHYSICAL THERAPY 20505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20505,A000000,02700,0000,02700SPEECH PATHOLOGY 20505,A000000,02800,0000,02800ELECTROCARDIOLOGY 20505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20505,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20505,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20505,A000000,03200,0000,03200SUPPORT SURFACES 20505,A000000,03400,0000,03400CLINIC 20505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20505,A000000,03500,0000,03500RURAL HEALTH CLINIC 20505,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20505,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20505,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20505,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20505,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20505,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20505,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20505,A000000,04400,0000,04400DME RENTED - HHA 20505,A000000,04500,0000,04500DME SOLD - HHA 20505,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20505,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20505,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20505,A000000,04800,0000,04800AMBULANCE 20505,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20505,A000000,05000,0000,05000CORF 20505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20505,A000000,05300,0000,05300INTEREST EXPENSE 20505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20505,A000000,05500,0000,05500HOSPICE 20505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20505,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20505,A000000,06100,0000,06100NONPAID WORKERS 20505,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20505,A000000,06200,0000,06200PATIENTS LAUNDRY 20505,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20505,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20505,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20505,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20505,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20505,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20505,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20505,B100000,00000,0800,00000MEALS SERVED :DIETARY 20505,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 20505,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 20505,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20505,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 20505,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 20505,B100000,00000,1350,00000INPATIENT DAYS :OTHER GENERAL SERV 20505,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20505,E10A180,00601,0100,03/15/2001 20505,E10A180,00601,0300,03/15/2001 20505,S000000,00100,0200,07/27/2000 20505,S200000,00100,0100,120 MAIN STREET 20505,S200000,00200,0100,NEWPORT 20505,S200000,00200,0200,KY 20505,S200000,00200,0300,41071- 20505,S200000,00300,0100,CAMPBELL 20505,S200000,00400,0100,BAPTIST CONVALESCENT CENTER 20505,S200000,00400,0200,185058 20505,S200000,00400,0300,07/01/1966 20505,S200000,00400,0500,P 20505,S200000,01500,0100,Y 20514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20514,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20514,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20514,A000000,00300,0000,00300EMPLOYEE BENEFITS 20514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20514,A000000,00700,0000,00700HOUSEKEEPING 20514,A000000,00800,0000,00800DIETARY 20514,A000000,00801,0000,00801CAFETERIA 20514,A000000,00900,0000,00900NURSING ADMINISTRATION 20514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20514,A000000,01100,0000,01100PHARMACY 20514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20514,A000000,01300,0000,01300SOCIAL SERVICE 20514,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20514,A000000,01600,0000,01600SKILLED NURSING FACILITY 20514,A000000,01800,0000,01800NURSING FACILITY 20514,A000000,01900,0000,01900OTHER LONG TERM CARE 20514,A000000,02100,0000,02100RADIOLOGY 20514,A000000,02200,0000,02200LABORATORY 20514,A000000,02300,0000,02300INTRAVENOUS THERAPY 20514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20514,A000000,02500,0000,02500PHYSICAL THERAPY 20514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20514,A000000,02700,0000,02700SPEECH PATHOLOGY 20514,A000000,02800,0000,02800ELECTROCARDIOLOGY 20514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20514,A000000,03050,0000,03300OTHER ANCILLARY 20514,A000000,03051,0000,03301OTHER ANCILLARY II 20514,A000000,03052,0000,03302OTHER ANCILLARY III 20514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20514,A000000,03200,0000,03200SUPPORT SURFACES 20514,A000000,03400,0000,03400CLINIC 20514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20514,A000000,03500,0000,03500RURAL HEALTH CLINIC 20514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20514,A000000,04400,0000,04400DME RENTED - HHA 20514,A000000,04500,0000,04500DME SOLD - HHA 20514,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20514,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20514,A000000,05000,0000,05000CORF 20514,A000000,05010,0000,05010CMHC I 20514,A000000,05020,0000,05020OPT I 20514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20514,A000000,05300,0000,05300INTEREST EXPENSE 20514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20514,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20514,A000000,05500,0000,05500HOSPICE 20514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20514,A000000,06100,0000,06100NONPAID WORKERS 20514,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20514,A000000,06200,0000,06200PATIENTS LAUNDRY 20514,A81000A,00100,0100,Y 20514,A81000B,00100,0300,HOME OFFICE COSTS 20514,A81000B,00200,0300,PUBLIC RELATIONS 20514,A81000B,00300,0300,MDS FEES 20514,A81000B,00400,0300,REHAB. FEES 20514,A81000B,00500,0300,REHAB. FEES 20514,A81000B,00600,0300,REHAB. FEES 20514,A81000C,00100,0100,B 20514,A81000C,00100,0400,EPI CORPORATION 20514,A81000C,00100,0600,NURSING HOMES 20514,A81000C,00200,0100,C 20514,A81000C,00200,0400,LUKEN/NUGENT 20514,A81000C,00200,0600,HC COMM. 20514,A81000C,00300,0100,C 20514,A81000C,00300,0400,RMS INC. 20514,A81000C,00300,0600,MDS CONSULTING 20514,A81000C,00400,0100,C 20514,A81000C,00400,0400,RMS INC. 20514,A81000C,00400,0600,THERAPY 20514,A81000C,00500,0100,C 20514,A81000C,00500,0400,RMS INC. 20514,A81000C,00500,0600,THERAPY 20514,A81000C,00600,0100,C 20514,A81000C,00600,0400,RMS INC. 20514,A81000C,00600,0600,THERAPY 20514,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20514,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20514,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20514,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20514,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20514,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20514,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20514,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20514,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20514,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20514,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20514,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20514,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20514,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20514,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20514,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20514,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20514,E10A180,00550,0100,06/29/1999 20514,S000000,00100,0200,06/29/1999 20514,S200000,00100,0300,9 20514,S200000,00200,0100,RICHMOND 20514,S200000,00200,0200,KY 20514,S200000,00200,0300,40476-0009 20514,S200000,00300,0100,MADISON 20514,S200000,00400,0100,KENWOOD HOUSE 20514,S200000,00400,0200,185061 20514,S200000,00400,0300,08/01/1976 20514,S200000,00400,0500,P 20514,S200000,01600,0100,Y 20514,S200000,02200,0100,Y 20514,S700003,00000,0100,1 20516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20516,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20516,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20516,A000000,00300,0000,00300EMPLOYEE BENEFITS 20516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20516,A000000,00700,0000,00700HOUSEKEEPING 20516,A000000,00800,0000,00800DIETARY 20516,A000000,00801,0000,00801CAFETERIA 20516,A000000,00900,0000,00900NURSING ADMINISTRATION 20516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20516,A000000,01100,0000,01100PHARMACY 20516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20516,A000000,01300,0000,01300SOCIAL SERVICE 20516,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20516,A000000,01600,0000,01600SKILLED NURSING FACILITY 20516,A000000,01800,0000,01800NURSING FACILITY 20516,A000000,01900,0000,01900OTHER LONG TERM CARE 20516,A000000,02100,0000,02100RADIOLOGY 20516,A000000,02200,0000,02200LABORATORY 20516,A000000,02300,0000,02300INTRAVENOUS THERAPY 20516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20516,A000000,02500,0000,02500PHYSICAL THERAPY 20516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20516,A000000,02700,0000,02700SPEECH PATHOLOGY 20516,A000000,02800,0000,02800ELECTROCARDIOLOGY 20516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20516,A000000,03050,0000,03300OTHER ANCILLARY 20516,A000000,03051,0000,03301OTHER ANCILLARY II 20516,A000000,03052,0000,03302OTHER ANCILLARY III 20516,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20516,A000000,03200,0000,03200SUPPORT SURFACES 20516,A000000,03400,0000,03400CLINIC 20516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20516,A000000,03500,0000,03500RURAL HEALTH CLINIC 20516,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20516,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20516,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20516,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20516,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20516,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20516,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20516,A000000,04400,0000,04400DME RENTED - HHA 20516,A000000,04500,0000,04500DME SOLD - HHA 20516,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20516,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20516,A000000,04800,0000,04800AMBULANCE 20516,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20516,A000000,05000,0000,05000CORF 20516,A000000,05010,0000,05010CMHC I 20516,A000000,05020,0000,05020OPT I 20516,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20516,A000000,05300,0000,05300INTEREST EXPENSE 20516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20516,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20516,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20516,A000000,05500,0000,05500HOSPICE 20516,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20516,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20516,A000000,06100,0000,06100NONPAID WORKERS 20516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20516,A000000,06200,0000,06200PATIENTS LAUNDRY 20516,A81000A,00100,0100,Y 20516,A81000B,00100,0300,HOME OFFICE COSTS 20516,A81000B,00200,0300,PUBLIC RELATIONS 20516,A81000B,00300,0300,MDS FEES 20516,A81000B,00400,0300,REHAB FEES 20516,A81000B,00500,0300,REHAB FEES 20516,A81000B,00600,0300,REHAB FEES 20516,A81000C,00100,0100,B 20516,A81000C,00100,0400,EPI CORPORATION 20516,A81000C,00100,0600,NURSING HOMES 20516,A81000C,00200,0100,C 20516,A81000C,00200,0400,LUKEN/NUGENT 20516,A81000C,00200,0600,HC COMM. 20516,A81000C,00300,0100,C 20516,A81000C,00300,0400,RMS INC. 20516,A81000C,00300,0600,MDS CONSULTING 20516,A81000C,00400,0100,C 20516,A81000C,00400,0400,RMS INC. 20516,A81000C,00400,0600,THERAPY 20516,A81000C,00500,0100,C 20516,A81000C,00500,0400,RMS INC. 20516,A81000C,00500,0600,THERAPY 20516,A81000C,00600,0100,C 20516,A81000C,00600,0400,RMS INC. 20516,A81000C,00600,0600,THERAPY 20516,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20516,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20516,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20516,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20516,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20516,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20516,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20516,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20516,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20516,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20516,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20516,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20516,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20516,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20516,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20516,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20516,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20516,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20516,E10A180,00501,0100,01/07/2000 20516,E10A180,00550,0300,01/07/2000 20516,E10A180,00601,0300,01/26/2001 20516,E10A180,00650,0100,01/26/2001 20516,S000000,00100,0200,12/29/1999 20516,S200000,00100,0300,9 20516,S200000,00200,0100,RICHMOND 20516,S200000,00200,0200,KY 20516,S200000,00200,0300,40476-0009 20516,S200000,00300,0100,MADISON 20516,S200000,00400,0100,RICHMOND HLT & REHAB COMPLEX-KENWOOD 20516,S200000,00400,0200,185061 20516,S200000,00400,0300,08/01/1976 20516,S200000,00400,0500,P 20516,S200000,01600,0100,Y 20516,S200000,02200,0100,Y 20518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20518,A000000,00300,0000,00300EMPLOYEE BENEFITS 20518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20518,A000000,00700,0000,00700HOUSEKEEPING 20518,A000000,00800,0000,00800DIETARY 20518,A000000,00900,0000,00900NURSING ADMINISTRATION 20518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20518,A000000,01100,0000,01100PHARMACY 20518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20518,A000000,01300,0000,01300SOCIAL SERVICE 20518,A000000,01350,0000,01500OTHER GENERAL SERVICES 20518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20518,A000000,01600,0000,01600SKILLED NURSING FACILITY 20518,A000000,01800,0000,01800NURSING FACILITY 20518,A000000,01810,0000,01801ICF/MR 20518,A000000,01900,0000,01900OTHER LONG TERM CARE 20518,A000000,02100,0000,02100RADIOLOGY 20518,A000000,02200,0000,02200LABORATORY 20518,A000000,02300,0000,02300INTRAVENOUS THERAPY 20518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20518,A000000,02500,0000,02500PHYSICAL THERAPY 20518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20518,A000000,02700,0000,02700SPEECH PATHOLOGY 20518,A000000,02800,0000,02800ELECTROCARDIOLOGY 20518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20518,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20518,A000000,03200,0000,03200SUPPORT SURFACES 20518,A000000,03400,0000,03400CLINIC 20518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20518,A000000,03500,0000,03500RURAL HEALTH CLINIC 20518,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20518,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20518,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20518,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20518,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20518,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20518,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20518,A000000,04400,0000,04400DME RENTED - HHA 20518,A000000,04500,0000,04500DME SOLD - HHA 20518,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20518,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20518,A000000,04800,0000,04800AMBULANCE 20518,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20518,A000000,05000,0000,05000CORF 20518,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20518,A000000,05300,0000,05300INTEREST EXPENSE 20518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20518,A000000,05500,0000,05500HOSPICE 20518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20518,A000000,06100,0000,06100NONPAID WORKERS 20518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20518,A000000,06200,0000,06200PATIENTS LAUNDRY 20518,A81000A,00100,0100,Y 20518,A81000B,00100,0300,HOME OFFICE COSTS 20518,A81000B,00200,0300,PUBLIC RELATIONS 20518,A81000B,00300,0300,MDS FEES 20518,A81000B,00400,0300,REHAB FEES 20518,A81000B,00500,0300,REHAB FEES 20518,A81000B,00600,0300,REHAB FEES 20518,A81000C,00100,0100,B 20518,A81000C,00100,0400,EPI CORPORATION 20518,A81000C,00100,0600,NURSING HOMES 20518,A81000C,00200,0100,C 20518,A81000C,00200,0400,LUKEN/NUGENT 20518,A81000C,00200,0600,HC COMM. 20518,A81000C,00300,0100,C 20518,A81000C,00300,0400,RMS INC. 20518,A81000C,00300,0600,MDS CONSULTING 20518,A81000C,00400,0100,C 20518,A81000C,00400,0400,RMS INC. 20518,A81000C,00400,0600,THERAPY 20518,A81000C,00500,0100,C 20518,A81000C,00500,0400,RMS INC. 20518,A81000C,00500,0600,THERAPY 20518,A81000C,00600,0100,C 20518,A81000C,00600,0400,RMS INC. 20518,A81000C,00600,0600,THERAPY 20518,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20518,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20518,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20518,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20518,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20518,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20518,B100000,00000,0800,00000MEALS SERVED :DIETARY 20518,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20518,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20518,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20518,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20518,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20518,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20518,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20518,E10A180,00601,0100,05/08/2001 20518,E10A180,00601,0300,05/08/2001 20518,S000000,00100,0200,05/31/2000 20518,S200000,00100,0300,9 20518,S200000,00200,0100,RICHMOND 20518,S200000,00200,0200,KY 20518,S200000,00200,0300,40476-0009 20518,S200000,00300,0100,MADISON 20518,S200000,00400,0100,RICHMOND HLT & REHAB COMPLEX-KENWOOD 20518,S200000,00400,0200,185061 20518,S200000,00400,0300,08/01/1976 20518,S200000,00400,0500,P 20518,S200000,01600,0100,Y 20518,S200000,02200,0100,Y 20518,S200000,02800,0100,Y 20527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20527,A000000,00300,0000,00300EMPLOYEE BENEFITS 20527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20527,A000000,00700,0000,00700HOUSEKEEPING 20527,A000000,00800,0000,00800DIETARY 20527,A000000,00900,0000,00900NURSING ADMINISTRATION 20527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20527,A000000,01100,0000,01100PHARMACY 20527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20527,A000000,01300,0000,01300SOCIAL SERVICE 20527,A000000,01350,0000,01500RECREATION THERAPY / CHAPEL 20527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20527,A000000,01600,0000,01600SKILLED NURSING FACILITY 20527,A000000,01800,0000,01800NURSING FACILITY 20527,A000000,01810,0000,01810ICF/MR 20527,A000000,01900,0000,01900OTHER LONG TERM CARE 20527,A000000,02100,0000,02100RADIOLOGY 20527,A000000,02200,0000,02200LABORATORY 20527,A000000,02300,0000,02300INTRAVENOUS THERAPY 20527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20527,A000000,02500,0000,02500PHYSICAL THERAPY 20527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20527,A000000,02700,0000,02700SPEECH PATHOLOGY 20527,A000000,02800,0000,02800ELECTROCARDIOLOGY 20527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20527,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20527,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20527,A000000,03200,0000,03200SUPPORT SURFACES 20527,A000000,03400,0000,03400CLINIC 20527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20527,A000000,03500,0000,03500RURAL HEALTH CLINIC 20527,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20527,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20527,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20527,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20527,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20527,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20527,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20527,A000000,04400,0000,04400DME RENTED - HHA 20527,A000000,04500,0000,04500DME SOLD - HHA 20527,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20527,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20527,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20527,A000000,04800,0000,04800AMBULANCE 20527,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20527,A000000,05000,0000,05000CORF 20527,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20527,A000000,05300,0000,05300INTEREST EXPENSE 20527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20527,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20527,A000000,05500,0000,05500HOSPICE 20527,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20527,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20527,A000000,06100,0000,06100NONPAID WORKERS 20527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20527,A000000,06200,0000,06200PATIENTS LAUNDRY 20527,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20527,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20527,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20527,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20527,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20527,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20527,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 20527,B100000,00000,0800,00000MEALS :DIETARY 20527,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 20527,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 20527,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 20527,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20527,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20527,B100000,00000,1350,00000# OF BEDS :RECREATION THERAPY / CHA 20527,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 20527,E10A180,00501,0100,09/11/2000 20527,E10A180,00550,0300,09/11/2000 20527,E10A180,00601,0300,07/03/2001 20527,E10A180,00650,0100,07/03/2001 20527,S000000,00100,0200,09/05/2000 20527,S200000,00100,0100,500 FARRELL DRIVE 20527,S200000,00200,0100,COVINGTON 20527,S200000,00200,0200,KY 20527,S200000,00200,0300,41011- 20527,S200000,00300,0100,USA 20527,S200000,00400,0100,ST. CHARLES CARE CENTER INC 20527,S200000,00400,0200,185067 20527,S200000,00400,0300,08/09/1968 20527,S200000,00400,0500,P 20527,S200000,01600,0100,Y 20527,S200000,02800,0100,Y 20527,S200000,04300,0100,Y 20537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20537,A000000,00300,0000,00300EMPLOYEE BENEFITS 20537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20537,A000000,00700,0000,00700HOUSEKEEPING 20537,A000000,00800,0000,00800DIETARY 20537,A000000,00900,0000,00900NURSING ADMINISTRATION 20537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20537,A000000,01100,0000,01100PHARMACY 20537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20537,A000000,01300,0000,01300SOCIAL SERVICE 20537,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20537,A000000,01600,0000,01600SKILLED NURSING FACILITY 20537,A000000,01800,0000,01800NURSING FACILITY 20537,A000000,01810,0000,01810ICF/MR 20537,A000000,01900,0000,01900OTHER LONG TERM CARE 20537,A000000,02100,0000,02100RADIOLOGY 20537,A000000,02200,0000,02200LABORATORY 20537,A000000,02300,0000,02300INTRAVENOUS THERAPY 20537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20537,A000000,02500,0000,02500PHYSICAL THERAPY 20537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20537,A000000,02700,0000,02700SPEECH PATHOLOGY 20537,A000000,02800,0000,02800ELECTROCARDIOLOGY 20537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20537,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20537,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20537,A000000,03200,0000,03200SUPPORT SURFACES 20537,A000000,03400,0000,03400CLINIC 20537,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 20537,A000000,03500,0000,03500RURAL HEALTH CLINIC 20537,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20537,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20537,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20537,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20537,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20537,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20537,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20537,A000000,04400,0000,04400DME RENTED - HHA 20537,A000000,04500,0000,04500DME SOLD - HHA 20537,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20537,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20537,A000000,04800,0000,04800AMBULANCE 20537,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20537,A000000,05000,0000,05000CORF 20537,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20537,A000000,05300,0000,05300INTEREST EXPENSE 20537,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20537,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20537,A000000,05500,0000,05500HOSPICE 20537,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20537,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20537,A000000,06100,0000,06100NONPAID WORKERS 20537,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 20537,A000000,06200,0000,06200PATIENTS LAUNDRY 20537,A81000A,00100,0100,Y 20537,A81000B,00100,0300,HOME OFFICE EXPENSE 20537,A81000B,00200,0300,HOME OFFICE EXPENSE 20537,A81000B,00300,0300,EMPLOYEE UNIFORMS 20537,A81000B,00400,0300,PLANT SUPPLIES 20537,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 20537,A81000B,00600,0300,FOOD SUPPLEMENTS 20537,A81000B,00700,0300,NURSING SUPPLIES 20537,A81000B,00800,0300,PT SUPPLIES 20537,A81000B,00900,0300,OT SUPPLIES 20537,A81000B,01000,0300,MEDICAL SUPPLIES 20537,A81000B,01100,0300,PHARMACY SUPPLIES 20537,A81000C,00100,0100,B 20537,A81000C,00100,0200,PINECREST MANOR 20537,A81000C,00100,0400,ADVENTIST CARE 20537,A81000C,00100,0600,NURSING HOME CO 20537,A81000C,00200,0100,G 20537,A81000C,00200,0200,PINECREST MANOR 20537,A81000C,00200,0400,Q-CARE 20537,A81000C,00200,0600,MEDICAL SUPPLY 20537,A81000C,03100,0000,PINECREST MANOR 20537,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20537,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20537,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20537,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20537,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20537,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20537,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20537,B100000,00000,0800,00000MEALS SERVED :DIETARY 20537,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20537,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 20537,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 20537,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20537,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20537,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20537,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20537,E10A180,00501,0100,07/12/2000 20537,E10A180,00601,0100,04/10/2001 20537,S000000,00100,0200,06/05/2000 20537,S200000,00100,0100,950 HIGHPOINT DRIVE 20537,S200000,00200,0100,HOPKINSVILLE 20537,S200000,00200,0200,KY 20537,S200000,00200,0300,42240- 20537,S200000,00300,0100,CHRISTIAN 20537,S200000,00400,0100,PINECREST MANOR 20537,S200000,00400,0200,185076 20537,S200000,00400,0300,08/21/1979 20537,S200000,00400,0500,P 20537,S200000,01600,0100,Y 20552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20552,A000000,00300,0000,00300EMPLOYEE BENEFITS 20552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20552,A000000,00700,0000,00700HOUSEKEEPING 20552,A000000,00800,0000,00800DIETARY 20552,A000000,00900,0000,00900NURSING ADMINISTRATION 20552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20552,A000000,01100,0000,01100PHARMACY 20552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20552,A000000,01300,0000,01300SOCIAL SERVICE 20552,A000000,01350,0000,01500OTHER GENERAL SERVICES 20552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20552,A000000,01600,0000,01600SKILLED NURSING FACILITY 20552,A000000,01800,0000,01800NURSING FACILITY 20552,A000000,01810,0000,01810ICF/MR 20552,A000000,01900,0000,01900OTHER LONG TERM CARE 20552,A000000,02100,0000,02100RADIOLOGY 20552,A000000,02200,0000,02200LABORATORY 20552,A000000,02300,0000,02300INTRAVENOUS THERAPY 20552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20552,A000000,02500,0000,02500PHYSICAL THERAPY 20552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20552,A000000,02700,0000,02700SPEECH PATHOLOGY 20552,A000000,02800,0000,02800ELECTROCARDIOLOGY 20552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20552,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20552,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20552,A000000,03200,0000,03200SUPPORT SURFACES 20552,A000000,03400,0000,03400CLINIC 20552,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20552,A000000,03500,0000,03500RURAL HEALTH CLINIC 20552,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20552,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20552,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20552,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20552,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20552,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20552,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20552,A000000,04400,0000,04400DME RENTED - HHA 20552,A000000,04500,0000,04500DME SOLD - HHA 20552,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20552,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20552,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20552,A000000,04800,0000,04800AMBULANCE 20552,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20552,A000000,05000,0000,05000CORF 20552,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20552,A000000,05300,0000,05300INTEREST EXPENSE 20552,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20552,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20552,A000000,05500,0000,05500HOSPICE 20552,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20552,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20552,A000000,06100,0000,06100NONPAID WORKERS 20552,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20552,A000000,06200,0000,06200PATIENTS LAUNDRY 20552,A81000A,00100,0100,Y 20552,A81000B,00100,0300,HOME OFFICE 20552,A81000C,00100,0100,B 20552,A81000C,00100,0200,SENIORCARE LLC 20552,A81000C,00100,0400,SENIORCARE LLC 20552,A81000C,00100,0600,HOME OFFICE 20552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20552,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20552,B100000,00000,0800,00000MEALS SERVED :DIETARY 20552,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20552,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20552,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20552,E10A180,00601,0100,08/29/2001 20552,S000000,00100,0200,07/07/2000 20552,S200000,00100,0100,7300 WOODSPOINT DRIVE 20552,S200000,00200,0100,FLORENCE 20552,S200000,00200,0200,KY 20552,S200000,00200,0300,41042- 20552,S200000,00300,0100,BOONE 20552,S200000,00300,0200,1640 20552,S200000,00300,0300,U 20552,S200000,00400,0100,WOODSPOINT HEALTH CARE CENTER 20552,S200000,00400,0200,185090 20552,S200000,00400,0300,04/01/1995 20552,S200000,00400,0500,P 20552,S200000,01500,0100,Y 20575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20575,A000000,00300,0000,00300EMPLOYEE BENEFITS 20575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20575,A000000,00700,0000,00700HOUSEKEEPING 20575,A000000,00800,0000,00800DIETARY 20575,A000000,00900,0000,00900NURSING ADMINISTRATION 20575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20575,A000000,01100,0000,01100PHARMACY 20575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20575,A000000,01300,0000,01300SOCIAL SERVICE 20575,A000000,01350,0000,01500OTHER GENERAL SERVICES 20575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20575,A000000,01600,0000,01600SKILLED NURSING FACILITY 20575,A000000,01800,0000,01800NURSING FACILITY 20575,A000000,01810,0000,01810ICF/MR 20575,A000000,01900,0000,01900OTHER LONG TERM CARE 20575,A000000,02100,0000,02100RADIOLOGY 20575,A000000,02200,0000,02200LABORATORY 20575,A000000,02300,0000,02300INTRAVENOUS THERAPY 20575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20575,A000000,02500,0000,02500PHYSICAL THERAPY 20575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20575,A000000,02700,0000,02700SPEECH PATHOLOGY 20575,A000000,02800,0000,02800ELECTROCARDIOLOGY 20575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20575,A000000,03200,0000,03200SUPPORT SURFACES 20575,A000000,03400,0000,03400CLINIC 20575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20575,A000000,03500,0000,03500RURAL HEALTH CLINIC 20575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20575,A000000,04400,0000,04400DME RENTED - HHA 20575,A000000,04500,0000,04500DME SOLD - HHA 20575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20575,A000000,04800,0000,04800AMBULANCE 20575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20575,A000000,05000,0000,05000CORF 20575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20575,A000000,05300,0000,05300INTEREST EXPENSE 20575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20575,A000000,05500,0000,05500HOSPICE 20575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20575,A000000,06100,0000,06100NONPAID WORKERS 20575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20575,A000000,06200,0000,06200PATIENTS LAUNDRY 20575,A81000A,00100,0100,Y 20575,A81000B,00100,0300,HOME OFFICE COST 20575,A81000B,00200,0300,MANAGEMENT FEES 20575,A81000C,00100,0100,B 20575,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 20575,A81000C,00100,0400,AHF HOME OFFICE 20575,A81000C,00100,0600,HOME OFFICE 20575,A81000C,00200,0100,B 20575,A81000C,00200,0200,AMERICAN HEALTH FOUNDATIO 20575,A81000C,00200,0400,MANAGEMENT FEES 20575,A81000C,00200,0600,MANAGEMENT FO. 20575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20575,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 20575,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 20575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20575,B100000,00000,0600,00000POUNDS OF SERVICE :LAUNDRY & LINEN 20575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20575,B100000,00000,0800,00000MEALS SERVED :DIETARY 20575,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20575,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20575,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 20575,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20575,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20575,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20575,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20575,E10A180,00601,0100,08/03/2001 20575,E10A180,00601,0300,08/03/2001 20575,S000000,00100,0200,06/07/2000 20575,S200000,00100,0100,900 GAGEL AVE 20575,S200000,00200,0100,LOUISVILLE 20575,S200000,00200,0200,KY 20575,S200000,00200,0300,40216- 20575,S200000,00300,0100,JEFFERSON 20575,S200000,00400,0100,AHF KY/IA GEORGETOWN MANOR 20575,S200000,00400,0200,185096 20575,S200000,00400,0300,01/01/1990 20575,S200000,00400,0500,P 20575,S200000,01600,0100,Y 20587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20587,A000000,00300,0000,00300EMPLOYEE BENEFITS 20587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20587,A000000,00700,0000,00700HOUSEKEEPING 20587,A000000,00800,0000,00800DIETARY 20587,A000000,00900,0000,00900NURSING ADMINISTRATION 20587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20587,A000000,01100,0000,01100PHARMACY 20587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20587,A000000,01300,0000,01300SOCIAL SERVICE 20587,A000000,01350,0000,01500OTHER GENERAL SERVICES 20587,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20587,A000000,01600,0000,01600SKILLED NURSING FACILITY 20587,A000000,01800,0000,01800NURSING FACILITY 20587,A000000,01810,0000,01810ICF/MR 20587,A000000,01900,0000,01900OTHER LONG TERM CARE 20587,A000000,02100,0000,02100RADIOLOGY 20587,A000000,02200,0000,02200LABORATORY 20587,A000000,02300,0000,02300INTRAVENOUS THERAPY 20587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20587,A000000,02500,0000,02500PHYSICAL THERAPY 20587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20587,A000000,02700,0000,02700SPEECH PATHOLOGY 20587,A000000,02800,0000,02800ELECTROCARDIOLOGY 20587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20587,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20587,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20587,A000000,03200,0000,03200SUPPORT SURFACES 20587,A000000,03400,0000,03400CLINIC 20587,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20587,A000000,03500,0000,03500RURAL HEALTH CLINIC 20587,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20587,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20587,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20587,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20587,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20587,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20587,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20587,A000000,04400,0000,04400DME RENTED - HHA 20587,A000000,04500,0000,04500DME SOLD - HHA 20587,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20587,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20587,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20587,A000000,04800,0000,04800AMBULANCE 20587,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20587,A000000,05000,0000,05000CORF 20587,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20587,A000000,05300,0000,05300INTEREST EXPENSE 20587,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20587,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20587,A000000,05500,0000,05500HOSPICE 20587,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20587,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20587,A000000,06100,0000,06100NONPAID WORKERS 20587,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20587,A000000,06200,0000,06200PATIENTS LAUNDRY 20587,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20587,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20587,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20587,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20587,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 20587,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20587,B100000,00000,0800,00000MEALS SERVED :DIETARY 20587,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20587,E10A180,00550,0100,03/02/2001 20587,E10A180,00550,0300,03/02/2001 20587,E10A180,00601,0100,03/15/2002 20587,E10A180,00650,0300,03/15/2002 20587,S000000,00100,0200,02/12/2001 20587,S200000,00100,0100,420 JETT DRIVE 20587,S200000,00200,0100,JACKSON 20587,S200000,00200,0200,KY 20587,S200000,00200,0300,41339- 20587,S200000,00300,0100,BREATHITT 20587,S200000,00300,0200,0018 20587,S200000,00300,0300,R 20587,S200000,00400,0100,NIM HENSON GERIATRIC CENTER INC. 20587,S200000,00400,0200,185112 20587,S200000,00400,0300,07/19/1972 20587,S200000,00400,0500,P 20587,S200000,01500,0100,Y 20587,S200000,02200,0100,Y 20587,S200000,04300,0100,Y 20597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20597,A000000,00300,0000,00300EMPLOYEE BENEFITS 20597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20597,A000000,00700,0000,00700HOUSEKEEPING 20597,A000000,00800,0000,00800DIETARY 20597,A000000,00900,0000,00900NURSING ADMINISTRATION 20597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20597,A000000,01100,0000,01100PHARMACY 20597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20597,A000000,01300,0000,01300SOCIAL SERVICE 20597,A000000,01350,0000,01500OTHER GENERAL SERVICES 20597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20597,A000000,01600,0000,01600SKILLED NURSING FACILITY 20597,A000000,01800,0000,01800NURSING FACILITY 20597,A000000,01810,0000,01810ICF/MR 20597,A000000,01900,0000,01900OTHER LONG TERM CARE 20597,A000000,02100,0000,02100RADIOLOGY 20597,A000000,02200,0000,02200LABORATORY 20597,A000000,02300,0000,02300INTRAVENOUS THERAPY 20597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20597,A000000,02500,0000,02500PHYSICAL THERAPY 20597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20597,A000000,02700,0000,02700SPEECH PATHOLOGY 20597,A000000,02800,0000,02800ELECTROCARDIOLOGY 20597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20597,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20597,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20597,A000000,03200,0000,03200SUPPORT SURFACES 20597,A000000,03400,0000,03400CLINIC 20597,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20597,A000000,03500,0000,03500RURAL HEALTH CLINIC 20597,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20597,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20597,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20597,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20597,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20597,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20597,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20597,A000000,04400,0000,04400DME RENTED - HHA 20597,A000000,04500,0000,04500DME SOLD - HHA 20597,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20597,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20597,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20597,A000000,04800,0000,04800AMBULANCE 20597,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20597,A000000,05000,0000,05000CORF 20597,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20597,A000000,05300,0000,05300INTEREST EXPENSE 20597,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20597,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20597,A000000,05500,0000,05500HOSPICE 20597,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20597,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20597,A000000,06100,0000,06100NONPAID WORKERS 20597,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20597,A000000,06200,0000,06200PATIENTS LAUNDRY 20597,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20597,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20597,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20597,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20597,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20597,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20597,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20597,B100000,00000,0800,00000MEALS SERVED :DIETARY 20597,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20597,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20597,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20597,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20597,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20597,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20597,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20597,E10A180,00501,0100,06/22/2000 20597,E10A180,00501,0300,06/22/2000 20597,E10A180,00601,0100,07/31/2001 20597,E10A180,00601,0300,07/31/2001 20597,S000000,00100,0200,05/26/2000 20597,S200000,00100,0100,1155 EASTERN PARKWAY 20597,S200000,00200,0100,LOUISVILLE 20597,S200000,00200,0200,KY 20597,S200000,00200,0300,40217- 20597,S200000,00300,0100,JEFFERSON 20597,S200000,00400,0100,PARKWAY MEDICAL CENTER 20597,S200000,00400,0200,185122 20597,S200000,00400,0300,05/04/1973 20597,S200000,00400,0500,P 20597,S200000,01600,0100,Y 20610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20610,A000000,00300,0000,00300EMPLOYEE BENEFITS 20610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20610,A000000,00700,0000,00700HOUSEKEEPING 20610,A000000,00800,0000,00800DIETARY 20610,A000000,00900,0000,00900NURSING ADMINISTRATION 20610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20610,A000000,01100,0000,01100PHARMACY 20610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20610,A000000,01300,0000,01300SOCIAL SERVICE 20610,A000000,01350,0000,01500OTHER GENERAL SERVICES 20610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20610,A000000,01600,0000,01600SKILLED NURSING FACILITY 20610,A000000,01800,0000,01800NURSING FACILITY 20610,A000000,01810,0000,01810ICF/MR 20610,A000000,01900,0000,01900OTHER LONG TERM CARE 20610,A000000,02100,0000,02100RADIOLOGY 20610,A000000,02200,0000,02200LABORATORY 20610,A000000,02300,0000,02300INTRAVENOUS THERAPY 20610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20610,A000000,02500,0000,02500PHYSICAL THERAPY 20610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20610,A000000,02700,0000,02700SPEECH PATHOLOGY 20610,A000000,02800,0000,02800ELECTROCARDIOLOGY 20610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20610,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20610,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20610,A000000,03200,0000,03200SUPPORT SURFACES 20610,A000000,03400,0000,03400CLINIC 20610,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20610,A000000,03500,0000,03500RURAL HEALTH CLINIC 20610,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20610,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20610,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20610,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20610,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20610,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20610,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20610,A000000,04400,0000,04400DME RENTED - HHA 20610,A000000,04500,0000,04500DME SOLD - HHA 20610,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20610,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20610,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20610,A000000,04800,0000,04800AMBULANCE 20610,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20610,A000000,05000,0000,05000CORF 20610,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20610,A000000,05300,0000,05300INTEREST EXPENSE 20610,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20610,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20610,A000000,05500,0000,05500HOSPICE 20610,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20610,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20610,A000000,06100,0000,06100NONPAID WORKERS 20610,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20610,A000000,06200,0000,06200PATIENTS LAUNDRY 20610,A81000A,00100,0100,Y 20610,A81000B,00100,0300,RENT 20610,A81000B,00200,0300,MANAGEMENT FEES 20610,A81000B,00300,0300,LEGAL FEES 20610,A81000B,00400,0300,DEPRECIATION 20610,A81000B,00500,0300,MEDICAL SUPPLIES 20610,A81000B,00600,0300,DRUGS 20610,A81000B,00700,0300,ADMINISTRATIVE COSTS 20610,A81000C,00100,0100,A 20610,A81000C,00100,0200,T. FORCHT & N. BARTON 20610,A81000C,00100,0400,HEALTH SYSTEMS INC 20610,A81000C,00100,0600,MANAGEMENT 20610,A81000C,00200,0100,A 20610,A81000C,00200,0200,T. FORCHT & N. BARTON 20610,A81000C,00200,0400,INSTITUTIONAL PHARMACY 20610,A81000C,00200,0600,PHARMACY 20610,A81000C,00300,0100,A 20610,A81000C,00300,0200,T. FORCHT & N. BARTON 20610,A81000C,00300,0400,BARTON & FORCHT 20610,A81000C,00300,0600,RENTAL 20610,A81000C,00400,0100,A 20610,A81000C,00400,0200,TERRY FORCHT 20610,A81000C,00400,0400,LAND COMPANY OF CORBIN 20610,A81000C,00400,0600,RENTAL 20610,A81000C,00500,0100,A 20610,A81000C,00500,0200,TERRY FORCHT 20610,A81000C,00500,0400,KEY MANAGEMENT 20610,A81000C,00500,0600,MANAGEMENT 20610,A81000C,00600,0100,A 20610,A81000C,00600,0200,TERRY FORCHT 20610,A81000C,00600,0400,MANAGEMENT ADVISORS 20610,A81000C,00600,0600,MANAGEMENT 20610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20610,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20610,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20610,B100000,00000,0800,00000MEALS SERVED :DIETARY 20610,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20610,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 20610,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20610,E10A180,00550,0100,06/01/2000 20610,E10A180,00550,0300,06/01/2000 20610,E10A180,00650,0300,08/29/2001 20610,S000000,00100,0200,06/01/2000 20610,S200000,00100,0300,556 20610,S200000,00200,0100,CORBIN 20610,S200000,00200,0200,KY 20610,S200000,00200,0300,40701- 20610,S200000,00300,0100,LAUREL 20610,S200000,00300,0200,18 20610,S200000,00300,0300,R 20610,S200000,00400,0100,HILLCREST NURSING HOME 20610,S200000,00400,0200,185125 20610,S200000,00400,0300,09/04/1973 20610,S200000,00400,0500,P 20610,S200000,01600,0100,Y 20630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20630,A000000,00300,0000,00300EMPLOYEE BENEFITS 20630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20630,A000000,00700,0000,00700HOUSEKEEPING 20630,A000000,00800,0000,00800DIETARY 20630,A000000,00900,0000,00900NURSING ADMINISTRATION 20630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20630,A000000,01100,0000,01100PHARMACY 20630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20630,A000000,01300,0000,01300SOCIAL SERVICE 20630,A000000,01350,0000,01500OTHER GENERAL SERVICES 20630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20630,A000000,01600,0000,01600SKILLED NURSING FACILITY 20630,A000000,01800,0000,01800NURSING FACILITY 20630,A000000,01900,0000,01900OTHER LONG TERM CARE 20630,A000000,02100,0000,02100RADIOLOGY 20630,A000000,02200,0000,02200LABORATORY 20630,A000000,02300,0000,02300INTRAVENOUS THERAPY 20630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20630,A000000,02500,0000,02500PHYSICAL THERAPY 20630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20630,A000000,02700,0000,02700SPEECH PATHOLOGY 20630,A000000,02800,0000,02800ELECTROCARDIOLOGY 20630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20630,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20630,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20630,A000000,03200,0000,03200SUPPORT SURFACES 20630,A000000,03400,0000,03400CLINIC 20630,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20630,A000000,03500,0000,03500RURAL HEALTH CLINIC 20630,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20630,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20630,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20630,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20630,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20630,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20630,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20630,A000000,04400,0000,04400DME RENTED - HHA 20630,A000000,04500,0000,04500DME SOLD - HHA 20630,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20630,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20630,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20630,A000000,04800,0000,04800AMBULANCE 20630,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20630,A000000,05000,0000,05000CORF 20630,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20630,A000000,05300,0000,05300INTEREST EXPENSE 20630,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20630,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20630,A000000,05500,0000,05500HOSPICE 20630,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20630,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20630,A000000,06100,0000,06100NONPAID WORKERS 20630,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20630,A000000,06200,0000,06200PATIENTS LAUNDRY 20630,A81000A,00100,0100,Y 20630,A81000B,00100,0300,ADMINS SALARY 20630,A81000B,00200,0300,DONS SALARY 20630,A81000B,00300,0300,ADMINS FICA 20630,A81000B,00400,0300,DONS FICA 20630,A81000B,00500,0300,OTHER EMPLOYEE BENEFITS 20630,A81000B,00600,0300,CORPORATE OFFICE ASSESMENT 20630,A81000C,00100,0100,B 20630,A81000C,00100,0400,SISTERS OF ST. FRANCIS 20630,A81000C,00100,0600,MANAGEMENT 20630,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20630,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20630,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20630,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20630,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20630,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20630,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20630,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20630,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20630,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20630,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20630,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20630,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20630,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 20630,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20630,E10A180,00650,0100,05/16/2000 20630,E10A180,00650,0300,05/16/2000 20630,S000000,00100,0200,09/17/1999 20630,S200000,00100,0100,3625 FERN VALLEY ROAD 20630,S200000,00200,0100,LOUISVILLE 20630,S200000,00200,0200,KY 20630,S200000,00200,0300,40219- 20630,S200000,00300,0100,JEFFERSON 20630,S200000,00400,0100,FRANCISCAN HEALTH CARE CENTER 20630,S200000,00400,0200,185132 20630,S200000,00400,0300,11/01/1985 20630,S200000,00400,0500,P 20630,S200000,01005,0500,O 20630,S200000,01600,0100,Y 20630,S700003,00000,0100,1 20632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20632,A000000,00300,0000,00300EMPLOYEE BENEFITS 20632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20632,A000000,00700,0000,00700HOUSEKEEPING 20632,A000000,00800,0000,00800DIETARY 20632,A000000,00900,0000,00900NURSING ADMINISTRATION 20632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20632,A000000,01100,0000,01100PHARMACY 20632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20632,A000000,01300,0000,01300SOCIAL SERVICE 20632,A000000,01350,0000,01500OTHER GENERAL SERVICES 20632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20632,A000000,01600,0000,01600SKILLED NURSING FACILITY 20632,A000000,01800,0000,01800NURSING FACILITY 20632,A000000,01900,0000,01900OTHER LONG TERM CARE 20632,A000000,02100,0000,02100RADIOLOGY 20632,A000000,02200,0000,02200LABORATORY 20632,A000000,02300,0000,02300INTRAVENOUS THERAPY 20632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20632,A000000,02500,0000,02500PHYSICAL THERAPY 20632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20632,A000000,02700,0000,02700SPEECH PATHOLOGY 20632,A000000,02800,0000,02800ELECTROCARDIOLOGY 20632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20632,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20632,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20632,A000000,03200,0000,03200SUPPORT SURFACES 20632,A000000,03400,0000,03400CLINIC 20632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20632,A000000,03500,0000,03500RURAL HEALTH CLINIC 20632,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20632,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20632,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20632,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20632,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20632,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20632,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20632,A000000,04400,0000,04400DME RENTED - HHA 20632,A000000,04500,0000,04500DME SOLD - HHA 20632,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20632,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20632,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20632,A000000,04800,0000,04800AMBULANCE 20632,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20632,A000000,05000,0000,05000CORF 20632,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20632,A000000,05300,0000,05300INTEREST EXPENSE 20632,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20632,A000000,05500,0000,05500HOSPICE 20632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20632,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20632,A000000,06100,0000,06100NONPAID WORKERS 20632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20632,A000000,06200,0000,06200PATIENTS LAUNDRY 20632,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20632,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20632,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20632,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20632,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20632,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20632,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20632,B100000,00000,0850,00000GROSS SALARIES :DIETARY 20632,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20632,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20632,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20632,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20632,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20632,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20632,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20632,E10A180,00601,0100,01/24/2001 20632,E10A180,00650,0300,01/24/2001 20632,S000000,00100,0200,01/06/2000 20632,S200000,00100,0100,3625 FERN VALLEY ROAD 20632,S200000,00200,0100,LOUISVILLE 20632,S200000,00200,0200,KY 20632,S200000,00200,0300,40219- 20632,S200000,00300,0100,JEFFERSON 20632,S200000,00400,0100,FRANCISCAN HEALTH CARE CENTER 20632,S200000,00400,0200,185132 20632,S200000,00400,0300,11/01/1985 20632,S200000,00400,0500,P 20632,S200000,01600,0100,Y 20632,S700003,00000,0200,2 20634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20634,A000000,00300,0000,00300EMPLOYEE BENEFITS 20634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20634,A000000,00700,0000,00700HOUSEKEEPING 20634,A000000,00800,0000,00800DIETARY 20634,A000000,00900,0000,00900NURSING ADMINISTRATION 20634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20634,A000000,01100,0000,01100PHARMACY 20634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20634,A000000,01300,0000,01300SOCIAL SERVICE 20634,A000000,01350,0000,01500OTHER GENERAL SERVICES 20634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20634,A000000,01600,0000,01600SKILLED NURSING FACILITY 20634,A000000,01800,0000,01800NURSING FACILITY 20634,A000000,01810,0000,01810ICF/MR 20634,A000000,01900,0000,01900OTHER LONG TERM CARE 20634,A000000,02100,0000,02100RADIOLOGY 20634,A000000,02200,0000,02200LABORATORY 20634,A000000,02300,0000,02300INTRAVENOUS THERAPY 20634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20634,A000000,02500,0000,02500PHYSICAL THERAPY 20634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20634,A000000,02700,0000,02700SPEECH PATHOLOGY 20634,A000000,02800,0000,02800ELECTROCARDIOLOGY 20634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20634,A000000,03200,0000,03200SUPPORT SURFACES 20634,A000000,03400,0000,03400CLINIC 20634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20634,A000000,03500,0000,03500RURAL HEALTH CLINIC 20634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20634,A000000,04400,0000,04400DME RENTED - HHA 20634,A000000,04500,0000,04500DME SOLD - HHA 20634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20634,A000000,04800,0000,04800AMBULANCE 20634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20634,A000000,05000,0000,05000CORF 20634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20634,A000000,05300,0000,05300INTEREST EXPENSE 20634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20634,A000000,05500,0000,05500HOSPICE 20634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20634,A000000,06100,0000,06100NONPAID WORKERS 20634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20634,A000000,06200,0000,06200PATIENTS LAUNDRY 20634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20634,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20634,B100000,00000,0800,00000MEALS SERVED :DIETARY 20634,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20634,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20634,E10A180,00601,0100,03/15/2002 20634,E10A180,00650,0300,03/15/2002 20634,S000000,00100,0200,12/01/2000 20634,S200000,00100,0100,3625 FERN VALLEY ROAD 20634,S200000,00200,0100,LOUISVILLE 20634,S200000,00200,0200,KY 20634,S200000,00200,0300,40219- 20634,S200000,00300,0100,JEFFERSON 20634,S200000,00300,0200,4520 20634,S200000,00300,0300,U 20634,S200000,00400,0100,FRANCISCAN HEATLH CARE CENTER 20634,S200000,00400,0200,185132 20634,S200000,00400,0300,11/01/1985 20634,S200000,00400,0500,P 20634,S200000,01600,0100,Y 20645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20645,A000000,00300,0000,00300EMPLOYEE BENEFITS 20645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20645,A000000,00700,0000,00700HOUSEKEEPING 20645,A000000,00800,0000,00800DIETARY 20645,A000000,00900,0000,00900NURSING ADMINISTRATION 20645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20645,A000000,01100,0000,01100PHARMACY 20645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20645,A000000,01300,0000,01300SOCIAL SERVICE 20645,A000000,01350,0000,01500OTHER GENERAL SERVICES 20645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20645,A000000,01600,0000,01600SKILLED NURSING FACILITY 20645,A000000,01800,0000,01800NURSING FACILITY 20645,A000000,01810,0000,01801ICF/MR 20645,A000000,01900,0000,01900OTHER LONG TERM CARE 20645,A000000,02100,0000,02100RADIOLOGY 20645,A000000,02200,0000,02200LABORATORY 20645,A000000,02300,0000,02300INTRAVENOUS THERAPY 20645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20645,A000000,02500,0000,02500PHYSICAL THERAPY 20645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20645,A000000,02700,0000,02700SPEECH PATHOLOGY 20645,A000000,02800,0000,02800ELECTROCARDIOLOGY 20645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20645,A000000,03200,0000,03200SUPPORT SURFACES 20645,A000000,03400,0000,03400CLINIC 20645,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20645,A000000,03500,0000,03500RURAL HEALTH CLINIC 20645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20645,A000000,04400,0000,04400DME RENTED - HHA 20645,A000000,04500,0000,04500DME SOLD - HHA 20645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20645,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20645,A000000,04800,0000,04800AMBULANCE 20645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20645,A000000,05000,0000,05000CORF 20645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20645,A000000,05300,0000,05300INTEREST EXPENSE 20645,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20645,A000000,05500,0000,05500HOSPICE 20645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20645,A000000,06100,0000,06100NONPAID WORKERS 20645,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20645,A000000,06200,0000,06200PATIENTS LAUNDRY 20645,A81000A,00100,0100,Y 20645,A81000B,00100,0300,RENT 20645,A81000B,00200,0300,MANAGEMENT FEES 20645,A81000B,00300,0300,LEGAL FEES 20645,A81000B,00400,0300,DEPRECIATION 20645,A81000B,00500,0300,INTEREST 20645,A81000B,00600,0300,ADMINISTRATIVE COST 20645,A81000B,00700,0300,DRUGS 20645,A81000B,00800,0300,MEDICAL SUPPLIES 20645,A81000C,00100,0100,A 20645,A81000C,00100,0200,T. FORCHT & N. BARTON 20645,A81000C,00100,0400,HEALTH SYSTEMS INC. 20645,A81000C,00100,0600,MANAGEMENT 20645,A81000C,00200,0100,A 20645,A81000C,00200,0200,T. FORCHT & N. BARTON 20645,A81000C,00200,0400,BARTON & FORCHT 20645,A81000C,00200,0600,RENTAL 20645,A81000C,00300,0100,A 20645,A81000C,00300,0200,T. FORCHT & N. BARTON 20645,A81000C,00300,0400,INSTITUTIONAL PHARMACY 20645,A81000C,00300,0600,PHARMACY 20645,A81000C,00400,0100,A 20645,A81000C,00400,0200,TERRY FORCHT 20645,A81000C,00400,0400,LAND COMPANY OF CORBIN 20645,A81000C,00400,0600,RENTAL 20645,A81000C,00500,0100,A 20645,A81000C,00500,0200,TERRY FORCHT 20645,A81000C,00500,0400,KEY MANAGEMENT 20645,A81000C,00500,0600,MANAGEMENT 20645,A81000C,00600,0100,A 20645,A81000C,00600,0200,TERRY FORCHT 20645,A81000C,00600,0400,MANAGEMENT ADVISORS 20645,A81000C,00600,0600,MANAGEMENT 20645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20645,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20645,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20645,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20645,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20645,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20645,B100000,00000,0800,00000MEALS SERVED :DIETARY 20645,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 20645,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20645,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20645,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 20645,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20645,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20645,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20645,E10A180,00550,0100,06/01/2000 20645,E10A180,00550,0300,06/01/2000 20645,E10A180,00601,0100,04/19/2001 20645,E10A180,00650,0300,04/19/2001 20645,S000000,00100,0200,06/01/2000 20645,S200000,00100,0300,1329 20645,S200000,00200,0100,HAZARD 20645,S200000,00200,0200,KY 20645,S200000,00200,0300,41701- 20645,S200000,00300,0100,HAZARD 20645,S200000,00400,0100,HAZARD NURSING HOME 20645,S200000,00400,0200,185134 20645,S200000,00400,0300,03/08/1976 20645,S200000,00400,0500,P 20645,S200000,01600,0100,Y 20662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20662,A000000,00300,0000,00300EMPLOYEE BENEFITS 20662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20662,A000000,00700,0000,00700HOUSEKEEPING 20662,A000000,00800,0000,00800DIETARY 20662,A000000,00900,0000,00900NURSING ADMINISTRATION 20662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20662,A000000,01100,0000,01100PHARMACY 20662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20662,A000000,01300,0000,01300SOCIAL SERVICE 20662,A000000,01350,0000,01500OTHER GENERAL SERVICES 20662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20662,A000000,01600,0000,01600SKILLED NURSING FACILITY 20662,A000000,01800,0000,01800NURSING FACILITY 20662,A000000,01810,0000,01810ICF/MR 20662,A000000,01900,0000,01900OTHER LONG TERM CARE 20662,A000000,02100,0000,02100RADIOLOGY 20662,A000000,02200,0000,02200LABORATORY 20662,A000000,02300,0000,02300INTRAVENOUS THERAPY 20662,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20662,A000000,02500,0000,02500PHYSICAL THERAPY 20662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20662,A000000,02700,0000,02700SPEECH PATHOLOGY 20662,A000000,02800,0000,02800ELECTROCARDIOLOGY 20662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20662,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20662,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20662,A000000,03200,0000,03200SUPPORT SURFACES 20662,A000000,03400,0000,03400CLINIC 20662,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20662,A000000,03500,0000,03500RURAL HEALTH CLINIC 20662,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20662,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20662,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20662,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20662,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20662,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20662,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20662,A000000,04400,0000,04400DME RENTED - HHA 20662,A000000,04500,0000,04500DME SOLD - HHA 20662,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20662,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20662,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20662,A000000,04800,0000,04800AMBULANCE 20662,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20662,A000000,05000,0000,05000CORF 20662,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20662,A000000,05300,0000,05300INTEREST EXPENSE 20662,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20662,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20662,A000000,05500,0000,05500HOSPICE 20662,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20662,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20662,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20662,A000000,06100,0000,06100NONPAID WORKERS 20662,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20662,A000000,06200,0000,06200PATIENTS LAUNDRY 20662,A81000A,00100,0100,Y 20662,A81000B,00100,0300,HOME OFFICE COSTS 20662,A81000B,00200,0300,HOME OFFICE COSTS 20662,A81000C,00100,0100,A 20662,A81000C,00100,0200,PRESBYTERIAN HOMES 20662,A81000C,00100,0400,PRESBYTERIAN HOMES 20662,A81000C,00100,0600,COPR OFFICE/MANAGEMENT 20662,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20662,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20662,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20662,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20662,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20662,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20662,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20662,B100000,00000,0800,00000MEALS SERVED :DIETARY 20662,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20662,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 20662,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20662,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20662,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20662,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20662,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20662,E10A180,00501,0100,06/02/2000 20662,E10A180,00550,0300,06/02/2000 20662,E10A180,00650,0100,07/06/2001 20662,E10A180,00650,0300,07/06/2001 20662,S000000,00100,0200,06/06/2000 20662,S200000,00100,0100,2116 BUECHEL BANK RD 20662,S200000,00100,0300,18067 20662,S200000,00200,0100,LOUISVILLE 20662,S200000,00200,0200,KY 20662,S200000,00200,0300,40291-0067 20662,S200000,00300,0100,JEFFERSON 20662,S200000,00400,0100,WESTMINSTER TERRACE HEALTHCENTRE 20662,S200000,00400,0200,185137 20662,S200000,00400,0300,11/19/1975 20662,S200000,00400,0500,P 20662,S200000,01600,0100,Y 20679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20679,A000000,00300,0000,00300EMPLOYEE BENEFITS 20679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20679,A000000,00700,0000,00700HOUSEKEEPING 20679,A000000,00800,0000,00800DIETARY 20679,A000000,00900,0000,00900NURSING ADMINISTRATION 20679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20679,A000000,01100,0000,01100PHARMACY 20679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20679,A000000,01300,0000,01300SOCIAL SERVICE 20679,A000000,01350,0000,01500OTHER GENERAL SERVICES 20679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20679,A000000,01600,0000,01600SKILLED NURSING FACILITY 20679,A000000,01800,0000,01800NURSING FACILITY 20679,A000000,01900,0000,01900OTHER LONG TERM CARE 20679,A000000,02100,0000,02100RADIOLOGY 20679,A000000,02200,0000,02200LABORATORY 20679,A000000,02300,0000,02300INTRAVENOUS THERAPY 20679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20679,A000000,02500,0000,02500PHYSICAL THERAPY 20679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20679,A000000,02700,0000,02700SPEECH PATHOLOGY 20679,A000000,02800,0000,02800ELECTROCARDIOLOGY 20679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20679,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20679,A000000,03200,0000,03200SUPPORT SURFACES 20679,A000000,03400,0000,03400CLINIC 20679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20679,A000000,03500,0000,03500RURAL HEALTH CLINIC 20679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20679,A000000,04400,0000,04400DME RENTED - HHA 20679,A000000,04500,0000,04500DME SOLD - HHA 20679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20679,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20679,A000000,04800,0000,04800AMBULANCE 20679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20679,A000000,05000,0000,05000CORF 20679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20679,A000000,05300,0000,05300INTEREST EXPENSE 20679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20679,A000000,05500,0000,05500HOSPICE 20679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20679,A000000,06100,0000,06100NONPAID WORKERS 20679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20679,A000000,06200,0000,06200PATIENTS LAUNDRY 20679,A81000A,00100,0100,Y 20679,A81000B,00100,0300,HOME OFFICE COSTS 20679,A81000B,00200,0300,CAPITAL RELATED 20679,A81000C,00100,0100,B 20679,A81000C,00100,0200,EXTENDACARE INC 20679,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20679,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20679,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20679,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20679,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20679,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 20679,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20679,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20679,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20679,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20679,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20679,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20679,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20679,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20679,E10A180,00601,0100,03/12/2001 20679,E10A180,00650,0300,03/12/2001 20679,S000000,00100,0200,07/25/2000 20679,S200000,00100,0100,102 POCOHONTAS TRAIL 20679,S200000,00200,0100,GEORGETOWN 20679,S200000,00200,0200,KY 20679,S200000,00200,0300,40324- 20679,S200000,00300,0100,SCOTT 20679,S200000,00400,0100,EXTENDACARE-GEORGETOWN 20679,S200000,00400,0200,185141 20679,S200000,00400,0300,09/01/1977 20679,S200000,00400,0500,P 20679,S200000,00600,0600,O 20679,S200000,01500,0100,Y 20679,S200000,02200,0100,Y 20679,S200000,03100,0100,Y 20690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20690,A000000,00300,0000,00300EMPLOYEE BENEFITS 20690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20690,A000000,00700,0000,00700HOUSEKEEPING 20690,A000000,00800,0000,00800DIETARY 20690,A000000,00900,0000,00900NURSING ADMINISTRATION 20690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20690,A000000,01100,0000,01100PHARMACY 20690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20690,A000000,01300,0000,01300SOCIAL SERVICE 20690,A000000,01350,0000,01500OTHER GENERAL SERVICES 20690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20690,A000000,01600,0000,01600SKILLED NURSING FACILITY 20690,A000000,01800,0000,01800NURSING FACILITY 20690,A000000,01810,0000,01810ICF/MR 20690,A000000,01900,0000,01900OTHER LONG TERM CARE 20690,A000000,02100,0000,02100RADIOLOGY 20690,A000000,02200,0000,02200LABORATORY 20690,A000000,02300,0000,02300INTRAVENOUS THERAPY 20690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20690,A000000,02500,0000,02500PHYSICAL THERAPY 20690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20690,A000000,02700,0000,02700SPEECH PATHOLOGY 20690,A000000,02800,0000,02800ELECTROCARDIOLOGY 20690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20690,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20690,A000000,03200,0000,03200SUPPORT SURFACES 20690,A000000,03400,0000,03400CLINIC 20690,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20690,A000000,03500,0000,03500RURAL HEALTH CLINIC 20690,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20690,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20690,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20690,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20690,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20690,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20690,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20690,A000000,04400,0000,04400DME RENTED - HHA 20690,A000000,04500,0000,04500DME SOLD - HHA 20690,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20690,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20690,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20690,A000000,04800,0000,04800AMBULANCE 20690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20690,A000000,05000,0000,05000CORF 20690,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20690,A000000,05300,0000,05300INTEREST EXPENSE 20690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20690,A000000,05500,0000,05500HOSPICE 20690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20690,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20690,A000000,06100,0000,06100NONPAID WORKERS 20690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20690,A000000,06200,0000,06200PATIENTS LAUNDRY 20690,A81000A,00100,0100,Y 20690,A81000B,00100,0300,HOME OFFICE COST 20690,A81000B,00200,0300,HOME OFFICE COST 20690,A81000C,00100,0100,A 20690,A81000C,00100,0200,RUSSELL LOUDEN 20690,A81000C,00100,0400,LOUDEN & COMPANY INC. 20690,A81000C,00100,0600,HOME OFFICE 20690,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 20690,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 20690,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 20690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20690,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 20690,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 20690,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 20690,B100000,00000,0850,00000NO STATISTICS :DIETARY 20690,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 20690,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 20690,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20690,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 20690,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 20690,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20690,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20690,E10A180,00601,0100,08/13/2001 20690,E10A180,00601,0300,08/13/2001 20690,S000000,00100,0200,05/31/2000 20690,S200000,00100,0100,1608 VERSAILLES ROAD 20690,S200000,00200,0100,LEXINGTON 20690,S200000,00200,0200,KY 20690,S200000,00200,0300,40504- 20690,S200000,00300,0100,FAYETTE 20690,S200000,00400,0100,HOMESTEAD NURSING CENTER 20690,S200000,00400,0200,185144 20690,S200000,00400,0300,11/01/1977 20690,S200000,00400,0500,P 20690,S200000,01600,0100,Y 20701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20701,A000000,00300,0000,00300EMPLOYEE BENEFITS 20701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20701,A000000,00700,0000,00700HOUSEKEEPING 20701,A000000,00800,0000,00800DIETARY 20701,A000000,00900,0000,00900NURSING ADMINISTRATION 20701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20701,A000000,01100,0000,01100PHARMACY 20701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20701,A000000,01300,0000,01300SOCIAL SERVICE 20701,A000000,01350,0000,01500OTHER GENERAL SERVICES 20701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20701,A000000,01600,0000,01600SKILLED NURSING FACILITY 20701,A000000,01800,0000,01800NURSING FACILITY 20701,A000000,01900,0000,01900OTHER LONG TERM CARE 20701,A000000,02100,0000,02100RADIOLOGY 20701,A000000,02200,0000,02200LABORATORY 20701,A000000,02300,0000,02300INTRAVENOUS THERAPY 20701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20701,A000000,02500,0000,02500PHYSICAL THERAPY 20701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20701,A000000,02700,0000,02700SPEECH PATHOLOGY 20701,A000000,02800,0000,02800ELECTROCARDIOLOGY 20701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20701,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20701,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20701,A000000,03200,0000,03200SUPPORT SURFACES 20701,A000000,03400,0000,03400CLINIC 20701,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20701,A000000,03500,0000,03500RURAL HEALTH CLINIC 20701,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20701,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20701,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20701,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20701,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20701,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20701,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20701,A000000,04400,0000,04400DME RENTED - HHA 20701,A000000,04500,0000,04500DME SOLD - HHA 20701,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20701,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20701,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20701,A000000,04800,0000,04800AMBULANCE 20701,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20701,A000000,05000,0000,05000CORF 20701,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20701,A000000,05300,0000,05300INTEREST EXPENSE 20701,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20701,A000000,05500,0000,05500HOSPICE 20701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20701,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20701,A000000,06100,0000,06100NONPAID WORKERS 20701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20701,A000000,06200,0000,06200PATIENTS LAUNDRY 20701,A81000A,00100,0100,Y 20701,A81000B,00100,0300,MGT FEES/HO COSTS 20701,A81000C,00100,0100,A 20701,A81000C,00100,0200,CHRISTIAN CHURCH HOMES 20701,A81000C,00100,0400,HOME OFFICE 20701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20701,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20701,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20701,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20701,B100000,00000,0800,00000MEALS SERVED :DIETARY 20701,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20701,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20701,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20701,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20701,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 20701,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20701,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 20701,E10A180,00650,0100,04/10/2001 20701,E10A180,00650,0300,04/10/2001 20701,S000000,00100,0200,06/07/2000 20701,S200000,00100,0100,200 STERLING DRIVE 20701,S200000,00200,0100,HOPKINSVILE 20701,S200000,00200,0200,KY 20701,S200000,00200,0300,42240- 20701,S200000,00300,0100,CHRISTIAN 20701,S200000,00400,0100,CHRISTIAN HEALTH CENTER 20701,S200000,00400,0200,185147 20701,S200000,00400,0300,07/01/1978 20701,S200000,00400,0500,P 20701,S200000,01600,0100,Y 20701,S200000,02200,0100,Y 20701,S200000,04300,0100,Y 20706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20706,A000000,00300,0000,00300EMPLOYEE BENEFITS 20706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20706,A000000,00700,0000,00700HOUSEKEEPING 20706,A000000,00800,0000,00800DIETARY 20706,A000000,00900,0000,00900NURSING ADMINISTRATION 20706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20706,A000000,01100,0000,01100PHARMACY 20706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20706,A000000,01300,0000,01300SOCIAL SERVICE 20706,A000000,01350,0000,01500OTHER GENERAL SERVICES 20706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20706,A000000,01600,0000,01600SKILLED NURSING FACILITY 20706,A000000,01800,0000,01800NURSING FACILITY 20706,A000000,01810,0000,01810ICF/MR 20706,A000000,01900,0000,01900OTHER LONG TERM CARE 20706,A000000,02100,0000,02100RADIOLOGY 20706,A000000,02200,0000,02200LABORATORY 20706,A000000,02300,0000,02300INTRAVENOUS THERAPY 20706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20706,A000000,02500,0000,02500PHYSICAL THERAPY 20706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20706,A000000,02700,0000,02700SPEECH PATHOLOGY 20706,A000000,02800,0000,02800ELECTROCARDIOLOGY 20706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20706,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20706,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20706,A000000,03200,0000,03200SUPPORT SURFACES 20706,A000000,03400,0000,03400CLINIC 20706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20706,A000000,03500,0000,03500RURAL HEALTH CLINIC 20706,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20706,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20706,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20706,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20706,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20706,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20706,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20706,A000000,04400,0000,04400DME RENTED - HHA 20706,A000000,04500,0000,04500DME SOLD - HHA 20706,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20706,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20706,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20706,A000000,04800,0000,04800AMBULANCE 20706,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20706,A000000,05000,0000,05000CORF 20706,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20706,A000000,05300,0000,05300INTEREST EXPENSE 20706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20706,A000000,05500,0000,05500HOSPICE 20706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20706,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20706,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20706,A000000,06100,0000,06100NONPAID WORKERS 20706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20706,A000000,06200,0000,06200PATIENTS LAUNDRY 20706,A81000A,00100,0100,Y 20706,A81000B,00100,0300,RENT 20706,A81000B,00200,0300,MANAGEMENT FEES 20706,A81000B,00300,0300,DEPRECIATION 20706,A81000B,00400,0300,LEGAL FEES 20706,A81000B,00500,0300,ADMINISTRATIVE COSTS 20706,A81000B,00600,0300,DEPRECIATION-EQUIPMENT 20706,A81000B,00700,0300,INTEREST 20706,A81000B,00800,0300,MEDICAL SUPPLIES 20706,A81000B,00900,0300,DRUGS 20706,A81000C,00100,0100,A 20706,A81000C,00100,0200,T. FORCHT & N. BARTON 20706,A81000C,00100,0400,HEALTH SYSTEMS INC 20706,A81000C,00100,0600,MANAGEMENT 20706,A81000C,00200,0100,A 20706,A81000C,00200,0200,T. FORCHT & N. BARTON 20706,A81000C,00200,0400,INSTITUTIONAL PHARMACY 20706,A81000C,00200,0600,PHARMACY 20706,A81000C,00300,0100,A 20706,A81000C,00300,0200,T. FORCHT & N. BARTON 20706,A81000C,00300,0400,BARTON & FORCHT 20706,A81000C,00300,0600,RENTAL 20706,A81000C,00400,0100,A 20706,A81000C,00400,0200,TERRY FORCHT 20706,A81000C,00400,0400,LAND COMPANY OF CORBIN 20706,A81000C,00400,0600,RENTAL 20706,A81000C,00500,0100,A 20706,A81000C,00500,0200,TERRY FORCHT 20706,A81000C,00500,0400,FIRST CORBIN INVESTMENT 20706,A81000C,00500,0600,MANAGEMENT 20706,A81000C,00600,0100,A 20706,A81000C,00600,0200,TERRY FORCHT 20706,A81000C,00600,0400,KEY MANAGEMENT 20706,A81000C,00600,0600,MANAGEMENT 20706,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20706,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20706,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20706,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20706,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20706,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20706,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20706,B100000,00000,0800,00000MEALS SERVED :DIETARY 20706,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20706,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20706,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20706,E10A180,00501,0100,06/01/2000 20706,E10A180,00550,0300,06/01/2000 20706,E10A180,00601,0100,09/04/2001 20706,E10A180,00650,0300,09/04/2001 20706,S000000,00100,0200,06/01/2000 20706,S200000,00100,0300,719 20706,S200000,00200,0100,WILLIAMSBURG 20706,S200000,00200,0200,KY 20706,S200000,00200,0300,40769- 20706,S200000,00300,0100,WHITLEY 20706,S200000,00300,0200,18 20706,S200000,00300,0300,R 20706,S200000,00400,0100,WILLIAMSBURG NURSING HOME 20706,S200000,00400,0200,185148 20706,S200000,00400,0300,03/27/1978 20706,S200000,00400,0500,P 20706,S200000,01600,0100,Y 20715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20715,A000000,00300,0000,00300EMPLOYEE BENEFITS 20715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20715,A000000,00700,0000,00700HOUSEKEEPING 20715,A000000,00800,0000,00800DIETARY 20715,A000000,00900,0000,00900NURSING ADMINISTRATION 20715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20715,A000000,01300,0000,01300SOCIAL SERVICE 20715,A000000,01600,0000,01600SKILLED NURSING FACILITY 20715,A000000,01800,0000,01800NURSING FACILITY 20715,A000000,02200,0000,02200LABORATORY 20715,A000000,02300,0000,02300INTRAVENOUS THERAPY 20715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20715,A000000,02500,0000,02500PHYSICAL THERAPY 20715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20715,A000000,02700,0000,02700SPEECH PATHOLOGY 20715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20715,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20715,A000000,05300,0000,05300INTEREST EXPENSE 20715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20715,A81000A,00100,0100,Y 20715,A81000B,00100,0300,ACCOUNTING FEES 20715,A81000B,00200,0300,DIRECTORS FEES 20715,A81000C,00100,0100,A 20715,A81000C,00100,0200,SAMUEL KELLETT 20715,A81000C,00100,0400,KELLETT INVESTMENTS 20715,A81000C,00100,0600,MANAGEMENT 20715,A81000C,00200,0100,A 20715,A81000C,00200,0200,SAMUEL KELLETT 20715,A81000C,00300,0100,A 20715,A81000C,00300,0200,STILES KELLETT 20715,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20715,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20715,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20715,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 20715,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20715,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 20715,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 20715,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 20715,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 20715,E10A180,00601,0100,07/06/2001 20715,E10A180,00650,0300,07/06/2001 20715,S000000,00100,0200,05/31/2000 20715,S200000,00100,0100,120 FEDERAL HILL MANOR 20715,S200000,00200,0100,BARDSTOWN 20715,S200000,00200,0200,KY 20715,S200000,00200,0300,40004-2048 20715,S200000,00300,0100,NELSON 20715,S200000,00400,0100,FEDERAL HILL MANOR 20715,S200000,00400,0200,185149 20715,S200000,00400,0300,01/01/1991 20715,S200000,00400,0500,P 20715,S200000,01600,0100,Y 20715,S200000,02200,0100,Y 20720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20720,A000000,00300,0000,00300EMPLOYEE BENEFITS 20720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20720,A000000,00700,0000,00700HOUSEKEEPING 20720,A000000,00800,0000,00800DIETARY 20720,A000000,00900,0000,00900NURSING ADMINISTRATION 20720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20720,A000000,01100,0000,01100PHARMACY 20720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20720,A000000,01300,0000,01300SOCIAL SERVICE 20720,A000000,01350,0000,01500OTHER GENERAL SERVICES 20720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20720,A000000,01600,0000,01600SKILLED NURSING FACILITY 20720,A000000,01800,0000,01800NURSING FACILITY 20720,A000000,01810,0000,01810ICF/MR 20720,A000000,01900,0000,01900OTHER LONG TERM CARE 20720,A000000,02100,0000,02100RADIOLOGY 20720,A000000,02200,0000,02200LABORATORY 20720,A000000,02300,0000,02300INTRAVENOUS THERAPY 20720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20720,A000000,02500,0000,02500PHYSICAL THERAPY 20720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20720,A000000,02700,0000,02700SPEECH PATHOLOGY 20720,A000000,02800,0000,02800ELECTROCARDIOLOGY 20720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20720,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20720,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20720,A000000,03200,0000,03200SUPPORT SURFACES 20720,A000000,03400,0000,03400CLINIC 20720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20720,A000000,03500,0000,03500RURAL HEALTH CLINIC 20720,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20720,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20720,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20720,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20720,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20720,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20720,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20720,A000000,04400,0000,04400DME RENTED - HHA 20720,A000000,04500,0000,04500DME SOLD - HHA 20720,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20720,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20720,A000000,04800,0000,04800AMBULANCE 20720,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20720,A000000,05000,0000,05000CORF 20720,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20720,A000000,05300,0000,05300INTEREST EXPENSE 20720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20720,A000000,05500,0000,05500HOSPICE 20720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20720,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20720,A000000,06100,0000,06100NONPAID WORKERS 20720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20720,A000000,06200,0000,06200PATIENTS LAUNDRY 20720,A81000A,00100,0100,Y 20720,A81000B,00100,0300,RENT 20720,A81000B,00200,0300,MANAGEMENT FEES 20720,A81000B,00300,0300,LEGAL FEES 20720,A81000B,00400,0300,RENT-STORAGE 20720,A81000B,00500,0300,ADMINISTRATIVE COSTS 20720,A81000B,00600,0300,INTEREST 20720,A81000B,00700,0300,DRUGS 20720,A81000B,00800,0300,MEDICAL SUPPLIES 20720,A81000B,00900,0300,TUBE FEEDINGS 20720,A81000C,00100,0100,A 20720,A81000C,00100,0200,T. FORCHT & N. BARTON 20720,A81000C,00100,0400,HEALTH SYSTEMS INC 20720,A81000C,00100,0600,MANAGEMENT 20720,A81000C,00200,0100,A 20720,A81000C,00200,0200,T. FORCHT & N. BARTON 20720,A81000C,00200,0400,INSTITUTIONAL PHARMACY 20720,A81000C,00200,0600,PHARMACY 20720,A81000C,00300,0100,A 20720,A81000C,00300,0200,T. FORCHT & N. BARTON 20720,A81000C,00300,0400,BARTON & FORCHT 20720,A81000C,00300,0600,RENTAL 20720,A81000C,00400,0100,A 20720,A81000C,00400,0200,TERRY FORCHT 20720,A81000C,00400,0400,KEY MANAGEMENT 20720,A81000C,00400,0600,MANAGEMENT 20720,A81000C,00500,0100,A 20720,A81000C,00500,0200,TERRY FORCHT 20720,A81000C,00500,0400,LAND CO. OF CORBIN 20720,A81000C,00500,0600,RENTAL 20720,A81000C,00600,0100,A 20720,A81000C,00600,0200,TERRY FORCHT 20720,A81000C,00600,0400,FIRST CORBIN INVESTMENT 20720,A81000C,00600,0600,MANAGEMENT 20720,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20720,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20720,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20720,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20720,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20720,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20720,B100000,00000,0800,00000MEALS SERVED :DIETARY 20720,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20720,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20720,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20720,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20720,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20720,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20720,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20720,E10A180,00601,0100,08/13/2001 20720,E10A180,00650,0300,08/13/2001 20720,S000000,00100,0200,06/02/2000 20720,S200000,00100,0100,HCR 60 20720,S200000,00100,0300,982 20720,S200000,00200,0100,HINDMAN 20720,S200000,00200,0200,KY 20720,S200000,00200,0300,41822- 20720,S200000,00300,0100,KNOTT 20720,S200000,00400,0100,KNOTT COUNTY NURSING HOME 20720,S200000,00400,0200,185150 20720,S200000,00400,0300,05/01/1986 20720,S200000,00400,0500,P 20720,S200000,01500,0100,Y 20731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20731,A000000,00300,0000,00300EMPLOYEE BENEFITS 20731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20731,A000000,00700,0000,00700HOUSEKEEPING 20731,A000000,00800,0000,00800DIETARY 20731,A000000,00900,0000,00900NURSING ADMINISTRATION 20731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20731,A000000,01100,0000,01100PHARMACY 20731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20731,A000000,01300,0000,01300SOCIAL SERVICE 20731,A000000,01350,0000,01500OTHER GENERAL SERVICES 20731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20731,A000000,01600,0000,01600SKILLED NURSING FACILITY 20731,A000000,01800,0000,01800NURSING FACILITY 20731,A000000,01900,0000,01900OTHER LONG TERM CARE 20731,A000000,02100,0000,02100RADIOLOGY 20731,A000000,02200,0000,02200LABORATORY 20731,A000000,02300,0000,02300INTRAVENOUS THERAPY 20731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20731,A000000,02500,0000,02500PHYSICAL THERAPY 20731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20731,A000000,02700,0000,02700SPEECH PATHOLOGY 20731,A000000,02800,0000,02800ELECTROCARDIOLOGY 20731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20731,A000000,03200,0000,03200SUPPORT SURFACES 20731,A000000,03400,0000,03400CLINIC 20731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20731,A000000,03500,0000,03500RURAL HEALTH CLINIC 20731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20731,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20731,A000000,04400,0000,04400DME RENTED - HHA 20731,A000000,04500,0000,04500DME SOLD - HHA 20731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20731,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20731,A000000,04800,0000,04800AMBULANCE 20731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20731,A000000,05000,0000,05000CORF 20731,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20731,A000000,05300,0000,05300INTEREST EXPENSE 20731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20731,A000000,05500,0000,05500HOSPICE 20731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20731,A000000,06100,0000,06100NONPAID WORKERS 20731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20731,A000000,06200,0000,06200PATIENTS LAUNDRY 20731,A81000A,00100,0100,Y 20731,A81000B,00100,0300,ADMIN & GEN - HO ALLOCATION 20731,A81000B,00200,0300,CAPITAL RELATED BLGS 20731,A81000C,00100,0100,B 20731,A81000C,00100,0200,EXTENDACARE INC. 20731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20731,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20731,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 20731,B100000,00000,0850,00000PATIENT DAYS :DIETARY 20731,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20731,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20731,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20731,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20731,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20731,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20731,E10A180,00501,0100,08/11/2000 20731,E10A180,00650,0100,02/27/2001 20731,E10A180,00650,0300,02/27/2001 20731,S000000,00100,0200,02/25/2000 20731,S200000,00100,0100,79 SPARROW LANE 20731,S200000,00200,0100,PRESTONSBURG 20731,S200000,00200,0200,KY 20731,S200000,00200,0300,41653- 20731,S200000,00300,0100,FLOYD 20731,S200000,00400,0100,RIVERVIEW MANOR 20731,S200000,00400,0200,185151 20731,S200000,00400,0300,12/07/1978 20731,S200000,00400,0500,P 20731,S200000,00600,0600,O 20731,S200000,01600,0100,Y 20731,S200000,02200,0100,Y 20731,S200000,03100,0100,Y 20741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20741,A000000,00300,0000,00300EMPLOYEE BENEFITS 20741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20741,A000000,00700,0000,00700HOUSEKEEPING 20741,A000000,00800,0000,00800DIETARY 20741,A000000,00900,0000,00900NURSING ADMINISTRATION 20741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20741,A000000,01100,0000,01100PHARMACY 20741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20741,A000000,01300,0000,01300SOCIAL SERVICE 20741,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20741,A000000,01600,0000,01600SKILLED NURSING FACILITY 20741,A000000,01800,0000,01800NURSING FACILITY 20741,A000000,01900,0000,01900OTHER LONG TERM CARE 20741,A000000,02100,0000,02100RADIOLOGY 20741,A000000,02200,0000,02200LABORATORY 20741,A000000,02300,0000,02300INTRAVENOUS THERAPY 20741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20741,A000000,02500,0000,02500PHYSICAL THERAPY 20741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20741,A000000,02700,0000,02700SPEECH PATHOLOGY 20741,A000000,02800,0000,02800ELECTROCARDIOLOGY 20741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20741,A000000,03050,0000,03300OTHER ANCILLARY-AMBULANCE 20741,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 20741,A000000,03052,0000,03302PEN THERAPY 20741,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20741,A000000,03200,0000,03200SUPPORT SURFACES 20741,A000000,03400,0000,03400CLINIC 20741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 20741,A000000,04800,0000,04800AMBULANCE 20741,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20741,A000000,05300,0000,05300INTEREST EXPENSE 20741,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20741,A000000,05500,0000,05500HOSPICE 20741,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20741,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20741,A000000,06100,0000,06100NONPAID WORKERS 20741,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 20741,A000000,06200,0000,06200PATIENTS LAUNDRY 20741,A81000A,00100,0100,Y 20741,A81000B,00100,0300,CONSULTANTS 20741,A81000B,00200,0300,CONSULTANTS 20741,A81000B,00300,0300,CONSULTANTS 20741,A81000B,00400,0300,CONSULTANTS 20741,A81000B,00500,0300,DIETARY 20741,A81000B,00600,0300,HOME OFFICE 20741,A81000B,00700,0300,EQUIPMENT RENTAL 20741,A81000B,00800,0300,GAS 20741,A81000B,00900,0300,SUPPLIES 20741,A81000B,01000,0300,PHARMACY 20741,A81000B,01100,0300,REPAIRS 20741,A81000B,01200,0300,INSURANCE 20741,A81000B,01300,0300,CONTRACT NURSING 20741,A81000C,00100,0100,B 20741,A81000C,00100,0400,BRITTHAVEN INC 20741,A81000C,00100,0600,MGMT SVS 20741,A81000C,00200,0100,B 20741,A81000C,00200,0400,BRITTHAVEN INC 20741,A81000C,00200,0600,MGMT SVS 20741,A81000C,00300,0100,B 20741,A81000C,00300,0400,BRITTHAVEN INC 20741,A81000C,00300,0600,MGMT SVS 20741,A81000C,00400,0100,B 20741,A81000C,00400,0400,BRITTHAVEN INC 20741,A81000C,00400,0600,MGMT SVS 20741,A81000C,00500,0100,B 20741,A81000C,00500,0400,BRITTHAVEN INC 20741,A81000C,00500,0600,MGMT SVS 20741,A81000C,00600,0100,B 20741,A81000C,00600,0400,BRITTHAVEN INC 20741,A81000C,00600,0600,MGMT SVS 20741,A81000C,00700,0100,B 20741,A81000C,00700,0400,BRITTHAVEN INC 20741,A81000C,00700,0600,MGMT SVS 20741,A81000C,00800,0100,B 20741,A81000C,00800,0400,BRITTHAVEN INC 20741,A81000C,00800,0600,MGMT SVS 20741,A81000C,00900,0100,B 20741,A81000C,00900,0400,BRITTHAVEN INC 20741,A81000C,00900,0600,MGMT SVS 20741,A81000C,01000,0100,B 20741,A81000C,01000,0400,KARE MEDICAL 20741,A81000C,01000,0600,WHLSE SUPPLY 20741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20741,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20741,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20741,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20741,B100000,00000,0800,00000MEALS SERVED :DIETARY 20741,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20741,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 20741,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 20741,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20741,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20741,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 20741,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20741,E10A180,00601,0100,02/27/2001 20741,E10A180,00601,0300,02/27/2001 20741,S000000,00100,0200,03/03/2000 20741,S200000,00200,0200,CA 20741,S200000,00400,0100,BRITTHAVEN OF SOMERSET 20741,S200000,00400,0200,185152 20741,S200000,00400,0300,10/01/1983 20741,S200000,00400,0500,P 20741,S200000,01600,0100,Y 20749,S000000,00100,0200,10/03/2000 20750,S000000,00100,0200,06/05/2000 20756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20756,A000000,00300,0000,00300EMPLOYEE BENEFITS 20756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20756,A000000,00700,0000,00700HOUSEKEEPING 20756,A000000,00800,0000,00800DIETARY 20756,A000000,00900,0000,00900NURSING ADMINISTRATION 20756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20756,A000000,01100,0000,01100PHARMACY 20756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20756,A000000,01300,0000,01300SOCIAL SERVICE 20756,A000000,01350,0000,01500OTHER GENERAL SERVICES 20756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20756,A000000,01600,0000,01600SKILLED NURSING FACILITY 20756,A000000,01800,0000,01800NURSING FACILITY 20756,A000000,01810,0000,01810ICF/MR 20756,A000000,01900,0000,01900OTHER LONG TERM CARE 20756,A000000,02100,0000,02100RADIOLOGY 20756,A000000,02200,0000,02200LABORATORY 20756,A000000,02300,0000,02300INTRAVENOUS THERAPY 20756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20756,A000000,02500,0000,02500PHYSICAL THERAPY 20756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20756,A000000,02700,0000,02700SPEECH PATHOLOGY 20756,A000000,02800,0000,02800ELECTROCARDIOLOGY 20756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20756,A000000,03200,0000,03200SUPPORT SURFACES 20756,A000000,03400,0000,03400CLINIC 20756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20756,A000000,03500,0000,03500RURAL HEALTH CLINIC 20756,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20756,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20756,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20756,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20756,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20756,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20756,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20756,A000000,04400,0000,04400DME RENTED - HHA 20756,A000000,04500,0000,04500DME SOLD - HHA 20756,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20756,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20756,A000000,04800,0000,04800AMBULANCE 20756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20756,A000000,05000,0000,05000CORF 20756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20756,A000000,05300,0000,05300INTEREST EXPENSE 20756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20756,A000000,05500,0000,05500HOSPICE 20756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20756,A000000,06100,0000,06100NONPAID WORKERS 20756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20756,A000000,06200,0000,06200PATIENTS LAUNDRY 20756,A81000A,00100,0100,Y 20756,A81000B,00100,0300,RENT 20756,A81000B,00200,0300,MANAGEMENT FEES 20756,A81000B,00300,0300,LEGAL FEES 20756,A81000B,00400,0300,DEPRECIATION 20756,A81000B,00500,0300,STORAGE RENT 20756,A81000B,00600,0300,MEDICAL SUPPLIES 20756,A81000B,00700,0300,DRUGS 20756,A81000B,00800,0300,ADMINISTRATIVE COSTS 20756,A81000B,00900,0300,INTEREST 20756,A81000C,00100,0100,A 20756,A81000C,00100,0200,T. FORCHT & N. BARTON 20756,A81000C,00100,0400,HEALTH SYSTMES INC. 20756,A81000C,00100,0600,MANAGEMENT 20756,A81000C,00200,0100,A 20756,A81000C,00200,0200,T. FORCHT & N. BARTON 20756,A81000C,00200,0400,INSTITUTIONAL PHARMACY 20756,A81000C,00200,0600,PHARMACY 20756,A81000C,00300,0100,A 20756,A81000C,00300,0200,T. FORCHT & N. BARTON 20756,A81000C,00300,0400,BARTON & FORCHT 20756,A81000C,00300,0600,RENTAL 20756,A81000C,00400,0100,A 20756,A81000C,00400,0200,TERRY FORCHT 20756,A81000C,00400,0400,LAND COMPANY OF CORBIN 20756,A81000C,00400,0600,RENTAL 20756,A81000C,00500,0100,A 20756,A81000C,00500,0200,TERRY FORCHT 20756,A81000C,00500,0400,FIRST CORBIN INVESTMENT 20756,A81000C,00500,0600,MANAGEMENT 20756,A81000C,00600,0100,A 20756,A81000C,00600,0200,TERRY FORCHT 20756,A81000C,00600,0400,KEY MANAGEMENT 20756,A81000C,00600,0600,MANAGEMENT 20756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20756,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20756,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20756,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20756,B100000,00000,0800,00000MEALS SERVED :DIETARY 20756,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20756,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20756,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20756,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20756,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20756,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20756,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20756,E10A180,00550,0100,06/16/2000 20756,E10A180,00601,0300,07/03/2001 20756,E10A180,00650,0100,07/03/2001 20756,S000000,00100,0200,06/01/2000 20756,S200000,00100,0300,895 20756,S200000,00200,0100,HARLAN 20756,S200000,00200,0200,KY 20756,S200000,00200,0300,40831- 20756,S200000,00300,0100,HARLAN 20756,S200000,00400,0100,HARLAN NURSING HOME 20756,S200000,00400,0200,185166 20756,S200000,00400,0300,04/01/1986 20756,S200000,00400,0500,P 20756,S200000,01600,0100,Y 20760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20760,A000000,00300,0000,00300EMPLOYEE BENEFITS 20760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20760,A000000,00700,0000,00700HOUSEKEEPING 20760,A000000,00800,0000,00800DIETARY 20760,A000000,00900,0000,00900NURSING ADMINISTRATION 20760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20760,A000000,01100,0000,01100PHARMACY 20760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20760,A000000,01300,0000,01300SOCIAL SERVICE 20760,A000000,01350,0000,01500OTHER GENERAL SERVICES 20760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20760,A000000,01600,0000,01600SKILLED NURSING FACILITY 20760,A000000,01800,0000,01800NURSING FACILITY 20760,A000000,01810,0000,01810ICF/MR 20760,A000000,01900,0000,01900OTHER LONG TERM CARE 20760,A000000,02100,0000,02100RADIOLOGY 20760,A000000,02200,0000,02200LABORATORY 20760,A000000,02300,0000,02300INTRAVENOUS THERAPY 20760,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20760,A000000,02500,0000,02500PHYSICAL THERAPY 20760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20760,A000000,02700,0000,02700SPEECH PATHOLOGY 20760,A000000,02800,0000,02800ELECTROCARDIOLOGY 20760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20760,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20760,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20760,A000000,03200,0000,03200SUPPORT SURFACES 20760,A000000,03400,0000,03400CLINIC 20760,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20760,A000000,03500,0000,03500RURAL HEALTH CLINIC 20760,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20760,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20760,A000000,04800,0000,04800AMBULANCE 20760,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20760,A000000,05000,0000,05000CORF 20760,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20760,A000000,05300,0000,05300INTEREST EXPENSE 20760,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20760,A000000,05500,0000,05500HOSPICE 20760,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20760,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20760,A000000,06100,0000,06100NONPAID WORKERS 20760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20760,A000000,06200,0000,06200PATIENTS LAUNDRY 20760,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20760,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20760,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20760,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20760,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20760,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20760,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20760,B100000,00000,0800,00000MEALS SERVED :DIETARY 20760,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20760,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20760,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20760,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20760,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20760,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20760,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20760,E10A180,00601,0100,07/06/2001 20760,E10A180,00650,0300,07/06/2001 20760,S000000,00100,0200,05/30/2000 20760,S200000,00100,0100,COLLEGE STREET 20760,S200000,00100,0300,85 20760,S200000,00200,0100,WOODBURN 20760,S200000,00200,0200,KY 20760,S200000,00200,0300,42170- 20760,S200000,00300,0100,WARREN 20760,S200000,00400,0100,HOPKINS NURSING FACILITY 20760,S200000,00400,0200,185167 20760,S200000,00400,0300,01/01/1982 20760,S200000,00400,0500,P 20760,S200000,01600,0100,Y 20760,S200000,04700,0100,Y 20769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20769,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20769,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20769,A000000,00300,0000,00300EMPLOYEE BENEFITS 20769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20769,A000000,00700,0000,00700HOUSEKEEPING 20769,A000000,00800,0000,00800DIETARY 20769,A000000,00801,0000,00801CAFETERIA 20769,A000000,00900,0000,00900NURSING ADMINISTRATION 20769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20769,A000000,01100,0000,01100PHARMACY 20769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20769,A000000,01300,0000,01300SOCIAL SERVICE 20769,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20769,A000000,01600,0000,01600SKILLED NURSING FACILITY 20769,A000000,01800,0000,01800NURSING FACILITY 20769,A000000,01900,0000,01900OTHER LONG TERM CARE 20769,A000000,02100,0000,02100RADIOLOGY 20769,A000000,02200,0000,02200LABORATORY 20769,A000000,02300,0000,02300INTRAVENOUS THERAPY 20769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20769,A000000,02500,0000,02500PHYSICAL THERAPY 20769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20769,A000000,02700,0000,02700SPEECH PATHOLOGY 20769,A000000,02800,0000,02800ELECTROCARDIOLOGY 20769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20769,A000000,03050,0000,03300EMERGENCY ROOM 20769,A000000,03051,0000,03301BLOOD ADMINISTRATION 20769,A000000,03052,0000,03302OTHER ANCILLARY III 20769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20769,A000000,03200,0000,03200SUPPORT SURFACES 20769,A000000,03400,0000,03400CLINIC 20769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20769,A000000,03500,0000,03500RURAL HEALTH CLINIC 20769,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20769,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20769,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20769,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20769,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20769,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20769,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20769,A000000,04400,0000,04400DME RENTED - HHA 20769,A000000,04500,0000,04500DME SOLD - HHA 20769,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20769,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20769,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20769,A000000,05000,0000,05000CORF 20769,A000000,05010,0000,05010CMHC I 20769,A000000,05020,0000,05020OPT I 20769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20769,A000000,05300,0000,05300INTEREST EXPENSE 20769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20769,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20769,A000000,05500,0000,05500HOSPICE 20769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20769,A000000,06100,0000,06100NONPAID WORKERS 20769,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20769,A000000,06200,0000,06200PATIENTS LAUNDRY 20769,A81000A,00100,0100,Y 20769,A81000B,00100,0300,HOME OFFICE COSTS 20769,A81000B,00200,0300,MDS FEES 20769,A81000B,00300,0300,REHAB FEES 20769,A81000B,00400,0300,REHAB FEES 20769,A81000B,00500,0300,REHAB FEES 20769,A81000C,00100,0100,B 20769,A81000C,00100,0400,EPI CORPORATION 20769,A81000C,00100,0600,NURSING HOMES 20769,A81000C,00200,0100,C 20769,A81000C,00200,0400,RMS INC. 20769,A81000C,00200,0600,MDS CONSULTING 20769,A81000C,00300,0100,C 20769,A81000C,00300,0400,RMS INC. 20769,A81000C,00300,0600,THERAPY 20769,A81000C,00400,0100,C 20769,A81000C,00400,0400,RMS INC. 20769,A81000C,00400,0600,THERAPY 20769,A81000C,00500,0100,C 20769,A81000C,00500,0400,RMS INC. 20769,A81000C,00500,0600,THERAPY 20769,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20769,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20769,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20769,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20769,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20769,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20769,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20769,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20769,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20769,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20769,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20769,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20769,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20769,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20769,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20769,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20769,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20769,E10A180,00550,0300,06/29/2000 20769,E10A180,00601,0100,08/07/2000 20769,E10A180,00650,0300,08/07/2000 20769,S000000,00100,0200,06/29/1999 20769,S200000,00100,0100,706 NORTH MAIN 20769,S200000,00100,0300,367 20769,S200000,00200,0100,TOMPKINSVILLE 20769,S200000,00200,0200,KY 20769,S200000,00200,0300,42167- 20769,S200000,00300,0100,MONROE 20769,S200000,00400,0100,MONROE HEALTH CARE FACILITY 20769,S200000,00400,0200,185168 20769,S200000,00400,0300,07/01/1982 20769,S200000,00400,0500,P 20769,S200000,01600,0100,Y 20769,S200000,02200,0100,Y 20769,S700003,00000,0100,1 20771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20771,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20771,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20771,A000000,00300,0000,00300EMPLOYEE BENEFITS 20771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20771,A000000,00700,0000,00700HOUSEKEEPING 20771,A000000,00800,0000,00800DIETARY 20771,A000000,00801,0000,00801CAFETERIA 20771,A000000,00900,0000,00900NURSING ADMINISTRATION 20771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20771,A000000,01100,0000,01100PHARMACY 20771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20771,A000000,01300,0000,01300SOCIAL SERVICE 20771,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20771,A000000,01600,0000,01600SKILLED NURSING FACILITY 20771,A000000,01800,0000,01800NURSING FACILITY 20771,A000000,01900,0000,01900OTHER LONG TERM CARE 20771,A000000,02100,0000,02100RADIOLOGY 20771,A000000,02200,0000,02200LABORATORY 20771,A000000,02300,0000,02300INTRAVENOUS THERAPY 20771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20771,A000000,02500,0000,02500PHYSICAL THERAPY 20771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20771,A000000,02700,0000,02700SPEECH PATHOLOGY 20771,A000000,02800,0000,02800ELECTROCARDIOLOGY 20771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20771,A000000,03050,0000,03300EMERGENCY ROOM 20771,A000000,03051,0000,03301BLOOD ADMINISTRATION 20771,A000000,03052,0000,03302OTHER ANCILLARY III 20771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20771,A000000,03200,0000,03200SUPPORT SURFACES 20771,A000000,03400,0000,03400CLINIC 20771,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20771,A000000,03500,0000,03500RURAL HEALTH CLINIC 20771,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20771,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20771,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20771,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20771,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20771,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20771,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20771,A000000,04400,0000,04400DME RENTED - HHA 20771,A000000,04500,0000,04500DME SOLD - HHA 20771,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20771,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20771,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20771,A000000,04800,0000,04800AMBULANCE 20771,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20771,A000000,05000,0000,05000CORF 20771,A000000,05010,0000,05010CMHC I 20771,A000000,05020,0000,05020OPT I 20771,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20771,A000000,05300,0000,05300INTEREST EXPENSE 20771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20771,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20771,A000000,05500,0000,05500HOSPICE 20771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20771,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20771,A000000,06100,0000,06100NONPAID WORKERS 20771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20771,A000000,06200,0000,06200PATIENTS LAUNDRY 20771,A81000A,00100,0100,Y 20771,A81000B,00100,0300,HOME OFFICE COSTS 20771,A81000B,00200,0300,MDS FEES 20771,A81000B,00300,0300,REHAB. FEES 20771,A81000B,00400,0300,REHAB. FEES 20771,A81000B,00500,0300,REHAB. FEES 20771,A81000C,00100,0100,B 20771,A81000C,00100,0400,EPI CORPORATION 20771,A81000C,00100,0600,NURSING HOMES 20771,A81000C,00200,0100,C 20771,A81000C,00200,0400,RMS INC. 20771,A81000C,00200,0600,MDS CONSULTING 20771,A81000C,00300,0100,C 20771,A81000C,00300,0400,RMS INC. 20771,A81000C,00300,0600,THERAPY 20771,A81000C,00400,0100,C 20771,A81000C,00400,0400,RMS INC. 20771,A81000C,00400,0600,THERAPY 20771,A81000C,00500,0100,C 20771,A81000C,00500,0400,RMS INC. 20771,A81000C,00500,0600,THERAPY 20771,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20771,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20771,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20771,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20771,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20771,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20771,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20771,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20771,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20771,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20771,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20771,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20771,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20771,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20771,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20771,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20771,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20771,E10A180,00601,0100,02/28/2001 20771,E10A180,00650,0300,02/28/2001 20771,S000000,00100,0200,01/24/2000 20771,S200000,00100,0100,706 NORTH MAIN 20771,S200000,00100,0300,367 20771,S200000,00200,0100,TOMPKINSVILLE 20771,S200000,00200,0200,KY 20771,S200000,00200,0300,42167- 20771,S200000,00300,0100,MONROE 20771,S200000,00400,0100,MONROE HEALTH & REHAB. CENTER 20771,S200000,00400,0200,185168 20771,S200000,00400,0300,07/01/1982 20771,S200000,00400,0500,P 20771,S200000,01600,0100,Y 20771,S200000,02200,0100,Y 20773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20773,A000000,00300,0000,00300EMPLOYEE BENEFITS 20773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20773,A000000,00700,0000,00700HOUSEKEEPING 20773,A000000,00800,0000,00800DIETARY 20773,A000000,00900,0000,00900NURSING ADMINISTRATION 20773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20773,A000000,01100,0000,01100PHARMACY 20773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20773,A000000,01300,0000,01300SOCIAL SERVICE 20773,A000000,01350,0000,01500OTHER GENERAL SERVICES 20773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20773,A000000,01600,0000,01600SKILLED NURSING FACILITY 20773,A000000,01800,0000,01800NURSING FACILITY 20773,A000000,01810,0000,01810ICF/MR 20773,A000000,01900,0000,01900OTHER LONG TERM CARE 20773,A000000,02100,0000,02100RADIOLOGY 20773,A000000,02200,0000,02200LABORATORY 20773,A000000,02300,0000,02300INTRAVENOUS THERAPY 20773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20773,A000000,02500,0000,02500PHYSICAL THERAPY 20773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20773,A000000,02700,0000,02700SPEECH PATHOLOGY 20773,A000000,02800,0000,02800ELECTROCARDIOLOGY 20773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20773,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20773,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20773,A000000,03200,0000,03200SUPPORT SURFACES 20773,A000000,03400,0000,03400CLINIC 20773,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20773,A000000,03500,0000,03500RURAL HEALTH CLINIC 20773,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20773,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20773,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20773,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20773,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20773,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20773,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20773,A000000,04400,0000,04400DME RENTED - HHA 20773,A000000,04500,0000,04500DME SOLD - HHA 20773,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20773,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20773,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20773,A000000,04800,0000,04800AMBULANCE 20773,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20773,A000000,05000,0000,05000CORF 20773,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20773,A000000,05300,0000,05300INTEREST EXPENSE 20773,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20773,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20773,A000000,05500,0000,05500HOSPICE 20773,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20773,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20773,A000000,06100,0000,06100NONPAID WORKERS 20773,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20773,A000000,06200,0000,06200PATIENTS LAUNDRY 20773,A81000A,00100,0100,Y 20773,A81000B,00100,0300,HOME OFFICE COSTS 20773,A81000B,00200,0300,MDS FEES 20773,A81000B,00300,0300,REHAB FEES 20773,A81000B,00400,0300,REHAB FEES 20773,A81000B,00500,0300,REHAB FEES 20773,A81000C,00100,0100,B 20773,A81000C,00100,0400,EPI CORPORATION 20773,A81000C,00100,0600,NURSING HOME 20773,A81000C,00200,0100,C 20773,A81000C,00200,0400,RMS INC. 20773,A81000C,00200,0600,MDS CONSULTING 20773,A81000C,00300,0100,C 20773,A81000C,00300,0400,RMS INC. 20773,A81000C,00300,0600,THERAPY 20773,A81000C,00400,0100,C 20773,A81000C,00400,0400,RMS INC. 20773,A81000C,00400,0600,THERAPY 20773,A81000C,00500,0100,C 20773,A81000C,00500,0400,RMS INC. 20773,A81000C,00500,0600,THERAPY 20773,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20773,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20773,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20773,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20773,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20773,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20773,B100000,00000,0800,00000MEALS SERVED :DIETARY 20773,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20773,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20773,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20773,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20773,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20773,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20773,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20773,E10A180,00601,0100,07/03/2001 20773,E10A180,00650,0300,07/03/2001 20773,S000000,00100,0200,05/31/2000 20773,S200000,00100,0100,706 NORTH MAIN 20773,S200000,00100,0300,367 20773,S200000,00200,0100,TOMPKINSVILLE 20773,S200000,00200,0200,KY 20773,S200000,00200,0300,42167- 20773,S200000,00300,0100,MONROE 20773,S200000,00400,0100,MONROE HEALTH & REHAB. CENTER 20773,S200000,00400,0200,185168 20773,S200000,00400,0300,07/01/1982 20773,S200000,00400,0500,P 20773,S200000,01600,0100,Y 20773,S200000,02200,0100,Y 20782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20782,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20782,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20782,A000000,00300,0000,00300EMPLOYEE BENEFITS 20782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20782,A000000,00700,0000,00700HOUSEKEEPING 20782,A000000,00800,0000,00800DIETARY 20782,A000000,00801,0000,00801CAFETERIA 20782,A000000,00900,0000,00900NURSING ADMINISTRATION 20782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20782,A000000,01100,0000,01100PHARMACY 20782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20782,A000000,01300,0000,01300SOCIAL SERVICE 20782,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20782,A000000,01600,0000,01600SKILLED NURSING FACILITY 20782,A000000,01800,0000,01800NURSING FACILITY 20782,A000000,01900,0000,01900OTHER LONG TERM CARE 20782,A000000,02100,0000,02100RADIOLOGY 20782,A000000,02200,0000,02200LABORATORY 20782,A000000,02300,0000,02300INTRAVENOUS THERAPY 20782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20782,A000000,02500,0000,02500PHYSICAL THERAPY 20782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20782,A000000,02700,0000,02700SPEECH PATHOLOGY 20782,A000000,02800,0000,02800ELECTROCARDIOLOGY 20782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20782,A000000,03050,0000,03300OTHER ANCILLARY 20782,A000000,03051,0000,03301OTHER ANCILLARY II 20782,A000000,03052,0000,03302OTHER ANCILLARY III 20782,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20782,A000000,03200,0000,03200SUPPORT SURFACES 20782,A000000,03400,0000,03400CLINIC 20782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20782,A000000,03500,0000,03500RURAL HEALTH CLINIC 20782,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20782,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20782,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20782,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20782,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20782,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20782,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20782,A000000,04400,0000,04400DME RENTED - HHA 20782,A000000,04500,0000,04500DME SOLD - HHA 20782,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20782,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20782,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20782,A000000,05000,0000,05000CORF 20782,A000000,05010,0000,05010CMHC I 20782,A000000,05020,0000,05020OPT I 20782,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20782,A000000,05300,0000,05300INTEREST EXPENSE 20782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20782,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20782,A000000,05500,0000,05500HOSPICE 20782,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20782,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20782,A000000,06100,0000,06100NONPAID WORKERS 20782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20782,A000000,06200,0000,06200PATIENTS LAUNDRY 20782,A81000A,00100,0100,Y 20782,A81000B,00100,0300,HOME OFFICE COSTS 20782,A81000B,00200,0300,PUBLIC RELATIONS 20782,A81000B,00300,0300,TRAINING COSTS 20782,A81000B,00400,0300,MDS FEES 20782,A81000B,00500,0300,REHAB FEES 20782,A81000B,00600,0300,REHAB FEES 20782,A81000B,00700,0300,REHAB FEES 20782,A81000C,00100,0100,B 20782,A81000C,00100,0400,EPI CORPORATION 20782,A81000C,00100,0600,NURSING HOME 20782,A81000C,00200,0100,C 20782,A81000C,00200,0400,LUKEN / NUGENT 20782,A81000C,00200,0600,HC COMM. 20782,A81000C,00300,0100,C 20782,A81000C,00300,0400,KY HC TRAINING 20782,A81000C,00300,0600,KY HC TRAINING 20782,A81000C,00400,0100,C 20782,A81000C,00400,0400,RMS INC. 20782,A81000C,00400,0600,MDS CONSULTING 20782,A81000C,00500,0100,C 20782,A81000C,00500,0400,RMS INC. 20782,A81000C,00500,0600,THERAPY 20782,A81000C,00600,0100,C 20782,A81000C,00600,0400,RMS INC. 20782,A81000C,00600,0600,THERAPY 20782,A81000C,00700,0100,C 20782,A81000C,00700,0400,RMS INC. 20782,A81000C,00700,0600,THERAPY 20782,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20782,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20782,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20782,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20782,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20782,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20782,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20782,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20782,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20782,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20782,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20782,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20782,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20782,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20782,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20782,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20782,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20782,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20782,E10A180,00550,0300,06/29/1999 20782,E10A180,00650,0100,07/28/2000 20782,E10A180,00650,0300,07/28/2000 20782,S000000,00100,0200,06/29/1999 20782,S200000,00100,0100,1801 LYNN WAY 20782,S200000,00200,0100,LOUISVILLE 20782,S200000,00200,0200,KY 20782,S200000,00200,0300,40222- 20782,S200000,00300,0100,JEFFERSON 20782,S200000,00400,0100,JEFFERSON MANOR 20782,S200000,00400,0200,185169 20782,S200000,00400,0300,09/02/1982 20782,S200000,00400,0500,P 20782,S200000,01600,0100,Y 20782,S200000,02200,0100,Y 20782,S700003,00000,0100,1 20784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20784,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20784,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20784,A000000,00300,0000,00300EMPLOYEE BENEFITS 20784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20784,A000000,00700,0000,00700HOUSEKEEPING 20784,A000000,00800,0000,00800DIETARY 20784,A000000,00801,0000,00801CAFETERIA 20784,A000000,00900,0000,00900NURSING ADMINISTRATION 20784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20784,A000000,01100,0000,01100PHARMACY 20784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20784,A000000,01300,0000,01300SOCIAL SERVICE 20784,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20784,A000000,01600,0000,01600SKILLED NURSING FACILITY 20784,A000000,01800,0000,01800NURSING FACILITY 20784,A000000,01900,0000,01900OTHER LONG TERM CARE 20784,A000000,02100,0000,02100RADIOLOGY 20784,A000000,02200,0000,02200LABORATORY 20784,A000000,02300,0000,02300INTRAVENOUS THERAPY 20784,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20784,A000000,02500,0000,02500PHYSICAL THERAPY 20784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20784,A000000,02700,0000,02700SPEECH PATHOLOGY 20784,A000000,02800,0000,02800ELECTROCARDIOLOGY 20784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20784,A000000,03050,0000,03300OTHER ANCILLARY 20784,A000000,03051,0000,03301OTHER ANCILLARY II 20784,A000000,03052,0000,03302OTHER ANCILLARY III 20784,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20784,A000000,03200,0000,03200SUPPORT SURFACES 20784,A000000,03400,0000,03400CLINIC 20784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20784,A000000,03500,0000,03500RURAL HEALTH CLINIC 20784,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20784,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20784,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20784,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20784,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20784,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20784,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20784,A000000,04400,0000,04400DME RENTED - HHA 20784,A000000,04500,0000,04500DME SOLD - HHA 20784,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20784,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20784,A000000,04800,0000,04800AMBULANCE 20784,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20784,A000000,05000,0000,05000CORF 20784,A000000,05010,0000,05010CMHC I 20784,A000000,05020,0000,05020OPT I 20784,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20784,A000000,05300,0000,05300INTEREST EXPENSE 20784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20784,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20784,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20784,A000000,05500,0000,05500HOSPICE 20784,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20784,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20784,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20784,A000000,06100,0000,06100NONPAID WORKERS 20784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20784,A000000,06200,0000,06200PATIENTS LAUNDRY 20784,A81000A,00100,0100,Y 20784,A81000B,00100,0300,HOME OFFICE COSTS 20784,A81000B,00200,0300,PUBLIC RELATIONS 20784,A81000B,00300,0300,TRAINING COSTS 20784,A81000B,00400,0300,MDS FEES 20784,A81000B,00500,0300,REHAB FEES 20784,A81000B,00600,0300,REHAB FEES 20784,A81000B,00700,0300,REHAB FEES 20784,A81000C,00100,0100,B 20784,A81000C,00100,0400,EPI CORPORATION 20784,A81000C,00100,0600,NURSING HOMES 20784,A81000C,00200,0100,C 20784,A81000C,00200,0400,LUKEN/NUGENT 20784,A81000C,00200,0600,HC COMM. 20784,A81000C,00300,0100,C 20784,A81000C,00300,0400,KY HC TRAINING 20784,A81000C,00300,0600,KY HC TRAINING 20784,A81000C,00400,0100,C 20784,A81000C,00400,0400,RMS INC. 20784,A81000C,00400,0600,MDS CONSULTING 20784,A81000C,00500,0100,C 20784,A81000C,00500,0400,RMS INC. 20784,A81000C,00500,0600,THERAPY 20784,A81000C,00600,0100,C 20784,A81000C,00600,0400,RMS INC. 20784,A81000C,00600,0600,THERAPY 20784,A81000C,00700,0100,C 20784,A81000C,00700,0400,RMS INC. 20784,A81000C,00700,0600,THERAPY 20784,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20784,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20784,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20784,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20784,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20784,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20784,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20784,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20784,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20784,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20784,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20784,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20784,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20784,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20784,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20784,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20784,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20784,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20784,E10A180,00601,0100,01/30/2001 20784,E10A180,00601,0300,01/30/2001 20784,S000000,00100,0200,12/22/1999 20784,S200000,00100,0100,1801 LYNN WAY 20784,S200000,00200,0100,LOUISVILLE 20784,S200000,00200,0200,KY 20784,S200000,00200,0300,40222- 20784,S200000,00300,0100,JEFFERSON 20784,S200000,00400,0100,JEFFERSON MANOR 20784,S200000,00400,0200,185169 20784,S200000,00400,0300,09/02/1982 20784,S200000,00400,0500,P 20784,S200000,01600,0100,Y 20784,S200000,02200,0100,Y 20784,S200000,02800,0100,Y 20786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20786,A000000,00300,0000,00300EMPLOYEE BENEFITS 20786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20786,A000000,00700,0000,00700HOUSEKEEPING 20786,A000000,00800,0000,00800DIETARY 20786,A000000,00900,0000,00900NURSING ADMINISTRATION 20786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20786,A000000,01100,0000,01100PHARMACY 20786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20786,A000000,01300,0000,01300SOCIAL SERVICE 20786,A000000,01350,0000,01500OTHER GENERAL SERVICES 20786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20786,A000000,01600,0000,01600SKILLED NURSING FACILITY 20786,A000000,01800,0000,01800NURSING FACILITY 20786,A000000,01810,0000,01801ICF/MR 20786,A000000,01900,0000,01900OTHER LONG TERM CARE 20786,A000000,02100,0000,02100RADIOLOGY 20786,A000000,02200,0000,02200LABORATORY 20786,A000000,02300,0000,02300INTRAVENOUS THERAPY 20786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20786,A000000,02500,0000,02500PHYSICAL THERAPY 20786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20786,A000000,02700,0000,02700SPEECH PATHOLOGY 20786,A000000,02800,0000,02800ELECTROCARDIOLOGY 20786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20786,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20786,A000000,03200,0000,03200SUPPORT SURFACES 20786,A000000,03400,0000,03400CLINIC 20786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20786,A000000,03500,0000,03500RURAL HEALTH CLINIC 20786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20786,A000000,04800,0000,04800AMBULANCE 20786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20786,A000000,05000,0000,05000CORF 20786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20786,A000000,05300,0000,05300INTEREST EXPENSE 20786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20786,A000000,05500,0000,05500HOSPICE 20786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20786,A000000,06100,0000,06100NONPAID WORKERS 20786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20786,A000000,06200,0000,06200PATIENTS LAUNDRY 20786,A81000A,00100,0100,Y 20786,A81000B,00100,0300,HOME OFFICE COSTS 20786,A81000B,00200,0300,PUBLIC RELATIONS 20786,A81000B,00300,0300,TRAINING COSTS 20786,A81000B,00400,0300,MDS FEES 20786,A81000B,00500,0300,REHAB FEES 20786,A81000B,00600,0300,REHAB FEES 20786,A81000B,00700,0300,REHAB FEES 20786,A81000C,00100,0100,B 20786,A81000C,00100,0400,EPI CORPORATION 20786,A81000C,00100,0600,NURSING HOMES 20786,A81000C,00200,0100,C 20786,A81000C,00200,0400,LUKEN/NUGENT 20786,A81000C,00200,0600,HC COMM. 20786,A81000C,00300,0100,C 20786,A81000C,00300,0400,KY HC TRAINING 20786,A81000C,00300,0600,KY HC TRAINING 20786,A81000C,00400,0100,C 20786,A81000C,00400,0400,RMS INC. 20786,A81000C,00400,0600,MDS CONSULTING 20786,A81000C,00500,0100,C 20786,A81000C,00500,0400,RMS INC. 20786,A81000C,00500,0600,THERAPY 20786,A81000C,00600,0100,C 20786,A81000C,00600,0400,RMS INC. 20786,A81000C,00600,0600,THERAPY 20786,A81000C,00700,0100,C 20786,A81000C,00700,0400,RMS INC. 20786,A81000C,00700,0600,THERAPY 20786,B100000,00000,0100,00000SQAURE FOOTAGE :CAP REL COSTS - BL 20786,B100000,00000,0250,00000SQAURE FOOTAGE :CAP REL COSTS - MO 20786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20786,B100000,00000,0500,00000SQAURE FOOTAGE :PLANT OPERATION M 20786,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20786,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 20786,B100000,00000,0800,00000MEALS SERVED :DIETARY 20786,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20786,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20786,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20786,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20786,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20786,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20786,E10A180,00501,0100,07/10/2000 20786,E10A180,00501,0300,07/10/2000 20786,E10A180,00601,0100,05/14/2001 20786,E10A180,00601,0300,05/14/2001 20786,S000000,00100,0200,06/01/2000 20786,S200000,00100,0100,1801 LYNN WAY 20786,S200000,00200,0100,LOUISVILLE 20786,S200000,00200,0200,KY 20786,S200000,00200,0300,40222- 20786,S200000,00300,0100,JEFFERSON 20786,S200000,00400,0100,JEFFERSON MANOR 20786,S200000,00400,0200,185169 20786,S200000,00400,0300,09/02/1982 20786,S200000,00400,0500,P 20786,S200000,01600,0100,Y 20786,S200000,02200,0100,Y 20786,S200000,02800,0100,Y 20796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20796,A000000,00300,0000,00300EMPLOYEE BENEFITS 20796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20796,A000000,00700,0000,00700HOUSEKEEPING 20796,A000000,00800,0000,00800DIETARY 20796,A000000,00900,0000,00900NURSING ADMINISTRATION 20796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20796,A000000,01100,0000,01100PHARMACY 20796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20796,A000000,01300,0000,01300SOCIAL SERVICE 20796,A000000,01350,0000,01500OTHER GENERAL SERVICES 20796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20796,A000000,01600,0000,01600SKILLED NURSING FACILITY 20796,A000000,01800,0000,01800NURSING FACILITY 20796,A000000,01810,0000,01810ICF/MR 20796,A000000,01900,0000,01900OTHER LONG TERM CARE 20796,A000000,02100,0000,02100RADIOLOGY 20796,A000000,02200,0000,02200LABORATORY 20796,A000000,02300,0000,02300INTRAVENOUS THERAPY 20796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20796,A000000,02500,0000,02500PHYSICAL THERAPY 20796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20796,A000000,02700,0000,02700SPEECH PATHOLOGY 20796,A000000,02800,0000,02800ELECTROCARDIOLOGY 20796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20796,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20796,A000000,03200,0000,03200SUPPORT SURFACES 20796,A000000,03400,0000,03400CLINIC 20796,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20796,A000000,03500,0000,03500RURAL HEALTH CLINIC 20796,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20796,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20796,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20796,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20796,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20796,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20796,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20796,A000000,04400,0000,04400DME RENTED - HHA 20796,A000000,04500,0000,04500DME SOLD - HHA 20796,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20796,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20796,A000000,04800,0000,04800AMBULANCE 20796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20796,A000000,05000,0000,05000CORF 20796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20796,A000000,05300,0000,05300INTEREST EXPENSE 20796,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20796,A000000,05500,0000,05500HOSPICE 20796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20796,A000000,06100,0000,06100NONPAID WORKERS 20796,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20796,A000000,06200,0000,06200PATIENTS LAUNDRY 20796,A81000A,00100,0100,Y 20796,A81000B,00100,0300,HOME OFFICE COSTS 20796,A81000C,00100,0100,B 20796,A81000C,00100,0200,SENIORCARE LLC 20796,A81000C,00100,0400,SENIORCARE LLC 20796,A81000C,00100,0600,HOME OFFICE 20796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20796,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20796,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20796,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20796,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20796,B100000,00000,0800,00000MEALS SERVED :DIETARY 20796,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20796,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20796,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20796,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20796,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20796,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20796,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20796,E10A180,00601,0100,07/20/2001 20796,E10A180,00601,0300,07/20/2001 20796,S000000,00100,0200,06/19/2000 20796,S200000,00100,0100,1040 US SOUTH 20796,S200000,00200,0100,FRANKFORT 20796,S200000,00200,0200,KY 20796,S200000,00200,0300,40601- 20796,S200000,00300,0100,FRANKLIN 20796,S200000,00400,0100,BRADFORD SQUARE 20796,S200000,00400,0200,185170 20796,S200000,00400,0300,01/01/1989 20796,S200000,00400,0500,P 20796,S200000,01600,0100,Y 20806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20806,A000000,00300,0000,00300EMPLOYEE BENEFITS 20806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20806,A000000,00700,0000,00700HOUSEKEEPING 20806,A000000,00800,0000,00800DIETARY 20806,A000000,00900,0000,00900NURSING ADMINISTRATION 20806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20806,A000000,01100,0000,01100PHARMACY 20806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20806,A000000,01300,0000,01300SOCIAL SERVICE 20806,A000000,01350,0000,01500ACTIVITIES 20806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20806,A000000,01600,0000,01600SKILLED NURSING FACILITY 20806,A000000,01800,0000,01800NURSING FACILITY 20806,A000000,01810,0000,01801ICF/MR 20806,A000000,01900,0000,01900OTHER LONG TERM CARE 20806,A000000,02100,0000,02100RADIOLOGY 20806,A000000,02200,0000,02200LABORATORY 20806,A000000,02300,0000,02300INTRAVENOUS THERAPY 20806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20806,A000000,02401,0000,02401RESPIRATORY 20806,A000000,02500,0000,02500PHYSICAL THERAPY 20806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20806,A000000,02700,0000,02700SPEECH PATHOLOGY 20806,A000000,02800,0000,02800ELECTROCARDIOLOGY 20806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20806,A000000,03200,0000,03200SUPPORT SURFACES 20806,A000000,03400,0000,03400CLINIC 20806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20806,A000000,03500,0000,03500RURAL HEALTH CLINIC 20806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20806,A000000,04400,0000,04400DME RENTED - HHA 20806,A000000,04500,0000,04500DME SOLD - HHA 20806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20806,A000000,04800,0000,04800AMBULANCE 20806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20806,A000000,05000,0000,05000CORF 20806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20806,A000000,05300,0000,05300INTEREST EXPENSE 20806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20806,A000000,05500,0000,05500HOSPICE 20806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20806,A000000,06100,0000,06100NONPAID WORKERS 20806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20806,A000000,06200,0000,06200PATIENTS LAUNDRY 20806,A81000A,00100,0100,Y 20806,A81000B,00100,0300,RENT 20806,A81000B,00200,0300,MANAGEMENT FEES A&G 20806,A81000B,00300,0300,MANAGEMENT FEES-BLDG 20806,A81000B,00400,0300,MANAGEMENT FEES-EQUIP 20806,A81000B,00500,0300,MANAGEMENT FEES-INTEREST 20806,A81000C,00100,0100,A 20806,A81000C,00100,0200,ESTATE OF J FELDMAN 20806,A81000C,00100,0400,INDIVIDUAL 20806,A81000C,00100,0600,RENTAL 20806,A81000C,00200,0100,A 20806,A81000C,00200,0200,ESTATE OF J FELDMAN 20806,A81000C,00200,0400,HEALTH CARE COLLABORATIVE 20806,A81000C,00200,0600,HOME HEALTH AGENCY 20806,A81000C,00300,0100,A 20806,A81000C,00300,0200,ESTATE OF J FELDMAN 20806,A81000C,00300,0400,HEALTH CARE COLLABORATIVE 20806,A81000C,00300,0600,REAL ESTATE AGENCY 20806,A81000C,00400,0100,A 20806,A81000C,00400,0200,ESTATE OF J FELDMAN 20806,A81000C,00400,0400,HEALTH CARE COLLABORATIVE 20806,A81000C,00400,0600,MANAGEMENT COMPANY 20806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20806,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20806,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20806,B100000,00000,0800,00000MEALS SERVED :DIETARY 20806,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 20806,B100000,00000,1050,00000TIME SPENT :CENTRAL SERVICES & SUP 20806,B100000,00000,1150,00000TIME SPENT :PHARMACY 20806,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20806,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20806,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 20806,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 20806,E10A180,00601,0100,03/15/2001 20806,E10A180,00601,0300,03/15/2001 20806,S000000,00100,0200,06/01/2000 20806,S200000,00100,0100,6975 BURLINGTON PIKE 20806,S200000,00200,0100,FLORENCE 20806,S200000,00200,0200,KY 20806,S200000,00200,0300,41042- 20806,S200000,00300,0100,BOONE 20806,S200000,00400,0100,FLORENCE PARK CARE CENTER 20806,S200000,00400,0200,185174 20806,S200000,00400,0300,07/01/1984 20806,S200000,00400,0500,P 20806,S200000,01600,0100,Y 20820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20820,A000000,00300,0000,00300EMPLOYEE BENEFITS 20820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20820,A000000,00700,0000,00700HOUSEKEEPING 20820,A000000,00800,0000,00800DIETARY 20820,A000000,00900,0000,00900NURSING ADMINISTRATION 20820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20820,A000000,01100,0000,01100PHARMACY 20820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20820,A000000,01300,0000,01300SOCIAL SERVICE 20820,A000000,01350,0000,01500OTHER GENERAL SERVICES 20820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20820,A000000,01600,0000,01600SKILLED NURSING FACILITY 20820,A000000,01800,0000,01800NURSING FACILITY 20820,A000000,01810,0000,01810ICF/MR 20820,A000000,01900,0000,01900OTHER LONG TERM CARE 20820,A000000,02100,0000,02100RADIOLOGY 20820,A000000,02200,0000,02200LABORATORY 20820,A000000,02300,0000,02300INTRAVENOUS THERAPY 20820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20820,A000000,02500,0000,02500PHYSICAL THERAPY 20820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20820,A000000,02700,0000,02700SPEECH PATHOLOGY 20820,A000000,02800,0000,02800ELECTROCARDIOLOGY 20820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20820,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20820,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20820,A000000,03200,0000,03200SUPPORT SURFACES 20820,A000000,03400,0000,03400CLINIC 20820,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20820,A000000,03500,0000,03500RURAL HEALTH CLINIC 20820,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20820,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20820,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20820,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20820,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20820,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20820,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20820,A000000,04400,0000,04400DME RENTED - HHA 20820,A000000,04500,0000,04500DME SOLD - HHA 20820,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20820,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20820,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20820,A000000,04800,0000,04800AMBULANCE 20820,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20820,A000000,05000,0000,05000CORF 20820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20820,A000000,05300,0000,05300INTEREST EXPENSE 20820,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20820,A000000,05500,0000,05500HOSPICE 20820,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20820,A000000,06100,0000,06100NONPAID WORKERS 20820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20820,A000000,06200,0000,06200PATIENTS LAUNDRY 20820,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20820,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20820,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20820,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20820,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20820,B100000,00000,0800,00000MEALS SERVED :DIETARY 20820,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20820,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20820,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20820,E10A180,00601,0100,03/15/2002 20820,S000000,00100,0200,04/03/2001 20820,S200000,00100,0100,211 WEST OAK 20820,S200000,00200,0100,LOUISVILLE 20820,S200000,00200,0200,KY 20820,S200000,00200,0300,40203- 20820,S200000,00300,0100,JEFFERSON 20820,S200000,00300,0200,4520 20820,S200000,00300,0300,U 20820,S200000,00400,0100,TREYTON OAK TOWERS 20820,S200000,00400,0200,185175 20820,S200000,00400,0300,08/01/1984 20820,S200000,00400,0500,P 20820,S200000,01004,0500,O 20820,S200000,01600,0100,Y 20827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20827,A000000,00300,0000,00300EMPLOYEE BENEFITS 20827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20827,A000000,00700,0000,00700HOUSEKEEPING 20827,A000000,00800,0000,00800DIETARY 20827,A000000,00900,0000,00900NURSING ADMINISTRATION 20827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20827,A000000,01100,0000,01100PHARMACY 20827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20827,A000000,01300,0000,01300SOCIAL SERVICE 20827,A000000,01350,0000,01500OTHER GENERAL SERVICES 20827,A000000,01600,0000,01600SKILLED NURSING FACILITY 20827,A000000,01800,0000,01800NURSING FACILITY 20827,A000000,01810,0000,01801ICF/MR 20827,A000000,01900,0000,01900OTHER LONG TERM CARE 20827,A000000,02100,0000,02100RADIOLOGY 20827,A000000,02200,0000,02200LABORATORY 20827,A000000,02300,0000,02300INTRAVENOUS THERAPY 20827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20827,A000000,02500,0000,02500PHYSICAL THERAPY 20827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20827,A000000,02700,0000,02700SPEECH PATHOLOGY 20827,A000000,02800,0000,02800ELECTROCARDIOLOGY 20827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20827,A000000,03200,0000,03200SUPPORT SURFACES 20827,A000000,03400,0000,03400CLINIC 20827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20827,A000000,03500,0000,03500RURAL HEALTH CLINIC 20827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20827,A000000,04400,0000,04400DME RENTED - HHA 20827,A000000,04500,0000,04500DME SOLD - HHA 20827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20827,A000000,04800,0000,04800AMBULANCE 20827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20827,A000000,05000,0000,05000CORF 20827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20827,A000000,05300,0000,05300INTEREST EXPENSE 20827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20827,A000000,05500,0000,05500HOSPICE 20827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20827,A000000,06100,0000,06100NONPAID WORKERS 20827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20827,A000000,06200,0000,06200PATIENTS LAUNDRY 20827,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20827,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20827,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20827,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20827,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20827,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20827,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20827,B100000,00000,0800,00000MEALS SERVED :DIETARY 20827,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20827,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20827,B100000,00000,1150,00000SQUARE FEET :PHARMACY 20827,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20827,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20827,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20827,E10A180,00501,0100,05/05/2000 20827,E10A180,00550,0300,05/05/2000 20827,E10A180,00650,0100,02/27/2001 20827,E10A180,00650,0300,02/27/2001 20827,S000000,00100,0200,04/28/2000 20827,S200000,00100,0100,505 EAST LAKE DRIVE 20827,S200000,00200,0100,LEITCHFIELD 20827,S200000,00200,0200,KY 20827,S200000,00200,0300,42754- 20827,S200000,00300,0100,GRAYSON 20827,S200000,00400,0100,GRAYSON MANOR 20827,S200000,00400,0200,185177 20827,S200000,00400,0300,08/01/1985 20827,S200000,00400,0500,P 20827,S200000,01600,0100,Y 20827,S200000,04700,0100,Y 20837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20837,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20837,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20837,A000000,00300,0000,00300EMPLOYEE BENEFITS 20837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20837,A000000,00700,0000,00700HOUSEKEEPING 20837,A000000,00800,0000,00800DIETARY 20837,A000000,00801,0000,00801CAFETERIA 20837,A000000,00900,0000,00900NURSING ADMINISTRATION 20837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20837,A000000,01100,0000,01100PHARMACY 20837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20837,A000000,01300,0000,01300SOCIAL SERVICE 20837,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20837,A000000,01600,0000,01600SKILLED NURSING FACILITY 20837,A000000,01800,0000,01800NURSING FACILITY 20837,A000000,01900,0000,01900OTHER LONG TERM CARE 20837,A000000,02100,0000,02100RADIOLOGY 20837,A000000,02200,0000,02200LABORATORY 20837,A000000,02300,0000,02300INTRAVENOUS THERAPY 20837,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20837,A000000,02500,0000,02500PHYSICAL THERAPY 20837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20837,A000000,02700,0000,02700SPEECH PATHOLOGY 20837,A000000,02800,0000,02800ELECTROCARDIOLOGY 20837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20837,A000000,03050,0000,03300OTHER ANCILLARY 20837,A000000,03051,0000,03301OTHER ANCILLARY II 20837,A000000,03052,0000,03302OTHER ANCILLARY III 20837,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20837,A000000,03200,0000,03200SUPPORT SURFACES 20837,A000000,03400,0000,03400CLINIC 20837,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20837,A000000,03500,0000,03500RURAL HEALTH CLINIC 20837,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20837,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20837,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20837,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20837,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20837,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20837,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20837,A000000,04400,0000,04400DME RENTED - HHA 20837,A000000,04500,0000,04500DME SOLD - HHA 20837,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20837,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20837,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20837,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20837,A000000,05000,0000,05000CORF 20837,A000000,05010,0000,05010CMHC I 20837,A000000,05020,0000,05020OPT I 20837,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20837,A000000,05300,0000,05300INTEREST EXPENSE 20837,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20837,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20837,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20837,A000000,05500,0000,05500HOSPICE 20837,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20837,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20837,A000000,06100,0000,06100NONPAID WORKERS 20837,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20837,A000000,06200,0000,06200PATIENTS LAUNDRY 20837,A81000A,00100,0100,Y 20837,A81000B,00100,0300,HOME OFFICE COSTS 20837,A81000B,00200,0300,PUBLIC RELATIONS 20837,A81000B,00300,0300,MDS FEES 20837,A81000B,00400,0300,REHAB. FEES 20837,A81000B,00500,0300,REHAB. FEES 20837,A81000B,00600,0300,REHAB. FEES 20837,A81000C,00100,0100,B 20837,A81000C,00100,0400,EPI CORPORATION 20837,A81000C,00100,0600,NURSING HOMES 20837,A81000C,00200,0100,C 20837,A81000C,00200,0400,LUKEN/NUGENT 20837,A81000C,00200,0600,HC. COMM 20837,A81000C,00300,0100,C 20837,A81000C,00300,0400,RMS INC. 20837,A81000C,00300,0600,MDS CONSULTING 20837,A81000C,00400,0100,C 20837,A81000C,00400,0400,RMS INC. 20837,A81000C,00400,0600,THERAPY 20837,A81000C,00500,0100,C 20837,A81000C,00500,0400,RMS INC. 20837,A81000C,00500,0600,THERAPY 20837,A81000C,00600,0100,C 20837,A81000C,00600,0400,RMS INC. 20837,A81000C,00600,0600,THERAPY 20837,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20837,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20837,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20837,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20837,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20837,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20837,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20837,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20837,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20837,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20837,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20837,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20837,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20837,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20837,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20837,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20837,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 20837,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20837,E10A180,00550,0300,06/29/1999 20837,E10A180,00650,0100,08/07/2000 20837,E10A180,00650,0300,08/07/2000 20837,S000000,00100,0200,06/29/1999 20837,S200000,00100,0100,599 ROGERSVILLE ROAD 20837,S200000,00200,0100,RADCLIFF 20837,S200000,00200,0200,KY 20837,S200000,00200,0300,40160- 20837,S200000,00300,0100,HARDIN 20837,S200000,00400,0100,NORTH HARDIN NURSING & CONV. CENTER 20837,S200000,00400,0200,185180 20837,S200000,00400,0300,11/21/1986 20837,S200000,00400,0500,P 20837,S200000,01600,0100,Y 20837,S200000,02200,0100,Y 20837,S700003,00000,0100,1 20839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20839,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20839,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20839,A000000,00300,0000,00300EMPLOYEE BENEFITS 20839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20839,A000000,00700,0000,00700HOUSEKEEPING 20839,A000000,00800,0000,00800DIETARY 20839,A000000,00801,0000,00801CAFETERIA 20839,A000000,00900,0000,00900NURSING ADMINISTRATION 20839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20839,A000000,01100,0000,01100PHARMACY 20839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20839,A000000,01300,0000,01300SOCIAL SERVICE 20839,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20839,A000000,01600,0000,01600SKILLED NURSING FACILITY 20839,A000000,01800,0000,01800NURSING FACILITY 20839,A000000,01900,0000,01900OTHER LONG TERM CARE 20839,A000000,02100,0000,02100RADIOLOGY 20839,A000000,02200,0000,02200LABORATORY 20839,A000000,02300,0000,02300INTRAVENOUS THERAPY 20839,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20839,A000000,02500,0000,02500PHYSICAL THERAPY 20839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20839,A000000,02700,0000,02700SPEECH PATHOLOGY 20839,A000000,02800,0000,02800ELECTROCARDIOLOGY 20839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20839,A000000,03050,0000,03300OTHER ANCILLARY 20839,A000000,03051,0000,03301OTHER ANCILLARY II 20839,A000000,03052,0000,03302OTHER ANCILLARY III 20839,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20839,A000000,03200,0000,03200SUPPORT SURFACES 20839,A000000,03400,0000,03400CLINIC 20839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20839,A000000,03500,0000,03500RURAL HEALTH CLINIC 20839,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20839,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20839,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20839,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20839,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20839,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20839,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20839,A000000,04400,0000,04400DME RENTED - HHA 20839,A000000,04500,0000,04500DME SOLD - HHA 20839,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20839,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20839,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20839,A000000,04800,0000,04800AMBULANCE 20839,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20839,A000000,05000,0000,05000CORF 20839,A000000,05010,0000,05010CMHC I 20839,A000000,05020,0000,05020OPT I 20839,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20839,A000000,05300,0000,05300INTEREST EXPENSE 20839,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20839,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20839,A000000,05500,0000,05500HOSPICE 20839,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20839,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20839,A000000,06100,0000,06100NONPAID WORKERS 20839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20839,A000000,06200,0000,06200PATIENTS LAUNDRY 20839,A81000A,00100,0100,Y 20839,A81000B,00100,0300,HOME OFFICE COSTS 20839,A81000B,00200,0300,PUBLIC RELATIONS 20839,A81000B,00300,0300,MDS FEES 20839,A81000B,00400,0300,REHAB. FEES 20839,A81000B,00500,0300,REHAB. FEES 20839,A81000B,00600,0300,REHAB. FEES 20839,A81000C,00100,0100,B 20839,A81000C,00100,0400,EPI CORPORATION 20839,A81000C,00100,0600,NURSING HOMES 20839,A81000C,00200,0100,C 20839,A81000C,00200,0400,LUKEN/NUGENT 20839,A81000C,00200,0600,HC. COMM 20839,A81000C,00300,0100,C 20839,A81000C,00300,0400,RMS INC. 20839,A81000C,00300,0600,MDS CONSULTING 20839,A81000C,00400,0100,C 20839,A81000C,00400,0400,RMS INC. 20839,A81000C,00400,0600,THERAPY 20839,A81000C,00500,0100,C 20839,A81000C,00500,0400,RMS INC. 20839,A81000C,00500,0600,THERAPY 20839,A81000C,00600,0100,C 20839,A81000C,00600,0400,RMS INC. 20839,A81000C,00600,0600,THERAPY 20839,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20839,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20839,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20839,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20839,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20839,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20839,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20839,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20839,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20839,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20839,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20839,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20839,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20839,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20839,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20839,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20839,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20839,E10A180,00601,0100,02/28/2001 20839,S000000,00100,0200,12/22/1999 20839,S200000,00100,0100,599 ROGERSVILLE ROAD 20839,S200000,00200,0100,RADCLIFF 20839,S200000,00200,0200,KY 20839,S200000,00200,0300,40160- 20839,S200000,00300,0100,HARDIN 20839,S200000,00400,0100,NORTH HARDIN HEALTH & REHAB. CENTER 20839,S200000,00400,0200,185180 20839,S200000,00400,0300,11/21/1986 20839,S200000,00400,0500,P 20839,S200000,01600,0100,Y 20839,S200000,02200,0100,Y 20841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20841,A000000,00300,0000,00300EMPLOYEE BENEFITS 20841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20841,A000000,00700,0000,00700HOUSEKEEPING 20841,A000000,00800,0000,00800DIETARY 20841,A000000,00900,0000,00900NURSING ADMINISTRATION 20841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20841,A000000,01100,0000,01100PHARMACY 20841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20841,A000000,01300,0000,01300SOCIAL SERVICE 20841,A000000,01350,0000,01500OTHER GENERAL SERVICES 20841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20841,A000000,01600,0000,01600SKILLED NURSING FACILITY 20841,A000000,01800,0000,01800NURSING FACILITY 20841,A000000,01810,0000,01810ICF/MR 20841,A000000,01900,0000,01900OTHER LONG TERM CARE 20841,A000000,02100,0000,02100RADIOLOGY 20841,A000000,02200,0000,02200LABORATORY 20841,A000000,02300,0000,02300INTRAVENOUS THERAPY 20841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20841,A000000,02500,0000,02500PHYSICAL THERAPY 20841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20841,A000000,02700,0000,02700SPEECH PATHOLOGY 20841,A000000,02800,0000,02800ELECTROCARDIOLOGY 20841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20841,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20841,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20841,A000000,03200,0000,03200SUPPORT SURFACES 20841,A000000,03400,0000,03400CLINIC 20841,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20841,A000000,03500,0000,03500RURAL HEALTH CLINIC 20841,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20841,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20841,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20841,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20841,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20841,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20841,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20841,A000000,04400,0000,04400DME RENTED - HHA 20841,A000000,04500,0000,04500DME SOLD - HHA 20841,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20841,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20841,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20841,A000000,04800,0000,04800AMBULANCE 20841,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20841,A000000,05000,0000,05000CORF 20841,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20841,A000000,05300,0000,05300INTEREST EXPENSE 20841,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20841,A000000,05500,0000,05500HOSPICE 20841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20841,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20841,A000000,06100,0000,06100NONPAID WORKERS 20841,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20841,A000000,06200,0000,06200PATIENTS LAUNDRY 20841,A81000A,00100,0100,Y 20841,A81000B,00100,0300,HOME OFFICE COST 20841,A81000B,00200,0300,PUBLIC RELATIONS 20841,A81000B,00300,0300,MDS FEES 20841,A81000B,00400,0300,REHAB FEES 20841,A81000B,00500,0300,REHAB FEES 20841,A81000B,00600,0300,REHAB FEES 20841,A81000C,00100,0100,B 20841,A81000C,00100,0400,EPI CORPORATION 20841,A81000C,00100,0600,NURSING HOMES 20841,A81000C,00200,0100,C 20841,A81000C,00200,0400,LUKEN/NUGENT 20841,A81000C,00200,0600,HC. COMM. 20841,A81000C,00300,0100,C 20841,A81000C,00300,0400,RMS INC. 20841,A81000C,00300,0600,MDS CONSULTING 20841,A81000C,00400,0100,C 20841,A81000C,00400,0400,RMS INC. 20841,A81000C,00400,0600,THERAPY 20841,A81000C,00500,0100,C 20841,A81000C,00500,0400,RMS INC. 20841,A81000C,00500,0600,THERAPY 20841,A81000C,00600,0100,C 20841,A81000C,00600,0400,RMS INC. 20841,A81000C,00600,0600,THERAPY 20841,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20841,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20841,B100000,00000,0800,00000MEALS SERVED :DIETARY 20841,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20841,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20841,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20841,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20841,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20841,E10A180,00601,0100,08/03/2001 20841,E10A180,00601,0300,08/03/2001 20841,S000000,00100,0200,05/31/2000 20841,S200000,00100,0100,599 ROGERSVILLE 20841,S200000,00200,0100,RADCLIFF 20841,S200000,00200,0200,KY 20841,S200000,00200,0300,40160- 20841,S200000,00300,0100,HARDIN 20841,S200000,00400,0100,NORTH HARDIN HEALTH & REHAB CENTER 20841,S200000,00400,0200,185180 20841,S200000,00400,0300,11/21/1986 20841,S200000,00400,0500,P 20841,S200000,01600,0100,Y 20841,S200000,02200,0100,Y 20850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20850,A000000,00300,0000,00300EMPLOYEE BENEFITS 20850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20850,A000000,00501,0000,00501PLANT OPERATION MAINT. & REPAIRS 20850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20850,A000000,00700,0000,00700HOUSEKEEPING 20850,A000000,00800,0000,00800DIETARY 20850,A000000,00900,0000,00900NURSING ADMINISTRATION 20850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20850,A000000,01100,0000,01100PHARMACY 20850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20850,A000000,01300,0000,01300SOCIAL SERVICE 20850,A000000,01350,0000,01500OTHER GENERAL SERVICES 20850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20850,A000000,01600,0000,01600SKILLED NURSING FACILITY 20850,A000000,01800,0000,01800NURSING FACILITY 20850,A000000,01810,0000,01810ICF/MR 20850,A000000,01900,0000,01900OTHER LONG TERM CARE 20850,A000000,02100,0000,02100RADIOLOGY 20850,A000000,02200,0000,02200LABORATORY 20850,A000000,02300,0000,02300INTRAVENOUS THERAPY 20850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20850,A000000,02500,0000,02500PHYSICAL THERAPY 20850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20850,A000000,02700,0000,02700SPEECH PATHOLOGY 20850,A000000,02800,0000,02800ELECTROCARDIOLOGY 20850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20850,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20850,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20850,A000000,03200,0000,03200SUPPORT SURFACES 20850,A000000,03400,0000,03400CLINIC 20850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20850,A000000,03500,0000,03500RURAL HEALTH CLINIC 20850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20850,A000000,04800,0000,04800AMBULANCE 20850,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20850,A000000,05000,0000,05000CORF 20850,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20850,A000000,05300,0000,05300INTEREST EXPENSE 20850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20850,A000000,05500,0000,05500HOSPICE 20850,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20850,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20850,A000000,06100,0000,06100NONPAID WORKERS 20850,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20850,A000000,06200,0000,06200PATIENTS LAUNDRY 20850,A81000A,00100,0100,Y 20850,A81000B,00100,0300,HOME OFFICE COSTS 20850,A81000B,00200,0300,HOME OFFICE COSTS 20850,A81000C,00100,0100,A 20850,A81000C,00100,0200,PRESBYTERIAN HOMES 20850,A81000C,00100,0400,PRESBYTERIAN HOMES 20850,A81000C,00100,0600,CORP OFFICE/MANAGEMENT 20850,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20850,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20850,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20850,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20850,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20850,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20850,B100000,00000,0800,00000MEALS SERVED :DIETARY 20850,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20850,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20850,E10A180,00650,0100,07/06/2001 20850,E10A180,00650,0300,07/06/2001 20850,S000000,00100,0200,06/02/2000 20850,S200000,00100,0100,106 DIECKS DRIVE 20850,S200000,00200,0100,ELIZABETHTOWN 20850,S200000,00200,0200,KY 20850,S200000,00200,0300,42701- 20850,S200000,00300,0100,HARDIN 20850,S200000,00300,0200,18 20850,S200000,00300,0300,R 20850,S200000,00400,0100,THE HEALTHCARE CENTER 20850,S200000,00400,0200,185183 20850,S200000,00400,0300,01/26/1987 20850,S200000,00400,0500,P 20850,S200000,01500,0100,Y 20858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20858,A000000,00300,0000,00300EMPLOYEE BENEFITS 20858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20858,A000000,00700,0000,00700HOUSEKEEPING 20858,A000000,00800,0000,00800DIETARY 20858,A000000,00900,0000,00900NURSING ADMINISTRATION 20858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20858,A000000,01100,0000,01100PHARMACY 20858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20858,A000000,01300,0000,01300SOCIAL SERVICE 20858,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20858,A000000,01600,0000,01600SKILLED NURSING FACILITY 20858,A000000,01800,0000,01800NURSING FACILITY 20858,A000000,01900,0000,01900OTHER LONG TERM CARE 20858,A000000,02100,0000,02100RADIOLOGY 20858,A000000,02200,0000,02200LABORATORY 20858,A000000,02300,0000,02300INTRAVENOUS THERAPY 20858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20858,A000000,02500,0000,02500PHYSICAL THERAPY 20858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20858,A000000,02700,0000,02700SPEECH PATHOLOGY 20858,A000000,02800,0000,02800ELECTROCARDIOLOGY 20858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20858,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 20858,A000000,03051,0000,03301PEN THERAPY 20858,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20858,A000000,03200,0000,03200SUPPORT SURFACES 20858,A000000,03400,0000,03400CLINIC 20858,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 20858,A000000,04800,0000,04800AMBULANCE 20858,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20858,A000000,05300,0000,05300INTEREST EXPENSE 20858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20858,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20858,A000000,05500,0000,05500HOSPICE 20858,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20858,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20858,A000000,06100,0000,06100NONPAID WORKERS 20858,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 20858,A000000,06200,0000,06200PATIENTS LAUNDRY 20858,A81000A,00100,0100,Y 20858,A81000B,00100,0300,CONSULTANTS 20858,A81000B,00200,0300,CONSULTANTS 20858,A81000B,00300,0300,CONSULTANTS 20858,A81000B,00400,0300,CONSULTANTS 20858,A81000B,00500,0300,DIETARY 20858,A81000B,00600,0300,HOME OFFICE 20858,A81000B,00700,0300,RENTAL 20858,A81000B,00800,0300,GAS 20858,A81000B,00900,0300,SUPPLIES 20858,A81000B,01000,0300,PHARMACY 20858,A81000B,01100,0300,REPAIRS 20858,A81000B,01200,0300,INSURANCE 20858,A81000B,01300,0300,CONTRACT NURSING 20858,A81000C,00100,0100,B 20858,A81000C,00100,0400,BRITTHAVEN INC 20858,A81000C,00100,0600,MGMT SVS 20858,A81000C,00200,0100,B 20858,A81000C,00200,0400,BRITTHAVEN INC 20858,A81000C,00200,0600,MGMT SVS 20858,A81000C,00300,0100,B 20858,A81000C,00300,0400,BRITTHAVEN INC 20858,A81000C,00300,0600,MGMT SVS 20858,A81000C,00400,0100,B 20858,A81000C,00400,0400,BRITTHAVEN INC 20858,A81000C,00400,0600,MGMT SVS 20858,A81000C,00500,0100,B 20858,A81000C,00500,0400,BRITTHAVEN INC 20858,A81000C,00500,0600,MGMT SVS 20858,A81000C,00600,0100,B 20858,A81000C,00600,0400,BRITTHAVEN INC 20858,A81000C,00600,0600,MGMT SVS 20858,A81000C,00700,0100,B 20858,A81000C,00700,0400,BRITTHAVEN INC 20858,A81000C,00700,0600,MGMT SVS 20858,A81000C,00800,0100,B 20858,A81000C,00800,0400,BRITTHAVEN INC 20858,A81000C,00800,0600,MGMT SVS 20858,A81000C,00900,0100,B 20858,A81000C,00900,0400,BRITTHAVEN INC 20858,A81000C,00900,0600,MGMT SVS 20858,A81000C,01000,0100,B 20858,A81000C,01000,0400,KARE MEDICAL 20858,A81000C,01000,0600,WHOLESALE SUPPL 20858,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20858,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20858,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20858,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20858,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20858,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 20858,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20858,B100000,00000,0800,00000MEALS SERVED :DIETARY 20858,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 20858,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 20858,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 20858,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20858,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20858,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 20858,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20858,E10A180,00550,0300,03/01/2000 20858,E10A180,00601,0100,02/27/2001 20858,E10A180,00650,0300,02/27/2001 20858,S000000,00100,0200,03/03/2000 20858,S200000,00100,0100,5079 SCOTTDALE ROAD 20858,S200000,00200,0100,BOWLING GREEN 20858,S200000,00200,0200,KY 20858,S200000,00200,0300,42102-1719 20858,S200000,00300,0100,WARREN 20858,S200000,00400,0100,BRITTHAVEN OF BOWLING GREEN 20858,S200000,00400,0200,185187 20858,S200000,00400,0300,02/28/1989 20858,S200000,00400,0500,P 20858,S200000,01600,0100,Y 20865,S000000,00100,0200,09/06/2000 20872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20872,A000000,00300,0000,00300EMPLOYEE BENEFITS 20872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20872,A000000,00700,0000,00700HOUSEKEEPING 20872,A000000,00800,0000,00800DIETARY 20872,A000000,00900,0000,00900NURSING ADMINISTRATION 20872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20872,A000000,01100,0000,01100PHARMACY 20872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20872,A000000,01300,0000,01300SOCIAL SERVICE 20872,A000000,01350,0000,01500OTHER GENERAL SERVICES 20872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20872,A000000,01600,0000,01600SKILLED NURSING FACILITY 20872,A000000,01800,0000,01800NURSING FACILITY 20872,A000000,01900,0000,01900OTHER LONG TERM CARE 20872,A000000,02100,0000,02100RADIOLOGY 20872,A000000,02200,0000,02200LABORATORY 20872,A000000,02300,0000,02300INTRAVENOUS THERAPY 20872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20872,A000000,02500,0000,02500PHYSICAL THERAPY 20872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20872,A000000,02700,0000,02700SPEECH PATHOLOGY 20872,A000000,02800,0000,02800ELECTROCARDIOLOGY 20872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20872,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20872,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20872,A000000,03200,0000,03200SUPPORT SURFACES 20872,A000000,03400,0000,03400CLINIC 20872,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20872,A000000,03500,0000,03500RURAL HEALTH CLINIC 20872,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20872,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20872,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20872,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20872,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20872,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20872,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20872,A000000,04400,0000,04400DME RENTED - HHA 20872,A000000,04500,0000,04500DME SOLD - HHA 20872,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20872,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20872,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20872,A000000,04800,0000,04800AMBULANCE 20872,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20872,A000000,05000,0000,05000CORF 20872,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20872,A000000,05300,0000,05300INTEREST EXPENSE 20872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20872,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20872,A000000,05500,0000,05500HOSPICE 20872,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20872,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20872,A000000,06100,0000,06100NONPAID WORKERS 20872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20872,A000000,06200,0000,06200PATIENTS LAUNDRY 20872,A81000A,00100,0100,Y 20872,A81000B,00100,0300,MGT FEES/HO COSTS 20872,A81000C,00100,0100,A 20872,A81000C,00100,0200,CHRISTIAN CHURCH HOMES 20872,A81000C,00100,0400,HOME OFFICE 20872,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20872,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20872,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20872,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20872,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20872,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20872,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20872,B100000,00000,0800,00000MEALS SERVED :DIETARY 20872,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 20872,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20872,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20872,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20872,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20872,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20872,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 20872,S000000,00100,0200,06/07/2000 20872,S200000,00100,0100,1500 TRENT BOULEVARD 20872,S200000,00200,0100,LEXINGTON 20872,S200000,00200,0200,KY 20872,S200000,00200,0300,40515- 20872,S200000,00300,0100,FAYETTE 20872,S200000,00400,0100,CHRISTIAN HEALTH CENTER 20872,S200000,00400,0200,185197 20872,S200000,00400,0300,03/01/1991 20872,S200000,00400,0500,P 20872,S200000,01600,0100,Y 20872,S700003,00000,0100,1 20883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20883,A000000,00300,0000,00300EMPLOYEE BENEFITS 20883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20883,A000000,00700,0000,00700HOUSEKEEPING 20883,A000000,00800,0000,00800DIETARY 20883,A000000,00900,0000,00900NURSING ADMINISTRATION 20883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20883,A000000,01100,0000,01100PHARMACY 20883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20883,A000000,01300,0000,01300SOCIAL SERVICE 20883,A000000,01350,0000,01500OTHER GENERAL SERVICES 20883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20883,A000000,01600,0000,01600SKILLED NURSING FACILITY 20883,A000000,01800,0000,01800NURSING FACILITY 20883,A000000,01900,0000,01900OTHER LONG TERM CARE 20883,A000000,02100,0000,02100RADIOLOGY 20883,A000000,02200,0000,02200LABORATORY 20883,A000000,02300,0000,02300INTRAVENOUS THERAPY 20883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20883,A000000,02500,0000,02500PHYSICAL THERAPY 20883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20883,A000000,02700,0000,02700SPEECH PATHOLOGY 20883,A000000,02800,0000,02800ELECTROCARDIOLOGY 20883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20883,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20883,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20883,A000000,03200,0000,03200SUPPORT SURFACES 20883,A000000,03400,0000,03400CLINIC 20883,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20883,A000000,03500,0000,03500RURAL HEALTH CLINIC 20883,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20883,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20883,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20883,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20883,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20883,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20883,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20883,A000000,04400,0000,04400DME RENTED - HHA 20883,A000000,04500,0000,04500DME SOLD - HHA 20883,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20883,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20883,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20883,A000000,04800,0000,04800AMBULANCE 20883,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20883,A000000,05000,0000,05000CORF 20883,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20883,A000000,05300,0000,05300INTEREST EXPENSE 20883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20883,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20883,A000000,05500,0000,05500HOSPICE 20883,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20883,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20883,A000000,06100,0000,06100NONPAID WORKERS 20883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20883,A000000,06200,0000,06200PATIENTS LAUNDRY 20883,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20883,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20883,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20883,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20883,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20883,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20883,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20883,B100000,00000,0800,00000MEALS SERVED :DIETARY 20883,B100000,00000,0900,00000HOURS WORKED :NURSING ADMINISTRATI 20883,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20883,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20883,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20883,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20883,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20883,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20883,E10A180,00601,0300,07/25/2000 20883,E10A180,00650,0100,07/25/2000 20883,S000000,00100,0200,07/07/1999 20883,S200000,00100,0100,73 PIEDMONT DRIVE 20883,S200000,00200,0100,WHITESBURG 20883,S200000,00200,0200,KY 20883,S200000,00200,0300,41858- 20883,S200000,00300,0100,LETCHER 20883,S200000,00400,0100,LETCHER MANOR 20883,S200000,00400,0200,185200 20883,S200000,00400,0300,10/01/1989 20883,S200000,00400,0500,O 20883,S200000,01600,0100,Y 20883,S700003,00000,0100,1 20894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20894,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20894,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20894,A000000,00300,0000,00300EMPLOYEE BENEFITS 20894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20894,A000000,00700,0000,00700HOUSEKEEPING 20894,A000000,00800,0000,00800DIETARY 20894,A000000,00801,0000,00801CAFETERIA 20894,A000000,00900,0000,00900NURSING ADMINISTRATION 20894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20894,A000000,01100,0000,01100PHARMACY 20894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20894,A000000,01300,0000,01300SOCIAL SERVICE 20894,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20894,A000000,01600,0000,01600SKILLED NURSING FACILITY 20894,A000000,01800,0000,01800NURSING FACILITY 20894,A000000,01900,0000,01900OTHER LONG TERM CARE 20894,A000000,02100,0000,02100RADIOLOGY 20894,A000000,02200,0000,02200LABORATORY 20894,A000000,02300,0000,02300INTRAVENOUS THERAPY 20894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20894,A000000,02500,0000,02500PHYSICAL THERAPY 20894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20894,A000000,02700,0000,02700SPEECH PATHOLOGY 20894,A000000,02800,0000,02800ELECTROCARDIOLOGY 20894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20894,A000000,03050,0000,03300OTHER ANCILLARY 20894,A000000,03051,0000,03301OTHER ANCILLARY II 20894,A000000,03052,0000,03302OTHER ANCILLARY III 20894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20894,A000000,03200,0000,03200SUPPORT SURFACES 20894,A000000,03400,0000,03400CLINIC 20894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20894,A000000,03500,0000,03500RURAL HEALTH CLINIC 20894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20894,A000000,04400,0000,04400DME RENTED - HHA 20894,A000000,04500,0000,04500DME SOLD - HHA 20894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20894,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20894,A000000,05000,0000,05000CORF 20894,A000000,05010,0000,05010CMHC I 20894,A000000,05020,0000,05020OPT I 20894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20894,A000000,05300,0000,05300INTEREST EXPENSE 20894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20894,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20894,A000000,05500,0000,05500HOSPICE 20894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20894,A000000,06100,0000,06100NONPAID WORKERS 20894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20894,A000000,06200,0000,06200PATIENTS LAUNDRY 20894,A81000A,00100,0100,Y 20894,A81000B,00100,0300,HOME OFFICE COSTS 20894,A81000B,00200,0300,PUBLIC RELATIONS 20894,A81000B,00300,0300,MDS FEES 20894,A81000B,00400,0300,REHAB. FEES 20894,A81000B,00500,0300,REHAB. FEES 20894,A81000B,00600,0300,REHAB. FEES 20894,A81000C,00100,0100,B 20894,A81000C,00100,0400,EPI CORPORATION 20894,A81000C,00100,0600,NURSING HOMES 20894,A81000C,00200,0100,C 20894,A81000C,00200,0400,LUKEN/NUGENT 20894,A81000C,00200,0600,HC. COMM 20894,A81000C,00300,0100,C 20894,A81000C,00300,0400,RMS INC. 20894,A81000C,00300,0600,MDS CONSULTING 20894,A81000C,00400,0100,C 20894,A81000C,00400,0400,RMS INC. 20894,A81000C,00400,0600,THERAPY 20894,A81000C,00500,0100,C 20894,A81000C,00500,0400,RMS INC. 20894,A81000C,00500,0600,THERAPY 20894,A81000C,00600,0100,C 20894,A81000C,00600,0400,RMS INC. 20894,A81000C,00600,0600,THERAPY 20894,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20894,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20894,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20894,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20894,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20894,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20894,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20894,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20894,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20894,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20894,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20894,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20894,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20894,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20894,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20894,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20894,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20894,E10A180,00550,0300,06/29/1999 20894,E10A180,00601,0100,04/12/2000 20894,S000000,00100,0200,06/29/1999 20894,S200000,00100,0100,1121 TANBARK ROAD 20894,S200000,00200,0100,LEXINGTON 20894,S200000,00200,0200,KY 20894,S200000,00200,0300,40515- 20894,S200000,00300,0100,FAYETTE 20894,S200000,00400,0100,TANBARK HEALTH CARE 20894,S200000,00400,0200,185201 20894,S200000,00400,0300,10/06/1989 20894,S200000,00400,0500,P 20894,S200000,01600,0100,Y 20894,S200000,02200,0100,Y 20894,S700003,00000,0100,1 20896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20896,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20896,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20896,A000000,00300,0000,00300EMPLOYEE BENEFITS 20896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20896,A000000,00700,0000,00700HOUSEKEEPING 20896,A000000,00800,0000,00800DIETARY 20896,A000000,00801,0000,00801CAFETERIA 20896,A000000,00900,0000,00900NURSING ADMINISTRATION 20896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20896,A000000,01100,0000,01100PHARMACY 20896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20896,A000000,01300,0000,01300SOCIAL SERVICE 20896,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20896,A000000,01600,0000,01600SKILLED NURSING FACILITY 20896,A000000,01800,0000,01800NURSING FACILITY 20896,A000000,01900,0000,01900OTHER LONG TERM CARE 20896,A000000,02100,0000,02100RADIOLOGY 20896,A000000,02200,0000,02200LABORATORY 20896,A000000,02300,0000,02300INTRAVENOUS THERAPY 20896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20896,A000000,02500,0000,02500PHYSICAL THERAPY 20896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20896,A000000,02700,0000,02700SPEECH PATHOLOGY 20896,A000000,02800,0000,02800ELECTROCARDIOLOGY 20896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20896,A000000,03050,0000,03300OTHER ANCILLARY 20896,A000000,03051,0000,03301OTHER ANCILLARY II 20896,A000000,03052,0000,03302OTHER ANCILLARY III 20896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20896,A000000,03200,0000,03200SUPPORT SURFACES 20896,A000000,03400,0000,03400CLINIC 20896,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20896,A000000,03500,0000,03500RURAL HEALTH CLINIC 20896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20896,A000000,04400,0000,04400DME RENTED - HHA 20896,A000000,04500,0000,04500DME SOLD - HHA 20896,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20896,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20896,A000000,04800,0000,04800AMBULANCE 20896,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20896,A000000,05000,0000,05000CORF 20896,A000000,05010,0000,05010CMHC I 20896,A000000,05020,0000,05020OPT I 20896,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20896,A000000,05300,0000,05300INTEREST EXPENSE 20896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20896,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20896,A000000,05500,0000,05500HOSPICE 20896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20896,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20896,A000000,06100,0000,06100NONPAID WORKERS 20896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20896,A000000,06200,0000,06200PATIENTS LAUNDRY 20896,A81000A,00100,0100,Y 20896,A81000B,00100,0300,HOME OFFICE COSTS 20896,A81000B,00200,0300,PUBLIC RELATIONS 20896,A81000B,00300,0300,MDS FEES 20896,A81000B,00400,0300,REHAB. FEES 20896,A81000B,00500,0300,REHAB. FEES 20896,A81000B,00600,0300,REHAB. FEES 20896,A81000C,00100,0100,B 20896,A81000C,00100,0400,EPI CORPORATION 20896,A81000C,00100,0600,NURSING HOMES 20896,A81000C,00200,0100,C 20896,A81000C,00200,0400,LUKEN/NUGENT 20896,A81000C,00200,0600,HC. COMM 20896,A81000C,00300,0100,C 20896,A81000C,00300,0400,RMS INC. 20896,A81000C,00300,0600,MDS CONSULTING 20896,A81000C,00400,0100,C 20896,A81000C,00400,0400,RMS INC. 20896,A81000C,00400,0600,THERAPY 20896,A81000C,00500,0100,C 20896,A81000C,00500,0400,RMS INC. 20896,A81000C,00500,0600,THERAPY 20896,A81000C,00600,0100,C 20896,A81000C,00600,0400,RMS INC. 20896,A81000C,00600,0600,THERAPY 20896,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20896,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20896,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20896,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20896,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20896,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20896,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20896,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20896,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20896,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20896,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20896,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20896,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20896,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20896,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20896,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20896,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20896,E10A180,00601,0100,02/28/2001 20896,E10A180,00650,0300,02/28/2001 20896,S000000,00100,0200,12/22/1999 20896,S200000,00100,0100,1121 TANBARK ROAD 20896,S200000,00200,0100,LEXINGTON 20896,S200000,00200,0200,KY 20896,S200000,00200,0300,40515- 20896,S200000,00300,0100,FAYETTE 20896,S200000,00400,0100,TANBARK HEALTH CARE CENTER 20896,S200000,00400,0200,185201 20896,S200000,00400,0300,10/06/1989 20896,S200000,00400,0500,P 20896,S200000,01600,0100,Y 20896,S200000,02200,0100,Y 20898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20898,A000000,00300,0000,00300EMPLOYEE BENEFITS 20898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20898,A000000,00700,0000,00700HOUSEKEEPING 20898,A000000,00800,0000,00800DIETARY 20898,A000000,00900,0000,00900NURSING ADMINISTRATION 20898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20898,A000000,01100,0000,01100PHARMACY 20898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20898,A000000,01300,0000,01300SOCIAL SERVICE 20898,A000000,01350,0000,01500OTHER GENERAL SERVICES 20898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20898,A000000,01600,0000,01600SKILLED NURSING FACILITY 20898,A000000,01800,0000,01800NURSING FACILITY 20898,A000000,01810,0000,01810ICF/MR 20898,A000000,01900,0000,01900OTHER LONG TERM CARE 20898,A000000,02100,0000,02100RADIOLOGY 20898,A000000,02200,0000,02200LABORATORY 20898,A000000,02300,0000,02300INTRAVENOUS THERAPY 20898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20898,A000000,02500,0000,02500PHYSICAL THERAPY 20898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20898,A000000,02700,0000,02700SPEECH PATHOLOGY 20898,A000000,02800,0000,02800ELECTROCARDIOLOGY 20898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20898,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20898,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20898,A000000,03200,0000,03200SUPPORT SURFACES 20898,A000000,03400,0000,03400CLINIC 20898,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20898,A000000,03500,0000,03500RURAL HEALTH CLINIC 20898,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20898,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20898,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20898,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20898,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20898,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20898,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20898,A000000,04400,0000,04400DME RENTED - HHA 20898,A000000,04500,0000,04500DME SOLD - HHA 20898,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20898,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20898,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20898,A000000,04800,0000,04800AMBULANCE 20898,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20898,A000000,05000,0000,05000CORF 20898,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20898,A000000,05300,0000,05300INTEREST EXPENSE 20898,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20898,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20898,A000000,05500,0000,05500HOSPICE 20898,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20898,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20898,A000000,06100,0000,06100NONPAID WORKERS 20898,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20898,A000000,06200,0000,06200PATIENTS LAUNDRY 20898,A81000A,00100,0100,Y 20898,A81000B,00100,0300,HOME OFFICE COSTS 20898,A81000B,00200,0300,PUBLIC RELATIONS 20898,A81000B,00300,0300,MDS FEES 20898,A81000B,00400,0300,REHAB FEES 20898,A81000B,00500,0300,REHAB FEES 20898,A81000B,00600,0300,REHAB FEES 20898,A81000C,00100,0100,B 20898,A81000C,00100,0400,EPI CORPORATION 20898,A81000C,00100,0600,NURSING HOMES 20898,A81000C,00200,0100,C 20898,A81000C,00200,0400,LUKEN/NUGENT 20898,A81000C,00200,0600,HC. COMM. 20898,A81000C,00300,0100,C 20898,A81000C,00300,0400,RMS INC. 20898,A81000C,00300,0600,MDS CONSULTING 20898,A81000C,00400,0100,C 20898,A81000C,00400,0400,RMS INC. 20898,A81000C,00400,0600,THERAPY 20898,A81000C,00500,0100,C 20898,A81000C,00500,0400,RMS INC. 20898,A81000C,00500,0600,THERAPY 20898,A81000C,00600,0100,C 20898,A81000C,00600,0400,RMS INC. 20898,A81000C,00600,0600,THERAPY 20898,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20898,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20898,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20898,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20898,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20898,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20898,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20898,B100000,00000,0800,00000MEALS SERVED :DIETARY 20898,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20898,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20898,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20898,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20898,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20898,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20898,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20898,E10A180,00601,0100,07/26/2001 20898,E10A180,00601,0300,07/26/2001 20898,S000000,00100,0200,06/01/2000 20898,S200000,00100,0100,1121 TANBARK ROAD 20898,S200000,00200,0100,LEXINGTON 20898,S200000,00200,0200,KY 20898,S200000,00200,0300,40515- 20898,S200000,00300,0100,FAYETTE 20898,S200000,00400,0100,TANBARK HEALTH CARE CENTER 20898,S200000,00400,0200,185201 20898,S200000,00400,0300,10/06/1989 20898,S200000,00400,0500,P 20898,S200000,01600,0100,Y 20898,S200000,02200,0100,Y 20898,S200000,02800,0100,Y 20906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20906,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20906,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20906,A000000,00300,0000,00300EMPLOYEE BENEFITS 20906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20906,A000000,00700,0000,00700HOUSEKEEPING 20906,A000000,00800,0000,00800DIETARY 20906,A000000,00801,0000,00801CAFETERIA 20906,A000000,00900,0000,00900NURSING ADMINISTRATION 20906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20906,A000000,01100,0000,01100PHARMACY 20906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20906,A000000,01300,0000,01300SOCIAL SERVICE 20906,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20906,A000000,01600,0000,01600SKILLED NURSING FACILITY 20906,A000000,01800,0000,01800NURSING FACILITY 20906,A000000,01900,0000,01900OTHER LONG TERM CARE 20906,A000000,02100,0000,02100RADIOLOGY 20906,A000000,02200,0000,02200LABORATORY 20906,A000000,02300,0000,02300INTRAVENOUS THERAPY 20906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20906,A000000,02500,0000,02500PHYSICAL THERAPY 20906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20906,A000000,02700,0000,02700SPEECH PATHOLOGY 20906,A000000,02800,0000,02800ELECTROCARDIOLOGY 20906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20906,A000000,03050,0000,03300OTHER ANCILLARY 20906,A000000,03051,0000,03301OTHER ANCILLARY II 20906,A000000,03052,0000,03302OTHER ANCILLARY III 20906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20906,A000000,03200,0000,03200SUPPORT SURFACES 20906,A000000,03400,0000,03400CLINIC 20906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20906,A000000,03500,0000,03500RURAL HEALTH CLINIC 20906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20906,A000000,04400,0000,04400DME RENTED - HHA 20906,A000000,04500,0000,04500DME SOLD - HHA 20906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20906,A000000,05000,0000,05000CORF 20906,A000000,05010,0000,05010CMHC I 20906,A000000,05020,0000,05020OPT I 20906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20906,A000000,05300,0000,05300INTEREST EXPENSE 20906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20906,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20906,A000000,05500,0000,05500HOSPICE 20906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20906,A000000,06100,0000,06100NONPAID WORKERS 20906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20906,A000000,06200,0000,06200PATIENTS LAUNDRY 20906,A81000A,00100,0100,Y 20906,A81000B,00100,0300,HOME OFFICE COSTS 20906,A81000B,00200,0300,MDS FEES 20906,A81000B,00300,0300,REHAB. FEES 20906,A81000B,00400,0300,REHAB. FEES 20906,A81000B,00500,0300,REHAB. FEES 20906,A81000C,00100,0100,B 20906,A81000C,00100,0400,EPI CORPORATION 20906,A81000C,00100,0600,NURSING HOMES 20906,A81000C,00200,0100,C 20906,A81000C,00200,0400,RMS INC. 20906,A81000C,00200,0600,MDS CONSULTING 20906,A81000C,00300,0100,C 20906,A81000C,00300,0400,RMS INC. 20906,A81000C,00300,0600,THERAPY 20906,A81000C,00400,0100,C 20906,A81000C,00400,0400,RMS INC. 20906,A81000C,00400,0600,THERAPY 20906,A81000C,00500,0100,C 20906,A81000C,00500,0400,RMS INC. 20906,A81000C,00500,0600,THERAPY 20906,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20906,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20906,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20906,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20906,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20906,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20906,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20906,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20906,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20906,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20906,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20906,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20906,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20906,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20906,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20906,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20906,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20906,E10A180,00550,0300,06/29/1999 20906,E10A180,00601,0100,04/12/2000 20906,E10A180,00601,0300,04/12/2000 20906,S000000,00100,0200,06/29/1999 20906,S200000,00100,0100,1206 ELEVENTH STREET 20906,S200000,00200,0100,CARROLLTON 20906,S200000,00200,0200,KY 20906,S200000,00200,0300,41008- 20906,S200000,00300,0100,CARROLL 20906,S200000,00400,0100,GREEN VALLEY HEALTH CARE CENTER 20906,S200000,00400,0200,185205 20906,S200000,00400,0300,02/05/1990 20906,S200000,00400,0500,P 20906,S200000,01600,0100,Y 20906,S200000,02200,0100,Y 20906,S700003,00000,0100,1 20908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20908,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20908,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20908,A000000,00300,0000,00300EMPLOYEE BENEFITS 20908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20908,A000000,00700,0000,00700HOUSEKEEPING 20908,A000000,00800,0000,00800DIETARY 20908,A000000,00801,0000,00801CAFETERIA 20908,A000000,00900,0000,00900NURSING ADMINISTRATION 20908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20908,A000000,01100,0000,01100PHARMACY 20908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20908,A000000,01300,0000,01300SOCIAL SERVICE 20908,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20908,A000000,01600,0000,01600SKILLED NURSING FACILITY 20908,A000000,01800,0000,01800NURSING FACILITY 20908,A000000,01900,0000,01900OTHER LONG TERM CARE 20908,A000000,02100,0000,02100RADIOLOGY 20908,A000000,02200,0000,02200LABORATORY 20908,A000000,02300,0000,02300INTRAVENOUS THERAPY 20908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20908,A000000,02500,0000,02500PHYSICAL THERAPY 20908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20908,A000000,02700,0000,02700SPEECH PATHOLOGY 20908,A000000,02800,0000,02800ELECTROCARDIOLOGY 20908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20908,A000000,03050,0000,03300OTHER ANCILLARY 20908,A000000,03051,0000,03301OTHER ANCILLARY II 20908,A000000,03052,0000,03302OTHER ANCILLARY III 20908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20908,A000000,03200,0000,03200SUPPORT SURFACES 20908,A000000,03400,0000,03400CLINIC 20908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20908,A000000,03500,0000,03500RURAL HEALTH CLINIC 20908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20908,A000000,04400,0000,04400DME RENTED - HHA 20908,A000000,04500,0000,04500DME SOLD - HHA 20908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20908,A000000,04800,0000,04800AMBULANCE 20908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20908,A000000,05000,0000,05000CORF 20908,A000000,05010,0000,05010CMHC I 20908,A000000,05020,0000,05020OPT I 20908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20908,A000000,05300,0000,05300INTEREST EXPENSE 20908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20908,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20908,A000000,05500,0000,05500HOSPICE 20908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20908,A000000,06100,0000,06100NONPAID WORKERS 20908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20908,A000000,06200,0000,06200PATIENTS LAUNDRY 20908,A81000A,00100,0100,Y 20908,A81000B,00100,0300,HOME OFFICE COSTS 20908,A81000B,00200,0300,MDS FEES 20908,A81000B,00300,0300,REHAB. FEES 20908,A81000B,00400,0300,REHAB. FEES 20908,A81000B,00500,0300,REHAB. FEES 20908,A81000C,00100,0100,B 20908,A81000C,00100,0400,EPI CORPORATION 20908,A81000C,00100,0600,NURSING HOMES 20908,A81000C,00200,0100,C 20908,A81000C,00200,0400,RMS INC. 20908,A81000C,00200,0600,MDS CONSULTING 20908,A81000C,00300,0100,C 20908,A81000C,00300,0400,RMS INC. 20908,A81000C,00300,0600,THERAPY 20908,A81000C,00400,0100,C 20908,A81000C,00400,0400,RMS INC. 20908,A81000C,00400,0600,THERAPY 20908,A81000C,00500,0100,C 20908,A81000C,00500,0400,RMS INC. 20908,A81000C,00500,0600,THERAPY 20908,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20908,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20908,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20908,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20908,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20908,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20908,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20908,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20908,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20908,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20908,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20908,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20908,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20908,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20908,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20908,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20908,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20908,E10A180,00601,0100,04/10/2001 20908,S000000,00100,0200,12/22/1999 20908,S200000,00100,0100,1206 ELEVENTH STREET 20908,S200000,00200,0100,CARROLLTON 20908,S200000,00200,0200,KY 20908,S200000,00200,0300,41008- 20908,S200000,00300,0100,CARROLL 20908,S200000,00400,0100,GREEN VALLEY HEALTH & REHAB CENTER 20908,S200000,00400,0200,185205 20908,S200000,00400,0300,02/05/1990 20908,S200000,00400,0500,P 20908,S200000,01600,0100,Y 20908,S200000,02200,0100,Y 20910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20910,A000000,00300,0000,00300EMPLOYEE BENEFITS 20910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20910,A000000,00700,0000,00700HOUSEKEEPING 20910,A000000,00800,0000,00800DIETARY 20910,A000000,00900,0000,00900NURSING ADMINISTRATION 20910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20910,A000000,01100,0000,01100PHARMACY 20910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20910,A000000,01300,0000,01300SOCIAL SERVICE 20910,A000000,01350,0000,01500OTHER GENERAL SERVICES 20910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20910,A000000,01600,0000,01600SKILLED NURSING FACILITY 20910,A000000,01800,0000,01800NURSING FACILITY 20910,A000000,01810,0000,01810ICF/MR 20910,A000000,01900,0000,01900OTHER LONG TERM CARE 20910,A000000,02100,0000,02100RADIOLOGY 20910,A000000,02200,0000,02200LABORATORY 20910,A000000,02300,0000,02300INTRAVENOUS THERAPY 20910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20910,A000000,02500,0000,02500PHYSICAL THERAPY 20910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20910,A000000,02700,0000,02700SPEECH PATHOLOGY 20910,A000000,02800,0000,02800ELECTROCARDIOLOGY 20910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20910,A000000,03200,0000,03200SUPPORT SURFACES 20910,A000000,03400,0000,03400CLINIC 20910,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20910,A000000,03500,0000,03500RURAL HEALTH CLINIC 20910,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20910,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20910,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20910,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20910,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20910,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20910,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20910,A000000,04400,0000,04400DME RENTED - HHA 20910,A000000,04500,0000,04500DME SOLD - HHA 20910,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20910,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20910,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20910,A000000,04800,0000,04800AMBULANCE 20910,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20910,A000000,05000,0000,05000CORF 20910,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20910,A000000,05300,0000,05300INTEREST EXPENSE 20910,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20910,A000000,05500,0000,05500HOSPICE 20910,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20910,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20910,A000000,06100,0000,06100NONPAID WORKERS 20910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20910,A000000,06200,0000,06200PATIENTS LAUNDRY 20910,A81000A,00100,0100,Y 20910,A81000B,00100,0300,HOME OFFICE COSTS 20910,A81000B,00200,0300,MDS FEES 20910,A81000B,00300,0300,REHAB FEES 20910,A81000B,00400,0300,REHAB FEES 20910,A81000B,00500,0300,REHAB FEES 20910,A81000C,00100,0100,B 20910,A81000C,00100,0400,EPI CORPORATION 20910,A81000C,00100,0600,NURSING HOMES 20910,A81000C,00200,0100,C 20910,A81000C,00200,0400,RMS INC. 20910,A81000C,00200,0600,MDS CONSULTING 20910,A81000C,00300,0100,C 20910,A81000C,00300,0400,RMS INC. 20910,A81000C,00300,0600,THERAPY 20910,A81000C,00400,0100,C 20910,A81000C,00400,0400,RMS INC. 20910,A81000C,00400,0600,THERAPY 20910,A81000C,00500,0100,C 20910,A81000C,00500,0400,RMS INC. 20910,A81000C,00500,0600,THERAPY 20910,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20910,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20910,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20910,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20910,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20910,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20910,B100000,00000,0800,00000MEALS SERVED :DIETARY 20910,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20910,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20910,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20910,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20910,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20910,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20910,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20910,E10A180,00601,0100,08/03/2001 20910,E10A180,00601,0300,08/03/2001 20910,S000000,00100,0200,05/31/2000 20910,S200000,00100,0100,1206 ELEVENTH STREET 20910,S200000,00200,0100,CARROLLTON 20910,S200000,00200,0200,KY 20910,S200000,00200,0300,41008- 20910,S200000,00300,0100,CARROLL 20910,S200000,00400,0100,GREEN VALLEY HEALTH & REHAB CENTER 20910,S200000,00400,0200,185205 20910,S200000,00400,0300,02/05/1990 20910,S200000,00400,0500,P 20910,S200000,01600,0100,Y 20910,S200000,02200,0100,Y 20910,S200000,02800,0100,Y 20913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20913,A000000,00300,0000,00300EMPLOYEE BENEFITS 20913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20913,A000000,00700,0000,00700HOUSEKEEPING 20913,A000000,00800,0000,00800DIETARY 20913,A000000,00900,0000,00900NURSING ADMINISTRATION 20913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20913,A000000,01100,0000,01100PHARMACY 20913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20913,A000000,01300,0000,01300SOCIAL SERVICE 20913,A000000,01350,0000,01500OTHER GENERAL SERVICES 20913,A000000,01600,0000,01600SKILLED NURSING FACILITY 20913,A000000,01800,0000,01800NURSING FACILITY 20913,A000000,01810,0000,01801ICF/MR 20913,A000000,01900,0000,01900OTHER LONG TERM CARE 20913,A000000,02100,0000,02100RADIOLOGY 20913,A000000,02200,0000,02200LABORATORY 20913,A000000,02300,0000,02300INTRAVENOUS THERAPY 20913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20913,A000000,02500,0000,02500PHYSICAL THERAPY 20913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20913,A000000,02700,0000,02700SPEECH PATHOLOGY 20913,A000000,02800,0000,02800ELECTROCARDIOLOGY 20913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20913,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20913,A000000,03200,0000,03200SUPPORT SURFACES 20913,A000000,03400,0000,03400CLINIC 20913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20913,A000000,03500,0000,03500RURAL HEALTH CLINIC 20913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20913,A000000,04800,0000,04800AMBULANCE 20913,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20913,A000000,05000,0000,05000CORF 20913,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20913,A000000,05300,0000,05300INTEREST EXPENSE 20913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20913,A000000,05500,0000,05500HOSPICE 20913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20913,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20913,A000000,06100,0000,06100NONPAID WORKERS 20913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20913,A000000,06200,0000,06200PATIENTS LAUNDRY 20913,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20913,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20913,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20913,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20913,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20913,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20913,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20913,B100000,00000,0800,00000MEALS SERVED :DIETARY 20913,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20913,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20913,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 20913,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20913,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20913,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20913,E10A180,00501,0100,09/11/2000 20913,E10A180,00550,0300,09/11/2000 20913,E10A180,00650,0100,02/27/2001 20913,E10A180,00650,0300,02/27/2001 20913,S000000,00100,0200,09/11/2000 20913,S200000,00100,0100,620 PARKER ROAD 20913,S200000,00200,0100,MAYSVILLE 20913,S200000,00200,0200,KY 20913,S200000,00200,0300,41056- 20913,S200000,00300,0100,MASON 20913,S200000,00400,0100,MAYSVILLE EXTENDED CARE FACILITY 20913,S200000,00400,0200,185207 20913,S200000,00400,0300,04/18/1990 20913,S200000,00400,0500,P 20913,S200000,01600,0100,Y 20919,S000000,00100,0200,05/30/2000 20928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20928,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20928,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20928,A000000,00300,0000,00300EMPLOYEE BENEFITS 20928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20928,A000000,00700,0000,00700HOUSEKEEPING 20928,A000000,00800,0000,00800DIETARY 20928,A000000,00801,0000,00801CAFETERIA 20928,A000000,00900,0000,00900NURSING ADMINISTRATION 20928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20928,A000000,01100,0000,01100PHARMACY 20928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20928,A000000,01300,0000,01300SOCIAL SERVICE 20928,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20928,A000000,01600,0000,01600SKILLED NURSING FACILITY 20928,A000000,01800,0000,01800NURSING FACILITY 20928,A000000,01900,0000,01900OTHER LONG TERM CARE 20928,A000000,02100,0000,02100RADIOLOGY 20928,A000000,02200,0000,02200LABORATORY 20928,A000000,02300,0000,02300INTRAVENOUS THERAPY 20928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20928,A000000,02500,0000,02500PHYSICAL THERAPY 20928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20928,A000000,02700,0000,02700SPEECH PATHOLOGY 20928,A000000,02800,0000,02800ELECTROCARDIOLOGY 20928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20928,A000000,03050,0000,03300OTHER ANCILLARY 20928,A000000,03051,0000,03301OTHER ANCILLARY II 20928,A000000,03052,0000,03302OTHER ANCILLARY III 20928,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20928,A000000,03200,0000,03200SUPPORT SURFACES 20928,A000000,03400,0000,03400CLINIC 20928,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20928,A000000,03500,0000,03500RURAL HEALTH CLINIC 20928,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20928,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20928,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20928,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20928,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20928,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20928,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20928,A000000,04400,0000,04400DME RENTED - HHA 20928,A000000,04500,0000,04500DME SOLD - HHA 20928,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20928,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20928,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20928,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20928,A000000,05000,0000,05000CORF 20928,A000000,05010,0000,05010CMHC I 20928,A000000,05020,0000,05020OPT I 20928,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20928,A000000,05300,0000,05300INTEREST EXPENSE 20928,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20928,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20928,A000000,05500,0000,05500HOSPICE 20928,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20928,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20928,A000000,06100,0000,06100NONPAID WORKERS 20928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20928,A000000,06200,0000,06200PATIENTS LAUNDRY 20928,A81000A,00100,0100,Y 20928,A81000B,00100,0300,HOME OFFICE COSTS 20928,A81000B,00200,0300,MDS FEES 20928,A81000B,00300,0300,REHAB. FEES 20928,A81000B,00400,0300,REHAB. FEES 20928,A81000B,00500,0300,REHAB. FEES 20928,A81000C,00100,0100,B 20928,A81000C,00100,0400,EPI CORPORATION 20928,A81000C,00100,0600,NURSING HOMES 20928,A81000C,00200,0100,C 20928,A81000C,00200,0400,RMS INC. 20928,A81000C,00200,0600,MDS CONSULTING 20928,A81000C,00300,0100,C 20928,A81000C,00300,0400,RMS INC. 20928,A81000C,00300,0600,THERAPY 20928,A81000C,00400,0100,C 20928,A81000C,00400,0400,RMS INC. 20928,A81000C,00400,0600,THERAPY 20928,A81000C,00500,0100,C 20928,A81000C,00500,0400,RMS INC. 20928,A81000C,00500,0600,THERAPY 20928,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20928,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20928,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20928,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20928,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20928,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20928,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20928,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20928,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20928,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20928,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20928,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20928,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20928,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20928,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20928,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20928,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20928,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20928,E10A180,00550,0300,06/29/1999 20928,E10A180,00650,0100,08/07/2000 20928,S000000,00100,0200,06/29/1999 20928,S200000,00100,0300,810 20928,S200000,00200,0100,PINE KNOT 20928,S200000,00200,0200,KY 20928,S200000,00200,0300,42635- 20928,S200000,00300,0100,MCCREARY 20928,S200000,00400,0100,MCCREARY COUNTY HEALTH CARE FACILITY 20928,S200000,00400,0200,185211 20928,S200000,00400,0300,09/04/1990 20928,S200000,00400,0500,P 20928,S200000,01500,0100,Y 20928,S200000,02200,0100,Y 20928,S700003,00000,0100,1 20930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20930,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20930,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20930,A000000,00300,0000,00300EMPLOYEE BENEFITS 20930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20930,A000000,00700,0000,00700HOUSEKEEPING 20930,A000000,00800,0000,00800DIETARY 20930,A000000,00801,0000,00801CAFETERIA 20930,A000000,00900,0000,00900NURSING ADMINISTRATION 20930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20930,A000000,01100,0000,01100PHARMACY 20930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20930,A000000,01300,0000,01300SOCIAL SERVICE 20930,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20930,A000000,01600,0000,01600SKILLED NURSING FACILITY 20930,A000000,01800,0000,01800NURSING FACILITY 20930,A000000,01900,0000,01900OTHER LONG TERM CARE 20930,A000000,02100,0000,02100RADIOLOGY 20930,A000000,02200,0000,02200LABORATORY 20930,A000000,02300,0000,02300INTRAVENOUS THERAPY 20930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20930,A000000,02500,0000,02500PHYSICAL THERAPY 20930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20930,A000000,02700,0000,02700SPEECH PATHOLOGY 20930,A000000,02800,0000,02800ELECTROCARDIOLOGY 20930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20930,A000000,03050,0000,03300OTHER ANCILLARY 20930,A000000,03051,0000,03301OTHER ANCILLARY II 20930,A000000,03052,0000,03302OTHER ANCILLARY III 20930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20930,A000000,03200,0000,03200SUPPORT SURFACES 20930,A000000,03400,0000,03400CLINIC 20930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20930,A000000,03500,0000,03500RURAL HEALTH CLINIC 20930,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20930,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20930,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20930,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20930,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20930,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20930,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20930,A000000,04400,0000,04400DME RENTED - HHA 20930,A000000,04500,0000,04500DME SOLD - HHA 20930,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20930,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20930,A000000,04800,0000,04800AMBULANCE 20930,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20930,A000000,05000,0000,05000CORF 20930,A000000,05010,0000,05010CMHC I 20930,A000000,05020,0000,05020OPT I 20930,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20930,A000000,05300,0000,05300INTEREST EXPENSE 20930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20930,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20930,A000000,05500,0000,05500HOSPICE 20930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20930,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20930,A000000,06100,0000,06100NONPAID WORKERS 20930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20930,A000000,06200,0000,06200PATIENTS LAUNDRY 20930,A81000A,00100,0100,Y 20930,A81000B,00100,0300,HOME OFFICE COSTS 20930,A81000B,00200,0300,MDS FEES 20930,A81000B,00300,0300,REHAB. FEES 20930,A81000B,00400,0300,REHAB. FEES 20930,A81000B,00500,0300,REHAB. FEES 20930,A81000C,00100,0100,B 20930,A81000C,00100,0400,EPI CORPORATION 20930,A81000C,00100,0600,NURSING HOMES 20930,A81000C,00200,0100,C 20930,A81000C,00200,0400,RMS INC. 20930,A81000C,00200,0600,MDS CONSULTING 20930,A81000C,00300,0100,C 20930,A81000C,00300,0400,RMS INC. 20930,A81000C,00300,0600,THERAPY 20930,A81000C,00400,0100,C 20930,A81000C,00400,0400,RMS INC. 20930,A81000C,00400,0600,THERAPY 20930,A81000C,00500,0100,C 20930,A81000C,00500,0400,RMS INC. 20930,A81000C,00500,0600,THERAPY 20930,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20930,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20930,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20930,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20930,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20930,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20930,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20930,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20930,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20930,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20930,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20930,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20930,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20930,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20930,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20930,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20930,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20930,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20930,E10A180,00601,0100,04/10/2001 20930,S000000,00100,0200,12/22/1999 20930,S200000,00100,0300,810 20930,S200000,00200,0100,PINE KNOT 20930,S200000,00200,0200,KY 20930,S200000,00200,0300,42635- 20930,S200000,00300,0100,MCCREARY 20930,S200000,00400,0100,MCCREARY CO. HEALTH & REHAB CENTER 20930,S200000,00400,0200,185211 20930,S200000,00400,0300,09/04/1990 20930,S200000,00400,0500,P 20930,S200000,01500,0100,Y 20930,S200000,02200,0100,Y 20932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20932,A000000,00300,0000,00300EMPLOYEE BENEFITS 20932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20932,A000000,00700,0000,00700HOUSEKEEPING 20932,A000000,00800,0000,00800DIETARY 20932,A000000,00900,0000,00900NURSING ADMINISTRATION 20932,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20932,A000000,01100,0000,01100PHARMACY 20932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20932,A000000,01300,0000,01300SOCIAL SERVICE 20932,A000000,01350,0000,01500OTHER GENERAL SERVICES 20932,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20932,A000000,01600,0000,01600SKILLED NURSING FACILITY 20932,A000000,01800,0000,01800NURSING FACILITY 20932,A000000,01810,0000,01801ICF/MR 20932,A000000,01900,0000,01900OTHER LONG TERM CARE 20932,A000000,02100,0000,02100RADIOLOGY 20932,A000000,02200,0000,02200LABORATORY 20932,A000000,02300,0000,02300INTRAVENOUS THERAPY 20932,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20932,A000000,02500,0000,02500PHYSICAL THERAPY 20932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20932,A000000,02700,0000,02700SPEECH PATHOLOGY 20932,A000000,02800,0000,02800ELECTROCARDIOLOGY 20932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20932,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20932,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20932,A000000,03200,0000,03200SUPPORT SURFACES 20932,A000000,03400,0000,03400CLINIC 20932,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20932,A000000,03500,0000,03500RURAL HEALTH CLINIC 20932,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20932,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20932,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20932,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20932,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20932,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20932,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20932,A000000,04400,0000,04400DME RENTED - HHA 20932,A000000,04500,0000,04500DME SOLD - HHA 20932,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20932,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20932,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20932,A000000,04800,0000,04800AMBULANCE 20932,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20932,A000000,05000,0000,05000CORF 20932,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20932,A000000,05300,0000,05300INTEREST EXPENSE 20932,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20932,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20932,A000000,05500,0000,05500HOSPICE 20932,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20932,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20932,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20932,A000000,06100,0000,06100NONPAID WORKERS 20932,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20932,A000000,06200,0000,06200PATIENTS LAUNDRY 20932,A81000A,00100,0100,Y 20932,A81000B,00100,0300,HOME OFFICE COSTS 20932,A81000B,00200,0300,MDS FEES 20932,A81000B,00300,0300,REHAB FEES 20932,A81000B,00400,0300,REHAB FEES 20932,A81000B,00500,0300,REHAB FEES 20932,A81000C,00100,0100,B 20932,A81000C,00100,0400,EPI CORPORATION 20932,A81000C,00100,0600,NURSING HOMES 20932,A81000C,00200,0100,C 20932,A81000C,00200,0400,RMS INC. 20932,A81000C,00200,0600,MDS CONSULTING 20932,A81000C,00300,0100,C 20932,A81000C,00300,0400,RMS INC. 20932,A81000C,00300,0600,THERAPY 20932,A81000C,00400,0100,C 20932,A81000C,00400,0400,RMS INC. 20932,A81000C,00400,0600,THERAPY 20932,A81000C,00500,0100,C 20932,A81000C,00500,0400,RMS INC. 20932,A81000C,00500,0600,THERAPY 20932,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20932,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 20932,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20932,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20932,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20932,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20932,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 20932,B100000,00000,0800,00000MEALS SERVED :DIETARY 20932,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 20932,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20932,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20932,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20932,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20932,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20932,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20932,E10A180,00601,0100,05/14/2001 20932,E10A180,00601,0300,05/14/2001 20932,S000000,00100,0200,05/31/2000 20932,S200000,00100,0300,810 20932,S200000,00200,0100,PINE KNOT 20932,S200000,00200,0200,IN 20932,S200000,00200,0300,46235- 20932,S200000,00300,0100,MCCREARY 20932,S200000,00400,0100,MCCREARY CO. HEALTH & REHAB CENTER 20932,S200000,00400,0200,185211 20932,S200000,00400,0300,09/04/1990 20932,S200000,00400,0500,P 20932,S200000,01500,0100,Y 20932,S200000,02800,0100,Y 20935,S000000,00100,0200,06/05/2000 20943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20943,A000000,00300,0000,00300EMPLOYEE BENEFITS 20943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20943,A000000,00700,0000,00700HOUSEKEEPING 20943,A000000,00800,0000,00800DIETARY 20943,A000000,00900,0000,00900NURSING ADMINISTRATION 20943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20943,A000000,01100,0000,01100PHARMACY 20943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20943,A000000,01300,0000,01300SOCIAL SERVICE 20943,A000000,01350,0000,01500OTHER GENERAL SERVICES 20943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20943,A000000,01600,0000,01600SKILLED NURSING FACILITY 20943,A000000,01800,0000,01800NURSING FACILITY 20943,A000000,01810,0000,01810ICF/MR 20943,A000000,01900,0000,01900OTHER LONG TERM CARE 20943,A000000,02100,0000,02100RADIOLOGY 20943,A000000,02200,0000,02200LABORATORY 20943,A000000,02300,0000,02300INTRAVENOUS THERAPY 20943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20943,A000000,02500,0000,02500PHYSICAL THERAPY 20943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20943,A000000,02700,0000,02700SPEECH PATHOLOGY 20943,A000000,02800,0000,02800ELECTROCARDIOLOGY 20943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20943,A000000,03200,0000,03200SUPPORT SURFACES 20943,A000000,03400,0000,03400CLINIC 20943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20943,A000000,03500,0000,03500RURAL HEALTH CLINIC 20943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20943,A000000,04800,0000,04800AMBULANCE 20943,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20943,A000000,05000,0000,05000CORF 20943,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20943,A000000,05300,0000,05300INTEREST EXPENSE 20943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20943,A000000,05500,0000,05500HOSPICE 20943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20943,A000000,06100,0000,06100NONPAID WORKERS 20943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20943,A000000,06200,0000,06200PATIENTS LAUNDRY 20943,A81000A,00100,0100,Y 20943,A81000B,00100,0300,HOME OFFICE COST 20943,A81000B,00200,0300,HOME OFFICE COST 20943,A81000C,00100,0100,A 20943,A81000C,00100,0200,RUSSELL LOUDEN 20943,A81000C,00100,0400,LOUDEN & COMPANY INC. 20943,A81000C,00100,0600,HOME OFFICE 20943,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 20943,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 20943,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 20943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20943,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 20943,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 20943,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 20943,B100000,00000,0850,00000NO STATISTICS :DIETARY 20943,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 20943,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 20943,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20943,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 20943,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 20943,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20943,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20943,E10A180,00601,0300,07/26/2001 20943,E10A180,00650,0100,07/26/2001 20943,S000000,00100,0200,05/31/2000 20943,S200000,00100,0100,1608 HILL RISE DRIVE 20943,S200000,00100,0300,8442 20943,S200000,00200,0100,LEXINGTON 20943,S200000,00200,0200,KY 20943,S200000,00200,0300,40504- 20943,S200000,00300,0100,FAYETTE 20943,S200000,00400,0100,PINE MEADOWS HEALTH CARE 20943,S200000,00400,0200,185215 20943,S200000,00400,0300,09/30/1990 20943,S200000,00400,0500,P 20943,S200000,01600,0100,Y 20953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20953,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20953,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20953,A000000,00300,0000,00300EMPLOYEE BENEFITS 20953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20953,A000000,00700,0000,00700HOUSEKEEPING 20953,A000000,00800,0000,00800DIETARY 20953,A000000,00801,0000,00801CAFETERIA 20953,A000000,00900,0000,00900NURSING ADMINISTRATION 20953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20953,A000000,01100,0000,01100PHARMACY 20953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20953,A000000,01300,0000,01300SOCIAL SERVICE 20953,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20953,A000000,01600,0000,01600SKILLED NURSING FACILITY 20953,A000000,01800,0000,01800NURSING FACILITY 20953,A000000,01900,0000,01900OTHER LONG TERM CARE 20953,A000000,02100,0000,02100RADIOLOGY 20953,A000000,02200,0000,02200LABORATORY 20953,A000000,02300,0000,02300INTRAVENOUS THERAPY 20953,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20953,A000000,02500,0000,02500PHYSICAL THERAPY 20953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20953,A000000,02700,0000,02700SPEECH PATHOLOGY 20953,A000000,02800,0000,02800ELECTROCARDIOLOGY 20953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20953,A000000,03050,0000,03300OTHER ANCILLARY 20953,A000000,03051,0000,03301OTHER ANCILLARY II 20953,A000000,03052,0000,03302OTHER ANCILLARY III 20953,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20953,A000000,03200,0000,03200SUPPORT SURFACES 20953,A000000,03400,0000,03400CLINIC 20953,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20953,A000000,03500,0000,03500RURAL HEALTH CLINIC 20953,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20953,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20953,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20953,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20953,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20953,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20953,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20953,A000000,04400,0000,04400DME RENTED - HHA 20953,A000000,04500,0000,04500DME SOLD - HHA 20953,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20953,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20953,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20953,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20953,A000000,05000,0000,05000CORF 20953,A000000,05010,0000,05010CMHC I 20953,A000000,05020,0000,05020OPT I 20953,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20953,A000000,05300,0000,05300INTEREST EXPENSE 20953,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20953,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20953,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20953,A000000,05500,0000,05500HOSPICE 20953,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20953,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20953,A000000,06100,0000,06100NONPAID WORKERS 20953,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20953,A000000,06200,0000,06200PATIENTS LAUNDRY 20953,A81000A,00100,0100,Y 20953,A81000B,00100,0300,HOME OFFICE COSTS 20953,A81000B,00200,0300,PUBLIC RELATIONS 20953,A81000B,00300,0300,TRAINING COSTS 20953,A81000B,00400,0300,MDS FEES 20953,A81000B,00500,0300,REHAB FEES 20953,A81000B,00600,0300,REHAB FEES 20953,A81000B,00700,0300,REHAB FEES 20953,A81000C,00100,0100,B 20953,A81000C,00100,0400,EPI CORPORATION 20953,A81000C,00100,0600,NURSING HOMES 20953,A81000C,00200,0100,C 20953,A81000C,00200,0400,LUKEN / NUGENT 20953,A81000C,00200,0600,HC COMM. 20953,A81000C,00300,0100,C 20953,A81000C,00300,0400,KY HC TRAINING 20953,A81000C,00300,0600,KY HC TRAINING 20953,A81000C,00400,0100,C 20953,A81000C,00400,0400,RMS INC. 20953,A81000C,00400,0600,MDS CONSULTING 20953,A81000C,00500,0100,C 20953,A81000C,00500,0400,RMS INC. 20953,A81000C,00500,0600,THERAPY 20953,A81000C,00600,0100,C 20953,A81000C,00600,0400,RMS INC. 20953,A81000C,00600,0600,THERAPY 20953,A81000C,00700,0100,C 20953,A81000C,00700,0400,RMS INC. 20953,A81000C,00700,0600,THERAPY 20953,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20953,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20953,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20953,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20953,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20953,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20953,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20953,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20953,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20953,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20953,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20953,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20953,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20953,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20953,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20953,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20953,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20953,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20953,E10A180,00550,0300,06/29/1999 20953,E10A180,00601,0100,05/03/2000 20953,E10A180,00650,0300,05/03/2000 20953,S000000,00100,0200,06/29/1999 20953,S200000,00100,0100,4300 HAZELWOOD AVENUE 20953,S200000,00200,0100,LOUISVILLE 20953,S200000,00200,0200,KY 20953,S200000,00200,0300,40215- 20953,S200000,00300,0100,JEFFERSON 20953,S200000,00400,0100,BRIARWOOD NURSING AND CONV. CENTER 20953,S200000,00400,0200,185216 20953,S200000,00400,0300,11/26/1990 20953,S200000,00400,0500,P 20953,S200000,01600,0100,Y 20953,S200000,02200,0100,Y 20953,S200000,02800,0100,Y 20953,S700003,00000,0100,1 20955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20955,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 20955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20955,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 20955,A000000,00300,0000,00300EMPLOYEE BENEFITS 20955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20955,A000000,00700,0000,00700HOUSEKEEPING 20955,A000000,00800,0000,00800DIETARY 20955,A000000,00801,0000,00801CAFETERIA 20955,A000000,00900,0000,00900NURSING ADMINISTRATION 20955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20955,A000000,01100,0000,01100PHARMACY 20955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20955,A000000,01300,0000,01300SOCIAL SERVICE 20955,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 20955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20955,A000000,01600,0000,01600SKILLED NURSING FACILITY 20955,A000000,01800,0000,01800NURSING FACILITY 20955,A000000,01900,0000,01900OTHER LONG TERM CARE 20955,A000000,02100,0000,02100RADIOLOGY 20955,A000000,02200,0000,02200LABORATORY 20955,A000000,02300,0000,02300INTRAVENOUS THERAPY 20955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20955,A000000,02500,0000,02500PHYSICAL THERAPY 20955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20955,A000000,02700,0000,02700SPEECH PATHOLOGY 20955,A000000,02800,0000,02800ELECTROCARDIOLOGY 20955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20955,A000000,03050,0000,03300OTHER ANCILLARY 20955,A000000,03051,0000,03301OTHER ANCILLARY II 20955,A000000,03052,0000,03302OTHER ANCILLARY III 20955,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20955,A000000,03200,0000,03200SUPPORT SURFACES 20955,A000000,03400,0000,03400CLINIC 20955,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 20955,A000000,03500,0000,03500RURAL HEALTH CLINIC 20955,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20955,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20955,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20955,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20955,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20955,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20955,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20955,A000000,04400,0000,04400DME RENTED - HHA 20955,A000000,04500,0000,04500DME SOLD - HHA 20955,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20955,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20955,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20955,A000000,04800,0000,04800AMBULANCE 20955,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20955,A000000,05000,0000,05000CORF 20955,A000000,05010,0000,05010CMHC I 20955,A000000,05020,0000,05020OPT I 20955,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20955,A000000,05300,0000,05300INTEREST EXPENSE 20955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 20955,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 20955,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20955,A000000,05500,0000,05500HOSPICE 20955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20955,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20955,A000000,06100,0000,06100NONPAID WORKERS 20955,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20955,A000000,06200,0000,06200PATIENTS LAUNDRY 20955,A81000A,00100,0100,Y 20955,A81000B,00100,0300,HOME OFFICE COSTS 20955,A81000B,00200,0300,PUBLIC RELATIONS 20955,A81000B,00300,0300,TRAINING COSTS 20955,A81000B,00400,0300,MDS FEES 20955,A81000B,00500,0300,REHAB FEES 20955,A81000B,00600,0300,REHAB FEES 20955,A81000B,00700,0300,REHAB FEES 20955,A81000C,00100,0100,B 20955,A81000C,00100,0400,EPI CORPORATION 20955,A81000C,00100,0600,NURSING HOME 20955,A81000C,00200,0100,C 20955,A81000C,00200,0400,LUKEN / NUGENT 20955,A81000C,00200,0600,HC COMM. 20955,A81000C,00300,0100,C 20955,A81000C,00300,0400,KY HC TRAINING 20955,A81000C,00300,0600,KY HC TRAINING 20955,A81000C,00400,0100,C 20955,A81000C,00400,0400,RMS INC. 20955,A81000C,00400,0600,MDS CONSULTING 20955,A81000C,00500,0100,C 20955,A81000C,00500,0400,RMS INC. 20955,A81000C,00500,0600,THERAPY 20955,A81000C,00600,0100,C 20955,A81000C,00600,0400,RMS INC. 20955,A81000C,00600,0600,THERAPY 20955,A81000C,00700,0100,C 20955,A81000C,00700,0400,RMS INC. 20955,A81000C,00700,0600,THERAPY 20955,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 20955,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 20955,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 20955,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 20955,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 20955,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20955,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 20955,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 20955,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 20955,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 20955,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 20955,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 20955,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 20955,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 20955,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 20955,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 20955,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 20955,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 20955,E10A180,00550,0100,12/22/1999 20955,E10A180,00550,0300,12/22/1999 20955,E10A180,00601,0100,05/14/2001 20955,E10A180,00601,0300,05/14/2001 20955,S000000,00100,0200,12/22/1999 20955,S200000,00100,0100,4300 HAZELWOOD AVENUE 20955,S200000,00200,0100,LOUISVILLE 20955,S200000,00200,0200,KY 20955,S200000,00200,0300,40215- 20955,S200000,00300,0100,JEFFERSON 20955,S200000,00400,0100,BRIARWOOD HEALTH & REHAB CENTER 20955,S200000,00400,0200,185216 20955,S200000,00400,0300,11/26/1990 20955,S200000,00400,0500,P 20955,S200000,01600,0100,Y 20955,S200000,02200,0100,Y 20957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20957,A000000,00300,0000,00300EMPLOYEE BENEFITS 20957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20957,A000000,00700,0000,00700HOUSEKEEPING 20957,A000000,00800,0000,00800DIETARY 20957,A000000,00900,0000,00900NURSING ADMINISTRATION 20957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20957,A000000,01100,0000,01100PHARMACY 20957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20957,A000000,01300,0000,01300SOCIAL SERVICE 20957,A000000,01350,0000,01500OTHER GENERAL SERVICES 20957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20957,A000000,01600,0000,01600SKILLED NURSING FACILITY 20957,A000000,01800,0000,01800NURSING FACILITY 20957,A000000,01810,0000,01801ICF/MR 20957,A000000,01900,0000,01900OTHER LONG TERM CARE 20957,A000000,02100,0000,02100RADIOLOGY 20957,A000000,02200,0000,02200LABORATORY 20957,A000000,02300,0000,02300INTRAVENOUS THERAPY 20957,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20957,A000000,02500,0000,02500PHYSICAL THERAPY 20957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20957,A000000,02700,0000,02700SPEECH PATHOLOGY 20957,A000000,02800,0000,02800ELECTROCARDIOLOGY 20957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20957,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20957,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20957,A000000,03200,0000,03200SUPPORT SURFACES 20957,A000000,03400,0000,03400CLINIC 20957,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20957,A000000,03500,0000,03500RURAL HEALTH CLINIC 20957,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20957,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20957,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20957,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20957,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20957,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20957,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20957,A000000,04400,0000,04400DME RENTED - HHA 20957,A000000,04500,0000,04500DME SOLD - HHA 20957,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20957,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20957,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20957,A000000,04800,0000,04800AMBULANCE 20957,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20957,A000000,05000,0000,05000CORF 20957,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20957,A000000,05300,0000,05300INTEREST EXPENSE 20957,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20957,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20957,A000000,05500,0000,05500HOSPICE 20957,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20957,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20957,A000000,06100,0000,06100NONPAID WORKERS 20957,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20957,A000000,06200,0000,06200PATIENTS LAUNDRY 20957,A81000A,00100,0100,Y 20957,A81000B,00100,0300,HOME OFFICE COSTS 20957,A81000B,00200,0300,PUBLIC RELATIONS 20957,A81000B,00300,0300,TRAINING COSTS 20957,A81000B,00400,0300,MDS FEES 20957,A81000B,00500,0300,REHAB FEES 20957,A81000B,00600,0300,REHAB FEES 20957,A81000B,00700,0300,REHAB FEES 20957,A81000C,00100,0100,B 20957,A81000C,00100,0400,EPI CORPORATION 20957,A81000C,00100,0600,NURSING HOME 20957,A81000C,00200,0100,C 20957,A81000C,00200,0400,LUKEN/NUGENT 20957,A81000C,00200,0600,HC COMM. 20957,A81000C,00300,0100,C 20957,A81000C,00300,0400,KY HC TRAINING 20957,A81000C,00300,0600,KY HC TRAINING 20957,A81000C,00400,0100,C 20957,A81000C,00400,0400,RMS INC. 20957,A81000C,00400,0600,MDS CONSULTING 20957,A81000C,00500,0100,C 20957,A81000C,00500,0400,RMS INC. 20957,A81000C,00500,0600,THERAPY 20957,A81000C,00600,0100,C 20957,A81000C,00600,0400,RMS INC. 20957,A81000C,00600,0600,THERAPY 20957,A81000C,00700,0100,C 20957,A81000C,00700,0400,RMS INC. 20957,A81000C,00700,0600,THERAPY 20957,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 20957,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 20957,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20957,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20957,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 20957,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20957,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 20957,B100000,00000,0800,00000MEALS SERVED :DIETARY 20957,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 20957,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20957,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20957,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20957,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20957,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20957,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 20957,E10A180,00601,0100,05/01/2001 20957,E10A180,00601,0300,05/01/2001 20957,S000000,00100,0200,05/31/2000 20957,S200000,00100,0100,4300 HAZELWOOD AVE. 20957,S200000,00200,0100,LOUISVILLE 20957,S200000,00200,0200,KY 20957,S200000,00200,0300,40215- 20957,S200000,00300,0100,JEFFERSON 20957,S200000,00400,0100,BRIARWOOD HEALTH & REHAB CENTER 20957,S200000,00400,0200,185216 20957,S200000,00400,0300,11/26/1990 20957,S200000,00400,0500,P 20957,S200000,01600,0100,Y 20957,S200000,02200,0100,Y 20957,S200000,02800,0100,Y 20967,S000000,00100,0200,12/05/2000 20976,S000000,00100,0200,06/02/2000 20991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20991,A000000,00300,0000,00300EMPLOYEE BENEFITS 20991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20991,A000000,00700,0000,00700HOUSEKEEPING 20991,A000000,00800,0000,00800DIETARY 20991,A000000,00900,0000,00900NURSING ADMINISTRATION 20991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20991,A000000,01100,0000,01100PHARMACY 20991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20991,A000000,01300,0000,01300SOCIAL SERVICE 20991,A000000,01350,0000,01500OTHER GENERAL SERVICES 20991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20991,A000000,01600,0000,01600SKILLED NURSING FACILITY 20991,A000000,01800,0000,01800NURSING FACILITY 20991,A000000,01810,0000,01801ICF/MR 20991,A000000,01900,0000,01900OTHER LONG TERM CARE 20991,A000000,02100,0000,02100RADIOLOGY 20991,A000000,02200,0000,02200LABORATORY 20991,A000000,02300,0000,02300INTRAVENOUS THERAPY 20991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20991,A000000,02500,0000,02500PHYSICAL THERAPY 20991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20991,A000000,02700,0000,02700SPEECH PATHOLOGY 20991,A000000,02800,0000,02800ELECTROCARDIOLOGY 20991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20991,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20991,A000000,03200,0000,03200SUPPORT SURFACES 20991,A000000,03400,0000,03400CLINIC 20991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20991,A000000,03500,0000,03500RURAL HEALTH CLINIC 20991,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20991,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20991,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20991,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20991,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20991,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20991,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20991,A000000,04400,0000,04400DME RENTED - HHA 20991,A000000,04500,0000,04500DME SOLD - HHA 20991,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20991,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20991,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20991,A000000,04800,0000,04800AMBULANCE 20991,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20991,A000000,05000,0000,05000CORF 20991,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20991,A000000,05300,0000,05300INTEREST EXPENSE 20991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20991,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20991,A000000,05500,0000,05500HOSPICE 20991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20991,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20991,A000000,06100,0000,06100NONPAID WORKERS 20991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20991,A000000,06200,0000,06200PATIENTS LAUNDRY 20991,A81000A,00100,0100,Y 20991,A81000B,00100,0300,RENT 20991,A81000C,00100,0100,A 20991,A81000C,00100,0200,JULIAN SPARKS 20991,A81000C,00100,0400,BELLE MEADE HOME 20991,A81000C,00100,0600,NURSING FACILITY 20991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20991,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20991,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20991,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20991,B100000,00000,0800,00000MEALS SERVED :DIETARY 20991,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 20991,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 20991,B100000,00000,1150,00000NO STATISTICS :PHARMACY 20991,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 20991,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 20991,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20991,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20991,E10A180,00501,0100,06/02/2000 20991,E10A180,00550,0300,06/02/2000 20991,E10A180,00601,0100,06/05/2001 20991,E10A180,00650,0300,06/05/2001 20991,S000000,00100,0200,06/02/2000 20991,S200000,00100,0100,100 SPARKS AVENUE 20991,S200000,00100,0300,767 20991,S200000,00200,0100,NICHOLASVILLE 20991,S200000,00200,0200,KY 20991,S200000,00200,0300,40356- 20991,S200000,00300,0100,JESSAMINE 20991,S200000,00400,0100,ROYAL MANOR 20991,S200000,00400,0200,185220 20991,S200000,00400,0300,11/16/1990 20991,S200000,00400,0500,P 20991,S200000,01600,0100,Y 20999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 20999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 20999,A000000,00300,0000,00300EMPLOYEE BENEFITS 20999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 20999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 20999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 20999,A000000,00700,0000,00700HOUSEKEEPING 20999,A000000,00800,0000,00800DIETARY 20999,A000000,00900,0000,00900NURSING ADMINISTRATION 20999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 20999,A000000,01100,0000,01100PHARMACY 20999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 20999,A000000,01300,0000,01300SOCIAL SERVICE 20999,A000000,01350,0000,01500OTHER GENERAL SERVICES 20999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 20999,A000000,01600,0000,01600SKILLED NURSING FACILITY 20999,A000000,01800,0000,01800NURSING FACILITY 20999,A000000,01900,0000,01900OTHER LONG TERM CARE 20999,A000000,02100,0000,02100RADIOLOGY 20999,A000000,02200,0000,02200LABORATORY 20999,A000000,02300,0000,02300INTRAVENOUS THERAPY 20999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 20999,A000000,02500,0000,02500PHYSICAL THERAPY 20999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 20999,A000000,02700,0000,02700SPEECH PATHOLOGY 20999,A000000,02800,0000,02800ELECTROCARDIOLOGY 20999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 20999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 20999,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 20999,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 20999,A000000,03200,0000,03200SUPPORT SURFACES 20999,A000000,03400,0000,03400CLINIC 20999,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 20999,A000000,03500,0000,03500RURAL HEALTH CLINIC 20999,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 20999,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 20999,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 20999,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 20999,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 20999,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 20999,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 20999,A000000,04400,0000,04400DME RENTED - HHA 20999,A000000,04500,0000,04500DME SOLD - HHA 20999,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 20999,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 20999,A000000,04750,0000,05100OTHER REIMBURSABLE COST 20999,A000000,04800,0000,04800AMBULANCE 20999,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 20999,A000000,05000,0000,05000CORF 20999,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 20999,A000000,05300,0000,05300INTEREST EXPENSE 20999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 20999,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 20999,A000000,05500,0000,05500HOSPICE 20999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 20999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 20999,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 20999,A000000,06100,0000,06100NONPAID WORKERS 20999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 20999,A000000,06200,0000,06200PATIENTS LAUNDRY 20999,A81000A,00100,0100,Y 20999,A81000B,00100,0300,HOME OFFICE COSTS 20999,A81000B,00200,0300,HOME OFFICE COSTS 20999,A81000B,00300,0300,RELATED PARTY DEPRECIATION 20999,A81000B,00400,0300,RELATED PARTY AMORTIZATION 20999,A81000B,00500,0300,RELATED PARTY GENERAL 20999,A81000B,00600,0300,RELATED PARTY INTEREST 20999,A81000B,00700,0300,RELATED PARTY INTEREST 20999,A81000C,00100,0100,B 20999,A81000C,00100,0200,PRESBYTERIAN HOMES 20999,A81000C,00100,0400,PRESBYTERIAN HOMES 20999,A81000C,00100,0600,MANAGEMENT 20999,A81000C,00200,0100,B 20999,A81000C,00200,0200,PHELPS REGIONAL HLTH SER 20999,A81000C,00200,0400,PHELPS REGIONAL HLTH SER 20999,A81000C,00200,0600,BUILDING LESSOR 20999,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 20999,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 20999,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 20999,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 20999,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 20999,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 20999,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 20999,B100000,00000,0800,00000MEALS SERVED :DIETARY 20999,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 20999,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 20999,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 20999,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 20999,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 20999,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 20999,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 20999,E10A180,00550,0100,01/07/2000 20999,E10A180,00601,0100,02/28/2001 20999,E10A180,00650,0300,02/28/2001 20999,S000000,00100,0200,01/07/2000 20999,S200000,00100,0300,PO BOX 18067 20999,S200000,00200,0100,LOUISVILLE 20999,S200000,00200,0200,KY 20999,S200000,00300,0100,PIKE 20999,S200000,00400,0100,PRESBYTERIAN HEALTH CENTER AT PHELPS 20999,S200000,00400,0200,185222 20999,S200000,00400,0300,04/18/1995 20999,S200000,00400,0500,P 21001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21001,A000000,00300,0000,00300EMPLOYEE BENEFITS 21001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21001,A000000,00700,0000,00700HOUSEKEEPING 21001,A000000,00800,0000,00800DIETARY 21001,A000000,00900,0000,00900NURSING ADMINISTRATION 21001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21001,A000000,01100,0000,01100PHARMACY 21001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21001,A000000,01300,0000,01300SOCIAL SERVICE 21001,A000000,01350,0000,01500OTHER GENERAL SERVICES 21001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21001,A000000,01600,0000,01600SKILLED NURSING FACILITY 21001,A000000,01800,0000,01800NURSING FACILITY 21001,A000000,01900,0000,01900OTHER LONG TERM CARE 21001,A000000,02100,0000,02100RADIOLOGY 21001,A000000,02200,0000,02200LABORATORY 21001,A000000,02300,0000,02300INTRAVENOUS THERAPY 21001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21001,A000000,02500,0000,02500PHYSICAL THERAPY 21001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21001,A000000,02700,0000,02700SPEECH PATHOLOGY 21001,A000000,02800,0000,02800ELECTROCARDIOLOGY 21001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21001,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21001,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21001,A000000,03200,0000,03200SUPPORT SURFACES 21001,A000000,03400,0000,03400CLINIC 21001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21001,A000000,03500,0000,03500RURAL HEALTH CLINIC 21001,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21001,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21001,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21001,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21001,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21001,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21001,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21001,A000000,04400,0000,04400DME RENTED - HHA 21001,A000000,04500,0000,04500DME SOLD - HHA 21001,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21001,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21001,A000000,04800,0000,04800AMBULANCE 21001,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21001,A000000,05000,0000,05000CORF 21001,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21001,A000000,05300,0000,05300INTEREST EXPENSE 21001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21001,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21001,A000000,05500,0000,05500HOSPICE 21001,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21001,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21001,A000000,06100,0000,06100NONPAID WORKERS 21001,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21001,A000000,06200,0000,06200PATIENTS LAUNDRY 21001,A81000A,00100,0100,Y 21001,A81000B,00100,0300,HOME OFFICE COSTS 21001,A81000B,00200,0300,HOME OFFICE COSTS 21001,A81000B,00300,0300,RELATED PARTY DEPRECIATION 21001,A81000B,00400,0300,RELATED PARTY AMORTIZATION 21001,A81000B,00500,0300,RELATED PARTY GENERAL 21001,A81000B,00600,0300,RELATED PARTY INTEREST 21001,A81000B,00700,0300,RELATED PARTY RENT 21001,A81000C,00100,0100,B 21001,A81000C,00100,0200,PRESBYTERIAN HOMES 21001,A81000C,00100,0400,PRESBYTERIAN HOMES 21001,A81000C,00100,0600,MANAGEMENT 21001,A81000C,00200,0100,B 21001,A81000C,00200,0200,PHELPS REGIONAL HLTH SER 21001,A81000C,00200,0400,PHELPS REGIONAL HLTH SER 21001,A81000C,00200,0600,BUILDING LESSOR 21001,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21001,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21001,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21001,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21001,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21001,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21001,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21001,B100000,00000,0800,00000MEALS SERVED :DIETARY 21001,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21001,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21001,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21001,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21001,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21001,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21001,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21001,E10A180,00601,0100,07/03/2001 21001,E10A180,00650,0300,07/03/2001 21001,S000000,00100,0200,04/10/2000 21001,S200000,00100,0300,18067 21001,S200000,00200,0100,LOUISVILLE 21001,S200000,00200,0200,KY 21001,S200000,00200,0300,40261-0067 21001,S200000,00300,0100,PIKE 21001,S200000,00400,0100,GOOD SHEPHERD COMMUNITY NURSING CENT 21001,S200000,00400,0200,185222 21001,S200000,00400,0300,05/01/1999 21001,S200000,00400,0500,P 21001,S200000,01600,0100,Y 21009,S000000,00100,0200,04/24/2000 21013,S000000,00100,0200,04/17/2000 21024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21024,A000000,00300,0000,00300EMPLOYEE BENEFITS 21024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21024,A000000,00700,0000,00700HOUSEKEEPING 21024,A000000,00800,0000,00800DIETARY 21024,A000000,00900,0000,00900NURSING ADMINISTRATION 21024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21024,A000000,01100,0000,01100PHARMACY 21024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21024,A000000,01300,0000,01300SOCIAL SERVICE 21024,A000000,01350,0000,01500OTHER GENERAL SERVICES 21024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21024,A000000,01600,0000,01600SKILLED NURSING FACILITY 21024,A000000,01800,0000,01800NURSING FACILITY 21024,A000000,01810,0000,01801ICF/MR 21024,A000000,01900,0000,01900OTHER LONG TERM CARE 21024,A000000,02100,0000,02100RADIOLOGY 21024,A000000,02200,0000,02200LABORATORY 21024,A000000,02300,0000,02300INTRAVENOUS THERAPY 21024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21024,A000000,02500,0000,02500PHYSICAL THERAPY 21024,A000000,02501,0000,02501PHYSICAL THERAPY-PT B 10/1-12/31 21024,A000000,02502,0000,02502PHYSICAL THERAPY-PT B 01/1-09/30 21024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21024,A000000,02601,0000,02601OCCUPATIONAL THERAPY-PT B 10/1-12/3 21024,A000000,02602,0000,02602OCCUPATIONAL THERAPY-PT B 1/1-9/30 21024,A000000,02700,0000,02700SPEECH PATHOLOGY 21024,A000000,02701,0000,02701SPEECH PATHOLOGY-PT B 10/1-12/31 21024,A000000,02702,0000,02702SPEECH PATHOLOGY-PT B 1/1-9/30 21024,A000000,02800,0000,02800ELECTROCARDIOLOGY 21024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21024,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21024,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21024,A000000,03200,0000,03200SUPPORT SURFACES 21024,A000000,03400,0000,03400CLINIC 21024,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21024,A000000,03500,0000,03500RURAL HEALTH CLINIC 21024,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21024,A000000,04800,0000,04800AMBULANCE 21024,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21024,A000000,05000,0000,05000CORF 21024,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21024,A000000,05300,0000,05300INTEREST EXPENSE 21024,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21024,A000000,05500,0000,05500HOSPICE 21024,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21024,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21024,A000000,06100,0000,06100NONPAID WORKERS 21024,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21024,A000000,06200,0000,06200PATIENTS LAUNDRY 21024,A81000A,00100,0100,Y 21024,A81000B,00100,0300,MANAGEMENT FEES 21024,A81000C,00100,0100,A 21024,A81000C,00100,0200,HELEN AND MIKE SIMS 21024,A81000C,00100,0400,SAME 21024,A81000C,00100,0600,MANAGEMENT 21024,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21024,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21024,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21024,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21024,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21024,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21024,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21024,B100000,00000,0800,00000MEALS SERVED :DIETARY 21024,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21024,B100000,00000,1050,00000CENTRAL SUPP CHGS :CENTRAL SERVICES 21024,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21024,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 21024,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21024,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21024,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21024,E10A180,00601,0100,06/05/2001 21024,E10A180,00601,0300,06/05/2001 21024,S000000,00100,0200,02/17/2000 21024,S200000,00100,0100,3100 CLAY STREET 21024,S200000,00200,0100,PADUCAH 21024,S200000,00200,0200,KY 21024,S200000,00200,0300,42001- 21024,S200000,00300,0100,MCCRACKEN 21024,S200000,00400,0100,SUPERIOR CARE HOME 21024,S200000,00400,0200,185227 21024,S200000,00400,0300,10/01/1990 21024,S200000,00400,0500,P 21024,S200000,01600,0100,Y 21029,S000000,00100,0200,03/01/2000 21039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21039,A000000,00300,0000,00300EMPLOYEE BENEFITS 21039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21039,A000000,00700,0000,00700HOUSEKEEPING 21039,A000000,00800,0000,00800DIETARY 21039,A000000,00900,0000,00900NURSING ADMINISTRATION 21039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21039,A000000,01300,0000,01300SOCIAL SERVICE 21039,A000000,01600,0000,01600SKILLED NURSING FACILITY 21039,A000000,01800,0000,01800NURSING FACILITY 21039,A000000,02200,0000,02200LABORATORY 21039,A000000,02300,0000,02300INTRAVENOUS THERAPY 21039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21039,A000000,02500,0000,02500PHYSICAL THERAPY 21039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21039,A000000,02700,0000,02700SPEECH PATHOLOGY 21039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21039,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21039,A81000A,00100,0100,Y 21039,A81000B,00100,0300,ACCOUNTING FEES 21039,A81000B,00200,0300,DIRECTORS FEES 21039,A81000C,00100,0100,A 21039,A81000C,00100,0200,SAMUEL KELLETT 21039,A81000C,00100,0400,KELLETT INVESTMENTS 21039,A81000C,00100,0600,INVESTMENTS 21039,A81000C,00200,0100,A 21039,A81000C,00200,0200,SAMUEL KELLETT 21039,A81000C,00300,0100,A 21039,A81000C,00300,0200,STILES KELLETT 21039,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21039,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21039,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21039,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 21039,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21039,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 21039,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 21039,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 21039,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 21039,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 21039,E10A180,00601,0100,08/03/2001 21039,E10A180,00650,0300,08/03/2001 21039,S000000,00100,0200,05/31/2000 21039,S200000,00100,0100,HIGHWAY 197 21039,S200000,00100,0300,650 21039,S200000,00200,0100,ELKHORN CITY 21039,S200000,00200,0200,KY 21039,S200000,00200,0300,41522- 21039,S200000,00300,0100,PIKE 21039,S200000,00400,0100,MOUNTAIN VIEW HEALTHCARE 21039,S200000,00400,0200,185230 21039,S200000,00400,0300,12/15/1990 21039,S200000,00400,0500,P 21039,S200000,01004,0500,O 21039,S200000,01600,0100,Y 21039,S200000,02200,0100,Y 21050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21050,A000000,00300,0000,00300EMPLOYEE BENEFITS 21050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21050,A000000,00700,0000,00700HOUSEKEEPING 21050,A000000,00800,0000,00800DIETARY 21050,A000000,00900,0000,00900NURSING ADMINISTRATION 21050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21050,A000000,01100,0000,01100PHARMACY 21050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21050,A000000,01300,0000,01300SOCIAL SERVICE 21050,A000000,01350,0000,01500OTHER GENERAL SERVICES 21050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21050,A000000,01600,0000,01600SKILLED NURSING FACILITY 21050,A000000,01800,0000,01800NURSING FACILITY 21050,A000000,01900,0000,01900OTHER LONG TERM CARE 21050,A000000,02100,0000,02100RADIOLOGY 21050,A000000,02200,0000,02200LABORATORY 21050,A000000,02300,0000,02300INTRAVENOUS THERAPY 21050,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21050,A000000,02500,0000,02500PHYSICAL THERAPY 21050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21050,A000000,02700,0000,02700SPEECH PATHOLOGY 21050,A000000,02800,0000,02800ELECTROCARDIOLOGY 21050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21050,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21050,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21050,A000000,03200,0000,03200SUPPORT SURFACES 21050,A000000,03400,0000,03400CLINIC 21050,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21050,A000000,03500,0000,03500RURAL HEALTH CLINIC 21050,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21050,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21050,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21050,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21050,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21050,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21050,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21050,A000000,04400,0000,04400DME RENTED - HHA 21050,A000000,04500,0000,04500DME SOLD - HHA 21050,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21050,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21050,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21050,A000000,04800,0000,04800AMBULANCE 21050,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21050,A000000,05000,0000,05000CORF 21050,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21050,A000000,05300,0000,05300INTEREST EXPENSE 21050,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21050,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21050,A000000,05500,0000,05500HOSPICE 21050,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21050,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21050,A000000,06100,0000,06100NONPAID WORKERS 21050,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21050,A000000,06200,0000,06200PATIENTS LAUNDRY 21050,A81000A,00100,0100,Y 21050,A81000B,00100,0300,MGT FEES/HO COSTS 21050,A81000C,00100,0100,A 21050,A81000C,00100,0200,CHRISTIAN CHURCH HOMES 21050,A81000C,00100,0400,HOME OFFICE 21050,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21050,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21050,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21050,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21050,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21050,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21050,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21050,B100000,00000,0800,00000MEALS SERVED :DIETARY 21050,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 21050,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 21050,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21050,B100000,00000,1250,00000COSTED REQUIS. :MEDICAL RECORDS & 21050,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21050,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21050,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 21050,E10A180,00601,0300,07/03/2001 21050,E10A180,00650,0100,07/03/2001 21050,S000000,00100,0200,06/07/2000 21050,S200000,00100,0100,COMMONWEALTH AVE & MASTER ST 21050,S200000,00100,0300,1304 21050,S200000,00200,0100,CORBIN 21050,S200000,00200,0200,KY 21050,S200000,00200,0300,40701- 21050,S200000,00300,0100,KNOX 21050,S200000,00400,0100,CHRISTIAN HEALTH CENTER 21050,S200000,00400,0200,185232 21050,S200000,00400,0300,05/01/1991 21050,S200000,00400,0500,P 21050,S200000,01600,0100,Y 21058,S000000,00100,0200,06/09/2000 21073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21073,A000000,00300,0000,00300EMPLOYEE BENEFITS 21073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21073,A000000,00700,0000,00700HOUSEKEEPING 21073,A000000,00800,0000,00800DIETARY 21073,A000000,00900,0000,00900NURSING ADMINISTRATION 21073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21073,A000000,01100,0000,01100PHARMACY 21073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21073,A000000,01300,0000,01300SOCIAL SERVICE 21073,A000000,01350,0000,01500OTHER GENERAL SERVICES 21073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21073,A000000,01600,0000,01600SKILLED NURSING FACILITY 21073,A000000,01800,0000,01800NURSING FACILITY 21073,A000000,01810,0000,01810ICF/MR 21073,A000000,01900,0000,01900OTHER LONG TERM CARE 21073,A000000,02100,0000,02100RADIOLOGY 21073,A000000,02200,0000,02200LABORATORY 21073,A000000,02300,0000,02300INTRAVENOUS THERAPY 21073,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21073,A000000,02500,0000,02500PHYSICAL THERAPY 21073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21073,A000000,02700,0000,02700SPEECH PATHOLOGY 21073,A000000,02800,0000,02800ELECTROCARDIOLOGY 21073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21073,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21073,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21073,A000000,03200,0000,03200SUPPORT SURFACES 21073,A000000,03400,0000,03400CLINIC 21073,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21073,A000000,03500,0000,03500RURAL HEALTH CLINIC 21073,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21073,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21073,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21073,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21073,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21073,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21073,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21073,A000000,04400,0000,04400DME RENTED - HHA 21073,A000000,04500,0000,04500DME SOLD - HHA 21073,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21073,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21073,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21073,A000000,04800,0000,04800AMBULANCE 21073,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21073,A000000,05000,0000,05000CORF 21073,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21073,A000000,05300,0000,05300INTEREST EXPENSE 21073,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21073,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21073,A000000,05500,0000,05500HOSPICE 21073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21073,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21073,A000000,06100,0000,06100NONPAID WORKERS 21073,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21073,A000000,06200,0000,06200PATIENTS LAUNDRY 21073,A81000A,00100,0100,Y 21073,A81000B,00100,0300,HOME OFFICE COSTS 21073,A81000C,00100,0100,B 21073,A81000C,00100,0200,SENIORCARE LLC 21073,A81000C,00100,0400,SENIORCARE LLC 21073,A81000C,00100,0600,HOME OFFICE 21073,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21073,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21073,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21073,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21073,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21073,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21073,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21073,B100000,00000,0800,00000MEALS SERVED :DIETARY 21073,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21073,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21073,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21073,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21073,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21073,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21073,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21073,E10A180,00501,0100,06/29/2000 21073,E10A180,00550,0300,06/29/2000 21073,E10A180,00601,0300,08/08/2001 21073,E10A180,00650,0100,08/08/2001 21073,S000000,00100,0200,06/29/2000 21073,S200000,00100,0100,1205 LEITTHCFIELD ROAD 21073,S200000,00200,0100,OWENSBORO 21073,S200000,00200,0200,KY 21073,S200000,00200,0300,42303- 21073,S200000,00300,0100,DAVIESS 21073,S200000,00400,0100,LEISURE YEARS NURSING HOME 21073,S200000,00400,0200,185236 21073,S200000,00400,0300,04/16/1997 21073,S200000,00400,0500,P 21073,S200000,01600,0100,Y 21082,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21082,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21082,A000000,00300,0000,00300EMPLOYEE BENEFITS 21082,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21082,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21082,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21082,A000000,00700,0000,00700HOUSEKEEPING 21082,A000000,00800,0000,00800DIETARY 21082,A000000,00900,0000,00900NURSING ADMINISTRATION 21082,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21082,A000000,01100,0000,01100PHARMACY 21082,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21082,A000000,01300,0000,01300SOCIAL SERVICE 21082,A000000,01350,0000,01500OTHER GENERAL SERVICES 21082,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21082,A000000,01600,0000,01600SKILLED NURSING FACILITY 21082,A000000,01800,0000,01800NURSING FACILITY 21082,A000000,01810,0000,01810ICF/MR 21082,A000000,01900,0000,01900OTHER LONG TERM CARE 21082,A000000,02100,0000,02100RADIOLOGY 21082,A000000,02200,0000,02200LABORATORY 21082,A000000,02300,0000,02300INTRAVENOUS THERAPY 21082,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21082,A000000,02500,0000,02500PHYSICAL THERAPY 21082,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21082,A000000,02700,0000,02700SPEECH PATHOLOGY 21082,A000000,02800,0000,02800ELECTROCARDIOLOGY 21082,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21082,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21082,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21082,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21082,A000000,03200,0000,03200SUPPORT SURFACES 21082,A000000,03400,0000,03400CLINIC 21082,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21082,A000000,03500,0000,03500RURAL HEALTH CLINIC 21082,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21082,A000000,04800,0000,04800AMBULANCE 21082,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21082,A000000,05000,0000,05000CORF 21082,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21082,A000000,05300,0000,05300INTEREST EXPENSE 21082,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21082,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21082,A000000,05500,0000,05500HOSPICE 21082,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21082,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21082,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21082,A000000,06100,0000,06100NONPAID WORKERS 21082,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21082,A000000,06200,0000,06200PATIENTS LAUNDRY 21082,A81000A,00100,0100,Y 21082,A81000B,00100,0300,JHHS CORPORATE FEE 21082,A81000B,00200,0300,JHHS CAPITAL PORTION 21082,A81000C,00100,0100,B 21082,A81000C,00100,0200,JHHS 21082,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21082,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21082,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 21082,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21082,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21082,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21082,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 21082,B100000,00000,0800,00000MEALS SERVED :DIETARY 21082,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21082,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21082,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21082,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21082,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21082,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21082,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21082,E10A180,00650,0100,07/20/2001 21082,S000000,00100,0200,05/31/2000 21082,S200000,00100,0100,2101 ELLERBE 21082,S200000,00200,0100,LOUISVILLE 21082,S200000,00200,0200,KY 21082,S200000,00200,0300,40205- 21082,S200000,00300,0100,JEFFERSON 21082,S200000,00400,0100,FOUR COURTS SENIOR CENTER 21082,S200000,00400,0200,185237 21082,S200000,00400,0300,02/11/1991 21082,S200000,00400,0500,P 21082,S200000,01600,0100,Y 21086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21086,A000000,00300,0000,00300EMPLOYEE BENEFITS 21086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21086,A000000,00700,0000,00700HOUSEKEEPING 21086,A000000,00800,0000,00800DIETARY 21086,A000000,00900,0000,00900NURSING ADMINISTRATION 21086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21086,A000000,01100,0000,01100PHARMACY 21086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21086,A000000,01300,0000,01300SOCIAL SERVICE 21086,A000000,01350,0000,01500OTHER GENERAL SERVICES 21086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21086,A000000,01600,0000,01600SKILLED NURSING FACILITY 21086,A000000,01800,0000,01800NURSING FACILITY 21086,A000000,01810,0000,01801ICF/MR 21086,A000000,01900,0000,01900OTHER LONG TERM CARE 21086,A000000,02100,0000,02100RADIOLOGY 21086,A000000,02200,0000,02200LABORATORY 21086,A000000,02300,0000,02300INTRAVENOUS THERAPY 21086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21086,A000000,02500,0000,02500PHYSICAL THERAPY 21086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21086,A000000,02700,0000,02700SPEECH PATHOLOGY 21086,A000000,02800,0000,02800ELECTROCARDIOLOGY 21086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21086,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21086,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21086,A000000,03200,0000,03200SUPPORT SURFACES 21086,A000000,03400,0000,03400CLINIC 21086,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21086,A000000,03500,0000,03500RURAL HEALTH CLINIC 21086,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21086,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21086,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21086,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21086,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21086,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21086,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21086,A000000,04400,0000,04400DME RENTED - HHA 21086,A000000,04500,0000,04500DME SOLD - HHA 21086,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21086,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21086,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21086,A000000,04800,0000,04800AMBULANCE 21086,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21086,A000000,05000,0000,05000CORF 21086,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21086,A000000,05300,0000,05300INTEREST EXPENSE 21086,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21086,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21086,A000000,05500,0000,05500HOSPICE 21086,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21086,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21086,A000000,06100,0000,06100NONPAID WORKERS 21086,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21086,A000000,06200,0000,06200PATIENTS LAUNDRY 21086,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21086,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21086,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21086,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21086,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21086,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21086,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21086,B100000,00000,0800,00000MEALS SERVED :DIETARY 21086,B100000,00000,0950,00000DIRECT NSG :NURSING ADMINISTRATION 21086,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21086,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21086,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21086,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21086,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21086,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21086,E10A180,00501,0100,11/17/2000 21086,E10A180,00550,0300,11/17/2000 21086,E10A180,00601,0300,02/27/2001 21086,E10A180,00650,0100,02/27/2001 21086,S000000,00100,0200,09/11/2000 21086,S200000,00100,0100,235 NEW WILSON LANE 21086,S200000,00100,0300,2639 21086,S200000,00200,0100,MIDDLESBORO 21086,S200000,00200,0200,KY 21086,S200000,00200,0300,40965- 21086,S200000,00300,0100,BELL 21086,S200000,00400,0100,MIDDLESBORO HEALTH CARE FACILITY 21086,S200000,00400,0200,185240 21086,S200000,00400,0300,01/16/1991 21086,S200000,00400,0500,P 21086,S200000,01600,0100,Y 21086,S200000,04700,0100,Y 21095,S000000,00100,0200,05/31/2000 21103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21103,A000000,00300,0000,00300EMPLOYEE BENEFITS 21103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21103,A000000,00700,0000,00700HOUSEKEEPING 21103,A000000,00800,0000,00800DIETARY 21103,A000000,00900,0000,00900NURSING ADMINISTRATION 21103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21103,A000000,01100,0000,01100PHARMACY 21103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21103,A000000,01300,0000,01300SOCIAL SERVICE 21103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21103,A000000,01600,0000,01600SKILLED NURSING FACILITY 21103,A000000,01810,0000,01810ICF/MR 21103,A000000,01900,0000,01900OTHER LONG TERM CARE 21103,A000000,02100,0000,02100RADIOLOGY 21103,A000000,02200,0000,02200LABORATORY 21103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21103,A000000,02500,0000,02500PHYSICAL THERAPY 21103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21103,A000000,02700,0000,02700SPEECH PATHOLOGY 21103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21103,A000000,03550,0000,03550FQHC 21103,A000000,05000,0000,05000CORF 21103,A000000,05010,0000,05010CMHC 21103,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 21103,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 21103,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 21103,A81000A,00100,0100,Y 21103,A81000B,00100,0300,MANAGEMENT FEE 21103,A81000C,00100,0100,B 21103,A81000C,00100,0200,STERLING CARE LLC 21103,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 21103,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 21103,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 21103,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 21103,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 21103,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 21103,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 21103,B100000,00000,0800,00040MEALS SERVED :DIETARY 21103,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 21103,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 21103,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 21103,E10A180,00601,0100,08/20/2001 21103,E10A180,00650,0300,08/20/2001 21103,S000000,00100,0200,06/16/2000 21103,S200000,00100,0100,219 WINDSOR DRIVE 21103,S200000,00200,0100,MT. STERLING 21103,S200000,00200,0200,KY 21103,S200000,00200,0300,40353- 21103,S200000,00300,0100,MONTGOMERY 21103,S200000,00300,0200,18 21103,S200000,00300,0300,R 21103,S200000,00400,0100,WINDSOR CARE CENTER 21103,S200000,00400,0200,185242 21103,S200000,00400,0300,01/01/1999 21103,S200000,00400,0500,P 21103,S200000,01500,0100,Y 21103,S200000,01900,0100,LIMITED LIABILITY CO 21111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21111,A000000,00300,0000,00300EMPLOYEE BENEFITS 21111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21111,A000000,00700,0000,00700HOUSEKEEPING 21111,A000000,00800,0000,00800DIETARY 21111,A000000,00900,0000,00900NURSING ADMINISTRATION 21111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21111,A000000,01100,0000,01100PHARMACY 21111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21111,A000000,01300,0000,01300SOCIAL SERVICE 21111,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21111,A000000,01600,0000,01600SKILLED NURSING FACILITY 21111,A000000,01800,0000,01800NURSING FACILITY 21111,A000000,01900,0000,01900OTHER LONG TERM CARE 21111,A000000,02100,0000,02100RADIOLOGY 21111,A000000,02200,0000,02200LABORATORY 21111,A000000,02300,0000,02300INTRAVENOUS THERAPY 21111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21111,A000000,02500,0000,02500PHYSICAL THERAPY 21111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21111,A000000,02700,0000,02700SPEECH PATHOLOGY 21111,A000000,02800,0000,02800ELECTROCARDIOLOGY 21111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21111,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21111,A000000,03051,0000,03301PEN THERAPY 21111,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21111,A000000,03200,0000,03200SUPPORT SURFACES 21111,A000000,03400,0000,03400CLINIC 21111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21111,A000000,04800,0000,04800AMBULANCE 21111,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21111,A000000,05300,0000,05300INTEREST EXPENSE 21111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21111,A000000,05500,0000,05500HOSPICE 21111,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21111,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21111,A000000,06100,0000,06100NONPAID WORKERS 21111,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21111,A000000,06200,0000,06200PATIENTS LAUNDRY 21111,A81000A,00100,0100,Y 21111,A81000B,00100,0300,CONSULTANTS 21111,A81000B,00200,0300,CONSULTANTS 21111,A81000B,00300,0300,CONSULTANTS 21111,A81000B,00400,0300,CONSULTANTS 21111,A81000B,00500,0300,CONSULTANTS 21111,A81000B,00600,0300,HOME OFFICE 21111,A81000B,00700,0300,RENTAL 21111,A81000B,00800,0300,GAS 21111,A81000B,00900,0300,REPAIRS 21111,A81000B,01000,0300,SUPPLIES 21111,A81000B,01100,0300,PHARMACY 21111,A81000B,01200,0300,INSURANCE 21111,A81000B,01300,0300,CONTRACT NURSING 21111,A81000C,00100,0100,B 21111,A81000C,00100,0400,BRITTHAVEN INC 21111,A81000C,00100,0600,MGMT SVS 21111,A81000C,00200,0100,B 21111,A81000C,00200,0400,BRITTHAVEN INC 21111,A81000C,00200,0600,MGMT SVS 21111,A81000C,00300,0100,B 21111,A81000C,00300,0400,BRITTHAVEN INC 21111,A81000C,00300,0600,MGMT SVS 21111,A81000C,00400,0100,B 21111,A81000C,00400,0400,BRITTHAVEN INC 21111,A81000C,00400,0600,MGMT SVS 21111,A81000C,00500,0100,B 21111,A81000C,00500,0400,BRITTHAVEN INC 21111,A81000C,00500,0600,MGMT SVS 21111,A81000C,00600,0100,B 21111,A81000C,00600,0400,BRITTHAVEN INC 21111,A81000C,00600,0600,MGMT SVS 21111,A81000C,00700,0100,B 21111,A81000C,00700,0400,BRITTHAVEN INC 21111,A81000C,00700,0600,MGMT SVS 21111,A81000C,00800,0100,B 21111,A81000C,00800,0400,BRITTHAVEN INC 21111,A81000C,00800,0600,MGMT SVS 21111,A81000C,00900,0100,B 21111,A81000C,00900,0400,BRITTHAVEN INC 21111,A81000C,00900,0600,MGMT SVS 21111,A81000C,01000,0100,B 21111,A81000C,01000,0400,R.HILL CONS. CO 21111,A81000C,01000,0600,CONSTRUCTION 21111,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21111,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21111,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21111,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21111,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21111,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21111,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21111,B100000,00000,0800,00000MEALS SERVED :DIETARY 21111,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21111,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21111,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21111,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21111,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21111,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 21111,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21111,E10A180,00550,0300,03/10/2000 21111,E10A180,00601,0100,01/24/2001 21111,E10A180,00601,0300,01/24/2001 21111,S000000,00100,0200,03/03/2000 21111,S200000,00100,0100,RT 1 BOX 102 21111,S200000,00200,0100,PINEVILLE 21111,S200000,00200,0200,NC 21111,S200000,00200,0300,40977- 21111,S200000,00300,0100,BELLE 21111,S200000,00400,0100,BRITTHAVEN OF PINEVILLE 21111,S200000,00400,0200,185243 21111,S200000,00400,0300,02/28/1989 21111,S200000,00400,0500,P 21111,S200000,01600,0100,Y 21111,S700003,00000,0100,1 21118,S000000,00100,0200,06/09/2000 21124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21124,A000000,00300,0000,00300EMPLOYEE BENEFITS 21124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21124,A000000,00700,0000,00700HOUSEKEEPING 21124,A000000,00800,0000,00800DIETARY 21124,A000000,00900,0000,00900NURSING ADMINISTRATION 21124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21124,A000000,01100,0000,01100PHARMACY 21124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21124,A000000,01300,0000,01300SOCIAL SERVICE 21124,A000000,01350,0000,01500OTHER GENERAL SERVICES 21124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21124,A000000,01600,0000,01600SKILLED NURSING FACILITY 21124,A000000,01800,0000,01800NURSING FACILITY 21124,A000000,01810,0000,01801ICF/MR 21124,A000000,01900,0000,01900OTHER LONG TERM CARE 21124,A000000,02100,0000,02100RADIOLOGY 21124,A000000,02200,0000,02200LABORATORY 21124,A000000,02300,0000,02300INTRAVENOUS THERAPY 21124,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21124,A000000,02500,0000,02500PHYSICAL THERAPY 21124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21124,A000000,02700,0000,02700SPEECH PATHOLOGY 21124,A000000,02800,0000,02800ELECTROCARDIOLOGY 21124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21124,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21124,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21124,A000000,03200,0000,03200SUPPORT SURFACES 21124,A000000,03400,0000,03400CLINIC 21124,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21124,A000000,03500,0000,03500RURAL HEALTH CLINIC 21124,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21124,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21124,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21124,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21124,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21124,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21124,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21124,A000000,04400,0000,04400DME RENTED - HHA 21124,A000000,04500,0000,04500DME SOLD - HHA 21124,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21124,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21124,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21124,A000000,04800,0000,04800AMBULANCE 21124,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21124,A000000,05000,0000,05000CORF 21124,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21124,A000000,05300,0000,05300INTEREST EXPENSE 21124,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21124,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21124,A000000,05500,0000,05500HOSPICE 21124,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21124,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21124,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21124,A000000,06100,0000,06100NONPAID WORKERS 21124,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21124,A000000,06200,0000,06200PATIENTS LAUNDRY 21124,A81000A,00100,0100,Y 21124,A81000B,00100,0300,OWNERS COST DEPRECIATION 21124,A81000B,00200,0300,OWNERS COST INTEREST 21124,A81000B,00300,0300,RENT 21124,A81000C,00100,0100,D 21124,A81000C,00100,0200,JACK CZERKIEWICZ 21124,A81000C,00200,0100,A 21124,A81000C,00200,0200,EDITH CZERKIEWICZ 21124,A81000C,00300,0100,A 21124,A81000C,00300,0200,SIMON CZERKIEWICZ 21124,A81000C,00400,0100,D 21124,A81000C,00400,0200,DAVID MIZRACHI 21124,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21124,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21124,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21124,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21124,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21124,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21124,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21124,B100000,00000,0800,00000MEALS SERVED :DIETARY 21124,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21124,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21124,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21124,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21124,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21124,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21124,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21124,E10A180,00550,0100,05/12/2000 21124,S000000,00100,0200,05/09/2000 21124,S200000,00100,0100,4331 CHURCHMAN AVENUE 21124,S200000,00200,0100,LOUISVILLE 21124,S200000,00200,0200,KY 21124,S200000,00200,0300,40215- 21124,S200000,00300,0100,JEFFERSON 21124,S200000,00400,0100,MELROSE MANOR 21124,S200000,00400,0200,185247 21124,S200000,00400,0300,06/10/1991 21124,S200000,00400,0500,P 21124,S200000,01600,0100,Y 21134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21134,A000000,00300,0000,00300EMPLOYEE BENEFITS 21134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21134,A000000,00700,0000,00700HOUSEKEEPING 21134,A000000,00800,0000,00800DIETARY 21134,A000000,00900,0000,00900NURSING ADMINISTRATION 21134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21134,A000000,01100,0000,01100PHARMACY 21134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21134,A000000,01300,0000,01300SOCIAL SERVICE 21134,A000000,01350,0000,01500OTHER GENERAL SERVICES 21134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21134,A000000,01600,0000,01600SKILLED NURSING FACILITY 21134,A000000,01800,0000,01800NURSING FACILITY 21134,A000000,01900,0000,01900OTHER LONG TERM CARE 21134,A000000,02100,0000,02100RADIOLOGY 21134,A000000,02200,0000,02200LABORATORY 21134,A000000,02300,0000,02300INTRAVENOUS THERAPY 21134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21134,A000000,02500,0000,02500PHYSICAL THERAPY 21134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21134,A000000,02700,0000,02700SPEECH PATHOLOGY 21134,A000000,02800,0000,02800ELECTROCARDIOLOGY 21134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21134,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21134,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21134,A000000,03200,0000,03200SUPPORT SURFACES 21134,A000000,03400,0000,03400CLINIC 21134,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21134,A000000,03500,0000,03500RURAL HEALTH CLINIC 21134,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21134,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21134,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21134,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21134,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21134,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21134,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21134,A000000,04400,0000,04400DME RENTED - HHA 21134,A000000,04500,0000,04500DME SOLD - HHA 21134,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21134,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21134,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21134,A000000,04800,0000,04800AMBULANCE 21134,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21134,A000000,05000,0000,05000CORF 21134,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21134,A000000,05300,0000,05300INTEREST EXPENSE 21134,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21134,A000000,05500,0000,05500HOSPICE 21134,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21134,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21134,A000000,06100,0000,06100NONPAID WORKERS 21134,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21134,A000000,06200,0000,06200PATIENTS LAUNDRY 21134,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21134,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21134,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21134,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21134,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21134,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21134,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21134,B100000,00000,0800,00000MEALS SERVED :DIETARY 21134,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21134,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21134,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21134,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21134,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21134,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21134,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21134,E10A180,00601,0300,01/26/2001 21134,E10A180,00650,0100,01/26/2001 21134,S000000,00100,0200,12/21/1999 21134,S200000,00100,0100,3840 CAMELOT DRIVE 21134,S200000,00200,0100,LEXINGTON 21134,S200000,00200,0200,KY 21134,S200000,00200,0300,40517- 21134,S200000,00300,0100,FAYETTE 21134,S200000,00400,0100,SAYRE CHRISTIAN VILLAGE NURSING HOME 21134,S200000,00400,0200,185248 21134,S200000,00400,0300,03/14/1991 21134,S200000,00400,0500,P 21134,S200000,01500,0100,Y 21143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21143,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21143,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21143,A000000,00300,0000,00300EMPLOYEE BENEFITS 21143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21143,A000000,00700,0000,00700HOUSEKEEPING 21143,A000000,00800,0000,00800DIETARY 21143,A000000,00801,0000,00801CAFETERIA 21143,A000000,00900,0000,00900NURSING ADMINISTRATION 21143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21143,A000000,01100,0000,01100PHARMACY 21143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21143,A000000,01300,0000,01300SOCIAL SERVICE 21143,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21143,A000000,01600,0000,01600SKILLED NURSING FACILITY 21143,A000000,01800,0000,01800NURSING FACILITY 21143,A000000,01900,0000,01900OTHER LONG TERM CARE 21143,A000000,02100,0000,02100RADIOLOGY 21143,A000000,02200,0000,02200LABORATORY 21143,A000000,02300,0000,02300INTRAVENOUS THERAPY 21143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21143,A000000,02500,0000,02500PHYSICAL THERAPY 21143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21143,A000000,02700,0000,02700SPEECH PATHOLOGY 21143,A000000,02800,0000,02800ELECTROCARDIOLOGY 21143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21143,A000000,03050,0000,03300OTHER ANCILLARY 21143,A000000,03051,0000,03301OTHER ANCILLARY II 21143,A000000,03052,0000,03302OTHER ANCILLARY III 21143,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21143,A000000,03200,0000,03200SUPPORT SURFACES 21143,A000000,03400,0000,03400CLINIC 21143,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21143,A000000,03500,0000,03500RURAL HEALTH CLINIC 21143,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21143,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21143,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21143,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21143,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21143,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21143,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21143,A000000,04400,0000,04400DME RENTED - HHA 21143,A000000,04500,0000,04500DME SOLD - HHA 21143,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21143,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21143,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21143,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21143,A000000,05000,0000,05000CORF 21143,A000000,05010,0000,05010CMHC I 21143,A000000,05020,0000,05020OPT I 21143,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21143,A000000,05300,0000,05300INTEREST EXPENSE 21143,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21143,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21143,A000000,05500,0000,05500HOSPICE 21143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21143,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21143,A000000,06100,0000,06100NONPAID WORKERS 21143,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21143,A000000,06200,0000,06200PATIENTS LAUNDRY 21143,A81000A,00100,0100,Y 21143,A81000B,00100,0300,HOME OFFICE COSTS 21143,A81000B,00200,0300,MDS FEES 21143,A81000B,00300,0300,REHAB. FEES 21143,A81000B,00400,0300,REHAB. FEES 21143,A81000B,00500,0300,REHAB. FEES 21143,A81000C,00100,0100,B 21143,A81000C,00100,0400,EPI CORPORATION 21143,A81000C,00100,0600,NURSING HOMES 21143,A81000C,00200,0100,C 21143,A81000C,00200,0400,RMS INC. 21143,A81000C,00200,0600,MDS CONSULTING 21143,A81000C,00300,0100,C 21143,A81000C,00300,0400,RMS INC. 21143,A81000C,00300,0600,THERAPY 21143,A81000C,00400,0100,C 21143,A81000C,00400,0400,RMS INC. 21143,A81000C,00400,0600,THERAPY 21143,A81000C,00500,0100,C 21143,A81000C,00500,0400,RMS INC. 21143,A81000C,00500,0600,THERAPY 21143,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21143,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21143,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21143,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21143,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21143,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21143,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21143,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21143,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21143,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21143,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21143,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21143,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21143,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21143,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21143,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21143,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21143,E10A180,00550,0300,06/29/1999 21143,E10A180,00650,0100,08/07/2000 21143,E10A180,00650,0300,08/07/2000 21143,S000000,00100,0200,06/29/1999 21143,S200000,00100,0300,194 21143,S200000,00200,0100,ANNVILLE 21143,S200000,00200,0200,KY 21143,S200000,00200,0300,40402- 21143,S200000,00300,0100,JACKSON 21143,S200000,00400,0100,JACKSON MANOR 21143,S200000,00400,0200,185249 21143,S200000,00400,0300,03/12/1991 21143,S200000,00400,0500,P 21143,S200000,01600,0100,Y 21143,S200000,02200,0100,Y 21143,S700003,00000,0100,1 21145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21145,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21145,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21145,A000000,00300,0000,00300EMPLOYEE BENEFITS 21145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21145,A000000,00700,0000,00700HOUSEKEEPING 21145,A000000,00800,0000,00800DIETARY 21145,A000000,00801,0000,00801CAFETERIA 21145,A000000,00900,0000,00900NURSING ADMINISTRATION 21145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21145,A000000,01100,0000,01100PHARMACY 21145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21145,A000000,01300,0000,01300SOCIAL SERVICE 21145,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21145,A000000,01600,0000,01600SKILLED NURSING FACILITY 21145,A000000,01800,0000,01800NURSING FACILITY 21145,A000000,01900,0000,01900OTHER LONG TERM CARE 21145,A000000,02100,0000,02100RADIOLOGY 21145,A000000,02200,0000,02200LABORATORY 21145,A000000,02300,0000,02300INTRAVENOUS THERAPY 21145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21145,A000000,02500,0000,02500PHYSICAL THERAPY 21145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21145,A000000,02700,0000,02700SPEECH PATHOLOGY 21145,A000000,02800,0000,02800ELECTROCARDIOLOGY 21145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21145,A000000,03050,0000,03300OTHER ANCILLARY 21145,A000000,03051,0000,03301OTHER ANCILLARY II 21145,A000000,03052,0000,03302OTHER ANCILLARY III 21145,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21145,A000000,03200,0000,03200SUPPORT SURFACES 21145,A000000,03400,0000,03400CLINIC 21145,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21145,A000000,03500,0000,03500RURAL HEALTH CLINIC 21145,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21145,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21145,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21145,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21145,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21145,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21145,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21145,A000000,04400,0000,04400DME RENTED - HHA 21145,A000000,04500,0000,04500DME SOLD - HHA 21145,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21145,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21145,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21145,A000000,04800,0000,04800AMBULANCE 21145,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21145,A000000,05000,0000,05000CORF 21145,A000000,05010,0000,05010CMHC I 21145,A000000,05020,0000,05020OPT I 21145,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21145,A000000,05300,0000,05300INTEREST EXPENSE 21145,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21145,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21145,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21145,A000000,05500,0000,05500HOSPICE 21145,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21145,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21145,A000000,06100,0000,06100NONPAID WORKERS 21145,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21145,A000000,06200,0000,06200PATIENTS LAUNDRY 21145,A81000A,00100,0100,Y 21145,A81000B,00100,0300,HOME OFFICE COSTS 21145,A81000B,00200,0300,NURSING ADMIN 21145,A81000B,00300,0300,REHAB FEES 21145,A81000B,00400,0300,REHAB FEES 21145,A81000C,00100,0100,B 21145,A81000C,00100,0400,EPI CORPORATION 21145,A81000C,00100,0600,NURSING HOME 21145,A81000C,00200,0100,C 21145,A81000C,00200,0400,RMS INC. 21145,A81000C,00200,0600,MDS CONSULTING 21145,A81000C,00300,0100,C 21145,A81000C,00300,0400,RMS INC. 21145,A81000C,00300,0600,THERAPY 21145,A81000C,00400,0100,C 21145,A81000C,00400,0400,RMS INC. 21145,A81000C,00400,0600,THERAPY 21145,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21145,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21145,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21145,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21145,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21145,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21145,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21145,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21145,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21145,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21145,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21145,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21145,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21145,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21145,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21145,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21145,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21145,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21145,E10A180,00601,0100,02/28/2001 21145,S000000,00100,0200,12/22/1999 21145,S200000,00100,0300,194 21145,S200000,00200,0100,ANNVILLE 21145,S200000,00200,0200,KY 21145,S200000,00200,0300,40402- 21145,S200000,00300,0100,JACKSON 21145,S200000,00400,0100,JACKSON MANOR 21145,S200000,00400,0200,185249 21145,S200000,00400,0300,03/12/1991 21145,S200000,00400,0500,P 21145,S200000,01600,0100,Y 21145,S200000,02200,0100,Y 21147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21147,A000000,00300,0000,00300EMPLOYEE BENEFITS 21147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21147,A000000,00700,0000,00700HOUSEKEEPING 21147,A000000,00800,0000,00800DIETARY 21147,A000000,00900,0000,00900NURSING ADMINISTRATION 21147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21147,A000000,01100,0000,01100PHARMACY 21147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21147,A000000,01300,0000,01300SOCIAL SERVICE 21147,A000000,01350,0000,01500OTHER GENERAL SERVICES 21147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21147,A000000,01600,0000,01600SKILLED NURSING FACILITY 21147,A000000,01800,0000,01800NURSING FACILITY 21147,A000000,01810,0000,01801ICF/MR 21147,A000000,01900,0000,01900OTHER LONG TERM CARE 21147,A000000,02100,0000,02100RADIOLOGY 21147,A000000,02200,0000,02200LABORATORY 21147,A000000,02300,0000,02300INTRAVENOUS THERAPY 21147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21147,A000000,02500,0000,02500PHYSICAL THERAPY 21147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21147,A000000,02700,0000,02700SPEECH PATHOLOGY 21147,A000000,02800,0000,02800ELECTROCARDIOLOGY 21147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21147,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21147,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21147,A000000,03200,0000,03200SUPPORT SURFACES 21147,A000000,03400,0000,03400CLINIC 21147,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21147,A000000,03500,0000,03500RURAL HEALTH CLINIC 21147,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21147,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21147,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21147,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21147,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21147,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21147,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21147,A000000,04400,0000,04400DME RENTED - HHA 21147,A000000,04500,0000,04500DME SOLD - HHA 21147,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21147,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21147,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21147,A000000,04800,0000,04800AMBULANCE 21147,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21147,A000000,05000,0000,05000CORF 21147,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21147,A000000,05300,0000,05300INTEREST EXPENSE 21147,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21147,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21147,A000000,05500,0000,05500HOSPICE 21147,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21147,A000000,06100,0000,06100NONPAID WORKERS 21147,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21147,A000000,06200,0000,06200PATIENTS LAUNDRY 21147,A81000A,00100,0100,Y 21147,A81000B,00100,0300,HOME OFFICE COSTS 21147,A81000B,00200,0300,MDS FEES 21147,A81000B,00300,0300,REHAB FEES 21147,A81000B,00400,0300,REHAB FEES 21147,A81000B,00500,0300,REHAB FEES 21147,A81000C,00100,0100,B 21147,A81000C,00100,0400,EPI CORPORATION 21147,A81000C,00100,0600,NURSING HOME 21147,A81000C,00200,0100,C 21147,A81000C,00200,0400,RMS INC. 21147,A81000C,00200,0600,MDS CONSULTING 21147,A81000C,00300,0100,C 21147,A81000C,00300,0400,RMS INC. 21147,A81000C,00300,0600,THERAPY 21147,A81000C,00400,0100,C 21147,A81000C,00400,0400,RMS INC. 21147,A81000C,00400,0600,THERAPY 21147,A81000C,00500,0100,C 21147,A81000C,00500,0400,RMS INC. 21147,A81000C,00500,0600,THERAPY 21147,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 21147,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21147,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21147,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21147,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 21147,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21147,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 21147,B100000,00000,0800,00000MEALS SERVED :DIETARY 21147,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21147,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21147,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21147,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21147,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21147,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21147,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21147,E10A180,00601,0100,05/14/2001 21147,E10A180,00601,0300,05/14/2001 21147,S000000,00100,0200,06/01/2000 21147,S200000,00100,0300,194 21147,S200000,00200,0100,ANNVILLE 21147,S200000,00200,0200,KY 21147,S200000,00200,0300,40402- 21147,S200000,00300,0100,JACKSON 21147,S200000,00400,0100,JACKSON MANOR 21147,S200000,00400,0200,185249 21147,S200000,00400,0300,03/12/1991 21147,S200000,00400,0500,P 21147,S200000,01600,0100,Y 21147,S200000,02800,0100,Y 21151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21151,A000000,00300,0000,00300EMPLOYEE BENEFITS 21151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21151,A000000,00700,0000,00700HOUSEKEEPING 21151,A000000,00800,0000,00800DIETARY 21151,A000000,00900,0000,00900NURSING ADMINISTRATION 21151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21151,A000000,01100,0000,01100PHARMACY 21151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21151,A000000,01300,0000,01300SOCIAL SERVICE 21151,A000000,01350,0000,01500OTHER GENERAL SERVICES 21151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21151,A000000,01600,0000,01600SKILLED NURSING FACILITY 21151,A000000,01800,0000,01800NURSING FACILITY 21151,A000000,01810,0000,01801ICF/MR 21151,A000000,01900,0000,01900OTHER LONG TERM CARE 21151,A000000,02100,0000,02100RADIOLOGY 21151,A000000,02200,0000,02200LABORATORY 21151,A000000,02300,0000,02300INTRAVENOUS THERAPY 21151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21151,A000000,02500,0000,02500PHYSICAL THERAPY 21151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21151,A000000,02700,0000,02700SPEECH PATHOLOGY 21151,A000000,02800,0000,02800ELECTROCARDIOLOGY 21151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21151,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21151,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21151,A000000,03200,0000,03200SUPPORT SURFACES 21151,A000000,03400,0000,03400CLINIC 21151,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21151,A000000,03500,0000,03500RURAL HEALTH CLINIC 21151,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21151,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21151,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21151,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21151,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21151,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21151,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21151,A000000,04400,0000,04400DME RENTED - HHA 21151,A000000,04500,0000,04500DME SOLD - HHA 21151,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21151,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21151,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21151,A000000,04800,0000,04800AMBULANCE 21151,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21151,A000000,05000,0000,05000CORF 21151,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21151,A000000,05300,0000,05300INTEREST EXPENSE 21151,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21151,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21151,A000000,05500,0000,05500HOSPICE 21151,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21151,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21151,A000000,06100,0000,06100NONPAID WORKERS 21151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21151,A000000,06200,0000,06200PATIENTS LAUNDRY 21151,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21151,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21151,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21151,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21151,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21151,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21151,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21151,B100000,00000,0800,00000MEALS SERVED :DIETARY 21151,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 21151,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21151,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21151,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21151,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21151,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21151,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21151,E10A180,00550,0100,11/17/2000 21151,E10A180,00601,0100,02/27/2001 21151,E10A180,00650,0300,02/27/2001 21151,S000000,00100,0200,09/11/2000 21151,S200000,00100,0100,1100 GRANDVIEW DRIVE 21151,S200000,00100,0300,822 21151,S200000,00200,0100,FLATWOODS 21151,S200000,00200,0200,KY 21151,S200000,00200,0300,41139- 21151,S200000,00300,0100,GREENUP 21151,S200000,00400,0100,OAKMONT MANOR 21151,S200000,00400,0200,185250 21151,S200000,00400,0300,04/01/1991 21151,S200000,00400,0500,P 21151,S200000,01600,0100,Y 21151,S200000,04700,0100,Y 21163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21163,A000000,00300,0000,00300EMPLOYEE BENEFITS 21163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21163,A000000,00700,0000,00700HOUSEKEEPING 21163,A000000,00800,0000,00800DIETARY 21163,A000000,00900,0000,00900NURSING ADMINISTRATION 21163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21163,A000000,01100,0000,01100PHARMACY 21163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21163,A000000,01300,0000,01300SOCIAL SERVICE 21163,A000000,01350,0000,01500OTHER GENERAL SERVICES 21163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21163,A000000,01600,0000,01600SKILLED NURSING FACILITY 21163,A000000,01800,0000,01800NURSING FACILITY 21163,A000000,01810,0000,01810ICF/MR 21163,A000000,01900,0000,01900OTHER LONG TERM CARE 21163,A000000,02100,0000,02100RADIOLOGY 21163,A000000,02200,0000,02200LABORATORY 21163,A000000,02300,0000,02300INTRAVENOUS THERAPY 21163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21163,A000000,02500,0000,02500PHYSICAL THERAPY 21163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21163,A000000,02700,0000,02700SPEECH PATHOLOGY 21163,A000000,02800,0000,02800ELECTROCARDIOLOGY 21163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21163,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21163,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21163,A000000,03200,0000,03200SUPPORT SURFACES 21163,A000000,03400,0000,03400CLINIC 21163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21163,A000000,03500,0000,03500RURAL HEALTH CLINIC 21163,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21163,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21163,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21163,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21163,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21163,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21163,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21163,A000000,04400,0000,04400DME RENTED - HHA 21163,A000000,04500,0000,04500DME SOLD - HHA 21163,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21163,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21163,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21163,A000000,04800,0000,04800AMBULANCE 21163,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21163,A000000,05000,0000,05000CORF 21163,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21163,A000000,05300,0000,05300INTEREST EXPENSE 21163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21163,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21163,A000000,05500,0000,05500HOSPICE 21163,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21163,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21163,A000000,06100,0000,06100NONPAID WORKERS 21163,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21163,A000000,06200,0000,06200PATIENTS LAUNDRY 21163,A81000A,00100,0100,Y 21163,A81000B,00100,0300,HOME OFFICE 21163,A81000B,00200,0300,MANAGEMENT FEES 21163,A81000C,00100,0100,B 21163,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 21163,A81000C,00100,0400,AHF HOME OFFICE 21163,A81000C,00100,0600,HOME OFFICE 21163,A81000C,00200,0100,B 21163,A81000C,00200,0200,AMERICAN HEALTH FOUNDATIO 21163,A81000C,00200,0400,AHF MANAGEMENT 21163,A81000C,00200,0600,MANAGEMENT SERVICE 21163,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21163,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21163,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 21163,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21163,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21163,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21163,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21163,B100000,00000,0800,00000MEALS SERVED :DIETARY 21163,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 21163,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21163,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21163,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21163,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21163,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21163,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21163,E10A180,00601,0100,08/03/2001 21163,E10A180,00601,0300,08/03/2001 21163,S000000,00100,0200,06/07/2000 21163,S200000,00100,0100,2779 PALUMBO DRIVE 21163,S200000,00200,0100,LEXINGTON 21163,S200000,00200,0200,KY 21163,S200000,00200,0300,40509- 21163,S200000,00300,0100,FAYETTE 21163,S200000,00400,0100,AHF KENTUCKY/IOWA DARBY SQUARE 21163,S200000,00400,0200,185251 21163,S200000,00400,0300,03/08/1991 21163,S200000,00400,0500,P 21163,S200000,01600,0100,Y 21171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21171,A000000,00300,0000,00300EMPLOYEE BENEFITS 21171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21171,A000000,00700,0000,00700HOUSEKEEPING 21171,A000000,00800,0000,00800DIETARY 21171,A000000,00900,0000,00900NURSING ADMINISTRATION 21171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21171,A000000,01100,0000,01100PHARMACY 21171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21171,A000000,01300,0000,01300SOCIAL SERVICE 21171,A000000,01600,0000,01600SKILLED NURSING FACILITY 21171,A000000,01800,0000,01800NURSING FACILITY 21171,A000000,02100,0000,02100RADIOLOGY 21171,A000000,02200,0000,02200LABORATORY 21171,A000000,02300,0000,02300INTRAVENOUS THERAPY 21171,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21171,A000000,02500,0000,02500PHYSICAL THERAPY 21171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21171,A000000,02700,0000,02700SPEECH PATHOLOGY 21171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21171,A81000A,00100,0100,Y 21171,A81000B,00100,0300,MANAGEMENT FEES 21171,A81000B,00200,0300,VARIOUS - SEE ATTACH 21171,A81000B,00300,0300,VARIOUS - SEE ATTACH 21171,A81000C,00100,0100,B 21171,A81000C,00100,0200,DIVERSICARE MGM 21171,A81000C,00100,0400,ADVOCAT INC. 21171,A81000C,00100,0600,HOME OFFICE/ MG 21171,A81000C,00200,0100,B 21171,A81000C,00200,0200,AAS PHARMACY 21171,A81000C,00200,0400,ADVOCAT INC. 21171,A81000C,00200,0600,PHARMACY SERVIC 21171,A81000C,00300,0100,B 21171,A81000C,00300,0200,ADVOCAT DISTR S 21171,A81000C,00300,0400,ADVOCAT INC. 21171,A81000C,00300,0600,MEDICAL SUPPLIE 21171,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21171,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21171,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21171,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21171,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21171,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21171,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21171,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21171,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21171,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21171,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21171,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21171,E10A180,00501,0100,06/05/2000 21171,E10A180,00550,0300,06/05/2000 21171,E10A180,00650,0100,09/04/2001 21171,E10A180,00650,0300,09/04/2001 21171,S000000,00100,0200,06/05/2000 21171,S200000,00100,0100,250 MCDAVID BLVD 21171,S200000,00100,0300,904 21171,S200000,00200,0100,GRAYSON 21171,S200000,00200,0200,KY 21171,S200000,00200,0300,41143- 21171,S200000,00300,0100,CARTER 21171,S200000,00300,0200,3400 21171,S200000,00300,0300,U 21171,S200000,00400,0100,CARTER NURSING & REHAB CENTER 21171,S200000,00400,0200,185253 21171,S200000,00400,0300,09/01/1995 21171,S200000,00400,0500,P 21171,S200000,01600,0100,Y 21171,S200000,02200,0100,Y 21178,S000000,00100,0200,02/02/2000 21185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21185,A000000,00300,0000,00300EMPLOYEE BENEFITS 21185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21185,A000000,00700,0000,00700HOUSEKEEPING 21185,A000000,00800,0000,00800DIETARY 21185,A000000,00900,0000,00900NURSING ADMINISTRATION 21185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21185,A000000,01100,0000,01100PHARMACY 21185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21185,A000000,01300,0000,01300SOCIAL SERVICE 21185,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21185,A000000,01600,0000,01600SKILLED NURSING FACILITY 21185,A000000,01800,0000,01800NURSING FACILITY 21185,A000000,01900,0000,01900OTHER LONG TERM CARE 21185,A000000,02100,0000,02100RADIOLOGY 21185,A000000,02200,0000,02200LABORATORY 21185,A000000,02300,0000,02300INTRAVENOUS THERAPY 21185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21185,A000000,02500,0000,02500PHYSICAL THERAPY 21185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21185,A000000,02700,0000,02700SPEECH PATHOLOGY 21185,A000000,02800,0000,02800ELECTROCARDIOLOGY 21185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21185,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21185,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21185,A000000,03200,0000,03200SUPPORT SURFACES 21185,A000000,03400,0000,03400CLINIC 21185,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21185,A000000,04800,0000,04800AMBULANCE 21185,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21185,A000000,05300,0000,05300INTEREST EXPENSE 21185,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21185,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21185,A000000,05500,0000,05500HOSPICE 21185,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21185,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21185,A000000,06100,0000,06100NONPAID WORKERS 21185,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21185,A000000,06200,0000,06200PATIENTS LAUNDRY 21185,A81000A,00100,0100,Y 21185,A81000B,00100,0300,CONSULTANTS 21185,A81000B,00200,0300,CONSULTANTS 21185,A81000B,00300,0300,CONSULTANTS 21185,A81000B,00400,0300,CONSULTANTS 21185,A81000B,00500,0300,CONSULTANTS 21185,A81000B,00600,0300,HOME OFFICE 21185,A81000B,00700,0300,RENTAL 21185,A81000B,00800,0300,GAS 21185,A81000B,00900,0300,SUPPLIES 21185,A81000B,01000,0300,PHARMACY 21185,A81000B,01100,0300,REPAIRS 21185,A81000B,01200,0300,INSURANCE 21185,A81000B,01300,0300,CONTRACT NURSING 21185,A81000C,00100,0100,B 21185,A81000C,00100,0400,BRITTHAVEN INC 21185,A81000C,00100,0600,MGMT SVS 21185,A81000C,00200,0100,B 21185,A81000C,00200,0400,BRITTHAVEN INC 21185,A81000C,00200,0600,MGMT SVS 21185,A81000C,00300,0100,B 21185,A81000C,00300,0400,BRITTHAVEN INC 21185,A81000C,00300,0600,MGMT SVS 21185,A81000C,00400,0100,B 21185,A81000C,00400,0400,BRITTHAVEN INC 21185,A81000C,00400,0600,MGMT SVS 21185,A81000C,00500,0100,B 21185,A81000C,00500,0400,BRITTHAVEN INC 21185,A81000C,00500,0600,MGMT SVS 21185,A81000C,00600,0100,B 21185,A81000C,00600,0400,BRITTHAVEN INC 21185,A81000C,00600,0600,MGMT SVS 21185,A81000C,00700,0100,B 21185,A81000C,00700,0400,BRITTHAVEN INC 21185,A81000C,00700,0600,MGMT SVS 21185,A81000C,00800,0100,B 21185,A81000C,00800,0400,BRITTHAVEN INC 21185,A81000C,00800,0600,MGMT SVS 21185,A81000C,00900,0100,B 21185,A81000C,00900,0400,KARE MEDICAL 21185,A81000C,00900,0600,WHOLESALE SUPPL 21185,A81000C,01000,0100,B 21185,A81000C,01000,0400,PHARMSAVE 21185,A81000C,01000,0600,RX SUPPLY 21185,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21185,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21185,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21185,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21185,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21185,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21185,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21185,B100000,00000,0800,00000MEALS SERVED :DIETARY 21185,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21185,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21185,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21185,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21185,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21185,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 21185,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21185,E10A180,00550,0300,03/10/2000 21185,E10A180,00601,0100,01/30/2001 21185,E10A180,00601,0300,01/30/2001 21185,S000000,00100,0200,03/03/2000 21185,S200000,00100,0100,HWY 64 SOUTH 21185,S200000,00100,0300,385 21185,S200000,00200,0100,BENTON 21185,S200000,00200,0200,KY 21185,S200000,00200,0300,42025- 21185,S200000,00300,0100,BENTON 21185,S200000,00400,0100,BRITTHAVEN OF BENTON 21185,S200000,00400,0200,185258 21185,S200000,00400,0300,02/28/1989 21185,S200000,00400,0500,P 21185,S200000,01600,0100,Y 21195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21195,A000000,00300,0000,00300EMPLOYEE BENEFITS 21195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21195,A000000,00700,0000,00700HOUSEKEEPING 21195,A000000,00800,0000,00800DIETARY 21195,A000000,00900,0000,00900NURSING ADMINISTRATION 21195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21195,A000000,01100,0000,01100PHARMACY 21195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21195,A000000,01300,0000,01300SOCIAL SERVICE 21195,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21195,A000000,01600,0000,01600SKILLED NURSING FACILITY 21195,A000000,01800,0000,01800NURSING FACILITY 21195,A000000,01900,0000,01900OTHER LONG TERM CARE 21195,A000000,02100,0000,02100RADIOLOGY 21195,A000000,02200,0000,02200LABORATORY 21195,A000000,02300,0000,02300INTRAVENOUS THERAPY 21195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21195,A000000,02500,0000,02500PHYSICAL THERAPY 21195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21195,A000000,02700,0000,02700SPEECH PATHOLOGY 21195,A000000,02800,0000,02800ELECTROCARDIOLOGY 21195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21195,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21195,A000000,03051,0000,03301PEN THERAPY 21195,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21195,A000000,03200,0000,03200SUPPORT SURFACES 21195,A000000,03400,0000,03400CLINIC 21195,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21195,A000000,04800,0000,04800AMBULANCE 21195,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21195,A000000,05300,0000,05300INTEREST EXPENSE 21195,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21195,A000000,05500,0000,05500HOSPICE 21195,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21195,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21195,A000000,06100,0000,06100NONPAID WORKERS 21195,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21195,A000000,06200,0000,06200PATIENTS LAUNDRY 21195,A81000A,00100,0100,Y 21195,A81000B,00100,0300,CONSULTANTS 21195,A81000B,00200,0300,CONSULTANTS 21195,A81000B,00300,0300,CONSULTANTS 21195,A81000B,00400,0300,CONSULTANTS 21195,A81000B,00500,0300,DIETARY 21195,A81000B,00600,0300,HOME OFFICE 21195,A81000B,00700,0300,EQUIPMENT RENTAL 21195,A81000B,00800,0300,GAS 21195,A81000B,00900,0300,SUPPLIES 21195,A81000B,01000,0300,PHARMACY 21195,A81000B,01100,0300,REPAIRS 21195,A81000B,01200,0300,INSURANCE 21195,A81000B,01300,0300,CONTRACT NURSING 21195,A81000C,00100,0100,B 21195,A81000C,00100,0400,BRITTHAVEN INC 21195,A81000C,00100,0600,MGMT SVS 21195,A81000C,00200,0100,B 21195,A81000C,00200,0400,BRITTHAVEN INC 21195,A81000C,00200,0600,MGMT SVS 21195,A81000C,00300,0100,B 21195,A81000C,00300,0400,BRITTHAVEN INC 21195,A81000C,00300,0600,MGMT SVS 21195,A81000C,00400,0100,B 21195,A81000C,00400,0400,BRITTHAVEN INC 21195,A81000C,00400,0600,MGMT SVS 21195,A81000C,00500,0100,B 21195,A81000C,00500,0400,BRITTHAVEN INC 21195,A81000C,00500,0600,MGMT SVS 21195,A81000C,00600,0100,B 21195,A81000C,00600,0400,BRITTHAVEN INC 21195,A81000C,00600,0600,MGMT SVS 21195,A81000C,00700,0100,B 21195,A81000C,00700,0400,BRITTHAVEN INC 21195,A81000C,00700,0600,MGMT SVS 21195,A81000C,00800,0100,B 21195,A81000C,00800,0400,BRITTHAVEN INC 21195,A81000C,00800,0600,MGMT SVS 21195,A81000C,00900,0100,B 21195,A81000C,00900,0400,BRITTHAVEN INC 21195,A81000C,00900,0600,MGMT SVS 21195,A81000C,01000,0100,B 21195,A81000C,01000,0400,R.HILL CONS. CO 21195,A81000C,01000,0600,CONSTRUCTION 21195,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21195,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21195,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21195,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21195,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21195,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21195,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 21195,B100000,00000,0800,00000MEALS SERVED :DIETARY 21195,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21195,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21195,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21195,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21195,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21195,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 21195,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21195,E10A180,00550,0300,03/01/2000 21195,E10A180,00601,0100,02/27/2001 21195,E10A180,00601,0300,02/27/2001 21195,S000000,00100,0200,03/03/2000 21195,S200000,00100,0100,6301 BASS ROAD 21195,S200000,00200,0100,PROSPECT 21195,S200000,00200,0200,KY 21195,S200000,00200,0300,40059- 21195,S200000,00300,0100,JEFFERSON 21195,S200000,00400,0100,BRITTHAVEN OF PROSPECT 21195,S200000,00400,0200,185259 21195,S200000,00400,0300,09/01/1983 21195,S200000,00400,0500,P 21203,S000000,00100,0200,05/31/2000 21211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21211,A000000,00300,0000,00300EMPLOYEE BENEFITS 21211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21211,A000000,00700,0000,00700HOUSEKEEPING 21211,A000000,00800,0000,00800DIETARY 21211,A000000,00900,0000,00900NURSING ADMINISTRATION 21211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21211,A000000,01100,0000,01100PHARMACY 21211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21211,A000000,01300,0000,01300SOCIAL SERVICE 21211,A000000,01600,0000,01600SKILLED NURSING FACILITY 21211,A000000,01800,0000,01800NURSING FACILITY 21211,A000000,02100,0000,02100RADIOLOGY 21211,A000000,02200,0000,02200LABORATORY 21211,A000000,02300,0000,02300INTRAVENOUS THERAPY 21211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21211,A000000,02500,0000,02500PHYSICAL THERAPY 21211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21211,A000000,02700,0000,02700SPEECH PATHOLOGY 21211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21211,A81000A,00100,0100,Y 21211,A81000B,00100,0300,MANAGEMENT FEES 21211,A81000B,00200,0300,VARIOUS - SEE ATTACH 21211,A81000B,00300,0300,VARIOUS - SEE ATTACH 21211,A81000C,00100,0100,B 21211,A81000C,00100,0200,DIVERSICARE MGM 21211,A81000C,00100,0400,ADVOCAT INC. 21211,A81000C,00100,0600,HOME OFFICE/ MG 21211,A81000C,00200,0100,B 21211,A81000C,00200,0200,AAS PHARMACY 21211,A81000C,00200,0400,ADVOCAT INC. 21211,A81000C,00200,0600,PHARMACY SERVIC 21211,A81000C,00300,0100,B 21211,A81000C,00300,0200,ADVOCAT DISTR S 21211,A81000C,00300,0400,ADVOCAT INC. 21211,A81000C,00300,0600,MEDICAL SUPPLIE 21211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21211,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21211,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21211,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21211,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21211,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 21211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21211,E10A180,00601,0100,08/03/2001 21211,E10A180,00650,0300,08/03/2001 21211,S000000,00100,0200,06/05/2000 21211,S200000,00100,0100,100 WURTLAND AVENUE 21211,S200000,00100,0300,677 21211,S200000,00200,0100,WURTLAND 21211,S200000,00200,0200,KY 21211,S200000,00200,0300,41144-0677 21211,S200000,00300,0100,GREENUP 21211,S200000,00400,0100,WURTLAND NURSING & REHAB CENTER 21211,S200000,00400,0200,185261 21211,S200000,00400,0300,09/01/1995 21211,S200000,00400,0500,P 21211,S200000,01600,0100,Y 21211,S200000,02200,0100,Y 21220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21220,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21220,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21220,A000000,00300,0000,00300EMPLOYEE BENEFITS 21220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21220,A000000,00700,0000,00700HOUSEKEEPING 21220,A000000,00800,0000,00800DIETARY 21220,A000000,00801,0000,00801CAFETERIA 21220,A000000,00900,0000,00900NURSING ADMINISTRATION 21220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21220,A000000,01100,0000,01100PHARMACY 21220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21220,A000000,01300,0000,01300SOCIAL SERVICE 21220,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21220,A000000,01600,0000,01600SKILLED NURSING FACILITY 21220,A000000,01800,0000,01800NURSING FACILITY 21220,A000000,01900,0000,01900OTHER LONG TERM CARE 21220,A000000,02100,0000,02100RADIOLOGY 21220,A000000,02200,0000,02200LABORATORY 21220,A000000,02300,0000,02300INTRAVENOUS THERAPY 21220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21220,A000000,02500,0000,02500PHYSICAL THERAPY 21220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21220,A000000,02700,0000,02700SPEECH PATHOLOGY 21220,A000000,02800,0000,02800ELECTROCARDIOLOGY 21220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21220,A000000,03050,0000,03300OTHER ANCILLARY 21220,A000000,03051,0000,03301OTHER ANCILLARY II 21220,A000000,03052,0000,03302OTHER ANCILLARY III 21220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21220,A000000,03200,0000,03200SUPPORT SURFACES 21220,A000000,03400,0000,03400CLINIC 21220,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21220,A000000,03500,0000,03500RURAL HEALTH CLINIC 21220,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21220,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21220,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21220,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21220,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21220,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21220,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21220,A000000,04400,0000,04400DME RENTED - HHA 21220,A000000,04500,0000,04500DME SOLD - HHA 21220,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21220,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21220,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21220,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21220,A000000,05000,0000,05000CORF 21220,A000000,05010,0000,05010CMHC I 21220,A000000,05020,0000,05020OPT I 21220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21220,A000000,05300,0000,05300INTEREST EXPENSE 21220,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21220,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21220,A000000,05500,0000,05500HOSPICE 21220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21220,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21220,A000000,06100,0000,06100NONPAID WORKERS 21220,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21220,A000000,06200,0000,06200PATIENTS LAUNDRY 21220,A81000A,00100,0100,Y 21220,A81000B,00100,0300,HOME OFFICE COSTS 21220,A81000B,00200,0300,PUBLIC RELATIONS 21220,A81000B,00300,0300,MDS FEES 21220,A81000B,00400,0300,REHAB. FEES 21220,A81000B,00500,0300,REHAB. FEES 21220,A81000B,00600,0300,REHAB. FEES 21220,A81000C,00100,0100,B 21220,A81000C,00100,0400,EPI CORPORATION 21220,A81000C,00100,0600,NURSING HOMES 21220,A81000C,00200,0100,C 21220,A81000C,00200,0400,LUKEN NUGENT 21220,A81000C,00200,0600,KY HC COMM 21220,A81000C,00300,0100,C 21220,A81000C,00300,0400,RMS INC. 21220,A81000C,00300,0600,MDS CONSULTING 21220,A81000C,00400,0100,C 21220,A81000C,00400,0400,RMS INC. 21220,A81000C,00400,0600,THERAPY 21220,A81000C,00500,0100,C 21220,A81000C,00500,0400,RMS INC. 21220,A81000C,00500,0600,THERAPY 21220,A81000C,00600,0100,C 21220,A81000C,00600,0400,RMS INC. 21220,A81000C,00600,0600,THERAPY 21220,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21220,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21220,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21220,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21220,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21220,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21220,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21220,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21220,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21220,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21220,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21220,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21220,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21220,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21220,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21220,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21220,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21220,E10A180,00550,0300,06/29/1999 21220,E10A180,00601,0100,04/12/2000 21220,E10A180,00650,0300,04/12/2000 21220,S000000,00100,0200,06/29/1999 21220,S200000,00100,0100,131 S. MEADOWLARK DR. 21220,S200000,00100,0300,9 21220,S200000,00200,0100,RICHMOND 21220,S200000,00200,0200,KY 21220,S200000,00200,0300,40476-0009 21220,S200000,00300,0100,MADISON 21220,S200000,00400,0100,MADISON MANOR 21220,S200000,00400,0200,185262 21220,S200000,00400,0300,04/25/1991 21220,S200000,00400,0500,P 21220,S200000,01600,0100,Y 21220,S200000,02200,0100,Y 21220,S700003,00000,0100,1 21222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21222,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21222,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21222,A000000,00300,0000,00300EMPLOYEE BENEFITS 21222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21222,A000000,00700,0000,00700HOUSEKEEPING 21222,A000000,00800,0000,00800DIETARY 21222,A000000,00801,0000,00801CAFETERIA 21222,A000000,00900,0000,00900NURSING ADMINISTRATION 21222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21222,A000000,01100,0000,01100PHARMACY 21222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21222,A000000,01300,0000,01300SOCIAL SERVICE 21222,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21222,A000000,01600,0000,01600SKILLED NURSING FACILITY 21222,A000000,01800,0000,01800NURSING FACILITY 21222,A000000,01900,0000,01900OTHER LONG TERM CARE 21222,A000000,02100,0000,02100RADIOLOGY 21222,A000000,02200,0000,02200LABORATORY 21222,A000000,02300,0000,02300INTRAVENOUS THERAPY 21222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21222,A000000,02500,0000,02500PHYSICAL THERAPY 21222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21222,A000000,02700,0000,02700SPEECH PATHOLOGY 21222,A000000,02800,0000,02800ELECTROCARDIOLOGY 21222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21222,A000000,03050,0000,03300OTHER ANCILLARY 21222,A000000,03051,0000,03301OTHER ANCILLARY II 21222,A000000,03052,0000,03302OTHER ANCILLARY III 21222,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21222,A000000,03200,0000,03200SUPPORT SURFACES 21222,A000000,03400,0000,03400CLINIC 21222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21222,A000000,03500,0000,03500RURAL HEALTH CLINIC 21222,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21222,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21222,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21222,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21222,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21222,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21222,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21222,A000000,04400,0000,04400DME RENTED - HHA 21222,A000000,04500,0000,04500DME SOLD - HHA 21222,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21222,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21222,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21222,A000000,04800,0000,04800AMBULANCE 21222,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21222,A000000,05000,0000,05000CORF 21222,A000000,05010,0000,05010CMHC I 21222,A000000,05020,0000,05020OPT I 21222,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21222,A000000,05300,0000,05300INTEREST EXPENSE 21222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21222,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21222,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21222,A000000,05500,0000,05500HOSPICE 21222,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21222,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21222,A000000,06100,0000,06100NONPAID WORKERS 21222,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21222,A000000,06200,0000,06200PATIENTS LAUNDRY 21222,A81000A,00100,0100,Y 21222,A81000B,00100,0300,HOME OFFICE COSTS 21222,A81000B,00200,0300,PUBLIC RELATIONS 21222,A81000B,00300,0300,MDS FEES 21222,A81000B,00400,0300,REHAB FEES 21222,A81000B,00500,0300,REHAB FEES 21222,A81000B,00600,0300,REHAB FEES 21222,A81000C,00100,0100,B 21222,A81000C,00100,0400,EPI CORPORATION 21222,A81000C,00100,0600,NURSING HOMES 21222,A81000C,00200,0100,C 21222,A81000C,00200,0400,LUKEN/NUGENT 21222,A81000C,00200,0600,KY HC COMM 21222,A81000C,00300,0100,C 21222,A81000C,00300,0400,RMS INC. 21222,A81000C,00300,0600,MDS CONSULTING 21222,A81000C,00400,0100,C 21222,A81000C,00400,0400,RMS INC. 21222,A81000C,00400,0600,THERAPY 21222,A81000C,00500,0100,C 21222,A81000C,00500,0400,RMS INC. 21222,A81000C,00500,0600,THERAPY 21222,A81000C,00600,0100,C 21222,A81000C,00600,0400,RMS INC. 21222,A81000C,00600,0600,THERAPY 21222,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21222,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21222,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21222,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21222,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21222,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21222,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21222,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21222,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21222,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21222,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21222,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21222,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21222,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21222,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21222,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21222,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21222,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21222,E10A180,00601,0100,01/30/2001 21222,E10A180,00601,0300,01/30/2001 21222,S000000,00100,0200,12/22/1999 21222,S200000,00100,0100,131 MEADOWLARK DR. 21222,S200000,00100,0300,9 21222,S200000,00200,0100,RICHMOND 21222,S200000,00200,0200,KY 21222,S200000,00200,0300,40476-0009 21222,S200000,00300,0100,MADISON 21222,S200000,00400,0100,RICHMOND HLT & REHAB COMPLEX-MADISON 21222,S200000,00400,0200,185262 21222,S200000,00400,0300,04/25/1991 21222,S200000,00400,0500,P 21222,S200000,01600,0100,Y 21222,S200000,02200,0100,Y 21222,S200000,02800,0100,Y 21224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21224,A000000,00300,0000,00300EMPLOYEE BENEFITS 21224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21224,A000000,00700,0000,00700HOUSEKEEPING 21224,A000000,00800,0000,00800DIETARY 21224,A000000,00900,0000,00900NURSING ADMINISTRATION 21224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21224,A000000,01100,0000,01100PHARMACY 21224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21224,A000000,01300,0000,01300SOCIAL SERVICE 21224,A000000,01350,0000,01500OTHER GENERAL SERVICES 21224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21224,A000000,01600,0000,01600SKILLED NURSING FACILITY 21224,A000000,01800,0000,01800NURSING FACILITY 21224,A000000,01810,0000,01801ICF/MR 21224,A000000,01900,0000,01900OTHER LONG TERM CARE 21224,A000000,02100,0000,02100RADIOLOGY 21224,A000000,02200,0000,02200LABORATORY 21224,A000000,02300,0000,02300INTRAVENOUS THERAPY 21224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21224,A000000,02500,0000,02500PHYSICAL THERAPY 21224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21224,A000000,02700,0000,02700SPEECH PATHOLOGY 21224,A000000,02800,0000,02800ELECTROCARDIOLOGY 21224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21224,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21224,A000000,03200,0000,03200SUPPORT SURFACES 21224,A000000,03400,0000,03400CLINIC 21224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21224,A000000,03500,0000,03500RURAL HEALTH CLINIC 21224,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21224,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21224,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21224,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21224,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21224,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21224,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21224,A000000,04400,0000,04400DME RENTED - HHA 21224,A000000,04500,0000,04500DME SOLD - HHA 21224,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21224,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21224,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21224,A000000,04800,0000,04800AMBULANCE 21224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21224,A000000,05000,0000,05000CORF 21224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21224,A000000,05300,0000,05300INTEREST EXPENSE 21224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21224,A000000,05500,0000,05500HOSPICE 21224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21224,A000000,06100,0000,06100NONPAID WORKERS 21224,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21224,A000000,06200,0000,06200PATIENTS LAUNDRY 21224,A81000A,00100,0100,Y 21224,A81000B,00100,0300,HOME OFFICE COSTS 21224,A81000B,00200,0300,PUBLIC RELATIONS 21224,A81000B,00300,0300,MDS FEES 21224,A81000B,00400,0300,REHAB FEES 21224,A81000B,00500,0300,REHAB FEES 21224,A81000B,00600,0300,REHAB FEES 21224,A81000C,00100,0100,B 21224,A81000C,00100,0400,EPI CORPORATION 21224,A81000C,00100,0600,NURSING HOMES 21224,A81000C,00200,0100,C 21224,A81000C,00200,0400,LUKEN/NUGENT 21224,A81000C,00200,0600,KY HC COMM. 21224,A81000C,00300,0100,C 21224,A81000C,00300,0400,RMS INC. 21224,A81000C,00300,0600,MDS CONSULTING 21224,A81000C,00400,0100,C 21224,A81000C,00400,0400,RMS INC. 21224,A81000C,00400,0600,THERAPY 21224,A81000C,00500,0100,C 21224,A81000C,00500,0400,RMS INC. 21224,A81000C,00500,0600,THERAPY 21224,A81000C,00600,0100,C 21224,A81000C,00600,0400,RMS INC. 21224,A81000C,00600,0600,THERAPY 21224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21224,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21224,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21224,B100000,00000,0800,00000MEALS SERVED :DIETARY 21224,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21224,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21224,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21224,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21224,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21224,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21224,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21224,E10A180,00601,0100,05/14/2001 21224,E10A180,00601,0300,05/14/2001 21224,S000000,00100,0200,06/01/2000 21224,S200000,00100,0100,131 MEADOWLARK DRIVE 21224,S200000,00100,0300,9 21224,S200000,00200,0100,RICHMOND 21224,S200000,00200,0200,KY 21224,S200000,00200,0300,40476-0009 21224,S200000,00300,0100,MADISON 21224,S200000,00400,0100,RICHMOND HLT & REHAB COMPLEX-MADISON 21224,S200000,00400,0200,185262 21224,S200000,00400,0300,04/25/1991 21224,S200000,00400,0500,P 21224,S200000,01600,0100,Y 21224,S200000,02200,0100,Y 21224,S200000,02800,0100,Y 21231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21231,A000000,00300,0000,00300EMPLOYEE BENEFITS 21231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21231,A000000,00700,0000,00700HOUSEKEEPING 21231,A000000,00800,0000,00800DIETARY 21231,A000000,00900,0000,00900NURSING ADMINISTRATION 21231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21231,A000000,01100,0000,01100PHARMACY 21231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21231,A000000,01300,0000,01300SOCIAL SERVICE 21231,A000000,01350,0000,01500OTHER GENERAL SERVICES 21231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21231,A000000,01600,0000,01600SKILLED NURSING FACILITY 21231,A000000,01800,0000,01800NURSING FACILITY 21231,A000000,01810,0000,01801ICF/MR 21231,A000000,01900,0000,01900OTHER LONG TERM CARE 21231,A000000,02100,0000,02100RADIOLOGY 21231,A000000,02200,0000,02200LABORATORY 21231,A000000,02300,0000,02300INTRAVENOUS THERAPY 21231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21231,A000000,02500,0000,02500PHYSICAL THERAPY 21231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21231,A000000,02700,0000,02700SPEECH PATHOLOGY 21231,A000000,02800,0000,02800ELECTROCARDIOLOGY 21231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21231,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21231,A000000,03200,0000,03200SUPPORT SURFACES 21231,A000000,03400,0000,03400CLINIC 21231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21231,A000000,03500,0000,03500RURAL HEALTH CLINIC 21231,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21231,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21231,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21231,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21231,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21231,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21231,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21231,A000000,04400,0000,04400DME RENTED - HHA 21231,A000000,04500,0000,04500DME SOLD - HHA 21231,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21231,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21231,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21231,A000000,04800,0000,04800AMBULANCE 21231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21231,A000000,05000,0000,05000CORF 21231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21231,A000000,05300,0000,05300INTEREST EXPENSE 21231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21231,A000000,05500,0000,05500HOSPICE 21231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21231,A000000,06100,0000,06100NONPAID WORKERS 21231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21231,A000000,06200,0000,06200PATIENTS LAUNDRY 21231,A81000A,00100,0100,Y 21231,A81000B,00100,0300,RENT 21231,A81000B,00200,0300,INTEREST 21231,A81000B,00300,0300,DEPRECIATION 21231,A81000C,00100,0100,A 21231,A81000C,00100,0200,JACK WELLS 21231,A81000C,00100,0400,WELLS HEALTH PROPERTIES 21231,A81000C,00100,0600,RENTAL 21231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21231,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21231,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21231,B100000,00000,0800,00000MEALS SERVED :DIETARY 21231,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 21231,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21231,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21231,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21231,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21231,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21231,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21231,E10A180,00601,0100,05/31/2001 21231,E10A180,00601,0300,05/31/2001 21231,S000000,00100,0200,05/30/2000 21231,S200000,00100,0100,213 WATER STREET 21231,S200000,00100,0300,580 21231,S200000,00200,0100,DAWSON SPRINGS 21231,S200000,00200,0200,KY 21231,S200000,00200,0300,42408- 21231,S200000,00300,0100,HOPKINS 21231,S200000,00400,0100,NEW DAWSON SPRINGS NURSING HOME 21231,S200000,00400,0200,185263 21231,S200000,00400,0300,01/01/1991 21231,S200000,00400,0500,P 21231,S200000,01600,0100,Y 21231,S200000,04700,0100,Y 21242,S000000,00100,0200,04/19/2000 21251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21251,A000000,00300,0000,00300EMPLOYEE BENEFITS 21251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21251,A000000,00700,0000,00700HOUSEKEEPING 21251,A000000,00800,0000,00800DIETARY 21251,A000000,00900,0000,00900NURSING ADMINISTRATION 21251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21251,A000000,01100,0000,01100PHARMACY 21251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21251,A000000,01300,0000,01300SOCIAL SERVICE 21251,A000000,01350,0000,01500OTHER GENERAL SERVICES 21251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21251,A000000,01600,0000,01600SKILLED NURSING FACILITY 21251,A000000,01800,0000,01800NURSING FACILITY 21251,A000000,01810,0000,01810ICF/MR 21251,A000000,01900,0000,01900OTHER LONG TERM CARE 21251,A000000,02100,0000,02100RADIOLOGY 21251,A000000,02200,0000,02200LABORATORY 21251,A000000,02300,0000,02300INTRAVENOUS THERAPY 21251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21251,A000000,02500,0000,02500PHYSICAL THERAPY 21251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21251,A000000,02700,0000,02700SPEECH PATHOLOGY 21251,A000000,02800,0000,02800ELECTROCARDIOLOGY 21251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21251,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21251,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21251,A000000,03200,0000,03200SUPPORT SURFACES 21251,A000000,03400,0000,03400CLINIC 21251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21251,A000000,03500,0000,03500RURAL HEALTH CLINIC 21251,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21251,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21251,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21251,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21251,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21251,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21251,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21251,A000000,04400,0000,04400DME RENTED - HHA 21251,A000000,04500,0000,04500DME SOLD - HHA 21251,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21251,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21251,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21251,A000000,04800,0000,04800AMBULANCE 21251,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21251,A000000,05000,0000,05000CORF 21251,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21251,A000000,05300,0000,05300INTEREST EXPENSE 21251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21251,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21251,A000000,05500,0000,05500HOSPICE 21251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21251,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21251,A000000,06100,0000,06100NONPAID WORKERS 21251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21251,A000000,06200,0000,06200PATIENTS LAUNDRY 21251,A81000A,00100,0100,Y 21251,A81000B,00100,0300,HOME OFFICE COSTS 21251,A81000C,00100,0100,B 21251,A81000C,00100,0200,SENIORCARE LLC 21251,A81000C,00100,0400,SENIORCARE LLC 21251,A81000C,00100,0600,HOME OFFICE 21251,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21251,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21251,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21251,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21251,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21251,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21251,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21251,B100000,00000,0800,00000MEALS SERVED :DIETARY 21251,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21251,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21251,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21251,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21251,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21251,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21251,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21251,E10A180,00550,0300,06/19/2000 21251,E10A180,00601,0100,07/26/2001 21251,E10A180,00601,0300,07/26/2001 21251,S000000,00100,0200,06/19/2000 21251,S200000,00100,0100,201 KIMBERLY DRIVE 21251,S200000,00200,0100,WILLAMSTOWN 21251,S200000,00200,0200,KY 21251,S200000,00200,0300,41097- 21251,S200000,00300,0100,GRANT 21251,S200000,00400,0100,GRANT MANOR 21251,S200000,00400,0200,185265 21251,S200000,00400,0300,05/31/1991 21251,S200000,00400,0500,P 21251,S200000,01600,0100,Y 21260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21260,A000000,00300,0000,00300EMPLOYEE BENEFITS 21260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21260,A000000,00700,0000,00700HOUSEKEEPING 21260,A000000,00800,0000,00800DIETARY 21260,A000000,00900,0000,00900NURSING ADMINISTRATION 21260,A000000,01300,0000,01300SOCIAL SERVICE 21260,A000000,01600,0000,01600SKILLED NURSING FACILITY 21260,A000000,01800,0000,01800NURSING FACILITY 21260,A000000,01900,0000,01900OTHER LONG TERM CARE 21260,A000000,02200,0000,02200LABORATORY 21260,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21260,A000000,02500,0000,02500PHYSICAL THERAPY 21260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21260,A000000,02700,0000,02700SPEECH PATHOLOGY 21260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21260,A000000,05300,0000,05300INTEREST EXPENSE 21260,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21260,A000000,06150,0000,06300SALEM LAUNDRY 21260,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 21260,A000000,06200,0000,06200PATIENTS LAUNDRY 21260,A81000A,00100,0100,Y 21260,A81000B,00100,0300,EMPLOYEE BENEFITS 21260,A81000B,00200,0300,CENTRAL STORE OVERHEAD 21260,A81000B,00300,0300,PHARMACY OVERHEAD 21260,A81000B,00400,0300,A&G OVERHEAD 21260,A81000B,00500,0300,LAB EXPENSE 21260,A81000C,00100,0100,B 21260,A81000C,00100,0200,CRITTENDEN HOSP 21260,A81000C,00100,0600,HOSPITAL 21260,A81000C,00200,0100,B 21260,A81000C,00200,0200,SAME 21260,A81000C,00300,0100,B 21260,A81000C,00300,0200,SAME 21260,A81000C,00400,0100,B 21260,A81000C,00400,0200,SAME 21260,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 21260,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 21260,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 21260,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 21260,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 21260,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 21260,B100000,00000,0800,00001MEALS SERVED :DIETARY 21260,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 21260,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 21260,E10A180,00550,0300,03/01/2000 21260,E10A180,00601,0100,07/11/2001 21260,S000000,00100,0200,03/01/2000 21260,S200000,00100,0100,201 WATSON STREET 21260,S200000,00200,0100,MARION 21260,S200000,00200,0200,KY 21260,S200000,00200,0300,42064- 21260,S200000,00300,0100,CRITTENDEN 21260,S200000,00400,0100,THE NEW CRITTENDEN CO CONV CTR 21260,S200000,00400,0200,185269 21260,S200000,00400,0300,05/14/1991 21260,S200000,00400,0500,P 21260,S200000,00400,0600,O 21260,S200000,01600,0100,Y 21260,S200000,02200,0100,Y 21264,S000000,00100,0200,02/22/2000 21269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21269,A000000,00300,0000,00300EMPLOYEE BENEFITS 21269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21269,A000000,00700,0000,00700HOUSEKEEPING 21269,A000000,00800,0000,00800DIETARY 21269,A000000,00900,0000,00900NURSING ADMINISTRATION 21269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21269,A000000,01100,0000,01100PHARMACY 21269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21269,A000000,01300,0000,01300SOCIAL SERVICE 21269,A000000,01350,0000,01500OTHER GENERAL SERVICES 21269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21269,A000000,01600,0000,01600SKILLED NURSING FACILITY 21269,A000000,01800,0000,01800NURSING FACILITY 21269,A000000,01810,0000,01810ICF/MR 21269,A000000,01900,0000,01900OTHER LONG TERM CARE 21269,A000000,02100,0000,02100RADIOLOGY 21269,A000000,02200,0000,02200LABORATORY 21269,A000000,02300,0000,02300INTRAVENOUS THERAPY 21269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21269,A000000,02500,0000,02500PHYSICAL THERAPY 21269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21269,A000000,02700,0000,02700SPEECH PATHOLOGY 21269,A000000,02800,0000,02800ELECTROCARDIOLOGY 21269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21269,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21269,A000000,03200,0000,03200SUPPORT SURFACES 21269,A000000,03400,0000,03400CLINIC 21269,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21269,A000000,03500,0000,03500RURAL HEALTH CLINIC 21269,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21269,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21269,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21269,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21269,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21269,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21269,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21269,A000000,04400,0000,04400DME RENTED - HHA 21269,A000000,04500,0000,04500DME SOLD - HHA 21269,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21269,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21269,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21269,A000000,04800,0000,04800AMBULANCE 21269,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21269,A000000,05000,0000,05000CORF 21269,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21269,A000000,05300,0000,05300INTEREST EXPENSE 21269,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21269,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21269,A000000,05500,0000,05500HOSPICE 21269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21269,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21269,A000000,06100,0000,06100NONPAID WORKERS 21269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21269,A000000,06200,0000,06200PATIENTS LAUNDRY 21269,A81000A,00100,0100,Y 21269,A81000B,00100,0300,RENTAL EXPENSE 21269,A81000B,00200,0300,TAXES UTILITIES INSURANCE 21269,A81000B,00300,0300,INTEREST DEPRECIATION 21269,A81000C,00100,0100,A 21269,A81000C,00100,0200,KAY BUSH 21269,A81000C,00100,0400,INDIVIDUAL 21269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21269,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21269,B100000,00000,0800,00000MEALS SERVED :DIETARY 21269,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21269,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21269,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21269,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21269,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21269,E10A180,00601,0100,07/26/2001 21269,E10A180,00601,0300,07/26/2001 21269,S000000,00100,0200,04/25/2000 21269,S200000,00100,0100,1002 GLENVIEW DRIVE 21269,S200000,00200,0100,GLASGOW 21269,S200000,00200,0200,KY 21269,S200000,00200,0300,42141- 21269,S200000,00300,0100,BARREN 21269,S200000,00400,0100,GLENVIEW HEALTH CARE FACILITY 21269,S200000,00400,0200,185271 21269,S200000,00400,0300,04/30/1991 21269,S200000,00400,0500,P 21269,S200000,01500,0100,Y 21287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21287,A000000,00300,0000,00300EMPLOYEE BENEFITS 21287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21287,A000000,00700,0000,00700HOUSEKEEPING 21287,A000000,00800,0000,00800DIETARY 21287,A000000,00900,0000,00900NURSING ADMINISTRATION 21287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21287,A000000,01100,0000,01100PHARMACY 21287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21287,A000000,01300,0000,01300SOCIAL SERVICE 21287,A000000,01600,0000,01600SKILLED NURSING FACILITY 21287,A000000,01800,0000,01800NURSING FACILITY 21287,A000000,01900,0000,01900OTHER LONG TERM CARE 21287,A000000,02100,0000,02100RADIOLOGY 21287,A000000,02200,0000,02200LABORATORY 21287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21287,A000000,02500,0000,02500PHYSICAL THERAPY 21287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21287,A000000,02700,0000,02700SPEECH PATHOLOGY 21287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21287,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21287,A81000A,00100,0100,Y 21287,A81000B,00100,0300,MANAGEMENT FEES 21287,A81000B,00200,0300,VARIOUS - SEE ATTACH 21287,A81000B,00300,0300,VARIOUS - SEE ATTACH 21287,A81000C,00100,0100,B 21287,A81000C,00100,0200,DIVERSICARE MGM 21287,A81000C,00100,0400,ADVOCAT INC. 21287,A81000C,00100,0600,HOME OFFICE/ MG 21287,A81000C,00200,0100,B 21287,A81000C,00200,0200,AAS PHARMACY 21287,A81000C,00200,0400,ADVOCAT INC. 21287,A81000C,00200,0600,PHARMACY SERVIC 21287,A81000C,00300,0100,B 21287,A81000C,00300,0200,ADVOAT DISTR SV 21287,A81000C,00300,0400,ADVOCAT INC. 21287,A81000C,00300,0600,MEDICAL SUPPLIE 21287,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21287,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21287,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21287,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21287,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21287,B100000,00000,0650,00000WEIGHTED PAT DAYS :LAUNDRY & LINEN 21287,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21287,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21287,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21287,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21287,B100000,00000,1250,00000SNF/NF PAT DAYS :MEDICAL RECORDS & 21287,B100000,00000,1330,00000SNF/NF PAT DAYS :SOCIAL SERVICE 21287,E10A180,00501,0100,06/23/2000 21287,E10A180,00550,0300,06/23/2000 21287,E10A180,00650,0300,08/20/2001 21287,S000000,00100,0200,06/05/2000 21287,S200000,00100,0100,774 LIBERTY ROAD 21287,S200000,00100,0300,219 21287,S200000,00200,0100,WEST LIBERTY 21287,S200000,00200,0200,KY 21287,S200000,00200,0300,41472- 21287,S200000,00300,0100,MORGAN 21287,S200000,00300,0200,18 21287,S200000,00300,0300,R 21287,S200000,00400,0100,WEST LIBERTY NRSG. & REHAB. CENTER 21287,S200000,00400,0200,185274 21287,S200000,00400,0300,03/01/1995 21287,S200000,00400,0500,P 21287,S200000,01600,0100,Y 21287,S200000,02200,0100,Y 21296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21296,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21296,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21296,A000000,00300,0000,00300EMPLOYEE BENEFITS 21296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21296,A000000,00700,0000,00700HOUSEKEEPING 21296,A000000,00800,0000,00800DIETARY 21296,A000000,00801,0000,00801CAFETERIA 21296,A000000,00900,0000,00900NURSING ADMINISTRATION 21296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21296,A000000,01100,0000,01100PHARMACY 21296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21296,A000000,01300,0000,01300SOCIAL SERVICE 21296,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21296,A000000,01600,0000,01600SKILLED NURSING FACILITY 21296,A000000,01800,0000,01800NURSING FACILITY 21296,A000000,01900,0000,01900OTHER LONG TERM CARE 21296,A000000,02100,0000,02100RADIOLOGY 21296,A000000,02200,0000,02200LABORATORY 21296,A000000,02300,0000,02300INTRAVENOUS THERAPY 21296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21296,A000000,02500,0000,02500PHYSICAL THERAPY 21296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21296,A000000,02700,0000,02700SPEECH PATHOLOGY 21296,A000000,02800,0000,02800ELECTROCARDIOLOGY 21296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21296,A000000,03050,0000,03300OTHER ANCILLARY 21296,A000000,03051,0000,03301OTHER ANCILLARY II 21296,A000000,03052,0000,03302OTHER ANCILLARY III 21296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21296,A000000,03200,0000,03200SUPPORT SURFACES 21296,A000000,03400,0000,03400CLINIC 21296,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21296,A000000,03500,0000,03500RURAL HEALTH CLINIC 21296,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21296,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21296,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21296,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21296,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21296,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21296,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21296,A000000,04400,0000,04400DME RENTED - HHA 21296,A000000,04500,0000,04500DME SOLD - HHA 21296,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21296,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21296,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21296,A000000,05000,0000,05000CORF 21296,A000000,05010,0000,05010CMHC I 21296,A000000,05020,0000,05020OPT I 21296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21296,A000000,05300,0000,05300INTEREST EXPENSE 21296,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21296,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21296,A000000,05500,0000,05500HOSPICE 21296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21296,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21296,A000000,06100,0000,06100NONPAID WORKERS 21296,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21296,A000000,06200,0000,06200PATIENTS LAUNDRY 21296,A81000A,00100,0100,Y 21296,A81000B,00100,0300,HOME OFFICE COSTS 21296,A81000B,00200,0300,MDS FEES 21296,A81000B,00300,0300,REHAB FEES 21296,A81000B,00400,0300,REHAB FEES 21296,A81000B,00500,0300,REHAB FEES 21296,A81000C,00100,0100,B 21296,A81000C,00100,0400,EPI CORPORATION 21296,A81000C,00100,0600,NURSING HOMES 21296,A81000C,00200,0100,C 21296,A81000C,00200,0400,RMS INC. 21296,A81000C,00200,0600,MDS CONSULTING 21296,A81000C,00300,0100,C 21296,A81000C,00300,0400,RMS INC. 21296,A81000C,00300,0600,THERAPY 21296,A81000C,00400,0100,C 21296,A81000C,00400,0400,RMS INC. 21296,A81000C,00400,0600,THERAPY 21296,A81000C,00500,0100,C 21296,A81000C,00500,0400,RMS INC. 21296,A81000C,00500,0600,THERAPY 21296,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21296,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21296,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21296,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21296,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21296,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21296,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21296,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21296,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21296,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21296,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21296,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21296,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21296,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21296,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21296,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21296,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21296,E10A180,00550,0300,06/29/1999 21296,E10A180,00650,0100,08/07/2000 21296,E10A180,00650,0300,08/07/2000 21296,S000000,00100,0200,06/29/1999 21296,S200000,00100,0100,114 MCMURTRY AVENUE 21296,S200000,00100,0300,125 21296,S200000,00200,0100,HARTFORD 21296,S200000,00200,0200,KY 21296,S200000,00200,0300,42347- 21296,S200000,00300,0100,OHIO 21296,S200000,00400,0100,PROFESSIONAL CARE HOME 21296,S200000,00400,0200,185275 21296,S200000,00400,0300,10/01/1991 21296,S200000,00400,0500,P 21296,S200000,01600,0100,Y 21296,S200000,02200,0100,Y 21296,S700003,00000,0100,1 21298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21298,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21298,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21298,A000000,00300,0000,00300EMPLOYEE BENEFITS 21298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21298,A000000,00700,0000,00700HOUSEKEEPING 21298,A000000,00800,0000,00800DIETARY 21298,A000000,00801,0000,00801CAFETERIA 21298,A000000,00900,0000,00900NURSING ADMINISTRATION 21298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21298,A000000,01100,0000,01100PHARMACY 21298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21298,A000000,01300,0000,01300SOCIAL SERVICE 21298,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21298,A000000,01600,0000,01600SKILLED NURSING FACILITY 21298,A000000,01800,0000,01800NURSING FACILITY 21298,A000000,01900,0000,01900OTHER LONG TERM CARE 21298,A000000,02100,0000,02100RADIOLOGY 21298,A000000,02200,0000,02200LABORATORY 21298,A000000,02300,0000,02300INTRAVENOUS THERAPY 21298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21298,A000000,02500,0000,02500PHYSICAL THERAPY 21298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21298,A000000,02700,0000,02700SPEECH PATHOLOGY 21298,A000000,02800,0000,02800ELECTROCARDIOLOGY 21298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21298,A000000,03050,0000,03300EMERGENCY ROOM 21298,A000000,03051,0000,03301BLOOD ADMINISTRATION 21298,A000000,03052,0000,03302OTHER ANCILLARY III 21298,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21298,A000000,03200,0000,03200SUPPORT SURFACES 21298,A000000,03400,0000,03400CLINIC 21298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21298,A000000,03500,0000,03500RURAL HEALTH CLINIC 21298,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21298,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21298,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21298,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21298,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21298,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21298,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21298,A000000,04400,0000,04400DME RENTED - HHA 21298,A000000,04500,0000,04500DME SOLD - HHA 21298,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21298,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21298,A000000,04800,0000,04800AMBULANCE 21298,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21298,A000000,05000,0000,05000CORF 21298,A000000,05010,0000,05010CMHC I 21298,A000000,05020,0000,05020OPT I 21298,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21298,A000000,05300,0000,05300INTEREST EXPENSE 21298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21298,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21298,A000000,05500,0000,05500HOSPICE 21298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21298,A000000,06100,0000,06100NONPAID WORKERS 21298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21298,A000000,06200,0000,06200PATIENTS LAUNDRY 21298,A81000A,00100,0100,Y 21298,A81000B,00100,0300,HOME OFFICE COSTS 21298,A81000B,00200,0300,MDS FEES 21298,A81000B,00300,0300,REHAB. FEES 21298,A81000B,00400,0300,REHAB. FEES 21298,A81000B,00500,0300,REHAB. FEES 21298,A81000C,00100,0100,B 21298,A81000C,00100,0400,EPI CORPORATION 21298,A81000C,00100,0600,NURSING HOMES 21298,A81000C,00200,0100,C 21298,A81000C,00200,0400,RMS INC. 21298,A81000C,00200,0600,MDS CONSULTING 21298,A81000C,00300,0100,C 21298,A81000C,00300,0400,RMS INC. 21298,A81000C,00300,0600,THERAPY 21298,A81000C,00400,0100,C 21298,A81000C,00400,0400,RMS INC. 21298,A81000C,00400,0600,THERAPY 21298,A81000C,00500,0100,C 21298,A81000C,00500,0400,RMS INC. 21298,A81000C,00500,0600,THERAPY 21298,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21298,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21298,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21298,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21298,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21298,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21298,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21298,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21298,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21298,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21298,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21298,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21298,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21298,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21298,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21298,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21298,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21298,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21298,E10A180,00601,0100,02/28/2001 21298,S000000,00100,0200,12/22/1999 21298,S200000,00100,0100,114 MCMURTRY AVENUE 21298,S200000,00100,0300,125 21298,S200000,00200,0100,HARTFORD 21298,S200000,00200,0200,KY 21298,S200000,00200,0300,42347- 21298,S200000,00300,0100,OHIO 21298,S200000,00400,0100,PROFESSIONAL CARE HLTH & REHAB CNTR 21298,S200000,00400,0200,185275 21298,S200000,00400,0300,10/01/1991 21298,S200000,00400,0500,P 21298,S200000,01600,0100,Y 21298,S200000,02200,0100,Y 21300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21300,A000000,00300,0000,00300EMPLOYEE BENEFITS 21300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21300,A000000,00700,0000,00700HOUSEKEEPING 21300,A000000,00800,0000,00800DIETARY 21300,A000000,00900,0000,00900NURSING ADMINISTRATION 21300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21300,A000000,01100,0000,01100PHARMACY 21300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21300,A000000,01300,0000,01300SOCIAL SERVICE 21300,A000000,01350,0000,01500OTHER GENERAL SERVICES 21300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21300,A000000,01600,0000,01600SKILLED NURSING FACILITY 21300,A000000,01800,0000,01800NURSING FACILITY 21300,A000000,01810,0000,01810ICF/MR 21300,A000000,01900,0000,01900OTHER LONG TERM CARE 21300,A000000,02100,0000,02100RADIOLOGY 21300,A000000,02200,0000,02200LABORATORY 21300,A000000,02300,0000,02300INTRAVENOUS THERAPY 21300,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21300,A000000,02500,0000,02500PHYSICAL THERAPY 21300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21300,A000000,02700,0000,02700SPEECH PATHOLOGY 21300,A000000,02800,0000,02800ELECTROCARDIOLOGY 21300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21300,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21300,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21300,A000000,03200,0000,03200SUPPORT SURFACES 21300,A000000,03400,0000,03400CLINIC 21300,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21300,A000000,03500,0000,03500RURAL HEALTH CLINIC 21300,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21300,A000000,04800,0000,04800AMBULANCE 21300,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21300,A000000,05000,0000,05000CORF 21300,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21300,A000000,05300,0000,05300INTEREST EXPENSE 21300,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21300,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21300,A000000,05500,0000,05500HOSPICE 21300,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21300,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21300,A000000,06100,0000,06100NONPAID WORKERS 21300,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21300,A000000,06200,0000,06200PATIENTS LAUNDRY 21300,A81000A,00100,0100,Y 21300,A81000B,00100,0300,HOME OFFICE COSTS 21300,A81000B,00200,0300,MDS FEES 21300,A81000B,00300,0300,REHAB FEES 21300,A81000B,00400,0300,REHAB FEES 21300,A81000B,00500,0300,REHAB FEES 21300,A81000C,00100,0100,B 21300,A81000C,00100,0400,EPI CORPORATION 21300,A81000C,00100,0600,NURSING HOMES 21300,A81000C,00200,0100,C 21300,A81000C,00200,0400,RMS INC. 21300,A81000C,00200,0600,MDS CONSULTING 21300,A81000C,00300,0100,C 21300,A81000C,00300,0400,RMS INC. 21300,A81000C,00300,0600,THERAPY 21300,A81000C,00400,0100,C 21300,A81000C,00400,0400,RMS INC. 21300,A81000C,00400,0600,THERAPY 21300,A81000C,00500,0100,C 21300,A81000C,00500,0400,RMS INC. 21300,A81000C,00500,0600,THERAPY 21300,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21300,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 21300,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21300,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21300,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21300,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21300,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21300,B100000,00000,0800,00000MEALS SERVED :DIETARY 21300,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21300,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21300,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21300,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21300,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21300,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21300,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21300,E10A180,00501,0100,06/22/2000 21300,E10A180,00501,0300,06/23/2000 21300,E10A180,00601,0100,08/03/2001 21300,E10A180,00601,0300,08/03/2001 21300,S000000,00100,0200,05/31/2000 21300,S200000,00100,0100,114 MCMURTRY 21300,S200000,00100,0300,125 21300,S200000,00200,0100,HARTFORD 21300,S200000,00200,0200,KY 21300,S200000,00200,0300,42347- 21300,S200000,00300,0100,OHIO 21300,S200000,00400,0100,PROFESSIONAL CARE 21300,S200000,00400,0200,185275 21300,S200000,00400,0300,10/01/1991 21300,S200000,00400,0500,P 21300,S200000,01600,0100,Y 21300,S200000,02800,0100,Y 21309,S000000,00100,0200,06/29/2000 21318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21318,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21318,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21318,A000000,00300,0000,00300EMPLOYEE BENEFITS 21318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21318,A000000,00700,0000,00700HOUSEKEEPING 21318,A000000,00800,0000,00800DIETARY 21318,A000000,00801,0000,00801CAFETERIA 21318,A000000,00900,0000,00900NURSING ADMINISTRATION 21318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21318,A000000,01100,0000,01100PHARMACY 21318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21318,A000000,01300,0000,01300SOCIAL SERVICE 21318,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21318,A000000,01600,0000,01600SKILLED NURSING FACILITY 21318,A000000,01800,0000,01800NURSING FACILITY 21318,A000000,01900,0000,01900OTHER LONG TERM CARE 21318,A000000,02100,0000,02100RADIOLOGY 21318,A000000,02200,0000,02200LABORATORY 21318,A000000,02300,0000,02300INTRAVENOUS THERAPY 21318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21318,A000000,02500,0000,02500PHYSICAL THERAPY 21318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21318,A000000,02700,0000,02700SPEECH PATHOLOGY 21318,A000000,02800,0000,02800ELECTROCARDIOLOGY 21318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21318,A000000,03050,0000,03300OTHER ANCILLARY 21318,A000000,03051,0000,03301OTHER ANCILLARY II 21318,A000000,03052,0000,03302OTHER ANCILLARY III 21318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21318,A000000,03200,0000,03200SUPPORT SURFACES 21318,A000000,03400,0000,03400CLINIC 21318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21318,A000000,03500,0000,03500RURAL HEALTH CLINIC 21318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21318,A000000,04400,0000,04400DME RENTED - HHA 21318,A000000,04500,0000,04500DME SOLD - HHA 21318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21318,A000000,04800,0000,04800AMBULANCE 21318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21318,A000000,05000,0000,05000CORF 21318,A000000,05010,0000,05010CMHC I 21318,A000000,05020,0000,05020OPT I 21318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21318,A000000,05300,0000,05300INTEREST EXPENSE 21318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21318,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21318,A000000,05500,0000,05500HOSPICE 21318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21318,A000000,06100,0000,06100NONPAID WORKERS 21318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21318,A000000,06200,0000,06200PATIENTS LAUNDRY 21318,A81000A,00100,0100,Y 21318,A81000B,00100,0300,HOME OFFICE COSTS 21318,A81000B,00200,0300,PUBLIC RELATIONS 21318,A81000B,00300,0300,TRAINING COSTS 21318,A81000B,00400,0300,MDS FEES 21318,A81000B,00500,0300,REHAB FEES 21318,A81000B,00600,0300,REHAB FEES 21318,A81000B,00700,0300,REHAB FEES 21318,A81000C,00100,0100,B 21318,A81000C,00100,0400,EPI CORPORATION 21318,A81000C,00100,0600,NURSING HOMES 21318,A81000C,00200,0100,C 21318,A81000C,00200,0400,LUKEN / NUGENT 21318,A81000C,00200,0600,HC COMM. 21318,A81000C,00300,0100,C 21318,A81000C,00300,0400,KY HC TRAINING 21318,A81000C,00300,0600,KY HC TRAINING 21318,A81000C,00400,0100,C 21318,A81000C,00400,0400,RMS INC. 21318,A81000C,00400,0600,MDS CONSULTING 21318,A81000C,00500,0100,C 21318,A81000C,00500,0400,RMS INC. 21318,A81000C,00500,0600,THERAPY 21318,A81000C,00600,0100,C 21318,A81000C,00600,0400,RMS INC. 21318,A81000C,00600,0600,THERAPY 21318,A81000C,00700,0100,C 21318,A81000C,00700,0400,RMS INC. 21318,A81000C,00700,0600,THERAPY 21318,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21318,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21318,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21318,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21318,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21318,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21318,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21318,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21318,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21318,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21318,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21318,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21318,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21318,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21318,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21318,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21318,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21318,E10A180,00550,0300,06/29/1999 21318,E10A180,00601,0100,05/26/2000 21318,E10A180,00601,0300,05/26/2000 21318,S000000,00100,0200,06/29/1999 21318,S200000,00100,0100,331 SOUTH MAIN STREET 21318,S200000,00200,0100,LAWRENCEBURG 21318,S200000,00200,0200,KY 21318,S200000,00200,0300,40342- 21318,S200000,00300,0100,ANDERSON 21318,S200000,00400,0100,HERITAGE HALL 21318,S200000,00400,0200,185277 21318,S200000,00400,0300,05/16/1991 21318,S200000,00400,0500,P 21318,S200000,01600,0100,Y 21318,S200000,02200,0100,Y 21318,S700003,00000,0100,1 21320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21320,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21320,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21320,A000000,00300,0000,00300EMPLOYEE BENEFITS 21320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21320,A000000,00700,0000,00700HOUSEKEEPING 21320,A000000,00800,0000,00800DIETARY 21320,A000000,00801,0000,00801CAFETERIA 21320,A000000,00900,0000,00900NURSING ADMINISTRATION 21320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21320,A000000,01100,0000,01100PHARMACY 21320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21320,A000000,01300,0000,01300SOCIAL SERVICE 21320,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21320,A000000,01600,0000,01600SKILLED NURSING FACILITY 21320,A000000,01800,0000,01800NURSING FACILITY 21320,A000000,01900,0000,01900OTHER LONG TERM CARE 21320,A000000,02100,0000,02100RADIOLOGY 21320,A000000,02200,0000,02200LABORATORY 21320,A000000,02300,0000,02300INTRAVENOUS THERAPY 21320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21320,A000000,02500,0000,02500PHYSICAL THERAPY 21320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21320,A000000,02700,0000,02700SPEECH PATHOLOGY 21320,A000000,02800,0000,02800ELECTROCARDIOLOGY 21320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21320,A000000,03050,0000,03300EMERGENCY ROOM 21320,A000000,03051,0000,03301OTHER ANCILLARY II 21320,A000000,03052,0000,03302OTHER ANCILLARY III 21320,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21320,A000000,03200,0000,03200SUPPORT SURFACES 21320,A000000,03400,0000,03400CLINIC 21320,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21320,A000000,03500,0000,03500RURAL HEALTH CLINIC 21320,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21320,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21320,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21320,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21320,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21320,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21320,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21320,A000000,04400,0000,04400DME RENTED - HHA 21320,A000000,04500,0000,04500DME SOLD - HHA 21320,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21320,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21320,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21320,A000000,04800,0000,04800AMBULANCE 21320,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21320,A000000,05000,0000,05000CORF 21320,A000000,05010,0000,05010CMHC I 21320,A000000,05020,0000,05020OPT I 21320,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21320,A000000,05300,0000,05300INTEREST EXPENSE 21320,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21320,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21320,A000000,05500,0000,05500HOSPICE 21320,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21320,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21320,A000000,06100,0000,06100NONPAID WORKERS 21320,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21320,A000000,06200,0000,06200PATIENTS LAUNDRY 21320,A81000A,00100,0100,Y 21320,A81000B,00100,0300,HOME OFFICE COSTS 21320,A81000B,00200,0300,PUBLIC RELATIONS 21320,A81000B,00300,0300,TRAINING COSTS 21320,A81000B,00400,0300,MDS FEES 21320,A81000B,00500,0300,REHAB FEES 21320,A81000B,00600,0300,REHAB FEES 21320,A81000B,00700,0300,REHAB FEES 21320,A81000C,00100,0100,B 21320,A81000C,00100,0400,EPI CORPORATION 21320,A81000C,00100,0600,NURSING HOME 21320,A81000C,00200,0100,C 21320,A81000C,00200,0400,LUKEN / NUGENT 21320,A81000C,00200,0600,HC COMM. 21320,A81000C,00300,0100,C 21320,A81000C,00300,0400,KY HC TRAINING 21320,A81000C,00300,0600,KY HC TRAINING 21320,A81000C,00400,0100,C 21320,A81000C,00400,0400,RMS INC. 21320,A81000C,00400,0600,MDS CONSULTING 21320,A81000C,00500,0100,C 21320,A81000C,00500,0400,RMS INC. 21320,A81000C,00500,0600,THERAPY 21320,A81000C,00600,0100,C 21320,A81000C,00600,0400,RMS INC. 21320,A81000C,00600,0600,THERAPY 21320,A81000C,00700,0100,C 21320,A81000C,00700,0400,RMS INC. 21320,A81000C,00700,0600,THERAPY 21320,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21320,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21320,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21320,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21320,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21320,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21320,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21320,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21320,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21320,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21320,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21320,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21320,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21320,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21320,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21320,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21320,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21320,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21320,E10A180,00550,0100,12/29/1999 21320,E10A180,00650,0100,03/12/2001 21320,S000000,00100,0200,12/29/1999 21320,S200000,00100,0100,331 SOUTH MAIN STREET 21320,S200000,00200,0100,LAWRENCEBURG 21320,S200000,00200,0200,KY 21320,S200000,00200,0300,40342- 21320,S200000,00300,0100,ANDERSON 21320,S200000,00400,0100,HERITAGE HALL HEALTH & REHAB CENTER 21320,S200000,00400,0200,185277 21320,S200000,00400,0300,05/16/1991 21320,S200000,00400,0500,P 21320,S200000,01600,0100,Y 21320,S200000,02200,0100,Y 21322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21322,A000000,00300,0000,00300EMPLOYEE BENEFITS 21322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21322,A000000,00700,0000,00700HOUSEKEEPING 21322,A000000,00800,0000,00800DIETARY 21322,A000000,00900,0000,00900NURSING ADMINISTRATION 21322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21322,A000000,01100,0000,01100PHARMACY 21322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21322,A000000,01300,0000,01300SOCIAL SERVICE 21322,A000000,01350,0000,01500OTHER GENERAL SERVICES 21322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21322,A000000,01600,0000,01600SKILLED NURSING FACILITY 21322,A000000,01800,0000,01800NURSING FACILITY 21322,A000000,01810,0000,01810ICF/MR 21322,A000000,01900,0000,01900OTHER LONG TERM CARE 21322,A000000,02100,0000,02100RADIOLOGY 21322,A000000,02200,0000,02200LABORATORY 21322,A000000,02300,0000,02300INTRAVENOUS THERAPY 21322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21322,A000000,02500,0000,02500PHYSICAL THERAPY 21322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21322,A000000,02700,0000,02700SPEECH PATHOLOGY 21322,A000000,02800,0000,02800ELECTROCARDIOLOGY 21322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21322,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21322,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21322,A000000,03200,0000,03200SUPPORT SURFACES 21322,A000000,03400,0000,03400CLINIC 21322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21322,A000000,03500,0000,03500RURAL HEALTH CLINIC 21322,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21322,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21322,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21322,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21322,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21322,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21322,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21322,A000000,04400,0000,04400DME RENTED - HHA 21322,A000000,04500,0000,04500DME SOLD - HHA 21322,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21322,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21322,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21322,A000000,04800,0000,04800AMBULANCE 21322,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21322,A000000,05000,0000,05000CORF 21322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21322,A000000,05300,0000,05300INTEREST EXPENSE 21322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21322,A000000,05500,0000,05500HOSPICE 21322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21322,A000000,06100,0000,06100NONPAID WORKERS 21322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21322,A000000,06200,0000,06200PATIENTS LAUNDRY 21322,A81000A,00100,0100,Y 21322,A81000B,00100,0300,HOME OFFICE COSTS 21322,A81000B,00200,0300,PUBLIC RELATIONS 21322,A81000B,00300,0300,TRAINING COSTS 21322,A81000B,00400,0300,MDS FEES 21322,A81000B,00500,0300,REHAB FEES 21322,A81000B,00600,0300,REHAB FEES 21322,A81000B,00700,0300,REHAB FEES 21322,A81000C,00100,0100,B 21322,A81000C,00100,0400,EPI CORPORATION 21322,A81000C,00100,0600,NURSING HOMES 21322,A81000C,00200,0100,C 21322,A81000C,00200,0400,LUKEN/NUGENT 21322,A81000C,00200,0600,HC COMM. 21322,A81000C,00300,0100,C 21322,A81000C,00300,0400,KY HC TRAINING 21322,A81000C,00300,0600,KY HC TRAINING 21322,A81000C,00400,0100,C 21322,A81000C,00400,0400,RMS INC. 21322,A81000C,00400,0600,MDS CONSULTING 21322,A81000C,00500,0100,C 21322,A81000C,00500,0400,RMS INC. 21322,A81000C,00500,0600,THERAPY 21322,A81000C,00600,0100,C 21322,A81000C,00600,0400,RMS INC. 21322,A81000C,00600,0600,THERAPY 21322,A81000C,00700,0100,C 21322,A81000C,00700,0400,RMS INC. 21322,A81000C,00700,0600,THERAPY 21322,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 21322,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21322,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21322,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 21322,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21322,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 21322,B100000,00000,0800,00000MEALS SERVED :DIETARY 21322,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21322,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21322,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21322,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21322,E10A180,00601,0100,07/03/2001 21322,E10A180,00601,0300,07/03/2001 21322,S000000,00100,0200,05/31/2000 21322,S200000,00100,0100,331 SOUTH MAIN STREET 21322,S200000,00200,0100,LAWRENCEBURG 21322,S200000,00200,0200,KY 21322,S200000,00200,0300,40342- 21322,S200000,00300,0100,ANDERSON 21322,S200000,00300,0200,18 21322,S200000,00300,0300,R 21322,S200000,00400,0100,HERITAGE HALL HEALTH & REHAB CENTER 21322,S200000,00400,0200,185277 21322,S200000,00400,0300,05/16/1991 21322,S200000,00400,0500,P 21322,S200000,01600,0100,Y 21322,S200000,02200,0100,Y 21330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21330,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21330,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21330,A000000,00300,0000,00300EMPLOYEE BENEFITS 21330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21330,A000000,00700,0000,00700HOUSEKEEPING 21330,A000000,00800,0000,00800DIETARY 21330,A000000,00801,0000,00801CAFETERIA 21330,A000000,00900,0000,00900NURSING ADMINISTRATION 21330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21330,A000000,01100,0000,01100PHARMACY 21330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21330,A000000,01300,0000,01300SOCIAL SERVICE 21330,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21330,A000000,01600,0000,01600SKILLED NURSING FACILITY 21330,A000000,01800,0000,01800NURSING FACILITY 21330,A000000,01900,0000,01900OTHER LONG TERM CARE 21330,A000000,02100,0000,02100RADIOLOGY 21330,A000000,02200,0000,02200LABORATORY 21330,A000000,02300,0000,02300INTRAVENOUS THERAPY 21330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21330,A000000,02500,0000,02500PHYSICAL THERAPY 21330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21330,A000000,02700,0000,02700SPEECH PATHOLOGY 21330,A000000,02800,0000,02800ELECTROCARDIOLOGY 21330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21330,A000000,03050,0000,03300OTHER ANCILLARY 21330,A000000,03051,0000,03301OTHER ANCILLARY II 21330,A000000,03052,0000,03302OTHER ANCILLARY III 21330,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21330,A000000,03200,0000,03200SUPPORT SURFACES 21330,A000000,03400,0000,03400CLINIC 21330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21330,A000000,03500,0000,03500RURAL HEALTH CLINIC 21330,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21330,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21330,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21330,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21330,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21330,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21330,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21330,A000000,04400,0000,04400DME RENTED - HHA 21330,A000000,04500,0000,04500DME SOLD - HHA 21330,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21330,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21330,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21330,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21330,A000000,05000,0000,05000CORF 21330,A000000,05010,0000,05010CMHC I 21330,A000000,05020,0000,05020OPT I 21330,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21330,A000000,05300,0000,05300INTEREST EXPENSE 21330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21330,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21330,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21330,A000000,05500,0000,05500HOSPICE 21330,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21330,A000000,06100,0000,06100NONPAID WORKERS 21330,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21330,A000000,06200,0000,06200PATIENTS LAUNDRY 21330,A81000A,00100,0100,Y 21330,A81000B,00100,0300,HOME OFFICE COSTS 21330,A81000B,00200,0300,PUBLIC RELATIONS 21330,A81000B,00300,0300,TRAINING 21330,A81000B,00400,0300,MDS FEES 21330,A81000B,00500,0300,REHAB. FEES 21330,A81000B,00600,0300,REHAB. FEES 21330,A81000B,00700,0300,REHAB. FEES 21330,A81000C,00100,0100,B 21330,A81000C,00100,0400,EPI CORPORATION 21330,A81000C,00100,0600,NURSING HOMES 21330,A81000C,00200,0100,C 21330,A81000C,00200,0400,LUKEN/NUGENT 21330,A81000C,00200,0600,HC. COMM 21330,A81000C,00300,0100,C 21330,A81000C,00300,0400,KY HC TRAINING 21330,A81000C,00300,0600,KY HC TRAINING 21330,A81000C,00400,0100,C 21330,A81000C,00400,0400,RMS INC. 21330,A81000C,00400,0600,MDS CONSULTING 21330,A81000C,00500,0100,C 21330,A81000C,00500,0400,RMS INC. 21330,A81000C,00500,0600,THERAPY 21330,A81000C,00600,0100,C 21330,A81000C,00600,0400,RMS INC. 21330,A81000C,00600,0600,THERAPY 21330,A81000C,00700,0100,C 21330,A81000C,00700,0400,RMS INC. 21330,A81000C,00700,0600,THERAPY 21330,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21330,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21330,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21330,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21330,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21330,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21330,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21330,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21330,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21330,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21330,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21330,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21330,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21330,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21330,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21330,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21330,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21330,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21330,S000000,00100,0200,06/29/1999 21330,S200000,00100,0100,9701 WHIPPS MILL ROAD 21330,S200000,00200,0100,LOUISVILLE 21330,S200000,00200,0200,KY 21330,S200000,00200,0300,40223- 21330,S200000,00300,0100,JEFFERSON 21330,S200000,00400,0100,MEADOWVIEW NURSING & CONV. CENTER 21330,S200000,00400,0200,185278 21330,S200000,00400,0300,08/01/1991 21330,S200000,00400,0500,P 21330,S200000,01600,0100,Y 21330,S200000,02200,0100,Y 21330,S200000,02800,0100,Y 21331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21331,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21331,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21331,A000000,00300,0000,00300EMPLOYEE BENEFITS 21331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21331,A000000,00700,0000,00700HOUSEKEEPING 21331,A000000,00800,0000,00800DIETARY 21331,A000000,00801,0000,00801CAFETERIA 21331,A000000,00900,0000,00900NURSING ADMINISTRATION 21331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21331,A000000,01100,0000,01100PHARMACY 21331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21331,A000000,01300,0000,01300SOCIAL SERVICE 21331,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21331,A000000,01600,0000,01600SKILLED NURSING FACILITY 21331,A000000,01800,0000,01800NURSING FACILITY 21331,A000000,01900,0000,01900OTHER LONG TERM CARE 21331,A000000,02100,0000,02100RADIOLOGY 21331,A000000,02200,0000,02200LABORATORY 21331,A000000,02300,0000,02300INTRAVENOUS THERAPY 21331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21331,A000000,02500,0000,02500PHYSICAL THERAPY 21331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21331,A000000,02700,0000,02700SPEECH PATHOLOGY 21331,A000000,02800,0000,02800ELECTROCARDIOLOGY 21331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21331,A000000,03050,0000,03300OTHER ANCILLARY 21331,A000000,03051,0000,03301OTHER ANCILLARY II 21331,A000000,03052,0000,03302OTHER ANCILLARY III 21331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21331,A000000,03200,0000,03200SUPPORT SURFACES 21331,A000000,03400,0000,03400CLINIC 21331,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21331,A000000,03500,0000,03500RURAL HEALTH CLINIC 21331,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21331,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21331,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21331,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21331,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21331,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21331,A000000,04400,0000,04400DME RENTED - HHA 21331,A000000,04500,0000,04500DME SOLD - HHA 21331,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21331,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21331,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21331,A000000,04800,0000,04800AMBULANCE 21331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21331,A000000,05000,0000,05000CORF 21331,A000000,05010,0000,05010CMHC I 21331,A000000,05020,0000,05020OPT I 21331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21331,A000000,05300,0000,05300INTEREST EXPENSE 21331,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21331,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21331,A000000,05500,0000,05500HOSPICE 21331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21331,A000000,06100,0000,06100NONPAID WORKERS 21331,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21331,A000000,06200,0000,06200PATIENTS LAUNDRY 21331,A81000A,00100,0100,Y 21331,A81000B,00100,0300,HOME OFFICE COSTS 21331,A81000B,00200,0300,PUBLIC RELATIONS 21331,A81000B,00300,0300,TRAINING 21331,A81000B,00400,0300,MDS FEES 21331,A81000B,00500,0300,REHAB. FEES 21331,A81000B,00600,0300,REHAB. FEES 21331,A81000B,00700,0300,REHAB. FEES 21331,A81000C,00100,0100,B 21331,A81000C,00100,0400,EPI CORPORATION 21331,A81000C,00100,0600,NURSING HOMES 21331,A81000C,00200,0100,C 21331,A81000C,00200,0400,LUKEN / NUGENT 21331,A81000C,00200,0600,HC. COMM. 21331,A81000C,00300,0100,C 21331,A81000C,00300,0400,KY HC TRAINING 21331,A81000C,00300,0600,KY HC TRAINING 21331,A81000C,00400,0100,C 21331,A81000C,00400,0400,RMS INC. 21331,A81000C,00400,0600,MDS CONSULTING 21331,A81000C,00500,0100,C 21331,A81000C,00500,0400,RMS INC. 21331,A81000C,00500,0600,THERAPY 21331,A81000C,00600,0100,C 21331,A81000C,00600,0400,RMS INC. 21331,A81000C,00600,0600,THERAPY 21331,A81000C,00700,0100,C 21331,A81000C,00700,0400,RMS INC. 21331,A81000C,00700,0600,THERAPY 21331,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21331,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21331,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21331,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21331,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21331,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21331,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21331,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21331,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21331,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21331,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21331,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21331,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21331,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21331,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21331,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21331,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21331,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21331,E10A180,00601,0100,01/30/2001 21331,E10A180,00601,0300,01/30/2001 21331,S000000,00100,0200,12/22/1999 21331,S200000,00100,0100,9701 WHIPPS MILL ROAD 21331,S200000,00200,0100,LOUISVILLE 21331,S200000,00200,0200,KY 21331,S200000,00200,0300,40223- 21331,S200000,00300,0100,JEFFERSON 21331,S200000,00400,0100,MEADOWVIEW HEALTH & REHAB CENTER 21331,S200000,00400,0200,185278 21331,S200000,00400,0300,08/01/1991 21331,S200000,00400,0500,P 21331,S200000,01600,0100,Y 21331,S200000,02200,0100,Y 21333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21333,A000000,00300,0000,00300EMPLOYEE BENEFITS 21333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21333,A000000,00700,0000,00700HOUSEKEEPING 21333,A000000,00800,0000,00800DIETARY 21333,A000000,00900,0000,00900NURSING ADMINISTRATION 21333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21333,A000000,01100,0000,01100PHARMACY 21333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21333,A000000,01300,0000,01300SOCIAL SERVICE 21333,A000000,01350,0000,01500OTHER GENERAL SERVICES 21333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21333,A000000,01600,0000,01600SKILLED NURSING FACILITY 21333,A000000,01800,0000,01800NURSING FACILITY 21333,A000000,01810,0000,01810ICF/MR 21333,A000000,01900,0000,01900OTHER LONG TERM CARE 21333,A000000,02100,0000,02100RADIOLOGY 21333,A000000,02200,0000,02200LABORATORY 21333,A000000,02300,0000,02300INTRAVENOUS THERAPY 21333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21333,A000000,02500,0000,02500PHYSICAL THERAPY 21333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21333,A000000,02700,0000,02700SPEECH PATHOLOGY 21333,A000000,02800,0000,02800ELECTROCARDIOLOGY 21333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21333,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21333,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21333,A000000,03200,0000,03200SUPPORT SURFACES 21333,A000000,03400,0000,03400CLINIC 21333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21333,A000000,03500,0000,03500RURAL HEALTH CLINIC 21333,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21333,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21333,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21333,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21333,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21333,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21333,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21333,A000000,04400,0000,04400DME RENTED - HHA 21333,A000000,04500,0000,04500DME SOLD - HHA 21333,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21333,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21333,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21333,A000000,04800,0000,04800AMBULANCE 21333,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21333,A000000,05000,0000,05000CORF 21333,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21333,A000000,05300,0000,05300INTEREST EXPENSE 21333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21333,A000000,05500,0000,05500HOSPICE 21333,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21333,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21333,A000000,06100,0000,06100NONPAID WORKERS 21333,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21333,A000000,06200,0000,06200PATIENTS LAUNDRY 21333,A81000A,00100,0100,Y 21333,A81000B,00100,0300,HOME OFFICE COSTS 21333,A81000B,00200,0300,PUBLIC RELATIONS 21333,A81000B,00300,0300,TRAINING COSTS 21333,A81000B,00400,0300,MDS FEES 21333,A81000B,00500,0300,REHAB FEES 21333,A81000B,00600,0300,REHAB FEES 21333,A81000B,00700,0300,REHAB FEES 21333,A81000C,00100,0100,B 21333,A81000C,00100,0400,EPI CORPORATION 21333,A81000C,00100,0600,NURSING HOMES 21333,A81000C,00200,0100,C 21333,A81000C,00200,0400,LUKEN/NUGENT 21333,A81000C,00200,0600,HC. COMM. 21333,A81000C,00300,0100,C 21333,A81000C,00300,0400,KY HC TRAINING 21333,A81000C,00300,0600,KY HC TRAINING 21333,A81000C,00400,0100,C 21333,A81000C,00400,0400,RMS INC. 21333,A81000C,00400,0600,MDS CONSULTING 21333,A81000C,00500,0100,C 21333,A81000C,00500,0400,RMS INC. 21333,A81000C,00500,0600,THERAPY 21333,A81000C,00600,0100,C 21333,A81000C,00600,0400,RMS INC. 21333,A81000C,00600,0600,THERAPY 21333,A81000C,00700,0100,C 21333,A81000C,00700,0400,RMS INC. 21333,A81000C,00700,0600,THERAPY 21333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21333,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21333,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21333,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21333,B100000,00000,0800,00000MEALS SERVED :DIETARY 21333,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21333,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21333,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21333,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21333,E10A180,00601,0100,09/12/2001 21333,E10A180,00601,0300,09/12/2001 21333,S000000,00100,0200,06/01/2000 21333,S200000,00100,0100,9701 WHIPPS MILL ROAD 21333,S200000,00200,0100,LOUISVILLE 21333,S200000,00200,0200,KY 21333,S200000,00200,0300,40223- 21333,S200000,00300,0100,JEFFERSON 21333,S200000,00300,0200,4520 21333,S200000,00300,0300,U 21333,S200000,00400,0100,MEADOWVIEW HEALTH & REHAB CENTER 21333,S200000,00400,0200,185278 21333,S200000,00400,0300,08/01/1991 21333,S200000,00400,0500,P 21333,S200000,01600,0100,Y 21333,S200000,02200,0100,Y 21333,S200000,02800,0100,Y 21343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21343,A000000,00300,0000,00300EMPLOYEE BENEFITS 21343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21343,A000000,00700,0000,00700HOUSEKEEPING 21343,A000000,00800,0000,00800DIETARY 21343,A000000,00900,0000,00900NURSING ADMINISTRATION 21343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21343,A000000,01100,0000,01100PHARMACY 21343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21343,A000000,01300,0000,01300SOCIAL SERVICE 21343,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21343,A000000,01600,0000,01600SKILLED NURSING FACILITY 21343,A000000,01800,0000,01800NURSING FACILITY 21343,A000000,01810,0000,01810ICF/MR 21343,A000000,01900,0000,01900OTHER LONG TERM CARE 21343,A000000,02100,0000,02100RADIOLOGY 21343,A000000,02200,0000,02200LABORATORY 21343,A000000,02300,0000,02300INTRAVENOUS THERAPY 21343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21343,A000000,02500,0000,02500PHYSICAL THERAPY 21343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21343,A000000,02700,0000,02700SPEECH PATHOLOGY 21343,A000000,02800,0000,02800ELECTROCARDIOLOGY 21343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21343,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21343,A000000,03200,0000,03200SUPPORT SURFACES 21343,A000000,03400,0000,03400CLINIC 21343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21343,A000000,03500,0000,03500RURAL HEALTH CLINIC 21343,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21343,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21343,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21343,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21343,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21343,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21343,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21343,A000000,04400,0000,04400DME RENTED - HHA 21343,A000000,04500,0000,04500DME SOLD - HHA 21343,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21343,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21343,A000000,04800,0000,04800AMBULANCE 21343,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21343,A000000,05000,0000,05000CORF 21343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21343,A000000,05300,0000,05300INTEREST EXPENSE 21343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21343,A000000,05500,0000,05500HOSPICE 21343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21343,A000000,06100,0000,06100NONPAID WORKERS 21343,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21343,A000000,06200,0000,06200PATIENTS LAUNDRY 21343,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21343,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21343,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21343,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21343,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21343,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21343,B100000,00000,0800,00000MEALS SERVED :DIETARY 21343,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21343,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21343,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21343,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21343,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21343,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21343,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21343,E10A180,00650,0100,03/12/2001 21343,S000000,00100,0200,05/03/2000 21343,S200000,00100,0100,500 BECK LANE 21343,S200000,00200,0100,MAYFIELD 21343,S200000,00200,0200,KY 21343,S200000,00200,0300,42066- 21343,S200000,00300,0100,GRAVES 21343,S200000,00400,0100,MILLS MANOR 21343,S200000,00400,0200,185279 21343,S200000,00400,0300,10/01/1991 21343,S200000,00400,0500,P 21343,S200000,01600,0100,Y 21353,S000000,00100,0200,02/29/2000 21362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21362,A000000,00300,0000,00300EMPLOYEE BENEFITS 21362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21362,A000000,00700,0000,00700HOUSEKEEPING 21362,A000000,00800,0000,00800DIETARY 21362,A000000,00900,0000,00900NURSING ADMINISTRATION 21362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21362,A000000,01100,0000,01100PHARMACY 21362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21362,A000000,01300,0000,01300SOCIAL SERVICE 21362,A000000,01600,0000,01600SKILLED NURSING FACILITY 21362,A000000,01800,0000,01800NURSING FACILITY 21362,A000000,02100,0000,02100RADIOLOGY 21362,A000000,02200,0000,02200LABORATORY 21362,A000000,02300,0000,02300INTRAVENOUS THERAPY 21362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21362,A000000,02500,0000,02500PHYSICAL THERAPY 21362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21362,A000000,02700,0000,02700SPEECH PATHOLOGY 21362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21362,A000000,03200,0000,03200SUPPORT SURFACES 21362,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21362,A81000A,00100,0100,Y 21362,A81000B,00100,0300,MANAGEMENT FEES 21362,A81000B,00200,0300,DRUGS 21362,A81000B,00300,0300,NON-PRESC. DRUGS 21362,A81000B,00400,0300,PHARMACY CONSULTANT 21362,A81000B,00500,0300,NURSING SUPPLIES 21362,A81000B,00600,0300,NURSING SUPPLIES 21362,A81000C,00100,0100,B 21362,A81000C,00100,0200,DIVERSICARE MGM 21362,A81000C,00100,0400,ADVOCAT INC. 21362,A81000C,00100,0600,HOME OFFICE/ MG 21362,A81000C,00200,0100,B 21362,A81000C,00200,0200,AAS PHARMACY 21362,A81000C,00200,0400,ADVOCAT INC. 21362,A81000C,00200,0600,PHARMACY SERVIC 21362,A81000C,00300,0100,B 21362,A81000C,00300,0200,AAS PHARMACY 21362,A81000C,00300,0400,ADVOCAT INC 21362,A81000C,00300,0600,PHARMACY SERVIC 21362,A81000C,00400,0100,B 21362,A81000C,00400,0200,AAS PHARMACY 21362,A81000C,00400,0400,ADVOCAT INC 21362,A81000C,00400,0600,PHARMACY SERVIC 21362,A81000C,00500,0100,B 21362,A81000C,00500,0200,AAS PHARMACY 21362,A81000C,00500,0400,ADVOCAT INC. 21362,A81000C,00500,0600,PHARMACY SERVIC 21362,A81000C,00600,0100,B 21362,A81000C,00600,0200,ADVOCAT DISTR S 21362,A81000C,00600,0400,ADVOCAT INC. 21362,A81000C,00600,0600,MEDICAL SUPPLIE 21362,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21362,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21362,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21362,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21362,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21362,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21362,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21362,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21362,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21362,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21362,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 21362,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21362,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21362,E10A180,00501,0100,06/05/2000 21362,E10A180,00650,0100,07/31/2001 21362,E10A180,00650,0300,07/31/2001 21362,S000000,00100,0200,06/05/2000 21362,S200000,00100,0100,JAMES HANNAH DRIVE 21362,S200000,00100,0300,489 21362,S200000,00200,0100,SOUTH SHORE 21362,S200000,00200,0200,KY 21362,S200000,00200,0300,41175- 21362,S200000,00300,0100,GREENUP 21362,S200000,00400,0100,SOUTH SHORE NRSG. & REHAB. CENTER 21362,S200000,00400,0200,185282 21362,S200000,00400,0300,09/01/1995 21362,S200000,00400,0500,P 21362,S200000,01600,0100,Y 21362,S200000,02200,0100,Y 21370,S000000,00100,0200,01/18/2000 21380,S000000,00100,0200,06/07/2000 21390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21390,A000000,00300,0000,00300EMPLOYEE BENEFITS 21390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21390,A000000,00700,0000,00700HOUSEKEEPING 21390,A000000,00800,0000,00800DIETARY 21390,A000000,00900,0000,00900NURSING ADMINISTRATION 21390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21390,A000000,01100,0000,01100PHARMACY 21390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21390,A000000,01300,0000,01300SOCIAL SERVICE 21390,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21390,A000000,01600,0000,01600SKILLED NURSING FACILITY 21390,A000000,01800,0000,01800NURSING FACILITY 21390,A000000,01900,0000,01900OTHER LONG TERM CARE 21390,A000000,02100,0000,02100RADIOLOGY 21390,A000000,02200,0000,02200LABORATORY 21390,A000000,02300,0000,02300INTRAVENOUS THERAPY 21390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21390,A000000,02500,0000,02500PHYSICAL THERAPY 21390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21390,A000000,02700,0000,02700SPEECH PATHOLOGY 21390,A000000,02800,0000,02800ELECTROCARDIOLOGY 21390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21390,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21390,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21390,A000000,03200,0000,03200SUPPORT SURFACES 21390,A000000,03400,0000,03400CLINIC 21390,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21390,A000000,04800,0000,04800AMBULANCE 21390,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21390,A000000,05000,0000,05000CORF 21390,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21390,A000000,05300,0000,05300INTEREST EXPENSE 21390,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21390,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21390,A000000,05500,0000,05500HOSPICE 21390,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21390,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21390,A000000,06100,0000,06100NONPAID WORKERS 21390,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21390,A000000,06200,0000,06200PATIENTS LAUNDRY 21390,A81000A,00100,0100,Y 21390,A81000B,00100,0300,CONSULTANTS 21390,A81000B,00200,0300,CONSULTANTS 21390,A81000B,00300,0300,CONSULTANTS 21390,A81000B,00400,0300,CONSULTANTS 21390,A81000B,00500,0300,CONSULTANTS 21390,A81000B,00600,0300,HOME OFFICE 21390,A81000B,00700,0300,EQUIPMENT RENTAL 21390,A81000B,00800,0300,GAS 21390,A81000B,00900,0300,SUPPLIES 21390,A81000B,01000,0300,PHARMACY 21390,A81000B,01100,0300,REPAIRS 21390,A81000B,01200,0300,INSURANCE 21390,A81000B,01300,0300,CONTRACT NURSING 21390,A81000C,00100,0100,B 21390,A81000C,00100,0400,BRITTHAVEN INC 21390,A81000C,00100,0600,MGMT SVS 21390,A81000C,00200,0100,B 21390,A81000C,00200,0400,BRITTHAVEN INC 21390,A81000C,00200,0600,MGMT SVS 21390,A81000C,00300,0100,B 21390,A81000C,00300,0400,BRITTHAVEN INC 21390,A81000C,00300,0600,MGMT SVS 21390,A81000C,00400,0100,B 21390,A81000C,00400,0400,BRITTHAVEN INC 21390,A81000C,00400,0600,MGMT SVS 21390,A81000C,00500,0100,B 21390,A81000C,00500,0400,BRITTHAVEN INC 21390,A81000C,00500,0600,MGMT SVS 21390,A81000C,00600,0100,B 21390,A81000C,00600,0400,BRITTHAVEN INC 21390,A81000C,00600,0600,MGMT SVS 21390,A81000C,00700,0100,B 21390,A81000C,00700,0400,BRITTHAVEN INC 21390,A81000C,00700,0600,MGMT SVS 21390,A81000C,00800,0100,B 21390,A81000C,00800,0400,BRITTHAVEN INC 21390,A81000C,00800,0600,MGMT SVS 21390,A81000C,00900,0100,B 21390,A81000C,00900,0400,BRITTHAVEN INC 21390,A81000C,00900,0600,MGMT SVS 21390,A81000C,01000,0100,B 21390,A81000C,01000,0400,KARE MEDICAL 21390,A81000C,01000,0600,WHOLESALE SUPPL 21390,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21390,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21390,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21390,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21390,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21390,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21390,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21390,B100000,00000,0800,00000MEALS SERVED :DIETARY 21390,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21390,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21390,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21390,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21390,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21390,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 21390,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21390,E10A180,00501,0100,03/01/2000 21390,E10A180,00550,0300,03/01/2000 21390,E10A180,00601,0100,02/27/2001 21390,E10A180,00650,0300,02/27/2001 21390,S000000,00100,0200,03/03/2000 21390,S200000,00100,0100,9600 LAMBORNE BLVD 21390,S200000,00200,0100,LOUISVILLE 21390,S200000,00200,0200,KY 21390,S200000,00200,0300,40272- 21390,S200000,00300,0100,JEFFERSON 21390,S200000,00400,0100,BRITTHAVEN OF SOUTH LOUISVILLE 21390,S200000,00400,0200,185288 21390,S200000,00400,0300,02/28/1989 21390,S200000,00400,0500,P 21390,S200000,01600,0100,Y 21399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21399,A000000,00300,0000,00300EMPLOYEE BENEFITS 21399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21399,A000000,00700,0000,00700HOUSEKEEPING 21399,A000000,00800,0000,00800DIETARY 21399,A000000,00900,0000,00900NURSING ADMINISTRATION 21399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21399,A000000,01100,0000,01100PHARMACY 21399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21399,A000000,01300,0000,01300SOCIAL SERVICE 21399,A000000,01350,0000,01500OTHER GENERAL SERVICES 21399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21399,A000000,01600,0000,01600SKILLED NURSING FACILITY 21399,A000000,01800,0000,01800NURSING FACILITY 21399,A000000,01810,0000,01810ICF/MR 21399,A000000,01900,0000,01900OTHER LONG TERM CARE 21399,A000000,02100,0000,02100RADIOLOGY 21399,A000000,02200,0000,02200LABORATORY 21399,A000000,02300,0000,02300INTRAVENOUS THERAPY 21399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21399,A000000,02500,0000,02500PHYSICAL THERAPY 21399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21399,A000000,02700,0000,02700SPEECH PATHOLOGY 21399,A000000,02800,0000,02800ELECTROCARDIOLOGY 21399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21399,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21399,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21399,A000000,03200,0000,03200SUPPORT SURFACES 21399,A000000,03400,0000,03400CLINIC 21399,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21399,A000000,03500,0000,03500RURAL HEALTH CLINIC 21399,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21399,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21399,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21399,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21399,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21399,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21399,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21399,A000000,04400,0000,04400DME RENTED - HHA 21399,A000000,04500,0000,04500DME SOLD - HHA 21399,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21399,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21399,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21399,A000000,04800,0000,04800AMBULANCE 21399,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21399,A000000,05000,0000,05000CORF 21399,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21399,A000000,05300,0000,05300INTEREST EXPENSE 21399,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21399,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21399,A000000,05500,0000,05500HOSPICE 21399,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21399,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21399,A000000,06100,0000,06100NONPAID WORKERS 21399,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21399,A000000,06200,0000,06200PATIENTS LAUNDRY 21399,A81000A,00100,0100,Y 21399,A81000B,00100,0300,HOME OFFICE COSTS 21399,A81000C,00100,0100,B 21399,A81000C,00100,0200,SENIORCARE LLC 21399,A81000C,00100,0400,SENIORCARE LLC 21399,A81000C,00100,0600,HOME OFFICE 21399,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21399,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21399,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21399,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21399,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21399,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21399,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21399,B100000,00000,0800,00000MEALS SERVED :DIETARY 21399,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21399,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21399,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21399,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21399,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21399,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21399,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21399,E10A180,00601,0300,07/26/2001 21399,E10A180,00650,0100,07/26/2001 21399,S000000,00100,0200,06/19/2000 21399,S200000,00100,0100,1550 RAYDALE DRIVE 21399,S200000,00200,0100,LOUISVILLE 21399,S200000,00200,0200,KY 21399,S200000,00200,0300,40219- 21399,S200000,00300,0100,JEFFERSON 21399,S200000,00400,0100,REGENCY HEALTHCARE CENTER 21399,S200000,00400,0200,185290 21399,S200000,00400,0300,01/01/1993 21399,S200000,00400,0500,P 21399,S200000,01600,0100,Y 21408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21408,A000000,00300,0000,00300EMPLOYEE BENEFITS 21408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21408,A000000,00700,0000,00700HOUSEKEEPING 21408,A000000,00800,0000,00800DIETARY 21408,A000000,00900,0000,00900NURSING ADMINISTRATION 21408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21408,A000000,01100,0000,01100PHARMACY 21408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21408,A000000,01300,0000,01300SOCIAL SERVICE 21408,A000000,01350,0000,01500OTHER GENERAL SERVICES 21408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21408,A000000,01600,0000,01600SKILLED NURSING FACILITY 21408,A000000,01800,0000,01800NURSING FACILITY 21408,A000000,01810,0000,01801ICF/MR 21408,A000000,01900,0000,01900OTHER LONG TERM CARE 21408,A000000,02100,0000,02100RADIOLOGY 21408,A000000,02200,0000,02200LABORATORY 21408,A000000,02300,0000,02300INTRAVENOUS THERAPY 21408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21408,A000000,02500,0000,02500PHYSICAL THERAPY 21408,A000000,02501,0000,02501PHYSICAL THERAPY-PART B 10/1-12/31 21408,A000000,02502,0000,02502PHYSICAL THERAPY-PART B 1/1-9/30 21408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21408,A000000,02601,0000,02601OCCUPATIONAL THERAPY-PART B 10/1-12 21408,A000000,02602,0000,02602OCCUPATIONAL THERAPY-PART B 1/1-9/3 21408,A000000,02700,0000,02700SPEECH PATHOLOGY 21408,A000000,02701,0000,02701SPEECH PATHOLOGY-PART B 10/1-12/31 21408,A000000,02702,0000,02702SPEECH PATHOLOGY-PART B 1/1-9/30 21408,A000000,02800,0000,02800ELECTROCARDIOLOGY 21408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21408,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21408,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21408,A000000,03200,0000,03200SUPPORT SURFACES 21408,A000000,03201,0000,03201AMBULANCE 21408,A000000,03400,0000,03400CLINIC 21408,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21408,A000000,03500,0000,03500RURAL HEALTH CLINIC 21408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21408,A000000,04800,0000,04800AMBULANCE 21408,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21408,A000000,05000,0000,05000CORF 21408,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21408,A000000,05300,0000,05300INTEREST EXPENSE 21408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21408,A000000,05500,0000,05500HOSPICE 21408,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21408,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21408,A000000,06100,0000,06100NONPAID WORKERS 21408,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21408,A000000,06200,0000,06200PATIENTS LAUNDRY 21408,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21408,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21408,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21408,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21408,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21408,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21408,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21408,B100000,00000,0800,00000MEALS SERVED :DIETARY 21408,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 21408,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21408,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21408,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21408,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21408,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21408,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21408,E10A180,00601,0100,02/27/2001 21408,E10A180,00650,0300,02/27/2001 21408,S000000,00100,0200,03/02/2000 21408,S200000,00100,0100,142 ROGER POWELL RD. 21408,S200000,00200,0100,SEBREE 21408,S200000,00200,0200,KY 21408,S200000,00200,0300,42455- 21408,S200000,00300,0100,WEBSTER 21408,S200000,00400,0100,COLONIAL TERRACE INC. 21408,S200000,00400,0200,185291 21408,S200000,00400,0300,11/01/1991 21408,S200000,00400,0500,P 21408,S200000,01600,0100,Y 21417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21417,A000000,00300,0000,00300EMPLOYEE BENEFITS 21417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21417,A000000,00700,0000,00700HOUSEKEEPING 21417,A000000,00800,0000,00800DIETARY 21417,A000000,00900,0000,00900NURSING ADMINISTRATION 21417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21417,A000000,01300,0000,01300SOCIAL SERVICE 21417,A000000,01600,0000,01600SKILLED NURSING FACILITY 21417,A000000,01800,0000,01800NURSING FACILITY 21417,A000000,01900,0000,01900OTHER LONG TERM CARE 21417,A000000,02200,0000,02200LABORATORY 21417,A000000,02300,0000,02300INTRAVENOUS THERAPY 21417,A000000,02500,0000,02500PHYSICAL THERAPY 21417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21417,A000000,02700,0000,02700SPEECH PATHOLOGY 21417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21417,A000000,05300,0000,05300INTEREST EXPENSE 21417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21417,A81000A,00100,0100,Y 21417,A81000B,00100,0300,ACCOUNTING FEES 21417,A81000B,00200,0300,DIRECTORS FEES 21417,A81000C,00100,0100,A 21417,A81000C,00100,0200,SAMUEL KELLETT 21417,A81000C,00100,0400,KELLETT INVESTMENTS 21417,A81000C,00100,0600,INVESTMENTS 21417,A81000C,00200,0100,A 21417,A81000C,00200,0200,SAMUEL KELLETT 21417,A81000C,00300,0100,A 21417,A81000C,00300,0200,STILES KELLETT 21417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21417,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 21417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21417,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 21417,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 21417,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 21417,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 21417,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 21417,E10A180,00601,0100,08/23/2001 21417,E10A180,00650,0300,08/23/2001 21417,S000000,00100,0200,05/31/2000 21417,S200000,00100,0100,HIGHWAY 11 LAUREL CREEK ROAD 21417,S200000,00200,0100,MANCHESTER 21417,S200000,00200,0200,KY 21417,S200000,00200,0300,40962-9502 21417,S200000,00300,0100,CLAY 21417,S200000,00300,0200,18 21417,S200000,00300,0300,R 21417,S200000,00400,0100,LAUREL CREEK HEALTH CARE 21417,S200000,00400,0200,185293 21417,S200000,00400,0300,08/15/1997 21417,S200000,00400,0500,P 21417,S200000,01004,0500,O 21417,S200000,01600,0100,Y 21417,S200000,02200,0100,Y 21426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21426,A000000,00300,0000,00300EMPLOYEE BENEFITS 21426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21426,A000000,00700,0000,00700HOUSEKEEPING 21426,A000000,00800,0000,00800DIETARY 21426,A000000,00900,0000,00900NURSING ADMINISTRATION 21426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21426,A000000,01100,0000,01100PHARMACY 21426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21426,A000000,01300,0000,01300SOCIAL SERVICE 21426,A000000,01350,0000,01500OTHER GENERAL SERVICES 21426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21426,A000000,01600,0000,01600SKILLED NURSING FACILITY 21426,A000000,01800,0000,01800NURSING FACILITY 21426,A000000,01810,0000,01810ICF/MR 21426,A000000,01900,0000,01900OTHER LONG TERM CARE 21426,A000000,02100,0000,02100RADIOLOGY 21426,A000000,02200,0000,02200LABORATORY 21426,A000000,02300,0000,02300INTRAVENOUS THERAPY 21426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21426,A000000,02500,0000,02500PHYSICAL THERAPY 21426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21426,A000000,02700,0000,02700SPEECH PATHOLOGY 21426,A000000,02800,0000,02800ELECTROCARDIOLOGY 21426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21426,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21426,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21426,A000000,03200,0000,03200SUPPORT SURFACES 21426,A000000,03400,0000,03400CLINIC 21426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21426,A000000,03500,0000,03500RURAL HEALTH CLINIC 21426,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21426,A000000,04800,0000,04800AMBULANCE 21426,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21426,A000000,05000,0000,05000CORF 21426,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21426,A000000,05300,0000,05300INTEREST EXPENSE 21426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21426,A000000,05500,0000,05500HOSPICE 21426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21426,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21426,A000000,06100,0000,06100NONPAID WORKERS 21426,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21426,A000000,06200,0000,06200PATIENTS LAUNDRY 21426,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 21426,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 21426,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21426,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 21426,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21426,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 21426,B100000,00000,0800,00000MEALS SERVED :DIETARY 21426,B100000,00000,0950,00000DIRECT NRSG. :NURSING ADMINISTRATI 21426,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21426,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21426,E10A180,00501,0100,06/05/2000 21426,E10A180,00550,0300,06/05/2000 21426,E10A180,00601,0100,09/14/2001 21426,E10A180,00650,0300,09/14/2001 21426,S000000,00100,0200,06/05/2000 21426,S200000,00100,0100,112 DOVER DRIVE 21426,S200000,00200,0100,GEORGETOWN 21426,S200000,00200,0200,KY 21426,S200000,00200,0300,40324- 21426,S200000,00300,0100,SCOTT 21426,S200000,00300,0200,4280 21426,S200000,00300,0300,U 21426,S200000,00400,0100,DOVER MANOR 21426,S200000,00400,0200,185295 21426,S200000,00400,0300,07/14/1991 21426,S200000,00400,0500,P 21426,S200000,01600,0100,Y 21435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21435,A000000,00300,0000,00300EMPLOYEE BENEFITS 21435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21435,A000000,00700,0000,00700HOUSEKEEPING 21435,A000000,00800,0000,00800DIETARY 21435,A000000,00900,0000,00900NURSING ADMINISTRATION 21435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21435,A000000,01100,0000,01100PHARMACY 21435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21435,A000000,01300,0000,01300SOCIAL SERVICE 21435,A000000,01350,0000,01500OTHER GENERAL SERVICES 21435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21435,A000000,01600,0000,01600SKILLED NURSING FACILITY 21435,A000000,01800,0000,01800NURSING FACILITY 21435,A000000,01810,0000,01810ICF/MR 21435,A000000,01900,0000,01900OTHER LONG TERM CARE 21435,A000000,02100,0000,02100RADIOLOGY 21435,A000000,02200,0000,02200LABORATORY 21435,A000000,02300,0000,02300INTRAVENOUS THERAPY 21435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21435,A000000,02500,0000,02500PHYSICAL THERAPY 21435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21435,A000000,02700,0000,02700SPEECH PATHOLOGY 21435,A000000,02800,0000,02800ELECTROCARDIOLOGY 21435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21435,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21435,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21435,A000000,03200,0000,03200SUPPORT SURFACES 21435,A000000,03400,0000,03400CLINIC 21435,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21435,A000000,03500,0000,03500RURAL HEALTH CLINIC 21435,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21435,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21435,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21435,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21435,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21435,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21435,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21435,A000000,04400,0000,04400DME RENTED - HHA 21435,A000000,04500,0000,04500DME SOLD - HHA 21435,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21435,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21435,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21435,A000000,04800,0000,04800AMBULANCE 21435,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21435,A000000,05000,0000,05000CORF 21435,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21435,A000000,05300,0000,05300INTEREST EXPENSE 21435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21435,A000000,05500,0000,05500HOSPICE 21435,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21435,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21435,A000000,06100,0000,06100NONPAID WORKERS 21435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21435,A000000,06200,0000,06200PATIENTS LAUNDRY 21435,A81000A,00100,0100,Y 21435,A81000B,00100,0300,GUARD SERVICES 21435,A81000B,00200,0300,MAINTENANCE SERVICES 21435,A81000B,00300,0300,TRANSPORATION 21435,A81000C,00100,0100,B 21435,A81000C,00100,0200,URSULINE SOCIETY & ACAMED 21435,A81000C,00100,0400,SAME 21435,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21435,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21435,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21435,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21435,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21435,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21435,B100000,00000,0800,00000MEALS SERVED :DIETARY 21435,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21435,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21435,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21435,E10A180,00601,0100,03/15/2002 21435,E10A180,00601,0300,03/15/2002 21435,S000000,00100,0200,11/29/2000 21435,S200000,00100,0100,3105 LEXINGTON ROAD 21435,S200000,00200,0100,LOUISVILLE 21435,S200000,00200,0200,KY 21435,S200000,00200,0300,40206- 21435,S200000,00300,0100,JEFFERSON 21435,S200000,00300,0200,4520 21435,S200000,00300,0300,U 21435,S200000,00400,0100,MARIAN HOME - URSULINE SISTERS 21435,S200000,00400,0200,185296 21435,S200000,00400,0300,10/01/1991 21435,S200000,00400,0500,P 21435,S200000,01600,0100,Y 21447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21447,A000000,00300,0000,00300EMPLOYEE BENEFITS 21447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21447,A000000,00700,0000,00700HOUSEKEEPING 21447,A000000,00800,0000,00800DIETARY 21447,A000000,00900,0000,00900NURSING ADMINISTRATION 21447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21447,A000000,01100,0000,01100PHARMACY 21447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21447,A000000,01300,0000,01300SOCIAL SERVICE 21447,A000000,01350,0000,01500OTHER GENERAL SERVICES 21447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21447,A000000,01600,0000,01600SKILLED NURSING FACILITY 21447,A000000,01800,0000,01800NURSING FACILITY 21447,A000000,01810,0000,01810ICF/MR 21447,A000000,01900,0000,01900OTHER LONG TERM CARE 21447,A000000,02100,0000,02100RADIOLOGY 21447,A000000,02200,0000,02200LABORATORY 21447,A000000,02300,0000,02300INTRAVENOUS THERAPY 21447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21447,A000000,02500,0000,02500PHYSICAL THERAPY 21447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21447,A000000,02700,0000,02700SPEECH PATHOLOGY 21447,A000000,02800,0000,02800ELECTROCARDIOLOGY 21447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21447,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21447,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21447,A000000,03200,0000,03200SUPPORT SURFACES 21447,A000000,03400,0000,03400CLINIC 21447,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21447,A000000,03500,0000,03500RURAL HEALTH CLINIC 21447,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21447,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21447,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21447,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21447,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21447,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21447,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21447,A000000,04400,0000,04400DME RENTED - HHA 21447,A000000,04500,0000,04500DME SOLD - HHA 21447,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21447,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21447,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21447,A000000,04800,0000,04800AMBULANCE 21447,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21447,A000000,05000,0000,05000CORF 21447,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21447,A000000,05300,0000,05300INTEREST EXPENSE 21447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21447,A000000,05500,0000,05500HOSPICE 21447,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21447,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21447,A000000,06100,0000,06100NONPAID WORKERS 21447,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21447,A000000,06200,0000,06200PATIENTS LAUNDRY 21447,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21447,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21447,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21447,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21447,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21447,B100000,00000,0800,00000MEALS SERVED :DIETARY 21447,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 21447,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21447,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21447,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21447,E10A180,00601,0100,08/29/2001 21447,E10A180,00650,0300,08/29/2001 21447,S000000,00100,0200,05/31/2000 21447,S200000,00100,0100,1801 W. HWY 90 BY-PASS 21447,S200000,00200,0100,MONTICELLO 21447,S200000,00200,0200,KY 21447,S200000,00200,0300,42633- 21447,S200000,00300,0100,WAYNE 21447,S200000,00300,0200,18 21447,S200000,00300,0300,R 21447,S200000,00400,0100,HICKS GOLDEN YEARS NURSING HOME 21447,S200000,00400,0200,185298 21447,S200000,00400,0300,12/01/1991 21447,S200000,00400,0500,P 21447,S200000,01600,0100,Y 21447,S200000,04700,0100,Y 21447,S200000,04700,0200,Y 21457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21457,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21457,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21457,A000000,00300,0000,00300EMPLOYEE BENEFITS 21457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21457,A000000,00700,0000,00700HOUSEKEEPING 21457,A000000,00800,0000,00800DIETARY 21457,A000000,00801,0000,00801CAFETERIA 21457,A000000,00900,0000,00900NURSING ADMINISTRATION 21457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21457,A000000,01100,0000,01100PHARMACY 21457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21457,A000000,01300,0000,01300SOCIAL SERVICE 21457,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21457,A000000,01600,0000,01600SKILLED NURSING FACILITY 21457,A000000,01800,0000,01800NURSING FACILITY 21457,A000000,01900,0000,01900OTHER LONG TERM CARE 21457,A000000,02100,0000,02100RADIOLOGY 21457,A000000,02200,0000,02200LABORATORY 21457,A000000,02300,0000,02300INTRAVENOUS THERAPY 21457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21457,A000000,02500,0000,02500PHYSICAL THERAPY 21457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21457,A000000,02700,0000,02700SPEECH PATHOLOGY 21457,A000000,02800,0000,02800ELECTROCARDIOLOGY 21457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21457,A000000,03050,0000,03300OTHER ANCILLARY 21457,A000000,03051,0000,03301OTHER ANCILLARY II 21457,A000000,03052,0000,03302OTHER ANCILLARY III 21457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21457,A000000,03200,0000,03200SUPPORT SURFACES 21457,A000000,03400,0000,03400CLINIC 21457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21457,A000000,03500,0000,03500RURAL HEALTH CLINIC 21457,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21457,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21457,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21457,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21457,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21457,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21457,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21457,A000000,04400,0000,04400DME RENTED - HHA 21457,A000000,04500,0000,04500DME SOLD - HHA 21457,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21457,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21457,A000000,05000,0000,05000CORF 21457,A000000,05010,0000,05010CMHC I 21457,A000000,05020,0000,05020OPT I 21457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21457,A000000,05300,0000,05300INTEREST EXPENSE 21457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21457,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21457,A000000,05500,0000,05500HOSPICE 21457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21457,A000000,06100,0000,06100NONPAID WORKERS 21457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21457,A000000,06200,0000,06200PATIENTS LAUNDRY 21457,A81000A,00100,0100,Y 21457,A81000B,00100,0300,HOME OFFICE COSTS 21457,A81000B,00200,0300,PUBLIC RELATIONS 21457,A81000B,00300,0300,TRAINING COSTS 21457,A81000B,00400,0300,MDS FEES 21457,A81000B,00500,0300,REHAB FEES 21457,A81000B,00600,0300,REHAB FEES 21457,A81000B,00700,0300,REHAB FEES 21457,A81000C,00100,0100,B 21457,A81000C,00100,0400,EPI CORPORATION 21457,A81000C,00100,0600,NURSING HOMES 21457,A81000C,00200,0100,C 21457,A81000C,00200,0400,LUKEN / NUGENT 21457,A81000C,00200,0600,HC COMM. 21457,A81000C,00300,0100,C 21457,A81000C,00300,0400,KY HC TRAINING 21457,A81000C,00300,0600,KY HC TRAINING 21457,A81000C,00400,0100,C 21457,A81000C,00400,0400,RMS INC. 21457,A81000C,00400,0600,MDS CONSULTING 21457,A81000C,00500,0100,C 21457,A81000C,00500,0400,RMS INC. 21457,A81000C,00500,0600,THERAPY 21457,A81000C,00600,0100,C 21457,A81000C,00600,0400,RMS INC. 21457,A81000C,00600,0600,THERAPY 21457,A81000C,00700,0100,C 21457,A81000C,00700,0400,RMS INC. 21457,A81000C,00700,0600,THERAPY 21457,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21457,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21457,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21457,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21457,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21457,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21457,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21457,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21457,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21457,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21457,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21457,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21457,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21457,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21457,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21457,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21457,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21457,E10A180,00601,0300,08/07/2000 21457,E10A180,00650,0100,08/07/2000 21457,S000000,00100,0200,06/29/1999 21457,S200000,00100,0100,1877 FARNSLEY ROAD 21457,S200000,00200,0100,LOUISVILLE 21457,S200000,00200,0200,KY 21457,S200000,00200,0300,40216- 21457,S200000,00300,0100,JEFFERSON 21457,S200000,00400,0100,SUMMERFIELD HEALTH & REHAB CENTER 21457,S200000,00400,0200,185300 21457,S200000,00400,0300,11/01/1991 21457,S200000,00400,0500,P 21457,S200000,01600,0100,Y 21457,S200000,02200,0100,Y 21457,S700003,00000,0100,1 21459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21459,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21459,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21459,A000000,00300,0000,00300EMPLOYEE BENEFITS 21459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21459,A000000,00700,0000,00700HOUSEKEEPING 21459,A000000,00800,0000,00800DIETARY 21459,A000000,00801,0000,00801CAFETERIA 21459,A000000,00900,0000,00900NURSING ADMINISTRATION 21459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21459,A000000,01100,0000,01100PHARMACY 21459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21459,A000000,01300,0000,01300SOCIAL SERVICE 21459,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21459,A000000,01600,0000,01600SKILLED NURSING FACILITY 21459,A000000,01800,0000,01800NURSING FACILITY 21459,A000000,01900,0000,01900OTHER LONG TERM CARE 21459,A000000,02100,0000,02100RADIOLOGY 21459,A000000,02200,0000,02200LABORATORY 21459,A000000,02300,0000,02300INTRAVENOUS THERAPY 21459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21459,A000000,02500,0000,02500PHYSICAL THERAPY 21459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21459,A000000,02700,0000,02700SPEECH PATHOLOGY 21459,A000000,02800,0000,02800ELECTROCARDIOLOGY 21459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21459,A000000,03050,0000,03300OTHER ANCILLARY 21459,A000000,03051,0000,03301OTHER ANCILLARY II 21459,A000000,03052,0000,03302OTHER ANCILLARY III 21459,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21459,A000000,03200,0000,03200SUPPORT SURFACES 21459,A000000,03400,0000,03400CLINIC 21459,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21459,A000000,03500,0000,03500RURAL HEALTH CLINIC 21459,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21459,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21459,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21459,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21459,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21459,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21459,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21459,A000000,04400,0000,04400DME RENTED - HHA 21459,A000000,04500,0000,04500DME SOLD - HHA 21459,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21459,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21459,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21459,A000000,04800,0000,04800AMBULANCE 21459,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21459,A000000,05000,0000,05000CORF 21459,A000000,05010,0000,05010CMHC I 21459,A000000,05020,0000,05020OPT I 21459,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21459,A000000,05300,0000,05300INTEREST EXPENSE 21459,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21459,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21459,A000000,05500,0000,05500HOSPICE 21459,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21459,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21459,A000000,06100,0000,06100NONPAID WORKERS 21459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21459,A000000,06200,0000,06200PATIENTS LAUNDRY 21459,A81000A,00100,0100,Y 21459,A81000B,00100,0300,HOME OFFICE COSTS 21459,A81000B,00200,0300,PUBLIC RELATIONS 21459,A81000B,00300,0300,TRAINING COSTS 21459,A81000B,00400,0300,MDS FEES 21459,A81000B,00500,0300,REHAB. FEES 21459,A81000B,00600,0300,REHAB. FEES 21459,A81000B,00700,0300,REHAB. FEES 21459,A81000C,00100,0100,B 21459,A81000C,00100,0400,EPI CORPORATION 21459,A81000C,00100,0600,NURSING HOMES 21459,A81000C,00200,0100,C 21459,A81000C,00200,0400,LUKEN/NUGENT 21459,A81000C,00200,0600,HC COMM. 21459,A81000C,00300,0100,C 21459,A81000C,00300,0400,KY HC TRAINING 21459,A81000C,00300,0600,KY HC TRAINING 21459,A81000C,00400,0100,C 21459,A81000C,00400,0400,RMS INC. 21459,A81000C,00400,0600,MDS CONSULTING 21459,A81000C,00500,0100,C 21459,A81000C,00500,0400,RMS INC. 21459,A81000C,00500,0600,THERAPY 21459,A81000C,00600,0100,C 21459,A81000C,00600,0400,RMS INC. 21459,A81000C,00600,0600,THERAPY 21459,A81000C,00700,0100,C 21459,A81000C,00700,0400,RMS INC. 21459,A81000C,00700,0600,THERAPY 21459,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21459,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21459,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21459,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21459,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21459,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21459,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21459,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21459,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21459,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21459,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21459,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21459,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21459,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21459,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21459,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21459,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21459,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21459,E10A180,00601,0100,02/28/2001 21459,E10A180,00601,0300,02/28/2001 21459,S000000,00100,0200,01/24/2000 21459,S200000,00100,0100,1877 FARNSLEY ROAD 21459,S200000,00200,0100,LOUISVILLE 21459,S200000,00200,0200,KY 21459,S200000,00200,0300,40216- 21459,S200000,00300,0100,JEFFERSON 21459,S200000,00400,0100,SUMMERFIELD HEALTH & REHAB CENTER 21459,S200000,00400,0200,185300 21459,S200000,00400,0300,11/01/1991 21459,S200000,00400,0500,P 21459,S200000,01600,0100,Y 21459,S200000,02200,0100,Y 21461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21461,A000000,00300,0000,00300EMPLOYEE BENEFITS 21461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21461,A000000,00700,0000,00700HOUSEKEEPING 21461,A000000,00800,0000,00800DIETARY 21461,A000000,00900,0000,00900NURSING ADMINISTRATION 21461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21461,A000000,01100,0000,01100PHARMACY 21461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21461,A000000,01300,0000,01300SOCIAL SERVICE 21461,A000000,01350,0000,01500OTHER GENERAL SERVICES 21461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21461,A000000,01600,0000,01600SKILLED NURSING FACILITY 21461,A000000,01800,0000,01800NURSING FACILITY 21461,A000000,01810,0000,01801ICF/MR 21461,A000000,01900,0000,01900OTHER LONG TERM CARE 21461,A000000,02100,0000,02100RADIOLOGY 21461,A000000,02200,0000,02200LABORATORY 21461,A000000,02300,0000,02300INTRAVENOUS THERAPY 21461,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21461,A000000,02500,0000,02500PHYSICAL THERAPY 21461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21461,A000000,02700,0000,02700SPEECH PATHOLOGY 21461,A000000,02800,0000,02800ELECTROCARDIOLOGY 21461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21461,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21461,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21461,A000000,03200,0000,03200SUPPORT SURFACES 21461,A000000,03400,0000,03400CLINIC 21461,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21461,A000000,03500,0000,03500RURAL HEALTH CLINIC 21461,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21461,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21461,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21461,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21461,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21461,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21461,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21461,A000000,04400,0000,04400DME RENTED - HHA 21461,A000000,04500,0000,04500DME SOLD - HHA 21461,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21461,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21461,A000000,04800,0000,04800AMBULANCE 21461,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21461,A000000,05000,0000,05000CORF 21461,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21461,A000000,05300,0000,05300INTEREST EXPENSE 21461,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21461,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21461,A000000,05500,0000,05500HOSPICE 21461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21461,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21461,A000000,06100,0000,06100NONPAID WORKERS 21461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21461,A000000,06200,0000,06200PATIENTS LAUNDRY 21461,A81000A,00100,0100,Y 21461,A81000B,00100,0300,HOME OFFICE COSTS 21461,A81000B,00200,0300,PUBLIC RELATIONS 21461,A81000B,00300,0300,TRAINING COSTS 21461,A81000B,00400,0300,MDS FEES 21461,A81000B,00500,0300,REHAB FEES 21461,A81000B,00600,0300,REHAB FEES 21461,A81000B,00700,0300,REHAB FEES 21461,A81000C,00100,0100,B 21461,A81000C,00100,0400,EPI CORPORATION 21461,A81000C,00100,0600,NURSING HOMES 21461,A81000C,00200,0100,C 21461,A81000C,00200,0400,LUKEN/NUGENT 21461,A81000C,00200,0600,HC COMM. 21461,A81000C,00300,0100,C 21461,A81000C,00300,0400,KY HC TRAINING 21461,A81000C,00300,0600,KY HC TRAINING 21461,A81000C,00400,0100,C 21461,A81000C,00400,0400,RMS INC. 21461,A81000C,00400,0600,MDS CONSULTING 21461,A81000C,00500,0100,C 21461,A81000C,00500,0400,RMS INC. 21461,A81000C,00500,0600,THERAPY 21461,A81000C,00600,0100,C 21461,A81000C,00600,0400,RMS INC. 21461,A81000C,00600,0600,THERAPY 21461,A81000C,00700,0100,C 21461,A81000C,00700,0400,RMS INC. 21461,A81000C,00700,0600,THERAPY 21461,B100000,00000,0150,00000FEET :CAP REL COSTS - BLDGS & FIX 21461,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 21461,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21461,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21461,B100000,00000,0550,00000FEET :PLANT OPERATION MAINT. & R 21461,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21461,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21461,B100000,00000,0800,00000MEALS SERVED :DIETARY 21461,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21461,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21461,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21461,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21461,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21461,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21461,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21461,E10A180,00501,0100,07/10/2000 21461,E10A180,00501,0300,07/10/2000 21461,E10A180,00601,0100,05/14/2001 21461,E10A180,00601,0300,05/14/2001 21461,S000000,00100,0200,06/01/2000 21461,S200000,00100,0100,1877 FARNSLEY ROAD 21461,S200000,00200,0100,LOUISVILLE 21461,S200000,00200,0200,KY 21461,S200000,00200,0300,40216- 21461,S200000,00300,0100,JEFFERSON 21461,S200000,00400,0100,SUMMERFIELD HEALTH & REHAB 21461,S200000,00400,0200,185300 21461,S200000,00400,0300,11/01/1991 21461,S200000,00400,0500,P 21461,S200000,01600,0100,Y 21461,S200000,02200,0100,Y 21461,S200000,02800,0100,Y 21470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21470,A000000,00300,0000,00300EMPLOYEE BENEFITS 21470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21470,A000000,00700,0000,00700HOUSEKEEPING 21470,A000000,00800,0000,00800DIETARY 21470,A000000,00900,0000,00900NURSING ADMINISTRATION 21470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21470,A000000,01100,0000,01100PHARMACY 21470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21470,A000000,01300,0000,01300SOCIAL SERVICE 21470,A000000,01350,0000,01500OTHER GENERAL SERVICES 21470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21470,A000000,01600,0000,01600SKILLED NURSING FACILITY 21470,A000000,01800,0000,01800NURSING FACILITY 21470,A000000,01810,0000,01810ICF/MR 21470,A000000,01900,0000,01900OTHER LONG TERM CARE 21470,A000000,02100,0000,02100RADIOLOGY 21470,A000000,02200,0000,02200LABORATORY 21470,A000000,02300,0000,02300INTRAVENOUS THERAPY 21470,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21470,A000000,02500,0000,02500PHYSICAL THERAPY 21470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21470,A000000,02700,0000,02700SPEECH PATHOLOGY 21470,A000000,02800,0000,02800ELECTROCARDIOLOGY 21470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21470,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21470,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21470,A000000,03200,0000,03200SUPPORT SURFACES 21470,A000000,03400,0000,03400CLINIC 21470,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21470,A000000,03500,0000,03500RURAL HEALTH CLINIC 21470,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21470,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21470,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21470,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21470,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21470,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21470,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21470,A000000,04400,0000,04400DME RENTED - HHA 21470,A000000,04500,0000,04500DME SOLD - HHA 21470,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21470,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21470,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21470,A000000,04800,0000,04800AMBULANCE 21470,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21470,A000000,05000,0000,05000CORF 21470,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21470,A000000,05300,0000,05300INTEREST EXPENSE 21470,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21470,A000000,05500,0000,05500HOSPICE 21470,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21470,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21470,A000000,06100,0000,06100NONPAID WORKERS 21470,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21470,A000000,06200,0000,06200PATIENTS LAUNDRY 21470,A81000A,00100,0100,Y 21470,A81000B,00100,0300,HOME OFFICE EXPENSE 21470,A81000B,00200,0300,TRAINING COSTS 21470,A81000B,00300,0300,REHAB MANAGEMENT FEES 21470,A81000B,00400,0300,REHAB MANAGEMENT FEES 21470,A81000B,00500,0300,REHAB MANAGEMENT FEES 21470,A81000C,00100,0100,A 21470,A81000C,00100,0200,SHAREHOLDERS 21470,A81000C,00100,0400,THE MEADOWS GROUP 21470,A81000C,00100,0600,NURSING HOMES 21470,A81000C,00200,0100,C 21470,A81000C,00200,0400,KENTUCKY HLTHCR TRAINING 21470,A81000C,00200,0600,HEALTHCARE TRAINING 21470,A81000C,00300,0100,D 21470,A81000C,00300,0400,RMS INC. 21470,A81000C,00300,0600,REHAB. MANAGEMENT 21470,A81000C,00400,0100,D 21470,A81000C,00400,0400,RMS INC. 21470,A81000C,00400,0600,REHAB. MANAGEMENT 21470,A81000C,00500,0100,D 21470,A81000C,00500,0400,RMS INC. 21470,A81000C,00500,0600,REHAB. MANAGEMENT 21470,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21470,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21470,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21470,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21470,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21470,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21470,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21470,B100000,00000,0800,00000MEALS SERVED :DIETARY 21470,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 21470,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21470,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21470,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21470,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21470,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21470,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21470,E10A180,00550,0100,05/01/2000 21470,E10A180,00550,0300,05/01/2000 21470,E10A180,00601,0100,07/11/2001 21470,E10A180,00601,0300,07/11/2001 21470,S000000,00100,0200,05/01/2000 21470,S200000,00100,0100,4604 LOWE ROAD 21470,S200000,00200,0100,LOUISVILLE 21470,S200000,00200,0200,KY 21470,S200000,00200,0300,40220- 21470,S200000,00300,0100,JEFFERSON 21470,S200000,00400,0100,PINE TREE VILLA INC. 21470,S200000,00400,0200,185301 21470,S200000,00400,0300,11/01/1991 21470,S200000,00400,0500,P 21470,S200000,01600,0100,Y 21470,S200000,02200,0100,Y 21487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21487,A000000,00300,0000,00300EMPLOYEE BENEFITS 21487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21487,A000000,00700,0000,00700HOUSEKEEPING 21487,A000000,00800,0000,00800DIETARY 21487,A000000,00900,0000,00900NURSING ADMINISTRATION 21487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21487,A000000,01100,0000,01100PHARMACY 21487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21487,A000000,01300,0000,01300SOCIAL SERVICE 21487,A000000,01350,0000,01500OTHER GENERAL SERVICES 21487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21487,A000000,01600,0000,01600SKILLED NURSING FACILITY 21487,A000000,01800,0000,01800NURSING FACILITY 21487,A000000,01900,0000,01900OTHER LONG TERM CARE 21487,A000000,02100,0000,02100RADIOLOGY 21487,A000000,02200,0000,02200LABORATORY 21487,A000000,02300,0000,02300INTRAVENOUS THERAPY 21487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21487,A000000,02500,0000,02500PHYSICAL THERAPY 21487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21487,A000000,02700,0000,02700SPEECH PATHOLOGY 21487,A000000,02800,0000,02800ELECTROCARDIOLOGY 21487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21487,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21487,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21487,A000000,03200,0000,03200SUPPORT SURFACES 21487,A000000,03400,0000,03400CLINIC 21487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21487,A000000,03500,0000,03500RURAL HEALTH CLINIC 21487,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21487,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21487,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21487,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21487,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21487,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21487,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21487,A000000,04400,0000,04400DME RENTED - HHA 21487,A000000,04500,0000,04500DME SOLD - HHA 21487,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21487,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21487,A000000,04800,0000,04800AMBULANCE 21487,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21487,A000000,05000,0000,05000CORF 21487,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21487,A000000,05300,0000,05300INTEREST EXPENSE 21487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21487,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21487,A000000,05500,0000,05500HOSPICE 21487,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21487,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21487,A000000,06100,0000,06100NONPAID WORKERS 21487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21487,A000000,06200,0000,06200PATIENTS LAUNDRY 21487,A81000A,00100,0100,Y 21487,A81000B,00100,0300,HOME OFFICE COSTS 21487,A81000B,00200,0300,CAPITAL RELATED 21487,A81000C,00100,0100,B 21487,A81000C,00100,0200,EXTENDACARE INC. 21487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21487,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21487,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21487,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21487,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21487,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21487,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21487,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21487,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21487,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21487,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21487,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21487,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21487,E10A180,00601,0100,02/28/2001 21487,S000000,00100,0200,07/25/2000 21487,S200000,00100,0100,147 NORTH HIGHLAND AVENUE 21487,S200000,00200,0100,PRESTONSBURG 21487,S200000,00200,0200,KY 21487,S200000,00200,0300,41653- 21487,S200000,00300,0100,FLOYD 21487,S200000,00400,0100,MOUNTAIN MANOR OF PRESTONSBURG 21487,S200000,00400,0200,185304 21487,S200000,00400,0300,01/01/1992 21487,S200000,00400,0500,P 21487,S200000,01500,0100,Y 21487,S200000,02200,0100,Y 21487,S200000,03100,0100,Y 21498,S000000,00100,0200,03/21/2000 21504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21504,A000000,00300,0000,00300EMPLOYEE BENEFITS 21504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21504,A000000,00700,0000,00700HOUSEKEEPING 21504,A000000,00800,0000,00800DIETARY 21504,A000000,00900,0000,00900NURSING ADMINISTRATION 21504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21504,A000000,01100,0000,01100PHARMACY 21504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21504,A000000,01300,0000,01300SOCIAL SERVICE 21504,A000000,01350,0000,01500OTHER GENERAL SERVICES 21504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21504,A000000,01600,0000,01600SKILLED NURSING FACILITY 21504,A000000,01800,0000,01800NURSING FACILITY 21504,A000000,01810,0000,01810ICF/MR 21504,A000000,01900,0000,01900OTHER LONG TERM CARE 21504,A000000,02100,0000,02100RADIOLOGY 21504,A000000,02200,0000,02200LABORATORY 21504,A000000,02300,0000,02300INTRAVENOUS THERAPY 21504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21504,A000000,02500,0000,02500PHYSICAL THERAPY 21504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21504,A000000,02700,0000,02700SPEECH PATHOLOGY 21504,A000000,02800,0000,02800ELECTROCARDIOLOGY 21504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21504,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21504,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21504,A000000,03200,0000,03200SUPPORT SURFACES 21504,A000000,03400,0000,03400CLINIC 21504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21504,A000000,03500,0000,03500RURAL HEALTH CLINIC 21504,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21504,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21504,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21504,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21504,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21504,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21504,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21504,A000000,04400,0000,04400DME RENTED - HHA 21504,A000000,04500,0000,04500DME SOLD - HHA 21504,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21504,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21504,A000000,04800,0000,04800AMBULANCE 21504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21504,A000000,05000,0000,05000CORF 21504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21504,A000000,05300,0000,05300INTEREST EXPENSE 21504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21504,A000000,05500,0000,05500HOSPICE 21504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21504,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21504,A000000,06100,0000,06100NONPAID WORKERS 21504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21504,A000000,06200,0000,06200PATIENTS LAUNDRY 21504,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21504,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21504,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21504,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21504,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21504,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21504,B100000,00000,0800,00000MEALS SERVED :DIETARY 21504,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21504,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21504,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21504,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21504,E10A180,00601,0100,03/13/2002 21504,S000000,00100,0200,12/01/2000 21504,S200000,00100,0100,425 ISLAND FORD ROAD 21504,S200000,00200,0100,MADISONVILLE 21504,S200000,00200,0200,KY 21504,S200000,00200,0300,42135- 21504,S200000,00300,0100,HOPKINS 21504,S200000,00300,0200,0018 21504,S200000,00300,0300,R 21504,S200000,00400,0100,RIDGEWOOD TERRACE NURSING HOME 21504,S200000,00400,0200,185306 21504,S200000,00400,0300,10/01/1990 21504,S200000,00400,0500,P 21504,S200000,01600,0100,Y 21504,S200000,04700,0100,Y 21504,S200000,04700,0200,Y 21511,S000000,00100,0200,02/02/2000 21514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21514,A000000,00300,0000,00300EMPLOYEE BENEFITS 21514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21514,A000000,00700,0000,00700HOUSEKEEPING 21514,A000000,00800,0000,00800DIETARY 21514,A000000,00900,0000,00900NURSING ADMINISTRATION 21514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21514,A000000,01100,0000,01100PHARMACY 21514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21514,A000000,01300,0000,01300SOCIAL SERVICE 21514,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21514,A000000,01600,0000,01600SKILLED NURSING FACILITY 21514,A000000,01800,0000,01800NURSING FACILITY 21514,A000000,01810,0000,01810ICF/MR 21514,A000000,01900,0000,01900OTHER LONG TERM CARE 21514,A000000,02100,0000,02100RADIOLOGY 21514,A000000,02200,0000,02200LABORATORY 21514,A000000,02300,0000,02300INTRAVENOUS THERAPY 21514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21514,A000000,02500,0000,02500PHYSICAL THERAPY 21514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21514,A000000,02700,0000,02700SPEECH PATHOLOGY 21514,A000000,02800,0000,02800ELECTROCARDIOLOGY 21514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21514,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21514,A000000,03200,0000,03200SUPPORT SURFACES 21514,A000000,03400,0000,03400CLINIC 21514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21514,A000000,03500,0000,03500RURAL HEALTH CLINIC 21514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21514,A000000,04400,0000,04400DME RENTED - HHA 21514,A000000,04500,0000,04500DME SOLD - HHA 21514,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21514,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21514,A000000,04800,0000,04800AMBULANCE 21514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21514,A000000,05000,0000,05000CORF 21514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21514,A000000,05300,0000,05300INTEREST EXPENSE 21514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21514,A000000,05500,0000,05500HOSPICE 21514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21514,A000000,06100,0000,06100NONPAID WORKERS 21514,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21514,A000000,06200,0000,06200PATIENTS LAUNDRY 21514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21514,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21514,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21514,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21514,B100000,00000,0800,00000MEALS SERVED :DIETARY 21514,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21514,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21514,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21514,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21514,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21514,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21514,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21514,E10A180,00601,0100,03/12/2001 21514,E10A180,00601,0300,03/12/2001 21514,S000000,00100,0200,05/03/2000 21514,S200000,00100,0100,718 WALLACE AVENUE 21514,S200000,00100,0300,P.O. BOX 466 21514,S200000,00200,0100,LEITCHFIELD 21514,S200000,00200,0200,KY 21514,S200000,00200,0300,42754- 21514,S200000,00300,0100,GRAYSON 21514,S200000,00400,0100,LEITCHFIELD HEALTH CARE MANOR 21514,S200000,00400,0200,185309 21514,S200000,00400,0300,01/01/1992 21514,S200000,00400,0500,P 21514,S200000,01600,0100,Y 21534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21534,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21534,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21534,A000000,00300,0000,00300EMPLOYEE BENEFITS 21534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21534,A000000,00700,0000,00700HOUSEKEEPING 21534,A000000,00800,0000,00800DIETARY 21534,A000000,00801,0000,00801CAFETERIA 21534,A000000,00900,0000,00900NURSING ADMINISTRATION 21534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21534,A000000,01100,0000,01100PHARMACY 21534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21534,A000000,01300,0000,01300SOCIAL SERVICE 21534,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21534,A000000,01600,0000,01600SKILLED NURSING FACILITY 21534,A000000,01800,0000,01800NURSING FACILITY 21534,A000000,01900,0000,01900OTHER LONG TERM CARE 21534,A000000,02100,0000,02100RADIOLOGY 21534,A000000,02200,0000,02200LABORATORY 21534,A000000,02300,0000,02300INTRAVENOUS THERAPY 21534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21534,A000000,02500,0000,02500PHYSICAL THERAPY 21534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21534,A000000,02700,0000,02700SPEECH PATHOLOGY 21534,A000000,02800,0000,02800ELECTROCARDIOLOGY 21534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21534,A000000,03050,0000,03300OTHER ANCILLARY 21534,A000000,03051,0000,03301OTHER ANCILLARY II 21534,A000000,03052,0000,03302OTHER ANCILLARY III 21534,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21534,A000000,03200,0000,03200SUPPORT SURFACES 21534,A000000,03400,0000,03400CLINIC 21534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21534,A000000,03500,0000,03500RURAL HEALTH CLINIC 21534,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21534,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21534,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21534,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21534,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21534,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21534,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21534,A000000,04400,0000,04400DME RENTED - HHA 21534,A000000,04500,0000,04500DME SOLD - HHA 21534,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21534,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21534,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21534,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21534,A000000,05000,0000,05000CORF 21534,A000000,05010,0000,05010CMHC I 21534,A000000,05020,0000,05020OPT I 21534,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21534,A000000,05300,0000,05300INTEREST EXPENSE 21534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21534,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21534,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21534,A000000,05500,0000,05500HOSPICE 21534,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21534,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21534,A000000,06100,0000,06100NONPAID WORKERS 21534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21534,A000000,06200,0000,06200PATIENTS LAUNDRY 21534,A81000A,00100,0100,Y 21534,A81000B,00100,0300,HOME OFFICE COSTS 21534,A81000B,00200,0300,PUBLIC RELATIONS 21534,A81000B,00300,0300,TRAINING COSTS 21534,A81000B,00400,0300,MDS FEES 21534,A81000B,00500,0300,REHAB FEES 21534,A81000B,00600,0300,REHAB FEES 21534,A81000B,00700,0300,REHAB FEES 21534,A81000C,00100,0100,B 21534,A81000C,00100,0400,EPI CORPORATION 21534,A81000C,00100,0600,NURSING HOMES 21534,A81000C,00200,0100,C 21534,A81000C,00200,0400,LUKEN / NUGENT 21534,A81000C,00200,0600,HC COMM. 21534,A81000C,00300,0100,C 21534,A81000C,00300,0400,KY HC TRAINING 21534,A81000C,00300,0600,KY HC TRAINING 21534,A81000C,00400,0100,C 21534,A81000C,00400,0400,RMS INC. 21534,A81000C,00400,0600,MDS CONSULTING 21534,A81000C,00500,0100,C 21534,A81000C,00500,0400,RMS INC. 21534,A81000C,00500,0600,THERAPY 21534,A81000C,00600,0100,C 21534,A81000C,00600,0400,RMS INC. 21534,A81000C,00600,0600,THERAPY 21534,A81000C,00700,0100,C 21534,A81000C,00700,0400,RMS INC. 21534,A81000C,00700,0600,THERAPY 21534,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21534,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21534,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21534,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21534,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21534,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21534,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21534,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21534,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21534,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21534,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21534,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21534,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21534,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21534,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21534,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21534,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21534,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21534,E10A180,00550,0300,06/29/1999 21534,E10A180,00601,0100,04/12/2000 21534,E10A180,00650,0300,04/12/2000 21534,S000000,00100,0200,06/29/1999 21534,S200000,00100,0100,4700 QUINN DRIVE 21534,S200000,00200,0100,LOUISVILLE 21534,S200000,00200,0200,KY 21534,S200000,00200,0300,40216- 21534,S200000,00300,0100,JEFFERSON 21534,S200000,00400,0100,ROCKFORD MANOR 21534,S200000,00400,0200,185311 21534,S200000,00400,0300,12/01/1991 21534,S200000,00400,0500,P 21534,S200000,01600,0100,Y 21534,S200000,02200,0100,Y 21534,S700003,00000,0100,1 21536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21536,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21536,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21536,A000000,00300,0000,00300EMPLOYEE BENEFITS 21536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21536,A000000,00700,0000,00700HOUSEKEEPING 21536,A000000,00800,0000,00800DIETARY 21536,A000000,00801,0000,00801CAFETERIA 21536,A000000,00900,0000,00900NURSING ADMINISTRATION 21536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21536,A000000,01100,0000,01100PHARMACY 21536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21536,A000000,01300,0000,01300SOCIAL SERVICE 21536,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21536,A000000,01600,0000,01600SKILLED NURSING FACILITY 21536,A000000,01800,0000,01800NURSING FACILITY 21536,A000000,01900,0000,01900OTHER LONG TERM CARE 21536,A000000,02100,0000,02100RADIOLOGY 21536,A000000,02200,0000,02200LABORATORY 21536,A000000,02300,0000,02300INTRAVENOUS THERAPY 21536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21536,A000000,02500,0000,02500PHYSICAL THERAPY 21536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21536,A000000,02700,0000,02700SPEECH PATHOLOGY 21536,A000000,02800,0000,02800ELECTROCARDIOLOGY 21536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21536,A000000,03050,0000,03300OTHER ANCILLARY 21536,A000000,03051,0000,03301OTHER ANCILLARY II 21536,A000000,03052,0000,03302OTHER ANCILLARY III 21536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21536,A000000,03200,0000,03200SUPPORT SURFACES 21536,A000000,03400,0000,03400CLINIC 21536,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21536,A000000,03500,0000,03500RURAL HEALTH CLINIC 21536,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21536,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21536,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21536,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21536,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21536,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21536,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21536,A000000,04400,0000,04400DME RENTED - HHA 21536,A000000,04500,0000,04500DME SOLD - HHA 21536,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21536,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21536,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21536,A000000,04800,0000,04800AMBULANCE 21536,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21536,A000000,05000,0000,05000CORF 21536,A000000,05010,0000,05010CMHC I 21536,A000000,05020,0000,05020OPT I 21536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21536,A000000,05300,0000,05300INTEREST EXPENSE 21536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21536,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21536,A000000,05500,0000,05500HOSPICE 21536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21536,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21536,A000000,06100,0000,06100NONPAID WORKERS 21536,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21536,A000000,06200,0000,06200PATIENTS LAUNDRY 21536,A81000A,00100,0100,Y 21536,A81000B,00100,0300,HOME OFFICE COSTS 21536,A81000B,00200,0300,PUBLIC RELATIONS 21536,A81000B,00300,0300,TRAINING COSTS 21536,A81000B,00400,0300,MDS FEES 21536,A81000B,00500,0300,REHAB. FEES 21536,A81000B,00600,0300,REHAB. FEES 21536,A81000B,00700,0300,REHAB. FEES 21536,A81000C,00100,0100,B 21536,A81000C,00100,0400,EPI CORPORATION 21536,A81000C,00100,0600,NURSING HOMES 21536,A81000C,00200,0100,C 21536,A81000C,00200,0400,LUKEN/NUGENT 21536,A81000C,00200,0600,HC COMM. 21536,A81000C,00300,0100,C 21536,A81000C,00300,0400,KY HC TRAINING 21536,A81000C,00300,0600,KY HC TRAINING 21536,A81000C,00400,0100,C 21536,A81000C,00400,0400,RMS INC. 21536,A81000C,00400,0600,MDS CONSULTING 21536,A81000C,00500,0100,C 21536,A81000C,00500,0400,RMS INC. 21536,A81000C,00500,0600,THERAPY 21536,A81000C,00600,0100,C 21536,A81000C,00600,0400,RMS INC. 21536,A81000C,00600,0600,THERAPY 21536,A81000C,00700,0100,C 21536,A81000C,00700,0400,RMS INC. 21536,A81000C,00700,0600,THERAPY 21536,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21536,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21536,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21536,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21536,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21536,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21536,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21536,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21536,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21536,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21536,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21536,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21536,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21536,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21536,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21536,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21536,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21536,E10A180,00601,0100,01/30/2001 21536,E10A180,00601,0300,01/30/2001 21536,S000000,00100,0200,12/22/1999 21536,S200000,00100,0100,4700 QUINN DRIVE 21536,S200000,00200,0100,LOUISVILLE 21536,S200000,00200,0200,KY 21536,S200000,00200,0300,40216- 21536,S200000,00300,0100,JEFFERSON 21536,S200000,00400,0100,ROCKFORD MANOR 21536,S200000,00400,0200,185311 21536,S200000,00400,0300,12/01/1991 21536,S200000,00400,0500,P 21536,S200000,01600,0100,Y 21536,S200000,02200,0100,Y 21538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21538,A000000,00300,0000,00300EMPLOYEE BENEFITS 21538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21538,A000000,00700,0000,00700HOUSEKEEPING 21538,A000000,00800,0000,00800DIETARY 21538,A000000,00900,0000,00900NURSING ADMINISTRATION 21538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21538,A000000,01100,0000,01100PHARMACY 21538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21538,A000000,01300,0000,01300SOCIAL SERVICE 21538,A000000,01350,0000,01500OTHER GENERAL SERVICES 21538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21538,A000000,01600,0000,01600SKILLED NURSING FACILITY 21538,A000000,01800,0000,01800NURSING FACILITY 21538,A000000,01810,0000,01810ICF/MR 21538,A000000,01900,0000,01900OTHER LONG TERM CARE 21538,A000000,02100,0000,02100RADIOLOGY 21538,A000000,02200,0000,02200LABORATORY 21538,A000000,02300,0000,02300INTRAVENOUS THERAPY 21538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21538,A000000,02500,0000,02500PHYSICAL THERAPY 21538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21538,A000000,02700,0000,02700SPEECH PATHOLOGY 21538,A000000,02800,0000,02800ELECTROCARDIOLOGY 21538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21538,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21538,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21538,A000000,03200,0000,03200SUPPORT SURFACES 21538,A000000,03400,0000,03400CLINIC 21538,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21538,A000000,03500,0000,03500RURAL HEALTH CLINIC 21538,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21538,A000000,04800,0000,04800AMBULANCE 21538,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21538,A000000,05000,0000,05000CORF 21538,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21538,A000000,05300,0000,05300INTEREST EXPENSE 21538,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21538,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21538,A000000,05500,0000,05500HOSPICE 21538,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21538,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21538,A000000,06100,0000,06100NONPAID WORKERS 21538,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21538,A000000,06200,0000,06200PATIENTS LAUNDRY 21538,A81000A,00100,0100,Y 21538,A81000B,00100,0300,HOME OFFICE COSTS 21538,A81000B,00200,0300,PUBLIC RELATIONS 21538,A81000B,00300,0300,TRAINING COSTS 21538,A81000B,00400,0300,MDS FEES 21538,A81000B,00500,0300,REHAB FEES 21538,A81000B,00600,0300,REHAB FEES 21538,A81000B,00700,0300,REHAB FEES 21538,A81000C,00100,0100,B 21538,A81000C,00100,0400,EPI CORPORATION 21538,A81000C,00100,0600,NURSING HOMES 21538,A81000C,00200,0100,C 21538,A81000C,00200,0400,LUKEN/NUGENT 21538,A81000C,00200,0600,HC COMM. 21538,A81000C,00300,0100,C 21538,A81000C,00300,0400,KY HC TRAINING 21538,A81000C,00300,0600,KY HC TRAINING 21538,A81000C,00400,0100,C 21538,A81000C,00400,0400,RMS INC. 21538,A81000C,00400,0600,MDS CONSULTING 21538,A81000C,00500,0100,C 21538,A81000C,00500,0400,RMS INC. 21538,A81000C,00500,0600,THERAPY 21538,A81000C,00600,0100,C 21538,A81000C,00600,0400,RMS INC. 21538,A81000C,00600,0600,THERAPY 21538,A81000C,00700,0100,C 21538,A81000C,00700,0400,RMS INC. 21538,A81000C,00700,0600,THERAPY 21538,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21538,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 21538,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21538,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21538,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21538,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21538,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21538,B100000,00000,0800,00000MEALS SERVED :DIETARY 21538,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 21538,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21538,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21538,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21538,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21538,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21538,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21538,E10A180,00601,0100,07/06/2001 21538,E10A180,00601,0300,07/06/2001 21538,S000000,00100,0200,06/01/2000 21538,S200000,00100,0100,4700 QUINN DRIVE 21538,S200000,00200,0100,LOUISVILLE 21538,S200000,00200,0200,KY 21538,S200000,00200,0300,40216- 21538,S200000,00300,0100,JEFFERSON 21538,S200000,00400,0100,ROCKFORD MANOR 21538,S200000,00400,0200,185311 21538,S200000,00400,0300,12/01/1991 21538,S200000,00400,0500,P 21538,S200000,01600,0100,Y 21538,S200000,02800,0100,Y 21550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21550,A000000,00300,0000,00300EMPLOYEE BENEFITS 21550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21550,A000000,00700,0000,00700HOUSEKEEPING 21550,A000000,00800,0000,00800DIETARY 21550,A000000,00900,0000,00900NURSING ADMINISTRATION 21550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21550,A000000,01100,0000,01100PHARMACY 21550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21550,A000000,01300,0000,01300SOCIAL SERVICE 21550,A000000,01600,0000,01600SKILLED NURSING FACILITY 21550,A000000,01800,0000,01800NURSING FACILITY 21550,A000000,01900,0000,01900OTHER LONG TERM CARE 21550,A000000,02100,0000,02100RADIOLOGY 21550,A000000,02200,0000,02200LABORATORY 21550,A000000,02300,0000,02300INTRAVENOUS THERAPY 21550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21550,A000000,02500,0000,02500PHYSICAL THERAPY 21550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21550,A000000,02700,0000,02700SPEECH PATHOLOGY 21550,A000000,02800,0000,02800ELECTROCARDIOLOGY 21550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21550,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21550,A000000,03200,0000,03200SUPPORT SURFACES 21550,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21550,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 21550,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 21550,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21550,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21550,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 21550,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21550,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 21550,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21550,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21550,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21550,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 21550,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21550,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21550,E10A180,00601,0300,09/08/2000 21550,E10A180,00650,0100,09/08/2000 21550,S000000,00100,0200,09/22/1999 21550,S200000,00100,0100,683 E. THIRD ST. 21550,S200000,00200,0100,RUSSELLVILLE 21550,S200000,00200,0200,KY 21550,S200000,00200,0300,42276- 21550,S200000,00300,0100,LOGAN 21550,S200000,00400,0100,RUSSELLVILLE HEALTH CARE MANOR 21550,S200000,00400,0200,185313 21550,S200000,00400,0300,01/01/1992 21550,S200000,00400,0500,P 21550,S200000,01600,0100,Y 21550,S700003,00000,0100,1 21552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21552,A000000,00300,0000,00300EMPLOYEE BENEFITS 21552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21552,A000000,00700,0000,00700HOUSEKEEPING 21552,A000000,00800,0000,00800DIETARY 21552,A000000,00900,0000,00900NURSING ADMINISTRATION 21552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21552,A000000,01100,0000,01100PHARMACY 21552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21552,A000000,01300,0000,01300SOCIAL SERVICE 21552,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21552,A000000,01600,0000,01600SKILLED NURSING FACILITY 21552,A000000,01800,0000,01800NURSING FACILITY 21552,A000000,01810,0000,01810ICF/MR 21552,A000000,01900,0000,01900OTHER LONG TERM CARE 21552,A000000,02100,0000,02100RADIOLOGY 21552,A000000,02200,0000,02200LABORATORY 21552,A000000,02300,0000,02300INTRAVENOUS THERAPY 21552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21552,A000000,02500,0000,02500PHYSICAL THERAPY 21552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21552,A000000,02700,0000,02700SPEECH PATHOLOGY 21552,A000000,02800,0000,02800ELECTROCARDIOLOGY 21552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21552,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21552,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21552,A000000,03200,0000,03200SUPPORT SURFACES 21552,A000000,03400,0000,03400CLINIC 21552,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21552,A000000,03500,0000,03500RURAL HEALTH CLINIC 21552,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21552,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21552,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21552,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21552,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21552,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21552,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21552,A000000,04400,0000,04400DME RENTED - HHA 21552,A000000,04500,0000,04500DME SOLD - HHA 21552,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21552,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21552,A000000,04800,0000,04800AMBULANCE 21552,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21552,A000000,05000,0000,05000CORF 21552,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21552,A000000,05300,0000,05300INTEREST EXPENSE 21552,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21552,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21552,A000000,05500,0000,05500HOSPICE 21552,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21552,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21552,A000000,06100,0000,06100NONPAID WORKERS 21552,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21552,A000000,06200,0000,06200PATIENTS LAUNDRY 21552,A81000A,00100,0100,Y 21552,A81000B,00100,0300,HOME OFFICE EXPENSE 21552,A81000B,00200,0300,HOME OFFICE EXPENSE 21552,A81000B,00300,0300,NURSING SUPPLIES 21552,A81000B,00400,0300,FOOD SUPPLEMENTS 21552,A81000B,00500,0300,MEDICAL SUPPLIES 21552,A81000C,00100,0100,B 21552,A81000C,00100,0200,RUSSELLVILLE HE 21552,A81000C,00100,0400,ADVENTIST CARE 21552,A81000C,00100,0600,NURSING HOME CO 21552,A81000C,00200,0100,G 21552,A81000C,00200,0200,RUSSELLVILLE HE 21552,A81000C,00200,0400,Q-CARE 21552,A81000C,00200,0600,MEDICAL SUPPLY 21552,A81000C,03100,0000,RUSSELLVILLE HEALTH CARE MANOR 21552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21552,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21552,B100000,00000,0800,00000MEALS SERVED :DIETARY 21552,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21552,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21552,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21552,E10A180,00550,0100,06/05/2000 21552,E10A180,00601,0100,08/29/2001 21552,S000000,00100,0200,06/05/2000 21552,S200000,00100,0100,683 E. THIRD ST. 21552,S200000,00200,0100,RUSSELLVILLE 21552,S200000,00200,0200,KY 21552,S200000,00200,0300,42276- 21552,S200000,00300,0100,LOGAN 21552,S200000,00300,0200,18 21552,S200000,00300,0300,R 21552,S200000,00400,0100,RUSSELLVILLE HEALTH CARE MANOR 21552,S200000,00400,0200,185313 21552,S200000,00400,0300,01/01/1992 21552,S200000,00400,0500,P 21552,S200000,01600,0100,Y 21560,S000000,00100,0200,03/28/2000 21567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21567,A000000,00300,0000,00300EMPLOYEE BENEFITS 21567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21567,A000000,00700,0000,00700HOUSEKEEPING 21567,A000000,00800,0000,00800DIETARY 21567,A000000,00900,0000,00900NURSING ADMINISTRATION 21567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21567,A000000,01100,0000,01100PHARMACY 21567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21567,A000000,01300,0000,01300SOCIAL SERVICE 21567,A000000,01350,0000,01500OTHER GENERAL SERVICES 21567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21567,A000000,01600,0000,01600SKILLED NURSING FACILITY 21567,A000000,01800,0000,01800NURSING FACILITY 21567,A000000,01900,0000,01900OTHER LONG TERM CARE 21567,A000000,02100,0000,02100RADIOLOGY 21567,A000000,02200,0000,02200LABORATORY 21567,A000000,02300,0000,02300INTRAVENOUS THERAPY 21567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21567,A000000,02500,0000,02500PHYSICAL THERAPY 21567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21567,A000000,02700,0000,02700SPEECH PATHOLOGY 21567,A000000,02800,0000,02800ELECTROCARDIOLOGY 21567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21567,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21567,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21567,A000000,03200,0000,03200SUPPORT SURFACES 21567,A000000,03400,0000,03400CLINIC 21567,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21567,A000000,03500,0000,03500RURAL HEALTH CLINIC 21567,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21567,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21567,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21567,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21567,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21567,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21567,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21567,A000000,04400,0000,04400DME RENTED - HHA 21567,A000000,04500,0000,04500DME SOLD - HHA 21567,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21567,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21567,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21567,A000000,04800,0000,04800AMBULANCE 21567,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21567,A000000,05000,0000,05000CORF 21567,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21567,A000000,05300,0000,05300INTEREST EXPENSE 21567,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21567,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21567,A000000,05500,0000,05500HOSPICE 21567,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21567,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21567,A000000,06100,0000,06100NONPAID WORKERS 21567,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21567,A000000,06200,0000,06200PATIENTS LAUNDRY 21567,A81000A,00100,0100,Y 21567,A81000B,00100,0300,HOME OFFICE COSTS 21567,A81000C,00100,0100,B 21567,A81000C,00100,0200,PROGRESSIVE HEALTHCARE FA 21567,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21567,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21567,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21567,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21567,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21567,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21567,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21567,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21567,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21567,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21567,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21567,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21567,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21567,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21567,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21567,E10A180,00601,0300,07/20/2001 21567,E10A180,00650,0100,07/20/2001 21567,S000000,00100,0200,07/25/2000 21567,S200000,00100,0100,404 WASHINGTON STREET 21567,S200000,00200,0100,ALBANY 21567,S200000,00200,0200,KY 21567,S200000,00200,0300,40602- 21567,S200000,00300,0100,CLINTON 21567,S200000,00400,0100,CLINTON COUNTY HEALTH CARE CENTER 21567,S200000,00400,0200,185315 21567,S200000,00400,0300,07/01/1993 21567,S200000,00400,0500,P 21567,S200000,01500,0100,Y 21567,S200000,02200,0100,Y 21567,S200000,03100,0100,Y 21578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21578,A000000,00300,0000,00300EMPLOYEE BENEFITS 21578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21578,A000000,00700,0000,00700HOUSEKEEPING 21578,A000000,00800,0000,00800DIETARY 21578,A000000,00900,0000,00900NURSING ADMINISTRATION 21578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21578,A000000,01100,0000,01100PHARMACY 21578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21578,A000000,01300,0000,01300SOCIAL SERVICE 21578,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21578,A000000,01600,0000,01600SKILLED NURSING FACILITY 21578,A000000,01800,0000,01800NURSING FACILITY 21578,A000000,01810,0000,01810ICF/MR 21578,A000000,01900,0000,01900OTHER LONG TERM CARE 21578,A000000,02100,0000,02100RADIOLOGY 21578,A000000,02200,0000,02200LABORATORY 21578,A000000,02300,0000,02300INTRAVENOUS THERAPY 21578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21578,A000000,02500,0000,02500PHYSICAL THERAPY 21578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21578,A000000,02700,0000,02700SPEECH PATHOLOGY 21578,A000000,02800,0000,02800ELECTROCARDIOLOGY 21578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21578,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21578,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21578,A000000,03200,0000,03200SUPPORT SURFACES 21578,A000000,03400,0000,03400CLINIC 21578,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21578,A000000,03500,0000,03500RURAL HEALTH CLINIC 21578,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21578,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21578,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21578,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21578,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21578,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21578,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21578,A000000,04400,0000,04400DME RENTED - HHA 21578,A000000,04500,0000,04500DME SOLD - HHA 21578,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21578,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21578,A000000,04800,0000,04800AMBULANCE 21578,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21578,A000000,05000,0000,05000CORF 21578,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21578,A000000,05300,0000,05300INTEREST EXPENSE 21578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21578,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21578,A000000,05500,0000,05500HOSPICE 21578,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21578,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21578,A000000,06100,0000,06100NONPAID WORKERS 21578,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21578,A000000,06200,0000,06200PATIENTS LAUNDRY 21578,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21578,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21578,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21578,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21578,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21578,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21578,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21578,B100000,00000,0800,00000MEALS SERVED :DIETARY 21578,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21578,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21578,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21578,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21578,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21578,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21578,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21578,E10A180,00601,0300,07/03/2001 21578,E10A180,00650,0100,07/03/2001 21578,S000000,00100,0200,05/03/2000 21578,S200000,00100,0100,1333 W. MAIN 21578,S200000,00200,0100,PRINCETON 21578,S200000,00200,0200,KY 21578,S200000,00200,0300,42445- 21578,S200000,00300,0100,CALDWELL 21578,S200000,00400,0100,PRINCETON HEALTH CARE MANOR 21578,S200000,00400,0200,185316 21578,S200000,00400,0300,01/01/1992 21578,S200000,00400,0500,P 21578,S200000,01600,0100,Y 21589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21589,A000000,00300,0000,00300EMPLOYEE BENEFITS 21589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21589,A000000,00700,0000,00700HOUSEKEEPING 21589,A000000,00800,0000,00800DIETARY 21589,A000000,00900,0000,00900NURSING ADMINISTRATION 21589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21589,A000000,01100,0000,01100PHARMACY 21589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21589,A000000,01300,0000,01300SOCIAL SERVICE 21589,A000000,01350,0000,01500OTHER GENERAL SERVICES 21589,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21589,A000000,01600,0000,01600SKILLED NURSING FACILITY 21589,A000000,01800,0000,01800NURSING FACILITY 21589,A000000,01810,0000,01810ICF/MR 21589,A000000,01900,0000,01900OTHER LONG TERM CARE 21589,A000000,02100,0000,02100RADIOLOGY 21589,A000000,02200,0000,02200LABORATORY 21589,A000000,02300,0000,02300INTRAVENOUS THERAPY 21589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21589,A000000,02500,0000,02500PHYSICAL THERAPY 21589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21589,A000000,02700,0000,02700SPEECH PATHOLOGY 21589,A000000,02800,0000,02800ELECTROCARDIOLOGY 21589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21589,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21589,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21589,A000000,03200,0000,03200SUPPORT SURFACES 21589,A000000,03400,0000,03400CLINIC 21589,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21589,A000000,03500,0000,03500RURAL HEALTH CLINIC 21589,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21589,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21589,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21589,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21589,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21589,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21589,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21589,A000000,04400,0000,04400DME RENTED - HHA 21589,A000000,04500,0000,04500DME SOLD - HHA 21589,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21589,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21589,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21589,A000000,04800,0000,04800AMBULANCE 21589,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21589,A000000,05000,0000,05000CORF 21589,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21589,A000000,05300,0000,05300INTEREST EXPENSE 21589,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21589,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21589,A000000,05500,0000,05500HOSPICE 21589,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21589,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21589,A000000,06100,0000,06100NONPAID WORKERS 21589,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21589,A000000,06200,0000,06200PATIENTS LAUNDRY 21589,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21589,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21589,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21589,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21589,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21589,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21589,B100000,00000,0800,00000MEALS SERVED :DIETARY 21589,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21589,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21589,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21589,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21589,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21589,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21589,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21589,E10A180,00501,0100,06/01/2000 21589,E10A180,00550,0300,06/01/2000 21589,S000000,00100,0200,06/01/2000 21589,S200000,00100,0100,521 GREEN DRIVE 21589,S200000,00100,0300,565 21589,S200000,00200,0100,GREENVILLE 21589,S200000,00200,0200,KY 21589,S200000,00200,0300,42345- 21589,S200000,00300,0100,MUHLENBERG 21589,S200000,00400,0100,BELLE MEADE HOME 21589,S200000,00400,0200,185317 21589,S200000,00400,0300,02/01/1992 21589,S200000,00400,0500,P 21589,S200000,01600,0100,Y 21599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21599,A000000,00300,0000,00300EMPLOYEE BENEFITS 21599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21599,A000000,00700,0000,00700HOUSEKEEPING 21599,A000000,00800,0000,00800DIETARY 21599,A000000,00900,0000,00900NURSING ADMINISTRATION 21599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21599,A000000,01100,0000,01100PHARMACY 21599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21599,A000000,01300,0000,01300SOCIAL SERVICE 21599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21599,A000000,01600,0000,01600SKILLED NURSING FACILITY 21599,A000000,01800,0000,01800NURSING FACILITY 21599,A000000,01810,0000,01810ICF/MR 21599,A000000,01900,0000,01900OTHER LONG TERM CARE 21599,A000000,02100,0000,02100RADIOLOGY 21599,A000000,02200,0000,02200LABORATORY 21599,A000000,02300,0000,02300INTRAVENOUS THERAPY 21599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21599,A000000,02500,0000,02500PHYSICAL THERAPY 21599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21599,A000000,02700,0000,02700SPEECH PATHOLOGY 21599,A000000,02800,0000,02800ELECTROCARDIOLOGY 21599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21599,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21599,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21599,A000000,03200,0000,03200SUPPORT SURFACES 21599,A000000,03400,0000,03400CLINIC 21599,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21599,A000000,03500,0000,03500RURAL HEALTH CLINIC 21599,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21599,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21599,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21599,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21599,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21599,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21599,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21599,A000000,04400,0000,04400DME RENTED - HHA 21599,A000000,04500,0000,04500DME SOLD - HHA 21599,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21599,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21599,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21599,A000000,04800,0000,04800AMBULANCE 21599,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21599,A000000,05000,0000,05000CORF 21599,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21599,A000000,05300,0000,05300INTEREST EXPENSE 21599,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21599,A000000,05500,0000,05500HOSPICE 21599,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21599,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21599,A000000,06100,0000,06100NONPAID WORKERS 21599,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21599,A000000,06200,0000,06200PATIENTS LAUNDRY 21599,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21599,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21599,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21599,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21599,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21599,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21599,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21599,B100000,00000,0800,00000MEALS SERVED :DIETARY 21599,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 21599,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21599,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21599,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21599,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21599,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21599,E10A180,00601,0100,07/03/2001 21599,E10A180,00601,0300,07/03/2001 21599,S000000,00100,0200,06/23/2000 21599,S200000,00100,0100,1253 LAKE BARKLEY DRIVE 21599,S200000,00100,0300,190 21599,S200000,00200,0100,KUTTAWA 21599,S200000,00200,0200,KY 21599,S200000,00200,0300,42055-0190 21599,S200000,00300,0100,LYON 21599,S200000,00400,0100,HILLTOP NURSING HOME 21599,S200000,00400,0200,185318 21599,S200000,00400,0300,12/01/1991 21599,S200000,00400,0500,P 21599,S200000,01600,0100,Y 21599,S200000,04700,0100,Y 21607,S000000,00100,0200,02/18/2000 21617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21617,A000000,00300,0000,00300EMPLOYEE BENEFITS 21617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21617,A000000,00700,0000,00700HOUSEKEEPING 21617,A000000,00800,0000,00800DIETARY 21617,A000000,00900,0000,00900NURSING ADMINISTRATION 21617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21617,A000000,01100,0000,01100PHARMACY 21617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21617,A000000,01300,0000,01300SOCIAL SERVICE 21617,A000000,01350,0000,01500OTHER GENERAL SERVICES 21617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21617,A000000,01600,0000,01600SKILLED NURSING FACILITY 21617,A000000,01800,0000,01800NURSING FACILITY 21617,A000000,01810,0000,01801ICF/MR 21617,A000000,01900,0000,01900OTHER LONG TERM CARE 21617,A000000,02100,0000,02100RADIOLOGY 21617,A000000,02200,0000,02200LABORATORY 21617,A000000,02300,0000,02300INTRAVENOUS THERAPY 21617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21617,A000000,02500,0000,02500PHYSICAL THERAPY 21617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21617,A000000,02700,0000,02700SPEECH PATHOLOGY 21617,A000000,02800,0000,02800ELECTROCARDIOLOGY 21617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21617,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21617,A000000,03200,0000,03200SUPPORT SURFACES 21617,A000000,03400,0000,03400CLINIC 21617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21617,A000000,03500,0000,03500RURAL HEALTH CLINIC 21617,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21617,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21617,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21617,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21617,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21617,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21617,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21617,A000000,04400,0000,04400DME RENTED - HHA 21617,A000000,04500,0000,04500DME SOLD - HHA 21617,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21617,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21617,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21617,A000000,04800,0000,04800AMBULANCE 21617,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21617,A000000,05000,0000,05000CORF 21617,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21617,A000000,05300,0000,05300INTEREST EXPENSE 21617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21617,A000000,05500,0000,05500HOSPICE 21617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21617,A000000,06100,0000,06100NONPAID WORKERS 21617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21617,A000000,06200,0000,06200PATIENTS LAUNDRY 21617,A81000A,00100,0100,Y 21617,A81000B,00100,0300,HOME OFFICE COSTS 21617,A81000B,00200,0300,TRAINING COSTS 21617,A81000B,00300,0300,THERAPY & MGMT. FEES 21617,A81000B,00400,0300,THERAPY & MGMT. FEES 21617,A81000B,00500,0300,THERAPY & MGMT. FEES 21617,A81000C,00100,0100,A 21617,A81000C,00100,0200,SHAREHOLDERS 21617,A81000C,00100,0400,THE MEADOWS GROUP 21617,A81000C,00100,0600,NURSING HOMES 21617,A81000C,00200,0100,C 21617,A81000C,00200,0400,KYHCTI INC. 21617,A81000C,00200,0600,HEALTHCARE TRAINING 21617,A81000C,00300,0100,D 21617,A81000C,00300,0400,RMS INC. 21617,A81000C,00300,0600,REHAB MANAGEMENT 21617,A81000C,00400,0100,D 21617,A81000C,00400,0400,RMS INC. 21617,A81000C,00400,0600,REHAB MANAGEMENT 21617,A81000C,00500,0100,D 21617,A81000C,00500,0400,RMS INC. 21617,A81000C,00500,0600,REHAB MANAGEMENT 21617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21617,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21617,B100000,00000,0800,00000MEALS SERVED :DIETARY 21617,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21617,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21617,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21617,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21617,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21617,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21617,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21617,E10A180,00550,0300,05/31/2000 21617,E10A180,00601,0100,02/27/2001 21617,E10A180,00601,0300,02/27/2001 21617,S000000,00100,0200,05/31/2000 21617,S200000,00100,0100,310 BOXWOOD RUN ROAD 21617,S200000,00200,0100,MT. WASHINGTON 21617,S200000,00200,0200,KY 21617,S200000,00200,0300,40047- 21617,S200000,00300,0100,BULLITT 21617,S200000,00400,0100,GREEN MEADOWS HCC INC. 21617,S200000,00400,0200,185323 21617,S200000,00400,0300,05/01/1992 21617,S200000,00400,0500,P 21617,S200000,01600,0100,Y 21617,S200000,02200,0100,Y 21641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21641,A000000,00300,0000,00300EMPLOYEE BENEFITS 21641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21641,A000000,00700,0000,00700HOUSEKEEPING 21641,A000000,00800,0000,00800DIETARY 21641,A000000,00900,0000,00900NURSING ADMINISTRATION 21641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21641,A000000,01100,0000,01100PHARMACY 21641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21641,A000000,01300,0000,01300SOCIAL SERVICE 21641,A000000,01350,0000,01500OTHER GENERAL SERVICES 21641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21641,A000000,01600,0000,01600SKILLED NURSING FACILITY 21641,A000000,01800,0000,01800NURSING FACILITY 21641,A000000,01900,0000,01900OTHER LONG TERM CARE 21641,A000000,02100,0000,02100RADIOLOGY 21641,A000000,02200,0000,02200LABORATORY 21641,A000000,02300,0000,02300INTRAVENOUS THERAPY 21641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21641,A000000,02500,0000,02500PHYSICAL THERAPY 21641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21641,A000000,02700,0000,02700SPEECH PATHOLOGY 21641,A000000,02800,0000,02800ELECTROCARDIOLOGY 21641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21641,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21641,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21641,A000000,03200,0000,03200SUPPORT SURFACES 21641,A000000,03400,0000,03400CLINIC 21641,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21641,A000000,03500,0000,03500RURAL HEALTH CLINIC 21641,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21641,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21641,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21641,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21641,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21641,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21641,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21641,A000000,04400,0000,04400DME RENTED - HHA 21641,A000000,04500,0000,04500DME SOLD - HHA 21641,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21641,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21641,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21641,A000000,04800,0000,04800AMBULANCE 21641,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21641,A000000,05000,0000,05000CORF 21641,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21641,A000000,05300,0000,05300INTEREST EXPENSE 21641,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21641,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21641,A000000,05500,0000,05500HOSPICE 21641,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21641,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21641,A000000,06100,0000,06100NONPAID WORKERS 21641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21641,A000000,06200,0000,06200PATIENTS LAUNDRY 21641,A81000A,00100,0100,Y 21641,A81000B,00100,0300,HOME OFFICE COSTS 21641,A81000B,00200,0300,CAPITAL RELATED 21641,A81000C,00100,0100,B 21641,A81000C,00100,0200,PROGRESSIVE HEALTHCARE FA 21641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21641,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21641,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21641,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21641,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21641,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21641,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21641,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21641,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21641,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21641,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21641,E10A180,00550,0100,12/22/2000 21641,E10A180,00601,0100,08/03/2001 21641,E10A180,00601,0300,08/03/2001 21641,S000000,00100,0200,07/25/2000 21641,S200000,00100,0100,625 TAYLORSVILLE ROAD 21641,S200000,00200,0100,TAYLORSVILLE 21641,S200000,00200,0200,KY 21641,S200000,00200,0300,40071- 21641,S200000,00300,0100,SPENCER 21641,S200000,00400,0100,TAYLORSVILLE HEALTH CARE CENTER 21641,S200000,00400,0200,185327 21641,S200000,00400,0300,01/01/1992 21641,S200000,00400,0500,P 21641,S200000,00600,0200,185327 21641,S200000,00600,0300,01/01/1992 21641,S200000,00600,0600,P 21641,S200000,01600,0100,Y 21641,S200000,02200,0100,Y 21641,S200000,03100,0100,Y 21652,S000000,00100,0200,06/28/2000 21661,S000000,00100,0200,06/19/2000 21665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21665,A000000,00300,0000,00300EMPLOYEE BENEFITS 21665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21665,A000000,00700,0000,00700HOUSEKEEPING 21665,A000000,00800,0000,00800DIETARY 21665,A000000,00900,0000,00900NURSING ADMINISTRATION 21665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21665,A000000,01100,0000,01100PHARMACY 21665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21665,A000000,01300,0000,01300SOCIAL SERVICE 21665,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21665,A000000,01600,0000,01600SKILLED NURSING FACILITY 21665,A000000,01800,0000,01800NURSING FACILITY 21665,A000000,01810,0000,01810ICF/MR 21665,A000000,01900,0000,01900OTHER LONG TERM CARE 21665,A000000,02100,0000,02100RADIOLOGY 21665,A000000,02200,0000,02200LABORATORY 21665,A000000,02300,0000,02300INTRAVENOUS THERAPY 21665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21665,A000000,02500,0000,02500PHYSICAL THERAPY 21665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21665,A000000,02700,0000,02700SPEECH PATHOLOGY 21665,A000000,02800,0000,02800ELECTROCARDIOLOGY 21665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21665,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21665,A000000,03200,0000,03200SUPPORT SURFACES 21665,A000000,03400,0000,03400CLINIC 21665,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21665,A000000,03500,0000,03500RURAL HEALTH CLINIC 21665,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21665,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21665,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21665,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21665,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21665,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21665,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21665,A000000,04400,0000,04400DME RENTED - HHA 21665,A000000,04500,0000,04500DME SOLD - HHA 21665,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21665,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21665,A000000,04800,0000,04800AMBULANCE 21665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21665,A000000,05000,0000,05000CORF 21665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21665,A000000,05300,0000,05300INTEREST EXPENSE 21665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21665,A000000,05500,0000,05500HOSPICE 21665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21665,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21665,A000000,06100,0000,06100NONPAID WORKERS 21665,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21665,A000000,06200,0000,06200PATIENTS LAUNDRY 21665,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21665,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21665,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21665,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21665,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21665,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21665,B100000,00000,0800,00000MEALS SERVED :DIETARY 21665,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21665,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21665,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21665,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21665,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21665,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21665,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21665,E10A180,00601,0100,08/08/2001 21665,E10A180,00650,0300,08/08/2001 21665,S000000,00100,0200,06/05/2000 21665,S200000,00100,0100,1595 U.S. HWY #231 S. 21665,S200000,00200,0100,BEAVER DAM 21665,S200000,00200,0200,KY 21665,S200000,00200,0300,42320- 21665,S200000,00300,0100,OHIO 21665,S200000,00400,0100,BEAVER DAM HEALTH CARE MANOR 21665,S200000,00400,0200,185334 21665,S200000,00400,0300,06/01/1992 21665,S200000,00400,0500,P 21665,S200000,01004,0500,O 21665,S200000,01600,0100,Y 21674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21674,A000000,00300,0000,00300EMPLOYEE BENEFITS 21674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21674,A000000,00700,0000,00700HOUSEKEEPING 21674,A000000,00800,0000,00800DIETARY 21674,A000000,00900,0000,00900NURSING ADMINISTRATION 21674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21674,A000000,01100,0000,01100PHARMACY 21674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21674,A000000,01300,0000,01300SOCIAL SERVICE 21674,A000000,01350,0000,01500OTHER GENERAL SERVICES 21674,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21674,A000000,01600,0000,01600SKILLED NURSING FACILITY 21674,A000000,01800,0000,01800NURSING FACILITY 21674,A000000,01810,0000,01810ICF/MR 21674,A000000,01900,0000,01900OTHER LONG TERM CARE 21674,A000000,02100,0000,02100RADIOLOGY 21674,A000000,02200,0000,02200LABORATORY 21674,A000000,02300,0000,02300INTRAVENOUS THERAPY 21674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21674,A000000,02500,0000,02500PHYSICAL THERAPY 21674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21674,A000000,02700,0000,02700SPEECH PATHOLOGY 21674,A000000,02800,0000,02800ELECTROCARDIOLOGY 21674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21674,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21674,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21674,A000000,03200,0000,03200SUPPORT SURFACES 21674,A000000,03400,0000,03400CLINIC 21674,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21674,A000000,03500,0000,03500RURAL HEALTH CLINIC 21674,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21674,A000000,04800,0000,04800AMBULANCE 21674,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21674,A000000,05000,0000,05000CORF 21674,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21674,A000000,05300,0000,05300INTEREST EXPENSE 21674,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21674,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21674,A000000,05500,0000,05500HOSPICE 21674,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21674,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21674,A000000,06100,0000,06100NONPAID WORKERS 21674,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21674,A000000,06200,0000,06200PATIENTS LAUNDRY 21674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21674,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21674,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21674,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21674,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21674,B100000,00000,0800,00000MEALS SERVED :DIETARY 21674,B100000,00000,0900,00000DIRECTNRSI ING HOURS :NURSING ADMIN 21674,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21674,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21674,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21674,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21674,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21674,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21674,E10A180,00551,0100,04/19/2001 21674,E10A180,00551,0300,04/19/2001 21674,E10A180,00601,0300,07/20/2001 21674,S000000,00100,0200,08/02/2000 21674,S200000,00100,0100,1120 CRISTLAND ROAD 21674,S200000,00200,0100,LOUISVILLE 21674,S200000,00200,0200,KY 21674,S200000,00200,0300,40214- 21674,S200000,00300,0100,JEFFERSON 21674,S200000,00400,0100,MEADOWS SOUTH NURSING HOME 21674,S200000,00400,0200,185335 21674,S200000,00400,0300,06/01/1992 21674,S200000,00400,0500,P 21674,S200000,01600,0100,Y 21683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21683,A000000,00300,0000,00300EMPLOYEE BENEFITS 21683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21683,A000000,00700,0000,00700HOUSEKEEPING 21683,A000000,00800,0000,00800DIETARY 21683,A000000,00900,0000,00900NURSING ADMINISTRATION 21683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21683,A000000,01100,0000,01100PHARMACY 21683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21683,A000000,01300,0000,01300SOCIAL SERVICE 21683,A000000,01350,0000,01500OTHER GENERAL SERVICES 21683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21683,A000000,01600,0000,01600SKILLED NURSING FACILITY 21683,A000000,01800,0000,01800NURSING FACILITY 21683,A000000,01810,0000,01810ICF/MR 21683,A000000,01900,0000,01900OTHER LONG TERM CARE 21683,A000000,02100,0000,02100RADIOLOGY 21683,A000000,02200,0000,02200LABORATORY 21683,A000000,02300,0000,02300INTRAVENOUS THERAPY 21683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21683,A000000,02500,0000,02500PHYSICAL THERAPY 21683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21683,A000000,02700,0000,02700SPEECH PATHOLOGY 21683,A000000,02800,0000,02800ELECTROCARDIOLOGY 21683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21683,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21683,A000000,03200,0000,03200SUPPORT SURFACES 21683,A000000,03400,0000,03400CLINIC 21683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21683,A000000,03500,0000,03500RURAL HEALTH CLINIC 21683,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21683,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21683,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21683,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21683,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21683,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21683,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21683,A000000,04400,0000,04400DME RENTED - HHA 21683,A000000,04500,0000,04500DME SOLD - HHA 21683,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21683,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21683,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21683,A000000,04800,0000,04800AMBULANCE 21683,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21683,A000000,05000,0000,05000CORF 21683,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21683,A000000,05300,0000,05300INTEREST EXPENSE 21683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21683,A000000,05500,0000,05500HOSPICE 21683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21683,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21683,A000000,06100,0000,06100NONPAID WORKERS 21683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21683,A000000,06200,0000,06200PATIENTS LAUNDRY 21683,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21683,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21683,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21683,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21683,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21683,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21683,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21683,B100000,00000,0800,00000MEALS SERVED :DIETARY 21683,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21683,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21683,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21683,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21683,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21683,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21683,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21683,E10A180,00550,0300,09/11/2000 21683,E10A180,00601,0100,07/03/2001 21683,E10A180,00650,0300,07/03/2001 21683,S000000,00100,0200,08/31/2000 21683,S200000,00100,0100,249 EAST MAIN STREET 21683,S200000,00200,0100,BEATTYVILLE 21683,S200000,00200,0200,KY 21683,S200000,00200,0300,41311- 21683,S200000,00300,0100,LEE 21683,S200000,00400,0100,LEE COUNTY CONSTANT CARE INC 21683,S200000,00400,0200,185337 21683,S200000,00400,0300,04/14/1992 21683,S200000,00400,0500,P 21683,S200000,01600,0100,Y 21691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21691,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21691,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21691,A000000,00300,0000,00300EMPLOYEE BENEFITS 21691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21691,A000000,00700,0000,00700HOUSEKEEPING 21691,A000000,00800,0000,00800DIETARY 21691,A000000,00801,0000,00801CAFETERIA 21691,A000000,00900,0000,00900NURSING ADMINISTRATION 21691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21691,A000000,01100,0000,01100PHARMACY 21691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21691,A000000,01300,0000,01300SOCIAL SERVICE 21691,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21691,A000000,01600,0000,01600SKILLED NURSING FACILITY 21691,A000000,01800,0000,01800NURSING FACILITY 21691,A000000,01900,0000,01900OTHER LONG TERM CARE 21691,A000000,02100,0000,02100RADIOLOGY 21691,A000000,02200,0000,02200LABORATORY 21691,A000000,02300,0000,02300INTRAVENOUS THERAPY 21691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21691,A000000,02500,0000,02500PHYSICAL THERAPY 21691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21691,A000000,02700,0000,02700SPEECH PATHOLOGY 21691,A000000,02800,0000,02800ELECTROCARDIOLOGY 21691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21691,A000000,03050,0000,03300OTHER ANCILLARY 21691,A000000,03051,0000,03301OTHER ANCILLARY II 21691,A000000,03052,0000,03302OTHER ANCILLARY III 21691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21691,A000000,03200,0000,03200SUPPORT SURFACES 21691,A000000,03400,0000,03400CLINIC 21691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21691,A000000,03500,0000,03500RURAL HEALTH CLINIC 21691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21691,A000000,04400,0000,04400DME RENTED - HHA 21691,A000000,04500,0000,04500DME SOLD - HHA 21691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21691,A000000,05000,0000,05000CORF 21691,A000000,05010,0000,05010CMHC I 21691,A000000,05020,0000,05020OPT I 21691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21691,A000000,05300,0000,05300INTEREST EXPENSE 21691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21691,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21691,A000000,05500,0000,05500HOSPICE 21691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21691,A000000,06100,0000,06100NONPAID WORKERS 21691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21691,A000000,06200,0000,06200PATIENTS LAUNDRY 21691,A81000A,00100,0100,Y 21691,A81000B,00100,0300,HOME OFFICE COSTS 21691,A81000B,00200,0300,MDS FEES 21691,A81000B,00300,0300,REHAB. FEES 21691,A81000B,00400,0300,REHAB. FEES 21691,A81000B,00500,0300,REHAB. FEES 21691,A81000C,00100,0100,B 21691,A81000C,00100,0400,EPI CORPORATION 21691,A81000C,00100,0600,NURSING HOMES 21691,A81000C,00200,0100,C 21691,A81000C,00200,0400,RMS INC. 21691,A81000C,00200,0600,MDS CONSULTING 21691,A81000C,00300,0100,C 21691,A81000C,00300,0400,RMS INC. 21691,A81000C,00300,0600,THERAPY 21691,A81000C,00400,0100,C 21691,A81000C,00400,0400,RMS INC. 21691,A81000C,00400,0600,THERAPY 21691,A81000C,00500,0100,C 21691,A81000C,00500,0400,RMS INC. 21691,A81000C,00500,0600,THERAPY 21691,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21691,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21691,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21691,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21691,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21691,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21691,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21691,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21691,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21691,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21691,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21691,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21691,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21691,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21691,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21691,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21691,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21691,E10A180,00601,0300,04/12/2000 21691,E10A180,00650,0100,04/12/2000 21691,S000000,00100,0200,06/29/1999 21691,S200000,00100,0100,220 WESTWOOD STREET 21691,S200000,00200,0100,GLASGOW 21691,S200000,00200,0200,KY 21691,S200000,00200,0300,42141- 21691,S200000,00300,0100,BARREN 21691,S200000,00400,0100,GLASGOW HEALTH CARE 21691,S200000,00400,0200,185340 21691,S200000,00400,0300,06/01/1992 21691,S200000,00400,0500,P 21691,S200000,01600,0100,Y 21691,S200000,02200,0100,Y 21691,S700003,00000,0100,1 21693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21693,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21693,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21693,A000000,00300,0000,00300EMPLOYEE BENEFITS 21693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21693,A000000,00700,0000,00700HOUSEKEEPING 21693,A000000,00800,0000,00800DIETARY 21693,A000000,00801,0000,00801CAFETERIA 21693,A000000,00900,0000,00900NURSING ADMINISTRATION 21693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21693,A000000,01100,0000,01100PHARMACY 21693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21693,A000000,01300,0000,01300SOCIAL SERVICE 21693,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21693,A000000,01600,0000,01600SKILLED NURSING FACILITY 21693,A000000,01800,0000,01800NURSING FACILITY 21693,A000000,01900,0000,01900OTHER LONG TERM CARE 21693,A000000,02100,0000,02100RADIOLOGY 21693,A000000,02200,0000,02200LABORATORY 21693,A000000,02300,0000,02300INTRAVENOUS THERAPY 21693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21693,A000000,02500,0000,02500PHYSICAL THERAPY 21693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21693,A000000,02700,0000,02700SPEECH PATHOLOGY 21693,A000000,02800,0000,02800ELECTROCARDIOLOGY 21693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21693,A000000,03050,0000,03300OTHER ANCILLARY 21693,A000000,03051,0000,03301OTHER ANCILLARY II 21693,A000000,03052,0000,03302OTHER ANCILLARY III 21693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21693,A000000,03200,0000,03200SUPPORT SURFACES 21693,A000000,03400,0000,03400CLINIC 21693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21693,A000000,03500,0000,03500RURAL HEALTH CLINIC 21693,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21693,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21693,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21693,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21693,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21693,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21693,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21693,A000000,04400,0000,04400DME RENTED - HHA 21693,A000000,04500,0000,04500DME SOLD - HHA 21693,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21693,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21693,A000000,04800,0000,04800AMBULANCE 21693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21693,A000000,05000,0000,05000CORF 21693,A000000,05010,0000,05010CMHC I 21693,A000000,05020,0000,05020OPT I 21693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21693,A000000,05300,0000,05300INTEREST EXPENSE 21693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21693,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21693,A000000,05500,0000,05500HOSPICE 21693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21693,A000000,06100,0000,06100NONPAID WORKERS 21693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21693,A000000,06200,0000,06200PATIENTS LAUNDRY 21693,A81000A,00100,0100,Y 21693,A81000B,00100,0300,HOME OFFICE COSTS 21693,A81000B,00200,0300,MDS FEES 21693,A81000B,00300,0300,REHAB REES 21693,A81000B,00400,0300,REHAB FEES 21693,A81000B,00500,0300,REHAB FEES 21693,A81000C,00100,0100,B 21693,A81000C,00100,0400,EPI CORPORATION 21693,A81000C,00100,0600,NURSING HOMES 21693,A81000C,00200,0100,C 21693,A81000C,00200,0400,RMS INC. 21693,A81000C,00200,0600,MDS CONSULTING 21693,A81000C,00300,0100,C 21693,A81000C,00300,0400,RMS INC. 21693,A81000C,00300,0600,THERAPY 21693,A81000C,00400,0100,C 21693,A81000C,00400,0400,RMS INC. 21693,A81000C,00400,0600,THERAPY 21693,A81000C,00500,0100,C 21693,A81000C,00500,0400,RMS INC. 21693,A81000C,00500,0600,THERAPY 21693,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21693,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21693,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21693,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21693,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21693,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21693,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21693,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21693,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21693,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21693,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21693,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21693,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21693,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21693,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21693,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21693,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21693,S000000,00100,0200,12/22/1999 21693,S200000,00100,0100,220 WESTWOOD STREET 21693,S200000,00200,0100,GLASGOW 21693,S200000,00200,0200,KY 21693,S200000,00200,0300,42141- 21693,S200000,00300,0100,BARREN 21693,S200000,00400,0100,GLASGOW HEALTH & REHABILITATION CTR 21693,S200000,00400,0200,185340 21693,S200000,00400,0300,06/01/1992 21693,S200000,00400,0500,P 21693,S200000,01600,0100,Y 21693,S200000,02200,0100,Y 21695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21695,A000000,00300,0000,00300EMPLOYEE BENEFITS 21695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21695,A000000,00700,0000,00700HOUSEKEEPING 21695,A000000,00800,0000,00800DIETARY 21695,A000000,00900,0000,00900NURSING ADMINISTRATION 21695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21695,A000000,01100,0000,01100PHARMACY 21695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21695,A000000,01300,0000,01300SOCIAL SERVICE 21695,A000000,01350,0000,01500OTHER GENERAL SERVICES 21695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21695,A000000,01600,0000,01600SKILLED NURSING FACILITY 21695,A000000,01800,0000,01800NURSING FACILITY 21695,A000000,01810,0000,01801ICF/MR 21695,A000000,01900,0000,01900OTHER LONG TERM CARE 21695,A000000,02100,0000,02100RADIOLOGY 21695,A000000,02200,0000,02200LABORATORY 21695,A000000,02300,0000,02300INTRAVENOUS THERAPY 21695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21695,A000000,02500,0000,02500PHYSICAL THERAPY 21695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21695,A000000,02700,0000,02700SPEECH PATHOLOGY 21695,A000000,02800,0000,02800ELECTROCARDIOLOGY 21695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21695,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21695,A000000,03200,0000,03200SUPPORT SURFACES 21695,A000000,03400,0000,03400CLINIC 21695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21695,A000000,03500,0000,03500RURAL HEALTH CLINIC 21695,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21695,A000000,04800,0000,04800AMBULANCE 21695,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21695,A000000,05000,0000,05000CORF 21695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21695,A000000,05300,0000,05300INTEREST EXPENSE 21695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21695,A000000,05500,0000,05500HOSPICE 21695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21695,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21695,A000000,06100,0000,06100NONPAID WORKERS 21695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21695,A000000,06200,0000,06200PATIENTS LAUNDRY 21695,A81000A,00100,0100,Y 21695,A81000B,00100,0300,HOME OFFICE COSTS 21695,A81000B,00200,0300,MDS FEES 21695,A81000B,00300,0300,REHAB FEES 21695,A81000B,00400,0300,REHAB FEES 21695,A81000B,00500,0300,REHAB FEES 21695,A81000C,00100,0100,B 21695,A81000C,00100,0400,EPI CORPORATION 21695,A81000C,00100,0600,NURSING HOMES 21695,A81000C,00200,0100,C 21695,A81000C,00200,0400,RMS INC. 21695,A81000C,00200,0600,MDS CONSULTING 21695,A81000C,00300,0100,C 21695,A81000C,00300,0400,RMS INC. 21695,A81000C,00300,0600,THERAPY 21695,A81000C,00400,0100,C 21695,A81000C,00400,0400,RMS INC. 21695,A81000C,00400,0600,THERAPY 21695,A81000C,00500,0100,C 21695,A81000C,00500,0400,RMS INC. 21695,A81000C,00500,0600,THERAPY 21695,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21695,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21695,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21695,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21695,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21695,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21695,B100000,00000,0750,00000SQAURE FEET :HOUSEKEEPING 21695,B100000,00000,0800,00000MEALS SERVED :DIETARY 21695,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21695,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21695,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21695,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21695,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21695,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21695,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21695,E10A180,00601,0100,05/31/2001 21695,E10A180,00601,0300,05/31/2001 21695,S000000,00100,0200,05/31/2000 21695,S200000,00100,0100,220 WESTWOOD STREET 21695,S200000,00200,0100,GLASGOW 21695,S200000,00200,0200,KY 21695,S200000,00200,0300,42141- 21695,S200000,00300,0100,BARREN 21695,S200000,00400,0100,GLASGOW HEALTH & REHAB CENTER 21695,S200000,00400,0200,185340 21695,S200000,00400,0300,06/01/1992 21695,S200000,00400,0500,P 21695,S200000,01600,0100,Y 21695,S200000,02200,0100,Y 21695,S200000,02800,0100,Y 21704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21704,A000000,00300,0000,00300EMPLOYEE BENEFITS 21704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21704,A000000,00700,0000,00700HOUSEKEEPING 21704,A000000,00800,0000,00800DIETARY 21704,A000000,00900,0000,00900NURSING ADMINISTRATION 21704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21704,A000000,01100,0000,01100PHARMACY 21704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21704,A000000,01300,0000,01300SOCIAL SERVICE 21704,A000000,01350,0000,01500OTHER GENERAL SERVICES 21704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21704,A000000,01600,0000,01600SKILLED NURSING FACILITY 21704,A000000,01800,0000,01800NURSING FACILITY 21704,A000000,01810,0000,01810ICF/MR 21704,A000000,01900,0000,01900OTHER LONG TERM CARE 21704,A000000,02100,0000,02100RADIOLOGY 21704,A000000,02200,0000,02200LABORATORY 21704,A000000,02300,0000,02300INTRAVENOUS THERAPY 21704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21704,A000000,02500,0000,02500PHYSICAL THERAPY 21704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21704,A000000,02700,0000,02700SPEECH PATHOLOGY 21704,A000000,02800,0000,02800ELECTROCARDIOLOGY 21704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21704,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21704,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21704,A000000,03200,0000,03200SUPPORT SURFACES 21704,A000000,03400,0000,03400CLINIC 21704,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21704,A000000,03500,0000,03500RURAL HEALTH CLINIC 21704,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21704,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21704,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21704,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21704,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21704,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21704,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21704,A000000,04400,0000,04400DME RENTED - HHA 21704,A000000,04500,0000,04500DME SOLD - HHA 21704,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21704,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21704,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21704,A000000,04800,0000,04800AMBULANCE 21704,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21704,A000000,05000,0000,05000CORF 21704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21704,A000000,05300,0000,05300INTEREST EXPENSE 21704,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21704,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21704,A000000,05500,0000,05500HOSPICE 21704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21704,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21704,A000000,06100,0000,06100NONPAID WORKERS 21704,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21704,A000000,06200,0000,06200PATIENTS LAUNDRY 21704,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21704,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21704,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21704,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21704,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21704,B100000,00000,0600,00000LAUNDRY POUNDAGE :LAUNDRY & LINEN 21704,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21704,B100000,00000,0800,00000MEALS SERVED :DIETARY 21704,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21704,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21704,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21704,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 21704,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21704,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21704,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21704,E10A180,00601,0100,08/08/2001 21704,E10A180,00650,0300,08/08/2001 21704,S000000,00100,0200,04/24/2000 21704,S200000,00100,0100,402 WEST FARTHING STREET 21704,S200000,00200,0100,MAYFIELD 21704,S200000,00200,0200,KY 21704,S200000,00200,0300,42066- 21704,S200000,00300,0100,GRAVES 21704,S200000,00400,0100,GREEN ACRES HEALTHCARE INC. 21704,S200000,00400,0200,185341 21704,S200000,00400,0300,07/01/1992 21704,S200000,00400,0500,P 21704,S200000,01600,0100,Y 21714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21714,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21714,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21714,A000000,00300,0000,00300EMPLOYEE BENEFITS 21714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21714,A000000,00700,0000,00700HOUSEKEEPING 21714,A000000,00800,0000,00800DIETARY 21714,A000000,00801,0000,00801CAFETERIA 21714,A000000,00900,0000,00900NURSING ADMINISTRATION 21714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21714,A000000,01100,0000,01100PHARMACY 21714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21714,A000000,01300,0000,01300SOCIAL SERVICE 21714,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21714,A000000,01600,0000,01600SKILLED NURSING FACILITY 21714,A000000,01800,0000,01800NURSING FACILITY 21714,A000000,01900,0000,01900OTHER LONG TERM CARE 21714,A000000,02100,0000,02100RADIOLOGY 21714,A000000,02200,0000,02200LABORATORY 21714,A000000,02300,0000,02300INTRAVENOUS THERAPY 21714,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21714,A000000,02500,0000,02500PHYSICAL THERAPY 21714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21714,A000000,02700,0000,02700SPEECH PATHOLOGY 21714,A000000,02800,0000,02800ELECTROCARDIOLOGY 21714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21714,A000000,03050,0000,03300OTHER ANCILLARY 21714,A000000,03051,0000,03301OTHER ANCILLARY II 21714,A000000,03052,0000,03302OTHER ANCILLARY III 21714,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21714,A000000,03200,0000,03200SUPPORT SURFACES 21714,A000000,03400,0000,03400CLINIC 21714,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21714,A000000,03500,0000,03500RURAL HEALTH CLINIC 21714,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21714,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21714,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21714,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21714,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21714,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21714,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21714,A000000,04400,0000,04400DME RENTED - HHA 21714,A000000,04500,0000,04500DME SOLD - HHA 21714,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21714,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21714,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21714,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21714,A000000,05000,0000,05000CORF 21714,A000000,05010,0000,05010CMHC I 21714,A000000,05020,0000,05020OPT I 21714,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21714,A000000,05300,0000,05300INTEREST EXPENSE 21714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21714,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21714,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21714,A000000,05500,0000,05500HOSPICE 21714,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21714,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21714,A000000,06100,0000,06100NONPAID WORKERS 21714,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21714,A000000,06200,0000,06200PATIENTS LAUNDRY 21714,A81000A,00100,0100,Y 21714,A81000B,00100,0300,HOME OFFICE COSTS 21714,A81000B,00200,0300,PUBLIC RELATIONS 21714,A81000B,00300,0300,TRAINING 21714,A81000B,00400,0300,MDS FEES 21714,A81000B,00500,0300,REHAB. FEES 21714,A81000B,00600,0300,REHAB. FEES 21714,A81000B,00700,0300,REHAB. FEES 21714,A81000C,00100,0100,B 21714,A81000C,00100,0400,EPI CORPORATION 21714,A81000C,00100,0600,NURSING HOMES 21714,A81000C,00200,0100,C 21714,A81000C,00200,0400,LUKEN / NUGENT 21714,A81000C,00200,0600,HC COMM. 21714,A81000C,00300,0100,C 21714,A81000C,00300,0400,KY HC TRAINING 21714,A81000C,00300,0600,KY HC TRAINING 21714,A81000C,00400,0100,C 21714,A81000C,00400,0400,RMS INC. 21714,A81000C,00400,0600,MDS CONSULTING 21714,A81000C,00500,0100,C 21714,A81000C,00500,0400,RMS INC. 21714,A81000C,00500,0600,THERAPY 21714,A81000C,00600,0100,C 21714,A81000C,00600,0400,RMS INC. 21714,A81000C,00600,0600,THERAPY 21714,A81000C,00700,0100,C 21714,A81000C,00700,0400,RMS INC. 21714,A81000C,00700,0600,THERAPY 21714,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21714,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21714,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21714,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21714,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21714,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21714,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21714,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21714,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21714,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21714,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21714,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21714,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21714,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21714,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21714,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21714,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21714,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21714,E10A180,00550,0300,06/29/1999 21714,E10A180,00650,0100,08/07/2000 21714,E10A180,00650,0300,08/07/2000 21714,S000000,00100,0200,06/29/1999 21714,S200000,00100,0100,708 BARTLEY AVENUE 21714,S200000,00200,0100,BARDSTOWN 21714,S200000,00200,0200,KY 21714,S200000,00200,0300,40004- 21714,S200000,00300,0100,NELSON 21714,S200000,00400,0100,COLONIAL HOUSE 21714,S200000,00400,0200,185342 21714,S200000,00400,0300,07/01/1992 21714,S200000,00400,0500,P 21714,S200000,01600,0100,Y 21714,S200000,02200,0100,Y 21714,S700003,00000,0100,1 21716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21716,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21716,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21716,A000000,00300,0000,00300EMPLOYEE BENEFITS 21716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21716,A000000,00700,0000,00700HOUSEKEEPING 21716,A000000,00800,0000,00800DIETARY 21716,A000000,00801,0000,00801CAFETERIA 21716,A000000,00900,0000,00900NURSING ADMINISTRATION 21716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21716,A000000,01100,0000,01100PHARMACY 21716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21716,A000000,01300,0000,01300SOCIAL SERVICE 21716,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21716,A000000,01600,0000,01600SKILLED NURSING FACILITY 21716,A000000,01800,0000,01800NURSING FACILITY 21716,A000000,01900,0000,01900OTHER LONG TERM CARE 21716,A000000,02100,0000,02100RADIOLOGY 21716,A000000,02200,0000,02200LABORATORY 21716,A000000,02300,0000,02300INTRAVENOUS THERAPY 21716,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21716,A000000,02500,0000,02500PHYSICAL THERAPY 21716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21716,A000000,02700,0000,02700SPEECH PATHOLOGY 21716,A000000,02800,0000,02800ELECTROCARDIOLOGY 21716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21716,A000000,03050,0000,03300EMERGENCY ROOM 21716,A000000,03051,0000,03301BLOOD ADMINISTRATION 21716,A000000,03052,0000,03302OTHER ANCILLARY III 21716,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21716,A000000,03200,0000,03200SUPPORT SURFACES 21716,A000000,03400,0000,03400CLINIC 21716,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21716,A000000,03500,0000,03500RURAL HEALTH CLINIC 21716,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21716,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21716,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21716,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21716,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21716,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21716,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21716,A000000,04400,0000,04400DME RENTED - HHA 21716,A000000,04500,0000,04500DME SOLD - HHA 21716,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21716,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21716,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21716,A000000,04800,0000,04800AMBULANCE 21716,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21716,A000000,05000,0000,05000CORF 21716,A000000,05010,0000,05010CMHC I 21716,A000000,05020,0000,05020OPT I 21716,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21716,A000000,05300,0000,05300INTEREST EXPENSE 21716,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21716,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21716,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21716,A000000,05500,0000,05500HOSPICE 21716,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21716,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21716,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21716,A000000,06100,0000,06100NONPAID WORKERS 21716,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21716,A000000,06200,0000,06200PATIENTS LAUNDRY 21716,A81000A,00100,0100,Y 21716,A81000B,00100,0300,HOME OFFICE COSTS 21716,A81000B,00200,0300,PUBLIC RELATIONS 21716,A81000B,00300,0300,TRAINING 21716,A81000B,00400,0300,MDS FEES 21716,A81000B,00500,0300,REHAB. FEES 21716,A81000B,00600,0300,REHAB. FEES 21716,A81000B,00700,0300,REHAB. FEES 21716,A81000C,00100,0100,B 21716,A81000C,00100,0400,EPI CORPORATION 21716,A81000C,00100,0600,NURSING HOMES 21716,A81000C,00200,0100,C 21716,A81000C,00200,0400,LUKEN / NUGENT 21716,A81000C,00200,0600,HC COMM. 21716,A81000C,00300,0100,C 21716,A81000C,00300,0400,KY HC TRAINING 21716,A81000C,00300,0600,KY HC TRAINING 21716,A81000C,00400,0100,C 21716,A81000C,00400,0400,RMS INC. 21716,A81000C,00400,0600,MDS CONSULTING 21716,A81000C,00500,0100,C 21716,A81000C,00500,0400,RMS INC. 21716,A81000C,00500,0600,THERAPY 21716,A81000C,00600,0100,C 21716,A81000C,00600,0400,RMS INC. 21716,A81000C,00600,0600,THERAPY 21716,A81000C,00700,0100,C 21716,A81000C,00700,0400,RMS INC. 21716,A81000C,00700,0600,THERAPY 21716,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21716,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21716,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21716,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21716,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21716,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21716,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21716,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21716,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21716,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21716,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21716,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21716,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21716,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21716,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21716,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21716,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21716,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21716,E10A180,00550,0300,01/24/2000 21716,E10A180,00601,0100,02/27/2001 21716,S000000,00100,0200,01/24/2000 21716,S200000,00100,0100,708 BARTLEY AVENUE 21716,S200000,00200,0100,BARDSTOWN 21716,S200000,00200,0200,KY 21716,S200000,00200,0300,40004- 21716,S200000,00300,0100,NELSON 21716,S200000,00400,0100,COLONIAL HEALTH & REHAB CENTER 21716,S200000,00400,0200,185342 21716,S200000,00400,0300,07/01/1992 21716,S200000,00400,0500,P 21716,S200000,01600,0100,Y 21716,S200000,02200,0100,Y 21716,S200000,02800,0100,Y 21718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21718,A000000,00300,0000,00300EMPLOYEE BENEFITS 21718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21718,A000000,00700,0000,00700HOUSEKEEPING 21718,A000000,00800,0000,00800DIETARY 21718,A000000,00900,0000,00900NURSING ADMINISTRATION 21718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21718,A000000,01100,0000,01100PHARMACY 21718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21718,A000000,01300,0000,01300SOCIAL SERVICE 21718,A000000,01350,0000,01500OTHER GENERAL SERVICES 21718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21718,A000000,01600,0000,01600SKILLED NURSING FACILITY 21718,A000000,01800,0000,01800NURSING FACILITY 21718,A000000,01810,0000,01810ICF/MR 21718,A000000,01900,0000,01900OTHER LONG TERM CARE 21718,A000000,02100,0000,02100RADIOLOGY 21718,A000000,02200,0000,02200LABORATORY 21718,A000000,02300,0000,02300INTRAVENOUS THERAPY 21718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21718,A000000,02500,0000,02500PHYSICAL THERAPY 21718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21718,A000000,02700,0000,02700SPEECH PATHOLOGY 21718,A000000,02800,0000,02800ELECTROCARDIOLOGY 21718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21718,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21718,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21718,A000000,03200,0000,03200SUPPORT SURFACES 21718,A000000,03400,0000,03400CLINIC 21718,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21718,A000000,03500,0000,03500RURAL HEALTH CLINIC 21718,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21718,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21718,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21718,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21718,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21718,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21718,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21718,A000000,04400,0000,04400DME RENTED - HHA 21718,A000000,04500,0000,04500DME SOLD - HHA 21718,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21718,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21718,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21718,A000000,04800,0000,04800AMBULANCE 21718,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21718,A000000,05000,0000,05000CORF 21718,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21718,A000000,05300,0000,05300INTEREST EXPENSE 21718,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21718,A000000,05500,0000,05500HOSPICE 21718,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21718,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21718,A000000,06100,0000,06100NONPAID WORKERS 21718,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21718,A000000,06200,0000,06200PATIENTS LAUNDRY 21718,A81000A,00100,0100,Y 21718,A81000B,00100,0300,HOME OFFICE COST 21718,A81000B,00200,0300,PUBLIC RELATIONS 21718,A81000B,00300,0300,TRAINING 21718,A81000B,00400,0300,MDS FEES 21718,A81000B,00500,0300,REHAB FEES 21718,A81000B,00600,0300,REHAB FEES 21718,A81000B,00700,0300,REHAB FEES 21718,A81000C,00100,0100,B 21718,A81000C,00100,0400,EPI CORPORATION 21718,A81000C,00100,0600,NURSING HOMES 21718,A81000C,00200,0100,C 21718,A81000C,00200,0400,LUKEN/NUGENT 21718,A81000C,00200,0600,HC COMM. 21718,A81000C,00300,0100,C 21718,A81000C,00300,0400,KY HC TRAINING 21718,A81000C,00300,0600,KY HC TRAINING 21718,A81000C,00400,0100,C 21718,A81000C,00400,0400,RMS INC. 21718,A81000C,00400,0600,MDS CONSULTING 21718,A81000C,00500,0100,C 21718,A81000C,00500,0400,RMS INC. 21718,A81000C,00500,0600,THERAPY 21718,A81000C,00600,0100,C 21718,A81000C,00600,0400,RMS INC. 21718,A81000C,00600,0600,THERAPY 21718,A81000C,00700,0100,C 21718,A81000C,00700,0400,RMS INC. 21718,A81000C,00700,0600,THERAPY 21718,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21718,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21718,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21718,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21718,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21718,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21718,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21718,B100000,00000,0800,00000MEALS SERVED :DIETARY 21718,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21718,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21718,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21718,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21718,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21718,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21718,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21718,E10A180,00501,0100,05/21/2000 21718,E10A180,00501,0300,05/21/2000 21718,E10A180,00601,0100,07/06/2001 21718,E10A180,00601,0300,07/06/2001 21718,S000000,00100,0200,05/31/2000 21718,S200000,00100,0100,708 BARTLEY AVENUE 21718,S200000,00200,0100,BARDSTOWN 21718,S200000,00200,0200,KY 21718,S200000,00200,0300,40004- 21718,S200000,00300,0100,NELSON 21718,S200000,00400,0100,COLONIAL HEALTH & REHAB CENTER 21718,S200000,00400,0200,185342 21718,S200000,00400,0300,07/01/1992 21718,S200000,00400,0500,P 21718,S200000,01600,0100,Y 21718,S200000,02200,0100,Y 21718,S200000,02800,0100,Y 21722,S000000,00100,0200,05/01/2000 21731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21731,A000000,00300,0000,00300EMPLOYEE BENEFITS 21731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21731,A000000,00700,0000,00700HOUSEKEEPING 21731,A000000,00800,0000,00800DIETARY 21731,A000000,00900,0000,00900NURSING ADMINISTRATION 21731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21731,A000000,01100,0000,01100PHARMACY 21731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21731,A000000,01300,0000,01300SOCIAL SERVICE 21731,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 21731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21731,A000000,01600,0000,01600SKILLED NURSING FACILITY 21731,A000000,01800,0000,01800NURSING FACILITY 21731,A000000,01900,0000,01900OTHER LONG TERM CARE 21731,A000000,02100,0000,02100RADIOLOGY 21731,A000000,02200,0000,02200LABORATORY 21731,A000000,02300,0000,02300INTRAVENOUS THERAPY 21731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21731,A000000,02500,0000,02500PHYSICAL THERAPY 21731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21731,A000000,02700,0000,02700SPEECH PATHOLOGY 21731,A000000,02800,0000,02800ELECTROCARDIOLOGY 21731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21731,A000000,03200,0000,03200SUPPORT SURFACES 21731,A000000,03400,0000,03400CLINIC 21731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 21731,A000000,03500,0000,03500RURAL HEALTH CLINIC 21731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21731,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21731,A000000,04400,0000,04400DME RENTED - HHA 21731,A000000,04500,0000,04500DME SOLD - HHA 21731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21731,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21731,A000000,04800,0000,04800AMBULANCE 21731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21731,A000000,05000,0000,05000CORF 21731,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21731,A000000,05300,0000,05300INTEREST EXPENSE 21731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 21731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21731,A000000,05500,0000,05500HOSPICE 21731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21731,A000000,06100,0000,06100NONPAID WORKERS 21731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21731,A000000,06200,0000,06200PATIENTS LAUNDRY 21731,A81000A,00100,0100,Y 21731,A81000B,00100,0300,HOME OFFICE COSTS 21731,A81000B,00200,0300,CAPITAL REL COSTS-BLDGS & F CAPITAL 21731,A81000C,00100,0100,B 21731,A81000C,00100,0200,EXTENDACARE INC 21731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21731,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21731,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21731,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21731,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 21731,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21731,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21731,E10A180,00601,0100,07/20/2001 21731,E10A180,00601,0300,07/20/2001 21731,S000000,00100,0200,07/25/2000 21731,S200000,00100,0100,5269 ASBURY ROAD 21731,S200000,00200,0100,AUGUSTA 21731,S200000,00200,0200,KY 21731,S200000,00200,0300,41002- 21731,S200000,00300,0100,BRAKEN 21731,S200000,00300,0200,18 21731,S200000,00300,0300,R 21731,S200000,00400,0100,EXTENDACARE-AUGUSTA 21731,S200000,00400,0200,185344 21731,S200000,00400,0300,09/01/1993 21731,S200000,00400,0500,P 21731,S200000,00600,0600,O 21731,S200000,01600,0100,Y 21731,S200000,02200,0100,Y 21731,S200000,03100,0100,Y 21741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21741,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21741,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21741,A000000,00300,0000,00300EMPLOYEE BENEFITS 21741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21741,A000000,00700,0000,00700HOUSEKEEPING 21741,A000000,00800,0000,00800DIETARY 21741,A000000,00801,0000,00801CAFETERIA 21741,A000000,00900,0000,00900NURSING ADMINISTRATION 21741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21741,A000000,01100,0000,01100PHARMACY 21741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21741,A000000,01300,0000,01300SOCIAL SERVICE 21741,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21741,A000000,01600,0000,01600SKILLED NURSING FACILITY 21741,A000000,01800,0000,01800NURSING FACILITY 21741,A000000,01900,0000,01900OTHER LONG TERM CARE 21741,A000000,02100,0000,02100RADIOLOGY 21741,A000000,02200,0000,02200LABORATORY 21741,A000000,02300,0000,02300INTRAVENOUS THERAPY 21741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21741,A000000,02500,0000,02500PHYSICAL THERAPY 21741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21741,A000000,02700,0000,02700SPEECH PATHOLOGY 21741,A000000,02800,0000,02800ELECTROCARDIOLOGY 21741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21741,A000000,03050,0000,03300OTHER ANCILLARY 21741,A000000,03051,0000,03301OTHER ANCILLARY II 21741,A000000,03052,0000,03302OTHER ANCILLARY III 21741,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21741,A000000,03200,0000,03200SUPPORT SURFACES 21741,A000000,03400,0000,03400CLINIC 21741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21741,A000000,03500,0000,03500RURAL HEALTH CLINIC 21741,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21741,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21741,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21741,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21741,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21741,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21741,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21741,A000000,04400,0000,04400DME RENTED - HHA 21741,A000000,04500,0000,04500DME SOLD - HHA 21741,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21741,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21741,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21741,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21741,A000000,05000,0000,05000CORF 21741,A000000,05010,0000,05010CMHC I 21741,A000000,05020,0000,05020OPT I 21741,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21741,A000000,05300,0000,05300INTEREST EXPENSE 21741,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21741,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21741,A000000,05500,0000,05500HOSPICE 21741,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21741,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21741,A000000,06100,0000,06100NONPAID WORKERS 21741,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21741,A000000,06200,0000,06200PATIENTS LAUNDRY 21741,A81000A,00100,0100,Y 21741,A81000B,00100,0300,HOME OFFICE COSTS 21741,A81000B,00200,0300,PUBLIC RELATIONS 21741,A81000B,00300,0300,TRAINING 21741,A81000B,00400,0300,MDS FEES 21741,A81000B,00500,0300,REHAB. FEES 21741,A81000B,00600,0300,REHAB. FEES 21741,A81000B,00700,0300,REHAB. FEES 21741,A81000C,00100,0100,B 21741,A81000C,00100,0400,EPI CORPORATION 21741,A81000C,00100,0600,NURSING HOMES 21741,A81000C,00200,0100,C 21741,A81000C,00200,0400,LUKEN/NUGENT 21741,A81000C,00200,0600,HC COMM. 21741,A81000C,00300,0100,C 21741,A81000C,00300,0400,KY HC TRAINING 21741,A81000C,00300,0600,HC TRAINING 21741,A81000C,00400,0100,C 21741,A81000C,00400,0400,RMS INC. 21741,A81000C,00400,0600,MDS CONSULTING 21741,A81000C,00500,0100,C 21741,A81000C,00500,0400,RMS INC. 21741,A81000C,00500,0600,THERAPY 21741,A81000C,00600,0100,C 21741,A81000C,00600,0400,RMS INC. 21741,A81000C,00600,0600,THERAPY 21741,A81000C,00700,0100,C 21741,A81000C,00700,0400,RMS INC. 21741,A81000C,00700,0600,THERAPY 21741,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21741,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21741,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21741,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21741,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21741,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21741,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21741,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21741,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21741,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21741,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21741,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21741,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21741,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21741,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21741,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21741,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21741,E10A180,00550,0300,06/29/1999 21741,E10A180,00601,0100,08/07/2000 21741,E10A180,00650,0300,08/07/2000 21741,S000000,00100,0200,06/29/1999 21741,S200000,00100,0100,1705 HERR LANE 21741,S200000,00200,0100,LOUISVILLE 21741,S200000,00200,0200,KY 21741,S200000,00200,0300,40222- 21741,S200000,00300,0100,JEFFERSON 21741,S200000,00400,0100,JEFFERSON PLACE 21741,S200000,00400,0200,185349 21741,S200000,00400,0300,05/18/1992 21741,S200000,00400,0500,P 21741,S200000,01600,0100,Y 21741,S200000,02200,0100,Y 21741,S700003,00000,0100,1 21743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21743,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 21743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21743,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 21743,A000000,00300,0000,00300EMPLOYEE BENEFITS 21743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21743,A000000,00700,0000,00700HOUSEKEEPING 21743,A000000,00800,0000,00800DIETARY 21743,A000000,00801,0000,00801CAFETERIA 21743,A000000,00900,0000,00900NURSING ADMINISTRATION 21743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21743,A000000,01100,0000,01100PHARMACY 21743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21743,A000000,01300,0000,01300SOCIAL SERVICE 21743,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21743,A000000,01600,0000,01600SKILLED NURSING FACILITY 21743,A000000,01800,0000,01800NURSING FACILITY 21743,A000000,01900,0000,01900OTHER LONG TERM CARE 21743,A000000,02100,0000,02100RADIOLOGY 21743,A000000,02200,0000,02200LABORATORY 21743,A000000,02300,0000,02300INTRAVENOUS THERAPY 21743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21743,A000000,02500,0000,02500PHYSICAL THERAPY 21743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21743,A000000,02700,0000,02700SPEECH PATHOLOGY 21743,A000000,02800,0000,02800ELECTROCARDIOLOGY 21743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21743,A000000,03050,0000,03300OTHER ANCILLARY 21743,A000000,03051,0000,03301OTHER ANCILLARY II 21743,A000000,03052,0000,03302OTHER ANCILLARY III 21743,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21743,A000000,03200,0000,03200SUPPORT SURFACES 21743,A000000,03400,0000,03400CLINIC 21743,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 21743,A000000,03500,0000,03500RURAL HEALTH CLINIC 21743,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21743,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21743,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21743,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21743,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21743,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21743,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21743,A000000,04400,0000,04400DME RENTED - HHA 21743,A000000,04500,0000,04500DME SOLD - HHA 21743,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21743,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21743,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21743,A000000,04800,0000,04800AMBULANCE 21743,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21743,A000000,05000,0000,05000CORF 21743,A000000,05010,0000,05010CMHC I 21743,A000000,05020,0000,05020OPT I 21743,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21743,A000000,05300,0000,05300INTEREST EXPENSE 21743,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 21743,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 21743,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21743,A000000,05500,0000,05500HOSPICE 21743,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21743,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21743,A000000,06100,0000,06100NONPAID WORKERS 21743,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21743,A000000,06200,0000,06200PATIENTS LAUNDRY 21743,A81000A,00100,0100,Y 21743,A81000B,00100,0300,HOME OFFICE COSTS 21743,A81000B,00200,0300,PUBLIC RELATIONS 21743,A81000B,00300,0300,TRAINING 21743,A81000B,00400,0300,MDS FEES 21743,A81000B,00500,0300,PHYSICAL THERAPY 21743,A81000B,00600,0300,OCCUPATIONAL THERAPY 21743,A81000B,00700,0300,SPEECH THERAPY 21743,A81000C,00100,0100,B 21743,A81000C,00100,0400,EPI CORPORATION 21743,A81000C,00100,0600,NURSING HOMES 21743,A81000C,00200,0100,C 21743,A81000C,00200,0400,LUKEN/NUGENT 21743,A81000C,00200,0600,HC COMM 21743,A81000C,00300,0100,C 21743,A81000C,00300,0400,KY HC TRAINING 21743,A81000C,00300,0600,HC TRAINING 21743,A81000C,00400,0100,C 21743,A81000C,00400,0400,RMS INC. 21743,A81000C,00400,0600,MDS CONSULTING 21743,A81000C,00500,0100,C 21743,A81000C,00500,0400,RMS INC. 21743,A81000C,00500,0600,THERAPY 21743,A81000C,00600,0100,C 21743,A81000C,00600,0400,RMS INC. 21743,A81000C,00600,0600,THERAPY 21743,A81000C,00700,0100,C 21743,A81000C,00700,0400,RMS INC. 21743,A81000C,00700,0600,THERAPY 21743,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 21743,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 21743,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 21743,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 21743,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 21743,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21743,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 21743,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 21743,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 21743,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 21743,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 21743,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 21743,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 21743,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 21743,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 21743,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 21743,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 21743,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 21743,E10A180,00601,0100,02/27/2001 21743,E10A180,00601,0300,02/27/2001 21743,S000000,00100,0200,01/24/2000 21743,S200000,00100,0100,1705 HERR LANE 21743,S200000,00200,0100,LOUISVILLE 21743,S200000,00200,0200,KY 21743,S200000,00200,0300,40222- 21743,S200000,00300,0100,JEFFERSON 21743,S200000,00400,0100,JEFFERSON PLACE 21743,S200000,00400,0200,185349 21743,S200000,00400,0300,05/18/1992 21743,S200000,00400,0500,P 21743,S200000,01600,0100,Y 21743,S200000,02200,0100,Y 21745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21745,A000000,00300,0000,00300EMPLOYEE BENEFITS 21745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21745,A000000,00700,0000,00700HOUSEKEEPING 21745,A000000,00800,0000,00800DIETARY 21745,A000000,00900,0000,00900NURSING ADMINISTRATION 21745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21745,A000000,01100,0000,01100PHARMACY 21745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21745,A000000,01300,0000,01300SOCIAL SERVICE 21745,A000000,01350,0000,01500OTHER GENERAL SERVICES 21745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21745,A000000,01600,0000,01600SKILLED NURSING FACILITY 21745,A000000,01800,0000,01800NURSING FACILITY 21745,A000000,01810,0000,01801ICF/MR 21745,A000000,01900,0000,01900OTHER LONG TERM CARE 21745,A000000,02100,0000,02100RADIOLOGY 21745,A000000,02200,0000,02200LABORATORY 21745,A000000,02300,0000,02300INTRAVENOUS THERAPY 21745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21745,A000000,02500,0000,02500PHYSICAL THERAPY 21745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21745,A000000,02700,0000,02700SPEECH PATHOLOGY 21745,A000000,02800,0000,02800ELECTROCARDIOLOGY 21745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21745,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21745,A000000,03200,0000,03200SUPPORT SURFACES 21745,A000000,03400,0000,03400CLINIC 21745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21745,A000000,03500,0000,03500RURAL HEALTH CLINIC 21745,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21745,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21745,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21745,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21745,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21745,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21745,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21745,A000000,04400,0000,04400DME RENTED - HHA 21745,A000000,04500,0000,04500DME SOLD - HHA 21745,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21745,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21745,A000000,04800,0000,04800AMBULANCE 21745,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21745,A000000,05000,0000,05000CORF 21745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21745,A000000,05300,0000,05300INTEREST EXPENSE 21745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21745,A000000,05500,0000,05500HOSPICE 21745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21745,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21745,A000000,06100,0000,06100NONPAID WORKERS 21745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21745,A000000,06200,0000,06200PATIENTS LAUNDRY 21745,A81000A,00100,0100,Y 21745,A81000B,00100,0300,HOME OFFICE COSTS 21745,A81000B,00200,0300,PUBLIC RELATIONS 21745,A81000B,00300,0300,TRAINING COSTS 21745,A81000B,00400,0300,MDS FEES 21745,A81000B,00500,0300,REHAB FEES 21745,A81000B,00600,0300,REHAB FEES 21745,A81000B,00700,0300,REHAB FEES 21745,A81000C,00100,0100,B 21745,A81000C,00100,0400,EPI CORPORATION 21745,A81000C,00100,0600,NURSING HOMES 21745,A81000C,00200,0100,C 21745,A81000C,00200,0400,LUKEN/NUGENT 21745,A81000C,00200,0600,HC COMM 21745,A81000C,00300,0100,C 21745,A81000C,00300,0400,KY HC TRAINING 21745,A81000C,00300,0600,HC TRAINING 21745,A81000C,00400,0100,C 21745,A81000C,00400,0400,RMS INC. 21745,A81000C,00400,0600,MDS CONSULTING 21745,A81000C,00500,0100,C 21745,A81000C,00500,0400,RMS INC. 21745,A81000C,00500,0600,THERAPY 21745,A81000C,00600,0100,C 21745,A81000C,00600,0400,RMS INC. 21745,A81000C,00600,0600,THERAPY 21745,A81000C,00700,0100,C 21745,A81000C,00700,0400,RMS INC. 21745,A81000C,00700,0600,THERAPY 21745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21745,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21745,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21745,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21745,B100000,00000,0800,00000MEALS SERVED :DIETARY 21745,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 21745,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21745,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21745,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21745,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21745,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21745,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21745,E10A180,00601,0100,05/31/2001 21745,E10A180,00601,0300,05/31/2001 21745,S000000,00100,0200,06/01/2000 21745,S200000,00100,0100,1705 HERR LANE 21745,S200000,00200,0100,LOUISVILLE 21745,S200000,00200,0200,KY 21745,S200000,00200,0300,40222- 21745,S200000,00300,0100,JEFFERSON 21745,S200000,00400,0100,JEFFERSON PLACE 21745,S200000,00400,0200,185349 21745,S200000,00400,0300,05/18/1992 21745,S200000,00400,0500,P 21745,S200000,01600,0100,Y 21745,S200000,02200,0100,Y 21745,S200000,02800,0100,Y 21754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21754,A000000,00300,0000,00300EMPLOYEE BENEFITS 21754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21754,A000000,00700,0000,00700HOUSEKEEPING 21754,A000000,00800,0000,00800DIETARY 21754,A000000,00900,0000,00900NURSING ADMINISTRATION 21754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21754,A000000,01100,0000,01100PHARMACY 21754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21754,A000000,01300,0000,01300SOCIAL SERVICE 21754,A000000,01350,0000,01500OTHER GENERAL SERVICES 21754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21754,A000000,01600,0000,01600SKILLED NURSING FACILITY 21754,A000000,01800,0000,01800NURSING FACILITY 21754,A000000,01810,0000,01810ICF/MR 21754,A000000,01900,0000,01900OTHER LONG TERM CARE 21754,A000000,02100,0000,02100RADIOLOGY 21754,A000000,02200,0000,02200LABORATORY 21754,A000000,02300,0000,02300INTRAVENOUS THERAPY 21754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21754,A000000,02500,0000,02500PHYSICAL THERAPY 21754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21754,A000000,02700,0000,02700SPEECH PATHOLOGY 21754,A000000,02800,0000,02800ELECTROCARDIOLOGY 21754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21754,A000000,03200,0000,03200SUPPORT SURFACES 21754,A000000,03400,0000,03400CLINIC 21754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21754,A000000,03500,0000,03500RURAL HEALTH CLINIC 21754,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21754,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21754,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21754,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21754,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21754,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21754,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21754,A000000,04400,0000,04400DME RENTED - HHA 21754,A000000,04500,0000,04500DME SOLD - HHA 21754,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21754,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21754,A000000,04800,0000,04800AMBULANCE 21754,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21754,A000000,05000,0000,05000CORF 21754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21754,A000000,05300,0000,05300INTEREST EXPENSE 21754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21754,A000000,05500,0000,05500HOSPICE 21754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21754,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21754,A000000,06100,0000,06100NONPAID WORKERS 21754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21754,A000000,06200,0000,06200PATIENTS LAUNDRY 21754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21754,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21754,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21754,B100000,00000,0800,00000MEALS SERVED :DIETARY 21754,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21754,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21754,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21754,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21754,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21754,E10A180,00501,0100,04/19/2001 21754,E10A180,00551,0300,04/19/2001 21754,E10A180,00601,0300,07/20/2001 21754,S000000,00100,0200,08/02/2000 21754,S200000,00100,0100,2529 SIX MILE LANE 21754,S200000,00200,0100,LOUISVILLE 21754,S200000,00200,0200,KY 21754,S200000,00200,0300,40220- 21754,S200000,00300,0100,JEFFERSON 21754,S200000,00400,0100,MEADOWS EAST INC. 21754,S200000,00400,0200,185350 21754,S200000,00400,0300,06/01/1992 21754,S200000,00400,0500,P 21754,S200000,01600,0100,Y 21762,S000000,00100,0200,12/05/2000 21774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21774,A000000,00300,0000,00300EMPLOYEE BENEFITS 21774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21774,A000000,00700,0000,00700HOUSEKEEPING 21774,A000000,00800,0000,00800DIETARY 21774,A000000,00900,0000,00900NURSING ADMINISTRATION 21774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21774,A000000,01100,0000,01100PHARMACY 21774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21774,A000000,01300,0000,01300SOCIAL SERVICE 21774,A000000,01350,0000,01500OTHER GENERAL SERVICES 21774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21774,A000000,01600,0000,01600SKILLED NURSING FACILITY 21774,A000000,01800,0000,01800NURSING FACILITY 21774,A000000,01900,0000,01900OTHER LONG TERM CARE 21774,A000000,02100,0000,02100RADIOLOGY 21774,A000000,02200,0000,02200LABORATORY 21774,A000000,02300,0000,02300INTRAVENOUS THERAPY 21774,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21774,A000000,02500,0000,02500PHYSICAL THERAPY 21774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21774,A000000,02700,0000,02700SPEECH PATHOLOGY 21774,A000000,02800,0000,02800ELECTROCARDIOLOGY 21774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21774,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21774,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21774,A000000,03200,0000,03200SUPPORT SURFACES 21774,A000000,03400,0000,03400CLINIC 21774,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21774,A000000,03500,0000,03500RURAL HEALTH CLINIC 21774,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21774,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21774,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21774,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21774,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21774,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21774,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21774,A000000,04400,0000,04400DME RENTED - HHA 21774,A000000,04500,0000,04500DME SOLD - HHA 21774,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21774,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21774,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21774,A000000,04800,0000,04800AMBULANCE 21774,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21774,A000000,05000,0000,05000CORF 21774,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21774,A000000,05300,0000,05300INTEREST EXPENSE 21774,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21774,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21774,A000000,05500,0000,05500HOSPICE 21774,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21774,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21774,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21774,A000000,06100,0000,06100NONPAID WORKERS 21774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21774,A000000,06200,0000,06200PATIENTS LAUNDRY 21774,A81000A,00100,0100,Y 21774,A81000B,00100,0300,HOME OFFICE 21774,A81000B,00200,0300,CAPITALL 21774,A81000C,00100,0100,B 21774,A81000C,00100,0200,EXTENDACARE 21774,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21774,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21774,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21774,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21774,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21774,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21774,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 21774,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21774,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21774,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21774,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21774,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21774,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21774,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21774,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21774,E10A180,00601,0100,02/27/2001 21774,S000000,00100,0200,07/25/2000 21774,S200000,00100,0100,50 SHEPHARD LANE 21774,S200000,00100,0300,BOX 27 21774,S200000,00200,0100,BEDFORD 21774,S200000,00200,0200,KY 21774,S200000,00200,0300,40006- 21774,S200000,00300,0100,TRIMBLE 21774,S200000,00400,0100,EXTENDACARE-BEDFORD 21774,S200000,00400,0200,185358 21774,S200000,00400,0300,09/29/1992 21774,S200000,00400,0500,P 21774,S200000,00600,0600,O 21774,S200000,01500,0100,Y 21774,S200000,02200,0100,Y 21774,S200000,03100,0100,Y 21779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21779,A000000,00300,0000,00300EMPLOYEE BENEFITS 21779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21779,A000000,00700,0000,00700HOUSEKEEPING 21779,A000000,00800,0000,00800DIETARY 21779,A000000,00900,0000,00900NURSING ADMINISTRATION 21779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21779,A000000,01100,0000,01100PHARMACY 21779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21779,A000000,01300,0000,01300SOCIAL SERVICE 21779,A000000,01350,0000,01500OTHER GENERAL SERVICES 21779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21779,A000000,01600,0000,01600SKILLED NURSING FACILITY 21779,A000000,01800,0000,01800NURSING FACILITY 21779,A000000,01810,0000,01801ICF/MR 21779,A000000,01900,0000,01900OTHER LONG TERM CARE 21779,A000000,02100,0000,02100RADIOLOGY 21779,A000000,02200,0000,02200LABORATORY 21779,A000000,02300,0000,02300INTRAVENOUS THERAPY 21779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21779,A000000,02500,0000,02500PHYSICAL THERAPY 21779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21779,A000000,02700,0000,02700SPEECH PATHOLOGY 21779,A000000,02800,0000,02800ELECTROCARDIOLOGY 21779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21779,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21779,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21779,A000000,03200,0000,03200SUPPORT SURFACES 21779,A000000,03400,0000,03400CLINIC 21779,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21779,A000000,03500,0000,03500RURAL HEALTH CLINIC 21779,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21779,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21779,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21779,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21779,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21779,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21779,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21779,A000000,04400,0000,04400DME RENTED - HHA 21779,A000000,04500,0000,04500DME SOLD - HHA 21779,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21779,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21779,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21779,A000000,04800,0000,04800AMBULANCE 21779,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21779,A000000,05000,0000,05000CORF 21779,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21779,A000000,05300,0000,05300INTEREST EXPENSE 21779,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21779,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21779,A000000,05500,0000,05500HOSPICE 21779,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21779,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21779,A000000,06100,0000,06100NONPAID WORKERS 21779,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21779,A000000,06200,0000,06200PATIENTS LAUNDRY 21779,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21779,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21779,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21779,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21779,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21779,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21779,B100000,00000,0800,00000MEALS SERVED :DIETARY 21779,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 21779,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21779,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21779,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21779,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21779,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21779,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 21779,E10A180,00550,0100,11/24/2000 21779,E10A180,00550,0300,11/24/2000 21779,E10A180,00601,0300,02/27/2001 21779,E10A180,00650,0100,02/27/2001 21779,S000000,00100,0200,09/11/2000 21779,S200000,00100,0100,RT 2 US HIGHWAY 62 21779,S200000,00100,0300,170 21779,S200000,00200,0100,MOUNT OLIVET 21779,S200000,00200,0200,KY 21779,S200000,00200,0300,41064- 21779,S200000,00300,0100,ROBERTSON 21779,S200000,00400,0100,ROBERTSON COUNTY NURSING HOME 21779,S200000,00400,0200,185359 21779,S200000,00400,0300,09/21/1992 21779,S200000,00400,0500,P 21779,S200000,01500,0100,Y 21790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21790,A000000,00300,0000,00300EMPLOYEE BENEFITS 21790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21790,A000000,00700,0000,00700HOUSEKEEPING 21790,A000000,00800,0000,00800DIETARY 21790,A000000,00900,0000,00900NURSING ADMINISTRATION 21790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21790,A000000,01100,0000,01100PHARMACY 21790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21790,A000000,01300,0000,01300SOCIAL SERVICE 21790,A000000,01350,0000,01500OTHER GENERAL SERVICES 21790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21790,A000000,01600,0000,01600SKILLED NURSING FACILITY 21790,A000000,01800,0000,01800NURSING FACILITY 21790,A000000,01810,0000,01801ICF/MR 21790,A000000,01900,0000,01900OTHER LONG TERM CARE 21790,A000000,02100,0000,02100RADIOLOGY 21790,A000000,02200,0000,02200LABORATORY 21790,A000000,02300,0000,02300INTRAVENOUS THERAPY 21790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21790,A000000,02500,0000,02500PHYSICAL THERAPY 21790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21790,A000000,02700,0000,02700SPEECH PATHOLOGY 21790,A000000,02800,0000,02800ELECTROCARDIOLOGY 21790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21790,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21790,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21790,A000000,03200,0000,03200SUPPORT SURFACES 21790,A000000,03400,0000,03400CLINIC 21790,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21790,A000000,03500,0000,03500RURAL HEALTH CLINIC 21790,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21790,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21790,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21790,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21790,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21790,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21790,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21790,A000000,04400,0000,04400DME RENTED - HHA 21790,A000000,04500,0000,04500DME SOLD - HHA 21790,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21790,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21790,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21790,A000000,04800,0000,04800AMBULANCE 21790,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21790,A000000,05000,0000,05000CORF 21790,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21790,A000000,05300,0000,05300INTEREST EXPENSE 21790,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21790,A000000,05500,0000,05500HOSPICE 21790,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21790,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21790,A000000,06100,0000,06100NONPAID WORKERS 21790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21790,A000000,06200,0000,06200PATIENTS LAUNDRY 21790,A81000A,00100,0100,Y 21790,A81000B,00100,0300,HOME OFFICE COST 21790,A81000B,00200,0300,HOME OFFICE COST 21790,A81000C,00100,0100,A 21790,A81000C,00100,0200,RUSSELL LOUDEN 21790,A81000C,00100,0400,LOUDEN & COMPANY INC. 21790,A81000C,00100,0600,HOME OFFICE 21790,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 21790,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21790,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 21790,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21790,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 21790,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 21790,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 21790,B100000,00000,0850,00000NO STATISTICS :DIETARY 21790,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 21790,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 21790,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21790,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 21790,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 21790,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21790,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21790,E10A180,00550,0100,06/09/2000 21790,E10A180,00550,0300,06/09/2000 21790,E10A180,00601,0100,02/27/2001 21790,E10A180,00650,0300,02/27/2001 21790,S000000,00100,0200,05/31/2000 21790,S200000,00100,0100,499 CENTER STREET 21790,S200000,00100,0300,968 21790,S200000,00200,0100,WARSAW 21790,S200000,00200,0200,KY 21790,S200000,00200,0300,41095- 21790,S200000,00300,0100,GALLATIN 21790,S200000,00400,0100,GALLATIN HEALTH CARE 21790,S200000,00400,0200,185360 21790,S200000,00400,0300,11/01/1992 21790,S200000,00400,0500,P 21790,S200000,01600,0100,Y 21799,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21799,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21799,A000000,00300,0000,00300EMPLOYEE BENEFITS 21799,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21799,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21799,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21799,A000000,00700,0000,00700HOUSEKEEPING 21799,A000000,00800,0000,00800DIETARY 21799,A000000,00900,0000,00900NURSING ADMINISTRATION 21799,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21799,A000000,01100,0000,01100PHARMACY 21799,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21799,A000000,01300,0000,01300SOCIAL SERVICE 21799,A000000,01350,0000,01500OTHER GENERAL SERVICES 21799,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21799,A000000,01600,0000,01600SKILLED NURSING FACILITY 21799,A000000,01800,0000,01800NURSING FACILITY 21799,A000000,01810,0000,01810ICF/MR 21799,A000000,01900,0000,01900OTHER LONG TERM CARE 21799,A000000,02100,0000,02100RADIOLOGY 21799,A000000,02200,0000,02200LABORATORY 21799,A000000,02300,0000,02300INTRAVENOUS THERAPY 21799,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21799,A000000,02500,0000,02500PHYSICAL THERAPY 21799,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21799,A000000,02700,0000,02700SPEECH PATHOLOGY 21799,A000000,02800,0000,02800ELECTROCARDIOLOGY 21799,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21799,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21799,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21799,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21799,A000000,03200,0000,03200SUPPORT SURFACES 21799,A000000,03400,0000,03400CLINIC 21799,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21799,A000000,03500,0000,03500RURAL HEALTH CLINIC 21799,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21799,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21799,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21799,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21799,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21799,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21799,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21799,A000000,04400,0000,04400DME RENTED - HHA 21799,A000000,04500,0000,04500DME SOLD - HHA 21799,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21799,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21799,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21799,A000000,04800,0000,04800AMBULANCE 21799,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21799,A000000,05000,0000,05000CORF 21799,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21799,A000000,05300,0000,05300INTEREST EXPENSE 21799,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21799,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21799,A000000,05500,0000,05500HOSPICE 21799,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21799,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21799,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21799,A000000,06100,0000,06100NONPAID WORKERS 21799,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21799,A000000,06200,0000,06200PATIENTS LAUNDRY 21799,A81000A,00100,0100,Y 21799,A81000B,00100,0300,HOME OFFICE COST 21799,A81000B,00200,0300,HOME OFFICE COST 21799,A81000C,00100,0100,A 21799,A81000C,00100,0200,RUSSELL LOUDEN 21799,A81000C,00100,0400,LOUDEN & COMPANY INC. 21799,A81000C,00100,0600,HOME OFFICE 21799,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 21799,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21799,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21799,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 21799,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 21799,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 21799,B100000,00000,0850,00000NO STATISTICS :DIETARY 21799,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 21799,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 21799,E10A180,00601,0100,08/20/2001 21799,E10A180,00601,0300,08/20/2001 21799,S000000,00100,0200,05/31/2000 21799,S200000,00100,0100,601 CEDAR STREET 21799,S200000,00100,0300,329 21799,S200000,00200,0100,NEW CASTLE 21799,S200000,00200,0200,KY 21799,S200000,00200,0300,40050- 21799,S200000,00300,0100,HENRY 21799,S200000,00300,0200,9918 21799,S200000,00300,0300,R 21799,S200000,00400,0100,HOMESTEAD NURSING CENTER OF NEW CAST 21799,S200000,00400,0200,185362 21799,S200000,00400,0300,10/29/1992 21799,S200000,00400,0500,P 21799,S200000,01500,0100,Y 21815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21815,A000000,00300,0000,00300EMPLOYEE BENEFITS 21815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21815,A000000,00700,0000,00700HOUSEKEEPING 21815,A000000,00800,0000,00800DIETARY 21815,A000000,00900,0000,00900NURSING ADMINISTRATION 21815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21815,A000000,01100,0000,01100PHARMACY 21815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21815,A000000,01300,0000,01300SOCIAL SERVICE 21815,A000000,01350,0000,01500OTHER GENERAL SERVICES 21815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21815,A000000,01600,0000,01600SKILLED NURSING FACILITY 21815,A000000,01800,0000,01800NURSING FACILITY 21815,A000000,01810,0000,01810ICF/MR 21815,A000000,01900,0000,01900OTHER LONG TERM CARE 21815,A000000,02100,0000,02100RADIOLOGY 21815,A000000,02200,0000,02200LABORATORY 21815,A000000,02300,0000,02300INTRAVENOUS THERAPY 21815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21815,A000000,02500,0000,02500PHYSICAL THERAPY 21815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21815,A000000,02700,0000,02700SPEECH PATHOLOGY 21815,A000000,02800,0000,02800ELECTROCARDIOLOGY 21815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21815,A000000,03200,0000,03200SUPPORT SURFACES 21815,A000000,03400,0000,03400CLINIC 21815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21815,A000000,03500,0000,03500RURAL HEALTH CLINIC 21815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21815,A000000,04400,0000,04400DME RENTED - HHA 21815,A000000,04500,0000,04500DME SOLD - HHA 21815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21815,A000000,04800,0000,04800AMBULANCE 21815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21815,A000000,05000,0000,05000CORF 21815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21815,A000000,05300,0000,05300INTEREST EXPENSE 21815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21815,A000000,05500,0000,05500HOSPICE 21815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21815,A000000,06100,0000,06100NONPAID WORKERS 21815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21815,A000000,06200,0000,06200PATIENTS LAUNDRY 21815,A81000A,00100,0100,Y 21815,A81000B,00100,0300,HOME OFFICE COSTS 21815,A81000C,00100,0100,B 21815,A81000C,00100,0200,SENIORCARE LLC 21815,A81000C,00100,0400,SENIORCARE LLC 21815,A81000C,00100,0600,HOME OFFICE 21815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21815,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21815,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21815,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21815,B100000,00000,0800,00000MEALS SERVED :DIETARY 21815,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21815,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21815,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21815,E10A180,00601,0100,08/28/2001 21815,E10A180,00650,0300,08/28/2001 21815,S000000,00100,0200,07/07/2000 21815,S200000,00100,0100,905 HWY 127 NORTH 21815,S200000,00200,0100,OWENTON 21815,S200000,00200,0200,KY 21815,S200000,00200,0300,40359- 21815,S200000,00300,0100,OWEN 21815,S200000,00300,0200,18 21815,S200000,00300,0300,R 21815,S200000,00400,0100,OWENTON MANOR 21815,S200000,00400,0200,185364 21815,S200000,00400,0300,01/23/1993 21815,S200000,00400,0500,P 21815,S200000,01600,0100,Y 21821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21821,A000000,00300,0000,00300EMPLOYEE BENEFITS 21821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21821,A000000,00700,0000,00700HOUSEKEEPING 21821,A000000,00800,0000,00800DIETARY 21821,A000000,00900,0000,00900NURSING ADMINISTRATION 21821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21821,A000000,01100,0000,01100PHARMACY 21821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21821,A000000,01300,0000,01300SOCIAL SERVICE 21821,A000000,01350,0000,01500OTHER GENERAL SERVICES 21821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21821,A000000,01600,0000,01600SKILLED NURSING FACILITY 21821,A000000,01800,0000,01800NURSING FACILITY 21821,A000000,01810,0000,01810ICF/MR 21821,A000000,01900,0000,01900OTHER LONG TERM CARE 21821,A000000,02100,0000,02100RADIOLOGY 21821,A000000,02200,0000,02200LABORATORY 21821,A000000,02300,0000,02300INTRAVENOUS THERAPY 21821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21821,A000000,02500,0000,02500PHYSICAL THERAPY 21821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21821,A000000,02700,0000,02700SPEECH PATHOLOGY 21821,A000000,02800,0000,02800ELECTROCARDIOLOGY 21821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21821,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21821,A000000,03200,0000,03200SUPPORT SURFACES 21821,A000000,03400,0000,03400CLINIC 21821,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21821,A000000,03500,0000,03500RURAL HEALTH CLINIC 21821,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21821,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21821,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21821,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21821,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21821,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21821,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21821,A000000,04400,0000,04400DME RENTED - HHA 21821,A000000,04500,0000,04500DME SOLD - HHA 21821,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21821,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21821,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21821,A000000,04800,0000,04800AMBULANCE 21821,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21821,A000000,05000,0000,05000CORF 21821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21821,A000000,05300,0000,05300INTEREST EXPENSE 21821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21821,A000000,05500,0000,05500HOSPICE 21821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21821,A000000,06100,0000,06100NONPAID WORKERS 21821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21821,A000000,06200,0000,06200PATIENTS LAUNDRY 21821,A81000A,00100,0100,Y 21821,A81000B,00100,0300,RENT 21821,A81000B,00200,0300,MANAGEMENT FEES 21821,A81000B,00300,0300,LEGAL FEES 21821,A81000B,00400,0300,DEPRECIATION 21821,A81000B,00500,0300,DEPRECIATION-EQUIPMENT 21821,A81000B,00600,0300,INTEREST 21821,A81000B,00700,0300,ADMINISTRATIVE COSTS 21821,A81000B,00800,0300,MEDICAL SUPPLIES 21821,A81000B,00900,0300,DRUGS 21821,A81000C,00100,0100,A 21821,A81000C,00100,0200,T. FORCHT & N. BARTON 21821,A81000C,00100,0400,INSTITUTIONAL PHARMACY 21821,A81000C,00100,0600,PHARMACY 21821,A81000C,00200,0100,A 21821,A81000C,00200,0200,T. FORCHT & N. BARTON 21821,A81000C,00200,0400,BARTON & FORCHT 21821,A81000C,00200,0600,RENTAL 21821,A81000C,00300,0100,A 21821,A81000C,00300,0200,T. FORCHT & N. BARTON 21821,A81000C,00300,0400,HEALTH SYSTEMS INC. 21821,A81000C,00300,0600,MANAGEMENT 21821,A81000C,00400,0100,A 21821,A81000C,00400,0200,TERRY FORCHT 21821,A81000C,00400,0400,LAND CO OF CORBIN 21821,A81000C,00400,0600,RENTAL 21821,A81000C,00500,0100,A 21821,A81000C,00500,0200,TERRY FORCHT 21821,A81000C,00500,0400,FIRST CORBIN INVESTMENT 21821,A81000C,00500,0600,MANAGEMENT 21821,A81000C,00600,0100,A 21821,A81000C,00600,0200,TERRY FORCHT 21821,A81000C,00600,0400,KEY MANAGEMENT 21821,A81000C,00600,0600,MANAGEMENT 21821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21821,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21821,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21821,B100000,00000,0800,00000MEALS SERVED :DIETARY 21821,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21821,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21821,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21821,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21821,E10A180,00501,0100,06/01/2000 21821,E10A180,00550,0300,06/01/2000 21821,E10A180,00650,0300,08/17/2001 21821,S000000,00100,0200,06/01/2000 21821,S200000,00100,0100,BACON CREEK ROAD 21821,S200000,00100,0300,1190 21821,S200000,00200,0100,CORBIN 21821,S200000,00200,0200,KY 21821,S200000,00200,0300,40702- 21821,S200000,00300,0100,LAUREL 21821,S200000,00300,0200,18 21821,S200000,00300,0300,R 21821,S200000,00400,0100,CORBIN NURSING HOME 21821,S200000,00400,0200,185366 21821,S200000,00400,0300,03/29/1993 21821,S200000,00400,0500,P 21821,S200000,01600,0100,Y 21834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21834,A000000,00300,0000,00300EMPLOYEE BENEFITS 21834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21834,A000000,00700,0000,00700HOUSEKEEPING 21834,A000000,00800,0000,00800DIETARY 21834,A000000,00900,0000,00900NURSING ADMINISTRATION 21834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21834,A000000,01100,0000,01100PHARMACY 21834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21834,A000000,01300,0000,01300SOCIAL SERVICE 21834,A000000,01350,0000,01500OTHER GENERAL SERVICES 21834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21834,A000000,01600,0000,01600SKILLED NURSING FACILITY 21834,A000000,01800,0000,01800NURSING FACILITY 21834,A000000,01810,0000,01801ICF/MR 21834,A000000,01900,0000,01900OTHER LONG TERM CARE 21834,A000000,02100,0000,02100RADIOLOGY 21834,A000000,02200,0000,02200LABORATORY 21834,A000000,02300,0000,02300INTRAVENOUS THERAPY 21834,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21834,A000000,02500,0000,02500PHYSICAL THERAPY 21834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21834,A000000,02700,0000,02700SPEECH PATHOLOGY 21834,A000000,02800,0000,02800ELECTROCARDIOLOGY 21834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21834,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21834,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21834,A000000,03200,0000,03200SUPPORT SURFACES 21834,A000000,03400,0000,03400CLINIC 21834,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21834,A000000,03500,0000,03500RURAL HEALTH CLINIC 21834,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21834,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21834,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21834,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21834,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21834,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21834,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21834,A000000,04400,0000,04400DME RENTED - HHA 21834,A000000,04500,0000,04500DME SOLD - HHA 21834,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21834,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21834,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21834,A000000,04800,0000,04800AMBULANCE 21834,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21834,A000000,05000,0000,05000CORF 21834,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21834,A000000,05300,0000,05300INTEREST EXPENSE 21834,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21834,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21834,A000000,05500,0000,05500HOSPICE 21834,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21834,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21834,A000000,06100,0000,06100NONPAID WORKERS 21834,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21834,A000000,06200,0000,06200PATIENTS LAUNDRY 21834,A81000A,00100,0100,Y 21834,A81000B,00100,0300,RELATED PARTY INTEREST EXPENSE 21834,A81000C,00100,0100,A 21834,A81000C,00100,0200,FRED NALL 21834,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21834,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21834,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21834,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21834,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21834,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21834,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21834,B100000,00000,0800,00000MEALS SERVED :DIETARY 21834,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21834,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21834,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21834,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21834,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21834,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21834,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 21834,E10A180,00550,0100,12/01/2000 21834,E10A180,00601,0100,02/27/2001 21834,E10A180,00601,0300,02/27/2001 21834,S000000,00100,0200,09/11/2000 21834,S200000,00100,0300,1718 21834,S200000,00200,0100,INEZ 21834,S200000,00200,0200,KY 21834,S200000,00200,0300,41224- 21834,S200000,00300,0100,MARTIN 21834,S200000,00400,0100,MARTIN COUNTY HEALTH CARE FACILITY 21834,S200000,00400,0200,185379 21834,S200000,00400,0300,06/14/1993 21834,S200000,00400,0500,P 21834,S200000,01500,0100,Y 21840,S000000,00100,0200,02/21/2000 21843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21843,A000000,00300,0000,00300EMPLOYEE BENEFITS 21843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21843,A000000,00700,0000,00700HOUSEKEEPING 21843,A000000,00800,0000,00800DIETARY 21843,A000000,00900,0000,00900NURSING ADMINISTRATION 21843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21843,A000000,01100,0000,01100PHARMACY 21843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21843,A000000,01300,0000,01300SOCIAL SERVICE 21843,A000000,01350,0000,01500OTHER GENERAL SERVICES 21843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21843,A000000,01600,0000,01600SKILLED NURSING FACILITY 21843,A000000,01800,0000,01800NURSING FACILITY 21843,A000000,01810,0000,01810ICF/MR 21843,A000000,01900,0000,01900OTHER LONG TERM CARE 21843,A000000,02100,0000,02100RADIOLOGY 21843,A000000,02200,0000,02200LABORATORY 21843,A000000,02300,0000,02300INTRAVENOUS THERAPY 21843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21843,A000000,02500,0000,02500PHYSICAL THERAPY 21843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21843,A000000,02700,0000,02700SPEECH PATHOLOGY 21843,A000000,02800,0000,02800ELECTROCARDIOLOGY 21843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21843,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21843,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21843,A000000,03200,0000,03200SUPPORT SURFACES 21843,A000000,03400,0000,03400CLINIC 21843,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21843,A000000,03500,0000,03500RURAL HEALTH CLINIC 21843,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21843,A000000,04800,0000,04800AMBULANCE 21843,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21843,A000000,05000,0000,05000CORF 21843,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21843,A000000,05300,0000,05300INTEREST EXPENSE 21843,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21843,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21843,A000000,05500,0000,05500HOSPICE 21843,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21843,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21843,A000000,06100,0000,06100NONPAID WORKERS 21843,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21843,A000000,06200,0000,06200PATIENTS LAUNDRY 21843,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21843,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21843,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21843,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21843,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21843,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21843,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21843,B100000,00000,0800,00000MEALS SERVED :DIETARY 21843,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 21843,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21843,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21843,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21843,E10A180,00501,0100,05/31/2000 21843,E10A180,00550,0300,05/31/2000 21843,E10A180,00551,0300,08/13/2001 21843,E10A180,00601,0300,01/18/2002 21843,S000000,00100,0200,05/31/2000 21843,S200000,00100,0100,ROUTE 1 21843,S200000,00100,0300,9 21843,S200000,00200,0100,BARDWELL 21843,S200000,00200,0200,KY 21843,S200000,00200,0300,42023- 21843,S200000,00300,0100,CARLISLE 21843,S200000,00300,0200,0018 21843,S200000,00300,0300,R 21843,S200000,00400,0100,COUNTRYSIDE HEALTH CARE 21843,S200000,00400,0200,185382 21843,S200000,00400,0300,08/06/1993 21843,S200000,00400,0500,P 21843,S200000,01600,0100,Y 21853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21853,A000000,00300,0000,00300EMPLOYEE BENEFITS 21853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21853,A000000,00700,0000,00700HOUSEKEEPING 21853,A000000,00800,0000,00800DIETARY 21853,A000000,00900,0000,00900NURSING ADMINISTRATION 21853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21853,A000000,01100,0000,01100PHARMACY 21853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21853,A000000,01300,0000,01300SOCIAL SERVICE 21853,A000000,01350,0000,01500ACTIVITIES 21853,A000000,01600,0000,01600SKILLED NURSING FACILITY 21853,A000000,01800,0000,01800NURSING FACILITY 21853,A000000,01810,0000,01810ICF/MR 21853,A000000,01900,0000,01900OTHER LONG TERM CARE 21853,A000000,02100,0000,02100RADIOLOGY 21853,A000000,02200,0000,02200LABORATORY 21853,A000000,02300,0000,02300INTRAVENOUS THERAPY 21853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21853,A000000,02500,0000,02500PHYSICAL THERAPY 21853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21853,A000000,02700,0000,02700SPEECH PATHOLOGY 21853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21853,A000000,03200,0000,03200SUPPORT SURFACES 21853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21853,A000000,04800,0000,04800AMBULANCE 21853,A000000,05300,0000,05300INTEREST EXPENSE 21853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21853,A81000A,00100,0100,Y 21853,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT EXPEN 21853,A81000C,00100,0100,A 21853,A81000C,00100,0200,BARRY BORTZ 21853,A81000C,00100,0400,HIGHLANDS REALTY 21853,A81000C,00100,0600,REAL ESTATE 21853,A81000C,00200,0100,A 21853,A81000C,00200,0200,HENRY SCHNEIDER 21853,A81000C,00200,0400,HIGHLANDS REALTY 21853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21853,B100000,00000,0800,00000MEALS SERVED :DIETARY 21853,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21853,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 21853,E10A180,00601,0100,09/19/2001 21853,E10A180,00601,0300,09/19/2001 21853,S000000,00100,0200,06/30/2000 21853,S200000,00100,0100,960 HIGHLAND AVENUE 21853,S200000,00200,0100,FT. THOMAS 21853,S200000,00200,0200,KY 21853,S200000,00200,0300,41075- 21853,S200000,00300,0100,CAMPBELL 21853,S200000,00300,0200,1640 21853,S200000,00300,0300,U 21853,S200000,00400,0100,HIGHLANDS OF FT. THOMAS 21853,S200000,00400,0200,185383 21853,S200000,00400,0300,10/29/1993 21853,S200000,00400,0500,P 21853,S200000,01600,0100,Y 21856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21856,A000000,00300,0000,00300EMPLOYEE BENEFITS 21856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21856,A000000,00700,0000,00700HOUSEKEEPING 21856,A000000,00800,0000,00800DIETARY 21856,A000000,00900,0000,00900NURSING ADMINISTRATION 21856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21856,A000000,01100,0000,01100PHARMACY 21856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21856,A000000,01300,0000,01300SOCIAL SERVICE 21856,A000000,01350,0000,01500OTHER GENERAL SERVICES 21856,A000000,01600,0000,01600SKILLED NURSING FACILITY 21856,A000000,01800,0000,01800NURSING FACILITY 21856,A000000,01810,0000,01810ICF/MR 21856,A000000,01900,0000,01900OTHER LONG TERM CARE 21856,A000000,02100,0000,02100RADIOLOGY 21856,A000000,02200,0000,02200LABORATORY 21856,A000000,02300,0000,02300INTRAVENOUS THERAPY 21856,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21856,A000000,02500,0000,02500PHYSICAL THERAPY 21856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21856,A000000,02700,0000,02700SPEECH PATHOLOGY 21856,A000000,02800,0000,02800ELECTROCARDIOLOGY 21856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21856,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21856,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21856,A000000,03200,0000,03200SUPPORT SURFACES 21856,A000000,03400,0000,03400CLINIC 21856,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21856,A000000,03500,0000,03500RURAL HEALTH CLINIC 21856,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21856,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21856,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21856,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21856,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21856,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21856,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21856,A000000,04400,0000,04400DME RENTED - HHA 21856,A000000,04500,0000,04500DME SOLD - HHA 21856,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21856,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21856,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21856,A000000,04800,0000,04800AMBULANCE 21856,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21856,A000000,05000,0000,05000CORF 21856,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21856,A000000,05300,0000,05300INTEREST EXPENSE 21856,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21856,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21856,A000000,05500,0000,05500HOSPICE 21856,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21856,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21856,A000000,06100,0000,06100NONPAID WORKERS 21856,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21856,A000000,06200,0000,06200PATIENTS LAUNDRY 21856,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21856,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21856,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21856,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21856,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21856,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21856,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21856,B100000,00000,0800,00000MEALS SERVED :DIETARY 21856,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21856,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21856,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 21856,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21856,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21856,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21856,E10A180,00501,0100,06/02/2000 21856,E10A180,00550,0300,06/02/2000 21856,E10A180,00601,0300,08/03/2001 21856,E10A180,00650,0100,08/03/2001 21856,S000000,00100,0200,06/02/2000 21856,S200000,00100,0100,601 RICHMOND ROAD 21856,S200000,00100,0300,4068 21856,S200000,00200,0100,BEREA 21856,S200000,00200,0200,KY 21856,S200000,00200,0300,40403- 21856,S200000,00300,0100,MADISON 21856,S200000,00400,0100,BEREA HEALTH CARE CENTER 21856,S200000,00400,0200,185384 21856,S200000,00400,0300,09/29/1993 21856,S200000,00400,0500,P 21856,S200000,01500,0100,Y 21868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21868,A000000,00300,0000,00300EMPLOYEE BENEFITS 21868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21868,A000000,00700,0000,00700HOUSEKEEPING 21868,A000000,00800,0000,00800DIETARY 21868,A000000,00900,0000,00900NURSING ADMINISTRATION 21868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21868,A000000,01100,0000,01100PHARMACY 21868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21868,A000000,01300,0000,01300SOCIAL SERVICE 21868,A000000,01350,0000,01500OTHER GENERAL SERVICES 21868,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21868,A000000,01600,0000,01600SKILLED NURSING FACILITY 21868,A000000,01800,0000,01800NURSING FACILITY 21868,A000000,01810,0000,01810ICF/MR 21868,A000000,01900,0000,01900OTHER LONG TERM CARE 21868,A000000,02100,0000,02100RADIOLOGY 21868,A000000,02200,0000,02200LABORATORY 21868,A000000,02300,0000,02300INTRAVENOUS THERAPY 21868,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21868,A000000,02500,0000,02500PHYSICAL THERAPY 21868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21868,A000000,02700,0000,02700SPEECH PATHOLOGY 21868,A000000,02800,0000,02800ELECTROCARDIOLOGY 21868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21868,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21868,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21868,A000000,03200,0000,03200SUPPORT SURFACES 21868,A000000,03400,0000,03400CLINIC 21868,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21868,A000000,03500,0000,03500RURAL HEALTH CLINIC 21868,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21868,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21868,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21868,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21868,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21868,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21868,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21868,A000000,04400,0000,04400DME RENTED - HHA 21868,A000000,04500,0000,04500DME SOLD - HHA 21868,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21868,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21868,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21868,A000000,04800,0000,04800AMBULANCE 21868,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21868,A000000,05000,0000,05000CORF 21868,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21868,A000000,05300,0000,05300INTEREST EXPENSE 21868,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21868,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21868,A000000,05500,0000,05500HOSPICE 21868,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21868,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21868,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21868,A000000,06100,0000,06100NONPAID WORKERS 21868,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21868,A000000,06200,0000,06200PATIENTS LAUNDRY 21868,A81000A,00100,0100,Y 21868,A81000B,00100,0300,PAPER & PRINTING 21868,A81000C,00100,0100,B 21868,A81000C,00100,0200,MASONIC HOME OF KY INC. 21868,A81000C,00100,0400,MASONIC HOME JOURNAL 21868,A81000C,00100,0600,PRINTING 21868,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21868,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21868,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21868,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21868,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 21868,B100000,00000,0800,00000MEALS SERVED :DIETARY 21868,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21868,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21868,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21868,E10A180,00601,0300,03/12/2002 21868,E10A180,00650,0100,03/12/2002 21868,S000000,00100,0200,02/05/2001 21868,S200000,00100,0100,3702 FRANKFORT AVE 21868,S200000,00200,0100,LOUSIVILLE 21868,S200000,00200,0200,KY 21868,S200000,00300,0100,JEFFERSON 21868,S200000,00300,0200,4520 21868,S200000,00300,0300,U 21868,S200000,00400,0100,MASONIC HOME OF KY - LOUISVILLE 21868,S200000,00400,0200,185388 21868,S200000,00400,0300,11/08/1993 21868,S200000,00400,0500,P 21868,S200000,01600,0100,Y 21871,S000000,00100,0200,08/02/2000 21879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21879,A000000,00300,0000,00300EMPLOYEE BENEFITS 21879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21879,A000000,00700,0000,00700HOUSEKEEPING 21879,A000000,00800,0000,00800DIETARY 21879,A000000,00900,0000,00900NURSING ADMINISTRATION 21879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21879,A000000,01100,0000,01100PHARMACY 21879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21879,A000000,01300,0000,01300SOCIAL SERVICE 21879,A000000,01350,0000,01500OTHER GENERAL SERVICES 21879,A000000,01600,0000,01600SKILLED NURSING FACILITY 21879,A000000,01800,0000,01800NURSING FACILITY 21879,A000000,01810,0000,01810ICF/MR 21879,A000000,01900,0000,01900OTHER LONG TERM CARE 21879,A000000,02100,0000,02100RADIOLOGY 21879,A000000,02200,0000,02200LABORATORY 21879,A000000,02300,0000,02300INTRAVENOUS THERAPY 21879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21879,A000000,02500,0000,02500PHYSICAL THERAPY 21879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21879,A000000,02700,0000,02700SPEECH PATHOLOGY 21879,A000000,02800,0000,02800ELECTROCARDIOLOGY 21879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21879,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21879,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21879,A000000,03200,0000,03200SUPPORT SURFACES 21879,A000000,03400,0000,03400CLINIC 21879,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21879,A000000,03500,0000,03500RURAL HEALTH CLINIC 21879,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21879,A000000,04800,0000,04800AMBULANCE 21879,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21879,A000000,05000,0000,05000CORF 21879,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21879,A000000,05300,0000,05300INTEREST EXPENSE 21879,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21879,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21879,A000000,05500,0000,05500HOSPICE 21879,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21879,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21879,A000000,06100,0000,06100NONPAID WORKERS 21879,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21879,A000000,06200,0000,06200PATIENTS LAUNDRY 21879,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21879,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21879,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21879,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21879,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21879,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21879,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21879,B100000,00000,0800,00000MEALS SERVED :DIETARY 21879,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21879,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21879,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21879,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21879,E10A180,00550,0100,09/11/2000 21879,E10A180,00550,0300,09/11/2000 21879,E10A180,00650,0100,07/06/2001 21879,E10A180,00650,0300,07/06/2001 21879,S000000,00100,0200,09/11/2000 21879,S200000,00100,0300,1309 21879,S200000,00200,0100,ASHLAND 21879,S200000,00200,0200,KY 21879,S200000,00200,0300,41105- 21879,S200000,00300,0100,GREENUP 21879,S200000,00300,0200,3400 21879,S200000,00300,0300,U 21879,S200000,00400,0100,WOODLAND OAKS 21879,S200000,00400,0200,185392 21879,S200000,00400,0300,01/25/1994 21879,S200000,00400,0500,P 21879,S200000,01600,0100,Y 21888,S000000,00100,0200,05/30/2000 21891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21891,A000000,00300,0000,00300EMPLOYEE BENEFITS 21891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21891,A000000,00700,0000,00700HOUSEKEEPING 21891,A000000,00800,0000,00800DIETARY 21891,A000000,00900,0000,00900NURSING ADMINISTRATION 21891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21891,A000000,01100,0000,01100PHARMACY 21891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21891,A000000,01300,0000,01300SOCIAL SERVICE 21891,A000000,01350,0000,01500OTHER GENERAL SERVICES 21891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21891,A000000,01600,0000,01600SKILLED NURSING FACILITY 21891,A000000,01800,0000,01800NURSING FACILITY 21891,A000000,01900,0000,01900OTHER LONG TERM CARE 21891,A000000,02100,0000,02100RADIOLOGY 21891,A000000,02200,0000,02200LABORATORY 21891,A000000,02300,0000,02300INTRAVENOUS THERAPY 21891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21891,A000000,02500,0000,02500PHYSICAL THERAPY 21891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21891,A000000,02700,0000,02700SPEECH PATHOLOGY 21891,A000000,02800,0000,02800ELECTROCARDIOLOGY 21891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21891,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21891,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21891,A000000,03200,0000,03200SUPPORT SURFACES 21891,A000000,03400,0000,03400CLINIC 21891,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21891,A000000,03500,0000,03500RURAL HEALTH CLINIC 21891,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21891,A000000,04800,0000,04800AMBULANCE 21891,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21891,A000000,05000,0000,05000CORF 21891,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21891,A000000,05300,0000,05300INTEREST EXPENSE 21891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21891,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21891,A000000,05500,0000,05500HOSPICE 21891,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21891,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21891,A000000,06100,0000,06100NONPAID WORKERS 21891,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21891,A000000,06200,0000,06200PATIENTS LAUNDRY 21891,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21891,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 21891,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 21891,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21891,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21891,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21891,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21891,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21891,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21891,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21891,B100000,00000,1150,00000NO STATISTICS :PHARMACY 21891,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21891,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21891,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21891,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 21891,E10A180,00601,0100,03/12/2001 21891,E10A180,00650,0300,03/12/2001 21891,S000000,00100,0200,02/28/2000 21891,S200000,00100,0100,506 ALLENSVILLE ROAD 21891,S200000,00200,0100,ELKTON 21891,S200000,00200,0200,KY 21891,S200000,00200,0300,42220- 21891,S200000,00300,0100,TODD 21891,S200000,00400,0100,HEARTHSTONE PLACE 21891,S200000,00400,0200,185400 21891,S200000,00400,0300,06/29/1994 21891,S200000,00400,0500,P 21891,S200000,01500,0100,Y 21896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21896,A000000,00300,0000,00300EMPLOYEE BENEFITS 21896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21896,A000000,00700,0000,00700HOUSEKEEPING 21896,A000000,00800,0000,00800DIETARY 21896,A000000,00900,0000,00900NURSING ADMINISTRATION 21896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21896,A000000,01100,0000,01100PHARMACY 21896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21896,A000000,01300,0000,01300SOCIAL SERVICE 21896,A000000,01350,0000,01500OTHER GENERAL SERVICES 21896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21896,A000000,01600,0000,01600SKILLED NURSING FACILITY 21896,A000000,01800,0000,01800NURSING FACILITY 21896,A000000,01810,0000,01810ICF/MR 21896,A000000,01900,0000,01900OTHER LONG TERM CARE 21896,A000000,02100,0000,02100RADIOLOGY 21896,A000000,02200,0000,02200LABORATORY 21896,A000000,02300,0000,02300INTRAVENOUS THERAPY 21896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21896,A000000,02500,0000,02500PHYSICAL THERAPY 21896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21896,A000000,02700,0000,02700SPEECH PATHOLOGY 21896,A000000,02800,0000,02800ELECTROCARDIOLOGY 21896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21896,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21896,A000000,03200,0000,03200SUPPORT SURFACES 21896,A000000,03400,0000,03400CLINIC 21896,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21896,A000000,03500,0000,03500RURAL HEALTH CLINIC 21896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21896,A000000,04400,0000,04400DME RENTED - HHA 21896,A000000,04500,0000,04500DME SOLD - HHA 21896,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21896,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21896,A000000,04800,0000,04800AMBULANCE 21896,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21896,A000000,05000,0000,05000CORF 21896,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21896,A000000,05300,0000,05300INTEREST EXPENSE 21896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21896,A000000,05500,0000,05500HOSPICE 21896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21896,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21896,A000000,06100,0000,06100NONPAID WORKERS 21896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21896,A000000,06200,0000,06200PATIENTS LAUNDRY 21896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21896,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21896,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21896,B100000,00000,0800,00000MEALS SERVED :DIETARY 21896,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 21896,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21896,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21896,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21896,E10A180,00501,0100,05/31/2000 21896,E10A180,00550,0300,05/31/2000 21896,E10A180,00601,0100,08/20/2001 21896,E10A180,00650,0300,08/20/2001 21896,S000000,00100,0200,05/31/2000 21896,S200000,00100,0100,813 SOUTH MAIN STREET 21896,S200000,00200,0100,BROWNSVILLE 21896,S200000,00200,0200,KY 21896,S200000,00200,0300,42210- 21896,S200000,00300,0100,EDMONSON 21896,S200000,00300,0200,18 21896,S200000,00300,0300,R 21896,S200000,00400,0100,EDMONSON HEALTH CARE CENTER 21896,S200000,00400,0200,185401 21896,S200000,00400,0300,11/22/1994 21896,S200000,00400,0500,P 21896,S200000,01600,0100,Y 21896,S200000,04700,0100,Y 21896,S200000,04700,0200,Y 21905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21905,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21905,A000000,00300,0000,00300EMPLOYEE BENEFITS 21905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21905,A000000,00700,0000,00700HOUSEKEEPING 21905,A000000,00800,0000,00800DIETARY 21905,A000000,00900,0000,00900NURSING ADMINISTRATION 21905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21905,A000000,01100,0000,01100PHARMACY 21905,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21905,A000000,01300,0000,01300SOCIAL SERVICE 21905,A000000,01350,0000,01500OTHER GENERAL SERVICES 21905,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21905,A000000,01600,0000,01600SKILLED NURSING FACILITY 21905,A000000,01800,0000,01800NURSING FACILITY 21905,A000000,01810,0000,01801ICF/MR 21905,A000000,01900,0000,01900OTHER LONG TERM CARE 21905,A000000,02100,0000,02100RADIOLOGY 21905,A000000,02200,0000,02200LABORATORY 21905,A000000,02300,0000,02300INTRAVENOUS THERAPY 21905,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21905,A000000,02500,0000,02500PHYSICAL THERAPY 21905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21905,A000000,02700,0000,02700SPEECH PATHOLOGY 21905,A000000,02800,0000,02800ELECTROCARDIOLOGY 21905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21905,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21905,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21905,A000000,03200,0000,03200SUPPORT SURFACES 21905,A000000,03400,0000,03400CLINIC 21905,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21905,A000000,03500,0000,03500RURAL HEALTH CLINIC 21905,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21905,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21905,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21905,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21905,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21905,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21905,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21905,A000000,04400,0000,04400DME RENTED - HHA 21905,A000000,04500,0000,04500DME SOLD - HHA 21905,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21905,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21905,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21905,A000000,04800,0000,04800AMBULANCE 21905,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21905,A000000,05000,0000,05000CORF 21905,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21905,A000000,05300,0000,05300INTEREST EXPENSE 21905,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21905,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21905,A000000,05500,0000,05500HOSPICE 21905,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21905,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21905,A000000,06100,0000,06100NONPAID WORKERS 21905,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21905,A000000,06200,0000,06200PATIENTS LAUNDRY 21905,A81000A,00100,0100,Y 21905,A81000B,00100,0300,HOME OFFICE COSTS 21905,A81000C,00100,0100,B 21905,A81000C,00100,0200,SENIORCARE LLC 21905,A81000C,00100,0400,SENIORCARE LLC 21905,A81000C,00100,0600,HOME OFFICE 21905,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21905,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21905,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21905,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21905,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21905,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21905,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21905,B100000,00000,0800,00000MEALS SERVED :DIETARY 21905,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 21905,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21905,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21905,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21905,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21905,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21905,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21905,E10A180,00550,0300,06/23/2000 21905,E10A180,00601,0100,05/01/2001 21905,S000000,00100,0200,06/19/2000 21905,S200000,00100,0100,1871 MIDLAND TRAIL 21905,S200000,00200,0100,SHELBYVILLE 21905,S200000,00200,0200,KY 21905,S200000,00200,0300,40665- 21905,S200000,00300,0100,SHELBY 21905,S200000,00400,0100,CRESTVIEW HEALTH CARE CENTER 21905,S200000,00400,0200,185409 21905,S200000,00400,0300,05/09/1995 21905,S200000,00400,0500,P 21905,S200000,01600,0100,Y 21916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21916,A000000,00300,0000,00300EMPLOYEE BENEFITS 21916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21916,A000000,00700,0000,00700HOUSEKEEPING 21916,A000000,00800,0000,00800DIETARY 21916,A000000,00900,0000,00900NURSING ADMINISTRATION 21916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21916,A000000,01100,0000,01100PHARMACY 21916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21916,A000000,01300,0000,01300SOCIAL SERVICE 21916,A000000,01350,0000,01500OTHER GENERAL SERVICES 21916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21916,A000000,01600,0000,01600SKILLED NURSING FACILITY 21916,A000000,01800,0000,01800NURSING FACILITY 21916,A000000,01810,0000,01810ICF/MR 21916,A000000,01900,0000,01900OTHER LONG TERM CARE 21916,A000000,02100,0000,02100RADIOLOGY 21916,A000000,02200,0000,02200LABORATORY 21916,A000000,02300,0000,02300INTRAVENOUS THERAPY 21916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21916,A000000,02500,0000,02500PHYSICAL THERAPY 21916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21916,A000000,02700,0000,02700SPEECH PATHOLOGY 21916,A000000,02800,0000,02800ELECTROCARDIOLOGY 21916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21916,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21916,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21916,A000000,03200,0000,03200SUPPORT SURFACES 21916,A000000,03400,0000,03400CLINIC 21916,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21916,A000000,03500,0000,03500RURAL HEALTH CLINIC 21916,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21916,A000000,04800,0000,04800AMBULANCE 21916,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21916,A000000,05000,0000,05000CORF 21916,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21916,A000000,05300,0000,05300INTEREST EXPENSE 21916,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21916,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21916,A000000,05500,0000,05500HOSPICE 21916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21916,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21916,A000000,06100,0000,06100NONPAID WORKERS 21916,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21916,A000000,06200,0000,06200PATIENTS LAUNDRY 21916,A81000A,00100,0100,Y 21916,A81000B,00100,0300,ADMINISTRATIVE SERVICES 21916,A81000C,00100,0100,A 21916,A81000C,00100,0200,GUARDIAN FOUNDATION 21916,A81000C,00100,0400,GUARDIAN FOUNDATION INC. 21916,A81000C,00100,0600,ADMINISTRATIVE SERVICES 21916,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21916,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21916,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21916,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21916,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21916,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21916,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21916,B100000,00000,0800,00000MEALS SERVED :DIETARY 21916,B100000,00000,0900,00000HOURS OF SERVICES :NURSING ADMINIST 21916,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21916,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21916,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21916,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21916,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21916,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21916,E10A180,00550,0100,06/09/2000 21916,E10A180,00601,0100,07/26/2001 21916,E10A180,00650,0300,07/26/2001 21916,S000000,00100,0200,05/31/2000 21916,S200000,00100,0100,300 BEECH STREET 21916,S200000,00100,0300,365 21916,S200000,00200,0100,KUTTAWA 21916,S200000,00200,0200,KY 21916,S200000,00200,0300,42055- 21916,S200000,00300,0100,LYON 21916,S200000,00400,0100,RIVERS BEND RETIREMENT COMMUNITY 21916,S200000,00400,0200,185410 21916,S200000,00400,0300,06/29/1995 21916,S200000,00400,0500,P 21916,S200000,01600,0100,Y 21916,S200000,04700,0100,Y 21935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21935,A000000,00300,0000,00300EMPLOYEE BENEFITS 21935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21935,A000000,00700,0000,00700HOUSEKEEPING 21935,A000000,00800,0000,00800DIETARY 21935,A000000,00900,0000,00900NURSING ADMINISTRATION 21935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21935,A000000,01100,0000,01100PHARMACY 21935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21935,A000000,01300,0000,01300SOCIAL SERVICE 21935,A000000,01600,0000,01600SKILLED NURSING FACILITY 21935,A000000,01800,0000,01800NURSING FACILITY 21935,A000000,02100,0000,02100RADIOLOGY 21935,A000000,02200,0000,02200LABORATORY 21935,A000000,02300,0000,02300INTRAVENOUS THERAPY 21935,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21935,A000000,02500,0000,02500PHYSICAL THERAPY 21935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21935,A000000,02700,0000,02700SPEECH PATHOLOGY 21935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21935,A000000,03200,0000,03200SUPPORT SURFACES 21935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21935,A81000A,00100,0100,Y 21935,A81000B,00100,0300,MANAGEMENT FEES 21935,A81000B,00200,0300,VARIOUS - SEE ATTACH 21935,A81000B,00300,0300,VARIOUS - SEE ATTACH 21935,A81000C,00100,0100,B 21935,A81000C,00100,0200,DIVERSICARE MGM 21935,A81000C,00100,0400,ADVOCAT INC. 21935,A81000C,00100,0600,HOME OFFICE/ MG 21935,A81000C,00200,0100,B 21935,A81000C,00200,0200,AAS PHARMACY 21935,A81000C,00200,0400,ADVOCAT INC. 21935,A81000C,00200,0600,PHARMACY SERVIC 21935,A81000C,00300,0100,B 21935,A81000C,00300,0200,ADVOCAT DISTR S 21935,A81000C,00300,0400,ADVOCAT INC. 21935,A81000C,00300,0600,MEDICAL SUPPLIE 21935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21935,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21935,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21935,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21935,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21935,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21935,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21935,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 21935,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21935,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21935,E10A180,00501,0100,06/23/2000 21935,E10A180,00550,0300,06/23/2000 21935,E10A180,00650,0100,05/04/2001 21935,E10A180,00650,0300,05/04/2001 21935,S000000,00100,0200,06/05/2000 21935,S200000,00100,0100,RTE 32 EAST HOWARD CREEK RD. 21935,S200000,00100,0300,694 21935,S200000,00200,0100,SANDY HOOK 21935,S200000,00200,0200,KY 21935,S200000,00200,0300,41171- 21935,S200000,00300,0100,ELLIOTT 21935,S200000,00400,0100,ELLIOTT NURSING & REHAB CENTER 21935,S200000,00400,0200,185415 21935,S200000,00400,0300,02/01/1995 21935,S200000,00400,0500,P 21935,S200000,01600,0100,Y 21935,S200000,02200,0100,Y 21935,S200000,04100,0100,Y 21944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21944,A000000,00300,0000,00300EMPLOYEE BENEFITS 21944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21944,A000000,00700,0000,00700HOUSEKEEPING 21944,A000000,00800,0000,00800DIETARY 21944,A000000,00900,0000,00900NURSING ADMINISTRATION 21944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21944,A000000,01100,0000,01100PHARMACY 21944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21944,A000000,01300,0000,01300SOCIAL SERVICE 21944,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21944,A000000,01600,0000,01600SKILLED NURSING FACILITY 21944,A000000,01800,0000,01800NURSING FACILITY 21944,A000000,01900,0000,01900OTHER LONG TERM CARE 21944,A000000,02100,0000,02100RADIOLOGY 21944,A000000,02200,0000,02200LABORATORY 21944,A000000,02300,0000,02300INTRAVENOUS THERAPY 21944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21944,A000000,02500,0000,02500PHYSICAL THERAPY 21944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21944,A000000,02700,0000,02700SPEECH PATHOLOGY 21944,A000000,02800,0000,02800ELECTROCARDIOLOGY 21944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21944,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21944,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21944,A000000,03200,0000,03200SUPPORT SURFACES 21944,A000000,03400,0000,03400CLINIC 21944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21944,A000000,04800,0000,04800AMBULANCE 21944,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21944,A000000,05300,0000,05300INTEREST EXPENSE 21944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21944,A000000,05500,0000,05500HOSPICE 21944,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21944,A000000,06100,0000,06100NONPAID WORKERS 21944,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21944,A000000,06200,0000,06200PATIENTS LAUNDRY 21944,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21944,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21944,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21944,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21944,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21944,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21944,B100000,00000,0800,00000MEALS SERVED :DIETARY 21944,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21944,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21944,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21944,E10A180,00601,0100,09/12/2001 21944,E10A180,00601,0300,09/12/2001 21944,S000000,00100,0200,06/08/2000 21944,S200000,00100,0100,106 PADGETT DR. 21944,S200000,00200,0100,CLINTON 21944,S200000,00200,0200,KY 21944,S200000,00200,0300,42031- 21944,S200000,00300,0100,HICKMAN 21944,S200000,00300,0200,0018 21944,S200000,00300,0300,R 21944,S200000,00400,0100,BIRCHTREE HEALTHCARE INC. 21944,S200000,00400,0200,185417 21944,S200000,00400,0300,01/22/1996 21944,S200000,00400,0500,P 21944,S200000,01600,0100,Y 21944,S200000,02200,0100,Y 21944,S200000,02800,0100,Y 21955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21955,A000000,00300,0000,00300EMPLOYEE BENEFITS 21955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21955,A000000,00700,0000,00700HOUSEKEEPING 21955,A000000,00800,0000,00800DIETARY 21955,A000000,00900,0000,00900NURSING ADMINISTRATION 21955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21955,A000000,01100,0000,01100PHARMACY 21955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21955,A000000,01300,0000,01300SOCIAL SERVICE 21955,A000000,01600,0000,01600SKILLED NURSING FACILITY 21955,A000000,01800,0000,01800NURSING FACILITY 21955,A000000,02100,0000,02100RADIOLOGY 21955,A000000,02200,0000,02200LABORATORY 21955,A000000,02300,0000,02300INTRAVENOUS THERAPY 21955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21955,A000000,02500,0000,02500PHYSICAL THERAPY 21955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21955,A000000,02700,0000,02700SPEECH PATHOLOGY 21955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21955,A81000A,00100,0100,Y 21955,A81000B,00100,0300,MANAGEMENT FEES 21955,A81000B,00200,0300,VARIOUS - SEE ATTACH 21955,A81000B,00300,0300,VARIOUS - SEE ATTACH 21955,A81000C,00100,0100,B 21955,A81000C,00100,0200,DIVERSICARE MGM 21955,A81000C,00100,0400,ADVOCAT INC. 21955,A81000C,00100,0600,HOME OFFICE/ MG 21955,A81000C,00200,0100,B 21955,A81000C,00200,0200,AAS PHARMACY 21955,A81000C,00200,0400,ADVOCAT INC. 21955,A81000C,00200,0600,PHARMACY SERVIC 21955,A81000C,00300,0100,B 21955,A81000C,00300,0200,ADVOCAT DISTR S 21955,A81000C,00300,0400,ADVOCAT INC 21955,A81000C,00300,0600,MEDICAL SUPPLIE 21955,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21955,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21955,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21955,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21955,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21955,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21955,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21955,B100000,00000,0850,00000PATIENT DAYS :DIETARY 21955,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21955,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21955,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21955,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21955,E10A180,00601,0100,08/17/2001 21955,E10A180,00601,0300,08/17/2001 21955,S000000,00100,0200,06/05/2000 21955,S200000,00100,0100,12800 PRINCELAND DRIVE 21955,S200000,00200,0100,ASHLAND 21955,S200000,00200,0200,KY 21955,S200000,00200,0300,41102- 21955,S200000,00300,0100,BOYD 21955,S200000,00300,0200,3400 21955,S200000,00300,0300,U 21955,S200000,00400,0100,BOYD NURSING & REHAB. CENTER 21955,S200000,00400,0200,185418 21955,S200000,00400,0300,11/16/1995 21955,S200000,00400,0500,P 21955,S200000,01600,0100,Y 21955,S200000,02200,0100,Y 21955,S200000,04100,0100,Y 21963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21963,A000000,00300,0000,00300EMPLOYEE BENEFITS 21963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21963,A000000,00700,0000,00700HOUSEKEEPING 21963,A000000,00800,0000,00800DIETARY 21963,A000000,00900,0000,00900NURSING ADMINISTRATION 21963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21963,A000000,01100,0000,01100PHARMACY 21963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21963,A000000,01300,0000,01300SOCIAL SERVICE 21963,A000000,01350,0000,01500OTHER GENERAL SERVICES 21963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21963,A000000,01600,0000,01600SKILLED NURSING FACILITY 21963,A000000,01800,0000,01800NURSING FACILITY 21963,A000000,01900,0000,01900OTHER LONG TERM CARE 21963,A000000,02100,0000,02100RADIOLOGY 21963,A000000,02200,0000,02200LABORATORY 21963,A000000,02300,0000,02300INTRAVENOUS THERAPY 21963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21963,A000000,02500,0000,02500PHYSICAL THERAPY 21963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21963,A000000,02700,0000,02700SPEECH PATHOLOGY 21963,A000000,02800,0000,02800ELECTROCARDIOLOGY 21963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21963,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21963,A000000,03200,0000,03200SUPPORT SURFACES 21963,A000000,03400,0000,03400CLINIC 21963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21963,A000000,03500,0000,03500RURAL HEALTH CLINIC 21963,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21963,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21963,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21963,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21963,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21963,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21963,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21963,A000000,04400,0000,04400DME RENTED - HHA 21963,A000000,04500,0000,04500DME SOLD - HHA 21963,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21963,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21963,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21963,A000000,04800,0000,04800AMBULANCE 21963,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21963,A000000,05000,0000,05000CORF 21963,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21963,A000000,05300,0000,05300INTEREST EXPENSE 21963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21963,A000000,05500,0000,05500HOSPICE 21963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21963,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21963,A000000,06100,0000,06100NONPAID WORKERS 21963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21963,A000000,06200,0000,06200PATIENTS LAUNDRY 21963,A81000A,00100,0100,Y 21963,A81000B,00100,0300,MGT FEES/HO COSTS 21963,A81000C,00100,0100,A 21963,A81000C,00100,0200,CHRISTIAN CHURCH HOMES 21963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21963,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 21963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21963,B100000,00000,0800,00000MEALS SERVED :DIETARY 21963,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 21963,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 21963,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 21963,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21963,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 21963,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 21963,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 21963,E10A180,00601,0100,08/03/2001 21963,E10A180,00601,0300,08/03/2001 21963,S000000,00100,0200,06/07/2000 21963,S200000,00100,0100,1800 WESTEN AVENUE 21963,S200000,00200,0100,BOWLING GREEN 21963,S200000,00200,0200,KY 21963,S200000,00200,0300,42104- 21963,S200000,00300,0100,WARREN 21963,S200000,00400,0100,CHRISTIAN HEALTH CENTER 21963,S200000,00400,0200,185419 21963,S200000,00400,0300,01/17/1996 21963,S200000,00400,0500,P 21963,S200000,01600,0100,Y 21972,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21972,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21972,A000000,00300,0000,00300EMPLOYEE BENEFITS 21972,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21972,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21972,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21972,A000000,00700,0000,00700HOUSEKEEPING 21972,A000000,00800,0000,00800DIETARY 21972,A000000,00900,0000,00900NURSING ADMINISTRATION 21972,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21972,A000000,01100,0000,01100PHARMACY 21972,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21972,A000000,01300,0000,01300SOCIAL SERVICE 21972,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21972,A000000,01600,0000,01600SKILLED NURSING FACILITY 21972,A000000,01810,0000,01810ICF/MR 21972,A000000,01900,0000,01900OTHER LONG TERM CARE 21972,A000000,02100,0000,02100RADIOLOGY 21972,A000000,02200,0000,02200LABORATORY 21972,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21972,A000000,02500,0000,02500PHYSICAL THERAPY 21972,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21972,A000000,02700,0000,02700SPEECH PATHOLOGY 21972,A000000,02800,0000,02800ELECTROCARDIOLOGY 21972,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21972,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21972,A000000,03550,0000,03550FQHC 21972,A000000,05000,0000,05000CORF 21972,A000000,05010,0000,05010CMHC 21972,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 21972,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 21972,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 21972,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21972,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21972,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21972,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21972,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21972,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21972,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21972,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 21972,B100000,00000,0800,00000MEALS SERVED :DIETARY 21972,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 21972,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 21972,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 21972,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21972,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21972,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21972,E10A180,00601,0100,08/03/2001 21972,E10A180,00650,0300,08/03/2001 21972,S000000,00100,0200,07/31/2000 21972,S200000,00100,0100,HC 71 BOX 1748 21972,S200000,00200,0100,FRENCHBURG 21972,S200000,00200,0200,KY 21972,S200000,00200,0300,40322- 21972,S200000,00300,0100,MENIFEE 21972,S200000,00400,0100,EDGEWOOD ESTATES 21972,S200000,00400,0200,185423 21972,S200000,00400,0300,03/01/1999 21972,S200000,00400,0500,P 21972,S200000,01500,0100,Y 21972,S200000,01900,0100,IRC 501(C)(3) 21972,S200000,04100,0100,Y 21972,S200000,04300,0100,Y 21979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21979,A000000,00300,0000,00300EMPLOYEE BENEFITS 21979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21979,A000000,00700,0000,00700HOUSEKEEPING 21979,A000000,00800,0000,00800DIETARY 21979,A000000,00900,0000,00900NURSING ADMINISTRATION 21979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21979,A000000,01100,0000,01100PHARMACY 21979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21979,A000000,01300,0000,01300SOCIAL SERVICE 21979,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 21979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 21979,A000000,01600,0000,01600SKILLED NURSING FACILITY 21979,A000000,01800,0000,01800NURSING FACILITY 21979,A000000,01900,0000,01900OTHER LONG TERM CARE 21979,A000000,02100,0000,02100RADIOLOGY 21979,A000000,02200,0000,02200LABORATORY 21979,A000000,02300,0000,02300INTRAVENOUS THERAPY 21979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21979,A000000,02500,0000,02500PHYSICAL THERAPY 21979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21979,A000000,02700,0000,02700SPEECH PATHOLOGY 21979,A000000,02800,0000,02800ELECTROCARDIOLOGY 21979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21979,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 21979,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21979,A000000,03200,0000,03200SUPPORT SURFACES 21979,A000000,03400,0000,03400CLINIC 21979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 21979,A000000,04800,0000,04800AMBULANCE 21979,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21979,A000000,05300,0000,05300INTEREST EXPENSE 21979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21979,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21979,A000000,05500,0000,05500HOSPICE 21979,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21979,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21979,A000000,06100,0000,06100NONPAID WORKERS 21979,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 21979,A000000,06200,0000,06200PATIENTS LAUNDRY 21979,A81000A,00100,0100,Y 21979,A81000B,00100,0300,CONSULTANTS 21979,A81000B,00200,0300,CONSULTANTS 21979,A81000B,00300,0300,CONSULTANTS 21979,A81000B,00400,0300,CONSULTANTS 21979,A81000B,00500,0300,CONSULTANTS 21979,A81000B,00600,0300,HOME OFFICE 21979,A81000B,00700,0300,EQUIPMENT RENTAL 21979,A81000B,00800,0300,GAS 21979,A81000B,00900,0300,SUPPLIES 21979,A81000B,01000,0300,PHARMACY 21979,A81000B,01100,0300,REPAIRS 21979,A81000B,01200,0300,INSURANCE 21979,A81000B,01300,0300,CONTRACT NURSING 21979,A81000C,00100,0100,B 21979,A81000C,00100,0400,BRITTHAVEN INC 21979,A81000C,00100,0600,MGMT SVS 21979,A81000C,00200,0100,B 21979,A81000C,00200,0400,BRITTHAVEN INC 21979,A81000C,00200,0600,MGMT SVS 21979,A81000C,00300,0100,B 21979,A81000C,00300,0400,BRITTHAVEN INC 21979,A81000C,00300,0600,MGMT SVS 21979,A81000C,00400,0100,B 21979,A81000C,00400,0400,BRITTHAVEN INC 21979,A81000C,00400,0600,MGMT SVS 21979,A81000C,00500,0100,B 21979,A81000C,00500,0400,BRITTHAVEN INC 21979,A81000C,00500,0600,MGMT SVS 21979,A81000C,00600,0100,B 21979,A81000C,00600,0400,BRITTHAVEN INC 21979,A81000C,00600,0600,MGMT SVS 21979,A81000C,00700,0100,B 21979,A81000C,00700,0400,BRITTHAVEN INC 21979,A81000C,00700,0600,MGMT SVS 21979,A81000C,00800,0100,B 21979,A81000C,00800,0400,BRITTHAVEN INC 21979,A81000C,00800,0600,MGMT SVS 21979,A81000C,00900,0100,B 21979,A81000C,00900,0400,BRITTHAVEN INC 21979,A81000C,00900,0600,MGMT SVS 21979,A81000C,01000,0100,B 21979,A81000C,01000,0400,KARE MEDICAL 21979,A81000C,01000,0600,WHOLESALE SUPPL 21979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21979,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 21979,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21979,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 21979,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 21979,B100000,00000,0800,00000MEALS SERVED :DIETARY 21979,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 21979,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 21979,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 21979,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 21979,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 21979,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 21979,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 21979,E10A180,00550,0300,03/10/2000 21979,E10A180,00601,0100,02/27/2001 21979,E10A180,00650,0300,02/27/2001 21979,S000000,00100,0200,03/03/2000 21979,S200000,00100,0100,19101 US 119 N 21979,S200000,00200,0100,CUMBERLAND 21979,S200000,00200,0200,KY 21979,S200000,00200,0300,40823- 21979,S200000,00300,0100,HARLAN 21979,S200000,00400,0100,BRITTHAVEN OF TRI-CITIES 21979,S200000,00400,0200,185433 21979,S200000,00400,0300,03/06/1997 21979,S200000,00400,0500,P 21979,S200000,01600,0100,Y 21987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 21987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 21987,A000000,00300,0000,00300EMPLOYEE BENEFITS 21987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 21987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 21987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 21987,A000000,00700,0000,00700HOUSEKEEPING 21987,A000000,00800,0000,00800DIETARY 21987,A000000,00900,0000,00900NURSING ADMINISTRATION 21987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 21987,A000000,01100,0000,01100PHARMACY 21987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 21987,A000000,01300,0000,01300SOCIAL SERVICE 21987,A000000,01350,0000,01500OTHER GENERAL SERVICES 21987,A000000,01600,0000,01600SKILLED NURSING FACILITY 21987,A000000,01800,0000,01800NURSING FACILITY 21987,A000000,01810,0000,01810ICF/MR 21987,A000000,01900,0000,01900OTHER LONG TERM CARE 21987,A000000,02100,0000,02100RADIOLOGY 21987,A000000,02200,0000,02200LABORATORY 21987,A000000,02300,0000,02300INTRAVENOUS THERAPY 21987,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 21987,A000000,02500,0000,02500PHYSICAL THERAPY 21987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 21987,A000000,02700,0000,02700SPEECH PATHOLOGY 21987,A000000,02800,0000,02800ELECTROCARDIOLOGY 21987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 21987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 21987,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 21987,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 21987,A000000,03200,0000,03200SUPPORT SURFACES 21987,A000000,03400,0000,03400CLINIC 21987,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 21987,A000000,03500,0000,03500RURAL HEALTH CLINIC 21987,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 21987,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 21987,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 21987,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 21987,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 21987,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 21987,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 21987,A000000,04400,0000,04400DME RENTED - HHA 21987,A000000,04500,0000,04500DME SOLD - HHA 21987,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 21987,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 21987,A000000,04750,0000,05100OTHER REIMBURSABLE COST 21987,A000000,04800,0000,04800AMBULANCE 21987,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 21987,A000000,05000,0000,05000CORF 21987,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 21987,A000000,05300,0000,05300INTEREST EXPENSE 21987,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 21987,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 21987,A000000,05500,0000,05500HOSPICE 21987,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 21987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 21987,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 21987,A000000,06100,0000,06100NONPAID WORKERS 21987,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 21987,A000000,06200,0000,06200PATIENTS LAUNDRY 21987,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 21987,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 21987,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 21987,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 21987,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 21987,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 21987,B100000,00000,0800,00000MEALS SERVED :DIETARY 21987,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 21987,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 21987,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 21987,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 21987,E10A180,00501,0100,06/16/2000 21987,E10A180,00550,0300,06/16/2000 21987,E10A180,00650,0300,08/23/2001 21987,S000000,00100,0200,06/02/2000 21987,S200000,00100,0100,192 BACON CREEK ROAD 21987,S200000,00200,0100,CORBIN 21987,S200000,00200,0200,KY 21987,S200000,00200,0300,40702- 21987,S200000,00300,0100,WHITLEY 21987,S200000,00300,0200,18 21987,S200000,00300,0300,R 21987,S200000,00400,0100,THE HERITAGE 21987,S200000,00400,0200,185434 21987,S200000,00400,0300,04/18/1997 21987,S200000,00400,0500,P 21987,S200000,01600,0100,Y 21994,S000000,00100,0200,05/30/2000 22002,S000000,00100,0200,05/30/2000 22008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22008,A000000,00300,0000,00300EMPLOYEE BENEFITS 22008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22008,A000000,00700,0000,00700HOUSEKEEPING 22008,A000000,00800,0000,00800DIETARY 22008,A000000,00900,0000,00900NURSING ADMINISTRATION 22008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22008,A000000,01100,0000,01100PHARMACY 22008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22008,A000000,01300,0000,01300SOCIAL SERVICE 22008,A000000,01350,0000,01500OTHER GENERAL SERVICES 22008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22008,A000000,01600,0000,01600SKILLED NURSING FACILITY 22008,A000000,01800,0000,01800NURSING FACILITY 22008,A000000,01810,0000,01810ICF/MR 22008,A000000,01900,0000,01900OTHER LONG TERM CARE 22008,A000000,02100,0000,02100RADIOLOGY 22008,A000000,02200,0000,02200LABORATORY 22008,A000000,02300,0000,02300INTRAVENOUS THERAPY 22008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22008,A000000,02500,0000,02500PHYSICAL THERAPY 22008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22008,A000000,02700,0000,02700SPEECH PATHOLOGY 22008,A000000,02800,0000,02800ELECTROCARDIOLOGY 22008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22008,A000000,03200,0000,03200SUPPORT SURFACES 22008,A000000,03400,0000,03400CLINIC 22008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22008,A000000,03500,0000,03500RURAL HEALTH CLINIC 22008,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22008,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22008,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22008,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22008,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22008,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22008,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22008,A000000,04400,0000,04400DME RENTED - HHA 22008,A000000,04500,0000,04500DME SOLD - HHA 22008,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22008,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22008,A000000,04800,0000,04800AMBULANCE 22008,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22008,A000000,05000,0000,05000CORF 22008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22008,A000000,05300,0000,05300INTEREST EXPENSE 22008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22008,A000000,05500,0000,05500HOSPICE 22008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22008,A000000,06100,0000,06100NONPAID WORKERS 22008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22008,A000000,06200,0000,06200PATIENTS LAUNDRY 22008,A81000A,00100,0100,Y 22008,A81000B,00100,0300,HOME OFFICE COST 22008,A81000B,00200,0300,HOME OFFICE COST 22008,A81000C,00100,0100,A 22008,A81000C,00100,0200,RUSSELL LOUDEN 22008,A81000C,00100,0400,LOUDEN & COMPANY INC. 22008,A81000C,00100,0600,HOME OFFICE 22008,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 22008,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22008,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 22008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22008,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 22008,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 22008,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 22008,B100000,00000,0850,00000NO STATISTICS :DIETARY 22008,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 22008,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22008,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22008,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22008,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 22008,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22008,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22008,E10A180,00501,0100,05/31/2000 22008,E10A180,00550,0300,05/31/2000 22008,E10A180,00650,0100,07/03/2001 22008,E10A180,00650,0300,07/03/2001 22008,S000000,00100,0200,05/31/2000 22008,S200000,00100,0100,1012 RICHWOOD WAY 22008,S200000,00200,0100,LAGRANGE 22008,S200000,00200,0200,KY 22008,S200000,00200,0300,40031- 22008,S200000,00300,0100,OLDHAM 22008,S200000,00400,0100,THE RICHWOOD 22008,S200000,00400,0200,185438 22008,S200000,00400,0300,01/12/1998 22008,S200000,00400,0500,P 22008,S200000,01500,0100,Y 22043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22043,A000000,00300,0000,00300EMPLOYEE BENEFITS 22043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22043,A000000,00700,0000,00700HOUSEKEEPING 22043,A000000,00800,0000,00800DIETARY 22043,A000000,00900,0000,00900NURSING ADMINISTRATION 22043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22043,A000000,01100,0000,01100PHARMACY 22043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22043,A000000,01300,0000,01300SOCIAL SERVICE 22043,A000000,01350,0000,01500PATIENT ACTIVITIES 22043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22043,A000000,01600,0000,01600SKILLED NURSING FACILITY 22043,A000000,01800,0000,01800NURSING FACILITY 22043,A000000,01900,0000,01900OTHER LONG TERM CARE 22043,A000000,02100,0000,02100RADIOLOGY 22043,A000000,02200,0000,02200LABORATORY 22043,A000000,02300,0000,02300INTRAVENOUS THERAPY 22043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22043,A000000,02500,0000,02500PHYSICAL THERAPY 22043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22043,A000000,02700,0000,02700SPEECH PATHOLOGY 22043,A000000,02800,0000,02800ELECTROCARDIOLOGY 22043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22043,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22043,A000000,03200,0000,03200SUPPORT SURFACES 22043,A000000,03400,0000,03400CLINIC 22043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22043,A000000,03500,0000,03500RURAL HEALTH CLINIC 22043,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22043,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22043,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22043,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22043,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22043,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22043,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22043,A000000,04400,0000,04400DME RENTED - HHA 22043,A000000,04500,0000,04500DME SOLD - HHA 22043,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22043,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22043,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22043,A000000,04800,0000,04800AMBULANCE 22043,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22043,A000000,05000,0000,05000CORF 22043,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22043,A000000,05300,0000,05300INTEREST EXPENSE 22043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22043,A000000,05500,0000,05500HOSPICE 22043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22043,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22043,A000000,06100,0000,06100NONPAID WORKERS 22043,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22043,A000000,06200,0000,06200PATIENTS LAUNDRY 22043,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22043,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22043,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22043,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22043,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22043,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22043,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22043,B100000,00000,0800,00000MEALS SERVED :DIETARY 22043,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22043,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22043,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22043,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22043,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22043,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22043,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22043,S000000,00100,0200,02/10/2000 22043,S200000,00100,0100,GUILFORD ROAD 22043,S200000,00100,0300,159 22043,S200000,00200,0100,DOVER-FOXCROFT 22043,S200000,00200,0200,ME 22043,S200000,00200,0300,04426- 22043,S200000,00300,0100,PISCATAQUIS 22043,S200000,00400,0100,HIBBARD NURSING FACILITY 22043,S200000,00400,0200,205004 22043,S200000,00400,0300,01/01/1967 22043,S200000,00400,0500,P 22043,S200000,00600,0200,205004 22043,S200000,00600,0300,01/01/1967 22043,S200000,00600,0600,P 22043,S200000,01600,0100,Y 22043,S200000,02200,0100,Y 22043,S200000,02800,0100,Y 22053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22053,A000000,00300,0000,00300EMPLOYEE BENEFITS 22053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22053,A000000,00700,0000,00700HOUSEKEEPING 22053,A000000,00800,0000,00800DIETARY 22053,A000000,00900,0000,00900NURSING ADMINISTRATION 22053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22053,A000000,01100,0000,01100PHARMACY 22053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22053,A000000,01300,0000,01300SOCIAL SERVICE 22053,A000000,01350,0000,01500PATIENT ACTIVITIES 22053,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 22053,A000000,01600,0000,01600SKILLED NURSING FACILITY 22053,A000000,01800,0000,01800NURSING FACILITY 22053,A000000,01900,0000,01900OTHER LONG TERM CARE 22053,A000000,02100,0000,02100RADIOLOGY 22053,A000000,02200,0000,02200LABORATORY 22053,A000000,02300,0000,02300INTRAVENOUS THERAPY 22053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22053,A000000,02500,0000,02500PHYSICAL THERAPY 22053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22053,A000000,02700,0000,02700SPEECH PATHOLOGY 22053,A000000,02800,0000,02800ELECTROCARDIOLOGY 22053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22053,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22053,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22053,A000000,03200,0000,03200SUPPORT SURFACES 22053,A000000,03400,0000,03400CLINIC 22053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22053,A000000,03500,0000,03500RURAL HEALTH CLINIC 22053,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22053,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22053,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22053,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22053,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22053,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22053,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22053,A000000,04400,0000,04400DME RENTED - HHA 22053,A000000,04500,0000,04500DME SOLD - HHA 22053,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22053,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22053,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22053,A000000,04800,0000,04800AMBULANCE 22053,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22053,A000000,05000,0000,05000CORF 22053,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22053,A000000,05300,0000,05300INTEREST EXPENSE 22053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22053,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22053,A000000,05500,0000,05500HOSPICE 22053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22053,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22053,A000000,06100,0000,06100NONPAID WORKERS 22053,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22053,A000000,06200,0000,06200PATIENTS LAUNDRY 22053,A81000A,00100,0100,Y 22053,A81000B,00100,0300,RENTAL OF PARKING SPACE 22053,A81000B,00200,0300,NURSING PURCHASE SERVICE 22053,A81000B,00300,0300,HOME OFFICE - CAPITAL 22053,A81000B,00400,0300,HOME OFFICE - NON CAPITAL 22053,A81000C,00100,0100,B 22053,A81000C,00100,0400,ROUSSEAU ENTERPRISES INC 22053,A81000C,00100,0600,OWNES & OPERATES NSG FAC 22053,A81000C,00200,0100,A 22053,A81000C,00200,0200,RICHARD A. ROUSSEAU 22053,A81000C,00200,0400,ASSISTED HOME CARE II 22053,A81000C,00200,0600,RELIEF STAFF 22053,A81000C,00300,0100,A 22053,A81000C,00300,0200,RICHARD A. ROUSSEAU 22053,A81000C,00300,0400,MONTELLO HEIGHTS 22053,A81000C,00300,0600,ADULT LIVING COMPLEX 22053,A81000C,00400,0100,A 22053,A81000C,00400,0200,RICHARD A. ROUSSEAU 22053,A81000C,00400,0400,GEMELOS LLC 22053,A81000C,00400,0600,REPAIR & MAINTENANCE 22053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22053,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22053,B100000,00000,0750,00000SQ.FT. EXCL DIET :HOUSEKEEPING 22053,B100000,00000,0850,00000PATIENT DAYS :DIETARY 22053,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22053,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 22053,S000000,00100,0200,05/31/2000 22053,S200000,00100,0100,540 COLLEGE STREET 22053,S200000,00200,0100,LEWISTON 22053,S200000,00200,0200,ME 22053,S200000,00200,0300,04240- 22053,S200000,00300,0100,ANDROSCOGGIN 22053,S200000,00300,0200,4243 22053,S200000,00300,0300,U 22053,S200000,00400,0100,MONTELLO MANOR 22053,S200000,00400,0200,205006 22053,S200000,00400,0300,10/01/1981 22053,S200000,00400,0500,P 22053,S200000,01500,0100,Y 22064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22064,A000000,00300,0000,00300EMPLOYEE BENEFITS 22064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22064,A000000,00700,0000,00700HOUSEKEEPING 22064,A000000,00800,0000,00800DIETARY 22064,A000000,00900,0000,00900NURSING ADMINISTRATION 22064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22064,A000000,01100,0000,01100PHARMACY 22064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22064,A000000,01300,0000,01300SOCIAL SERVICE 22064,A000000,01350,0000,01500PATIENT ACTIVITIES 22064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22064,A000000,01600,0000,01600SKILLED NURSING FACILITY 22064,A000000,01800,0000,01800NURSING FACILITY 22064,A000000,01810,0000,01801ICF/MR 22064,A000000,01900,0000,01900OTHER LONG TERM CARE 22064,A000000,02100,0000,02100RADIOLOGY 22064,A000000,02200,0000,02200LABORATORY 22064,A000000,02300,0000,02300INTRAVENOUS THERAPY 22064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22064,A000000,02500,0000,02500PHYSICAL THERAPY 22064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22064,A000000,02700,0000,02700SPEECH PATHOLOGY 22064,A000000,02800,0000,02800ELECTROCARDIOLOGY 22064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22064,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22064,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22064,A000000,03200,0000,03200SUPPORT SURFACES 22064,A000000,03400,0000,03400CLINIC 22064,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22064,A000000,03500,0000,03500RURAL HEALTH CLINIC 22064,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22064,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22064,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22064,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22064,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22064,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22064,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22064,A000000,04400,0000,04400DME RENTED - HHA 22064,A000000,04500,0000,04500DME SOLD - HHA 22064,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22064,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22064,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22064,A000000,04800,0000,04800AMBULANCE 22064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22064,A000000,05000,0000,05000CORF 22064,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22064,A000000,05300,0000,05300INTEREST EXPENSE 22064,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22064,A000000,05500,0000,05500HOSPICE 22064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22064,A000000,05801,0000,05801ADULT DAY CARE 22064,A000000,05802,0000,05802OXFORD STREET & LORING HOUSE 22064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22064,A000000,06100,0000,06100NONPAID WORKERS 22064,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22064,A000000,06200,0000,06200PATIENTS LAUNDRY 22064,A81000A,00100,0100,Y 22064,A81000B,00100,0300,WORKMANS COMPENSATION 22064,A81000B,00200,0300,PAYROLL TAXES 22064,A81000B,00300,0300,HEALTH INSURANCE 22064,A81000B,00400,0300,LIFE INSURANCE 22064,A81000B,00500,0300,PENSION COSTS 22064,A81000B,00600,0300,UNEMPLOYMENT COMP 22064,A81000B,00700,0300,LIABILITY INSURANCE 22064,A81000B,00800,0300,DEPRECIATION 22064,A81000B,00900,0300,CITY MANAGEMENT 22064,A81000B,01000,0300,INTEREST EXPENSE ON LTD 22064,A81000C,00100,0100,B 22064,A81000C,00100,0200,BARRON CENTER 22064,A81000C,00100,0400,CITY PORTLAND 22064,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22064,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22064,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22064,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22064,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22064,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22064,B100000,00000,0800,00000MEALS SERVED :DIETARY 22064,B100000,00000,0900,00000DIRECTNRSI ING HOURS :NURSING ADMIN 22064,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22064,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22064,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22064,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22064,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22064,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22064,S000000,00100,0200,11/28/2000 22064,S200000,00100,0100,1145 BRIGHTON AVENUE 22064,S200000,00200,0100,PORTLAND 22064,S200000,00200,0200,ME 22064,S200000,00200,0300,04102- 22064,S200000,00300,0100,CUMBERLAND 22064,S200000,00400,0100,BARRON CENTER 22064,S200000,00400,0200,205011 22064,S200000,00400,0300,01/01/1967 22064,S200000,00400,0500,P 22064,S200000,01500,0100,Y 22064,S200000,02800,0100,Y 22064,S200000,04300,0100,Y 22064,S700003,00000,0200,2 22085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22085,A000000,00300,0000,00300EMPLOYEE BENEFITS 22085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22085,A000000,00700,0000,00700HOUSEKEEPING 22085,A000000,00800,0000,00800DIETARY 22085,A000000,00900,0000,00900NURSING ADMINISTRATION 22085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22085,A000000,01100,0000,01100PHARMACY 22085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22085,A000000,01300,0000,01300SOCIAL SERVICE 22085,A000000,01350,0000,01500PATIENT ACTIVITIES 22085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22085,A000000,01600,0000,01600SKILLED NURSING FACILITY 22085,A000000,01800,0000,01800NURSING FACILITY 22085,A000000,01810,0000,01810ICF/MR 22085,A000000,01900,0000,01900OTHER LONG TERM CARE 22085,A000000,02100,0000,02100RADIOLOGY 22085,A000000,02200,0000,02200LABORATORY 22085,A000000,02300,0000,02300INTRAVENOUS THERAPY 22085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22085,A000000,02500,0000,02500PHYSICAL THERAPY 22085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22085,A000000,02700,0000,02700SPEECH PATHOLOGY 22085,A000000,02800,0000,02800ELECTROCARDIOLOGY 22085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22085,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22085,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22085,A000000,03200,0000,03200SUPPORT SURFACES 22085,A000000,03400,0000,03400CLINIC 22085,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22085,A000000,03500,0000,03500RURAL HEALTH CLINIC 22085,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22085,A000000,04800,0000,04800AMBULANCE 22085,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22085,A000000,05000,0000,05000CORF 22085,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22085,A000000,05300,0000,05300INTEREST EXPENSE 22085,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22085,A000000,05500,0000,05500HOSPICE 22085,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22085,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22085,A000000,06100,0000,06100NONPAID WORKERS 22085,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22085,A000000,06200,0000,06200PATIENTS LAUNDRY 22085,A81000A,00100,0100,Y 22085,A81000B,00100,0300,FACILITY RENT 22085,A81000B,00200,0300,DEPRECIATION & AMORTIZATION 22085,A81000B,00300,0300,INSURANCE 22085,A81000B,00400,0300,PROPERTY TAX 22085,A81000B,00500,0300,INTEREST 22085,A81000B,00600,0300,ADMINISTRATIVE 22085,A81000C,00100,0100,B 22085,A81000C,00100,0200,BROWN TROUT ACQUISITION 22085,A81000C,00100,0400,BROWN TROUT ACQUISITION 22085,A81000C,00100,0600,LESSOR OF PROPERTY 22085,A81000C,00200,0100,B 22085,A81000C,00200,0200,BROWN TROUT ACQUISITION 22085,A81000C,00200,0400,BROWN TROUT ACQUISITION 22085,A81000C,00200,0600,LESSOR OF PROPERTY 22085,A81000C,00300,0100,B 22085,A81000C,00300,0200,BROWN TROUT ACQUISITION 22085,A81000C,00300,0400,BROWN TROUT ACQUISTION 22085,A81000C,00300,0600,LESSOR OF PROPERTY 22085,A81000C,00400,0100,B 22085,A81000C,00400,0200,BROWN TROUT ACQUISITION 22085,A81000C,00400,0400,BROWN TROUT ACQUISITON 22085,A81000C,00400,0600,LESSOR OF PROPERTY 22085,A81000C,00500,0100,B 22085,A81000C,00500,0200,BROWN TROUT ACQUSITION 22085,A81000C,00500,0400,BROWN TROUT ACQUISITION 22085,A81000C,00500,0600,LESSOR OF PROPERTY 22085,A81000C,00600,0100,B 22085,A81000C,00600,0200,BROWN TROUT ACQUSITION 22085,A81000C,00600,0400,BROWN TROUT ACQUISITION 22085,A81000C,00600,0600,LESSOR OF PROPERTY 22085,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22085,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22085,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22085,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22085,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22085,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 22085,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22085,B100000,00000,0800,00000MEALS SERVED :DIETARY 22085,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22085,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22085,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22085,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22085,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22085,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22085,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22085,S000000,00100,0200,05/25/2000 22085,S200000,00100,0100,117 BENNOCH ROAD 22085,S200000,00200,0100,ORONO 22085,S200000,00200,0200,ME 22085,S200000,00200,0300,04473- 22085,S200000,00300,0100,PENOBSCOT 22085,S200000,00400,0100,ORONO COMMONS 22085,S200000,00400,0200,205031 22085,S200000,00400,0300,03/10/1974 22085,S200000,00400,0500,P 22085,S200000,00400,0600,O 22085,S200000,00600,0200,205031 22085,S200000,00600,0300,03/10/1974 22085,S200000,00600,0600,P 22085,S200000,01004,0500,O 22085,S200000,01600,0100,Y 22085,S200000,02200,0100,Y 22085,S200000,04100,0100,Y 22094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22094,A000000,00300,0000,00300EMPLOYEE BENEFITS 22094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22094,A000000,00700,0000,00700HOUSEKEEPING 22094,A000000,00800,0000,00800DIETARY 22094,A000000,00900,0000,00900NURSING ADMINISTRATION 22094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22094,A000000,01100,0000,01100PHARMACY 22094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22094,A000000,01300,0000,01300SOCIAL SERVICE 22094,A000000,01350,0000,01500OTHER GENERAL SERVICES 22094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22094,A000000,01600,0000,01600SKILLED NURSING FACILITY 22094,A000000,01800,0000,01800NURSING FACILITY 22094,A000000,01810,0000,01810ICF/MR 22094,A000000,01900,0000,01900OTHER LONG TERM CARE 22094,A000000,02100,0000,02100RADIOLOGY 22094,A000000,02200,0000,02200LABORATORY 22094,A000000,02300,0000,02300INTRAVENOUS THERAPY 22094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22094,A000000,02500,0000,02500PHYSICAL THERAPY 22094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22094,A000000,02700,0000,02700SPEECH PATHOLOGY 22094,A000000,02800,0000,02800ELECTROCARDIOLOGY 22094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22094,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22094,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22094,A000000,03200,0000,03200SUPPORT SURFACES 22094,A000000,03400,0000,03400CLINIC 22094,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22094,A000000,03500,0000,03500RURAL HEALTH CLINIC 22094,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22094,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22094,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22094,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22094,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22094,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22094,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22094,A000000,04400,0000,04400DME RENTED - HHA 22094,A000000,04500,0000,04500DME SOLD - HHA 22094,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22094,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22094,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22094,A000000,04800,0000,04800AMBULANCE 22094,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22094,A000000,05000,0000,05000CORF 22094,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22094,A000000,05300,0000,05300INTEREST EXPENSE 22094,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22094,A000000,05500,0000,05500HOSPICE 22094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22094,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22094,A000000,06100,0000,06100NONPAID WORKERS 22094,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22094,A000000,06200,0000,06200PATIENTS LAUNDRY 22094,A81000A,00100,0100,Y 22094,A81000B,00100,0300,OCCUPATIONAL THERAPY 22094,A81000B,00200,0300,PHYSICAL THERAPY 22094,A81000B,00300,0300,SPEECH PATHOLOGY 22094,A81000B,00400,0300,LABORATORY 22094,A81000C,00100,0100,G 22094,A81000C,00100,0200,PENOBCSCOT BAY MEDICAL 22094,A81000C,00100,0600,ACUTE CARE 22094,A81000C,00200,0100,G 22094,A81000C,00200,0200,NORTHEAST HEALTH 22094,A81000C,00200,0600,PARENT 22094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22094,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22094,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 22094,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22094,B100000,00000,0800,00000MEALS :DIETARY 22094,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 22094,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22094,S000000,00100,0200,08/30/2000 22094,S200000,00100,0100,108 ELM ST 22094,S200000,00200,0100,CAMDEN 22094,S200000,00200,0200,ME 22094,S200000,00200,0300,04843- 22094,S200000,00300,0100,KNOX 22094,S200000,00300,0200,9920 22094,S200000,00300,0300,R 22094,S200000,00400,0100,CAMDEN HEALTH CARE CENTER 22094,S200000,00400,0200,205051 22094,S200000,00400,0300,08/15/1977 22094,S200000,00400,0500,P 22094,S200000,00600,0200,205058 22094,S200000,00600,0300,08/15/1977 22094,S200000,00600,0600,P 22094,S200000,01600,0100,Y 22094,S200000,02800,0100,Y 22113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22113,A000000,00300,0000,00300EMPLOYEE BENEFITS 22113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22113,A000000,00700,0000,00700HOUSEKEEPING 22113,A000000,00800,0000,00800DIETARY 22113,A000000,00900,0000,00900NURSING ADMINISTRATION 22113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22113,A000000,01300,0000,01300SOCIAL SERVICE 22113,A000000,01350,0000,01500PATIENT ACTIVITIES 22113,A000000,01600,0000,01600SKILLED NURSING FACILITY 22113,A000000,01800,0000,01800NURSING FACILITY 22113,A000000,02100,0000,02100RADIOLOGY 22113,A000000,02200,0000,02200LABORATORY 22113,A000000,02300,0000,02300INTRAVENOUS THERAPY 22113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22113,A000000,02500,0000,02500PHYSICAL THERAPY 22113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22113,A000000,02700,0000,02700SPEECH PATHOLOGY 22113,A000000,02800,0000,02800ELECTROCARDIOLOGY 22113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22113,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 22113,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22113,A000000,03200,0000,03200SUPPORT SURFACES 22113,A000000,03400,0000,03400CLINIC 22113,A000000,04800,0000,04800AMBULANCE 22113,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22113,A000000,05300,0000,05300INTEREST EXPENSE 22113,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22113,A000000,06150,0000,06300PASTORAL CARE 22113,A000000,06200,0000,06200PATIENTS LAUNDRY 22113,A000000,06201,0000,06201CABLE TV/WONDERGUARD 22113,A81000A,00100,0100,Y 22113,A81000B,00100,0300,MANAGEMENT FEE (8580.0002) 22113,A81000B,00200,0300,CONTRACT DIETICIAN (7290.0002) 22113,A81000B,00300,0300,DIETARY MEALS (7290.0005) 22113,A81000B,00400,0300,BENEFITS-WORKERS COMP(8930.0107) 22113,A81000B,00500,0300,BENEFITS-EMPLOYEE EXAMS(8932.0000) 22113,A81000B,00600,0300,CONTRACTED EMPLOYEE(7330.0012) 22113,A81000B,00700,0300,CONTRACTED EMPLOYEE(7360.0012) 22113,A81000B,00800,0300,CONTRACTED EMPLOYEE (7370.0012) 22113,A81000B,00900,0300,CONTRACTED EMPLOYEE (7380.0012) 22113,A81000B,01000,0300,CONTRACTED EMPLOYEE (7390.0012) 22113,A81000B,01100,0300,CONTRACTED EMPLOYEE (8450.0012) 22113,A81000B,01200,0300,CONTRACTED EMPLOYEE (8480.0012) 22113,A81000B,01300,0300,CONTRACTED EMPLOYEE (8580.0012) 22113,A81000B,01400,0300,CONTRACTED EMPLOYEE (6230.0012) 22113,A81000B,01500,0300,DIETARY ADMIN (8580.0005) 22113,A81000B,01600,0300,CONTRACTED EMPLOYEE(8590.0012) 22113,A81000B,01700,0300,CONTRACTED EMPLOY BENES (8930.0012) 22113,A81000B,01800,0300,BENEFITS-EAP SERVICES (8934.0000) 22113,A81000B,01900,0300,THERAPIST TIME (6080.0001) 22113,A81000B,02000,0300,MD ADMIN FEE (6100.0002) 22113,A81000C,00100,0100,B 22113,A81000C,00100,0400,SOCHS 22113,A81000C,00100,0600,PARENT CORP 22113,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22113,B100000,00000,0250,00000ACTUAL DEPRECIATI :CAP REL COSTS - 22113,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 22113,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22113,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22113,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 22113,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22113,B100000,00000,0800,00000MEALS SERVED :DIETARY 22113,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 22113,B100000,00000,1000,00000COSTED REQS :CENTRAL SERVICES & SU 22113,B100000,00000,1200,00000TIME SPENT- MED :MEDICAL RECORDS & 22113,B100000,00000,1300,00000TIME SPENT- SOC :SOCIAL SERVICE 22113,B100000,00000,1350,00000TIME SPENT- PAT :PATIENT ACTIVITIES 22113,S000000,00100,0200,08/02/2000 22113,S200000,00100,0100,102 CAMPUS AVE. 22113,S200000,00200,0100,LEWISTON 22113,S200000,00200,0200,ME 22113,S200000,00200,0300,04240- 22113,S200000,00300,0100,ANDROSCOGGIN 22113,S200000,00400,0100,ST. MARGUERITE DYOUVILLE PAVILION 22113,S200000,00400,0200,205053 22113,S200000,00400,0300,02/07/1984 22113,S200000,00400,0500,P 22113,S200000,00600,0200,205053 22113,S200000,00600,0300,02/07/1984 22113,S200000,00600,0600,P 22113,S200000,01500,0100,Y 22113,S200000,02800,0100,Y 22113,S200000,04100,0100,Y 22123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22123,A000000,00201,0000,00201CAP REL COSTS - INTEREST 22123,A000000,00300,0000,00300EMPLOYEE BENEFITS 22123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22123,A000000,00700,0000,00700HOUSEKEEPING 22123,A000000,00800,0000,00800DIETARY 22123,A000000,00900,0000,00900NURSING ADMINISTRATION 22123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22123,A000000,01100,0000,01100PHARMACY 22123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22123,A000000,01300,0000,01300SOCIAL SERVICE 22123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22123,A000000,01600,0000,01600SKILLED NURSING FACILITY 22123,A000000,01800,0000,01800NURSING FACILITY 22123,A000000,01810,0000,01810ICF/MR 22123,A000000,01900,0000,01900OTHER LONG TERM CARE 22123,A000000,02100,0000,02100RADIOLOGY 22123,A000000,02200,0000,02200LABORATORY 22123,A000000,02300,0000,02300INTRAVENOUS THERAPY 22123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22123,A000000,02500,0000,02500PHYSICAL THERAPY 22123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22123,A000000,02700,0000,02700SPEECH PATHOLOGY 22123,A000000,02800,0000,02800ELECTROCARDIOLOGY 22123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22123,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 22123,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22123,A000000,03200,0000,03200SUPPORT SURFACES 22123,A000000,03400,0000,03400CLINIC 22123,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 22123,A000000,03500,0000,03500RURAL HEALTH CLINIC 22123,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22123,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22123,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22123,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22123,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22123,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22123,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22123,A000000,04400,0000,04400DME RENTED - HHA 22123,A000000,04500,0000,04500DME SOLD - HHA 22123,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22123,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22123,A000000,04800,0000,04800AMBULANCE 22123,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22123,A000000,05000,0000,05000CORF 22123,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22123,A000000,05300,0000,05300INTEREST EXPENSE 22123,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22123,A000000,05500,0000,05500HOSPICE 22123,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22123,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22123,A000000,06100,0000,06100NONPAID WORKERS 22123,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 22123,A000000,06200,0000,06200PATIENTS LAUNDRY 22123,A81000A,00100,0100,Y 22123,A81000B,00100,0300,MANAGEMENT FEES 22123,A81000B,00200,0300,PHYSICAL THERAPY 22123,A81000B,00300,0300,OCCUPATIONAL THERAPY 22123,A81000B,00400,0300,SPEECH THERAPY 22123,A81000B,00500,0300,RESPIRATORY THERAPY 22123,A81000B,00600,0300,LAUNDRY SERVICES 22123,A81000C,00100,0100,B 22123,A81000C,00100,0200,MAINEGENERAL HE 22123,A81000C,00100,0400,MAINEGENERAL HE 22123,A81000C,00100,0600,PARENT 22123,A81000C,00200,0100,B 22123,A81000C,00200,0200,MAINEGENERAL ME 22123,A81000C,00200,0400,MAINEGENERAL ME 22123,A81000C,00200,0600,HOSPITAL 22123,A81000C,00300,0100,B 22123,A81000C,00300,0200,MAINEGENERAL ME 22123,A81000C,00300,0400,MAINEGENERAL ME 22123,A81000C,00300,0600,HOSPITAL 22123,A81000C,00400,0100,B 22123,A81000C,00400,0200,MAINEGENERAL ME 22123,A81000C,00400,0400,MAINEGENERAL ME 22123,A81000C,00400,0600,HOSPITAL 22123,A81000C,00500,0100,B 22123,A81000C,00500,0200,MAINEGENERAL ME 22123,A81000C,00500,0400,MAINEGENERAL ME 22123,A81000C,00500,0600,HOSPITAL 22123,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22123,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22123,B100000,00000,0251,00000SQUARE FEET :CAP REL COSTS - INTER 22123,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22123,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22123,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22123,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 22123,B100000,00000,0800,00000MEALS SERVED :DIETARY 22123,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 22123,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 22123,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 22123,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22123,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22123,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22123,S000000,00100,0200,02/27/2001 22123,S200000,00100,0100,GRAY BIRCH DRIVE 22123,S200000,00200,0100,AUGUSTA 22123,S200000,00200,0200,ME 22123,S200000,00200,0300,04330- 22123,S200000,00300,0100,KENNEBEC 22123,S200000,00400,0100,MAINGNL REHAB & NSG GRAYBIRCH 22123,S200000,00400,0200,205054 22123,S200000,00400,0300,11/30/1987 22123,S200000,00400,0500,P 22123,S200000,01500,0100,Y 22135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22135,A000000,00300,0000,00300EMPLOYEE BENEFITS 22135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22135,A000000,00700,0000,00700HOUSEKEEPING 22135,A000000,00800,0000,00800DIETARY 22135,A000000,00900,0000,00900NURSING ADMINISTRATION 22135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22135,A000000,01100,0000,01100PHARMACY 22135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22135,A000000,01300,0000,01300SOCIAL SERVICE 22135,A000000,01350,0000,01500PATIENT ACTIVITIES 22135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22135,A000000,01600,0000,01600SKILLED NURSING FACILITY 22135,A000000,01800,0000,01800NURSING FACILITY 22135,A000000,01810,0000,01810ICF/MR 22135,A000000,01900,0000,01900OTHER LONG TERM CARE 22135,A000000,02100,0000,02100RADIOLOGY 22135,A000000,02200,0000,02200LABORATORY 22135,A000000,02300,0000,02300INTRAVENOUS THERAPY 22135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22135,A000000,02500,0000,02500PHYSICAL THERAPY 22135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22135,A000000,02700,0000,02700SPEECH PATHOLOGY 22135,A000000,02800,0000,02800ELECTROCARDIOLOGY 22135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22135,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22135,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22135,A000000,03200,0000,03200SUPPORT SURFACES 22135,A000000,03400,0000,03400CLINIC 22135,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22135,A000000,03500,0000,03500RURAL HEALTH CLINIC 22135,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22135,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22135,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22135,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22135,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22135,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22135,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22135,A000000,04400,0000,04400DME RENTED - HHA 22135,A000000,04500,0000,04500DME SOLD - HHA 22135,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22135,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22135,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22135,A000000,04800,0000,04800AMBULANCE 22135,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22135,A000000,05000,0000,05000CORF 22135,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22135,A000000,05300,0000,05300INTEREST EXPENSE 22135,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22135,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22135,A000000,05500,0000,05500HOSPICE 22135,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22135,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22135,A000000,06100,0000,06100NONPAID WORKERS 22135,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22135,A000000,06200,0000,06200PATIENTS LAUNDRY 22135,A81000A,00100,0100,Y 22135,A81000B,00100,0300,RELATED PARTY RENT 22135,A81000B,00200,0300,ASSET DISPOSAL LOSS 22135,A81000B,00300,0300,REAL ESTATE TAXES 22135,A81000B,00400,0300,INSURANCE 22135,A81000B,00500,0300,ADMINISTRATIVE 22135,A81000B,00600,0300,DEPRECIATION 22135,A81000B,00700,0300,AMORTIZATION 22135,A81000B,00800,0300,INTEREST 22135,A81000C,00100,0100,A 22135,A81000C,00100,0200,DAVID FRIEDMAN 22135,A81000C,00100,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00100,0600,LESSOR 22135,A81000C,00200,0100,A 22135,A81000C,00200,0200,DAVID FRIEDMAN 22135,A81000C,00200,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00200,0600,LESSOR 22135,A81000C,00300,0100,A 22135,A81000C,00300,0200,DAVID FRIEDMAN 22135,A81000C,00300,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00300,0600,LESSOR 22135,A81000C,00400,0100,A 22135,A81000C,00400,0200,DAVID FRIEDMAN 22135,A81000C,00400,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00400,0600,LESSOR 22135,A81000C,00500,0100,A 22135,A81000C,00500,0200,DAVID FRIEDMAN 22135,A81000C,00500,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00500,0600,LESSOR 22135,A81000C,00600,0100,A 22135,A81000C,00600,0200,DAVID FRIEDMAN 22135,A81000C,00600,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00600,0600,LESSOR 22135,A81000C,00700,0100,A 22135,A81000C,00700,0200,DAVID FRIEDMAN 22135,A81000C,00700,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00700,0600,LESSOR 22135,A81000C,00800,0100,A 22135,A81000C,00800,0200,DAVID FRIEDMAN 22135,A81000C,00800,0400,CEDAR RIDGE ASSOCIATES 22135,A81000C,00800,0600,LESSOR 22135,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22135,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22135,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22135,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22135,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22135,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22135,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22135,B100000,00000,0800,00000MEALS SERVED :DIETARY 22135,B100000,00000,0900,00000DIRECTNURS SINGHOURS :NURSING ADMI 22135,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22135,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22135,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22135,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22135,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22135,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22135,E10A180,00302,0100,04/20/1999 22135,S000000,00100,0200,05/25/2000 22135,S200000,00100,0100,RR 1 22135,S200000,00100,0300,1283 22135,S200000,00200,0100,SKOWHEGAN 22135,S200000,00200,0200,ME 22135,S200000,00200,0300,04976- 22135,S200000,00300,0100,SOMERSET 22135,S200000,00400,0100,CEDAR RIDGE NURSING CARE CENTER 22135,S200000,00400,0200,205060 22135,S200000,00400,0300,08/08/1989 22135,S200000,00400,0500,P 22135,S200000,00600,0200,205060 22135,S200000,00600,0300,08/08/1989 22135,S200000,00600,0600,P 22135,S200000,01004,0500,O 22135,S200000,01600,0100,Y 22135,S200000,02200,0100,Y 22147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22147,A000000,00101,0000,00101CAP REL COSTS - LIVING CENTER 22147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22147,A000000,00300,0000,00300EMPLOYEE BENEFITS 22147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22147,A000000,00700,0000,00700HOUSEKEEPING 22147,A000000,00800,0000,00800DIETARY 22147,A000000,00900,0000,00900NURSING ADMINISTRATION 22147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22147,A000000,01100,0000,01100PHARMACY 22147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22147,A000000,01300,0000,01300SOCIAL SERVICE 22147,A000000,01350,0000,01500PATIENT ACTIVITIES 22147,A000000,01600,0000,01600SKILLED NURSING FACILITY 22147,A000000,01800,0000,01800NURSING FACILITY 22147,A000000,01900,0000,01900OTHER LONG TERM CARE 22147,A000000,02100,0000,02100RADIOLOGY 22147,A000000,02200,0000,02200LABORATORY 22147,A000000,02300,0000,02300INTRAVENOUS THERAPY 22147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22147,A000000,02500,0000,02500PHYSICAL THERAPY 22147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22147,A000000,02700,0000,02700SPEECH PATHOLOGY 22147,A000000,02800,0000,02800ELECTROCARDIOLOGY 22147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22147,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22147,A000000,03200,0000,03200SUPPORT SURFACES 22147,A000000,03400,0000,03400CLINIC 22147,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22147,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22147,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22147,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22147,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22147,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22147,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22147,A000000,04400,0000,04400DME RENTED - HHA 22147,A000000,04500,0000,04500DME SOLD - HHA 22147,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22147,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22147,A000000,04800,0000,04800AMBULANCE 22147,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22147,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22147,A000000,05300,0000,05300INTEREST EXPENSE 22147,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22147,A000000,05500,0000,05500HOSPICE 22147,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22147,A000000,06100,0000,06100NONPAID WORKERS 22147,A000000,06150,0000,06300OTHER NRCC 22147,A000000,06151,0000,06301LIVING CENTER 22147,A000000,06152,0000,06302DAY CARE 22147,A000000,06153,0000,06303HHA ADVERTISING 22147,A000000,06200,0000,06200PATIENTS LAUNDRY 22147,A81000A,00100,0100,Y 22147,A81000B,00100,0300,INT ON PURCHASED BEDS 22147,A81000B,00200,0300,PROFESSIONAL FEES 22147,A81000B,00300,0300,RENT 22147,A81000C,00100,0100,A 22147,A81000C,00100,0200,TOWLE REALTY 22147,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 22147,B100000,00000,0101,00003SQ FT LCTR :CAP REL COSTS - LIVING 22147,B100000,00000,0200,00003DOLLAR VALUE :CAP REL COSTS - MOVA 22147,B100000,00000,0300,00003GROSS SAL :EMPLOYEE BENEFITS 22147,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 22147,B100000,00000,0500,00003SQ FT ALL :PLANT OPERATION MAINT. 22147,B100000,00000,0600,00003POUNDS :LAUNDRY & LINEN SERVICE 22147,B100000,00000,0750,00003SQ FT ALL :HOUSEKEEPING 22147,B100000,00000,0800,00003MEALS :DIETARY 22147,B100000,00000,0950,00003NRSG HRS :NURSING ADMINISTRATION 22147,B100000,00000,1330,00003SS HRS :SOCIAL SERVICE 22147,B100000,00000,1350,00003PAT ACT HRS :PATIENT ACTIVITIES 22147,H510100,00000,0000,4243 22147,H510100,02400,0000,4243 22147,S000000,00100,0200,10/10/2000 22147,S200000,00100,0100,440 MINOT AVE 22147,S200000,00200,0100,AUBURN 22147,S200000,00200,0200,ME 22147,S200000,00200,0300,04240- 22147,S200000,00300,0100,ANDROSCOGGIN 22147,S200000,00300,0200,4243 22147,S200000,00300,0300,U 22147,S200000,00400,0100,CLOVER MANOR 22147,S200000,00400,0200,205063 22147,S200000,00400,0300,07/20/1990 22147,S200000,00400,0500,P 22147,S200000,00800,0200,207077 22147,S200000,00800,0300,10/28/1996 22147,S200000,00800,0500,P 22147,S200000,00800,0600,P 22147,S200000,01600,0100,Y 22157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22157,A000000,00201,0000,00201 BLDG CAPITAL - ENGLE PLACE 22157,A000000,00202,0000,00202BLDG CAPITAL - ALL BUT ENGLE 22157,A000000,00300,0000,00300EMPLOYEE BENEFITS 22157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22157,A000000,00700,0000,00700HOUSEKEEPING 22157,A000000,00800,0000,00800DIETARY 22157,A000000,00900,0000,00900NURSING ADMINISTRATION 22157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22157,A000000,01100,0000,01100PHARMACY 22157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22157,A000000,01300,0000,01300SOCIAL SERVICE 22157,A000000,01350,0000,01500OTHER GENERAL SERVICES 22157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22157,A000000,01600,0000,01600SKILLED NURSING FACILITY 22157,A000000,01800,0000,01800NURSING FACILITY 22157,A000000,01810,0000,01810ICF/MR 22157,A000000,01900,0000,01900OTHER LONG TERM CARE 22157,A000000,02100,0000,02100RADIOLOGY 22157,A000000,02200,0000,02200LABORATORY 22157,A000000,02300,0000,02300INTRAVENOUS THERAPY 22157,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22157,A000000,02500,0000,02500PHYSICAL THERAPY 22157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22157,A000000,02700,0000,02700SPEECH PATHOLOGY 22157,A000000,02800,0000,02800ELECTROCARDIOLOGY 22157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22157,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22157,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22157,A000000,03200,0000,03200SUPPORT SURFACES 22157,A000000,03400,0000,03400CLINIC 22157,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22157,A000000,03500,0000,03500RURAL HEALTH CLINIC 22157,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22157,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22157,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22157,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22157,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22157,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22157,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22157,A000000,04400,0000,04400DME RENTED - HHA 22157,A000000,04500,0000,04500DME SOLD - HHA 22157,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22157,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22157,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22157,A000000,04800,0000,04800AMBULANCE 22157,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22157,A000000,05000,0000,05000CORF 22157,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22157,A000000,05300,0000,05300INTEREST EXPENSE 22157,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22157,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22157,A000000,05500,0000,05500HOSPICE 22157,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22157,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22157,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22157,A000000,06100,0000,06100NONPAID WORKERS 22157,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22157,A000000,06200,0000,06200PATIENTS LAUNDRY 22157,A81000A,00100,0100,Y 22157,A81000B,00100,0300,DIETARY CONSULTANT 22157,A81000B,00200,0300,CONTRACT ADMINISTRATOR 22157,A81000B,00300,0300,LABORATORY 22157,A81000B,00400,0300,AMBULANCE 22157,A81000C,00100,0100,B 22157,A81000C,00100,0400,EASTERN ME MEDICAL CENTER 22157,A81000C,00100,0600,HOSPITAL 22157,A81000C,00200,0100,B 22157,A81000C,00200,0400,ROSSCARE INC 22157,A81000C,00200,0600,MANAGEMENT CO 22157,A81000C,00300,0100,B 22157,A81000C,00300,0400,AFFILIATED LABORATORY 22157,A81000C,00300,0600,LABORATORY 22157,A81000C,00400,0100,B 22157,A81000C,00400,0400,CAPITAL AMBULANCE 22157,A81000C,00400,0600,AMBULANCE 22157,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22157,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22157,B100000,00000,0251,00000ENGLE PL SQ FT: BLDG CAPITAL - ENGL 22157,B100000,00000,0252,00000ALL BUT EP S:BLDG CAPITAL - ALL BUT 22157,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22157,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22157,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22157,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22157,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22157,B100000,00000,0800,00000MEALS SERVED :DIETARY 22157,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22157,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22157,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22157,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22157,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22157,B100000,00000,1350,00000DOLLAR VALUE :OTHER GENERAL SERVIC 22157,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22157,S000000,00100,0200,05/25/2000 22157,S200000,00100,0100,758 BROADWAY 22157,S200000,00200,0100,BANGOR 22157,S200000,00200,0200,ME 22157,S200000,00200,0300,04401- 22157,S200000,00300,0100,PENOBSCOT 22157,S200000,00400,0100,ROSSMANOR ASSOCIATES 22157,S200000,00400,0200,205064 22157,S200000,00400,0300,01/27/1991 22157,S200000,00400,0500,P 22157,S200000,00600,0200,205064 22157,S200000,00600,0300,07/14/1987 22157,S200000,00600,0600,P 22157,S200000,01600,0100,Y 22157,S200000,02200,0100,Y 22166,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22166,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22166,A000000,00300,0000,00300EMPLOYEE BENEFITS 22166,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22166,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22166,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22166,A000000,00700,0000,00700HOUSEKEEPING 22166,A000000,00800,0000,00800DIETARY 22166,A000000,00900,0000,00900NURSING ADMINISTRATION 22166,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22166,A000000,01100,0000,01100PHARMACY 22166,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22166,A000000,01300,0000,01300SOCIAL SERVICE 22166,A000000,01350,0000,01500PATIENT ACTIVITIES 22166,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22166,A000000,01600,0000,01600SKILLED NURSING FACILITY 22166,A000000,01800,0000,01800NURSING FACILITY 22166,A000000,01810,0000,01810ICF/MR 22166,A000000,01900,0000,01900OTHER LONG TERM CARE 22166,A000000,02100,0000,02100RADIOLOGY 22166,A000000,02200,0000,02200LABORATORY 22166,A000000,02300,0000,02300INTRAVENOUS THERAPY 22166,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22166,A000000,02500,0000,02500PHYSICAL THERAPY 22166,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22166,A000000,02700,0000,02700SPEECH PATHOLOGY 22166,A000000,02800,0000,02800ELECTROCARDIOLOGY 22166,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22166,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22166,A000000,03050,0000,03300RECREATIONAL THERAPY 22166,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22166,A000000,03200,0000,03200SUPPORT SURFACES 22166,A000000,03400,0000,03400CLINIC 22166,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22166,A000000,03500,0000,03500RURAL HEALTH CLINIC 22166,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22166,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22166,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22166,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22166,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22166,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22166,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22166,A000000,04400,0000,04400DME RENTED - HHA 22166,A000000,04500,0000,04500DME SOLD - HHA 22166,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22166,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22166,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22166,A000000,04800,0000,04800AMBULANCE 22166,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22166,A000000,05000,0000,05000CORF 22166,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22166,A000000,05300,0000,05300INTEREST EXPENSE 22166,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22166,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22166,A000000,05500,0000,05500HOSPICE 22166,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22166,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22166,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22166,A000000,06100,0000,06100NONPAID WORKERS 22166,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22166,A000000,06200,0000,06200PATIENTS LAUNDRY 22166,A81000A,00100,0100,Y 22166,A81000B,00100,0300,COST OF OWNERSHIP - REAL ESTATE TAXE 22166,A81000B,00200,0300,COST OF OWNERSHIP - INSURANCE 22166,A81000B,00300,0300,COST OF OWNERSHIP - ADMIN 22166,A81000B,00400,0300,COST OF OWNERSHIP - LOSS ON DISPOSAL 22166,A81000B,00500,0300,COST OF OWNERSHIP - DEPRECIATION 22166,A81000B,00700,0300,COST OF OWNERSHIP - INTEREST 22166,A81000B,00800,0300,COST OF OWNERSHIP - RENT 22166,A81000C,00100,0100,A 22166,A81000C,00100,0200,SANDY RIVER GROUP 22166,A81000C,00100,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00100,0600,LESSOR 22166,A81000C,00200,0100,A 22166,A81000C,00200,0200,SANDY RIVER GROUP 22166,A81000C,00200,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00200,0600,LESSOR 22166,A81000C,00300,0100,A 22166,A81000C,00300,0200,SANDY RIVER GROUP 22166,A81000C,00300,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00300,0600,LESSOR 22166,A81000C,00400,0100,A 22166,A81000C,00400,0200,SANDY RIVER GROUP 22166,A81000C,00400,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00400,0600,LESSOR 22166,A81000C,00500,0100,A 22166,A81000C,00500,0200,SANDY RIVER GROUP 22166,A81000C,00500,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00500,0600,LESSOR 22166,A81000C,00600,0100,A 22166,A81000C,00600,0200,SANDY RIVER GROUP 22166,A81000C,00600,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00600,0600,LESSOR 22166,A81000C,00700,0100,A 22166,A81000C,00700,0200,SANDY RIVER GROUP 22166,A81000C,00700,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00700,0600,LESSOR 22166,A81000C,00800,0100,A 22166,A81000C,00800,0200,SANDY RIVER GROUP 22166,A81000C,00800,0400,RIVERRIDGE ASSOCIATES 22166,A81000C,00800,0600,LESSOR 22166,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22166,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22166,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22166,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22166,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22166,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22166,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22166,B100000,00000,0800,00000MEALS SERVED :DIETARY 22166,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22166,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22166,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22166,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22166,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22166,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22166,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22166,S000000,00100,0200,05/25/2000 22166,S200000,00100,0100,33 CAT MOUSAM ROAD 22166,S200000,00200,0100,KENNEBUNK 22166,S200000,00200,0200,ME 22166,S200000,00200,0300,04043- 22166,S200000,00300,0100,YORK 22166,S200000,00400,0100,RIVERRIDGE 22166,S200000,00400,0200,205065 22166,S200000,00400,0300,02/04/1991 22166,S200000,00400,0500,P 22166,S200000,00400,0600,O 22166,S200000,00600,0200,205065 22166,S200000,00600,0300,02/04/1991 22166,S200000,00600,0600,P 22166,S200000,01004,0500,O 22166,S200000,01600,0100,Y 22166,S200000,04100,0100,Y 22174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22174,A000000,00300,0000,00300EMPLOYEE BENEFITS 22174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22174,A000000,00700,0000,00700HOUSEKEEPING 22174,A000000,00800,0000,00800DIETARY 22174,A000000,00900,0000,00900NURSING ADMINISTRATION 22174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22174,A000000,01100,0000,01100PHARMACY 22174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22174,A000000,01300,0000,01300SOCIAL SERVICE 22174,A000000,01350,0000,01500PATIENT ACTIVITIES 22174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22174,A000000,01600,0000,01600SKILLED NURSING FACILITY 22174,A000000,01800,0000,01800NURSING FACILITY 22174,A000000,01810,0000,01810ICF/MR 22174,A000000,01900,0000,01900OTHER LONG TERM CARE 22174,A000000,02100,0000,02100RADIOLOGY 22174,A000000,02200,0000,02200LABORATORY 22174,A000000,02300,0000,02300INTRAVENOUS THERAPY 22174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22174,A000000,02500,0000,02500PHYSICAL THERAPY 22174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22174,A000000,02700,0000,02700SPEECH PATHOLOGY 22174,A000000,02800,0000,02800ELECTROCARDIOLOGY 22174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22174,A000000,03200,0000,03200SUPPORT SURFACES 22174,A000000,03400,0000,03400CLINIC 22174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22174,A000000,03500,0000,03500RURAL HEALTH CLINIC 22174,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22174,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22174,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22174,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22174,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22174,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22174,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22174,A000000,04400,0000,04400DME RENTED - HHA 22174,A000000,04500,0000,04500DME SOLD - HHA 22174,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22174,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22174,A000000,04800,0000,04800AMBULANCE 22174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22174,A000000,05000,0000,05000CORF 22174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22174,A000000,05300,0000,05300INTEREST EXPENSE 22174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22174,A000000,05500,0000,05500HOSPICE 22174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22174,A000000,06100,0000,06100NONPAID WORKERS 22174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22174,A000000,06200,0000,06200PATIENTS LAUNDRY 22174,A81000A,00100,0100,Y 22174,A81000B,00100,0300,PHYSICAL THERAPY 22174,A81000B,00200,0300,OCCUPATIONAL THERAPY 22174,A81000B,00300,0300,SPEECH THERAPY 22174,A81000C,00100,0100,B 22174,A81000C,00100,0200,HICKS FAMILY SERVICES INC 22174,A81000C,00100,0400,BRIDGTON HEALTH CARE 22174,A81000C,00100,0600,NURSING HOME 22174,A81000C,00200,0100,B 22174,A81000C,00200,0200,HICKS FAMILY SERVICES INC 22174,A81000C,00200,0400,BRIDGTON HEALTH CARE 22174,A81000C,00200,0600,NURSING HOME 22174,A81000C,00300,0100,B 22174,A81000C,00300,0200,HICKS FAMILY SERVICES INC 22174,A81000C,00300,0400,BRIDGTON HEALTH CARE 22174,A81000C,00300,0600,NURSING HOME 22174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22174,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22174,B100000,00000,0800,00000MEALS SERVED :DIETARY 22174,B100000,00000,0950,00000DIRECT NSG :NURSING ADMINISTRATION 22174,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22174,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22174,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22174,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22174,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22174,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22174,S000000,00100,0200,05/31/2000 22174,S200000,00100,0100,77 FAIRVIEW DRIVE 22174,S200000,00200,0100,FRYEBURG 22174,S200000,00200,0200,ME 22174,S200000,00200,0300,04037-0574 22174,S200000,00300,0100,OXFORD 22174,S200000,00400,0100,FRYEBURG HEALTH CARE CENTER INC. 22174,S200000,00400,0200,205066 22174,S200000,00400,0300,01/01/1993 22174,S200000,00400,0500,P 22174,S200000,00600,0200,205066 22174,S200000,00600,0300,08/07/1975 22174,S200000,00600,0600,P 22174,S200000,01600,0100,Y 22192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22192,A000000,00300,0000,00300EMPLOYEE BENEFITS 22192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22192,A000000,00700,0000,00700HOUSEKEEPING 22192,A000000,00800,0000,00800DIETARY 22192,A000000,00900,0000,00900NURSING ADMINISTRATION 22192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22192,A000000,01100,0000,01100PHARMACY 22192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22192,A000000,01300,0000,01300SOCIAL SERVICE 22192,A000000,01350,0000,01500PATIENT ACTIVITIES 22192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22192,A000000,01600,0000,01600SKILLED NURSING FACILITY 22192,A000000,01800,0000,01800NURSING FACILITY 22192,A000000,01810,0000,01810ICF/MR 22192,A000000,01900,0000,01900OTHER LONG TERM CARE 22192,A000000,02100,0000,02100RADIOLOGY 22192,A000000,02200,0000,02200LABORATORY 22192,A000000,02300,0000,02300INTRAVENOUS THERAPY 22192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22192,A000000,02500,0000,02500PHYSICAL THERAPY 22192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22192,A000000,02700,0000,02700SPEECH PATHOLOGY 22192,A000000,02800,0000,02800ELECTROCARDIOLOGY 22192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22192,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22192,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22192,A000000,03200,0000,03200SUPPORT SURFACES 22192,A000000,03400,0000,03400CLINIC 22192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22192,A000000,03500,0000,03500RURAL HEALTH CLINIC 22192,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22192,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22192,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22192,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22192,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22192,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22192,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22192,A000000,04400,0000,04400DME RENTED - HHA 22192,A000000,04500,0000,04500DME SOLD - HHA 22192,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22192,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22192,A000000,04800,0000,04800AMBULANCE 22192,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22192,A000000,05000,0000,05000CORF 22192,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22192,A000000,05300,0000,05300INTEREST EXPENSE 22192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22192,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22192,A000000,05500,0000,05500HOSPICE 22192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22192,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22192,A000000,06100,0000,06100NONPAID WORKERS 22192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22192,A000000,06200,0000,06200PATIENTS LAUNDRY 22192,A81000A,00100,0100,Y 22192,A81000B,00100,0300,COST OF OWNERSHIP - REAL ESTATE TAXE 22192,A81000B,00200,0300,COST OF OWNERSHIP - INSURANCE 22192,A81000B,00300,0300,COST OF OWNERSHIP - ADMIN 22192,A81000B,00400,0300,COST OF OWNERSHIP - LOSS ON DISPOSAL 22192,A81000B,00500,0300,COST OF OWNERSHIP - DEPRECIATION 22192,A81000B,00600,0300,COST OF OWNERSHIP - AMORTIZATION 22192,A81000B,00700,0300,COST OF OWNERSHIP - INTEREST 22192,A81000B,00800,0300,COST OF OWNERSHIP - RENT 22192,A81000C,00100,0100,A 22192,A81000C,00100,0200,DAVID FRIEDMAN 22192,A81000C,00100,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00100,0600,LESSOR 22192,A81000C,00200,0100,A 22192,A81000C,00200,0200,DAVID FRIEDMAN 22192,A81000C,00200,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00200,0600,LESSOR 22192,A81000C,00300,0100,A 22192,A81000C,00300,0200,DAVID FRIEDMAN 22192,A81000C,00300,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00300,0600,LESSOR 22192,A81000C,00400,0100,A 22192,A81000C,00400,0200,DAVID FRIEDMAN 22192,A81000C,00400,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00400,0600,LESSOR 22192,A81000C,00500,0100,A 22192,A81000C,00500,0200,DAVID FRIEDMAN 22192,A81000C,00500,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00500,0600,LESSOR 22192,A81000C,00600,0100,A 22192,A81000C,00600,0200,DAVID FRIEDMAN 22192,A81000C,00600,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00600,0600,LESSOR 22192,A81000C,00700,0100,A 22192,A81000C,00700,0200,DAVID FRIEDMAN 22192,A81000C,00700,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00700,0600,LESSOR 22192,A81000C,00800,0100,A 22192,A81000C,00800,0200,DAVID FRIEDMAN 22192,A81000C,00800,0400,SPRINGBROOK ASSOCIATES 22192,A81000C,00800,0600,LESSOR 22192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22192,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22192,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22192,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22192,B100000,00000,0800,00000MEALS SERVED :DIETARY 22192,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22192,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22192,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22192,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22192,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22192,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22192,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22192,S000000,00100,0200,05/25/2000 22192,S200000,00100,0100,300 SPRING STREET 22192,S200000,00200,0100,WESTBROOK 22192,S200000,00200,0200,ME 22192,S200000,00200,0300,04092- 22192,S200000,00300,0100,CUMBERLAND 22192,S200000,00400,0100,SPRINGBROOK 22192,S200000,00400,0200,205068 22192,S200000,00400,0300,07/15/1991 22192,S200000,00400,0500,P 22192,S200000,00600,0200,205068 22192,S200000,00600,0300,07/15/1991 22192,S200000,00600,0600,P 22192,S200000,01004,0500,O 22192,S200000,01600,0100,Y 22202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22202,A000000,00300,0000,00300EMPLOYEE BENEFITS 22202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22202,A000000,00700,0000,00700HOUSEKEEPING 22202,A000000,00800,0000,00800DIETARY 22202,A000000,00900,0000,00900NURSING ADMINISTRATION 22202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22202,A000000,01100,0000,01100PHARMACY 22202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22202,A000000,01300,0000,01300SOCIAL SERVICE 22202,A000000,01350,0000,01500PATIENT ACTIVITIES 22202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22202,A000000,01600,0000,01600SKILLED NURSING FACILITY 22202,A000000,01800,0000,01800NURSING FACILITY 22202,A000000,01810,0000,01810ICF/MR 22202,A000000,01900,0000,01900OTHER LONG TERM CARE 22202,A000000,02100,0000,02100RADIOLOGY 22202,A000000,02200,0000,02200LABORATORY 22202,A000000,02300,0000,02300INTRAVENOUS THERAPY 22202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22202,A000000,02500,0000,02500PHYSICAL THERAPY 22202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22202,A000000,02700,0000,02700SPEECH PATHOLOGY 22202,A000000,02800,0000,02800ELECTROCARDIOLOGY 22202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22202,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22202,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22202,A000000,03200,0000,03200SUPPORT SURFACES 22202,A000000,03400,0000,03400CLINIC 22202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22202,A000000,03500,0000,03500RURAL HEALTH CLINIC 22202,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22202,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22202,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22202,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22202,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22202,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22202,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22202,A000000,04400,0000,04400DME RENTED - HHA 22202,A000000,04500,0000,04500DME SOLD - HHA 22202,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22202,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22202,A000000,04800,0000,04800AMBULANCE 22202,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22202,A000000,05000,0000,05000CORF 22202,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22202,A000000,05300,0000,05300INTEREST EXPENSE 22202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22202,A000000,05500,0000,05500HOSPICE 22202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22202,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22202,A000000,06100,0000,06100NONPAID WORKERS 22202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22202,A000000,06200,0000,06200PATIENTS LAUNDRY 22202,A81000A,00100,0100,Y 22202,A81000B,00100,0300,INTEREST TO STOCKHOLDERS 22202,A81000B,00200,0300,INTEREST TO STOCKHOLDERS 22202,A81000B,00300,0300,INTEREST TO STOCKHOLDERS 22202,A81000B,00400,0300,INTEREST TO STOCKHOLDERS 22202,A81000B,00500,0300,INTEREST TO STOCKHOLDERS 22202,A81000C,00100,0100,A 22202,A81000C,00100,0200,DAVID L. FRIEDMAN 22202,A81000C,00100,0400,DAVID L. FRIEDMAN 22202,A81000C,00100,0600,STOCKHOLDER 22202,A81000C,00200,0100,A 22202,A81000C,00200,0200,MICHAEL C. TYLER 22202,A81000C,00200,0400,MICHAEL C. TYLER 22202,A81000C,00200,0600,STOCKHOLDER 22202,A81000C,00300,0100,A 22202,A81000C,00300,0200,DANIEL J. MAGUIRE 22202,A81000C,00300,0400,DANIEL J.L MAGUIRE 22202,A81000C,00300,0600,STOCKHOLDER 22202,A81000C,00400,0100,A 22202,A81000C,00400,0200,MICHAEL P. PRIOR 22202,A81000C,00400,0400,MICHAEL P. PRIOR 22202,A81000C,00400,0600,STOCKHOLDER 22202,A81000C,00500,0100,A 22202,A81000C,00500,0200,GEORGE A. COOPER 22202,A81000C,00500,0400,GEORGE A. COOPER 22202,A81000C,00500,0600,STOCKHOLDER 22202,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22202,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22202,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22202,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22202,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22202,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22202,B100000,00000,0800,00000MEALS SERVED :DIETARY 22202,B100000,00000,0900,00000DIRECTNURS SINGHOURS :NURSING ADMI 22202,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22202,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22202,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22202,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22202,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22202,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22202,E10A180,00350,0100,04/29/1999 22202,S000000,00100,0200,05/25/2000 22202,S200000,00100,0100,RFD #4 22202,S200000,00100,0300,1521 22202,S200000,00200,0100,FARMINGTON 22202,S200000,00200,0200,ME 22202,S200000,00200,0300,04938- 22202,S200000,00300,0100,FRANKLIN 22202,S200000,00400,0100,SANDY RIVER NURSING CARE CENTER 22202,S200000,00400,0200,205069 22202,S200000,00400,0300,10/01/1991 22202,S200000,00400,0500,P 22202,S200000,00600,0200,205069 22202,S200000,00600,0300,10/01/1991 22202,S200000,00600,0600,P 22202,S200000,01600,0100,Y 22202,S200000,02200,0100,Y 22216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22216,A000000,00300,0000,00300EMPLOYEE BENEFITS 22216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22216,A000000,00700,0000,00700HOUSEKEEPING 22216,A000000,00800,0000,00800DIETARY 22216,A000000,00900,0000,00900NURSING ADMINISTRATION 22216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22216,A000000,01100,0000,01100PHARMACY 22216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22216,A000000,01300,0000,01300SOCIAL SERVICE 22216,A000000,01350,0000,01500PATIENT ACTIVITIES 22216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22216,A000000,01600,0000,01600SKILLED NURSING FACILITY 22216,A000000,01800,0000,01800NURSING FACILITY 22216,A000000,01810,0000,01810ICF/MR 22216,A000000,01900,0000,01900OTHER LONG TERM CARE 22216,A000000,02100,0000,02100RADIOLOGY 22216,A000000,02200,0000,02200LABORATORY 22216,A000000,02300,0000,02300INTRAVENOUS THERAPY 22216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22216,A000000,02500,0000,02500PHYSICAL THERAPY 22216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22216,A000000,02700,0000,02700SPEECH PATHOLOGY 22216,A000000,02800,0000,02800ELECTROCARDIOLOGY 22216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22216,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22216,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22216,A000000,03200,0000,03200SUPPORT SURFACES 22216,A000000,03400,0000,03400CLINIC 22216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22216,A000000,03500,0000,03500RURAL HEALTH CLINIC 22216,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22216,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22216,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22216,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22216,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22216,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22216,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22216,A000000,04400,0000,04400DME RENTED - HHA 22216,A000000,04500,0000,04500DME SOLD - HHA 22216,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22216,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22216,A000000,04800,0000,04800AMBULANCE 22216,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22216,A000000,05000,0000,05000CORF 22216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22216,A000000,05300,0000,05300INTEREST EXPENSE 22216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22216,A000000,05500,0000,05500HOSPICE 22216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22216,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22216,A000000,06100,0000,06100NONPAID WORKERS 22216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22216,A000000,06200,0000,06200PATIENTS LAUNDRY 22216,A81000A,00100,0100,Y 22216,A81000B,00100,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000B,00200,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000B,00300,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000B,00400,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000B,00500,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000B,00600,0300,INTEREST ON STOCKHOLDER LOAN 22216,A81000C,00100,0100,A 22216,A81000C,00100,0200,DAVID FRIEDMAN 22216,A81000C,00100,0400,DAVID FRIEDMAN 22216,A81000C,00100,0600,STOCKHOLDER 22216,A81000C,00200,0100,A 22216,A81000C,00200,0200,MICHAEL TYLER 22216,A81000C,00200,0400,MICHAEL TYLER 22216,A81000C,00200,0600,STOCKHOLDER 22216,A81000C,00300,0100,A 22216,A81000C,00300,0200,DANIEL MAGUIRE 22216,A81000C,00300,0400,DANIEL MAGUIRE 22216,A81000C,00300,0600,STOCKHOLDER 22216,A81000C,00400,0100,A 22216,A81000C,00400,0200,MICHAEL PRIOR 22216,A81000C,00400,0400,MICHAEL PRIOR 22216,A81000C,00400,0600,STOCKHOLDER 22216,A81000C,00500,0100,A 22216,A81000C,00500,0200,GEORGE COOPER 22216,A81000C,00500,0400,GEORGE COOPER 22216,A81000C,00500,0600,STOCKHOLDER 22216,A81000C,00600,0100,A 22216,A81000C,00600,0200,ALL 22216,A81000C,00600,0400,ALL 22216,A81000C,00600,0600,STOCKHOLDER 22216,A81000C,00700,0100,A 22216,A81000C,00800,0100,A 22216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22216,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22216,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22216,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22216,B100000,00000,0800,00000MEALS SERVED :DIETARY 22216,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22216,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22216,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22216,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22216,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22216,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22216,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22216,S000000,00100,0200,05/25/2000 22216,S200000,00100,0100,67 PINE POINT ROAD 22216,S200000,00200,0100,SCARBOROUGH 22216,S200000,00200,0200,ME 22216,S200000,00200,0300,04074- 22216,S200000,00300,0100,CUMBERLAND 22216,S200000,00400,0100,PINE POINT 22216,S200000,00400,0200,205070 22216,S200000,00400,0300,10/01/1991 22216,S200000,00400,0500,P 22216,S200000,00600,0200,205070 22216,S200000,00600,0300,10/01/1991 22216,S200000,00600,0600,P 22216,S200000,01004,0500,O 22216,S200000,01600,0100,Y 22235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22235,A000000,00300,0000,00300EMPLOYEE BENEFITS 22235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22235,A000000,00700,0000,00700HOUSEKEEPING 22235,A000000,00800,0000,00800DIETARY 22235,A000000,00900,0000,00900NURSING ADMINISTRATION 22235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22235,A000000,01100,0000,01100PHARMACY 22235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22235,A000000,01300,0000,01300SOCIAL SERVICE 22235,A000000,01350,0000,01500PATIENT ACTIVITIES 22235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22235,A000000,01600,0000,01600SKILLED NURSING FACILITY 22235,A000000,01800,0000,01800NURSING FACILITY 22235,A000000,01810,0000,01810ICF/MR 22235,A000000,01900,0000,01900OTHER LONG TERM CARE 22235,A000000,02100,0000,02100RADIOLOGY 22235,A000000,02200,0000,02200LABORATORY 22235,A000000,02300,0000,02300INTRAVENOUS THERAPY 22235,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22235,A000000,02500,0000,02500PHYSICAL THERAPY 22235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22235,A000000,02700,0000,02700SPEECH PATHOLOGY 22235,A000000,02800,0000,02800ELECTROCARDIOLOGY 22235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22235,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22235,A000000,03200,0000,03200SUPPORT SURFACES 22235,A000000,03400,0000,03400CLINIC 22235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22235,A000000,03500,0000,03500RURAL HEALTH CLINIC 22235,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22235,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22235,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22235,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22235,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22235,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22235,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22235,A000000,04400,0000,04400DME RENTED - HHA 22235,A000000,04500,0000,04500DME SOLD - HHA 22235,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22235,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22235,A000000,04800,0000,04800AMBULANCE 22235,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22235,A000000,05000,0000,05000CORF 22235,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22235,A000000,05300,0000,05300INTEREST EXPENSE 22235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22235,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22235,A000000,05500,0000,05500HOSPICE 22235,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22235,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22235,A000000,06100,0000,06100NONPAID WORKERS 22235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22235,A000000,06200,0000,06200PATIENTS LAUNDRY 22235,A81000A,00100,0100,Y 22235,A81000B,00100,0300,STOCKHOLDER LOAN INTEREST 22235,A81000B,00200,0300,STOCKHOLDER LOAN INTEREST 22235,A81000B,00300,0300,STOCKHOLDER LOAN INTEREST 22235,A81000B,00400,0300,STOCKHOLDER LOAN INTEREST 22235,A81000B,00500,0300,STOCKHOLDER LOAN INTEREST 22235,A81000C,00100,0100,A 22235,A81000C,00100,0200,DAVID FRIEDMAN 22235,A81000C,00100,0400,SRHS 22235,A81000C,00100,0600,MANAGEMENT 22235,A81000C,00200,0100,A 22235,A81000C,00200,0200,MICHAEL TYLER 22235,A81000C,00200,0400,SRHS 22235,A81000C,00200,0600,MANAGEMENT 22235,A81000C,00300,0100,A 22235,A81000C,00300,0200,DANIEL MAGUIRE 22235,A81000C,00300,0400,SRHS 22235,A81000C,00300,0600,MANAGEMENT 22235,A81000C,00400,0100,A 22235,A81000C,00400,0200,MICHAEL PRIOR 22235,A81000C,00400,0400,SRHS 22235,A81000C,00400,0600,MANAGEMENT 22235,A81000C,00500,0100,A 22235,A81000C,00500,0200,GEORGE COOPER 22235,A81000C,00500,0400,SRHS 22235,A81000C,00500,0600,MANAGEMENT 22235,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22235,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22235,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22235,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22235,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22235,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22235,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22235,B100000,00000,0800,00000MEALS SERVED :DIETARY 22235,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22235,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22235,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22235,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22235,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22235,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22235,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22235,S000000,00100,0200,05/25/2000 22235,S200000,00100,0100,33 ROGER STREET 22235,S200000,00200,0100,LEWISTON 22235,S200000,00200,0200,ME 22235,S200000,00200,0300,04240- 22235,S200000,00300,0100,ANDROSCOGGIN 22235,S200000,00400,0100,MARSHWOOD 22235,S200000,00400,0200,205072 22235,S200000,00400,0300,10/02/1991 22235,S200000,00400,0500,P 22235,S200000,00600,0200,205072 22235,S200000,00600,0300,10/02/1991 22235,S200000,00600,0600,P 22235,S200000,00601,0600,O 22235,S200000,01004,0500,O 22235,S200000,01600,0100,Y 22244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22244,A000000,00300,0000,00300EMPLOYEE BENEFITS 22244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22244,A000000,00700,0000,00700HOUSEKEEPING 22244,A000000,00800,0000,00800DIETARY 22244,A000000,00900,0000,00900NURSING ADMINISTRATION 22244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22244,A000000,01100,0000,01100PHARMACY 22244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22244,A000000,01300,0000,01300SOCIAL SERVICE 22244,A000000,01350,0000,01500PATIENT ACTIVITIES 22244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22244,A000000,01600,0000,01600SKILLED NURSING FACILITY 22244,A000000,01800,0000,01800NURSING FACILITY 22244,A000000,01810,0000,01810ICF/MR 22244,A000000,01900,0000,01900OTHER LONG TERM CARE 22244,A000000,02100,0000,02100RADIOLOGY 22244,A000000,02200,0000,02200LABORATORY 22244,A000000,02300,0000,02300INTRAVENOUS THERAPY 22244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22244,A000000,02500,0000,02500PHYSICAL THERAPY 22244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22244,A000000,02700,0000,02700SPEECH PATHOLOGY 22244,A000000,02800,0000,02800ELECTROCARDIOLOGY 22244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22244,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22244,A000000,03200,0000,03200SUPPORT SURFACES 22244,A000000,03400,0000,03400CLINIC 22244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22244,A000000,03500,0000,03500RURAL HEALTH CLINIC 22244,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22244,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22244,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22244,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22244,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22244,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22244,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22244,A000000,04400,0000,04400DME RENTED - HHA 22244,A000000,04500,0000,04500DME SOLD - HHA 22244,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22244,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22244,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22244,A000000,04800,0000,04800AMBULANCE 22244,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22244,A000000,05000,0000,05000CORF 22244,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22244,A000000,05300,0000,05300INTEREST EXPENSE 22244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22244,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22244,A000000,05500,0000,05500HOSPICE 22244,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22244,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22244,A000000,06100,0000,06100NONPAID WORKERS 22244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22244,A000000,06200,0000,06200PATIENTS LAUNDRY 22244,A81000A,00100,0100,Y 22244,A81000B,00100,0300,PHYSICAL THERAPY 22244,A81000B,00200,0300,PHYSICAL THERAPY 22244,A81000B,00300,0300,OCCUPATIONAL THERAPY 22244,A81000B,00400,0300,OCCUPATIONAL 22244,A81000C,00100,0100,B 22244,A81000C,00100,0200,HICKS FAMILY SERVICES INC 22244,A81000C,00100,0400,FREEPORT HEALTH CARE 22244,A81000C,00100,0600,NURSING HOME 22244,A81000C,00200,0100,B 22244,A81000C,00200,0200,HICKS FAMILY SERVICES INC 22244,A81000C,00200,0400,FRYEBURG HEALTH CARE 22244,A81000C,00200,0600,NURSING HOME 22244,A81000C,00300,0100,B 22244,A81000C,00300,0200,HICKS FAMILY SERVICES INC 22244,A81000C,00300,0400,FREEPORT HEALTH CARE 22244,A81000C,00300,0600,NURSING HOME 22244,A81000C,00400,0100,B 22244,A81000C,00400,0200,HICKS FAMILY SERVICES INC 22244,A81000C,00400,0400,FRYEBURG HEALTH CARE 22244,A81000C,00400,0600,NURSING HOME 22244,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22244,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22244,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22244,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22244,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22244,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22244,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22244,B100000,00000,0800,00000MEALS SERVED :DIETARY 22244,B100000,00000,0950,00000DIRECT NSG :NURSING ADMINISTRATION 22244,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22244,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22244,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22244,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22244,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22244,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22244,S000000,00100,0200,05/31/2000 22244,S200000,00100,0100,ROUTE 302 22244,S200000,00100,0300,330 22244,S200000,00200,0100,BRIDGTON 22244,S200000,00200,0200,ME 22244,S200000,00200,0300,04009- 22244,S200000,00300,0100,CUMERLAND 22244,S200000,00400,0100,BRIDGTON HEALTH CARE CENTER INC. 22244,S200000,00400,0200,205073 22244,S200000,00400,0300,01/01/1993 22244,S200000,00400,0500,P 22244,S200000,00400,0600,O 22244,S200000,00600,0200,205073 22244,S200000,00600,0300,12/12/1984 22244,S200000,00600,0600,P 22244,S200000,01600,0100,Y 22244,S200000,02800,0100,Y 22255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22255,A000000,00300,0000,00300EMPLOYEE BENEFITS 22255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22255,A000000,00700,0000,00700HOUSEKEEPING 22255,A000000,00800,0000,00800DIETARY 22255,A000000,00900,0000,00900NURSING ADMINISTRATION 22255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22255,A000000,01100,0000,01100PHARMACY 22255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22255,A000000,01300,0000,01300SOCIAL SERVICE 22255,A000000,01350,0000,01500OTHER GENERAL SERVICES 22255,A000000,01351,0000,01501STAFF RELIEF SERVICES 22255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22255,A000000,01600,0000,01600SKILLED NURSING FACILITY 22255,A000000,01800,0000,01800NURSING FACILITY 22255,A000000,01810,0000,01801ICF/MR 22255,A000000,01900,0000,01900OTHER LONG TERM CARE 22255,A000000,02100,0000,02100RADIOLOGY 22255,A000000,02200,0000,02200LABORATORY 22255,A000000,02300,0000,02300INTRAVENOUS THERAPY 22255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22255,A000000,02500,0000,02500PHYSICAL THERAPY 22255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22255,A000000,02700,0000,02700SPEECH PATHOLOGY 22255,A000000,02800,0000,02800ELECTROCARDIOLOGY 22255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22255,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22255,A000000,03200,0000,03200SUPPORT SURFACES 22255,A000000,03400,0000,03400CLINIC 22255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22255,A000000,03500,0000,03500RURAL HEALTH CLINIC 22255,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22255,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22255,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22255,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22255,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22255,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22255,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22255,A000000,04400,0000,04400DME RENTED - HHA 22255,A000000,04500,0000,04500DME SOLD - HHA 22255,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22255,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22255,A000000,04800,0000,04800AMBULANCE 22255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22255,A000000,05000,0000,05000CORF 22255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22255,A000000,05300,0000,05300INTEREST EXPENSE 22255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22255,A000000,05500,0000,05500HOSPICE 22255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22255,A000000,06100,0000,06100NONPAID WORKERS 22255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22255,A000000,06200,0000,06200PATIENTS LAUNDRY 22255,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22255,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22255,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22255,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22255,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22255,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22255,B100000,00000,0800,00000MEALS SERVED :DIETARY 22255,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22255,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22255,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22255,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22255,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22255,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22255,B100000,00000,1351,00000TIME SPENT :STAFF RELIEF SERVICES 22255,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22255,H510100,00000,0000,6403 22255,H510100,02400,0000,6403 22255,S000000,00100,0200,05/31/2000 22255,S200000,00100,0100,850 BAXTER BOULEVARD 22255,S200000,00200,0100,PORTLAND 22255,S200000,00200,0200,ME 22255,S200000,00200,0300,04103- 22255,S200000,00300,0100,CUMBERLAND 22255,S200000,00400,0100,SEASIDE NURSING AND RETIREMENT CENTE 22255,S200000,00400,0200,205074 22255,S200000,00400,0300,01/01/1992 22255,S200000,00400,0500,P 22255,S200000,00600,0200,205074 22255,S200000,00600,0300,10/31/1997 22255,S200000,00800,0200,207067 22255,S200000,00800,0300,12/09/1996 22255,S200000,00800,0500,P 22255,S200000,01600,0100,Y 22255,S200000,02200,0100,Y 22255,S700003,00000,0100,1 22268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22268,A000000,00300,0000,00300EMPLOYEE BENEFITS 22268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22268,A000000,00700,0000,00700HOUSEKEEPING 22268,A000000,00800,0000,00800DIETARY 22268,A000000,00900,0000,00900NURSING ADMINISTRATION 22268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22268,A000000,01100,0000,01100PHARMACY 22268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22268,A000000,01300,0000,01300SOCIAL SERVICE 22268,A000000,01350,0000,01500PATIENT ACTIVITIES 22268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22268,A000000,01600,0000,01600SKILLED NURSING FACILITY 22268,A000000,01800,0000,01800NURSING FACILITY 22268,A000000,01810,0000,01810ICF/MR 22268,A000000,01900,0000,01900OTHER LONG TERM CARE 22268,A000000,02100,0000,02100RADIOLOGY 22268,A000000,02200,0000,02200LABORATORY 22268,A000000,02300,0000,02300INTRAVENOUS THERAPY 22268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22268,A000000,02500,0000,02500PHYSICAL THERAPY 22268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22268,A000000,02700,0000,02700SPEECH PATHOLOGY 22268,A000000,02800,0000,02800ELECTROCARDIOLOGY 22268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22268,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22268,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22268,A000000,03200,0000,03200SUPPORT SURFACES 22268,A000000,03400,0000,03400CLINIC 22268,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22268,A000000,03500,0000,03500RURAL HEALTH CLINIC 22268,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22268,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22268,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22268,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22268,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22268,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22268,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22268,A000000,04400,0000,04400DME RENTED - HHA 22268,A000000,04500,0000,04500DME SOLD - HHA 22268,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22268,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22268,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22268,A000000,04800,0000,04800AMBULANCE 22268,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22268,A000000,05000,0000,05000CORF 22268,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22268,A000000,05300,0000,05300INTEREST EXPENSE 22268,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22268,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22268,A000000,05500,0000,05500HOSPICE 22268,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22268,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22268,A000000,06100,0000,06100NONPAID WORKERS 22268,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22268,A000000,06200,0000,06200PATIENTS LAUNDRY 22268,A81000A,00100,0100,Y 22268,A81000B,00100,0300,DEPRECIATION 22268,A81000B,00200,0300,INTEREST 22268,A81000B,00300,0300,PHYSICAL THERAPY 22268,A81000B,00400,0300,OCCUPATIONAL THERAPY 22268,A81000B,00500,0300,SPEECH THERAPY 22268,A81000B,00600,0300,CONTRACTED SALARIES 22268,A81000C,00100,0100,B 22268,A81000C,00100,0200,WESTERN MAINE HEALTHCARE 22268,A81000C,00200,0100,B 22268,A81000C,00200,0200,STEPHENS MEMORIAL HOSP 22268,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22268,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22268,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 22268,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22268,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22268,B100000,00000,0650,00000LAUNDRY # :LAUNDRY & LINEN SERVICE 22268,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22268,B100000,00000,0800,00000MEALS SERVED :DIETARY 22268,B100000,00000,0950,00000HRS OF SVC :NURSING ADMINISTRATION 22268,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22268,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22268,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22268,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22268,B100000,00000,1350,00000TIME :PATIENT ACTIVITIES 22268,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22268,S000000,00100,0200,07/11/2000 22268,S200000,00100,0100,3 MARKET SQUARE 22268,S200000,00200,0100,SOUTH PARIS 22268,S200000,00200,0200,ME 22268,S200000,00200,0300,04281- 22268,S200000,00300,0100,OXFORD 22268,S200000,00400,0100,MARKET SQUARE HEALTH CARE CENTER 22268,S200000,00400,0200,205076 22268,S200000,00400,0300,04/01/1992 22268,S200000,00400,0500,P 22268,S200000,00600,0200,205076 22268,S200000,00600,0300,01/01/1993 22268,S200000,00600,0600,P 22268,S200000,01600,0100,Y 22272,S000000,00100,0200,02/14/2000 22280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22280,A000000,00300,0000,00300EMPLOYEE BENEFITS 22280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22280,A000000,00700,0000,00700HOUSEKEEPING 22280,A000000,00800,0000,00800DIETARY 22280,A000000,00900,0000,00900NURSING ADMINISTRATION 22280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22280,A000000,01100,0000,01100PHARMACY 22280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22280,A000000,01300,0000,01300SOCIAL SERVICE 22280,A000000,01350,0000,01500ACTIVITIES 22280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22280,A000000,01600,0000,01600SKILLED NURSING FACILITY 22280,A000000,01800,0000,01800NURSING FACILITY 22280,A000000,01810,0000,01810ICF/MR 22280,A000000,01900,0000,01900OTHER LONG TERM CARE 22280,A000000,02100,0000,02100RADIOLOGY 22280,A000000,02200,0000,02200LABORATORY 22280,A000000,02300,0000,02300INTRAVENOUS THERAPY 22280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22280,A000000,02500,0000,02500PHYSICAL THERAPY 22280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22280,A000000,02700,0000,02700SPEECH PATHOLOGY 22280,A000000,02800,0000,02800ELECTROCARDIOLOGY 22280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22280,A000000,03200,0000,03200SUPPORT SURFACES 22280,A000000,03400,0000,03400CLINIC 22280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22280,A000000,03500,0000,03500RURAL HEALTH CLINIC 22280,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22280,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22280,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22280,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22280,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22280,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22280,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22280,A000000,04400,0000,04400DME RENTED - HHA 22280,A000000,04500,0000,04500DME SOLD - HHA 22280,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22280,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22280,A000000,04800,0000,04800AMBULANCE 22280,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22280,A000000,05000,0000,05000CORF 22280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22280,A000000,05300,0000,05300INTEREST EXPENSE 22280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22280,A000000,05500,0000,05500HOSPICE 22280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22280,A000000,06100,0000,06100NONPAID WORKERS 22280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22280,A000000,06200,0000,06200PATIENTS LAUNDRY 22280,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 22280,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22280,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22280,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 22280,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 22280,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 22280,B100000,00000,0800,00000MEALS SERVED :DIETARY 22280,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22280,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22280,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22280,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22280,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22280,B100000,00000,1350,00000HOURS OF SERVICE :ACTIVITIES 22280,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22280,S000000,00100,0200,07/10/2000 22280,S200000,00100,0100,33 LEIGHTON ST. 22280,S200000,00200,0100,PITTSFIELD 22280,S200000,00200,0200,ME 22280,S200000,00200,0300,04967- 22280,S200000,00300,0100,SOMERSET 22280,S200000,00400,0100,SEBASTICOOK VALLEY HCF 22280,S200000,00400,0200,205081 22280,S200000,00400,0300,01/01/1993 22280,S200000,00400,0500,P 22280,S200000,01500,0100,Y 22280,S200000,02200,0100,Y 22293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22293,A000000,00300,0000,00300EMPLOYEE BENEFITS 22293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22293,A000000,00700,0000,00700HOUSEKEEPING 22293,A000000,00800,0000,00800DIETARY 22293,A000000,00900,0000,00900NURSING ADMINISTRATION 22293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22293,A000000,01100,0000,01100PHARMACY 22293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22293,A000000,01300,0000,01300SOCIAL SERVICE 22293,A000000,01350,0000,01500OTHER GENERAL SERVICES 22293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22293,A000000,01600,0000,01600SKILLED NURSING FACILITY 22293,A000000,01800,0000,01800NURSING FACILITY 22293,A000000,01810,0000,01810ICF/MR 22293,A000000,01900,0000,01900OTHER LONG TERM CARE 22293,A000000,02100,0000,02100RADIOLOGY 22293,A000000,02200,0000,02200LABORATORY 22293,A000000,02300,0000,02300INTRAVENOUS THERAPY 22293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22293,A000000,02500,0000,02500PHYSICAL THERAPY 22293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22293,A000000,02700,0000,02700SPEECH PATHOLOGY 22293,A000000,02800,0000,02800ELECTROCARDIOLOGY 22293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22293,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22293,A000000,03200,0000,03200SUPPORT SURFACES 22293,A000000,03400,0000,03400CLINIC 22293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22293,A000000,03500,0000,03500RURAL HEALTH CLINIC 22293,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22293,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22293,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22293,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22293,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22293,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22293,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22293,A000000,04400,0000,04400DME RENTED - HHA 22293,A000000,04500,0000,04500DME SOLD - HHA 22293,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22293,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22293,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22293,A000000,04800,0000,04800AMBULANCE 22293,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22293,A000000,05000,0000,05000CORF 22293,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22293,A000000,05300,0000,05300INTEREST EXPENSE 22293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22293,A000000,05500,0000,05500HOSPICE 22293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22293,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22293,A000000,06100,0000,06100NONPAID WORKERS 22293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22293,A000000,06151,0000,06301ADULT DAYCARE 22293,A000000,06152,0000,06302ASSISTED LIVING UNITS 22293,A000000,06200,0000,06200PATIENTS LAUNDRY 22293,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 22293,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 22293,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 22293,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 22293,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 22293,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 22293,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 22293,B100000,00000,0800,00002MEALS SERVED :DIETARY 22293,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 22293,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 22293,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 22293,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 22293,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 22293,B100000,00000,1350,00002NO STATISTICS :OTHER GENERAL SERVI 22293,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 22293,S000000,00100,0200,06/02/2000 22293,S200000,00100,0100,93 MILITARY STREET 22293,S200000,00200,0100,HOULTON 22293,S200000,00200,0200,ME 22293,S200000,00200,0300,04730- 22293,S200000,00300,0100,AROOSTOOK 22293,S200000,00400,0100,MAPLE GROVE NURSING HOME INC. 22293,S200000,00400,0200,205083 22293,S200000,00400,0300,01/01/1993 22293,S200000,00400,0500,P 22293,S200000,01004,0500,O 22293,S200000,01500,0100,Y 22293,S200000,02200,0100,Y 22293,S200000,02800,0100,Y 22301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22301,A000000,00300,0000,00300EMPLOYEE BENEFITS 22301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22301,A000000,00700,0000,00700HOUSEKEEPING 22301,A000000,00800,0000,00800DIETARY 22301,A000000,00900,0000,00900NURSING ADMINISTRATION 22301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22301,A000000,01100,0000,01100PHARMACY 22301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22301,A000000,01300,0000,01300SOCIAL SERVICE 22301,A000000,01350,0000,01500PATIENT ACTIVITIES 22301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22301,A000000,01600,0000,01600SKILLED NURSING FACILITY 22301,A000000,01800,0000,01800NURSING FACILITY 22301,A000000,01900,0000,01900OTHER LONG TERM CARE 22301,A000000,02100,0000,02100RADIOLOGY 22301,A000000,02200,0000,02200LABORATORY 22301,A000000,02300,0000,02300INTRAVENOUS THERAPY 22301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22301,A000000,02500,0000,02500PHYSICAL THERAPY 22301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22301,A000000,02700,0000,02700SPEECH PATHOLOGY 22301,A000000,02800,0000,02800ELECTROCARDIOLOGY 22301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22301,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22301,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22301,A000000,03200,0000,03200SUPPORT SURFACES 22301,A000000,03400,0000,03400CLINIC 22301,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22301,A000000,03500,0000,03500RURAL HEALTH CLINIC 22301,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22301,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22301,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22301,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22301,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22301,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22301,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22301,A000000,04400,0000,04400DME RENTED - HHA 22301,A000000,04500,0000,04500DME SOLD - HHA 22301,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22301,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22301,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22301,A000000,04800,0000,04800AMBULANCE 22301,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22301,A000000,05000,0000,05000CORF 22301,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22301,A000000,05300,0000,05300INTEREST EXPENSE 22301,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22301,A000000,05500,0000,05500HOSPICE 22301,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22301,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22301,A000000,06100,0000,06100NONPAID WORKERS 22301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22301,A000000,06200,0000,06200PATIENTS LAUNDRY 22301,A81000A,00100,0100,Y 22301,A81000B,00100,0300,RENT - RELATED PARTY 22301,A81000B,00200,0300,DEPRN - COST OF OWNERSHIP 22301,A81000B,00300,0300,AMORT- COST OF OWNERSHIP 22301,A81000B,00400,0300,INTEREST- COST OF OWNERSHIP 22301,A81000B,00500,0300,AUTH-FEE COST OF OWNERSHIP 22301,A81000B,00600,0300,ADMIN- COST OF OWNERSHIP 22301,A81000B,00700,0300,DEPRN- COST OF OWNERSHIP 22301,A81000B,00800,0300,AMORT- COST OF OWNERSHIP 22301,A81000B,00900,0300,INTEREST - COST OF OWNERSHIP 22301,A81000B,01000,0300,AUTH- COST OF OWNERSHIP 22301,A81000C,00100,0100,A 22301,A81000C,00100,0200,DUANE RANCOURT 22301,A81000C,00100,0400,JUPITER IX TRUST 22301,A81000C,00100,0600,LESSOR 22301,A81000C,00200,0100,A 22301,A81000C,00200,0200,BARBARA BOUTET 22301,A81000C,00200,0400,JUPITER IX TRUST 22301,A81000C,00200,0600,LESSOR 22301,A81000C,00300,0100,A 22301,A81000C,00300,0200,DAWN GORMAN 22301,A81000C,00300,0400,JUPITER IX TRUST 22301,A81000C,00300,0600,LESSOR 22301,A81000C,00400,0100,A 22301,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22301,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22301,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22301,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22301,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22301,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22301,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22301,B100000,00000,0800,00000MEALS SERVED :DIETARY 22301,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22301,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22301,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22301,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22301,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22301,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22301,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22301,S000000,00100,0200,03/30/2000 22301,S200000,00100,0100,VIKING NURSING FACILITY INC. 22301,S200000,00200,0100,CAPE ELIZABETH 22301,S200000,00200,0200,ME 22301,S200000,00200,0300,04107-2296 22301,S200000,00300,0100,CUMBERLAND 22301,S200000,00400,0100,VIKING NURSING FACILITY INC. 22301,S200000,00400,0200,205084 22301,S200000,00400,0300,01/01/1993 22301,S200000,00400,0500,P 22301,S200000,00400,0600,O 22301,S200000,00600,0200,205084 22301,S200000,00600,0300,03/26/1979 22301,S200000,00600,0600,P 22301,S200000,01600,0100,Y 22301,S200000,02200,0100,Y 22301,S200000,02800,0100,Y 22310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22310,A000000,00300,0000,00300EMPLOYEE BENEFITS 22310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22310,A000000,00700,0000,00700HOUSEKEEPING 22310,A000000,00800,0000,00800DIETARY 22310,A000000,00900,0000,00900NURSING ADMINISTRATION 22310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22310,A000000,01100,0000,01100PHARMACY 22310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22310,A000000,01300,0000,01300SOCIAL SERVICE 22310,A000000,01350,0000,01500OTHER GENERAL SERVICES 22310,A000000,01351,0000,01501PATIENT ACTIVITIES 22310,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENTERS 22310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22310,A000000,01600,0000,01600SKILLED NURSING FACILITY 22310,A000000,01800,0000,01800NURSING FACILITY 22310,A000000,01900,0000,01900OTHER LONG TERM CARE 22310,A000000,02100,0000,02100RADIOLOGY 22310,A000000,02200,0000,02200LABORATORY 22310,A000000,02300,0000,02300INTRAVENOUS THERAPY 22310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22310,A000000,02500,0000,02500PHYSICAL THERAPY 22310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22310,A000000,02700,0000,02700SPEECH PATHOLOGY 22310,A000000,02800,0000,02800ELECTROCARDIOLOGY 22310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22310,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22310,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22310,A000000,03200,0000,03200SUPPORT SURFACES 22310,A000000,03400,0000,03400CLINIC 22310,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22310,A000000,03500,0000,03500RURAL HEALTH CLINIC 22310,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22310,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22310,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22310,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22310,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22310,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22310,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22310,A000000,04400,0000,04400DME RENTED - HHA 22310,A000000,04500,0000,04500DME SOLD - HHA 22310,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22310,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22310,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22310,A000000,04800,0000,04800AMBULANCE 22310,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22310,A000000,05000,0000,05000CORF 22310,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22310,A000000,05300,0000,05300INTEREST EXPENSE 22310,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22310,A000000,05500,0000,05500HOSPICE 22310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22310,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22310,A000000,06100,0000,06100NONPAID WORKERS 22310,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22310,A000000,06200,0000,06200PATIENTS LAUNDRY 22310,A81000A,00100,0100,Y 22310,A81000B,00100,0300,HOME OFFICE CAPITAL 22310,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 22310,A81000B,00300,0300,SKILLED NURSING FACILITY 22310,A81000B,00400,0300,LEASEHOLD IMPROVEMENTS 22310,A81000C,00100,0100,B 22310,A81000C,00100,0400,ROUSSEAU ENTERPRISES INC 22310,A81000C,00100,0600,OWNS & OPERATES NSG FACS 22310,A81000C,00200,0100,A 22310,A81000C,00200,0200,RICHARD A. ROUSSEAU 22310,A81000C,00200,0400,ASSISTED HOME CARE II 22310,A81000C,00200,0600,RELIEF STAFF 22310,A81000C,00300,0400,GEMELOS LLC 22310,A81000C,00300,0600,REPAIRS & MAINTENANCE 22310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22310,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22310,B100000,00000,0750,00000SQ FT EXCL DIET:HOUSEKEEPING 22310,B100000,00000,0800,00000MEALS SERVED :DIETARY 22310,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22310,B100000,00000,1351,00000PATIENT DAYS :PATIENT ACTIVITIES 22310,S000000,00100,0200,05/31/2000 22310,S200000,00100,0100,29 ELM STREET 22310,S200000,00200,0100,TOPSHAM 22310,S200000,00200,0200,ME 22310,S200000,00200,0300,04086- 22310,S200000,00300,0100,SAGADAHOC 22310,S200000,00300,0200,6403 22310,S200000,00300,0300,U 22310,S200000,00400,0100,AMENITY MANOR 22310,S200000,00400,0200,205085 22310,S200000,00400,0300,01/01/1994 22310,S200000,00400,0500,P 22310,S200000,01500,0100,Y 22327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22327,A000000,00300,0000,00300EMPLOYEE BENEFITS 22327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22327,A000000,00700,0000,00700HOUSEKEEPING 22327,A000000,00800,0000,00800DIETARY 22327,A000000,00900,0000,00900NURSING ADMINISTRATION 22327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22327,A000000,01100,0000,01100PHARMACY 22327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22327,A000000,01300,0000,01300SOCIAL SERVICE 22327,A000000,01350,0000,01500OTHER GENERAL SERVICES 22327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22327,A000000,01600,0000,01600SKILLED NURSING FACILITY 22327,A000000,01800,0000,01800NURSING FACILITY 22327,A000000,01900,0000,01900OTHER LONG TERM CARE 22327,A000000,02100,0000,02100RADIOLOGY 22327,A000000,02200,0000,02200LABORATORY 22327,A000000,02300,0000,02300INTRAVENOUS THERAPY 22327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22327,A000000,02500,0000,02500PHYSICAL THERAPY 22327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22327,A000000,02700,0000,02700SPEECH PATHOLOGY 22327,A000000,02800,0000,02800ELECTROCARDIOLOGY 22327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22327,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22327,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22327,A000000,03200,0000,03200SUPPORT SURFACES 22327,A000000,03400,0000,03400CLINIC 22327,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22327,A000000,03500,0000,03500RURAL HEALTH CLINIC 22327,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22327,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22327,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22327,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22327,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22327,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22327,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22327,A000000,04400,0000,04400DME RENTED - HHA 22327,A000000,04500,0000,04500DME SOLD - HHA 22327,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22327,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22327,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22327,A000000,04800,0000,04800AMBULANCE 22327,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22327,A000000,05000,0000,05000CORF 22327,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22327,A000000,05300,0000,05300INTEREST EXPENSE 22327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22327,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22327,A000000,05500,0000,05500HOSPICE 22327,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22327,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22327,A000000,06100,0000,06100NONPAID WORKERS 22327,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22327,A000000,06200,0000,06200PATIENTS LAUNDRY 22327,A81000A,00100,0100,Y 22327,A81000B,00100,0300,HOME OFFICE CAPITAL 22327,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 22327,A81000B,00300,0300,NURSING PURCHASE SERVICES 22327,A81000C,00100,0100,B 22327,A81000C,00100,0400,ROUSSEAU ENTERPRISES INC 22327,A81000C,00100,0600,OWNS OPERATES NSG FAC 22327,A81000C,00200,0100,A 22327,A81000C,00200,0200,RICHARD A. ROUSSEAU 22327,A81000C,00200,0400,ASSISTED HOME CARE II 22327,A81000C,00200,0600,RELIEF STAFF 22327,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22327,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 22327,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22327,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22327,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22327,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22327,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22327,B100000,00000,0800,00000MEALS SERVED :DIETARY 22327,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22327,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22327,S000000,00100,0200,12/08/1999 22327,S200000,00100,0100,24 MAURICE DRIVE 22327,S200000,00200,0100,BRUNSWICK 22327,S200000,00200,0200,ME 22327,S200000,00200,0300,04011- 22327,S200000,00300,0100,CUMBERLAND 22327,S200000,00300,0200,6403 22327,S200000,00300,0300,U 22327,S200000,00400,0100,DIONNE COMMONS 22327,S200000,00400,0200,205089 22327,S200000,00400,0300,01/01/1994 22327,S200000,00400,0500,P 22327,S200000,01500,0100,Y 22327,S200000,03100,0100,Y 22336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22336,A000000,00300,0000,00300EMPLOYEE BENEFITS 22336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22336,A000000,00700,0000,00700HOUSEKEEPING 22336,A000000,00800,0000,00800DIETARY 22336,A000000,00900,0000,00900NURSING ADMINISTRATION 22336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22336,A000000,01100,0000,01100PHARMACY 22336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22336,A000000,01300,0000,01300SOCIAL SERVICE 22336,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 22336,A000000,01351,0000,01501ACTIVITIES 22336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22336,A000000,01600,0000,01600SKILLED NURSING FACILITY 22336,A000000,01800,0000,01800NURSING FACILITY 22336,A000000,01810,0000,01810ICF/MR 22336,A000000,01900,0000,01900OTHER LONG TERM CARE 22336,A000000,02100,0000,02100RADIOLOGY 22336,A000000,02200,0000,02200LABORATORY 22336,A000000,02300,0000,02300INTRAVENOUS THERAPY 22336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22336,A000000,02500,0000,02500PHYSICAL THERAPY 22336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22336,A000000,02700,0000,02700SPEECH PATHOLOGY 22336,A000000,02800,0000,02800ELECTROCARDIOLOGY 22336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22336,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22336,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22336,A000000,03200,0000,03200SUPPORT SURFACES 22336,A000000,03400,0000,03400CLINIC 22336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22336,A000000,03500,0000,03500RURAL HEALTH CLINIC 22336,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22336,A000000,04800,0000,04800AMBULANCE 22336,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22336,A000000,05000,0000,05000CORF 22336,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22336,A000000,05300,0000,05300INTEREST EXPENSE 22336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22336,A000000,05500,0000,05500HOSPICE 22336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22336,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22336,A000000,06100,0000,06100NONPAID WORKERS 22336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22336,A000000,06200,0000,06200PATIENTS LAUNDRY 22336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22336,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22336,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22336,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22336,B100000,00000,0800,00000MEALS SERVED :DIETARY 22336,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22336,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22336,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22336,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22336,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22336,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICE 22336,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 22336,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22336,S000000,00100,0200,04/17/2000 22336,S200000,00100,0100,90 STATE STREET 22336,S200000,00200,0100,VAN BUREN 22336,S200000,00200,0200,ME 22336,S200000,00200,0300,04785- 22336,S200000,00300,0100,AROOSTOOK 22336,S200000,00400,0100,BORDERVIEW MANOR 22336,S200000,00400,0200,205090 22336,S200000,00400,0300,01/01/1993 22336,S200000,00400,0500,P 22336,S200000,00600,0200,205090 22336,S200000,00600,0300,08/25/1981 22336,S200000,00600,0600,P 22336,S200000,01600,0100,Y 22336,S200000,02200,0100,Y 22345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22345,A000000,00300,0000,00300EMPLOYEE BENEFITS 22345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22345,A000000,00700,0000,00700HOUSEKEEPING 22345,A000000,00800,0000,00800DIETARY 22345,A000000,00900,0000,00900NURSING ADMINISTRATION 22345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22345,A000000,01100,0000,01100PHARMACY 22345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22345,A000000,01300,0000,01300SOCIAL SERVICE 22345,A000000,01350,0000,01500PATIENT ACTIVITIES 22345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22345,A000000,01600,0000,01600SKILLED NURSING FACILITY 22345,A000000,01800,0000,01800NURSING FACILITY 22345,A000000,01810,0000,01810ICF/MR 22345,A000000,01900,0000,01900OTHER LONG TERM CARE 22345,A000000,02100,0000,02100RADIOLOGY 22345,A000000,02200,0000,02200LABORATORY 22345,A000000,02300,0000,02300INTRAVENOUS THERAPY 22345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22345,A000000,02500,0000,02500PHYSICAL THERAPY 22345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22345,A000000,02700,0000,02700SPEECH PATHOLOGY 22345,A000000,02800,0000,02800ELECTROCARDIOLOGY 22345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22345,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22345,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22345,A000000,03200,0000,03200SUPPORT SURFACES 22345,A000000,03400,0000,03400CLINIC 22345,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22345,A000000,03500,0000,03500RURAL HEALTH CLINIC 22345,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22345,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22345,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22345,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22345,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22345,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22345,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22345,A000000,04400,0000,04400DME RENTED - HHA 22345,A000000,04500,0000,04500DME SOLD - HHA 22345,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22345,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22345,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22345,A000000,04800,0000,04800AMBULANCE 22345,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22345,A000000,05000,0000,05000CORF 22345,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22345,A000000,05300,0000,05300INTEREST EXPENSE 22345,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22345,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22345,A000000,05500,0000,05500HOSPICE 22345,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22345,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22345,A000000,06100,0000,06100NONPAID WORKERS 22345,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22345,A000000,06200,0000,06200PATIENTS LAUNDRY 22345,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22345,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22345,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22345,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22345,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22345,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22345,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22345,B100000,00000,0800,00000MEALS SERVED :DIETARY 22345,B100000,00000,0900,00000DIRECTNURS SINGHOURS :NURSING ADMI 22345,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22345,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22345,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22345,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22345,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22345,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22345,S000000,00100,0200,05/25/2000 22345,S200000,00100,0100,27 COOL STREET 22345,S200000,00200,0100,WATERVILLE 22345,S200000,00200,0200,ME 22345,S200000,00200,0300,04901- 22345,S200000,00300,0100,KENNEBEC 22345,S200000,00400,0100,OAK GROVE 22345,S200000,00400,0200,205091 22345,S200000,00400,0300,01/01/1993 22345,S200000,00400,0500,P 22345,S200000,00400,0600,O 22345,S200000,00600,0200,205091 22345,S200000,00600,0300,01/01/1993 22345,S200000,00600,0600,P 22345,S200000,01004,0500,O 22345,S200000,01600,0100,Y 22345,S200000,02200,0100,Y 22353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22353,A000000,00300,0000,00300EMPLOYEE BENEFITS 22353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22353,A000000,00700,0000,00700HOUSEKEEPING 22353,A000000,00800,0000,00800DIETARY 22353,A000000,00900,0000,00900NURSING ADMINISTRATION 22353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22353,A000000,01100,0000,01100PHARMACY 22353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22353,A000000,01300,0000,01300SOCIAL SERVICE 22353,A000000,01350,0000,01500PATIENT ACTIVITIES 22353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22353,A000000,01600,0000,01600SKILLED NURSING FACILITY 22353,A000000,01800,0000,01800NURSING FACILITY 22353,A000000,01810,0000,01810ICF/MR 22353,A000000,01900,0000,01900OTHER LONG TERM CARE 22353,A000000,02100,0000,02100RADIOLOGY 22353,A000000,02200,0000,02200LABORATORY 22353,A000000,02300,0000,02300INTRAVENOUS THERAPY 22353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22353,A000000,02500,0000,02500PHYSICAL THERAPY 22353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22353,A000000,02700,0000,02700SPEECH PATHOLOGY 22353,A000000,02800,0000,02800ELECTROCARDIOLOGY 22353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22353,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22353,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22353,A000000,03200,0000,03200SUPPORT SURFACES 22353,A000000,03400,0000,03400CLINIC 22353,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22353,A000000,03500,0000,03500RURAL HEALTH CLINIC 22353,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22353,A000000,04800,0000,04800AMBULANCE 22353,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22353,A000000,05000,0000,05000CORF 22353,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22353,A000000,05300,0000,05300INTEREST EXPENSE 22353,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22353,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22353,A000000,05500,0000,05500HOSPICE 22353,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22353,A000000,06100,0000,06100NONPAID WORKERS 22353,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22353,A000000,06200,0000,06200PATIENTS LAUNDRY 22353,A81000A,00100,0100,Y 22353,A81000B,00100,0300,PHYSICAL THERAPY 22353,A81000B,00200,0300,OCCUPATIONAL THERAPY 22353,A81000B,00300,0300,OCCUPATIONAL THERAPY 22353,A81000B,00400,0300,SPEECH THERAPY 22353,A81000C,00100,0100,B 22353,A81000C,00100,0200,HICKS FAMILY SERVICES INC 22353,A81000C,00100,0400,FRYEBURG HEALTH CARE CENT 22353,A81000C,00100,0600,NURSING HOME 22353,A81000C,00200,0100,B 22353,A81000C,00200,0200,HICKS FAMILY SERIVCES INC 22353,A81000C,00200,0400,FRYEBURG HEALTH CARE CENT 22353,A81000C,00200,0600,NURSING HOME 22353,A81000C,00300,0100,B 22353,A81000C,00300,0200,HICKS FAMILY SERIVCES INC 22353,A81000C,00300,0400,BRIDGTON HEALTH CARE CENT 22353,A81000C,00300,0600,NURSING HOME 22353,A81000C,00400,0100,B 22353,A81000C,00400,0200,HICKS FAMILY SERVICES INC 22353,A81000C,00400,0400,BRIDGTON HEALTH CARE CENT 22353,A81000C,00400,0600,NURSING HOME 22353,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22353,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22353,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22353,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22353,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22353,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22353,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22353,B100000,00000,0800,00000MEALS SERVED :DIETARY 22353,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22353,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22353,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22353,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22353,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22353,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22353,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22353,S000000,00100,0200,05/31/2000 22353,S200000,00100,0100,3 EAST STREET 22353,S200000,00200,0100,FREEPORT 22353,S200000,00200,0200,ME 22353,S200000,00200,0300,04032- 22353,S200000,00300,0100,CUMBERLAND 22353,S200000,00400,0100,FREEPORT NURSING HOME INC. 22353,S200000,00400,0200,205092 22353,S200000,00400,0300,01/01/1993 22353,S200000,00400,0500,P 22353,S200000,00600,0200,205092 22353,S200000,00600,0300,01/01/1969 22353,S200000,00600,0600,P 22353,S200000,01600,0100,Y 22353,S200000,02200,0100,Y 22362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22362,A000000,00300,0000,00300EMPLOYEE BENEFITS 22362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22362,A000000,00700,0000,00700HOUSEKEEPING 22362,A000000,00800,0000,00800DIETARY 22362,A000000,00900,0000,00900NURSING ADMINISTRATION 22362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22362,A000000,01100,0000,01100PHARMACY 22362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22362,A000000,01300,0000,01300SOCIAL SERVICE 22362,A000000,01350,0000,01500PATIENT ACTIVITIES 22362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22362,A000000,01600,0000,01600SKILLED NURSING FACILITY 22362,A000000,01800,0000,01800NURSING FACILITY 22362,A000000,01810,0000,01810ICF/MR 22362,A000000,01900,0000,01900OTHER LONG TERM CARE 22362,A000000,02100,0000,02100RADIOLOGY 22362,A000000,02200,0000,02200LABORATORY 22362,A000000,02300,0000,02300INTRAVENOUS THERAPY 22362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22362,A000000,02500,0000,02500PHYSICAL THERAPY 22362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22362,A000000,02700,0000,02700SPEECH PATHOLOGY 22362,A000000,02800,0000,02800ELECTROCARDIOLOGY 22362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22362,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22362,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22362,A000000,03200,0000,03200SUPPORT SURFACES 22362,A000000,03400,0000,03400CLINIC 22362,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22362,A000000,03500,0000,03500RURAL HEALTH CLINIC 22362,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22362,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22362,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22362,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22362,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22362,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22362,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22362,A000000,04400,0000,04400DME RENTED - HHA 22362,A000000,04500,0000,04500DME SOLD - HHA 22362,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22362,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22362,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22362,A000000,04800,0000,04800AMBULANCE 22362,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22362,A000000,05000,0000,05000CORF 22362,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22362,A000000,05300,0000,05300INTEREST EXPENSE 22362,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22362,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22362,A000000,05500,0000,05500HOSPICE 22362,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22362,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22362,A000000,06100,0000,06100NONPAID WORKERS 22362,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22362,A000000,06200,0000,06200PATIENTS LAUNDRY 22362,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22362,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22362,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22362,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22362,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22362,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22362,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22362,B100000,00000,0800,00000MEALS SERVED :DIETARY 22362,B100000,00000,0900,00000DIRECTNURS SINGHOURS :NURSING ADMI 22362,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22362,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22362,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22362,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22362,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22362,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22362,S000000,00100,0200,05/25/2000 22362,S200000,00100,0100,110 COLLEGE AVENUE 22362,S200000,00200,0100,WATERVILLE 22362,S200000,00200,0200,ME 22362,S200000,00200,0300,04901- 22362,S200000,00300,0100,KENNEBEC 22362,S200000,00400,0100,THE WILLOWS 22362,S200000,00400,0200,205093 22362,S200000,00400,0300,01/01/1993 22362,S200000,00400,0500,P 22362,S200000,00400,0600,O 22362,S200000,00600,0200,205091 22362,S200000,00600,0300,01/01/1993 22362,S200000,00600,0600,P 22362,S200000,01004,0500,O 22362,S200000,01600,0100,Y 22362,S200000,02200,0100,Y 22372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22372,A000000,00300,0000,00300EMPLOYEE BENEFITS 22372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22372,A000000,00700,0000,00700HOUSEKEEPING 22372,A000000,00800,0000,00800DIETARY 22372,A000000,00900,0000,00900NURSING ADMINISTRATION 22372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22372,A000000,01100,0000,01100PHARMACY 22372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22372,A000000,01300,0000,01300SOCIAL SERVICE 22372,A000000,01350,0000,01500OTHER GENERAL SERVICES 22372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22372,A000000,01600,0000,01600SKILLED NURSING FACILITY 22372,A000000,01800,0000,01800NURSING FACILITY 22372,A000000,01810,0000,01810ICF/MR 22372,A000000,01900,0000,01900OTHER LONG TERM CARE 22372,A000000,02100,0000,02100RADIOLOGY 22372,A000000,02200,0000,02200LABORATORY 22372,A000000,02300,0000,02300INTRAVENOUS THERAPY 22372,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22372,A000000,02500,0000,02500PHYSICAL THERAPY 22372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22372,A000000,02700,0000,02700SPEECH PATHOLOGY 22372,A000000,02800,0000,02800ELECTROCARDIOLOGY 22372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22372,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22372,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22372,A000000,03200,0000,03200SUPPORT SURFACES 22372,A000000,03400,0000,03400CLINIC 22372,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22372,A000000,03500,0000,03500RURAL HEALTH CLINIC 22372,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22372,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22372,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22372,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22372,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22372,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22372,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22372,A000000,04400,0000,04400DME RENTED - HHA 22372,A000000,04500,0000,04500DME SOLD - HHA 22372,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22372,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22372,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22372,A000000,04800,0000,04800AMBULANCE 22372,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22372,A000000,05000,0000,05000CORF 22372,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22372,A000000,05300,0000,05300INTEREST EXPENSE 22372,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22372,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22372,A000000,05500,0000,05500HOSPICE 22372,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22372,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22372,A000000,06100,0000,06100NONPAID WORKERS 22372,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22372,A000000,06200,0000,06200PATIENTS LAUNDRY 22372,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22372,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22372,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22372,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22372,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22372,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22372,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22372,B100000,00000,0800,00000MEALS SERVED :DIETARY 22372,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22372,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22372,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22372,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22372,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22372,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22372,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22372,S000000,00100,0200,05/25/2000 22372,S200000,00100,0100,6 OLD COUNTY ROAD 22372,S200000,00200,0100,FREEPORT 22372,S200000,00200,0200,ME 22372,S200000,00200,0300,04032- 22372,S200000,00300,0100,CUMBERLAND 22372,S200000,00400,0100,HAWTHORNE HOUSE 22372,S200000,00400,0200,205098 22372,S200000,00400,0300,01/01/1993 22372,S200000,00400,0500,P 22372,S200000,00600,0200,205098 22372,S200000,00600,0300,01/01/1989 22372,S200000,00600,0600,P 22372,S200000,01600,0100,Y 22372,S200000,02200,0100,Y 22379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22379,A000000,00300,0000,00300EMPLOYEE BENEFITS 22379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22379,A000000,00700,0000,00700HOUSEKEEPING 22379,A000000,00800,0000,00800DIETARY 22379,A000000,00900,0000,00900NURSING ADMINISTRATION 22379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22379,A000000,01100,0000,01100PHARMACY 22379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22379,A000000,01300,0000,01300SOCIAL SERVICE 22379,A000000,01350,0000,01500PATIENT ACTIVITIES 22379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22379,A000000,01600,0000,01600SKILLED NURSING FACILITY 22379,A000000,01800,0000,01800NURSING FACILITY 22379,A000000,01900,0000,01900OTHER LONG TERM CARE 22379,A000000,02100,0000,02100RADIOLOGY 22379,A000000,02200,0000,02200LABORATORY 22379,A000000,02300,0000,02300INTRAVENOUS THERAPY 22379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22379,A000000,02500,0000,02500PHYSICAL THERAPY 22379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22379,A000000,02700,0000,02700SPEECH PATHOLOGY 22379,A000000,02800,0000,02800ELECTROCARDIOLOGY 22379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22379,A000000,03200,0000,03200SUPPORT SURFACES 22379,A000000,03400,0000,03400CLINIC 22379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22379,A000000,03500,0000,03500RURAL HEALTH CLINIC 22379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22379,A000000,04400,0000,04400DME RENTED - HHA 22379,A000000,04500,0000,04500DME SOLD - HHA 22379,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22379,A000000,04800,0000,04800AMBULANCE 22379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22379,A000000,05000,0000,05000CORF 22379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22379,A000000,05300,0000,05300INTEREST EXPENSE 22379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22379,A000000,05500,0000,05500HOSPICE 22379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22379,A000000,06100,0000,06100NONPAID WORKERS 22379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22379,A000000,06200,0000,06200PATIENTS LAUNDRY 22379,A81000A,00100,0100,Y 22379,A81000B,00100,0300,RENT EXPENSE 22379,A81000B,00200,0300,LEASE EXPENSE 22379,A81000B,00300,0300,RENT EXPENSE 22379,A81000B,00400,0300,INTEREST EXPENSE 22379,A81000B,00500,0300,DEPRECIATION 22379,A81000B,00600,0300,PHYSICAL THERAPY 22379,A81000B,00700,0300,OCCUPATIONAL THERAPY 22379,A81000B,00800,0300,DIETARY DIRECTOR 22379,A81000C,00100,0100,E 22379,A81000C,00100,0200,BOARD OF DIRECTORS 22379,A81000C,00100,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00100,0600,HOSPITAL 22379,A81000C,00200,0100,E 22379,A81000C,00200,0200,BOARD OF DIRECTORS 22379,A81000C,00200,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00200,0600,HOSPITAL 22379,A81000C,00300,0100,E 22379,A81000C,00300,0200,BOARD OF DIRECTORS 22379,A81000C,00300,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00300,0600,HOSPITAL 22379,A81000C,00400,0100,E 22379,A81000C,00400,0200,BOARD OF DIRECTORS 22379,A81000C,00400,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00400,0600,HOSPITAL 22379,A81000C,00500,0100,E 22379,A81000C,00500,0200,BOARD OF DIRECTORS 22379,A81000C,00500,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00500,0600,HOSPITAL 22379,A81000C,00600,0100,E 22379,A81000C,00600,0200,BOARD OF DIRECTORS 22379,A81000C,00600,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00600,0600,HOSPITAL 22379,A81000C,00700,0100,E 22379,A81000C,00700,0200,BOARD OF DIRECTORS 22379,A81000C,00700,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00700,0600,HOSPITAL 22379,A81000C,00800,0100,E 22379,A81000C,00800,0200,BOARD OF DIRECTORS 22379,A81000C,00800,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00800,0600,HOSPITAL 22379,A81000C,00900,0100,E 22379,A81000C,00900,0200,BOARD OF DIRECTORS 22379,A81000C,00900,0400,RUMFORD COMMUNITY HOSP 22379,A81000C,00900,0600,HOSPITAL 22379,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22379,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22379,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22379,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22379,B100000,00000,0800,00000MEALS SERVED :DIETARY 22379,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22379,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22379,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22379,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22379,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22379,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22379,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22379,S000000,00100,0200,12/07/1999 22379,S200000,00100,0100,SUNNY SIDE TERRACE 22379,S200000,00100,0300,430 22379,S200000,00200,0100,RUMFORD 22379,S200000,00200,0200,ME 22379,S200000,00200,0300,04276- 22379,S200000,00300,0100,OXFORD 22379,S200000,00400,0100,RUMFORD COMMUNITY HOME 22379,S200000,00400,0200,205099 22379,S200000,00400,0300,01/01/1993 22379,S200000,00400,0500,P 22379,S200000,00400,0600,O 22379,S200000,00600,0200,205099 22379,S200000,00600,0300,01/01/1993 22379,S200000,00600,0600,P 22379,S200000,01600,0100,Y 22379,S200000,02200,0100,Y 22382,S000000,00100,0200,02/14/2000 22386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22386,A000000,00300,0000,00300EMPLOYEE BENEFITS 22386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22386,A000000,00700,0000,00700HOUSEKEEPING 22386,A000000,00800,0000,00800DIETARY 22386,A000000,00900,0000,00900NURSING ADMINISTRATION 22386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22386,A000000,01100,0000,01100PHARMACY 22386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22386,A000000,01300,0000,01300SOCIAL SERVICE 22386,A000000,01350,0000,01500PATIENT ACTIVITIES 22386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22386,A000000,01600,0000,01600SKILLED NURSING FACILITY 22386,A000000,01800,0000,01800NURSING FACILITY 22386,A000000,01810,0000,01810ICF/MR 22386,A000000,01900,0000,01900OTHER LONG TERM CARE 22386,A000000,02100,0000,02100RADIOLOGY 22386,A000000,02200,0000,02200LABORATORY 22386,A000000,02300,0000,02300INTRAVENOUS THERAPY 22386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22386,A000000,02500,0000,02500PHYSICAL THERAPY 22386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22386,A000000,02700,0000,02700SPEECH PATHOLOGY 22386,A000000,02800,0000,02800ELECTROCARDIOLOGY 22386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22386,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22386,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22386,A000000,03200,0000,03200SUPPORT SURFACES 22386,A000000,03400,0000,03400CLINIC 22386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22386,A000000,03500,0000,03500RURAL HEALTH CLINIC 22386,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22386,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22386,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22386,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22386,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22386,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22386,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22386,A000000,04400,0000,04400DME RENTED - HHA 22386,A000000,04500,0000,04500DME SOLD - HHA 22386,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22386,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22386,A000000,04800,0000,04800AMBULANCE 22386,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22386,A000000,05000,0000,05000CORF 22386,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22386,A000000,05300,0000,05300INTEREST EXPENSE 22386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22386,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22386,A000000,05500,0000,05500HOSPICE 22386,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22386,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22386,A000000,06100,0000,06100NONPAID WORKERS 22386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22386,A000000,06200,0000,06200PATIENTS LAUNDRY 22386,A81000A,00100,0100,Y 22386,A81000B,00100,0300,RENTAL OF FACILITY 22386,A81000B,00200,0300,REAL ESTATE TAXES 22386,A81000B,00300,0300,LIABILITY INSURANCE 22386,A81000B,00400,0300,MHHEFA FEES 22386,A81000B,00500,0300,DEPRECIATION 22386,A81000B,00600,0300,DEPRECIATION 22386,A81000B,00700,0300,AMORTIZATION 22386,A81000B,00800,0300,INTEREST 22386,A81000C,00100,0100,A 22386,A81000C,00100,0200,AIDEN REDDING 22386,A81000C,00100,0400,A.E. REDDING RENTAL 22386,A81000C,00100,0600,RENTAL OF FACILITY 22386,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22386,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22386,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 22386,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22386,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22386,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 22386,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22386,B100000,00000,0850,00000PATIENT DAYS :DIETARY 22386,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 22386,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22386,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22386,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22386,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 22386,B100000,00000,1350,00000NO STATISTICS :PATIENT ACTIVITIES 22386,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22386,S000000,00100,0200,05/31/2000 22386,S200000,00100,0100,29 PLEASANT STREET 22386,S200000,00100,0300,636 22386,S200000,00200,0100,CANTON 22386,S200000,00200,0200,ME 22386,S200000,00200,0300,04221- 22386,S200000,00300,0100,OXFORD 22386,S200000,00400,0100,VICTORIAN VILLA NURSING HOME 22386,S200000,00400,0200,205101 22386,S200000,00400,0300,01/01/1993 22386,S200000,00400,0500,P 22386,S200000,00400,0600,O 22386,S200000,00600,0200,205101 22386,S200000,00600,0300,01/01/1993 22386,S200000,00600,0600,P 22386,S200000,01600,0100,Y 22386,S200000,02200,0100,Y 22386,S200000,02800,0100,Y 22394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22394,A000000,00300,0000,00300EMPLOYEE BENEFITS 22394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22394,A000000,00700,0000,00700HOUSEKEEPING 22394,A000000,00800,0000,00800DIETARY 22394,A000000,00900,0000,00900NURSING ADMINISTRATION 22394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22394,A000000,01100,0000,01100PHARMACY 22394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22394,A000000,01300,0000,01300SOCIAL SERVICE 22394,A000000,01350,0000,01500OTHER GENERAL SERVICES 22394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22394,A000000,01600,0000,01600SKILLED NURSING FACILITY 22394,A000000,01800,0000,01800NURSING FACILITY 22394,A000000,01810,0000,01810ICF/MR 22394,A000000,01900,0000,01900OTHER LONG TERM CARE 22394,A000000,02100,0000,02100RADIOLOGY 22394,A000000,02200,0000,02200LABORATORY 22394,A000000,02300,0000,02300INTRAVENOUS THERAPY 22394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22394,A000000,02500,0000,02500PHYSICAL THERAPY 22394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22394,A000000,02700,0000,02700SPEECH PATHOLOGY 22394,A000000,02800,0000,02800ELECTROCARDIOLOGY 22394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22394,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22394,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22394,A000000,03200,0000,03200SUPPORT SURFACES 22394,A000000,03400,0000,03400CLINIC 22394,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22394,A000000,03500,0000,03500RURAL HEALTH CLINIC 22394,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22394,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22394,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22394,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22394,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22394,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22394,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22394,A000000,04400,0000,04400DME RENTED - HHA 22394,A000000,04500,0000,04500DME SOLD - HHA 22394,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22394,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22394,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22394,A000000,04800,0000,04800AMBULANCE 22394,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22394,A000000,05000,0000,05000CORF 22394,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22394,A000000,05300,0000,05300INTEREST EXPENSE 22394,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22394,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22394,A000000,05500,0000,05500HOSPICE 22394,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22394,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22394,A000000,06100,0000,06100NONPAID WORKERS 22394,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22394,A000000,06200,0000,06200PATIENTS LAUNDRY 22394,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22394,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22394,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22394,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22394,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22394,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22394,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22394,B100000,00000,0800,00000MEALS SERVED :DIETARY 22394,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22394,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22394,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22394,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22394,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22394,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22394,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22394,S000000,00100,0200,05/25/2000 22394,S200000,00100,0100,4 PALMER ST 22394,S200000,00200,0100,CALAIS 22394,S200000,00200,0200,ME 22394,S200000,00200,0300,04619- 22394,S200000,00300,0100,WASHINGTON 22394,S200000,00400,0100,ATLANTIC REHAB AND NURSING CARE CTR 22394,S200000,00400,0200,205102 22394,S200000,00400,0300,01/01/1993 22394,S200000,00400,0500,P 22394,S200000,00600,0200,205102 22394,S200000,00600,0300,07/01/1971 22394,S200000,00600,0600,P 22394,S200000,01600,0100,Y 22394,S200000,02200,0100,Y 22399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22399,A000000,00300,0000,00300EMPLOYEE BENEFITS 22399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22399,A000000,00700,0000,00700HOUSEKEEPING 22399,A000000,00800,0000,00800DIETARY 22399,A000000,00900,0000,00900NURSING ADMINISTRATION 22399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22399,A000000,01100,0000,01100PHARMACY 22399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22399,A000000,01300,0000,01300SOCIAL SERVICE 22399,A000000,01350,0000,01500OTHER GENERAL SERVICES 22399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22399,A000000,01600,0000,01600SKILLED NURSING FACILITY 22399,A000000,01800,0000,01800NURSING FACILITY 22399,A000000,01810,0000,01810ICF/MR 22399,A000000,01900,0000,01900OTHER LONG TERM CARE 22399,A000000,02100,0000,02100RADIOLOGY 22399,A000000,02200,0000,02200LABORATORY 22399,A000000,02300,0000,02300INTRAVENOUS THERAPY 22399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22399,A000000,02500,0000,02500PHYSICAL THERAPY 22399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22399,A000000,02700,0000,02700SPEECH PATHOLOGY 22399,A000000,02800,0000,02800ELECTROCARDIOLOGY 22399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22399,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22399,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22399,A000000,03200,0000,03200SUPPORT SURFACES 22399,A000000,03400,0000,03400CLINIC 22399,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22399,A000000,03500,0000,03500RURAL HEALTH CLINIC 22399,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22399,A000000,04800,0000,04800AMBULANCE 22399,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22399,A000000,05000,0000,05000CORF 22399,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22399,A000000,05300,0000,05300INTEREST EXPENSE 22399,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22399,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22399,A000000,05500,0000,05500HOSPICE 22399,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22399,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22399,A000000,06100,0000,06100NONPAID WORKERS 22399,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22399,A000000,06200,0000,06200PATIENTS LAUNDRY 22399,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22399,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22399,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22399,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22399,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22399,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22399,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22399,B100000,00000,0800,00000MEALS SERVED :DIETARY 22399,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22399,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22399,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22399,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22399,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22399,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22399,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22399,S000000,00100,0200,05/22/2000 22399,S200000,00100,0100,355 POOL STREET 22399,S200000,00200,0100,BIDDEFORD 22399,S200000,00200,0200,ME 22399,S200000,00200,0300,04005- 22399,S200000,00300,0100,YORK 22399,S200000,00400,0100,THE RENAISSANCE 22399,S200000,00400,0200,205103 22399,S200000,00400,0300,01/01/1993 22399,S200000,00400,0500,P 22399,S200000,00600,0200,205103 22399,S200000,00600,0300,08/18/1992 22399,S200000,00600,0600,P 22399,S200000,01600,0100,Y 22402,S000000,00100,0200,06/01/2000 22409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22409,A000000,00300,0000,00300EMPLOYEE BENEFITS 22409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22409,A000000,00700,0000,00700HOUSEKEEPING 22409,A000000,00800,0000,00800DIETARY 22409,A000000,00900,0000,00900NURSING ADMINISTRATION 22409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22409,A000000,01100,0000,01100PHARMACY 22409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22409,A000000,01300,0000,01300SOCIAL SERVICE 22409,A000000,01350,0000,01500PATIENT ACTIVITIES 22409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22409,A000000,01600,0000,01600SKILLED NURSING FACILITY 22409,A000000,01800,0000,01800NURSING FACILITY 22409,A000000,01810,0000,01810ICF/MR 22409,A000000,01900,0000,01900OTHER LONG TERM CARE 22409,A000000,02100,0000,02100RADIOLOGY 22409,A000000,02200,0000,02200LABORATORY 22409,A000000,02300,0000,02300INTRAVENOUS THERAPY 22409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22409,A000000,02500,0000,02500PHYSICAL THERAPY 22409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22409,A000000,02700,0000,02700SPEECH PATHOLOGY 22409,A000000,02800,0000,02800ELECTROCARDIOLOGY 22409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22409,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22409,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22409,A000000,03200,0000,03200SUPPORT SURFACES 22409,A000000,03400,0000,03400CLINIC 22409,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22409,A000000,03500,0000,03500RURAL HEALTH CLINIC 22409,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22409,A000000,04800,0000,04800AMBULANCE 22409,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22409,A000000,05000,0000,05000CORF 22409,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22409,A000000,05300,0000,05300INTEREST EXPENSE 22409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22409,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22409,A000000,05500,0000,05500HOSPICE 22409,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22409,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22409,A000000,06100,0000,06100NONPAID WORKERS 22409,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22409,A000000,06200,0000,06200PATIENTS LAUNDRY 22409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22409,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22409,B100000,00000,0800,00000MEALS SERVED :DIETARY 22409,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 22409,B100000,00000,1050,00000TIME SPENT :CENTRAL SERVICES & SUP 22409,B100000,00000,1150,00000TIME SPENT :PHARMACY 22409,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22409,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22409,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22409,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22409,S000000,00100,0200,04/27/2000 22409,S200000,00100,0100,407 POOL STREET 22409,S200000,00200,0100,BIDDEFORD 22409,S200000,00200,0200,ME 22409,S200000,00200,0300,04005- 22409,S200000,00300,0100,YORK 22409,S200000,00400,0100,SAINT ANDRE HEALTH CARE FACILITY 22409,S200000,00400,0200,205108 22409,S200000,00400,0300,01/01/1993 22409,S200000,00400,0500,P 22409,S200000,00400,0600,O 22409,S200000,01500,0100,Y 22409,S200000,02200,0100,Y 22412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22412,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 22412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22412,A000000,00300,0000,00300EMPLOYEE BENEFITS 22412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22412,A000000,00700,0000,00700HOUSEKEEPING 22412,A000000,00800,0000,00800DIETARY 22412,A000000,00900,0000,00900NURSING ADMINISTRATION 22412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22412,A000000,01100,0000,01100PHARMACY 22412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22412,A000000,01300,0000,01300SOCIAL SERVICE 22412,A000000,01350,0000,01500OTHER GENERAL SERVICES 22412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22412,A000000,01600,0000,01600SKILLED NURSING FACILITY 22412,A000000,01800,0000,01800NURSING FACILITY 22412,A000000,01900,0000,01900OTHER LONG TERM CARE 22412,A000000,02100,0000,02100RADIOLOGY 22412,A000000,02200,0000,02200LABORATORY 22412,A000000,02300,0000,02300INTRAVENOUS THERAPY 22412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22412,A000000,02500,0000,02500PHYSICAL THERAPY 22412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22412,A000000,02700,0000,02700SPEECH PATHOLOGY 22412,A000000,02800,0000,02800ELECTROCARDIOLOGY 22412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22412,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22412,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22412,A000000,03200,0000,03200SUPPORT SURFACES 22412,A000000,03400,0000,03400CLINIC 22412,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22412,A000000,03500,0000,03500RURAL HEALTH CLINIC 22412,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22412,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22412,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22412,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22412,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22412,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22412,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22412,A000000,04400,0000,04400DME RENTED - HHA 22412,A000000,04500,0000,04500DME SOLD - HHA 22412,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22412,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22412,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22412,A000000,04800,0000,04800AMBULANCE 22412,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22412,A000000,05000,0000,05000CORF 22412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22412,A000000,05300,0000,05300INTEREST EXPENSE 22412,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22412,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22412,A000000,05500,0000,05500HOSPICE 22412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22412,A000000,06100,0000,06100NONPAID WORKERS 22412,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22412,A000000,06200,0000,06200PATIENTS LAUNDRY 22412,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22412,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 22412,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22412,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22412,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22412,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22412,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 22412,B100000,00000,0800,00000MEALS SERVED :DIETARY 22412,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22412,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22412,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22412,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22412,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22412,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22412,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22412,S000000,00100,0200,02/28/2000 22412,S200000,00100,0100,9 BEAL STREET 22412,S200000,00200,0100,MACHIAS 22412,S200000,00200,0200,ME 22412,S200000,00200,0300,04654-1002 22412,S200000,00300,0100,WASHINGTON 22412,S200000,00400,0100,MARSHALL HEALTH CARE & REHAB CENTER 22412,S200000,00400,0200,205109 22412,S200000,00400,0300,01/01/1993 22412,S200000,00400,0500,P 22412,S200000,00600,0200,205109 22412,S200000,00600,0300,01/01/1993 22412,S200000,00600,0600,P 22412,S200000,01500,0100,Y 22412,S200000,02800,0100,Y 22426,S000000,00100,0200,06/01/2000 22436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22436,A000000,00300,0000,00300EMPLOYEE BENEFITS 22436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22436,A000000,00700,0000,00700HOUSEKEEPING 22436,A000000,00800,0000,00800DIETARY 22436,A000000,00900,0000,00900NURSING ADMINISTRATION 22436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22436,A000000,01100,0000,01100PHARMACY 22436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22436,A000000,01300,0000,01300SOCIAL SERVICE 22436,A000000,01350,0000,01500OTHER GENERAL SERVICES 22436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22436,A000000,01600,0000,01600SKILLED NURSING FACILITY 22436,A000000,01800,0000,01800NURSING FACILITY 22436,A000000,01810,0000,01801ICF/MR 22436,A000000,01900,0000,01900OTHER LONG TERM CARE 22436,A000000,02100,0000,02100RADIOLOGY 22436,A000000,02200,0000,02200LABORATORY 22436,A000000,02300,0000,02300INTRAVENOUS THERAPY 22436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22436,A000000,02500,0000,02500PHYSICAL THERAPY 22436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22436,A000000,02700,0000,02700SPEECH PATHOLOGY 22436,A000000,02800,0000,02800ELECTROCARDIOLOGY 22436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22436,A000000,03200,0000,03200SUPPORT SURFACES 22436,A000000,03400,0000,03400CLINIC 22436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22436,A000000,03500,0000,03500RURAL HEALTH CLINIC 22436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22436,A000000,04800,0000,04800AMBULANCE 22436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22436,A000000,05000,0000,05000CORF 22436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22436,A000000,05300,0000,05300INTEREST EXPENSE 22436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22436,A000000,05500,0000,05500HOSPICE 22436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22436,A000000,06100,0000,06100NONPAID WORKERS 22436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22436,A000000,06200,0000,06200PATIENTS LAUNDRY 22436,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22436,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22436,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22436,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22436,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22436,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22436,B100000,00000,0800,00000MEALS SERVED :DIETARY 22436,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22436,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22436,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22436,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22436,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22436,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22436,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22436,S000000,00100,0200,05/25/2000 22436,S200000,00100,0100,191 FORESIDE ROAD 22436,S200000,00200,0100,FALMOUTH 22436,S200000,00200,0200,ME 22436,S200000,00200,0300,04105- 22436,S200000,00300,0100,CUMBERLAND 22436,S200000,00400,0100,FALMOUTH BY THE SEA 22436,S200000,00400,0200,205112 22436,S200000,00400,0300,01/01/1993 22436,S200000,00400,0500,P 22436,S200000,00600,0200,205112 22436,S200000,00600,0300,10/01/1981 22436,S200000,01600,0100,Y 22436,S200000,02200,0100,Y 22436,S700003,00000,0100,1 22443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22443,A000000,00300,0000,00300EMPLOYEE BENEFITS 22443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22443,A000000,00700,0000,00700HOUSEKEEPING 22443,A000000,00800,0000,00800DIETARY 22443,A000000,00900,0000,00900NURSING ADMINISTRATION 22443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22443,A000000,01100,0000,01100PHARMACY 22443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22443,A000000,01300,0000,01300SOCIAL SERVICE 22443,A000000,01350,0000,01500OTHER GENERAL SERVICES 22443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22443,A000000,01600,0000,01600SKILLED NURSING FACILITY 22443,A000000,01800,0000,01800NURSING FACILITY 22443,A000000,01810,0000,01810ICF/MR 22443,A000000,01900,0000,01900OTHER LONG TERM CARE 22443,A000000,02100,0000,02100RADIOLOGY 22443,A000000,02200,0000,02200LABORATORY 22443,A000000,02300,0000,02300INTRAVENOUS THERAPY 22443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22443,A000000,02500,0000,02500PHYSICAL THERAPY 22443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22443,A000000,02700,0000,02700SPEECH PATHOLOGY 22443,A000000,02800,0000,02800ELECTROCARDIOLOGY 22443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22443,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22443,A000000,03200,0000,03200SUPPORT SURFACES 22443,A000000,03400,0000,03400CLINIC 22443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22443,A000000,03500,0000,03500RURAL HEALTH CLINIC 22443,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22443,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22443,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22443,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22443,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22443,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22443,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22443,A000000,04400,0000,04400DME RENTED - HHA 22443,A000000,04500,0000,04500DME SOLD - HHA 22443,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22443,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22443,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22443,A000000,04800,0000,04800AMBULANCE 22443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22443,A000000,05000,0000,05000CORF 22443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22443,A000000,05300,0000,05300INTEREST EXPENSE 22443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22443,A000000,05500,0000,05500HOSPICE 22443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22443,A000000,06100,0000,06100NONPAID WORKERS 22443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22443,A000000,06200,0000,06200PATIENTS LAUNDRY 22443,A81000A,00100,0100,Y 22443,A81000B,00100,0300,DIETARY COMSULTANT 22443,A81000B,00200,0300,LABORATORY 22443,A81000C,00100,0100,B 22443,A81000C,00100,0400,EASTERN ME MEDICAL CENTER 22443,A81000C,00100,0600,HOSPITAL 22443,A81000C,00200,0100,B 22443,A81000C,00200,0400,AFFILIATED LABORATORY 22443,A81000C,00200,0600,LABORATORY 22443,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22443,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22443,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22443,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22443,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22443,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22443,B100000,00000,0800,00000MEALS SERVED :DIETARY 22443,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22443,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22443,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22443,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22443,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22443,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22443,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22443,S000000,00100,0200,05/25/2000 22443,S200000,00100,0100,WORKMAN TERRACE 22443,S200000,00100,0300,70 22443,S200000,00200,0100,LINCOLN 22443,S200000,00200,0200,ME 22443,S200000,00200,0300,04457- 22443,S200000,00300,0100,PENOBSCOT 22443,S200000,00400,0100,COLONIAL ACRES ASSOCIATES 22443,S200000,00400,0200,205113 22443,S200000,00400,0300,01/01/1993 22443,S200000,00400,0500,P 22443,S200000,00600,0200,205113 22443,S200000,00600,0300,07/01/1990 22443,S200000,00600,0600,P 22443,S200000,01600,0100,Y 22443,S200000,02200,0100,Y 22447,S000000,00100,0200,05/15/2000 22454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22454,A000000,00300,0000,00300EMPLOYEE BENEFITS 22454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22454,A000000,00700,0000,00700HOUSEKEEPING 22454,A000000,00800,0000,00800DIETARY 22454,A000000,00900,0000,00900NURSING ADMINISTRATION 22454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22454,A000000,01100,0000,01100PHARMACY 22454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22454,A000000,01300,0000,01300SOCIAL SERVICE 22454,A000000,01350,0000,01500OTHER GENERAL SERVICES 22454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22454,A000000,01600,0000,01600SKILLED NURSING FACILITY 22454,A000000,01800,0000,01800NURSING FACILITY 22454,A000000,01810,0000,01810ICF/MR 22454,A000000,01900,0000,01900OTHER LONG TERM CARE 22454,A000000,02100,0000,02100RADIOLOGY 22454,A000000,02200,0000,02200LABORATORY 22454,A000000,02300,0000,02300INTRAVENOUS THERAPY 22454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22454,A000000,02500,0000,02500PHYSICAL THERAPY 22454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22454,A000000,02700,0000,02700SPEECH PATHOLOGY 22454,A000000,02800,0000,02800ELECTROCARDIOLOGY 22454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22454,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22454,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22454,A000000,03200,0000,03200SUPPORT SURFACES 22454,A000000,03400,0000,03400CLINIC 22454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22454,A000000,03500,0000,03500RURAL HEALTH CLINIC 22454,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22454,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22454,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22454,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22454,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22454,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22454,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22454,A000000,04400,0000,04400DME RENTED - HHA 22454,A000000,04500,0000,04500DME SOLD - HHA 22454,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22454,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22454,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22454,A000000,04800,0000,04800AMBULANCE 22454,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22454,A000000,05000,0000,05000CORF 22454,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22454,A000000,05300,0000,05300INTEREST EXPENSE 22454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22454,A000000,05500,0000,05500HOSPICE 22454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22454,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22454,A000000,06100,0000,06100NONPAID WORKERS 22454,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22454,A000000,06200,0000,06200PATIENTS LAUNDRY 22454,A81000A,00100,0100,Y 22454,A81000B,00100,0300,DIETARY CONSULTING 22454,A81000B,00200,0300,LABORATORY 22454,A81000C,00100,0100,B 22454,A81000C,00100,0400,EASTERN MAINE MEDICAL CTR 22454,A81000C,00100,0600,HOSPITAL 22454,A81000C,00200,0100,B 22454,A81000C,00200,0400,AFFILIATED LABORATORY 22454,A81000C,00200,0600,LABORATORY 22454,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22454,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22454,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22454,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22454,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22454,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22454,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22454,B100000,00000,0800,00000MEALS SERVED :DIETARY 22454,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22454,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22454,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22454,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22454,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22454,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22454,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22454,S000000,00100,0200,05/22/2000 22454,S200000,00100,0100,64 PARK STREET 22454,S200000,00200,0100,DEXTER 22454,S200000,00200,0200,ME 22454,S200000,00200,0300,04930- 22454,S200000,00300,0100,PENOBSCOT 22454,S200000,00400,0100,DEXTER MANOR ASSOCIATES 22454,S200000,00400,0200,205115 22454,S200000,00400,0300,01/01/1993 22454,S200000,00400,0500,P 22454,S200000,00600,0200,205115 22454,S200000,00600,0300,03/29/1988 22454,S200000,00600,0600,P 22454,S200000,01600,0100,Y 22454,S200000,02200,0100,Y 22465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22465,A000000,00300,0000,00300EMPLOYEE BENEFITS 22465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22465,A000000,00700,0000,00700HOUSEKEEPING 22465,A000000,00800,0000,00800DIETARY 22465,A000000,00900,0000,00900NURSING ADMINISTRATION 22465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22465,A000000,01100,0000,01100PHARMACY 22465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22465,A000000,01300,0000,01300SOCIAL SERVICE 22465,A000000,01350,0000,01500OTHER GENERAL SERVICES 22465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22465,A000000,01600,0000,01600SKILLED NURSING FACILITY 22465,A000000,01800,0000,01800NURSING FACILITY 22465,A000000,01810,0000,01810ICF/MR 22465,A000000,01900,0000,01900OTHER LONG TERM CARE 22465,A000000,02100,0000,02100RADIOLOGY 22465,A000000,02200,0000,02200LABORATORY 22465,A000000,02300,0000,02300INTRAVENOUS THERAPY 22465,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22465,A000000,02500,0000,02500PHYSICAL THERAPY 22465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22465,A000000,02700,0000,02700SPEECH PATHOLOGY 22465,A000000,02800,0000,02800ELECTROCARDIOLOGY 22465,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22465,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22465,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22465,A000000,03200,0000,03200SUPPORT SURFACES 22465,A000000,03400,0000,03400CLINIC 22465,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22465,A000000,03500,0000,03500RURAL HEALTH CLINIC 22465,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22465,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22465,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22465,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22465,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22465,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22465,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22465,A000000,04400,0000,04400DME RENTED - HHA 22465,A000000,04500,0000,04500DME SOLD - HHA 22465,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22465,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22465,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22465,A000000,04800,0000,04800AMBULANCE 22465,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22465,A000000,05000,0000,05000CORF 22465,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22465,A000000,05300,0000,05300INTEREST EXPENSE 22465,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22465,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22465,A000000,05500,0000,05500HOSPICE 22465,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22465,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22465,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22465,A000000,06100,0000,06100NONPAID WORKERS 22465,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22465,A000000,06200,0000,06200PATIENTS LAUNDRY 22465,A81000A,00100,0100,Y 22465,A81000B,00100,0300,DIETARY CONSULTING 22465,A81000B,00200,0300,LABORATORY 22465,A81000C,00100,0100,B 22465,A81000C,00100,0400,EASTERN ME MEDICAL CENTER 22465,A81000C,00100,0600,HOSPITAL 22465,A81000C,00200,0100,B 22465,A81000C,00200,0400,AFFILIATED LABORATORY 22465,A81000C,00200,0600,LABORATORY 22465,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22465,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22465,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22465,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22465,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22465,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22465,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22465,B100000,00000,0800,00000MEALS SERVED :DIETARY 22465,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22465,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22465,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22465,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22465,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22465,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22465,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22465,S000000,00100,0200,05/25/2000 22465,S200000,00100,0100,335 STILLWATER AVENUE 22465,S200000,00200,0100,BANGOR 22465,S200000,00200,0200,ME 22465,S200000,00200,0300,04401- 22465,S200000,00300,0100,PENOBSCOT 22465,S200000,00400,0100,STILLWATER HEALTH CARE 22465,S200000,00400,0200,205116 22465,S200000,00400,0300,01/01/1993 22465,S200000,00400,0500,P 22465,S200000,00600,0200,205116 22465,S200000,00600,0300,07/01/1988 22465,S200000,00600,0600,P 22465,S200000,01600,0100,Y 22465,S200000,02200,0100,Y 22470,S000000,00100,0200,02/22/2000 22478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22478,A000000,00300,0000,00300EMPLOYEE BENEFITS 22478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22478,A000000,00700,0000,00700HOUSEKEEPING 22478,A000000,00800,0000,00800DIETARY 22478,A000000,00900,0000,00900NURSING ADMINISTRATION 22478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22478,A000000,01100,0000,01100PHARMACY 22478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22478,A000000,01300,0000,01300SOCIAL SERVICE 22478,A000000,01350,0000,01500PATIENT ACTIVITIES 22478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22478,A000000,01600,0000,01600SKILLED NURSING FACILITY 22478,A000000,01800,0000,01800NURSING FACILITY 22478,A000000,01810,0000,01810ICF/MR 22478,A000000,01900,0000,01900OTHER LONG TERM CARE 22478,A000000,02100,0000,02100RADIOLOGY 22478,A000000,02200,0000,02200LABORATORY 22478,A000000,02300,0000,02300INTRAVENOUS THERAPY 22478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22478,A000000,02500,0000,02500PHYSICAL THERAPY 22478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22478,A000000,02700,0000,02700SPEECH PATHOLOGY 22478,A000000,02800,0000,02800ELECTROCARDIOLOGY 22478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22478,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22478,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22478,A000000,03200,0000,03200SUPPORT SURFACES 22478,A000000,03400,0000,03400CLINIC 22478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22478,A000000,03500,0000,03500RURAL HEALTH CLINIC 22478,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22478,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22478,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22478,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22478,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22478,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22478,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22478,A000000,04400,0000,04400DME RENTED - HHA 22478,A000000,04500,0000,04500DME SOLD - HHA 22478,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22478,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22478,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22478,A000000,04800,0000,04800AMBULANCE 22478,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22478,A000000,05000,0000,05000CORF 22478,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22478,A000000,05300,0000,05300INTEREST EXPENSE 22478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22478,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22478,A000000,05500,0000,05500HOSPICE 22478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22478,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22478,A000000,06100,0000,06100NONPAID WORKERS 22478,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22478,A000000,06200,0000,06200PATIENTS LAUNDRY 22478,A81000A,00100,0100,Y 22478,A81000B,00100,0300,PHYSICAL THERAPY 22478,A81000B,00200,0300,OCCUPATIONAL THERAPY 22478,A81000C,00100,0100,A 22478,A81000C,00100,0200,STEVE WEISBERGER 22478,A81000C,00100,0400,MEDICAL FINANCIAL SERVICE 22478,A81000C,00100,0600,CENTRAL OFFICE REHAB 22478,A81000C,00200,0100,A 22478,A81000C,00200,0200,STEVE WEISBERGER 22478,A81000C,00200,0400,MEDICAL FINANCIAL SERVICE 22478,A81000C,00200,0600,CENTRAL OFFICE REHAB 22478,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22478,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22478,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22478,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22478,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22478,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22478,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22478,B100000,00000,0800,00000MEALS SERVED :DIETARY 22478,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22478,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22478,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22478,S000000,00100,0200,06/29/2000 22478,S200000,00100,0100,MAIN STREET 22478,S200000,00200,0100,MILBRIDGE 22478,S200000,00200,0200,ME 22478,S200000,00200,0300,04658- 22478,S200000,00300,0100,WASHINGTON 22478,S200000,00300,0200,9920 22478,S200000,00300,0300,R 22478,S200000,00400,0100,NARRAGUAGUS BAY HEALTH CARE FACILITY 22478,S200000,00400,0200,205118 22478,S200000,00400,0300,01/01/1993 22478,S200000,00400,0500,P 22478,S200000,01600,0100,Y 22478,S200000,02200,0100,Y 22483,S000000,00100,0200,12/17/1999 22484,S000000,00100,0200,08/28/2000 22490,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22490,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22490,A000000,00300,0000,00300EMPLOYEE BENEFITS 22490,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22490,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22490,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22490,A000000,00700,0000,00700HOUSEKEEPING 22490,A000000,00800,0000,00800DIETARY 22490,A000000,00900,0000,00900NURSING ADMINISTRATION 22490,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22490,A000000,01100,0000,01100PHARMACY 22490,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22490,A000000,01300,0000,01300SOCIAL SERVICE 22490,A000000,01350,0000,01500PATIENT ACTIVITIES 22490,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22490,A000000,01600,0000,01600SKILLED NURSING FACILITY 22490,A000000,01800,0000,01800NURSING FACILITY 22490,A000000,01810,0000,01810ICF/MR 22490,A000000,01900,0000,01900OTHER LONG TERM CARE 22490,A000000,02100,0000,02100RADIOLOGY 22490,A000000,02200,0000,02200LABORATORY 22490,A000000,02300,0000,02300INTRAVENOUS THERAPY 22490,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22490,A000000,02500,0000,02500PHYSICAL THERAPY 22490,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22490,A000000,02700,0000,02700SPEECH PATHOLOGY 22490,A000000,02800,0000,02800ELECTROCARDIOLOGY 22490,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22490,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22490,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22490,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22490,A000000,03200,0000,03200SUPPORT SURFACES 22490,A000000,03400,0000,03400CLINIC 22490,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22490,A000000,03500,0000,03500RURAL HEALTH CLINIC 22490,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22490,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22490,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22490,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22490,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22490,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22490,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22490,A000000,04400,0000,04400DME RENTED - HHA 22490,A000000,04500,0000,04500DME SOLD - HHA 22490,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22490,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22490,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22490,A000000,04800,0000,04800AMBULANCE 22490,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22490,A000000,05000,0000,05000CORF 22490,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22490,A000000,05300,0000,05300INTEREST EXPENSE 22490,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22490,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22490,A000000,05500,0000,05500HOSPICE 22490,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22490,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22490,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22490,A000000,06100,0000,06100NONPAID WORKERS 22490,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22490,A000000,06151,0000,06301FONTBONNE 22490,A000000,06152,0000,06302MARKETING 22490,A000000,06200,0000,06200PATIENTS LAUNDRY 22490,A81000A,00100,0100,Y 22490,A81000B,00100,0300,RENT EXPENSE 22490,A81000B,00200,0300,INTEREST EXPENSE 22490,A81000B,00300,0300,MANAGEMENT FEE 22490,A81000B,00400,0300,FMV OF VEHICLE GIVEN TO SISTERS 22490,A81000C,00100,0100,B 22490,A81000C,00100,0200,SISTERS OF ST JOSEPH 22490,A81000C,00100,0400,SISTERS OF ST JOSEPH 22490,A81000C,00100,0600,RENTAL OF FACILITY 22490,A81000C,00200,0100,B 22490,A81000C,00200,0200,SISTERS OF ST JOSEPH 22490,A81000C,00200,0400,SISTERS OF ST JOSEPH 22490,A81000C,00200,0600,FINANCING 22490,A81000C,00300,0100,B 22490,A81000C,00300,0200,SISTERS OF ST JOSEPH 22490,A81000C,00300,0400,SISTERS OF ST JOSEPH 22490,A81000C,00300,0600,MANAGEMENT SERVICES 22490,A81000C,00400,0100,B 22490,A81000C,00400,0200,SISTERS OF ST JOSEPH 22490,A81000C,00400,0400,SISTERS OF ST JOSEPH 22490,A81000C,00400,0600,RECEIPT OF DONATED VEHICL 22490,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 22490,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 22490,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 22490,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 22490,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 22490,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 22490,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 22490,B100000,00000,0800,00002MEALS SERVED :DIETARY 22490,B100000,00000,0950,00002DIRECT NSG :NURSING ADMINISTRATION 22490,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 22490,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 22490,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 22490,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 22490,B100000,00000,1350,00002TIME SPENT :PATIENT ACTIVITIES 22490,B100000,00000,1450,00002TIME SPENT :INTERNS & RESIDENTS (A 22490,S000000,00100,0200,06/02/2000 22490,S200000,00100,0100,8 HIGHWOOD STREET 22490,S200000,00200,0100,WATERVILLE 22490,S200000,00200,0200,ME 22490,S200000,00200,0300,04901- 22490,S200000,00300,0100,KENNEBEC 22490,S200000,00400,0100,MOUNT ST. JOSEPH NURSING HOME 22490,S200000,00400,0200,205120 22490,S200000,00400,0300,01/01/1993 22490,S200000,00400,0500,P 22490,S200000,00600,0200,205120 22490,S200000,00600,0300,01/01/1993 22490,S200000,00600,0600,P 22490,S200000,00601,0200,205120 22490,S200000,00601,0300,01/01/1993 22490,S200000,00601,0600,O 22490,S200000,01600,0100,Y 22490,S200000,02200,0100,Y 22496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22496,A000000,00300,0000,00300EMPLOYEE BENEFITS 22496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22496,A000000,00700,0000,00700HOUSEKEEPING 22496,A000000,00800,0000,00800DIETARY 22496,A000000,00900,0000,00900NURSING ADMINISTRATION 22496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22496,A000000,01100,0000,01100PHARMACY 22496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22496,A000000,01300,0000,01300SOCIAL SERVICE 22496,A000000,01350,0000,01500ACTIVITIES 22496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22496,A000000,01600,0000,01600SKILLED NURSING FACILITY 22496,A000000,01800,0000,01800NURSING FACILITY 22496,A000000,01810,0000,01810ICF/MR 22496,A000000,01900,0000,01900OTHER LONG TERM CARE 22496,A000000,02100,0000,02100RADIOLOGY 22496,A000000,02200,0000,02200LABORATORY 22496,A000000,02300,0000,02300INTRAVENOUS THERAPY 22496,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22496,A000000,02500,0000,02500PHYSICAL THERAPY 22496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22496,A000000,02700,0000,02700SPEECH PATHOLOGY 22496,A000000,02800,0000,02800ELECTROCARDIOLOGY 22496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22496,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22496,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22496,A000000,03200,0000,03200SUPPORT SURFACES 22496,A000000,03400,0000,03400CLINIC 22496,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22496,A000000,03500,0000,03500RURAL HEALTH CLINIC 22496,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22496,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22496,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22496,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22496,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22496,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22496,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22496,A000000,04400,0000,04400DME RENTED - HHA 22496,A000000,04500,0000,04500DME SOLD - HHA 22496,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22496,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22496,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22496,A000000,04800,0000,04800AMBULANCE 22496,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22496,A000000,05000,0000,05000CORF 22496,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22496,A000000,05300,0000,05300INTEREST EXPENSE 22496,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22496,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22496,A000000,05500,0000,05500HOSPICE 22496,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22496,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22496,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22496,A000000,06100,0000,06100NONPAID WORKERS 22496,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22496,A000000,06200,0000,06200PATIENTS LAUNDRY 22496,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22496,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22496,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22496,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22496,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22496,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22496,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22496,B100000,00000,0800,00000MEALS SERVED :DIETARY 22496,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22496,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22496,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22496,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22496,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22496,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 22496,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22496,S000000,00100,0200,05/15/2000 22496,S200000,00100,0100,42 ANTHOINE STREET 22496,S200000,00200,0100,SOUTH PORTLAND 22496,S200000,00200,0200,ME 22496,S200000,00200,0300,04106- 22496,S200000,00300,0100,CUMBERLAND 22496,S200000,00400,0100,SOUTH PORTLAND NURSING HOME INC 22496,S200000,00400,0200,205121 22496,S200000,00400,0300,01/01/1993 22496,S200000,00400,0500,P 22496,S200000,00400,0600,O 22496,S200000,00600,0200,205121 22496,S200000,00600,0300,05/15/1969 22496,S200000,00600,0600,P 22496,S200000,01600,0100,Y 22496,S200000,02200,0100,Y 22506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22506,A000000,00300,0000,00300EMPLOYEE BENEFITS 22506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22506,A000000,00700,0000,00700HOUSEKEEPING 22506,A000000,00800,0000,00800DIETARY 22506,A000000,00900,0000,00900NURSING ADMINISTRATION 22506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22506,A000000,01100,0000,01100PHARMACY 22506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22506,A000000,01300,0000,01300SOCIAL SERVICE 22506,A000000,01350,0000,01500PATIENT ACTIVITIES 22506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22506,A000000,01600,0000,01600SKILLED NURSING FACILITY 22506,A000000,01800,0000,01800NURSING FACILITY 22506,A000000,01810,0000,01810ICF/MR 22506,A000000,01900,0000,01900OTHER LONG TERM CARE 22506,A000000,02100,0000,02100RADIOLOGY 22506,A000000,02200,0000,02200LABORATORY 22506,A000000,02300,0000,02300INTRAVENOUS THERAPY 22506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22506,A000000,02500,0000,02500PHYSICAL THERAPY 22506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22506,A000000,02700,0000,02700SPEECH PATHOLOGY 22506,A000000,02800,0000,02800ELECTROCARDIOLOGY 22506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22506,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22506,A000000,03200,0000,03200SUPPORT SURFACES 22506,A000000,03400,0000,03400CLINIC 22506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22506,A000000,03500,0000,03500RURAL HEALTH CLINIC 22506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22506,A000000,04800,0000,04800AMBULANCE 22506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22506,A000000,05000,0000,05000CORF 22506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22506,A000000,05300,0000,05300INTEREST EXPENSE 22506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22506,A000000,05500,0000,05500HOSPICE 22506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22506,A000000,06100,0000,06100NONPAID WORKERS 22506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22506,A000000,06200,0000,06200PATIENTS LAUNDRY 22506,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22506,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 22506,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22506,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22506,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22506,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22506,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22506,B100000,00000,0800,00000MEALS SERVED :DIETARY 22506,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22506,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22506,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22506,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22506,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22506,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22506,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22506,S000000,00100,0200,05/25/2000 22506,S200000,00100,0100,33 FOOTBRIDGE ROAD 22506,S200000,00200,0100,BELFAST 22506,S200000,00200,0200,ME 22506,S200000,00200,0300,04915- 22506,S200000,00300,0100,WALDO 22506,S200000,00400,0100,HARBOR HILL 22506,S200000,00400,0200,205122 22506,S200000,00400,0300,01/25/1995 22506,S200000,00400,0500,P 22506,S200000,00600,0200,205122 22506,S200000,00600,0300,01/25/1995 22506,S200000,00600,0600,P 22506,S200000,01004,0500,O 22506,S200000,01600,0100,Y 22506,S200000,02800,0100,Y 22516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22516,A000000,00300,0000,00300EMPLOYEE BENEFITS 22516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22516,A000000,00700,0000,00700HOUSEKEEPING 22516,A000000,00800,0000,00800DIETARY 22516,A000000,00900,0000,00900NURSING ADMINISTRATION 22516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22516,A000000,01100,0000,01100PHARMACY 22516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22516,A000000,01300,0000,01300SOCIAL SERVICE 22516,A000000,01350,0000,01500PATIENT ACTIVITIES 22516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22516,A000000,01600,0000,01600SKILLED NURSING FACILITY 22516,A000000,01800,0000,01800NURSING FACILITY 22516,A000000,01810,0000,01810ICF/MR 22516,A000000,01900,0000,01900OTHER LONG TERM CARE 22516,A000000,02100,0000,02100RADIOLOGY 22516,A000000,02200,0000,02200LABORATORY 22516,A000000,02300,0000,02300INTRAVENOUS THERAPY 22516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22516,A000000,02500,0000,02500PHYSICAL THERAPY 22516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22516,A000000,02700,0000,02700SPEECH PATHOLOGY 22516,A000000,02800,0000,02800ELECTROCARDIOLOGY 22516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22516,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22516,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22516,A000000,03200,0000,03200SUPPORT SURFACES 22516,A000000,03400,0000,03400CLINIC 22516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22516,A000000,03500,0000,03500RURAL HEALTH CLINIC 22516,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22516,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22516,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22516,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22516,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22516,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22516,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22516,A000000,04400,0000,04400DME RENTED - HHA 22516,A000000,04500,0000,04500DME SOLD - HHA 22516,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22516,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22516,A000000,04800,0000,04800AMBULANCE 22516,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22516,A000000,05000,0000,05000CORF 22516,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22516,A000000,05300,0000,05300INTEREST EXPENSE 22516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22516,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22516,A000000,05500,0000,05500HOSPICE 22516,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22516,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22516,A000000,06100,0000,06100NONPAID WORKERS 22516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22516,A000000,06200,0000,06200PATIENTS LAUNDRY 22516,A81000A,00100,0100,Y 22516,A81000B,00100,0300,DEPRECIATION EXPENSE 22516,A81000B,00200,0300,INTEREST EXPENSE 22516,A81000C,00100,0100,F 22516,A81000C,00100,0200,J ORESTIS J LUNT 22516,A81000C,00100,0400,COURTLAND LTD PARNTERSHIP 22516,A81000C,00100,0600,RENTAL ORGANIZATION 22516,A81000C,00200,0100,F 22516,A81000C,00200,0200,J ORESTIS J LUNT 22516,A81000C,00200,0400,COURTLAND LTD PARTNERSHIP 22516,A81000C,00200,0600,RENTAL ORGANIZATION 22516,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22516,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22516,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22516,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22516,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22516,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22516,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22516,B100000,00000,0800,00000MEALS SERVED :DIETARY 22516,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22516,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22516,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22516,B100000,00000,1250,00000COSTED REQUIS. :MEDICAL RECORDS & 22516,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22516,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22516,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22516,S000000,00100,0200,05/31/2000 22516,S200000,00100,0100,38 COURT STREET 22516,S200000,00200,0100,ELLSWORTH 22516,S200000,00200,0200,ME 22516,S200000,00200,0300,04605- 22516,S200000,00300,0100,HANCOCK 22516,S200000,00400,0100,COURTLAND LIVING CENTER 22516,S200000,00400,0200,205123 22516,S200000,00400,0300,01/01/1993 22516,S200000,00400,0500,P 22516,S200000,01500,0100,Y 22516,S200000,02200,0100,Y 22516,S200000,02800,0100,Y 22528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22528,A000000,00300,0000,00300EMPLOYEE BENEFITS 22528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22528,A000000,00700,0000,00700HOUSEKEEPING 22528,A000000,00800,0000,00800DIETARY 22528,A000000,00900,0000,00900NURSING ADMINISTRATION 22528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22528,A000000,01100,0000,01100PHARMACY 22528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22528,A000000,01300,0000,01300SOCIAL SERVICE 22528,A000000,01350,0000,01500PATIENT ACTIVITIES 22528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22528,A000000,01600,0000,01600SKILLED NURSING FACILITY 22528,A000000,01800,0000,01800NURSING FACILITY 22528,A000000,01810,0000,01801ICF/MR 22528,A000000,01900,0000,01900OTHER LONG TERM CARE 22528,A000000,02100,0000,02100RADIOLOGY 22528,A000000,02200,0000,02200LABORATORY 22528,A000000,02300,0000,02300INTRAVENOUS THERAPY 22528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22528,A000000,02500,0000,02500PHYSICAL THERAPY 22528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22528,A000000,02700,0000,02700SPEECH PATHOLOGY 22528,A000000,02800,0000,02800ELECTROCARDIOLOGY 22528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22528,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22528,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22528,A000000,03200,0000,03200SUPPORT SURFACES 22528,A000000,03400,0000,03400CLINIC 22528,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22528,A000000,03500,0000,03500RURAL HEALTH CLINIC 22528,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22528,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22528,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22528,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22528,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22528,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22528,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22528,A000000,04400,0000,04400DME RENTED - HHA 22528,A000000,04500,0000,04500DME SOLD - HHA 22528,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22528,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22528,A000000,04800,0000,04800AMBULANCE 22528,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22528,A000000,05000,0000,05000CORF 22528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22528,A000000,05300,0000,05300INTEREST EXPENSE 22528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22528,A000000,05500,0000,05500HOSPICE 22528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22528,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22528,A000000,06100,0000,06100NONPAID WORKERS 22528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22528,A000000,06200,0000,06200PATIENTS LAUNDRY 22528,A81000A,00100,0100,Y 22528,A81000B,00100,0300,LEASE OF BUILDING 22528,A81000B,00200,0300,MORTGAGE INTEREST 22528,A81000B,00300,0300,DEPRECIATION 22528,A81000B,00400,0300,AMORT OF DEF FINANCING COSTS 22528,A81000C,00100,0100,D 22528,A81000C,00100,0200,LAWRENCE & ELAINE WILDAY 22528,A81000C,00100,0400,LAWRENCE & ELAINE WILDAY 22528,A81000C,00100,0600,RENTAL OF BUILD & EQUIP 22528,A81000C,00200,0200,LAWRENCE & ELAINE WILDAY 22528,A81000C,00200,0400,LAWRENCE & ELAINE WILDAY 22528,A81000C,00200,0600,RENTAL OF BUILD & EQUIP 22528,A81000C,00300,0200,LAWRENCE & ELAINE WILDAY 22528,A81000C,00300,0400,LAWRENCE & ELAINE WILDAY 22528,A81000C,00300,0600,RENTAL OF BUILD & EQUIP 22528,A81000C,00400,0200,LAWRENCE & ELAINE WILDAY 22528,A81000C,00400,0400,LAWRENCE & ELAINE WILDAY 22528,A81000C,00400,0600,RENTAL OF BUILD & EQUIP 22528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22528,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22528,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22528,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22528,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22528,B100000,00000,0800,00000MEALS SERVED :DIETARY 22528,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22528,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22528,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22528,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22528,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22528,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22528,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22528,S000000,00100,0200,11/30/2000 22528,S200000,00100,0100,141 BETHEL ROAD 22528,S200000,00100,0300,69 22528,S200000,00200,0100,WEST PARIS 22528,S200000,00200,0200,ME 22528,S200000,00200,0300,04289-5227 22528,S200000,00300,0100,OXFORD 22528,S200000,00400,0100,LEDGEVIEW LIVING CENTER 22528,S200000,00400,0200,205125 22528,S200000,00400,0300,01/01/1993 22528,S200000,00400,0500,P 22528,S200000,00400,0600,O 22528,S200000,00600,0200,205125 22528,S200000,00600,0300,01/01/1987 22528,S200000,00600,0600,P 22528,S200000,01600,0100,Y 22528,S200000,02200,0100,Y 22528,S700003,00000,0400,4 22550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22550,A000000,00300,0000,00300EMPLOYEE BENEFITS 22550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22550,A000000,00700,0000,00700HOUSEKEEPING 22550,A000000,00800,0000,00800DIETARY 22550,A000000,00900,0000,00900NURSING ADMINISTRATION 22550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22550,A000000,01100,0000,01100PHARMACY 22550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22550,A000000,01300,0000,01300SOCIAL SERVICE 22550,A000000,01351,0000,01301PATIENT ACTIVITIES 22550,A000000,01600,0000,01600SKILLED NURSING FACILITY 22550,A000000,01800,0000,01800NURSING FACILITY 22550,A000000,02100,0000,02100RADIOLOGY 22550,A000000,02200,0000,02200LABORATORY 22550,A000000,02300,0000,02300INTRAVENOUS THERAPY 22550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22550,A000000,02500,0000,02500PHYSICAL THERAPY 22550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22550,A000000,02700,0000,02700SPEECH PATHOLOGY 22550,A000000,02800,0000,02800ELECTROCARDIOLOGY 22550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22550,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22550,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22550,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22550,A000000,06100,0000,06100NONPAID WORKERS 22550,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22550,A000000,06151,0000,06301ADULT DAYCARE 22550,A000000,06200,0000,06200PATIENTS LAUNDRY 22550,A81000A,00100,0100,Y 22550,A81000B,00100,0300,DEPRECIATION EXPENSE 22550,A81000B,00200,0300,INTEREST EXPENSE 22550,A81000C,00100,0100,F 22550,A81000C,00100,0200,JOHN LUNT/JOHN ORESTIS 22550,A81000C,00100,0400,MAPLECREST LTD PRTNERSHIP 22550,A81000C,00100,0600,RENTAL ORGANIZATION 22550,A81000C,00200,0100,F 22550,A81000C,00200,0200,JOHN LUNT/JOHN ORESTIS 22550,A81000C,00200,0400,MAPLECREST LTD PRTNERSHIP 22550,A81000C,00200,0600,RENTAL ORGANIZATION 22550,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 22550,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 22550,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 22550,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 22550,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 22550,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 22550,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 22550,B100000,00000,0800,00001MEALS SERVED :DIETARY 22550,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 22550,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 22550,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 22550,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 22550,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 22550,B100000,00000,1351,00001TIME SPENT :PATIENT ACTIVITIES 22550,S000000,00100,0200,05/31/2000 22550,S200000,00100,0100,174 MAIN STREET 22550,S200000,00200,0100,MADISON 22550,S200000,00200,0200,NH 22550,S200000,00200,0300,04950- 22550,S200000,00300,0100,SOMERSET 22550,S200000,00400,0100,MAPLECREST LIVING CENTER 22550,S200000,00400,0200,205128 22550,S200000,00400,0300,10/01/1993 22550,S200000,00400,0500,P 22550,S200000,01500,0100,Y 22550,S200000,02200,0100,Y 22550,S200000,02800,0100,Y 22557,S000000,00100,0200,07/20/2000 22570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22570,A000000,00300,0000,00300EMPLOYEE BENEFITS 22570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22570,A000000,00700,0000,00700HOUSEKEEPING 22570,A000000,00800,0000,00800DIETARY 22570,A000000,00900,0000,00900NURSING ADMINISTRATION 22570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22570,A000000,01100,0000,01100PHARMACY 22570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22570,A000000,01300,0000,01300SOCIAL SERVICE 22570,A000000,01350,0000,01500PATIENT ACTIVITIES 22570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22570,A000000,01600,0000,01600SKILLED NURSING FACILITY 22570,A000000,01800,0000,01800NURSING FACILITY 22570,A000000,01810,0000,01810ICF/MR 22570,A000000,02100,0000,02100RADIOLOGY 22570,A000000,02200,0000,02200LABORATORY 22570,A000000,02300,0000,02300INTRAVENOUS THERAPY 22570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22570,A000000,02500,0000,02500PHYSICAL THERAPY 22570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22570,A000000,02700,0000,02700SPEECH PATHOLOGY 22570,A000000,02800,0000,02800ELECTROCARDIOLOGY 22570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22570,A000000,03200,0000,03200SUPPORT SURFACES 22570,A000000,03400,0000,03400CLINIC 22570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22570,A000000,03500,0000,03500RURAL HEALTH CLINIC 22570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22570,A000000,05300,0000,05300INTEREST EXPENSE 22570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22570,A000000,05500,0000,05500HOSPICE 22570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22570,A000000,06100,0000,06100NONPAID WORKERS 22570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22570,A000000,06200,0000,06200PATIENTS LAUNDRY 22570,A81000A,00100,0100,Y 22570,A81000B,00100,0300,DEPRECIATION EXPENSE 22570,A81000B,00200,0300,INTEREST EXPENSE 22570,A81000C,00100,0100,F 22570,A81000C,00100,0200,JOHN LUNT/JOHN ORESTIS 22570,A81000C,00100,0400,EDGEWOOD LTD PARTNERSHIP 22570,A81000C,00100,0600,RENTAL ORGANIZATION 22570,A81000C,00200,0100,F 22570,A81000C,00200,0200,JOHN LUNT/JOHN ORESTIS 22570,A81000C,00200,0400,EDGEWOOD LTD PARTNERSHIP 22570,A81000C,00200,0600,RENTAL ORGANIZATION 22570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22570,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22570,B100000,00000,0800,00000MEALS SERVED :DIETARY 22570,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22570,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22570,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 22570,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22570,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22570,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 22570,S000000,00100,0200,05/31/2000 22570,S200000,00100,0100,70 NORTH MAIN STREET 22570,S200000,00200,0100,FARMINGTON 22570,S200000,00200,0200,ME 22570,S200000,00200,0300,04938- 22570,S200000,00300,0100,FRANKLIN 22570,S200000,00400,0100,EDGEWOOD MANOR 22570,S200000,00400,0200,205131 22570,S200000,00400,0300,10/01/1993 22570,S200000,00400,0500,P 22570,S200000,01500,0100,Y 22570,S200000,02200,0100,Y 22570,S200000,02800,0100,Y 22576,S000000,00100,0200,10/07/1999 22582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22582,A000000,00300,0000,00300EMPLOYEE BENEFITS 22582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22582,A000000,00700,0000,00700HOUSEKEEPING 22582,A000000,00800,0000,00800DIETARY 22582,A000000,00900,0000,00900NURSING ADMINISTRATION 22582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22582,A000000,01100,0000,01100PHARMACY 22582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22582,A000000,01300,0000,01300SOCIAL SERVICE 22582,A000000,01350,0000,01500PATIENT ACTIVITIES 22582,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22582,A000000,01600,0000,01600SKILLED NURSING FACILITY 22582,A000000,01800,0000,01800NURSING FACILITY 22582,A000000,01810,0000,01810ICF/MR 22582,A000000,01900,0000,01900OTHER LONG TERM CARE 22582,A000000,02100,0000,02100RADIOLOGY 22582,A000000,02200,0000,02200LABORATORY 22582,A000000,02300,0000,02300INTRAVENOUS THERAPY 22582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22582,A000000,02500,0000,02500PHYSICAL THERAPY 22582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22582,A000000,02700,0000,02700SPEECH PATHOLOGY 22582,A000000,02800,0000,02800ELECTROCARDIOLOGY 22582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22582,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22582,A000000,03200,0000,03200SUPPORT SURFACES 22582,A000000,03400,0000,03400CLINIC 22582,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22582,A000000,03500,0000,03500RURAL HEALTH CLINIC 22582,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22582,A000000,04800,0000,04800AMBULANCE 22582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22582,A000000,05300,0000,05300INTEREST EXPENSE 22582,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22582,A000000,05500,0000,05500HOSPICE 22582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22582,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22582,A000000,06100,0000,06100NONPAID WORKERS 22582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22582,A000000,06151,0000,06301ADULT DAYCARE 22582,A000000,06200,0000,06200PATIENTS LAUNDRY 22582,A81000A,00100,0100,Y 22582,A81000B,00100,0300,DEPRECIATION EXPENSE 22582,A81000B,00200,0300,INTEREST EXPENSE 22582,A81000C,00100,0100,F 22582,A81000C,00100,0200,J.ORESTIS J. LUNT 22582,A81000C,00100,0400,HERITAGE MANOR LTD PNRSHP 22582,A81000C,00100,0600,RENTAL ORGANIZATION 22582,A81000C,00200,0100,F 22582,A81000C,00200,0200,J. ORESTIS J. LUNT 22582,A81000C,00200,0400,HERITAGE MANOR LTD PNRSHP 22582,A81000C,00200,0600,RENTAL ORGANIZATION 22582,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 22582,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 22582,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 22582,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 22582,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 22582,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 22582,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 22582,B100000,00000,0800,00001MEALS SERVED :DIETARY 22582,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 22582,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 22582,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 22582,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 22582,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 22582,B100000,00000,1350,00001PATIENT DAYS :PATIENT ACTIVITIES 22582,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 22582,S000000,00100,0200,05/31/2000 22582,S200000,00100,0100,OLD LEWISTON ROAD 22582,S200000,00100,0300,1220 22582,S200000,00200,0100,WINTHROP 22582,S200000,00200,0200,ME 22582,S200000,00200,0300,04364- 22582,S200000,00300,0100,KENNEBEC 22582,S200000,00400,0100,HERITAGE MANOR 22582,S200000,00400,0200,205133 22582,S200000,00400,0300,10/01/1993 22582,S200000,00400,0500,P 22582,S200000,01004,0500,O 22582,S200000,01500,0100,Y 22582,S200000,02200,0100,Y 22601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22601,A000000,00300,0000,00300EMPLOYEE BENEFITS 22601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22601,A000000,00700,0000,00700HOUSEKEEPING 22601,A000000,00800,0000,00800DIETARY 22601,A000000,00900,0000,00900NURSING ADMINISTRATION 22601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22601,A000000,01100,0000,01100PHARMACY 22601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22601,A000000,01300,0000,01300SOCIAL SERVICE 22601,A000000,01350,0000,01500ACTIVITIES 22601,A000000,01600,0000,01600SKILLED NURSING FACILITY 22601,A000000,01800,0000,01800NURSING FACILITY 22601,A000000,02100,0000,02100RADIOLOGY 22601,A000000,02200,0000,02200LABORATORY 22601,A000000,02300,0000,02300INTRAVENOUS THERAPY 22601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22601,A000000,02500,0000,02500PHYSICAL THERAPY 22601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22601,A000000,02700,0000,02700SPEECH PATHOLOGY 22601,A000000,02800,0000,02800ELECTROCARDIOLOGY 22601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22601,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22601,A000000,03400,0000,03400CLINIC 22601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22601,A000000,03500,0000,03500RURAL HEALTH CLINIC 22601,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22601,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22601,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22601,A000000,05300,0000,05300INTEREST EXPENSE 22601,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22601,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22601,A000000,05500,0000,05500HOSPICE 22601,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22601,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22601,A000000,06100,0000,06100NONPAID WORKERS 22601,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22601,A000000,06200,0000,06200PATIENTS LAUNDRY 22601,A81000A,00100,0100,Y 22601,A81000B,00100,0300,DEPRECIATION EXPENSE 22601,A81000B,00200,0300,INTEREST EXPENSE 22601,A81000C,00100,0100,F 22601,A81000C,00100,0200,JOHN LUNT/JOHN ORESTIS 22601,A81000C,00100,0400,SONOGEE LTD PARTNERSHIP 22601,A81000C,00100,0600,RENTAL ORGANIZATION 22601,A81000C,00200,0100,F 22601,A81000C,00200,0200,JOHN LUNT/JOHN ORESTIS 22601,A81000C,00200,0400,SONOGEE LTD PARTNERSHIP 22601,A81000C,00200,0600,RENTAL ORGANIZATION 22601,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22601,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22601,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22601,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 22609,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22609,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22609,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22609,B100000,00000,0800,00000MEALS SERVED :DIETARY 22609,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 22609,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22609,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 22609,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22609,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22609,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22609,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22609,S000000,00100,0200,05/31/2000 22609,S200000,00100,0100,173 YORK STREET 22609,S200000,00200,0100,BIDDEFORD 22609,S200000,00200,0200,ME 22609,S200000,00200,0300,04005- 22609,S200000,00300,0100,YORK 22609,S200000,00400,0100,SOUTHRIDGE LIVING CENTER 22609,S200000,00400,0200,205136 22609,S200000,00400,0300,10/01/1993 22609,S200000,00400,0500,P 22609,S200000,01500,0100,Y 22609,S200000,02800,0100,Y 22612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22612,A000000,00300,0000,00300EMPLOYEE BENEFITS 22612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22612,A000000,00700,0000,00700HOUSEKEEPING 22612,A000000,00800,0000,00800DIETARY 22612,A000000,00900,0000,00900NURSING ADMINISTRATION 22612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22612,A000000,01100,0000,01100PHARMACY 22612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22612,A000000,01300,0000,01300SOCIAL SERVICE 22612,A000000,01350,0000,01500PATIENT ACTIVITIES 22612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22612,A000000,01600,0000,01600SKILLED NURSING FACILITY 22612,A000000,01800,0000,01800NURSING FACILITY 22612,A000000,01810,0000,01810ICF/MR 22612,A000000,01900,0000,01900OTHER LONG TERM CARE 22612,A000000,02100,0000,02100RADIOLOGY 22612,A000000,02200,0000,02200LABORATORY 22612,A000000,02300,0000,02300INTRAVENOUS THERAPY 22612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22612,A000000,02500,0000,02500PHYSICAL THERAPY 22612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22612,A000000,02700,0000,02700SPEECH PATHOLOGY 22612,A000000,02800,0000,02800ELECTROCARDIOLOGY 22612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22612,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22612,A000000,03200,0000,03200SUPPORT SURFACES 22612,A000000,03400,0000,03400CLINIC 22612,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22612,A000000,03500,0000,03500RURAL HEALTH CLINIC 22612,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22612,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22612,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22612,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22612,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22612,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22612,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22612,A000000,04400,0000,04400DME RENTED - HHA 22612,A000000,04500,0000,04500DME SOLD - HHA 22612,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22612,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22612,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22612,A000000,04800,0000,04800AMBULANCE 22612,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22612,A000000,05000,0000,05000CORF 22612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22612,A000000,05300,0000,05300INTEREST EXPENSE 22612,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22612,A000000,05500,0000,05500HOSPICE 22612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22612,A000000,06100,0000,06100NONPAID WORKERS 22612,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22612,A000000,06200,0000,06200PATIENTS LAUNDRY 22612,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22612,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22612,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22612,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22612,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22612,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22612,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22612,B100000,00000,0800,00000MEALS SERVED :DIETARY 22612,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 22612,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 22612,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 22612,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22612,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22612,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22612,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22612,S000000,00100,0200,06/23/2000 22612,S200000,00100,0100,ROUTE 115 BOX 760 22612,S200000,00200,0100,NORTH WINDHAM 22612,S200000,00200,0200,ME 22612,S200000,00200,0300,04062- 22612,S200000,00300,0100,CUMBERLAND 22612,S200000,00400,0100,LEDGEWOOD MANOR INC. 22612,S200000,00400,0200,205137 22612,S200000,00400,0300,01/01/1993 22612,S200000,00400,0500,P 22612,S200000,00400,0600,O 22612,S200000,00600,0200,205137 22612,S200000,00600,0300,05/24/1978 22612,S200000,00600,0600,P 22612,S200000,01600,0100,Y 22612,S200000,02200,0100,Y 22612,S200000,02800,0100,Y 22620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22620,A000000,00300,0000,00300EMPLOYEE BENEFITS 22620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22620,A000000,00700,0000,00700HOUSEKEEPING 22620,A000000,00800,0000,00800DIETARY 22620,A000000,00900,0000,00900NURSING ADMINISTRATION 22620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22620,A000000,01100,0000,01100PHARMACY 22620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22620,A000000,01300,0000,01300SOCIAL SERVICE 22620,A000000,01350,0000,01500PATIENT ACTIVITIES 22620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22620,A000000,01600,0000,01600SKILLED NURSING FACILITY 22620,A000000,01800,0000,01800NURSING FACILITY 22620,A000000,01900,0000,01900OTHER LONG TERM CARE 22620,A000000,02100,0000,02100RADIOLOGY 22620,A000000,02200,0000,02200LABORATORY 22620,A000000,02300,0000,02300INTRAVENOUS THERAPY 22620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22620,A000000,02500,0000,02500PHYSICAL THERAPY 22620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22620,A000000,02700,0000,02700SPEECH PATHOLOGY 22620,A000000,02800,0000,02800ELECTROCARDIOLOGY 22620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22620,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22620,A000000,03200,0000,03200SUPPORT SURFACES 22620,A000000,03400,0000,03400CLINIC 22620,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22620,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22620,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22620,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22620,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22620,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22620,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22620,A000000,04400,0000,04400DME RENTED - HHA 22620,A000000,04500,0000,04500DME SOLD - HHA 22620,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22620,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22620,A000000,04800,0000,04800AMBULANCE 22620,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22620,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22620,A000000,05300,0000,05300INTEREST EXPENSE 22620,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22620,A000000,05500,0000,05500HOSPICE 22620,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22620,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22620,A000000,06100,0000,06100NONPAID WORKERS 22620,A000000,06200,0000,06200PATIENTS LAUNDRY 22620,A81000A,00100,0100,Y 22620,A81000B,00100,0300,PT 22620,A81000B,00200,0300,OT 22620,A81000B,00300,0300,ADMINSTRATOR SERVICES 22620,A81000B,00400,0300,RESIDENT MEAL TRAYS 22620,A81000B,00500,0300,CO OVERHEAD/CONTROLLER 22620,A81000B,00600,0300,LAND LEASE 22620,A81000C,00100,0100,B 22620,A81000C,00100,0400,INLAND HOSPITAL 22620,A81000C,00100,0600,HEALTHCARE 22620,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22620,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22620,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 22620,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22620,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22620,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 22620,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22620,B100000,00000,0800,00000MEALS :DIETARY 22620,B100000,00000,0900,00000NA HOURS :NURSING ADMINISTRATION 22620,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 22620,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 22620,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22620,B100000,00000,1330,00000SS HOURS :SOCIAL SERVICE 22620,B100000,00000,1350,00000PAT HOURS :PATIENT ACTIVITIES 22620,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 22620,S000000,00100,0200,02/23/2000 22620,S200000,00100,0100,220 KENNEDY MEMORIAL DRIVE 22620,S200000,00200,0100,WATERVILLE 22620,S200000,00200,0200,ME 22620,S200000,00200,0300,04901- 22620,S200000,00300,0100,KENNEBEC 22620,S200000,00400,0100,LAKEWOOD MANOR 22620,S200000,00400,0200,205138 22620,S200000,00400,0300,01/01/1993 22620,S200000,00400,0500,P 22620,S200000,00400,0600,O 22620,S200000,00600,0200,205138 22620,S200000,00600,0300,01/01/1993 22620,S200000,00600,0600,P 22620,S200000,01600,0100,Y 22620,S200000,01900,0100,NOT FOR PROFIT 22620,S200000,02200,0100,Y 22638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22638,A000000,00300,0000,00300EMPLOYEE BENEFITS 22638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22638,A000000,00700,0000,00700HOUSEKEEPING 22638,A000000,00800,0000,00800DIETARY 22638,A000000,00900,0000,00900NURSING ADMINISTRATION 22638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22638,A000000,01100,0000,01100PHARMACY 22638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22638,A000000,01300,0000,01300SOCIAL SERVICE 22638,A000000,01350,0000,01500ACTIVITIES 22638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22638,A000000,01600,0000,01600SKILLED NURSING FACILITY 22638,A000000,01800,0000,01800NURSING FACILITY 22638,A000000,01810,0000,01801ICF/MR 22638,A000000,01900,0000,01900OTHER LONG TERM CARE 22638,A000000,02100,0000,02100RADIOLOGY 22638,A000000,02200,0000,02200LABORATORY 22638,A000000,02300,0000,02300INTRAVENOUS THERAPY 22638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22638,A000000,02500,0000,02500PHYSICAL THERAPY 22638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22638,A000000,02700,0000,02700SPEECH PATHOLOGY 22638,A000000,02800,0000,02800ELECTROCARDIOLOGY 22638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22638,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22638,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22638,A000000,03200,0000,03200SUPPORT SURFACES 22638,A000000,03400,0000,03400CLINIC 22638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22638,A000000,03500,0000,03500RURAL HEALTH CLINIC 22638,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22638,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22638,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22638,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22638,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22638,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22638,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22638,A000000,04400,0000,04400DME RENTED - HHA 22638,A000000,04500,0000,04500DME SOLD - HHA 22638,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22638,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22638,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22638,A000000,04800,0000,04800AMBULANCE 22638,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22638,A000000,05000,0000,05000CORF 22638,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22638,A000000,05300,0000,05300INTEREST EXPENSE 22638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22638,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22638,A000000,05500,0000,05500HOSPICE 22638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22638,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22638,A000000,06100,0000,06100NONPAID WORKERS 22638,A000000,06150,0000,06300ADULT DAYCARE 22638,A000000,06151,0000,06301OTHER NONREIMBUSRABLE COSTS 22638,A000000,06200,0000,06200PATIENTS LAUNDRY 22638,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 22638,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 22638,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 22638,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 22638,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 22638,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 22638,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 22638,B100000,00000,0800,00001MEALS SERVED :DIETARY 22638,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 22638,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 22638,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 22638,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 22638,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 22638,B100000,00000,1350,00001NO STATISTICS :ACTIVITIES 22638,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 22638,S000000,00100,0200,05/31/2000 22638,S200000,00100,0100,21 MARTIN LANE 22638,S200000,00200,0100,BELFAST 22638,S200000,00200,0200,ME 22638,S200000,00200,0300,04915- 22638,S200000,00300,0100,WALDO 22638,S200000,00400,0100,HEALTH CARE MANAGEMENT INC 22638,S200000,00400,0200,205140 22638,S200000,00400,0300,01/01/1993 22638,S200000,00400,0500,P 22638,S200000,00600,0200,205140 22638,S200000,00600,0300,08/20/1985 22638,S200000,01600,0100,Y 22638,S200000,02200,0100,Y 22638,S200000,02800,0100,Y 22638,S700003,00000,0100,1 22645,S000000,00100,0200,06/01/2000 22651,S000000,00100,0200,06/01/2000 22657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22657,A000000,00300,0000,00300EMPLOYEE BENEFITS 22657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22657,A000000,00700,0000,00700HOUSEKEEPING 22657,A000000,00800,0000,00800DIETARY 22657,A000000,00900,0000,00900NURSING ADMINISTRATION 22657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22657,A000000,01100,0000,01100PHARMACY 22657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22657,A000000,01300,0000,01300SOCIAL SERVICE 22657,A000000,01350,0000,01500OTHER GENERAL SERVICES 22657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22657,A000000,01600,0000,01600SKILLED NURSING FACILITY 22657,A000000,01800,0000,01800NURSING FACILITY 22657,A000000,01810,0000,01810ICF/MR 22657,A000000,01900,0000,01900OTHER LONG TERM CARE 22657,A000000,02100,0000,02100RADIOLOGY 22657,A000000,02200,0000,02200LABORATORY 22657,A000000,02300,0000,02300INTRAVENOUS THERAPY 22657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22657,A000000,02500,0000,02500PHYSICAL THERAPY 22657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22657,A000000,02700,0000,02700SPEECH PATHOLOGY 22657,A000000,02800,0000,02800ELECTROCARDIOLOGY 22657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22657,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22657,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22657,A000000,03200,0000,03200SUPPORT SURFACES 22657,A000000,03400,0000,03400CLINIC 22657,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22657,A000000,03500,0000,03500RURAL HEALTH CLINIC 22657,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22657,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22657,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22657,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22657,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22657,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22657,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22657,A000000,04400,0000,04400DME RENTED - HHA 22657,A000000,04500,0000,04500DME SOLD - HHA 22657,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22657,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22657,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22657,A000000,04800,0000,04800AMBULANCE 22657,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22657,A000000,05000,0000,05000CORF 22657,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22657,A000000,05300,0000,05300INTEREST EXPENSE 22657,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22657,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22657,A000000,05500,0000,05500HOSPICE 22657,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22657,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22657,A000000,06100,0000,06100NONPAID WORKERS 22657,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22657,A000000,06200,0000,06200PATIENTS LAUNDRY 22657,A81000A,00100,0100,Y 22657,A81000B,00100,0300,RENT EXPENSE 22657,A81000C,00100,0100,A 22657,A81000C,00100,0200,DEAN & FERN CUMMINGS 22657,A81000C,00100,0400,DEAN & FERN CUMMINGS 22657,A81000C,00100,0600,OWNERS OF REAL ESTATE 22657,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22657,B100000,00000,0250,00000COST :CAP REL COSTS - MOVABLE EQU 22657,B100000,00000,0350,00000WAGES :EMPLOYEE BENEFITS 22657,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22657,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22657,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 22657,B100000,00000,0700,00000HOURS WORKED :HOUSEKEEPING 22657,B100000,00000,0800,00000MEALS SERVED :DIETARY 22657,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 22657,B100000,00000,1330,00000HOURS WORKED :SOCIAL SERVICE 22657,S000000,00100,0200,08/15/2000 22657,S200000,00100,0100,CROCKER STREET EXT 22657,S200000,00100,0300,367 22657,S200000,00200,0100,HOWLAND 22657,S200000,00200,0200,ME 22657,S200000,00200,0300,04448-0367 22657,S200000,00300,0100,KENNEBEC 22657,S200000,00300,0200,0733 22657,S200000,00300,0300,U 22657,S200000,00400,0100,CUMMINGS HEALTH CARE FACILITY 22657,S200000,00400,0200,205143 22657,S200000,00400,0300,03/01/1994 22657,S200000,00400,0500,P 22657,S200000,01500,0100,Y 22657,S200000,02800,0100,Y 22662,S000000,00100,0200,05/26/2000 22667,S000000,00100,0200,05/22/2000 22668,S000000,00100,0200,05/19/2000 22670,S000000,00100,0200,11/20/2000 22676,S000000,00100,0200,05/31/2000 22691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22691,A000000,00300,0000,00300EMPLOYEE BENEFITS 22691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22691,A000000,00700,0000,00700HOUSEKEEPING 22691,A000000,00800,0000,00800DIETARY 22691,A000000,00900,0000,00900NURSING ADMINISTRATION 22691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22691,A000000,01100,0000,01100PHARMACY 22691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22691,A000000,01300,0000,01300SOCIAL SERVICE 22691,A000000,01350,0000,01500OTHER GENERAL SERVICES 22691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22691,A000000,01600,0000,01600SKILLED NURSING FACILITY 22691,A000000,01800,0000,01800NURSING FACILITY 22691,A000000,01810,0000,01810ICF/MR 22691,A000000,01900,0000,01900OTHER LONG TERM CARE 22691,A000000,02100,0000,02100RADIOLOGY 22691,A000000,02200,0000,02200LABORATORY 22691,A000000,02300,0000,02300INTRAVENOUS THERAPY 22691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22691,A000000,02500,0000,02500PHYSICAL THERAPY 22691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22691,A000000,02700,0000,02700SPEECH PATHOLOGY 22691,A000000,02800,0000,02800ELECTROCARDIOLOGY 22691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22691,A000000,03200,0000,03200SUPPORT SURFACES 22691,A000000,03400,0000,03400CLINIC 22691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22691,A000000,03500,0000,03500RURAL HEALTH CLINIC 22691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22691,A000000,04800,0000,04800AMBULANCE 22691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22691,A000000,05000,0000,05000CORF 22691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22691,A000000,05300,0000,05300INTEREST EXPENSE 22691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22691,A000000,05500,0000,05500HOSPICE 22691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22691,A000000,06100,0000,06100NONPAID WORKERS 22691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22691,A000000,06200,0000,06200PATIENTS LAUNDRY 22691,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22691,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 22691,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22691,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22691,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22691,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22691,B100000,00000,0800,00000MEALS SERVED :DIETARY 22691,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22691,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 22691,B100000,00000,1150,00000NO STATISTICS :PHARMACY 22691,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 22691,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 22691,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 22691,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 22691,S000000,00100,0200,05/25/2000 22691,S200000,00100,0100,91 WEST FRONT STREET 22691,S200000,00200,0100,SKOWHEGAN 22691,S200000,00200,0200,ME 22691,S200000,00200,0300,04976- 22691,S200000,00300,0100,SOMERSET 22691,S200000,00400,0100,WOODLAWN NURSING HOME 22691,S200000,00400,0200,205154 22691,S200000,00400,0300,01/01/1994 22691,S200000,00400,0500,P 22691,S200000,00600,0200,205154 22691,S200000,00600,0300,06/30/1989 22691,S200000,00600,0600,P 22691,S200000,01600,0100,Y 22691,S200000,02200,0100,Y 22703,S000000,00100,0200,03/24/2000 22711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22711,A000000,00300,0000,00300EMPLOYEE BENEFITS 22711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22711,A000000,00700,0000,00700HOUSEKEEPING 22711,A000000,00800,0000,00800DIETARY 22711,A000000,00900,0000,00900NURSING ADMINISTRATION 22711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22711,A000000,01100,0000,01100PHARMACY 22711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22711,A000000,01300,0000,01300SOCIAL SERVICE 22711,A000000,01350,0000,01500PATIENT ACTIVITIES 22711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22711,A000000,01600,0000,01600SKILLED NURSING FACILITY 22711,A000000,01800,0000,01800NURSING FACILITY 22711,A000000,01810,0000,01810ICF/MR 22711,A000000,01900,0000,01900OTHER LONG TERM CARE 22711,A000000,02100,0000,02100RADIOLOGY 22711,A000000,02200,0000,02200LABORATORY 22711,A000000,02300,0000,02300INTRAVENOUS THERAPY 22711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22711,A000000,02500,0000,02500PHYSICAL THERAPY 22711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22711,A000000,02700,0000,02700SPEECH PATHOLOGY 22711,A000000,02800,0000,02800ELECTROCARDIOLOGY 22711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22711,A000000,03200,0000,03200SUPPORT SURFACES 22711,A000000,03400,0000,03400CLINIC 22711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22711,A000000,03500,0000,03500RURAL HEALTH CLINIC 22711,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22711,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22711,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22711,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22711,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22711,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22711,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22711,A000000,04400,0000,04400DME RENTED - HHA 22711,A000000,04500,0000,04500DME SOLD - HHA 22711,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22711,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22711,A000000,04800,0000,04800AMBULANCE 22711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22711,A000000,05000,0000,05000CORF 22711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22711,A000000,05300,0000,05300INTEREST EXPENSE 22711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22711,A000000,05500,0000,05500HOSPICE 22711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22711,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22711,A000000,06100,0000,06100NONPAID WORKERS 22711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22711,A000000,06200,0000,06200PATIENTS LAUNDRY 22711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22711,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22711,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22711,B100000,00000,0800,00000MEALS SERVED :DIETARY 22711,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22711,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22711,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22711,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22711,S000000,00100,0200,06/20/2000 22711,S200000,00100,0100,22 NORTHBROOK DRIVE 22711,S200000,00200,0100,FALMOUTH 22711,S200000,00200,0200,ME 22711,S200000,00200,0300,04105- 22711,S200000,00300,0100,CUMBERLAND 22711,S200000,00300,0200,6403 22711,S200000,00300,0300,U 22711,S200000,00400,0100,SEDGEWOOD COMMONS 22711,S200000,00400,0200,205159 22711,S200000,00400,0300,01/19/1994 22711,S200000,00400,0500,P 22711,S200000,00600,0200,205159 22711,S200000,00600,0300,01/19/1994 22711,S200000,00600,0600,P 22711,S200000,01004,0500,O 22711,S200000,01600,0100,Y 22720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22720,A000000,00300,0000,00300EMPLOYEE BENEFITS 22720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22720,A000000,00700,0000,00700HOUSEKEEPING 22720,A000000,00800,0000,00800DIETARY 22720,A000000,00900,0000,00900NURSING ADMINISTRATION 22720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22720,A000000,01100,0000,01100PHARMACY 22720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22720,A000000,01300,0000,01300SOCIAL SERVICE 22720,A000000,01350,0000,01500OTHER GENERAL SERVICES 22720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22720,A000000,01600,0000,01600SKILLED NURSING FACILITY 22720,A000000,01800,0000,01800NURSING FACILITY 22720,A000000,01810,0000,01810ICF/MR 22720,A000000,01900,0000,01900OTHER LONG TERM CARE 22720,A000000,02100,0000,02100RADIOLOGY 22720,A000000,02200,0000,02200LABORATORY 22720,A000000,02300,0000,02300INTRAVENOUS THERAPY 22720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22720,A000000,02500,0000,02500PHYSICAL THERAPY 22720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22720,A000000,02700,0000,02700SPEECH PATHOLOGY 22720,A000000,02800,0000,02800ELECTROCARDIOLOGY 22720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22720,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22720,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22720,A000000,03200,0000,03200SUPPORT SURFACES 22720,A000000,03400,0000,03400CLINIC 22720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22720,A000000,03500,0000,03500RURAL HEALTH CLINIC 22720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22720,A000000,04800,0000,04800AMBULANCE 22720,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22720,A000000,05000,0000,05000CORF 22720,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22720,A000000,05300,0000,05300INTEREST EXPENSE 22720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22720,A000000,05500,0000,05500HOSPICE 22720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22720,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22720,A000000,06100,0000,06100NONPAID WORKERS 22720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22720,A000000,06200,0000,06200PATIENTS LAUNDRY 22720,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22720,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22720,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22720,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22720,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 22720,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22720,B100000,00000,0800,00000MEALS SERVED :DIETARY 22720,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22720,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22720,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 22720,S000000,00100,0200,06/21/2000 22720,S200000,00100,0100,8 NORTH STREET 22720,S200000,00200,0100,SACO 22720,S200000,00200,0200,ME 22720,S200000,00200,0300,04072- 22720,S200000,00300,0100,YORK 22720,S200000,00300,0200,6403 22720,S200000,00300,0300,U 22720,S200000,00400,0100,EVERGREEN MANOR 22720,S200000,00400,0200,205162 22720,S200000,00400,0300,11/01/1994 22720,S200000,00400,0500,P 22720,S200000,01600,0100,Y 22729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22729,A000000,00300,0000,00300EMPLOYEE BENEFITS 22729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22729,A000000,00700,0000,00700HOUSEKEEPING 22729,A000000,00800,0000,00800DIETARY 22729,A000000,00900,0000,00900NURSING ADMINISTRATION 22729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22729,A000000,01100,0000,01100PHARMACY 22729,A000000,01300,0000,01300SOCIAL SERVICE 22729,A000000,01350,0000,01500PATIENT ACTIVITIES 22729,A000000,01600,0000,01600SKILLED NURSING FACILITY 22729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22729,A000000,02500,0000,02500PHYSICAL THERAPY 22729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22729,A000000,02700,0000,02700SPEECH PATHOLOGY 22729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22729,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22729,A000000,05300,0000,05300INTEREST EXPENSE 22729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22729,A81000A,00100,0100,Y 22729,A81000B,00100,0300,ADMIN/ACCT 22729,A81000B,00200,0300,NURSING SERVICES 22729,A81000B,00300,0300,SS SERVICES 22729,A81000B,00400,0300,SP SERVICES 22729,A81000B,00500,0300,PT SERVICES 22729,A81000B,00600,0300,OT SERVICES 22729,A81000C,00100,0100,B 22729,A81000C,00100,0200,MCOASTHLTHMGT 22729,A81000C,00100,0400,MCHMC 22729,A81000C,00100,0600,HOSPITAL 22729,B100000,00000,0100,00000SQFT :CAP REL COSTS - BLDGS & FIX 22729,B100000,00000,0250,00000SQFT :CAP REL COSTS - MOVABLE EQU 22729,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 22729,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22729,B100000,00000,0500,00000SQFT :PLANT OPERATION MAINT. & R 22729,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 22729,B100000,00000,0750,00000SQFT :HOUSEKEEPING 22729,B100000,00000,0850,00000PATIENT DAYS :DIETARY 22729,B100000,00000,0950,00000NRSG SALS :NURSING ADMINISTRATION 22729,B100000,00000,1100,00000PHARM REQS :PHARMACY 22729,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 22729,B100000,00000,1350,00000PATACT HRS :PATIENT ACTIVITIES 22729,S000000,00100,0200,03/01/2000 22729,S200000,00100,0100,MERE POINT ROAD 22729,S200000,00200,0100,BRUNSWICK 22729,S200000,00200,0200,ME 22729,S200000,00200,0300,04011- 22729,S200000,00300,0100,CUMBERLAND 22729,S200000,00300,0200,6403 22729,S200000,00300,0300,U 22729,S200000,00400,0100,MERE POINT CTR FOR NRSG & REHAB IN. 22729,S200000,00400,0200,205163 22729,S200000,00400,0300,01/01/1994 22729,S200000,00400,0500,P 22729,S200000,00400,0600,P 22729,S200000,01500,0100,Y 22729,S200000,02200,0100,Y 22729,S200000,02800,0100,Y 22744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22744,A000000,00300,0000,00300EMPLOYEE BENEFITS 22744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22744,A000000,00700,0000,00700HOUSEKEEPING 22744,A000000,00800,0000,00800DIETARY 22744,A000000,00900,0000,00900NURSING ADMINISTRATION 22744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22744,A000000,01100,0000,01100PHARMACY 22744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22744,A000000,01300,0000,01300SOCIAL SERVICE 22744,A000000,01301,0000,01301PATIENT ACTIVITIES 22744,A000000,01350,0000,01500OTHER GENERAL SERVICES 22744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22744,A000000,01600,0000,01600SKILLED NURSING FACILITY 22744,A000000,01800,0000,01800NURSING FACILITY 22744,A000000,01810,0000,01810ICF/MR 22744,A000000,01900,0000,01900OTHER LONG TERM CARE 22744,A000000,02100,0000,02100RADIOLOGY 22744,A000000,02200,0000,02200LABORATORY 22744,A000000,02300,0000,02300INTRAVENOUS THERAPY 22744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22744,A000000,02500,0000,02500PHYSICAL THERAPY 22744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22744,A000000,02700,0000,02700SPEECH PATHOLOGY 22744,A000000,02800,0000,02800ELECTROCARDIOLOGY 22744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22744,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22744,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22744,A000000,03200,0000,03200SUPPORT SURFACES 22744,A000000,03400,0000,03400CLINIC 22744,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22744,A000000,03500,0000,03500RURAL HEALTH CLINIC 22744,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22744,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22744,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22744,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22744,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22744,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22744,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22744,A000000,04400,0000,04400DME RENTED - HHA 22744,A000000,04500,0000,04500DME SOLD - HHA 22744,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22744,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22744,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22744,A000000,04800,0000,04800AMBULANCE 22744,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22744,A000000,05000,0000,05000CORF 22744,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22744,A000000,05300,0000,05300INTEREST EXPENSE 22744,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22744,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22744,A000000,05500,0000,05500HOSPICE 22744,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22744,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22744,A000000,06100,0000,06100NONPAID WORKERS 22744,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22744,A000000,06200,0000,06200PATIENTS LAUNDRY 22744,A81000A,00100,0100,Y 22744,A81000B,00100,0300,DEPRECIATION EXPENSE 22744,A81000B,00200,0300,INTEREST EXPENSE 22744,A81000C,00100,0100,F 22744,A81000C,00100,0200,JOHN LUNT/JOHN ORESTIS 22744,A81000C,00100,0400,SOMERSET LTD PARTNERSHIP 22744,A81000C,00100,0600,RENTAL ORGANIZATION 22744,A81000C,00200,0100,F 22744,A81000C,00200,0200,JOHN LUNT/JOHN ORESTIS 22744,A81000C,00200,0400,SOMERSET LTD PARTNERSHIP 22744,A81000C,00200,0600,RENTAL ORGANIZATION 22744,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22744,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22744,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22744,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22744,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22744,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22744,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22744,B100000,00000,0800,00000MEALS SERVED :DIETARY 22744,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22744,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22744,B100000,00000,1301,00000TIME SPENT :PATIENT ACTIVITIES 22744,S000000,00100,0200,05/31/2000 22744,S200000,00100,0100,OWENS STREET 22744,S200000,00200,0100,BINGHAM 22744,S200000,00200,0200,ME 22744,S200000,00200,0300,04943- 22744,S200000,00300,0100,SOMERSET 22744,S200000,00300,0200,9920 22744,S200000,00300,0300,R 22744,S200000,00400,0100,SOMERSET MANOR 22744,S200000,00400,0200,205165 22744,S200000,00400,0300,03/31/1994 22744,S200000,00400,0500,P 22744,S200000,01500,0100,Y 22744,S200000,02800,0100,Y 22754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22754,A000000,00101,0000,00101CAP REL COSTS - LIVING CENTER 22754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22754,A000000,00300,0000,00300EMPLOYEE BENEFITS 22754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22754,A000000,00700,0000,00700HOUSEKEEPING 22754,A000000,00800,0000,00800DIETARY 22754,A000000,00900,0000,00900NURSING ADMINISTRATION 22754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22754,A000000,01100,0000,01100PHARMACY 22754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22754,A000000,01300,0000,01300SOCIAL SERVICE 22754,A000000,01350,0000,01500OTHER GENERAL SERVICES 22754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22754,A000000,01600,0000,01600SKILLED NURSING FACILITY 22754,A000000,01800,0000,01800NURSING FACILITY 22754,A000000,01900,0000,01900OTHER LONG TERM CARE 22754,A000000,02100,0000,02100RADIOLOGY 22754,A000000,02200,0000,02200LABORATORY 22754,A000000,02300,0000,02300INTRAVENOUS THERAPY 22754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22754,A000000,02500,0000,02500PHYSICAL THERAPY 22754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22754,A000000,02700,0000,02700SPEECH PATHOLOGY 22754,A000000,02800,0000,02800ELECTROCARDIOLOGY 22754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22754,A000000,03200,0000,03200SUPPORT SURFACES 22754,A000000,03400,0000,03400CLINIC 22754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22754,A000000,03500,0000,03500RURAL HEALTH CLINIC 22754,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22754,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22754,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22754,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22754,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22754,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22754,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22754,A000000,04400,0000,04400DME RENTED - HHA 22754,A000000,04500,0000,04500DME SOLD - HHA 22754,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22754,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22754,A000000,04800,0000,04800AMBULANCE 22754,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22754,A000000,05000,0000,05000CORF 22754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22754,A000000,05300,0000,05300INTEREST EXPENSE 22754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22754,A000000,05500,0000,05500HOSPICE 22754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22754,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22754,A000000,06100,0000,06100NONPAID WORKERS 22754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22754,A000000,06151,0000,06301LIVING CENTER 22754,A000000,06152,0000,06302CHILD CARE 22754,A000000,06200,0000,06200PATIENTS LAUNDRY 22754,A81000A,00100,0100,Y 22754,A81000B,00100,0300,FACILITY RENTAL EXPENSE 22754,A81000B,00200,0300,FACILITY RENTAL EXPENSE 22754,A81000B,00300,0300,DEPRECIATION & AMORTIZATION 22754,A81000B,00400,0300,DEPRECIATION & AMORTIZATION 22754,A81000B,00500,0300,PROPERTY TAXES 22754,A81000B,00600,0300,PROPERTY TAXES 22754,A81000B,00700,0300,INTEREST & INSURANCE 22754,A81000B,00800,0300,INTEREST & INSURANCE 22754,A81000C,00100,0100,A 22754,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 22754,B100000,00000,0101,00002SQUARE FEET :CAP REL COSTS - LIVIN 22754,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 22754,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 22754,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 22754,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 22754,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 22754,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 22754,B100000,00000,0800,00002MEALS SERVED :DIETARY 22754,B100000,00000,0950,00002DIRECT NURSING HR :NURSING ADMINIST 22754,B100000,00000,1000,00002COSTEDREQU UISITIONS :CENTRAL SERV 22754,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 22754,S000000,00100,0200,05/10/2000 22754,S200000,00100,0100,50 NEW PORTLAND RD 22754,S200000,00200,0100,GORHAM 22754,S200000,00200,0200,ME 22754,S200000,00200,0300,04038- 22754,S200000,00300,0100,ANDROSCOGGIN 22754,S200000,00300,0200,6403 22754,S200000,00300,0300,U 22754,S200000,00400,0100,GORHAM HEALTHCARE INC. 22754,S200000,00400,0200,205166 22754,S200000,00400,0300,10/01/1994 22754,S200000,00400,0500,P 22754,S200000,00600,0600,P 22754,S200000,01600,0100,Y 22765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22765,A000000,00300,0000,00300EMPLOYEE BENEFITS 22765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22765,A000000,00700,0000,00700HOUSEKEEPING 22765,A000000,00800,0000,00800DIETARY 22765,A000000,00900,0000,00900NURSING ADMINISTRATION 22765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22765,A000000,01100,0000,01100PHARMACY 22765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22765,A000000,01300,0000,01300SOCIAL SERVICE 22765,A000000,01350,0000,01500PATIENT ACTIVITIES 22765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22765,A000000,01600,0000,01600SKILLED NURSING FACILITY 22765,A000000,01800,0000,01800NURSING FACILITY 22765,A000000,01810,0000,01810ICF/MR 22765,A000000,01900,0000,01900OTHER LONG TERM CARE 22765,A000000,02100,0000,02100RADIOLOGY 22765,A000000,02200,0000,02200LABORATORY 22765,A000000,02300,0000,02300INTRAVENOUS THERAPY 22765,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22765,A000000,02500,0000,02500PHYSICAL THERAPY 22765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22765,A000000,02700,0000,02700SPEECH PATHOLOGY 22765,A000000,02800,0000,02800ELECTROCARDIOLOGY 22765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22765,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22765,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22765,A000000,03200,0000,03200SUPPORT SURFACES 22765,A000000,03400,0000,03400CLINIC 22765,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22765,A000000,03500,0000,03500RURAL HEALTH CLINIC 22765,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22765,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22765,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22765,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22765,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22765,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22765,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22765,A000000,04400,0000,04400DME RENTED - HHA 22765,A000000,04500,0000,04500DME SOLD - HHA 22765,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22765,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22765,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22765,A000000,04800,0000,04800AMBULANCE 22765,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22765,A000000,05000,0000,05000CORF 22765,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22765,A000000,05300,0000,05300INTEREST EXPENSE 22765,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22765,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22765,A000000,05500,0000,05500HOSPICE 22765,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22765,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22765,A000000,06100,0000,06100NONPAID WORKERS 22765,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22765,A000000,06200,0000,06200PATIENTS LAUNDRY 22765,A81000A,00100,0100,Y 22765,A81000B,00100,0300,DEPRECIATION EXPENSE 22765,A81000B,00200,0300,INTEREST EXPENSE 22765,A81000C,00100,0100,F 22765,A81000C,00100,0200,J ORESTIS J LUNT 22765,A81000C,00100,0400,ORCHARD PARK LTD PRTNRSHP 22765,A81000C,00100,0600,RENTAL COMPANY 22765,A81000C,00200,0100,F 22765,A81000C,00200,0200,J ORESTIS J LUNT 22765,A81000C,00200,0400,ORCHARD PARK LTD PRTNRSHP 22765,A81000C,00200,0600,RENTAL COMPANY 22765,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22765,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22765,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22765,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22765,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22765,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22765,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22765,B100000,00000,0800,00000MEALS SERVED :DIETARY 22765,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22765,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22765,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22765,S000000,00100,0200,05/31/2000 22765,S200000,00100,0100,ORCHARD STREET 22765,S200000,00200,0100,FARMINGTON 22765,S200000,00200,0200,ME 22765,S200000,00200,0300,04938- 22765,S200000,00300,0100,FRANKLIN 22765,S200000,00300,0200,9920 22765,S200000,00300,0300,R 22765,S200000,00400,0100,ORCHARD PARK 22765,S200000,00400,0200,205168 22765,S200000,00400,0300,01/31/1994 22765,S200000,00400,0500,P 22765,S200000,01500,0100,Y 22765,S200000,02200,0100,Y 22765,S200000,02800,0100,Y 22783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22783,A000000,00300,0000,00300EMPLOYEE BENEFITS 22783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22783,A000000,00700,0000,00700HOUSEKEEPING 22783,A000000,00800,0000,00800DIETARY 22783,A000000,00900,0000,00900NURSING ADMINISTRATION 22783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22783,A000000,01100,0000,01100PHARMACY 22783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22783,A000000,01300,0000,01300SOCIAL SERVICE 22783,A000000,01350,0000,01500PATIENT ACTIVITIES 22783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22783,A000000,01600,0000,01600SKILLED NURSING FACILITY 22783,A000000,01800,0000,01800NURSING FACILITY 22783,A000000,01810,0000,01810ICF/MR 22783,A000000,01900,0000,01900OTHER LONG TERM CARE 22783,A000000,02100,0000,02100RADIOLOGY 22783,A000000,02200,0000,02200LABORATORY 22783,A000000,02300,0000,02300INTRAVENOUS THERAPY 22783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22783,A000000,02500,0000,02500PHYSICAL THERAPY 22783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22783,A000000,02700,0000,02700SPEECH PATHOLOGY 22783,A000000,02800,0000,02800ELECTROCARDIOLOGY 22783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22783,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22783,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22783,A000000,03200,0000,03200SUPPORT SURFACES 22783,A000000,03400,0000,03400CLINIC 22783,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22783,A000000,03500,0000,03500RURAL HEALTH CLINIC 22783,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22783,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22783,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22783,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22783,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22783,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22783,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22783,A000000,04400,0000,04400DME RENTED - HHA 22783,A000000,04500,0000,04500DME SOLD - HHA 22783,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22783,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22783,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22783,A000000,04800,0000,04800AMBULANCE 22783,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22783,A000000,05000,0000,05000CORF 22783,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22783,A000000,05300,0000,05300INTEREST EXPENSE 22783,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22783,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22783,A000000,05500,0000,05500HOSPICE 22783,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22783,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22783,A000000,06100,0000,06100NONPAID WORKERS 22783,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22783,A000000,06200,0000,06200PATIENTS LAUNDRY 22783,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22783,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22783,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22783,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22783,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22783,E10A180,00302,0100,04/20/1999 22783,S000000,00100,0200,05/25/2000 22783,S200000,00100,0100,18 LEIGHTON STREET 22783,S200000,00200,0100,PITTSFIELD 22783,S200000,00200,0200,ME 22783,S200000,00200,0300,04967- 22783,S200000,00300,0100,SOMERSET 22783,S200000,00300,0200,9920 22783,S200000,00300,0300,R 22783,S200000,00400,0100,BIRCH GROVE 22783,S200000,00400,0200,205171 22783,S200000,00400,0300,03/01/1994 22783,S200000,00400,0500,P 22783,S200000,00400,0600,O 22783,S200000,01004,0500,O 22783,S200000,01500,0100,Y 22790,S000000,00100,0200,06/01/2000 22797,S000000,00100,0200,06/01/2000 22804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22804,A000000,00300,0000,00300EMPLOYEE BENEFITS 22804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22804,A000000,00700,0000,00700HOUSEKEEPING 22804,A000000,00800,0000,00800DIETARY 22804,A000000,00900,0000,00900NURSING ADMINISTRATION 22804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22804,A000000,01100,0000,01100PHARMACY 22804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22804,A000000,01300,0000,01300SOCIAL SERVICE 22804,A000000,01350,0000,01500PATIENT ACTIVITIES 22804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22804,A000000,01600,0000,01600SKILLED NURSING FACILITY 22804,A000000,01800,0000,01800NURSING FACILITY 22804,A000000,01810,0000,01810ICF/MR 22804,A000000,01900,0000,01900OTHER LONG TERM CARE 22804,A000000,02100,0000,02100RADIOLOGY 22804,A000000,02200,0000,02200LABORATORY 22804,A000000,02300,0000,02300INTRAVENOUS THERAPY 22804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22804,A000000,02500,0000,02500PHYSICAL THERAPY 22804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22804,A000000,02700,0000,02700SPEECH PATHOLOGY 22804,A000000,02800,0000,02800ELECTROCARDIOLOGY 22804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22804,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22804,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22804,A000000,03200,0000,03200SUPPORT SURFACES 22804,A000000,03400,0000,03400CLINIC 22804,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22804,A000000,03500,0000,03500RURAL HEALTH CLINIC 22804,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22804,A000000,04800,0000,04800AMBULANCE 22804,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22804,A000000,05000,0000,05000CORF 22804,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22804,A000000,05300,0000,05300INTEREST EXPENSE 22804,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22804,A000000,05500,0000,05500HOSPICE 22804,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22804,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22804,A000000,06100,0000,06100NONPAID WORKERS 22804,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22804,A000000,06200,0000,06200PATIENTS LAUNDRY 22804,A81000A,00100,0100,Y 22804,A81000B,00100,0300,BUILDING DEPRECIATION 22804,A81000B,00200,0300,INTEREST EXPENSE 22804,A81000C,00100,0100,F 22804,A81000C,00100,0200,JOHN LUNT/JOHN ORESTIS 22804,A81000C,00100,0400,SANFIELD LTD PARTNERSHIPS 22804,A81000C,00100,0600,RENTAL ORGANIZATION 22804,A81000C,00200,0100,F 22804,A81000C,00200,0200,JOHN LUNT/JOHN ORESTIS 22804,A81000C,00200,0400,SANFIELD LTD PARTNERSHIPS 22804,A81000C,00200,0600,RENTAL ORGANIZATION 22804,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22804,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 22804,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22804,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22804,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22804,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22804,B100000,00000,0800,00000MEALS SERVED :DIETARY 22804,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 22804,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22804,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22804,S000000,00100,0200,05/31/2000 22804,S200000,00100,0100,47 MAIN STREET 22804,S200000,00100,0300,234 22804,S200000,00200,0100,HARTLAND 22804,S200000,00200,0200,ME 22804,S200000,00200,0300,04943- 22804,S200000,00300,0100,SOMERSET 22804,S200000,00300,0200,9920 22804,S200000,00300,0300,R 22804,S200000,00400,0100,SANFIELD LIVING CENTER 22804,S200000,00400,0200,205174 22804,S200000,00400,0300,03/01/1994 22804,S200000,00400,0500,P 22804,S200000,01500,0100,Y 22804,S200000,02200,0100,Y 22804,S200000,02800,0100,Y 22810,S000000,00100,0200,03/01/2000 22819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22819,A000000,00300,0000,00300EMPLOYEE BENEFITS 22819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22819,A000000,00700,0000,00700HOUSEKEEPING 22819,A000000,00800,0000,00800DIETARY 22819,A000000,00900,0000,00900NURSING ADMINISTRATION 22819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22819,A000000,01100,0000,01100PHARMACY 22819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22819,A000000,01300,0000,01300SOCIAL SERVICE 22819,A000000,01350,0000,01500PATIENT ACTIVITIES 22819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22819,A000000,01600,0000,01600SKILLED NURSING FACILITY 22819,A000000,01800,0000,01800NURSING FACILITY 22819,A000000,01810,0000,01810ICF/MR 22819,A000000,01900,0000,01900OTHER LONG TERM CARE 22819,A000000,02100,0000,02100RADIOLOGY 22819,A000000,02200,0000,02200LABORATORY 22819,A000000,02300,0000,02300INTRAVENOUS THERAPY 22819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22819,A000000,02500,0000,02500PHYSICAL THERAPY 22819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22819,A000000,02700,0000,02700SPEECH PATHOLOGY 22819,A000000,02800,0000,02800ELECTROCARDIOLOGY 22819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22819,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22819,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22819,A000000,03200,0000,03200SUPPORT SURFACES 22819,A000000,03400,0000,03400CLINIC 22819,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22819,A000000,03500,0000,03500RURAL HEALTH CLINIC 22819,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22819,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22819,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22819,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22819,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22819,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22819,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22819,A000000,04400,0000,04400DME RENTED - HHA 22819,A000000,04500,0000,04500DME SOLD - HHA 22819,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22819,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22819,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22819,A000000,04800,0000,04800AMBULANCE 22819,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22819,A000000,05000,0000,05000CORF 22819,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22819,A000000,05300,0000,05300INTEREST EXPENSE 22819,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22819,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22819,A000000,05500,0000,05500HOSPICE 22819,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22819,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22819,A000000,06100,0000,06100NONPAID WORKERS 22819,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22819,A000000,06200,0000,06200PATIENTS LAUNDRY 22819,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 22819,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 22819,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 22819,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 22819,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 22819,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 22819,B100000,00000,0800,00000MEALS SERVED :DIETARY 22819,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 22819,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 22819,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 22819,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 22819,S000000,00100,0200,05/25/2000 22819,S200000,00100,0100,105 MECHANIC STREET 22819,S200000,00200,0100,CAMDEN 22819,S200000,00200,0200,ME 22819,S200000,00200,0300,04843- 22819,S200000,00300,0100,USA 22819,S200000,00300,0200,9920 22819,S200000,00300,0300,R 22819,S200000,00400,0100,WINDWARD GARDENS 22819,S200000,00400,0200,205180 22819,S200000,00400,0300,04/23/1994 22819,S200000,00400,0500,P 22819,S200000,00600,0200,205180 22819,S200000,00600,0300,04/23/1994 22819,S200000,00600,0600,P 22819,S200000,01004,0500,O 22819,S200000,01600,0100,Y 22826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 22826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 22826,A000000,00300,0000,00300EMPLOYEE BENEFITS 22826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 22826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22826,A000000,00700,0000,00700HOUSEKEEPING 22826,A000000,00800,0000,00800DIETARY 22826,A000000,00900,0000,00900NURSING ADMINISTRATION 22826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22826,A000000,01100,0000,01100PHARMACY 22826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22826,A000000,01300,0000,01300SOCIAL SERVICE 22826,A000000,01350,0000,01500PATIENT ACTIVITIES 22826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 22826,A000000,01600,0000,01600SKILLED NURSING FACILITY 22826,A000000,01800,0000,01800NURSING FACILITY 22826,A000000,01810,0000,01810ICF/MR 22826,A000000,01900,0000,01900OTHER LONG TERM CARE 22826,A000000,02100,0000,02100RADIOLOGY 22826,A000000,02200,0000,02200LABORATORY 22826,A000000,02300,0000,02300INTRAVENOUS THERAPY 22826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22826,A000000,02500,0000,02500PHYSICAL THERAPY 22826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22826,A000000,02700,0000,02700SPEECH PATHOLOGY 22826,A000000,02800,0000,02800ELECTROCARDIOLOGY 22826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 22826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22826,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22826,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 22826,A000000,03200,0000,03200SUPPORT SURFACES 22826,A000000,03400,0000,03400CLINIC 22826,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22826,A000000,03500,0000,03500RURAL HEALTH CLINIC 22826,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 22826,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 22826,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 22826,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 22826,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 22826,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 22826,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 22826,A000000,04400,0000,04400DME RENTED - HHA 22826,A000000,04500,0000,04500DME SOLD - HHA 22826,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 22826,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 22826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22826,A000000,04800,0000,04800AMBULANCE 22826,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 22826,A000000,05000,0000,05000CORF 22826,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 22826,A000000,05300,0000,05300INTEREST EXPENSE 22826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 22826,A000000,05500,0000,05500HOSPICE 22826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 22826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22826,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 22826,A000000,06100,0000,06100NONPAID WORKERS 22826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22826,A000000,06151,0000,06301ADULT DAYCARE 22826,A000000,06200,0000,06200PATIENTS LAUNDRY 22826,A81000A,00100,0100,Y 22826,A81000B,00100,0300,BLDG LEASE INTEREST 22826,A81000B,00200,0300,DEPRECIATION 22826,A81000B,00300,0300,PHYSICAL THERAPY 22826,A81000C,00100,0100,A 22826,A81000C,00100,0200,STEVE WEISBERGER 22826,A81000C,00100,0400,CHANDLER BAY PROPERTIES 22826,A81000C,00100,0600,RENTAL OF PROPERTY 22826,A81000C,00200,0100,A 22826,A81000C,00200,0200,STEVE WEISBERGER 22826,A81000C,00200,0400,CHANDLER BAY PROPERTIES 22826,A81000C,00200,0600,RENTAL OF PROPERTY 22826,A81000C,00300,0100,A 22826,A81000C,00300,0200,STEVE WEISBERGER 22826,A81000C,00300,0400,MEDICAL FINANCIAL SERVICE 22826,A81000C,00300,0600,CENTRAL OFFICE REHAB 22826,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 22826,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 22826,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 22826,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 22826,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 22826,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 22826,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 22826,B100000,00000,0800,00001MEALS SERVED :DIETARY 22826,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 22826,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 22826,S000000,00100,0200,05/31/2000 22826,S200000,00100,0100,10 HOULTON STREET 22826,S200000,00200,0100,PATTEN 22826,S200000,00200,0200,ME 22826,S200000,00200,0300,04765-0240 22826,S200000,00300,0100,PENOBSCOT 22826,S200000,00300,0200,0733 22826,S200000,00300,0300,U 22826,S200000,00400,0100,MOUNTAIN HEIGHTS HEALTH CARE FACILIT 22826,S200000,00400,0200,205181 22826,S200000,00400,0300,06/01/1994 22826,S200000,00400,0500,P 22826,S200000,01600,0100,Y 22826,S200000,02200,0100,Y 22833,S000000,00100,0200,05/05/2000 22838,S000000,00100,0200,05/02/2000 22863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22863,A000000,00300,0000,00300EMPLOYEE BENEFITS 22863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22863,A000000,00700,0000,00700HOUSEKEEPING 22863,A000000,00800,0000,00800DIETARY 22863,A000000,00900,0000,00900NURSING ADMINISTRATION 22863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22863,A000000,01100,0000,01100PHARMACY 22863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22863,A000000,01300,0000,01300SOCIAL SERVICE 22863,A000000,01350,0000,01500ACTIVITIES 22863,A000000,01351,0000,01501INDIRECT CONSULTANTS 22863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22863,A000000,01600,0000,01600SKILLED NURSING FACILITY 22863,A000000,01800,0000,01800NURSING FACILITY 22863,A000000,01810,0000,01810ICF/MR 22863,A000000,02100,0000,02100RADIOLOGY 22863,A000000,02200,0000,02200LABORATORY 22863,A000000,02300,0000,02300INTRAVENOUS THERAPY 22863,A000000,02500,0000,02500PHYSICAL THERAPY 22863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22863,A000000,02700,0000,02700SPEECH PATHOLOGY 22863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22863,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 22863,A000000,03051,0000,03301NEUTRITIONAL THERAPY 22863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22863,A000000,03550,0000,03550FQHC 22863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22863,A000000,05000,0000,05000CORF 22863,A000000,05010,0000,05010CMHC 22863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22863,A81000A,00100,0100,Y 22863,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 22863,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 22863,A81000B,00300,0300,ADMINISTRATIVE P/S 22863,A81000C,00100,0100,B 22863,A81000C,00100,0200,ESL MGMT COMPANY 22863,A81000C,00100,0400,EPOCH SENIOR LIVING 22863,A81000C,00100,0600,HOME OFFICE 22863,B100000,00000,0100,00000SQUARE FEET 22863,B100000,00000,0200,00000SQUARE FEET 22863,B100000,00000,0300,00000GROSS SALARIES 22863,B100000,00000,0400,00000ACCUM. COST 22863,B100000,00000,0500,00000SQUARE FEET 22863,B100000,00000,0600,00000PATIENT DAYS 22863,B100000,00000,0700,00000SQUARE FEET 22863,B100000,00000,0800,00000PATIENT DAYS 22863,B100000,00000,0900,00000DIRECT NRSING HRS 22863,B100000,00000,1000,00000PATIENT DAYS 22863,B100000,00000,1100,00000N/A 22863,B100000,00000,1200,00000PATIENT DAYS 22863,B100000,00000,1300,00000PATIENT DAYS 22863,B100000,00000,1350,00000PATIENT DAYS 22863,B100000,00000,1351,00000N/A 22863,B100000,00000,1400,00000N/A 22863,S000000,00100,0200,05/31/2000 22863,S200000,00100,0100,15 GREEN STREET 22863,S200000,00200,0100,MELROSE 22863,S200000,00200,0200,MA 22863,S200000,00200,0300,02176 22863,S200000,00300,0100,MIDDLESEX 22863,S200000,00400,0100,NORMANDY SENIOR CARE CTR 22863,S200000,00400,0200,225007 22863,S200000,00400,0300,07/01/1966 22863,S200000,00400,0500,P 22863,S200000,00400,0600,P 22863,S200000,01600,0100,Y 22872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22872,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 22872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22872,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 22872,A000000,00300,0000,00300EMPLOYEE BENEFITS 22872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22872,A000000,00700,0000,00700HOUSEKEEPING 22872,A000000,00800,0000,00800DIETARY 22872,A000000,00801,0000,00801CAFETERIA 22872,A000000,00900,0000,00900NURSING ADMINISTRATION 22872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22872,A000000,01100,0000,01100PHARMACY 22872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22872,A000000,01300,0000,01300SOCIAL SERVICE 22872,A000000,01350,0000,01500ACTIVITIES 22872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22872,A000000,01600,0000,01600SKILLED NURSING FACILITY 22872,A000000,01810,0000,01810ICF/MR 22872,A000000,02100,0000,02100RADIOLOGY 22872,A000000,02200,0000,02200LABORATORY 22872,A000000,02300,0000,02300INTRAVENOUS THERAPY 22872,A000000,02500,0000,02500PHYSICAL THERAPY 22872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22872,A000000,02700,0000,02700SPEECH PATHOLOGY 22872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22872,A000000,03050,0000,03300OTHER ANCILLARY 22872,A000000,03051,0000,03301OTHER ANCILLARY II 22872,A000000,03052,0000,03302OTHER ANCILLARY III 22872,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 22872,A000000,03550,0000,03550FQHC 22872,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22872,A000000,04800,0000,04800AMBULANCE 22872,A000000,05000,0000,05000CORF I 22872,A000000,05010,0000,05010CMHC I 22872,A000000,05020,0000,05020OPT I 22872,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22872,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 22872,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 22872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22872,A000000,06151,0000,06350RHC 22872,A000000,06153,0000,06360CMHC 22872,A000000,06154,0000,06370OUTPATIENT PHYSICAL THERAPY 22872,A000000,06155,0000,06380OUTPATIENT OCCUPATIONAL THERAPY 22872,A000000,06156,0000,06390OUTPATIENT SPEECH PATHOLOGY 22872,A81000A,00100,0100,Y 22872,A81000B,00100,0300,HOME OFFICE 22872,A81000B,00200,0300,HOME OFFICE CAPITAL 22872,A81000B,00500,0300,SEE ATTACHED 22872,A81000C,00100,0100,B 22872,A81000C,00100,0200,GENESIS HEALTH 22872,A81000C,00100,0600,HOME OFFICE 22872,A81000C,00200,0100,B 22872,A81000C,00200,0200,GENESIS HEALTH 22872,A81000C,00200,0600,PHYSICAL THERAP 22872,A81000C,00300,0100,B 22872,A81000C,00300,0200,GENESIS HEALTH 22872,A81000C,00300,0600,OCCUP THERAPY 22872,A81000C,00400,0100,B 22872,A81000C,00400,0200,GENESIS HEALTH 22872,A81000C,00400,0600,SPEECH THERAPY 22872,A81000C,00500,0100,B 22872,A81000C,00500,0200,NEIGHBORCARE 22872,A81000C,00500,0600,DRUGS 22872,A81000C,00600,0100,B 22872,A81000C,00600,0200,NEIGHBORCARE 22872,A81000C,00600,0600,MED SUPPLIES 22872,B100000,00000,0100,00090(SQUARE FEET) 22872,B100000,00000,0101,00090(SQUARE FEET) 22872,B100000,00000,0200,00090(SQUARE FEET) 22872,B100000,00000,0201,00090(SQUARE FEET) 22872,B100000,00000,0300,00090(GROSS SALARIES) 22872,B100000,00000,0400,00090(ACCUM. COST) 22872,B100000,00000,0500,00090(SQUARE FEET) 22872,B100000,00000,0600,00090(PATIENT DAYS) 22872,B100000,00000,0700,00090(SQUARE FEET) 22872,B100000,00000,0800,00090(MEALS SERVED) 22872,B100000,00000,0801,00090(MEALS SERVED) 22872,B100000,00000,0900,00090(NURSING SALARIES) 22872,B100000,00000,1000,00090(COSTED REQUIS.) 22872,B100000,00000,1100,00090(COSTED REQUIS.) 22872,B100000,00000,1200,00090(GROSS CHARGES) 22872,B100000,00000,1300,00090(PATIENT DAYS) 22872,B100000,00000,1350,00090(PATIENT DAYS) 22872,B100000,00000,1400,00090(ASSIGNED TIME) 22872,S000000,00100,0200,05/05/2000 22872,S200000,00100,0100,1245 CENTRE STREET 22872,S200000,00200,0100,BOSTON 22872,S200000,00200,0200,MA 22872,S200000,00200,0300,02131 22872,S200000,00300,0100,SUFFOLK 22872,S200000,00400,0100,THE BOSTON CENTER 22872,S200000,00400,0200,225014 22872,S200000,00400,0300,01/01/1967 22872,S200000,00400,0500,P 22872,S200000,01500,0100,Y 22872,S200000,01600,0100,Y 22880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22880,A000000,00300,0000,00300EMPLOYEE BENEFITS 22880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22880,A000000,00700,0000,00700HOUSEKEEPING 22880,A000000,00800,0000,00800DIETARY 22880,A000000,00900,0000,00900NURSING ADMINISTRATION 22880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22880,A000000,01100,0000,01100PHARMACY 22880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22880,A000000,01300,0000,01300SOCIAL SERVICE 22880,A000000,01350,0000,01500ACTIVITIES 22880,A000000,01351,0000,01501INDIRECT CONSULTANTS 22880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22880,A000000,01600,0000,01600SKILLED NURSING FACILITY 22880,A000000,01800,0000,01800NURSING FACILITY 22880,A000000,01810,0000,01810ICF/MR 22880,A000000,02100,0000,02100RADIOLOGY 22880,A000000,02200,0000,02200LABORATORY 22880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22880,A000000,02500,0000,02500PHYSICAL THERAPY 22880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22880,A000000,02700,0000,02700SPEECH PATHOLOGY 22880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22880,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 22880,A000000,03051,0000,03301TRANSPORTATION 22880,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22880,A000000,03550,0000,03550FQHC 22880,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22880,A000000,05000,0000,05000CORF 22880,A000000,05010,0000,05010CMHC 22880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22880,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 22880,A000000,06152,0000,06302PHYSICIAN PRIVATE OFFICE 22880,A81000A,00100,0100,Y 22880,A81000B,00100,0300,ADMINISTRATOR SALARY 22880,A81000B,00200,0300,QA NURSE SALARY 22880,A81000C,00100,0100,E 22880,A81000C,00100,0200,MICHAEL ROLAND 22880,A81000C,00100,0600,OWNERS COMP 22880,A81000C,00200,0100,D 22880,A81000C,00200,0200,JANE ROLAND 22880,A81000C,00200,0600,QUALITY ASSURANCE 22880,B100000,00000,0100,00002SQUARE FEET 22880,B100000,00000,0200,00002SQUARE FEET 22880,B100000,00000,0300,00002GROSS SALARIES 22880,B100000,00000,0400,00002ACCUM. COST 22880,B100000,00000,0500,00002SQUARE FEET 22880,B100000,00000,0600,00002PATIENT DAYS 22880,B100000,00000,0700,00002SQUARE FEET 22880,B100000,00000,0800,00002MEALS SERVED 22880,B100000,00000,0900,00002DIRECT NRSING HRS 22880,B100000,00000,1000,00002COSTED REQUIS. 22880,B100000,00000,1100,00002N/A 22880,B100000,00000,1200,00002PATIENT DAYS 22880,B100000,00000,1300,00002PATIENT DAYS 22880,B100000,00000,1350,00002PATIENT DAYS 22880,B100000,00000,1351,00002NO STATISTICS 22880,B100000,00000,1400,00002ASSIGNED TIME 22880,S000000,00100,0200,05/31/2000 22880,S200000,00100,0100,34 NORTH PEARL STREET 22880,S200000,00200,0100,BROCKTON 22880,S200000,00200,0200,MA 22880,S200000,00200,0300,02301 22880,S200000,00300,0100,PLYMOUTH 22880,S200000,00300,0200,1123 22880,S200000,00300,0300,U 22880,S200000,00400,0100,BRAEMOOR REHAB AND NURS. 22880,S200000,00400,0200,225036 22880,S200000,00400,0300,12/20/1966 22880,S200000,00400,0500,P 22880,S200000,00400,0600,O 22880,S200000,01600,0100,Y 22890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22890,A000000,00300,0000,00300EMPLOYEE BENEFITS 22890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22890,A000000,00700,0000,00700HOUSEKEEPING 22890,A000000,00800,0000,00800DIETARY 22890,A000000,00900,0000,00900NURSING ADMINISTRATION 22890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22890,A000000,01100,0000,01100PHARMACY 22890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22890,A000000,01300,0000,01300SOCIAL SERVICE 22890,A000000,01350,0000,01500ACTIVITIES 22890,A000000,01351,0000,01501INDIRECT CONSULTANTS 22890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22890,A000000,01600,0000,01600SKILLED NURSING FACILITY 22890,A000000,01810,0000,01810ICF/MR 22890,A000000,02100,0000,02100RADIOLOGY 22890,A000000,02200,0000,02200LABORATORY 22890,A000000,02500,0000,02500PHYSICAL THERAPY 22890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22890,A000000,02700,0000,02700SPEECH PATHOLOGY 22890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22890,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22890,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22890,A000000,03550,0000,03550FQHC 22890,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22890,A000000,05000,0000,05000CORF 22890,A000000,05010,0000,05010CMHC 22890,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22890,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22890,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22890,A81000A,00100,0100,Y 22890,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 22890,A81000B,00200,0300,ADMINISTRATION 22890,A81000B,00300,0300,SEE SUPPLEMENTAL WORKPAPER 22890,A81000B,00400,0300,SEE SUPPLEMENTAL WORKPAPER 22890,A81000B,00500,0300,SEE SUPPLEMENTAL WORKPAPER 22890,A81000B,00600,0300,SEE SUPPLEMENTAL WORKPAPER 22890,A81000B,00700,0300,SEE SUPPLEMENTAL WORKPAPER 22890,A81000C,00100,0100,B 22890,A81000C,00100,0200,LEOMINISTER HOSPITAL 22890,A81000C,00100,0400,LEOMINISTER HOSPITAL 22890,A81000C,00100,0600,HOSPITAL 22890,A81000C,00200,0100,G 22890,A81000C,00200,0200,CNEHA 22890,A81000C,00200,0400,CNEHA 22890,A81000C,00200,0600,MANAGEMENT COMPANY 22890,A81000C,00300,0100,G 22890,A81000C,00300,0200,THE HIGHLANDS 22890,A81000C,00300,0400,THE HIGHLANDS 22890,A81000C,00300,0600,NURSING HOME 22890,B100000,00000,0100,00000SQUARE FEET 22890,B100000,00000,0200,00000SQUARE FEET 22890,B100000,00000,0300,00000GROSS SALARIES 22890,B100000,00000,0400,00000ACCUM. COST 22890,B100000,00000,0500,00000SQUARE FEET 22890,B100000,00000,0600,00000PATIENT DAYS 22890,B100000,00000,0700,00000SQUARE FEET 22890,B100000,00000,0800,00000PATIENT DAYS 22890,B100000,00000,0900,00000DIRECT NRSING HRS 22890,B100000,00000,1000,00000PATIENT DAYS 22890,B100000,00000,1100,00000N/A 22890,B100000,00000,1200,00000PATIENT DAYS 22890,B100000,00000,1300,00000PATIENT DAYS 22890,B100000,00000,1350,00000PATIENT DAYS 22890,B100000,00000,1351,00000N/A 22890,B100000,00000,1400,00000N/A 22890,S000000,00100,0200,02/29/2000 22890,S200000,00100,0100,370 WEST STREET 22890,S200000,00200,0100,LEOMINSTER 22890,S200000,00200,0200,MA 22890,S200000,00300,0100,WORCESTER 22890,S200000,00400,0100,FAIRLAWN NURSING HOME 22890,S200000,00400,0200,225038 22890,S200000,00400,0300,01/06/1967 22890,S200000,00400,0500,P 22890,S200000,00400,0600,P 22890,S200000,01500,0100,Y 22899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22899,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 22899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22899,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 22899,A000000,00300,0000,00300EMPLOYEE BENEFITS 22899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22899,A000000,00700,0000,00700HOUSEKEEPING 22899,A000000,00800,0000,00800DIETARY 22899,A000000,00801,0000,00801CAFETERIA 22899,A000000,00900,0000,00900NURSING ADMINISTRATION 22899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22899,A000000,01100,0000,01100PHARMACY 22899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22899,A000000,01300,0000,01300SOCIAL SERVICE 22899,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 22899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22899,A000000,01600,0000,01600SKILLED NURSING FACILITY 22899,A000000,01800,0000,01800NURSING FACILITY 22899,A000000,01810,0000,01810ICF/MR 22899,A000000,02200,0000,02200LABORATORY 22899,A000000,02300,0000,02300INTRAVENOUS THERAPY 22899,A000000,02500,0000,02500PHYSICAL THERAPY 22899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22899,A000000,02700,0000,02700SPEECH PATHOLOGY 22899,A000000,02800,0000,02800ELECTROCARDIOLOGY 22899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22899,A000000,03050,0000,03300OTHER ANCILLARY 22899,A000000,03051,0000,03301OTHER ANCILLARY II 22899,A000000,03052,0000,03302OTHER ANCILLARY III 22899,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 22899,A000000,03550,0000,03550FQHC 22899,A000000,04750,0000,05100JGSAS 22899,A000000,04800,0000,04800AMBULANCE 22899,A000000,05000,0000,05000CORF I 22899,A000000,05010,0000,05010CMHC I 22899,A000000,05020,0000,05020OPT I 22899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22899,A000000,05300,0000,05300INTEREST EXPENSE 22899,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 22899,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 22899,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 22899,A000000,06150,0000,06300DAYCARE 22899,A81000A,00100,0100,Y 22899,A81000B,00100,0300,LEGAL FEES 22899,A81000B,00200,0300,MANAGEMENT FEES 22899,A81000B,00300,0300,H.O. CAPITAL 22899,A81000B,00400,0300,H.O. INVEST INCOME 22899,A81000B,00500,0300,OFFICE SUPPLIES 22899,A81000C,00100,0100,E 22899,A81000C,00100,0200,SHRAIR 22899,A81000C,00100,0400,COOLEY/SHRAIR 22899,A81000C,00100,0600,LEGAL 22899,A81000C,00200,0100,B 22899,A81000C,00200,0200,JGS ADMIN SERV 22899,A81000C,00200,0400,JGS ADMIN SERV 22899,A81000C,00200,0600,MANAGEMENT 22899,A81000C,00300,0100,B 22899,A81000C,00300,0200,JGS ADMIN SERV 22899,A81000C,00300,0400,JGS ADMIN SERV 22899,A81000C,00300,0600,MANAGEMENT 22899,A81000C,00400,0100,B 22899,A81000C,00400,0200,JGS ADMIN SERV 22899,A81000C,00400,0400,JGS ADMIN SERV 22899,A81000C,00400,0600,MANAGEMENT 22899,A81000C,00500,0100,E 22899,A81000C,00500,0200,BOARD MEMBERS 22899,A81000C,00500,0400,BOARD MEMBERS 22899,A81000C,00500,0600,OFFICE SUPPLIES 22899,B100000,00000,0100,00000(SQUARE FEET) 22899,B100000,00000,0101,00000(SQUARE FEET) 22899,B100000,00000,0200,00000(SQUARE FEET) 22899,B100000,00000,0201,00000(SQUARE FEET) 22899,B100000,00000,0300,00000(GROSS SALARIES) 22899,B100000,00000,0400,00000(ACCUM. COST) 22899,B100000,00000,0500,00000(SQUARE FEET) 22899,B100000,00000,0600,00000(PATIENT DAYS) 22899,B100000,00000,0700,00000(SQUARE FEET) 22899,B100000,00000,0800,00000(MEALS SERVED) 22899,B100000,00000,0801,00000(MEALS SERVED) 22899,B100000,00000,0900,00000(DIRECT NRSING HRS 22899,B100000,00000,1000,00000(PATIENT DAYS) 22899,B100000,00000,1100,00000(COSTED REQUIS.) 22899,B100000,00000,1200,00000(PATIENT DAYS) 22899,B100000,00000,1300,00000(PATIENT DAYS) 22899,B100000,00000,1350,00000 22899,B100000,00000,1400,00000(ASSIGNED TIME) 22899,S000000,00100,0200,05/30/2000 22899,S200000,00100,0100,770 CONVERSE STREET 22899,S200000,00200,0100,LONGMEADOW 22899,S200000,00200,0200,MA 22899,S200000,00200,0300,01106 22899,S200000,00300,0100,HAMPDEN 22899,S200000,00400,0100,JEWISH NH OF WESTERN MA 22899,S200000,00400,0200,225040 22899,S200000,00400,0300,12/27/1966 22899,S200000,00400,0500,P 22899,S200000,01600,0100,Y 22899,S200000,04700,0100,Y 22899,S200000,04700,0200,Y 22917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22917,A000000,00300,0000,00300EMPLOYEE BENEFITS 22917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22917,A000000,00700,0000,00700HOUSEKEEPING 22917,A000000,00800,0000,00800DIETARY 22917,A000000,00900,0000,00900NURSING ADMINISTRATION 22917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22917,A000000,01100,0000,01100PHARMACY 22917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22917,A000000,01300,0000,01300SOCIAL SERVICE 22917,A000000,01350,0000,01500ACTIVITIES 22917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22917,A000000,01600,0000,01600SKILLED NURSING FACILITY 22917,A000000,01800,0000,01800NURSING FACILITY 22917,A000000,01810,0000,01810ICF/MR 22917,A000000,02100,0000,02100RADIOLOGY 22917,A000000,02200,0000,02200LABORATORY 22917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22917,A000000,02500,0000,02500PHYSICAL THERAPY 22917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22917,A000000,02700,0000,02700SPEECH PATHOLOGY 22917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22917,A000000,03101,0000,03110CLINITRON BEDS 22917,A000000,03550,0000,03550FQHC 22917,A000000,05000,0000,05000CORF 22917,A000000,05010,0000,05010CMHC 22917,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22917,B100000,00000,0100,00000SQUARE FEET 22917,B100000,00000,0200,00000SQUARE FEET 22917,B100000,00000,0300,00000GROSS SALARIES 22917,B100000,00000,0400,00000ACCUM COST 22917,B100000,00000,0500,00000SQUARE FEET 22917,B100000,00000,0600,00000PATIENT DAYS 22917,B100000,00000,0700,00000SQUARE FEET 22917,B100000,00000,0800,00000MEALS SERVED 22917,B100000,00000,0900,00000DIRECT NRSG HRS 22917,B100000,00000,1000,00000COSTED REQUIS 22917,B100000,00000,1100,00000COSTED REQUIS 22917,B100000,00000,1200,00000PATIENT DAYS 22917,B100000,00000,1300,00000PATIENT DAYS 22917,B100000,00000,1350,00000PATIENT DAYS 22917,B100000,00000,1400,00000ASSIGNED TIME 22917,S000000,00100,0200,05/30/2000 22917,S200000,00100,0100,96 FOREST STREET 22917,S200000,00200,0100,PEABODY 22917,S200000,00200,0200,MA 22917,S200000,00200,0300,01960 22917,S200000,00300,0100,ESSEX 22917,S200000,00400,0100,PILGRIM NURSING HOME 22917,S200000,00400,0200,225048 22917,S200000,00400,0300,02/02/1985 22917,S200000,00400,0500,P 22917,S200000,01600,0100,Y 22917,S200000,01900,0100,CORPORATION 22933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22933,A000000,00300,0000,00300EMPLOYEE BENEFITS 22933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22933,A000000,00700,0000,00700HOUSEKEEPING 22933,A000000,00800,0000,00800DIETARY 22933,A000000,00900,0000,00900NURSING ADMINISTRATION 22933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22933,A000000,01100,0000,01100PHARMACY 22933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22933,A000000,01300,0000,01300SOCIAL SERVICE 22933,A000000,01350,0000,01500ACTIVITIES 22933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22933,A000000,01600,0000,01600SKILLED NURSING FACILITY 22933,A000000,01800,0000,01800NURSING FACILITY 22933,A000000,01810,0000,01810ICF/MR 22933,A000000,02100,0000,02100RADIOLOGY 22933,A000000,02200,0000,02200LABORATORY 22933,A000000,02300,0000,02300INTRAVENOUS THERAPY 22933,A000000,02500,0000,02500PHYSICAL THERAPY 22933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22933,A000000,02700,0000,02700SPEECH PATHOLOGY 22933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22933,A000000,03050,0000,03300CHARGEABLE MEDICAL EQUIP 22933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22933,A000000,03550,0000,03550FQHC 22933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22933,A000000,05000,0000,05000CORF 22933,A000000,05010,0000,05010CMHC 22933,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22933,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22933,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22933,A81000A,00100,0100,Y 22933,A81000B,00100,0300,MANAGEMENT FEE 22933,A81000C,00100,0100,B 22933,A81000C,00100,0200,ESL MANAGEMENT COMPANY 22933,A81000C,00100,0400,EPOCH SENIOR LIVING INC 22933,A81000C,00100,0600,MANAGEMENT SERVICES 22933,B100000,00000,0100,00000SQUARE FEET 22933,B100000,00000,0200,00000SQUARE FEET 22933,B100000,00000,0300,00000GROSS SALARIES 22933,B100000,00000,0400,00000ACCUM. COST 22933,B100000,00000,0500,00000SQUARE FEET 22933,B100000,00000,0600,00000PATIENT DAYS 22933,B100000,00000,0700,00000SQUARE FEET 22933,B100000,00000,0800,00000PATIENT DAYS 22933,B100000,00000,0900,00000DIRECT NRSING HRS 22933,B100000,00000,1000,00000PATIENT DAYS 22933,B100000,00000,1100,00000COSTED REQUIS. 22933,B100000,00000,1200,00000PATIENT DAYS 22933,B100000,00000,1300,00000PATIENT DAYS 22933,B100000,00000,1350,00000PATIENT DAYS 22933,B100000,00000,1400,00000ASSIGNED TIME 22933,S000000,00100,0200,06/30/1999 22933,S200000,00100,0100,184 MANSFIELD AVENUE 22933,S200000,00200,0100,NORTON 22933,S200000,00200,0200,MA 22933,S200000,00200,0300,02766 22933,S200000,00300,0100,BRISTOL 22933,S200000,00400,0100,NORTON NURSING & REHAB CTR 22933,S200000,00400,0200,225051 22933,S200000,00400,0300,01/01/1967 22933,S200000,00400,0500,P 22933,S200000,00400,0600,P 22933,S200000,01600,0100,Y 22935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22935,A000000,00300,0000,00300EMPLOYEE BENEFITS 22935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22935,A000000,00700,0000,00700HOUSEKEEPING 22935,A000000,00800,0000,00800DIETARY 22935,A000000,00900,0000,00900NURSING ADMINISTRATION 22935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22935,A000000,01100,0000,01100PHARMACY 22935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22935,A000000,01300,0000,01300SOCIAL SERVICE 22935,A000000,01350,0000,01500ACTIVITIES 22935,A000000,01351,0000,01501INDIRECT CONSULTANTS 22935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22935,A000000,01600,0000,01600SKILLED NURSING FACILITY 22935,A000000,01800,0000,01800NURSING FACILITY 22935,A000000,01810,0000,01810ICF/MR 22935,A000000,02100,0000,02100RADIOLOGY 22935,A000000,02200,0000,02200LABORATORY 22935,A000000,02300,0000,02300INTRAVENOUS THERAPY 22935,A000000,02500,0000,02500PHYSICAL THERAPY 22935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22935,A000000,02700,0000,02700SPEECH PATHOLOGY 22935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22935,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 22935,A000000,03051,0000,03301AMBULANCE 22935,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22935,A000000,03550,0000,03550FQHC 22935,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22935,A000000,05000,0000,05000CORF 22935,A000000,05010,0000,05010CMHC 22935,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22935,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22935,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22935,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22935,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22935,A81000A,00100,0100,Y 22935,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 22935,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 22935,A81000B,00300,0300,ADMINISTRATIVE P/S 22935,A81000C,00100,0100,B 22935,A81000C,00100,0200,ESL MGMT COMPANY 22935,A81000C,00100,0400,EPOCH SENIOR LIVING 22935,A81000C,00100,0600,HOME OFFICE 22935,B100000,00000,0100,00000SQUARE FEET 22935,B100000,00000,0200,00000SQUARE FEET 22935,B100000,00000,0300,00000GROSS SALARIES 22935,B100000,00000,0400,00000ACCUM. COST 22935,B100000,00000,0500,00000SQUARE FEET 22935,B100000,00000,0600,00000PATIENT DAYS 22935,B100000,00000,0700,00000SQUARE FEET 22935,B100000,00000,0800,00000PATIENT DAYS 22935,B100000,00000,0900,00000DIRECT NRSING HRS 22935,B100000,00000,1000,00000PATIENT DAYS 22935,B100000,00000,1100,00000N/A 22935,B100000,00000,1200,00000PATIENT DAYS 22935,B100000,00000,1300,00000PATIENT DAYS 22935,B100000,00000,1350,00000PATIENT DAYS 22935,B100000,00000,1351,00000N/A 22935,B100000,00000,1400,00000N/A 22935,S000000,00100,0200,05/31/2000 22935,S200000,00100,0100,184 MANSFIELD 22935,S200000,00200,0100,NORTON 22935,S200000,00200,0200,MA 22935,S200000,00200,0300,02766 22935,S200000,00300,0100,BRISTOL 22935,S200000,00400,0100,NORTON NURSING & REHAB CTR 22935,S200000,00400,0200,225051 22935,S200000,00400,0300,01/01/1967 22935,S200000,00400,0500,P 22935,S200000,00400,0600,P 22935,S200000,01600,0100,Y 22944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22944,A000000,00300,0000,00300EMPLOYEE BENEFITS 22944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22944,A000000,00700,0000,00700HOUSEKEEPING 22944,A000000,00800,0000,00800DIETARY 22944,A000000,00900,0000,00900NURSING ADMINISTRATION 22944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22944,A000000,01100,0000,01100PHARMACY 22944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22944,A000000,01300,0000,01300SOCIAL SERVICE 22944,A000000,01350,0000,01500ACTIVITIES 22944,A000000,01351,0000,01501INDIRECT CONSULTANTS 22944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22944,A000000,01600,0000,01600SKILLED NURSING FACILITY 22944,A000000,01810,0000,01810ICF/MR 22944,A000000,02100,0000,02100RADIOLOGY 22944,A000000,02200,0000,02200LABORATORY 22944,A000000,02300,0000,02300INTRAVENOUS THERAPY 22944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22944,A000000,02500,0000,02500PHYSICAL THERAPY 22944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22944,A000000,02700,0000,02700SPEECH PATHOLOGY 22944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22944,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 22944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22944,A000000,03550,0000,03550FQHC 22944,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22944,A000000,05000,0000,05000CORF 22944,A000000,05010,0000,05010CMHC 22944,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22944,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22944,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22944,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22944,A81000A,00100,0100,Y 22944,A81000B,00100,0300,RENT-CAPITAL RELATED 22944,A81000C,00100,0100,A 22944,A81000C,00100,0200,RUTH HOUDE 22944,A81000C,00100,0400,K.B. NOMINEE TRUST 22944,A81000C,00100,0600,RENTAL PROPERTY 22944,B100000,00000,0100,00000SQUARE FEET 22944,B100000,00000,0200,00000SQUARE FEET 22944,B100000,00000,0300,00000GROSS SALARIES 22944,B100000,00000,0400,00000ACCUM. COST 22944,B100000,00000,0500,00000SQUARE FEET 22944,B100000,00000,0600,00000PATIENT DAYS 22944,B100000,00000,0700,00000SQUARE FEET 22944,B100000,00000,0800,00000MEALS SERVED 22944,B100000,00000,0900,00000HOURS OF SERVICE 22944,B100000,00000,1000,00000COSTED REQUIS. 22944,B100000,00000,1100,00000N/A 22944,B100000,00000,1200,00000PATIENT DAYS 22944,B100000,00000,1300,00000PATIENT DAYS 22944,B100000,00000,1350,00000PATIENT DAYS 22944,B100000,00000,1351,00000N/A 22944,B100000,00000,1400,00000N/A 22944,S000000,00100,0200,05/31/2000 22944,S200000,00100,0100,373 COMMONWEALTH ROAD 22944,S200000,00200,0100,WAYLAND 22944,S200000,00200,0200,MA 22944,S200000,00200,0300,01778 22944,S200000,00300,0100,MIDDLESEX 22944,S200000,00400,0100,KATHRYN BARTON NURSING HOME 22944,S200000,00400,0200,225056 22944,S200000,00400,0300,07/01/1990 22944,S200000,00400,0500,P 22944,S200000,00400,0600,O 22944,S200000,01500,0100,Y 22955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22955,A000000,00300,0000,00300EMPLOYEE BENEFITS 22955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22955,A000000,00700,0000,00700HOUSEKEEPING 22955,A000000,00800,0000,00800DIETARY 22955,A000000,00900,0000,00900NURSING ADMINISTRATION 22955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22955,A000000,01100,0000,01100PHARMACY 22955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22955,A000000,01300,0000,01300SOCIAL SERVICE 22955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22955,A000000,01600,0000,01600SKILLED NURSING FACILITY 22955,A000000,01810,0000,01810ICF/MR 22955,A000000,02100,0000,02100RADIOLOGY 22955,A000000,02200,0000,02200LABORATORY 22955,A000000,02500,0000,02500PHYSICAL THERAPY 22955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22955,A000000,02700,0000,02700SPEECH PATHOLOGY 22955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22955,A000000,03550,0000,03550FQHC 22955,A000000,05000,0000,05000CORF 22955,A000000,05010,0000,05010CMHC 22955,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22955,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22955,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22955,A000000,05300,0000,05300INTEREST EXPENSE 22955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 22955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22955,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 22955,B100000,00000,0100,00000SQUARE FEET 22955,B100000,00000,0200,00000SQUARE FEET 22955,B100000,00000,0300,00000GROSS SALARIES 22955,B100000,00000,0400,00000ACCUM COST 22955,B100000,00000,0500,00000SQUARE FEET 22955,B100000,00000,0600,00000PATIENT DAYS 22955,B100000,00000,0700,00000SQUARE FEET 22955,B100000,00000,0800,00000MEALS SERVED 22955,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 22955,B100000,00000,1000,00000COSTED REQUISITIO 22955,B100000,00000,1100,00000COSTED REQUISITIO 22955,B100000,00000,1200,00000PATIENT DAYS 22955,B100000,00000,1300,00000PATIENT DAYS 22955,B100000,00000,1400,00000ASSIGNED TIME 22955,S000000,00100,0200,05/31/2000 22955,S200000,00100,0100,DEACONESS ROAD 22955,S200000,00200,0100,CONCORD 22955,S200000,00200,0200,MA 22955,S200000,00200,0300,01742 22955,S200000,00300,0100,MIDDLESEX 22955,S200000,00400,0100,RIVERCREST LTC FACILITY 22955,S200000,00400,0200,225080 22955,S200000,00400,0300,12/27/1966 22955,S200000,00400,0500,P 22955,S200000,01500,0100,Y 22965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22965,A000000,00300,0000,00300EMPLOYEE BENEFITS 22965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22965,A000000,00700,0000,00700HOUSEKEEPING 22965,A000000,00800,0000,00800DIETARY 22965,A000000,00900,0000,00900NURSING ADMINISTRATION 22965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22965,A000000,01100,0000,01100PHARMACY 22965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22965,A000000,01300,0000,01300SOCIAL SERVICE 22965,A000000,01350,0000,01500ACTIVITIES 22965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22965,A000000,01600,0000,01600SKILLED NURSING FACILITY 22965,A000000,01810,0000,01810ICF/MR 22965,A000000,02200,0000,02200LABORATORY 22965,A000000,02500,0000,02500PHYSICAL THERAPY 22965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22965,A000000,02700,0000,02700SPEECH PATHOLOGY 22965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22965,A000000,03050,0000,03300CHARGEABLE MEDICAL EQUIP 22965,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22965,A000000,03550,0000,03550FQHC 22965,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22965,A000000,05000,0000,05000CORF 22965,A000000,05010,0000,05010CMHC 22965,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22965,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22965,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22965,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22965,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22965,A81000A,00100,0100,Y 22965,A81000B,00100,0300,MANAGEMENT FEE 22965,A81000C,00100,0100,B 22965,A81000C,00100,0200,ESL MANAGEMENT COMPANY 22965,A81000C,00100,0400,EPOCH SENIOR LIVING INC. 22965,A81000C,00100,0600,MANAGEMENT SERVICES 22965,B100000,00000,0100,00000SQUARE FEET 22965,B100000,00000,0200,00000SQUARE FEET 22965,B100000,00000,0300,00000GROSS SALARIES 22965,B100000,00000,0400,00000ACCUM. COST 22965,B100000,00000,0500,00000SQUARE FEET 22965,B100000,00000,0600,00000PATIENT DAYS 22965,B100000,00000,0700,00000SQUARE FEET 22965,B100000,00000,0800,00000PATIENT DAYS 22965,B100000,00000,0900,00000DIRECT NRSING HRS 22965,B100000,00000,1000,00000PATIENT DAYS 22965,B100000,00000,1100,00000COSTED REQUIS. 22965,B100000,00000,1200,00000PATIENT DAYS 22965,B100000,00000,1300,00000PATIENT DAYS 22965,B100000,00000,1350,00000PATIENT DAYS 22965,B100000,00000,1400,00000ASSIGNED TIME 22965,S000000,00100,0200,06/30/1999 22965,S200000,00100,0100,259 NORWOOD STREET 22965,S200000,00200,0100,SHARON 22965,S200000,00200,0200,MA 22965,S200000,00200,0300,02067 22965,S200000,00300,0100,NORFOLK 22965,S200000,00400,0100,SHARON MANOR 22965,S200000,00400,0200,225134 22965,S200000,00400,0300,01/01/1967 22965,S200000,00400,0500,P 22965,S200000,00400,0600,P 22965,S200000,01500,0100,Y 22967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22967,A000000,00300,0000,00300EMPLOYEE BENEFITS 22967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22967,A000000,00700,0000,00700HOUSEKEEPING 22967,A000000,00800,0000,00800DIETARY 22967,A000000,00900,0000,00900NURSING ADMINISTRATION 22967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22967,A000000,01100,0000,01100PHARMACY 22967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22967,A000000,01300,0000,01300SOCIAL SERVICE 22967,A000000,01350,0000,01500ACTIVITIES 22967,A000000,01351,0000,01501INDIRECT CONSULTANTS 22967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22967,A000000,01600,0000,01600SKILLED NURSING FACILITY 22967,A000000,01810,0000,01810ICF/MR 22967,A000000,02100,0000,02100RADIOLOGY 22967,A000000,02200,0000,02200LABORATORY 22967,A000000,02500,0000,02500PHYSICAL THERAPY 22967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22967,A000000,02700,0000,02700SPEECH PATHOLOGY 22967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22967,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 22967,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 22967,A000000,03550,0000,03550FQHC 22967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22967,A000000,05000,0000,05000CORF 22967,A000000,05010,0000,05010CMHC 22967,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 22967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 22967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22967,A81000A,00100,0100,Y 22967,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 22967,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 22967,A81000B,00300,0300,ADMINISTRATOR PURCHASE SERVICE 22967,A81000C,00100,0100,C 22967,A81000C,00100,0200,EPOCH SENIOR LIVING INC. 22967,A81000C,00100,0400,ESL MANAGMENT 22967,A81000C,00100,0600,CENTRAL OFFICE 22967,B100000,00000,0100,00000SQUARE FEET 22967,B100000,00000,0200,00000SQUARE FEET 22967,B100000,00000,0300,00000GROSS SALARIES 22967,B100000,00000,0400,00000ACCUM. COST 22967,B100000,00000,0500,00000SQUARE FEET 22967,B100000,00000,0600,00000PATIENT DAYS 22967,B100000,00000,0700,00000SQUARE FEET 22967,B100000,00000,0800,00000PATIENT DAYS 22967,B100000,00000,0900,00000DIRECT NRSING HRS 22967,B100000,00000,1000,00000PATIENT DAYS 22967,B100000,00000,1100,00000N/A 22967,B100000,00000,1200,00000PATIENT DAYS 22967,B100000,00000,1300,00000PATIENT DAYS 22967,B100000,00000,1350,00000PATIENT DAYS 22967,B100000,00000,1351,00000N/A 22967,B100000,00000,1400,00000N/A 22967,E10A180,00301,0100,02/14/2000 22967,E10A180,00350,0100,09/29/1999 22967,S000000,00100,0200,05/31/2000 22967,S200000,00100,0100,259 NORWOOD AVENUE 22967,S200000,00200,0100,SHARON 22967,S200000,00200,0200,MA 22967,S200000,00200,0300,02067 22967,S200000,00300,0100,NORFOLK 22967,S200000,00400,0100,SHARON SENIOR CARE 22967,S200000,00400,0200,225134 22967,S200000,00400,0300,01/01/1967 22967,S200000,00400,0500,P 22967,S200000,00400,0600,P 22967,S200000,01500,0100,Y 22979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22979,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 22979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22979,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 22979,A000000,00300,0000,00300EMPLOYEE BENEFITS 22979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22979,A000000,00700,0000,00700HOUSEKEEPING 22979,A000000,00800,0000,00800DIETARY 22979,A000000,00801,0000,00801CAFETERIA 22979,A000000,00900,0000,00900NURSING ADMINISTRATION 22979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22979,A000000,01100,0000,01100PHARMACY 22979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22979,A000000,01300,0000,01300SOCIAL SERVICE 22979,A000000,01350,0000,01500ACTIVITIES 22979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22979,A000000,01600,0000,01600SKILLED NURSING FACILITY 22979,A000000,01800,0000,01800NURSING FACILITY 22979,A000000,01810,0000,01810ICF/MR 22979,A000000,02100,0000,02100RADIOLOGY 22979,A000000,02200,0000,02200LABORATORY 22979,A000000,02300,0000,02300INTRAVENOUS THERAPY 22979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22979,A000000,02500,0000,02500PHYSICAL THERAPY 22979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22979,A000000,02700,0000,02700SPEECH PATHOLOGY 22979,A000000,02800,0000,02800ELECTROCARDIOLOGY 22979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22979,A000000,03050,0000,03300DME 22979,A000000,03051,0000,03301ORTHOTICS 22979,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 22979,A000000,03200,0000,03200SUPPORT SURFACES 22979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 22979,A000000,03550,0000,03550FQHC 22979,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22979,A000000,04800,0000,04800AMBULANCE 22979,A000000,05000,0000,05000CORF I 22979,A000000,05010,0000,05010CMHC I 22979,A000000,05020,0000,05020OPT I 22979,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22979,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 22979,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 22979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22979,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22979,A81000A,00100,0100,Y 22979,A81000B,00100,0300,HOME OFFICE ALLOCATION 22979,A81000B,00200,0300,THERACOR ACTUAL COSTS 22979,A81000B,00300,0300,THERACOR ACTUAL COSTS 22979,A81000B,00400,0300,THERACOR ACTUAL COSTS 22979,A81000C,00100,0100,B 22979,A81000C,00100,0200,HARBORSIDE 22979,A81000C,00200,0200,HEALTHCARE 22979,A81000C,00300,0200,LIMITED PSHIP 22979,A81000C,00300,0600,MANAGEMENT CO 22979,A81000C,00500,0100,B 22979,A81000C,00500,0200,HARBORSIDE 22979,A81000C,00600,0200,REHABILITITAION 22979,A81000C,00700,0200,LIMITED PSHIP 22979,A81000C,00700,0600,THERAPY 22979,A81000C,00800,0600,SERVICE AND 22979,A81000C,00900,0600,MANAGEMENT CO 22979,B100000,00000,0100,00000(SQUARE FEET) 22979,B100000,00000,0101,00000(SQUARE FEET) 22979,B100000,00000,0200,00000(SQUARE FEET) 22979,B100000,00000,0201,00000(SQUARE FEET) 22979,B100000,00000,0300,00000(GROSS SALARIES) 22979,B100000,00000,0400,00000(ACCUM. COST) 22979,B100000,00000,0500,00000(SQUARE FEET) 22979,B100000,00000,0600,00000(PATIENT DAYS) 22979,B100000,00000,0700,00000(SQUARE FEET) 22979,B100000,00000,0800,00000(MEALS SERVED) 22979,B100000,00000,0801,00000(MEALS SERVED) 22979,B100000,00000,0900,00000(NURSING SALARIES) 22979,B100000,00000,1000,00000(PATIENT DAYS) 22979,B100000,00000,1100,00000(PATIENT DAYS) 22979,B100000,00000,1200,00000(PATIENT DAYS) 22979,B100000,00000,1300,00000(PATIENT DAYS) 22979,B100000,00000,1350,00000(PATIENT DAYS) 22979,B100000,00000,1400,00000(ASSIGNED TIME) 22979,S000000,00100,0200,05/31/2000 22979,S200000,00100,0100,266 LINCOLN AVENUE 22979,S200000,00200,0100,SAUGUS 22979,S200000,00200,0200,MA 22979,S200000,00200,0300,01906 22979,S200000,00300,0100,ESSEX 22979,S200000,00400,0100,HHC - NORTHSHORE 22979,S200000,00400,0200,225147 22979,S200000,00400,0300,08/01/1997 22979,S200000,00400,0500,P 22979,S200000,01600,0100,Y 22979,S200000,02200,0100,Y 22979,S200000,04700,0100,Y 22979,S200000,04700,0200,Y 22979,S200000,04900,0100,Y 22990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 22990,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 22990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 22990,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 22990,A000000,00300,0000,00300EMPLOYEE BENEFITS 22990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 22990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 22990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 22990,A000000,00700,0000,00700HOUSEKEEPING 22990,A000000,00800,0000,00800DIETARY 22990,A000000,00801,0000,00801CAFETERIA 22990,A000000,00900,0000,00900NURSING ADMINISTRATION 22990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 22990,A000000,01100,0000,01100PHARMACY 22990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 22990,A000000,01300,0000,01300SOCIAL SERVICE 22990,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 22990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 22990,A000000,01600,0000,01600SKILLED NURSING FACILITY 22990,A000000,01800,0000,01800NURSING FACILITY 22990,A000000,01810,0000,01810ICF/MR 22990,A000000,02100,0000,02100RADIOLOGY 22990,A000000,02200,0000,02200LABORATORY 22990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 22990,A000000,02500,0000,02500PHYSICAL THERAPY 22990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 22990,A000000,02700,0000,02700SPEECH PATHOLOGY 22990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 22990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 22990,A000000,03050,0000,03300KINAIR BED 22990,A000000,03051,0000,03301OTHER ANCILLARY II 22990,A000000,03052,0000,03302OTHER ANCILLARY III 22990,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 22990,A000000,03550,0000,03550FQHC 22990,A000000,04750,0000,05100OTHER REIMBURSABLE COST 22990,A000000,05000,0000,05000CORF I 22990,A000000,05010,0000,05010CMHC I 22990,A000000,05020,0000,05020OPT I 22990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 22990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 22990,A000000,05300,0000,05300INTEREST EXPENSE 22990,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 22990,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 22990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 22990,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 22990,A81000A,00100,0100,Y 22990,A81000B,00100,0300,ACTIVITY-TRANSPORT. 22990,A81000B,00200,0300,MGMT. FEES 22990,A81000B,00300,0300,HOME OFF. DEP. BLDG. 22990,A81000B,00400,0300,HOME OFF. M/M DEPR. 22990,A81000C,00100,0100,B 22990,A81000C,00100,0200,COVENANT HEALTH 22990,A81000C,00100,0400,MI TRANSPORT. 22990,A81000C,00100,0600,TRANPORT. 22990,A81000C,00200,0100,B 22990,A81000C,00200,0200,COVENANT HEALTH 22990,A81000C,00200,0400,COVENANT 22990,A81000C,00200,0600,RELIGIOUS 22990,A81000C,00300,0100,B 22990,A81000C,00300,0200,COVENANT HEALTH 22990,A81000C,00300,0400,COVENANT 22990,A81000C,00300,0600,RELIGIOUS 22990,A81000C,00400,0100,B 22990,A81000C,00400,0200,COVENANT HEALTH 22990,A81000C,00400,0400,COVENANT 22990,A81000C,00400,0600,RELIGOUS 22990,B100000,00000,0100,00000(SQUARE FEET) 22990,B100000,00000,0101,00000(SQUARE FEET) 22990,B100000,00000,0200,00000(SQUARE FEET) 22990,B100000,00000,0201,00000(SQUARE FEET) 22990,B100000,00000,0300,00000(GROSS SALARIES) 22990,B100000,00000,0400,00000(ACCUM. COST) 22990,B100000,00000,0500,00000(SQUARE FEET) 22990,B100000,00000,0600,00000(PATIENT DAYS) 22990,B100000,00000,0700,00000(SQUARE FEET) 22990,B100000,00000,0800,00000PAT. DAYS 22990,B100000,00000,0801,00000(MEALS SERVED) 22990,B100000,00000,0900,00000(DIRECT NRSING HRS 22990,B100000,00000,1000,00000(COSTED REQUIS.) 22990,B100000,00000,1100,00000(COSTED REQUIS.) 22990,B100000,00000,1200,00000(PATIENT DAYS) 22990,B100000,00000,1300,00000(PATIENT DAYS) 22990,B100000,00000,1350,00000 22990,B100000,00000,1400,00000(ASSIGNED TIME) 22990,S000000,00100,0200,05/31/2000 22990,S200000,00100,0100,172 LAWRENCE STREET 22990,S200000,00200,0100,LAWRENCE 22990,S200000,00200,0200,MA 22990,S200000,00200,0300,01841 22990,S200000,00300,0100,ESSEX 22990,S200000,00400,0100,MI NURSING & REST. CTR. 22990,S200000,00400,0200,225154 22990,S200000,00400,0300,03/15/1968 22990,S200000,00400,0500,P 22990,S200000,01600,0100,Y 23008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23008,A000000,00300,0000,00300EMPLOYEE BENEFITS 23008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23008,A000000,00700,0000,00700HOUSEKEEPING 23008,A000000,00800,0000,00800DIETARY 23008,A000000,00900,0000,00900NURSING ADMINISTRATION 23008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23008,A000000,01100,0000,01100PHARMACY 23008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23008,A000000,01300,0000,01300SOCIAL SERVICE 23008,A000000,01350,0000,01500RECREATIONAL ACTIVITY 23008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23008,A000000,01600,0000,01600SKILLED NURSING FACILITY 23008,A000000,01800,0000,01800NURSING FACILITY 23008,A000000,01810,0000,01810ICF/MR 23008,A000000,02100,0000,02100RADIOLOGY 23008,A000000,02200,0000,02200LABORATORY 23008,A000000,02300,0000,02300INTRAVENOUS THERAPY 23008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23008,A000000,02500,0000,02500PHYSICAL THERAPY 23008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23008,A000000,02700,0000,02700SPEECH PATHOLOGY 23008,A000000,02800,0000,02800ELECTROCARDIOLOGY 23008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23008,A000000,03200,0000,03200SUPPORT SURFACES 23008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23008,A000000,03550,0000,03550FQHC 23008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23008,A000000,05000,0000,05000CORF 23008,A000000,05010,0000,05010CMHC 23008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23008,A000000,06150,0000,06300ADULT DAY HEALTH 23008,B100000,00000,0100,00000SQUARE FEET 23008,B100000,00000,0200,00000SQUARE FEET 23008,B100000,00000,0300,00000GROSS SALARIES 23008,B100000,00000,0400,00000ACCUM. COST 23008,B100000,00000,0500,00000SQUARE FEET 23008,B100000,00000,0600,00000PATIENT DAYS 23008,B100000,00000,0700,00000SQUARE FEET 23008,B100000,00000,0800,00000MEALS SERVED 23008,B100000,00000,0900,00000DIRECT NRSING HRS 23008,B100000,00000,1000,00000PATIENT DAYS 23008,B100000,00000,1100,00000PATIENT DAYS 23008,B100000,00000,1200,00000PATIENT DAYS 23008,B100000,00000,1300,00000PATIENT DAYS 23008,B100000,00000,1350,00000PATIENT DAYS 23008,B100000,00000,1400,00000ASSIGNED TIME 23008,S000000,00100,0200,05/30/2000 23008,S200000,00100,0100,629 SALISBURY STREET 23008,S200000,00200,0100,WORCESTER 23008,S200000,00200,0200,MA 23008,S200000,00200,0300,01609 23008,S200000,00300,0100,WORCESTER 23008,S200000,00400,0100,JEWISH HEALTHCARE CENTER 23008,S200000,00400,0200,225173 23008,S200000,00400,0300,01/01/1967 23008,S200000,00400,0500,P 23008,S200000,01600,0100,Y 23022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23022,A000000,00300,0000,00300EMPLOYEE BENEFITS 23022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23022,A000000,00700,0000,00700HOUSEKEEPING 23022,A000000,00800,0000,00800DIETARY 23022,A000000,00900,0000,00900NURSING ADMINISTRATION 23022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23022,A000000,01100,0000,01100PHARMACY 23022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23022,A000000,01300,0000,01300SOCIAL SERVICE 23022,A000000,01350,0000,01500ACTIVITIES 23022,A000000,01351,0000,01501INDIRECT CONSULTANTS 23022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23022,A000000,01600,0000,01600SKILLED NURSING FACILITY 23022,A000000,01800,0000,01800NURSING FACILITY 23022,A000000,01810,0000,01810ICF/MR 23022,A000000,02100,0000,02100RADIOLOGY 23022,A000000,02200,0000,02200LABORATORY 23022,A000000,02300,0000,02300INTRAVENOUS THERAPY 23022,A000000,02500,0000,02500PHYSICAL THERAPY 23022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23022,A000000,02700,0000,02700SPEECH PATHOLOGY 23022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23022,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23022,A000000,03051,0000,03301AMBULANCE 23022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23022,A000000,03550,0000,03550FQHC 23022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23022,A000000,05000,0000,05000CORF 23022,A000000,05010,0000,05010CMHC 23022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23022,A81000A,00100,0100,Y 23022,A81000B,00100,0300,RENT-CAPITAL RELATED 23022,A81000B,00200,0300,RENT-CAP REL MOVABLE 23022,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23022,A81000C,00100,0100,B 23022,A81000C,00100,0200,KOHN CHILDRENS TRUST 23022,A81000C,00100,0400,COYNE ENTERPRISES LP 23022,A81000C,00100,0600,RENTAL PROPERTY 23022,B100000,00000,0100,00000SQUARE FEET 23022,B100000,00000,0200,00000SQUARE FEET 23022,B100000,00000,0300,00000GROSS SALARIES 23022,B100000,00000,0400,00000ACCUM. COST 23022,B100000,00000,0500,00000SQUARE FEET 23022,B100000,00000,0600,00000POUNDS OF LAUNDRY 23022,B100000,00000,0700,00000SQUARE FEET 23022,B100000,00000,0800,00000MEALS SERVED 23022,B100000,00000,0900,00000HOURS OF SERVICE 23022,B100000,00000,1000,00000PATIENT DAYS 23022,B100000,00000,1100,00000N/A 23022,B100000,00000,1200,00000TIME SPENT 23022,B100000,00000,1300,00000TIME SPENT 23022,B100000,00000,1350,00000PATIENT DAYS 23022,B100000,00000,1351,00000N/A 23022,B100000,00000,1400,00000N/A 23022,S000000,00100,0200,04/17/2000 23022,S200000,00100,0100,56 WEBSTER STREET 23022,S200000,00200,0100,ROCKLAND 23022,S200000,00200,0200,MA 23022,S200000,00300,0100,PLYMOUTH 23022,S200000,00400,0100,COYNE HEALTHCARE CENTER 23022,S200000,00400,0200,225184 23022,S200000,00400,0300,01/01/1968 23022,S200000,00400,0500,P 23022,S200000,00400,0600,P 23022,S200000,01600,0100,Y 23030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23030,A000000,00300,0000,00300EMPLOYEE BENEFITS 23030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23030,A000000,00700,0000,00700HOUSEKEEPING 23030,A000000,00800,0000,00800DIETARY 23030,A000000,00900,0000,00900NURSING ADMINISTRATION 23030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23030,A000000,01100,0000,01100PHARMACY 23030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23030,A000000,01300,0000,01300SOCIAL SERVICE 23030,A000000,01350,0000,01500ACTIVITIES 23030,A000000,01351,0000,01501INDIRECT CONSULTANTS 23030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23030,A000000,01600,0000,01600SKILLED NURSING FACILITY 23030,A000000,01810,0000,01810ICF/MR 23030,A000000,02100,0000,02100RADIOLOGY 23030,A000000,02200,0000,02200LABORATORY 23030,A000000,02300,0000,02300INTRAVENOUS THERAPY 23030,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23030,A000000,02500,0000,02500PHYSICAL THERAPY 23030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23030,A000000,02700,0000,02700SPEECH PATHOLOGY 23030,A000000,02800,0000,02800ELECTROCARDIOLOGY 23030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23030,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23030,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23030,A000000,03550,0000,03550FQHC 23030,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23030,A000000,05000,0000,05000CORF 23030,A000000,05010,0000,05010CMHC 23030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23030,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23030,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23030,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23030,A81000A,00100,0100,Y 23030,A81000B,00100,0300,SALARY & DIRECTOR FEES 23030,A81000B,00200,0300,SALARY & DIRECTOR FEES 23030,A81000B,00300,0300,LEGAL FEES 23030,A81000B,00400,0300,ACCOUNTING FEES 23030,A81000B,00500,0300,SALARY & DIRECTOR FEES 23030,A81000B,00600,0300,INTEREST ON OFFICERS LOANS 23030,A81000C,00100,0100,E 23030,A81000C,00100,0200,K ELAINE NEELY 23030,A81000C,00100,0400,K ELAINE NEELY 23030,A81000C,00200,0100,E 23030,A81000C,00200,0200,J MERSELLIS 23030,A81000C,00200,0400,J MERSELLIS 23030,A81000C,00300,0100,E 23030,A81000C,00300,0200,GRINNEL & DUBENDORDF 23030,A81000C,00300,0400,D DUBENDORF 23030,A81000C,00400,0100,E 23030,A81000C,00400,0200,UMLAUF & DUNN 23030,A81000C,00400,0400,J UMLAUF 23030,A81000C,00500,0100,E 23030,A81000C,00500,0200,D HICKEY 23030,A81000C,00500,0400,D HICKEY 23030,A81000C,00600,0100,G 23030,A81000C,00600,0200,CRESCENT MANOR 23030,A81000C,00600,0400,MERSELLIS/NEELY 23030,A81000C,00600,0600,NURSING HOME 23030,B100000,00000,0100,00000SQUARE FEET 23030,B100000,00000,0200,00000SQUARE FEET 23030,B100000,00000,0300,00000GROSS SALARIES 23030,B100000,00000,0400,00000ACCUM. COST 23030,B100000,00000,0500,00000SQUARE FEET 23030,B100000,00000,0600,00000PATIENT DAYS 23030,B100000,00000,0700,00000SQUARE FEET 23030,B100000,00000,0800,00000MEALS SERVED 23030,B100000,00000,0900,00000HOURS OF SERVICE 23030,B100000,00000,1000,00000PATIENT DAYS 23030,B100000,00000,1100,00000N/A 23030,B100000,00000,1200,00000PATIENT DAYS 23030,B100000,00000,1300,00000PATIENT DAYS 23030,B100000,00000,1350,00000PATIENT DAYS 23030,B100000,00000,1351,00000N/A 23030,B100000,00000,1400,00000N/A 23030,S000000,00100,0200,04/10/2000 23030,S200000,00100,0100,1561 COLD SPRING ROAD 23030,S200000,00200,0100,WILLIAMSTOWN 23030,S200000,00200,0200,MA 23030,S200000,00300,0100,BERKSHIRE 23030,S200000,00400,0100,SWEETBROOK NURSING HOME INC. 23030,S200000,00400,0200,225189 23030,S200000,00400,0300,07/09/1969 23030,S200000,00400,0500,P 23030,S200000,00400,0600,O 23030,S200000,01500,0100,Y 23049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23049,A000000,00101,0000,00101CAPITAL - ORIG BLDG 1 23049,A000000,00102,0000,00102CAPITAL - ADDITION 2 23049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23049,A000000,00300,0000,00300EMPLOYEE BENEFITS 23049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23049,A000000,00700,0000,00700HOUSEKEEPING 23049,A000000,00800,0000,00800DIETARY 23049,A000000,00900,0000,00900NURSING ADMINISTRATION 23049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23049,A000000,01100,0000,01100PHARMACY 23049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23049,A000000,01300,0000,01300SOCIAL SERVICE 23049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23049,A000000,01600,0000,01600SKILLED NURSING FACILITY 23049,A000000,01800,0000,01800NURSING FACILITY 23049,A000000,01810,0000,01810ICF/MR 23049,A000000,02100,0000,02100RADIOLOGY 23049,A000000,02200,0000,02200LABORATORY 23049,A000000,02300,0000,02300INTRAVENOUS THERAPY 23049,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23049,A000000,02500,0000,02500PHYSICAL THERAPY 23049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23049,A000000,02700,0000,02700SPEECH PATHOLOGY 23049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23049,A000000,03050,0000,03300AIR FLUID BED THERAPY 23049,A000000,03550,0000,03550FQHC 23049,A000000,04800,0000,04800AMBULANCE 23049,A000000,05000,0000,05000CORF 23049,A000000,05010,0000,05010CMHC 23049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23049,A81000A,00100,0100,Y 23049,A81000B,00100,0300,PROPERTY EXPENSE 23049,A81000B,00200,0300,EQUIPMENT DEPRECIATION 23049,A81000C,00100,0100,A 23049,A81000C,00100,0200,LEO P. LACHANCE 23049,A81000C,00100,0400,LEO P. LACHANCE 23049,A81000C,00100,0600,RENTAL 23049,B100000,00000,0100,00000SQUARE FEET 23049,B100000,00000,0101,00000SQUARE FEET 23049,B100000,00000,0102,00000SQUARE FEET 23049,B100000,00000,0200,00000SQUARE FEET 23049,B100000,00000,0300,00000GROSS SALARIES 23049,B100000,00000,0400,00000ACCUM. COST 23049,B100000,00000,0500,00000SQUARE FEET 23049,B100000,00000,0600,00000PATIENT DA 23049,B100000,00000,0700,00000SQUARE FEET 23049,B100000,00000,0800,00000PATIENT DA 23049,B100000,00000,0900,00000DIRECT NRSING HRS 23049,B100000,00000,1000,00000PATIENT DA 23049,B100000,00000,1100,00000PATIENT DA 23049,B100000,00000,1200,00000PATIENT DA 23049,B100000,00000,1300,00000PATIENT DA 23049,B100000,00000,1400,00000ASSIGNED TIME 23049,S000000,00100,0200,06/19/2000 23049,S200000,00100,0100,59 EASTWOOD CIRCLE 23049,S200000,00100,0300,N/A 23049,S200000,00200,0100,GARDNER 23049,S200000,00200,0200,MA 23049,S200000,00200,0300,01440 23049,S200000,00300,0100,WORCESTER 23049,S200000,00400,0100,LEO P. LACHANCE CENTER INC. 23049,S200000,00400,0200,225196 23049,S200000,00400,0300,01/01/1970 23049,S200000,00400,0500,P 23049,S200000,00600,0200,225196 23049,S200000,00600,0300,01/01/1970 23049,S200000,00600,0600,P 23049,S200000,01500,0100,Y 23049,S200000,01800,0100,Y 23049,S200000,03300,0100,Y 23049,S200000,03300,0200,Y 23049,S200000,03500,0300,Y 23049,S200000,04100,0100,Y 23049,S200000,04700,0100,Y 23049,S200000,04700,0200,Y 23061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23061,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23061,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23061,A000000,00300,0000,00300EMPLOYEE BENEFITS 23061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23061,A000000,00700,0000,00700HOUSEKEEPING 23061,A000000,00800,0000,00800DIETARY 23061,A000000,00801,0000,00801CAFETERIA 23061,A000000,00900,0000,00900NURSING ADMINISTRATION 23061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23061,A000000,01100,0000,01100PHARMACY 23061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23061,A000000,01300,0000,01300SOCIAL SERVICE 23061,A000000,01350,0000,01500ACTIVITIES 23061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23061,A000000,01600,0000,01600SKILLED NURSING FACILITY 23061,A000000,01800,0000,01800NURSING FACILITY 23061,A000000,01810,0000,01810ICF/MR 23061,A000000,02100,0000,02100RADIOLOGY 23061,A000000,02200,0000,02200LABORATORY 23061,A000000,02300,0000,02300INTRAVENOUS THERAPY 23061,A000000,02500,0000,02500PHYSICAL THERAPY 23061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23061,A000000,02700,0000,02700SPEECH PATHOLOGY 23061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23061,A000000,03050,0000,03300DME 23061,A000000,03051,0000,03301ORTHOTICS 23061,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 23061,A000000,03200,0000,03200SUPPORT SURFACES 23061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23061,A000000,03550,0000,03550FQHC 23061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23061,A000000,05000,0000,05000CORF I 23061,A000000,05010,0000,05010CMHC I 23061,A000000,05020,0000,05020OPT I 23061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23061,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23061,A81000A,00100,0100,Y 23061,A81000B,00100,0300,HOME OFFICE ALLOCATION 23061,A81000B,00200,0300,THERACOR ACTUAL COSTS 23061,A81000B,00300,0300,THERACOR ACTUAL COSTS 23061,A81000B,00400,0300,THERACOR ACTUAL COSTS 23061,A81000C,00100,0100,B 23061,A81000C,00100,0200,HARBORSIDE 23061,A81000C,00200,0200,HEALTHCARE 23061,A81000C,00300,0200,LIMITED PSHIP 23061,A81000C,00300,0600,MANAGEMENT CO 23061,A81000C,00500,0100,B 23061,A81000C,00500,0200,HARBORSIDE 23061,A81000C,00600,0200,REHABILITITAION 23061,A81000C,00700,0200,LIMITED PSHIP 23061,A81000C,00700,0600,THERAPY 23061,A81000C,00800,0600,SERVICE AND 23061,A81000C,00900,0600,MANAGEMENT CO 23061,B100000,00000,0100,00000(SQUARE FEET) 23061,B100000,00000,0101,00000(SQUARE FEET) 23061,B100000,00000,0200,00000(SQUARE FEET) 23061,B100000,00000,0201,00000(SQUARE FEET) 23061,B100000,00000,0300,00000(GROSS SALARIES) 23061,B100000,00000,0400,00000(ACCUM. COST) 23061,B100000,00000,0500,00000(SQUARE FEET) 23061,B100000,00000,0600,00000(PATIENT DAYS) 23061,B100000,00000,0700,00000(SQUARE FEET) 23061,B100000,00000,0800,00000(MEALS SERVED) 23061,B100000,00000,0801,00000(MEALS SERVED) 23061,B100000,00000,0900,00000(NURSING SALARIES) 23061,B100000,00000,1000,00000(PATIENT DAYS) 23061,B100000,00000,1100,00000(PATIENT DAYS) 23061,B100000,00000,1200,00000(PATIENT DAYS) 23061,B100000,00000,1300,00000(PATIENT DAYS) 23061,B100000,00000,1350,00000(PATIENT DAYS) 23061,B100000,00000,1400,00000(ASSIGNED TIME) 23061,S000000,00100,0200,05/31/2000 23061,S200000,00100,0100,63 LOCUST ST 23061,S200000,00200,0100,DANVERS 23061,S200000,00200,0200,MA 23061,S200000,00200,0300,01923 23061,S200000,00300,0100,ESSEX 23061,S200000,00400,0100,HHC - DANVERS 23061,S200000,00400,0200,225198 23061,S200000,00400,0300,08/01/1997 23061,S200000,00400,0500,P 23061,S200000,01600,0100,Y 23061,S200000,02200,0100,Y 23061,S200000,04700,0100,Y 23061,S200000,04700,0200,Y 23061,S200000,04900,0100,Y 23072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23072,A000000,00300,0000,00300EMPLOYEE BENEFITS 23072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23072,A000000,00700,0000,00700HOUSEKEEPING 23072,A000000,00800,0000,00800DIETARY 23072,A000000,00900,0000,00900NURSING ADMINISTRATION 23072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23072,A000000,01100,0000,01100PHARMACY 23072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23072,A000000,01300,0000,01300SOCIAL SERVICE 23072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23072,A000000,01600,0000,01600SKILLED NURSING FACILITY 23072,A000000,01800,0000,01800NURSING FACILITY 23072,A000000,01810,0000,01810ICF/MR 23072,A000000,02100,0000,02100RADIOLOGY 23072,A000000,02300,0000,02300INTRAVENOUS THERAPY 23072,A000000,02500,0000,02500PHYSICAL THERAPY 23072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23072,A000000,02700,0000,02700SPEECH PATHOLOGY 23072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23072,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 23072,A000000,03550,0000,03550FQHC 23072,A000000,04800,0000,04800AMBULANCE 23072,A000000,05000,0000,05000CORF 23072,A000000,05010,0000,05010CMHC 23072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23072,A81000A,00100,0100,Y 23072,A81000B,00100,0300,MEDICAL DIRECTOR 23072,A81000B,00200,0300,LAUNDRY SERVICES 23072,A81000B,00300,0300,DIETARY 23072,A81000B,00400,0300,PHYSICAL THERAPY 23072,A81000B,00500,0300,OCCUPATIONAL THERAPY 23072,A81000B,00600,0300,SPEECH THERAPY 23072,A81000B,00700,0300,ELECTRICITY 23072,A81000B,00800,0300,INSURANCE 23072,A81000B,00900,0300,LAND LEASE 23072,A81000B,01000,0300,STORAGE RENTAL 23072,A81000B,01100,0300,MANAGEMENT FEES 23072,A81000B,01200,0300,REAL ESTATE 23072,A81000B,01300,0300,401K 23072,A81000B,01400,0300,TELEPHONE 23072,A81000B,01500,0300,RADIOLOGY 23072,A81000B,01600,0300,ESPP STOCK 23072,A81000B,01700,0300,SUPPLIES & EXPENSES 23072,A81000B,01800,0300,PRINTING 23072,A81000B,01900,0300,TENET MANAGEMENT FEE 23072,A81000C,00100,0100,G 23072,A81000C,00100,0200,PECC 23072,A81000C,00100,0400,ST. VINCENT HOS 23072,A81000C,00100,0600,HOSPITAL 23072,A81000C,00200,0100,G 23072,A81000C,00200,0200,PECC 23072,A81000C,00200,0400,FALLON HEALTH P 23072,A81000C,00200,0600,HLTH INSURANCE 23072,A81000C,00300,0100,G 23072,A81000C,00300,0200,PECC 23072,A81000C,00300,0400,FALLON CLINIC 23072,A81000C,00300,0600,HEALTHCARE 23072,A81000C,00400,0100,G 23072,A81000C,00400,0200,PECC 23072,A81000C,00400,0400,CLINITRON LAB 23072,A81000C,00400,0600,MED SUPPLY 23072,B100000,00000,0100,00000SQUARE FEET 23072,B100000,00000,0200,00000SQUARE FEET 23072,B100000,00000,0300,00000GROSS SALARIES 23072,B100000,00000,0400,00000ACCUM COST 23072,B100000,00000,0500,00000SQUARE FEET 23072,B100000,00000,0600,00000POUNDS OF LAUNDRY 23072,B100000,00000,0700,00000HOURS OF SERVICE 23072,B100000,00000,0800,00000MEALS SERVED 23072,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 23072,B100000,00000,1000,00000PATIENT DAYS 23072,B100000,00000,1100,00000PATIENT DAYS 23072,B100000,00000,1200,00000PATIENT DAYS 23072,B100000,00000,1300,00000PATIENT DAYS 23072,B100000,00000,1400,00000ASSIGNED TIME 23072,S000000,00100,0200,06/06/2000 23072,S200000,00100,0100,119 PROVIDENCE ST 23072,S200000,00200,0100,WORCESTER 23072,S200000,00200,0200,MA 23072,S200000,00200,0300,01610 23072,S200000,00300,0100,WORCESTER 23072,S200000,00400,0100,PROVIDENCE EXTENDED CARE CENTER 23072,S200000,00400,0200,225199 23072,S200000,00400,0300,08/10/1970 23072,S200000,00400,0500,P 23072,S200000,01600,0100,Y 23084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23084,A000000,00300,0000,00300EMPLOYEE BENEFITS 23084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23084,A000000,00700,0000,00700HOUSEKEEPING 23084,A000000,00800,0000,00800DIETARY 23084,A000000,00900,0000,00900NURSING ADMINISTRATION 23084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23084,A000000,01100,0000,01100PHARMACY 23084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23084,A000000,01300,0000,01300SOCIAL SERVICE 23084,A000000,01350,0000,01500ACTIVITIES 23084,A000000,01351,0000,01501INDIRECT CONSULTANTS 23084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23084,A000000,01600,0000,01600SKILLED NURSING FACILITY 23084,A000000,01810,0000,01810ICF/MR 23084,A000000,02200,0000,02200LABORATORY 23084,A000000,02300,0000,02300INTRAVENOUS THERAPY 23084,A000000,02500,0000,02500PHYSICAL THERAPY 23084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23084,A000000,02700,0000,02700SPEECH PATHOLOGY 23084,A000000,02800,0000,02800ELECTROCARDIOLOGY 23084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23084,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23084,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23084,A000000,03550,0000,03550FQHC 23084,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23084,A000000,05000,0000,05000CORF 23084,A000000,05010,0000,05010CMHC 23084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23084,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23084,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23084,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 23084,A000000,06152,0000,06302COMMUNITY RELATIONS/FUNDRAISING 23084,A81000A,00100,0100,Y 23084,A81000B,00100,0300,LEGAL SERVICES 23084,A81000B,00200,0300,ADMISSIONS 23084,A81000C,00100,0100,D 23084,A81000C,00100,0200,DIRECTOR 23084,A81000C,00100,0400,ROPES & GRAY 23084,A81000C,00100,0600,LEGAL 23084,A81000C,00200,0100,G 23084,A81000C,00200,0200,CREATIVE ALLIANCE 23084,A81000C,00200,0400,CREATIVE ALLIANCE 23084,A81000C,00200,0600,ADMISSIONS 23084,B100000,00000,0100,00002SQUARE FEET 23084,B100000,00000,0200,00002SQUARE FEET 23084,B100000,00000,0300,00002GROSS SALARIES 23084,B100000,00000,0400,00002ACCUM. COST 23084,B100000,00000,0500,00002SQUARE FEET 23084,B100000,00000,0600,00002PATIENT DAYS 23084,B100000,00000,0700,00002SQUARE FEET 23084,B100000,00000,0800,00002PATIENT DAYS 23084,B100000,00000,0900,00002DIRECT NRSING HRS 23084,B100000,00000,1000,00002PATIENT DAYS 23084,B100000,00000,1100,00002N/A 23084,B100000,00000,1200,00002PATIENT DAYS 23084,B100000,00000,1300,00002PATIENT DAYS 23084,B100000,00000,1350,00002PATIENT DAYS 23084,B100000,00000,1351,00002N/A 23084,B100000,00000,1400,00002N/A 23084,S000000,00100,0200,05/23/2000 23084,S200000,00100,0100,135 SOUTH HUNTINGTON AVE 23084,S200000,00200,0100,JAMAICA PLAINE 23084,S200000,00200,0200,MA 23084,S200000,00300,0100,SUFFOLK 23084,S200000,00400,0100,SHERRILL HOUSE 23084,S200000,00400,0200,225201 23084,S200000,00400,0300,03/12/1971 23084,S200000,00400,0500,P 23084,S200000,00400,0600,O 23084,S200000,01500,0100,Y 23102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23102,A000000,00300,0000,00300EMPLOYEE BENEFITS 23102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23102,A000000,00700,0000,00700HOUSEKEEPING 23102,A000000,00800,0000,00800DIETARY 23102,A000000,00900,0000,00900NURSING ADMINISTRATION 23102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23102,A000000,01100,0000,01100PHARMACY 23102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23102,A000000,01300,0000,01300SOCIAL SERVICE 23102,A000000,01350,0000,01500RECREATION 23102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23102,A000000,01600,0000,01600SKILLED NURSING FACILITY 23102,A000000,01800,0000,01800NURSING FACILITY 23102,A000000,01810,0000,01810ICF/MR 23102,A000000,02200,0000,02200LABORATORY 23102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23102,A000000,02500,0000,02500PHYSICAL THERAPY 23102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23102,A000000,02700,0000,02700SPEECH PATHOLOGY 23102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23102,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23102,A000000,03550,0000,03550FQHC 23102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23102,A000000,05000,0000,05000CORF 23102,A000000,05010,0000,05010CMHC 23102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23102,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23102,A81000A,00100,0100,Y 23102,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTUR 23102,A81000B,00200,0300,CAP REL COSTS - EQUIPMENT 23102,A81000C,00100,0100,A 23102,A81000C,00100,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00100,0400,ELLIS NURSING HOME 23102,A81000C,00100,0600,NURSING HOME 23102,A81000C,00200,0100,A 23102,A81000C,00200,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00200,0400,ELLIS AVENUE REALTY ASSOC 23102,A81000C,00200,0600,REALTY ON ABOVE 23102,A81000C,00300,0100,A 23102,A81000C,00300,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00300,0400,MEADOW GREEN NURSING HOME 23102,A81000C,00300,0600,NURSING HOME 23102,A81000C,00400,0100,A 23102,A81000C,00400,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00400,0400,MEADOW GREEN REALTY ASSOC 23102,A81000C,00400,0600,REALTY ON ABOVE 23102,A81000C,00500,0100,A 23102,A81000C,00500,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00500,0400,A. FRANCHI CONTRACTORS I 23102,A81000C,00500,0600,CONTRACTOR/PPTY MGR 23102,A81000C,00600,0100,A 23102,A81000C,00600,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00600,0400,GROVE MANOR ESTATES 23102,A81000C,00600,0600,ASSISTED LIVING FACILITY 23102,A81000C,00700,0100,A 23102,A81000C,00700,0200,ANTHONY A. FRANCHI SR 23102,A81000C,00700,0400,GMT REALTY ASSOC 23102,A81000C,00700,0600,REALTY ON ABOVE 23102,B100000,00000,0100,00000SQUARE FEET 23102,B100000,00000,0200,00000SQUARE FEET 23102,B100000,00000,0300,00000GROSS SALARIES 23102,B100000,00000,0400,00000ACCUM. COST 23102,B100000,00000,0500,00000SQUARE FEET 23102,B100000,00000,0600,00000POUNDS OF LAUNDRY 23102,B100000,00000,0700,00000HOURS OF SERVICE 23102,B100000,00000,0800,00000MEALS SERVED 23102,B100000,00000,0900,00000CENSUS DAYS 23102,B100000,00000,1000,00000CENSUS DAYS 23102,B100000,00000,1100,00000COSTED REQUIS. 23102,B100000,00000,1200,00000TIME SPENT 23102,B100000,00000,1300,00000TIME SPENT 23102,B100000,00000,1350,00000TIME SPENT 23102,B100000,00000,1400,00000ASSIGNED TIME 23102,S000000,00100,0200,06/29/2000 23102,S200000,00100,0100,135 ELLIS AVENUE 23102,S200000,00200,0100,NORWOOD 23102,S200000,00200,0200,MA 23102,S200000,00200,0300,02062 23102,S200000,00300,0100,NORFOLK 23102,S200000,00400,0100,ELLIS NURSING HOME 23102,S200000,00400,0200,225211 23102,S200000,00400,0300,01/01/1975 23102,S200000,00400,0500,P 23102,S200000,01600,0100,Y 23111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23111,A000000,00300,0000,00300EMPLOYEE BENEFITS 23111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23111,A000000,00700,0000,00700HOUSEKEEPING 23111,A000000,00800,0000,00800DIETARY 23111,A000000,00900,0000,00900NURSING ADMINISTRATION 23111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23111,A000000,01100,0000,01100PHARMACY 23111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23111,A000000,01300,0000,01300SOCIAL SERVICE 23111,A000000,01350,0000,01500ACTIVITIES 23111,A000000,01351,0000,01501INDIRECT CONSULTANTS 23111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23111,A000000,01600,0000,01600SKILLED NURSING FACILITY 23111,A000000,01800,0000,01800NURSING FACILITY 23111,A000000,01810,0000,01810ICF/MR 23111,A000000,02500,0000,02500PHYSICAL THERAPY 23111,A000000,02700,0000,02700SPEECH PATHOLOGY 23111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23111,A000000,03550,0000,03550FQHC 23111,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23111,A000000,05000,0000,05000CORF 23111,A000000,05010,0000,05010CMHC 23111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23111,A000000,06150,0000,06300ADULT DAY HEALTH 23111,A000000,06151,0000,06301CHAPEL 23111,A81000A,00100,0100,Y 23111,A81000B,00100,0300,PLANT SALARIES 23111,A81000B,00200,0300,ADMIN SALARIES 23111,A81000C,00100,0100,F 23111,A81000C,00100,0200,CHARLES WILLIAMS 23111,A81000C,00100,0400,SEAN WILLIAMS 23111,A81000C,00100,0600,MAINTENANCE 23111,A81000C,00200,0100,A 23111,A81000C,00200,0200,CHARLES WILLIAMS 23111,A81000C,00200,0400,CHARLES WILLIAMS 23111,A81000C,00200,0600,ADMIN 23111,B100000,00000,0100,00001SQUARE FEET 23111,B100000,00000,0200,00001SQUARE FEET 23111,B100000,00000,0300,00001GROSS SALARIES 23111,B100000,00000,0400,00001ACCUM. COST 23111,B100000,00000,0500,00001SQUARE FEET 23111,B100000,00000,0600,00001PATIENT DAYS 23111,B100000,00000,0700,00001SQUARE FEET 23111,B100000,00000,0800,00001PATIENT DAYS 23111,B100000,00000,0900,00001DIRECT NRSING HRS 23111,B100000,00000,1000,00001PATIENT DAYS 23111,B100000,00000,1100,00001N/A 23111,B100000,00000,1200,00001N/A 23111,B100000,00000,1300,00001N/A 23111,B100000,00000,1350,00001PATIENT DAYS 23111,B100000,00000,1351,00001N/A 23111,B100000,00000,1400,00001N/A 23111,S000000,00100,0200,05/26/2000 23111,S200000,00100,0100,15 NORTH AVENUE 23111,S200000,00200,0100,ROCKLAND 23111,S200000,00200,0200,MA 23111,S200000,00300,0100,PLYMOUTH 23111,S200000,00400,0100,SOUTH SHORE NURSING HOME 23111,S200000,00400,0200,225215 23111,S200000,00400,0300,08/01/1972 23111,S200000,00400,0500,P 23111,S200000,00400,0600,O 23111,S200000,01600,0100,Y 23119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23119,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23119,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23119,A000000,00300,0000,00300EMPLOYEE BENEFITS 23119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23119,A000000,00700,0000,00700HOUSEKEEPING 23119,A000000,00800,0000,00800DIETARY 23119,A000000,00801,0000,00801CAFETERIA 23119,A000000,00900,0000,00900NURSING ADMINISTRATION 23119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23119,A000000,01100,0000,01100PHARMACY 23119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23119,A000000,01300,0000,01300SOCIAL SERVICE 23119,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23119,A000000,01600,0000,01600SKILLED NURSING FACILITY 23119,A000000,01810,0000,01810ICF/MR 23119,A000000,02500,0000,02500PHYSICAL THERAPY 23119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23119,A000000,02700,0000,02700SPEECH PATHOLOGY 23119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23119,A000000,03050,0000,03300OTHER ANCILLARY 23119,A000000,03051,0000,03301OTHER ANCILLARY II 23119,A000000,03052,0000,03302OTHER ANCILLARY III 23119,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23119,A000000,03550,0000,03550FQHC 23119,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23119,A000000,05000,0000,05000CORF I 23119,A000000,05010,0000,05010CMHC I 23119,A000000,05020,0000,05020OPT I 23119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23119,A000000,05300,0000,05300INTEREST EXPENSE 23119,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23119,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23119,A81000A,00100,0100,Y 23119,A81000B,00100,0300,RENT-CAP RELATED 23119,A81000B,00200,0300,RENT EQUIP RELATED 23119,A81000B,00300,0300,MGMT CAP RELATED 23119,A81000B,00400,0300,MGMT NON-CAP REL 23119,A81000B,00500,0300,WCAP INTEREST 23119,A81000C,00100,0100,B 23119,A81000C,00100,0200,HAMILTON LIMITD 23119,A81000C,00100,0400,COMP ADDICTION 23119,A81000C,00100,0600,REAL ESTATE 23119,A81000C,00200,0100,B 23119,A81000C,00200,0200,HAMILTON LIMITD 23119,A81000C,00200,0400,COMP ADDICTION 23119,A81000C,00200,0600,REAL ESTATE 23119,A81000C,00300,0100,B 23119,A81000C,00300,0200,COMP ADDICTION 23119,A81000C,00300,0400,COMP ADDICTION 23119,A81000C,00300,0600,MANAGEMENT CO 23119,A81000C,00400,0100,B 23119,A81000C,00400,0200,COMP ADDICTION 23119,A81000C,00400,0400,COMP ADDICTION 23119,A81000C,00400,0600,MANAGEMENT CO 23119,A81000C,00500,0100,B 23119,A81000C,00500,0200,COMP ADDICTION 23119,A81000C,00500,0400,COMP ADDICTION 23119,A81000C,00500,0600,MANAGEMENT CO 23119,B100000,00000,0100,00000(SQUARE FEET) 23119,B100000,00000,0101,00000(SQUARE FEET) 23119,B100000,00000,0200,00000(SQUARE FEET) 23119,B100000,00000,0201,00000(SQUARE FEET) 23119,B100000,00000,0300,00000(GROSS SALARIES) 23119,B100000,00000,0400,00000(ACCUM. COST) 23119,B100000,00000,0500,00000(SQUARE FEET) 23119,B100000,00000,0600,00000(PATIENT DAYS) 23119,B100000,00000,0700,00000(SQUARE FEET) 23119,B100000,00000,0800,00000(MEALS SERVED) 23119,B100000,00000,0801,00000(MEALS SERVED) 23119,B100000,00000,0900,00000(DIRECT NRSING HRS 23119,B100000,00000,1000,00000(PATIENT DAYS) 23119,B100000,00000,1100,00000(COSTED REQUIS.) 23119,B100000,00000,1200,00000(PATIENT DAYS) 23119,B100000,00000,1300,00000(PATIENT DAYS) 23119,B100000,00000,1350,00000 23119,B100000,00000,1400,00000(ASSIGNED TIME) 23119,S000000,00100,0200,05/30/2000 23119,S200000,00100,0100,141 CHESTNUT STREET 23119,S200000,00200,0100,NEEDHAM 23119,S200000,00200,0200,MA 23119,S200000,00200,0300,02192 23119,S200000,00300,0100,NORFOLK 23119,S200000,00400,0100,HAMILTON HOUSE OF NEEDHAM 23119,S200000,00400,0200,225228 23119,S200000,00400,0300,11/30/1984 23119,S200000,00400,0500,P 23119,S200000,01500,0100,Y 23131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23131,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23131,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23131,A000000,00300,0000,00300EMPLOYEE BENEFITS 23131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23131,A000000,00700,0000,00700HOUSEKEEPING 23131,A000000,00800,0000,00800DIETARY 23131,A000000,00801,0000,00801CAFETERIA 23131,A000000,00900,0000,00900NURSING ADMINISTRATION 23131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23131,A000000,01100,0000,01100PHARMACY 23131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23131,A000000,01300,0000,01300SOCIAL SERVICE 23131,A000000,01350,0000,01500ACTIVITIES 23131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23131,A000000,01600,0000,01600SKILLED NURSING FACILITY 23131,A000000,01800,0000,01800NURSING FACILITY 23131,A000000,01810,0000,01810ICF/MR 23131,A000000,02100,0000,02100RADIOLOGY 23131,A000000,02200,0000,02200LABORATORY 23131,A000000,02300,0000,02300INTRAVENOUS THERAPY 23131,A000000,02500,0000,02500PHYSICAL THERAPY 23131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23131,A000000,02700,0000,02700SPEECH PATHOLOGY 23131,A000000,02800,0000,02800ELECTROCARDIOLOGY 23131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23131,A000000,03050,0000,03300DME 23131,A000000,03051,0000,03301ORTHOTICS 23131,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 23131,A000000,03200,0000,03200SUPPORT SURFACES 23131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23131,A000000,03550,0000,03550FQHC 23131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23131,A000000,04800,0000,04800AMBULANCE 23131,A000000,05000,0000,05000CORF I 23131,A000000,05010,0000,05010CMHC I 23131,A000000,05020,0000,05020OPT I 23131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23131,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23131,A81000A,00100,0100,Y 23131,A81000B,00100,0300,HOME OFFICE ALLOCATION 23131,A81000B,00200,0300,THERACOR ACTUAL COSTS 23131,A81000B,00300,0300,THERACOR ACTUAL COSTS 23131,A81000B,00400,0300,THERACOR ACTUAL COSTS 23131,A81000C,00100,0100,B 23131,A81000C,00100,0200,HARBORSIDE 23131,A81000C,00200,0200,HEALTHCARE 23131,A81000C,00300,0200,LIMITED PSHIP 23131,A81000C,00300,0600,MANAGEMENT CO 23131,A81000C,00500,0100,B 23131,A81000C,00500,0200,HARBORSIDE 23131,A81000C,00600,0200,REHABILITITAION 23131,A81000C,00700,0200,LIMITED PSHIP 23131,A81000C,00700,0600,THERAPY 23131,A81000C,00800,0600,SERVICE AND 23131,A81000C,00900,0600,MANAGEMENT CO 23131,B100000,00000,0100,00000(SQUARE FEET) 23131,B100000,00000,0101,00000(SQUARE FEET) 23131,B100000,00000,0200,00000(SQUARE FEET) 23131,B100000,00000,0201,00000(SQUARE FEET) 23131,B100000,00000,0300,00000(GROSS SALARIES) 23131,B100000,00000,0400,00000(ACCUM. COST) 23131,B100000,00000,0500,00000(SQUARE FEET) 23131,B100000,00000,0600,00000(PATIENT DAYS) 23131,B100000,00000,0700,00000(SQUARE FEET) 23131,B100000,00000,0800,00000(MEALS SERVED) 23131,B100000,00000,0801,00000(MEALS SERVED) 23131,B100000,00000,0900,00000(NURSING SALARIES) 23131,B100000,00000,1000,00000(PATIENT DAYS) 23131,B100000,00000,1100,00000(PATIENT DAYS) 23131,B100000,00000,1200,00000(PATIENT DAYS) 23131,B100000,00000,1300,00000(PATIENT DAYS) 23131,B100000,00000,1350,00000(PATIENT DAYS) 23131,B100000,00000,1400,00000(ASSIGNED TIME) 23131,S000000,00100,0200,05/31/2000 23131,S200000,00100,0100,6 MORRILL PLACE 23131,S200000,00200,0100,AMESBURY 23131,S200000,00200,0200,MA 23131,S200000,00200,0300,01913 23131,S200000,00300,0100,ESSEX 23131,S200000,00400,0100,HHC - MAPLEWOOD 23131,S200000,00400,0200,225229 23131,S200000,00400,0300,08/01/1997 23131,S200000,00400,0500,P 23131,S200000,01600,0100,Y 23131,S200000,02200,0100,Y 23131,S200000,04700,0100,Y 23131,S200000,04700,0200,Y 23131,S200000,04900,0100,Y 23142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23142,A000000,00300,0000,00300EMPLOYEE BENEFITS 23142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23142,A000000,00700,0000,00700HOUSEKEEPING 23142,A000000,00800,0000,00800DIETARY 23142,A000000,00900,0000,00900NURSING ADMINISTRATION 23142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23142,A000000,01100,0000,01100PHARMACY 23142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23142,A000000,01300,0000,01300SOCIAL SERVICE 23142,A000000,01301,0000,01301SOCIAL SERVICE 23142,A000000,01350,0000,01500ACTIVITIES 23142,A000000,01351,0000,01501INDIRECT CONSULTANTS 23142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23142,A000000,01600,0000,01600SKILLED NURSING FACILITY 23142,A000000,01800,0000,01800NURSING FACILITY 23142,A000000,01810,0000,01810ICF/MR 23142,A000000,02100,0000,02100RADIOLOGY 23142,A000000,02200,0000,02200LABORATORY 23142,A000000,02300,0000,02300INTRAVENOUS THERAPY 23142,A000000,02500,0000,02500PHYSICAL THERAPY 23142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23142,A000000,02700,0000,02700SPEECH PATHOLOGY 23142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23142,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23142,A000000,03051,0000,03301AMBULANCE 23142,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 23142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23142,A000000,03550,0000,03550FQHC 23142,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23142,A000000,05000,0000,05000CORF 23142,A000000,05010,0000,05010CMHC 23142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23142,A000000,06150,0000,06300ADULT DAY HEALTH 23142,A81000A,00100,0100,Y 23142,A81000B,00100,0300,RENT-CAPITAL RELATED 23142,A81000B,00200,0300,RENT-CAP REL MOVABLE 23142,A81000B,00300,0300,RENT- NON CAPITAL RELATED 23142,A81000B,00400,0300,MGMT. FEE - CAPITAL RELATED 23142,A81000B,00500,0300,MGMT. FEE - NOT CAPITAL RELATE 23142,A81000B,00600,0300,MGMT FEE - CAP REL MOVABLE 23142,A81000B,00700,0300,MGMT FEE - MMQ NURSE 23142,A81000B,00800,0300,MGMT FEE - SOCIAL SERVICE 23142,A81000C,00100,0100,B 23142,A81000C,00100,0200,ESSEX GROUP 23142,A81000C,00100,0400,ESSEX GROUP MGMT COMPANY 23142,A81000C,00100,0600,MGMT COMPANY 23142,A81000C,00200,0100,B 23142,A81000C,00200,0200,SOUTH DARTMOUTH COMPANY 23142,A81000C,00200,0400,DARTMOUTH STREET LTD PTR 23142,A81000C,00200,0600,RENTAL PROPERTY 23142,A81000C,00300,0100,B 23142,A81000C,00300,0200,DEBORAH KLOCK 23142,A81000C,00300,0400,DARTMOUTH STREET LTD PTR 23142,A81000C,00300,0600,RENTAL PROPERTY 23142,B100000,00000,0100,00000SQUARE FEET 23142,B100000,00000,0200,00000SQUARE FEET 23142,B100000,00000,0300,00000GROSS SALARIES 23142,B100000,00000,0400,00000ACCUM. COST 23142,B100000,00000,0500,00000SQUARE FEET 23142,B100000,00000,0600,00000PATIENT DAYS 23142,B100000,00000,0700,00000SQUARE FEET 23142,B100000,00000,0800,00000MEALS SERVED 23142,B100000,00000,0900,00000HOURS OF SERVICE 23142,B100000,00000,1000,00000PATIENT DAYS 23142,B100000,00000,1100,00000N/A 23142,B100000,00000,1200,00000PATIENT DAYS 23142,B100000,00000,1300,00000TIME SPENT 23142,B100000,00000,1301,00000TIME SPENT 23142,B100000,00000,1350,00000PATIENT DAYS 23142,B100000,00000,1351,00000N/A 23142,B100000,00000,1400,00000N/A 23142,S000000,00100,0200,05/31/2000 23142,S200000,00100,0100,567 DARTMOUTH STREET 23142,S200000,00200,0100,S. DARTMOUTH 23142,S200000,00200,0200,MA 23142,S200000,00200,0300,02714 23142,S200000,00300,0100,BRISTOL 23142,S200000,00400,0100,BRANDON WOODS OF DARTMOUT 23142,S200000,00400,0200,225233 23142,S200000,00400,0300,01/01/1980 23142,S200000,00400,0500,P 23142,S200000,00400,0600,O 23142,S200000,01600,0100,Y 23154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23154,A000000,00300,0000,00300EMPLOYEE BENEFITS 23154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23154,A000000,00700,0000,00700HOUSEKEEPING 23154,A000000,00800,0000,00800DIETARY 23154,A000000,00900,0000,00900NURSING ADMINISTRATION 23154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23154,A000000,01100,0000,01100PHARMACY 23154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23154,A000000,01300,0000,01300SOCIAL SERVICE 23154,A000000,01350,0000,01500ACTIVITIES 23154,A000000,01351,0000,01501INDIRECT CONSULTANTS 23154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23154,A000000,01600,0000,01600SKILLED NURSING FACILITY 23154,A000000,01800,0000,01800NURSING FACILITY 23154,A000000,01810,0000,01810ICF/MR 23154,A000000,02100,0000,02100RADIOLOGY 23154,A000000,02200,0000,02200LABORATORY 23154,A000000,02300,0000,02300INTRAVENOUS THERAPY 23154,A000000,02500,0000,02500PHYSICAL THERAPY 23154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23154,A000000,02700,0000,02700SPEECH PATHOLOGY 23154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23154,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 23154,A000000,03051,0000,03301OTHER-PEN THERAPY 23154,A000000,03052,0000,03302AMBULANCE 23154,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23154,A000000,03550,0000,03550FQHC 23154,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23154,A000000,05000,0000,05000CORF 23154,A000000,05010,0000,05010CMHC 23154,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23154,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23154,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23154,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23154,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23154,A81000A,00100,0100,Y 23154,A81000B,00100,0300,OFFICERS SALARY 23154,A81000B,00200,0300,MANAGEMENT FEE 23154,A81000C,00100,0100,A 23154,A81000C,00100,0200,MARVIN COLLIER 23154,A81000C,00100,0400,WILLIAM COLLIER & SONS 23154,A81000C,00100,0600,CENTRAL OFFICE 23154,A81000C,00200,0100,A 23154,A81000C,00200,0200,CHARLES COLLIER 23154,A81000C,00300,0100,A 23154,A81000C,00300,0200,JONATHAN COLLIER 23154,B100000,00000,0100,00000SQUARE FEET 23154,B100000,00000,0200,00000SQUARE FEET 23154,B100000,00000,0300,00000GROSS SALARIES 23154,B100000,00000,0400,00000ACCUM. COST 23154,B100000,00000,0500,00000SQUARE FEET 23154,B100000,00000,0600,00000POUNDS OF LAUNDRY 23154,B100000,00000,0700,00000SQUARE FEET 23154,B100000,00000,0800,00000MEALS SERVED 23154,B100000,00000,0900,00000HOURS OF SERVICE 23154,B100000,00000,1000,00000PATIENT DAYS 23154,B100000,00000,1100,00000N/A N/A 23154,B100000,00000,1200,00000TIME SPENT 23154,B100000,00000,1300,00000TIME SPENT 23154,B100000,00000,1350,00000PATIENT DAYS 23154,B100000,00000,1351,00000N/A N/A 23154,B100000,00000,1400,00000N/A N/A 23154,S000000,00100,0200,03/16/2000 23154,S200000,00100,0100,804 PLEASANT STREET 23154,S200000,00200,0100,BROCKTON 23154,S200000,00200,0200,MA 23154,S200000,00300,0100,PLYMOUTH 23154,S200000,00400,0100,WEST ACRES NURSING HOME 23154,S200000,00400,0200,225259 23154,S200000,00400,0300,01/01/1968 23154,S200000,00400,0500,P 23154,S200000,00400,0600,O 23154,S200000,01600,0100,Y 23154,S200000,04700,0100,Y 23156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23156,A000000,00300,0000,00300EMPLOYEE BENEFITS 23156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23156,A000000,00700,0000,00700HOUSEKEEPING 23156,A000000,00800,0000,00800DIETARY 23156,A000000,00900,0000,00900NURSING ADMINISTRATION 23156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23156,A000000,01100,0000,01100PHARMACY 23156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23156,A000000,01300,0000,01300SOCIAL SERVICE 23156,A000000,01350,0000,01500ACTIVITIES 23156,A000000,01351,0000,01501INDIRECT CONSULTANTS 23156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23156,A000000,01600,0000,01600SKILLED NURSING FACILITY 23156,A000000,01800,0000,01800NURSING FACILITY 23156,A000000,01810,0000,01810ICF/MR 23156,A000000,02100,0000,02100RADIOLOGY 23156,A000000,02200,0000,02200LABORATORY 23156,A000000,02300,0000,02300INTRAVENOUS THERAPY 23156,A000000,02500,0000,02500PHYSICAL THERAPY 23156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23156,A000000,02700,0000,02700SPEECH PATHOLOGY 23156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23156,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23156,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23156,A000000,03052,0000,03302AMBULANCE 23156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23156,A000000,03550,0000,03550FQHC 23156,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23156,A000000,05000,0000,05000CORF 23156,A000000,05010,0000,05010CMHC 23156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23156,B100000,00000,0100,00000SQUARE FEET 23156,B100000,00000,0200,00000SQUARE FEET 23156,B100000,00000,0300,00000GROSS SALARIES 23156,B100000,00000,0400,00000ACCUM. COST 23156,B100000,00000,0500,00000SQUARE FEET 23156,B100000,00000,0600,00000PATIENT DAYS 23156,B100000,00000,0700,00000SQUARE FEET 23156,B100000,00000,0800,00000PATIENT DAYS 23156,B100000,00000,0900,00000DIRECT NRSING HRS 23156,B100000,00000,1000,00000PATIENT DAYS 23156,B100000,00000,1100,00000N/A 23156,B100000,00000,1200,00000PATIENT DAYS 23156,B100000,00000,1300,00000PATIENT DAYS 23156,B100000,00000,1350,00000PATIENT DAYS 23156,B100000,00000,1351,00000N/A 23156,B100000,00000,1400,00000N/A 23156,S000000,00100,0200,05/31/2000 23156,S200000,00100,0100,804 PLEASANT STREET 23156,S200000,00200,0100,BROCKTON 23156,S200000,00200,0200,MA 23156,S200000,00200,0300,02301 23156,S200000,00300,0100,PLYMOUTH 23156,S200000,00400,0100,ALLIANCE HEALTH DBA WEST ACRES N.H. 23156,S200000,00400,0200,225259 23156,S200000,00400,0300,01/01/1968 23156,S200000,00400,0500,P 23156,S200000,00400,0600,O 23156,S200000,01600,0100,Y 23166,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23166,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23166,A000000,00300,0000,00300EMPLOYEE BENEFITS 23166,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23166,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23166,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23166,A000000,00700,0000,00700HOUSEKEEPING 23166,A000000,00800,0000,00800DIETARY 23166,A000000,00900,0000,00900NURSING ADMINISTRATION 23166,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23166,A000000,01100,0000,01100PHARMACY 23166,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23166,A000000,01300,0000,01300SOCIAL SERVICE 23166,A000000,01350,0000,01500ACTIVITIES 23166,A000000,01351,0000,01501INDIRECT CONSULTANTS 23166,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23166,A000000,01600,0000,01600SKILLED NURSING FACILITY 23166,A000000,01800,0000,01800NURSING FACILITY 23166,A000000,01810,0000,01810ICF/MR 23166,A000000,02100,0000,02100RADIOLOGY 23166,A000000,02200,0000,02200LABORATORY 23166,A000000,02300,0000,02300INTRAVENOUS THERAPY 23166,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23166,A000000,02500,0000,02500PHYSICAL THERAPY 23166,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23166,A000000,02700,0000,02700SPEECH PATHOLOGY 23166,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23166,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23166,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23166,A000000,03051,0000,03301AMBULANCE 23166,A000000,03052,0000,03302CONTRA ANCILLARIES 23166,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23166,A000000,03550,0000,03550FQHC 23166,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23166,A000000,05000,0000,05000CORF 23166,A000000,05010,0000,05010CMHC 23166,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23166,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23166,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23166,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23166,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23166,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 23166,A000000,06151,0000,06301ASSISTED LIVING 23166,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 23166,A81000A,00100,0100,Y 23166,A81000B,00100,0300,RENT-CAPITAL RELATED 23166,A81000B,00200,0300,RNET-CAP REL MOVABLE 23166,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23166,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 23166,A81000B,00500,0300,MGMT FEE-CAPITAL RELATED 23166,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23166,A81000B,00700,0300,MGMT FEE-NOT CAP REL 23166,A81000C,00100,0100,A 23166,A81000C,00100,0200,CLAFLIN CORP 23166,A81000C,00100,0400,CLAFLIN LTR. PTR. 23166,A81000C,00100,0600,RENTAL PROPERTY 23166,A81000C,00200,0100,A 23166,A81000C,00200,0200,DEBORAH KLOCK 23166,A81000C,00200,0400,ESSEX GROUP 23166,A81000C,00200,0600,HOME OFFICE 23166,B100000,00000,0100,00002SQUARE FEET 23166,B100000,00000,0200,00002SQUARE FEET 23166,B100000,00000,0300,00002GROSS SALARIES 23166,B100000,00000,0400,00002ACCUM. COST 23166,B100000,00000,0500,00002SQUARE FEET 23166,B100000,00000,0600,00002POUNDS OF LAUNDRY 23166,B100000,00000,0700,00002SQUARE FEET 23166,B100000,00000,0800,00002MEALS SERVED 23166,B100000,00000,0900,00002HOURS OF SERVICE 23166,B100000,00000,1000,00002PATIENT DAYS 23166,B100000,00000,1100,00002N/A 23166,B100000,00000,1200,00002PATIENT DAYS 23166,B100000,00000,1300,00002TIME SPENT 23166,B100000,00000,1350,00002PATIENT DAYS 23166,B100000,00000,1351,00002N/A 23166,B100000,00000,1400,00002N/A 23166,S000000,00100,0200,05/31/2000 23166,S200000,00100,0100,20 CLAFLIN STREET 23166,S200000,00200,0100,MILFORD 23166,S200000,00200,0200,MA 23166,S200000,00200,0300,01757 23166,S200000,00300,0100,WORCESTER 23166,S200000,00400,0100,BLAIRE HOUSE OF MILFORD 23166,S200000,00400,0200,225260 23166,S200000,00400,0300,01/01/1980 23166,S200000,00400,0500,P 23166,S200000,00400,0600,O 23166,S200000,01600,0100,Y 23173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23173,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23173,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23173,A000000,00300,0000,00300EMPLOYEE BENEFITS 23173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23173,A000000,00700,0000,00700HOUSEKEEPING 23173,A000000,00800,0000,00800DIETARY 23173,A000000,00801,0000,00801CAFETERIA 23173,A000000,00900,0000,00900NURSING ADMINISTRATION 23173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23173,A000000,01100,0000,01100PHARMACY 23173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23173,A000000,01300,0000,01300SOCIAL SERVICE 23173,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23173,A000000,01600,0000,01600SKILLED NURSING FACILITY 23173,A000000,01800,0000,01800NURSING FACILITY 23173,A000000,01810,0000,01810ICF/MR 23173,A000000,02100,0000,02100RADIOLOGY 23173,A000000,02200,0000,02200LABORATORY 23173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23173,A000000,02500,0000,02500PHYSICAL THERAPY 23173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23173,A000000,02700,0000,02700SPEECH PATHOLOGY 23173,A000000,02800,0000,02800ELECTROCARDIOLOGY 23173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23173,A000000,03050,0000,03300OTHER ANCILLARY 23173,A000000,03051,0000,03301OTHER ANCILLARY II 23173,A000000,03052,0000,03302OTHER ANCILLARY III 23173,A000000,03400,0000,03400CLINIC 23173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23173,A000000,03550,0000,03550FQHC 23173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23173,A000000,05000,0000,05000CORF I 23173,A000000,05010,0000,05010CMHC I 23173,A000000,05020,0000,05020OPT I 23173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23173,A000000,05300,0000,05300INTEREST EXPENSE 23173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23173,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23173,A000000,06150,0000,06300ADC/TRANS/ALZ 23173,A81000A,00100,0100,Y 23173,A81000B,00100,0300,PAYT IN LIEU TAXES 23173,A81000B,00200,0300,PENSION EXPENSE 23173,A81000C,00100,0100,G 23173,A81000C,00100,0200,CITY OF HOLYOKE 23173,A81000C,00200,0100,G 23173,A81000C,00200,0200,CITY OF HOLYOKE 23173,B100000,00000,0100,00000(SQUARE FEET) 23173,B100000,00000,0101,00000(SQUARE FEET) 23173,B100000,00000,0200,00000(SQUARE FEET) 23173,B100000,00000,0201,00000(SQUARE FEET) 23173,B100000,00000,0300,00000(GROSS SALARIES) 23173,B100000,00000,0400,00000(ACCUM. COST) 23173,B100000,00000,0500,00000(SQUARE FEET) 23173,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 23173,B100000,00000,0700,00000(SQUARE FEET) 23173,B100000,00000,0800,00000(MEALS SERVED) 23173,B100000,00000,0801,00000(MEALS SERVED) 23173,B100000,00000,0900,00000(DIRECT NRSING HRS 23173,B100000,00000,1000,00000(COSTED REQUIS.) 23173,B100000,00000,1100,00000(COSTED REQUIS.) 23173,B100000,00000,1200,00000(TIME SPENT) 23173,B100000,00000,1300,00000(TIME SPENT) 23173,B100000,00000,1350,00000 23173,B100000,00000,1400,00000(ASSIGNED TIME) 23173,S000000,00100,0200,05/30/2000 23173,S200000,00100,0100,45 LOWER WESTFIELD ROAD 23173,S200000,00200,0100,HOLYOKE 23173,S200000,00200,0200,MA 23173,S200000,00200,0300,01040 23173,S200000,00300,0100,HAMPDEN 23173,S200000,00400,0100,GERIATRIC AUTHORITY OF HOLYOKE INC. 23173,S200000,00400,0200,225261 23173,S200000,00400,0300,01/01/1979 23173,S200000,00400,0500,P 23173,S200000,01020,0200,226514 23173,S200000,01020,0300,07/01/1985 23173,S200000,01020,0500,O 23173,S200000,01600,0100,Y 23183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23183,A000000,00300,0000,00300EMPLOYEE BENEFITS 23183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23183,A000000,00700,0000,00700HOUSEKEEPING 23183,A000000,00800,0000,00800DIETARY 23183,A000000,00900,0000,00900NURSING ADMINISTRATION 23183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23183,A000000,01100,0000,01100PHARMACY 23183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23183,A000000,01300,0000,01300SOCIAL SERVICE 23183,A000000,01350,0000,01500ACTIVITIES 23183,A000000,01351,0000,01501INDIRECT CONSULTANTS 23183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23183,A000000,01600,0000,01600SKILLED NURSING FACILITY 23183,A000000,01800,0000,01800NURSING FACILITY 23183,A000000,01810,0000,01810ICF/MR 23183,A000000,02100,0000,02100RADIOLOGY 23183,A000000,02300,0000,02300INTRAVENOUS THERAPY 23183,A000000,02500,0000,02500PHYSICAL THERAPY 23183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23183,A000000,02700,0000,02700SPEECH PATHOLOGY 23183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23183,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23183,A000000,03051,0000,03301CONTRA ANCILLARIES 23183,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23183,A000000,03550,0000,03550FQHC 23183,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23183,A000000,05000,0000,05000CORF 23183,A000000,05010,0000,05010CMHC 23183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23183,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23183,A000000,06150,0000,06300ADULT DAY HEALTH 23183,A81000A,00100,0100,Y 23183,A81000B,00100,0300,RENT-CAPITAL RELATED 23183,A81000B,00200,0300,RENT-CAP REL MOVABLE 23183,A81000B,00300,0300,MGT FEE - NOT CAPITAL RELATED 23183,A81000B,00400,0300,MGT FEE - CAPITAL REL BLDG 23183,A81000B,00500,0300,MGT FEE- CAPITAL REL MME 23183,A81000C,00100,0100,A 23183,A81000C,00100,0200,DEBORAH KLOCK 23183,A81000C,00100,0400,ESSEX GROUP 23183,A81000C,00100,0600,HOME OFFICE 23183,A81000C,00200,0100,A 23183,A81000C,00200,0200,BLAIRE HOUSE NEW BEDFORD 23183,A81000C,00200,0400,COUNTY ST LP 23183,A81000C,00200,0600,RENTAL PROPERTY 23183,B100000,00000,0100,00000SQUARE FEET 23183,B100000,00000,0200,00000SQUARE FEET 23183,B100000,00000,0300,00000GROSS SALARIES 23183,B100000,00000,0400,00000ACCUM. COST 23183,B100000,00000,0500,00000SQUARE FEET 23183,B100000,00000,0600,00000POUNDS OF LAUNDRY 23183,B100000,00000,0700,00000SQUARE FEET 23183,B100000,00000,0800,00000MEALS SERVED 23183,B100000,00000,0900,00000HOURS 23183,B100000,00000,1000,00000PATIENT DAYS 23183,B100000,00000,1100,00000N/A 23183,B100000,00000,1200,00000PATIENT DAYS 23183,B100000,00000,1300,00000TIME SPENT 23183,B100000,00000,1350,00000PATIENT DAYS 23183,B100000,00000,1351,00000N/A 23183,B100000,00000,1400,00000N/A 23183,S000000,00100,0200,05/31/2000 23183,S200000,00100,0100,57 SUMMER STREET 23183,S200000,00200,0100,ROWLEY 23183,S200000,00200,0200,MA 23183,S200000,00200,0300,01969 23183,S200000,00300,0100,ESSEX 23183,S200000,00400,0100,BLAIRE HOUSE OF NEW BEDFORD 23183,S200000,00400,0200,225264 23183,S200000,00400,0300,01/01/1980 23183,S200000,00400,0500,P 23183,S200000,00400,0600,O 23183,S200000,01600,0100,Y 23192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23192,A000000,00300,0000,00300EMPLOYEE BENEFITS 23192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23192,A000000,00700,0000,00700HOUSEKEEPING 23192,A000000,00800,0000,00800DIETARY 23192,A000000,00900,0000,00900NURSING ADMINISTRATION 23192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23192,A000000,01100,0000,01100PHARMACY 23192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23192,A000000,01300,0000,01300SOCIAL SERVICE 23192,A000000,01350,0000,01500ACTIVITIES 23192,A000000,01351,0000,01501INDIRECT CONSULTANTS 23192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23192,A000000,01600,0000,01600SKILLED NURSING FACILITY 23192,A000000,01810,0000,01810ICF/MR 23192,A000000,02100,0000,02100RADIOLOGY 23192,A000000,02200,0000,02200LABORATORY 23192,A000000,02300,0000,02300INTRAVENOUS THERAPY 23192,A000000,02500,0000,02500PHYSICAL THERAPY 23192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23192,A000000,02700,0000,02700SPEECH PATHOLOGY 23192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23192,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23192,A000000,03051,0000,03301AMBULANCE 23192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23192,A000000,03550,0000,03550FQHC 23192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23192,A000000,05000,0000,05000CORF 23192,A000000,05010,0000,05010CMHC 23192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23192,A81000A,00100,0100,Y 23192,A81000B,00100,0300,RENT-CAPITAL RELATED 23192,A81000B,00200,0300,INTEREST 23192,A81000B,00300,0300,DIETARY 23192,A81000B,00400,0300,LAUNDRY 23192,A81000B,00500,0300,PLANT 23192,A81000B,00600,0300,TELEPHONE 23192,A81000C,00100,0100,G 23192,A81000C,00100,0200,SISTERS OF CHARITY 23192,A81000C,00100,0400,HALIFAX SUPPORTING CORP 23192,A81000C,00100,0600,CONVENT 23192,B100000,00000,0100,00000SQUARE FEET 23192,B100000,00000,0200,00000SQUARE FEET 23192,B100000,00000,0300,00000GROSS SALARIES 23192,B100000,00000,0400,00000ACCUM. COST 23192,B100000,00000,0500,00000SQUARE FEET 23192,B100000,00000,0600,00000PATIENT DAYS 23192,B100000,00000,0700,00000SQUARE FEET 23192,B100000,00000,0800,00000MEALS SERVED 23192,B100000,00000,0900,00000HOURS OF SERVICE 23192,B100000,00000,1000,00000COSTED REQUIS. 23192,B100000,00000,1100,00000N/A 23192,B100000,00000,1200,00000PATIENT DAYS 23192,B100000,00000,1300,00000PATIENT DAYS 23192,B100000,00000,1350,00000PATIENT DAYS 23192,B100000,00000,1351,00000N/A 23192,B100000,00000,1400,00000N/A 23192,S000000,00100,0200,04/04/2000 23192,S200000,00100,0100,125 OAK STREET 23192,S200000,00200,0100,WELLESLEY 23192,S200000,00200,0200,MA 23192,S200000,00300,0100,NORFOLK 23192,S200000,00400,0100,ELIZABETH SETON RESIDENCE 23192,S200000,00400,0200,225266 23192,S200000,00400,0300,07/01/1990 23192,S200000,00400,0500,P 23192,S200000,00400,0600,O 23192,S200000,01500,0100,Y 23202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23202,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23202,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23202,A000000,00300,0000,00300EMPLOYEE BENEFITS 23202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23202,A000000,00700,0000,00700HOUSEKEEPING 23202,A000000,00800,0000,00800DIETARY 23202,A000000,00801,0000,00801CAFETERIA 23202,A000000,00900,0000,00900NURSING ADMINISTRATION 23202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23202,A000000,01100,0000,01100PHARMACY 23202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23202,A000000,01300,0000,01300SOCIAL SERVICE 23202,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23202,A000000,01600,0000,01600SKILLED NURSING FACILITY 23202,A000000,01810,0000,01810ICF/MR 23202,A000000,02200,0000,02200LABORATORY 23202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23202,A000000,02500,0000,02500PHYSICAL THERAPY 23202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23202,A000000,02700,0000,02700SPEECH PATHOLOGY 23202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23202,A000000,03050,0000,03300OTHER ANCILLARY 23202,A000000,03051,0000,03301OTHER ANCILLARY II 23202,A000000,03052,0000,03302OTHER ANCILLARY III 23202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23202,A000000,03550,0000,03550FQHC 23202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23202,A000000,05000,0000,05000CORF I 23202,A000000,05010,0000,05010CMHC I 23202,A000000,05020,0000,05020OPT I 23202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23202,A000000,05300,0000,05300INTEREST EXPENSE 23202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23202,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23202,A81000A,00100,0100,Y 23202,A81000B,00100,0300,HOME OFFICE COSTS 23202,A81000B,00200,0300,HOME OFFICE COSTS 23202,A81000B,00300,0300,LEGAL FEES 23202,A81000C,00100,0100,G 23202,A81000C,00100,0200,LOOMIS VILLAGE 23202,A81000C,00100,0400,LOOMIS VIL. ADM 23202,A81000C,00100,0600,MGMT COMPANY 23202,A81000C,00200,0100,G 23202,A81000C,00200,0200,LOOMIS VILLAGE 23202,A81000C,00200,0400,LOOMIS VIL. ADM 23202,A81000C,00200,0600,MGMT COMPANY 23202,A81000C,00300,0100,G 23202,A81000C,00300,0200,PETER CONNORS 23202,A81000C,00300,0400,LYON FERRITER 23202,A81000C,00300,0600,LAW FIRM 23202,B100000,00000,0100,00000(SQUARE FEET) 23202,B100000,00000,0101,00000(SQUARE FEET) 23202,B100000,00000,0200,00000(SQUARE FEET) 23202,B100000,00000,0201,00000(SQUARE FEET) 23202,B100000,00000,0300,00000(GROSS SALARIES) 23202,B100000,00000,0400,00000(ACCUM. COST) 23202,B100000,00000,0500,00000(SQUARE FEET) 23202,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 23202,B100000,00000,0700,00000(HOURS OF SERVICE) 23202,B100000,00000,0800,00000(MEALS SERVED) 23202,B100000,00000,0801,00000(MEALS SERVED) 23202,B100000,00000,0900,00000(DIRECT NRSING HRS 23202,B100000,00000,1000,00000(PATIENT DAYS) 23202,B100000,00000,1100,00000(COSTED REQUIS.) 23202,B100000,00000,1200,00000(PATIENT DAYS) 23202,B100000,00000,1300,00000(PATIENT DAYS) 23202,B100000,00000,1350,00000 23202,B100000,00000,1400,00000(ASSIGNED TIME) 23202,S000000,00100,0200,05/30/2000 23202,S200000,00100,0100,298 JARVIS AVE. 23202,S200000,00200,0100,HOLYOKE 23202,S200000,00200,0200,MA 23202,S200000,00300,0100,HAMPDEN 23202,S200000,00400,0100,LOOMIS HOUSE NURSING CENTER 23202,S200000,00400,0200,225269 23202,S200000,00400,0300,08/04/1981 23202,S200000,00400,0500,P 23202,S200000,01500,0100,Y 23202,S200000,04300,0100,Y 23212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23212,A000000,00300,0000,00300EMPLOYEE BENEFITS 23212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23212,A000000,00700,0000,00700HOUSEKEEPING 23212,A000000,00800,0000,00800DIETARY 23212,A000000,00900,0000,00900NURSING ADMINISTRATION 23212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23212,A000000,01100,0000,01100PHARMACY 23212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23212,A000000,01300,0000,01300SOCIAL SERVICE 23212,A000000,01350,0000,01500ACTIVITIES 23212,A000000,01351,0000,01501INDIRECT CONSULTANTS 23212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23212,A000000,01600,0000,01600SKILLED NURSING FACILITY 23212,A000000,01800,0000,01800NURSING FACILITY 23212,A000000,01810,0000,01810ICF/MR 23212,A000000,02100,0000,02100RADIOLOGY 23212,A000000,02200,0000,02200LABORATORY 23212,A000000,02300,0000,02300INTRAVENOUS THERAPY 23212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23212,A000000,02500,0000,02500PHYSICAL THERAPY 23212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23212,A000000,02700,0000,02700SPEECH PATHOLOGY 23212,A000000,02800,0000,02800ELECTROCARDIOLOGY 23212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23212,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23212,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23212,A000000,03052,0000,03302AMBULANCE 23212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23212,A000000,03550,0000,03550FQHC 23212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23212,A000000,05000,0000,05000CORF 23212,A000000,05010,0000,05010CMHC 23212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23212,A000000,06150,0000,06300ADULT DAY HEALTH 23212,A000000,06151,0000,06301ASSISTED LIVING 23212,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 23212,A81000A,00100,0100,Y 23212,A81000B,00100,0300,RENT-CAPITAL RELATED 23212,A81000B,00200,0300,RENT-CAP REL MOVABLE 23212,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23212,A81000B,00400,0300,RENT-NOT CAPITAL RELATED 23212,A81000B,00500,0300,RENT-CAPITAL RELATED 23212,A81000B,00600,0300,RENT-CAPTIAL RELATED MOVABLE 23212,A81000B,00700,0300,RENT-NOT CAPITAL RELATED 23212,A81000B,00800,0300,OWNERS COMP 23212,A81000B,00900,0300,MGMT FEE-NOT CAP RELATED 23212,A81000B,01000,0300,SALARY-NON PATIENT RELATED 23212,A81000B,01100,0300,BENEFITS FOR CLERICAL 23212,A81000B,01200,0300,EMPLOYEE BENEFITS 23212,A81000C,00100,0100,A 23212,A81000C,00100,0200,OLGA FRANCHI 23212,A81000C,00100,0400,BEAR HILL REALTY 23212,A81000C,00100,0600,RENTAL PROPERTY 23212,A81000C,00200,0100,A 23212,A81000C,00200,0200,DOMENIC FRANCHI 23212,A81000C,00200,0400,COMM AVE REALTY 23212,A81000C,00200,0600,RENTAL PROPERTY 23212,A81000C,00300,0100,A 23212,A81000C,00300,0200,DOMENIC FRANCHI 23212,A81000C,00300,0400,CONSULTING MGMT 23212,A81000C,00300,0600,MGMT/OWNER 23212,A81000C,00400,0100,A 23212,A81000C,00400,0200,DOMENIC FRANCHI 23212,A81000C,00400,0400,COMM MGMT GROUP 23212,A81000C,00400,0600,MGMT COMP 23212,A81000C,00500,0100,F 23212,A81000C,00500,0200,LISA/GERALD CARROLL 23212,B100000,00000,0100,00002SQUARE FEET 23212,B100000,00000,0200,00002SQUARE FEET 23212,B100000,00000,0300,00002GROSS SALARIES 23212,B100000,00000,0400,00002ACCUM. COST 23212,B100000,00000,0500,00002SQUARE FEET 23212,B100000,00000,0600,00002POUNDS OF LAUNDRY 23212,B100000,00000,0700,00002SQUARE FEET 23212,B100000,00000,0800,00002MEALS SERVED 23212,B100000,00000,0900,00002PATIENT DAYS 23212,B100000,00000,1000,00002PATIENT DAYS 23212,B100000,00000,1100,00002N/A 23212,B100000,00000,1200,00002TIME SPENT 23212,B100000,00000,1300,00002TIME SPENT 23212,B100000,00000,1350,00002PATIENT DAYS 23212,B100000,00000,1351,00002N/A 23212,B100000,00000,1400,00002N/A 23212,S000000,00100,0200,05/30/2000 23212,S200000,00100,0100,11 NORTH STREET 23212,S200000,00200,0100,STONEHAM 23212,S200000,00200,0200,MA 23212,S200000,00200,0300,02180 23212,S200000,00300,0100,MIDDLESEX 23212,S200000,00400,0100,BEAR HILL NURSING CENTER 23212,S200000,00400,0200,225272 23212,S200000,00400,0300,06/14/1983 23212,S200000,00400,0500,P 23212,S200000,00400,0600,O 23212,S200000,01600,0100,Y 23221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23221,A000000,00300,0000,00300EMPLOYEE BENEFITS 23221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23221,A000000,00700,0000,00700HOUSEKEEPING 23221,A000000,00800,0000,00800DIETARY 23221,A000000,00900,0000,00900NURSING ADMINISTRATION 23221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23221,A000000,01100,0000,01100PHARMACY 23221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23221,A000000,01300,0000,01300SOCIAL SERVICE 23221,A000000,01350,0000,01500ACTIVITIES 23221,A000000,01351,0000,01501INDIRECT CONSULTANTS 23221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23221,A000000,01600,0000,01600SKILLED NURSING FACILITY 23221,A000000,01800,0000,01800NURSING FACILITY 23221,A000000,01810,0000,01810ICF/MR 23221,A000000,01900,0000,01900OTHER LONG TERM CARE 23221,A000000,02100,0000,02100RADIOLOGY 23221,A000000,02200,0000,02200LABORATORY 23221,A000000,02300,0000,02300INTRAVENOUS THERAPY 23221,A000000,02500,0000,02500PHYSICAL THERAPY 23221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23221,A000000,02700,0000,02700SPEECH PATHOLOGY 23221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23221,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23221,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23221,A000000,03052,0000,03302AMBULANCE 23221,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23221,A000000,03550,0000,03550FQHC 23221,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23221,A000000,05000,0000,05000CORF 23221,A000000,05010,0000,05010CMHC 23221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23221,A000000,06151,0000,06301ASSISTED LIVING 23221,B100000,00000,0100,00001SQUARE FEET 23221,B100000,00000,0200,00001SQUARE FEET 23221,B100000,00000,0300,00001GROSS SALARIES 23221,B100000,00000,0400,00001ACCUM. COST 23221,B100000,00000,0500,00001SQUARE FEET 23221,B100000,00000,0600,00001POUNDS OF LAUNDRY 23221,B100000,00000,0700,00001SQUARE FEET 23221,B100000,00000,0800,00001MEALS SERVED 23221,B100000,00000,0900,00001HOURS OF SERVICE 23221,B100000,00000,1000,00001PATIENT DAYS 23221,B100000,00000,1100,00001N/A 23221,B100000,00000,1200,00001PATIENT DAYS 23221,B100000,00000,1300,00001TIME SPENT 23221,B100000,00000,1350,00001PATIENT DAYS 23221,B100000,00000,1351,00001N/A 23221,B100000,00000,1400,00001N/A 23221,S000000,00100,0200,05/31/2000 23221,S200000,00100,0100,100 OLD BILLERICA ROAD 23221,S200000,00200,0100,BEDFORD 23221,S200000,00200,0200,MA 23221,S200000,00200,0300,01730 23221,S200000,00300,0100,MIDDLESEX 23221,S200000,00400,0100,CARLETON WILLARD VILLAGE 23221,S200000,00400,0200,225273 23221,S200000,00400,0300,12/13/1983 23221,S200000,00400,0500,P 23221,S200000,00400,0600,O 23221,S200000,01020,0200,226511 23221,S200000,01020,0300,02/22/1984 23221,S200000,01020,0500,O 23221,S200000,01600,0100,Y 23238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23238,A000000,00300,0000,00300EMPLOYEE BENEFITS 23238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23238,A000000,00700,0000,00700HOUSEKEEPING 23238,A000000,00800,0000,00800DIETARY 23238,A000000,00900,0000,00900NURSING ADMINISTRATION 23238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23238,A000000,01100,0000,01100PHARMACY 23238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23238,A000000,01300,0000,01300SOCIAL SERVICE 23238,A000000,01350,0000,01500RECREATION 23238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23238,A000000,01600,0000,01600SKILLED NURSING FACILITY 23238,A000000,01810,0000,01810ICF/MR 23238,A000000,02100,0000,02100RADIOLOGY 23238,A000000,02200,0000,02200LABORATORY 23238,A000000,02300,0000,02300INTRAVENOUS THERAPY 23238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23238,A000000,02500,0000,02500PHYSICAL THERAPY 23238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23238,A000000,02700,0000,02700SPEECH PATHOLOGY 23238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23238,A000000,03550,0000,03550FQHC 23238,A000000,05000,0000,05000CORF 23238,A000000,05010,0000,05010CMHC 23238,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23238,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23238,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23238,A81000A,00100,0100,Y 23238,A81000B,00100,0300,HOME OFFICE EXPENSE 23238,A81000B,00200,0300,HOME OFFICE EXPENSE 23238,A81000B,00300,0300,MANAGEMENT FEE 23238,A81000C,00100,0100,B 23238,A81000C,00100,0400,OLYMPUS HEALTHC 23238,A81000C,00100,0600,OWN/MANAGE FACI 23238,A81000C,00200,0100,B 23238,A81000C,00200,0400,OLYMPUS HEALTHC 23238,A81000C,00200,0600,OWN/MANAGE FACI 23238,A81000C,00300,0100,B 23238,A81000C,00300,0400,OLYMPUS HEALTHC 23238,A81000C,00300,0600,OWN/MANAGE FACI 23238,A81000C,00500,0200,SEE HCFA 339 & 23238,A81000C,00600,0200,A-8-5 FOR OTHER 23238,A81000C,00700,0200,RELATED PARTY 23238,A81000C,00800,0200,TRANSACTIONS 23238,B100000,00000,0100,00000SQUARE FEET 23238,B100000,00000,0200,00000SQUARE FEET 23238,B100000,00000,0300,00000GROSS SALARIES 23238,B100000,00000,0400,00000ACCUM COST 23238,B100000,00000,0500,00000SQUARE FEET 23238,B100000,00000,0600,00000RESIDENT DAYS 23238,B100000,00000,0700,00000SQUARE FEET 23238,B100000,00000,0800,00000MEALS SERVED 23238,B100000,00000,0900,00000RESIDENT DAYS 23238,B100000,00000,1000,00000RESIDENT DAYS 23238,B100000,00000,1100,00000COSTED REQUIS 23238,B100000,00000,1200,00000RESIDENT DAYS 23238,B100000,00000,1300,00000RESIDENT DAYS 23238,B100000,00000,1350,00000RESIDENT DAYS 23238,B100000,00000,1400,00000ASSIGNED TIME 23238,S000000,00100,0200,05/30/2000 23238,S200000,00100,0100,745 SCHOOL STREET 23238,S200000,00200,0100,WEBSTER 23238,S200000,00200,0200,MA 23238,S200000,00200,0300,01570 23238,S200000,00300,0100,WORCESTER 23238,S200000,00400,0100,OHCC-WEBSTER MANOR 23238,S200000,00400,0200,225283 23238,S200000,00400,0300,07/01/1983 23238,S200000,00400,0500,P 23238,S200000,00400,0600,O 23238,S200000,01500,0100,Y 23255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23255,A000000,00300,0000,00300EMPLOYEE BENEFITS 23255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23255,A000000,00700,0000,00700HOUSEKEEPING 23255,A000000,00800,0000,00800DIETARY 23255,A000000,00900,0000,00900NURSING ADMINISTRATION 23255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23255,A000000,01100,0000,01100PHARMACY 23255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23255,A000000,01300,0000,01300SOCIAL SERVICE 23255,A000000,01350,0000,01500ACTIVITIES 23255,A000000,01351,0000,01501INDIRECT CONSULTANTS 23255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23255,A000000,01600,0000,01600SKILLED NURSING FACILITY 23255,A000000,01810,0000,01810ICF/MR 23255,A000000,02100,0000,02100RADIOLOGY 23255,A000000,02200,0000,02200LABORATORY 23255,A000000,02300,0000,02300INTRAVENOUS THERAPY 23255,A000000,02500,0000,02500PHYSICAL THERAPY 23255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23255,A000000,02700,0000,02700SPEECH PATHOLOGY 23255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23255,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23255,A000000,03550,0000,03550FQHC 23255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23255,A000000,05000,0000,05000CORF 23255,A000000,05010,0000,05010CMHC 23255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23255,B100000,00000,0100,00000SQUARE FEET 23255,B100000,00000,0200,00000SQUARE FEET 23255,B100000,00000,0300,00000GROSS SALARIES 23255,B100000,00000,0400,00000ACCUM. COST 23255,B100000,00000,0500,00000SQUARE FEET 23255,B100000,00000,0600,00000PATIENT DAYS 23255,B100000,00000,0700,00000SQUARE FEET 23255,B100000,00000,0800,00000PATIENT DAYS 23255,B100000,00000,0900,00000DIRECT NRSING HRS 23255,B100000,00000,1000,00000PATIENT DAYS 23255,B100000,00000,1100,00000N/A 23255,B100000,00000,1200,00000PATIENT DAYS 23255,B100000,00000,1300,00000TIME SPENT 23255,B100000,00000,1350,00000PATIENT DAYS 23255,B100000,00000,1351,00000N/A 23255,B100000,00000,1400,00000N/A 23255,S000000,00100,0200,05/30/2000 23255,S200000,00100,0100,16 GREEN STREET 23255,S200000,00200,0100,IPSWICH 23255,S200000,00200,0200,MA 23255,S200000,00200,0300,01938 23255,S200000,00300,0100,ESSEX 23255,S200000,00400,0100,STEVEN CALDWELL MEMORIAL 23255,S200000,00400,0200,225292 23255,S200000,00400,0300,01/01/1985 23255,S200000,00400,0500,P 23255,S200000,00400,0600,O 23255,S200000,01500,0100,Y 23265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23265,A000000,00300,0000,00300EMPLOYEE BENEFITS 23265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23265,A000000,00700,0000,00700HOUSEKEEPING 23265,A000000,00800,0000,00800DIETARY 23265,A000000,00900,0000,00900NURSING ADMINISTRATION 23265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23265,A000000,01100,0000,01100PHARMACY 23265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23265,A000000,01300,0000,01300SOCIAL SERVICE 23265,A000000,01301,0000,01301ACTIVITIES 23265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23265,A000000,01600,0000,01600SKILLED NURSING FACILITY 23265,A000000,01800,0000,01800NURSING FACILITY 23265,A000000,01810,0000,01810ICF/MR 23265,A000000,02100,0000,02100RADIOLOGY 23265,A000000,02200,0000,02200LABORATORY 23265,A000000,02300,0000,02300INTRAVENOUS THERAPY 23265,A000000,02500,0000,02500PHYSICAL THERAPY 23265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23265,A000000,02700,0000,02700SPEECH PATHOLOGY 23265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23265,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 23265,A000000,03200,0000,03200SUPPORT SURFACES 23265,A000000,03550,0000,03550FQHC 23265,A000000,04800,0000,04800AMBULANCE 23265,A000000,05000,0000,05000CORF 23265,A000000,05010,0000,05010CMHC 23265,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23265,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23265,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23265,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 23265,A81000A,00100,0100,Y 23265,A81000B,00100,0300,LAUNDRY 23265,A81000B,00200,0300,HEALTH INSURANCE 23265,A81000B,00300,0300,MANAGEMENT FEES 23265,A81000B,00400,0300,401-K 23265,A81000B,00500,0300,ESPP STOCK 23265,A81000B,00600,0300,SUPPLIES & EXP 23265,A81000B,00700,0300,LEGAL FEES 23265,A81000B,00800,0300,PRINTING 23265,A81000B,00900,0300,PT 23265,A81000B,01000,0300,OT 23265,A81000B,01100,0300,SPEECH 23265,A81000B,01200,0300,OTHER INSURANCE 23265,A81000C,00100,0100,G 23265,A81000C,00100,0200,PH SOUTHBRIDGE 23265,A81000C,00100,0400,ST VINCENT HOSP 23265,A81000C,00100,0600,HOSPITAL 23265,A81000C,00200,0100,G 23265,A81000C,00200,0200,PH SOUTHBRIDGE 23265,A81000C,00200,0400,FALLON HEALTH P 23265,A81000C,00200,0600,HLTH INS 23265,A81000C,00300,0100,G 23265,A81000C,00300,0200,PH SOUTHBRIDGE 23265,A81000C,00300,0400,FALLON CLINIC 23265,A81000C,00300,0600,HEALTHCARE 23265,A81000C,00400,0100,G 23265,A81000C,00400,0200,PH SOUTHBRIDGE 23265,A81000C,00400,0400,CLINITRON LAB 23265,A81000C,00400,0600,MED SUPPLY 23265,B100000,00000,0100,00000SQUARE FEET 23265,B100000,00000,0200,00000SQUARE FEET 23265,B100000,00000,0300,00000GROSS SALARIES 23265,B100000,00000,0400,00000ACCUM COST 23265,B100000,00000,0500,00000SQUARE FEET 23265,B100000,00000,0600,00000PATIENT DAYS 23265,B100000,00000,0700,00000SQUARE FEET 23265,B100000,00000,0800,00000MEALS SERVED 23265,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 23265,B100000,00000,1000,00000PATIENT DAYS 23265,B100000,00000,1100,00000TIME SPENT 23265,B100000,00000,1200,00000TIME SPENT 23265,B100000,00000,1300,00000TIME SPENT 23265,B100000,00000,1301,00000PATIENT DAYS 23265,B100000,00000,1400,00000ASSIGNED TIME 23265,S000000,00100,0200,06/23/2000 23265,S200000,00100,0100,84 CHAPIN STREET 23265,S200000,00200,0100,SOUTHBRIDGE 23265,S200000,00200,0200,MA 23265,S200000,00200,0300,01550 23265,S200000,00300,0100,WORCESTER 23265,S200000,00400,0100,PROVIDENCE HOUSE OF SOUTHBRIDGE 23265,S200000,00400,0200,225293 23265,S200000,00400,0300,01/02/1987 23265,S200000,00400,0500,P 23265,S200000,01600,0100,Y 23284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23284,A000000,00300,0000,00300EMPLOYEE BENEFITS 23284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23284,A000000,00700,0000,00700HOUSEKEEPING 23284,A000000,00800,0000,00800DIETARY 23284,A000000,00900,0000,00900NURSING ADMINISTRATION 23284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23284,A000000,01100,0000,01100PHARMACY 23284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23284,A000000,01300,0000,01300SOCIAL SERVICE 23284,A000000,01350,0000,01500ACTIVITIES 23284,A000000,01351,0000,01501INDIRECT CONSULTANTS 23284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23284,A000000,01600,0000,01600SKILLED NURSING FACILITY 23284,A000000,01800,0000,01800NURSING FACILITY 23284,A000000,01810,0000,01810ICF/MR 23284,A000000,02100,0000,02100RADIOLOGY 23284,A000000,02200,0000,02200LABORATORY 23284,A000000,02300,0000,02300INTRAVENOUS THERAPY 23284,A000000,02500,0000,02500PHYSICAL THERAPY 23284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23284,A000000,02700,0000,02700SPEECH PATHOLOGY 23284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23284,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23284,A000000,03051,0000,03301PEN THERAPY 23284,A000000,03052,0000,03302AMBULANCE 23284,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23284,A000000,03550,0000,03550FQHC 23284,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23284,A000000,05000,0000,05000CORF 23284,A000000,05010,0000,05010CMHC 23284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23284,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23284,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23284,A81000A,00100,0100,Y 23284,A81000B,00100,0300,RENT-CAPITAL RELATED 23284,A81000B,00200,0300,RENT-CAP REL MOVABLE 23284,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23284,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23284,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23284,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23284,A81000B,00700,0300,PLANT PURCHASED SERVICE 23284,A81000C,00100,0100,B 23284,A81000C,00100,0200,WINGATE HEALTHCARE 23284,A81000C,00100,0400,CONTINENTAL HEALTHCARE 23284,A81000C,00100,0600,RENTAL PROPERTY 23284,A81000C,00200,0100,B 23284,A81000C,00200,0200,WINGATE HEALTHCARE 23284,A81000C,00200,0400,WINGATE HEALTHCARE 23284,A81000C,00200,0600,HOME OFFICE 23284,B100000,00000,0100,00000SQUARE FEET 23284,B100000,00000,0200,00000SQUARE FEET 23284,B100000,00000,0300,00000GROSS SALARIES 23284,B100000,00000,0400,00000ACCUM. COST 23284,B100000,00000,0500,00000SQUARE FEET 23284,B100000,00000,0600,00000PATIENT DAYS 23284,B100000,00000,0700,00000SQUARE FEET 23284,B100000,00000,0800,00000MEALS SERVED 23284,B100000,00000,0900,00000HOURS OF SERVICE 23284,B100000,00000,1000,00000COSTED REQUIS. 23284,B100000,00000,1100,00000N/A 23284,B100000,00000,1200,00000PATIENT DAYS 23284,B100000,00000,1300,00000PATIENT DAYS 23284,B100000,00000,1350,00000PATIENT DAYS 23284,B100000,00000,1351,00000N/A 23284,B100000,00000,1400,00000N/A 23284,S000000,00100,0200,05/31/2000 23284,S200000,00100,0100,9 MAPLE STREET 23284,S200000,00200,0100,WILBRAHAM 23284,S200000,00200,0200,MA 23284,S200000,00200,0300,02109 23284,S200000,00300,0100,HAMPDEN 23284,S200000,00400,0100,WINGATE AT WILBRAHAM 23284,S200000,00400,0200,225295 23284,S200000,00400,0300,01/29/1987 23284,S200000,00400,0500,P 23284,S200000,00400,0600,O 23284,S200000,01600,0100,Y 23296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23296,A000000,00300,0000,00300EMPLOYEE BENEFITS 23296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23296,A000000,00700,0000,00700HOUSEKEEPING 23296,A000000,00800,0000,00800DIETARY 23296,A000000,00900,0000,00900NURSING ADMINISTRATION 23296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23296,A000000,01100,0000,01100PHARMACY 23296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23296,A000000,01300,0000,01300SOCIAL SERVICE 23296,A000000,01350,0000,01500ACTIVITIES 23296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23296,A000000,01600,0000,01600SKILLED NURSING FACILITY 23296,A000000,01800,0000,01800NURSING FACILITY 23296,A000000,01810,0000,01810ICF/MR 23296,A000000,02100,0000,02100RADIOLOGY 23296,A000000,02200,0000,02200LABORATORY 23296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23296,A000000,02500,0000,02500PHYSICAL THERAPY 23296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23296,A000000,02700,0000,02700SPEECH PATHOLOGY 23296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23296,A000000,03550,0000,03550FQHC 23296,A000000,04800,0000,04800AMBULANCE 23296,A000000,05000,0000,05000CORF 23296,A000000,05010,0000,05010CMHC 23296,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23296,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23296,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 23296,A000000,05300,0000,05300INTEREST EXPENSE 23296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23296,A81000A,00100,0100,Y 23296,A81000B,00100,0300,ADMIN & GENERAL EXP 23296,A81000C,00100,0100,A 23296,A81000C,00100,0200,GUARDIAN FOUNDA 23296,A81000C,00100,0400,GUARDIAN FOUNDA 23296,A81000C,00100,0600,HOME OFFICE 23296,B100000,00000,0100,00000SQUARE FEET 23296,B100000,00000,0200,00000SQUARE FEET 23296,B100000,00000,0300,00000GROSS SALARIES 23296,B100000,00000,0400,00000ACCUM COST 23296,B100000,00000,0500,00000SQUARE FEET 23296,B100000,00000,0600,00000PATIENT DAYS 23296,B100000,00000,0700,00000SQUARE FEET 23296,B100000,00000,0800,00000PATIENT DAYS 23296,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 23296,B100000,00000,1000,00000PATIENT DAYS 23296,B100000,00000,1100,00000COSTED REQUISITIO 23296,B100000,00000,1200,00000PATIENT DAYS 23296,B100000,00000,1300,00000PATIENT DAYS 23296,B100000,00000,1350,00000PATIENT DAYS 23296,B100000,00000,1400,00000ASSIGNED TIME 23296,S000000,00100,0200,05/30/2000 23296,S200000,00100,0100,204 PROCTOR AVENUE 23296,S200000,00200,0100,REVERE 23296,S200000,00200,0200,MA 23296,S200000,00200,0300,02151 23296,S200000,00300,0100,SUFFOLK 23296,S200000,00400,0100,GF/REVERE - LIGHTHOUSE 23296,S200000,00400,0200,225297 23296,S200000,00400,0300,06/12/1986 23296,S200000,00400,0500,P 23296,S200000,01600,0100,Y 23305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23305,A000000,00300,0000,00300EMPLOYEE BENEFITS 23305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23305,A000000,00700,0000,00700HOUSEKEEPING 23305,A000000,00800,0000,00800DIETARY 23305,A000000,00900,0000,00900NURSING ADMINISTRATION 23305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23305,A000000,01100,0000,01100PHARMACY 23305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23305,A000000,01300,0000,01300SOCIAL SERVICE 23305,A000000,01350,0000,01500ACTIVITIES 23305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23305,A000000,01600,0000,01600SKILLED NURSING FACILITY 23305,A000000,01800,0000,01800NURSING FACILITY 23305,A000000,01810,0000,01810ICF/MR 23305,A000000,02200,0000,02200LABORATORY 23305,A000000,02300,0000,02300INTRAVENOUS THERAPY 23305,A000000,02500,0000,02500PHYSICAL THERAPY 23305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23305,A000000,02700,0000,02700SPEECH PATHOLOGY 23305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23305,A000000,03550,0000,03550FQHC 23305,A000000,05000,0000,05000CORF 23305,A000000,05010,0000,05010CMHC 23305,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23305,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23305,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23305,A81000A,00100,0100,Y 23305,A81000B,00100,0300,LAUNDRY 23305,A81000B,00200,0300,PT 23305,A81000B,00300,0300,OT 23305,A81000B,00400,0300,SP 23305,A81000B,00500,0300,MANAGEMENT FEES 23305,A81000B,00600,0300,401K 23305,A81000B,00700,0300,ESPP 23305,A81000B,00800,0300,SUPPLIES & EXPENSE 23305,A81000B,00900,0300,LEGAL FEES 23305,A81000B,01000,0300,HEALTH INSURANCE 23305,A81000B,01100,0300,MEDICAL DIRECTOR 23305,A81000B,01200,0300,PRINTING 23305,A81000C,00100,0100,G 23305,A81000C,00100,0200,PH MILLBURY 23305,A81000C,00100,0400,ST VINCENT HOSP 23305,A81000C,00100,0600,HOSP 23305,A81000C,00200,0100,G 23305,A81000C,00200,0200,PH MILLBURY 23305,A81000C,00200,0400,FALLON HEALTH P 23305,A81000C,00200,0600,HLTH INS 23305,A81000C,00300,0100,G 23305,A81000C,00300,0200,PH MILLBURY 23305,A81000C,00300,0400,FALLON CLINIC 23305,A81000C,00300,0600,HEALTHCARE 23305,A81000C,00400,0100,G 23305,A81000C,00400,0200,PH MILLBURY 23305,A81000C,00400,0400,CLINITRON LAB 23305,A81000C,00400,0600,MED SUPPLY 23305,B100000,00000,0100,00000SQUARE FEET 23305,B100000,00000,0200,00000SQUARE FEET 23305,B100000,00000,0300,00000GROSS SALARIES 23305,B100000,00000,0400,00000ACCUM COST 23305,B100000,00000,0500,00000SQUARE FEET 23305,B100000,00000,0600,00000POUNDS OF LAUNDRY 23305,B100000,00000,0700,00000HOURS OF SERVICE 23305,B100000,00000,0800,00000MEALS SERVED 23305,B100000,00000,0900,00000PATIENT DAYS 23305,B100000,00000,1000,00000PATIENT DAYS 23305,B100000,00000,1100,00000PATIENT DAYS 23305,B100000,00000,1200,00000TIME SPENT 23305,B100000,00000,1300,00000TIME SPENT 23305,B100000,00000,1350,00000PATIENT DAYS 23305,B100000,00000,1400,00000ASSIGNED TIME 23305,S000000,00100,0200,05/31/2000 23305,S200000,00100,0100,29 MAIN STREET 23305,S200000,00200,0100,MILLBURY 23305,S200000,00200,0200,MA 23305,S200000,00200,0300,01527 23305,S200000,00300,0100,WORCESTER 23305,S200000,00400,0100,PROVIDENCE HOUSE OF MILLBURY 23305,S200000,00400,0200,225308 23305,S200000,00400,0300,01/02/1987 23305,S200000,00400,0500,P 23305,S200000,01600,0100,Y 23317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23317,A000000,00300,0000,00300EMPLOYEE BENEFITS 23317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23317,A000000,00700,0000,00700HOUSEKEEPING 23317,A000000,00800,0000,00800DIETARY 23317,A000000,00900,0000,00900NURSING ADMINISTRATION 23317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23317,A000000,01100,0000,01100PHARMACY 23317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23317,A000000,01300,0000,01300SOCIAL SERVICE 23317,A000000,01350,0000,01500ACTIVITIES 23317,A000000,01351,0000,01501INDIRECT CONSULTANTS 23317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23317,A000000,01600,0000,01600SKILLED NURSING FACILITY 23317,A000000,01800,0000,01800NURSING FACILITY 23317,A000000,01810,0000,01810ICF/MR 23317,A000000,02200,0000,02200LABORATORY 23317,A000000,02300,0000,02300INTRAVENOUS THERAPY 23317,A000000,02500,0000,02500PHYSICAL THERAPY 23317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23317,A000000,02700,0000,02700SPEECH PATHOLOGY 23317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23317,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23317,A000000,03051,0000,03301OTHER 23317,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23317,A000000,03550,0000,03550FQHC 23317,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23317,A000000,05000,0000,05000CORF 23317,A000000,05010,0000,05010CMHC 23317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23317,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23317,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 23317,A000000,06200,0000,06200PATIENTS LAUNDRY 23317,A81000A,00100,0100,Y 23317,A81000B,00100,0300,LAND LEASE 23317,A81000B,00200,0300,INTEREST-BONDS 23317,A81000B,00300,0300,TELEPHONE-BILLABLE 23317,A81000B,00400,0300,TELEPHONE-NOT BILLABLE 23317,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23317,A81000B,00600,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,00700,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,00800,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,00900,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,01000,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,01100,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,01200,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,01300,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000B,01400,0300,SEE SUPPLEMENTAL WORKPAPER 23317,A81000C,00100,0100,G 23317,A81000C,00100,0200,HIGHLANDS 23317,A81000C,00100,0400,BURBANK HOSPITAL 23317,A81000C,00100,0600,HOSPITAL 23317,B100000,00000,0100,00000SQUARE FEET 23317,B100000,00000,0200,00000SQUARE FEET 23317,B100000,00000,0300,00000GROSS SALARIES 23317,B100000,00000,0400,00000ACCUM. COST 23317,B100000,00000,0500,00000SQUARE FEET 23317,B100000,00000,0600,00000PATIENT DAYS 23317,B100000,00000,0700,00000SQUARE FEET 23317,B100000,00000,0800,00000MEALS SERVED 23317,B100000,00000,0900,00000HOURS OF SERVICE 23317,B100000,00000,1000,00000PATIENT DAYS 23317,B100000,00000,1100,00000N/A 23317,B100000,00000,1200,00000PATIENT DAYS 23317,B100000,00000,1300,00000PATIENT DAYS 23317,B100000,00000,1350,00000PATIENT DAYS 23317,B100000,00000,1351,00000N/A 23317,B100000,00000,1400,00000N/A 23317,S000000,00100,0200,02/29/2000 23317,S200000,00100,0100,335 NICHOLS ROAD 23317,S200000,00200,0100,FITCHBURG 23317,S200000,00200,0200,MA 23317,S200000,00300,0100,WORCESTER 23317,S200000,00400,0100,THE HIGHLANDS 23317,S200000,00400,0200,225315 23317,S200000,00400,0300,12/08/1988 23317,S200000,00400,0500,P 23317,S200000,01600,0100,Y 23317,S200000,04700,0100,Y 23326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23326,A000000,00300,0000,00300EMPLOYEE BENEFITS 23326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23326,A000000,00700,0000,00700HOUSEKEEPING 23326,A000000,00800,0000,00800DIETARY 23326,A000000,00900,0000,00900NURSING ADMINISTRATION 23326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23326,A000000,01100,0000,01100PHARMACY 23326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23326,A000000,01300,0000,01300SOCIAL SERVICE 23326,A000000,01350,0000,01500ACTIVITIES 23326,A000000,01351,0000,01501INDIRECT CONSULTANTS 23326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23326,A000000,01600,0000,01600SKILLED NURSING FACILITY 23326,A000000,01800,0000,01800NURSING FACILITY 23326,A000000,01810,0000,01810ICF/MR 23326,A000000,02100,0000,02100RADIOLOGY 23326,A000000,02200,0000,02200LABORATORY 23326,A000000,02300,0000,02300INTRAVENOUS THERAPY 23326,A000000,02500,0000,02500PHYSICAL THERAPY 23326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23326,A000000,02700,0000,02700SPEECH PATHOLOGY 23326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23326,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23326,A000000,03051,0000,03301PEN THERAPY 23326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23326,A000000,03550,0000,03550FQHC 23326,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23326,A000000,05000,0000,05000CORF 23326,A000000,05010,0000,05010CMHC 23326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23326,B100000,00000,0100,00000SQUARE FEET 23326,B100000,00000,0200,00000SQUARE FEET 23326,B100000,00000,0300,00000GROSS SALARIES 23326,B100000,00000,0400,00000ACCUM. COST 23326,B100000,00000,0500,00000SQUARE FEET 23326,B100000,00000,0600,00000POUNDS OF LAUNDRY 23326,B100000,00000,0700,00000SQUARE FEET 23326,B100000,00000,0800,00000MEALS SERVED 23326,B100000,00000,0900,00000HOURS OF SERVICE 23326,B100000,00000,1000,00000COSTED REQUIS. 23326,B100000,00000,1100,00000N/A 23326,B100000,00000,1200,00000TIME SPENT 23326,B100000,00000,1300,00000TIME SPENT 23326,B100000,00000,1350,00000PATIENT DAYS 23326,B100000,00000,1351,00000N/A 23326,B100000,00000,1400,00000N/A 23326,S000000,00100,0200,04/19/2000 23326,S200000,00100,0100,538 ROBESON 23326,S200000,00200,0100,S. FALL RIVER 23326,S200000,00200,0200,MA 23326,S200000,00300,0100,BRISTOL 23326,S200000,00400,0100,FALL RIVER JEWISH HOME INC. 23326,S200000,00400,0200,225317 23326,S200000,00400,0300,07/01/1990 23326,S200000,00400,0500,P 23326,S200000,00400,0600,P 23326,S200000,01600,0100,Y 23336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23336,A000000,00300,0000,00300EMPLOYEE BENEFITS 23336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23336,A000000,00700,0000,00700HOUSEKEEPING 23336,A000000,00800,0000,00800DIETARY 23336,A000000,00900,0000,00900NURSING ADMINISTRATION 23336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23336,A000000,01100,0000,01100PHARMACY 23336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23336,A000000,01300,0000,01300SOCIAL SERVICE 23336,A000000,01350,0000,01500ACTIVITIES 23336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23336,A000000,01600,0000,01600SKILLED NURSING FACILITY 23336,A000000,01800,0000,01800NURSING FACILITY 23336,A000000,01810,0000,01810ICF/MR 23336,A000000,02100,0000,02100RADIOLOGY 23336,A000000,02200,0000,02200LABORATORY 23336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23336,A000000,02500,0000,02500PHYSICAL THERAPY 23336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23336,A000000,02700,0000,02700SPEECH PATHOLOGY 23336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23336,A000000,03101,0000,03110CLINITRON BEDS 23336,A000000,03550,0000,03550FQHC 23336,A000000,05000,0000,05000CORF 23336,A000000,05010,0000,05010CMHC 23336,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23336,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23336,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23336,B100000,00000,0100,00000SQUARE FEET 23336,B100000,00000,0200,00000SQUARE FEET 23336,B100000,00000,0300,00000GROSS SALARIES 23336,B100000,00000,0400,00000ACCUM COST 23336,B100000,00000,0500,00000SQUARE FEET 23336,B100000,00000,0600,00000PATIENT DAYS 23336,B100000,00000,0700,00000SQUARE FEET 23336,B100000,00000,0800,00000MEALS SERVED 23336,B100000,00000,0900,00000DIRECT NRSG HRS 23336,B100000,00000,1000,00000COSTED REQUISIT 23336,B100000,00000,1100,00000COSTED REQUISIT 23336,B100000,00000,1200,00000PATIENT DAYS 23336,B100000,00000,1300,00000PATIENT DAYS 23336,B100000,00000,1350,00000PATIENT DAYS 23336,B100000,00000,1400,00000ASSIGNED TIME 23336,S000000,00100,0200,05/30/2000 23336,S200000,00100,0100,305 MAPLE STREET 23336,S200000,00200,0100,EAST LONGMEADOW 23336,S200000,00200,0200,MA 23336,S200000,00200,0300,01028 23336,S200000,00300,0100,HAMPDEN 23336,S200000,00400,0100,EAST LONGMEADOW 23336,S200000,00400,0200,225331 23336,S200000,00400,0300,04/01/1989 23336,S200000,00400,0500,P 23336,S200000,01600,0100,Y 23336,S200000,01900,0100,CORPORATION 23352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23352,A000000,00300,0000,00300EMPLOYEE BENEFITS 23352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23352,A000000,00700,0000,00700HOUSEKEEPING 23352,A000000,00800,0000,00800DIETARY 23352,A000000,00900,0000,00900NURSING ADMINISTRATION 23352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23352,A000000,01100,0000,01100PHARMACY 23352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23352,A000000,01300,0000,01300SOCIAL SERVICE 23352,A000000,01350,0000,01500ACTIVITIES 23352,A000000,01351,0000,01501INDIRECT CONSULTANTS 23352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23352,A000000,01600,0000,01600SKILLED NURSING FACILITY 23352,A000000,01810,0000,01810ICF/MR 23352,A000000,02100,0000,02100RADIOLOGY 23352,A000000,02200,0000,02200LABORATORY 23352,A000000,02300,0000,02300INTRAVENOUS THERAPY 23352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23352,A000000,02500,0000,02500PHYSICAL THERAPY 23352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23352,A000000,02700,0000,02700SPEECH PATHOLOGY 23352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23352,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23352,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 23352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23352,A000000,03550,0000,03550FQHC 23352,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23352,A000000,05000,0000,05000CORF 23352,A000000,05010,0000,05010CMHC 23352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23352,A81000A,00100,0100,Y 23352,A81000B,00100,0300,RENT-CAPITAL RELATED 23352,A81000B,00200,0300,RENT-CAP REL MOVABLE 23352,A81000B,00300,0300,SALARIES-ADMIN 23352,A81000B,00400,0300,EMPLOYEE BENEFITS 23352,A81000B,00500,0300,RENT NON CAP RELATED 23352,A81000C,00100,0100,A 23352,A81000C,00100,0200,RICHARD BANE 23352,A81000C,00100,0400,ABBOTT 23352,A81000C,00100,0600,RENTAL PROPERTY 23352,A81000C,00200,0100,A 23352,B100000,00000,0100,00000SQUARE FEET 23352,B100000,00000,0200,00000SQUARE FEET 23352,B100000,00000,0300,00000GROSS SALARIES 23352,B100000,00000,0400,00000ACCUM. COST 23352,B100000,00000,0500,00000SQUARE FEET 23352,B100000,00000,0600,00000PATIENT DAYS 23352,B100000,00000,0700,00000SQUARE FEET 23352,B100000,00000,0800,00000MEALS SERVED 23352,B100000,00000,0900,00000HOURS OF SERVICE 23352,B100000,00000,1000,00000COSTED REQUIS. 23352,B100000,00000,1100,00000N/A 23352,B100000,00000,1200,00000TIME SPENT 23352,B100000,00000,1300,00000TIME SPENT 23352,B100000,00000,1350,00000PATIENT DAYS 23352,B100000,00000,1351,00000N/A 23352,B100000,00000,1400,00000N/A 23352,S000000,00100,0200,05/31/2000 23352,S200000,00100,0100,28 ESSEX STREET 23352,S200000,00200,0100,LYNN 23352,S200000,00200,0200,MA 23352,S200000,00200,0300,01902 23352,S200000,00300,0100,ESSEX 23352,S200000,00400,0100,ABBOTT HOUSE NURSING HOME 23352,S200000,00400,0200,225344 23352,S200000,00400,0300,03/20/1989 23352,S200000,00400,0500,P 23352,S200000,00400,0600,O 23352,S200000,01500,0100,Y 23362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23362,A000000,00300,0000,00300EMPLOYEE BENEFITS 23362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23362,A000000,00700,0000,00700HOUSEKEEPING 23362,A000000,00800,0000,00800DIETARY 23362,A000000,00900,0000,00900NURSING ADMINISTRATION 23362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23362,A000000,01100,0000,01100PHARMACY 23362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23362,A000000,01300,0000,01300SOCIAL SERVICE 23362,A000000,01350,0000,01500ACTIVITIES 23362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23362,A000000,01600,0000,01600SKILLED NURSING FACILITY 23362,A000000,01800,0000,01800NURSING FACILITY 23362,A000000,01810,0000,01810ICF/MR 23362,A000000,02100,0000,02100RADIOLOGY 23362,A000000,02200,0000,02200LABORATORY 23362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23362,A000000,02500,0000,02500PHYSICAL THERAPY 23362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23362,A000000,02700,0000,02700SPEECH PATHOLOGY 23362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23362,A000000,03101,0000,03110CLINITRON BEDS 23362,A000000,03550,0000,03550FQHC 23362,A000000,05000,0000,05000CORF 23362,A000000,05010,0000,05010CMHC 23362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23362,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 23362,A000000,06201,0000,06210DAY CARE 23362,B100000,00000,0100,00010SQUARE FEET 23362,B100000,00000,0200,00010SQUARE FEET 23362,B100000,00000,0300,00010GROSS SALARIES 23362,B100000,00000,0400,00010ACCUM COST 23362,B100000,00000,0500,00010SQUARE FEET 23362,B100000,00000,0600,00010PATIENT DAYS 23362,B100000,00000,0700,00010SQUARE FEET 23362,B100000,00000,0800,00010MEALS SERVED 23362,B100000,00000,0900,00010DIRECT NRSG HRS 23362,B100000,00000,1000,00010COSTED REQUIS 23362,B100000,00000,1100,00010PATIENT DAYS 23362,B100000,00000,1200,00010PATIENT DAYS 23362,B100000,00000,1300,00010PATIENT DAYS 23362,B100000,00000,1350,00010PATIENT DAYS 23362,B100000,00000,1400,00010ASSIGNED TIME 23362,S000000,00100,0200,05/30/2000 23362,S200000,00100,0100,265 N. MAIN STREET 23362,S200000,00200,0100,S. YARMOUTH 23362,S200000,00200,0200,MA 23362,S200000,00200,0300,02664 23362,S200000,00300,0100,BARNSTABLE 23362,S200000,00400,0100,WINDSOR NURSING HOME 23362,S200000,00400,0200,225349 23362,S200000,00400,0300,07/01/1989 23362,S200000,00400,0500,P 23362,S200000,01600,0100,Y 23362,S200000,01900,0100,CORPORATION 23372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23372,A000000,00300,0000,00300EMPLOYEE BENEFITS 23372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23372,A000000,00700,0000,00700HOUSEKEEPING 23372,A000000,00800,0000,00800DIETARY 23372,A000000,00900,0000,00900NURSING ADMINISTRATION 23372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23372,A000000,01100,0000,01100PHARMACY 23372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23372,A000000,01300,0000,01300SOCIAL SERVICE 23372,A000000,01350,0000,01500ACTIVITIES 23372,A000000,01351,0000,01501INDIRECT CONSULTANTS 23372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23372,A000000,01600,0000,01600SKILLED NURSING FACILITY 23372,A000000,01800,0000,01800NURSING FACILITY 23372,A000000,01810,0000,01810ICF/MR 23372,A000000,02100,0000,02100RADIOLOGY 23372,A000000,02200,0000,02200LABORATORY 23372,A000000,02300,0000,02300INTRAVENOUS THERAPY 23372,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23372,A000000,02500,0000,02500PHYSICAL THERAPY 23372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23372,A000000,02700,0000,02700SPEECH PATHOLOGY 23372,A000000,02800,0000,02800ELECTROCARDIOLOGY 23372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23372,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23372,A000000,03051,0000,03301AMBULANCE 23372,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23372,A000000,03550,0000,03550FQHC 23372,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23372,A000000,05000,0000,05000CORF 23372,A000000,05010,0000,05010CMHC 23372,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23372,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23372,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23372,A81000A,00100,0100,Y 23372,A81000B,00100,0300,RENT-CAPITAL RELATED 23372,A81000B,00300,0300,ADMINISTRATOR SALARY 23372,A81000B,00400,0300,ADMINISTRATOR BENEFITS 23372,A81000B,00500,0300,LICENSES & DUES 23372,A81000B,00600,0300,PROFESSIONAL FEES 23372,A81000C,00100,0100,A 23372,A81000C,00100,0200,RICHARD/ROBERT SALTER 23372,A81000C,00100,0400,SWANTON ST 223LL 23372,A81000C,00100,0600,RENTAL PROPERTY 23372,A81000C,00300,0100,A 23372,A81000C,00300,0200,RICHARD/ROBERT SALTER 23372,A81000C,00300,0400,AURUM NETWORK 23372,A81000C,00300,0600,TRADE ASSOCIATION 23372,B100000,00000,0100,00000SQUARE FEET 23372,B100000,00000,0200,00000SQUARE FEET 23372,B100000,00000,0300,00000GROSS SALARIES 23372,B100000,00000,0400,00000ACCUM COST 23372,B100000,00000,0500,00000SQUARE FEET 23372,B100000,00000,0600,00000POUNDS OF LAUNDRY 23372,B100000,00000,0700,00000HOURS OF SERVICE 23372,B100000,00000,0800,00000MEALS SERVED 23372,B100000,00000,0900,00000DIRECT NRSG HRS 23372,B100000,00000,1000,00000COSTED REQUIS 23372,B100000,00000,1100,00000COSTED REQUIS 23372,B100000,00000,1200,00000TIME SPENT 23372,B100000,00000,1300,00000TIME SPENT 23372,B100000,00000,1350,00000PATIENT DAYS 23372,B100000,00000,1351,00000N/A 23372,B100000,00000,1400,00000ASSIGNED TIME 23372,S000000,00100,0200,05/30/2000 23372,S200000,00100,0100,223 SWANTON STREET 23372,S200000,00200,0100,WINCHESTER 23372,S200000,00200,0200,MA 23372,S200000,00200,0300,01890 23372,S200000,00300,0100,MIDDLESEX 23372,S200000,00400,0100,WINCHESTER NURSING HOME 23372,S200000,00400,0200,225357 23372,S200000,00400,0300,07/01/1989 23372,S200000,00400,0500,P 23372,S200000,00400,0600,O 23372,S200000,01600,0100,Y 23381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23381,A000000,00300,0000,00300EMPLOYEE BENEFITS 23381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23381,A000000,00700,0000,00700HOUSEKEEPING 23381,A000000,00800,0000,00800DIETARY 23381,A000000,00900,0000,00900NURSING ADMINISTRATION 23381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23381,A000000,01100,0000,01100PHARMACY 23381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23381,A000000,01300,0000,01300SOCIAL SERVICE 23381,A000000,01350,0000,01500OTHER GENERAL SERVICES 23381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23381,A000000,01600,0000,01600SKILLED NURSING FACILITY 23381,A000000,01810,0000,01810ICF/MR 23381,A000000,02200,0000,02200LABORATORY 23381,A000000,02500,0000,02500PHYSICAL THERAPY 23381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23381,A000000,02700,0000,02700SPEECH PATHOLOGY 23381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23381,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23381,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23381,A000000,03550,0000,03550FQHC 23381,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23381,A000000,05000,0000,05000CORF 23381,A000000,05010,0000,05010CMHC 23381,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23381,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23381,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23381,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23381,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23381,A81000A,00100,0100,Y 23381,A81000B,00100,0300,MANAGEMENT FEE 287-92 23381,A81000B,00200,0300,OFFICER LOAN INTEREST 23381,A81000B,00300,0300,DEPRECIATION DIFFERENCE 287-92 23381,A81000B,00400,0300,OFFICE RENT & INSURANCE 287-92 23381,A81000C,00100,0100,A 23381,A81000C,00100,0200,JAMES A MARTIN 23381,A81000C,00100,0400,CAVALIER HEALTHCARE ASSOC 23381,A81000C,00100,0600,MANAGEMENT COMPANY 23381,A81000C,00200,0100,B 23381,A81000C,00200,0200,GEORGE DAGRACA 23381,A81000C,00200,0400,CAVALIER HEATLHCARE ASSOC 23381,A81000C,00200,0600,MANAGEMENT COMPANY 23381,B100000,00000,0100,00000SQUARE FEET 23381,B100000,00000,0200,00000SQUARE FEET 23381,B100000,00000,0300,00000GROSS SALARIES 23381,B100000,00000,0400,00000ACCUM. COST 23381,B100000,00000,0500,00000SQUARE FEET 23381,B100000,00000,0600,00000POUNDS OF LAUNDRY 23381,B100000,00000,0700,00000PATIENT CENSUS 23381,B100000,00000,0800,00000MEALS SERVED 23381,B100000,00000,0900,00000PATIENT CENSUS 23381,B100000,00000,1000,00000PATIENT CENSUS 23381,B100000,00000,1100,00000NO STATISTICS 23381,B100000,00000,1200,00000PATIENT CENSUS 23381,B100000,00000,1300,00000PATIENT CENSUS 23381,B100000,00000,1350,00000NO STATISTICS 23381,B100000,00000,1400,00000NO STATISTICS 23381,S000000,00100,0200,11/19/1999 23381,S200000,00100,0100,359 HIGH ST 23381,S200000,00200,0100,GREENFIELD 23381,S200000,00200,0200,MA 23381,S200000,00300,0100,FRANKLIN 23381,S200000,00400,0100,POETS SEAT NURSING HOME 23381,S200000,00400,0200,225360 23381,S200000,00400,0300,06/12/1989 23381,S200000,00400,0500,P 23381,S200000,01500,0100,Y 23381,S200000,03100,0100,Y 23382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23382,A000000,00300,0000,00300EMPLOYEE BENEFITS 23382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23382,A000000,00700,0000,00700HOUSEKEEPING 23382,A000000,00800,0000,00800DIETARY 23382,A000000,00900,0000,00900NURSING ADMINISTRATION 23382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23382,A000000,01100,0000,01100PHARMACY 23382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23382,A000000,01300,0000,01300SOCIAL SERVICE 23382,A000000,01350,0000,01500ACTIVITIES 23382,A000000,01351,0000,01501INDIRECT CONSULTANTS 23382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23382,A000000,01600,0000,01600SKILLED NURSING FACILITY 23382,A000000,01810,0000,01810ICF/MR 23382,A000000,02100,0000,02100RADIOLOGY 23382,A000000,02200,0000,02200LABORATORY 23382,A000000,02500,0000,02500PHYSICAL THERAPY 23382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23382,A000000,02700,0000,02700SPEECH PATHOLOGY 23382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23382,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23382,A000000,03550,0000,03550FQHC 23382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23382,A000000,05000,0000,05000CORF 23382,A000000,05010,0000,05010CMHC 23382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23382,A81000A,00100,0100,Y 23382,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 23382,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 23382,A81000B,00300,0300,PLANT SALARY 23382,A81000B,00400,0300,DIETARY SALARY 23382,A81000B,00500,0300,TRAVEL 23382,A81000B,00600,0300,OTHER BENEFITS 23382,A81000B,00700,0300,HEALTH INSURANCE 23382,A81000B,00800,0300,QA SALARY 23382,A81000C,00100,0100,D 23382,A81000C,00100,0200,MAMMARY/MARCUS 23382,A81000C,00100,0400,NEHCM INC 23382,A81000C,00100,0600,HOME OFFICE 23382,A81000C,00200,0100,E 23382,A81000C,00200,0200,MAMARY 23382,A81000C,00200,0400,ROYAL MEGANSETT 23382,A81000C,00200,0600,NURSING HOME 23382,B100000,00000,0100,00000SQUARE FEET 23382,B100000,00000,0200,00000SQUARE FEET 23382,B100000,00000,0300,00000GROSS SALARIES 23382,B100000,00000,0400,00000ACCUM. COST 23382,B100000,00000,0500,00000SQUARE FEET 23382,B100000,00000,0600,00000PATIENT DAYS 23382,B100000,00000,0700,00000SQUARE FEET 23382,B100000,00000,0800,00000PATIENT DAYS 23382,B100000,00000,0900,00000DIRECT NRSING HRS 23382,B100000,00000,1000,00000PATIENT DAYS 23382,B100000,00000,1100,00000N/A 23382,B100000,00000,1200,00000PATIENT DAYS 23382,B100000,00000,1300,00000PATIENT DAYS 23382,B100000,00000,1350,00000PATIENT DAYS 23382,B100000,00000,1351,00000NO STATISTICS 23382,B100000,00000,1400,00000N/A 23382,S000000,00100,0200,05/31/2000 23382,S200000,00100,0100,359 HIGH STREET 23382,S200000,00200,0100,GREENFIELD 23382,S200000,00200,0200,MA 23382,S200000,00200,0300,01301 23382,S200000,00300,0100,FRANKLIN 23382,S200000,00400,0100,POETS SEAT NURSING HOME LLC 23382,S200000,00400,0200,225360 23382,S200000,00400,0300,03/01/1999 23382,S200000,00400,0500,P 23382,S200000,00400,0600,O 23382,S200000,01500,0100,Y 23393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23393,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23393,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23393,A000000,00300,0000,00300EMPLOYEE BENEFITS 23393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23393,A000000,00700,0000,00700HOUSEKEEPING 23393,A000000,00800,0000,00800DIETARY 23393,A000000,00801,0000,00801CAFETERIA 23393,A000000,00900,0000,00900NURSING ADMINISTRATION 23393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23393,A000000,01100,0000,01100PHARMACY 23393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23393,A000000,01300,0000,01300SOCIAL SERVICE 23393,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23393,A000000,01600,0000,01600SKILLED NURSING FACILITY 23393,A000000,01810,0000,01810ICF/MR 23393,A000000,02100,0000,02100RADIOLOGY 23393,A000000,02500,0000,02500PHYSICAL THERAPY 23393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23393,A000000,02700,0000,02700SPEECH PATHOLOGY 23393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23393,A000000,03050,0000,03300MED. EQUIPMENT RENTAL 23393,A000000,03051,0000,03301OTHER ANCILLARY II 23393,A000000,03052,0000,03302OTHER ANCILLARY III 23393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23393,A000000,03550,0000,03550FQHC 23393,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23393,A000000,05000,0000,05000CORF I 23393,A000000,05010,0000,05010CMHC I 23393,A000000,05020,0000,05020OPT I 23393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23393,A000000,05300,0000,05300INTEREST EXPENSE 23393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23393,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23393,A000000,06150,0000,06300RETIREMENT COMMUNITY 23393,B100000,00000,0100,00000(SQUARE FEET) 23393,B100000,00000,0101,00000(SQUARE FEET) 23393,B100000,00000,0200,00000(SQUARE FEET) 23393,B100000,00000,0201,00000(SQUARE FEET) 23393,B100000,00000,0300,00000(GROSS SALARIES) 23393,B100000,00000,0400,00000(ACCUM. COST) 23393,B100000,00000,0500,00000(SQUARE FEET) 23393,B100000,00000,0600,00000(PATINT DAYS) 23393,B100000,00000,0700,00000(HOURS OF SERVICE) 23393,B100000,00000,0800,00000(MEALS SERVED) 23393,B100000,00000,0801,00000(MEALS SERVED) 23393,B100000,00000,0900,00000(DIRECT NRSING HRS 23393,B100000,00000,1000,00000(COSTED REQUIS.) 23393,B100000,00000,1100,00000(COSTED REQUIS.) 23393,B100000,00000,1200,00000(TIME SPENT) 23393,B100000,00000,1300,00000(TIME SPENT) 23393,B100000,00000,1350,00000 23393,B100000,00000,1400,00000(ASSIGNED TIME) 23393,S000000,00100,0200,02/29/2000 23393,S200000,00100,0100,1010 WALTHAM STREET 23393,S200000,00200,0100,LEXINGTON 23393,S200000,00200,0200,MA 23393,S200000,00200,0300,02420 23393,S200000,00300,0100,MIDDLESEX 23393,S200000,00400,0100,BROOKHAVEN NURSING HOME 23393,S200000,00400,0200,225367 23393,S200000,00400,0300,01/09/1990 23393,S200000,00400,0500,P 23393,S200000,01500,0100,Y 23401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23401,A000000,00300,0000,00300EMPLOYEE BENEFITS 23401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23401,A000000,00700,0000,00700HOUSEKEEPING 23401,A000000,00800,0000,00800DIETARY 23401,A000000,00900,0000,00900NURSING ADMINISTRATION 23401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23401,A000000,01100,0000,01100PHARMACY 23401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23401,A000000,01300,0000,01300SOCIAL SERVICE 23401,A000000,01350,0000,01500ACTIVITIES 23401,A000000,01351,0000,01501INDIRECT CONSULTANTS 23401,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23401,A000000,01600,0000,01600SKILLED NURSING FACILITY 23401,A000000,01800,0000,01800NURSING FACILITY 23401,A000000,01810,0000,01810ICF/MR 23401,A000000,02100,0000,02100RADIOLOGY 23401,A000000,02300,0000,02300INTRAVENOUS THERAPY 23401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23401,A000000,02500,0000,02500PHYSICAL THERAPY 23401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23401,A000000,02700,0000,02700SPEECH PATHOLOGY 23401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23401,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMEN 23401,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23401,A000000,03550,0000,03550FQHC 23401,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23401,A000000,05000,0000,05000CORF 23401,A000000,05010,0000,05010CMHC 23401,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23401,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23401,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23401,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23401,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23401,A81000A,00100,0100,Y 23401,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 23401,A81000B,00200,0300,MNMGT FEE - CAP. RELATED B & F 23401,A81000B,00300,0300,MNMGT FEE - CAP. RELATED MME 23401,A81000B,00500,0300,CONTRACT LABOR - RT 23401,A81000B,00600,0300,CONTRACT LABOR - PT 23401,A81000B,00700,0300,CONTRACT LABOR - OT 23401,A81000B,00800,0300,CONTRACT LABOR - ST 23401,A81000C,00100,0100,F 23401,A81000C,00100,0200,FRONTIER REHAB 23401,A81000C,00100,0400,FRONTIER GROUP INC. 23401,A81000C,00100,0600,THERAPY SERVICES 23401,A81000C,00200,0100,F 23401,A81000C,00200,0200,FRONTIER MNMGT 23401,A81000C,00200,0400,FRONTIER GROUP INC. 23401,A81000C,00200,0600,MNGMT SERVICES 23401,B100000,00000,0100,00000SQUARE FEET 23401,B100000,00000,0200,00000SQUARE FEET 23401,B100000,00000,0300,00000GROSS SALARIES 23401,B100000,00000,0400,00000ACCUM. COST 23401,B100000,00000,0500,00000SQUARE FEET 23401,B100000,00000,0600,00000PATIENT DAYS 23401,B100000,00000,0700,00000SQUARE FEET 23401,B100000,00000,0800,00000PATIENT DAYS 23401,B100000,00000,0900,00000DIRECT NRSING HRS 23401,B100000,00000,1000,00000PATIENT DAYS 23401,B100000,00000,1100,00000PATIENT DAYS 23401,B100000,00000,1200,00000TIME SPENT 23401,B100000,00000,1300,00000TIME SPENT 23401,B100000,00000,1350,00000PATIENT DAYS 23401,B100000,00000,1351,00000NO STATISTICS 23401,B100000,00000,1400,00000ASSIGNED TIME 23401,S000000,00100,0200,04/03/2000 23401,S200000,00100,0100,359 JONES RD. 23401,S200000,00200,0100,FALMOUTH 23401,S200000,00200,0200,MA 23401,S200000,00300,0100,BARNSTABLE 23401,S200000,00400,0100,COC - FALMOUTH 23401,S200000,00400,0200,225372 23401,S200000,00400,0300,05/18/1989 23401,S200000,00400,0500,P 23401,S200000,00400,0600,O 23401,S200000,00600,0200,225372 23401,S200000,00600,0300,05/18/1989 23401,S200000,00600,0600,P 23401,S200000,01600,0100,Y 23401,S200000,02200,0100,Y 23401,S200000,02800,0100,Y 23401,S200000,03100,0100,Y 23410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23410,A000000,00300,0000,00300EMPLOYEE BENEFITS 23410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23410,A000000,00700,0000,00700HOUSEKEEPING 23410,A000000,00800,0000,00800DIETARY 23410,A000000,00900,0000,00900NURSING ADMINISTRATION 23410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23410,A000000,01100,0000,01100PHARMACY 23410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23410,A000000,01300,0000,01300SOCIAL SERVICE 23410,A000000,01350,0000,01500ACTIVITIES 23410,A000000,01351,0000,01501INDIRECT CONSULTANTS 23410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23410,A000000,01600,0000,01600SKILLED NURSING FACILITY 23410,A000000,01800,0000,01800NURSING FACILITY 23410,A000000,02100,0000,02100RADIOLOGY 23410,A000000,02200,0000,02200LABORATORY 23410,A000000,02300,0000,02300INTRAVENOUS THERAPY 23410,A000000,02500,0000,02500PHYSICAL THERAPY 23410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23410,A000000,02700,0000,02700SPEECH PATHOLOGY 23410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23410,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23410,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23410,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 23410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23410,A000000,03550,0000,03550FQHC 23410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23410,A000000,05000,0000,05000CORF 23410,A000000,05010,0000,05010CMHC 23410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23410,A81000A,00100,0100,Y 23410,A81000B,00100,0300,RENT-CAPITAL RELATED 23410,A81000B,00200,0300,RENT-CAP REL MOVABLE 23410,A81000C,00100,0100,B 23410,A81000C,00100,0200,YARMOUTH MAYFLOWER 23410,A81000C,00100,0400,SIDNEY INSOFT 23410,A81000C,00100,0600,RENTAL PROPERTY 23410,A81000C,00200,0100,B 23410,A81000C,00200,0200,REALTY TRUST 23410,A81000C,00300,0100,B 23410,B100000,00000,0100,000003 FEET 23410,B100000,00000,0200,000003 FEET 23410,B100000,00000,0300,00000GROSS SALARIES 23410,B100000,00000,0400,00000ACCUM. COST 23410,B100000,00000,0500,000003 FEET 23410,B100000,00000,0600,00000PATIENT DAYS 23410,B100000,00000,0700,00000SQUARE FEET 23410,B100000,00000,0800,00000PATIENT DAYS 23410,B100000,00000,0900,00000HOURS 23410,B100000,00000,1000,00000PATIENT DAYS 23410,B100000,00000,1100,00000N/A 23410,B100000,00000,1200,00000PATIENT DAYS 23410,B100000,00000,1300,00000PATIENT DAYS 23410,B100000,00000,1350,00000PATIENT DAYS 23410,B100000,00000,1351,00000N/A 23410,B100000,00000,1400,00000N/A 23410,E10A180,00301,0300,02/14/2000 23410,E10A180,00350,0300,09/29/1999 23410,S000000,00100,0200,05/31/2000 23410,S200000,00100,0100,579 BUCK ISLAND ROAD 23410,S200000,00200,0100,WEST YARMOUTH 23410,S200000,00200,0200,MA 23410,S200000,00200,0300,02673 23410,S200000,00300,0100,BARNSTABLE 23410,S200000,00400,0100,MAYFLOWER PLACE NURSING CENTER INC. 23410,S200000,00400,0200,225374 23410,S200000,00400,0300,03/02/1990 23410,S200000,00400,0500,P 23410,S200000,00400,0600,P 23410,S200000,01500,0100,Y 23432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23432,A000000,00300,0000,00300EMPLOYEE BENEFITS 23432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23432,A000000,00700,0000,00700HOUSEKEEPING 23432,A000000,00800,0000,00800DIETARY 23432,A000000,00900,0000,00900NURSING ADMINISTRATION 23432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23432,A000000,01100,0000,01100PHARMACY 23432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23432,A000000,01300,0000,01300SOCIAL SERVICE 23432,A000000,01350,0000,01500ACTIVITIES 23432,A000000,01351,0000,01501INDIRECT CONSULTANTS 23432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23432,A000000,01600,0000,01600SKILLED NURSING FACILITY 23432,A000000,01800,0000,01800NURSING FACILITY 23432,A000000,01810,0000,01810ICF/MR 23432,A000000,02100,0000,02100RADIOLOGY 23432,A000000,02300,0000,02300INTRAVENOUS THERAPY 23432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23432,A000000,02500,0000,02500PHYSICAL THERAPY 23432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23432,A000000,02700,0000,02700SPEECH PATHOLOGY 23432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23432,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 23432,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23432,A000000,03052,0000,03302CONTRA ANCILLARIES 23432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23432,A000000,03550,0000,03550FQHC 23432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23432,A000000,05000,0000,05000CORF 23432,A000000,05010,0000,05010CMHC 23432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23432,A81000A,00100,0100,Y 23432,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 23432,A81000B,00200,0300,MNMGT FEE - CAP. RELATED B & F 23432,A81000B,00300,0300,MNMGT FEE - CAP. RELATED B & F 23432,A81000B,00500,0300,CONTRACT LABOR 23432,A81000B,00600,0300,CONTRACT LABOR 23432,A81000B,00700,0300,CONTRACT LABOR 23432,A81000B,00800,0300,CONTRACT LABOR 23432,A81000C,00100,0100,F 23432,A81000C,00100,0200,FRONTIER REHAB 23432,A81000C,00100,0400,FRONTIER GROUP INC. 23432,A81000C,00100,0600,THERAPY SERVICES 23432,A81000C,00200,0100,F 23432,A81000C,00200,0200,FRONTIER MNMGT 23432,A81000C,00200,0400,FRONTIER GROUP INC. 23432,A81000C,00200,0600,MNMGT SERVICES 23432,B100000,00000,0100,00000SQUARE FEET 23432,B100000,00000,0200,00000SQUARE FEET 23432,B100000,00000,0300,00000GROSS SALARIES 23432,B100000,00000,0400,00000ACCUM. COST 23432,B100000,00000,0500,00000SQUARE FEET 23432,B100000,00000,0600,00000PATIENT DAYS 23432,B100000,00000,0700,00000SQUARE FEET 23432,B100000,00000,0800,00000PATIENT DAYS 23432,B100000,00000,0900,00000DIRECT NRSING HRS 23432,B100000,00000,1000,00000PATIENT DAYS 23432,B100000,00000,1100,00000PATIENT DAYS 23432,B100000,00000,1200,00000TIME SPENT 23432,B100000,00000,1300,00000TIME SPENT 23432,B100000,00000,1350,00000PATIENT DAYS 23432,B100000,00000,1351,00000NO STATISTICS 23432,B100000,00000,1400,00000ASSIGNED TIME 23432,S000000,00100,0200,04/03/2000 23432,S200000,00100,0100,60 EAST STREET 23432,S200000,00200,0100,WESTFIELD 23432,S200000,00200,0200,MA 23432,S200000,00300,0100,HAMPDEN 23432,S200000,00400,0100,COC-WESTFIELD 23432,S200000,00400,0200,225380 23432,S200000,00400,0300,04/15/1996 23432,S200000,00400,0500,P 23432,S200000,00400,0600,O 23432,S200000,00600,0200,225380 23432,S200000,00600,0300,04/15/1996 23432,S200000,00600,0600,P 23432,S200000,01600,0100,Y 23432,S200000,02200,0100,Y 23432,S200000,02800,0100,Y 23432,S200000,03100,0100,Y 23439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23439,A000000,00300,0000,00300EMPLOYEE BENEFITS 23439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23439,A000000,00700,0000,00700HOUSEKEEPING 23439,A000000,00800,0000,00800DIETARY 23439,A000000,00900,0000,00900NURSING ADMINISTRATION 23439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23439,A000000,01100,0000,01100PHARMACY 23439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23439,A000000,01300,0000,01300SOCIAL SERVICE 23439,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23439,A000000,01600,0000,01600SKILLED NURSING FACILITY 23439,A000000,01810,0000,01810ICF/MR 23439,A000000,02100,0000,02100RADIOLOGY 23439,A000000,02200,0000,02200LABORATORY 23439,A000000,02500,0000,02500PHYSICAL THERAPY 23439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23439,A000000,02700,0000,02700SPEECH PATHOLOGY 23439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23439,A000000,03550,0000,03550FQHC 23439,A000000,05000,0000,05000CORF 23439,A000000,05010,0000,05010CMHC 23439,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23439,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23439,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23439,A000000,06201,0000,06201766 PROGRAM 23439,A000000,06202,0000,06202ADULT DAYCARE 23439,A81000A,00100,0100,Y 23439,A81000B,00100,0300,DATA PROCESSING 23439,A81000B,00200,0300,RELATED PARTY WAGES 23439,A81000B,00300,0300,REL PARTY BEN/TAXES 23439,A81000C,00100,0100,A 23439,A81000C,00100,0200,HAROLD LASH 23439,A81000C,00100,0400,HGL MANAGEMENT 23439,A81000C,00100,0600,DATA PROCESSING 23439,A81000C,00200,0100,A 23439,A81000C,00200,0200,HAROLD LASH 23439,A81000C,00200,0400,HGL MANAGEMENT 23439,A81000C,00200,0600,DATA PROCESSING 23439,A81000C,00300,0100,A 23439,A81000C,00300,0200,HAROLD LASH 23439,A81000C,00300,0400,HFL MANAGEMENT 23439,A81000C,00300,0600,DATA PROCESSING 23439,B100000,00000,0100,00002(SQUARE FEET) 23439,B100000,00000,0200,00002(SQUARE FEET) 23439,B100000,00000,0300,00002(GROSS SALARIES) 23439,B100000,00000,0400,00002(ACCUM COST) 23439,B100000,00000,0500,00002(SQUARE FEET) 23439,B100000,00000,0600,00002(POUNDS OF LAUNDRY) 23439,B100000,00000,0700,00002(HOURS OF SERVICE) 23439,B100000,00000,0800,00002(MEALS SERVED) 23439,B100000,00000,0900,00002(DIRECT NRSG HRS) 23439,B100000,00000,1000,00002(COSTED REQUIS) 23439,B100000,00000,1100,00002(COSTED REQUIS) 23439,B100000,00000,1200,00002(TIME SPENT) 23439,B100000,00000,1300,00002(TIME SPENT) 23439,B100000,00000,1400,00002(ASSIGNED TIME) 23439,S000000,00100,0200,06/23/2000 23439,S200000,00100,0100,737 BRIDGE STREET 23439,S200000,00200,0100,NORTHAMPTON 23439,S200000,00200,0200,MA 23439,S200000,00200,0300,01060 23439,S200000,00400,0100,NORTHAMPTON 23439,S200000,00400,0200,225381 23439,S200000,00400,0300,07/01/1990 23439,S200000,00400,0500,P 23439,S200000,01500,0100,Y 23445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23445,A000000,00300,0000,00300EMPLOYEE BENEFITS 23445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23445,A000000,00700,0000,00700HOUSEKEEPING 23445,A000000,00800,0000,00800DIETARY 23445,A000000,00900,0000,00900NURSING ADMINISTRATION 23445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23445,A000000,01100,0000,01100PHARMACY 23445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23445,A000000,01300,0000,01300SOCIAL SERVICE 23445,A000000,01350,0000,01500ACTIVITIES 23445,A000000,01351,0000,01501INDIRECT CONSULTANTS 23445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23445,A000000,01600,0000,01600SKILLED NURSING FACILITY 23445,A000000,01800,0000,01800NURSING FACILITY 23445,A000000,01810,0000,01810ICF/MR 23445,A000000,02100,0000,02100RADIOLOGY 23445,A000000,02200,0000,02200LABORATORY 23445,A000000,02300,0000,02300INTRAVENOUS THERAPY 23445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23445,A000000,02500,0000,02500PHYSICAL THERAPY 23445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23445,A000000,02700,0000,02700SPEECH PATHOLOGY 23445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23445,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23445,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23445,A000000,03550,0000,03550FQHC 23445,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23445,A000000,05000,0000,05000CORF 23445,A000000,05010,0000,05010CMHC 23445,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23445,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23445,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23445,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23445,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23445,A000000,06151,0000,06301OTHER 23445,A81000A,00100,0100,Y 23445,A81000B,00100,0300,MGMT FEE-NOT CAPITAL REL 23445,A81000B,00200,0300,MGMT FEE-CAPITAL RELATED 23445,A81000B,00300,0300,MGMT FEE-CAPITAL MME 23445,A81000C,00100,0100,B 23445,A81000C,00100,0400,GUARDIAN FOUNDATION 23445,A81000C,00100,0600,HOME OFFICE 23445,B100000,00000,0100,00001SQUARE FEET 23445,B100000,00000,0200,00001SQUARE FEET 23445,B100000,00000,0300,00001GROSS SALARIES 23445,B100000,00000,0400,00001ACCUM. COST 23445,B100000,00000,0500,00001SQUARE FEET 23445,B100000,00000,0600,00001PATIENT DAYS 23445,B100000,00000,0700,00001SQUARE FEET 23445,B100000,00000,0800,00001PATIENT DAYS 23445,B100000,00000,0900,00001PATIENT DAYS 23445,B100000,00000,1000,00001PATIENT DAYS 23445,B100000,00000,1100,00001PATIENT DAYS 23445,B100000,00000,1200,00001PATIENT DAYS 23445,B100000,00000,1300,00001PATIENT DAYS 23445,B100000,00000,1350,00001PATIENT DAYS 23445,B100000,00000,1351,00001PATIENT DAYS 23445,B100000,00000,1400,00001PATIENT DAYS 23445,S000000,00100,0200,06/30/1999 23445,S200000,00100,0100,888 NORTH MAIN STREET 23445,S200000,00200,0100,BROCKTON 23445,S200000,00200,0200,MA 23445,S200000,00200,0300,02301 23445,S200000,00300,0100,PLYMOUTH 23445,S200000,00400,0100,GUARDIAN CENTER 23445,S200000,00400,0200,225382 23445,S200000,00400,0300,07/01/1990 23445,S200000,00400,0500,P 23445,S200000,00400,0600,P 23445,S200000,00600,0200,225382 23445,S200000,00600,0300,07/01/1990 23445,S200000,00600,0600,O 23445,S200000,01600,0100,Y 23452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23452,A000000,00300,0000,00300EMPLOYEE BENEFITS 23452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23452,A000000,00700,0000,00700HOUSEKEEPING 23452,A000000,00800,0000,00800DIETARY 23452,A000000,00900,0000,00900NURSING ADMINISTRATION 23452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23452,A000000,01100,0000,01100PHARMACY 23452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23452,A000000,01300,0000,01300SOCIAL SERVICE 23452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23452,A000000,01600,0000,01600SKILLED NURSING FACILITY 23452,A000000,01800,0000,01800NURSING FACILITY 23452,A000000,01810,0000,01810ICF/MR 23452,A000000,02100,0000,02100RADIOLOGY 23452,A000000,02200,0000,02200LABORATORY 23452,A000000,02300,0000,02300INTRAVENOUS THERAPY 23452,A000000,02500,0000,02500PHYSICAL THERAPY 23452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23452,A000000,02700,0000,02700SPEECH PATHOLOGY 23452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23452,A000000,03550,0000,03550FQHC 23452,A000000,05000,0000,05000CORF 23452,A000000,05010,0000,05010CMHC 23452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23452,A000000,06201,0000,06201PEN THERAPY 23452,A81000A,00100,0100,Y 23452,A81000B,00100,0300,DATA PROCESSING 23452,A81000C,00100,0100,A 23452,A81000C,00100,0200,HAROLD G LASH 23452,A81000C,00100,0400,HGL MANAGEMENT 23452,A81000C,00100,0600,DATA PROCESSING 23452,B100000,00000,0100,00001(SQUARE FEET) 23452,B100000,00000,0200,00001(SQUARE FEET) 23452,B100000,00000,0300,00001(GROSS SALARIES) 23452,B100000,00000,0400,00001(ACCUM COST) 23452,B100000,00000,0500,00001(SQUARE FEET) 23452,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 23452,B100000,00000,0700,00001SQ FT EXCL DIETARY 23452,B100000,00000,0800,00001(MEALS SERVED) 23452,B100000,00000,0900,00001(DIRECT NRSG HRS) 23452,B100000,00000,1000,00001(COSTED REQUIS) 23452,B100000,00000,1100,00001(COSTED REQUIS) 23452,B100000,00000,1200,00001PATIENT DAYS 23452,B100000,00000,1300,00001(TIME SPENT) 23452,B100000,00000,1400,00001(ASSIGNED TIME) 23452,S000000,00100,0200,07/24/2000 23452,S200000,00100,0100,1913 NORTHAMPTON STREET 23452,S200000,00200,0100,HOLYOKE 23452,S200000,00200,0200,MA 23452,S200000,00200,0300,01940 23452,S200000,00400,0100,HOLYOKE NURSING HOME 23452,S200000,00400,0200,225384 23452,S200000,00400,0300,07/01/1990 23452,S200000,00400,0500,P 23452,S200000,00600,0200,225384 23452,S200000,00600,0300,07/01/1990 23452,S200000,00600,0600,O 23452,S200000,01600,0100,Y 23461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23461,A000000,00300,0000,00300EMPLOYEE BENEFITS 23461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23461,A000000,00700,0000,00700HOUSEKEEPING 23461,A000000,00800,0000,00800DIETARY 23461,A000000,00900,0000,00900NURSING ADMINISTRATION 23461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23461,A000000,01100,0000,01100PHARMACY 23461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23461,A000000,01300,0000,01300SOCIAL SERVICE 23461,A000000,01350,0000,01500OTHER GENERAL SERVICES 23461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23461,A000000,01600,0000,01600SKILLED NURSING FACILITY 23461,A000000,01800,0000,01800NURSING FACILITY 23461,A000000,01810,0000,01810ICF/MR 23461,A000000,02100,0000,02100RADIOLOGY 23461,A000000,02200,0000,02200LABORATORY 23461,A000000,02300,0000,02300INTRAVENOUS THERAPY 23461,A000000,02500,0000,02500PHYSICAL THERAPY 23461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23461,A000000,02700,0000,02700SPEECH PATHOLOGY 23461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23461,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23461,A000000,03200,0000,03200SUPPORT SURFACES 23461,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23461,A000000,03550,0000,03550FQHC 23461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23461,A000000,05000,0000,05000CORF 23461,A000000,05010,0000,05010CMHC 23461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23461,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23461,A81000A,00100,0100,Y 23461,A81000B,00100,0300,MANAGMENT SERVICES HO SCH G 23461,A81000B,00200,0300,HOME OFFICE SCHEDULE G 23461,A81000B,00300,0300,HOME OFFICE SCHEDULE G 23461,A81000C,00100,0100,B 23461,A81000C,00100,0200,RING NURSING HOMES 23461,A81000C,00200,0100,B 23461,A81000C,00200,0200,RING NURSING HOMES 23461,A81000C,00300,0100,B 23461,A81000C,00300,0200,RING NURSING HOMES 23461,B100000,00000,0100,00000SQUARE FEET 23461,B100000,00000,0200,00000SQUARE FEET 23461,B100000,00000,0300,00000GROSS SALARIES 23461,B100000,00000,0400,00000ACCUM. COST 23461,B100000,00000,0500,00000SQUARE FEET 23461,B100000,00000,0600,00000POUNDS OF LAUNDRY 23461,B100000,00000,0700,00000SQUARE FEET 23461,B100000,00000,0800,00000MEALS SERVED 23461,B100000,00000,0900,00000PATIENT DAYS 23461,B100000,00000,1000,00000PATIENT DAYS 23461,B100000,00000,1100,00000COSTED REQUIS 23461,B100000,00000,1200,00000PATIENT DAYS 23461,B100000,00000,1300,00000PATIENT DAYS 23461,B100000,00000,1350,00000NO STATISTICS 23461,B100000,00000,1400,00000ASSIGNED TIME 23461,S000000,00100,0200,05/31/2000 23461,S200000,00100,0100,215 BICENTENNIAL DRIVE 23461,S200000,00200,0100,SPRINGFIELD 23461,S200000,00200,0200,MA 23461,S200000,00200,0300,01102 23461,S200000,00300,0100,HAMPDEN 23461,S200000,00400,0100,RING NURSING HOME/EAST 23461,S200000,00400,0200,225392 23461,S200000,00400,0300,07/01/1990 23461,S200000,00400,0500,P 23461,S200000,01600,0100,Y 23473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23473,A000000,00300,0000,00300EMPLOYEE BENEFITS 23473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23473,A000000,00700,0000,00700HOUSEKEEPING 23473,A000000,00800,0000,00800DIETARY 23473,A000000,00900,0000,00900NURSING ADMINISTRATION 23473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23473,A000000,01100,0000,01100PHARMACY 23473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23473,A000000,01300,0000,01300SOCIAL SERVICE 23473,A000000,01350,0000,01500ACTIVITIES 23473,A000000,01351,0000,01501INDIRECT CONSULTANTS 23473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23473,A000000,01600,0000,01600SKILLED NURSING FACILITY 23473,A000000,01800,0000,01800NURSING FACILITY 23473,A000000,01810,0000,01810ICF/MR 23473,A000000,02100,0000,02100RADIOLOGY 23473,A000000,02200,0000,02200LABORATORY 23473,A000000,02300,0000,02300INTRAVENOUS THERAPY 23473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23473,A000000,02500,0000,02500PHYSICAL THERAPY 23473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23473,A000000,02700,0000,02700SPEECH PATHOLOGY 23473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23473,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23473,A000000,03051,0000,03301AMBULANCE 23473,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23473,A000000,03550,0000,03550FQHC 23473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23473,A000000,05000,0000,05000CORF 23473,A000000,05010,0000,05010CMHC 23473,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23473,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23473,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23473,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23473,A81000A,00100,0100,Y 23473,A81000B,00100,0300,RENT-CAPITAL RELATED 23473,A81000B,00200,0300,RENT-CAP REL MOVABLE 23473,A81000B,00300,0300,MGMT FEE-NOT CAPITAL RELATED 23473,A81000B,00400,0300,OFFICE EXPENSE 23473,A81000B,00500,0300,PROFESSIONAL FEES 23473,A81000B,00600,0300,LICENSES & DUES 23473,A81000C,00100,0100,E 23473,A81000C,00100,0200,RICHARD/ROBERT SALTER 23473,A81000C,00100,0400,FRANCIS ST. 18 LLC 23473,A81000C,00100,0600,RENTAL PROPERTY 23473,A81000C,00200,0100,E 23473,A81000C,00200,0200,RICHARD/ROBERT SALTER 23473,A81000C,00200,0400,SALTER BROS. 23473,A81000C,00200,0600,MANAGEMENT SERVICE 23473,A81000C,00300,0100,B 23473,A81000C,00300,0200,RICHARD/ROBERT SALTER 23473,A81000C,00300,0400,AURUM NETWORK 23473,A81000C,00300,0600,TRADE ASSOCIATION 23473,B100000,00000,0100,00000SQUARE FEET 23473,B100000,00000,0200,00000SQUARE FEET 23473,B100000,00000,0300,00000GROSS SALARIES 23473,B100000,00000,0400,00000ACCUM COST 23473,B100000,00000,0500,00000SQUARE FEET 23473,B100000,00000,0600,00000POUNDS OF LAUNDRY 23473,B100000,00000,0700,00000HOURS OF SERVICE 23473,B100000,00000,0800,00000MEALS SERVED 23473,B100000,00000,0900,00000DIRECT NRSG HRS 23473,B100000,00000,1000,00000COSTED REQUIS 23473,B100000,00000,1100,00000COSTED REQUIS 23473,B100000,00000,1200,00000TIME SPENT 23473,B100000,00000,1300,00000TIME SPENT 23473,B100000,00000,1350,00000PATIENT DAYS 23473,B100000,00000,1351,00000N/A 23473,B100000,00000,1400,00000ASSIGNED TIME 23473,S000000,00100,0200,05/30/2000 23473,S200000,00100,0100,18 FRANCIS STREET 23473,S200000,00200,0100,WOBURN 23473,S200000,00200,0300,01801 23473,S200000,00300,0100,MIDDLESEX 23473,S200000,00400,0100,WOBURN NURSING HOME 23473,S200000,00400,0200,225394 23473,S200000,00400,0300,07/01/1990 23473,S200000,00400,0500,P 23473,S200000,00400,0600,O 23473,S200000,01600,0100,Y 23473,S200000,01900,0100,CORPORATION 23481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23481,A000000,00300,0000,00300EMPLOYEE BENEFITS 23481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23481,A000000,00700,0000,00700HOUSEKEEPING 23481,A000000,00800,0000,00800DIETARY 23481,A000000,00900,0000,00900NURSING ADMINISTRATION 23481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23481,A000000,01100,0000,01100PHARMACY 23481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23481,A000000,01300,0000,01300SOCIAL SERVICE 23481,A000000,01350,0000,01500RECREATION 23481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23481,A000000,01600,0000,01600SKILLED NURSING FACILITY 23481,A000000,01810,0000,01810ICF/MR 23481,A000000,02100,0000,02100RADIOLOGY 23481,A000000,02200,0000,02200LABORATORY 23481,A000000,02300,0000,02300INTRAVENOUS THERAPY 23481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23481,A000000,02500,0000,02500PHYSICAL THERAPY 23481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23481,A000000,02700,0000,02700SPEECH PATHOLOGY 23481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23481,A000000,03550,0000,03550FQHC 23481,A000000,05000,0000,05000CORF 23481,A000000,05010,0000,05010CMHC 23481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23481,A81000A,00100,0100,Y 23481,A81000B,00100,0300,HOME OFFICE EXPENSE 23481,A81000B,00200,0300,HOME OFFICE EXPENSE 23481,A81000B,00300,0300,MANAGEMENT FEE 23481,A81000C,00100,0100,B 23481,A81000C,00100,0400,OLYMPUS HEALTHC 23481,A81000C,00100,0600,OWM/MANAGE FACI 23481,A81000C,00200,0100,B 23481,A81000C,00200,0400,OLYMPUS HEALTHC 23481,A81000C,00200,0600,OWN/MANAGE FACI 23481,A81000C,00300,0100,B 23481,A81000C,00300,0400,OLYMPUS HEALTHC 23481,A81000C,00300,0600,OWN/MANAGE FACI 23481,A81000C,00500,0200,SEE HCFA FORM 3 23481,A81000C,00600,0200,A-8-5 FOR OTHER 23481,A81000C,00700,0200,RELATED PARTY 23481,A81000C,00800,0200,TRANSACTIONS 23481,B100000,00000,0100,00000SQUARE FEET 23481,B100000,00000,0200,00000SQUARE FEET 23481,B100000,00000,0300,00000GROSS SALARIES 23481,B100000,00000,0400,00000ACCUM COST 23481,B100000,00000,0500,00000SQUARE FEET 23481,B100000,00000,0600,00000RESIDENT DAYS 23481,B100000,00000,0700,00000SQUARE FEET 23481,B100000,00000,0800,00000MEALS SERVED 23481,B100000,00000,0900,00000RESIDENT DAYS 23481,B100000,00000,1000,00000RESIDENT DAYS 23481,B100000,00000,1100,00000COSTED REQUIS 23481,B100000,00000,1200,00000RESIDENT DAYS 23481,B100000,00000,1300,00000RESIDENT DAYS 23481,B100000,00000,1350,00000RESIDENT DAYS 23481,B100000,00000,1400,00000ASSIGNED TIME 23481,S000000,00100,0200,05/30/2000 23481,S200000,00100,0100,751 SCHOOL STREET 23481,S200000,00200,0100,WEBSTER 23481,S200000,00200,0200,MA 23481,S200000,00200,0300,01570 23481,S200000,00300,0100,WORCESTER 23481,S200000,00400,0100,OLYMPUS HEALTHACRE-LANESSA 23481,S200000,00400,0200,225395 23481,S200000,00400,0300,07/01/1990 23481,S200000,00400,0500,P 23481,S200000,00400,0600,O 23481,S200000,01500,0100,Y 23490,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23490,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23490,A000000,00300,0000,00300EMPLOYEE BENEFITS 23490,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23490,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23490,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23490,A000000,00700,0000,00700HOUSEKEEPING 23490,A000000,00800,0000,00800DIETARY 23490,A000000,00900,0000,00900NURSING ADMINISTRATION 23490,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23490,A000000,01100,0000,01100PHARMACY 23490,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23490,A000000,01300,0000,01300SOCIAL SERVICE 23490,A000000,01350,0000,01500ACTIVITIES 23490,A000000,01351,0000,01501INDIRECT CONSULTANTS 23490,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23490,A000000,01600,0000,01600SKILLED NURSING FACILITY 23490,A000000,01800,0000,01800NURSING FACILITY 23490,A000000,01810,0000,01810ICF/MR 23490,A000000,02100,0000,02100RADIOLOGY 23490,A000000,02300,0000,02300INTRAVENOUS THERAPY 23490,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23490,A000000,02500,0000,02500PHYSICAL THERAPY 23490,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23490,A000000,02700,0000,02700SPEECH PATHOLOGY 23490,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23490,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23490,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 23490,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23490,A000000,03550,0000,03550FQHC 23490,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23490,A000000,05000,0000,05000CORF 23490,A000000,05010,0000,05010CMHC 23490,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23490,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23490,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23490,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23490,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23490,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23490,A81000A,00100,0100,Y 23490,A81000B,00100,0300,MNGMT FEE - NON CAP. RELATED 23490,A81000B,00200,0300,MNGMT FEE - CAP. RELATED B & F 23490,A81000B,00300,0300,MNGMT FEE - CAP. RELATED MME 23490,A81000B,00500,0300,CONTRACT LABOR - RT 23490,A81000B,00600,0300,CONTRACT LABOR - PT 23490,A81000B,00700,0300,CONTRACT LABOR - OT 23490,A81000B,00800,0300,CONTRACT LABOR - ST 23490,A81000C,00100,0100,F 23490,A81000C,00100,0200,FRONTIER MGMT INC. 23490,A81000C,00100,0400,FRONTIER GROUP INC. 23490,A81000C,00100,0600,MANAGEMENT 23490,A81000C,00200,0100,F 23490,A81000C,00200,0200,FRONTIER MGMT INC. 23490,A81000C,00200,0400,FRONTIER GROUP INC. 23490,A81000C,00200,0600,THERAPY SRVCS 23490,B100000,00000,0100,00000SQUARE FEET 23490,B100000,00000,0200,00000SQUARE FEET 23490,B100000,00000,0300,00000GROSS SALARIES 23490,B100000,00000,0400,00000ACCUM. COST 23490,B100000,00000,0500,00000SQUARE FEET 23490,B100000,00000,0600,00000PATIENT DAYS 23490,B100000,00000,0700,00000SQUARE FEET 23490,B100000,00000,0800,00000PATIENT DAYS 23490,B100000,00000,0900,00000DIRECT NRSING HRS 23490,B100000,00000,1000,00000PATIENT DAYS 23490,B100000,00000,1100,00000PATIENT DAYS 23490,B100000,00000,1200,00000TIME SPENT 23490,B100000,00000,1300,00000TIME SPENT 23490,B100000,00000,1350,00000PATIENT DAYS 23490,B100000,00000,1351,00000NO STATISTICS 23490,B100000,00000,1400,00000ASSIGNED TIME 23490,S000000,00100,0200,04/03/2000 23490,S200000,00100,0100,360 WEST HOUSATONIC STREET 23490,S200000,00200,0100,PITTSFIELD 23490,S200000,00200,0200,MA 23490,S200000,00300,0100,BERKSHIRE 23490,S200000,00400,0100,COC - BERKSHIRE 23490,S200000,00400,0200,225396 23490,S200000,00400,0300,07/01/1990 23490,S200000,00400,0500,P 23490,S200000,00400,0600,O 23490,S200000,00600,0200,225396 23490,S200000,00600,0300,07/01/1990 23490,S200000,00600,0600,P 23490,S200000,01600,0100,Y 23490,S200000,02200,0100,Y 23490,S200000,02800,0100,Y 23490,S200000,03100,0100,Y 23499,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23499,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23499,A000000,00300,0000,00300EMPLOYEE BENEFITS 23499,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23499,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23499,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23499,A000000,00700,0000,00700HOUSEKEEPING 23499,A000000,00800,0000,00800DIETARY 23499,A000000,00900,0000,00900NURSING ADMINISTRATION 23499,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23499,A000000,01100,0000,01100PHARMACY 23499,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23499,A000000,01300,0000,01300SOCIAL SERVICE 23499,A000000,01350,0000,01500ACTIVITIES 23499,A000000,01351,0000,01501INDIRECT CONSULTANTS 23499,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23499,A000000,01600,0000,01600SKILLED NURSING FACILITY 23499,A000000,01800,0000,01800NURSING FACILITY 23499,A000000,01810,0000,01810ICF/MR 23499,A000000,02100,0000,02100RADIOLOGY 23499,A000000,02300,0000,02300INTRAVENOUS THERAPY 23499,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23499,A000000,02500,0000,02500PHYSICAL THERAPY 23499,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23499,A000000,02700,0000,02700SPEECH PATHOLOGY 23499,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23499,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23499,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 23499,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23499,A000000,03550,0000,03550FQHC 23499,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23499,A000000,05000,0000,05000CORF 23499,A000000,05010,0000,05010CMHC 23499,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23499,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23499,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23499,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23499,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23499,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23499,A81000A,00100,0100,Y 23499,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 23499,A81000B,00200,0300,MNMGT FEE - CAP. RELATED B & F 23499,A81000B,00300,0300,MNMGT FEE - CAP. RELATED MME 23499,A81000B,00500,0300,CONTRACT LABOR 23499,A81000B,00600,0300,CONTRACT LABOR 23499,A81000B,00700,0300,CONTRACT LABOR 23499,A81000B,00800,0300,CONTRACT LABOR 23499,A81000C,00100,0100,F 23499,A81000C,00100,0200,FRONTIER REHAB 23499,A81000C,00100,0400,FRONTIER GROUP INC. 23499,A81000C,00100,0600,THERAPY SERVICES 23499,A81000C,00200,0100,F 23499,A81000C,00200,0200,FRONTIER MNMGT 23499,A81000C,00200,0400,FRONTIER GROUP INC. 23499,A81000C,00200,0600,MNMGT SERVICES 23499,B100000,00000,0100,00000SQUARE FEET 23499,B100000,00000,0200,00000SQUARE FEET 23499,B100000,00000,0300,00000GROSS SALARIES 23499,B100000,00000,0400,00000ACCUM. COST 23499,B100000,00000,0500,00000SQUARE FEET 23499,B100000,00000,0600,00000PATIENT DAYS 23499,B100000,00000,0700,00000SQUARE FEET 23499,B100000,00000,0800,00000PATIENT DAYS 23499,B100000,00000,0900,00000DIRECT NRSING HRS 23499,B100000,00000,1000,00000PATIENT DAYS 23499,B100000,00000,1100,00000PATIENT DAYS 23499,B100000,00000,1200,00000TIME SPENT 23499,B100000,00000,1300,00000TIME SPENT 23499,B100000,00000,1350,00000PATIENT DAYS 23499,B100000,00000,1351,00000NO STATISTICS 23499,B100000,00000,1400,00000ASSIGNED TIME 23499,S000000,00100,0200,04/03/2000 23499,S200000,00100,0100,170 CLIFF AVENUE 23499,S200000,00200,0100,WINTHROP 23499,S200000,00200,0200,MA 23499,S200000,00300,0100,SUFFOLK 23499,S200000,00400,0100,COC-WINTHROP 23499,S200000,00400,0200,225397 23499,S200000,00400,0300,01/01/1991 23499,S200000,00400,0500,P 23499,S200000,00400,0600,O 23499,S200000,00600,0200,225397 23499,S200000,00600,0300,01/01/1991 23499,S200000,00600,0600,P 23499,S200000,01600,0100,Y 23499,S200000,02200,0100,Y 23499,S200000,02800,0100,Y 23499,S200000,03100,0100,Y 23508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23508,A000000,00300,0000,00300EMPLOYEE BENEFITS 23508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23508,A000000,00700,0000,00700HOUSEKEEPING 23508,A000000,00800,0000,00800DIETARY 23508,A000000,00900,0000,00900NURSING ADMINISTRATION 23508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23508,A000000,01100,0000,01100PHARMACY 23508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23508,A000000,01300,0000,01300SOCIAL SERVICE 23508,A000000,01350,0000,01500ACTIVITIES 23508,A000000,01351,0000,01501INDIRECT CONSULTANTS 23508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23508,A000000,01600,0000,01600SKILLED NURSING FACILITY 23508,A000000,01810,0000,01810ICF/MR 23508,A000000,02100,0000,02100RADIOLOGY 23508,A000000,02200,0000,02200LABORATORY 23508,A000000,02300,0000,02300INTRAVENOUS THERAPY 23508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23508,A000000,02500,0000,02500PHYSICAL THERAPY 23508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23508,A000000,02700,0000,02700SPEECH PATHOLOGY 23508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23508,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23508,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23508,A000000,03550,0000,03550FQHC 23508,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23508,A000000,05000,0000,05000CORF 23508,A000000,05010,0000,05010CMHC 23508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23508,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23508,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23508,A81000A,00100,0100,Y 23508,A81000B,00100,0300,RENT - CAP RELATED BLDG 23508,A81000B,00200,0300,RENT - CAP RELATED MME 23508,A81000B,00300,0300,MANAGEMENT FEE 23508,A81000B,00400,0300,MANAGEMENT FEE 23508,A81000C,00100,0100,A 23508,A81000C,00100,0200,RICHARD BANE 23508,A81000C,00100,0400,ABBOTT HOUSE LTD PTNRSHIP 23508,A81000C,00100,0600,RENTAL PROPERTY 23508,A81000C,00200,0100,A 23508,A81000C,00200,0200,RICHARD BANE 23508,A81000C,00200,0400,ABBOTT HOUSE NURSING HOME 23508,A81000C,00200,0600,AFFILIATE-CENTRAL OFFICE 23508,B100000,00000,0100,00000SQUARE FEET 23508,B100000,00000,0200,00000SQUARE FEET 23508,B100000,00000,0300,00000GROSS SALARIES 23508,B100000,00000,0400,00000ACCUM. COST 23508,B100000,00000,0500,00000SQUARE FEET 23508,B100000,00000,0600,00000PATIENT DAYS 23508,B100000,00000,0700,00000SQUARE FEET 23508,B100000,00000,0800,00000PATIENT DAYS 23508,B100000,00000,0900,00000DIRECT NRSING HRS 23508,B100000,00000,1000,00000COSTED REQUIS. 23508,B100000,00000,1100,00000N/A 23508,B100000,00000,1200,00000HOURS OF SERVICE 23508,B100000,00000,1300,00000HOURS OF SERVICE 23508,B100000,00000,1350,00000PATIENT DAYS 23508,B100000,00000,1351,00000N/A 23508,B100000,00000,1400,00000N/A 23508,S000000,00100,0200,05/31/2000 23508,S200000,00100,0100,39 LAFAYETTE STREET 23508,S200000,00200,0100,MARBLEHEAD 23508,S200000,00200,0200,MA 23508,S200000,00200,0300,01945 23508,S200000,00300,0100,ESSEX 23508,S200000,00400,0100,DEVEREUX HOUSE NURSING HOME INC. 23508,S200000,00400,0200,225398 23508,S200000,00400,0300,07/01/1990 23508,S200000,00400,0500,P 23508,S200000,00400,0600,O 23508,S200000,01500,0100,Y 23517,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23517,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23517,A000000,00300,0000,00300EMPLOYEE BENEFITS 23517,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23517,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23517,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23517,A000000,00700,0000,00700HOUSEKEEPING 23517,A000000,00800,0000,00800DIETARY 23517,A000000,00900,0000,00900NURSING ADMINISTRATION 23517,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23517,A000000,01100,0000,01100PHARMACY 23517,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23517,A000000,01300,0000,01300SOCIAL SERVICE 23517,A000000,01350,0000,01500ACTIVITIES 23517,A000000,01351,0000,01501INDIRECT CONSULTANTS 23517,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23517,A000000,01600,0000,01600SKILLED NURSING FACILITY 23517,A000000,01800,0000,01800NURSING FACILITY 23517,A000000,01810,0000,01810ICF/MR 23517,A000000,02100,0000,02100RADIOLOGY 23517,A000000,02300,0000,02300INTRAVENOUS THERAPY 23517,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23517,A000000,02500,0000,02500PHYSICAL THERAPY 23517,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23517,A000000,02700,0000,02700SPEECH PATHOLOGY 23517,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23517,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23517,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 23517,A000000,03051,0000,03301PEN THERAPY 23517,A000000,03052,0000,03302CONTRA ANCILLARIES 23517,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23517,A000000,03550,0000,03550FQHC 23517,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23517,A000000,05000,0000,05000CORF 23517,A000000,05010,0000,05010CMHC 23517,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23517,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23517,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23517,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23517,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23517,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23517,A81000A,00100,0100,Y 23517,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 23517,A81000B,00200,0300,MNMGT FEE - CAP. RELATED B & F 23517,A81000B,00300,0300,MNMGT FEE - CAP. RELATED MME 23517,A81000B,00500,0300,CONTRACT LABOR 23517,A81000B,00600,0300,CONTRACT LABOR 23517,A81000B,00700,0300,CONTRACT LABOR 23517,A81000B,00800,0300,CONTRACT LABOR 23517,A81000C,00100,0100,F 23517,A81000C,00100,0200,FRONTIER REHAB 23517,A81000C,00100,0400,FRONTIER GROUP INC. 23517,A81000C,00100,0600,THERAPY SERVICES 23517,A81000C,00200,0100,F 23517,A81000C,00200,0200,FRONTIER MNMGT 23517,A81000C,00200,0400,FRONTIER GROUP INC. 23517,A81000C,00200,0600,MNMGT SERVICES 23517,B100000,00000,0100,00000SQUARE FEET 23517,B100000,00000,0200,00000SQUARE FEET 23517,B100000,00000,0300,00000GROSS SALARIES 23517,B100000,00000,0400,00000ACCUM. COST 23517,B100000,00000,0500,00000SQUARE FEET 23517,B100000,00000,0600,00000PATIENT DAYS 23517,B100000,00000,0700,00000SQUARE FEET 23517,B100000,00000,0800,00000PATIENT DAYS 23517,B100000,00000,0900,00000DIRECT NRSING HRS 23517,B100000,00000,1000,00000PATIENT DAYS 23517,B100000,00000,1100,00000PATIENT DAYS 23517,B100000,00000,1200,00000TIME SPENT 23517,B100000,00000,1300,00000TIME SPENT 23517,B100000,00000,1350,00000PATIENT DAYS 23517,B100000,00000,1351,00000NO STATISTICS 23517,B100000,00000,1400,00000ASSIGNED TIME 23517,S000000,00100,0200,04/03/2000 23517,S200000,00100,0100,BATHOL STREET 23517,S200000,00200,0100,WAKEFIELD 23517,S200000,00200,0200,MA 23517,S200000,00300,0100,MIDDLESEX 23517,S200000,00400,0100,COC-WAKEFIELD 23517,S200000,00400,0200,225400 23517,S200000,00400,0300,07/01/1990 23517,S200000,00400,0500,P 23517,S200000,00400,0600,O 23517,S200000,00600,0200,225400 23517,S200000,00600,0300,07/01/1990 23517,S200000,00600,0600,P 23517,S200000,01600,0100,Y 23517,S200000,02200,0100,Y 23517,S200000,02800,0100,Y 23517,S200000,03100,0100,Y 23525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23525,A000000,00300,0000,00300EMPLOYEE BENEFITS 23525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23525,A000000,00700,0000,00700HOUSEKEEPING 23525,A000000,00800,0000,00800DIETARY 23525,A000000,00900,0000,00900NURSING ADMINISTRATION 23525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23525,A000000,01100,0000,01100PHARMACY 23525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23525,A000000,01300,0000,01300SOCIAL SERVICE 23525,A000000,01350,0000,01500ACTIVITIES 23525,A000000,01351,0000,01501INDIRECT CONSULTANTS 23525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23525,A000000,01600,0000,01600SKILLED NURSING FACILITY 23525,A000000,01800,0000,01800NURSING FACILITY 23525,A000000,01810,0000,01810ICF/MR 23525,A000000,02100,0000,02100RADIOLOGY 23525,A000000,02200,0000,02200LABORATORY 23525,A000000,02300,0000,02300INTRAVENOUS THERAPY 23525,A000000,02500,0000,02500PHYSICAL THERAPY 23525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23525,A000000,02700,0000,02700SPEECH PATHOLOGY 23525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23525,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23525,A000000,03051,0000,03301AMBULANCE 23525,A000000,03052,0000,03302PEN THERAPY 23525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23525,A000000,03550,0000,03550FQHC 23525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23525,A000000,05000,0000,05000CORF 23525,A000000,05010,0000,05010CMHC 23525,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23525,B100000,00000,0100,00000SQUARE FEET 23525,B100000,00000,0200,00000SQUARE FEET 23525,B100000,00000,0300,00000GROSS SALARIES 23525,B100000,00000,0400,00000ACCUM. COST 23525,B100000,00000,0500,00000SQUARE FEET 23525,B100000,00000,0600,00000PATIENT DAYS 23525,B100000,00000,0700,00000SQUARE FEET 23525,B100000,00000,0800,00000MEALS SERVED 23525,B100000,00000,0900,00000HOURS OF SERVICE 23525,B100000,00000,1000,00000PATIENT DAYS 23525,B100000,00000,1100,00000N/A 23525,B100000,00000,1200,00000PATIENT DAYS 23525,B100000,00000,1300,00000PATIENT DAYS 23525,B100000,00000,1350,00000PATIENT DAYS 23525,B100000,00000,1351,00000N/A 23525,B100000,00000,1400,00000N/A 23525,S000000,00100,0200,05/31/2000 23525,S200000,00100,0100,601 SHERMAN STREET 23525,S200000,00200,0100,CANTON 23525,S200000,00200,0200,MA 23525,S200000,00200,0300,02021 23525,S200000,00300,0100,NORFOLK 23525,S200000,00400,0100,HELLENIC NURSING HOME 23525,S200000,00400,0200,225418 23525,S200000,00400,0300,07/01/1990 23525,S200000,00400,0500,P 23525,S200000,00400,0600,P 23525,S200000,01600,0100,Y 23534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23534,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23534,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23534,A000000,00300,0000,00300EMPLOYEE BENEFITS 23534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23534,A000000,00700,0000,00700HOUSEKEEPING 23534,A000000,00800,0000,00800DIETARY 23534,A000000,00801,0000,00801CAFETERIA 23534,A000000,00900,0000,00900NURSING ADMINISTRATION 23534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23534,A000000,01100,0000,01100PHARMACY 23534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23534,A000000,01300,0000,01300SOCIAL SERVICE 23534,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23534,A000000,01600,0000,01600SKILLED NURSING FACILITY 23534,A000000,01800,0000,01800NURSING FACILITY 23534,A000000,01810,0000,01810ICF/MR 23534,A000000,02100,0000,02100RADIOLOGY 23534,A000000,02200,0000,02200LABORATORY 23534,A000000,02500,0000,02500PHYSICAL THERAPY 23534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23534,A000000,02700,0000,02700SPEECH PATHOLOGY 23534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23534,A000000,03050,0000,03300OTHER ANCILLARY 23534,A000000,03051,0000,03301OTHER ANCILLARY II 23534,A000000,03052,0000,03302OTHER ANCILLARY III 23534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23534,A000000,03550,0000,03550FQHC 23534,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23534,A000000,04800,0000,04800AMBULANCE 23534,A000000,05000,0000,05000CORF I 23534,A000000,05010,0000,05010CMHC I 23534,A000000,05020,0000,05020OPT I 23534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23534,A000000,05300,0000,05300INTEREST EXPENSE 23534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23534,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23534,A81000A,00100,0100,Y 23534,A81000B,00100,0300,INTEREST EXPENSE 23534,A81000C,00100,0100,F 23534,A81000C,00100,0200,SUSAN KARGER 23534,B100000,00000,0100,00000(SQUARE FEET) 23534,B100000,00000,0101,00000(SQUARE FEET) 23534,B100000,00000,0200,00000(SQUARE FEET) 23534,B100000,00000,0201,00000(SQUARE FEET) 23534,B100000,00000,0300,00000(GROSS SALARIES) 23534,B100000,00000,0400,00000(ACCUM. COST) 23534,B100000,00000,0500,00000(SQUARE FEET) 23534,B100000,00000,0600,00000(PATIENT DAYS) 23534,B100000,00000,0700,00000(SQUARE FEET) 23534,B100000,00000,0800,00000PAT. DAYS 23534,B100000,00000,0801,00000(MEALS SERVED) 23534,B100000,00000,0900,00000(DIRECT NRSING HRS 23534,B100000,00000,1000,00000(PATIENT DAYS) 23534,B100000,00000,1100,00000(COSTED REQUIS.) 23534,B100000,00000,1200,00000(PATIENT DAYS) 23534,B100000,00000,1300,00000(PATIENT DAYS) 23534,B100000,00000,1350,00000 23534,B100000,00000,1400,00000(ASSIGNED TIME) 23534,S000000,00100,0200,05/30/2000 23534,S200000,00100,0100,34 AGASSIZ AVENUE 23534,S200000,00200,0100,BELMONT 23534,S200000,00200,0200,MA 23534,S200000,00200,0300,02178 23534,S200000,00300,0100,MIDDLESEX 23534,S200000,00400,0100,BELMONT MANOR 23534,S200000,00400,0200,225419 23534,S200000,00400,0300,07/01/1990 23534,S200000,00400,0500,P 23534,S200000,01600,0100,Y 23534,S200000,04700,0100,Y 23534,S200000,04700,0200,Y 23544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23544,A000000,00300,0000,00300EMPLOYEE BENEFITS 23544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23544,A000000,00700,0000,00700HOUSEKEEPING 23544,A000000,00800,0000,00800DIETARY 23544,A000000,00900,0000,00900NURSING ADMINISTRATION 23544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23544,A000000,01100,0000,01100PHARMACY 23544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23544,A000000,01300,0000,01300SOCIAL SERVICE 23544,A000000,01350,0000,01500OTHER GENERAL SERVICES 23544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23544,A000000,01600,0000,01600SKILLED NURSING FACILITY 23544,A000000,01800,0000,01800NURSING FACILITY 23544,A000000,01810,0000,01810ICF/MR 23544,A000000,02100,0000,02100RADIOLOGY 23544,A000000,02200,0000,02200LABORATORY 23544,A000000,02500,0000,02500PHYSICAL THERAPY 23544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23544,A000000,02700,0000,02700SPEECH PATHOLOGY 23544,A000000,02800,0000,02800ELECTROCARDIOLOGY 23544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23544,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23544,A000000,03550,0000,03550FQHC 23544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23544,A000000,05000,0000,05000CORF 23544,A000000,05010,0000,05010CMHC 23544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23544,A81000A,00100,0100,Y 23544,A81000B,00100,0300,OFFICER LOAN INTEREST EXP 23544,A81000B,00200,0300,LANDSCAPE SERVICES 23544,A81000B,00300,0300,AUTO INSURANCE 23544,A81000C,00100,0100,E 23544,A81000C,00100,0200,BETTIE S KRAVETZ 23544,A81000C,00100,0400,AMHERST NURSING HOME INC 23544,A81000C,00200,0100,F 23544,A81000C,00200,0200,WILLIAM MEYERS 23544,A81000C,00200,0400,STONE MT FARM 23544,A81000C,00200,0600,LANDSCAPE 23544,A81000C,00300,0100,F 23544,A81000C,00300,0200,DONALD SKOLE 23544,A81000C,00300,0400,LIBERTY MUTUAL INS 23544,A81000C,00300,0600,INSURANCE AGENT 23544,B100000,00000,0100,00000SQUARE FEET 23544,B100000,00000,0200,00000SQUARE FEET 23544,B100000,00000,0300,00000GROSS SALARIES 23544,B100000,00000,0400,00000ACCUM. COST 23544,B100000,00000,0500,00000SQUARE FEET 23544,B100000,00000,0600,00000PATIENT CENSUS 23544,B100000,00000,0700,00000SQUARE FEET 23544,B100000,00000,0800,00000MEALS SERVED 23544,B100000,00000,0900,00000PATENT CENSUS 23544,B100000,00000,1000,00000PATIENT CENSUS 23544,B100000,00000,1100,00000NO STATISTICS 23544,B100000,00000,1200,00000PATIENT CENSUS 23544,B100000,00000,1300,00000PATIENT CENSUS 23544,B100000,00000,1350,00000NO STATISTICS 23544,B100000,00000,1400,00000NO STATISTICS 23544,S000000,00100,0200,05/31/2000 23544,S200000,00100,0100,150 UNIVERSITY DRIVE 23544,S200000,00200,0100,AMHERST 23544,S200000,00200,0200,MA 23544,S200000,00200,0300,01002 23544,S200000,00300,0100,HAMPSHIRE 23544,S200000,00400,0100,AMHERST NURSING HOME 23544,S200000,00400,0200,225420 23544,S200000,00400,0300,01/01/1990 23544,S200000,00400,0500,P 23544,S200000,01600,0100,Y 23563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23563,A000000,00300,0000,00300EMPLOYEE BENEFITS 23563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23563,A000000,00700,0000,00700HOUSEKEEPING 23563,A000000,00800,0000,00800DIETARY 23563,A000000,00900,0000,00900NURSING ADMINISTRATION 23563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23563,A000000,01100,0000,01100PHARMACY 23563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23563,A000000,01300,0000,01300SOCIAL SERVICE 23563,A000000,01350,0000,01500ACTIVITIES 23563,A000000,01351,0000,01501INDIRECT CONSULTANTS 23563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23563,A000000,01600,0000,01600SKILLED NURSING FACILITY 23563,A000000,01800,0000,01800NURSING FACILITY 23563,A000000,01810,0000,01810ICF/MR 23563,A000000,02100,0000,02100RADIOLOGY 23563,A000000,02200,0000,02200LABORATORY 23563,A000000,02300,0000,02300INTRAVENOUS THERAPY 23563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23563,A000000,02500,0000,02500PHYSICAL THERAPY 23563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23563,A000000,02700,0000,02700SPEECH PATHOLOGY 23563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23563,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23563,A000000,03051,0000,03301AMBULANCE 23563,A000000,03052,0000,03302PEN THERAPY 23563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23563,A000000,03550,0000,03550FQHC 23563,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23563,A000000,05000,0000,05000CORF 23563,A000000,05010,0000,05010CMHC 23563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23563,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23563,A81000A,00100,0100,Y 23563,A81000B,00100,0300,RENT-CAPITAL RELATED 23563,A81000B,00200,0300,RENT-CAP REL MOVABLE 23563,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23563,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23563,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23563,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23563,A81000B,00700,0300,PLANT PURCHASED SERVICE 23563,A81000C,00100,0100,B 23563,A81000C,00100,0200,CONTINENTAL HEALTHCARE 23563,A81000C,00100,0400,CHC-READING 23563,A81000C,00100,0600,RENTAL PROPERTY 23563,A81000C,00200,0100,B 23563,A81000C,00200,0200,CONTINENTAL WINGATE 23563,A81000C,00200,0400,WINGATE HEALTHCARE INC. 23563,A81000C,00200,0600,HOME OFFICE 23563,B100000,00000,0100,00000SQUARE FEET 23563,B100000,00000,0200,00000SQUARE FEET 23563,B100000,00000,0300,00000GROSS SALARIES 23563,B100000,00000,0400,00000ACCUM. COST 23563,B100000,00000,0500,00000SQUARE FEET 23563,B100000,00000,0600,00000PATIENT DAYS 23563,B100000,00000,0700,00000SQUARE FEET 23563,B100000,00000,0800,00000PATIENT DAYS 23563,B100000,00000,0900,00000DIRECT NRSING HRS 23563,B100000,00000,1000,00000PATIENT DAYS 23563,B100000,00000,1100,00000N/A 23563,B100000,00000,1200,00000PATIENT DAYS 23563,B100000,00000,1300,00000PATIENT DAYS 23563,B100000,00000,1350,00000PATIENT DAYS 23563,B100000,00000,1351,00000N/A 23563,B100000,00000,1400,00000N/A 23563,S000000,00100,0200,05/31/2000 23563,S200000,00100,0100,1364 MAIN STREET 23563,S200000,00200,0100,READING 23563,S200000,00200,0200,MA 23563,S200000,00200,0300,01867 23563,S200000,00300,0100,MIDDLESEX 23563,S200000,00400,0100,WINGATE AT READING 23563,S200000,00400,0200,225431 23563,S200000,00400,0300,07/01/1990 23563,S200000,00400,0500,P 23563,S200000,00400,0600,O 23563,S200000,01600,0100,Y 23572,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23572,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23572,A000000,00300,0000,00300EMPLOYEE BENEFITS 23572,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23572,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23572,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23572,A000000,00700,0000,00700HOUSEKEEPING 23572,A000000,00800,0000,00800DIETARY 23572,A000000,00900,0000,00900NURSING ADMINISTRATION 23572,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23572,A000000,01100,0000,01100PHARMACY 23572,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23572,A000000,01300,0000,01300SOCIAL SERVICE 23572,A000000,01350,0000,01500ACTIVITIES 23572,A000000,01351,0000,01501INDIRECT CONSULTANTS 23572,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23572,A000000,01600,0000,01600SKILLED NURSING FACILITY 23572,A000000,01800,0000,01800NURSING FACILITY 23572,A000000,01810,0000,01810ICF/MR 23572,A000000,02100,0000,02100RADIOLOGY 23572,A000000,02200,0000,02200LABORATORY 23572,A000000,02300,0000,02300INTRAVENOUS THERAPY 23572,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23572,A000000,02500,0000,02500PHYSICAL THERAPY 23572,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23572,A000000,02700,0000,02700SPEECH PATHOLOGY 23572,A000000,02800,0000,02800ELECTROCARDIOLOGY 23572,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23572,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23572,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23572,A000000,03051,0000,03301AMBULANCE 23572,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23572,A000000,03550,0000,03550FQHC 23572,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23572,A000000,05000,0000,05000CORF 23572,A000000,05010,0000,05010CMHC 23572,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23572,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23572,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23572,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23572,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23572,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23572,A81000A,00100,0100,Y 23572,A81000B,00100,0300,RENT-CAPITAL RELATED 23572,A81000B,00200,0300,RENT-CAP REL MOVABLE 23572,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23572,A81000B,00400,0300,MGMT FEE-NOT CAP RELATED 23572,A81000B,00500,0300,ADMINISTRATOR SALARY 23572,A81000B,00600,0300,ADMINISTRATOR BENEFITS 23572,A81000B,00700,0300,PROFESSIONAL FEES 23572,A81000B,00800,0300,LICENSES & DUES 23572,A81000C,00100,0100,A 23572,A81000C,00100,0200,ROBERT SALTER 23572,A81000C,00100,0400,SWANTON STREET 184 LLC 23572,A81000C,00100,0600,RENTAL PROPERTY 23572,A81000C,00200,0100,A 23572,A81000C,00200,0200,RICHARD SALTER 23572,A81000C,00200,0400,SWANTON STREET 184 LLC 23572,A81000C,00200,0600,RENTAL PROPERTY 23572,A81000C,00300,0100,A 23572,A81000C,00300,0200,RICHARD & ROBERT SALTER 23572,A81000C,00300,0400,SALTER BROS 23572,A81000C,00300,0600,MGMT SERVICE 23572,A81000C,00400,0100,A 23572,A81000C,00400,0200,RICHARD & ROBERT SALTER 23572,A81000C,00400,0400,AURUM NETWORK 23572,A81000C,00400,0600,TRADE ASSOCIATION 23572,B100000,00000,0100,00000SQUARE FEET 23572,B100000,00000,0200,00000SQUARE FEET 23572,B100000,00000,0300,00000GROSS SALARIES 23572,B100000,00000,0400,00000ACCUM. COST 23572,B100000,00000,0500,00000SQUARE FEET 23572,B100000,00000,0600,00000POUNDS OF LAUNDRY 23572,B100000,00000,0700,00000SQUARE FEET 23572,B100000,00000,0800,00000MEALS SERVED 23572,B100000,00000,0900,00000HOURS OF SERVICE 23572,B100000,00000,1000,00000COSTEDREQU UISITIONS 23572,B100000,00000,1100,00000N/A 23572,B100000,00000,1200,00000TIME SPENT 23572,B100000,00000,1300,00000TIME SPENT 23572,B100000,00000,1350,00000PATIENT DAYS 23572,B100000,00000,1351,00000N/A 23572,B100000,00000,1400,00000N/A 23572,S000000,00100,0200,05/30/2000 23572,S200000,00100,0100,184 SWANTON STREET 23572,S200000,00200,0100,WINCHESTER 23572,S200000,00200,0200,MA 23572,S200000,00200,0300,01890 23572,S200000,00300,0100,MIDDLESEX 23572,S200000,00400,0100,ABERJONA NURSING HOME 23572,S200000,00400,0200,225433 23572,S200000,00400,0300,07/01/1990 23572,S200000,00400,0500,P 23572,S200000,00400,0600,O 23572,S200000,01600,0100,Y 23583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23583,A000000,00300,0000,00300EMPLOYEE BENEFITS 23583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23583,A000000,00700,0000,00700HOUSEKEEPING 23583,A000000,00800,0000,00800DIETARY 23583,A000000,00900,0000,00900NURSING ADMINISTRATION 23583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23583,A000000,01100,0000,01100PHARMACY 23583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23583,A000000,01300,0000,01300SOCIAL SERVICE 23583,A000000,01350,0000,01500RECREATION 23583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23583,A000000,01600,0000,01600SKILLED NURSING FACILITY 23583,A000000,01800,0000,01800NURSING FACILITY 23583,A000000,01810,0000,01810ICF/MR 23583,A000000,02200,0000,02200LABORATORY 23583,A000000,02500,0000,02500PHYSICAL THERAPY 23583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23583,A000000,02700,0000,02700SPEECH PATHOLOGY 23583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23583,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23583,A000000,03051,0000,03301DRUG GROSS-UP 23583,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23583,A000000,03550,0000,03550FQHC 23583,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23583,A000000,04800,0000,04800AMBULANCE 23583,A000000,05000,0000,05000CORF 23583,A000000,05010,0000,05010CMHC 23583,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23583,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23583,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23583,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23583,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23583,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23583,A81000A,00100,0100,Y 23583,A81000B,00100,0300,RENT - CAPITAL RELATED 23583,A81000B,00200,0300,RENT - CAP. RE. MOVABLE 23583,A81000C,00100,0100,A 23583,A81000C,00100,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00100,0400,ELLIS NURSING HOME INC 23583,A81000C,00100,0600,SNF/NF 23583,A81000C,00200,0100,A 23583,A81000C,00200,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00200,0400,ELLIS AVE REALTY ASSOC 23583,A81000C,00200,0600,REALTY FOR ABOVE 23583,A81000C,00300,0100,A 23583,A81000C,00300,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00300,0400,A. FRANCHI CONTRACTORS I 23583,A81000C,00300,0600,GEN CONTRACTOR/RE MGR 23583,A81000C,00400,0100,A 23583,A81000C,00400,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00400,0400,MEADOW GREEN NURSING HOME 23583,A81000C,00400,0600,SNF/NF 23583,A81000C,00500,0100,A 23583,A81000C,00500,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00500,0400,MEADOW GREEN REALTY TRUST 23583,A81000C,00500,0600,REALTY FOR ABOVE 23583,A81000C,00600,0100,A 23583,A81000C,00600,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00600,0400,GROVE MANOR ESTATES INC 23583,A81000C,00600,0600,ASSISTED LIVING 23583,A81000C,00700,0100,A 23583,A81000C,00700,0200,ANTHONY A. FRANCHI SR. 23583,A81000C,00700,0400,GMT REALTY ASSOCIATES 23583,A81000C,00700,0600,REALTY FOR ABOVE 23583,B100000,00000,0100,00000SQ FEET 23583,B100000,00000,0200,00000SQ FEET 23583,B100000,00000,0300,00000GROSS WAGES 23583,B100000,00000,0400,00000ACCUM. COST 23583,B100000,00000,0500,00000SQ FEET 23583,B100000,00000,0600,00000LBS LAUNDRY 23583,B100000,00000,0700,00000HRS OF SERV 23583,B100000,00000,0800,00000MEALS SERVED 23583,B100000,00000,0900,00000PATIENT DAYS 23583,B100000,00000,1000,00000PATIENT DAYS 23583,B100000,00000,1100,00000NO STATISTICS 23583,B100000,00000,1200,00000HRS SERV 23583,B100000,00000,1300,00000HRS SVC 23583,B100000,00000,1350,00000HRS SVC 23583,B100000,00000,1400,00000NO STATISTICS 23583,S000000,00100,0200,06/27/2000 23583,S200000,00100,0100,45 WOBURN STREET 23583,S200000,00200,0100,WALTHAM 23583,S200000,00200,0200,MA 23583,S200000,00200,0300,02154 23583,S200000,00300,0100,MIDDLESEX 23583,S200000,00400,0100,MEADOW GREEN NURSING HOME 23583,S200000,00400,0200,225440 23583,S200000,00400,0300,07/07/1990 23583,S200000,00400,0500,P 23583,S200000,01600,0100,Y 23588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23588,A000000,00300,0000,00300EMPLOYEE BENEFITS 23588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23588,A000000,00700,0000,00700HOUSEKEEPING 23588,A000000,00800,0000,00800DIETARY 23588,A000000,00900,0000,00900NURSING ADMINISTRATION 23588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23588,A000000,01100,0000,01100PHARMACY 23588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23588,A000000,01300,0000,01300SOCIAL SERVICE 23588,A000000,01350,0000,01500ACTIVITIES 23588,A000000,01351,0000,01501INDIRECT CONSULTANTS 23588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23588,A000000,01600,0000,01600SKILLED NURSING FACILITY 23588,A000000,01810,0000,01810ICF/MR 23588,A000000,02100,0000,02100RADIOLOGY 23588,A000000,02200,0000,02200LABORATORY 23588,A000000,02300,0000,02300INTRAVENOUS THERAPY 23588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23588,A000000,02500,0000,02500PHYSICAL THERAPY 23588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23588,A000000,02700,0000,02700SPEECH PATHOLOGY 23588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23588,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23588,A000000,03051,0000,03301CONTRA ANCILLARIES 23588,A000000,03052,0000,03302AMBULANCE 23588,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23588,A000000,03550,0000,03550FQHC 23588,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23588,A000000,05000,0000,05000CORF 23588,A000000,05010,0000,05010CMHC 23588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23588,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23588,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23588,A81000A,00100,0100,Y 23588,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 23588,A81000B,00200,0300,MGMT FEE-CAP REL MOVABLE 23588,A81000B,00300,0300,MGMT FEE- CAP REL BUILDING 23588,A81000C,00100,0100,A 23588,A81000C,00100,0200,DEBBIE KLOCK 23588,A81000C,00100,0400,ESSEX GROUP INC. 23588,A81000C,00100,0600,HOME OFFICE 23588,B100000,00000,0100,00000SQUARE FEET 23588,B100000,00000,0200,00000SQUARE FEET 23588,B100000,00000,0300,00000GROSS SALARIES 23588,B100000,00000,0400,00000ACCUM. COST 23588,B100000,00000,0500,00000SQUARE FEET 23588,B100000,00000,0600,00000PATIENT DAYS 23588,B100000,00000,0700,00000SQUARE FEET 23588,B100000,00000,0800,00000PATIENT DAYS 23588,B100000,00000,0900,00000DIRECT NRSING HRS 23588,B100000,00000,1000,00000PATIENT DAYS 23588,B100000,00000,1100,00000N/A 23588,B100000,00000,1200,00000PATIENT DAYS 23588,B100000,00000,1300,00000PATIENT DAYS 23588,B100000,00000,1350,00000PATIENT DAYS 23588,B100000,00000,1351,00000N/A 23588,B100000,00000,1400,00000N/A 23588,S000000,00100,0200,05/31/2000 23588,S200000,00100,0100,11 HOUGHTON STREET 23588,S200000,00200,0100,WORCESTER 23588,S200000,00200,0200,MA 23588,S200000,00200,0300,01604 23588,S200000,00300,0100,WORCESTER 23588,S200000,00400,0100,BLAIRE HOUSE OF WORCESTER 23588,S200000,00400,0200,225443 23588,S200000,00400,0300,07/01/1990 23588,S200000,00400,0500,P 23588,S200000,00400,0600,O 23588,S200000,01500,0100,Y 23597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23597,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23597,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23597,A000000,00300,0000,00300EMPLOYEE BENEFITS 23597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23597,A000000,00700,0000,00700HOUSEKEEPING 23597,A000000,00800,0000,00800DIETARY 23597,A000000,00801,0000,00801CAFETERIA 23597,A000000,00900,0000,00900NURSING ADMINISTRATION 23597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23597,A000000,01100,0000,01100PHARMACY 23597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23597,A000000,01300,0000,01300SOCIAL SERVICE 23597,A000000,01350,0000,01500ACTIVITIES 23597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23597,A000000,01600,0000,01600SKILLED NURSING FACILITY 23597,A000000,01800,0000,01800NURSING FACILITY 23597,A000000,01810,0000,01810ICF/MR 23597,A000000,02100,0000,02100RADIOLOGY 23597,A000000,02200,0000,02200LABORATORY 23597,A000000,02300,0000,02300INTRAVENOUS THERAPY 23597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23597,A000000,02500,0000,02500PHYSICAL THERAPY 23597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23597,A000000,02700,0000,02700SPEECH PATHOLOGY 23597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23597,A000000,03050,0000,03300DME 23597,A000000,03051,0000,03301ORTHOTICS 23597,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 23597,A000000,03200,0000,03200SUPPORT SURFACES 23597,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23597,A000000,03550,0000,03550FQHC 23597,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23597,A000000,04800,0000,04800AMBULANCE 23597,A000000,05000,0000,05000CORF I 23597,A000000,05010,0000,05010CMHC I 23597,A000000,05020,0000,05020OPT I 23597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23597,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23597,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23597,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23597,A81000A,00100,0100,Y 23597,A81000B,00100,0300,HOME OFFICE ALLOCATION 23597,A81000B,00200,0300,THERACOR ACTUAL COSTS 23597,A81000B,00300,0300,THERACOR ACTUAL COSTS 23597,A81000B,00400,0300,THERACOR ACTUAL COSTS 23597,A81000C,00100,0100,B 23597,A81000C,00100,0200,HARBORSIDE 23597,A81000C,00200,0200,HEALTHCARE 23597,A81000C,00300,0200,LIMITED PSHIP 23597,A81000C,00300,0600,MANAGEMENT CO 23597,A81000C,00500,0100,B 23597,A81000C,00500,0200,HARBORSIDE 23597,A81000C,00600,0200,REHABILITITAION 23597,A81000C,00700,0200,LIMITED PSHIP 23597,A81000C,00700,0600,THERAPY 23597,A81000C,00800,0600,SERVICE AND 23597,A81000C,00900,0600,MANAGEMENT CO 23597,B100000,00000,0100,00000(SQUARE FEET) 23597,B100000,00000,0101,00000(SQUARE FEET) 23597,B100000,00000,0200,00000(SQUARE FEET) 23597,B100000,00000,0201,00000(SQUARE FEET) 23597,B100000,00000,0300,00000(GROSS SALARIES) 23597,B100000,00000,0400,00000(ACCUM. COST) 23597,B100000,00000,0500,00000(SQUARE FEET) 23597,B100000,00000,0600,00000(PATIENT DAYS) 23597,B100000,00000,0700,00000(SQUARE FEET) 23597,B100000,00000,0800,00000(MEALS SERVED) 23597,B100000,00000,0801,00000(MEALS SERVED) 23597,B100000,00000,0900,00000(NURSING SALARIES) 23597,B100000,00000,1000,00000(PATIENT DAYS) 23597,B100000,00000,1100,00000(PATIENT DAYS) 23597,B100000,00000,1200,00000(PATIENT DAYS) 23597,B100000,00000,1300,00000(PATIENT DAYS) 23597,B100000,00000,1350,00000(PATIENT DAYS) 23597,B100000,00000,1400,00000(ASSIGNED TIME) 23597,S000000,00100,0200,05/31/2000 23597,S200000,00100,0100,44 SUMMER ST. 23597,S200000,00200,0100,DANVERS 23597,S200000,00200,0200,MA 23597,S200000,00200,0300,01923 23597,S200000,00300,0100,ESSEX 23597,S200000,00400,0100,HHC - CEDAR GLEN 23597,S200000,00400,0200,225449 23597,S200000,00400,0300,08/01/1997 23597,S200000,00400,0500,P 23597,S200000,01600,0100,Y 23597,S200000,02200,0100,Y 23597,S200000,04700,0100,Y 23597,S200000,04700,0200,Y 23607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23607,A000000,00300,0000,00300EMPLOYEE BENEFITS 23607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23607,A000000,00700,0000,00700HOUSEKEEPING 23607,A000000,00800,0000,00800DIETARY 23607,A000000,00900,0000,00900NURSING ADMINISTRATION 23607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23607,A000000,01100,0000,01100PHARMACY 23607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23607,A000000,01300,0000,01300SOCIAL SERVICE 23607,A000000,01350,0000,01500ACTIVITIES 23607,A000000,01351,0000,01501INDIRECT CONSULTANTS 23607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23607,A000000,01600,0000,01600SKILLED NURSING FACILITY 23607,A000000,01800,0000,01800NURSING FACILITY 23607,A000000,01810,0000,01810ICF/MR 23607,A000000,02200,0000,02200LABORATORY 23607,A000000,02500,0000,02500PHYSICAL THERAPY 23607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23607,A000000,02700,0000,02700SPEECH PATHOLOGY 23607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23607,A000000,03050,0000,03300AIR FLUID THERAPY 23607,A000000,03051,0000,03301AMBULANCE 23607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23607,A000000,03550,0000,03550FQHC 23607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23607,A000000,05000,0000,05000CORF 23607,A000000,05010,0000,05010CMHC 23607,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23607,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23607,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23607,B100000,00000,0100,00000SQUARE FEET 23607,B100000,00000,0200,00000SQUARE FEET 23607,B100000,00000,0300,00000GROSS SALARIES 23607,B100000,00000,0400,00000ACCUM. COST 23607,B100000,00000,0500,00000SQUARE FEET 23607,B100000,00000,0600,00000PATIENT DAYS 23607,B100000,00000,0700,00000SQUARE FEET 23607,B100000,00000,0800,00000MEALS SERVED 23607,B100000,00000,0900,00000HOURS OF SERVICE 23607,B100000,00000,1000,00000PATIENT DAYS 23607,B100000,00000,1100,00000N/A 23607,B100000,00000,1200,00000PATIENT DAYS 23607,B100000,00000,1300,00000PATIENT DAYS 23607,B100000,00000,1350,00000PATIENT DAYS 23607,B100000,00000,1351,00000N/A 23607,B100000,00000,1400,00000N/A 23607,S000000,00100,0200,04/24/2000 23607,S200000,00100,0100,17 LAFAYETTE STREET 23607,S200000,00200,0100,CHELSEA 23607,S200000,00200,0200,MA 23607,S200000,00200,0300,02150 23607,S200000,00300,0100,SUFFOLK 23607,S200000,00400,0100,CHELSEA JEWISH NURSING HOME INC. 23607,S200000,00400,0200,225451 23607,S200000,00400,0300,07/01/1990 23607,S200000,00400,0500,P 23607,S200000,00400,0600,P 23607,S200000,01600,0100,Y 23615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23615,A000000,00300,0000,00300EMPLOYEE BENEFITS 23615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23615,A000000,00700,0000,00700HOUSEKEEPING 23615,A000000,00800,0000,00800DIETARY 23615,A000000,00900,0000,00900NURSING ADMINISTRATION 23615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23615,A000000,01100,0000,01100PHARMACY 23615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23615,A000000,01300,0000,01300SOCIAL SERVICE 23615,A000000,01350,0000,01500ACTIVITIES 23615,A000000,01351,0000,01501INDIRECT CONSULTANTS 23615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23615,A000000,01600,0000,01600SKILLED NURSING FACILITY 23615,A000000,01800,0000,01800NURSING FACILITY 23615,A000000,01810,0000,01810ICF/MR 23615,A000000,02100,0000,02100RADIOLOGY 23615,A000000,02200,0000,02200LABORATORY 23615,A000000,02300,0000,02300INTRAVENOUS THERAPY 23615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23615,A000000,02500,0000,02500PHYSICAL THERAPY 23615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23615,A000000,02700,0000,02700SPEECH PATHOLOGY 23615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23615,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23615,A000000,03051,0000,03301NUTRITIONAL THERAPY 23615,A000000,03052,0000,03302AMBULANCE 23615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23615,A000000,03550,0000,03550FQHC 23615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23615,A000000,05000,0000,05000CORF 23615,A000000,05010,0000,05010CMHC 23615,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23615,A81000A,00100,0100,Y 23615,A81000B,00100,0300,RENT CAPITAL RELATED 23615,A81000B,00200,0300,ACCOUNTING 23615,A81000B,00300,0300,CAP REL COSTS-MOVABLE EQUIP 23615,A81000B,00400,0300,WORKING CAPITAL INTEREST 23615,A81000C,00100,0100,A 23615,A81000C,00100,0200,MURRAY ALTSHER 23615,A81000C,00100,0400,CLINTON MANOR ASSOC 23615,A81000C,00100,0600,REALTY 23615,A81000C,00200,0100,A 23615,A81000C,00200,0200,MURRAY ALTSHER 23615,A81000C,00200,0400,LANDA & ALTSHER 23615,A81000C,00200,0600,ACCOUNTING 23615,B100000,00000,0100,00000SQUARE FEET 23615,B100000,00000,0200,00000SQUARE FEET 23615,B100000,00000,0300,00000GROSS SALARIES 23615,B100000,00000,0400,00000ACCUM. COST 23615,B100000,00000,0500,00000SQUARE FEET 23615,B100000,00000,0600,00000POUNDS OF LAUNDRY 23615,B100000,00000,0700,00000SQUARE FEET 23615,B100000,00000,0800,00000MEALS SERVED 23615,B100000,00000,0900,00000HOURS OF NURSING 23615,B100000,00000,1000,00000PATIENT DAYS 23615,B100000,00000,1100,00000N/A 23615,B100000,00000,1200,00000TIME SPENT 23615,B100000,00000,1300,00000TIME SPENT 23615,B100000,00000,1350,00000PATIENT DAYS 23615,B100000,00000,1351,00000N/A 23615,B100000,00000,1400,00000N/A 23615,S000000,00100,0200,05/31/2000 23615,S200000,00100,0100,250 MAIN STREET 23615,S200000,00200,0100,CLINTON 23615,S200000,00200,0200,MA 23615,S200000,00200,0300,01510 23615,S200000,00300,0100,WORCESTER 23615,S200000,00400,0100,CLINTON MANOR D/B/A COACHLACE H.C. 23615,S200000,00400,0200,225452 23615,S200000,00400,0300,07/01/1990 23615,S200000,00400,0500,P 23615,S200000,00400,0600,O 23615,S200000,01600,0100,Y 23625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23625,A000000,00300,0000,00300EMPLOYEE BENEFITS 23625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23625,A000000,00700,0000,00700HOUSEKEEPING 23625,A000000,00800,0000,00800DIETARY 23625,A000000,00900,0000,00900NURSING ADMINISTRATION 23625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23625,A000000,01100,0000,01100PHARMACY 23625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23625,A000000,01300,0000,01300SOCIAL SERVICE 23625,A000000,01350,0000,01500ACTIVITIES 23625,A000000,01351,0000,01501INDIRECT CONSULTANTS 23625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23625,A000000,01600,0000,01600SKILLED NURSING FACILITY 23625,A000000,01800,0000,01800NURSING FACILITY 23625,A000000,01810,0000,01810ICF/MR 23625,A000000,02100,0000,02100RADIOLOGY 23625,A000000,02200,0000,02200LABORATORY 23625,A000000,02300,0000,02300INTRAVENOUS THERAPY 23625,A000000,02500,0000,02500PHYSICAL THERAPY 23625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23625,A000000,02700,0000,02700SPEECH PATHOLOGY 23625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23625,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23625,A000000,03550,0000,03550FQHC 23625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23625,A000000,05000,0000,05000CORF 23625,A000000,05010,0000,05010CMHC 23625,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23625,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23625,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23625,A81000A,00100,0100,Y 23625,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 23625,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 23625,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 23625,A81000B,00400,0300,MGMT FEE-NOT CAP RELATED 23625,A81000B,00500,0300,ADMINISTRATOR SALARIES 23625,A81000C,00100,0100,A 23625,A81000C,00100,0200,PATRICK SHEEHAN 23625,A81000C,00200,0100,A 23625,A81000C,00200,0200,JOHN ALBERT 23625,A81000C,00200,0400,LANDMARK HEALTH SOLUTIONS 23625,A81000C,00200,0600,MANAGEMENT CO 23625,A81000C,00300,0100,A 23625,A81000C,00300,0200,WILLIAM MANTZOUKAS 23625,A81000C,00300,0400,LANDMARK HEALTH SOLUTIONS 23625,A81000C,00300,0600,MANAGEMENT CO 23625,B100000,00000,0100,00000SQUARE FEET 23625,B100000,00000,0200,00000SQUARE FEET 23625,B100000,00000,0300,00000GROSS SALARIES 23625,B100000,00000,0400,00000ACCUM. COST 23625,B100000,00000,0500,00000SQUARE FEET 23625,B100000,00000,0600,00000PATIENT DAYS 23625,B100000,00000,0700,00000SQUARE FEET 23625,B100000,00000,0800,00000PATIENT DAYS 23625,B100000,00000,0900,00000DIRECT NRSING HRS 23625,B100000,00000,1000,00000PATIENT DAYS 23625,B100000,00000,1100,00000N/A 23625,B100000,00000,1200,00000PATIENT DAYS 23625,B100000,00000,1300,00000PATIENT DAYS 23625,B100000,00000,1350,00000PATIENT DAYS 23625,B100000,00000,1351,00000NO STATISTICS 23625,B100000,00000,1400,00000N/A 23625,S000000,00100,0200,05/31/2000 23625,S200000,00100,0100,265 MAIN STREET 23625,S200000,00200,0100,DALTON 23625,S200000,00200,0200,MA 23625,S200000,00200,0300,02116 23625,S200000,00300,0100,BERKSHIRE 23625,S200000,00400,0100,CRANEVILLE PLACE AT DALTON 23625,S200000,00400,0200,225455 23625,S200000,00400,0300,07/01/1998 23625,S200000,00400,0500,P 23625,S200000,00400,0600,O 23625,S200000,01600,0100,Y 23628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23628,A000000,00300,0000,00300EMPLOYEE BENEFITS 23628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23628,A000000,00700,0000,00700HOUSEKEEPING 23628,A000000,00800,0000,00800DIETARY 23628,A000000,00900,0000,00900NURSING ADMINISTRATION 23628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23628,A000000,01100,0000,01100PHARMACY 23628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23628,A000000,01300,0000,01300SOCIAL SERVICE 23628,A000000,01350,0000,01500ACTIVITIES 23628,A000000,01351,0000,01501INDIRECT CONSULTANTS 23628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23628,A000000,01600,0000,01600SKILLED NURSING FACILITY 23628,A000000,01810,0000,01810ICF/MR 23628,A000000,02200,0000,02200LABORATORY 23628,A000000,02300,0000,02300INTRAVENOUS THERAPY 23628,A000000,02500,0000,02500PHYSICAL THERAPY 23628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23628,A000000,02700,0000,02700SPEECH PATHOLOGY 23628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23628,A000000,03200,0000,03200SUPPORT SURFACES 23628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23628,A000000,03550,0000,03550FQHC 23628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23628,A000000,05000,0000,05000CORF 23628,A000000,05010,0000,05010CMHC 23628,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23628,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23628,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23628,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 23628,A000000,06152,0000,06302DAYCARE 23628,A81000A,00100,0100,Y 23628,A81000B,00100,0300,MANAGEMENT FEES 23628,A81000B,00200,0300,MAJOR MOVEABLE 23628,A81000B,00300,0300,PLANT SALARIES 23628,A81000B,00400,0300,DIETARY SALARIES 23628,A81000B,00500,0300,TRAVEL 23628,A81000B,00600,0300,PLANT SUPPLIES 23628,A81000B,00700,0300,BENEFITS 23628,A81000C,00100,0100,D 23628,A81000C,00100,0200,MAMARY/MARCUS 23628,A81000C,00100,0400,NEHCM INC 23628,A81000C,00100,0600,HOME OFFICE 23628,A81000C,00200,0100,A 23628,A81000C,00200,0200,JAMES MAMARY 23628,A81000C,00200,0400,ROYAL MEGANSETT 23628,A81000C,00200,0600,NURSING HOME 23628,B100000,00000,0100,00002SQUARE FEET 23628,B100000,00000,0200,00002SQUARE FEET 23628,B100000,00000,0300,00002GROSS SALARIES 23628,B100000,00000,0400,00002ACCUM. COST 23628,B100000,00000,0500,00002SQUARE FEET 23628,B100000,00000,0600,00002PATIENT DAYS 23628,B100000,00000,0700,00002SQUARE FEET 23628,B100000,00000,0800,00002PATIENT DAYS 23628,B100000,00000,0900,00002DIRECT NRSING HRS 23628,B100000,00000,1000,00002PATIENT DAYS 23628,B100000,00000,1100,00002N/A 23628,B100000,00000,1200,00002PATIENT DAYS 23628,B100000,00000,1300,00002PATIENT DAYS 23628,B100000,00000,1350,00002PATIENT DAYS 23628,B100000,00000,1351,00002N/A 23628,B100000,00000,1400,00002N/A 23628,S000000,00100,0200,05/25/2000 23628,S200000,00100,0100,545 MAIN STREET 23628,S200000,00200,0100,FALMOUTH 23628,S200000,00200,0200,MA 23628,S200000,00300,0100,BARNSTABLE 23628,S200000,00400,0100,ROYAL NURSING CENTER 23628,S200000,00400,0200,225459 23628,S200000,00400,0300,07/01/1990 23628,S200000,00400,0500,P 23628,S200000,00400,0600,O 23628,S200000,01500,0100,Y 23638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23638,A000000,00300,0000,00300EMPLOYEE BENEFITS 23638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23638,A000000,00700,0000,00700HOUSEKEEPING 23638,A000000,00800,0000,00800DIETARY 23638,A000000,00900,0000,00900NURSING ADMINISTRATION 23638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23638,A000000,01100,0000,01100PHARMACY 23638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23638,A000000,01300,0000,01300SOCIAL SERVICE 23638,A000000,01350,0000,01500ACTIVITIES 23638,A000000,01351,0000,01501INDIRECT CONSULTANTS 23638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23638,A000000,01600,0000,01600SKILLED NURSING FACILITY 23638,A000000,01800,0000,01800NURSING FACILITY 23638,A000000,01810,0000,01810ICF/MR 23638,A000000,02100,0000,02100RADIOLOGY 23638,A000000,02200,0000,02200LABORATORY 23638,A000000,02300,0000,02300INTRAVENOUS THERAPY 23638,A000000,02500,0000,02500PHYSICAL THERAPY 23638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23638,A000000,02700,0000,02700SPEECH PATHOLOGY 23638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23638,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23638,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23638,A000000,03052,0000,03302AMBULANCE 23638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23638,A000000,03550,0000,03550FQHC 23638,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23638,A000000,05000,0000,05000CORF 23638,A000000,05010,0000,05010CMHC 23638,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23638,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23638,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23638,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23638,A81000A,00100,0100,Y 23638,A81000B,00100,0300,INTEREST 23638,A81000B,00200,0300,SOCIAL SERVICE SALARIES 23638,A81000B,00300,0300,EMPLOYEE BENEFITS 23638,A81000B,00400,0300,ADMINISTRATOR SALARIES 23638,A81000B,00500,0300,EMPLOYEE BENEFITS 23638,A81000C,00100,0100,D 23638,A81000C,00100,0400,SOUTHGATE AT SHREWSBURY 23638,A81000C,00100,0600,RETIREMENT COMMUNITY 23638,A81000C,00200,0100,D 23638,A81000C,00200,0200,DIANE CARR 23638,A81000C,00200,0400,SALISBURY N&R 23638,A81000C,00300,0100,D 23638,A81000C,00300,0200,DIANE CARR 23638,A81000C,00300,0400,SALISBURY N&R 23638,A81000C,00400,0100,D 23638,A81000C,00400,0200,STEPHEN FLANAGAN 23638,A81000C,00400,0400,SALISBURY N&R 23638,A81000C,00500,0100,D 23638,A81000C,00500,0200,STEPHEN FLANAGAN 23638,A81000C,00500,0400,SALISBURY N&R 23638,B100000,00000,0100,00000SQUARE FEET 23638,B100000,00000,0200,00000SQUARE FEET 23638,B100000,00000,0300,00000GROSS SALARIES 23638,B100000,00000,0400,00000ACCUM. COST 23638,B100000,00000,0500,00000SQUARE FEET 23638,B100000,00000,0600,00000PATIENT DAYS 23638,B100000,00000,0700,00000SQUARE FEET 23638,B100000,00000,0800,00000PATIENT DAYS 23638,B100000,00000,0900,00000DIRECT NRSING HRS 23638,B100000,00000,1000,00000PATIENT DAYS 23638,B100000,00000,1100,00000N/A 23638,B100000,00000,1200,00000PATIENT DAYS 23638,B100000,00000,1300,00000PATIENT DAYS 23638,B100000,00000,1350,00000PATIENT DAYS 23638,B100000,00000,1351,00000N/A 23638,B100000,00000,1400,00000N/A 23638,S000000,00100,0200,05/10/2000 23638,S200000,00100,0100,25 ORIOL DRIVE 23638,S200000,00200,0100,WORCESTER 23638,S200000,00200,0200,MA 23638,S200000,00300,0100,WORCESTER 23638,S200000,00400,0100,SALISBURY NURS. & REHAB 23638,S200000,00400,0200,225467 23638,S200000,00400,0300,07/01/1990 23638,S200000,00400,0500,P 23638,S200000,00400,0600,O 23638,S200000,01600,0100,Y 23645,S000000,00100,0200,06/01/2000 23652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23652,A000000,00300,0000,00300EMPLOYEE BENEFITS 23652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23652,A000000,00700,0000,00700HOUSEKEEPING 23652,A000000,00800,0000,00800DIETARY 23652,A000000,00900,0000,00900NURSING ADMINISTRATION 23652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23652,A000000,01100,0000,01100PHARMACY 23652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23652,A000000,01300,0000,01300SOCIAL SERVICE 23652,A000000,01350,0000,01500ACTIVITIES 23652,A000000,01351,0000,01501INDIRECT CONSULTANTS 23652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23652,A000000,01600,0000,01600SKILLED NURSING FACILITY 23652,A000000,01810,0000,01810ICF/MR 23652,A000000,02100,0000,02100RADIOLOGY 23652,A000000,02200,0000,02200LABORATORY 23652,A000000,02300,0000,02300INTRAVENOUS THERAPY 23652,A000000,02500,0000,02500PHYSICAL THERAPY 23652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23652,A000000,02700,0000,02700SPEECH PATHOLOGY 23652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23652,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23652,A000000,03550,0000,03550FQHC 23652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23652,A000000,05000,0000,05000CORF 23652,A000000,05010,0000,05010CMHC 23652,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23652,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23652,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23652,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 23652,A000000,06152,0000,06302MEALS ON WHEELS 23652,B100000,00000,0100,00002SQUARE FEET 23652,B100000,00000,0200,00002SQUARE FEET 23652,B100000,00000,0300,00002GROSS SALARIES 23652,B100000,00000,0400,00002ACCUM. COST 23652,B100000,00000,0500,00002SQUARE FEET 23652,B100000,00000,0600,00002POUNDS OF LAUNDRY 23652,B100000,00000,0700,00002SQUARE FEET 23652,B100000,00000,0800,00002MEALS SERVED 23652,B100000,00000,0900,00002HOURS OF SERVICE 23652,B100000,00000,1000,00002PATIENT DAYS 23652,B100000,00000,1100,00002N/A 23652,B100000,00000,1200,00002TIME SPENT 23652,B100000,00000,1300,00002TIME SPENT 23652,B100000,00000,1350,00002PATIENT DAYS 23652,B100000,00000,1351,00002N/A 23652,B100000,00000,1400,00002N/A 23652,S000000,00100,0200,05/22/2000 23652,S200000,00100,0100,200 HAWTHORN STREET 23652,S200000,00200,0100,NEW BEDFORD 23652,S200000,00200,0200,MA 23652,S200000,00200,0300,02740 23652,S200000,00300,0100,BRISTOL 23652,S200000,00400,0100,NEW BEDFORD JEWISH CONV. 23652,S200000,00400,0200,225481 23652,S200000,00400,0300,07/01/1990 23652,S200000,00400,0500,P 23652,S200000,00400,0600,O 23652,S200000,01500,0100,Y 23660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23660,A000000,00300,0000,00300EMPLOYEE BENEFITS 23660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23660,A000000,00700,0000,00700HOUSEKEEPING 23660,A000000,00800,0000,00800DIETARY 23660,A000000,00900,0000,00900NURSING ADMINISTRATION 23660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23660,A000000,01100,0000,01100PHARMACY 23660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23660,A000000,01300,0000,01300SOCIAL SERVICE 23660,A000000,01350,0000,01500ACTIVITIES 23660,A000000,01351,0000,01501INDIRECT CONSULTANTS 23660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23660,A000000,01600,0000,01600SKILLED NURSING FACILITY 23660,A000000,01810,0000,01810ICF/MR 23660,A000000,02100,0000,02100RADIOLOGY 23660,A000000,02200,0000,02200LABORATORY 23660,A000000,02300,0000,02300INTRAVENOUS THERAPY 23660,A000000,02500,0000,02500PHYSICAL THERAPY 23660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23660,A000000,02700,0000,02700SPEECH PATHOLOGY 23660,A000000,02800,0000,02800ELECTROCARDIOLOGY 23660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23660,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23660,A000000,03550,0000,03550FQHC 23660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23660,A000000,05000,0000,05000CORF 23660,A000000,05010,0000,05010CMHC 23660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23660,B100000,00000,0100,00000SQUARE FEET 23660,B100000,00000,0200,00000SQUARE FEET 23660,B100000,00000,0300,00000GROSS SALARIES 23660,B100000,00000,0400,00000ACCUM. COST 23660,B100000,00000,0500,00000SQUARE FEET 23660,B100000,00000,0600,00000PATIENT DAYS 23660,B100000,00000,0700,00000SQUARE FEET 23660,B100000,00000,0800,00000PATIENT DAYS 23660,B100000,00000,0900,00000DIRECT NRSING HRS 23660,B100000,00000,1000,00000PATIENT DAYS 23660,B100000,00000,1100,00000N/A 23660,B100000,00000,1200,00000PATIENT DAYS 23660,B100000,00000,1300,00000PATIENT DAYS 23660,B100000,00000,1350,00000PATIENT DAYS 23660,B100000,00000,1351,00000N/A 23660,B100000,00000,1400,00000N/A 23660,S000000,00100,0200,05/10/2000 23660,S200000,00100,0100,66 SOUTH STREET 23660,S200000,00200,0100,SHREWSBURY 23660,S200000,00200,0200,MA 23660,S200000,00300,0100,WORCESTER 23660,S200000,00400,0100,SHREWSBURY MANOR 23660,S200000,00400,0200,225491 23660,S200000,00400,0300,07/01/1990 23660,S200000,00400,0500,P 23660,S200000,00400,0600,O 23660,S200000,01600,0100,Y 23670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23670,A000000,00300,0000,00300EMPLOYEE BENEFITS 23670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23670,A000000,00700,0000,00700HOUSEKEEPING 23670,A000000,00800,0000,00800DIETARY 23670,A000000,00900,0000,00900NURSING ADMINISTRATION 23670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23670,A000000,01100,0000,01100PHARMACY 23670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23670,A000000,01300,0000,01300SOCIAL SERVICE 23670,A000000,01350,0000,01500ACTIVITIES 23670,A000000,01351,0000,01501INDIRECT CONSULTANTS 23670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23670,A000000,01600,0000,01600SKILLED NURSING FACILITY 23670,A000000,01810,0000,01810ICF/MR 23670,A000000,02100,0000,02100RADIOLOGY 23670,A000000,02200,0000,02200LABORATORY 23670,A000000,02300,0000,02300INTRAVENOUS THERAPY 23670,A000000,02500,0000,02500PHYSICAL THERAPY 23670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23670,A000000,02700,0000,02700SPEECH PATHOLOGY 23670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23670,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23670,A000000,03051,0000,03301PHYSICIANS VISITS 23670,A000000,03052,0000,03302AMBULANCE 23670,A000000,03053,0000,03303CONTRA ANCILLARIES 23670,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23670,A000000,03550,0000,03550FQHC 23670,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23670,A000000,05000,0000,05000CORF 23670,A000000,05010,0000,05010CMHC 23670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23670,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23670,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23670,A81000A,00100,0100,Y 23670,A81000B,00100,0300,ADMIN. & GEN MGMT FEE NOT CAP 23670,A81000B,00200,0300,CAP REL COSTS BLDGS MGMNT FEE 23670,A81000B,00300,0300,CAP REL COSTS-MOV MGMNT FEE CA 23670,A81000B,00400,0300,MGT FEE - MMQ NURSE 23670,A81000B,00500,0300,MGT FEE - SOCIAL SERVICE 23670,A81000C,00100,0100,A 23670,A81000C,00100,0200,DEBORAH KLOCK 23670,A81000C,00100,0400,ESSEX GROUP INC. 23670,A81000C,00100,0600,HOME OFFICE 23670,B100000,00000,0100,00000SQUARE FEET 23670,B100000,00000,0200,00000SQUARE FEET 23670,B100000,00000,0300,00000GROSS SALARIES 23670,B100000,00000,0400,00000ACCUM. COST 23670,B100000,00000,0500,00000SQUARE FEET 23670,B100000,00000,0600,00000PATIENT DAYS 23670,B100000,00000,0700,00000SQUARE FEET 23670,B100000,00000,0800,00000MEALS SERVED 23670,B100000,00000,0900,00000HOURS 23670,B100000,00000,1000,00000PATIENT DAYS 23670,B100000,00000,1100,00000N/A 23670,B100000,00000,1200,00000PATIENT DAYS 23670,B100000,00000,1300,00000PATIENT DAYS 23670,B100000,00000,1350,00000PATIENT DAYS 23670,B100000,00000,1351,00000N/A 23670,B100000,00000,1400,00000N/A 23670,S000000,00100,0200,05/31/2000 23670,S200000,00100,0100,35 FRUIT STREET 23670,S200000,00200,0100,WORCESTER 23670,S200000,00200,0200,MA 23670,S200000,00200,0300,01609 23670,S200000,00300,0100,WORCESTER 23670,S200000,00400,0100,WESTSIDE HOUSE 23670,S200000,00400,0200,225500 23670,S200000,00400,0300,07/01/1990 23670,S200000,00400,0500,P 23670,S200000,00400,0600,O 23670,S200000,01500,0100,Y 23670,S200000,04300,0100,Y 23679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23679,A000000,00300,0000,00300EMPLOYEE BENEFITS 23679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23679,A000000,00700,0000,00700HOUSEKEEPING 23679,A000000,00800,0000,00800DIETARY 23679,A000000,00900,0000,00900NURSING ADMINISTRATION 23679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23679,A000000,01100,0000,01100PHARMACY 23679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23679,A000000,01300,0000,01300SOCIAL SERVICE 23679,A000000,01350,0000,01500ACTIVITIES 23679,A000000,01351,0000,01501INDIRECT CONSULTANTS 23679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23679,A000000,01600,0000,01600SKILLED NURSING FACILITY 23679,A000000,01800,0000,01800NURSING FACILITY 23679,A000000,01810,0000,01810ICF/MR 23679,A000000,02100,0000,02100RADIOLOGY 23679,A000000,02200,0000,02200LABORATORY 23679,A000000,02300,0000,02300INTRAVENOUS THERAPY 23679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23679,A000000,02500,0000,02500PHYSICAL THERAPY 23679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23679,A000000,02700,0000,02700SPEECH PATHOLOGY 23679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23679,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23679,A000000,03550,0000,03550FQHC 23679,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23679,A000000,05000,0000,05000CORF 23679,A000000,05010,0000,05010CMHC 23679,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23679,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23679,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23679,A81000A,00100,0100,Y 23679,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 23679,A81000B,00200,0300,INTEREST-W/C 23679,A81000B,00300,0300,HOUSEKEEPING 23679,A81000B,00400,0300,HOUSE SUPPLIES 23679,A81000B,00500,0300,BOND EXPENSE 23679,A81000B,00700,0300,LAB 23679,A81000B,00800,0300,PLANT P/S 23679,A81000B,00900,0300,A&G EXPENSES 23679,A81000C,00100,0100,G 23679,A81000C,00100,0400,CAPE & ISLANDS HEALTH SVS 23679,A81000C,00100,0600,HEALTHCARE 23679,A81000C,00200,0100,G 23679,A81000C,00200,0400,CAPE & ISLANDS OXYGEN 23679,A81000C,00200,0600,OXYGEN 23679,A81000C,00300,0100,G 23679,A81000C,00300,0400,PRIMARY CARE INTERNIST 23679,A81000C,00300,0600,MED DIRECTOR 23679,A81000C,00400,0100,G 23679,A81000C,00400,0400,CAPE COD HOSPITAL 23679,A81000C,00400,0600,HOSPITAL 23679,A81000C,00500,0100,G 23679,A81000C,00500,0400,CCHECC-PAVILION 23679,A81000C,00500,0600,NRSG HOME 23679,A81000C,00600,0100,G 23679,A81000C,00600,0400,JML CARE CENTER 23679,A81000C,00600,0600,NRSG HOME 23679,B100000,00000,0100,00000SQUARE FEET 23679,B100000,00000,0200,00000SQUARE FEET 23679,B100000,00000,0300,00000GROSS SALARIES 23679,B100000,00000,0400,00000ACCUM. COST 23679,B100000,00000,0500,00000SQUARE FEET 23679,B100000,00000,0600,00000PATIENT DAYS 23679,B100000,00000,0700,00000SQUARE FEET 23679,B100000,00000,0800,00000MEALS SERVED 23679,B100000,00000,0900,00000HOURS OF SERVICE 23679,B100000,00000,1000,00000COSTED REQUIS. 23679,B100000,00000,1100,00000N/A N/A 23679,B100000,00000,1200,00000PATIENT DAYS 23679,B100000,00000,1300,00000TIME SPENT 23679,B100000,00000,1350,00000PATIENT DAYS 23679,B100000,00000,1351,00000NO STATISTICS 23679,B100000,00000,1400,00000N/A N/A 23679,S000000,00100,0200,02/29/2000 23679,S200000,00100,0100,850 FALMOUTH ROAD 23679,S200000,00200,0100,HYANNIS 23679,S200000,00200,0200,MA 23679,S200000,00300,0100,BARNSTABLE 23679,S200000,00400,0100,CAPE COD EXTENDED CARE - MANOR 23679,S200000,00400,0200,225502 23679,S200000,00400,0300,07/01/1990 23679,S200000,00400,0500,P 23679,S200000,00400,0600,P 23679,S200000,01600,0100,Y 23687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23687,A000000,00300,0000,00300EMPLOYEE BENEFITS 23687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23687,A000000,00700,0000,00700HOUSEKEEPING 23687,A000000,00800,0000,00800DIETARY 23687,A000000,00900,0000,00900NURSING ADMINISTRATION 23687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23687,A000000,01100,0000,01100PHARMACY 23687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23687,A000000,01300,0000,01300SOCIAL SERVICE 23687,A000000,01350,0000,01500ACTIVITIES 23687,A000000,01351,0000,01501INDIRECT CONSULTANTS 23687,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23687,A000000,01600,0000,01600SKILLED NURSING FACILITY 23687,A000000,01800,0000,01800NURSING FACILITY 23687,A000000,01810,0000,01810ICF/MR 23687,A000000,02200,0000,02200LABORATORY 23687,A000000,02300,0000,02300INTRAVENOUS THERAPY 23687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23687,A000000,02500,0000,02500PHYSICAL THERAPY 23687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23687,A000000,02700,0000,02700SPEECH PATHOLOGY 23687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23687,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23687,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23687,A000000,03550,0000,03550FQHC 23687,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23687,A000000,05000,0000,05000CORF 23687,A000000,05010,0000,05010CMHC 23687,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23687,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23687,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23687,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23687,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23687,A81000A,00100,0100,Y 23687,A81000B,00100,0300,INTEREST-W/C 23687,A81000B,00200,0300,HOUSE SUPPLIES 23687,A81000B,00300,0300,HOUSEKEEPING 23687,A81000B,00400,0300,OXYGEN SUPPLIES 23687,A81000B,00500,0300,MANAGEMENT FEE NON CAPITAL REL 23687,A81000B,00600,0300,A&G SERVICES 23687,A81000B,00700,0300,PLANT 23687,A81000C,00100,0400,CAPE & ISLANDS OXYGEN 23687,A81000C,00100,0600,OXYGEN 23687,A81000C,00200,0400,CAPE COD HEALTHCARE 23687,A81000C,00200,0600,HEALTHCARE 23687,A81000C,00300,0400,CAPE COD HOSPITAL 23687,A81000C,00300,0600,HEALTHCARE 23687,A81000C,00400,0400,PRIMARY CARE INTERNIST 23687,A81000C,00400,0600,MEDICAL DIRECTOR 23687,A81000C,00500,0400,CAPE & ISLANDS HEALTH SVC 23687,A81000C,00500,0600,HEALTHCARE 23687,A81000C,00600,0400,CCHECC-MANOR 23687,A81000C,00600,0600,HEALTHCARE 23687,A81000C,00700,0400,JML CARE CENTER 23687,A81000C,00700,0600,HEALTHCARE 23687,B100000,00000,0100,00000SQUARE FEET 23687,B100000,00000,0200,00000SQUARE FEET 23687,B100000,00000,0300,00000GROSS SALARIES 23687,B100000,00000,0400,00000ACCUM. COST 23687,B100000,00000,0500,00000SQUARE FEET 23687,B100000,00000,0600,00000PATIENT DAYS 23687,B100000,00000,0700,00000SQUARE FEET 23687,B100000,00000,0800,00000MEALS SERVED 23687,B100000,00000,0900,00000HOURS OF SERVICE 23687,B100000,00000,1000,00000COSTED REQUIS. 23687,B100000,00000,1100,00000N/A 23687,B100000,00000,1200,00000TIME SPENT 23687,B100000,00000,1300,00000TIME SPENT 23687,B100000,00000,1350,00000PATIENT DAYS 23687,B100000,00000,1351,00000NO STATISTICS 23687,B100000,00000,1400,00000N/A 23687,S000000,00100,0200,02/29/2000 23687,S200000,00100,0100,850 FALMOUTH ROAD 23687,S200000,00200,0100,HYANNIS 23687,S200000,00200,0200,MA 23687,S200000,00300,0100,BARNSTABLE 23687,S200000,00400,0100,CAPE COD EXTENDED CARE - PAVILION 23687,S200000,00400,0200,225503 23687,S200000,00400,0300,07/01/1990 23687,S200000,00400,0500,P 23687,S200000,00400,0600,P 23687,S200000,01600,0100,Y 23695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23695,A000000,00300,0000,00300EMPLOYEE BENEFITS 23695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23695,A000000,00700,0000,00700HOUSEKEEPING 23695,A000000,00800,0000,00800DIETARY 23695,A000000,00900,0000,00900NURSING ADMINISTRATION 23695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23695,A000000,01100,0000,01100PHARMACY 23695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23695,A000000,01300,0000,01300SOCIAL SERVICE 23695,A000000,01350,0000,01500ACTIVITIES 23695,A000000,01351,0000,01501INDIRECT CONSULTANTS 23695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23695,A000000,01600,0000,01600SKILLED NURSING FACILITY 23695,A000000,01810,0000,01810ICF/MR 23695,A000000,02100,0000,02100RADIOLOGY 23695,A000000,02200,0000,02200LABORATORY 23695,A000000,02300,0000,02300INTRAVENOUS THERAPY 23695,A000000,02500,0000,02500PHYSICAL THERAPY 23695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23695,A000000,02700,0000,02700SPEECH PATHOLOGY 23695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23695,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23695,A000000,03550,0000,03550FQHC 23695,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23695,A000000,05000,0000,05000CORF 23695,A000000,05010,0000,05010CMHC 23695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23695,A81000A,00100,0100,Y 23695,A81000B,00100,0300,RENT-CAPITAL RELATED 23695,A81000B,00200,0300,RENT-CAP REL MOVABLE 23695,A81000B,00300,0300,INTEREST 23695,A81000C,00100,0100,A 23695,A81000C,00100,0200,SOUTH COVE 23695,A81000C,00100,0400,SOUTH COVE LTD PT 23695,A81000C,00100,0600,RENTAL PROPERTY 23695,B100000,00000,0100,00000SQUARE FEET 23695,B100000,00000,0200,00000SQUARE FEET 23695,B100000,00000,0300,00000GROSS SALARIES 23695,B100000,00000,0400,00000ACCUM. COST 23695,B100000,00000,0500,00000SQUARE FEET 23695,B100000,00000,0600,00000PATIENT DAYS 23695,B100000,00000,0700,00000SQUARE FEET 23695,B100000,00000,0800,00000PATIENT DAYS 23695,B100000,00000,0900,00000DIRECT NRSING HRS 23695,B100000,00000,1000,00000PATIENT DAYS 23695,B100000,00000,1100,00000N/A 23695,B100000,00000,1200,00000PATIENT DAYS 23695,B100000,00000,1300,00000PATIENT DAYS 23695,B100000,00000,1350,00000PATIENT DAYS 23695,B100000,00000,1351,00000N/A 23695,B100000,00000,1400,00000N/A 23695,S000000,00100,0200,05/01/2000 23695,S200000,00100,0100,120 SHAWMUT AVENUE 23695,S200000,00200,0100,BOSTON 23695,S200000,00200,0200,MA 23695,S200000,00300,0100,SUFFOLK 23695,S200000,00400,0100,SOUTH COVE MANOR NURSING HOME 23695,S200000,00400,0200,225514 23695,S200000,00400,0300,07/01/1990 23695,S200000,00400,0500,P 23695,S200000,00400,0600,O 23695,S200000,01500,0100,Y 23703,S000000,00100,0200,05/31/2000 23721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23721,A000000,00300,0000,00300EMPLOYEE BENEFITS 23721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23721,A000000,00700,0000,00700HOUSEKEEPING 23721,A000000,00800,0000,00800DIETARY 23721,A000000,00900,0000,00900NURSING ADMINISTRATION 23721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23721,A000000,01100,0000,01100PHARMACY 23721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23721,A000000,01300,0000,01300SOCIAL SERVICE 23721,A000000,01350,0000,01500ACTIVITIES 23721,A000000,01351,0000,01501INDIRECT CONSULTANTS 23721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23721,A000000,01600,0000,01600SKILLED NURSING FACILITY 23721,A000000,01810,0000,01810ICF/MR 23721,A000000,01900,0000,01900OTHER LONG TERM CARE 23721,A000000,02100,0000,02100RADIOLOGY 23721,A000000,02200,0000,02200LABORATORY 23721,A000000,02300,0000,02300INTRAVENOUS THERAPY 23721,A000000,02500,0000,02500PHYSICAL THERAPY 23721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23721,A000000,02700,0000,02700SPEECH PATHOLOGY 23721,A000000,02800,0000,02800ELECTROCARDIOLOGY 23721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23721,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23721,A000000,03051,0000,03301OTHER 23721,A000000,03052,0000,03302AMBULANCE 23721,A000000,03400,0000,03400CLINIC 23721,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23721,A000000,03550,0000,03550FQHC 23721,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23721,A000000,05000,0000,05000CORF 23721,A000000,05010,0000,05010CMHC 23721,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23721,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23721,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23721,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23721,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COST 23721,A000000,06151,0000,06301CONVENT 23721,A81000A,00100,0100,Y 23721,A81000B,00100,0300,RENT-CAPITAL RELATED 23721,A81000B,00200,0300,EMPLOYEE BENEFITS 23721,A81000B,00300,0300,ADMIN AND GENERAL 23721,A81000B,00400,0300,MISC REIM FOR GOODS 23721,A81000B,00500,0300,SALARIES TO MEMBERS 23721,A81000B,00600,0300,SALARIES TO MEMBERS 23721,A81000B,00700,0300,SALARIES TO MEMBERS 23721,A81000B,00800,0300,SALARIES TO MEMBERS 23721,A81000B,00900,0300,SALARIES TO MEMBERS 23721,A81000B,01000,0300,SALARIES TO MEMBERS 23721,A81000B,01100,0300,SALARIES TO MEMBERS 23721,A81000B,01200,0300,SALARIES TO MEMBERS 23721,A81000B,01300,0300,MORTGAGE INTEREST 23721,A81000C,00100,0100,G 23721,A81000C,00100,0400,CONG OF SIS OF ST. JOSEP 23721,A81000C,00100,0600,RELIGIOUS ORDER 23721,B100000,00000,0100,00001SQUARE FEET 23721,B100000,00000,0200,00001SQUARE FEET 23721,B100000,00000,0300,00001GROSS SALARIES 23721,B100000,00000,0400,00001ACCUM. COST 23721,B100000,00000,0500,00001SQUARE FEET 23721,B100000,00000,0600,00001POUNDS OF LAUNDRY 23721,B100000,00000,0700,00001SQUARE FEET 23721,B100000,00000,0800,00001MEALS SERVED 23721,B100000,00000,0900,00001HOURS OF SERVICE 23721,B100000,00000,1000,00001PATIENT DAYS 23721,B100000,00000,1100,00001N/A 23721,B100000,00000,1200,00001PATIENT DAYS 23721,B100000,00000,1300,00001PATIENT DAYS 23721,B100000,00000,1350,00001PATIENT DAYS 23721,B100000,00000,1351,00001N/A 23721,B100000,00000,1400,00001N/A 23721,S000000,00100,0200,05/30/2000 23721,S200000,00100,0100,97 BETHANY ROAD 23721,S200000,00200,0100,FRAMINGHAM 23721,S200000,00200,0200,MA 23721,S200000,00200,0300,01701 23721,S200000,00300,0100,MIDDLESEX 23721,S200000,00400,0100,BETHANY NURSING HOME 23721,S200000,00400,0200,225535 23721,S200000,00400,0300,05/01/1991 23721,S200000,00400,0500,P 23721,S200000,00400,0600,O 23721,S200000,01600,0100,Y 23732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23732,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23732,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23732,A000000,00300,0000,00300EMPLOYEE BENEFITS 23732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23732,A000000,00700,0000,00700HOUSEKEEPING 23732,A000000,00800,0000,00800DIETARY 23732,A000000,00801,0000,00801CAFETERIA 23732,A000000,00900,0000,00900NURSING ADMINISTRATION 23732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23732,A000000,01100,0000,01100PHARMACY 23732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23732,A000000,01300,0000,01300SOCIAL SERVICE 23732,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 23732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23732,A000000,01600,0000,01600SKILLED NURSING FACILITY 23732,A000000,01810,0000,01810ICF/MR 23732,A000000,01900,0000,01900OTHER LONG TERM CARE 23732,A000000,02100,0000,02100RADIOLOGY 23732,A000000,02200,0000,02200LABORATORY 23732,A000000,02500,0000,02500PHYSICAL THERAPY 23732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23732,A000000,02700,0000,02700SPEECH PATHOLOGY 23732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23732,A000000,03050,0000,03300OTHER ANCILLARY 23732,A000000,03051,0000,03301OTHER ANCILLARY II 23732,A000000,03052,0000,03302OTHER ANCILLARY III 23732,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23732,A000000,03550,0000,03550FQHC 23732,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23732,A000000,05000,0000,05000CORF I 23732,A000000,05010,0000,05010CMHC I 23732,A000000,05020,0000,05020OPT I 23732,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23732,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23732,A000000,05300,0000,05300INTEREST EXPENSE 23732,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23732,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23732,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23732,A81000A,00100,0100,Y 23732,A81000B,00100,0300,BOOKKEEPING FEES 23732,A81000C,00100,0100,D 23732,A81000C,00100,0200,DONALD ATKINS 23732,B100000,00000,0100,00000(SQUARE FEET) 23732,B100000,00000,0101,00000(SQUARE FEET) 23732,B100000,00000,0200,00000(SQUARE FEET) 23732,B100000,00000,0201,00000(SQUARE FEET) 23732,B100000,00000,0300,00000(GROSS SALARIES) 23732,B100000,00000,0400,00000(ACCUM. COST) 23732,B100000,00000,0500,00000(SQUARE FEET) 23732,B100000,00000,0600,00000(PATIENT DAYS) 23732,B100000,00000,0700,00000(SQUARE FEET) 23732,B100000,00000,0800,00000(MEALS SERVED) 23732,B100000,00000,0801,00000(MEALS SERVED) 23732,B100000,00000,0900,00000(DIRECT NRSING HRS 23732,B100000,00000,1000,00000(PATIENT DAYS) 23732,B100000,00000,1100,00000PAT DAYS 23732,B100000,00000,1200,00000(PATIENT DAYS) 23732,B100000,00000,1300,00000(PATIENT DAYS) 23732,B100000,00000,1350,00000 23732,B100000,00000,1400,00000(ASSIGNED TIME) 23732,S000000,00100,0200,05/30/2000 23732,S200000,00100,0100,299 WAREHAM STREET 23732,S200000,00100,0300,390 23732,S200000,00200,0100,MIDDLEBORO 23732,S200000,00200,0200,MA 23732,S200000,00200,0300,02346 23732,S200000,00300,0100,PLYMOUTH 23732,S200000,00400,0100,HANNAH SHAW HOME FOR THE AGED 23732,S200000,00400,0200,225547 23732,S200000,00400,0300,01/29/1992 23732,S200000,00400,0500,P 23732,S200000,01600,0100,Y 23742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23742,A000000,00300,0000,00300EMPLOYEE BENEFITS 23742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23742,A000000,00700,0000,00700HOUSEKEEPING 23742,A000000,00800,0000,00800DIETARY 23742,A000000,00900,0000,00900NURSING ADMINISTRATION 23742,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23742,A000000,01100,0000,01100PHARMACY 23742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23742,A000000,01300,0000,01300SOCIAL SERVICE 23742,A000000,01350,0000,01500ACTIVITIES 23742,A000000,01351,0000,01501INDIRECT CONSULTANTS 23742,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23742,A000000,01600,0000,01600SKILLED NURSING FACILITY 23742,A000000,01800,0000,01800NURSING FACILITY 23742,A000000,01810,0000,01810ICF/MR 23742,A000000,02100,0000,02100RADIOLOGY 23742,A000000,02200,0000,02200LABORATORY 23742,A000000,02300,0000,02300INTRAVENOUS THERAPY 23742,A000000,02500,0000,02500PHYSICAL THERAPY 23742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23742,A000000,02700,0000,02700SPEECH PATHOLOGY 23742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23742,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23742,A000000,03051,0000,03301CONTRA ANCILLARY 23742,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 23742,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23742,A000000,03550,0000,03550FQHC 23742,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23742,A000000,05000,0000,05000CORF 23742,A000000,05010,0000,05010CMHC 23742,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23742,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23742,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23742,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23742,A000000,06150,0000,06300ADULT DAY HEALTH 23742,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 23742,A81000A,00100,0100,Y 23742,A81000B,00100,0300,RENT-CAPITAL RELATED 23742,A81000B,00200,0300,RENT-CAP REL MOVABLE 23742,A81000B,00300,0300,MGMT FEE-NOT CAPITAL RELATED 23742,A81000B,00400,0300,MGMT FEE-CAP REL MOVABLE 23742,A81000B,00500,0300,RENT- NOT CAPITAL RELATED 23742,A81000B,00600,0300,MGMT FEE-CAPITAL RELATED 23742,A81000B,00700,0300,MGMT FEE-MMQ NURSE 23742,A81000B,00800,0300,MGMT FEE- SOCIAL SERVICE 23742,A81000C,00100,0100,B 23742,A81000C,00100,0200,ESSEX GROUP 23742,A81000C,00100,0400,ERLIN TERRACE LP 23742,A81000C,00100,0600,RENTAL PROPERTY 23742,A81000C,00200,0100,B 23742,A81000C,00200,0200,ESSEX GROUP 23742,A81000C,00200,0400,ESSEX GROUP INC. 23742,A81000C,00200,0600,HOME OFFICE 23742,B100000,00000,0100,00001SQUARE FEET 23742,B100000,00000,0200,00001SQUARE FEET 23742,B100000,00000,0300,00001GROSS SALARIES 23742,B100000,00000,0400,00001ACCUM. COST 23742,B100000,00000,0500,00001SQUARE FEET 23742,B100000,00000,0600,00001POUNDS OF LAUNDRY 23742,B100000,00000,0700,00001SQUARE FEET 23742,B100000,00000,0800,00001MEALS SERVED 23742,B100000,00000,0900,00001HOURS 23742,B100000,00000,1000,00001PATIENT DAYS 23742,B100000,00000,1100,00001N/A 23742,B100000,00000,1200,00001PATIENT DAYS 23742,B100000,00000,1300,00001TIME SPENT 23742,B100000,00000,1350,00001PATIENT DAYS 23742,B100000,00000,1351,00001N/A 23742,B100000,00000,1400,00001N/A 23742,S000000,00100,0200,05/31/2000 23742,S200000,00100,0100,10 ERLIN TERRACE 23742,S200000,00200,0100,TEWKSBURY 23742,S200000,00200,0200,MA 23742,S200000,00200,0300,01876 23742,S200000,00300,0100,MIDDLESEX 23742,S200000,00400,0100,BLAIRE HOUSE OF TEWKSBURY 23742,S200000,00400,0200,225548 23742,S200000,00400,0300,05/01/1992 23742,S200000,00400,0500,P 23742,S200000,00400,0600,O 23742,S200000,01600,0100,Y 23752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23752,A000000,00300,0000,00300EMPLOYEE BENEFITS 23752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23752,A000000,00700,0000,00700HOUSEKEEPING 23752,A000000,00800,0000,00800DIETARY 23752,A000000,00900,0000,00900NURSING ADMINISTRATION 23752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23752,A000000,01100,0000,01100PHARMACY 23752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23752,A000000,01300,0000,01300SOCIAL SERVICE 23752,A000000,01350,0000,01500ACTIVITIES 23752,A000000,01351,0000,01501INDIRECT CONSULTANTS 23752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23752,A000000,01600,0000,01600SKILLED NURSING FACILITY 23752,A000000,01800,0000,01800NURSING FACILITY 23752,A000000,01810,0000,01810ICF/MR 23752,A000000,02100,0000,02100RADIOLOGY 23752,A000000,02200,0000,02200LABORATORY 23752,A000000,02300,0000,02300INTRAVENOUS THERAPY 23752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23752,A000000,02500,0000,02500PHYSICAL THERAPY 23752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23752,A000000,02700,0000,02700SPEECH PATHOLOGY 23752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23752,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23752,A000000,03051,0000,03301PEN THERAPY 23752,A000000,03052,0000,03302AMBULANCE 23752,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23752,A000000,03550,0000,03550FQHC 23752,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23752,A000000,05000,0000,05000CORF 23752,A000000,05010,0000,05010CMHC 23752,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23752,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23752,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23752,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23752,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23752,A81000A,00100,0100,Y 23752,A81000B,00100,0300,RENT-CAPITAL RELATED 23752,A81000B,00200,0300,RENT-CAP REL MOVABLE 23752,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23752,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23752,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23752,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23752,A81000B,00700,0300,PLANT PURCHASED SERVICE 23752,A81000C,00100,0100,B 23752,A81000C,00100,0200,CONTINENTAL HEALTHCARE LP 23752,A81000C,00100,0400,CONTINENTAL WINGATE 23752,A81000C,00100,0600,RENTAL PROPERTY 23752,A81000C,00200,0100,B 23752,A81000C,00200,0200,CONTINENTAL WINGATE 23752,A81000C,00200,0400,CONTINENTAL WINGATE 23752,A81000C,00200,0600,HOME OFFICE 23752,B100000,00000,0100,00000SQUARE FEET 23752,B100000,00000,0200,00000SQUARE FEET 23752,B100000,00000,0300,00000GROSS SALARIES 23752,B100000,00000,0400,00000ACCUM. COST 23752,B100000,00000,0500,00000SQUARE FEET 23752,B100000,00000,0600,00000PATIENT DAYS 23752,B100000,00000,0700,00000SQUARE FEET 23752,B100000,00000,0800,00000PATIENT DAYS 23752,B100000,00000,0900,00000DIRECT NRSING HRS 23752,B100000,00000,1000,00000PATIENT DAYS 23752,B100000,00000,1100,00000N/A 23752,B100000,00000,1200,00000PATIENT DAYS 23752,B100000,00000,1300,00000PATIENT DAYS 23752,B100000,00000,1350,00000PATIENT DAYS 23752,B100000,00000,1351,00000N/A 23752,B100000,00000,1400,00000N/A 23752,S000000,00100,0200,05/31/2000 23752,S200000,00100,0100,80 ANDOVER STREET 23752,S200000,00200,0100,ANDOVER 23752,S200000,00200,0200,MA 23752,S200000,00200,0300,01810 23752,S200000,00300,0100,ESSEX 23752,S200000,00400,0100,WINGATE AT ANDOVER 23752,S200000,00400,0200,225558 23752,S200000,00400,0300,10/01/1992 23752,S200000,00400,0500,P 23752,S200000,00400,0600,O 23752,S200000,01600,0100,Y 23760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23760,A000000,00300,0000,00300EMPLOYEE BENEFITS 23760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23760,A000000,00700,0000,00700HOUSEKEEPING 23760,A000000,00800,0000,00800DIETARY 23760,A000000,00900,0000,00900NURSING ADMINISTRATION 23760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23760,A000000,01100,0000,01100PHARMACY 23760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23760,A000000,01300,0000,01300SOCIAL SERVICE 23760,A000000,01350,0000,01500OTHER GENERAL SERVICES 23760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23760,A000000,01600,0000,01600SKILLED NURSING FACILITY 23760,A000000,01800,0000,01800NURSING FACILITY 23760,A000000,01810,0000,01810ICF/MR 23760,A000000,02100,0000,02100RADIOLOGY 23760,A000000,02200,0000,02200LABORATORY 23760,A000000,02300,0000,02300INTRAVENOUS THERAPY 23760,A000000,02500,0000,02500PHYSICAL THERAPY 23760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23760,A000000,02700,0000,02700SPEECH PATHOLOGY 23760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23760,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23760,A000000,03200,0000,03200SUPPORT SURFACES 23760,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23760,A000000,03550,0000,03550FQHC 23760,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23760,A000000,05000,0000,05000CORF 23760,A000000,05010,0000,05010CMHC 23760,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23760,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23760,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23760,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23760,A81000A,00100,0100,Y 23760,A81000B,00100,0300,MANAGEMENT FEE HO SCH G 23760,A81000B,00200,0300,HOME OFFICE SCHEDULE G 23760,A81000B,00300,0300,HOME OFFICE SCHEDULE G 23760,A81000C,00100,0100,B 23760,A81000C,00100,0200,RING NURSING & REST HOMES 23760,A81000C,00200,0100,B 23760,A81000C,00200,0200,RING NURSING & REST HOMES 23760,A81000C,00300,0100,B 23760,A81000C,00300,0200,RING NURSING & REST HOMES 23760,B100000,00000,0100,00000SQUARE FEET 23760,B100000,00000,0200,00000SQUARE FEET 23760,B100000,00000,0300,00000GROSS SALARIES 23760,B100000,00000,0400,00000ACCUM. COST 23760,B100000,00000,0500,00000SQUARE FEET 23760,B100000,00000,0600,00000POUNDS OF LAUNDRY 23760,B100000,00000,0700,00000SQUARE FEET 23760,B100000,00000,0800,00000MEALS SERVED 23760,B100000,00000,0900,00000PATIENT DAYS 23760,B100000,00000,1000,00000PATIENT DAYS 23760,B100000,00000,1100,00000COSTED REQUIS 23760,B100000,00000,1200,00000PATIENT DAYS 23760,B100000,00000,1300,00000PATIENT DAYS 23760,B100000,00000,1350,00000NO STATISTICS 23760,B100000,00000,1400,00000ASSIGNED TIME 23760,S000000,00100,0200,05/31/2000 23760,S200000,00100,0100,22 RIDGEWOOD PLACE 23760,S200000,00200,0100,SPRINGFIELD 23760,S200000,00200,0200,MA 23760,S200000,00200,0300,01102 23760,S200000,00300,0100,HAMPDEN 23760,S200000,00400,0100,RING NURSING HOME/RIDGEWOOD 23760,S200000,00400,0200,225561 23760,S200000,00400,0300,10/01/1992 23760,S200000,00400,0500,P 23760,S200000,01600,0100,Y 23768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23768,A000000,00300,0000,00300EMPLOYEE BENEFITS 23768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23768,A000000,00700,0000,00700HOUSEKEEPING 23768,A000000,00800,0000,00800DIETARY 23768,A000000,00900,0000,00900NURSING ADMINISTRATION 23768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23768,A000000,01100,0000,01100PHARMACY 23768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23768,A000000,01300,0000,01300SOCIAL SERVICE 23768,A000000,01350,0000,01500ACTIVITIES 23768,A000000,01351,0000,01501INDIRECT CONSULTANTS 23768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23768,A000000,01600,0000,01600SKILLED NURSING FACILITY 23768,A000000,01810,0000,01810ICF/MR 23768,A000000,02100,0000,02100RADIOLOGY 23768,A000000,02200,0000,02200LABORATORY 23768,A000000,02300,0000,02300INTRAVENOUS THERAPY 23768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23768,A000000,02500,0000,02500PHYSICAL THERAPY 23768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23768,A000000,02700,0000,02700SPEECH PATHOLOGY 23768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23768,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23768,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23768,A000000,03550,0000,03550FQHC 23768,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23768,A000000,05000,0000,05000CORF 23768,A000000,05010,0000,05010CMHC 23768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23768,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23768,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23768,A81000A,00100,0100,Y 23768,A81000B,00100,0300,RENT-CAPITAL RELATED 23768,A81000B,00200,0300,RENT-CAP REL MOVABLE 23768,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23768,A81000B,00400,0300,RENT-ST 23768,A81000B,00500,0300,RENT-CAPITAL RELATED 23768,A81000B,00600,0300,ADMINISTRATION AND CLERICAL 23768,A81000B,00700,0300,PLANT SALARY 23768,A81000B,00800,0300,DIETARY SALARY 23768,A81000B,00900,0300,DON SALARY 23768,A81000B,01000,0300,STAFF DEVELOPMENT 23768,A81000B,01100,0300,RENT-PT 23768,A81000B,01200,0300,RENT-OT 23768,A81000C,00100,0100,A 23768,A81000C,00100,0200,ANTHONY MINICHELLO 23768,A81000C,00100,0400,ANTHONY MINICHELLO 23768,A81000C,00100,0600,RENTAL PROPERTY 23768,A81000C,00200,0100,A 23768,A81000C,00200,0200,MARJORIE MINICHELLO 23768,A81000C,00200,0400,MARJORIE MINICHELLO 23768,A81000C,00200,0600,RENTAL PROPERTY 23768,A81000C,00300,0100,A 23768,A81000C,00300,0400,CHELSEA HEALTHCARE 23768,A81000C,00300,0600,RENTAL PROPERTY 23768,A81000C,00400,0100,A 23768,A81000C,00400,0400,MARJORIE MINICHELLO 23768,A81000C,00400,0600,RENTAL PROPERTY 23768,A81000C,00500,0100,A 23768,A81000C,00500,0400,924 BROADWAY ASSOCIATION 23768,A81000C,00500,0600,RENTAL PROPERTY 23768,A81000C,00600,0100,G 23768,A81000C,00600,0200,FREDERICK MINICHELLO 23768,A81000C,00700,0100,G 23768,A81000C,00700,0200,DEBORAH LATINA 23768,A81000C,00800,0100,G 23768,A81000C,00800,0200,PHYLLIS MINICHELLO 23768,A81000C,00900,0100,G 23768,A81000C,00900,0200,DENISE DOYLE 23768,B100000,00000,0100,00000SQUARE FEET 23768,B100000,00000,0200,00000SQUARE FEET 23768,B100000,00000,0300,00000GROSS SALARIES 23768,B100000,00000,0400,00000ACCUM. COST 23768,B100000,00000,0500,00000SQUARE FEET 23768,B100000,00000,0600,00000POUNDS OF LAUNDRY 23768,B100000,00000,0700,00000SQUARE FEET 23768,B100000,00000,0800,00000MEALS SERVED 23768,B100000,00000,0900,00000HOURS OF SERVICE 23768,B100000,00000,1000,00000PATIENT DAYS 23768,B100000,00000,1100,00000N/A 23768,B100000,00000,1200,00000PATIENT DAYS 23768,B100000,00000,1300,00000PATIENT DAYS 23768,B100000,00000,1350,00000PATIENT DAYS 23768,B100000,00000,1351,00000N/A 23768,B100000,00000,1400,00000N/A 23768,S000000,00100,0200,06/09/2000 23768,S200000,00100,0100,932-934 BROADWAY 23768,S200000,00200,0100,CHELSEA 23768,S200000,00200,0200,MA 23768,S200000,00200,0300,02150 23768,S200000,00300,0100,SUFFOLK 23768,S200000,00400,0100,ON BROADWAY 23768,S200000,00400,0200,225571 23768,S200000,00400,0300,02/01/1993 23768,S200000,00400,0500,P 23768,S200000,00400,0600,O 23768,S200000,01500,0100,Y 23777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23777,A000000,00300,0000,00300EMPLOYEE BENEFITS 23777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23777,A000000,00700,0000,00700HOUSEKEEPING 23777,A000000,00800,0000,00800DIETARY 23777,A000000,00900,0000,00900NURSING ADMINISTRATION 23777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23777,A000000,01100,0000,01100PHARMACY 23777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23777,A000000,01300,0000,01300SOCIAL SERVICE 23777,A000000,01350,0000,01500ACTIVITIES 23777,A000000,01351,0000,01501INDIRECT CONSULTANTS 23777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23777,A000000,01600,0000,01600SKILLED NURSING FACILITY 23777,A000000,01800,0000,01800NURSING FACILITY 23777,A000000,01810,0000,01810ICF/MR 23777,A000000,02100,0000,02100RADIOLOGY 23777,A000000,02300,0000,02300INTRAVENOUS THERAPY 23777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23777,A000000,02500,0000,02500PHYSICAL THERAPY 23777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23777,A000000,02700,0000,02700SPEECH PATHOLOGY 23777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23777,A000000,03050,0000,03300AIR FLUID THERAPY 23777,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23777,A000000,03550,0000,03550FQHC 23777,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23777,A000000,05000,0000,05000CORF 23777,A000000,05010,0000,05010CMHC 23777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23777,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23777,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23777,A81000A,00100,0100,Y 23777,A81000B,00100,0300,MNGMT FEE - NON CAP. RELATED 23777,A81000B,00200,0300,MNGMT FEE - CAP. RELATED B & F 23777,A81000B,00300,0300,MNGMT FEE - CAP. RELATED MME 23777,A81000B,00500,0300,CONTRACT LABOR - RT 23777,A81000B,00600,0300,CONTRACT LABOR - PT 23777,A81000B,00700,0300,CONTRACT LABOR - OT 23777,A81000B,00800,0300,CONTRACT LABOR - ST 23777,A81000C,00100,0100,F 23777,A81000C,00100,0200,FRONTIER REHAB 23777,A81000C,00100,0400,FRONTIER GROUP INC 23777,A81000C,00100,0600,THERAPY SERVICE 23777,A81000C,00200,0100,F 23777,A81000C,00200,0200,FRONTIER MNGMT 23777,A81000C,00200,0400,FRONTIER GROUP INC 23777,A81000C,00200,0600,MANAGEMENT SERVICE 23777,B100000,00000,0100,00000SQUARE FEET 23777,B100000,00000,0200,00000SQUARE FEET 23777,B100000,00000,0300,00000GROSS SALARIES 23777,B100000,00000,0400,00000ACCUM. COST 23777,B100000,00000,0500,00000SQUARE FEET 23777,B100000,00000,0600,00000PATIENT DAYS 23777,B100000,00000,0700,00000SQUARE FEET 23777,B100000,00000,0800,00000PATIENT DAYS 23777,B100000,00000,0900,00000DIRECT NRSING HRS 23777,B100000,00000,1000,00000PATIENT DAYS 23777,B100000,00000,1100,00000PATIENT DAYS 23777,B100000,00000,1200,00000TIME SPENT 23777,B100000,00000,1300,00000TIME SPENT 23777,B100000,00000,1350,00000PATIENT DAYS 23777,B100000,00000,1351,00000NO STATISTICS 23777,B100000,00000,1400,00000ASSIGNED TIME 23777,S000000,00100,0200,04/03/2000 23777,S200000,00100,0100,26 STURGIS STREET 23777,S200000,00200,0100,WINTHROP 23777,S200000,00200,0200,MA 23777,S200000,00300,0100,SUFFOLK 23777,S200000,00400,0100,COC - BAYVIEW 23777,S200000,00400,0200,225572 23777,S200000,00400,0300,01/09/1995 23777,S200000,00400,0500,P 23777,S200000,00400,0600,O 23777,S200000,00600,0200,225572 23777,S200000,00600,0300,01/09/1995 23777,S200000,00600,0600,P 23777,S200000,01600,0100,Y 23777,S200000,02200,0100,Y 23777,S200000,02800,0100,Y 23777,S200000,03100,0100,Y 23792,S000000,00100,0200,07/12/2000 23800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23800,A000000,00300,0000,00300EMPLOYEE BENEFITS 23800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23800,A000000,00700,0000,00700HOUSEKEEPING 23800,A000000,00800,0000,00800DIETARY 23800,A000000,00900,0000,00900NURSING ADMINISTRATION 23800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23800,A000000,01100,0000,01100PHARMACY 23800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23800,A000000,01300,0000,01300SOCIAL SERVICE 23800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23800,A000000,01600,0000,01600SKILLED NURSING FACILITY 23800,A000000,01800,0000,01800NURSING FACILITY 23800,A000000,01810,0000,01810ICF/MR 23800,A000000,02100,0000,02100RADIOLOGY 23800,A000000,02200,0000,02200LABORATORY 23800,A000000,02500,0000,02500PHYSICAL THERAPY 23800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23800,A000000,02700,0000,02700SPEECH PATHOLOGY 23800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23800,A000000,03550,0000,03550FQHC 23800,A000000,05000,0000,05000CORF 23800,A000000,05010,0000,05010CMHC 23800,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23800,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23800,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23800,A000000,05300,0000,05300INTEREST EXPENSE 23800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23800,B100000,00000,0100,00000SQUARE FEET 23800,B100000,00000,0200,00000SQUARE FEET 23800,B100000,00000,0300,00000GROSS SALARIES 23800,B100000,00000,0400,00000ACCUM COST 23800,B100000,00000,0500,00000SQUARE FEET 23800,B100000,00000,0600,00000POUNDS OF LAUNDRY 23800,B100000,00000,0700,00000SQUARE FEET 23800,B100000,00000,0800,00000MEALS SERVED 23800,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 23800,B100000,00000,1000,00000COSTED REQUISITIO 23800,B100000,00000,1100,00000COSTED REQUISITIO 23800,B100000,00000,1200,00000TIME SPENT 23800,B100000,00000,1300,00000TIME SPENT 23800,B100000,00000,1400,00000ASSIGNED TIME 23800,S000000,00100,0200,05/31/2000 23800,S200000,00100,0100,350 NORTON AVENUE 23800,S200000,00200,0100,TAUNTON 23800,S200000,00200,0200,MA 23800,S200000,00200,0300,02780 23800,S200000,00300,0100,BRISTOL 23800,S200000,00400,0100,TAUNTON NURSING HOME 23800,S200000,00400,0200,225626 23800,S200000,00400,0300,04/01/1994 23800,S200000,00400,0500,P 23800,S200000,01600,0100,Y 23808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23808,A000000,00300,0000,00300EMPLOYEE BENEFITS 23808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23808,A000000,00700,0000,00700HOUSEKEEPING 23808,A000000,00800,0000,00800DIETARY 23808,A000000,00900,0000,00900NURSING ADMINISTRATION 23808,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23808,A000000,01100,0000,01100PHARMACY 23808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23808,A000000,01300,0000,01300SOCIAL SERVICE 23808,A000000,01350,0000,01500ACTIVITES 23808,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23808,A000000,01600,0000,01600SKILLED NURSING FACILITY 23808,A000000,01800,0000,01800NURSING FACILITY 23808,A000000,01810,0000,01810ICF/MR 23808,A000000,01900,0000,01900OTHER LONG TERM CARE 23808,A000000,02100,0000,02100RADIOLOGY 23808,A000000,02200,0000,02200LABORATORY 23808,A000000,02300,0000,02300INTRAVENOUS THERAPY 23808,A000000,02500,0000,02500PHYSICAL THERAPY 23808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23808,A000000,02700,0000,02700SPEECH PATHOLOGY 23808,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23808,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 23808,A000000,03200,0000,03200SUPPORT SURFACES 23808,A000000,03550,0000,03550FQHC 23808,A000000,05000,0000,05000CORF 23808,A000000,05010,0000,05010CMHC 23808,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23808,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23808,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23808,A000000,05300,0000,05300INTEREST EXPENSE 23808,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23808,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23808,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23808,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 23808,A81000A,00100,0100,Y 23808,A81000B,00100,0300,PLANT PURCHASED SERVICE 23808,A81000B,00200,0300,ELECTRICITY 23808,A81000B,00300,0300,FUEL OIL 23808,A81000B,00400,0300,DIETARY PURCHASED SERVICE 23808,A81000B,00500,0300,MEDICAL DIRECTOR PURCHASED SER 23808,A81000C,00100,0100,G 23808,A81000C,00100,0200,MARTHAS VINEYA 23808,A81000C,00100,0400,MARTHAS VINEYA 23808,A81000C,00100,0600,HOSPITAL 23808,B100000,00000,0100,00000SQUARE FEET 23808,B100000,00000,0200,00000SQUARE FEET 23808,B100000,00000,0300,00000GROSS SALARIES 23808,B100000,00000,0400,00000ACCUM COST 23808,B100000,00000,0500,00000SQUARE FEET 23808,B100000,00000,0600,00000PATIENT DAYS 23808,B100000,00000,0700,00000SQUARE FEET 23808,B100000,00000,0800,00000PATIENT DAYS 23808,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 23808,B100000,00000,1000,00000PATIENT DAYS 23808,B100000,00000,1100,00000COSTED REQUISITIO 23808,B100000,00000,1200,00000PATIENT DAYS 23808,B100000,00000,1300,00000PATIENT DAYS 23808,B100000,00000,1350,00000PATIENT DAYS 23808,B100000,00000,1400,00000ASSIGNED TIME 23808,S000000,00100,0200,02/29/2000 23808,S200000,00100,0100,LINTON LANE 23808,S200000,00100,0300,1747 23808,S200000,00200,0100,OAK BLUFFS 23808,S200000,00200,0200,MA 23808,S200000,00200,0300,02557 23808,S200000,00300,0100,DUKES 23808,S200000,00400,0100,WINDEMERE 23808,S200000,00400,0200,225630 23808,S200000,00400,0300,03/22/1994 23808,S200000,00400,0500,P 23808,S200000,01600,0100,Y 23815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23815,A000000,00300,0000,00300EMPLOYEE BENEFITS 23815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23815,A000000,00700,0000,00700HOUSEKEEPING 23815,A000000,00800,0000,00800DIETARY 23815,A000000,00900,0000,00900NURSING ADMINISTRATION 23815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23815,A000000,01100,0000,01100PHARMACY 23815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23815,A000000,01300,0000,01300SOCIAL SERVICE 23815,A000000,01350,0000,01500ACTIVITIES 23815,A000000,01351,0000,01501INDIRECT CONSULTANTS 23815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23815,A000000,01600,0000,01600SKILLED NURSING FACILITY 23815,A000000,01810,0000,01810ICF/MR 23815,A000000,02100,0000,02100RADIOLOGY 23815,A000000,02200,0000,02200LABORATORY 23815,A000000,02300,0000,02300INTRAVENOUS THERAPY 23815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23815,A000000,02500,0000,02500PHYSICAL THERAPY 23815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23815,A000000,02700,0000,02700SPEECH PATHOLOGY 23815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23815,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23815,A000000,03550,0000,03550FQHC 23815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23815,A000000,05000,0000,05000CORF 23815,A000000,05010,0000,05010CMHC 23815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23815,A000000,06150,0000,06300ADULT DAY HEALTH 23815,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 23815,A000000,06152,0000,06302OTHER 23815,B100000,00000,0100,00002SQUARE FEET 23815,B100000,00000,0200,00002SQUARE FEET 23815,B100000,00000,0300,00002GROSS SALARIES 23815,B100000,00000,0400,00002ACCUM. COST 23815,B100000,00000,0500,00002SQUARE FEET 23815,B100000,00000,0600,00002PATIENT DAYS 23815,B100000,00000,0700,00002SQUARE FEET 23815,B100000,00000,0800,00002PATIENT DAYS 23815,B100000,00000,0900,00002HOURS 23815,B100000,00000,1000,00002PATIENT DAYS 23815,B100000,00000,1100,00002N/A 23815,B100000,00000,1200,00002PATIENT DAYS 23815,B100000,00000,1300,00002PATIENT DAYS 23815,B100000,00000,1350,00002PATIENT DAYS 23815,B100000,00000,1351,00002N/A 23815,B100000,00000,1400,00002N/A 23815,S000000,00100,0200,06/05/2001 23815,S200000,00100,0100,100 ALDEN STREET 23815,S200000,00200,0100,PROVINCETOWN 23815,S200000,00200,0200,MA 23815,S200000,00200,0300,02657 23815,S200000,00300,0100,BARNSTABLE 23815,S200000,00400,0100,CAPE END MANOR 23815,S200000,00400,0200,225637 23815,S200000,00400,0300,07/01/1994 23815,S200000,00400,0500,P 23815,S200000,00400,0600,P 23815,S200000,01500,0100,Y 23824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23824,A000000,00300,0000,00300EMPLOYEE BENEFITS 23824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23824,A000000,00700,0000,00700HOUSEKEEPING 23824,A000000,00800,0000,00800DIETARY 23824,A000000,00900,0000,00900NURSING ADMINISTRATION 23824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23824,A000000,01100,0000,01100PHARMACY 23824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23824,A000000,01300,0000,01300SOCIAL SERVICE 23824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23824,A000000,01600,0000,01600SKILLED NURSING FACILITY 23824,A000000,01810,0000,01810ICF/MR 23824,A000000,02100,0000,02100RADIOLOGY 23824,A000000,02200,0000,02200LABORATORY 23824,A000000,02500,0000,02500PHYSICAL THERAPY 23824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23824,A000000,02700,0000,02700SPEECH PATHOLOGY 23824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23824,A000000,03200,0000,03200SUPPORT SURFACES 23824,A000000,03550,0000,03550FQHC 23824,A000000,05000,0000,05000CORF 23824,A000000,05010,0000,05010CMHC 23824,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23824,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23824,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23824,B100000,00000,0100,00000SQUARE FEET 23824,B100000,00000,0200,00000SQUARE FEET 23824,B100000,00000,0300,00000GROSS SALARIES 23824,B100000,00000,0400,00000ACCUM COST 23824,B100000,00000,0500,00000SQUARE FEET 23824,B100000,00000,0600,00000PATIENT DAYS 23824,B100000,00000,0700,00000SQUARE FEET 23824,B100000,00000,0800,00000PATIENT DAYS 23824,B100000,00000,0900,00000PATIENT DAYS 23824,B100000,00000,1000,00000PATIENT DAYS 23824,B100000,00000,1100,00000PATIENT DAYS 23824,B100000,00000,1200,00000PATIENT DAYS 23824,B100000,00000,1300,00000PATIENT DAYS 23824,B100000,00000,1400,00000ASSIGNED TIME 23824,S000000,00100,0200,05/31/2000 23824,S200000,00100,0100,1000 OAK HILL AVENUE 23824,S200000,00200,0100,ATTLEBORO MA 02703 23824,S200000,00300,0100,BRISTOL 23824,S200000,00400,0100,BRISTOL NURSING HOME 23824,S200000,00400,0200,225638 23824,S200000,00400,0300,07/01/1994 23824,S200000,00400,0500,P 23824,S200000,01500,0100,Y 23830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23830,A000000,00300,0000,00300EMPLOYEE BENEFITS 23830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23830,A000000,00700,0000,00700HOUSEKEEPING 23830,A000000,00800,0000,00800DIETARY 23830,A000000,00900,0000,00900NURSING ADMINISTRATION 23830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23830,A000000,01100,0000,01100PHARMACY 23830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23830,A000000,01300,0000,01300SOCIAL SERVICE 23830,A000000,01350,0000,01500ACTIVITIES 23830,A000000,01351,0000,01501INDIRECT CONSULTANTS 23830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23830,A000000,01600,0000,01600SKILLED NURSING FACILITY 23830,A000000,01800,0000,01800NURSING FACILITY 23830,A000000,01810,0000,01810ICF/MR 23830,A000000,02100,0000,02100RADIOLOGY 23830,A000000,02200,0000,02200LABORATORY 23830,A000000,02500,0000,02500PHYSICAL THERAPY 23830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23830,A000000,02700,0000,02700SPEECH PATHOLOGY 23830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23830,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23830,A000000,03051,0000,03301AMBULANCE 23830,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23830,A000000,03550,0000,03550FQHC 23830,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23830,A000000,05000,0000,05000CORF 23830,A000000,05010,0000,05010CMHC 23830,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23830,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23830,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23830,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23830,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23830,A81000A,00100,0100,Y 23830,A81000B,00100,0300,ADMINISTRATOR SALARY 23830,A81000C,00100,0100,A 23830,A81000C,00100,0200,BRADLEY MCDERMOTT 23830,A81000C,00100,0600,OWNER 23830,B100000,00000,0100,00000SQUARE FEET 23830,B100000,00000,0200,00000SQUARE FEET 23830,B100000,00000,0300,00000GROSS SALARIES 23830,B100000,00000,0400,00000ACCUM. COST 23830,B100000,00000,0500,00000SQUARE FEET 23830,B100000,00000,0600,00000PATIENT DAYS 23830,B100000,00000,0700,00000SQUARE FEET 23830,B100000,00000,0800,00000PATIENT DAYS 23830,B100000,00000,0900,00000DIRECT NRSING HRS 23830,B100000,00000,1000,00000PATIENT DAYS 23830,B100000,00000,1100,00000N/A 23830,B100000,00000,1200,00000N/A 23830,B100000,00000,1300,00000PATIENT DAYS 23830,B100000,00000,1350,00000PATIENT DAYS 23830,B100000,00000,1351,00000NO STATISTICS 23830,B100000,00000,1400,00000N/A 23830,S000000,00100,0200,05/31/2000 23830,S200000,00100,0100,26 HENRY AVENUE 23830,S200000,00200,0100,LYNN 23830,S200000,00200,0200,MA 23830,S200000,00200,0300,01902 23830,S200000,00300,0100,ESSEX 23830,S200000,00400,0100,LAWRENCE MANOR 23830,S200000,00400,0200,225646 23830,S200000,00400,0300,10/01/1994 23830,S200000,00400,0500,P 23830,S200000,00400,0600,O 23830,S200000,01600,0100,Y 23840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23840,A000000,00300,0000,00300EMPLOYEE BENEFITS 23840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23840,A000000,00700,0000,00700HOUSEKEEPING 23840,A000000,00800,0000,00800DIETARY 23840,A000000,00900,0000,00900NURSING ADMINISTRATION 23840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23840,A000000,01100,0000,01100PHARMACY 23840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23840,A000000,01300,0000,01300SOCIAL SERVICE 23840,A000000,01350,0000,01500ACTIVITIES 23840,A000000,01351,0000,01501INDIRECT CONSULTANTS 23840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23840,A000000,01600,0000,01600SKILLED NURSING FACILITY 23840,A000000,01800,0000,01800NURSING FACILITY 23840,A000000,01810,0000,01810ICF/MR 23840,A000000,02100,0000,02100RADIOLOGY 23840,A000000,02200,0000,02200LABORATORY 23840,A000000,02300,0000,02300INTRAVENOUS THERAPY 23840,A000000,02500,0000,02500PHYSICAL THERAPY 23840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23840,A000000,02700,0000,02700SPEECH PATHOLOGY 23840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23840,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23840,A000000,03051,0000,03301PEN THERAPY 23840,A000000,03052,0000,03302AMBULANCE 23840,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23840,A000000,03550,0000,03550FQHC 23840,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23840,A000000,05000,0000,05000CORF 23840,A000000,05010,0000,05010CMHC 23840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23840,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23840,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23840,A81000A,00100,0100,Y 23840,A81000B,00100,0300,RENT-CAPITAL RELATED 23840,A81000B,00200,0300,RENT-CAP REL MOVABLE 23840,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23840,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23840,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23840,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23840,A81000B,00700,0300,PLANT PURCHASED SERVICE 23840,A81000C,00100,0100,B 23840,A81000C,00100,0200,CONTINENTAL HEALTHCARE LP 23840,A81000C,00100,0400,CHC W.A.B. REALTY 23840,A81000C,00100,0600,RENTAL PROPERTY 23840,A81000C,00200,0100,B 23840,A81000C,00200,0200,CONTINENTAL WINGATE CO 23840,A81000C,00200,0400,WINGATE HEALTHCARE INC. 23840,A81000C,00200,0600,HOME OFFICE 23840,B100000,00000,0100,00000SQUARE FEET 23840,B100000,00000,0200,00000SQUARE FEET 23840,B100000,00000,0300,00000GROSS SALARIES 23840,B100000,00000,0400,00000ACCUM. COST 23840,B100000,00000,0500,00000SQUARE FEET 23840,B100000,00000,0600,00000PATIENT DAYS 23840,B100000,00000,0700,00000SQUARE FEET 23840,B100000,00000,0800,00000PATIENT DAYS 23840,B100000,00000,0900,00000HOURS OF SERVICE 23840,B100000,00000,1000,00000PATIENT DAYS 23840,B100000,00000,1100,00000N/A 23840,B100000,00000,1200,00000PATIENT DAYS 23840,B100000,00000,1300,00000PATIENT DAYS 23840,B100000,00000,1350,00000PATIENT DAYS 23840,B100000,00000,1351,00000N/A 23840,B100000,00000,1400,00000N/A 23840,S000000,00100,0200,05/31/2000 23840,S200000,00100,0100,100 NORTH BEACON STREET 23840,S200000,00200,0100,BRIGHTON 23840,S200000,00200,0200,MA 23840,S200000,00200,0300,02135 23840,S200000,00300,0100,SUFFOLK 23840,S200000,00400,0100,WINGATE AT BRIGHTON 23840,S200000,00400,0200,225649 23840,S200000,00400,0300,08/16/1994 23840,S200000,00400,0500,P 23840,S200000,00400,0600,O 23840,S200000,01600,0100,Y 23850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23850,A000000,00300,0000,00300EMPLOYEE BENEFITS 23850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23850,A000000,00700,0000,00700HOUSEKEEPING 23850,A000000,00800,0000,00800DIETARY 23850,A000000,00900,0000,00900NURSING ADMINISTRATION 23850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23850,A000000,01100,0000,01100PHARMACY 23850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23850,A000000,01300,0000,01300SOCIAL SERVICE 23850,A000000,01350,0000,01500ACTIVITIES 23850,A000000,01351,0000,01501INDIRECT CONSULTANTS 23850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23850,A000000,01600,0000,01600SKILLED NURSING FACILITY 23850,A000000,01810,0000,01810ICF/MR 23850,A000000,02100,0000,02100RADIOLOGY 23850,A000000,02200,0000,02200LABORATORY 23850,A000000,02300,0000,02300INTRAVENOUS THERAPY 23850,A000000,02500,0000,02500PHYSICAL THERAPY 23850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23850,A000000,02700,0000,02700SPEECH PATHOLOGY 23850,A000000,02800,0000,02800ELECTROCARDIOLOGY 23850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23850,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23850,A000000,03400,0000,03400CLINIC 23850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23850,A000000,03550,0000,03550FQHC 23850,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 23850,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 23850,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 23850,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 23850,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 23850,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 23850,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 23850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23850,A000000,05000,0000,05000CORF 23850,A000000,05010,0000,05010CMHC 23850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23850,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23850,A000000,06150,0000,06300ASSISTED LIVING DIRECT COST 23850,A000000,06151,0000,06301INDEPENDENT LIVING 23850,A81000A,00100,0100,Y 23850,A81000B,00100,0300,RENT-CAPITAL RELATED 23850,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 23850,A81000B,00300,0300,NURSING SUPPLIES 23850,A81000B,00400,0300,LAUNDRY 23850,A81000B,00500,0300,MANAGEMENT SALARIES 23850,A81000C,00100,0100,B 23850,A81000C,00100,0200,ORCHARD COVE 23850,A81000C,00100,0400,HEBREW REHAB 23850,A81000C,00100,0600,LONG TERM CARE 23850,A81000C,00200,0100,B 23850,A81000C,00200,0200,ORCHARD COVE 23850,A81000C,00200,0400,HEBREW REHAB 23850,A81000C,00200,0600,LONG TERM CARE 23850,B100000,00000,0100,00001SQUARE FEET 23850,B100000,00000,0200,00001SQUARE FEET 23850,B100000,00000,0300,00001GROSS SALARIES 23850,B100000,00000,0400,00001ACCUM. COST 23850,B100000,00000,0500,00001SQUARE FEET 23850,B100000,00000,0600,00001N/A N/A 23850,B100000,00000,0700,00001SQUARE FEET 23850,B100000,00000,0800,00001MEALS SERVED 23850,B100000,00000,0900,00001HOURS OF SERVICE 23850,B100000,00000,1000,00001N/A N/A 23850,B100000,00000,1100,00001N/A N/A 23850,B100000,00000,1200,00001N/A N/A 23850,B100000,00000,1300,00001N/A N/A 23850,B100000,00000,1350,00001N/A N/A 23850,B100000,00000,1351,00001N/A N/A 23850,B100000,00000,1400,00001N/A N/A 23850,H510100,00000,0000,1123 23850,H510100,02400,0000,1123 23850,S000000,00100,0200,02/29/2000 23850,S200000,00100,0100,ONE DEL POND DRIVE 23850,S200000,00200,0100,CANTON 23850,S200000,00200,0200,MA 23850,S200000,00300,0100,NORFOLK 23850,S200000,00400,0100,COMMONS RESIDENCE AT ORCHARD COVE 23850,S200000,00400,0200,225672 23850,S200000,00400,0300,10/20/1994 23850,S200000,00400,0500,P 23850,S200000,00400,0600,P 23850,S200000,00800,0200,227422 23850,S200000,00800,0300,10/18/1995 23850,S200000,00800,0500,P 23850,S200000,01500,0100,Y 23859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23859,A000000,00300,0000,00300EMPLOYEE BENEFITS 23859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23859,A000000,00700,0000,00700HOUSEKEEPING 23859,A000000,00800,0000,00800DIETARY 23859,A000000,00900,0000,00900NURSING ADMINISTRATION 23859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23859,A000000,01100,0000,01100PHARMACY 23859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23859,A000000,01300,0000,01300SOCIAL SERVICE 23859,A000000,01350,0000,01500PATIENT ACTIVITIES 23859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23859,A000000,01600,0000,01600SKILLED NURSING FACILITY 23859,A000000,01800,0000,01800NURSING FACILITY 23859,A000000,01810,0000,01810ICF/MR 23859,A000000,02200,0000,02200LABORATORY 23859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23859,A000000,02500,0000,02500PHYSICAL THERAPY 23859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23859,A000000,02700,0000,02700SPEECH PATHOLOGY 23859,A000000,02800,0000,02800ELECTROCARDIOLOGY 23859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23859,A000000,03550,0000,03550FQHC 23859,A000000,04800,0000,04800AMBULANCE 23859,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 23859,A000000,05010,0000,05010CMHC 23859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23859,A000000,05300,0000,05300INTEREST EXPENSE 23859,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23859,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 23859,B100000,00000,0100,00000(SQUARE FEET) 23859,B100000,00000,0200,00000(SQUARE FEET) 23859,B100000,00000,0300,00000(GROSS SALARIES) 23859,B100000,00000,0400,00000(ACCUM COST) 23859,B100000,00000,0500,00000(SQUARE FEET) 23859,B100000,00000,0600,00000PATIENT DAYS 23859,B100000,00000,0700,00000SQUARE FEET 23859,B100000,00000,0800,00000PATIENT DAYS 23859,B100000,00000,0900,00000PATIENT DAYS 23859,B100000,00000,1000,00000(COSTED REQUIS) 23859,B100000,00000,1100,00000PATIENT DAYS 23859,B100000,00000,1200,00000PATIENT DAYS 23859,B100000,00000,1300,00000PATIENT DAYS 23859,B100000,00000,1350,00000PATINET DAYS 23859,B100000,00000,1400,00000(ASSIGNED TIME) 23859,S000000,00100,0200,05/31/2000 23859,S200000,00100,0100,100 WEST STREET 23859,S200000,00200,0100,NEEDHAM 23859,S200000,00200,0200,MA 23859,S200000,00200,0300,02194 23859,S200000,00300,0100,NORFOLK 23859,S200000,00400,0100,AVERY MANOR 23859,S200000,00400,0200,225674 23859,S200000,00400,0300,05/10/1995 23859,S200000,00400,0500,P 23859,S200000,00400,0600,O 23859,S200000,00600,0200,225674 23859,S200000,00600,0300,05/10/1995 23859,S200000,00600,0600,P 23859,S200000,00800,0200,225674 23859,S200000,00800,0300,05/10/1995 23859,S200000,00800,0500,O 23859,S200000,00800,0600,P 23859,S200000,01600,0100,Y 23859,S200000,04700,0100,Y 23859,S200000,04700,0200,Y 23872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23872,A000000,00300,0000,00300EMPLOYEE BENEFITS 23872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23872,A000000,00700,0000,00700HOUSEKEEPING 23872,A000000,00800,0000,00800DIETARY 23872,A000000,00900,0000,00900NURSING ADMINISTRATION 23872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23872,A000000,01100,0000,01100PHARMACY 23872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23872,A000000,01300,0000,01300SOCIAL SERVICE 23872,A000000,01350,0000,01500ACTIVITIES 23872,A000000,01351,0000,01501INDIRECT CONSULTANTS 23872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23872,A000000,01600,0000,01600SKILLED NURSING FACILITY 23872,A000000,01800,0000,01800NURSING FACILITY 23872,A000000,01810,0000,01810ICF/MR 23872,A000000,02200,0000,02200LABORATORY 23872,A000000,02300,0000,02300INTRAVENOUS THERAPY 23872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23872,A000000,02500,0000,02500PHYSICAL THERAPY 23872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23872,A000000,02700,0000,02700SPEECH PATHOLOGY 23872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23872,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23872,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23872,A000000,03550,0000,03550FQHC 23872,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23872,A000000,05000,0000,05000CORF 23872,A000000,05010,0000,05010CMHC 23872,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23872,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23872,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23872,A81000A,00100,0100,Y 23872,A81000B,00100,0300,ASST. ADMIN SALARY 23872,A81000B,00200,0300,PLANT SALARY 23872,A81000B,00300,0300,CLERICAL SALARY 23872,A81000B,00400,0300,OWNERS SALARY 23872,A81000B,00500,0300,PLANT SALARY 23872,A81000C,00100,0100,A 23872,A81000C,00100,0200,MARY CATHERINE MAMARY 23872,A81000C,00200,0100,D 23872,A81000C,00200,0200,JAMES MAMARY JR. 23872,A81000C,00300,0100,D 23872,A81000C,00300,0200,JONATHAN MAMARY 23872,A81000C,00400,0100,D 23872,A81000C,00400,0200,STUART MURPHY 23872,A81000C,00500,0100,D 23872,A81000C,00500,0200,CHARLES HORAN 23872,A81000C,00600,0100,D 23872,A81000C,00600,0200,DOROTHY HORAN 23872,B100000,00000,0100,00000SQUARE FEET 23872,B100000,00000,0200,00000SQUARE FEET 23872,B100000,00000,0300,00000GROSS SALARIES 23872,B100000,00000,0400,00000ACCUM. COST 23872,B100000,00000,0500,00000SQUARE FEET 23872,B100000,00000,0600,00000PATIENT DAYS 23872,B100000,00000,0700,00000SQUARE FEET 23872,B100000,00000,0800,00000PATIENT DAYS 23872,B100000,00000,0900,00000DIRECT NRSING HRS 23872,B100000,00000,1000,00000PATIENT DAYS 23872,B100000,00000,1100,00000N/A N/A 23872,B100000,00000,1200,00000PATIENT DAYS 23872,B100000,00000,1300,00000PATIENT DAYS 23872,B100000,00000,1350,00000PATIENT DAYS 23872,B100000,00000,1351,00000N/A N/A 23872,B100000,00000,1400,00000N/A N/A 23872,S000000,00100,0200,05/19/2000 23872,S200000,00100,0100,209 COUNTRY ROAD 23872,S200000,00200,0100,NORTH FALMOUTH 23872,S200000,00200,0200,MA 23872,S200000,00300,0100,BARNSTABLE 23872,S200000,00400,0100,ROYAL MEGANSETT NURSING 23872,S200000,00400,0200,225679 23872,S200000,00400,0300,07/07/1997 23872,S200000,00400,0500,P 23872,S200000,00400,0600,O 23872,S200000,01600,0100,Y 23883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23883,A000000,00300,0000,00300EMPLOYEE BENEFITS 23883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23883,A000000,00700,0000,00700HOUSEKEEPING 23883,A000000,00800,0000,00800DIETARY 23883,A000000,00900,0000,00900NURSING ADMINISTRATION 23883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23883,A000000,01100,0000,01100PHARMACY 23883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23883,A000000,01300,0000,01300SOCIAL SERVICE 23883,A000000,01350,0000,01500ACTIVITIES 23883,A000000,01351,0000,01501INDIRECT CONSULTANTS 23883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23883,A000000,01600,0000,01600SKILLED NURSING FACILITY 23883,A000000,01800,0000,01800NURSING FACILITY 23883,A000000,01810,0000,01810ICF/MR 23883,A000000,02100,0000,02100RADIOLOGY 23883,A000000,02200,0000,02200LABORATORY 23883,A000000,02300,0000,02300INTRAVENOUS THERAPY 23883,A000000,02500,0000,02500PHYSICAL THERAPY 23883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23883,A000000,02700,0000,02700SPEECH PATHOLOGY 23883,A000000,02800,0000,02800ELECTROCARDIOLOGY 23883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23883,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23883,A000000,03051,0000,03301AMBULANCE 23883,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23883,A000000,03550,0000,03550FQHC 23883,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23883,A000000,05000,0000,05000CORF 23883,A000000,05010,0000,05010CMHC 23883,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23883,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23883,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23883,A81000A,00100,0100,Y 23883,A81000B,00100,0300,LEGAL 23883,A81000C,00100,0100,D 23883,A81000C,00100,0200,FREDERICK GREIN JR 23883,A81000C,00100,0400,HUTCHINS WHEELER & DITTM 23883,A81000C,00100,0600,LEGAL SERVICE 23883,B100000,00000,0100,00000SQUARE FEET 23883,B100000,00000,0200,00000SQUARE FEET 23883,B100000,00000,0300,00000DOLLAR VALUE 23883,B100000,00000,0400,00000ACCUM. COST 23883,B100000,00000,0500,00000SQUARE FEET 23883,B100000,00000,0600,00000POUNDS OF LAUNDRY 23883,B100000,00000,0700,00000SQUARE FEET 23883,B100000,00000,0800,00000PATIENT DAYS 23883,B100000,00000,0900,00000NURSING HOURS 23883,B100000,00000,1000,00000PATIENT DAYS 23883,B100000,00000,1100,00000N/A 23883,B100000,00000,1200,00000PATIENT DAYS 23883,B100000,00000,1300,00000PATIENT DAYS 23883,B100000,00000,1350,00000PATIENT DAYS 23883,B100000,00000,1351,00000NO STATISTICS 23883,B100000,00000,1400,00000N/A 23883,S000000,00100,0200,05/30/2000 23883,S200000,00100,0100,277 ELLIOT STREET 23883,S200000,00200,0100,NEWTON UPPER FALLS 23883,S200000,00200,0200,MA 23883,S200000,00200,0300,02164 23883,S200000,00300,0100,MIDDLESEX 23883,S200000,00400,0100,STONE INSTITUTE 23883,S200000,00400,0200,225683 23883,S200000,00400,0300,12/15/1995 23883,S200000,00400,0500,P 23883,S200000,00400,0600,O 23883,S200000,01600,0100,Y 23902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23902,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23902,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23902,A000000,00300,0000,00300EMPLOYEE BENEFITS 23902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23902,A000000,00700,0000,00700HOUSEKEEPING 23902,A000000,00800,0000,00800DIETARY 23902,A000000,00801,0000,00801CAFETERIA 23902,A000000,00900,0000,00900NURSING ADMINISTRATION 23902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23902,A000000,01100,0000,01100PHARMACY 23902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23902,A000000,01300,0000,01300SOCIAL SERVICE 23902,A000000,01350,0000,01500TRANSP/ACTIVITIES 23902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23902,A000000,01600,0000,01600SKILLED NURSING FACILITY 23902,A000000,01800,0000,01800NURSING FACILITY 23902,A000000,01810,0000,01810ICF/MR 23902,A000000,02100,0000,02100RADIOLOGY 23902,A000000,02200,0000,02200LABORATORY 23902,A000000,02500,0000,02500PHYSICAL THERAPY 23902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23902,A000000,02700,0000,02700SPEECH PATHOLOGY 23902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23902,A000000,03050,0000,03300OTHER ANCILLARY 23902,A000000,03051,0000,03301OTHER ANCILLARY II 23902,A000000,03052,0000,03302OTHER ANCILLARY III 23902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23902,A000000,03550,0000,03550FQHC 23902,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23902,A000000,05000,0000,05000CORF I 23902,A000000,05010,0000,05010CMHC I 23902,A000000,05020,0000,05020OPT I 23902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23902,A000000,05300,0000,05300INTEREST EXPENSE 23902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23902,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 23902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23902,A000000,06150,0000,06300RETIREMENT COMMUNITY 23902,B100000,00000,0100,00000(SQUARE FEET) 23902,B100000,00000,0101,00000(SQUARE FEET) 23902,B100000,00000,0200,00000(SQUARE FEET) 23902,B100000,00000,0201,00000(SQUARE FEET) 23902,B100000,00000,0300,00000(GROSS SALARIES) 23902,B100000,00000,0400,00000(ACCUM. COST) 23902,B100000,00000,0500,00000(SQUARE FEET) 23902,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 23902,B100000,00000,0700,00000(SQUARE FEET) 23902,B100000,00000,0800,00000(MEALS SERVED) 23902,B100000,00000,0801,00000(MEALS SERVED) 23902,B100000,00000,0900,00000(DIRECT NRSING HRS 23902,B100000,00000,1000,00000(COSTED REQUIS.) 23902,B100000,00000,1100,00000(COSTED REQUIS.) 23902,B100000,00000,1200,00000(TIME SPENT) 23902,B100000,00000,1300,00000(TIME SPENT) 23902,B100000,00000,1350,00000(PATIENT DAYS) 23902,B100000,00000,1400,00000(ASSIGNED TIME) 23902,S000000,00100,0200,02/29/2000 23902,S200000,00100,0100,807 WILBRAHAM ROAD 23902,S200000,00200,0100,SPRINGFIELD 23902,S200000,00200,0200,MA 23902,S200000,00300,0100,HAMPDEN 23902,S200000,00400,0100,REEDS LANDING 23902,S200000,00400,0200,225691 23902,S200000,00400,0300,12/29/1995 23902,S200000,00400,0500,P 23902,S200000,01600,0100,Y 23912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23912,A000000,00300,0000,00300EMPLOYEE BENEFITS 23912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23912,A000000,00700,0000,00700HOUSEKEEPING 23912,A000000,00800,0000,00800DIETARY 23912,A000000,00900,0000,00900NURSING ADMINISTRATION 23912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23912,A000000,01100,0000,01100PHARMACY 23912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23912,A000000,01300,0000,01300SOCIAL SERVICE 23912,A000000,01350,0000,01500ACTIVITIES 23912,A000000,01351,0000,01501INDIRECT CONSULTANTS 23912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23912,A000000,01600,0000,01600SKILLED NURSING FACILITY 23912,A000000,01800,0000,01800NURSING FACILITY 23912,A000000,01810,0000,01810ICF/MR 23912,A000000,02100,0000,02100RADIOLOGY 23912,A000000,02200,0000,02200LABORATORY 23912,A000000,02300,0000,02300INTRAVENOUS THERAPY 23912,A000000,02500,0000,02500PHYSICAL THERAPY 23912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23912,A000000,02700,0000,02700SPEECH PATHOLOGY 23912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23912,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23912,A000000,03051,0000,03301PEN THERAPY 23912,A000000,03052,0000,03302AMBULANCE 23912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23912,A000000,03550,0000,03550FQHC 23912,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23912,A000000,05000,0000,05000CORF 23912,A000000,05010,0000,05010CMHC 23912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23912,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23912,A81000A,00100,0100,Y 23912,A81000B,00100,0300,RENT-CAPITAL RELATED 23912,A81000B,00200,0300,RENT-CAP REL MOVABLE 23912,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23912,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23912,A81000B,00500,0300,MGMT FEE-NOT CAP RELATED 23912,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23912,A81000B,00700,0300,PLANT PURCHASED SERVICE 23912,A81000C,00100,0100,B 23912,A81000C,00100,0200,WINGATE HEALTHCARE 23912,A81000C,00100,0400,CONTINENTAL HEALTHCARE 23912,A81000C,00100,0600,RENTAL PROPERTY 23912,A81000C,00200,0100,B 23912,A81000C,00200,0200,WINGATE HEALTHCARE 23912,A81000C,00200,0400,WINGATE HEALTHCARE 23912,A81000C,00200,0600,HOME OFFICE 23912,B100000,00000,0100,00000SQUARE FEET 23912,B100000,00000,0200,00000SQUARE FEET 23912,B100000,00000,0300,00000GROSS SALARIES 23912,B100000,00000,0400,00000ACCUM. COST 23912,B100000,00000,0500,00000SQUARE FEET 23912,B100000,00000,0600,00000PATIENT DAYS 23912,B100000,00000,0700,00000SQUARE FEET 23912,B100000,00000,0800,00000PATIENT DAYS 23912,B100000,00000,0900,00000DIRECT NRSING HRS 23912,B100000,00000,1000,00000PATIENT DAYS 23912,B100000,00000,1100,00000N/A 23912,B100000,00000,1200,00000PATIENT DAYS 23912,B100000,00000,1300,00000PATIENT DAYS 23912,B100000,00000,1350,00000PATIENT DAYS 23912,B100000,00000,1351,00000N/A 23912,B100000,00000,1400,00000N/A 23912,S000000,00100,0200,05/31/2000 23912,S200000,00100,0100,589 HIGHLAND AVENUE 23912,S200000,00200,0100,NEEDHAM 23912,S200000,00200,0200,MA 23912,S200000,00200,0300,02494 23912,S200000,00300,0100,NORFOLK 23912,S200000,00400,0100,WINGATE AT NEEDHAM 23912,S200000,00400,0200,225695 23912,S200000,00400,0300,02/23/1996 23912,S200000,00400,0500,P 23912,S200000,00400,0600,O 23912,S200000,01600,0100,Y 23922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23922,A000000,00300,0000,00300EMPLOYEE BENEFITS 23922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23922,A000000,00700,0000,00700HOUSEKEEPING 23922,A000000,00800,0000,00800DIETARY 23922,A000000,00900,0000,00900NURSING ADMINISTRATION 23922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23922,A000000,01100,0000,01100PHARMACY 23922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23922,A000000,01300,0000,01300SOCIAL SERVICE 23922,A000000,01350,0000,01500ACTIVITIES 23922,A000000,01351,0000,01501INDIRECT CONSULTANTS 23922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23922,A000000,01600,0000,01600SKILLED NURSING FACILITY 23922,A000000,01800,0000,01800NURSING FACILITY 23922,A000000,01810,0000,01810ICF/MR 23922,A000000,02100,0000,02100RADIOLOGY 23922,A000000,02200,0000,02200LABORATORY 23922,A000000,02300,0000,02300INTRAVENOUS THERAPY 23922,A000000,02500,0000,02500PHYSICAL THERAPY 23922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23922,A000000,02700,0000,02700SPEECH PATHOLOGY 23922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23922,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23922,A000000,03051,0000,03301PEN THERAPY 23922,A000000,03052,0000,03302AMBULANCE 23922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23922,A000000,03550,0000,03550FQHC 23922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23922,A000000,05000,0000,05000CORF 23922,A000000,05010,0000,05010CMHC 23922,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23922,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23922,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23922,A81000A,00100,0100,Y 23922,A81000B,00100,0300,RENT-CAPITAL RELATED 23922,A81000B,00200,0300,RENT-CAP REL MOVABLE 23922,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23922,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23922,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23922,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23922,A81000B,00700,0300,PLANT PURCHASED SERVICE 23922,A81000C,00100,0100,B 23922,A81000C,00100,0200,CONTINENTAL HEALTHCARE 23922,A81000C,00100,0400,CHC IV 23922,A81000C,00100,0600,RENTAL PROPERTY 23922,A81000C,00200,0100,B 23922,A81000C,00200,0200,CONTINENTAL WINGATE 23922,A81000C,00200,0400,WINGATE HEALTHCARE INC. 23922,A81000C,00200,0600,HOME OFFICE 23922,B100000,00000,0100,00000SQUARE FEET 23922,B100000,00000,0200,00000SQUARE FEET 23922,B100000,00000,0300,00000GROSS SALARIES 23922,B100000,00000,0400,00000ACCUM. COST 23922,B100000,00000,0500,00000SQUARE FEET 23922,B100000,00000,0600,00000PATIENT DAYS 23922,B100000,00000,0700,00000SQUARE FEET 23922,B100000,00000,0800,00000MEALS SERVED 23922,B100000,00000,0900,00000HOURS OF SERVICE 23922,B100000,00000,1000,00000PATIENT DAYS 23922,B100000,00000,1100,00000N/A 23922,B100000,00000,1200,00000PATIENT DAYS 23922,B100000,00000,1300,00000PATIENT DAYS 23922,B100000,00000,1350,00000PATIENT DAYS 23922,B100000,00000,1351,00000N/A 23922,B100000,00000,1400,00000N/A 23922,S000000,00100,0200,05/31/2000 23922,S200000,00100,0100,136 BOSTON POST ROAD 23922,S200000,00200,0100,SUDBURY 23922,S200000,00200,0200,MA 23922,S200000,00200,0300,01776 23922,S200000,00300,0100,MIDDLESEX 23922,S200000,00400,0100,WINGATE AT SUDBURY 23922,S200000,00400,0200,225710 23922,S200000,00400,0300,07/26/1996 23922,S200000,00400,0500,P 23922,S200000,00400,0600,O 23922,S200000,01600,0100,Y 23931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23931,A000000,00300,0000,00300EMPLOYEE BENEFITS 23931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23931,A000000,00700,0000,00700HOUSEKEEPING 23931,A000000,00800,0000,00800DIETARY 23931,A000000,00900,0000,00900NURSING ADMINISTRATION 23931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23931,A000000,01100,0000,01100PHARMACY 23931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23931,A000000,01300,0000,01300SOCIAL SERVICE 23931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23931,A000000,01600,0000,01600SKILLED NURSING FACILITY 23931,A000000,01800,0000,01800NURSING FACILITY 23931,A000000,01810,0000,01810ICF/MR 23931,A000000,02100,0000,02100RADIOLOGY 23931,A000000,02500,0000,02500PHYSICAL THERAPY 23931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23931,A000000,02700,0000,02700SPEECH PATHOLOGY 23931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23931,A000000,03550,0000,03550FQHC 23931,A000000,05000,0000,05000CORF 23931,A000000,05010,0000,05010CMHC 23931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23931,A000000,05300,0000,05300INTEREST EXPENSE 23931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23931,A81000A,00100,0100,Y 23931,A81000B,00100,0300,RENT 23931,A81000C,00100,0100,B 23931,A81000C,00100,0200,COZY CORNER NURSING HOME 23931,A81000C,00100,0400,CHRISTINE BEDNARSKI 23931,A81000C,00100,0600,BUILDING RENTAL 23931,B100000,00000,0100,00000SQUARE FEET 23931,B100000,00000,0200,00000SQUARE FEET 23931,B100000,00000,0300,00000GROSS SALARIES 23931,B100000,00000,0400,00000ACCUM. COST 23931,B100000,00000,0500,00000SQUARE FEET 23931,B100000,00000,0600,00000PATIENT DAYS 23931,B100000,00000,0700,00000SQUARE FEET 23931,B100000,00000,0800,00000PATIENT DAYS 23931,B100000,00000,0900,00000PATIENT DAYS 23931,B100000,00000,1000,00000PATIENT DAYS 23931,B100000,00000,1100,00000PATIENT DAYS 23931,B100000,00000,1200,00000PATIENT DAYS 23931,B100000,00000,1300,00000PATIENT DAYS 23931,B100000,00000,1400,00000ASSIGNED TIME 23931,S000000,00100,0200,08/01/2000 23931,S200000,00100,0100,OLD AMHERST ROAD 23931,S200000,00100,0300,405 23931,S200000,00200,0100,SUNDERLAND 23931,S200000,00200,0200,MA 23931,S200000,00300,0100,FRANKLIN 23931,S200000,00400,0100,COZY CORNER NURSING HOME 23931,S200000,00400,0200,225714 23931,S200000,00400,0300,11/01/1996 23931,S200000,00400,0500,P 23931,S200000,01600,0100,Y 23931,S200000,02200,0100,Y 23940,S000000,00100,0200,08/27/2001 23952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23952,A000000,00300,0000,00300EMPLOYEE BENEFITS 23952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23952,A000000,00700,0000,00700HOUSEKEEPING 23952,A000000,00800,0000,00800DIETARY 23952,A000000,00900,0000,00900NURSING ADMINISTRATION 23952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23952,A000000,01100,0000,01100PHARMACY 23952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23952,A000000,01300,0000,01300SOCIAL SERVICE 23952,A000000,01350,0000,01500ACTIVITIES 23952,A000000,01351,0000,01501INDIRECT CONSULTANTS 23952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23952,A000000,01600,0000,01600SKILLED NURSING FACILITY 23952,A000000,01810,0000,01810ICF/MR 23952,A000000,02100,0000,02100RADIOLOGY 23952,A000000,02200,0000,02200LABORATORY 23952,A000000,02500,0000,02500PHYSICAL THERAPY 23952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23952,A000000,02700,0000,02700SPEECH PATHOLOGY 23952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 23952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23952,A000000,03550,0000,03550FQHC 23952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23952,A000000,05000,0000,05000CORF 23952,A000000,05010,0000,05010CMHC 23952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23952,A81000A,00100,0100,Y 23952,A81000B,00100,0300,RENT - CAPITAL RELATED 23952,A81000B,00200,0300,CLERICAL SALARIES 23952,A81000B,00300,0300,ADMINISTRATOR SALARY 23952,A81000B,00400,0300,ADMINISTRATOR BENEFITS 23952,A81000C,00100,0100,A 23952,A81000C,00100,0200,J.HILTON & V.HILTON 23952,A81000C,00100,0400,CARDIGAN REALTY 23952,A81000C,00100,0600,REALTY 23952,B100000,00000,0100,00000SQUARE FEET 23952,B100000,00000,0200,00000SQUARE FEET 23952,B100000,00000,0300,00000GROSS SALARIES 23952,B100000,00000,0400,00000ACCUM. COST 23952,B100000,00000,0500,00000SQUARE FEET 23952,B100000,00000,0600,00000PATIENT DAYS 23952,B100000,00000,0700,00000SQUARE FEET 23952,B100000,00000,0800,00000PATIENT DAYS 23952,B100000,00000,0900,00000DIRECT NRSING HRS 23952,B100000,00000,1000,00000PATIENT DAYS 23952,B100000,00000,1100,00000N/A 23952,B100000,00000,1200,00000PATIENT DAYS 23952,B100000,00000,1300,00000PATIENT DAYS 23952,B100000,00000,1350,00000PATIENT DAYS 23952,B100000,00000,1351,00000N/A 23952,B100000,00000,1400,00000N/A 23952,E10A180,00350,0300,07/01/1999 23952,S000000,00100,0200,05/15/2000 23952,S200000,00100,0100,59 COUNTRY WAY 23952,S200000,00200,0100,SCITUATE 23952,S200000,00200,0200,MA 23952,S200000,00200,0300,02040 23952,S200000,00300,0100,PLYMOUTH 23952,S200000,00400,0100,CARDIGAN NURSING HOME 23952,S200000,00400,0200,225722 23952,S200000,00400,0300,02/01/1997 23952,S200000,00400,0500,P 23952,S200000,00400,0600,P 23952,S200000,01500,0100,Y 23962,S000000,00100,0200,05/22/2001 23968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23968,A000000,00300,0000,00300EMPLOYEE BENEFITS 23968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23968,A000000,00700,0000,00700HOUSEKEEPING 23968,A000000,00800,0000,00800DIETARY 23968,A000000,00900,0000,00900NURSING ADMINISTRATION 23968,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23968,A000000,01100,0000,01100PHARMACY 23968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23968,A000000,01300,0000,01300SOCIAL SERVICE 23968,A000000,01350,0000,01500RECREATION/ACTIVITIES 23968,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23968,A000000,01600,0000,01600SKILLED NURSING FACILITY 23968,A000000,01810,0000,01810ICF/MR 23968,A000000,02100,0000,02100RADIOLOGY 23968,A000000,02200,0000,02200LABORATORY 23968,A000000,02300,0000,02300INTRAVENOUS THERAPY 23968,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 23968,A000000,02500,0000,02500PHYSICAL THERAPY 23968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23968,A000000,02700,0000,02700SPEECH PATHOLOGY 23968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23968,A000000,03550,0000,03550FQHC 23968,A000000,05000,0000,05000CORF 23968,A000000,05010,0000,05010CMHC 23968,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23968,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23968,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23968,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23968,A81000A,00100,0100,Y 23968,A81000B,00100,0300,HOME OFFICE EXPENSE 23968,A81000B,00200,0300,HOME OFFICE EXPENSE 23968,A81000B,00300,0300,HOME OFFICE EXPENSE 23968,A81000C,00100,0100,B 23968,A81000C,00100,0400,OLYMPUS H/C GRO 23968,A81000C,00100,0600,OWN/MNG FACILIT 23968,A81000C,00200,0100,B 23968,A81000C,00200,0400,OLYMPUS H/C GRO 23968,A81000C,00200,0600,OWN/MNG FACILIT 23968,A81000C,00300,0100,B 23968,A81000C,00300,0400,OLYMPUS H/C GRO 23968,A81000C,00300,0600,OWN/MNG FACILIT 23968,A81000C,00400,0200,SEE HCFA 339 & 23968,A81000C,00500,0200,FOR ADDITIONAL 23968,A81000C,00600,0200,RELATED PARY 23968,A81000C,00700,0200,TRANSACTIONS 23968,B100000,00000,0100,00000SQUARE FEET 23968,B100000,00000,0200,00000SQUARE FEET 23968,B100000,00000,0300,00000GROSS SALARIES 23968,B100000,00000,0400,00000ACCUM COST 23968,B100000,00000,0500,00000SQUARE FEET 23968,B100000,00000,0600,00000RESIDENT DAYS 23968,B100000,00000,0700,00000SQUARE FEET 23968,B100000,00000,0800,00000MEALS SERVED 23968,B100000,00000,0900,00000RESIDENT DAYS 23968,B100000,00000,1000,00000RESIDENT DAYS 23968,B100000,00000,1100,00000COSTED REQUIS 23968,B100000,00000,1200,00000RESIDENT DAYS 23968,B100000,00000,1300,00000RESIDENT DAYS 23968,B100000,00000,1350,00000RESIDENT DAYS 23968,B100000,00000,1400,00000ASSIGNED TIME 23968,S000000,00100,0200,09/29/2000 23968,S200000,00100,0100,E. SEVENTH STREET 23968,S200000,00200,0100,SOUTH BOSTON 23968,S200000,00200,0200,MA 23968,S200000,00300,0100,SUFFOLK 23968,S200000,00400,0100,OLYMPUS HLTHCARE CTR.-SOUTH BOSTON 23968,S200000,00400,0200,225737 23968,S200000,00400,0300,01/27/1998 23968,S200000,00400,0500,P 23968,S200000,00400,0600,P 23968,S200000,01500,0100,Y 23976,S000000,00100,0200,05/22/2001 23978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23978,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 23978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23978,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 23978,A000000,00300,0000,00300EMPLOYEE BENEFITS 23978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23978,A000000,00700,0000,00700HOUSEKEEPING 23978,A000000,00800,0000,00800DIETARY 23978,A000000,00801,0000,00801CAFETERIA 23978,A000000,00900,0000,00900NURSING ADMINISTRATION 23978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23978,A000000,01100,0000,01100PHARMACY 23978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23978,A000000,01300,0000,01300SOCIAL SERVICE 23978,A000000,01350,0000,01500ACTIVITIES 23978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23978,A000000,01600,0000,01600SKILLED NURSING FACILITY 23978,A000000,01800,0000,01800NURSING FACILITY 23978,A000000,01810,0000,01810ICF/MR 23978,A000000,02200,0000,02200LABORATORY 23978,A000000,02300,0000,02300INTRAVENOUS THERAPY 23978,A000000,02500,0000,02500PHYSICAL THERAPY 23978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23978,A000000,02700,0000,02700SPEECH PATHOLOGY 23978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23978,A000000,03050,0000,03300OTHER ANCILLARY 23978,A000000,03051,0000,03301OTHER ANCILLARY II 23978,A000000,03052,0000,03302OTHER ANCILLARY III 23978,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 23978,A000000,03550,0000,03550FQHC 23978,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23978,A000000,04800,0000,04800AMBULANCE 23978,A000000,05000,0000,05000CORF I 23978,A000000,05010,0000,05010CMHC I 23978,A000000,05020,0000,05020OPT I 23978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23978,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 23978,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 23978,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23978,A81000A,00100,0100,Y 23978,A81000B,00100,0300,MANAGEMENT FEES 23978,A81000C,00100,0100,B 23978,A81000C,00100,0400,GHV 23978,A81000C,00100,0600,JOINT VENTURE 23978,A81000C,00200,0100,B 23978,A81000C,00200,0400,VARIOUS 23978,A81000C,00200,0600,OTHER 23978,B100000,00000,0100,00000(SQUARE FEET) 23978,B100000,00000,0101,00000(SQUARE FEET) 23978,B100000,00000,0200,00000(SQUARE FEET) 23978,B100000,00000,0201,00000(SQUARE FEET) 23978,B100000,00000,0300,00000(GROSS SALARIES) 23978,B100000,00000,0400,00000(ACCUM. COST) 23978,B100000,00000,0500,00000(SQUARE FEET) 23978,B100000,00000,0600,00000(PATIENT DAYS) 23978,B100000,00000,0700,00000(SQUARE FEET) 23978,B100000,00000,0800,00000(MEALS SERVED) 23978,B100000,00000,0801,00000(MEALS SERVED) 23978,B100000,00000,0900,00000(NURSING SALARIES) 23978,B100000,00000,1000,00000(COSTED REQUIS.) 23978,B100000,00000,1100,00000(COSTED REQUIS.) 23978,B100000,00000,1200,00000(GROSS CHARGES) 23978,B100000,00000,1300,00000(PATIENT DAYS) 23978,B100000,00000,1350,00000(PATIENT DAYS) 23978,B100000,00000,1400,00000(ASSIGNED TIME) 23978,S000000,00100,0200,05/26/2000 23978,S200000,00100,0100,455 BRAYTON AVE 23978,S200000,00200,0100,SOMERSET 23978,S200000,00200,0200,MA 23978,S200000,00200,0300,02726 23978,S200000,00300,0100,MIDDLESEX 23978,S200000,00400,0100,SOUTHCOAST NURSING HOME 23978,S200000,00400,0200,225747 23978,S200000,00400,0300,01/19/1999 23978,S200000,00400,0500,P 23978,S200000,01600,0100,Y 23986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23986,A000000,00300,0000,00300EMPLOYEE BENEFITS 23986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23986,A000000,00700,0000,00700HOUSEKEEPING 23986,A000000,00800,0000,00800DIETARY 23986,A000000,00900,0000,00900NURSING ADMINISTRATION 23986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23986,A000000,01100,0000,01100PHARMACY 23986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23986,A000000,01300,0000,01300SOCIAL SERVICE 23986,A000000,01350,0000,01500ACTIVITIES 23986,A000000,01351,0000,01501INDIRECT CONSULTANTS 23986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23986,A000000,01600,0000,01600SKILLED NURSING FACILITY 23986,A000000,01800,0000,01800NURSING FACILITY 23986,A000000,01810,0000,01810ICF/MR 23986,A000000,02500,0000,02500PHYSICAL THERAPY 23986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23986,A000000,02700,0000,02700SPEECH PATHOLOGY 23986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23986,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23986,A000000,03051,0000,03301OTHER 23986,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23986,A000000,03550,0000,03550FQHC 23986,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23986,A000000,05000,0000,05000CORF 23986,A000000,05010,0000,05010CMHC 23986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23986,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23986,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23986,A81000A,00100,0100,Y 23986,A81000B,00100,0300,MGMT FEE-CAPTIAL RELATED 23986,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 23986,A81000B,00300,0300,ADMINISTRATOR P/S 23986,A81000B,00400,0300,INTEREST W/C 23986,A81000C,00100,0100,B 23986,A81000C,00100,0200,EPOCH SENIOR LIVING 23986,A81000C,00100,0400,ESL MANAGEMENT 23986,A81000C,00100,0600,MANAGEMENT 23986,B100000,00000,0100,00000SQUARE FEET 23986,B100000,00000,0200,00000SQUARE FEET 23986,B100000,00000,0300,00000GROSS SALARIES 23986,B100000,00000,0400,00000ACCUM. COST 23986,B100000,00000,0500,00000SQUARE FEET 23986,B100000,00000,0600,00000PATIENT DAYS 23986,B100000,00000,0700,00000SQUARE FEET 23986,B100000,00000,0800,00000PATIENT DAYS 23986,B100000,00000,0900,00000DIRECT NRSING HRS 23986,B100000,00000,1000,00000PATIENT DAYS 23986,B100000,00000,1100,00000N/A 23986,B100000,00000,1200,00000PATIENT DAYS 23986,B100000,00000,1300,00000PATIENT DAYS 23986,B100000,00000,1350,00000PATIENT DAYS 23986,B100000,00000,1351,00000N/A 23986,B100000,00000,1400,00000N/A 23986,S000000,00100,0200,05/31/2000 23986,S200000,00100,0100,13 SCHOOL STREET 23986,S200000,00200,0100,EVERETT 23986,S200000,00200,0200,MA 23986,S200000,00300,0100,MIDDLESEX 23986,S200000,00400,0100,PARKWAY SENIOR CARE 23986,S200000,00400,0200,225751 23986,S200000,00400,0300,08/27/1999 23986,S200000,00400,0500,P 23986,S200000,00400,0600,O 23986,S200000,01500,0100,Y 23990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23990,A000000,00300,0000,00300EMPLOYEE BENEFITS 23990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23990,A000000,00700,0000,00700HOUSEKEEPING 23990,A000000,00800,0000,00800DIETARY 23990,A000000,00900,0000,00900NURSING ADMINISTRATION 23990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23990,A000000,01100,0000,01100PHARMACY 23990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23990,A000000,01300,0000,01300SOCIAL SERVICE 23990,A000000,01350,0000,01500ACTIVITIES 23990,A000000,01351,0000,01501INDIRECT CONSULTANTS 23990,A000000,01352,0000,01502ADMISSIONS 23990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23990,A000000,01600,0000,01600SKILLED NURSING FACILITY 23990,A000000,01810,0000,01810ICF/MR 23990,A000000,02100,0000,02100RADIOLOGY 23990,A000000,02200,0000,02200LABORATORY 23990,A000000,02500,0000,02500PHYSICAL THERAPY 23990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23990,A000000,02700,0000,02700SPEECH PATHOLOGY 23990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23990,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23990,A000000,03051,0000,03301PEN THERAPY 23990,A000000,03052,0000,03302AMBULANCE 23990,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23990,A000000,03550,0000,03550FQHC 23990,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23990,A000000,05000,0000,05000CORF 23990,A000000,05010,0000,05010CMHC 23990,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23990,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23990,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23990,A81000A,00100,0100,Y 23990,A81000B,00100,0300,RENT-CAPITAL RELATED 23990,A81000B,00200,0300,RENT-CAP REL MOVABLE 23990,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23990,A81000B,00400,0300,MGMT FEE - CAPITAL RELATED 23990,A81000B,00500,0300,MGMT FEE - NON CAPITAL RELATED 23990,A81000B,00600,0300,MGMT FEE - CAP REL MOVEABLE 23990,A81000C,00100,0100,G 23990,A81000C,00100,0200,WINGATE HEALTHCARE 23990,A81000C,00100,0400,CONTINENTAL HEALTHCARE 23990,A81000C,00100,0600,REALTY 23990,A81000C,00200,0100,G 23990,A81000C,00200,0200,WINGATE HEALTHCARE 23990,A81000C,00200,0400,WINGATE HEALTHCARE 23990,A81000C,00200,0600,HOME OFFICE 23990,B100000,00000,0100,00000SQUARE FEET 23990,B100000,00000,0200,00000SQUARE FEET 23990,B100000,00000,0300,00000GROSS SALARIES 23990,B100000,00000,0400,00000ACCUM. COST 23990,B100000,00000,0500,00000SQUARE FEET 23990,B100000,00000,0600,00000PATIENT DAYS 23990,B100000,00000,0700,00000SQUARE FEET 23990,B100000,00000,0800,00000MEALS SERVED 23990,B100000,00000,0900,00000HOURS OF SERVICE 23990,B100000,00000,1000,00000PATIENT DAYS 23990,B100000,00000,1100,00000N/A 23990,B100000,00000,1200,00000PATIENT DAYS 23990,B100000,00000,1300,00000PATIENT DAYS 23990,B100000,00000,1350,00000PATIENT DAYS 23990,B100000,00000,1351,00000N/A 23990,B100000,00000,1352,00000N/A 23990,B100000,00000,1400,00000N/A 23990,S000000,00100,0200,05/31/2000 23990,S200000,00100,0100,ONE WINGATE WAY 23990,S200000,00200,0100,HIGHLAND 23990,S200000,00200,0200,NY 23990,S200000,00200,0300,12528 23990,S200000,00300,0100,ULSTER 23990,S200000,00400,0100,WINGATE AT ULSTER 23990,S200000,00400,0200,335308 23990,S200000,00400,0300,04/09/1997 23990,S200000,00400,0500,P 23990,S200000,00400,0600,O 23990,S200000,01500,0100,Y 23993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 23993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 23993,A000000,00300,0000,00300EMPLOYEE BENEFITS 23993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 23993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 23993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 23993,A000000,00700,0000,00700HOUSEKEEPING 23993,A000000,00800,0000,00800DIETARY 23993,A000000,00900,0000,00900NURSING ADMINISTRATION 23993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 23993,A000000,01100,0000,01100PHARMACY 23993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 23993,A000000,01300,0000,01300SOCIAL SERVICE 23993,A000000,01350,0000,01500ACTIVITIES 23993,A000000,01351,0000,01501INDIRECT CONSULTANTS 23993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 23993,A000000,01600,0000,01600SKILLED NURSING FACILITY 23993,A000000,02100,0000,02100RADIOLOGY 23993,A000000,02200,0000,02200LABORATORY 23993,A000000,02500,0000,02500PHYSICAL THERAPY 23993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 23993,A000000,02700,0000,02700SPEECH PATHOLOGY 23993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 23993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 23993,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 23993,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 23993,A000000,03052,0000,03302AMBULANCE 23993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 23993,A000000,03550,0000,03550FQHC 23993,A000000,04750,0000,05100OTHER REIMBURSABLE COST 23993,A000000,05000,0000,05000CORF 23993,A000000,05010,0000,05010CMHC 23993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 23993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 23993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 23993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 23993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 23993,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 23993,A81000A,00100,0100,Y 23993,A81000B,00100,0300,RENT-CAPITAL RELATED 23993,A81000B,00200,0300,RENT-CAPITAL RELATED MOVABLE 23993,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 23993,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 23993,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 23993,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 23993,A81000C,00100,0100,B 23993,A81000C,00100,0200,WINGATE HEALTHCARE INC. 23993,A81000C,00100,0400,CHC X 23993,A81000C,00100,0600,RENTAL PROPERTY 23993,A81000C,00200,0100,B 23993,A81000C,00200,0200,WINGATE HEALTHCARE INC. 23993,A81000C,00200,0400,WINGATE HEALTHCARE 23993,A81000C,00200,0600,HOME OFFICE 23993,B100000,00000,0100,00000SQUARE FEET 23993,B100000,00000,0200,00000SQUARE FEET 23993,B100000,00000,0300,00000GROSS SALARIES 23993,B100000,00000,0400,00000ACCUM. COST 23993,B100000,00000,0500,00000SQUARE FEET 23993,B100000,00000,0600,00000PATIENT DAYS 23993,B100000,00000,0700,00000SQUARE FEET 23993,B100000,00000,0800,00000MEALS SERVED 23993,B100000,00000,0900,00000HOURS 23993,B100000,00000,1000,00000PATIENT DAYS 23993,B100000,00000,1100,00000N/A 23993,B100000,00000,1200,00000PATIENT DAYS 23993,B100000,00000,1300,00000PATIENT DAYS 23993,B100000,00000,1350,00000PATIENT DAYS 23993,B100000,00000,1351,00000N/A 23993,B100000,00000,1400,00000N/A 23993,S000000,00100,0200,05/31/2000 23993,S200000,00100,0100,3 SUMMIT COURT 23993,S200000,00200,0100,FISHKILL 23993,S200000,00200,0200,NY 23993,S200000,00200,0300,12524 23993,S200000,00300,0100,DUTCHESS 23993,S200000,00400,0100,WINGATE AT DUTCHESS 23993,S200000,00400,0200,335789 23993,S200000,00400,0300,10/12/1995 23993,S200000,00400,0500,P 23993,S200000,00400,0600,O 23993,S200000,01500,0100,Y 24001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 24001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 24001,A000000,00300,0000,00300EMPLOYEE BENEFITS 24001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 24001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24001,A000000,00700,0000,00700HOUSEKEEPING 24001,A000000,00800,0000,00800DIETARY 24001,A000000,00900,0000,00900NURSING ADMINISTRATION 24001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24001,A000000,01100,0000,01100PHARMACY 24001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24001,A000000,01300,0000,01300SOCIAL SERVICE 24001,A000000,01350,0000,01500ACTIVITIES 24001,A000000,01351,0000,01501INDIRECT CONSULTANTS 24001,A000000,01352,0000,01502ADMISSIONS 24001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 24001,A000000,01600,0000,01600SKILLED NURSING FACILITY 24001,A000000,01810,0000,01810ICF/MR 24001,A000000,02100,0000,02100RADIOLOGY 24001,A000000,02200,0000,02200LABORATORY 24001,A000000,02500,0000,02500PHYSICAL THERAPY 24001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24001,A000000,02700,0000,02700SPEECH PATHOLOGY 24001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 24001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24001,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24001,A000000,03051,0000,03301PEN THERAPY 24001,A000000,03052,0000,03302AMBULANCE 24001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 24001,A000000,03550,0000,03550FQHC 24001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 24001,A000000,05000,0000,05000CORF 24001,A000000,05010,0000,05010CMHC 24001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 24001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24001,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24001,A81000A,00100,0100,Y 24001,A81000B,00100,0300,RENT-CAPITAL RELATED 24001,A81000B,00200,0300,RENT-CAP REL MOVABLE 24001,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 24001,A81000B,00400,0300,MGMT FEE - CAPITAL RELATED 24001,A81000B,00500,0300,MGMT FEE - NON CAPITAL RELATED 24001,A81000B,00600,0300,MGMT FEE - CAP REL MOVEABLE 24001,A81000C,00100,0100,G 24001,A81000C,00100,0200,WINGATE HEALTHCARE 24001,A81000C,00100,0400,CONTINENTAL HEALTHCARE 24001,A81000C,00100,0600,REALTY 24001,A81000C,00200,0100,G 24001,A81000C,00200,0200,WINGATE HEALTHCARE 24001,A81000C,00200,0400,WINGATE HEALTHCARE 24001,A81000C,00200,0600,HOME OFFICE 24001,B100000,00000,0100,00000SQUARE FEET 24001,B100000,00000,0200,00000SQUARE FEET 24001,B100000,00000,0300,00000GROSS SALARIES 24001,B100000,00000,0400,00000ACCUM. COST 24001,B100000,00000,0500,00000SQUARE FEET 24001,B100000,00000,0600,00000PATIENT DAYS 24001,B100000,00000,0700,00000SQUARE FEET 24001,B100000,00000,0800,00000MEALS SERVED 24001,B100000,00000,0900,00000HOURS OF SERVICE 24001,B100000,00000,1000,00000PATIENT DAYS 24001,B100000,00000,1100,00000N/A 24001,B100000,00000,1200,00000PATIENT DAYS 24001,B100000,00000,1300,00000PATIENT DAYS 24001,B100000,00000,1350,00000PATIENT DAYS 24001,B100000,00000,1351,00000N/A 24001,B100000,00000,1352,00000N/A 24001,B100000,00000,1400,00000N/A 24001,S000000,00100,0200,05/31/2000 24001,S200000,00100,0100,ONE WINGATE WAY 24001,S200000,00200,0100,HIGHLAND 24001,S200000,00200,0200,NY 24001,S200000,00200,0300,12528 24001,S200000,00300,0100,ULSTER 24001,S200000,00400,0100,WINGATE AT ULSTER 24001,S200000,00400,0200,335308 24001,S200000,00400,0300,04/09/1997 24001,S200000,00400,0500,P 24001,S200000,00400,0600,O 24001,S200000,01500,0100,Y 24009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24009,A000000,00300,0000,00300EMPLOYEE BENEFITS 24009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24009,A000000,00700,0000,00700HOUSEKEEPING 24009,A000000,00800,0000,00800DIETARY 24009,A000000,00900,0000,00900NURSING ADMINISTRATION 24009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24009,A000000,01100,0000,01100PHARMACY 24009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24009,A000000,01300,0000,01300SOCIAL SERVICE 24009,A000000,01350,0000,01500RECREATION ACTIVITIES 24009,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24009,A000000,01600,0000,01600SKILLED NURSING FACILITY 24009,A000000,01800,0000,01800NURSING FACILITY 24009,A000000,01810,0000,01810ICF/MR 24009,A000000,02100,0000,02100RADIOLOGY 24009,A000000,02200,0000,02200LABORATORY 24009,A000000,02500,0000,02500PHYSICAL THERAPY 24009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24009,A000000,02700,0000,02700SPEECH PATHOLOGY 24009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24009,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24009,A000000,03051,0000,03301ENTERAL FEEDING 24009,A000000,03550,0000,03550FQHC 24009,A000000,05000,0000,05000CORF 24009,A000000,05010,0000,05010CMHC 24009,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24009,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24009,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24009,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24009,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24009,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24009,A000000,06153,0000,06312DIALYSIS 24009,A000000,06154,0000,06320APARTMENTS 24009,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24009,A000000,06156,0000,06340CLOSED PATIENT AREAS 24009,A000000,06157,0000,06350O/P ADULT DAYCARE 24009,A81000A,00100,0100,Y 24009,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24009,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24009,A81000B,00400,0300,SYMPHONY REHAB 24009,A81000B,00500,0300,SYMPHONY REHAB 24009,A81000B,00600,0300,SYMPHONY REHAB 24009,A81000B,00700,0300,REHAB ALLOCATION 24009,A81000B,00800,0300,REHAB ALLOCATION 24009,A81000B,00900,0300,REHAB ALLOCATION 24009,A81000B,01000,0300,CLINICAL ALLOCATION 24009,A81000C,00100,0100,B 24009,A81000C,00100,0400,IHS INC. 24009,A81000C,00100,0600,NURSING HOMES 24009,A81000C,00200,0100,G 24009,A81000C,00200,0400,SYMPHONY REHAB 24009,A81000C,00200,0600,REHAB SERVICES 24009,A81000C,00300,0100,G 24009,A81000C,00300,0400,LTC MED LAB 24009,A81000C,00300,0600,LAB 24009,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24009,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24009,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24009,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24009,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24009,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24009,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24009,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24009,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24009,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24009,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24009,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24009,E10A180,00301,0100,12/03/1999 24009,E10A180,00304,0100,05/18/2000 24009,E10A180,00350,0100,03/18/1999 24009,E10A180,00501,0300,07/28/2000 24009,E10A180,00550,0100,07/28/2000 24009,S000000,00100,0200,06/01/2000 24009,S200000,00100,0100,325 SELMA RD 24009,S200000,00200,0100,BESSEMER 24009,S200000,00200,0200,AL 24009,S200000,00200,0300,35020- 24009,S200000,00300,0100,JEFFERSON 24009,S200000,00300,0200,1000 24009,S200000,00300,0300,U 24009,S200000,00400,0100,IHS-SOUTHGATE 24009,S200000,00400,0200,015050 24009,S200000,00400,0300,01/24/1967 24009,S200000,00400,0500,P 24009,S200000,00600,0200,015050 24009,S200000,00600,0300,01/24/1967 24009,S200000,00600,0600,P 24009,S200000,01600,0100,Y 24009,S200000,02200,0100,Y 24015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24015,A000000,00300,0000,00300EMPLOYEE BENEFITS 24015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24015,A000000,00700,0000,00700HOUSEKEEPING 24015,A000000,00800,0000,00800DIETARY 24015,A000000,00900,0000,00900NURSING ADMINISTRATION 24015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24015,A000000,01100,0000,01100PHARMACY 24015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24015,A000000,01300,0000,01300SOCIAL SERVICE 24015,A000000,01350,0000,01500RECREATION ACTIVITIES 24015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24015,A000000,01600,0000,01600SKILLED NURSING FACILITY 24015,A000000,01800,0000,01800NURSING FACILITY 24015,A000000,01810,0000,01810ICF/MR 24015,A000000,02100,0000,02100RADIOLOGY 24015,A000000,02200,0000,02200LABORATORY 24015,A000000,02500,0000,02500PHYSICAL THERAPY 24015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24015,A000000,02700,0000,02700SPEECH PATHOLOGY 24015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24015,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24015,A000000,03051,0000,03301ENTERAL FEEDING 24015,A000000,03550,0000,03550FQHC 24015,A000000,05000,0000,05000CORF 24015,A000000,05010,0000,05010CMHC 24015,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24015,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24015,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24015,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24015,A000000,06153,0000,06312DIALYSIS 24015,A000000,06154,0000,06320APARTMENTS 24015,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24015,A000000,06156,0000,06340CLOSED PATIENT AREAS 24015,A000000,06157,0000,06350O/P ADULT DAYCARE 24015,A81000A,00100,0100,Y 24015,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24015,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24015,A81000B,00300,0300,CLINICAL ALLOCATION 24015,A81000B,00400,0300,SYMPHONY REHAB 24015,A81000B,00500,0300,SYMPHONY REHAB 24015,A81000B,00600,0300,SYMPHONY REHAB 24015,A81000B,00700,0300,REHAB ALLOCATION 24015,A81000B,00800,0300,REHAB ALLOCATION 24015,A81000B,00900,0300,REHAB ALLOCATION 24015,A81000C,00100,0100,B 24015,A81000C,00100,0400,IHS INC. 24015,A81000C,00100,0600,NURSING HOMES 24015,A81000C,00200,0100,G 24015,A81000C,00200,0400,SYMPHONY 24015,A81000C,00200,0600,REHAB SERVICES 24015,A81000C,00300,0100,G 24015,A81000C,00300,0400,LTC 24015,A81000C,00300,0600,LAB 24015,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24015,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24015,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24015,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24015,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24015,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24015,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24015,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24015,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24015,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24015,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24015,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24015,E10A180,00301,0100,12/03/1999 24015,E10A180,00350,0100,03/18/1999 24015,E10A180,00353,0100,05/18/2000 24015,E10A180,00501,0100,07/28/2000 24015,E10A180,00501,0300,07/28/2000 24015,S000000,00100,0200,06/01/2000 24015,S200000,00100,0100,4201 BESSEMER HWY 24015,S200000,00200,0100,BESSEMER 24015,S200000,00200,0200,AL 24015,S200000,00200,0300,35021- 24015,S200000,00300,0100,JEFFERSON 24015,S200000,00300,0200,1000 24015,S200000,00300,0300,U 24015,S200000,00400,0100,IHS-LIVINGSTON 24015,S200000,00400,0200,015060 24015,S200000,00400,0300,01/01/1992 24015,S200000,00400,0500,P 24015,S200000,00600,0200,015060 24015,S200000,00600,0300,01/01/1992 24015,S200000,00600,0600,P 24015,S200000,01600,0100,Y 24015,S200000,02200,0100,Y 24025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24025,A000000,00300,0000,00300EMPLOYEE BENEFITS 24025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24025,A000000,00700,0000,00700HOUSEKEEPING 24025,A000000,00800,0000,00800DIETARY 24025,A000000,00900,0000,00900NURSING ADMINISTRATION 24025,A000000,00901,0000,00910NURSING ADMIN MSU 24025,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 24025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24025,A000000,01100,0000,01100PHARMACY 24025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24025,A000000,01300,0000,01300SOCIAL SERVICE 24025,A000000,01350,0000,01500RECREATION ACTIVITIES 24025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24025,A000000,01600,0000,01600SKILLED NURSING FACILITY 24025,A000000,01800,0000,01800NURSING FACILITY 24025,A000000,02100,0000,02100RADIOLOGY 24025,A000000,02200,0000,02200LABORATORY 24025,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24025,A000000,02500,0000,02500PHYSICAL THERAPY 24025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24025,A000000,02700,0000,02700SPEECH PATHOLOGY 24025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24025,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24025,A000000,03051,0000,03301ENTERAL FEEDING 24025,A000000,03550,0000,03550FQHC 24025,A000000,05000,0000,05000CORF 24025,A000000,05010,0000,05010CMHC 24025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24025,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24025,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24025,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24025,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24025,A000000,06153,0000,06312DIALYSIS 24025,A000000,06154,0000,06320APARTMENTS 24025,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24025,A000000,06156,0000,06340CLOSED PATIENT AREAS 24025,A000000,06157,0000,06350O/P ADULT DAYCARE 24025,A81000A,00100,0100,Y 24025,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24025,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24025,A81000B,00400,0300,SYMPHONY REHAB 24025,A81000B,00500,0300,SYMPHONY REHAB 24025,A81000B,00600,0300,SYMPHONY REHAB 24025,A81000B,00700,0300,REHAB ALLOCATION 24025,A81000B,00800,0300,REHAB ALLOCATION 24025,A81000B,00900,0300,REHAB ALLOCATION 24025,A81000B,01000,0300,CLINICAL ALLOCATION 24025,A81000C,00100,0100,B 24025,A81000C,00100,0400,IHS INC. 24025,A81000C,00100,0600,NURSING HOMES 24025,A81000C,00200,0100,G 24025,A81000C,00200,0400,SYMPHONY REHAB 24025,A81000C,00200,0600,REHAB SERVICES 24025,A81000C,00300,0100,G 24025,A81000C,00300,0400,LTC 24025,A81000C,00300,0600,LAB 24025,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24025,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24025,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24025,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24025,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24025,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24025,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24025,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24025,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24025,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24025,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24025,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24025,E10A180,00301,0100,12/03/1999 24025,E10A180,00304,0100,05/18/2000 24025,E10A180,00350,0100,03/18/1999 24025,E10A180,00550,0100,07/28/2000 24025,E10A180,00550,0300,07/28/2000 24025,S000000,00100,0200,06/01/2000 24025,S200000,00100,0100,850 N.W. 9TH STREET 24025,S200000,00200,0100,ALABASTER 24025,S200000,00200,0200,AL 24025,S200000,00200,0300,35007- 24025,S200000,00300,0100,SHELBY 24025,S200000,00300,0200,1000 24025,S200000,00300,0300,U 24025,S200000,00400,0100,IHS-BRIARCLIFF 24025,S200000,00400,0200,015144 24025,S200000,00400,0300,12/01/1986 24025,S200000,00400,0500,P 24025,S200000,00600,0200,015144 24025,S200000,00600,0300,12/01/1986 24025,S200000,00600,0600,P 24025,S200000,01600,0100,Y 24025,S200000,02200,0100,Y 24033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24033,A000000,00300,0000,00300EMPLOYEE BENEFITS 24033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24033,A000000,00700,0000,00700HOUSEKEEPING 24033,A000000,00800,0000,00800DIETARY 24033,A000000,00900,0000,00900NURSING ADMINISTRATION 24033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24033,A000000,01100,0000,01100PHARMACY 24033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24033,A000000,01300,0000,01300SOCIAL SERVICE 24033,A000000,01350,0000,01500RECREATION ACTIVITIES 24033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24033,A000000,01600,0000,01600SKILLED NURSING FACILITY 24033,A000000,01800,0000,01800NURSING FACILITY 24033,A000000,01810,0000,01810ICF/MR 24033,A000000,02100,0000,02100RADIOLOGY 24033,A000000,02200,0000,02200LABORATORY 24033,A000000,02500,0000,02500PHYSICAL THERAPY 24033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24033,A000000,02700,0000,02700SPEECH PATHOLOGY 24033,A000000,02800,0000,02800ELECTROCARDIOLOGY 24033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24033,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24033,A000000,03051,0000,03301ENTERAL FEEDING 24033,A000000,03550,0000,03550FQHC 24033,A000000,05000,0000,05000CORF 24033,A000000,05010,0000,05010CMHC 24033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24033,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24033,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24033,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24033,A000000,06153,0000,06312DIALYSIS 24033,A000000,06154,0000,06320APARTMENTS 24033,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24033,A000000,06156,0000,06340CLOSED PATIENT AREAS 24033,A000000,06157,0000,06350O/P ADULT DAYCARE 24033,A81000A,00100,0100,Y 24033,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24033,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24033,A81000B,00300,0300,CLINICAL ALLOCATION 24033,A81000B,00400,0300,REHAB ALLOCATION 24033,A81000B,00500,0300,REHAB ALLOCATION 24033,A81000B,00600,0300,REHAB ALLOCATION 24033,A81000C,00100,0100,B 24033,A81000C,00100,0400,IHS INC. 24033,A81000C,00100,0600,NURSING HOMES 24033,A81000C,00200,0100,G 24033,A81000C,00200,0400,SYMPHONY REHAB 24033,A81000C,00200,0600,REHAB SERVICES 24033,A81000C,00300,0100,G 24033,A81000C,00300,0400,LTC 24033,A81000C,00300,0600,LAB 24033,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24033,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24033,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24033,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24033,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24033,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24033,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24033,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24033,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24033,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24033,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24033,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24033,E10A180,00301,0100,12/03/1999 24033,E10A180,00350,0100,03/18/1999 24033,E10A180,00354,0100,05/18/2000 24033,E10A180,00501,0100,07/28/2000 24033,E10A180,00501,0300,07/28/2000 24033,S000000,00100,0200,06/01/2000 24033,S200000,00100,0100,616 ARMORY STREET 24033,S200000,00100,0300,438 24033,S200000,00200,0100,GREENSBORO 24033,S200000,00200,0200,AL 24033,S200000,00200,0300,36744- 24033,S200000,00300,0100,HALE 24033,S200000,00300,0200,0001 24033,S200000,00300,0300,R 24033,S200000,00400,0100,IHS-GREENBORO 24033,S200000,00400,0200,015396 24033,S200000,00400,0300,05/22/1987 24033,S200000,00400,0500,P 24033,S200000,00600,0200,015396 24033,S200000,00600,0300,05/22/1987 24033,S200000,00600,0600,P 24033,S200000,01600,0100,Y 24033,S200000,02200,0100,Y 24042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24042,A000000,00300,0000,00300EMPLOYEE BENEFITS 24042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24042,A000000,00700,0000,00700HOUSEKEEPING 24042,A000000,00800,0000,00800DIETARY 24042,A000000,00900,0000,00900NURSING ADMINISTRATION 24042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24042,A000000,01100,0000,01100PHARMACY 24042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24042,A000000,01300,0000,01300SOCIAL SERVICE 24042,A000000,01350,0000,01500RECREATION ACTIVITIES 24042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24042,A000000,01600,0000,01600SKILLED NURSING FACILITY 24042,A000000,01800,0000,01800NURSING FACILITY 24042,A000000,01810,0000,01810ICF/MR 24042,A000000,02100,0000,02100RADIOLOGY 24042,A000000,02200,0000,02200LABORATORY 24042,A000000,02300,0000,02300INTRAVENOUS THERAPY 24042,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24042,A000000,02500,0000,02500PHYSICAL THERAPY 24042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24042,A000000,02700,0000,02700SPEECH PATHOLOGY 24042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24042,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24042,A000000,03051,0000,03301ENTERAL FEEDING 24042,A000000,03550,0000,03550FQHC 24042,A000000,05000,0000,05000CORF 24042,A000000,05010,0000,05010CMHC 24042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24042,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24042,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24042,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24042,A000000,06153,0000,06312DIALYSIS 24042,A000000,06154,0000,06320APARTMENTS 24042,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24042,A000000,06156,0000,06340CLOSED PATIENT AREAS 24042,A000000,06157,0000,06350O/P ADULT DAYCARE 24042,A81000A,00100,0100,Y 24042,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24042,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24042,A81000B,00700,0300,HOME OFFICE REHAB 24042,A81000B,00800,0300,HOME OFFICE REHAB 24042,A81000B,00900,0300,HOME OFFICE REHAB 24042,A81000B,01000,0300,HOME OFFICE CLINICAL 24042,A81000C,00100,0100,B 24042,A81000C,00100,0400,IHS INC. 24042,A81000C,00100,0600,NURSING HOMES 24042,A81000C,00200,0100,G 24042,A81000C,00200,0400,SYMPHONY 24042,A81000C,00200,0600,REHAB SERVICES 24042,A81000C,00300,0100,G 24042,A81000C,00300,0400,LTC 24042,A81000C,00300,0600,LAB 24042,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24042,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24042,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24042,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24042,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24042,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24042,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24042,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24042,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24042,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24042,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24042,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24042,E10A180,00301,0100,12/03/1999 24042,E10A180,00304,0100,05/18/2000 24042,E10A180,00351,0100,03/18/1999 24042,E10A180,00501,0300,07/28/2000 24042,E10A180,00550,0100,07/28/2000 24042,S000000,00100,0200,06/01/2000 24042,S200000,00100,0100,39 HANOVER CIRCLE 24042,S200000,00200,0100,BIRMINGHAM 24042,S200000,00200,0200,AL 24042,S200000,00200,0300,35205- 24042,S200000,00300,0100,JEFFERSON 24042,S200000,00300,0200,1000 24042,S200000,00300,0300,U 24042,S200000,00400,0100,IHS-HANOVER 24042,S200000,00400,0200,015423 24042,S200000,00400,0300,08/02/1993 24042,S200000,00400,0500,P 24042,S200000,00400,0600,O 24042,S200000,00600,0200,015423 24042,S200000,00600,0300,08/02/1993 24042,S200000,00600,0600,P 24042,S200000,01600,0100,Y 24042,S200000,02200,0100,Y 24052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24052,A000000,00300,0000,00300EMPLOYEE BENEFITS 24052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24052,A000000,00700,0000,00700HOUSEKEEPING 24052,A000000,00800,0000,00800DIETARY 24052,A000000,00900,0000,00900NURSING ADMINISTRATION 24052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24052,A000000,01100,0000,01100PHARMACY 24052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24052,A000000,01300,0000,01300SOCIAL SERVICE 24052,A000000,01350,0000,01500ACTIVITIES 24052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24052,A000000,01600,0000,01600SKILLED NURSING FACILITY 24052,A000000,01800,0000,01800NURSING FACILITY 24052,A000000,01900,0000,01900OTHER LONG TERM CARE 24052,A000000,02100,0000,02100RADIOLOGY 24052,A000000,02200,0000,02200LABORATORY 24052,A000000,02300,0000,02300INTRAVENOUS THERAPY 24052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24052,A000000,02500,0000,02500PHYSICAL THERAPY 24052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24052,A000000,02700,0000,02700SPEECH PATHOLOGY 24052,A000000,02800,0000,02800ELECTROCARDIOLOGY 24052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24052,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24052,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24052,A000000,03200,0000,03200SUPPORT SURFACES 24052,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24052,A000000,04800,0000,04800AMBULANCE 24052,A000000,05300,0000,05300INTEREST EXPENSE 24052,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24052,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24052,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24052,A000000,06100,0000,06100NONPAID WORKERS 24052,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24052,A000000,06200,0000,06200PATIENTS LAUNDRY 24052,A81000A,00100,0100,Y 24052,A81000B,00100,0300,HOME OFFICE COST 24052,A81000B,00200,0300,PT ADMIN FEES 24052,A81000B,00300,0300,OT ADMIN FEES 24052,A81000B,00400,0300,ST ADMIN FEES 24052,A81000C,00100,0100,B 24052,A81000C,00100,0200,MCHS-TUCSON 24052,A81000C,00100,0400,HCR MANORCARE INC. 24052,A81000C,00100,0600,LONG TERM CARE FACILITIES 24052,A81000C,00200,0100,B 24052,A81000C,00200,0200,MCHS-TUCSON 24052,A81000C,00200,0400,HEARTLAND MGMT SERVICES 24052,A81000C,00200,0600,THERAPY ADMIN 24052,A81000C,00300,0100,B 24052,A81000C,00300,0200,MCHS-TUCSON 24052,A81000C,00300,0400,HEARTLAND MGMT SERVICES 24052,A81000C,00300,0600,THERAPY ADMIN 24052,A81000C,00400,0100,B 24052,A81000C,00400,0200,MCHS-TUCSON 24052,A81000C,00400,0400,HEARTLAND MGMT SERVICES 24052,A81000C,00400,0600,THERAPY ADMIN 24052,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24052,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24052,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24052,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24052,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24052,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24052,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24052,B100000,00000,0800,00000MEALS SERVED :DIETARY 24052,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24052,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24052,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24052,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24052,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24052,S000000,00100,0200,11/01/2000 24052,S200000,00100,0100,3705 N. SWAN ROAD 24052,S200000,00200,0100,TUCSON 24052,S200000,00200,0200,AZ 24052,S200000,00200,0300,85718- 24052,S200000,00300,0100,PIMA 24052,S200000,00300,0200,8520 24052,S200000,00300,0300,U 24052,S200000,00400,0100,MCHS-TUCSON 24052,S200000,00400,0200,035165 24052,S200000,00400,0300,05/04/1988 24052,S200000,00400,0500,P 24052,S200000,00400,0600,P 24052,S200000,01004,0500,O 24052,S200000,01600,0100,Y 24052,S200000,02200,0100,Y 24062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24062,A000000,00300,0000,00300EMPLOYEE BENEFITS 24062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24062,A000000,00700,0000,00700HOUSEKEEPING 24062,A000000,00800,0000,00800DIETARY 24062,A000000,00900,0000,00900NURSING ADMINISTRATION 24062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24062,A000000,01100,0000,01100PHARMACY 24062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24062,A000000,01300,0000,01300SOCIAL SERVICE 24062,A000000,01350,0000,01500RECREATION ACTIVITIES 24062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24062,A000000,01600,0000,01600SKILLED NURSING FACILITY 24062,A000000,01800,0000,01800NURSING FACILITY 24062,A000000,01810,0000,01810ICF/MR 24062,A000000,02100,0000,02100RADIOLOGY 24062,A000000,02200,0000,02200LABORATORY 24062,A000000,02500,0000,02500PHYSICAL THERAPY 24062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24062,A000000,02700,0000,02700SPEECH PATHOLOGY 24062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24062,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24062,A000000,03051,0000,03301ENTERAL FEEDING 24062,A000000,03550,0000,03550FQHC 24062,A000000,05000,0000,05000CORF 24062,A000000,05010,0000,05010CMHC 24062,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24062,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24062,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24062,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24062,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24062,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24062,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24062,A000000,06153,0000,06312DIALYSIS 24062,A000000,06154,0000,06320APARTMENTS 24062,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24062,A000000,06156,0000,06340CLOSED PATIENT AREAS 24062,A000000,06157,0000,06350O/P ADULT DAYCARE 24062,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24062,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24062,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24062,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24062,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24062,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24062,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24062,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24062,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24062,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24062,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24062,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24062,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24062,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24062,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24062,E10A180,00350,0100,12/03/1999 24062,E10A180,00351,0100,05/01/2000 24062,E10A180,00501,0100,07/28/2000 24062,E10A180,00550,0300,07/28/2000 24062,S000000,00100,0200,06/02/2000 24062,S200000,00100,0100,370 NOBLE COURT 24062,S200000,00200,0100,MORGAN HILL 24062,S200000,00200,0200,CA 24062,S200000,00200,0300,95037- 24062,S200000,00400,0100,PACIFIC HILLS MANOR 24062,S200000,00400,0200,056037 24062,S200000,00400,0300,06/01/1985 24062,S200000,00400,0500,P 24062,S200000,00600,0200,056037 24062,S200000,00600,0300,06/01/1985 24062,S200000,00600,0600,P 24062,S200000,01600,0100,Y 24062,S200000,02200,0100,Y 24071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24071,A000000,00300,0000,00300EMPLOYEE BENEFITS 24071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24071,A000000,00700,0000,00700HOUSEKEEPING 24071,A000000,00800,0000,00800DIETARY 24071,A000000,00900,0000,00900NURSING ADMINISTRATION 24071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24071,A000000,01100,0000,01100PHARMACY 24071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24071,A000000,01300,0000,01300SOCIAL SERVICE 24071,A000000,01350,0000,01500RECREATION ACTIVITIES 24071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24071,A000000,01600,0000,01600SKILLED NURSING FACILITY 24071,A000000,01800,0000,01800NURSING FACILITY 24071,A000000,01810,0000,01810ICF/MR 24071,A000000,02100,0000,02100RADIOLOGY 24071,A000000,02200,0000,02200LABORATORY 24071,A000000,02500,0000,02500PHYSICAL THERAPY 24071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24071,A000000,02700,0000,02700SPEECH PATHOLOGY 24071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24071,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24071,A000000,03051,0000,03301ENTERAL FEEDING 24071,A000000,03550,0000,03550FQHC 24071,A000000,05000,0000,05000CORF 24071,A000000,05010,0000,05010CMHC 24071,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24071,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24071,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24071,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24071,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24071,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24071,A000000,06153,0000,06312DIALYSIS 24071,A000000,06154,0000,06320APARTMENTS 24071,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24071,A000000,06156,0000,06340CLOSED PATIENT AREAS 24071,A000000,06157,0000,06350O/P ADULT DAYCARE 24071,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24071,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24071,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24071,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24071,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24071,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24071,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24071,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24071,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24071,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24071,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24071,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24071,E10A180,00302,0100,12/03/1999 24071,E10A180,00303,0100,05/01/2000 24071,E10A180,00350,0100,03/18/1999 24071,E10A180,00501,0100,07/28/2000 24071,E10A180,00550,0100,06/02/2000 24071,E10A180,00550,0300,06/02/2000 24071,S000000,00100,0200,06/02/2000 24071,S200000,00100,0100,1935 WHARF ROAD 24071,S200000,00200,0100,CAPITOLA 24071,S200000,00200,0200,CA 24071,S200000,00200,0300,95010- 24071,S200000,00300,0100,SANTA CRUZ 24071,S200000,00300,0200,7485 24071,S200000,00300,0300,U 24071,S200000,00400,0100,PACIFIC COAST MANOR 24071,S200000,00400,0200,056048 24071,S200000,00400,0300,06/01/1965 24071,S200000,00400,0500,P 24071,S200000,00600,0200,056048 24071,S200000,00600,0300,06/01/1965 24071,S200000,00600,0600,P 24071,S200000,01600,0100,Y 24071,S200000,02200,0100,Y 24081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24081,A000000,00300,0000,00300EMPLOYEE BENEFITS 24081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24081,A000000,00700,0000,00700HOUSEKEEPING 24081,A000000,00800,0000,00800DIETARY 24081,A000000,00900,0000,00900NURSING ADMINISTRATION 24081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24081,A000000,01100,0000,01100PHARMACY 24081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24081,A000000,01300,0000,01300SOCIAL SERVICE 24081,A000000,01350,0000,01500RECREATION ACTIVITIES 24081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24081,A000000,01600,0000,01600SKILLED NURSING FACILITY 24081,A000000,01800,0000,01800NURSING FACILITY 24081,A000000,01810,0000,01810ICF/MR 24081,A000000,02100,0000,02100RADIOLOGY 24081,A000000,02200,0000,02200LABORATORY 24081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24081,A000000,02500,0000,02500PHYSICAL THERAPY 24081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24081,A000000,02700,0000,02700SPEECH PATHOLOGY 24081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24081,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24081,A000000,03051,0000,03301ENTERAL FEEDING 24081,A000000,03550,0000,03550FQHC 24081,A000000,05000,0000,05000CORF 24081,A000000,05010,0000,05010CMHC 24081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24081,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24081,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24081,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24081,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24081,A000000,06153,0000,06312DIALYSIS 24081,A000000,06154,0000,06320APARTMENTS 24081,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24081,A000000,06156,0000,06340CLOSED PATIENT AREAS 24081,A000000,06157,0000,06350O/P ADULT DAYCARE 24081,A81000A,00100,0100,Y 24081,A81000B,00100,0300,CAPITAL RELATED BLDG & FIX 24081,A81000B,00200,0300,A&G 24081,A81000B,00400,0300,SYMPHONY REHAB 24081,A81000B,00500,0300,SYMPHONY REHAB 24081,A81000B,00600,0300,SYMPHONY REHAB 24081,A81000B,00700,0300,REHAB ALLOCATION 24081,A81000B,00800,0300,REHAB ALLOCATION 24081,A81000B,00900,0300,REHAB ALLOCATION 24081,A81000B,01000,0300,CLINICAL ALLOCATION 24081,A81000C,00100,0100,B 24081,A81000C,00100,0200,IHS INC. 24081,A81000C,00100,0400,IHS INC. 24081,A81000C,00100,0600,NURSING HOMES 24081,A81000C,00200,0100,B 24081,A81000C,00200,0200,IHS INC. 24081,A81000C,00200,0400,SYMPHONY REHAB 24081,A81000C,00200,0600,REHAB SERVICES 24081,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24081,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24081,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24081,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24081,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24081,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24081,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24081,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24081,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24081,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24081,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24081,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24081,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24081,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24081,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24081,E10A180,00301,0100,12/03/1999 24081,E10A180,00302,0100,05/18/2000 24081,E10A180,00350,0100,03/18/2000 24081,S000000,00100,0200,06/02/2000 24081,S200000,00100,0100,2901 N. 12TH STREET 24081,S200000,00200,0100,GRAND JUNCTION 24081,S200000,00200,0200,CO 24081,S200000,00200,0300,81506- 24081,S200000,00400,0100,IHS-MESA MANOR 24081,S200000,00400,0200,065110 24081,S200000,00400,0300,01/01/1989 24081,S200000,00400,0500,P 24081,S200000,00600,0200,065110 24081,S200000,00600,0300,01/01/1989 24081,S200000,00600,0600,P 24081,S200000,01600,0100,Y 24081,S200000,02200,0100,Y 24090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24090,A000000,00300,0000,00300EMPLOYEE BENEFITS 24090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24090,A000000,00700,0000,00700HOUSEKEEPING 24090,A000000,00800,0000,00800DIETARY 24090,A000000,00900,0000,00900NURSING ADMINISTRATION 24090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24090,A000000,01100,0000,01100PHARMACY 24090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24090,A000000,01300,0000,01300SOCIAL SERVICE 24090,A000000,01350,0000,01500RECREATION ACTIVITIES 24090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24090,A000000,01600,0000,01600SKILLED NURSING FACILITY 24090,A000000,01800,0000,01800NURSING FACILITY 24090,A000000,01810,0000,01810ICF/MR 24090,A000000,02100,0000,02100RADIOLOGY 24090,A000000,02200,0000,02200LABORATORY 24090,A000000,02300,0000,02300INTRAVENOUS THERAPY 24090,A000000,02500,0000,02500PHYSICAL THERAPY 24090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24090,A000000,02700,0000,02700SPEECH PATHOLOGY 24090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24090,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24090,A000000,03051,0000,03301ENTERAL FEEDING 24090,A000000,03550,0000,03550FQHC 24090,A000000,05000,0000,05000CORF 24090,A000000,05010,0000,05010CMHC 24090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24090,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24090,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24090,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24090,A000000,06153,0000,06312DIALYSIS 24090,A000000,06154,0000,06320APARTMENTS 24090,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24090,A000000,06156,0000,06340CLOSED PATIENT AREAS 24090,A000000,06157,0000,06350O/P ADULT DAYCARE 24090,A81000A,00100,0100,Y 24090,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24090,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24090,A81000B,00400,0300,SYMPHONY REHAB 24090,A81000B,00500,0300,SYMPHONY REHAB 24090,A81000B,00600,0300,SYMPHONY REHAB 24090,A81000B,00700,0300,REHAB ALLOCATION 24090,A81000B,00800,0300,REHAB ALLOCATION 24090,A81000B,00900,0300,REHAB ALLOCATION 24090,A81000B,01000,0300,CLINICAL ALLOCATION 24090,A81000C,00100,0100,B 24090,A81000C,00100,0200,IHS INC. 24090,A81000C,00100,0400,IHS INC. 24090,A81000C,00100,0600,NURSING HOMES 24090,A81000C,00200,0100,B 24090,A81000C,00200,0200,IHS INC. 24090,A81000C,00200,0400,SYMPHONY REHAB 24090,A81000C,00200,0600,REHAB SERVICES 24090,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24090,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24090,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24090,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24090,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24090,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24090,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24090,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24090,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24090,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24090,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24090,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24090,E10A180,00301,0100,03/18/1999 24090,E10A180,00350,0100,12/03/1999 24090,E10A180,00351,0100,05/18/2000 24090,E10A180,00501,0100,07/28/2000 24090,S000000,00100,0200,06/02/2000 24090,S200000,00100,0100,2719 NORTH UNION BLVD 24090,S200000,00200,0100,COLORADO SPRINGS 24090,S200000,00200,0200,CO 24090,S200000,00200,0300,80909- 24090,S200000,00300,0100,EL PASO 24090,S200000,00300,0200,1720 24090,S200000,00300,0300,U 24090,S200000,00400,0100,IHS AT PIKES PEAK 24090,S200000,00400,0200,065122 24090,S200000,00400,0300,12/31/1987 24090,S200000,00400,0500,P 24090,S200000,00600,0200,065122 24090,S200000,00600,0300,12/31/1987 24090,S200000,00600,0600,P 24090,S200000,01600,0100,Y 24090,S200000,02200,0100,Y 24100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24100,A000000,00300,0000,00300EMPLOYEE BENEFITS 24100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24100,A000000,00700,0000,00700HOUSEKEEPING 24100,A000000,00800,0000,00800DIETARY 24100,A000000,00900,0000,00900NURSING ADMINISTRATION 24100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24100,A000000,01100,0000,01100PHARMACY 24100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24100,A000000,01300,0000,01300SOCIAL SERVICE 24100,A000000,01350,0000,01500RECREATION ACTIVITIES 24100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24100,A000000,01600,0000,01600SKILLED NURSING FACILITY 24100,A000000,01800,0000,01800NURSING FACILITY 24100,A000000,01810,0000,01810ICF/MR 24100,A000000,02100,0000,02100RADIOLOGY 24100,A000000,02200,0000,02200LABORATORY 24100,A000000,02500,0000,02500PHYSICAL THERAPY 24100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24100,A000000,02700,0000,02700SPEECH PATHOLOGY 24100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24100,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24100,A000000,03051,0000,03301ENTERAL FEEDING 24100,A000000,03550,0000,03550FQHC 24100,A000000,05000,0000,05000CORF 24100,A000000,05010,0000,05010CMHC 24100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24100,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24100,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24100,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24100,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24100,A000000,06153,0000,06312DIALYSIS 24100,A000000,06154,0000,06320APARTMENTS 24100,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24100,A000000,06156,0000,06340CLOSED PATIENT AREAS 24100,A000000,06157,0000,06350O/P ADULT DAYCARE 24100,A81000A,00100,0100,Y 24100,A81000B,00100,0300,CAPITAL RELATED BLDG & FIX 24100,A81000B,00200,0300,A&G 24100,A81000B,00300,0300,MSU DEVELOPMENT COST 24100,A81000B,00400,0300,SYMPHONY REHAB 24100,A81000B,00500,0300,SYMPHONY REHAB 24100,A81000B,00600,0300,SYMPHONY REHAB 24100,A81000B,00700,0300,REHAB ALLOCATION 24100,A81000B,00800,0300,REHAB ALLOCATION 24100,A81000B,00900,0300,REHAB ALLOCATION 24100,A81000B,01000,0300,CLINICAL ALLOCATION 24100,A81000B,01100,0300,SYMP MOBILE X 24100,A81000C,00100,0100,B 24100,A81000C,00100,0200,IHS INC. 24100,A81000C,00100,0400,IHS INC. 24100,A81000C,00100,0600,NURSING HOMES 24100,A81000C,00200,0100,B 24100,A81000C,00200,0200,IHS INC. 24100,A81000C,00200,0400,SYMPHONY REHAB 24100,A81000C,00200,0600,REHAB SERVICES 24100,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24100,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24100,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24100,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24100,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24100,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24100,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24100,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24100,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24100,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24100,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24100,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24100,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24100,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24100,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24100,E10A180,00301,0100,12/03/1999 24100,E10A180,00350,0100,05/18/2000 24100,E10A180,00351,0100,03/18/2000 24100,S000000,00100,0200,06/03/2000 24100,S200000,00100,0100,14699 E HAMPDEN AVENUE 24100,S200000,00200,0100,AROURA 24100,S200000,00200,0200,CO 24100,S200000,00200,0300,80014- 24100,S200000,00400,0100,CHERRY CREEK NURSING CENTER 24100,S200000,00400,0200,065146 24100,S200000,00400,0300,05/02/1977 24100,S200000,00400,0500,P 24100,S200000,00600,0200,065146 24100,S200000,00600,0300,05/02/1977 24100,S200000,00600,0600,P 24100,S200000,01600,0100,Y 24100,S200000,02200,0100,Y 24110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24110,A000000,00300,0000,00300EMPLOYEE BENEFITS 24110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24110,A000000,00700,0000,00700HOUSEKEEPING 24110,A000000,00800,0000,00800DIETARY 24110,A000000,00900,0000,00900NURSING ADMINISTRATION 24110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24110,A000000,01100,0000,01100PHARMACY 24110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24110,A000000,01300,0000,01300SOCIAL SERVICE 24110,A000000,01350,0000,01500RECREATION ACTIVITIES 24110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24110,A000000,01600,0000,01600SKILLED NURSING FACILITY 24110,A000000,01800,0000,01800NURSING FACILITY 24110,A000000,01810,0000,01810ICF/MR 24110,A000000,02100,0000,02100RADIOLOGY 24110,A000000,02200,0000,02200LABORATORY 24110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24110,A000000,02500,0000,02500PHYSICAL THERAPY 24110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24110,A000000,02700,0000,02700SPEECH PATHOLOGY 24110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24110,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24110,A000000,03051,0000,03301ENTERAL FEEDING 24110,A000000,03550,0000,03550FQHC 24110,A000000,05000,0000,05000CORF 24110,A000000,05010,0000,05010CMHC 24110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24110,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24110,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24110,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24110,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24110,A000000,06153,0000,06312DIALYSIS 24110,A000000,06154,0000,06320APARTMENTS 24110,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24110,A000000,06156,0000,06340CLOSED PATIENT AREAS 24110,A000000,06157,0000,06350O/P ADULT DAYCARE 24110,A81000A,00100,0100,Y 24110,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24110,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24110,A81000B,00400,0300,SYMPHONY REHAB 24110,A81000B,00500,0300,SYMPHONY REHAB 24110,A81000B,00600,0300,SYMPHONY REHAB 24110,A81000B,00700,0300,REHAB ALLOCATION 24110,A81000B,00800,0300,REHAB ALLOCATION 24110,A81000B,00900,0300,REHAB ALLOCATION 24110,A81000B,01000,0300,CLINICAL ALLOCATION 24110,A81000C,00100,0100,B 24110,A81000C,00100,0200,IHS INC. 24110,A81000C,00100,0400,IHS INC. 24110,A81000C,00100,0600,NURSING HOMES 24110,A81000C,00200,0100,B 24110,A81000C,00200,0200,IHS INC. 24110,A81000C,00200,0400,SYMPHONY REHAB 24110,A81000C,00200,0600,REHAB SERVICES 24110,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24110,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24110,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24110,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24110,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24110,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24110,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24110,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24110,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24110,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24110,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24110,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24110,E10A180,00350,0100,03/18/1999 24110,E10A180,00351,0100,12/03/1999 24110,E10A180,00352,0100,05/18/2000 24110,E10A180,00501,0100,07/28/2000 24110,E10A180,00550,0300,07/28/2000 24110,S000000,00100,0200,06/02/2000 24110,S200000,00100,0100,835 TENDERFOOT HILL ROAD 24110,S200000,00200,0100,COLORADO SPRINGS 24110,S200000,00200,0200,CO 24110,S200000,00200,0300,80906- 24110,S200000,00300,0200,1720 24110,S200000,00300,0300,U 24110,S200000,00400,0100,IHS-CHEYENNE MOUNTAIN 24110,S200000,00400,0200,065147 24110,S200000,00400,0300,07/01/1981 24110,S200000,00400,0500,P 24110,S200000,00600,0200,065147 24110,S200000,00600,0300,07/01/1981 24110,S200000,00600,0600,P 24110,S200000,01600,0100,Y 24110,S200000,02200,0100,Y 24117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24117,A000000,00300,0000,00300EMPLOYEE BENEFITS 24117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24117,A000000,00700,0000,00700HOUSEKEEPING 24117,A000000,00800,0000,00800DIETARY 24117,A000000,00900,0000,00900NURSING ADMINISTRATION 24117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24117,A000000,01100,0000,01100PHARMACY 24117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24117,A000000,01300,0000,01300SOCIAL SERVICE 24117,A000000,01350,0000,01500RECREATION ACTIVITIES 24117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24117,A000000,01600,0000,01600SKILLED NURSING FACILITY 24117,A000000,01800,0000,01800NURSING FACILITY 24117,A000000,01810,0000,01810ICF/MR 24117,A000000,02100,0000,02100RADIOLOGY 24117,A000000,02200,0000,02200LABORATORY 24117,A000000,02500,0000,02500PHYSICAL THERAPY 24117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24117,A000000,02700,0000,02700SPEECH PATHOLOGY 24117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24117,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24117,A000000,03051,0000,03301ENTERAL FEEDING 24117,A000000,03550,0000,03550FQHC 24117,A000000,05000,0000,05000CORF 24117,A000000,05010,0000,05010CMHC 24117,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24117,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24117,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24117,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24117,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24117,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24117,A000000,06153,0000,06312DIALYSIS 24117,A000000,06154,0000,06320APARTMENTS 24117,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24117,A000000,06156,0000,06340CLOSED PATIENT AREAS 24117,A000000,06157,0000,06350O/P ADULT DAYCARE 24117,A81000A,00100,0100,Y 24117,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24117,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24117,A81000B,00400,0300,SYMPHONY REHAB 24117,A81000B,00500,0300,SYMPHONY REHAB 24117,A81000B,00600,0300,SYMPHONY REHAB 24117,A81000B,00700,0300,REHAB ALLOCATION 24117,A81000B,00800,0300,REHAB ALLOCATION 24117,A81000B,00900,0300,REHAB ALLOCATION 24117,A81000B,01000,0300,CLINICAL ALLOCATION 24117,A81000C,00100,0100,B 24117,A81000C,00100,0200,IHS INC. 24117,A81000C,00100,0400,IHS INC. 24117,A81000C,00100,0600,NURSING HOMES 24117,A81000C,00200,0100,B 24117,A81000C,00200,0200,IHS INC. 24117,A81000C,00200,0400,SYMPHONY REHAB 24117,A81000C,00200,0600,REHAB SERVICES 24117,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24117,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24117,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24117,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24117,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24117,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24117,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24117,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24117,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24117,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24117,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24117,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24117,S000000,00100,0200,06/30/2000 24117,S200000,00100,0100,1420 EAST FOUNTAIN BOULEVARD 24117,S200000,00200,0100,COLORADO SPRINGS 24117,S200000,00200,0200,CO 24117,S200000,00200,0300,80910- 24117,S200000,00300,0100,EL PASO 24117,S200000,00300,0200,1720 24117,S200000,00300,0300,U 24117,S200000,00400,0100,IHS-PROSPECT LAKE 24117,S200000,00400,0200,065167 24117,S200000,00400,0300,10/18/1994 24117,S200000,00400,0500,P 24117,S200000,01500,0100,Y 24117,S200000,02200,0100,Y 24128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24128,A000000,00300,0000,00300EMPLOYEE BENEFITS 24128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24128,A000000,00700,0000,00700HOUSEKEEPING 24128,A000000,00800,0000,00800DIETARY 24128,A000000,00900,0000,00900NURSING ADMINISTRATION 24128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24128,A000000,01100,0000,01100PHARMACY 24128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24128,A000000,01300,0000,01300SOCIAL SERVICE 24128,A000000,01350,0000,01500RECREATION ACTIVITIES 24128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24128,A000000,01600,0000,01600SKILLED NURSING FACILITY 24128,A000000,01800,0000,01800NURSING FACILITY 24128,A000000,01810,0000,01810ICF/MR 24128,A000000,02100,0000,02100RADIOLOGY 24128,A000000,02200,0000,02200LABORATORY 24128,A000000,02500,0000,02500PHYSICAL THERAPY 24128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24128,A000000,02700,0000,02700SPEECH PATHOLOGY 24128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24128,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24128,A000000,03051,0000,03301ENTERAL FEEDING 24128,A000000,03550,0000,03550FQHC 24128,A000000,05000,0000,05000CORF 24128,A000000,05010,0000,05010CMHC 24128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24128,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24128,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24128,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24128,A000000,06153,0000,06312DIALYSIS 24128,A000000,06154,0000,06320APARTMENTS 24128,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24128,A000000,06156,0000,06340CLOSED PATIENT AREAS 24128,A000000,06157,0000,06350O/P ADULT DAYCARE 24128,A81000A,00100,0100,Y 24128,A81000B,00100,0300,CAPITAL RELATED BLDG & FIX 24128,A81000B,00200,0300,A&G 24128,A81000B,00400,0300,SYMPHONY REHAB 24128,A81000B,00500,0300,SYMPHONY REHAB 24128,A81000B,00600,0300,SYMPHONY REHAB 24128,A81000B,00700,0300,REHAB ALLOCATION 24128,A81000B,00800,0300,REHAB ALLOCATION 24128,A81000B,00900,0300,REHAB ALLOCATION 24128,A81000B,01000,0300,CLINICAL ALLOCATION 24128,A81000C,00100,0100,B 24128,A81000C,00100,0200,IHS INC. 24128,A81000C,00100,0400,IHS INC. 24128,A81000C,00100,0600,NURSING HOMES 24128,A81000C,00200,0100,B 24128,A81000C,00200,0200,IHS INC. 24128,A81000C,00200,0400,SYMPHONY REHAB 24128,A81000C,00200,0600,REHAB SERVICES 24128,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24128,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24128,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24128,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24128,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24128,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24128,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24128,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24128,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24128,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24128,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24128,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24128,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24128,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24128,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24128,E10A180,00301,0100,12/31/1999 24128,E10A180,00350,0100,12/03/1999 24128,E10A180,00351,0100,05/18/2000 24128,E10A180,00501,0100,07/28/2000 24128,E10A180,00550,0100,06/11/2000 24128,E10A180,00550,0300,06/11/2000 24128,S000000,00100,0200,06/02/2000 24128,S200000,00100,0100,2611 JONES AVENUE 24128,S200000,00200,0100,PUEBLO 24128,S200000,00200,0200,CO 24128,S200000,00200,0300,81004-2650 24128,S200000,00300,0100,PUEBLO 24128,S200000,00400,0100,IHS-PUEBLO 24128,S200000,00400,0200,065232 24128,S200000,00400,0300,04/01/1986 24128,S200000,00400,0500,P 24128,S200000,00600,0200,065232 24128,S200000,00600,0300,04/01/1986 24128,S200000,00600,0600,P 24128,S200000,01600,0100,Y 24128,S200000,02200,0100,Y 24132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24132,A000000,00300,0000,00300EMPLOYEE BENEFITS 24132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24132,A000000,00700,0000,00700HOUSEKEEPING 24132,A000000,00800,0000,00800DIETARY 24132,A000000,00900,0000,00900NURSING ADMINISTRATION 24132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24132,A000000,01100,0000,01100PHARMACY 24132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24132,A000000,01300,0000,01300SOCIAL SERVICE 24132,A000000,01350,0000,01500ACTIVITIES 24132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24132,A000000,01600,0000,01600SKILLED NURSING FACILITY 24132,A000000,01800,0000,01800NURSING FACILITY 24132,A000000,01900,0000,01900OTHER LONG TERM CARE 24132,A000000,02100,0000,02100RADIOLOGY 24132,A000000,02200,0000,02200LABORATORY 24132,A000000,02300,0000,02300INTRAVENOUS THERAPY 24132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24132,A000000,02500,0000,02500PHYSICAL THERAPY 24132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24132,A000000,02700,0000,02700SPEECH PATHOLOGY 24132,A000000,02800,0000,02800ELECTROCARDIOLOGY 24132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24132,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24132,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24132,A000000,03200,0000,03200SUPPORT SURFACES 24132,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24132,A000000,04800,0000,04800AMBULANCE 24132,A000000,05300,0000,05300INTEREST EXPENSE 24132,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24132,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24132,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24132,A000000,06100,0000,06100NONPAID WORKERS 24132,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24132,A000000,06200,0000,06200PATIENTS LAUNDRY 24132,A81000A,00100,0100,Y 24132,A81000B,00100,0300,HOME OFFICE COST 24132,A81000B,00200,0300,DIRECT INTEREST 24132,A81000C,00100,0100,B 24132,A81000C,00100,0200,MCHS-DENVER 24132,A81000C,00100,0400,HCR MANORCARE INC. 24132,A81000C,00100,0600,LONG TERM CARE FACILITIES 24132,A81000C,00200,0100,B 24132,A81000C,00200,0200,MCHS-DENVER 24132,A81000C,00200,0400,HCR MANORCARE INC. 24132,A81000C,00200,0600,LONG TERM CARE FACILITIES 24132,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24132,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24132,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24132,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24132,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24132,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24132,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24132,B100000,00000,0800,00000MEALS SERVED :DIETARY 24132,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24132,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24132,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24132,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24132,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24132,S000000,00100,0200,11/01/2000 24132,S200000,00100,0100,290 SOUTH MONACO PARKWAY 24132,S200000,00200,0100,DENVER 24132,S200000,00200,0200,CO 24132,S200000,00200,0300,80224- 24132,S200000,00300,0100,DENVER 24132,S200000,00300,0200,2080 24132,S200000,00300,0300,U 24132,S200000,00400,0100,MCHS-DENVER 24132,S200000,00400,0200,065241 24132,S200000,00400,0300,07/01/1966 24132,S200000,00400,0500,P 24132,S200000,00400,0600,P 24132,S200000,01004,0500,O 24132,S200000,01600,0100,Y 24132,S200000,02200,0100,Y 24137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24137,A000000,00300,0000,00300EMPLOYEE BENEFITS 24137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24137,A000000,00700,0000,00700HOUSEKEEPING 24137,A000000,00800,0000,00800DIETARY 24137,A000000,00900,0000,00900NURSING ADMINISTRATION 24137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24137,A000000,01100,0000,01100PHARMACY 24137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24137,A000000,01300,0000,01300SOCIAL SERVICE 24137,A000000,01350,0000,01500RECREATION ACTIVITIES 24137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24137,A000000,01600,0000,01600SKILLED NURSING FACILITY 24137,A000000,01800,0000,01800NURSING FACILITY 24137,A000000,01810,0000,01810ICF/MR 24137,A000000,02100,0000,02100RADIOLOGY 24137,A000000,02200,0000,02200LABORATORY 24137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24137,A000000,02500,0000,02500PHYSICAL THERAPY 24137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24137,A000000,02700,0000,02700SPEECH PATHOLOGY 24137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24137,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24137,A000000,03051,0000,03301ENTERAL FEEDING 24137,A000000,03550,0000,03550FQHC 24137,A000000,05000,0000,05000CORF 24137,A000000,05010,0000,05010CMHC 24137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24137,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24137,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24137,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24137,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24137,A000000,06153,0000,06312DIALYSIS 24137,A000000,06154,0000,06320APARTMENTS 24137,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24137,A000000,06156,0000,06340CLOSED PATIENT AREAS 24137,A000000,06157,0000,06350O/P ADULT DAYCARE 24137,A81000A,00100,0100,Y 24137,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24137,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24137,A81000B,00400,0300,SYMPHONY REHAB 24137,A81000B,00500,0300,SYMPHONY REHAB 24137,A81000B,00600,0300,SYMPHONY REHAB 24137,A81000B,00800,0300,REHAB ALLOCATION 24137,A81000B,00900,0300,REHAB ALLOCATION 24137,A81000B,01000,0300,REHAB ALLOCATION 24137,A81000B,01100,0300,CLINICAL ALLOC 24137,A81000B,01200,0300,SYMPHONY MOBILEX 24137,A81000C,00100,0100,B 24137,A81000C,00100,0200,IHS INC. 24137,A81000C,00100,0400,IHS INC. 24137,A81000C,00100,0600,NURSING HOMES 24137,A81000C,00200,0100,B 24137,A81000C,00200,0200,IHS INC. 24137,A81000C,00200,0400,SYMPHONY REHAB 24137,A81000C,00200,0600,REHAB SERVICES 24137,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24137,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24137,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24137,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24137,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24137,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24137,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24137,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24137,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24137,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24137,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24137,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24137,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24137,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24137,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24137,E10A180,00350,0100,03/18/1999 24137,E10A180,00351,0100,12/03/1999 24137,S000000,00100,0200,06/01/2000 24137,S200000,00100,0100,110 WEST VAN BUREN 24137,S200000,00200,0100,COLORADO SPRINGS 24137,S200000,00200,0200,CO 24137,S200000,00200,0300,80907- 24137,S200000,00300,0100,EL PASO 24137,S200000,00400,0100,IHS-SPRINGS VILLAGE 24137,S200000,00400,0200,065247 24137,S200000,00400,0300,05/01/1989 24137,S200000,00400,0500,P 24137,S200000,00600,0200,065247 24137,S200000,00600,0300,05/01/1989 24137,S200000,00600,0600,P 24137,S200000,01600,0100,Y 24137,S200000,02200,0100,Y 24137,S700003,00000,0100,1 24142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24142,A000000,00300,0000,00300EMPLOYEE BENEFITS 24142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24142,A000000,00700,0000,00700HOUSEKEEPING 24142,A000000,00800,0000,00800DIETARY 24142,A000000,00900,0000,00900NURSING ADMINISTRATION 24142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24142,A000000,01100,0000,01100PHARMACY 24142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24142,A000000,01300,0000,01300SOCIAL SERVICE 24142,A000000,01350,0000,01500RECREATION ACTIVITIES 24142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24142,A000000,01600,0000,01600SKILLED NURSING FACILITY 24142,A000000,01800,0000,01800NURSING FACILITY 24142,A000000,01810,0000,01810ICF/MR 24142,A000000,01900,0000,01900OTHER LONG TERM CARE 24142,A000000,02100,0000,02100RADIOLOGY 24142,A000000,02200,0000,02200LABORATORY 24142,A000000,02500,0000,02500PHYSICAL THERAPY 24142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24142,A000000,02700,0000,02700SPEECH PATHOLOGY 24142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24142,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24142,A000000,03051,0000,03301ENTERAL FEEDING 24142,A000000,03550,0000,03550FQHC 24142,A000000,05000,0000,05000CORF 24142,A000000,05010,0000,05010CMHC 24142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24142,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24142,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24142,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24142,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24142,A000000,06153,0000,06312DIALYSIS 24142,A000000,06154,0000,06320APARTMENTS 24142,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24142,A000000,06156,0000,06340CLOSED PATIENT AREAS 24142,A000000,06157,0000,06350O/P ADULT DAYCARE 24142,A81000A,00100,0100,Y 24142,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24142,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24142,A81000B,00400,0300,SYMPHONY REHAB 24142,A81000B,00500,0300,SYMPHONY REHAB 24142,A81000B,00600,0300,SYMPHONY REHAB 24142,A81000B,00700,0300,REHAB ALLOCATION 24142,A81000B,00800,0300,REHAB ALLOCATION 24142,A81000B,00900,0300,REHAB ALLOCATION 24142,A81000B,01000,0300,CLINICAL ALLOCATION 24142,A81000C,00100,0100,B 24142,A81000C,00100,0200,IHS INC. 24142,A81000C,00100,0400,IHS INC. 24142,A81000C,00100,0600,NURSING HOMES 24142,A81000C,00200,0100,B 24142,A81000C,00200,0200,IHS INC. 24142,A81000C,00200,0400,SYMPHONY REHAB 24142,A81000C,00200,0600,REHAB SERVICES 24142,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24142,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24142,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24142,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24142,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24142,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24142,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24142,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24142,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24142,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24142,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24142,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24142,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24142,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24142,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24142,E10A180,00301,0100,12/03/1999 24142,E10A180,00351,0100,03/18/1999 24142,S000000,00100,0200,06/02/2000 24142,S200000,00100,0100,2050 SOUTH MAIN 24142,S200000,00200,0100,DELTA 24142,S200000,00200,0200,CO 24142,S200000,00200,0300,81416-2411 24142,S200000,00400,0100,IHS-DELTA 24142,S200000,00400,0200,065249 24142,S200000,00400,0300,03/01/1989 24142,S200000,00400,0500,P 24142,S200000,00600,0200,065249 24142,S200000,00600,0300,03/01/1989 24142,S200000,00600,0600,P 24142,S200000,01600,0100,Y 24142,S200000,02200,0100,Y 24142,S700003,00000,0100,1 24147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24147,A000000,00300,0000,00300EMPLOYEE BENEFITS 24147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24147,A000000,00700,0000,00700HOUSEKEEPING 24147,A000000,00800,0000,00800DIETARY 24147,A000000,00900,0000,00900NURSING ADMINISTRATION 24147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24147,A000000,01100,0000,01100PHARMACY 24147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24147,A000000,01300,0000,01300SOCIAL SERVICE 24147,A000000,01350,0000,01500RECREATION ACTIVITIES 24147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24147,A000000,01600,0000,01600SKILLED NURSING FACILITY 24147,A000000,01800,0000,01800NURSING FACILITY 24147,A000000,01810,0000,01810ICF/MR 24147,A000000,01900,0000,01900OTHER LONG TERM CARE 24147,A000000,02100,0000,02100RADIOLOGY 24147,A000000,02200,0000,02200LABORATORY 24147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24147,A000000,02500,0000,02500PHYSICAL THERAPY 24147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24147,A000000,02700,0000,02700SPEECH PATHOLOGY 24147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24147,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24147,A000000,03051,0000,03301ENTERAL FEEDING 24147,A000000,03550,0000,03550FQHC 24147,A000000,05000,0000,05000CORF 24147,A000000,05010,0000,05010CMHC 24147,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24147,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24147,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24147,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24147,A000000,06153,0000,06312DIALYSIS 24147,A000000,06154,0000,06320APARTMENTS 24147,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24147,A000000,06156,0000,06340CLOSED PATIENT AREAS 24147,A000000,06157,0000,06350O/P ADULT DAYCARE 24147,A81000A,00100,0100,Y 24147,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24147,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24147,A81000B,00400,0300,SYMPHONY REHAB 24147,A81000B,00500,0300,SYMPHONY REHAB 24147,A81000B,00600,0300,SYMPHONY REHAB 24147,A81000B,00700,0300,REHAB ALLOCATION 24147,A81000B,00800,0300,REHAB ALLOCATION 24147,A81000B,00900,0300,REHAB ALLOCATION 24147,A81000B,01000,0300,CLINCAL ALLOCATION 24147,A81000C,00100,0100,B 24147,A81000C,00100,0200,IHS INC. 24147,A81000C,00100,0400,IHS INC. 24147,A81000C,00100,0600,NURSING HOMES 24147,A81000C,00200,0100,B 24147,A81000C,00200,0200,IHS INC. 24147,A81000C,00200,0400,SYMPHONY REHAB 24147,A81000C,00200,0600,REHAB SERVICES 24147,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24147,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24147,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24147,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24147,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24147,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24147,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24147,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24147,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24147,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24147,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24147,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24147,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24147,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24147,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24147,E10A180,00351,0100,03/18/1999 24147,E10A180,00352,0100,12/03/1999 24147,S000000,00100,0200,06/02/2000 24147,S200000,00100,0100,515 FAIRVIEW 24147,S200000,00200,0100,CANON CITY 24147,S200000,00200,0200,CO 24147,S200000,00200,0300,81212- 24147,S200000,00300,0100,FREMONT 24147,S200000,00400,0100,IHS-CANON CITY 24147,S200000,00400,0200,065250 24147,S200000,00400,0300,03/01/1989 24147,S200000,00400,0500,P 24147,S200000,00600,0200,065250 24147,S200000,00600,0300,03/01/1989 24147,S200000,00600,0600,P 24147,S200000,01600,0100,Y 24147,S200000,02200,0100,Y 24147,S700003,00000,0100,1 24155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24155,A000000,00300,0000,00300EMPLOYEE BENEFITS 24155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24155,A000000,00700,0000,00700HOUSEKEEPING 24155,A000000,00800,0000,00800DIETARY 24155,A000000,00900,0000,00900NURSING ADMINISTRATION 24155,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24155,A000000,01100,0000,01100PHARMACY 24155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24155,A000000,01300,0000,01300SOCIAL SERVICE 24155,A000000,01350,0000,01500RECREATION ACTIVITIES 24155,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24155,A000000,01600,0000,01600SKILLED NURSING FACILITY 24155,A000000,01800,0000,01800NURSING FACILITY 24155,A000000,01810,0000,01810ICF/MR 24155,A000000,02100,0000,02100RADIOLOGY 24155,A000000,02200,0000,02200LABORATORY 24155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24155,A000000,02500,0000,02500PHYSICAL THERAPY 24155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24155,A000000,02700,0000,02700SPEECH PATHOLOGY 24155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24155,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24155,A000000,03051,0000,03301ENTERAL FEEDING 24155,A000000,03550,0000,03550FQHC 24155,A000000,05000,0000,05000CORF 24155,A000000,05010,0000,05010CMHC 24155,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24155,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24155,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24155,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24155,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24155,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24155,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24155,A000000,06153,0000,06312DIALYSIS 24155,A000000,06154,0000,06320APARTMENTS 24155,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24155,A000000,06156,0000,06340CLOSED PATIENT AREAS 24155,A000000,06157,0000,06350O/P ADULT DAYCARE 24155,A81000A,00100,0100,Y 24155,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24155,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24155,A81000B,00400,0300,SYMPHONY REHAB 24155,A81000B,00500,0300,SYMPHONY REHAB 24155,A81000B,00600,0300,SYMPHONY REHAB 24155,A81000B,00700,0300,REHAB ALLOCATION 24155,A81000B,00800,0300,REHAB ALLOCATION 24155,A81000B,00900,0300,REHAB ALLOCATION 24155,A81000B,01000,0300,LYRIC HO COST 24155,A81000B,01100,0300,LYRIC A&G COST 24155,A81000C,00100,0100,B 24155,A81000C,00100,0200,IHS INC. 24155,A81000C,00100,0400,IHS INC. 24155,A81000C,00100,0600,NURSING HOMES 24155,A81000C,00200,0100,B 24155,A81000C,00200,0200,IHS INC. 24155,A81000C,00200,0400,SYMPHONY REHAB 24155,A81000C,00200,0600,REHAB SERVICES 24155,A81000C,00300,0100,B 24155,A81000C,00300,0200,LYRIC 24155,A81000C,00300,0400,LYRIC 24155,A81000C,00300,0600,NURSING HOMES 24155,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24155,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24155,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24155,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24155,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24155,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24155,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24155,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24155,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24155,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24155,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24155,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24155,E10A180,00301,0100,05/18/2000 24155,E10A180,00350,0100,03/18/1999 24155,E10A180,00351,0100,12/03/1999 24155,E10A180,00501,0100,07/28/2000 24155,E10A180,00501,0300,07/28/2000 24155,S000000,00100,0200,06/02/2000 24155,S200000,00100,0100,3625 PARKMOOR VILLAGE DRIVE 24155,S200000,00200,0100,COLORADO SPRINGS 24155,S200000,00200,0200,CO 24155,S200000,00200,0300,80917- 24155,S200000,00300,0100,EL PASO 24155,S200000,00300,0200,1720 24155,S200000,00300,0300,U 24155,S200000,00400,0100,IHS-PARKMOOR VILLAGE 24155,S200000,00400,0200,065252 24155,S200000,00400,0300,03/01/1989 24155,S200000,00400,0500,P 24155,S200000,00600,0200,065252 24155,S200000,00600,0300,03/01/1989 24155,S200000,00600,0600,P 24155,S200000,01600,0100,Y 24155,S200000,02200,0100,Y 24162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24162,A000000,00300,0000,00300EMPLOYEE BENEFITS 24162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24162,A000000,00700,0000,00700HOUSEKEEPING 24162,A000000,00800,0000,00800DIETARY 24162,A000000,00900,0000,00900NURSING ADMINISTRATION 24162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24162,A000000,01100,0000,01100PHARMACY 24162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24162,A000000,01300,0000,01300SOCIAL SERVICE 24162,A000000,01350,0000,01500RECREATION ACTIVITIES 24162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24162,A000000,01600,0000,01600SKILLED NURSING FACILITY 24162,A000000,01800,0000,01800NURSING FACILITY 24162,A000000,01810,0000,01810ICF/MR 24162,A000000,02100,0000,02100RADIOLOGY 24162,A000000,02200,0000,02200LABORATORY 24162,A000000,02500,0000,02500PHYSICAL THERAPY 24162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24162,A000000,02700,0000,02700SPEECH PATHOLOGY 24162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24162,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24162,A000000,03051,0000,03301ENTERAL FEEDING 24162,A000000,03550,0000,03550FQHC 24162,A000000,05000,0000,05000CORF 24162,A000000,05010,0000,05010CMHC 24162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24162,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24162,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24162,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24162,A000000,06153,0000,06312DIALYSIS 24162,A000000,06154,0000,06320APARTMENTS 24162,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24162,A000000,06156,0000,06340CLOSED PATIENT AREAS 24162,A000000,06157,0000,06350O/P ADULT DAYCARE 24162,A81000A,00100,0100,Y 24162,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24162,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24162,A81000B,00400,0300,SYMPHONY REHAB 24162,A81000B,00500,0300,SYMPHONY REHAB 24162,A81000B,00600,0300,SYMPHONY REHAB 24162,A81000B,00700,0300,REHAB ALLOC 24162,A81000B,00800,0300,REHAB ALLOC 24162,A81000B,00900,0300,REHAB ALLOC 24162,A81000B,01000,0300,CLINICAL ALLOC 24162,A81000C,00100,0100,B 24162,A81000C,00100,0200,IHS INC. 24162,A81000C,00100,0400,IHS INC. 24162,A81000C,00100,0600,NURSING HOMES 24162,A81000C,00200,0100,B 24162,A81000C,00200,0200,IHS INC. 24162,A81000C,00200,0400,SYMPHONY REHAB 24162,A81000C,00200,0600,REHAB SERVICES 24162,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24162,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24162,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24162,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24162,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24162,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24162,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24162,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24162,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24162,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24162,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24162,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24162,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24162,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24162,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24162,E10A180,00301,0100,12/03/1999 24162,E10A180,00351,0100,03/18/1999 24162,S000000,00100,0200,06/02/2000 24162,S200000,00100,0100,2501 LITTLE BROOKCLIFF DRIVE 24162,S200000,00200,0100,GRAND JUNCTION 24162,S200000,00200,0200,CO 24162,S200000,00200,0300,81501- 24162,S200000,00300,0100,MESA 24162,S200000,00400,0100,IHS-LAVILLA GRANDE 24162,S200000,00400,0200,065253 24162,S200000,00400,0300,05/01/1989 24162,S200000,00400,0500,P 24162,S200000,00600,0200,065253 24162,S200000,00600,0300,05/01/1989 24162,S200000,00600,0600,P 24162,S200000,01600,0100,Y 24162,S700003,00000,0100,1 24163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24163,A000000,00300,0000,00300EMPLOYEE BENEFITS 24163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24163,A000000,00700,0000,00700HOUSEKEEPING 24163,A000000,00800,0000,00800DIETARY 24163,A000000,00900,0000,00900NURSING ADMINISTRATION 24163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24163,A000000,01100,0000,01100PHARMACY 24163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24163,A000000,01300,0000,01300SOCIAL SERVICE 24163,A000000,01350,0000,01500ACTIVITIES 24163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24163,A000000,01600,0000,01600SKILLED NURSING FACILITY 24163,A000000,01800,0000,01800NURSING FACILITY 24163,A000000,01900,0000,01900OTHER LONG TERM CARE 24163,A000000,02100,0000,02100RADIOLOGY 24163,A000000,02200,0000,02200LABORATORY 24163,A000000,02300,0000,02300INTRAVENOUS THERAPY 24163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24163,A000000,02500,0000,02500PHYSICAL THERAPY 24163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24163,A000000,02700,0000,02700SPEECH PATHOLOGY 24163,A000000,02800,0000,02800ELECTROCARDIOLOGY 24163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24163,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24163,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24163,A000000,03200,0000,03200SUPPORT SURFACES 24163,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24163,A000000,04800,0000,04800AMBULANCE 24163,A000000,05300,0000,05300INTEREST EXPENSE 24163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24163,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24163,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24163,A000000,06100,0000,06100NONPAID WORKERS 24163,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24163,A000000,06200,0000,06200PATIENTS LAUNDRY 24163,A81000A,00100,0100,Y 24163,A81000B,00100,0300,HOME OFFICE COST 24163,A81000B,00200,0300,ADMIN FEES PT 24163,A81000B,00300,0300,ADMIN FEES OT 24163,A81000B,00400,0300,ADMIN FEES ST 24163,A81000C,00100,0100,B 24163,A81000C,00100,0200,MCHS-BOULDER 24163,A81000C,00100,0400,HCR MANORCARE INC. 24163,A81000C,00100,0600,LONG TERM CARE FACILITIES 24163,A81000C,00200,0100,B 24163,A81000C,00200,0200,MCHS BOULDER 24163,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 24163,A81000C,00200,0600,THERAPY MANAGEMENT 24163,A81000C,00300,0100,B 24163,A81000C,00300,0200,MCHS BOULDER 24163,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24163,A81000C,00300,0600,THERAPY MANAGEMENT 24163,A81000C,00400,0100,B 24163,A81000C,00400,0200,MCHS BOULDER 24163,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24163,A81000C,00400,0600,THERAPY MANAGEMENT 24163,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24163,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24163,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24163,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24163,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24163,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24163,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24163,B100000,00000,0800,00000MEALS SERVED :DIETARY 24163,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24163,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24163,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24163,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24163,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24163,S000000,00100,0200,11/01/2000 24163,S200000,00100,0100,2800 PALO PARKWAY 24163,S200000,00200,0100,BOULDER 24163,S200000,00200,0200,CO 24163,S200000,00200,0300,80301- 24163,S200000,00300,0100,BOULDER 24163,S200000,00300,0200,1125 24163,S200000,00300,0300,U 24163,S200000,00400,0100,MCHS-BOULDER 24163,S200000,00400,0200,065267 24163,S200000,00400,0300,11/15/1989 24163,S200000,00400,0500,P 24163,S200000,00400,0600,P 24163,S200000,01004,0500,O 24163,S200000,01600,0100,Y 24163,S200000,02200,0100,Y 24171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24171,A000000,00300,0000,00300EMPLOYEE BENEFITS 24171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24171,A000000,00700,0000,00700HOUSEKEEPING 24171,A000000,00800,0000,00800DIETARY 24171,A000000,00900,0000,00900NURSING ADMINISTRATION 24171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24171,A000000,01100,0000,01100PHARMACY 24171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24171,A000000,01300,0000,01300SOCIAL SERVICE 24171,A000000,01350,0000,01500RECREATION ACTIVITIES 24171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24171,A000000,01600,0000,01600SKILLED NURSING FACILITY 24171,A000000,01800,0000,01800NURSING FACILITY 24171,A000000,01810,0000,01810ICF/MR 24171,A000000,02100,0000,02100RADIOLOGY 24171,A000000,02200,0000,02200LABORATORY 24171,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24171,A000000,02500,0000,02500PHYSICAL THERAPY 24171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24171,A000000,02700,0000,02700SPEECH PATHOLOGY 24171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24171,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24171,A000000,03051,0000,03301ENTERAL FEEDING 24171,A000000,03550,0000,03550FQHC 24171,A000000,05000,0000,05000CORF 24171,A000000,05010,0000,05010CMHC 24171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24171,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24171,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24171,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24171,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24171,A000000,06153,0000,06312DIALYSIS 24171,A000000,06154,0000,06320APARTMENTS 24171,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24171,A000000,06156,0000,06340CLOSED PATIENT AREAS 24171,A000000,06157,0000,06350O/P ADULT DAYCARE 24171,A81000A,00100,0100,Y 24171,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24171,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24171,A81000B,00400,0300,SYMPHONY REHAB 24171,A81000B,00500,0300,SYMPHONY REHAB 24171,A81000B,00600,0300,SYMPHONY REHAB 24171,A81000B,00700,0300,REHAB ALLOCATION 24171,A81000B,00800,0300,REHAB ALLOCATION 24171,A81000B,00900,0300,REHAB ALLOCATION 24171,A81000B,01000,0300,CLINICAL ALLOC 24171,A81000C,00100,0100,B 24171,A81000C,00100,0200,IHS INC. 24171,A81000C,00100,0400,IHS INC. 24171,A81000C,00100,0600,NURSING HOMES 24171,A81000C,00200,0100,B 24171,A81000C,00200,0200,IHS INC. 24171,A81000C,00200,0400,SYMPHONY REHAB 24171,A81000C,00200,0600,REHAB SERVICES 24171,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24171,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24171,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24171,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24171,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24171,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24171,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24171,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24171,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24171,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24171,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24171,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24171,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24171,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24171,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24171,E10A180,00351,0100,03/18/1999 24171,E10A180,00352,0100,12/03/1999 24171,S000000,00100,0200,06/02/2000 24171,S200000,00100,0100,2825 PATTERSON ROAD 24171,S200000,00200,0100,GRAND JUNCTION 24171,S200000,00200,0200,CO 24171,S200000,00200,0300,81501- 24171,S200000,00300,0100,MESA 24171,S200000,00400,0100,IHS-MANTEY HEIGHTS 24171,S200000,00400,0200,065307 24171,S200000,00400,0300,05/01/1989 24171,S200000,00400,0500,P 24171,S200000,00600,0200,065307 24171,S200000,00600,0300,05/01/1989 24171,S200000,00600,0600,P 24171,S200000,01600,0100,Y 24171,S200000,02200,0100,Y 24171,S700003,00000,0100,1 24175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24175,A000000,00300,0000,00300EMPLOYEE BENEFITS 24175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24175,A000000,00700,0000,00700HOUSEKEEPING 24175,A000000,00800,0000,00800DIETARY 24175,A000000,00900,0000,00900NURSING ADMINISTRATION 24175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24175,A000000,01100,0000,01100PHARMACY 24175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24175,A000000,01300,0000,01300SOCIAL SERVICE 24175,A000000,01350,0000,01500RECREATION ACTIVITIES 24175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24175,A000000,01600,0000,01600SKILLED NURSING FACILITY 24175,A000000,01800,0000,01800NURSING FACILITY 24175,A000000,01810,0000,01810ICF/MR 24175,A000000,02100,0000,02100RADIOLOGY 24175,A000000,02200,0000,02200LABORATORY 24175,A000000,02500,0000,02500PHYSICAL THERAPY 24175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24175,A000000,02700,0000,02700SPEECH PATHOLOGY 24175,A000000,02800,0000,02800ELECTROCARDIOLOGY 24175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24175,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24175,A000000,03051,0000,03301ENTERAL FEEDING 24175,A000000,03550,0000,03550FQHC 24175,A000000,05000,0000,05000CORF 24175,A000000,05010,0000,05010CMHC 24175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24175,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24175,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24175,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24175,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24175,A000000,06153,0000,06312DIALYSIS 24175,A000000,06154,0000,06320APARTMENTS 24175,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24175,A000000,06156,0000,06340CLOSED PATIENT AREAS 24175,A000000,06157,0000,06350O/P ADULT DAYCARE 24175,A81000A,00100,0100,Y 24175,A81000B,00100,0300,HOME OFFICE CAPITAL 24175,A81000B,00200,0300,HOME OFFICE ADMIN 24175,A81000B,00300,0300,HOME OFFICE CLINICAL 24175,A81000B,00400,0300,HOME OFFICE REHAB 24175,A81000B,00500,0300,HOME OFFICE REHAB 24175,A81000B,00600,0300,HOME OFFICE REHAB 24175,A81000C,00100,0100,A 24175,A81000C,00100,0200,IHS INC. 24175,A81000C,00100,0400,IHS INC. 24175,A81000C,00100,0600,NURSING HOMES 24175,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24175,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24175,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24175,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24175,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24175,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24175,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24175,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24175,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24175,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24175,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24175,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24175,E10A180,00301,0100,09/18/2000 24175,E10A180,00350,0100,01/03/2000 24175,E10A180,00501,0300,12/26/2000 24175,E10A180,00550,0100,12/26/2000 24175,S000000,00100,0200,10/31/2000 24175,S200000,00100,0100,50 HAZEL DRIVE 24175,S200000,00200,0100,CHESHIRE 24175,S200000,00200,0200,CT 24175,S200000,00200,0300,06410- 24175,S200000,00300,0100,NEW HAVEN 24175,S200000,00300,0200,5483 24175,S200000,00300,0300,U 24175,S200000,00400,0100,GREENERY EXTENDED CARE 24175,S200000,00400,0200,075010 24175,S200000,00400,0300,10/01/1972 24175,S200000,00400,0500,P 24175,S200000,00600,0200,075010 24175,S200000,00600,0300,10/01/1972 24175,S200000,00600,0600,P 24175,S200000,01600,0100,Y 24175,S200000,02200,0100,Y 24181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24181,A000000,00300,0000,00300EMPLOYEE BENEFITS 24181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24181,A000000,00700,0000,00700HOUSEKEEPING 24181,A000000,00800,0000,00800DIETARY 24181,A000000,00900,0000,00900NURSING ADMINISTRATION 24181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24181,A000000,01100,0000,01100PHARMACY 24181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24181,A000000,01300,0000,01300SOCIAL SERVICE 24181,A000000,01350,0000,01500RECREATION ACTIVITIES 24181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24181,A000000,01600,0000,01600SKILLED NURSING FACILITY 24181,A000000,01800,0000,01800NURSING FACILITY 24181,A000000,01810,0000,01810ICF/MR 24181,A000000,02100,0000,02100RADIOLOGY 24181,A000000,02200,0000,02200LABORATORY 24181,A000000,02500,0000,02500PHYSICAL THERAPY 24181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24181,A000000,02700,0000,02700SPEECH PATHOLOGY 24181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24181,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24181,A000000,03051,0000,03301ENTERAL FEEDING 24181,A000000,03550,0000,03550FQHC 24181,A000000,05000,0000,05000CORF 24181,A000000,05010,0000,05010CMHC 24181,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24181,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24181,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24181,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24181,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24181,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24181,A000000,06153,0000,06312DIALYSIS 24181,A000000,06154,0000,06320APARTMENTS 24181,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24181,A000000,06156,0000,06340CLOSED PATIENT AREAS 24181,A000000,06157,0000,06350O/P ADULT DAYCARE 24181,A81000A,00100,0100,Y 24181,A81000B,00100,0300,HOME OFFICE CAPITAL 24181,A81000B,00200,0300,HOME OFFICE ADMIN 24181,A81000B,00300,0300,HOME OFFICE CLINICAL 24181,A81000B,00400,0300,HOME OFFICE REHAB 24181,A81000B,00500,0300,HOME OFFICE REHAB 24181,A81000B,00600,0300,HOME OFFICE REHAB 24181,A81000C,00100,0100,A 24181,A81000C,00100,0200,IHS INC. 24181,A81000C,00100,0400,IHS 24181,A81000C,00100,0600,NURSING HOMES 24181,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24181,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24181,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24181,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24181,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24181,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24181,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24181,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24181,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24181,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24181,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24181,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24181,E10A180,00301,0100,09/18/2000 24181,E10A180,00302,0100,02/18/2000 24181,E10A180,00350,0100,01/03/2000 24181,E10A180,00501,0300,10/30/2000 24181,E10A180,00550,0100,10/30/2000 24181,E10A180,00551,0100,12/26/2000 24181,E10A180,00551,0300,12/26/2000 24181,S000000,00100,0200,10/31/2000 24181,S200000,00100,0100,117 WHITEWOOD ROAD 24181,S200000,00200,0100,WATERBURY 24181,S200000,00200,0200,CT 24181,S200000,00200,0300,06708- 24181,S200000,00300,0100,NEW HAVEN 24181,S200000,00300,0200,5483 24181,S200000,00300,0300,U 24181,S200000,00400,0100,GREENERY REHAB-WATERBURY 24181,S200000,00400,0200,075219 24181,S200000,00400,0300,02/11/1994 24181,S200000,00400,0500,P 24181,S200000,00600,0200,075219 24181,S200000,00600,0300,02/11/1994 24181,S200000,00600,0600,P 24181,S200000,01600,0100,Y 24181,S200000,02200,0100,Y 24188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24188,A000000,00300,0000,00300EMPLOYEE BENEFITS 24188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24188,A000000,00700,0000,00700HOUSEKEEPING 24188,A000000,00800,0000,00800DIETARY 24188,A000000,00900,0000,00900NURSING ADMINISTRATION 24188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24188,A000000,01100,0000,01100PHARMACY 24188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24188,A000000,01300,0000,01300SOCIAL SERVICE 24188,A000000,01350,0000,01500RECREATION ACTIVITIES 24188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24188,A000000,01600,0000,01600SKILLED NURSING FACILITY 24188,A000000,01800,0000,01800NURSING FACILITY 24188,A000000,01810,0000,01810ICF/MR 24188,A000000,02100,0000,02100RADIOLOGY 24188,A000000,02200,0000,02200LABORATORY 24188,A000000,02500,0000,02500PHYSICAL THERAPY 24188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24188,A000000,02700,0000,02700SPEECH PATHOLOGY 24188,A000000,02800,0000,02800ELECTROCARDIOLOGY 24188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24188,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24188,A000000,03051,0000,03301ENTERAL FEEDING 24188,A000000,03550,0000,03550FQHC 24188,A000000,05000,0000,05000CORF 24188,A000000,05010,0000,05010CMHC 24188,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24188,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24188,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24188,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24188,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24188,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24188,A000000,06153,0000,06312DIALYSIS 24188,A000000,06154,0000,06320APARTMENTS 24188,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24188,A000000,06156,0000,06340CLOSED PATIENT AREAS 24188,A000000,06157,0000,06350O/P ADULT DAYCARE 24188,A81000A,00100,0100,Y 24188,A81000B,00100,0300,HOME OFFICE CAPITAL 24188,A81000B,00200,0300,HOME OFFICE ADMIN 24188,A81000B,00300,0300,HOME OFFICE CLINICAL 24188,A81000B,00400,0300,HOME OFFICE REHAB 24188,A81000B,00500,0300,HOME OFFICE REHAB 24188,A81000B,00600,0300,HOME OFFICE REHAB 24188,A81000C,00100,0100,A 24188,A81000C,00100,0200,IHS INC. 24188,A81000C,00100,0400,IHS 24188,A81000C,00100,0600,NURSING HOMES 24188,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24188,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24188,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24188,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24188,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24188,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24188,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24188,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24188,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24188,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24188,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24188,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24188,E10A180,00301,0100,02/18/2000 24188,E10A180,00350,0100,01/03/2000 24188,E10A180,00351,0100,09/18/2000 24188,E10A180,00501,0300,10/30/2000 24188,E10A180,00550,0100,10/30/2000 24188,E10A180,00551,0100,12/26/2000 24188,E10A180,00551,0300,12/26/2000 24188,S000000,00100,0200,10/31/2000 24188,S200000,00100,0100,181 CLIFTON STREET 24188,S200000,00200,0100,NEW HAVEN 24188,S200000,00200,0200,CT 24188,S200000,00200,0300,06513- 24188,S200000,00300,0100,NEW HAVEN 24188,S200000,00300,0200,5483 24188,S200000,00300,0300,U 24188,S200000,00400,0100,CLIFTON HOUSE REHAB CENTER 24188,S200000,00400,0200,075397 24188,S200000,00400,0300,04/08/1994 24188,S200000,00400,0500,P 24188,S200000,00600,0200,075397 24188,S200000,00600,0300,04/08/1994 24188,S200000,00600,0600,P 24188,S200000,01600,0100,Y 24188,S200000,02200,0100,Y 24197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24197,A000000,00300,0000,00300EMPLOYEE BENEFITS 24197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24197,A000000,00700,0000,00700HOUSEKEEPING 24197,A000000,00800,0000,00800DIETARY 24197,A000000,00900,0000,00900NURSING ADMINISTRATION 24197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24197,A000000,01100,0000,01100PHARMACY 24197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24197,A000000,01300,0000,01300SOCIAL SERVICE 24197,A000000,01350,0000,01500RECREATION ACTIVITIES 24197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24197,A000000,01600,0000,01600SKILLED NURSING FACILITY 24197,A000000,01800,0000,01800NURSING FACILITY 24197,A000000,01810,0000,01810ICF/MR 24197,A000000,02100,0000,02100RADIOLOGY 24197,A000000,02200,0000,02200LABORATORY 24197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24197,A000000,02500,0000,02500PHYSICAL THERAPY 24197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24197,A000000,02700,0000,02700SPEECH PATHOLOGY 24197,A000000,02800,0000,02800ELECTROCARDIOLOGY 24197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24197,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24197,A000000,03051,0000,03301ENTERAL FEEDING 24197,A000000,03550,0000,03550FQHC 24197,A000000,05000,0000,05000CORF 24197,A000000,05010,0000,05010CMHC 24197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24197,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24197,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24197,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24197,A000000,06153,0000,06312DIALYSIS 24197,A000000,06154,0000,06320APARTMENTS 24197,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24197,A000000,06156,0000,06340CLOSED PATIENT AREAS 24197,A000000,06157,0000,06350O/P ADULT DAYCARE 24197,A81000A,00100,0100,Y 24197,A81000B,00100,0300,HOME OFFICE ADMIN & GEN 24197,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24197,A81000B,00300,0300,MSU DEVELOPMENT COST 24197,A81000B,00400,0300,SYMPHONY REHAB 24197,A81000B,00500,0300,SYMPHONY REHAB 24197,A81000B,00600,0300,REHAB ALLOCATION 24197,A81000B,00700,0300,REHAB ALLOCATION 24197,A81000B,00800,0300,REHAB ALLOCATION 24197,A81000B,00900,0300,CLINICAL ALLOCATION 24197,A81000B,01000,0300,SYMPHONY RESP SERVIC 24197,A81000B,01100,0300,SYMPHONY MEDICAL PRO 24197,A81000B,01200,0300,SYMPHONY MOBILEX 24197,A81000C,00100,0100,B 24197,A81000C,00100,0400,IHS INC. 24197,A81000C,00100,0600,NURSING HOMES 24197,A81000C,00200,0100,G 24197,A81000C,00200,0400,SYMPHONY REHAB 24197,A81000C,00200,0600,REHAB SERVICES 24197,A81000C,00300,0100,G 24197,A81000C,00300,0400,LTC 24197,A81000C,00300,0600,LAB 24197,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24197,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24197,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24197,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24197,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24197,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24197,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24197,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24197,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24197,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24197,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24197,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24197,E10A180,00350,0100,03/18/1999 24197,E10A180,00351,0100,12/03/1999 24197,E10A180,00353,0100,05/18/2000 24197,E10A180,00501,0100,07/28/2000 24197,E10A180,00550,0300,07/28/2000 24197,S000000,00100,0200,06/01/2000 24197,S200000,00100,0100,3034 SOUTH DUPONT BOULEVARD 24197,S200000,00200,0100,SMYRNA 24197,S200000,00200,0200,DE 24197,S200000,00200,0300,19977- 24197,S200000,00300,0100,KENT 24197,S200000,00300,0200,2190 24197,S200000,00300,0300,U 24197,S200000,00400,0100,IHS-DELAWARE AT KENT 24197,S200000,00400,0200,085020 24197,S200000,00400,0300,10/06/1980 24197,S200000,00400,0500,P 24197,S200000,00400,0600,O 24197,S200000,00600,0200,085020 24197,S200000,00600,0300,10/06/1980 24197,S200000,00600,0600,P 24197,S200000,01600,0100,Y 24197,S200000,02200,0100,Y 24207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24207,A000000,00300,0000,00300EMPLOYEE BENEFITS 24207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24207,A000000,00700,0000,00700HOUSEKEEPING 24207,A000000,00800,0000,00800DIETARY 24207,A000000,00900,0000,00900NURSING ADMINISTRATION 24207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24207,A000000,01100,0000,01100PHARMACY 24207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24207,A000000,01300,0000,01300SOCIAL SERVICE 24207,A000000,01350,0000,01500ACTIVITIES 24207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24207,A000000,01600,0000,01600SKILLED NURSING FACILITY 24207,A000000,01800,0000,01800NURSING FACILITY 24207,A000000,01900,0000,01900OTHER LONG TERM CARE 24207,A000000,02100,0000,02100RADIOLOGY 24207,A000000,02200,0000,02200LABORATORY 24207,A000000,02300,0000,02300INTRAVENOUS THERAPY 24207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24207,A000000,02500,0000,02500PHYSICAL THERAPY 24207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24207,A000000,02700,0000,02700SPEECH PATHOLOGY 24207,A000000,02800,0000,02800ELECTROCARDIOLOGY 24207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24207,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24207,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24207,A000000,03200,0000,03200SUPPORT SURFACES 24207,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24207,A000000,04800,0000,04800AMBULANCE 24207,A000000,05300,0000,05300INTEREST EXPENSE 24207,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24207,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24207,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24207,A000000,06100,0000,06100NONPAID WORKERS 24207,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24207,A000000,06200,0000,06200PATIENTS LAUNDRY 24207,A81000A,00100,0100,Y 24207,A81000B,00100,0300,HOME OFFICE COST 24207,A81000B,00200,0300,PT ADMIN FEES 24207,A81000B,00300,0300,OT ADMIN FEES 24207,A81000B,00400,0300,ST ADMIN FEES 24207,A81000B,00500,0300,DIRECT INTEREST 24207,A81000C,00100,0100,B 24207,A81000C,00100,0200,MCHS WILMINGTON 24207,A81000C,00100,0400,HCR MANORCARE INC. 24207,A81000C,00100,0600,LONG TERM CARE FACILITIES 24207,A81000C,00200,0100,B 24207,A81000C,00200,0200,MCHS WILMINGTON 24207,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 24207,A81000C,00200,0600,THERAPY MANAGEMENT 24207,A81000C,00300,0100,B 24207,A81000C,00300,0200,MCHS WILMINGTON 24207,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 24207,A81000C,00300,0600,THERAPY MANAGEMENT 24207,A81000C,00400,0100,B 24207,A81000C,00400,0200,MCHS WILMINGTON 24207,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 24207,A81000C,00400,0600,THERAPY MANAGEMENT 24207,A81000C,00500,0100,B 24207,A81000C,00500,0200,MCHS WILMINGTON 24207,A81000C,00500,0400,HCR MANORCARE INC. 24207,A81000C,00500,0600,LONG TERM CARE FACILITIES 24207,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24207,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24207,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24207,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24207,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24207,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24207,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24207,B100000,00000,0800,00000MEALS SERVED :DIETARY 24207,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24207,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24207,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24207,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24207,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24207,S000000,00100,0200,10/27/2000 24207,S200000,00100,0100,700 FOULD ROAD 24207,S200000,00200,0100,WILMINGTON 24207,S200000,00200,0200,DE 24207,S200000,00200,0300,19803- 24207,S200000,00300,0100,NEW CASTLE 24207,S200000,00300,0200,9160 24207,S200000,00300,0300,U 24207,S200000,00400,0100,MCHS WILMINGTON 24207,S200000,00400,0200,085028 24207,S200000,00400,0300,01/01/1966 24207,S200000,00400,0500,P 24207,S200000,00400,0600,P 24207,S200000,01004,0500,O 24207,S200000,01600,0100,Y 24207,S200000,02200,0100,Y 24218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24218,A000000,00300,0000,00300EMPLOYEE BENEFITS 24218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24218,A000000,00700,0000,00700HOUSEKEEPING 24218,A000000,00800,0000,00800DIETARY 24218,A000000,00900,0000,00900NURSING ADMINISTRATION 24218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24218,A000000,01100,0000,01100PHARMACY 24218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24218,A000000,01300,0000,01300SOCIAL SERVICE 24218,A000000,01350,0000,01500ACTIVITIES 24218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24218,A000000,01600,0000,01600SKILLED NURSING FACILITY 24218,A000000,01800,0000,01800NURSING FACILITY 24218,A000000,01900,0000,01900OTHER LONG TERM CARE 24218,A000000,02100,0000,02100RADIOLOGY 24218,A000000,02200,0000,02200LABORATORY 24218,A000000,02300,0000,02300INTRAVENOUS THERAPY 24218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24218,A000000,02500,0000,02500PHYSICAL THERAPY 24218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24218,A000000,02700,0000,02700SPEECH PATHOLOGY 24218,A000000,02800,0000,02800ELECTROCARDIOLOGY 24218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24218,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24218,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24218,A000000,03200,0000,03200SUPPORT SURFACES 24218,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24218,A000000,04800,0000,04800AMBULANCE 24218,A000000,05300,0000,05300INTEREST EXPENSE 24218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24218,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24218,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24218,A000000,06100,0000,06100NONPAID WORKERS 24218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24218,A000000,06200,0000,06200PATIENTS LAUNDRY 24218,A81000A,00100,0100,Y 24218,A81000B,00100,0300,HOME OFFICE COST 24218,A81000B,00200,0300,HOME OFFIICE DIRECT INTEREST COST 24218,A81000B,00300,0300,PT ADMINISTRATION FEE 24218,A81000B,00400,0300,OT ADMINISTRATION FEE 24218,A81000B,00500,0300,ST ADMINISTRATION FEE 24218,A81000C,00100,0100,B 24218,A81000C,00100,0200,MCHS PIKE CREEK 24218,A81000C,00100,0400,HCR MANORCARE INC. 24218,A81000C,00100,0600,LONG TERM CARE FACILITIES 24218,A81000C,00200,0100,B 24218,A81000C,00200,0200,MCHS PIKE CREEK 24218,A81000C,00200,0400,HCR MANORCARE INC. 24218,A81000C,00200,0600,LONG TERM CARE FACILITIES 24218,A81000C,00300,0100,B 24218,A81000C,00300,0200,MCHS PIKE CREEK 24218,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24218,A81000C,00300,0600,THERAPY MANAGEMENT 24218,A81000C,00400,0100,B 24218,A81000C,00400,0200,MCHS PIKE CREEK 24218,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24218,A81000C,00400,0600,THERAPY MANAGEMENT 24218,A81000C,00500,0100,B 24218,A81000C,00500,0200,MCHS PIKE CREEK 24218,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 24218,A81000C,00500,0600,THERAPY MANAGEMENT 24218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24218,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24218,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24218,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24218,B100000,00000,0800,00000MEALS SERVED :DIETARY 24218,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24218,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24218,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24218,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24218,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24218,S000000,00100,0200,11/07/2000 24218,S200000,00100,0100,5651 LINESTONE RD 24218,S200000,00200,0100,WILMINGTON 24218,S200000,00200,0200,DE 24218,S200000,00200,0300,19808- 24218,S200000,00300,0100,NEW CASTLE 24218,S200000,00300,0200,9160 24218,S200000,00300,0300,U 24218,S200000,00400,0100,MCHS PIKE CREEK 24218,S200000,00400,0200,085033 24218,S200000,00400,0300,01/01/1966 24218,S200000,00400,0500,P 24218,S200000,00400,0600,P 24218,S200000,01004,0500,O 24218,S200000,01600,0100,Y 24218,S200000,02200,0100,Y 24230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24230,A000000,00300,0000,00300EMPLOYEE BENEFITS 24230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24230,A000000,00700,0000,00700HOUSEKEEPING 24230,A000000,00800,0000,00800DIETARY 24230,A000000,00900,0000,00900NURSING ADMINISTRATION 24230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24230,A000000,01300,0000,01300SOCIAL SERVICE 24230,A000000,01350,0000,01500PHYSICIANS SERVICES 24230,A000000,01600,0000,01600SKILLED NURSING FACILITY 24230,A000000,01800,0000,01800NURSING FACILITY 24230,A000000,02200,0000,02200LABORATORY 24230,A000000,02300,0000,02300INTRAVENOUS THERAPY 24230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24230,A000000,02500,0000,02500PHYSICAL THERAPY 24230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24230,A000000,02700,0000,02700SPEECH PATHOLOGY 24230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24230,A000000,03050,0000,03201DME 24230,A000000,03200,0000,03200SUPPORT SURFACES 24230,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 24230,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 24230,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 24230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24230,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 24230,A000000,06150,0000,06300HOSPICE 24230,A000000,06151,0000,06310COMMUNICATIONS/MARKETING 24230,A000000,06152,0000,06320DEVELOPMENT 24230,B100000,00000,0100,00020SQUARE FEET :CAP REL COSTS - BLDGS 24230,B100000,00000,0300,00020GROSS SALARIES :EMPLOYEE BENEFITS 24230,B100000,00000,0400,00020 ACCUM. COST :ADMINISTRATIVE & GENE 24230,B100000,00000,0500,00020SQUARE FEET :PLANT OPERATION MAIN 24230,B100000,00000,0650,00020PATIENT DAYS :LAUNDRY & LINEN SERV 24230,B100000,00000,0750,00020SQUARE FEET :HOUSEKEEPING 24230,B100000,00000,0850,000203XPATIENT DAYS :DIETARY 24230,B100000,00000,0950,00020DIRECT NRSG HRS :NURSING ADMINISTRA 24230,B100000,00000,1000,00020COSTED REQUIS :CENTRAL SERVICES & 24230,B100000,00000,1250,00020PATIENT DAYS :MEDICAL RECORDS & LI 24230,B100000,00000,1330,00020PATIENT DAYS :SOCIAL SERVICE 24230,B100000,00000,1350,00020TIME SPENT :PHYSICIANS SERVICES 24230,S000000,00100,0200,12/01/2000 24230,S200000,00100,0100,3720 UPTON STREET N.W. 24230,S200000,00200,0100,WASHINGTON D.C. 24230,S200000,00200,0200,CA 24230,S200000,00200,0300,20016- 24230,S200000,00300,0100,DISTRICT OF COLUMBIA 24230,S200000,00300,0200,8840 24230,S200000,00300,0300,U 24230,S200000,00400,0100,THE WASHINGTON HOME 24230,S200000,00400,0200,095005 24230,S200000,00400,0300,01/01/1967 24230,S200000,00400,0500,P 24230,S200000,00600,0200,095005 24230,S200000,00600,0300,01/01/1967 24230,S200000,00600,0600,P 24230,S200000,00800,0200,097026 24230,S200000,00800,0300,11/26/1990 24230,S200000,00800,0500,P 24230,S200000,01600,0100,Y 24230,S200000,04300,0100,Y 24238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24238,A000000,00300,0000,00300EMPLOYEE BENEFITS 24238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24238,A000000,00700,0000,00700HOUSEKEEPING 24238,A000000,00800,0000,00800DIETARY 24238,A000000,00801,0000,00801CAFETERIA 24238,A000000,00900,0000,00900NURSING ADMINISTRATION 24238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24238,A000000,01100,0000,01100PHARMACY 24238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24238,A000000,01300,0000,01300SOCIAL SERVICE 24238,A000000,01600,0000,01600SKILLED NURSING FACILITY 24238,A000000,01800,0000,01800NURSING FACILITY 24238,A000000,01900,0000,01900OTHER LONG TERM CARE 24238,A000000,02100,0000,02100RADIOLOGY 24238,A000000,02200,0000,02200LABORATORY 24238,A000000,02300,0000,02300INTRAVENOUS THERAPY 24238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24238,A000000,02500,0000,02500PHYSICAL THERAPY 24238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24238,A000000,02700,0000,02700SPEECH PATHOLOGY 24238,A000000,02800,0000,02800ELECTROCARDIOLOGY 24238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24238,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24238,A000000,03400,0000,03400CLINIC 24238,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 24238,A000000,04800,0000,04800AMBULANCE 24238,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24238,A000000,05000,0000,05000CORF 24238,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 24238,A000000,05300,0000,05300INTEREST EXPENSE 24238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24238,A000000,05500,0000,05500HOSPICE 24238,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24238,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 24238,A000000,06001,0000,06001CENTER CARE 24238,A000000,06100,0000,06100NONPAID WORKERS 24238,A000000,06101,0000,06101WEHTS 24238,A000000,06200,0000,06200PATIENTS LAUNDRY 24238,A000000,06201,0000,06201DENTAL EYE CLINIC 24238,A81000A,00100,0100,Y 24238,A81000B,00100,0300,INTEREST 24238,A81000C,00100,0100,B 24238,A81000C,00100,0200,DISTRICT OF COLUMBIA GOVT 24238,A81000C,00100,0400,GOVERNMENT 24238,A81000C,00200,0100,A 24238,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 24238,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 24238,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 24238,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 24238,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 24238,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 24238,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 24238,B100000,00000,0800,00001MEALS SERVED :DIETARY 24238,B100000,00000,0801,00001MEALS SERVED :CAFETERIA 24238,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 24238,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 24238,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 24238,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 24238,E10A180,00301,0100,01/10/2000 24238,S000000,00100,0200,12/08/2000 24238,S200000,00100,0100,2601 18TH STREET 24238,S200000,00200,0100,WASHINGTON 24238,S200000,00200,0200,DC 24238,S200000,00200,0300,20018- 24238,S200000,00300,0100,DISTRICT OF COLUMBIA 24238,S200000,00300,0200,8840 24238,S200000,00300,0300,U 24238,S200000,00400,0100,WASHINGTON CENTER FOR THE AGING 24238,S200000,00400,0200,095014 24238,S200000,00400,0300,08/13/1982 24238,S200000,00400,0500,P 24238,S200000,01004,0500,O 24238,S200000,01600,0100,Y 24238,S200000,02200,0100,Y 24246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 24246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 24246,A000000,00300,0000,00300EMPLOYEE BENEFITS 24246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 24246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24246,A000000,00700,0000,00700HOUSEKEEPING 24246,A000000,00800,0000,00800DIETARY 24246,A000000,00801,0000,00801CAFETERIA 24246,A000000,00900,0000,00900NURSING ADMINISTRATION 24246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24246,A000000,01100,0000,01100PHARMACY 24246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24246,A000000,01300,0000,01300SOCIAL SERVICE 24246,A000000,01301,0000,01301CHAPLAIN 24246,A000000,01302,0000,01302ACTIVITIES 24246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 24246,A000000,01600,0000,01600SKILLED NURSING FACILITY 24246,A000000,01800,0000,01800NURSING FACILITY 24246,A000000,01810,0000,01810ICF/MR 24246,A000000,01900,0000,01900OTHER LONG TERM CARE 24246,A000000,02500,0000,02500PHYSICAL THERAPY 24246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24246,A000000,02700,0000,02700SPEECH PATHOLOGY 24246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 24246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24246,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 24246,A000000,03550,0000,03550FQHC 24246,A000000,05000,0000,05000CORF 24246,A000000,05010,0000,05010CMHC 24246,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24246,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24246,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24246,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 24246,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24246,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24246,A000000,06151,0000,06301ASSISTED LIVING 24246,A000000,06152,0000,06302MARKETING 24246,A81000A,00100,0100,Y 24246,A81000B,00100,0300,MANAGEMENT FEES 24246,A81000B,00200,0300,CAPITAL-BLDG 24246,A81000B,00300,0300,CAPITAL-EQUIP 24246,A81000B,00400,0300,ADMIN AND GENERAL 24246,A81000C,00100,0100,G 24246,A81000C,00100,0200,ABHOW 24246,A81000C,00100,0400,ABHOW 24246,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 24246,B100000,00000,0100,00002SQUARE FEET 24246,B100000,00000,0200,00002SQUARE FEET 24246,B100000,00000,0300,00002GROSS SALARIES 24246,B100000,00000,0400,00002ACCUM. COST 24246,B100000,00000,0500,00002SQUARE FEET 24246,B100000,00000,0600,00002POUNDS OF LAUNDRY 24246,B100000,00000,0700,00002SQUARE FEET 24246,B100000,00000,0800,00002MEALS SERVED 24246,B100000,00000,0801,00002FTE HOURS 24246,B100000,00000,0900,00002DIRECT NRSING HRS 24246,B100000,00000,1000,00002COSTED REQUIS. 24246,B100000,00000,1100,00002COSTED REQUIS. 24246,B100000,00000,1200,00002TIME SPENT 24246,B100000,00000,1300,00002TIME SPENT 24246,B100000,00000,1301,00002TIME SPENT 24246,B100000,00000,1302,00002TIME SPENT 24246,B100000,00000,1400,00002ASSIGNED TIME 24246,S000000,00100,0200,03/01/2000 24246,S200000,00100,0100,1330 MASSACHUSETTS AVE NW 24246,S200000,00200,0100,WASHINGTON DC 24246,S200000,00200,0200,DC 24246,S200000,00300,0100,DISTRICT OF COLUMBIA 24246,S200000,00400,0100,THOMAS HOUSE 24246,S200000,00400,0200,095021 24246,S200000,00400,0300,04/01/1987 24246,S200000,00400,0500,P 24246,S200000,01600,0100,Y 24246,S200000,02800,0100,Y 24255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 24255,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 24255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 24255,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 24255,A000000,00300,0000,00300EMPLOYEE BENEFITS 24255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 24255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24255,A000000,00700,0000,00700HOUSEKEEPING 24255,A000000,00800,0000,00800DIETARY 24255,A000000,00801,0000,00801CAFETERIA 24255,A000000,00900,0000,00900NURSING ADMINISTRATION 24255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24255,A000000,01100,0000,01100PHARMACY 24255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24255,A000000,01300,0000,01300SOCIAL SERVICE 24255,A000000,01350,0000,01500ACTIVITIES 24255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 24255,A000000,01600,0000,01600SKILLED NURSING FACILITY 24255,A000000,01800,0000,01800NURSING FACILITY 24255,A000000,01810,0000,01810ICF/MR 24255,A000000,02200,0000,02200LABORATORY 24255,A000000,02500,0000,02500PHYSICAL THERAPY 24255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24255,A000000,02700,0000,02700SPEECH PATHOLOGY 24255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 24255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24255,A000000,03050,0000,03300OTHER ANCILLARY 24255,A000000,03051,0000,03301OTHER ANCILLARY II 24255,A000000,03052,0000,03302OTHER ANCILLARY III 24255,A000000,03200,0000,03200SUPPORT SURFACES 24255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 24255,A000000,03550,0000,03550FQHC 24255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 24255,A000000,05000,0000,05000CORF I 24255,A000000,05010,0000,05010CMHC I 24255,A000000,05020,0000,05020OPT I 24255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 24255,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 24255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 24255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24255,B100000,00000,0100,00000(SQUARE FEET) 24255,B100000,00000,0101,00000(SQUARE FEET) 24255,B100000,00000,0200,00000(SQUARE FEET) 24255,B100000,00000,0201,00000(SQUARE FEET) 24255,B100000,00000,0300,00000(GROSS SALARIES) 24255,B100000,00000,0400,00000(ACCUM. COST) 24255,B100000,00000,0500,00000(SQUARE FEET) 24255,B100000,00000,0600,00000(PATIENT DAYS) 24255,B100000,00000,0700,00000(SQUARE FEET) 24255,B100000,00000,0800,00000(MEALS SERVED) 24255,B100000,00000,0801,00000(MEALS SERVED) 24255,B100000,00000,0900,00000(NURSING SALARIES) 24255,B100000,00000,1000,00000(PATIENT DAYS) 24255,B100000,00000,1100,00000(PATIENT DAYS) 24255,B100000,00000,1200,00000(PATIENT DAYS) 24255,B100000,00000,1300,00000(PATIENT DAYS) 24255,B100000,00000,1350,00000(PATIENT DAYS) 24255,B100000,00000,1400,00000(ASSIGNED TIME) 24255,S000000,00100,0200,03/10/2000 24255,S200000,00100,0100,901 FIRST STREET NW 24255,S200000,00200,0100,WASHINGTON 24255,S200000,00200,0200,DC 24255,S200000,00200,0300,20001 24255,S200000,00400,0100,J.B. JOHNSON NURSING CENTER 24255,S200000,00400,0200,095036 24255,S200000,00400,0300,07/25/1997 24255,S200000,00400,0500,P 24255,S200000,01600,0100,Y 24258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24258,A000000,00300,0000,00300EMPLOYEE BENEFITS 24258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24258,A000000,00700,0000,00700HOUSEKEEPING 24258,A000000,00800,0000,00800DIETARY 24258,A000000,00900,0000,00900NURSING ADMINISTRATION 24258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24258,A000000,01100,0000,01100PHARMACY 24258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24258,A000000,01300,0000,01300SOCIAL SERVICE 24258,A000000,01350,0000,01500RECREATION ACTIVITIES 24258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24258,A000000,01600,0000,01600SKILLED NURSING FACILITY 24258,A000000,01800,0000,01800NURSING FACILITY 24258,A000000,01810,0000,01810ICF/MR 24258,A000000,02100,0000,02100RADIOLOGY 24258,A000000,02200,0000,02200LABORATORY 24258,A000000,02500,0000,02500PHYSICAL THERAPY 24258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24258,A000000,02700,0000,02700SPEECH PATHOLOGY 24258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24258,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24258,A000000,03051,0000,03301ENTERAL FEEDING 24258,A000000,03550,0000,03550FQHC 24258,A000000,05000,0000,05000CORF 24258,A000000,05010,0000,05010CMHC 24258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24258,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24258,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24258,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24258,A000000,06153,0000,06312DIALYSIS 24258,A000000,06154,0000,06320APARTMENTS 24258,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24258,A000000,06156,0000,06340CLOSED PATIENT AREAS 24258,A000000,06157,0000,06350O/P ADULT DAYCARE 24258,A81000A,00100,0100,Y 24258,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24258,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24258,A81000B,00400,0300,SYMPHONY REHAB 24258,A81000B,00500,0300,SYMPHONY REHAB 24258,A81000B,00600,0300,SYMPHONY REHAB 24258,A81000B,00700,0300,REHAB ALLOCATION 24258,A81000B,00800,0300,REHAB ALLOCATION 24258,A81000B,00900,0300,REHAB ALLOCATION 24258,A81000B,01000,0300,CLINICAL ALLOCATION 24258,A81000C,00100,0100,B 24258,A81000C,00100,0400,IHS INC. 24258,A81000C,00100,0600,NURSING HOMES 24258,A81000C,00200,0100,G 24258,A81000C,00200,0400,SYMPHONY 24258,A81000C,00200,0600,REHAB SERVICES 24258,A81000C,00300,0100,G 24258,A81000C,00300,0400,LTC 24258,A81000C,00300,0600,LAB 24258,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24258,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24258,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24258,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24258,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24258,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24258,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24258,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24258,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24258,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24258,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24258,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24258,S000000,00100,0200,05/31/2000 24258,S200000,00100,0100,2010 MANATEE AVENUE EAST 24258,S200000,00200,0100,BRADENTON 24258,S200000,00200,0200,FL 24258,S200000,00200,0300,34208- 24258,S200000,00300,0100,MANATEE 24258,S200000,00300,0200,7510 24258,S200000,00300,0300,U 24258,S200000,00400,0100,IHS-BRADEN RIVER 24258,S200000,00400,0200,105045 24258,S200000,00400,0300,04/10/1990 24258,S200000,00400,0500,P 24258,S200000,00600,0200,105045 24258,S200000,00600,0300,04/10/1990 24258,S200000,00600,0600,P 24258,S200000,01600,0100,Y 24258,S200000,02200,0100,Y 24269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24269,A000000,00300,0000,00300EMPLOYEE BENEFITS 24269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24269,A000000,00700,0000,00700HOUSEKEEPING 24269,A000000,00800,0000,00800DIETARY 24269,A000000,00900,0000,00900NURSING ADMINISTRATION 24269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24269,A000000,01100,0000,01100PHARMACY 24269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24269,A000000,01300,0000,01300SOCIAL SERVICE 24269,A000000,01350,0000,01500RECREATION ACTIVITIES 24269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24269,A000000,01600,0000,01600SKILLED NURSING FACILITY 24269,A000000,01800,0000,01800NURSING FACILITY 24269,A000000,01810,0000,01810ICF/MR 24269,A000000,02100,0000,02100RADIOLOGY 24269,A000000,02200,0000,02200LABORATORY 24269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24269,A000000,02500,0000,02500PHYSICAL THERAPY 24269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24269,A000000,02700,0000,02700SPEECH PATHOLOGY 24269,A000000,02800,0000,02800ELECTROCARDIOLOGY 24269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24269,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24269,A000000,03051,0000,03301ENTERAL FEEDING 24269,A000000,03200,0000,03200SUPPORT SURFACES 24269,A000000,03550,0000,03550FQHC 24269,A000000,05000,0000,05000CORF 24269,A000000,05010,0000,05010CMHC 24269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24269,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24269,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24269,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24269,A000000,06153,0000,06312DIALYSIS 24269,A000000,06154,0000,06320APARTMENTS 24269,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24269,A000000,06156,0000,06340CLOSED PATIENT AREAS 24269,A000000,06157,0000,06350O/P ADULT DAYCARE 24269,A81000A,00100,0100,Y 24269,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24269,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24269,A81000B,00300,0300,MSU DEVELOPMENT COST 24269,A81000B,00500,0300,SYMPHONY REHAB 24269,A81000B,00600,0300,SYMPHONY REHAB 24269,A81000B,00700,0300,REHAB ALLOCATION 24269,A81000B,00800,0300,REHAB ALLOCATION 24269,A81000B,00900,0300,REHAB ALLOCATION 24269,A81000B,01000,0300,CLINICAL ALLOCATION 24269,A81000B,01100,0300,SYMPHONY MOBILEX 24269,A81000B,01200,0300,SYMPHONY EPSMED 24269,A81000C,00100,0100,B 24269,A81000C,00100,0400,IHS INC. 24269,A81000C,00100,0600,NURSING HOMES 24269,A81000C,00200,0100,G 24269,A81000C,00200,0400,SYMPHONY REHAB 24269,A81000C,00200,0600,REHAB SERVICES 24269,A81000C,00300,0100,G 24269,A81000C,00300,0400,LTC MED LAB 24269,A81000C,00300,0600,LABORATORY 24269,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24269,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24269,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24269,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24269,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24269,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24269,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24269,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24269,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24269,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24269,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24269,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24269,E10A180,00301,0100,12/03/1999 24269,E10A180,00350,0100,05/18/2000 24269,E10A180,00351,0100,03/18/1999 24269,E10A180,00501,0100,07/28/2000 24269,E10A180,00550,0100,05/31/2000 24269,E10A180,00550,0300,05/31/2000 24269,S000000,00100,0200,06/01/2000 24269,S200000,00100,0100,811 JACKSON STREET NORTH 24269,S200000,00200,0100,ST PETERSBURG 24269,S200000,00200,0200,FL 24269,S200000,00200,0300,33705- 24269,S200000,00300,0100,PINELLAS 24269,S200000,00300,0200,8280 24269,S200000,00300,0300,U 24269,S200000,00400,0100,IHS-ST PETERSBURG 24269,S200000,00400,0200,105071 24269,S200000,00400,0300,12/31/1985 24269,S200000,00400,0500,P 24269,S200000,00400,0600,O 24269,S200000,00600,0200,105071 24269,S200000,00600,0300,12/31/1985 24269,S200000,00600,0600,P 24269,S200000,01600,0100,Y 24269,S200000,02200,0100,Y 24279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24279,A000000,00300,0000,00300EMPLOYEE BENEFITS 24279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24279,A000000,00700,0000,00700HOUSEKEEPING 24279,A000000,00800,0000,00800DIETARY 24279,A000000,00900,0000,00900NURSING ADMINISTRATION 24279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24279,A000000,01100,0000,01100PHARMACY 24279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24279,A000000,01300,0000,01300SOCIAL SERVICE 24279,A000000,01350,0000,01500RECREATION ACTIVITIES 24279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24279,A000000,01600,0000,01600SKILLED NURSING FACILITY 24279,A000000,01800,0000,01800NURSING FACILITY 24279,A000000,01810,0000,01810ICF/MR 24279,A000000,02100,0000,02100RADIOLOGY 24279,A000000,02200,0000,02200LABORATORY 24279,A000000,02500,0000,02500PHYSICAL THERAPY 24279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24279,A000000,02700,0000,02700SPEECH PATHOLOGY 24279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24279,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24279,A000000,03051,0000,03301ENTERAL FEEDING 24279,A000000,03550,0000,03550FQHC 24279,A000000,05000,0000,05000CORF 24279,A000000,05010,0000,05010CMHC 24279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24279,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24279,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24279,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24279,A000000,06153,0000,06312DIALYSIS 24279,A000000,06154,0000,06320APARTMENTS 24279,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24279,A000000,06156,0000,06340CLOSED PATIENT AREAS 24279,A000000,06157,0000,06350O/P ADULT DAYCARE 24279,A000000,06158,0000,06360NON ALLOWABLE SALARIES 24279,A81000A,00100,0100,Y 24279,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24279,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24279,A81000B,00300,0300,CLINICAL ALLOCATIONS 24279,A81000B,00400,0300,REHAB ALLOCATION 24279,A81000B,00500,0300,REHAB ALLOCATION 24279,A81000B,00600,0300,REHAB ALLOCATION 24279,A81000B,00700,0300,SYMPHONY MOBILEX 24279,A81000C,00100,0100,B 24279,A81000C,00100,0400,IHS INC. 24279,A81000C,00100,0600,NURSING HOMES 24279,A81000C,00200,0100,G 24279,A81000C,00200,0400,SYMPHONY REHAB 24279,A81000C,00200,0600,REHAB SERVICES 24279,A81000C,00300,0100,G 24279,A81000C,00300,0400,LTC MED LAB 24279,A81000C,00300,0600,LABORATORY 24279,B100000,00000,0100,00060(SQUARE FEET) :CAP REL COSTS - BLD 24279,B100000,00000,0300,00060(GROSS SALARIES) :EMPLOYEE BENEFIT 24279,B100000,00000,0400,00060 ACCUM. COST :ADMINISTRATIVE & GENE 24279,B100000,00000,0500,00060(SQUARE FEET) :PLANT OPERATION MA 24279,B100000,00000,0650,00060(PATIENT DAYS) :LAUNDRY & LINEN SE 24279,B100000,00000,0750,00060(SQUARE FEET) :HOUSEKEEPING 24279,B100000,00000,0850,00060(PATIENT DAYS) :DIETARY 24279,B100000,00000,0950,00060(NURSING SALARIES) :NURSING ADMINI 24279,B100000,00000,1000,00060(COSTED REQUIS) :CENTRAL SERVICES 24279,B100000,00000,1250,00060(PATIENT DAYS) :MEDICAL RECORDS & 24279,B100000,00000,1330,00060(PATIENT DAYS) :SOCIAL SERVICE 24279,B100000,00000,1350,00060(PATIENT DAYS) :RECREATION ACTIVIT 24279,E10A180,00301,0100,03/18/1999 24279,E10A180,00303,0100,05/18/2000 24279,E10A180,00350,0100,12/03/1999 24279,E10A180,00351,0100,10/23/2000 24279,S000000,00100,0200,07/07/2000 24279,S200000,00100,0100,390 N.E. 135TH STREET 24279,S200000,00200,0100,NORTH MIAMI 24279,S200000,00200,0200,FL 24279,S200000,00200,0300,33161- 24279,S200000,00300,0100,DADE 24279,S200000,00300,0200,5000 24279,S200000,00300,0300,U 24279,S200000,00400,0100,FOUNTAINHEAD NRSG & CONV HOME 24279,S200000,00400,0200,105172 24279,S200000,00400,0300,08/01/1974 24279,S200000,00400,0500,P 24279,S200000,00600,0200,105172 24279,S200000,00600,0300,08/01/1974 24279,S200000,00600,0600,P 24279,S200000,01600,0100,Y 24279,S200000,02200,0100,Y 24287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24287,A000000,00300,0000,00300EMPLOYEE BENEFITS 24287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24287,A000000,00700,0000,00700HOUSEKEEPING 24287,A000000,00800,0000,00800DIETARY 24287,A000000,00900,0000,00900NURSING ADMINISTRATION 24287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24287,A000000,01100,0000,01100PHARMACY 24287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24287,A000000,01300,0000,01300SOCIAL SERVICE 24287,A000000,01350,0000,01500RECREATION ACTIVITIES 24287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24287,A000000,01600,0000,01600SKILLED NURSING FACILITY 24287,A000000,01800,0000,01800NURSING FACILITY 24287,A000000,01810,0000,01810ICF/MR 24287,A000000,02100,0000,02100RADIOLOGY 24287,A000000,02200,0000,02200LABORATORY 24287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24287,A000000,02500,0000,02500PHYSICAL THERAPY 24287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24287,A000000,02700,0000,02700SPEECH PATHOLOGY 24287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24287,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24287,A000000,03051,0000,03301ENTERAL FEEDING 24287,A000000,03550,0000,03550FQHC 24287,A000000,05000,0000,05000CORF 24287,A000000,05010,0000,05010CMHC 24287,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24287,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24287,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24287,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24287,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24287,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24287,A000000,06153,0000,06312DIALYSIS 24287,A000000,06154,0000,06320APARTMENTS 24287,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24287,A000000,06156,0000,06340CLOSED PATIENT AREAS 24287,A000000,06157,0000,06350O/P ADULT DAYCARE 24287,A81000A,00100,0100,Y 24287,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24287,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24287,A81000B,00400,0300,SYMPHONY REHAB 24287,A81000B,00500,0300,SYMPHONY REHAB 24287,A81000B,00600,0300,SYMPHONY REHAB 24287,A81000B,00700,0300,REHAB ALLOCATION 24287,A81000B,00800,0300,REHAB ALLOCATION 24287,A81000B,00900,0300,REHAB ALLOCATION 24287,A81000B,01000,0300,CLINICAL ALLOCATION 24287,A81000B,01100,0300,SYMPHONY MOBILEX 24287,A81000C,00100,0100,B 24287,A81000C,00100,0400,IHS INC. 24287,A81000C,00100,0600,NURSING HOMES 24287,A81000C,00200,0100,G 24287,A81000C,00200,0400,SYMPHONY 24287,A81000C,00200,0600,REHAB SERVICES 24287,A81000C,00300,0100,G 24287,A81000C,00300,0400,LTC 24287,A81000C,00300,0600,LAB 24287,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24287,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24287,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24287,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24287,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24287,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24287,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24287,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24287,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24287,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24287,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24287,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24287,E10A180,00301,0100,12/03/1999 24287,E10A180,00302,0100,05/18/2000 24287,E10A180,00350,0100,03/18/1999 24287,E10A180,00550,0100,07/28/2000 24287,E10A180,00550,0300,07/28/2000 24287,S000000,00100,0200,05/31/2000 24287,S200000,00100,0100,437 S. NOLOMIS AVENUE 24287,S200000,00200,0100,VENICE 24287,S200000,00200,0200,FL 24287,S200000,00200,0300,34285- 24287,S200000,00300,0100,SARASOTA 24287,S200000,00300,0200,7510 24287,S200000,00300,0300,U 24287,S200000,00400,0100,IHS-VENICE NORTH 24287,S200000,00400,0200,105226 24287,S200000,00400,0300,01/01/1978 24287,S200000,00400,0500,P 24287,S200000,00600,0200,105226 24287,S200000,00600,0300,01/01/1978 24287,S200000,00600,0600,P 24287,S200000,01600,0100,Y 24287,S200000,02200,0100,Y 24295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24295,A000000,00300,0000,00300EMPLOYEE BENEFITS 24295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24295,A000000,00700,0000,00700HOUSEKEEPING 24295,A000000,00800,0000,00800DIETARY 24295,A000000,00900,0000,00900NURSING ADMINISTRATION 24295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24295,A000000,01100,0000,01100PHARMACY 24295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24295,A000000,01300,0000,01300SOCIAL SERVICE 24295,A000000,01350,0000,01500RECREATION ACTIVITIES 24295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24295,A000000,01600,0000,01600SKILLED NURSING FACILITY 24295,A000000,01800,0000,01800NURSING FACILITY 24295,A000000,01810,0000,01810ICF/MR 24295,A000000,02100,0000,02100RADIOLOGY 24295,A000000,02200,0000,02200LABORATORY 24295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24295,A000000,02500,0000,02500PHYSICAL THERAPY 24295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24295,A000000,02700,0000,02700SPEECH PATHOLOGY 24295,A000000,02800,0000,02800ELECTROCARDIOLOGY 24295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24295,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24295,A000000,03051,0000,03301ENTERAL FEEDING 24295,A000000,03550,0000,03550FQHC 24295,A000000,05000,0000,05000CORF 24295,A000000,05010,0000,05010CMHC 24295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24295,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24295,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24295,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24295,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24295,A000000,06153,0000,06312DIALYSIS 24295,A000000,06154,0000,06320APARTMENTS 24295,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24295,A000000,06156,0000,06340CLOSED PATIENT AREAS 24295,A000000,06157,0000,06350O/P ADULT DAYCARE 24295,A81000A,00100,0100,Y 24295,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24295,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24295,A81000B,00300,0300,MSU DEVELOPMENT COST 24295,A81000B,00500,0300,SYMPHONY REHAB 24295,A81000B,00600,0300,SYMPHONY REHAB 24295,A81000B,00700,0300,REHAB ALLOCATION 24295,A81000B,00800,0300,REHAB ALLOCATION 24295,A81000B,00900,0300,REHAB ALLOCATION 24295,A81000B,01000,0300,CLINICAL ALLOCATION 24295,A81000B,01100,0300,SYMPHONY MOBILEX 24295,A81000C,00100,0100,B 24295,A81000C,00100,0400,IHS INC. 24295,A81000C,00100,0600,NURSING HOMES 24295,A81000C,00200,0100,G 24295,A81000C,00200,0400,SYMPHONY 24295,A81000C,00200,0600,REHAB SERVICES 24295,A81000C,00300,0100,G 24295,A81000C,00300,0400,LTC 24295,A81000C,00300,0600,LAB 24295,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24295,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24295,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24295,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24295,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24295,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24295,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24295,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24295,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24295,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24295,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24295,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24295,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24295,E10A180,00304,0100,05/18/2000 24295,E10A180,00350,0100,03/18/1999 24295,E10A180,00351,0100,12/03/1999 24295,E10A180,00501,0100,07/28/2000 24295,E10A180,00501,0300,07/28/2000 24295,S000000,00100,0200,06/01/2000 24295,S200000,00100,0100,9820 NORTH KENDALL DRIVE 24295,S200000,00200,0100,MIAMI 24295,S200000,00200,0200,FL 24295,S200000,00200,0300,33176- 24295,S200000,00300,0100,DADE 24295,S200000,00300,0200,5000 24295,S200000,00300,0300,U 24295,S200000,00400,0100,IHS-GREENBRIAR 24295,S200000,00400,0200,105227 24295,S200000,00400,0300,05/08/1988 24295,S200000,00400,0500,P 24295,S200000,00600,0200,105227 24295,S200000,00600,0300,05/08/1988 24295,S200000,00600,0600,P 24295,S200000,01600,0100,Y 24295,S200000,02200,0100,Y 24306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24306,A000000,00300,0000,00300EMPLOYEE BENEFITS 24306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24306,A000000,00700,0000,00700HOUSEKEEPING 24306,A000000,00800,0000,00800DIETARY 24306,A000000,00900,0000,00900NURSING ADMINISTRATION 24306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24306,A000000,01100,0000,01100PHARMACY 24306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24306,A000000,01300,0000,01300SOCIAL SERVICE 24306,A000000,01350,0000,01500RECREATION ACTIVITIES 24306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24306,A000000,01600,0000,01600SKILLED NURSING FACILITY 24306,A000000,01800,0000,01800NURSING FACILITY 24306,A000000,01810,0000,01810ICF/MR 24306,A000000,02100,0000,02100RADIOLOGY 24306,A000000,02200,0000,02200LABORATORY 24306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24306,A000000,02500,0000,02500PHYSICAL THERAPY 24306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24306,A000000,02700,0000,02700SPEECH PATHOLOGY 24306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24306,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24306,A000000,03051,0000,03301ENTERAL FEEDING 24306,A000000,03550,0000,03550FQHC 24306,A000000,05000,0000,05000CORF 24306,A000000,05010,0000,05010CMHC 24306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24306,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24306,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24306,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24306,A000000,06153,0000,06312DIALYSIS 24306,A000000,06154,0000,06320APARTMENTS 24306,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24306,A000000,06156,0000,06340CLOSED PATIENT AREAS 24306,A000000,06157,0000,06350O/P ADULT DAYCARE 24306,A81000A,00100,0100,Y 24306,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24306,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24306,A81000B,00500,0300,SYMPHONY REHAB 24306,A81000B,00700,0300,REHAB ALLOCATION 24306,A81000B,00800,0300,REHAB ALLOCATION 24306,A81000B,00900,0300,REHAB ALLOCATION 24306,A81000B,01000,0300,CLINICAL ALLOCATION 24306,A81000B,01100,0300,SYMPHONY MOBILEX 24306,A81000C,00100,0100,B 24306,A81000C,00100,0400,IHS INC. 24306,A81000C,00100,0600,NURSING HOMES 24306,A81000C,00200,0100,G 24306,A81000C,00200,0400,SYMPHONY 24306,A81000C,00200,0600,REHAB SERVICES 24306,A81000C,00300,0100,G 24306,A81000C,00300,0400,LTC 24306,A81000C,00300,0600,LAB 24306,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24306,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24306,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24306,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24306,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24306,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24306,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24306,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24306,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24306,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24306,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24306,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24306,E10A180,00302,0100,12/03/1999 24306,E10A180,00350,0100,03/18/1999 24306,E10A180,00354,0100,05/18/2000 24306,E10A180,00501,0100,07/28/2000 24306,E10A180,00501,0300,05/31/2000 24306,E10A180,00550,0300,07/28/2000 24306,E10A180,00551,0100,05/31/2000 24306,S000000,00100,0200,06/01/2000 24306,S200000,00100,0100,7751 WEST BROWARD BLVD 24306,S200000,00200,0100,PLANTATION 24306,S200000,00200,0200,FL 24306,S200000,00200,0300,33324- 24306,S200000,00300,0100,BROWARD 24306,S200000,00300,0200,2680 24306,S200000,00300,0300,U 24306,S200000,00400,0100,IHS-WEST BROWARD 24306,S200000,00400,0200,105237 24306,S200000,00400,0300,06/01/1992 24306,S200000,00400,0500,P 24306,S200000,00600,0200,105237 24306,S200000,00600,0300,06/01/1992 24306,S200000,00600,0600,P 24306,S200000,01600,0100,Y 24306,S200000,02200,0100,Y 24315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24315,A000000,00300,0000,00300EMPLOYEE BENEFITS 24315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24315,A000000,00700,0000,00700HOUSEKEEPING 24315,A000000,00800,0000,00800DIETARY 24315,A000000,00900,0000,00900NURSING ADMINISTRATION 24315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24315,A000000,01100,0000,01100PHARMACY 24315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24315,A000000,01300,0000,01300SOCIAL SERVICE 24315,A000000,01350,0000,01500RECREATION ACTIVITIES 24315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24315,A000000,01600,0000,01600SKILLED NURSING FACILITY 24315,A000000,01800,0000,01800NURSING FACILITY 24315,A000000,01810,0000,01810ICF/MR 24315,A000000,02100,0000,02100RADIOLOGY 24315,A000000,02200,0000,02200LABORATORY 24315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24315,A000000,02500,0000,02500PHYSICAL THERAPY 24315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24315,A000000,02700,0000,02700SPEECH PATHOLOGY 24315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24315,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24315,A000000,03051,0000,03301ENTERAL FEEDING 24315,A000000,03550,0000,03550FQHC 24315,A000000,05000,0000,05000CORF 24315,A000000,05010,0000,05010CMHC 24315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24315,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24315,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24315,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24315,A000000,06153,0000,06312DIALYSIS 24315,A000000,06154,0000,06320APARTMENTS 24315,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24315,A000000,06156,0000,06340CLOSED PATIENT AREAS 24315,A000000,06157,0000,06350O/P ADULT DAYCARE 24315,A81000A,00100,0100,Y 24315,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24315,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24315,A81000C,00100,0100,B 24315,A81000C,00100,0400,PREFERRED CARE 24315,A81000C,00100,0600,HOME OFFICE 24315,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24315,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24315,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24315,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24315,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24315,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24315,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24315,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24315,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24315,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24315,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24315,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24315,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24315,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24315,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24315,E10A180,00350,0100,03/18/1999 24315,E10A180,00550,0100,05/31/2000 24315,E10A180,00550,0300,05/31/2000 24315,E10A180,00551,0100,07/28/2000 24315,S000000,00100,0200,06/01/2000 24315,S200000,00100,0100,1100 66TH ST N 24315,S200000,00200,0100,ST PETERSBURG 24315,S200000,00200,0200,FL 24315,S200000,00200,0300,33710- 24315,S200000,00300,0100,PINELLAS 24315,S200000,00400,0100,TYRONE MEDICAL INN 24315,S200000,00400,0200,105292 24315,S200000,00400,0300,01/07/1976 24315,S200000,00400,0500,P 24315,S200000,00600,0200,105292 24315,S200000,00600,0300,01/07/1976 24315,S200000,00600,0600,P 24315,S200000,01600,0100,Y 24315,S200000,02200,0100,Y 24325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24325,A000000,00300,0000,00300EMPLOYEE BENEFITS 24325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24325,A000000,00700,0000,00700HOUSEKEEPING 24325,A000000,00800,0000,00800DIETARY 24325,A000000,00900,0000,00900NURSING ADMINISTRATION 24325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24325,A000000,01100,0000,01100PHARMACY 24325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24325,A000000,01300,0000,01300SOCIAL SERVICE 24325,A000000,01350,0000,01500RECREATION ACTIVITIES 24325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24325,A000000,01600,0000,01600SKILLED NURSING FACILITY 24325,A000000,01800,0000,01800NURSING FACILITY 24325,A000000,01810,0000,01810ICF/MR 24325,A000000,02100,0000,02100RADIOLOGY 24325,A000000,02200,0000,02200LABORATORY 24325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24325,A000000,02500,0000,02500PHYSICAL THERAPY 24325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24325,A000000,02700,0000,02700SPEECH PATHOLOGY 24325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24325,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24325,A000000,03051,0000,03301ENTERAL FEEDING 24325,A000000,03550,0000,03550FQHC 24325,A000000,05000,0000,05000CORF 24325,A000000,05010,0000,05010CMHC 24325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24325,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24325,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24325,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24325,A000000,06153,0000,06312DIALYSIS 24325,A000000,06154,0000,06320APARTMENTS 24325,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24325,A000000,06156,0000,06340CLOSED PATIENT AREAS 24325,A000000,06157,0000,06350O/P ADULT DAYCARE 24325,A81000A,00100,0100,Y 24325,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24325,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24325,A81000B,00400,0300,SYMPHONY REHAB 24325,A81000B,00500,0300,SYMPHONY REHAB 24325,A81000B,00600,0300,SYMPHONY REHAB 24325,A81000B,00700,0300,SYMPHONY RESPIRATORY 24325,A81000B,00800,0300,SYMPHONY MOBILEX 24325,A81000B,00900,0300,REHAB ALLOCATION 24325,A81000B,01000,0300,REHAB ALLOCATION 24325,A81000B,01100,0300,REHAB ALLOCATION 24325,A81000B,01200,0300,CLINICAL ALLOCATION 24325,A81000B,01300,0300,SYMPHONY MOBILEX 24325,A81000C,00100,0100,B 24325,A81000C,00100,0400,IHS INC. 24325,A81000C,00100,0600,NURSING HOMES 24325,A81000C,00200,0100,B 24325,A81000C,00200,0400,LYRIC 24325,A81000C,00200,0600,NURSING HOMES 24325,A81000C,00300,0100,G 24325,A81000C,00300,0400,SYMPHONY 24325,A81000C,00300,0600,REHAB 24325,A81000C,00400,0100,G 24325,A81000C,00400,0400,LTC 24325,A81000C,00400,0600,LAB 24325,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24325,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24325,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24325,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24325,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24325,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24325,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24325,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24325,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24325,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24325,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24325,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24325,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24325,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24325,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24325,E10A180,00301,0100,12/03/1999 24325,E10A180,00350,0100,03/18/1999 24325,E10A180,00351,0100,05/01/2000 24325,E10A180,00501,0300,06/01/2000 24325,E10A180,00550,0100,06/01/2000 24325,E10A180,00551,0100,07/28/2000 24325,E10A180,00551,0300,07/28/2000 24325,S000000,00100,0200,05/31/2000 24325,S200000,00100,0100,919 OLD WINTER HAVEN ROAD 24325,S200000,00200,0100,AUBURNDALE 24325,S200000,00200,0200,FL 24325,S200000,00200,0300,33823- 24325,S200000,00300,0100,POLK 24325,S200000,00400,0100,IHS-FLORIDA AT AUBURNDALE 24325,S200000,00400,0200,105302 24325,S200000,00400,0300,01/01/1984 24325,S200000,00400,0500,P 24325,S200000,00600,0200,105302 24325,S200000,00600,0300,01/01/1984 24325,S200000,00600,0600,P 24325,S200000,01600,0100,Y 24325,S200000,02200,0100,Y 24334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24334,A000000,00300,0000,00300EMPLOYEE BENEFITS 24334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24334,A000000,00700,0000,00700HOUSEKEEPING 24334,A000000,00800,0000,00800DIETARY 24334,A000000,00900,0000,00900NURSING ADMINISTRATION 24334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24334,A000000,01100,0000,01100PHARMACY 24334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24334,A000000,01300,0000,01300SOCIAL SERVICE 24334,A000000,01350,0000,01500ACTIVITIES 24334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24334,A000000,01600,0000,01600SKILLED NURSING FACILITY 24334,A000000,01800,0000,01800NURSING FACILITY 24334,A000000,01900,0000,01900OTHER LONG TERM CARE 24334,A000000,02100,0000,02100RADIOLOGY 24334,A000000,02200,0000,02200LABORATORY 24334,A000000,02300,0000,02300INTRAVENOUS THERAPY 24334,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24334,A000000,02500,0000,02500PHYSICAL THERAPY 24334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24334,A000000,02700,0000,02700SPEECH PATHOLOGY 24334,A000000,02800,0000,02800ELECTROCARDIOLOGY 24334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24334,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24334,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24334,A000000,03200,0000,03200SUPPORT SURFACES 24334,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24334,A000000,04800,0000,04800AMBULANCE 24334,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24334,A000000,05300,0000,05300INTEREST EXPENSE 24334,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24334,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24334,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24334,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24334,A000000,06100,0000,06100NONPAID WORKERS 24334,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24334,A000000,06200,0000,06200PATIENTS LAUNDRY 24334,A81000A,00100,0100,Y 24334,A81000B,00100,0300,HOME OFFICE COST 24334,A81000B,00200,0300,PT ADMIN FEE 24334,A81000B,00300,0300,OT ADMIN FEE 24334,A81000B,00400,0300,ST ADMIN FEE 24334,A81000B,00500,0300,PURCH SERV. PHARMACIST 24334,A81000B,00600,0300,IV DRUGS & SUPPLIES 24334,A81000B,00700,0300,DRUGS 24334,A81000C,00100,0100,B 24334,A81000C,00100,0200,MCHS - WINTER PARK 24334,A81000C,00100,0400,HCR MANORCARE INC. 24334,A81000C,00100,0600,LONG TERM CARE FACILITIES 24334,A81000C,00200,0100,B 24334,A81000C,00200,0200,MCHS - WINTER PARK 24334,A81000C,00200,0400,HRTLND MANAGEMENT SERV. 24334,A81000C,00200,0600,THERAPY MANAGEMENT 24334,A81000C,00300,0100,B 24334,A81000C,00300,0200,MCHS - WINTER PARK 24334,A81000C,00300,0400,HRTLND MANAGEMENT SERV. 24334,A81000C,00300,0600,THERAPY MANAGEMENT 24334,A81000C,00400,0100,B 24334,A81000C,00400,0200,MCHS - WINTER PARK 24334,A81000C,00400,0400,HRTLND MANAGEMENT SERV. 24334,A81000C,00400,0600,THERAPY MANAGEMENT 24334,A81000C,00500,0100,B 24334,A81000C,00500,0200,MCHS - WINTER PARK 24334,A81000C,00500,0400,HRTLND HEALTHCARE SERV. 24334,A81000C,00500,0600,PHARMACY 24334,A81000C,00600,0100,B 24334,A81000C,00600,0200,MCHS - WINTER PARK 24334,A81000C,00600,0400,HRTLND HEALTHCARE SERV. 24334,A81000C,00600,0600,PHARMACY 24334,A81000C,00700,0100,B 24334,A81000C,00700,0200,MCHS - WINTER PARK 24334,A81000C,00700,0400,HRTLND HEALTHCARE SERV. 24334,A81000C,00700,0600,PHARMACY 24334,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24334,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24334,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24334,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24334,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24334,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24334,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24334,B100000,00000,0800,00000MEALS SERVED :DIETARY 24334,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24334,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24334,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24334,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24334,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24334,S000000,00100,0200,10/31/2000 24334,S200000,00100,0100,2075 LOCH LOMOND DRIVE 24334,S200000,00200,0100,WINTER PARK 24334,S200000,00200,0200,FL 24334,S200000,00200,0300,32792- 24334,S200000,00300,0100,ORANGE 24334,S200000,00300,0200,5960 24334,S200000,00300,0300,U 24334,S200000,00400,0100,MCHS - WINTER PARK 24334,S200000,00400,0200,105307 24334,S200000,00400,0300,07/17/1977 24334,S200000,00400,0500,P 24334,S200000,00400,0600,P 24334,S200000,01004,0500,O 24334,S200000,01600,0100,Y 24334,S200000,02200,0100,Y 24343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24343,A000000,00300,0000,00300EMPLOYEE BENEFITS 24343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24343,A000000,00700,0000,00700HOUSEKEEPING 24343,A000000,00800,0000,00800DIETARY 24343,A000000,00900,0000,00900NURSING ADMINISTRATION 24343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24343,A000000,01100,0000,01100PHARMACY 24343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24343,A000000,01300,0000,01300SOCIAL SERVICE 24343,A000000,01350,0000,01500RECREATION ACTIVITIES 24343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24343,A000000,01600,0000,01600SKILLED NURSING FACILITY 24343,A000000,01800,0000,01800NURSING FACILITY 24343,A000000,01810,0000,01810ICF/MR 24343,A000000,02100,0000,02100RADIOLOGY 24343,A000000,02200,0000,02200LABORATORY 24343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24343,A000000,02500,0000,02500PHYSICAL THERAPY 24343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24343,A000000,02700,0000,02700SPEECH PATHOLOGY 24343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24343,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24343,A000000,03051,0000,03301ENTERAL FEEDING 24343,A000000,03550,0000,03550FQHC 24343,A000000,05000,0000,05000CORF 24343,A000000,05010,0000,05010CMHC 24343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24343,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24343,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24343,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24343,A000000,06153,0000,06312DIALYSIS 24343,A000000,06154,0000,06320APARTMENTS 24343,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24343,A000000,06156,0000,06340CLOSED PATIENT AREAS 24343,A000000,06157,0000,06350O/P ADULT DAYCARE 24343,A81000A,00100,0100,Y 24343,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24343,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24343,A81000B,00300,0300,MSU DEVELOPMENT COST 24343,A81000B,00400,0300,SYMPHONY REHAB 24343,A81000B,00500,0300,SYMPHONY REHAB 24343,A81000B,00600,0300,SYMPHONY REHAB 24343,A81000B,00700,0300,REHAB ALLOCATION 24343,A81000B,00800,0300,REHAB ALLOCATION 24343,A81000B,00900,0300,REHAB ALLOCATION 24343,A81000B,01000,0300,CLINICAL ALLOCATION 24343,A81000B,01100,0300,SYMPHONY 24343,A81000B,01200,0300,SYMPHONY 24343,A81000C,00100,0100,B 24343,A81000C,00100,0400,IHS INC. 24343,A81000C,00100,0600,NURSING HOMES 24343,A81000C,00200,0100,B 24343,A81000C,00200,0400,LYRIC 24343,A81000C,00200,0600,NURSING HOMES 24343,A81000C,00300,0100,G 24343,A81000C,00300,0400,SYMPHONY 24343,A81000C,00300,0600,REHAB 24343,A81000C,00400,0100,G 24343,A81000C,00400,0400,LTC 24343,A81000C,00400,0600,LAB 24343,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24343,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24343,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24343,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24343,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24343,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24343,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24343,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24343,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24343,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24343,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24343,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24343,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24343,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24343,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24343,E10A180,00350,0100,03/18/1999 24343,E10A180,00351,0100,12/03/1999 24343,E10A180,00352,0100,05/01/2000 24343,E10A180,00501,0300,07/28/1999 24343,E10A180,00550,0100,07/28/1999 24343,S000000,00100,0200,05/31/2000 24343,S200000,00100,0100,2600 COURTLAND STREET 24343,S200000,00200,0100,SARASOTA 24343,S200000,00200,0200,FL 24343,S200000,00200,0300,34237- 24343,S200000,00300,0100,SARASOTA 24343,S200000,00400,0100,IHS FLORIDA-SARASOTA PAVILLION 24343,S200000,00400,0200,105316 24343,S200000,00400,0300,12/01/1977 24343,S200000,00400,0500,P 24343,S200000,00600,0200,105316 24343,S200000,00600,0300,12/01/1977 24343,S200000,00600,0600,P 24343,S200000,01600,0100,Y 24343,S200000,02200,0100,Y 24352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24352,A000000,00300,0000,00300EMPLOYEE BENEFITS 24352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24352,A000000,00700,0000,00700HOUSEKEEPING 24352,A000000,00800,0000,00800DIETARY 24352,A000000,00900,0000,00900NURSING ADMINISTRATION 24352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24352,A000000,01100,0000,01100PHARMACY 24352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24352,A000000,01300,0000,01300SOCIAL SERVICE 24352,A000000,01350,0000,01500RECREATION ACTIVITIES 24352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24352,A000000,01600,0000,01600SKILLED NURSING FACILITY 24352,A000000,01800,0000,01800NURSING FACILITY 24352,A000000,01810,0000,01810ICF/MR 24352,A000000,02100,0000,02100RADIOLOGY 24352,A000000,02200,0000,02200LABORATORY 24352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24352,A000000,02500,0000,02500PHYSICAL THERAPY 24352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24352,A000000,02700,0000,02700SPEECH PATHOLOGY 24352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24352,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24352,A000000,03051,0000,03301ENTERAL FEEDING 24352,A000000,03550,0000,03550FQHC 24352,A000000,05000,0000,05000CORF 24352,A000000,05010,0000,05010CMHC 24352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24352,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24352,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24352,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24352,A000000,06153,0000,06312DIALYSIS 24352,A000000,06154,0000,06320APARTMENTS 24352,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24352,A000000,06156,0000,06340CLOSED PATIENT AREAS 24352,A000000,06157,0000,06350O/P ADULT DAYCARE 24352,A81000A,00100,0100,Y 24352,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24352,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24352,A81000B,00300,0300,MSU DEVELOPMENT COST 24352,A81000B,00400,0300,SYMPHONY REHAB 24352,A81000B,00500,0300,SYMPHONY REHAB 24352,A81000B,00600,0300,SYMPHONY REHAB 24352,A81000B,00700,0300,SYMPHONY EPSILON 24352,A81000B,00800,0300,SYMPHONY MED PROD 24352,A81000B,00900,0300,SYMPHONY MOBILEX 24352,A81000B,01000,0300,HOME OFFICE REHAB 24352,A81000B,01100,0300,HOME OFFICE REHAB 24352,A81000B,01200,0300,HOME OFFICE REHAB 24352,A81000B,01300,0300,HOME OFFICE CLINICAL 24352,A81000C,00100,0100,B 24352,A81000C,00100,0400,IHS INC. 24352,A81000C,00100,0600,NURSING HOMES 24352,A81000C,00200,0100,G 24352,A81000C,00200,0400,SYMPHONY 24352,A81000C,00200,0600,REHAB SERVICES 24352,A81000C,00300,0100,G 24352,A81000C,00300,0400,LTC 24352,A81000C,00300,0600,LAB 24352,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24352,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24352,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24352,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24352,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24352,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24352,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24352,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24352,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24352,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24352,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24352,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24352,E10A180,00301,0100,12/03/1999 24352,E10A180,00351,0100,03/18/1999 24352,E10A180,00354,0100,05/18/2000 24352,E10A180,00501,0100,07/28/2000 24352,E10A180,00501,0300,05/31/2000 24352,E10A180,00550,0100,05/31/2000 24352,E10A180,00550,0300,07/28/2000 24352,S000000,00100,0200,06/01/2000 24352,S200000,00100,0100,2970 SCARLET RD 24352,S200000,00200,0100,WINTER PARK 24352,S200000,00200,0200,FL 24352,S200000,00200,0300,32792- 24352,S200000,00300,0100,ORANGE 24352,S200000,00300,0200,5960 24352,S200000,00300,0300,U 24352,S200000,00400,0100,IHS-WINTER PARK 24352,S200000,00400,0200,105332 24352,S200000,00400,0300,12/30/1986 24352,S200000,00400,0500,P 24352,S200000,00600,0200,105332 24352,S200000,00600,0300,12/30/1986 24352,S200000,00600,0600,P 24352,S200000,01600,0100,Y 24352,S200000,02200,0100,Y 24361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24361,A000000,00300,0000,00300EMPLOYEE BENEFITS 24361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24361,A000000,00700,0000,00700HOUSEKEEPING 24361,A000000,00800,0000,00800DIETARY 24361,A000000,00900,0000,00900NURSING ADMINISTRATION 24361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24361,A000000,01100,0000,01100PHARMACY 24361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24361,A000000,01300,0000,01300SOCIAL SERVICE 24361,A000000,01350,0000,01500RECREATION ACTIVITIES 24361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24361,A000000,01600,0000,01600SKILLED NURSING FACILITY 24361,A000000,01800,0000,01800NURSING FACILITY 24361,A000000,01810,0000,01810ICF/MR 24361,A000000,02100,0000,02100RADIOLOGY 24361,A000000,02200,0000,02200LABORATORY 24361,A000000,02500,0000,02500PHYSICAL THERAPY 24361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24361,A000000,02700,0000,02700SPEECH PATHOLOGY 24361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24361,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24361,A000000,03051,0000,03301ENTERAL FEEDING 24361,A000000,03550,0000,03550FQHC 24361,A000000,05000,0000,05000CORF 24361,A000000,05010,0000,05010CMHC 24361,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24361,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24361,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24361,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24361,A000000,06153,0000,06312DIALYSIS 24361,A000000,06154,0000,06320APARTMENTS 24361,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24361,A000000,06156,0000,06340CLOSED PATIENT AREAS 24361,A000000,06157,0000,06350O/P ADULT DAYCARE 24361,A81000A,00100,0100,Y 24361,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24361,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24361,A81000B,00400,0300,SYMPHONY REHAB 24361,A81000B,00500,0300,SYMPHONY REHAB 24361,A81000B,00600,0300,SYMPHONY REHAB 24361,A81000B,00700,0300,SYMPHONY MOBILEX 24361,A81000B,00800,0300,REHAB ALLOCATION 24361,A81000B,00900,0300,REHAB ALLOCATION 24361,A81000B,01000,0300,REHAB ALLOCATION 24361,A81000B,01100,0300,CLINICAL ALLOCATION 24361,A81000C,00100,0100,B 24361,A81000C,00100,0400,IHS INC. 24361,A81000C,00100,0600,NURSING HOMES 24361,A81000C,00200,0100,G 24361,A81000C,00200,0400,SYMPHONY 24361,A81000C,00200,0600,REHAB SERVICES 24361,A81000C,00300,0100,G 24361,A81000C,00300,0400,LTC 24361,A81000C,00300,0600,LAB 24361,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24361,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24361,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24361,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24361,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24361,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24361,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24361,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24361,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24361,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24361,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24361,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24361,E10A180,00301,0100,12/03/1999 24361,E10A180,00304,0100,05/18/2000 24361,E10A180,00350,0100,03/18/1999 24361,E10A180,00501,0300,07/28/2000 24361,E10A180,00550,0100,07/28/2000 24361,S000000,00100,0200,06/21/2000 24361,S200000,00100,0100,3011 KENILWORTH BLVD 24361,S200000,00200,0100,SEBRING 24361,S200000,00200,0200,FL 24361,S200000,00200,0300,33870- 24361,S200000,00300,0100,HIGHLANDS 24361,S200000,00300,0200,FL 24361,S200000,00300,0300,R 24361,S200000,00400,0100,IHS-SEBRING 24361,S200000,00400,0200,105352 24361,S200000,00400,0300,12/30/1986 24361,S200000,00400,0500,P 24361,S200000,00600,0200,105352 24361,S200000,00600,0300,12/30/1986 24361,S200000,00600,0600,P 24361,S200000,01600,0100,Y 24361,S200000,02200,0100,Y 24371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24371,A000000,00300,0000,00300EMPLOYEE BENEFITS 24371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24371,A000000,00700,0000,00700HOUSEKEEPING 24371,A000000,00800,0000,00800DIETARY 24371,A000000,00900,0000,00900NURSING ADMINISTRATION 24371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24371,A000000,01100,0000,01100PHARMACY 24371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24371,A000000,01300,0000,01300SOCIAL SERVICE 24371,A000000,01350,0000,01500RECREATION ACTIVITIES 24371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24371,A000000,01600,0000,01600SKILLED NURSING FACILITY 24371,A000000,01800,0000,01800NURSING FACILITY 24371,A000000,01810,0000,01810ICF/MR 24371,A000000,02100,0000,02100RADIOLOGY 24371,A000000,02200,0000,02200LABORATORY 24371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24371,A000000,02500,0000,02500PHYSICAL THERAPY 24371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24371,A000000,02700,0000,02700SPEECH PATHOLOGY 24371,A000000,02800,0000,02800ELECTROCARDIOLOGY 24371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24371,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24371,A000000,03051,0000,03301ENTERAL FEEDING 24371,A000000,03550,0000,03550FQHC 24371,A000000,05000,0000,05000CORF 24371,A000000,05010,0000,05010CMHC 24371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24371,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24371,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24371,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24371,A000000,06153,0000,06312DIALYSIS 24371,A000000,06154,0000,06320APARTMENTS 24371,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24371,A000000,06156,0000,06340CLOSED PATIENT AREAS 24371,A000000,06157,0000,06350O/P ADULT DAYCARE 24371,A81000A,00100,0100,Y 24371,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24371,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24371,A81000B,00300,0300,MSU DEVELOPMENT COST 24371,A81000B,00400,0300,SYMPHONY REHAB 24371,A81000B,00500,0300,SYMPHONY REHAB 24371,A81000B,00600,0300,SYMPHONY REHAB 24371,A81000B,00700,0300,SYMPHONY MOBILEX 24371,A81000B,00800,0300,REHAB ALLOCATION 24371,A81000B,00900,0300,REHAB ALLOCATION 24371,A81000B,01000,0300,REHAB ALLOCATION 24371,A81000B,01100,0300,CLINICAL ALLOCATION 24371,A81000C,00100,0100,B 24371,A81000C,00100,0400,IHS INC. 24371,A81000C,00100,0600,NURSING HOMES 24371,A81000C,00200,0100,G 24371,A81000C,00200,0400,SYMPHONY 24371,A81000C,00200,0600,REHAB SERVICES 24371,A81000C,00300,0100,G 24371,A81000C,00300,0400,LTC 24371,A81000C,00300,0600,LAB 24371,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24371,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24371,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24371,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24371,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24371,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24371,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24371,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24371,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24371,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24371,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24371,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24371,E10A180,00301,0100,12/03/1999 24371,E10A180,00304,0100,05/18/2000 24371,E10A180,00350,0100,03/18/1999 24371,E10A180,00501,0300,06/01/2000 24371,E10A180,00550,0100,07/28/2000 24371,E10A180,00550,0300,07/28/2000 24371,E10A180,00551,0100,06/01/2000 24371,S000000,00100,0200,06/01/2000 24371,S200000,00100,0100,4033 BEAVER LANE 24371,S200000,00200,0100,PORT CHARLOTTE 24371,S200000,00200,0200,FL 24371,S200000,00200,0300,33952- 24371,S200000,00300,0100,CHARLOTTE 24371,S200000,00300,0200,6580 24371,S200000,00300,0300,U 24371,S200000,00400,0100,IHS-PORT CHARLOTTE 24371,S200000,00400,0200,105363 24371,S200000,00400,0300,12/30/1986 24371,S200000,00400,0500,P 24371,S200000,00600,0200,105363 24371,S200000,00600,0300,12/30/1986 24371,S200000,00600,0600,P 24371,S200000,01600,0100,Y 24391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24391,A000000,00300,0000,00300EMPLOYEE BENEFITS 24391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24391,A000000,00700,0000,00700HOUSEKEEPING 24391,A000000,00800,0000,00800DIETARY 24391,A000000,00900,0000,00900NURSING ADMINISTRATION 24391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24391,A000000,01100,0000,01100PHARMACY 24391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24391,A000000,01300,0000,01300SOCIAL SERVICE 24391,A000000,01350,0000,01500RECREATION ACTIVITIES 24391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24391,A000000,01600,0000,01600SKILLED NURSING FACILITY 24391,A000000,01800,0000,01800NURSING FACILITY 24391,A000000,01810,0000,01810ICF/MR 24391,A000000,02100,0000,02100RADIOLOGY 24391,A000000,02200,0000,02200LABORATORY 24391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24391,A000000,02500,0000,02500PHYSICAL THERAPY 24391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24391,A000000,02700,0000,02700SPEECH PATHOLOGY 24391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24391,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24391,A000000,03051,0000,03301ENTERAL FEEDING 24391,A000000,03550,0000,03550FQHC 24391,A000000,05000,0000,05000CORF 24391,A000000,05010,0000,05010CMHC 24391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24391,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24391,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24391,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24391,A000000,06153,0000,06312DIALYSIS 24391,A000000,06154,0000,06320APARTMENTS 24391,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24391,A000000,06156,0000,06340CLOSED PATIENT AREAS 24391,A000000,06157,0000,06350O/P ADULT DAYCARE 24391,A81000A,00100,0100,Y 24391,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24391,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24391,A81000B,00400,0300,SYMPHONY REHAB 24391,A81000B,00500,0300,SYMPHONY REHAB 24391,A81000B,00600,0300,SYMPHONY REHAB 24391,A81000B,00700,0300,SYMPHONY MOBILEX 24391,A81000B,00800,0300,SYMPHONY EPSILON 24391,A81000B,00900,0300,REHAB ALLOCATION 24391,A81000B,01000,0300,REHAB ALLOCATION 24391,A81000B,01100,0300,REHAB ALLOCATION 24391,A81000B,01200,0300,CLINICAL ALLOCATION 24391,A81000C,00100,0100,B 24391,A81000C,00100,0400,IHS INC. 24391,A81000C,00100,0600,NURSING HOMES 24391,A81000C,00200,0100,G 24391,A81000C,00200,0400,SYNPHONY 24391,A81000C,00200,0600,REHAB SERVICES 24391,A81000C,00300,0100,G 24391,A81000C,00300,0400,LTC 24391,A81000C,00300,0600,LAB 24391,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24391,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24391,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24391,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24391,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24391,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24391,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24391,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24391,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24391,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24391,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24391,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24391,E10A180,00301,0100,05/18/2000 24391,E10A180,00350,0100,03/18/1999 24391,E10A180,00351,0100,12/03/1999 24391,E10A180,00501,0300,07/28/2000 24391,E10A180,00550,0100,07/28/2000 24391,S000000,00100,0200,06/01/2000 24391,S200000,00100,0100,2029 PROFESSIONAL CENTER DRIVE 24391,S200000,00200,0100,ORANGE PARK 24391,S200000,00200,0200,FL 24391,S200000,00200,0300,32073- 24391,S200000,00300,0100,CLAY 24391,S200000,00300,0200,3600 24391,S200000,00300,0300,U 24391,S200000,00400,0100,IHS-ORANGE PARK 24391,S200000,00400,0200,105381 24391,S200000,00400,0300,12/30/1986 24391,S200000,00400,0500,P 24391,S200000,00400,0600,O 24391,S200000,00600,0200,105381 24391,S200000,00600,0300,12/30/1986 24391,S200000,00600,0600,P 24391,S200000,01600,0100,Y 24391,S200000,02200,0100,Y 24401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24401,A000000,00300,0000,00300EMPLOYEE BENEFITS 24401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24401,A000000,00700,0000,00700HOUSEKEEPING 24401,A000000,00800,0000,00800DIETARY 24401,A000000,00900,0000,00900NURSING ADMINISTRATION 24401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24401,A000000,01100,0000,01100PHARMACY 24401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24401,A000000,01300,0000,01300SOCIAL SERVICE 24401,A000000,01350,0000,01500RECREATION ACTIVITIES 24401,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24401,A000000,01600,0000,01600SKILLED NURSING FACILITY 24401,A000000,01800,0000,01800NURSING FACILITY 24401,A000000,01810,0000,01810ICF/MR 24401,A000000,02100,0000,02100RADIOLOGY 24401,A000000,02200,0000,02200LABORATORY 24401,A000000,02500,0000,02500PHYSICAL THERAPY 24401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24401,A000000,02700,0000,02700SPEECH PATHOLOGY 24401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24401,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24401,A000000,03051,0000,03301ENTERAL FEEDING 24401,A000000,03550,0000,03550FQHC 24401,A000000,05000,0000,05000CORF 24401,A000000,05010,0000,05010CMHC 24401,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24401,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24401,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24401,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24401,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24401,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24401,A000000,06153,0000,06312DIALYSIS 24401,A000000,06154,0000,06320APARTMENTS 24401,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24401,A000000,06156,0000,06340CLOSED PATIENT AREAS 24401,A000000,06157,0000,06350O/P ADULT DAYCARE 24401,A81000A,00100,0100,Y 24401,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24401,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24401,A81000B,00300,0300,MSU DEVELOPMENT COST 24401,A81000B,00400,0300,SYMPHONY REHAB 24401,A81000B,00500,0300,SYMPHONY REHAB 24401,A81000B,00600,0300,SYMPHONY REHAB 24401,A81000B,00700,0300,REHAB ALLOCATION 24401,A81000B,00800,0300,REHAB ALLOCATION 24401,A81000B,00900,0300,REHAB ALLOCATION 24401,A81000B,01000,0300,SYMPHONY MOBILEX 24401,A81000B,01100,0300,CLINICAL ALLOCATION 24401,A81000C,00100,0100,B 24401,A81000C,00100,0200,IHS INC. 24401,A81000C,00100,0400,IHS INC. 24401,A81000C,00100,0600,NURSING HOMES 24401,A81000C,00200,0100,B 24401,A81000C,00200,0200,IHS INC. 24401,A81000C,00200,0400,SYMPHONY REHAB 24401,A81000C,00200,0600,REHAB SERVICES 24401,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24401,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24401,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24401,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24401,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24401,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24401,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24401,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24401,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24401,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24401,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24401,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24401,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24401,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24401,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24401,E10A180,00301,0100,12/03/1999 24401,E10A180,00350,0100,03/18/1999 24401,E10A180,00351,0100,05/01/2000 24401,E10A180,00501,0300,07/28/1999 24401,E10A180,00550,0100,07/28/1999 24401,S000000,00100,0200,06/01/2000 24401,S200000,00100,0100,703 SOUTH 29TH ST. 24401,S200000,00200,0100,FT. PIERCE 24401,S200000,00200,0200,FL 24401,S200000,00200,0300,34947- 24401,S200000,00300,0100,ST. LUCIE 24401,S200000,00400,0100,IHS-FLORIDA AT FORT PIERCE 24401,S200000,00400,0200,105382 24401,S200000,00400,0300,12/01/1987 24401,S200000,00400,0500,P 24401,S200000,00600,0200,105382 24401,S200000,00600,0300,12/01/1987 24401,S200000,00600,0600,P 24401,S200000,01600,0100,Y 24401,S200000,02200,0100,Y 24411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24411,A000000,00300,0000,00300EMPLOYEE BENEFITS 24411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24411,A000000,00700,0000,00700HOUSEKEEPING 24411,A000000,00800,0000,00800DIETARY 24411,A000000,00900,0000,00900NURSING ADMINISTRATION 24411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24411,A000000,01100,0000,01100PHARMACY 24411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24411,A000000,01300,0000,01300SOCIAL SERVICE 24411,A000000,01350,0000,01500RECREATION ACTIVITIES 24411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24411,A000000,01600,0000,01600SKILLED NURSING FACILITY 24411,A000000,01800,0000,01800NURSING FACILITY 24411,A000000,01810,0000,01810ICF/MR 24411,A000000,02100,0000,02100RADIOLOGY 24411,A000000,02200,0000,02200LABORATORY 24411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24411,A000000,02500,0000,02500PHYSICAL THERAPY 24411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24411,A000000,02700,0000,02700SPEECH PATHOLOGY 24411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24411,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24411,A000000,03051,0000,03301ENTERAL FEEDING 24411,A000000,03550,0000,03550FQHC 24411,A000000,05000,0000,05000CORF 24411,A000000,05010,0000,05010CMHC 24411,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24411,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24411,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24411,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24411,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24411,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24411,A000000,06153,0000,06312DIALYSIS 24411,A000000,06154,0000,06320APARTMENTS 24411,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24411,A000000,06156,0000,06340CLOSED PATIENT AREAS 24411,A000000,06157,0000,06350O/P ADULT DAYCARE 24411,A81000A,00100,0100,Y 24411,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24411,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24411,A81000B,00300,0300,MSU DEVELOPMENT COST 24411,A81000B,00400,0300,SYMPHONY REHAB 24411,A81000B,00500,0300,SYMPHONY REHAB 24411,A81000B,00600,0300,SYMPHONY REHAB 24411,A81000B,00700,0300,SYMPHONY MOBILEX 24411,A81000B,00800,0300,REHAB ALLOCATION 24411,A81000B,00900,0300,REHAB ALLOCATION 24411,A81000B,01000,0300,REHAB ALLOCATION 24411,A81000B,01100,0300,CLINICAL ALLOCATION 24411,A81000C,00100,0100,B 24411,A81000C,00100,0400,IHS INC. 24411,A81000C,00100,0600,NURSING HOMES 24411,A81000C,00200,0100,G 24411,A81000C,00200,0400,SYMPHONY 24411,A81000C,00200,0600,REHAB SERVICES 24411,A81000C,00300,0100,G 24411,A81000C,00300,0400,LTC 24411,A81000C,00300,0600,LAB 24411,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24411,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24411,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24411,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24411,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24411,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24411,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24411,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24411,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24411,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24411,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24411,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24411,E10A180,00301,0100,05/18/2000 24411,E10A180,00350,0100,03/18/1999 24411,E10A180,00351,0100,12/03/1999 24411,E10A180,00550,0100,07/28/2000 24411,E10A180,00550,0300,07/28/2000 24411,S000000,00100,0200,05/31/2000 24411,S200000,00100,0100,13755 GOLF CLUB PARKWAY 24411,S200000,00200,0100,FORT MYERS 24411,S200000,00200,0200,FL 24411,S200000,00200,0300,33919- 24411,S200000,00300,0100,LEE 24411,S200000,00300,0200,2700 24411,S200000,00300,0300,U 24411,S200000,00400,0100,IHS OF FORT MYERS 24411,S200000,00400,0200,105387 24411,S200000,00400,0300,12/30/1986 24411,S200000,00400,0500,P 24411,S200000,00600,0200,105387 24411,S200000,00600,0300,12/30/1986 24411,S200000,00600,0600,P 24411,S200000,01600,0100,Y 24411,S200000,02200,0100,Y 24421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24421,A000000,00300,0000,00300EMPLOYEE BENEFITS 24421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24421,A000000,00700,0000,00700HOUSEKEEPING 24421,A000000,00800,0000,00800DIETARY 24421,A000000,00900,0000,00900NURSING ADMINISTRATION 24421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24421,A000000,01100,0000,01100PHARMACY 24421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24421,A000000,01300,0000,01300SOCIAL SERVICE 24421,A000000,01350,0000,01500RECREATION ACTIVITIES 24421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24421,A000000,01600,0000,01600SKILLED NURSING FACILITY 24421,A000000,01800,0000,01800NURSING FACILITY 24421,A000000,01810,0000,01810ICF/MR 24421,A000000,02100,0000,02100RADIOLOGY 24421,A000000,02200,0000,02200LABORATORY 24421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24421,A000000,02500,0000,02500PHYSICAL THERAPY 24421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24421,A000000,02700,0000,02700SPEECH PATHOLOGY 24421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24421,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24421,A000000,03051,0000,03301ENTERAL FEEDING 24421,A000000,03550,0000,03550FQHC 24421,A000000,05000,0000,05000CORF 24421,A000000,05010,0000,05010CMHC 24421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24421,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24421,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24421,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24421,A000000,06153,0000,06312DIALYSIS 24421,A000000,06154,0000,06320APARTMENTS 24421,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24421,A000000,06156,0000,06340CLOSED PATIENT AREAS 24421,A000000,06157,0000,06350O/P ADULT DAYCARE 24421,A81000A,00100,0100,Y 24421,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24421,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24421,A81000B,00300,0300,MSU DEVELOPMENT COST 24421,A81000B,00400,0300,SYMPHONY REHAB 24421,A81000B,00500,0300,SYMPHONY REHAB 24421,A81000B,00600,0300,SYMPHONY REHAB 24421,A81000B,00700,0300,SYMPHONY MOBILEX 24421,A81000B,00800,0300,SYMPHONY MOBILEX 24421,A81000B,00900,0300,REHAB ALLOCATION 24421,A81000B,01000,0300,REHAB ALLOCATION 24421,A81000B,01100,0300,REHAB ALLOCATION 24421,A81000B,01200,0300,CLINICAL ALLOCATION 24421,A81000C,00100,0100,B 24421,A81000C,00100,0400,IHS INC. 24421,A81000C,00100,0600,NURSING HOMES 24421,A81000C,00200,0100,B 24421,A81000C,00200,0400,LYRIC 24421,A81000C,00200,0600,NURSING HOMES 24421,A81000C,00300,0100,G 24421,A81000C,00300,0400,SYMPHONY 24421,A81000C,00300,0600,REHAB 24421,A81000C,00400,0100,G 24421,A81000C,00400,0400,LTC 24421,A81000C,00400,0600,LAB 24421,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24421,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24421,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24421,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24421,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24421,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24421,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24421,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24421,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24421,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24421,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24421,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24421,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24421,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24421,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24421,E10A180,00302,0100,12/03/1999 24421,E10A180,00303,0100,05/18/2000 24421,E10A180,00350,0100,03/18/1999 24421,E10A180,00501,0300,07/28/2000 24421,E10A180,00550,0100,07/28/2000 24421,S000000,00100,0200,06/01/2000 24421,S200000,00100,0100,3663 15TH AVENUE 24421,S200000,00200,0100,VERO BEACH 24421,S200000,00200,0200,FL 24421,S200000,00200,0300,32960- 24421,S200000,00300,0100,INDIAN RIVER 24421,S200000,00400,0100,IHS-VERO BEACH 24421,S200000,00400,0200,105399 24421,S200000,00400,0300,06/23/1988 24421,S200000,00400,0500,P 24421,S200000,00600,0200,105399 24421,S200000,00600,0300,06/23/1988 24421,S200000,00600,0600,P 24421,S200000,01600,0100,Y 24421,S200000,02200,0100,Y 24430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24430,A000000,00300,0000,00300EMPLOYEE BENEFITS 24430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24430,A000000,00700,0000,00700HOUSEKEEPING 24430,A000000,00800,0000,00800DIETARY 24430,A000000,00900,0000,00900NURSING ADMINISTRATION 24430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24430,A000000,01100,0000,01100PHARMACY 24430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24430,A000000,01300,0000,01300SOCIAL SERVICE 24430,A000000,01350,0000,01500RECREATION ACTIVITIES 24430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24430,A000000,01600,0000,01600SKILLED NURSING FACILITY 24430,A000000,01800,0000,01800NURSING FACILITY 24430,A000000,01810,0000,01810ICF/MR 24430,A000000,02100,0000,02100RADIOLOGY 24430,A000000,02200,0000,02200LABORATORY 24430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24430,A000000,02500,0000,02500PHYSICAL THERAPY 24430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24430,A000000,02700,0000,02700SPEECH PATHOLOGY 24430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24430,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24430,A000000,03051,0000,03301ENTERAL FEEDING 24430,A000000,03550,0000,03550FQHC 24430,A000000,05000,0000,05000CORF 24430,A000000,05010,0000,05010CMHC 24430,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24430,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24430,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24430,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24430,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24430,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24430,A000000,06153,0000,06312DIALYSIS 24430,A000000,06154,0000,06320APARTMENTS 24430,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24430,A000000,06156,0000,06340CLOSED PATIENT AREAS 24430,A000000,06157,0000,06350O/P ADULT DAYCARE 24430,A81000A,00100,0100,Y 24430,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24430,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24430,A81000B,00400,0300,SYMPHONY REHAB 24430,A81000B,00500,0300,SYMPHONY REHAB 24430,A81000B,00600,0300,SYMPHONY REHAB 24430,A81000B,00700,0300,REHAB ALLOCATION 24430,A81000B,00800,0300,REHAB ALLOCATION 24430,A81000B,00900,0300,REHAB ALLOCATION 24430,A81000B,01000,0300,CLINICAL ALLOCATION 24430,A81000B,01100,0300,SYMPHONY RESPIRATORY 24430,A81000B,01200,0300,SYMPHONY MOBILEX 24430,A81000C,00100,0100,B 24430,A81000C,00100,0400,IHS INC. 24430,A81000C,00100,0600,NURSING HOMES 24430,A81000C,00200,0100,G 24430,A81000C,00200,0400,SYMPHONY 24430,A81000C,00200,0600,REHAB SERVICES 24430,A81000C,00300,0100,G 24430,A81000C,00300,0400,LTC 24430,A81000C,00300,0600,LAB 24430,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24430,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24430,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24430,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24430,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24430,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24430,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24430,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24430,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24430,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24430,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24430,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24430,E10A180,00301,0100,12/03/1999 24430,E10A180,00350,0100,03/18/1999 24430,E10A180,00354,0100,05/18/2000 24430,E10A180,00501,0100,07/28/2000 24430,E10A180,00550,0300,07/28/2000 24430,S000000,00100,0200,06/01/2000 24430,S200000,00100,0100,741 BENEVA ROAD 24430,S200000,00200,0100,SARASOTA 24430,S200000,00200,0200,FL 24430,S200000,00200,0300,34232- 24430,S200000,00300,0100,SARASOTA 24430,S200000,00300,0200,7510 24430,S200000,00300,0300,U 24430,S200000,00400,0100,IHS-SARASOTA AT BENEVA 24430,S200000,00400,0200,105416 24430,S200000,00400,0300,06/15/1982 24430,S200000,00400,0500,P 24430,S200000,00600,0200,105416 24430,S200000,00600,0300,06/15/1982 24430,S200000,00600,0600,P 24430,S200000,01600,0100,Y 24430,S200000,02200,0100,Y 24449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24449,A000000,00300,0000,00300EMPLOYEE BENEFITS 24449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24449,A000000,00700,0000,00700HOUSEKEEPING 24449,A000000,00800,0000,00800DIETARY 24449,A000000,00900,0000,00900NURSING ADMINISTRATION 24449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24449,A000000,01100,0000,01100PHARMACY 24449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24449,A000000,01300,0000,01300SOCIAL SERVICE 24449,A000000,01350,0000,01500RECREATION ACTIVITIES 24449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24449,A000000,01600,0000,01600SKILLED NURSING FACILITY 24449,A000000,01800,0000,01800NURSING FACILITY 24449,A000000,01810,0000,01810ICF/MR 24449,A000000,02100,0000,02100RADIOLOGY 24449,A000000,02200,0000,02200LABORATORY 24449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24449,A000000,02500,0000,02500PHYSICAL THERAPY 24449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24449,A000000,02700,0000,02700SPEECH PATHOLOGY 24449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24449,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24449,A000000,03051,0000,03301ENTERAL FEEDING 24449,A000000,03550,0000,03550FQHC 24449,A000000,05000,0000,05000CORF 24449,A000000,05010,0000,05010CMHC 24449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24449,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24449,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24449,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24449,A000000,06153,0000,06312DIALYSIS 24449,A000000,06154,0000,06320APARTMENTS 24449,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24449,A000000,06156,0000,06340CLOSED PATIENT AREAS 24449,A000000,06157,0000,06350O/P ADULT DAYCARE 24449,A81000A,00100,0100,Y 24449,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24449,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24449,A81000B,00400,0300,SYMPHONY REHAB 24449,A81000B,00500,0300,SYMPHONY REHAB 24449,A81000B,00600,0300,SYMPHONY REHAB 24449,A81000B,00700,0300,REHAB ALLOCATION 24449,A81000B,00800,0300,REHAB ALLOCATION 24449,A81000B,00900,0300,REHAB ALLOCATION 24449,A81000B,01000,0300,CLINICAL ALLOCATION 24449,A81000B,01100,0300,SYMPHONY MOBILEX 24449,A81000C,00100,0100,B 24449,A81000C,00100,0400,IHS INC. 24449,A81000C,00100,0600,NURSING HOMES 24449,A81000C,00200,0100,B 24449,A81000C,00200,0400,LYRIC 24449,A81000C,00200,0600,NURSING HOMES 24449,A81000C,00300,0100,G 24449,A81000C,00300,0400,SYMPHONY 24449,A81000C,00300,0600,REHAB 24449,A81000C,00400,0100,G 24449,A81000C,00400,0400,LTC 24449,A81000C,00400,0600,LAB 24449,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24449,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24449,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24449,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24449,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24449,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24449,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24449,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24449,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24449,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24449,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24449,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24449,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24449,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24449,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24449,E10A180,00301,0100,12/03/1999 24449,E10A180,00302,0100,05/18/2000 24449,E10A180,00350,0100,03/18/1999 24449,E10A180,00550,0100,07/28/2000 24449,E10A180,00550,0300,07/28/2000 24449,S000000,00100,0200,06/01/2000 24449,S200000,00100,0100,8701 49TH STREET NORTH 24449,S200000,00200,0100,PINELLAS PARK 24449,S200000,00200,0200,FL 24449,S200000,00200,0300,34666- 24449,S200000,00300,0100,PINELLAS 24449,S200000,00400,0100,IHS-PINNELLAS PARK 24449,S200000,00400,0200,105422 24449,S200000,00400,0300,09/22/1982 24449,S200000,00400,0500,P 24449,S200000,00600,0200,105422 24449,S200000,00600,0300,09/22/1982 24449,S200000,00600,0600,P 24449,S200000,01600,0100,Y 24449,S200000,02200,0100,Y 24454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24454,A000000,00300,0000,00300EMPLOYEE BENEFITS 24454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24454,A000000,00700,0000,00700HOUSEKEEPING 24454,A000000,00800,0000,00800DIETARY 24454,A000000,00900,0000,00900NURSING ADMINISTRATION 24454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24454,A000000,01100,0000,01100PHARMACY 24454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24454,A000000,01300,0000,01300SOCIAL SERVICE 24454,A000000,01350,0000,01500RECREATION ACTIVITIES 24454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24454,A000000,01600,0000,01600SKILLED NURSING FACILITY 24454,A000000,01800,0000,01800NURSING FACILITY 24454,A000000,01810,0000,01810ICF/MR 24454,A000000,02100,0000,02100RADIOLOGY 24454,A000000,02200,0000,02200LABORATORY 24454,A000000,02500,0000,02500PHYSICAL THERAPY 24454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24454,A000000,02700,0000,02700SPEECH PATHOLOGY 24454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24454,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24454,A000000,03051,0000,03301ENTERAL FEEDING 24454,A000000,03550,0000,03550FQHC 24454,A000000,05000,0000,05000CORF 24454,A000000,05010,0000,05010CMHC 24454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24454,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24454,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24454,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24454,A000000,06153,0000,06312DIALYSIS 24454,A000000,06154,0000,06320APARTMENTS 24454,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24454,A000000,06156,0000,06340CLOSED PATIENT AREAS 24454,A000000,06157,0000,06350O/P ADULT DAYCARE 24454,A81000A,00100,0100,Y 24454,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24454,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24454,A81000B,00300,0300,MSU DEVELOPMENT COST 24454,A81000B,00400,0300,SYMPHONY MOBILEX 24454,A81000B,00500,0300,CLINICAL ALLOCATION 24454,A81000B,00600,0300,REHAB ALLOCATION 24454,A81000B,00700,0300,REHAB ALLOCATION 24454,A81000B,00800,0300,REHAB ALLOCATION 24454,A81000C,00100,0100,B 24454,A81000C,00100,0400,IHS INC. 24454,A81000C,00100,0600,NURSING HOMES 24454,A81000C,00200,0100,B 24454,A81000C,00200,0400,SYMPHONY REHAB 24454,A81000C,00200,0600,REHAB SERVICES 24454,A81000C,00300,0100,G 24454,A81000C,00300,0400,LTC 24454,A81000C,00300,0600,NURSING HOME 24454,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24454,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24454,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24454,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24454,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24454,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24454,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24454,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24454,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24454,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24454,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24454,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24454,E10A180,00301,0100,05/18/2000 24454,E10A180,00351,0100,03/18/1999 24454,E10A180,00352,0100,12/03/1999 24454,E10A180,00501,0100,07/28/2000 24454,E10A180,00550,0300,07/28/2000 24454,S000000,00100,0200,06/01/2000 24454,S200000,00100,0100,8720 JACKSON SPRINGS RD 24454,S200000,00200,0100,TAMPA 24454,S200000,00200,0200,FL 24454,S200000,00200,0300,33615- 24454,S200000,00300,0100,HILLSBOROUGH 24454,S200000,00300,0200,8280 24454,S200000,00300,0300,U 24454,S200000,00400,0100,WOODBRIDGE NRSG & REHAB CTR 24454,S200000,00400,0200,105426 24454,S200000,00400,0300,09/01/1984 24454,S200000,00400,0500,P 24454,S200000,00600,0200,105426 24454,S200000,00600,0300,09/01/1984 24454,S200000,00600,0600,P 24454,S200000,01600,0100,Y 24454,S200000,02200,0100,Y 24462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24462,A000000,00300,0000,00300EMPLOYEE BENEFITS 24462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24462,A000000,00700,0000,00700HOUSEKEEPING 24462,A000000,00800,0000,00800DIETARY 24462,A000000,00900,0000,00900NURSING ADMINISTRATION 24462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24462,A000000,01100,0000,01100PHARMACY 24462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24462,A000000,01300,0000,01300SOCIAL SERVICE 24462,A000000,01350,0000,01500RECREATION ACTIVITIES 24462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24462,A000000,01600,0000,01600SKILLED NURSING FACILITY 24462,A000000,01800,0000,01800NURSING FACILITY 24462,A000000,01810,0000,01810ICF/MR 24462,A000000,02100,0000,02100RADIOLOGY 24462,A000000,02200,0000,02200LABORATORY 24462,A000000,02300,0000,02300INTRAVENOUS THERAPY 24462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24462,A000000,02500,0000,02500PHYSICAL THERAPY 24462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24462,A000000,02700,0000,02700SPEECH PATHOLOGY 24462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24462,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24462,A000000,03051,0000,03301ENTERAL FEEDING 24462,A000000,03550,0000,03550FQHC 24462,A000000,05000,0000,05000CORF 24462,A000000,05010,0000,05010CMHC 24462,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24462,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24462,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24462,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24462,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24462,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24462,A000000,06153,0000,06312DIALYSIS 24462,A000000,06154,0000,06320APARTMENTS 24462,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24462,A000000,06156,0000,06340CLOSED PATIENT AREAS 24462,A000000,06157,0000,06350O/P ADULT DAYCARE 24462,A81000A,00100,0100,Y 24462,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24462,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24462,A81000B,00400,0300,SYMPHONY REHAB 24462,A81000B,00500,0300,SYMPHONY REHAB 24462,A81000B,00600,0300,SYMPHONY REHAB 24462,A81000B,00700,0300,SYMPHONY MEDICAL PRO 24462,A81000B,00800,0300,SYMPHONY MOBILEX 24462,A81000B,00900,0300,SYMPHONY RESPIRATORY 24462,A81000B,01000,0300,HOME OFFICE REHAB 24462,A81000B,01100,0300,HOME OFFICE REHAB 24462,A81000B,01200,0300,HOME OFFICE REHAB 24462,A81000B,01300,0300,HOME OFFICE CLINICAL 24462,A81000C,00100,0100,B 24462,A81000C,00100,0400,IHS INC. 24462,A81000C,00100,0600,NURSING HOMES 24462,A81000C,00200,0100,G 24462,A81000C,00200,0400,SYMPHONY 24462,A81000C,00200,0600,REHAB SERVICES 24462,A81000C,00300,0100,G 24462,A81000C,00300,0400,LTC 24462,A81000C,00300,0600,LAB 24462,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24462,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24462,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24462,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24462,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24462,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24462,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24462,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24462,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24462,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24462,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24462,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24462,E10A180,00351,0100,03/18/1999 24462,E10A180,00352,0100,12/03/1999 24462,E10A180,00354,0100,05/18/2000 24462,E10A180,00501,0100,07/28/2000 24462,E10A180,00501,0300,07/28/2000 24462,S000000,00100,0200,06/01/2000 24462,S200000,00100,0100,1900 MERCY DRIVE 24462,S200000,00200,0100,ORLANDO 24462,S200000,00200,0200,FL 24462,S200000,00200,0300,32808- 24462,S200000,00300,0100,ORANGE 24462,S200000,00300,0200,5960 24462,S200000,00300,0300,U 24462,S200000,00400,0100,IHS-CENTRAL FLORIDA AT ORLANDO 24462,S200000,00400,0200,105431 24462,S200000,00400,0300,11/05/1987 24462,S200000,00400,0500,P 24462,S200000,00600,0200,105431 24462,S200000,00600,0300,11/05/1987 24462,S200000,00600,0600,P 24462,S200000,01600,0100,Y 24462,S200000,02200,0100,Y 24483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24483,A000000,00300,0000,00300EMPLOYEE BENEFITS 24483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24483,A000000,00700,0000,00700HOUSEKEEPING 24483,A000000,00800,0000,00800DIETARY 24483,A000000,00900,0000,00900NURSING ADMINISTRATION 24483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24483,A000000,01100,0000,01100PHARMACY 24483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24483,A000000,01300,0000,01300SOCIAL SERVICE 24483,A000000,01350,0000,01500RECREATION ACTIVITIES 24483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24483,A000000,01600,0000,01600SKILLED NURSING FACILITY 24483,A000000,01800,0000,01800NURSING FACILITY 24483,A000000,01810,0000,01810ICF/MR 24483,A000000,02100,0000,02100RADIOLOGY 24483,A000000,02200,0000,02200LABORATORY 24483,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24483,A000000,02500,0000,02500PHYSICAL THERAPY 24483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24483,A000000,02700,0000,02700SPEECH PATHOLOGY 24483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24483,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24483,A000000,03051,0000,03301ENTERAL FEEDING 24483,A000000,03550,0000,03550FQHC 24483,A000000,05000,0000,05000CORF 24483,A000000,05010,0000,05010CMHC 24483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24483,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24483,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24483,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24483,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24483,A000000,06153,0000,06312DIALYSIS 24483,A000000,06154,0000,06320APARTMENTS 24483,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24483,A000000,06156,0000,06340CLOSED PATIENT AREAS 24483,A000000,06157,0000,06350O/P ADULT DAYCARE 24483,A81000A,00100,0100,Y 24483,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24483,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24483,A81000B,00300,0300,MSU DEVELOPMENT COST 24483,A81000B,00400,0300,SYMPHONY REHAB 24483,A81000B,00500,0300,SYMPHONY REHAB 24483,A81000B,00600,0300,SYMPHONY REHAB 24483,A81000B,00700,0300,REHAB ALLOCATION 24483,A81000B,00800,0300,REHAB ALLOCATION 24483,A81000B,00900,0300,REHAB ALLOCATION 24483,A81000B,01000,0300,CLINICAL ALLOCATION 24483,A81000C,00100,0100,B 24483,A81000C,00100,0400,IHS INC. 24483,A81000C,00100,0600,NURSING HOMES 24483,A81000C,00200,0100,B 24483,A81000C,00200,0400,LYRIC 24483,A81000C,00200,0600,REHAB SERVICES 24483,A81000C,00300,0100,G 24483,A81000C,00300,0400,SYMPHONY 24483,A81000C,00300,0600,LABORATORY 24483,A81000C,00400,0100,G 24483,A81000C,00400,0400,LTC 24483,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24483,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24483,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24483,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24483,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24483,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24483,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24483,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24483,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24483,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24483,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24483,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24483,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24483,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24483,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24483,E10A180,00304,0100,05/18/2000 24483,E10A180,00351,0100,03/18/1999 24483,E10A180,00352,0100,12/03/1999 24483,E10A180,00501,0300,07/28/2000 24483,E10A180,00550,0100,07/28/2000 24483,S000000,00100,0200,06/01/2000 24483,S200000,00100,0100,900 BECKETT WAY 24483,S200000,00200,0100,TARPON SPRINGS 24483,S200000,00200,0200,FL 24483,S200000,00200,0300,34689- 24483,S200000,00300,0100,PINELLAS 24483,S200000,00400,0100,IHS-TARPON SPRINGS 24483,S200000,00400,0200,105451 24483,S200000,00400,0300,01/01/1986 24483,S200000,00400,0500,P 24483,S200000,00600,0200,105451 24483,S200000,00600,0300,01/01/1986 24483,S200000,00600,0600,P 24483,S200000,01600,0100,Y 24483,S200000,02200,0100,Y 24492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24492,A000000,00300,0000,00300EMPLOYEE BENEFITS 24492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24492,A000000,00700,0000,00700HOUSEKEEPING 24492,A000000,00800,0000,00800DIETARY 24492,A000000,00900,0000,00900NURSING ADMINISTRATION 24492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24492,A000000,01100,0000,01100PHARMACY 24492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24492,A000000,01300,0000,01300SOCIAL SERVICE 24492,A000000,01350,0000,01500RECREATION ACTIVITIES 24492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24492,A000000,01600,0000,01600SKILLED NURSING FACILITY 24492,A000000,01800,0000,01800NURSING FACILITY 24492,A000000,01810,0000,01810ICF/MR 24492,A000000,02100,0000,02100RADIOLOGY 24492,A000000,02200,0000,02200LABORATORY 24492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24492,A000000,02500,0000,02500PHYSICAL THERAPY 24492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24492,A000000,02700,0000,02700SPEECH PATHOLOGY 24492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24492,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24492,A000000,03051,0000,03301ENTERAL FEEDING 24492,A000000,03550,0000,03550FQHC 24492,A000000,05000,0000,05000CORF 24492,A000000,05010,0000,05010CMHC 24492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24492,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24492,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24492,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24492,A000000,06153,0000,06312DIALYSIS 24492,A000000,06154,0000,06320APARTMENTS 24492,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24492,A000000,06156,0000,06340CLOSED PATIENT AREAS 24492,A000000,06157,0000,06350O/P ADULT DAYCARE 24492,A81000A,00100,0100,Y 24492,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24492,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24492,A81000B,00300,0300,MSU DEVELOPMENT COST 24492,A81000B,00400,0300,SYMPHONY REHAB 24492,A81000B,00600,0300,SYMPHONY REHAB 24492,A81000B,00700,0300,SYMPHONY MOBILEX 24492,A81000B,00800,0300,SYMPHONY EPSILON 24492,A81000B,00900,0300,REHAB ALLOCATION 24492,A81000B,01000,0300,REHAB ALLOCATION 24492,A81000B,01100,0300,REHAB ALLOCATION 24492,A81000B,01200,0300,CLINICAL ALLOCATION 24492,A81000C,00100,0100,B 24492,A81000C,00100,0400,IHS INC. 24492,A81000C,00100,0600,NURSING HOMES 24492,A81000C,00200,0100,B 24492,A81000C,00200,0400,LYRIC 24492,A81000C,00200,0600,NURSING HOMES 24492,A81000C,00300,0100,G 24492,A81000C,00300,0400,SYMPHONY 24492,A81000C,00300,0600,REHAB 24492,A81000C,00400,0100,G 24492,A81000C,00400,0400,LTC 24492,A81000C,00400,0600,LAB 24492,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24492,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24492,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24492,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24492,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24492,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24492,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24492,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24492,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24492,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24492,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24492,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24492,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24492,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24492,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24492,E10A180,00301,0100,12/03/1999 24492,E10A180,00302,0100,05/18/2000 24492,E10A180,00350,0100,03/18/1999 24492,E10A180,00501,0300,07/28/2000 24492,E10A180,00550,0100,07/28/2000 24492,S000000,00100,0200,06/01/2000 24492,S200000,00100,0100,2055 PALMETTO STREET 24492,S200000,00200,0100,CLEARWATER 24492,S200000,00200,0200,FL 24492,S200000,00200,0300,34625- 24492,S200000,00300,0100,PINELLAS 24492,S200000,00400,0100,IHS-FLORIDA AT CLEARWATER 24492,S200000,00400,0200,105453 24492,S200000,00400,0300,10/01/1985 24492,S200000,00400,0500,P 24492,S200000,00400,0600,O 24492,S200000,00600,0200,105453 24492,S200000,00600,0300,10/01/1985 24492,S200000,00600,0600,P 24492,S200000,01600,0100,Y 24492,S200000,02200,0100,Y 24512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24512,A000000,00300,0000,00300EMPLOYEE BENEFITS 24512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24512,A000000,00700,0000,00700HOUSEKEEPING 24512,A000000,00800,0000,00800DIETARY 24512,A000000,00900,0000,00900NURSING ADMINISTRATION 24512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24512,A000000,01100,0000,01100PHARMACY 24512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24512,A000000,01300,0000,01300SOCIAL SERVICE 24512,A000000,01350,0000,01500RECREATION ACTIVITIES 24512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24512,A000000,01600,0000,01600SKILLED NURSING FACILITY 24512,A000000,01800,0000,01800NURSING FACILITY 24512,A000000,01810,0000,01810ICF/MR 24512,A000000,02100,0000,02100RADIOLOGY 24512,A000000,02200,0000,02200LABORATORY 24512,A000000,02500,0000,02500PHYSICAL THERAPY 24512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24512,A000000,02700,0000,02700SPEECH PATHOLOGY 24512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24512,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24512,A000000,03051,0000,03301ENTERAL FEEDING 24512,A000000,03550,0000,03550FQHC 24512,A000000,05000,0000,05000CORF 24512,A000000,05010,0000,05010CMHC 24512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24512,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24512,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24512,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24512,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24512,A000000,06153,0000,06312DIALYSIS 24512,A000000,06154,0000,06320APARTMENTS 24512,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24512,A000000,06156,0000,06340CLOSED PATIENT AREAS 24512,A000000,06157,0000,06350O/P ADULT DAYCARE 24512,A81000A,00100,0100,Y 24512,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24512,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24512,A81000B,00400,0300,SYMPHONY REHAB 24512,A81000B,00500,0300,SYMPHONY REHAB 24512,A81000B,00600,0300,SYMPHONY REHAB 24512,A81000B,00700,0300,REHAB ALLOCATION 24512,A81000B,00800,0300,REHAB ALLOCATION 24512,A81000B,00900,0300,REHAB ALLOCATION 24512,A81000B,01000,0300,CLINICAL ALLOCATION 24512,A81000B,01100,0300,SYMPHONY MOBILEX 24512,A81000B,01200,0300,SYMPHONY MOBILEX 24512,A81000C,00100,0100,B 24512,A81000C,00100,0400,IHS INC. 24512,A81000C,00100,0600,NURSING HOMES 24512,A81000C,00200,0100,G 24512,A81000C,00200,0400,SYMPHONY 24512,A81000C,00200,0600,REHAB SERVICES 24512,A81000C,00300,0100,G 24512,A81000C,00300,0400,LTC 24512,A81000C,00300,0600,LAB 24512,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24512,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24512,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24512,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24512,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24512,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24512,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24512,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24512,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24512,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24512,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24512,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24512,E10A180,00301,0100,12/03/1999 24512,E10A180,00304,0100,05/18/2000 24512,E10A180,00350,0100,03/18/1999 24512,E10A180,00501,0300,07/28/2000 24512,E10A180,00550,0100,07/28/2000 24512,S000000,00100,0200,06/01/2000 24512,S200000,00100,0100,100 CLYDE MORRIS BLVD 24512,S200000,00200,0100,ORMOND BEACH 24512,S200000,00200,0200,FL 24512,S200000,00200,0300,32074- 24512,S200000,00300,0100,VOLUSIA 24512,S200000,00300,0200,2020 24512,S200000,00300,0300,U 24512,S200000,00400,0100,ORMOND IN THE PINES 24512,S200000,00400,0200,105458 24512,S200000,00400,0300,02/08/1984 24512,S200000,00400,0500,P 24512,S200000,00400,0600,O 24512,S200000,00600,0200,105458 24512,S200000,00600,0300,02/08/1984 24512,S200000,00600,0600,P 24512,S200000,01600,0100,Y 24512,S200000,02200,0100,Y 24522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24522,A000000,00300,0000,00300EMPLOYEE BENEFITS 24522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24522,A000000,00700,0000,00700HOUSEKEEPING 24522,A000000,00800,0000,00800DIETARY 24522,A000000,00900,0000,00900NURSING ADMINISTRATION 24522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24522,A000000,01100,0000,01100PHARMACY 24522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24522,A000000,01300,0000,01300SOCIAL SERVICE 24522,A000000,01350,0000,01500RECREATION ACTIVITIES 24522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24522,A000000,01600,0000,01600SKILLED NURSING FACILITY 24522,A000000,01800,0000,01800NURSING FACILITY 24522,A000000,01810,0000,01810ICF/MR 24522,A000000,02100,0000,02100RADIOLOGY 24522,A000000,02200,0000,02200LABORATORY 24522,A000000,02500,0000,02500PHYSICAL THERAPY 24522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24522,A000000,02700,0000,02700SPEECH PATHOLOGY 24522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24522,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24522,A000000,03051,0000,03301ENTERAL FEEDING 24522,A000000,03550,0000,03550FQHC 24522,A000000,05000,0000,05000CORF 24522,A000000,05010,0000,05010CMHC 24522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24522,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24522,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24522,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24522,A000000,06153,0000,06312DIALYSIS 24522,A000000,06154,0000,06320APARTMENTS 24522,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24522,A000000,06156,0000,06340CLOSED PATIENT AREAS 24522,A000000,06157,0000,06350O/P ADULT DAYCARE 24522,A81000A,00100,0100,Y 24522,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24522,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24522,A81000B,00300,0300,MSU DEVELOPMENT COST 24522,A81000B,00400,0300,SYMPHONY REHAB 24522,A81000B,00500,0300,SYMPHONY REHAB 24522,A81000B,00600,0300,SYMPHONY REHAB 24522,A81000B,00700,0300,REHAB ALLOCATION 24522,A81000B,00800,0300,REHAB ALLOCATION 24522,A81000B,00900,0300,REHAB ALLOCATION 24522,A81000B,01000,0300,CLINICAL ALLOCATION 24522,A81000B,01100,0300,SYMPHONY MOBILEX 24522,A81000C,00100,0100,B 24522,A81000C,00100,0400,IHS INC. 24522,A81000C,00100,0600,NURSING HOMES 24522,A81000C,00200,0100,G 24522,A81000C,00200,0400,SYMPHONY REHAB 24522,A81000C,00200,0600,REHAB SERVICES 24522,A81000C,00300,0100,G 24522,A81000C,00300,0400,LTC 24522,A81000C,00300,0600,LAB 24522,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24522,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24522,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24522,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24522,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24522,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24522,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24522,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24522,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24522,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24522,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24522,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24522,E10A180,00301,0100,12/03/1999 24522,E10A180,00304,0100,05/18/2000 24522,E10A180,00351,0100,03/18/1999 24522,E10A180,00550,0100,07/28/2000 24522,E10A180,00550,0300,07/28/2000 24522,S000000,00100,0200,06/01/2000 24522,S200000,00100,0100,1515 PORT MALABAR BLVD. 24522,S200000,00200,0100,PALM BAY 24522,S200000,00200,0200,FL 24522,S200000,00200,0300,32905- 24522,S200000,00300,0100,BREVARD 24522,S200000,00300,0200,4900 24522,S200000,00300,0300,U 24522,S200000,00400,0100,IHS-PALM BAY 24522,S200000,00400,0200,105464 24522,S200000,00400,0300,10/30/1986 24522,S200000,00400,0500,P 24522,S200000,00600,0200,105464 24522,S200000,00600,0300,10/30/1986 24522,S200000,00600,0600,P 24522,S200000,01600,0100,Y 24522,S200000,02200,0100,Y 24530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24530,A000000,00300,0000,00300EMPLOYEE BENEFITS 24530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24530,A000000,00700,0000,00700HOUSEKEEPING 24530,A000000,00800,0000,00800DIETARY 24530,A000000,00900,0000,00900NURSING ADMINISTRATION 24530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24530,A000000,01100,0000,01100PHARMACY 24530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24530,A000000,01300,0000,01300SOCIAL SERVICE 24530,A000000,01350,0000,01500RECREATION ACTIVITIES 24530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24530,A000000,01600,0000,01600SKILLED NURSING FACILITY 24530,A000000,01800,0000,01800NURSING FACILITY 24530,A000000,01810,0000,01810ICF/MR 24530,A000000,02100,0000,02100RADIOLOGY 24530,A000000,02200,0000,02200LABORATORY 24530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24530,A000000,02500,0000,02500PHYSICAL THERAPY 24530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24530,A000000,02700,0000,02700SPEECH PATHOLOGY 24530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24530,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24530,A000000,03051,0000,03301ENTERAL FEEDING 24530,A000000,03550,0000,03550FQHC 24530,A000000,05000,0000,05000CORF 24530,A000000,05010,0000,05010CMHC 24530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24530,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24530,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24530,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24530,A000000,06153,0000,06312DIALYSIS 24530,A000000,06154,0000,06320APARTMENTS 24530,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24530,A000000,06156,0000,06340CLOSED PATIENT AREAS 24530,A000000,06157,0000,06350O/P ADULT DAYCARE 24530,A81000A,00100,0100,Y 24530,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24530,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24530,A81000B,00300,0300,MSU DEVELOPMENT COST 24530,A81000B,00400,0300,SYMPHONY REHAB 24530,A81000B,00500,0300,SYMPHONY REHAB 24530,A81000B,00600,0300,SYMPHONY REHAB 24530,A81000B,00700,0300,HOME OFFICE REHAB 24530,A81000B,00800,0300,HOME OFFICE REHAB 24530,A81000B,00900,0300,HOME OFFICE REHAB 24530,A81000B,01000,0300,HOME OFFICE CLINICAL 24530,A81000B,01100,0300,SYMPHONY EPSILON 24530,A81000B,01200,0300,SYMPHONY MOBILEX 24530,A81000C,00100,0100,B 24530,A81000C,00100,0400,IHS INC. 24530,A81000C,00100,0600,NURSING HOMES 24530,A81000C,00200,0100,G 24530,A81000C,00200,0400,SYMPHONY 24530,A81000C,00200,0600,REHAB SERVICES 24530,A81000C,00300,0100,G 24530,A81000C,00300,0400,LTC 24530,A81000C,00300,0600,LAB 24530,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24530,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24530,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24530,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24530,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24530,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24530,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24530,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24530,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24530,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24530,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24530,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24530,E10A180,00301,0100,12/03/1999 24530,E10A180,00351,0100,03/18/1999 24530,E10A180,00353,0100,05/18/2000 24530,E10A180,00501,0100,07/28/2000 24530,E10A180,00501,0300,05/31/2000 24530,E10A180,00550,0100,05/31/2000 24530,E10A180,00550,0300,07/28/2000 24530,S000000,00100,0200,06/01/2000 24530,S200000,00100,0100,9309 ORANGE BLOSSOM TRAIL 24530,S200000,00200,0100,ORLANDO 24530,S200000,00200,0200,FL 24530,S200000,00200,0300,32837- 24530,S200000,00300,0100,ORANGE 24530,S200000,00300,0200,5960 24530,S200000,00300,0300,U 24530,S200000,00400,0100,IHS-CENTRAL PARK VILLAGE 24530,S200000,00400,0200,105471 24530,S200000,00400,0300,09/20/1984 24530,S200000,00400,0500,P 24530,S200000,00600,0200,105471 24530,S200000,00600,0300,09/20/1984 24530,S200000,00600,0600,P 24530,S200000,01600,0100,Y 24530,S200000,02200,0100,Y 24541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24541,A000000,00300,0000,00300EMPLOYEE BENEFITS 24541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24541,A000000,00700,0000,00700HOUSEKEEPING 24541,A000000,00800,0000,00800DIETARY 24541,A000000,00900,0000,00900NURSING ADMINISTRATION 24541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24541,A000000,01100,0000,01100PHARMACY 24541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24541,A000000,01300,0000,01300SOCIAL SERVICE 24541,A000000,01350,0000,01500ACTIVITIES 24541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24541,A000000,01600,0000,01600SKILLED NURSING FACILITY 24541,A000000,01800,0000,01800NURSING FACILITY 24541,A000000,01900,0000,01900OTHER LONG TERM CARE 24541,A000000,02100,0000,02100RADIOLOGY 24541,A000000,02200,0000,02200LABORATORY 24541,A000000,02300,0000,02300INTRAVENOUS THERAPY 24541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24541,A000000,02500,0000,02500PHYSICAL THERAPY 24541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24541,A000000,02700,0000,02700SPEECH PATHOLOGY 24541,A000000,02800,0000,02800ELECTROCARDIOLOGY 24541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24541,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24541,A000000,03200,0000,03200SUPPORT SURFACES 24541,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24541,A000000,04800,0000,04800AMBULANCE 24541,A000000,05300,0000,05300INTEREST EXPENSE 24541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24541,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24541,A000000,06100,0000,06100NONPAID WORKERS 24541,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24541,A000000,06200,0000,06200PATIENTS LAUNDRY 24541,A81000A,00100,0100,Y 24541,A81000B,00100,0300,HOME OFFICE COST 24541,A81000B,00200,0300,PT ADMIN FEE 24541,A81000B,00300,0300,OT ADMIN FEE 24541,A81000B,00400,0300,ST ADMIN FEE 24541,A81000B,00500,0300,IV DRUGS & SUPPLIES 24541,A81000B,00600,0300,DRUGS 24541,A81000C,00100,0100,B 24541,A81000C,00100,0200,MCHS - BOCA RATON 24541,A81000C,00100,0400,HCR MANORCARE INC. 24541,A81000C,00100,0600,LONG TERM CARE FACILITIES 24541,A81000C,00200,0100,B 24541,A81000C,00200,0200,MCHS - BOCA RATON 24541,A81000C,00200,0400,HRTLND MANAGEMENT SERV. 24541,A81000C,00200,0600,THERAPY MANAGEMENT 24541,A81000C,00300,0100,B 24541,A81000C,00300,0200,MCHS - BOCA RATON 24541,A81000C,00300,0400,HRTLND MANAGEMENT SERV. 24541,A81000C,00300,0600,THERAPY MANAGEMENT 24541,A81000C,00400,0100,B 24541,A81000C,00400,0200,MCHS - BOCA RATON 24541,A81000C,00400,0400,HRTLND MANAGEMENT SERV. 24541,A81000C,00400,0600,THERAPY MANAGEMENT 24541,A81000C,00500,0100,B 24541,A81000C,00500,0200,MCHS - BOCA RATON 24541,A81000C,00500,0400,HRTLND HEALTHCARE SERV. 24541,A81000C,00500,0600,PHARMACY 24541,A81000C,00600,0100,B 24541,A81000C,00600,0200,MCHS - BOCA RATON 24541,A81000C,00600,0400,HRTLND HEALTHCARE SERV. 24541,A81000C,00600,0600,PHARMACY 24541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24541,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24541,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24541,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24541,B100000,00000,0800,00000MEALS SERVED :DIETARY 24541,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24541,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24541,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24541,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24541,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24541,S000000,00100,0200,10/31/2000 24541,S200000,00100,0100,375 N.W. 51ST STREET 24541,S200000,00200,0100,BOCA RATON 24541,S200000,00200,0200,FL 24541,S200000,00200,0300,33487- 24541,S200000,00300,0100,PALM BEACH 24541,S200000,00300,0200,8960 24541,S200000,00300,0300,U 24541,S200000,00400,0100,MCHS - BOCA RATON 24541,S200000,00400,0200,105481 24541,S200000,00400,0300,01/01/1966 24541,S200000,00400,0500,P 24541,S200000,00400,0600,P 24541,S200000,01600,0100,Y 24541,S200000,02200,0100,Y 24551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24551,A000000,00300,0000,00300EMPLOYEE BENEFITS 24551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24551,A000000,00700,0000,00700HOUSEKEEPING 24551,A000000,00800,0000,00800DIETARY 24551,A000000,00900,0000,00900NURSING ADMINISTRATION 24551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24551,A000000,01100,0000,01100PHARMACY 24551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24551,A000000,01300,0000,01300SOCIAL SERVICE 24551,A000000,01350,0000,01500ACTIVITIES 24551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24551,A000000,01600,0000,01600SKILLED NURSING FACILITY 24551,A000000,01800,0000,01800NURSING FACILITY 24551,A000000,01900,0000,01900OTHER LONG TERM CARE 24551,A000000,02100,0000,02100RADIOLOGY 24551,A000000,02200,0000,02200LABORATORY 24551,A000000,02300,0000,02300INTRAVENOUS THERAPY 24551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24551,A000000,02500,0000,02500PHYSICAL THERAPY 24551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24551,A000000,02700,0000,02700SPEECH PATHOLOGY 24551,A000000,02800,0000,02800ELECTROCARDIOLOGY 24551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24551,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24551,A000000,03200,0000,03200SUPPORT SURFACES 24551,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24551,A000000,04800,0000,04800AMBULANCE 24551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24551,A000000,05300,0000,05300INTEREST EXPENSE 24551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24551,A000000,06100,0000,06100NONPAID WORKERS 24551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24551,A000000,06200,0000,06200PATIENTS LAUNDRY 24551,A81000A,00100,0100,Y 24551,A81000B,00100,0300,HOME OFFICE COST 24551,A81000B,00200,0300,PT ADMIN FEES 24551,A81000B,00300,0300,OT ADMIN FEES 24551,A81000B,00400,0300,ST ADMIN FEES 24551,A81000B,00500,0300,PURCH SVC PHARMACY 24551,A81000B,00600,0300,IV THERAPY SUPPLIES 24551,A81000B,00700,0300,LEG DRUGS PHARMACY 24551,A81000B,00800,0300,NL DRUGS PHARMACY 24551,A81000B,00900,0300,THPY DRGS IV THERAPY 24551,A81000C,00100,0100,B 24551,A81000C,00100,0200,HCR MANORCARE 24551,A81000C,00100,0400,HCR MANORCARE INC. 24551,A81000C,00100,0600,LONG TERM CARE FACILITIES 24551,A81000C,00200,0100,B 24551,A81000C,00200,0200,MCHS BOYTON BEACH 24551,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 24551,A81000C,00200,0600,THERAPY MANAGEMENT 24551,A81000C,00300,0100,B 24551,A81000C,00300,0200,MCHS BOYTON BEACH 24551,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24551,A81000C,00300,0600,THERAPY MANAGEMENT 24551,A81000C,00400,0100,B 24551,A81000C,00400,0200,MCHS BOYTON BEACH 24551,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24551,A81000C,00400,0600,THERAPY MANAGEMENT 24551,A81000C,00500,0100,B 24551,A81000C,00500,0200,MCHS BOYTON BEACH 24551,A81000C,00500,0400,HEARTLAND HEALTH CARE 24551,A81000C,00500,0600,PHARMACY 24551,A81000C,00600,0100,B 24551,A81000C,00600,0200,MCHS BOYTON BEACH 24551,A81000C,00600,0400,HEARTLAND HEALTH CARE 24551,A81000C,00600,0600,PHARMACY 24551,A81000C,00700,0100,B 24551,A81000C,00700,0200,MCHS BOYTON BEACH 24551,A81000C,00700,0400,HEARTLAND HEALTH CARE 24551,A81000C,00700,0600,PHARMAY 24551,A81000C,00800,0100,B 24551,A81000C,00800,0200,MCHS BOYTON BEACH 24551,A81000C,00800,0400,HEARTLAND HEALTH CARE 24551,A81000C,00800,0600,PHARMACY 24551,A81000C,00900,0100,B 24551,A81000C,00900,0200,MCHS BOYTON BEACH 24551,A81000C,00900,0400,HEARTLAND HEALTH CARE 24551,A81000C,00900,0600,PHARMACY 24551,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24551,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24551,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24551,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24551,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24551,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24551,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24551,B100000,00000,0800,00000MEALS SERVED :DIETARY 24551,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24551,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24551,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24551,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24551,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24551,S000000,00100,0200,10/27/2000 24551,S200000,00100,0100,3001 S. CONGRESS AVENUE 24551,S200000,00200,0100,BOYNTON BEACH 24551,S200000,00200,0200,FL 24551,S200000,00200,0300,33426- 24551,S200000,00300,0100,PALM BEACH 24551,S200000,00300,0200,8960 24551,S200000,00300,0300,U 24551,S200000,00400,0100,BOYNTON BEACH 24551,S200000,00400,0200,105496 24551,S200000,00400,0300,04/26/1985 24551,S200000,00400,0500,P 24551,S200000,00400,0600,P 24551,S200000,01004,0500,O 24551,S200000,01600,0100,Y 24560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24560,A000000,00300,0000,00300EMPLOYEE BENEFITS 24560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24560,A000000,00700,0000,00700HOUSEKEEPING 24560,A000000,00800,0000,00800DIETARY 24560,A000000,00900,0000,00900NURSING ADMINISTRATION 24560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24560,A000000,01100,0000,01100PHARMACY 24560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24560,A000000,01300,0000,01300SOCIAL SERVICE 24560,A000000,01350,0000,01500ACTIVITIES 24560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24560,A000000,01600,0000,01600SKILLED NURSING FACILITY 24560,A000000,01800,0000,01800NURSING FACILITY 24560,A000000,01900,0000,01900OTHER LONG TERM CARE 24560,A000000,02100,0000,02100RADIOLOGY 24560,A000000,02200,0000,02200LABORATORY 24560,A000000,02300,0000,02300INTRAVENOUS THERAPY 24560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24560,A000000,02500,0000,02500PHYSICAL THERAPY 24560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24560,A000000,02700,0000,02700SPEECH PATHOLOGY 24560,A000000,02800,0000,02800ELECTROCARDIOLOGY 24560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24560,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24560,A000000,03200,0000,03200SUPPORT SURFACES 24560,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24560,A000000,04800,0000,04800AMBULANCE 24560,A000000,05300,0000,05300INTEREST EXPENSE 24560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24560,A000000,06100,0000,06100NONPAID WORKERS 24560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24560,A000000,06200,0000,06200PATIENTS LAUNDRY 24560,A81000A,00100,0100,Y 24560,A81000B,00100,0300,HOME OFFICE COST 24560,A81000B,00200,0300,PT ADMIN FEES 24560,A81000B,00300,0300,OT ADMIN FEES 24560,A81000B,00400,0300,ST ADMIN FEES 24560,A81000C,00100,0100,B 24560,A81000C,00100,0200,MCHS - LELY PALMS 24560,A81000C,00100,0400,HCR MANORCARE INC. 24560,A81000C,00100,0600,LONG TERM CARE FACILITIES 24560,A81000C,00200,0100,B 24560,A81000C,00200,0200,MCHS - LELY PALMS 24560,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 24560,A81000C,00200,0600,THERAPY MANAGEMENT 24560,A81000C,00300,0100,B 24560,A81000C,00300,0200,MCHS - LELY PALMS 24560,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24560,A81000C,00300,0600,THERAPY MANAGEMENT 24560,A81000C,00400,0100,B 24560,A81000C,00400,0200,MCHS - LELY PALMS 24560,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24560,A81000C,00400,0600,THERAPY MANAGEMENT 24560,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24560,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24560,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24560,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24560,B100000,00000,0800,00000MEALS SERVED :DIETARY 24560,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24560,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24560,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24560,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24560,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24560,S000000,00100,0200,10/31/2000 24560,S200000,00100,0100,6135 RATTLESNAKE ROAD 24560,S200000,00200,0100,NAPLES 24560,S200000,00200,0200,FL 24560,S200000,00200,0300,33962- 24560,S200000,00300,0100,COLLIER 24560,S200000,00300,0200,5345 24560,S200000,00300,0300,U 24560,S200000,00400,0100,MCHS - LELY PALMS 24560,S200000,00400,0200,105499 24560,S200000,00400,0300,07/01/1984 24560,S200000,00400,0500,P 24560,S200000,00400,0600,P 24560,S200000,01600,0100,Y 24565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24565,A000000,00300,0000,00300EMPLOYEE BENEFITS 24565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24565,A000000,00700,0000,00700HOUSEKEEPING 24565,A000000,00800,0000,00800DIETARY 24565,A000000,00900,0000,00900NURSING ADMINISTRATION 24565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24565,A000000,01100,0000,01100PHARMACY 24565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24565,A000000,01300,0000,01300SOCIAL SERVICE 24565,A000000,01350,0000,01500RECREATION ACTIVITIES 24565,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24565,A000000,01600,0000,01600SKILLED NURSING FACILITY 24565,A000000,01800,0000,01800NURSING FACILITY 24565,A000000,01810,0000,01810ICF/MR 24565,A000000,02100,0000,02100RADIOLOGY 24565,A000000,02200,0000,02200LABORATORY 24565,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24565,A000000,02500,0000,02500PHYSICAL THERAPY 24565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24565,A000000,02700,0000,02700SPEECH PATHOLOGY 24565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24565,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24565,A000000,03051,0000,03301ENTERAL FEEDING 24565,A000000,03550,0000,03550FQHC 24565,A000000,05000,0000,05000CORF 24565,A000000,05010,0000,05010CMHC 24565,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24565,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24565,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24565,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24565,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24565,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24565,A000000,06153,0000,06312DIALYSIS 24565,A000000,06154,0000,06320APARTMENTS 24565,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24565,A000000,06156,0000,06340CLOSED PATIENT AREAS 24565,A000000,06157,0000,06350O/P ADULT DAYCARE 24565,A000000,06158,0000,06356NON ALLOWABLE SALARIES 24565,A81000A,00100,0100,Y 24565,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24565,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24565,A81000B,00400,0300,REHAB ALLOCATION 24565,A81000B,00500,0300,REHAB ALLOCATION 24565,A81000B,00600,0300,REHAB ALLOCATION 24565,A81000B,00700,0300,CLINICAL ALLOCATION 24565,A81000C,00100,0100,B 24565,A81000C,00100,0400,IHS INC. 24565,A81000C,00100,0600,NURSING HOMES 24565,A81000C,00200,0100,G 24565,A81000C,00200,0400,SYMPHONY REHAB 24565,A81000C,00200,0600,REHAB SERVICES 24565,A81000C,00300,0100,G 24565,A81000C,00300,0400,LTC MED LAB 24565,A81000C,00300,0600,LABORATORY 24565,B100000,00000,0100,00056(SQUARE FEET) :CAP REL COSTS - BLD 24565,B100000,00000,0300,00056(GROSS SALARIES) :EMPLOYEE BENEFIT 24565,B100000,00000,0400,00056 ACCUM. COST :ADMINISTRATIVE & GENE 24565,B100000,00000,0500,00056(SQUARE FEET) :PLANT OPERATION MA 24565,B100000,00000,0650,00056(PATIENT DAYS) :LAUNDRY & LINEN SE 24565,B100000,00000,0750,00056(SQUARE FEET) :HOUSEKEEPING 24565,B100000,00000,0850,00056(PATIENT DAYS) :DIETARY 24565,B100000,00000,0950,00056(NURSING SALARIES) :NURSING ADMINI 24565,B100000,00000,1000,00056(COSTED REQUIS) :CENTRAL SERVICES 24565,B100000,00000,1250,00056(PATIENT DAYS) :MEDICAL RECORDS & 24565,B100000,00000,1330,00056(PATIENT DAYS) :SOCIAL SERVICE 24565,B100000,00000,1350,00056(PATIENT DAYS) :RECREATION ACTIVIT 24565,E10A180,00350,0100,03/01/1999 24565,E10A180,00351,0100,12/03/1999 24565,E10A180,00353,0100,05/18/2000 24565,E10A180,00354,0100,10/23/2000 24565,S000000,00100,0200,07/07/2000 24565,S200000,00100,0100,1255 NE 135TH STREET 24565,S200000,00200,0100,NORTH MIAMI 24565,S200000,00200,0200,FL 24565,S200000,00200,0300,33161- 24565,S200000,00300,0100,DADE 24565,S200000,00300,0200,5000 24565,S200000,00300,0300,U 24565,S200000,00400,0100,NORTH MIAMI NRSG & REHAB CTR 24565,S200000,00400,0200,105502 24565,S200000,00400,0300,04/01/1985 24565,S200000,00400,0500,P 24565,S200000,00600,0200,105502 24565,S200000,00600,0300,04/01/1985 24565,S200000,00600,0600,P 24565,S200000,01600,0100,Y 24565,S200000,02200,0100,Y 24575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24575,A000000,00300,0000,00300EMPLOYEE BENEFITS 24575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24575,A000000,00700,0000,00700HOUSEKEEPING 24575,A000000,00800,0000,00800DIETARY 24575,A000000,00900,0000,00900NURSING ADMINISTRATION 24575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24575,A000000,01100,0000,01100PHARMACY 24575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24575,A000000,01300,0000,01300SOCIAL SERVICE 24575,A000000,01350,0000,01500ACTIVITIES 24575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24575,A000000,01600,0000,01600SKILLED NURSING FACILITY 24575,A000000,01800,0000,01800NURSING FACILITY 24575,A000000,01900,0000,01900OTHER LONG TERM CARE 24575,A000000,02100,0000,02100RADIOLOGY 24575,A000000,02200,0000,02200LABORATORY 24575,A000000,02300,0000,02300INTRAVENOUS THERAPY 24575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24575,A000000,02500,0000,02500PHYSICAL THERAPY 24575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24575,A000000,02700,0000,02700SPEECH PATHOLOGY 24575,A000000,02800,0000,02800ELECTROCARDIOLOGY 24575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24575,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24575,A000000,03200,0000,03200SUPPORT SURFACES 24575,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24575,A000000,04800,0000,04800AMBULANCE 24575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24575,A000000,05300,0000,05300INTEREST EXPENSE 24575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24575,A000000,06100,0000,06100NONPAID WORKERS 24575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24575,A000000,06200,0000,06200PATIENTS LAUNDRY 24575,A81000A,00100,0100,Y 24575,A81000B,00100,0300,HOME OFFICE COST 24575,A81000B,00200,0300,PT ADMIN FEES 24575,A81000B,00300,0300,OT ADMIN FEES 24575,A81000B,00400,0300,ST ADMIN FEES 24575,A81000B,00500,0300,IV THERAPY SUPPLIES 24575,A81000B,00600,0300,LEG DRUGS PHARMACY 24575,A81000B,00700,0300,NL DRUGS PHARMACY 24575,A81000B,00800,0300,PURCH SERV PHARMACY 24575,A81000B,00900,0300,IV THERAPY DRUGS 24575,A81000C,00100,0100,B 24575,A81000C,00100,0200,HCR MANORCARE 24575,A81000C,00100,0400,HCR MANORCARE INC. 24575,A81000C,00100,0600,LONG TERM CARE FACILITIES 24575,A81000C,00200,0100,B 24575,A81000C,00200,0200,MCHS PLANTATION 24575,A81000C,00200,0400,HEARTLAND MGMT SERV 24575,A81000C,00200,0600,THERAPY MANAGEMENT 24575,A81000C,00300,0100,B 24575,A81000C,00300,0200,MCHS PLANTATION 24575,A81000C,00300,0400,HEARTLAND MGMT SERV 24575,A81000C,00300,0600,THERAPY MANAGEMENT 24575,A81000C,00400,0100,B 24575,A81000C,00400,0200,MCHS PLANTATION 24575,A81000C,00400,0400,HEARTLAND MGMT SERV 24575,A81000C,00400,0600,THERAPY MANAGEMENT 24575,A81000C,00500,0100,B 24575,A81000C,00500,0200,MCHS PLANTATION 24575,A81000C,00500,0400,HEARTLAND HEALTH CARE 24575,A81000C,00500,0600,PHARMACY 24575,A81000C,00600,0100,B 24575,A81000C,00600,0200,MCHS PLANTATION 24575,A81000C,00600,0400,HEARTLAND HEALTH CARE 24575,A81000C,00600,0600,PHARMACY 24575,A81000C,00700,0100,B 24575,A81000C,00700,0200,MCHS PLANTATION 24575,A81000C,00700,0400,HEARTLAND HEALTH CARE 24575,A81000C,00700,0600,PHARMACY 24575,A81000C,00800,0100,B 24575,A81000C,00800,0200,MCHS PLANTATION 24575,A81000C,00800,0400,HEARTLAND HEALTH CARE 24575,A81000C,00800,0600,PHARMACY 24575,A81000C,00900,0100,B 24575,A81000C,00900,0200,MCHS PLANTATION 24575,A81000C,00900,0400,HEARTLAND HEALTH CARE 24575,A81000C,00900,0600,PHARMACY 24575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24575,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24575,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24575,B100000,00000,0800,00000MEALS SERVED :DIETARY 24575,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24575,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24575,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24575,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24575,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24575,S000000,00100,0200,10/27/2000 24575,S200000,00100,0100,6931 W. SUNRISE BLVD 24575,S200000,00200,0100,PLANTATION 24575,S200000,00200,0200,FL 24575,S200000,00200,0300,33313- 24575,S200000,00300,0100,BROWARD 24575,S200000,00300,0200,2680 24575,S200000,00300,0300,U 24575,S200000,00400,0100,MCHS PLANTATION 24575,S200000,00400,0200,105519 24575,S200000,00400,0300,09/23/1985 24575,S200000,00400,0500,P 24575,S200000,00400,0600,P 24575,S200000,01004,0500,O 24575,S200000,01600,0100,Y 24583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24583,A000000,00300,0000,00300EMPLOYEE BENEFITS 24583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24583,A000000,00700,0000,00700HOUSEKEEPING 24583,A000000,00800,0000,00800DIETARY 24583,A000000,00900,0000,00900NURSING ADMINISTRATION 24583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24583,A000000,01100,0000,01100PHARMACY 24583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24583,A000000,01300,0000,01300SOCIAL SERVICE 24583,A000000,01350,0000,01500RECREATION ACTIVITIES 24583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24583,A000000,01600,0000,01600SKILLED NURSING FACILITY 24583,A000000,01800,0000,01800NURSING FACILITY 24583,A000000,01810,0000,01810ICF/MR 24583,A000000,02100,0000,02100RADIOLOGY 24583,A000000,02200,0000,02200LABORATORY 24583,A000000,02500,0000,02500PHYSICAL THERAPY 24583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24583,A000000,02700,0000,02700SPEECH PATHOLOGY 24583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24583,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24583,A000000,03051,0000,03301ENTERAL FEEDING 24583,A000000,03550,0000,03550FQHC 24583,A000000,05000,0000,05000CORF 24583,A000000,05010,0000,05010CMHC 24583,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24583,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24583,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24583,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24583,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24583,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24583,A000000,06153,0000,06312DIALYSIS 24583,A000000,06154,0000,06320APARTMENTS 24583,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24583,A000000,06156,0000,06340CLOSED PATIENT AREAS 24583,A000000,06157,0000,06350O/P ADULT DAYCARE 24583,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24583,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24583,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24583,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24583,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24583,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24583,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24583,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24583,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24583,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24583,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24583,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24583,E10A180,00350,0100,01/03/2000 24583,E10A180,00351,0100,09/18/2000 24583,E10A180,00501,0100,12/26/2000 24583,E10A180,00501,0300,12/26/2000 24583,E10A180,00502,0100,01/28/2002 24583,E10A180,00550,0300,01/28/2002 24583,S000000,00100,0200,10/31/2000 24583,S200000,00100,0100,2355 KISSIMMEE PARK ROAD 24583,S200000,00200,0100,ST. CLOUD 24583,S200000,00200,0200,FL 24583,S200000,00200,0300,34769- 24583,S200000,00300,0100,OSCEOLA 24583,S200000,00300,0200,5960 24583,S200000,00300,0300,U 24583,S200000,00400,0100,SOUTHERN OAKS HEALTH CARE 24583,S200000,00400,0200,105528 24583,S200000,00400,0300,09/01/1994 24583,S200000,00400,0500,P 24583,S200000,00600,0200,105528 24583,S200000,00600,0300,09/01/1994 24583,S200000,00600,0600,P 24583,S200000,01600,0100,Y 24583,S200000,02200,0100,Y 24592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24592,A000000,00300,0000,00300EMPLOYEE BENEFITS 24592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24592,A000000,00700,0000,00700HOUSEKEEPING 24592,A000000,00800,0000,00800DIETARY 24592,A000000,00900,0000,00900NURSING ADMINISTRATION 24592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24592,A000000,01100,0000,01100PHARMACY 24592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24592,A000000,01300,0000,01300SOCIAL SERVICE 24592,A000000,01350,0000,01500RECREATION ACTIVITIES 24592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24592,A000000,01600,0000,01600SKILLED NURSING FACILITY 24592,A000000,01800,0000,01800NURSING FACILITY 24592,A000000,01810,0000,01810ICF/MR 24592,A000000,02100,0000,02100RADIOLOGY 24592,A000000,02200,0000,02200LABORATORY 24592,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24592,A000000,02500,0000,02500PHYSICAL THERAPY 24592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24592,A000000,02700,0000,02700SPEECH PATHOLOGY 24592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24592,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24592,A000000,03051,0000,03301ENTERAL FEEDING 24592,A000000,03550,0000,03550FQHC 24592,A000000,05000,0000,05000CORF 24592,A000000,05010,0000,05010CMHC 24592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24592,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24592,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24592,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24592,A000000,06153,0000,06312DIALYSIS 24592,A000000,06154,0000,06320APARTMENTS 24592,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24592,A000000,06156,0000,06340CLOSED PATIENT AREAS 24592,A000000,06157,0000,06350O/P ADULT DAYCARE 24592,A81000A,00100,0100,Y 24592,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24592,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24592,A81000B,00300,0300,MSU DEVELOPMENT COST 24592,A81000B,00400,0300,SYMPHONY REHAB 24592,A81000B,00500,0300,SYMPHONY REHAB 24592,A81000B,00600,0300,SYMPHONY REHAB 24592,A81000B,00700,0300,SYMPHONY MOBILEX 24592,A81000B,00800,0300,REHAB ALLOCATION 24592,A81000B,00900,0300,REHAB ALLOCATION 24592,A81000B,01000,0300,REHAB ALLOCATION 24592,A81000B,01100,0300,CLINICAL ALLOCATION 24592,A81000C,00100,0100,B 24592,A81000C,00100,0400,IHS INC. 24592,A81000C,00100,0600,NURSING HOMES 24592,A81000C,00200,0100,G 24592,A81000C,00200,0400,SYMPHONY 24592,A81000C,00200,0600,REHAB SERVICES 24592,A81000C,00300,0100,G 24592,A81000C,00300,0400,LTC 24592,A81000C,00300,0600,LAB 24592,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24592,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24592,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24592,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24592,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24592,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24592,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24592,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24592,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24592,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24592,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24592,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24592,E10A180,00302,0100,12/03/1999 24592,E10A180,00304,0100,05/18/2000 24592,E10A180,00350,0100,03/18/1999 24592,E10A180,00501,0300,07/28/2000 24592,E10A180,00550,0100,07/28/2000 24592,S000000,00100,0200,06/01/2000 24592,S200000,00100,0100,2302 59TH STREET WEST 24592,S200000,00200,0100,BRADENTON 24592,S200000,00200,0200,FL 24592,S200000,00200,0300,34209- 24592,S200000,00300,0100,MANATEE 24592,S200000,00300,0200,7510 24592,S200000,00300,0300,U 24592,S200000,00400,0100,IHS-BRADENTON 24592,S200000,00400,0200,105529 24592,S200000,00400,0300,12/30/1986 24592,S200000,00400,0500,P 24592,S200000,00600,0200,105529 24592,S200000,00600,0300,12/30/1986 24592,S200000,00600,0600,P 24592,S200000,01600,0100,Y 24592,S200000,02200,0100,Y 24597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24597,A000000,00300,0000,00300EMPLOYEE BENEFITS 24597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24597,A000000,00700,0000,00700HOUSEKEEPING 24597,A000000,00800,0000,00800DIETARY 24597,A000000,00900,0000,00900NURSING ADMINISTRATION 24597,A000000,00901,0000,00910NURSING ADMIN MSU 24597,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 24597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24597,A000000,01100,0000,01100PHARMACY 24597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24597,A000000,01300,0000,01300SOCIAL SERVICE 24597,A000000,01350,0000,01500RECREATION ACTIVITIES 24597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24597,A000000,01600,0000,01600SKILLED NURSING FACILITY 24597,A000000,01800,0000,01800NURSING FACILITY 24597,A000000,01810,0000,01810ICF/MR 24597,A000000,02100,0000,02100RADIOLOGY 24597,A000000,02200,0000,02200LABORATORY 24597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24597,A000000,02500,0000,02500PHYSICAL THERAPY 24597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24597,A000000,02700,0000,02700SPEECH PATHOLOGY 24597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24597,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24597,A000000,03051,0000,03301ENTERAL FEEDING 24597,A000000,03550,0000,03550FQHC 24597,A000000,05000,0000,05000CORF 24597,A000000,05010,0000,05010CMHC 24597,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24597,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24597,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24597,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24597,A000000,06153,0000,06312DIALYSIS 24597,A000000,06154,0000,06320APARTMENTS 24597,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24597,A000000,06156,0000,06340CLOSED PATIENT AREAS 24597,A000000,06157,0000,06350O/P ADULT DAYCARE 24597,A81000A,00100,0100,Y 24597,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24597,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24597,A81000B,00300,0300,HOME OFFICE CLINICAL 24597,A81000B,00400,0300,HOME OFFICE REHAB 24597,A81000B,00500,0300,HOME OFFICE REHAB 24597,A81000B,00600,0300,HOME OFFICE REHAB 24597,A81000B,00700,0300,REHAB CPS 24597,A81000B,00800,0300,REHAB CPS 24597,A81000B,00900,0300,REHAB CPS 24597,A81000C,00100,0100,B 24597,A81000C,00100,0400,IHS INC. 24597,A81000C,00100,0600,NURSING HOMES 24597,A81000C,00200,0100,B 24597,A81000C,00200,0400,SYMPHONY REHAB 24597,A81000C,00200,0600,REHAB SERVICES 24597,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24597,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24597,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24597,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24597,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24597,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24597,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24597,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24597,B100000,00000,0951,00050(PATIENT DAYS) :NURSING ADMIN MSU 24597,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24597,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24597,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24597,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24597,E10A180,00302,0100,01/29/1999 24597,E10A180,00304,0100,12/03/1999 24597,S000000,00100,0200,03/14/2000 24597,S200000,00100,0100,105 15TH STREET EAST 24597,S200000,00200,0100,BRADENTON 24597,S200000,00200,0200,FL 24597,S200000,00200,0300,34208- 24597,S200000,00300,0100,MANATEE 24597,S200000,00300,0200,7510 24597,S200000,00300,0300,U 24597,S200000,00400,0100,IHS-RIVERFRONT 24597,S200000,00400,0200,105551 24597,S200000,00400,0300,11/01/1986 24597,S200000,00400,0500,P 24597,S200000,00600,0200,105551 24597,S200000,00600,0300,11/01/1986 24597,S200000,00600,0600,P 24597,S200000,01500,0100,Y 24597,S200000,02200,0100,Y 24601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24601,A000000,00300,0000,00300EMPLOYEE BENEFITS 24601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24601,A000000,00700,0000,00700HOUSEKEEPING 24601,A000000,00800,0000,00800DIETARY 24601,A000000,00900,0000,00900NURSING ADMINISTRATION 24601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24601,A000000,01100,0000,01100PHARMACY 24601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24601,A000000,01300,0000,01300SOCIAL SERVICE 24601,A000000,01350,0000,01500RECREATION ACTIVITIES 24601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24601,A000000,01600,0000,01600SKILLED NURSING FACILITY 24601,A000000,01800,0000,01800NURSING FACILITY 24601,A000000,01810,0000,01810ICF/MR 24601,A000000,02100,0000,02100RADIOLOGY 24601,A000000,02200,0000,02200LABORATORY 24601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24601,A000000,02500,0000,02500PHYSICAL THERAPY 24601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24601,A000000,02700,0000,02700SPEECH PATHOLOGY 24601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24601,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24601,A000000,03051,0000,03301ENTERAL FEEDING 24601,A000000,03550,0000,03550FQHC 24601,A000000,05000,0000,05000CORF 24601,A000000,05010,0000,05010CMHC 24601,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24601,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24601,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24601,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24601,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24601,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24601,A000000,06153,0000,06312DIALYSIS 24601,A000000,06154,0000,06320APARTMENTS 24601,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24601,A000000,06156,0000,06340CLOSED PATIENT AREAS 24601,A000000,06157,0000,06350O/P ADULT DAYCARE 24601,A81000A,00100,0100,Y 24601,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24601,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24601,A81000B,00300,0300,CLINICAL ALLOCATION 24601,A81000B,00400,0300,REHAB ALLOCATION 24601,A81000B,00500,0300,REHAB ALLOCATION 24601,A81000B,00600,0300,REHAB ALLOCAITON 24601,A81000B,00700,0300,SYMPHONY MOBILEX 24601,A81000C,00100,0100,B 24601,A81000C,00100,0400,IHS INC. 24601,A81000C,00100,0600,NURSING HOMES 24601,A81000C,00200,0100,G 24601,A81000C,00200,0400,SYMPHONY REHAB 24601,A81000C,00200,0600,REHAB SERVICES 24601,A81000C,00300,0100,G 24601,A81000C,00300,0400,LTC MED LAB 24601,A81000C,00300,0600,LABORATORY 24601,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24601,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24601,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24601,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24601,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24601,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24601,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24601,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24601,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24601,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24601,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24601,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24601,S000000,00100,0200,10/31/2000 24601,S200000,00100,0100,3400 S.W. 27TH AVE. 24601,S200000,00100,0300,770479 24601,S200000,00200,0100,OCALA 24601,S200000,00200,0200,FL 24601,S200000,00200,0300,34477- 24601,S200000,00300,0100,MARION 24601,S200000,00300,0200,5790 24601,S200000,00300,0300,U 24601,S200000,00400,0100,PALM GARDENS-OCALA 24601,S200000,00400,0200,105562 24601,S200000,00400,0300,01/01/1987 24601,S200000,00400,0500,P 24601,S200000,00600,0200,105562 24601,S200000,00600,0300,01/01/1987 24601,S200000,00600,0600,P 24601,S200000,01600,0100,Y 24601,S200000,02200,0100,Y 24604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24604,A000000,00300,0000,00300EMPLOYEE BENEFITS 24604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24604,A000000,00700,0000,00700HOUSEKEEPING 24604,A000000,00800,0000,00800DIETARY 24604,A000000,00900,0000,00900NURSING ADMINISTRATION 24604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24604,A000000,01100,0000,01100PHARMACY 24604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24604,A000000,01300,0000,01300SOCIAL SERVICE 24604,A000000,01350,0000,01500RECREATION ACTIVITIES 24604,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24604,A000000,01600,0000,01600SKILLED NURSING FACILITY 24604,A000000,01800,0000,01800NURSING FACILITY 24604,A000000,01810,0000,01810ICF/MR 24604,A000000,02100,0000,02100RADIOLOGY 24604,A000000,02200,0000,02200LABORATORY 24604,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24604,A000000,02500,0000,02500PHYSICAL THERAPY 24604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24604,A000000,02700,0000,02700SPEECH PATHOLOGY 24604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24604,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24604,A000000,03051,0000,03301ENTERAL FEEDING 24604,A000000,03550,0000,03550FQHC 24604,A000000,05000,0000,05000CORF 24604,A000000,05010,0000,05010CMHC 24604,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24604,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24604,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24604,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24604,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24604,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24604,A000000,06153,0000,06312DIALYSIS 24604,A000000,06154,0000,06320APARTMENTS 24604,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24604,A000000,06156,0000,06340CLOSED PATIENT AREAS 24604,A000000,06157,0000,06350O/P ADULT DAYCARE 24604,A81000A,00100,0100,Y 24604,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24604,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24604,A81000B,00300,0300,HOME OFFICE CLINICAL 24604,A81000B,00400,0300,HOME OFFICE REHAB 24604,A81000B,00500,0300,HOME OFFICE REHAB 24604,A81000B,00600,0300,HOME OFFICE REHAB 24604,A81000B,00700,0300,XRAY 24604,A81000C,00100,0100,B 24604,A81000C,00100,0400,IHS INC. 24604,A81000C,00100,0600,NURSING HOMES 24604,A81000C,00200,0100,G 24604,A81000C,00200,0400,SYMPHONY REHAB 24604,A81000C,00200,0600,REHAB SERVICES 24604,A81000C,00300,0100,G 24604,A81000C,00300,0400,LTC MED LAB 24604,A81000C,00300,0600,LABORATORY 24604,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24604,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24604,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24604,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24604,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24604,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24604,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24604,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24604,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24604,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24604,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24604,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24604,S000000,00100,0200,10/31/2000 24604,S200000,00100,0100,1120 CYPRESS GARDENS BLVD 24604,S200000,00100,0300,9353 24604,S200000,00200,0100,WINTER HAVEN 24604,S200000,00200,0200,FL 24604,S200000,00200,0300,33880- 24604,S200000,00300,0100,POLK 24604,S200000,00300,0200,3980 24604,S200000,00300,0300,U 24604,S200000,00400,0100,PALM GARDEN-WINTER HAVEN 24604,S200000,00400,0200,105566 24604,S200000,00400,0300,01/01/1987 24604,S200000,00400,0500,P 24604,S200000,00600,0200,105566 24604,S200000,00600,0300,01/01/1987 24604,S200000,00600,0600,P 24604,S200000,01600,0100,Y 24604,S200000,02200,0100,Y 24607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24607,A000000,00300,0000,00300EMPLOYEE BENEFITS 24607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24607,A000000,00700,0000,00700HOUSEKEEPING 24607,A000000,00800,0000,00800DIETARY 24607,A000000,00900,0000,00900NURSING ADMINISTRATION 24607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24607,A000000,01100,0000,01100PHARMACY 24607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24607,A000000,01300,0000,01300SOCIAL SERVICE 24607,A000000,01350,0000,01500RECREATION ACTIVITIES 24607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24607,A000000,01600,0000,01600SKILLED NURSING FACILITY 24607,A000000,01800,0000,01800NURSING FACILITY 24607,A000000,01810,0000,01810ICF/MR 24607,A000000,02100,0000,02100RADIOLOGY 24607,A000000,02200,0000,02200LABORATORY 24607,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24607,A000000,02500,0000,02500PHYSICAL THERAPY 24607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24607,A000000,02700,0000,02700SPEECH PATHOLOGY 24607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24607,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24607,A000000,03051,0000,03301ENTERAL FEEDING 24607,A000000,03550,0000,03550FQHC 24607,A000000,05000,0000,05000CORF 24607,A000000,05010,0000,05010CMHC 24607,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24607,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24607,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24607,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24607,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24607,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24607,A000000,06153,0000,06312DIALYSIS 24607,A000000,06154,0000,06320APARTMENTS 24607,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24607,A000000,06156,0000,06340CLOSED PATIENT AREAS 24607,A000000,06157,0000,06350O/P ADULT DAYCARE 24607,A81000A,00100,0100,Y 24607,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24607,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24607,A81000B,00300,0300,CLINICAL ALLOCATION 24607,A81000B,00400,0300,REHAB ALLOCATION 24607,A81000B,00500,0300,REHAB ALLOCATION 24607,A81000B,00600,0300,REHAB ALLOCATION 24607,A81000B,00700,0300,SYMPHONY MOBILEX 24607,A81000C,00100,0100,B 24607,A81000C,00100,0400,IHS INC. 24607,A81000C,00100,0600,NURSING HOMES 24607,A81000C,00200,0100,G 24607,A81000C,00200,0400,SYMPHONY REHAB 24607,A81000C,00200,0600,REHAB SERVICES 24607,A81000C,00300,0100,G 24607,A81000C,00300,0400,LTC MED LAB 24607,A81000C,00300,0600,LABORATORY 24607,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24607,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24607,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24607,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24607,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24607,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24607,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24607,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24607,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24607,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24607,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24607,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24607,E10A180,00501,0300,12/11/2001 24607,E10A180,00550,0300,10/30/2000 24607,S000000,00100,0200,10/31/2000 24607,S200000,00100,0100,227 S. W. 62 BLVD. 24607,S200000,00100,0300,141330 24607,S200000,00200,0100,GAINESVILLE 24607,S200000,00200,0200,FL 24607,S200000,00200,0300,32607- 24607,S200000,00300,0100,ALACHUA 24607,S200000,00300,0200,2900 24607,S200000,00300,0300,U 24607,S200000,00400,0100,PALM GARDEN-GAINESVILLE 24607,S200000,00400,0200,105571 24607,S200000,00400,0300,01/01/1987 24607,S200000,00400,0500,P 24607,S200000,00600,0200,105571 24607,S200000,00600,0300,01/01/1987 24607,S200000,00600,0600,P 24607,S200000,01600,0100,Y 24607,S200000,02200,0100,Y 24610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24610,A000000,00300,0000,00300EMPLOYEE BENEFITS 24610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24610,A000000,00700,0000,00700HOUSEKEEPING 24610,A000000,00800,0000,00800DIETARY 24610,A000000,00900,0000,00900NURSING ADMINISTRATION 24610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24610,A000000,01100,0000,01100PHARMACY 24610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24610,A000000,01300,0000,01300SOCIAL SERVICE 24610,A000000,01350,0000,01500RECREATION ACTIVITIES 24610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24610,A000000,01600,0000,01600SKILLED NURSING FACILITY 24610,A000000,01800,0000,01800NURSING FACILITY 24610,A000000,01810,0000,01810ICF/MR 24610,A000000,02100,0000,02100RADIOLOGY 24610,A000000,02200,0000,02200LABORATORY 24610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24610,A000000,02500,0000,02500PHYSICAL THERAPY 24610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24610,A000000,02700,0000,02700SPEECH PATHOLOGY 24610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24610,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24610,A000000,03051,0000,03301ENTERAL FEEDING 24610,A000000,03550,0000,03550FQHC 24610,A000000,05000,0000,05000CORF 24610,A000000,05010,0000,05010CMHC 24610,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24610,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24610,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24610,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24610,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24610,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24610,A000000,06153,0000,06312DIALYSIS 24610,A000000,06154,0000,06320APARTMENTS 24610,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24610,A000000,06156,0000,06340CLOSED PATIENT AREAS 24610,A000000,06157,0000,06350O/P ADULT DAYCARE 24610,A81000A,00100,0100,Y 24610,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24610,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24610,A81000B,00300,0300,CLINICAL ALLOCATION 24610,A81000B,00400,0300,REHAB ALLOCATION 24610,A81000B,00500,0300,REHAB ALLOCATION 24610,A81000B,00600,0300,REHAB ALLOCATION 24610,A81000B,00700,0300,SYMPHONY MOBILEX 24610,A81000C,00100,0100,B 24610,A81000C,00100,0400,IHS INC. 24610,A81000C,00100,0600,NURSING HOMES 24610,A81000C,00200,0100,G 24610,A81000C,00200,0400,SYMPHONY REHAB 24610,A81000C,00200,0600,REHAB SERVICES 24610,A81000C,00300,0100,G 24610,A81000C,00300,0400,LTC MED LAB 24610,A81000C,00300,0600,LABORATORY 24610,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24610,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24610,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24610,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24610,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24610,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24610,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24610,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24610,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24610,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24610,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24610,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24610,E10A180,00501,0300,12/11/2001 24610,E10A180,00550,0300,10/30/2000 24610,S000000,00100,0200,10/31/2000 24610,S200000,00100,0100,10500 STARKEY RD. 24610,S200000,00100,0300,5174 24610,S200000,00200,0100,LARGO 24610,S200000,00200,0200,FL 24610,S200000,00200,0300,33777- 24610,S200000,00300,0100,PINELLAS 24610,S200000,00300,0200,8280 24610,S200000,00300,0300,U 24610,S200000,00400,0100,PALM GARDEN-LARGO 24610,S200000,00400,0200,105574 24610,S200000,00400,0300,01/01/1987 24610,S200000,00400,0500,P 24610,S200000,00600,0200,105574 24610,S200000,00600,0300,01/01/1987 24610,S200000,00600,0600,P 24610,S200000,01600,0100,Y 24610,S200000,02200,0100,Y 24613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24613,A000000,00300,0000,00300EMPLOYEE BENEFITS 24613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24613,A000000,00700,0000,00700HOUSEKEEPING 24613,A000000,00800,0000,00800DIETARY 24613,A000000,00900,0000,00900NURSING ADMINISTRATION 24613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24613,A000000,01100,0000,01100PHARMACY 24613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24613,A000000,01300,0000,01300SOCIAL SERVICE 24613,A000000,01350,0000,01500RECREATION ACTIVITIES 24613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24613,A000000,01600,0000,01600SKILLED NURSING FACILITY 24613,A000000,01800,0000,01800NURSING FACILITY 24613,A000000,01810,0000,01810ICF/MR 24613,A000000,02100,0000,02100RADIOLOGY 24613,A000000,02200,0000,02200LABORATORY 24613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24613,A000000,02500,0000,02500PHYSICAL THERAPY 24613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24613,A000000,02700,0000,02700SPEECH PATHOLOGY 24613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24613,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24613,A000000,03051,0000,03301ENTERAL FEEDING 24613,A000000,03550,0000,03550FQHC 24613,A000000,05000,0000,05000CORF 24613,A000000,05010,0000,05010CMHC 24613,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24613,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24613,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24613,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24613,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24613,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24613,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24613,A000000,06153,0000,06312DIALYSIS 24613,A000000,06154,0000,06320APARTMENTS 24613,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24613,A000000,06156,0000,06340CLOSED PATIENT AREAS 24613,A000000,06157,0000,06350O/P ADULT DAYCARE 24613,A81000A,00100,0100,Y 24613,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24613,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24613,A81000B,00300,0300,CLINICAL ALLOCATION 24613,A81000B,00400,0300,REHAB ALLOCATION 24613,A81000B,00500,0300,REHAB ALLOCATION 24613,A81000B,00600,0300,REHAB ALLOCATION 24613,A81000B,00700,0300,SYMPHONY MOBILEX 24613,A81000C,00100,0100,B 24613,A81000C,00100,0400,IHS INC. 24613,A81000C,00100,0600,NURSING HOMES 24613,A81000C,00200,0100,G 24613,A81000C,00200,0400,SYMPHONY REHAB 24613,A81000C,00200,0600,REHAB SERVICES 24613,A81000C,00300,0100,G 24613,A81000C,00300,0400,LTC MED LAB 24613,A81000C,00300,0600,LABORATORY 24613,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24613,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24613,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24613,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24613,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24613,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24613,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24613,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24613,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24613,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24613,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24613,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24613,E10A180,00501,0300,12/11/2001 24613,E10A180,00550,0300,10/30/2000 24613,S000000,00100,0200,10/31/2000 24613,S200000,00100,0100,654 NORTH ECONLOCKHATCHE TRIAL 24613,S200000,00100,0300,678611 24613,S200000,00200,0100,ORLANDO 24613,S200000,00200,0200,FL 24613,S200000,00200,0300,32825- 24613,S200000,00300,0100,ORANGE 24613,S200000,00300,0200,5960 24613,S200000,00300,0300,U 24613,S200000,00400,0100,PALM GARDEN-ORLANDO 24613,S200000,00400,0200,105577 24613,S200000,00400,0300,01/01/1987 24613,S200000,00400,0500,P 24613,S200000,00600,0200,105577 24613,S200000,00600,0300,01/01/1987 24613,S200000,00600,0600,P 24613,S200000,01600,0100,Y 24613,S200000,02200,0100,Y 24624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24624,A000000,00300,0000,00300EMPLOYEE BENEFITS 24624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24624,A000000,00700,0000,00700HOUSEKEEPING 24624,A000000,00800,0000,00800DIETARY 24624,A000000,00900,0000,00900NURSING ADMINISTRATION 24624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24624,A000000,01100,0000,01100PHARMACY 24624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24624,A000000,01300,0000,01300SOCIAL SERVICE 24624,A000000,01350,0000,01500RECREATION ACTIVITIES 24624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24624,A000000,01600,0000,01600SKILLED NURSING FACILITY 24624,A000000,01800,0000,01800NURSING FACILITY 24624,A000000,01810,0000,01810ICF/MR 24624,A000000,02100,0000,02100RADIOLOGY 24624,A000000,02200,0000,02200LABORATORY 24624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24624,A000000,02500,0000,02500PHYSICAL THERAPY 24624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24624,A000000,02700,0000,02700SPEECH PATHOLOGY 24624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24624,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24624,A000000,03051,0000,03301ENTERAL FEEDING 24624,A000000,03550,0000,03550FQHC 24624,A000000,05000,0000,05000CORF 24624,A000000,05010,0000,05010CMHC 24624,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24624,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24624,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24624,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24624,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24624,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24624,A000000,06153,0000,06312DIALYSIS 24624,A000000,06154,0000,06320APARTMENTS 24624,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24624,A000000,06156,0000,06340CLOSED PATIENT AREAS 24624,A000000,06157,0000,06350O/P ADULT DAYCARE 24624,A81000A,00100,0100,Y 24624,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24624,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24624,A81000B,00300,0300,CLINICAL ALLOCATION 24624,A81000B,00400,0300,REHAB ALLOCATION 24624,A81000B,00500,0300,REHAB ALLOCATION 24624,A81000B,00600,0300,REHAB ALLOCATION 24624,A81000B,00700,0300,SYM MEDICAL PRODUCTS 24624,A81000B,00800,0300,SYMPHONY MOBILEX 24624,A81000B,00900,0300,SYMPHONY MOBILEX 24624,A81000C,00100,0100,B 24624,A81000C,00100,0400,IHS INC. 24624,A81000C,00100,0600,NURSING HOMES 24624,A81000C,00200,0100,G 24624,A81000C,00200,0400,SYMPHONY REHAB 24624,A81000C,00200,0600,REHAB SERVICES 24624,A81000C,00300,0100,G 24624,A81000C,00300,0400,LTC MED LAB 24624,A81000C,00300,0600,LABORATORY 24624,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24624,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24624,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24624,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24624,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24624,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24624,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24624,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24624,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24624,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24624,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24624,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24624,S000000,00100,0200,10/31/2000 24624,S200000,00100,0100,3480 MCMULLEN-BOOTH RD. 24624,S200000,00100,0300,1457 24624,S200000,00200,0100,CLEARWATER 24624,S200000,00200,0200,FL 24624,S200000,00200,0300,33761- 24624,S200000,00300,0100,PINELLAS 24624,S200000,00300,0200,8280 24624,S200000,00300,0300,U 24624,S200000,00400,0100,PALM GARDEN-CLEARWATER 24624,S200000,00400,0200,105581 24624,S200000,00400,0300,01/01/1987 24624,S200000,00400,0500,P 24624,S200000,00600,0200,105581 24624,S200000,00600,0300,01/01/1987 24624,S200000,00600,0600,P 24624,S200000,01600,0100,Y 24624,S200000,02200,0100,Y 24627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24627,A000000,00300,0000,00300EMPLOYEE BENEFITS 24627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24627,A000000,00700,0000,00700HOUSEKEEPING 24627,A000000,00800,0000,00800DIETARY 24627,A000000,00900,0000,00900NURSING ADMINISTRATION 24627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24627,A000000,01100,0000,01100PHARMACY 24627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24627,A000000,01300,0000,01300SOCIAL SERVICE 24627,A000000,01350,0000,01500RECREATION ACTIVITIES 24627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24627,A000000,01600,0000,01600SKILLED NURSING FACILITY 24627,A000000,01800,0000,01800NURSING FACILITY 24627,A000000,01810,0000,01810ICF/MR 24627,A000000,02100,0000,02100RADIOLOGY 24627,A000000,02200,0000,02200LABORATORY 24627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24627,A000000,02500,0000,02500PHYSICAL THERAPY 24627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24627,A000000,02700,0000,02700SPEECH PATHOLOGY 24627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24627,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24627,A000000,03051,0000,03301ENTERAL FEEDING 24627,A000000,03550,0000,03550FQHC 24627,A000000,05000,0000,05000CORF 24627,A000000,05010,0000,05010CMHC 24627,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24627,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24627,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24627,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24627,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24627,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24627,A000000,06153,0000,06312DIALYSIS 24627,A000000,06154,0000,06320APARTMENTS 24627,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24627,A000000,06156,0000,06340CLOSED PATIENT AREAS 24627,A000000,06157,0000,06350O/P ADULT DAYCARE 24627,A81000A,00100,0100,Y 24627,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24627,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24627,A81000B,00300,0300,HOME OFFICE CLINICAL 24627,A81000B,00400,0300,HOME OFFICE REHAB 24627,A81000B,00500,0300,HOME OFFICE REHAB 24627,A81000B,00600,0300,HOME OFFICE REHAB 24627,A81000B,00700,0300,SYMPHONY MOBILEX 24627,A81000C,00100,0100,B 24627,A81000C,00100,0400,IHS INC. 24627,A81000C,00100,0600,NURSING HOMES 24627,A81000C,00200,0100,G 24627,A81000C,00200,0400,SYMPHONY REHAB 24627,A81000C,00200,0600,REHAB SERVICES 24627,A81000C,00300,0100,G 24627,A81000C,00300,0400,LTC MED LAB 24627,A81000C,00300,0600,LABORATORY 24627,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24627,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24627,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24627,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24627,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24627,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24627,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24627,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24627,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24627,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24627,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24627,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24627,S000000,00100,0200,10/31/2000 24627,S200000,00100,0100,3612 EAST 138TH AVENUE 24627,S200000,00100,0300,82364 24627,S200000,00200,0100,TAMPA 24627,S200000,00200,0200,FL 24627,S200000,00200,0300,33613- 24627,S200000,00300,0100,HILLSBOROUGH 24627,S200000,00300,0200,8280 24627,S200000,00300,0300,U 24627,S200000,00400,0100,PALM GARDEN-TAMPA 24627,S200000,00400,0200,105591 24627,S200000,00400,0300,01/01/1987 24627,S200000,00400,0500,P 24627,S200000,00600,0200,105591 24627,S200000,00600,0300,01/01/1987 24627,S200000,00600,0600,P 24627,S200000,01600,0100,Y 24627,S200000,02200,0100,Y 24630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24630,A000000,00300,0000,00300EMPLOYEE BENEFITS 24630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24630,A000000,00700,0000,00700HOUSEKEEPING 24630,A000000,00800,0000,00800DIETARY 24630,A000000,00900,0000,00900NURSING ADMINISTRATION 24630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24630,A000000,01100,0000,01100PHARMACY 24630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24630,A000000,01300,0000,01300SOCIAL SERVICE 24630,A000000,01350,0000,01500RECREATION ACTIVITIES 24630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24630,A000000,01600,0000,01600SKILLED NURSING FACILITY 24630,A000000,01800,0000,01800NURSING FACILITY 24630,A000000,01810,0000,01810ICF/MR 24630,A000000,02100,0000,02100RADIOLOGY 24630,A000000,02200,0000,02200LABORATORY 24630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24630,A000000,02500,0000,02500PHYSICAL THERAPY 24630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24630,A000000,02700,0000,02700SPEECH PATHOLOGY 24630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24630,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24630,A000000,03051,0000,03301ENTERAL FEEDING 24630,A000000,03550,0000,03550FQHC 24630,A000000,05000,0000,05000CORF 24630,A000000,05010,0000,05010CMHC 24630,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24630,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24630,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24630,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24630,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24630,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24630,A000000,06153,0000,06312DIALYSIS 24630,A000000,06154,0000,06320APARTMENTS 24630,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24630,A000000,06156,0000,06340CLOSED PATIENT AREAS 24630,A000000,06157,0000,06350O/P ADULT DAYCARE 24630,A81000A,00100,0100,Y 24630,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24630,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24630,A81000B,00300,0300,HOME OFFICE CLINICAL 24630,A81000B,00400,0300,HOME OFFICE REHAB 24630,A81000B,00500,0300,HOME OFFICE REHAB 24630,A81000B,00600,0300,HOME OFFICE REHAB 24630,A81000C,00100,0100,B 24630,A81000C,00100,0400,IHS INC. 24630,A81000C,00100,0600,NURSING HOMES 24630,A81000C,00200,0100,G 24630,A81000C,00200,0400,SYMPHONY REHAB 24630,A81000C,00200,0600,REHAB SERVICES 24630,A81000C,00300,0100,G 24630,A81000C,00300,0400,LTC MED LAB 24630,A81000C,00300,0600,LABORATORY 24630,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24630,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24630,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24630,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24630,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24630,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24630,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24630,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24630,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24630,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24630,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24630,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24630,S000000,00100,0200,10/31/2000 24630,S200000,00100,0100,1755 37TH STREET 24630,S200000,00100,0300,6400 24630,S200000,00200,0100,VERO BEACH 24630,S200000,00200,0200,FL 24630,S200000,00200,0300,32960- 24630,S200000,00300,0100,INDIAN RIVER 24630,S200000,00300,0200,10 24630,S200000,00300,0300,R 24630,S200000,00400,0100,PALM GARDEN-VERO BEACH 24630,S200000,00400,0200,105592 24630,S200000,00400,0300,01/01/1987 24630,S200000,00400,0500,P 24630,S200000,00600,0200,105592 24630,S200000,00600,0300,01/01/1987 24630,S200000,00600,0600,P 24630,S200000,01600,0100,Y 24630,S200000,02200,0100,Y 24633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24633,A000000,00300,0000,00300EMPLOYEE BENEFITS 24633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24633,A000000,00700,0000,00700HOUSEKEEPING 24633,A000000,00800,0000,00800DIETARY 24633,A000000,00900,0000,00900NURSING ADMINISTRATION 24633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24633,A000000,01100,0000,01100PHARMACY 24633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24633,A000000,01300,0000,01300SOCIAL SERVICE 24633,A000000,01350,0000,01500RECREATION ACTIVITIES 24633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24633,A000000,01600,0000,01600SKILLED NURSING FACILITY 24633,A000000,01800,0000,01800NURSING FACILITY 24633,A000000,01810,0000,01810ICF/MR 24633,A000000,02100,0000,02100RADIOLOGY 24633,A000000,02200,0000,02200LABORATORY 24633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24633,A000000,02500,0000,02500PHYSICAL THERAPY 24633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24633,A000000,02700,0000,02700SPEECH PATHOLOGY 24633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24633,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24633,A000000,03051,0000,03301ENTERAL FEEDING 24633,A000000,03550,0000,03550FQHC 24633,A000000,05000,0000,05000CORF 24633,A000000,05010,0000,05010CMHC 24633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24633,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24633,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24633,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24633,A000000,06153,0000,06312DIALYSIS 24633,A000000,06154,0000,06320APARTMENTS 24633,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24633,A000000,06156,0000,06340CLOSED PATIENT AREAS 24633,A000000,06157,0000,06350O/P ADULT DAYCARE 24633,A81000A,00100,0100,Y 24633,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24633,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24633,A81000B,00300,0300,CLINICAL ALLOCATION 24633,A81000B,00400,0300,REHAB ALLOCATION 24633,A81000B,00500,0300,REHAB ALLOCATION 24633,A81000B,00600,0300,REHAB ALLOCATION 24633,A81000C,00100,0100,B 24633,A81000C,00100,0400,IHS INC. 24633,A81000C,00100,0600,NURSING HOMES 24633,A81000C,00200,0100,G 24633,A81000C,00200,0400,SYMPHONY REHAB 24633,A81000C,00200,0600,REHAB SERVICES 24633,A81000C,00300,0100,G 24633,A81000C,00300,0400,LTC MED LAB 24633,A81000C,00300,0600,LABORATORY 24633,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24633,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24633,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24633,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24633,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24633,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24633,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24633,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24633,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24633,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24633,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24633,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24633,S000000,00100,0200,10/31/2000 24633,S200000,00100,0100,1751 HILLMOR DRIVE S.E. 24633,S200000,00100,0300,7340 24633,S200000,00200,0100,PORT ST. LUCIE 24633,S200000,00200,0200,FL 24633,S200000,00200,0300,34952- 24633,S200000,00300,0100,SAINT PORT LUCIE 24633,S200000,00300,0200,2710 24633,S200000,00300,0300,U 24633,S200000,00400,0100,PALM GARDEN - PORT ST. LUCIE 24633,S200000,00400,0200,105600 24633,S200000,00400,0300,01/01/1998 24633,S200000,00400,0500,P 24633,S200000,00600,0200,105600 24633,S200000,00600,0300,01/01/1998 24633,S200000,00600,0600,P 24633,S200000,01004,0500,O 24633,S200000,01600,0100,Y 24633,S200000,02200,0100,Y 24636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24636,A000000,00300,0000,00300EMPLOYEE BENEFITS 24636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24636,A000000,00700,0000,00700HOUSEKEEPING 24636,A000000,00800,0000,00800DIETARY 24636,A000000,00900,0000,00900NURSING ADMINISTRATION 24636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24636,A000000,01100,0000,01100PHARMACY 24636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24636,A000000,01300,0000,01300SOCIAL SERVICE 24636,A000000,01350,0000,01500RECREATION ACTIVITIES 24636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24636,A000000,01600,0000,01600SKILLED NURSING FACILITY 24636,A000000,01800,0000,01800NURSING FACILITY 24636,A000000,01810,0000,01810ICF/MR 24636,A000000,02100,0000,02100RADIOLOGY 24636,A000000,02200,0000,02200LABORATORY 24636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24636,A000000,02500,0000,02500PHYSICAL THERAPY 24636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24636,A000000,02700,0000,02700SPEECH PATHOLOGY 24636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24636,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24636,A000000,03051,0000,03301ENTERAL FEEDING 24636,A000000,03550,0000,03550FQHC 24636,A000000,05000,0000,05000CORF 24636,A000000,05010,0000,05010CMHC 24636,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24636,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24636,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24636,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24636,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24636,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24636,A000000,06153,0000,06312DIALYSIS 24636,A000000,06154,0000,06320APARTMENTS 24636,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24636,A000000,06156,0000,06340CLOSED PATIENT AREAS 24636,A000000,06157,0000,06350O/P ADULT DAYCARE 24636,A81000A,00100,0100,Y 24636,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24636,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24636,A81000B,00300,0300,HOME OFFICE CLINICAL 24636,A81000B,00400,0300,HOME OFFICE REHAB 24636,A81000B,00500,0300,HOME OFFICE REHAB 24636,A81000B,00600,0300,HOME OFFICE REHAB 24636,A81000B,00700,0300,XRAY 24636,A81000C,00100,0100,B 24636,A81000C,00100,0400,IHS INC. 24636,A81000C,00100,0600,NURSING HOMES 24636,A81000C,00200,0100,G 24636,A81000C,00200,0400,SYMPHONY REHAB 24636,A81000C,00200,0600,REHAB SERVICES 24636,A81000C,00300,0100,G 24636,A81000C,00300,0400,LTC MED LAB 24636,A81000C,00300,0600,LABORATORY 24636,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24636,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24636,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24636,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24636,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24636,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24636,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24636,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24636,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24636,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24636,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24636,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24636,E10A180,00501,0300,12/11/2001 24636,E10A180,00550,0300,10/30/2000 24636,S000000,00100,0200,10/31/2000 24636,S200000,00100,0100,300 EXECUTIVE CENTER DRIVE 24636,S200000,00200,0100,WEST PALM BEACH 24636,S200000,00200,0200,FL 24636,S200000,00200,0300,33401- 24636,S200000,00300,0100,PALM BEACH 24636,S200000,00300,0200,8960 24636,S200000,00300,0300,U 24636,S200000,00400,0100,PALM GARDEN-WEST PALM BEACH 24636,S200000,00400,0200,105607 24636,S200000,00400,0300,01/01/1988 24636,S200000,00400,0500,P 24636,S200000,00600,0200,105607 24636,S200000,00600,0300,01/01/1988 24636,S200000,00600,0600,P 24636,S200000,01600,0100,Y 24636,S200000,02200,0100,Y 24639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24639,A000000,00300,0000,00300EMPLOYEE BENEFITS 24639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24639,A000000,00700,0000,00700HOUSEKEEPING 24639,A000000,00800,0000,00800DIETARY 24639,A000000,00900,0000,00900NURSING ADMINISTRATION 24639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24639,A000000,01100,0000,01100PHARMACY 24639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24639,A000000,01300,0000,01300SOCIAL SERVICE 24639,A000000,01350,0000,01500RECREATION ACTIVITIES 24639,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24639,A000000,01600,0000,01600SKILLED NURSING FACILITY 24639,A000000,01800,0000,01800NURSING FACILITY 24639,A000000,01810,0000,01810ICF/MR 24639,A000000,02100,0000,02100RADIOLOGY 24639,A000000,02200,0000,02200LABORATORY 24639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24639,A000000,02500,0000,02500PHYSICAL THERAPY 24639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24639,A000000,02700,0000,02700SPEECH PATHOLOGY 24639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24639,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24639,A000000,03051,0000,03301ENTERAL FEEDING 24639,A000000,03550,0000,03550FQHC 24639,A000000,05000,0000,05000CORF 24639,A000000,05010,0000,05010CMHC 24639,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24639,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24639,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24639,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24639,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24639,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24639,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24639,A000000,06153,0000,06312DIALYSIS 24639,A000000,06154,0000,06320APARTMENTS 24639,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24639,A000000,06156,0000,06340CLOSED PATIENT AREAS 24639,A000000,06157,0000,06350O/P ADULT DAYCARE 24639,A81000A,00100,0100,Y 24639,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24639,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24639,A81000B,00300,0300,CLINICAL ALLOCATION 24639,A81000B,00400,0300,REHAB ALLOCATION 24639,A81000B,00500,0300,REHAB ALLOCATION 24639,A81000B,00600,0300,REHAB ALLOCATION 24639,A81000B,00700,0300,SYM MEDICAL PRODUCTS 24639,A81000B,00800,0300,SYMPHONY MOBILEX 24639,A81000C,00100,0100,B 24639,A81000C,00100,0400,IHS INC. 24639,A81000C,00100,0600,NURSING HOMES 24639,A81000C,00200,0100,G 24639,A81000C,00200,0400,SYMPHONY REHAB 24639,A81000C,00200,0600,REHAB SERVICES 24639,A81000C,00300,0100,G 24639,A81000C,00300,0400,LTC MED LAB 24639,A81000C,00300,0600,LABORATORY 24639,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24639,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24639,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24639,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24639,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24639,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24639,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24639,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24639,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24639,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24639,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24639,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24639,S000000,00100,0200,10/31/2000 24639,S200000,00100,0100,21251 EAST DIXIE HIGHWAY 24639,S200000,00100,0300,969 24639,S200000,00200,0100,N. MIAMI BEACH 24639,S200000,00200,0200,FL 24639,S200000,00200,0300,33180- 24639,S200000,00300,0100,DADE 24639,S200000,00300,0200,5000 24639,S200000,00300,0300,U 24639,S200000,00400,0100,PALM GARDEN-NTH MIAMI BEACH 24639,S200000,00400,0200,105610 24639,S200000,00400,0300,07/13/1988 24639,S200000,00400,0500,P 24639,S200000,00600,0200,105610 24639,S200000,00600,0300,07/13/1988 24639,S200000,00600,0600,P 24639,S200000,01600,0100,Y 24639,S200000,02200,0100,Y 24649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24649,A000000,00300,0000,00300EMPLOYEE BENEFITS 24649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24649,A000000,00700,0000,00700HOUSEKEEPING 24649,A000000,00800,0000,00800DIETARY 24649,A000000,00900,0000,00900NURSING ADMINISTRATION 24649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24649,A000000,01100,0000,01100PHARMACY 24649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24649,A000000,01300,0000,01300SOCIAL SERVICE 24649,A000000,01350,0000,01500RECREATION ACTIVITIES 24649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24649,A000000,01600,0000,01600SKILLED NURSING FACILITY 24649,A000000,01800,0000,01800NURSING FACILITY 24649,A000000,01810,0000,01810ICF/MR 24649,A000000,02100,0000,02100RADIOLOGY 24649,A000000,02200,0000,02200LABORATORY 24649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24649,A000000,02500,0000,02500PHYSICAL THERAPY 24649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24649,A000000,02700,0000,02700SPEECH PATHOLOGY 24649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24649,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24649,A000000,03051,0000,03301ENTERAL FEEDING 24649,A000000,03550,0000,03550FQHC 24649,A000000,05000,0000,05000CORF 24649,A000000,05010,0000,05010CMHC 24649,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24649,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24649,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24649,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24649,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24649,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24649,A000000,06153,0000,06312DIALYSIS 24649,A000000,06154,0000,06320APARTMENTS 24649,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24649,A000000,06156,0000,06340CLOSED PATIENT AREAS 24649,A000000,06157,0000,06350O/P ADULT DAYCARE 24649,A81000A,00100,0100,Y 24649,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24649,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24649,A81000C,00100,0100,B 24649,A81000C,00100,0200,IHS INC. 24649,A81000C,00100,0400,IHS INC. 24649,A81000C,00100,0600,NURSING HOMES 24649,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24649,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24649,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24649,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24649,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24649,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24649,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24649,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24649,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24649,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24649,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24649,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24649,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24649,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24649,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24649,E10A180,00301,0100,05/01/2000 24649,E10A180,00350,0100,12/03/1999 24649,E10A180,00550,0100,05/31/2000 24649,E10A180,00550,0300,05/31/2000 24649,E10A180,00551,0100,07/28/2000 24649,S000000,00100,0200,06/01/2000 24649,S200000,00100,0100,2525 SW 75TH AVENUE 24649,S200000,00200,0100,MIAMI 24649,S200000,00200,0200,FL 24649,S200000,00200,0300,33155- 24649,S200000,00300,0100,DADE 24649,S200000,00400,0100,WEST GABLES HEALTH CARE CTR 24649,S200000,00400,0200,105623 24649,S200000,00400,0300,07/20/1984 24649,S200000,00400,0500,P 24649,S200000,00600,0200,105623 24649,S200000,00600,0300,07/20/1984 24649,S200000,00600,0600,P 24649,S200000,01600,0100,Y 24649,S200000,02200,0100,Y 24657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24657,A000000,00300,0000,00300EMPLOYEE BENEFITS 24657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24657,A000000,00700,0000,00700HOUSEKEEPING 24657,A000000,00800,0000,00800DIETARY 24657,A000000,00900,0000,00900NURSING ADMINISTRATION 24657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24657,A000000,01100,0000,01100PHARMACY 24657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24657,A000000,01300,0000,01300SOCIAL SERVICE 24657,A000000,01350,0000,01500RECREATION ACTIVITIES 24657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24657,A000000,01600,0000,01600SKILLED NURSING FACILITY 24657,A000000,01800,0000,01800NURSING FACILITY 24657,A000000,01810,0000,01810ICF/MR 24657,A000000,02100,0000,02100RADIOLOGY 24657,A000000,02200,0000,02200LABORATORY 24657,A000000,02500,0000,02500PHYSICAL THERAPY 24657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24657,A000000,02700,0000,02700SPEECH PATHOLOGY 24657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24657,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24657,A000000,03051,0000,03301ENTERAL FEEDING 24657,A000000,03550,0000,03550FQHC 24657,A000000,05000,0000,05000CORF 24657,A000000,05010,0000,05010CMHC 24657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24657,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24657,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24657,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24657,A000000,06153,0000,06312DIALYSIS 24657,A000000,06154,0000,06320APARTMENTS 24657,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24657,A000000,06156,0000,06340CLOSED PATIENT AREAS 24657,A000000,06157,0000,06350O/P ADULT DAYCARE 24657,A81000A,00100,0100,Y 24657,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24657,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24657,A81000B,00400,0300,SYMPHONY REHAB 24657,A81000B,00600,0300,SYMPHONY REHAB 24657,A81000B,00700,0300,REHAB ALLOCATION 24657,A81000B,00800,0300,REHAB ALLOCATION 24657,A81000B,00900,0300,REHAB ALLOCATION 24657,A81000B,01000,0300,CLINICAL ALLOCATION 24657,A81000B,01100,0300,SYMPHONY MOBILEX 24657,A81000C,00100,0100,B 24657,A81000C,00100,0400,IHS INC. 24657,A81000C,00100,0600,NURSING HOMES 24657,A81000C,00200,0100,G 24657,A81000C,00200,0400,SYMPHONY 24657,A81000C,00200,0600,REHAB SERVICES 24657,A81000C,00300,0100,G 24657,A81000C,00300,0400,LTC 24657,A81000C,00300,0600,LAB 24657,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24657,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24657,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24657,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24657,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24657,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24657,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24657,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24657,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24657,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24657,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24657,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24657,E10A180,00301,0100,03/18/1999 24657,E10A180,00304,0100,05/18/2000 24657,E10A180,00350,0100,12/03/1999 24657,E10A180,00550,0100,07/28/2000 24657,E10A180,00550,0300,07/28/2000 24657,S000000,00100,0200,06/01/2000 24657,S200000,00100,0100,1201 12TH AVENUE SOUTH 24657,S200000,00200,0100,LAKEWORTH 24657,S200000,00200,0200,FL 24657,S200000,00200,0300,33460- 24657,S200000,00300,0100,PALM BEACH 24657,S200000,00300,0200,8960 24657,S200000,00300,0300,U 24657,S200000,00400,0100,IHS-FLORIDA AT LAKE WORTH 24657,S200000,00400,0200,105659 24657,S200000,00400,0300,01/01/1989 24657,S200000,00400,0500,P 24657,S200000,00600,0200,105659 24657,S200000,00600,0300,01/01/1989 24657,S200000,00600,0600,P 24657,S200000,01600,0100,Y 24657,S200000,02200,0100,Y 24676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24676,A000000,00300,0000,00300EMPLOYEE BENEFITS 24676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24676,A000000,00700,0000,00700HOUSEKEEPING 24676,A000000,00800,0000,00800DIETARY 24676,A000000,00900,0000,00900NURSING ADMINISTRATION 24676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24676,A000000,01100,0000,01100PHARMACY 24676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24676,A000000,01300,0000,01300SOCIAL SERVICE 24676,A000000,01350,0000,01500RECREATION ACTIVITIES 24676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24676,A000000,01600,0000,01600SKILLED NURSING FACILITY 24676,A000000,01800,0000,01800NURSING FACILITY 24676,A000000,01810,0000,01810ICF/MR 24676,A000000,02100,0000,02100RADIOLOGY 24676,A000000,02200,0000,02200LABORATORY 24676,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24676,A000000,02500,0000,02500PHYSICAL THERAPY 24676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24676,A000000,02700,0000,02700SPEECH PATHOLOGY 24676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24676,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24676,A000000,03051,0000,03301ENTERAL FEEDING 24676,A000000,03550,0000,03550FQHC 24676,A000000,05000,0000,05000CORF 24676,A000000,05010,0000,05010CMHC 24676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24676,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24676,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24676,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24676,A000000,06153,0000,06312DIALYSIS 24676,A000000,06154,0000,06320APARTMENTS 24676,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24676,A000000,06156,0000,06340CLOSED PATIENT AREAS 24676,A000000,06157,0000,06350O/P ADULT DAYCARE 24676,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24676,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24676,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24676,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24676,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24676,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24676,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24676,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24676,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24676,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24676,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24676,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24676,E10A180,00301,0100,12/03/1999 24676,E10A180,00350,0100,03/18/1999 24676,E10A180,00351,0100,05/18/2000 24676,E10A180,00550,0100,07/28/2000 24676,S000000,00100,0200,06/01/2000 24676,S200000,00100,0100,12740 LANIER ROAD 24676,S200000,00200,0100,JACKSONVILLE 24676,S200000,00200,0200,FL 24676,S200000,00200,0300,32226- 24676,S200000,00300,0100,DUVAL 24676,S200000,00300,0200,3600 24676,S200000,00300,0300,U 24676,S200000,00400,0100,LANIER MANOR 24676,S200000,00400,0200,105666 24676,S200000,00400,0300,08/01/1989 24676,S200000,00400,0500,P 24676,S200000,00600,0200,105666 24676,S200000,00600,0300,08/01/1989 24676,S200000,00600,0600,P 24676,S200000,01600,0100,Y 24676,S200000,02200,0100,Y 24680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24680,A000000,00300,0000,00300EMPLOYEE BENEFITS 24680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24680,A000000,00700,0000,00700HOUSEKEEPING 24680,A000000,00800,0000,00800DIETARY 24680,A000000,00900,0000,00900NURSING ADMINISTRATION 24680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24680,A000000,01100,0000,01100PHARMACY 24680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24680,A000000,01300,0000,01300SOCIAL SERVICE 24680,A000000,01350,0000,01500RECREATION ACTIVITIES 24680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24680,A000000,01600,0000,01600SKILLED NURSING FACILITY 24680,A000000,01800,0000,01800NURSING FACILITY 24680,A000000,01810,0000,01810ICF/MR 24680,A000000,02100,0000,02100RADIOLOGY 24680,A000000,02200,0000,02200LABORATORY 24680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24680,A000000,02500,0000,02500PHYSICAL THERAPY 24680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24680,A000000,02700,0000,02700SPEECH PATHOLOGY 24680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24680,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24680,A000000,03051,0000,03301ENTERAL FEEDING 24680,A000000,03550,0000,03550FQHC 24680,A000000,05000,0000,05000CORF 24680,A000000,05010,0000,05010CMHC 24680,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24680,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24680,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24680,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24680,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24680,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24680,A000000,06153,0000,06312DIALYSIS 24680,A000000,06154,0000,06320APARTMENTS 24680,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24680,A000000,06156,0000,06340CLOSED PATIENT AREAS 24680,A000000,06157,0000,06350O/P ADULT DAYCARE 24680,A81000A,00100,0100,Y 24680,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24680,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24680,A81000B,00300,0300,CLINICAL ALLOCATION 24680,A81000B,00400,0300,REHAB ALLOCATION 24680,A81000B,00500,0300,REHAB ALLOCATION 24680,A81000B,00600,0300,REHAB ALLOCATION 24680,A81000B,00700,0300,SYMPHONY MOBILEX 24680,A81000B,00800,0300,SYMPHONY MOBILEX 24680,A81000C,00100,0100,B 24680,A81000C,00100,0400,IHS INC. 24680,A81000C,00100,0600,NURSING HOMES 24680,A81000C,00200,0100,G 24680,A81000C,00200,0400,SYMPHONY REHAB 24680,A81000C,00200,0600,REHAB SERVICES 24680,A81000C,00300,0100,G 24680,A81000C,00300,0400,LTC MED LAB 24680,A81000C,00300,0600,LABORATORY 24680,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24680,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24680,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24680,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24680,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24680,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24680,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24680,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24680,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24680,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24680,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24680,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24680,E10A180,00501,0300,12/11/2001 24680,E10A180,00550,0300,10/30/2000 24680,S000000,00100,0200,10/31/2000 24680,S200000,00100,0100,5725 SPRING PARK ROAD 24680,S200000,00100,0300,550694 24680,S200000,00200,0100,JACKSONVILLE 24680,S200000,00200,0200,FL 24680,S200000,00200,0300,32216- 24680,S200000,00300,0100,DUVAL 24680,S200000,00300,0200,3600 24680,S200000,00300,0300,U 24680,S200000,00400,0100,PALM GARDEN-JACKSONVILLE 24680,S200000,00400,0200,105682 24680,S200000,00400,0300,01/01/1990 24680,S200000,00400,0500,P 24680,S200000,00600,0200,105682 24680,S200000,00600,0300,01/01/1990 24680,S200000,00600,0600,P 24680,S200000,01600,0100,Y 24680,S200000,02200,0100,Y 24690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24690,A000000,00300,0000,00300EMPLOYEE BENEFITS 24690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24690,A000000,00700,0000,00700HOUSEKEEPING 24690,A000000,00800,0000,00800DIETARY 24690,A000000,00900,0000,00900NURSING ADMINISTRATION 24690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24690,A000000,01100,0000,01100PHARMACY 24690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24690,A000000,01300,0000,01300SOCIAL SERVICE 24690,A000000,01350,0000,01500ACTIVITIES 24690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24690,A000000,01600,0000,01600SKILLED NURSING FACILITY 24690,A000000,01800,0000,01800NURSING FACILITY 24690,A000000,01900,0000,01900OTHER LONG TERM CARE 24690,A000000,02100,0000,02100RADIOLOGY 24690,A000000,02200,0000,02200LABORATORY 24690,A000000,02300,0000,02300INTRAVENOUS THERAPY 24690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24690,A000000,02500,0000,02500PHYSICAL THERAPY 24690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24690,A000000,02700,0000,02700SPEECH PATHOLOGY 24690,A000000,02800,0000,02800ELECTROCARDIOLOGY 24690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24690,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24690,A000000,03200,0000,03200SUPPORT SURFACES 24690,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24690,A000000,04800,0000,04800AMBULANCE 24690,A000000,05300,0000,05300INTEREST EXPENSE 24690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24690,A000000,06100,0000,06100NONPAID WORKERS 24690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24690,A000000,06200,0000,06200PATIENTS LAUNDRY 24690,A81000A,00100,0100,Y 24690,A81000B,00100,0300,HOME OFFICE COST 24690,A81000B,00200,0300,PT ADMIN FEES 24690,A81000B,00300,0300,OT ADMIN FEES 24690,A81000B,00400,0300,ST ADMIN FEES 24690,A81000C,00100,0100,B 24690,A81000C,00100,0200,MCHS - CARROLLWOOD 24690,A81000C,00100,0400,HCR MANORCARE INC. 24690,A81000C,00100,0600,LONG TERM CARE FACILITIES 24690,A81000C,00200,0100,B 24690,A81000C,00200,0200,MCHS - CARROLLWOOD 24690,A81000C,00200,0400,HEARTLAND MANAGMENT SERV 24690,A81000C,00200,0600,THERAPY MANAGEMENT 24690,A81000C,00300,0100,B 24690,A81000C,00300,0200,MCHS - CARROLLWOOD 24690,A81000C,00300,0400,HEARTLAND MANAGMENT SERV 24690,A81000C,00300,0600,THERAPY MANAGEMENT 24690,A81000C,00400,0100,B 24690,A81000C,00400,0200,MCHS - CARROLLWOOD 24690,A81000C,00400,0400,HEARTLAND MANAGMENT SERV 24690,A81000C,00400,0600,THERAPY MANAGEMENT 24690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24690,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24690,B100000,00000,0800,00000MEALS SERVED :DIETARY 24690,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24690,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24690,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24690,S000000,00100,0200,10/31/2000 24690,S200000,00100,0100,3030 W. BEARSS AVE 24690,S200000,00200,0100,TAMPA 24690,S200000,00200,0200,FL 24690,S200000,00200,0300,33618- 24690,S200000,00300,0100,HILLSBOROUGH 24690,S200000,00300,0200,8280 24690,S200000,00300,0300,U 24690,S200000,00400,0100,MCHS - CARROLLWOOD 24690,S200000,00400,0200,105700 24690,S200000,00400,0300,07/20/1990 24690,S200000,00400,0500,P 24690,S200000,00400,0600,P 24690,S200000,01004,0500,O 24690,S200000,01600,0100,Y 24699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24699,A000000,00300,0000,00300EMPLOYEE BENEFITS 24699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24699,A000000,00700,0000,00700HOUSEKEEPING 24699,A000000,00800,0000,00800DIETARY 24699,A000000,00900,0000,00900NURSING ADMINISTRATION 24699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24699,A000000,01100,0000,01100PHARMACY 24699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24699,A000000,01300,0000,01300SOCIAL SERVICE 24699,A000000,01350,0000,01500RECREATION ACTIVITIES 24699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24699,A000000,01600,0000,01600SKILLED NURSING FACILITY 24699,A000000,01800,0000,01800NURSING FACILITY 24699,A000000,01810,0000,01810ICF/MR 24699,A000000,02100,0000,02100RADIOLOGY 24699,A000000,02200,0000,02200LABORATORY 24699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24699,A000000,02500,0000,02500PHYSICAL THERAPY 24699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24699,A000000,02700,0000,02700SPEECH PATHOLOGY 24699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24699,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24699,A000000,03051,0000,03301ENTERAL FEEDING 24699,A000000,03550,0000,03550FQHC 24699,A000000,05000,0000,05000CORF 24699,A000000,05010,0000,05010CMHC 24699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24699,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24699,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24699,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24699,A000000,06153,0000,06312DIALYSIS 24699,A000000,06154,0000,06320APARTMENTS 24699,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24699,A000000,06156,0000,06340CLOSED PATIENT AREAS 24699,A000000,06157,0000,06350O/P ADULT DAYCARE 24699,A81000A,00100,0100,Y 24699,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24699,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24699,A81000B,00300,0300,MSU DEVELOPMENT COST 24699,A81000B,00400,0300,SYMPHONY REHAB 24699,A81000B,00500,0300,SYMPHONY REHAB 24699,A81000B,00600,0300,SYMPHONY REHAB 24699,A81000B,00700,0300,REHAB ALLOCATION 24699,A81000B,00800,0300,REHAB ALLOCATION 24699,A81000B,00900,0300,REHAB ALLOCATION 24699,A81000B,01000,0300,CLINICAL ALLOCATION 24699,A81000B,01100,0300,SYMPHONY MOBILEX 24699,A81000B,01200,0300,SYMPHONY EPSILON 24699,A81000C,00100,0100,B 24699,A81000C,00100,0400,IHS INC. 24699,A81000C,00100,0600,NURSING HOMES 24699,A81000C,00200,0100,B 24699,A81000C,00200,0400,LYRIC 24699,A81000C,00200,0600,NURSING HOMES 24699,A81000C,00300,0100,G 24699,A81000C,00300,0400,SYMPHONY 24699,A81000C,00300,0600,REHAB 24699,A81000C,00400,0100,G 24699,A81000C,00400,0400,LTC 24699,A81000C,00400,0600,LAB 24699,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24699,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24699,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24699,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24699,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24699,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24699,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24699,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24699,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24699,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24699,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24699,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24699,E10A180,00301,0100,12/03/1999 24699,E10A180,00350,0100,03/18/1999 24699,E10A180,00351,0100,05/18/2000 24699,E10A180,00550,0100,05/31/2000 24699,E10A180,00550,0300,05/31/2000 24699,E10A180,00551,0100,07/28/2000 24699,S000000,00100,0200,06/01/2000 24699,S200000,00100,0100,1650 FOURAKER ROAD 24699,S200000,00200,0100,JACKSONVILLE 24699,S200000,00200,0200,FL 24699,S200000,00200,0300,32221- 24699,S200000,00300,0100,DUVAL 24699,S200000,00300,0200,3600 24699,S200000,00300,0300,U 24699,S200000,00400,0100,IHS OF JACKSONVILLE 24699,S200000,00400,0200,105707 24699,S200000,00400,0300,07/01/1990 24699,S200000,00400,0500,P 24699,S200000,00400,0600,O 24699,S200000,00600,0200,105707 24699,S200000,00600,0300,07/01/1999 24699,S200000,00600,0600,P 24699,S200000,01600,0100,Y 24699,S200000,02200,0100,Y 24708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24708,A000000,00300,0000,00300EMPLOYEE BENEFITS 24708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24708,A000000,00700,0000,00700HOUSEKEEPING 24708,A000000,00800,0000,00800DIETARY 24708,A000000,00900,0000,00900NURSING ADMINISTRATION 24708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24708,A000000,01100,0000,01100PHARMACY 24708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24708,A000000,01300,0000,01300SOCIAL SERVICE 24708,A000000,01350,0000,01500ACTIVITIES 24708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24708,A000000,01600,0000,01600SKILLED NURSING FACILITY 24708,A000000,01800,0000,01800NURSING FACILITY 24708,A000000,01900,0000,01900OTHER LONG TERM CARE 24708,A000000,02100,0000,02100RADIOLOGY 24708,A000000,02200,0000,02200LABORATORY 24708,A000000,02300,0000,02300INTRAVENOUS THERAPY 24708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24708,A000000,02500,0000,02500PHYSICAL THERAPY 24708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24708,A000000,02700,0000,02700SPEECH PATHOLOGY 24708,A000000,02800,0000,02800ELECTROCARDIOLOGY 24708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24708,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24708,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24708,A000000,03200,0000,03200SUPPORT SURFACES 24708,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24708,A000000,04800,0000,04800AMBULANCE 24708,A000000,05300,0000,05300INTEREST EXPENSE 24708,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24708,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24708,A000000,06100,0000,06100NONPAID WORKERS 24708,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24708,A000000,06200,0000,06200PATIENTS LAUNDRY 24708,A81000A,00100,0100,Y 24708,A81000B,00100,0300,HOME OFFICE COST 24708,A81000B,00200,0300,PT ADMIN FEES 24708,A81000B,00300,0300,OT ADMIN FEES 24708,A81000B,00400,0300,ST ADMIN FEES 24708,A81000C,00100,0100,B 24708,A81000C,00100,0200,MCHS - PALM HARBOR 24708,A81000C,00100,0400,HCR MANORCARE INC. 24708,A81000C,00100,0600,LONG TERM CARE FACILITIES 24708,A81000C,00200,0100,B 24708,A81000C,00200,0200,MCHS - PALM HARBOR 24708,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 24708,A81000C,00200,0600,THERAPY MANAGEMENT 24708,A81000C,00300,0100,B 24708,A81000C,00300,0200,MCHS - PALM HARBOR 24708,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24708,A81000C,00300,0600,THERAPY MANAGEMENT 24708,A81000C,00400,0100,B 24708,A81000C,00400,0200,MCHS - PALM HARBOR 24708,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24708,A81000C,00400,0600,THERAPY MANAGEMENT 24708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24708,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24708,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24708,B100000,00000,0800,00000MEALS SERVED :DIETARY 24708,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24708,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24708,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24708,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24708,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24708,S000000,00100,0200,10/31/2000 24708,S200000,00100,0100,2851 TAMPA ROAD 24708,S200000,00200,0100,PALM HARBOR 24708,S200000,00200,0200,FL 24708,S200000,00200,0300,34684- 24708,S200000,00300,0100,PINELLAS 24708,S200000,00300,0200,8280 24708,S200000,00300,0300,U 24708,S200000,00400,0100,MCHS - PALM HARBOR 24708,S200000,00400,0200,105708 24708,S200000,00400,0300,12/01/1990 24708,S200000,00400,0500,P 24708,S200000,00400,0600,P 24708,S200000,01004,0500,O 24708,S200000,01600,0100,Y 24719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24719,A000000,00300,0000,00300EMPLOYEE BENEFITS 24719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24719,A000000,00700,0000,00700HOUSEKEEPING 24719,A000000,00800,0000,00800DIETARY 24719,A000000,00900,0000,00900NURSING ADMINISTRATION 24719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24719,A000000,01100,0000,01100PHARMACY 24719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24719,A000000,01300,0000,01300SOCIAL SERVICE 24719,A000000,01350,0000,01500RECREATION ACTIVITIES 24719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24719,A000000,01600,0000,01600SKILLED NURSING FACILITY 24719,A000000,01800,0000,01800NURSING FACILITY 24719,A000000,01810,0000,01810ICF/MR 24719,A000000,02100,0000,02100RADIOLOGY 24719,A000000,02200,0000,02200LABORATORY 24719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24719,A000000,02500,0000,02500PHYSICAL THERAPY 24719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24719,A000000,02700,0000,02700SPEECH PATHOLOGY 24719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24719,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24719,A000000,03051,0000,03301ENTERAL FEEDING 24719,A000000,03550,0000,03550FQHC 24719,A000000,05000,0000,05000CORF 24719,A000000,05010,0000,05010CMHC 24719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24719,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24719,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24719,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24719,A000000,06153,0000,06312DIALYSIS 24719,A000000,06154,0000,06320APARTMENTS 24719,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24719,A000000,06156,0000,06340CLOSED PATIENT AREAS 24719,A000000,06157,0000,06350O/P ADULT DAYCARE 24719,A81000A,00100,0100,Y 24719,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24719,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24719,A81000B,00300,0300,MSU DEVELOPMENT COST 24719,A81000B,00600,0300,SYMPHONY REHAB 24719,A81000B,00700,0300,REHAB ALLOCATON 24719,A81000B,00800,0300,REHAB ALLOCATION 24719,A81000B,00900,0300,REHAB ALLOCATION 24719,A81000B,01000,0300,CLINICAL ALLOCATION 24719,A81000B,01100,0300,SYMPHONY MOBILEX 24719,A81000B,01200,0300,SYMPHONY MOBILEX 24719,A81000C,00100,0100,B 24719,A81000C,00100,0400,IHS INC. 24719,A81000C,00100,0600,NURSING HOMES 24719,A81000C,00200,0100,G 24719,A81000C,00200,0400,SYMPHONY 24719,A81000C,00200,0600,REHAB SERVICES 24719,A81000C,00300,0100,G 24719,A81000C,00300,0400,LTC 24719,A81000C,00300,0600,LAB 24719,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24719,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24719,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24719,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24719,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24719,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24719,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24719,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24719,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24719,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24719,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24719,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24719,E10A180,00301,0100,12/03/1999 24719,E10A180,00350,0100,03/18/1999 24719,E10A180,00354,0100,05/18/2000 24719,E10A180,00501,0100,07/28/2000 24719,E10A180,00501,0300,05/31/2000 24719,E10A180,00550,0100,05/31/2000 24719,E10A180,00550,0300,07/28/2000 24719,S000000,00100,0200,06/01/2000 24719,S200000,00100,0100,702 W KINGS AVENUE 24719,S200000,00200,0100,BRANDON 24719,S200000,00200,0200,FL 24719,S200000,00200,0300,33511- 24719,S200000,00300,0100,HILLSBOROUGH 24719,S200000,00300,0200,8280 24719,S200000,00300,0300,U 24719,S200000,00400,0100,IHS-BRANDON 24719,S200000,00400,0200,105718 24719,S200000,00400,0300,02/25/1991 24719,S200000,00400,0500,P 24719,S200000,00400,0600,O 24719,S200000,00600,0200,105718 24719,S200000,00600,0300,02/25/1991 24719,S200000,00600,0600,P 24719,S200000,01600,0100,Y 24719,S200000,02200,0100,Y 24722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24722,A000000,00300,0000,00300EMPLOYEE BENEFITS 24722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24722,A000000,00700,0000,00700HOUSEKEEPING 24722,A000000,00800,0000,00800DIETARY 24722,A000000,00900,0000,00900NURSING ADMINISTRATION 24722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24722,A000000,01100,0000,01100PHARMACY 24722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24722,A000000,01300,0000,01300SOCIAL SERVICE 24722,A000000,01350,0000,01500RECREATION ACTIVITIES 24722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24722,A000000,01600,0000,01600SKILLED NURSING FACILITY 24722,A000000,01800,0000,01800NURSING FACILITY 24722,A000000,01810,0000,01810ICF/MR 24722,A000000,02100,0000,02100RADIOLOGY 24722,A000000,02200,0000,02200LABORATORY 24722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24722,A000000,02500,0000,02500PHYSICAL THERAPY 24722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24722,A000000,02700,0000,02700SPEECH PATHOLOGY 24722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24722,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24722,A000000,03051,0000,03301ENTERAL FEEDING 24722,A000000,03550,0000,03550FQHC 24722,A000000,05000,0000,05000CORF 24722,A000000,05010,0000,05010CMHC 24722,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24722,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24722,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24722,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24722,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24722,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24722,A000000,06153,0000,06312DIALYSIS 24722,A000000,06154,0000,06320APARTMENTS 24722,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24722,A000000,06156,0000,06340CLOSED PATIENT AREAS 24722,A000000,06157,0000,06350O/P ADULT DAYCARE 24722,A81000A,00100,0100,Y 24722,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24722,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24722,A81000B,00300,0300,CLINICAL ALLOCATION 24722,A81000B,00400,0300,REHAB ALLOCATION 24722,A81000B,00500,0300,REHAB ALLOCATION 24722,A81000B,00600,0300,REHAB ALLOCATION 24722,A81000B,00700,0300,SYMPHONY MOBILEX 24722,A81000C,00100,0100,B 24722,A81000C,00100,0400,IHS INC. 24722,A81000C,00100,0600,NURSING HOMES 24722,A81000C,00200,0100,G 24722,A81000C,00200,0400,SYMPHONY REHAB 24722,A81000C,00200,0600,REHAB SERVICES 24722,A81000C,00300,0100,G 24722,A81000C,00300,0400,LTC MED LAB 24722,A81000C,00300,0600,LABORATORY 24722,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24722,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24722,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24722,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24722,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24722,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24722,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24722,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24722,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24722,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24722,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24722,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24722,E10A180,00501,0300,12/11/2001 24722,E10A180,00550,0300,10/30/2000 24722,S000000,00100,0200,10/31/2000 24722,S200000,00100,0100,200 16TH AVE. SOUTH EAST 24722,S200000,00100,0300,2088 24722,S200000,00200,0100,LARGO 24722,S200000,00200,0200,FL 24722,S200000,00200,0300,33771- 24722,S200000,00300,0100,PINELLAS 24722,S200000,00300,0200,8280 24722,S200000,00300,0300,U 24722,S200000,00400,0100,PALM GARDEN OF PINELLAS 24722,S200000,00400,0200,105733 24722,S200000,00400,0300,01/01/1991 24722,S200000,00400,0500,P 24722,S200000,00600,0200,105733 24722,S200000,00600,0300,01/01/1991 24722,S200000,00600,0600,P 24722,S200000,01600,0100,Y 24722,S200000,02200,0100,Y 24725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24725,A000000,00300,0000,00300EMPLOYEE BENEFITS 24725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24725,A000000,00700,0000,00700HOUSEKEEPING 24725,A000000,00800,0000,00800DIETARY 24725,A000000,00900,0000,00900NURSING ADMINISTRATION 24725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24725,A000000,01100,0000,01100PHARMACY 24725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24725,A000000,01300,0000,01300SOCIAL SERVICE 24725,A000000,01350,0000,01500RECREATION ACTIVITIES 24725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24725,A000000,01600,0000,01600SKILLED NURSING FACILITY 24725,A000000,01800,0000,01800NURSING FACILITY 24725,A000000,01810,0000,01810ICF/MR 24725,A000000,02100,0000,02100RADIOLOGY 24725,A000000,02200,0000,02200LABORATORY 24725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24725,A000000,02500,0000,02500PHYSICAL THERAPY 24725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24725,A000000,02700,0000,02700SPEECH PATHOLOGY 24725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24725,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24725,A000000,03051,0000,03301ENTERAL FEEDING 24725,A000000,03550,0000,03550FQHC 24725,A000000,05000,0000,05000CORF 24725,A000000,05010,0000,05010CMHC 24725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24725,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24725,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24725,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24725,A000000,06153,0000,06312DIALYSIS 24725,A000000,06154,0000,06320APARTMENTS 24725,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24725,A000000,06156,0000,06340CLOSED PATIENT AREAS 24725,A000000,06157,0000,06350O/P ADULT DAYCARE 24725,A81000A,00100,0100,Y 24725,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24725,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24725,A81000B,00300,0300,CLINICAL ALLOCATION 24725,A81000B,00400,0300,REHAB ALLOCATION 24725,A81000B,00500,0300,REHAB ALLOCATION 24725,A81000B,00600,0300,REHAB ALLOCATION 24725,A81000B,00700,0300,SYMPHONY MOBILEX 24725,A81000C,00100,0100,B 24725,A81000C,00100,0400,IHS INC. 24725,A81000C,00100,0600,NURSING HOMES 24725,A81000C,00200,0100,G 24725,A81000C,00200,0400,SYMPHONY REHAB 24725,A81000C,00200,0600,REHAB SERVICES 24725,A81000C,00300,0100,G 24725,A81000C,00300,0400,LTC MED LAB 24725,A81000C,00300,0600,LABORATORY 24725,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24725,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24725,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24725,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24725,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24725,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24725,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24725,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24725,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24725,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24725,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24725,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24725,E10A180,00501,0300,12/11/2001 24725,E10A180,00550,0300,10/30/2000 24725,S000000,00100,0200,10/31/2000 24725,S200000,00100,0100,3850 UPPER CREEK DRIVE 24725,S200000,00100,0300,5440 24725,S200000,00200,0100,SUN CITY CENTER 24725,S200000,00200,0200,FL 24725,S200000,00200,0300,33573- 24725,S200000,00300,0100,HILLSBOROUGH 24725,S200000,00300,0200,8280 24725,S200000,00300,0300,U 24725,S200000,00400,0100,PALM GARDEN-SUN CITY CENTER 24725,S200000,00400,0200,105736 24725,S200000,00400,0300,01/01/1991 24725,S200000,00400,0500,P 24725,S200000,00600,0200,105736 24725,S200000,00600,0300,01/01/1991 24725,S200000,00600,0600,P 24725,S200000,01600,0100,Y 24725,S200000,02200,0100,Y 24735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24735,A000000,00300,0000,00300EMPLOYEE BENEFITS 24735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24735,A000000,00700,0000,00700HOUSEKEEPING 24735,A000000,00800,0000,00800DIETARY 24735,A000000,00900,0000,00900NURSING ADMINISTRATION 24735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24735,A000000,01100,0000,01100PHARMACY 24735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24735,A000000,01300,0000,01300SOCIAL SERVICE 24735,A000000,01350,0000,01500RECREATION ACTIVITIES 24735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24735,A000000,01600,0000,01600SKILLED NURSING FACILITY 24735,A000000,01800,0000,01800NURSING FACILITY 24735,A000000,01810,0000,01810ICF/MR 24735,A000000,02100,0000,02100RADIOLOGY 24735,A000000,02200,0000,02200LABORATORY 24735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24735,A000000,02500,0000,02500PHYSICAL THERAPY 24735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24735,A000000,02700,0000,02700SPEECH PATHOLOGY 24735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24735,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24735,A000000,03051,0000,03301ENTERAL FEEDING 24735,A000000,03550,0000,03550FQHC 24735,A000000,05000,0000,05000CORF 24735,A000000,05010,0000,05010CMHC 24735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24735,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24735,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24735,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24735,A000000,06153,0000,06312DIALYSIS 24735,A000000,06154,0000,06320APARTMENTS 24735,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24735,A000000,06156,0000,06340CLOSED PATIENT AREAS 24735,A000000,06157,0000,06350O/P ADULT DAYCARE 24735,A81000A,00100,0100,Y 24735,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24735,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24735,A81000B,00300,0300,MSU DEVELOPMENT COST 24735,A81000B,00400,0300,SYMPHONY REHAB 24735,A81000B,00500,0300,SYMPHONY REHAB 24735,A81000B,00600,0300,SYMPHONY REHAB 24735,A81000B,00700,0300,REHAB ALLOCATION 24735,A81000B,00800,0300,REHAB ALLOCATION 24735,A81000B,00900,0300,REHAB ALLOCATION 24735,A81000B,01000,0300,CLINICAL ALLOCATION 24735,A81000B,01100,0300,SYMPHONY RESPIRATORY 24735,A81000B,01200,0300,SYMPHONY MOBILEX 24735,A81000B,01300,0300,SYMPHONY MOBILEX 24735,A81000C,00100,0100,B 24735,A81000C,00100,0400,IHS INC. 24735,A81000C,00100,0600,NURSING HOMES 24735,A81000C,00200,0100,G 24735,A81000C,00200,0400,SYMPHONY 24735,A81000C,00200,0600,REHAB SERVICES 24735,A81000C,00300,0100,G 24735,A81000C,00300,0400,LTC 24735,A81000C,00300,0600,LAB 24735,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24735,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24735,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24735,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24735,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24735,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24735,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24735,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24735,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24735,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24735,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24735,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24735,E10A180,00301,0100,12/03/1999 24735,E10A180,00302,0100,05/18/2000 24735,E10A180,00350,0100,03/18/1999 24735,E10A180,00501,0300,06/01/2000 24735,E10A180,00550,0100,06/01/2000 24735,E10A180,00551,0100,07/28/2000 24735,E10A180,00551,0300,07/28/2000 24735,S000000,00100,0200,05/31/2000 24735,S200000,00100,0100,3110 OAKBRIDGE BLVD EAST 24735,S200000,00200,0100,LAKELAND 24735,S200000,00200,0200,FL 24735,S200000,00200,0300,33801- 24735,S200000,00300,0100,POLK 24735,S200000,00300,0200,3980 24735,S200000,00300,0300,U 24735,S200000,00400,0100,IHS-LAKELAND AT OAKBRIDGE 24735,S200000,00400,0200,105739 24735,S200000,00400,0300,08/01/1991 24735,S200000,00400,0500,P 24735,S200000,00600,0200,105739 24735,S200000,00600,0300,08/01/1991 24735,S200000,00600,0600,P 24735,S200000,01600,0100,Y 24735,S200000,02200,0100,Y 24744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24744,A000000,00300,0000,00300EMPLOYEE BENEFITS 24744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24744,A000000,00700,0000,00700HOUSEKEEPING 24744,A000000,00800,0000,00800DIETARY 24744,A000000,00900,0000,00900NURSING ADMINISTRATION 24744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24744,A000000,01100,0000,01100PHARMACY 24744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24744,A000000,01300,0000,01300SOCIAL SERVICE 24744,A000000,01350,0000,01500RECREATION ACTIVITIES 24744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24744,A000000,01600,0000,01600SKILLED NURSING FACILITY 24744,A000000,01800,0000,01800NURSING FACILITY 24744,A000000,01810,0000,01810ICF/MR 24744,A000000,02100,0000,02100RADIOLOGY 24744,A000000,02200,0000,02200LABORATORY 24744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24744,A000000,02500,0000,02500PHYSICAL THERAPY 24744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24744,A000000,02700,0000,02700SPEECH PATHOLOGY 24744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24744,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24744,A000000,03051,0000,03301ENTERAL FEEDING 24744,A000000,03550,0000,03550FQHC 24744,A000000,05000,0000,05000CORF 24744,A000000,05010,0000,05010CMHC 24744,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24744,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24744,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24744,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24744,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24744,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24744,A000000,06153,0000,06312DIALYSIS 24744,A000000,06154,0000,06320APARTMENTS 24744,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24744,A000000,06156,0000,06340CLOSED PATIENT AREAS 24744,A000000,06157,0000,06350O/P ADULT DAYCARE 24744,A81000A,00100,0100,Y 24744,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24744,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24744,A81000B,00600,0300,SYMPHONY REHAB 24744,A81000B,00700,0300,REHAB ALLOCATION 24744,A81000B,00800,0300,REHAB ALLOCATION 24744,A81000B,00900,0300,REHAB ALLOCATION 24744,A81000B,01000,0300,CLINICAL ALLOCATION 24744,A81000B,01100,0300,SYMPHONY MOBILEX 24744,A81000C,00100,0100,B 24744,A81000C,00100,0400,IHS INC. 24744,A81000C,00100,0600,NURSING HOMES 24744,A81000C,00200,0100,B 24744,A81000C,00200,0400,SYMPHONY REHAB 24744,A81000C,00200,0600,REHAB SERVICES 24744,A81000C,00300,0100,G 24744,A81000C,00300,0400,LTC 24744,A81000C,00300,0600,LAB 24744,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24744,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24744,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24744,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24744,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24744,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24744,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24744,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24744,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24744,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24744,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24744,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24744,E10A180,00301,0100,05/18/2000 24744,E10A180,00350,0100,03/18/1999 24744,E10A180,00351,0100,12/03/1999 24744,E10A180,00501,0300,05/31/2000 24744,E10A180,00550,0100,05/31/2000 24744,S000000,00100,0200,06/01/2000 24744,S200000,00100,0100,2939 S. HAVERHILL RD. 24744,S200000,00200,0100,WEST PALM BEACH 24744,S200000,00200,0200,FL 24744,S200000,00200,0300,33415- 24744,S200000,00300,0100,PALM BEACH 24744,S200000,00300,0200,8960 24744,S200000,00300,0300,U 24744,S200000,00400,0100,IHS-FLORIDA AT WEST PALM BEACH 24744,S200000,00400,0200,105795 24744,S200000,00400,0300,05/04/1993 24744,S200000,00400,0500,P 24744,S200000,00600,0200,105795 24744,S200000,00600,0300,05/04/1993 24744,S200000,00600,0600,P 24744,S200000,01600,0100,Y 24744,S200000,02200,0100,Y 24748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24748,A000000,00300,0000,00300EMPLOYEE BENEFITS 24748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24748,A000000,00700,0000,00700HOUSEKEEPING 24748,A000000,00800,0000,00800DIETARY 24748,A000000,00900,0000,00900NURSING ADMINISTRATION 24748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24748,A000000,01100,0000,01100PHARMACY 24748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24748,A000000,01300,0000,01300SOCIAL SERVICE 24748,A000000,01350,0000,01500RECREATION ACTIVITIES 24748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24748,A000000,01600,0000,01600SKILLED NURSING FACILITY 24748,A000000,01800,0000,01800NURSING FACILITY 24748,A000000,01810,0000,01810ICF/MR 24748,A000000,02100,0000,02100RADIOLOGY 24748,A000000,02200,0000,02200LABORATORY 24748,A000000,02500,0000,02500PHYSICAL THERAPY 24748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24748,A000000,02700,0000,02700SPEECH PATHOLOGY 24748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24748,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24748,A000000,03051,0000,03301ENTERAL FEEDING 24748,A000000,03550,0000,03550FQHC 24748,A000000,05000,0000,05000CORF 24748,A000000,05010,0000,05010CMHC 24748,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24748,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24748,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24748,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24748,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24748,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24748,A000000,06153,0000,06312DIALYSIS 24748,A000000,06154,0000,06320APARTMENTS 24748,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24748,A000000,06156,0000,06340CLOSED PATIENT AREAS 24748,A000000,06157,0000,06350O/P ADULT DAYCARE 24748,A81000A,00100,0100,Y 24748,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24748,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24748,A81000B,00300,0300,CLINICAL ALLOCATION 24748,A81000B,00400,0300,SYMPHONY REHAB 24748,A81000B,00500,0300,SYMPHONY REHAB 24748,A81000B,00600,0300,SYMPHONY REHAB 24748,A81000B,00700,0300,REHAB ALLOCATION 24748,A81000B,00800,0300,REHAB ALLOCATION 24748,A81000B,00900,0300,REHAB ALLOCATION 24748,A81000B,01000,0300,SYMPHONY MOBILEX 24748,A81000B,01100,0300,SYM EPSILON MED DIAG 24748,A81000C,00100,0100,B 24748,A81000C,00100,0400,IHS INC. 24748,A81000C,00100,0600,NURSING HOMES 24748,A81000C,00200,0100,G 24748,A81000C,00200,0400,SYMPHONY REHAB 24748,A81000C,00200,0600,REHAB SERVICES 24748,A81000C,00300,0100,G 24748,A81000C,00300,0400,LTC MED LAB 24748,A81000C,00300,0600,LABORATORY 24748,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24748,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24748,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24748,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24748,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24748,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24748,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24748,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24748,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24748,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24748,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24748,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24748,E10A180,00550,0300,12/01/2000 24748,S000000,00100,0200,12/01/2000 24748,S200000,00100,0100,190 WEST 28TH STREET 24748,S200000,00200,0100,HIALEAH 24748,S200000,00200,0200,FL 24748,S200000,00200,0300,33010- 24748,S200000,00300,0100,DADE 24748,S200000,00300,0200,5000 24748,S200000,00300,0300,U 24748,S200000,00400,0100,HIALEAH CONVALESCENT HOME 24748,S200000,00400,0200,105803 24748,S200000,00400,0300,07/01/1993 24748,S200000,00400,0500,P 24748,S200000,00600,0200,105803 24748,S200000,00600,0300,07/01/1993 24748,S200000,00600,0600,P 24748,S200000,01600,0100,Y 24757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24757,A000000,00300,0000,00300EMPLOYEE BENEFITS 24757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24757,A000000,00700,0000,00700HOUSEKEEPING 24757,A000000,00800,0000,00800DIETARY 24757,A000000,00900,0000,00900NURSING ADMINISTRATION 24757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24757,A000000,01100,0000,01100PHARMACY 24757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24757,A000000,01300,0000,01300SOCIAL SERVICE 24757,A000000,01350,0000,01500RECREATION ACTIVITIES 24757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24757,A000000,01600,0000,01600SKILLED NURSING FACILITY 24757,A000000,01800,0000,01800NURSING FACILITY 24757,A000000,01810,0000,01810ICF/MR 24757,A000000,02100,0000,02100RADIOLOGY 24757,A000000,02200,0000,02200LABORATORY 24757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24757,A000000,02500,0000,02500PHYSICAL THERAPY 24757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24757,A000000,02700,0000,02700SPEECH PATHOLOGY 24757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24757,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24757,A000000,03051,0000,03301ENTERAL FEEDING 24757,A000000,03550,0000,03550FQHC 24757,A000000,05000,0000,05000CORF 24757,A000000,05010,0000,05010CMHC 24757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24757,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24757,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24757,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24757,A000000,06153,0000,06312DIALYSIS 24757,A000000,06154,0000,06320APARTMENTS 24757,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24757,A000000,06156,0000,06340CLOSED PATIENT AREAS 24757,A000000,06157,0000,06350O/P ADULT DAYCARE 24757,A81000A,00100,0100,Y 24757,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24757,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24757,A81000B,00300,0300,CLINICAL ALLOCATION 24757,A81000B,00400,0300,SYMPHONY MOBILEX 24757,A81000B,00500,0300,SYMPHONY EPSILON 24757,A81000B,00600,0300,REHAB ALLOCATION 24757,A81000B,00700,0300,REHAB ALLOCATION 24757,A81000B,00800,0300,REHAB ALLOCATION 24757,A81000C,00100,0100,B 24757,A81000C,00100,0400,IHS INC. 24757,A81000C,00100,0600,NURSING HOMES 24757,A81000C,00200,0100,G 24757,A81000C,00200,0400,SYMPHONY REHAB 24757,A81000C,00200,0600,REHAB SERVICES 24757,A81000C,00300,0100,G 24757,A81000C,00300,0400,LTC MED LAB 24757,A81000C,00300,0600,LABORATORY 24757,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24757,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24757,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24757,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24757,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24757,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24757,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24757,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24757,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24757,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24757,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24757,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24757,E10A180,00350,0100,01/03/2000 24757,E10A180,00501,0100,02/08/2001 24757,E10A180,00501,0300,02/08/2001 24757,S000000,00100,0200,01/16/2001 24757,S200000,00100,0100,221 PARK PLACE BLVD 24757,S200000,00200,0100,KISSIMMEE 24757,S200000,00200,0200,FL 24757,S200000,00200,0300,34741- 24757,S200000,00300,0100,OSCEOLA 24757,S200000,00300,0200,5960 24757,S200000,00300,0300,U 24757,S200000,00400,0100,HHC-KISSIMMEE 24757,S200000,00400,0200,105839 24757,S200000,00400,0300,01/13/1994 24757,S200000,00400,0500,P 24757,S200000,00600,0200,105839 24757,S200000,00600,0300,01/13/1994 24757,S200000,00600,0600,P 24757,S200000,01600,0100,Y 24757,S200000,02200,0100,Y 24761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24761,A000000,00300,0000,00300EMPLOYEE BENEFITS 24761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24761,A000000,00700,0000,00700HOUSEKEEPING 24761,A000000,00800,0000,00800DIETARY 24761,A000000,00900,0000,00900NURSING ADMINISTRATION 24761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24761,A000000,01100,0000,01100PHARMACY 24761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24761,A000000,01300,0000,01300SOCIAL SERVICE 24761,A000000,01350,0000,01500RECREATION ACTIVITIES 24761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24761,A000000,01600,0000,01600SKILLED NURSING FACILITY 24761,A000000,01800,0000,01800NURSING FACILITY 24761,A000000,01810,0000,01810ICF/MR 24761,A000000,02100,0000,02100RADIOLOGY 24761,A000000,02200,0000,02200LABORATORY 24761,A000000,02500,0000,02500PHYSICAL THERAPY 24761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24761,A000000,02700,0000,02700SPEECH PATHOLOGY 24761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24761,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24761,A000000,03051,0000,03301ENTERAL FEEDING 24761,A000000,03550,0000,03550FQHC 24761,A000000,05000,0000,05000CORF 24761,A000000,05010,0000,05010CMHC 24761,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24761,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24761,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24761,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24761,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24761,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24761,A000000,06153,0000,06312DIALYSIS 24761,A000000,06154,0000,06320APARTMENTS 24761,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24761,A000000,06156,0000,06340CLOSED PATIENT AREAS 24761,A000000,06157,0000,06350O/P ADULT DAYCARE 24761,A81000A,00100,0100,Y 24761,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24761,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24761,A81000B,00300,0300,HOME OFFICE REHAB 24761,A81000B,00400,0300,HOME OFFICE REHAB 24761,A81000B,00500,0300,HOME OFFICE REHAB 24761,A81000B,00600,0300,SYMPHONY REHAB 24761,A81000B,00700,0300,HOME OFFICE CLINICAL 24761,A81000B,00800,0300,SYMPHONY MOBILEX 24761,A81000C,00100,0100,B 24761,A81000C,00100,0400,IHS INC. 24761,A81000C,00100,0600,NURSING HOMES 24761,A81000C,00200,0100,G 24761,A81000C,00200,0400,SYMPHONY REHAB 24761,A81000C,00200,0600,REHAB SERVICES 24761,A81000C,00300,0100,G 24761,A81000C,00300,0400,LTC MED LAB 24761,A81000C,00300,0600,LABORATORY 24761,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24761,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24761,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24761,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24761,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24761,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24761,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24761,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24761,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24761,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24761,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24761,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24761,E10A180,00550,0100,07/07/2000 24761,E10A180,00550,0300,07/07/2000 24761,S000000,00100,0200,07/07/2000 24761,S200000,00100,0100,12006 MCINTOSH ROAD 24761,S200000,00200,0100,THONOTOSASSA 24761,S200000,00200,0200,FL 24761,S200000,00200,0300,33592- 24761,S200000,00300,0100,HILLSBOROUGH 24761,S200000,00300,0200,8280 24761,S200000,00300,0300,U 24761,S200000,00400,0100,CRYSTAL SPRINGS NRSG&REHAB CTR 24761,S200000,00400,0200,105932 24761,S200000,00400,0300,11/08/1996 24761,S200000,00400,0500,P 24761,S200000,00600,0200,105932 24761,S200000,00600,0300,11/08/1996 24761,S200000,00600,0600,P 24761,S200000,01600,0100,Y 24761,S200000,02200,0100,Y 24768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24768,A000000,00300,0000,00300EMPLOYEE BENEFITS 24768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24768,A000000,00700,0000,00700HOUSEKEEPING 24768,A000000,00800,0000,00800DIETARY 24768,A000000,00900,0000,00900NURSING ADMINISTRATION 24768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24768,A000000,01100,0000,01100PHARMACY 24768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24768,A000000,01300,0000,01300SOCIAL SERVICE 24768,A000000,01350,0000,01500ACTIVITIES 24768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24768,A000000,01600,0000,01600SKILLED NURSING FACILITY 24768,A000000,01800,0000,01800NURSING FACILITY 24768,A000000,01900,0000,01900OTHER LONG TERM CARE 24768,A000000,02100,0000,02100RADIOLOGY 24768,A000000,02200,0000,02200LABORATORY 24768,A000000,02300,0000,02300INTRAVENOUS THERAPY 24768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24768,A000000,02500,0000,02500PHYSICAL THERAPY 24768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24768,A000000,02700,0000,02700SPEECH PATHOLOGY 24768,A000000,02800,0000,02800ELECTROCARDIOLOGY 24768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24768,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24768,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24768,A000000,03200,0000,03200SUPPORT SURFACES 24768,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24768,A000000,04800,0000,04800AMBULANCE 24768,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24768,A000000,05300,0000,05300INTEREST EXPENSE 24768,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24768,A000000,06100,0000,06100NONPAID WORKERS 24768,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24768,A000000,06200,0000,06200PATIENTS LAUNDRY 24768,A81000A,00100,0100,Y 24768,A81000B,00100,0300,HOME OFFICE COST 24768,A81000B,00200,0300,PT ADMIN FEES 24768,A81000B,00300,0300,OT ADMIN FEES 24768,A81000B,00400,0300,ST ADMIN FEES 24768,A81000B,00500,0300,LED DRUGS PHARMACY 24768,A81000B,00600,0300,NL DRUGS PHARMACY 24768,A81000B,00700,0300,IV THERAPY THPY DRUGS 24768,A81000B,00800,0300,PURCH SERVICE PHARMACY 24768,A81000C,00100,0100,B 24768,A81000C,00100,0200,HCR MANORCARE 24768,A81000C,00100,0400,HCR MANORCARE 24768,A81000C,00100,0600,LONG TERM CARE FACILITIES 24768,A81000C,00200,0100,B 24768,A81000C,00200,0200,MCHS VENICE 24768,A81000C,00200,0400,HEARTLAND MGMT SERVICES 24768,A81000C,00200,0600,THERAPY MGMT 24768,A81000C,00300,0100,B 24768,A81000C,00300,0200,MCHS VENICE 24768,A81000C,00300,0400,HEARTLAND MGMT SERVICES 24768,A81000C,00300,0600,THERAPY MGMT 24768,A81000C,00400,0100,B 24768,A81000C,00400,0200,MCHS VENICE 24768,A81000C,00400,0400,HEARTLAND MGMT SERVICES 24768,A81000C,00400,0600,THERAPY MGMT 24768,A81000C,00500,0100,B 24768,A81000C,00500,0200,MCHS VENICE 24768,A81000C,00500,0400,HEARTLAND HEALTH CARE 24768,A81000C,00500,0600,PHARMACY 24768,A81000C,00600,0100,B 24768,A81000C,00600,0200,MCHS VENICE 24768,A81000C,00600,0400,HEARTLAND HEALTH CARE 24768,A81000C,00600,0600,PHARMACY 24768,A81000C,00700,0100,B 24768,A81000C,00700,0200,MCHS VENICE 24768,A81000C,00700,0400,HEARTLAND HEALTH CARE 24768,A81000C,00700,0600,PHARMACY 24768,A81000C,00800,0100,B 24768,A81000C,00800,0200,MCHS VENICE 24768,A81000C,00800,0400,HEARTLAND HEALTH CARE 24768,A81000C,00800,0600,PHARMACY 24768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24768,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24768,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24768,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24768,B100000,00000,0800,00000MEALS SERVED :DIETARY 24768,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24768,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24768,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24768,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24768,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24768,S000000,00100,0200,10/27/2000 24768,S200000,00100,0100,1450 EAST VENICE 24768,S200000,00200,0100,VENICE 24768,S200000,00200,0200,FL 24768,S200000,00200,0300,34292- 24768,S200000,00300,0100,SARASOTA 24768,S200000,00300,0200,7510 24768,S200000,00300,0300,U 24768,S200000,00400,0100,MCHS VENICE 24768,S200000,00400,0200,105965 24768,S200000,00400,0300,06/05/1997 24768,S200000,00400,0500,P 24768,S200000,00400,0600,P 24768,S200000,01004,0500,O 24768,S200000,01600,0100,Y 24771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24771,A000000,00300,0000,00300EMPLOYEE BENEFITS 24771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24771,A000000,00700,0000,00700HOUSEKEEPING 24771,A000000,00800,0000,00800DIETARY 24771,A000000,00900,0000,00900NURSING ADMINISTRATION 24771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24771,A000000,01100,0000,01100PHARMACY 24771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24771,A000000,01300,0000,01300SOCIAL SERVICE 24771,A000000,01350,0000,01500ACTIVITIES 24771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24771,A000000,01600,0000,01600SKILLED NURSING FACILITY 24771,A000000,01800,0000,01800NURSING FACILITY 24771,A000000,01900,0000,01900OTHER LONG TERM CARE 24771,A000000,02100,0000,02100RADIOLOGY 24771,A000000,02200,0000,02200LABORATORY 24771,A000000,02300,0000,02300INTRAVENOUS THERAPY 24771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24771,A000000,02500,0000,02500PHYSICAL THERAPY 24771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24771,A000000,02700,0000,02700SPEECH PATHOLOGY 24771,A000000,02800,0000,02800ELECTROCARDIOLOGY 24771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24771,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24771,A000000,03200,0000,03200SUPPORT SURFACES 24771,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 24771,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24771,A000000,04800,0000,04800AMBULANCE 24771,A000000,05300,0000,05300INTEREST EXPENSE 24771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24771,A000000,06100,0000,06100NONPAID WORKERS 24771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24771,A000000,06200,0000,06200PATIENTS LAUNDRY 24771,A81000A,00100,0100,Y 24771,A81000B,00100,0300,HOME OFFICE NON-CAPITAL COSTS 24771,A81000B,00200,0300,OTHER CAPITAL COSTS 24771,A81000B,00300,0300,PT THERAPY H\O FEES 24771,A81000B,00400,0300,HCR INTERM H/O 24771,A81000C,00100,0100,B 24771,A81000C,00100,0200,DELRAY BEACH 24771,A81000C,00100,0400,HCR MANORCARE INC. 24771,A81000C,00100,0600,LONG TERM CARE FACILITIES 24771,A81000C,00200,0100,B 24771,A81000C,00200,0200,DELRAY BEACH 24771,A81000C,00200,0400,HCR MANORCARE MGMT SVCS 24771,A81000C,00200,0600,THERAPY MANAGEMENT 24771,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24771,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24771,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24771,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24771,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24771,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24771,B100000,00000,0800,00000MEALS SERVED :DIETARY 24771,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24771,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24771,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 24771,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24771,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24771,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24771,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 24771,S000000,00100,0200,11/01/1999 24771,S200000,00100,0100,16200 JOG ROAD 24771,S200000,00200,0100,DELRAY BEACH 24771,S200000,00200,0200,FL 24771,S200000,00200,0300,33446- 24771,S200000,00300,0100,PALM BEACH 24771,S200000,00400,0100,DELRAY BEACH 24771,S200000,00400,0200,106005 24771,S200000,00400,0300,02/17/1999 24771,S200000,00400,0500,P 24771,S200000,01005,0500,O 24771,S200000,01600,0100,Y 24772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24772,A000000,00300,0000,00300EMPLOYEE BENEFITS 24772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24772,A000000,00700,0000,00700HOUSEKEEPING 24772,A000000,00800,0000,00800DIETARY 24772,A000000,00900,0000,00900NURSING ADMINISTRATION 24772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24772,A000000,01100,0000,01100PHARMACY 24772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24772,A000000,01300,0000,01300SOCIAL SERVICE 24772,A000000,01350,0000,01500ACTIVITIES 24772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24772,A000000,01600,0000,01600SKILLED NURSING FACILITY 24772,A000000,01800,0000,01800NURSING FACILITY 24772,A000000,01900,0000,01900OTHER LONG TERM CARE 24772,A000000,02100,0000,02100RADIOLOGY 24772,A000000,02200,0000,02200LABORATORY 24772,A000000,02300,0000,02300INTRAVENOUS THERAPY 24772,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24772,A000000,02500,0000,02500PHYSICAL THERAPY 24772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24772,A000000,02700,0000,02700SPEECH PATHOLOGY 24772,A000000,02800,0000,02800ELECTROCARDIOLOGY 24772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24772,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24772,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24772,A000000,03200,0000,03200SUPPORT SURFACES 24772,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24772,A000000,04800,0000,04800AMBULANCE 24772,A000000,05300,0000,05300INTEREST EXPENSE 24772,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24772,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24772,A000000,06100,0000,06100NONPAID WORKERS 24772,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24772,A000000,06200,0000,06200PATIENTS LAUNDRY 24772,A81000A,00100,0100,Y 24772,A81000B,00100,0300,HOME OFFICE COST 24772,A81000B,00200,0300,PT ADMIN FEES 24772,A81000B,00300,0300,OT ADMIN FEES 24772,A81000B,00400,0300,ST ADMIN FEES 24772,A81000C,00100,0100,B 24772,A81000C,00100,0200,MCHS - DELRAY BEACH 24772,A81000C,00100,0400,HCR MANORCARE INC. 24772,A81000C,00100,0600,LONG TERM CARE FACILITIES 24772,A81000C,00200,0100,B 24772,A81000C,00200,0200,MCHS - DELRAY BEACH 24772,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 24772,A81000C,00200,0600,THERAPY 24772,A81000C,00300,0100,B 24772,A81000C,00300,0200,MCHS - DELRAY BEACH 24772,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24772,A81000C,00300,0600,THERAPY 24772,A81000C,00400,0100,B 24772,A81000C,00400,0200,MCHS - DELRAY BEACH 24772,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24772,A81000C,00400,0600,THERAPY 24772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24772,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24772,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24772,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24772,B100000,00000,0800,00000MEALS SERVED :DIETARY 24772,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24772,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24772,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24772,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24772,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24772,S000000,00100,0200,10/31/2000 24772,S200000,00100,0100,16200 JOG ROAD 24772,S200000,00200,0100,DELRAY BEACH 24772,S200000,00200,0200,FL 24772,S200000,00200,0300,33446- 24772,S200000,00300,0100,PALM BEACH 24772,S200000,00300,0200,8960 24772,S200000,00300,0300,U 24772,S200000,00400,0100,MCHS - DELRAY BEACH 24772,S200000,00400,0200,106005 24772,S200000,00400,0300,02/17/1999 24772,S200000,00400,0500,P 24772,S200000,00400,0600,P 24772,S200000,01004,0500,O 24772,S200000,01600,0100,Y 24783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24783,A000000,00300,0000,00300EMPLOYEE BENEFITS 24783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24783,A000000,00700,0000,00700HOUSEKEEPING 24783,A000000,00800,0000,00800DIETARY 24783,A000000,00900,0000,00900NURSING ADMINISTRATION 24783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24783,A000000,01100,0000,01100PHARMACY 24783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24783,A000000,01300,0000,01300SOCIAL SERVICE 24783,A000000,01350,0000,01500RECREATION ACTIVITIES 24783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24783,A000000,01600,0000,01600SKILLED NURSING FACILITY 24783,A000000,01800,0000,01800NURSING FACILITY 24783,A000000,01810,0000,01810ICF/MR 24783,A000000,01900,0000,01900OTHER LONG TERM CARE 24783,A000000,02100,0000,02100RADIOLOGY 24783,A000000,02200,0000,02200LABORATORY 24783,A000000,02500,0000,02500PHYSICAL THERAPY 24783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24783,A000000,02700,0000,02700SPEECH PATHOLOGY 24783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24783,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24783,A000000,03051,0000,03301ENTERAL FEEDING 24783,A000000,03550,0000,03550FQHC 24783,A000000,05000,0000,05000CORF 24783,A000000,05010,0000,05010CMHC 24783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24783,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24783,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24783,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24783,A000000,06153,0000,06312DIALYSIS 24783,A000000,06154,0000,06320APARTMENTS 24783,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24783,A000000,06156,0000,06340CLOSED PATIENT AREAS 24783,A000000,06157,0000,06350O/P ADULT DAYCARE 24783,A81000A,00100,0100,Y 24783,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24783,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24783,A81000B,00300,0300,MSU DEVELOPMENT COST 24783,A81000B,00400,0300,SYMPHONY REHAB 24783,A81000B,00700,0300,SYMPHONY MOBILEX 24783,A81000B,00800,0300,LTC LABS 24783,A81000B,00900,0300,SYMPHONY MOBILEX 24783,A81000B,01000,0300,REHAB ALLOCATION 24783,A81000B,01100,0300,REHAB ALLOCATION 24783,A81000B,01200,0300,REHAB ALLOCATION 24783,A81000B,01300,0300,CLINICAL ALLOCATION 24783,A81000C,00100,0100,B 24783,A81000C,00100,0400,IHS INC. 24783,A81000C,00100,0600,NURSING HOMES 24783,A81000C,00200,0100,G 24783,A81000C,00200,0400,SYMPHONY REHAB 24783,A81000C,00200,0600,REHAB SERVICES 24783,A81000C,00300,0100,G 24783,A81000C,00300,0400,LTC MED LAB 24783,A81000C,00300,0600,LABORATORY 24783,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24783,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24783,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24783,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24783,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24783,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24783,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24783,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24783,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24783,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24783,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24783,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24783,E10A180,00301,0100,12/03/1999 24783,E10A180,00350,0100,03/18/1999 24783,E10A180,00354,0100,05/18/2000 24783,E10A180,00501,0100,07/28/2000 24783,E10A180,00501,0300,07/28/2000 24783,S000000,00100,0200,06/01/2000 24783,S200000,00100,0100,54 PEACHTREE PARK DRIVE 24783,S200000,00200,0100,ATLANTA 24783,S200000,00200,0200,GA 24783,S200000,00200,0300,30309- 24783,S200000,00300,0100,FULTON 24783,S200000,00300,0200,520 24783,S200000,00300,0300,U 24783,S200000,00400,0100,IHS-ATLANTA AT BUCKHEAD 24783,S200000,00400,0200,115110 24783,S200000,00400,0300,05/01/1990 24783,S200000,00400,0500,P 24783,S200000,00400,0600,O 24783,S200000,00600,0200,115110 24783,S200000,00600,0300,05/01/1990 24783,S200000,00600,0600,P 24783,S200000,01600,0100,Y 24783,S200000,02200,0100,Y 24794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24794,A000000,00300,0000,00300EMPLOYEE BENEFITS 24794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24794,A000000,00700,0000,00700HOUSEKEEPING 24794,A000000,00800,0000,00800DIETARY 24794,A000000,00900,0000,00900NURSING ADMINISTRATION 24794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24794,A000000,01100,0000,01100PHARMACY 24794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24794,A000000,01300,0000,01300SOCIAL SERVICE 24794,A000000,01350,0000,01500RECREATION ACTIVITIES 24794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24794,A000000,01600,0000,01600SKILLED NURSING FACILITY 24794,A000000,01800,0000,01800NURSING FACILITY 24794,A000000,01810,0000,01810ICF/MR 24794,A000000,02100,0000,02100RADIOLOGY 24794,A000000,02200,0000,02200LABORATORY 24794,A000000,02500,0000,02500PHYSICAL THERAPY 24794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24794,A000000,02700,0000,02700SPEECH PATHOLOGY 24794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24794,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24794,A000000,03051,0000,03301ENTERAL FEEDING 24794,A000000,03550,0000,03550FQHC 24794,A000000,05000,0000,05000CORF 24794,A000000,05010,0000,05010CMHC 24794,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24794,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24794,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24794,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24794,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24794,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24794,A000000,06153,0000,06312DIALYSIS 24794,A000000,06154,0000,06320APARTMENTS 24794,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24794,A000000,06156,0000,06340CLOSED PATIENT AREAS 24794,A000000,06157,0000,06350O/P ADULT DAYCARE 24794,A81000A,00100,0100,Y 24794,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24794,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24794,A81000B,00300,0300,MSU DEVELOPMENT COST 24794,A81000B,00400,0300,SYMPHONY REHAB 24794,A81000B,00500,0300,SYMPHONY REHAB 24794,A81000B,00600,0300,SYMPHONY REHAB 24794,A81000B,00700,0300,REHAB ALLOCATION 24794,A81000B,00800,0300,REHAB ALLOCATION 24794,A81000B,00900,0300,REHAB ALLOCATION 24794,A81000B,01000,0300,CLINICAL ALLOCATION 24794,A81000B,01100,0300,SYMPHONY MOBILEX 24794,A81000B,01200,0300,LTC LABS 24794,A81000B,01300,0300,SYMPHONY EPS MED 24794,A81000C,00100,0100,B 24794,A81000C,00100,0400,IHS INC. 24794,A81000C,00100,0600,NURSING HOMES 24794,A81000C,00200,0100,G 24794,A81000C,00200,0400,SYMPHONY REHAB 24794,A81000C,00200,0600,REHAB SERVICES 24794,A81000C,00300,0100,G 24794,A81000C,00300,0400,LTC MED LAB 24794,A81000C,00300,0600,LABORATORY 24794,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24794,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24794,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24794,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24794,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24794,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24794,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24794,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24794,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24794,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24794,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24794,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24794,E10A180,00301,0100,12/03/1999 24794,E10A180,00350,0100,03/18/1999 24794,E10A180,00354,0100,05/18/2000 24794,E10A180,00501,0100,07/28/2000 24794,E10A180,00501,0300,05/31/2000 24794,E10A180,00550,0100,05/31/2000 24794,E10A180,00550,0300,07/28/2000 24794,S000000,00100,0200,06/01/2000 24794,S200000,00100,0100,811 KENNESAW AVE 24794,S200000,00200,0100,MARIETTA 24794,S200000,00200,0200,GA 24794,S200000,00200,0300,30060- 24794,S200000,00300,0100,COBB 24794,S200000,00300,0200,520 24794,S200000,00300,0300,U 24794,S200000,00400,0100,IHS-MARIETTA POSTACUTE REC CTR 24794,S200000,00400,0200,115206 24794,S200000,00400,0300,09/07/1990 24794,S200000,00400,0500,P 24794,S200000,00600,0200,115206 24794,S200000,00600,0300,09/07/1990 24794,S200000,00600,0600,P 24794,S200000,01600,0100,Y 24794,S200000,02200,0100,Y 24814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24814,A000000,00300,0000,00300EMPLOYEE BENEFITS 24814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24814,A000000,00700,0000,00700HOUSEKEEPING 24814,A000000,00800,0000,00800DIETARY 24814,A000000,00900,0000,00900NURSING ADMINISTRATION 24814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24814,A000000,01100,0000,01100PHARMACY 24814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24814,A000000,01300,0000,01300SOCIAL SERVICE 24814,A000000,01350,0000,01500ACTIVITIES 24814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24814,A000000,01600,0000,01600SKILLED NURSING FACILITY 24814,A000000,01800,0000,01800NURSING FACILITY 24814,A000000,01900,0000,01900OTHER LONG TERM CARE 24814,A000000,02100,0000,02100RADIOLOGY 24814,A000000,02200,0000,02200LABORATORY 24814,A000000,02300,0000,02300INTRAVENOUS THERAPY 24814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24814,A000000,02500,0000,02500PHYSICAL THERAPY 24814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24814,A000000,02700,0000,02700SPEECH PATHOLOGY 24814,A000000,02800,0000,02800ELECTROCARDIOLOGY 24814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24814,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24814,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24814,A000000,03200,0000,03200SUPPORT SURFACES 24814,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24814,A000000,04800,0000,04800AMBULANCE 24814,A000000,05300,0000,05300INTEREST EXPENSE 24814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24814,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24814,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24814,A000000,06100,0000,06100NONPAID WORKERS 24814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24814,A000000,06200,0000,06200PATIENTS LAUNDRY 24814,A81000A,00100,0100,Y 24814,A81000B,00100,0300,HOME OFFICE COST 24814,A81000B,00200,0300,PHYSICAL THERAPY 24814,A81000B,00300,0300,OCCUPATIONAL THERAPY 24814,A81000B,00400,0300,SPEECH THERAPY 24814,A81000B,00500,0300,INTEREST EXPENSE 24814,A81000C,00100,0100,B 24814,A81000C,00100,0200,MCHS-MARIETTA 24814,A81000C,00100,0400,HCR MANORCARE INC. 24814,A81000C,00100,0600,LONG TERM CARE FACILITIES 24814,A81000C,00200,0100,B 24814,A81000C,00200,0200,MCHS-MARIETTA 24814,A81000C,00200,0400,HEARTLAND MANAGEMENT 24814,A81000C,00200,0600,THERAPY MANAGEMENT 24814,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24814,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24814,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24814,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24814,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24814,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24814,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24814,B100000,00000,0800,00000MEALS SERVED :DIETARY 24814,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24814,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24814,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24814,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24814,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24814,S000000,00100,0200,10/10/2000 24814,S200000,00100,0100,4360 JOHNSON FERRY PLACE 24814,S200000,00200,0100,MARIETTA 24814,S200000,00200,0200,GA 24814,S200000,00200,0300,30068- 24814,S200000,00300,0100,COBB 24814,S200000,00300,0200,520 24814,S200000,00300,0300,U 24814,S200000,00400,0100,MANOR CARE MARIETTA 24814,S200000,00400,0200,115283 24814,S200000,00400,0300,01/01/1996 24814,S200000,00400,0500,P 24814,S200000,00400,0600,P 24814,S200000,01004,0500,O 24814,S200000,01600,0100,Y 24819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24819,A000000,00300,0000,00300EMPLOYEE BENEFITS 24819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24819,A000000,00700,0000,00700HOUSEKEEPING 24819,A000000,00800,0000,00800DIETARY 24819,A000000,00900,0000,00900NURSING ADMINISTRATION 24819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24819,A000000,01100,0000,01100PHARMACY 24819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24819,A000000,01300,0000,01300SOCIAL SERVICE 24819,A000000,01350,0000,01500RECREATION ACTIVITIES 24819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24819,A000000,01600,0000,01600SKILLED NURSING FACILITY 24819,A000000,01800,0000,01800NURSING FACILITY 24819,A000000,01810,0000,01810ICF/MR 24819,A000000,02100,0000,02100RADIOLOGY 24819,A000000,02200,0000,02200LABORATORY 24819,A000000,02500,0000,02500PHYSICAL THERAPY 24819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24819,A000000,02700,0000,02700SPEECH PATHOLOGY 24819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24819,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24819,A000000,03051,0000,03301ENTERAL FEEDING 24819,A000000,03550,0000,03550FQHC 24819,A000000,05000,0000,05000CORF 24819,A000000,05010,0000,05010CMHC 24819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24819,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24819,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24819,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24819,A000000,06153,0000,06312DIALYSIS 24819,A000000,06154,0000,06320APARTMENTS 24819,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24819,A000000,06156,0000,06340CLOSED PATIENT AREAS 24819,A000000,06157,0000,06350O/P ADULT DAYCARE 24819,A81000A,00100,0100,Y 24819,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24819,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24819,A81000B,00300,0300,SYMPHONY MOBILEX 24819,A81000B,00400,0300,REHAB ALLOCATION 24819,A81000B,00500,0300,REHAB ALLOCATION 24819,A81000B,00600,0300,REHAB ALLOCATION 24819,A81000B,00700,0300,CLINICAL ALLOCATION 24819,A81000C,00100,0100,B 24819,A81000C,00100,0200,IHS INC. 24819,A81000C,00100,0400,IHS INC. 24819,A81000C,00100,0600,NURSING HOMES 24819,A81000C,00200,0100,G 24819,A81000C,00200,0400,SYMPHONY REHAB 24819,A81000C,00200,0600,REHAB SERVICES 24819,A81000C,00300,0100,G 24819,A81000C,00300,0400,LTC 24819,A81000C,00300,0600,LAB 24819,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24819,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24819,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24819,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24819,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24819,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24819,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24819,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24819,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24819,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24819,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24819,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24819,E10A180,00301,0100,05/18/2000 24819,E10A180,00350,0100,03/18/1999 24819,E10A180,00351,0100,12/03/1999 24819,E10A180,00501,0100,07/28/2000 24819,E10A180,00501,0300,07/28/2000 24819,S000000,00100,0200,06/01/2000 24819,S200000,00100,0100,2327 NORTH HIGHWAY 27 24819,S200000,00200,0100,CARROLLTON 24819,S200000,00200,0200,GA 24819,S200000,00200,0300,30117- 24819,S200000,00300,0100,CARROLL 24819,S200000,00300,0200,520 24819,S200000,00300,0300,U 24819,S200000,00400,0100,CARROLLTON NURSING & REHAB CTR 24819,S200000,00400,0200,115368 24819,S200000,00400,0300,05/01/1989 24819,S200000,00400,0500,P 24819,S200000,00600,0200,115368 24819,S200000,00600,0300,05/01/1989 24819,S200000,00600,0600,P 24819,S200000,01600,0100,Y 24819,S200000,02200,0100,Y 24829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24829,A000000,00300,0000,00300EMPLOYEE BENEFITS 24829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24829,A000000,00700,0000,00700HOUSEKEEPING 24829,A000000,00800,0000,00800DIETARY 24829,A000000,00900,0000,00900NURSING ADMINISTRATION 24829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24829,A000000,01100,0000,01100PHARMACY 24829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24829,A000000,01300,0000,01300SOCIAL SERVICE 24829,A000000,01350,0000,01500RECREATION ACTIVITIES 24829,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24829,A000000,01600,0000,01600SKILLED NURSING FACILITY 24829,A000000,01800,0000,01800NURSING FACILITY 24829,A000000,01810,0000,01810ICF/MR 24829,A000000,02100,0000,02100RADIOLOGY 24829,A000000,02200,0000,02200LABORATORY 24829,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24829,A000000,02500,0000,02500PHYSICAL THERAPY 24829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24829,A000000,02700,0000,02700SPEECH PATHOLOGY 24829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24829,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24829,A000000,03051,0000,03301ENTERAL FEEDING 24829,A000000,03550,0000,03550FQHC 24829,A000000,05000,0000,05000CORF 24829,A000000,05010,0000,05010CMHC 24829,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24829,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24829,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24829,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24829,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24829,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24829,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24829,A000000,06153,0000,06312DIALYSIS 24829,A000000,06154,0000,06320APARTMENTS 24829,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24829,A000000,06156,0000,06340CLOSED PATIENT AREAS 24829,A000000,06157,0000,06350O/P ADULT DAYCARE 24829,A81000A,00100,0100,Y 24829,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24829,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24829,A81000B,00500,0300,SYMPHONY REHAB 24829,A81000B,00600,0300,SYMPHONY REHAB 24829,A81000B,00700,0300,CLINICAL ALLOCATION 24829,A81000B,00800,0300,REHAB ALLOCATION 24829,A81000B,00900,0300,REHAB ALLOCATION 24829,A81000B,01000,0300,REHAB ALLOCATION 24829,A81000B,01100,0300,SYMPHONY MOBILEX 24829,A81000B,01200,0300,LTC LABS 24829,A81000C,00100,0100,B 24829,A81000C,00100,0400,IHS INC. 24829,A81000C,00100,0600,NURSING HOMES 24829,A81000C,00200,0100,G 24829,A81000C,00200,0400,SYMPHONY 24829,A81000C,00200,0600,REHAB SERVICES 24829,A81000C,00300,0100,G 24829,A81000C,00300,0400,LTC 24829,A81000C,00300,0600,LAB 24829,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24829,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24829,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24829,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24829,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24829,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24829,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24829,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24829,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24829,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24829,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24829,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24829,E10A180,00350,0100,12/03/1999 24829,E10A180,00354,0100,06/06/2000 24829,E10A180,00501,0100,07/28/2000 24829,E10A180,00550,0300,07/28/2000 24829,S000000,00100,0200,06/01/2000 24829,S200000,00100,0100,105 ARNOLD HILL ROAD 24829,S200000,00200,0100,WOODSTOCK 24829,S200000,00200,0200,GA 24829,S200000,00200,0300,30188- 24829,S200000,00300,0100,CHEROKEE 24829,S200000,00300,0200,520 24829,S200000,00300,0300,U 24829,S200000,00400,0100,WOODSTOCK NRSG & REHAB CTR 24829,S200000,00400,0200,115421 24829,S200000,00400,0300,08/23/1989 24829,S200000,00400,0500,P 24829,S200000,00600,0200,115421 24829,S200000,00600,0300,08/23/1989 24829,S200000,00600,0600,P 24829,S200000,01600,0100,Y 24829,S200000,02200,0100,Y 24834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24834,A000000,00300,0000,00300EMPLOYEE BENEFITS 24834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24834,A000000,00700,0000,00700HOUSEKEEPING 24834,A000000,00800,0000,00800DIETARY 24834,A000000,00900,0000,00900NURSING ADMINISTRATION 24834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24834,A000000,01100,0000,01100PHARMACY 24834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24834,A000000,01300,0000,01300SOCIAL SERVICE 24834,A000000,01350,0000,01500RECREATION ACTIVITIES 24834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24834,A000000,01600,0000,01600SKILLED NURSING FACILITY 24834,A000000,01800,0000,01800NURSING FACILITY 24834,A000000,01810,0000,01810ICF/MR 24834,A000000,02100,0000,02100RADIOLOGY 24834,A000000,02200,0000,02200LABORATORY 24834,A000000,02500,0000,02500PHYSICAL THERAPY 24834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24834,A000000,02700,0000,02700SPEECH PATHOLOGY 24834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24834,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24834,A000000,03051,0000,03301ENTERAL FEEDING 24834,A000000,03550,0000,03550FQHC 24834,A000000,05000,0000,05000CORF 24834,A000000,05010,0000,05010CMHC 24834,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24834,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24834,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24834,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24834,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24834,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24834,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24834,A000000,06153,0000,06312DIALYSIS 24834,A000000,06154,0000,06320APARTMENTS 24834,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24834,A000000,06156,0000,06340CLOSED PATIENT AREAS 24834,A000000,06157,0000,06350O/P ADULT DAYCARE 24834,A81000A,00100,0100,Y 24834,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24834,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24834,A81000B,00400,0300,SYMPHONY REHAB 24834,A81000B,00600,0300,SYMPHONY REHAB 24834,A81000B,00700,0300,REHAB ALLOCATION 24834,A81000B,00800,0300,REHAB ALLOCATION 24834,A81000B,00900,0300,REHAB ALLOCATION 24834,A81000B,01000,0300,CLINICAL ALLOCATION 24834,A81000B,01100,0300,SYMPHONY MOBILEX 24834,A81000B,01200,0300,LTC MEDICAL LABS 24834,A81000C,00100,0100,B 24834,A81000C,00100,0400,IHS INC. 24834,A81000C,00100,0600,NURSING HOMES 24834,A81000C,00200,0100,G 24834,A81000C,00200,0400,SYMPHONY REHAB 24834,A81000C,00200,0600,REHAB SERVICES 24834,A81000C,00300,0100,G 24834,A81000C,00300,0400,LTC MED LAB 24834,A81000C,00300,0600,LABORATORY 24834,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24834,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24834,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24834,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24834,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24834,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24834,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24834,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24834,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24834,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24834,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24834,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24834,E10A180,00301,0100,05/18/2000 24834,E10A180,00350,0100,03/18/1999 24834,E10A180,00351,0100,12/03/1999 24834,E10A180,00501,0100,07/28/2000 24834,E10A180,00501,0300,07/28/2000 24834,S000000,00100,0200,06/01/2000 24834,S200000,00100,0100,1109 GREEN ROAD 24834,S200000,00200,0100,ROSWELL 24834,S200000,00200,0200,GA 24834,S200000,00200,0300,30075- 24834,S200000,00300,0100,FULTON 24834,S200000,00300,0200,520 24834,S200000,00300,0300,U 24834,S200000,00400,0100,ROSWELL NRSG & REHAB CTR 24834,S200000,00400,0200,115422 24834,S200000,00400,0300,07/01/1989 24834,S200000,00400,0500,P 24834,S200000,00600,0200,115422 24834,S200000,00600,0300,07/01/1989 24834,S200000,00600,0600,P 24834,S200000,01600,0100,Y 24834,S200000,02200,0100,Y 24839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24839,A000000,00300,0000,00300EMPLOYEE BENEFITS 24839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24839,A000000,00700,0000,00700HOUSEKEEPING 24839,A000000,00800,0000,00800DIETARY 24839,A000000,00900,0000,00900NURSING ADMINISTRATION 24839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24839,A000000,01100,0000,01100PHARMACY 24839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24839,A000000,01300,0000,01300SOCIAL SERVICE 24839,A000000,01350,0000,01500RECREATION ACTIVITIES 24839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24839,A000000,01600,0000,01600SKILLED NURSING FACILITY 24839,A000000,01800,0000,01800NURSING FACILITY 24839,A000000,01810,0000,01810ICF/MR 24839,A000000,02100,0000,02100RADIOLOGY 24839,A000000,02200,0000,02200LABORATORY 24839,A000000,02500,0000,02500PHYSICAL THERAPY 24839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24839,A000000,02700,0000,02700SPEECH PATHOLOGY 24839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24839,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24839,A000000,03051,0000,03301ENTERAL FEEDING 24839,A000000,03550,0000,03550FQHC 24839,A000000,05000,0000,05000CORF 24839,A000000,05010,0000,05010CMHC 24839,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24839,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24839,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24839,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24839,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24839,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24839,A000000,06153,0000,06312DIALYSIS 24839,A000000,06154,0000,06320APARTMENTS 24839,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24839,A000000,06156,0000,06340CLOSED PATIENT AREAS 24839,A000000,06157,0000,06350O/P ADULT DAYCARE 24839,A81000A,00100,0100,Y 24839,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24839,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24839,A81000B,00400,0300,REHAB ALLOCATION 24839,A81000B,00500,0300,REHAB ALLOCATION 24839,A81000B,00600,0300,REHAB ALLOCATION 24839,A81000B,00700,0300,CLINICAL ALLOCATION 24839,A81000B,00800,0300,SYMPHONY REHAB 24839,A81000B,00900,0300,SYMPHONY REHAB 24839,A81000B,01000,0300,SYMPHONY REHAB 24839,A81000B,01100,0300,SYMPHONY MOBILEX 24839,A81000B,01200,0300,SYMPHONY MOBILEX 24839,A81000C,00100,0100,B 24839,A81000C,00100,0400,IHS INC. 24839,A81000C,00100,0600,NURSING HOMES 24839,A81000C,00200,0100,G 24839,A81000C,00200,0400,SYMPHONY REHAB 24839,A81000C,00200,0600,REHAB SERVICES 24839,A81000C,00300,0100,G 24839,A81000C,00300,0400,LTC MED LAB 24839,A81000C,00300,0600,LABORATORY 24839,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24839,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24839,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24839,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24839,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24839,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24839,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24839,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24839,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24839,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24839,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24839,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24839,E10A180,00301,0100,05/18/2000 24839,E10A180,00350,0100,03/18/1999 24839,E10A180,00351,0100,12/03/1999 24839,E10A180,00550,0100,07/28/2000 24839,E10A180,00550,0300,07/28/2000 24839,S000000,00100,0200,06/01/2000 24839,S200000,00100,0100,125 SAMARITAN DRIVE 24839,S200000,00200,0100,CUMMING 24839,S200000,00200,0200,GA 24839,S200000,00200,0300,30130- 24839,S200000,00300,0100,FORSYTH 24839,S200000,00300,0200,520 24839,S200000,00300,0300,U 24839,S200000,00400,0100,CHESTNUT RIDGE NRSG & REHAB 24839,S200000,00400,0200,115423 24839,S200000,00400,0300,10/01/1991 24839,S200000,00400,0500,P 24839,S200000,00600,0200,115423 24839,S200000,00600,0300,10/01/1991 24839,S200000,00600,0600,P 24839,S200000,01600,0100,Y 24839,S200000,02200,0100,Y 24844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24844,A000000,00300,0000,00300EMPLOYEE BENEFITS 24844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24844,A000000,00700,0000,00700HOUSEKEEPING 24844,A000000,00800,0000,00800DIETARY 24844,A000000,00900,0000,00900NURSING ADMINISTRATION 24844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24844,A000000,01100,0000,01100PHARMACY 24844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24844,A000000,01300,0000,01300SOCIAL SERVICE 24844,A000000,01350,0000,01500RECREATION ACTIVITIES 24844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24844,A000000,01600,0000,01600SKILLED NURSING FACILITY 24844,A000000,01800,0000,01800NURSING FACILITY 24844,A000000,01810,0000,01810ICF/MR 24844,A000000,02100,0000,02100RADIOLOGY 24844,A000000,02200,0000,02200LABORATORY 24844,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24844,A000000,02500,0000,02500PHYSICAL THERAPY 24844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24844,A000000,02700,0000,02700SPEECH PATHOLOGY 24844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24844,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24844,A000000,03051,0000,03301ENTERAL FEEDING 24844,A000000,03550,0000,03550FQHC 24844,A000000,05000,0000,05000CORF 24844,A000000,05010,0000,05010CMHC 24844,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24844,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24844,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24844,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24844,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24844,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24844,A000000,06153,0000,06312DIALYSIS 24844,A000000,06154,0000,06320APARTMENTS 24844,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24844,A000000,06156,0000,06340CLOSED PATIENT AREAS 24844,A000000,06157,0000,06350O/P ADULT DAYCARE 24844,A81000A,00100,0100,Y 24844,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24844,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24844,A81000B,00400,0300,SYMPHONY REHAB 24844,A81000B,00600,0300,SYMPHONY REHAB 24844,A81000B,00700,0300,REHAB ALLOCATION 24844,A81000B,00800,0300,REHAB ALLOCATION 24844,A81000B,00900,0300,REHAB ALLOCATION 24844,A81000B,01000,0300,CLINICAL ALLOCATION 24844,A81000C,00100,0100,B 24844,A81000C,00100,0400,IHS INC. 24844,A81000C,00100,0600,NURSING HOMES 24844,A81000C,00200,0100,G 24844,A81000C,00200,0400,SYMPHONY REHAB 24844,A81000C,00200,0600,REHAB SERVICES 24844,A81000C,00300,0100,G 24844,A81000C,00300,0400,LTC MED LAB 24844,A81000C,00300,0600,LAB 24844,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24844,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24844,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24844,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24844,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24844,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24844,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24844,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24844,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24844,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24844,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24844,E10A180,00301,0100,05/18/2000 24844,E10A180,00350,0100,12/03/1999 24844,E10A180,00501,0100,07/28/2000 24844,E10A180,00550,0300,07/28/2000 24844,S000000,00100,0200,06/01/2000 24844,S200000,00100,0100,313 FIELD STREET 24844,S200000,00200,0100,BREHEM 24844,S200000,00200,0200,GA 24844,S200000,00200,0300,30110- 24844,S200000,00300,0100,HARALSON 24844,S200000,00300,0200,11 24844,S200000,00300,0300,R 24844,S200000,00400,0100,HARALSON NURSING & REHAB CTR 24844,S200000,00400,0200,115431 24844,S200000,00400,0300,10/01/1989 24844,S200000,00400,0500,P 24844,S200000,00600,0200,115431 24844,S200000,00600,0300,10/01/1989 24844,S200000,00600,0600,P 24844,S200000,01600,0100,Y 24844,S200000,02200,0100,Y 24849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24849,A000000,00300,0000,00300EMPLOYEE BENEFITS 24849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24849,A000000,00700,0000,00700HOUSEKEEPING 24849,A000000,00800,0000,00800DIETARY 24849,A000000,00900,0000,00900NURSING ADMINISTRATION 24849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24849,A000000,01100,0000,01100PHARMACY 24849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24849,A000000,01300,0000,01300SOCIAL SERVICE 24849,A000000,01350,0000,01500RECREATION ACTIVITIES 24849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24849,A000000,01600,0000,01600SKILLED NURSING FACILITY 24849,A000000,01800,0000,01800NURSING FACILITY 24849,A000000,01810,0000,01810ICF/MR 24849,A000000,02100,0000,02100RADIOLOGY 24849,A000000,02200,0000,02200LABORATORY 24849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24849,A000000,02500,0000,02500PHYSICAL THERAPY 24849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24849,A000000,02700,0000,02700SPEECH PATHOLOGY 24849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24849,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24849,A000000,03051,0000,03301ENTERAL FEEDING 24849,A000000,03550,0000,03550FQHC 24849,A000000,05000,0000,05000CORF 24849,A000000,05010,0000,05010CMHC 24849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24849,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24849,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24849,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24849,A000000,06153,0000,06312DIALYSIS 24849,A000000,06154,0000,06320APARTMENTS 24849,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24849,A000000,06156,0000,06340CLOSED PATIENT AREAS 24849,A000000,06157,0000,06350O/P ADULT DAYCARE 24849,A81000A,00100,0100,Y 24849,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24849,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24849,A81000B,00400,0300,REHAB ALLOCATION 24849,A81000B,00500,0300,REHAB ALLOCATION 24849,A81000B,00600,0300,REHAB ALLOCATION 24849,A81000B,00700,0300,CLINICAL ALLOCATION 24849,A81000C,00100,0100,B 24849,A81000C,00100,0400,IHS INC. 24849,A81000C,00100,0600,NURSING HOMES 24849,A81000C,00200,0100,G 24849,A81000C,00200,0400,SYMPHONY REHAB 24849,A81000C,00200,0600,REHAB SERVICES 24849,A81000C,00300,0100,G 24849,A81000C,00300,0400,LTC MED LAB 24849,A81000C,00300,0600,LABORATORY 24849,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24849,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24849,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24849,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24849,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24849,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24849,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24849,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24849,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24849,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24849,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24849,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24849,E10A180,00350,0100,12/03/1999 24849,E10A180,00351,0100,05/18/2000 24849,E10A180,00501,0100,07/28/2000 24849,E10A180,00501,0300,07/28/2000 24849,S000000,00100,0200,06/01/2000 24849,S200000,00100,0100,225 PHILPOT STREET 24849,S200000,00200,0100,CEDARTOWN 24849,S200000,00200,0200,GA 24849,S200000,00200,0300,30125- 24849,S200000,00300,0100,POLK 24849,S200000,00300,0200,11 24849,S200000,00300,0300,R 24849,S200000,00400,0100,CEDAR VALLEY NRSG & REHAB CTR 24849,S200000,00400,0200,115436 24849,S200000,00400,0300,10/01/1989 24849,S200000,00400,0500,P 24849,S200000,00600,0200,115436 24849,S200000,00600,0300,10/01/1989 24849,S200000,00600,0600,P 24849,S200000,01600,0100,Y 24849,S200000,02200,0100,Y 24854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24854,A000000,00300,0000,00300EMPLOYEE BENEFITS 24854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24854,A000000,00700,0000,00700HOUSEKEEPING 24854,A000000,00800,0000,00800DIETARY 24854,A000000,00900,0000,00900NURSING ADMINISTRATION 24854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24854,A000000,01100,0000,01100PHARMACY 24854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24854,A000000,01300,0000,01300SOCIAL SERVICE 24854,A000000,01350,0000,01500RECREATION ACTIVITIES 24854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24854,A000000,01600,0000,01600SKILLED NURSING FACILITY 24854,A000000,01800,0000,01800NURSING FACILITY 24854,A000000,01810,0000,01810ICF/MR 24854,A000000,02100,0000,02100RADIOLOGY 24854,A000000,02200,0000,02200LABORATORY 24854,A000000,02500,0000,02500PHYSICAL THERAPY 24854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24854,A000000,02700,0000,02700SPEECH PATHOLOGY 24854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24854,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24854,A000000,03051,0000,03301ENTERAL FEEDING 24854,A000000,03550,0000,03550FQHC 24854,A000000,05000,0000,05000CORF 24854,A000000,05010,0000,05010CMHC 24854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24854,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24854,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24854,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24854,A000000,06153,0000,06312DIALYSIS 24854,A000000,06154,0000,06320APARTMENTS 24854,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24854,A000000,06156,0000,06340CLOSED PATIENT AREAS 24854,A000000,06157,0000,06350O/P ADULT DAYCARE 24854,A81000A,00100,0100,Y 24854,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24854,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24854,A81000B,00600,0300,SYMPHONY REHAB 24854,A81000B,00700,0300,SYMPHONY MOBILEX 24854,A81000B,00800,0300,REHAB ALLOCATION 24854,A81000B,00900,0300,REHAB ALLOCATION 24854,A81000B,01000,0300,REHAB ALLOCATION 24854,A81000B,01100,0300,CLINICAL ALLOCATION 24854,A81000C,00100,0100,B 24854,A81000C,00100,0400,IHS INC. 24854,A81000C,00100,0600,NURSING HOMES 24854,A81000C,00200,0100,G 24854,A81000C,00200,0400,SYMPHONY REHAB 24854,A81000C,00200,0600,REHAB SERVICES 24854,A81000C,00300,0100,G 24854,A81000C,00300,0400,LTC MEDLAB 24854,A81000C,00300,0600,LAB 24854,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24854,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24854,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24854,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24854,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24854,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24854,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24854,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24854,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24854,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24854,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24854,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24854,E10A180,00304,0100,05/18/2000 24854,E10A180,00350,0100,12/03/1999 24854,E10A180,00501,0100,07/28/2000 24854,E10A180,00550,0300,07/28/2000 24854,S000000,00100,0200,06/01/2000 24854,S200000,00100,0100,156 PINE KNOLL DRIVE 24854,S200000,00100,0300,2009 24854,S200000,00200,0100,CARROLLTON 24854,S200000,00200,0200,GA 24854,S200000,00200,0300,30117- 24854,S200000,00300,0100,CARROLL 24854,S200000,00300,0200,520 24854,S200000,00300,0300,U 24854,S200000,00400,0100,PINE KNOLL NRSG & REHAB CTR 24854,S200000,00400,0200,115443 24854,S200000,00400,0300,01/01/1989 24854,S200000,00400,0500,P 24854,S200000,00600,0200,115443 24854,S200000,00600,0300,01/01/1989 24854,S200000,00600,0600,P 24854,S200000,01600,0100,Y 24854,S200000,02200,0100,Y 24859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24859,A000000,00300,0000,00300EMPLOYEE BENEFITS 24859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24859,A000000,00700,0000,00700HOUSEKEEPING 24859,A000000,00800,0000,00800DIETARY 24859,A000000,00900,0000,00900NURSING ADMINISTRATION 24859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24859,A000000,01100,0000,01100PHARMACY 24859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24859,A000000,01300,0000,01300SOCIAL SERVICE 24859,A000000,01350,0000,01500RECREATION ACTIVITIES 24859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24859,A000000,01600,0000,01600SKILLED NURSING FACILITY 24859,A000000,01800,0000,01800NURSING FACILITY 24859,A000000,01810,0000,01810ICF/MR 24859,A000000,02200,0000,02200LABORATORY 24859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24859,A000000,02500,0000,02500PHYSICAL THERAPY 24859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24859,A000000,02700,0000,02700SPEECH PATHOLOGY 24859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24859,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24859,A000000,03051,0000,03301ENTERAL FEEDING 24859,A000000,03550,0000,03550FQHC 24859,A000000,05000,0000,05000CORF 24859,A000000,05010,0000,05010CMHC 24859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24859,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24859,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24859,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24859,A000000,06153,0000,06312DIALYSIS 24859,A000000,06154,0000,06320APARTMENTS 24859,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24859,A000000,06156,0000,06340CLOSED PATIENT AREAS 24859,A000000,06157,0000,06350O/P ADULT DAYCARE 24859,A81000A,00100,0100,Y 24859,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24859,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24859,A81000B,00300,0300,REHAB ALLOCATION 24859,A81000B,00400,0300,REHAB ALLOCATION 24859,A81000B,00500,0300,REHAB ALLOCATION 24859,A81000B,00600,0300,CLINICAL ALLOCATION 24859,A81000C,00100,0100,B 24859,A81000C,00100,0400,IHS INC. 24859,A81000C,00100,0600,NURSING HOMES 24859,A81000C,00200,0100,G 24859,A81000C,00200,0400,SYMPHONY REHAB 24859,A81000C,00200,0600,REHAB SERVICES 24859,A81000C,00300,0100,G 24859,A81000C,00300,0400,LTC MED LAB 24859,A81000C,00300,0600,LAB 24859,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24859,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24859,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24859,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24859,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24859,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24859,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24859,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24859,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24859,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24859,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24859,E10A180,00305,0100,06/06/2000 24859,E10A180,00353,0100,12/03/1999 24859,E10A180,00501,0100,07/28/2000 24859,E10A180,00501,0300,07/28/2000 24859,S000000,00100,0200,06/01/2000 24859,S200000,00100,0100,261 FAIRVIEW AVENUE 24859,S200000,00200,0100,HARTWELL 24859,S200000,00200,0200,GA 24859,S200000,00200,0300,30643- 24859,S200000,00300,0100,HART 24859,S200000,00300,0200,11 24859,S200000,00300,0300,R 24859,S200000,00400,0100,HART CARE CENTER 24859,S200000,00400,0200,115449 24859,S200000,00400,0300,10/01/1989 24859,S200000,00400,0500,P 24859,S200000,00600,0200,115449 24859,S200000,00600,0300,10/01/1989 24859,S200000,00600,0600,P 24859,S200000,01600,0100,Y 24859,S200000,02200,0100,Y 24864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24864,A000000,00300,0000,00300EMPLOYEE BENEFITS 24864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24864,A000000,00700,0000,00700HOUSEKEEPING 24864,A000000,00800,0000,00800DIETARY 24864,A000000,00900,0000,00900NURSING ADMINISTRATION 24864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24864,A000000,01100,0000,01100PHARMACY 24864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24864,A000000,01300,0000,01300SOCIAL SERVICE 24864,A000000,01350,0000,01500RECREATION ACTIVITIES 24864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24864,A000000,01600,0000,01600SKILLED NURSING FACILITY 24864,A000000,01800,0000,01800NURSING FACILITY 24864,A000000,01810,0000,01810ICF/MR 24864,A000000,02100,0000,02100RADIOLOGY 24864,A000000,02200,0000,02200LABORATORY 24864,A000000,02500,0000,02500PHYSICAL THERAPY 24864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24864,A000000,02700,0000,02700SPEECH PATHOLOGY 24864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24864,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24864,A000000,03051,0000,03301ENTERAL FEEDING 24864,A000000,03550,0000,03550FQHC 24864,A000000,05000,0000,05000CORF 24864,A000000,05010,0000,05010CMHC 24864,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24864,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24864,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24864,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24864,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24864,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24864,A000000,06153,0000,06312DIALYSIS 24864,A000000,06154,0000,06320APARTMENTS 24864,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24864,A000000,06156,0000,06340CLOSED PATIENT AREAS 24864,A000000,06157,0000,06350O/P ADULT DAYCARE 24864,A81000A,00100,0100,Y 24864,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24864,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24864,A81000B,00300,0300,CLINICAL ALLOCATION 24864,A81000B,00400,0300,REHAB ALLOCATION 24864,A81000B,00500,0300,REHAB ALLOCATION 24864,A81000B,00600,0300,REHAB ALLOCATION 24864,A81000C,00100,0100,B 24864,A81000C,00100,0400,IHS INC. 24864,A81000C,00100,0600,NURSING HOMES 24864,A81000C,00200,0100,G 24864,A81000C,00200,0400,SYMPHONY REHAB 24864,A81000C,00200,0600,REHAB SERVICES 24864,A81000C,00300,0100,G 24864,A81000C,00300,0400,LTC MED LAB 24864,A81000C,00300,0600,LABORATORY 24864,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24864,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24864,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24864,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24864,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24864,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24864,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24864,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24864,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24864,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24864,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24864,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24864,E10A180,00305,0100,06/06/2000 24864,E10A180,00351,0100,12/03/1999 24864,E10A180,00501,0100,07/28/2000 24864,E10A180,00501,0300,07/28/2000 24864,S000000,00100,0200,06/01/2000 24864,S200000,00100,0100,70 VAN HORNE STREET 24864,S200000,00100,0300,2509 24864,S200000,00200,0100,TYBEE ISLAND 24864,S200000,00200,0200,GA 24864,S200000,00200,0300,31328- 24864,S200000,00300,0100,CHATHAM 24864,S200000,00300,0200,7520 24864,S200000,00300,0300,U 24864,S200000,00400,0100,OCEANSIDE NURSING & REHAB CTR 24864,S200000,00400,0200,115459 24864,S200000,00400,0300,10/02/1989 24864,S200000,00400,0500,P 24864,S200000,00600,0200,115459 24864,S200000,00600,0300,10/02/1989 24864,S200000,00600,0600,P 24864,S200000,01600,0100,Y 24864,S200000,02200,0100,Y 24868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24868,A000000,00300,0000,00300EMPLOYEE BENEFITS 24868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24868,A000000,00700,0000,00700HOUSEKEEPING 24868,A000000,00800,0000,00800DIETARY 24868,A000000,00900,0000,00900NURSING ADMINISTRATION 24868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24868,A000000,01100,0000,01100PHARMACY 24868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24868,A000000,01300,0000,01300SOCIAL SERVICE 24868,A000000,01350,0000,01500RECREATION ACTIVITIES 24868,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24868,A000000,01600,0000,01600SKILLED NURSING FACILITY 24868,A000000,01800,0000,01800NURSING FACILITY 24868,A000000,01810,0000,01810ICF/MR 24868,A000000,02100,0000,02100RADIOLOGY 24868,A000000,02200,0000,02200LABORATORY 24868,A000000,02500,0000,02500PHYSICAL THERAPY 24868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24868,A000000,02700,0000,02700SPEECH PATHOLOGY 24868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24868,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24868,A000000,03051,0000,03301ENTERAL FEEDING 24868,A000000,03550,0000,03550FQHC 24868,A000000,05000,0000,05000CORF 24868,A000000,05010,0000,05010CMHC 24868,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24868,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24868,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24868,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24868,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24868,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24868,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24868,A000000,06153,0000,06312DIALYSIS 24868,A000000,06154,0000,06320APARTMENTS 24868,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24868,A000000,06156,0000,06340CLOSED PATIENT AREAS 24868,A000000,06157,0000,06350O/P ADULT DAYCARE 24868,A81000A,00100,0100,Y 24868,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24868,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24868,A81000B,00400,0300,SYMPHONY REHAB 24868,A81000B,00500,0300,SYMPHONY REHAB 24868,A81000B,00600,0300,SYMPHONY REHAB 24868,A81000B,00700,0300,REHAB ALLOCATION 24868,A81000B,00800,0300,REHAB ALLOCATION 24868,A81000B,00900,0300,REHAB ALLOCATION 24868,A81000B,01000,0300,CLINICAL ALLOCATION 24868,A81000C,00100,0100,B 24868,A81000C,00100,0400,IHS INC. 24868,A81000C,00100,0600,NURSING HOMES 24868,A81000C,00200,0100,G 24868,A81000C,00200,0400,SYMPHONY REHAB 24868,A81000C,00200,0600,REHAB SERVICES 24868,A81000C,00300,0100,G 24868,A81000C,00300,0400,LTC MED LAB 24868,A81000C,00300,0600,LABORATORY 24868,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24868,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24868,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24868,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24868,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24868,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24868,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24868,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24868,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24868,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24868,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24868,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24868,E10A180,00304,0100,06/06/2000 24868,E10A180,00350,0100,12/03/1999 24868,E10A180,00501,0100,07/28/2000 24868,E10A180,00550,0300,07/28/2000 24868,S000000,00100,0200,06/01/2000 24868,S200000,00100,0100,HIGHWAY 1 24868,S200000,00100,0300,32 24868,S200000,00200,0100,LOUISVILLE 24868,S200000,00200,0200,GA 24868,S200000,00200,0300,30434- 24868,S200000,00300,0100,JEFFERSON 24868,S200000,00300,0200,11 24868,S200000,00300,0300,R 24868,S200000,00400,0100,OLD CAPITAL INN 24868,S200000,00400,0200,115464 24868,S200000,00400,0300,10/01/1989 24868,S200000,00400,0500,P 24868,S200000,00400,0600,O 24868,S200000,00600,0200,115464 24868,S200000,00600,0300,10/01/1989 24868,S200000,00600,0600,P 24868,S200000,01600,0100,Y 24868,S200000,02200,0100,Y 24874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24874,A000000,00300,0000,00300EMPLOYEE BENEFITS 24874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24874,A000000,00700,0000,00700HOUSEKEEPING 24874,A000000,00800,0000,00800DIETARY 24874,A000000,00900,0000,00900NURSING ADMINISTRATION 24874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24874,A000000,01100,0000,01100PHARMACY 24874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24874,A000000,01300,0000,01300SOCIAL SERVICE 24874,A000000,01350,0000,01500RECREATION ACTIVITIES 24874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24874,A000000,01600,0000,01600SKILLED NURSING FACILITY 24874,A000000,01800,0000,01800NURSING FACILITY 24874,A000000,01810,0000,01810ICF/MR 24874,A000000,02100,0000,02100RADIOLOGY 24874,A000000,02200,0000,02200LABORATORY 24874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24874,A000000,02500,0000,02500PHYSICAL THERAPY 24874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24874,A000000,02700,0000,02700SPEECH PATHOLOGY 24874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24874,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24874,A000000,03051,0000,03301ENTERAL FEEDING 24874,A000000,03550,0000,03550FQHC 24874,A000000,05000,0000,05000CORF 24874,A000000,05010,0000,05010CMHC 24874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24874,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24874,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24874,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24874,A000000,06153,0000,06312DIALYSIS 24874,A000000,06154,0000,06320APARTMENTS 24874,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24874,A000000,06156,0000,06340CLOSED PATIENT AREAS 24874,A000000,06157,0000,06350O/P ADULT DAYCARE 24874,A81000A,00100,0100,Y 24874,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24874,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24874,A81000B,00400,0300,REHAB ALLOCATION 24874,A81000B,00500,0300,REHAB ALLOCATION 24874,A81000B,00600,0300,REHAB ALLOCATION 24874,A81000B,00700,0300,SYMPHONY MOBILEX 24874,A81000B,00800,0300,CLINICAL ALLOCATION 24874,A81000C,00100,0100,A 24874,A81000C,00100,0400,IHS INC. 24874,A81000C,00100,0600,NURSING HOMES 24874,A81000C,00200,0100,G 24874,A81000C,00200,0400,SYMPHONY 24874,A81000C,00200,0600,REHAB SERVICES 24874,A81000C,00300,0100,G 24874,A81000C,00300,0400,LTC 24874,A81000C,00300,0600,LAB 24874,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24874,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24874,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24874,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24874,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24874,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24874,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24874,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24874,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24874,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24874,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24874,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24874,E10A180,00301,0100,12/03/1999 24874,E10A180,00304,0100,05/18/2000 24874,E10A180,00350,0100,03/18/1999 24874,E10A180,00501,0300,07/28/2000 24874,E10A180,00550,0100,07/28/2000 24874,S000000,00100,0200,06/01/2000 24874,S200000,00100,0100,180 EPPS BRIDGE ROAD 24874,S200000,00200,0100,ATHENS 24874,S200000,00200,0200,GA 24874,S200000,00200,0300,30606- 24874,S200000,00300,0100,CLARKE 24874,S200000,00300,0200,500 24874,S200000,00300,0300,U 24874,S200000,00400,0100,UNIVERSITY NRSG & REHAB CTR 24874,S200000,00400,0200,115467 24874,S200000,00400,0300,01/01/1990 24874,S200000,00400,0500,P 24874,S200000,00600,0200,115467 24874,S200000,00600,0300,01/01/1990 24874,S200000,00600,0600,P 24874,S200000,01600,0100,Y 24874,S200000,02200,0100,Y 24880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24880,A000000,00300,0000,00300EMPLOYEE BENEFITS 24880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24880,A000000,00700,0000,00700HOUSEKEEPING 24880,A000000,00800,0000,00800DIETARY 24880,A000000,00900,0000,00900NURSING ADMINISTRATION 24880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24880,A000000,01100,0000,01100PHARMACY 24880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24880,A000000,01300,0000,01300SOCIAL SERVICE 24880,A000000,01350,0000,01500RECREATION ACTIVITIES 24880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24880,A000000,01600,0000,01600SKILLED NURSING FACILITY 24880,A000000,01800,0000,01800NURSING FACILITY 24880,A000000,01810,0000,01810ICF/MR 24880,A000000,02200,0000,02200LABORATORY 24880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24880,A000000,02500,0000,02500PHYSICAL THERAPY 24880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24880,A000000,02700,0000,02700SPEECH PATHOLOGY 24880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24880,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24880,A000000,03051,0000,03301ENTERAL FEEDING 24880,A000000,03550,0000,03550FQHC 24880,A000000,05000,0000,05000CORF 24880,A000000,05010,0000,05010CMHC 24880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24880,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24880,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24880,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24880,A000000,06153,0000,06312DIALYSIS 24880,A000000,06154,0000,06320APARTMENTS 24880,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24880,A000000,06156,0000,06340CLOSED PATIENT AREAS 24880,A000000,06157,0000,06350O/P ADULT DAYCARE 24880,A81000A,00100,0100,Y 24880,A81000B,00100,0300,HOME OFFICE CAPITAL 24880,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24880,A81000B,00600,0300,REHAB ALLOCATION 24880,A81000B,00700,0300,REHAB ALLOCATION 24880,A81000B,00800,0300,REHAB ALLOCATION 24880,A81000B,01000,0300,CLINICAL ALLOCATION 24880,A81000C,00100,0100,B 24880,A81000C,00100,0400,IHS INC. 24880,A81000C,00100,0600,NURSING HOMES 24880,A81000C,00200,0100,G 24880,A81000C,00200,0400,SYMPHONY 24880,A81000C,00200,0600,REHAB SERVICES 24880,A81000C,00300,0100,G 24880,A81000C,00300,0400,LTC LAB 24880,A81000C,00300,0600,LAB 24880,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24880,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24880,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24880,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24880,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24880,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24880,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24880,B100000,00000,0950,00050(UNADJUSTE SALARIES) :NURSING ADMI 24880,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24880,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24880,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24880,E10A180,00301,0100,06/06/2000 24880,E10A180,00350,0100,12/03/1999 24880,E10A180,00501,0100,07/28/2000 24880,E10A180,00501,0300,07/28/2000 24880,S000000,00100,0200,06/01/2000 24880,S200000,00100,0100,801 LEGION DRIVE 24880,S200000,00200,0100,EASTMAN 24880,S200000,00200,0200,GA 24880,S200000,00200,0300,31023- 24880,S200000,00300,0100,DODGE 24880,S200000,00300,0200,11 24880,S200000,00300,0300,R 24880,S200000,00400,0100,HEART OF GEORGIA NURSING HOME 24880,S200000,00400,0200,115471 24880,S200000,00400,0300,01/01/1990 24880,S200000,00400,0500,P 24880,S200000,00400,0600,O 24880,S200000,00600,0200,115471 24880,S200000,00600,0300,01/01/1990 24880,S200000,00600,0600,P 24880,S200000,01600,0100,Y 24880,S200000,02200,0100,Y 24884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24884,A000000,00300,0000,00300EMPLOYEE BENEFITS 24884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24884,A000000,00700,0000,00700HOUSEKEEPING 24884,A000000,00800,0000,00800DIETARY 24884,A000000,00900,0000,00900NURSING ADMINISTRATION 24884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24884,A000000,01100,0000,01100PHARMACY 24884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24884,A000000,01300,0000,01300SOCIAL SERVICE 24884,A000000,01350,0000,01500RECREATION ACTIVITIES 24884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24884,A000000,01600,0000,01600SKILLED NURSING FACILITY 24884,A000000,01800,0000,01800NURSING FACILITY 24884,A000000,01810,0000,01810ICF/MR 24884,A000000,02100,0000,02100RADIOLOGY 24884,A000000,02200,0000,02200LABORATORY 24884,A000000,02500,0000,02500PHYSICAL THERAPY 24884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24884,A000000,02700,0000,02700SPEECH PATHOLOGY 24884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24884,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24884,A000000,03051,0000,03301ENTERAL FEEDING 24884,A000000,03550,0000,03550FQHC 24884,A000000,05000,0000,05000CORF 24884,A000000,05010,0000,05010CMHC 24884,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24884,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24884,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24884,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24884,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24884,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24884,A000000,06153,0000,06312DIALYSIS 24884,A000000,06154,0000,06320APARTMENTS 24884,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24884,A000000,06156,0000,06340CLOSED PATIENT AREAS 24884,A000000,06157,0000,06350O/P ADULT DAYCARE 24884,A81000A,00100,0100,Y 24884,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24884,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24884,A81000B,00300,0300,REHAB ALLOCATION 24884,A81000B,00400,0300,REHAB ALLOCATION 24884,A81000B,00500,0300,REHAB ALLOCATION 24884,A81000B,00600,0300,CLINICAL ALLOCATION 24884,A81000B,00700,0300,SYMPHONY MOBILEX 24884,A81000B,00800,0300,SYMPHONY MEDPRO 24884,A81000B,00900,0300,SYMPHONY MEDPRO 24884,A81000B,01000,0300,SYMPHONY MOBILEX 24884,A81000C,00100,0100,B 24884,A81000C,00100,0400,IHS INC. 24884,A81000C,00100,0600,NURSING HOMES 24884,A81000C,00200,0100,G 24884,A81000C,00200,0400,SYMPHONY REHAB 24884,A81000C,00200,0600,REHAB SERVICES 24884,A81000C,00300,0100,G 24884,A81000C,00300,0400,LTC MED LAB 24884,A81000C,00300,0600,LABORATORY 24884,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24884,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24884,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24884,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24884,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24884,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24884,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24884,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24884,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24884,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24884,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24884,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24884,E10A180,00305,0100,05/18/2000 24884,E10A180,00350,0100,03/18/1999 24884,E10A180,00351,0100,12/03/1999 24884,E10A180,00501,0300,07/28/2000 24884,E10A180,00550,0100,07/28/2000 24884,S000000,00100,0200,06/01/2000 24884,S200000,00100,0100,4373 HOUSTON AVENUE 24884,S200000,00200,0100,MACON 24884,S200000,00200,0200,GA 24884,S200000,00200,0300,31206- 24884,S200000,00300,0200,4680 24884,S200000,00300,0300,U 24884,S200000,00400,0100,MACON MANOR NRSG & REHAB CTR 24884,S200000,00400,0200,115486 24884,S200000,00400,0300,12/01/1989 24884,S200000,00400,0500,P 24884,S200000,00600,0200,115486 24884,S200000,00600,0300,12/01/1989 24884,S200000,00600,0600,P 24884,S200000,01600,0100,Y 24884,S200000,02200,0100,Y 24890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24890,A000000,00300,0000,00300EMPLOYEE BENEFITS 24890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24890,A000000,00700,0000,00700HOUSEKEEPING 24890,A000000,00800,0000,00800DIETARY 24890,A000000,00900,0000,00900NURSING ADMINISTRATION 24890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24890,A000000,01100,0000,01100PHARMACY 24890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24890,A000000,01300,0000,01300SOCIAL SERVICE 24890,A000000,01350,0000,01500RECREATION ACTIVITIES 24890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24890,A000000,01600,0000,01600SKILLED NURSING FACILITY 24890,A000000,01800,0000,01800NURSING FACILITY 24890,A000000,01810,0000,01810ICF/MR 24890,A000000,02200,0000,02200LABORATORY 24890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24890,A000000,02500,0000,02500PHYSICAL THERAPY 24890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24890,A000000,02700,0000,02700SPEECH PATHOLOGY 24890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24890,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24890,A000000,03051,0000,03301ENTERAL FEEDING 24890,A000000,03550,0000,03550FQHC 24890,A000000,05000,0000,05000CORF 24890,A000000,05010,0000,05010CMHC 24890,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24890,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24890,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24890,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24890,A000000,06153,0000,06312DIALYSIS 24890,A000000,06154,0000,06320APARTMENTS 24890,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24890,A000000,06156,0000,06340CLOSED PATIENT AREAS 24890,A000000,06157,0000,06350O/P ADULT DAYCARE 24890,A81000A,00100,0100,Y 24890,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24890,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24890,A81000B,00400,0300,REHAB ALLOCATION 24890,A81000B,00500,0300,REHAB ALLOCATION 24890,A81000B,00600,0300,REHAB ALLOCATION 24890,A81000B,00700,0300,CLINICAL ALLOCATION 24890,A81000C,00100,0100,B 24890,A81000C,00100,0400,IHS INC. 24890,A81000C,00100,0600,NURSING HOMES 24890,A81000C,00200,0100,G 24890,A81000C,00200,0400,SYMPHONY REHAB 24890,A81000C,00200,0600,REHAB SERVICES 24890,A81000C,00300,0100,G 24890,A81000C,00300,0400,LTC LAB 24890,A81000C,00300,0600,LAB 24890,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24890,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24890,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24890,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24890,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24890,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24890,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24890,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24890,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24890,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24890,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24890,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24890,E10A180,00304,0100,05/18/2000 24890,E10A180,00350,0100,03/18/1999 24890,E10A180,00351,0100,12/03/1999 24890,E10A180,00501,0100,07/28/2000 24890,E10A180,00501,0300,07/28/2000 24890,S000000,00100,0200,06/01/2000 24890,S200000,00100,0100,1634 TELFAIR STREET 24890,S200000,00200,0100,DUBLIN 24890,S200000,00200,0200,GA 24890,S200000,00200,0300,31021- 24890,S200000,00300,0200,11 24890,S200000,00300,0300,R 24890,S200000,00400,0100,SHAMROCK NRSG & REHAB CTR 24890,S200000,00400,0200,115495 24890,S200000,00400,0300,03/01/1997 24890,S200000,00400,0500,P 24890,S200000,00600,0200,115495 24890,S200000,00600,0300,03/01/1997 24890,S200000,00600,0600,P 24890,S200000,01600,0100,Y 24890,S200000,02200,0100,Y 24896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24896,A000000,00300,0000,00300EMPLOYEE BENEFITS 24896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24896,A000000,00700,0000,00700HOUSEKEEPING 24896,A000000,00800,0000,00800DIETARY 24896,A000000,00900,0000,00900NURSING ADMINISTRATION 24896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24896,A000000,01100,0000,01100PHARMACY 24896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24896,A000000,01300,0000,01300SOCIAL SERVICE 24896,A000000,01350,0000,01500RECREATION ACTIVITIES 24896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24896,A000000,01600,0000,01600SKILLED NURSING FACILITY 24896,A000000,01800,0000,01800NURSING FACILITY 24896,A000000,01810,0000,01810ICF/MR 24896,A000000,02200,0000,02200LABORATORY 24896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24896,A000000,02500,0000,02500PHYSICAL THERAPY 24896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24896,A000000,02700,0000,02700SPEECH PATHOLOGY 24896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24896,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24896,A000000,03051,0000,03301ENTERAL FEEDING 24896,A000000,03550,0000,03550FQHC 24896,A000000,05000,0000,05000CORF 24896,A000000,05010,0000,05010CMHC 24896,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24896,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24896,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24896,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24896,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24896,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24896,A000000,06153,0000,06312DIALYSIS 24896,A000000,06154,0000,06320APARTMENTS 24896,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24896,A000000,06156,0000,06340CLOSED PATIENT AREAS 24896,A000000,06157,0000,06350O/P ADULT DAYCARE 24896,A81000A,00100,0100,Y 24896,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24896,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24896,A81000B,00300,0300,CLINICAL ALLOCATION 24896,A81000B,00400,0300,SYMPHONY REHAB 24896,A81000B,00500,0300,SYMPHONY REHAB 24896,A81000B,00600,0300,SYMPHONY REHAB 24896,A81000B,00700,0300,REHAB ALLOCATION 24896,A81000B,00800,0300,REHAB ALLOCATION 24896,A81000B,00900,0300,REHAB ALLOCATION 24896,A81000C,00100,0100,B 24896,A81000C,00100,0400,IHS INC. 24896,A81000C,00100,0600,NURSING HOMES 24896,A81000C,00200,0100,G 24896,A81000C,00200,0400,SYMPHONY REHAB 24896,A81000C,00200,0600,REHAB SERVICES 24896,A81000C,00300,0100,G 24896,A81000C,00300,0400,LTC MED LAB 24896,A81000C,00300,0600,LABORATORY 24896,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24896,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24896,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24896,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24896,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24896,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24896,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24896,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24896,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24896,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24896,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24896,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24896,E10A180,00301,0100,06/06/2000 24896,E10A180,00352,0100,12/03/1999 24896,E10A180,00501,0100,07/28/2000 24896,E10A180,00501,0300,07/28/2000 24896,S000000,00100,0200,06/01/2000 24896,S200000,00100,0100,215 FIRST AVENUE SE 24896,S200000,00200,0100,MOULTRIE 24896,S200000,00200,0200,GA 24896,S200000,00200,0300,31768- 24896,S200000,00300,0100,COLQUITT 24896,S200000,00300,0200,11 24896,S200000,00300,0300,R 24896,S200000,00400,0100,MOULTRIE REST AWHILE NRSG HOME 24896,S200000,00400,0200,115505 24896,S200000,00400,0300,10/01/1989 24896,S200000,00400,0500,P 24896,S200000,00600,0200,115505 24896,S200000,00600,0300,10/01/1989 24896,S200000,00600,0600,P 24896,S200000,01600,0100,Y 24896,S200000,02200,0100,Y 24903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24903,A000000,00300,0000,00300EMPLOYEE BENEFITS 24903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24903,A000000,00700,0000,00700HOUSEKEEPING 24903,A000000,00800,0000,00800DIETARY 24903,A000000,00900,0000,00900NURSING ADMINISTRATION 24903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24903,A000000,01100,0000,01100PHARMACY 24903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24903,A000000,01300,0000,01300SOCIAL SERVICE 24903,A000000,01350,0000,01500RECREATION ACTIVITIES 24903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24903,A000000,01600,0000,01600SKILLED NURSING FACILITY 24903,A000000,01800,0000,01800NURSING FACILITY 24903,A000000,01810,0000,01810ICF/MR 24903,A000000,02200,0000,02200LABORATORY 24903,A000000,02300,0000,02300INTRAVENOUS THERAPY 24903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24903,A000000,02500,0000,02500PHYSICAL THERAPY 24903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24903,A000000,02700,0000,02700SPEECH PATHOLOGY 24903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24903,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24903,A000000,03051,0000,03301ENTERAL FEEDING 24903,A000000,03550,0000,03550FQHC 24903,A000000,05000,0000,05000CORF 24903,A000000,05010,0000,05010CMHC 24903,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24903,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24903,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24903,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24903,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24903,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24903,A000000,06153,0000,06312DIALYSIS 24903,A000000,06154,0000,06320APARTMENTS 24903,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24903,A000000,06156,0000,06340CLOSED PATIENT AREAS 24903,A000000,06157,0000,06350O/P ADULT DAYCARE 24903,A81000A,00100,0100,Y 24903,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24903,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24903,A81000B,00300,0300,CLINICAL ALLOCATION 24903,A81000B,00400,0300,SYMPHONY REHAB 24903,A81000B,00500,0300,REHAB ALLOCATION 24903,A81000B,00600,0300,REHAB ALLOCATION 24903,A81000B,00700,0300,REHAB ALLOCATION 24903,A81000C,00100,0100,B 24903,A81000C,00100,0400,IHS INC. 24903,A81000C,00100,0600,NURSING HOMES 24903,A81000C,00200,0100,G 24903,A81000C,00200,0400,SYMPHONY REHAB 24903,A81000C,00200,0600,REHAB SERVICES 24903,A81000C,00300,0100,G 24903,A81000C,00300,0400,LTC MED LAB 24903,A81000C,00300,0600,LABORATORY 24903,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24903,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24903,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24903,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24903,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24903,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24903,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24903,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24903,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24903,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24903,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24903,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24903,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24903,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24903,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24903,E10A180,00350,0100,03/18/1999 24903,E10A180,00351,0100,12/03/1999 24903,S000000,00100,0200,06/01/2000 24903,S200000,00100,0100,303 FIFTH STREET N. 24903,S200000,00100,0300,618 24903,S200000,00200,0100,GLENWOOD 24903,S200000,00200,0200,GA 24903,S200000,00200,0300,30428- 24903,S200000,00300,0100,WHEELER 24903,S200000,00400,0100,IHS-CONNER 24903,S200000,00400,0200,115511 24903,S200000,00400,0300,06/01/1989 24903,S200000,00400,0500,P 24903,S200000,00600,0200,115511 24903,S200000,00600,0300,06/01/1989 24903,S200000,00600,0600,P 24903,S200000,01600,0100,Y 24903,S200000,02200,0100,Y 24903,S700003,00000,0100,1 24908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24908,A000000,00300,0000,00300EMPLOYEE BENEFITS 24908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24908,A000000,00700,0000,00700HOUSEKEEPING 24908,A000000,00800,0000,00800DIETARY 24908,A000000,00900,0000,00900NURSING ADMINISTRATION 24908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24908,A000000,01100,0000,01100PHARMACY 24908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24908,A000000,01300,0000,01300SOCIAL SERVICE 24908,A000000,01350,0000,01500RECREATION ACTIVITIES 24908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24908,A000000,01600,0000,01600SKILLED NURSING FACILITY 24908,A000000,01800,0000,01800NURSING FACILITY 24908,A000000,01810,0000,01810ICF/MR 24908,A000000,02100,0000,02100RADIOLOGY 24908,A000000,02200,0000,02200LABORATORY 24908,A000000,02500,0000,02500PHYSICAL THERAPY 24908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24908,A000000,02700,0000,02700SPEECH PATHOLOGY 24908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24908,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24908,A000000,03051,0000,03301ENTERAL FEEDING 24908,A000000,03550,0000,03550FQHC 24908,A000000,05000,0000,05000CORF 24908,A000000,05010,0000,05010CMHC 24908,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24908,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24908,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24908,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24908,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24908,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24908,A000000,06153,0000,06312DIALYSIS 24908,A000000,06154,0000,06320APARTMENTS 24908,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24908,A000000,06156,0000,06340CLOSED PATIENT AREAS 24908,A000000,06157,0000,06350O/P ADULT DAYCARE 24908,A81000A,00100,0100,Y 24908,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24908,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24908,A81000B,00300,0300,CLINICAL ALLOCATION 24908,A81000B,00400,0300,REHAB ALLOCATION 24908,A81000B,00500,0300,REHAB ALLOCATION 24908,A81000B,00600,0300,REHAB ALLOCATION 24908,A81000C,00100,0100,B 24908,A81000C,00100,0400,IHS INC. 24908,A81000C,00100,0600,NURSING HOMES 24908,A81000C,00200,0100,G 24908,A81000C,00200,0400,SYMPHONY REHAB 24908,A81000C,00200,0600,REHAB SERVICES 24908,A81000C,00300,0100,G 24908,A81000C,00300,0400,LTC 24908,A81000C,00300,0600,LAB 24908,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24908,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24908,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24908,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24908,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24908,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24908,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24908,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24908,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24908,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24908,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24908,E10A180,00304,0100,06/06/2000 24908,E10A180,00350,0100,12/03/1999 24908,E10A180,00501,0100,07/28/2000 24908,E10A180,00501,0300,07/28/2000 24908,S000000,00100,0200,06/01/2000 24908,S200000,00100,0100,528 HUNTER STREET 24908,S200000,00200,0100,ROCKMART 24908,S200000,00200,0200,GA 24908,S200000,00200,0300,30153- 24908,S200000,00300,0100,POLK 24908,S200000,00300,0200,11 24908,S200000,00300,0300,R 24908,S200000,00400,0100,ROCKMART NRSG & REHAB CTR 24908,S200000,00400,0200,115530 24908,S200000,00400,0300,10/01/1992 24908,S200000,00400,0500,P 24908,S200000,00400,0600,O 24908,S200000,00600,0200,115530 24908,S200000,00600,0300,10/01/1992 24908,S200000,00600,0600,P 24908,S200000,01600,0100,Y 24908,S200000,02200,0100,Y 24918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24918,A000000,00300,0000,00300EMPLOYEE BENEFITS 24918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24918,A000000,00700,0000,00700HOUSEKEEPING 24918,A000000,00800,0000,00800DIETARY 24918,A000000,00900,0000,00900NURSING ADMINISTRATION 24918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24918,A000000,01100,0000,01100PHARMACY 24918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24918,A000000,01300,0000,01300SOCIAL SERVICE 24918,A000000,01350,0000,01500RECREATION ACTIVITIES 24918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24918,A000000,01600,0000,01600SKILLED NURSING FACILITY 24918,A000000,01800,0000,01800NURSING FACILITY 24918,A000000,01810,0000,01810ICF/MR 24918,A000000,02100,0000,02100RADIOLOGY 24918,A000000,02200,0000,02200LABORATORY 24918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24918,A000000,02500,0000,02500PHYSICAL THERAPY 24918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24918,A000000,02700,0000,02700SPEECH PATHOLOGY 24918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24918,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24918,A000000,03051,0000,03301ENTERAL FEEDING 24918,A000000,03550,0000,03550FQHC 24918,A000000,05000,0000,05000CORF 24918,A000000,05010,0000,05010CMHC 24918,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24918,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24918,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24918,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24918,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24918,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24918,A000000,06153,0000,06312DIALYSIS 24918,A000000,06154,0000,06320APARTMENTS 24918,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24918,A000000,06156,0000,06340CLOSED PATIENT AREAS 24918,A000000,06157,0000,06350O/P ADULT DAYCARE 24918,A81000A,00100,0100,Y 24918,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24918,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24918,A81000B,00300,0300,MSU DEVELOPMENT COST 24918,A81000B,00400,0300,SYMPHONY REHAB 24918,A81000B,00700,0300,REHAB ALLOCATION 24918,A81000B,00800,0300,REHAB ALLOCATION 24918,A81000B,00900,0300,REHAB ALLOCATION 24918,A81000B,01000,0300,CLINICAL ALLOCATION 24918,A81000B,01100,0300,LTC LABS 24918,A81000B,01200,0300,SYMPHONY MOBILEX 24918,A81000B,01300,0300,LTC LABS 24918,A81000C,00100,0100,B 24918,A81000C,00100,0400,IHS INC. 24918,A81000C,00100,0600,NURSING HOMES 24918,A81000C,00200,0100,G 24918,A81000C,00200,0400,SYMPHONY REHAB 24918,A81000C,00200,0600,REHAB SERVICES 24918,A81000C,00300,0100,G 24918,A81000C,00300,0400,LTC MED LAB 24918,A81000C,00300,0600,LABORATORY 24918,A81000C,00400,0100,B 24918,A81000C,00400,0400,LYRIC 24918,A81000C,00400,0600,NURSING HOMES 24918,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24918,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24918,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24918,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24918,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24918,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24918,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24918,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24918,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24918,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24918,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24918,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24918,E10A180,00350,0100,03/18/1999 24918,E10A180,00351,0100,12/03/1999 24918,E10A180,00352,0100,05/18/2000 24918,S000000,00100,0200,06/01/2000 24918,S200000,00100,0100,1000 BRIARCLIFF ROAD 24918,S200000,00200,0100,ATLANTA 24918,S200000,00200,0200,GA 24918,S200000,00200,0300,30306- 24918,S200000,00300,0100,DEKALB 24918,S200000,00300,0200,520 24918,S200000,00300,0300,U 24918,S200000,00400,0100,IHS-ATLANTA-BRIARCLIFF HAVEN 24918,S200000,00400,0200,115531 24918,S200000,00400,0300,12/01/1992 24918,S200000,00400,0500,P 24918,S200000,00600,0200,115531 24918,S200000,00600,0300,12/01/1992 24918,S200000,00600,0600,P 24918,S200000,01600,0100,Y 24918,S200000,02200,0100,Y 24923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24923,A000000,00300,0000,00300EMPLOYEE BENEFITS 24923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24923,A000000,00700,0000,00700HOUSEKEEPING 24923,A000000,00800,0000,00800DIETARY 24923,A000000,00900,0000,00900NURSING ADMINISTRATION 24923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24923,A000000,01100,0000,01100PHARMACY 24923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24923,A000000,01300,0000,01300SOCIAL SERVICE 24923,A000000,01350,0000,01500RECREATION ACTIVITIES 24923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24923,A000000,01600,0000,01600SKILLED NURSING FACILITY 24923,A000000,01800,0000,01800NURSING FACILITY 24923,A000000,01810,0000,01810ICF/MR 24923,A000000,02100,0000,02100RADIOLOGY 24923,A000000,02200,0000,02200LABORATORY 24923,A000000,02500,0000,02500PHYSICAL THERAPY 24923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24923,A000000,02700,0000,02700SPEECH PATHOLOGY 24923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24923,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24923,A000000,03051,0000,03301ENTERAL FEEDING 24923,A000000,03550,0000,03550FQHC 24923,A000000,05000,0000,05000CORF 24923,A000000,05010,0000,05010CMHC 24923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24923,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24923,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24923,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24923,A000000,06153,0000,06312DIALYSIS 24923,A000000,06154,0000,06320APARTMENTS 24923,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24923,A000000,06156,0000,06340CLOSED PATIENT AREAS 24923,A000000,06157,0000,06350O/P ADULT DAYCARE 24923,A81000A,00100,0100,Y 24923,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24923,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24923,A81000B,00300,0300,CLINICAL ALLOCATION 24923,A81000B,00400,0300,REHAB ALLOCATION 24923,A81000B,00500,0300,REHAB ALLOCATION 24923,A81000B,00600,0300,REHAB ALLOCATION 24923,A81000B,00700,0300,SYMPHONY REHAB 24923,A81000C,00100,0100,B 24923,A81000C,00100,0400,IHS INC. 24923,A81000C,00100,0600,NURSING HOMES 24923,A81000C,00200,0100,G 24923,A81000C,00200,0400,SYMPHONY REHAB 24923,A81000C,00200,0600,REHAB SERVICES 24923,A81000C,00300,0100,G 24923,A81000C,00300,0400,LTC MED LAB 24923,A81000C,00300,0600,LABORATORY 24923,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24923,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24923,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24923,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24923,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24923,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24923,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24923,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24923,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24923,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24923,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24923,E10A180,00304,0100,05/18/2000 24923,E10A180,00350,0100,03/18/1999 24923,E10A180,00351,0100,12/03/1999 24923,E10A180,00501,0100,07/28/2000 24923,E10A180,00501,0300,07/28/2000 24923,S000000,00100,0200,06/01/2000 24923,S200000,00100,0100,671 N. CHEROKEE ROAD 24923,S200000,00200,0100,SOCIAL CIRCLE 24923,S200000,00200,0200,GA 24923,S200000,00200,0300,30279- 24923,S200000,00300,0100,WALTON 24923,S200000,00300,0200,520 24923,S200000,00300,0300,U 24923,S200000,00400,0100,SOCIAL CIRCLE NRSG & REHAB CTR 24923,S200000,00400,0200,115532 24923,S200000,00400,0300,10/01/1992 24923,S200000,00400,0500,P 24923,S200000,00600,0200,115532 24923,S200000,00600,0300,10/01/1992 24923,S200000,00600,0600,P 24923,S200000,01600,0100,Y 24923,S200000,02200,0100,Y 24927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24927,A000000,00300,0000,00300EMPLOYEE BENEFITS 24927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24927,A000000,00700,0000,00700HOUSEKEEPING 24927,A000000,00800,0000,00800DIETARY 24927,A000000,00900,0000,00900NURSING ADMINISTRATION 24927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24927,A000000,01100,0000,01100PHARMACY 24927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24927,A000000,01300,0000,01300SOCIAL SERVICE 24927,A000000,01350,0000,01500RECREATION ACTIVITIES 24927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24927,A000000,01600,0000,01600SKILLED NURSING FACILITY 24927,A000000,01800,0000,01800NURSING FACILITY 24927,A000000,01810,0000,01810ICF/MR 24927,A000000,02100,0000,02100RADIOLOGY 24927,A000000,02200,0000,02200LABORATORY 24927,A000000,02500,0000,02500PHYSICAL THERAPY 24927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24927,A000000,02700,0000,02700SPEECH PATHOLOGY 24927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24927,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24927,A000000,03051,0000,03301ENTERAL FEEDING 24927,A000000,03550,0000,03550FQHC 24927,A000000,05000,0000,05000CORF 24927,A000000,05010,0000,05010CMHC 24927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24927,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24927,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24927,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24927,A000000,06153,0000,06312DIALYSIS 24927,A000000,06154,0000,06320APARTMENTS 24927,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24927,A000000,06156,0000,06340CLOSED PATIENT AREAS 24927,A000000,06157,0000,06350O/P ADULT DAYCARE 24927,A81000A,00100,0100,Y 24927,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24927,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24927,A81000B,00300,0300,CLINICAL HOME OFFICE 24927,A81000B,00400,0300,SYMPHONY REHAB 24927,A81000B,00500,0300,SYMPHONY REHAB 24927,A81000B,00600,0300,SYMPHONY REHAB 24927,A81000B,00700,0300,REHAB ALLOCATION 24927,A81000B,00800,0300,REHAB ALLOCATION 24927,A81000B,00900,0300,REHAB ALLOCATION 24927,A81000B,01000,0300,SYMPHONY MOBILE 24927,A81000B,01100,0300,LTC MEDICAL LAB 24927,A81000C,00100,0100,B 24927,A81000C,00100,0200,IHS INC. 24927,A81000C,00100,0400,IHS INC. 24927,A81000C,00100,0600,NURSING HOMES 24927,A81000C,00200,0100,G 24927,A81000C,00200,0400,SYMPHONY REHAB 24927,A81000C,00200,0600,REHAB SERVICES 24927,A81000C,00300,0100,G 24927,A81000C,00300,0400,LTC LAB 24927,A81000C,00300,0600,LAB 24927,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24927,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24927,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24927,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24927,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24927,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24927,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24927,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24927,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24927,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24927,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24927,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24927,S000000,00100,0200,12/01/2000 24927,S200000,00100,0100,2801 FELTON DRIVE 24927,S200000,00200,0100,EAST POINT 24927,S200000,00200,0200,GA 24927,S200000,00200,0300,30344- 24927,S200000,00300,0100,FULTON 24927,S200000,00300,0200,520 24927,S200000,00300,0300,U 24927,S200000,00400,0100,BONTERRA NURSING CENTER 24927,S200000,00400,0200,115555 24927,S200000,00400,0300,07/01/1993 24927,S200000,00400,0500,P 24927,S200000,00600,0200,115555 24927,S200000,00600,0300,07/01/1993 24927,S200000,00600,0600,P 24927,S200000,01600,0100,Y 24933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24933,A000000,00300,0000,00300EMPLOYEE BENEFITS 24933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24933,A000000,00700,0000,00700HOUSEKEEPING 24933,A000000,00800,0000,00800DIETARY 24933,A000000,00900,0000,00900NURSING ADMINISTRATION 24933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24933,A000000,01100,0000,01100PHARMACY 24933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24933,A000000,01300,0000,01300SOCIAL SERVICE 24933,A000000,01350,0000,01500RECREATION ACTIVITIES 24933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24933,A000000,01600,0000,01600SKILLED NURSING FACILITY 24933,A000000,01800,0000,01800NURSING FACILITY 24933,A000000,01810,0000,01810ICF/MR 24933,A000000,02100,0000,02100RADIOLOGY 24933,A000000,02200,0000,02200LABORATORY 24933,A000000,02500,0000,02500PHYSICAL THERAPY 24933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24933,A000000,02700,0000,02700SPEECH PATHOLOGY 24933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24933,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24933,A000000,03051,0000,03301ENTERAL FEEDING 24933,A000000,03550,0000,03550FQHC 24933,A000000,05000,0000,05000CORF 24933,A000000,05010,0000,05010CMHC 24933,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24933,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24933,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24933,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24933,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24933,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24933,A000000,06153,0000,06312DIALYSIS 24933,A000000,06154,0000,06320APARTMENTS 24933,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24933,A000000,06156,0000,06340CLOSED PATIENT AREAS 24933,A000000,06157,0000,06350O/P ADULT DAYCARE 24933,A81000A,00100,0100,Y 24933,A81000B,00100,0300,HOME OFFICE CAPITAL 24933,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24933,A81000B,00300,0300,SYMPHONY REHAB 24933,A81000B,00400,0300,SYMPHONY REHAB 24933,A81000B,00500,0300,SYMPHONY MOBILEX 24933,A81000B,00600,0300,LTCMEDLAB 24933,A81000B,00700,0300,REHAB ALLOCATION 24933,A81000B,00800,0300,REHAB ALLOCATION 24933,A81000B,00900,0300,REHAB ALLOCATION 24933,A81000B,01000,0300,CLINICAL ALLOCATION 24933,A81000C,00100,0100,B 24933,A81000C,00100,0200,IHS INC. 24933,A81000C,00100,0400,IHS INC. 24933,A81000C,00100,0600,NURSING HOMES 24933,A81000C,00200,0100,B 24933,A81000C,00200,0200,IHS INC. 24933,A81000C,00200,0400,SYMPHONY REHAB 24933,A81000C,00200,0600,REHAB SERVICES 24933,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24933,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24933,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24933,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24933,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24933,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24933,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24933,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24933,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24933,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24933,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24933,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24933,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24933,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24933,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24933,E10A180,00301,0100,12/03/1999 24933,E10A180,00350,0100,03/18/1999 24933,S000000,00100,0200,06/01/2000 24933,S200000,00100,0100,1765 TEMPLE AVE 24933,S200000,00200,0100,COLLEGE PARK 24933,S200000,00200,0200,GA 24933,S200000,00200,0300,30337- 24933,S200000,00300,0100,FULTON 24933,S200000,00400,0100,COLLEGE PARK HEALTH CARE CTR 24933,S200000,00400,0200,115579 24933,S200000,00400,0300,03/01/1995 24933,S200000,00400,0500,P 24933,S200000,00400,0600,O 24933,S200000,00600,0200,115579 24933,S200000,00600,0300,03/01/1995 24933,S200000,00600,0600,P 24933,S200000,01600,0100,Y 24933,S200000,02200,0100,Y 24933,S700003,00000,0100,1 24940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24940,A000000,00300,0000,00300EMPLOYEE BENEFITS 24940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24940,A000000,00700,0000,00700HOUSEKEEPING 24940,A000000,00800,0000,00800DIETARY 24940,A000000,00900,0000,00900NURSING ADMINISTRATION 24940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24940,A000000,01100,0000,01100PHARMACY 24940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24940,A000000,01300,0000,01300SOCIAL SERVICE 24940,A000000,01350,0000,01500RECREATION ACTIVITIES 24940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24940,A000000,01600,0000,01600SKILLED NURSING FACILITY 24940,A000000,01800,0000,01800NURSING FACILITY 24940,A000000,01810,0000,01810ICF/MR 24940,A000000,02100,0000,02100RADIOLOGY 24940,A000000,02200,0000,02200LABORATORY 24940,A000000,02500,0000,02500PHYSICAL THERAPY 24940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24940,A000000,02700,0000,02700SPEECH PATHOLOGY 24940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24940,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24940,A000000,03051,0000,03301ENTERAL FEEDING 24940,A000000,03550,0000,03550FQHC 24940,A000000,05000,0000,05000CORF 24940,A000000,05010,0000,05010CMHC 24940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24940,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24940,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24940,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24940,A000000,06153,0000,06312DIALYSIS 24940,A000000,06154,0000,06320APARTMENTS 24940,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24940,A000000,06156,0000,06340CLOSED PATIENT AREAS 24940,A000000,06157,0000,06350O/P ADULT DAYCARE 24940,A81000A,00100,0100,Y 24940,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24940,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24940,A81000B,00400,0300,SYMPHONY REHAB 24940,A81000B,00500,0300,SYMPHONY REHAB 24940,A81000B,00600,0300,SYMPHONY REHAB 24940,A81000B,00700,0300,SYMPHONY MOBILE 24940,A81000B,00800,0300,LTC MEDICAL LAB 24940,A81000B,00900,0300,REHAB ALLOCATION 24940,A81000B,01000,0300,REHAB ALLOCATION 24940,A81000B,01100,0300,REHAB ALLOCATION 24940,A81000B,01200,0300,CLINICAL ALLOCATION 24940,A81000C,00100,0100,B 24940,A81000C,00100,0400,IHS INC. 24940,A81000C,00100,0600,NURSING HOMES 24940,A81000C,00200,0100,G 24940,A81000C,00200,0400,SYMPHONY REHAB 24940,A81000C,00200,0600,REHAB SERVICES 24940,A81000C,00300,0100,G 24940,A81000C,00300,0400,LTC LAB 24940,A81000C,00300,0600,LAB 24940,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24940,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 24940,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24940,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24940,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24940,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24940,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24940,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24940,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24940,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24940,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 24940,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24940,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24940,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24940,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 24940,E10A180,00303,0100,12/03/1999 24940,E10A180,00353,0100,03/18/1999 24940,S000000,00100,0200,06/01/2000 24940,S200000,00100,0100,1480 SANDTOWN ROAD 24940,S200000,00200,0100,MARIETTA 24940,S200000,00200,0200,GA 24940,S200000,00200,0300,30060- 24940,S200000,00300,0100,COBB 24940,S200000,00400,0100,CCA AT MARIETTA 24940,S200000,00400,0200,115580 24940,S200000,00400,0300,03/01/1995 24940,S200000,00400,0500,P 24940,S200000,00600,0200,115580 24940,S200000,00600,0300,03/01/1995 24940,S200000,00600,0600,P 24940,S200000,01600,0100,Y 24940,S200000,02200,0100,Y 24940,S700003,00000,0100,1 24944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24944,A000000,00300,0000,00300EMPLOYEE BENEFITS 24944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24944,A000000,00700,0000,00700HOUSEKEEPING 24944,A000000,00800,0000,00800DIETARY 24944,A000000,00900,0000,00900NURSING ADMINISTRATION 24944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24944,A000000,01100,0000,01100PHARMACY 24944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24944,A000000,01300,0000,01300SOCIAL SERVICE 24944,A000000,01350,0000,01500RECREATION ACTIVITIES 24944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24944,A000000,01600,0000,01600SKILLED NURSING FACILITY 24944,A000000,01800,0000,01800NURSING FACILITY 24944,A000000,01810,0000,01810ICF/MR 24944,A000000,02100,0000,02100RADIOLOGY 24944,A000000,02200,0000,02200LABORATORY 24944,A000000,02500,0000,02500PHYSICAL THERAPY 24944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24944,A000000,02700,0000,02700SPEECH PATHOLOGY 24944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24944,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24944,A000000,03051,0000,03301ENTERAL FEEDING 24944,A000000,03550,0000,03550FQHC 24944,A000000,05000,0000,05000CORF 24944,A000000,05010,0000,05010CMHC 24944,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24944,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24944,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24944,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24944,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24944,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24944,A000000,06153,0000,06312DIALYSIS 24944,A000000,06154,0000,06320APARTMENTS 24944,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24944,A000000,06156,0000,06340CLOSED PATIENT AREAS 24944,A000000,06157,0000,06350O/P ADULT DAYCARE 24944,A81000A,00100,0100,Y 24944,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24944,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24944,A81000B,00300,0300,HOME OFFICE CLINICAL 24944,A81000B,00400,0300,HOME OFFICE REHAB 24944,A81000B,00500,0300,HOME OFFICE REHAB 24944,A81000B,00600,0300,HOME OFFICE REHAB 24944,A81000B,00700,0300,LAB 24944,A81000B,00800,0300,XRAY 24944,A81000C,00100,0100,B 24944,A81000C,00100,0400,IHS INC. 24944,A81000C,00100,0600,NURSING HOMES 24944,A81000C,00200,0100,G 24944,A81000C,00200,0400,SYMPHONY REHAB 24944,A81000C,00200,0600,REHAB SERVICES 24944,A81000C,00300,0100,G 24944,A81000C,00300,0400,LTC MED LAB 24944,A81000C,00300,0600,LABORATORY 24944,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24944,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24944,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24944,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24944,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24944,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24944,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24944,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24944,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24944,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24944,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24944,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24944,S000000,00100,0200,12/01/2000 24944,S200000,00100,0100,460 AUBURN AVENUE NE 24944,S200000,00200,0100,ATLANTA 24944,S200000,00200,0200,GA 24944,S200000,00200,0300,30312- 24944,S200000,00300,0100,FULTON 24944,S200000,00300,0200,520 24944,S200000,00300,0300,U 24944,S200000,00400,0100,PARKVIEW MANOR NURSING HOME 24944,S200000,00400,0200,115585 24944,S200000,00400,0300,07/01/1995 24944,S200000,00400,0500,P 24944,S200000,00600,0200,115585 24944,S200000,00600,0300,07/01/1995 24944,S200000,00600,0600,P 24944,S200000,01600,0100,Y 24944,S200000,02200,0100,Y 24951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24951,A000000,00300,0000,00300EMPLOYEE BENEFITS 24951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24951,A000000,00700,0000,00700HOUSEKEEPING 24951,A000000,00800,0000,00800DIETARY 24951,A000000,00900,0000,00900NURSING ADMINISTRATION 24951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24951,A000000,01100,0000,01100PHARMACY 24951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24951,A000000,01300,0000,01300SOCIAL SERVICE 24951,A000000,01350,0000,01500RECREATION ACTIVITIES 24951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24951,A000000,01600,0000,01600SKILLED NURSING FACILITY 24951,A000000,01800,0000,01800NURSING FACILITY 24951,A000000,01810,0000,01810ICF/MR 24951,A000000,02100,0000,02100RADIOLOGY 24951,A000000,02200,0000,02200LABORATORY 24951,A000000,02500,0000,02500PHYSICAL THERAPY 24951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24951,A000000,02700,0000,02700SPEECH PATHOLOGY 24951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24951,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24951,A000000,03051,0000,03301ENTERAL FEEDING 24951,A000000,03550,0000,03550FQHC 24951,A000000,05000,0000,05000CORF 24951,A000000,05010,0000,05010CMHC 24951,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24951,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24951,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24951,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24951,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24951,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24951,A000000,06153,0000,06312DIALYSIS 24951,A000000,06154,0000,06320APARTMENTS 24951,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24951,A000000,06156,0000,06340CLOSED PATIENT AREAS 24951,A000000,06157,0000,06350O/P ADULT DAYCARE 24951,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24951,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24951,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24951,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24951,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24951,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24951,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24951,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24951,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24951,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24951,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24951,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24951,S000000,00100,0200,06/01/2000 24951,S200000,00100,0100,233 CARROLLTON STREET 24951,S200000,00100,0300,550 24951,S200000,00200,0100,BUCHANAN 24951,S200000,00200,0200,GA 24951,S200000,00200,0300,30113- 24951,S200000,00300,0100,HARALSON 24951,S200000,00300,0200,11 24951,S200000,00300,0300,R 24951,S200000,00400,0100,COUNTRYSIDE HEALTHCARE CENTER 24951,S200000,00400,0200,115592 24951,S200000,00400,0300,09/12/1995 24951,S200000,00400,0500,P 24951,S200000,00400,0600,O 24951,S200000,00600,0200,115592 24951,S200000,00600,0300,09/12/1995 24951,S200000,00600,0600,P 24951,S200000,01600,0100,Y 24951,S200000,02200,0100,Y 24955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24955,A000000,00300,0000,00300EMPLOYEE BENEFITS 24955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24955,A000000,00700,0000,00700HOUSEKEEPING 24955,A000000,00800,0000,00800DIETARY 24955,A000000,00900,0000,00900NURSING ADMINISTRATION 24955,A000000,00901,0000,00910NURSING ADMIN MSU 24955,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 24955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24955,A000000,01100,0000,01100PHARMACY 24955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24955,A000000,01300,0000,01300SOCIAL SERVICE 24955,A000000,01350,0000,01500RECREATION ACTIVITIES 24955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24955,A000000,01600,0000,01600SKILLED NURSING FACILITY 24955,A000000,01800,0000,01800NURSING FACILITY 24955,A000000,01810,0000,01810ICF/MR 24955,A000000,02100,0000,02100RADIOLOGY 24955,A000000,02200,0000,02200LABORATORY 24955,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24955,A000000,02500,0000,02500PHYSICAL THERAPY 24955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24955,A000000,02700,0000,02700SPEECH PATHOLOGY 24955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24955,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24955,A000000,03051,0000,03301ENTERAL FEEDING 24955,A000000,03550,0000,03550FQHC 24955,A000000,05000,0000,05000CORF 24955,A000000,05010,0000,05010CMHC 24955,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24955,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24955,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24955,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24955,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24955,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24955,A000000,06153,0000,06312DIALYSIS 24955,A000000,06154,0000,06320APARTMENTS 24955,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24955,A000000,06156,0000,06340CLOSED PATIENT AREAS 24955,A000000,06157,0000,06350O/P ADULT DAYCARE 24955,A81000A,00100,0100,Y 24955,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24955,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24955,A81000B,00300,0300,HOME OFFICE CLINICAL 24955,A81000B,00400,0300,REHAB ALLOCATION 24955,A81000B,00500,0300,OCCUPATIONAL THERAPY 24955,A81000B,00600,0300,SPEECH THERAPY 24955,A81000C,00100,0100,B 24955,A81000C,00100,0400,IHS INC. 24955,A81000C,00100,0600,NURSING HOMES 24955,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24955,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24955,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24955,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24955,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24955,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24955,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24955,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24955,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24955,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24955,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24955,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24955,E10A180,00304,0100,01/29/1999 24955,E10A180,00305,0100,06/06/2000 24955,E10A180,00351,0100,12/03/1999 24955,S000000,00100,0200,04/03/2000 24955,S200000,00100,0100,3223 FALLIGANT AVENUE 24955,S200000,00200,0100,THUNDERBOLT 24955,S200000,00200,0200,GA 24955,S200000,00200,0300,31404- 24955,S200000,00300,0100,CHATHAM 24955,S200000,00300,0200,7520 24955,S200000,00300,0300,U 24955,S200000,00400,0100,TARA-THUNDERBOLT NRSG&REHAB CT 24955,S200000,00400,0200,115624 24955,S200000,00400,0300,12/18/1996 24955,S200000,00400,0500,P 24955,S200000,00400,0600,O 24955,S200000,00600,0200,115624 24955,S200000,00600,0300,12/18/1996 24955,S200000,00600,0600,P 24955,S200000,01600,0100,Y 24960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24960,A000000,00300,0000,00300EMPLOYEE BENEFITS 24960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24960,A000000,00700,0000,00700HOUSEKEEPING 24960,A000000,00800,0000,00800DIETARY 24960,A000000,00900,0000,00900NURSING ADMINISTRATION 24960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24960,A000000,01100,0000,01100PHARMACY 24960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24960,A000000,01300,0000,01300SOCIAL SERVICE 24960,A000000,01350,0000,01500RECREATION ACTIVITIES 24960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24960,A000000,01600,0000,01600SKILLED NURSING FACILITY 24960,A000000,01800,0000,01800NURSING FACILITY 24960,A000000,01810,0000,01810ICF/MR 24960,A000000,02100,0000,02100RADIOLOGY 24960,A000000,02200,0000,02200LABORATORY 24960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24960,A000000,02500,0000,02500PHYSICAL THERAPY 24960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24960,A000000,02700,0000,02700SPEECH PATHOLOGY 24960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24960,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 24960,A000000,03051,0000,03301ENTERAL FEEDING 24960,A000000,03550,0000,03550FQHC 24960,A000000,05000,0000,05000CORF 24960,A000000,05010,0000,05010CMHC 24960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24960,A000000,06150,0000,06300ENTERSTOMAL THERAPY 24960,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 24960,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 24960,A000000,06153,0000,06312DIALYSIS 24960,A000000,06154,0000,06320APARTMENTS 24960,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 24960,A000000,06156,0000,06340CLOSED PATIENT AREAS 24960,A000000,06157,0000,06350O/P ADULT DAYCARE 24960,A81000A,00100,0100,Y 24960,A81000B,00100,0300,HOME OFFICE CAPITAL COST 24960,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 24960,A81000B,00400,0300,REHAB ALLOCATION 24960,A81000B,00500,0300,REHAB ALLOCATION 24960,A81000B,00600,0300,REHAB ALLOCATION 24960,A81000B,00700,0300,CLINICAL ALLOCATION 24960,A81000C,00100,0100,B 24960,A81000C,00100,0400,IHS INC. 24960,A81000C,00100,0600,NURSING HOMES 24960,A81000C,00200,0100,G 24960,A81000C,00200,0400,SYMPHONY REHAB 24960,A81000C,00200,0600,REHAB SERVICES 24960,A81000C,00300,0100,G 24960,A81000C,00300,0400,LTC LAB 24960,A81000C,00300,0600,LAB 24960,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 24960,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 24960,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 24960,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 24960,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 24960,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 24960,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 24960,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 24960,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 24960,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 24960,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 24960,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 24960,E10A180,00304,0100,06/06/2000 24960,E10A180,00350,0100,12/03/1999 24960,S000000,00100,0200,06/01/2000 24960,S200000,00100,0100,90 VAN HORNE STREET 24960,S200000,00200,0100,TYBEE ISLAND 24960,S200000,00200,0200,GA 24960,S200000,00200,0300,31328- 24960,S200000,00300,0100,CHATHAM 24960,S200000,00300,0200,7520 24960,S200000,00300,0300,U 24960,S200000,00400,0100,SAVANNAH BEACH NRSG&REHAB CTR 24960,S200000,00400,0200,115633 24960,S200000,00400,0300,03/01/1997 24960,S200000,00400,0500,P 24960,S200000,00400,0600,O 24960,S200000,00600,0200,115633 24960,S200000,00600,0300,03/01/1997 24960,S200000,00600,0600,P 24960,S200000,01600,0100,Y 24960,S200000,02200,0100,Y 24970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24970,A000000,00300,0000,00300EMPLOYEE BENEFITS 24970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24970,A000000,00700,0000,00700HOUSEKEEPING 24970,A000000,00800,0000,00800DIETARY 24970,A000000,00900,0000,00900NURSING ADMINISTRATION 24970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24970,A000000,01100,0000,01100PHARMACY 24970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24970,A000000,01300,0000,01300SOCIAL SERVICE 24970,A000000,01301,0000,01301ACTIVITIES 24970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24970,A000000,01600,0000,01600SKILLED NURSING FACILITY 24970,A000000,01800,0000,01800NURSING FACILITY 24970,A000000,01810,0000,01810ICF/MR 24970,A000000,02100,0000,02100RADIOLOGY 24970,A000000,02300,0000,02300INTRAVENOUS THERAPY 24970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24970,A000000,02500,0000,02500PHYSICAL THERAPY 24970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24970,A000000,02700,0000,02700SPEECH PATHOLOGY 24970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24970,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 24970,A000000,03550,0000,03550FQHC 24970,A000000,05000,0000,05000CORF 24970,A000000,05010,0000,05010CMHC 24970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 24970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 24970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 24970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24970,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24970,A81000A,00100,0100,Y 24970,A81000B,00100,0300,NON CAPITAL-MGMT FEES 24970,A81000B,00200,0300,CAPITAL RELATED-BUILDINGS 24970,A81000B,00300,0300,CAPITAL RELATED - EQUIPMENT 24970,A81000C,00100,0100,B 24970,A81000C,00100,0200,PEAK MEDICAL CO 24970,A81000C,00100,0400,PEAK MEDICAL CO 24970,A81000C,00100,0600,HOME OFFICE SER 24970,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24970,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24970,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24970,B100000,00000,0600,00000POUND OF LAUNDRY :LAUNDRY & LINEN S 24970,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24970,B100000,00000,0800,00000MEALS SERVED :DIETARY 24970,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 24970,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24970,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 24970,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 24970,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24970,E10A180,00550,0100,09/01/1999 24970,S000000,00100,0200,09/01/1999 24970,S200000,00100,0100,8211 USTICK ROAD 24970,S200000,00200,0100,BOISE 24970,S200000,00200,0200,ID 24970,S200000,00200,0300,83704- 24970,S200000,00300,0100,ADA 24970,S200000,00300,0200,1080 24970,S200000,00300,0300,U 24970,S200000,00400,0100,CAPITAL CARE CENTER 24970,S200000,00400,0200,135079 24970,S200000,00400,0300,12/08/1980 24970,S200000,00400,0500,P 24970,S200000,01600,0100,Y 24978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24978,A000000,00300,0000,00300EMPLOYEE BENEFITS 24978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24978,A000000,00700,0000,00700HOUSEKEEPING 24978,A000000,00800,0000,00800DIETARY 24978,A000000,00900,0000,00900NURSING ADMINISTRATION 24978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24978,A000000,01100,0000,01100PHARMACY 24978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24978,A000000,01300,0000,01300SOCIAL SERVICE 24978,A000000,01350,0000,01500ACTIVITIES 24978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24978,A000000,01600,0000,01600SKILLED NURSING FACILITY 24978,A000000,01800,0000,01800NURSING FACILITY 24978,A000000,01900,0000,01900OTHER LONG TERM CARE 24978,A000000,02100,0000,02100RADIOLOGY 24978,A000000,02200,0000,02200LABORATORY 24978,A000000,02300,0000,02300INTRAVENOUS THERAPY 24978,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24978,A000000,02500,0000,02500PHYSICAL THERAPY 24978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24978,A000000,02700,0000,02700SPEECH PATHOLOGY 24978,A000000,02800,0000,02800ELECTROCARDIOLOGY 24978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24978,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24978,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24978,A000000,03200,0000,03200SUPPORT SURFACES 24978,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24978,A000000,04800,0000,04800AMBULANCE 24978,A000000,05300,0000,05300INTEREST EXPENSE 24978,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24978,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24978,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24978,A000000,06100,0000,06100NONPAID WORKERS 24978,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24978,A000000,06200,0000,06200PATIENTS LAUNDRY 24978,A81000A,00100,0100,Y 24978,A81000B,00100,0300,HOME OFFICE COST 24978,A81000B,00200,0300,PT ADMIN FEES 24978,A81000B,00300,0300,OT ADMIN FEES 24978,A81000B,00400,0300,SP ADMIN FEES 24978,A81000B,00500,0300,INTEREST EXPENSE 24978,A81000C,00100,0100,B 24978,A81000C,00100,0200,MCHS - ELGIN 24978,A81000C,00100,0400,HCR MANORCARE INC. 24978,A81000C,00100,0600,LONG TERM CARE FACILITIES 24978,A81000C,00200,0100,B 24978,A81000C,00200,0200,MCHS - ELGIN 24978,A81000C,00200,0400,HEARTLAND MANAGEMENT 24978,A81000C,00200,0600,THERAPY MANAGEMENT 24978,A81000C,00300,0100,B 24978,A81000C,00300,0200,MCHS - ELGIN 24978,A81000C,00300,0400,HEARTLAND MANAGEMENT 24978,A81000C,00300,0600,THERAPY MANAGEMENT 24978,A81000C,00400,0100,B 24978,A81000C,00400,0200,MCHS - ELGIN 24978,A81000C,00400,0400,HEARTLAND MANAGEMENT 24978,A81000C,00400,0600,THERAPY MANAGEMENT 24978,A81000C,00500,0100,B 24978,A81000C,00500,0200,MCHS - ELGIN 24978,A81000C,00500,0400,HEARTLAND MANAGEMENT 24978,A81000C,00500,0600,THERAPY MANAGEMENT 24978,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24978,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24978,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24978,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24978,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24978,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24978,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24978,B100000,00000,0800,00000MEALS SERVED :DIETARY 24978,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24978,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24978,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24978,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24978,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24978,S000000,00100,0200,10/17/2000 24978,S200000,00100,0100,180 S. STATE STREET 24978,S200000,00200,0100,ELGIN 24978,S200000,00200,0200,IL 24978,S200000,00200,0300,60123- 24978,S200000,00300,0100,KANE 24978,S200000,00300,0200,1600 24978,S200000,00300,0300,U 24978,S200000,00400,0100,MCHS - ELGIN 24978,S200000,00400,0200,145004 24978,S200000,00400,0300,01/01/1972 24978,S200000,00400,0500,P 24978,S200000,00400,0600,P 24978,S200000,01004,0500,O 24978,S200000,01600,0100,Y 24978,S200000,04300,0100,Y 24994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 24994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 24994,A000000,00300,0000,00300EMPLOYEE BENEFITS 24994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 24994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 24994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 24994,A000000,00700,0000,00700HOUSEKEEPING 24994,A000000,00800,0000,00800DIETARY 24994,A000000,00900,0000,00900NURSING ADMINISTRATION 24994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 24994,A000000,01100,0000,01100PHARMACY 24994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 24994,A000000,01300,0000,01300SOCIAL SERVICE 24994,A000000,01350,0000,01500ACTIVITIES 24994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 24994,A000000,01600,0000,01600SKILLED NURSING FACILITY 24994,A000000,01800,0000,01800NURSING FACILITY 24994,A000000,01900,0000,01900OTHER LONG TERM CARE 24994,A000000,02100,0000,02100RADIOLOGY 24994,A000000,02200,0000,02200LABORATORY 24994,A000000,02300,0000,02300INTRAVENOUS THERAPY 24994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 24994,A000000,02500,0000,02500PHYSICAL THERAPY 24994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 24994,A000000,02700,0000,02700SPEECH PATHOLOGY 24994,A000000,02800,0000,02800ELECTROCARDIOLOGY 24994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 24994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 24994,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 24994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 24994,A000000,03200,0000,03200SUPPORT SURFACES 24994,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 24994,A000000,04800,0000,04800AMBULANCE 24994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 24994,A000000,05300,0000,05300INTEREST EXPENSE 24994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 24994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 24994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 24994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 24994,A000000,06100,0000,06100NONPAID WORKERS 24994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 24994,A000000,06200,0000,06200PATIENTS LAUNDRY 24994,A81000A,00100,0100,Y 24994,A81000B,00100,0300,HOME OFFICE COST 24994,A81000B,00200,0300,CORPORATE DIRECT INTEREST 24994,A81000B,00300,0300,PHYSICAL THERAPY 24994,A81000B,00400,0300,OCCUPATIONAL THERAPY 24994,A81000B,00500,0300,SPEECH THERAPY 24994,A81000C,00100,0100,B 24994,A81000C,00100,0200,MCHS - DECATUR 24994,A81000C,00100,0400,HCR MANORCARE INC. 24994,A81000C,00100,0600,LONG TERM CARE FACILITIES 24994,A81000C,00200,0100,B 24994,A81000C,00200,0200,MCHS - DECATUR 24994,A81000C,00200,0400,HCR MANORCARE INC. 24994,A81000C,00200,0600,HEATHCARE 24994,A81000C,00300,0100,B 24994,A81000C,00300,0200,MCHS - DECATUR 24994,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 24994,A81000C,00300,0600,THERAPY MANAGEMENT 24994,A81000C,00400,0100,B 24994,A81000C,00400,0200,MCHS - DECAUTR 24994,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 24994,A81000C,00400,0600,THERAPY MANAGEMENT 24994,A81000C,00500,0100,B 24994,A81000C,00500,0200,MCHS - DECATUR 24994,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 24994,A81000C,00500,0600,THERAPY MANAGEMENT 24994,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 24994,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 24994,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 24994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 24994,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 24994,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 24994,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 24994,B100000,00000,0800,00000MEALS SERVED :DIETARY 24994,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 24994,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 24994,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 24994,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 24994,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 24994,S000000,00100,0200,10/10/2000 24994,S200000,00100,0100,444 WEST HARRISON STREET 24994,S200000,00200,0100,DECATUR 24994,S200000,00200,0200,IL 24994,S200000,00200,0300,62526- 24994,S200000,00300,0100,MACON 24994,S200000,00300,0200,2040 24994,S200000,00300,0300,U 24994,S200000,00400,0100,MCHS - DECATUR 24994,S200000,00400,0200,145038 24994,S200000,00400,0300,01/01/1967 24994,S200000,00400,0500,P 24994,S200000,00400,0600,P 24994,S200000,01004,0500,O 24994,S200000,01600,0100,Y 24994,S200000,04300,0100,Y 25021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25021,A000000,00300,0000,00300EMPLOYEE BENEFITS 25021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25021,A000000,00700,0000,00700HOUSEKEEPING 25021,A000000,00800,0000,00800DIETARY 25021,A000000,00900,0000,00900NURSING ADMINISTRATION 25021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25021,A000000,01100,0000,01100PHARMACY 25021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25021,A000000,01300,0000,01300SOCIAL SERVICE 25021,A000000,01350,0000,01500ACTIVITIES 25021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25021,A000000,01600,0000,01600SKILLED NURSING FACILITY 25021,A000000,01800,0000,01800NURSING FACILITY 25021,A000000,01900,0000,01900OTHER LONG TERM CARE 25021,A000000,02100,0000,02100RADIOLOGY 25021,A000000,02200,0000,02200LABORATORY 25021,A000000,02300,0000,02300INTRAVENOUS THERAPY 25021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25021,A000000,02500,0000,02500PHYSICAL THERAPY 25021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25021,A000000,02700,0000,02700SPEECH PATHOLOGY 25021,A000000,02800,0000,02800ELECTROCARDIOLOGY 25021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25021,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25021,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25021,A000000,03200,0000,03200SUPPORT SURFACES 25021,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25021,A000000,04800,0000,04800AMBULANCE 25021,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25021,A000000,05300,0000,05300INTEREST EXPENSE 25021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25021,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25021,A000000,06100,0000,06100NONPAID WORKERS 25021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25021,A000000,06200,0000,06200PATIENTS LAUNDRY 25021,A81000A,00100,0100,Y 25021,A81000B,00100,0300,HOME OFFICE COST 25021,A81000B,00200,0300,PHYSICAL THERAPY 25021,A81000B,00300,0300,OCCUPATIONAL THERAPY 25021,A81000B,00400,0300,SPEECH THERAPY 25021,A81000B,00500,0300,INTEREST EXPENSE 25021,A81000C,00100,0100,B 25021,A81000C,00100,0200,MCHS - CHAMPAIGN 25021,A81000C,00100,0400,HCR MANORCARE INC. 25021,A81000C,00100,0600,LONG TERM CARE FACILITIES 25021,A81000C,00200,0100,B 25021,A81000C,00200,0200,MCHS - CHAMPAIGN 25021,A81000C,00200,0400,HEARTLAND MANAGEMENT 25021,A81000C,00200,0600,THERAPY MANAGEMENT 25021,A81000C,00300,0100,B 25021,A81000C,00300,0200,MCHS - CHAMPAIGN 25021,A81000C,00300,0400,HEARTLAND MANAGEMENT 25021,A81000C,00300,0600,THERAPY MANAGEMENT 25021,A81000C,00400,0100,B 25021,A81000C,00400,0200,MCHS - CHAMPAIGN 25021,A81000C,00400,0400,HEARTLAND MANAGEMENT 25021,A81000C,00400,0600,THERAPY MANAGEMENT 25021,A81000C,00500,0100,B 25021,A81000C,00500,0200,MCHS - CHAMPAIGN 25021,A81000C,00500,0400,HEARTLAND MANAGEMENT 25021,A81000C,00500,0600,THERAPY MANAGEMENT 25021,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25021,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25021,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25021,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25021,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25021,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25021,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25021,B100000,00000,0800,00000MEALS SERVED :DIETARY 25021,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25021,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25021,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25021,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25021,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25021,S000000,00100,0200,10/13/2000 25021,S200000,00100,0100,200 MARTIN AVE 25021,S200000,00200,0100,NAPERVILLE 25021,S200000,00200,0200,IL 25021,S200000,00200,0300,60540- 25021,S200000,00300,0100,DUPAGE 25021,S200000,00300,0200,1600 25021,S200000,00300,0300,U 25021,S200000,00400,0100,MCHS - NAPERVILLE 25021,S200000,00400,0200,145045 25021,S200000,00400,0300,03/01/1981 25021,S200000,00400,0500,P 25021,S200000,00400,0600,P 25021,S200000,01004,0500,O 25021,S200000,01600,0100,Y 25021,S200000,04300,0100,Y 25029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25029,A000000,00300,0000,00300EMPLOYEE BENEFITS 25029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25029,A000000,00700,0000,00700HOUSEKEEPING 25029,A000000,00800,0000,00800DIETARY 25029,A000000,00900,0000,00900NURSING ADMINISTRATION 25029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25029,A000000,01100,0000,01100PHARMACY 25029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25029,A000000,01300,0000,01300SOCIAL SERVICE 25029,A000000,01350,0000,01500ACTIVITIES 25029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25029,A000000,01600,0000,01600SKILLED NURSING FACILITY 25029,A000000,01800,0000,01800NURSING FACILITY 25029,A000000,01900,0000,01900OTHER LONG TERM CARE 25029,A000000,02100,0000,02100RADIOLOGY 25029,A000000,02200,0000,02200LABORATORY 25029,A000000,02300,0000,02300INTRAVENOUS THERAPY 25029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25029,A000000,02500,0000,02500PHYSICAL THERAPY 25029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25029,A000000,02700,0000,02700SPEECH PATHOLOGY 25029,A000000,02800,0000,02800ELECTROCARDIOLOGY 25029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25029,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25029,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25029,A000000,03200,0000,03200SUPPORT SURFACES 25029,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25029,A000000,04800,0000,04800AMBULANCE 25029,A000000,05300,0000,05300INTEREST EXPENSE 25029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25029,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25029,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25029,A000000,06100,0000,06100NONPAID WORKERS 25029,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25029,A000000,06200,0000,06200PATIENTS LAUNDRY 25029,A81000A,00100,0100,Y 25029,A81000B,00100,0300,HOME OFFICE COST 25029,A81000B,00200,0300,PT ADMINISTRATION FEE 25029,A81000B,00300,0300,OT ADMINISTRATION FEE 25029,A81000B,00400,0300,ST ADMINISTRATION FEE 25029,A81000C,00100,0100,B 25029,A81000C,00100,0200,MCHS-OAK LAWN WEST 25029,A81000C,00100,0400,HCR MANORCARE INC. 25029,A81000C,00100,0600,LONG TERM CARE FACILITIES 25029,A81000C,00200,0100,B 25029,A81000C,00200,0200,MCHS-OAK LAWN WEST 25029,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 25029,A81000C,00200,0600,THERAPY MANAGEMENT 25029,A81000C,00300,0100,B 25029,A81000C,00300,0200,MCHS-OAK LAWN WEST 25029,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25029,A81000C,00300,0600,THERAPY MANAGEMENT 25029,A81000C,00400,0100,B 25029,A81000C,00400,0200,MCHS-OAK LAWN WEST 25029,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25029,A81000C,00400,0600,THERAPY MANAGEMENT 25029,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25029,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25029,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25029,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25029,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25029,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25029,B100000,00000,0800,00000MEALS SERVED :DIETARY 25029,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25029,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25029,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25029,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25029,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25029,S000000,00100,0200,10/27/2000 25029,S200000,00100,0100,6300 WEST 95TH STREET 25029,S200000,00200,0100,OAK LAWN 25029,S200000,00200,0200,IL 25029,S200000,00200,0300,60453- 25029,S200000,00300,0100,COOK 25029,S200000,00300,0200,1600 25029,S200000,00300,0300,U 25029,S200000,00400,0100,MCHS-OAK LAWN WEST 25029,S200000,00400,0200,145087 25029,S200000,00400,0300,07/01/1966 25029,S200000,00400,0500,P 25029,S200000,00400,0600,P 25029,S200000,01600,0100,Y 25029,S200000,02200,0100,Y 25048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25048,A000000,00300,0000,00300EMPLOYEE BENEFITS 25048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25048,A000000,00700,0000,00700HOUSEKEEPING 25048,A000000,00800,0000,00800DIETARY 25048,A000000,00900,0000,00900NURSING ADMINISTRATION 25048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25048,A000000,01100,0000,01100PHARMACY 25048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25048,A000000,01300,0000,01300SOCIAL SERVICE 25048,A000000,01350,0000,01500ACTIVITIES 25048,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25048,A000000,01600,0000,01600SKILLED NURSING FACILITY 25048,A000000,01800,0000,01800NURSING FACILITY 25048,A000000,01900,0000,01900OTHER LONG TERM CARE 25048,A000000,02100,0000,02100RADIOLOGY 25048,A000000,02200,0000,02200LABORATORY 25048,A000000,02300,0000,02300INTRAVENOUS THERAPY 25048,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25048,A000000,02500,0000,02500PHYSICAL THERAPY 25048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25048,A000000,02700,0000,02700SPEECH PATHOLOGY 25048,A000000,02800,0000,02800ELECTROCARDIOLOGY 25048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25048,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25048,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25048,A000000,03200,0000,03200SUPPORT SURFACES 25048,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25048,A000000,04800,0000,04800AMBULANCE 25048,A000000,05300,0000,05300INTEREST EXPENSE 25048,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25048,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25048,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25048,A000000,06100,0000,06100NONPAID WORKERS 25048,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25048,A000000,06200,0000,06200PATIENTS LAUNDRY 25048,A81000A,00100,0100,Y 25048,A81000B,00100,0300,HOME OFFICE COST 25048,A81000B,00200,0300,PT ADMIN FEES 25048,A81000B,00300,0300,OT ADMIN FEES 25048,A81000B,00400,0300,ST ADMIN FEES 25048,A81000B,00500,0300,INTEREST EXPENSE 25048,A81000C,00100,0100,B 25048,A81000C,00100,0200,MCHS-ARLINGTON 25048,A81000C,00100,0400,HCR MANORCARE INC. 25048,A81000C,00100,0600,LONG TERM CARE FACILITIES 25048,A81000C,00200,0100,B 25048,A81000C,00200,0200,MCHS-ARLINGTON 25048,A81000C,00200,0400,HEARTLAND MANAGMENT SRVS 25048,A81000C,00200,0600,THERAPY MANAGEMENT 25048,A81000C,00300,0100,B 25048,A81000C,00300,0200,MCHS-ARLINGTON 25048,A81000C,00300,0400,HEARTLAND MANAGMENT SRVS 25048,A81000C,00300,0600,THERAPY MANAGEMENT 25048,A81000C,00400,0100,B 25048,A81000C,00400,0200,MCHS-ARLINGTON 25048,A81000C,00400,0400,HEARTLAND MANAGMENT SRVS 25048,A81000C,00400,0600,THERAPY MANAGEMENT 25048,A81000C,00500,0100,B 25048,A81000C,00500,0200,MCHS-ARLINGTON 25048,A81000C,00500,0400,HEARTLAND MANAGMENT SRVS 25048,A81000C,00500,0600,THERAPY MANAGEMENT 25048,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25048,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25048,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25048,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25048,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25048,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25048,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25048,B100000,00000,0800,00000MEALS SERVED :DIETARY 25048,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25048,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25048,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25048,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25048,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25048,S000000,00100,0200,10/10/2000 25048,S200000,00100,0100,715 WEST CENTRAL RD 25048,S200000,00200,0100,ARLINGTON HEIGHTS 25048,S200000,00200,0200,IL 25048,S200000,00200,0300,60005- 25048,S200000,00300,0100,COOK 25048,S200000,00300,0200,1600 25048,S200000,00300,0300,U 25048,S200000,00400,0100,MCHS-ARLINGTON HEIGHTS 25048,S200000,00400,0200,145199 25048,S200000,00400,0300,03/01/1969 25048,S200000,00400,0500,P 25048,S200000,00400,0600,P 25048,S200000,01004,0500,O 25048,S200000,01600,0100,Y 25048,S200000,04300,0100,Y 25057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25057,A000000,00300,0000,00300EMPLOYEE BENEFITS 25057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25057,A000000,00700,0000,00700HOUSEKEEPING 25057,A000000,00800,0000,00800DIETARY 25057,A000000,00900,0000,00900NURSING ADMINISTRATION 25057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25057,A000000,01100,0000,01100PHARMACY 25057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25057,A000000,01300,0000,01300SOCIAL SERVICE 25057,A000000,01350,0000,01500RECREATION ACTIVITIES 25057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25057,A000000,01600,0000,01600SKILLED NURSING FACILITY 25057,A000000,01800,0000,01800NURSING FACILITY 25057,A000000,01810,0000,01810ICF/MR 25057,A000000,02100,0000,02100RADIOLOGY 25057,A000000,02200,0000,02200LABORATORY 25057,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25057,A000000,02500,0000,02500PHYSICAL THERAPY 25057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25057,A000000,02700,0000,02700SPEECH PATHOLOGY 25057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25057,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25057,A000000,03051,0000,03301ENTERAL FEEDING 25057,A000000,03550,0000,03550FQHC 25057,A000000,05000,0000,05000CORF 25057,A000000,05010,0000,05010CMHC 25057,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25057,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25057,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25057,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25057,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25057,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25057,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25057,A000000,06153,0000,06312DIALYSIS 25057,A000000,06154,0000,06320APARTMENTS 25057,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25057,A000000,06156,0000,06340CLOSED PATIENT AREAS 25057,A000000,06157,0000,06350O/P ADULT DAYCARE 25057,A81000A,00100,0100,Y 25057,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25057,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25057,A81000B,00300,0300,MSU DEVELOPMENT COST 25057,A81000B,00400,0300,HOME OFFICE REHAB 25057,A81000B,00500,0300,HOME OFFICE REHAB 25057,A81000B,00600,0300,HOME OFFICE REHAB 25057,A81000B,00700,0300,HOME OFFICE CLINICAL 25057,A81000B,00800,0300,SYMPHONY MOBILEX 25057,A81000B,00900,0300,SYMPHONY REHAB 25057,A81000B,01000,0300,SYMPHONY REHAB 25057,A81000B,01100,0300,SYMPHONY REHAB 25057,A81000C,00100,0100,B 25057,A81000C,00100,0200,IHS INC. 25057,A81000C,00100,0400,IHS INC. 25057,A81000C,00100,0600,NURSING HOMES 25057,A81000C,00200,0100,B 25057,A81000C,00200,0200,IHS INC. 25057,A81000C,00200,0400,SYMPHONY REHAB 25057,A81000C,00200,0600,REHAB SERVICES 25057,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25057,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25057,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25057,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25057,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25057,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25057,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25057,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25057,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25057,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25057,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25057,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25057,E10A180,00302,0100,12/03/1999 25057,E10A180,00350,0100,03/18/1999 25057,E10A180,00353,0100,05/18/2000 25057,E10A180,00501,0100,08/11/2000 25057,E10A180,00550,0100,06/14/2000 25057,E10A180,00550,0300,06/14/2000 25057,S000000,00100,0200,06/15/2000 25057,S200000,00100,0100,5400 WEST 87TH STREET 25057,S200000,00200,0100,BURBANK 25057,S200000,00200,0200,IL 25057,S200000,00200,0300,60459-2999 25057,S200000,00300,0100,COOK 25057,S200000,00300,0200,1600 25057,S200000,00300,0300,U 25057,S200000,00400,0100,IHS AT BRENTWOOD 25057,S200000,00400,0200,145211 25057,S200000,00400,0300,01/01/1987 25057,S200000,00400,0500,P 25057,S200000,00600,0200,145211 25057,S200000,00600,0300,01/01/1987 25057,S200000,00600,0600,P 25057,S200000,01600,0100,Y 25057,S200000,02200,0100,Y 25090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25090,A000000,00300,0000,00300EMPLOYEE BENEFITS 25090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25090,A000000,00700,0000,00700HOUSEKEEPING 25090,A000000,00800,0000,00800DIETARY 25090,A000000,00900,0000,00900NURSING ADMINISTRATION 25090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25090,A000000,01100,0000,01100PHARMACY 25090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25090,A000000,01300,0000,01300SOCIAL SERVICE 25090,A000000,01350,0000,01500ACTIVITIES 25090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25090,A000000,01600,0000,01600SKILLED NURSING FACILITY 25090,A000000,01800,0000,01800NURSING FACILITY 25090,A000000,01900,0000,01900OTHER LONG TERM CARE 25090,A000000,02100,0000,02100RADIOLOGY 25090,A000000,02200,0000,02200LABORATORY 25090,A000000,02300,0000,02300INTRAVENOUS THERAPY 25090,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25090,A000000,02500,0000,02500PHYSICAL THERAPY 25090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25090,A000000,02700,0000,02700SPEECH PATHOLOGY 25090,A000000,02800,0000,02800ELECTROCARDIOLOGY 25090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25090,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25090,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25090,A000000,03200,0000,03200SUPPORT SURFACES 25090,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25090,A000000,04800,0000,04800AMBULANCE 25090,A000000,05300,0000,05300INTEREST EXPENSE 25090,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25090,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25090,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25090,A000000,06100,0000,06100NONPAID WORKERS 25090,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25090,A000000,06200,0000,06200PATIENTS LAUNDRY 25090,A81000A,00100,0100,Y 25090,A81000B,00100,0300,HOME OFFICE COST 25090,A81000B,00200,0300,PT ADMINISTRATION FEE 25090,A81000B,00300,0300,OT ADMINISTRATION FEE 25090,A81000B,00400,0300,ST ADMINISTRATION FEE 25090,A81000C,00100,0100,B 25090,A81000C,00100,0200,MCHS-WESTMONT 25090,A81000C,00100,0400,HCR MANORCARE INC. 25090,A81000C,00100,0600,LONG TERM CARE FACILITIES 25090,A81000C,00200,0100,B 25090,A81000C,00200,0200,MCHS-WESTMONT 25090,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 25090,A81000C,00200,0600,THERAPY MANAGEMENT 25090,A81000C,00300,0100,B 25090,A81000C,00300,0200,MCHS-WESTMONT 25090,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25090,A81000C,00300,0600,THERAPY MANAGEMENT 25090,A81000C,00400,0100,B 25090,A81000C,00400,0200,MCHS-WESTMONT 25090,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25090,A81000C,00400,0600,THERAPY MANAGEMENT 25090,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25090,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25090,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25090,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25090,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25090,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25090,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25090,B100000,00000,0800,00000MEALS SERVED :DIETARY 25090,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25090,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25090,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25090,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25090,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25090,S000000,00100,0200,10/31/2000 25090,S200000,00100,0100,512 E. OGDEN AVENUE 25090,S200000,00200,0100,WESTMONT 25090,S200000,00200,0200,IL 25090,S200000,00200,0300,60559- 25090,S200000,00300,0100,DUPAGE 25090,S200000,00300,0200,1600 25090,S200000,00300,0300,U 25090,S200000,00400,0100,MCHS-WESTMONT 25090,S200000,00400,0200,145338 25090,S200000,00400,0300,04/30/1978 25090,S200000,00400,0500,P 25090,S200000,00400,0600,P 25090,S200000,01600,0100,Y 25090,S200000,02200,0100,Y 25098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25098,A000000,00300,0000,00300EMPLOYEE BENEFITS 25098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25098,A000000,00700,0000,00700HOUSEKEEPING 25098,A000000,00800,0000,00800DIETARY 25098,A000000,00900,0000,00900NURSING ADMINISTRATION 25098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25098,A000000,01100,0000,01100PHARMACY 25098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25098,A000000,01300,0000,01300SOCIAL SERVICE 25098,A000000,01350,0000,01500ACTIVITIES 25098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25098,A000000,01600,0000,01600SKILLED NURSING FACILITY 25098,A000000,01800,0000,01800NURSING FACILITY 25098,A000000,01900,0000,01900OTHER LONG TERM CARE 25098,A000000,02100,0000,02100RADIOLOGY 25098,A000000,02200,0000,02200LABORATORY 25098,A000000,02300,0000,02300INTRAVENOUS THERAPY 25098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25098,A000000,02500,0000,02500PHYSICAL THERAPY 25098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25098,A000000,02700,0000,02700SPEECH PATHOLOGY 25098,A000000,02800,0000,02800ELECTROCARDIOLOGY 25098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25098,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25098,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25098,A000000,03200,0000,03200SUPPORT SURFACES 25098,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25098,A000000,04800,0000,04800AMBULANCE 25098,A000000,05300,0000,05300INTEREST EXPENSE 25098,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25098,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25098,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25098,A000000,06100,0000,06100NONPAID WORKERS 25098,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25098,A000000,06200,0000,06200PATIENTS LAUNDRY 25098,A81000A,00100,0100,Y 25098,A81000B,00100,0300,HOME OFFICE COST 25098,A81000B,00200,0300,PT ADMIN FEES 25098,A81000B,00300,0300,OT ADMIN FEES 25098,A81000B,00400,0300,ST ADMIN FEES 25098,A81000C,00100,0100,B 25098,A81000C,00100,0200,MCHS - ROLLING MEADOWS 25098,A81000C,00100,0400,HCR MANORCARE INC. 25098,A81000C,00100,0600,LONG TERM CARE FACILITIES 25098,A81000C,00200,0100,B 25098,A81000C,00200,0200,MCHS - ROLLING MEADOWS 25098,A81000C,00200,0400,HEARTLAND MANAGEMENT 25098,A81000C,00200,0600,THERAPY MANAGEMENT 25098,A81000C,00300,0100,B 25098,A81000C,00300,0200,MCHS - ROLLING MEADOWS 25098,A81000C,00300,0400,HEARTLAND MANAGEMENT 25098,A81000C,00300,0600,THERAPY MANAGEMENT 25098,A81000C,00400,0100,B 25098,A81000C,00400,0200,MCHS - ROLLING MEADOWS 25098,A81000C,00400,0400,HEARTLAND MANAGEMENT 25098,A81000C,00400,0600,THERAPY MANAGEMENT 25098,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25098,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25098,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25098,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25098,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25098,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25098,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25098,B100000,00000,0800,00000MEALS SERVED :DIETARY 25098,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25098,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25098,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25098,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25098,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25098,S000000,00100,0200,10/17/2000 25098,S200000,00100,0100,4225 KIRCHOFF ROAD 25098,S200000,00200,0100,ROLLING MEADOWS 25098,S200000,00200,0200,IL 25098,S200000,00200,0300,60008- 25098,S200000,00300,0100,COOK 25098,S200000,00300,0200,1600 25098,S200000,00300,0300,U 25098,S200000,00400,0100,MCHS - ROLLING MEADOWS 25098,S200000,00400,0200,145350 25098,S200000,00400,0300,07/18/1978 25098,S200000,00400,0500,P 25098,S200000,00400,0600,P 25098,S200000,01004,0500,O 25098,S200000,01600,0100,Y 25098,S200000,04300,0100,Y 25109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25109,A000000,00300,0000,00300EMPLOYEE BENEFITS 25109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25109,A000000,00700,0000,00700HOUSEKEEPING 25109,A000000,00800,0000,00800DIETARY 25109,A000000,00900,0000,00900NURSING ADMINISTRATION 25109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25109,A000000,01100,0000,01100PHARMACY 25109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25109,A000000,01300,0000,01300SOCIAL SERVICE 25109,A000000,01350,0000,01500ACTIVITIES 25109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25109,A000000,01600,0000,01600SKILLED NURSING FACILITY 25109,A000000,01800,0000,01800NURSING FACILITY 25109,A000000,01900,0000,01900OTHER LONG TERM CARE 25109,A000000,02100,0000,02100RADIOLOGY 25109,A000000,02200,0000,02200LABORATORY 25109,A000000,02300,0000,02300INTRAVENOUS THERAPY 25109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25109,A000000,02500,0000,02500PHYSICAL THERAPY 25109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25109,A000000,02700,0000,02700SPEECH PATHOLOGY 25109,A000000,02800,0000,02800ELECTROCARDIOLOGY 25109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25109,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25109,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25109,A000000,03200,0000,03200SUPPORT SURFACES 25109,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25109,A000000,04800,0000,04800AMBULANCE 25109,A000000,05300,0000,05300INTEREST EXPENSE 25109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25109,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25109,A000000,06100,0000,06100NONPAID WORKERS 25109,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25109,A000000,06200,0000,06200PATIENTS LAUNDRY 25109,A81000A,00100,0100,Y 25109,A81000B,00100,0300,HOME OFFICE COST 25109,A81000B,00200,0300,IV DRUGS 25109,A81000B,00300,0300,PT ADMINISTRATION FEE 25109,A81000B,00400,0300,OT ADMINISTRATION FEE 25109,A81000B,00500,0300,ST ADMINISTRATION FEE 25109,A81000C,00100,0100,B 25109,A81000C,00100,0200,MCHS-OAKLAWN EAST 25109,A81000C,00100,0400,HCR MANORCARE INC. 25109,A81000C,00100,0600,LONG TERM CARE FACILITIES 25109,A81000C,00200,0100,B 25109,A81000C,00200,0200,MCHS-OAKLAWN EAST 25109,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 25109,A81000C,00200,0600,PHARMACY 25109,A81000C,00300,0100,B 25109,A81000C,00300,0200,MCHS-OAKLAWN EAST 25109,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25109,A81000C,00300,0600,THERAPY MANAGEMENT 25109,A81000C,00400,0100,B 25109,A81000C,00400,0200,MCHS-OAKLAWN EAST 25109,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25109,A81000C,00400,0600,THERAPY MANAGEMENT 25109,A81000C,00500,0100,B 25109,A81000C,00500,0200,MCHS-OAKLAWN EAST 25109,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 25109,A81000C,00500,0600,THERAPY MANAGEMENT 25109,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25109,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25109,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25109,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25109,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25109,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25109,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25109,B100000,00000,0800,00000MEALS SERVED :DIETARY 25109,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25109,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25109,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25109,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25109,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25109,S000000,00100,0200,10/31/2000 25109,S200000,00100,0100,9401 S. KOSTNER AVENUE 25109,S200000,00200,0100,OAKLAWN 25109,S200000,00200,0200,IL 25109,S200000,00200,0300,60453- 25109,S200000,00300,0100,COOK 25109,S200000,00300,0200,1600 25109,S200000,00300,0300,U 25109,S200000,00400,0100,MCHS-OAKLAWN EAST 25109,S200000,00400,0200,145363 25109,S200000,00400,0300,12/12/1977 25109,S200000,00400,0500,P 25109,S200000,00400,0600,P 25109,S200000,01600,0100,Y 25109,S200000,02200,0100,Y 25118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25118,A000000,00300,0000,00300EMPLOYEE BENEFITS 25118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25118,A000000,00700,0000,00700HOUSEKEEPING 25118,A000000,00800,0000,00800DIETARY 25118,A000000,00900,0000,00900NURSING ADMINISTRATION 25118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25118,A000000,01100,0000,01100PHARMACY 25118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25118,A000000,01300,0000,01300SOCIAL SERVICE 25118,A000000,01350,0000,01500ACTIVITIES 25118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25118,A000000,01600,0000,01600SKILLED NURSING FACILITY 25118,A000000,01800,0000,01800NURSING FACILITY 25118,A000000,01900,0000,01900OTHER LONG TERM CARE 25118,A000000,02100,0000,02100RADIOLOGY 25118,A000000,02200,0000,02200LABORATORY 25118,A000000,02300,0000,02300INTRAVENOUS THERAPY 25118,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25118,A000000,02500,0000,02500PHYSICAL THERAPY 25118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25118,A000000,02700,0000,02700SPEECH PATHOLOGY 25118,A000000,02800,0000,02800ELECTROCARDIOLOGY 25118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25118,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25118,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25118,A000000,03200,0000,03200SUPPORT SURFACES 25118,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25118,A000000,04800,0000,04800AMBULANCE 25118,A000000,05300,0000,05300INTEREST EXPENSE 25118,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25118,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25118,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25118,A000000,06100,0000,06100NONPAID WORKERS 25118,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25118,A000000,06200,0000,06200PATIENTS LAUNDRY 25118,A81000A,00100,0100,Y 25118,A81000B,00100,0300,HOME OFFICE COST 25118,A81000B,00200,0300,PT ADMIN FEES 25118,A81000B,00300,0300,OT ADMIN FEES 25118,A81000B,00400,0300,ST ADMIN FEES 25118,A81000C,00100,0100,B 25118,A81000C,00100,0200,MCHS - RIVERVIEW 25118,A81000C,00100,0400,HCR MANORCARE INC. 25118,A81000C,00100,0600,LONG TERM CARE FACILITIES 25118,A81000C,00200,0100,B 25118,A81000C,00200,0200,MCHS - RIVERVIEW 25118,A81000C,00200,0400,HEARTLAND MANAGEMENT 25118,A81000C,00200,0600,THERAPY MANAGEMENT 25118,A81000C,00300,0100,B 25118,A81000C,00300,0200,MCHS - RIVERVIEW 25118,A81000C,00300,0400,HEARTLAND MANAGEMENT 25118,A81000C,00300,0600,THERAPY MANAGEMENT 25118,A81000C,00400,0100,B 25118,A81000C,00400,0200,MCHS - RIVERVIEW 25118,A81000C,00400,0400,HEARTLAND MANAGEMENT 25118,A81000C,00400,0600,THERAPY MANAGEMENT 25118,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25118,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25118,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25118,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25118,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25118,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25118,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25118,B100000,00000,0800,00000MEALS SERVED :DIETARY 25118,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25118,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25118,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25118,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25118,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25118,S000000,00100,0200,10/13/2000 25118,S200000,00100,0100,500 CENTENNIAL DRIVE 25118,S200000,00200,0100,EAST PEORIA 25118,S200000,00200,0200,IL 25118,S200000,00200,0300,61611- 25118,S200000,00300,0100,TAZWELL 25118,S200000,00300,0200,6120 25118,S200000,00300,0300,U 25118,S200000,00400,0100,MCHS - RIVERVIEW 25118,S200000,00400,0200,145524 25118,S200000,00400,0300,08/01/1985 25118,S200000,00400,0500,P 25118,S200000,00400,0600,P 25118,S200000,01004,0500,O 25118,S200000,01600,0100,Y 25118,S200000,04300,0100,Y 25127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25127,A000000,00300,0000,00300EMPLOYEE BENEFITS 25127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25127,A000000,00700,0000,00700HOUSEKEEPING 25127,A000000,00800,0000,00800DIETARY 25127,A000000,00900,0000,00900NURSING ADMINISTRATION 25127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25127,A000000,01100,0000,01100PHARMACY 25127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25127,A000000,01300,0000,01300SOCIAL SERVICE 25127,A000000,01350,0000,01500RECREATION ACTIVITIES 25127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25127,A000000,01600,0000,01600SKILLED NURSING FACILITY 25127,A000000,01800,0000,01800NURSING FACILITY 25127,A000000,01810,0000,01810ICF/MR 25127,A000000,02100,0000,02100RADIOLOGY 25127,A000000,02200,0000,02200LABORATORY 25127,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25127,A000000,02500,0000,02500PHYSICAL THERAPY 25127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25127,A000000,02700,0000,02700SPEECH PATHOLOGY 25127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25127,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25127,A000000,03051,0000,03301ENTERAL FEEDING 25127,A000000,03550,0000,03550FQHC 25127,A000000,05000,0000,05000CORF 25127,A000000,05010,0000,05010CMHC 25127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25127,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25127,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25127,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25127,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25127,A000000,06153,0000,06312DIALYSIS 25127,A000000,06154,0000,06320APARTMENTS 25127,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25127,A000000,06156,0000,06340CLOSED PATIENT AREAS 25127,A000000,06157,0000,06350O/P ADULT DAYCARE 25127,A81000A,00100,0100,Y 25127,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25127,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25127,A81000B,00300,0300,MSU DEVELOPMENT COST 25127,A81000B,00400,0300,SYMPHONY REHAB 25127,A81000B,00500,0300,SYMPHONY REHAB 25127,A81000B,00600,0300,SYMPHONY REHAB 25127,A81000B,00700,0300,CLINICAL ALLOCATION 25127,A81000B,00800,0300,SYMPHONY MOBILEX 25127,A81000B,00900,0300,HOME OFFICE THERAPY 25127,A81000B,01000,0300,HOME OFFICE THERAPY 25127,A81000B,01100,0300,HOME OFFICE THERAPY 25127,A81000C,00100,0100,B 25127,A81000C,00100,0200,IHS INC. 25127,A81000C,00100,0400,IHS INC. 25127,A81000C,00100,0600,NURSING HOMES 25127,A81000C,00200,0100,B 25127,A81000C,00200,0200,IHS INC. 25127,A81000C,00200,0400,SYMPHONY REHAB 25127,A81000C,00200,0600,REHAB SERVICES 25127,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25127,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25127,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25127,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25127,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25127,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25127,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25127,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25127,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25127,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25127,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25127,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25127,E10A180,00301,0100,12/03/1999 25127,E10A180,00302,0100,05/18/2000 25127,E10A180,00350,0100,03/18/1999 25127,E10A180,00501,0300,07/28/2000 25127,E10A180,00550,0100,07/28/2000 25127,S000000,00100,0200,06/02/2000 25127,S200000,00100,0100,1420 SOUTH BARRINGTON ROAD 25127,S200000,00200,0100,BARRINGTON 25127,S200000,00200,0200,IL 25127,S200000,00200,0300,60010- 25127,S200000,00300,0100,COOK 25127,S200000,00300,0200,1600 25127,S200000,00300,0300,U 25127,S200000,00400,0100,GOVERNORS PARK NURSING 25127,S200000,00400,0200,145557 25127,S200000,00400,0300,02/11/1986 25127,S200000,00400,0500,P 25127,S200000,00600,0200,145557 25127,S200000,00600,0300,02/11/1986 25127,S200000,00600,0600,P 25127,S200000,01600,0100,Y 25127,S200000,02200,0100,Y 25135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25135,A000000,00300,0000,00300EMPLOYEE BENEFITS 25135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25135,A000000,00700,0000,00700HOUSEKEEPING 25135,A000000,00800,0000,00800DIETARY 25135,A000000,00900,0000,00900NURSING ADMINISTRATION 25135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25135,A000000,01100,0000,01100PHARMACY 25135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25135,A000000,01300,0000,01300SOCIAL SERVICE 25135,A000000,01350,0000,01500ACTIVITIES 25135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25135,A000000,01600,0000,01600SKILLED NURSING FACILITY 25135,A000000,01800,0000,01800NURSING FACILITY 25135,A000000,01900,0000,01900OTHER LONG TERM CARE 25135,A000000,02100,0000,02100RADIOLOGY 25135,A000000,02200,0000,02200LABORATORY 25135,A000000,02300,0000,02300INTRAVENOUS THERAPY 25135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25135,A000000,02500,0000,02500PHYSICAL THERAPY 25135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25135,A000000,02700,0000,02700SPEECH PATHOLOGY 25135,A000000,02800,0000,02800ELECTROCARDIOLOGY 25135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25135,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25135,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25135,A000000,03200,0000,03200SUPPORT SURFACES 25135,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25135,A000000,04800,0000,04800AMBULANCE 25135,A000000,05300,0000,05300INTEREST EXPENSE 25135,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25135,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25135,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25135,A000000,06100,0000,06100NONPAID WORKERS 25135,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25135,A000000,06200,0000,06200PATIENTS LAUNDRY 25135,A81000A,00100,0100,Y 25135,A81000B,00100,0300,HOME OFFICE COST 25135,A81000B,00200,0300,PT ADMIN FEES 25135,A81000B,00300,0300,OT ADMIN FEES 25135,A81000B,00400,0300,ST ADMIN FEES 25135,A81000B,00500,0300,INTEREST EXPENSE 25135,A81000C,00100,0100,B 25135,A81000C,00100,0200,MCHS - LIBERTYVILLE 25135,A81000C,00100,0400,HCR MANORCARE INC. 25135,A81000C,00100,0600,LONG TERM CARE FACILITIES 25135,A81000C,00200,0100,B 25135,A81000C,00200,0200,MCHS - LIBERTYVILLE 25135,A81000C,00200,0400,HEARTLAND MANAGEMENT 25135,A81000C,00200,0600,THERAPY MANAGEMENT 25135,A81000C,00300,0100,B 25135,A81000C,00300,0200,MCHS - LIBERTYVILLE 25135,A81000C,00300,0400,HEARTLAND MANAGEMENT 25135,A81000C,00300,0600,THERAPY MANAGEMENT 25135,A81000C,00400,0100,B 25135,A81000C,00400,0200,MCHS - LIBERTYVILLE 25135,A81000C,00400,0400,HEARTLAND MANAGEMENT 25135,A81000C,00400,0600,THERAPY MANAGEMENT 25135,A81000C,00500,0100,B 25135,A81000C,00500,0200,MCHS - LIBERTYVILLE 25135,A81000C,00500,0400,HEARTLAND MANAGEMENT 25135,A81000C,00500,0600,THERAPY MANAGEMENT 25135,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25135,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25135,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25135,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25135,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25135,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25135,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25135,B100000,00000,0800,00000MEALS SERVED :DIETARY 25135,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25135,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25135,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25135,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25135,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25135,S000000,00100,0200,10/13/2000 25135,S200000,00100,0100,1500 S. MILWAUKEE 25135,S200000,00200,0100,LIBERTYVILLE 25135,S200000,00200,0200,IL 25135,S200000,00200,0300,60048- 25135,S200000,00300,0100,LAKE 25135,S200000,00300,0200,1600 25135,S200000,00300,0300,U 25135,S200000,00400,0100,MCHS - LIBERTYVILLE 25135,S200000,00400,0200,145593 25135,S200000,00400,0300,06/07/1988 25135,S200000,00400,0500,P 25135,S200000,00400,0600,P 25135,S200000,01004,0500,O 25135,S200000,01600,0100,Y 25135,S200000,04300,0100,Y 25144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25144,A000000,00300,0000,00300EMPLOYEE BENEFITS 25144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25144,A000000,00700,0000,00700HOUSEKEEPING 25144,A000000,00800,0000,00800DIETARY 25144,A000000,00900,0000,00900NURSING ADMINISTRATION 25144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25144,A000000,01100,0000,01100PHARMACY 25144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25144,A000000,01300,0000,01300SOCIAL SERVICE 25144,A000000,01350,0000,01500ACTIVITIES 25144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25144,A000000,01600,0000,01600SKILLED NURSING FACILITY 25144,A000000,01800,0000,01800NURSING FACILITY 25144,A000000,01900,0000,01900OTHER LONG TERM CARE 25144,A000000,02100,0000,02100RADIOLOGY 25144,A000000,02200,0000,02200LABORATORY 25144,A000000,02300,0000,02300INTRAVENOUS THERAPY 25144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25144,A000000,02500,0000,02500PHYSICAL THERAPY 25144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25144,A000000,02700,0000,02700SPEECH PATHOLOGY 25144,A000000,02800,0000,02800ELECTROCARDIOLOGY 25144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25144,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25144,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25144,A000000,03200,0000,03200SUPPORT SURFACES 25144,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25144,A000000,04800,0000,04800AMBULANCE 25144,A000000,05300,0000,05300INTEREST EXPENSE 25144,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25144,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25144,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25144,A000000,06100,0000,06100NONPAID WORKERS 25144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25144,A000000,06200,0000,06200PATIENTS LAUNDRY 25144,A81000A,00100,0100,Y 25144,A81000B,00100,0300,HOME OFFICE COST 25144,A81000B,00200,0300,IV DRUGS 25144,A81000B,00300,0300,PT ADMINISTRATION FEE 25144,A81000B,00400,0300,OT ADMINISTRATION FEE 25144,A81000B,00500,0300,ST ADMINISTRATION FEE 25144,A81000C,00100,0100,B 25144,A81000C,00100,0200,MCHS-PALOS HEIGHTS EAST 25144,A81000C,00100,0400,HCR MANORCARE INC. 25144,A81000C,00100,0600,LONG TERM CARE FACILITIES 25144,A81000C,00200,0100,B 25144,A81000C,00200,0200,MCHS-PALOS HEIGHTS EAST 25144,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 25144,A81000C,00200,0600,PHARMACY 25144,A81000C,00300,0100,B 25144,A81000C,00300,0200,MCHS-PALOS HEIGHTS EAST 25144,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25144,A81000C,00300,0600,THERAPY MANAGEMENT 25144,A81000C,00400,0100,B 25144,A81000C,00400,0200,MCHS-PALOS HEIGHTS EAST 25144,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25144,A81000C,00400,0600,THERAPY MANAGEMENT 25144,A81000C,00500,0100,B 25144,A81000C,00500,0200,MCHS-PALOS HEIGHTS EAST 25144,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 25144,A81000C,00500,0600,THERAPY MANAGEMENT 25144,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25144,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25144,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25144,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25144,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25144,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25144,B100000,00000,0800,00000MEALS SERVED :DIETARY 25144,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25144,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25144,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25144,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25144,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25144,S000000,00100,0200,10/31/2000 25144,S200000,00100,0100,7850 W. COLLEGE DRIVE 25144,S200000,00200,0100,PALOS HEIGHTS 25144,S200000,00200,0200,IL 25144,S200000,00200,0300,60463- 25144,S200000,00300,0100,COOK 25144,S200000,00300,0200,1600 25144,S200000,00300,0300,U 25144,S200000,00400,0100,MCHS-PALOS HEIGHTS EAST 25144,S200000,00400,0200,145607 25144,S200000,00400,0300,03/15/1989 25144,S200000,00400,0500,P 25144,S200000,00400,0600,P 25144,S200000,01004,0500,O 25144,S200000,01600,0100,Y 25144,S200000,02200,0100,Y 25162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25162,A000000,00300,0000,00300EMPLOYEE BENEFITS 25162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25162,A000000,00700,0000,00700HOUSEKEEPING 25162,A000000,00800,0000,00800DIETARY 25162,A000000,00900,0000,00900NURSING ADMINISTRATION 25162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25162,A000000,01100,0000,01100PHARMACY 25162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25162,A000000,01300,0000,01300SOCIAL SERVICE 25162,A000000,01350,0000,01500ACTIVITIES 25162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25162,A000000,01600,0000,01600SKILLED NURSING FACILITY 25162,A000000,01800,0000,01800NURSING FACILITY 25162,A000000,01900,0000,01900OTHER LONG TERM CARE 25162,A000000,02100,0000,02100RADIOLOGY 25162,A000000,02200,0000,02200LABORATORY 25162,A000000,02300,0000,02300INTRAVENOUS THERAPY 25162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25162,A000000,02500,0000,02500PHYSICAL THERAPY 25162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25162,A000000,02700,0000,02700SPEECH PATHOLOGY 25162,A000000,02800,0000,02800ELECTROCARDIOLOGY 25162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25162,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25162,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25162,A000000,03200,0000,03200SUPPORT SURFACES 25162,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25162,A000000,04800,0000,04800AMBULANCE 25162,A000000,05300,0000,05300INTEREST EXPENSE 25162,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25162,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25162,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25162,A000000,06100,0000,06100NONPAID WORKERS 25162,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25162,A000000,06200,0000,06200PATIENTS LAUNDRY 25162,A81000A,00100,0100,Y 25162,A81000B,00100,0300,HOME OFFICE COST 25162,A81000B,00200,0300,PT ADMIN FEES 25162,A81000B,00300,0300,OT ADMIN FEES 25162,A81000B,00400,0300,ST ADMIN FEES 25162,A81000B,00500,0300,INTEREST EXPENSE 25162,A81000C,00100,0100,B 25162,A81000C,00100,0200,MCHS - ELK GROVE VILLAGE 25162,A81000C,00100,0400,HCR MANORCARE INC. 25162,A81000C,00100,0600,LONG TERM CARE FACILITIES 25162,A81000C,00200,0100,B 25162,A81000C,00200,0200,MCHS - ELK GROVE VILLAGE 25162,A81000C,00200,0400,HEARTLAND MANAGEMENT SRV 25162,A81000C,00200,0600,THERAPY MANAGEMENT 25162,A81000C,00300,0100,B 25162,A81000C,00300,0200,MCHS - ELK GROVE VILLAGE 25162,A81000C,00300,0400,HEARTLAND MANAGEMENT SRV 25162,A81000C,00300,0600,THERAPY MANAGEMENT 25162,A81000C,00400,0100,B 25162,A81000C,00400,0200,MCHS - ELK GROVE VILLAGE 25162,A81000C,00400,0400,HEARTLAND MANAGEMENT SRV 25162,A81000C,00400,0600,THERAPY MANAGEMENT 25162,A81000C,00500,0100,B 25162,A81000C,00500,0200,MCHS - ELK GROVE VILLAGE 25162,A81000C,00500,0400,HEARTLAND MANAGEMENT SRV 25162,A81000C,00500,0600,THERAPY MANAGEMENT 25162,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25162,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25162,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25162,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25162,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25162,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25162,B100000,00000,0800,00000MEALS SERVED :DIETARY 25162,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25162,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25162,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25162,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25162,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25162,S000000,00100,0200,10/17/2000 25162,S200000,00100,0100,1920 NERGE ROAD 25162,S200000,00200,0100,ELK GROVE VILLAGE 25162,S200000,00200,0200,IL 25162,S200000,00200,0300,60007- 25162,S200000,00300,0100,COOK 25162,S200000,00300,0200,1600 25162,S200000,00300,0300,U 25162,S200000,00400,0100,MCHS - ELK GROVE VILLAGE 25162,S200000,00400,0200,145689 25162,S200000,00400,0300,11/01/1990 25162,S200000,00400,0500,P 25162,S200000,00400,0600,P 25162,S200000,01004,0500,O 25162,S200000,01600,0100,Y 25162,S200000,04300,0100,Y 25172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25172,A000000,00300,0000,00300EMPLOYEE BENEFITS 25172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25172,A000000,00700,0000,00700HOUSEKEEPING 25172,A000000,00800,0000,00800DIETARY 25172,A000000,00900,0000,00900NURSING ADMINISTRATION 25172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25172,A000000,01100,0000,01100PHARMACY 25172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25172,A000000,01300,0000,01300SOCIAL SERVICE 25172,A000000,01350,0000,01500ACTIVITIES 25172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25172,A000000,01600,0000,01600SKILLED NURSING FACILITY 25172,A000000,01800,0000,01800NURSING FACILITY 25172,A000000,01900,0000,01900OTHER LONG TERM CARE 25172,A000000,02100,0000,02100RADIOLOGY 25172,A000000,02200,0000,02200LABORATORY 25172,A000000,02300,0000,02300INTRAVENOUS THERAPY 25172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25172,A000000,02500,0000,02500PHYSICAL THERAPY 25172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25172,A000000,02700,0000,02700SPEECH PATHOLOGY 25172,A000000,02800,0000,02800ELECTROCARDIOLOGY 25172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25172,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25172,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25172,A000000,03200,0000,03200SUPPORT SURFACES 25172,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25172,A000000,04800,0000,04800AMBULANCE 25172,A000000,05300,0000,05300INTEREST EXPENSE 25172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25172,A000000,06100,0000,06100NONPAID WORKERS 25172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25172,A000000,06200,0000,06200PATIENTS LAUNDRY 25172,A81000A,00100,0100,Y 25172,A81000B,00100,0300,HOME OFFICE COST 25172,A81000B,00200,0300,PT ADMIN FEES 25172,A81000B,00300,0300,OT ADMIN FEES 25172,A81000B,00400,0300,ST ADMIN FEES 25172,A81000C,00100,0100,B 25172,A81000C,00100,0200,MCHS - SKOKIE 25172,A81000C,00100,0400,HCR MANORCARE INC. 25172,A81000C,00100,0600,LONG TERM CARE FACILITIES 25172,A81000C,00200,0100,B 25172,A81000C,00200,0200,MCHS - SKOKIE 25172,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 25172,A81000C,00200,0600,THERAPY MANAGEMENT 25172,A81000C,00300,0100,B 25172,A81000C,00300,0200,MCHS - SKOKIE 25172,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 25172,A81000C,00300,0600,THERAPY MANAGEMENT 25172,A81000C,00400,0100,B 25172,A81000C,00400,0200,MCHS - SKOKIE 25172,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 25172,A81000C,00400,0600,THERAPY MANAGEMENT 25172,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25172,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25172,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25172,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25172,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25172,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25172,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25172,B100000,00000,0800,00000MEALS SERVED :DIETARY 25172,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25172,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25172,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25172,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25172,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25172,S000000,00100,0200,10/17/2000 25172,S200000,00100,0100,4660 OLD ORCHARD RD 25172,S200000,00200,0100,SKOKIE 25172,S200000,00200,0200,IL 25172,S200000,00200,0300,60076- 25172,S200000,00300,0100,COOK 25172,S200000,00300,0200,1600 25172,S200000,00300,0300,U 25172,S200000,00400,0100,MCHS - SKOKIE 25172,S200000,00400,0200,145869 25172,S200000,00400,0300,02/01/1996 25172,S200000,00400,0500,P 25172,S200000,00400,0600,P 25172,S200000,01004,0500,O 25172,S200000,01600,0100,Y 25172,S200000,04300,0100,Y 25180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25180,A000000,00300,0000,00300EMPLOYEE BENEFITS 25180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25180,A000000,00700,0000,00700HOUSEKEEPING 25180,A000000,00800,0000,00800DIETARY 25180,A000000,00900,0000,00900NURSING ADMINISTRATION 25180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25180,A000000,01100,0000,01100PHARMACY 25180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25180,A000000,01300,0000,01300SOCIAL SERVICE 25180,A000000,01350,0000,01500ACTIVITIES 25180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25180,A000000,01600,0000,01600SKILLED NURSING FACILITY 25180,A000000,01800,0000,01800NURSING FACILITY 25180,A000000,01900,0000,01900OTHER LONG TERM CARE 25180,A000000,02100,0000,02100RADIOLOGY 25180,A000000,02200,0000,02200LABORATORY 25180,A000000,02300,0000,02300INTRAVENOUS THERAPY 25180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25180,A000000,02500,0000,02500PHYSICAL THERAPY 25180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25180,A000000,02700,0000,02700SPEECH PATHOLOGY 25180,A000000,02800,0000,02800ELECTROCARDIOLOGY 25180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25180,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25180,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25180,A000000,03200,0000,03200SUPPORT SURFACES 25180,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25180,A000000,04800,0000,04800AMBULANCE 25180,A000000,05300,0000,05300INTEREST EXPENSE 25180,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25180,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25180,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25180,A000000,06100,0000,06100NONPAID WORKERS 25180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25180,A000000,06200,0000,06200PATIENTS LAUNDRY 25180,A81000A,00100,0100,Y 25180,A81000B,00100,0300,HOME OFFICE COST 25180,A81000B,00200,0300,PT ADMINISTRATIONE FEE 25180,A81000B,00300,0300,OT ADMINISTRATIONE FEE 25180,A81000B,00400,0300,ST ADMINISTRATIONE FEE 25180,A81000C,00100,0100,B 25180,A81000C,00100,0200,MCHS-PALOS HEIGHTS WEST 25180,A81000C,00100,0400,HCR MANORCARE INC. 25180,A81000C,00100,0600,LONG TERM CARE FACILITIES 25180,A81000C,00200,0100,B 25180,A81000C,00200,0200,MCHS-PALOS HEIGHTS WEST 25180,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 25180,A81000C,00200,0600,THERAPY MANAGEMENT 25180,A81000C,00300,0100,B 25180,A81000C,00300,0200,MCHS-PALOS HEIGHTS WEST 25180,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25180,A81000C,00300,0600,THERAPY MANAGEMENT 25180,A81000C,00400,0100,B 25180,A81000C,00400,0200,MCHS-PALOS HEIGHTS WEST 25180,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25180,A81000C,00400,0600,THERAPY MANAGEMENT 25180,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25180,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25180,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25180,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25180,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25180,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25180,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25180,B100000,00000,0800,00000MEALS SERVED :DIETARY 25180,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25180,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25180,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25180,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25180,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25180,S000000,00100,0200,10/27/2000 25180,S200000,00100,0100,11860 SOUTWEST HIGHWAY 25180,S200000,00200,0100,PALOS HEIGHTS 25180,S200000,00200,0200,IL 25180,S200000,00200,0300,60463- 25180,S200000,00300,0100,COOK 25180,S200000,00300,0200,1600 25180,S200000,00300,0300,U 25180,S200000,00400,0100,MCHS-PALOS HEIGHTS WEST 25180,S200000,00400,0200,145893 25180,S200000,00400,0300,06/12/1996 25180,S200000,00400,0500,P 25180,S200000,00400,0600,P 25180,S200000,01004,0500,O 25180,S200000,01600,0100,Y 25180,S200000,02200,0100,Y 25189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25189,A000000,00300,0000,00300EMPLOYEE BENEFITS 25189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25189,A000000,00700,0000,00700HOUSEKEEPING 25189,A000000,00800,0000,00800DIETARY 25189,A000000,00900,0000,00900NURSING ADMINISTRATION 25189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25189,A000000,01100,0000,01100PHARMACY 25189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25189,A000000,01300,0000,01300SOCIAL SERVICE 25189,A000000,01350,0000,01500RECREATION ACTIVITIES 25189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25189,A000000,01600,0000,01600SKILLED NURSING FACILITY 25189,A000000,01800,0000,01800NURSING FACILITY 25189,A000000,01810,0000,01810ICF/MR 25189,A000000,02100,0000,02100RADIOLOGY 25189,A000000,02200,0000,02200LABORATORY 25189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25189,A000000,02500,0000,02500PHYSICAL THERAPY 25189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25189,A000000,02700,0000,02700SPEECH PATHOLOGY 25189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25189,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25189,A000000,03051,0000,03301ENTERAL FEEDING 25189,A000000,03550,0000,03550FQHC 25189,A000000,05000,0000,05000CORF 25189,A000000,05010,0000,05010CMHC 25189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25189,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25189,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25189,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25189,A000000,06153,0000,06312DIALYSIS 25189,A000000,06154,0000,06320APARTMENTS 25189,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25189,A000000,06156,0000,06340CLOSED PATIENT AREAS 25189,A000000,06157,0000,06350O/P ADULT DAYCARE 25189,A81000A,00100,0100,Y 25189,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25189,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25189,A81000B,00300,0300,MSU DEVELOPMENT COST 25189,A81000B,00400,0300,HOME OFFICE THERAPY 25189,A81000B,00500,0300,HOME OFFICE THERAPY 25189,A81000B,00600,0300,HOME OFFICE THERAPY 25189,A81000B,00700,0300,HOME OFFICE CLINICAL 25189,A81000B,00800,0300,SYMPHONY REHAB 25189,A81000C,00100,0100,B 25189,A81000C,00100,0200,IHS INC. 25189,A81000C,00100,0400,IHS INC. 25189,A81000C,00100,0600,NURSING HOMES 25189,A81000C,00200,0100,B 25189,A81000C,00200,0200,IHS INC. 25189,A81000C,00200,0400,SYMPHONY REHAB 25189,A81000C,00200,0600,REHAB SERVICES 25189,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25189,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25189,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25189,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25189,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25189,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25189,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25189,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25189,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25189,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25189,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25189,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25189,E10A180,00350,0100,12/03/1999 25189,E10A180,00353,0100,05/18/2000 25189,E10A180,00501,0100,07/28/2000 25189,E10A180,00550,0100,06/14/2000 25189,E10A180,00550,0300,06/14/2000 25189,S000000,00100,0200,06/15/2000 25189,S200000,00100,0100,5701 W. 79TH STREET 25189,S200000,00200,0100,BURBANK 25189,S200000,00200,0200,IL 25189,S200000,00200,0300,60459- 25189,S200000,00300,0100,COOK 25189,S200000,00300,0200,1600 25189,S200000,00300,0300,U 25189,S200000,00400,0100,EXCEPTIONAL HEALTH CENTER 25189,S200000,00400,0200,145913 25189,S200000,00400,0300,11/13/1996 25189,S200000,00400,0500,P 25189,S200000,00600,0200,145913 25189,S200000,00600,0300,11/13/1996 25189,S200000,00600,0600,P 25189,S200000,01600,0100,Y 25189,S200000,02200,0100,Y 25197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25197,A000000,00300,0000,00300EMPLOYEE BENEFITS 25197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25197,A000000,00700,0000,00700HOUSEKEEPING 25197,A000000,00800,0000,00800DIETARY 25197,A000000,00900,0000,00900NURSING ADMINISTRATION 25197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25197,A000000,01100,0000,01100PHARMACY 25197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25197,A000000,01300,0000,01300SOCIAL SERVICE 25197,A000000,01350,0000,01500ACTIVITIES 25197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25197,A000000,01600,0000,01600SKILLED NURSING FACILITY 25197,A000000,01800,0000,01800NURSING FACILITY 25197,A000000,01900,0000,01900OTHER LONG TERM CARE 25197,A000000,02100,0000,02100RADIOLOGY 25197,A000000,02200,0000,02200LABORATORY 25197,A000000,02300,0000,02300INTRAVENOUS THERAPY 25197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25197,A000000,02500,0000,02500PHYSICAL THERAPY 25197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25197,A000000,02700,0000,02700SPEECH PATHOLOGY 25197,A000000,02800,0000,02800ELECTROCARDIOLOGY 25197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25197,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25197,A000000,03200,0000,03200SUPPORT SURFACES 25197,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25197,A000000,04800,0000,04800AMBULANCE 25197,A000000,05300,0000,05300INTEREST EXPENSE 25197,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25197,A000000,06100,0000,06100NONPAID WORKERS 25197,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25197,A000000,06200,0000,06200PATIENTS LAUNDRY 25197,A81000A,00100,0100,Y 25197,A81000B,00100,0300,HOME OFFICE COST 25197,A81000B,00200,0300,PT ADMIN FEES 25197,A81000B,00300,0300,OT ADMIN FEES 25197,A81000B,00400,0300,ST ADMIN FEES 25197,A81000C,00100,0100,B 25197,A81000C,00100,0200,MCHS - WILMETTE 25197,A81000C,00100,0400,HCR MANORCARE INC. 25197,A81000C,00100,0600,LONG TERM CARE FACILITIES 25197,A81000C,00200,0100,B 25197,A81000C,00200,0200,MCHS - WILMETTE 25197,A81000C,00200,0400,HEARTLAND MANAGEMENT 25197,A81000C,00200,0600,THERAPY MANAGEMENT 25197,A81000C,00300,0100,B 25197,A81000C,00300,0200,MCHS - WILMETTE 25197,A81000C,00300,0400,HEARTLAND MANAGEMENT 25197,A81000C,00300,0600,THERAPY MANAGEMENT 25197,A81000C,00400,0100,B 25197,A81000C,00400,0200,MCHS - WILMETTE 25197,A81000C,00400,0400,HEARTLAND MANAGEMENT 25197,A81000C,00400,0600,THERAPY MANAGEMENT 25197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25197,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25197,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25197,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25197,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25197,B100000,00000,0800,00000MEALS SERVED :DIETARY 25197,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25197,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25197,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25197,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25197,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25197,S000000,00100,0200,10/13/2000 25197,S200000,00100,0100,432 POPLAR DRIVE 25197,S200000,00200,0100,WILMETTE 25197,S200000,00200,0200,IL 25197,S200000,00200,0300,60091- 25197,S200000,00300,0100,COOK 25197,S200000,00300,0200,1600 25197,S200000,00300,0300,U 25197,S200000,00400,0100,MCHS - WILMETTE 25197,S200000,00400,0200,145932 25197,S200000,00400,0300,04/15/1997 25197,S200000,00400,0500,P 25197,S200000,00400,0600,P 25197,S200000,01004,0500,O 25197,S200000,01600,0100,Y 25197,S200000,04300,0100,Y 25200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25200,A000000,00300,0000,00300EMPLOYEE BENEFITS 25200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25200,A000000,00700,0000,00700HOUSEKEEPING 25200,A000000,00800,0000,00800DIETARY 25200,A000000,00900,0000,00900NURSING ADMINISTRATION 25200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25200,A000000,01100,0000,01100PHARMACY 25200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25200,A000000,01300,0000,01300SOCIAL SERVICE 25200,A000000,01350,0000,01500ACTIVITIES 25200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25200,A000000,01600,0000,01600SKILLED NURSING FACILITY 25200,A000000,01800,0000,01800NURSING FACILITY 25200,A000000,01900,0000,01900OTHER LONG TERM CARE 25200,A000000,02100,0000,02100RADIOLOGY 25200,A000000,02200,0000,02200LABORATORY 25200,A000000,02300,0000,02300INTRAVENOUS THERAPY 25200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25200,A000000,02500,0000,02500PHYSICAL THERAPY 25200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25200,A000000,02700,0000,02700SPEECH PATHOLOGY 25200,A000000,02800,0000,02800ELECTROCARDIOLOGY 25200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25200,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25200,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25200,A000000,03200,0000,03200SUPPORT SURFACES 25200,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25200,A000000,04800,0000,04800AMBULANCE 25200,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25200,A000000,05300,0000,05300INTEREST EXPENSE 25200,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25200,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25200,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25200,A000000,06100,0000,06100NONPAID WORKERS 25200,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25200,A000000,06200,0000,06200PATIENTS LAUNDRY 25200,A81000A,00100,0100,Y 25200,A81000B,00100,0300,HOME OFFICE COST 25200,A81000B,00200,0300,PHYSICAL THERAPY 25200,A81000B,00300,0300,OCCUPATIONAL THERAPY 25200,A81000B,00400,0300,SPEECH THERAPY 25200,A81000C,00100,0100,B 25200,A81000C,00100,0200,HCR MANORCARE NORTHBROOK 25200,A81000C,00100,0400,HCR MANORCARE INC. 25200,A81000C,00100,0600,LONG TERM CARE FACILITIES 25200,A81000C,00200,0100,B 25200,A81000C,00200,0200,MANORCARE HEALTH SERVICES 25200,A81000C,00200,0400,HCR MANORCARE NORTHBROOK 25200,A81000C,00200,0600,HEALTHCARE 25200,A81000C,00300,0100,B 25200,A81000C,00400,0100,B 25200,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25200,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25200,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25200,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25200,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25200,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25200,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25200,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 25200,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25200,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25200,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25200,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25200,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25200,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25200,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 25200,S000000,00100,0200,05/10/2000 25200,S200000,00100,0100,HCR MANORCARE NORTHBROOK 25200,S200000,00200,0100,3300 MILWAUKEE AVENUE 25200,S200000,00200,0200,IL 25200,S200000,00200,0300,60062- 25200,S200000,00300,0100,COOK 25200,S200000,00400,0100,HCR MANORCARE NORTHBROOK 25200,S200000,00400,0200,145982 25200,S200000,00400,0300,04/28/1999 25200,S200000,00400,0500,P 25200,S200000,00400,0600,P 25200,S200000,01004,0500,O 25200,S200000,01600,0100,Y 25218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25218,A000000,00300,0000,00300EMPLOYEE BENEFITS 25218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25218,A000000,00700,0000,00700HOUSEKEEPING 25218,A000000,00800,0000,00800DIETARY 25218,A000000,00900,0000,00900NURSING ADMINISTRATION 25218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25218,A000000,01100,0000,01100PHARMACY 25218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25218,A000000,01300,0000,01300SOCIAL SERVICE 25218,A000000,01350,0000,01500ACTIVITIES 25218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25218,A000000,01600,0000,01600SKILLED NURSING FACILITY 25218,A000000,01800,0000,01800NURSING FACILITY 25218,A000000,01900,0000,01900OTHER LONG TERM CARE 25218,A000000,02100,0000,02100RADIOLOGY 25218,A000000,02200,0000,02200LABORATORY 25218,A000000,02300,0000,02300INTRAVENOUS THERAPY 25218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25218,A000000,02500,0000,02500PHYSICAL THERAPY 25218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25218,A000000,02700,0000,02700SPEECH PATHOLOGY 25218,A000000,02800,0000,02800ELECTROCARDIOLOGY 25218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25218,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25218,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25218,A000000,03200,0000,03200SUPPORT SURFACES 25218,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25218,A000000,04800,0000,04800AMBULANCE 25218,A000000,05300,0000,05300INTEREST EXPENSE 25218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25218,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25218,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25218,A000000,06100,0000,06100NONPAID WORKERS 25218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25218,A000000,06200,0000,06200PATIENTS LAUNDRY 25218,A81000A,00100,0100,Y 25218,A81000B,00100,0300,HOME OFFICE COST 25218,A81000B,00200,0300,PHYSICAL THERAPY 25218,A81000B,00300,0300,OCCUPATIONAL THERAPY 25218,A81000B,00400,0300,SPEECH THERAPY 25218,A81000B,00500,0300,INTEREST EXPENSE 25218,A81000C,00100,0100,B 25218,A81000C,00100,0200,MANOR CARE-KOKOMO 25218,A81000C,00100,0400,HCR MANORCARE INC. 25218,A81000C,00100,0600,LONG TERM CARE FACILITIES 25218,A81000C,00200,0100,B 25218,A81000C,00200,0200,MANOR CARE -KOKOMO 25218,A81000C,00200,0400,HEARTLAND MANAGEMENT 25218,A81000C,00200,0600,THERAPY MANAGEMENT 25218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25218,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25218,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25218,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25218,B100000,00000,0800,00000MEALS SERVED :DIETARY 25218,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25218,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25218,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25218,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25218,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25218,S000000,00100,0200,10/10/2000 25218,S200000,00100,0100,3518 S. LAFOUNTAIN ST 25218,S200000,00200,0100,KOKOMO 25218,S200000,00200,0200,IN 25218,S200000,00200,0300,46902- 25218,S200000,00300,0100,HOWARD 25218,S200000,00300,0200,3850 25218,S200000,00300,0300,U 25218,S200000,00400,0100,MANOR CARE - KOKOMO 25218,S200000,00400,0200,155064 25218,S200000,00400,0300,01/01/1966 25218,S200000,00400,0500,P 25218,S200000,00400,0600,P 25218,S200000,01004,0500,O 25218,S200000,01600,0100,Y 25229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25229,A000000,00300,0000,00300EMPLOYEE BENEFITS 25229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25229,A000000,00700,0000,00700HOUSEKEEPING 25229,A000000,00800,0000,00800DIETARY 25229,A000000,00900,0000,00900NURSING ADMINISTRATION 25229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25229,A000000,01100,0000,01100PHARMACY 25229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25229,A000000,01300,0000,01300SOCIAL SERVICE 25229,A000000,01350,0000,01500ACTIVITIES 25229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25229,A000000,01600,0000,01600SKILLED NURSING FACILITY 25229,A000000,01800,0000,01800NURSING FACILITY 25229,A000000,01900,0000,01900OTHER LONG TERM CARE 25229,A000000,02100,0000,02100RADIOLOGY 25229,A000000,02200,0000,02200LABORATORY 25229,A000000,02300,0000,02300INTRAVENOUS THERAPY 25229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25229,A000000,02500,0000,02500PHYSICAL THERAPY 25229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25229,A000000,02700,0000,02700SPEECH PATHOLOGY 25229,A000000,02800,0000,02800ELECTROCARDIOLOGY 25229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25229,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25229,A000000,03200,0000,03200SUPPORT SURFACES 25229,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25229,A000000,04800,0000,04800AMBULANCE 25229,A000000,05300,0000,05300INTEREST EXPENSE 25229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25229,A000000,06100,0000,06100NONPAID WORKERS 25229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25229,A000000,06200,0000,06200PATIENTS LAUNDRY 25229,A81000A,00100,0100,Y 25229,A81000B,00100,0300,HOME OFFICE COST 25229,A81000B,00200,0300,PHYSICAL THERAPY 25229,A81000B,00300,0300,OCCUPATIONAL THERAPY 25229,A81000B,00400,0300,SPEECH THERAPY 25229,A81000B,00500,0300,INTEREST EXPENSE 25229,A81000C,00100,0100,B 25229,A81000C,00100,0200,MANOR CARE-INDY NORTH 25229,A81000C,00100,0400,HCR MANORCARE INC. 25229,A81000C,00100,0600,LONG TERM CARE FACILITIES 25229,A81000C,00200,0100,B 25229,A81000C,00200,0200,MANOR CARE-INDY NORTH 25229,A81000C,00200,0400,HEARTLAND MANAGEMENT 25229,A81000C,00200,0600,THERAPY MANAGEMENT 25229,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25229,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25229,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25229,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25229,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25229,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25229,B100000,00000,0800,00000MEALS SERVED :DIETARY 25229,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25229,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25229,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25229,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25229,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25229,S000000,00100,0200,10/10/2000 25229,S200000,00100,0100,8350 NAAB RD 25229,S200000,00200,0100,INDIANAPOLIS 25229,S200000,00200,0200,IN 25229,S200000,00200,0300,46260- 25229,S200000,00300,0100,MARION 25229,S200000,00300,0200,3480 25229,S200000,00300,0300,U 25229,S200000,00400,0100,MANOR CARE - INDIANAPOLIS NORTH 25229,S200000,00400,0200,155169 25229,S200000,00400,0300,01/01/1966 25229,S200000,00400,0500,P 25229,S200000,00400,0600,P 25229,S200000,01004,0500,O 25229,S200000,01600,0100,Y 25248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25248,A000000,00300,0000,00300EMPLOYEE BENEFITS 25248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25248,A000000,00700,0000,00700HOUSEKEEPING 25248,A000000,00800,0000,00800DIETARY 25248,A000000,00900,0000,00900NURSING ADMINISTRATION 25248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25248,A000000,01100,0000,01100PHARMACY 25248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25248,A000000,01300,0000,01300SOCIAL SERVICE 25248,A000000,01350,0000,01500RECREATION ACTIVITIES 25248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25248,A000000,01600,0000,01600SKILLED NURSING FACILITY 25248,A000000,01800,0000,01800NURSING FACILITY 25248,A000000,01810,0000,01810ICF/MR 25248,A000000,02100,0000,02100RADIOLOGY 25248,A000000,02200,0000,02200LABORATORY 25248,A000000,02500,0000,02500PHYSICAL THERAPY 25248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25248,A000000,02700,0000,02700SPEECH PATHOLOGY 25248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25248,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25248,A000000,03051,0000,03301ENTERAL FEEDING 25248,A000000,03550,0000,03550FQHC 25248,A000000,05000,0000,05000CORF 25248,A000000,05010,0000,05010CMHC 25248,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25248,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25248,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25248,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25248,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25248,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25248,A000000,06153,0000,06312DIALYSIS 25248,A000000,06154,0000,06320APARTMENTS 25248,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25248,A000000,06156,0000,06340CLOSED PATIENT AREAS 25248,A000000,06157,0000,06350O/P ADULT DAYCARE 25248,A81000A,00100,0100,Y 25248,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25248,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25248,A81000B,00300,0300,MSU DEVELOPMENT COST 25248,A81000B,00400,0300,SYMPHONY MOBILEX 25248,A81000B,00500,0300,SYMPHONY MOBILEX 25248,A81000B,00600,0300,REHAB ALLOCATION 25248,A81000B,00700,0300,REHAB ALLOCATION 25248,A81000B,00800,0300,REHAB ALLOCATION 25248,A81000B,00900,0300,CLINICAL ALLOCATION 25248,A81000C,00100,0100,B 25248,A81000C,00100,0200,IHS INC. 25248,A81000C,00100,0400,IHS INC. 25248,A81000C,00100,0600,NURSING HOMES 25248,A81000C,00200,0100,G 25248,A81000C,00200,0400,SYMPHONY REHAB 25248,A81000C,00200,0600,REHAB SERVICES 25248,A81000C,00300,0100,G 25248,A81000C,00300,0400,LTC MED LAB 25248,A81000C,00300,0600,LABORATORY 25248,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25248,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25248,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25248,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25248,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25248,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25248,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25248,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25248,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25248,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25248,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25248,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25248,E10A180,00301,0100,12/03/1999 25248,E10A180,00350,0100,03/18/1999 25248,E10A180,00353,0100,05/18/2000 25248,E10A180,00501,0300,05/29/2000 25248,E10A180,00550,0100,05/29/2000 25248,E10A180,00551,0100,07/28/2000 25248,E10A180,00551,0300,07/28/2000 25248,S000000,00100,0200,05/30/2000 25248,S200000,00100,0100,8530 TOWNSHIP LINE ROAD 25248,S200000,00200,0100,INDIANAPOLIS 25248,S200000,00200,0200,IN 25248,S200000,00200,0300,46260- 25248,S200000,00300,0100,INIDIANAPOLIS 25248,S200000,00300,0200,3480 25248,S200000,00300,0300,U 25248,S200000,00400,0100,IHS-INDIANAPOLIS AT CAMBRIDGE 25248,S200000,00400,0200,155298 25248,S200000,00400,0300,03/05/1987 25248,S200000,00400,0500,P 25248,S200000,00600,0200,155298 25248,S200000,00600,0300,03/05/1987 25248,S200000,00600,0600,P 25248,S200000,01600,0100,Y 25248,S200000,02200,0100,Y 25257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25257,A000000,00300,0000,00300EMPLOYEE BENEFITS 25257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25257,A000000,00700,0000,00700HOUSEKEEPING 25257,A000000,00800,0000,00800DIETARY 25257,A000000,00900,0000,00900NURSING ADMINISTRATION 25257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25257,A000000,01100,0000,01100PHARMACY 25257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25257,A000000,01300,0000,01300SOCIAL SERVICE 25257,A000000,01350,0000,01500ACTIVITIES 25257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25257,A000000,01600,0000,01600SKILLED NURSING FACILITY 25257,A000000,01800,0000,01800NURSING FACILITY 25257,A000000,01900,0000,01900OTHER LONG TERM CARE 25257,A000000,02100,0000,02100RADIOLOGY 25257,A000000,02200,0000,02200LABORATORY 25257,A000000,02300,0000,02300INTRAVENOUS THERAPY 25257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25257,A000000,02500,0000,02500PHYSICAL THERAPY 25257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25257,A000000,02700,0000,02700SPEECH PATHOLOGY 25257,A000000,02800,0000,02800ELECTROCARDIOLOGY 25257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25257,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25257,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25257,A000000,03200,0000,03200SUPPORT SURFACES 25257,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25257,A000000,04800,0000,04800AMBULANCE 25257,A000000,05300,0000,05300INTEREST EXPENSE 25257,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25257,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25257,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25257,A000000,06100,0000,06100NONPAID WORKERS 25257,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25257,A000000,06200,0000,06200PATIENTS LAUNDRY 25257,A81000A,00100,0100,Y 25257,A81000B,00100,0300,HOME OFFICE COST 25257,A81000B,00200,0300,PT ADMIN FEES 25257,A81000B,00300,0300,OT ADMIN FEES 25257,A81000B,00400,0300,ST ADMIN FEES 25257,A81000C,00100,0100,B 25257,A81000C,00100,0200,MCHS - SUMMER TRACE 25257,A81000C,00100,0400,HCR MANORCARE INC. 25257,A81000C,00100,0600,LONG TERM CARE FACILITIES 25257,A81000C,00200,0100,B 25257,A81000C,00200,0200,MCHS - SUMMER TRACE 25257,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 25257,A81000C,00200,0600,THERAPY MANAGEMENT 25257,A81000C,00300,0100,B 25257,A81000C,00300,0200,MCHS - SUMMER TRACE 25257,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 25257,A81000C,00300,0600,THERAPY MANAGEMENT 25257,A81000C,00400,0100,B 25257,A81000C,00400,0200,MCHS - SUMMER TRACE 25257,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 25257,A81000C,00400,0600,THERAPY MANAGEMENT 25257,A81000C,00500,0100,B 25257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25257,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25257,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25257,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25257,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25257,B100000,00000,0800,00000MEALS SERVED :DIETARY 25257,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25257,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25257,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25257,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25257,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25257,S000000,00100,0200,10/17/2000 25257,S200000,00100,0100,12999 N. PENNSYLVANIA 25257,S200000,00200,0100,CARMEL 25257,S200000,00200,0200,IN 25257,S200000,00200,0300,46032- 25257,S200000,00300,0100,HAMILTON 25257,S200000,00300,0200,3480 25257,S200000,00300,0300,U 25257,S200000,00400,0100,MCHS - SUMMER TRACE 25257,S200000,00400,0200,155618 25257,S200000,00400,0300,01/20/1997 25257,S200000,00400,0500,P 25257,S200000,00400,0600,P 25257,S200000,01004,0500,O 25257,S200000,01600,0100,Y 25257,S200000,04300,0100,Y 25293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25293,A000000,00300,0000,00300EMPLOYEE BENEFITS 25293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25293,A000000,00700,0000,00700HOUSEKEEPING 25293,A000000,00800,0000,00800DIETARY 25293,A000000,00900,0000,00900NURSING ADMINISTRATION 25293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25293,A000000,01100,0000,01100PHARMACY 25293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25293,A000000,01300,0000,01300SOCIAL SERVICE 25293,A000000,01350,0000,01500ACTIVITIES 25293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25293,A000000,01600,0000,01600SKILLED NURSING FACILITY 25293,A000000,01800,0000,01800NURSING FACILITY 25293,A000000,01900,0000,01900OTHER LONG TERM CARE 25293,A000000,02100,0000,02100RADIOLOGY 25293,A000000,02200,0000,02200LABORATORY 25293,A000000,02300,0000,02300INTRAVENOUS THERAPY 25293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25293,A000000,02500,0000,02500PHYSICAL THERAPY 25293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25293,A000000,02700,0000,02700SPEECH PATHOLOGY 25293,A000000,02800,0000,02800ELECTROCARDIOLOGY 25293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25293,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25293,A000000,03200,0000,03200SUPPORT SURFACES 25293,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25293,A000000,04800,0000,04800AMBULANCE 25293,A000000,05300,0000,05300INTEREST EXPENSE 25293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25293,A000000,06100,0000,06100NONPAID WORKERS 25293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25293,A000000,06200,0000,06200PATIENTS LAUNDRY 25293,A81000A,00100,0100,Y 25293,A81000B,00100,0300,HOME OFFICE COST 25293,A81000B,00200,0300,HOME OFFICE COST DIRECT INTEREST 25293,A81000B,00300,0300,PT ADMINISTRATION FEE 25293,A81000B,00400,0300,OT ADMINISTRATION FEE 25293,A81000B,00500,0300,ST ADMINISTRATION FEE 25293,A81000C,00100,0100,B 25293,A81000C,00100,0200,MCHS-DUBUQUE 25293,A81000C,00100,0400,HCR MANORCARE INC. 25293,A81000C,00100,0600,LONG TERM CARE FACILITIES 25293,A81000C,00200,0100,B 25293,A81000C,00200,0200,MCHS-DUBUQUE 25293,A81000C,00200,0400,HCR MANORCARE INC. 25293,A81000C,00200,0600,LONG TERM CARE FACILITIES 25293,A81000C,00300,0100,B 25293,A81000C,00300,0200,MCHS-DUBUQUE 25293,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25293,A81000C,00300,0600,THERAPY MANAGEMENT 25293,A81000C,00400,0100,B 25293,A81000C,00400,0200,MCHS-DUBUQUE 25293,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25293,A81000C,00400,0600,THERAPY MANAGEMENT 25293,A81000C,00500,0100,B 25293,A81000C,00500,0200,MCHS-DUBUQUE 25293,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 25293,A81000C,00500,0600,THERAPY MANAGEMENT 25293,A81000C,00600,0100,B 25293,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25293,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25293,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25293,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25293,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25293,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25293,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25293,B100000,00000,0800,00000MEALS SERVED :DIETARY 25293,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25293,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25293,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25293,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25293,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25293,S000000,00100,0200,10/27/2000 25293,S200000,00100,0100,901 WEST THIRD STREET 25293,S200000,00200,0100,DUBUQUE 25293,S200000,00200,0200,IA 25293,S200000,00200,0300,52001- 25293,S200000,00300,0100,DUBUQUE 25293,S200000,00300,0200,2200 25293,S200000,00300,0300,U 25293,S200000,00400,0100,MCHS-DUBUQUE 25293,S200000,00400,0200,165104 25293,S200000,00400,0300,08/04/1971 25293,S200000,00400,0500,P 25293,S200000,00400,0600,P 25293,S200000,01004,0500,O 25293,S200000,01600,0100,Y 25293,S200000,02200,0100,Y 25301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25301,A000000,00300,0000,00300EMPLOYEE BENEFITS 25301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25301,A000000,00700,0000,00700HOUSEKEEPING 25301,A000000,00800,0000,00800DIETARY 25301,A000000,00900,0000,00900NURSING ADMINISTRATION 25301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25301,A000000,01100,0000,01100PHARMACY 25301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25301,A000000,01300,0000,01300SOCIAL SERVICE 25301,A000000,01350,0000,01500RECREATION ACTIVITIES 25301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25301,A000000,01600,0000,01600SKILLED NURSING FACILITY 25301,A000000,01800,0000,01800NURSING FACILITY 25301,A000000,01810,0000,01810ICF/MR 25301,A000000,02100,0000,02100RADIOLOGY 25301,A000000,02200,0000,02200LABORATORY 25301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25301,A000000,02500,0000,02500PHYSICAL THERAPY 25301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25301,A000000,02700,0000,02700SPEECH PATHOLOGY 25301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25301,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25301,A000000,03051,0000,03301ENTERAL FEEDING 25301,A000000,03550,0000,03550FQHC 25301,A000000,05000,0000,05000CORF 25301,A000000,05010,0000,05010CMHC 25301,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25301,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25301,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25301,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25301,A000000,06153,0000,06312DIALYSIS 25301,A000000,06154,0000,06320APARTMENTS 25301,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25301,A000000,06156,0000,06340CLOSED PATIENT AREAS 25301,A000000,06157,0000,06350O/P ADULT DAYCARE 25301,A81000A,00100,0100,Y 25301,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25301,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25301,A81000B,00300,0300,CLINICAL ALLOCATION 25301,A81000B,00400,0300,REHAB ALLOCATION 25301,A81000B,00500,0300,REHAB ALLOCATION 25301,A81000B,00600,0300,REHAB ALLOCATION 25301,A81000C,00100,0100,B 25301,A81000C,00100,0400,IHS INC. 25301,A81000C,00100,0600,NURSING HOMES 25301,A81000C,00200,0100,G 25301,A81000C,00200,0400,SYMPHONY REHAB 25301,A81000C,00200,0600,REHAB SERVICES 25301,A81000C,00300,0100,G 25301,A81000C,00300,0400,LTC MED LAB 25301,A81000C,00300,0600,LABORATORY 25301,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25301,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 25301,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25301,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25301,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25301,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25301,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25301,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25301,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25301,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25301,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 25301,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25301,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25301,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25301,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 25301,E10A180,00351,0100,03/18/1999 25301,E10A180,00352,0100,12/03/1999 25301,S000000,00100,0200,05/30/2000 25301,S200000,00100,0100,600 MANOR DRIVE 25301,S200000,00200,0100,CLARINDA 25301,S200000,00200,0200,IA 25301,S200000,00200,0300,51632- 25301,S200000,00300,0100,PAGE 25301,S200000,00400,0100,IHS AT CLARINDA 25301,S200000,00400,0200,165158 25301,S200000,00400,0300,02/14/1991 25301,S200000,00400,0500,P 25301,S200000,00600,0200,165158 25301,S200000,00600,0300,02/14/1991 25301,S200000,00600,0600,P 25301,S200000,01600,0100,Y 25301,S200000,02200,0100,Y 25301,S700003,00000,0100,1 25313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25313,A000000,00300,0000,00300EMPLOYEE BENEFITS 25313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25313,A000000,00700,0000,00700HOUSEKEEPING 25313,A000000,00800,0000,00800DIETARY 25313,A000000,00900,0000,00900NURSING ADMINISTRATION 25313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25313,A000000,01100,0000,01100PHARMACY 25313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25313,A000000,01300,0000,01300SOCIAL SERVICE 25313,A000000,01350,0000,01500RECREATION ACTIVITIES 25313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25313,A000000,01600,0000,01600SKILLED NURSING FACILITY 25313,A000000,01800,0000,01800NURSING FACILITY 25313,A000000,01810,0000,01810ICF/MR 25313,A000000,02100,0000,02100RADIOLOGY 25313,A000000,02200,0000,02200LABORATORY 25313,A000000,02500,0000,02500PHYSICAL THERAPY 25313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25313,A000000,02700,0000,02700SPEECH PATHOLOGY 25313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25313,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25313,A000000,03051,0000,03301ENTERAL FEEDING 25313,A000000,03550,0000,03550FQHC 25313,A000000,05000,0000,05000CORF 25313,A000000,05010,0000,05010CMHC 25313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25313,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25313,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25313,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25313,A000000,06153,0000,06312DIALYSIS 25313,A000000,06154,0000,06320APARTMENTS 25313,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25313,A000000,06156,0000,06340CLOSED PATIENT AREAS 25313,A000000,06157,0000,06350O/P ADULT DAYCARE 25313,A81000A,00100,0100,Y 25313,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25313,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25313,A81000B,00400,0300,SYMPHONY REHAB 25313,A81000B,00500,0300,SYMPHONY REHAB 25313,A81000B,00600,0300,SYMPHONY REHAB 25313,A81000B,00700,0300,REHAB ALLOCATION 25313,A81000B,00800,0300,REHAB ALLOCATION 25313,A81000B,00900,0300,REHAB ALLOCATION 25313,A81000B,01000,0300,CLINICAL ALLOCATION 25313,A81000C,00100,0100,B 25313,A81000C,00100,0400,IHS INC. 25313,A81000C,00100,0600,NURSING HOMES 25313,A81000C,00200,0100,G 25313,A81000C,00200,0400,SYMPHONY REHAB 25313,A81000C,00200,0600,REHAB SERVICES 25313,A81000C,00300,0100,G 25313,A81000C,00300,0400,LTC MED LAB 25313,A81000C,00300,0600,LABORATORY 25313,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25313,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 25313,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25313,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25313,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25313,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25313,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25313,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25313,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25313,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25313,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 25313,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25313,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25313,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25313,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 25313,S000000,00100,0200,05/30/2000 25313,S200000,00100,0100,1015 WEST SUMMIT 25313,S200000,00200,0100,WINTERSET 25313,S200000,00200,0200,IA 25313,S200000,00200,0300,50273- 25313,S200000,00300,0100,MADISON 25313,S200000,00400,0100,IHS-WINTERSET 25313,S200000,00400,0200,165188 25313,S200000,00400,0300,08/01/1993 25313,S200000,00400,0500,P 25313,S200000,00600,0200,165188 25313,S200000,00600,0300,08/01/1993 25313,S200000,00600,0600,P 25313,S200000,01600,0100,Y 25313,S200000,02200,0100,Y 25313,S700003,00000,0100,1 25337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25337,A000000,00300,0000,00300EMPLOYEE BENEFITS 25337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25337,A000000,00700,0000,00700HOUSEKEEPING 25337,A000000,00800,0000,00800DIETARY 25337,A000000,00900,0000,00900NURSING ADMINISTRATION 25337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25337,A000000,01100,0000,01100PHARMACY 25337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25337,A000000,01300,0000,01300SOCIAL SERVICE 25337,A000000,01350,0000,01500RECREATION ACTIVITIES 25337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25337,A000000,01600,0000,01600SKILLED NURSING FACILITY 25337,A000000,01800,0000,01800NURSING FACILITY 25337,A000000,01810,0000,01810ICF/MR 25337,A000000,02100,0000,02100RADIOLOGY 25337,A000000,02200,0000,02200LABORATORY 25337,A000000,02500,0000,02500PHYSICAL THERAPY 25337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25337,A000000,02700,0000,02700SPEECH PATHOLOGY 25337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25337,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25337,A000000,03051,0000,03301ENTERAL FEEDING 25337,A000000,03550,0000,03550FQHC 25337,A000000,05000,0000,05000CORF 25337,A000000,05010,0000,05010CMHC 25337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25337,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25337,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25337,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25337,A000000,06153,0000,06312DIALYSIS 25337,A000000,06154,0000,06320APARTMENTS 25337,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25337,A000000,06156,0000,06340CLOSED PATIENT AREAS 25337,A000000,06157,0000,06350O/P ADULT DAYCARE 25337,A81000A,00100,0100,Y 25337,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25337,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25337,A81000B,00300,0300,REHAB ALLOCATION 25337,A81000B,00400,0300,REHAB ALLOCATION 25337,A81000B,00500,0300,REHAB ALLOCATION 25337,A81000B,00600,0300,CLINICAL ALLOCATION 25337,A81000B,00700,0300,SYMPHONY MOBILEX 25337,A81000C,00100,0100,B 25337,A81000C,00100,0400,IHS INC. 25337,A81000C,00100,0600,NURSING HOMES 25337,A81000C,00200,0100,G 25337,A81000C,00200,0400,SYMPHONY REHAB 25337,A81000C,00200,0600,REHAB SERVICES 25337,A81000C,00300,0100,G 25337,A81000C,00300,0400,LTC MED LAB 25337,A81000C,00300,0600,LABORATORY 25337,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25337,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 25337,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25337,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25337,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25337,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25337,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25337,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25337,B100000,00000,0950,00050(PATIENT DAYS) :NURSING ADMINISTRA 25337,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25337,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 25337,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25337,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25337,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25337,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 25337,E10A180,00350,0100,12/03/1999 25337,S000000,00100,0200,05/30/2000 25337,S200000,00100,0100,34 NORTHCREST DRIVE 25337,S200000,00200,0100,COUNCIL BLUFFS 25337,S200000,00200,0200,IA 25337,S200000,00200,0300,51503- 25337,S200000,00300,0100,POTTAWATTAMIE 25337,S200000,00400,0100,IHS-COUNCIL BLUFFS SOUTH 25337,S200000,00400,0200,165290 25337,S200000,00400,0300,08/01/1996 25337,S200000,00400,0500,P 25337,S200000,00600,0200,165290 25337,S200000,00600,0300,08/01/1996 25337,S200000,00600,0600,P 25337,S200000,01600,0100,Y 25337,S200000,02200,0100,Y 25337,S700003,00000,0400,4 25347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25347,A000000,00300,0000,00300EMPLOYEE BENEFITS 25347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25347,A000000,00700,0000,00700HOUSEKEEPING 25347,A000000,00800,0000,00800DIETARY 25347,A000000,00900,0000,00900NURSING ADMINISTRATION 25347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25347,A000000,01100,0000,01100PHARMACY 25347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25347,A000000,01300,0000,01300SOCIAL SERVICE 25347,A000000,01350,0000,01500RECREATION ACTIVITIES 25347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25347,A000000,01600,0000,01600SKILLED NURSING FACILITY 25347,A000000,01800,0000,01800NURSING FACILITY 25347,A000000,01810,0000,01810ICF/MR 25347,A000000,02100,0000,02100RADIOLOGY 25347,A000000,02200,0000,02200LABORATORY 25347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25347,A000000,02500,0000,02500PHYSICAL THERAPY 25347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25347,A000000,02700,0000,02700SPEECH PATHOLOGY 25347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25347,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25347,A000000,03051,0000,03301ENTERAL FEEDING 25347,A000000,03550,0000,03550FQHC 25347,A000000,05000,0000,05000CORF 25347,A000000,05010,0000,05010CMHC 25347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25347,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25347,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25347,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25347,A000000,06153,0000,06312DIALYSIS 25347,A000000,06154,0000,06320APARTMENTS 25347,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25347,A000000,06156,0000,06340CLOSED PATIENT AREAS 25347,A000000,06157,0000,06350O/P ADULT DAYCARE 25347,A81000A,00100,0100,Y 25347,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25347,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25347,A81000B,00400,0300,SYMPHONY REHAB 25347,A81000B,00500,0300,SYMPHONY REHAB 25347,A81000B,00600,0300,SYMPHONY REHAB 25347,A81000B,00700,0300,CLINICAL ALLOCATION 25347,A81000B,00800,0300,REHAB ALLOCATION 25347,A81000B,00900,0300,REHAB ALLOCATION 25347,A81000B,01000,0300,REHAB ALLOCATION 25347,A81000C,00100,0100,B 25347,A81000C,00100,0200,IHS INC. 25347,A81000C,00100,0400,IHS INC. 25347,A81000C,00100,0600,NURSING HOMES 25347,A81000C,00200,0100,B 25347,A81000C,00200,0200,IHS INC. 25347,A81000C,00200,0400,SYMPHONY REHAB 25347,A81000C,00200,0600,REHAB SERVICES 25347,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25347,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25347,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25347,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25347,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25347,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25347,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25347,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25347,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25347,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25347,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25347,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25347,E10A180,00350,0100,03/18/1999 25347,E10A180,00351,0100,12/03/1999 25347,E10A180,00353,0100,05/18/2000 25347,E10A180,00501,0300,06/12/2000 25347,E10A180,00502,0100,07/28/2000 25347,E10A180,00550,0100,06/12/2000 25347,E10A180,00551,0300,07/28/2000 25347,S000000,00100,0200,06/15/2000 25347,S200000,00100,0100,5005 EAST 21ST STREET NORTH 25347,S200000,00200,0100,WICHITA 25347,S200000,00200,0200,KS 25347,S200000,00200,0300,67208- 25347,S200000,00300,0100,SEDGWICK 25347,S200000,00300,0200,9040 25347,S200000,00300,0300,U 25347,S200000,00400,0100,IHS-WICHITA 25347,S200000,00400,0200,175078 25347,S200000,00400,0300,01/01/1974 25347,S200000,00400,0500,P 25347,S200000,00600,0200,175078 25347,S200000,00600,0300,01/01/1974 25347,S200000,00600,0600,P 25347,S200000,01600,0100,Y 25347,S200000,02200,0100,Y 25355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25355,A000000,00300,0000,00300EMPLOYEE BENEFITS 25355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25355,A000000,00700,0000,00700HOUSEKEEPING 25355,A000000,00800,0000,00800DIETARY 25355,A000000,00900,0000,00900NURSING ADMINISTRATION 25355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25355,A000000,01100,0000,01100PHARMACY 25355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25355,A000000,01300,0000,01300SOCIAL SERVICE 25355,A000000,01350,0000,01500RECREATION ACTIVITIES 25355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25355,A000000,01600,0000,01600SKILLED NURSING FACILITY 25355,A000000,01800,0000,01800NURSING FACILITY 25355,A000000,01810,0000,01810ICF/MR 25355,A000000,02100,0000,02100RADIOLOGY 25355,A000000,02200,0000,02200LABORATORY 25355,A000000,02500,0000,02500PHYSICAL THERAPY 25355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25355,A000000,02700,0000,02700SPEECH PATHOLOGY 25355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25355,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25355,A000000,03051,0000,03301ENTERAL FEEDING 25355,A000000,03550,0000,03550FQHC 25355,A000000,05000,0000,05000CORF 25355,A000000,05010,0000,05010CMHC 25355,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25355,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25355,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25355,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25355,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25355,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25355,A000000,06153,0000,06312DIALYSIS 25355,A000000,06154,0000,06320APARTMENTS 25355,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25355,A000000,06156,0000,06340CLOSED PATIENT AREAS 25355,A000000,06157,0000,06350O/P ADULT DAYCARE 25355,A81000A,00100,0100,Y 25355,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25355,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25355,A81000B,00400,0300,SYMPHONY REHAB 25355,A81000B,00500,0300,SYMPHONY REHAB 25355,A81000B,00600,0300,SYMPHONY REHAB 25355,A81000B,00700,0300,CLINICAL ALLOCATION 25355,A81000B,00800,0300,REHAB ALLOCATION 25355,A81000B,00900,0300,REHAB ALLOCATION 25355,A81000B,01000,0300,REHAB ALLOCATION 25355,A81000C,00100,0100,B 25355,A81000C,00100,0400,IHS INC. 25355,A81000C,00100,0600,NURSING HOMES 25355,A81000C,00200,0100,G 25355,A81000C,00200,0400,SYMPHONY REHAB 25355,A81000C,00200,0600,REHAB SERVICES 25355,A81000C,00300,0100,G 25355,A81000C,00300,0400,LTC MED LAB 25355,A81000C,00300,0600,LABORATORY 25355,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25355,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25355,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25355,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25355,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25355,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25355,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25355,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25355,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25355,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25355,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25355,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25355,E10A180,00302,0100,09/18/2000 25355,E10A180,00350,0100,01/03/2000 25355,E10A180,00501,0100,12/26/2000 25355,E10A180,00501,0300,12/26/2000 25355,S000000,00100,0200,11/01/2000 25355,S200000,00100,0100,1202 EAST 23RD 25355,S200000,00200,0100,HUTCHINSON 25355,S200000,00200,0200,KS 25355,S200000,00200,0300,67502- 25355,S200000,00300,0100,RENO 25355,S200000,00300,0200,17 25355,S200000,00300,0300,R 25355,S200000,00400,0100,GOLDEN PLAINS HEALTHCARE CTR 25355,S200000,00400,0200,175114 25355,S200000,00400,0300,11/01/1986 25355,S200000,00400,0500,P 25355,S200000,00600,0200,175114 25355,S200000,00600,0300,11/01/1986 25355,S200000,00600,0600,P 25355,S200000,01600,0100,Y 25355,S200000,02200,0100,Y 25362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25362,A000000,00300,0000,00300EMPLOYEE BENEFITS 25362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25362,A000000,00700,0000,00700HOUSEKEEPING 25362,A000000,00800,0000,00800DIETARY 25362,A000000,00900,0000,00900NURSING ADMINISTRATION 25362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25362,A000000,01100,0000,01100PHARMACY 25362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25362,A000000,01300,0000,01300SOCIAL SERVICE 25362,A000000,01350,0000,01500RECREATION ACTIVITIES 25362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25362,A000000,01600,0000,01600SKILLED NURSING FACILITY 25362,A000000,01800,0000,01800NURSING FACILITY 25362,A000000,01810,0000,01810ICF/MR 25362,A000000,02100,0000,02100RADIOLOGY 25362,A000000,02200,0000,02200LABORATORY 25362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25362,A000000,02500,0000,02500PHYSICAL THERAPY 25362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25362,A000000,02700,0000,02700SPEECH PATHOLOGY 25362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25362,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25362,A000000,03051,0000,03301ENTERAL FEEDING 25362,A000000,03550,0000,03550FQHC 25362,A000000,05000,0000,05000CORF 25362,A000000,05010,0000,05010CMHC 25362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25362,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25362,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25362,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25362,A000000,06153,0000,06312DIALYSIS 25362,A000000,06154,0000,06320APARTMENTS 25362,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25362,A000000,06156,0000,06340CLOSED PATIENT AREAS 25362,A000000,06157,0000,06350O/P ADULT DAYCARE 25362,A81000A,00100,0100,Y 25362,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25362,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25362,A81000B,00400,0300,SYMPHONY REHAB 25362,A81000B,00700,0300,HOME OFFICE THERAPY 25362,A81000B,00800,0300,HOME OFFICE THERAPY 25362,A81000B,00900,0300,HOME OFFICE THERAPY 25362,A81000B,01000,0300,HOME OFFICE CLINICAL 25362,A81000B,01100,0300,SYMPHONY MOBILEX 25362,A81000C,00100,0100,B 25362,A81000C,00100,0400,IHS INC. 25362,A81000C,00100,0600,NURSING HOMES 25362,A81000C,00200,0100,G 25362,A81000C,00200,0400,SYMPHONY REHAB 25362,A81000C,00200,0600,REHAB SERVICES 25362,A81000C,00300,0100,G 25362,A81000C,00300,0400,LTC MED LAB 25362,A81000C,00300,0600,LABORATORY 25362,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25362,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25362,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25362,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25362,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25362,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25362,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25362,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25362,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25362,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25362,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25362,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25362,E10A180,00302,0100,09/18/2000 25362,E10A180,00350,0100,01/03/2000 25362,E10A180,00501,0100,12/11/2001 25362,E10A180,00501,0300,10/30/2000 25362,E10A180,00550,0100,10/30/2000 25362,E10A180,00551,0100,12/26/2000 25362,E10A180,00551,0300,12/26/2000 25362,S000000,00100,0200,11/01/2000 25362,S200000,00100,0100,6515 WEST 103RD STREET 25362,S200000,00200,0100,OVERLAND PARK 25362,S200000,00200,0200,KS 25362,S200000,00200,0300,66212- 25362,S200000,00300,0100,JOHNSON 25362,S200000,00300,0200,3760 25362,S200000,00300,0300,U 25362,S200000,00400,0100,INDIAN CREEK NURSING CENTER 25362,S200000,00400,0200,175176 25362,S200000,00400,0300,08/01/1992 25362,S200000,00400,0500,P 25362,S200000,00600,0200,175176 25362,S200000,00600,0300,08/01/1992 25362,S200000,00600,0600,P 25362,S200000,01600,0100,Y 25362,S200000,02200,0100,Y 25369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25369,A000000,00300,0000,00300EMPLOYEE BENEFITS 25369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25369,A000000,00700,0000,00700HOUSEKEEPING 25369,A000000,00800,0000,00800DIETARY 25369,A000000,00900,0000,00900NURSING ADMINISTRATION 25369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25369,A000000,01100,0000,01100PHARMACY 25369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25369,A000000,01300,0000,01300SOCIAL SERVICE 25369,A000000,01350,0000,01500RECREATION ACTIVITIES 25369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25369,A000000,01600,0000,01600SKILLED NURSING FACILITY 25369,A000000,01800,0000,01800NURSING FACILITY 25369,A000000,01810,0000,01810ICF/MR 25369,A000000,02100,0000,02100RADIOLOGY 25369,A000000,02200,0000,02200LABORATORY 25369,A000000,02500,0000,02500PHYSICAL THERAPY 25369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25369,A000000,02700,0000,02700SPEECH PATHOLOGY 25369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25369,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25369,A000000,03051,0000,03301ENTERAL FEEDING 25369,A000000,03550,0000,03550FQHC 25369,A000000,05000,0000,05000CORF 25369,A000000,05010,0000,05010CMHC 25369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25369,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25369,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25369,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25369,A000000,06153,0000,06312DIALYSIS 25369,A000000,06154,0000,06320APARTMENTS 25369,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25369,A000000,06156,0000,06340CLOSED PATIENT AREAS 25369,A000000,06157,0000,06350O/P ADULT DAYCARE 25369,A81000A,00100,0100,Y 25369,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25369,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25369,A81000B,00400,0300,SYMPHONY REHAB 25369,A81000B,00500,0300,SYMPHONY REHAB 25369,A81000B,00600,0300,SYMPHONY REHAB 25369,A81000B,00700,0300,REHAB ALLOCATION 25369,A81000B,00800,0300,REHAB ALLOCATION 25369,A81000B,00900,0300,REHAB ALLOCATION 25369,A81000B,01000,0300,CLINICAL ALLOCATION 25369,A81000C,00100,0100,B 25369,A81000C,00100,0400,IHS INC. 25369,A81000C,00100,0600,NURSING HOMES 25369,A81000C,00200,0100,G 25369,A81000C,00200,0400,SYMPHONY REHAB 25369,A81000C,00200,0600,REHAB SERVICES 25369,A81000C,00300,0100,G 25369,A81000C,00300,0400,LTC MED LAB 25369,A81000C,00300,0600,LABORATORY 25369,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25369,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25369,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25369,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25369,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25369,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25369,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25369,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25369,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25369,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25369,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25369,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25369,E10A180,00301,0100,12/03/1999 25369,E10A180,00351,0100,03/18/1999 25369,E10A180,00354,0100,05/18/2000 25369,E10A180,00501,0100,07/28/2000 25369,E10A180,00501,0300,07/28/2000 25369,S000000,00100,0200,06/01/2000 25369,S200000,00100,0100,1821 SE 21 25369,S200000,00200,0100,TOPKEKA 25369,S200000,00200,0200,KS 25369,S200000,00200,0300,66607- 25369,S200000,00300,0100,WALDO 25369,S200000,00300,0200,17 25369,S200000,00300,0300,R 25369,S200000,00400,0100,IHS HIGHLAND PARK 25369,S200000,00400,0200,175193 25369,S200000,00400,0300,02/12/1990 25369,S200000,00400,0500,P 25369,S200000,00600,0200,175193 25369,S200000,00600,0300,02/12/1990 25369,S200000,00600,0600,P 25369,S200000,01600,0100,Y 25369,S200000,02200,0100,Y 25378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25378,A000000,00300,0000,00300EMPLOYEE BENEFITS 25378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25378,A000000,00700,0000,00700HOUSEKEEPING 25378,A000000,00800,0000,00800DIETARY 25378,A000000,00900,0000,00900NURSING ADMINISTRATION 25378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25378,A000000,01100,0000,01100PHARMACY 25378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25378,A000000,01300,0000,01300SOCIAL SERVICE 25378,A000000,01350,0000,01500RECREATION ACTIVITIES 25378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25378,A000000,01600,0000,01600SKILLED NURSING FACILITY 25378,A000000,01800,0000,01800NURSING FACILITY 25378,A000000,01810,0000,01810ICF/MR 25378,A000000,02200,0000,02200LABORATORY 25378,A000000,02500,0000,02500PHYSICAL THERAPY 25378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25378,A000000,02700,0000,02700SPEECH PATHOLOGY 25378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25378,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25378,A000000,03051,0000,03301ENTERAL FEEDING 25378,A000000,03550,0000,03550FQHC 25378,A000000,05000,0000,05000CORF 25378,A000000,05010,0000,05010CMHC 25378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25378,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25378,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25378,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25378,A000000,06153,0000,06312DIALYSIS 25378,A000000,06154,0000,06320APARTMENTS 25378,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25378,A000000,06156,0000,06340CLOSED PATIENT AREAS 25378,A000000,06157,0000,06350O/P ADULT DAYCARE 25378,A81000A,00100,0100,Y 25378,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25378,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25378,A81000B,00300,0300,MSU DEVELOPMENT COST 25378,A81000B,00400,0300,SYMPHONY REHAB 25378,A81000B,00500,0300,SYMPHONY REHAB 25378,A81000B,00600,0300,SYMPHONY REHAB 25378,A81000B,00700,0300,CORP CLINICAL 25378,A81000B,00800,0300,CORP REHAB ALLOCATIO 25378,A81000B,00900,0300,CORP REHAB ALLOCATIO 25378,A81000B,01000,0300,CORP REHAB ALLOCATIO 25378,A81000C,00100,0100,B 25378,A81000C,00100,0200,IHS INC. 25378,A81000C,00100,0400,IHS INC. 25378,A81000C,00100,0600,NURSING HOMES 25378,A81000C,00200,0100,B 25378,A81000C,00200,0200,IHS INC. 25378,A81000C,00200,0400,SYMPHONY REHAB 25378,A81000C,00200,0600,REHAB SERVICES 25378,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25378,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25378,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25378,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25378,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25378,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25378,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25378,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25378,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25378,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25378,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25378,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25378,E10A180,00302,0100,12/03/1999 25378,E10A180,00352,0100,03/18/1999 25378,E10A180,00354,0100,05/18/2000 25378,E10A180,00501,0100,07/28/2000 25378,E10A180,00501,0300,07/28/2000 25378,S000000,00100,0200,06/01/2000 25378,S200000,00100,0100,1560 K96 HIGHWAY 25378,S200000,00200,0100,GREAT BEND 25378,S200000,00200,0200,KS 25378,S200000,00200,0300,67530- 25378,S200000,00300,0100,BARTON 25378,S200000,00300,0200,KS 25378,S200000,00300,0300,R 25378,S200000,00400,0100,IHS AT GREAT BEND 25378,S200000,00400,0200,175291 25378,S200000,00400,0300,04/01/1994 25378,S200000,00400,0500,P 25378,S200000,00600,0200,175291 25378,S200000,00600,0300,04/01/1994 25378,S200000,00600,0600,P 25378,S200000,01600,0100,Y 25378,S200000,02200,0100,Y 25402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25402,A000000,00300,0000,00300EMPLOYEE BENEFITS 25402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25402,A000000,00700,0000,00700HOUSEKEEPING 25402,A000000,00800,0000,00800DIETARY 25402,A000000,00900,0000,00900NURSING ADMINISTRATION 25402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25402,A000000,01100,0000,01100PHARMACY 25402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25402,A000000,01300,0000,01300SOCIAL SERVICE 25402,A000000,01350,0000,01500RECREATION ACTIVITIES 25402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25402,A000000,01600,0000,01600SKILLED NURSING FACILITY 25402,A000000,01800,0000,01800NURSING FACILITY 25402,A000000,01810,0000,01810ICF/MR 25402,A000000,02100,0000,02100RADIOLOGY 25402,A000000,02200,0000,02200LABORATORY 25402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25402,A000000,02500,0000,02500PHYSICAL THERAPY 25402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25402,A000000,02700,0000,02700SPEECH PATHOLOGY 25402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25402,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25402,A000000,03051,0000,03301ENTERAL FEEDING 25402,A000000,03550,0000,03550FQHC 25402,A000000,05000,0000,05000CORF 25402,A000000,05010,0000,05010CMHC 25402,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25402,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25402,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25402,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25402,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25402,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25402,A000000,06153,0000,06312DIALYSIS 25402,A000000,06154,0000,06320APARTMENTS 25402,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25402,A000000,06156,0000,06340CLOSED PATIENT AREAS 25402,A000000,06157,0000,06350O/P ADULT DAYCARE 25402,A81000A,00100,0100,Y 25402,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25402,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25402,A81000B,00300,0300,MSU DEVELOPMENT COST 25402,A81000B,00400,0300,REHAB ALLOCATION 25402,A81000B,00500,0300,REHAB ALLOCATION 25402,A81000B,00600,0300,REHAB ALLOCATION 25402,A81000B,00700,0300,CLINICAL ALLOCATION 25402,A81000C,00100,0100,B 25402,A81000C,00100,0400,IHS INC. 25402,A81000C,00100,0600,NURSING HOMES 25402,A81000C,00200,0100,G 25402,A81000C,00200,0400,SYMPHONY REHAB 25402,A81000C,00200,0600,REHAB SERVICES 25402,A81000C,00300,0100,G 25402,A81000C,00300,0400,LTC MED LAB 25402,A81000C,00300,0600,LABORATORY 25402,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25402,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25402,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25402,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25402,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25402,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25402,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25402,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25402,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25402,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25402,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25402,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25402,E10A180,00301,0100,12/03/1999 25402,E10A180,00304,0100,05/18/2000 25402,E10A180,00351,0100,03/18/1999 25402,E10A180,00501,0300,07/28/2000 25402,E10A180,00550,0100,07/28/2000 25402,S000000,00100,0200,06/01/2000 25402,S200000,00100,0100,3300 TATES CREEK RD 25402,S200000,00200,0100,LEXINGTON 25402,S200000,00200,0200,KY 25402,S200000,00200,0300,40502- 25402,S200000,00300,0100,FAYETTE 25402,S200000,00300,0200,4280 25402,S200000,00300,0300,U 25402,S200000,00400,0100,IHS OF MAYFAIR MANOR 25402,S200000,00400,0200,185069 25402,S200000,00400,0300,02/01/1969 25402,S200000,00400,0500,P 25402,S200000,00600,0200,185069 25402,S200000,00600,0300,02/01/1969 25402,S200000,00600,0600,P 25402,S200000,01600,0100,Y 25402,S200000,02200,0100,Y 25410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25410,A000000,00300,0000,00300EMPLOYEE BENEFITS 25410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25410,A000000,00700,0000,00700HOUSEKEEPING 25410,A000000,00800,0000,00800DIETARY 25410,A000000,00900,0000,00900NURSING ADMINISTRATION 25410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25410,A000000,01100,0000,01100PHARMACY 25410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25410,A000000,01300,0000,01300SOCIAL SERVICE 25410,A000000,01350,0000,01500RECREATION ACTIVITIES 25410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25410,A000000,01600,0000,01600SKILLED NURSING FACILITY 25410,A000000,01800,0000,01800NURSING FACILITY 25410,A000000,01810,0000,01810ICF/MR 25410,A000000,02100,0000,02100RADIOLOGY 25410,A000000,02200,0000,02200LABORATORY 25410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25410,A000000,02500,0000,02500PHYSICAL THERAPY 25410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25410,A000000,02700,0000,02700SPEECH PATHOLOGY 25410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25410,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25410,A000000,03051,0000,03301ENTERAL FEEDING 25410,A000000,03550,0000,03550FQHC 25410,A000000,05000,0000,05000CORF 25410,A000000,05010,0000,05010CMHC 25410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25410,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25410,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25410,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25410,A000000,06153,0000,06312DIALYSIS 25410,A000000,06154,0000,06320APARTMENTS 25410,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25410,A000000,06156,0000,06340CLOSED PATIENT AREAS 25410,A000000,06157,0000,06350O/P ADULT DAYCARE 25410,A81000A,00100,0100,Y 25410,A81000B,00100,0300,HOME OFFICE CAPITAL 25410,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25410,A81000B,00700,0300,CLINICAL ALLOCATION 25410,A81000B,00800,0300,SYMPHONY REHAB 25410,A81000B,00900,0300,SYMPHONY REHAB 25410,A81000B,01000,0300,SYMPHONY REHAB 25410,A81000C,00100,0100,B 25410,A81000C,00100,0400,IHS INC. 25410,A81000C,00100,0600,NURSING HOMES 25410,A81000C,00200,0100,G 25410,A81000C,00200,0400,SYMPHONY REHAB 25410,A81000C,00200,0600,REHAB SERVICES 25410,A81000C,00300,0100,G 25410,A81000C,00300,0400,LTC MED LAB 25410,A81000C,00300,0600,LABORATORY 25410,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25410,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25410,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25410,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25410,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25410,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25410,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25410,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25410,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25410,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25410,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25410,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25410,E10A180,00301,0100,01/03/2000 25410,E10A180,00302,0100,09/18/2000 25410,E10A180,00501,0100,12/11/2001 25410,E10A180,00501,0300,10/30/2000 25410,E10A180,00550,0100,10/30/2000 25410,E10A180,00551,0100,12/26/2000 25410,E10A180,00551,0300,12/26/2000 25410,S000000,00100,0200,11/01/2000 25410,S200000,00100,0100,1400 LINDBERG DRIVE 25410,S200000,00200,0100,SLIDELL 25410,S200000,00200,0200,LA 25410,S200000,00200,0300,70458- 25410,S200000,00300,0100,ST. TAMMANY 25410,S200000,00300,0200,5560 25410,S200000,00300,0300,U 25410,S200000,00400,0100,IHS-SLIDELL REHAB CENTER 25410,S200000,00400,0200,195177 25410,S200000,00400,0300,09/10/1987 25410,S200000,00400,0500,P 25410,S200000,00400,0600,O 25410,S200000,00600,0200,195177 25410,S200000,00600,0300,09/10/1987 25410,S200000,00600,0600,P 25410,S200000,01600,0100,Y 25410,S200000,02200,0100,Y 25420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25420,A000000,00300,0000,00300EMPLOYEE BENEFITS 25420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25420,A000000,00700,0000,00700HOUSEKEEPING 25420,A000000,00800,0000,00800DIETARY 25420,A000000,00900,0000,00900NURSING ADMINISTRATION 25420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25420,A000000,01100,0000,01100PHARMACY 25420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25420,A000000,01300,0000,01300SOCIAL SERVICE 25420,A000000,01350,0000,01500RECREATION ACTIVITIES 25420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25420,A000000,01600,0000,01600SKILLED NURSING FACILITY 25420,A000000,01800,0000,01800NURSING FACILITY 25420,A000000,01810,0000,01810ICF/MR 25420,A000000,02100,0000,02100RADIOLOGY 25420,A000000,02200,0000,02200LABORATORY 25420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25420,A000000,02500,0000,02500PHYSICAL THERAPY 25420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25420,A000000,02700,0000,02700SPEECH PATHOLOGY 25420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25420,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25420,A000000,03051,0000,03301ENTERAL FEEDING 25420,A000000,03550,0000,03550FQHC 25420,A000000,05000,0000,05000CORF 25420,A000000,05010,0000,05010CMHC 25420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25420,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25420,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25420,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25420,A000000,06153,0000,06312DIALYSIS 25420,A000000,06154,0000,06320APARTMENTS 25420,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25420,A000000,06156,0000,06340CLOSED PATIENT AREAS 25420,A000000,06157,0000,06350O/P ADULT DAYCARE 25420,A81000A,00100,0100,Y 25420,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25420,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25420,A81000B,00400,0300,SYMPHONY REHAB 25420,A81000B,00500,0300,SYMPHONY REHAB 25420,A81000B,00600,0300,SYMPHONY REHAB 25420,A81000B,00700,0300,REHAB ALLOCATION 25420,A81000B,00800,0300,REHAB ALLOCATION 25420,A81000B,00900,0300,REHAB ALLOCATION 25420,A81000B,01000,0300,CLINICAL ALLOCATION 25420,A81000B,01100,0300,LTC LABS 25420,A81000C,00100,0100,B 25420,A81000C,00100,0400,IHS INC. 25420,A81000C,00100,0600,NURSING HOMES 25420,A81000C,00200,0100,G 25420,A81000C,00200,0400,SYMPHONY REHAB 25420,A81000C,00200,0600,REHAB SERVICES 25420,A81000C,00300,0100,G 25420,A81000C,00300,0400,LTC MED LAB 25420,A81000C,00300,0600,LABORATORY 25420,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25420,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25420,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25420,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25420,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25420,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25420,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25420,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25420,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25420,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25420,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25420,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25420,E10A180,00301,0100,12/03/1999 25420,E10A180,00302,0100,05/18/2000 25420,E10A180,00350,0100,03/18/1999 25420,E10A180,00501,0100,07/28/2000 25420,E10A180,00501,0300,07/28/2000 25420,S000000,00100,0200,06/06/2000 25420,S200000,00100,0100,400 MEADOWVIEW DRIVE 25420,S200000,00200,0100,MINDEN 25420,S200000,00200,0200,LA 25420,S200000,00200,0300,71055-3522 25420,S200000,00300,0100,WEBSTER 25420,S200000,00300,0200,7680 25420,S200000,00300,0300,U 25420,S200000,00400,0100,IHS-MINDEN 25420,S200000,00400,0200,195281 25420,S200000,00400,0300,09/24/1993 25420,S200000,00400,0500,P 25420,S200000,00600,0200,195281 25420,S200000,00600,0300,09/24/1993 25420,S200000,00600,0600,P 25420,S200000,01600,0100,Y 25420,S200000,02200,0100,Y 25428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25428,A000000,00300,0000,00300EMPLOYEE BENEFITS 25428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25428,A000000,00700,0000,00700HOUSEKEEPING 25428,A000000,00800,0000,00800DIETARY 25428,A000000,00900,0000,00900NURSING ADMINISTRATION 25428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25428,A000000,01100,0000,01100PHARMACY 25428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25428,A000000,01300,0000,01300SOCIAL SERVICE 25428,A000000,01350,0000,01500RECREATION ACTIVITIES 25428,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25428,A000000,01600,0000,01600SKILLED NURSING FACILITY 25428,A000000,01800,0000,01800NURSING FACILITY 25428,A000000,01810,0000,01810ICF/MR 25428,A000000,02100,0000,02100RADIOLOGY 25428,A000000,02200,0000,02200LABORATORY 25428,A000000,02500,0000,02500PHYSICAL THERAPY 25428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25428,A000000,02700,0000,02700SPEECH PATHOLOGY 25428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25428,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25428,A000000,03051,0000,03301ENTERAL FEEDING 25428,A000000,03550,0000,03550FQHC 25428,A000000,05000,0000,05000CORF 25428,A000000,05010,0000,05010CMHC 25428,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25428,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25428,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25428,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25428,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25428,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25428,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25428,A000000,06153,0000,06312DIALYSIS 25428,A000000,06154,0000,06320APARTMENTS 25428,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25428,A000000,06156,0000,06340CLOSED PATIENT AREAS 25428,A000000,06157,0000,06350O/P ADULT DAYCARE 25428,A81000A,00100,0100,Y 25428,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25428,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25428,A81000B,00400,0300,SYMPHONY REHAB 25428,A81000B,00500,0300,SYMPHONY REHAB 25428,A81000B,00600,0300,SYMPHONY REHAB 25428,A81000B,00900,0300,LTC LABS 25428,A81000B,01000,0300,REHAB ALLOCATION 25428,A81000B,01100,0300,REHAB ALLOCATION 25428,A81000B,01200,0300,REHAB ALLOCATION 25428,A81000B,01300,0300,CLINICAL ALLOCATION 25428,A81000C,00100,0100,B 25428,A81000C,00100,0400,IHS INC. 25428,A81000C,00100,0600,NURSING HOMES 25428,A81000C,00200,0100,G 25428,A81000C,00200,0400,SYMPHONY REHAB 25428,A81000C,00200,0600,REHAB SERVICES 25428,A81000C,00300,0100,G 25428,A81000C,00300,0400,LTC MED LAB 25428,A81000C,00300,0600,LABORATORY 25428,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25428,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25428,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25428,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25428,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25428,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25428,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25428,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25428,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25428,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25428,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25428,E10A180,00302,0100,12/03/1999 25428,E10A180,00304,0100,05/18/2000 25428,E10A180,00350,0100,03/18/1999 25428,E10A180,00550,0100,07/28/2000 25428,E10A180,00550,0300,07/28/2000 25428,S000000,00100,0200,06/01/2000 25428,S200000,00100,0100,225 WYANDOTTE 25428,S200000,00200,0100,SHREVEPORT 25428,S200000,00200,0200,LA 25428,S200000,00200,0300,71101- 25428,S200000,00300,0100,CADDO PARISH 25428,S200000,00300,0200,7680 25428,S200000,00300,0300,U 25428,S200000,00400,0100,IHS-SHREVEPORT 25428,S200000,00400,0200,195282 25428,S200000,00400,0300,07/16/1993 25428,S200000,00400,0500,P 25428,S200000,00400,0600,O 25428,S200000,00600,0200,195282 25428,S200000,00600,0300,07/16/1993 25428,S200000,00600,0600,P 25428,S200000,01600,0100,Y 25428,S200000,02200,0100,Y 25436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25436,A000000,00300,0000,00300EMPLOYEE BENEFITS 25436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25436,A000000,00700,0000,00700HOUSEKEEPING 25436,A000000,00800,0000,00800DIETARY 25436,A000000,00900,0000,00900NURSING ADMINISTRATION 25436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25436,A000000,01100,0000,01100PHARMACY 25436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25436,A000000,01300,0000,01300SOCIAL SERVICE 25436,A000000,01350,0000,01500RECREATION ACTIVITIES 25436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25436,A000000,01600,0000,01600SKILLED NURSING FACILITY 25436,A000000,01800,0000,01800NURSING FACILITY 25436,A000000,01810,0000,01810ICF/MR 25436,A000000,02100,0000,02100RADIOLOGY 25436,A000000,02200,0000,02200LABORATORY 25436,A000000,02500,0000,02500PHYSICAL THERAPY 25436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25436,A000000,02700,0000,02700SPEECH PATHOLOGY 25436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25436,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25436,A000000,03051,0000,03301ENTERAL FEEDING 25436,A000000,03550,0000,03550FQHC 25436,A000000,05000,0000,05000CORF 25436,A000000,05010,0000,05010CMHC 25436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25436,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25436,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25436,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25436,A000000,06153,0000,06312DIALYSIS 25436,A000000,06154,0000,06320APARTMENTS 25436,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25436,A000000,06156,0000,06340CLOSED PATIENT AREAS 25436,A000000,06157,0000,06350O/P ADULT DAYCARE 25436,A81000A,00100,0100,Y 25436,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25436,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25436,A81000B,00300,0300,REHAB ALLOCATION 25436,A81000B,00400,0300,SYMPHONY REHAB 25436,A81000B,00500,0300,SYMPHONY REHAB 25436,A81000B,00600,0300,SYMPHONY REHAB 25436,A81000B,00700,0300,REHAB ALLOCATION 25436,A81000B,00800,0300,REHAB ALLOCATION 25436,A81000B,00900,0300,CLINICAL ALLOCATION 25436,A81000C,00100,0100,B 25436,A81000C,00100,0400,IHS INC. 25436,A81000C,00100,0600,NURSING HOMES 25436,A81000C,00200,0100,G 25436,A81000C,00200,0400,SYMPHONY REHAB 25436,A81000C,00200,0600,REHAB SERVICES 25436,A81000C,00300,0100,G 25436,A81000C,00300,0400,LTC MED LAB 25436,A81000C,00300,0600,LABORATORY 25436,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25436,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25436,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25436,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25436,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25436,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25436,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25436,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25436,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25436,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25436,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25436,E10A180,00302,0100,12/03/1999 25436,E10A180,00350,0100,03/18/1999 25436,E10A180,00353,0100,05/18/2000 25436,E10A180,00501,0100,07/28/2000 25436,E10A180,00501,0300,07/28/2000 25436,S000000,00100,0200,06/01/2000 25436,S200000,00100,0100,NATCHITOCHES HIGHWAY 6 EAST 25436,S200000,00100,0300,360 25436,S200000,00200,0100,MANY 25436,S200000,00200,0200,LA 25436,S200000,00200,0300,71449-0360 25436,S200000,00300,0100,SABINE 25436,S200000,00300,0200,19 25436,S200000,00300,0300,R 25436,S200000,00400,0100,IHS-MANY NORTH 25436,S200000,00400,0200,195310 25436,S200000,00400,0300,02/01/1995 25436,S200000,00400,0500,P 25436,S200000,00400,0600,O 25436,S200000,00600,0200,195310 25436,S200000,00600,0300,02/01/1995 25436,S200000,00600,0600,P 25436,S200000,01600,0100,Y 25436,S200000,02200,0100,Y 25444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25444,A000000,00300,0000,00300EMPLOYEE BENEFITS 25444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25444,A000000,00700,0000,00700HOUSEKEEPING 25444,A000000,00800,0000,00800DIETARY 25444,A000000,00900,0000,00900NURSING ADMINISTRATION 25444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25444,A000000,01100,0000,01100PHARMACY 25444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25444,A000000,01300,0000,01300SOCIAL SERVICE 25444,A000000,01350,0000,01500RECREATION ACTIVITIES 25444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25444,A000000,01600,0000,01600SKILLED NURSING FACILITY 25444,A000000,01800,0000,01800NURSING FACILITY 25444,A000000,01810,0000,01810ICF/MR 25444,A000000,02100,0000,02100RADIOLOGY 25444,A000000,02200,0000,02200LABORATORY 25444,A000000,02500,0000,02500PHYSICAL THERAPY 25444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25444,A000000,02700,0000,02700SPEECH PATHOLOGY 25444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25444,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25444,A000000,03051,0000,03301ENTERAL FEEDING 25444,A000000,03550,0000,03550FQHC 25444,A000000,05000,0000,05000CORF 25444,A000000,05010,0000,05010CMHC 25444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25444,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25444,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25444,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25444,A000000,06153,0000,06312DIALYSIS 25444,A000000,06154,0000,06320APARTMENTS 25444,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25444,A000000,06156,0000,06340CLOSED PATIENT AREAS 25444,A000000,06157,0000,06350O/P ADULT DAYCARE 25444,A81000A,00100,0100,Y 25444,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25444,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25444,A81000B,00400,0300,SYMPHONY REHAB 25444,A81000B,00500,0300,SYMPHONY REHAB 25444,A81000B,00600,0300,SYMPHONY REHAB 25444,A81000B,00700,0300,CLINICAL ALLOCATION 25444,A81000B,00800,0300,REHAB ALLOCATION 25444,A81000B,00900,0300,REHAB ALLOCATION 25444,A81000B,01000,0300,REHAB ALLOCATION 25444,A81000C,00100,0100,B 25444,A81000C,00100,0400,IHS INC. 25444,A81000C,00100,0600,NURSING HOMES 25444,A81000C,00200,0100,G 25444,A81000C,00200,0400,SYMPHONY REHAB 25444,A81000C,00200,0600,REHAB SERVICES 25444,A81000C,00300,0100,G 25444,A81000C,00300,0400,LTC MED LAB 25444,A81000C,00300,0600,LABORATORY 25444,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25444,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25444,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25444,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25444,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25444,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25444,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25444,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25444,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25444,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25444,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25444,S000000,00100,0200,06/01/2000 25444,S200000,00100,0100,255 MIDDLE CREEK ROAD 25444,S200000,00100,0300,360 25444,S200000,00200,0100,MANY 25444,S200000,00200,0200,LA 25444,S200000,00200,0300,71449- 25444,S200000,00300,0100,SABINE 25444,S200000,00300,0200,19 25444,S200000,00300,0300,R 25444,S200000,00400,0100,IHS-MANY SOUTH 25444,S200000,00400,0200,195311 25444,S200000,00400,0300,01/01/1995 25444,S200000,00400,0500,P 25444,S200000,00400,0600,O 25444,S200000,00600,0200,195311 25444,S200000,00600,0300,01/01/1995 25444,S200000,00600,0600,P 25444,S200000,01600,0100,Y 25444,S200000,02200,0100,Y 25452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25452,A000000,00300,0000,00300EMPLOYEE BENEFITS 25452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25452,A000000,00700,0000,00700HOUSEKEEPING 25452,A000000,00800,0000,00800DIETARY 25452,A000000,00900,0000,00900NURSING ADMINISTRATION 25452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25452,A000000,01100,0000,01100PHARMACY 25452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25452,A000000,01300,0000,01300SOCIAL SERVICE 25452,A000000,01350,0000,01500RECREATION ACTIVITIES 25452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25452,A000000,01600,0000,01600SKILLED NURSING FACILITY 25452,A000000,01800,0000,01800NURSING FACILITY 25452,A000000,01810,0000,01810ICF/MR 25452,A000000,02100,0000,02100RADIOLOGY 25452,A000000,02200,0000,02200LABORATORY 25452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25452,A000000,02500,0000,02500PHYSICAL THERAPY 25452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25452,A000000,02700,0000,02700SPEECH PATHOLOGY 25452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25452,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25452,A000000,03051,0000,03301ENTERAL FEEDING 25452,A000000,03550,0000,03550FQHC 25452,A000000,05000,0000,05000CORF 25452,A000000,05010,0000,05010CMHC 25452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25452,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25452,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25452,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25452,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25452,A000000,06153,0000,06312DIALYSIS 25452,A000000,06154,0000,06320APARTMENTS 25452,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25452,A000000,06156,0000,06340CLOSED PATIENT AREAS 25452,A000000,06157,0000,06350O/P ADULT DAYCARE 25452,A81000A,00100,0100,Y 25452,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25452,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25452,A81000B,00300,0300,CLINICAL ALLOCATION 25452,A81000B,00400,0300,SYMPHONY REHAB 25452,A81000B,00500,0300,SYMPHONY REHAB 25452,A81000B,00600,0300,SYMPHONY REHAB 25452,A81000B,00700,0300,LTC LABS 25452,A81000B,00800,0300,REHAB ALLOCATION 25452,A81000B,00900,0300,REHAB ALLOCATION 25452,A81000B,01000,0300,REHAB ALLOCATION 25452,A81000C,00100,0100,B 25452,A81000C,00100,0400,IHS INC. 25452,A81000C,00100,0600,NURSING HOMES 25452,A81000C,00200,0100,G 25452,A81000C,00200,0400,SYMPHONY REHAB 25452,A81000C,00200,0600,REHAB SERVICES 25452,A81000C,00300,0100,G 25452,A81000C,00300,0400,LTC MED LAB 25452,A81000C,00300,0600,LABORATORY 25452,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25452,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25452,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25452,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25452,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25452,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25452,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25452,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25452,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25452,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25452,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25452,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25452,S000000,00100,0200,06/01/2000 25452,S200000,00100,0100,725 MITCHELL LANE 25452,S200000,00200,0100,SHREVEPORT 25452,S200000,00200,0200,LA 25452,S200000,00200,0300,71106- 25452,S200000,00300,0100,CADDO 25452,S200000,00300,0200,7680 25452,S200000,00300,0300,U 25452,S200000,00400,0100,IHS-PIERREMONT 25452,S200000,00400,0200,195312 25452,S200000,00400,0300,01/01/1995 25452,S200000,00400,0500,P 25452,S200000,00400,0600,O 25452,S200000,00600,0200,195312 25452,S200000,00600,0300,01/01/1995 25452,S200000,00600,0600,P 25452,S200000,01600,0100,Y 25452,S200000,02200,0100,Y 25461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25461,A000000,00300,0000,00300EMPLOYEE BENEFITS 25461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25461,A000000,00700,0000,00700HOUSEKEEPING 25461,A000000,00800,0000,00800DIETARY 25461,A000000,00900,0000,00900NURSING ADMINISTRATION 25461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25461,A000000,01100,0000,01100PHARMACY 25461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25461,A000000,01300,0000,01300SOCIAL SERVICE 25461,A000000,01350,0000,01500RECREATION ACTIVITIES 25461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25461,A000000,01600,0000,01600SKILLED NURSING FACILITY 25461,A000000,01800,0000,01800NURSING FACILITY 25461,A000000,01810,0000,01810ICF/MR 25461,A000000,02100,0000,02100RADIOLOGY 25461,A000000,02200,0000,02200LABORATORY 25461,A000000,02500,0000,02500PHYSICAL THERAPY 25461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25461,A000000,02700,0000,02700SPEECH PATHOLOGY 25461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25461,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25461,A000000,03051,0000,03301ENTERAL FEEDING 25461,A000000,03550,0000,03550FQHC 25461,A000000,05000,0000,05000CORF 25461,A000000,05010,0000,05010CMHC 25461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25461,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25461,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25461,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25461,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25461,A000000,06153,0000,06312DIALYSIS 25461,A000000,06154,0000,06320APARTMENTS 25461,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25461,A000000,06156,0000,06340CLOSED PATIENT AREAS 25461,A000000,06157,0000,06350O/P ADULT DAYCARE 25461,A81000A,00100,0100,Y 25461,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25461,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25461,A81000B,00400,0300,SYMPHONY REHAB 25461,A81000B,00500,0300,SYMPHONY REHAB 25461,A81000B,00600,0300,SYMPHONY REHAB 25461,A81000B,00700,0300,REHAB ALLOCATION 25461,A81000B,00800,0300,REHAB ALLOCATION 25461,A81000B,00900,0300,REHAB ALLOCATION 25461,A81000B,01000,0300,CLINIICAL ALLOCATION 25461,A81000C,00100,0100,B 25461,A81000C,00100,0400,IHS INC. 25461,A81000C,00100,0600,NURSING HOMES 25461,A81000C,00200,0100,G 25461,A81000C,00200,0400,SYMPHONY REHAB 25461,A81000C,00200,0600,REHAB SERVICES 25461,A81000C,00300,0100,G 25461,A81000C,00300,0400,LTC MED LAB 25461,A81000C,00300,0600,LABORATORY 25461,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25461,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25461,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25461,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25461,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25461,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25461,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25461,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25461,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25461,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25461,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25461,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25461,E10A180,00302,0100,12/03/1999 25461,E10A180,00304,0100,05/18/2000 25461,E10A180,00350,0100,03/18/1999 25461,E10A180,00501,0100,07/28/2000 25461,E10A180,00501,0300,07/28/2000 25461,S000000,00100,0200,06/01/2000 25461,S200000,00100,0100,1300 WEST 8TH STREET 25461,S200000,00200,0100,KAPLAN 25461,S200000,00200,0200,LA 25461,S200000,00200,0300,70548-2996 25461,S200000,00300,0100,VERMILION 25461,S200000,00300,0200,19 25461,S200000,00300,0300,R 25461,S200000,00400,0100,IHS-KAPLAN 25461,S200000,00400,0200,195315 25461,S200000,00400,0300,01/01/1995 25461,S200000,00400,0500,P 25461,S200000,00600,0200,195315 25461,S200000,00600,0300,01/01/1995 25461,S200000,00600,0600,P 25461,S200000,01600,0100,Y 25461,S200000,02200,0100,Y 25469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25469,A000000,00300,0000,00300EMPLOYEE BENEFITS 25469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25469,A000000,00700,0000,00700HOUSEKEEPING 25469,A000000,00800,0000,00800DIETARY 25469,A000000,00900,0000,00900NURSING ADMINISTRATION 25469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25469,A000000,01100,0000,01100PHARMACY 25469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25469,A000000,01300,0000,01300SOCIAL SERVICE 25469,A000000,01350,0000,01500RECREATION ACTIVITIES 25469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25469,A000000,01600,0000,01600SKILLED NURSING FACILITY 25469,A000000,01800,0000,01800NURSING FACILITY 25469,A000000,01810,0000,01810ICF/MR 25469,A000000,02100,0000,02100RADIOLOGY 25469,A000000,02200,0000,02200LABORATORY 25469,A000000,02500,0000,02500PHYSICAL THERAPY 25469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25469,A000000,02700,0000,02700SPEECH PATHOLOGY 25469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25469,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25469,A000000,03051,0000,03301ENTERAL FEEDING 25469,A000000,03550,0000,03550FQHC 25469,A000000,05000,0000,05000CORF 25469,A000000,05010,0000,05010CMHC 25469,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25469,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25469,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25469,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25469,A000000,06153,0000,06312DIALYSIS 25469,A000000,06154,0000,06320APARTMENTS 25469,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25469,A000000,06156,0000,06340CLOSED PATIENT AREAS 25469,A000000,06157,0000,06350O/P ADULT DAYCARE 25469,A81000A,00100,0100,Y 25469,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25469,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25469,A81000B,00300,0300,MSU DEVELOPMENT COST 25469,A81000B,00400,0300,SYMPHONY REHAB 25469,A81000B,00500,0300,SYMPHONY REHAB 25469,A81000B,00600,0300,SYMPHONY REHAB 25469,A81000B,00700,0300,REHAB ALLOCATION 25469,A81000B,00800,0300,REHAB ALLOCATION 25469,A81000B,00900,0300,REHAB ALLOCATION 25469,A81000B,01000,0300,CLINICAL ALLOCATION 25469,A81000B,01100,0300,LTC LABS 25469,A81000C,00100,0100,B 25469,A81000C,00100,0400,IHS INC. 25469,A81000C,00100,0600,NURSING HOMES 25469,A81000C,00200,0100,G 25469,A81000C,00200,0400,SYMPHONY REHAB 25469,A81000C,00200,0600,REHAB SERVICES 25469,A81000C,00300,0100,G 25469,A81000C,00300,0400,LTC MED LAB 25469,A81000C,00300,0600,LABORATORY 25469,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25469,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25469,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25469,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25469,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25469,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25469,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25469,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25469,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25469,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25469,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25469,E10A180,00301,0100,12/03/1999 25469,E10A180,00304,0100,05/18/2000 25469,E10A180,00350,0100,03/18/1999 25469,E10A180,00501,0300,07/28/2000 25469,E10A180,00550,0100,07/28/2000 25469,S000000,00100,0200,06/01/2000 25469,S200000,00100,0100,1536 CLAIBORNE AVENUE 25469,S200000,00200,0100,SHREVEPORT 25469,S200000,00200,0200,LA 25469,S200000,00200,0300,71108- 25469,S200000,00300,0100,CADDO 25469,S200000,00300,0200,7680 25469,S200000,00300,0300,U 25469,S200000,00400,0100,IHS-CLAIBORNE 25469,S200000,00400,0200,195316 25469,S200000,00400,0300,02/01/1995 25469,S200000,00400,0500,P 25469,S200000,00400,0600,O 25469,S200000,00600,0200,195316 25469,S200000,00600,0300,02/01/1995 25469,S200000,00600,0600,P 25469,S200000,01600,0100,Y 25469,S200000,02200,0100,Y 25478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25478,A000000,00300,0000,00300EMPLOYEE BENEFITS 25478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25478,A000000,00700,0000,00700HOUSEKEEPING 25478,A000000,00800,0000,00800DIETARY 25478,A000000,00900,0000,00900NURSING ADMINISTRATION 25478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25478,A000000,01100,0000,01100PHARMACY 25478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25478,A000000,01300,0000,01300SOCIAL SERVICE 25478,A000000,01350,0000,01500RECREATION ACTIVITIES 25478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25478,A000000,01600,0000,01600SKILLED NURSING FACILITY 25478,A000000,01800,0000,01800NURSING FACILITY 25478,A000000,01810,0000,01810ICF/MR 25478,A000000,02100,0000,02100RADIOLOGY 25478,A000000,02200,0000,02200LABORATORY 25478,A000000,02500,0000,02500PHYSICAL THERAPY 25478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25478,A000000,02700,0000,02700SPEECH PATHOLOGY 25478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25478,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25478,A000000,03051,0000,03301ENTERAL FEEDING 25478,A000000,03550,0000,03550FQHC 25478,A000000,05000,0000,05000CORF 25478,A000000,05010,0000,05010CMHC 25478,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25478,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25478,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25478,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25478,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25478,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25478,A000000,06153,0000,06312DIALYSIS 25478,A000000,06154,0000,06320APARTMENTS 25478,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25478,A000000,06156,0000,06340CLOSED PATIENT AREAS 25478,A000000,06157,0000,06350O/P ADULT DAYCARE 25478,A81000A,00100,0100,Y 25478,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25478,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25478,A81000B,00300,0300,MSU DEVELOPMENT COST 25478,A81000B,00400,0300,SYMPHONY REHAB 25478,A81000B,00500,0300,SYMPHONY REHAB 25478,A81000B,00600,0300,SYMPHONY REHAB 25478,A81000B,00700,0300,REHAB ALLOCATION 25478,A81000B,00800,0300,REHAB ALLOCATION 25478,A81000B,00900,0300,REHAB ALLOCATION 25478,A81000B,01000,0300,CLINICAL ALLOCATION 25478,A81000C,00100,0100,B 25478,A81000C,00100,0400,IHS INC. 25478,A81000C,00100,0600,NURSING HOMES 25478,A81000C,00200,0100,G 25478,A81000C,00200,0400,SYMPHONY REHAB 25478,A81000C,00200,0600,REHAB SERVICES 25478,A81000C,00300,0100,G 25478,A81000C,00300,0400,LTC MED LAB 25478,A81000C,00300,0600,LABORATORY 25478,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25478,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25478,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25478,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25478,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25478,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25478,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25478,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25478,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25478,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25478,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25478,E10A180,00301,0100,12/03/1999 25478,E10A180,00304,0100,05/18/2000 25478,E10A180,00350,0100,03/18/1999 25478,E10A180,00501,0100,07/28/2000 25478,E10A180,00550,0300,07/28/2000 25478,S000000,00100,0200,06/01/2000 25478,S200000,00100,0100,1300 LAFOURCHE DRIVE 25478,S200000,00200,0100,THIBODAUX 25478,S200000,00200,0200,LA 25478,S200000,00200,0300,70301-2498 25478,S200000,00300,0100,SABINE 25478,S200000,00300,0200,19 25478,S200000,00300,0300,R 25478,S200000,00400,0100,IHS-THIBODAUX 25478,S200000,00400,0200,195319 25478,S200000,00400,0300,01/01/1995 25478,S200000,00400,0500,P 25478,S200000,00600,0200,195319 25478,S200000,00600,0300,01/01/1995 25478,S200000,00600,0600,P 25478,S200000,01600,0100,Y 25478,S200000,02200,0100,Y 25486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25486,A000000,00300,0000,00300EMPLOYEE BENEFITS 25486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25486,A000000,00700,0000,00700HOUSEKEEPING 25486,A000000,00800,0000,00800DIETARY 25486,A000000,00900,0000,00900NURSING ADMINISTRATION 25486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25486,A000000,01100,0000,01100PHARMACY 25486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25486,A000000,01300,0000,01300SOCIAL SERVICE 25486,A000000,01350,0000,01500RECREATION ACTIVITIES 25486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25486,A000000,01600,0000,01600SKILLED NURSING FACILITY 25486,A000000,01800,0000,01800NURSING FACILITY 25486,A000000,01810,0000,01810ICF/MR 25486,A000000,02100,0000,02100RADIOLOGY 25486,A000000,02200,0000,02200LABORATORY 25486,A000000,02500,0000,02500PHYSICAL THERAPY 25486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25486,A000000,02700,0000,02700SPEECH PATHOLOGY 25486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25486,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25486,A000000,03051,0000,03301ENTERAL FEEDING 25486,A000000,03550,0000,03550FQHC 25486,A000000,05000,0000,05000CORF 25486,A000000,05010,0000,05010CMHC 25486,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25486,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25486,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25486,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25486,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25486,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25486,A000000,06153,0000,06312DIALYSIS 25486,A000000,06154,0000,06320APARTMENTS 25486,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25486,A000000,06156,0000,06340CLOSED PATIENT AREAS 25486,A000000,06157,0000,06350O/P ADULT DAYCARE 25486,A81000A,00100,0100,Y 25486,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25486,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25486,A81000B,00400,0300,SYMPHONY REHAB 25486,A81000B,00500,0300,SYMPHONY REHAB 25486,A81000B,00600,0300,SYMPHONY REHAB 25486,A81000B,00700,0300,CLINICAL ALLOCATION 25486,A81000B,00800,0300,SYMPHONY REHAB 25486,A81000B,00900,0300,SYMPHONY REHAB 25486,A81000B,01000,0300,SYMPHONY REHAB 25486,A81000C,00100,0100,B 25486,A81000C,00100,0400,IHS INC. 25486,A81000C,00100,0600,NURSING HOMES 25486,A81000C,00200,0100,G 25486,A81000C,00200,0400,SYMPHONY REHAB 25486,A81000C,00200,0600,REHAB SERVICES 25486,A81000C,00300,0100,G 25486,A81000C,00300,0400,LTC MED LAB 25486,A81000C,00300,0600,LABORATORY 25486,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25486,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25486,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25486,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25486,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25486,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25486,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25486,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25486,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25486,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25486,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25486,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25486,E10A180,00353,0100,05/18/2000 25486,S000000,00100,0200,06/01/2000 25486,S200000,00100,0100,912 SOUTH PECAN STREET 25486,S200000,00200,0100,VIVIAN 25486,S200000,00200,0200,LA 25486,S200000,00200,0300,71082- 25486,S200000,00300,0100,CADDO 25486,S200000,00300,0200,7680 25486,S200000,00300,0300,U 25486,S200000,00400,0100,IHS-VIVIAN 25486,S200000,00400,0200,195325 25486,S200000,00400,0300,01/01/1995 25486,S200000,00400,0500,P 25486,S200000,00400,0600,O 25486,S200000,00600,0200,195325 25486,S200000,00600,0300,01/01/1995 25486,S200000,00600,0600,P 25486,S200000,01600,0100,Y 25486,S200000,02200,0100,Y 25493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25493,A000000,00300,0000,00300EMPLOYEE BENEFITS 25493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25493,A000000,00700,0000,00700HOUSEKEEPING 25493,A000000,00800,0000,00800DIETARY 25493,A000000,00900,0000,00900NURSING ADMINISTRATION 25493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25493,A000000,01100,0000,01100PHARMACY 25493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25493,A000000,01300,0000,01300SOCIAL SERVICE 25493,A000000,01350,0000,01500RECREATION ACTIVITIES 25493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25493,A000000,01600,0000,01600SKILLED NURSING FACILITY 25493,A000000,01800,0000,01800NURSING FACILITY 25493,A000000,01810,0000,01810ICF/MR 25493,A000000,02100,0000,02100RADIOLOGY 25493,A000000,02200,0000,02200LABORATORY 25493,A000000,02500,0000,02500PHYSICAL THERAPY 25493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25493,A000000,02700,0000,02700SPEECH PATHOLOGY 25493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25493,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25493,A000000,03051,0000,03301ENTERAL FEEDING 25493,A000000,03550,0000,03550FQHC 25493,A000000,05000,0000,05000CORF 25493,A000000,05010,0000,05010CMHC 25493,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25493,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25493,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25493,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25493,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25493,A000000,06153,0000,06312DIALYSIS 25493,A000000,06154,0000,06320APARTMENTS 25493,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25493,A000000,06156,0000,06340CLOSED PATIENT AREAS 25493,A000000,06157,0000,06350O/P ADULT DAYCARE 25493,A81000A,00100,0100,Y 25493,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25493,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25493,A81000B,00300,0300,MSU DEVELOPMENT COST 25493,A81000B,00400,0300,SYMPHONY REHAB 25493,A81000B,00500,0300,SYMPHONY REHAB 25493,A81000B,00600,0300,SYMPHONY REHAB 25493,A81000B,00700,0300,REHAB ALLOCATION 25493,A81000B,00800,0300,REHAB ALLOCATION 25493,A81000B,00900,0300,REHAB ALLOCATION 25493,A81000B,01000,0300,CLINICAL ALLOCATION 25493,A81000C,00100,0100,B 25493,A81000C,00100,0400,IHS INC. 25493,A81000C,00100,0600,NURSING HOMES 25493,A81000C,00200,0100,G 25493,A81000C,00200,0400,SYMPHONY REHAB 25493,A81000C,00200,0600,REHAB SERVICES 25493,A81000C,00300,0100,G 25493,A81000C,00300,0400,LTC MED LAB 25493,A81000C,00300,0600,LABORATORY 25493,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25493,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25493,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25493,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25493,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25493,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25493,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25493,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25493,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25493,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25493,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25493,E10A180,00302,0100,12/03/1999 25493,E10A180,00304,0100,05/18/2000 25493,E10A180,00350,0100,03/18/1999 25493,E10A180,00550,0100,07/28/2000 25493,E10A180,00550,0300,07/28/2000 25493,S000000,00100,0200,06/01/2000 25493,S200000,00100,0100,600 BAYARD STREET 25493,S200000,00200,0100,NEW IBERIA 25493,S200000,00200,0200,LA 25493,S200000,00200,0300,70562- 25493,S200000,00300,0100,IBERIA 25493,S200000,00300,0200,LA 25493,S200000,00300,0300,R 25493,S200000,00400,0100,IHS-HERITAGE SOUTH 25493,S200000,00400,0200,195326 25493,S200000,00400,0300,01/01/1995 25493,S200000,00400,0500,P 25493,S200000,00600,0200,195326 25493,S200000,00600,0300,01/01/1995 25493,S200000,00600,0600,P 25493,S200000,01600,0100,Y 25493,S200000,02200,0100,Y 25503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25503,A000000,00300,0000,00300EMPLOYEE BENEFITS 25503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25503,A000000,00700,0000,00700HOUSEKEEPING 25503,A000000,00800,0000,00800DIETARY 25503,A000000,00900,0000,00900NURSING ADMINISTRATION 25503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25503,A000000,01100,0000,01100PHARMACY 25503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25503,A000000,01300,0000,01300SOCIAL SERVICE 25503,A000000,01350,0000,01500RECREATION ACTIVITIES 25503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25503,A000000,01600,0000,01600SKILLED NURSING FACILITY 25503,A000000,01800,0000,01800NURSING FACILITY 25503,A000000,01810,0000,01810ICF/MR 25503,A000000,02200,0000,02200LABORATORY 25503,A000000,02500,0000,02500PHYSICAL THERAPY 25503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25503,A000000,02700,0000,02700SPEECH PATHOLOGY 25503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25503,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25503,A000000,03051,0000,03301ENTERAL FEEDING 25503,A000000,03550,0000,03550FQHC 25503,A000000,05000,0000,05000CORF 25503,A000000,05010,0000,05010CMHC 25503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25503,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25503,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25503,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25503,A000000,06153,0000,06312DIALYSIS 25503,A000000,06154,0000,06320APARTMENTS 25503,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25503,A000000,06156,0000,06340CLOSED PATIENT AREAS 25503,A000000,06157,0000,06350O/P ADULT DAYCARE 25503,A81000A,00100,0100,Y 25503,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25503,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25503,A81000B,00400,0300,SYMPHONY REHAB 25503,A81000B,00500,0300,SYMPHONY REHAB 25503,A81000B,00600,0300,SYMPHONY REHAB 25503,A81000B,00700,0300,REHAB ALLOCATION 25503,A81000B,00800,0300,REHAB ALLOCATION 25503,A81000B,01000,0300,CLINICAL ALLOCATION 25503,A81000C,00100,0100,B 25503,A81000C,00100,0400,IHS INC. 25503,A81000C,00100,0600,NURSING HOMES 25503,A81000C,00200,0100,G 25503,A81000C,00200,0400,SYMPHONY REHAB 25503,A81000C,00200,0600,REHAB SERVICES 25503,A81000C,00300,0100,G 25503,A81000C,00300,0400,LTC MED LAB 25503,A81000C,00300,0600,LABORATORY 25503,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25503,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25503,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25503,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25503,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25503,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25503,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25503,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25503,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25503,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25503,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25503,E10A180,00303,0100,03/18/1999 25503,E10A180,00304,0100,05/18/2000 25503,E10A180,00350,0100,03/18/1999 25503,E10A180,00351,0100,12/03/1999 25503,E10A180,00550,0100,07/28/2000 25503,E10A180,00550,0300,07/28/2000 25503,S000000,00100,0200,06/01/2000 25503,S200000,00100,0100,905 WEST CORNERVIEW ROAD 25503,S200000,00200,0100,GONZALES 25503,S200000,00200,0200,LA 25503,S200000,00200,0300,70737-3399 25503,S200000,00300,0100,ACENSION 25503,S200000,00300,0200,760 25503,S200000,00300,0300,U 25503,S200000,00400,0100,IHS-GONZALES 25503,S200000,00400,0200,195327 25503,S200000,00400,0300,01/01/1995 25503,S200000,00400,0500,P 25503,S200000,00400,0600,O 25503,S200000,00600,0200,195327 25503,S200000,00600,0300,01/01/1995 25503,S200000,00600,0600,P 25503,S200000,01600,0100,Y 25503,S200000,02200,0100,Y 25513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25513,A000000,00300,0000,00300EMPLOYEE BENEFITS 25513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25513,A000000,00700,0000,00700HOUSEKEEPING 25513,A000000,00800,0000,00800DIETARY 25513,A000000,00900,0000,00900NURSING ADMINISTRATION 25513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25513,A000000,01100,0000,01100PHARMACY 25513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25513,A000000,01300,0000,01300SOCIAL SERVICE 25513,A000000,01350,0000,01500RECREATION ACTIVITIES 25513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25513,A000000,01600,0000,01600SKILLED NURSING FACILITY 25513,A000000,01800,0000,01800NURSING FACILITY 25513,A000000,01810,0000,01810ICF/MR 25513,A000000,02100,0000,02100RADIOLOGY 25513,A000000,02200,0000,02200LABORATORY 25513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25513,A000000,02500,0000,02500PHYSICAL THERAPY 25513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25513,A000000,02700,0000,02700SPEECH PATHOLOGY 25513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25513,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25513,A000000,03051,0000,03301ENTERAL FEEDING 25513,A000000,03550,0000,03550FQHC 25513,A000000,05000,0000,05000CORF 25513,A000000,05010,0000,05010CMHC 25513,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25513,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25513,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25513,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25513,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25513,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25513,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25513,A000000,06153,0000,06312DIALYSIS 25513,A000000,06154,0000,06320APARTMENTS 25513,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25513,A000000,06156,0000,06340CLOSED PATIENT AREAS 25513,A000000,06157,0000,06350O/P ADULT DAYCARE 25513,A81000A,00100,0100,Y 25513,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25513,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25513,A81000B,00300,0300,MSU DEVELOPMENT COST 25513,A81000B,00400,0300,SYMPHONY REHAB 25513,A81000B,00500,0300,SYMPHONY REHAB 25513,A81000B,00600,0300,SYMPHONY REHAB 25513,A81000B,00700,0300,CLINICAL ALLOCATION 25513,A81000B,00800,0300,REHAB ALLOCATION 25513,A81000B,00900,0300,REHAB ALLOCATION 25513,A81000B,01000,0300,REHAB ALLOCATION 25513,A81000C,00100,0100,B 25513,A81000C,00100,0400,IHS INC. 25513,A81000C,00100,0600,NURSING HOMES 25513,A81000C,00200,0100,G 25513,A81000C,00200,0400,SYMPHONY REHAB 25513,A81000C,00200,0600,REHAB SERVICES 25513,A81000C,00300,0100,G 25513,A81000C,00300,0400,LTC MED LAB 25513,A81000C,00300,0600,LABORATORY 25513,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25513,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25513,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25513,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25513,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25513,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25513,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25513,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25513,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25513,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25513,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25513,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25513,E10A180,00301,0100,12/03/1999 25513,E10A180,00350,0100,03/18/1999 25513,E10A180,00353,0100,05/18/2000 25513,E10A180,00501,0100,07/28/2000 25513,E10A180,00501,0300,07/28/2000 25513,S000000,00100,0200,06/01/2000 25513,S200000,00100,0100,1803 JANE STREET 25513,S200000,00200,0100,NEW IBERIA 25513,S200000,00200,0200,LA 25513,S200000,00200,0300,70562- 25513,S200000,00300,0100,IBERIA 25513,S200000,00300,0200,LA 25513,S200000,00300,0300,R 25513,S200000,00400,0100,IHS-HERITAGE NORTH 25513,S200000,00400,0200,195328 25513,S200000,00400,0300,02/01/1995 25513,S200000,00400,0500,P 25513,S200000,00600,0200,195328 25513,S200000,00600,0300,02/01/1995 25513,S200000,00600,0600,P 25513,S200000,01600,0100,Y 25513,S200000,02200,0100,Y 25521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25521,A000000,00300,0000,00300EMPLOYEE BENEFITS 25521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25521,A000000,00700,0000,00700HOUSEKEEPING 25521,A000000,00800,0000,00800DIETARY 25521,A000000,00900,0000,00900NURSING ADMINISTRATION 25521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25521,A000000,01100,0000,01100PHARMACY 25521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25521,A000000,01300,0000,01300SOCIAL SERVICE 25521,A000000,01350,0000,01500RECREATION ACTIVITIES 25521,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25521,A000000,01600,0000,01600SKILLED NURSING FACILITY 25521,A000000,01800,0000,01800NURSING FACILITY 25521,A000000,01810,0000,01810ICF/MR 25521,A000000,02100,0000,02100RADIOLOGY 25521,A000000,02200,0000,02200LABORATORY 25521,A000000,02500,0000,02500PHYSICAL THERAPY 25521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25521,A000000,02700,0000,02700SPEECH PATHOLOGY 25521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25521,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25521,A000000,03051,0000,03301ENTERAL FEEDING 25521,A000000,03550,0000,03550FQHC 25521,A000000,05000,0000,05000CORF 25521,A000000,05010,0000,05010CMHC 25521,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25521,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25521,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25521,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25521,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25521,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25521,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25521,A000000,06153,0000,06312DIALYSIS 25521,A000000,06154,0000,06320APARTMENTS 25521,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25521,A000000,06156,0000,06340CLOSED PATIENT AREAS 25521,A000000,06157,0000,06350O/P ADULT DAYCARE 25521,A81000A,00100,0100,Y 25521,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25521,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25521,A81000B,00400,0300,SYMPHONY REHAB 25521,A81000B,00500,0300,REHAB ALLOCATION 25521,A81000B,00600,0300,REHAB ALLOCATION 25521,A81000B,00700,0300,REHAB ALLOCATION 25521,A81000B,00800,0300,CLINICAL ALLOCATION 25521,A81000C,00100,0100,B 25521,A81000C,00100,0400,IHS INC. 25521,A81000C,00100,0600,NURSING HOMES 25521,A81000C,00200,0100,G 25521,A81000C,00200,0400,SYMPHONY REHAB 25521,A81000C,00200,0600,REHAB SERVICES 25521,A81000C,00300,0100,G 25521,A81000C,00300,0400,LTC MED LAB 25521,A81000C,00300,0600,LABORATORY 25521,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25521,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25521,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25521,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25521,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25521,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25521,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25521,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25521,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25521,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25521,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25521,S000000,00100,0200,06/01/2000 25521,S200000,00100,0100,5115 MAC ARTHUR DRIVE 25521,S200000,00200,0100,ALEXANDRIA 25521,S200000,00200,0200,LA 25521,S200000,00200,0300,71302- 25521,S200000,00300,0100,RAPIDES 25521,S200000,00300,0200,220 25521,S200000,00300,0300,U 25521,S200000,00400,0100,IHS-ALEXANDRIA 25521,S200000,00400,0200,195332 25521,S200000,00400,0300,01/01/1995 25521,S200000,00400,0500,P 25521,S200000,00600,0200,195332 25521,S200000,00600,0300,01/01/1995 25521,S200000,00600,0600,P 25521,S200000,01600,0100,Y 25521,S200000,02200,0100,Y 25529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25529,A000000,00300,0000,00300EMPLOYEE BENEFITS 25529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25529,A000000,00700,0000,00700HOUSEKEEPING 25529,A000000,00800,0000,00800DIETARY 25529,A000000,00900,0000,00900NURSING ADMINISTRATION 25529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25529,A000000,01100,0000,01100PHARMACY 25529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25529,A000000,01300,0000,01300SOCIAL SERVICE 25529,A000000,01350,0000,01500RECREATION ACTIVITIES 25529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25529,A000000,01600,0000,01600SKILLED NURSING FACILITY 25529,A000000,01800,0000,01800NURSING FACILITY 25529,A000000,01810,0000,01810ICF/MR 25529,A000000,02100,0000,02100RADIOLOGY 25529,A000000,02200,0000,02200LABORATORY 25529,A000000,02500,0000,02500PHYSICAL THERAPY 25529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25529,A000000,02700,0000,02700SPEECH PATHOLOGY 25529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25529,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25529,A000000,03051,0000,03301ENTERAL FEEDING 25529,A000000,03550,0000,03550FQHC 25529,A000000,05000,0000,05000CORF 25529,A000000,05010,0000,05010CMHC 25529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25529,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25529,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25529,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25529,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25529,A000000,06153,0000,06312DIALYSIS 25529,A000000,06154,0000,06320APARTMENTS 25529,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25529,A000000,06156,0000,06340CLOSED PATIENT AREAS 25529,A000000,06157,0000,06350O/P ADULT DAYCARE 25529,A81000A,00100,0100,Y 25529,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25529,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25529,A81000B,00400,0300,SYMPHONY REHAB 25529,A81000B,00500,0300,SYMPHONY REHAB 25529,A81000B,00600,0300,SYMPHONY REHAB 25529,A81000B,00700,0300,REHAB ALLOCATION 25529,A81000B,00800,0300,REHAB ALLOCATION 25529,A81000B,00900,0300,REHAB ALLOCATION 25529,A81000B,01000,0300,CLINICAL ALLOCATION 25529,A81000C,00100,0100,B 25529,A81000C,00100,0400,IHS INC. 25529,A81000C,00100,0600,NURSING HOMES 25529,A81000C,00200,0100,G 25529,A81000C,00200,0400,SYMPHONY REHAB 25529,A81000C,00200,0600,REHAB SERVICES 25529,A81000C,00300,0100,G 25529,A81000C,00300,0400,LTC MED LAB 25529,A81000C,00300,0600,LABORATORY 25529,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25529,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25529,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25529,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25529,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25529,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25529,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25529,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25529,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25529,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25529,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25529,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25529,E10A180,00301,0100,03/18/1999 25529,E10A180,00302,0100,12/03/1999 25529,E10A180,00304,0100,05/18/2000 25529,E10A180,00350,0100,03/18/1999 25529,E10A180,00351,0100,12/03/1999 25529,E10A180,00501,0100,07/28/2000 25529,E10A180,00550,0300,07/28/2000 25529,S000000,00100,0200,06/01/2000 25529,S200000,00100,0100,325 BACQUE CRESCENT DRIVE 25529,S200000,00200,0100,LAFAYETTE 25529,S200000,00200,0200,LA 25529,S200000,00200,0300,70501- 25529,S200000,00300,0100,LAFAYETTE 25529,S200000,00300,0200,3880 25529,S200000,00300,0300,U 25529,S200000,00400,0100,IHS-LAFAYETTE 25529,S200000,00400,0200,195334 25529,S200000,00400,0300,01/01/1995 25529,S200000,00400,0500,P 25529,S200000,00400,0600,O 25529,S200000,00600,0200,195334 25529,S200000,00600,0300,01/01/1995 25529,S200000,00600,0600,P 25529,S200000,01600,0100,Y 25529,S200000,02200,0100,Y 25536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25536,A000000,00300,0000,00300EMPLOYEE BENEFITS 25536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25536,A000000,00700,0000,00700HOUSEKEEPING 25536,A000000,00800,0000,00800DIETARY 25536,A000000,00900,0000,00900NURSING ADMINISTRATION 25536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25536,A000000,01100,0000,01100PHARMACY 25536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25536,A000000,01300,0000,01300SOCIAL SERVICE 25536,A000000,01350,0000,01500RECREATION ACTIVITIES 25536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25536,A000000,01600,0000,01600SKILLED NURSING FACILITY 25536,A000000,01800,0000,01800NURSING FACILITY 25536,A000000,01810,0000,01810ICF/MR 25536,A000000,02100,0000,02100RADIOLOGY 25536,A000000,02200,0000,02200LABORATORY 25536,A000000,02500,0000,02500PHYSICAL THERAPY 25536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25536,A000000,02700,0000,02700SPEECH PATHOLOGY 25536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25536,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25536,A000000,03051,0000,03301ENTERAL FEEDING 25536,A000000,03550,0000,03550FQHC 25536,A000000,05000,0000,05000CORF 25536,A000000,05010,0000,05010CMHC 25536,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25536,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25536,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25536,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25536,A000000,06153,0000,06312DIALYSIS 25536,A000000,06154,0000,06320APARTMENTS 25536,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25536,A000000,06156,0000,06340CLOSED PATIENT AREAS 25536,A000000,06157,0000,06350O/P ADULT DAYCARE 25536,A81000A,00100,0100,Y 25536,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25536,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25536,A81000B,00300,0300,MSU DEVELOPMENT COST 25536,A81000B,00400,0300,SYMPHONY REHAB 25536,A81000B,00500,0300,SYMPHONY REHAB 25536,A81000B,00600,0300,SYMPHONY REHAB 25536,A81000B,00700,0300,REHAB ALLOCATION 25536,A81000B,00800,0300,REHAB ALLOCATION 25536,A81000B,00900,0300,REHAB ALLOCATION 25536,A81000B,01000,0300,CLINICAL ALLOCATION 25536,A81000B,01100,0300,SYMPHONY MOBILEX 25536,A81000C,00100,0100,B 25536,A81000C,00100,0400,IHS INC. 25536,A81000C,00100,0600,NURSING HOMES 25536,A81000C,00200,0100,G 25536,A81000C,00200,0400,SYMPHONY REHAB 25536,A81000C,00200,0600,REHAB SERVICES 25536,A81000C,00300,0100,G 25536,A81000C,00300,0400,LTC MED LAB 25536,A81000C,00300,0600,LABORATORY 25536,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25536,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25536,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25536,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25536,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25536,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25536,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25536,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25536,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25536,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25536,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25536,E10A180,00301,0100,03/18/1999 25536,E10A180,00302,0100,12/03/1999 25536,E10A180,00304,0100,05/18/2000 25536,E10A180,00350,0100,03/18/1999 25536,E10A180,00351,0100,12/03/1999 25536,E10A180,00550,0100,07/28/2000 25536,E10A180,00550,0300,07/28/2000 25536,S000000,00100,0200,06/01/2000 25536,S200000,00100,0100,5301 AUGUST LANE 25536,S200000,00200,0100,MARRERO 25536,S200000,00200,0200,LA 25536,S200000,00200,0300,70072- 25536,S200000,00300,0100,JEFFERSON 25536,S200000,00300,0200,5560 25536,S200000,00300,0300,U 25536,S200000,00400,0100,IHS-MARRERO 25536,S200000,00400,0200,195336 25536,S200000,00400,0300,02/01/1995 25536,S200000,00400,0500,P 25536,S200000,00400,0600,O 25536,S200000,00600,0200,195336 25536,S200000,00600,0300,02/01/1995 25536,S200000,00600,0600,P 25536,S200000,01600,0100,Y 25536,S200000,02200,0100,Y 25544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25544,A000000,00300,0000,00300EMPLOYEE BENEFITS 25544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25544,A000000,00700,0000,00700HOUSEKEEPING 25544,A000000,00800,0000,00800DIETARY 25544,A000000,00900,0000,00900NURSING ADMINISTRATION 25544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25544,A000000,01100,0000,01100PHARMACY 25544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25544,A000000,01300,0000,01300SOCIAL SERVICE 25544,A000000,01350,0000,01500RECREATION ACTIVITIES 25544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25544,A000000,01600,0000,01600SKILLED NURSING FACILITY 25544,A000000,01800,0000,01800NURSING FACILITY 25544,A000000,01810,0000,01810ICF/MR 25544,A000000,02200,0000,02200LABORATORY 25544,A000000,02500,0000,02500PHYSICAL THERAPY 25544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25544,A000000,02700,0000,02700SPEECH PATHOLOGY 25544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25544,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25544,A000000,03051,0000,03301ENTERAL FEEDING 25544,A000000,03550,0000,03550FQHC 25544,A000000,05000,0000,05000CORF 25544,A000000,05010,0000,05010CMHC 25544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25544,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25544,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25544,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25544,A000000,06153,0000,06312DIALYSIS 25544,A000000,06154,0000,06320APARTMENTS 25544,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25544,A000000,06156,0000,06340CLOSED PATIENT AREAS 25544,A000000,06157,0000,06350O/P ADULT DAYCARE 25544,A81000A,00100,0100,Y 25544,A81000B,00100,0300,HOME OFFICE CAPITAL COST 25544,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 25544,A81000B,00400,0300,SYMPHONY REHAB 25544,A81000B,00500,0300,SYMPHONY REHAB 25544,A81000B,00600,0300,SYMPHONY REHAB 25544,A81000B,00700,0300,REHAB ALLOCATION 25544,A81000B,00800,0300,REHAB ALLOCATION 25544,A81000B,00900,0300,REHAB ALLOCATION 25544,A81000B,01000,0300,CLINICAL ALLOCATION 25544,A81000C,00100,0100,B 25544,A81000C,00100,0400,IHS INC. 25544,A81000C,00100,0600,NURSING HOMES 25544,A81000C,00200,0100,G 25544,A81000C,00200,0400,SYMPHONY REHAB 25544,A81000C,00200,0600,REHAB SERVICES 25544,A81000C,00300,0100,G 25544,A81000C,00300,0400,LTC MED LAB 25544,A81000C,00300,0600,LABORATORY 25544,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25544,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25544,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25544,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25544,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25544,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25544,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25544,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25544,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25544,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25544,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25544,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25544,E10A180,00301,0100,12/03/1999 25544,E10A180,00353,0100,05/18/2000 25544,E10A180,00501,0100,07/28/2000 25544,S000000,00100,0200,06/01/2000 25544,S200000,00100,0100,1125 PAUL MAILLARD ROAD 25544,S200000,00100,0300,1098 25544,S200000,00200,0100,LULING 25544,S200000,00200,0200,LA 25544,S200000,00200,0300,70070- 25544,S200000,00300,0100,ST. CHARLES 25544,S200000,00300,0200,5560 25544,S200000,00300,0300,U 25544,S200000,00400,0100,IHS-LULING 25544,S200000,00400,0200,195358 25544,S200000,00400,0300,01/01/1996 25544,S200000,00400,0500,P 25544,S200000,00400,0600,O 25544,S200000,00600,0200,195358 25544,S200000,00600,0300,01/01/1996 25544,S200000,00600,0600,P 25544,S200000,01600,0100,Y 25544,S200000,02200,0100,Y 25547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25547,A000000,00300,0000,00300EMPLOYEE BENEFITS 25547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25547,A000000,00700,0000,00700HOUSEKEEPING 25547,A000000,00800,0000,00800DIETARY 25547,A000000,00900,0000,00900NURSING ADMINISTRATION 25547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25547,A000000,01100,0000,01100PHARMACY 25547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25547,A000000,01300,0000,01300SOCIAL SERVICE 25547,A000000,01350,0000,01500RECREATION ACTIVITIES 25547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25547,A000000,01600,0000,01600SKILLED NURSING FACILITY 25547,A000000,01800,0000,01800NURSING FACILITY 25547,A000000,01810,0000,01810ICF/MR 25547,A000000,02100,0000,02100RADIOLOGY 25547,A000000,02200,0000,02200LABORATORY 25547,A000000,02500,0000,02500PHYSICAL THERAPY 25547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25547,A000000,02700,0000,02700SPEECH PATHOLOGY 25547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25547,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25547,A000000,03051,0000,03301ENTERAL FEEDING 25547,A000000,03550,0000,03550FQHC 25547,A000000,05000,0000,05000CORF 25547,A000000,05010,0000,05010CMHC 25547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25547,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25547,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25547,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25547,A000000,06153,0000,06312DIALYSIS 25547,A000000,06154,0000,06320APARTMENTS 25547,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25547,A000000,06156,0000,06340CLOSED PATIENT AREAS 25547,A000000,06157,0000,06350O/P ADULT DAYCARE 25547,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25547,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25547,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25547,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25547,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25547,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25547,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25547,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25547,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25547,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25547,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25547,S000000,00100,0200,06/28/2000 25547,S200000,00100,0100,740 JUSTA STREET 25547,S200000,00200,0100,MORGAN CITY 25547,S200000,00200,0200,LA 25547,S200000,00200,0300,70380- 25547,S200000,00300,0100,ST. MARY 25547,S200000,00300,0200,LA 25547,S200000,00300,0300,R 25547,S200000,00400,0100,MORGAN CITY HEALTH CARE CTR 25547,S200000,00400,0200,195386 25547,S200000,00400,0300,10/01/1996 25547,S200000,00400,0500,P 25547,S200000,00400,0600,O 25547,S200000,00600,0200,195386 25547,S200000,00600,0300,10/01/1996 25547,S200000,00600,0600,P 25547,S200000,01600,0100,Y 25547,S200000,02200,0100,Y 25550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25550,A000000,00300,0000,00300EMPLOYEE BENEFITS 25550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25550,A000000,00700,0000,00700HOUSEKEEPING 25550,A000000,00800,0000,00800DIETARY 25550,A000000,00900,0000,00900NURSING ADMINISTRATION 25550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25550,A000000,01100,0000,01100PHARMACY 25550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25550,A000000,01300,0000,01300SOCIAL SERVICE 25550,A000000,01350,0000,01500RECREATION ACTIVITIES 25550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25550,A000000,01600,0000,01600SKILLED NURSING FACILITY 25550,A000000,01800,0000,01800NURSING FACILITY 25550,A000000,01810,0000,01810ICF/MR 25550,A000000,02100,0000,02100RADIOLOGY 25550,A000000,02200,0000,02200LABORATORY 25550,A000000,02500,0000,02500PHYSICAL THERAPY 25550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25550,A000000,02700,0000,02700SPEECH PATHOLOGY 25550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25550,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 25550,A000000,03051,0000,03301ENTERAL FEEDING 25550,A000000,03550,0000,03550FQHC 25550,A000000,05000,0000,05000CORF 25550,A000000,05010,0000,05010CMHC 25550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25550,A000000,06150,0000,06300ENTERSTOMAL THERAPY 25550,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 25550,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 25550,A000000,06153,0000,06312DIALYSIS 25550,A000000,06154,0000,06320APARTMENTS 25550,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 25550,A000000,06156,0000,06340CLOSED PATIENT AREAS 25550,A000000,06157,0000,06350O/P ADULT DAYCARE 25550,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 25550,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 25550,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 25550,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 25550,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 25550,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 25550,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 25550,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 25550,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 25550,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 25550,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 25550,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 25550,S000000,00100,0200,06/01/2000 25550,S200000,00100,0100,1907 CHINABERRY STREET 25550,S200000,00200,0100,FRANKLIN 25550,S200000,00200,0200,LA 25550,S200000,00200,0300,70538- 25550,S200000,00300,0100,ST. MARY 25550,S200000,00300,0200,19 25550,S200000,00300,0300,R 25550,S200000,00400,0100,FRANKLIN 25550,S200000,00400,0200,195388 25550,S200000,00400,0300,10/01/1996 25550,S200000,00400,0500,P 25550,S200000,00400,0600,O 25550,S200000,00600,0200,195388 25550,S200000,00600,0300,10/01/1996 25550,S200000,00600,0600,P 25550,S200000,01600,0100,Y 25550,S200000,02200,0100,Y 25559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25559,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25559,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25559,A000000,00300,0000,00300EMPLOYEE BENEFITS 25559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25559,A000000,00700,0000,00700HOUSEKEEPING 25559,A000000,00800,0000,00800DIETARY 25559,A000000,00801,0000,00801CAFETERIA 25559,A000000,00900,0000,00900NURSING ADMINISTRATION 25559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25559,A000000,01100,0000,01100PHARMACY 25559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25559,A000000,01300,0000,01300SOCIAL SERVICE 25559,A000000,01350,0000,01500ACTIVITIES 25559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25559,A000000,01600,0000,01600SKILLED NURSING FACILITY 25559,A000000,01800,0000,01800NURSING FACILITY 25559,A000000,01900,0000,01900OTHER LONG TERM CARE 25559,A000000,02100,0000,02100RADIOLOGY 25559,A000000,02200,0000,02200LABORATORY 25559,A000000,02300,0000,02300INTRAVENOUS THERAPY 25559,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25559,A000000,02500,0000,02500PHYSICAL THERAPY 25559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25559,A000000,02700,0000,02700SPEECH PATHOLOGY 25559,A000000,02800,0000,02800ELECTROCARDIOLOGY 25559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25559,A000000,03050,0000,03300OTHER ANCILLARY 25559,A000000,03051,0000,03301OTHER ANCILLARY II 25559,A000000,03052,0000,03302OTHER ANCILLARY III 25559,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25559,A000000,03200,0000,03200SUPPORT SURFACES 25559,A000000,03400,0000,03400CLINIC 25559,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25559,A000000,03500,0000,03500RURAL HEALTH CLINIC 25559,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25559,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25559,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25559,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25559,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25559,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25559,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25559,A000000,04400,0000,04400DME RENTED - HHA 25559,A000000,04500,0000,04500DME SOLD - HHA 25559,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25559,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25559,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25559,A000000,04800,0000,04800AMBULANCE 25559,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25559,A000000,05000,0000,05000CORF 25559,A000000,05010,0000,05010CMHC I 25559,A000000,05020,0000,05020OPT I 25559,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25559,A000000,05300,0000,05300INTEREST EXPENSE 25559,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25559,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25559,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25559,A000000,05500,0000,05500HOSPICE 25559,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25559,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25559,A000000,06100,0000,06100NONPAID WORKERS 25559,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25559,A000000,06200,0000,06200PATIENTS LAUNDRY 25559,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25559,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25559,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25559,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25559,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25559,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25559,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25559,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25559,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25559,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25559,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25559,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25559,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25559,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25559,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25559,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25559,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25559,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25559,S000000,00100,0200,11/28/2000 25559,S200000,00100,0100,900 BOOTH STREET 25559,S200000,00200,0100,SALISBURY 25559,S200000,00200,0200,MD 25559,S200000,00200,0300,21801- 25559,S200000,00300,0100,WICOMICO COUNTY 25559,S200000,00400,0100,WICOMICO NURSING HOME INC. 25559,S200000,00400,0200,215007 25559,S200000,00400,0300,07/01/1996 25559,S200000,00400,0500,P 25559,S200000,01500,0100,Y 25559,S200000,02200,0100,Y 25559,S200000,02800,0100,Y 25568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25568,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25568,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25568,A000000,00300,0000,00300EMPLOYEE BENEFITS 25568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25568,A000000,00700,0000,00700HOUSEKEEPING 25568,A000000,00800,0000,00800DIETARY 25568,A000000,00801,0000,00801CAFETERIA 25568,A000000,00900,0000,00900NURSING ADMINISTRATION 25568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25568,A000000,01100,0000,01100PHARMACY 25568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25568,A000000,01300,0000,01300SOCIAL SERVICE 25568,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 25568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25568,A000000,01600,0000,01600SKILLED NURSING FACILITY 25568,A000000,01800,0000,01800NURSING FACILITY 25568,A000000,01900,0000,01900OTHER LONG TERM CARE 25568,A000000,02100,0000,02100RADIOLOGY 25568,A000000,02200,0000,02200LABORATORY 25568,A000000,02300,0000,02300INTRAVENOUS THERAPY 25568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25568,A000000,02500,0000,02500PHYSICAL THERAPY 25568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25568,A000000,02700,0000,02700SPEECH PATHOLOGY 25568,A000000,02800,0000,02800ELECTROCARDIOLOGY 25568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25568,A000000,03050,0000,03300OTHER ANCILLARY 25568,A000000,03051,0000,03301OTHER ANCILLARY II 25568,A000000,03052,0000,03302OTHER ANCILLARY III 25568,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25568,A000000,03200,0000,03200SUPPORT SURFACES 25568,A000000,03400,0000,03400CLINIC 25568,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25568,A000000,03500,0000,03500RURAL HEALTH CLINIC 25568,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25568,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25568,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25568,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25568,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25568,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25568,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25568,A000000,04400,0000,04400DME RENTED - HHA 25568,A000000,04500,0000,04500DME SOLD - HHA 25568,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25568,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25568,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25568,A000000,04800,0000,04800AMBULANCE 25568,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25568,A000000,05000,0000,05000CORF 25568,A000000,05010,0000,05010CMHC I 25568,A000000,05020,0000,05020OPT I 25568,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25568,A000000,05300,0000,05300INTEREST EXPENSE 25568,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25568,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25568,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25568,A000000,05500,0000,05500HOSPICE 25568,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25568,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25568,A000000,06100,0000,06100NONPAID WORKERS 25568,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25568,A000000,06200,0000,06200PATIENTS LAUNDRY 25568,A81000A,00100,0100,Y 25568,A81000B,00100,0300,RENTAL REAL ESTATE 25568,A81000B,00200,0300,INTEREST 25568,A81000B,00300,0300,BOND ISSUE 25568,A81000B,00400,0300,DEPRECIATION 25568,A81000C,00100,0100,A 25568,A81000C,00100,0200,ST. MARYS CO. 25568,A81000C,00100,0400,ST. MARYS CO 25568,A81000C,00100,0600,GOVERNMENT 25568,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25568,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25568,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25568,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25568,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25568,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25568,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25568,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25568,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25568,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25568,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25568,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 25568,S000000,00100,0200,12/11/2000 25568,S200000,00100,0100,PEABODY STREET 25568,S200000,00100,0300,518 25568,S200000,00200,0100,LEONARDTOWN 25568,S200000,00200,0200,MD 25568,S200000,00200,0300,20650- 25568,S200000,00300,0100,ST. MARYS 25568,S200000,00300,0200,21 25568,S200000,00300,0300,R 25568,S200000,00400,0100,ST. MARYS NURSING CENTER 25568,S200000,00400,0200,215013 25568,S200000,00400,0300,01/01/1980 25568,S200000,00400,0500,P 25568,S200000,01600,0100,Y 25577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25577,A000000,00300,0000,00300EMPLOYEE BENEFITS 25577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25577,A000000,00700,0000,00700HOUSEKEEPING 25577,A000000,00800,0000,00800DIETARY 25577,A000000,00900,0000,00900NURSING ADMINISTRATION 25577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25577,A000000,01100,0000,01100PHARMACY 25577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25577,A000000,01300,0000,01300SOCIAL SERVICE 25577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25577,A000000,01600,0000,01600SKILLED NURSING FACILITY 25577,A000000,01800,0000,01800NURSING FACILITY 25577,A000000,02100,0000,02100RADIOLOGY 25577,A000000,02200,0000,02200LABORATORY 25577,A000000,02300,0000,02300INTRAVENOUS THERAPY 25577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25577,A000000,02500,0000,02500PHYSICAL THERAPY 25577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25577,A000000,02700,0000,02700SPEECH PATHOLOGY 25577,A000000,02800,0000,02800ELECTROCARDIOLOGY 25577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25577,A000000,03050,0000,03300CLINITRON BEDS 25577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25577,A000000,03200,0000,03200SUPPORT SURFACES 25577,A000000,03400,0000,03400CLINIC 25577,A000000,04800,0000,04800AMBULANCE 25577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25577,A000000,05300,0000,05300INTEREST EXPENSE 25577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25577,A000000,06100,0000,06100NONPAID WORKERS 25577,A000000,06200,0000,06200PATIENTS LAUNDRY 25577,A81000A,00100,0100,Y 25577,A81000B,00100,0300,H/O - CAPITAL - BUILDINGS 25577,A81000B,00200,0300,H/O - CAPITAL - MME 25577,A81000B,00300,0300,H/O - ADMIN 25577,A81000C,00100,0100,B 25577,A81000C,00100,0200,ASLS 25577,A81000C,00100,0400,ASLS 25577,A81000C,00100,0600,MGMT 25577,A81000C,00200,0100,B 25577,A81000C,00200,0200,ASLS 25577,A81000C,00200,0400,ASLS 25577,A81000C,00200,0600,MGMT 25577,A81000C,00300,0100,B 25577,A81000C,00300,0200,ASLS 25577,A81000C,00300,0400,ASLS 25577,A81000C,00300,0600,MGMT 25577,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25577,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 25577,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25577,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25577,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25577,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25577,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25577,B100000,00000,0800,00000MEALS SERVED :DIETARY 25577,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 25577,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25577,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25577,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25577,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25577,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25577,S000000,00100,0200,06/01/2000 25577,S200000,00100,0100,2101 FAIRLAND ROAD 25577,S200000,00200,0100,SILVER SPRING 25577,S200000,00200,0200,MD 25577,S200000,00200,0300,20904- 25577,S200000,00300,0100,MONTGOMERY 25577,S200000,00400,0100,FAIRLAND ADVENTIST NURSING & REHABIL 25577,S200000,00400,0200,215015 25577,S200000,00400,0300,07/01/1994 25577,S200000,00400,0500,P 25577,S200000,00600,0200,215015 25577,S200000,00600,0300,07/01/1994 25577,S200000,00600,0600,P 25577,S200000,01600,0100,Y 25577,S200000,02200,0100,Y 25577,S700003,00000,0100,1 25609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25609,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25609,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25609,A000000,00300,0000,00300EMPLOYEE BENEFITS 25609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25609,A000000,00700,0000,00700HOUSEKEEPING 25609,A000000,00800,0000,00800DIETARY 25609,A000000,00801,0000,00801CAFETERIA 25609,A000000,00900,0000,00900NURSING ADMINISTRATION 25609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25609,A000000,01100,0000,01100PHARMACY 25609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25609,A000000,01300,0000,01300SOCIAL SERVICE 25609,A000000,01350,0000,01500ACTIVITIES 25609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25609,A000000,01600,0000,01600SKILLED NURSING FACILITY 25609,A000000,01800,0000,01800NURSING FACILITY 25609,A000000,01900,0000,01900OTHER LONG TERM CARE 25609,A000000,02100,0000,02100RADIOLOGY 25609,A000000,02200,0000,02200LABORATORY 25609,A000000,02300,0000,02300INTRAVENOUS THERAPY 25609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25609,A000000,02500,0000,02500PHYSICAL THERAPY 25609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25609,A000000,02700,0000,02700SPEECH PATHOLOGY 25609,A000000,02800,0000,02800ELECTROCARDIOLOGY 25609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25609,A000000,03050,0000,03300CLINITRON 25609,A000000,03051,0000,03301OTHER ANCILLARY II 25609,A000000,03052,0000,03302OTHER ANCILLARY III 25609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25609,A000000,03200,0000,03200SUPPORT SURFACES 25609,A000000,03400,0000,03400CLINIC 25609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25609,A000000,03500,0000,03500RURAL HEALTH CLINIC 25609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25609,A000000,04400,0000,04400DME RENTED - HHA 25609,A000000,04500,0000,04500DME SOLD - HHA 25609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25609,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25609,A000000,04800,0000,04800AMBULANCE 25609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25609,A000000,05000,0000,05000CORF 25609,A000000,05010,0000,05010CMHC I 25609,A000000,05020,0000,05020OPT I 25609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25609,A000000,05300,0000,05300INTEREST EXPENSE 25609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25609,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25609,A000000,05500,0000,05500HOSPICE 25609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25609,A000000,06100,0000,06100NONPAID WORKERS 25609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25609,A000000,06200,0000,06200PATIENTS LAUNDRY 25609,A81000A,00100,0100,Y 25609,A81000B,00100,0300,MANAGEMENT FEE 25609,A81000B,00200,0300,PAYROLL 25609,A81000C,00100,0100,A 25609,A81000C,00100,0200,CATHOLIC CHAR 25609,A81000C,00100,0400,CATHOLIC CHAR 25609,A81000C,00100,0600,NOT FOR PROFIT 25609,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25609,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25609,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25609,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25609,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25609,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25609,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25609,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25609,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25609,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25609,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 25609,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25609,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25609,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25609,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 25609,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25609,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25609,S000000,00100,0200,11/20/2000 25609,S200000,00100,0100,3320 BENSON AVENUE 25609,S200000,00200,0100,BALTIMORE 25609,S200000,00200,0200,MD 25609,S200000,00200,0300,21227- 25609,S200000,00400,0100,ST. ELIZABETH HOME FOR NURSING CARE 25609,S200000,00400,0200,215044 25609,S200000,00400,0300,09/15/1993 25609,S200000,00400,0500,P 25609,S200000,01004,0500,O 25609,S200000,01600,0100,Y 25630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25630,A000000,00300,0000,00300EMPLOYEE BENEFITS 25630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25630,A000000,00700,0000,00700HOUSEKEEPING 25630,A000000,00800,0000,00800DIETARY 25630,A000000,00900,0000,00900NURSING ADMINISTRATION 25630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25630,A000000,01100,0000,01100PHARMACY 25630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25630,A000000,01300,0000,01300SOCIAL SERVICE 25630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25630,A000000,01600,0000,01600SKILLED NURSING FACILITY 25630,A000000,01800,0000,01800NURSING FACILITY 25630,A000000,02100,0000,02100RADIOLOGY 25630,A000000,02200,0000,02200LABORATORY 25630,A000000,02300,0000,02300INTRAVENOUS THERAPY 25630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25630,A000000,02500,0000,02500PHYSICAL THERAPY 25630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25630,A000000,02700,0000,02700SPEECH PATHOLOGY 25630,A000000,02800,0000,02800ELECTROCARDIOLOGY 25630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25630,A000000,03051,0000,03300CLINITRON BEDS 25630,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25630,A000000,03200,0000,03200SUPPORT SURFACES 25630,A000000,03400,0000,03400CLINIC 25630,A000000,04800,0000,04800AMBULANCE 25630,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25630,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25630,A000000,05300,0000,05300INTEREST EXPENSE 25630,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25630,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25630,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25630,A000000,06100,0000,06100NONPAID WORKERS 25630,A000000,06200,0000,06200PATIENTS LAUNDRY 25630,A81000A,00100,0100,Y 25630,A81000B,00100,0300,H/O - CAPITAL - BUILDINGS 25630,A81000B,00200,0300,H/O - CAPITAL - MME 25630,A81000B,00300,0300,H/O - ADMIN 25630,A81000C,00100,0100,B 25630,A81000C,00100,0200,ASLS 25630,A81000C,00100,0400,ASLS 25630,A81000C,00100,0600,MGMT 25630,A81000C,00200,0100,B 25630,A81000C,00200,0200,ASLS 25630,A81000C,00200,0400,ASLS 25630,A81000C,00200,0600,MGMT 25630,A81000C,00300,0100,B 25630,A81000C,00300,0200,ASLS 25630,A81000C,00300,0400,ASLS 25630,A81000C,00300,0600,MGMT 25630,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25630,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 25630,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25630,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25630,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25630,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25630,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25630,B100000,00000,0800,00000MEALS SERVED :DIETARY 25630,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 25630,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25630,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25630,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25630,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25630,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25630,S000000,00100,0200,06/01/2000 25630,S200000,00100,0100,12325 NEW HAMPSHIRE AVE 25630,S200000,00200,0100,SILVER SPRING 25630,S200000,00200,0200,MD 25630,S200000,00200,0300,20904- 25630,S200000,00300,0100,MONTGOMERY 25630,S200000,00400,0100,SPRINGBROOK ADVENTIST NURSING & REHA 25630,S200000,00400,0200,215052 25630,S200000,00400,0300,06/01/1991 25630,S200000,00400,0500,P 25630,S200000,00600,0200,215052 25630,S200000,00600,0300,06/01/1991 25630,S200000,00600,0600,P 25630,S200000,01600,0100,Y 25641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25641,A000000,00300,0000,00300EMPLOYEE BENEFITS 25641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25641,A000000,00700,0000,00700HOUSEKEEPING 25641,A000000,00800,0000,00800DIETARY 25641,A000000,00900,0000,00900NURSING ADMINISTRATION 25641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25641,A000000,01100,0000,01100PHARMACY 25641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25641,A000000,01300,0000,01300SOCIAL SERVICE 25641,A000000,01350,0000,01500ACTIVITIES 25641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25641,A000000,01600,0000,01600SKILLED NURSING FACILITY 25641,A000000,01800,0000,01800NURSING FACILITY 25641,A000000,01900,0000,01900OTHER LONG TERM CARE 25641,A000000,02100,0000,02100RADIOLOGY 25641,A000000,02200,0000,02200LABORATORY 25641,A000000,02300,0000,02300INTRAVENOUS THERAPY 25641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25641,A000000,02500,0000,02500PHYSICAL THERAPY 25641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25641,A000000,02700,0000,02700SPEECH PATHOLOGY 25641,A000000,02800,0000,02800ELECTROCARDIOLOGY 25641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25641,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25641,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25641,A000000,03200,0000,03200SUPPORT SURFACES 25641,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25641,A000000,04800,0000,04800AMBULANCE 25641,A000000,05300,0000,05300INTEREST EXPENSE 25641,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25641,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25641,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25641,A000000,06100,0000,06100NONPAID WORKERS 25641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25641,A000000,06200,0000,06200PATIENTS LAUNDRY 25641,A81000A,00100,0100,Y 25641,A81000B,00100,0300,HOME OFFICE COST 25641,A81000B,00200,0300,HOME OFFICE DIRECT INTEREST COST 25641,A81000B,00300,0300,PT ADMINISTRATION FEE 25641,A81000B,00400,0300,OT ADMINISTRATION FEE 25641,A81000B,00500,0300,ST ADMINISTRATION FEE 25641,A81000C,00100,0100,B 25641,A81000C,00100,0200,MANOR CARE TOWSON 25641,A81000C,00100,0400,HCR MANORCARE INC. 25641,A81000C,00100,0600,LONG TERM CARE FACILITIES 25641,A81000C,00200,0100,B 25641,A81000C,00200,0200,MANOR CARE TOWSON 25641,A81000C,00200,0400,HCR MANORCARE INC. 25641,A81000C,00200,0600,LONG TERM CARE FACILITIES 25641,A81000C,00300,0100,B 25641,A81000C,00300,0200,MANOR CARE TOWSON 25641,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25641,A81000C,00300,0600,THERAPY MANAGEMENT 25641,A81000C,00400,0100,B 25641,A81000C,00400,0200,MANOR CARE TOWSON 25641,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25641,A81000C,00400,0600,THERAPY MANAGEMENT 25641,A81000C,00500,0100,B 25641,A81000C,00500,0200,MANOR CARE TOWSON 25641,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 25641,A81000C,00500,0600,THERAPY MANAGEMENT 25641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25641,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25641,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25641,B100000,00000,0800,00000MEALS SERVED :DIETARY 25641,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25641,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25641,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25641,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25641,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25641,S000000,00100,0200,11/07/2000 25641,S200000,00100,0100,509 E JOPPA ROAD 25641,S200000,00200,0100,TOWSON 25641,S200000,00200,0200,MD 25641,S200000,00200,0300,21286- 25641,S200000,00300,0100,BALTIMORE 25641,S200000,00300,0200,720 25641,S200000,00300,0300,U 25641,S200000,00400,0100,MANOR CARE TOWSON 25641,S200000,00400,0200,215054 25641,S200000,00400,0300,07/01/1966 25641,S200000,00400,0500,P 25641,S200000,00400,0600,P 25641,S200000,01004,0500,O 25641,S200000,01600,0100,Y 25641,S200000,02200,0100,Y 25650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25650,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25650,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25650,A000000,00300,0000,00300EMPLOYEE BENEFITS 25650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25650,A000000,00700,0000,00700HOUSEKEEPING 25650,A000000,00800,0000,00800DIETARY 25650,A000000,00801,0000,00801CAFETERIA 25650,A000000,00900,0000,00900NURSING ADMINISTRATION 25650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25650,A000000,01100,0000,01100PHARMACY 25650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25650,A000000,01300,0000,01300SOCIAL SERVICE 25650,A000000,01350,0000,01500ACTIVITIES 25650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25650,A000000,01600,0000,01600SKILLED NURSING FACILITY 25650,A000000,01800,0000,01800NURSING FACILITY 25650,A000000,01900,0000,01900OTHER LONG TERM CARE 25650,A000000,02100,0000,02100RADIOLOGY 25650,A000000,02200,0000,02200LABORATORY 25650,A000000,02300,0000,02300INTRAVENOUS THERAPY 25650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25650,A000000,02500,0000,02500PHYSICAL THERAPY 25650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25650,A000000,02700,0000,02700SPEECH PATHOLOGY 25650,A000000,02800,0000,02800ELECTROCARDIOLOGY 25650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25650,A000000,03050,0000,03300OTHER ANCILLARY 25650,A000000,03051,0000,03301OTHER ANCILLARY II 25650,A000000,03052,0000,03302OTHER ANCILLARY III 25650,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25650,A000000,03200,0000,03200SUPPORT SURFACES 25650,A000000,03400,0000,03400CLINIC 25650,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25650,A000000,03500,0000,03500RURAL HEALTH CLINIC 25650,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25650,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25650,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25650,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25650,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25650,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25650,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25650,A000000,04400,0000,04400DME RENTED - HHA 25650,A000000,04500,0000,04500DME SOLD - HHA 25650,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25650,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25650,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25650,A000000,04800,0000,04800AMBULANCE 25650,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25650,A000000,05000,0000,05000CORF 25650,A000000,05010,0000,05010CMHC I 25650,A000000,05020,0000,05020OPT I 25650,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25650,A000000,05300,0000,05300INTEREST EXPENSE 25650,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25650,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25650,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25650,A000000,05500,0000,05500HOSPICE 25650,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25650,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25650,A000000,06100,0000,06100NONPAID WORKERS 25650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25650,A000000,06200,0000,06200PATIENTS LAUNDRY 25650,A81000A,00100,0100,Y 25650,A81000B,00100,0300,SHARED P.O.M. 25650,A81000B,00200,0300,SHARED ADMIN COST 25650,A81000C,00100,0100,A 25650,A81000C,00100,0200,E. MCCREADY MEM 25650,A81000C,00100,0400,MCCREADY MEM 25650,A81000C,00100,0600,HOSPITIAL 25650,A81000C,00200,0100,A 25650,A81000C,00200,0200,E. MCCREADY MEM 25650,A81000C,00200,0400,MCCREADY MEM 25650,A81000C,00200,0600,HOSPITIAL 25650,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25650,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25650,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25650,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25650,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25650,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25650,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25650,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25650,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25650,S000000,00100,0200,12/11/2000 25650,S200000,00100,0100,201 HALL HIGHWAY 25650,S200000,00200,0100,CRISFIELD 25650,S200000,00200,0200,MD 25650,S200000,00200,0300,21817- 25650,S200000,00300,0100,SOMERSET 25650,S200000,00300,0200,0021 25650,S200000,00300,0300,R 25650,S200000,00400,0100,ALICE BYRD TAWES NURSING HOME 25650,S200000,00400,0200,215058 25650,S200000,00400,0300,01/01/1972 25650,S200000,00400,0500,P 25650,S200000,01500,0100,Y 25659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25659,A000000,00300,0000,00300EMPLOYEE BENEFITS 25659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25659,A000000,00700,0000,00700HOUSEKEEPING 25659,A000000,00800,0000,00800DIETARY 25659,A000000,00900,0000,00900NURSING ADMINISTRATION 25659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25659,A000000,01100,0000,01100PHARMACY 25659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25659,A000000,01300,0000,01300SOCIAL SERVICE 25659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25659,A000000,01600,0000,01600SKILLED NURSING FACILITY 25659,A000000,01810,0000,01810ICF/MR 25659,A000000,02500,0000,02500PHYSICAL THERAPY 25659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25659,A000000,02700,0000,02700SPEECH PATHOLOGY 25659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25659,A000000,03050,0000,03300ENTERAL FEEDING 25659,A000000,03550,0000,03550FQHC 25659,A000000,05000,0000,05000CORF 25659,A000000,05010,0000,05010CMHC 25659,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25659,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25659,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25659,A81000A,00100,0100,Y 25659,A81000B,00100,0300,DEPREC-REAL ESTATE 25659,A81000B,00200,0300,DEPREC-EQUIPMENT 25659,A81000B,00300,0300,ADMIN & SUPPORT 25659,A81000C,00100,0100,B 25659,A81000C,00100,0200,MEDSTAR ENTERPR 25659,A81000C,00100,0400,MEDSTAR ENTERPR 25659,A81000C,00100,0600,PARENT/HOME OFF 25659,A81000C,00200,0100,B 25659,A81000C,00200,0200,MEDLANTIC MANAG 25659,A81000C,00200,0400,MEDLANTIC HEALT 25659,A81000C,00200,0600,ADMIN & SUPPORT 25659,A81000C,00300,0100,B 25659,A81000C,00300,0200,MEDSTAR HEALTH 25659,A81000C,00300,0400,ENSIGN INST PHA 25659,A81000C,00300,0600,PHARMACY SVCS 25659,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25659,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25659,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25659,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25659,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25659,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25659,B100000,00000,0800,00000MEALS SERVED :DIETARY 25659,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 25659,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25659,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25659,S000000,00100,0200,10/30/2000 25659,S200000,00100,0100,2601 BEL PRE ROAD 25659,S200000,00200,0100,SILVER SPRING 25659,S200000,00200,0200,MD 25659,S200000,00200,0300,20906- 25659,S200000,00300,0100,MONTGOMERY 25659,S200000,00300,0200,8840 25659,S200000,00300,0300,U 25659,S200000,00400,0100,MEDLANTIC MANOR AT LAYHILL 25659,S200000,00400,0200,215065 25659,S200000,00400,0300,07/01/1988 25659,S200000,00400,0500,P 25659,S200000,01500,0100,Y 25659,S200000,01900,0100,PRIVATE-NON PROFIT 25659,S200000,02800,0100,Y 25659,S200000,03100,0100,Y 25668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25668,A000000,00300,0000,00300EMPLOYEE BENEFITS 25668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25668,A000000,00700,0000,00700HOUSEKEEPING 25668,A000000,00800,0000,00800DIETARY 25668,A000000,00900,0000,00900NURSING ADMINISTRATION 25668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25668,A000000,01100,0000,01100PHARMACY 25668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25668,A000000,01300,0000,01300SOCIAL SERVICE 25668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25668,A000000,01600,0000,01600SKILLED NURSING FACILITY 25668,A000000,01800,0000,01800NURSING FACILITY 25668,A000000,02100,0000,02100RADIOLOGY 25668,A000000,02200,0000,02200LABORATORY 25668,A000000,02300,0000,02300INTRAVENOUS THERAPY 25668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25668,A000000,02500,0000,02500PHYSICAL THERAPY 25668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25668,A000000,02700,0000,02700SPEECH PATHOLOGY 25668,A000000,02800,0000,02800ELECTROCARDIOLOGY 25668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25668,A000000,03050,0000,03300CLINITRON BEDS 25668,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25668,A000000,03200,0000,03200SUPPORT SURFACES 25668,A000000,03400,0000,03400CLINIC 25668,A000000,04800,0000,04800AMBULANCE 25668,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25668,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25668,A000000,05300,0000,05300INTEREST EXPENSE 25668,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25668,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25668,A000000,06100,0000,06100NONPAID WORKERS 25668,A000000,06200,0000,06200PATIENTS LAUNDRY 25668,A000000,06201,0000,06201DELICENSED BEDS 25668,A81000A,00100,0100,Y 25668,A81000B,00100,0300,H/O - CAPITAL - BUILDINGS 25668,A81000B,00200,0300,H/O - CAPITAL -MME 25668,A81000B,00300,0300,H/O - ADMIN 25668,A81000B,00400,0300,DELICENSED BEDS 25668,A81000C,00100,0100,B 25668,A81000C,00100,0200,ASLS 25668,A81000C,00100,0400,ASLS 25668,A81000C,00100,0600,MGMT 25668,A81000C,00200,0100,B 25668,A81000C,00200,0200,ASLS 25668,A81000C,00200,0400,ASLS 25668,A81000C,00200,0600,MGMT 25668,A81000C,00300,0100,B 25668,A81000C,00300,0200,ASLS 25668,A81000C,00300,0400,ASLS 25668,A81000C,00300,0600,MGMT 25668,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 25668,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 25668,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 25668,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 25668,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 25668,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 25668,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 25668,B100000,00000,0800,00001MEALS SERVED :DIETARY 25668,B100000,00000,0950,00001SALARIES :NURSING ADMINISTRATION 25668,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 25668,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 25668,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 25668,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 25668,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 25668,S000000,00100,0200,06/01/2000 25668,S200000,00100,0100,7525 CARROLL AVENUE 25668,S200000,00200,0100,TAKOMA PARK 25668,S200000,00200,0200,MD 25668,S200000,00200,0300,20912- 25668,S200000,00300,0100,MONTGOMERY 25668,S200000,00400,0100,SLIGO CREEK NURSING & REHABILITATION 25668,S200000,00400,0200,215068 25668,S200000,00400,0300,07/01/1991 25668,S200000,00400,0500,P 25668,S200000,00600,0200,215068 25668,S200000,00600,0300,07/01/1991 25668,S200000,00600,0600,P 25668,S200000,01600,0100,Y 25679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25679,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25679,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25679,A000000,00300,0000,00300EMPLOYEE BENEFITS 25679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25679,A000000,00700,0000,00700HOUSEKEEPING 25679,A000000,00800,0000,00800DIETARY 25679,A000000,00801,0000,00801CAFETERIA 25679,A000000,00900,0000,00900NURSING ADMINISTRATION 25679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25679,A000000,01100,0000,01100PHARMACY 25679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25679,A000000,01300,0000,01300SOCIAL SERVICE 25679,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 25679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25679,A000000,01600,0000,01600SKILLED NURSING FACILITY 25679,A000000,01800,0000,01800NURSING FACILITY 25679,A000000,01900,0000,01900OTHER LONG TERM CARE 25679,A000000,02100,0000,02100RADIOLOGY 25679,A000000,02200,0000,02200LABORATORY 25679,A000000,02300,0000,02300INTRAVENOUS THERAPY 25679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25679,A000000,02500,0000,02500PHYSICAL THERAPY 25679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25679,A000000,02700,0000,02700SPEECH PATHOLOGY 25679,A000000,02800,0000,02800ELECTROCARDIOLOGY 25679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25679,A000000,03050,0000,03300OTHER ANCILLARY 25679,A000000,03051,0000,03301OTHER ANCILLARY II 25679,A000000,03052,0000,03302OTHER ANCILLARY III 25679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25679,A000000,03200,0000,03200SUPPORT SURFACES 25679,A000000,03400,0000,03400CLINIC 25679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25679,A000000,03500,0000,03500RURAL HEALTH CLINIC 25679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25679,A000000,04400,0000,04400DME RENTED - HHA 25679,A000000,04500,0000,04500DME SOLD - HHA 25679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25679,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25679,A000000,04800,0000,04800AMBULANCE 25679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25679,A000000,05000,0000,05000CORF 25679,A000000,05010,0000,05010CMHC I 25679,A000000,05020,0000,05020OPT I 25679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25679,A000000,05300,0000,05300INTEREST EXPENSE 25679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25679,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25679,A000000,05500,0000,05500HOSPICE 25679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25679,A000000,06100,0000,06100NONPAID WORKERS 25679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25679,A000000,06200,0000,06200PATIENTS LAUNDRY 25679,A81000A,00100,0100,Y 25679,A81000B,00100,0300,DEPR - WASSERMAN 25679,A81000B,00200,0300,DEPR - SK 25679,A81000C,00100,0100,A 25679,A81000C,00100,0200,HEBREW HOME 25679,A81000C,00100,0400,JEWISH COMM FDN 25679,A81000C,00100,0600,CHARITABLE ORG 25679,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25679,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25679,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25679,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25679,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25679,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25679,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 25679,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25679,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25679,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25679,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 25679,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 25679,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 25679,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 25679,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 25679,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 25679,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25679,S000000,00100,0200,05/26/2000 25679,S200000,00100,0100,6121 MONTROSE ROAD 25679,S200000,00200,0100,ROCKVILLE 25679,S200000,00200,0200,MD 25679,S200000,00200,0300,20852- 25679,S200000,00300,0100,MONTGOMERY 25679,S200000,00400,0100,HEBREW HOME OF GREATER WASHINGTON 25679,S200000,00400,0200,215071 25679,S200000,00400,0300,07/01/1969 25679,S200000,00400,0500,P 25679,S200000,01600,0100,Y 25679,S200000,02200,0100,Y 25679,S200000,04300,0100,Y 25689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25689,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25689,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25689,A000000,00300,0000,00300EMPLOYEE BENEFITS 25689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25689,A000000,00700,0000,00700HOUSEKEEPING 25689,A000000,00800,0000,00800DIETARY 25689,A000000,00801,0000,00801CAFETERIA 25689,A000000,00900,0000,00900NURSING ADMINISTRATION 25689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25689,A000000,01100,0000,01100PHARMACY 25689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25689,A000000,01300,0000,01300SOCIAL SERVICE 25689,A000000,01350,0000,01500ACTIVITIES 25689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25689,A000000,01600,0000,01600SKILLED NURSING FACILITY 25689,A000000,01800,0000,01800NURSING FACILITY 25689,A000000,01900,0000,01900OTHER LONG TERM CARE 25689,A000000,02100,0000,02100RADIOLOGY 25689,A000000,02200,0000,02200LABORATORY 25689,A000000,02300,0000,02300INTRAVENOUS THERAPY 25689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25689,A000000,02500,0000,02500PHYSICAL THERAPY 25689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25689,A000000,02700,0000,02700SPEECH PATHOLOGY 25689,A000000,02800,0000,02800ELECTROCARDIOLOGY 25689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25689,A000000,03050,0000,03300OTHER ANCILLARY 25689,A000000,03051,0000,03301OTHER ANCILLARY II 25689,A000000,03052,0000,03302OTHER ANCILLARY III 25689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25689,A000000,03200,0000,03200SUPPORT SURFACES 25689,A000000,03400,0000,03400CLINIC 25689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25689,A000000,03500,0000,03500RURAL HEALTH CLINIC 25689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25689,A000000,04400,0000,04400DME RENTED - HHA 25689,A000000,04500,0000,04500DME SOLD - HHA 25689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25689,A000000,04800,0000,04800AMBULANCE 25689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25689,A000000,05000,0000,05000CORF 25689,A000000,05010,0000,05010CMHC I 25689,A000000,05020,0000,05020OPT I 25689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25689,A000000,05300,0000,05300INTEREST EXPENSE 25689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25689,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25689,A000000,05500,0000,05500HOSPICE 25689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25689,A000000,06100,0000,06100NONPAID WORKERS 25689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25689,A000000,06200,0000,06200PATIENTS LAUNDRY 25689,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25689,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25689,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25689,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25689,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25689,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25689,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25689,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 25689,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25689,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25689,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25689,E10A180,00501,0100,01/22/2001 25689,E10A180,00550,0100,11/28/2000 25689,S000000,00100,0200,11/29/2000 25689,S200000,00100,0100,SETON DRIVE 25689,S200000,00200,0100,CUMBERLAND 25689,S200000,00200,0200,MD 25689,S200000,00200,0300,21502- 25689,S200000,00300,0100,ALLEGHENY 25689,S200000,00300,0200,1900 25689,S200000,00300,0300,U 25689,S200000,00400,0100,LIONS MANOR NURSING HOME 25689,S200000,00400,0200,215073 25689,S200000,00400,0300,12/22/1969 25689,S200000,00400,0500,P 25689,S200000,01004,0500,O 25689,S200000,01500,0100,Y 25689,S200000,02200,0100,Y 25689,S200000,02800,0100,Y 25701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25701,A000000,00300,0000,00300EMPLOYEE BENEFITS 25701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25701,A000000,00700,0000,00700HOUSEKEEPING 25701,A000000,00800,0000,00800DIETARY 25701,A000000,00900,0000,00900NURSING ADMINISTRATION 25701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25701,A000000,01100,0000,01100PHARMACY 25701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25701,A000000,01300,0000,01300SOCIAL SERVICE 25701,A000000,01350,0000,01500ACTIVITIES 25701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25701,A000000,01600,0000,01600SKILLED NURSING FACILITY 25701,A000000,01800,0000,01800NURSING FACILITY 25701,A000000,01900,0000,01900OTHER LONG TERM CARE 25701,A000000,02100,0000,02100RADIOLOGY 25701,A000000,02200,0000,02200LABORATORY 25701,A000000,02300,0000,02300INTRAVENOUS THERAPY 25701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25701,A000000,02500,0000,02500PHYSICAL THERAPY 25701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25701,A000000,02700,0000,02700SPEECH PATHOLOGY 25701,A000000,02800,0000,02800ELECTROCARDIOLOGY 25701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25701,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25701,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25701,A000000,03200,0000,03200SUPPORT SURFACES 25701,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25701,A000000,04800,0000,04800AMBULANCE 25701,A000000,05300,0000,05300INTEREST EXPENSE 25701,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25701,A000000,06100,0000,06100NONPAID WORKERS 25701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25701,A000000,06200,0000,06200PATIENTS LAUNDRY 25701,A81000A,00100,0100,Y 25701,A81000B,00100,0300,HOME OFFICE COST 25701,A81000B,00200,0300,DIRECT INTEREST 25701,A81000B,00300,0300,PT ADMIN FEES 25701,A81000B,00400,0300,OT ADMIN FEES 25701,A81000B,00500,0300,ST ADMIN FEES 25701,A81000C,00100,0100,B 25701,A81000C,00100,0200,MANOR CARE RUXTON 25701,A81000C,00100,0400,HCR MANORCARE INC. 25701,A81000C,00100,0600,LONG TERM CARE FACILITIES 25701,A81000C,00200,0100,B 25701,A81000C,00200,0200,MANOR CARE RUXTON 25701,A81000C,00200,0400,HCR MANORCARE INC. 25701,A81000C,00200,0600,LONG TERM CARE FACILITIES 25701,A81000C,00300,0100,B 25701,A81000C,00300,0200,MANOR CARE RUXTON 25701,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 25701,A81000C,00300,0600,THERAPY MANAGEMENT 25701,A81000C,00400,0100,B 25701,A81000C,00400,0200,MANOR CARE RUXTON 25701,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 25701,A81000C,00400,0600,THERAPY MANAGEMENT 25701,A81000C,00500,0100,B 25701,A81000C,00500,0200,MANOR CARE RUXTON 25701,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 25701,A81000C,00500,0600,THERAPY MANAGEMENT 25701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25701,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25701,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25701,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25701,B100000,00000,0800,00000MEALS SERVED :DIETARY 25701,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25701,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25701,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25701,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25701,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25701,S000000,00100,0200,10/30/2000 25701,S200000,00100,0100,7001 N. CHARLES STREET 25701,S200000,00200,0100,TOWSON 25701,S200000,00200,0200,MD 25701,S200000,00200,0300,21204- 25701,S200000,00300,0100,BALTIMORE 25701,S200000,00300,0200,7 25701,S200000,00300,0300,U 25701,S200000,00400,0100,MANOR CARE RUXTON 25701,S200000,00400,0200,215077 25701,S200000,00400,0300,01/01/1995 25701,S200000,00400,0500,P 25701,S200000,00400,0600,P 25701,S200000,01004,0500,O 25701,S200000,01600,0100,Y 25701,S200000,02200,0100,Y 25710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25710,A000000,00300,0000,00300EMPLOYEE BENEFITS 25710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25710,A000000,00700,0000,00700HOUSEKEEPING 25710,A000000,00800,0000,00800DIETARY 25710,A000000,00900,0000,00900NURSING ADMINISTRATION 25710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25710,A000000,01100,0000,01100PHARMACY 25710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25710,A000000,01300,0000,01300SOCIAL SERVICE 25710,A000000,01350,0000,01500ACTIVITIES 25710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25710,A000000,01600,0000,01600SKILLED NURSING FACILITY 25710,A000000,01800,0000,01800NURSING FACILITY 25710,A000000,01810,0000,01810ICF/MR 25710,A000000,01900,0000,01900OTHER LONG TERM CARE 25710,A000000,02100,0000,02100RADIOLOGY 25710,A000000,02200,0000,02200LABORATORY 25710,A000000,02300,0000,02300INTRAVENOUS THERAPY 25710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25710,A000000,02500,0000,02500PHYSICAL THERAPY 25710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25710,A000000,02700,0000,02700SPEECH PATHOLOGY 25710,A000000,02800,0000,02800ELECTROCARDIOLOGY 25710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25710,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 25710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25710,A000000,03200,0000,03200SUPPORT SURFACES 25710,A000000,03400,0000,03400CLINIC 25710,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 25710,A000000,03500,0000,03500RURAL HEALTH CLINIC 25710,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25710,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25710,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25710,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25710,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25710,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25710,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25710,A000000,04400,0000,04400DME RENTED - HHA 25710,A000000,04500,0000,04500DME SOLD - HHA 25710,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25710,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25710,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25710,A000000,04800,0000,04800AMBULANCE 25710,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25710,A000000,05000,0000,05000CORF 25710,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25710,A000000,05300,0000,05300INTEREST EXPENSE 25710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25710,A000000,05500,0000,05500HOSPICE 25710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25710,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25710,A000000,06100,0000,06100NONPAID WORKERS 25710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25710,A000000,06200,0000,06200PATIENTS LAUNDRY 25710,A81000A,00100,0100,Y 25710,A81000B,00100,0300,VARIOUS ALLOCATED COSTS 25710,A81000B,00200,0300,CAPITAL COSTS 25710,A81000C,00100,0100,B 25710,A81000C,00100,0200,ASBURY METHODIST VILLAGE 25710,A81000C,00100,0400,ASBURY SERVICES INC 25710,A81000C,00100,0600,LONG TERM CARE 25710,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25710,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25710,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25710,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25710,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25710,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25710,B100000,00000,0800,00000MEALS SERVED :DIETARY 25710,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 25710,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25710,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25710,S000000,00100,0200,06/01/2000 25710,S200000,00100,0100,201 RUSSELL AVENUE 25710,S200000,00200,0100,GAITHERSBURG 25710,S200000,00200,0200,MD 25710,S200000,00200,0300,20877- 25710,S200000,00300,0100,MONTGOMERY 25710,S200000,00300,0200,8840 25710,S200000,00300,0300,U 25710,S200000,00400,0100,ASBURY METHODIST VILLAGE 25710,S200000,00400,0200,215099 25710,S200000,00400,0300,04/10/1975 25710,S200000,00400,0500,P 25710,S200000,01500,0100,Y 25722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25722,A000000,00300,0000,00300EMPLOYEE BENEFITS 25722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25722,A000000,00700,0000,00700HOUSEKEEPING 25722,A000000,00800,0000,00800DIETARY 25722,A000000,00900,0000,00900NURSING ADMINISTRATION 25722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25722,A000000,01100,0000,01100PHARMACY 25722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25722,A000000,01300,0000,01300SOCIAL SERVICE 25722,A000000,01350,0000,01500ACTIVITIES 25722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25722,A000000,01600,0000,01600SKILLED NURSING FACILITY 25722,A000000,01800,0000,01800NURSING FACILITY 25722,A000000,01900,0000,01900OTHER LONG TERM CARE 25722,A000000,02100,0000,02100RADIOLOGY 25722,A000000,02200,0000,02200LABORATORY 25722,A000000,02300,0000,02300INTRAVENOUS THERAPY 25722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25722,A000000,02500,0000,02500PHYSICAL THERAPY 25722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25722,A000000,02700,0000,02700SPEECH PATHOLOGY 25722,A000000,02800,0000,02800ELECTROCARDIOLOGY 25722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25722,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25722,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25722,A000000,03200,0000,03200SUPPORT SURFACES 25722,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25722,A000000,04800,0000,04800AMBULANCE 25722,A000000,05300,0000,05300INTEREST EXPENSE 25722,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25722,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25722,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25722,A000000,06100,0000,06100NONPAID WORKERS 25722,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25722,A000000,06200,0000,06200PATIENTS LAUNDRY 25722,A81000A,00100,0100,Y 25722,A81000B,00100,0300,HOME OFFICE COST 25722,A81000B,00200,0300,PT ADMINISTRATION FEES 25722,A81000B,00300,0300,OT ADMINISTRATION FEES 25722,A81000B,00400,0300,ST ADMINISTRATION FEES 25722,A81000C,00100,0100,B 25722,A81000C,00100,0200,MANOR CARE LARGO 25722,A81000C,00100,0400,HCR MANORCARE INC. 25722,A81000C,00100,0600,LONG TERM CARE FACILITIES 25722,A81000C,00200,0100,B 25722,A81000C,00200,0200,MANOR CARE LARGO 25722,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 25722,A81000C,00200,0600,THERAPY MANAGEMENT 25722,A81000C,00300,0100,B 25722,A81000C,00300,0200,MANOR CARE LARGO 25722,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 25722,A81000C,00300,0600,THERAPY MANAGEMENT 25722,A81000C,00400,0100,B 25722,A81000C,00400,0200,MANOR CARE LARGO 25722,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 25722,A81000C,00400,0600,THERAPY MANAGEMENT 25722,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25722,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25722,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25722,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25722,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25722,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25722,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25722,B100000,00000,0800,00000MEALS SERVED :DIETARY 25722,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25722,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25722,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25722,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25722,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25722,S000000,00100,0200,04/21/2000 25722,S200000,00100,0100,600 LARGO ROAD 25722,S200000,00200,0100,LARGO 25722,S200000,00200,0200,MD 25722,S200000,00200,0300,20772- 25722,S200000,00300,0100,PRINCE GEORGES 25722,S200000,00300,0200,8840 25722,S200000,00300,0300,U 25722,S200000,00400,0100,MANOR CARE LARGO 25722,S200000,00400,0200,215104 25722,S200000,00400,0300,01/01/1985 25722,S200000,00400,0500,P 25722,S200000,00400,0600,P 25722,S200000,01004,0500,O 25722,S200000,01600,0100,Y 25722,S200000,02200,0100,Y 25738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25738,A000000,00300,0000,00300EMPLOYEE BENEFITS 25738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25738,A000000,00700,0000,00700HOUSEKEEPING 25738,A000000,00800,0000,00800DIETARY 25738,A000000,00900,0000,00900NURSING ADMINISTRATION 25738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25738,A000000,01100,0000,01100PHARMACY 25738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25738,A000000,01300,0000,01300SOCIAL SERVICE 25738,A000000,01350,0000,01500RECREATION ACTIVITIES 25738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25738,A000000,01600,0000,01600SKILLED NURSING FACILITY 25738,A000000,01800,0000,01800NURSING FACILITY 25738,A000000,01810,0000,01810ICF/MR 25738,A000000,02100,0000,02100RADIOLOGY 25738,A000000,02200,0000,02200LABORATORY 25738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25738,A000000,02500,0000,02500PHYSICAL THERAPY 25738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25738,A000000,02700,0000,02700SPEECH PATHOLOGY 25738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25738,A000000,03050,0000,03300ENTERAL FEEDING 25738,A000000,03200,0000,03200SUPPORT SURFACES 25738,A000000,03550,0000,03550FQHC 25738,A000000,05000,0000,05000CORF 25738,A000000,05010,0000,05010CMHC 25738,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25738,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25738,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25738,A000000,06150,0000,06300ADULT DAY CARE 25738,A000000,06151,0000,06301FUNDRAISING 25738,A81000A,00100,0100,Y 25738,A81000B,00100,0300,ORIGINAL LEASE 25738,A81000B,00200,0300,ADDITION LEASE 25738,A81000B,00300,0300,LOAN INTEREST 25738,A81000C,00100,0100,B 25738,A81000C,00100,0200,CHARLES COUNTY 25738,A81000C,00100,0400,CHARLES COUNTY 25738,A81000C,00100,0600,GOVT 25738,A81000C,00200,0100,B 25738,A81000C,00200,0200,CHARLES COUNTY 25738,A81000C,00200,0400,CHARLES COUNTY 25738,A81000C,00200,0600,GOVT 25738,A81000C,00300,0100,B 25738,A81000C,00300,0200,CHARLES COUNTY 25738,A81000C,00300,0400,CHARLES COUNTY 25738,A81000C,00300,0600,GOVT 25738,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 25738,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 25738,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 25738,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 25738,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 25738,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 25738,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 25738,B100000,00000,0800,00001MEALS SERVED :DIETARY 25738,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 25738,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 25738,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 25738,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 25738,B100000,00000,1350,00001PATIENT DAYS :RECREATION ACTIVITIE 25738,S000000,00100,0200,11/27/2000 25738,S200000,00100,0100,10200 LAPLATA ROAD 25738,S200000,00200,0100,LAPLATA 25738,S200000,00200,0200,MD 25738,S200000,00200,0300,20646- 25738,S200000,00300,0100,CHARLES COUNTY 25738,S200000,00300,0200,8840 25738,S200000,00300,0300,U 25738,S200000,00400,0100,CHARLES COUNTY NRSG. REHAB CTR. INC 25738,S200000,00400,0200,215106 25738,S200000,00400,0300,07/01/1990 25738,S200000,00400,0500,P 25738,S200000,00600,0200,215106 25738,S200000,00600,0300,07/01/1990 25738,S200000,00600,0600,P 25738,S200000,01004,0500,O 25738,S200000,01600,0100,Y 25738,S200000,01900,0100,NURSING HOME 25738,S200000,02800,0100,Y 25750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25750,A000000,00300,0000,00300EMPLOYEE BENEFITS 25750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25750,A000000,00700,0000,00700HOUSEKEEPING 25750,A000000,00800,0000,00800DIETARY 25750,A000000,00900,0000,00900NURSING ADMINISTRATION 25750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25750,A000000,01100,0000,01100PHARMACY 25750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25750,A000000,01300,0000,01300SOCIAL SERVICE 25750,A000000,01350,0000,01500ACTIVITIES 25750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25750,A000000,01600,0000,01600SKILLED NURSING FACILITY 25750,A000000,01800,0000,01800NURSING FACILITY 25750,A000000,01900,0000,01900OTHER LONG TERM CARE 25750,A000000,02100,0000,02100RADIOLOGY 25750,A000000,02200,0000,02200LABORATORY 25750,A000000,02300,0000,02300INTRAVENOUS THERAPY 25750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25750,A000000,02500,0000,02500PHYSICAL THERAPY 25750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25750,A000000,02700,0000,02700SPEECH PATHOLOGY 25750,A000000,02800,0000,02800ELECTROCARDIOLOGY 25750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25750,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25750,A000000,03200,0000,03200SUPPORT SURFACES 25750,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25750,A000000,04800,0000,04800AMBULANCE 25750,A000000,05300,0000,05300INTEREST EXPENSE 25750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25750,A000000,06100,0000,06100NONPAID WORKERS 25750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25750,A000000,06200,0000,06200PATIENTS LAUNDRY 25750,A81000A,00100,0100,Y 25750,A81000B,00100,0300,HOME OFFICE COST 25750,A81000B,00200,0300,PT ADMIN COST 25750,A81000B,00300,0300,OT ADMIN COST 25750,A81000B,00400,0300,ST ADMIN COST 25750,A81000B,00500,0300,DIRECT INTEREST EXPENSE 25750,A81000C,00100,0100,B 25750,A81000C,00100,0200,MCHS - ROSSVILLE 25750,A81000C,00100,0400,HCR MANORCARE INC. 25750,A81000C,00100,0600,LONG TERM CARE FACILITIES 25750,A81000C,00200,0100,B 25750,A81000C,00200,0200,MCHS - ROSSVILLE 25750,A81000C,00200,0400,HEARTLAND MGT SVCS. 25750,A81000C,00200,0600,THERAPY MANAGEMENT 25750,A81000C,00300,0100,B 25750,A81000C,00300,0200,MCHS - ROSSVILLE 25750,A81000C,00300,0400,HEARTLAND MGT SVCS. 25750,A81000C,00300,0600,THERAPY MANAGEMENT 25750,A81000C,00400,0100,B 25750,A81000C,00400,0200,MCHS - ROSSVILLE 25750,A81000C,00400,0400,HEARTLAND MGT SVCS. 25750,A81000C,00400,0600,THERAPY MANAGEMENT 25750,A81000C,00500,0100,B 25750,A81000C,00500,0200,MCHS - ROSSVILLE 25750,A81000C,00500,0400,HCR MANORCARE INC. 25750,A81000C,00500,0600,LONG TERM CARE FACILITIES 25750,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25750,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25750,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25750,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25750,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25750,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25750,B100000,00000,0800,00000MEALS SERVED :DIETARY 25750,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25750,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25750,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25750,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25750,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25750,S000000,00100,0200,11/30/2000 25750,S200000,00100,0100,6600 RIDGE ROAD 25750,S200000,00200,0100,BALTIMORE 25750,S200000,00200,0200,MD 25750,S200000,00200,0300,21237- 25750,S200000,00300,0100,BALTIMORE 25750,S200000,00300,0200,720 25750,S200000,00300,0300,U 25750,S200000,00400,0100,MANOR CARE ROSSVILLE 25750,S200000,00400,0200,215109 25750,S200000,00400,0300,01/01/1966 25750,S200000,00400,0500,P 25750,S200000,00400,0600,P 25750,S200000,01004,0500,O 25750,S200000,01600,0100,Y 25750,S200000,02200,0100,Y 25764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25764,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25764,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25764,A000000,00300,0000,00300EMPLOYEE BENEFITS 25764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25764,A000000,00700,0000,00700HOUSEKEEPING 25764,A000000,00800,0000,00800DIETARY 25764,A000000,00801,0000,00801CAFETERIA 25764,A000000,00900,0000,00900NURSING ADMINISTRATION 25764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25764,A000000,01100,0000,01100PHARMACY 25764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25764,A000000,01300,0000,01300SOCIAL SERVICE 25764,A000000,01350,0000,01500ACTIVITIES 25764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25764,A000000,01600,0000,01600SKILLED NURSING FACILITY 25764,A000000,01800,0000,01800NURSING FACILITY 25764,A000000,01900,0000,01900OTHER LONG TERM CARE 25764,A000000,02100,0000,02100RADIOLOGY 25764,A000000,02200,0000,02200LABORATORY 25764,A000000,02300,0000,02300INTRAVENOUS THERAPY 25764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25764,A000000,02500,0000,02500PHYSICAL THERAPY 25764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25764,A000000,02700,0000,02700SPEECH PATHOLOGY 25764,A000000,02800,0000,02800ELECTROCARDIOLOGY 25764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25764,A000000,03050,0000,03300OTHER ANCILLARY 25764,A000000,03051,0000,03301OTHER ANCILLARY II 25764,A000000,03052,0000,03302OTHER ANCILLARY III 25764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25764,A000000,03200,0000,03200SUPPORT SURFACES 25764,A000000,03400,0000,03400CLINIC 25764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25764,A000000,03500,0000,03500RURAL HEALTH CLINIC 25764,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25764,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25764,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25764,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25764,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25764,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25764,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25764,A000000,04400,0000,04400DME RENTED - HHA 25764,A000000,04500,0000,04500DME SOLD - HHA 25764,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25764,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25764,A000000,04800,0000,04800AMBULANCE 25764,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25764,A000000,05000,0000,05000CORF 25764,A000000,05010,0000,05010CMHC I 25764,A000000,05020,0000,05020OPT I 25764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25764,A000000,05300,0000,05300INTEREST EXPENSE 25764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25764,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25764,A000000,05500,0000,05500HOSPICE 25764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25764,A000000,06100,0000,06100NONPAID WORKERS 25764,A000000,06150,0000,06300INDEPEND. LIVING 25764,A000000,06200,0000,06200PATIENTS LAUNDRY 25764,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25764,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25764,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25764,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 25764,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25764,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25764,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 25764,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 25764,B100000,00000,1330,00000PATIENT DS :SOCIAL SERVICE 25764,B100000,00000,1350,00000PATIENT DS :ACTIVITIES 25764,S000000,00100,0200,12/01/2000 25764,S200000,00100,0100,13801 YORK ROAD 25764,S200000,00200,0100,COCKEYSVILLE 25764,S200000,00200,0200,MD 25764,S200000,00300,0100,BALTIMORE COUNTY 25764,S200000,00300,0200,720 25764,S200000,00300,0300,U 25764,S200000,00400,0100,BROADMEAD 25764,S200000,00400,0200,215123 25764,S200000,00400,0300,07/01/1994 25764,S200000,00400,0500,P 25764,S200000,01004,0500,O 25764,S200000,04300,0100,Y 25772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25772,A000000,00300,0000,00300EMPLOYEE BENEFITS 25772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25772,A000000,00700,0000,00700HOUSEKEEPING 25772,A000000,00800,0000,00800DIETARY 25772,A000000,00900,0000,00900NURSING ADMINISTRATION 25772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25772,A000000,01100,0000,01100PHARMACY 25772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25772,A000000,01300,0000,01300SOCIAL SERVICE 25772,A000000,01350,0000,01500ACTIVITIES 25772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25772,A000000,01600,0000,01600SKILLED NURSING FACILITY 25772,A000000,01810,0000,01810ICF/MR 25772,A000000,02100,0000,02100RADIOLOGY 25772,A000000,02200,0000,02200LABORATORY 25772,A000000,02500,0000,02500PHYSICAL THERAPY 25772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25772,A000000,02700,0000,02700SPEECH PATHOLOGY 25772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25772,A000000,03550,0000,03550FQHC 25772,A000000,05000,0000,05000CORF 25772,A000000,05010,0000,05010CMHC 25772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25772,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25772,A000000,06110,0000,06110FUNDRAISING 25772,A000000,06120,0000,06120ILP UNITS 25772,B100000,00000,0100,00020SQUARE FEET :CAP REL COSTS - BLDGS 25772,B100000,00000,0250,00020SQUARE FEET :CAP REL COSTS - MOVAB 25772,B100000,00000,0300,00020GROSS SALARIES :EMPLOYEE BENEFITS 25772,B100000,00000,0400,00020 ACCUM. COST :ADMINISTRATIVE & GENE 25772,B100000,00000,0500,00020SQUARE FEET :PLANT OPERATION MAIN 25772,B100000,00000,0600,00020POUNDS OF LAUNDRY :LAUNDRY & LINEN 25772,B100000,00000,0700,00020HOURS OF SERVICE :HOUSEKEEPING 25772,B100000,00000,0800,00020MEALS SERVED :DIETARY 25772,B100000,00000,0950,00020DIRECT NRSG HRS :NURSING ADMINISTRA 25772,B100000,00000,1000,00020COSTED REQUIS :CENTRAL SERVICES & 25772,B100000,00000,1150,00020PATIENT DAYS :PHARMACY 25772,B100000,00000,1200,00020TIME SPENT :MEDICAL RECORDS & LIBR 25772,B100000,00000,1330,00020PATIENT DAYS :SOCIAL SERVICE 25772,B100000,00000,1350,00020PATIENT DAYS :ACTIVITIES 25772,B100000,00000,1400,00020ASSIGNED TIME :INTERNS & RESIDENTS 25772,S000000,00100,0200,05/30/2000 25772,S200000,00100,0100,9701 VEIRS DRIVE 25772,S200000,00200,0100,ROCKVILLE 25772,S200000,00200,0200,MD 25772,S200000,00200,0300,20850- 25772,S200000,00300,0100,MONTGOMERY 25772,S200000,00400,0100,NATIONAL LUTHERAN 25772,S200000,00400,0200,215125 25772,S200000,00400,0300,07/01/1965 25772,S200000,00400,0500,P 25772,S200000,01004,0500,O 25772,S200000,01500,0100,Y 25772,S700003,00000,0100,1 25780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25780,A000000,00300,0000,00300EMPLOYEE BENEFITS 25780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25780,A000000,00700,0000,00700HOUSEKEEPING 25780,A000000,00800,0000,00800DIETARY 25780,A000000,00900,0000,00900NURSING ADMINISTRATION 25780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25780,A000000,01100,0000,01100PHARMACY 25780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25780,A000000,01300,0000,01300SOCIAL SERVICE 25780,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 25780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25780,A000000,01600,0000,01600SKILLED NURSING FACILITY 25780,A000000,01800,0000,01800NURSING FACILITY 25780,A000000,01810,0000,01810INTERMEDIATE CARE FACILITY/MENTALLY 25780,A000000,01900,0000,01900OTHER LONG TERM CARE 25780,A000000,02100,0000,02100RADIOLOGY 25780,A000000,02200,0000,02200LABORATORY 25780,A000000,02300,0000,02300INTRAVENOUS THERAPY 25780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25780,A000000,02500,0000,02500PHYSICAL THERAPY 25780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25780,A000000,02700,0000,02700SPEECH PATHOLOGY 25780,A000000,02800,0000,02800ELECTROCARDIOLOGY 25780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25780,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25780,A000000,03200,0000,03200SUPPORT SURFACES 25780,A000000,03400,0000,03400CLINIC 25780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 25780,A000000,03500,0000,03500RURAL HEALTH CLINIC 25780,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25780,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25780,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25780,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25780,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25780,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25780,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25780,A000000,04400,0000,04400DME RENTED - HHA 25780,A000000,04500,0000,04500DME SOLD - HHA 25780,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25780,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25780,A000000,04800,0000,04800AMBULANCE 25780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25780,A000000,05000,0000,05000CORF 25780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25780,A000000,05300,0000,05300INTEREST EXPENSE 25780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25780,A000000,05500,0000,05500HOSPICE 25780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25780,A000000,06100,0000,06100NONPAID WORKERS 25780,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 25780,A000000,06200,0000,06200PATIENTS LAUNDRY 25780,A81000A,00100,0100,Y 25780,A81000B,00100,0300,RX DRUGS CHGED PT 25780,A81000B,00200,0300,OTC DRUGS 25780,A81000B,00300,0300,PHARMACY CONSULT 25780,A81000B,00400,0300,SKILLED NUR FAC 25780,A81000B,00500,0300,EMP BENEFITS 25780,A81000B,00600,0300,CAP RELATED COSTS 25780,A81000B,00700,0300,PL OPER AND SUPP 25780,A81000B,00800,0300,DIETARY SUPPLIES 25780,A81000B,00900,0300,LAUN AND LINEN 25780,A81000C,00100,0100,A 25780,A81000C,00100,0200,EVEA BAINUM 25780,A81000C,00100,0400,ATLANTIC PHARM 25780,A81000C,00100,0600,PHARMACY 25780,A81000C,00200,0100,A 25780,A81000C,00200,0200,EVEA BAINUM 25780,A81000C,00200,0400,BOARDWALK INN 25780,A81000C,00200,0600,MOTEL 25780,A81000C,00300,0100,A 25780,A81000C,00300,0200,TIM BAINUM 25780,A81000C,00300,0400,BOARDWALK INN 25780,A81000C,00300,0600,MOTEL 25780,A81000C,00400,0100,A 25780,A81000C,00400,0200,MARK BAINUM 25780,A81000C,00400,0400,BOARDWALK INN 25780,A81000C,00400,0600,MOTEL 25780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25780,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25780,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25780,B100000,00000,0800,00000MEALS SERVED :DIETARY 25780,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 25780,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 25780,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 25780,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 25780,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25780,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 25780,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25780,S000000,00100,0200,05/31/2000 25780,S200000,00100,0100,9715 HEALTHWAY DRIVE 25780,S200000,00100,0300,P.O. BOX 799 25780,S200000,00200,0100,BERLIN MD 21811 25780,S200000,00200,0200,CA 25780,S200000,00300,0100,WORCESTER 25780,S200000,00400,0100,BERLIN NURSING HOME & REHAB CTR 25780,S200000,00400,0200,215126 25780,S200000,00400,0300,01/01/1978 25780,S200000,00400,0500,P 25780,S200000,01500,0100,Y 25786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25786,A000000,00300,0000,00300EMPLOYEE BENEFITS 25786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25786,A000000,00700,0000,00700HOUSEKEEPING 25786,A000000,00800,0000,00800DIETARY 25786,A000000,00900,0000,00900NURSING ADMINISTRATION 25786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25786,A000000,01100,0000,01100PHARMACY 25786,A000000,01101,0000,01101PHARMACY 25786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25786,A000000,01300,0000,01300SOCIAL SERVICE 25786,A000000,01350,0000,01500OTHER GENERAL SERVICES 25786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25786,A000000,01600,0000,01600SKILLED NURSING FACILITY 25786,A000000,01800,0000,01800NURSING FACILITY 25786,A000000,01900,0000,01900OTHER LONG TERM CARE 25786,A000000,02100,0000,02100RADIOLOGY 25786,A000000,02200,0000,02200LABORATORY 25786,A000000,02300,0000,02300INTRAVENOUS THERAPY 25786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25786,A000000,02500,0000,02500PHYSICAL THERAPY 25786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25786,A000000,02700,0000,02700SPEECH PATHOLOGY 25786,A000000,02800,0000,02800ELECTROCARDIOLOGY 25786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25786,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 25786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25786,A000000,03200,0000,03200SUPPORT SURFACES 25786,A000000,03400,0000,03400CLINIC 25786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 25786,A000000,03500,0000,03500RURAL HEALTH CLINIC 25786,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25786,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25786,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25786,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25786,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25786,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25786,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25786,A000000,04400,0000,04400DME RENTED - HHA 25786,A000000,04500,0000,04500DME SOLD - HHA 25786,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25786,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25786,A000000,04800,0000,04800AMBULANCE 25786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25786,A000000,05000,0000,05000CORF 25786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25786,A000000,05300,0000,05300INTEREST EXPENSE 25786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25786,A000000,05500,0000,05500HOSPICE 25786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25786,A000000,06100,0000,06100NONPAID WORKERS 25786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25786,A000000,06200,0000,06200PATIENTS LAUNDRY 25786,A81000A,00100,0100,Y 25786,A81000B,00100,0300,MANAGEMENT FEES 25786,A81000B,00200,0300,MEDICAL EXPENSES 25786,A81000B,00300,0300,EDUCATION 25786,A81000B,00400,0300,CAP RELATED COSTS 25786,A81000B,00500,0300,LAUNDRY 25786,A81000B,00600,0300,SECURITY AND TRANSPORTATION 25786,A81000B,00700,0300,CHAPLAINCY 25786,A81000B,00800,0300,BEAUTY SHOP 25786,A81000B,00900,0300,OTHER 25786,A81000C,00100,0100,G 25786,A81000C,00100,0400,EMA INC. 25786,A81000C,00100,0600,NON-PROFIT 25786,A81000C,00200,0100,G 25786,A81000C,00200,0400,FMS INC. 25786,A81000C,00200,0600,NON-PROFIT 25786,A81000C,00300,0100,G 25786,A81000C,00300,0400,COPPER RIDGE INC. 25786,A81000C,00300,0600,NON-PROFIT 25786,A81000C,00400,0100,G 25786,A81000C,00400,0400,TCRI INC. 25786,A81000C,00400,0600,NON-PROFIT 25786,A81000C,00500,0100,G 25786,A81000C,00500,0400,BC INC. 25786,A81000C,00500,0600,NON-PROFIT 25786,A81000C,00600,0100,A 25786,A81000C,00600,0400,EMA MGMT. INC. 25786,A81000C,00600,0600,FOR-PROFIT 25786,A81000C,00700,0100,A 25786,A81000C,00800,0100,A 25786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25786,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25786,B100000,00000,0800,00000MEALS SERVED :DIETARY 25786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25786,S000000,00100,0200,05/25/2000 25786,S200000,00100,0100,7200 THIRD AVENUE 25786,S200000,00200,0100,SYKESVILLE 25786,S200000,00200,0200,MD 25786,S200000,00200,0300,21784- 25786,S200000,00300,0100,CARRROLL 25786,S200000,00300,0200,0720 25786,S200000,00300,0300,U 25786,S200000,00400,0100,FAIRHAVEN INC. 25786,S200000,00400,0200,215130 25786,S200000,00400,0300,12/01/1980 25786,S200000,00400,0500,P 25786,S200000,01004,0500,O 25786,S200000,01500,0100,Y 25786,S200000,04300,0100,Y 25796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25796,A000000,00101,0000,00101CAP REL COSTS - B&F II 25796,A000000,00102,0000,00102CAP REL COSTS - B&F III 25796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25796,A000000,00201,0000,00201CAP REL COST - MOV. EQUIP. II 25796,A000000,00202,0000,00202CAP REL COST - MOV. EQUIP. III 25796,A000000,00300,0000,00300EMPLOYEE BENEFITS 25796,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL 25796,A000000,00402,0000,00402ADMIN. & GEN. II 25796,A000000,00403,0000,00403ADMIN. & GEN. III 25796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25796,A000000,00501,0000,00501PLANT OPERATION MAINT. & REPAIRS 25796,A000000,00502,0000,00502PLANT OPER. MAINT. & REPAIRS 25796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25796,A000000,00700,0000,00700HOUSEKEEPING 25796,A000000,00800,0000,00800DIETARY 25796,A000000,00801,0000,00801DIETARY II 25796,A000000,01300,0000,01300SOCIAL SERVICE 25796,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 25796,A000000,01600,0000,01600SKILLED NURSING FACILITY 25796,A000000,01800,0000,01800NURSING FACILITY 25796,A000000,01900,0000,01900OTHER LONG TERM CARE 25796,A000000,02100,0000,02100RADIOLOGY 25796,A000000,02200,0000,02200LABORATORY 25796,A000000,02300,0000,02300INTRAVENOUS THERAPY 25796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25796,A000000,02500,0000,02500PHYSICAL THERAPY 25796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25796,A000000,02700,0000,02700SPEECH PATHOLOGY 25796,A000000,02800,0000,02800ELECTROCARDIOLOGY 25796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25796,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25796,A000000,03200,0000,03200SUPPORT SURFACES 25796,A000000,03400,0000,03400CLINIC 25796,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 25796,A000000,03500,0000,03500RURAL HEALTH CLINIC 25796,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25796,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25796,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25796,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25796,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25796,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25796,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25796,A000000,04400,0000,04400DME RENTED - HHA 25796,A000000,04500,0000,04500DME SOLD - HHA 25796,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25796,A000000,04800,0000,04800AMBULANCE 25796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25796,A000000,05000,0000,05000CORF 25796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25796,A000000,05300,0000,05300INTEREST EXPENSE 25796,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25796,A000000,05500,0000,05500HOSPICE 25796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25796,A000000,06100,0000,06100NONPAID WORKERS 25796,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 25796,A000000,06200,0000,06200PATIENTS LAUNDRY 25796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25796,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - B&F I 25796,B100000,00000,0102,00000SQUARE FEET :CAP REL COSTS - B&F I 25796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25796,B100000,00000,0251,00000SQUARE FEET :CAP REL COST - MOV. E 25796,B100000,00000,0252,00000SQUARE FEET :CAP REL COST - MOV. E 25796,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25796,B100000,00000,0401,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25796,B100000,00000,0402,00000 ACCUM. COST :ADMIN. & GEN. II 25796,B100000,00000,0403,00000 ACCUM. COST :ADMIN. & GEN. III 25796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25796,B100000,00000,0501,00000SQUARE FEET :PLANT OPERATION MAINT 25796,B100000,00000,0502,00000SQUARE FEET :PLANT OPER. MAINT. & 25796,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25796,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25796,B100000,00000,0800,00000MEALS SERVED :DIETARY 25796,B100000,00000,0801,00000MEALS SERVED :DIETARY II 25796,B100000,00000,1330,00000HCC DAYS :SOCIAL SERVICE 25796,B100000,00000,1350,00000HCC DAYS SPENT :OTHER GENERAL SERVI 25796,S000000,00100,0200,12/11/2000 25796,S200000,00100,0100,200 ST. LUKE CIRCLE 25796,S200000,00200,0100,WESTMINSTER 25796,S200000,00200,0200,MA 25796,S200000,00200,0300,21158- 25796,S200000,00300,0100,CARROLL 25796,S200000,00300,0200,0720 25796,S200000,00300,0300,U 25796,S200000,00400,0100,CARROLL LUTHERAN VILLAGE 25796,S200000,00400,0200,215133 25796,S200000,00400,0300,09/09/1981 25796,S200000,00400,0500,P 25796,S200000,01500,0100,Y 25796,S200000,04300,0100,Y 25821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25821,A000000,00300,0000,00300EMPLOYEE BENEFITS 25821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25821,A000000,00700,0000,00700HOUSEKEEPING 25821,A000000,00800,0000,00800DIETARY 25821,A000000,00900,0000,00900NURSING ADMINISTRATION 25821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25821,A000000,01100,0000,01100PHARMACY 25821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25821,A000000,01300,0000,01300SOCIAL SERVICE 25821,A000000,01350,0000,01500ACTIVITIES 25821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25821,A000000,01600,0000,01600SKILLED NURSING FACILITY 25821,A000000,01800,0000,01800NURSING FACILITY 25821,A000000,02100,0000,02100RADIOLOGY 25821,A000000,02200,0000,02200LABORATORY 25821,A000000,02300,0000,02300INTRAVENOUS THERAPY 25821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25821,A000000,02500,0000,02500PHYSICAL THERAPY 25821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25821,A000000,02700,0000,02700SPEECH PATHOLOGY 25821,A000000,02800,0000,02800ELECTROCARDIOLOGY 25821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25821,A000000,03200,0000,03200SUPPORT SURFACES 25821,A000000,03400,0000,03400CLINIC 25821,A000000,04800,0000,04800AMBULANCE 25821,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25821,A000000,05300,0000,05300INTEREST EXPENSE 25821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25821,A000000,06100,0000,06100NONPAID WORKERS 25821,A000000,06200,0000,06200PATIENTS LAUNDRY 25821,A81000A,00100,0100,Y 25821,A81000B,00100,0300,WORKING CAPITAL INTEREST 25821,A81000B,00200,0300,MANAGEMENT FEE 25821,A81000B,00300,0300,HOME OFFICE ALLOC - CAPITAL 25821,A81000B,00400,0300,HOME OFFICE ALLOC - MME 25821,A81000B,00500,0300,HOME OFFICE ALLOC - ADMIN 25821,A81000C,00100,0100,B 25821,A81000C,00100,0200,ASLS 25821,A81000C,00100,0400,ASLS 25821,A81000C,00100,0600,MANAGEMENT 25821,A81000C,00200,0100,B 25821,A81000C,00200,0200,ASLS 25821,A81000C,00200,0400,ASLS 25821,A81000C,00200,0600,MANAGEMENT 25821,A81000C,00300,0100,B 25821,A81000C,00300,0200,ASLS 25821,A81000C,00300,0400,ASLS 25821,A81000C,00300,0600,MANAGEMENT 25821,A81000C,00400,0100,B 25821,A81000C,00400,0200,ASLS 25821,A81000C,00400,0400,ASLS 25821,A81000C,00400,0600,MANAGEMENT 25821,A81000C,00500,0100,B 25821,A81000C,00500,0200,ASLS 25821,A81000C,00500,0400,ASLS 25821,A81000C,00500,0600,MANAGEMENT 25821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25821,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 25821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25821,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25821,B100000,00000,0800,00000MEALS SERVED :DIETARY 25821,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 25821,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25821,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25821,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25821,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25821,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25821,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25821,S000000,00100,0200,10/30/2000 25821,S200000,00100,0100,420 COLONIAL DRIVE 25821,S200000,00200,0100,DENTON 25821,S200000,00200,0200,MD 25821,S200000,00200,0300,21629- 25821,S200000,00300,0100,CAROLINE 25821,S200000,00400,0100,SHORE NURSING & REHABILITATION CENT 25821,S200000,00400,0200,215149 25821,S200000,00400,0300,07/01/1970 25821,S200000,00400,0500,P 25821,S200000,00600,0200,215149 25821,S200000,00600,0300,07/01/1970 25821,S200000,00600,0600,P 25830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25830,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25830,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25830,A000000,00300,0000,00300EMPLOYEE BENEFITS 25830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25830,A000000,00700,0000,00700HOUSEKEEPING 25830,A000000,00800,0000,00800DIETARY 25830,A000000,00801,0000,00801CAFETERIA 25830,A000000,00900,0000,00900NURSING ADMINISTRATION 25830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25830,A000000,01100,0000,01100PHARMACY 25830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25830,A000000,01300,0000,01300SOCIAL SERVICE 25830,A000000,01350,0000,01500ACTIVITIES 25830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25830,A000000,01600,0000,01600SKILLED NURSING FACILITY 25830,A000000,01800,0000,01800NURSING FACILITY 25830,A000000,01900,0000,01900OTHER LONG TERM CARE 25830,A000000,02100,0000,02100RADIOLOGY 25830,A000000,02200,0000,02200LABORATORY 25830,A000000,02300,0000,02300INTRAVENOUS THERAPY 25830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25830,A000000,02500,0000,02500PHYSICAL THERAPY 25830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25830,A000000,02700,0000,02700SPEECH PATHOLOGY 25830,A000000,02800,0000,02800ELECTROCARDIOLOGY 25830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25830,A000000,03050,0000,03300OTHER ANCILLARY 25830,A000000,03051,0000,03301OTHER ANCILLARY II 25830,A000000,03052,0000,03302OTHER ANCILLARY III 25830,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25830,A000000,03200,0000,03200SUPPORT SURFACES 25830,A000000,03400,0000,03400CLINIC 25830,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25830,A000000,03500,0000,03500RURAL HEALTH CLINIC 25830,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25830,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25830,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25830,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25830,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25830,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25830,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25830,A000000,04400,0000,04400DME RENTED - HHA 25830,A000000,04500,0000,04500DME SOLD - HHA 25830,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25830,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25830,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25830,A000000,04800,0000,04800AMBULANCE 25830,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25830,A000000,05000,0000,05000CORF 25830,A000000,05010,0000,05010CMHC I 25830,A000000,05020,0000,05020OPT I 25830,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25830,A000000,05300,0000,05300INTEREST EXPENSE 25830,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25830,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25830,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25830,A000000,05500,0000,05500HOSPICE 25830,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25830,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25830,A000000,06100,0000,06100NONPAID WORKERS 25830,A000000,06150,0000,06300ASST LIVING & APARTMENTS 25830,A000000,06200,0000,06200PATIENTS LAUNDRY 25830,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25830,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25830,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25830,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25830,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25830,B100000,00000,0650,00000PATIENT DS :LAUNDRY & LINEN SERVIC 25830,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25830,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25830,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 25830,S000000,00100,0200,12/08/2000 25830,S200000,00100,0100,830 WEST 40TH ST 25830,S200000,00200,0100,BALTIMORE 25830,S200000,00200,0200,MD 25830,S200000,00300,0100,BALTIMORE CITY 25830,S200000,00300,0200,720 25830,S200000,00300,0300,U 25830,S200000,00400,0100,ROLAND PARK PLACE 25830,S200000,00400,0200,215154 25830,S200000,00400,0300,07/01/1967 25830,S200000,00400,0500,P 25830,S200000,01600,0100,Y 25830,S200000,01700,0100,Y 25830,S200000,02800,0100,Y 25830,S200000,04300,0100,Y 25839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25839,A000000,00300,0000,00300EMPLOYEE BENEFITS 25839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25839,A000000,00700,0000,00700HOUSEKEEPING 25839,A000000,00800,0000,00800DIETARY 25839,A000000,00900,0000,00900NURSING ADMINISTRATION 25839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25839,A000000,01300,0000,01300SOCIAL SERVICE 25839,A000000,01600,0000,01600SKILLED NURSING FACILITY 25839,A000000,01800,0000,01800NURSING FACILITY 25839,A000000,02100,0000,02100RADIOLOGY 25839,A000000,02200,0000,02200LABORATORY 25839,A000000,02300,0000,02300INTRAVENOUS THERAPY 25839,A000000,02500,0000,02500PHYSICAL THERAPY 25839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25839,A000000,02700,0000,02700SPEECH PATHOLOGY 25839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25839,A000000,03200,0000,03200SUPPORT SURFACES 25839,A000000,04800,0000,04800AMBULANCE 25839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25839,A000000,06150,0000,06300ENTERAL FEEDINGS 25839,A81000A,00100,0100,Y 25839,A81000B,00100,0300,RENT 25839,A81000B,00200,0300,RENT 25839,A81000B,00300,0300,HOME OFFICE COSTS 25839,A81000B,00400,0300,HOME OFFICE COSTS 25839,A81000B,00500,0300,HOME OFFICE COSTS 25839,A81000B,00600,0300,THERAPY SERVICES 25839,A81000B,00700,0300,THERAPY SERVICES 25839,A81000B,00800,0300,THERAPY SERVICES 25839,A81000C,00100,0100,A 25839,A81000C,00100,0200,LEONARD ATTMAN 25839,A81000C,00100,0400,CLINTON N.H.L.P 25839,A81000C,00100,0600,REAL ESTATE REN 25839,A81000C,00200,0100,A 25839,A81000C,00200,0200,GARY ATTMAN 25839,A81000C,00200,0400,CLINTON N.H.L.P 25839,A81000C,00200,0600,REAL ESTATE REN 25839,A81000C,00300,0100,A 25839,A81000C,00300,0200,ALVIN POWERS 25839,A81000C,00300,0400,CLINTON N.H.L.P 25839,A81000C,00300,0600,REAL ESTATE REN 25839,A81000C,00400,0100,A 25839,A81000C,00400,0200,1986 TRUST FBO 25839,A81000C,00400,0400,CLINTON N.H.L.P 25839,A81000C,00400,0600,REAL ESTATE REN 25839,A81000C,00500,0100,A 25839,A81000C,00500,0200,LEONARD ATTMAN 25839,A81000C,00500,0400,FUTURECARE HEAL 25839,A81000C,00500,0600,HOME OFFICE 25839,A81000C,00600,0100,A 25839,A81000C,00600,0200,GARY ATTMAN 25839,A81000C,00600,0400,FUTURECARE HEAL 25839,A81000C,00600,0600,HOME OFFICE 25839,A81000C,00700,0100,A 25839,A81000C,00700,0200,ALVIN POWERS 25839,A81000C,00700,0400,FUTURECARE HEAL 25839,A81000C,00700,0600,HOME OFFICE 25839,A81000C,00800,0100,A 25839,A81000C,00800,0200,1986 TRUST FBO 25839,A81000C,00800,0400,FUTURECARE HEAL 25839,A81000C,00800,0600,HOME OFFICE 25839,A81000C,00900,0100,B 25839,A81000C,00900,0400,FUTURECARE REHA 25839,A81000C,00900,0600,THERAPY SERVICE 25839,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25839,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25839,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25839,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25839,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25839,B100000,00000,0800,00000MEALS SERVED :DIETARY 25839,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 25839,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25839,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 25839,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25839,S000000,00100,0200,06/16/2000 25839,S200000,00100,0100,9106 PINEVIEW LANE 25839,S200000,00200,0100,CLINTON 25839,S200000,00200,0200,MD 25839,S200000,00200,0300,20735- 25839,S200000,00300,0100,PRINCE GEORGES 25839,S200000,00300,0200,8840 25839,S200000,00300,0300,U 25839,S200000,00400,0100,FUTURECARE PINEVIEW 25839,S200000,00400,0200,215162 25839,S200000,00400,0300,10/01/1986 25839,S200000,00400,0500,P 25839,S200000,00600,0200,215162 25839,S200000,00600,0300,10/01/1986 25839,S200000,00600,0600,P 25839,S200000,01600,0100,Y 25839,S200000,01900,0100,(501)(C)(3) 25839,S200000,03100,0100,Y 25848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25848,A000000,00300,0000,00300EMPLOYEE BENEFITS 25848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25848,A000000,00700,0000,00700HOUSEKEEPING 25848,A000000,00800,0000,00800DIETARY 25848,A000000,00900,0000,00900NURSING ADMINISTRATION 25848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25848,A000000,01100,0000,01100PHARMACY 25848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25848,A000000,01300,0000,01300SOCIAL SERVICE 25848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25848,A000000,01600,0000,01600SKILLED NURSING FACILITY 25848,A000000,01800,0000,01800NURSING FACILITY 25848,A000000,01900,0000,01900OTHER LONG TERM CARE 25848,A000000,02100,0000,02100RADIOLOGY 25848,A000000,02200,0000,02200LABORATORY 25848,A000000,02300,0000,02300INTRAVENOUS THERAPY 25848,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25848,A000000,02500,0000,02500PHYSICAL THERAPY 25848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25848,A000000,02700,0000,02700SPEECH PATHOLOGY 25848,A000000,02800,0000,02800ELECTROCARDIOLOGY 25848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25848,A000000,03050,0000,03300CLINITRON BEDS 25848,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25848,A000000,03200,0000,03200SUPPORT SURFACES 25848,A000000,03400,0000,03400CLINIC 25848,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25848,A000000,04800,0000,04800AMBULANCE 25848,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25848,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25848,A000000,05300,0000,05300INTEREST EXPENSE 25848,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25848,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25848,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25848,A000000,06100,0000,06100NONPAID WORKERS 25848,A000000,06200,0000,06200PATIENTS LAUNDRY 25848,A81000A,00100,0100,Y 25848,A81000B,00100,0300,H/O - CAPITAL - BUILDINGS 25848,A81000B,00200,0300,H/O - CAPITAL - MME 25848,A81000B,00300,0300,H/O - ADMIN 25848,A81000C,00100,0100,B 25848,A81000C,00100,0200,ASLS 25848,A81000C,00100,0400,ASLS 25848,A81000C,00100,0600,MGMT 25848,A81000C,00200,0100,B 25848,A81000C,00200,0200,ASLS 25848,A81000C,00200,0400,ASLS 25848,A81000C,00200,0600,MGMT 25848,A81000C,00300,0100,B 25848,A81000C,00300,0200,ASLS 25848,A81000C,00300,0400,ASLS 25848,A81000C,00300,0600,MGMT 25848,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25848,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 25848,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25848,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25848,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25848,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25848,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25848,B100000,00000,0800,00000MEALS SERVED :DIETARY 25848,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 25848,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25848,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25848,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25848,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25848,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25848,S000000,00100,0200,08/24/2000 25848,S200000,00100,0100,9701 MEDICAL CENTER DR 25848,S200000,00200,0100,ROCKVILLE 25848,S200000,00200,0200,MD 25848,S200000,00200,0300,20850- 25848,S200000,00300,0100,MONTGOMERY 25848,S200000,00400,0100,SHADY GROVE NURSING & REHAB CENTER 25848,S200000,00400,0200,215164 25848,S200000,00400,0300,06/01/1984 25848,S200000,00400,0500,P 25848,S200000,00600,0200,215164 25848,S200000,00600,0300,06/01/1984 25848,S200000,00600,0600,P 25848,S200000,01600,0100,Y 25848,S700003,00000,0100,1 25856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25856,A000000,00300,0000,00300EMPLOYEE BENEFITS 25856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25856,A000000,00700,0000,00700HOUSEKEEPING 25856,A000000,00800,0000,00800DIETARY 25856,A000000,00900,0000,00900NURSING ADMINISTRATION 25856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25856,A000000,01100,0000,01100PHARMACY 25856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25856,A000000,01300,0000,01300SOCIAL SERVICE 25856,A000000,01350,0000,01500ACTIVITIES 25856,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25856,A000000,01600,0000,01600SKILLED NURSING FACILITY 25856,A000000,01800,0000,01800NURSING FACILITY 25856,A000000,02100,0000,02100RADIOLOGY 25856,A000000,02200,0000,02200LABORATORY 25856,A000000,02300,0000,02300INTRAVENOUS THERAPY 25856,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25856,A000000,02500,0000,02500PHYSICAL THERAPY 25856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25856,A000000,02700,0000,02700SPEECH PATHOLOGY 25856,A000000,02800,0000,02800ELECTROCARDIOLOGY 25856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25856,A000000,03050,0000,03300CLINITRON BEDS 25856,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25856,A000000,03200,0000,03200SUPPORT SURFACES 25856,A000000,03400,0000,03400CLINIC 25856,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25856,A000000,04800,0000,04800AMBULANCE 25856,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25856,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25856,A000000,05300,0000,05300INTEREST EXPENSE 25856,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25856,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25856,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25856,A000000,06100,0000,06100NONPAID WORKERS 25856,A000000,06200,0000,06200PATIENTS LAUNDRY 25856,A81000A,00100,0100,Y 25856,A81000B,00100,0300,H/O - CAPITAL BUILDINGS 25856,A81000B,00200,0300,H/O - CAPITAL MME 25856,A81000B,00300,0300,H/0 - ADMIN 25856,A81000C,00100,0100,B 25856,A81000C,00100,0200,ASLS 25856,A81000C,00100,0400,ASLS 25856,A81000C,00100,0600,MGMT 25856,A81000C,00200,0100,B 25856,A81000C,00200,0200,ASLS 25856,A81000C,00200,0400,ASLS 25856,A81000C,00200,0600,MGMT 25856,A81000C,00300,0100,B 25856,A81000C,00300,0200,ASLS 25856,A81000C,00300,0400,ASLS 25856,A81000C,00300,0600,MGMT 25856,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25856,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 25856,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25856,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25856,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25856,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25856,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25856,B100000,00000,0800,00000MEALS SERVED :DIETARY 25856,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 25856,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25856,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25856,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25856,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25856,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25856,E10A180,00501,0100,02/27/2001 25856,E10A180,00550,0300,02/27/2001 25856,S000000,00100,0200,06/01/2000 25856,S200000,00100,0100,7520 SURRATTA ROAD 25856,S200000,00200,0100,CLINTON 25856,S200000,00200,0200,MD 25856,S200000,00200,0300,20904- 25856,S200000,00300,0100,PRINCE GEORGES 25856,S200000,00300,0200,8840 25856,S200000,00300,0300,U 25856,S200000,00400,0100,BRADFORD OAKS NURSING & REHAB CENTER 25856,S200000,00400,0200,215165 25856,S200000,00400,0300,01/01/1997 25856,S200000,00400,0500,P 25856,S200000,00600,0200,215165 25856,S200000,00600,0300,01/01/1997 25856,S200000,00600,0600,P 25856,S200000,01600,0100,Y 25869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25869,A000000,00300,0000,00300EMPLOYEE BENEFITS 25869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25869,A000000,00700,0000,00700HOUSEKEEPING 25869,A000000,00800,0000,00800DIETARY 25869,A000000,00900,0000,00900NURSING ADMINISTRATION 25869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25869,A000000,01100,0000,01100PHARMACY 25869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25869,A000000,01300,0000,01300SOCIAL SERVICE 25869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25869,A000000,01600,0000,01600SKILLED NURSING FACILITY 25869,A000000,01810,0000,01810ICF/MR 25869,A000000,02500,0000,02500PHYSICAL THERAPY 25869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25869,A000000,02700,0000,02700SPEECH PATHOLOGY 25869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25869,A000000,03200,0000,03200SUPPORT SURFACES 25869,A000000,03550,0000,03550FQHC 25869,A000000,04800,0000,04800AMBULANCE 25869,A000000,05000,0000,05000CORF 25869,A000000,05010,0000,05010CMHC 25869,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25869,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25869,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25869,A81000A,00100,0100,Y 25869,A81000B,00100,0300,INTEREST EXPENSE 25869,A81000B,00200,0300,RENT 25869,A81000B,00300,0300,ADMIN SUPPLIES 25869,A81000B,00400,0300,LAUNDRY SUPPLIES 25869,A81000B,00500,0300,LAUNDRY SERVICES 25869,A81000B,00600,0300,REPLACEMENT LINEN 25869,A81000B,00700,0300,INCONT SUPPLIES 25869,A81000B,00800,0300,HOUSEKEEPING SUPPLIE 25869,A81000B,00900,0300,RAW FOOD 25869,A81000B,01000,0300,DIETARY SUPPLIES 25869,A81000B,01100,0300,NURSING SUPPLIES 25869,A81000B,01200,0300,OXYGEN SUPPLIES 25869,A81000B,01300,0300,LAB SUPPLIES 25869,A81000B,01400,0300,PERSONAL ITEMS 25869,A81000B,01500,0300,OTC MEDS 25869,A81000B,01600,0300,RX MEDS 25869,A81000B,01700,0300,PEN THERAPY SUPPLIES 25869,A81000B,01800,0300,CHH CR ALLOCATION 25869,A81000B,01900,0300,CHH CR ALLOCATION 25869,A81000B,02000,0300,CHH CR ALLOCATION 25869,A81000B,02100,0300,CHH CR ALLOCATION 25869,A81000B,02200,0300,CHH CR ALLOCATION 25869,A81000B,02300,0300,HELIX CR ALLOCATION 25869,A81000B,02400,0300,HELIX CR ALLOCATION 25869,A81000B,02500,0300,HELIX CR ALLOCATION 25869,A81000B,02600,0300,MEDSTAR CR ALLOCATIO 25869,A81000B,02700,0300,MEDSTAR CR ALLOCATIO 25869,A81000B,02800,0300,MEDSTAR CR ALLOCATIO 25869,A81000C,00100,0100,G 25869,A81000C,00100,0200,CHURCH NURSING 25869,A81000C,00100,0400,MEDSTAR HEALTH 25869,A81000C,00100,0600,HEALTHCARE 25869,A81000C,00200,0100,G 25869,A81000C,00200,0200,EXTENCARE 25869,A81000C,00200,0400,MEDSTAR HEALTH 25869,A81000C,00200,0600,PHARMACY 25869,A81000C,00300,0100,G 25869,A81000C,00300,0200,ENSIGN 25869,A81000C,00300,0400,MEDSTAR HEALTH 25869,A81000C,00300,0600,PHARMACY 25869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25869,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25869,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25869,B100000,00000,0850,00000PATIENT DAYS :DIETARY 25869,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 25869,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25869,B100000,00000,1150,00000PATIENTS DAYS :PHARMACY 25869,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25869,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25869,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 25869,S000000,00100,0200,05/25/2000 25869,S200000,00100,0100,100 NORTH BROADWAY 25869,S200000,00200,0100,BALTIMORE 25869,S200000,00200,0200,MD 25869,S200000,00200,0300,21231- 25869,S200000,00300,0100,BALTIMORE CITY 25869,S200000,00400,0100,CHURCH NURSING CENTER 25869,S200000,00400,0200,215167 25869,S200000,00400,0300,07/06/1987 25869,S200000,00400,0500,P 25869,S200000,00400,0600,O 25869,S200000,01004,0500,O 25869,S200000,01500,0100,Y 25871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25871,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25871,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25871,A000000,00300,0000,00300EMPLOYEE BENEFITS 25871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25871,A000000,00700,0000,00700HOUSEKEEPING 25871,A000000,00800,0000,00800DIETARY 25871,A000000,00801,0000,00801CAFETERIA 25871,A000000,00900,0000,00900NURSING ADMINISTRATION 25871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25871,A000000,01100,0000,01100PHARMACY 25871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25871,A000000,01300,0000,01300SOCIAL SERVICE 25871,A000000,01350,0000,01500ACTIVITIES 25871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25871,A000000,01600,0000,01600SKILLED NURSING FACILITY 25871,A000000,01800,0000,01800NURSING FACILITY 25871,A000000,01900,0000,01900OTHER LONG TERM CARE 25871,A000000,02100,0000,02100RADIOLOGY 25871,A000000,02200,0000,02200LABORATORY 25871,A000000,02300,0000,02300INTRAVENOUS THERAPY 25871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25871,A000000,02500,0000,02500PHYSICAL THERAPY 25871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25871,A000000,02700,0000,02700SPEECH PATHOLOGY 25871,A000000,02800,0000,02800ELECTROCARDIOLOGY 25871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25871,A000000,03050,0000,03300OTHER ANCILLARY 25871,A000000,03051,0000,03301OTHER ANCILLARY II 25871,A000000,03052,0000,03302OTHER ANCILLARY III 25871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25871,A000000,03200,0000,03200SUPPORT SURFACES 25871,A000000,03400,0000,03400CLINIC 25871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25871,A000000,03500,0000,03500RURAL HEALTH CLINIC 25871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25871,A000000,04400,0000,04400DME RENTED - HHA 25871,A000000,04500,0000,04500DME SOLD - HHA 25871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25871,A000000,04800,0000,04800AMBULANCE 25871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25871,A000000,05000,0000,05000CORF 25871,A000000,05010,0000,05010CMHC I 25871,A000000,05020,0000,05020OPT I 25871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25871,A000000,05300,0000,05300INTEREST EXPENSE 25871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25871,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25871,A000000,05500,0000,05500HOSPICE 25871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25871,A000000,06100,0000,06100NONPAID WORKERS 25871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25871,A000000,06200,0000,06200PATIENTS LAUNDRY 25871,A81000A,00100,0100,Y 25871,A81000B,00100,0300,MANAGEMENT FEE 25871,A81000C,00100,0100,B 25871,A81000C,00100,0200,FG HEALTHCARE 25871,A81000C,00100,0400,FG HEALTHCARE 25871,A81000C,00100,0600,MANAGEMENT 25871,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25871,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25871,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25871,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25871,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25871,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25871,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25871,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25871,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25871,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25871,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25871,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25871,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25871,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25871,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25871,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25871,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25871,S000000,00100,0200,12/11/2000 25871,S200000,00100,0100,9001 CHERRY LANE 25871,S200000,00200,0100,LAUREL 25871,S200000,00200,0200,MD 25871,S200000,00200,0300,20708- 25871,S200000,00300,0100,PRINCE GEORGE 25871,S200000,00400,0100,CHERRY LANE NURSING CENTER 25871,S200000,00400,0200,215177 25871,S200000,00400,0300,07/01/1999 25871,S200000,00400,0500,P 25871,S200000,01004,0500,O 25871,S200000,01500,0100,Y 25878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 25878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 25878,A000000,00300,0000,00300EMPLOYEE BENEFITS 25878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 25878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25878,A000000,00700,0000,00700HOUSEKEEPING 25878,A000000,00800,0000,00800DIETARY 25878,A000000,00900,0000,00900NURSING ADMINISTRATION 25878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25878,A000000,01100,0000,01100PHARMACY 25878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25878,A000000,01300,0000,01300SOCIAL SERVICE 25878,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 25878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 25878,A000000,01600,0000,01600SKILLED NURSING FACILITY 25878,A000000,01800,0000,01800NURSING FACILITY 25878,A000000,01810,0000,01810ICF/MR 25878,A000000,02100,0000,02100RADIOLOGY 25878,A000000,02200,0000,02200LABORATORY 25878,A000000,02300,0000,02300INTRAVENOUS THERAPY 25878,A000000,02500,0000,02500PHYSICAL THERAPY 25878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25878,A000000,02700,0000,02700SPEECH PATHOLOGY 25878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 25878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25878,A000000,03050,0000,03300ENTERAL FEEDING 25878,A000000,03200,0000,03200SUPPORT SURFACES 25878,A000000,03550,0000,03550FQHC 25878,A000000,05000,0000,05000CORF 25878,A000000,05010,0000,05010CMHC 25878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25878,A81000A,00100,0100,Y 25878,A81000B,00100,0300,FACILITY RENT 25878,A81000B,00200,0300,MANAGEMENT FEES 25878,A81000B,00300,0300,CAPITAL RELATED-BLDG 25878,A81000B,00400,0300,CAPITAL RELATED-EQUI 25878,A81000B,00500,0300,ADMINISTRATIVE 25878,A81000B,00600,0300,PLANT 25878,A81000B,00700,0300,EMPLOYEE BENEFITS 25878,A81000B,00800,0300,AGENCY NURSES 25878,A81000C,00100,0100,A 25878,A81000C,00100,0200,FVALP 25878,A81000C,00100,0400,FVALP 25878,A81000C,00100,0600,REAL ESTATE 25878,A81000C,00200,0100,A 25878,A81000C,00200,0200,B&R HEALTH SERV 25878,A81000C,00200,0400,B&R HEALTH SERV 25878,A81000C,00200,0600,MANAGEMENT CO 25878,A81000C,00300,0100,A 25878,A81000C,00300,0200,B&R HEALTH SERV 25878,A81000C,00300,0400,B&R HEALTH SERV 25878,A81000C,00300,0600,MANAGEMENT CO 25878,A81000C,00400,0100,A 25878,A81000C,00400,0200,B&R HEALTH SERV 25878,A81000C,00400,0400,B&R HEALTH SERV 25878,A81000C,00400,0600,MANAGEMENT CO 25878,A81000C,00500,0100,A 25878,A81000C,00500,0200,B&R HEALTH SERV 25878,A81000C,00500,0400,B&R HEALTH SERV 25878,A81000C,00500,0600,MANAGEMENT CO 25878,B100000,00000,0100,00000SQUARE FEET 25878,B100000,00000,0200,00000SQUARE FEET 25878,B100000,00000,0300,00000GROSS SALARIES 25878,B100000,00000,0400,00000ACCUM COST 25878,B100000,00000,0500,00000SQUARE FEET 25878,B100000,00000,0600,00000PATIENT DAYS 25878,B100000,00000,0700,00000SQUARE FEET 25878,B100000,00000,0800,00000MEALS SERVED 25878,B100000,00000,0900,00000PATIENT DAYS 25878,B100000,00000,1000,00000PATIENT DAYS 25878,B100000,00000,1100,00000PATIENT DAYS 25878,B100000,00000,1200,00000TIME SPENT 25878,B100000,00000,1300,00000PATIENT DAYS 25878,B100000,00000,1350,00000PATIENT DAYS 25878,B100000,00000,1400,00000ASSIGNED TIME 25878,S000000,00100,0200,03/31/2000 25878,S200000,00100,0100,711 ACADEMY ROAD 25878,S200000,00200,0100,BALTIMORE 25878,S200000,00200,0200,MD 25878,S200000,00200,0300,21228 25878,S200000,00300,0100,BALTIMORE 25878,S200000,00400,0100,FREDERICK VILLA NURSING CENTER 25878,S200000,00400,0200,215178 25878,S200000,00400,0300,08/30/1988 25878,S200000,00400,0500,P 25878,S200000,00600,0200,215178 25878,S200000,00600,0300,08/30/1988 25878,S200000,00600,0600,P 25878,S200000,01600,0100,Y 25878,S200000,03100,0100,Y 25884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25884,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25884,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25884,A000000,00300,0000,00300EMPLOYEE BENEFITS 25884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25884,A000000,00700,0000,00700HOUSEKEEPING 25884,A000000,00800,0000,00800DIETARY 25884,A000000,00801,0000,00801CAFETERIA 25884,A000000,00900,0000,00900NURSING ADMINISTRATION 25884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25884,A000000,01100,0000,01100PHARMACY 25884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25884,A000000,01300,0000,01300SOCIAL SERVICE 25884,A000000,01350,0000,01500ACTIVITIES 25884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25884,A000000,01600,0000,01600SKILLED NURSING FACILITY 25884,A000000,01800,0000,01800NURSING FACILITY 25884,A000000,01900,0000,01900OTHER LONG TERM CARE 25884,A000000,02100,0000,02100RADIOLOGY 25884,A000000,02200,0000,02200LABORATORY 25884,A000000,02300,0000,02300INTRAVENOUS THERAPY 25884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25884,A000000,02500,0000,02500PHYSICAL THERAPY 25884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25884,A000000,02700,0000,02700SPEECH PATHOLOGY 25884,A000000,02800,0000,02800ELECTROCARDIOLOGY 25884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25884,A000000,03050,0000,03300OTHER ANCILLARY 25884,A000000,03051,0000,03301OTHER ANCILLARY II 25884,A000000,03052,0000,03302OTHER ANCILLARY III 25884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25884,A000000,03200,0000,03200SUPPORT SURFACES 25884,A000000,03400,0000,03400CLINIC 25884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25884,A000000,03500,0000,03500RURAL HEALTH CLINIC 25884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25884,A000000,04400,0000,04400DME RENTED - HHA 25884,A000000,04500,0000,04500DME SOLD - HHA 25884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25884,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25884,A000000,04800,0000,04800AMBULANCE 25884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25884,A000000,05000,0000,05000CORF 25884,A000000,05010,0000,05010CMHC I 25884,A000000,05020,0000,05020OPT I 25884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25884,A000000,05300,0000,05300INTEREST EXPENSE 25884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25884,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25884,A000000,05500,0000,05500HOSPICE 25884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25884,A000000,06100,0000,06100NONPAID WORKERS 25884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25884,A000000,06200,0000,06200PATIENTS LAUNDRY 25884,A81000A,00100,0100,Y 25884,A81000B,00100,0300,INTEREST EXPENSE 25884,A81000B,00200,0300,RENTAL EXPENSE 25884,A81000B,00300,0300,CAPITAL COSTS 25884,A81000B,00400,0300,ADMIN & GENERAL 25884,A81000C,00100,0100,A 25884,A81000C,00100,0200,EDWARD WINSHIP 25884,A81000C,00100,0400,SKIPJACK LP 25884,A81000C,00100,0600,FACILITY RENT 25884,A81000C,00200,0100,A 25884,A81000C,00200,0200,SHARON WINSHIP 25884,A81000C,00200,0400,SKIPJACK LP 25884,A81000C,00200,0600,FACILITY RENT 25884,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25884,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25884,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25884,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25884,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25884,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25884,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25884,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25884,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25884,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25884,S000000,00100,0200,05/30/2000 25884,S200000,00100,0100,11974 EDGEHILL TERRACE 25884,S200000,00200,0100,PRINCESS ANNE 25884,S200000,00200,0200,MD 25884,S200000,00200,0300,21853- 25884,S200000,00300,0100,SOMERSET 25884,S200000,00300,0200,0021 25884,S200000,00300,0300,R 25884,S200000,00400,0100,MANOKIN MANOR INC. 25884,S200000,00400,0200,215179 25884,S200000,00400,0300,01/01/1989 25884,S200000,00400,0500,P 25884,S200000,01500,0100,Y 25884,S200000,03100,0100,Y 25893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25893,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25893,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25893,A000000,00300,0000,00300EMPLOYEE BENEFITS 25893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25893,A000000,00700,0000,00700HOUSEKEEPING 25893,A000000,00800,0000,00800DIETARY 25893,A000000,00801,0000,00801CAFETERIA 25893,A000000,00900,0000,00900NURSING ADMINISTRATION 25893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25893,A000000,01100,0000,01100PHARMACY 25893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25893,A000000,01300,0000,01300SOCIAL SERVICE 25893,A000000,01350,0000,01500ACTIVITIES 25893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25893,A000000,01600,0000,01600SKILLED NURSING FACILITY 25893,A000000,01800,0000,01800NURSING FACILITY 25893,A000000,01900,0000,01900OTHER LONG TERM CARE 25893,A000000,02100,0000,02100RADIOLOGY 25893,A000000,02200,0000,02200LABORATORY 25893,A000000,02300,0000,02300INTRAVENOUS THERAPY 25893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25893,A000000,02500,0000,02500PHYSICAL THERAPY 25893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25893,A000000,02700,0000,02700SPEECH PATHOLOGY 25893,A000000,02800,0000,02800ELECTROCARDIOLOGY 25893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25893,A000000,03050,0000,03300OTHER ANCILLARY 25893,A000000,03051,0000,03301OTHER ANCILLARY II 25893,A000000,03052,0000,03302OTHER ANCILLARY III 25893,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25893,A000000,03200,0000,03200SUPPORT SURFACES 25893,A000000,03400,0000,03400CLINIC 25893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25893,A000000,03500,0000,03500RURAL HEALTH CLINIC 25893,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25893,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25893,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25893,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25893,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25893,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25893,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25893,A000000,04400,0000,04400DME RENTED - HHA 25893,A000000,04500,0000,04500DME SOLD - HHA 25893,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25893,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25893,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25893,A000000,04800,0000,04800AMBULANCE 25893,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25893,A000000,05000,0000,05000CORF 25893,A000000,05010,0000,05010CMHC I 25893,A000000,05020,0000,05020OPT I 25893,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25893,A000000,05300,0000,05300INTEREST EXPENSE 25893,A000000,05350,0000,05600RETIREMENT COMMUNITY 25893,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25893,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25893,A000000,05500,0000,05500HOSPICE 25893,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25893,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25893,A000000,06100,0000,06100NONPAID WORKERS 25893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25893,A000000,06200,0000,06200PATIENTS LAUNDRY 25893,A81000A,00100,0100,Y 25893,A81000B,00100,0300,MANAGEMENT FEE 25893,A81000B,00200,0300,MARKETING MAN FEE 25893,A81000C,00100,0100,A 25893,A81000C,00100,0200,COLLINGTON CARE 25893,A81000C,00100,0400,COLLINGTON CARE 25893,A81000C,00100,0600,MANAGEMENT 25893,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25893,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25893,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25893,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25893,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25893,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25893,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25893,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25893,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25893,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25893,H510100,00000,0000,8632 25893,S000000,00100,0200,03/08/2001 25893,S200000,00100,0100,10450 LOTTSFORD ROAD 25893,S200000,00200,0100,MITCHELLVILLE 25893,S200000,00200,0200,MD 25893,S200000,00200,0300,20721- 25893,S200000,00300,0100,PRINCE GEORGES 25893,S200000,00300,0200,8840 25893,S200000,00300,0300,U 25893,S200000,00400,0100,COLLINGTON EPISCOPAL LIFE CARE COMM 25893,S200000,00400,0200,215180 25893,S200000,00400,0300,11/14/1988 25893,S200000,00400,0500,P 25893,S200000,00800,0200,217135 25893,S200000,00800,0300,04/01/1995 25893,S200000,00800,0500,P 25893,S200000,01500,0100,Y 25903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25903,A000000,00300,0000,00300EMPLOYEE BENEFITS 25903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25903,A000000,00700,0000,00700HOUSEKEEPING 25903,A000000,00800,0000,00800DIETARY 25903,A000000,00900,0000,00900NURSING ADMINISTRATION 25903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25903,A000000,01300,0000,01300SOCIAL SERVICE 25903,A000000,01600,0000,01600SKILLED NURSING FACILITY 25903,A000000,01800,0000,01800NURSING FACILITY 25903,A000000,02100,0000,02100RADIOLOGY 25903,A000000,02200,0000,02200LABORATORY 25903,A000000,02300,0000,02300INTRAVENOUS THERAPY 25903,A000000,02500,0000,02500PHYSICAL THERAPY 25903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25903,A000000,02700,0000,02700SPEECH PATHOLOGY 25903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25903,A000000,03200,0000,03200SUPPORT SURFACES 25903,A000000,04800,0000,04800AMBULANCE 25903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25903,A000000,06150,0000,06300ENTERAL FEEDINGS 25903,A81000A,00100,0100,Y 25903,A81000B,00100,0300,HOME OFFICE COSTS 25903,A81000B,00200,0300,HOME OFFICE COSTS 25903,A81000B,00300,0300,HOME OFFICE COSTS 25903,A81000B,00400,0300,RENT 25903,A81000B,00500,0300,RENT 25903,A81000B,00600,0300,THERAPY SERVICES 25903,A81000B,00700,0300,THERAPY SERVICES 25903,A81000B,00800,0300,THERAPY SERVICES 25903,A81000C,00100,0100,A 25903,A81000C,00100,0200,LEONARD ATTMAN 25903,A81000C,00100,0400,FUTURECARE HEAL 25903,A81000C,00100,0600,HOME OFFICE 25903,A81000C,00200,0100,A 25903,A81000C,00200,0200,GARY ATTMAN 25903,A81000C,00200,0400,FUTURECARE HEAL 25903,A81000C,00200,0600,HOME OFFICE 25903,A81000C,00300,0100,A 25903,A81000C,00300,0200,ALVIN POWERS 25903,A81000C,00300,0400,FUTURECARE HEAL 25903,A81000C,00300,0600,HOME OFFICE 25903,A81000C,00400,0100,A 25903,A81000C,00400,0200,1986 TRUST FBO 25903,A81000C,00400,0400,FUTURECARE HEAL 25903,A81000C,00400,0600,HOME OFFICE 25903,A81000C,00500,0100,A 25903,A81000C,00500,0200,LEONARD ATTMAN 25903,A81000C,00500,0400,BAY MANOR R.E. 25903,A81000C,00500,0600,REAL ESTATE REN 25903,A81000C,00600,0100,A 25903,A81000C,00600,0200,GARY ATTMAN 25903,A81000C,00600,0400,BAY MANOR R.E. 25903,A81000C,00600,0600,REAL ESTATE REN 25903,A81000C,00700,0100,A 25903,A81000C,00700,0200,ALVIN POWERS 25903,A81000C,00700,0400,BAY MANOR R.E. 25903,A81000C,00700,0600,REAL ESTATE REN 25903,A81000C,00800,0100,A 25903,A81000C,00800,0200,1986 TRUST FBO 25903,A81000C,00800,0400,BAY MANOR R.E. 25903,A81000C,00800,0600,REAL ESTATE REN 25903,A81000C,00900,0100,B 25903,A81000C,00900,0400,FUTUERCARE REHA 25903,A81000C,00900,0600,THERAPY SERVICE 25903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25903,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25903,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25903,B100000,00000,0800,00000MEALS SERVED :DIETARY 25903,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 25903,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25903,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 25903,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25903,S000000,00100,0200,05/31/2000 25903,S200000,00100,0100,305 COLLEGE PARKWAY 25903,S200000,00200,0100,ARNOLD 25903,S200000,00200,0200,MD 25903,S200000,00200,0300,21012- 25903,S200000,00300,0100,ANNE ARUNDEL 25903,S200000,00300,0200,0720 25903,S200000,00300,0300,U 25903,S200000,00400,0100,FUTURECARE CHESAPEAKE 25903,S200000,00400,0200,215186 25903,S200000,00400,0300,01/11/1989 25903,S200000,00400,0500,P 25903,S200000,00600,0200,215186 25903,S200000,00600,0300,01/11/1989 25903,S200000,00600,0600,P 25903,S200000,01600,0100,Y 25903,S200000,01900,0100,(501)(C)(3) 25903,S200000,04300,0100,Y 25912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25912,A000000,00300,0000,00300EMPLOYEE BENEFITS 25912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25912,A000000,00700,0000,00700HOUSEKEEPING 25912,A000000,00800,0000,00800DIETARY 25912,A000000,00900,0000,00900NURSING ADMINISTRATION 25912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25912,A000000,01100,0000,01100PHARMACY 25912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25912,A000000,01300,0000,01300SOCIAL SERVICE 25912,A000000,01350,0000,01500ACTIVITIES 25912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25912,A000000,01600,0000,01600SKILLED NURSING FACILITY 25912,A000000,01800,0000,01800NURSING FACILITY 25912,A000000,01810,0000,01810ICF/MR 25912,A000000,01900,0000,01900OTHER LONG TERM CARE 25912,A000000,02100,0000,02100RADIOLOGY 25912,A000000,02200,0000,02200LABORATORY 25912,A000000,02300,0000,02300INTRAVENOUS THERAPY 25912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25912,A000000,02500,0000,02500PHYSICAL THERAPY 25912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25912,A000000,02700,0000,02700SPEECH PATHOLOGY 25912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25912,A000000,03550,0000,03550FQHC 25912,A000000,04800,0000,04800AMBULANCE 25912,A000000,05000,0000,05000CORF 25912,A000000,05010,0000,05010CMHC 25912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25912,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25912,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25912,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25912,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25912,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25912,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 25912,B100000,00000,0800,00000MEALS SERVED :DIETARY 25912,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 25912,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25912,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25912,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25912,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25912,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 25912,S000000,00100,0200,05/31/2000 25912,S200000,00100,0100,1881 TELEGRAPH ROAD 25912,S200000,00200,0100,RISING SUN 25912,S200000,00200,0200,MD 25912,S200000,00200,0300,21911- 25912,S200000,00300,0100,CECIL COUNTY 25912,S200000,00300,0200,9160 25912,S200000,00300,0300,U 25912,S200000,00400,0100,CALVERT MANOR 25912,S200000,00400,0200,215189 25912,S200000,00400,0300,06/01/1989 25912,S200000,00400,0500,P 25912,S200000,00400,0600,O 25912,S200000,00600,0200,215189 25912,S200000,00600,0300,06/01/1989 25912,S200000,00600,0600,P 25912,S200000,01600,0100,Y 25912,S200000,02800,0100,Y 25923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25923,A000000,00300,0000,00300EMPLOYEE BENEFITS 25923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25923,A000000,00700,0000,00700HOUSEKEEPING 25923,A000000,00800,0000,00800DIETARY 25923,A000000,00900,0000,00900NURSING ADMINISTRATION 25923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25923,A000000,01300,0000,01300SOCIAL SERVICE 25923,A000000,01600,0000,01600SKILLED NURSING FACILITY 25923,A000000,01800,0000,01800NURSING FACILITY 25923,A000000,02100,0000,02100RADIOLOGY 25923,A000000,02200,0000,02200LABORATORY 25923,A000000,02300,0000,02300INTRAVENOUS THERAPY 25923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25923,A000000,02500,0000,02500PHYSICAL THERAPY 25923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25923,A000000,02700,0000,02700SPEECH PATHOLOGY 25923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25923,A000000,03200,0000,03200SUPPORT SURFACES 25923,A000000,04800,0000,04800AMBULANCE 25923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25923,A000000,06150,0000,06300ENTERAL FEEDINGS 25923,A81000A,00100,0100,Y 25923,A81000B,00100,0300,HOME OFFICE COSTS 25923,A81000B,00200,0300,HOME OFFICE COSTS 25923,A81000B,00300,0300,HOME OFFICE COSTS 25923,A81000B,00400,0300,RENT 25923,A81000B,00500,0300,RENT 25923,A81000B,00600,0300,THERAPY SERVICES 25923,A81000B,00700,0300,THERAPY SERVICES 25923,A81000B,00800,0300,THERAPY SERVICES 25923,A81000C,00100,0100,A 25923,A81000C,00100,0200,LEONARD ATTMAN 25923,A81000C,00100,0400,FUTURECARE HEAL 25923,A81000C,00100,0600,HOME OFFICE 25923,A81000C,00200,0100,A 25923,A81000C,00200,0200,GARY ATTMAN 25923,A81000C,00200,0400,FUTURECARE HEAL 25923,A81000C,00200,0600,HOME OFFICE 25923,A81000C,00300,0100,A 25923,A81000C,00300,0200,ALVIN POWERS 25923,A81000C,00300,0400,FUTURECARE HEAL 25923,A81000C,00300,0600,HOME OFFICE 25923,A81000C,00400,0100,A 25923,A81000C,00400,0200,1996 TRUST FBO 25923,A81000C,00400,0400,FUTURECARE HEAL 25923,A81000C,00400,0600,HOME OFFICE 25923,A81000C,00500,0100,A 25923,A81000C,00500,0200,LEONARD ATTMAN 25923,A81000C,00500,0400,BENT R.E. L.P. 25923,A81000C,00500,0600,REAL ESTATE REN 25923,A81000C,00600,0100,A 25923,A81000C,00600,0200,GARY ATTMAN 25923,A81000C,00600,0400,BENT R.E. L.P. 25923,A81000C,00600,0600,REAL ESTATE REN 25923,A81000C,00700,0100,A 25923,A81000C,00700,0200,ALVIN POWERS 25923,A81000C,00700,0400,BENT R.E. L.P. 25923,A81000C,00700,0600,REAL ESTATE REN 25923,A81000C,00800,0100,A 25923,A81000C,00800,0200,1996 TRUST FBO 25923,A81000C,00800,0400,BENT R.E. L.P. 25923,A81000C,00800,0600,REAL ESTATE REN 25923,A81000C,00900,0100,B 25923,A81000C,00900,0400,FUTURECARE REHA 25923,A81000C,00900,0600,THERAPY SERVICE 25923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25923,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 25923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25923,B100000,00000,0800,00000MEALS SERVED :DIETARY 25923,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 25923,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25923,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 25923,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 25923,S000000,00100,0200,05/31/2000 25923,S200000,00100,0100,12020 REISTERSTOWN ROAD 25923,S200000,00200,0100,BALTIMORE 25923,S200000,00200,0200,MD 25923,S200000,00200,0300,21136- 25923,S200000,00300,0100,BALTIMORE 25923,S200000,00300,0200,0720 25923,S200000,00300,0300,U 25923,S200000,00400,0100,FUTURECARE CHERRYWOOD 25923,S200000,00400,0200,215192 25923,S200000,00400,0300,03/01/1989 25923,S200000,00400,0500,P 25923,S200000,00600,0200,215192 25923,S200000,00600,0300,03/01/1989 25923,S200000,00600,0600,P 25923,S200000,01600,0100,Y 25923,S200000,04300,0100,Y 25929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25929,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25929,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25929,A000000,00300,0000,00300EMPLOYEE BENEFITS 25929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25929,A000000,00700,0000,00700HOUSEKEEPING 25929,A000000,00800,0000,00800DIETARY 25929,A000000,00801,0000,00801CAFETERIA 25929,A000000,00900,0000,00900NURSING ADMINISTRATION 25929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25929,A000000,01100,0000,01100PHARMACY 25929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25929,A000000,01300,0000,01300SOCIAL SERVICE 25929,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 25929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25929,A000000,01600,0000,01600SKILLED NURSING FACILITY 25929,A000000,01800,0000,01800NURSING FACILITY 25929,A000000,01900,0000,01900OTHER LONG TERM CARE 25929,A000000,02100,0000,02100RADIOLOGY 25929,A000000,02200,0000,02200LABORATORY 25929,A000000,02300,0000,02300INTRAVENOUS THERAPY 25929,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25929,A000000,02500,0000,02500PHYSICAL THERAPY 25929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25929,A000000,02700,0000,02700SPEECH PATHOLOGY 25929,A000000,02800,0000,02800ELECTROCARDIOLOGY 25929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25929,A000000,03050,0000,03300OTHER ANCILLARY 25929,A000000,03051,0000,03301OTHER ANCILLARY II 25929,A000000,03052,0000,03302OTHER ANCILLARY III 25929,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25929,A000000,03200,0000,03200SUPPORT SURFACES 25929,A000000,03400,0000,03400CLINIC 25929,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25929,A000000,03500,0000,03500RURAL HEALTH CLINIC 25929,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25929,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25929,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25929,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25929,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25929,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25929,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25929,A000000,04400,0000,04400DME RENTED - HHA 25929,A000000,04500,0000,04500DME SOLD - HHA 25929,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25929,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25929,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25929,A000000,04800,0000,04800AMBULANCE 25929,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25929,A000000,05000,0000,05000CORF 25929,A000000,05010,0000,05010CMHC I 25929,A000000,05020,0000,05020OPT I 25929,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25929,A000000,05300,0000,05300INTEREST EXPENSE 25929,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25929,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25929,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25929,A000000,05500,0000,05500HOSPICE 25929,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25929,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25929,A000000,06100,0000,06100NONPAID WORKERS 25929,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25929,A000000,06200,0000,06200PATIENTS LAUNDRY 25929,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25929,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25929,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25929,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25929,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25929,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25929,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25929,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25929,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25929,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25929,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25929,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 25929,S000000,00100,0200,05/30/2000 25929,S200000,00100,0100,6811 CAMPFIELD ROAD 25929,S200000,00200,0100,BALTIMORE 25929,S200000,00200,0200,MD 25929,S200000,00200,0300,21207- 25929,S200000,00300,0100,BALTIMORE 25929,S200000,00300,0200,0720 25929,S200000,00300,0300,U 25929,S200000,00400,0100,AUGSBURG LUTHERAN HOME OF MD INC. 25929,S200000,00400,0200,215193 25929,S200000,00400,0300,03/14/1989 25929,S200000,00400,0500,P 25929,S200000,01600,0100,Y 25929,S200000,02200,0100,Y 25929,S200000,02800,0100,Y 25946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25946,A000000,00300,0000,00300EMPLOYEE BENEFITS 25946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25946,A000000,00700,0000,00700HOUSEKEEPING 25946,A000000,00800,0000,00800DIETARY 25946,A000000,00900,0000,00900NURSING ADMINISTRATION 25946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25946,A000000,01100,0000,01100PHARMACY 25946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25946,A000000,01300,0000,01300SOCIAL SERVICE 25946,A000000,01350,0000,01500ACTIVITIES 25946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25946,A000000,01600,0000,01600SKILLED NURSING FACILITY 25946,A000000,01800,0000,01800NURSING FACILITY 25946,A000000,01810,0000,01810ICF/MR 25946,A000000,02200,0000,02200LABORATORY 25946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25946,A000000,02500,0000,02500PHYSICAL THERAPY 25946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25946,A000000,02700,0000,02700SPEECH PATHOLOGY 25946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25946,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 25946,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 25946,A000000,03550,0000,03550FQHC 25946,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25946,A000000,05000,0000,05000CORF 25946,A000000,05010,0000,05010CMHC 25946,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25946,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25946,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25946,A81000A,00100,0100,Y 25946,A81000B,00100,0300,HOME OFFICE COSTS 25946,A81000C,00100,0100,B 25946,A81000C,00100,0200,GREEN ACRES HEA 25946,A81000C,00100,0400,GREEN ACRES HEA 25946,A81000C,00100,0600,HOME OFFICE 25946,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25946,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25946,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25946,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25946,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25946,B100000,00000,0750,00000SQUARE FEET EX. D:HOUSEKEEPING 25946,B100000,00000,0800,00000MEALS SERVED :DIETARY 25946,B100000,00000,0900,00000HOURS WORKED :NURSING ADMINISTRATI 25946,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 25946,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25946,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25946,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25946,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25946,S000000,00100,0200,03/28/2000 25946,S200000,00100,0100,1 EASTERN BLVD. 25946,S200000,00200,0100,BALTIMORE 25946,S200000,00200,0200,MD 25946,S200000,00300,0100,BALTIMORE 25946,S200000,00300,0200,0720 25946,S200000,00300,0300,U 25946,S200000,00400,0100,RIVERVIEW NURSING CENTER 25946,S200000,00400,0200,215203 25946,S200000,00400,0300,05/01/1992 25946,S200000,00400,0500,P 25946,S200000,01600,0100,Y 25948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25948,A000000,00300,0000,00300EMPLOYEE BENEFITS 25948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25948,A000000,00700,0000,00700HOUSEKEEPING 25948,A000000,00800,0000,00800DIETARY 25948,A000000,00900,0000,00900NURSING ADMINISTRATION 25948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25948,A000000,01100,0000,01100PHARMACY 25948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25948,A000000,01300,0000,01300SOCIAL SERVICE 25948,A000000,01350,0000,01500ACTIVITIES 25948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25948,A000000,01600,0000,01600SKILLED NURSING FACILITY 25948,A000000,01800,0000,01800NURSING FACILITY 25948,A000000,01810,0000,01810ICF/MR 25948,A000000,01900,0000,01900OTHER LONG TERM CARE 25948,A000000,02100,0000,02100RADIOLOGY 25948,A000000,02200,0000,02200LABORATORY 25948,A000000,02300,0000,02300INTRAVENOUS THERAPY 25948,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25948,A000000,02500,0000,02500PHYSICAL THERAPY 25948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25948,A000000,02700,0000,02700SPEECH PATHOLOGY 25948,A000000,02800,0000,02800ELECTROCARDIOLOGY 25948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25948,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 25948,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25948,A000000,03200,0000,03200SUPPORT SURFACES 25948,A000000,03400,0000,03400CLINIC 25948,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 25948,A000000,03500,0000,03500RURAL HEALTH CLINIC 25948,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25948,A000000,04800,0000,04800AMBULANCE 25948,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25948,A000000,05000,0000,05000CORF 25948,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25948,A000000,05300,0000,05300INTEREST EXPENSE 25948,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 25948,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25948,A000000,05500,0000,05500HOSPICE 25948,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25948,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25948,A000000,06100,0000,06100NONPAID WORKERS 25948,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25948,A000000,06200,0000,06200PATIENTS LAUNDRY 25948,A81000A,00100,0100,Y 25948,A81000B,00100,0300,HOME OFFICE EXPENSE 25948,A81000B,00200,0300,HOME OFFICE CAPITAL 25948,A81000C,00100,0100,B 25948,A81000C,00100,0200,GREEN ACRES HEALTH SYSTEM 25948,A81000C,00100,0400,GREEN ACRES HEALTH SYSTEM 25948,A81000C,00100,0600,HOME OFFICE 25948,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25948,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25948,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25948,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25948,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25948,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25948,B100000,00000,0800,00000MEALS SERVED :DIETARY 25948,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 25948,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 25948,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 25948,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 25948,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25948,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25948,S000000,00100,0200,12/11/2000 25948,S200000,00100,0100,1 EASTERN BLVD. 25948,S200000,00200,0100,BALTIMORE 25948,S200000,00200,0200,MD 25948,S200000,00200,0300,21221- 25948,S200000,00300,0100,BALTIMORE 25948,S200000,00300,0200,0720 25948,S200000,00300,0300,U 25948,S200000,00400,0100,RIVERVIEW NURSING CENTER 25948,S200000,00400,0200,215203 25948,S200000,00400,0300,05/01/1992 25948,S200000,00400,0500,P 25948,S200000,01600,0100,Y 25951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25951,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25951,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25951,A000000,00300,0000,00300EMPLOYEE BENEFITS 25951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25951,A000000,00700,0000,00700HOUSEKEEPING 25951,A000000,00800,0000,00800DIETARY 25951,A000000,00801,0000,00801CAFETERIA 25951,A000000,00900,0000,00900NURSING ADMINISTRATION 25951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25951,A000000,01100,0000,01100PHARMACY 25951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25951,A000000,01300,0000,01300SOCIAL SERVICE 25951,A000000,01350,0000,01500ACTIVITIES 25951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25951,A000000,01600,0000,01600SKILLED NURSING FACILITY 25951,A000000,01800,0000,01800NURSING FACILITY 25951,A000000,01900,0000,01900OTHER LONG TERM CARE 25951,A000000,02100,0000,02100RADIOLOGY 25951,A000000,02200,0000,02200LABORATORY 25951,A000000,02300,0000,02300INTRAVENOUS THERAPY 25951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25951,A000000,02500,0000,02500PHYSICAL THERAPY 25951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25951,A000000,02700,0000,02700SPEECH PATHOLOGY 25951,A000000,02800,0000,02800ELECTROCARDIOLOGY 25951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25951,A000000,03050,0000,03300OTHER ANCILLARY 25951,A000000,03051,0000,03301OTHER ANCILLARY II 25951,A000000,03052,0000,03302OTHER ANCILLARY III 25951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25951,A000000,03200,0000,03200SUPPORT SURFACES 25951,A000000,03400,0000,03400CLINIC 25951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25951,A000000,03500,0000,03500RURAL HEALTH CLINIC 25951,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25951,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25951,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25951,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25951,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25951,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25951,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25951,A000000,04400,0000,04400DME RENTED - HHA 25951,A000000,04500,0000,04500DME SOLD - HHA 25951,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25951,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25951,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25951,A000000,04800,0000,04800AMBULANCE 25951,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25951,A000000,05000,0000,05000CORF 25951,A000000,05010,0000,05010CMHC I 25951,A000000,05020,0000,05020OPT I 25951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25951,A000000,05300,0000,05300INTEREST EXPENSE 25951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25951,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25951,A000000,05500,0000,05500HOSPICE 25951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25951,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25951,A000000,06100,0000,06100NONPAID WORKERS 25951,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25951,A000000,06200,0000,06200PATIENTS LAUNDRY 25951,A81000A,00100,0100,Y 25951,A81000B,00100,0300,MANAGEMENT FEES 25951,A81000C,00100,0100,B 25951,A81000C,00100,0200,FG HEALTHCARE 25951,A81000C,00100,0400,FG HEALTHCARE 25951,A81000C,00100,0600,MANAGEMENT 25951,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25951,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25951,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25951,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25951,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25951,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25951,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25951,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25951,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25951,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25951,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25951,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25951,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25951,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25951,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25951,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25951,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25951,S000000,00100,0200,12/11/2000 25951,S200000,00100,0100,4511 ROBOSSON COURT 25951,S200000,00200,0100,RANDALLSTOWN 25951,S200000,00200,0200,MD 25951,S200000,00200,0300,21133- 25951,S200000,00300,0100,BALTIMORE 25951,S200000,00400,0100,ROBOSSON COURT NURSING CENTER 25951,S200000,00400,0200,215220 25951,S200000,00400,0300,07/01/1999 25951,S200000,00400,0500,P 25951,S200000,01004,0500,O 25951,S200000,01500,0100,Y 25958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25958,A000000,00300,0000,00300EMPLOYEE BENEFITS 25958,A000000,00401,0000,00401COMMUNITY ADMINISTRATION & GENERAL 25958,A000000,00402,0000,00402DIRECTOR OF HEALTH SERVICES 25958,A000000,00403,0000,00403SNF ADMINISTRATION & GENERAL 25958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25958,A000000,00700,0000,00700HOUSEKEEPING 25958,A000000,00800,0000,00800DIETARY 25958,A000000,00801,0000,00802SNF/ALF DIETARY 25958,A000000,00802,0000,00801DIRECTOR OF DINING SERVICES 25958,A000000,00900,0000,00900NURSING ADMINISTRATION 25958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25958,A000000,01100,0000,01100PHARMACY 25958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25958,A000000,01300,0000,01300SOCIAL SERVICE 25958,A000000,01350,0000,00501SNF MAINTENANCE 25958,A000000,01351,0000,00502ILU/HHA MAINTENANCE 25958,A000000,01352,0000,01500RECREATIONAL ACTIVTIES 25958,A000000,01353,0000,00701ILU/HHA HOUSEKEEPING 25958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25958,A000000,01600,0000,01600SKILLED NURSING FACILITY 25958,A000000,01800,0000,01800NURSING FACILITY 25958,A000000,01810,0000,01810ICF/MR 25958,A000000,02100,0000,02100RADIOLOGY 25958,A000000,02200,0000,02200LABORATORY 25958,A000000,02300,0000,02300INTRAVENOUS THERAPY 25958,A000000,02500,0000,02500PHYSICAL THERAPY 25958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25958,A000000,02700,0000,02700SPEECH PATHOLOGY 25958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25958,A000000,03550,0000,03550FQHC 25958,A000000,05000,0000,05000CORF 25958,A000000,05010,0000,05010CMHC 25958,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25958,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25958,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25958,A000000,06150,0000,06300INDEPENDENT ADMIN & GENERAL 25958,A000000,06151,0000,06301INDEPENDENT PLANT & MAINTENANCE 25958,A000000,06152,0000,06302INDEPENDENT DIETARY 25958,A000000,06153,0000,06303ASSISTED LIVING ADMIN & GENERAL 25958,A000000,06154,0000,06304ASSISTED LIVING PLANT & MAINTENANC 25958,A000000,06155,0000,06305ASSITED LIVING DIETARY 25958,A000000,06156,0000,06306ASSISTED LIVING NURSING 25958,A000000,06157,0000,06307EMERGENCY MEDICAL SERVICES 25958,A000000,06159,0000,06309MEDICAL CENTER PHYSICIANS PRACTICE 25958,A000000,06160,0000,06310HOME HEALTH CAPITAL RLTD-BLDG&FIX 25958,A000000,06161,0000,06311HOME HEALTH CAPITAL RLTD-MOVBLE EQ 25958,A000000,06162,0000,06312HOME HEALTH PLANT OPERATN & MAINT 25958,A000000,06163,0000,06313HOME HEALTH TRANSPORTATION 25958,A000000,06164,0000,06314HOME HEALTH SHARED ADMIN & GENERAL 25958,A000000,06165,0000,06315HOME HEALTH REIMBURS ADMIN & GENRL 25958,A000000,06166,0000,06316HOME HEALTH NONREIMB ADMIN & GENRL 25958,A000000,06167,0000,06317HOME HEALTH SKILLED NURSING CARE 25958,A000000,06168,0000,06318HOME HEALTH PHYSICAL THERAPY 25958,A000000,06169,0000,06319HOME HEALTH OCCUPATIONAL THERAPY 25958,A000000,06170,0000,06320HOME HEALTH SPEECH PATHOLOGY 25958,A000000,06171,0000,06321HOME HEALTH MEDICAL SOCIAL SERVICE 25958,A000000,06172,0000,06322HOME HEALTH HOME HEALTH AIDE 25958,A000000,06173,0000,06323HOME HEALTH MEDICAL SUPPLIES 25958,A000000,06174,0000,06324HOME HEALTH PRIVATE DUTY NURSING 25958,A81000A,00100,0100,Y 25958,A81000B,00100,0300,MANAGEMENT FEES 25958,A81000B,00200,0300,MANAGEMENT FEES 25958,A81000B,00300,0300,MANAGEMENT FEES 25958,A81000B,00400,0300,MANAGEMENT FEES 25958,A81000B,00500,0300,SCL RECOVERY COSTS 25958,A81000B,00600,0300,SCL RECOVERY COSTS 25958,A81000B,00700,0300,SCL RECOVERY COSTS 25958,A81000B,00800,0300,SERVICE AGREEMENTS 25958,A81000B,00900,0300,MEDICAL DIRECTOR FEES 25958,A81000B,01000,0300,RENT EXPENSE 25958,A81000C,00100,0100,B 25958,A81000C,00100,0400,ERICKSON RETIREMENT COMMU 25958,A81000C,00100,0600,MANAGEMENT 25958,B100000,00000,0100,00024SQUARE FEET :CAP REL COSTS - BLDGS 25958,B100000,00000,0300,00024GROSS SALARIES :EMPLOYEE BENEFITS 25958,B100000,00000,0401,00024 ACCUM. COST :COMMUNITY ADMINISTRAT 25958,B100000,00000,0402,00024 ACCUM. COST :DIRECTOR OF HEALTH SE 25958,B100000,00000,0403,00024 ACCUM. COST :SNF ADMINISTRATION & 25958,B100000,00000,0500,00024COMMUNITY SQ FOOTAGE :PLANT OPERATI 25958,B100000,00000,0650,00024PATIENT DAYS :LAUNDRY & LINEN SERV 25958,B100000,00000,0750,00024SQFT EXCL KITCHENS :HOUSEKEEPING 25958,B100000,00000,0851,00024PATIENT DAYS :SNF/ALF DIETARY 25958,B100000,00000,0852,00024 ACCUM. COST :DIRECTOR OF DINING SE 25958,B100000,00000,0900,00024HOURS WORKED :NURSING ADMINISTRATI 25958,B100000,00000,1000,00024COSTED REQUIS :CENTRAL SERVICES & 25958,B100000,00000,1100,00024COSTED REQUIS :PHARMACY 25958,B100000,00000,1250,00024PATIENT DAYS :MEDICAL RECORDS & LI 25958,B100000,00000,1330,00024PATIENT DAYS :SOCIAL SERVICE 25958,B100000,00000,1350,00024SNF SQ FT :SNF MAINTENANCE 25958,B100000,00000,1351,00024ULU/HHA SQ FEET :ILU/HHA MAINTENANC 25958,B100000,00000,1352,00024PATIENT DAYS :RECREATIONAL ACTIVTI 25958,B100000,00000,1353,00024ILU/HHA SQ FOOTAGE :ILU/HHA HOUSEKE 25958,S000000,00100,0200,06/01/2000 25958,S200000,00100,0100,.0 25958,S200000,00200,0100,BALTIMORE 25958,S200000,00200,0200,MD 25958,S200000,00200,0300,21228- 25958,S200000,00300,0100,BALTIMORE 25958,S200000,00300,0200,0720 25958,S200000,00300,0300,U 25958,S200000,00400,0100,CHARLESTOWN CARE CENTER 25958,S200000,00400,0200,215223 25958,S200000,00400,0300,08/01/1990 25958,S200000,00400,0500,P 25958,S200000,01020,0200,215223 25958,S200000,01020,0300,03/23/1999 25958,S200000,01020,0500,O 25958,S200000,01500,0100,Y 25958,S200000,01900,0100,COMMUNITY TRUST/503C 25968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25968,A000000,00300,0000,00300EMPLOYEE BENEFITS 25968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25968,A000000,00700,0000,00700HOUSEKEEPING 25968,A000000,00800,0000,00800DIETARY 25968,A000000,00900,0000,00900NURSING ADMINISTRATION 25968,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25968,A000000,01100,0000,01100PHARMACY 25968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25968,A000000,01300,0000,01300SOCIAL SERVICE 25968,A000000,01350,0000,01500ACTIVITIES 25968,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25968,A000000,01600,0000,01600SKILLED NURSING FACILITY 25968,A000000,01800,0000,01800NURSING FACILITY 25968,A000000,01900,0000,01900OTHER LONG TERM CARE 25968,A000000,02100,0000,02100RADIOLOGY 25968,A000000,02200,0000,02200LABORATORY 25968,A000000,02300,0000,02300INTRAVENOUS THERAPY 25968,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25968,A000000,02500,0000,02500PHYSICAL THERAPY 25968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25968,A000000,02700,0000,02700SPEECH PATHOLOGY 25968,A000000,02800,0000,02800ELECTROCARDIOLOGY 25968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25968,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 25968,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25968,A000000,03200,0000,03200SUPPORT SURFACES 25968,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 25968,A000000,04800,0000,04800AMBULANCE 25968,A000000,05300,0000,05300INTEREST EXPENSE 25968,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 25968,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25968,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25968,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25968,A000000,06100,0000,06100NONPAID WORKERS 25968,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25968,A000000,06200,0000,06200PATIENTS LAUNDRY 25968,A81000A,00100,0100,Y 25968,A81000B,00100,0300,HOME OFFICE COST 25968,A81000B,00200,0300,PT ADMIN FEES 25968,A81000B,00300,0300,OT ADMIN FEES 25968,A81000B,00400,0300,ST ADMIN FEES 25968,A81000B,00500,0300,DIRECT INTEREST 25968,A81000C,00100,0100,B 25968,A81000C,00100,0200,MCHS - SILVER SPRING 25968,A81000C,00100,0400,HCR MANORCARE INC. 25968,A81000C,00100,0600,LONG TERM CARE FACILITIES 25968,A81000C,00200,0100,B 25968,A81000C,00200,0200,MCHS - SILVER SPRING 25968,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 25968,A81000C,00200,0600,THERAPY MANAGEMENT 25968,A81000C,00300,0100,B 25968,A81000C,00300,0200,MCHS - SILVER SPRING 25968,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 25968,A81000C,00300,0600,THERAPY MANAGEMENT 25968,A81000C,00400,0100,B 25968,A81000C,00400,0200,MCHS - SILVER SPRING 25968,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 25968,A81000C,00400,0600,THERAPY MANAGEMENT 25968,A81000C,00500,0100,B 25968,A81000C,00500,0200,MCHS - SILVER SPRING 25968,A81000C,00500,0400,HCR MANORCARE INC. 25968,A81000C,00500,0600,LONG TERM CARE FACILITIES 25968,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 25968,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 25968,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 25968,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25968,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 25968,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 25968,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 25968,B100000,00000,0800,00000MEALS SERVED :DIETARY 25968,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 25968,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 25968,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 25968,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 25968,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 25968,S000000,00100,0200,10/27/2000 25968,S200000,00100,0100,2501 MUSGROVE RD 25968,S200000,00200,0100,SILVER SPRING 25968,S200000,00200,0200,MD 25968,S200000,00200,0300,20904- 25968,S200000,00300,0100,MONTGOMERY 25968,S200000,00300,0200,8840 25968,S200000,00300,0300,U 25968,S200000,00400,0100,MCHS - SILVER SPRING 25968,S200000,00400,0200,215224 25968,S200000,00400,0300,06/29/1990 25968,S200000,00400,0500,P 25968,S200000,00400,0600,P 25968,S200000,01004,0500,O 25968,S200000,01600,0100,Y 25968,S200000,04300,0100,Y 25974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25974,A000000,00300,0000,00300EMPLOYEE BENEFITS 25974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25974,A000000,00700,0000,00700HOUSEKEEPING 25974,A000000,00800,0000,00800DIETARY 25974,A000000,00900,0000,00900NURSING ADMINISTRATION 25974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25974,A000000,01100,0000,01100PHARMACY 25974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25974,A000000,01300,0000,01300SOCIAL SERVICE 25974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25974,A000000,01600,0000,01600SKILLED NURSING FACILITY 25974,A000000,01810,0000,01810ICF/MR 25974,A000000,02100,0000,02100RADIOLOGY 25974,A000000,02101,0000,02110CT SCAN 25974,A000000,02200,0000,02200LABORATORY 25974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25974,A000000,02500,0000,02500PHYSICAL THERAPY 25974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25974,A000000,02700,0000,02700SPEECH PATHOLOGY 25974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25974,A000000,03050,0000,02120EEG 25974,A000000,03550,0000,03550FQHC 25974,A000000,05000,0000,05000CORF 25974,A000000,05010,0000,05010CMHC 25974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 25974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 25974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 25974,A81000A,00100,0100,Y 25974,A81000B,00100,0300,OVERHEAD CHARGE 25974,A81000B,00200,0300,BUILDING COST 25974,A81000B,00300,0300,MOVEABLE EQUIP 25974,A81000B,00400,0300,ADMIN 25974,A81000B,00500,0300,MAINT 25974,A81000B,00600,0300,PLANT OPS 25974,A81000B,00700,0300,LAUNDRY 25974,A81000B,00800,0300,DIETARY 25974,A81000B,00900,0300,NURSING ADMIN 25974,A81000B,01000,0300,DRUGS 25974,A81000B,01100,0300,MEDICAL RECORDS 25974,A81000B,01200,0300,SOCIAL SERVICE 25974,A81000B,01300,0300,RADIOLOGY 25974,A81000B,01400,0300,CT SCAN 25974,A81000B,01500,0300,EEG 25974,A81000B,01600,0300,RESPIRATORY THERAPY 25974,A81000C,00100,0100,B 25974,A81000C,00100,0200,BAYVIEW SPECIAL 25974,A81000C,00100,0400,JHBMC 25974,A81000C,00100,0600,HOSPITAL 25974,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 25974,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 25974,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 25974,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 25974,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 25974,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 25974,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 25974,B100000,00000,0800,00040MEALS SERVED :DIETARY 25974,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 25974,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 25974,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 25974,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 25974,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 25974,S000000,00100,0200,12/11/2000 25974,S200000,00200,0200,MD 25974,S200000,00300,0200,0720 25974,S200000,00300,0300,U 25974,S200000,00400,0100,BAYVIEW SPECIAL CARE 25974,S200000,00400,0200,215242 25974,S200000,00400,0300,07/21/1992 25974,S200000,00400,0500,P 25974,S200000,01500,0100,Y 25974,S200000,04300,0100,Y 25977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25977,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25977,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25977,A000000,00300,0000,00300EMPLOYEE BENEFITS 25977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25977,A000000,00700,0000,00700HOUSEKEEPING 25977,A000000,00800,0000,00800DIETARY 25977,A000000,00801,0000,00801CAFETERIA 25977,A000000,00900,0000,00900NURSING ADMINISTRATION 25977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25977,A000000,01100,0000,01100PHARMACY 25977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25977,A000000,01300,0000,01300SOCIAL SERVICE 25977,A000000,01350,0000,01500ACTIVITIES 25977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25977,A000000,01600,0000,01600SKILLED NURSING FACILITY 25977,A000000,01800,0000,01800NURSING FACILITY 25977,A000000,01900,0000,01900OTHER LONG TERM CARE 25977,A000000,02100,0000,02100RADIOLOGY 25977,A000000,02200,0000,02200LABORATORY 25977,A000000,02300,0000,02300INTRAVENOUS THERAPY 25977,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25977,A000000,02500,0000,02500PHYSICAL THERAPY 25977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25977,A000000,02700,0000,02700SPEECH PATHOLOGY 25977,A000000,02800,0000,02800ELECTROCARDIOLOGY 25977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25977,A000000,03050,0000,03300OTHER ANCILLARY 25977,A000000,03051,0000,03301OTHER ANCILLARY II 25977,A000000,03052,0000,03302OTHER ANCILLARY III 25977,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25977,A000000,03200,0000,03200SUPPORT SURFACES 25977,A000000,03400,0000,03400CLINIC 25977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25977,A000000,03500,0000,03500RURAL HEALTH CLINIC 25977,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25977,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25977,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25977,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25977,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25977,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25977,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25977,A000000,04400,0000,04400DME RENTED - HHA 25977,A000000,04500,0000,04500DME SOLD - HHA 25977,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25977,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25977,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25977,A000000,04800,0000,04800AMBULANCE 25977,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25977,A000000,05000,0000,05000CORF 25977,A000000,05010,0000,05010CMHC I 25977,A000000,05020,0000,05020OPT I 25977,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25977,A000000,05300,0000,05300INTEREST EXPENSE 25977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25977,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25977,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25977,A000000,05500,0000,05500HOSPICE 25977,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25977,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25977,A000000,06100,0000,06100NONPAID WORKERS 25977,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25977,A000000,06200,0000,06200PATIENTS LAUNDRY 25977,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25977,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 25977,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 25977,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 25977,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25977,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25977,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25977,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25977,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25977,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25977,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 25977,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 25977,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 25977,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 25977,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25977,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25977,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25977,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 25977,S000000,00100,0200,10/12/2000 25977,S200000,00100,0100,1442 BUCKHORN ROAD 25977,S200000,00200,0100,SYKESVILLE 25977,S200000,00200,0200,MD 25977,S200000,00200,0300,21784- 25977,S200000,00300,0100,CARROLL 25977,S200000,00400,0100,GOLDEN AGE GUEST HOME INC. 25977,S200000,00400,0200,215247 25977,S200000,00400,0300,04/01/1993 25977,S200000,00400,0500,P 25977,S200000,01500,0100,Y 25977,S200000,02200,0100,Y 25977,S200000,02800,0100,Y 25984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25984,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25984,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25984,A000000,00300,0000,00300EMPLOYEE BENEFITS 25984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25984,A000000,00700,0000,00700HOUSEKEEPING 25984,A000000,00800,0000,00800DIETARY 25984,A000000,00801,0000,00801CAFETERIA 25984,A000000,00900,0000,00900NURSING ADMINISTRATION 25984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25984,A000000,01100,0000,01100PHARMACY 25984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25984,A000000,01300,0000,01300SOCIAL SERVICE 25984,A000000,01350,0000,01500ACTIVITIES 25984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25984,A000000,01600,0000,01600SKILLED NURSING FACILITY 25984,A000000,01800,0000,01800NURSING FACILITY 25984,A000000,01900,0000,01900OTHER LONG TERM CARE 25984,A000000,02100,0000,02100RADIOLOGY 25984,A000000,02200,0000,02200LABORATORY 25984,A000000,02300,0000,02300INTRAVENOUS THERAPY 25984,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25984,A000000,02500,0000,02500PHYSICAL THERAPY 25984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25984,A000000,02700,0000,02700SPEECH PATHOLOGY 25984,A000000,02800,0000,02800ELECTROCARDIOLOGY 25984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25984,A000000,03050,0000,03300DME 25984,A000000,03051,0000,03301OTHER ANCILLARY II 25984,A000000,03052,0000,03302PSYCHOLOGICAL SERVICES 25984,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25984,A000000,03200,0000,03200SUPPORT SURFACES 25984,A000000,03400,0000,03400CLINIC 25984,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25984,A000000,03500,0000,03500RURAL HEALTH CLINIC 25984,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25984,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25984,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25984,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25984,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25984,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25984,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25984,A000000,04400,0000,04400DME RENTED - HHA 25984,A000000,04500,0000,04500DME SOLD - HHA 25984,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25984,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25984,A000000,04800,0000,04800AMBULANCE 25984,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25984,A000000,05000,0000,05000CORF 25984,A000000,05010,0000,05010CMHC I 25984,A000000,05020,0000,05020OPT I 25984,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25984,A000000,05300,0000,05300INTEREST EXPENSE 25984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25984,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25984,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25984,A000000,05500,0000,05500HOSPICE 25984,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25984,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25984,A000000,06100,0000,06100NONPAID WORKERS 25984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25984,A000000,06200,0000,06200PATIENTS LAUNDRY 25984,A81000A,00100,0100,Y 25984,A81000B,00100,0300,HO ALLOCATION 25984,A81000B,00200,0300,THERAPY ACTUAL COSTS 25984,A81000B,00300,0300,THERAPY ACTUAL COSTS 25984,A81000B,00400,0300,THERAPY ACTUAL COSTS 25984,A81000C,00100,0100,B 25984,A81000C,00100,0200,HARBORSIDE 25984,A81000C,00200,0200,HEALTHCARE 25984,A81000C,00300,0200,LIMITED PSHIP 25984,A81000C,00300,0600,MANAGEMENT CO 25984,A81000C,00500,0100,B 25984,A81000C,00500,0200,HARBORSIDE 25984,A81000C,00600,0200,REHABILITATION 25984,A81000C,00700,0200,LIMITED PSHIP 25984,A81000C,00700,0600,THERAPY 25984,A81000C,00800,0600,SERVICE AND 25984,A81000C,00900,0600,MANAGEMENT CO 25984,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25984,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25984,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25984,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25984,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25984,B100000,00000,0750,00000DAYS :HOUSEKEEPING 25984,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25984,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 25984,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25984,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25984,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25984,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25984,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25984,S000000,00100,0200,03/14/2001 25984,S200000,00100,0100,4700 HARFORD ROAD 25984,S200000,00200,0100,BALTIMORE 25984,S200000,00200,0200,MD 25984,S200000,00200,0300,21214- 25984,S200000,00300,0100,BALTIMORE CITY 25984,S200000,00300,0200,720 25984,S200000,00300,0300,U 25984,S200000,00400,0100,HHC - HARFORD GARDENS 25984,S200000,00400,0200,215253 25984,S200000,00400,0300,03/01/1997 25984,S200000,00400,0500,P 25984,S200000,00600,0600,P 25984,S200000,01600,0100,Y 25984,S200000,04700,0100,Y 25984,S200000,04700,0200,Y 25984,S200000,04900,0100,Y 25988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 25988,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 25988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 25988,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 25988,A000000,00300,0000,00300EMPLOYEE BENEFITS 25988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 25988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 25988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 25988,A000000,00700,0000,00700HOUSEKEEPING 25988,A000000,00800,0000,00800DIETARY 25988,A000000,00801,0000,00801CAFETERIA 25988,A000000,00900,0000,00900NURSING ADMINISTRATION 25988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 25988,A000000,01100,0000,01100PHARMACY 25988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 25988,A000000,01300,0000,01300SOCIAL SERVICE 25988,A000000,01350,0000,01500ACTIVITIES 25988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 25988,A000000,01600,0000,01600SKILLED NURSING FACILITY 25988,A000000,01800,0000,01800NURSING FACILITY 25988,A000000,01900,0000,01900OTHER LONG TERM CARE 25988,A000000,02100,0000,02100RADIOLOGY 25988,A000000,02200,0000,02200LABORATORY 25988,A000000,02300,0000,02300INTRAVENOUS THERAPY 25988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 25988,A000000,02500,0000,02500PHYSICAL THERAPY 25988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 25988,A000000,02700,0000,02700SPEECH PATHOLOGY 25988,A000000,02800,0000,02800ELECTROCARDIOLOGY 25988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 25988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 25988,A000000,03050,0000,03300DME 25988,A000000,03051,0000,03301ORTHOTICS 25988,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 25988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 25988,A000000,03200,0000,03200SUPPORT SURFACES 25988,A000000,03400,0000,03400CLINIC 25988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 25988,A000000,03500,0000,03500RURAL HEALTH CLINIC 25988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 25988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 25988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 25988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 25988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 25988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 25988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 25988,A000000,04400,0000,04400DME RENTED - HHA 25988,A000000,04500,0000,04500DME SOLD - HHA 25988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 25988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 25988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 25988,A000000,04800,0000,04800AMBULANCE 25988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 25988,A000000,05000,0000,05000CORF 25988,A000000,05010,0000,05010CMHC I 25988,A000000,05020,0000,05020OPT I 25988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 25988,A000000,05300,0000,05300INTEREST EXPENSE 25988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 25988,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 25988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 25988,A000000,05500,0000,05500HOSPICE 25988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 25988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 25988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 25988,A000000,06100,0000,06100NONPAID WORKERS 25988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 25988,A000000,06200,0000,06200PATIENTS LAUNDRY 25988,A81000A,00100,0100,Y 25988,A81000B,00100,0300,HOME OFFICE ALLOCATION 25988,A81000B,00200,0300,THERACOR ACTUAL COSTS 25988,A81000B,00300,0300,THERACOR ACTUAL COSTS 25988,A81000B,00400,0300,THERACOR ACTUAL COSTS 25988,A81000C,00100,0100,B 25988,A81000C,00100,0200,HARBORSIDE 25988,A81000C,00200,0200,HEALTHCARE 25988,A81000C,00300,0200,LIMITED PSHIP 25988,A81000C,00300,0600,MANAGEMENT CO 25988,A81000C,00500,0100,B 25988,A81000C,00500,0200,HARBORSIDE 25988,A81000C,00600,0200,REHABILITITAION 25988,A81000C,00700,0200,LIMITED PSHIP 25988,A81000C,00700,0600,THERAPY 25988,A81000C,00800,0600,SERVICE AND 25988,A81000C,00900,0600,MANAGEMENT CO 25988,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 25988,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 25988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 25988,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 25988,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 25988,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 25988,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 25988,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 25988,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 25988,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 25988,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 25988,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 25988,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 25988,E10A180,00501,0100,04/30/2001 25988,S000000,00100,0200,06/01/2000 25988,S200000,00100,0100,15005 HEALTH CENTER DR 25988,S200000,00200,0100,BOWIE 25988,S200000,00200,0200,MD 25988,S200000,00200,0300,20716- 25988,S200000,00300,0100,PRINCE GEORGES 25988,S200000,00300,0200,8840 25988,S200000,00300,0300,U 25988,S200000,00400,0100,HHC - LARKIN CHASE 25988,S200000,00400,0200,215264 25988,S200000,00400,0300,04/28/1994 25988,S200000,00400,0500,P 25988,S200000,01600,0100,Y 25988,S200000,02200,0100,Y 25988,S200000,04700,0100,Y 25988,S200000,04700,0200,Y 26001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26001,A000000,00300,0000,00300EMPLOYEE BENEFITS 26001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26001,A000000,00700,0000,00700HOUSEKEEPING 26001,A000000,00800,0000,00800DIETARY 26001,A000000,00900,0000,00900NURSING ADMINISTRATION 26001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26001,A000000,01300,0000,01300SOCIAL SERVICE 26001,A000000,01600,0000,01600SKILLED NURSING FACILITY 26001,A000000,01800,0000,01800NURSING FACILITY 26001,A000000,02100,0000,02100RADIOLOGY 26001,A000000,02200,0000,02200LABORATORY 26001,A000000,02300,0000,02300INTRAVENOUS THERAPY 26001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26001,A000000,02500,0000,02500PHYSICAL THERAPY 26001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26001,A000000,02700,0000,02700SPEECH PATHOLOGY 26001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26001,A000000,03200,0000,03200SUPPORT SURFACES 26001,A000000,04800,0000,04800AMBULANCE 26001,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26001,A000000,06150,0000,06300ENTERAL FEEDINGS 26001,A81000A,00100,0100,Y 26001,A81000B,00100,0300,HOME OFFICE COSTS 26001,A81000B,00200,0300,HOME OFFICE COSTS 26001,A81000B,00300,0300,HOME OFFICE COSTS 26001,A81000B,00400,0300,RENT 26001,A81000B,00500,0300,RENT 26001,A81000B,00600,0300,THERAPY SERVICES 26001,A81000B,00700,0300,THERAPY SERVICES 26001,A81000B,00800,0300,THERAPY SERVICES 26001,A81000C,00100,0100,A 26001,A81000C,00100,0200,GARY ATTMAN 26001,A81000C,00100,0400,FUTURECARE HEAL 26001,A81000C,00100,0600,HOME OFFICE 26001,A81000C,00200,0100,A 26001,A81000C,00200,0200,ALVIN POWERS 26001,A81000C,00200,0400,FUTURECARE HEAL 26001,A81000C,00200,0600,HOME OFFICE 26001,A81000C,00300,0100,A 26001,A81000C,00300,0200,LEONARD ATTMAN 26001,A81000C,00300,0400,FUTURECARE HEAL 26001,A81000C,00300,0600,HOME OFFICE 26001,A81000C,00400,0100,A 26001,A81000C,00400,0200,1996 TRUST FBO 26001,A81000C,00400,0400,FUTURECARE HEAL 26001,A81000C,00400,0600,HOME OFFICE 26001,A81000C,00500,0100,A 26001,A81000C,00500,0200,GARY ATTMAN 26001,A81000C,00500,0400,S.W. N.H. L. P. 26001,A81000C,00500,0600,REAL ESTATE REN 26001,A81000C,00600,0100,A 26001,A81000C,00600,0200,ALVIN POWERS 26001,A81000C,00600,0400,S.W. N.H. L.P. 26001,A81000C,00600,0600,REAL ESTATE REN 26001,A81000C,00700,0100,A 26001,A81000C,00700,0200,ATTMAN FAMILY L 26001,A81000C,00700,0400,S.W. N.H. L.P. 26001,A81000C,00700,0600,REAL ESTATE REN 26001,A81000C,00800,0100,B 26001,A81000C,00800,0400,FUTURECARE REHA 26001,A81000C,00800,0600,THERAPY SERVICE 26001,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26001,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26001,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26001,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26001,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 26001,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26001,B100000,00000,0800,00000MEALS SERVED :DIETARY 26001,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 26001,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26001,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 26001,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 26001,S000000,00100,0200,05/31/2000 26001,S200000,00100,0100,1000 N. GILMOR STREET 26001,S200000,00200,0100,BALTIMORE 26001,S200000,00200,0200,MD 26001,S200000,00200,0300,21217- 26001,S200000,00300,0100,BALTIMORE CITY 26001,S200000,00300,0200,0720 26001,S200000,00300,0300,U 26001,S200000,00400,0100,FUTURECARE SANDTOWN 26001,S200000,00400,0200,215271 26001,S200000,00400,0300,01/26/1995 26001,S200000,00400,0500,P 26001,S200000,00600,0200,215271 26001,S200000,00600,0300,01/26/1995 26001,S200000,00600,0600,P 26001,S200000,01600,0100,Y 26001,S200000,01900,0100,(501)(C)(3) 26001,S200000,04300,0100,Y 26017,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26017,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26017,A000000,00300,0000,00300EMPLOYEE BENEFITS 26017,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26017,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26017,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26017,A000000,00700,0000,00700HOUSEKEEPING 26017,A000000,00800,0000,00800DIETARY 26017,A000000,00900,0000,00900NURSING ADMINISTRATION 26017,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26017,A000000,01100,0000,01100PHARMACY 26017,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26017,A000000,01300,0000,01300SOCIAL SERVICE 26017,A000000,01600,0000,01600SKILLED NURSING FACILITY 26017,A000000,02200,0000,02200LABORATORY 26017,A000000,02500,0000,02500PHYSICAL THERAPY 26017,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26017,A000000,02700,0000,02700SPEECH PATHOLOGY 26017,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26017,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26017,A000000,05300,0000,05300INTEREST EXPENSE 26017,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26017,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26017,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26017,A000000,06200,0000,06200PATIENTS LAUNDRY 26017,A81000A,00100,0100,Y 26017,A81000B,00100,0300,HOME OFFICE-CAPITAL 26017,A81000B,00200,0300,HOME OFFICE-CAPITAL 26017,A81000B,00300,0300,HOME OFFICE - BENEFITS 26017,A81000B,00400,0300,HOME OFFICE - ADMIN AND GEN 26017,A81000B,00500,0300,HOME OFFICE - PLANT 26017,A81000B,00600,0300,HOME OFFICE-DIETARY DIRECTOR 26017,A81000B,00700,0300,HOME OFFICE-NURS ADMIN 26017,A81000B,00800,0300,CAPITAL-BLDG FROM SHH 26017,A81000B,00900,0300,CAPITAL-EQUIP FROM SHH 26017,A81000C,00100,0100,B 26017,A81000C,00100,0200,SACRED HEART HOSPITAL 26017,A81000C,00100,0600,HOSPITAL 26017,A81000C,00200,0100,B 26017,A81000C,00200,0200,WESTERN MD HEALTH SYSTEM 26017,A81000C,00200,0600,HEALTHCARE MGMT 26017,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26017,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26017,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26017,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26017,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26017,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 26017,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 26017,B100000,00000,0800,00000MEALS SERVED :DIETARY 26017,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 26017,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 26017,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 26017,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 26017,S000000,00100,0200,11/27/2000 26017,S200000,00100,0100,48 TARN TERRACE 26017,S200000,00200,0100,FROSTBURG 26017,S200000,00200,0200,MD 26017,S200000,00200,0300,21502- 26017,S200000,00300,0100,ALLEGANY 26017,S200000,00300,0200,1900 26017,S200000,00300,0300,U 26017,S200000,00400,0100,ST. VINCENT DEPAUL NURSING CNTR 26017,S200000,00400,0200,215277 26017,S200000,00400,0300,08/17/1995 26017,S200000,00400,0500,P 26017,S200000,01500,0100,Y 26017,S200000,04300,0100,Y 26026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26026,A000000,00300,0000,00300EMPLOYEE BENEFITS 26026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26026,A000000,00700,0000,00700HOUSEKEEPING 26026,A000000,00800,0000,00800DIETARY 26026,A000000,00801,0000,00810CAFETERIA 26026,A000000,00900,0000,00900NURSING ADMINISTRATION 26026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26026,A000000,01100,0000,01100PHARMACY 26026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26026,A000000,01300,0000,01300SOCIAL SERVICE 26026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26026,A000000,01600,0000,01600SKILLED NURSING FACILITY 26026,A000000,01810,0000,01810ICF/MR 26026,A000000,02100,0000,02100RADIOLOGY 26026,A000000,02200,0000,02200LABORATORY 26026,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26026,A000000,02401,0000,02410PULMONARY LAB 26026,A000000,02500,0000,02500PHYSICAL THERAPY 26026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26026,A000000,02700,0000,02700SPEECH PATHOLOGY 26026,A000000,02800,0000,02800ELECTROCARDIOLOGY 26026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26026,A000000,03550,0000,03550FQHC 26026,A000000,05000,0000,05000CORF 26026,A000000,05010,0000,05010CMHC 26026,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26026,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26026,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26026,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26026,A81000A,00100,0100,Y 26026,A81000B,00100,0300,FY99 COSTS (MARCH) 26026,A81000B,00200,0300,FY99 COSTS (MARCH) 26026,A81000B,00300,0300,FY99 COSTS (MARCH) 26026,A81000B,00400,0300,FY99 COSTS (MARCH) 26026,A81000B,00500,0300,FY99 COSTS (MARCH) 26026,A81000B,00600,0300,FY99 COSTS (MARCH) 26026,A81000B,00700,0300,FY99 COSTS (MARCH) 26026,A81000B,00800,0300,OVERHEAD ALLOCATION 26026,A81000B,00900,0300,OVERHEAD ALLOCATION 26026,A81000B,01000,0300,OVERHEAD ALLOCATION 26026,A81000B,01100,0300,OVERHEAD ALLOCATION 26026,A81000B,01200,0300,OVERHEAD ALLOCATION 26026,A81000B,01300,0300,OVERHEAD ALLOCATION 26026,A81000B,01400,0300,OVERHEAD ALLOCATION 26026,A81000B,01500,0300,OVERHEAD ALLOCATION 26026,A81000B,01600,0300,OVERHEAD ALLOCATION 26026,A81000B,01700,0300,OVERHEAD ALLOCATION 26026,A81000B,01800,0300,REMOVE SALARY EXP 26026,A81000B,01900,0300,ANCILLARY ALLOCATION 26026,A81000B,02000,0300,ANCILLARY ALLOCATION 26026,A81000B,02100,0300,ANCILLARY ALLOCATION 26026,A81000B,02200,0300,ANCILLARY ALLOCATION 26026,A81000B,02300,0300,ANCILLARY ALLOCATION 26026,A81000B,02400,0300,ANCILLARY ALLOCATION 26026,A81000B,02500,0300,ANCILLARY ALLOCATION 26026,A81000B,02600,0300,ANCILLARY ALLOCATION 26026,A81000B,02700,0300,ANCILLARY ALLOCATION 26026,A81000C,00100,0100,B 26026,A81000C,00100,0400,MERCY MEDICAL C 26026,A81000C,00100,0600,HOSPITAL 26026,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26026,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26026,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26026,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26026,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26026,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 26026,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26026,B100000,00000,0850,00000PATIENT DAYS :DIETARY 26026,B100000,00000,0851,00000FTE :CAFETERIA 26026,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 26026,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 26026,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 26026,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 26026,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26026,S000000,00100,0200,03/04/2000 26026,S200000,00100,0100,301 SAINT PAUL PLACE 26026,S200000,00200,0100,BALTIMORE 26026,S200000,00200,0200,MD 26026,S200000,00200,0300,21202- 26026,S200000,00300,0100,BALTIMORE CITY 26026,S200000,00300,0200,0720 26026,S200000,00300,0300,U 26026,S200000,00400,0100,TRANSITIONAL CARE AT MERCY 26026,S200000,00400,0200,215283 26026,S200000,00400,0300,04/16/1996 26026,S200000,00400,0500,P 26026,S200000,01500,0100,Y 26026,S200000,01900,0100,NURSING CENTER 26033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26033,A000000,00300,0000,00300EMPLOYEE BENEFITS 26033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26033,A000000,00700,0000,00700HOUSEKEEPING 26033,A000000,00800,0000,00800DIETARY 26033,A000000,00900,0000,00900NURSING ADMINISTRATION 26033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26033,A000000,01100,0000,01100PHARMACY 26033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26033,A000000,01300,0000,01300SOCIAL SERVICE 26033,A000000,01350,0000,01500ACTIVITIES 26033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26033,A000000,01600,0000,01600SKILLED NURSING FACILITY 26033,A000000,01800,0000,01800NURSING FACILITY 26033,A000000,01810,0000,01810ICF/MR 26033,A000000,01900,0000,01900OTHER LONG TERM CARE 26033,A000000,02100,0000,02100RADIOLOGY 26033,A000000,02200,0000,02200LABORATORY 26033,A000000,02300,0000,02300INTRAVENOUS THERAPY 26033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26033,A000000,02500,0000,02500PHYSICAL THERAPY 26033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26033,A000000,02700,0000,02700SPEECH PATHOLOGY 26033,A000000,02800,0000,02800ELECTROCARDIOLOGY 26033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26033,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 26033,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26033,A000000,03200,0000,03200SUPPORT SURFACES 26033,A000000,03400,0000,03400CLINIC 26033,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 26033,A000000,03500,0000,03500RURAL HEALTH CLINIC 26033,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 26033,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 26033,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 26033,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 26033,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 26033,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 26033,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 26033,A000000,04400,0000,04400DME RENTED - HHA 26033,A000000,04500,0000,04500DME SOLD - HHA 26033,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 26033,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 26033,A000000,04750,0000,05100OTHER REIMBURSABLE COST 26033,A000000,04800,0000,04800AMBULANCE 26033,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26033,A000000,05000,0000,05000CORF 26033,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 26033,A000000,05300,0000,05300INTEREST EXPENSE 26033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 26033,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26033,A000000,05500,0000,05500HOSPICE 26033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26033,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26033,A000000,06100,0000,06100NONPAID WORKERS 26033,A000000,06150,0000,06300MARKETING 26033,A000000,06151,0000,06301DEVELOPMENT 26033,A000000,06152,0000,06302RESIDENTS 26033,A000000,06200,0000,06200PATIENTS LAUNDRY 26033,A81000A,00100,0100,Y 26033,A81000B,00100,0300,CAPITAL COSTS 26033,A81000B,00200,0300,ADMINISTRATIVE COSTS 26033,A81000C,00100,0100,B 26033,A81000C,00100,0200,ASBURY SOLOMONS ISLAND HC 26033,A81000C,00100,0400,ASBURY SERVICES INC 26033,A81000C,00100,0600,LONG TERM CARE 26033,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 26033,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 26033,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 26033,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 26033,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 26033,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 26033,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 26033,B100000,00000,0800,00002MEALS SERVED :DIETARY 26033,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 26033,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 26033,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 26033,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 26033,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 26033,E10A180,00550,0100,05/31/2000 26033,S000000,00100,0200,06/01/2000 26033,S200000,00100,0100,1110 ASBURY CIRCLE 26033,S200000,00200,0100,SOLOMONS 26033,S200000,00200,0200,MD 26033,S200000,00200,0300,20866- 26033,S200000,00300,0100,CALVERT 26033,S200000,00300,0200,8840 26033,S200000,00300,0300,U 26033,S200000,00400,0100,ASBURY SOLOMONS ISLAND HCC 26033,S200000,00400,0200,215304 26033,S200000,00400,0300,03/14/1997 26033,S200000,00400,0500,P 26033,S200000,01500,0100,Y 26033,S200000,04100,0100,Y 26046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26046,A000000,00300,0000,00300EMPLOYEE BENEFITS 26046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26046,A000000,00700,0000,00700HOUSEKEEPING 26046,A000000,00800,0000,00800DIETARY 26046,A000000,00900,0000,00900NURSING ADMINISTRATION 26046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26046,A000000,01100,0000,01100PHARMACY 26046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26046,A000000,01300,0000,01300SOCIAL SERVICE 26046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26046,A000000,01600,0000,01600SKILLED NURSING FACILITY 26046,A000000,01800,0000,01800NURSING FACILITY 26046,A000000,02100,0000,02100RADIOLOGY 26046,A000000,02200,0000,02200LABORATORY 26046,A000000,02300,0000,02300INTRAVENOUS THERAPY 26046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26046,A000000,02500,0000,02500PHYSICAL THERAPY 26046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26046,A000000,02700,0000,02700SPEECH PATHOLOGY 26046,A000000,02800,0000,02800ELECTROCARDIOLOGY 26046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26046,A000000,03050,0000,03300CLINITRON BEDS 26046,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26046,A000000,03200,0000,03200SUPPORT SURFACES 26046,A000000,03400,0000,03400CLINIC 26046,A000000,04800,0000,04800AMBULANCE 26046,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 26046,A000000,05300,0000,05300INTEREST EXPENSE 26046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26046,A000000,06100,0000,06100NONPAID WORKERS 26046,A000000,06200,0000,06200PATIENTS LAUNDRY 26046,A81000A,00100,0100,Y 26046,A81000B,00100,0300,H/O - CAPITAL -BLDG & FIX 26046,A81000B,00200,0300,H/O - CAPITAL - MME 26046,A81000B,00300,0300,H/O - ADMIN 26046,A81000C,00100,0100,B 26046,A81000C,00100,0200,ASLS 26046,A81000C,00100,0400,ASLS 26046,A81000C,00100,0600,MGMT 26046,A81000C,00200,0100,B 26046,A81000C,00200,0200,ASLS 26046,A81000C,00200,0400,ASLS 26046,A81000C,00200,0600,MGMT 26046,A81000C,00300,0100,B 26046,A81000C,00300,0200,ASLS 26046,A81000C,00300,0400,ASLS 26046,A81000C,00300,0600,MGMT 26046,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26046,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 26046,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26046,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26046,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 26046,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 26046,B100000,00000,0800,00000MEALS SERVED :DIETARY 26046,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 26046,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 26046,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 26046,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 26046,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 26046,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 26046,S000000,00100,0200,06/01/2000 26046,S200000,00100,0100,57 WEST FREDERICK ST. 26046,S200000,00200,0100,WALKERSVILLE 26046,S200000,00200,0200,MD 26046,S200000,00200,0300,21793- 26046,S200000,00300,0100,FREDERICK 26046,S200000,00400,0100,GLADE VALLEY NURSING & REHABILITATIO 26046,S200000,00400,0200,215313 26046,S200000,00400,0300,11/10/1997 26046,S200000,00400,0500,P 26046,S200000,00600,0200,215313 26046,S200000,00600,0300,11/10/1997 26046,S200000,00600,0600,P 26046,S200000,01600,0100,Y 26046,S700003,00000,0400,4 26060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26060,A000000,00300,0000,00300EMPLOYEE BENEFITS 26060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26060,A000000,00700,0000,00700HOUSEKEEPING 26060,A000000,00800,0000,00800DIETARY 26060,A000000,00900,0000,00900NURSING ADMINISTRATION 26060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26060,A000000,01100,0000,01100PHARMACY 26060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26060,A000000,01300,0000,01300SOCIAL SERVICE 26060,A000000,01350,0000,01500RECREATION ACTIVITIES 26060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26060,A000000,01600,0000,01600SKILLED NURSING FACILITY 26060,A000000,01800,0000,01800NURSING FACILITY 26060,A000000,01810,0000,01810ICF/MR 26060,A000000,02100,0000,02100RADIOLOGY 26060,A000000,02200,0000,02200LABORATORY 26060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26060,A000000,02500,0000,02500PHYSICAL THERAPY 26060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26060,A000000,02700,0000,02700SPEECH PATHOLOGY 26060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26060,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26060,A000000,03051,0000,03301ENTERAL FEEDING 26060,A000000,03550,0000,03550FQHC 26060,A000000,05000,0000,05000CORF 26060,A000000,05010,0000,05010CMHC 26060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26060,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26060,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26060,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26060,A000000,06153,0000,06312DIALYSIS 26060,A000000,06154,0000,06320APARTMENTS 26060,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26060,A000000,06156,0000,06340CLOSED PATIENT AREAS 26060,A000000,06157,0000,06350O/P ADULT DAYCARE 26060,A81000A,00100,0100,Y 26060,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26060,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26060,A81000B,00400,0300,SYMPHONY REHAB 26060,A81000B,00500,0300,SYMPHONY REHAB 26060,A81000B,00600,0300,SYMPHONY REHAB 26060,A81000B,00700,0300,HOME OFFICE REHAB 26060,A81000B,00800,0300,HOME OFFICE REHAB 26060,A81000B,00900,0300,HOME OFFICE REHAB 26060,A81000B,01000,0300,HOME OFFICE CLINICAL 26060,A81000B,01100,0300,SYMPHONY MOBILEX 26060,A81000C,00100,0100,B 26060,A81000C,00100,0400,IHS INC. 26060,A81000C,00100,0600,NURSING HOMES 26060,A81000C,00200,0100,G 26060,A81000C,00200,0400,SYMPHONY REHAB 26060,A81000C,00200,0600,REHAB SERVICES 26060,A81000C,00300,0100,G 26060,A81000C,00300,0400,LTC MED LAB 26060,A81000C,00300,0600,LABORATORY 26060,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26060,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26060,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26060,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26060,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26060,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26060,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26060,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26060,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26060,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26060,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26060,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26060,E10A180,00301,0100,09/18/2000 26060,E10A180,00350,0100,01/03/2000 26060,E10A180,00501,0100,12/26/2000 26060,E10A180,00502,0100,12/11/2001 26060,E10A180,00550,0100,10/30/2000 26060,E10A180,00550,0300,10/30/2000 26060,S000000,00100,0200,10/31/2000 26060,S200000,00100,0100,99 CHESTNUT HILL AVENUE 26060,S200000,00200,0100,BRIGHTON 26060,S200000,00200,0200,MA 26060,S200000,00200,0300,02135- 26060,S200000,00300,0100,SUFFOLK 26060,S200000,00300,0200,1123 26060,S200000,00300,0300,U 26060,S200000,00400,0100,GREENERY-BOSTON 26060,S200000,00400,0200,225205 26060,S200000,00400,0300,07/10/1966 26060,S200000,00400,0500,P 26060,S200000,00600,0200,225205 26060,S200000,00600,0300,07/10/1966 26060,S200000,00600,0600,P 26060,S200000,01600,0100,Y 26060,S200000,02200,0100,Y 26067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26067,A000000,00300,0000,00300EMPLOYEE BENEFITS 26067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26067,A000000,00700,0000,00700HOUSEKEEPING 26067,A000000,00800,0000,00800DIETARY 26067,A000000,00900,0000,00900NURSING ADMINISTRATION 26067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26067,A000000,01100,0000,01100PHARMACY 26067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26067,A000000,01300,0000,01300SOCIAL SERVICE 26067,A000000,01350,0000,01500ACTIVITIES 26067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26067,A000000,01600,0000,01600SKILLED NURSING FACILITY 26067,A000000,01800,0000,01800NURSING FACILITY 26067,A000000,01810,0000,01810ICF/MR 26067,A000000,01900,0000,01900OTHER LONG TERM CARE 26067,A000000,02100,0000,02100RADIOLOGY 26067,A000000,02200,0000,02200LABORATORY 26067,A000000,02300,0000,02300INTRAVENOUS THERAPY 26067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26067,A000000,02500,0000,02500PHYSICAL THERAPY 26067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26067,A000000,02700,0000,02700SPEECH PATHOLOGY 26067,A000000,02800,0000,02800ELECTROCARDIOLOGY 26067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26067,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 26067,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26067,A000000,03200,0000,03200SUPPORT SURFACES 26067,A000000,03400,0000,03400CLINIC 26067,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 26067,A000000,03500,0000,03500RURAL HEALTH CLINIC 26067,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 26067,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 26067,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 26067,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 26067,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 26067,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 26067,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 26067,A000000,04400,0000,04400DME RENTED - HHA 26067,A000000,04500,0000,04500DME SOLD - HHA 26067,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 26067,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 26067,A000000,04750,0000,05100OTHER REIMBURSABLE COST 26067,A000000,04800,0000,04800AMBULANCE 26067,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26067,A000000,05000,0000,05000CORF 26067,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 26067,A000000,05300,0000,05300INTEREST EXPENSE 26067,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 26067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26067,A000000,05500,0000,05500HOSPICE 26067,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26067,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26067,A000000,06100,0000,06100NONPAID WORKERS 26067,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26067,A000000,06200,0000,06200PATIENTS LAUNDRY 26067,A81000A,00100,0100,Y 26067,A81000B,00100,0300,MANAGEMENT FEES - NONCAP REL 26067,A81000B,00200,0300,MANAGEMENT FEES - CAPITAL REL 26067,A81000B,00300,0300,RENT 26067,A81000B,00400,0300,INSURANCE 26067,A81000C,00100,0100,G 26067,A81000C,00100,0200,IHS INC. 26067,A81000C,00200,0100,A 26067,A81000C,00200,0200,R. BRENT MAGGIO 26067,A81000C,00200,0400,EMERALD HEALTHCARE INC. 26067,A81000C,00200,0600,MANAGEMENT COMPANY 26067,A81000C,00300,0100,A 26067,A81000C,00300,0200,TODD ROBINSON 26067,A81000C,00300,0400,COLONY-DECATUR LLC 26067,A81000C,00300,0600,RENTAL PROPERTY 26067,A81000C,00400,0100,A 26067,A81000C,00400,0200,R. BRENT MAGGIO 26067,A81000C,00400,0400,NBR INC. 26067,A81000C,00400,0600,INSURANCE COMPANY 26067,A81000C,03100,0000,NURSING HOME LICENSEE 26067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26067,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 26067,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26067,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 26067,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 26067,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 26067,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 26067,B100000,00000,1350,00000RESIDENT DAYS :ACTIVITIES 26067,S000000,00100,0200,03/01/2001 26067,S200000,00100,0100,40 HEATHER STREET 26067,S200000,00200,0100,BEVERLY 26067,S200000,00200,0200,MA 26067,S200000,00200,0300,01915- 26067,S200000,00300,0100,ESSEX 26067,S200000,00300,0200,1123 26067,S200000,00300,0300,U 26067,S200000,00400,0100,GREENERY EXT. CARE CENTER OF BEVERLY 26067,S200000,00400,0200,225214 26067,S200000,00400,0300,07/01/1966 26067,S200000,00400,0500,P 26067,S200000,00400,0600,P 26067,S200000,01004,0500,O 26067,S200000,01600,0100,Y 26074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26074,A000000,00300,0000,00300EMPLOYEE BENEFITS 26074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26074,A000000,00700,0000,00700HOUSEKEEPING 26074,A000000,00800,0000,00800DIETARY 26074,A000000,00900,0000,00900NURSING ADMINISTRATION 26074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26074,A000000,01100,0000,01100PHARMACY 26074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26074,A000000,01300,0000,01300SOCIAL SERVICE 26074,A000000,01350,0000,01500RECREATION ACTIVITIES 26074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26074,A000000,01600,0000,01600SKILLED NURSING FACILITY 26074,A000000,01800,0000,01800NURSING FACILITY 26074,A000000,01810,0000,01810ICF/MR 26074,A000000,02100,0000,02100RADIOLOGY 26074,A000000,02200,0000,02200LABORATORY 26074,A000000,02500,0000,02500PHYSICAL THERAPY 26074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26074,A000000,02700,0000,02700SPEECH PATHOLOGY 26074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26074,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26074,A000000,03051,0000,03301ENTERAL FEEDING 26074,A000000,03550,0000,03550FQHC 26074,A000000,05000,0000,05000CORF 26074,A000000,05010,0000,05010CMHC 26074,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26074,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26074,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26074,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26074,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26074,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26074,A000000,06153,0000,06312DIALYSIS 26074,A000000,06154,0000,06320APARTMENTS 26074,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26074,A000000,06156,0000,06340CLOSED PATIENT AREAS 26074,A000000,06157,0000,06350O/P ADULT DAYCARE 26074,A81000A,00100,0100,Y 26074,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26074,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26074,A81000B,00300,0300,REHAB ALLOCATION 26074,A81000B,00400,0300,REHAB ALLOCATION 26074,A81000B,00500,0300,REHAB ALLOCATION 26074,A81000B,00600,0300,SYMPHONY REHAB 26074,A81000B,00700,0300,HOME OFFICE CLINICAL 26074,A81000B,00800,0300,SYMPHONY MOBILE 26074,A81000C,00100,0100,B 26074,A81000C,00100,0400,IHS INC. 26074,A81000C,00100,0600,NURSING HOMES 26074,A81000C,00200,0100,G 26074,A81000C,00200,0400,SYMPHONY REHAB 26074,A81000C,00200,0600,REHAB SERVICES 26074,A81000C,00300,0100,G 26074,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26074,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26074,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26074,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26074,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26074,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26074,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26074,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26074,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26074,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26074,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26074,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26074,E10A180,00350,0100,01/03/2000 26074,E10A180,00351,0100,09/18/2000 26074,E10A180,00501,0300,12/26/2000 26074,E10A180,00550,0100,12/26/2000 26074,S000000,00100,0200,10/31/2000 26074,S200000,00100,0100,59 ACTON STREET 26074,S200000,00200,0100,WORCESTER 26074,S200000,00200,0200,MA 26074,S200000,00200,0300,01604- 26074,S200000,00300,0100,WORCESTER 26074,S200000,00300,0200,1123 26074,S200000,00300,0300,U 26074,S200000,00400,0100,GREENERY - WORCESTER 26074,S200000,00400,0200,225219 26074,S200000,00400,0300,07/01/1966 26074,S200000,00400,0500,P 26074,S200000,00600,0200,225219 26074,S200000,00600,0300,07/01/1966 26074,S200000,00600,0600,P 26074,S200000,01600,0100,Y 26074,S200000,02200,0100,Y 26081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26081,A000000,00300,0000,00300EMPLOYEE BENEFITS 26081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26081,A000000,00700,0000,00700HOUSEKEEPING 26081,A000000,00800,0000,00800DIETARY 26081,A000000,00900,0000,00900NURSING ADMINISTRATION 26081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26081,A000000,01100,0000,01100PHARMACY 26081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26081,A000000,01300,0000,01300SOCIAL SERVICE 26081,A000000,01350,0000,01500RECREATION ACTIVITIES 26081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26081,A000000,01600,0000,01600SKILLED NURSING FACILITY 26081,A000000,01800,0000,01800NURSING FACILITY 26081,A000000,01810,0000,01810ICF/MR 26081,A000000,02100,0000,02100RADIOLOGY 26081,A000000,02200,0000,02200LABORATORY 26081,A000000,02500,0000,02500PHYSICAL THERAPY 26081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26081,A000000,02700,0000,02700SPEECH PATHOLOGY 26081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26081,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26081,A000000,03051,0000,03301ENTERAL FEEDING 26081,A000000,03550,0000,03550FQHC 26081,A000000,05000,0000,05000CORF 26081,A000000,05010,0000,05010CMHC 26081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26081,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26081,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26081,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26081,A000000,06153,0000,06312DIALYSIS 26081,A000000,06154,0000,06320APARTMENTS 26081,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26081,A000000,06156,0000,06340CLOSED PATIENT AREAS 26081,A000000,06157,0000,06350O/P ADULT DAYCARE 26081,A81000A,00100,0100,Y 26081,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26081,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26081,A81000B,00300,0300,REHAB ALLOCATION 26081,A81000B,00400,0300,SYMPHONY REHAB 26081,A81000B,00500,0300,REHAB ALLOCATION 26081,A81000B,00600,0300,REHAB ALLOCATION 26081,A81000B,00700,0300,SYMPHONY MOBILEX 26081,A81000B,00800,0300,SYMPHONY MEDPRO 26081,A81000B,00900,0300,SYMPHONY MEDPRO 26081,A81000C,00100,0100,B 26081,A81000C,00100,0200,IHS INC. 26081,A81000C,00100,0400,IHS INC. 26081,A81000C,00100,0600,NURSING HOMES 26081,A81000C,00200,0100,G 26081,A81000C,00200,0200,SYMPHONY REHAB 26081,A81000C,00200,0400,SYMPHONY REHAB 26081,A81000C,00200,0600,REHAB SERVICES 26081,A81000C,00300,0100,G 26081,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26081,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26081,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26081,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26081,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26081,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26081,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26081,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26081,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26081,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26081,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26081,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26081,E10A180,00350,0100,01/03/2000 26081,E10A180,00351,0100,09/18/2000 26081,E10A180,00501,0300,12/26/2000 26081,E10A180,00550,0100,12/26/2000 26081,S000000,00100,0200,10/31/2000 26081,S200000,00100,0100,75 PARK STREET 26081,S200000,00200,0100,NORTH ANDOVER 26081,S200000,00200,0200,MA 26081,S200000,00200,0300,01845- 26081,S200000,00300,0100,ESSEX 26081,S200000,00300,0200,1123 26081,S200000,00300,0300,U 26081,S200000,00400,0100,GREENERY - NORTH ANDOVER 26081,S200000,00400,0200,225220 26081,S200000,00400,0300,11/01/1974 26081,S200000,00400,0500,P 26081,S200000,00600,0200,225220 26081,S200000,00600,0300,11/01/1974 26081,S200000,00600,0600,P 26081,S200000,01600,0100,Y 26081,S200000,02200,0100,Y 26088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26088,A000000,00300,0000,00300EMPLOYEE BENEFITS 26088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26088,A000000,00700,0000,00700HOUSEKEEPING 26088,A000000,00800,0000,00800DIETARY 26088,A000000,00900,0000,00900NURSING ADMINISTRATION 26088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26088,A000000,01100,0000,01100PHARMACY 26088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26088,A000000,01300,0000,01300SOCIAL SERVICE 26088,A000000,01350,0000,01500ACTIVITIES 26088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26088,A000000,01600,0000,01600SKILLED NURSING FACILITY 26088,A000000,01800,0000,01800NURSING FACILITY 26088,A000000,01810,0000,01810ICF/MR 26088,A000000,01900,0000,01900OTHER LONG TERM CARE 26088,A000000,02100,0000,02100RADIOLOGY 26088,A000000,02200,0000,02200LABORATORY 26088,A000000,02300,0000,02300INTRAVENOUS THERAPY 26088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26088,A000000,02500,0000,02500PHYSICAL THERAPY 26088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26088,A000000,02700,0000,02700SPEECH PATHOLOGY 26088,A000000,02800,0000,02800ELECTROCARDIOLOGY 26088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26088,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 26088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26088,A000000,03200,0000,03200SUPPORT SURFACES 26088,A000000,03400,0000,03400CLINIC 26088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 26088,A000000,03500,0000,03500RURAL HEALTH CLINIC 26088,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 26088,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 26088,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 26088,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 26088,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 26088,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 26088,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 26088,A000000,04400,0000,04400DME RENTED - HHA 26088,A000000,04500,0000,04500DME SOLD - HHA 26088,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 26088,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 26088,A000000,04750,0000,05100OTHER REIMBURSABLE COST 26088,A000000,04800,0000,04800AMBULANCE 26088,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26088,A000000,05000,0000,05000CORF 26088,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 26088,A000000,05300,0000,05300INTEREST EXPENSE 26088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 26088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26088,A000000,05500,0000,05500HOSPICE 26088,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26088,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26088,A000000,06100,0000,06100NONPAID WORKERS 26088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26088,A000000,06200,0000,06200PATIENTS LAUNDRY 26088,A81000A,00100,0100,Y 26088,A81000B,00100,0300,MANAGEMENT FEES - NONCAP REL 26088,A81000B,00200,0300,MANAGEMENT FEES - CAPITAL REL 26088,A81000B,00300,0300,RENT - CAPITAL RELATED 26088,A81000B,00400,0300,INSURANCE 26088,A81000C,00100,0100,G 26088,A81000C,00100,0200,IHS INC. 26088,A81000C,00200,0100,A 26088,A81000C,00200,0200,R. BRENT MAGGIO 26088,A81000C,00200,0400,EMERALD HEALTHCARE INC. 26088,A81000C,00200,0600,MANAGEMENT COMPANY 26088,A81000C,00300,0100,A 26088,A81000C,00300,0200,TODD ROBINSON 26088,A81000C,00300,0400,COLONY-DECATUR LLC 26088,A81000C,00300,0600,RENTAL PROPERTY 26088,A81000C,00400,0100,A 26088,A81000C,00400,0200,R. BRENT MAGGIO 26088,A81000C,00400,0400,NBR INC 26088,A81000C,00400,0600,INSURANCE COMPANY 26088,A81000C,03100,0000,NURSING HOME LICENSEE 26088,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26088,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26088,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26088,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 26088,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26088,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 26088,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 26088,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 26088,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 26088,B100000,00000,1350,00000RESIDENT DAYS :ACTIVITIES 26088,S000000,00100,0200,03/01/2001 26088,S200000,00100,0100,56 LIBERTY STREET 26088,S200000,00200,0100,DANVERS 26088,S200000,00200,0200,MA 26088,S200000,00200,0300,01923- 26088,S200000,00300,0100,ESSEX 26088,S200000,00300,0200,1123 26088,S200000,00300,0300,U 26088,S200000,00400,0100,GREENERY EXT. CARE CENTER OF DANVERS 26088,S200000,00400,0200,225223 26088,S200000,00400,0300,02/11/1994 26088,S200000,00400,0500,P 26088,S200000,00400,0600,P 26088,S200000,01004,0500,O 26088,S200000,01600,0100,Y 26095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26095,A000000,00300,0000,00300EMPLOYEE BENEFITS 26095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26095,A000000,00700,0000,00700HOUSEKEEPING 26095,A000000,00800,0000,00800DIETARY 26095,A000000,00900,0000,00900NURSING ADMINISTRATION 26095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26095,A000000,01100,0000,01100PHARMACY 26095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26095,A000000,01300,0000,01300SOCIAL SERVICE 26095,A000000,01350,0000,01500RECREATION ACTIVITIES 26095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26095,A000000,01600,0000,01600SKILLED NURSING FACILITY 26095,A000000,01800,0000,01800NURSING FACILITY 26095,A000000,01810,0000,01810ICF/MR 26095,A000000,02100,0000,02100RADIOLOGY 26095,A000000,02200,0000,02200LABORATORY 26095,A000000,02500,0000,02500PHYSICAL THERAPY 26095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26095,A000000,02700,0000,02700SPEECH PATHOLOGY 26095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26095,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26095,A000000,03051,0000,03301ENTERAL FEEDING 26095,A000000,03550,0000,03550FQHC 26095,A000000,05000,0000,05000CORF 26095,A000000,05010,0000,05010CMHC 26095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26095,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26095,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26095,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26095,A000000,06153,0000,06312DIALYSIS 26095,A000000,06154,0000,06320APARTMENTS 26095,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26095,A000000,06156,0000,06340CLOSED PATIENT AREAS 26095,A000000,06157,0000,06350O/P ADULT DAYCARE 26095,A81000A,00100,0100,Y 26095,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26095,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26095,A81000B,00300,0300,HOME OFFICE CLINICAL 26095,A81000B,00400,0300,SYMPHONY REHAB 26095,A81000B,00500,0300,SYMPHONY MOBILEX 26095,A81000B,00600,0300,SYMPHONY REHAB 26095,A81000B,00700,0300,REHAB ALLOCATION 26095,A81000B,00800,0300,REHAB ALLOCATION 26095,A81000B,00900,0300,REHAB ALLOCATION 26095,A81000C,00100,0100,B 26095,A81000C,00100,0200,IHS INC. 26095,A81000C,00100,0400,IHS INC. 26095,A81000C,00100,0600,NURSING HOMES 26095,A81000C,00200,0100,B 26095,A81000C,00200,0200,IHS INC. 26095,A81000C,00200,0400,SYMPHONY REHAB 26095,A81000C,00200,0600,REHAB SERVICES 26095,A81000C,00300,0100,B 26095,A81000C,00300,0400,LTC MED LAB 26095,A81000C,00300,0600,LABORATORY 26095,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26095,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26095,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26095,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26095,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26095,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26095,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26095,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26095,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26095,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26095,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26095,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26095,E10A180,00301,0100,09/18/2000 26095,E10A180,00350,0100,01/03/2000 26095,E10A180,00501,0100,12/26/2000 26095,E10A180,00501,0300,10/30/2000 26095,E10A180,00502,0100,12/11/2001 26095,E10A180,00550,0100,10/30/2000 26095,E10A180,00550,0300,12/26/2000 26095,S000000,00100,0200,10/31/2000 26095,S200000,00100,0100,23 ISAAC STREET 26095,S200000,00100,0300,1330 26095,S200000,00200,0100,MIDDLEBORO 26095,S200000,00200,0200,MA 26095,S200000,00200,0300,02346- 26095,S200000,00300,0100,PLYMOUTH 26095,S200000,00300,0200,1123 26095,S200000,00300,0300,U 26095,S200000,00400,0100,GREENERY - MIDDLEBORO 26095,S200000,00400,0200,225235 26095,S200000,00400,0300,02/24/1976 26095,S200000,00400,0500,P 26095,S200000,00600,0200,225235 26095,S200000,00600,0300,02/24/1976 26095,S200000,00600,0600,P 26095,S200000,01600,0100,Y 26095,S200000,02200,0100,Y 26102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26102,A000000,00300,0000,00300EMPLOYEE BENEFITS 26102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26102,A000000,00700,0000,00700HOUSEKEEPING 26102,A000000,00800,0000,00800DIETARY 26102,A000000,00900,0000,00900NURSING ADMINISTRATION 26102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26102,A000000,01100,0000,01100PHARMACY 26102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26102,A000000,01300,0000,01300SOCIAL SERVICE 26102,A000000,01350,0000,01500RECREATION ACTIVITIES 26102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26102,A000000,01600,0000,01600SKILLED NURSING FACILITY 26102,A000000,01800,0000,01800NURSING FACILITY 26102,A000000,01810,0000,01810ICF/MR 26102,A000000,02100,0000,02100RADIOLOGY 26102,A000000,02200,0000,02200LABORATORY 26102,A000000,02500,0000,02500PHYSICAL THERAPY 26102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26102,A000000,02700,0000,02700SPEECH PATHOLOGY 26102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26102,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26102,A000000,03051,0000,03301ENTERAL FEEDING 26102,A000000,03550,0000,03550FQHC 26102,A000000,05000,0000,05000CORF 26102,A000000,05010,0000,05010CMHC 26102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26102,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26102,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26102,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26102,A000000,06153,0000,06312DIALYSIS 26102,A000000,06154,0000,06320APARTMENTS 26102,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26102,A000000,06156,0000,06340CLOSED PATIENT AREAS 26102,A000000,06157,0000,06350O/P ADULT DAYCARE 26102,A81000A,00100,0100,Y 26102,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26102,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26102,A81000B,00300,0300,HOME OFFICE CLINICAL 26102,A81000B,00400,0300,SYMPHONY REHAB 26102,A81000B,00600,0300,SYMPHONY REHAB 26102,A81000B,00700,0300,HOME OFFICE REHAB 26102,A81000B,00800,0300,HOME OFFICE REHAB 26102,A81000B,00900,0300,HOME OFFICE REHAB 26102,A81000B,01000,0300,XRAY 26102,A81000C,00100,0100,B 26102,A81000C,00100,0400,IHS INC. 26102,A81000C,00100,0600,NURSING HOMES 26102,A81000C,00200,0100,G 26102,A81000C,00200,0400,SYMPHONY REHAB 26102,A81000C,00200,0600,REHAB SERVICES 26102,A81000C,00300,0100,G 26102,A81000C,00300,0400,LTC MED LAB 26102,A81000C,00300,0600,LABORATORY 26102,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26102,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26102,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26102,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26102,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26102,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26102,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26102,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26102,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26102,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26102,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26102,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26102,E10A180,00301,0100,09/18/2000 26102,E10A180,00350,0100,01/03/2000 26102,E10A180,00501,0100,12/26/2000 26102,E10A180,00501,0300,12/26/2000 26102,S000000,00100,0200,10/31/2000 26102,S200000,00100,0100,89 LEWIS BAY ROAD 26102,S200000,00200,0100,HYANNIS 26102,S200000,00200,0200,MA 26102,S200000,00200,0300,02601- 26102,S200000,00300,0100,BARNSTABLE 26102,S200000,00300,0200,743 26102,S200000,00300,0300,U 26102,S200000,00400,0100,GREENERY HYANNIS 26102,S200000,00400,0200,225238 26102,S200000,00400,0300,04/01/1976 26102,S200000,00400,0500,P 26102,S200000,00600,0200,225238 26102,S200000,00600,0300,04/01/1976 26102,S200000,00600,0600,P 26102,S200000,01600,0100,Y 26110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26110,A000000,00300,0000,00300EMPLOYEE BENEFITS 26110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26110,A000000,00700,0000,00700HOUSEKEEPING 26110,A000000,00800,0000,00800DIETARY 26110,A000000,00900,0000,00900NURSING ADMINISTRATION 26110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26110,A000000,01100,0000,01100PHARMACY 26110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26110,A000000,01300,0000,01300SOCIAL SERVICE 26110,A000000,01350,0000,01500RECREATION ACTIVITIES 26110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26110,A000000,01600,0000,01600SKILLED NURSING FACILITY 26110,A000000,01800,0000,01800NURSING FACILITY 26110,A000000,01810,0000,01810ICF/MR 26110,A000000,02100,0000,02100RADIOLOGY 26110,A000000,02200,0000,02200LABORATORY 26110,A000000,02500,0000,02500PHYSICAL THERAPY 26110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26110,A000000,02700,0000,02700SPEECH PATHOLOGY 26110,A000000,02800,0000,02800ELECTROCARDIOLOGY 26110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26110,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26110,A000000,03051,0000,03301ENTERAL FEEDING 26110,A000000,03550,0000,03550FQHC 26110,A000000,05000,0000,05000CORF 26110,A000000,05010,0000,05010CMHC 26110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26110,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26110,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26110,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26110,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26110,A000000,06153,0000,06312DIALYSIS 26110,A000000,06154,0000,06320APARTMENTS 26110,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26110,A000000,06156,0000,06340CLOSED PATIENT AREAS 26110,A000000,06157,0000,06350O/P ADULT DAYCARE 26110,A81000A,00100,0100,Y 26110,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26110,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26110,A81000B,00300,0300,MSU DEVELOPMENT COST 26110,A81000B,00700,0300,CLINICAL ALLOCATION 26110,A81000B,00800,0300,REHAB ALLOCATION 26110,A81000B,00900,0300,REHAB ALLOCATION 26110,A81000B,01000,0300,REHAB ALLOCATION 26110,A81000B,01100,0300,SYMPHONY MOBILEX 26110,A81000C,00100,0100,B 26110,A81000C,00100,0200,IHS INC. 26110,A81000C,00100,0400,IHS INC. 26110,A81000C,00100,0600,NURSING HOMES 26110,A81000C,00200,0100,G 26110,A81000C,00200,0400,SYMPHONY REHAB 26110,A81000C,00200,0600,REHAB SERVICES 26110,A81000C,00300,0100,G 26110,A81000C,00300,0400,LTC 26110,A81000C,00300,0600,LAB 26110,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26110,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26110,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26110,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26110,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26110,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26110,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26110,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26110,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26110,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26110,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26110,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26110,E10A180,00301,0100,12/03/1999 26110,E10A180,00304,0100,05/18/2000 26110,E10A180,00350,0100,03/18/1999 26110,E10A180,00550,0100,05/31/2000 26110,E10A180,00550,0300,05/31/2000 26110,E10A180,00551,0100,07/28/2000 26110,S000000,00100,0200,06/01/2000 26110,S200000,00100,0100,300 WINTHROP STREET 26110,S200000,00200,0100,MEDFORD 26110,S200000,00200,0200,MA 26110,S200000,00200,0300,02155- 26110,S200000,00300,0100,MIDDLESEX 26110,S200000,00300,0200,1123 26110,S200000,00300,0300,U 26110,S200000,00400,0100,IHS-GREATER BOSTON AT MEDFORD 26110,S200000,00400,0200,225339 26110,S200000,00400,0300,03/08/1989 26110,S200000,00400,0500,P 26110,S200000,00600,0200,225339 26110,S200000,00600,0300,03/08/1989 26110,S200000,00600,0600,P 26110,S200000,01600,0100,Y 26110,S200000,02200,0100,Y 26120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26120,A000000,00300,0000,00300EMPLOYEE BENEFITS 26120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26120,A000000,00700,0000,00700HOUSEKEEPING 26120,A000000,00800,0000,00800DIETARY 26120,A000000,00900,0000,00900NURSING ADMINISTRATION 26120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26120,A000000,01100,0000,01100PHARMACY 26120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26120,A000000,01300,0000,01300SOCIAL SERVICE 26120,A000000,01350,0000,01500RECREATION ACTIVITIES 26120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26120,A000000,01600,0000,01600SKILLED NURSING FACILITY 26120,A000000,01800,0000,01800NURSING FACILITY 26120,A000000,01810,0000,01810ICF/MR 26120,A000000,02100,0000,02100RADIOLOGY 26120,A000000,02200,0000,02200LABORATORY 26120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26120,A000000,02500,0000,02500PHYSICAL THERAPY 26120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26120,A000000,02700,0000,02700SPEECH PATHOLOGY 26120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26120,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26120,A000000,03051,0000,03301ENTERAL FEEDING 26120,A000000,03550,0000,03550FQHC 26120,A000000,05000,0000,05000CORF 26120,A000000,05010,0000,05010CMHC 26120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26120,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26120,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26120,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26120,A000000,06153,0000,06312DIALYSIS 26120,A000000,06154,0000,06320APARTMENTS 26120,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26120,A000000,06156,0000,06340CLOSED PATIENT AREAS 26120,A000000,06157,0000,06350O/P ADULT DAYCARE 26120,A81000A,00100,0100,Y 26120,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26120,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26120,A81000B,00600,0300,SYMPHONY REHAB 26120,A81000B,00700,0300,REHAB ALLOCATION 26120,A81000B,00800,0300,REHAB ALLOCATION 26120,A81000B,00900,0300,REHAB ALLOCATION 26120,A81000B,01000,0300,CLINICAL ALLOCATION 26120,A81000B,01100,0300,SYMPHONY MOBILEX 26120,A81000C,00100,0100,B 26120,A81000C,00100,0400,IHS INC. 26120,A81000C,00100,0600,NURSING HOMES 26120,A81000C,00200,0100,G 26120,A81000C,00200,0400,SYMPHONY REHAB 26120,A81000C,00200,0600,REHAB SERVICES 26120,A81000C,00300,0100,G 26120,A81000C,00300,0400,LTC MED LAB 26120,A81000C,00300,0600,LABORATORY 26120,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26120,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26120,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26120,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26120,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26120,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26120,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26120,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26120,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26120,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26120,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26120,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26120,E10A180,00304,0100,05/18/2000 26120,E10A180,00350,0100,03/18/1999 26120,E10A180,00351,0100,12/03/1999 26120,E10A180,00501,0300,07/28/2000 26120,E10A180,00550,0100,07/28/2000 26120,S000000,00100,0200,06/01/2000 26120,S200000,00100,0100,215 MILL STREET 26120,S200000,00200,0100,WORCESTER 26120,S200000,00200,0200,MA 26120,S200000,00200,0300,01602- 26120,S200000,00300,0100,WORCESTER 26120,S200000,00300,0200,1123 26120,S200000,00300,0300,U 26120,S200000,00400,0100,IHS-GRTR WORCESTER AT MILL HIL 26120,S200000,00400,0200,225340 26120,S200000,00400,0300,02/28/1989 26120,S200000,00400,0500,P 26120,S200000,00600,0200,225340 26120,S200000,00600,0300,02/28/1989 26120,S200000,00600,0600,P 26120,S200000,01600,0100,Y 26120,S200000,02200,0100,Y 26127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26127,A000000,00300,0000,00300EMPLOYEE BENEFITS 26127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26127,A000000,00700,0000,00700HOUSEKEEPING 26127,A000000,00800,0000,00800DIETARY 26127,A000000,00900,0000,00900NURSING ADMINISTRATION 26127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26127,A000000,01100,0000,01100PHARMACY 26127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26127,A000000,01300,0000,01300SOCIAL SERVICE 26127,A000000,01350,0000,01500RECREATION ACTIVITIES 26127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26127,A000000,01600,0000,01600SKILLED NURSING FACILITY 26127,A000000,01800,0000,01800NURSING FACILITY 26127,A000000,01810,0000,01810ICF/MR 26127,A000000,02100,0000,02100RADIOLOGY 26127,A000000,02200,0000,02200LABORATORY 26127,A000000,02500,0000,02500PHYSICAL THERAPY 26127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26127,A000000,02700,0000,02700SPEECH PATHOLOGY 26127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26127,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26127,A000000,03051,0000,03301ENTERAL FEEDING 26127,A000000,03550,0000,03550FQHC 26127,A000000,05000,0000,05000CORF 26127,A000000,05010,0000,05010CMHC 26127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26127,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26127,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26127,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26127,A000000,06153,0000,06312DIALYSIS 26127,A000000,06154,0000,06320APARTMENTS 26127,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26127,A000000,06156,0000,06340CLOSED PATIENT AREAS 26127,A000000,06157,0000,06350O/P ADULT DAYCARE 26127,A81000A,00100,0100,Y 26127,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26127,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26127,A81000B,00300,0300,HOME OFFICE CLINICAL 26127,A81000B,00400,0300,SYMPHONY REHAB 26127,A81000B,00500,0300,SYMPHONY REHAB 26127,A81000B,00600,0300,SYMPHONY REHAB 26127,A81000B,00700,0300,SYMPHONY REHAB 26127,A81000B,00800,0300,LYRIC HOME OFFICE 26127,A81000C,00100,0100,B 26127,A81000C,00100,0400,IHS INC. 26127,A81000C,00100,0600,NURSING HOMES 26127,A81000C,00200,0100,G 26127,A81000C,00200,0400,SYMPHONY REHAB 26127,A81000C,00200,0600,REHAB SERVICES 26127,A81000C,00300,0100,G 26127,A81000C,00300,0400,LTC MED LAB 26127,A81000C,00300,0600,LABORATORY 26127,A81000C,00400,0100,B 26127,A81000C,00400,0400,LYRIC CORP 26127,A81000C,00400,0600,NURSING HOMES 26127,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26127,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26127,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26127,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26127,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26127,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26127,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26127,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26127,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26127,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26127,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26127,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26127,E10A180,00350,0100,01/03/2000 26127,E10A180,00351,0100,09/18/2000 26127,E10A180,00501,0100,12/26/2000 26127,E10A180,00550,0300,12/26/2000 26127,S000000,00100,0200,11/01/2000 26127,S200000,00100,0100,730 KIMOLE LANE 26127,S200000,00200,0100,ADRIAN 26127,S200000,00200,0200,MI 26127,S200000,00200,0300,49221- 26127,S200000,00300,0100,LANAWEE 26127,S200000,00300,0200,440 26127,S200000,00300,0300,U 26127,S200000,00400,0100,LYNWOOD MANOR 26127,S200000,00400,0200,235182 26127,S200000,00400,0300,12/01/1992 26127,S200000,00400,0500,P 26127,S200000,00600,0200,235182 26127,S200000,00600,0300,12/01/1992 26127,S200000,00600,0600,P 26127,S200000,01600,0100,Y 26127,S200000,02200,0100,Y 26127,S200000,04600,0100,Y 26137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26137,A000000,00300,0000,00300EMPLOYEE BENEFITS 26137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26137,A000000,00700,0000,00700HOUSEKEEPING 26137,A000000,00800,0000,00800DIETARY 26137,A000000,00900,0000,00900NURSING ADMINISTRATION 26137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26137,A000000,01100,0000,01100PHARMACY 26137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26137,A000000,01300,0000,01300SOCIAL SERVICE 26137,A000000,01350,0000,01500RECREATION ACTIVITIES 26137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26137,A000000,01600,0000,01600SKILLED NURSING FACILITY 26137,A000000,01800,0000,01800NURSING FACILITY 26137,A000000,01810,0000,01810ICF/MR 26137,A000000,02100,0000,02100RADIOLOGY 26137,A000000,02200,0000,02200LABORATORY 26137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26137,A000000,02500,0000,02500PHYSICAL THERAPY 26137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26137,A000000,02700,0000,02700SPEECH PATHOLOGY 26137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26137,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26137,A000000,03051,0000,03301ENTERAL FEEDING 26137,A000000,03550,0000,03550FQHC 26137,A000000,05000,0000,05000CORF 26137,A000000,05010,0000,05010CMHC 26137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26137,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26137,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26137,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26137,A000000,06153,0000,06312DIALYSIS 26137,A000000,06154,0000,06320APARTMENTS 26137,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26137,A000000,06156,0000,06340CLOSED PATIENT AREAS 26137,A000000,06157,0000,06350O/P ADULT DAYCARE 26137,A81000A,00100,0100,Y 26137,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26137,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26137,A81000B,00400,0300,SYMPHONY REHAB 26137,A81000B,00500,0300,SYMPHONY REHAB 26137,A81000B,00600,0300,SYMPHONY REHAB 26137,A81000B,00700,0300,CLINICAL ALLOCATION 26137,A81000C,00100,0100,B 26137,A81000C,00100,0400,IHS INC. 26137,A81000C,00100,0600,NURSING HOMES 26137,A81000C,00200,0100,G 26137,A81000C,00200,0400,SYMPHONY REHAB 26137,A81000C,00200,0600,REHAB SERVICES 26137,A81000C,00300,0100,G 26137,A81000C,00300,0400,LTC MED LAB 26137,A81000C,00300,0600,LABORATORY 26137,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26137,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26137,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26137,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26137,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26137,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26137,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26137,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26137,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26137,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26137,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26137,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26137,E10A180,00350,0100,03/18/1999 26137,E10A180,00351,0100,12/03/1999 26137,E10A180,00352,0100,05/18/2000 26137,E10A180,00501,0100,07/28/1999 26137,E10A180,00550,0100,06/15/2000 26137,E10A180,00550,0300,06/15/2000 26137,S000000,00100,0200,06/15/2000 26137,S200000,00100,0100,11941 BELSAY ROAD 26137,S200000,00200,0100,GRAND BLANC 26137,S200000,00200,0200,MI 26137,S200000,00200,0300,48439- 26137,S200000,00300,0200,2640 26137,S200000,00300,0300,U 26137,S200000,00400,0100,IHS-MICHIGAN AT RIVERBEND 26137,S200000,00400,0200,235226 26137,S200000,00400,0300,05/06/1988 26137,S200000,00400,0500,P 26137,S200000,00600,0200,235226 26137,S200000,00600,0300,05/06/1988 26137,S200000,00600,0600,P 26137,S200000,01600,0100,Y 26137,S200000,02200,0100,Y 26146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26146,A000000,00300,0000,00300EMPLOYEE BENEFITS 26146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26146,A000000,00700,0000,00700HOUSEKEEPING 26146,A000000,00800,0000,00800DIETARY 26146,A000000,00900,0000,00900NURSING ADMINISTRATION 26146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26146,A000000,01100,0000,01100PHARMACY 26146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26146,A000000,01300,0000,01300SOCIAL SERVICE 26146,A000000,01350,0000,01500ACTIVITIES 26146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26146,A000000,01600,0000,01600SKILLED NURSING FACILITY 26146,A000000,01800,0000,01800NURSING FACILITY 26146,A000000,01900,0000,01900OTHER LONG TERM CARE 26146,A000000,02100,0000,02100RADIOLOGY 26146,A000000,02200,0000,02200LABORATORY 26146,A000000,02300,0000,02300INTRAVENOUS THERAPY 26146,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26146,A000000,02500,0000,02500PHYSICAL THERAPY 26146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26146,A000000,02700,0000,02700SPEECH PATHOLOGY 26146,A000000,02800,0000,02800ELECTROCARDIOLOGY 26146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26146,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26146,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26146,A000000,03200,0000,03200SUPPORT SURFACES 26146,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26146,A000000,04800,0000,04800AMBULANCE 26146,A000000,05300,0000,05300INTEREST EXPENSE 26146,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26146,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26146,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26146,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26146,A000000,06100,0000,06100NONPAID WORKERS 26146,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26146,A000000,06200,0000,06200PATIENTS LAUNDRY 26146,A81000A,00100,0100,Y 26146,A81000B,00100,0300,HOME OFFICE COST 26146,A81000B,00200,0300,PT ADMIN FEES 26146,A81000B,00300,0300,OT ADMIN FEES 26146,A81000B,00400,0300,ST ADMIN FEES 26146,A81000C,00100,0100,B 26146,A81000C,00100,0200,MCHA KINGSFORD 26146,A81000C,00100,0400,HCR MANORCARE INC. 26146,A81000C,00100,0600,LONG TERM CARE FACILITIES 26146,A81000C,00200,0100,B 26146,A81000C,00200,0200,MANOR CARE HEALTH SERVICE 26146,A81000C,00200,0400,MCHA KINGSFORD 26146,A81000C,00200,0600,LONG TERM CARE FACILITIES 26146,A81000C,00300,0100,B 26146,A81000C,00300,0200,MCHA KINGSFORD 26146,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 26146,A81000C,00300,0600,THERAPY MANAGEMENT SERVIC 26146,A81000C,00400,0100,B 26146,A81000C,00400,0200,MCHA KINGSFORD 26146,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 26146,A81000C,00400,0600,THERAPY MANAGEMENT SERVIC 26146,A81000C,00500,0100,B 26146,A81000C,00500,0200,MCHA KINGSFORD 26146,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 26146,A81000C,00500,0600,THERAPY MANAGEMENT SERVIC 26146,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26146,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26146,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26146,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26146,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26146,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26146,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26146,B100000,00000,0800,00000MEALS SERVED :DIETARY 26146,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26146,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26146,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26146,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26146,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26146,S000000,00100,0200,10/31/2000 26146,S200000,00100,0100,1225 WOODWARD AVENUE 26146,S200000,00200,0100,KINGSFORD 26146,S200000,00200,0200,MI 26146,S200000,00200,0300,49801- 26146,S200000,00300,0100,DICKENSON 26146,S200000,00300,0200,0023 26146,S200000,00300,0300,R 26146,S200000,00400,0100,MCHS - KINGSFORD 26146,S200000,00400,0200,235267 26146,S200000,00400,0300,03/01/1978 26146,S200000,00400,0500,P 26146,S200000,00400,0600,P 26146,S200000,01004,0500,O 26146,S200000,01600,0100,Y 26146,S200000,04300,0100,Y 26153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26153,A000000,00300,0000,00300EMPLOYEE BENEFITS 26153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26153,A000000,00700,0000,00700HOUSEKEEPING 26153,A000000,00800,0000,00800DIETARY 26153,A000000,00900,0000,00900NURSING ADMINISTRATION 26153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26153,A000000,01100,0000,01100PHARMACY 26153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26153,A000000,01300,0000,01300SOCIAL SERVICE 26153,A000000,01350,0000,01500RECREATION ACTIVITIES 26153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26153,A000000,01600,0000,01600SKILLED NURSING FACILITY 26153,A000000,01800,0000,01800NURSING FACILITY 26153,A000000,01810,0000,01810ICF/MR 26153,A000000,02100,0000,02100RADIOLOGY 26153,A000000,02200,0000,02200LABORATORY 26153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26153,A000000,02500,0000,02500PHYSICAL THERAPY 26153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26153,A000000,02700,0000,02700SPEECH PATHOLOGY 26153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26153,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26153,A000000,03051,0000,03301ENTERAL FEEDING 26153,A000000,03550,0000,03550FQHC 26153,A000000,05000,0000,05000CORF 26153,A000000,05010,0000,05010CMHC 26153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26153,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26153,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26153,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26153,A000000,06153,0000,06312DIALYSIS 26153,A000000,06154,0000,06320APARTMENTS 26153,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26153,A000000,06156,0000,06340CLOSED PATIENT AREAS 26153,A000000,06157,0000,06350O/P ADULT DAYCARE 26153,A81000A,00100,0100,Y 26153,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26153,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26153,A81000B,00300,0300,CLINICAL 26153,A81000B,00400,0300,SYMPHONY REHAB-H.O. 26153,A81000B,00500,0300,SYMPHONY REHAB-H.O. 26153,A81000B,00600,0300,SYMPHONY REHAB 26153,A81000C,00100,0100,B 26153,A81000C,00100,0400,IHS INC. 26153,A81000C,00100,0600,NURSING HOMES 26153,A81000C,00200,0100,G 26153,A81000C,00200,0400,SYMPHONY REHAB 26153,A81000C,00200,0600,REHAB SERVICES 26153,A81000C,00300,0100,G 26153,A81000C,00300,0400,LTC MED LAB 26153,A81000C,00300,0600,LABORATORY 26153,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26153,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26153,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26153,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26153,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26153,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26153,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26153,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26153,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26153,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26153,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26153,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26153,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26153,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26153,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26153,E10A180,00301,0100,01/03/2000 26153,E10A180,00302,0100,09/18/2000 26153,S000000,00100,0200,11/01/2000 26153,S200000,00100,0100,34225 GRAND RIVER AVE 26153,S200000,00200,0100,FARMINGTON 26153,S200000,00200,0200,MI 26153,S200000,00200,0300,48335- 26153,S200000,00300,0100,OAKLAND 26153,S200000,00400,0100,FARMINGTON HEALTH CARE CENTER 26153,S200000,00400,0200,235293 26153,S200000,00400,0300,02/10/1990 26153,S200000,00400,0500,P 26153,S200000,00600,0200,235293 26153,S200000,00600,0300,02/10/1990 26153,S200000,00600,0600,P 26153,S200000,01600,0100,Y 26153,S200000,02200,0100,Y 26153,S700003,00000,0100,1 26159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26159,A000000,00300,0000,00300EMPLOYEE BENEFITS 26159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26159,A000000,00700,0000,00700HOUSEKEEPING 26159,A000000,00800,0000,00800DIETARY 26159,A000000,00900,0000,00900NURSING ADMINISTRATION 26159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26159,A000000,01100,0000,01100PHARMACY 26159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26159,A000000,01300,0000,01300SOCIAL SERVICE 26159,A000000,01350,0000,01500RECREATION ACTIVITIES 26159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26159,A000000,01600,0000,01600SKILLED NURSING FACILITY 26159,A000000,01800,0000,01800NURSING FACILITY 26159,A000000,01810,0000,01810ICF/MR 26159,A000000,01900,0000,01900OTHER LONG TERM CARE 26159,A000000,02100,0000,02100RADIOLOGY 26159,A000000,02200,0000,02200LABORATORY 26159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26159,A000000,02500,0000,02500PHYSICAL THERAPY 26159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26159,A000000,02700,0000,02700SPEECH PATHOLOGY 26159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26159,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26159,A000000,03051,0000,03301ENTERAL FEEDING 26159,A000000,03550,0000,03550FQHC 26159,A000000,05000,0000,05000CORF 26159,A000000,05010,0000,05010CMHC 26159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26159,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26159,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26159,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26159,A000000,06153,0000,06312DIALYSIS 26159,A000000,06154,0000,06320APARTMENTS 26159,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26159,A000000,06156,0000,06340CLOSED PATIENT AREAS 26159,A000000,06157,0000,06350O/P ADULT DAYCARE 26159,A81000A,00100,0100,Y 26159,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26159,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26159,A81000B,00300,0300,CLINICAL HOME OFFICE 26159,A81000B,00400,0300,SYMPHONY REHAB 26159,A81000B,00500,0300,SYMPHONY REHAB 26159,A81000B,00600,0300,SYMPHONY REHAB 26159,A81000B,00700,0300,REHAB MANAGEMENT 26159,A81000B,00800,0300,REHAB MANAGEMENT 26159,A81000B,00900,0300,REHAB MANAGEMENT 26159,A81000C,00100,0100,B 26159,A81000C,00100,0400,IHS INC. 26159,A81000C,00100,0600,NURSING HOMES 26159,A81000C,00200,0100,G 26159,A81000C,00200,0400,SYMPHONY REHAB 26159,A81000C,00200,0600,REHAB SERVICES 26159,A81000C,00300,0100,G 26159,A81000C,00300,0400,LTC MED LAB 26159,A81000C,00300,0600,LABORATORY 26159,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26159,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26159,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26159,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26159,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26159,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26159,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26159,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26159,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26159,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26159,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26159,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26159,E10A180,00350,0100,01/03/2000 26159,E10A180,00351,0100,09/18/2000 26159,E10A180,00501,0300,12/26/2000 26159,E10A180,00550,0100,12/26/2000 26159,S000000,00100,0200,11/01/2000 26159,S200000,00100,0100,15140 SIXTEENTH STREET 26159,S200000,00200,0100,MARNE 26159,S200000,00200,0200,MI 26159,S200000,00200,0300,49435- 26159,S200000,00300,0100,OTTAWA 26159,S200000,00300,0200,3000 26159,S200000,00300,0300,U 26159,S200000,00400,0100,BIRCHWOOD CARE CENTER 26159,S200000,00400,0200,235304 26159,S200000,00400,0300,12/01/1992 26159,S200000,00400,0500,P 26159,S200000,00600,0200,235304 26159,S200000,00600,0300,12/01/1992 26159,S200000,00600,0600,P 26159,S200000,01600,0100,Y 26159,S200000,02200,0100,Y 26166,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26166,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26166,A000000,00300,0000,00300EMPLOYEE BENEFITS 26166,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26166,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26166,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26166,A000000,00700,0000,00700HOUSEKEEPING 26166,A000000,00800,0000,00800DIETARY 26166,A000000,00900,0000,00900NURSING ADMINISTRATION 26166,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26166,A000000,01100,0000,01100PHARMACY 26166,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26166,A000000,01300,0000,01300SOCIAL SERVICE 26166,A000000,01350,0000,01500RECREATION ACTIVITIES 26166,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26166,A000000,01600,0000,01600SKILLED NURSING FACILITY 26166,A000000,01800,0000,01800NURSING FACILITY 26166,A000000,01810,0000,01810ICF/MR 26166,A000000,02100,0000,02100RADIOLOGY 26166,A000000,02200,0000,02200LABORATORY 26166,A000000,02500,0000,02500PHYSICAL THERAPY 26166,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26166,A000000,02700,0000,02700SPEECH PATHOLOGY 26166,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26166,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26166,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26166,A000000,03051,0000,03301ENTERAL FEEDING 26166,A000000,03550,0000,03550FQHC 26166,A000000,05000,0000,05000CORF 26166,A000000,05010,0000,05010CMHC 26166,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26166,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26166,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26166,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26166,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26166,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26166,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26166,A000000,06153,0000,06312DIALYSIS 26166,A000000,06154,0000,06320APARTMENTS 26166,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26166,A000000,06156,0000,06340CLOSED PATIENT AREAS 26166,A000000,06157,0000,06350O/P ADULT DAYCARE 26166,A81000A,00100,0100,Y 26166,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26166,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26166,A81000B,00300,0300,CORP CLINICAL ALLOC 26166,A81000B,00400,0300,CORP REHAB ALLOCATIO 26166,A81000B,00500,0300,CORP REHAB ALLOCATIO 26166,A81000B,00600,0300,CORP REHAB ALLOCATIO 26166,A81000C,00100,0100,B 26166,A81000C,00100,0400,IHS INC. 26166,A81000C,00100,0600,NURSING HOMES 26166,A81000C,00200,0100,G 26166,A81000C,00200,0400,SYMPHONY REHAB 26166,A81000C,00200,0600,REHAB SERVICES 26166,A81000C,00300,0100,G 26166,A81000C,00300,0400,LTC MED LAB 26166,A81000C,00300,0600,LABORATORY 26166,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26166,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26166,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26166,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26166,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26166,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26166,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26166,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26166,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26166,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26166,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26166,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26166,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26166,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26166,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26166,E10A180,00301,0100,01/03/2000 26166,E10A180,00302,0100,09/18/2000 26166,S000000,00100,0200,11/01/2000 26166,S200000,00100,0100,3003 W. GRAND RIVER AVE. 26166,S200000,00200,0100,HOWELL 26166,S200000,00200,0200,MI 26166,S200000,00200,0300,48843- 26166,S200000,00300,0100,LIVINGSTON 26166,S200000,00400,0100,IHS-MICHIGAN AT HOWELL 26166,S200000,00400,0200,235330 26166,S200000,00400,0300,02/11/1994 26166,S200000,00400,0500,P 26166,S200000,00600,0200,235330 26166,S200000,00600,0300,02/11/1994 26166,S200000,00600,0600,P 26166,S200000,01600,0100,Y 26166,S200000,02200,0100,Y 26166,S700003,00000,0100,1 26171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26171,A000000,00300,0000,00300EMPLOYEE BENEFITS 26171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26171,A000000,00700,0000,00700HOUSEKEEPING 26171,A000000,00800,0000,00800DIETARY 26171,A000000,00900,0000,00900NURSING ADMINISTRATION 26171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26171,A000000,01100,0000,01100PHARMACY 26171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26171,A000000,01300,0000,01300SOCIAL SERVICE 26171,A000000,01350,0000,01500RECREATION ACTIVITIES 26171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26171,A000000,01600,0000,01600SKILLED NURSING FACILITY 26171,A000000,01800,0000,01800NURSING FACILITY 26171,A000000,01810,0000,01810ICF/MR 26171,A000000,02100,0000,02100RADIOLOGY 26171,A000000,02200,0000,02200LABORATORY 26171,A000000,02500,0000,02500PHYSICAL THERAPY 26171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26171,A000000,02700,0000,02700SPEECH PATHOLOGY 26171,A000000,02800,0000,02800ELECTROCARDIOLOGY 26171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26171,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26171,A000000,03051,0000,03301ENTERAL FEEDING 26171,A000000,03550,0000,03550FQHC 26171,A000000,05000,0000,05000CORF 26171,A000000,05010,0000,05010CMHC 26171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26171,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26171,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26171,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26171,A000000,06153,0000,06312DIALYSIS 26171,A000000,06154,0000,06320APARTMENTS 26171,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26171,A000000,06156,0000,06340CLOSED PATIENT AREAS 26171,A000000,06157,0000,06350O/P ADULT DAYCARE 26171,A81000A,00100,0100,Y 26171,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26171,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26171,A81000B,00300,0300,HOME OFFICE CLINICAL 26171,A81000B,00400,0300,REHAB MANAGEMENT 26171,A81000B,00500,0300,REHAB MANAGEMENT 26171,A81000B,00600,0300,REHAB MANAGEMENT 26171,A81000C,00100,0100,B 26171,A81000C,00100,0400,IHS INC. 26171,A81000C,00100,0600,NURSING HOMES 26171,A81000C,00200,0100,G 26171,A81000C,00200,0400,SYMPHONY REHAB 26171,A81000C,00200,0600,REHAB SERVICES 26171,A81000C,00300,0100,G 26171,A81000C,00300,0400,LTC MED LAB 26171,A81000C,00300,0600,LABORATORY 26171,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26171,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26171,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26171,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26171,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26171,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26171,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26171,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26171,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26171,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26171,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26171,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26171,E10A180,00301,0100,01/03/2000 26171,E10A180,00350,0100,09/18/2000 26171,E10A180,00501,0100,12/11/2001 26171,E10A180,00501,0300,10/30/2000 26171,E10A180,00550,0100,10/30/2000 26171,E10A180,00551,0100,12/26/2000 26171,E10A180,00551,0300,12/26/2000 26171,S000000,00100,0200,11/01/2000 26171,S200000,00100,0100,911 S. 3RD STREET 26171,S200000,00200,0100,NILES 26171,S200000,00200,0200,MI 26171,S200000,00200,0300,49120- 26171,S200000,00300,0100,BERRIEN 26171,S200000,00300,0200,0870 26171,S200000,00300,0300,U 26171,S200000,00400,0100,SILVERBROOK MANOR 26171,S200000,00400,0200,235361 26171,S200000,00400,0300,12/01/1992 26171,S200000,00400,0500,P 26171,S200000,00600,0200,235361 26171,S200000,00600,0300,12/01/1992 26171,S200000,00600,0600,P 26171,S200000,01600,0100,Y 26171,S200000,02200,0100,Y 26180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26180,A000000,00300,0000,00300EMPLOYEE BENEFITS 26180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26180,A000000,00700,0000,00700HOUSEKEEPING 26180,A000000,00800,0000,00800DIETARY 26180,A000000,00900,0000,00900NURSING ADMINISTRATION 26180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26180,A000000,01100,0000,01100PHARMACY 26180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26180,A000000,01300,0000,01300SOCIAL SERVICE 26180,A000000,01350,0000,01500RECREATION ACTIVITIES 26180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26180,A000000,01600,0000,01600SKILLED NURSING FACILITY 26180,A000000,01800,0000,01800NURSING FACILITY 26180,A000000,01810,0000,01810ICF/MR 26180,A000000,02100,0000,02100RADIOLOGY 26180,A000000,02200,0000,02200LABORATORY 26180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26180,A000000,02500,0000,02500PHYSICAL THERAPY 26180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26180,A000000,02700,0000,02700SPEECH PATHOLOGY 26180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26180,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26180,A000000,03051,0000,03301ENTERAL FEEDING 26180,A000000,03550,0000,03550FQHC 26180,A000000,05000,0000,05000CORF 26180,A000000,05010,0000,05010CMHC 26180,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26180,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26180,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26180,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26180,A000000,06153,0000,06312DIALYSIS 26180,A000000,06154,0000,06320APARTMENTS 26180,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26180,A000000,06156,0000,06340CLOSED PATIENT AREAS 26180,A000000,06157,0000,06350O/P ADULT DAYCARE 26180,A81000A,00100,0100,Y 26180,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26180,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26180,A81000B,00300,0300,HOME OFFICE CLINICAL 26180,A81000B,00400,0300,SYMPHONY REHAB 26180,A81000B,00500,0300,SYMPHONY REHAB 26180,A81000B,00600,0300,SYMPHONY REHAB 26180,A81000B,00700,0300,HOME OFFICE PT ALLOC 26180,A81000B,00800,0300,HOME OFFICE PT ALLOC 26180,A81000B,00900,0300,HOME OFFICE ST ALLOC 26180,A81000C,00100,0100,B 26180,A81000C,00100,0400,IHS INC. 26180,A81000C,00100,0600,NURSING HOMES 26180,A81000C,00200,0100,G 26180,A81000C,00200,0400,SYMPHONY REHAB 26180,A81000C,00200,0600,REHAB SERVICES 26180,A81000C,00300,0100,G 26180,A81000C,00300,0400,LTC MED LAB 26180,A81000C,00300,0600,LABORATORY 26180,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26180,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26180,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26180,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26180,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26180,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26180,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26180,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26180,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26180,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26180,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26180,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26180,E10A180,00350,0100,01/03/2000 26180,E10A180,00351,0100,09/18/2000 26180,E10A180,00501,0100,12/11/2001 26180,E10A180,00550,0100,10/30/2000 26180,E10A180,00550,0300,10/30/2000 26180,E10A180,00551,0100,12/26/2000 26180,S000000,00100,0200,11/01/2000 26180,S200000,00100,0100,4800 CLINTONVILLE ROAD 26180,S200000,00200,0100,CLARKSTON 26180,S200000,00200,0200,MI 26180,S200000,00200,0300,48346- 26180,S200000,00300,0100,OAKLAND 26180,S200000,00300,0200,2160 26180,S200000,00300,0300,U 26180,S200000,00400,0100,IHS-MICHIGAN AT CLARKSTON 26180,S200000,00400,0200,235461 26180,S200000,00400,0300,10/14/1990 26180,S200000,00400,0500,P 26180,S200000,00600,0200,235461 26180,S200000,00600,0300,10/14/1990 26180,S200000,00600,0600,P 26180,S200000,01600,0100,Y 26180,S200000,02200,0100,Y 26190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26190,A000000,00300,0000,00300EMPLOYEE BENEFITS 26190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26190,A000000,00700,0000,00700HOUSEKEEPING 26190,A000000,00800,0000,00800DIETARY 26190,A000000,00900,0000,00900NURSING ADMINISTRATION 26190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26190,A000000,01100,0000,01100PHARMACY 26190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26190,A000000,01300,0000,01300SOCIAL SERVICE 26190,A000000,01350,0000,01500ACTIVITIES 26190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26190,A000000,01600,0000,01600SKILLED NURSING FACILITY 26190,A000000,01800,0000,01800NURSING FACILITY 26190,A000000,01900,0000,01900OTHER LONG TERM CARE 26190,A000000,02100,0000,02100RADIOLOGY 26190,A000000,02200,0000,02200LABORATORY 26190,A000000,02300,0000,02300INTRAVENOUS THERAPY 26190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26190,A000000,02500,0000,02500PHYSICAL THERAPY 26190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26190,A000000,02700,0000,02700SPEECH PATHOLOGY 26190,A000000,02800,0000,02800ELECTROCARDIOLOGY 26190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26190,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26190,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26190,A000000,03200,0000,03200SUPPORT SURFACES 26190,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26190,A000000,04800,0000,04800AMBULANCE 26190,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26190,A000000,05300,0000,05300INTEREST EXPENSE 26190,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26190,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26190,A000000,06100,0000,06100NONPAID WORKERS 26190,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26190,A000000,06200,0000,06200PATIENTS LAUNDRY 26190,A81000A,00100,0100,Y 26190,A81000B,00100,0300,HOME OFFICE COST 26190,A81000B,00200,0300,PT ADMINISTRATIVE FEES 26190,A81000B,00300,0300,OT ADMINISTRATIVE FEES 26190,A81000B,00400,0300,ST ADMINISTRATIVE FEES 26190,A81000B,00500,0300,PHYSICAL THERAPY 26190,A81000B,00600,0300,OCCUPATIONAL THERAPY 26190,A81000B,00700,0300,SPEECH THERAPY 26190,A81000C,00100,0100,B 26190,A81000C,00100,0200,MCHS WINDEMERE 26190,A81000C,00100,0400,HCR MANORCARE INC. 26190,A81000C,00100,0600,LONG TERM CARE FACILITIES 26190,A81000C,00200,0100,B 26190,A81000C,00200,0200,MCHS WINDEMERE 26190,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 26190,A81000C,00200,0600,THERAPY MANAGEMENT 26190,A81000C,00300,0100,B 26190,A81000C,00300,0200,MCHS WINDEMERE 26190,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 26190,A81000C,00300,0600,THERAPY MANAGEMENT 26190,A81000C,00400,0100,B 26190,A81000C,00400,0200,MCHS WINDEMERE 26190,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 26190,A81000C,00400,0600,THERAPY MANAGEMENT 26190,A81000C,00500,0100,B 26190,A81000C,00500,0200,MCHS WINDEMERE 26190,A81000C,00500,0400,HEARTLAND REHAB SERVICES 26190,A81000C,00500,0600,PHYSICAL THERAPY 26190,A81000C,00600,0100,B 26190,A81000C,00600,0200,MCHS WINDEMERE 26190,A81000C,00600,0400,HEARTLAND REHAB SERVICES 26190,A81000C,00600,0600,OCCUPATIONAL THERAPY 26190,A81000C,00700,0100,B 26190,A81000C,00700,0200,MCHS WINDEMERE 26190,A81000C,00700,0400,HEARTLAND REHAB SERVICES 26190,A81000C,00700,0600,SPEECH THERAPY 26190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26190,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26190,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26190,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26190,B100000,00000,0800,00000MEALS SERVED :DIETARY 26190,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26190,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26190,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26190,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26190,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26190,S000000,00100,0200,10/31/2000 26190,S200000,00100,0100,6950 FARMINGTON ROAD 26190,S200000,00200,0100,WEST BLOOMFIELD 26190,S200000,00200,0200,MI 26190,S200000,00200,0300,48322- 26190,S200000,00300,0100,OAKLAND 26190,S200000,00300,0200,2160 26190,S200000,00300,0300,U 26190,S200000,00400,0100,MCHS WINDEMERE #413 26190,S200000,00400,0200,235487 26190,S200000,00400,0300,05/17/1989 26190,S200000,00400,0500,P 26190,S200000,00400,0600,P 26190,S200000,01004,0500,O 26190,S200000,01600,0100,Y 26190,S200000,04300,0100,Y 26197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26197,A000000,00300,0000,00300EMPLOYEE BENEFITS 26197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26197,A000000,00700,0000,00700HOUSEKEEPING 26197,A000000,00800,0000,00800DIETARY 26197,A000000,00900,0000,00900NURSING ADMINISTRATION 26197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26197,A000000,01100,0000,01100PHARMACY 26197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26197,A000000,01300,0000,01300SOCIAL SERVICE 26197,A000000,01350,0000,01500RECREATION ACTIVITIES 26197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26197,A000000,01600,0000,01600SKILLED NURSING FACILITY 26197,A000000,01800,0000,01800NURSING FACILITY 26197,A000000,01810,0000,01810ICF/MR 26197,A000000,02100,0000,02100RADIOLOGY 26197,A000000,02200,0000,02200LABORATORY 26197,A000000,02500,0000,02500PHYSICAL THERAPY 26197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26197,A000000,02700,0000,02700SPEECH PATHOLOGY 26197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26197,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26197,A000000,03051,0000,03301ENTERAL FEEDING 26197,A000000,03550,0000,03550FQHC 26197,A000000,05000,0000,05000CORF 26197,A000000,05010,0000,05010CMHC 26197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26197,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26197,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26197,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26197,A000000,06153,0000,06312DIALYSIS 26197,A000000,06154,0000,06320APARTMENTS 26197,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26197,A000000,06156,0000,06340CLOSED PATIENT AREAS 26197,A000000,06157,0000,06350O/P ADULT DAYCARE 26197,A81000A,00100,0100,Y 26197,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26197,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26197,A81000B,00300,0300,HOME OFFICE CLINICAL 26197,A81000B,00400,0300,SYMPHONY REHAB 26197,A81000B,00500,0300,SYMPHONY REHAB 26197,A81000B,00600,0300,SYMPHONY REHAB 26197,A81000C,00100,0100,B 26197,A81000C,00100,0400,IHS INC. 26197,A81000C,00100,0600,NURSING HOMES 26197,A81000C,00200,0100,G 26197,A81000C,00200,0400,SYMPHONY REHAB 26197,A81000C,00200,0600,REHAB SERVICES 26197,A81000C,00300,0100,G 26197,A81000C,00300,0400,LTC MED LAB 26197,A81000C,00300,0600,LABORATORY 26197,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26197,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26197,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26197,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26197,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26197,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26197,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26197,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26197,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26197,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26197,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26197,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26197,E10A180,00350,0100,01/03/2000 26197,E10A180,00351,0100,09/18/2000 26197,E10A180,00550,0100,12/26/2000 26197,E10A180,00550,0300,12/26/2000 26197,S000000,00100,0200,11/01/2000 26197,S200000,00100,0100,4436 BEECHER ROAD 26197,S200000,00200,0100,FLINT 26197,S200000,00200,0200,MI 26197,S200000,00200,0300,48532- 26197,S200000,00300,0100,GENESSEE 26197,S200000,00300,0200,2640 26197,S200000,00300,0300,U 26197,S200000,00400,0100,WILLOWBROOK MANOR 26197,S200000,00400,0200,235550 26197,S200000,00400,0300,04/14/1994 26197,S200000,00400,0500,P 26197,S200000,00600,0200,235550 26197,S200000,00600,0300,04/14/1994 26197,S200000,00600,0600,P 26197,S200000,01600,0100,Y 26197,S200000,02200,0100,Y 26202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26202,A000000,00300,0000,00300EMPLOYEE BENEFITS 26202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26202,A000000,00700,0000,00700HOUSEKEEPING 26202,A000000,00800,0000,00800DIETARY 26202,A000000,00900,0000,00900NURSING ADMINISTRATION 26202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26202,A000000,01100,0000,01100PHARMACY 26202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26202,A000000,01300,0000,01300SOCIAL SERVICE 26202,A000000,01350,0000,01500RECREATION ACTIVITIES 26202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26202,A000000,01600,0000,01600SKILLED NURSING FACILITY 26202,A000000,01800,0000,01800NURSING FACILITY 26202,A000000,01810,0000,01810ICF/MR 26202,A000000,02100,0000,02100RADIOLOGY 26202,A000000,02200,0000,02200LABORATORY 26202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26202,A000000,02500,0000,02500PHYSICAL THERAPY 26202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26202,A000000,02700,0000,02700SPEECH PATHOLOGY 26202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26202,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26202,A000000,03051,0000,03301ENTERAL FEEDING 26202,A000000,03550,0000,03550FQHC 26202,A000000,05000,0000,05000CORF 26202,A000000,05010,0000,05010CMHC 26202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26202,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26202,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26202,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26202,A000000,06153,0000,06312DIALYSIS 26202,A000000,06154,0000,06320APARTMENTS 26202,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26202,A000000,06156,0000,06340CLOSED PATIENT AREAS 26202,A000000,06157,0000,06350O/P ADULT DAYCARE 26202,A81000A,00100,0100,Y 26202,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26202,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26202,A81000B,00400,0300,SYMPHONY REHAB 26202,A81000B,00500,0300,SYMPHONY REHAB 26202,A81000B,00600,0300,SYMPHONY REHAB 26202,A81000B,00700,0300,REHAB ALLOCATION 26202,A81000B,00800,0300,REHAB ALLOCATION 26202,A81000B,00900,0300,REHAB ALLOCATION 26202,A81000B,01000,0300,CLINICAL ALLOCATION 26202,A81000B,01100,0300,SYMPHONY MOBILEX 26202,A81000C,00100,0100,B 26202,A81000C,00100,0400,IHS INC. 26202,A81000C,00100,0600,NURSING HOMES 26202,A81000C,00200,0100,G 26202,A81000C,00200,0400,SYMPHONY REHAB 26202,A81000C,00200,0600,REHAB SERVICES 26202,A81000C,00300,0100,G 26202,A81000C,00300,0400,LTC MED LAB 26202,A81000C,00300,0600,LABORATORY 26202,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26202,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26202,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26202,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26202,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26202,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26202,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26202,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26202,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26202,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26202,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26202,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26202,E10A180,00301,0100,12/03/1999 26202,E10A180,00350,0100,03/18/1999 26202,E10A180,00351,0100,05/18/2000 26202,E10A180,00501,0100,07/28/2000 26202,E10A180,00550,0100,06/12/2000 26202,E10A180,00550,0300,06/12/2000 26202,S000000,00100,0200,06/15/2000 26202,S200000,00100,0100,8039 HOLMES ROAD 26202,S200000,00200,0100,KANSAS CITY 26202,S200000,00200,0200,MO 26202,S200000,00200,0300,64131- 26202,S200000,00300,0100,JACKSON 26202,S200000,00300,0200,3760 26202,S200000,00300,0300,U 26202,S200000,00400,0100,HOLMESDALE NURSING & REHAB CTR 26202,S200000,00400,0200,265049 26202,S200000,00400,0300,09/30/1988 26202,S200000,00400,0500,P 26202,S200000,00600,0200,265049 26202,S200000,00600,0300,09/30/1988 26202,S200000,00600,0600,P 26202,S200000,01600,0100,Y 26202,S200000,02200,0100,Y 26211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26211,A000000,00300,0000,00300EMPLOYEE BENEFITS 26211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26211,A000000,00700,0000,00700HOUSEKEEPING 26211,A000000,00800,0000,00800DIETARY 26211,A000000,00900,0000,00900NURSING ADMINISTRATION 26211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26211,A000000,01100,0000,01100PHARMACY 26211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26211,A000000,01300,0000,01300SOCIAL SERVICE 26211,A000000,01350,0000,01500ACTIVITIES 26211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26211,A000000,01600,0000,01600SKILLED NURSING FACILITY 26211,A000000,01800,0000,01800NURSING FACILITY 26211,A000000,01900,0000,01900OTHER LONG TERM CARE 26211,A000000,02100,0000,02100RADIOLOGY 26211,A000000,02200,0000,02200LABORATORY 26211,A000000,02300,0000,02300INTRAVENOUS THERAPY 26211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26211,A000000,02500,0000,02500PHYSICAL THERAPY 26211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26211,A000000,02700,0000,02700SPEECH PATHOLOGY 26211,A000000,02800,0000,02800ELECTROCARDIOLOGY 26211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26211,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26211,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26211,A000000,03200,0000,03200SUPPORT SURFACES 26211,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26211,A000000,04800,0000,04800AMBULANCE 26211,A000000,05300,0000,05300INTEREST EXPENSE 26211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26211,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26211,A000000,06100,0000,06100NONPAID WORKERS 26211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26211,A000000,06200,0000,06200PATIENTS LAUNDRY 26211,A81000A,00100,0100,Y 26211,A81000B,00100,0300,HOME OFFICE COST 26211,A81000B,00200,0300,DIRECT COST 26211,A81000B,00300,0300,PT ADMINISTRATIVE SERVICE 26211,A81000B,00400,0300,OT ADMINISTRATIVE SERVICE 26211,A81000B,00500,0300,ST ADMINISTRATIVE SERVICE 26211,A81000C,00100,0100,B 26211,A81000C,00100,0200,MCHS FLORISSANT 26211,A81000C,00100,0400,HCR MANORCARE INC. 26211,A81000C,00100,0600,LONG TERM CARE FACILITIES 26211,A81000C,00200,0100,B 26211,A81000C,00200,0200,MCHS FLORISSANT 26211,A81000C,00200,0400,HCR MANORCARE INC. 26211,A81000C,00200,0600,LONG TERM CARE FACILITIES 26211,A81000C,00300,0100,B 26211,A81000C,00300,0200,MCHS FLORISSANT 26211,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26211,A81000C,00300,0600,THERAPY MANAGEMENT 26211,A81000C,00400,0100,B 26211,A81000C,00400,0200,MCHS FLORISSANT 26211,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26211,A81000C,00400,0600,THERAPY MANAGEMENT 26211,A81000C,00500,0100,B 26211,A81000C,00500,0200,MCHS FLORISSANT 26211,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 26211,A81000C,00500,0600,THERAPY MANAGEMENT 26211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26211,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26211,B100000,00000,0800,00000MEALS SERVED :DIETARY 26211,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26211,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26211,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26211,S000000,00100,0200,10/27/2000 26211,S200000,00100,0100,1200 GRAHAM ROAD 26211,S200000,00200,0100,FLORISSANT 26211,S200000,00200,0200,MO 26211,S200000,00200,0300,63031- 26211,S200000,00300,0100,ST LOUIS 26211,S200000,00300,0200,7040 26211,S200000,00300,0300,U 26211,S200000,00400,0100,MCHS FLORISSANT #448 26211,S200000,00400,0200,265112 26211,S200000,00400,0300,11/08/1973 26211,S200000,00400,0500,P 26211,S200000,00400,0600,P 26211,S200000,01004,0500,O 26211,S200000,01600,0100,Y 26211,S200000,02200,0100,Y 26222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26222,A000000,00300,0000,00300EMPLOYEE BENEFITS 26222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26222,A000000,00700,0000,00700HOUSEKEEPING 26222,A000000,00800,0000,00800DIETARY 26222,A000000,00900,0000,00900NURSING ADMINISTRATION 26222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26222,A000000,01100,0000,01100PHARMACY 26222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26222,A000000,01300,0000,01300SOCIAL SERVICE 26222,A000000,01350,0000,01500RECREATION ACTIVITIES 26222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26222,A000000,01600,0000,01600SKILLED NURSING FACILITY 26222,A000000,01800,0000,01800NURSING FACILITY 26222,A000000,01810,0000,01810ICF/MR 26222,A000000,02100,0000,02100RADIOLOGY 26222,A000000,02200,0000,02200LABORATORY 26222,A000000,02500,0000,02500PHYSICAL THERAPY 26222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26222,A000000,02700,0000,02700SPEECH PATHOLOGY 26222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26222,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26222,A000000,03051,0000,03301ENTERAL FEEDING 26222,A000000,03550,0000,03550FQHC 26222,A000000,05000,0000,05000CORF 26222,A000000,05010,0000,05010CMHC 26222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26222,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26222,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26222,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26222,A000000,06153,0000,06312DIALYSIS 26222,A000000,06154,0000,06320APARTMENTS 26222,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26222,A000000,06156,0000,06340CLOSED PATIENT AREAS 26222,A000000,06157,0000,06350O/P ADULT DAYCARE 26222,A81000A,00100,0100,Y 26222,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26222,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26222,A81000B,00300,0300,CLINICAL ALLOCATION 26222,A81000B,00400,0300,REHAB ALLOCATION 26222,A81000B,00500,0300,REHAB ALLOCATION 26222,A81000B,00600,0300,REHAB ALLOCATION 26222,A81000B,00700,0300,LYRIC A&G ALLOCATION 26222,A81000B,00800,0300,LYRIC CAPITAL ALLOCA 26222,A81000C,00100,0100,B 26222,A81000C,00100,0400,IHS INC. 26222,A81000C,00100,0600,NURSING HOMES 26222,A81000C,00200,0100,B 26222,A81000C,00200,0400,LYRIC INC 26222,A81000C,00200,0600,NURSING HOMES 26222,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26222,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26222,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26222,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26222,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26222,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26222,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26222,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26222,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26222,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26222,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26222,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26222,E10A180,00301,0100,12/03/1999 26222,E10A180,00302,0100,05/01/2000 26222,E10A180,00304,0100,05/18/2000 26222,E10A180,00351,0100,03/18/1999 26222,E10A180,00550,0100,08/11/2000 26222,E10A180,00550,0300,08/11/2000 26222,S000000,00100,0200,06/15/2000 26222,S200000,00100,0100,110 HIGHLAND AVENUE 26222,S200000,00200,0100,VALLEY PARK 26222,S200000,00200,0200,MO 26222,S200000,00200,0300,63088- 26222,S200000,00300,0100,ST. LOUIS 26222,S200000,00300,0200,7040 26222,S200000,00300,0300,U 26222,S200000,00400,0100,IHS-ST LOUIS AT BIG BEND WOODS 26222,S200000,00400,0200,265130 26222,S200000,00400,0300,07/25/1987 26222,S200000,00400,0500,P 26222,S200000,00600,0200,265130 26222,S200000,00600,0300,07/25/1987 26222,S200000,00600,0600,P 26222,S200000,01600,0100,Y 26222,S200000,02200,0100,Y 26231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26231,A000000,00300,0000,00300EMPLOYEE BENEFITS 26231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26231,A000000,00700,0000,00700HOUSEKEEPING 26231,A000000,00800,0000,00800DIETARY 26231,A000000,00900,0000,00900NURSING ADMINISTRATION 26231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26231,A000000,01100,0000,01100PHARMACY 26231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26231,A000000,01300,0000,01300SOCIAL SERVICE 26231,A000000,01350,0000,01500ACTIVITIES 26231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26231,A000000,01600,0000,01600SKILLED NURSING FACILITY 26231,A000000,01800,0000,01800NURSING FACILITY 26231,A000000,01900,0000,01900OTHER LONG TERM CARE 26231,A000000,02100,0000,02100RADIOLOGY 26231,A000000,02200,0000,02200LABORATORY 26231,A000000,02300,0000,02300INTRAVENOUS THERAPY 26231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26231,A000000,02500,0000,02500PHYSICAL THERAPY 26231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26231,A000000,02700,0000,02700SPEECH PATHOLOGY 26231,A000000,02800,0000,02800ELECTROCARDIOLOGY 26231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26231,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26231,A000000,03200,0000,03200SUPPORT SURFACES 26231,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26231,A000000,04800,0000,04800AMBULANCE 26231,A000000,05300,0000,05300INTEREST EXPENSE 26231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26231,A000000,06100,0000,06100NONPAID WORKERS 26231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26231,A000000,06200,0000,06200PATIENTS LAUNDRY 26231,A81000A,00100,0100,Y 26231,A81000B,00100,0300,HOME OFFICE COST 26231,A81000B,00200,0300,PT ADMIN FEES 26231,A81000B,00300,0300,OT ADMIN FEES 26231,A81000B,00400,0300,ST ADMIN FEES 26231,A81000B,00500,0300,DIRECT INTEREST 26231,A81000C,00100,0100,B 26231,A81000C,00100,0200,MCHS-SPRINGFIELD 26231,A81000C,00100,0400,HCR MANORCARE INC. 26231,A81000C,00100,0600,LONG TERM CARE FACILITIES 26231,A81000C,00200,0100,B 26231,A81000C,00200,0200,MCHS-SPRINGFIELD 26231,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 26231,A81000C,00200,0600,THERAPY MANAGEMENT 26231,A81000C,00300,0100,B 26231,A81000C,00300,0200,MCHS-SPRINGFIELD 26231,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 26231,A81000C,00300,0600,THERAPY MANAGEMENT 26231,A81000C,00400,0100,B 26231,A81000C,00400,0200,MCHS-SPRINGFIELD 26231,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 26231,A81000C,00400,0600,THERAPY MANAGEMENT 26231,A81000C,00500,0100,B 26231,A81000C,00500,0200,MCHS-SPRINGFIELD 26231,A81000C,00500,0400,HCR MANORCARE INC. 26231,A81000C,00500,0600,LONG TERM CARE FACILITIES 26231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26231,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26231,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26231,B100000,00000,0800,00000MEALS SERVED :DIETARY 26231,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26231,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26231,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26231,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26231,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26231,S000000,00100,0200,10/30/2000 26231,S200000,00100,0100,2915 S. FREMONT 26231,S200000,00200,0100,SPRINGFIELD 26231,S200000,00200,0200,MO 26231,S200000,00200,0300,65804- 26231,S200000,00300,0100,GREENE 26231,S200000,00300,0200,7920 26231,S200000,00300,0300,U 26231,S200000,00400,0100,MCHS-SPRINGFIELD 26231,S200000,00400,0200,265188 26231,S200000,00400,0300,03/24/1983 26231,S200000,00400,0500,P 26231,S200000,00400,0600,P 26231,S200000,01004,0500,O 26231,S200000,01600,0100,Y 26231,S200000,04300,0100,Y 26234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26234,A000000,00300,0000,00300EMPLOYEE BENEFITS 26234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26234,A000000,00700,0000,00700HOUSEKEEPING 26234,A000000,00800,0000,00800DIETARY 26234,A000000,00900,0000,00900NURSING ADMINISTRATION 26234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26234,A000000,01100,0000,01100PHARMACY 26234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26234,A000000,01300,0000,01300SOCIAL SERVICE 26234,A000000,01350,0000,01500RECREATION ACTIVITIES 26234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26234,A000000,01600,0000,01600SKILLED NURSING FACILITY 26234,A000000,01800,0000,01800NURSING FACILITY 26234,A000000,01810,0000,01810ICF/MR 26234,A000000,02100,0000,02100RADIOLOGY 26234,A000000,02200,0000,02200LABORATORY 26234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26234,A000000,02500,0000,02500PHYSICAL THERAPY 26234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26234,A000000,02700,0000,02700SPEECH PATHOLOGY 26234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26234,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26234,A000000,03051,0000,03301ENTERAL FEEDING 26234,A000000,03550,0000,03550FQHC 26234,A000000,05000,0000,05000CORF 26234,A000000,05010,0000,05010CMHC 26234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26234,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26234,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26234,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26234,A000000,06153,0000,06312DIALYSIS 26234,A000000,06154,0000,06320APARTMENTS 26234,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26234,A000000,06156,0000,06340CLOSED PATIENT AREAS 26234,A000000,06157,0000,06350O/P ADULT DAYCARE 26234,A81000A,00100,0100,Y 26234,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26234,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26234,A81000B,00400,0300,SYMPHONY REHAB 26234,A81000B,00500,0300,SYMPHONY REHAB 26234,A81000B,00600,0300,SYMPHONY REHAB 26234,A81000B,00700,0300,REHAB ALLOCATION 26234,A81000B,00800,0300,REHAB ALLOCATION 26234,A81000B,00900,0300,REHAB ALLOCATION 26234,A81000B,01000,0300,CLINICAL ALLOCATION 26234,A81000B,01100,0300,SYMPHONY MOBILEX 26234,A81000C,00100,0100,B 26234,A81000C,00100,0200,IHS INC. 26234,A81000C,00100,0400,IHS INC. 26234,A81000C,00100,0600,NURSING HOMES 26234,A81000C,00200,0100,B 26234,A81000C,00200,0200,IHS INC. 26234,A81000C,00200,0400,SYMPHONY REHAB 26234,A81000C,00200,0600,REHAB SERVICES 26234,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26234,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26234,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26234,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26234,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26234,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26234,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26234,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26234,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26234,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26234,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26234,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26234,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26234,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26234,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26234,S000000,00100,0200,06/15/2000 26234,S200000,00100,0100,1221 EAST 115TH STREET 26234,S200000,00200,0100,KANSAS CITY 26234,S200000,00200,0200,MO 26234,S200000,00200,0300,64131- 26234,S200000,00300,0100,JACKSON 26234,S200000,00400,0100,IHS BRIDGEWOOD (OAKWOOD MANOR) 26234,S200000,00400,0200,265196 26234,S200000,00400,0300,03/17/1983 26234,S200000,00400,0500,P 26234,S200000,00600,0200,265196 26234,S200000,00600,0300,03/17/1983 26234,S200000,00600,0600,P 26234,S200000,01600,0100,Y 26234,S200000,02200,0100,Y 26244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26244,A000000,00300,0000,00300EMPLOYEE BENEFITS 26244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26244,A000000,00700,0000,00700HOUSEKEEPING 26244,A000000,00800,0000,00800DIETARY 26244,A000000,00900,0000,00900NURSING ADMINISTRATION 26244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26244,A000000,01100,0000,01100PHARMACY 26244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26244,A000000,01300,0000,01300SOCIAL SERVICE 26244,A000000,01350,0000,01500RECREATION ACTIVITIES 26244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26244,A000000,01600,0000,01600SKILLED NURSING FACILITY 26244,A000000,01800,0000,01800NURSING FACILITY 26244,A000000,01810,0000,01810ICF/MR 26244,A000000,02100,0000,02100RADIOLOGY 26244,A000000,02200,0000,02200LABORATORY 26244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26244,A000000,02500,0000,02500PHYSICAL THERAPY 26244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26244,A000000,02700,0000,02700SPEECH PATHOLOGY 26244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26244,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26244,A000000,03051,0000,03301ENTERAL FEEDING 26244,A000000,03550,0000,03550FQHC 26244,A000000,05000,0000,05000CORF 26244,A000000,05010,0000,05010CMHC 26244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26244,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26244,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26244,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26244,A000000,06153,0000,06312DIALYSIS 26244,A000000,06154,0000,06320APARTMENTS 26244,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26244,A000000,06156,0000,06340CLOSED PATIENT AREAS 26244,A000000,06157,0000,06350O/P ADULT DAYCARE 26244,A81000A,00100,0100,Y 26244,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26244,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26244,A81000B,00300,0300,MSU DEVELOPMENT COST 26244,A81000B,00400,0300,REHAB ALLOCATION 26244,A81000B,00500,0300,REHAB ALLOCATION 26244,A81000B,00600,0300,REHAB ALLOCATION 26244,A81000B,00700,0300,CLINICAL ALLOCATION 26244,A81000B,00800,0300,SYMPHONY MIBILEX 26244,A81000B,00900,0300,SYMPHONY LAB 26244,A81000C,00100,0100,B 26244,A81000C,00100,0400,IHS INC. 26244,A81000C,00100,0600,NURSING HOMES 26244,A81000C,00200,0100,G 26244,A81000C,00200,0400,SYMPHONY MOBILE 26244,A81000C,00200,0600,XRAY 26244,A81000C,00300,0100,G 26244,A81000C,00300,0400,LTC MED LAB 26244,A81000C,00300,0600,LABORATORY 26244,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26244,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26244,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26244,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26244,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26244,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26244,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26244,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26244,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26244,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26244,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26244,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26244,E10A180,00350,0100,03/18/1999 26244,E10A180,00351,0100,12/03/1999 26244,E10A180,00353,0100,05/18/2000 26244,E10A180,00501,0100,08/11/2000 26244,E10A180,00502,0300,06/15/2000 26244,E10A180,00550,0100,06/15/2000 26244,E10A180,00550,0300,08/11/2000 26244,S000000,00100,0200,06/15/2000 26244,S200000,00100,0100,10954 KENNERLY RD 26244,S200000,00200,0100,ST LOUIS 26244,S200000,00200,0200,MO 26244,S200000,00200,0300,63128- 26244,S200000,00300,0100,ST LOUIS 26244,S200000,00300,0200,7040 26244,S200000,00300,0300,U 26244,S200000,00400,0100,IHS-ST LOUIS AT GRAVOIS 26244,S200000,00400,0200,265331 26244,S200000,00400,0300,08/22/1988 26244,S200000,00400,0500,P 26244,S200000,00600,0200,265331 26244,S200000,00600,0300,08/22/1988 26244,S200000,00600,0600,P 26244,S200000,02200,0100,Y 26253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26253,A000000,00300,0000,00300EMPLOYEE BENEFITS 26253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26253,A000000,00700,0000,00700HOUSEKEEPING 26253,A000000,00800,0000,00800DIETARY 26253,A000000,00900,0000,00900NURSING ADMINISTRATION 26253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26253,A000000,01100,0000,01100PHARMACY 26253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26253,A000000,01300,0000,01300SOCIAL SERVICE 26253,A000000,01350,0000,01500RECREATION ACTIVITIES 26253,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26253,A000000,01600,0000,01600SKILLED NURSING FACILITY 26253,A000000,01800,0000,01800NURSING FACILITY 26253,A000000,01810,0000,01810ICF/MR 26253,A000000,02100,0000,02100RADIOLOGY 26253,A000000,02200,0000,02200LABORATORY 26253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26253,A000000,02500,0000,02500PHYSICAL THERAPY 26253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26253,A000000,02700,0000,02700SPEECH PATHOLOGY 26253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26253,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26253,A000000,03051,0000,03301ENTERAL FEEDING 26253,A000000,03550,0000,03550FQHC 26253,A000000,05000,0000,05000CORF 26253,A000000,05010,0000,05010CMHC 26253,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26253,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26253,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26253,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26253,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26253,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26253,A000000,06153,0000,06312DIALYSIS 26253,A000000,06154,0000,06320APARTMENTS 26253,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26253,A000000,06156,0000,06340CLOSED PATIENT AREAS 26253,A000000,06157,0000,06350O/P ADULT DAYCARE 26253,A81000A,00100,0100,Y 26253,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26253,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26253,A81000B,00300,0300,MSU DEVELOPMENT COST 26253,A81000B,00400,0300,SYMPHONY REHAB 26253,A81000B,00500,0300,SYMPHONY REHAB 26253,A81000B,00600,0300,SYMPHONY REHAB 26253,A81000B,00700,0300,CLINICAL 26253,A81000B,00800,0300,SYMPHONY MOBILEX 26253,A81000C,00100,0100,B 26253,A81000C,00100,0200,IHS INC. 26253,A81000C,00100,0400,IHS INC. 26253,A81000C,00100,0600,NURSING HOMES 26253,A81000C,00200,0100,G 26253,A81000C,00200,0400,SYMPHONY MOBILE 26253,A81000C,00200,0600,XRAY 26253,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26253,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26253,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26253,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26253,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26253,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26253,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26253,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26253,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26253,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26253,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26253,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26253,E10A180,00301,0100,03/18/1999 26253,E10A180,00302,0100,12/03/1999 26253,E10A180,00353,0100,05/18/2000 26253,E10A180,00501,0100,08/11/2000 26253,E10A180,00550,0100,06/15/2000 26253,E10A180,00550,0300,06/15/2000 26253,S000000,00100,0200,06/15/2000 26253,S200000,00100,0100,4700 CLIFFVIEW DRIVE 26253,S200000,00200,0100,KANSAS CITY 26253,S200000,00200,0200,MO 26253,S200000,00200,0300,64150- 26253,S200000,00300,0100,PLATTE 26253,S200000,00300,0200,3760 26253,S200000,00300,0300,U 26253,S200000,00400,0100,IHS-KANSAS CITY-ALPINE NORTH 26253,S200000,00400,0200,265379 26253,S200000,00400,0300,08/01/1989 26253,S200000,00400,0500,P 26253,S200000,00600,0200,265379 26253,S200000,00600,0300,08/01/1989 26253,S200000,00600,0600,P 26253,S200000,01600,0100,Y 26253,S200000,02200,0100,Y 26260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26260,A000000,00300,0000,00300EMPLOYEE BENEFITS 26260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26260,A000000,00700,0000,00700HOUSEKEEPING 26260,A000000,00800,0000,00800DIETARY 26260,A000000,00900,0000,00900NURSING ADMINISTRATION 26260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26260,A000000,01100,0000,01100PHARMACY 26260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26260,A000000,01300,0000,01300SOCIAL SERVICE 26260,A000000,01350,0000,01500RECREATION ACTIVITIES 26260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26260,A000000,01600,0000,01600SKILLED NURSING FACILITY 26260,A000000,01800,0000,01800NURSING FACILITY 26260,A000000,01810,0000,01810ICF/MR 26260,A000000,02200,0000,02200LABORATORY 26260,A000000,02500,0000,02500PHYSICAL THERAPY 26260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26260,A000000,02700,0000,02700SPEECH PATHOLOGY 26260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26260,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26260,A000000,03051,0000,03301ENTERAL FEEDING 26260,A000000,03550,0000,03550FQHC 26260,A000000,05000,0000,05000CORF 26260,A000000,05010,0000,05010CMHC 26260,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26260,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26260,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26260,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26260,A000000,06153,0000,06312DIALYSIS 26260,A000000,06154,0000,06320APARTMENTS 26260,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26260,A000000,06156,0000,06340CLOSED PATIENT AREAS 26260,A000000,06157,0000,06350O/P ADULT DAYCARE 26260,A81000A,00100,0100,Y 26260,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26260,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26260,A81000B,00300,0300,CLINICAL ALLOCATION 26260,A81000B,00400,0300,SYMPHONY REHAB 26260,A81000B,00500,0300,SYMPHONY REHAB 26260,A81000B,00600,0300,SYMPHONY REHAB 26260,A81000B,00700,0300,REHAB ALLOCATION 26260,A81000B,00800,0300,REHAB ALLOCATION 26260,A81000B,00900,0300,REHAB ALLOCATION 26260,A81000C,00100,0100,B 26260,A81000C,00100,0400,IHS INC. 26260,A81000C,00100,0600,NURSING HOMES 26260,A81000C,00200,0100,G 26260,A81000C,00200,0400,SYMPHONY REHAB 26260,A81000C,00200,0600,REHAB SERVICES 26260,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26260,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26260,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26260,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26260,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26260,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26260,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26260,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26260,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26260,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26260,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26260,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26260,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26260,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26260,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26260,E10A180,00301,0100,12/03/1999 26260,E10A180,00350,0100,03/18/1999 26260,S000000,00100,0200,06/01/2000 26260,S200000,00100,0100,300 CEDAR STREET 26260,S200000,00200,0100,TARKIO 26260,S200000,00200,0200,MO 26260,S200000,00200,0300,64491- 26260,S200000,00300,0100,ATCHISON 26260,S200000,00400,0100,IHS AT TARKIO 26260,S200000,00400,0200,265537 26260,S200000,00400,0300,06/04/1993 26260,S200000,00400,0500,P 26260,S200000,00600,0200,265537 26260,S200000,00600,0300,06/04/1993 26260,S200000,00600,0600,P 26260,S200000,01600,0100,Y 26260,S200000,02200,0100,Y 26260,S700003,00000,0100,1 26269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26269,A000000,00300,0000,00300EMPLOYEE BENEFITS 26269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26269,A000000,00700,0000,00700HOUSEKEEPING 26269,A000000,00800,0000,00800DIETARY 26269,A000000,00900,0000,00900NURSING ADMINISTRATION 26269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26269,A000000,01100,0000,01100PHARMACY 26269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26269,A000000,01300,0000,01300SOCIAL SERVICE 26269,A000000,01350,0000,01500RECREATION ACTIVITIES 26269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26269,A000000,01600,0000,01600SKILLED NURSING FACILITY 26269,A000000,01800,0000,01800NURSING FACILITY 26269,A000000,01810,0000,01810ICF/MR 26269,A000000,02100,0000,02100RADIOLOGY 26269,A000000,02200,0000,02200LABORATORY 26269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26269,A000000,02500,0000,02500PHYSICAL THERAPY 26269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26269,A000000,02700,0000,02700SPEECH PATHOLOGY 26269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26269,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26269,A000000,03051,0000,03301ENTERAL FEEDING 26269,A000000,03550,0000,03550FQHC 26269,A000000,05000,0000,05000CORF 26269,A000000,05010,0000,05010CMHC 26269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26269,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26269,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26269,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26269,A000000,06153,0000,06312DIALYSIS 26269,A000000,06154,0000,06320APARTMENTS 26269,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26269,A000000,06156,0000,06340CLOSED PATIENT AREAS 26269,A000000,06157,0000,06350O/P ADULT DAYCARE 26269,A81000A,00100,0100,Y 26269,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26269,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26269,A81000B,00300,0300,CLINICAL ALLOCATION 26269,A81000B,00400,0300,REHAB ALLOCATION 26269,A81000B,00500,0300,REHAB ALLOCATION 26269,A81000B,00600,0300,REHAB ALLOCATION 26269,A81000B,00700,0300,SYMPHONY REHAB 26269,A81000B,00800,0300,SYMPHONY REHAB 26269,A81000C,00100,0100,B 26269,A81000C,00100,0400,IHS INC. 26269,A81000C,00100,0600,NURSING HOMES 26269,A81000C,00200,0100,G 26269,A81000C,00200,0400,SYMPHONY REHAB 26269,A81000C,00200,0600,REHAB SERVICES 26269,A81000C,00300,0100,G 26269,A81000C,00300,0400,LTC MED LAB 26269,A81000C,00300,0600,LABORATORY 26269,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26269,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26269,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26269,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26269,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26269,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26269,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26269,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26269,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26269,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26269,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26269,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26269,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26269,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26269,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26269,S000000,00100,0200,05/30/2000 26269,S200000,00100,0100,ROUTE 1 26269,S200000,00100,0300,482 RT 26269,S200000,00200,0100,LYONS 26269,S200000,00200,0200,NE 26269,S200000,00200,0300,68038- 26269,S200000,00300,0100,BURT 26269,S200000,00400,0100,IHS-LYONS 26269,S200000,00400,0200,285090 26269,S200000,00400,0300,06/24/1993 26269,S200000,00400,0500,P 26269,S200000,00600,0200,285090 26269,S200000,00600,0300,06/24/1993 26269,S200000,00600,0600,P 26269,S200000,01600,0100,Y 26269,S200000,02200,0100,Y 26269,S700003,00000,0100,1 26278,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26278,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26278,A000000,00300,0000,00300EMPLOYEE BENEFITS 26278,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26278,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26278,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26278,A000000,00700,0000,00700HOUSEKEEPING 26278,A000000,00800,0000,00800DIETARY 26278,A000000,00900,0000,00900NURSING ADMINISTRATION 26278,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26278,A000000,01100,0000,01100PHARMACY 26278,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26278,A000000,01300,0000,01300SOCIAL SERVICE 26278,A000000,01350,0000,01500RECREATION ACTIVITIES 26278,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26278,A000000,01600,0000,01600SKILLED NURSING FACILITY 26278,A000000,01800,0000,01800NURSING FACILITY 26278,A000000,01810,0000,01810ICF/MR 26278,A000000,01900,0000,01900OTHER LONG TERM CARE 26278,A000000,02100,0000,02100RADIOLOGY 26278,A000000,02200,0000,02200LABORATORY 26278,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26278,A000000,02500,0000,02500PHYSICAL THERAPY 26278,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26278,A000000,02700,0000,02700SPEECH PATHOLOGY 26278,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26278,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26278,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26278,A000000,03051,0000,03301ENTERAL FEEDING 26278,A000000,03550,0000,03550FQHC 26278,A000000,05000,0000,05000CORF 26278,A000000,05010,0000,05010CMHC 26278,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26278,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26278,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26278,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26278,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26278,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26278,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26278,A000000,06153,0000,06312DIALYSIS 26278,A000000,06154,0000,06320APARTMENTS 26278,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26278,A000000,06156,0000,06340CLOSED PATIENT AREAS 26278,A000000,06157,0000,06350O/P ADULT DAYCARE 26278,A81000A,00100,0100,Y 26278,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26278,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26278,A81000B,00300,0300,CLINICAL ALLOCATION 26278,A81000B,00400,0300,REHAB ALLOCATION 26278,A81000B,00500,0300,REHAB ALLOCATION 26278,A81000B,00600,0300,REHAB ALLOCATION 26278,A81000B,00700,0300,SYMPHONY MOBILEX 26278,A81000C,00100,0100,B 26278,A81000C,00100,0400,IHS INC. 26278,A81000C,00100,0600,NURSING HOMES 26278,A81000C,00200,0100,G 26278,A81000C,00200,0400,SYMPHONY REHAB 26278,A81000C,00200,0600,REHAB SERVICES 26278,A81000C,00300,0100,G 26278,A81000C,00300,0400,LTC MED LAB 26278,A81000C,00300,0600,LABORATORY 26278,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26278,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26278,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26278,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26278,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26278,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26278,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26278,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26278,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26278,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26278,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26278,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26278,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26278,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26278,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26278,E10A180,00351,0100,03/18/1999 26278,E10A180,00352,0100,12/03/1999 26278,S000000,00100,0200,05/30/2000 26278,S200000,00100,0100,1700 FURNAS STREET 26278,S200000,00200,0100,ASHLAND 26278,S200000,00200,0200,NE 26278,S200000,00200,0300,68003- 26278,S200000,00300,0100,SAUNDERS 26278,S200000,00400,0100,IHS-ASHLAND 26278,S200000,00400,0200,285140 26278,S200000,00400,0300,06/01/1994 26278,S200000,00400,0500,P 26278,S200000,00600,0200,285140 26278,S200000,00600,0300,06/01/1994 26278,S200000,00600,0600,P 26278,S200000,01600,0100,Y 26278,S200000,02200,0100,Y 26278,S700003,00000,0100,1 26283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26283,A000000,00300,0000,00300EMPLOYEE BENEFITS 26283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26283,A000000,00700,0000,00700HOUSEKEEPING 26283,A000000,00800,0000,00800DIETARY 26283,A000000,00900,0000,00900NURSING ADMINISTRATION 26283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26283,A000000,01100,0000,01100PHARMACY 26283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26283,A000000,01300,0000,01300SOCIAL SERVICE 26283,A000000,01350,0000,01500RECREATION ACTIVITIES 26283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26283,A000000,01600,0000,01600SKILLED NURSING FACILITY 26283,A000000,01800,0000,01800NURSING FACILITY 26283,A000000,01810,0000,01810ICF/MR 26283,A000000,02200,0000,02200LABORATORY 26283,A000000,02500,0000,02500PHYSICAL THERAPY 26283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26283,A000000,02700,0000,02700SPEECH PATHOLOGY 26283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26283,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26283,A000000,03051,0000,03301ENTERAL FEEDING 26283,A000000,03550,0000,03550FQHC 26283,A000000,05000,0000,05000CORF 26283,A000000,05010,0000,05010CMHC 26283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26283,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26283,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26283,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26283,A000000,06153,0000,06312DIALYSIS 26283,A000000,06154,0000,06320APARTMENTS 26283,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26283,A000000,06156,0000,06340CLOSED PATIENT AREAS 26283,A000000,06157,0000,06350O/P ADULT DAYCARE 26283,A81000A,00100,0100,Y 26283,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26283,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26283,A81000B,00300,0300,CLINICAL ALLOCATION 26283,A81000B,00400,0300,REHAB ALLOCATION 26283,A81000B,00500,0300,REHAB ALLOCATION 26283,A81000B,00600,0300,REHAB ALLOCATION 26283,A81000B,00700,0300,SYMPHONY REHAB 26283,A81000B,00800,0300,SYMPHONY REHAB 26283,A81000B,00900,0300,SYMPHONY REHAB 26283,A81000C,00100,0100,B 26283,A81000C,00100,0400,IHS INC. 26283,A81000C,00100,0600,NURSING HOMES 26283,A81000C,00200,0100,G 26283,A81000C,00200,0400,SYMPHONY REHAB 26283,A81000C,00200,0600,REHAB SERVICES 26283,A81000C,00300,0100,G 26283,A81000C,00300,0400,LTC MED LAB 26283,A81000C,00300,0600,LABORATORY 26283,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26283,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26283,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26283,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26283,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26283,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26283,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26283,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26283,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26283,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26283,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26283,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26283,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26283,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26283,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26283,S000000,00100,0200,05/30/2000 26283,S200000,00100,0100,333 MAPLE 26283,S200000,00200,0100,SUTHERLAND 26283,S200000,00200,0200,NE 26283,S200000,00200,0300,69165- 26283,S200000,00300,0100,LINCOLN 26283,S200000,00400,0100,IHS-SUTHERLAND 26283,S200000,00400,0200,285141 26283,S200000,00400,0300,06/01/1994 26283,S200000,00400,0500,P 26283,S200000,00600,0200,285141 26283,S200000,00600,0300,06/01/1994 26283,S200000,00600,0600,P 26283,S200000,01600,0100,Y 26283,S200000,02200,0100,Y 26283,S700003,00000,0100,1 26288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26288,A000000,00300,0000,00300EMPLOYEE BENEFITS 26288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26288,A000000,00700,0000,00700HOUSEKEEPING 26288,A000000,00800,0000,00800DIETARY 26288,A000000,00900,0000,00900NURSING ADMINISTRATION 26288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26288,A000000,01100,0000,01100PHARMACY 26288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26288,A000000,01300,0000,01300SOCIAL SERVICE 26288,A000000,01350,0000,01500RECREATION ACTIVITIES 26288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26288,A000000,01600,0000,01600SKILLED NURSING FACILITY 26288,A000000,01800,0000,01800NURSING FACILITY 26288,A000000,01810,0000,01810ICF/MR 26288,A000000,02100,0000,02100RADIOLOGY 26288,A000000,02200,0000,02200LABORATORY 26288,A000000,02500,0000,02500PHYSICAL THERAPY 26288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26288,A000000,02700,0000,02700SPEECH PATHOLOGY 26288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26288,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26288,A000000,03051,0000,03301ENTERAL FEEDING 26288,A000000,03550,0000,03550FQHC 26288,A000000,05000,0000,05000CORF 26288,A000000,05010,0000,05010CMHC 26288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26288,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26288,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26288,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26288,A000000,06153,0000,06312DIALYSIS 26288,A000000,06154,0000,06320APARTMENTS 26288,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26288,A000000,06156,0000,06340CLOSED PATIENT AREAS 26288,A000000,06157,0000,06350O/P ADULT DAYCARE 26288,A81000A,00100,0100,Y 26288,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26288,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26288,A81000B,00300,0300,CLINICAL ALLOCATION 26288,A81000B,00400,0300,REHAB ALLOCATION 26288,A81000B,00500,0300,REHAB ALLOCATION 26288,A81000B,00600,0300,REHAB ALLOCATION 26288,A81000C,00100,0100,B 26288,A81000C,00100,0400,IHS INC. 26288,A81000C,00100,0600,NURSING HOMES 26288,A81000C,00200,0100,G 26288,A81000C,00200,0400,SYMPHONY REHAB 26288,A81000C,00200,0600,REHAB SERVICES 26288,A81000C,00300,0100,G 26288,A81000C,00300,0400,LTC MED LAB 26288,A81000C,00300,0600,LABORATORY 26288,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26288,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26288,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26288,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26288,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26288,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26288,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26288,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26288,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26288,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26288,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26288,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26288,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26288,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26288,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26288,S000000,00100,0200,05/30/2000 26288,S200000,00100,0100,142 NORTH FULLERTON 26288,S200000,00200,0100,AINSWORTH 26288,S200000,00200,0200,NE 26288,S200000,00200,0300,69210- 26288,S200000,00300,0100,BROWN 26288,S200000,00400,0100,AINSWORTH CARE CENTER 26288,S200000,00400,0200,285142 26288,S200000,00400,0300,06/01/1994 26288,S200000,00400,0500,P 26288,S200000,00600,0200,285142 26288,S200000,00600,0300,06/01/1994 26288,S200000,00600,0600,P 26288,S200000,01600,0100,Y 26288,S200000,02200,0100,Y 26288,S700003,00000,0100,1 26293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26293,A000000,00300,0000,00300EMPLOYEE BENEFITS 26293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26293,A000000,00700,0000,00700HOUSEKEEPING 26293,A000000,00800,0000,00800DIETARY 26293,A000000,00900,0000,00900NURSING ADMINISTRATION 26293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26293,A000000,01100,0000,01100PHARMACY 26293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26293,A000000,01300,0000,01300SOCIAL SERVICE 26293,A000000,01350,0000,01500RECREATION ACTIVITIES 26293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26293,A000000,01600,0000,01600SKILLED NURSING FACILITY 26293,A000000,01810,0000,01810ICF/MR 26293,A000000,02100,0000,02100RADIOLOGY 26293,A000000,02200,0000,02200LABORATORY 26293,A000000,02500,0000,02500PHYSICAL THERAPY 26293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26293,A000000,02700,0000,02700SPEECH PATHOLOGY 26293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26293,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26293,A000000,03051,0000,03301ENTERAL FEEDING 26293,A000000,03550,0000,03550FQHC 26293,A000000,05000,0000,05000CORF 26293,A000000,05010,0000,05010CMHC 26293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26293,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26293,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26293,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26293,A000000,06153,0000,06312DIALYSIS 26293,A000000,06154,0000,06320APARTMENTS 26293,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26293,A000000,06156,0000,06340CLOSED PATIENT AREAS 26293,A000000,06157,0000,06350O/P ADULT DAYCARE 26293,A81000A,00100,0100,Y 26293,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26293,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26293,A81000B,00300,0300,CLINICAL ALLOCATION 26293,A81000B,00400,0300,REHAB ALLOCATION 26293,A81000B,00500,0300,REHAB ALLOCATION 26293,A81000B,00600,0300,REHAB ALLOCATION 26293,A81000B,00700,0300,SYMPHONY MOBILEX 26293,A81000C,00100,0100,B 26293,A81000C,00100,0400,IHS INC. 26293,A81000C,00100,0600,NURSING HOMES 26293,A81000C,00200,0100,G 26293,A81000C,00200,0400,SYMPHONY REHAB 26293,A81000C,00200,0600,REHAB SERVICES 26293,A81000C,00300,0100,G 26293,A81000C,00300,0400,LTC MED LAB 26293,A81000C,00300,0600,LABORATORY 26293,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26293,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26293,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26293,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26293,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26293,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26293,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26293,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26293,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26293,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26293,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26293,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26293,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26293,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26293,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26293,S000000,00100,0200,05/30/2000 26293,S200000,00100,0100,11041 NORTH 137TH 26293,S200000,00200,0100,WAVERLY 26293,S200000,00200,0200,NE 26293,S200000,00200,0300,68462- 26293,S200000,00300,0100,LANCASTER 26293,S200000,00400,0100,IHS-WAVERLY 26293,S200000,00400,0200,285143 26293,S200000,00400,0300,06/01/1994 26293,S200000,00400,0500,P 26293,S200000,01500,0100,Y 26293,S200000,02200,0100,Y 26293,S700003,00000,0100,1 26297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 26297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 26297,A000000,00300,0000,00300EMPLOYEE BENEFITS 26297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 26297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26297,A000000,00700,0000,00700HOUSEKEEPING 26297,A000000,00800,0000,00800DIETARY 26297,A000000,00900,0000,00900NURSING ADMINISTRATION 26297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26297,A000000,01100,0000,01100PHARMACY 26297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26297,A000000,01300,0000,01300SOCIAL SERVICE 26297,A000000,01350,0000,01500RECREATION ACTIVITIES 26297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 26297,A000000,01600,0000,01600SKILLED NURSING FACILITY 26297,A000000,01800,0000,01800NURSING FACILITY 26297,A000000,01810,0000,01810ICF/MR 26297,A000000,02200,0000,02200LABORATORY 26297,A000000,02500,0000,02500PHYSICAL THERAPY 26297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26297,A000000,02700,0000,02700SPEECH PATHOLOGY 26297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 26297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26297,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26297,A000000,03051,0000,03301ENTERAL FEEDING 26297,A000000,03550,0000,03550FQHC 26297,A000000,05000,0000,05000CORF 26297,A000000,05010,0000,05010CMHC 26297,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26297,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26297,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26297,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26297,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26297,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26297,A000000,06153,0000,06312DIALYSIS 26297,A000000,06154,0000,06320APARTMENTS 26297,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26297,A000000,06156,0000,06340CLOSED PATIENT AREAS 26297,A000000,06157,0000,06350O/P ADULT DAYCARE 26297,A81000A,00100,0100,Y 26297,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26297,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26297,A81000B,00300,0300,CLINICAL ALLOCATION 26297,A81000B,00400,0300,REHAB ALLOCATION 26297,A81000B,00500,0300,REHAB ALLOCATION 26297,A81000B,00600,0300,REHAB ALLOCATION 26297,A81000C,00100,0100,B 26297,A81000C,00100,0400,IHS INC. 26297,A81000C,00100,0600,NURSING HOMES 26297,A81000C,00200,0100,G 26297,A81000C,00200,0400,SYMPHONY REHAB 26297,A81000C,00200,0600,REHAB SERVICES 26297,A81000C,00300,0100,G 26297,A81000C,00300,0400,LTC MED LAB 26297,A81000C,00300,0600,LABORATORY 26297,B100000,00000,0100,00050(SQUARE FEET) 26297,B100000,00000,0200,00050(SQUARE FEET) 26297,B100000,00000,0300,00050(GROSS SALARIES) 26297,B100000,00000,0400,00050(ACCUM COST) 26297,B100000,00000,0500,00050(SQUARE FEET) 26297,B100000,00000,0600,00050(PATIENT DAYS) 26297,B100000,00000,0700,00050(SQUARE FEET) 26297,B100000,00000,0800,00050(PATIENT DAYS) 26297,B100000,00000,0900,00050(NURSING SALARIES) 26297,B100000,00000,1000,00050(COSTED REQUIS) 26297,B100000,00000,1100,00050(COSTED REQUIS) 26297,B100000,00000,1200,00050(PATIENT DAYS) 26297,B100000,00000,1300,00050(PATIENT DAYS) 26297,B100000,00000,1350,00050(PATIENT DAYS) 26297,B100000,00000,1400,00050(ASSIGNED TIME) 26297,E10A180,00302,0100,12/03/1999 26297,E10A180,00351,0100,03/18/1999 26297,S000000,00100,0200,05/30/2000 26297,S200000,00100,0100,414 NORTH WILSON 26297,S200000,00200,0100,BLUE HILL 26297,S200000,00200,0200,NE 26297,S200000,00200,0300,68930 26297,S200000,00300,0100,WEBSTER 26297,S200000,00400,0100,BLUE HILL CARE CENTER 26297,S200000,00400,0200,285144 26297,S200000,00400,0300,06/01/1994 26297,S200000,00400,0500,P 26297,S200000,00600,0200,285144 26297,S200000,00600,0300,06/01/1994 26297,S200000,00600,0600,P 26297,S200000,01600,0100,Y 26297,S200000,02200,0100,Y 26301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26301,A000000,00300,0000,00300EMPLOYEE BENEFITS 26301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26301,A000000,00700,0000,00700HOUSEKEEPING 26301,A000000,00800,0000,00800DIETARY 26301,A000000,00900,0000,00900NURSING ADMINISTRATION 26301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26301,A000000,01100,0000,01100PHARMACY 26301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26301,A000000,01300,0000,01300SOCIAL SERVICE 26301,A000000,01350,0000,01500RECREATION ACTIVITIES 26301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26301,A000000,01600,0000,01600SKILLED NURSING FACILITY 26301,A000000,01800,0000,01800NURSING FACILITY 26301,A000000,01810,0000,01810ICF/MR 26301,A000000,02100,0000,02100RADIOLOGY 26301,A000000,02200,0000,02200LABORATORY 26301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26301,A000000,02500,0000,02500PHYSICAL THERAPY 26301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26301,A000000,02700,0000,02700SPEECH PATHOLOGY 26301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26301,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26301,A000000,03051,0000,03301ENTERAL FEEDING 26301,A000000,03550,0000,03550FQHC 26301,A000000,05000,0000,05000CORF 26301,A000000,05010,0000,05010CMHC 26301,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26301,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26301,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26301,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26301,A000000,06153,0000,06312DIALYSIS 26301,A000000,06154,0000,06320APARTMENTS 26301,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26301,A000000,06156,0000,06340CLOSED PATIENT AREAS 26301,A000000,06157,0000,06350O/P ADULT DAYCARE 26301,A81000A,00100,0100,Y 26301,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26301,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26301,A81000B,00300,0300,CLINICAL ALLOCATION 26301,A81000B,00400,0300,REHAB ALLOCATION 26301,A81000B,00500,0300,REHAB ALLOCATION 26301,A81000B,00600,0300,REHAB ALLOCATION 26301,A81000B,00700,0300,SYMPHONY MOBILEX 26301,A81000C,00100,0100,B 26301,A81000C,00100,0400,IHS INC. 26301,A81000C,00100,0600,NURSING HOMES 26301,A81000C,00200,0100,G 26301,A81000C,00200,0400,SYMPHONY REHAB 26301,A81000C,00200,0600,REHAB SERVICES 26301,A81000C,00300,0100,G 26301,A81000C,00300,0400,LTC MED LAB 26301,A81000C,00300,0600,LABORATORY 26301,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26301,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26301,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26301,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26301,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26301,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26301,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26301,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26301,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26301,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26301,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26301,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26301,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26301,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26301,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26301,S000000,00100,0200,05/30/2000 26301,S200000,00100,0100,700 S. HIGHWAY 6 26301,S200000,00200,0100,GRETNA 26301,S200000,00200,0200,NE 26301,S200000,00200,0300,68028- 26301,S200000,00300,0100,SARPY 26301,S200000,00400,0100,IHS-GRETNA 26301,S200000,00400,0200,285146 26301,S200000,00400,0300,06/01/1994 26301,S200000,00400,0500,P 26301,S200000,00600,0200,285146 26301,S200000,00600,0300,06/01/1994 26301,S200000,00600,0600,P 26301,S200000,01600,0100,Y 26301,S200000,02200,0100,Y 26301,S700003,00000,0100,1 26306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26306,A000000,00300,0000,00300EMPLOYEE BENEFITS 26306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26306,A000000,00700,0000,00700HOUSEKEEPING 26306,A000000,00800,0000,00800DIETARY 26306,A000000,00900,0000,00900NURSING ADMINISTRATION 26306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26306,A000000,01100,0000,01100PHARMACY 26306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26306,A000000,01300,0000,01300SOCIAL SERVICE 26306,A000000,01350,0000,01500RECREATION ACTIVITIES 26306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26306,A000000,01600,0000,01600SKILLED NURSING FACILITY 26306,A000000,01800,0000,01800NURSING FACILITY 26306,A000000,01810,0000,01810ICF/MR 26306,A000000,02100,0000,02100RADIOLOGY 26306,A000000,02200,0000,02200LABORATORY 26306,A000000,02500,0000,02500PHYSICAL THERAPY 26306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26306,A000000,02700,0000,02700SPEECH PATHOLOGY 26306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26306,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26306,A000000,03051,0000,03301ENTERAL FEEDING 26306,A000000,03550,0000,03550FQHC 26306,A000000,05000,0000,05000CORF 26306,A000000,05010,0000,05010CMHC 26306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26306,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26306,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26306,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26306,A000000,06153,0000,06312DIALYSIS 26306,A000000,06154,0000,06320APARTMENTS 26306,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26306,A000000,06156,0000,06340CLOSED PATIENT AREAS 26306,A000000,06157,0000,06350O/P ADULT DAYCARE 26306,A81000A,00100,0100,Y 26306,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26306,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26306,A81000B,00300,0300,CLINICAL ALLOCATION 26306,A81000B,00400,0300,REHAB ALLOCATION 26306,A81000B,00500,0300,REHAB ALLOCATION 26306,A81000B,00600,0300,REHAB ALLOCATION 26306,A81000C,00100,0100,B 26306,A81000C,00100,0400,IHS INC. 26306,A81000C,00100,0600,NURSING HOMES 26306,A81000C,00200,0100,G 26306,A81000C,00200,0400,SYMPHONY REHAB 26306,A81000C,00200,0600,REHAB SERVICES 26306,A81000C,00300,0100,G 26306,A81000C,00300,0400,LTC MED LAB 26306,A81000C,00300,0600,LABORATORY 26306,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26306,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26306,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26306,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26306,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26306,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26306,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26306,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26306,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26306,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26306,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26306,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26306,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26306,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26306,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26306,E10A180,00301,0100,12/03/1999 26306,E10A180,00351,0100,03/18/1999 26306,S000000,00100,0200,05/30/2000 26306,S200000,00100,0100,2720 SOUTH 17TH AVENUE 26306,S200000,00200,0100,CENTRAL CITY 26306,S200000,00200,0200,NE 26306,S200000,00200,0300,68826- 26306,S200000,00300,0100,MERRICK 26306,S200000,00400,0100,IHS-CENTRAL CITY 26306,S200000,00400,0200,285147 26306,S200000,00400,0300,06/01/1994 26306,S200000,00400,0500,P 26306,S200000,00600,0200,285147 26306,S200000,00600,0300,06/01/1994 26306,S200000,00600,0600,P 26306,S200000,01600,0100,Y 26306,S200000,02200,0100,Y 26306,S700003,00000,0100,1 26310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26310,A000000,00300,0000,00300EMPLOYEE BENEFITS 26310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26310,A000000,00700,0000,00700HOUSEKEEPING 26310,A000000,00800,0000,00800DIETARY 26310,A000000,00900,0000,00900NURSING ADMINISTRATION 26310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26310,A000000,01100,0000,01100PHARMACY 26310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26310,A000000,01300,0000,01300SOCIAL SERVICE 26310,A000000,01350,0000,01500RECREATION ACTIVITIES 26310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26310,A000000,01600,0000,01600SKILLED NURSING FACILITY 26310,A000000,01810,0000,01810ICF/MR 26310,A000000,02200,0000,02200LABORATORY 26310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26310,A000000,02500,0000,02500PHYSICAL THERAPY 26310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26310,A000000,02700,0000,02700SPEECH PATHOLOGY 26310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26310,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26310,A000000,03051,0000,03301ENTERAL FEEDING 26310,A000000,03550,0000,03550FQHC 26310,A000000,05000,0000,05000CORF 26310,A000000,05010,0000,05010CMHC 26310,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26310,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26310,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26310,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26310,A000000,06153,0000,06312DIALYSIS 26310,A000000,06154,0000,06320APARTMENTS 26310,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26310,A000000,06156,0000,06340CLOSED PATIENT AREAS 26310,A000000,06157,0000,06350O/P ADULT DAYCARE 26310,A81000A,00100,0100,Y 26310,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26310,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26310,A81000B,00300,0300,CLINICAL ALLOCATION 26310,A81000B,00400,0300,REHAB ALLOCATION 26310,A81000B,00500,0300,REHAB ALLOCATION 26310,A81000B,00600,0300,REHAB ALLOCAT56N 26310,A81000C,00100,0100,B 26310,A81000C,00100,0400,IHS INC. 26310,A81000C,00100,0600,NURSING HOMES 26310,A81000C,00200,0100,G 26310,A81000C,00200,0400,SYMPHONY REHAB 26310,A81000C,00200,0600,REHAB SERVICES 26310,A81000C,00300,0100,G 26310,A81000C,00300,0400,LTC MED LAB 26310,A81000C,00300,0600,LABORATORY 26310,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26310,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26310,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26310,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26310,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26310,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26310,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26310,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26310,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26310,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26310,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26310,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26310,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26310,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26310,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26310,S000000,00100,0200,05/30/2000 26310,S200000,00100,0100,1112 15TH STREET 26310,S200000,00200,0100,COLUMBUS 26310,S200000,00200,0200,NE 26310,S200000,00200,0300,68601- 26310,S200000,00300,0100,PLATTE 26310,S200000,00400,0100,MORYS HAVEN 26310,S200000,00400,0200,285152 26310,S200000,00400,0300,04/01/1995 26310,S200000,00400,0500,P 26310,S200000,01500,0100,Y 26310,S200000,02200,0100,Y 26310,S700003,00000,0100,1 26315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26315,A000000,00300,0000,00300EMPLOYEE BENEFITS 26315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26315,A000000,00700,0000,00700HOUSEKEEPING 26315,A000000,00800,0000,00800DIETARY 26315,A000000,00900,0000,00900NURSING ADMINISTRATION 26315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26315,A000000,01100,0000,01100PHARMACY 26315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26315,A000000,01300,0000,01300SOCIAL SERVICE 26315,A000000,01350,0000,01500RECREATION ACTIVITIES 26315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26315,A000000,01600,0000,01600SKILLED NURSING FACILITY 26315,A000000,01800,0000,01800NURSING FACILITY 26315,A000000,01810,0000,01810ICF/MR 26315,A000000,02200,0000,02200LABORATORY 26315,A000000,02500,0000,02500PHYSICAL THERAPY 26315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26315,A000000,02700,0000,02700SPEECH PATHOLOGY 26315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26315,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26315,A000000,03051,0000,03301ENTERAL FEEDING 26315,A000000,03550,0000,03550FQHC 26315,A000000,05000,0000,05000CORF 26315,A000000,05010,0000,05010CMHC 26315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26315,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26315,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26315,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26315,A000000,06153,0000,06312DIALYSIS 26315,A000000,06154,0000,06320APARTMENTS 26315,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26315,A000000,06156,0000,06340CLOSED PATIENT AREAS 26315,A000000,06157,0000,06350O/P ADULT DAYCARE 26315,A81000A,00100,0100,Y 26315,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26315,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26315,A81000B,00300,0300,CLINICAL ALLOCATION 26315,A81000B,00400,0300,REHAB ALLOCATION 26315,A81000B,00500,0300,REHAB ALLOCATION 26315,A81000B,00600,0300,REHAB ALLOCATION 26315,A81000C,00100,0100,B 26315,A81000C,00100,0400,IHS INC. 26315,A81000C,00100,0600,NURSING HOMES 26315,A81000C,00200,0100,G 26315,A81000C,00200,0400,SYMPHONY REHAB 26315,A81000C,00200,0600,REHAB SERVICES 26315,A81000C,00300,0100,G 26315,A81000C,00300,0400,LTC MED LAB 26315,A81000C,00300,0600,LABORATORY 26315,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26315,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26315,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26315,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26315,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26315,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26315,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26315,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26315,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26315,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26315,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26315,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26315,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26315,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26315,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26315,E10A180,00301,0100,12/03/1999 26315,E10A180,00351,0100,03/18/1999 26315,S000000,00100,0200,05/30/2000 26315,S200000,00100,0100,ROUTE 1 26315,S200000,00100,0300,83A 26315,S200000,00200,0100,EDGAR 26315,S200000,00200,0200,NE 26315,S200000,00200,0300,68935- 26315,S200000,00300,0100,CLAY 26315,S200000,00400,0100,IHS-EDGAR 26315,S200000,00400,0200,285153 26315,S200000,00400,0300,08/01/1994 26315,S200000,00400,0500,P 26315,S200000,00600,0200,285153 26315,S200000,00600,0300,08/01/1994 26315,S200000,00600,0600,P 26315,S200000,01600,0100,Y 26315,S200000,02200,0100,Y 26315,S700003,00000,0100,1 26320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26320,A000000,00300,0000,00300EMPLOYEE BENEFITS 26320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26320,A000000,00700,0000,00700HOUSEKEEPING 26320,A000000,00800,0000,00800DIETARY 26320,A000000,00900,0000,00900NURSING ADMINISTRATION 26320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26320,A000000,01100,0000,01100PHARMACY 26320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26320,A000000,01300,0000,01300SOCIAL SERVICE 26320,A000000,01350,0000,01500RECREATION ACTIVITIES 26320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26320,A000000,01600,0000,01600SKILLED NURSING FACILITY 26320,A000000,01810,0000,01810ICF/MR 26320,A000000,02500,0000,02500PHYSICAL THERAPY 26320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26320,A000000,02700,0000,02700SPEECH PATHOLOGY 26320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26320,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26320,A000000,03051,0000,03301ENTERAL FEEDING 26320,A000000,03550,0000,03550FQHC 26320,A000000,05000,0000,05000CORF 26320,A000000,05010,0000,05010CMHC 26320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26320,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26320,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26320,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26320,A000000,06153,0000,06312DIALYSIS 26320,A000000,06154,0000,06320CLINIC 26320,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26320,A000000,06156,0000,06340CLOSED PATIENT AREAS 26320,A000000,06157,0000,06350O/P ADULT DAYCARE 26320,A81000A,00100,0100,Y 26320,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26320,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26320,A81000B,00300,0300,CLINICAL ALLOCATION 26320,A81000B,00400,0300,REHAB ALLOCATION 26320,A81000B,00500,0300,REHAB ALLOCATION 26320,A81000B,00600,0300,REHAB ALLOCATION 26320,A81000C,00100,0100,B 26320,A81000C,00100,0400,IHS INC. 26320,A81000C,00100,0600,NURSING HOMES 26320,A81000C,00200,0100,G 26320,A81000C,00200,0400,SYMPHONY REHAB 26320,A81000C,00200,0600,REHAB SERVICES 26320,A81000C,00300,0100,G 26320,A81000C,00300,0400,LTC MED LAB 26320,A81000C,00300,0600,LABORATORY 26320,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26320,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26320,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26320,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26320,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26320,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26320,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26320,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26320,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26320,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26320,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26320,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26320,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26320,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26320,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26320,S000000,00100,0200,05/30/2000 26320,S200000,00100,0100,425 SOUTH EMPIRE 26320,S200000,00200,0100,EXETER 26320,S200000,00200,0200,NE 26320,S200000,00200,0300,68351- 26320,S200000,00300,0100,FELLMORE 26320,S200000,00400,0100,EXETER CARE CENTER 26320,S200000,00400,0200,285154 26320,S200000,00400,0300,08/20/1994 26320,S200000,00400,0500,P 26320,S200000,01500,0100,Y 26320,S200000,02200,0100,Y 26320,S700003,00000,0100,1 26325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26325,A000000,00300,0000,00300EMPLOYEE BENEFITS 26325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26325,A000000,00700,0000,00700HOUSEKEEPING 26325,A000000,00800,0000,00800DIETARY 26325,A000000,00900,0000,00900NURSING ADMINISTRATION 26325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26325,A000000,01100,0000,01100PHARMACY 26325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26325,A000000,01300,0000,01300SOCIAL SERVICE 26325,A000000,01350,0000,01500RECREATION ACTIVITIES 26325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26325,A000000,01600,0000,01600SKILLED NURSING FACILITY 26325,A000000,01800,0000,01800NURSING FACILITY 26325,A000000,01810,0000,01810ICF/MR 26325,A000000,02100,0000,02100RADIOLOGY 26325,A000000,02200,0000,02200LABORATORY 26325,A000000,02500,0000,02500PHYSICAL THERAPY 26325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26325,A000000,02700,0000,02700SPEECH PATHOLOGY 26325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26325,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26325,A000000,03051,0000,03301ENTERAL FEEDING 26325,A000000,03550,0000,03550FQHC 26325,A000000,05000,0000,05000CORF 26325,A000000,05010,0000,05010CMHC 26325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26325,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26325,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26325,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26325,A000000,06153,0000,06312DIALYSIS 26325,A000000,06154,0000,06320APARTMENTS 26325,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26325,A000000,06156,0000,06340CLOSED PATIENT AREAS 26325,A000000,06157,0000,06350O/P ADULT DAYCARE 26325,A81000A,00100,0100,Y 26325,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26325,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26325,A81000B,00300,0300,CLINICAL ALLOCATION 26325,A81000B,00400,0300,REHAB ALLOCATION 26325,A81000B,00500,0300,REHAB ALLOCATION 26325,A81000B,00600,0300,REHAB ALLOCATION 26325,A81000C,00100,0100,B 26325,A81000C,00100,0400,IHS INC. 26325,A81000C,00100,0600,NURSING HOMES 26325,A81000C,00200,0100,G 26325,A81000C,00200,0400,SYMPHONY REHAB 26325,A81000C,00200,0600,REHAB SERVICES 26325,A81000C,00300,0100,G 26325,A81000C,00300,0400,LTC MED LAB 26325,A81000C,00300,0600,LABORATORY 26325,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26325,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26325,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26325,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26325,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26325,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26325,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26325,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26325,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26325,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26325,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26325,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26325,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26325,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26325,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26325,S000000,00100,0200,05/30/2000 26325,S200000,00100,0100,BROAD STREET HWY 4 26325,S200000,00200,0100,CAMPBELL 26325,S200000,00200,0200,NE 26325,S200000,00200,0300,68932- 26325,S200000,00300,0100,FRANKLIN 26325,S200000,00400,0100,GRANDVIEW MANOR 26325,S200000,00400,0200,285155 26325,S200000,00400,0300,08/01/1994 26325,S200000,00400,0500,P 26325,S200000,01500,0100,Y 26325,S200000,02200,0100,Y 26325,S700003,00000,0100,1 26329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26329,A000000,00300,0000,00300EMPLOYEE BENEFITS 26329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26329,A000000,00700,0000,00700HOUSEKEEPING 26329,A000000,00800,0000,00800DIETARY 26329,A000000,00900,0000,00900NURSING ADMINISTRATION 26329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26329,A000000,01100,0000,01100PHARMACY 26329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26329,A000000,01300,0000,01300SOCIAL SERVICE 26329,A000000,01350,0000,01500RECREATION ACTIVITIES 26329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26329,A000000,01600,0000,01600SKILLED NURSING FACILITY 26329,A000000,01800,0000,01800NURSING FACILITY 26329,A000000,01810,0000,01810ICF/MR 26329,A000000,02100,0000,02100RADIOLOGY 26329,A000000,02200,0000,02200LABORATORY 26329,A000000,02500,0000,02500PHYSICAL THERAPY 26329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26329,A000000,02700,0000,02700SPEECH PATHOLOGY 26329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26329,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26329,A000000,03051,0000,03301ENTERAL FEEDING 26329,A000000,03550,0000,03550FQHC 26329,A000000,05000,0000,05000CORF 26329,A000000,05010,0000,05010CMHC 26329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26329,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26329,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26329,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26329,A000000,06153,0000,06312DIALYSIS 26329,A000000,06154,0000,06320APARTMENTS 26329,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26329,A000000,06156,0000,06340CLOSED PATIENT AREAS 26329,A000000,06157,0000,06350O/P ADULT DAYCARE 26329,A81000A,00100,0100,Y 26329,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26329,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26329,A81000B,00300,0300,CLINICAL ALLOCATION 26329,A81000B,00400,0300,REHAB ALLOCATION 26329,A81000B,00500,0300,REHAB ALLOCATION 26329,A81000B,00600,0300,REHAB ALLOCATION 26329,A81000B,00700,0300,SYMPHONY REHAB 26329,A81000B,00800,0300,SYMPHONY MOBILEX 26329,A81000C,00100,0100,B 26329,A81000C,00100,0400,IHS INC. 26329,A81000C,00100,0600,NURSING HOMES 26329,A81000C,00200,0100,G 26329,A81000C,00200,0400,SYMPHONY REHAB 26329,A81000C,00200,0600,REHAB SERVICES 26329,A81000C,00300,0100,G 26329,A81000C,00300,0400,LTC MED LAB 26329,A81000C,00300,0600,LABORATORY 26329,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26329,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26329,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26329,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26329,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26329,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26329,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26329,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26329,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26329,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26329,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26329,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26329,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26329,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26329,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26329,S000000,00100,0200,05/30/2000 26329,S200000,00100,0100,1350 CENTENNIAL AVENUE 26329,S200000,00200,0100,UTICA 26329,S200000,00200,0200,NE 26329,S200000,00200,0300,68546- 26329,S200000,00300,0100,SEWARD 26329,S200000,00400,0100,UTICA COMMUNITY CARE CENTER 26329,S200000,00400,0200,285161 26329,S200000,00400,0300,04/12/1995 26329,S200000,00400,0500,P 26329,S200000,01500,0100,Y 26329,S200000,02200,0100,Y 26329,S700003,00000,0100,1 26331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26331,A000000,00300,0000,00300EMPLOYEE BENEFITS 26331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26331,A000000,00700,0000,00700HOUSEKEEPING 26331,A000000,00800,0000,00800DIETARY 26331,A000000,00900,0000,00900NURSING ADMINISTRATION 26331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26331,A000000,01100,0000,01100PHARMACY 26331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26331,A000000,01300,0000,01300SOCIAL SERVICE 26331,A000000,01350,0000,01500RECREATION ACTIVITIES 26331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26331,A000000,01600,0000,01600SKILLED NURSING FACILITY 26331,A000000,01800,0000,01800NURSING FACILITY 26331,A000000,01810,0000,01810ICF/MR 26331,A000000,02200,0000,02200LABORATORY 26331,A000000,02500,0000,02500PHYSICAL THERAPY 26331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26331,A000000,02700,0000,02700SPEECH PATHOLOGY 26331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26331,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26331,A000000,03051,0000,03301ENTERAL FEEDING 26331,A000000,03550,0000,03550FQHC 26331,A000000,05000,0000,05000CORF 26331,A000000,05010,0000,05010CMHC 26331,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26331,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26331,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26331,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26331,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26331,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26331,A000000,06153,0000,06312DIALYSIS 26331,A000000,06154,0000,06320APARTMENTS 26331,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26331,A000000,06156,0000,06340CLOSED PATIENT AREAS 26331,A000000,06157,0000,06350O/P ADULT DAYCARE 26331,A81000A,00100,0100,Y 26331,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26331,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26331,A81000B,00300,0300,CLINICAL ALLOCATION 26331,A81000B,00400,0300,REHAB ALLOCATION 26331,A81000B,00500,0300,REHAB ALLOCATION 26331,A81000B,00600,0300,REHAB ALLOCATION 26331,A81000C,00100,0100,B 26331,A81000C,00100,0400,IHS INC. 26331,A81000C,00100,0600,NURSING HOMES 26331,A81000C,00200,0100,G 26331,A81000C,00200,0400,SYMPHONY REHAB 26331,A81000C,00200,0600,REHAB SERVICES 26331,A81000C,00300,0100,G 26331,A81000C,00300,0400,LTC MED LAB 26331,A81000C,00300,0600,LABORATORY 26331,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26331,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26331,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26331,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26331,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26331,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26331,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26331,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26331,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26331,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26331,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26331,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26331,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26331,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26331,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26331,E10A180,00301,0100,12/03/1999 26331,S000000,00100,0200,05/30/2000 26331,S200000,00100,0100,800 STOEGER DRIVE 26331,S200000,00200,0100,GRAND ISLAND 26331,S200000,00200,0200,NE 26331,S200000,00200,0300,68803- 26331,S200000,00300,0100,HALL 26331,S200000,00400,0100,WEDGEWOOD CARE CENTER 26331,S200000,00400,0200,285221 26331,S200000,00400,0300,05/21/1998 26331,S200000,00400,0500,P 26331,S200000,00600,0200,285221 26331,S200000,00600,0300,05/21/1998 26331,S200000,00600,0600,P 26331,S200000,01600,0100,Y 26331,S200000,02200,0100,Y 26331,S700003,00000,0400,4 26336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26336,A000000,00300,0000,00300EMPLOYEE BENEFITS 26336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26336,A000000,00700,0000,00700HOUSEKEEPING 26336,A000000,00800,0000,00800DIETARY 26336,A000000,00900,0000,00900NURSING ADMINISTRATION 26336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26336,A000000,01100,0000,01100PHARMACY 26336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26336,A000000,01300,0000,01300SOCIAL SERVICE 26336,A000000,01350,0000,01500RECREATION ACTIVITIES 26336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26336,A000000,01600,0000,01600SKILLED NURSING FACILITY 26336,A000000,01800,0000,01800NURSING FACILITY 26336,A000000,01810,0000,01810ICF/MR 26336,A000000,02100,0000,02100RADIOLOGY 26336,A000000,02200,0000,02200LABORATORY 26336,A000000,02500,0000,02500PHYSICAL THERAPY 26336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26336,A000000,02700,0000,02700SPEECH PATHOLOGY 26336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26336,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26336,A000000,03051,0000,03301ENTERAL FEEDING 26336,A000000,03550,0000,03550FQHC 26336,A000000,05000,0000,05000CORF 26336,A000000,05010,0000,05010CMHC 26336,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26336,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26336,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26336,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26336,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26336,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26336,A000000,06153,0000,06312DIALYSIS 26336,A000000,06154,0000,06320APARTMENTS 26336,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26336,A000000,06156,0000,06340CLOSED PATIENT AREAS 26336,A000000,06157,0000,06350O/P ADULT DAYCARE 26336,A81000A,00100,0100,Y 26336,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26336,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26336,A81000B,00800,0300,LTC MED LAB 26336,A81000B,00900,0300,CORP REHAB ALLOC 26336,A81000B,01000,0300,CORP REHAB ALLOC 26336,A81000B,01100,0300,CORP REHAB ALLOC 26336,A81000B,01200,0300,CORP CLINICAL ALLOC 26336,A81000C,00100,0100,B 26336,A81000C,00100,0400,IHS INC. 26336,A81000C,00100,0600,NURSING HOMES 26336,A81000C,00200,0100,G 26336,A81000C,00200,0400,SYMPHONY REHAB 26336,A81000C,00200,0600,REHAB SERVICES 26336,A81000C,00300,0100,G 26336,A81000C,00300,0400,LTC MED LAB 26336,A81000C,00300,0600,LABORATORY 26336,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26336,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26336,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26336,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26336,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26336,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26336,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26336,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26336,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26336,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26336,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26336,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26336,E10A180,00350,0100,01/03/2000 26336,E10A180,00351,0100,09/18/2000 26336,E10A180,00501,0100,12/11/2001 26336,E10A180,00501,0300,10/30/2000 26336,E10A180,00550,0100,10/30/2000 26336,E10A180,00551,0100,12/26/2000 26336,E10A180,00551,0300,12/26/2000 26336,S000000,00100,0200,11/01/2000 26336,S200000,00100,0100,2045 SILVERADA BLVD 26336,S200000,00200,0100,RENO 26336,S200000,00200,0200,NV 26336,S200000,00200,0300,89512- 26336,S200000,00300,0100,WASHOE 26336,S200000,00300,0200,6720 26336,S200000,00300,0300,U 26336,S200000,00400,0100,PHYSICIANS HOSPITAL EXTND CARE 26336,S200000,00400,0200,295020 26336,S200000,00400,0300,05/02/1992 26336,S200000,00400,0500,P 26336,S200000,00600,0200,295020 26336,S200000,00600,0300,05/05/1992 26336,S200000,00600,0600,P 26336,S200000,01600,0100,Y 26336,S200000,02200,0100,Y 26345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26345,A000000,00300,0000,00300EMPLOYEE BENEFITS 26345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26345,A000000,00700,0000,00700HOUSEKEEPING 26345,A000000,00800,0000,00800DIETARY 26345,A000000,00900,0000,00900NURSING ADMINISTRATION 26345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26345,A000000,01100,0000,01100PHARMACY 26345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26345,A000000,01300,0000,01300SOCIAL SERVICE 26345,A000000,01350,0000,01500RECREATION ACTIVITIES 26345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26345,A000000,01600,0000,01600SKILLED NURSING FACILITY 26345,A000000,01800,0000,01800NURSING FACILITY 26345,A000000,01810,0000,01810ICF/MR 26345,A000000,02100,0000,02100RADIOLOGY 26345,A000000,02200,0000,02200LABORATORY 26345,A000000,02500,0000,02500PHYSICAL THERAPY 26345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26345,A000000,02700,0000,02700SPEECH PATHOLOGY 26345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26345,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26345,A000000,03051,0000,03301ENTERAL FEEDING 26345,A000000,03550,0000,03550FQHC 26345,A000000,05000,0000,05000CORF 26345,A000000,05010,0000,05010CMHC 26345,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26345,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26345,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26345,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26345,A000000,06153,0000,06312DIALYSIS 26345,A000000,06154,0000,06320APARTMENTS 26345,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26345,A000000,06156,0000,06340CLOSED PATIENT AREAS 26345,A000000,06157,0000,06350O/P ADULT DAYCARE 26345,A81000A,00100,0100,Y 26345,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26345,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26345,A81000B,00500,0300,SYMPHONY REHAB 26345,A81000B,00600,0300,SYMPHONY REHAB 26345,A81000B,00700,0300,SYMPMOBILE 26345,A81000B,00800,0300,LTCMEDLAB 26345,A81000B,00900,0300,CORP REHAB ALLOC 26345,A81000B,01000,0300,CORP REHAB ALLOC 26345,A81000B,01100,0300,CORP REHAB ALLOC 26345,A81000B,01200,0300,CORP CLINICAL ALLOC 26345,A81000C,00100,0100,B 26345,A81000C,00100,0400,IHS INC. 26345,A81000C,00100,0600,NURSING HOMES 26345,A81000C,00200,0100,G 26345,A81000C,00200,0400,SYMPHONY REHAB 26345,A81000C,00200,0600,REHAB SERVICES 26345,A81000C,00300,0100,G 26345,A81000C,00300,0400,LTC MED LAB 26345,A81000C,00300,0600,LABORATORY 26345,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26345,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26345,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26345,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26345,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26345,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26345,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26345,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26345,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26345,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26345,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26345,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26345,E10A180,00350,0100,01/03/2000 26345,E10A180,00351,0100,09/18/2000 26345,E10A180,00501,0100,12/26/2000 26345,E10A180,00502,0100,12/11/2001 26345,E10A180,00550,0100,10/30/2000 26345,E10A180,00550,0300,10/30/2000 26345,S000000,00100,0200,11/01/2000 26345,S200000,00100,0100,2945 CASA VEGAS 26345,S200000,00200,0100,LAS VEGAS 26345,S200000,00200,0200,NV 26345,S200000,00200,0300,89109- 26345,S200000,00300,0100,CLARK 26345,S200000,00300,0200,4120 26345,S200000,00300,0300,U 26345,S200000,00400,0100,VEGAS VALLEY CONVALESCENT HOSP 26345,S200000,00400,0200,295021 26345,S200000,00400,0300,07/01/1966 26345,S200000,00400,0500,P 26345,S200000,00600,0200,295021 26345,S200000,00600,0300,07/01/1966 26345,S200000,00600,0600,P 26345,S200000,01600,0100,Y 26345,S200000,02200,0100,Y 26353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26353,A000000,00300,0000,00300EMPLOYEE BENEFITS 26353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26353,A000000,00700,0000,00700HOUSEKEEPING 26353,A000000,00800,0000,00800DIETARY 26353,A000000,00900,0000,00900NURSING ADMINISTRATION 26353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26353,A000000,01100,0000,01100PHARMACY 26353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26353,A000000,01300,0000,01300SOCIAL SERVICE 26353,A000000,01350,0000,01500RECREATION ACTIVITIES 26353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26353,A000000,01600,0000,01600SKILLED NURSING FACILITY 26353,A000000,01800,0000,01800NURSING FACILITY 26353,A000000,01810,0000,01810ICF/MR 26353,A000000,02100,0000,02100RADIOLOGY 26353,A000000,02200,0000,02200LABORATORY 26353,A000000,02500,0000,02500PHYSICAL THERAPY 26353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26353,A000000,02700,0000,02700SPEECH PATHOLOGY 26353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26353,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26353,A000000,03051,0000,03301ENTERAL FEEDING 26353,A000000,03550,0000,03550FQHC 26353,A000000,05000,0000,05000CORF 26353,A000000,05010,0000,05010CMHC 26353,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26353,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26353,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26353,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26353,A000000,06153,0000,06312DIALYSIS 26353,A000000,06154,0000,06320APARTMENTS 26353,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26353,A000000,06156,0000,06340CLOSED PATIENT AREAS 26353,A000000,06157,0000,06350O/P ADULT DAYCARE 26353,A81000A,00100,0100,Y 26353,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26353,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26353,A81000B,00700,0300,SYMPHONY REHAB 26353,A81000B,00800,0300,CORP REHAB ALLOC 26353,A81000B,00900,0300,CORP REHAB ALLOC 26353,A81000B,01000,0300,CORP REHAB ALLOC 26353,A81000B,01100,0300,CORP CLINICAL ALLOC 26353,A81000C,00100,0100,B 26353,A81000C,00100,0400,IHS INC. 26353,A81000C,00100,0600,NURSING HOMES 26353,A81000C,00200,0100,G 26353,A81000C,00200,0400,SYMPHONY REHAB 26353,A81000C,00200,0600,REHAB SERVICES 26353,A81000C,00300,0100,G 26353,A81000C,00300,0400,LTC MED LAB 26353,A81000C,00300,0600,LABORATORY 26353,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26353,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26353,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26353,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26353,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26353,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26353,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26353,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26353,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26353,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26353,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26353,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26353,E10A180,00302,0100,01/03/2000 26353,E10A180,00350,0100,09/18/2000 26353,E10A180,00501,0100,12/11/2001 26353,E10A180,00550,0100,10/30/2000 26353,E10A180,00551,0100,12/26/2000 26353,S000000,00100,0200,11/01/2000 26353,S200000,00100,0100,365 WEST A STREET 26353,S200000,00200,0100,FALLON 26353,S200000,00200,0200,NV 26353,S200000,00200,0300,89406- 26353,S200000,00300,0100,CHURCHHILL 26353,S200000,00300,0200,29 26353,S200000,00300,0300,R 26353,S200000,00400,0100,FALLON CONVALESCENT CENTER 26353,S200000,00400,0200,295022 26353,S200000,00400,0300,08/27/1991 26353,S200000,00400,0500,P 26353,S200000,00600,0200,295022 26353,S200000,00600,0300,08/27/1991 26353,S200000,00600,0600,P 26353,S200000,01600,0100,Y 26353,S200000,02200,0100,Y 26360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26360,A000000,00300,0000,00300EMPLOYEE BENEFITS 26360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26360,A000000,00700,0000,00700HOUSEKEEPING 26360,A000000,00800,0000,00800DIETARY 26360,A000000,00900,0000,00900NURSING ADMINISTRATION 26360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26360,A000000,01100,0000,01100PHARMACY 26360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26360,A000000,01300,0000,01300SOCIAL SERVICE 26360,A000000,01350,0000,01500RECREATION ACTIVITIES 26360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26360,A000000,01600,0000,01600SKILLED NURSING FACILITY 26360,A000000,01800,0000,01800NURSING FACILITY 26360,A000000,01810,0000,01810ICF/MR 26360,A000000,02100,0000,02100RADIOLOGY 26360,A000000,02200,0000,02200LABORATORY 26360,A000000,02500,0000,02500PHYSICAL THERAPY 26360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26360,A000000,02700,0000,02700SPEECH PATHOLOGY 26360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26360,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26360,A000000,03051,0000,03301ENTERAL FEEDING 26360,A000000,03550,0000,03550FQHC 26360,A000000,05000,0000,05000CORF 26360,A000000,05010,0000,05010CMHC 26360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26360,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26360,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26360,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26360,A000000,06153,0000,06312DIALYSIS 26360,A000000,06154,0000,06320APARTMENTS 26360,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26360,A000000,06156,0000,06340CLOSED PATIENT AREAS 26360,A000000,06157,0000,06350O/P ADULT DAYCARE 26360,A81000A,00100,0100,Y 26360,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26360,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26360,A81000B,00400,0300,SYMPHONY REHAB 26360,A81000B,00500,0300,SYMPHONY REHAB 26360,A81000B,00600,0300,SYMPHONY REHAB 26360,A81000B,00700,0300,SYMPHONY REHAB 26360,A81000B,00800,0300,CORP REHAB ALLOC 26360,A81000B,00900,0300,CORP REHAB ALLOC 26360,A81000B,01000,0300,CORP REHAB ALLOC 26360,A81000B,01100,0300,CLINICAL REHAB ALLOC 26360,A81000C,00100,0100,B 26360,A81000C,00100,0400,IHS INC. 26360,A81000C,00100,0600,NURSING HOMES 26360,A81000C,00200,0100,G 26360,A81000C,00200,0400,SYMPHONY REHAB 26360,A81000C,00200,0600,REHAB SERVICES 26360,A81000C,00300,0100,G 26360,A81000C,00300,0400,LTC MED LAB 26360,A81000C,00300,0600,LABORATORY 26360,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26360,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26360,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26360,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26360,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26360,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26360,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26360,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26360,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26360,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26360,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26360,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26360,E10A180,00350,0100,01/03/2000 26360,E10A180,00351,0100,09/18/2000 26360,E10A180,00501,0100,12/26/2000 26360,E10A180,00501,0300,12/26/2000 26360,S000000,00100,0200,11/01/2000 26360,S200000,00100,0100,2829 HIGHWAY 50 EAST 26360,S200000,00200,0100,CARSON CITY 26360,S200000,00200,0200,NV 26360,S200000,00200,0300,89701- 26360,S200000,00300,0100,CARSON 26360,S200000,00300,0200,29 26360,S200000,00300,0300,R 26360,S200000,00400,0100,CARSON CONVALESCENT CENTER 26360,S200000,00400,0200,295023 26360,S200000,00400,0300,04/01/1993 26360,S200000,00400,0500,P 26360,S200000,00600,0200,295023 26360,S200000,00600,0300,04/01/1993 26360,S200000,00600,0600,P 26360,S200000,01600,0100,Y 26360,S200000,02200,0100,Y 26367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26367,A000000,00300,0000,00300EMPLOYEE BENEFITS 26367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26367,A000000,00700,0000,00700HOUSEKEEPING 26367,A000000,00800,0000,00800DIETARY 26367,A000000,00900,0000,00900NURSING ADMINISTRATION 26367,A000000,00901,0000,00910NURSING ADMIN MSU 26367,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 26367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26367,A000000,01100,0000,01100PHARMACY 26367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26367,A000000,01300,0000,01300SOCIAL SERVICE 26367,A000000,01350,0000,01500RECREATION ACTIVITIES 26367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26367,A000000,01600,0000,01600SKILLED NURSING FACILITY 26367,A000000,01800,0000,01800NURSING FACILITY 26367,A000000,01810,0000,01810ICF/MR 26367,A000000,02100,0000,02100RADIOLOGY 26367,A000000,02200,0000,02200LABORATORY 26367,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26367,A000000,02500,0000,02500PHYSICAL THERAPY 26367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26367,A000000,02700,0000,02700SPEECH PATHOLOGY 26367,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26367,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26367,A000000,03051,0000,03301ENTERAL FEEDING 26367,A000000,03550,0000,03550FQHC 26367,A000000,05000,0000,05000CORF 26367,A000000,05010,0000,05010CMHC 26367,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26367,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26367,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26367,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26367,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26367,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26367,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26367,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26367,A000000,06153,0000,06312DIALYSIS 26367,A000000,06154,0000,06320APARTMENTS 26367,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26367,A000000,06156,0000,06340CLOSED PATIENT AREAS 26367,A000000,06157,0000,06350O/P ADULT DAYCARE 26367,A81000A,00100,0100,Y 26367,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26367,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26367,A81000B,00300,0300,REHAB ALLOCATION 26367,A81000B,00400,0300,REHAB ALLOCATION 26367,A81000B,00500,0300,REHAB ALLOCATION 26367,A81000B,00600,0300,CLINICAL ALLOCATION 26367,A81000B,00700,0300,SYMPHONY REHAB 26367,A81000B,00800,0300,SYMPHONY REHAB 26367,A81000B,00900,0300,SYMPHONY REHAB 26367,A81000B,01000,0300,SYMPHONY RESPIRATORY 26367,A81000B,01100,0300,SYMPHONY MOBILEX 26367,A81000B,01200,0300,LTC MEDICAL LABS 26367,A81000C,00100,0100,B 26367,A81000C,00100,0200,IHS INC. 26367,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26367,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26367,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26367,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26367,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26367,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26367,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26367,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26367,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26367,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26367,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26367,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26367,E10A180,00501,0100,07/13/2000 26367,E10A180,00501,0300,12/28/1999 26367,E10A180,00550,0100,10/29/1999 26367,E10A180,00550,0300,10/29/1999 26367,E10A180,00551,0100,12/28/1999 26367,E10A180,00551,0300,07/13/2000 26367,S000000,00100,0200,10/29/1999 26367,S200000,00100,0100,201 KOONTZ LANE 26367,S200000,00200,0100,CARSON CITY 26367,S200000,00200,0200,NV 26367,S200000,00200,0300,89701- 26367,S200000,00300,0100,CARSON 26367,S200000,00300,0200,29 26367,S200000,00300,0300,R 26367,S200000,00400,0100,SIERRA CONVALESCENT CENTER 26367,S200000,00400,0200,295032 26367,S200000,00400,0300,08/01/1988 26367,S200000,00400,0500,P 26367,S200000,00600,0200,295032 26367,S200000,00600,0300,08/01/1988 26367,S200000,00600,0600,P 26367,S200000,01600,0100,Y 26367,S200000,02200,0100,Y 26369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26369,A000000,00300,0000,00300EMPLOYEE BENEFITS 26369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26369,A000000,00700,0000,00700HOUSEKEEPING 26369,A000000,00800,0000,00800DIETARY 26369,A000000,00900,0000,00900NURSING ADMINISTRATION 26369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26369,A000000,01100,0000,01100PHARMACY 26369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26369,A000000,01300,0000,01300SOCIAL SERVICE 26369,A000000,01350,0000,01500RECREATION ACTIVITIES 26369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26369,A000000,01600,0000,01600SKILLED NURSING FACILITY 26369,A000000,01800,0000,01800NURSING FACILITY 26369,A000000,01810,0000,01810ICF/MR 26369,A000000,02100,0000,02100RADIOLOGY 26369,A000000,02200,0000,02200LABORATORY 26369,A000000,02500,0000,02500PHYSICAL THERAPY 26369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26369,A000000,02700,0000,02700SPEECH PATHOLOGY 26369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26369,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26369,A000000,03051,0000,03301ENTERAL FEEDING 26369,A000000,03550,0000,03550FQHC 26369,A000000,05000,0000,05000CORF 26369,A000000,05010,0000,05010CMHC 26369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26369,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26369,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26369,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26369,A000000,06153,0000,06312DIALYSIS 26369,A000000,06154,0000,06320APARTMENTS 26369,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26369,A000000,06156,0000,06340CLOSED PATIENT AREAS 26369,A000000,06157,0000,06350O/P ADULT DAYCARE 26369,A81000A,00100,0100,Y 26369,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26369,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26369,A81000B,00400,0300,CORP REHAB ALLOC 26369,A81000B,00500,0300,COPR REHAB ALLOC 26369,A81000B,00600,0300,COPR REHAB ALLOC 26369,A81000B,00700,0300,SYMP/ PORTX 26369,A81000B,00800,0300,SYMP / PORTX 26369,A81000B,00900,0300,CORP CLINICAL ALLOC 26369,A81000B,01000,0300,SYMP REHAB 26369,A81000C,00100,0100,B 26369,A81000C,00100,0400,IHS INC. 26369,A81000C,00100,0600,NURSING HOMES 26369,A81000C,00200,0100,G 26369,A81000C,00200,0400,SYMPHONY REHAB 26369,A81000C,00200,0600,REHAB SERVICES 26369,A81000C,00300,0100,G 26369,A81000C,00300,0400,LTC MED LAB 26369,A81000C,00300,0600,LABORATORY 26369,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26369,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26369,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26369,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26369,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26369,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26369,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26369,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26369,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26369,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26369,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26369,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26369,E10A180,00350,0100,01/03/2000 26369,E10A180,00351,0100,09/18/2000 26369,E10A180,00501,0100,12/26/2000 26369,E10A180,00550,0300,12/26/2000 26369,S000000,00100,0200,11/01/2000 26369,S200000,00100,0100,201 KOONTZ LANE 26369,S200000,00200,0100,CARSON CITY 26369,S200000,00200,0200,NV 26369,S200000,00200,0300,89701- 26369,S200000,00300,0100,CARSON 26369,S200000,00300,0200,0029 26369,S200000,00300,0300,R 26369,S200000,00400,0100,SIERRA CONVALESCENT CENTER 26369,S200000,00400,0200,295032 26369,S200000,00400,0300,08/01/1988 26369,S200000,00400,0500,P 26369,S200000,00600,0200,295032 26369,S200000,00600,0300,08/01/1988 26369,S200000,00600,0600,P 26369,S200000,01600,0100,Y 26369,S200000,02200,0100,Y 26377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26377,A000000,00300,0000,00300EMPLOYEE BENEFITS 26377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26377,A000000,00700,0000,00700HOUSEKEEPING 26377,A000000,00800,0000,00800DIETARY 26377,A000000,00900,0000,00900NURSING ADMINISTRATION 26377,A000000,00901,0000,00910NURSING ADMIN MSU 26377,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 26377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26377,A000000,01100,0000,01100PHARMACY 26377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26377,A000000,01300,0000,01300SOCIAL SERVICE 26377,A000000,01350,0000,01500RECREATION ACTIVITIES 26377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26377,A000000,01600,0000,01600SKILLED NURSING FACILITY 26377,A000000,01800,0000,01800NURSING FACILITY 26377,A000000,01810,0000,01810ICF/MR 26377,A000000,02100,0000,02100RADIOLOGY 26377,A000000,02200,0000,02200LABORATORY 26377,A000000,02500,0000,02500PHYSICAL THERAPY 26377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26377,A000000,02700,0000,02700SPEECH PATHOLOGY 26377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26377,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26377,A000000,03051,0000,03301ENTERAL FEEDING 26377,A000000,03550,0000,03550FQHC 26377,A000000,05000,0000,05000CORF 26377,A000000,05010,0000,05010CMHC 26377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26377,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26377,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26377,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26377,A000000,06153,0000,06312DIALYSIS 26377,A000000,06154,0000,06320APARTMENTS 26377,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26377,A000000,06156,0000,06340CLOSED PATIENT AREAS 26377,A000000,06157,0000,06350O/P ADULT DAYCARE 26377,A81000A,00100,0100,Y 26377,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26377,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26377,A81000B,00300,0300,REHAB ALLOCATION 26377,A81000B,00400,0300,REHAB ALLOCATION 26377,A81000B,00500,0300,REHAB ALLOCATION 26377,A81000B,00600,0300,CLINICAL ALLOCATION 26377,A81000B,00700,0300,SYMPHONY REHAB 26377,A81000B,00800,0300,SYMPHONY REHAB 26377,A81000B,00900,0300,SYMPHONY REHAB 26377,A81000B,01000,0300,SYMPHONY MOBILEX 26377,A81000C,00100,0100,B 26377,A81000C,00100,0200,IHS INC. 26377,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26377,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26377,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26377,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26377,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26377,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26377,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26377,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26377,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26377,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26377,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26377,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26377,E10A180,00501,0300,10/28/1999 26377,E10A180,00502,0300,12/29/1999 26377,E10A180,00503,0100,07/13/2000 26377,E10A180,00550,0100,10/28/1999 26377,E10A180,00551,0100,12/29/1999 26377,E10A180,00552,0300,07/13/2000 26377,S000000,00100,0200,10/29/1999 26377,S200000,00100,0100,601 ADAMS 26377,S200000,00200,0100,BOULDER CITY 26377,S200000,00200,0200,NV 26377,S200000,00200,0300,89005- 26377,S200000,00300,0100,CLARK 26377,S200000,00300,0200,4120 26377,S200000,00300,0300,U 26377,S200000,00400,0100,BOULDER CITY CARE CENTER 26377,S200000,00400,0200,295035 26377,S200000,00400,0300,08/01/1988 26377,S200000,00400,0500,P 26377,S200000,00600,0200,295035 26377,S200000,00600,0300,08/01/1988 26377,S200000,00600,0600,P 26377,S200000,01600,0100,Y 26377,S200000,02200,0100,Y 26379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26379,A000000,00300,0000,00300EMPLOYEE BENEFITS 26379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26379,A000000,00700,0000,00700HOUSEKEEPING 26379,A000000,00800,0000,00800DIETARY 26379,A000000,00900,0000,00900NURSING ADMINISTRATION 26379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26379,A000000,01100,0000,01100PHARMACY 26379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26379,A000000,01300,0000,01300SOCIAL SERVICE 26379,A000000,01350,0000,01500RECREATION ACTIVITIES 26379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26379,A000000,01600,0000,01600SKILLED NURSING FACILITY 26379,A000000,01800,0000,01800NURSING FACILITY 26379,A000000,01810,0000,01810ICF/MR 26379,A000000,02100,0000,02100RADIOLOGY 26379,A000000,02200,0000,02200LABORATORY 26379,A000000,02500,0000,02500PHYSICAL THERAPY 26379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26379,A000000,02700,0000,02700SPEECH PATHOLOGY 26379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26379,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26379,A000000,03051,0000,03301ENTERAL FEEDING 26379,A000000,03550,0000,03550FQHC 26379,A000000,05000,0000,05000CORF 26379,A000000,05010,0000,05010CMHC 26379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26379,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26379,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26379,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26379,A000000,06153,0000,06312DIALYSIS 26379,A000000,06154,0000,06320APARTMENTS 26379,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26379,A000000,06156,0000,06340CLOSED PATIENT AREAS 26379,A000000,06157,0000,06350O/P ADULT DAYCARE 26379,A81000A,00100,0100,Y 26379,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26379,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26379,A81000B,00400,0300,SYMPHONY REHAB 26379,A81000B,00500,0300,SYMPHONY REHAB 26379,A81000B,00600,0300,SYMPHONY REHAB 26379,A81000B,00700,0300,SYMP/ PORTX 26379,A81000B,00800,0300,LTCMED LAB 26379,A81000B,00900,0300,CORP REHAB ALLOC 26379,A81000B,01000,0300,CORP REHAB ALLOC 26379,A81000B,01100,0300,CORP REHAB ALLOC 26379,A81000B,01200,0300,CORP CLINICAL ALLOC 26379,A81000C,00100,0100,B 26379,A81000C,00100,0400,IHS INC. 26379,A81000C,00100,0600,NURSING HOMES 26379,A81000C,00200,0100,G 26379,A81000C,00200,0400,SYMPHONY REHAB 26379,A81000C,00200,0600,REHAB SERVICES 26379,A81000C,00300,0100,G 26379,A81000C,00300,0400,LTC MED LAB 26379,A81000C,00300,0600,LABORATORY 26379,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26379,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26379,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26379,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26379,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26379,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26379,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26379,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26379,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26379,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26379,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26379,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26379,E10A180,00301,0100,09/18/2000 26379,E10A180,00350,0100,01/03/2000 26379,E10A180,00550,0100,12/26/2000 26379,E10A180,00550,0300,12/26/2000 26379,S000000,00100,0200,11/01/2000 26379,S200000,00100,0100,601 ADAMS 26379,S200000,00200,0100,BOULDER CITY 26379,S200000,00200,0200,NV 26379,S200000,00200,0300,89005- 26379,S200000,00300,0200,4120 26379,S200000,00300,0300,U 26379,S200000,00400,0100,BOULDER CITY CARE CENTER 26379,S200000,00400,0200,295035 26379,S200000,00400,0300,08/01/1988 26379,S200000,00400,0500,P 26379,S200000,00600,0200,295035 26379,S200000,00600,0300,08/01/1988 26379,S200000,00600,0600,P 26379,S200000,01600,0100,Y 26379,S200000,02200,0100,Y 26388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26388,A000000,00300,0000,00300EMPLOYEE BENEFITS 26388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26388,A000000,00700,0000,00700HOUSEKEEPING 26388,A000000,00800,0000,00800DIETARY 26388,A000000,00900,0000,00900NURSING ADMINISTRATION 26388,A000000,00901,0000,00910NURSING ADMIN MSU 26388,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 26388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26388,A000000,01100,0000,01100PHARMACY 26388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26388,A000000,01300,0000,01300SOCIAL SERVICE 26388,A000000,01350,0000,01500RECREATION ACTIVITIES 26388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26388,A000000,01600,0000,01600SKILLED NURSING FACILITY 26388,A000000,01800,0000,01800NURSING FACILITY 26388,A000000,02100,0000,02100RADIOLOGY 26388,A000000,02200,0000,02200LABORATORY 26388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26388,A000000,02500,0000,02500PHYSICAL THERAPY 26388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26388,A000000,02700,0000,02700SPEECH PATHOLOGY 26388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26388,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26388,A000000,03051,0000,03301ENTERAL FEEDING 26388,A000000,03550,0000,03550FQHC 26388,A000000,05000,0000,05000CORF 26388,A000000,05010,0000,05010CMHC 26388,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26388,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26388,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26388,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26388,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26388,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26388,A000000,06153,0000,06312DIALYSIS 26388,A000000,06154,0000,06320APARTMENTS 26388,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26388,A000000,06156,0000,06340CLOSED PATIENT AREAS 26388,A000000,06157,0000,06350O/P ADULT DAYCARE 26388,A81000A,00100,0100,Y 26388,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26388,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26388,A81000B,00300,0300,REHAB ALLOCATION 26388,A81000B,00400,0300,REHAB ALLOCATION 26388,A81000B,00500,0300,REHAB ALLOCATION 26388,A81000B,00600,0300,CLINICAL ALLOCATION 26388,A81000B,00700,0300,SYMPHONY REHAB 26388,A81000B,00800,0300,SYMPHONY REHAB 26388,A81000B,00900,0300,SYMPHONY REHAB 26388,A81000B,01000,0300,SYMPHONY RESPIRATORY 26388,A81000C,00100,0100,B 26388,A81000C,00100,0200,IHS INC. 26388,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26388,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26388,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26388,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26388,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26388,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26388,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26388,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26388,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26388,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26388,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26388,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26388,E10A180,00501,0100,12/28/1999 26388,E10A180,00501,0300,10/28/1999 26388,E10A180,00502,0300,07/13/2000 26388,E10A180,00550,0100,10/28/1999 26388,E10A180,00550,0300,12/28/1999 26388,E10A180,00551,0100,07/13/2000 26388,S000000,00100,0200,10/29/1999 26388,S200000,00100,0100,3215 E CHEYENNE AVENUE 26388,S200000,00200,0100,LAS VEGAS 26388,S200000,00200,0200,NV 26388,S200000,00200,0300,89030- 26388,S200000,00300,0100,CLARK 26388,S200000,00300,0200,4120 26388,S200000,00300,0300,U 26388,S200000,00400,0100,NORTH LAS VEGAS CARE CTR 26388,S200000,00400,0200,295036 26388,S200000,00400,0300,08/02/1988 26388,S200000,00400,0500,P 26388,S200000,00600,0200,295036 26388,S200000,00600,0300,08/02/1988 26388,S200000,00600,0600,P 26388,S200000,01600,0100,Y 26388,S200000,02200,0100,Y 26390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26390,A000000,00300,0000,00300EMPLOYEE BENEFITS 26390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26390,A000000,00700,0000,00700HOUSEKEEPING 26390,A000000,00800,0000,00800DIETARY 26390,A000000,00900,0000,00900NURSING ADMINISTRATION 26390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26390,A000000,01100,0000,01100PHARMACY 26390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26390,A000000,01300,0000,01300SOCIAL SERVICE 26390,A000000,01350,0000,01500RECREATION ACTIVITIES 26390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26390,A000000,01600,0000,01600SKILLED NURSING FACILITY 26390,A000000,01800,0000,01800NURSING FACILITY 26390,A000000,01810,0000,01810ICF/MR 26390,A000000,02100,0000,02100RADIOLOGY 26390,A000000,02200,0000,02200LABORATORY 26390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26390,A000000,02500,0000,02500PHYSICAL THERAPY 26390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26390,A000000,02700,0000,02700SPEECH PATHOLOGY 26390,A000000,02800,0000,02800ELECTROCARDIOLOGY 26390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26390,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26390,A000000,03051,0000,03301ENTERAL FEEDING 26390,A000000,03550,0000,03550FQHC 26390,A000000,05000,0000,05000CORF 26390,A000000,05010,0000,05010CMHC 26390,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26390,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26390,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26390,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26390,A000000,06153,0000,06312DIALYSIS 26390,A000000,06154,0000,06320APARTMENTS 26390,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26390,A000000,06156,0000,06340CLOSED PATIENT AREAS 26390,A000000,06157,0000,06350O/P ADULT DAYCARE 26390,A81000A,00100,0100,Y 26390,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26390,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26390,A81000B,00400,0300,SYMPHONY 26390,A81000B,00700,0300,LTC MED 26390,A81000B,00800,0300,CORP REHAB ALLOC 26390,A81000B,00900,0300,CORP REHAB ALLOC 26390,A81000B,01000,0300,CORP REHAB ALLOC 26390,A81000B,01100,0300,CORP CLINICAL ALLOC 26390,A81000C,00100,0100,B 26390,A81000C,00100,0400,IHS INC. 26390,A81000C,00100,0600,NURSING HOMES 26390,A81000C,00200,0100,G 26390,A81000C,00200,0400,SYMPHONY REHAB 26390,A81000C,00200,0600,REHAB SERVICES 26390,A81000C,00300,0100,G 26390,A81000C,00300,0400,LTC MED LAB 26390,A81000C,00300,0600,LABORATORY 26390,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26390,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26390,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26390,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26390,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26390,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26390,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26390,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26390,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26390,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26390,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26390,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26390,E10A180,00301,0100,01/14/2000 26390,E10A180,00350,0100,01/03/2000 26390,E10A180,00351,0100,09/18/2000 26390,E10A180,00501,0100,10/30/2000 26390,E10A180,00501,0300,12/11/2001 26390,E10A180,00550,0100,12/26/2000 26390,E10A180,00550,0300,10/30/2000 26390,S000000,00100,0200,11/01/2000 26390,S200000,00100,0100,3215 E CHEYENNE AVENUE 26390,S200000,00200,0100,LAS VEGAS 26390,S200000,00200,0200,NV 26390,S200000,00200,0300,89030- 26390,S200000,00300,0100,CLARK 26390,S200000,00300,0200,4120 26390,S200000,00300,0300,U 26390,S200000,00400,0100,NORTH LAS VEGAS CARE CTR 26390,S200000,00400,0200,295036 26390,S200000,00400,0300,08/02/1988 26390,S200000,00400,0500,P 26390,S200000,00600,0200,295036 26390,S200000,00600,0300,08/02/1988 26390,S200000,00600,0600,P 26390,S200000,01600,0100,Y 26390,S200000,02200,0100,Y 26397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26397,A000000,00300,0000,00300EMPLOYEE BENEFITS 26397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26397,A000000,00700,0000,00700HOUSEKEEPING 26397,A000000,00800,0000,00800DIETARY 26397,A000000,00900,0000,00900NURSING ADMINISTRATION 26397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26397,A000000,01100,0000,01100PHARMACY 26397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26397,A000000,01300,0000,01300SOCIAL SERVICE 26397,A000000,01350,0000,01500RECREATION ACTIVITIES 26397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26397,A000000,01600,0000,01600SKILLED NURSING FACILITY 26397,A000000,01800,0000,01800NURSING FACILITY 26397,A000000,01810,0000,01810ICF/MR 26397,A000000,02100,0000,02100RADIOLOGY 26397,A000000,02200,0000,02200LABORATORY 26397,A000000,02500,0000,02500PHYSICAL THERAPY 26397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26397,A000000,02700,0000,02700SPEECH PATHOLOGY 26397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26397,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26397,A000000,03051,0000,03301ENTERAL FEEDING 26397,A000000,03550,0000,03550FQHC 26397,A000000,05000,0000,05000CORF 26397,A000000,05010,0000,05010CMHC 26397,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26397,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26397,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26397,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26397,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26397,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26397,A000000,06153,0000,06312DIALYSIS 26397,A000000,06154,0000,06320APARTMENTS 26397,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26397,A000000,06156,0000,06340CLOSED PATIENT AREAS 26397,A000000,06157,0000,06350O/P ADULT DAYCARE 26397,A81000A,00100,0100,Y 26397,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26397,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26397,A81000B,00400,0300,SYMPHONY REHAB 26397,A81000B,00500,0300,SYMPHONY REHAB 26397,A81000B,00600,0300,SYMPHONY REHAB 26397,A81000B,00700,0300,SYMP/PORT 26397,A81000B,00800,0300,LTCMEDLAB 26397,A81000B,00900,0300,CORP REHAB ALLOC 26397,A81000B,01000,0300,CORP REHAB ALLOC 26397,A81000B,01100,0300,CORP REHAB ALLOC 26397,A81000B,01200,0300,CORP CLINICAL ALLOC 26397,A81000C,00100,0100,B 26397,A81000C,00100,0400,IHS INC. 26397,A81000C,00100,0600,NURSING HOMES 26397,A81000C,00200,0100,G 26397,A81000C,00200,0400,SYMPHONY REHAB 26397,A81000C,00200,0600,REHAB SERVICES 26397,A81000C,00300,0100,G 26397,A81000C,00300,0400,LTC MED LAB 26397,A81000C,00300,0600,LABORATORY 26397,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26397,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26397,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26397,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26397,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26397,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26397,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26397,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26397,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26397,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26397,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26397,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26397,E10A180,00301,0100,09/18/2000 26397,E10A180,00350,0100,01/03/2000 26397,E10A180,00501,0100,12/11/2001 26397,E10A180,00501,0300,12/11/2001 26397,E10A180,00550,0100,10/30/2000 26397,E10A180,00550,0300,10/30/2000 26397,E10A180,00551,0100,12/26/2000 26397,S000000,00100,0200,11/01/2000 26397,S200000,00100,0100,1180 EAST LAKE MEAD 26397,S200000,00200,0100,HENDERSON 26397,S200000,00200,0200,NV 26397,S200000,00200,0300,89015- 26397,S200000,00300,0100,CLARK 26397,S200000,00300,0200,4120 26397,S200000,00300,0300,U 26397,S200000,00400,0100,HENDERSON CONVALESCENT HOSP 26397,S200000,00400,0200,295037 26397,S200000,00400,0300,05/01/1994 26397,S200000,00400,0500,P 26397,S200000,00600,0200,295037 26397,S200000,00600,0300,05/01/1994 26397,S200000,00600,0600,P 26397,S200000,01600,0100,Y 26397,S200000,02200,0100,Y 26404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26404,A000000,00300,0000,00300EMPLOYEE BENEFITS 26404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26404,A000000,00700,0000,00700HOUSEKEEPING 26404,A000000,00800,0000,00800DIETARY 26404,A000000,00900,0000,00900NURSING ADMINISTRATION 26404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26404,A000000,01100,0000,01100PHARMACY 26404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26404,A000000,01300,0000,01300SOCIAL SERVICE 26404,A000000,01350,0000,01500RECREATION ACTIVITIES 26404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26404,A000000,01600,0000,01600SKILLED NURSING FACILITY 26404,A000000,01800,0000,01800NURSING FACILITY 26404,A000000,01810,0000,01810ICF/MR 26404,A000000,02100,0000,02100RADIOLOGY 26404,A000000,02200,0000,02200LABORATORY 26404,A000000,02500,0000,02500PHYSICAL THERAPY 26404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26404,A000000,02700,0000,02700SPEECH PATHOLOGY 26404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26404,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26404,A000000,03051,0000,03301ENTERAL FEEDING 26404,A000000,03550,0000,03550FQHC 26404,A000000,05000,0000,05000CORF 26404,A000000,05010,0000,05010CMHC 26404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26404,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26404,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26404,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26404,A000000,06153,0000,06312DIALYSIS 26404,A000000,06154,0000,06320APARTMENTS 26404,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26404,A000000,06156,0000,06340CLOSED PATIENT AREAS 26404,A000000,06157,0000,06350O/P ADULT DAYCARE 26404,A81000A,00100,0100,Y 26404,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26404,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26404,A81000B,00400,0300,SYMPHONY REHAB 26404,A81000B,00500,0300,SYMPHONY REHAB 26404,A81000B,00600,0300,SYMPHONY REHAB 26404,A81000B,00700,0300,SYMPHONY REHAB 26404,A81000B,00800,0300,SYMPHONY REHAB 26404,A81000B,00900,0300,CORP REHAB ALLOC 26404,A81000B,01000,0300,CORP REHAB ALLOC 26404,A81000B,01100,0300,CORP REHAB ALLOC 26404,A81000B,01200,0300,CORP CLINICAL ALLOC 26404,A81000C,00100,0100,B 26404,A81000C,00100,0400,IHS INC. 26404,A81000C,00100,0600,NURSING HOMES 26404,A81000C,00200,0100,G 26404,A81000C,00200,0400,SYMPHONY REHAB 26404,A81000C,00200,0600,REHAB SERVICES 26404,A81000C,00300,0100,G 26404,A81000C,00300,0400,LTC MED LAB 26404,A81000C,00300,0600,LABORATORY 26404,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26404,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26404,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26404,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26404,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26404,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26404,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26404,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26404,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26404,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26404,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26404,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26404,E10A180,00350,0100,01/03/2000 26404,E10A180,00351,0100,09/18/2000 26404,E10A180,00501,0100,10/30/2000 26404,E10A180,00501,0300,12/11/2001 26404,E10A180,00550,0100,12/26/2000 26404,E10A180,00550,0300,10/30/2000 26404,S000000,00100,0200,11/01/2000 26404,S200000,00100,0100,1375 BARING BLVD 26404,S200000,00200,0100,SPARKS 26404,S200000,00200,0200,NV 26404,S200000,00200,0300,89431- 26404,S200000,00300,0100,WASHOE 26404,S200000,00300,0200,6720 26404,S200000,00300,0300,U 26404,S200000,00400,0100,WASHOE CARE CENTER 26404,S200000,00400,0200,295038 26404,S200000,00400,0300,08/27/1991 26404,S200000,00400,0500,P 26404,S200000,00600,0200,295038 26404,S200000,00600,0300,08/27/1991 26404,S200000,00600,0600,P 26404,S200000,01600,0100,Y 26404,S200000,02200,0100,Y 26420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26420,A000000,00300,0000,00300EMPLOYEE BENEFITS 26420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26420,A000000,00700,0000,00700HOUSEKEEPING 26420,A000000,00800,0000,00800DIETARY 26420,A000000,00900,0000,00900NURSING ADMINISTRATION 26420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26420,A000000,01100,0000,01100PHARMACY 26420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26420,A000000,01300,0000,01300SOCIAL SERVICE 26420,A000000,01350,0000,01500RECREATION ACTIVITIES 26420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26420,A000000,01600,0000,01600SKILLED NURSING FACILITY 26420,A000000,01800,0000,01800NURSING FACILITY 26420,A000000,01810,0000,01810ICF/MR 26420,A000000,02100,0000,02100RADIOLOGY 26420,A000000,02200,0000,02200LABORATORY 26420,A000000,02500,0000,02500PHYSICAL THERAPY 26420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26420,A000000,02700,0000,02700SPEECH PATHOLOGY 26420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26420,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26420,A000000,03051,0000,03301ENTERAL FEEDING 26420,A000000,03550,0000,03550FQHC 26420,A000000,05000,0000,05000CORF 26420,A000000,05010,0000,05010CMHC 26420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26420,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26420,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26420,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26420,A000000,06153,0000,06312DIALYSIS 26420,A000000,06154,0000,06320APARTMENTS 26420,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26420,A000000,06156,0000,06340CLOSED PATIENT AREAS 26420,A000000,06157,0000,06350O/P ADULT DAYCARE 26420,A81000A,00100,0100,Y 26420,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26420,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26420,A81000B,00400,0300,SYMPHONY REHAB 26420,A81000B,00500,0300,SYMPHONY REHAB 26420,A81000B,00600,0300,SYMPHONY REHAB 26420,A81000B,00700,0300,SYMPHONY MOBILEX 26420,A81000B,00800,0300,SYMPHONY 26420,A81000B,00900,0300,CORP REHAB ALLOC 26420,A81000B,01000,0300,CORP REHAB ALLOC 26420,A81000B,01100,0300,CORP REHAB ALLOC 26420,A81000B,01200,0300,CORP CLINICAL ALLOC 26420,A81000C,00100,0100,B 26420,A81000C,00100,0400,IHS INC. 26420,A81000C,00100,0600,NURSING HOMES 26420,A81000C,00200,0100,G 26420,A81000C,00200,0400,SYMPHONY REHAB 26420,A81000C,00200,0600,REHAB SERVICES 26420,A81000C,00300,0100,G 26420,A81000C,00300,0400,LTC MED LAB 26420,A81000C,00300,0600,LABORATORY 26420,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26420,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26420,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26420,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26420,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26420,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26420,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26420,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26420,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26420,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26420,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26420,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26420,E10A180,00350,0100,01/03/2000 26420,E10A180,00351,0100,09/18/2000 26420,E10A180,00501,0100,12/26/2000 26420,E10A180,00502,0100,12/11/2001 26420,E10A180,00502,0300,12/11/2001 26420,E10A180,00550,0100,10/30/2000 26420,E10A180,00550,0300,10/30/2000 26420,S000000,00100,0200,11/01/2000 26420,S200000,00100,0100,1950 BARING BLVD 26420,S200000,00200,0100,SPARKS 26420,S200000,00200,0200,NV 26420,S200000,00200,0300,89431- 26420,S200000,00300,0100,WASHOE 26420,S200000,00300,0200,6720 26420,S200000,00300,0300,U 26420,S200000,00400,0100,HEARTHSTONE OF NORTHERN NEVADA 26420,S200000,00400,0200,295044 26420,S200000,00400,0300,10/01/1991 26420,S200000,00400,0500,P 26420,S200000,00600,0200,295044 26420,S200000,00600,0300,10/01/1991 26420,S200000,00600,0600,P 26420,S200000,01600,0100,Y 26420,S200000,02200,0100,Y 26433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26433,A000000,00300,0000,00300EMPLOYEE BENEFITS 26433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26433,A000000,00700,0000,00700HOUSEKEEPING 26433,A000000,00800,0000,00800DIETARY 26433,A000000,00900,0000,00900NURSING ADMINISTRATION 26433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26433,A000000,01100,0000,01100PHARMACY 26433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26433,A000000,01300,0000,01300SOCIAL SERVICE 26433,A000000,01350,0000,01500RECREATION ACTIVITIES 26433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26433,A000000,01600,0000,01600SKILLED NURSING FACILITY 26433,A000000,01800,0000,01800NURSING FACILITY 26433,A000000,01810,0000,01810ICF/MR 26433,A000000,02100,0000,02100RADIOLOGY 26433,A000000,02200,0000,02200LABORATORY 26433,A000000,02500,0000,02500PHYSICAL THERAPY 26433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26433,A000000,02700,0000,02700SPEECH PATHOLOGY 26433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26433,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26433,A000000,03051,0000,03301ENTERAL FEEDING 26433,A000000,03550,0000,03550FQHC 26433,A000000,05000,0000,05000CORF 26433,A000000,05010,0000,05010CMHC 26433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26433,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26433,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26433,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26433,A000000,06153,0000,06312DIALYSIS 26433,A000000,06154,0000,06320APARTMENTS 26433,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26433,A000000,06156,0000,06340CLOSED PATIENT AREAS 26433,A000000,06157,0000,06350O/P ADULT DAYCARE 26433,A81000A,00100,0100,Y 26433,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26433,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26433,A81000B,00400,0300,SYMPHONY REHAB 26433,A81000B,00500,0300,SYMPHONY REHAB 26433,A81000B,00600,0300,SYMPHONY REHAB 26433,A81000B,00800,0300,REHAB ALLOCATION 26433,A81000B,00900,0300,REHAB ALLOCATION 26433,A81000B,01000,0300,REHAB ALLOCATION 26433,A81000B,01100,0300,CLINICAL ALLOCATION 26433,A81000C,00100,0100,B 26433,A81000C,00100,0200,IHS INC. 26433,A81000C,00100,0400,IHS INC. 26433,A81000C,00100,0600,NURSING HOMES 26433,A81000C,00200,0100,G 26433,A81000C,00200,0400,SYMPHONY REHAB 26433,A81000C,00200,0600,REHAB SERVICES 26433,A81000C,00300,0100,G 26433,A81000C,00300,0400,LTV MED LAB 26433,A81000C,00300,0600,LABORATORY 26433,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26433,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26433,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26433,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26433,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26433,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26433,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26433,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26433,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26433,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26433,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26433,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26433,E10A180,00301,0100,05/18/2000 26433,E10A180,00350,0100,03/18/1999 26433,E10A180,00351,0100,12/03/1999 26433,E10A180,00501,0300,07/28/2000 26433,E10A180,00550,0100,07/28/2000 26433,S000000,00100,0200,05/30/2000 26433,S200000,00100,0100,2856 EAST CHEYENNE 26433,S200000,00200,0100,LAS VEGAS 26433,S200000,00200,0200,NV 26433,S200000,00200,0300,89030- 26433,S200000,00300,0100,CLARK 26433,S200000,00300,0200,4120 26433,S200000,00300,0300,U 26433,S200000,00400,0100,CHEYENNE CARE CENTER 26433,S200000,00400,0200,295055 26433,S200000,00400,0300,09/12/1994 26433,S200000,00400,0500,P 26433,S200000,00600,0200,295055 26433,S200000,00600,0300,09/12/1994 26433,S200000,00600,0600,P 26433,S200000,01600,0100,Y 26433,S200000,02200,0100,Y 26441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26441,A000000,00300,0000,00300EMPLOYEE BENEFITS 26441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26441,A000000,00700,0000,00700HOUSEKEEPING 26441,A000000,00800,0000,00800DIETARY 26441,A000000,00900,0000,00900NURSING ADMINISTRATION 26441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26441,A000000,01100,0000,01100PHARMACY 26441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26441,A000000,01300,0000,01300SOCIAL SERVICE 26441,A000000,01350,0000,01500RECREATION ACTIVITIES 26441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26441,A000000,01600,0000,01600SKILLED NURSING FACILITY 26441,A000000,01800,0000,01800NURSING FACILITY 26441,A000000,01810,0000,01810ICF/MR 26441,A000000,02100,0000,02100RADIOLOGY 26441,A000000,02200,0000,02200LABORATORY 26441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26441,A000000,02500,0000,02500PHYSICAL THERAPY 26441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26441,A000000,02700,0000,02700SPEECH PATHOLOGY 26441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26441,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26441,A000000,03051,0000,03301ENTERAL FEEDING 26441,A000000,03550,0000,03550FQHC 26441,A000000,05000,0000,05000CORF 26441,A000000,05010,0000,05010CMHC 26441,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26441,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26441,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26441,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26441,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26441,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26441,A000000,06153,0000,06312DIALYSIS 26441,A000000,06154,0000,06320APARTMENTS 26441,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26441,A000000,06156,0000,06340CLOSED PATIENT AREAS 26441,A000000,06157,0000,06350O/P ADULT DAYCARE 26441,A81000A,00100,0100,Y 26441,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26441,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26441,A81000B,00400,0300,SYMPHONY REHAB 26441,A81000B,00600,0300,SYMPHONY REHAB 26441,A81000B,00700,0300,REHAB ALLOCATION 26441,A81000B,00800,0300,REHAB ALLOCATION 26441,A81000B,00900,0300,REHAB ALLOCATION 26441,A81000B,01000,0300,CLINICAL ALLOCATION 26441,A81000B,01100,0300,SYMPHONY MOBILEX 26441,A81000C,00100,0100,B 26441,A81000C,00100,0400,IHS INC. 26441,A81000C,00100,0600,NURSING HOMES 26441,A81000C,00200,0100,B 26441,A81000C,00200,0400,LYRIC 26441,A81000C,00200,0600,NURSING HOMES 26441,A81000C,00300,0100,G 26441,A81000C,00300,0400,SYMPHONY 26441,A81000C,00300,0600,REHAB 26441,A81000C,00400,0100,G 26441,A81000C,00400,0400,LTC 26441,A81000C,00400,0600,LAB 26441,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26441,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26441,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26441,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26441,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26441,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26441,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26441,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26441,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26441,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26441,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26441,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26441,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26441,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26441,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26441,E10A180,00301,0100,05/18/2000 26441,E10A180,00350,0100,03/18/1999 26441,E10A180,00351,0100,12/03/1999 26441,E10A180,00550,0100,05/31/2000 26441,E10A180,00550,0300,05/31/2000 26441,E10A180,00551,0100,07/28/2000 26441,S000000,00100,0200,06/01/2000 26441,S200000,00100,0100,191 HACKETT HILL ROAD 26441,S200000,00200,0100,MANCHESTER 26441,S200000,00200,0200,NH 26441,S200000,00200,0300,03102- 26441,S200000,00300,0100,HILLSBOROUGH 26441,S200000,00400,0100,IHS OF NEW HAMPSHIRE - MANCHESTER 26441,S200000,00400,0200,305038 26441,S200000,00400,0300,10/20/1989 26441,S200000,00400,0500,P 26441,S200000,00600,0200,305038 26441,S200000,00600,0300,10/20/1989 26441,S200000,00600,0600,P 26441,S200000,01600,0100,Y 26441,S200000,02200,0100,Y 26450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26450,A000000,00300,0000,00300EMPLOYEE BENEFITS 26450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26450,A000000,00700,0000,00700HOUSEKEEPING 26450,A000000,00800,0000,00800DIETARY 26450,A000000,00900,0000,00900NURSING ADMINISTRATION 26450,A000000,00901,0000,00910NURSING ADMIN MSU 26450,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 26450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26450,A000000,01100,0000,01100PHARMACY 26450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26450,A000000,01300,0000,01300SOCIAL SERVICE 26450,A000000,01350,0000,01500RECREATION ACTIVITIES 26450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26450,A000000,01600,0000,01600SKILLED NURSING FACILITY 26450,A000000,01800,0000,01800NURSING FACILITY 26450,A000000,02100,0000,02100RADIOLOGY 26450,A000000,02200,0000,02200LABORATORY 26450,A000000,02300,0000,02300INTRAVENOUS THERAPY 26450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26450,A000000,02500,0000,02500PHYSICAL THERAPY 26450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26450,A000000,02700,0000,02700SPEECH PATHOLOGY 26450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26450,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26450,A000000,03051,0000,03301ENTERAL FEEDING 26450,A000000,03550,0000,03550FQHC 26450,A000000,05000,0000,05000CORF 26450,A000000,05010,0000,05010CMHC 26450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26450,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26450,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26450,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26450,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26450,A000000,06153,0000,06312DIALYSIS 26450,A000000,06154,0000,06320APARTMENTS 26450,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26450,A000000,06156,0000,06340CLOSED PATIENT AREAS 26450,A000000,06157,0000,06350O/P ADULT DAYCARE 26450,A81000A,00100,0100,Y 26450,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26450,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26450,A81000B,00400,0300,SYMPHONY REHAB 26450,A81000B,00600,0300,SYMPHONY REHAB 26450,A81000B,00700,0300,SYMPHONY MOBILEX 26450,A81000B,00800,0300,REHAB ALLOCATION 26450,A81000B,00900,0300,REHAB ALLOCATION 26450,A81000B,01000,0300,REHAB ALLOCATION 26450,A81000B,01100,0300,CLINICAL ALLOCATION 26450,A81000C,00100,0100,B 26450,A81000C,00100,0200,IHS INC. 26450,A81000C,00100,0400,IHS INC. 26450,A81000C,00100,0600,NURSING HOMES 26450,A81000C,00200,0100,G 26450,A81000C,00200,0400,SYMPHONY REHAB 26450,A81000C,00200,0600,REHAB SERVICES 26450,A81000C,00300,0100,G 26450,A81000C,00300,0400,LTC 26450,A81000C,00300,0600,LAB 26450,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26450,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26450,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26450,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26450,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26450,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26450,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26450,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26450,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26450,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26450,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26450,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26450,E10A180,00301,0100,12/03/1999 26450,E10A180,00304,0100,05/18/2000 26450,E10A180,00350,0100,03/01/1999 26450,E10A180,00501,0300,07/28/2000 26450,E10A180,00550,0100,07/28/2000 26450,S000000,00100,0200,06/01/2000 26450,S200000,00100,0100,8 PEABODY ROAD 26450,S200000,00100,0300,1329 26450,S200000,00200,0100,DERRY 26450,S200000,00200,0200,NH 26450,S200000,00200,0300,03038- 26450,S200000,00300,0100,ROCKINGHAM 26450,S200000,00300,0200,1123 26450,S200000,00300,0300,U 26450,S200000,00400,0100,IHS-DERRY 26450,S200000,00400,0200,305039 26450,S200000,00400,0300,02/13/1990 26450,S200000,00400,0500,P 26450,S200000,00600,0200,305039 26450,S200000,00600,0300,02/13/1990 26450,S200000,00600,0600,P 26450,S200000,01600,0100,Y 26459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26459,A000000,00300,0000,00300EMPLOYEE BENEFITS 26459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26459,A000000,00700,0000,00700HOUSEKEEPING 26459,A000000,00800,0000,00800DIETARY 26459,A000000,00900,0000,00900NURSING ADMINISTRATION 26459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26459,A000000,01100,0000,01100PHARMACY 26459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26459,A000000,01300,0000,01300SOCIAL SERVICE 26459,A000000,01350,0000,01500RECREATION ACTIVITIES 26459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26459,A000000,01600,0000,01600SKILLED NURSING FACILITY 26459,A000000,01800,0000,01800NURSING FACILITY 26459,A000000,01810,0000,01810ICF/MR 26459,A000000,02100,0000,02100RADIOLOGY 26459,A000000,02200,0000,02200LABORATORY 26459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26459,A000000,02500,0000,02500PHYSICAL THERAPY 26459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26459,A000000,02700,0000,02700SPEECH PATHOLOGY 26459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26459,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26459,A000000,03051,0000,03301ENTERAL FEEDING 26459,A000000,03550,0000,03550FQHC 26459,A000000,05000,0000,05000CORF 26459,A000000,05010,0000,05010CMHC 26459,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26459,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26459,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26459,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26459,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26459,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26459,A000000,06153,0000,06312DIALYSIS 26459,A000000,06154,0000,06320APARTMENTS 26459,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26459,A000000,06156,0000,06340CLOSED PATIENT AREAS 26459,A000000,06157,0000,06350O/P ADULT DAYCARE 26459,A81000A,00100,0100,Y 26459,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26459,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26459,A81000B,00500,0300,SYMPHONY REHAB 26459,A81000B,00600,0300,SYMPHONY REHAB 26459,A81000B,00700,0300,CLINICAL ALLOCATION 26459,A81000B,00800,0300,REHAB ALLOCATION 26459,A81000B,00900,0300,REHAB ALLOCATION 26459,A81000B,01000,0300,REHAB ALLOCATION 26459,A81000B,01100,0300,SYMPHONY MOBILEX 26459,A81000C,00100,0100,B 26459,A81000C,00100,0400,IHS INC. 26459,A81000C,00100,0600,NURSING HOMES 26459,A81000C,00200,0100,B 26459,A81000C,00200,0400,LYRIC 26459,A81000C,00200,0600,NURSING HOMES 26459,A81000C,00300,0100,G 26459,A81000C,00300,0400,SYMPHONY 26459,A81000C,00300,0600,REHAB 26459,A81000C,00400,0100,G 26459,A81000C,00400,0400,LTC 26459,A81000C,00400,0600,LAB 26459,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26459,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26459,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26459,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26459,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26459,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26459,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26459,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26459,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26459,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26459,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26459,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26459,E10A180,00301,0100,05/18/2000 26459,E10A180,00350,0100,03/18/1999 26459,E10A180,00351,0100,12/03/1999 26459,E10A180,00501,0300,07/28/2000 26459,E10A180,00550,0100,07/28/2000 26459,S000000,00100,0200,06/01/2000 26459,S200000,00100,0100,HANOVER STREET EXIT 26459,S200000,00200,0100,CLAREMONT 26459,S200000,00200,0200,NH 26459,S200000,00200,0300,03743- 26459,S200000,00300,0100,SULLIVAN 26459,S200000,00300,0200,NH 26459,S200000,00300,0300,R 26459,S200000,00400,0100,IHS-NEW HAMPSHIRE AT CLAREMONT 26459,S200000,00400,0200,305041 26459,S200000,00400,0300,01/01/1992 26459,S200000,00400,0500,P 26459,S200000,00600,0200,305041 26459,S200000,00600,0300,01/01/1992 26459,S200000,00600,0600,P 26459,S200000,01600,0100,Y 26459,S200000,02200,0100,Y 26468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26468,A000000,00300,0000,00300EMPLOYEE BENEFITS 26468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26468,A000000,00700,0000,00700HOUSEKEEPING 26468,A000000,00800,0000,00800DIETARY 26468,A000000,00900,0000,00900NURSING ADMINISTRATION 26468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26468,A000000,01100,0000,01100PHARMACY 26468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26468,A000000,01300,0000,01300SOCIAL SERVICE 26468,A000000,01350,0000,01500RECREATION ACTIVITIES 26468,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26468,A000000,01600,0000,01600SKILLED NURSING FACILITY 26468,A000000,01800,0000,01800NURSING FACILITY 26468,A000000,01810,0000,01810ICF/MR 26468,A000000,02100,0000,02100RADIOLOGY 26468,A000000,02200,0000,02200LABORATORY 26468,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26468,A000000,02500,0000,02500PHYSICAL THERAPY 26468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26468,A000000,02700,0000,02700SPEECH PATHOLOGY 26468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26468,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26468,A000000,03051,0000,03301ENTERAL FEEDING 26468,A000000,03550,0000,03550FQHC 26468,A000000,05000,0000,05000CORF 26468,A000000,05010,0000,05010CMHC 26468,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26468,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26468,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26468,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26468,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26468,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26468,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26468,A000000,06153,0000,06312DIALYSIS 26468,A000000,06154,0000,06320APARTMENTS 26468,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26468,A000000,06156,0000,06340CLOSED PATIENT AREAS 26468,A000000,06157,0000,06350O/P ADULT DAYCARE 26468,A81000A,00100,0100,Y 26468,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26468,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26468,A81000B,00400,0300,SYMPHONY REHAB 26468,A81000B,00500,0300,SYMPHONY REHAB 26468,A81000B,00600,0300,SYMPHONY REHAB 26468,A81000B,00700,0300,REHAB ALLOCATION 26468,A81000B,00800,0300,REHAB ALLOCATION 26468,A81000B,00900,0300,REHAB ALLOCATION 26468,A81000B,01000,0300,CLINICAL ALLOCATION 26468,A81000B,01100,0300,SYMPHONY RESPIRATORY 26468,A81000B,01200,0300,SYMPHONY MOBILEX 26468,A81000C,00100,0100,B 26468,A81000C,00100,0200,IHS INC. 26468,A81000C,00100,0400,IHS INC. 26468,A81000C,00100,0600,NURSING HOMES 26468,A81000C,00200,0100,G 26468,A81000C,00200,0400,SYMPHONY REHAB 26468,A81000C,00200,0600,REHAB SERVICES 26468,A81000C,00300,0100,G 26468,A81000C,00300,0400,LTC 26468,A81000C,00300,0600,LAB 26468,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26468,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26468,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26468,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26468,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26468,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26468,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26468,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26468,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26468,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26468,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26468,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26468,E10A180,00301,0100,12/03/1999 26468,E10A180,00350,0100,03/18/1999 26468,E10A180,00353,0100,05/18/2000 26468,E10A180,00550,0100,05/31/2000 26468,E10A180,00550,0300,05/31/2000 26468,E10A180,00551,0100,07/28/2000 26468,S000000,00100,0200,06/01/2000 26468,S200000,00100,0100,1621 ROUTE 22 WEST 26468,S200000,00200,0100,BOUND BROOK 26468,S200000,00200,0200,NJ 26468,S200000,00200,0300,08805- 26468,S200000,00300,0100,SOMERSET 26468,S200000,00300,0200,5015 26468,S200000,00300,0300,U 26468,S200000,00400,0100,IHS-NJ AT SOMERSET VALLEY 26468,S200000,00400,0200,315002 26468,S200000,00400,0300,12/29/1996 26468,S200000,00400,0500,P 26468,S200000,00600,0200,315002 26468,S200000,00600,0300,12/29/1996 26468,S200000,00600,0600,P 26468,S200000,01600,0100,Y 26468,S200000,02200,0100,Y 26478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26478,A000000,00300,0000,00300EMPLOYEE BENEFITS 26478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26478,A000000,00700,0000,00700HOUSEKEEPING 26478,A000000,00800,0000,00800DIETARY 26478,A000000,00900,0000,00900NURSING ADMINISTRATION 26478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26478,A000000,01100,0000,01100PHARMACY 26478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26478,A000000,01300,0000,01300SOCIAL SERVICE 26478,A000000,01350,0000,01500ACTIVITIES 26478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26478,A000000,01600,0000,01600SKILLED NURSING FACILITY 26478,A000000,01800,0000,01800NURSING FACILITY 26478,A000000,01900,0000,01900OTHER LONG TERM CARE 26478,A000000,02100,0000,02100RADIOLOGY 26478,A000000,02200,0000,02200LABORATORY 26478,A000000,02300,0000,02300INTRAVENOUS THERAPY 26478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26478,A000000,02500,0000,02500PHYSICAL THERAPY 26478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26478,A000000,02700,0000,02700SPEECH PATHOLOGY 26478,A000000,02800,0000,02800ELECTROCARDIOLOGY 26478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26478,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26478,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26478,A000000,03200,0000,03200SUPPORT SURFACES 26478,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26478,A000000,04800,0000,04800AMBULANCE 26478,A000000,05300,0000,05300INTEREST EXPENSE 26478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26478,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26478,A000000,06100,0000,06100NONPAID WORKERS 26478,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26478,A000000,06200,0000,06200PATIENTS LAUNDRY 26478,A81000A,00100,0100,Y 26478,A81000B,00100,0300,HOME OFFICE COST 26478,A81000B,00200,0300,HOME OFFICE DIRECT INTEREST COST 26478,A81000B,00300,0300,PT ADMINISTRATION FEE 26478,A81000B,00400,0300,OT ADMINISTRATION FEE 26478,A81000B,00500,0300,ST ADMINISTRATION FEE 26478,A81000C,00100,0100,B 26478,A81000C,00100,0200,MCHS CHERRY HILL 26478,A81000C,00100,0400,HCR MANORCARE INC. 26478,A81000C,00100,0600,LONG TERM CARE FACILITIES 26478,A81000C,00200,0100,B 26478,A81000C,00200,0200,MCHS CHERRY HILL 26478,A81000C,00200,0400,HCR MANORCARE INC. 26478,A81000C,00200,0600,LONG TERM CARE FACILITIES 26478,A81000C,00300,0100,B 26478,A81000C,00300,0200,MCHS CHERRY HILL 26478,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 26478,A81000C,00300,0600,THERAPY MANAGEMENT 26478,A81000C,00400,0100,B 26478,A81000C,00400,0200,MCHS CHERRY HILL 26478,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 26478,A81000C,00400,0600,THERAPY MANAGEMENT 26478,A81000C,00500,0100,B 26478,A81000C,00500,0200,MCHS CHERRY HILL 26478,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 26478,A81000C,00500,0600,THERAPY MANAGEMENT 26478,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26478,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26478,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26478,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26478,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26478,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26478,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26478,B100000,00000,0800,00000MEALS SERVED :DIETARY 26478,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26478,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26478,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26478,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26478,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26478,S000000,00100,0200,10/27/2000 26478,S200000,00100,0100,1412 MARLTON PIKE 26478,S200000,00200,0100,CHERRY HILL 26478,S200000,00200,0200,NJ 26478,S200000,00200,0300,08034- 26478,S200000,00300,0100,CAMDEN 26478,S200000,00300,0200,6160 26478,S200000,00300,0300,U 26478,S200000,00400,0100,MCHS CHERRY HILL 26478,S200000,00400,0200,315013 26478,S200000,00400,0300,01/01/1985 26478,S200000,00400,0500,P 26478,S200000,00400,0600,P 26478,S200000,01600,0100,Y 26478,S200000,02200,0100,Y 26508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26508,A000000,00300,0000,00300EMPLOYEE BENEFITS 26508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26508,A000000,00700,0000,00700HOUSEKEEPING 26508,A000000,00800,0000,00800DIETARY 26508,A000000,00900,0000,00900NURSING ADMINISTRATION 26508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26508,A000000,01100,0000,01100PHARMACY 26508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26508,A000000,01300,0000,01300SOCIAL SERVICE 26508,A000000,01350,0000,01500RECREATION ACTIVITIES 26508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26508,A000000,01600,0000,01600SKILLED NURSING FACILITY 26508,A000000,01800,0000,01800NURSING FACILITY 26508,A000000,01810,0000,01810ICF/MR 26508,A000000,02100,0000,02100RADIOLOGY 26508,A000000,02200,0000,02200LABORATORY 26508,A000000,02500,0000,02500PHYSICAL THERAPY 26508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26508,A000000,02700,0000,02700SPEECH PATHOLOGY 26508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26508,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26508,A000000,03051,0000,03301ENTERAL FEEDING 26508,A000000,03550,0000,03550FQHC 26508,A000000,05000,0000,05000CORF 26508,A000000,05010,0000,05010CMHC 26508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26508,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26508,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26508,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26508,A000000,06153,0000,06312DIALYSIS 26508,A000000,06154,0000,06320APARTMENTS 26508,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26508,A000000,06156,0000,06340CLOSED PATIENT AREAS 26508,A000000,06157,0000,06350O/P ADULT DAYCARE 26508,A81000A,00100,0100,Y 26508,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26508,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26508,A81000B,00300,0300,SYMPHONY MOBILEX 26508,A81000B,00400,0300,SYMPHONY MOBILEX 26508,A81000B,00500,0300,SYMPHONY REHAB 26508,A81000B,00600,0300,CLINICAL ALLOCATION 26508,A81000B,00700,0300,REHAB ALLOCATION 26508,A81000B,00800,0300,REHAB ALLOCATION 26508,A81000B,00900,0300,REHAB ALLOCATION 26508,A81000C,00100,0100,B 26508,A81000C,00100,0400,IHS INC. 26508,A81000C,00100,0600,NURSING HOMES 26508,A81000C,00200,0100,G 26508,A81000C,00200,0400,SYMPHONY REHAB 26508,A81000C,00200,0600,REHAB SERVICES 26508,A81000C,00300,0100,G 26508,A81000C,00300,0400,LTC MED LAB 26508,A81000C,00300,0600,LABORATORY 26508,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26508,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26508,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26508,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26508,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26508,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26508,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26508,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26508,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26508,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26508,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26508,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26508,E10A180,00351,0100,01/03/2000 26508,E10A180,00352,0100,09/18/2000 26508,E10A180,00501,0100,12/11/2001 26508,E10A180,00550,0100,10/30/2000 26508,E10A180,00550,0300,10/30/2000 26508,E10A180,00551,0100,12/26/2000 26508,S000000,00100,0200,11/01/2000 26508,S200000,00100,0100,635 HARKLE ROAD 26508,S200000,00200,0100,SANTA FE 26508,S200000,00200,0200,NM 26508,S200000,00200,0300,87501- 26508,S200000,00300,0100,SANTA FE 26508,S200000,00300,0200,7490 26508,S200000,00300,0300,U 26508,S200000,00400,0100,SANTA FE CARE CENTER 26508,S200000,00400,0200,325030 26508,S200000,00400,0300,09/01/1988 26508,S200000,00400,0500,P 26508,S200000,00600,0200,325030 26508,S200000,00600,0300,09/01/1988 26508,S200000,00600,0600,P 26508,S200000,01600,0100,Y 26508,S200000,02200,0100,Y 26517,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26517,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26517,A000000,00300,0000,00300EMPLOYEE BENEFITS 26517,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26517,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26517,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26517,A000000,00700,0000,00700HOUSEKEEPING 26517,A000000,00800,0000,00800DIETARY 26517,A000000,00900,0000,00900NURSING ADMINISTRATION 26517,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26517,A000000,01100,0000,01100PHARMACY 26517,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26517,A000000,01300,0000,01300SOCIAL SERVICE 26517,A000000,01350,0000,01500ACTIVITIES 26517,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26517,A000000,01600,0000,01600SKILLED NURSING FACILITY 26517,A000000,01800,0000,01800NURSING FACILITY 26517,A000000,01900,0000,01900OTHER LONG TERM CARE 26517,A000000,02100,0000,02100RADIOLOGY 26517,A000000,02200,0000,02200LABORATORY 26517,A000000,02300,0000,02300INTRAVENOUS THERAPY 26517,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26517,A000000,02500,0000,02500PHYSICAL THERAPY 26517,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26517,A000000,02700,0000,02700SPEECH PATHOLOGY 26517,A000000,02800,0000,02800ELECTROCARDIOLOGY 26517,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26517,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26517,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26517,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26517,A000000,03200,0000,03200SUPPORT SURFACES 26517,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26517,A000000,04800,0000,04800AMBULANCE 26517,A000000,05300,0000,05300INTEREST EXPENSE 26517,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26517,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26517,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26517,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26517,A000000,06100,0000,06100NONPAID WORKERS 26517,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26517,A000000,06200,0000,06200PATIENTS LAUNDRY 26517,A81000A,00100,0100,Y 26517,A81000B,00100,0300,HOME OFFICE COST 26517,A81000B,00200,0300,PT ADMINISTRATION FEE 26517,A81000B,00300,0300,OT ADMINISTRATION FEE 26517,A81000B,00400,0300,ST ADMINISTRATION FEE 26517,A81000C,00100,0100,B 26517,A81000C,00100,0200,MCHS - ALBUQUERQUE 26517,A81000C,00100,0400,HCR MANORCARE INC. 26517,A81000C,00100,0600,LONG TERM CARE FACILITIES 26517,A81000C,00200,0100,B 26517,A81000C,00200,0200,MCHS - ALBUQUERQUE 26517,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 26517,A81000C,00200,0600,THERAPY MANAGEMENT 26517,A81000C,00300,0100,B 26517,A81000C,00300,0200,MCHS - ALBUQUERQUE 26517,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 26517,A81000C,00300,0600,THERAPY MANAGEMENT 26517,A81000C,00400,0100,B 26517,A81000C,00400,0200,MCHS - ALBUQUERQUE 26517,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 26517,A81000C,00400,0600,THERAPY MANAGEMENT 26517,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26517,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26517,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26517,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26517,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26517,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26517,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26517,B100000,00000,0800,00000MEALS SERVED :DIETARY 26517,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26517,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26517,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26517,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26517,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26517,S000000,00100,0200,10/31/2000 26517,S200000,00100,0100,2216 LESTER DRIVE NE 26517,S200000,00200,0100,ALBUQUERQUE 26517,S200000,00200,0200,NM 26517,S200000,00200,0300,87112- 26517,S200000,00300,0100,BERNALILLO 26517,S200000,00300,0200,200 26517,S200000,00300,0300,U 26517,S200000,00400,0100,MCHS - ALBUQUERQUE HEIGHTS 26517,S200000,00400,0200,325032 26517,S200000,00400,0300,12/01/1981 26517,S200000,00400,0500,P 26517,S200000,00400,0600,P 26517,S200000,01004,0500,O 26517,S200000,01600,0100,Y 26517,S200000,02200,0100,Y 26523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26523,A000000,00300,0000,00300EMPLOYEE BENEFITS 26523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26523,A000000,00700,0000,00700HOUSEKEEPING 26523,A000000,00800,0000,00800DIETARY 26523,A000000,00900,0000,00900NURSING ADMINISTRATION 26523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26523,A000000,01100,0000,01100PHARMACY 26523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26523,A000000,01300,0000,01300SOCIAL SERVICE 26523,A000000,01350,0000,01500RECREATION ACTIVITIES 26523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26523,A000000,01600,0000,01600SKILLED NURSING FACILITY 26523,A000000,01800,0000,01800NURSING FACILITY 26523,A000000,01810,0000,01810ICF/MR 26523,A000000,02100,0000,02100RADIOLOGY 26523,A000000,02200,0000,02200LABORATORY 26523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26523,A000000,02500,0000,02500PHYSICAL THERAPY 26523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26523,A000000,02700,0000,02700SPEECH PATHOLOGY 26523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26523,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26523,A000000,03051,0000,03301ENTERAL FEEDING 26523,A000000,03550,0000,03550FQHC 26523,A000000,05000,0000,05000CORF 26523,A000000,05010,0000,05010CMHC 26523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26523,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26523,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26523,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26523,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26523,A000000,06153,0000,06312DIALYSIS 26523,A000000,06154,0000,06320APARTMENTS 26523,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26523,A000000,06156,0000,06340CLOSED PATIENT AREAS 26523,A000000,06157,0000,06350O/P ADULT DAYCARE 26523,A81000A,00100,0100,Y 26523,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26523,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26523,A81000B,00300,0300,SYMPHONY MOBILEX 26523,A81000B,00400,0300,LTC LABS 26523,A81000B,00500,0300,CLINICAL ALLOCATION 26523,A81000B,00600,0300,REHAB ALLOCATION 26523,A81000B,00700,0300,REHAB ALLOCATION 26523,A81000B,00800,0300,REHAB ALLOCATION 26523,A81000C,00100,0100,B 26523,A81000C,00100,0400,IHS INC. 26523,A81000C,00100,0600,NURSING HOMES 26523,A81000C,00200,0100,G 26523,A81000C,00200,0400,SYMPHONY REHAB 26523,A81000C,00200,0600,REHAB SERVICES 26523,A81000C,00300,0100,G 26523,A81000C,00300,0400,LTC MED LAB 26523,A81000C,00300,0600,LABORATORY 26523,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26523,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26523,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26523,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26523,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26523,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26523,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26523,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26523,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26523,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26523,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26523,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26523,E10A180,00301,0100,01/03/2000 26523,E10A180,00351,0100,09/18/2000 26523,E10A180,00501,0100,12/11/2001 26523,E10A180,00501,0300,10/30/2000 26523,E10A180,00550,0100,10/30/2000 26523,E10A180,00551,0100,12/26/2000 26523,E10A180,00551,0300,12/26/2000 26523,S000000,00100,0200,11/01/2000 26523,S200000,00100,0100,2410 SABANA GRANDE 26523,S200000,00200,0100,ALBUQUERQUE 26523,S200000,00200,0200,NM 26523,S200000,00200,0300,87124- 26523,S200000,00300,0100,SANDOVAL 26523,S200000,00300,0200,0200 26523,S200000,00300,0300,U 26523,S200000,00400,0100,RIO RANCHO NRSG & REHAB CTR 26523,S200000,00400,0200,325033 26523,S200000,00400,0300,11/03/1982 26523,S200000,00400,0500,P 26523,S200000,00600,0200,325033 26523,S200000,00600,0300,11/03/1982 26523,S200000,00600,0600,P 26523,S200000,01600,0100,Y 26523,S200000,02200,0100,Y 26530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26530,A000000,00300,0000,00300EMPLOYEE BENEFITS 26530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26530,A000000,00700,0000,00700HOUSEKEEPING 26530,A000000,00800,0000,00800DIETARY 26530,A000000,00900,0000,00900NURSING ADMINISTRATION 26530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26530,A000000,01100,0000,01100PHARMACY 26530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26530,A000000,01300,0000,01300SOCIAL SERVICE 26530,A000000,01350,0000,01500RECREATION ACTIVITIES 26530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26530,A000000,01600,0000,01600SKILLED NURSING FACILITY 26530,A000000,01800,0000,01800NURSING FACILITY 26530,A000000,01810,0000,01810ICF/MR 26530,A000000,02100,0000,02100RADIOLOGY 26530,A000000,02200,0000,02200LABORATORY 26530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26530,A000000,02500,0000,02500PHYSICAL THERAPY 26530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26530,A000000,02700,0000,02700SPEECH PATHOLOGY 26530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26530,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26530,A000000,03051,0000,03301ENTERAL FEEDING 26530,A000000,03550,0000,03550FQHC 26530,A000000,05000,0000,05000CORF 26530,A000000,05010,0000,05010CMHC 26530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26530,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26530,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26530,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26530,A000000,06153,0000,06312DIALYSIS 26530,A000000,06154,0000,06320APARTMENTS 26530,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26530,A000000,06156,0000,06340CLOSED PATIENT AREAS 26530,A000000,06157,0000,06350O/P ADULT DAYCARE 26530,A81000A,00100,0100,Y 26530,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26530,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26530,A81000B,00300,0300,SYMPHONY MOBILEX 26530,A81000B,00400,0300,LTC LAB 26530,A81000B,00500,0300,CLINICAL ALLOCATION 26530,A81000B,00600,0300,REHAB ALLOCATION 26530,A81000B,00700,0300,REHAB ALLOCATION 26530,A81000B,00800,0300,REHAB ALLOCATION 26530,A81000C,00100,0100,B 26530,A81000C,00100,0400,IHS INC. 26530,A81000C,00100,0600,NURSING HOMES 26530,A81000C,00200,0100,G 26530,A81000C,00200,0400,SYMPHONY REHAB 26530,A81000C,00200,0600,REHAB SERVICES 26530,A81000C,00300,0100,G 26530,A81000C,00300,0400,LTC MED LAB 26530,A81000C,00300,0600,LABORATORY 26530,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26530,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26530,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26530,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26530,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26530,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26530,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26530,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26530,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26530,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26530,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26530,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26530,E10A180,00301,0100,01/03/2000 26530,E10A180,00302,0100,09/18/2000 26530,E10A180,00501,0100,12/26/2000 26530,E10A180,00550,0300,12/26/2000 26530,S000000,00100,0200,11/02/2000 26530,S200000,00100,0100,8100 PALAMOS AVE. NE 26530,S200000,00200,0100,ALBUQUERQUE 26530,S200000,00200,0200,NM 26530,S200000,00200,0300,87109- 26530,S200000,00300,0100,BERNALILLO 26530,S200000,00300,0200,0200 26530,S200000,00300,0300,U 26530,S200000,00400,0100,LAS PALOMAS NRSG & REHAB CTR 26530,S200000,00400,0200,325036 26530,S200000,00400,0300,03/24/1983 26530,S200000,00400,0500,P 26530,S200000,00600,0200,325036 26530,S200000,00600,0300,03/24/1983 26530,S200000,00600,0600,P 26530,S200000,01600,0100,Y 26530,S200000,02200,0100,Y 26537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26537,A000000,00300,0000,00300EMPLOYEE BENEFITS 26537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26537,A000000,00700,0000,00700HOUSEKEEPING 26537,A000000,00800,0000,00800DIETARY 26537,A000000,00900,0000,00900NURSING ADMINISTRATION 26537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26537,A000000,01100,0000,01100PHARMACY 26537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26537,A000000,01300,0000,01300SOCIAL SERVICE 26537,A000000,01350,0000,01500RECREATION ACTIVITIES 26537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26537,A000000,01600,0000,01600SKILLED NURSING FACILITY 26537,A000000,01800,0000,01800NURSING FACILITY 26537,A000000,01810,0000,01810ICF/MR 26537,A000000,02100,0000,02100RADIOLOGY 26537,A000000,02200,0000,02200LABORATORY 26537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26537,A000000,02500,0000,02500PHYSICAL THERAPY 26537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26537,A000000,02700,0000,02700SPEECH PATHOLOGY 26537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26537,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26537,A000000,03051,0000,03301ENTERAL FEEDING 26537,A000000,03550,0000,03550FQHC 26537,A000000,05000,0000,05000CORF 26537,A000000,05010,0000,05010CMHC 26537,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26537,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26537,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26537,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26537,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26537,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26537,A000000,06153,0000,06312DIALYSIS 26537,A000000,06154,0000,06320APARTMENTS 26537,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26537,A000000,06156,0000,06340CLOSED PATIENT AREAS 26537,A000000,06157,0000,06350O/P ADULT DAYCARE 26537,A81000A,00100,0100,Y 26537,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26537,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26537,A81000B,00300,0300,SYMPHONY MOBILEX 26537,A81000B,00400,0300,LTC LAB 26537,A81000B,00500,0300,CLINICAL ALLOCATION 26537,A81000B,00600,0300,REHAB ALLOCATION 26537,A81000B,00700,0300,REHAB ALLOCATION 26537,A81000B,00800,0300,REHAB ALLOCATION 26537,A81000C,00100,0100,B 26537,A81000C,00100,0400,IHS INC. 26537,A81000C,00100,0600,NURSING HOMES 26537,A81000C,00200,0100,G 26537,A81000C,00200,0400,SYMPHONY REHAB 26537,A81000C,00200,0600,REHAB SERVICES 26537,A81000C,00300,0100,G 26537,A81000C,00300,0400,LTC MED LAB 26537,A81000C,00300,0600,LABORATORY 26537,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26537,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26537,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26537,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26537,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26537,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26537,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26537,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26537,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26537,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26537,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26537,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26537,E10A180,00301,0100,01/03/2000 26537,E10A180,00351,0100,09/18/2000 26537,E10A180,00501,0300,12/26/2000 26537,E10A180,00550,0100,12/26/2000 26537,S000000,00100,0200,11/01/2000 26537,S200000,00100,0100,5901 OURAY ROAD 26537,S200000,00200,0100,ALBUQUERQUE 26537,S200000,00200,0200,NM 26537,S200000,00200,0300,87120- 26537,S200000,00300,0100,BERNALILLO 26537,S200000,00300,0200,0200 26537,S200000,00300,0300,U 26537,S200000,00400,0100,LADERA NURSING & REHAB CTR 26537,S200000,00400,0200,325037 26537,S200000,00400,0300,05/26/1983 26537,S200000,00400,0500,P 26537,S200000,00600,0200,325037 26537,S200000,00600,0300,05/26/1983 26537,S200000,00600,0600,P 26537,S200000,01600,0100,Y 26537,S200000,02200,0100,Y 26544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26544,A000000,00300,0000,00300EMPLOYEE BENEFITS 26544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26544,A000000,00700,0000,00700HOUSEKEEPING 26544,A000000,00800,0000,00800DIETARY 26544,A000000,00900,0000,00900NURSING ADMINISTRATION 26544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26544,A000000,01100,0000,01100PHARMACY 26544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26544,A000000,01300,0000,01300SOCIAL SERVICE 26544,A000000,01350,0000,01500RECREATION ACTIVITIES 26544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26544,A000000,01600,0000,01600SKILLED NURSING FACILITY 26544,A000000,01800,0000,01800NURSING FACILITY 26544,A000000,01810,0000,01810ICF/MR 26544,A000000,02100,0000,02100RADIOLOGY 26544,A000000,02200,0000,02200LABORATORY 26544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26544,A000000,02500,0000,02500PHYSICAL THERAPY 26544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26544,A000000,02700,0000,02700SPEECH PATHOLOGY 26544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26544,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26544,A000000,03051,0000,03301ENTERAL FEEDING 26544,A000000,03550,0000,03550FQHC 26544,A000000,05000,0000,05000CORF 26544,A000000,05010,0000,05010CMHC 26544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26544,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26544,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26544,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26544,A000000,06153,0000,06312DIALYSIS 26544,A000000,06154,0000,06320APARTMENTS 26544,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26544,A000000,06156,0000,06340CLOSED PATIENT AREAS 26544,A000000,06157,0000,06350O/P ADULT DAYCARE 26544,A81000A,00100,0100,Y 26544,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26544,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26544,A81000B,00300,0300,SYMPHONY MOBILEX 26544,A81000B,00400,0300,LTC LAB 26544,A81000B,00500,0300,CLINICAL ALLOCATION 26544,A81000B,00600,0300,REHAB ALLOCATION 26544,A81000B,00700,0300,REHAB ALLOCATION 26544,A81000B,00800,0300,REHAB ALLOCATION 26544,A81000C,00100,0100,B 26544,A81000C,00100,0400,IHS INC. 26544,A81000C,00100,0600,NURSING HOMES 26544,A81000C,00200,0100,G 26544,A81000C,00200,0400,SYMPHONY REHAB 26544,A81000C,00200,0600,REHAB SERVICES 26544,A81000C,00300,0100,G 26544,A81000C,00300,0400,LTC MED LAB 26544,A81000C,00300,0600,LABORATORY 26544,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26544,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26544,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26544,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26544,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26544,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26544,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26544,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26544,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26544,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26544,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26544,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26544,E10A180,00301,0100,01/03/2000 26544,E10A180,00351,0100,09/18/2000 26544,E10A180,00501,0100,12/26/2000 26544,E10A180,00550,0300,12/26/2000 26544,S000000,00100,0200,11/01/2000 26544,S200000,00100,0100,1650 GALISTEO STREET 26544,S200000,00200,0100,SANTA FE 26544,S200000,00200,0200,NM 26544,S200000,00200,0300,87501- 26544,S200000,00300,0100,SANTA FE 26544,S200000,00300,0200,7490 26544,S200000,00300,0300,U 26544,S200000,00400,0100,CASA REAL HEALTH CARE CENTER 26544,S200000,00400,0200,325038 26544,S200000,00400,0300,03/15/1991 26544,S200000,00400,0500,P 26544,S200000,00600,0200,325038 26544,S200000,00600,0300,03/15/1991 26544,S200000,00600,0600,P 26544,S200000,01600,0100,Y 26544,S200000,02200,0100,Y 26552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26552,A000000,00300,0000,00300EMPLOYEE BENEFITS 26552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26552,A000000,00700,0000,00700HOUSEKEEPING 26552,A000000,00800,0000,00800DIETARY 26552,A000000,00900,0000,00900NURSING ADMINISTRATION 26552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26552,A000000,01100,0000,01100PHARMACY 26552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26552,A000000,01300,0000,01300SOCIAL SERVICE 26552,A000000,01350,0000,01500RECREATION ACTIVITIES 26552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26552,A000000,01600,0000,01600SKILLED NURSING FACILITY 26552,A000000,01800,0000,01800NURSING FACILITY 26552,A000000,01810,0000,01810ICF/MR 26552,A000000,02100,0000,02100RADIOLOGY 26552,A000000,02200,0000,02200LABORATORY 26552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26552,A000000,02500,0000,02500PHYSICAL THERAPY 26552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26552,A000000,02700,0000,02700SPEECH PATHOLOGY 26552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26552,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26552,A000000,03051,0000,03301ENTERAL FEEDING 26552,A000000,03550,0000,03550FQHC 26552,A000000,05000,0000,05000CORF 26552,A000000,05010,0000,05010CMHC 26552,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26552,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26552,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26552,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26552,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26552,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26552,A000000,06153,0000,06312DIALYSIS 26552,A000000,06154,0000,06320APARTMENTS 26552,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26552,A000000,06156,0000,06340CLOSED PATIENT AREAS 26552,A000000,06157,0000,06350O/P ADULT DAYCARE 26552,A81000A,00100,0100,Y 26552,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26552,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26552,A81000B,00300,0300,SYMPHONY MOBILEX 26552,A81000B,00400,0300,LTC LAB 26552,A81000B,00500,0300,CLINICAL ALLOCATION 26552,A81000B,00600,0300,REHAB ALLOCATION 26552,A81000B,00700,0300,REHAB ALLOCATION 26552,A81000B,00800,0300,REHAB ALLOCATION 26552,A81000C,00100,0100,B 26552,A81000C,00100,0400,IHS INC. 26552,A81000C,00100,0600,NURSING HOMES 26552,A81000C,00200,0100,G 26552,A81000C,00200,0400,SYMPHONY REHAB 26552,A81000C,00200,0600,REHAB SERVICES 26552,A81000C,00300,0100,G 26552,A81000C,00300,0400,LTC MED LAB 26552,A81000C,00300,0600,LABORATORY 26552,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26552,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26552,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26552,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26552,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26552,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26552,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26552,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26552,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26552,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26552,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26552,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26552,E10A180,00301,0100,09/18/2000 26552,E10A180,00351,0100,01/03/2000 26552,E10A180,00501,0100,12/11/2001 26552,E10A180,00501,0300,10/30/2000 26552,E10A180,00550,0100,10/30/2000 26552,E10A180,00551,0100,12/26/2000 26552,E10A180,00551,0300,12/26/2000 26552,S000000,00100,0200,11/01/2000 26552,S200000,00100,0100,2029 SAGECREST CT 26552,S200000,00200,0100,LAS CRUCES 26552,S200000,00200,0200,NM 26552,S200000,00200,0300,88001- 26552,S200000,00300,0100,DONA ANA 26552,S200000,00300,0200,4100 26552,S200000,00300,0300,U 26552,S200000,00400,0100,LAS CRUCES NURSING CENTER 26552,S200000,00400,0200,325039 26552,S200000,00400,0300,04/05/1991 26552,S200000,00400,0500,P 26552,S200000,00600,0200,325039 26552,S200000,00600,0300,04/05/1991 26552,S200000,00600,0600,P 26552,S200000,01600,0100,Y 26552,S200000,02200,0100,Y 26559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26559,A000000,00300,0000,00300EMPLOYEE BENEFITS 26559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26559,A000000,00700,0000,00700HOUSEKEEPING 26559,A000000,00800,0000,00800DIETARY 26559,A000000,00900,0000,00900NURSING ADMINISTRATION 26559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26559,A000000,01100,0000,01100PHARMACY 26559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26559,A000000,01300,0000,01300SOCIAL SERVICE 26559,A000000,01350,0000,01500RECREATION ACTIVITIES 26559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26559,A000000,01600,0000,01600SKILLED NURSING FACILITY 26559,A000000,01800,0000,01800NURSING FACILITY 26559,A000000,01810,0000,01810ICF/MR 26559,A000000,02200,0000,02200LABORATORY 26559,A000000,02500,0000,02500PHYSICAL THERAPY 26559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26559,A000000,02700,0000,02700SPEECH PATHOLOGY 26559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26559,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26559,A000000,03051,0000,03301ENTERAL FEEDING 26559,A000000,03550,0000,03550FQHC 26559,A000000,05000,0000,05000CORF 26559,A000000,05010,0000,05010CMHC 26559,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26559,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26559,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26559,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26559,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26559,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26559,A000000,06153,0000,06312DIALYSIS 26559,A000000,06154,0000,06320APARTMENTS 26559,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26559,A000000,06156,0000,06340CLOSED PATIENT AREAS 26559,A000000,06157,0000,06350O/P ADULT DAYCARE 26559,A81000A,00100,0100,Y 26559,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26559,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26559,A81000B,00300,0300,CLINICAL ALLOCATION 26559,A81000B,00400,0300,REHAB ALLOCATION 26559,A81000B,00500,0300,REHAB ALLOCATION 26559,A81000B,00600,0300,REHAB ALLOCATION 26559,A81000C,00100,0100,B 26559,A81000C,00100,0400,IHS INC. 26559,A81000C,00100,0600,NURSING HOMES 26559,A81000C,00200,0100,G 26559,A81000C,00200,0400,SYMPHONY REHAB 26559,A81000C,00200,0600,REHAB SERVICES 26559,A81000C,00300,0100,G 26559,A81000C,00300,0400,LTC MED LAB 26559,A81000C,00300,0600,LABORATORY 26559,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26559,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26559,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26559,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26559,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26559,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26559,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26559,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26559,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26559,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26559,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26559,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26559,E10A180,00301,0100,09/18/2000 26559,E10A180,00351,0100,01/03/2000 26559,E10A180,00501,0100,12/11/2001 26559,E10A180,00550,0100,10/30/2000 26559,E10A180,00551,0100,12/26/2000 26559,S000000,00100,0200,11/01/2000 26559,S200000,00100,0100,5715 LOVINGSTON HWY 26559,S200000,00200,0100,HOBBS 26559,S200000,00200,0200,NM 26559,S200000,00200,0300,88240- 26559,S200000,00300,0100,LEA 26559,S200000,00300,0200,32 26559,S200000,00300,0300,R 26559,S200000,00400,0100,HOBBS HEALTH CARE CENTER 26559,S200000,00400,0200,325040 26559,S200000,00400,0300,11/01/1987 26559,S200000,00400,0500,P 26559,S200000,00600,0200,325040 26559,S200000,00600,0300,11/01/1987 26559,S200000,00600,0600,P 26559,S200000,01600,0100,Y 26559,S200000,02200,0100,Y 26585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26585,A000000,00300,0000,00300EMPLOYEE BENEFITS 26585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26585,A000000,00700,0000,00700HOUSEKEEPING 26585,A000000,00800,0000,00800DIETARY 26585,A000000,00900,0000,00900NURSING ADMINISTRATION 26585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26585,A000000,01100,0000,01100PHARMACY 26585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26585,A000000,01300,0000,01300SOCIAL SERVICE 26585,A000000,01350,0000,01500RECREATION ACTIVITIES 26585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26585,A000000,01600,0000,01600SKILLED NURSING FACILITY 26585,A000000,01800,0000,01800NURSING FACILITY 26585,A000000,01810,0000,01810ICF/MR 26585,A000000,02100,0000,02100RADIOLOGY 26585,A000000,02200,0000,02200LABORATORY 26585,A000000,02500,0000,02500PHYSICAL THERAPY 26585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26585,A000000,02700,0000,02700SPEECH PATHOLOGY 26585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26585,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26585,A000000,03051,0000,03301ENTERAL FEEDING 26585,A000000,03550,0000,03550FQHC 26585,A000000,05000,0000,05000CORF 26585,A000000,05010,0000,05010CMHC 26585,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26585,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26585,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26585,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26585,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26585,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26585,A000000,06153,0000,06312DIALYSIS 26585,A000000,06154,0000,06320APARTMENTS 26585,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26585,A000000,06156,0000,06340CLOSED PATIENT AREAS 26585,A000000,06157,0000,06350O/P ADULT DAYCARE 26585,A81000A,00100,0100,Y 26585,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26585,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26585,A81000B,00300,0300,CLINICAL ALLOCATION 26585,A81000B,00400,0300,REHAB ALLOCATION 26585,A81000B,00500,0300,REHAB ALLOCATION 26585,A81000B,00600,0300,REHAB ALLOCATION 26585,A81000C,00100,0100,B 26585,A81000C,00100,0400,IHS INC. 26585,A81000C,00100,0600,NURSING HOMES 26585,A81000C,00200,0100,G 26585,A81000C,00200,0400,SYMPHONY REHAB 26585,A81000C,00200,0600,REHAB SERVICES 26585,A81000C,00300,0100,G 26585,A81000C,00300,0400,LTC MED LAB 26585,A81000C,00300,0600,LABORATORY 26585,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26585,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26585,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26585,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26585,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26585,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26585,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26585,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26585,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26585,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26585,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26585,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26585,E10A180,00351,0100,01/03/2000 26585,E10A180,00352,0100,09/18/2000 26585,E10A180,00501,0100,12/11/2001 26585,E10A180,00550,0100,10/30/2000 26585,E10A180,00551,0100,12/26/2000 26585,S000000,00100,0200,11/01/2000 26585,S200000,00100,0100,205 MOONGLOW 26585,S200000,00200,0100,ALAMOGORDO 26585,S200000,00200,0200,NM 26585,S200000,00200,0300,88310- 26585,S200000,00300,0100,OTERO 26585,S200000,00300,0200,32 26585,S200000,00300,0300,R 26585,S200000,00400,0100,CASA ARENA BLANCA NURSING CTR 26585,S200000,00400,0200,325043 26585,S200000,00400,0300,03/15/1991 26585,S200000,00400,0500,P 26585,S200000,00600,0200,325043 26585,S200000,00600,0300,03/15/1991 26585,S200000,00600,0600,P 26585,S200000,01600,0100,Y 26585,S200000,02200,0100,Y 26592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26592,A000000,00300,0000,00300EMPLOYEE BENEFITS 26592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26592,A000000,00700,0000,00700HOUSEKEEPING 26592,A000000,00800,0000,00800DIETARY 26592,A000000,00900,0000,00900NURSING ADMINISTRATION 26592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26592,A000000,01100,0000,01100PHARMACY 26592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26592,A000000,01300,0000,01300SOCIAL SERVICE 26592,A000000,01350,0000,01500RECREATION ACTIVITIES 26592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26592,A000000,01600,0000,01600SKILLED NURSING FACILITY 26592,A000000,01800,0000,01800NURSING FACILITY 26592,A000000,01810,0000,01810ICF/MR 26592,A000000,02200,0000,02200LABORATORY 26592,A000000,02500,0000,02500PHYSICAL THERAPY 26592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26592,A000000,02700,0000,02700SPEECH PATHOLOGY 26592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26592,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26592,A000000,03051,0000,03301ENTERAL FEEDING 26592,A000000,03550,0000,03550FQHC 26592,A000000,05000,0000,05000CORF 26592,A000000,05010,0000,05010CMHC 26592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26592,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26592,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26592,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26592,A000000,06153,0000,06312DIALYSIS 26592,A000000,06154,0000,06320APARTMENTS 26592,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26592,A000000,06156,0000,06340CLOSED PATIENT AREAS 26592,A000000,06157,0000,06350O/P ADULT DAYCARE 26592,A81000A,00100,0100,Y 26592,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26592,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26592,A81000B,00300,0300,CLINICAL ALLOCATION 26592,A81000B,00400,0300,REHAB ALLOCATION 26592,A81000B,00500,0300,REHAB ALLOCATION 26592,A81000B,00600,0300,REHAB ALLOCATION 26592,A81000C,00100,0100,B 26592,A81000C,00100,0400,IHS INC. 26592,A81000C,00100,0600,NURSING HOMES 26592,A81000C,00200,0100,G 26592,A81000C,00200,0400,SYMPHONY REHAB 26592,A81000C,00200,0600,REHAB SERVICES 26592,A81000C,00300,0100,G 26592,A81000C,00300,0400,LTC MED LAB 26592,A81000C,00300,0600,LABORATORY 26592,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26592,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26592,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26592,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26592,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26592,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26592,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26592,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26592,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26592,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26592,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26592,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26592,E10A180,00301,0100,09/18/2000 26592,E10A180,00351,0100,01/03/2000 26592,E10A180,00501,0100,12/26/2000 26592,E10A180,00502,0100,12/11/2001 26592,E10A180,00550,0100,10/30/2000 26592,E10A180,00550,0300,10/30/2000 26592,S000000,00100,0200,11/01/2000 26592,S200000,00100,0100,3200 MISSION ARCH RD. 26592,S200000,00200,0100,ROSWELL 26592,S200000,00200,0200,NM 26592,S200000,00200,0300,88201- 26592,S200000,00300,0100,CHAVES 26592,S200000,00300,0200,0032 26592,S200000,00300,0300,R 26592,S200000,00400,0100,MISSION ARCH CARE CENTER 26592,S200000,00400,0200,325044 26592,S200000,00400,0300,12/16/1985 26592,S200000,00400,0500,P 26592,S200000,00600,0200,325044 26592,S200000,00600,0300,12/16/1985 26592,S200000,00600,0600,P 26592,S200000,01600,0100,Y 26592,S200000,02200,0100,Y 26599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26599,A000000,00300,0000,00300EMPLOYEE BENEFITS 26599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26599,A000000,00700,0000,00700HOUSEKEEPING 26599,A000000,00800,0000,00800DIETARY 26599,A000000,00900,0000,00900NURSING ADMINISTRATION 26599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26599,A000000,01100,0000,01100PHARMACY 26599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26599,A000000,01300,0000,01300SOCIAL SERVICE 26599,A000000,01350,0000,01500RECREATION ACTIVITIES 26599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26599,A000000,01600,0000,01600SKILLED NURSING FACILITY 26599,A000000,01800,0000,01800NURSING FACILITY 26599,A000000,01810,0000,01810ICF/MR 26599,A000000,02100,0000,02100RADIOLOGY 26599,A000000,02200,0000,02200LABORATORY 26599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26599,A000000,02500,0000,02500PHYSICAL THERAPY 26599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26599,A000000,02700,0000,02700SPEECH PATHOLOGY 26599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26599,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26599,A000000,03051,0000,03301ENTERAL FEEDING 26599,A000000,03550,0000,03550FQHC 26599,A000000,05000,0000,05000CORF 26599,A000000,05010,0000,05010CMHC 26599,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26599,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26599,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26599,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26599,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26599,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26599,A000000,06153,0000,06312DIALYSIS 26599,A000000,06154,0000,06320APARTMENTS 26599,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26599,A000000,06156,0000,06340CLOSED PATIENT AREAS 26599,A000000,06157,0000,06350O/P ADULT DAYCARE 26599,A81000A,00100,0100,Y 26599,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26599,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26599,A81000B,00300,0300,SYMPHONY REHAB 26599,A81000B,00400,0300,SYMPHONY REHAB 26599,A81000B,00500,0300,SYMPHONY REHAB 26599,A81000B,00600,0300,SYMPHONY REHAB 26599,A81000B,00700,0300,SYMPHONY MOBILEX 26599,A81000B,00800,0300,CLINICAL ALLOCATION 26599,A81000B,00900,0300,REHAB ALLOCATION 26599,A81000B,01000,0300,REHAB ALLOCATION 26599,A81000B,01100,0300,REHAB ALLOCATION 26599,A81000C,00100,0100,B 26599,A81000C,00100,0400,IHS INC. 26599,A81000C,00100,0600,NURSING HOMES 26599,A81000C,00200,0100,G 26599,A81000C,00200,0400,SYMPHONY REHAB 26599,A81000C,00200,0600,REHAB SERVICES 26599,A81000C,00300,0100,G 26599,A81000C,00300,0400,LTC MED LAB 26599,A81000C,00300,0600,LABORATORY 26599,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26599,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26599,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26599,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26599,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26599,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26599,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26599,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26599,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26599,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26599,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26599,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26599,E10A180,00301,0100,01/03/2000 26599,E10A180,00351,0100,09/18/2000 26599,E10A180,00501,0100,12/26/2000 26599,E10A180,00550,0300,12/26/2000 26599,S000000,00100,0200,11/01/2000 26599,S200000,00100,0100,1005 HILL ROAD 26599,S200000,00200,0100,LAS CRUCES 26599,S200000,00200,0200,NM 26599,S200000,00200,0300,88005- 26599,S200000,00300,0100,DONA ANA 26599,S200000,00300,0200,4100 26599,S200000,00300,0300,U 26599,S200000,00400,0100,CASA DE ORO CARE CENTER 26599,S200000,00400,0200,325047 26599,S200000,00400,0300,06/02/1989 26599,S200000,00400,0500,P 26599,S200000,00600,0200,325047 26599,S200000,00600,0300,06/02/1989 26599,S200000,00600,0600,P 26599,S200000,01600,0100,Y 26599,S200000,02200,0100,Y 26606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26606,A000000,00300,0000,00300EMPLOYEE BENEFITS 26606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26606,A000000,00700,0000,00700HOUSEKEEPING 26606,A000000,00800,0000,00800DIETARY 26606,A000000,00900,0000,00900NURSING ADMINISTRATION 26606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26606,A000000,01100,0000,01100PHARMACY 26606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26606,A000000,01300,0000,01300SOCIAL SERVICE 26606,A000000,01350,0000,01500RECREATION ACTIVITIES 26606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26606,A000000,01600,0000,01600SKILLED NURSING FACILITY 26606,A000000,01800,0000,01800NURSING FACILITY 26606,A000000,01810,0000,01810ICF/MR 26606,A000000,02100,0000,02100RADIOLOGY 26606,A000000,02200,0000,02200LABORATORY 26606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26606,A000000,02500,0000,02500PHYSICAL THERAPY 26606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26606,A000000,02700,0000,02700SPEECH PATHOLOGY 26606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26606,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26606,A000000,03051,0000,03301ENTERAL FEEDING 26606,A000000,03550,0000,03550FQHC 26606,A000000,05000,0000,05000CORF 26606,A000000,05010,0000,05010CMHC 26606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26606,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26606,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26606,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26606,A000000,06153,0000,06312DIALYSIS 26606,A000000,06154,0000,06320APARTMENTS 26606,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26606,A000000,06156,0000,06340CLOSED PATIENT AREAS 26606,A000000,06157,0000,06350O/P ADULT DAYCARE 26606,A81000A,00100,0100,Y 26606,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26606,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26606,A81000B,00300,0300,CLINICAL ALLOCATION 26606,A81000B,00400,0300,REHAB ALLOCATION 26606,A81000B,00500,0300,REHAB ALLOCATION 26606,A81000B,00600,0300,REHAB ALLOCATION 26606,A81000C,00100,0100,B 26606,A81000C,00100,0400,IHS INC. 26606,A81000C,00100,0600,NURSING HOMES 26606,A81000C,00200,0100,G 26606,A81000C,00200,0400,SYMPHONY REHAB 26606,A81000C,00200,0600,REHAB SERVICES 26606,A81000C,00300,0100,G 26606,A81000C,00300,0400,LTC MED LAB 26606,A81000C,00300,0600,LABORATORY 26606,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26606,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26606,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26606,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26606,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26606,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26606,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26606,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26606,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26606,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26606,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26606,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26606,E10A180,00301,0100,01/03/2000 26606,E10A180,00351,0100,09/18/2000 26606,E10A180,00501,0100,12/06/2001 26606,E10A180,00501,0300,12/06/2001 26606,E10A180,00550,0100,10/30/2000 26606,E10A180,00550,0300,10/30/2000 26606,E10A180,00551,0100,12/26/2000 26606,S000000,00100,0200,11/01/2000 26606,S200000,00100,0100,720 HACIENDA STREET 26606,S200000,00200,0100,ESPANOLA 26606,S200000,00200,0200,NM 26606,S200000,00200,0300,87523- 26606,S200000,00300,0100,RIO ARRIBA 26606,S200000,00300,0200,32 26606,S200000,00300,0300,R 26606,S200000,00400,0100,ESPANOLA VALLEY NRSG & REHAB 26606,S200000,00400,0200,325059 26606,S200000,00400,0300,02/01/1992 26606,S200000,00400,0500,P 26606,S200000,00600,0200,325059 26606,S200000,00600,0300,02/01/1992 26606,S200000,00600,0600,P 26606,S200000,01600,0100,Y 26606,S200000,02200,0100,Y 26613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26613,A000000,00300,0000,00300EMPLOYEE BENEFITS 26613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26613,A000000,00700,0000,00700HOUSEKEEPING 26613,A000000,00800,0000,00800DIETARY 26613,A000000,00900,0000,00900NURSING ADMINISTRATION 26613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26613,A000000,01100,0000,01100PHARMACY 26613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26613,A000000,01300,0000,01300SOCIAL SERVICE 26613,A000000,01350,0000,01500RECREATION ACTIVITIES 26613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26613,A000000,01600,0000,01600SKILLED NURSING FACILITY 26613,A000000,01800,0000,01800NURSING FACILITY 26613,A000000,01810,0000,01810ICF/MR 26613,A000000,02100,0000,02100RADIOLOGY 26613,A000000,02200,0000,02200LABORATORY 26613,A000000,02500,0000,02500PHYSICAL THERAPY 26613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26613,A000000,02700,0000,02700SPEECH PATHOLOGY 26613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26613,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26613,A000000,03051,0000,03301ENTERAL FEEDING 26613,A000000,03550,0000,03550FQHC 26613,A000000,05000,0000,05000CORF 26613,A000000,05010,0000,05010CMHC 26613,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26613,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26613,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26613,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26613,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26613,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26613,A000000,06153,0000,06312DIALYSIS 26613,A000000,06154,0000,06320APARTMENTS 26613,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26613,A000000,06156,0000,06340CLOSED PATIENT AREAS 26613,A000000,06157,0000,06350O/P ADULT DAYCARE 26613,A81000A,00100,0100,Y 26613,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26613,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26613,A81000B,00300,0300,SYMPHONY REHAB 26613,A81000B,00400,0300,CLINICAL ALLOCATION 26613,A81000B,00500,0300,REHAB ALLOCATION 26613,A81000B,00600,0300,REHAB ALLOCATION 26613,A81000B,00700,0300,REHAB ALLOCATION 26613,A81000B,00800,0300,LYRIC HOME OFFICE 26613,A81000B,00900,0300,LYRIC HOME OFFICE 26613,A81000C,00100,0100,B 26613,A81000C,00100,0400,IHS INC. 26613,A81000C,00100,0600,NURSING HOMES 26613,A81000C,00200,0100,G 26613,A81000C,00200,0400,SYMPHONY REHAB 26613,A81000C,00200,0600,REHAB SERVICES 26613,A81000C,00300,0100,G 26613,A81000C,00300,0400,LTC MED LAB 26613,A81000C,00300,0600,LABORATORY 26613,A81000C,00400,0100,B 26613,A81000C,00400,0400,LYRIC CORP 26613,A81000C,00400,0600,NURSING HOMES 26613,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26613,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26613,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26613,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26613,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26613,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26613,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26613,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26613,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26613,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26613,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26613,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26613,E10A180,00351,0100,01/03/2000 26613,E10A180,00352,0100,09/18/2000 26613,E10A180,00501,0100,12/26/2000 26613,E10A180,00501,0300,12/26/2000 26613,S000000,00100,0200,11/01/2000 26613,S200000,00100,0100,5TH & D STREET 26613,S200000,00100,0300,2214 26613,S200000,00200,0100,RUIDOSO 26613,S200000,00200,0200,NM 26613,S200000,00200,0300,88345- 26613,S200000,00300,0100,LINCOLN 26613,S200000,00300,0200,32 26613,S200000,00300,0300,R 26613,S200000,00400,0100,RUIDOSO CARE CENTER 26613,S200000,00400,0200,325063 26613,S200000,00400,0300,03/01/1992 26613,S200000,00400,0500,P 26613,S200000,00600,0200,325063 26613,S200000,00600,0300,03/01/1992 26613,S200000,00600,0600,P 26613,S200000,01600,0100,Y 26613,S200000,02200,0100,Y 26613,S200000,04900,0100,Y 26620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26620,A000000,00300,0000,00300EMPLOYEE BENEFITS 26620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26620,A000000,00700,0000,00700HOUSEKEEPING 26620,A000000,00800,0000,00800DIETARY 26620,A000000,00900,0000,00900NURSING ADMINISTRATION 26620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26620,A000000,01100,0000,01100PHARMACY 26620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26620,A000000,01300,0000,01300SOCIAL SERVICE 26620,A000000,01350,0000,01500RECREATION ACTIVITIES 26620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26620,A000000,01600,0000,01600SKILLED NURSING FACILITY 26620,A000000,01800,0000,01800NURSING FACILITY 26620,A000000,01810,0000,01810ICF/MR 26620,A000000,02100,0000,02100RADIOLOGY 26620,A000000,02200,0000,02200LABORATORY 26620,A000000,02500,0000,02500PHYSICAL THERAPY 26620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26620,A000000,02700,0000,02700SPEECH PATHOLOGY 26620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26620,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26620,A000000,03051,0000,03301ENTERAL FEEDING 26620,A000000,03550,0000,03550FQHC 26620,A000000,05000,0000,05000CORF 26620,A000000,05010,0000,05010CMHC 26620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26620,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26620,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26620,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26620,A000000,06153,0000,06312DIALYSIS 26620,A000000,06154,0000,06320APARTMENTS 26620,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26620,A000000,06156,0000,06340CLOSED PATIENT AREAS 26620,A000000,06157,0000,06350O/P ADULT DAYCARE 26620,A81000A,00100,0100,Y 26620,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26620,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26620,A81000B,00300,0300,SYMPHONY REHAB 26620,A81000B,00400,0300,CLINICAL ALLOCATION 26620,A81000B,00500,0300,REHAB ALLOCATION 26620,A81000B,00600,0300,REHAB ALLOCATION 26620,A81000B,00700,0300,REHAB ALLOCATION 26620,A81000C,00100,0100,B 26620,A81000C,00100,0400,IHS INC. 26620,A81000C,00100,0600,NURSING HOMES 26620,A81000C,00200,0100,G 26620,A81000C,00200,0400,SYMPHONY REHAB 26620,A81000C,00200,0600,REHAB SERVICES 26620,A81000C,00300,0100,G 26620,A81000C,00300,0400,LTC MED LAB 26620,A81000C,00300,0600,LABORATORY 26620,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26620,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26620,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26620,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26620,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26620,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26620,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26620,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26620,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26620,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26620,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26620,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26620,E10A180,00351,0100,01/03/2000 26620,E10A180,00352,0100,09/18/2000 26620,E10A180,00501,0100,12/26/2000 26620,S000000,00100,0200,11/01/2000 26620,S200000,00100,0100,2301 COLLINS DRIVE 26620,S200000,00200,0100,LAS VEGAS 26620,S200000,00200,0200,NM 26620,S200000,00200,0300,87701- 26620,S200000,00300,0100,SAN MIGUEL 26620,S200000,00300,0200,32 26620,S200000,00300,0300,R 26620,S200000,00400,0100,SOUTHWEST SENIOR CARE CENTER 26620,S200000,00400,0200,325065 26620,S200000,00400,0300,03/01/1992 26620,S200000,00400,0500,P 26620,S200000,00600,0200,325065 26620,S200000,00600,0300,03/01/1992 26620,S200000,00600,0600,P 26620,S200000,01600,0100,Y 26620,S200000,02200,0100,Y 26627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26627,A000000,00300,0000,00300EMPLOYEE BENEFITS 26627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26627,A000000,00700,0000,00700HOUSEKEEPING 26627,A000000,00800,0000,00800DIETARY 26627,A000000,00900,0000,00900NURSING ADMINISTRATION 26627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26627,A000000,01100,0000,01100PHARMACY 26627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26627,A000000,01300,0000,01300SOCIAL SERVICE 26627,A000000,01350,0000,01500RECREATION ACTIVITIES 26627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26627,A000000,01600,0000,01600SKILLED NURSING FACILITY 26627,A000000,01800,0000,01800NURSING FACILITY 26627,A000000,01810,0000,01810ICF/MR 26627,A000000,02200,0000,02200LABORATORY 26627,A000000,02500,0000,02500PHYSICAL THERAPY 26627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26627,A000000,02700,0000,02700SPEECH PATHOLOGY 26627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26627,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26627,A000000,03051,0000,03301ENTERAL FEEDING 26627,A000000,03550,0000,03550FQHC 26627,A000000,05000,0000,05000CORF 26627,A000000,05010,0000,05010CMHC 26627,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26627,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26627,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26627,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26627,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26627,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26627,A000000,06153,0000,06312DIALYSIS 26627,A000000,06154,0000,06320APARTMENTS 26627,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26627,A000000,06156,0000,06340CLOSED PATIENT AREAS 26627,A000000,06157,0000,06350O/P ADULT DAYCARE 26627,A81000A,00100,0100,Y 26627,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26627,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26627,A81000B,00300,0300,SYMPHONY REHAB 26627,A81000B,00400,0300,SYMPHONY REHAB 26627,A81000B,00500,0300,CLINICAL ALLOCATION 26627,A81000B,00600,0300,REHAB ALLOCATION 26627,A81000B,00700,0300,REHAB ALLOCATION 26627,A81000B,00800,0300,REHAB ALLOCATION 26627,A81000C,00100,0100,B 26627,A81000C,00100,0400,IHS INC. 26627,A81000C,00100,0600,NURSING HOMES 26627,A81000C,00200,0100,G 26627,A81000C,00200,0400,SYMPHONY REHAB 26627,A81000C,00200,0600,REHAB SERVICES 26627,A81000C,00300,0100,G 26627,A81000C,00300,0400,LTC MED LAB 26627,A81000C,00300,0600,LABORATORY 26627,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26627,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26627,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26627,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26627,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26627,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26627,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26627,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26627,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26627,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26627,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26627,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26627,E10A180,00351,0100,01/03/2000 26627,E10A180,00352,0100,09/18/2000 26627,E10A180,00501,0100,12/26/2000 26627,E10A180,00550,0300,12/26/2000 26627,S000000,00100,0200,11/01/2000 26627,S200000,00100,0100,400 W. BLANCO 26627,S200000,00200,0100,BLOOMFIELD 26627,S200000,00200,0200,NM 26627,S200000,00200,0300,87413- 26627,S200000,00300,0100,SAN JUAN 26627,S200000,00300,0200,32 26627,S200000,00300,0300,R 26627,S200000,00400,0100,BLOOMFIELD NURSING & REHAB CTR 26627,S200000,00400,0200,325066 26627,S200000,00400,0300,03/01/1992 26627,S200000,00400,0500,P 26627,S200000,00600,0200,325066 26627,S200000,00600,0300,03/01/1992 26627,S200000,00600,0600,P 26627,S200000,01600,0100,Y 26627,S200000,02200,0100,Y 26634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26634,A000000,00300,0000,00300EMPLOYEE BENEFITS 26634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26634,A000000,00700,0000,00700HOUSEKEEPING 26634,A000000,00800,0000,00800DIETARY 26634,A000000,00900,0000,00900NURSING ADMINISTRATION 26634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26634,A000000,01100,0000,01100PHARMACY 26634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26634,A000000,01300,0000,01300SOCIAL SERVICE 26634,A000000,01350,0000,01500RECREATION ACTIVITIES 26634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26634,A000000,01600,0000,01600SKILLED NURSING FACILITY 26634,A000000,01800,0000,01800NURSING FACILITY 26634,A000000,01810,0000,01810ICF/MR 26634,A000000,02200,0000,02200LABORATORY 26634,A000000,02500,0000,02500PHYSICAL THERAPY 26634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26634,A000000,02700,0000,02700SPEECH PATHOLOGY 26634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26634,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26634,A000000,03051,0000,03301ENTERAL FEEDING 26634,A000000,03550,0000,03550FQHC 26634,A000000,05000,0000,05000CORF 26634,A000000,05010,0000,05010CMHC 26634,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26634,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26634,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26634,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26634,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26634,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26634,A000000,06153,0000,06312DIALYSIS 26634,A000000,06154,0000,06320APARTMENTS 26634,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26634,A000000,06156,0000,06340CLOSED PATIENT AREAS 26634,A000000,06157,0000,06350O/P ADULT DAYCARE 26634,A81000A,00100,0100,Y 26634,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26634,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26634,A81000B,00300,0300,CLINICAL ALLOCATION 26634,A81000B,00400,0300,REHAB ALLOCATION 26634,A81000B,00500,0300,REHAB ALLOCATION 26634,A81000B,00600,0300,REHAB ALLOCATION 26634,A81000B,00700,0300,SYMPHONY REHAB 26634,A81000C,00100,0100,B 26634,A81000C,00100,0400,IHS INC. 26634,A81000C,00100,0600,NURSING HOMES 26634,A81000C,00200,0100,G 26634,A81000C,00200,0400,SYMPHONY REHAB 26634,A81000C,00200,0600,REHAB SERVICES 26634,A81000C,00300,0100,G 26634,A81000C,00300,0400,LTC MED LAB 26634,A81000C,00300,0600,LABORATORY 26634,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26634,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26634,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26634,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26634,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26634,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26634,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26634,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26634,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26634,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26634,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26634,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26634,E10A180,00351,0100,01/03/2000 26634,E10A180,00352,0100,09/18/2000 26634,E10A180,00501,0100,12/26/2000 26634,E10A180,00550,0300,12/26/2000 26634,S000000,00100,0200,11/01/2000 26634,S200000,00100,0100,3720 CHURCHROCK ROAD 26634,S200000,00100,0300,1778 26634,S200000,00200,0100,GALLUP 26634,S200000,00200,0200,NM 26634,S200000,00200,0300,87301- 26634,S200000,00300,0100,MCKINLEY 26634,S200000,00300,0200,32 26634,S200000,00300,0300,R 26634,S200000,00400,0100,RED ROCKS CARE CENTER 26634,S200000,00400,0200,325070 26634,S200000,00400,0300,03/01/1992 26634,S200000,00400,0500,P 26634,S200000,00600,0200,325070 26634,S200000,00600,0300,03/01/1992 26634,S200000,00600,0600,P 26634,S200000,01600,0100,Y 26634,S200000,02200,0100,Y 26641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26641,A000000,00300,0000,00300EMPLOYEE BENEFITS 26641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26641,A000000,00700,0000,00700HOUSEKEEPING 26641,A000000,00800,0000,00800DIETARY 26641,A000000,00900,0000,00900NURSING ADMINISTRATION 26641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26641,A000000,01100,0000,01100PHARMACY 26641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26641,A000000,01300,0000,01300SOCIAL SERVICE 26641,A000000,01350,0000,01500RECREATION ACTIVITIES 26641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26641,A000000,01600,0000,01600SKILLED NURSING FACILITY 26641,A000000,01800,0000,01800NURSING FACILITY 26641,A000000,01810,0000,01810ICF/MR 26641,A000000,02200,0000,02200LABORATORY 26641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26641,A000000,02500,0000,02500PHYSICAL THERAPY 26641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26641,A000000,02700,0000,02700SPEECH PATHOLOGY 26641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26641,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26641,A000000,03051,0000,03301ENTERAL FEEDING 26641,A000000,03550,0000,03550FQHC 26641,A000000,05000,0000,05000CORF 26641,A000000,05010,0000,05010CMHC 26641,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26641,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26641,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26641,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26641,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26641,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26641,A000000,06153,0000,06312DIALYSIS 26641,A000000,06154,0000,06320APARTMENTS 26641,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26641,A000000,06156,0000,06340CLOSED PATIENT AREAS 26641,A000000,06157,0000,06350O/P ADULT DAYCARE 26641,A81000A,00100,0100,Y 26641,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26641,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26641,A81000B,00300,0300,SYMPHONY REHAB 26641,A81000B,00400,0300,CLINICAL ALLOCATION 26641,A81000B,00500,0300,REHAB ALLOCATION 26641,A81000B,00600,0300,REHAB ALLOCATION 26641,A81000B,00700,0300,REHAB ALLOCATION 26641,A81000C,00100,0100,B 26641,A81000C,00100,0400,IHS INC. 26641,A81000C,00100,0600,NURSING HOMES 26641,A81000C,00200,0100,G 26641,A81000C,00200,0400,SYMPHONY REHAB 26641,A81000C,00200,0600,REHAB SERVICES 26641,A81000C,00300,0100,G 26641,A81000C,00300,0400,LTC MED LAB 26641,A81000C,00300,0600,LABORATORY 26641,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26641,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26641,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26641,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26641,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26641,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26641,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26641,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26641,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26641,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26641,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26641,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26641,E10A180,00351,0100,01/03/2000 26641,E10A180,00352,0100,09/18/2000 26641,E10A180,00501,0100,12/26/2001 26641,E10A180,00550,0100,10/30/2000 26641,E10A180,00550,0300,10/30/2000 26641,E10A180,00551,0100,12/26/2000 26641,S000000,00100,0200,11/01/2000 26641,S200000,00100,0100,806 W. MAPLE 26641,S200000,00200,0100,FARMINGTON 26641,S200000,00200,0200,NM 26641,S200000,00200,0300,87401- 26641,S200000,00300,0100,SAN JUAN 26641,S200000,00300,0200,32 26641,S200000,00300,0300,R 26641,S200000,00400,0100,SAN JUAN MANOR 26641,S200000,00400,0200,325085 26641,S200000,00400,0300,12/01/1992 26641,S200000,00400,0500,P 26641,S200000,00600,0200,325085 26641,S200000,00600,0300,12/01/1992 26641,S200000,00600,0600,P 26641,S200000,01600,0100,Y 26641,S200000,02200,0100,Y 26648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26648,A000000,00300,0000,00300EMPLOYEE BENEFITS 26648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26648,A000000,00700,0000,00700HOUSEKEEPING 26648,A000000,00800,0000,00800DIETARY 26648,A000000,00900,0000,00900NURSING ADMINISTRATION 26648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26648,A000000,01100,0000,01100PHARMACY 26648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26648,A000000,01300,0000,01300SOCIAL SERVICE 26648,A000000,01350,0000,01500RECREATION ACTIVITIES 26648,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26648,A000000,01600,0000,01600SKILLED NURSING FACILITY 26648,A000000,01800,0000,01800NURSING FACILITY 26648,A000000,01810,0000,01810ICF/MR 26648,A000000,02100,0000,02100RADIOLOGY 26648,A000000,02200,0000,02200LABORATORY 26648,A000000,02500,0000,02500PHYSICAL THERAPY 26648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26648,A000000,02700,0000,02700SPEECH PATHOLOGY 26648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26648,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26648,A000000,03051,0000,03301ENTERAL FEEDING 26648,A000000,03550,0000,03550FQHC 26648,A000000,05000,0000,05000CORF 26648,A000000,05010,0000,05010CMHC 26648,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26648,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26648,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26648,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26648,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26648,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26648,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26648,A000000,06153,0000,06312DIALYSIS 26648,A000000,06154,0000,06320APARTMENTS 26648,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26648,A000000,06156,0000,06340CLOSED PATIENT AREAS 26648,A000000,06157,0000,06350O/P ADULT DAYCARE 26648,A81000A,00100,0100,Y 26648,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26648,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26648,A81000B,00300,0300,CLINICAL ALLOCATION 26648,A81000B,00400,0300,REHAB ALLOCATION 26648,A81000B,00500,0300,REHAB ALLOCATION 26648,A81000B,00600,0300,REHAB ALLOCATION 26648,A81000C,00100,0100,B 26648,A81000C,00100,0400,IHS INC. 26648,A81000C,00100,0600,NURSING HOMES 26648,A81000C,00200,0100,G 26648,A81000C,00200,0400,SYMPHONY REHAB 26648,A81000C,00200,0600,REHAB SERVICES 26648,A81000C,00300,0100,G 26648,A81000C,00300,0400,LTC MED LAB 26648,A81000C,00300,0600,LABORATORY 26648,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26648,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26648,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26648,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26648,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26648,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26648,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26648,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26648,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26648,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26648,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26648,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26648,E10A180,00351,0100,01/03/2000 26648,E10A180,00352,0100,09/18/2000 26648,E10A180,00501,0100,12/26/2000 26648,E10A180,00502,0100,12/06/2001 26648,E10A180,00550,0100,10/30/2000 26648,S000000,00100,0200,11/01/2000 26648,S200000,00100,0100,1601 S. MAIN STREET 26648,S200000,00200,0100,ROSWELL 26648,S200000,00200,0200,NM 26648,S200000,00200,0300,88201- 26648,S200000,00300,0100,CHAVES 26648,S200000,00300,0200,32 26648,S200000,00300,0300,R 26648,S200000,00400,0100,CASA MARIA HEALTH CARE CENTER 26648,S200000,00400,0200,325086 26648,S200000,00400,0300,12/01/1992 26648,S200000,00400,0500,P 26648,S200000,00600,0200,325086 26648,S200000,00600,0300,12/01/1992 26648,S200000,00600,0600,P 26648,S200000,01600,0100,Y 26648,S200000,02200,0100,Y 26655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26655,A000000,00300,0000,00300EMPLOYEE BENEFITS 26655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26655,A000000,00700,0000,00700HOUSEKEEPING 26655,A000000,00800,0000,00800DIETARY 26655,A000000,00900,0000,00900NURSING ADMINISTRATION 26655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26655,A000000,01100,0000,01100PHARMACY 26655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26655,A000000,01300,0000,01300SOCIAL SERVICE 26655,A000000,01350,0000,01500RECREATION ACTIVITIES 26655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26655,A000000,01600,0000,01600SKILLED NURSING FACILITY 26655,A000000,01800,0000,01800NURSING FACILITY 26655,A000000,01810,0000,01810ICF/MR 26655,A000000,02100,0000,02100RADIOLOGY 26655,A000000,02200,0000,02200LABORATORY 26655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26655,A000000,02500,0000,02500PHYSICAL THERAPY 26655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26655,A000000,02700,0000,02700SPEECH PATHOLOGY 26655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26655,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26655,A000000,03051,0000,03301ENTERAL FEEDING 26655,A000000,03550,0000,03550FQHC 26655,A000000,05000,0000,05000CORF 26655,A000000,05010,0000,05010CMHC 26655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26655,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26655,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26655,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26655,A000000,06153,0000,06312DIALYSIS 26655,A000000,06154,0000,06320APARTMENTS 26655,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26655,A000000,06156,0000,06340CLOSED PATIENT AREAS 26655,A000000,06157,0000,06350O/P ADULT DAYCARE 26655,A81000A,00100,0100,Y 26655,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26655,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26655,A81000B,00300,0300,SYMPHONY MOBILEX 26655,A81000B,00400,0300,CLINICAL ALLOCATION 26655,A81000B,00500,0300,REHAB ALLOCATION 26655,A81000B,00600,0300,REHAB ALLOCATION 26655,A81000B,00700,0300,REHAB ALLOCATION 26655,A81000C,00100,0100,B 26655,A81000C,00100,0400,IHS INC. 26655,A81000C,00100,0600,NURSING HOMES 26655,A81000C,00200,0100,G 26655,A81000C,00200,0400,SYMPHONY REHAB 26655,A81000C,00200,0600,REHAB SERVICES 26655,A81000C,00300,0100,G 26655,A81000C,00300,0400,LTC MED LAB 26655,A81000C,00300,0600,LABORATORY 26655,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26655,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26655,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26655,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26655,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26655,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26655,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26655,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26655,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26655,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26655,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26655,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26655,E10A180,00351,0100,01/03/2000 26655,E10A180,00352,0100,09/18/2000 26655,E10A180,00501,0100,10/30/2000 26655,E10A180,00502,0300,12/06/2001 26655,E10A180,00550,0300,10/30/2000 26655,E10A180,00551,0100,12/26/2000 26655,S000000,00100,0200,11/01/2000 26655,S200000,00100,0100,501 ALEMEDA BLVD NE 26655,S200000,00200,0100,ALBUQUERQUE 26655,S200000,00200,0200,NM 26655,S200000,00200,0300,87113- 26655,S200000,00300,0100,BERNALILLO 26655,S200000,00300,0200,0200 26655,S200000,00300,0300,U 26655,S200000,00400,0100,VALLE NORTE CARING CENTER 26655,S200000,00400,0200,325089 26655,S200000,00400,0300,10/01/1993 26655,S200000,00400,0500,P 26655,S200000,00600,0200,325089 26655,S200000,00600,0300,10/01/1993 26655,S200000,00600,0600,P 26655,S200000,01600,0100,Y 26655,S200000,02200,0100,Y 26661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26661,A000000,00300,0000,00300EMPLOYEE BENEFITS 26661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26661,A000000,00700,0000,00700HOUSEKEEPING 26661,A000000,00800,0000,00800DIETARY 26661,A000000,00900,0000,00900NURSING ADMINISTRATION 26661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26661,A000000,01100,0000,01100PHARMACY 26661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26661,A000000,01300,0000,01300SOCIAL SERVICE 26661,A000000,01350,0000,01500RECREATION ACTIVITIES 26661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26661,A000000,01600,0000,01600SKILLED NURSING FACILITY 26661,A000000,01800,0000,01800NURSING FACILITY 26661,A000000,01810,0000,01810ICF/MR 26661,A000000,02200,0000,02200LABORATORY 26661,A000000,02500,0000,02500PHYSICAL THERAPY 26661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26661,A000000,02700,0000,02700SPEECH PATHOLOGY 26661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26661,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26661,A000000,03051,0000,03301ENTERAL FEEDING 26661,A000000,03550,0000,03550FQHC 26661,A000000,05000,0000,05000CORF 26661,A000000,05010,0000,05010CMHC 26661,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26661,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26661,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26661,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26661,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26661,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26661,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26661,A000000,06153,0000,06312DIALYSIS 26661,A000000,06154,0000,06320APARTMENTS 26661,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26661,A000000,06156,0000,06340CLOSED PATIENT AREAS 26661,A000000,06157,0000,06350O/P ADULT DAYCARE 26661,A81000A,00100,0100,Y 26661,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26661,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26661,A81000B,00300,0300,CLINICAL ALLOCATION 26661,A81000B,00400,0300,REHAB ALLOCATION 26661,A81000B,00500,0300,REHAB ALLOCATION 26661,A81000B,00600,0300,REHAB ALLOCATION 26661,A81000C,00100,0100,B 26661,A81000C,00100,0400,IHS INC. 26661,A81000C,00100,0600,NURSING HOMES 26661,A81000C,00200,0100,G 26661,A81000C,00200,0400,SYMPHONY REHAB 26661,A81000C,00200,0600,REHAB SERVICES 26661,A81000C,00300,0100,G 26661,A81000C,00300,0400,LTC MED LAB 26661,A81000C,00300,0600,LABORATORY 26661,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26661,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26661,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26661,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26661,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26661,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26661,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26661,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26661,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26661,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26661,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26661,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26661,E10A180,00301,0100,09/18/2000 26661,E10A180,00351,0100,01/03/2000 26661,E10A180,00501,0100,12/26/2000 26661,E10A180,00550,0300,12/26/2000 26661,S000000,00100,0200,11/01/2000 26661,S200000,00100,0100,3514 FOWLER AVENUE 26661,S200000,00200,0100,SILVER CITY 26661,S200000,00200,0200,NM 26661,S200000,00200,0300,88061- 26661,S200000,00300,0100,GRANT 26661,S200000,00300,0200,32 26661,S200000,00300,0300,R 26661,S200000,00400,0100,SILVER CITY CARE CENTER 26661,S200000,00400,0200,325091 26661,S200000,00400,0300,02/01/1994 26661,S200000,00400,0500,P 26661,S200000,00600,0200,325091 26661,S200000,00600,0300,02/01/1994 26661,S200000,00600,0600,P 26661,S200000,01600,0100,Y 26661,S200000,02200,0100,Y 26666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26666,A000000,00300,0000,00300EMPLOYEE BENEFITS 26666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26666,A000000,00700,0000,00700HOUSEKEEPING 26666,A000000,00800,0000,00800DIETARY 26666,A000000,00900,0000,00900NURSING ADMINISTRATION 26666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26666,A000000,01100,0000,01100PHARMACY 26666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26666,A000000,01300,0000,01300SOCIAL SERVICE 26666,A000000,01350,0000,01500RECREATION ACTIVITIES 26666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26666,A000000,01600,0000,01600SKILLED NURSING FACILITY 26666,A000000,01800,0000,01800NURSING FACILITY 26666,A000000,01810,0000,01810ICF/MR 26666,A000000,02100,0000,02100RADIOLOGY 26666,A000000,02200,0000,02200LABORATORY 26666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26666,A000000,02500,0000,02500PHYSICAL THERAPY 26666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26666,A000000,02700,0000,02700SPEECH PATHOLOGY 26666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26666,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26666,A000000,03051,0000,03301ENTERAL FEEDING 26666,A000000,03550,0000,03550FQHC 26666,A000000,05000,0000,05000CORF 26666,A000000,05010,0000,05010CMHC 26666,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26666,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26666,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26666,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26666,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26666,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26666,A000000,06153,0000,06312DIALYSIS 26666,A000000,06154,0000,06320APARTMENTS 26666,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26666,A000000,06156,0000,06340CLOSED PATIENT AREAS 26666,A000000,06157,0000,06350O/P ADULT DAYCARE 26666,A81000A,00100,0100,Y 26666,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26666,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26666,A81000B,00300,0300,LTC LAB 26666,A81000B,00400,0300,SYMPHONY REHAB 26666,A81000B,00500,0300,SYMPHONY REHAB 26666,A81000B,00600,0300,SYMPHONY REHAB 26666,A81000B,00700,0300,CLINICAL ALLOCATION 26666,A81000B,00800,0300,REHAB ALLOCATION 26666,A81000B,00900,0300,REHAB ALLOCATION 26666,A81000B,01000,0300,REHAB ALLOCATION 26666,A81000C,00100,0100,B 26666,A81000C,00100,0400,IHS INC. 26666,A81000C,00100,0600,NURSING HOMES 26666,A81000C,00200,0100,G 26666,A81000C,00200,0400,SYMPHONY REHAB 26666,A81000C,00200,0600,REHAB SERVICES 26666,A81000C,00300,0100,G 26666,A81000C,00300,0400,LTC MED LAB 26666,A81000C,00300,0600,LABORATORY 26666,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26666,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26666,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26666,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26666,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26666,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26666,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26666,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26666,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26666,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26666,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26666,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26666,E10A180,00351,0100,01/03/2000 26666,E10A180,00352,0100,09/18/2000 26666,E10A180,00501,0100,12/26/2000 26666,E10A180,00501,0300,12/26/2000 26666,S000000,00100,0200,11/01/2000 26666,S200000,00100,0100,2905 E. MISSOURI 26666,S200000,00200,0100,LAS CRUCES 26666,S200000,00200,0200,NM 26666,S200000,00200,0300,88001- 26666,S200000,00300,0100,DONA ANA 26666,S200000,00300,0200,4100 26666,S200000,00300,0300,U 26666,S200000,00400,0100,CASA DEL SOL SENIOR CENTER 26666,S200000,00400,0200,325108 26666,S200000,00400,0300,07/18/1997 26666,S200000,00400,0500,P 26666,S200000,00600,0200,325108 26666,S200000,00600,0300,07/18/1997 26666,S200000,00600,0600,P 26666,S200000,01600,0100,Y 26666,S200000,02200,0100,Y 26671,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26671,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26671,A000000,00300,0000,00300EMPLOYEE BENEFITS 26671,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26671,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26671,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26671,A000000,00700,0000,00700HOUSEKEEPING 26671,A000000,00800,0000,00800DIETARY 26671,A000000,00900,0000,00900NURSING ADMINISTRATION 26671,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26671,A000000,01100,0000,01100PHARMACY 26671,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26671,A000000,01300,0000,01300SOCIAL SERVICE 26671,A000000,01350,0000,01500RECREATION ACTIVITIES 26671,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26671,A000000,01600,0000,01600SKILLED NURSING FACILITY 26671,A000000,01800,0000,01800NURSING FACILITY 26671,A000000,01810,0000,01810ICF/MR 26671,A000000,02200,0000,02200LABORATORY 26671,A000000,02500,0000,02500PHYSICAL THERAPY 26671,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26671,A000000,02700,0000,02700SPEECH PATHOLOGY 26671,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26671,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26671,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26671,A000000,03051,0000,03301ENTERAL FEEDING 26671,A000000,03550,0000,03550FQHC 26671,A000000,05000,0000,05000CORF 26671,A000000,05010,0000,05010CMHC 26671,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26671,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26671,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26671,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26671,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26671,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26671,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26671,A000000,06153,0000,06312DIALYSIS 26671,A000000,06154,0000,06320APARTMENTS 26671,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26671,A000000,06156,0000,06340CLOSED PATIENT AREAS 26671,A000000,06157,0000,06350O/P ADULT DAYCARE 26671,A81000A,00100,0100,Y 26671,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26671,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26671,A81000B,00300,0300,SYMPHONY REHAB 26671,A81000B,00400,0300,SYMPHONY REHAB 26671,A81000B,00500,0300,SYMPHONY REHAB 26671,A81000B,00600,0300,CLINICAL ALLOCATION 26671,A81000B,00700,0300,REHAB ALLOCATION 26671,A81000B,00800,0300,REHAB ALLOCATION 26671,A81000B,00900,0300,REHAB ALLOCATION 26671,A81000C,00100,0100,B 26671,A81000C,00100,0400,IHS INC. 26671,A81000C,00100,0600,NURSING HOMES 26671,A81000C,00200,0100,G 26671,A81000C,00200,0400,SYMPHONY REHAB 26671,A81000C,00200,0600,REHAB SERVICES 26671,A81000C,00300,0100,G 26671,A81000C,00300,0400,LTC MED LAB 26671,A81000C,00300,0600,LABORATORY 26671,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26671,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26671,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26671,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26671,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26671,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26671,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26671,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26671,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26671,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26671,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26671,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26671,E10A180,00301,0100,09/18/2000 26671,E10A180,00351,0100,01/03/2000 26671,E10A180,00501,0100,12/26/2000 26671,E10A180,00502,0100,12/06/2001 26671,E10A180,00550,0100,10/30/2000 26671,E10A180,00550,0300,10/30/2000 26671,S000000,00100,0200,11/01/2000 26671,S200000,00100,0100,WEST RAILWAY BLVD 26671,S200000,00200,0100,LORDSBURG 26671,S200000,00200,0200,NM 26671,S200000,00200,0300,88045- 26671,S200000,00300,0100,HIDALGO 26671,S200000,00300,0200,NM 26671,S200000,00300,0300,R 26671,S200000,00400,0100,SUNSHINE HAVEN AT LORDSBURG 26671,S200000,00400,0200,325109 26671,S200000,00400,0300,11/01/1997 26671,S200000,00400,0500,P 26671,S200000,00600,0200,325109 26671,S200000,00600,0300,11/01/1997 26671,S200000,00600,0600,P 26671,S200000,01600,0100,Y 26671,S200000,02200,0100,Y 26682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26682,A000000,00300,0000,00300EMPLOYEE BENEFITS 26682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26682,A000000,00700,0000,00700HOUSEKEEPING 26682,A000000,00800,0000,00800DIETARY 26682,A000000,00900,0000,00900NURSING ADMINISTRATION 26682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26682,A000000,01100,0000,01100PHARMACY 26682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26682,A000000,01300,0000,01300SOCIAL SERVICE 26682,A000000,01350,0000,01500RECREATION ACTIVITIES 26682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26682,A000000,01600,0000,01600SKILLED NURSING FACILITY 26682,A000000,01800,0000,01800NURSING FACILITY 26682,A000000,01810,0000,01810ICF/MR 26682,A000000,02100,0000,02100RADIOLOGY 26682,A000000,02200,0000,02200LABORATORY 26682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26682,A000000,02500,0000,02500PHYSICAL THERAPY 26682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26682,A000000,02700,0000,02700SPEECH PATHOLOGY 26682,A000000,02800,0000,02800ELECTROCARDIOLOGY 26682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26682,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26682,A000000,03051,0000,03301ENTERAL FEEDING 26682,A000000,03550,0000,03550FQHC 26682,A000000,05000,0000,05000CORF 26682,A000000,05010,0000,05010CMHC 26682,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26682,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26682,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26682,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26682,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26682,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26682,A000000,06153,0000,06312DIALYSIS 26682,A000000,06154,0000,06320APARTMENTS 26682,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26682,A000000,06156,0000,06340CLOSED PATIENT AREAS 26682,A000000,06157,0000,06350O/P ADULT DAYCARE 26682,A81000A,00100,0100,Y 26682,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26682,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26682,A81000B,00400,0300,REHAB ALLOCATION 26682,A81000B,00500,0300,REHAB ALLOCATION 26682,A81000B,00600,0300,REHAB ALLOCATION 26682,A81000B,00700,0300,CLINICAL ALLOCATION 26682,A81000B,00800,0300,SYMPHONY MOBILEX 26682,A81000C,00100,0100,B 26682,A81000C,00100,0400,IHS INC. 26682,A81000C,00100,0600,NURSING HOMES 26682,A81000C,00200,0100,G 26682,A81000C,00200,0400,SYMPHONY REHAB 26682,A81000C,00200,0600,REHAB SERVICES 26682,A81000C,00300,0100,G 26682,A81000C,00300,0400,LTC MED LAB 26682,A81000C,00300,0600,LABORATORY 26682,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26682,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26682,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26682,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26682,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26682,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26682,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26682,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26682,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26682,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26682,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26682,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26682,E10A180,00301,0100,12/03/1999 26682,E10A180,00351,0100,03/18/1999 26682,E10A180,00353,0100,05/18/2000 26682,E10A180,00501,0100,07/28/2000 26682,E10A180,00501,0300,05/31/2000 26682,E10A180,00550,0100,05/31/2000 26682,E10A180,00550,0300,07/28/2000 26682,S000000,00100,0200,06/01/2000 26682,S200000,00100,0100,333 HAWTHORNE LANE 26682,S200000,00200,0100,CHARLOTTE 26682,S200000,00200,0200,NC 26682,S200000,00200,0300,28204- 26682,S200000,00300,0100,MECKLENBURG 26682,S200000,00300,0200,1520 26682,S200000,00300,0300,U 26682,S200000,00400,0100,IHS-CHARLOTTE 26682,S200000,00400,0200,345013 26682,S200000,00400,0300,01/01/1986 26682,S200000,00400,0500,P 26682,S200000,00600,0200,345013 26682,S200000,00600,0300,01/01/1986 26682,S200000,00600,0600,P 26682,S200000,01600,0100,Y 26682,S200000,02200,0100,Y 26688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26688,A000000,00300,0000,00300EMPLOYEE BENEFITS 26688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26688,A000000,00700,0000,00700HOUSEKEEPING 26688,A000000,00800,0000,00800DIETARY 26688,A000000,00900,0000,00900NURSING ADMINISTRATION 26688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26688,A000000,01100,0000,01100PHARMACY 26688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26688,A000000,01300,0000,01300SOCIAL SERVICE 26688,A000000,01350,0000,01500RECREATION ACTIVITIES 26688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26688,A000000,01600,0000,01600SKILLED NURSING FACILITY 26688,A000000,01800,0000,01800NURSING FACILITY 26688,A000000,01810,0000,01810ICF/MR 26688,A000000,02100,0000,02100RADIOLOGY 26688,A000000,02200,0000,02200LABORATORY 26688,A000000,02500,0000,02500PHYSICAL THERAPY 26688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26688,A000000,02700,0000,02700SPEECH PATHOLOGY 26688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26688,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26688,A000000,03051,0000,03301ENTERAL FEEDING 26688,A000000,03550,0000,03550FQHC 26688,A000000,05000,0000,05000CORF 26688,A000000,05010,0000,05010CMHC 26688,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26688,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26688,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26688,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 26688,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26688,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26688,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26688,A000000,06153,0000,06312DIALYSIS 26688,A000000,06154,0000,06320APARTMENTS 26688,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26688,A000000,06156,0000,06340CLOSED PATIENT AREAS 26688,A000000,06157,0000,06350O/P ADULT DAYCARE 26688,A81000A,00100,0100,Y 26688,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26688,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26688,A81000B,00700,0300,REHAB ALLOCATION 26688,A81000B,00800,0300,REHAB ALLOCATION 26688,A81000B,00900,0300,REHAB ALLOCATION 26688,A81000B,01000,0300,CLINICAL ALLOCATION 26688,A81000B,01100,0300,SYMPHONY MOBILEX 26688,A81000C,00100,0100,B 26688,A81000C,00100,0400,IHS INC. 26688,A81000C,00100,0600,NURSING HOMES 26688,A81000C,00200,0100,G 26688,A81000C,00200,0400,SYMPHONY REHAB 26688,A81000C,00200,0600,REHAB SERVICES 26688,A81000C,00300,0100,G 26688,A81000C,00300,0400,LTC MED LAB 26688,A81000C,00300,0600,LABORATORY 26688,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26688,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26688,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26688,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26688,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26688,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26688,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26688,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26688,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26688,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26688,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26688,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26688,E10A180,00301,0100,01/03/2000 26688,E10A180,00302,0100,09/18/2000 26688,E10A180,00501,0100,12/26/2000 26688,E10A180,00501,0300,12/26/2000 26688,S000000,00100,0200,11/01/2000 26688,S200000,00100,0100,3100 ERWIN ROAD 26688,S200000,00200,0100,DURHAM 26688,S200000,00200,0200,NC 26688,S200000,00200,0300,27705- 26688,S200000,00300,0100,DURHAM 26688,S200000,00300,0200,6640 26688,S200000,00300,0300,U 26688,S200000,00400,0100,IHS-DURHAM 26688,S200000,00400,0200,345061 26688,S200000,00400,0300,02/11/1994 26688,S200000,00400,0500,P 26688,S200000,00600,0200,345061 26688,S200000,00600,0300,02/11/1994 26688,S200000,00600,0600,P 26688,S200000,01600,0100,Y 26688,S200000,02200,0100,Y 26694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26694,A000000,00300,0000,00300EMPLOYEE BENEFITS 26694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26694,A000000,00700,0000,00700HOUSEKEEPING 26694,A000000,00800,0000,00800DIETARY 26694,A000000,00900,0000,00900NURSING ADMINISTRATION 26694,A000000,00901,0000,00910NURSING ADMIN MSU 26694,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 26694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26694,A000000,01100,0000,01100PHARMACY 26694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26694,A000000,01300,0000,01300SOCIAL SERVICE 26694,A000000,01350,0000,01500RECREATION ACTIVITIES 26694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26694,A000000,01600,0000,01600SKILLED NURSING FACILITY 26694,A000000,01800,0000,01800NURSING FACILITY 26694,A000000,02100,0000,02100RADIOLOGY 26694,A000000,02200,0000,02200LABORATORY 26694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26694,A000000,02500,0000,02500PHYSICAL THERAPY 26694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26694,A000000,02700,0000,02700SPEECH PATHOLOGY 26694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26694,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26694,A000000,03051,0000,03301ENTERAL FEEDING 26694,A000000,03550,0000,03550FQHC 26694,A000000,05000,0000,05000CORF 26694,A000000,05010,0000,05010CMHC 26694,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26694,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26694,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26694,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26694,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26694,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26694,A000000,06153,0000,06312DIALYSIS 26694,A000000,06154,0000,06320APARTMENTS 26694,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26694,A000000,06156,0000,06340CLOSED PATIENT AREAS 26694,A000000,06157,0000,06350O/P ADULT DAYCARE 26694,A81000A,00100,0100,Y 26694,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26694,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26694,A81000B,00300,0300,SYMPHONY MOBILEX 26694,A81000B,00400,0300,SYMPHONY REHAB 26694,A81000B,00500,0300,SYMPHONY REHAB 26694,A81000B,00600,0300,SYMPHONY REHAB 26694,A81000B,00700,0300,REHAB ALLOCATION 26694,A81000B,00800,0300,REHAB ALLOCATION 26694,A81000B,00900,0300,REHAB ALLOCATION 26694,A81000B,01000,0300,CLINICAL ALLOCATION 26694,A81000C,00100,0100,B 26694,A81000C,00100,0400,IHS INC. 26694,A81000C,00100,0600,NURSING HOMES 26694,A81000C,00200,0100,G 26694,A81000C,00200,0400,SYMPHONY REHAB 26694,A81000C,00200,0600,REHAB SERVICES 26694,A81000C,00300,0100,G 26694,A81000C,00300,0400,LTC MED LAB 26694,A81000C,00300,0600,LABORATORY 26694,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26694,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26694,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26694,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26694,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26694,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26694,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26694,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26694,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26694,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26694,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26694,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26694,E10A180,00301,0100,12/03/1999 26694,E10A180,00353,0100,05/18/2000 26694,E10A180,00501,0100,07/28/2000 26694,E10A180,00501,0300,05/31/2000 26694,E10A180,00550,0100,05/31/2000 26694,E10A180,00550,0300,07/28/2000 26694,S000000,00100,0200,06/01/2000 26694,S200000,00100,0100,119 GATLIN STREET 26694,S200000,00200,0100,WILLIAMSTON 26694,S200000,00200,0200,NC 26694,S200000,00200,0300,27892- 26694,S200000,00300,0100,MARTIN 26694,S200000,00300,0200,NC 26694,S200000,00300,0300,R 26694,S200000,00400,0100,IHS-WILLIAMSTON 26694,S200000,00400,0200,345145 26694,S200000,00400,0300,09/30/1985 26694,S200000,00400,0500,P 26694,S200000,00600,0200,345145 26694,S200000,00600,0300,09/30/1985 26694,S200000,00600,0600,P 26694,S200000,01600,0100,Y 26694,S200000,02200,0100,Y 26710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26710,A000000,00300,0000,00300EMPLOYEE BENEFITS 26710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26710,A000000,00700,0000,00700HOUSEKEEPING 26710,A000000,00800,0000,00800DIETARY 26710,A000000,00900,0000,00900NURSING ADMINISTRATION 26710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26710,A000000,01100,0000,01100PHARMACY 26710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26710,A000000,01300,0000,01300SOCIAL SERVICE 26710,A000000,01350,0000,01500RECREATION ACTIVITIES 26710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26710,A000000,01600,0000,01600SKILLED NURSING FACILITY 26710,A000000,01800,0000,01800NURSING FACILITY 26710,A000000,01810,0000,01810ICF/MR 26710,A000000,01900,0000,01900OTHER LONG TERM CARE 26710,A000000,02100,0000,02100RADIOLOGY 26710,A000000,02200,0000,02200LABORATORY 26710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26710,A000000,02500,0000,02500PHYSICAL THERAPY 26710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26710,A000000,02700,0000,02700SPEECH PATHOLOGY 26710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26710,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26710,A000000,03051,0000,03301ENTERAL FEEDING 26710,A000000,03550,0000,03550FQHC 26710,A000000,05000,0000,05000CORF 26710,A000000,05010,0000,05010CMHC 26710,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26710,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26710,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26710,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26710,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26710,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26710,A000000,06153,0000,06312DIALYSIS 26710,A000000,06154,0000,06320APARTMENTS 26710,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26710,A000000,06156,0000,06340CLOSED PATIENT AREAS 26710,A000000,06157,0000,06350O/P ADULT DAYCARE 26710,A81000A,00100,0100,Y 26710,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26710,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26710,A81000B,00400,0300,SYMPHONY REHAB 26710,A81000B,00500,0300,SYMPHONY REHAB 26710,A81000B,00600,0300,SYMPHONY REHAB 26710,A81000B,00700,0300,REHAB ALLOCATION 26710,A81000B,00800,0300,REHAB ALLOCATION 26710,A81000B,00900,0300,REHAB ALLOCATION 26710,A81000B,01000,0300,CLINICAL ALLOCATION 26710,A81000B,01100,0300,SYMPHONY MOBILEX 26710,A81000B,01200,0300,SYMPHONY MOBILEX 26710,A81000C,00100,0100,B 26710,A81000C,00100,0400,IHS INC. 26710,A81000C,00100,0600,NURSING HOMES 26710,A81000C,00200,0100,G 26710,A81000C,00200,0400,SYMPHONY REHAB 26710,A81000C,00200,0600,REHAB SERVICES 26710,A81000C,00300,0100,G 26710,A81000C,00300,0400,LTC MED LAB 26710,A81000C,00300,0600,LABORATORY 26710,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26710,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26710,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26710,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26710,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26710,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26710,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26710,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26710,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26710,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26710,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26710,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26710,E10A180,00301,0100,12/03/1999 26710,E10A180,00353,0100,05/18/2000 26710,E10A180,00501,0100,07/28/2000 26710,E10A180,00550,0100,05/31/2000 26710,E10A180,00550,0300,05/31/2000 26710,S000000,00100,0200,06/01/2000 26710,S200000,00100,0100,1084 US HIGHWAY 64 EAST 26710,S200000,00200,0100,PLYMOUTH 26710,S200000,00200,0200,NC 26710,S200000,00200,0300,27962- 26710,S200000,00300,0100,WASHINGTON 26710,S200000,00300,0200,34 26710,S200000,00300,0300,R 26710,S200000,00400,0100,PLUMBEE NURSING CENTER 26710,S200000,00400,0200,345266 26710,S200000,00400,0300,11/11/1987 26710,S200000,00400,0500,P 26710,S200000,00600,0200,345266 26710,S200000,00600,0300,11/11/1987 26710,S200000,00600,0600,P 26710,S200000,01600,0100,Y 26710,S200000,02200,0100,Y 26720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26720,A000000,00300,0000,00300EMPLOYEE BENEFITS 26720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26720,A000000,00700,0000,00700HOUSEKEEPING 26720,A000000,00800,0000,00800DIETARY 26720,A000000,00900,0000,00900NURSING ADMINISTRATION 26720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26720,A000000,01100,0000,01100PHARMACY 26720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26720,A000000,01300,0000,01300SOCIAL SERVICE 26720,A000000,01350,0000,01500RECREATION ACTIVITIES 26720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26720,A000000,01600,0000,01600SKILLED NURSING FACILITY 26720,A000000,01800,0000,01800NURSING FACILITY 26720,A000000,01810,0000,01810ICF/MR 26720,A000000,02100,0000,02100RADIOLOGY 26720,A000000,02200,0000,02200LABORATORY 26720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26720,A000000,02500,0000,02500PHYSICAL THERAPY 26720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26720,A000000,02700,0000,02700SPEECH PATHOLOGY 26720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26720,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26720,A000000,03051,0000,03301ENTERAL FEEDING 26720,A000000,03550,0000,03550FQHC 26720,A000000,05000,0000,05000CORF 26720,A000000,05010,0000,05010CMHC 26720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26720,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26720,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26720,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26720,A000000,06153,0000,06312DIALYSIS 26720,A000000,06154,0000,06320APARTMENTS 26720,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26720,A000000,06156,0000,06340CLOSED PATIENT AREAS 26720,A000000,06157,0000,06350O/P ADULT DAYCARE 26720,A81000A,00100,0100,Y 26720,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26720,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26720,A81000B,00300,0300,MSU DEVELOPMENT COST 26720,A81000B,00400,0300,CLINICAL ALLOCATION 26720,A81000B,00600,0300,SYMPHONY REHAB 26720,A81000B,00700,0300,REHAB ALLOCATION 26720,A81000B,00800,0300,REHAB ALLOCATION 26720,A81000B,00900,0300,REHAB ALLOCATION 26720,A81000B,01000,0300,SYMPHONY MOBILEX 26720,A81000C,00100,0100,B 26720,A81000C,00100,0400,IHS INC. 26720,A81000C,00100,0600,NURSING HOMES 26720,A81000C,00200,0100,G 26720,A81000C,00200,0400,SYMPHONY REHAB 26720,A81000C,00200,0600,REHAB SERVICES 26720,A81000C,00300,0100,G 26720,A81000C,00300,0400,LTC MED LAB 26720,A81000C,00300,0600,LABORATORY 26720,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26720,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26720,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26720,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26720,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26720,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26720,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26720,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26720,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26720,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26720,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26720,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26720,E10A180,00304,0100,05/18/2000 26720,E10A180,00351,0100,03/18/1999 26720,E10A180,00352,0100,12/03/1999 26720,E10A180,00501,0100,07/28/2000 26720,E10A180,00550,0300,07/28/2000 26720,S000000,00100,0200,06/01/2000 26720,S200000,00100,0100,3830 BLUE RIDGE ROAD 26720,S200000,00200,0100,RALEIGH 26720,S200000,00200,0200,NC 26720,S200000,00200,0300,27612- 26720,S200000,00300,0100,WAKE 26720,S200000,00300,0200,6640 26720,S200000,00300,0300,U 26720,S200000,00400,0100,IHS-RALEIGH AT CRABTREE VALLEY 26720,S200000,00400,0200,345276 26720,S200000,00400,0300,04/20/1988 26720,S200000,00400,0500,P 26720,S200000,00400,0600,O 26720,S200000,00600,0200,345276 26720,S200000,00600,0300,04/20/1988 26720,S200000,00600,0600,P 26720,S200000,01600,0100,Y 26720,S200000,02200,0100,Y 26725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26725,A000000,00300,0000,00300EMPLOYEE BENEFITS 26725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26725,A000000,00700,0000,00700HOUSEKEEPING 26725,A000000,00800,0000,00800DIETARY 26725,A000000,00900,0000,00900NURSING ADMINISTRATION 26725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26725,A000000,01100,0000,01100PHARMACY 26725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26725,A000000,01300,0000,01300SOCIAL SERVICE 26725,A000000,01350,0000,01500RECREATION ACTIVITIES 26725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26725,A000000,01600,0000,01600SKILLED NURSING FACILITY 26725,A000000,01800,0000,01800NURSING FACILITY 26725,A000000,01810,0000,01810ICF/MR 26725,A000000,01900,0000,01900OTHER LONG TERM CARE 26725,A000000,02100,0000,02100RADIOLOGY 26725,A000000,02200,0000,02200LABORATORY 26725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26725,A000000,02500,0000,02500PHYSICAL THERAPY 26725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26725,A000000,02700,0000,02700SPEECH PATHOLOGY 26725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26725,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26725,A000000,03051,0000,03301ENTERAL FEEDING 26725,A000000,03550,0000,03550FQHC 26725,A000000,05000,0000,05000CORF 26725,A000000,05010,0000,05010CMHC 26725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26725,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26725,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26725,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26725,A000000,06153,0000,06312DIALYSIS 26725,A000000,06154,0000,06320APARTMENTS 26725,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26725,A000000,06156,0000,06340CLOSED PATIENT AREAS 26725,A000000,06157,0000,06350O/P ADULT DAYCARE 26725,A81000A,00100,0100,Y 26725,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26725,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26725,A81000B,00400,0300,SYMPHONY REHAB 26725,A81000B,00500,0300,SYMPHONY REHAB 26725,A81000B,00600,0300,SYMPHONY REHAB 26725,A81000B,00700,0300,REHAB ALLOCATION 26725,A81000B,00800,0300,REHAB ALLOCATION 26725,A81000B,00900,0300,REHAB ALLOCATION 26725,A81000B,01000,0300,CLINICAL ALLOCATION 26725,A81000B,01100,0300,SYMPMOBILE-003 26725,A81000C,00100,0100,B 26725,A81000C,00100,0200,IHS INC. 26725,A81000C,00100,0400,IHS INC. 26725,A81000C,00100,0600,NURSING HOMES 26725,A81000C,00200,0100,G 26725,A81000C,00200,0400,SYMPHONY REHAB 26725,A81000C,00200,0600,REHAB SERVICES 26725,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26725,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26725,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26725,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26725,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26725,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26725,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26725,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26725,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26725,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26725,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26725,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26725,E10A180,00301,0100,12/03/1999 26725,E10A180,00353,0100,05/18/2000 26725,E10A180,00501,0100,07/28/2000 26725,E10A180,00501,0300,05/31/2000 26725,E10A180,00550,0100,05/31/2000 26725,E10A180,00550,0300,07/28/2000 26725,S000000,00100,0200,06/01/2000 26725,S200000,00100,0100,7369 HUNTER HILL RD 26725,S200000,00200,0100,ROCKY MOUNT 26725,S200000,00200,0200,NC 26725,S200000,00200,0300,27804- 26725,S200000,00300,0100,NASH 26725,S200000,00300,0200,6895 26725,S200000,00300,0300,U 26725,S200000,00400,0100,IHS-NASH 26725,S200000,00400,0200,345279 26725,S200000,00400,0300,06/06/1988 26725,S200000,00400,0500,P 26725,S200000,00600,0200,345279 26725,S200000,00600,0300,06/06/1988 26725,S200000,00600,0600,P 26725,S200000,01600,0100,Y 26725,S200000,02200,0100,Y 26730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26730,A000000,00300,0000,00300EMPLOYEE BENEFITS 26730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26730,A000000,00700,0000,00700HOUSEKEEPING 26730,A000000,00800,0000,00800DIETARY 26730,A000000,00900,0000,00900NURSING ADMINISTRATION 26730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26730,A000000,01100,0000,01100PHARMACY 26730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26730,A000000,01300,0000,01300SOCIAL SERVICE 26730,A000000,01350,0000,01500RECREATION ACTIVITIES 26730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26730,A000000,01600,0000,01600SKILLED NURSING FACILITY 26730,A000000,01800,0000,01800NURSING FACILITY 26730,A000000,01810,0000,01810ICF/MR 26730,A000000,01900,0000,01900OTHER LONG TERM CARE 26730,A000000,02100,0000,02100RADIOLOGY 26730,A000000,02200,0000,02200LABORATORY 26730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26730,A000000,02500,0000,02500PHYSICAL THERAPY 26730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26730,A000000,02700,0000,02700SPEECH PATHOLOGY 26730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26730,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26730,A000000,03051,0000,03301ENTERAL FEEDING 26730,A000000,03550,0000,03550FQHC 26730,A000000,05000,0000,05000CORF 26730,A000000,05010,0000,05010CMHC 26730,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26730,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26730,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26730,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26730,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26730,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26730,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26730,A000000,06153,0000,06312DIALYSIS 26730,A000000,06154,0000,06320APARTMENTS 26730,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26730,A000000,06156,0000,06340CLOSED PATIENT AREAS 26730,A000000,06157,0000,06350O/P ADULT DAYCARE 26730,A81000A,00100,0100,Y 26730,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26730,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26730,A81000B,00400,0300,SYMPHONY REHAB 26730,A81000B,00500,0300,SYMPHONY REHAB 26730,A81000B,00600,0300,SYMPHONY REHAB 26730,A81000B,00700,0300,REHAB ALLOCATION 26730,A81000B,00800,0300,REHAB ALLOCATION 26730,A81000B,00900,0300,REHAB ALLOCATION 26730,A81000B,01000,0300,CLINICAL ALLOCATION 26730,A81000B,01100,0300,SYMPHONY RESPIRATORY 26730,A81000C,00100,0100,B 26730,A81000C,00100,0400,IHS INC. 26730,A81000C,00100,0600,NURSING HOMES 26730,A81000C,00200,0100,G 26730,A81000C,00200,0400,SYMPHONY REHAB 26730,A81000C,00200,0600,REHAB SERVICES 26730,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26730,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26730,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26730,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26730,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26730,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26730,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26730,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26730,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26730,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26730,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26730,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26730,E10A180,00301,0100,12/03/1999 26730,E10A180,00353,0100,05/18/2000 26730,E10A180,00501,0100,07/28/2000 26730,E10A180,00550,0100,06/06/2000 26730,E10A180,00550,0300,06/06/2000 26730,S000000,00100,0200,06/01/2000 26730,S200000,00100,0100,1170 LINKHAW RD 26730,S200000,00200,0100,LUMBERTON 26730,S200000,00200,0200,NC 26730,S200000,00200,0300,28538- 26730,S200000,00300,0100,ROBESON 26730,S200000,00300,0200,NC 26730,S200000,00300,0300,R 26730,S200000,00400,0100,IHS-LUMBERTON 26730,S200000,00400,0200,345315 26730,S200000,00400,0300,04/05/1990 26730,S200000,00400,0500,P 26730,S200000,00600,0200,345315 26730,S200000,00600,0300,04/05/1990 26730,S200000,00600,0600,P 26730,S200000,01600,0100,Y 26730,S200000,02200,0100,Y 26735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26735,A000000,00300,0000,00300EMPLOYEE BENEFITS 26735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26735,A000000,00700,0000,00700HOUSEKEEPING 26735,A000000,00800,0000,00800DIETARY 26735,A000000,00900,0000,00900NURSING ADMINISTRATION 26735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26735,A000000,01100,0000,01100PHARMACY 26735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26735,A000000,01300,0000,01300SOCIAL SERVICE 26735,A000000,01350,0000,01500RECREATION ACTIVITIES 26735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26735,A000000,01600,0000,01600SKILLED NURSING FACILITY 26735,A000000,01800,0000,01800NURSING FACILITY 26735,A000000,01810,0000,01810ICF/MR 26735,A000000,01900,0000,01900OTHER LONG TERM CARE 26735,A000000,02100,0000,02100RADIOLOGY 26735,A000000,02200,0000,02200LABORATORY 26735,A000000,02300,0000,02300INTRAVENOUS THERAPY 26735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26735,A000000,02500,0000,02500PHYSICAL THERAPY 26735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26735,A000000,02700,0000,02700SPEECH PATHOLOGY 26735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26735,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26735,A000000,03051,0000,03301ENTERAL FEEDING 26735,A000000,03550,0000,03550FQHC 26735,A000000,05000,0000,05000CORF 26735,A000000,05010,0000,05010CMHC 26735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26735,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26735,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26735,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26735,A000000,06153,0000,06312DIALYSIS 26735,A000000,06154,0000,06320APARTMENTS 26735,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26735,A000000,06156,0000,06340CLOSED PATIENT AREAS 26735,A000000,06157,0000,06350O/P ADULT DAYCARE 26735,A81000A,00100,0100,Y 26735,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26735,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26735,A81000B,00400,0300,SYMPHONY REHAB 26735,A81000B,00500,0300,SYMPHONY REHAB 26735,A81000B,00600,0300,SYMPHONY REHAB 26735,A81000B,00700,0300,REHAB ALLOCATION 26735,A81000B,00800,0300,REHAB ALLOCATION 26735,A81000B,00900,0300,REHAB ALLOCATION 26735,A81000B,01000,0300,CLINICAL ALLOCATION 26735,A81000B,01100,0300,SYMPHONY RESPIRATORY 26735,A81000B,01200,0300,SYMPHONEY MOBILEX 26735,A81000C,00100,0100,B 26735,A81000C,00100,0400,IHS INC. 26735,A81000C,00100,0600,NURSING HOMES 26735,A81000C,00200,0100,G 26735,A81000C,00200,0400,SYMPHONY REHAB 26735,A81000C,00200,0600,REHAB SERVICES 26735,A81000C,00300,0100,G 26735,A81000C,00300,0400,LTC MED LAB 26735,A81000C,00300,0600,LABORATORY 26735,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26735,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26735,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26735,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26735,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26735,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26735,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26735,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26735,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26735,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26735,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26735,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26735,E10A180,00301,0100,12/03/1999 26735,E10A180,00353,0100,05/18/2000 26735,E10A180,00501,0100,07/28/2000 26735,E10A180,00501,0300,05/31/2000 26735,E10A180,00550,0100,05/31/2000 26735,E10A180,00550,0300,07/28/2000 26735,S000000,00100,0200,06/01/2000 26735,S200000,00100,0100,711 SUSAN TART ROAD 26735,S200000,00200,0100,DUNN 26735,S200000,00200,0200,NC 26735,S200000,00200,0300,28334- 26735,S200000,00300,0100,HARNETT 26735,S200000,00300,0200,NC 26735,S200000,00300,0300,R 26735,S200000,00400,0100,IHS-DUNN 26735,S200000,00400,0200,345325 26735,S200000,00400,0300,09/05/1990 26735,S200000,00400,0500,P 26735,S200000,00600,0200,345325 26735,S200000,00600,0300,09/05/1990 26735,S200000,00600,0600,P 26735,S200000,01600,0100,Y 26735,S200000,02200,0100,Y 26740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26740,A000000,00300,0000,00300EMPLOYEE BENEFITS 26740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26740,A000000,00700,0000,00700HOUSEKEEPING 26740,A000000,00800,0000,00800DIETARY 26740,A000000,00900,0000,00900NURSING ADMINISTRATION 26740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26740,A000000,01100,0000,01100PHARMACY 26740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26740,A000000,01300,0000,01300SOCIAL SERVICE 26740,A000000,01350,0000,01500RECREATION ACTIVITIES 26740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26740,A000000,01600,0000,01600SKILLED NURSING FACILITY 26740,A000000,01800,0000,01800NURSING FACILITY 26740,A000000,01810,0000,01810ICF/MR 26740,A000000,02100,0000,02100RADIOLOGY 26740,A000000,02200,0000,02200LABORATORY 26740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26740,A000000,02500,0000,02500PHYSICAL THERAPY 26740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26740,A000000,02700,0000,02700SPEECH PATHOLOGY 26740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26740,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26740,A000000,03051,0000,03301ENTERAL FEEDING 26740,A000000,03550,0000,03550FQHC 26740,A000000,05000,0000,05000CORF 26740,A000000,05010,0000,05010CMHC 26740,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26740,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26740,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26740,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26740,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26740,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26740,A000000,06153,0000,06312DIALYSIS 26740,A000000,06154,0000,06320APARTMENTS 26740,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26740,A000000,06156,0000,06340CLOSED PATIENT AREAS 26740,A000000,06157,0000,06350O/P ADULT DAYCARE 26740,A81000A,00100,0100,Y 26740,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26740,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26740,A81000B,00400,0300,SYMPHONY REHAB 26740,A81000B,00500,0300,SYMPHONY REHAB 26740,A81000B,00600,0300,SYMPHONY REHAB 26740,A81000B,00700,0300,REHAB ALLOCATION 26740,A81000B,00800,0300,REHAB ALLOCATION 26740,A81000B,00900,0300,REHAB ALLOCATION 26740,A81000B,01000,0300,CLINICAL ALLOCATIN 26740,A81000B,01100,0300,SYMPRESSER 26740,A81000C,00100,0100,B 26740,A81000C,00100,0400,IHS INC. 26740,A81000C,00100,0600,NURSING HOMES 26740,A81000C,00200,0100,G 26740,A81000C,00200,0400,SYMPHONY REHAB 26740,A81000C,00200,0600,REHAB SERVICES 26740,A81000C,00300,0100,G 26740,A81000C,00300,0400,LTC MED LAB 26740,A81000C,00300,0600,LABORATORY 26740,B100000,00000,0100,00050 SQUARE FEET :CAP REL COSTS - BLDGS 26740,B100000,00000,0300,00050 GROSS SALARIES :EMPLOYEE BENEFITS 26740,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26740,B100000,00000,0500,00050 SQUARE FEET :PLANT OPERATION MAIN 26740,B100000,00000,0650,00050 PATIENT DAYS :LAUNDRY & LINEN SERV 26740,B100000,00000,0750,00050 SQUARE FEET :HOUSEKEEPING 26740,B100000,00000,0850,00050 PATIENT DAYS :DIETARY 26740,B100000,00000,0950,00050 NURSING SALARIES :NURSING ADMINIST 26740,B100000,00000,1000,00050 COSTED REQUIS :CENTRAL SERVICES & 26740,B100000,00000,1250,00050 PATIENT DAYS :MEDICAL RECORDS & LI 26740,B100000,00000,1330,00050 PATIENT DAYS :SOCIAL SERVICE 26740,B100000,00000,1350,00050 PATIENT DAYS :RECREATION ACTIVITIE 26740,E10A180,00301,0100,12/03/1999 26740,E10A180,00353,0100,05/18/2000 26740,E10A180,00501,0100,07/28/2000 26740,E10A180,00550,0100,05/31/2000 26740,E10A180,00550,0300,05/31/2000 26740,S000000,00100,0200,06/01/2000 26740,S200000,00100,0100,2743 LEGION RD 26740,S200000,00200,0100,FAYETTEVILLE 26740,S200000,00200,0200,NC 26740,S200000,00200,0300,28304- 26740,S200000,00300,0100,CUMBERLAND 26740,S200000,00300,0200,2560 26740,S200000,00300,0300,U 26740,S200000,00400,0100,IHS-FAYETTESVILLE 26740,S200000,00400,0200,345376 26740,S200000,00400,0300,06/13/1991 26740,S200000,00400,0500,P 26740,S200000,00600,0200,345376 26740,S200000,00600,0300,06/13/1991 26740,S200000,00600,0600,P 26740,S200000,01600,0100,Y 26740,S200000,02200,0100,Y 26745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26745,A000000,00300,0000,00300EMPLOYEE BENEFITS 26745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26745,A000000,00700,0000,00700HOUSEKEEPING 26745,A000000,00800,0000,00800DIETARY 26745,A000000,00900,0000,00900NURSING ADMINISTRATION 26745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26745,A000000,01100,0000,01100PHARMACY 26745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26745,A000000,01300,0000,01300SOCIAL SERVICE 26745,A000000,01350,0000,01500RECREATION ACTIVITIES 26745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26745,A000000,01600,0000,01600SKILLED NURSING FACILITY 26745,A000000,01800,0000,01800NURSING FACILITY 26745,A000000,01810,0000,01810ICF/MR 26745,A000000,02100,0000,02100RADIOLOGY 26745,A000000,02200,0000,02200LABORATORY 26745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26745,A000000,02500,0000,02500PHYSICAL THERAPY 26745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26745,A000000,02700,0000,02700SPEECH PATHOLOGY 26745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26745,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26745,A000000,03051,0000,03301ENTERAL FEEDING 26745,A000000,03550,0000,03550FQHC 26745,A000000,05000,0000,05000CORF 26745,A000000,05010,0000,05010CMHC 26745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26745,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26745,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26745,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26745,A000000,06153,0000,06312DIALYSIS 26745,A000000,06154,0000,06320APARTMENTS 26745,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26745,A000000,06156,0000,06340CLOSED PATIENT AREAS 26745,A000000,06157,0000,06350O/P ADULT DAYCARE 26745,A81000A,00100,0100,Y 26745,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26745,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26745,A81000B,00400,0300,SYMPHONY REHAB 26745,A81000B,00500,0300,SYMPHONY REHAB 26745,A81000B,00600,0300,SYMPHONY REHAB 26745,A81000B,00700,0300,REHAB ALLOCATION 26745,A81000B,00800,0300,REHAB ALLOCATION 26745,A81000B,00900,0300,REHAB ALLOCATION 26745,A81000B,01000,0300,CLINICAL ALLOCATION 26745,A81000B,01100,0300,SYMPHONY MOBILEX 26745,A81000C,00100,0100,B 26745,A81000C,00100,0400,IHS INC. 26745,A81000C,00100,0600,NURSING HOMES 26745,A81000C,00200,0100,G 26745,A81000C,00200,0400,SYMPHONY REHAB 26745,A81000C,00200,0600,REHAB SERVICES 26745,A81000C,00300,0100,G 26745,A81000C,00300,0400,LTC MED LAB 26745,A81000C,00300,0600,LABORATORY 26745,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26745,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26745,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26745,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26745,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26745,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26745,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26745,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26745,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26745,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26745,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26745,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26745,E10A180,00301,0100,12/03/1999 26745,E10A180,00353,0100,05/18/2000 26745,E10A180,00501,0100,07/28/2000 26745,E10A180,00501,0300,05/31/2000 26745,E10A180,00550,0100,05/31/2000 26745,E10A180,00550,0300,07/28/2000 26745,S000000,00100,0200,06/01/2000 26745,S200000,00100,0100,911 WESTERN BLVD 26745,S200000,00200,0100,TARBORO 26745,S200000,00200,0200,NC 26745,S200000,00200,0300,27886- 26745,S200000,00300,0100,EDGECOMBE 26745,S200000,00300,0200,6895 26745,S200000,00300,0300,U 26745,S200000,00400,0100,IHS-TARBORO 26745,S200000,00400,0200,345387 26745,S200000,00400,0300,07/03/1991 26745,S200000,00400,0500,P 26745,S200000,00600,0200,345387 26745,S200000,00600,0300,07/03/1991 26745,S200000,00600,0600,P 26745,S200000,01600,0100,Y 26745,S200000,02200,0100,Y 26754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26754,A000000,00300,0000,00300EMPLOYEE BENEFITS 26754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26754,A000000,00700,0000,00700HOUSEKEEPING 26754,A000000,00800,0000,00800DIETARY 26754,A000000,00900,0000,00900NURSING ADMINISTRATION 26754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26754,A000000,01100,0000,01100PHARMACY 26754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26754,A000000,01300,0000,01300SOCIAL SERVICE 26754,A000000,01350,0000,01500RECREATION ACTIVITIES 26754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26754,A000000,01600,0000,01600SKILLED NURSING FACILITY 26754,A000000,01800,0000,01800NURSING FACILITY 26754,A000000,01810,0000,01810ICF/MR 26754,A000000,01900,0000,01900OTHER LONG TERM CARE 26754,A000000,02100,0000,02100RADIOLOGY 26754,A000000,02200,0000,02200LABORATORY 26754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26754,A000000,02500,0000,02500PHYSICAL THERAPY 26754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26754,A000000,02700,0000,02700SPEECH PATHOLOGY 26754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26754,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26754,A000000,03051,0000,03301ENTERAL FEEDING 26754,A000000,03550,0000,03550FQHC 26754,A000000,05000,0000,05000CORF 26754,A000000,05010,0000,05010CMHC 26754,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26754,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26754,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26754,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26754,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26754,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26754,A000000,06153,0000,06312DIALYSIS 26754,A000000,06154,0000,06320APARTMENTS 26754,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26754,A000000,06156,0000,06340CLOSED PATIENT AREAS 26754,A000000,06157,0000,06350O/P ADULT DAYCARE 26754,A81000A,00100,0100,Y 26754,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26754,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26754,A81000B,00300,0300,SYMPHONY RESPIRATORY 26754,A81000B,00400,0300,SYMPHONY MOBILEX 26754,A81000B,00500,0300,SYMPHONY REHAB 26754,A81000B,00600,0300,SYMPHONY REHAB 26754,A81000B,00700,0300,REHAB ALLOCATION 26754,A81000B,00800,0300,REHAB ALLOCATION 26754,A81000B,00900,0300,REHAB ALLOCATION 26754,A81000B,01000,0300,CLINICAL ALLOCATION 26754,A81000C,00100,0100,B 26754,A81000C,00100,0400,IHS INC. 26754,A81000C,00100,0600,NURSING HOMES 26754,A81000C,00200,0100,G 26754,A81000C,00200,0400,SYMPHONY REHAB 26754,A81000C,00200,0600,REHAB SERVICES 26754,A81000C,00300,0100,G 26754,A81000C,00300,0400,LTC MED LAB 26754,A81000C,00300,0600,LABORATORY 26754,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26754,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26754,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26754,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26754,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26754,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26754,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26754,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26754,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26754,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26754,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26754,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26754,E10A180,00302,0100,12/03/1999 26754,E10A180,00351,0100,03/18/1999 26754,E10A180,00353,0100,05/18/2000 26754,E10A180,00501,0300,07/28/2000 26754,E10A180,00550,0100,07/28/2000 26754,S000000,00100,0200,06/01/2000 26754,S200000,00100,0100,2059 TORREDGE RD 26754,S200000,00200,0100,DURHAM 26754,S200000,00200,0200,NC 26754,S200000,00200,0300,27712- 26754,S200000,00300,0100,DURHAM 26754,S200000,00300,0200,6640 26754,S200000,00300,0300,U 26754,S200000,00400,0100,TREYBURN REHAB & NRSG CTR 26754,S200000,00400,0200,345458 26754,S200000,00400,0300,05/16/1994 26754,S200000,00400,0500,P 26754,S200000,00600,0200,345458 26754,S200000,00600,0300,05/16/1994 26754,S200000,00600,0600,P 26754,S200000,01600,0100,Y 26754,S200000,02200,0100,Y 26771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26771,A000000,00300,0000,00300EMPLOYEE BENEFITS 26771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26771,A000000,00700,0000,00700HOUSEKEEPING 26771,A000000,00800,0000,00800DIETARY 26771,A000000,00900,0000,00900NURSING ADMINISTRATION 26771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26771,A000000,01100,0000,01100PHARMACY 26771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26771,A000000,01300,0000,01300SOCIAL SERVICE 26771,A000000,01350,0000,01500ACTIVITIES 26771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26771,A000000,01600,0000,01600SKILLED NURSING FACILITY 26771,A000000,01800,0000,01800NURSING FACILITY 26771,A000000,01900,0000,01900OTHER LONG TERM CARE 26771,A000000,02100,0000,02100RADIOLOGY 26771,A000000,02200,0000,02200LABORATORY 26771,A000000,02300,0000,02300INTRAVENOUS THERAPY 26771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26771,A000000,02500,0000,02500PHYSICAL THERAPY 26771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26771,A000000,02700,0000,02700SPEECH PATHOLOGY 26771,A000000,02800,0000,02800ELECTROCARDIOLOGY 26771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26771,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26771,A000000,03200,0000,03200SUPPORT SURFACES 26771,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26771,A000000,04800,0000,04800AMBULANCE 26771,A000000,05300,0000,05300INTEREST EXPENSE 26771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26771,A000000,06100,0000,06100NONPAID WORKERS 26771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26771,A000000,06200,0000,06200PATIENTS LAUNDRY 26771,A81000A,00100,0100,Y 26771,A81000B,00100,0300,HOME OFFICE COST 26771,A81000B,00200,0300,PT ADMIN FEE 26771,A81000B,00300,0300,OT ADMIN FEE 26771,A81000B,00400,0300,ST ADMIN FEE 26771,A81000C,00100,0100,B 26771,A81000C,00100,0200,MCHS - MINOT 26771,A81000C,00100,0400,HCR MANORCARE INC. 26771,A81000C,00100,0600,LONG TERM CARE FACILITIES 26771,A81000C,00200,0100,B 26771,A81000C,00200,0200,MCHS - MINOT 26771,A81000C,00200,0400,HRTLND MANAGEMENT SERV 26771,A81000C,00200,0600,THERAPY MANAGEMENT 26771,A81000C,00300,0100,B 26771,A81000C,00300,0200,MCHS - MINOT 26771,A81000C,00300,0400,HRTLND MANAGEMENT SERV 26771,A81000C,00300,0600,THERAPY MANAGEMENT 26771,A81000C,00400,0100,B 26771,A81000C,00400,0200,MCHS - MINOT 26771,A81000C,00400,0400,HRTLND MANAGEMENT SERV 26771,A81000C,00400,0600,THERAPY MANAGEMENT 26771,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26771,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26771,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26771,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26771,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26771,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26771,B100000,00000,0800,00000MEALS SERVED :DIETARY 26771,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26771,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26771,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26771,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26771,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26771,S000000,00100,0200,11/01/2000 26771,S200000,00100,0100,600 S. MAIN STREET 26771,S200000,00200,0100,MINOT 26771,S200000,00200,0200,ND 26771,S200000,00200,0300,58701- 26771,S200000,00300,0100,WARD 26771,S200000,00300,0300,R 26771,S200000,00400,0100,MCHS - MINOT 26771,S200000,00400,0200,355031 26771,S200000,00400,0300,07/01/1971 26771,S200000,00400,0500,P 26771,S200000,00400,0600,P 26771,S200000,01600,0100,Y 26771,S200000,02200,0100,Y 26778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26778,A000000,00300,0000,00300EMPLOYEE BENEFITS 26778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26778,A000000,00700,0000,00700HOUSEKEEPING 26778,A000000,00800,0000,00800DIETARY 26778,A000000,00900,0000,00900NURSING ADMINISTRATION 26778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26778,A000000,01100,0000,01100PHARMACY 26778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26778,A000000,01300,0000,01300SOCIAL SERVICE 26778,A000000,01350,0000,01500RECREATION ACTIVITIES 26778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26778,A000000,01600,0000,01600SKILLED NURSING FACILITY 26778,A000000,01800,0000,01800NURSING FACILITY 26778,A000000,01810,0000,01810ICF/MR 26778,A000000,02100,0000,02100RADIOLOGY 26778,A000000,02200,0000,02200LABORATORY 26778,A000000,02500,0000,02500PHYSICAL THERAPY 26778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26778,A000000,02700,0000,02700SPEECH PATHOLOGY 26778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26778,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26778,A000000,03051,0000,03301ENTERAL FEEDING 26778,A000000,03550,0000,03550FQHC 26778,A000000,05000,0000,05000CORF 26778,A000000,05010,0000,05010CMHC 26778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26778,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26778,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26778,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26778,A000000,06153,0000,06312DIALYSIS 26778,A000000,06154,0000,06320APARTMENTS 26778,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26778,A000000,06156,0000,06340CLOSED PATIENT AREAS 26778,A000000,06157,0000,06350O/P ADULT DAYCARE 26778,A81000A,00100,0100,Y 26778,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26778,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26778,A81000B,00300,0300,LTC MED LABS 26778,A81000B,00400,0300,SYMPHONY REHAB 26778,A81000B,00500,0300,SYMPHONY REHAB 26778,A81000B,00600,0300,SYMPHONY REHAB 26778,A81000B,00700,0300,HOME OFFICE 26778,A81000C,00100,0100,B 26778,A81000C,00100,0400,IHS INC. 26778,A81000C,00100,0600,NURSING HOMES 26778,A81000C,00200,0100,G 26778,A81000C,00200,0400,SYMPHONY REHAB 26778,A81000C,00200,0600,REHAB SERVICES 26778,A81000C,00300,0100,G 26778,A81000C,00300,0400,LTC MED LAB 26778,A81000C,00300,0600,LABORATORY 26778,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26778,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26778,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26778,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26778,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26778,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26778,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26778,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26778,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26778,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26778,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26778,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26778,E10A180,00301,0100,09/18/2000 26778,E10A180,00350,0100,01/03/2000 26778,E10A180,00501,0100,12/06/2001 26778,E10A180,00550,0100,10/30/2000 26778,E10A180,00550,0300,10/30/2000 26778,E10A180,00551,0100,12/26/2000 26778,S000000,00100,0200,11/01/2000 26778,S200000,00100,0100,4121 TODD AVENUE 26778,S200000,00200,0100,WARREN 26778,S200000,00200,0200,OH 26778,S200000,00200,0300,44485- 26778,S200000,00300,0100,TRUMBULL 26778,S200000,00300,0200,9320 26778,S200000,00300,0300,U 26778,S200000,00400,0100,IMPERIAL SKILLED CARE CENTER 26778,S200000,00400,0200,365034 26778,S200000,00400,0300,06/01/1987 26778,S200000,00400,0500,P 26778,S200000,00600,0200,365034 26778,S200000,00600,0300,06/01/1987 26778,S200000,00600,0600,P 26778,S200000,01600,0100,Y 26778,S200000,02200,0100,Y 26786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26786,A000000,00300,0000,00300EMPLOYEE BENEFITS 26786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26786,A000000,00700,0000,00700HOUSEKEEPING 26786,A000000,00800,0000,00800DIETARY 26786,A000000,00900,0000,00900NURSING ADMINISTRATION 26786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26786,A000000,01100,0000,01100PHARMACY 26786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26786,A000000,01300,0000,01300SOCIAL SERVICE 26786,A000000,01350,0000,01500RECREATION ACTIVITIES 26786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26786,A000000,01600,0000,01600SKILLED NURSING FACILITY 26786,A000000,01800,0000,01800NURSING FACILITY 26786,A000000,01810,0000,01810ICF/MR 26786,A000000,02100,0000,02100RADIOLOGY 26786,A000000,02200,0000,02200LABORATORY 26786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26786,A000000,02500,0000,02500PHYSICAL THERAPY 26786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26786,A000000,02700,0000,02700SPEECH PATHOLOGY 26786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26786,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26786,A000000,03051,0000,03301ENTERAL FEEDING 26786,A000000,03550,0000,03550FQHC 26786,A000000,05000,0000,05000CORF 26786,A000000,05010,0000,05010CMHC 26786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26786,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26786,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26786,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26786,A000000,06153,0000,06312DIALYSIS 26786,A000000,06154,0000,06320APARTMENTS 26786,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26786,A000000,06156,0000,06340CLOSED PATIENT AREAS 26786,A000000,06157,0000,06350O/P ADULT DAYCARE 26786,A81000A,00100,0100,Y 26786,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26786,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26786,A81000B,00300,0300,HOME OFFICE CLINICAL 26786,A81000B,00400,0300,HOME OFFICE 26786,A81000B,00500,0300,HOME OFFICE 26786,A81000B,00600,0300,HOME OFFICE 26786,A81000B,00700,0300,SYMPHONY RESPIRATORY 26786,A81000B,00800,0300,LTC MED LAB 26786,A81000C,00100,0100,B 26786,A81000C,00100,0400,IHS INC. 26786,A81000C,00100,0600,NURSING HOMES 26786,A81000C,00200,0100,G 26786,A81000C,00200,0400,SYMPHONY REHAB 26786,A81000C,00200,0600,REHAB SERVICES 26786,A81000C,00300,0100,G 26786,A81000C,00300,0400,LTC MED LAB 26786,A81000C,00300,0600,LABORATORY 26786,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26786,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26786,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26786,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26786,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26786,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26786,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26786,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26786,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26786,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26786,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26786,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26786,E10A180,00302,0100,01/03/2000 26786,E10A180,00303,0100,09/18/2000 26786,E10A180,00501,0100,12/06/2001 26786,E10A180,00550,0100,10/30/2000 26786,E10A180,00550,0300,10/30/2000 26786,E10A180,00551,0100,12/26/2000 26786,S000000,00100,0200,11/01/2000 26786,S200000,00100,0100,5565 SOUTH AVENUE 26786,S200000,00200,0100,YOUNGSTOWN 26786,S200000,00200,0200,OH 26786,S200000,00200,0300,44512- 26786,S200000,00300,0100,TRUMBELL 26786,S200000,00300,0200,9320 26786,S200000,00300,0300,U 26786,S200000,00400,0100,BOARDMAN COMMUNITY CARE CTR 26786,S200000,00400,0200,365185 26786,S200000,00400,0300,06/01/1987 26786,S200000,00400,0500,P 26786,S200000,00600,0200,365185 26786,S200000,00600,0300,06/01/1987 26786,S200000,00600,0600,P 26786,S200000,01600,0100,Y 26786,S200000,02200,0100,Y 26807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26807,A000000,00300,0000,00300EMPLOYEE BENEFITS 26807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26807,A000000,00700,0000,00700HOUSEKEEPING 26807,A000000,00800,0000,00800DIETARY 26807,A000000,00900,0000,00900NURSING ADMINISTRATION 26807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26807,A000000,01100,0000,01100PHARMACY 26807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26807,A000000,01300,0000,01300SOCIAL SERVICE 26807,A000000,01350,0000,01500ACTIVITIES 26807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26807,A000000,01600,0000,01600SKILLED NURSING FACILITY 26807,A000000,01800,0000,01800NURSING FACILITY 26807,A000000,01900,0000,01900OTHER LONG TERM CARE 26807,A000000,02100,0000,02100RADIOLOGY 26807,A000000,02200,0000,02200LABORATORY 26807,A000000,02300,0000,02300INTRAVENOUS THERAPY 26807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26807,A000000,02500,0000,02500PHYSICAL THERAPY 26807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26807,A000000,02700,0000,02700SPEECH PATHOLOGY 26807,A000000,02800,0000,02800ELECTROCARDIOLOGY 26807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26807,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26807,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26807,A000000,03200,0000,03200SUPPORT SURFACES 26807,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26807,A000000,04800,0000,04800AMBULANCE 26807,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26807,A000000,05300,0000,05300INTEREST EXPENSE 26807,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26807,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26807,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26807,A000000,06100,0000,06100NONPAID WORKERS 26807,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26807,A000000,06200,0000,06200PATIENTS LAUNDRY 26807,A81000A,00100,0100,Y 26807,A81000B,00100,0300,HOME OFFICE COST 26807,A81000B,00200,0300,DIRECT INTEREST 26807,A81000B,00300,0300,PHYSICAL THERAPY 26807,A81000B,00400,0300,OCCUPAITONAL THERAPY 26807,A81000B,00500,0300,SPEECH THERAPY 26807,A81000B,00600,0300,PHYSICAL THERAPY 26807,A81000B,00700,0300,OCCUPAITONAL THERAPY 26807,A81000B,00800,0300,SPEECH THERAPY 26807,A81000C,00100,0100,B 26807,A81000C,00100,0200,MCHS WESTERVILLE - #466 26807,A81000C,00100,0400,HCR MANORCARE INC. 26807,A81000C,00100,0600,LONG TERM CARE FACILITIES 26807,A81000C,00200,0100,B 26807,A81000C,00200,0200,MCHS WESTERVILLE - #466 26807,A81000C,00200,0400,HCR MANORCARE INC. 26807,A81000C,00200,0600,LONG TERM ARE FACILITIES 26807,A81000C,00300,0100,B 26807,A81000C,00300,0200,MCHS WESTERVILLE - #466 26807,A81000C,00300,0400,HTLD THERAPY SERVICES 26807,A81000C,00300,0600,THERAPY SERVICES 26807,A81000C,00400,0100,B 26807,A81000C,00400,0200,MCHS WESTERVILLE - #466 26807,A81000C,00400,0400,HTLD THERAPY SERVICES 26807,A81000C,00400,0600,THERAPY SERVICES 26807,A81000C,00500,0100,B 26807,A81000C,00500,0200,MCHS WESTERVILLE - #466 26807,A81000C,00500,0400,HTLD THERAPY SERVICES 26807,A81000C,00500,0600,THERAPY SERVICES 26807,A81000C,00600,0100,B 26807,A81000C,00600,0200,MCHS WESTERVILLE - #466 26807,A81000C,00600,0400,THERAPY MANAGEMENT SVS 26807,A81000C,00600,0600,THERAPY MANAGEMENT 26807,A81000C,00700,0100,B 26807,A81000C,00700,0200,MCHS WESTERVILLE - #466 26807,A81000C,00700,0400,THERAPY MANAGEMENT SVS 26807,A81000C,00700,0600,THERAPY MANAGEMENT 26807,A81000C,00800,0100,B 26807,A81000C,00800,0200,MCHS WESTERVILLE - #466 26807,A81000C,00800,0400,THERAPY MANAGEMENT SVS 26807,A81000C,00800,0600,THERAPY MANAGEMENT 26807,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26807,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26807,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26807,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26807,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26807,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26807,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26807,B100000,00000,0800,00000MEALS SERVED :DIETARY 26807,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26807,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26807,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26807,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26807,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26807,S000000,00100,0200,10/24/2000 26807,S200000,00100,0100,140 OLD COUNTY LINE ROAD 26807,S200000,00200,0100,WESTERVILLE 26807,S200000,00200,0200,OH 26807,S200000,00200,0300,43081- 26807,S200000,00300,0100,DELAWARE 26807,S200000,00300,0200,1840 26807,S200000,00300,0300,U 26807,S200000,00400,0100,MCHS WESTERVILLE - #466 26807,S200000,00400,0200,365206 26807,S200000,00400,0300,01/01/1966 26807,S200000,00400,0500,P 26807,S200000,00400,0600,P 26807,S200000,01004,0500,O 26807,S200000,01600,0100,Y 26807,S200000,02200,0100,Y 26817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26817,A000000,00300,0000,00300EMPLOYEE BENEFITS 26817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26817,A000000,00700,0000,00700HOUSEKEEPING 26817,A000000,00800,0000,00800DIETARY 26817,A000000,00900,0000,00900NURSING ADMINISTRATION 26817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26817,A000000,01100,0000,01100PHARMACY 26817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26817,A000000,01300,0000,01300SOCIAL SERVICE 26817,A000000,01350,0000,01500RECREATION ACTIVITIES 26817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26817,A000000,01600,0000,01600SKILLED NURSING FACILITY 26817,A000000,01800,0000,01800NURSING FACILITY 26817,A000000,01810,0000,01810ICF/MR 26817,A000000,02100,0000,02100RADIOLOGY 26817,A000000,02200,0000,02200LABORATORY 26817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26817,A000000,02500,0000,02500PHYSICAL THERAPY 26817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26817,A000000,02700,0000,02700SPEECH PATHOLOGY 26817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26817,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26817,A000000,03051,0000,03301ENTERAL FEEDING 26817,A000000,03550,0000,03550FQHC 26817,A000000,05000,0000,05000CORF 26817,A000000,05010,0000,05010CMHC 26817,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26817,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26817,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26817,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26817,A000000,06153,0000,06312DIALYSIS 26817,A000000,06154,0000,06320APARTMENTS 26817,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26817,A000000,06156,0000,06340CLOSED PATIENT AREAS 26817,A000000,06157,0000,06350O/P ADULT DAYCARE 26817,A81000A,00100,0100,Y 26817,A81000B,00100,0300,OWNERS COMPENSATION 26817,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26817,A81000C,00100,0100,A 26817,A81000C,00100,0200,ROBERT HUFF 26817,A81000C,00100,0400,MULTI HEALTH SE 26817,A81000C,00100,0600,HEALTH CARE 26817,A81000C,00200,0100,A 26817,A81000C,00200,0200,LYNN HUFF 26817,A81000C,00200,0400,MULTI HEALTH SE 26817,A81000C,00200,0600,HEALTH CARE 26817,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26817,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 26817,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26817,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26817,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26817,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26817,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26817,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26817,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26817,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26817,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 26817,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26817,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26817,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26817,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 26817,E10A180,00301,0100,12/03/1999 26817,E10A180,00351,0100,03/18/1999 26817,E10A180,00352,0100,05/01/2000 26817,E10A180,00353,0100,05/18/2000 26817,E10A180,00501,0300,06/15/2000 26817,E10A180,00550,0100,07/28/2000 26817,E10A180,00550,0300,07/28/2000 26817,E10A180,00551,0100,06/15/2000 26817,S000000,00100,0200,06/15/2000 26817,S200000,00100,0100,3102 ST. CHARLES DRIVE 26817,S200000,00200,0100,STEUBENVILLE 26817,S200000,00200,0200,OH 26817,S200000,00200,0300,43952- 26817,S200000,00400,0100,CARRIAGE INN OF STEUBENVILLE 26817,S200000,00400,0200,365271 26817,S200000,00400,0300,09/20/1984 26817,S200000,00400,0500,P 26817,S200000,00600,0200,365271 26817,S200000,00600,0300,09/20/1984 26817,S200000,00600,0600,P 26817,S200000,01500,0100,Y 26817,S200000,02200,0100,Y 26824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26824,A000000,00300,0000,00300EMPLOYEE BENEFITS 26824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26824,A000000,00700,0000,00700HOUSEKEEPING 26824,A000000,00800,0000,00800DIETARY 26824,A000000,00900,0000,00900NURSING ADMINISTRATION 26824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26824,A000000,01100,0000,01100PHARMACY 26824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26824,A000000,01300,0000,01300SOCIAL SERVICE 26824,A000000,01350,0000,01500RECREATION ACTIVITIES 26824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26824,A000000,01600,0000,01600SKILLED NURSING FACILITY 26824,A000000,01800,0000,01800NURSING FACILITY 26824,A000000,01810,0000,01810ICF/MR 26824,A000000,02100,0000,02100RADIOLOGY 26824,A000000,02200,0000,02200LABORATORY 26824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26824,A000000,02500,0000,02500PHYSICAL THERAPY 26824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26824,A000000,02700,0000,02700SPEECH PATHOLOGY 26824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26824,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26824,A000000,03051,0000,03301ENTERAL FEEDING 26824,A000000,03550,0000,03550FQHC 26824,A000000,05000,0000,05000CORF 26824,A000000,05010,0000,05010CMHC 26824,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26824,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26824,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26824,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26824,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26824,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26824,A000000,06153,0000,06312DIALYSIS 26824,A000000,06154,0000,06320APARTMENTS 26824,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26824,A000000,06156,0000,06340CLOSED PATIENT AREAS 26824,A000000,06157,0000,06350O/P ADULT DAYCARE 26824,A81000A,00100,0100,Y 26824,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26824,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26824,A81000B,00300,0300,SYMPHONY REHAB 26824,A81000B,00400,0300,SYMPHONY REHAB 26824,A81000B,00500,0300,SYMPHONY REHAB 26824,A81000B,00600,0300,HOME OFFICE CLINICAL 26824,A81000B,00700,0300,HOME OFFICE REHAB 26824,A81000B,00800,0300,HOME OFFICE REHAB 26824,A81000B,00900,0300,HOME OFFICE REHAB 26824,A81000B,01000,0300,LYRIC CORP 26824,A81000C,00100,0100,B 26824,A81000C,00100,0400,IHS INC. 26824,A81000C,00100,0600,NURSING HOMES 26824,A81000C,00200,0100,G 26824,A81000C,00200,0400,SYMPHONY REHAB 26824,A81000C,00200,0600,REHAB SERVICES 26824,A81000C,00300,0100,G 26824,A81000C,00300,0400,LTC MED LAB 26824,A81000C,00300,0600,LABORATORY 26824,A81000C,00400,0100,B 26824,A81000C,00400,0400,LYRIC CORP 26824,A81000C,00400,0600,NURSING HOMES 26824,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26824,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26824,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26824,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26824,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26824,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26824,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26824,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26824,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26824,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26824,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26824,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26824,E10A180,00351,0100,01/03/2000 26824,E10A180,00352,0100,09/18/2000 26824,E10A180,00501,0100,12/26/2000 26824,E10A180,00501,0300,12/26/2000 26824,S000000,00100,0200,11/01/2000 26824,S200000,00100,0100,225 WEST MAIN STREET 26824,S200000,00200,0100,SHELBY 26824,S200000,00200,0200,OH 26824,S200000,00200,0300,44875- 26824,S200000,00300,0100,RICHLAND 26824,S200000,00300,0200,4800 26824,S200000,00300,0300,U 26824,S200000,00400,0100,CRESTWOOD CARE CENTER 26824,S200000,00400,0200,365284 26824,S200000,00400,0300,09/01/1992 26824,S200000,00400,0500,P 26824,S200000,00600,0200,365284 26824,S200000,00600,0300,09/01/1992 26824,S200000,00600,0600,P 26824,S200000,01600,0100,Y 26824,S200000,02200,0100,Y 26833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26833,A000000,00300,0000,00300EMPLOYEE BENEFITS 26833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26833,A000000,00700,0000,00700HOUSEKEEPING 26833,A000000,00800,0000,00800DIETARY 26833,A000000,00900,0000,00900NURSING ADMINISTRATION 26833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26833,A000000,01100,0000,01100PHARMACY 26833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26833,A000000,01300,0000,01300SOCIAL SERVICE 26833,A000000,01350,0000,01500ACTIVITIES 26833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26833,A000000,01600,0000,01600SKILLED NURSING FACILITY 26833,A000000,01800,0000,01800NURSING FACILITY 26833,A000000,01900,0000,01900OTHER LONG TERM CARE 26833,A000000,02100,0000,02100RADIOLOGY 26833,A000000,02200,0000,02200LABORATORY 26833,A000000,02300,0000,02300INTRAVENOUS THERAPY 26833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26833,A000000,02500,0000,02500PHYSICAL THERAPY 26833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26833,A000000,02700,0000,02700SPEECH PATHOLOGY 26833,A000000,02800,0000,02800ELECTROCARDIOLOGY 26833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26833,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26833,A000000,03200,0000,03200SUPPORT SURFACES 26833,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26833,A000000,04800,0000,04800AMBULANCE 26833,A000000,05300,0000,05300INTEREST EXPENSE 26833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26833,A000000,06100,0000,06100NONPAID WORKERS 26833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26833,A000000,06200,0000,06200PATIENTS LAUNDRY 26833,A81000A,00100,0100,Y 26833,A81000B,00100,0300,HOME OFFICE COST 26833,A81000B,00200,0300,PHYSICAL THERAPY 26833,A81000B,00300,0300,OCCUPATIONAL THERAPY 26833,A81000B,00400,0300,SPEECH THERAPY 26833,A81000C,00100,0100,B 26833,A81000C,00100,0200,MCHS CINCINNATI 26833,A81000C,00100,0400,HCR MANORCARE INC. 26833,A81000C,00100,0600,LONG TERM CARE FACILITIES 26833,A81000C,00200,0100,B 26833,A81000C,00200,0200,MCHS CINCINNATI 26833,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 26833,A81000C,00200,0600,THERAPY MANAGEMENT 26833,A81000C,00300,0100,B 26833,A81000C,00300,0200,MCHS CINCINNATI 26833,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26833,A81000C,00300,0600,THERAPY MANAGEMENT 26833,A81000C,00400,0100,B 26833,A81000C,00400,0200,MCHS CINCINNATI 26833,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26833,A81000C,00400,0600,THERAPY MANAGEMENT 26833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26833,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26833,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26833,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26833,B100000,00000,0800,00000MEALS SERVED :DIETARY 26833,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26833,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26833,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26833,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26833,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26833,S000000,00100,0200,10/20/2000 26833,S200000,00100,0100,2250 BANNING ROAD 26833,S200000,00200,0100,CINCINNATI 26833,S200000,00200,0200,OH 26833,S200000,00200,0300,45239- 26833,S200000,00300,0100,HAMILTON 26833,S200000,00300,0200,1640 26833,S200000,00300,0300,U 26833,S200000,00400,0100,MCHS CINCINNATI - #513 26833,S200000,00400,0200,365293 26833,S200000,00400,0300,01/01/1966 26833,S200000,00400,0500,P 26833,S200000,00400,0600,P 26833,S200000,01004,0500,O 26833,S200000,01600,0100,Y 26833,S200000,02200,0100,Y 26873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26873,A000000,00300,0000,00300EMPLOYEE BENEFITS 26873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26873,A000000,00700,0000,00700HOUSEKEEPING 26873,A000000,00800,0000,00800DIETARY 26873,A000000,00900,0000,00900NURSING ADMINISTRATION 26873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26873,A000000,01100,0000,01100PHARMACY 26873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26873,A000000,01300,0000,01300SOCIAL SERVICE 26873,A000000,01350,0000,01500ACTIVITIES 26873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26873,A000000,01600,0000,01600SKILLED NURSING FACILITY 26873,A000000,01800,0000,01800NURSING FACILITY 26873,A000000,01900,0000,01900OTHER LONG TERM CARE 26873,A000000,02100,0000,02100RADIOLOGY 26873,A000000,02200,0000,02200LABORATORY 26873,A000000,02300,0000,02300INTRAVENOUS THERAPY 26873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26873,A000000,02500,0000,02500PHYSICAL THERAPY 26873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26873,A000000,02700,0000,02700SPEECH PATHOLOGY 26873,A000000,02800,0000,02800ELECTROCARDIOLOGY 26873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26873,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26873,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26873,A000000,03200,0000,03200SUPPORT SURFACES 26873,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26873,A000000,04800,0000,04800AMBULANCE 26873,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26873,A000000,05300,0000,05300INTEREST EXPENSE 26873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26873,A000000,06100,0000,06100NONPAID WORKERS 26873,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26873,A000000,06200,0000,06200PATIENTS LAUNDRY 26873,A81000A,00100,0100,Y 26873,A81000B,00100,0300,HOME OFFICE COST 26873,A81000B,00200,0300,PHYSICAL THERAPY 26873,A81000B,00300,0300,OCCUPATIONAL THERAPY 26873,A81000B,00400,0300,SPEECH THERAPY 26873,A81000C,00100,0100,B 26873,A81000C,00100,0200,MCHS BELDEN VILLAGE 26873,A81000C,00100,0400,HCR MANORCARE INC. 26873,A81000C,00100,0600,LONG TERM CARE FACILITIES 26873,A81000C,00200,0100,B 26873,A81000C,00200,0200,MCHS BELDEN VILLAGE 26873,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 26873,A81000C,00200,0600,THERAPY MANAGEMENT 26873,A81000C,00300,0100,B 26873,A81000C,00300,0200,MCHS BELDEN VILLAGE 26873,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26873,A81000C,00300,0600,THERAPY MANAGEMENT 26873,A81000C,00400,0100,B 26873,A81000C,00400,0200,MCHS BELDEN VILLAGE 26873,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26873,A81000C,00400,0600,THERAPY MANAGEMENT 26873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26873,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26873,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26873,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26873,B100000,00000,0800,00000MEALS SERVED :DIETARY 26873,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26873,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26873,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26873,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26873,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26873,S000000,00100,0200,10/20/2000 26873,S200000,00100,0100,5005 HIGBEE AVENUE NW 26873,S200000,00200,0100,CANTON 26873,S200000,00200,0200,OH 26873,S200000,00200,0300,44718- 26873,S200000,00300,0100,STARK 26873,S200000,00300,0200,1320 26873,S200000,00300,0300,U 26873,S200000,00400,0100,MCHS BELDEN VILLAGE - #521 26873,S200000,00400,0200,365324 26873,S200000,00400,0300,01/01/1966 26873,S200000,00400,0500,P 26873,S200000,00400,0600,P 26873,S200000,01004,0500,O 26873,S200000,01600,0100,Y 26873,S200000,02200,0100,Y 26880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26880,A000000,00300,0000,00300EMPLOYEE BENEFITS 26880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26880,A000000,00700,0000,00700HOUSEKEEPING 26880,A000000,00800,0000,00800DIETARY 26880,A000000,00900,0000,00900NURSING ADMINISTRATION 26880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26880,A000000,01100,0000,01100PHARMACY 26880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26880,A000000,01300,0000,01300SOCIAL SERVICE 26880,A000000,01350,0000,01500RECREATION ACTIVITIES 26880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26880,A000000,01600,0000,01600SKILLED NURSING FACILITY 26880,A000000,01800,0000,01800NURSING FACILITY 26880,A000000,01810,0000,01810ICF/MR 26880,A000000,02100,0000,02100RADIOLOGY 26880,A000000,02200,0000,02200LABORATORY 26880,A000000,02500,0000,02500PHYSICAL THERAPY 26880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26880,A000000,02700,0000,02700SPEECH PATHOLOGY 26880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26880,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26880,A000000,03051,0000,03301ENTERAL FEEDING 26880,A000000,03550,0000,03550FQHC 26880,A000000,05000,0000,05000CORF 26880,A000000,05010,0000,05010CMHC 26880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26880,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26880,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26880,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26880,A000000,06153,0000,06312DIALYSIS 26880,A000000,06154,0000,06320APARTMENTS 26880,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26880,A000000,06156,0000,06340CLOSED PATIENT AREAS 26880,A000000,06157,0000,06350O/P ADULT DAYCARE 26880,A81000A,00100,0100,Y 26880,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26880,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26880,A81000B,00300,0300,SYMPHONY MOBIL 26880,A81000B,00400,0300,SYMPHONY REHAB 26880,A81000B,00500,0300,SYMPHONY REHAB 26880,A81000B,00600,0300,SYMPHONY REHAB 26880,A81000B,00700,0300,HOME OFFICE CLINICAL 26880,A81000C,00100,0100,B 26880,A81000C,00100,0400,IHS INC. 26880,A81000C,00100,0600,NURSING HOMES 26880,A81000C,00200,0100,G 26880,A81000C,00200,0400,SYMPHONY REHAB 26880,A81000C,00200,0600,REHAB SERVICES 26880,A81000C,00300,0100,G 26880,A81000C,00300,0400,LTC MED LAB 26880,A81000C,00300,0600,LABORATORY 26880,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26880,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26880,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26880,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26880,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26880,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26880,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26880,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26880,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26880,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26880,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26880,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26880,E10A180,00301,0100,01/03/2000 26880,E10A180,00351,0100,09/18/2000 26880,E10A180,00501,0100,12/26/2000 26880,E10A180,00502,0100,12/06/2001 26880,E10A180,00550,0100,10/30/2000 26880,E10A180,00550,0300,10/30/2000 26880,S000000,00100,0200,11/01/2000 26880,S200000,00100,0100,100 ROGERS LANE 26880,S200000,00200,0100,SHELBY 26880,S200000,00200,0200,OH 26880,S200000,00200,0300,44875- 26880,S200000,00300,0100,RICHLAND 26880,S200000,00300,0200,4800 26880,S200000,00300,0300,U 26880,S200000,00400,0100,HERITAGE CARE CENTER 26880,S200000,00400,0200,365331 26880,S200000,00400,0300,06/01/1987 26880,S200000,00400,0500,P 26880,S200000,00600,0200,365331 26880,S200000,00600,0300,06/01/1987 26880,S200000,00600,0600,P 26880,S200000,01600,0100,Y 26880,S200000,02200,0100,Y 26889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26889,A000000,00300,0000,00300EMPLOYEE BENEFITS 26889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26889,A000000,00700,0000,00700HOUSEKEEPING 26889,A000000,00800,0000,00800DIETARY 26889,A000000,00900,0000,00900NURSING ADMINISTRATION 26889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26889,A000000,01100,0000,01100PHARMACY 26889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26889,A000000,01300,0000,01300SOCIAL SERVICE 26889,A000000,01350,0000,01500ACTIVITIES 26889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26889,A000000,01600,0000,01600SKILLED NURSING FACILITY 26889,A000000,01800,0000,01800NURSING FACILITY 26889,A000000,01900,0000,01900OTHER LONG TERM CARE 26889,A000000,02100,0000,02100RADIOLOGY 26889,A000000,02200,0000,02200LABORATORY 26889,A000000,02300,0000,02300INTRAVENOUS THERAPY 26889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26889,A000000,02500,0000,02500PHYSICAL THERAPY 26889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26889,A000000,02700,0000,02700SPEECH PATHOLOGY 26889,A000000,02800,0000,02800ELECTROCARDIOLOGY 26889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26889,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26889,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26889,A000000,03200,0000,03200SUPPORT SURFACES 26889,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26889,A000000,04800,0000,04800AMBULANCE 26889,A000000,05300,0000,05300INTEREST EXPENSE 26889,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26889,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26889,A000000,06100,0000,06100NONPAID WORKERS 26889,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26889,A000000,06200,0000,06200PATIENTS LAUNDRY 26889,A81000A,00100,0100,Y 26889,A81000B,00100,0300,HOME OFFICE COST 26889,A81000B,00200,0300,DIRECT INTEREST 26889,A81000B,00300,0300,PT ADMINISTRATIVE FEES 26889,A81000B,00400,0300,OT ADMINISTRATIVE FEES 26889,A81000B,00500,0300,ST ADMINISTRATIVE FEES 26889,A81000C,00100,0100,B 26889,A81000C,00100,0200,MCHS BARBERTON 26889,A81000C,00100,0400,HCR MANORCARE INC. 26889,A81000C,00100,0600,LONG TERM CARE FACILITIES 26889,A81000C,00200,0100,B 26889,A81000C,00200,0200,MCHS BARBERTON 26889,A81000C,00200,0400,HCR MANORCARE INC. 26889,A81000C,00200,0600,LONG TERM CARE FACILITIES 26889,A81000C,00300,0100,B 26889,A81000C,00300,0200,MCHS BARBERTON 26889,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26889,A81000C,00300,0600,THERAPY MANAGEMENT 26889,A81000C,00400,0100,B 26889,A81000C,00400,0200,MCHS BARBERTON 26889,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26889,A81000C,00400,0600,THERAPY MANAGEMENT 26889,A81000C,00500,0100,B 26889,A81000C,00500,0200,MCHS BARBERTON 26889,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 26889,A81000C,00500,0600,THERAPY MANAGEMENT 26889,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26889,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26889,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26889,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26889,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26889,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26889,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26889,B100000,00000,0800,00000MEALS SERVED :DIETARY 26889,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26889,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26889,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26889,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26889,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26889,S000000,00100,0200,10/20/2000 26889,S200000,00100,0100,85 THIRD STREET S.E. 26889,S200000,00200,0100,BARBERTON 26889,S200000,00200,0200,OH 26889,S200000,00200,0300,44203- 26889,S200000,00300,0100,SUMMIT 26889,S200000,00300,0200,80 26889,S200000,00300,0300,U 26889,S200000,00400,0100,MCHS BARBERTON - #450 26889,S200000,00400,0200,365340 26889,S200000,00400,0300,01/01/1966 26889,S200000,00400,0500,P 26889,S200000,00400,0600,P 26889,S200000,01004,0500,O 26889,S200000,01600,0100,Y 26889,S200000,02200,0100,Y 26900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26900,A000000,00300,0000,00300EMPLOYEE BENEFITS 26900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26900,A000000,00700,0000,00700HOUSEKEEPING 26900,A000000,00800,0000,00800DIETARY 26900,A000000,00900,0000,00900NURSING ADMINISTRATION 26900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26900,A000000,01100,0000,01100PHARMACY 26900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26900,A000000,01300,0000,01300SOCIAL SERVICE 26900,A000000,01350,0000,01500RECREATION ACTIVITIES 26900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26900,A000000,01600,0000,01600SKILLED NURSING FACILITY 26900,A000000,01800,0000,01800NURSING FACILITY 26900,A000000,01810,0000,01810ICF/MR 26900,A000000,02100,0000,02100RADIOLOGY 26900,A000000,02200,0000,02200LABORATORY 26900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26900,A000000,02500,0000,02500PHYSICAL THERAPY 26900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26900,A000000,02700,0000,02700SPEECH PATHOLOGY 26900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26900,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26900,A000000,03051,0000,03301ENTERAL FEEDING 26900,A000000,03550,0000,03550FQHC 26900,A000000,05000,0000,05000CORF 26900,A000000,05010,0000,05010CMHC 26900,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26900,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26900,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26900,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26900,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26900,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26900,A000000,06153,0000,06312DIALYSIS 26900,A000000,06154,0000,06320APARTMENTS 26900,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26900,A000000,06156,0000,06340CLOSED PATIENT AREAS 26900,A000000,06157,0000,06350O/P ADULT DAYCARE 26900,A81000A,00100,0100,Y 26900,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26900,A81000B,00300,0300,OWNERS COMPENSATION 26900,A81000C,00100,0100,A 26900,A81000C,00100,0200,ROBERT HUFF 26900,A81000C,00100,0400,MULTI HEALTH SE 26900,A81000C,00100,0600,HEALTH CARE 26900,A81000C,00200,0100,A 26900,A81000C,00200,0200,LYNN HUFF 26900,A81000C,00200,0400,MULTI HEALTH SE 26900,A81000C,00200,0600,HEALTH CARE 26900,A81000C,00300,0100,G 26900,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26900,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26900,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26900,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26900,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26900,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26900,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26900,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26900,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26900,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26900,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26900,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26900,E10A180,00304,0100,05/18/2000 26900,E10A180,00351,0100,03/18/1999 26900,E10A180,00352,0100,12/03/1999 26900,E10A180,00550,0100,08/11/2000 26900,E10A180,00550,0300,08/11/2000 26900,S000000,00100,0200,06/15/2000 26900,S200000,00100,0100,259 JAMISON AVENUE 26900,S200000,00200,0100,CADIZ 26900,S200000,00200,0200,OH 26900,S200000,00200,0300,43907- 26900,S200000,00300,0200,36 26900,S200000,00300,0300,R 26900,S200000,00400,0100,CARRIAGE INN OF CADIZ 26900,S200000,00400,0200,365342 26900,S200000,00400,0300,01/01/1975 26900,S200000,00400,0500,P 26900,S200000,00600,0200,365342 26900,S200000,00600,0300,01/01/1975 26900,S200000,00600,0600,P 26900,S200000,01600,0100,Y 26900,S200000,02200,0100,Y 26906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26906,A000000,00300,0000,00300EMPLOYEE BENEFITS 26906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26906,A000000,00700,0000,00700HOUSEKEEPING 26906,A000000,00800,0000,00800DIETARY 26906,A000000,00900,0000,00900NURSING ADMINISTRATION 26906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26906,A000000,01100,0000,01100PHARMACY 26906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26906,A000000,01300,0000,01300SOCIAL SERVICE 26906,A000000,01350,0000,01500RECREATION ACTIVITIES 26906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26906,A000000,01600,0000,01600SKILLED NURSING FACILITY 26906,A000000,01800,0000,01800NURSING FACILITY 26906,A000000,01810,0000,01810ICF/MR 26906,A000000,02100,0000,02100RADIOLOGY 26906,A000000,02200,0000,02200LABORATORY 26906,A000000,02500,0000,02500PHYSICAL THERAPY 26906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26906,A000000,02700,0000,02700SPEECH PATHOLOGY 26906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26906,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26906,A000000,03051,0000,03301ENTERAL FEEDING 26906,A000000,03550,0000,03550FQHC 26906,A000000,05000,0000,05000CORF 26906,A000000,05010,0000,05010CMHC 26906,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26906,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26906,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26906,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26906,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26906,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26906,A000000,06153,0000,06312DIALYSIS 26906,A000000,06154,0000,06320APARTMENTS 26906,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26906,A000000,06156,0000,06340CLOSED PATIENT AREAS 26906,A000000,06157,0000,06350O/P ADULT DAYCARE 26906,A81000A,00100,0100,Y 26906,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26906,A81000B,00200,0300,HOME OFFICE 26906,A81000B,00300,0300,CLINICAL HOME OFFICE 26906,A81000B,00400,0300,SYMPHONY REHAB 26906,A81000B,00500,0300,SYMPHONY REHAB 26906,A81000B,00600,0300,SYMPHONY REHAB 26906,A81000B,00700,0300,HOME OFFICE 26906,A81000B,00800,0300,HOME OFFICE 26906,A81000B,00900,0300,HOME OFFICE 26906,A81000B,01000,0300,LTC LABS 26906,A81000B,01100,0300,SYMPHONY MOBILEX 26906,A81000B,01200,0300,SYMPHONY EPSMED 26906,A81000C,00100,0100,B 26906,A81000C,00100,0200,IHS INC. 26906,A81000C,00100,0400,IHS INC. 26906,A81000C,00100,0600,NURSING HOMES 26906,A81000C,00200,0100,B 26906,A81000C,00200,0200,IHS INC. 26906,A81000C,00200,0400,SYMPHONY REHAB 26906,A81000C,00200,0600,REHAB SERVICES 26906,A81000C,00300,0100,B 26906,A81000C,00300,0200,IHS INC. 26906,A81000C,00300,0400,LTC MED LAB 26906,A81000C,00300,0600,LABORATORY 26906,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26906,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26906,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26906,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26906,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26906,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26906,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26906,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26906,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26906,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26906,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26906,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26906,E10A180,00301,0100,01/03/2000 26906,E10A180,00350,0100,09/18/2000 26906,E10A180,00501,0100,12/06/2001 26906,E10A180,00550,0100,10/30/2000 26906,E10A180,00550,0300,10/30/2000 26906,E10A180,00551,0100,12/26/2000 26906,S000000,00100,0200,11/01/2000 26906,S200000,00100,0100,935 ROSEWOOD DRIVE 26906,S200000,00200,0100,GALION 26906,S200000,00200,0200,OH 26906,S200000,00200,0300,44833- 26906,S200000,00300,0100,CRAWFORD 26906,S200000,00300,0200,4800 26906,S200000,00300,0300,U 26906,S200000,00400,0100,ROSEWOOD MANOR 26906,S200000,00400,0200,365351 26906,S200000,00400,0300,06/01/1987 26906,S200000,00400,0500,P 26906,S200000,00600,0200,365351 26906,S200000,00600,0300,06/01/1987 26906,S200000,00600,0600,P 26906,S200000,01600,0100,Y 26906,S200000,02200,0100,Y 26922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26922,A000000,00300,0000,00300EMPLOYEE BENEFITS 26922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26922,A000000,00700,0000,00700HOUSEKEEPING 26922,A000000,00800,0000,00800DIETARY 26922,A000000,00900,0000,00900NURSING ADMINISTRATION 26922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26922,A000000,01100,0000,01100PHARMACY 26922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26922,A000000,01300,0000,01300SOCIAL SERVICE 26922,A000000,01350,0000,01500RECREATION ACTIVITIES 26922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26922,A000000,01600,0000,01600SKILLED NURSING FACILITY 26922,A000000,01800,0000,01800NURSING FACILITY 26922,A000000,01810,0000,01810ICF/MR 26922,A000000,02200,0000,02200LABORATORY 26922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26922,A000000,02500,0000,02500PHYSICAL THERAPY 26922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26922,A000000,02700,0000,02700SPEECH PATHOLOGY 26922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26922,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26922,A000000,03051,0000,03301ENTERAL FEEDING 26922,A000000,03550,0000,03550FQHC 26922,A000000,05000,0000,05000CORF 26922,A000000,05010,0000,05010CMHC 26922,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26922,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26922,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26922,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26922,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26922,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26922,A000000,06153,0000,06312DIALYSIS 26922,A000000,06154,0000,06320APARTMENTS 26922,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26922,A000000,06156,0000,06340CLOSED PATIENT AREAS 26922,A000000,06157,0000,06350O/P ADULT DAYCARE 26922,A81000A,00100,0100,Y 26922,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26922,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26922,A81000B,00300,0300,HOME OFFICE 26922,A81000B,00400,0300,SYMPHONY REHAB 26922,A81000B,00500,0300,SYMPHONY REHAB 26922,A81000B,00600,0300,SYMPHONY REHAB 26922,A81000B,00700,0300,HOME OFFICE 26922,A81000B,00800,0300,HOME OFFICE 26922,A81000B,00900,0300,HOME OFFICE 26922,A81000B,01000,0300,SYMPHONY RESPIRATORY 26922,A81000B,01100,0300,LTC LABS 26922,A81000C,00100,0100,B 26922,A81000C,00100,0400,IHS INC. 26922,A81000C,00100,0600,NURSING HOMES 26922,A81000C,00200,0100,G 26922,A81000C,00200,0400,SYMPHONY REHAB 26922,A81000C,00200,0600,REHAB SERVICES 26922,A81000C,00300,0100,G 26922,A81000C,00300,0400,LTC MED LAB 26922,A81000C,00300,0600,LABORATORY 26922,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26922,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26922,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26922,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26922,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26922,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26922,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26922,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26922,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26922,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26922,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26922,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26922,E10A180,00305,0100,01/03/2000 26922,E10A180,00308,0100,09/18/2000 26922,E10A180,00501,0100,10/30/2000 26922,E10A180,00502,0300,12/06/2001 26922,E10A180,00550,0300,10/30/2000 26922,E10A180,00551,0100,12/26/2000 26922,S000000,00100,0200,11/01/2000 26922,S200000,00100,0100,925 WAGNER DRIVE 26922,S200000,00200,0100,GALION 26922,S200000,00200,0200,OH 26922,S200000,00200,0300,44833- 26922,S200000,00300,0100,CRAWFORD 26922,S200000,00300,0200,4800 26922,S200000,00300,0300,U 26922,S200000,00400,0100,VILLAGE CARE CENTER 26922,S200000,00400,0200,365385 26922,S200000,00400,0300,06/01/1987 26922,S200000,00400,0500,P 26922,S200000,00600,0200,365385 26922,S200000,00600,0300,06/01/1987 26922,S200000,00600,0600,P 26922,S200000,01600,0100,Y 26922,S200000,02200,0100,Y 26930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26930,A000000,00300,0000,00300EMPLOYEE BENEFITS 26930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26930,A000000,00700,0000,00700HOUSEKEEPING 26930,A000000,00800,0000,00800DIETARY 26930,A000000,00900,0000,00900NURSING ADMINISTRATION 26930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26930,A000000,01100,0000,01100PHARMACY 26930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26930,A000000,01300,0000,01300SOCIAL SERVICE 26930,A000000,01350,0000,01500ACTIVITIES 26930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26930,A000000,01600,0000,01600SKILLED NURSING FACILITY 26930,A000000,01800,0000,01800NURSING FACILITY 26930,A000000,01900,0000,01900OTHER LONG TERM CARE 26930,A000000,02100,0000,02100RADIOLOGY 26930,A000000,02200,0000,02200LABORATORY 26930,A000000,02300,0000,02300INTRAVENOUS THERAPY 26930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26930,A000000,02500,0000,02500PHYSICAL THERAPY 26930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26930,A000000,02700,0000,02700SPEECH PATHOLOGY 26930,A000000,02800,0000,02800ELECTROCARDIOLOGY 26930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26930,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26930,A000000,03200,0000,03200SUPPORT SURFACES 26930,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26930,A000000,04800,0000,04800AMBULANCE 26930,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 26930,A000000,05300,0000,05300INTEREST EXPENSE 26930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26930,A000000,06100,0000,06100NONPAID WORKERS 26930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26930,A000000,06200,0000,06200PATIENTS LAUNDRY 26930,A81000A,00100,0100,Y 26930,A81000B,00100,0300,HOME OFFICE COST 26930,A81000B,00200,0300,PHYSICAL THERAPY 26930,A81000B,00300,0300,OCCUPATIONALTHERAPY 26930,A81000B,00400,0300,SPEECH THERAPY 26930,A81000B,00500,0300,DIRECT INTEREST 26930,A81000C,00100,0100,B 26930,A81000C,00100,0200,MCHS ROCKY RIVER - #453 26930,A81000C,00100,0400,HCR MANORCARE INC. 26930,A81000C,00100,0600,LONG TERM CARE FACILITIES 26930,A81000C,00200,0100,B 26930,A81000C,00200,0200,MCHS ROCKY RIVER - #453 26930,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 26930,A81000C,00200,0600,THERAPY MANAGEMENT 26930,A81000C,00300,0100,B 26930,A81000C,00300,0200,MCHS ROCKY RIVER - #453 26930,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26930,A81000C,00300,0600,THERAPY MANAGEMENT 26930,A81000C,00400,0100,B 26930,A81000C,00400,0200,MCHS ROCKY RIVER - #453 26930,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26930,A81000C,00400,0600,THERAPY MANAGEMENT 26930,A81000C,00500,0100,B 26930,A81000C,00500,0200,MCHS ROCKY RIVER - #453 26930,A81000C,00500,0400,HCR MANORCARE INC. 26930,A81000C,00500,0600,LONG TERM CARE FACILITIES 26930,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26930,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26930,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26930,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26930,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26930,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26930,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26930,B100000,00000,0800,00000MEALS SERVED :DIETARY 26930,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26930,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26930,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26930,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26930,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26930,S000000,00100,0200,10/24/2000 26930,S200000,00100,0100,4102 ROCKY RIVER DRIVE 26930,S200000,00200,0100,CLEVELAND 26930,S200000,00200,0200,OH 26930,S200000,00200,0300,44135- 26930,S200000,00300,0100,CUYAHOGA 26930,S200000,00300,0200,1680 26930,S200000,00300,0300,U 26930,S200000,00400,0100,MCHS ROCKY RIVER - #453 26930,S200000,00400,0200,365392 26930,S200000,00400,0300,01/01/1966 26930,S200000,00400,0500,P 26930,S200000,00400,0600,P 26930,S200000,01004,0500,O 26930,S200000,01600,0100,Y 26930,S200000,02200,0100,Y 26938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26938,A000000,00300,0000,00300EMPLOYEE BENEFITS 26938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26938,A000000,00700,0000,00700HOUSEKEEPING 26938,A000000,00800,0000,00800DIETARY 26938,A000000,00900,0000,00900NURSING ADMINISTRATION 26938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26938,A000000,01100,0000,01100PHARMACY 26938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26938,A000000,01300,0000,01300SOCIAL SERVICE 26938,A000000,01350,0000,01500ACTIVITIES 26938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26938,A000000,01600,0000,01600SKILLED NURSING FACILITY 26938,A000000,01800,0000,01800NURSING FACILITY 26938,A000000,01900,0000,01900OTHER LONG TERM CARE 26938,A000000,02100,0000,02100RADIOLOGY 26938,A000000,02200,0000,02200LABORATORY 26938,A000000,02300,0000,02300INTRAVENOUS THERAPY 26938,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26938,A000000,02500,0000,02500PHYSICAL THERAPY 26938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26938,A000000,02700,0000,02700SPEECH PATHOLOGY 26938,A000000,02800,0000,02800ELECTROCARDIOLOGY 26938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26938,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 26938,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 26938,A000000,03200,0000,03200SUPPORT SURFACES 26938,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 26938,A000000,04800,0000,04800AMBULANCE 26938,A000000,05300,0000,05300INTEREST EXPENSE 26938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 26938,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 26938,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 26938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26938,A000000,06100,0000,06100NONPAID WORKERS 26938,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 26938,A000000,06200,0000,06200PATIENTS LAUNDRY 26938,A81000A,00100,0100,Y 26938,A81000B,00100,0300,HOME OFFICE COST 26938,A81000B,00200,0300,DIRECT INTEREST 26938,A81000B,00300,0300,PHYSICAL THERAPY 26938,A81000B,00400,0300,OCCUPATIONAL THERAPY 26938,A81000B,00500,0300,SPEECH THERAPY 26938,A81000B,00600,0300,PHYSICAL THERAPY 26938,A81000B,00700,0300,OCCUPATIONAL THERAPY 26938,A81000B,00800,0300,SPEECH THERAPY 26938,A81000C,00100,0100,B 26938,A81000C,00100,0200,MCHS OREGON - #456 26938,A81000C,00100,0400,HCR MANORCARE INC. 26938,A81000C,00100,0600,LONG TERM CARE FACILITIES 26938,A81000C,00200,0100,B 26938,A81000C,00200,0200,MCHS OREGON - #456 26938,A81000C,00200,0400,HCR MANORCARE INC 26938,A81000C,00200,0600,LONG TERM CARE FACILITIES 26938,A81000C,00300,0100,B 26938,A81000C,00300,0200,MCHS OREGON - #456 26938,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 26938,A81000C,00300,0600,THERAPY MANAGEMENT 26938,A81000C,00400,0100,B 26938,A81000C,00400,0200,MCHS OREGON - #456 26938,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 26938,A81000C,00400,0600,THERAPY MANAGEMENT 26938,A81000C,00500,0100,B 26938,A81000C,00500,0200,MCHS OREGON - #456 26938,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 26938,A81000C,00500,0600,THERAPY MANAGEMENT 26938,A81000C,00600,0100,B 26938,A81000C,00600,0200,MCHS OREGON - #456 26938,A81000C,00600,0400,HTLD REHAB SERVICES 26938,A81000C,00600,0600,THERAPY SERVICES 26938,A81000C,00700,0100,B 26938,A81000C,00700,0200,MCHS OREGON - #456 26938,A81000C,00700,0400,HTLD REHAB SERVICES 26938,A81000C,00700,0600,THERAPY SERVICES 26938,A81000C,00800,0100,B 26938,A81000C,00800,0200,MCHS OREGON - #456 26938,A81000C,00800,0400,HTLD REHAB SERVICES 26938,A81000C,00800,0600,THERAPY SERVICES 26938,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 26938,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 26938,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 26938,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 26938,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 26938,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 26938,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 26938,B100000,00000,0800,00000MEALS SERVED :DIETARY 26938,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 26938,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 26938,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 26938,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 26938,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 26938,S000000,00100,0200,10/23/2000 26938,S200000,00100,0100,3953 NAVARRE AVENUE 26938,S200000,00200,0100,OREGON 26938,S200000,00200,0200,OH 26938,S200000,00200,0300,43616- 26938,S200000,00300,0100,LUCAS 26938,S200000,00300,0200,8400 26938,S200000,00300,0300,U 26938,S200000,00400,0100,MCHS OREGON - #456 26938,S200000,00400,0200,365453 26938,S200000,00400,0300,01/01/1966 26938,S200000,00400,0500,P 26938,S200000,00400,0600,P 26938,S200000,01004,0500,O 26938,S200000,01600,0100,Y 26938,S200000,02200,0100,Y 26949,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26949,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26949,A000000,00300,0000,00300EMPLOYEE BENEFITS 26949,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26949,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26949,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26949,A000000,00700,0000,00700HOUSEKEEPING 26949,A000000,00800,0000,00800DIETARY 26949,A000000,00900,0000,00900NURSING ADMINISTRATION 26949,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26949,A000000,01100,0000,01100PHARMACY 26949,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26949,A000000,01300,0000,01300SOCIAL SERVICE 26949,A000000,01350,0000,01500RECREATION ACTIVITIES 26949,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26949,A000000,01600,0000,01600SKILLED NURSING FACILITY 26949,A000000,01800,0000,01800NURSING FACILITY 26949,A000000,01810,0000,01810ICF/MR 26949,A000000,02100,0000,02100RADIOLOGY 26949,A000000,02200,0000,02200LABORATORY 26949,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26949,A000000,02500,0000,02500PHYSICAL THERAPY 26949,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26949,A000000,02700,0000,02700SPEECH PATHOLOGY 26949,A000000,02800,0000,02800ELECTROCARDIOLOGY 26949,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26949,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26949,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26949,A000000,03051,0000,03301ENTERAL FEEDING 26949,A000000,03550,0000,03550FQHC 26949,A000000,05000,0000,05000CORF 26949,A000000,05010,0000,05010CMHC 26949,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26949,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26949,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26949,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26949,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26949,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26949,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26949,A000000,06153,0000,06312DIALYSIS 26949,A000000,06154,0000,06320APARTMENTS 26949,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26949,A000000,06156,0000,06340CLOSED PATIENT AREAS 26949,A000000,06157,0000,06350O/P ADULT DAYCARE 26949,A81000A,00100,0100,Y 26949,A81000B,00100,0300,ROSALYN SEMELSBERGER 26949,A81000C,00100,0100,G 26949,A81000C,00100,0400,ROSALYN SEMELSB 26949,A81000C,00100,0600,INTERIOR DESIGN 26949,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26949,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26949,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26949,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26949,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26949,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26949,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26949,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26949,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26949,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26949,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26949,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26949,E10A180,00351,0100,05/18/2000 26949,E10A180,00352,0100,10/23/2000 26949,E10A180,00501,0100,01/09/2001 26949,E10A180,00550,0300,01/09/2001 26949,S000000,00100,0200,12/01/2000 26949,S200000,00100,0100,3421 PINNACLE ROAD 26949,S200000,00200,0100,DAYTON 26949,S200000,00200,0200,OH 26949,S200000,00200,0300,45418- 26949,S200000,00300,0100,MONTGOMERY 26949,S200000,00300,0200,2000 26949,S200000,00300,0300,U 26949,S200000,00400,0100,HICKORY CREEK NURSING CENTER 26949,S200000,00400,0200,365515 26949,S200000,00400,0300,06/18/1981 26949,S200000,00400,0500,P 26949,S200000,00600,0200,365515 26949,S200000,00600,0300,06/18/1981 26949,S200000,00600,0600,P 26949,S200000,01600,0100,Y 26949,S200000,02200,0100,Y 26954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26954,A000000,00300,0000,00300EMPLOYEE BENEFITS 26954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26954,A000000,00700,0000,00700HOUSEKEEPING 26954,A000000,00800,0000,00800DIETARY 26954,A000000,00900,0000,00900NURSING ADMINISTRATION 26954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26954,A000000,01100,0000,01100PHARMACY 26954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26954,A000000,01300,0000,01300SOCIAL SERVICE 26954,A000000,01350,0000,01500RECREATION ACTIVITIES 26954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26954,A000000,01600,0000,01600SKILLED NURSING FACILITY 26954,A000000,01800,0000,01800NURSING FACILITY 26954,A000000,01810,0000,01810ICF/MR 26954,A000000,02100,0000,02100RADIOLOGY 26954,A000000,02200,0000,02200LABORATORY 26954,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26954,A000000,02500,0000,02500PHYSICAL THERAPY 26954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26954,A000000,02700,0000,02700SPEECH PATHOLOGY 26954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26954,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26954,A000000,03051,0000,03301ENTERAL FEEDING 26954,A000000,03550,0000,03550FQHC 26954,A000000,05000,0000,05000CORF 26954,A000000,05010,0000,05010CMHC 26954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26954,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26954,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26954,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26954,A000000,06153,0000,06312DIALYSIS 26954,A000000,06154,0000,06320APARTMENTS 26954,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26954,A000000,06156,0000,06340CLOSED PATIENT AREAS 26954,A000000,06157,0000,06350O/P ADULT DAYCARE 26954,A81000A,00100,0100,Y 26954,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26954,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26954,A81000B,00300,0300,CLINICAL ALLOCATION 26954,A81000B,00400,0300,SYMPHONY REHAB 26954,A81000B,00500,0300,SYMPHONY REHAB 26954,A81000B,00600,0300,SYMPHONY REHAB 26954,A81000B,00700,0300,REHAB ALLOCATION 26954,A81000B,00800,0300,REHAB ALLOCATION 26954,A81000B,00900,0300,REHAB ALLOCATION 26954,A81000B,01000,0300,SYMPHONY RESPIRATORY 26954,A81000C,00100,0100,B 26954,A81000C,00100,0400,IHS INC. 26954,A81000C,00100,0600,NURSING HOMES 26954,A81000C,00200,0100,G 26954,A81000C,00200,0400,SYMPHONY REHAB 26954,A81000C,00200,0600,REHAB SERVICES 26954,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26954,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26954,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26954,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26954,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26954,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26954,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26954,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26954,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26954,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26954,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26954,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26954,E10A180,00350,0100,01/03/2000 26954,E10A180,00351,0100,09/18/2000 26954,E10A180,00501,0100,12/06/2001 26954,E10A180,00550,0100,10/30/2000 26954,E10A180,00550,0300,10/30/2000 26954,E10A180,00551,0100,12/26/2000 26954,S000000,00100,0200,11/01/2000 26954,S200000,00100,0100,2473 NORTH ROAD NE 26954,S200000,00200,0100,WARREN 26954,S200000,00200,0200,OH 26954,S200000,00200,0300,44483- 26954,S200000,00300,0100,TRUMBULL 26954,S200000,00300,0200,9320 26954,S200000,00300,0300,U 26954,S200000,00400,0100,HORIZON VILLAGE NRSG&REHAB CTR 26954,S200000,00400,0200,365539 26954,S200000,00400,0300,06/01/1987 26954,S200000,00400,0500,P 26954,S200000,00600,0200,365539 26954,S200000,00600,0300,06/01/1987 26954,S200000,00600,0600,P 26954,S200000,01600,0100,Y 26954,S200000,02200,0100,Y 26960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26960,A000000,00300,0000,00300EMPLOYEE BENEFITS 26960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26960,A000000,00700,0000,00700HOUSEKEEPING 26960,A000000,00800,0000,00800DIETARY 26960,A000000,00900,0000,00900NURSING ADMINISTRATION 26960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26960,A000000,01100,0000,01100PHARMACY 26960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26960,A000000,01300,0000,01300SOCIAL SERVICE 26960,A000000,01350,0000,01500RECREATION ACTIVITIES 26960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26960,A000000,01600,0000,01600SKILLED NURSING FACILITY 26960,A000000,01800,0000,01800NURSING FACILITY 26960,A000000,01810,0000,01810ICF/MR 26960,A000000,02100,0000,02100RADIOLOGY 26960,A000000,02200,0000,02200LABORATORY 26960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26960,A000000,02500,0000,02500PHYSICAL THERAPY 26960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26960,A000000,02700,0000,02700SPEECH PATHOLOGY 26960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26960,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26960,A000000,03051,0000,03301ENTERAL FEEDING 26960,A000000,03550,0000,03550FQHC 26960,A000000,05000,0000,05000CORF 26960,A000000,05010,0000,05010CMHC 26960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26960,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26960,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26960,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26960,A000000,06153,0000,06312DIALYSIS 26960,A000000,06154,0000,06320APARTMENTS 26960,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26960,A000000,06156,0000,06340CLOSED PATIENT AREAS 26960,A000000,06157,0000,06350O/P ADULT DAYCARE 26960,A81000A,00100,0100,Y 26960,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26960,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26960,A81000B,00300,0300,LTC LABS 26960,A81000B,00400,0300,SYMPHONY REHAB 26960,A81000B,00500,0300,SYMPHONY REHAB 26960,A81000B,00600,0300,SYMPHONY REHAB 26960,A81000B,00700,0300,CLINICAL 26960,A81000C,00100,0100,B 26960,A81000C,00100,0400,IHS INC. 26960,A81000C,00100,0600,NURSING HOMES 26960,A81000C,00200,0100,G 26960,A81000C,00200,0400,SYMPHONY REHAB 26960,A81000C,00200,0600,REHAB SERVICES 26960,A81000C,00300,0100,G 26960,A81000C,00300,0400,LTC MED LAB 26960,A81000C,00300,0600,LABORATORY 26960,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26960,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26960,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26960,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26960,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26960,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26960,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26960,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26960,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26960,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26960,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26960,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26960,E10A180,00305,0100,01/03/2000 26960,E10A180,00308,0100,09/18/2000 26960,E10A180,00501,0100,12/26/2000 26960,E10A180,00502,0100,12/06/2001 26960,E10A180,00550,0100,10/30/2000 26960,E10A180,00550,0300,10/30/2000 26960,S000000,00100,0200,11/01/2000 26960,S200000,00100,0100,196 COLONIAL DRIVE 26960,S200000,00200,0100,YOUNGSTOWN 26960,S200000,00200,0200,OH 26960,S200000,00200,0300,44505- 26960,S200000,00300,0100,TRUMBALL 26960,S200000,00300,0200,9320 26960,S200000,00300,0300,U 26960,S200000,00400,0100,COLONIAL MANOR 26960,S200000,00400,0200,365542 26960,S200000,00400,0300,06/01/1987 26960,S200000,00400,0500,P 26960,S200000,00600,0200,365542 26960,S200000,00600,0300,06/01/1987 26960,S200000,00600,0600,P 26960,S200000,01600,0100,Y 26960,S200000,02200,0100,Y 26966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26966,A000000,00300,0000,00300EMPLOYEE BENEFITS 26966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26966,A000000,00700,0000,00700HOUSEKEEPING 26966,A000000,00800,0000,00800DIETARY 26966,A000000,00900,0000,00900NURSING ADMINISTRATION 26966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26966,A000000,01100,0000,01100PHARMACY 26966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26966,A000000,01300,0000,01300SOCIAL SERVICE 26966,A000000,01350,0000,01500RECREATION ACTIVITIES 26966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26966,A000000,01600,0000,01600SKILLED NURSING FACILITY 26966,A000000,01800,0000,01800NURSING FACILITY 26966,A000000,01810,0000,01810ICF/MR 26966,A000000,02100,0000,02100RADIOLOGY 26966,A000000,02200,0000,02200LABORATORY 26966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 26966,A000000,02500,0000,02500PHYSICAL THERAPY 26966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26966,A000000,02700,0000,02700SPEECH PATHOLOGY 26966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26966,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26966,A000000,03051,0000,03301ENTERAL FEEDING 26966,A000000,03550,0000,03550FQHC 26966,A000000,05000,0000,05000CORF 26966,A000000,05010,0000,05010CMHC 26966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26966,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26966,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26966,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26966,A000000,06153,0000,06312DIALYSIS 26966,A000000,06154,0000,06320APARTMENTS 26966,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26966,A000000,06156,0000,06340CLOSED PATIENT AREAS 26966,A000000,06157,0000,06350O/P ADULT DAYCARE 26966,A81000A,00100,0100,Y 26966,A81000B,00100,0300,HOME OFFICE CAPITAL COST 26966,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 26966,A81000B,00300,0300,LYRIC CORP 26966,A81000B,00400,0300,SYMPHONY REHAB 26966,A81000B,00500,0300,SYMPHONY REHAB 26966,A81000B,00600,0300,SYMPHONY REHAB 26966,A81000B,00700,0300,HOME OFFICE REHAB 26966,A81000B,00800,0300,HOME OFFICE REHAB 26966,A81000B,00900,0300,HOME OFFICE REHAB 26966,A81000B,01000,0300,HOME OFFICE CLINICAL 26966,A81000C,00100,0100,B 26966,A81000C,00100,0400,IHS INC. 26966,A81000C,00100,0600,NURSING HOMES 26966,A81000C,00200,0100,G 26966,A81000C,00200,0400,SYMPHONY REHAB 26966,A81000C,00200,0600,REHAB SERVICES 26966,A81000C,00300,0100,G 26966,A81000C,00300,0400,LTC MED LAB 26966,A81000C,00300,0600,LABORATORY 26966,A81000C,00400,0100,B 26966,A81000C,00400,0400,LYRIC CORP 26966,A81000C,00400,0600,NURSING HOMES 26966,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26966,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26966,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26966,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26966,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26966,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26966,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26966,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26966,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26966,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26966,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26966,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26966,E10A180,00350,0100,01/03/2000 26966,E10A180,00351,0100,09/18/2000 26966,E10A180,00501,0100,12/26/2000 26966,E10A180,00501,0300,12/26/2000 26966,S000000,00100,0200,11/01/2000 26966,S200000,00100,0100,76 HIGH STREET 26966,S200000,00200,0100,SEVILLE 26966,S200000,00200,0200,OH 26966,S200000,00200,0300,44273- 26966,S200000,00300,0100,MEDINA 26966,S200000,00300,0200,1680 26966,S200000,00300,0300,U 26966,S200000,00400,0100,MEADOWVIEW CARE CENTER 26966,S200000,00400,0200,365565 26966,S200000,00400,0300,06/01/1987 26966,S200000,00400,0500,P 26966,S200000,00600,0200,365565 26966,S200000,00600,0300,06/01/1987 26966,S200000,00600,0600,P 26966,S200000,01600,0100,Y 26966,S200000,02200,0100,Y 26978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26978,A000000,00300,0000,00300EMPLOYEE BENEFITS 26978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26978,A000000,00700,0000,00700HOUSEKEEPING 26978,A000000,00800,0000,00800DIETARY 26978,A000000,00900,0000,00900NURSING ADMINISTRATION 26978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26978,A000000,01100,0000,01100PHARMACY 26978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26978,A000000,01300,0000,01300SOCIAL SERVICE 26978,A000000,01350,0000,01500RECREATION ACTIVITIES 26978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26978,A000000,01600,0000,01600SKILLED NURSING FACILITY 26978,A000000,01800,0000,01800NURSING FACILITY 26978,A000000,01810,0000,01810ICF/MR 26978,A000000,02100,0000,02100RADIOLOGY 26978,A000000,02200,0000,02200LABORATORY 26978,A000000,02500,0000,02500PHYSICAL THERAPY 26978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26978,A000000,02700,0000,02700SPEECH PATHOLOGY 26978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26978,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26978,A000000,03051,0000,03301ENTERAL FEEDING 26978,A000000,03550,0000,03550FQHC 26978,A000000,05000,0000,05000CORF 26978,A000000,05010,0000,05010CMHC 26978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26978,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26978,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26978,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26978,A000000,06153,0000,06312DIALYSIS 26978,A000000,06154,0000,06320APARTMENTS 26978,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26978,A000000,06156,0000,06340CLOSED PATIENT AREAS 26978,A000000,06157,0000,06350O/P ADULT DAYCARE 26978,A81000A,00100,0100,Y 26978,A81000B,00100,0300,ROSALYN SEMELSBERGER 26978,A81000C,00100,0100,G 26978,A81000C,00100,0400,ROSALYN SEMELSB 26978,A81000C,00100,0600,INTERIOR DESIGN 26978,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26978,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26978,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26978,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26978,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26978,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26978,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26978,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26978,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26978,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26978,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26978,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26978,E10A180,00350,0100,05/18/2000 26978,E10A180,00351,0100,10/23/2000 26978,E10A180,00501,0100,01/09/2001 26978,E10A180,00550,0100,11/30/2000 26978,E10A180,00550,0300,11/30/2000 26978,S000000,00100,0200,12/01/2000 26978,S200000,00100,0100,24 NORTH HAMILTON STREET 26978,S200000,00200,0100,MINSTER 26978,S200000,00200,0200,OH 26978,S200000,00200,0300,45865- 26978,S200000,00300,0100,AUGLAIZE 26978,S200000,00300,0200,4320 26978,S200000,00300,0300,U 26978,S200000,00400,0100,HERITAGE MANOR NURSING CENTER 26978,S200000,00400,0200,365566 26978,S200000,00400,0300,06/18/1981 26978,S200000,00400,0500,P 26978,S200000,00600,0200,365566 26978,S200000,00600,0300,06/18/1981 26978,S200000,00600,0600,P 26978,S200000,01600,0100,Y 26978,S200000,02200,0100,Y 26978,S200000,04900,0100,Y 26990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 26990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 26990,A000000,00300,0000,00300EMPLOYEE BENEFITS 26990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 26990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 26990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 26990,A000000,00700,0000,00700HOUSEKEEPING 26990,A000000,00800,0000,00800DIETARY 26990,A000000,00900,0000,00900NURSING ADMINISTRATION 26990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 26990,A000000,01100,0000,01100PHARMACY 26990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 26990,A000000,01300,0000,01300SOCIAL SERVICE 26990,A000000,01350,0000,01500RECREATION ACTIVITIES 26990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 26990,A000000,01600,0000,01600SKILLED NURSING FACILITY 26990,A000000,01800,0000,01800NURSING FACILITY 26990,A000000,01810,0000,01810ICF/MR 26990,A000000,02100,0000,02100RADIOLOGY 26990,A000000,02200,0000,02200LABORATORY 26990,A000000,02500,0000,02500PHYSICAL THERAPY 26990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 26990,A000000,02700,0000,02700SPEECH PATHOLOGY 26990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 26990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 26990,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 26990,A000000,03051,0000,03301ENTERAL FEEDING 26990,A000000,03550,0000,03550FQHC 26990,A000000,05000,0000,05000CORF 26990,A000000,05010,0000,05010CMHC 26990,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 26990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 26990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 26990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 26990,A000000,06150,0000,06300ENTERSTOMAL THERAPY 26990,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 26990,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 26990,A000000,06153,0000,06312DIALYSIS 26990,A000000,06154,0000,06320APARTMENTS 26990,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 26990,A000000,06156,0000,06340CLOSED PATIENT AREAS 26990,A000000,06157,0000,06350O/P ADULT DAYCARE 26990,A81000A,00100,0100,Y 26990,A81000B,00100,0300,ROSALYN SEMELSBERGER 26990,A81000C,00100,0100,G 26990,A81000C,00100,0400,ROSALYN SEMELSB 26990,A81000C,00100,0600,INTERIOR DESIGN 26990,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 26990,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 26990,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 26990,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 26990,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 26990,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 26990,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 26990,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 26990,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 26990,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 26990,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 26990,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 26990,E10A180,00351,0100,05/18/2000 26990,E10A180,00352,0100,10/23/2000 26990,E10A180,00550,0100,11/30/2000 26990,E10A180,00550,0300,11/30/2000 26990,E10A180,00551,0100,01/09/2001 26990,S000000,00100,0200,12/01/2000 26990,S200000,00100,0100,141 SPRUCE LANE 26990,S200000,00200,0100,WEST UNION 26990,S200000,00200,0200,OH 26990,S200000,00200,0300,45693- 26990,S200000,00300,0100,ADAMS 26990,S200000,00300,0200,36 26990,S200000,00300,0300,R 26990,S200000,00400,0100,EAGLE CREEK NURSING CENTER 26990,S200000,00400,0200,365586 26990,S200000,00400,0300,08/19/1982 26990,S200000,00400,0500,P 26990,S200000,00600,0200,365586 26990,S200000,00600,0300,08/19/1982 26990,S200000,00600,0600,P 26990,S200000,01500,0100,Y 26990,S200000,02200,0100,Y 27002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27002,A000000,00300,0000,00300EMPLOYEE BENEFITS 27002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27002,A000000,00700,0000,00700HOUSEKEEPING 27002,A000000,00800,0000,00800DIETARY 27002,A000000,00900,0000,00900NURSING ADMINISTRATION 27002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27002,A000000,01100,0000,01100PHARMACY 27002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27002,A000000,01300,0000,01300SOCIAL SERVICE 27002,A000000,01350,0000,01500RECREATION ACTIVITIES 27002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27002,A000000,01600,0000,01600SKILLED NURSING FACILITY 27002,A000000,01800,0000,01800NURSING FACILITY 27002,A000000,01810,0000,01810ICF/MR 27002,A000000,02100,0000,02100RADIOLOGY 27002,A000000,02200,0000,02200LABORATORY 27002,A000000,02500,0000,02500PHYSICAL THERAPY 27002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27002,A000000,02700,0000,02700SPEECH PATHOLOGY 27002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27002,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27002,A000000,03051,0000,03301ENTERAL FEEDING 27002,A000000,03550,0000,03550FQHC 27002,A000000,05000,0000,05000CORF 27002,A000000,05010,0000,05010CMHC 27002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27002,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27002,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27002,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27002,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27002,A000000,06153,0000,06312DIALYSIS 27002,A000000,06154,0000,06320APARTMENTS 27002,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27002,A000000,06156,0000,06340CLOSED PATIENT AREAS 27002,A000000,06157,0000,06350O/P ADULT DAYCARE 27002,A81000A,00100,0100,Y 27002,A81000B,00100,0300,ROSALYN SEMELSBERGER 27002,A81000C,00100,0100,G 27002,A81000C,00100,0400,ROSALYN SEMELSB 27002,A81000C,00100,0600,INTERIOR DESIGN 27002,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27002,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27002,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27002,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27002,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27002,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27002,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27002,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27002,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27002,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27002,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27002,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27002,E10A180,00351,0100,05/18/2000 27002,E10A180,00352,0100,10/23/2000 27002,E10A180,00501,0100,01/09/2001 27002,E10A180,00501,0300,11/30/2000 27002,E10A180,00550,0100,11/30/2000 27002,E10A180,00550,0300,01/09/2001 27002,S000000,00100,0200,12/01/2000 27002,S200000,00100,0100,311 BUCKRIDGE ROAD 27002,S200000,00200,0100,BIDWELL 27002,S200000,00200,0200,OH 27002,S200000,00200,0300,45614- 27002,S200000,00300,0100,GALLIA 27002,S200000,00300,0200,36 27002,S200000,00300,0300,R 27002,S200000,00400,0100,SCENIC HILLS NURSING CENTER 27002,S200000,00400,0200,365587 27002,S200000,00400,0300,09/03/1982 27002,S200000,00400,0500,P 27002,S200000,00600,0200,365587 27002,S200000,00600,0300,09/03/1982 27002,S200000,00600,0600,P 27002,S200000,01600,0100,Y 27002,S200000,02200,0100,Y 27014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27014,A000000,00300,0000,00300EMPLOYEE BENEFITS 27014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27014,A000000,00700,0000,00700HOUSEKEEPING 27014,A000000,00800,0000,00800DIETARY 27014,A000000,00900,0000,00900NURSING ADMINISTRATION 27014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27014,A000000,01100,0000,01100PHARMACY 27014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27014,A000000,01300,0000,01300SOCIAL SERVICE 27014,A000000,01350,0000,01500RECREATION ACTIVITIES 27014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27014,A000000,01600,0000,01600SKILLED NURSING FACILITY 27014,A000000,01800,0000,01800NURSING FACILITY 27014,A000000,01810,0000,01810ICF/MR 27014,A000000,02100,0000,02100RADIOLOGY 27014,A000000,02200,0000,02200LABORATORY 27014,A000000,02500,0000,02500PHYSICAL THERAPY 27014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27014,A000000,02700,0000,02700SPEECH PATHOLOGY 27014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27014,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27014,A000000,03051,0000,03301ENTERAL FEEDING 27014,A000000,03550,0000,03550FQHC 27014,A000000,05000,0000,05000CORF 27014,A000000,05010,0000,05010CMHC 27014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27014,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27014,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27014,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27014,A000000,06153,0000,06312DIALYSIS 27014,A000000,06154,0000,06320APARTMENTS 27014,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27014,A000000,06156,0000,06340CLOSED PATIENT AREAS 27014,A000000,06157,0000,06350O/P ADULT DAYCARE 27014,A81000A,00100,0100,Y 27014,A81000B,00100,0300,ROSALYN SEMELSBERGER 27014,A81000C,00100,0100,G 27014,A81000C,00100,0400,ROSALYN SEMELSB 27014,A81000C,00100,0600,DECORATING 27014,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27014,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27014,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27014,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27014,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27014,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27014,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27014,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27014,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27014,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27014,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27014,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27014,E10A180,00350,0300,05/18/2000 27014,E10A180,00351,0300,10/23/2000 27014,E10A180,00501,0100,01/09/2001 27014,E10A180,00550,0100,11/30/2000 27014,E10A180,00550,0300,11/30/2000 27014,S000000,00100,0200,12/01/2000 27014,S200000,00100,0100,EAST MAIN STREET 27014,S200000,00100,0300,511 27014,S200000,00200,0100,COOLVILLE 27014,S200000,00200,0200,OH 27014,S200000,00200,0300,45723- 27014,S200000,00300,0100,ATHENS 27014,S200000,00300,0200,OH 27014,S200000,00300,0300,R 27014,S200000,00400,0100,ARCADIA NURSING CENTER 27014,S200000,00400,0200,365588 27014,S200000,00400,0300,11/23/1982 27014,S200000,00400,0500,P 27014,S200000,00600,0200,365588 27014,S200000,00600,0300,11/23/1982 27014,S200000,00600,0600,P 27014,S200000,01600,0100,Y 27014,S200000,02200,0100,Y 27024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27024,A000000,00300,0000,00300EMPLOYEE BENEFITS 27024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27024,A000000,00700,0000,00700HOUSEKEEPING 27024,A000000,00800,0000,00800DIETARY 27024,A000000,00900,0000,00900NURSING ADMINISTRATION 27024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27024,A000000,01100,0000,01100PHARMACY 27024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27024,A000000,01300,0000,01300SOCIAL SERVICE 27024,A000000,01350,0000,01500RECREATION ACTIVITIES 27024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27024,A000000,01600,0000,01600SKILLED NURSING FACILITY 27024,A000000,01800,0000,01800NURSING FACILITY 27024,A000000,01810,0000,01810ICF/MR 27024,A000000,02100,0000,02100RADIOLOGY 27024,A000000,02200,0000,02200LABORATORY 27024,A000000,02500,0000,02500PHYSICAL THERAPY 27024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27024,A000000,02700,0000,02700SPEECH PATHOLOGY 27024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27024,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27024,A000000,03051,0000,03301ENTERAL FEEDING 27024,A000000,03550,0000,03550FQHC 27024,A000000,05000,0000,05000CORF 27024,A000000,05010,0000,05010CMHC 27024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27024,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27024,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27024,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27024,A000000,06153,0000,06312DIALYSIS 27024,A000000,06154,0000,06320APARTMENTS 27024,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27024,A000000,06156,0000,06340CLOSED PATIENT AREAS 27024,A000000,06157,0000,06350O/P ADULT DAYCARE 27024,A81000A,00100,0100,Y 27024,A81000B,00100,0300,ROSALYN SEMELSBERGER 27024,A81000C,00100,0100,G 27024,A81000C,00100,0400,ROSALYN SEMELSB 27024,A81000C,00100,0600,INTERIOR DESIGN 27024,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27024,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27024,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27024,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27024,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27024,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27024,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27024,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27024,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27024,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27024,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27024,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27024,E10A180,00351,0100,05/18/2000 27024,E10A180,00352,0100,10/23/2000 27024,E10A180,00501,0100,01/09/2001 27024,E10A180,00550,0300,01/09/2001 27024,S000000,00100,0200,12/01/2000 27024,S200000,00100,0100,51 EAST FOURTH STREET 27024,S200000,00200,0100,THE PLAINS 27024,S200000,00200,0200,OH 27024,S200000,00200,0300,45780- 27024,S200000,00300,0100,ATHENS 27024,S200000,00300,0200,36 27024,S200000,00300,0300,R 27024,S200000,00400,0100,HICKORY CREEK OF ATHENS 27024,S200000,00400,0200,365589 27024,S200000,00400,0300,10/07/1982 27024,S200000,00400,0500,P 27024,S200000,00600,0200,365589 27024,S200000,00600,0300,10/07/1982 27024,S200000,00600,0600,P 27024,S200000,01600,0100,Y 27024,S200000,02200,0100,Y 27033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27033,A000000,00300,0000,00300EMPLOYEE BENEFITS 27033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27033,A000000,00700,0000,00700HOUSEKEEPING 27033,A000000,00800,0000,00800DIETARY 27033,A000000,00900,0000,00900NURSING ADMINISTRATION 27033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27033,A000000,01100,0000,01100PHARMACY 27033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27033,A000000,01300,0000,01300SOCIAL SERVICE 27033,A000000,01350,0000,01500ACTIVITIES 27033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27033,A000000,01600,0000,01600SKILLED NURSING FACILITY 27033,A000000,01800,0000,01800NURSING FACILITY 27033,A000000,01900,0000,01900OTHER LONG TERM CARE 27033,A000000,02100,0000,02100RADIOLOGY 27033,A000000,02200,0000,02200LABORATORY 27033,A000000,02300,0000,02300INTRAVENOUS THERAPY 27033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27033,A000000,02500,0000,02500PHYSICAL THERAPY 27033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27033,A000000,02700,0000,02700SPEECH PATHOLOGY 27033,A000000,02800,0000,02800ELECTROCARDIOLOGY 27033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27033,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27033,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27033,A000000,03200,0000,03200SUPPORT SURFACES 27033,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27033,A000000,04800,0000,04800AMBULANCE 27033,A000000,05300,0000,05300INTEREST EXPENSE 27033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27033,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27033,A000000,06100,0000,06100NONPAID WORKERS 27033,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27033,A000000,06200,0000,06200PATIENTS LAUNDRY 27033,A81000A,00100,0100,Y 27033,A81000B,00100,0300,HOME OFFICE COST 27033,A81000B,00200,0300,DIRECT INTEREST 27033,A81000B,00300,0300,PHYSICAL THERAPY 27033,A81000B,00400,0300,OCCUPATIONAL THERAPY 27033,A81000B,00500,0300,SPEECH THERAPY 27033,A81000C,00100,0100,B 27033,A81000C,00100,0200,MCHS LAKESHORE 27033,A81000C,00100,0400,HCR MANORCARE INC. 27033,A81000C,00100,0600,LONG TERM CARE FACILITIES 27033,A81000C,00200,0100,B 27033,A81000C,00200,0200,MCHS LAKESHORE 27033,A81000C,00200,0400,HCR MANORCARE INC. 27033,A81000C,00200,0600,LONG TERM CARE FACILITIES 27033,A81000C,00300,0100,B 27033,A81000C,00300,0200,MCHS LAKESHORE 27033,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 27033,A81000C,00300,0600,THERAPY MANAGEMENT 27033,A81000C,00400,0100,B 27033,A81000C,00400,0200,MCHS LAKESHORE 27033,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 27033,A81000C,00400,0600,THERAPY MANAGEMENT 27033,A81000C,00500,0100,B 27033,A81000C,00500,0200,MCHS LAKESHORE 27033,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 27033,A81000C,00500,0600,THERAPY MANAGEMENT 27033,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27033,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27033,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27033,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27033,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27033,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27033,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27033,B100000,00000,0800,00000MEALS SERVED :DIETARY 27033,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27033,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27033,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27033,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27033,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27033,S000000,00100,0200,10/23/2000 27033,S200000,00100,0100,16101 LAKE SHORE BLVD 27033,S200000,00200,0100,CLEVELAND 27033,S200000,00200,0200,OH 27033,S200000,00200,0300,44110- 27033,S200000,00300,0100,CUYAHOGA 27033,S200000,00300,0200,1680 27033,S200000,00300,0300,U 27033,S200000,00400,0100,MCHS LAKESHORE - #451 27033,S200000,00400,0200,365594 27033,S200000,00400,0300,01/01/1966 27033,S200000,00400,0500,P 27033,S200000,00400,0600,P 27033,S200000,01004,0500,O 27033,S200000,01600,0100,Y 27033,S200000,02200,0100,Y 27043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27043,A000000,00300,0000,00300EMPLOYEE BENEFITS 27043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27043,A000000,00700,0000,00700HOUSEKEEPING 27043,A000000,00800,0000,00800DIETARY 27043,A000000,00900,0000,00900NURSING ADMINISTRATION 27043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27043,A000000,01100,0000,01100PHARMACY 27043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27043,A000000,01300,0000,01300SOCIAL SERVICE 27043,A000000,01350,0000,01500RECREATION ACTIVITIES 27043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27043,A000000,01600,0000,01600SKILLED NURSING FACILITY 27043,A000000,01800,0000,01800NURSING FACILITY 27043,A000000,01810,0000,01810ICF/MR 27043,A000000,02100,0000,02100RADIOLOGY 27043,A000000,02200,0000,02200LABORATORY 27043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27043,A000000,02500,0000,02500PHYSICAL THERAPY 27043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27043,A000000,02700,0000,02700SPEECH PATHOLOGY 27043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27043,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27043,A000000,03051,0000,03301ENTERAL FEEDING 27043,A000000,03550,0000,03550FQHC 27043,A000000,05000,0000,05000CORF 27043,A000000,05010,0000,05010CMHC 27043,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27043,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27043,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27043,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27043,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27043,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27043,A000000,06153,0000,06312DIALYSIS 27043,A000000,06154,0000,06320APARTMENTS 27043,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27043,A000000,06156,0000,06340CLOSED PATIENT AREAS 27043,A000000,06157,0000,06350O/P ADULT DAYCARE 27043,A81000A,00100,0100,Y 27043,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27043,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27043,A81000B,00400,0300,SYMPHONY REHAB 27043,A81000B,00500,0300,SYMPHONY REHAB 27043,A81000B,00700,0300,CLINICAL ALLOCATION 27043,A81000B,00800,0300,SYMPHONY MOBILEX 27043,A81000B,00900,0300,REHAB ALLOCATION 27043,A81000B,01000,0300,REHAB ALLOCATION 27043,A81000B,01100,0300,REHAB ALLOCATION 27043,A81000C,00100,0100,B 27043,A81000C,00100,0200,IHS INC. 27043,A81000C,00100,0400,IHS INC. 27043,A81000C,00100,0600,NURSING HOMES 27043,A81000C,00200,0100,G 27043,A81000C,00200,0400,SYMPHONY MOBILE 27043,A81000C,00200,0600,XRAY 27043,A81000C,00300,0100,G 27043,A81000C,00300,0400,SYMPHONY REHAB 27043,A81000C,00300,0600,REHAB SERVICES 27043,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27043,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27043,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27043,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27043,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27043,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27043,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27043,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27043,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27043,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27043,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27043,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27043,E10A180,00302,0100,12/03/1999 27043,E10A180,00304,0100,05/18/2000 27043,E10A180,00351,0100,03/18/1999 27043,E10A180,00550,0100,07/28/2000 27043,E10A180,00550,0300,07/28/2000 27043,S000000,00100,0200,06/15/2000 27043,S200000,00100,0100,115 ELMWOOD CIRCLE 27043,S200000,00200,0100,WEST CARROLTON 27043,S200000,00200,0200,OH 27043,S200000,00200,0300,45449- 27043,S200000,00300,0100,MONTGOMERY 27043,S200000,00300,0200,2000 27043,S200000,00300,0300,U 27043,S200000,00400,0100,IHS-WEST CARROLLTON-ELM CREEK 27043,S200000,00400,0200,365598 27043,S200000,00400,0300,05/23/1983 27043,S200000,00400,0500,P 27043,S200000,00600,0200,365598 27043,S200000,00600,0300,05/23/1983 27043,S200000,00600,0600,P 27043,S200000,01600,0100,Y 27043,S200000,02200,0100,Y 27049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27049,A000000,00300,0000,00300EMPLOYEE BENEFITS 27049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27049,A000000,00700,0000,00700HOUSEKEEPING 27049,A000000,00800,0000,00800DIETARY 27049,A000000,00900,0000,00900NURSING ADMINISTRATION 27049,A000000,00901,0000,00910NURSING ADMIN MSU 27049,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27049,A000000,01100,0000,01100PHARMACY 27049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27049,A000000,01300,0000,01300SOCIAL SERVICE 27049,A000000,01350,0000,01500RECREATION ACTIVITIES 27049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27049,A000000,01600,0000,01600SKILLED NURSING FACILITY 27049,A000000,01800,0000,01800NURSING FACILITY 27049,A000000,02100,0000,02100RADIOLOGY 27049,A000000,02200,0000,02200LABORATORY 27049,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27049,A000000,02500,0000,02500PHYSICAL THERAPY 27049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27049,A000000,02700,0000,02700SPEECH PATHOLOGY 27049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27049,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27049,A000000,03051,0000,03301ENTERAL FEEDING 27049,A000000,03550,0000,03550FQHC 27049,A000000,05000,0000,05000CORF 27049,A000000,05010,0000,05010CMHC 27049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27049,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27049,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27049,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27049,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27049,A000000,06153,0000,06312DIALYSIS 27049,A000000,06154,0000,06320APARTMENTS 27049,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27049,A000000,06156,0000,06340CLOSED PATIENT AREAS 27049,A000000,06157,0000,06350O/P ADULT DAYCARE 27049,A81000A,00100,0100,Y 27049,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27049,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27049,A81000B,00300,0300,REHAB MANAGEMENT 27049,A81000B,00400,0300,REHAB MANAGEMENT 27049,A81000B,00500,0300,REHAB MANAGEMENT 27049,A81000B,00600,0300,CLINICAL MANAGEMENT 27049,A81000C,00100,0100,B 27049,A81000C,00100,0200,IHS INC 27049,A81000C,00100,0600,NURSING HOMES 27049,A81000C,00200,0100,G 27049,A81000C,00200,0200,IHS INC 27049,A81000C,00200,0400,SYMPHONY REHAB 27049,A81000C,00200,0600,REHAB SERVICES 27049,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27049,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27049,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27049,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27049,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27049,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27049,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27049,B100000,00000,0950,00050(NURSING DOLLARS) :NURSING ADMINIS 27049,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27049,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27049,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27049,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27049,E10A180,00550,0100,10/29/1999 27049,E10A180,00550,0300,10/29/1999 27049,S000000,00100,0200,10/29/1999 27049,S200000,00100,0100,1785 S. FRESHLEY AVENUE 27049,S200000,00200,0100,ALLIANCE 27049,S200000,00200,0200,OH 27049,S200000,00200,0300,44601- 27049,S200000,00300,0100,STARK 27049,S200000,00300,0200,36 27049,S200000,00300,0300,R 27049,S200000,00400,0100,CANTERBURY VILLA OF ALLIANCE 27049,S200000,00400,0200,365602 27049,S200000,00400,0300,06/01/1987 27049,S200000,00400,0500,P 27049,S200000,00600,0200,365602 27049,S200000,00600,0300,06/01/1987 27049,S200000,00600,0600,P 27049,S200000,01600,0100,Y 27049,S200000,02200,0100,Y 27050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27050,A000000,00300,0000,00300EMPLOYEE BENEFITS 27050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27050,A000000,00700,0000,00700HOUSEKEEPING 27050,A000000,00800,0000,00800DIETARY 27050,A000000,00900,0000,00900NURSING ADMINISTRATION 27050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27050,A000000,01100,0000,01100PHARMACY 27050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27050,A000000,01300,0000,01300SOCIAL SERVICE 27050,A000000,01350,0000,01500RECREATION ACTIVITIES 27050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27050,A000000,01600,0000,01600SKILLED NURSING FACILITY 27050,A000000,01800,0000,01800NURSING FACILITY 27050,A000000,01810,0000,01810ICF/MR 27050,A000000,02100,0000,02100RADIOLOGY 27050,A000000,02200,0000,02200LABORATORY 27050,A000000,02500,0000,02500PHYSICAL THERAPY 27050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27050,A000000,02700,0000,02700SPEECH PATHOLOGY 27050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27050,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27050,A000000,03051,0000,03301ENTERAL FEEDING 27050,A000000,03550,0000,03550FQHC 27050,A000000,05000,0000,05000CORF 27050,A000000,05010,0000,05010CMHC 27050,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27050,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27050,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27050,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27050,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27050,A000000,06153,0000,06312DIALYSIS 27050,A000000,06154,0000,06320APARTMENTS 27050,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27050,A000000,06156,0000,06340CLOSED PATIENT AREAS 27050,A000000,06157,0000,06350O/P ADULT DAYCARE 27050,A81000A,00100,0100,Y 27050,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27050,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27050,A81000B,00300,0300,LTC MED LAB 27050,A81000B,00400,0300,SYMPHONY REHAB 27050,A81000B,00500,0300,SYMPHONY REHAB 27050,A81000B,00600,0300,SYMPHONY REHAB 27050,A81000B,00700,0300,CLINICAL 27050,A81000B,00800,0300,SYMPHONY MOBILEX 27050,A81000C,00100,0100,B 27050,A81000C,00100,0400,IHS INC. 27050,A81000C,00100,0600,NURSING HOMES 27050,A81000C,00200,0100,G 27050,A81000C,00200,0400,SYMPHONY REHAB 27050,A81000C,00200,0600,REHAB SERVICES 27050,A81000C,00300,0100,G 27050,A81000C,00300,0400,LTC MED LAB 27050,A81000C,00300,0600,LABORATORY 27050,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27050,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27050,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27050,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27050,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27050,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27050,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27050,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27050,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27050,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27050,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27050,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27050,E10A180,00303,0100,01/03/2000 27050,E10A180,00351,0100,09/18/2000 27050,E10A180,00501,0100,12/26/2000 27050,E10A180,00550,0300,12/26/2000 27050,S000000,00100,0200,11/01/2000 27050,S200000,00100,0100,1785 S. FRESHLEY AVENUE 27050,S200000,00200,0100,ALLIANCE 27050,S200000,00200,0200,OH 27050,S200000,00200,0300,44601- 27050,S200000,00300,0100,STARK 27050,S200000,00300,0200,1320 27050,S200000,00300,0300,U 27050,S200000,00400,0100,CANTERBURY VILLA OF ALLIANCE 27050,S200000,00400,0200,365602 27050,S200000,00400,0300,06/01/1987 27050,S200000,00400,0500,P 27050,S200000,00600,0200,365602 27050,S200000,00600,0300,06/01/1987 27050,S200000,00600,0600,P 27050,S200000,01600,0100,Y 27050,S200000,02200,0100,Y 27057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27057,A000000,00300,0000,00300EMPLOYEE BENEFITS 27057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27057,A000000,00700,0000,00700HOUSEKEEPING 27057,A000000,00800,0000,00800DIETARY 27057,A000000,00900,0000,00900NURSING ADMINISTRATION 27057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27057,A000000,01100,0000,01100PHARMACY 27057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27057,A000000,01300,0000,01300SOCIAL SERVICE 27057,A000000,01350,0000,01500RECREATION ACTIVITIES 27057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27057,A000000,01600,0000,01600SKILLED NURSING FACILITY 27057,A000000,01800,0000,01800NURSING FACILITY 27057,A000000,01810,0000,01810ICF/MR 27057,A000000,02100,0000,02100RADIOLOGY 27057,A000000,02200,0000,02200LABORATORY 27057,A000000,02500,0000,02500PHYSICAL THERAPY 27057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27057,A000000,02700,0000,02700SPEECH PATHOLOGY 27057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27057,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27057,A000000,03051,0000,03301ENTERAL FEEDING 27057,A000000,03550,0000,03550FQHC 27057,A000000,05000,0000,05000CORF 27057,A000000,05010,0000,05010CMHC 27057,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27057,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27057,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27057,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27057,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27057,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27057,A000000,06153,0000,06312DIALYSIS 27057,A000000,06154,0000,06320APARTMENTS 27057,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27057,A000000,06156,0000,06340CLOSED PATIENT AREAS 27057,A000000,06157,0000,06350O/P ADULT DAYCARE 27057,A81000A,00100,0100,Y 27057,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27057,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27057,A81000B,00300,0300,CLINICAL 27057,A81000B,00400,0300,SYMPHONY REHAB 27057,A81000B,00500,0300,SYMPHONY REHAB 27057,A81000B,00600,0300,SYMPHONY REHAB 27057,A81000B,00700,0300,PHYSICAL THERAPY 27057,A81000B,00800,0300,OCCUPATIONAL THERAPY 27057,A81000B,00900,0300,SPEECH PATHOLOGY 27057,A81000C,00100,0100,B 27057,A81000C,00100,0400,IHS INC. 27057,A81000C,00100,0600,NURSING HOMES 27057,A81000C,00200,0100,G 27057,A81000C,00200,0400,SYMPHONY REHAB 27057,A81000C,00200,0600,REHAB SERVICES 27057,A81000C,00300,0100,G 27057,A81000C,00300,0400,LTC MED LAB 27057,A81000C,00300,0600,LABORATORY 27057,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27057,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27057,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27057,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27057,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27057,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27057,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27057,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27057,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27057,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27057,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27057,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27057,E10A180,00301,0100,09/18/2000 27057,E10A180,00350,0100,01/03/2000 27057,E10A180,00501,0100,12/06/2001 27057,E10A180,00550,0100,10/30/2000 27057,E10A180,00550,0300,10/30/2000 27057,E10A180,00551,0100,12/26/2000 27057,S000000,00100,0200,11/01/2000 27057,S200000,00100,0100,130 BUENA VISTA ST. 27057,S200000,00200,0100,BALTIC 27057,S200000,00200,0200,OH 27057,S200000,00200,0300,43804- 27057,S200000,00300,0100,HOLMES 27057,S200000,00300,0200,OH 27057,S200000,00300,0300,R 27057,S200000,00400,0100,BALTIC COUNTRY MANOR 27057,S200000,00400,0200,365622 27057,S200000,00400,0300,06/01/1987 27057,S200000,00400,0500,P 27057,S200000,00600,0200,365622 27057,S200000,00600,0300,06/01/1987 27057,S200000,00600,0600,P 27057,S200000,01600,0100,Y 27057,S200000,02200,0100,Y 27066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27066,A000000,00300,0000,00300EMPLOYEE BENEFITS 27066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27066,A000000,00700,0000,00700HOUSEKEEPING 27066,A000000,00800,0000,00800DIETARY 27066,A000000,00900,0000,00900NURSING ADMINISTRATION 27066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27066,A000000,01100,0000,01100PHARMACY 27066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27066,A000000,01300,0000,01300SOCIAL SERVICE 27066,A000000,01350,0000,01500RECREATION ACTIVITIES 27066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27066,A000000,01600,0000,01600SKILLED NURSING FACILITY 27066,A000000,01800,0000,01800NURSING FACILITY 27066,A000000,01810,0000,01810ICF/MR 27066,A000000,02100,0000,02100RADIOLOGY 27066,A000000,02200,0000,02200LABORATORY 27066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27066,A000000,02500,0000,02500PHYSICAL THERAPY 27066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27066,A000000,02700,0000,02700SPEECH PATHOLOGY 27066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27066,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27066,A000000,03051,0000,03301ENTERAL FEEDING 27066,A000000,03550,0000,03550FQHC 27066,A000000,05000,0000,05000CORF 27066,A000000,05010,0000,05010CMHC 27066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27066,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27066,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27066,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27066,A000000,06153,0000,06312DIALYSIS 27066,A000000,06154,0000,06320APARTMENTS 27066,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27066,A000000,06156,0000,06340CLOSED PATIENT AREAS 27066,A000000,06157,0000,06350O/P ADULT DAYCARE 27066,A81000A,00100,0100,Y 27066,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27066,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27066,A81000B,00300,0300,MSU DEVELOPMENT COST 27066,A81000B,00400,0300,SYMPHONY REHAB 27066,A81000B,00500,0300,SYMPHONY REHAB 27066,A81000B,00700,0300,REHAB ALLOCATION 27066,A81000B,00800,0300,REHAB ALLOCATION 27066,A81000B,00900,0300,REHAB ALLOCATION 27066,A81000B,01000,0300,CLINICAL ALLOCATION 27066,A81000B,01100,0300,SYMPHONY MOBILEX 27066,A81000C,00100,0100,B 27066,A81000C,00100,0200,IHS INC. 27066,A81000C,00100,0400,IHS INC. 27066,A81000C,00100,0600,NURSING HOMES 27066,A81000C,00200,0100,G 27066,A81000C,00200,0400,SYMPHONY REHAB 27066,A81000C,00200,0600,REHAB SERVICES 27066,A81000C,00300,0100,G 27066,A81000C,00300,0400,SYMPHONY MOBILE 27066,A81000C,00300,0600,XRAY 27066,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27066,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27066,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27066,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27066,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27066,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27066,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27066,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27066,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27066,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27066,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27066,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27066,E10A180,00351,0100,12/03/1999 27066,E10A180,00353,0100,05/18/2000 27066,E10A180,00501,0100,08/11/2000 27066,E10A180,00550,0100,07/12/2000 27066,E10A180,00550,0300,07/12/2000 27066,S000000,00100,0200,06/15/2000 27066,S200000,00100,0100,1957 NORTH LAKEMAN DRIVE 27066,S200000,00200,0100,BELLBROOK 27066,S200000,00200,0200,OH 27066,S200000,00200,0300,45305- 27066,S200000,00300,0100,GREENE 27066,S200000,00300,0200,2000 27066,S200000,00300,0300,U 27066,S200000,00400,0100,IHS-CARRIAGE-BY-THE-LAKE 27066,S200000,00400,0200,365626 27066,S200000,00400,0300,07/17/1984 27066,S200000,00400,0500,P 27066,S200000,00600,0200,365626 27066,S200000,00600,0300,07/17/1984 27066,S200000,00600,0600,P 27066,S200000,01600,0100,Y 27066,S200000,02200,0100,Y 27075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27075,A000000,00300,0000,00300EMPLOYEE BENEFITS 27075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27075,A000000,00700,0000,00700HOUSEKEEPING 27075,A000000,00800,0000,00800DIETARY 27075,A000000,00900,0000,00900NURSING ADMINISTRATION 27075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27075,A000000,01100,0000,01100PHARMACY 27075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27075,A000000,01300,0000,01300SOCIAL SERVICE 27075,A000000,01350,0000,01500RECREATION ACTIVITIES 27075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27075,A000000,01600,0000,01600SKILLED NURSING FACILITY 27075,A000000,01800,0000,01800NURSING FACILITY 27075,A000000,01810,0000,01810ICF/MR 27075,A000000,02100,0000,02100RADIOLOGY 27075,A000000,02200,0000,02200LABORATORY 27075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27075,A000000,02500,0000,02500PHYSICAL THERAPY 27075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27075,A000000,02700,0000,02700SPEECH PATHOLOGY 27075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27075,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27075,A000000,03051,0000,03301ENTERAL FEEDING 27075,A000000,03550,0000,03550FQHC 27075,A000000,05000,0000,05000CORF 27075,A000000,05010,0000,05010CMHC 27075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27075,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27075,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27075,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27075,A000000,06153,0000,06312DIALYSIS 27075,A000000,06154,0000,06320APARTMENTS 27075,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27075,A000000,06156,0000,06340CLOSED PATIENT AREAS 27075,A000000,06157,0000,06350O/P ADULT DAYCARE 27075,A81000A,00100,0100,Y 27075,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27075,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27075,A81000B,00400,0300,SYMPHONY REHAB 27075,A81000B,00500,0300,SYMPHONY REHAB 27075,A81000B,00700,0300,CORP CLINICAL ALLOC 27075,A81000B,00800,0300,CORP REHAB ALLOC 27075,A81000B,00900,0300,CORP REHAB ALLOC 27075,A81000B,01000,0300,CORP REHAB ALLOC 27075,A81000B,01100,0300,SYMPHONY MOBILE XRAY 27075,A81000B,01200,0300,SYMPHONY LAB 27075,A81000C,00100,0100,B 27075,A81000C,00100,0200,IHS INC. 27075,A81000C,00100,0400,IHS INC. 27075,A81000C,00100,0600,NURSING HOMES 27075,A81000C,00200,0100,G 27075,A81000C,00200,0400,SYMPHONY REHAB 27075,A81000C,00200,0600,REHAB SERVICES 27075,A81000C,00300,0100,G 27075,A81000C,00300,0400,SYMPHONY MOBILE 27075,A81000C,00300,0600,XRAY 27075,A81000C,00400,0100,G 27075,A81000C,00400,0400,SYMPHONY LAB 27075,A81000C,00400,0600,LAB 27075,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27075,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27075,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27075,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27075,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27075,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27075,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27075,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27075,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27075,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27075,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27075,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27075,E10A180,00351,0100,12/03/1999 27075,E10A180,00354,0100,05/18/2000 27075,E10A180,00501,0100,08/11/2000 27075,E10A180,00501,0300,06/12/2000 27075,E10A180,00550,0100,06/12/2000 27075,E10A180,00550,0300,08/11/2000 27075,S000000,00100,0200,06/15/2000 27075,S200000,00100,0100,5440 CHARLESGATE ROAD 27075,S200000,00200,0100,HUBER HEIGHTS 27075,S200000,00200,0200,OH 27075,S200000,00200,0300,45424- 27075,S200000,00300,0100,MONTGOMERY 27075,S200000,00300,0200,2000 27075,S200000,00300,0300,U 27075,S200000,00400,0100,IHS-HUBER HEIGHTS-SPRING CREEK 27075,S200000,00400,0200,365627 27075,S200000,00400,0300,07/17/1984 27075,S200000,00400,0500,P 27075,S200000,00600,0200,365627 27075,S200000,00600,0300,07/17/1984 27075,S200000,00600,0600,P 27075,S200000,01600,0100,Y 27075,S200000,02200,0100,Y 27084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27084,A000000,00300,0000,00300EMPLOYEE BENEFITS 27084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27084,A000000,00700,0000,00700HOUSEKEEPING 27084,A000000,00800,0000,00800DIETARY 27084,A000000,00900,0000,00900NURSING ADMINISTRATION 27084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27084,A000000,01100,0000,01100PHARMACY 27084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27084,A000000,01300,0000,01300SOCIAL SERVICE 27084,A000000,01350,0000,01500RECREATION ACTIVITIES 27084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27084,A000000,01600,0000,01600SKILLED NURSING FACILITY 27084,A000000,01800,0000,01800NURSING FACILITY 27084,A000000,01810,0000,01810ICF/MR 27084,A000000,02100,0000,02100RADIOLOGY 27084,A000000,02200,0000,02200LABORATORY 27084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27084,A000000,02500,0000,02500PHYSICAL THERAPY 27084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27084,A000000,02700,0000,02700SPEECH PATHOLOGY 27084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27084,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27084,A000000,03051,0000,03301ENTERAL FEEDING 27084,A000000,03550,0000,03550FQHC 27084,A000000,05000,0000,05000CORF 27084,A000000,05010,0000,05010CMHC 27084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27084,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27084,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27084,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27084,A000000,06153,0000,06312DIALYSIS 27084,A000000,06154,0000,06320APARTMENTS 27084,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27084,A000000,06156,0000,06340CLOSED PATIENT AREAS 27084,A000000,06157,0000,06350O/P ADULT DAYCARE 27084,A81000A,00100,0100,Y 27084,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27084,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27084,A81000B,00300,0300,MSU DEVELOPMENT COST 27084,A81000B,00400,0300,SYMPHONY REHAB 27084,A81000B,00500,0300,REHAB ALLOCATION 27084,A81000B,00600,0300,REHAB ALLOCATION 27084,A81000B,00700,0300,REHAB ALLOCATION 27084,A81000B,00800,0300,SYMPHONY MOBILEX 27084,A81000B,00900,0300,CLINICAL ALLOCATION 27084,A81000C,00100,0100,B 27084,A81000C,00100,0200,IHS INC. 27084,A81000C,00100,0400,IHS INC. 27084,A81000C,00100,0600,NURSING HOMES 27084,A81000C,00200,0100,G 27084,A81000C,00200,0400,SYMPHONY REHAB 27084,A81000C,00200,0600,REHAB SERVICES 27084,A81000C,00300,0100,G 27084,A81000C,00300,0400,SYMPHONY MOBILE 27084,A81000C,00300,0600,XRAY 27084,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27084,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27084,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27084,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27084,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27084,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27084,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27084,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27084,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27084,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27084,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27084,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27084,E10A180,00304,0100,05/18/2000 27084,E10A180,00351,0100,12/03/1999 27084,E10A180,00501,0100,08/11/2000 27084,E10A180,00501,0300,08/11/2000 27084,S000000,00100,0200,06/15/2000 27084,S200000,00100,0100,204 W. MAIN STREET RT 162 27084,S200000,00200,0100,NEW LONDON 27084,S200000,00200,0200,OH 27084,S200000,00200,0300,44851- 27084,S200000,00300,0100,HURON 27084,S200000,00300,0200,36 27084,S200000,00300,0300,R 27084,S200000,00400,0100,IHS-NEW LONDON AT FIRELANDS 27084,S200000,00400,0200,365656 27084,S200000,00400,0300,05/16/1985 27084,S200000,00400,0500,P 27084,S200000,00600,0200,365656 27084,S200000,00600,0300,05/16/1985 27084,S200000,00600,0600,P 27084,S200000,01600,0100,Y 27084,S200000,02200,0100,Y 27096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27096,A000000,00300,0000,00300EMPLOYEE BENEFITS 27096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27096,A000000,00700,0000,00700HOUSEKEEPING 27096,A000000,00800,0000,00800DIETARY 27096,A000000,00900,0000,00900NURSING ADMINISTRATION 27096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27096,A000000,01100,0000,01100PHARMACY 27096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27096,A000000,01300,0000,01300SOCIAL SERVICE 27096,A000000,01350,0000,01500RECREATION ACTIVITIES 27096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27096,A000000,01600,0000,01600SKILLED NURSING FACILITY 27096,A000000,01800,0000,01800NURSING FACILITY 27096,A000000,01810,0000,01810ICF/MR 27096,A000000,02100,0000,02100RADIOLOGY 27096,A000000,02200,0000,02200LABORATORY 27096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27096,A000000,02500,0000,02500PHYSICAL THERAPY 27096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27096,A000000,02700,0000,02700SPEECH PATHOLOGY 27096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27096,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27096,A000000,03051,0000,03301ENTERAL FEEDING 27096,A000000,03550,0000,03550FQHC 27096,A000000,05000,0000,05000CORF 27096,A000000,05010,0000,05010CMHC 27096,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27096,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27096,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27096,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27096,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27096,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27096,A000000,06153,0000,06312DIALYSIS 27096,A000000,06154,0000,06320APARTMENTS 27096,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27096,A000000,06156,0000,06340CLOSED PATIENT AREAS 27096,A000000,06157,0000,06350O/P ADULT DAYCARE 27096,A81000A,00100,0100,Y 27096,A81000B,00100,0300,ROSLYN SEEMELSBERGER 27096,A81000C,00100,0100,G 27096,A81000C,00100,0400,ROSLYN SEMELSBE 27096,A81000C,00100,0600,INTERIOR DESIGN 27096,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27096,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27096,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27096,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27096,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27096,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27096,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27096,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27096,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27096,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27096,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27096,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27096,E10A180,00350,0100,05/18/2000 27096,E10A180,00351,0100,10/23/2000 27096,E10A180,00501,0100,01/09/2001 27096,E10A180,00550,0100,11/30/2000 27096,E10A180,00550,0300,11/30/2000 27096,S000000,00100,0200,12/01/2000 27096,S200000,00100,0100,1500 EAST 191ST STREET 27096,S200000,00200,0100,EUCLID 27096,S200000,00200,0200,OH 27096,S200000,00200,0300,44117- 27096,S200000,00300,0100,EUCLID 27096,S200000,00300,0200,1680 27096,S200000,00300,0300,U 27096,S200000,00400,0100,INDIAN HILLS HEALTH&REHAB CTR 27096,S200000,00400,0200,365670 27096,S200000,00400,0300,02/18/1986 27096,S200000,00400,0500,P 27096,S200000,00600,0200,365670 27096,S200000,00600,0300,02/18/1986 27096,S200000,00600,0600,P 27096,S200000,01600,0100,Y 27096,S200000,02200,0100,Y 27104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27104,A000000,00300,0000,00300EMPLOYEE BENEFITS 27104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27104,A000000,00700,0000,00700HOUSEKEEPING 27104,A000000,00800,0000,00800DIETARY 27104,A000000,00900,0000,00900NURSING ADMINISTRATION 27104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27104,A000000,01100,0000,01100PHARMACY 27104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27104,A000000,01300,0000,01300SOCIAL SERVICE 27104,A000000,01350,0000,01500RECREATION ACTIVITIES 27104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27104,A000000,01600,0000,01600SKILLED NURSING FACILITY 27104,A000000,01800,0000,01800NURSING FACILITY 27104,A000000,01810,0000,01810ICF/MR 27104,A000000,02100,0000,02100RADIOLOGY 27104,A000000,02200,0000,02200LABORATORY 27104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27104,A000000,02500,0000,02500PHYSICAL THERAPY 27104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27104,A000000,02700,0000,02700SPEECH PATHOLOGY 27104,A000000,02800,0000,02800ELECTROCARDIOLOGY 27104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27104,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27104,A000000,03051,0000,03301ENTERAL FEEDING 27104,A000000,03550,0000,03550FQHC 27104,A000000,05000,0000,05000CORF 27104,A000000,05010,0000,05010CMHC 27104,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27104,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27104,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27104,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27104,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27104,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27104,A000000,06153,0000,06312DIALYSIS 27104,A000000,06154,0000,06320APARTMENTS 27104,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27104,A000000,06156,0000,06340CLOSED PATIENT AREAS 27104,A000000,06157,0000,06350O/P ADULT DAYCARE 27104,A81000A,00100,0100,Y 27104,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27104,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27104,A81000B,00300,0300,HOME OFFICE CLINICAL 27104,A81000B,00400,0300,SYMPHONY REHAB 27104,A81000B,00500,0300,SYMPHONY REHAB 27104,A81000B,00600,0300,SYMPHONY REHAB 27104,A81000B,00700,0300,HOME OFFICE REHAB 27104,A81000B,00800,0300,HOME OFFICE REHAB 27104,A81000B,00900,0300,HOME OFFICE REHAB 27104,A81000B,01000,0300,SYMPHONY MOBILEX 27104,A81000C,00100,0100,B 27104,A81000C,00100,0400,IHS INC. 27104,A81000C,00100,0600,NURSING HOMES 27104,A81000C,00200,0100,G 27104,A81000C,00200,0400,SYMPHONY REHAB 27104,A81000C,00200,0600,REHAB SERVICES 27104,A81000C,00300,0100,G 27104,A81000C,00300,0400,LTC MED LAB 27104,A81000C,00300,0600,LABORATORY 27104,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27104,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27104,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27104,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27104,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27104,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27104,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27104,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27104,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27104,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27104,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27104,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27104,E10A180,00301,0100,01/03/2000 27104,E10A180,00302,0100,09/18/2000 27104,E10A180,00501,0100,12/06/2001 27104,E10A180,00501,0300,12/06/2001 27104,E10A180,00550,0100,10/30/2000 27104,E10A180,00550,0300,10/30/2000 27104,E10A180,00551,0100,12/26/2000 27104,S000000,00100,0200,11/01/2000 27104,S200000,00100,0100,375 GLENN AVENUE 27104,S200000,00200,0100,WASHINGTON COURT HOUSE 27104,S200000,00200,0200,OH 27104,S200000,00200,0300,43160- 27104,S200000,00300,0100,FAYETTE 27104,S200000,00300,0200,36 27104,S200000,00300,0300,R 27104,S200000,00400,0100,AUBURN MANOR 27104,S200000,00400,0200,365679 27104,S200000,00400,0300,10/01/1991 27104,S200000,00400,0500,P 27104,S200000,00600,0200,365679 27104,S200000,00600,0300,10/01/1991 27104,S200000,00600,0600,P 27104,S200000,01600,0100,Y 27104,S200000,02200,0100,Y 27114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27114,A000000,00300,0000,00300EMPLOYEE BENEFITS 27114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27114,A000000,00700,0000,00700HOUSEKEEPING 27114,A000000,00800,0000,00800DIETARY 27114,A000000,00900,0000,00900NURSING ADMINISTRATION 27114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27114,A000000,01100,0000,01100PHARMACY 27114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27114,A000000,01300,0000,01300SOCIAL SERVICE 27114,A000000,01350,0000,01500RECREATION ACTIVITIES 27114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27114,A000000,01600,0000,01600SKILLED NURSING FACILITY 27114,A000000,01800,0000,01800NURSING FACILITY 27114,A000000,01810,0000,01810ICF/MR 27114,A000000,02100,0000,02100RADIOLOGY 27114,A000000,02200,0000,02200LABORATORY 27114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27114,A000000,02500,0000,02500PHYSICAL THERAPY 27114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27114,A000000,02700,0000,02700SPEECH PATHOLOGY 27114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27114,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27114,A000000,03051,0000,03301ENTERAL FEEDING 27114,A000000,03550,0000,03550FQHC 27114,A000000,05000,0000,05000CORF 27114,A000000,05010,0000,05010CMHC 27114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27114,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27114,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27114,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27114,A000000,06153,0000,06312DIALYSIS 27114,A000000,06154,0000,06320APARTMENTS 27114,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27114,A000000,06156,0000,06340CLOSED PATIENT AREAS 27114,A000000,06157,0000,06350O/P ADULT DAYCARE 27114,A81000A,00100,0100,Y 27114,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27114,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27114,A81000B,00300,0300,MSU DEVELOPMENT COST 27114,A81000B,00400,0300,THERAPY ALLOCATION 27114,A81000B,00500,0300,THERAPY ALLOCATION 27114,A81000B,00600,0300,THERAPY ALLOCATION 27114,A81000B,00700,0300,LYRIC ALLOCATION 27114,A81000B,00800,0300,LYRIC ALLOCATION 27114,A81000B,00900,0300,CLINICAL ALLOCATION 27114,A81000B,01000,0300,SYMPHONY MOBILE X 27114,A81000C,00100,0100,B 27114,A81000C,00100,0200,IHS INC. 27114,A81000C,00100,0400,IHS INC. 27114,A81000C,00100,0600,NURSING HOMES 27114,A81000C,00200,0100,G 27114,A81000C,00200,0400,SYMPHONY MOBILE 27114,A81000C,00200,0600,XRAY 27114,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27114,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27114,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27114,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27114,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27114,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27114,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27114,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27114,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27114,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27114,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27114,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27114,E10A180,00351,0100,03/18/1999 27114,E10A180,00352,0100,12/03/1999 27114,E10A180,00353,0100,05/18/2000 27114,E10A180,00550,0100,07/28/2000 27114,E10A180,00550,0300,07/28/2000 27114,S000000,00100,0200,06/15/2000 27114,S200000,00100,0100,955 GARDEN LAKE PARKWAY 27114,S200000,00200,0100,TOLEDO 27114,S200000,00200,0200,OH 27114,S200000,00200,0300,43614- 27114,S200000,00300,0100,LUCAS 27114,S200000,00300,0200,8400 27114,S200000,00300,0300,U 27114,S200000,00400,0100,IHS-WATERFORD COMMONS 27114,S200000,00400,0200,365704 27114,S200000,00400,0300,10/08/1987 27114,S200000,00400,0500,P 27114,S200000,00600,0200,365704 27114,S200000,00600,0300,10/08/1987 27114,S200000,00600,0600,P 27114,S200000,01600,0100,Y 27114,S200000,02200,0100,Y 27123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27123,A000000,00300,0000,00300EMPLOYEE BENEFITS 27123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27123,A000000,00700,0000,00700HOUSEKEEPING 27123,A000000,00800,0000,00800DIETARY 27123,A000000,00900,0000,00900NURSING ADMINISTRATION 27123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27123,A000000,01100,0000,01100PHARMACY 27123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27123,A000000,01300,0000,01300SOCIAL SERVICE 27123,A000000,01350,0000,01500ACTIVITIES 27123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27123,A000000,01600,0000,01600SKILLED NURSING FACILITY 27123,A000000,01800,0000,01800NURSING FACILITY 27123,A000000,01900,0000,01900OTHER LONG TERM CARE 27123,A000000,02100,0000,02100RADIOLOGY 27123,A000000,02200,0000,02200LABORATORY 27123,A000000,02300,0000,02300INTRAVENOUS THERAPY 27123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27123,A000000,02500,0000,02500PHYSICAL THERAPY 27123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27123,A000000,02700,0000,02700SPEECH PATHOLOGY 27123,A000000,02800,0000,02800ELECTROCARDIOLOGY 27123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27123,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27123,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27123,A000000,03200,0000,03200SUPPORT SURFACES 27123,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27123,A000000,04800,0000,04800AMBULANCE 27123,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 27123,A000000,05300,0000,05300INTEREST EXPENSE 27123,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27123,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27123,A000000,06100,0000,06100NONPAID WORKERS 27123,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27123,A000000,06200,0000,06200PATIENTS LAUNDRY 27123,A81000A,00100,0100,Y 27123,A81000B,00100,0300,HOME OFFICE COST 27123,A81000B,00200,0300,PT ADMINISTRATIVE FEES 27123,A81000B,00300,0300,OT ADMINISTRATIVE FEES 27123,A81000B,00400,0300,ST ADMINISTRATIVE FEES 27123,A81000C,00100,0100,B 27123,A81000C,00100,0200,MCHS WOODRIDGE 27123,A81000C,00100,0400,HCR MANORCARE INC. 27123,A81000C,00100,0600,LONG TERM CARE FACILITIES 27123,A81000C,00200,0100,B 27123,A81000C,00200,0200,MCHS WOODRIDGE 27123,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 27123,A81000C,00200,0600,THERAPY MANAGEMENT 27123,A81000C,00300,0100,B 27123,A81000C,00300,0200,MCHS WOODRIDGE 27123,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 27123,A81000C,00300,0600,THERAPY MANAGEMENT 27123,A81000C,00400,0100,B 27123,A81000C,00400,0200,MCHS WOODRIDGE 27123,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 27123,A81000C,00400,0600,THERAPY MANAGEMENT 27123,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27123,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27123,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27123,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27123,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27123,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27123,B100000,00000,0800,00000MEALS SERVED :DIETARY 27123,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27123,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27123,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27123,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27123,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27123,S000000,00100,0200,10/24/2000 27123,S200000,00100,0100,3801 WOODRIDGE BLVD 27123,S200000,00200,0100,FAIRFIELD 27123,S200000,00200,0200,OH 27123,S200000,00200,0300,45014- 27123,S200000,00300,0100,BUTLER 27123,S200000,00300,0200,3200 27123,S200000,00300,0300,U 27123,S200000,00400,0100,MCHS WOODRIDGE - #540 27123,S200000,00400,0200,365738 27123,S200000,00400,0300,04/14/1989 27123,S200000,00400,0500,P 27123,S200000,00400,0600,P 27123,S200000,01004,0500,O 27123,S200000,01600,0100,Y 27123,S200000,02200,0100,Y 27129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27129,A000000,00300,0000,00300EMPLOYEE BENEFITS 27129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27129,A000000,00700,0000,00700HOUSEKEEPING 27129,A000000,00800,0000,00800DIETARY 27129,A000000,00900,0000,00900NURSING ADMINISTRATION 27129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27129,A000000,01100,0000,01100PHARMACY 27129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27129,A000000,01300,0000,01300SOCIAL SERVICE 27129,A000000,01350,0000,01500RECREATION ACTIVITIES 27129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27129,A000000,01600,0000,01600SKILLED NURSING FACILITY 27129,A000000,01800,0000,01800NURSING FACILITY 27129,A000000,01810,0000,01810ICF/MR 27129,A000000,02100,0000,02100RADIOLOGY 27129,A000000,02200,0000,02200LABORATORY 27129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27129,A000000,02500,0000,02500PHYSICAL THERAPY 27129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27129,A000000,02700,0000,02700SPEECH PATHOLOGY 27129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27129,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27129,A000000,03051,0000,03301ENTERAL FEEDING 27129,A000000,03550,0000,03550FQHC 27129,A000000,05000,0000,05000CORF 27129,A000000,05010,0000,05010CMHC 27129,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27129,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27129,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27129,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27129,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27129,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27129,A000000,06153,0000,06312DIALYSIS 27129,A000000,06154,0000,06320APARTMENTS 27129,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27129,A000000,06156,0000,06340CLOSED PATIENT AREAS 27129,A000000,06157,0000,06350O/P ADULT DAYCARE 27129,A81000A,00100,0100,Y 27129,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27129,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27129,A81000B,00300,0300,CLINICAL ALLOCATION 27129,A81000B,00400,0300,SYMPHONY REHAB 27129,A81000B,00500,0300,SYMPHONY REHAB 27129,A81000B,00600,0300,LTC LABS 27129,A81000B,00700,0300,REHAB ALLOCATION 27129,A81000B,00800,0300,REHAB ALLOCATION 27129,A81000B,00900,0300,REHAB ALLOCATION 27129,A81000C,00100,0100,B 27129,A81000C,00100,0200,IHS INC. 27129,A81000C,00100,0400,IHS INC. 27129,A81000C,00100,0600,NURSING HOMES 27129,A81000C,00200,0100,G 27129,A81000C,00200,0200,IHS INC 27129,A81000C,00200,0400,SYMPHONY REHAB 27129,A81000C,00200,0600,REHAB SERVICES 27129,A81000C,00300,0100,G 27129,A81000C,00300,0200,IHS INC. 27129,A81000C,00300,0400,LTC MED LAB 27129,A81000C,00300,0600,LABORATORY 27129,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27129,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27129,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27129,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27129,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27129,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27129,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27129,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27129,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27129,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27129,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27129,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27129,E10A180,00350,0100,01/03/2000 27129,E10A180,00351,0100,09/18/2000 27129,E10A180,00501,0100,12/06/2001 27129,E10A180,00550,0100,10/30/2000 27129,E10A180,00550,0300,10/30/2000 27129,E10A180,00551,0100,12/26/2000 27129,S000000,00100,0200,11/01/2000 27129,S200000,00100,0100,1926 RIDGE AVENUE 27129,S200000,00200,0100,WARREN 27129,S200000,00200,0200,OH 27129,S200000,00200,0300,44482- 27129,S200000,00300,0100,TRUMBULL 27129,S200000,00300,0200,9320 27129,S200000,00300,0300,U 27129,S200000,00400,0100,RIDGE CREST CARE CENTER 27129,S200000,00400,0200,365748 27129,S200000,00400,0300,07/31/1989 27129,S200000,00400,0500,P 27129,S200000,00600,0200,365748 27129,S200000,00600,0300,07/31/1989 27129,S200000,00600,0600,P 27129,S200000,01600,0100,Y 27129,S200000,02200,0100,Y 27136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27136,A000000,00300,0000,00300EMPLOYEE BENEFITS 27136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27136,A000000,00700,0000,00700HOUSEKEEPING 27136,A000000,00800,0000,00800DIETARY 27136,A000000,00900,0000,00900NURSING ADMINISTRATION 27136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27136,A000000,01100,0000,01100PHARMACY 27136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27136,A000000,01300,0000,01300SOCIAL SERVICE 27136,A000000,01350,0000,01500RECREATION ACTIVITIES 27136,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27136,A000000,01600,0000,01600SKILLED NURSING FACILITY 27136,A000000,01800,0000,01800NURSING FACILITY 27136,A000000,01810,0000,01810ICF/MR 27136,A000000,02100,0000,02100RADIOLOGY 27136,A000000,02200,0000,02200LABORATORY 27136,A000000,02500,0000,02500PHYSICAL THERAPY 27136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27136,A000000,02700,0000,02700SPEECH PATHOLOGY 27136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27136,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27136,A000000,03051,0000,03301ENTERAL FEEDING 27136,A000000,03550,0000,03550FQHC 27136,A000000,05000,0000,05000CORF 27136,A000000,05010,0000,05010CMHC 27136,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27136,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27136,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27136,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27136,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27136,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27136,A000000,06153,0000,06312DIALYSIS 27136,A000000,06154,0000,06320APARTMENTS 27136,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27136,A000000,06156,0000,06340CLOSED PATIENT AREAS 27136,A000000,06157,0000,06350O/P ADULT DAYCARE 27136,A81000A,00100,0100,Y 27136,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27136,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27136,A81000B,00300,0300,CLINICAL ALLOCATION 27136,A81000B,00400,0300,SYMPHONY MOBILEX 27136,A81000B,00500,0300,SYMPHONY REHAB 27136,A81000B,00600,0300,SYMPHONY REHAB 27136,A81000B,00700,0300,REHAB ALLOCATION 27136,A81000B,00800,0300,REHAB ALLOCATION 27136,A81000B,00900,0300,REHAB ALLOCATION 27136,A81000C,00100,0100,B 27136,A81000C,00100,0200,IHS INC. 27136,A81000C,00100,0400,IHS INC. 27136,A81000C,00100,0600,NURSING HOMES 27136,A81000C,00200,0100,B 27136,A81000C,00200,0200,IHS INC. 27136,A81000C,00200,0400,SYMPHONY REHAB 27136,A81000C,00200,0600,REHAB SERVICES 27136,A81000C,00300,0100,B 27136,A81000C,00300,0200,IHS INC. 27136,A81000C,00300,0400,SYMPHONY MOBILE 27136,A81000C,00300,0600,RADIOLOGY 27136,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27136,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27136,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27136,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27136,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27136,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27136,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27136,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27136,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27136,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27136,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27136,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27136,E10A180,00301,0100,01/03/2000 27136,E10A180,00302,0100,09/18/2000 27136,E10A180,00501,0100,12/26/2000 27136,E10A180,00502,0100,12/06/2001 27136,E10A180,00550,0100,10/30/2000 27136,E10A180,00550,0300,10/30/2000 27136,S000000,00100,0200,11/01/2000 27136,S200000,00100,0100,7787 STANLEY ROAD 27136,S200000,00200,0100,EAST ORWELL 27136,S200000,00200,0200,OH 27136,S200000,00200,0300,44076- 27136,S200000,00300,0100,ASHTUBULA 27136,S200000,00300,0200,1680 27136,S200000,00300,0300,U 27136,S200000,00400,0100,VILLAGE SQUARE 27136,S200000,00400,0200,365782 27136,S200000,00400,0300,03/20/1990 27136,S200000,00400,0500,P 27136,S200000,00600,0200,365782 27136,S200000,00600,0300,03/20/1990 27136,S200000,00600,0600,P 27136,S200000,01600,0100,Y 27136,S200000,02200,0100,Y 27145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27145,A000000,00300,0000,00300EMPLOYEE BENEFITS 27145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27145,A000000,00700,0000,00700HOUSEKEEPING 27145,A000000,00800,0000,00800DIETARY 27145,A000000,00900,0000,00900NURSING ADMINISTRATION 27145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27145,A000000,01100,0000,01100PHARMACY 27145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27145,A000000,01300,0000,01300SOCIAL SERVICE 27145,A000000,01350,0000,01500RECREATION ACTIVITIES 27145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27145,A000000,01600,0000,01600SKILLED NURSING FACILITY 27145,A000000,01800,0000,01800NURSING FACILITY 27145,A000000,01810,0000,01810ICF/MR 27145,A000000,02100,0000,02100RADIOLOGY 27145,A000000,02200,0000,02200LABORATORY 27145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27145,A000000,02500,0000,02500PHYSICAL THERAPY 27145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27145,A000000,02700,0000,02700SPEECH PATHOLOGY 27145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27145,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27145,A000000,03051,0000,03301ENTERAL FEEDING 27145,A000000,03550,0000,03550FQHC 27145,A000000,05000,0000,05000CORF 27145,A000000,05010,0000,05010CMHC 27145,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27145,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27145,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27145,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27145,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27145,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27145,A000000,06153,0000,06312DIALYSIS 27145,A000000,06154,0000,06320APARTMENTS 27145,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27145,A000000,06156,0000,06340CLOSED PATIENT AREAS 27145,A000000,06157,0000,06350O/P ADULT DAYCARE 27145,A81000A,00100,0100,Y 27145,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27145,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27145,A81000B,00300,0300,HOME OFFICE CLINICAL 27145,A81000B,00400,0300,SYMPHONY REHAB 27145,A81000B,00500,0300,SYMPHONY REHAB 27145,A81000B,00600,0300,SYMPHONY REHAB 27145,A81000B,00700,0300,SYMPHONY RESPIRATORY 27145,A81000B,00800,0300,LTC MEDLAB 27145,A81000B,00900,0300,LTC MEDLAB 27145,A81000B,01000,0300,HOME OFFICE LYRIC 27145,A81000C,00100,0100,B 27145,A81000C,00100,0400,IHS INC. 27145,A81000C,00100,0600,NURSING HOMES 27145,A81000C,00200,0100,G 27145,A81000C,00200,0400,SYMPHONY REHAB 27145,A81000C,00200,0600,REHAB SERVICES 27145,A81000C,00300,0100,G 27145,A81000C,00300,0400,LTC MED LAB 27145,A81000C,00300,0600,LABORATORY 27145,A81000C,00400,0100,B 27145,A81000C,00400,0400,LYRIC CORP 27145,A81000C,00400,0600,NURSING HOMES 27145,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27145,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27145,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27145,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27145,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27145,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27145,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27145,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27145,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27145,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27145,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27145,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27145,E10A180,00350,0100,01/03/2000 27145,E10A180,00351,0100,09/18/2000 27145,E10A180,00501,0100,11/08/2001 27145,E10A180,00550,0300,11/08/2001 27145,S000000,00100,0200,11/01/2000 27145,S200000,00100,0100,202 WASHINGTON STREET NW 27145,S200000,00200,0100,WARREN 27145,S200000,00200,0200,OH 27145,S200000,00200,0300,44483- 27145,S200000,00300,0100,TRUMBULL 27145,S200000,00300,0200,9320 27145,S200000,00300,0300,U 27145,S200000,00400,0100,WASHINGTON SQUARE NURSING CTR 27145,S200000,00400,0200,365784 27145,S200000,00400,0300,03/22/1990 27145,S200000,00400,0500,P 27145,S200000,00600,0200,365784 27145,S200000,00600,0300,03/22/1990 27145,S200000,00600,0600,P 27145,S200000,01600,0100,Y 27145,S200000,02200,0100,Y 27153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27153,A000000,00300,0000,00300EMPLOYEE BENEFITS 27153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27153,A000000,00700,0000,00700HOUSEKEEPING 27153,A000000,00800,0000,00800DIETARY 27153,A000000,00900,0000,00900NURSING ADMINISTRATION 27153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27153,A000000,01100,0000,01100PHARMACY 27153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27153,A000000,01300,0000,01300SOCIAL SERVICE 27153,A000000,01350,0000,01500RECREATION ACTIVITIES 27153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27153,A000000,01600,0000,01600SKILLED NURSING FACILITY 27153,A000000,01800,0000,01800NURSING FACILITY 27153,A000000,01810,0000,01810ICF/MR 27153,A000000,02100,0000,02100RADIOLOGY 27153,A000000,02200,0000,02200LABORATORY 27153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27153,A000000,02500,0000,02500PHYSICAL THERAPY 27153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27153,A000000,02700,0000,02700SPEECH PATHOLOGY 27153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27153,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27153,A000000,03051,0000,03301ENTERAL FEEDING 27153,A000000,03550,0000,03550FQHC 27153,A000000,05000,0000,05000CORF 27153,A000000,05010,0000,05010CMHC 27153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27153,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27153,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27153,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27153,A000000,06153,0000,06312DIALYSIS 27153,A000000,06154,0000,06320APARTMENTS 27153,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27153,A000000,06156,0000,06340CLOSED PATIENT AREAS 27153,A000000,06157,0000,06350O/P ADULT DAYCARE 27153,A81000A,00100,0100,Y 27153,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27153,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27153,A81000B,00300,0300,HOME OFFICE CLINICAL 27153,A81000B,00400,0300,SYMPHONY REHAB 27153,A81000B,00500,0300,SYMPHONY REHAB 27153,A81000B,00600,0300,SYMPHONY REHAB 27153,A81000B,00700,0300,HOME OFFICE REHAB 27153,A81000B,00800,0300,HOME OFFICE REHAB 27153,A81000B,00900,0300,HOME OFFICE REHAB 27153,A81000B,01000,0300,SYMPHONY RESP SERVIC 27153,A81000B,01100,0300,SYMPHONY MOBILE 27153,A81000B,01200,0300,SYMPHONY MOBILE 27153,A81000C,00100,0100,B 27153,A81000C,00100,0400,IHS INC. 27153,A81000C,00100,0600,NURSING HOMES 27153,A81000C,00200,0100,G 27153,A81000C,00200,0400,SYMPHONY REHAB 27153,A81000C,00200,0600,REHAB SERVICES 27153,A81000C,00300,0100,G 27153,A81000C,00300,0400,LTC MED LAB 27153,A81000C,00300,0600,LABORATORY 27153,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27153,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27153,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27153,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27153,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27153,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27153,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27153,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27153,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27153,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27153,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27153,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27153,E10A180,00350,0100,01/03/2000 27153,E10A180,00351,0100,09/18/2000 27153,E10A180,00501,0100,12/26/2000 27153,E10A180,00550,0300,12/26/2000 27153,S000000,00100,0200,11/01/2000 27153,S200000,00100,0100,563 WEST STREETSBORO ROAD 27153,S200000,00200,0100,HUDSON 27153,S200000,00200,0200,OH 27153,S200000,00200,0300,44236- 27153,S200000,00300,0100,SUMMIT 27153,S200000,00300,0200,0080 27153,S200000,00300,0300,U 27153,S200000,00400,0100,HUDSON ELMS NURSING HOME 27153,S200000,00400,0200,365874 27153,S200000,00400,0300,07/01/1992 27153,S200000,00400,0500,P 27153,S200000,00600,0200,365874 27153,S200000,00600,0300,07/01/1992 27153,S200000,00600,0600,P 27153,S200000,01600,0100,Y 27153,S200000,02200,0100,Y 27163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27163,A000000,00300,0000,00300EMPLOYEE BENEFITS 27163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27163,A000000,00700,0000,00700HOUSEKEEPING 27163,A000000,00800,0000,00800DIETARY 27163,A000000,00900,0000,00900NURSING ADMINISTRATION 27163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27163,A000000,01100,0000,01100PHARMACY 27163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27163,A000000,01300,0000,01300SOCIAL SERVICE 27163,A000000,01350,0000,01500RECREATION ACTIVITIES 27163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27163,A000000,01600,0000,01600SKILLED NURSING FACILITY 27163,A000000,01800,0000,01800NURSING FACILITY 27163,A000000,01810,0000,01810ICF/MR 27163,A000000,02100,0000,02100RADIOLOGY 27163,A000000,02200,0000,02200LABORATORY 27163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27163,A000000,02500,0000,02500PHYSICAL THERAPY 27163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27163,A000000,02700,0000,02700SPEECH PATHOLOGY 27163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27163,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27163,A000000,03051,0000,03301ENTERAL FEEDING 27163,A000000,03550,0000,03550FQHC 27163,A000000,05000,0000,05000CORF 27163,A000000,05010,0000,05010CMHC 27163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27163,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27163,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27163,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27163,A000000,06153,0000,06312DIALYSIS 27163,A000000,06154,0000,06320APARTMENTS 27163,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27163,A000000,06156,0000,06340CLOSED PATIENT AREAS 27163,A000000,06157,0000,06350O/P ADULT DAYCARE 27163,A81000A,00100,0100,Y 27163,A81000B,00100,0300,OWNERS COMPENSATION 27163,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27163,A81000C,00100,0100,A 27163,A81000C,00100,0200,ROBERT HUFF 27163,A81000C,00100,0400,MULTI HEALTH SE 27163,A81000C,00100,0600,HEALTH CARE 27163,A81000C,00200,0100,A 27163,A81000C,00200,0200,LYNNE HUFF 27163,A81000C,00200,0400,MULTI HEALTH SE 27163,A81000C,00200,0600,HEALTH CARE 27163,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27163,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27163,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27163,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27163,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27163,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27163,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27163,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27163,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27163,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27163,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27163,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27163,E10A180,00301,0100,12/03/1999 27163,E10A180,00350,0100,03/18/1999 27163,E10A180,00351,0100,05/18/2000 27163,E10A180,00550,0100,07/28/2000 27163,E10A180,00550,0300,07/28/2000 27163,S000000,00100,0200,06/02/2000 27163,S200000,00100,0100,5040 PHILADELPHIA DRIVE 27163,S200000,00200,0100,DAYTON 27163,S200000,00200,0200,OH 27163,S200000,00200,0300,45415- 27163,S200000,00300,0200,2000 27163,S200000,00300,0300,U 27163,S200000,00400,0100,CARRIAGE INN OF DAYTON 27163,S200000,00400,0200,365876 27163,S200000,00400,0300,09/01/1992 27163,S200000,00400,0500,P 27163,S200000,00600,0200,365876 27163,S200000,00600,0300,09/01/1992 27163,S200000,00600,0600,P 27163,S200000,01600,0100,Y 27163,S200000,02200,0100,Y 27172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27172,A000000,00300,0000,00300EMPLOYEE BENEFITS 27172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27172,A000000,00700,0000,00700HOUSEKEEPING 27172,A000000,00800,0000,00800DIETARY 27172,A000000,00900,0000,00900NURSING ADMINISTRATION 27172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27172,A000000,01100,0000,01100PHARMACY 27172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27172,A000000,01300,0000,01300SOCIAL SERVICE 27172,A000000,01350,0000,01500RECREATION ACTIVITIES 27172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27172,A000000,01600,0000,01600SKILLED NURSING FACILITY 27172,A000000,01800,0000,01800NURSING FACILITY 27172,A000000,01810,0000,01810ICF/MR 27172,A000000,02100,0000,02100RADIOLOGY 27172,A000000,02200,0000,02200LABORATORY 27172,A000000,02300,0000,02300INTRAVENOUS THERAPY 27172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27172,A000000,02500,0000,02500PHYSICAL THERAPY 27172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27172,A000000,02700,0000,02700SPEECH PATHOLOGY 27172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27172,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27172,A000000,03051,0000,03301ENTERAL FEEDING 27172,A000000,03550,0000,03550FQHC 27172,A000000,05000,0000,05000CORF 27172,A000000,05010,0000,05010CMHC 27172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27172,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27172,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27172,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27172,A000000,06153,0000,06312DIALYSIS 27172,A000000,06154,0000,06320APARTMENTS 27172,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27172,A000000,06156,0000,06340CLOSED PATIENT AREAS 27172,A000000,06157,0000,06350O/P ADULT DAYCARE 27172,A81000A,00100,0100,Y 27172,A81000B,00100,0300,OWNERS COMPENSATION 27172,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27172,A81000C,00100,0100,A 27172,A81000C,00100,0200,ROBERT HUFF 27172,A81000C,00100,0400,MULTI HEALTH SE 27172,A81000C,00100,0600,HEALTH CARE 27172,A81000C,00200,0100,A 27172,A81000C,00200,0200,LYNN HUFF 27172,A81000C,00200,0400,MULTI HEALTH SE 27172,A81000C,00200,0600,HEALTH CARE 27172,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27172,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27172,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27172,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27172,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27172,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27172,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27172,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27172,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27172,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27172,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27172,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27172,E10A180,00351,0100,03/18/1999 27172,E10A180,00352,0100,12/03/1999 27172,E10A180,00353,0100,05/18/2000 27172,E10A180,00501,0300,06/12/2000 27172,E10A180,00550,0100,06/12/2000 27172,E10A180,00551,0100,07/28/2000 27172,E10A180,00551,0300,07/28/2000 27172,S000000,00100,0200,06/15/2000 27172,S200000,00100,0100,2120 E. FIFTH AVENUE 27172,S200000,00200,0100,COLUMBUS 27172,S200000,00200,0200,OH 27172,S200000,00200,0300,43219- 27172,S200000,00300,0200,1840 27172,S200000,00300,0300,U 27172,S200000,00400,0100,GOOD SHEPHERD COMMUNITY CARE 27172,S200000,00400,0200,365992 27172,S200000,00400,0300,03/14/1995 27172,S200000,00400,0500,P 27172,S200000,00600,0200,365992 27172,S200000,00600,0300,03/14/1995 27172,S200000,00600,0600,P 27172,S200000,01600,0100,Y 27172,S200000,02200,0100,Y 27192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27192,A000000,00300,0000,00300EMPLOYEE BENEFITS 27192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27192,A000000,00700,0000,00700HOUSEKEEPING 27192,A000000,00800,0000,00800DIETARY 27192,A000000,00900,0000,00900NURSING ADMINISTRATION 27192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27192,A000000,01100,0000,01100PHARMACY 27192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27192,A000000,01300,0000,01300SOCIAL SERVICE 27192,A000000,01350,0000,01500RECREATION ACTIVITIES 27192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27192,A000000,01600,0000,01600SKILLED NURSING FACILITY 27192,A000000,01800,0000,01800NURSING FACILITY 27192,A000000,01810,0000,01810ICF/MR 27192,A000000,02100,0000,02100RADIOLOGY 27192,A000000,02200,0000,02200LABORATORY 27192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27192,A000000,02500,0000,02500PHYSICAL THERAPY 27192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27192,A000000,02700,0000,02700SPEECH PATHOLOGY 27192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27192,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27192,A000000,03051,0000,03301ENTERAL FEEDING 27192,A000000,03550,0000,03550FQHC 27192,A000000,05000,0000,05000CORF 27192,A000000,05010,0000,05010CMHC 27192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27192,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27192,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27192,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27192,A000000,06153,0000,06312DIALYSIS 27192,A000000,06154,0000,06320APARTMENTS 27192,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27192,A000000,06156,0000,06340CLOSED PATIENT AREAS 27192,A000000,06157,0000,06350O/P ADULT DAYCARE 27192,A81000A,00100,0100,Y 27192,A81000B,00100,0300,HOME OFFICE COST 27192,A81000C,00100,0100,A 27192,A81000C,00100,0200,ROBERT HUFF 27192,A81000C,00100,0400,MULTI HEALTH SE 27192,A81000C,00100,0600,HEALTH CARE 27192,A81000C,00200,0100,A 27192,A81000C,00200,0200,LYNN HUFF 27192,A81000C,00200,0400,MULTI HEALTH SE 27192,A81000C,00200,0600,HEALTH CARE 27192,A81000C,00300,0100,G 27192,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27192,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27192,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27192,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27192,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27192,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27192,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27192,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27192,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27192,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27192,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27192,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27192,E10A180,00351,0100,12/03/1999 27192,E10A180,00352,0100,05/18/2000 27192,E10A180,00550,0100,06/12/2000 27192,E10A180,00550,0300,06/12/2000 27192,E10A180,00551,0100,07/28/2000 27192,S000000,00100,0200,06/15/2000 27192,S200000,00100,0100,250 LAHM DRIVE 27192,S200000,00200,0100,HOPEDALE 27192,S200000,00200,0200,OH 27192,S200000,00200,0300,43976- 27192,S200000,00300,0200,36 27192,S200000,00300,0300,R 27192,S200000,00400,0100,THE GABLES CARE CENTER 27192,S200000,00400,0200,366052 27192,S200000,00400,0300,04/03/1996 27192,S200000,00400,0500,P 27192,S200000,00600,0200,366052 27192,S200000,00600,0300,04/03/1996 27192,S200000,00600,0600,P 27192,S200000,01600,0100,Y 27192,S200000,02200,0100,Y 27202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27202,A000000,00300,0000,00300EMPLOYEE BENEFITS 27202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27202,A000000,00700,0000,00700HOUSEKEEPING 27202,A000000,00800,0000,00800DIETARY 27202,A000000,00900,0000,00900NURSING ADMINISTRATION 27202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27202,A000000,01100,0000,01100PHARMACY 27202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27202,A000000,01300,0000,01300SOCIAL SERVICE 27202,A000000,01350,0000,01500RECREATION ACTIVITIES 27202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27202,A000000,01600,0000,01600SKILLED NURSING FACILITY 27202,A000000,01800,0000,01800NURSING FACILITY 27202,A000000,01810,0000,01810ICF/MR 27202,A000000,02100,0000,02100RADIOLOGY 27202,A000000,02200,0000,02200LABORATORY 27202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27202,A000000,02500,0000,02500PHYSICAL THERAPY 27202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27202,A000000,02700,0000,02700SPEECH PATHOLOGY 27202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27202,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27202,A000000,03051,0000,03301ENTERAL FEEDING 27202,A000000,03550,0000,03550FQHC 27202,A000000,05000,0000,05000CORF 27202,A000000,05010,0000,05010CMHC 27202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27202,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27202,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27202,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27202,A000000,06153,0000,06312DIALYSIS 27202,A000000,06154,0000,06320APARTMENTS 27202,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27202,A000000,06156,0000,06340CLOSED PATIENT AREAS 27202,A000000,06157,0000,06350O/P ADULT DAYCARE 27202,A81000A,00100,0100,Y 27202,A81000B,00100,0300,ROSALYN SEMELSBERGER 27202,A81000C,00100,0100,G 27202,A81000C,00100,0400,ROALYN SEMELSBE 27202,A81000C,00100,0600,INTERIOR DESIGN 27202,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27202,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27202,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27202,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27202,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27202,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27202,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27202,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27202,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27202,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27202,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27202,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27202,E10A180,00301,0100,12/03/1999 27202,E10A180,00350,0100,05/18/2000 27202,E10A180,00501,0300,06/14/2000 27202,E10A180,00550,0100,06/14/2000 27202,E10A180,00551,0100,07/28/2000 27202,E10A180,00551,0300,07/28/2000 27202,S000000,00100,0200,07/17/2000 27202,S200000,00100,0100,19530 BAGLEY ROAD 27202,S200000,00200,0100,MIDDLEBURG HEIGHTS 27202,S200000,00200,0200,OH 27202,S200000,00200,0300,44130- 27202,S200000,00300,0200,1680 27202,S200000,00300,0300,U 27202,S200000,00400,0100,SOUTHERN HILLS HLTH&REHAB CTR 27202,S200000,00400,0200,366057 27202,S200000,00400,0300,05/15/1996 27202,S200000,00400,0500,P 27202,S200000,00600,0200,366057 27202,S200000,00600,0300,05/15/1996 27202,S200000,00600,0600,P 27202,S200000,01600,0100,Y 27202,S200000,02200,0100,Y 27211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27211,A000000,00300,0000,00300EMPLOYEE BENEFITS 27211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27211,A000000,00700,0000,00700HOUSEKEEPING 27211,A000000,00800,0000,00800DIETARY 27211,A000000,00900,0000,00900NURSING ADMINISTRATION 27211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27211,A000000,01100,0000,01100PHARMACY 27211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27211,A000000,01300,0000,01300SOCIAL SERVICE 27211,A000000,01350,0000,01500ACTIVITIES 27211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27211,A000000,01600,0000,01600SKILLED NURSING FACILITY 27211,A000000,01800,0000,01800NURSING FACILITY 27211,A000000,01900,0000,01900OTHER LONG TERM CARE 27211,A000000,02100,0000,02100RADIOLOGY 27211,A000000,02200,0000,02200LABORATORY 27211,A000000,02300,0000,02300INTRAVENOUS THERAPY 27211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27211,A000000,02500,0000,02500PHYSICAL THERAPY 27211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27211,A000000,02700,0000,02700SPEECH PATHOLOGY 27211,A000000,02800,0000,02800ELECTROCARDIOLOGY 27211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27211,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27211,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27211,A000000,03200,0000,03200SUPPORT SURFACES 27211,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27211,A000000,04800,0000,04800AMBULANCE 27211,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 27211,A000000,05300,0000,05300INTEREST EXPENSE 27211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27211,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27211,A000000,06100,0000,06100NONPAID WORKERS 27211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27211,A000000,06200,0000,06200PATIENTS LAUNDRY 27211,A81000A,00100,0100,Y 27211,A81000B,00100,0300,HOME OFFICE COST 27211,A81000B,00200,0300,PHYSICAL THERAPY 27211,A81000B,00300,0300,OCCUPATIONAL THERAPY 27211,A81000B,00400,0300,SPEECH THERAPY 27211,A81000C,00100,0100,B 27211,A81000C,00100,0200,MCHS CENTERVILLE 27211,A81000C,00100,0400,HCR MANORCARE INC. 27211,A81000C,00100,0600,LONG TERM CARE FACILITIES 27211,A81000C,00200,0100,B 27211,A81000C,00200,0200,MCHS CENTERVILLE 27211,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 27211,A81000C,00200,0600,THERAPY MANAGEMENT 27211,A81000C,00300,0100,B 27211,A81000C,00300,0200,MCHS CENTERVILLE 27211,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 27211,A81000C,00300,0600,THERAPY MANAGEMENT 27211,A81000C,00400,0100,B 27211,A81000C,00400,0200,MCHS CENTERVILLE 27211,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 27211,A81000C,00400,0600,THERAPY MANAGEMENT 27211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27211,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27211,B100000,00000,0800,00000MEALS SERVED :DIETARY 27211,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27211,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27211,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27211,S000000,00100,0200,10/31/2000 27211,S200000,00100,0100,1001 EAST ALEX-BELL ROAD 27211,S200000,00200,0100,CENTERVILLE 27211,S200000,00200,0200,OH 27211,S200000,00200,0300,45459- 27211,S200000,00300,0100,MONTGOMERY 27211,S200000,00300,0200,2000 27211,S200000,00300,0300,U 27211,S200000,00400,0100,MCHS CENTERVILLE- #613 27211,S200000,00400,0200,366100 27211,S200000,00400,0300,01/14/1997 27211,S200000,00400,0500,P 27211,S200000,00400,0600,P 27211,S200000,01600,0100,Y 27211,S200000,02200,0100,Y 27221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27221,A000000,00300,0000,00300EMPLOYEE BENEFITS 27221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27221,A000000,00700,0000,00700HOUSEKEEPING 27221,A000000,00800,0000,00800DIETARY 27221,A000000,00900,0000,00900NURSING ADMINISTRATION 27221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27221,A000000,01100,0000,01100PHARMACY 27221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27221,A000000,01300,0000,01300SOCIAL SERVICE 27221,A000000,01350,0000,01500 27221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27221,A000000,01600,0000,01600SKILLED NURSING FACILITY 27221,A000000,01800,0000,01800NURSING FACILITY 27221,A000000,01900,0000,01900OTHER LONG TERM CARE 27221,A000000,02100,0000,02100RADIOLOGY 27221,A000000,02200,0000,02200LABORATORY 27221,A000000,02300,0000,02300INTRAVENOUS THERAPY 27221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27221,A000000,02500,0000,02500PHYSICAL THERAPY 27221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27221,A000000,02700,0000,02700SPEECH PATHOLOGY 27221,A000000,02800,0000,02800ELECTROCARDIOLOGY 27221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27221,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27221,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27221,A000000,03200,0000,03200SUPPORT SURFACES 27221,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27221,A000000,04800,0000,04800AMBULANCE 27221,A000000,05300,0000,05300INTEREST EXPENSE 27221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27221,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27221,A000000,06100,0000,06100NONPAID WORKERS 27221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27221,A000000,06200,0000,06200PATIENTS LAUNDRY 27221,A81000A,00100,0100,Y 27221,A81000B,00100,0300,HOME OFFICE COST 27221,A81000B,00200,0300,PT ADMINISTRATION FEES 27221,A81000B,00300,0300,OT ADMINISTRATION FEES 27221,A81000B,00400,0300,ST ADMINISTRATION FEES 27221,A81000B,00500,0300,DIRECT INTEREST 27221,A81000C,00100,0100,B 27221,A81000C,00100,0200,MCHS - OKLAHOMA CITY NW 27221,A81000C,00100,0400,HCR MANORCARE INC. 27221,A81000C,00100,0600,LONG TERM CARE FACILITIES 27221,A81000C,00200,0100,B 27221,A81000C,00200,0200,MCHS - OKLAHOMA CITY NW 27221,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 27221,A81000C,00200,0600,THERAPY MANAGEMENT 27221,A81000C,00300,0100,B 27221,A81000C,00300,0200,MCHS - OKLAHOMA CITY NW 27221,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 27221,A81000C,00300,0600,THERAPY MANAGEMENT 27221,A81000C,00400,0100,B 27221,A81000C,00400,0200,MCHS - OKLAHOMA CITY NW 27221,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 27221,A81000C,00400,0600,THERAPY MANAGEMENT 27221,A81000C,00500,0100,B 27221,A81000C,00500,0200,MCHS - OKLAHOMA CITY NW 27221,A81000C,00500,0400,HCR MANORCARE INC. 27221,A81000C,00500,0600,LONG TERM CARE FACILITIES 27221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27221,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27221,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27221,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27221,B100000,00000,0800,00000MEALS SERVED :DIETARY 27221,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27221,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27221,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27221,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27221,B100000,00000,1350,00000PATIENT DAYS 27221,S000000,00100,0200,11/01/2000 27221,S200000,00100,0100,5301 N. BROOKLINE 27221,S200000,00200,0100,OKLAHOMA CITY 27221,S200000,00200,0200,OK 27221,S200000,00200,0300,73112- 27221,S200000,00300,0100,OKLAHOMA 27221,S200000,00300,0200,5880 27221,S200000,00300,0300,U 27221,S200000,00400,0100,FOUR SEASONS NORTHWEST 27221,S200000,00400,0200,375042 27221,S200000,00400,0300,05/28/1968 27221,S200000,00400,0500,P 27221,S200000,00400,0600,P 27221,S200000,01004,0500,O 27221,S200000,01600,0100,Y 27221,S200000,02200,0100,Y 27229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27229,A000000,00300,0000,00300EMPLOYEE BENEFITS 27229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27229,A000000,00700,0000,00700HOUSEKEEPING 27229,A000000,00800,0000,00800DIETARY 27229,A000000,00900,0000,00900NURSING ADMINISTRATION 27229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27229,A000000,01100,0000,01100PHARMACY 27229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27229,A000000,01300,0000,01300SOCIAL SERVICE 27229,A000000,01350,0000,01500ACTIVITIES 27229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27229,A000000,01600,0000,01600SKILLED NURSING FACILITY 27229,A000000,01800,0000,01800NURSING FACILITY 27229,A000000,01900,0000,01900OTHER LONG TERM CARE 27229,A000000,02100,0000,02100RADIOLOGY 27229,A000000,02200,0000,02200LABORATORY 27229,A000000,02300,0000,02300INTRAVENOUS THERAPY 27229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27229,A000000,02500,0000,02500PHYSICAL THERAPY 27229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27229,A000000,02700,0000,02700SPEECH PATHOLOGY 27229,A000000,02800,0000,02800ELECTROCARDIOLOGY 27229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27229,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27229,A000000,03200,0000,03200SUPPORT SURFACES 27229,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27229,A000000,04800,0000,04800AMBULANCE 27229,A000000,05300,0000,05300INTEREST EXPENSE 27229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27229,A000000,06100,0000,06100NONPAID WORKERS 27229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27229,A000000,06200,0000,06200PATIENTS LAUNDRY 27229,A81000A,00100,0100,Y 27229,A81000B,00100,0300,HOME OFFICE COST 27229,A81000B,00200,0300,PT ADMINISTRATION 27229,A81000B,00300,0300,OT ADMINISTRATION 27229,A81000B,00400,0300,ST ADMINISTRATION 27229,A81000B,00500,0300,DIRECT INTEREST 27229,A81000C,00100,0100,B 27229,A81000C,00100,0200,MCHS - NORMAN 27229,A81000C,00100,0400,HCR MANORCARE INC. 27229,A81000C,00100,0600,LONG TERM CARE FACILITIES 27229,A81000C,00200,0100,B 27229,A81000C,00200,0200,MCHS - NORMAN 27229,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 27229,A81000C,00200,0600,THERAPY MANAGEMENT 27229,A81000C,00300,0100,B 27229,A81000C,00300,0200,MCHS - NORMAN 27229,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 27229,A81000C,00300,0600,THERAPY MANAGEMENT 27229,A81000C,00400,0100,B 27229,A81000C,00400,0200,MCHS - NORMAN 27229,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 27229,A81000C,00400,0600,THERAPY MANAGEMENT 27229,A81000C,00500,0100,B 27229,A81000C,00500,0200,MCHS - NORMAN 27229,A81000C,00500,0400,HCR MANORCARE INC. 27229,A81000C,00500,0600,LONG TERM CARE FACILITIES 27229,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27229,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27229,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27229,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27229,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27229,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27229,B100000,00000,0800,00000MEALS SERVED :DIETARY 27229,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27229,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27229,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27229,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27229,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27229,E10A180,00550,0100,11/06/2001 27229,S000000,00100,0200,10/31/2000 27229,S200000,00100,0100,1210 W. ROBINSON 27229,S200000,00200,0100,NORMAN 27229,S200000,00200,0200,OK 27229,S200000,00200,0300,73069- 27229,S200000,00300,0100,CLEVELAND 27229,S200000,00300,0200,5880 27229,S200000,00300,0300,U 27229,S200000,00400,0100,FOUR SEASONS NORMAN - #305 27229,S200000,00400,0200,375070 27229,S200000,00400,0300,03/01/1981 27229,S200000,00400,0500,P 27229,S200000,00400,0600,P 27229,S200000,01004,0500,O 27229,S200000,01600,0100,Y 27229,S200000,02200,0100,Y 27239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27239,A000000,00300,0000,00300EMPLOYEE BENEFITS 27239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27239,A000000,00700,0000,00700HOUSEKEEPING 27239,A000000,00800,0000,00800DIETARY 27239,A000000,00900,0000,00900NURSING ADMINISTRATION 27239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27239,A000000,01100,0000,01100PHARMACY 27239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27239,A000000,01300,0000,01300SOCIAL SERVICE 27239,A000000,01350,0000,01500ACTIVITIES 27239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27239,A000000,01600,0000,01600SKILLED NURSING FACILITY 27239,A000000,01800,0000,01800NURSING FACILITY 27239,A000000,01900,0000,01900OTHER LONG TERM CARE 27239,A000000,02100,0000,02100RADIOLOGY 27239,A000000,02200,0000,02200LABORATORY 27239,A000000,02300,0000,02300INTRAVENOUS THERAPY 27239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27239,A000000,02500,0000,02500PHYSICAL THERAPY 27239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27239,A000000,02700,0000,02700SPEECH PATHOLOGY 27239,A000000,02800,0000,02800ELECTROCARDIOLOGY 27239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27239,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27239,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27239,A000000,03200,0000,03200SUPPORT SURFACES 27239,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27239,A000000,04800,0000,04800AMBULANCE 27239,A000000,05300,0000,05300INTEREST EXPENSE 27239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27239,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27239,A000000,06100,0000,06100NONPAID WORKERS 27239,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27239,A000000,06200,0000,06200PATIENTS LAUNDRY 27239,A81000A,00100,0100,Y 27239,A81000B,00100,0300,HOME OFFICE COST 27239,A81000B,00200,0300,PT ADMINISTRATION FEE 27239,A81000B,00300,0300,OT ADMINISTRATION FEE 27239,A81000B,00400,0300,ST ADMINISTRATION FEE 27239,A81000B,00500,0300,DIRECT INTEREST 27239,A81000C,00100,0100,B 27239,A81000C,00100,0200,MCHS - TULSA 27239,A81000C,00100,0400,HCR MANORCARE INC. 27239,A81000C,00100,0600,LONG TERM CARE FACILITIES 27239,A81000C,00200,0100,B 27239,A81000C,00200,0200,MCHS - TULSA 27239,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 27239,A81000C,00200,0600,THERAPY MANAGEMENT 27239,A81000C,00300,0100,B 27239,A81000C,00300,0200,MCHS - TULSA 27239,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 27239,A81000C,00300,0600,THERAPY MANAGEMENT 27239,A81000C,00400,0100,B 27239,A81000C,00400,0200,MCHS - TULSA 27239,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 27239,A81000C,00400,0600,THERAPY MANAGEMENT 27239,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27239,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27239,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27239,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27239,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27239,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27239,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27239,B100000,00000,0800,00000MEALS SERVED :DIETARY 27239,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27239,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27239,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27239,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27239,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27239,S000000,00100,0200,10/31/2000 27239,S200000,00100,0100,2425 S. MEMORIAL DRIVE 27239,S200000,00200,0100,TULSA 27239,S200000,00200,0200,OK 27239,S200000,00200,0300,74129- 27239,S200000,00300,0100,TULSA 27239,S200000,00300,0200,8560 27239,S200000,00300,0300,U 27239,S200000,00400,0100,FOUR SEASONS TULSA - 307 27239,S200000,00400,0200,375094 27239,S200000,00400,0300,04/12/1989 27239,S200000,00400,0500,P 27239,S200000,00400,0600,P 27239,S200000,01004,0500,O 27239,S200000,01600,0100,Y 27239,S200000,02200,0100,Y 27254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27254,A000000,00300,0000,00300EMPLOYEE BENEFITS 27254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27254,A000000,00700,0000,00700HOUSEKEEPING 27254,A000000,00800,0000,00800DIETARY 27254,A000000,00900,0000,00900NURSING ADMINISTRATION 27254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27254,A000000,01100,0000,01100PHARMACY 27254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27254,A000000,01300,0000,01300SOCIAL SERVICE 27254,A000000,01350,0000,01500RECREATION ACTIVITIES 27254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27254,A000000,01600,0000,01600SKILLED NURSING FACILITY 27254,A000000,01800,0000,01800NURSING FACILITY 27254,A000000,01810,0000,01810ICF/MR 27254,A000000,02100,0000,02100RADIOLOGY 27254,A000000,02200,0000,02200LABORATORY 27254,A000000,02500,0000,02500PHYSICAL THERAPY 27254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27254,A000000,02700,0000,02700SPEECH PATHOLOGY 27254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27254,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27254,A000000,03051,0000,03301ENTERAL FEEDING 27254,A000000,03550,0000,03550FQHC 27254,A000000,05000,0000,05000CORF 27254,A000000,05010,0000,05010CMHC 27254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27254,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27254,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27254,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27254,A000000,06153,0000,06312DIALYSIS 27254,A000000,06154,0000,06320APARTMENTS 27254,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27254,A000000,06156,0000,06340CLOSED PATIENT AREAS 27254,A000000,06157,0000,06350O/P ADULT DAYCARE 27254,A81000A,00100,0100,Y 27254,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27254,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27254,A81000B,00500,0300,SYMPHONY REHAB 27254,A81000B,00700,0300,SYMPHONY MOBILEX 27254,A81000B,00800,0300,LTC LABS 27254,A81000B,00900,0300,REHAB ALLOCATION 27254,A81000B,01000,0300,REHAB ALLOCATION 27254,A81000B,01100,0300,REHAB ALLOCATION 27254,A81000B,01200,0300,CLINICAL ALLOCATION 27254,A81000C,00100,0100,B 27254,A81000C,00100,0200,IHS INC. 27254,A81000C,00100,0400,IHS INC. 27254,A81000C,00100,0600,NURSING HOMES 27254,A81000C,00200,0100,G 27254,A81000C,00200,0400,SYMPHONY REHAB 27254,A81000C,00200,0600,REHAB SERVICES 27254,A81000C,00300,0100,G 27254,A81000C,00300,0400,LTC MED LAB 27254,A81000C,00300,0600,LABORATORY 27254,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27254,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27254,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27254,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27254,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27254,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27254,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27254,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27254,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27254,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27254,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27254,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27254,E10A180,00350,0100,01/03/2000 27254,E10A180,00351,0100,09/18/2000 27254,E10A180,00501,0100,12/26/2000 27254,E10A180,00501,0300,12/26/2000 27254,S000000,00100,0200,11/01/2000 27254,S200000,00100,0100,320 N. EASTERN AVE. 27254,S200000,00200,0100,MOORE 27254,S200000,00200,0200,OK 27254,S200000,00200,0300,73160- 27254,S200000,00300,0100,CLEVELAND 27254,S200000,00300,0200,5880 27254,S200000,00300,0300,U 27254,S200000,00400,0100,IHS-MOORE 27254,S200000,00400,0200,375100 27254,S200000,00400,0300,11/01/1986 27254,S200000,00400,0500,P 27254,S200000,00600,0200,375100 27254,S200000,00600,0300,11/01/1986 27254,S200000,00600,0600,P 27254,S200000,01600,0100,Y 27254,S200000,02200,0100,Y 27268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27268,A000000,00300,0000,00300EMPLOYEE BENEFITS 27268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27268,A000000,00700,0000,00700HOUSEKEEPING 27268,A000000,00800,0000,00800DIETARY 27268,A000000,00900,0000,00900NURSING ADMINISTRATION 27268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27268,A000000,01100,0000,01100PHARMACY 27268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27268,A000000,01300,0000,01300SOCIAL SERVICE 27268,A000000,01350,0000,01500ACTIVITIES 27268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27268,A000000,01600,0000,01600SKILLED NURSING FACILITY 27268,A000000,01800,0000,01800NURSING FACILITY 27268,A000000,01900,0000,01900OTHER LONG TERM CARE 27268,A000000,02100,0000,02100RADIOLOGY 27268,A000000,02200,0000,02200LABORATORY 27268,A000000,02300,0000,02300INTRAVENOUS THERAPY 27268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27268,A000000,02500,0000,02500PHYSICAL THERAPY 27268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27268,A000000,02700,0000,02700SPEECH PATHOLOGY 27268,A000000,02800,0000,02800ELECTROCARDIOLOGY 27268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27268,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27268,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27268,A000000,03200,0000,03200SUPPORT SURFACES 27268,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27268,A000000,04800,0000,04800AMBULANCE 27268,A000000,05300,0000,05300INTEREST EXPENSE 27268,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27268,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27268,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27268,A000000,06100,0000,06100NONPAID WORKERS 27268,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27268,A000000,06200,0000,06200PATIENTS LAUNDRY 27268,A81000A,00100,0100,Y 27268,A81000B,00100,0300,HOME OFFICE COST 27268,A81000B,00200,0300,PT ADMINISTRATIVE FEES 27268,A81000B,00300,0300,OT ADMINISTRATIVE FEES 27268,A81000B,00400,0300,ST ADMINISTRATIVE FEES 27268,A81000C,00100,0100,B 27268,A81000C,00100,0200,MCHS - OKLAHOMA CITY SW 27268,A81000C,00100,0400,HCR MANORCARE INC. 27268,A81000C,00100,0600,LONG TERM CARE FACILITIES 27268,A81000C,00200,0100,B 27268,A81000C,00200,0200,MCHS - OKLAHOMA CITY SW 27268,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 27268,A81000C,00200,0600,THERAPY MANAGEMENT 27268,A81000C,00300,0100,B 27268,A81000C,00300,0200,MCHS - OKLAHOMA CITY SW 27268,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 27268,A81000C,00300,0600,THERAPY MANAGEMENT 27268,A81000C,00400,0100,B 27268,A81000C,00400,0200,MCHS - OKLAHOMA CITY SW 27268,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 27268,A81000C,00400,0600,THERAPY MANAGEMENT 27268,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27268,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27268,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27268,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27268,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27268,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27268,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27268,B100000,00000,0800,00000MEALS SERVED :DIETARY 27268,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27268,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27268,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27268,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27268,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27268,S000000,00100,0200,10/31/2000 27268,S200000,00100,0100,5400 S. WALKER AVENUE 27268,S200000,00200,0100,OKLAHOMA 27268,S200000,00200,0200,OK 27268,S200000,00300,0100,OKLAHOMA 27268,S200000,00300,0200,5880 27268,S200000,00300,0300,U 27268,S200000,00400,0100,FOUR SEASONS SOUTHWEST - 306 27268,S200000,00400,0200,375135 27268,S200000,00400,0300,02/01/1993 27268,S200000,00400,0500,P 27268,S200000,00400,0600,P 27268,S200000,01004,0500,O 27268,S200000,01600,0100,Y 27268,S200000,02200,0100,Y 27273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27273,A000000,00300,0000,00300EMPLOYEE BENEFITS 27273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27273,A000000,00700,0000,00700HOUSEKEEPING 27273,A000000,00800,0000,00800DIETARY 27273,A000000,00900,0000,00900NURSING ADMINISTRATION 27273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27273,A000000,01100,0000,01100PHARMACY 27273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27273,A000000,01300,0000,01300SOCIAL SERVICE 27273,A000000,01350,0000,01500RECREATION ACTIVITIES 27273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27273,A000000,01600,0000,01600SKILLED NURSING FACILITY 27273,A000000,01800,0000,01800NURSING FACILITY 27273,A000000,01810,0000,01810ICF/MR 27273,A000000,02100,0000,02100RADIOLOGY 27273,A000000,02200,0000,02200LABORATORY 27273,A000000,02500,0000,02500PHYSICAL THERAPY 27273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27273,A000000,02700,0000,02700SPEECH PATHOLOGY 27273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27273,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27273,A000000,03051,0000,03301ENTERAL FEEDING 27273,A000000,03550,0000,03550FQHC 27273,A000000,05000,0000,05000CORF 27273,A000000,05010,0000,05010CMHC 27273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27273,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27273,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27273,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27273,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27273,A000000,06153,0000,06312DIALYSIS 27273,A000000,06154,0000,06320APARTMENTS 27273,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27273,A000000,06156,0000,06340CLOSED PATIENT AREAS 27273,A000000,06157,0000,06350O/P ADULT DAYCARE 27273,A81000A,00100,0100,Y 27273,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27273,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27273,A81000B,00300,0300,LYRIC HOME OFFICE 27273,A81000B,00400,0300,REHAB ALLOCATION 27273,A81000B,00500,0300,REHAB ALLOCATION 27273,A81000B,00600,0300,REHAB ALLOCATION 27273,A81000B,00700,0300,CLINICAL ALLOCATION 27273,A81000B,00800,0300,SYMPHONY REHAB 27273,A81000B,00900,0300,SYMPHONY MOBILEX 27273,A81000B,01000,0300,LTC MED LAB 27273,A81000B,01100,0300,RENT SUBSTITUTION 27273,A81000B,01200,0300,RENT SUBSTITUTION 27273,A81000C,00100,0100,B 27273,A81000C,00100,0400,IHS INC. 27273,A81000C,00100,0600,LONG TERM CARE 27273,A81000C,00200,0100,G 27273,A81000C,00200,0400,SYMPHONY REHAB 27273,A81000C,00200,0600,REHAB SERVICES 27273,A81000C,00300,0100,G 27273,A81000C,00300,0400,LTC MED LAB 27273,A81000C,00300,0600,LABORATORY 27273,A81000C,00400,0100,B 27273,A81000C,00400,0400,LYRIC/IHS 27273,A81000C,00400,0600,MGT/LEASED BUIL 27273,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27273,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27273,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27273,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27273,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27273,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27273,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27273,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27273,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27273,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27273,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27273,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27273,E10A180,00351,0300,09/18/2000 27273,E10A180,00501,0100,12/26/2000 27273,E10A180,00501,0300,12/26/2000 27273,E10A180,00502,0100,11/08/2001 27273,E10A180,00502,0300,11/08/2001 27273,S000000,00100,0200,11/01/2000 27273,S200000,00100,0100,8200 NATIONAL AVENUE 27273,S200000,00200,0100,MIDWEST CITY 27273,S200000,00200,0200,OK 27273,S200000,00200,0300,73110- 27273,S200000,00300,0100,OKLAHOMA 27273,S200000,00300,0200,5880 27273,S200000,00300,0300,U 27273,S200000,00400,0100,IHS-MIDWEST CITY 27273,S200000,00400,0200,375252 27273,S200000,00400,0300,02/01/1996 27273,S200000,00400,0500,P 27273,S200000,00600,0200,375252 27273,S200000,00600,0300,02/01/1996 27273,S200000,00600,0600,P 27273,S200000,01600,0100,Y 27273,S200000,02200,0100,Y 27281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27281,A000000,00300,0000,00300EMPLOYEE BENEFITS 27281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27281,A000000,00700,0000,00700HOUSEKEEPING 27281,A000000,00800,0000,00800DIETARY 27281,A000000,00900,0000,00900NURSING ADMINISTRATION 27281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27281,A000000,01100,0000,01100PHARMACY 27281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27281,A000000,01300,0000,01300SOCIAL SERVICE 27281,A000000,01350,0000,01500ACTIVITIES 27281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27281,A000000,01600,0000,01600SKILLED NURSING FACILITY 27281,A000000,01800,0000,01800NURSING FACILITY 27281,A000000,01900,0000,01900OTHER LONG TERM CARE 27281,A000000,02100,0000,02100RADIOLOGY 27281,A000000,02200,0000,02200LABORATORY 27281,A000000,02300,0000,02300INTRAVENOUS THERAPY 27281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27281,A000000,02500,0000,02500PHYSICAL THERAPY 27281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27281,A000000,02700,0000,02700SPEECH PATHOLOGY 27281,A000000,02800,0000,02800ELECTROCARDIOLOGY 27281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27281,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27281,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27281,A000000,03200,0000,03200SUPPORT SURFACES 27281,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27281,A000000,04800,0000,04800AMBULANCE 27281,A000000,05300,0000,05300INTEREST EXPENSE 27281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27281,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27281,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27281,A000000,06100,0000,06100NONPAID WORKERS 27281,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27281,A000000,06200,0000,06200PATIENTS LAUNDRY 27281,A81000A,00100,0100,Y 27281,A81000B,00100,0300,HOME OFFICE COST 27281,A81000B,00200,0300,PT ADMINISTRATION FEES 27281,A81000B,00300,0300,OT ADMINISTRATION FEES 27281,A81000B,00400,0300,ST ADMINISTRATION FEES 27281,A81000C,00100,0100,B 27281,A81000C,00100,0200,MCHS - WARR ACRES 27281,A81000C,00100,0400,HCR MANORCARE INC. 27281,A81000C,00100,0600,LONG TERM CARE FACILITIES 27281,A81000C,00200,0100,B 27281,A81000C,00200,0200,MCHS - WARR ACRES 27281,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 27281,A81000C,00200,0600,THERAPY MANAGEMENT 27281,A81000C,00300,0100,B 27281,A81000C,00300,0200,MCHS - WARR ACRES 27281,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 27281,A81000C,00300,0600,THERAPY MANAGEMENT 27281,A81000C,00400,0100,B 27281,A81000C,00400,0200,MCHS - WARR ACRES 27281,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 27281,A81000C,00400,0600,THERAPY MANAGEMENT 27281,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27281,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27281,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27281,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27281,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27281,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27281,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27281,B100000,00000,0800,00000MEALS SERVED :DIETARY 27281,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27281,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27281,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27281,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27281,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27281,S000000,00100,0200,11/01/2000 27281,S200000,00100,0100,6501 N. MACARTHUR BLVD 27281,S200000,00200,0100,OKLAHOMA CITY 27281,S200000,00200,0200,OK 27281,S200000,00200,0300,73132- 27281,S200000,00300,0100,OKLAHOMA 27281,S200000,00300,0200,5880 27281,S200000,00300,0300,U 27281,S200000,00400,0100,OKLAHOMA CITY 27281,S200000,00400,0200,375275 27281,S200000,00400,0300,08/01/1996 27281,S200000,00400,0500,P 27281,S200000,00400,0600,P 27281,S200000,01004,0500,O 27281,S200000,01600,0100,Y 27281,S200000,02200,0100,Y 27291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27291,A000000,00300,0000,00300EMPLOYEE BENEFITS 27291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27291,A000000,00700,0000,00700HOUSEKEEPING 27291,A000000,00800,0000,00800DIETARY 27291,A000000,00900,0000,00900NURSING ADMINISTRATION 27291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27291,A000000,01100,0000,01100PHARMACY 27291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27291,A000000,01300,0000,01300SOCIAL SERVICE 27291,A000000,01350,0000,01500RECREATION ACTIVITIES 27291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27291,A000000,01600,0000,01600SKILLED NURSING FACILITY 27291,A000000,01800,0000,01800NURSING FACILITY 27291,A000000,01810,0000,01810ICF/MR 27291,A000000,02100,0000,02100RADIOLOGY 27291,A000000,02200,0000,02200LABORATORY 27291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27291,A000000,02500,0000,02500PHYSICAL THERAPY 27291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27291,A000000,02700,0000,02700SPEECH PATHOLOGY 27291,A000000,02800,0000,02800ELECTROCARDIOLOGY 27291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27291,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27291,A000000,03051,0000,03301ENTERAL FEEDING 27291,A000000,03550,0000,03550FQHC 27291,A000000,05000,0000,05000CORF 27291,A000000,05010,0000,05010CMHC 27291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27291,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27291,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27291,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27291,A000000,06153,0000,06312DIALYSIS 27291,A000000,06154,0000,06320APARTMENTS 27291,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27291,A000000,06156,0000,06340CLOSED PATIENT AREAS 27291,A000000,06157,0000,06350O/P ADULT DAYCARE 27291,A81000A,00100,0100,Y 27291,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27291,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27291,A81000B,00300,0300,MSU DEVELOPMENT COST 27291,A81000B,00400,0300,SYMPHONY REHAB 27291,A81000B,00600,0300,SYMPHONY REHAB 27291,A81000B,00700,0300,REHAB ALLOCATION 27291,A81000B,00800,0300,REHAB ALLOCATION 27291,A81000B,00900,0300,REHAB ALLOCATION 27291,A81000B,01000,0300,CLINICAL ALLOCATION 27291,A81000B,01100,0300,SYMPHONY MOBILEX 27291,A81000B,01200,0300,SYMPHONY EPSILON MED 27291,A81000C,00100,0100,B 27291,A81000C,00100,0400,IHS INC. 27291,A81000C,00100,0600,NURSING HOMES 27291,A81000C,00200,0100,G 27291,A81000C,00200,0400,SYMPHONY REHAB 27291,A81000C,00200,0600,REHAB SERVICES 27291,A81000C,00300,0100,G 27291,A81000C,00300,0400,LTC MED LAB 27291,A81000C,00300,0600,LABORATORY 27291,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27291,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27291,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27291,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27291,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27291,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27291,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27291,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27291,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27291,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27291,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27291,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27291,E10A180,00301,0100,12/03/1999 27291,E10A180,00350,0100,03/18/1999 27291,E10A180,00353,0100,05/18/2000 27291,E10A180,00501,0100,07/28/2000 27291,E10A180,00501,0300,05/31/2000 27291,E10A180,00550,0100,05/31/2000 27291,E10A180,00550,0300,07/28/2000 27291,S000000,00100,0200,06/01/2000 27291,S200000,00100,0100,900 E. GERMANTOWN PIKE 27291,S200000,00200,0100,MORRISTOWN 27291,S200000,00200,0200,PA 27291,S200000,00200,0300,19401- 27291,S200000,00300,0100,MONTGOMERY 27291,S200000,00300,0200,6160 27291,S200000,00300,0300,U 27291,S200000,00400,0100,IHS-PA AT PLYMOUTH HOUSE 27291,S200000,00400,0200,395019 27291,S200000,00400,0300,10/28/1982 27291,S200000,00400,0500,P 27291,S200000,00600,0200,395019 27291,S200000,00600,0300,10/28/1982 27291,S200000,00600,0600,P 27291,S200000,01600,0100,Y 27291,S200000,02200,0100,Y 27309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27309,A000000,00300,0000,00300EMPLOYEE BENEFITS 27309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27309,A000000,00700,0000,00700HOUSEKEEPING 27309,A000000,00800,0000,00800DIETARY 27309,A000000,00900,0000,00900NURSING ADMINISTRATION 27309,A000000,00901,0000,00910NURSING ADMIN MSU 27309,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27309,A000000,01100,0000,01100PHARMACY 27309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27309,A000000,01300,0000,01300SOCIAL SERVICE 27309,A000000,01350,0000,01500RECREATION ACTIVITIES 27309,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27309,A000000,01600,0000,01600SKILLED NURSING FACILITY 27309,A000000,01800,0000,01800NURSING FACILITY 27309,A000000,02100,0000,02100RADIOLOGY 27309,A000000,02200,0000,02200LABORATORY 27309,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27309,A000000,02500,0000,02500PHYSICAL THERAPY 27309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27309,A000000,02700,0000,02700SPEECH PATHOLOGY 27309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27309,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27309,A000000,03051,0000,03301ENTERAL FEEDING 27309,A000000,03550,0000,03550FQHC 27309,A000000,05000,0000,05000CORF 27309,A000000,05010,0000,05010CMHC 27309,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27309,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27309,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27309,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27309,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27309,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27309,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27309,A000000,06153,0000,06312DIALYSIS 27309,A000000,06154,0000,06320APARTMENTS 27309,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27309,A000000,06156,0000,06340CLOSED PATIENT AREAS 27309,A000000,06157,0000,06350O/P ADULT DAYCARE 27309,A81000A,00100,0100,Y 27309,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27309,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27309,A81000B,00300,0300,MSU DEVELOPMENT COST 27309,A81000B,00400,0300,REHAB ALLOCATION 27309,A81000B,00500,0300,REHAB ALLOCATION 27309,A81000B,00600,0300,REHAB ALLOCATION 27309,A81000B,00700,0300,CLINICAL ALLOCATION 27309,A81000B,00800,0300,SYMPHONY RESP SERVIC 27309,A81000B,00900,0300,SYMPHONY MOBILEX 27309,A81000B,01000,0300,SYMPHONY EPSILON MED 27309,A81000B,01100,0300,SYMPHONY REHAB 27309,A81000B,01200,0300,SYMPHONY REHAB 27309,A81000B,01300,0300,SYMPHONY REHAB 27309,A81000C,00100,0100,B 27309,A81000C,00100,0400,IHS INC. 27309,A81000C,00100,0600,NURSING HOMES 27309,A81000C,00200,0100,G 27309,A81000C,00200,0400,SYMPHONY 27309,A81000C,00200,0600,REHAB 27309,A81000C,00300,0100,G 27309,A81000C,00300,0400,LTC 27309,A81000C,00300,0600,LAB 27309,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27309,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27309,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27309,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27309,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27309,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27309,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27309,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27309,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27309,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27309,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27309,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27309,E10A180,00350,0100,03/18/1999 27309,E10A180,00351,0100,12/03/1999 27309,E10A180,00353,0100,05/18/2000 27309,E10A180,00501,0100,07/28/2000 27309,E10A180,00501,0300,05/31/2000 27309,E10A180,00550,0100,05/31/2000 27309,E10A180,00550,0300,07/28/2000 27309,S000000,00100,0200,06/01/2000 27309,S200000,00100,0100,50 NORTH MALIN ROAD 27309,S200000,00200,0100,BROOMALL 27309,S200000,00200,0200,PA 27309,S200000,00200,0300,19008- 27309,S200000,00300,0100,DELAWARE 27309,S200000,00300,0200,6160 27309,S200000,00300,0300,U 27309,S200000,00400,0100,IHS-PENNSYLVANIA AT BROOMAL 27309,S200000,00400,0200,395078 27309,S200000,00400,0300,03/01/1983 27309,S200000,00400,0500,P 27309,S200000,00600,0200,395078 27309,S200000,00600,0300,03/01/1983 27309,S200000,00600,0600,P 27309,S200000,01600,0100,Y 27309,S200000,02200,0100,Y 27319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27319,A000000,00300,0000,00300EMPLOYEE BENEFITS 27319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27319,A000000,00700,0000,00700HOUSEKEEPING 27319,A000000,00800,0000,00800DIETARY 27319,A000000,00900,0000,00900NURSING ADMINISTRATION 27319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27319,A000000,01100,0000,01100PHARMACY 27319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27319,A000000,01300,0000,01300SOCIAL SERVICE 27319,A000000,01350,0000,01500ACTIVITIES 27319,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27319,A000000,01600,0000,01600SKILLED NURSING FACILITY 27319,A000000,01800,0000,01800NURSING FACILITY 27319,A000000,01900,0000,01900OTHER LONG TERM CARE 27319,A000000,02100,0000,02100RADIOLOGY 27319,A000000,02200,0000,02200LABORATORY 27319,A000000,02300,0000,02300INTRAVENOUS THERAPY 27319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27319,A000000,02500,0000,02500PHYSICAL THERAPY 27319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27319,A000000,02700,0000,02700SPEECH PATHOLOGY 27319,A000000,02800,0000,02800ELECTROCARDIOLOGY 27319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27319,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27319,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27319,A000000,03200,0000,03200SUPPORT SURFACES 27319,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27319,A000000,04800,0000,04800AMBULANCE 27319,A000000,05300,0000,05300INTEREST EXPENSE 27319,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27319,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27319,A000000,06100,0000,06100NONPAID WORKERS 27319,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27319,A000000,06200,0000,06200PATIENTS LAUNDRY 27319,A81000A,00100,0100,Y 27319,A81000B,00100,0300,HOME OFFICE COST 27319,A81000B,00200,0300,PT ADMIN FEES 27319,A81000B,00300,0300,OT ADMIN FEES 27319,A81000B,00400,0300,ST ADMIN FEES 27319,A81000B,00500,0300,DIRECT INTEREST 27319,A81000C,00100,0100,B 27319,A81000C,00100,0200,LANCASTER 27319,A81000C,00100,0400,HCR MANORCARE INC. 27319,A81000C,00100,0600,LONG TERM CARE FACILITIES 27319,A81000C,00200,0100,B 27319,A81000C,00200,0200,LANCASTER 27319,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 27319,A81000C,00200,0600,THERAPY MGMT 27319,A81000C,00300,0100,B 27319,A81000C,00300,0200,LANCASTER 27319,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 27319,A81000C,00300,0600,THERAPY MGMT 27319,A81000C,00400,0100,B 27319,A81000C,00400,0200,LANCASTER 27319,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 27319,A81000C,00400,0600,THERAPY MGMT 27319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27319,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27319,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27319,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27319,B100000,00000,0800,00000MEALS SERVED :DIETARY 27319,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27319,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27319,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27319,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27319,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27319,S000000,00100,0200,10/25/2000 27319,S200000,00100,0100,100 ABBEYVILLE ROAD 27319,S200000,00200,0100,LANCASTER 27319,S200000,00200,0200,PA 27319,S200000,00200,0300,17603- 27319,S200000,00300,0100,LANCASTER 27319,S200000,00300,0200,4000 27319,S200000,00300,0300,U 27319,S200000,00400,0100,LANCASTER 27319,S200000,00400,0200,395199 27319,S200000,00400,0300,10/01/1980 27319,S200000,00400,0500,P 27319,S200000,00400,0600,P 27319,S200000,01004,0500,O 27319,S200000,01600,0100,Y 27319,S200000,02200,0100,Y 27328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27328,A000000,00300,0000,00300EMPLOYEE BENEFITS 27328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27328,A000000,00700,0000,00700HOUSEKEEPING 27328,A000000,00800,0000,00800DIETARY 27328,A000000,00900,0000,00900NURSING ADMINISTRATION 27328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27328,A000000,01100,0000,01100PHARMACY 27328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27328,A000000,01300,0000,01300SOCIAL SERVICE 27328,A000000,01350,0000,01500RECREATION ACTIVITIES 27328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27328,A000000,01600,0000,01600SKILLED NURSING FACILITY 27328,A000000,01800,0000,01800NURSING FACILITY 27328,A000000,01810,0000,01810ICF/MR 27328,A000000,02100,0000,02100RADIOLOGY 27328,A000000,02200,0000,02200LABORATORY 27328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27328,A000000,02500,0000,02500PHYSICAL THERAPY 27328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27328,A000000,02700,0000,02700SPEECH PATHOLOGY 27328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27328,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27328,A000000,03051,0000,03301ENTERAL FEEDING 27328,A000000,03550,0000,03550FQHC 27328,A000000,05000,0000,05000CORF 27328,A000000,05010,0000,05010CMHC 27328,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27328,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27328,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27328,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27328,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27328,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27328,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27328,A000000,06153,0000,06312DIALYSIS 27328,A000000,06154,0000,06320APARTMENTS 27328,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27328,A000000,06156,0000,06340CLOSED PATIENT AREAS 27328,A000000,06157,0000,06350O/P ADULT DAYCARE 27328,A81000A,00100,0100,Y 27328,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27328,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27328,A81000B,00300,0300,SYMPHONY MOBILE 27328,A81000B,00400,0300,SYMPHONY REHAB 27328,A81000B,00500,0300,SYMPHONY REHAB 27328,A81000B,00600,0300,SYMPHONY REHAB 27328,A81000B,00700,0300,REHAB ALLOCATION 27328,A81000B,00800,0300,REHAB ALLOCATION 27328,A81000B,00900,0300,REHAB ALLOCATION 27328,A81000B,01000,0300,CLINICAL ALLOCATION 27328,A81000B,01100,0300,SYMPHONEY RESP 27328,A81000C,00100,0100,B 27328,A81000C,00100,0200,IHS INC. 27328,A81000C,00100,0400,IHS INC. 27328,A81000C,00100,0600,NURSING HOMES 27328,A81000C,00200,0100,G 27328,A81000C,00200,0400,SYMPHONY REHAB 27328,A81000C,00200,0600,REHAB SERVICES 27328,A81000C,00300,0100,G 27328,A81000C,00300,0400,LTC 27328,A81000C,00300,0600,LAB 27328,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27328,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27328,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27328,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27328,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27328,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27328,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27328,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27328,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27328,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27328,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27328,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27328,E10A180,00302,0100,12/03/1999 27328,E10A180,00304,0100,05/18/2000 27328,E10A180,00351,0100,03/18/1999 27328,E10A180,00501,0100,07/28/2000 27328,E10A180,00501,0300,07/28/2000 27328,S000000,00100,0200,06/01/2000 27328,S200000,00100,0100,43 CHURCH LANE 27328,S200000,00200,0100,BROOMALL 27328,S200000,00200,0200,PA 27328,S200000,00200,0300,19008- 27328,S200000,00300,0100,DELAWARE 27328,S200000,00300,0200,6160 27328,S200000,00300,0300,U 27328,S200000,00400,0100,IHS-PENNSYLVANIA AT MARPLE 27328,S200000,00400,0200,395202 27328,S200000,00400,0300,04/24/1967 27328,S200000,00400,0500,P 27328,S200000,00600,0200,395202 27328,S200000,00600,0300,04/24/1967 27328,S200000,00600,0600,P 27328,S200000,01600,0100,Y 27328,S200000,02200,0100,Y 27351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27351,A000000,00300,0000,00300EMPLOYEE BENEFITS 27351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27351,A000000,00700,0000,00700HOUSEKEEPING 27351,A000000,00800,0000,00800DIETARY 27351,A000000,00900,0000,00900NURSING ADMINISTRATION 27351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27351,A000000,01100,0000,01100PHARMACY 27351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27351,A000000,01300,0000,01300SOCIAL SERVICE 27351,A000000,01350,0000,01500RECREATION ACTIVITIES 27351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27351,A000000,01600,0000,01600SKILLED NURSING FACILITY 27351,A000000,01800,0000,01800NURSING FACILITY 27351,A000000,01810,0000,01810ICF/MR 27351,A000000,02100,0000,02100RADIOLOGY 27351,A000000,02200,0000,02200LABORATORY 27351,A000000,02500,0000,02500PHYSICAL THERAPY 27351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27351,A000000,02700,0000,02700SPEECH PATHOLOGY 27351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27351,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27351,A000000,03051,0000,03301ENTERAL FEEDING 27351,A000000,03550,0000,03550FQHC 27351,A000000,05000,0000,05000CORF 27351,A000000,05010,0000,05010CMHC 27351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27351,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27351,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27351,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27351,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27351,A000000,06153,0000,06312DIALYSIS 27351,A000000,06154,0000,06320APARTMENTS 27351,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27351,A000000,06156,0000,06340CLOSED PATIENT AREAS 27351,A000000,06157,0000,06350O/P ADULT DAYCARE 27351,A81000A,00100,0100,Y 27351,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27351,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27351,A81000B,00300,0300,MSU DEVELOPMENT COST 27351,A81000B,00400,0300,SYMPHONY MEDICAL PRO 27351,A81000B,00500,0300,SYMPHONY MOBILEX 27351,A81000B,00600,0300,REHAB ALLOCATION 27351,A81000B,00700,0300,REHAB ALLOCATION 27351,A81000B,00800,0300,REHAB ALLOCATION 27351,A81000B,00900,0300,CLINICAL ALLOCATION 27351,A81000C,00100,0100,B 27351,A81000C,00100,0400,IHS INC. 27351,A81000C,00100,0600,NURSING HOMES 27351,A81000C,00200,0100,B 27351,A81000C,00200,0400,LYRIC 27351,A81000C,00200,0600,NURSING HOMES 27351,A81000C,00300,0100,G 27351,A81000C,00300,0400,SYMPHONY 27351,A81000C,00300,0600,REHAB 27351,A81000C,00400,0100,G 27351,A81000C,00400,0400,LTC 27351,A81000C,00400,0600,LAB 27351,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27351,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 27351,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27351,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27351,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27351,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27351,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27351,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27351,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27351,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27351,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 27351,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27351,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27351,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27351,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 27351,E10A180,00301,0100,12/03/1999 27351,E10A180,00350,0100,03/18/1999 27351,E10A180,00351,0100,05/18/2000 27351,E10A180,00501,0100,07/28/2000 27351,E10A180,00501,0300,07/28/2000 27351,S000000,00100,0200,06/01/2000 27351,S200000,00100,0100,9209 RIDGE PIKE 27351,S200000,00200,0100,PHILADELPHIA 27351,S200000,00200,0200,PA 27351,S200000,00200,0300,19128- 27351,S200000,00300,0100,MONTGOMERY 27351,S200000,00400,0100,IHS-WHITE MARSH 27351,S200000,00400,0200,395296 27351,S200000,00400,0300,01/01/1983 27351,S200000,00400,0500,P 27351,S200000,00600,0200,395296 27351,S200000,00600,0300,01/01/1983 27351,S200000,00600,0600,P 27351,S200000,01600,0100,Y 27351,S200000,02200,0100,Y 27368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27368,A000000,00300,0000,00300EMPLOYEE BENEFITS 27368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27368,A000000,00700,0000,00700HOUSEKEEPING 27368,A000000,00800,0000,00800DIETARY 27368,A000000,00900,0000,00900NURSING ADMINISTRATION 27368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27368,A000000,01100,0000,01100PHARMACY 27368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27368,A000000,01300,0000,01300SOCIAL SERVICE 27368,A000000,01350,0000,01500RECREATION ACTIVITIES 27368,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27368,A000000,01600,0000,01600SKILLED NURSING FACILITY 27368,A000000,01800,0000,01800NURSING FACILITY 27368,A000000,01810,0000,01810ICF/MR 27368,A000000,02100,0000,02100RADIOLOGY 27368,A000000,02200,0000,02200LABORATORY 27368,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27368,A000000,02500,0000,02500PHYSICAL THERAPY 27368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27368,A000000,02700,0000,02700SPEECH PATHOLOGY 27368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27368,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27368,A000000,03051,0000,03301ENTERAL FEEDING 27368,A000000,03550,0000,03550FQHC 27368,A000000,05000,0000,05000CORF 27368,A000000,05010,0000,05010CMHC 27368,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27368,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27368,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27368,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27368,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27368,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27368,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27368,A000000,06153,0000,06312DIALYSIS 27368,A000000,06154,0000,06320APARTMENTS 27368,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27368,A000000,06156,0000,06340CLOSED PATIENT AREAS 27368,A000000,06157,0000,06350O/P ADULT DAYCARE 27368,A81000A,00100,0100,Y 27368,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27368,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27368,A81000B,00300,0300,SYMPHONY MOBILEX 27368,A81000B,00400,0300,SYMPHONY REHAB 27368,A81000B,00500,0300,SYMPHONY REHAB 27368,A81000B,00600,0300,SYMPHONY REHAB 27368,A81000B,00700,0300,REHAB ALLOCATION 27368,A81000B,00800,0300,REHAB ALLOCATION 27368,A81000B,00900,0300,REHAB ALLOCATION 27368,A81000B,01000,0300,CLINICAL ALLOCATION 27368,A81000B,01100,0300,SYMPHONY HEALTH 27368,A81000C,00100,0100,B 27368,A81000C,00100,0200,IHS INC. 27368,A81000C,00100,0400,IHS INC. 27368,A81000C,00100,0600,NURSING HOMES 27368,A81000C,00200,0100,G 27368,A81000C,00200,0400,SYMPHONY REHAB 27368,A81000C,00200,0600,REHAB SERVICES 27368,A81000C,00300,0100,G 27368,A81000C,00300,0400,LTC MED LAB 27368,A81000C,00300,0600,LABORATORY 27368,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27368,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27368,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27368,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27368,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27368,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27368,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27368,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27368,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27368,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27368,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27368,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27368,E10A180,00302,0100,12/03/1999 27368,E10A180,00304,0100,05/18/2000 27368,E10A180,00350,0100,03/18/1999 27368,E10A180,00501,0100,07/28/2000 27368,E10A180,00501,0300,07/28/2000 27368,S000000,00100,0200,06/01/2000 27368,S200000,00100,0100,956 RAILROAD AVENUE 27368,S200000,00200,0100,BRYN MAWR 27368,S200000,00200,0200,PA 27368,S200000,00200,0300,19010- 27368,S200000,00300,0100,DELAWARE 27368,S200000,00300,0200,6160 27368,S200000,00300,0300,U 27368,S200000,00400,0100,IHS-BRYN MAWR AT THE CHATEAU 27368,S200000,00400,0200,395311 27368,S200000,00400,0300,05/28/1974 27368,S200000,00400,0500,P 27368,S200000,00600,0200,395311 27368,S200000,00600,0300,05/28/1974 27368,S200000,00600,0600,P 27368,S200000,01600,0100,Y 27368,S200000,02200,0100,Y 27378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27378,A000000,00300,0000,00300EMPLOYEE BENEFITS 27378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27378,A000000,00700,0000,00700HOUSEKEEPING 27378,A000000,00800,0000,00800DIETARY 27378,A000000,00900,0000,00900NURSING ADMINISTRATION 27378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27378,A000000,01100,0000,01100PHARMACY 27378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27378,A000000,01300,0000,01300SOCIAL SERVICE 27378,A000000,01350,0000,01500RECREATION ACTIVITIES 27378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27378,A000000,01600,0000,01600SKILLED NURSING FACILITY 27378,A000000,01800,0000,01800NURSING FACILITY 27378,A000000,01810,0000,01810ICF/MR 27378,A000000,02100,0000,02100RADIOLOGY 27378,A000000,02200,0000,02200LABORATORY 27378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27378,A000000,02500,0000,02500PHYSICAL THERAPY 27378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27378,A000000,02700,0000,02700SPEECH PATHOLOGY 27378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27378,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27378,A000000,03051,0000,03301ENTERAL FEEDING 27378,A000000,03550,0000,03550FQHC 27378,A000000,05000,0000,05000CORF 27378,A000000,05010,0000,05010CMHC 27378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27378,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27378,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27378,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27378,A000000,06153,0000,06312DIALYSIS 27378,A000000,06154,0000,06320APARTMENTS 27378,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27378,A000000,06156,0000,06340CLOSED PATIENT AREAS 27378,A000000,06157,0000,06350O/P ADULT DAYCARE 27378,A81000A,00100,0100,Y 27378,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27378,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27378,A81000B,00300,0300,MSU DEVELOPMENT COST 27378,A81000B,00400,0300,REHAB ALLOCATION 27378,A81000B,00500,0300,REHAB ALLOCATION 27378,A81000B,00600,0300,REHAB ALLOCATION 27378,A81000B,00700,0300,CLINICAL ALLOCATION 27378,A81000B,00800,0300,SYMPHONY REHAB 27378,A81000B,00900,0300,SYMPHONY REHAB 27378,A81000B,01000,0300,SYMPHONY REHAB 27378,A81000B,01100,0300,SYMPHONY RESP SERVIC 27378,A81000B,01200,0300,SYMPHONY MOBILEX 27378,A81000B,01300,0300,SYMPONY EPSILON 27378,A81000C,00100,0100,B 27378,A81000C,00100,0200,IHS INC. 27378,A81000C,00100,0400,IHS INC. 27378,A81000C,00100,0600,NURSING HOMES 27378,A81000C,00200,0100,B 27378,A81000C,00200,0400,LYRIC 27378,A81000C,00200,0600,NURSING HOMES 27378,A81000C,00300,0100,G 27378,A81000C,00300,0400,SYMPHONY 27378,A81000C,00300,0600,REHAB 27378,A81000C,00400,0100,G 27378,A81000C,00400,0400,LTC 27378,A81000C,00400,0600,LAB 27378,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27378,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 27378,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27378,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27378,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27378,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27378,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27378,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27378,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27378,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27378,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 27378,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27378,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27378,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27378,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 27378,E10A180,00301,0100,12/03/1999 27378,E10A180,00302,0100,05/18/2000 27378,E10A180,00350,0100,03/18/1999 27378,E10A180,00501,0300,07/28/2000 27378,E10A180,00550,0100,07/28/2000 27378,S000000,00100,0200,06/01/2000 27378,S200000,00100,0100,8833 STENTON AVENUE 27378,S200000,00200,0100,WYNDMOOR 27378,S200000,00200,0200,PA 27378,S200000,00200,0300,19038- 27378,S200000,00300,0100,MONTGOMERY 27378,S200000,00400,0100,IHS OF CHESTNUT HILL 27378,S200000,00400,0200,395334 27378,S200000,00400,0300,03/01/1983 27378,S200000,00400,0500,P 27378,S200000,00400,0600,O 27378,S200000,00600,0200,395334 27378,S200000,00600,0300,03/01/1983 27378,S200000,00600,0600,P 27378,S200000,01600,0100,Y 27378,S200000,02200,0100,Y 27418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27418,A000000,00300,0000,00300EMPLOYEE BENEFITS 27418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27418,A000000,00700,0000,00700HOUSEKEEPING 27418,A000000,00800,0000,00800DIETARY 27418,A000000,00900,0000,00900NURSING ADMINISTRATION 27418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27418,A000000,01100,0000,01100PHARMACY 27418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27418,A000000,01300,0000,01300SOCIAL SERVICE 27418,A000000,01350,0000,01500ACTIVITIES 27418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27418,A000000,01600,0000,01600SKILLED NURSING FACILITY 27418,A000000,01800,0000,01800NURSING FACILITY 27418,A000000,01900,0000,01900OTHER LONG TERM CARE 27418,A000000,02100,0000,02100RADIOLOGY 27418,A000000,02200,0000,02200LABORATORY 27418,A000000,02300,0000,02300INTRAVENOUS THERAPY 27418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27418,A000000,02500,0000,02500PHYSICAL THERAPY 27418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27418,A000000,02700,0000,02700SPEECH PATHOLOGY 27418,A000000,02800,0000,02800ELECTROCARDIOLOGY 27418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27418,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27418,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27418,A000000,03200,0000,03200SUPPORT SURFACES 27418,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27418,A000000,04800,0000,04800AMBULANCE 27418,A000000,05300,0000,05300INTEREST EXPENSE 27418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27418,A000000,06100,0000,06100NONPAID WORKERS 27418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27418,A000000,06200,0000,06200PATIENTS LAUNDRY 27418,A81000A,00100,0100,Y 27418,A81000B,00100,0300,HOME OFFICE COST 27418,A81000B,00200,0300,PT ADMINISTRATIVE FEES 27418,A81000B,00300,0300,OT ADMINISTRATIVE FEES 27418,A81000B,00400,0300,ST ADMINISTRATIVE FEES 27418,A81000B,00500,0300,DIRECT CORPORATE INTEREST 27418,A81000C,00100,0100,B 27418,A81000C,00100,0200,MCHS - JERSEY SHORE 27418,A81000C,00100,0400,HCR MANORCARE INC. 27418,A81000C,00100,0600,LONG TERM CARE FACILITIES 27418,A81000C,00200,0100,B 27418,A81000C,00200,0200,MCHS - JERSEY SHORE 27418,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 27418,A81000C,00200,0600,THERAPY MANAGEMENT 27418,A81000C,00300,0100,B 27418,A81000C,00300,0200,MCHS - JERSEY SHORE 27418,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 27418,A81000C,00300,0600,THERAPY MANAGEMENT 27418,A81000C,00400,0100,B 27418,A81000C,00400,0200,MCHS - JERSEY SHORE 27418,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 27418,A81000C,00400,0600,THERAPY MANAGEMENT 27418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27418,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27418,B100000,00000,0800,00000MEALS SERVED :DIETARY 27418,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27418,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27418,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27418,S000000,00100,0200,10/17/2000 27418,S200000,00100,0100,1008 THOMPSON STREET 27418,S200000,00200,0100,JERSEY SHORE 27418,S200000,00200,0200,PA 27418,S200000,00200,0300,17740- 27418,S200000,00300,0100,LYCOMING 27418,S200000,00300,0200,9140 27418,S200000,00300,0300,U 27418,S200000,00400,0100,JERSEY SHORE 27418,S200000,00400,0200,395359 27418,S200000,00400,0300,04/01/1977 27418,S200000,00400,0500,P 27418,S200000,00400,0600,P 27418,S200000,01004,0500,O 27418,S200000,01600,0100,Y 27481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27481,A000000,00300,0000,00300EMPLOYEE BENEFITS 27481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27481,A000000,00700,0000,00700HOUSEKEEPING 27481,A000000,00800,0000,00800DIETARY 27481,A000000,00900,0000,00900NURSING ADMINISTRATION 27481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27481,A000000,01100,0000,01100PHARMACY 27481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27481,A000000,01300,0000,01300SOCIAL SERVICE 27481,A000000,01350,0000,01500RECREATION ACTIVITIES 27481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27481,A000000,01600,0000,01600SKILLED NURSING FACILITY 27481,A000000,01800,0000,01800NURSING FACILITY 27481,A000000,01810,0000,01810ICF/MR 27481,A000000,02100,0000,02100RADIOLOGY 27481,A000000,02200,0000,02200LABORATORY 27481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27481,A000000,02500,0000,02500PHYSICAL THERAPY 27481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27481,A000000,02700,0000,02700SPEECH PATHOLOGY 27481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27481,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27481,A000000,03051,0000,03301ENTERAL FEEDING 27481,A000000,03550,0000,03550FQHC 27481,A000000,05000,0000,05000CORF 27481,A000000,05010,0000,05010CMHC 27481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27481,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27481,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27481,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27481,A000000,06153,0000,06312DIALYSIS 27481,A000000,06154,0000,06320APARTMENTS 27481,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27481,A000000,06156,0000,06340CLOSED PATIENT AREAS 27481,A000000,06157,0000,06350O/P ADULT DAYCARE 27481,A81000A,00100,0100,Y 27481,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27481,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27481,A81000B,00300,0300,MSU DEVELOPMENT COST 27481,A81000B,00400,0300,SYMPHONY REHAB 27481,A81000B,00500,0300,SYMPHONY REHAB 27481,A81000B,00600,0300,SYMPHONY REHAB 27481,A81000B,00700,0300,HOME OFFICE CLINICAL 27481,A81000B,00800,0300,HOME OFFICE THERAPY 27481,A81000B,00900,0300,HOME OFFICE THERAPY 27481,A81000B,01000,0300,HOME OFFICE THERAPY 27481,A81000B,01100,0300,RT EQUIPMENT 27481,A81000C,00100,0100,B 27481,A81000C,00100,0200,IHS INC. 27481,A81000C,00100,0400,IHS INC. 27481,A81000C,00100,0600,NURSING HOMES 27481,A81000C,00200,0100,B 27481,A81000C,00200,0200,IHS INC. 27481,A81000C,00200,0400,SYMPHONY REHAB 27481,A81000C,00200,0600,REHAB SERVICES 27481,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27481,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27481,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27481,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27481,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27481,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27481,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27481,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27481,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27481,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27481,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27481,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27481,E10A180,00301,0100,12/03/1999 27481,E10A180,00302,0100,05/18/2000 27481,E10A180,00350,0100,03/18/1999 27481,E10A180,00550,0100,07/28/2000 27481,E10A180,00550,0300,07/28/2000 27481,S000000,00100,0200,06/15/2000 27481,S200000,00100,0100,4114 SCHAPER AVENUE 27481,S200000,00200,0100,ERIE 27481,S200000,00200,0200,PA 27481,S200000,00200,0300,16508- 27481,S200000,00300,0100,ERIE 27481,S200000,00300,0200,2360 27481,S200000,00300,0300,U 27481,S200000,00400,0100,IHS OF ERIE AT BAYSIDE 27481,S200000,00400,0200,395404 27481,S200000,00400,0300,09/02/1986 27481,S200000,00400,0500,P 27481,S200000,00600,0200,395404 27481,S200000,00600,0300,09/02/1986 27481,S200000,00600,0600,P 27481,S200000,01600,0100,Y 27481,S200000,02200,0100,Y 27500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27500,A000000,00300,0000,00300EMPLOYEE BENEFITS 27500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27500,A000000,00700,0000,00700HOUSEKEEPING 27500,A000000,00800,0000,00800DIETARY 27500,A000000,00900,0000,00900NURSING ADMINISTRATION 27500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27500,A000000,01100,0000,01100PHARMACY 27500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27500,A000000,01300,0000,01300SOCIAL SERVICE 27500,A000000,01350,0000,01500ACTIVITIES 27500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27500,A000000,01600,0000,01600SKILLED NURSING FACILITY 27500,A000000,01800,0000,01800NURSING FACILITY 27500,A000000,01900,0000,01900OTHER LONG TERM CARE 27500,A000000,02100,0000,02100RADIOLOGY 27500,A000000,02200,0000,02200LABORATORY 27500,A000000,02300,0000,02300INTRAVENOUS THERAPY 27500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27500,A000000,02500,0000,02500PHYSICAL THERAPY 27500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27500,A000000,02700,0000,02700SPEECH PATHOLOGY 27500,A000000,02800,0000,02800ELECTROCARDIOLOGY 27500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27500,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27500,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27500,A000000,03200,0000,03200SUPPORT SURFACES 27500,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27500,A000000,04800,0000,04800AMBULANCE 27500,A000000,05300,0000,05300INTEREST EXPENSE 27500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27500,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27500,A000000,06100,0000,06100NONPAID WORKERS 27500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27500,A000000,06200,0000,06200PATIENTS LAUNDRY 27500,A81000A,00100,0100,Y 27500,A81000B,00100,0300,HOME OFFICE COST 27500,A81000B,00200,0300,DIRECT CORPORATE INTEREST 27500,A81000B,00300,0300,PT ADMINISTRATIVE FEES 27500,A81000B,00400,0300,OT ADMINISTRATIVE FEES 27500,A81000B,00500,0300,ST ADMINISTRATIVE FEES 27500,A81000C,00100,0100,B 27500,A81000C,00100,0200,CAMP HILL 27500,A81000C,00100,0400,HCR MANORCARE INC. 27500,A81000C,00100,0600,LONG TERM CARE FACILITIES 27500,A81000C,00200,0100,B 27500,A81000C,00200,0200,CAMP HILL 27500,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 27500,A81000C,00200,0600,THERAPY MANAGEMENT 27500,A81000C,00300,0100,B 27500,A81000C,00300,0200,CAMP HILL 27500,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 27500,A81000C,00300,0600,THERAPY MANAGEMENT 27500,A81000C,00400,0100,B 27500,A81000C,00400,0200,CAMP HILL 27500,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 27500,A81000C,00400,0600,THERAPY MANAGEMENT 27500,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27500,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27500,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27500,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27500,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27500,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27500,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27500,B100000,00000,0800,00000MEALS SERVED :DIETARY 27500,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27500,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27500,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27500,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27500,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27500,S000000,00100,0200,10/25/2000 27500,S200000,00100,0100,1700 MARKET STREET 27500,S200000,00200,0100,CAMP HILL 27500,S200000,00200,0200,PA 27500,S200000,00200,0300,17011- 27500,S200000,00300,0100,CUMBERLAND 27500,S200000,00300,0200,3240 27500,S200000,00300,0300,U 27500,S200000,00400,0100,CAMP HILL 27500,S200000,00400,0200,395440 27500,S200000,00400,0300,03/30/1982 27500,S200000,00400,0500,P 27500,S200000,00400,0600,P 27500,S200000,01004,0500,O 27500,S200000,01600,0100,Y 27500,S200000,02200,0100,Y 27527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27527,A000000,00300,0000,00300EMPLOYEE BENEFITS 27527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27527,A000000,00700,0000,00700HOUSEKEEPING 27527,A000000,00800,0000,00800DIETARY 27527,A000000,00900,0000,00900NURSING ADMINISTRATION 27527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27527,A000000,01100,0000,01100PHARMACY 27527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27527,A000000,01300,0000,01300SOCIAL SERVICE 27527,A000000,01350,0000,01500ACTIVITIES 27527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27527,A000000,01600,0000,01600SKILLED NURSING FACILITY 27527,A000000,01800,0000,01800NURSING FACILITY 27527,A000000,01900,0000,01900OTHER LONG TERM CARE 27527,A000000,02100,0000,02100RADIOLOGY 27527,A000000,02200,0000,02200LABORATORY 27527,A000000,02300,0000,02300INTRAVENOUS THERAPY 27527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27527,A000000,02500,0000,02500PHYSICAL THERAPY 27527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27527,A000000,02700,0000,02700SPEECH PATHOLOGY 27527,A000000,02800,0000,02800ELECTROCARDIOLOGY 27527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27527,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27527,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27527,A000000,03200,0000,03200SUPPORT SURFACES 27527,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27527,A000000,04800,0000,04800AMBULANCE 27527,A000000,05300,0000,05300INTEREST EXPENSE 27527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27527,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27527,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27527,A000000,06100,0000,06100NONPAID WORKERS 27527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27527,A000000,06200,0000,06200PATIENTS LAUNDRY 27527,A81000A,00100,0100,Y 27527,A81000B,00100,0300,HOME OFFICE COST 27527,A81000B,00200,0300,PT ADMIN FEES 27527,A81000B,00300,0300,OT ADMIN FEES 27527,A81000B,00400,0300,ST ADMIN FEES 27527,A81000C,00100,0100,B 27527,A81000C,00100,0200,HCR MANORCARE 27527,A81000C,00100,0400,HCR MANORCARE INC. 27527,A81000C,00100,0600,LONG TERM CARE FACILITIES 27527,A81000C,00200,0100,B 27527,A81000C,00200,0200,MCHS ELIZABETHTOWN 27527,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 27527,A81000C,00200,0600,THERAPY MANAGEMENT 27527,A81000C,00300,0100,B 27527,A81000C,00300,0200,MCHS ELIZABETHTOWN 27527,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 27527,A81000C,00300,0600,THERAPY MANAGEMENT 27527,A81000C,00400,0100,B 27527,A81000C,00400,0200,MCHS ELIZABETHTOWN 27527,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 27527,A81000C,00400,0600,THERAPY MANAGEMENT 27527,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27527,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27527,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27527,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27527,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27527,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27527,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27527,B100000,00000,0800,00000MEALS SERVED :DIETARY 27527,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27527,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27527,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27527,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27527,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27527,S000000,00100,0200,10/20/2000 27527,S200000,00100,0100,320 SOUTH MARKET STREET 27527,S200000,00200,0100,ELIZABETHTOWN 27527,S200000,00200,0200,PA 27527,S200000,00200,0300,17313- 27527,S200000,00300,0100,LANCASTER 27527,S200000,00300,0200,4000 27527,S200000,00300,0300,U 27527,S200000,00400,0100,ELIZABETHTOWN - #582 27527,S200000,00400,0200,395469 27527,S200000,00400,0300,11/01/1982 27527,S200000,00400,0500,P 27527,S200000,00400,0600,P 27527,S200000,01004,0500,O 27527,S200000,01600,0100,Y 27527,S200000,02200,0100,Y 27536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27536,A000000,00300,0000,00300EMPLOYEE BENEFITS 27536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27536,A000000,00700,0000,00700HOUSEKEEPING 27536,A000000,00800,0000,00800DIETARY 27536,A000000,00900,0000,00900NURSING ADMINISTRATION 27536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27536,A000000,01100,0000,01100PHARMACY 27536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27536,A000000,01300,0000,01300SOCIAL SERVICE 27536,A000000,01350,0000,01500ACTIVITIES 27536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27536,A000000,01600,0000,01600SKILLED NURSING FACILITY 27536,A000000,01800,0000,01800NURSING FACILITY 27536,A000000,01900,0000,01900OTHER LONG TERM CARE 27536,A000000,02100,0000,02100RADIOLOGY 27536,A000000,02200,0000,02200LABORATORY 27536,A000000,02300,0000,02300INTRAVENOUS THERAPY 27536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27536,A000000,02500,0000,02500PHYSICAL THERAPY 27536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27536,A000000,02700,0000,02700SPEECH PATHOLOGY 27536,A000000,02800,0000,02800ELECTROCARDIOLOGY 27536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27536,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27536,A000000,03200,0000,03200SUPPORT SURFACES 27536,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27536,A000000,04800,0000,04800AMBULANCE 27536,A000000,05300,0000,05300INTEREST EXPENSE 27536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27536,A000000,06100,0000,06100NONPAID WORKERS 27536,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27536,A000000,06200,0000,06200PATIENTS LAUNDRY 27536,A81000A,00100,0100,Y 27536,A81000B,00100,0300,HOME OFFICE COST 27536,A81000B,00200,0300,PT ADMIN FEES 27536,A81000B,00300,0300,OT ADMIN FEES 27536,A81000B,00400,0300,ST ADMIN FEES 27536,A81000B,00500,0300,DIRECT INTEREST 27536,A81000C,00100,0100,B 27536,A81000C,00100,0200,LEBANON 27536,A81000C,00100,0400,HCR MANORCARE INC. 27536,A81000C,00100,0600,LONG TERM CARE FACILITIES 27536,A81000C,00200,0100,B 27536,A81000C,00200,0200,LEBANON 27536,A81000C,00200,0400,HEARTLAND MGMT SERVICES 27536,A81000C,00200,0600,THERAPY MGMT SERVICES 27536,A81000C,00300,0100,B 27536,A81000C,00300,0200,LEBANON 27536,A81000C,00300,0400,HEARTLAND MGMT SERVICES 27536,A81000C,00300,0600,THERAPY MGMT SERVICES 27536,A81000C,00400,0100,B 27536,A81000C,00400,0200,LEBANON 27536,A81000C,00400,0400,HEARTLAND MGMT SERVICES 27536,A81000C,00400,0600,THERAPY MGMT SERVICES 27536,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27536,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27536,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27536,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27536,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27536,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27536,B100000,00000,0800,00000MEALS SERVED :DIETARY 27536,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27536,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27536,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27536,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27536,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27536,S000000,00100,0200,10/25/2000 27536,S200000,00100,0100,900 TUCK STREET 27536,S200000,00200,0100,LEBANON 27536,S200000,00200,0200,PA 27536,S200000,00200,0300,17042- 27536,S200000,00300,0100,LEBANON 27536,S200000,00300,0200,3240 27536,S200000,00300,0300,U 27536,S200000,00400,0100,LEBANON 27536,S200000,00400,0200,395472 27536,S200000,00400,0300,06/09/1980 27536,S200000,00400,0500,P 27536,S200000,00400,0600,P 27536,S200000,01600,0100,Y 27536,S200000,02200,0100,Y 27553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27553,A000000,00300,0000,00300EMPLOYEE BENEFITS 27553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27553,A000000,00700,0000,00700HOUSEKEEPING 27553,A000000,00800,0000,00800DIETARY 27553,A000000,00900,0000,00900NURSING ADMINISTRATION 27553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27553,A000000,01100,0000,01100PHARMACY 27553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27553,A000000,01300,0000,01300SOCIAL SERVICE 27553,A000000,01350,0000,01500RECREATION ACTIVITIES 27553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27553,A000000,01600,0000,01600SKILLED NURSING FACILITY 27553,A000000,01800,0000,01800NURSING FACILITY 27553,A000000,01810,0000,01810ICF/MR 27553,A000000,02100,0000,02100RADIOLOGY 27553,A000000,02200,0000,02200LABORATORY 27553,A000000,02500,0000,02500PHYSICAL THERAPY 27553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27553,A000000,02700,0000,02700SPEECH PATHOLOGY 27553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27553,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27553,A000000,03051,0000,03301ENTERAL FEEDING 27553,A000000,03550,0000,03550FQHC 27553,A000000,05000,0000,05000CORF 27553,A000000,05010,0000,05010CMHC 27553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27553,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27553,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27553,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27553,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27553,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27553,A000000,06153,0000,06312DIALYSIS 27553,A000000,06154,0000,06320APARTMENTS 27553,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27553,A000000,06156,0000,06340CLOSED PATIENT AREAS 27553,A000000,06157,0000,06350O/P ADULT DAYCARE 27553,A81000A,00100,0100,Y 27553,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27553,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27553,A81000B,00300,0300,SYMPHONY MOBILEX 27553,A81000B,00400,0300,SYMPHONY REHAB 27553,A81000B,00500,0300,SYMPHONY REHAB 27553,A81000B,00600,0300,SYMPHONY REHAB 27553,A81000B,00700,0300,SYMPHONY MOBILEX 27553,A81000B,00800,0300,REHAB ALLOCATION 27553,A81000B,00900,0300,REHAB ALLOCATION 27553,A81000B,01000,0300,REHAB ALLOCATION 27553,A81000C,00100,0100,B 27553,A81000C,00100,0200,IHS INC. 27553,A81000C,00100,0400,IHS INC. 27553,A81000C,00100,0600,NURSING HOMES 27553,A81000C,00200,0100,G 27553,A81000C,00200,0400,SYMPHONY REHAB 27553,A81000C,00200,0600,REHAB SERVICES 27553,A81000C,00300,0100,G 27553,A81000C,00300,0400,LTC 27553,A81000C,00300,0600,LAB 27553,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27553,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27553,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27553,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27553,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27553,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27553,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27553,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27553,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27553,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27553,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27553,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27553,E10A180,00301,0100,12/03/1999 27553,E10A180,00350,0100,03/18/1999 27553,E10A180,00353,0100,05/18/2000 27553,E10A180,00501,0100,07/28/2000 27553,E10A180,00501,0300,05/31/2000 27553,E10A180,00550,0100,05/31/2000 27553,E10A180,00550,0300,07/28/2000 27553,S000000,00100,0200,06/01/2000 27553,S200000,00100,0100,GOLF PARK DRIVE 27553,S200000,00100,0300,97 27553,S200000,00200,0100,LAKE ARIEL 27553,S200000,00200,0200,PA 27553,S200000,00200,0300,18436- 27553,S200000,00300,0100,WAYNE 27553,S200000,00300,0200,39 27553,S200000,00300,0300,R 27553,S200000,00400,0100,IHS-JULIA RIBAUDO 27553,S200000,00400,0200,395493 27553,S200000,00400,0300,01/26/1981 27553,S200000,00400,0500,P 27553,S200000,00400,0600,O 27553,S200000,00600,0200,395493 27553,S200000,00600,0300,01/26/1981 27553,S200000,00600,0600,P 27553,S200000,01600,0100,Y 27553,S200000,02200,0100,Y 27563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27563,A000000,00300,0000,00300EMPLOYEE BENEFITS 27563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27563,A000000,00700,0000,00700HOUSEKEEPING 27563,A000000,00800,0000,00800DIETARY 27563,A000000,00900,0000,00900NURSING ADMINISTRATION 27563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27563,A000000,01100,0000,01100PHARMACY 27563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27563,A000000,01300,0000,01300SOCIAL SERVICE 27563,A000000,01350,0000,01500RECREATION ACTIVITIES 27563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27563,A000000,01600,0000,01600SKILLED NURSING FACILITY 27563,A000000,01800,0000,01800NURSING FACILITY 27563,A000000,01810,0000,01810ICF/MR 27563,A000000,02100,0000,02100RADIOLOGY 27563,A000000,02200,0000,02200LABORATORY 27563,A000000,02300,0000,02300INTRAVENOUS THERAPY 27563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27563,A000000,02500,0000,02500PHYSICAL THERAPY 27563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27563,A000000,02700,0000,02700SPEECH PATHOLOGY 27563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27563,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27563,A000000,03051,0000,03301ENTERAL FEEDING 27563,A000000,03550,0000,03550FQHC 27563,A000000,05000,0000,05000CORF 27563,A000000,05010,0000,05010CMHC 27563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27563,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27563,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27563,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27563,A000000,06153,0000,06312DIALYSIS 27563,A000000,06154,0000,06320APARTMENTS 27563,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27563,A000000,06156,0000,06340CLOSED PATIENT AREAS 27563,A000000,06157,0000,06350O/P ADULT DAYCARE 27563,A81000A,00100,0100,Y 27563,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27563,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27563,A81000B,00300,0300,MSU DEVELOPMENT COST 27563,A81000B,00400,0300,SYMPHONY REHAB 27563,A81000B,00500,0300,SYMPHONY REHAB 27563,A81000B,00600,0300,SYMPHONY REHAB 27563,A81000B,00700,0300,HOME OFFICE CLINICAL 27563,A81000B,00800,0300,HOME OFFICE REHAB 27563,A81000B,00900,0300,HOME OFFICE REHAB 27563,A81000B,01000,0300,HOME OFFICE REHAB 27563,A81000B,01100,0300,SYMPHONY REHAB 27563,A81000B,01200,0300,SYMPHONY REHAB 27563,A81000C,00100,0100,B 27563,A81000C,00100,0400,IHS INC. 27563,A81000C,00100,0600,NURSING HOMES 27563,A81000C,00200,0100,B 27563,A81000C,00200,0400,SYMPHONY REHAB 27563,A81000C,00200,0600,REHAB SERVICES 27563,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27563,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27563,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27563,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27563,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27563,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27563,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27563,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27563,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27563,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27563,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27563,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27563,E10A180,00301,0100,12/03/1999 27563,E10A180,00350,0100,03/18/1999 27563,E10A180,00351,0100,05/18/2000 27563,E10A180,00501,0300,06/12/2000 27563,E10A180,00550,0100,06/12/2000 27563,E10A180,00551,0100,07/28/2000 27563,E10A180,00551,0300,07/28/2000 27563,S000000,00100,0200,06/15/2000 27563,S200000,00100,0100,SANDY HILL ROAD RD # 7 27563,S200000,00100,0300,249 27563,S200000,00200,0100,GREENSBURG 27563,S200000,00200,0200,PA 27563,S200000,00200,0300,15601- 27563,S200000,00300,0100,WESTMORELAND 27563,S200000,00300,0200,6280 27563,S200000,00300,0300,U 27563,S200000,00400,0100,IHS AT MOUNTAIN VIEW 27563,S200000,00400,0200,395500 27563,S200000,00400,0300,12/11/1986 27563,S200000,00400,0500,P 27563,S200000,00600,0200,395500 27563,S200000,00600,0300,12/11/1986 27563,S200000,00600,0600,P 27563,S200000,01600,0100,Y 27563,S200000,02200,0100,Y 27593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27593,A000000,00300,0000,00300EMPLOYEE BENEFITS 27593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27593,A000000,00700,0000,00700HOUSEKEEPING 27593,A000000,00800,0000,00800DIETARY 27593,A000000,00900,0000,00900NURSING ADMINISTRATION 27593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27593,A000000,01100,0000,01100PHARMACY 27593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27593,A000000,01300,0000,01300SOCIAL SERVICE 27593,A000000,01350,0000,01500RECREATION ACTIVITIES 27593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27593,A000000,01600,0000,01600SKILLED NURSING FACILITY 27593,A000000,01800,0000,01800NURSING FACILITY 27593,A000000,01810,0000,01810ICF/MR 27593,A000000,02100,0000,02100RADIOLOGY 27593,A000000,02200,0000,02200LABORATORY 27593,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27593,A000000,02500,0000,02500PHYSICAL THERAPY 27593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27593,A000000,02700,0000,02700SPEECH PATHOLOGY 27593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27593,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27593,A000000,03051,0000,03301ENTERAL FEEDING 27593,A000000,03550,0000,03550FQHC 27593,A000000,05000,0000,05000CORF 27593,A000000,05010,0000,05010CMHC 27593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27593,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27593,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27593,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27593,A000000,06153,0000,06312DIALYSIS 27593,A000000,06154,0000,06320APARTMENTS 27593,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27593,A000000,06156,0000,06340CLOSED PATIENT AREAS 27593,A000000,06157,0000,06350O/P ADULT DAYCARE 27593,A81000A,00100,0100,Y 27593,A81000B,00100,0300,PURCHASE CONSULTING 27593,A81000C,00100,0100,G 27593,A81000C,00100,0400,ROSALYN SEMELSB 27593,A81000C,00100,0600,DECORATING 27593,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27593,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27593,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27593,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27593,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27593,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27593,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27593,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27593,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27593,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27593,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27593,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27593,E10A180,00350,0100,05/18/2000 27593,E10A180,00351,0100,10/23/2000 27593,E10A180,00501,0300,11/30/2000 27593,E10A180,00550,0100,11/30/2000 27593,E10A180,00551,0100,01/09/2001 27593,E10A180,00551,0300,01/09/2001 27593,S000000,00100,0200,12/01/2000 27593,S200000,00100,0100,222 WEST EDISON AVENUE 27593,S200000,00200,0100,NEW CASTLE 27593,S200000,00200,0200,PA 27593,S200000,00200,0300,16101- 27593,S200000,00300,0100,LAWRENCE 27593,S200000,00300,0200,39 27593,S200000,00300,0300,R 27593,S200000,00400,0100,INDIAN CREEK NURSING CENTER 27593,S200000,00400,0200,395536 27593,S200000,00400,0300,07/23/1982 27593,S200000,00400,0500,P 27593,S200000,00600,0200,395536 27593,S200000,00600,0300,07/23/1982 27593,S200000,00600,0600,P 27593,S200000,01600,0100,Y 27593,S200000,02200,0100,Y 27621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27621,A000000,00300,0000,00300EMPLOYEE BENEFITS 27621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27621,A000000,00700,0000,00700HOUSEKEEPING 27621,A000000,00800,0000,00800DIETARY 27621,A000000,00900,0000,00900NURSING ADMINISTRATION 27621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27621,A000000,01100,0000,01100PHARMACY 27621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27621,A000000,01300,0000,01300SOCIAL SERVICE 27621,A000000,01350,0000,01500RECREATION ACTIVITIES 27621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27621,A000000,01600,0000,01600SKILLED NURSING FACILITY 27621,A000000,01800,0000,01800NURSING FACILITY 27621,A000000,01810,0000,01810ICF/MR 27621,A000000,02100,0000,02100RADIOLOGY 27621,A000000,02200,0000,02200LABORATORY 27621,A000000,02500,0000,02500PHYSICAL THERAPY 27621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27621,A000000,02700,0000,02700SPEECH PATHOLOGY 27621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27621,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27621,A000000,03051,0000,03301ENTERAL FEEDING 27621,A000000,03550,0000,03550FQHC 27621,A000000,05000,0000,05000CORF 27621,A000000,05010,0000,05010CMHC 27621,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27621,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27621,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27621,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27621,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27621,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27621,A000000,06153,0000,06312DIALYSIS 27621,A000000,06154,0000,06320APARTMENTS 27621,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27621,A000000,06156,0000,06340CLOSED PATIENT AREAS 27621,A000000,06157,0000,06350O/P ADULT DAYCARE 27621,A81000A,00100,0100,Y 27621,A81000B,00100,0300,PURCHASING CONSULTAN 27621,A81000C,00100,0100,G 27621,A81000C,00100,0400,ROSALYN SEMELSB 27621,A81000C,00100,0600,DECORATING 27621,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27621,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27621,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27621,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27621,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27621,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27621,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27621,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27621,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27621,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27621,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27621,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27621,E10A180,00301,0100,05/18/2000 27621,E10A180,00302,0100,10/23/2000 27621,E10A180,00550,0100,11/30/2000 27621,E10A180,00550,0300,11/30/2000 27621,E10A180,00551,0100,01/09/2001 27621,S000000,00100,0200,12/01/2000 27621,S200000,00100,0100,234 CORAOPOLIS ROAD 27621,S200000,00200,0100,CORAOPOLIS 27621,S200000,00200,0200,PA 27621,S200000,00200,0300,15108- 27621,S200000,00300,0100,ALLEGHENY 27621,S200000,00300,0200,6280 27621,S200000,00300,0300,U 27621,S200000,00400,0100,SYCAMORE CREEK NURSING CTR 27621,S200000,00400,0200,395603 27621,S200000,00400,0300,10/28/1983 27621,S200000,00400,0500,P 27621,S200000,00600,0200,395603 27621,S200000,00600,0300,10/28/1983 27621,S200000,00600,0600,P 27621,S200000,01600,0100,Y 27621,S200000,02200,0100,Y 27629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27629,A000000,00300,0000,00300EMPLOYEE BENEFITS 27629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27629,A000000,00700,0000,00700HOUSEKEEPING 27629,A000000,00800,0000,00800DIETARY 27629,A000000,00900,0000,00900NURSING ADMINISTRATION 27629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27629,A000000,01100,0000,01100PHARMACY 27629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27629,A000000,01300,0000,01300SOCIAL SERVICE 27629,A000000,01350,0000,01500RECREATION ACTIVITIES 27629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27629,A000000,01600,0000,01600SKILLED NURSING FACILITY 27629,A000000,01800,0000,01800NURSING FACILITY 27629,A000000,01810,0000,01810ICF/MR 27629,A000000,02100,0000,02100RADIOLOGY 27629,A000000,02200,0000,02200LABORATORY 27629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27629,A000000,02500,0000,02500PHYSICAL THERAPY 27629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27629,A000000,02700,0000,02700SPEECH PATHOLOGY 27629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27629,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27629,A000000,03051,0000,03301ENTERAL FEEDING 27629,A000000,03550,0000,03550FQHC 27629,A000000,05000,0000,05000CORF 27629,A000000,05010,0000,05010CMHC 27629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27629,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27629,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27629,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27629,A000000,06153,0000,06312DIALYSIS 27629,A000000,06154,0000,06320APARTMENTS 27629,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27629,A000000,06156,0000,06340CLOSED PATIENT AREAS 27629,A000000,06157,0000,06350O/P ADULT DAYCARE 27629,A81000A,00100,0100,Y 27629,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27629,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27629,A81000B,00400,0300,SYMPHONY REHAB 27629,A81000B,00500,0300,SYMPHONY REHAB 27629,A81000B,00600,0300,SYMPHONY REHAB 27629,A81000B,00700,0300,HOME OFFICE CLINICAL 27629,A81000C,00100,0100,B 27629,A81000C,00100,0200,IHS INC. 27629,A81000C,00100,0400,IHS INC. 27629,A81000C,00100,0600,NURSING HOMES 27629,A81000C,00200,0100,B 27629,A81000C,00200,0200,IHS INC. 27629,A81000C,00200,0400,SYMPHONY REHAB 27629,A81000C,00200,0600,REHAB SERVICES 27629,A81000C,00300,0100,B 27629,A81000C,00300,0200,IHS INC. 27629,A81000C,00300,0400,LTC MED LAB 27629,A81000C,00300,0600,LABORATORY 27629,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27629,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27629,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27629,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27629,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27629,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27629,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27629,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27629,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27629,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27629,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27629,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27629,E10A180,00301,0100,01/03/2000 27629,E10A180,00302,0100,09/18/2000 27629,E10A180,00501,0300,10/30/2000 27629,E10A180,00502,0100,12/06/2001 27629,E10A180,00550,0100,10/30/2000 27629,E10A180,00551,0100,12/26/2000 27629,E10A180,00551,0300,12/26/2000 27629,S000000,00100,0200,11/01/2000 27629,S200000,00100,0100,2200 HILL CHURCH-HOUSTON ROAD 27629,S200000,00200,0100,CANONSBURG 27629,S200000,00200,0200,PA 27629,S200000,00200,0300,15317- 27629,S200000,00300,0100,WASHINGTON 27629,S200000,00300,0200,6280 27629,S200000,00300,0300,U 27629,S200000,00400,0100,IHS GREENERY OF CANONSBURG 27629,S200000,00400,0200,395695 27629,S200000,00400,0300,01/01/1989 27629,S200000,00400,0500,P 27629,S200000,00600,0200,395695 27629,S200000,00600,0300,01/01/1989 27629,S200000,00600,0600,P 27629,S200000,01600,0100,Y 27629,S200000,02200,0100,Y 27665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27665,A000000,00300,0000,00300EMPLOYEE BENEFITS 27665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27665,A000000,00700,0000,00700HOUSEKEEPING 27665,A000000,00800,0000,00800DIETARY 27665,A000000,00900,0000,00900NURSING ADMINISTRATION 27665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27665,A000000,01100,0000,01100PHARMACY 27665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27665,A000000,01300,0000,01300SOCIAL SERVICE 27665,A000000,01350,0000,01500ACTIVITIES 27665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27665,A000000,01600,0000,01600SKILLED NURSING FACILITY 27665,A000000,01800,0000,01800NURSING FACILITY 27665,A000000,01900,0000,01900OTHER LONG TERM CARE 27665,A000000,02100,0000,02100RADIOLOGY 27665,A000000,02200,0000,02200LABORATORY 27665,A000000,02300,0000,02300INTRAVENOUS THERAPY 27665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27665,A000000,02500,0000,02500PHYSICAL THERAPY 27665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27665,A000000,02700,0000,02700SPEECH PATHOLOGY 27665,A000000,02800,0000,02800ELECTROCARDIOLOGY 27665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27665,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27665,A000000,03200,0000,03200SUPPORT SURFACES 27665,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27665,A000000,04800,0000,04800AMBULANCE 27665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 27665,A000000,05300,0000,05300INTEREST EXPENSE 27665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27665,A000000,06100,0000,06100NONPAID WORKERS 27665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27665,A000000,06200,0000,06200PATIENTS LAUNDRY 27665,A81000A,00100,0100,Y 27665,A81000B,00100,0300,HOME OFFICE COST 27665,A81000B,00200,0300,PT ADMINISTRATIVE FEES 27665,A81000B,00300,0300,OT ADMINISTRATIVE FEES 27665,A81000B,00400,0300,ST ADMINISTRATIVE FEES 27665,A81000B,00500,0300,DIRECT CORPORATE INTEREST 27665,A81000C,00100,0100,B 27665,A81000C,00100,0200,MCHS - ALLENTOWN 27665,A81000C,00100,0400,HCR MANORCARE INC. 27665,A81000C,00100,0600,LONG TERM CARE FACILITIES 27665,A81000C,00200,0100,B 27665,A81000C,00200,0200,MCHS - ALLENTOWN 27665,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 27665,A81000C,00200,0600,THERAPY MANAGEMENT 27665,A81000C,00300,0100,B 27665,A81000C,00300,0200,MCHS - ALLENTOWN 27665,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 27665,A81000C,00300,0600,THERAPY MANAGEMENT 27665,A81000C,00400,0100,B 27665,A81000C,00400,0200,MCHS - ALLENTOWN 27665,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 27665,A81000C,00400,0600,THERAPY MANAGEMENT 27665,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27665,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27665,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27665,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27665,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27665,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27665,B100000,00000,0800,00000MEALS SERVED :DIETARY 27665,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27665,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27665,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27665,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27665,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27665,S000000,00100,0200,10/17/2000 27665,S200000,00100,0100,1265 CEDAR CREST BLVD 27665,S200000,00200,0100,ALLENTOWN 27665,S200000,00200,0200,PA 27665,S200000,00200,0300,18103- 27665,S200000,00300,0100,LEHIGH 27665,S200000,00300,0200,240 27665,S200000,00300,0300,U 27665,S200000,00400,0100,LEADER ALLENTOWN 27665,S200000,00400,0200,395760 27665,S200000,00400,0300,07/26/1988 27665,S200000,00400,0500,P 27665,S200000,00400,0600,P 27665,S200000,01600,0100,Y 27665,S200000,02200,0100,Y 27683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27683,A000000,00300,0000,00300EMPLOYEE BENEFITS 27683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27683,A000000,00700,0000,00700HOUSEKEEPING 27683,A000000,00800,0000,00800DIETARY 27683,A000000,00900,0000,00900NURSING ADMINISTRATION 27683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27683,A000000,01100,0000,01100PHARMACY 27683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27683,A000000,01300,0000,01300SOCIAL SERVICE 27683,A000000,01350,0000,01500ACTIVITIES 27683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27683,A000000,01600,0000,01600SKILLED NURSING FACILITY 27683,A000000,01800,0000,01800NURSING FACILITY 27683,A000000,01900,0000,01900OTHER LONG TERM CARE 27683,A000000,02100,0000,02100RADIOLOGY 27683,A000000,02200,0000,02200LABORATORY 27683,A000000,02300,0000,02300INTRAVENOUS THERAPY 27683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27683,A000000,02500,0000,02500PHYSICAL THERAPY 27683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27683,A000000,02700,0000,02700SPEECH PATHOLOGY 27683,A000000,02800,0000,02800ELECTROCARDIOLOGY 27683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27683,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27683,A000000,03200,0000,03200SUPPORT SURFACES 27683,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27683,A000000,04800,0000,04800AMBULANCE 27683,A000000,05300,0000,05300INTEREST EXPENSE 27683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27683,A000000,06100,0000,06100NONPAID WORKERS 27683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27683,A000000,06200,0000,06200PATIENTS LAUNDRY 27683,A81000A,00100,0100,Y 27683,A81000B,00100,0300,HOME OFFICE COST 27683,A81000B,00200,0300,PT ADMIN FEES 27683,A81000B,00300,0300,OT ADMIN FEES 27683,A81000B,00400,0300,ST ADMIN FEES 27683,A81000B,00500,0300,DIRECT INTEREST 27683,A81000C,00100,0100,B 27683,A81000C,00100,0200,LANSDALE 27683,A81000C,00100,0400,HCR MANORCARE INC. 27683,A81000C,00100,0600,LONG TERM CARE FACILITIES 27683,A81000C,00200,0100,B 27683,A81000C,00200,0200,LANSDALE 27683,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 27683,A81000C,00200,0600,THERAPY MGMT 27683,A81000C,00300,0100,B 27683,A81000C,00300,0200,LANSDALE 27683,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 27683,A81000C,00300,0600,THERAPY MGMT 27683,A81000C,00400,0100,B 27683,A81000C,00400,0200,LANSDALE 27683,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 27683,A81000C,00400,0600,THERAPY MGMT 27683,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27683,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27683,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27683,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27683,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27683,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27683,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27683,B100000,00000,0800,00000MEALS SERVED :DIETARY 27683,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27683,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27683,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27683,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27683,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27683,S000000,00100,0200,10/27/2000 27683,S200000,00100,0100,640 BETHLEHEM PIKE 27683,S200000,00200,0100,MONTGOMERYVILLE 27683,S200000,00200,0200,PA 27683,S200000,00200,0300,18936- 27683,S200000,00300,0100,MONTGOMERY 27683,S200000,00300,0200,6160 27683,S200000,00300,0300,U 27683,S200000,00400,0100,LANSDALE 27683,S200000,00400,0200,395796 27683,S200000,00400,0300,06/09/1989 27683,S200000,00400,0500,P 27683,S200000,00400,0600,P 27683,S200000,01004,0500,O 27683,S200000,01600,0100,Y 27683,S200000,02200,0100,Y 27692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27692,A000000,00300,0000,00300EMPLOYEE BENEFITS 27692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27692,A000000,00700,0000,00700HOUSEKEEPING 27692,A000000,00800,0000,00800DIETARY 27692,A000000,00900,0000,00900NURSING ADMINISTRATION 27692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27692,A000000,01100,0000,01100PHARMACY 27692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27692,A000000,01300,0000,01300SOCIAL SERVICE 27692,A000000,01350,0000,01500ACTIVITIES 27692,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27692,A000000,01600,0000,01600SKILLED NURSING FACILITY 27692,A000000,01800,0000,01800NURSING FACILITY 27692,A000000,01900,0000,01900OTHER LONG TERM CARE 27692,A000000,02100,0000,02100RADIOLOGY 27692,A000000,02200,0000,02200LABORATORY 27692,A000000,02300,0000,02300INTRAVENOUS THERAPY 27692,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27692,A000000,02500,0000,02500PHYSICAL THERAPY 27692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27692,A000000,02700,0000,02700SPEECH PATHOLOGY 27692,A000000,02800,0000,02800ELECTROCARDIOLOGY 27692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27692,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27692,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27692,A000000,03200,0000,03200SUPPORT SURFACES 27692,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27692,A000000,04800,0000,04800AMBULANCE 27692,A000000,05300,0000,05300INTEREST EXPENSE 27692,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27692,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27692,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27692,A000000,06100,0000,06100NONPAID WORKERS 27692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27692,A000000,06200,0000,06200PATIENTS LAUNDRY 27692,A81000A,00100,0100,Y 27692,A81000B,00100,0300,HOME OFFICE COST 27692,A81000B,00200,0300,PT ADMIN FEE 27692,A81000B,00300,0300,OT ADMIN FEE 27692,A81000B,00400,0300,ST ADMIN FEE 27692,A81000B,00500,0300,DIRECT INTEREST 27692,A81000C,00100,0100,B 27692,A81000C,00100,0200,YARDLEY 27692,A81000C,00100,0400,HCR MANORCARE INC. 27692,A81000C,00100,0600,LONG TERM CARE FACILITIES 27692,A81000C,00200,0100,B 27692,A81000C,00200,0200,YARDLEY 27692,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 27692,A81000C,00200,0600,THERAPY MGMT 27692,A81000C,00300,0100,B 27692,A81000C,00300,0200,YARDLEY 27692,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 27692,A81000C,00300,0600,THERAPY MGMT 27692,A81000C,00400,0100,B 27692,A81000C,00400,0200,YARDLEY 27692,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 27692,A81000C,00400,0600,THERAPY MGMT 27692,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27692,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27692,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27692,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27692,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27692,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27692,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27692,B100000,00000,0800,00000MEALS SERVED :DIETARY 27692,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27692,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27692,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27692,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27692,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27692,S000000,00100,0200,10/27/2000 27692,S200000,00100,0100,1480 OXFORD VALLEY ROAD 27692,S200000,00200,0100,YARDLEY 27692,S200000,00200,0200,PA 27692,S200000,00200,0300,19067- 27692,S200000,00300,0100,LOWER BUCK 27692,S200000,00300,0200,6160 27692,S200000,00300,0300,U 27692,S200000,00400,0100,YARDLEY 27692,S200000,00400,0200,395817 27692,S200000,00400,0300,01/18/1990 27692,S200000,00400,0500,P 27692,S200000,00400,0600,P 27692,S200000,01004,0500,O 27692,S200000,01600,0100,Y 27692,S200000,02200,0100,Y 27700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27700,A000000,00300,0000,00300EMPLOYEE BENEFITS 27700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27700,A000000,00700,0000,00700HOUSEKEEPING 27700,A000000,00800,0000,00800DIETARY 27700,A000000,00900,0000,00900NURSING ADMINISTRATION 27700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27700,A000000,01100,0000,01100PHARMACY 27700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27700,A000000,01300,0000,01300SOCIAL SERVICE 27700,A000000,01350,0000,01500ACTIVITIES 27700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27700,A000000,01600,0000,01600SKILLED NURSING FACILITY 27700,A000000,01800,0000,01800NURSING FACILITY 27700,A000000,01900,0000,01900OTHER LONG TERM CARE 27700,A000000,02100,0000,02100RADIOLOGY 27700,A000000,02200,0000,02200LABORATORY 27700,A000000,02300,0000,02300INTRAVENOUS THERAPY 27700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27700,A000000,02500,0000,02500PHYSICAL THERAPY 27700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27700,A000000,02700,0000,02700SPEECH PATHOLOGY 27700,A000000,02800,0000,02800ELECTROCARDIOLOGY 27700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27700,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27700,A000000,03200,0000,03200SUPPORT SURFACES 27700,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27700,A000000,04800,0000,04800AMBULANCE 27700,A000000,05300,0000,05300INTEREST EXPENSE 27700,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27700,A000000,06100,0000,06100NONPAID WORKERS 27700,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27700,A000000,06200,0000,06200PATIENTS LAUNDRY 27700,A81000A,00100,0100,Y 27700,A81000B,00100,0300,HOME OFFICE COST 27700,A81000B,00200,0300,PT ADMIN FEE 27700,A81000B,00300,0300,OT ADMIN FEE 27700,A81000B,00400,0300,ST ADMIN FEE 27700,A81000C,00100,0100,B 27700,A81000C,00100,0200,NORTH HILLS 27700,A81000C,00100,0400,HCR MANORCARE INC. 27700,A81000C,00100,0600,LONG TERM CARE FACILITIES 27700,A81000C,00200,0100,B 27700,A81000C,00200,0200,NORTH HILLS 27700,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 27700,A81000C,00200,0600,THERAPY MGMT 27700,A81000C,00300,0100,B 27700,A81000C,00300,0200,NORTH HILLS 27700,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 27700,A81000C,00300,0600,THERAPY MGMT 27700,A81000C,00400,0100,B 27700,A81000C,00400,0200,NORTH HILLS 27700,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 27700,A81000C,00400,0600,THERAPY MGMT 27700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27700,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27700,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27700,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27700,B100000,00000,0800,00000MEALS SERVED :DIETARY 27700,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27700,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27700,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27700,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27700,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27700,S000000,00100,0200,10/25/2000 27700,S200000,00100,0100,640 BETHLEHEM PIKE 27700,S200000,00200,0100,MONTGOMERYVILLE 27700,S200000,00200,0200,PA 27700,S200000,00200,0300,18936- 27700,S200000,00300,0100,ALLEGHENY 27700,S200000,00300,0200,6280 27700,S200000,00300,0300,U 27700,S200000,00400,0100,NORTH HILLS 27700,S200000,00400,0200,395826 27700,S200000,00400,0300,04/11/1990 27700,S200000,00400,0500,P 27700,S200000,00400,0600,P 27700,S200000,01600,0100,Y 27700,S200000,02200,0100,Y 27710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27710,A000000,00300,0000,00300EMPLOYEE BENEFITS 27710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27710,A000000,00700,0000,00700HOUSEKEEPING 27710,A000000,00800,0000,00800DIETARY 27710,A000000,00900,0000,00900NURSING ADMINISTRATION 27710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27710,A000000,01100,0000,01100PHARMACY 27710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27710,A000000,01300,0000,01300SOCIAL SERVICE 27710,A000000,01350,0000,01500ACTIVITIES 27710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27710,A000000,01600,0000,01600SKILLED NURSING FACILITY 27710,A000000,01800,0000,01800NURSING FACILITY 27710,A000000,01900,0000,01900OTHER LONG TERM CARE 27710,A000000,02100,0000,02100RADIOLOGY 27710,A000000,02200,0000,02200LABORATORY 27710,A000000,02300,0000,02300INTRAVENOUS THERAPY 27710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27710,A000000,02500,0000,02500PHYSICAL THERAPY 27710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27710,A000000,02700,0000,02700SPEECH PATHOLOGY 27710,A000000,02800,0000,02800ELECTROCARDIOLOGY 27710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27710,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27710,A000000,03200,0000,03200SUPPORT SURFACES 27710,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27710,A000000,04800,0000,04800AMBULANCE 27710,A000000,05300,0000,05300INTEREST EXPENSE 27710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27710,A000000,06100,0000,06100NONPAID WORKERS 27710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27710,A000000,06200,0000,06200PATIENTS LAUNDRY 27710,A81000A,00100,0100,Y 27710,A81000B,00100,0300,HOME OFFICE COST 27710,A81000B,00200,0300,PT ADMIN FEES 27710,A81000B,00300,0300,OT ADMIN FEES 27710,A81000B,00400,0300,ST ADMIN FEES 27710,A81000B,00500,0300,DIRECT INTEREST 27710,A81000C,00100,0100,B 27710,A81000C,00100,0200,KING OF PRUSSIA 27710,A81000C,00100,0400,HCR MANORCARE INC. 27710,A81000C,00100,0600,LONG TERM CARE FACILITIES 27710,A81000C,00200,0100,B 27710,A81000C,00200,0200,KING OF PRUSSIA 27710,A81000C,00200,0400,MANORCARE HEALTH SERVICES 27710,A81000C,00200,0600,THERAPY MGMT 27710,A81000C,00300,0100,B 27710,A81000C,00300,0200,KING OF PRUSSIA 27710,A81000C,00300,0400,MANORCARE HEALTH SERVICES 27710,A81000C,00300,0600,THERAPY MGMT 27710,A81000C,00400,0100,B 27710,A81000C,00400,0200,KING OF PRUSSIA 27710,A81000C,00400,0400,MANORCARE HEALTH SERVICES 27710,A81000C,00400,0600,THERAPY MGMT 27710,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27710,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27710,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27710,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27710,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27710,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27710,B100000,00000,0800,00000MEALS SERVED :DIETARY 27710,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27710,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27710,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27710,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27710,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27710,S000000,00100,0200,10/20/2000 27710,S200000,00100,0100,600W VALLEY FORGE ROAD 27710,S200000,00200,0100,KING OF PRUSSIA 27710,S200000,00200,0200,PA 27710,S200000,00200,0300,19406- 27710,S200000,00300,0100,MONTGOMERY 27710,S200000,00300,0200,6160 27710,S200000,00300,0300,U 27710,S200000,00400,0100,KING OF PRUSSIA 27710,S200000,00400,0200,395834 27710,S200000,00400,0300,07/30/1990 27710,S200000,00400,0500,P 27710,S200000,00400,0600,P 27710,S200000,01004,0500,O 27710,S200000,01600,0100,Y 27710,S200000,02200,0100,Y 27719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27719,A000000,00300,0000,00300EMPLOYEE BENEFITS 27719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27719,A000000,00700,0000,00700HOUSEKEEPING 27719,A000000,00800,0000,00800DIETARY 27719,A000000,00900,0000,00900NURSING ADMINISTRATION 27719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27719,A000000,01100,0000,01100PHARMACY 27719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27719,A000000,01300,0000,01300SOCIAL SERVICE 27719,A000000,01350,0000,01500RECREATION ACTIVITIES 27719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27719,A000000,01600,0000,01600SKILLED NURSING FACILITY 27719,A000000,01800,0000,01800NURSING FACILITY 27719,A000000,01810,0000,01810ICF/MR 27719,A000000,02100,0000,02100RADIOLOGY 27719,A000000,02200,0000,02200LABORATORY 27719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27719,A000000,02500,0000,02500PHYSICAL THERAPY 27719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27719,A000000,02700,0000,02700SPEECH PATHOLOGY 27719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27719,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27719,A000000,03051,0000,03301ENTERAL FEEDING 27719,A000000,03550,0000,03550FQHC 27719,A000000,05000,0000,05000CORF 27719,A000000,05010,0000,05010CMHC 27719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27719,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27719,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27719,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27719,A000000,06153,0000,06312DIALYSIS 27719,A000000,06154,0000,06320APARTMENTS 27719,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27719,A000000,06156,0000,06340CLOSED PATIENT AREAS 27719,A000000,06157,0000,06350O/P ADULT DAYCARE 27719,A81000A,00100,0100,Y 27719,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27719,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27719,A81000B,00400,0300,SYMPHONY REHAB 27719,A81000B,00500,0300,SYMPHONY REHAB 27719,A81000B,00600,0300,SYMPHONY REHAB 27719,A81000B,00700,0300,SYMPHONY HEALTH 27719,A81000B,00800,0300,SYMPHONY MOBILEX 27719,A81000B,00900,0300,SYMPHONY EPSILON MED 27719,A81000B,01000,0300,REHAB ALLOCATION 27719,A81000B,01100,0300,REHAB ALLOCATION 27719,A81000B,01200,0300,REHAB ALLOCATION 27719,A81000B,01300,0300,CLINICAL ALLOCATION 27719,A81000C,00100,0100,B 27719,A81000C,00100,0200,IHS INC. 27719,A81000C,00100,0400,IHS INC. 27719,A81000C,00100,0600,NURSING HOMES 27719,A81000C,00200,0100,G 27719,A81000C,00200,0400,SYMPHONY REHAB 27719,A81000C,00200,0600,REHAB SERVICES 27719,A81000C,00300,0100,G 27719,A81000C,00300,0400,LTC 27719,A81000C,00300,0600,LAB 27719,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27719,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27719,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27719,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27719,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27719,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27719,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27719,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27719,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27719,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27719,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27719,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27719,E10A180,00301,0100,03/18/1999 27719,E10A180,00302,0100,12/03/1999 27719,E10A180,00353,0100,05/18/2000 27719,E10A180,00501,0100,07/28/2000 27719,E10A180,00501,0300,05/31/2000 27719,E10A180,00550,0100,05/31/2000 27719,E10A180,00550,0300,07/28/2000 27719,S000000,00100,0200,06/01/2000 27719,S200000,00100,0100,251 STENTON AVENUE 27719,S200000,00200,0100,PLYMOUTH MEETING 27719,S200000,00200,0200,PA 27719,S200000,00200,0300,19462- 27719,S200000,00300,0100,MONTGOMERY 27719,S200000,00300,0200,6160 27719,S200000,00300,0300,U 27719,S200000,00400,0100,THE CLARA BURKE COMMUNITY 27719,S200000,00400,0200,395847 27719,S200000,00400,0300,02/25/1989 27719,S200000,00400,0500,P 27719,S200000,00600,0200,395847 27719,S200000,00600,0300,02/25/1989 27719,S200000,00600,0600,P 27719,S200000,01600,0100,Y 27719,S200000,02200,0100,Y 27730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27730,A000000,00300,0000,00300EMPLOYEE BENEFITS 27730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27730,A000000,00700,0000,00700HOUSEKEEPING 27730,A000000,00800,0000,00800DIETARY 27730,A000000,00900,0000,00900NURSING ADMINISTRATION 27730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27730,A000000,01100,0000,01100PHARMACY 27730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27730,A000000,01300,0000,01300SOCIAL SERVICE 27730,A000000,01350,0000,01500RECREATION ACTIVITIES 27730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27730,A000000,01600,0000,01600SKILLED NURSING FACILITY 27730,A000000,01800,0000,01800NURSING FACILITY 27730,A000000,01810,0000,01810ICF/MR 27730,A000000,02100,0000,02100RADIOLOGY 27730,A000000,02200,0000,02200LABORATORY 27730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27730,A000000,02500,0000,02500PHYSICAL THERAPY 27730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27730,A000000,02700,0000,02700SPEECH PATHOLOGY 27730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27730,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27730,A000000,03051,0000,03301ENTERAL FEEDING 27730,A000000,03550,0000,03550FQHC 27730,A000000,05000,0000,05000CORF 27730,A000000,05010,0000,05010CMHC 27730,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27730,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27730,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27730,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27730,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27730,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27730,A000000,06153,0000,06312DIALYSIS 27730,A000000,06154,0000,06320APARTMENTS 27730,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27730,A000000,06156,0000,06340CLOSED PATIENT AREAS 27730,A000000,06157,0000,06350O/P ADULT DAYCARE 27730,A81000A,00100,0100,Y 27730,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27730,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27730,A81000B,00300,0300,MSU DEVELOPMENT COST 27730,A81000B,00400,0300,SYMPHONY REHAB 27730,A81000B,00500,0300,SYMPHONY REHAB 27730,A81000B,00600,0300,SYMPHONY REHAB 27730,A81000B,00700,0300,CLINICAL ALLOCATION 27730,A81000B,00800,0300,SYMPHONY RESP SERVIC 27730,A81000B,00900,0300,SYMPHONY MOBILEX 27730,A81000B,01000,0300,SYMPHONY MOBILEX 27730,A81000B,01100,0300,REHAB ALLOCATION 27730,A81000B,01200,0300,REHAB ALLOCATION 27730,A81000B,01300,0300,REHQB ALLOCATION 27730,A81000C,00100,0100,B 27730,A81000C,00100,0400,IHS INC. 27730,A81000C,00100,0600,NURSING HOMES 27730,A81000C,00200,0100,B 27730,A81000C,00200,0400,IHS INC. 27730,A81000C,00200,0600,REHAB SERVICES 27730,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27730,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27730,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27730,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27730,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27730,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27730,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27730,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27730,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27730,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27730,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27730,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27730,E10A180,00301,0100,05/18/2000 27730,E10A180,00350,0100,03/18/1999 27730,E10A180,00351,0100,12/03/1999 27730,E10A180,00550,0100,07/28/2000 27730,E10A180,00550,0300,07/28/2000 27730,S000000,00100,0200,06/15/2000 27730,S200000,00100,0100,890 MT. PLEASANT ROAD 27730,S200000,00200,0100,GREENSBURG 27730,S200000,00200,0200,PA 27730,S200000,00200,0300,15601- 27730,S200000,00300,0100,WESTMORELAND 27730,S200000,00300,0200,6280 27730,S200000,00300,0300,U 27730,S200000,00400,0100,IHS OF GREATER PITTSBURGH 27730,S200000,00400,0200,395851 27730,S200000,00400,0300,04/29/1991 27730,S200000,00400,0500,P 27730,S200000,00600,0200,395851 27730,S200000,00600,0300,04/29/1991 27730,S200000,00600,0600,P 27730,S200000,01600,0100,Y 27730,S200000,02200,0100,Y 27738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27738,A000000,00300,0000,00300EMPLOYEE BENEFITS 27738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27738,A000000,00700,0000,00700HOUSEKEEPING 27738,A000000,00800,0000,00800DIETARY 27738,A000000,00900,0000,00900NURSING ADMINISTRATION 27738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27738,A000000,01100,0000,01100PHARMACY 27738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27738,A000000,01300,0000,01300SOCIAL SERVICE 27738,A000000,01350,0000,01500ACTIVITIES 27738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27738,A000000,01600,0000,01600SKILLED NURSING FACILITY 27738,A000000,01800,0000,01800NURSING FACILITY 27738,A000000,01900,0000,01900OTHER LONG TERM CARE 27738,A000000,02100,0000,02100RADIOLOGY 27738,A000000,02200,0000,02200LABORATORY 27738,A000000,02300,0000,02300INTRAVENOUS THERAPY 27738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27738,A000000,02500,0000,02500PHYSICAL THERAPY 27738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27738,A000000,02700,0000,02700SPEECH PATHOLOGY 27738,A000000,02800,0000,02800ELECTROCARDIOLOGY 27738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27738,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27738,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27738,A000000,03200,0000,03200SUPPORT SURFACES 27738,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27738,A000000,04800,0000,04800AMBULANCE 27738,A000000,05300,0000,05300INTEREST EXPENSE 27738,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27738,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27738,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27738,A000000,06100,0000,06100NONPAID WORKERS 27738,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27738,A000000,06200,0000,06200PATIENTS LAUNDRY 27738,A81000A,00100,0100,Y 27738,A81000B,00100,0300,HOME OFFICE COST 27738,A81000B,00200,0300,OTHER CAPITAL COST 27738,A81000B,00300,0300,PT ADMINISTRATIVE FEE 27738,A81000B,00400,0300,OT ADMINISTRATIVE FEE 27738,A81000B,00500,0300,ST ADMINISTRATIVE FEE 27738,A81000C,00100,0100,B 27738,A81000C,00100,0200,HUNTINGDON VALLEY 27738,A81000C,00100,0400,HCR MANORCARE INC. 27738,A81000C,00100,0600,LONG TERM CARE FACILITIES 27738,A81000C,00200,0100,B 27738,A81000C,00200,0200,HUNTINGDON VALLEY 27738,A81000C,00200,0400,HEARTLAND MGMT SERVICE 27738,A81000C,00200,0600,THERAPY MGMT SERVICE 27738,A81000C,00300,0100,B 27738,A81000C,00300,0200,HUNTINGDON VALLEY 27738,A81000C,00300,0400,HEARTLAND MGMT SERVICE 27738,A81000C,00300,0600,THERAPY MGMT SERVICE 27738,A81000C,00400,0100,B 27738,A81000C,00400,0200,HUNTINGDON VALLEY 27738,A81000C,00400,0400,HEARTLAND MGMT SERVICE 27738,A81000C,00400,0600,THERAPY MGMT SERVICE 27738,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27738,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27738,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27738,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27738,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27738,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27738,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27738,B100000,00000,0800,00000MEALS SERVED :DIETARY 27738,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27738,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27738,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27738,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27738,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27738,S000000,00100,0200,10/17/2000 27738,S200000,00100,0100,3430 HUNTINGDON PIKE 27738,S200000,00200,0100,HUNTINGDON VALLEY 27738,S200000,00200,0200,PA 27738,S200000,00200,0300,19006- 27738,S200000,00300,0100,MONTGOMERY 27738,S200000,00300,0200,6160 27738,S200000,00300,0300,U 27738,S200000,00400,0100,HUNTINGDON VALLEY 27738,S200000,00400,0200,395913 27738,S200000,00400,0300,09/09/1993 27738,S200000,00400,0500,P 27738,S200000,00400,0600,P 27738,S200000,01004,0500,O 27738,S200000,01600,0100,Y 27738,S200000,02200,0100,Y 27746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27746,A000000,00300,0000,00300EMPLOYEE BENEFITS 27746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27746,A000000,00700,0000,00700HOUSEKEEPING 27746,A000000,00800,0000,00800DIETARY 27746,A000000,00900,0000,00900NURSING ADMINISTRATION 27746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27746,A000000,01100,0000,01100PHARMACY 27746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27746,A000000,01300,0000,01300SOCIAL SERVICE 27746,A000000,01350,0000,01500ACTIVITIES 27746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27746,A000000,01600,0000,01600SKILLED NURSING FACILITY 27746,A000000,01800,0000,01800NURSING FACILITY 27746,A000000,01900,0000,01900OTHER LONG TERM CARE 27746,A000000,02100,0000,02100RADIOLOGY 27746,A000000,02200,0000,02200LABORATORY 27746,A000000,02300,0000,02300INTRAVENOUS THERAPY 27746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27746,A000000,02500,0000,02500PHYSICAL THERAPY 27746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27746,A000000,02700,0000,02700SPEECH PATHOLOGY 27746,A000000,02800,0000,02800ELECTROCARDIOLOGY 27746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27746,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27746,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27746,A000000,03200,0000,03200SUPPORT SURFACES 27746,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27746,A000000,04800,0000,04800AMBULANCE 27746,A000000,05300,0000,05300INTEREST EXPENSE 27746,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27746,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27746,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27746,A000000,06100,0000,06100NONPAID WORKERS 27746,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27746,A000000,06200,0000,06200PATIENTS LAUNDRY 27746,A81000A,00100,0100,Y 27746,A81000B,00100,0300,HOME OFFICE COST 27746,A81000B,00200,0300,PHYSICAL THERAPY 27746,A81000B,00300,0300,OCCUPATIONAL THERAPY 27746,A81000B,00400,0300,SPEECH THERAPY 27746,A81000C,00100,0100,B 27746,A81000C,00100,0200,MERCY FITZGERALD 27746,A81000C,00100,0400,HCR MANORCARE INC. 27746,A81000C,00100,0600,LONG TERM CARE FACILITIES 27746,A81000C,00200,0100,B 27746,A81000C,00200,0200,MERCY FITZGERALD 27746,A81000C,00200,0400,HEARTLAND MGMT SERVICES 27746,A81000C,00200,0600,THERAPY MGMT SERVICES 27746,A81000C,00300,0100,B 27746,A81000C,00300,0200,MERCY FITZGERALD 27746,A81000C,00300,0400,HEARTLAND MGMT SERVICES 27746,A81000C,00300,0600,THERAPY MGMT SERVICES 27746,A81000C,00400,0100,B 27746,A81000C,00400,0200,MERCY FITZGERALD 27746,A81000C,00400,0400,HEARTLAND MGMT SERVICES 27746,A81000C,00400,0600,THERAPY MGMT SERVICES 27746,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27746,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27746,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27746,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27746,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27746,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27746,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27746,B100000,00000,0800,00000MEALS SERVED :DIETARY 27746,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27746,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27746,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27746,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27746,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27746,S000000,00100,0200,10/17/2000 27746,S200000,00100,0100,600 SOUTH WYCOMBE AVENUE 27746,S200000,00200,0100,YEADON 27746,S200000,00200,0200,PA 27746,S200000,00200,0300,19050- 27746,S200000,00300,0100,DELAWARE 27746,S200000,00300,0200,6160 27746,S200000,00300,0300,U 27746,S200000,00400,0100,MERCY FITZGERALD- #616 27746,S200000,00400,0200,395989 27746,S200000,00400,0300,06/13/1996 27746,S200000,00400,0500,P 27746,S200000,00400,0600,P 27746,S200000,01004,0500,O 27746,S200000,01600,0100,Y 27746,S200000,02200,0100,Y 27754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27754,A000000,00300,0000,00300EMPLOYEE BENEFITS 27754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27754,A000000,00700,0000,00700HOUSEKEEPING 27754,A000000,00800,0000,00800DIETARY 27754,A000000,00900,0000,00900NURSING ADMINISTRATION 27754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27754,A000000,01100,0000,01100PHARMACY 27754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27754,A000000,01300,0000,01300SOCIAL SERVICE 27754,A000000,01350,0000,01500ACTIVITIES 27754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27754,A000000,01600,0000,01600SKILLED NURSING FACILITY 27754,A000000,01800,0000,01800NURSING FACILITY 27754,A000000,01900,0000,01900OTHER LONG TERM CARE 27754,A000000,02100,0000,02100RADIOLOGY 27754,A000000,02200,0000,02200LABORATORY 27754,A000000,02300,0000,02300INTRAVENOUS THERAPY 27754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27754,A000000,02500,0000,02500PHYSICAL THERAPY 27754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27754,A000000,02700,0000,02700SPEECH PATHOLOGY 27754,A000000,02800,0000,02800ELECTROCARDIOLOGY 27754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27754,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27754,A000000,03200,0000,03200SUPPORT SURFACES 27754,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27754,A000000,04800,0000,04800AMBULANCE 27754,A000000,05300,0000,05300INTEREST EXPENSE 27754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27754,A000000,06100,0000,06100NONPAID WORKERS 27754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27754,A000000,06200,0000,06200PATIENTS LAUNDRY 27754,A81000A,00100,0100,Y 27754,A81000B,00100,0300,HOME OFFICE COST 27754,A81000B,00200,0300,PT ADMIN FEES 27754,A81000B,00300,0300,OT ADMIN FEES 27754,A81000B,00400,0300,ST ADMIN FEES 27754,A81000C,00100,0100,B 27754,A81000C,00100,0200,MONROEVILLE 27754,A81000C,00100,0400,HCR MANORCARE INC. 27754,A81000C,00100,0600,LONG TERM CARE FACILITIES 27754,A81000C,00200,0100,B 27754,A81000C,00200,0200,MONROEVILLE 27754,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 27754,A81000C,00200,0600,THERAPY MGMT 27754,A81000C,00300,0100,B 27754,A81000C,00300,0200,MONROEVILLE 27754,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 27754,A81000C,00300,0600,THERAPY MGMT 27754,A81000C,00400,0100,B 27754,A81000C,00400,0200,MONROEVILLE 27754,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 27754,A81000C,00400,0600,THERAPY MGMT 27754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27754,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27754,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27754,B100000,00000,0800,00000MEALS SERVED :DIETARY 27754,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27754,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27754,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27754,S000000,00100,0200,10/27/2000 27754,S200000,00100,0100,885 MACBETH DRIVE 27754,S200000,00200,0100,MONROEVILLE 27754,S200000,00200,0200,PA 27754,S200000,00200,0300,15146- 27754,S200000,00300,0100,ALLEGHENY 27754,S200000,00300,0200,6280 27754,S200000,00300,0300,U 27754,S200000,00400,0100,MONROEVILLE 27754,S200000,00400,0200,396003 27754,S200000,00400,0300,08/01/1996 27754,S200000,00400,0500,P 27754,S200000,00400,0600,P 27754,S200000,01600,0100,Y 27754,S200000,02200,0100,Y 27757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27757,A000000,00300,0000,00300EMPLOYEE BENEFITS 27757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27757,A000000,00700,0000,00700HOUSEKEEPING 27757,A000000,00800,0000,00800DIETARY 27757,A000000,00900,0000,00900NURSING ADMINISTRATION 27757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27757,A000000,01100,0000,01100PHARMACY 27757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27757,A000000,01300,0000,01300SOCIAL SERVICE 27757,A000000,01350,0000,01500ACTIVITIES 27757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27757,A000000,01600,0000,01600SKILLED NURSING FACILITY 27757,A000000,01800,0000,01800NURSING FACILITY 27757,A000000,01900,0000,01900OTHER LONG TERM CARE 27757,A000000,02100,0000,02100RADIOLOGY 27757,A000000,02200,0000,02200LABORATORY 27757,A000000,02300,0000,02300INTRAVENOUS THERAPY 27757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27757,A000000,02500,0000,02500PHYSICAL THERAPY 27757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27757,A000000,02700,0000,02700SPEECH PATHOLOGY 27757,A000000,02800,0000,02800ELECTROCARDIOLOGY 27757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27757,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27757,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27757,A000000,03200,0000,03200SUPPORT SURFACES 27757,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27757,A000000,04800,0000,04800AMBULANCE 27757,A000000,05300,0000,05300INTEREST EXPENSE 27757,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27757,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27757,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27757,A000000,06100,0000,06100NONPAID WORKERS 27757,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27757,A000000,06200,0000,06200PATIENTS LAUNDRY 27757,A81000A,00100,0100,Y 27757,A81000B,00100,0300,HOME OFFICE COST 27757,A81000C,00100,0100,B 27757,A81000C,00100,0200,MCHS - WHITEHALL BOROUGH 27757,A81000C,00100,0400,HCR MANORCARE INC. 27757,A81000C,00100,0600,LONG TERM CARE FACILITIES 27757,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27757,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27757,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27757,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27757,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27757,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27757,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27757,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 27757,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27757,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27757,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27757,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27757,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27757,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27757,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27757,S000000,00100,0200,03/30/2000 27757,S200000,00100,0100,505 WEYMAN ROAD 27757,S200000,00200,0100,PITTSBURGH 27757,S200000,00200,0200,PA 27757,S200000,00200,0300,15236- 27757,S200000,00300,0100,ALLEGHENY 27757,S200000,00400,0100,MCHS - WHITEHALL BOROUGH 27757,S200000,00400,0200,396066 27757,S200000,00400,0300,09/23/1999 27757,S200000,00400,0500,P 27757,S200000,00400,0600,P 27757,S200000,01004,0500,O 27757,S200000,01600,0100,Y 27757,S200000,02200,0100,Y 27766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27766,A000000,00300,0000,00300EMPLOYEE BENEFITS 27766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27766,A000000,00700,0000,00700HOUSEKEEPING 27766,A000000,00800,0000,00800DIETARY 27766,A000000,00900,0000,00900NURSING ADMINISTRATION 27766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27766,A000000,01100,0000,01100PHARMACY 27766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27766,A000000,01300,0000,01300SOCIAL SERVICE 27766,A000000,01350,0000,01500ACTIVITIES 27766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27766,A000000,01600,0000,01600SKILLED NURSING FACILITY 27766,A000000,01800,0000,01800NURSING FACILITY 27766,A000000,01900,0000,01900OTHER LONG TERM CARE 27766,A000000,02100,0000,02100RADIOLOGY 27766,A000000,02200,0000,02200LABORATORY 27766,A000000,02300,0000,02300INTRAVENOUS THERAPY 27766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27766,A000000,02500,0000,02500PHYSICAL THERAPY 27766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27766,A000000,02700,0000,02700SPEECH PATHOLOGY 27766,A000000,02800,0000,02800ELECTROCARDIOLOGY 27766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27766,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27766,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27766,A000000,03200,0000,03200SUPPORT SURFACES 27766,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27766,A000000,04800,0000,04800AMBULANCE 27766,A000000,05300,0000,05300INTEREST EXPENSE 27766,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27766,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27766,A000000,06100,0000,06100NONPAID WORKERS 27766,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27766,A000000,06200,0000,06200PATIENTS LAUNDRY 27766,A81000A,00100,0100,Y 27766,A81000B,00100,0300,HOME OFFICE COST 27766,A81000B,00200,0300,PT ADMIN FEES 27766,A81000B,00300,0300,OT ADMIN FEES 27766,A81000B,00400,0300,ST ADMIN FEES 27766,A81000B,00500,0300,INTEREST EXPENSE 27766,A81000C,00100,0100,B 27766,A81000C,00100,0200,MCHS - COLUMBIA 27766,A81000C,00100,0400,HCR MANORCARE INC. 27766,A81000C,00100,0600,LONG TERM CARE FACILITIES 27766,A81000C,00200,0100,B 27766,A81000C,00200,0200,MCHS - COLUMBIA 27766,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 27766,A81000C,00200,0600,THERAPY MANAGEMENT 27766,A81000C,00300,0100,B 27766,A81000C,00300,0200,MCHS - COLUMBIA 27766,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 27766,A81000C,00300,0600,THERAPY MANAGEMENT 27766,A81000C,00400,0100,B 27766,A81000C,00400,0200,MCHS - COLUMBIA 27766,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 27766,A81000C,00400,0600,THERAPY MANAGEMENT 27766,A81000C,00500,0100,B 27766,A81000C,00500,0200,MCHS - COLUMBIA 27766,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 27766,A81000C,00500,0600,THERAPY MANAGEMENT 27766,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27766,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27766,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27766,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27766,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27766,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27766,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27766,B100000,00000,0800,00000MEALS SERVED :DIETARY 27766,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27766,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27766,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27766,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27766,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27766,S000000,00100,0200,10/17/2000 27766,S200000,00100,0100,2601 FOREST DRIVE 27766,S200000,00200,0100,COLUMBIA 27766,S200000,00200,0200,SC 27766,S200000,00200,0300,29204- 27766,S200000,00300,0100,HOWARD 27766,S200000,00300,0200,1760 27766,S200000,00300,0300,U 27766,S200000,00400,0100,MCHS - COLUMBIA 27766,S200000,00400,0200,425008 27766,S200000,00400,0300,02/28/1972 27766,S200000,00400,0500,P 27766,S200000,00400,0600,P 27766,S200000,01004,0500,O 27766,S200000,01600,0100,Y 27766,S200000,04300,0100,Y 27769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27769,A000000,00300,0000,00300EMPLOYEE BENEFITS 27769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27769,A000000,00700,0000,00700HOUSEKEEPING 27769,A000000,00800,0000,00800DIETARY 27769,A000000,00900,0000,00900NURSING ADMINISTRATION 27769,A000000,00901,0000,00910NURSING ADMIN MSU 27769,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27769,A000000,01100,0000,01100PHARMACY 27769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27769,A000000,01300,0000,01300SOCIAL SERVICE 27769,A000000,01350,0000,01500RECREATION ACTIVITIES 27769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27769,A000000,01600,0000,01600SKILLED NURSING FACILITY 27769,A000000,01800,0000,01800NURSING FACILITY 27769,A000000,01810,0000,01810ICF/MR 27769,A000000,02100,0000,02100RADIOLOGY 27769,A000000,02200,0000,02200LABORATORY 27769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27769,A000000,02500,0000,02500PHYSICAL THERAPY 27769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27769,A000000,02700,0000,02700SPEECH PATHOLOGY 27769,A000000,02800,0000,02800ELECTROCARDIOLOGY 27769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27769,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27769,A000000,03051,0000,03301ENTERAL FEEDING 27769,A000000,03550,0000,03550FQHC 27769,A000000,05000,0000,05000CORF 27769,A000000,05010,0000,05010CMHC 27769,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27769,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27769,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27769,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27769,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27769,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27769,A000000,06153,0000,06312DIALYSIS 27769,A000000,06154,0000,06320APARTMENTS 27769,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27769,A000000,06156,0000,06340CLOSED PATIENT AREAS 27769,A000000,06157,0000,06350O/P ADULT DAYCARE 27769,A81000A,00100,0100,Y 27769,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27769,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27769,A81000B,00300,0300,HOME OFFICE REHAB 27769,A81000B,00400,0300,HOME OFFICE REHAB 27769,A81000B,00500,0300,HOME OFFICE REHAB 27769,A81000B,00600,0300,SYMPHONY REHAB 27769,A81000B,00700,0300,SYMPHONY REHAB 27769,A81000B,00800,0300,SYMPHONY REHAB 27769,A81000B,00900,0300,CLINICAL HOME OFFICE 27769,A81000C,00100,0100,B 27769,A81000C,00100,0400,IHS INC. 27769,A81000C,00100,0600,NURSING HOMES 27769,A81000C,00200,0100,B 27769,A81000C,00200,0400,SYMPHONY REHAB 27769,A81000C,00200,0600,REHAB SERVICES 27769,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27769,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27769,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27769,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27769,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27769,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27769,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27769,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27769,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27769,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27769,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27769,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27769,E10A180,00301,0100,01/29/1999 27769,S000000,00100,0200,03/14/2000 27769,S200000,00100,0100,63 BLACKSTOCK ROAD 27769,S200000,00200,0100,INMAN 27769,S200000,00200,0200,SC 27769,S200000,00200,0300,29349- 27769,S200000,00300,0100,SPARTANBURG 27769,S200000,00300,0200,3160 27769,S200000,00300,0300,U 27769,S200000,00400,0100,MAGNOLIA MANOR OF INMAN 27769,S200000,00400,0200,425032 27769,S200000,00400,0300,04/01/1993 27769,S200000,00400,0500,P 27769,S200000,00600,0200,425032 27769,S200000,00600,0300,04/01/1993 27769,S200000,00600,0600,P 27769,S200000,01600,0100,Y 27769,S200000,02200,0100,Y 27778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27778,A000000,00300,0000,00300EMPLOYEE BENEFITS 27778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27778,A000000,00700,0000,00700HOUSEKEEPING 27778,A000000,00800,0000,00800DIETARY 27778,A000000,00900,0000,00900NURSING ADMINISTRATION 27778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27778,A000000,01100,0000,01100PHARMACY 27778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27778,A000000,01300,0000,01300SOCIAL SERVICE 27778,A000000,01350,0000,01500RECREATION ACTIVITIES 27778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27778,A000000,01600,0000,01600SKILLED NURSING FACILITY 27778,A000000,01800,0000,01800NURSING FACILITY 27778,A000000,01810,0000,01810ICF/MR 27778,A000000,02100,0000,02100RADIOLOGY 27778,A000000,02200,0000,02200LABORATORY 27778,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27778,A000000,02500,0000,02500PHYSICAL THERAPY 27778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27778,A000000,02700,0000,02700SPEECH PATHOLOGY 27778,A000000,02800,0000,02800ELECTROCARDIOLOGY 27778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27778,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27778,A000000,03051,0000,03301ENTERAL FEEDING 27778,A000000,03550,0000,03550FQHC 27778,A000000,05000,0000,05000CORF 27778,A000000,05010,0000,05010CMHC 27778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27778,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27778,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27778,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27778,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27778,A000000,06153,0000,06312DIALYSIS 27778,A000000,06154,0000,06320APARTMENTS 27778,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27778,A000000,06156,0000,06340CLOSED PATIENT AREAS 27778,A000000,06157,0000,06350O/P ADULT DAYCARE 27778,A81000A,00100,0100,Y 27778,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27778,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27778,A81000B,00300,0300,MSU DEVELOPMENT COST 27778,A81000B,00400,0300,SYMPHONY REHAB 27778,A81000B,00500,0300,SYMPHONY REHAB 27778,A81000B,00600,0300,SYMPHONY REHAB 27778,A81000B,00700,0300,REHAB ALLOCATION 27778,A81000B,00800,0300,REHAB ALLOCATION 27778,A81000B,00900,0300,REHAB ALLOCATION 27778,A81000B,01000,0300,CLINICAL ALLOCATION 27778,A81000C,00100,0100,B 27778,A81000C,00100,0400,IHS INC. 27778,A81000C,00100,0600,NURSING HOMES 27778,A81000C,00200,0100,B 27778,A81000C,00200,0400,SYMPHONY REHAB 27778,A81000C,00200,0600,REHAB SERVICES 27778,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27778,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27778,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27778,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27778,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27778,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27778,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27778,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27778,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27778,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27778,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27778,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27778,E10A180,00301,0100,12/03/1999 27778,E10A180,00351,0100,03/18/1999 27778,E10A180,00353,0100,05/18/2000 27778,E10A180,00501,0300,05/31/2000 27778,E10A180,00550,0100,05/31/2000 27778,S000000,00100,0200,06/01/2000 27778,S200000,00100,0100,2375 BAKER HOSPITAL BLVD 27778,S200000,00200,0100,CHARLESTON 27778,S200000,00200,0200,SC 27778,S200000,00200,0300,29405- 27778,S200000,00300,0100,CHARLESTON 27778,S200000,00300,0200,1440 27778,S200000,00300,0300,U 27778,S200000,00400,0100,IHS-CHARLESTON AT DRIFTWOOD 27778,S200000,00400,0200,425082 27778,S200000,00400,0300,09/01/1979 27778,S200000,00400,0500,P 27778,S200000,00400,0600,O 27778,S200000,00600,0200,425082 27778,S200000,00600,0300,09/01/1979 27778,S200000,00600,0600,P 27778,S200000,01600,0100,Y 27778,S200000,02200,0100,Y 27781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27781,A000000,00300,0000,00300EMPLOYEE BENEFITS 27781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27781,A000000,00700,0000,00700HOUSEKEEPING 27781,A000000,00800,0000,00800DIETARY 27781,A000000,00900,0000,00900NURSING ADMINISTRATION 27781,A000000,00901,0000,00910NURSING ADMIN MSU 27781,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27781,A000000,01100,0000,01100PHARMACY 27781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27781,A000000,01300,0000,01300SOCIAL SERVICE 27781,A000000,01350,0000,01500RECREATION ACTIVITIES 27781,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27781,A000000,01600,0000,01600SKILLED NURSING FACILITY 27781,A000000,01800,0000,01800NURSING FACILITY 27781,A000000,01810,0000,01810ICF/MR 27781,A000000,02100,0000,02100RADIOLOGY 27781,A000000,02200,0000,02200LABORATORY 27781,A000000,02500,0000,02500PHYSICAL THERAPY 27781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27781,A000000,02700,0000,02700SPEECH PATHOLOGY 27781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27781,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27781,A000000,03051,0000,03301ENTERAL FEEDING 27781,A000000,03550,0000,03550FQHC 27781,A000000,05000,0000,05000CORF 27781,A000000,05010,0000,05010CMHC 27781,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27781,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27781,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27781,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27781,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27781,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27781,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27781,A000000,06153,0000,06312DIALYSIS 27781,A000000,06154,0000,06320APARTMENTS 27781,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27781,A000000,06156,0000,06340CLOSED PATIENT AREAS 27781,A000000,06157,0000,06350O/P ADULT DAYCARE 27781,A81000A,00100,0100,Y 27781,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27781,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27781,A81000B,00300,0300,HOME OFFICE CLINICAL 27781,A81000B,00400,0300,REHAB ALLOCATION 27781,A81000B,00500,0300,REHAB ALLCOATION 27781,A81000B,00600,0300,REHAB ALLOCATION 27781,A81000C,00100,0100,B 27781,A81000C,00100,0400,IHS INC. 27781,A81000C,00100,0600,NURSING HOMES 27781,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27781,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27781,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27781,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27781,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27781,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27781,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27781,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27781,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27781,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27781,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27781,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27781,E10A180,00301,0100,01/29/1999 27781,S000000,00100,0200,03/14/2000 27781,S200000,00100,0100,411 ANSEL STREET 27781,S200000,00200,0100,GREENVILLE 27781,S200000,00200,0200,SC 27781,S200000,00200,0300,29601- 27781,S200000,00300,0100,GREENVILLE 27781,S200000,00300,0200,3120 27781,S200000,00300,0300,U 27781,S200000,00400,0100,MAGNOLIA MANOR - GREENVILLE 27781,S200000,00400,0200,425090 27781,S200000,00400,0300,07/01/1993 27781,S200000,00400,0500,P 27781,S200000,00600,0200,425090 27781,S200000,00600,0300,07/01/1993 27781,S200000,00600,0600,P 27781,S200000,01600,0100,Y 27781,S200000,02200,0100,Y 27785,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27785,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27785,A000000,00300,0000,00300EMPLOYEE BENEFITS 27785,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27785,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27785,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27785,A000000,00700,0000,00700HOUSEKEEPING 27785,A000000,00800,0000,00800DIETARY 27785,A000000,00900,0000,00900NURSING ADMINISTRATION 27785,A000000,00901,0000,00910NURSING ADMIN MSU 27785,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27785,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27785,A000000,01100,0000,01100PHARMACY 27785,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27785,A000000,01300,0000,01300SOCIAL SERVICE 27785,A000000,01350,0000,01500RECREATION ACTIVITIES 27785,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27785,A000000,01600,0000,01600SKILLED NURSING FACILITY 27785,A000000,01800,0000,01800NURSING FACILITY 27785,A000000,01810,0000,01810ICF/MR 27785,A000000,02100,0000,02100RADIOLOGY 27785,A000000,02200,0000,02200LABORATORY 27785,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27785,A000000,02500,0000,02500PHYSICAL THERAPY 27785,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27785,A000000,02700,0000,02700SPEECH PATHOLOGY 27785,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27785,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27785,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27785,A000000,03051,0000,03301ENTERAL FEEDING 27785,A000000,03550,0000,03550FQHC 27785,A000000,05000,0000,05000CORF 27785,A000000,05010,0000,05010CMHC 27785,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27785,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27785,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27785,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27785,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27785,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27785,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27785,A000000,06153,0000,06312DIALYSIS 27785,A000000,06154,0000,06320APARTMENTS 27785,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27785,A000000,06156,0000,06340CLOSED PATIENT AREAS 27785,A000000,06157,0000,06350O/P ADULT DAYCARE 27785,A81000A,00100,0100,Y 27785,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27785,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27785,A81000B,00300,0300,HO CLINICAL NURSING 27785,A81000B,00400,0300,H.O. PT REHAB ALLOC 27785,A81000B,00500,0300,H.O. OT REHAB ALLOC 27785,A81000B,00600,0300,H.O. ST REHAB ALLOC 27785,A81000C,00100,0100,B 27785,A81000C,00100,0200,IHS INC. 27785,A81000C,00100,0400,IHS INC. 27785,A81000C,00100,0600,NURSING HOMES 27785,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27785,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27785,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27785,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27785,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27785,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27785,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27785,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27785,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27785,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27785,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27785,E10A180,00301,0100,01/29/1999 27785,S000000,00100,0200,03/14/2000 27785,S200000,00100,0100,375 SERPENTINE DRIVE 27785,S200000,00200,0100,SPARTANBURG 27785,S200000,00200,0200,SC 27785,S200000,00200,0300,29303- 27785,S200000,00300,0100,SPARTANBURG 27785,S200000,00300,0200,3160 27785,S200000,00300,0300,U 27785,S200000,00400,0100,MAGNOLIA MNR - SPARTANBURG 27785,S200000,00400,0200,425091 27785,S200000,00400,0300,04/01/1993 27785,S200000,00400,0500,P 27785,S200000,00600,0200,425091 27785,S200000,00600,0300,04/01/1993 27785,S200000,00600,0600,P 27785,S200000,01600,0100,Y 27785,S200000,02200,0100,Y 27800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27800,A000000,00300,0000,00300EMPLOYEE BENEFITS 27800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27800,A000000,00700,0000,00700HOUSEKEEPING 27800,A000000,00800,0000,00800DIETARY 27800,A000000,00900,0000,00900NURSING ADMINISTRATION 27800,A000000,00901,0000,00910NURSING ADMIN MSU 27800,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27800,A000000,01100,0000,01100PHARMACY 27800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27800,A000000,01300,0000,01300SOCIAL SERVICE 27800,A000000,01350,0000,01500RECREATION ACTIVITIES 27800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27800,A000000,01600,0000,01600SKILLED NURSING FACILITY 27800,A000000,01810,0000,01810ICF/MR 27800,A000000,02100,0000,02100RADIOLOGY 27800,A000000,02200,0000,02200LABORATORY 27800,A000000,02500,0000,02500PHYSICAL THERAPY 27800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27800,A000000,02700,0000,02700SPEECH PATHOLOGY 27800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27800,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27800,A000000,03051,0000,03301ENTERAL FEEDING 27800,A000000,03550,0000,03550FQHC 27800,A000000,05000,0000,05000CORF 27800,A000000,05010,0000,05010CMHC 27800,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27800,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27800,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27800,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27800,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27800,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27800,A000000,06153,0000,06312DIALYSIS 27800,A000000,06154,0000,06320APARTMENTS 27800,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27800,A000000,06156,0000,06340CLOSED PATIENT AREAS 27800,A000000,06157,0000,06350O/P ADULT DAYCARE 27800,A81000A,00100,0100,Y 27800,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27800,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27800,A81000B,00300,0300,HOME OFFICE REHAB 27800,A81000B,00400,0300,HOME OFFICE REHAB 27800,A81000B,00500,0300,HOME OFFICE REHAB 27800,A81000B,00600,0300,SYMPHONY REHAB 27800,A81000B,00700,0300,SYMPHONY REHAB 27800,A81000B,00800,0300,SYMPHONY REHAB 27800,A81000B,00900,0300,CLINICAL HOME OFFICE 27800,A81000C,00100,0100,B 27800,A81000C,00100,0400,IHS INC. 27800,A81000C,00100,0600,NURSING HOMES 27800,A81000C,00200,0100,B 27800,A81000C,00200,0400,SYMPHONY REHAB 27800,A81000C,00200,0600,REHAB SERVICES 27800,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27800,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27800,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27800,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27800,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27800,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27800,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27800,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27800,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27800,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27800,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27800,E10A180,00301,0100,01/29/1999 27800,S000000,00100,0200,03/14/2000 27800,S200000,00100,0100,51 N. MAIN STREET 27800,S200000,00100,0300,669 27800,S200000,00200,0100,INMAN 27800,S200000,00200,0200,SC 27800,S200000,00200,0300,29349- 27800,S200000,00300,0100,SPARTANBURG 27800,S200000,00300,0300,U 27800,S200000,00400,0100,INMAN HEALTHCARE 27800,S200000,00400,0200,425122 27800,S200000,00400,0300,10/01/1977 27800,S200000,00400,0500,P 27800,S200000,00400,0600,O 27800,S200000,00600,0200,425122 27800,S200000,00600,0300,10/01/1977 27800,S200000,00600,0600,P 27800,S200000,01500,0100,Y 27800,S200000,02200,0100,Y 27804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27804,A000000,00300,0000,00300EMPLOYEE BENEFITS 27804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27804,A000000,00700,0000,00700HOUSEKEEPING 27804,A000000,00800,0000,00800DIETARY 27804,A000000,00900,0000,00900NURSING ADMINISTRATION 27804,A000000,00901,0000,00910NURSING ADMIN MSU 27804,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27804,A000000,01100,0000,01100PHARMACY 27804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27804,A000000,01300,0000,01300SOCIAL SERVICE 27804,A000000,01350,0000,01500RECREATION ACTIVITIES 27804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27804,A000000,01600,0000,01600SKILLED NURSING FACILITY 27804,A000000,01800,0000,01800NURSING FACILITY 27804,A000000,01810,0000,01810ICF/MR 27804,A000000,02100,0000,02100RADIOLOGY 27804,A000000,02200,0000,02200LABORATORY 27804,A000000,02500,0000,02500PHYSICAL THERAPY 27804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27804,A000000,02700,0000,02700SPEECH PATHOLOGY 27804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27804,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27804,A000000,03051,0000,03301ENTERAL FEEDING 27804,A000000,03550,0000,03550FQHC 27804,A000000,05000,0000,05000CORF 27804,A000000,05010,0000,05010CMHC 27804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27804,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27804,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27804,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27804,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27804,A000000,06153,0000,06312DIALYSIS 27804,A000000,06154,0000,06320APARTMENTS 27804,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27804,A000000,06156,0000,06340CLOSED PATIENT AREAS 27804,A000000,06157,0000,06350O/P ADULT DAYCARE 27804,A81000A,00100,0100,Y 27804,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27804,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27804,A81000B,00300,0300,HOME OFFICE CLINICAL 27804,A81000B,00400,0300,HOME OFFICE REHAB 27804,A81000B,00500,0300,HOME OFFICE REHAB 27804,A81000B,00600,0300,HOME OFFICE REHAB 27804,A81000B,00700,0300,SYMPHONY REHAB 27804,A81000C,00100,0100,B 27804,A81000C,00100,0400,IHS INC. 27804,A81000C,00100,0600,NURSING HOMES 27804,A81000C,00200,0100,B 27804,A81000C,00200,0400,SYMPHONY REHAB 27804,A81000C,00200,0600,REHAB SERVICES 27804,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27804,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27804,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27804,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27804,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27804,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27804,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27804,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27804,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27804,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27804,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27804,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27804,E10A180,00301,0100,01/29/1999 27804,S000000,00100,0200,03/14/2000 27804,S200000,00100,0100,505 S. LIVE OAK DRIVE 27804,S200000,00200,0100,MONCKS CORNER 27804,S200000,00200,0200,SC 27804,S200000,00200,0300,29461- 27804,S200000,00300,0100,BERKELEY 27804,S200000,00300,0200,1440 27804,S200000,00300,0300,U 27804,S200000,00400,0100,MAGNOLIA MANOR - MONCKS CORNER 27804,S200000,00400,0200,425140 27804,S200000,00400,0300,04/01/1993 27804,S200000,00400,0500,P 27804,S200000,00600,0200,425140 27804,S200000,00600,0300,04/01/1993 27804,S200000,00600,0600,P 27804,S200000,01600,0100,Y 27804,S200000,02200,0100,Y 27813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27813,A000000,00300,0000,00300EMPLOYEE BENEFITS 27813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27813,A000000,00700,0000,00700HOUSEKEEPING 27813,A000000,00800,0000,00800DIETARY 27813,A000000,00900,0000,00900NURSING ADMINISTRATION 27813,A000000,00901,0000,00910NURSING ADMIN MSU 27813,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27813,A000000,01100,0000,01100PHARMACY 27813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27813,A000000,01300,0000,01300SOCIAL SERVICE 27813,A000000,01350,0000,01500RECREATION ACTIVITIES 27813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27813,A000000,01600,0000,01600SKILLED NURSING FACILITY 27813,A000000,01800,0000,01800NURSING FACILITY 27813,A000000,01810,0000,01810ICF/MR 27813,A000000,02100,0000,02100RADIOLOGY 27813,A000000,02200,0000,02200LABORATORY 27813,A000000,02500,0000,02500PHYSICAL THERAPY 27813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27813,A000000,02700,0000,02700SPEECH PATHOLOGY 27813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27813,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27813,A000000,03051,0000,03301ENTERAL FEEDING 27813,A000000,03550,0000,03550FQHC 27813,A000000,05000,0000,05000CORF 27813,A000000,05010,0000,05010CMHC 27813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27813,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27813,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27813,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27813,A000000,06153,0000,06312DIALYSIS 27813,A000000,06154,0000,06320APARTMENTS 27813,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27813,A000000,06156,0000,06340CLOSED PATIENT AREAS 27813,A000000,06157,0000,06350O/P ADULT DAYCARE 27813,A81000A,00100,0100,Y 27813,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27813,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27813,A81000B,00300,0300,HOME OFFICE CLINICAL 27813,A81000B,00400,0300,REHAB ALLOCATION 27813,A81000B,00500,0300,REHAB ALLOCATION 27813,A81000B,00600,0300,REHAB ALLOCATION 27813,A81000C,00100,0100,B 27813,A81000C,00100,0400,IHS INC. 27813,A81000C,00100,0600,NURSING HOMES 27813,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27813,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27813,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27813,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27813,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27813,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27813,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27813,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27813,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27813,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27813,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27813,B100000,00000,1350,00050(PATIENT DATYS) :RECREATION ACTIVI 27813,E10A180,00301,0100,01/29/1999 27813,S000000,00100,0200,03/14/2000 27813,S200000,00100,0100,127 MURRAH DRIVE 27813,S200000,00200,0100,ROCK HILL 27813,S200000,00200,0200,SC 27813,S200000,00200,0300,29732- 27813,S200000,00300,0100,YORK 27813,S200000,00300,0200,1520 27813,S200000,00300,0300,U 27813,S200000,00400,0100,MAGNOLIA MANOR - ROCK HILL 27813,S200000,00400,0200,425165 27813,S200000,00400,0300,04/01/1993 27813,S200000,00400,0500,P 27813,S200000,00600,0200,425165 27813,S200000,00600,0300,04/01/1993 27813,S200000,00600,0600,P 27813,S200000,01600,0100,Y 27813,S200000,02200,0100,Y 27817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27817,A000000,00300,0000,00300EMPLOYEE BENEFITS 27817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27817,A000000,00700,0000,00700HOUSEKEEPING 27817,A000000,00800,0000,00800DIETARY 27817,A000000,00900,0000,00900NURSING ADMINISTRATION 27817,A000000,00901,0000,00910NURSING ADMIN MSU 27817,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27817,A000000,01100,0000,01100PHARMACY 27817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27817,A000000,01300,0000,01300SOCIAL SERVICE 27817,A000000,01350,0000,01500RECREATION ACTIVITIES 27817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27817,A000000,01600,0000,01600SKILLED NURSING FACILITY 27817,A000000,01800,0000,01800NURSING FACILITY 27817,A000000,01810,0000,01810ICF/MR 27817,A000000,02100,0000,02100RADIOLOGY 27817,A000000,02200,0000,02200LABORATORY 27817,A000000,02500,0000,02500PHYSICAL THERAPY 27817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27817,A000000,02700,0000,02700SPEECH PATHOLOGY 27817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27817,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27817,A000000,03051,0000,03301ENTERAL FEEDING 27817,A000000,03550,0000,03550FQHC 27817,A000000,05000,0000,05000CORF 27817,A000000,05010,0000,05010CMHC 27817,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27817,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27817,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27817,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27817,A000000,06153,0000,06312DIALYSIS 27817,A000000,06154,0000,06320APARTMENTS 27817,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27817,A000000,06156,0000,06340CLOSED PATIENT AREAS 27817,A000000,06157,0000,06350O/P ADULT DAYCARE 27817,A81000A,00100,0100,Y 27817,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27817,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27817,A81000B,00300,0300,CLINICAL HOME OFFICE 27817,A81000B,00400,0300,HOME OFFICE REHAB 27817,A81000B,00500,0300,HOME OFFICE REHAB 27817,A81000B,00600,0300,HOME OFFICE REHAB 27817,A81000B,00700,0300,REHAB SERVICE 27817,A81000C,00100,0100,B 27817,A81000C,00100,0400,IHS INC. 27817,A81000C,00100,0600,NURSING HOMES 27817,A81000C,00200,0100,B 27817,A81000C,00200,0400,SYMPHONY REHAB 27817,A81000C,00200,0600,REHAB SERVICES 27817,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27817,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27817,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27817,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27817,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27817,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27817,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27817,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27817,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27817,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27817,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27817,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27817,E10A180,00301,0100,01/29/1999 27817,E10A180,00501,0100,03/14/2000 27817,E10A180,00550,0300,03/14/2000 27817,S000000,00100,0200,03/14/2000 27817,S200000,00100,0100,1415 PARKWAY 27817,S200000,00200,0100,GREENWOOD 27817,S200000,00200,0200,SC 27817,S200000,00200,0300,29646- 27817,S200000,00300,0100,GREENWOOD 27817,S200000,00300,0200,42 27817,S200000,00300,0300,R 27817,S200000,00400,0100,MAGNOLIA MANOR - GREENWOOD 27817,S200000,00400,0200,425172 27817,S200000,00400,0300,01/01/1989 27817,S200000,00400,0500,P 27817,S200000,00600,0200,425172 27817,S200000,00600,0300,01/01/1989 27817,S200000,00600,0600,P 27817,S200000,01500,0100,Y 27817,S200000,02200,0100,Y 27821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27821,A000000,00300,0000,00300EMPLOYEE BENEFITS 27821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27821,A000000,00700,0000,00700HOUSEKEEPING 27821,A000000,00800,0000,00800DIETARY 27821,A000000,00900,0000,00900NURSING ADMINISTRATION 27821,A000000,00901,0000,00910NURSING ADMIN MSU 27821,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27821,A000000,01100,0000,01100PHARMACY 27821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27821,A000000,01300,0000,01300SOCIAL SERVICE 27821,A000000,01350,0000,01500RECREATION ACTIVITIES 27821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27821,A000000,01600,0000,01600SKILLED NURSING FACILITY 27821,A000000,01800,0000,01800NURSING FACILITY 27821,A000000,01810,0000,01810ICF/MR 27821,A000000,02100,0000,02100RADIOLOGY 27821,A000000,02200,0000,02200LABORATORY 27821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27821,A000000,02500,0000,02500PHYSICAL THERAPY 27821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27821,A000000,02700,0000,02700SPEECH PATHOLOGY 27821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27821,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27821,A000000,03051,0000,03301ENTERAL FEEDING 27821,A000000,03550,0000,03550FQHC 27821,A000000,05000,0000,05000CORF 27821,A000000,05010,0000,05010CMHC 27821,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27821,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27821,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27821,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27821,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27821,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27821,A000000,06153,0000,06312DIALYSIS 27821,A000000,06154,0000,06320APARTMENTS 27821,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27821,A000000,06156,0000,06340CLOSED PATIENT AREAS 27821,A000000,06157,0000,06350O/P ADULT DAYCARE 27821,A81000A,00100,0100,Y 27821,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27821,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27821,A81000B,00300,0300,HO CLINICAL NURSING 27821,A81000B,00400,0300,H.O. PT REHAB ALLOC 27821,A81000B,00500,0300,H.O. OT REHAB ALLOC 27821,A81000B,00600,0300,H.O. ST REHAB ALLOC 27821,A81000C,00100,0100,B 27821,A81000C,00100,0400,IHS INC. 27821,A81000C,00100,0600,NURSING HOMES 27821,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27821,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27821,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27821,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27821,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27821,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27821,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27821,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27821,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27821,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27821,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27821,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27821,E10A180,00501,0100,03/14/2000 27821,E10A180,00550,0300,03/14/2000 27821,S000000,00100,0200,03/14/2000 27821,S200000,00100,0100,8020 WHITE AVENUE 27821,S200000,00200,0100,SPARTANBURG 27821,S200000,00200,0200,SC 27821,S200000,00200,0300,29303- 27821,S200000,00300,0100,SPARTANBURG 27821,S200000,00300,0200,3160 27821,S200000,00300,0300,U 27821,S200000,00400,0100,MAGNOLIA PLACE - SPARTANBURG 27821,S200000,00400,0200,425175 27821,S200000,00400,0300,09/29/1989 27821,S200000,00400,0500,P 27821,S200000,00400,0600,O 27821,S200000,00600,0200,425175 27821,S200000,00600,0300,09/29/1989 27821,S200000,00600,0600,P 27821,S200000,01600,0100,Y 27821,S200000,02200,0100,Y 27827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27827,A000000,00300,0000,00300EMPLOYEE BENEFITS 27827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27827,A000000,00700,0000,00700HOUSEKEEPING 27827,A000000,00800,0000,00800DIETARY 27827,A000000,00900,0000,00900NURSING ADMINISTRATION 27827,A000000,00901,0000,00910NURSING ADMIN MSU 27827,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27827,A000000,01100,0000,01100PHARMACY 27827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27827,A000000,01300,0000,01300SOCIAL SERVICE 27827,A000000,01350,0000,01500RECREATION ACTIVITIES 27827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27827,A000000,01600,0000,01600SKILLED NURSING FACILITY 27827,A000000,01810,0000,01810ICF/MR 27827,A000000,02100,0000,02100RADIOLOGY 27827,A000000,02200,0000,02200LABORATORY 27827,A000000,02500,0000,02500PHYSICAL THERAPY 27827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27827,A000000,02700,0000,02700SPEECH PATHOLOGY 27827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27827,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27827,A000000,03051,0000,03301ENTERAL FEEDING 27827,A000000,03550,0000,03550FQHC 27827,A000000,05000,0000,05000CORF 27827,A000000,05010,0000,05010CMHC 27827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27827,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27827,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27827,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27827,A000000,06153,0000,06312DIALYSIS 27827,A000000,06154,0000,06320APARTMENTS 27827,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27827,A000000,06156,0000,06340CLOSED PATIENT AREAS 27827,A000000,06157,0000,06350O/P ADULT DAYCARE 27827,A81000A,00100,0100,Y 27827,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27827,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27827,A81000B,00400,0300,SYMPHONY REHAB 27827,A81000B,00700,0300,REHAB ALLOCATION 27827,A81000B,00800,0300,REHAB ALLOCATION 27827,A81000B,00900,0300,REHAB ALLOCATION 27827,A81000B,01000,0300,CLINICAL ALLOCATION 27827,A81000C,00100,0100,B 27827,A81000C,00100,0400,IHS INC. 27827,A81000C,00100,0600,NURSING HOMES 27827,A81000C,00200,0100,G 27827,A81000C,00200,0400,SYMPHONY REHAB 27827,A81000C,00200,0600,REHAB SERVICES 27827,A81000C,00300,0100,G 27827,A81000C,00300,0400,LTC MED LAB 27827,A81000C,00300,0600,LABORATORY 27827,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27827,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27827,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27827,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27827,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27827,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27827,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27827,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27827,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27827,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27827,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27827,S000000,00100,0200,06/01/2000 27827,S200000,00100,0100,1114 E GEORGIA ST 27827,S200000,00200,0100,WOODRUFF 27827,S200000,00200,0200,SC 27827,S200000,00200,0300,29388- 27827,S200000,00300,0100,SPARTANBURG 27827,S200000,00300,0200,3160 27827,S200000,00300,0300,U 27827,S200000,00400,0100,WOODRUFF HEALTHCARE 27827,S200000,00400,0200,425179 27827,S200000,00400,0300,01/05/1990 27827,S200000,00400,0500,P 27827,S200000,00600,0200,425179 27827,S200000,00600,0300,01/05/1990 27827,S200000,00600,0600,P 27827,S200000,01500,0100,Y 27827,S200000,02200,0100,Y 27830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27830,A000000,00300,0000,00300EMPLOYEE BENEFITS 27830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27830,A000000,00700,0000,00700HOUSEKEEPING 27830,A000000,00800,0000,00800DIETARY 27830,A000000,00900,0000,00900NURSING ADMINISTRATION 27830,A000000,00901,0000,00910NURSING ADMIN MSU 27830,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27830,A000000,01100,0000,01100PHARMACY 27830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27830,A000000,01300,0000,01300SOCIAL SERVICE 27830,A000000,01350,0000,01500RECREATION ACTIVITIES 27830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27830,A000000,01600,0000,01600SKILLED NURSING FACILITY 27830,A000000,01800,0000,01800NURSING FACILITY 27830,A000000,01810,0000,01810ICF/MR 27830,A000000,02100,0000,02100RADIOLOGY 27830,A000000,02200,0000,02200LABORATORY 27830,A000000,02500,0000,02500PHYSICAL THERAPY 27830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27830,A000000,02700,0000,02700SPEECH PATHOLOGY 27830,A000000,02800,0000,02800ELECTROCARDIOLOGY 27830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27830,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27830,A000000,03051,0000,03301ENTERAL FEEDING 27830,A000000,03550,0000,03550FQHC 27830,A000000,05000,0000,05000CORF 27830,A000000,05010,0000,05010CMHC 27830,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27830,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27830,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27830,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27830,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27830,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27830,A000000,06153,0000,06312DIALYSIS 27830,A000000,06154,0000,06320APARTMENTS 27830,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27830,A000000,06156,0000,06340CLOSED PATIENT AREAS 27830,A000000,06157,0000,06350O/P ADULT DAYCARE 27830,A81000A,00100,0100,Y 27830,A81000B,00100,0300,IHS H.O. CAPITAL 27830,A81000B,00200,0300,IHS H.O. A&G 27830,A81000B,00300,0300,IHS H.O. CLINICAL 27830,A81000B,00400,0300,IHS REHAB ALLOC 27830,A81000B,00500,0300,IHS REHAB ALLOC 27830,A81000B,00600,0300,IHS REHAB ALLOC 27830,A81000C,00100,0100,B 27830,A81000C,00100,0200,IHS INC. 27830,A81000C,00100,0400,IHS INC. 27830,A81000C,00100,0600,NURSING HOMES 27830,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27830,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27830,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27830,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27830,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27830,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27830,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27830,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27830,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27830,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27830,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27830,E10A180,00304,0100,01/29/1999 27830,S000000,00100,0200,03/14/2000 27830,S200000,00100,0100,1007 NORTH KING STREET 27830,S200000,00200,0100,COLUMBIA 27830,S200000,00200,0200,SC 27830,S200000,00200,0300,29223- 27830,S200000,00300,0100,RICHLAND 27830,S200000,00300,0200,1760 27830,S200000,00300,0300,U 27830,S200000,00400,0100,MAGNOLIA MANOR - COLUMBIA 27830,S200000,00400,0200,425287 27830,S200000,00400,0300,07/01/1993 27830,S200000,00400,0500,P 27830,S200000,00600,0200,425287 27830,S200000,00600,0300,07/01/1993 27830,S200000,00600,0600,P 27830,S200000,01600,0100,Y 27830,S200000,02200,0100,Y 27834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27834,A000000,00300,0000,00300EMPLOYEE BENEFITS 27834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27834,A000000,00700,0000,00700HOUSEKEEPING 27834,A000000,00800,0000,00800DIETARY 27834,A000000,00900,0000,00900NURSING ADMINISTRATION 27834,A000000,00901,0000,00910NURSING ADMIN MSU 27834,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27834,A000000,01100,0000,01100PHARMACY 27834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27834,A000000,01300,0000,01300SOCIAL SERVICE 27834,A000000,01350,0000,01500RECREATION ACTIVITIES 27834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27834,A000000,01600,0000,01600SKILLED NURSING FACILITY 27834,A000000,01800,0000,01800NURSING FACILITY 27834,A000000,01810,0000,01810ICF/MR 27834,A000000,02100,0000,02100RADIOLOGY 27834,A000000,02200,0000,02200LABORATORY 27834,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27834,A000000,02500,0000,02500PHYSICAL THERAPY 27834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27834,A000000,02700,0000,02700SPEECH PATHOLOGY 27834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27834,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27834,A000000,03051,0000,03301ENTERAL FEEDING 27834,A000000,03550,0000,03550FQHC 27834,A000000,05000,0000,05000CORF 27834,A000000,05010,0000,05010CMHC 27834,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27834,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27834,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27834,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27834,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27834,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27834,A000000,06153,0000,06312DIALYSIS 27834,A000000,06154,0000,06320APARTMENTS 27834,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27834,A000000,06156,0000,06340CLOSED PATIENT AREAS 27834,A000000,06157,0000,06350O/P ADULT DAYCARE 27834,A81000A,00100,0100,Y 27834,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27834,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27834,A81000B,00400,0300,REHAB ALLOCATION 27834,A81000B,00500,0300,REHAB ALLOCATION 27834,A81000B,00600,0300,REHAB ALLOCATION 27834,A81000B,00700,0300,HOME OFFICE CLINICAL 27834,A81000B,00800,0300,SYMPHONY REHAB 27834,A81000C,00100,0100,B 27834,A81000C,00100,0400,IHS INC. 27834,A81000C,00100,0600,NURSING HOMES 27834,A81000C,00200,0400,SYMPHONY REHAB 27834,A81000C,00200,0600,REHAB SERVICES 27834,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27834,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27834,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27834,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27834,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27834,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27834,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27834,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27834,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27834,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27834,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27834,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27834,E10A180,00304,0100,01/29/1999 27834,S000000,00100,0200,03/14/2000 27834,S200000,00100,0100,58 BLACKSTOCK ROAD 27834,S200000,00100,0300,9 27834,S200000,00200,0100,INMAN 27834,S200000,00200,0200,SC 27834,S200000,00200,0300,29349- 27834,S200000,00300,0100,SPARTANBURG 27834,S200000,00300,0200,3160 27834,S200000,00300,0300,U 27834,S200000,00400,0100,MAGNOLIA MANOR AT CAMP CARE 27834,S200000,00400,0200,425303 27834,S200000,00400,0300,02/15/1991 27834,S200000,00400,0500,P 27834,S200000,00600,0200,425303 27834,S200000,00600,0300,02/15/1991 27834,S200000,00600,0600,P 27834,S200000,01600,0100,Y 27834,S200000,02200,0100,Y 27838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27838,A000000,00300,0000,00300EMPLOYEE BENEFITS 27838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27838,A000000,00700,0000,00700HOUSEKEEPING 27838,A000000,00800,0000,00800DIETARY 27838,A000000,00900,0000,00900NURSING ADMINISTRATION 27838,A000000,00901,0000,00910NURSING ADMIN MSU 27838,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 27838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27838,A000000,01100,0000,01100PHARMACY 27838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27838,A000000,01300,0000,01300SOCIAL SERVICE 27838,A000000,01350,0000,01500RECREATION ACVTIVITIES 27838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27838,A000000,01600,0000,01600SKILLED NURSING FACILITY 27838,A000000,01800,0000,01800NURSING FACILITY 27838,A000000,01810,0000,01810ICF/MR 27838,A000000,02100,0000,02100RADIOLOGY 27838,A000000,02200,0000,02200LABORATORY 27838,A000000,02500,0000,02500PHYSICAL THERAPY 27838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27838,A000000,02700,0000,02700SPEECH PATHOLOGY 27838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27838,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27838,A000000,03051,0000,03301ENTERAL FEEDING 27838,A000000,03550,0000,03550FQHC 27838,A000000,05000,0000,05000CORF 27838,A000000,05010,0000,05010CMHC 27838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27838,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27838,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27838,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27838,A000000,06153,0000,06312DIALYSIS 27838,A000000,06154,0000,06320APARTMENTS 27838,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27838,A000000,06156,0000,06340CLOSED PATIENT AREAS 27838,A000000,06157,0000,06350O/P ADULT DAYCARE 27838,A81000A,00100,0100,Y 27838,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27838,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27838,A81000B,00300,0300,HOME OFFICE CLINICAL 27838,A81000B,00400,0300,REHAB ALLOCATION 27838,A81000B,00500,0300,REHAB ALLOCATION 27838,A81000B,00600,0300,REHAB ALLOCATION 27838,A81000B,00700,0300,SYMPHONY 27838,A81000B,00800,0300,SYMPHONY 27838,A81000B,00900,0300,SYMPHONY 27838,A81000C,00100,0100,B 27838,A81000C,00100,0400,IHS INC. 27838,A81000C,00100,0600,NURSING HOMES 27838,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27838,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27838,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27838,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27838,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27838,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27838,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27838,B100000,00000,0950,00050(PATIENT DAYS) :NURSING ADMINISTRA 27838,B100000,00000,0951,00050(PATIENT DAYS) :NURSING ADMIN MSU 27838,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27838,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27838,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27838,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACVTIVI 27838,E10A180,00304,0100,01/29/1999 27838,E10A180,00550,0100,03/14/2000 27838,E10A180,00550,0300,03/14/2000 27838,S000000,00100,0200,03/14/2000 27838,S200000,00100,0100,82 NORTH MAIN STREET 27838,S200000,00200,0100,INMAN 27838,S200000,00200,0200,SC 27838,S200000,00200,0300,29349- 27838,S200000,00300,0100,SPARTENBURG 27838,S200000,00300,0200,3160 27838,S200000,00300,0300,U 27838,S200000,00400,0100,GOLDEN AGE - INMAN 27838,S200000,00400,0200,425316 27838,S200000,00400,0300,04/01/1994 27838,S200000,00400,0500,P 27838,S200000,00600,0200,425316 27838,S200000,00600,0300,04/01/1994 27838,S200000,00600,0600,P 27838,S200000,01600,0100,Y 27838,S200000,02200,0100,Y 27845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27845,A000000,00300,0000,00300EMPLOYEE BENEFITS 27845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27845,A000000,00700,0000,00700HOUSEKEEPING 27845,A000000,00800,0000,00800DIETARY 27845,A000000,00900,0000,00900NURSING ADMINISTRATION 27845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27845,A000000,01100,0000,01100PHARMACY 27845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27845,A000000,01300,0000,01300SOCIAL SERVICE 27845,A000000,01350,0000,01500RECREATION ACTIVITIES 27845,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27845,A000000,01600,0000,01600SKILLED NURSING FACILITY 27845,A000000,01800,0000,01800NURSING FACILITY 27845,A000000,01810,0000,01810ICF/MR 27845,A000000,02100,0000,02100RADIOLOGY 27845,A000000,02200,0000,02200LABORATORY 27845,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27845,A000000,02500,0000,02500PHYSICAL THERAPY 27845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27845,A000000,02700,0000,02700SPEECH PATHOLOGY 27845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27845,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27845,A000000,03051,0000,03301ENTERAL FEEDING 27845,A000000,03550,0000,03550FQHC 27845,A000000,05000,0000,05000CORF 27845,A000000,05010,0000,05010CMHC 27845,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27845,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27845,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27845,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27845,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27845,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27845,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27845,A000000,06153,0000,06312DIALYSIS 27845,A000000,06154,0000,06320APARTMENTS 27845,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27845,A000000,06156,0000,06340CLOSED PATIENT AREAS 27845,A000000,06157,0000,06350O/P ADULT DAYCARE 27845,A81000A,00100,0100,Y 27845,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27845,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27845,A81000B,00700,0300,REHAB ALLOCATION 27845,A81000B,00800,0300,REHAB ALLOCATION 27845,A81000B,00900,0300,REHAB ALLOCATION 27845,A81000B,01000,0300,CLINICAL ALLOCATION 27845,A81000B,01100,0300,SYMPMOBILE-003 27845,A81000C,00100,0100,B 27845,A81000C,00100,0400,IHS INC. 27845,A81000C,00100,0600,NURSING HOMES 27845,A81000C,00200,0100,G 27845,A81000C,00200,0400,SYMPHONY REHAB 27845,A81000C,00200,0600,REHAB SERVICES 27845,A81000C,00300,0100,G 27845,A81000C,00300,0400,LTC MED LAB 27845,A81000C,00300,0600,LABORATORY 27845,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27845,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27845,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27845,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27845,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27845,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27845,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27845,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27845,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27845,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27845,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27845,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27845,E10A180,00550,0100,06/01/2000 27845,E10A180,00550,0300,06/01/2000 27845,S000000,00100,0200,06/01/2000 27845,S200000,00100,0100,35 SOURTHPOINTE DR 27845,S200000,00200,0100,GREENVILLE 27845,S200000,00200,0200,SC 27845,S200000,00200,0300,29607- 27845,S200000,00300,0100,GREENVILLE 27845,S200000,00300,0200,3160 27845,S200000,00300,0300,U 27845,S200000,00400,0100,MAGNOLIA PLACE - GREENVILLE 27845,S200000,00400,0200,425361 27845,S200000,00400,0300,07/10/1998 27845,S200000,00400,0500,P 27845,S200000,00600,0200,425361 27845,S200000,00600,0300,07/10/1998 27845,S200000,00600,0600,P 27845,S200000,01600,0100,Y 27845,S200000,02200,0100,Y 27847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27847,A000000,00300,0000,00300EMPLOYEE BENEFITS 27847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27847,A000000,00700,0000,00700HOUSEKEEPING 27847,A000000,00800,0000,00800DIETARY 27847,A000000,00900,0000,00900NURSING ADMINISTRATION 27847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27847,A000000,01100,0000,01100PHARMACY 27847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27847,A000000,01300,0000,01300SOCIAL SERVICE 27847,A000000,01350,0000,01500ACTIVITIES 27847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27847,A000000,01600,0000,01600SKILLED NURSING FACILITY 27847,A000000,01800,0000,01800NURSING FACILITY 27847,A000000,01900,0000,01900OTHER LONG TERM CARE 27847,A000000,02100,0000,02100RADIOLOGY 27847,A000000,02200,0000,02200LABORATORY 27847,A000000,02300,0000,02300INTRAVENOUS THERAPY 27847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27847,A000000,02500,0000,02500PHYSICAL THERAPY 27847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27847,A000000,02700,0000,02700SPEECH PATHOLOGY 27847,A000000,02800,0000,02800ELECTROCARDIOLOGY 27847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27847,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27847,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27847,A000000,03200,0000,03200SUPPORT SURFACES 27847,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 27847,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27847,A000000,04800,0000,04800AMBULANCE 27847,A000000,05300,0000,05300INTEREST EXPENSE 27847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27847,A000000,06100,0000,06100NONPAID WORKERS 27847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27847,A000000,06200,0000,06200PATIENTS LAUNDRY 27847,A81000A,00100,0100,Y 27847,A81000B,00100,0300,HOME OFFICE NON-CAPITAL COST 27847,A81000B,00200,0300,OTHER CAPITAL COST 27847,A81000B,00300,0300,PT ADMIN FEES 27847,A81000B,00400,0300,OT ADMIN FEES 27847,A81000B,00500,0300,ST ADMIN FEES 27847,A81000B,00600,0300,HCR INTERM H/O 27847,A81000C,00100,0100,B 27847,A81000C,00100,0200,CHARLESTON 27847,A81000C,00100,0400,HCR MANORCARE INC. 27847,A81000C,00100,0600,LONG TERM CARE FACILITIES 27847,A81000C,00200,0100,B 27847,A81000C,00200,0200,CHARLESTON 27847,A81000C,00200,0400,HCR MANOR CARE HLTH SVCS 27847,A81000C,00200,0600,THERAPY MANAGEMENT 27847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27847,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27847,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 27847,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27847,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27847,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27847,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27847,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27847,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27847,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27847,E10A180,00501,0300,12/23/1999 27847,E10A180,00550,0100,12/23/1999 27847,S000000,00100,0200,11/01/1999 27847,S200000,00100,0100,1137 SAM RITTENBURG BLVD 27847,S200000,00200,0100,CHARLESTON 27847,S200000,00200,0200,SC 27847,S200000,00200,0300,29407- 27847,S200000,00300,0100,CHARLESTON 27847,S200000,00400,0100,CHARLESTON 27847,S200000,00400,0200,425362 27847,S200000,00400,0300,01/05/1999 27847,S200000,00400,0500,P 27847,S200000,01600,0100,Y 27849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27849,A000000,00300,0000,00300EMPLOYEE BENEFITS 27849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27849,A000000,00700,0000,00700HOUSEKEEPING 27849,A000000,00800,0000,00800DIETARY 27849,A000000,00900,0000,00900NURSING ADMINISTRATION 27849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27849,A000000,01100,0000,01100PHARMACY 27849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27849,A000000,01300,0000,01300SOCIAL SERVICE 27849,A000000,01350,0000,01500ACTIVITIES 27849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27849,A000000,01600,0000,01600SKILLED NURSING FACILITY 27849,A000000,01800,0000,01800NURSING FACILITY 27849,A000000,01900,0000,01900OTHER LONG TERM CARE 27849,A000000,02100,0000,02100RADIOLOGY 27849,A000000,02200,0000,02200LABORATORY 27849,A000000,02300,0000,02300INTRAVENOUS THERAPY 27849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27849,A000000,02500,0000,02500PHYSICAL THERAPY 27849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27849,A000000,02700,0000,02700SPEECH PATHOLOGY 27849,A000000,02800,0000,02800ELECTROCARDIOLOGY 27849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27849,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27849,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27849,A000000,03200,0000,03200SUPPORT SURFACES 27849,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27849,A000000,04800,0000,04800AMBULANCE 27849,A000000,05300,0000,05300INTEREST EXPENSE 27849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27849,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27849,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27849,A000000,06100,0000,06100NONPAID WORKERS 27849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27849,A000000,06200,0000,06200PATIENTS LAUNDRY 27849,A81000A,00100,0100,Y 27849,A81000B,00100,0300,HOME OFFICE COST 27849,A81000B,00200,0300,PT ADMIN FEES 27849,A81000B,00300,0300,OT ADMIN FEES 27849,A81000B,00400,0300,ST ADMIN FEES 27849,A81000C,00100,0100,B 27849,A81000C,00100,0200,MCHS - CHARLESTON 27849,A81000C,00100,0400,HCR MANORCARE INC. 27849,A81000C,00100,0600,LONG TERM CARE FACILITIES 27849,A81000C,00200,0100,B 27849,A81000C,00200,0200,MCHS - CHARLESTON 27849,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 27849,A81000C,00200,0600,THERAPY MANAGEMENT 27849,A81000C,00300,0100,B 27849,A81000C,00300,0200,MCHS - CHARLESTON 27849,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 27849,A81000C,00300,0600,THERAPY MANAGEMENT 27849,A81000C,00400,0100,B 27849,A81000C,00400,0200,MCHS - CHARLESTON 27849,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 27849,A81000C,00400,0600,THERAPY MANAGEMENT 27849,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27849,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27849,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27849,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27849,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27849,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27849,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27849,B100000,00000,0800,00000MEALS SERVED :DIETARY 27849,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27849,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27849,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27849,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27849,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27849,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27849,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27849,S000000,00100,0200,11/13/2000 27849,S200000,00100,0100,1137 SAM RITTENBURG BLVD 27849,S200000,00200,0100,CHARLESTON 27849,S200000,00200,0200,SC 27849,S200000,00200,0300,29407- 27849,S200000,00300,0100,CHARLESTON 27849,S200000,00400,0100,MCHS - CHARLESTON 27849,S200000,00400,0200,425362 27849,S200000,00400,0300,01/05/1999 27849,S200000,00400,0500,P 27849,S200000,00400,0600,P 27849,S200000,01004,0500,O 27849,S200000,01600,0100,Y 27849,S200000,04300,0100,Y 27849,S700003,00000,0400,4 27865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27865,A000000,00300,0000,00300EMPLOYEE BENEFITS 27865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27865,A000000,00700,0000,00700HOUSEKEEPING 27865,A000000,00800,0000,00800DIETARY 27865,A000000,00900,0000,00900NURSING ADMINISTRATION 27865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27865,A000000,01100,0000,01100PHARMACY 27865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27865,A000000,01300,0000,01300SOCIAL SERVICE 27865,A000000,01350,0000,01500RECREATION ACTIVITIES 27865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27865,A000000,01600,0000,01600SKILLED NURSING FACILITY 27865,A000000,01800,0000,01800NURSING FACILITY 27865,A000000,01810,0000,01810ICF/MR 27865,A000000,02100,0000,02100RADIOLOGY 27865,A000000,02200,0000,02200LABORATORY 27865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27865,A000000,02500,0000,02500PHYSICAL THERAPY 27865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27865,A000000,02700,0000,02700SPEECH PATHOLOGY 27865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27865,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27865,A000000,03051,0000,03301ENTERAL FEEDING 27865,A000000,03500,0000,03500RURAL HEALTH CLINIC 27865,A000000,03550,0000,03550FQHC 27865,A000000,05000,0000,05000CORF 27865,A000000,05010,0000,05010CMHC 27865,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27865,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27865,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27865,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27865,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27865,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27865,A000000,06153,0000,06312DIALYSIS 27865,A000000,06154,0000,06320APARTMENTS 27865,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27865,A000000,06156,0000,06340CLOSED PATIENT AREAS 27865,A000000,06157,0000,06350O/P ADULT DAYCARE 27865,A81000A,00100,0100,Y 27865,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27865,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27865,A81000B,00400,0300,SYMPHONY REHAB 27865,A81000B,00500,0300,SYMPHONY REHAB 27865,A81000B,00600,0300,SYMPHONY REHAB 27865,A81000B,00700,0300,REHAB ALLOCATION 27865,A81000B,00800,0300,REHAB ALLOCATION 27865,A81000B,00900,0300,REHAB ALLOCATION 27865,A81000B,01000,0300,CLINICAL ALLOCATION 27865,A81000C,00100,0100,B 27865,A81000C,00100,0400,IHS INC. 27865,A81000C,00100,0600,NURSING HOMES 27865,A81000C,00200,0100,G 27865,A81000C,00200,0400,SYMPHONY REHAB 27865,A81000C,00200,0600,REHAB SERVICES 27865,A81000C,00300,0100,G 27865,A81000C,00300,0400,LTC MED LAB 27865,A81000C,00300,0600,LABORATORY 27865,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27865,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27865,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27865,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27865,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27865,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27865,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27865,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27865,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27865,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27865,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27865,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27865,E10A180,00304,0100,05/18/2000 27865,E10A180,00350,0100,03/18/1999 27865,E10A180,00351,0100,12/03/1999 27865,S000000,00100,0200,06/01/2000 27865,S200000,00100,0100,2733 MCCAMPBELL AVENUE 27865,S200000,00200,0100,NASHVILLE 27865,S200000,00200,0200,TN 27865,S200000,00200,0300,37214-2947 27865,S200000,00300,0100,DAVIDSON 27865,S200000,00300,0200,5360 27865,S200000,00300,0300,U 27865,S200000,00400,0100,IHS-NASHVILLE 27865,S200000,00400,0200,445148 27865,S200000,00400,0300,07/12/1982 27865,S200000,00400,0500,P 27865,S200000,00600,0200,445148 27865,S200000,00600,0300,07/12/1982 27865,S200000,00600,0600,P 27865,S200000,01600,0100,Y 27865,S200000,02200,0100,Y 27872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27872,A000000,00300,0000,00300EMPLOYEE BENEFITS 27872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27872,A000000,00700,0000,00700HOUSEKEEPING 27872,A000000,00800,0000,00800DIETARY 27872,A000000,00900,0000,00900NURSING ADMINISTRATION 27872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27872,A000000,01100,0000,01100PHARMACY 27872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27872,A000000,01300,0000,01300SOCIAL SERVICE 27872,A000000,01350,0000,01500ACTIVITIES 27872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27872,A000000,01600,0000,01600SKILLED NURSING FACILITY 27872,A000000,01800,0000,01800NURSING FACILITY 27872,A000000,01900,0000,01900OTHER LONG TERM CARE 27872,A000000,02100,0000,02100RADIOLOGY 27872,A000000,02200,0000,02200LABORATORY 27872,A000000,02300,0000,02300INTRAVENOUS THERAPY 27872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27872,A000000,02500,0000,02500PHYSICAL THERAPY 27872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27872,A000000,02700,0000,02700SPEECH PATHOLOGY 27872,A000000,02800,0000,02800ELECTROCARDIOLOGY 27872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27872,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27872,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27872,A000000,03200,0000,03200SUPPORT SURFACES 27872,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 27872,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27872,A000000,04800,0000,04800AMBULANCE 27872,A000000,05300,0000,05300INTEREST EXPENSE 27872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27872,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27872,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27872,A000000,06100,0000,06100NONPAID WORKERS 27872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27872,A000000,06200,0000,06200PATIENTS LAUNDRY 27872,A81000A,00100,0100,Y 27872,A81000B,00100,0300,HOME OFFICE COST 27872,A81000B,00200,0300,OTHER CAPITAL COST 27872,A81000B,00300,0300,PT ADMINISTRATIVE FEES 27872,A81000B,00400,0300,OT ADMINISTRATIVE FEES 27872,A81000B,00500,0300,ST ADMINISTRATIVE FEES 27872,A81000B,00600,0300,HCR INTERIM H/O 27872,A81000B,00700,0300,DIRECT INTEREST 27872,A81000C,00100,0100,B 27872,A81000C,00100,0200,MCHS - SHARPVIEW 27872,A81000C,00100,0400,HCR MANORCARE INC. 27872,A81000C,00100,0600,LONG TERM CARE FACILITIES 27872,A81000C,00200,0100,B 27872,A81000C,00200,0200,MCHS - SHARPVIEW 27872,A81000C,00200,0400,MANORCARE HEALTH SERVICES 27872,A81000C,00200,0600,THERAPY MGMT 27872,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27872,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27872,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27872,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27872,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27872,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 27872,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27872,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 27872,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27872,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 27872,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27872,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27872,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 27872,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27872,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27872,S000000,00100,0200,03/12/2000 27872,S200000,00100,0100,7505 BELLERIVE 27872,S200000,00200,0100,HOUSTON 27872,S200000,00200,0200,TX 27872,S200000,00200,0300,77036- 27872,S200000,00300,0100,HARRIS 27872,S200000,00400,0100,MCHS - SHARPVIEW 27872,S200000,00400,0200,455333 27872,S200000,00400,0300,06/01/1982 27872,S200000,00400,0500,P 27872,S200000,01600,0100,Y 27872,S200000,02200,0100,Y 27877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27877,A000000,00300,0000,00300EMPLOYEE BENEFITS 27877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27877,A000000,00700,0000,00700HOUSEKEEPING 27877,A000000,00800,0000,00800DIETARY 27877,A000000,00900,0000,00900NURSING ADMINISTRATION 27877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27877,A000000,01100,0000,01100PHARMACY 27877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27877,A000000,01300,0000,01300SOCIAL SERVICE 27877,A000000,01350,0000,01500RECREATION ACTIVITIES 27877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27877,A000000,01600,0000,01600SKILLED NURSING FACILITY 27877,A000000,01800,0000,01800NURSING FACILITY 27877,A000000,01810,0000,01810ICF/MR 27877,A000000,02100,0000,02100RADIOLOGY 27877,A000000,02200,0000,02200LABORATORY 27877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27877,A000000,02500,0000,02500PHYSICAL THERAPY 27877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27877,A000000,02700,0000,02700SPEECH PATHOLOGY 27877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27877,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27877,A000000,03051,0000,03301ENTERAL FEEDING 27877,A000000,03550,0000,03550FQHC 27877,A000000,05000,0000,05000CORF 27877,A000000,05010,0000,05010CMHC 27877,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27877,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27877,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27877,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27877,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27877,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27877,A000000,06153,0000,06312DIALYSIS 27877,A000000,06154,0000,06320APARTMENTS 27877,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27877,A000000,06156,0000,06340CLOSED PATIENT AREAS 27877,A000000,06157,0000,06350O/P ADULT DAYCARE 27877,A81000A,00100,0100,Y 27877,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27877,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27877,A81000B,00300,0300,LYRIC CORPORATE 27877,A81000B,00400,0300,REHAB ALLOCATION 27877,A81000B,00500,0300,REHAB ALLOCATION 27877,A81000B,00600,0300,REHAB ALLOCATION 27877,A81000B,00700,0300,CLINICAL ALLOCATION 27877,A81000B,00800,0300,SYMPHONY REHAB 27877,A81000B,00900,0300,SYMPHONY REHAB 27877,A81000B,01000,0300,SYMPHONY REHAB 27877,A81000B,01100,0300,RENT SUBSTITUTION 27877,A81000B,01200,0300,RENT SUBSTITUTION 27877,A81000C,00100,0100,B 27877,A81000C,00100,0400,IHS INC. 27877,A81000C,00100,0600,LONG TERM CARE 27877,A81000C,00200,0100,G 27877,A81000C,00200,0400,SYMPHONY REHAB 27877,A81000C,00200,0600,REHAB SERVICES 27877,A81000C,00300,0100,B 27877,A81000C,00300,0400,LYRIC/IHS 27877,A81000C,00300,0600,MGT/LEASED BUIL 27877,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27877,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27877,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27877,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27877,B100000,00000,0600,00050(POUNDS OF LAUNDRY) :LAUNDRY & LINE 27877,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27877,B100000,00000,0800,00050(MEALS SERVED) :DIETARY 27877,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27877,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27877,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27877,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27877,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27877,E10A180,00301,0100,01/03/2000 27877,E10A180,00302,0100,05/18/2000 27877,E10A180,00501,0100,09/29/2000 27877,S000000,00100,0200,08/29/2000 27877,S200000,00100,0100,1314 THIRD STREET 27877,S200000,00200,0100,CORPUS CHRISTI 27877,S200000,00200,0200,TX 27877,S200000,00200,0300,78404- 27877,S200000,00300,0100,NUECES 27877,S200000,00300,0200,1880 27877,S200000,00300,0300,U 27877,S200000,00400,0100,IHS-CORPUS CHRISTI 27877,S200000,00400,0200,455359 27877,S200000,00400,0300,10/01/1992 27877,S200000,00400,0500,P 27877,S200000,00600,0200,455359 27877,S200000,00600,0300,10/01/1992 27877,S200000,00600,0600,P 27877,S200000,01600,0100,Y 27877,S200000,02200,0100,Y 27880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27880,A000000,00300,0000,00300EMPLOYEE BENEFITS 27880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27880,A000000,00700,0000,00700HOUSEKEEPING 27880,A000000,00800,0000,00800DIETARY 27880,A000000,00900,0000,00900NURSING ADMINISTRATION 27880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27880,A000000,01100,0000,01100PHARMACY 27880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27880,A000000,01300,0000,01300SOCIAL SERVICE 27880,A000000,01350,0000,01500ACTIVITIES 27880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27880,A000000,01600,0000,01600SKILLED NURSING FACILITY 27880,A000000,01800,0000,01800NURSING FACILITY 27880,A000000,01900,0000,01900OTHER LONG TERM CARE 27880,A000000,02100,0000,02100RADIOLOGY 27880,A000000,02200,0000,02200LABORATORY 27880,A000000,02300,0000,02300INTRAVENOUS THERAPY 27880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27880,A000000,02500,0000,02500PHYSICAL THERAPY 27880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27880,A000000,02700,0000,02700SPEECH PATHOLOGY 27880,A000000,02800,0000,02800ELECTROCARDIOLOGY 27880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27880,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27880,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27880,A000000,03200,0000,03200SUPPORT SURFACES 27880,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27880,A000000,04800,0000,04800AMBULANCE 27880,A000000,05300,0000,05300INTEREST EXPENSE 27880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27880,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27880,A000000,06100,0000,06100NONPAID WORKERS 27880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27880,A000000,06200,0000,06200PATIENTS LAUNDRY 27880,A81000A,00100,0100,Y 27880,A81000B,00100,0300,HOME OFFICE COST 27880,A81000B,00200,0300,PT ADMIN FEES 27880,A81000B,00300,0300,OT ADMIN FEES 27880,A81000B,00400,0300,ST ADMIN FEES 27880,A81000C,00100,0100,B 27880,A81000C,00100,0200,MCHS - CHARLESTON 27880,A81000C,00100,0400,HCR MANORCARE INC. 27880,A81000C,00100,0600,LONG TERM CARE FACILITIES 27880,A81000C,00200,0100,B 27880,A81000C,00200,0200,MCHS - CHARLESTON 27880,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 27880,A81000C,00200,0600,THERAPY MANAGEMENT 27880,A81000C,00300,0100,B 27880,A81000C,00300,0200,MCHS - CHARLESTON 27880,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 27880,A81000C,00300,0600,THERAPY MANAGEMENT 27880,A81000C,00400,0100,B 27880,A81000C,00400,0200,MCHS - CHARLESTON 27880,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 27880,A81000C,00400,0600,THERAPY MANAGEMENT 27880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27880,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 27880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27880,B100000,00000,0800,00000MEALS SERVED :DIETARY 27880,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27880,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 27880,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27880,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 27880,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27880,S000000,00100,0200,10/12/2000 27880,S200000,00100,0100,1137 SAM RITTENBURG BLVD 27880,S200000,00200,0100,CHARLESTON 27880,S200000,00200,0200,SC 27880,S200000,00200,0300,29407- 27880,S200000,00300,0100,CHARLESTON 27880,S200000,00300,0200,1440 27880,S200000,00300,0300,U 27880,S200000,00400,0100,MCHS - CHARLESTON 27880,S200000,00400,0200,455362 27880,S200000,00400,0300,01/05/1999 27880,S200000,00400,0500,P 27880,S200000,00400,0600,P 27880,S200000,01004,0500,O 27880,S200000,01600,0100,Y 27880,S200000,04300,0100,Y 27883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27883,A000000,00300,0000,00300EMPLOYEE BENEFITS 27883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27883,A000000,00700,0000,00700HOUSEKEEPING 27883,A000000,00800,0000,00800DIETARY 27883,A000000,00900,0000,00900NURSING ADMINISTRATION 27883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27883,A000000,01100,0000,01100PHARMACY 27883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27883,A000000,01300,0000,01300SOCIAL SERVICE 27883,A000000,01350,0000,01500RECREATION ACTIVITIES 27883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27883,A000000,01600,0000,01600SKILLED NURSING FACILITY 27883,A000000,01800,0000,01800NURSING FACILITY 27883,A000000,01810,0000,01810ICF/MR 27883,A000000,02100,0000,02100RADIOLOGY 27883,A000000,02200,0000,02200LABORATORY 27883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27883,A000000,02500,0000,02500PHYSICAL THERAPY 27883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27883,A000000,02700,0000,02700SPEECH PATHOLOGY 27883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27883,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27883,A000000,03051,0000,03301ENTERAL FEEDING 27883,A000000,03550,0000,03550FQHC 27883,A000000,05000,0000,05000CORF 27883,A000000,05010,0000,05010CMHC 27883,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27883,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27883,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27883,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27883,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27883,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27883,A000000,06153,0000,06312DIALYSIS 27883,A000000,06154,0000,06320APARTMENTS 27883,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27883,A000000,06156,0000,06340CLOSED PATIENT AREAS 27883,A000000,06157,0000,06350O/P ADULT DAYCARE 27883,A81000A,00100,0100,Y 27883,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27883,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27883,A81000B,00300,0300,RELATED PARTY LEASE 27883,A81000B,00400,0300,RELATED PARTY LEASE 27883,A81000C,00100,0100,A 27883,A81000C,00100,0200,THOMAS D SCOTT 27883,A81000C,00100,0400,PREFERRED CARE 27883,A81000C,00100,0600,NURSING HOMES 27883,A81000C,00200,0100,G 27883,A81000C,00200,0400,PINNACLE HEALTH 27883,A81000C,00200,0600,LEASED BLDG 27883,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27883,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 27883,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27883,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27883,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27883,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27883,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27883,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27883,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27883,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27883,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 27883,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27883,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27883,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27883,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 27883,E10A180,00301,0100,03/18/1999 27883,E10A180,00302,0100,12/03/1999 27883,E10A180,00304,0100,05/18/2000 27883,E10A180,00350,0100,03/18/1999 27883,E10A180,00351,0100,12/03/1999 27883,E10A180,00550,0100,07/28/2000 27883,E10A180,00550,0300,07/28/2000 27883,S000000,00100,0200,06/01/2000 27883,S200000,00100,0100,1950 RECORD CROSSING 27883,S200000,00200,0100,DALLAS 27883,S200000,00200,0200,TX 27883,S200000,00200,0300,75235- 27883,S200000,00300,0100,DALLAS 27883,S200000,00400,0100,PROFESSIONAL CARE CENTER 27883,S200000,00400,0200,455413 27883,S200000,00400,0300,07/01/1989 27883,S200000,00400,0500,P 27883,S200000,00600,0200,455413 27883,S200000,00600,0300,07/01/1989 27883,S200000,00600,0600,P 27883,S200000,01600,0100,Y 27883,S200000,02200,0100,Y 27889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27889,A000000,00300,0000,00300EMPLOYEE BENEFITS 27889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27889,A000000,00700,0000,00700HOUSEKEEPING 27889,A000000,00800,0000,00800DIETARY 27889,A000000,00900,0000,00900NURSING ADMINISTRATION 27889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27889,A000000,01100,0000,01100PHARMACY 27889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27889,A000000,01300,0000,01300SOCIAL SERVICE 27889,A000000,01350,0000,01500RECREATION ACTIVITIES 27889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27889,A000000,01600,0000,01600SKILLED NURSING FACILITY 27889,A000000,01800,0000,01800NURSING FACILITY 27889,A000000,01810,0000,01810ICF/MR 27889,A000000,02100,0000,02100RADIOLOGY 27889,A000000,02200,0000,02200LABORATORY 27889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27889,A000000,02500,0000,02500PHYSICAL THERAPY 27889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27889,A000000,02700,0000,02700SPEECH PATHOLOGY 27889,A000000,02800,0000,02800ELECTROCARDIOLOGY 27889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27889,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27889,A000000,03051,0000,03301ENTERAL FEEDING 27889,A000000,03550,0000,03550FQHC 27889,A000000,05000,0000,05000CORF 27889,A000000,05010,0000,05010CMHC 27889,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27889,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27889,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27889,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27889,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27889,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27889,A000000,06153,0000,06312DIALYSIS 27889,A000000,06154,0000,06320APARTMENTS 27889,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27889,A000000,06156,0000,06340CLOSED PATIENT AREAS 27889,A000000,06157,0000,06350O/P ADULT DAYCARE 27889,A81000A,00100,0100,Y 27889,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27889,A81000B,00200,0300,HOME OFFICE ADMIN & 27889,A81000B,00700,0300,REHAB ALLOCATION 27889,A81000B,00800,0300,REHAB ALLOCATION 27889,A81000B,00900,0300,REHAB ALLOCATION 27889,A81000B,01000,0300,CLINICAL ALLOCATION 27889,A81000B,01100,0300,SYMPRESSER 27889,A81000B,01200,0300,SYMPHONY MOBILEX 27889,A81000B,01300,0300,LTC LABS 27889,A81000C,00100,0100,B 27889,A81000C,00100,0400,IHS INC. 27889,A81000C,00100,0600,NURSING HOMES 27889,A81000C,00200,0100,G 27889,A81000C,00200,0400,SYMPHONY REHAB 27889,A81000C,00200,0600,REHAB SERVICES 27889,A81000C,00300,0100,G 27889,A81000C,00300,0400,LTC MED LAB 27889,A81000C,00300,0600,LABORATORY 27889,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27889,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27889,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27889,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27889,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27889,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27889,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27889,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27889,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27889,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27889,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27889,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27889,E10A180,00301,0100,01/03/2000 27889,E10A180,00302,0100,09/18/2000 27889,E10A180,00501,0100,12/06/2001 27889,E10A180,00550,0100,10/30/2000 27889,E10A180,00550,0300,10/30/2000 27889,E10A180,00551,0100,12/26/2000 27889,S000000,00100,0200,11/01/2000 27889,S200000,00100,0100,8001 WESTERN HILLS BLVD. 27889,S200000,00200,0100,FT. WORTH 27889,S200000,00200,0200,TX 27889,S200000,00200,0300,76108- 27889,S200000,00300,0100,TARRANT 27889,S200000,00300,0200,2800 27889,S200000,00300,0300,U 27889,S200000,00400,0100,IHS-FORT WORTH 27889,S200000,00400,0200,455416 27889,S200000,00400,0300,09/01/1973 27889,S200000,00400,0500,P 27889,S200000,00600,0200,455416 27889,S200000,00600,0300,09/01/1973 27889,S200000,00600,0600,P 27889,S200000,01600,0100,Y 27889,S200000,02200,0100,Y 27906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27906,A000000,00300,0000,00300EMPLOYEE BENEFITS 27906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27906,A000000,00700,0000,00700HOUSEKEEPING 27906,A000000,00800,0000,00800DIETARY 27906,A000000,00900,0000,00900NURSING ADMINISTRATION 27906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27906,A000000,01100,0000,01100PHARMACY 27906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27906,A000000,01300,0000,01300SOCIAL SERVICE 27906,A000000,01350,0000,01500ACTIVITIES 27906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27906,A000000,01600,0000,01600SKILLED NURSING FACILITY 27906,A000000,01800,0000,01800NURSING FACILITY 27906,A000000,01900,0000,01900OTHER LONG TERM CARE 27906,A000000,02100,0000,02100RADIOLOGY 27906,A000000,02200,0000,02200LABORATORY 27906,A000000,02300,0000,02300INTRAVENOUS THERAPY 27906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27906,A000000,02500,0000,02500PHYSICAL THERAPY 27906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27906,A000000,02700,0000,02700SPEECH PATHOLOGY 27906,A000000,02800,0000,02800ELECTROCARDIOLOGY 27906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27906,A000000,03200,0000,03200SUPPORT SURFACES 27906,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27906,A000000,04800,0000,04800AMBULANCE 27906,A000000,05300,0000,05300INTEREST EXPENSE 27906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27906,A000000,06100,0000,06100NONPAID WORKERS 27906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27906,A000000,06200,0000,06200PATIENTS LAUNDRY 27906,A81000A,00100,0100,Y 27906,A81000B,00100,0300,HOME OFFICE COST 27906,A81000B,00200,0300,OTHER CAPITAL COST 27906,A81000B,00300,0300,PT ADMINISTRATIVE FEES 27906,A81000B,00400,0300,PT ADMINISTRATIVE FEES 27906,A81000B,00500,0300,PT ADMINISTRATIVE FEES 27906,A81000B,00600,0300,HCR INTERIM H/O 27906,A81000C,00100,0100,B 27906,A81000C,00100,0200,MCHS FT WORTH NW 27906,A81000C,00100,0400,HCR MANORCARE INC. 27906,A81000C,00100,0600,LONG TERM CARE FACILITIES 27906,A81000C,00200,0100,B 27906,A81000C,00200,0200,MCHS FT WORTH NW 27906,A81000C,00200,0400,MANORCARE HEALTH SERVICES 27906,A81000C,00200,0600,THERAPY MGMT 27906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27906,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 27906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27906,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 27906,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27906,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 27906,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27906,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27906,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 27906,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27906,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27906,S000000,00100,0200,03/12/2000 27906,S200000,00100,0100,2129 SKYLINE DRIVE 27906,S200000,00200,0100,FT WORTH 27906,S200000,00200,0200,TX 27906,S200000,00200,0300,76114- 27906,S200000,00300,0100,TARRANT 27906,S200000,00400,0100,MCHS - FT WORTH NW 27906,S200000,00400,0200,455457 27906,S200000,00400,0300,02/04/1980 27906,S200000,00400,0500,P 27906,S200000,01600,0100,Y 27906,S200000,02200,0100,Y 27914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27914,A000000,00300,0000,00300EMPLOYEE BENEFITS 27914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27914,A000000,00700,0000,00700HOUSEKEEPING 27914,A000000,00800,0000,00800DIETARY 27914,A000000,00900,0000,00900NURSING ADMINISTRATION 27914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27914,A000000,01100,0000,01100PHARMACY 27914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27914,A000000,01300,0000,01300SOCIAL SERVICE 27914,A000000,01350,0000,01500RECREATION ACTIVITIES 27914,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27914,A000000,01600,0000,01600SKILLED NURSING FACILITY 27914,A000000,01800,0000,01800NURSING FACILITY 27914,A000000,01810,0000,01810ICF/MR 27914,A000000,02100,0000,02100RADIOLOGY 27914,A000000,02200,0000,02200LABORATORY 27914,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27914,A000000,02500,0000,02500PHYSICAL THERAPY 27914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27914,A000000,02700,0000,02700SPEECH PATHOLOGY 27914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27914,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27914,A000000,03051,0000,03301ENTERAL FEEDING 27914,A000000,03550,0000,03550FQHC 27914,A000000,05000,0000,05000CORF 27914,A000000,05010,0000,05010CMHC 27914,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27914,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27914,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27914,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27914,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27914,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27914,A000000,06153,0000,06312DIALYSIS 27914,A000000,06154,0000,06320APARTMENTS 27914,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27914,A000000,06156,0000,06340CLOSED PATIENT AREAS 27914,A000000,06157,0000,06350O/P ADULT DAYCARE 27914,A81000A,00100,0100,Y 27914,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27914,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27914,A81000B,00300,0300,SYMPHONY MOBILEX 27914,A81000B,00400,0300,LTC LABS 27914,A81000B,00500,0300,SYMPHONY RESPIRATORY 27914,A81000B,00600,0300,CLINICAL ALLOCATION 27914,A81000B,00700,0300,REHAB ALLOCATION 27914,A81000B,00800,0300,REHAB ALLOCATION 27914,A81000B,00900,0300,REHAB ALLOCATION 27914,A81000B,01000,0300,LYRIC HOME OFFICE 27914,A81000B,01100,0300,LYRIC HOME OFFICE 27914,A81000C,00100,0100,B 27914,A81000C,00100,0400,IHS INC. 27914,A81000C,00100,0600,NURSING HOMES 27914,A81000C,00200,0100,G 27914,A81000C,00200,0400,SYMPHONY REHAB 27914,A81000C,00200,0600,REHAB SERVICES 27914,A81000C,00300,0100,G 27914,A81000C,00300,0400,LTC MED LAB 27914,A81000C,00300,0600,LABORATORY 27914,A81000C,00400,0100,B 27914,A81000C,00400,0400,LYRIC CORP 27914,A81000C,00400,0600,NURSING HOMES 27914,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27914,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27914,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27914,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27914,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27914,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27914,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27914,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27914,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27914,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27914,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27914,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27914,E10A180,00351,0100,01/03/2000 27914,E10A180,00352,0100,09/18/2000 27914,E10A180,00501,0100,12/26/2000 27914,E10A180,00501,0300,12/26/2000 27914,E10A180,00502,0100,11/08/2001 27914,E10A180,00502,0300,11/08/2001 27914,S000000,00100,0200,11/01/2000 27914,S200000,00100,0100,1600 MURCHISON ROAD 27914,S200000,00200,0100,EL PASO 27914,S200000,00200,0200,TX 27914,S200000,00200,0300,79902- 27914,S200000,00300,0100,EL PASO 27914,S200000,00300,0200,2320 27914,S200000,00300,0300,U 27914,S200000,00400,0100,IHS MOUNTAIN VIEW 27914,S200000,00400,0200,455471 27914,S200000,00400,0300,10/01/1992 27914,S200000,00400,0500,P 27914,S200000,00600,0200,455471 27914,S200000,00600,0300,10/01/1992 27914,S200000,00600,0600,P 27914,S200000,01600,0100,Y 27914,S200000,02200,0100,Y 27929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27929,A000000,00300,0000,00300EMPLOYEE BENEFITS 27929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27929,A000000,00700,0000,00700HOUSEKEEPING 27929,A000000,00800,0000,00800DIETARY 27929,A000000,00900,0000,00900NURSING ADMINISTRATION 27929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27929,A000000,01100,0000,01100PHARMACY 27929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27929,A000000,01300,0000,01300SOCIAL SERVICE 27929,A000000,01350,0000,01500RECREATION ACTIVITIES 27929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27929,A000000,01600,0000,01600SKILLED NURSING FACILITY 27929,A000000,01800,0000,01800NURSING FACILITY 27929,A000000,01810,0000,01810ICF/MR 27929,A000000,02200,0000,02200LABORATORY 27929,A000000,02500,0000,02500PHYSICAL THERAPY 27929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27929,A000000,02700,0000,02700SPEECH PATHOLOGY 27929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27929,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27929,A000000,03051,0000,03301ENTERAL FEEDING 27929,A000000,03550,0000,03550FQHC 27929,A000000,05000,0000,05000CORF 27929,A000000,05010,0000,05010CMHC 27929,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27929,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27929,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27929,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27929,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27929,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27929,A000000,06153,0000,06312DIALYSIS 27929,A000000,06154,0000,06320APARTMENTS 27929,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27929,A000000,06156,0000,06340CLOSED PATIENT AREAS 27929,A000000,06157,0000,06350O/P ADULT DAYCARE 27929,A81000A,00100,0100,Y 27929,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27929,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27929,A81000B,00300,0300,HACIENDA CARE LEASE 27929,A81000B,00400,0300,HACIENDA CARE LEASE 27929,A81000C,00100,0100,A 27929,A81000C,00100,0200,TOM SCOTT 27929,A81000C,00100,0400,PREFERRED CARE 27929,A81000C,00100,0600,NURSING HOMES 27929,A81000C,00200,0100,G 27929,A81000C,00200,0400,HACIENDA CARE 27929,A81000C,00200,0600,LEASED LAND & B 27929,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27929,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 27929,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27929,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27929,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27929,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27929,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27929,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27929,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27929,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27929,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 27929,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27929,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27929,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27929,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 27929,E10A180,00301,0100,12/03/1999 27929,E10A180,00304,0100,05/18/2000 27929,E10A180,00351,0100,03/18/1999 27929,E10A180,00501,0300,07/28/2000 27929,E10A180,00550,0100,07/28/2000 27929,S000000,00100,0200,06/01/2000 27929,S200000,00100,0100,1200 SOUTH HALL STREET 27929,S200000,00200,0100,ENNIS 27929,S200000,00200,0200,TX 27929,S200000,00200,0300,75119- 27929,S200000,00300,0100,ELLIS 27929,S200000,00400,0100,ENNIS CARE CENTER 27929,S200000,00400,0200,455486 27929,S200000,00400,0300,09/01/1988 27929,S200000,00400,0500,P 27929,S200000,00600,0200,455486 27929,S200000,00600,0300,09/01/1988 27929,S200000,00600,0600,P 27929,S200000,01600,0100,Y 27929,S200000,02200,0100,Y 27936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27936,A000000,00300,0000,00300EMPLOYEE BENEFITS 27936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27936,A000000,00700,0000,00700HOUSEKEEPING 27936,A000000,00800,0000,00800DIETARY 27936,A000000,00900,0000,00900NURSING ADMINISTRATION 27936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27936,A000000,01100,0000,01100PHARMACY 27936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27936,A000000,01300,0000,01300SOCIAL SERVICE 27936,A000000,01350,0000,01500ACTIVITIES 27936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27936,A000000,01600,0000,01600SKILLED NURSING FACILITY 27936,A000000,01800,0000,01800NURSING FACILITY 27936,A000000,01900,0000,01900OTHER LONG TERM CARE 27936,A000000,02100,0000,02100RADIOLOGY 27936,A000000,02200,0000,02200LABORATORY 27936,A000000,02300,0000,02300INTRAVENOUS THERAPY 27936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27936,A000000,02500,0000,02500PHYSICAL THERAPY 27936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27936,A000000,02700,0000,02700SPEECH PATHOLOGY 27936,A000000,02800,0000,02800ELECTROCARDIOLOGY 27936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27936,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 27936,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 27936,A000000,03200,0000,03200SUPPORT SURFACES 27936,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 27936,A000000,04800,0000,04800AMBULANCE 27936,A000000,05300,0000,05300INTEREST EXPENSE 27936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 27936,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 27936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27936,A000000,06100,0000,06100NONPAID WORKERS 27936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 27936,A000000,06200,0000,06200PATIENTS LAUNDRY 27936,A81000A,00100,0100,Y 27936,A81000B,00100,0300,HOME OFFICE COST 27936,A81000B,00200,0300,OTHER CAPITAL COST 27936,A81000B,00300,0300,PT ADMINISTRATIVE FEES 27936,A81000B,00400,0300,OT ADMINISTRATIVE FEES 27936,A81000B,00500,0300,ST ADMINISTRATIVE FEES 27936,A81000B,00600,0300,HCR INTERIM H/O 27936,A81000B,00700,0300,DIRECT INTEREST 27936,A81000C,00100,0100,B 27936,A81000C,00100,0200,MCHS-FT WORTH NRH 27936,A81000C,00100,0400,HCR MANORCARE INC. 27936,A81000C,00100,0600,LONG TERM CARE FACILITIES 27936,A81000C,00200,0100,B 27936,A81000C,00200,0200,MCHS-FT WORTH NRH 27936,A81000C,00200,0400,MANORCARE HEALTH SERVICES 27936,A81000C,00200,0600,THERAPY MGMT 27936,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 27936,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 27936,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 27936,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 27936,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 27936,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 27936,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 27936,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 27936,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 27936,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 27936,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 27936,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 27936,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 27936,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 27936,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 27936,S000000,00100,0200,03/12/2000 27936,S200000,00100,0100,7625 GLENVIEW DRIVE 27936,S200000,00200,0100,FT WORTH 27936,S200000,00200,0200,TX 27936,S200000,00200,0300,76180- 27936,S200000,00300,0100,TARRANT 27936,S200000,00400,0100,MCHS-FT WORTH NRH 27936,S200000,00400,0200,455494 27936,S200000,00400,0300,01/31/1985 27936,S200000,00400,0500,P 27936,S200000,01600,0100,Y 27936,S200000,02200,0100,Y 27943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27943,A000000,00300,0000,00300EMPLOYEE BENEFITS 27943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27943,A000000,00700,0000,00700HOUSEKEEPING 27943,A000000,00800,0000,00800DIETARY 27943,A000000,00900,0000,00900NURSING ADMINISTRATION 27943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27943,A000000,01100,0000,01100PHARMACY 27943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27943,A000000,01300,0000,01300SOCIAL SERVICE 27943,A000000,01350,0000,01500RECREATION ACTIVITIES 27943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27943,A000000,01600,0000,01600SKILLED NURSING FACILITY 27943,A000000,01800,0000,01800NURSING FACILITY 27943,A000000,01810,0000,01810ICF/MR 27943,A000000,02100,0000,02100RADIOLOGY 27943,A000000,02200,0000,02200LABORATORY 27943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27943,A000000,02500,0000,02500PHYSICAL THERAPY 27943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27943,A000000,02700,0000,02700SPEECH PATHOLOGY 27943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27943,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27943,A000000,03051,0000,03301ENTERAL FEEDING 27943,A000000,03550,0000,03550FQHC 27943,A000000,05000,0000,05000CORF 27943,A000000,05010,0000,05010CMHC 27943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27943,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27943,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27943,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27943,A000000,06153,0000,06312DIALYSIS 27943,A000000,06154,0000,06320APARTMENTS 27943,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27943,A000000,06156,0000,06340CLOSED PATIENT AREAS 27943,A000000,06157,0000,06350O/P ADULT DAYCARE 27943,A81000A,00100,0100,Y 27943,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27943,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27943,A81000B,00400,0300,REHAB ALLOCATION 27943,A81000B,00500,0300,REHAB ALLOCATION 27943,A81000B,00600,0300,REHAB ALLOCATION 27943,A81000B,00700,0300,CLINICAL ALLOCATION 27943,A81000B,00900,0300,SYMPHONY MOBILEX 27943,A81000B,01000,0300,LTC LABS 27943,A81000C,00100,0100,B 27943,A81000C,00100,0400,IHS INC. 27943,A81000C,00100,0600,NURSING HOMES 27943,A81000C,00200,0100,G 27943,A81000C,00200,0400,SYMPHONY REHAB 27943,A81000C,00200,0600,REHAB SERVICES 27943,A81000C,00300,0100,G 27943,A81000C,00300,0400,LTC MED LABS 27943,A81000C,00300,0600,LABRATORY 27943,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27943,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27943,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27943,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27943,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27943,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27943,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27943,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27943,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27943,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27943,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27943,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27943,E10A180,00301,0100,01/03/2000 27943,E10A180,00350,0100,09/18/2000 27943,E10A180,00550,0100,12/26/2000 27943,E10A180,00550,0300,12/26/2000 27943,S000000,00100,0200,11/01/2000 27943,S200000,00100,0100,8020 BLANCO ROAD 27943,S200000,00200,0100,SAN ANTONIO 27943,S200000,00200,0200,TX 27943,S200000,00200,0300,78216- 27943,S200000,00300,0100,BEXAR 27943,S200000,00300,0200,7240 27943,S200000,00300,0300,U 27943,S200000,00400,0100,IHS-BLANCO VISTA 27943,S200000,00400,0200,455510 27943,S200000,00400,0300,09/01/1986 27943,S200000,00400,0500,P 27943,S200000,00600,0200,455510 27943,S200000,00600,0300,09/01/1986 27943,S200000,00600,0600,P 27943,S200000,01600,0100,Y 27943,S200000,02200,0100,Y 27957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27957,A000000,00300,0000,00300EMPLOYEE BENEFITS 27957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27957,A000000,00700,0000,00700HOUSEKEEPING 27957,A000000,00800,0000,00800DIETARY 27957,A000000,00900,0000,00900NURSING ADMINISTRATION 27957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27957,A000000,01100,0000,01100PHARMACY 27957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27957,A000000,01300,0000,01300SOCIAL SERVICE 27957,A000000,01350,0000,01500RECREATION ACTIVITIES 27957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27957,A000000,01600,0000,01600SKILLED NURSING FACILITY 27957,A000000,01800,0000,01800NURSING FACILITY 27957,A000000,01810,0000,01810ICF/MR 27957,A000000,02200,0000,02200LABORATORY 27957,A000000,02500,0000,02500PHYSICAL THERAPY 27957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27957,A000000,02700,0000,02700SPEECH PATHOLOGY 27957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27957,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27957,A000000,03051,0000,03301ENTERAL FEEDING 27957,A000000,03550,0000,03550FQHC 27957,A000000,05000,0000,05000CORF 27957,A000000,05010,0000,05010CMHC 27957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27957,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27957,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27957,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27957,A000000,06153,0000,06312DIALYSIS 27957,A000000,06154,0000,06320APARTMENTS 27957,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27957,A000000,06156,0000,06340CLOSED PATIENT AREAS 27957,A000000,06157,0000,06350O/P ADULT DAYCARE 27957,A81000A,00100,0100,Y 27957,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27957,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27957,A81000B,00300,0300,CLINICAL ALLOCATION 27957,A81000B,00400,0300,REHAB ALLOCATION 27957,A81000B,00500,0300,REHAB ALLOCATION 27957,A81000B,00600,0300,REHAB ALLOCATION 27957,A81000C,00100,0100,B 27957,A81000C,00100,0400,IHS INC. 27957,A81000C,00100,0600,NURSING HOMES 27957,A81000C,00200,0100,G 27957,A81000C,00200,0400,SYMPHONY REHAB 27957,A81000C,00200,0600,REHAB SERVICES 27957,A81000C,00300,0100,G 27957,A81000C,00300,0400,LTC MED LAB 27957,A81000C,00300,0600,LABORATORY 27957,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27957,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27957,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27957,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27957,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27957,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27957,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27957,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27957,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27957,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27957,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27957,E10A180,00301,0100,01/03/2000 27957,E10A180,00301,0300,01/01/2000 27957,E10A180,00302,0100,09/18/2000 27957,E10A180,00302,0300,09/18/2000 27957,E10A180,00501,0300,10/30/2000 27957,E10A180,00502,0100,12/06/2001 27957,E10A180,00550,0100,10/30/2000 27957,E10A180,00551,0100,12/26/2000 27957,E10A180,00551,0300,12/26/2000 27957,S000000,00100,0200,11/01/2000 27957,S200000,00100,0100,2003 NORTH EDWARDS 27957,S200000,00200,0100,MOUNT PLEASANT 27957,S200000,00200,0200,TX 27957,S200000,00200,0300,75455- 27957,S200000,00300,0100,TITUS 27957,S200000,00300,0200,45 27957,S200000,00300,0300,R 27957,S200000,00400,0100,IHS-MT. PLEASANT 27957,S200000,00400,0200,455532 27957,S200000,00400,0300,07/26/1987 27957,S200000,00400,0500,P 27957,S200000,00600,0200,455532 27957,S200000,00600,0300,07/26/1987 27957,S200000,00600,0600,P 27957,S200000,01600,0100,Y 27957,S200000,02200,0100,Y 27974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27974,A000000,00300,0000,00300EMPLOYEE BENEFITS 27974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27974,A000000,00700,0000,00700HOUSEKEEPING 27974,A000000,00800,0000,00800DIETARY 27974,A000000,00900,0000,00900NURSING ADMINISTRATION 27974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27974,A000000,01100,0000,01100PHARMACY 27974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27974,A000000,01300,0000,01300SOCIAL SERVICE 27974,A000000,01350,0000,01500RECREATION ACTIVITIES 27974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27974,A000000,01600,0000,01600SKILLED NURSING FACILITY 27974,A000000,01800,0000,01800NURSING FACILITY 27974,A000000,01810,0000,01810ICF/MR 27974,A000000,02100,0000,02100RADIOLOGY 27974,A000000,02200,0000,02200LABORATORY 27974,A000000,02500,0000,02500PHYSICAL THERAPY 27974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27974,A000000,02700,0000,02700SPEECH PATHOLOGY 27974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27974,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27974,A000000,03051,0000,03301ENTERAL FEEDING 27974,A000000,03550,0000,03550FQHC 27974,A000000,05000,0000,05000CORF 27974,A000000,05010,0000,05010CMHC 27974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27974,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27974,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27974,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27974,A000000,06153,0000,06312DIALYSIS 27974,A000000,06154,0000,06320APARTMENTS 27974,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27974,A000000,06156,0000,06340CLOSED PATIENT AREAS 27974,A000000,06157,0000,06350O/P ADULT DAYCARE 27974,A81000A,00100,0100,Y 27974,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27974,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27974,A81000B,00400,0300,SYMPHONY REHAB 27974,A81000B,00500,0300,SYMPHONY REHAB 27974,A81000B,00600,0300,SYMPHONY REHAB 27974,A81000B,00700,0300,CLIINICAL ALLOCATION 27974,A81000B,00800,0300,REHAB ALLOCATION 27974,A81000B,00900,0300,REHAB ALLOCATION 27974,A81000B,01000,0300,REHAB ALLOCATION 27974,A81000C,00100,0100,B 27974,A81000C,00100,0400,IHS INC. 27974,A81000C,00100,0600,NURSING HOMES 27974,A81000C,00200,0100,G 27974,A81000C,00200,0400,SYMPHONY REHAB 27974,A81000C,00200,0600,REHAB SERVICES 27974,A81000C,00300,0100,G 27974,A81000C,00300,0400,LTC MED LAB 27974,A81000C,00300,0600,LABORATORY 27974,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27974,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27974,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27974,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27974,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27974,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27974,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27974,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27974,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27974,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27974,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27974,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27974,E10A180,00351,0100,03/18/1999 27974,E10A180,00352,0100,12/03/1999 27974,E10A180,00501,0100,07/28/2000 27974,E10A180,00501,0300,07/28/2000 27974,S000000,00100,0200,06/06/2000 27974,S200000,00100,0100,2510 WEST 24 STREET 27974,S200000,00200,0100,PLAINVIEW 27974,S200000,00200,0200,TX 27974,S200000,00200,0300,79072-1884 27974,S200000,00300,0100,PLAINVIEW 27974,S200000,00300,0200,45 27974,S200000,00300,0300,R 27974,S200000,00400,0100,IHS-PLAINVIEW 27974,S200000,00400,0200,455551 27974,S200000,00400,0300,08/09/1985 27974,S200000,00400,0500,P 27974,S200000,00600,0200,455551 27974,S200000,00600,0300,08/09/1985 27974,S200000,00600,0600,P 27974,S200000,01600,0100,Y 27974,S200000,02200,0100,Y 27980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27980,A000000,00300,0000,00300EMPLOYEE BENEFITS 27980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27980,A000000,00700,0000,00700HOUSEKEEPING 27980,A000000,00800,0000,00800DIETARY 27980,A000000,00900,0000,00900NURSING ADMINISTRATION 27980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27980,A000000,01100,0000,01100PHARMACY 27980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27980,A000000,01300,0000,01300SOCIAL SERVICE 27980,A000000,01350,0000,01500RECREATION ACTIVITIES 27980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27980,A000000,01600,0000,01600SKILLED NURSING FACILITY 27980,A000000,01800,0000,01800NURSING FACILITY 27980,A000000,01810,0000,01810ICF/MR 27980,A000000,02100,0000,02100RADIOLOGY 27980,A000000,02200,0000,02200LABORATORY 27980,A000000,02500,0000,02500PHYSICAL THERAPY 27980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27980,A000000,02700,0000,02700SPEECH PATHOLOGY 27980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27980,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27980,A000000,03051,0000,03301ENTERAL FEEDING 27980,A000000,03550,0000,03550FQHC 27980,A000000,05000,0000,05000CORF 27980,A000000,05010,0000,05010CMHC 27980,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27980,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27980,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27980,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27980,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27980,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27980,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27980,A000000,06153,0000,06312DIALYSIS 27980,A000000,06154,0000,06320APARTMENTS 27980,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27980,A000000,06156,0000,06340CLOSED PATIENT AREAS 27980,A000000,06157,0000,06350O/P ADULT DAYCARE 27980,A81000A,00100,0100,Y 27980,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27980,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27980,A81000B,00700,0300,CLINICAL ALLOCATION 27980,A81000B,00800,0300,REHAB ALLOCATION 27980,A81000B,00900,0300,REHAB ALLOCATION 27980,A81000B,01000,0300,REHAB ALLOCATION 27980,A81000C,00100,0100,B 27980,A81000C,00100,0400,IHS INC. 27980,A81000C,00100,0600,NURSING HOMES 27980,A81000C,00200,0100,G 27980,A81000C,00200,0400,SYMPHONY REHAB 27980,A81000C,00200,0600,REHAB SERVICES 27980,A81000C,00300,0100,G 27980,A81000C,00300,0400,LTC MED LAB 27980,A81000C,00300,0600,LABORATORY 27980,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27980,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27980,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27980,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27980,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27980,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27980,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27980,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27980,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27980,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27980,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27980,E10A180,00350,0100,01/03/2000 27980,E10A180,00351,0100,09/18/2000 27980,E10A180,00501,0100,12/26/2000 27980,E10A180,00501,0300,12/26/2000 27980,S000000,00100,0200,11/01/2000 27980,S200000,00100,0100,2204 PEASE 27980,S200000,00200,0100,HARLINGEN 27980,S200000,00200,0200,TX 27980,S200000,00200,0300,78550- 27980,S200000,00300,0100,CAMERON 27980,S200000,00300,0200,1240 27980,S200000,00300,0300,U 27980,S200000,00400,0100,IHS-HARLINGEN 27980,S200000,00400,0200,455559 27980,S200000,00400,0300,01/01/1995 27980,S200000,00400,0500,P 27980,S200000,00600,0200,455559 27980,S200000,00600,0300,01/01/1995 27980,S200000,00600,0600,P 27980,S200000,01600,0100,Y 27980,S200000,02200,0100,Y 27986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27986,A000000,00300,0000,00300EMPLOYEE BENEFITS 27986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27986,A000000,00700,0000,00700HOUSEKEEPING 27986,A000000,00800,0000,00800DIETARY 27986,A000000,00900,0000,00900NURSING ADMINISTRATION 27986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27986,A000000,01100,0000,01100PHARMACY 27986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27986,A000000,01300,0000,01300SOCIAL SERVICE 27986,A000000,01350,0000,01500RECREATION ACTIVITIES 27986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27986,A000000,01600,0000,01600SKILLED NURSING FACILITY 27986,A000000,01800,0000,01800NURSING FACILITY 27986,A000000,01810,0000,01810ICF/MR 27986,A000000,02100,0000,02100RADIOLOGY 27986,A000000,02200,0000,02200LABORATORY 27986,A000000,02500,0000,02500PHYSICAL THERAPY 27986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27986,A000000,02700,0000,02700SPEECH PATHOLOGY 27986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27986,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27986,A000000,03051,0000,03301ENTERAL FEEDING 27986,A000000,03550,0000,03550FQHC 27986,A000000,05000,0000,05000CORF 27986,A000000,05010,0000,05010CMHC 27986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27986,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27986,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27986,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27986,A000000,06153,0000,06312DIALYSIS 27986,A000000,06154,0000,06320APARTMENTS 27986,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27986,A000000,06156,0000,06340CLOSED PATIENT AREAS 27986,A000000,06157,0000,06350O/P ADULT DAYCARE 27986,A81000A,00100,0100,Y 27986,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27986,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27986,A81000B,00300,0300,MSU DEVELOPMENT COST 27986,A81000B,00400,0300,SYMPHONY REHAB 27986,A81000B,00500,0300,SYMPHONY REHAB 27986,A81000B,00700,0300,REHAB ALLOCATION 27986,A81000B,00800,0300,REHAB ALLOCATION 27986,A81000B,00900,0300,REHAB ALLOCATION 27986,A81000B,01000,0300,CLINICAL ALLOCATION 27986,A81000C,00100,0100,B 27986,A81000C,00100,0200,IHS INC. 27986,A81000C,00100,0400,IHS INC. 27986,A81000C,00100,0600,NURSING HOMES 27986,A81000C,00200,0100,G 27986,A81000C,00200,0400,SYMPHONY REHAB 27986,A81000C,00200,0600,REHAB SERVICES 27986,A81000C,00300,0100,G 27986,A81000C,00300,0400,LTC MED 27986,A81000C,00300,0600,LABORATORY 27986,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27986,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27986,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27986,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27986,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27986,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27986,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27986,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27986,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27986,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27986,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27986,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27986,E10A180,00302,0100,09/18/2000 27986,E10A180,00350,0100,01/03/2000 27986,E10A180,00501,0100,12/26/2000 27986,E10A180,00502,0300,11/08/2001 27986,E10A180,00550,0300,12/26/2000 27986,E10A180,00551,0100,11/08/2001 27986,S000000,00100,0200,11/01/2000 27986,S200000,00100,0100,112 RUTHLYNN DRIVE 27986,S200000,00200,0100,LONGVIEW 27986,S200000,00200,0200,TX 27986,S200000,00200,0300,75601- 27986,S200000,00300,0100,GREGG 27986,S200000,00300,0200,4420 27986,S200000,00300,0300,U 27986,S200000,00400,0100,IHS-LONGVIEW 27986,S200000,00400,0200,455569 27986,S200000,00400,0300,04/01/1991 27986,S200000,00400,0500,P 27986,S200000,00600,0200,455569 27986,S200000,00600,0300,04/01/1991 27986,S200000,00600,0600,P 27986,S200000,01600,0100,Y 27986,S200000,02200,0100,Y 27997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 27997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 27997,A000000,00300,0000,00300EMPLOYEE BENEFITS 27997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 27997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 27997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 27997,A000000,00700,0000,00700HOUSEKEEPING 27997,A000000,00800,0000,00800DIETARY 27997,A000000,00900,0000,00900NURSING ADMINISTRATION 27997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 27997,A000000,01100,0000,01100PHARMACY 27997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 27997,A000000,01300,0000,01300SOCIAL SERVICE 27997,A000000,01350,0000,01500RECREATION ACTIVITIES 27997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 27997,A000000,01600,0000,01600SKILLED NURSING FACILITY 27997,A000000,01800,0000,01800NURSING FACILITY 27997,A000000,01810,0000,01810ICF/MR 27997,A000000,02100,0000,02100RADIOLOGY 27997,A000000,02200,0000,02200LABORATORY 27997,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 27997,A000000,02500,0000,02500PHYSICAL THERAPY 27997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 27997,A000000,02700,0000,02700SPEECH PATHOLOGY 27997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 27997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 27997,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 27997,A000000,03051,0000,03301ENTERAL FEEDING 27997,A000000,03550,0000,03550FQHC 27997,A000000,05000,0000,05000CORF 27997,A000000,05010,0000,05010CMHC 27997,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 27997,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 27997,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 27997,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 27997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 27997,A000000,06150,0000,06300ENTERSTOMAL THERAPY 27997,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 27997,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 27997,A000000,06153,0000,06312DIALYSIS 27997,A000000,06154,0000,06320APARTMENTS 27997,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 27997,A000000,06156,0000,06340CLOSED PATIENT AREAS 27997,A000000,06157,0000,06350O/P ADULT DAYCARE 27997,A81000A,00100,0100,Y 27997,A81000B,00100,0300,HOME OFFICE CAPITAL COST 27997,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 27997,A81000B,00300,0300,MSU DEVELOPMENT COST 27997,A81000B,00400,0300,SYMPHONY REHAB 27997,A81000B,00500,0300,SYMPHONY REHAB 27997,A81000B,00600,0300,SYMPHONY REHAB 27997,A81000B,00700,0300,SYMPHONY RESPIRATORY 27997,A81000B,00800,0300,SYMPHONY MOBILEX 27997,A81000B,01000,0300,LTC MEDICAL LAB 27997,A81000B,01100,0300,REHAB ALLOCATION 27997,A81000B,01200,0300,REHAB ALLOCATION 27997,A81000B,01300,0300,REHAB ALLOCATION 27997,A81000B,01400,0300,CLINICAL ALLOCATION 27997,A81000C,00100,0100,B 27997,A81000C,00100,0400,IHS INC. 27997,A81000C,00100,0600,NURSING HOMES 27997,A81000C,00200,0100,G 27997,A81000C,00200,0400,SYMPHONY REHAB 27997,A81000C,00200,0600,REHAB SERVICES 27997,A81000C,00300,0100,G 27997,A81000C,00300,0400,LTC MED LAB 27997,A81000C,00300,0600,LABORATORY 27997,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 27997,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 27997,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 27997,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 27997,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 27997,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 27997,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 27997,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 27997,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 27997,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 27997,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 27997,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 27997,E10A180,00301,0100,12/03/1999 27997,E10A180,00351,0100,03/18/1999 27997,E10A180,00353,0100,05/18/2000 27997,E10A180,00501,0100,07/28/2000 27997,E10A180,00501,0300,05/31/2000 27997,E10A180,00550,0100,05/31/2000 27997,E10A180,00550,0300,07/28/2000 27997,S000000,00100,0200,06/01/2000 27997,S200000,00100,0100,1000 HIGHWAY 82 EAST 27997,S200000,00200,0100,SHERMAN 27997,S200000,00200,0200,TX 27997,S200000,00200,0300,75090- 27997,S200000,00300,0100,GRAYSON 27997,S200000,00300,0200,7640 27997,S200000,00300,0300,U 27997,S200000,00400,0100,IHS-TEXOMA AT SHERMAN 27997,S200000,00400,0200,455573 27997,S200000,00400,0300,11/01/1987 27997,S200000,00400,0500,P 27997,S200000,00600,0200,455573 27997,S200000,00600,0300,11/01/1987 27997,S200000,00600,0600,P 27997,S200000,01600,0100,Y 27997,S200000,02200,0100,Y 28007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28007,A000000,00300,0000,00300EMPLOYEE BENEFITS 28007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28007,A000000,00700,0000,00700HOUSEKEEPING 28007,A000000,00800,0000,00800DIETARY 28007,A000000,00900,0000,00900NURSING ADMINISTRATION 28007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28007,A000000,01100,0000,01100PHARMACY 28007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28007,A000000,01300,0000,01300SOCIAL SERVICE 28007,A000000,01350,0000,01500ACTIVITIES 28007,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28007,A000000,01600,0000,01600SKILLED NURSING FACILITY 28007,A000000,01800,0000,01800NURSING FACILITY 28007,A000000,01900,0000,01900OTHER LONG TERM CARE 28007,A000000,02100,0000,02100RADIOLOGY 28007,A000000,02200,0000,02200LABORATORY 28007,A000000,02300,0000,02300INTRAVENOUS THERAPY 28007,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28007,A000000,02500,0000,02500PHYSICAL THERAPY 28007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28007,A000000,02700,0000,02700SPEECH PATHOLOGY 28007,A000000,02800,0000,02800ELECTROCARDIOLOGY 28007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28007,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28007,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28007,A000000,03200,0000,03200SUPPORT SURFACES 28007,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 28007,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28007,A000000,04800,0000,04800AMBULANCE 28007,A000000,05300,0000,05300INTEREST EXPENSE 28007,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28007,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28007,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28007,A000000,06100,0000,06100NONPAID WORKERS 28007,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28007,A000000,06200,0000,06200PATIENTS LAUNDRY 28007,A81000A,00100,0100,Y 28007,A81000B,00100,0300,HOME OFFICE COST 28007,A81000B,00200,0300,OTHER CAPITAL COST 28007,A81000B,00300,0300,PT ADMINISTRATIVE FEES 28007,A81000B,00400,0300,OT ADMINISTRATIVE FEES 28007,A81000B,00500,0300,ST ADMINISTRATIVE FEES 28007,A81000B,00600,0300,HCR INTERIM H/O 28007,A81000B,00700,0300,DIRECT INTEREST 28007,A81000C,00100,0100,B 28007,A81000C,00100,0200,MCHS-DALLAS 28007,A81000C,00100,0400,HCR MANORCARE INC. 28007,A81000C,00100,0600,LONG TERM CARE FACILITIES 28007,A81000C,00200,0100,B 28007,A81000C,00200,0200,MCHS-DALLAS 28007,A81000C,00200,0400,MANORCARE HEALTH SERVICES 28007,A81000C,00200,0600,THERAPY MGMT 28007,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28007,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28007,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28007,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28007,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28007,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 28007,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28007,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 28007,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28007,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 28007,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 28007,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28007,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 28007,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28007,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 28007,S000000,00100,0200,03/12/2000 28007,S200000,00100,0100,3326 BURGOYNE 28007,S200000,00200,0100,DALLAS 28007,S200000,00200,0200,TX 28007,S200000,00200,0300,75233- 28007,S200000,00300,0100,DALLAS 28007,S200000,00400,0100,MCHS-DALLAS 28007,S200000,00400,0200,455653 28007,S200000,00400,0300,03/26/1986 28007,S200000,00400,0500,P 28007,S200000,00400,0600,P 28007,S200000,01600,0100,Y 28007,S200000,02200,0100,Y 28014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28014,A000000,00300,0000,00300EMPLOYEE BENEFITS 28014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28014,A000000,00700,0000,00700HOUSEKEEPING 28014,A000000,00800,0000,00800DIETARY 28014,A000000,00900,0000,00900NURSING ADMINISTRATION 28014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28014,A000000,01100,0000,01100PHARMACY 28014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28014,A000000,01300,0000,01300SOCIAL SERVICE 28014,A000000,01350,0000,01500RECREATION ACTIVITIES 28014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28014,A000000,01600,0000,01600SKILLED NURSING FACILITY 28014,A000000,01800,0000,01800NURSING FACILITY 28014,A000000,01810,0000,01810ICF/MR 28014,A000000,02200,0000,02200LABORATORY 28014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28014,A000000,02500,0000,02500PHYSICAL THERAPY 28014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28014,A000000,02700,0000,02700SPEECH PATHOLOGY 28014,A000000,02800,0000,02800ELECTROCARDIOLOGY 28014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28014,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28014,A000000,03051,0000,03301ENTERAL FEEDING 28014,A000000,03550,0000,03550FQHC 28014,A000000,05000,0000,05000CORF 28014,A000000,05010,0000,05010CMHC 28014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28014,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28014,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28014,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28014,A000000,06153,0000,06312DIALYSIS 28014,A000000,06154,0000,06320APARTMENTS 28014,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28014,A000000,06156,0000,06340CLOSED PATIENT AREAS 28014,A000000,06157,0000,06350O/P ADULT DAYCARE 28014,A81000A,00100,0100,Y 28014,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28014,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28014,A81000B,00300,0300,REHAB ALLOCATION 28014,A81000B,00400,0300,REHAB ALLOCATION 28014,A81000B,00500,0300,REHAB ALLOCATION 28014,A81000B,00600,0300,CLINICAL ALLOCATION 28014,A81000C,00100,0100,B 28014,A81000C,00100,0400,IHS INC. 28014,A81000C,00100,0600,NURSING HOMES 28014,A81000C,00200,0100,G 28014,A81000C,00200,0400,SYMPHONY REHAB 28014,A81000C,00200,0600,REHAB SERVICES 28014,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28014,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28014,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28014,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28014,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28014,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28014,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28014,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28014,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28014,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28014,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28014,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28014,E10A180,00301,0100,01/03/2000 28014,E10A180,00302,0100,09/18/2000 28014,E10A180,00501,0300,12/26/2000 28014,E10A180,00550,0100,12/26/2000 28014,S000000,00100,0200,11/01/2000 28014,S200000,00100,0100,300 N BYNUM 28014,S200000,00200,0100,LUFKIN 28014,S200000,00200,0200,TX 28014,S200000,00200,0300,75904- 28014,S200000,00300,0100,ANGELINA 28014,S200000,00300,0200,45 28014,S200000,00300,0300,R 28014,S200000,00400,0100,IHS-PARKWOOD PLACE 28014,S200000,00400,0200,455673 28014,S200000,00400,0300,11/01/1986 28014,S200000,00400,0500,P 28014,S200000,00600,0200,455673 28014,S200000,00600,0300,11/01/1986 28014,S200000,00600,0600,P 28014,S200000,01600,0100,Y 28014,S200000,02200,0100,Y 28019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28019,A000000,00300,0000,00300EMPLOYEE BENEFITS 28019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28019,A000000,00700,0000,00700HOUSEKEEPING 28019,A000000,00800,0000,00800DIETARY 28019,A000000,00900,0000,00900NURSING ADMINISTRATION 28019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28019,A000000,01100,0000,01100PHARMACY 28019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28019,A000000,01300,0000,01300SOCIAL SERVICE 28019,A000000,01350,0000,01500RECREATION ACTIVITIES 28019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28019,A000000,01600,0000,01600SKILLED NURSING FACILITY 28019,A000000,01800,0000,01800NURSING FACILITY 28019,A000000,01810,0000,01810ICF/MR 28019,A000000,02100,0000,02100RADIOLOGY 28019,A000000,02200,0000,02200LABORATORY 28019,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28019,A000000,02500,0000,02500PHYSICAL THERAPY 28019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28019,A000000,02700,0000,02700SPEECH PATHOLOGY 28019,A000000,02800,0000,02800ELECTROCARDIOLOGY 28019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28019,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28019,A000000,03051,0000,03301ENTERAL FEEDING 28019,A000000,03550,0000,03550FQHC 28019,A000000,05000,0000,05000CORF 28019,A000000,05010,0000,05010CMHC 28019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28019,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28019,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28019,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28019,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28019,A000000,06153,0000,06312DIALYSIS 28019,A000000,06154,0000,06320APARTMENTS 28019,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28019,A000000,06156,0000,06340CLOSED PATIENT AREAS 28019,A000000,06157,0000,06350O/P ADULT DAYCARE 28019,A81000A,00100,0100,Y 28019,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28019,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28019,A81000B,00300,0300,MSU DEVELOPMENT COST 28019,A81000B,00400,0300,REHAB ALLOCATION 28019,A81000B,00500,0300,REHAB ALLOCATION 28019,A81000B,00600,0300,REHAB ALLOCATION 28019,A81000B,00700,0300,CLINICAL ALLOCATION 28019,A81000B,00800,0300,SYMPHONY MOBILEX 28019,A81000C,00100,0100,B 28019,A81000C,00100,0400,IHS INC. 28019,A81000C,00100,0600,NURSING HOMES 28019,A81000C,00200,0100,G 28019,A81000C,00200,0400,SYMPHONY REHAB 28019,A81000C,00200,0600,REHAB SERVICES 28019,A81000C,00300,0100,G 28019,A81000C,00300,0400,LTC MED LAB 28019,A81000C,00300,0600,LABORATORY 28019,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28019,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28019,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28019,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28019,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28019,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28019,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28019,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28019,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28019,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28019,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28019,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28019,E10A180,00301,0100,12/03/1999 28019,E10A180,00350,0100,03/18/1999 28019,E10A180,00353,0100,05/18/2000 28019,E10A180,00501,0300,07/28/2000 28019,E10A180,00550,0100,07/28/2000 28019,S000000,00100,0200,06/06/2000 28019,S200000,00100,0100,5601 PLUM CREEK DRIVE 28019,S200000,00200,0100,AMARILLO 28019,S200000,00200,0200,TX 28019,S200000,00200,0300,79124- 28019,S200000,00300,0100,POTTER 28019,S200000,00300,0200,320 28019,S200000,00300,0300,U 28019,S200000,00400,0100,IHS-AMARILLO 28019,S200000,00400,0200,455675 28019,S200000,00400,0300,02/01/1978 28019,S200000,00400,0500,P 28019,S200000,00600,0200,455675 28019,S200000,00600,0300,02/01/1978 28019,S200000,00600,0600,P 28019,S200000,01600,0100,Y 28019,S200000,02200,0100,Y 28024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28024,A000000,00300,0000,00300EMPLOYEE BENEFITS 28024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28024,A000000,00700,0000,00700HOUSEKEEPING 28024,A000000,00800,0000,00800DIETARY 28024,A000000,00900,0000,00900NURSING ADMINISTRATION 28024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28024,A000000,01100,0000,01100PHARMACY 28024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28024,A000000,01300,0000,01300SOCIAL SERVICE 28024,A000000,01350,0000,01500RECREATION ACTIVITIES 28024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28024,A000000,01600,0000,01600SKILLED NURSING FACILITY 28024,A000000,01800,0000,01800NURSING FACILITY 28024,A000000,01810,0000,01810ICF/MR 28024,A000000,02100,0000,02100RADIOLOGY 28024,A000000,02200,0000,02200LABORATORY 28024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28024,A000000,02500,0000,02500PHYSICAL THERAPY 28024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28024,A000000,02700,0000,02700SPEECH PATHOLOGY 28024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28024,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28024,A000000,03051,0000,03301ENTERAL FEEDING 28024,A000000,03550,0000,03550FQHC 28024,A000000,05000,0000,05000CORF 28024,A000000,05010,0000,05010CMHC 28024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28024,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28024,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28024,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28024,A000000,06153,0000,06312DIALYSIS 28024,A000000,06154,0000,06320APARTMENTS 28024,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28024,A000000,06156,0000,06340CLOSED PATIENT AREAS 28024,A000000,06157,0000,06350O/P ADULT DAYCARE 28024,A81000A,00100,0100,Y 28024,A81000B,00100,0300,HACIENDA CAPITAL COS 28024,A81000B,00200,0300,HACIENDA ADMIN. & GE 28024,A81000B,00300,0300,HOME OFFICE CAPITAL 28024,A81000B,00400,0300,HOME OFFICE A&G 28024,A81000C,00100,0100,A 28024,A81000C,00100,0200,THOMAS SCOTT 28024,A81000C,00100,0400,PREFERRED CARE 28024,A81000C,00100,0600,NURSING HOMES 28024,A81000C,00200,0100,G 28024,A81000C,00200,0400,HACIENDA CARE L 28024,A81000C,00200,0600,LEASED PROPERTI 28024,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28024,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28024,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28024,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28024,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28024,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28024,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28024,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28024,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28024,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28024,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28024,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28024,E10A180,00301,0100,12/03/1999 28024,E10A180,00304,0100,05/18/2000 28024,E10A180,00350,0100,03/18/1999 28024,E10A180,00351,0100,03/18/1999 28024,E10A180,00352,0100,12/03/1999 28024,E10A180,00501,0300,05/31/2000 28024,E10A180,00550,0100,05/31/2000 28024,E10A180,00551,0100,07/28/2000 28024,E10A180,00551,0300,07/28/2000 28024,S000000,00100,0200,06/01/2000 28024,S200000,00100,0100,2001AVENUE E 28024,S200000,00200,0100,HONDO 28024,S200000,00200,0200,TX 28024,S200000,00200,0300,78861- 28024,S200000,00300,0100,MEDINA 28024,S200000,00300,0200,45 28024,S200000,00300,0300,R 28024,S200000,00400,0100,COMMUNITY CARE CENTER-HONDO 28024,S200000,00400,0200,455676 28024,S200000,00400,0300,12/15/1986 28024,S200000,00400,0500,P 28024,S200000,00600,0200,455676 28024,S200000,00600,0300,12/15/1986 28024,S200000,00600,0600,P 28024,S200000,01600,0100,Y 28024,S200000,02200,0100,Y 28028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28028,A000000,00300,0000,00300EMPLOYEE BENEFITS 28028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28028,A000000,00700,0000,00700HOUSEKEEPING 28028,A000000,00800,0000,00800DIETARY 28028,A000000,00900,0000,00900NURSING ADMINISTRATION 28028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28028,A000000,01100,0000,01100PHARMACY 28028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28028,A000000,01300,0000,01300SOCIAL SERVICE 28028,A000000,01350,0000,01500RECREATION ACTIVITIES 28028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28028,A000000,01600,0000,01600SKILLED NURSING FACILITY 28028,A000000,01800,0000,01800NURSING FACILITY 28028,A000000,01810,0000,01810ICF/MR 28028,A000000,02100,0000,02100RADIOLOGY 28028,A000000,02200,0000,02200LABORATORY 28028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28028,A000000,02500,0000,02500PHYSICAL THERAPY 28028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28028,A000000,02700,0000,02700SPEECH PATHOLOGY 28028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28028,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28028,A000000,03051,0000,03301ENTERAL FEEDING 28028,A000000,03550,0000,03550FQHC 28028,A000000,05000,0000,05000CORF 28028,A000000,05010,0000,05010CMHC 28028,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28028,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28028,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28028,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28028,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28028,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28028,A000000,06153,0000,06312DIALYSIS 28028,A000000,06154,0000,06320APARTMENTS 28028,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28028,A000000,06156,0000,06340CLOSED PATIENT AREAS 28028,A000000,06157,0000,06350O/P ADULT DAYCARE 28028,A81000A,00100,0100,Y 28028,A81000B,00100,0300,PINNACLE HEALTH PROP 28028,A81000B,00200,0300,PINNACLE HEALTH PROP 28028,A81000B,00300,0300,HOME OFFICE CAPITAL 28028,A81000B,00400,0300,HOME OFFICE A&G 28028,A81000C,00100,0100,A 28028,A81000C,00100,0200,THOMAS SCOTT 28028,A81000C,00100,0400,PREFFERED CARE 28028,A81000C,00100,0600,NURSING HOMES 28028,A81000C,00200,0100,G 28028,A81000C,00200,0400,PINNNACLE HEALT 28028,A81000C,00200,0600,LEASED PROPERTI 28028,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28028,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28028,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28028,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28028,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28028,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28028,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28028,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28028,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28028,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28028,E10A180,00301,0100,05/18/2000 28028,E10A180,00351,0100,03/18/1999 28028,E10A180,00352,0100,12/03/1999 28028,E10A180,00501,0100,07/28/2000 28028,E10A180,00501,0300,07/28/2000 28028,S000000,00100,0200,06/06/2000 28028,S200000,00100,0100,2590 LOOP 337 N. 28028,S200000,00200,0100,NEW BRANFELS 28028,S200000,00200,0200,TX 28028,S200000,00200,0300,78130- 28028,S200000,00300,0100,COMAL 28028,S200000,00300,0200,7240 28028,S200000,00300,0300,U 28028,S200000,00400,0100,KIRKWOOD MANOR 28028,S200000,00400,0200,455732 28028,S200000,00400,0300,12/01/1992 28028,S200000,00400,0500,P 28028,S200000,00600,0200,455732 28028,S200000,00600,0300,12/01/1992 28028,S200000,00600,0600,P 28028,S200000,01600,0100,Y 28028,S200000,02200,0100,Y 28034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28034,A000000,00300,0000,00300EMPLOYEE BENEFITS 28034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28034,A000000,00700,0000,00700HOUSEKEEPING 28034,A000000,00800,0000,00800DIETARY 28034,A000000,00900,0000,00900NURSING ADMINISTRATION 28034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28034,A000000,01100,0000,01100PHARMACY 28034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28034,A000000,01300,0000,01300SOCIAL SERVICE 28034,A000000,01350,0000,01500RECREATION ACTIVITIES 28034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28034,A000000,01600,0000,01600SKILLED NURSING FACILITY 28034,A000000,01800,0000,01800NURSING FACILITY 28034,A000000,01810,0000,01810ICF/MR 28034,A000000,02100,0000,02100RADIOLOGY 28034,A000000,02200,0000,02200LABORATORY 28034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28034,A000000,02500,0000,02500PHYSICAL THERAPY 28034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28034,A000000,02700,0000,02700SPEECH PATHOLOGY 28034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28034,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28034,A000000,03051,0000,03301ENTERAL FEEDING 28034,A000000,03550,0000,03550FQHC 28034,A000000,05000,0000,05000CORF 28034,A000000,05010,0000,05010CMHC 28034,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28034,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28034,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28034,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28034,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28034,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28034,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28034,A000000,06153,0000,06312DIALYSIS 28034,A000000,06154,0000,06320APARTMENTS 28034,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28034,A000000,06156,0000,06340CLOSED PATIENT AREAS 28034,A000000,06157,0000,06350O/P ADULT DAYCARE 28034,A81000A,00100,0100,Y 28034,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28034,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28034,A81000B,00300,0300,CLINICAL ALLOCATION 28034,A81000B,00400,0300,REHAB ALLOCATION 28034,A81000B,00500,0300,REHAB ALLOCATION 28034,A81000B,00600,0300,REHAB ALLOCATION 28034,A81000B,00800,0300,SYMPHONY MOBILEX 28034,A81000B,00900,0300,LTC LABS 28034,A81000C,00100,0100,B 28034,A81000C,00100,0400,IHS INC. 28034,A81000C,00100,0600,NURSING HOMES 28034,A81000C,00200,0100,G 28034,A81000C,00200,0400,SYMPHONY REHAB 28034,A81000C,00200,0600,REHAB SERVICES 28034,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28034,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28034,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28034,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28034,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28034,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28034,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28034,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28034,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28034,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28034,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28034,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28034,E10A180,00350,0100,09/18/2000 28034,E10A180,00501,0100,12/26/2000 28034,E10A180,00550,0300,12/26/2000 28034,S000000,00100,0200,11/01/2000 28034,S200000,00100,0100,820 SMALL STREET 28034,S200000,00200,0100,GRAND PRAIRIE 28034,S200000,00200,0200,TX 28034,S200000,00200,0300,75050- 28034,S200000,00300,0100,DALLAS 28034,S200000,00300,0200,1920 28034,S200000,00300,0300,U 28034,S200000,00400,0100,IHS-GRAND PRAIRIE 28034,S200000,00400,0200,455733 28034,S200000,00400,0300,01/27/1988 28034,S200000,00400,0500,P 28034,S200000,00600,0200,455733 28034,S200000,00600,0300,01/27/1988 28034,S200000,00600,0600,P 28034,S200000,01600,0100,Y 28034,S200000,02200,0100,Y 28047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28047,A000000,00300,0000,00300EMPLOYEE BENEFITS 28047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28047,A000000,00700,0000,00700HOUSEKEEPING 28047,A000000,00800,0000,00800DIETARY 28047,A000000,00900,0000,00900NURSING ADMINISTRATION 28047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28047,A000000,01100,0000,01100PHARMACY 28047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28047,A000000,01300,0000,01300SOCIAL SERVICE 28047,A000000,01350,0000,01500RECREATION ACTIVITIES 28047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28047,A000000,01600,0000,01600SKILLED NURSING FACILITY 28047,A000000,01800,0000,01800NURSING FACILITY 28047,A000000,01810,0000,01810ICF/MR 28047,A000000,02100,0000,02100RADIOLOGY 28047,A000000,02200,0000,02200LABORATORY 28047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28047,A000000,02500,0000,02500PHYSICAL THERAPY 28047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28047,A000000,02700,0000,02700SPEECH PATHOLOGY 28047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28047,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28047,A000000,03051,0000,03301ENTERAL FEEDING 28047,A000000,03550,0000,03550FQHC 28047,A000000,05000,0000,05000CORF 28047,A000000,05010,0000,05010CMHC 28047,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28047,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28047,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28047,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28047,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28047,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28047,A000000,06153,0000,06312DIALYSIS 28047,A000000,06154,0000,06320APARTMENTS 28047,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28047,A000000,06156,0000,06340CLOSED PATIENT AREAS 28047,A000000,06157,0000,06350O/P ADULT DAYCARE 28047,A81000A,00100,0100,Y 28047,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28047,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28047,A81000B,00300,0300,REHAB ALLOCATION 28047,A81000B,00400,0300,REHAB ALLOCATION 28047,A81000B,00500,0300,REHAB ALLOCATION 28047,A81000B,00600,0300,CLINICAL ALLOCATION 28047,A81000B,00700,0300,SYMPHONY RESPIRATORY 28047,A81000B,00800,0300,SYMPHONY MOBILEX 28047,A81000B,00900,0300,LTC MEDICAL LABS 28047,A81000C,00100,0100,B 28047,A81000C,00100,0400,IHS INC. 28047,A81000C,00100,0600,NURSING HOMES 28047,A81000C,00200,0100,G 28047,A81000C,00200,0400,SYMPHONY REHAB 28047,A81000C,00200,0600,REHAB SERVICES 28047,A81000C,00300,0100,G 28047,A81000C,00300,0400,LTC MED LAB 28047,A81000C,00300,0600,LABORATORY 28047,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28047,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28047,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28047,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28047,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28047,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28047,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28047,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28047,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28047,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28047,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28047,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28047,E10A180,00301,0100,01/03/2000 28047,E10A180,00302,0100,09/18/2000 28047,E10A180,00501,0100,12/06/2001 28047,E10A180,00550,0100,10/30/2000 28047,E10A180,00550,0300,10/30/2000 28047,E10A180,00551,0100,12/26/2000 28047,S000000,00100,0200,11/01/2000 28047,S200000,00100,0100,505 N FM 1417 28047,S200000,00200,0100,SHERMAN 28047,S200000,00200,0200,TX 28047,S200000,00200,0300,75090- 28047,S200000,00300,0100,GRAYSON 28047,S200000,00300,0200,7640 28047,S200000,00300,0300,U 28047,S200000,00400,0100,IHS-SHERMAN 28047,S200000,00400,0200,455750 28047,S200000,00400,0300,06/01/1988 28047,S200000,00400,0500,P 28047,S200000,00600,0200,455750 28047,S200000,00600,0300,06/01/1988 28047,S200000,00600,0600,P 28047,S200000,01600,0100,Y 28047,S200000,02200,0100,Y 28056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28056,A000000,00300,0000,00300EMPLOYEE BENEFITS 28056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28056,A000000,00700,0000,00700HOUSEKEEPING 28056,A000000,00800,0000,00800DIETARY 28056,A000000,00900,0000,00900NURSING ADMINISTRATION 28056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28056,A000000,01100,0000,01100PHARMACY 28056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28056,A000000,01300,0000,01300SOCIAL SERVICE 28056,A000000,01350,0000,01500RECREATION ACTIVITIES 28056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28056,A000000,01600,0000,01600SKILLED NURSING FACILITY 28056,A000000,01800,0000,01800NURSING FACILITY 28056,A000000,01810,0000,01810ICF/MR 28056,A000000,02100,0000,02100RADIOLOGY 28056,A000000,02200,0000,02200LABORATORY 28056,A000000,02500,0000,02500PHYSICAL THERAPY 28056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28056,A000000,02700,0000,02700SPEECH PATHOLOGY 28056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28056,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28056,A000000,03051,0000,03301ENTERAL FEEDING 28056,A000000,03550,0000,03550FQHC 28056,A000000,05000,0000,05000CORF 28056,A000000,05010,0000,05010CMHC 28056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28056,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28056,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28056,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28056,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28056,A000000,06153,0000,06312DIALYSIS 28056,A000000,06154,0000,06320APARTMENTS 28056,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28056,A000000,06156,0000,06340CLOSED PATIENT AREAS 28056,A000000,06157,0000,06350O/P ADULT DAYCARE 28056,A81000A,00100,0100,Y 28056,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28056,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28056,A81000B,00400,0300,SYMPHONY REHAB 28056,A81000B,00500,0300,SYMPHONY REHAB 28056,A81000B,00600,0300,SYMPHONY REHAB 28056,A81000B,00800,0300,SYMPHONY MOBILEX 28056,A81000B,00900,0300,REHAB ALLOCATION 28056,A81000B,01000,0300,REHAB ALLOCATION 28056,A81000B,01100,0300,REHAB ALLOCATION 28056,A81000B,01200,0300,CLINICAL ALLOCATION 28056,A81000C,00100,0100,B 28056,A81000C,00100,0400,IHS INC. 28056,A81000C,00100,0600,NURSING HOMES 28056,A81000C,00200,0100,G 28056,A81000C,00200,0400,SYMPHONY REHAB 28056,A81000C,00200,0600,REHAB SERVICES 28056,A81000C,00300,0100,G 28056,A81000C,00300,0400,LTC MED LAB 28056,A81000C,00300,0600,LABORATORY 28056,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28056,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28056,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28056,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28056,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28056,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28056,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28056,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28056,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28056,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28056,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28056,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28056,E10A180,00301,0100,12/03/1999 28056,E10A180,00304,0100,05/18/2000 28056,E10A180,00350,0100,03/18/1999 28056,E10A180,00550,0100,05/31/2000 28056,E10A180,00550,0300,05/31/2000 28056,E10A180,00551,0100,07/28/2000 28056,S000000,00100,0200,06/01/2000 28056,S200000,00100,0100,205 NORTH BONNIE BRAE 28056,S200000,00200,0100,DENTON 28056,S200000,00200,0200,TX 28056,S200000,00200,0300,76201- 28056,S200000,00300,0100,DENTON 28056,S200000,00300,0200,1920 28056,S200000,00300,0300,U 28056,S200000,00400,0100,VINTAGE HEALTH CARE CENTER 28056,S200000,00400,0200,455752 28056,S200000,00400,0300,06/29/1988 28056,S200000,00400,0500,P 28056,S200000,00600,0200,455752 28056,S200000,00600,0300,06/29/1988 28056,S200000,00600,0600,P 28056,S200000,01600,0100,Y 28056,S200000,02200,0100,Y 28065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28065,A000000,00300,0000,00300EMPLOYEE BENEFITS 28065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28065,A000000,00700,0000,00700HOUSEKEEPING 28065,A000000,00800,0000,00800DIETARY 28065,A000000,00900,0000,00900NURSING ADMINISTRATION 28065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28065,A000000,01100,0000,01100PHARMACY 28065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28065,A000000,01300,0000,01300SOCIAL SERVICE 28065,A000000,01350,0000,01500RECREATION ACTIVITIES 28065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28065,A000000,01600,0000,01600SKILLED NURSING FACILITY 28065,A000000,01800,0000,01800NURSING FACILITY 28065,A000000,01810,0000,01810ICF/MR 28065,A000000,02100,0000,02100RADIOLOGY 28065,A000000,02200,0000,02200LABORATORY 28065,A000000,02500,0000,02500PHYSICAL THERAPY 28065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28065,A000000,02700,0000,02700SPEECH PATHOLOGY 28065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28065,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28065,A000000,03051,0000,03301ENTERAL FEEDING 28065,A000000,03550,0000,03550FQHC 28065,A000000,05000,0000,05000CORF 28065,A000000,05010,0000,05010CMHC 28065,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28065,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28065,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28065,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28065,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28065,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28065,A000000,06153,0000,06312DIALYSIS 28065,A000000,06154,0000,06320APARTMENTS 28065,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28065,A000000,06156,0000,06340CLOSED PATIENT AREAS 28065,A000000,06157,0000,06350O/P ADULT DAYCARE 28065,A81000A,00100,0100,Y 28065,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28065,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28065,A81000B,00300,0300,MSU DEVELOPMENT COST 28065,A81000B,00400,0300,SYMPHONY REHAB 28065,A81000B,00500,0300,SYMPHONY REHAB 28065,A81000B,00600,0300,SYMPHONY REHAB 28065,A81000B,00700,0300,SYMPHONY REHAB 28065,A81000B,00900,0300,LTC MED LAB 28065,A81000B,01000,0300,REHAB ALLOCATION 28065,A81000B,01100,0300,REHAB ALLOCATION 28065,A81000B,01200,0300,REHAB ALLOCATION 28065,A81000B,01300,0300,CLINICAL ALLOCATION 28065,A81000C,00100,0100,B 28065,A81000C,00100,0400,IHS INC. 28065,A81000C,00100,0600,NURSING HOMES 28065,A81000C,00200,0100,G 28065,A81000C,00200,0400,SYMPHONY REHAB 28065,A81000C,00200,0600,REHAB SERVICES 28065,A81000C,00300,0100,G 28065,A81000C,00300,0400,LTC MED LAB 28065,A81000C,00300,0600,LABORATORY 28065,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28065,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28065,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28065,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28065,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28065,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28065,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28065,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28065,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28065,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28065,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28065,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28065,E10A180,00301,0100,03/18/1999 28065,E10A180,00302,0100,12/03/1999 28065,E10A180,00350,0100,03/18/1999 28065,E10A180,00351,0100,03/18/1999 28065,E10A180,00354,0100,05/18/2000 28065,E10A180,00501,0100,07/28/2000 28065,E10A180,00550,0100,05/31/2000 28065,E10A180,00550,0300,05/31/2000 28065,S000000,00100,0200,06/01/2000 28065,S200000,00100,0100,1000 MCKINLEY ST 28065,S200000,00200,0100,BENBROOK 28065,S200000,00200,0200,TX 28065,S200000,00200,0300,76126- 28065,S200000,00300,0100,TARRANT 28065,S200000,00300,0200,2800 28065,S200000,00300,0300,U 28065,S200000,00400,0100,IHS-BENBROOK AT TRINITY HILLS 28065,S200000,00400,0200,455795 28065,S200000,00400,0300,01/01/1983 28065,S200000,00400,0500,P 28065,S200000,00600,0200,455795 28065,S200000,00600,0300,01/01/1983 28065,S200000,00600,0600,P 28065,S200000,01600,0100,Y 28065,S200000,02200,0100,Y 28071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28071,A000000,00300,0000,00300EMPLOYEE BENEFITS 28071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28071,A000000,00700,0000,00700HOUSEKEEPING 28071,A000000,00800,0000,00800DIETARY 28071,A000000,00900,0000,00900NURSING ADMINISTRATION 28071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28071,A000000,01100,0000,01100PHARMACY 28071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28071,A000000,01300,0000,01300SOCIAL SERVICE 28071,A000000,01350,0000,01500RECREATION ACTIVITIES 28071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28071,A000000,01600,0000,01600SKILLED NURSING FACILITY 28071,A000000,01800,0000,01800NURSING FACILITY 28071,A000000,01810,0000,01810ICF/MR 28071,A000000,02100,0000,02100RADIOLOGY 28071,A000000,02200,0000,02200LABORATORY 28071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28071,A000000,02500,0000,02500PHYSICAL THERAPY 28071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28071,A000000,02700,0000,02700SPEECH PATHOLOGY 28071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28071,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28071,A000000,03051,0000,03301ENTERAL FEEDING 28071,A000000,03550,0000,03550FQHC 28071,A000000,05000,0000,05000CORF 28071,A000000,05010,0000,05010CMHC 28071,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28071,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28071,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28071,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28071,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28071,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28071,A000000,06153,0000,06312DIALYSIS 28071,A000000,06154,0000,06320APARTMENTS 28071,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28071,A000000,06156,0000,06340CLOSED PATIENT AREAS 28071,A000000,06157,0000,06350O/P ADULT DAYCARE 28071,A81000A,00100,0100,Y 28071,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28071,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28071,A81000B,00400,0300,REHAB ALLOCATION 28071,A81000B,00500,0300,REHAB ALLOCATION 28071,A81000B,00600,0300,REHAB ALLOCATION 28071,A81000B,00700,0300,CLINICAL ALLOCATION 28071,A81000C,00100,0100,B 28071,A81000C,00100,0400,IHS INC. 28071,A81000C,00100,0600,NURSING HOMES 28071,A81000C,00200,0100,G 28071,A81000C,00200,0400,SYMPHONY REHAB 28071,A81000C,00200,0600,REHAB SERVICES 28071,A81000C,00300,0100,G 28071,A81000C,00300,0400,LTC MED LAB 28071,A81000C,00300,0600,LABORATORY 28071,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28071,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28071,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28071,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28071,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28071,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28071,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28071,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28071,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28071,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28071,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28071,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28071,E10A180,00301,0100,09/18/2000 28071,E10A180,00351,0100,01/03/2000 28071,E10A180,00501,0100,12/26/2000 28071,E10A180,00501,0300,12/26/2000 28071,S000000,00100,0200,11/01/2000 28071,S200000,00100,0100,1040 FM 802 28071,S200000,00200,0100,BROWNSVILLE 28071,S200000,00200,0200,TX 28071,S200000,00200,0300,78521- 28071,S200000,00300,0100,CAMERON 28071,S200000,00300,0200,1240 28071,S200000,00300,0300,U 28071,S200000,00400,0100,IHS-BROWNSVILLE 28071,S200000,00400,0200,455802 28071,S200000,00400,0300,04/05/1989 28071,S200000,00400,0500,P 28071,S200000,00600,0200,455802 28071,S200000,00600,0300,04/05/1989 28071,S200000,00600,0600,P 28071,S200000,01600,0100,Y 28071,S200000,02200,0100,Y 28079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28079,A000000,00300,0000,00300EMPLOYEE BENEFITS 28079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28079,A000000,00700,0000,00700HOUSEKEEPING 28079,A000000,00800,0000,00800DIETARY 28079,A000000,00900,0000,00900NURSING ADMINISTRATION 28079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28079,A000000,01100,0000,01100PHARMACY 28079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28079,A000000,01300,0000,01300SOCIAL SERVICE 28079,A000000,01350,0000,01500RECREATION ACTIVITIES 28079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28079,A000000,01600,0000,01600SKILLED NURSING FACILITY 28079,A000000,01800,0000,01800NURSING FACILITY 28079,A000000,01810,0000,01810ICF/MR 28079,A000000,02100,0000,02100RADIOLOGY 28079,A000000,02200,0000,02200LABORATORY 28079,A000000,02500,0000,02500PHYSICAL THERAPY 28079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28079,A000000,02700,0000,02700SPEECH PATHOLOGY 28079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28079,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28079,A000000,03051,0000,03301ENTERAL FEEDING 28079,A000000,03550,0000,03550FQHC 28079,A000000,05000,0000,05000CORF 28079,A000000,05010,0000,05010CMHC 28079,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28079,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28079,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28079,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28079,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28079,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28079,A000000,06153,0000,06312DIALYSIS 28079,A000000,06154,0000,06320APARTMENTS 28079,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28079,A000000,06156,0000,06340CLOSED PATIENT AREAS 28079,A000000,06157,0000,06350O/P ADULT DAYCARE 28079,A81000A,00100,0100,Y 28079,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28079,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28079,A81000B,00300,0300,MSU DEVELOPMENT COST 28079,A81000B,00400,0300,SYMPHONY REHAB 28079,A81000B,00500,0300,SYMPHONY REHAB 28079,A81000B,00600,0300,SYMPHONY REHAB 28079,A81000B,00700,0300,REHAB ALLOCATION 28079,A81000B,00800,0300,REHAB ALLOCATION 28079,A81000B,00900,0300,REHAB ALLOCATION 28079,A81000B,01000,0300,CLINICAL ALLOCATION 28079,A81000B,01100,0300,SYMPHONY MOBILEX 28079,A81000B,01200,0300,LTC MEDICAL LABS 28079,A81000C,00100,0100,B 28079,A81000C,00100,0400,IHS INC. 28079,A81000C,00100,0600,NURSING HOMES 28079,A81000C,00200,0100,G 28079,A81000C,00200,0400,SYMPHONY REHAB 28079,A81000C,00200,0600,REHAB SERVICES 28079,A81000C,00300,0100,G 28079,A81000C,00300,0400,LTC MED LAB 28079,A81000C,00300,0600,LABORATORY 28079,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28079,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28079,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28079,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28079,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28079,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28079,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28079,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28079,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28079,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28079,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28079,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28079,E10A180,00301,0100,03/18/1999 28079,E10A180,00302,0100,12/03/1999 28079,E10A180,00350,0100,03/18/1999 28079,E10A180,00351,0100,12/03/1999 28079,E10A180,00354,0100,05/18/2000 28079,E10A180,00501,0100,07/28/2000 28079,E10A180,00550,0300,07/28/2000 28079,S000000,00100,0200,06/01/2000 28079,S200000,00100,0100,5550 HARVEST HILL ROAD 28079,S200000,00200,0100,DALLAS 28079,S200000,00200,0200,TX 28079,S200000,00200,0300,75230- 28079,S200000,00300,0100,DALLAS 28079,S200000,00300,0200,1920 28079,S200000,00300,0300,U 28079,S200000,00400,0100,IHS-DALLAS AT TREEMONT 28079,S200000,00400,0200,455823 28079,S200000,00400,0300,06/27/1989 28079,S200000,00400,0500,P 28079,S200000,00600,0200,455823 28079,S200000,00600,0300,06/27/1989 28079,S200000,00600,0600,P 28079,S200000,01600,0100,Y 28079,S200000,02200,0100,Y 28096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28096,A000000,00300,0000,00300EMPLOYEE BENEFITS 28096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28096,A000000,00700,0000,00700HOUSEKEEPING 28096,A000000,00800,0000,00800DIETARY 28096,A000000,00900,0000,00900NURSING ADMINISTRATION 28096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28096,A000000,01100,0000,01100PHARMACY 28096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28096,A000000,01300,0000,01300SOCIAL SERVICE 28096,A000000,01350,0000,01500RECREATION ACTIVITIES 28096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28096,A000000,01600,0000,01600SKILLED NURSING FACILITY 28096,A000000,01800,0000,01800NURSING FACILITY 28096,A000000,01810,0000,01810ICF/MR 28096,A000000,02100,0000,02100RADIOLOGY 28096,A000000,02200,0000,02200LABORATORY 28096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28096,A000000,02500,0000,02500PHYSICAL THERAPY 28096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28096,A000000,02700,0000,02700SPEECH PATHOLOGY 28096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28096,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28096,A000000,03051,0000,03301ENTERAL FEEDING 28096,A000000,03550,0000,03550FQHC 28096,A000000,05000,0000,05000CORF 28096,A000000,05010,0000,05010CMHC 28096,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28096,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28096,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28096,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28096,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28096,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28096,A000000,06153,0000,06312DIALYSIS 28096,A000000,06154,0000,06320APARTMENTS 28096,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28096,A000000,06156,0000,06340CLOSED PATIENT AREAS 28096,A000000,06157,0000,06350O/P ADULT DAYCARE 28096,A81000A,00100,0100,Y 28096,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28096,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28096,A81000B,00300,0300,LYRIC CORPORATE 28096,A81000B,00400,0300,LTC MEDLAB 28096,A81000B,00500,0300,SYMPHONY MOBILEX 28096,A81000B,00600,0300,LTC MEDLAB 28096,A81000B,00700,0300,CLNICAL ALLOCATION 28096,A81000B,00800,0300,REHAB ALLOCATION 28096,A81000B,00900,0300,REHAB ALLOCATION 28096,A81000B,01000,0300,REHAB ALLOCATION 28096,A81000B,01100,0300,RENT SUBSTITUTION 28096,A81000B,01200,0300,RENT SUBSTITUTION 28096,A81000C,00100,0100,B 28096,A81000C,00100,0400,IHS INC. 28096,A81000C,00100,0600,LONG TERM CARE 28096,A81000C,00200,0100,G 28096,A81000C,00200,0400,SYMPHONY REHAB 28096,A81000C,00200,0600,REHAB SERVICES 28096,A81000C,00300,0100,G 28096,A81000C,00300,0400,LTC MED LAB 28096,A81000C,00300,0600,LABORATORY 28096,A81000C,00400,0100,B 28096,A81000C,00400,0400,LYRIC/IHS 28096,A81000C,00400,0600,MGT/LEASED BUIL 28096,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28096,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28096,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28096,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28096,B100000,00000,0600,00050(POUNDS OF LAUNDRY) :LAUNDRY & LINE 28096,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28096,B100000,00000,0800,00050(MEAL COUNT) :DIETARY 28096,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28096,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28096,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28096,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28096,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28096,E10A180,00302,0300,01/03/2000 28096,E10A180,00303,0300,09/18/2000 28096,E10A180,00501,0100,12/26/2000 28096,E10A180,00550,0300,12/26/2000 28096,S000000,00100,0200,11/01/2000 28096,S200000,00100,0100,1621 COIT RD 28096,S200000,00200,0100,PLANO 28096,S200000,00200,0200,TX 28096,S200000,00200,0300,75075- 28096,S200000,00300,0100,COLLINS 28096,S200000,00300,0200,1920 28096,S200000,00300,0300,U 28096,S200000,00400,0100,IHS-PLANO 28096,S200000,00400,0200,455861 28096,S200000,00400,0300,01/17/1990 28096,S200000,00400,0500,P 28096,S200000,00600,0200,455861 28096,S200000,00600,0300,01/17/1990 28096,S200000,00600,0600,P 28096,S200000,01600,0100,Y 28096,S200000,02200,0100,Y 28107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28107,A000000,00300,0000,00300EMPLOYEE BENEFITS 28107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28107,A000000,00700,0000,00700HOUSEKEEPING 28107,A000000,00800,0000,00800DIETARY 28107,A000000,00900,0000,00900NURSING ADMINISTRATION 28107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28107,A000000,01100,0000,01100PHARMACY 28107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28107,A000000,01300,0000,01300SOCIAL SERVICE 28107,A000000,01350,0000,01500RECREATION ACTIVITIES 28107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28107,A000000,01600,0000,01600SKILLED NURSING FACILITY 28107,A000000,01800,0000,01800NURSING FACILITY 28107,A000000,01810,0000,01810ICF/MR 28107,A000000,02100,0000,02100RADIOLOGY 28107,A000000,02200,0000,02200LABORATORY 28107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28107,A000000,02500,0000,02500PHYSICAL THERAPY 28107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28107,A000000,02700,0000,02700SPEECH PATHOLOGY 28107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28107,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28107,A000000,03051,0000,03301ENTERAL FEEDING 28107,A000000,03550,0000,03550FQHC 28107,A000000,05000,0000,05000CORF 28107,A000000,05010,0000,05010CMHC 28107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28107,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28107,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28107,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28107,A000000,06153,0000,06312DIALYSIS 28107,A000000,06154,0000,06320APARTMENTS 28107,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28107,A000000,06156,0000,06340CLOSED PATIENT AREAS 28107,A000000,06157,0000,06350O/P ADULT DAYCARE 28107,A81000A,00100,0100,Y 28107,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28107,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28107,A81000B,00300,0300,SYMPHONY MOBILEX 28107,A81000B,00400,0300,REHAB ALLOCATION 28107,A81000B,00500,0300,REHAB ALLOCATION 28107,A81000B,00600,0300,REHAB ALLOCATION 28107,A81000B,00700,0300,CLINICAL ALLOCATION 28107,A81000C,00100,0100,B 28107,A81000C,00100,0400,IHS INC. 28107,A81000C,00100,0600,LONG TERM CARE 28107,A81000C,00200,0100,G 28107,A81000C,00200,0400,SYMPHONY REHAB 28107,A81000C,00200,0600,REHAB SERVICES 28107,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28107,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28107,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28107,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28107,B100000,00000,0600,00050(POUNDS OF LAUNDRY :LAUNDRY & LINEN 28107,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28107,B100000,00000,0800,00050(MEAL COUNT) :DIETARY 28107,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28107,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28107,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28107,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28107,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28107,E10A180,00302,0300,01/03/2000 28107,E10A180,00303,0300,09/18/2000 28107,E10A180,00501,0300,10/30/2000 28107,E10A180,00502,0100,12/26/2000 28107,E10A180,00503,0100,12/06/2001 28107,E10A180,00550,0100,10/30/2000 28107,E10A180,00551,0300,12/26/2000 28107,S000000,00100,0200,11/01/2000 28107,S200000,00100,0100,1101 GRACE STREET 28107,S200000,00200,0100,WICHITA FALLS 28107,S200000,00200,0200,TX 28107,S200000,00200,0300,76301- 28107,S200000,00300,0100,WICHITA 28107,S200000,00300,0200,9080 28107,S200000,00300,0300,U 28107,S200000,00400,0100,IHS-GRACE CARE CENTER 28107,S200000,00400,0200,455901 28107,S200000,00400,0300,11/15/1990 28107,S200000,00400,0500,P 28107,S200000,00600,0200,455901 28107,S200000,00600,0300,11/15/1990 28107,S200000,00600,0600,P 28107,S200000,01600,0100,Y 28107,S200000,02200,0100,Y 28116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28116,A000000,00300,0000,00300EMPLOYEE BENEFITS 28116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28116,A000000,00700,0000,00700HOUSEKEEPING 28116,A000000,00800,0000,00800DIETARY 28116,A000000,00900,0000,00900NURSING ADMINISTRATION 28116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28116,A000000,01100,0000,01100PHARMACY 28116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28116,A000000,01300,0000,01300SOCIAL SERVICE 28116,A000000,01350,0000,01500ACTIVITIES 28116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28116,A000000,01600,0000,01600SKILLED NURSING FACILITY 28116,A000000,01800,0000,01800NURSING FACILITY 28116,A000000,01900,0000,01900OTHER LONG TERM CARE 28116,A000000,02100,0000,02100RADIOLOGY 28116,A000000,02200,0000,02200LABORATORY 28116,A000000,02300,0000,02300INTRAVENOUS THERAPY 28116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28116,A000000,02500,0000,02500PHYSICAL THERAPY 28116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28116,A000000,02700,0000,02700SPEECH PATHOLOGY 28116,A000000,02800,0000,02800ELECTROCARDIOLOGY 28116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28116,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28116,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28116,A000000,03200,0000,03200SUPPORT SURFACES 28116,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28116,A000000,04800,0000,04800AMBULANCE 28116,A000000,05300,0000,05300INTEREST EXPENSE 28116,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28116,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28116,A000000,06100,0000,06100NONPAID WORKERS 28116,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28116,A000000,06200,0000,06200PATIENTS LAUNDRY 28116,A81000A,00100,0100,Y 28116,A81000B,00100,0300,HOME OFFICE COST 28116,A81000B,00200,0300,PT ADMIN FEES 28116,A81000B,00300,0300,OT ADMIN FEES 28116,A81000B,00400,0300,ST ADMIN FEES 28116,A81000B,00500,0300,INTEREST INCOME 28116,A81000C,00100,0100,B 28116,A81000C,00100,0200,MCHS - STRATFORD HALL 28116,A81000C,00100,0400,HCR MANORCARE INC. 28116,A81000C,00100,0600,LONG TERM CARE FACILITIES 28116,A81000C,00200,0100,B 28116,A81000C,00200,0200,MCHS - STRATFORD HALL 28116,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 28116,A81000C,00200,0600,THERAPY MANAGEMENT 28116,A81000C,00300,0100,B 28116,A81000C,00300,0200,MCHS - STRATFORD HALL 28116,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 28116,A81000C,00300,0600,THERAPY MANAGEMENT 28116,A81000C,00400,0100,B 28116,A81000C,00400,0200,MCHS - STRATFORD HALL 28116,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 28116,A81000C,00400,0600,THERAPY MANAGEMENT 28116,A81000C,00500,0100,B 28116,A81000C,00500,0200,MCHS - STRATFORD HALL 28116,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 28116,A81000C,00500,0600,THERAPY MANAGEMENT 28116,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28116,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28116,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28116,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28116,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28116,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28116,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28116,B100000,00000,0800,00000MEALS SERVED :DIETARY 28116,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28116,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28116,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28116,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28116,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28116,S000000,00100,0200,10/10/2000 28116,S200000,00100,0100,2125 HILLIARD ROAD 28116,S200000,00200,0100,RICHMOND 28116,S200000,00200,0200,VA 28116,S200000,00200,0300,23228- 28116,S200000,00300,0100,RICHMOND 28116,S200000,00300,0200,6760 28116,S200000,00300,0300,U 28116,S200000,00400,0100,MCHS - STRATFORD HALL 28116,S200000,00400,0200,495045 28116,S200000,00400,0300,11/01/1967 28116,S200000,00400,0500,P 28116,S200000,00400,0600,P 28116,S200000,01004,0500,O 28116,S200000,01600,0100,Y 28116,S200000,04300,0100,Y 28125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28125,A000000,00300,0000,00300EMPLOYEE BENEFITS 28125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28125,A000000,00700,0000,00700HOUSEKEEPING 28125,A000000,00800,0000,00800DIETARY 28125,A000000,00900,0000,00900NURSING ADMINISTRATION 28125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28125,A000000,01100,0000,01100PHARMACY 28125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28125,A000000,01300,0000,01300SOCIAL SERVICE 28125,A000000,01350,0000,01500ACTIVITIES 28125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28125,A000000,01600,0000,01600SKILLED NURSING FACILITY 28125,A000000,01800,0000,01800NURSING FACILITY 28125,A000000,01900,0000,01900OTHER LONG TERM CARE 28125,A000000,02100,0000,02100RADIOLOGY 28125,A000000,02200,0000,02200LABORATORY 28125,A000000,02300,0000,02300INTRAVENOUS THERAPY 28125,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28125,A000000,02500,0000,02500PHYSICAL THERAPY 28125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28125,A000000,02700,0000,02700SPEECH PATHOLOGY 28125,A000000,02800,0000,02800ELECTROCARDIOLOGY 28125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28125,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28125,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28125,A000000,03200,0000,03200SUPPORT SURFACES 28125,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28125,A000000,04800,0000,04800AMBULANCE 28125,A000000,05300,0000,05300INTEREST EXPENSE 28125,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28125,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28125,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28125,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28125,A000000,06100,0000,06100NONPAID WORKERS 28125,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28125,A000000,06200,0000,06200PATIENTS LAUNDRY 28125,A81000A,00100,0100,Y 28125,A81000B,00100,0300,HOME OFFICE COST 28125,A81000B,00200,0300,PT ADMIN FEES 28125,A81000B,00300,0300,OT ADMIN FEES 28125,A81000B,00400,0300,ST ADMIN FEES 28125,A81000B,00500,0300,INTEREST INCOME 28125,A81000C,00100,0100,B 28125,A81000C,00100,0200,MCHS - ARLINGTON 28125,A81000C,00100,0400,HCR MANORCARE INC. 28125,A81000C,00100,0600,LONG TERM CARE FACILITIES 28125,A81000C,00200,0100,B 28125,A81000C,00200,0200,MCHS - ARLINGTON 28125,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 28125,A81000C,00200,0600,THERAPY MANAGEMENT 28125,A81000C,00300,0100,B 28125,A81000C,00300,0200,MCHS - ARLINGTON 28125,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 28125,A81000C,00300,0600,THERAPY MANAGEMENT 28125,A81000C,00400,0100,B 28125,A81000C,00400,0200,MCHS - ARLINGTON 28125,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 28125,A81000C,00400,0600,THERAPY MANAGEMENT 28125,A81000C,00500,0100,B 28125,A81000C,00500,0200,MCHS - ARLINGTON 28125,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 28125,A81000C,00500,0600,THERAPY MANAGEMENT 28125,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28125,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28125,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28125,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28125,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28125,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28125,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28125,B100000,00000,0800,00000MEALS SERVED :DIETARY 28125,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28125,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28125,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28125,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28125,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28125,S000000,00100,0200,10/10/2000 28125,S200000,00100,0100,550 S. CARLIN SPRINGS ROAD 28125,S200000,00200,0100,ARLINGTON 28125,S200000,00200,0200,VA 28125,S200000,00200,0300,22204- 28125,S200000,00300,0100,ARLINGTON 28125,S200000,00300,0200,8840 28125,S200000,00300,0300,U 28125,S200000,00400,0100,MCHS - ARLINGTON 28125,S200000,00400,0200,495102 28125,S200000,00400,0300,02/14/1977 28125,S200000,00400,0500,P 28125,S200000,00400,0600,P 28125,S200000,01004,0500,O 28125,S200000,01600,0100,Y 28125,S200000,04300,0100,Y 28134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28134,A000000,00300,0000,00300EMPLOYEE BENEFITS 28134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28134,A000000,00700,0000,00700HOUSEKEEPING 28134,A000000,00800,0000,00800DIETARY 28134,A000000,00900,0000,00900NURSING ADMINISTRATION 28134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28134,A000000,01100,0000,01100PHARMACY 28134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28134,A000000,01300,0000,01300SOCIAL SERVICE 28134,A000000,01350,0000,01500RECREATION ACTIVITIES 28134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28134,A000000,01600,0000,01600SKILLED NURSING FACILITY 28134,A000000,01800,0000,01800NURSING FACILITY 28134,A000000,01810,0000,01810ICF/MR 28134,A000000,02100,0000,02100RADIOLOGY 28134,A000000,02200,0000,02200LABORATORY 28134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28134,A000000,02500,0000,02500PHYSICAL THERAPY 28134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28134,A000000,02700,0000,02700SPEECH PATHOLOGY 28134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28134,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28134,A000000,03051,0000,03301ENTERAL FEEDING 28134,A000000,03550,0000,03550FQHC 28134,A000000,05000,0000,05000CORF 28134,A000000,05010,0000,05010CMHC 28134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28134,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28134,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28134,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28134,A000000,06153,0000,06312DIALYSIS 28134,A000000,06154,0000,06320APARTMENTS 28134,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28134,A000000,06156,0000,06340CLOSED PATIENT AREAS 28134,A000000,06157,0000,06350O/P ADULT DAYCARE 28134,A81000A,00100,0100,Y 28134,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28134,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28134,A81000B,00300,0300,SYMPHONY REHAB 28134,A81000B,00400,0300,SYMPHONY REHAB 28134,A81000B,00500,0300,SYMPHONY REHAB 28134,A81000B,00600,0300,HOME OFFICE CLINICAL 28134,A81000B,00700,0300,HOME OFFICE REHAB 28134,A81000B,00800,0300,HOME OFFICE REHAB 28134,A81000B,00900,0300,HOME OFFICE REHAB 28134,A81000B,01000,0300,SYMPHONY REHAB 28134,A81000B,01100,0300,SYMPHONY MOBILEX 28134,A81000B,01200,0300,MSU AMORT. COST 28134,A81000C,00100,0100,B 28134,A81000C,00100,0200,IHS INC. 28134,A81000C,00100,0400,IHS INC. 28134,A81000C,00100,0600,NURSING HOMES 28134,A81000C,00200,0100,B 28134,A81000C,00200,0200,IHS INC. 28134,A81000C,00200,0400,SYMPHONY REHAB 28134,A81000C,00200,0600,REHAB SERVICES 28134,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28134,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28134,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28134,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28134,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28134,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28134,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28134,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28134,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28134,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28134,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28134,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28134,E10A180,00301,0100,12/03/1999 28134,E10A180,00350,0100,03/18/1999 28134,E10A180,00353,0100,05/18/2000 28134,E10A180,00501,0100,07/28/2000 28134,E10A180,00501,0300,05/31/2000 28134,E10A180,00550,0100,05/31/2000 28134,E10A180,00550,0300,07/28/2000 28134,S000000,00100,0200,06/01/2000 28134,S200000,00100,0100,900 VIRGINIA AVE 28134,S200000,00200,0100,ALEXANDRIA 28134,S200000,00200,0200,VA 28134,S200000,00200,0300,22302- 28134,S200000,00300,0100,ALEXANDRIA 28134,S200000,00300,0200,8840 28134,S200000,00300,0300,U 28134,S200000,00400,0100,IHS-NORTHERN VIRGINIA 28134,S200000,00400,0200,495203 28134,S200000,00400,0300,11/08/1989 28134,S200000,00400,0500,P 28134,S200000,00600,0200,495203 28134,S200000,00600,0300,11/08/1989 28134,S200000,00600,0600,P 28134,S200000,01600,0100,Y 28134,S200000,02200,0100,Y 28143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28143,A000000,00300,0000,00300EMPLOYEE BENEFITS 28143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28143,A000000,00700,0000,00700HOUSEKEEPING 28143,A000000,00800,0000,00800DIETARY 28143,A000000,00900,0000,00900NURSING ADMINISTRATION 28143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28143,A000000,01100,0000,01100PHARMACY 28143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28143,A000000,01300,0000,01300SOCIAL SERVICE 28143,A000000,01350,0000,01500ACTIVITIES 28143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28143,A000000,01600,0000,01600SKILLED NURSING FACILITY 28143,A000000,01800,0000,01800NURSING FACILITY 28143,A000000,01900,0000,01900OTHER LONG TERM CARE 28143,A000000,02100,0000,02100RADIOLOGY 28143,A000000,02200,0000,02200LABORATORY 28143,A000000,02300,0000,02300INTRAVENOUS THERAPY 28143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28143,A000000,02500,0000,02500PHYSICAL THERAPY 28143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28143,A000000,02700,0000,02700SPEECH PATHOLOGY 28143,A000000,02800,0000,02800ELECTROCARDIOLOGY 28143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28143,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28143,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28143,A000000,03200,0000,03200SUPPORT SURFACES 28143,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28143,A000000,04800,0000,04800AMBULANCE 28143,A000000,05300,0000,05300INTEREST EXPENSE 28143,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28143,A000000,06100,0000,06100NONPAID WORKERS 28143,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28143,A000000,06200,0000,06200PATIENTS LAUNDRY 28143,A81000A,00100,0100,Y 28143,A81000B,00100,0300,HOME OFFICE COST 28143,A81000B,00200,0300,PT ADMIN FEES 28143,A81000B,00300,0300,OT ADMIN FEES 28143,A81000B,00400,0300,ST ADMIN FEES 28143,A81000C,00100,0100,B 28143,A81000C,00100,0200,MCHS - IMPERIAL 28143,A81000C,00100,0400,HCR MANORCARE INC. 28143,A81000C,00100,0600,LONG TERM CARE FACILITIES 28143,A81000C,00200,0100,B 28143,A81000C,00200,0200,MCHS - IMPERIAL 28143,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 28143,A81000C,00200,0600,THERAPY MANAGEMENT 28143,A81000C,00300,0100,B 28143,A81000C,00300,0200,MCHS - IMPERIAL 28143,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 28143,A81000C,00300,0600,THERAPY MANAGEMENT 28143,A81000C,00400,0100,B 28143,A81000C,00400,0200,MCHS - IMPERIAL 28143,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 28143,A81000C,00400,0600,THERAPY MANAGEMENT 28143,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28143,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28143,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28143,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28143,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28143,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28143,B100000,00000,0800,00000MEALS SERVED :DIETARY 28143,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28143,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28143,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28143,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28143,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28143,S000000,00100,0200,10/10/2000 28143,S200000,00100,0100,1719 BELLEVUE AVE 28143,S200000,00200,0100,RICHMOND 28143,S200000,00200,0200,VA 28143,S200000,00200,0300,23227- 28143,S200000,00300,0100,RICHMOND 28143,S200000,00300,0200,6760 28143,S200000,00300,0300,U 28143,S200000,00400,0100,MCHS - IMPERIAL 28143,S200000,00400,0200,495283 28143,S200000,00400,0300,05/01/1994 28143,S200000,00400,0500,P 28143,S200000,00400,0600,P 28143,S200000,01004,0500,O 28143,S200000,01600,0100,Y 28143,S200000,04300,0100,Y 28151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28151,A000000,00300,0000,00300EMPLOYEE BENEFITS 28151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28151,A000000,00700,0000,00700HOUSEKEEPING 28151,A000000,00800,0000,00800DIETARY 28151,A000000,00900,0000,00900NURSING ADMINISTRATION 28151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28151,A000000,01100,0000,01100PHARMACY 28151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28151,A000000,01300,0000,01300SOCIAL SERVICE 28151,A000000,01350,0000,01500RECREATION ACTIVITIES 28151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28151,A000000,01600,0000,01600SKILLED NURSING FACILITY 28151,A000000,01800,0000,01800NURSING FACILITY 28151,A000000,01810,0000,01810ICF/MR 28151,A000000,02100,0000,02100RADIOLOGY 28151,A000000,02200,0000,02200LABORATORY 28151,A000000,02300,0000,02300INTRAVENOUS THERAPY 28151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28151,A000000,02500,0000,02500PHYSICAL THERAPY 28151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28151,A000000,02700,0000,02700SPEECH PATHOLOGY 28151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28151,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28151,A000000,03051,0000,03301ENTERAL FEEDING 28151,A000000,03550,0000,03550FQHC 28151,A000000,05000,0000,05000CORF 28151,A000000,05010,0000,05010CMHC 28151,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28151,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28151,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28151,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28151,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28151,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28151,A000000,06153,0000,06312DIALYSIS 28151,A000000,06154,0000,06320APARTMENTS 28151,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28151,A000000,06156,0000,06340CLOSED PATIENT AREAS 28151,A000000,06157,0000,06350O/P ADULT DAYCARE 28151,A81000A,00100,0100,Y 28151,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28151,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28151,A81000B,00400,0300,SYMPHONY REHAB 28151,A81000B,00500,0300,SYMPHONY REHAB 28151,A81000B,00600,0300,SYMPHONY REHAB 28151,A81000B,00700,0300,REHAB ALLOCATION 28151,A81000B,00800,0300,REHAB ALLOCATION 28151,A81000B,00900,0300,REHAB ALLOCATION 28151,A81000B,01000,0300,CLINICAL ALLOCATION 28151,A81000C,00100,0100,B 28151,A81000C,00100,0200,IHS INC. 28151,A81000C,00100,0400,IHS INC. 28151,A81000C,00100,0600,NURSING HOMES 28151,A81000C,00200,0100,B 28151,A81000C,00200,0200,IHS INC. 28151,A81000C,00200,0400,SYMPHONY REHAB 28151,A81000C,00200,0600,REHAB SERVICES 28151,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28151,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28151,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28151,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28151,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28151,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28151,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28151,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28151,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28151,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28151,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28151,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28151,E10A180,00304,0100,05/18/2000 28151,E10A180,00350,0100,03/18/1999 28151,E10A180,00351,0100,12/03/1999 28151,E10A180,00501,0100,07/28/2000 28151,E10A180,00550,0300,07/28/2000 28151,S000000,00100,0200,06/02/2000 28151,S200000,00100,0100,820 NW 95TH STREET 28151,S200000,00200,0100,SEATTLE 28151,S200000,00200,0200,WA 28151,S200000,00200,0300,98117- 28151,S200000,00300,0200,7600 28151,S200000,00300,0300,U 28151,S200000,00400,0100,IHS-SEATTLE 28151,S200000,00400,0200,505042 28151,S200000,00400,0300,10/01/1984 28151,S200000,00400,0500,P 28151,S200000,00600,0200,505042 28151,S200000,00600,0300,10/01/1984 28151,S200000,00600,0600,P 28151,S200000,01600,0100,Y 28151,S200000,02200,0100,Y 28162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28162,A000000,00300,0000,00300EMPLOYEE BENEFITS 28162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28162,A000000,00700,0000,00700HOUSEKEEPING 28162,A000000,00800,0000,00800DIETARY 28162,A000000,00900,0000,00900NURSING ADMINISTRATION 28162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28162,A000000,01100,0000,01100PHARMACY 28162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28162,A000000,01300,0000,01300SOCIAL SERVICE 28162,A000000,01350,0000,01500ACTIVITIES 28162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28162,A000000,01600,0000,01600SKILLED NURSING FACILITY 28162,A000000,01800,0000,01800NURSING FACILITY 28162,A000000,01900,0000,01900OTHER LONG TERM CARE 28162,A000000,02100,0000,02100RADIOLOGY 28162,A000000,02200,0000,02200LABORATORY 28162,A000000,02300,0000,02300INTRAVENOUS THERAPY 28162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28162,A000000,02500,0000,02500PHYSICAL THERAPY 28162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28162,A000000,02700,0000,02700SPEECH PATHOLOGY 28162,A000000,02800,0000,02800ELECTROCARDIOLOGY 28162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28162,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28162,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28162,A000000,03200,0000,03200SUPPORT SURFACES 28162,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28162,A000000,04800,0000,04800AMBULANCE 28162,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 28162,A000000,05300,0000,05300INTEREST EXPENSE 28162,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28162,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28162,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28162,A000000,06100,0000,06100NONPAID WORKERS 28162,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28162,A000000,06200,0000,06200PATIENTS LAUNDRY 28162,A81000A,00100,0100,Y 28162,A81000B,00100,0300,HOME OFFICE COST 28162,A81000B,00200,0300,PT ADMIN FEES 28162,A81000B,00300,0300,OT ADMIN FEES 28162,A81000B,00400,0300,ST ADMIN FEES 28162,A81000C,00100,0100,B 28162,A81000C,00100,0200,MCHS TACOMA 28162,A81000C,00100,0400,HCR MANORCARE INC. 28162,A81000C,00100,0600,LONG TERM CARE FACILITIES 28162,A81000C,00200,0100,B 28162,A81000C,00200,0200,MCHS TACOMA 28162,A81000C,00200,0400,HEARTLAND MGMT SERV 28162,A81000C,00200,0600,THERAPY MANAGEMENT 28162,A81000C,00300,0100,B 28162,A81000C,00300,0200,MCHS TACOMA 28162,A81000C,00300,0400,HEARTLAND MGMT SERV 28162,A81000C,00300,0600,THERAPY MANAGEMENT 28162,A81000C,00400,0100,B 28162,A81000C,00400,0200,MCHS TACOMA 28162,A81000C,00400,0400,HEARTLAND MGMT SERV 28162,A81000C,00400,0600,THERAPY MANAGEMENT 28162,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28162,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28162,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28162,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28162,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28162,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28162,B100000,00000,0800,00000MEALS SERVED :DIETARY 28162,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28162,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28162,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28162,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28162,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28162,S000000,00100,0200,10/31/2000 28162,S200000,00100,0100,5601 S. ORCHARD STREET 28162,S200000,00200,0100,TACOMA 28162,S200000,00200,0200,WA 28162,S200000,00200,0300,98409- 28162,S200000,00300,0100,TACOMA 28162,S200000,00300,0200,8200 28162,S200000,00300,0300,U 28162,S200000,00400,0100,MCHS - TACOMA 28162,S200000,00400,0200,505289 28162,S200000,00400,0300,08/01/1984 28162,S200000,00400,0500,P 28162,S200000,00400,0600,P 28162,S200000,01600,0100,Y 28162,S200000,02200,0100,Y 28193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28193,A000000,00300,0000,00300EMPLOYEE BENEFITS 28193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28193,A000000,00700,0000,00700HOUSEKEEPING 28193,A000000,00800,0000,00800DIETARY 28193,A000000,00900,0000,00900NURSING ADMINISTRATION 28193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28193,A000000,01100,0000,01100PHARMACY 28193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28193,A000000,01300,0000,01300SOCIAL SERVICE 28193,A000000,01350,0000,01500RECREATION ACTIVITIES 28193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28193,A000000,01600,0000,01600SKILLED NURSING FACILITY 28193,A000000,01800,0000,01800NURSING FACILITY 28193,A000000,01810,0000,01810ICF/MR 28193,A000000,02100,0000,02100RADIOLOGY 28193,A000000,02200,0000,02200LABORATORY 28193,A000000,02500,0000,02500PHYSICAL THERAPY 28193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28193,A000000,02700,0000,02700SPEECH PATHOLOGY 28193,A000000,02800,0000,02800ELECTROCARDIOLOGY 28193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28193,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28193,A000000,03051,0000,03301ENTERAL FEEDING 28193,A000000,03500,0000,03500RURAL HEALTH CLINIC 28193,A000000,03550,0000,03550FQHC 28193,A000000,05000,0000,05000CORF 28193,A000000,05010,0000,05010CMHC 28193,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28193,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28193,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28193,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28193,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28193,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28193,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28193,A000000,06153,0000,06312DIALYSIS 28193,A000000,06154,0000,06320APARTMENTS 28193,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28193,A000000,06156,0000,06340CLOSED PATIENT AREAS 28193,A000000,06157,0000,06350O/P ADULT DAYCARE 28193,A81000A,00100,0100,Y 28193,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28193,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28193,A81000B,00300,0300,REHAB ALLOCATION 28193,A81000B,00400,0300,REHAB ALLOCATION 28193,A81000B,00500,0300,REHAB ALLOCATION 28193,A81000B,00600,0300,CLINICAL ALLOCATION 28193,A81000C,00100,0100,B 28193,A81000C,00100,0400,IHS INC. 28193,A81000C,00100,0600,NURSING HOMES 28193,A81000C,00200,0100,G 28193,A81000C,00200,0400,SYMPHONY REHAB 28193,A81000C,00200,0600,REHAB SERVICES 28193,A81000C,00300,0100,G 28193,A81000C,00300,0400,LTC MED LAB 28193,A81000C,00300,0600,LABORATORY 28193,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28193,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 28193,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28193,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28193,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28193,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28193,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28193,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28193,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28193,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28193,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 28193,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28193,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28193,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28193,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 28193,E10A180,00550,0100,05/29/2000 28193,E10A180,00550,0300,05/29/2000 28193,S000000,00100,0200,05/30/2000 28193,S200000,00100,0100,1 JEFFERSONIAN MANOR/ RT. 9 EAST 28193,S200000,00200,0100,CHARLES TOWN 28193,S200000,00200,0200,WV 28193,S200000,00200,0300,25414- 28193,S200000,00300,0100,JEFFERSON 28193,S200000,00400,0100,IHS-WEST VIRGINIA-CHARLES TOWN 28193,S200000,00400,0200,515156 28193,S200000,00400,0300,10/10/1997 28193,S200000,00400,0500,P 28193,S200000,00600,0200,515156 28193,S200000,00600,0300,10/10/1997 28193,S200000,00600,0600,P 28193,S200000,01600,0100,Y 28193,S200000,02200,0100,Y 28202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28202,A000000,00300,0000,00300EMPLOYEE BENEFITS 28202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28202,A000000,00700,0000,00700HOUSEKEEPING 28202,A000000,00800,0000,00800DIETARY 28202,A000000,00900,0000,00900NURSING ADMINISTRATION 28202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28202,A000000,01100,0000,01100PHARMACY 28202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28202,A000000,01300,0000,01300SOCIAL SERVICE 28202,A000000,01350,0000,01500ACTIVITIES 28202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28202,A000000,01600,0000,01600SKILLED NURSING FACILITY 28202,A000000,01800,0000,01800NURSING FACILITY 28202,A000000,01900,0000,01900OTHER LONG TERM CARE 28202,A000000,02100,0000,02100RADIOLOGY 28202,A000000,02200,0000,02200LABORATORY 28202,A000000,02300,0000,02300INTRAVENOUS THERAPY 28202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28202,A000000,02500,0000,02500PHYSICAL THERAPY 28202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28202,A000000,02700,0000,02700SPEECH PATHOLOGY 28202,A000000,02800,0000,02800ELECTROCARDIOLOGY 28202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28202,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28202,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28202,A000000,03200,0000,03200SUPPORT SURFACES 28202,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28202,A000000,04800,0000,04800AMBULANCE 28202,A000000,05300,0000,05300INTEREST EXPENSE 28202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28202,A000000,06100,0000,06100NONPAID WORKERS 28202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28202,A000000,06200,0000,06200PATIENTS LAUNDRY 28202,A81000A,00100,0100,Y 28202,A81000B,00100,0300,HOME OFFICE COST 28202,A81000B,00200,0300,DIRECT INTEREST 28202,A81000B,00300,0300,PT ADMINISTRATIVE FEES 28202,A81000B,00400,0300,OT ADMINISTRATIVE FEES 28202,A81000B,00500,0300,ST ADMINISTRATIVE FEES 28202,A81000C,00100,0100,B 28202,A81000C,00100,0200,MCHS GREEN BAY EAST 419 28202,A81000C,00100,0400,HCR MANORCARE INC. 28202,A81000C,00100,0600,LONG TERM CARE FACILITIES 28202,A81000C,00200,0100,B 28202,A81000C,00200,0200,MCHS GREEN BAY EAST 419 28202,A81000C,00200,0400,HCR MANORCARE INC. 28202,A81000C,00200,0600,LONG TERM CARE FACILITIES 28202,A81000C,00300,0100,B 28202,A81000C,00300,0200,MCHS GREEN BAY EAST 419 28202,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 28202,A81000C,00300,0600,THERAPY MANAGEMENT 28202,A81000C,00400,0100,B 28202,A81000C,00400,0200,MCHS GREEN BAY EAST 419 28202,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 28202,A81000C,00400,0600,THERAPY MANAGEMENT 28202,A81000C,00500,0100,B 28202,A81000C,00500,0200,MCHS GREEN BAY EAST 419 28202,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 28202,A81000C,00500,0600,THERAPY MANAGEMENT 28202,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28202,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28202,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28202,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28202,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28202,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28202,B100000,00000,0800,00000MEALS SERVED :DIETARY 28202,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28202,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28202,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28202,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28202,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28202,S000000,00100,0200,10/31/2000 28202,S200000,00100,0100,600 S. WEBSTER STREET 28202,S200000,00200,0100,GREEN BAY 28202,S200000,00200,0200,WI 28202,S200000,00200,0300,54301- 28202,S200000,00300,0100,BROWN 28202,S200000,00300,0200,3080 28202,S200000,00300,0300,U 28202,S200000,00400,0100,MCHS GREENBAY EAST 28202,S200000,00400,0200,525009 28202,S200000,00400,0300,06/01/1966 28202,S200000,00400,0500,P 28202,S200000,00400,0600,P 28202,S200000,01004,0500,O 28202,S200000,01600,0100,Y 28202,S200000,02200,0100,Y 28226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28226,A000000,00300,0000,00300EMPLOYEE BENEFITS 28226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28226,A000000,00700,0000,00700HOUSEKEEPING 28226,A000000,00800,0000,00800DIETARY 28226,A000000,00900,0000,00900NURSING ADMINISTRATION 28226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28226,A000000,01100,0000,01100PHARMACY 28226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28226,A000000,01300,0000,01300SOCIAL SERVICE 28226,A000000,01350,0000,01500ACTIVITIES 28226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28226,A000000,01600,0000,01600SKILLED NURSING FACILITY 28226,A000000,01800,0000,01800NURSING FACILITY 28226,A000000,01900,0000,01900OTHER LONG TERM CARE 28226,A000000,02100,0000,02100RADIOLOGY 28226,A000000,02200,0000,02200LABORATORY 28226,A000000,02300,0000,02300INTRAVENOUS THERAPY 28226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28226,A000000,02500,0000,02500PHYSICAL THERAPY 28226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28226,A000000,02700,0000,02700SPEECH PATHOLOGY 28226,A000000,02800,0000,02800ELECTROCARDIOLOGY 28226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28226,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28226,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28226,A000000,03200,0000,03200SUPPORT SURFACES 28226,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28226,A000000,04800,0000,04800AMBULANCE 28226,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 28226,A000000,05300,0000,05300INTEREST EXPENSE 28226,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28226,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28226,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28226,A000000,06100,0000,06100NONPAID WORKERS 28226,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28226,A000000,06200,0000,06200PATIENTS LAUNDRY 28226,A81000A,00100,0100,Y 28226,A81000B,00100,0300,HOME OFFICE COST 28226,A81000B,00200,0300,DIRECT INTEREST 28226,A81000B,00300,0300,PT ADMINISTRATIVE SERVICE 28226,A81000B,00400,0300,OT ADMINISTRATIVE SERVICE 28226,A81000B,00500,0300,ST ADMINISTRATIVE SERVICE 28226,A81000C,00100,0100,B 28226,A81000C,00100,0200,MCHS APPLETON 28226,A81000C,00100,0400,HCR MANORCARE INC. 28226,A81000C,00100,0600,LONG TERM CARE FACILITIES 28226,A81000C,00200,0100,B 28226,A81000C,00200,0200,MCHS APPLETON 28226,A81000C,00200,0400,HCR MANORCARE INC. 28226,A81000C,00200,0600,LONG TERM CARE FACILITIES 28226,A81000C,00300,0100,B 28226,A81000C,00300,0200,MCHS APPLETON 28226,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 28226,A81000C,00300,0600,THERAPY MANAGEMENT 28226,A81000C,00400,0100,B 28226,A81000C,00400,0200,MCHS APPLETON 28226,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 28226,A81000C,00400,0600,THERAPY MANAGEMENT 28226,A81000C,00500,0100,B 28226,A81000C,00500,0200,MCHS APPLETON 28226,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 28226,A81000C,00500,0600,THERAPY MANAGEMENT 28226,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28226,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28226,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28226,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28226,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28226,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28226,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28226,B100000,00000,0800,00000MEALS SERVED :DIETARY 28226,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28226,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28226,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28226,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28226,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28226,S000000,00100,0200,10/31/2000 28226,S200000,00100,0100,1335 S. ONEIDA STREET 28226,S200000,00200,0100,APPLETON 28226,S200000,00200,0200,WI 28226,S200000,00200,0300,54915- 28226,S200000,00300,0100,OUTGAMIE 28226,S200000,00300,0200,0460 28226,S200000,00300,0300,U 28226,S200000,00400,0100,MCHS APPLETON 28226,S200000,00400,0200,525264 28226,S200000,00400,0300,06/01/1975 28226,S200000,00400,0500,P 28226,S200000,00400,0600,P 28226,S200000,01004,0500,O 28226,S200000,01600,0100,Y 28226,S200000,02200,0100,Y 28237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28237,A000000,00300,0000,00300EMPLOYEE BENEFITS 28237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28237,A000000,00700,0000,00700HOUSEKEEPING 28237,A000000,00800,0000,00800DIETARY 28237,A000000,00900,0000,00900NURSING ADMINISTRATION 28237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28237,A000000,01100,0000,01100PHARMACY 28237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28237,A000000,01300,0000,01300SOCIAL SERVICE 28237,A000000,01350,0000,01500ACTIVITIES 28237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28237,A000000,01600,0000,01600SKILLED NURSING FACILITY 28237,A000000,01800,0000,01800NURSING FACILITY 28237,A000000,01900,0000,01900OTHER LONG TERM CARE 28237,A000000,02100,0000,02100RADIOLOGY 28237,A000000,02200,0000,02200LABORATORY 28237,A000000,02300,0000,02300INTRAVENOUS THERAPY 28237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28237,A000000,02500,0000,02500PHYSICAL THERAPY 28237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28237,A000000,02700,0000,02700SPEECH PATHOLOGY 28237,A000000,02800,0000,02800ELECTROCARDIOLOGY 28237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28237,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28237,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28237,A000000,03200,0000,03200SUPPORT SURFACES 28237,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28237,A000000,04800,0000,04800AMBULANCE 28237,A000000,05300,0000,05300INTEREST EXPENSE 28237,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28237,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28237,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28237,A000000,06100,0000,06100NONPAID WORKERS 28237,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28237,A000000,06200,0000,06200PATIENTS LAUNDRY 28237,A81000A,00100,0100,Y 28237,A81000B,00100,0300,HOME OFFICE COST 28237,A81000B,00200,0300,DIRECT INTEREST 28237,A81000B,00300,0300,OTHER CAPITAL COSTS 28237,A81000B,00400,0300,PT ADMIN FEES 28237,A81000B,00500,0300,OT ADMIN FEES 28237,A81000B,00600,0300,ST ADMIN FEES 28237,A81000C,00100,0100,B 28237,A81000C,00100,0200,MCHS MADISON 28237,A81000C,00100,0400,HCR MANORCARE INC. 28237,A81000C,00100,0600,LONG TERM CARE FACILITIES 28237,A81000C,00200,0100,B 28237,A81000C,00200,0200,MANOR CARE HEALTH SERVICE 28237,A81000C,00200,0400,MCHS MADISON 28237,A81000C,00200,0600,LONG TERM CARE FACILITIES 28237,A81000C,00300,0100,B 28237,A81000C,00300,0200,MCHS MADISON 28237,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 28237,A81000C,00300,0600,THERAPY MANAGEMENT SERVIC 28237,A81000C,00400,0100,B 28237,A81000C,00400,0200,MCHS MADISON 28237,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 28237,A81000C,00400,0600,THERAPY MANAGEMENT SERV 28237,A81000C,00500,0100,B 28237,A81000C,00500,0200,MCHS 28237,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 28237,A81000C,00500,0600,THERAPY MANAGEMENT SERVIC 28237,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28237,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28237,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28237,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28237,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28237,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28237,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28237,B100000,00000,0800,00000MEALS SERVED :DIETARY 28237,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28237,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28237,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28237,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28237,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28237,S000000,00100,0200,10/31/2000 28237,S200000,00100,0100,801 BRAXTON PLACE 28237,S200000,00200,0100,MADISON 28237,S200000,00200,0200,WI 28237,S200000,00200,0300,53715- 28237,S200000,00300,0100,DANE 28237,S200000,00300,0200,4720 28237,S200000,00300,0300,U 28237,S200000,00400,0100,MCHS MADISON 28237,S200000,00400,0200,525266 28237,S200000,00400,0300,08/01/1975 28237,S200000,00400,0500,P 28237,S200000,00400,0600,P 28237,S200000,01004,0500,O 28237,S200000,01600,0100,Y 28237,S200000,04300,0100,Y 28256,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28256,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28256,A000000,00300,0000,00300EMPLOYEE BENEFITS 28256,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28256,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28256,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28256,A000000,00700,0000,00700HOUSEKEEPING 28256,A000000,00800,0000,00800DIETARY 28256,A000000,00900,0000,00900NURSING ADMINISTRATION 28256,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28256,A000000,01100,0000,01100PHARMACY 28256,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28256,A000000,01300,0000,01300SOCIAL SERVICE 28256,A000000,01350,0000,01500RECREATION ACTIVITIES 28256,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28256,A000000,01600,0000,01600SKILLED NURSING FACILITY 28256,A000000,01800,0000,01800NURSING FACILITY 28256,A000000,01810,0000,01810ICF/MR 28256,A000000,02100,0000,02100RADIOLOGY 28256,A000000,02200,0000,02200LABORATORY 28256,A000000,02500,0000,02500PHYSICAL THERAPY 28256,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28256,A000000,02700,0000,02700SPEECH PATHOLOGY 28256,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28256,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28256,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28256,A000000,03051,0000,03301ENTERAL FEEDING 28256,A000000,03550,0000,03550FQHC 28256,A000000,05000,0000,05000CORF 28256,A000000,05010,0000,05010CMHC 28256,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28256,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28256,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28256,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28256,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28256,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28256,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28256,A000000,06153,0000,06312DIALYSIS 28256,A000000,06154,0000,06320APARTMENTS 28256,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28256,A000000,06156,0000,06340CLOSED PATIENT AREAS 28256,A000000,06157,0000,06350O/P ADULT DAYCARE 28256,A81000A,00100,0100,Y 28256,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28256,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28256,A81000B,00300,0300,HOME OFFICE CLINICAL 28256,A81000B,00400,0300,HOME OFFICE REHAB 28256,A81000B,00500,0300,HOME OFFICE REHAB 28256,A81000B,00600,0300,HOME OFFICE REHAB 28256,A81000B,00700,0300,SYMPHONY REHAB 28256,A81000B,00800,0300,SYMPHONY REHAB 28256,A81000B,00900,0300,SYMPHONY REHAB 28256,A81000C,00100,0100,B 28256,A81000C,00100,0400,IHS INC. 28256,A81000C,00100,0600,NURSING HOMES 28256,A81000C,00200,0100,G 28256,A81000C,00200,0400,SYMPHONY REHAB 28256,A81000C,00200,0600,REHAB SERVICES 28256,A81000C,00300,0100,G 28256,A81000C,00300,0400,LTC MED LAB 28256,A81000C,00300,0600,LABORATORY 28256,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28256,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28256,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28256,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28256,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28256,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28256,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28256,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28256,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28256,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28256,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28256,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28256,E10A180,00351,0100,01/03/2000 28256,E10A180,00352,0100,09/18/2000 28256,E10A180,00501,0100,12/26/2000 28256,E10A180,00502,0100,12/06/2001 28256,E10A180,00550,0100,10/30/2000 28256,E10A180,00550,0300,10/30/2000 28256,S000000,00100,0200,11/01/2000 28256,S200000,00100,0100,1202 EAST SUMNER STREET 28256,S200000,00200,0100,HARTFORD 28256,S200000,00200,0200,WI 28256,S200000,00200,0300,53027- 28256,S200000,00300,0100,WASHINGTON 28256,S200000,00300,0200,5080 28256,S200000,00300,0300,U 28256,S200000,00400,0100,HARTFORD CARE CENTER 28256,S200000,00400,0200,525461 28256,S200000,00400,0300,01/01/1990 28256,S200000,00400,0500,P 28256,S200000,00600,0200,525461 28256,S200000,00600,0300,01/01/1990 28256,S200000,00600,0600,P 28256,S200000,01600,0100,Y 28256,S200000,02200,0100,Y 28267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28267,A000000,00300,0000,00300EMPLOYEE BENEFITS 28267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28267,A000000,00700,0000,00700HOUSEKEEPING 28267,A000000,00800,0000,00800DIETARY 28267,A000000,00900,0000,00900NURSING ADMINISTRATION 28267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28267,A000000,01100,0000,01100PHARMACY 28267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28267,A000000,01300,0000,01300SOCIAL SERVICE 28267,A000000,01350,0000,01500RECREATION ACTIVITIES 28267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28267,A000000,01600,0000,01600SKILLED NURSING FACILITY 28267,A000000,01800,0000,01800NURSING FACILITY 28267,A000000,01810,0000,01810ICF/MR 28267,A000000,02200,0000,02200LABORATORY 28267,A000000,02300,0000,02300INTRAVENOUS THERAPY 28267,A000000,02500,0000,02500PHYSICAL THERAPY 28267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28267,A000000,02700,0000,02700SPEECH PATHOLOGY 28267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28267,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28267,A000000,03051,0000,03301ENTERAL FEEDING 28267,A000000,03550,0000,03550FQHC 28267,A000000,05000,0000,05000CORF 28267,A000000,05010,0000,05010CMHC 28267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28267,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28267,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28267,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28267,A000000,06153,0000,06312DIALYSIS 28267,A000000,06154,0000,06320APARTMENTS 28267,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28267,A000000,06156,0000,06340CLOSED PATIENT AREAS 28267,A000000,06157,0000,06350O/P ADULT DAYCARE 28267,A81000A,00100,0100,Y 28267,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28267,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28267,A81000B,00400,0300,SYMPHONY REHAB 28267,A81000B,00500,0300,SYMPHONY REHAB 28267,A81000B,00600,0300,SYMPHONY REHAB 28267,A81000B,00700,0300,REHAB ALLOCATION 28267,A81000B,00800,0300,REHAB ALLOCATION 28267,A81000B,00900,0300,REHAB ALLOCATION 28267,A81000B,01000,0300,CLINICAL ALLOCATION 28267,A81000C,00100,0100,B 28267,A81000C,00100,0200,IHS INC. 28267,A81000C,00100,0400,IHS INC. 28267,A81000C,00100,0600,NURSING HOMES 28267,A81000C,00200,0100,B 28267,A81000C,00200,0200,IHS INC. 28267,A81000C,00200,0400,SYMPHONY REHAB 28267,A81000C,00200,0600,REHAB SERVICES 28267,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28267,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 28267,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28267,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28267,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28267,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28267,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28267,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28267,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28267,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28267,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 28267,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28267,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28267,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28267,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 28267,E10A180,00350,0100,03/18/1999 28267,E10A180,00351,0100,12/03/1999 28267,E10A180,00352,0100,03/18/1999 28267,S000000,00100,0200,06/02/2000 28267,S200000,00100,0100,SOUTH 18TH STREET 28267,S200000,00200,0100,LARAMIE 28267,S200000,00200,0200,WY 28267,S200000,00200,0300,82070- 28267,S200000,00300,0100,ALBANY 28267,S200000,00400,0100,IHS-LARAMIE 28267,S200000,00400,0200,535043 28267,S200000,00400,0300,03/01/1991 28267,S200000,00400,0500,P 28267,S200000,00600,0200,535043 28267,S200000,00600,0300,03/01/1991 28267,S200000,00600,0600,P 28267,S200000,01600,0100,Y 28267,S200000,02200,0100,Y 28267,S700003,00000,0100,1 28279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28279,A000000,00300,0000,00300EMPLOYEE BENEFITS 28279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28279,A000000,00700,0000,00700HOUSEKEEPING 28279,A000000,00800,0000,00800DIETARY 28279,A000000,00900,0000,00900NURSING ADMINISTRATION 28279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28279,A000000,01100,0000,01100PHARMACY 28279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28279,A000000,01300,0000,01300SOCIAL SERVICE 28279,A000000,01350,0000,01500RECREATION ACTIVITIES 28279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28279,A000000,01600,0000,01600SKILLED NURSING FACILITY 28279,A000000,01800,0000,01800NURSING FACILITY 28279,A000000,01810,0000,01810ICF/MR 28279,A000000,01900,0000,01900OTHER LONG TERM CARE 28279,A000000,02200,0000,02200LABORATORY 28279,A000000,02500,0000,02500PHYSICAL THERAPY 28279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28279,A000000,02700,0000,02700SPEECH PATHOLOGY 28279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28279,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28279,A000000,03051,0000,03301ENTERAL FEEDING 28279,A000000,03550,0000,03550FQHC 28279,A000000,05000,0000,05000CORF 28279,A000000,05010,0000,05010CMHC 28279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28279,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28279,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28279,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28279,A000000,06153,0000,06312DIALYSIS 28279,A000000,06154,0000,06320APARTMENTS 28279,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28279,A000000,06156,0000,06340CLOSED PATIENT AREAS 28279,A000000,06157,0000,06350O/P ADULT DAYCARE 28279,A81000A,00100,0100,Y 28279,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28279,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28279,A81000B,00400,0300,SYMPHONY REHAB 28279,A81000B,00500,0300,SYMPHONY REHAB 28279,A81000B,00600,0300,SYMPHONY REHAB 28279,A81000B,00700,0300,REHAB ALLOCATION 28279,A81000B,00800,0300,REHAB ALLOCATION 28279,A81000B,00900,0300,REHAB ALLOCATION 28279,A81000B,01000,0300,CLINICAL ALLOCATION 28279,A81000C,00100,0100,B 28279,A81000C,00100,0200,IHS INC. 28279,A81000C,00100,0400,IHS INC. 28279,A81000C,00100,0600,NURSING HOMES 28279,A81000C,00200,0100,B 28279,A81000C,00200,0200,IHS INC. 28279,A81000C,00200,0400,SYMPHONY REHAB 28279,A81000C,00200,0600,REHAB SERVICES 28279,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28279,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 28279,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28279,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28279,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28279,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28279,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28279,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28279,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28279,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28279,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 28279,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28279,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28279,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28279,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 28279,E10A180,00301,0100,12/03/1999 28279,E10A180,00351,0100,03/18/1999 28279,S000000,00100,0200,06/02/2000 28279,S200000,00100,0100,1901 HOWELL STREET 28279,S200000,00200,0100,WORLAND 28279,S200000,00200,0200,WY 28279,S200000,00200,0300,82401- 28279,S200000,00300,0100,WASHAKIE 28279,S200000,00400,0100,CCA AT WORLAND 28279,S200000,00400,0200,535048 28279,S200000,00400,0300,03/01/1989 28279,S200000,00400,0500,P 28279,S200000,00600,0200,535048 28279,S200000,00600,0300,03/01/1989 28279,S200000,00600,0600,P 28279,S200000,01600,0100,Y 28279,S200000,02200,0100,Y 28279,S700003,00000,0100,1 28288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28288,A000000,00300,0000,00300EMPLOYEE BENEFITS 28288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28288,A000000,00700,0000,00700HOUSEKEEPING 28288,A000000,00800,0000,00800DIETARY 28288,A000000,00900,0000,00900NURSING ADMINISTRATION 28288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28288,A000000,01100,0000,01100PHARMACY 28288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28288,A000000,01300,0000,01300SOCIAL SERVICE 28288,A000000,01350,0000,01500ACTIVITIES 28288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28288,A000000,01600,0000,01600SKILLED NURSING FACILITY 28288,A000000,01800,0000,01800NURSING FACILITY 28288,A000000,01900,0000,01900OTHER LONG TERM CARE 28288,A000000,02100,0000,02100RADIOLOGY 28288,A000000,02200,0000,02200LABORATORY 28288,A000000,02300,0000,02300INTRAVENOUS THERAPY 28288,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28288,A000000,02500,0000,02500PHYSICAL THERAPY 28288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28288,A000000,02700,0000,02700SPEECH PATHOLOGY 28288,A000000,02800,0000,02800ELECTROCARDIOLOGY 28288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28288,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 28288,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 28288,A000000,03200,0000,03200SUPPORT SURFACES 28288,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 28288,A000000,04800,0000,04800AMBULANCE 28288,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 28288,A000000,05300,0000,05300INTEREST EXPENSE 28288,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 28288,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28288,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28288,A000000,06100,0000,06100NONPAID WORKERS 28288,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 28288,A000000,06200,0000,06200PATIENTS LAUNDRY 28288,A81000A,00100,0100,Y 28288,A81000B,00100,0300,HOME OFFICE COST 28288,A81000B,00200,0300,PT ADMIN FEES 28288,A81000B,00300,0300,OT ADMIN FEES 28288,A81000B,00400,0300,ST ADMIN FEES 28288,A81000C,00100,0100,B 28288,A81000C,00100,0200,MCHS LAGUNA PALM TERRACE 28288,A81000C,00100,0400,HCR MANORCARE INC. 28288,A81000C,00100,0600,LONG TERM CARE FACILITIES 28288,A81000C,00200,0100,B 28288,A81000C,00200,0200,MCHS LAGUNA PALM TERRACE 28288,A81000C,00200,0400,HEARTLAND MGMT SERVICES 28288,A81000C,00200,0600,THERAPY MANAGEMENT 28288,A81000C,00300,0100,B 28288,A81000C,00300,0200,MCHS LAGUNA PALM TERRACE 28288,A81000C,00300,0400,HEARTLAND MGMT SERVICES 28288,A81000C,00300,0600,THERAPY MANAGEMENT 28288,A81000C,00400,0100,B 28288,A81000C,00400,0200,MCHS LAGUNA PALM TERRACE 28288,A81000C,00400,0400,HEARTLAND MGMT SERVICES 28288,A81000C,00400,0600,THERAPY MANAGEMENT 28288,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 28288,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 28288,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 28288,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 28288,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 28288,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 28288,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 28288,B100000,00000,0800,00000MEALS SERVED :DIETARY 28288,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 28288,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 28288,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 28288,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 28288,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 28288,S000000,00100,0200,11/01/2000 28288,S200000,00100,0100,24962 CALLE ARAGON 28288,S200000,00200,0100,LAGUNA HILLS 28288,S200000,00200,0200,CA 28288,S200000,00200,0300,92653- 28288,S200000,00300,0100,ORANGE 28288,S200000,00300,0200,5945 28288,S200000,00300,0300,U 28288,S200000,00400,0100,PALM TERRACE HEALTHCARE CENTER 28288,S200000,00400,0200,555257 28288,S200000,00400,0300,04/09/1987 28288,S200000,00400,0500,P 28288,S200000,00400,0600,P 28288,S200000,01004,0500,O 28288,S200000,01600,0100,Y 28288,S200000,02200,0100,Y 28297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28297,A000000,00300,0000,00300EMPLOYEE BENEFITS 28297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28297,A000000,00700,0000,00700HOUSEKEEPING 28297,A000000,00800,0000,00800DIETARY 28297,A000000,00900,0000,00900NURSING ADMINISTRATION 28297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28297,A000000,01100,0000,01100PHARMACY 28297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28297,A000000,01300,0000,01300SOCIAL SERVICE 28297,A000000,01350,0000,01500RECREATION ACTIVITIES 28297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28297,A000000,01600,0000,01600SKILLED NURSING FACILITY 28297,A000000,01800,0000,01800NURSING FACILITY 28297,A000000,01810,0000,01810ICF/MR 28297,A000000,02100,0000,02100RADIOLOGY 28297,A000000,02200,0000,02200LABORATORY 28297,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28297,A000000,02500,0000,02500PHYSICAL THERAPY 28297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28297,A000000,02700,0000,02700SPEECH PATHOLOGY 28297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28297,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28297,A000000,03051,0000,03301ENTERAL FEEDING 28297,A000000,03550,0000,03550FQHC 28297,A000000,05000,0000,05000CORF 28297,A000000,05010,0000,05010CMHC 28297,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28297,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28297,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28297,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28297,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28297,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28297,A000000,06153,0000,06312DIALYSIS 28297,A000000,06154,0000,06320APARTMENTS 28297,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28297,A000000,06156,0000,06340CLOSED PATIENT AREAS 28297,A000000,06157,0000,06350O/P ADULT DAYCARE 28297,A81000A,00100,0100,Y 28297,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28297,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28297,A81000B,00400,0300,SYMPHONY REHAB 28297,A81000B,00500,0300,SYMPHONY REHAB 28297,A81000B,00600,0300,SYMPHONY REHAB 28297,A81000B,00700,0300,REHAB ALLOC 28297,A81000B,00800,0300,REHAB ALLOC 28297,A81000B,00900,0300,REHAB ALLOC 28297,A81000B,01000,0300,CLINICAL ALLOC 28297,A81000B,01100,0300,SYMPHONY MOBILEX 28297,A81000C,00100,0100,B 28297,A81000C,00100,0200,IHS INC. 28297,A81000C,00100,0400,IHS INC. 28297,A81000C,00100,0600,NURSING HOMES 28297,A81000C,00200,0100,B 28297,A81000C,00200,0200,IHS INC. 28297,A81000C,00200,0400,SYMPHONY REHAB 28297,A81000C,00200,0600,REHAB SERVICES 28297,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28297,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28297,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28297,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28297,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28297,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28297,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28297,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28297,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28297,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28297,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28297,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28297,E10A180,00301,0100,03/18/1999 28297,E10A180,00302,0100,12/03/1999 28297,E10A180,00501,0300,07/28/2000 28297,E10A180,00550,0100,07/28/2000 28297,S000000,00100,0200,06/02/2000 28297,S200000,00100,0100,5017 EAST CHAPMAN AVENUE 28297,S200000,00200,0100,ORANGE 28297,S200000,00200,0200,CA 28297,S200000,00200,0300,92669- 28297,S200000,00300,0100,ORANGE 28297,S200000,00300,0200,5945 28297,S200000,00300,0300,U 28297,S200000,00400,0100,IHS-ORANGE HILLS 28297,S200000,00400,0200,555286 28297,S200000,00400,0300,08/01/1992 28297,S200000,00400,0500,P 28297,S200000,00600,0200,555286 28297,S200000,00600,0300,08/01/1992 28297,S200000,00600,0600,P 28297,S200000,01600,0100,Y 28297,S200000,02200,0100,Y 28307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28307,A000000,00300,0000,00300EMPLOYEE BENEFITS 28307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28307,A000000,00700,0000,00700HOUSEKEEPING 28307,A000000,00800,0000,00800DIETARY 28307,A000000,00900,0000,00900NURSING ADMINISTRATION 28307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28307,A000000,01100,0000,01100PHARMACY 28307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28307,A000000,01300,0000,01300SOCIAL SERVICE 28307,A000000,01350,0000,01500RECREATION ACTIVITIES 28307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28307,A000000,01600,0000,01600SKILLED NURSING FACILITY 28307,A000000,01800,0000,01800NURSING FACILITY 28307,A000000,01810,0000,01810ICF/MR 28307,A000000,02100,0000,02100RADIOLOGY 28307,A000000,02200,0000,02200LABORATORY 28307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28307,A000000,02500,0000,02500PHYSICAL THERAPY 28307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28307,A000000,02700,0000,02700SPEECH PATHOLOGY 28307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28307,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28307,A000000,03051,0000,03301ENTERAL FEEDING 28307,A000000,03550,0000,03550FQHC 28307,A000000,05000,0000,05000CORF 28307,A000000,05010,0000,05010CMHC 28307,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28307,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28307,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28307,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28307,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28307,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28307,A000000,06153,0000,06312DIALYSIS 28307,A000000,06154,0000,06320APARTMENTS 28307,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28307,A000000,06156,0000,06340CLOSED PATIENT AREAS 28307,A000000,06157,0000,06350O/P ADULT DAYCARE 28307,A81000A,00100,0100,Y 28307,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28307,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28307,A81000B,00400,0300,SYMPHONY REHAB 28307,A81000B,00500,0300,SYMPHONY REHAB 28307,A81000B,00600,0300,SYMPHONY REHAB 28307,A81000B,01000,0300,CLINICAL ALLOCATION 28307,A81000B,01100,0300,SYMPHONY MOBILEX 28307,A81000C,00100,0100,B 28307,A81000C,00100,0200,IHS INC. 28307,A81000C,00100,0400,IHS INC. 28307,A81000C,00100,0600,NURSING HOMES 28307,A81000C,00200,0100,B 28307,A81000C,00200,0200,IHS INC. 28307,A81000C,00200,0400,SYMPHONY REHAB 28307,A81000C,00200,0600,REHAB SERVICES 28307,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28307,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28307,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28307,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28307,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28307,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28307,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28307,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28307,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28307,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28307,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28307,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28307,E10A180,00350,0100,03/18/1999 28307,E10A180,00351,0100,12/03/1999 28307,E10A180,00354,0100,05/18/2000 28307,E10A180,00501,0100,07/28/2000 28307,E10A180,00501,0300,06/02/2000 28307,E10A180,00550,0100,06/02/2000 28307,E10A180,00550,0300,07/28/2000 28307,S000000,00100,0200,06/02/2000 28307,S200000,00100,0100,1770 WEST LAHABRA BLVD 28307,S200000,00200,0100,LAHABRA 28307,S200000,00200,0200,CA 28307,S200000,00200,0300,90631- 28307,S200000,00300,0100,ORANGE 28307,S200000,00300,0200,5945 28307,S200000,00300,0300,U 28307,S200000,00400,0100,IHS-SOUTHERN CA-PARK REGENCY 28307,S200000,00400,0200,555536 28307,S200000,00400,0300,02/03/1993 28307,S200000,00400,0500,P 28307,S200000,00600,0200,555536 28307,S200000,00600,0300,02/03/1993 28307,S200000,00600,0600,P 28307,S200000,01600,0100,Y 28307,S200000,02200,0100,Y 28315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28315,A000000,00300,0000,00300EMPLOYEE BENEFITS 28315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28315,A000000,00700,0000,00700HOUSEKEEPING 28315,A000000,00800,0000,00800DIETARY 28315,A000000,00900,0000,00900NURSING ADMINISTRATION 28315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28315,A000000,01100,0000,01100PHARMACY 28315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28315,A000000,01300,0000,01300SOCIAL SERVICE 28315,A000000,01350,0000,01500RECREATION ACTIVITIES 28315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28315,A000000,01600,0000,01600SKILLED NURSING FACILITY 28315,A000000,01800,0000,01800NURSING FACILITY 28315,A000000,01810,0000,01810ICF/MR 28315,A000000,02100,0000,02100RADIOLOGY 28315,A000000,02200,0000,02200LABORATORY 28315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28315,A000000,02500,0000,02500PHYSICAL THERAPY 28315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28315,A000000,02700,0000,02700SPEECH PATHOLOGY 28315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28315,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28315,A000000,03051,0000,03301ENTERAL FEEDING 28315,A000000,03550,0000,03550FQHC 28315,A000000,05000,0000,05000CORF 28315,A000000,05010,0000,05010CMHC 28315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28315,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28315,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28315,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28315,A000000,06153,0000,06312DIALYSIS 28315,A000000,06154,0000,06320APARTMENTS 28315,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28315,A000000,06156,0000,06340CLOSED PATIENT AREAS 28315,A000000,06157,0000,06350O/P ADULT DAYCARE 28315,A81000A,00100,0100,Y 28315,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28315,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28315,A81000B,00300,0300,REHAB ALLOCATION 28315,A81000B,00400,0300,REHAB ALLOCATION 28315,A81000B,00500,0300,REHAB ALLOCATION 28315,A81000B,00600,0300,CLINICAL ALLOCATION 28315,A81000B,00700,0300,SYMPHONY RESPIRATORY 28315,A81000B,00800,0300,SYNPHONY MOBILEX 28315,A81000B,00900,0300,LTC LABS 28315,A81000C,00100,0100,B 28315,A81000C,00100,0400,IHS INC. 28315,A81000C,00100,0600,NURSING HOMES 28315,A81000C,00200,0100,G 28315,A81000C,00200,0400,SYMPHONY REHAB 28315,A81000C,00200,0600,REHAB SERVICES 28315,A81000C,00300,0100,G 28315,A81000C,00300,0400,LTC MEDICAL LAB 28315,A81000C,00300,0600,MEDICAL LABS 28315,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28315,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28315,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28315,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28315,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28315,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28315,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28315,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28315,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28315,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28315,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28315,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28315,E10A180,00350,0100,09/18/2000 28315,E10A180,00501,0100,12/26/2000 28315,E10A180,00550,0300,12/26/2000 28315,S000000,00100,0200,11/01/2000 28315,S200000,00100,0100,201 SYCAMORE SCHOOL RD 28315,S200000,00200,0100,FORT WORTH 28315,S200000,00200,0200,TX 28315,S200000,00200,0300,76134- 28315,S200000,00300,0100,TARRANT 28315,S200000,00300,0200,2800 28315,S200000,00300,0300,U 28315,S200000,00400,0100,IHS ESTATES AT FORT WORTH 28315,S200000,00400,0200,675028 28315,S200000,00400,0300,12/01/1991 28315,S200000,00400,0500,P 28315,S200000,00600,0200,675028 28315,S200000,00600,0300,12/01/1991 28315,S200000,00600,0600,P 28315,S200000,01600,0100,Y 28315,S200000,02200,0100,Y 28320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28320,A000000,00300,0000,00300EMPLOYEE BENEFITS 28320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28320,A000000,00700,0000,00700HOUSEKEEPING 28320,A000000,00800,0000,00800DIETARY 28320,A000000,00900,0000,00900NURSING ADMINISTRATION 28320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28320,A000000,01100,0000,01100PHARMACY 28320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28320,A000000,01300,0000,01300SOCIAL SERVICE 28320,A000000,01350,0000,01500RECREATION ACTIVITIES 28320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28320,A000000,01600,0000,01600SKILLED NURSING FACILITY 28320,A000000,01800,0000,01800NURSING FACILITY 28320,A000000,01810,0000,01810ICF/MR 28320,A000000,02100,0000,02100RADIOLOGY 28320,A000000,02200,0000,02200LABORATORY 28320,A000000,02500,0000,02500PHYSICAL THERAPY 28320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28320,A000000,02700,0000,02700SPEECH PATHOLOGY 28320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28320,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28320,A000000,03051,0000,03301ENTERAL FEEDING 28320,A000000,03550,0000,03550FQHC 28320,A000000,05000,0000,05000CORF 28320,A000000,05010,0000,05010CMHC 28320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28320,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28320,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28320,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28320,A000000,06153,0000,06312DIALYSIS 28320,A000000,06154,0000,06320APARTMENTS 28320,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28320,A000000,06156,0000,06340CLOSED PATIENT AREAS 28320,A000000,06157,0000,06350O/P ADULT DAYCARE 28320,A81000A,00100,0100,Y 28320,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28320,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28320,A81000C,00100,0100,A 28320,A81000C,00100,0200,TOM SCOTT 28320,A81000C,00100,0400,PREFERRED CARE 28320,A81000C,00100,0600,NURSING HOMES 28320,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28320,B100000,00000,0250,00050(SQUARE FEET) :CAP REL COSTS - MOV 28320,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28320,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28320,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28320,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28320,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28320,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28320,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28320,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28320,B100000,00000,1100,00050(COSTED REQUIS) :PHARMACY 28320,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28320,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28320,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28320,B100000,00000,1400,00050(ASSIGNED TIME) :INTERNS & RESIDEN 28320,E10A180,00304,0100,05/18/2000 28320,E10A180,00351,0100,03/18/1999 28320,E10A180,00352,0100,12/03/1999 28320,E10A180,00501,0300,05/31/2000 28320,E10A180,00550,0100,05/31/2000 28320,E10A180,00551,0100,07/28/2000 28320,E10A180,00551,0300,07/28/2000 28320,S000000,00100,0200,06/01/2000 28320,S200000,00100,0100,1900 N. FRANCES 28320,S200000,00200,0100,TERRELL 28320,S200000,00200,0200,TX 28320,S200000,00200,0300,75160- 28320,S200000,00300,0100,KAUFMAN 28320,S200000,00400,0100,COUNTRY VIEW MANOR 28320,S200000,00400,0200,675105 28320,S200000,00400,0300,02/01/1993 28320,S200000,00400,0500,P 28320,S200000,00600,0200,675105 28320,S200000,00600,0300,02/01/1993 28320,S200000,00600,0600,P 28320,S200000,01600,0100,Y 28320,S200000,02200,0100,Y 28325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28325,A000000,00300,0000,00300EMPLOYEE BENEFITS 28325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28325,A000000,00700,0000,00700HOUSEKEEPING 28325,A000000,00800,0000,00800DIETARY 28325,A000000,00900,0000,00900NURSING ADMINISTRATION 28325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28325,A000000,01100,0000,01100PHARMACY 28325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28325,A000000,01300,0000,01300SOCIAL SERVICE 28325,A000000,01350,0000,01500RECREATION ACTIVITIES 28325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28325,A000000,01600,0000,01600SKILLED NURSING FACILITY 28325,A000000,01800,0000,01800NURSING FACILITY 28325,A000000,01810,0000,01810ICF/MR 28325,A000000,02100,0000,02100RADIOLOGY 28325,A000000,02200,0000,02200LABORATORY 28325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28325,A000000,02500,0000,02500PHYSICAL THERAPY 28325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28325,A000000,02700,0000,02700SPEECH PATHOLOGY 28325,A000000,02800,0000,02800ELECTROCARDIOLOGY 28325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28325,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28325,A000000,03051,0000,03301ENTERAL FEEDING 28325,A000000,03550,0000,03550FQHC 28325,A000000,05000,0000,05000CORF 28325,A000000,05010,0000,05010CMHC 28325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28325,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28325,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28325,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28325,A000000,06153,0000,06312DIALYSIS 28325,A000000,06154,0000,06320APARTMENTS 28325,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28325,A000000,06156,0000,06340CLOSED PATIENT AREAS 28325,A000000,06157,0000,06350O/P ADULT DAYCARE 28325,A81000A,00100,0100,Y 28325,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28325,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28325,A81000B,00300,0300,CLINICAL ALLOCATION 28325,A81000B,00400,0300,REHAB ALLOCATION 28325,A81000B,00500,0300,REHAB ALLOCATION 28325,A81000B,00600,0300,REHAB ALLOCATION 28325,A81000B,00700,0300,LTC MED LAB 28325,A81000B,00800,0300,SYMP MOBILE 28325,A81000C,00100,0100,B 28325,A81000C,00100,0400,IHS INC. 28325,A81000C,00100,0600,NURSING HOMES 28325,A81000C,00200,0100,G 28325,A81000C,00200,0400,SYMPHONY REHAB 28325,A81000C,00200,0600,REHAB SERVICES 28325,A81000C,00300,0100,G 28325,A81000C,00300,0400,LTC MED LAB 28325,A81000C,00300,0600,LABORATORY 28325,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28325,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28325,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28325,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28325,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28325,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28325,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28325,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28325,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28325,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28325,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28325,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28325,E10A180,00501,0300,10/30/2000 28325,E10A180,00502,0100,12/06/2001 28325,E10A180,00550,0100,10/30/2000 28325,E10A180,00551,0100,12/26/2000 28325,E10A180,00551,0300,12/26/2000 28325,S000000,00100,0200,11/01/2000 28325,S200000,00100,0100,1111 ROCKINGHAM DRIVE 28325,S200000,00200,0100,RICHARDSON 28325,S200000,00200,0200,TX 28325,S200000,00200,0300,75080- 28325,S200000,00300,0100,DALLAS 28325,S200000,00300,0200,1920 28325,S200000,00300,0300,U 28325,S200000,00400,0100,IHS-THE VILLAGE AT RICHARDSON 28325,S200000,00400,0200,675109 28325,S200000,00400,0300,02/01/1993 28325,S200000,00400,0500,P 28325,S200000,00600,0200,675109 28325,S200000,00600,0300,02/01/1993 28325,S200000,00600,0600,P 28325,S200000,01600,0100,Y 28325,S200000,02200,0100,Y 28331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28331,A000000,00300,0000,00300EMPLOYEE BENEFITS 28331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28331,A000000,00700,0000,00700HOUSEKEEPING 28331,A000000,00800,0000,00800DIETARY 28331,A000000,00900,0000,00900NURSING ADMINISTRATION 28331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28331,A000000,01100,0000,01100PHARMACY 28331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28331,A000000,01300,0000,01300SOCIAL SERVICE 28331,A000000,01350,0000,01500RECREATION ACTIVITIES 28331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28331,A000000,01600,0000,01600SKILLED NURSING FACILITY 28331,A000000,01800,0000,01800NURSING FACILITY 28331,A000000,01810,0000,01810ICF/MR 28331,A000000,02100,0000,02100RADIOLOGY 28331,A000000,02200,0000,02200LABORATORY 28331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28331,A000000,02500,0000,02500PHYSICAL THERAPY 28331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28331,A000000,02700,0000,02700SPEECH PATHOLOGY 28331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28331,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28331,A000000,03051,0000,03301ENTERAL FEEDING 28331,A000000,03550,0000,03550FQHC 28331,A000000,05000,0000,05000CORF 28331,A000000,05010,0000,05010CMHC 28331,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28331,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28331,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28331,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28331,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28331,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28331,A000000,06153,0000,06312DIALYSIS 28331,A000000,06154,0000,06320APARTMENTS 28331,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28331,A000000,06156,0000,06340CLOSED PATIENT AREAS 28331,A000000,06157,0000,06350O/P ADULT DAYCARE 28331,A81000A,00100,0100,Y 28331,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28331,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28331,A81000B,00300,0300,CLINICAL ALLOACTION 28331,A81000B,00400,0300,REHAB ALLOCATION 28331,A81000B,00500,0300,REHAB ALLOCATION 28331,A81000B,00600,0300,REHAB ALLOCATION 28331,A81000B,00700,0300,SYMPHONY RESPIRATORY 28331,A81000B,00800,0300,SYMPHONY MOBILEX 28331,A81000B,00900,0300,LTC MED LABS 28331,A81000B,01000,0300,SYMPHONY REHAB 28331,A81000B,01100,0300,SYMPHONY REHAB 28331,A81000B,01200,0300,SYMPHONY REHAB 28331,A81000C,00100,0100,B 28331,A81000C,00100,0400,IHS INC. 28331,A81000C,00100,0600,NURSING HOMES 28331,A81000C,00200,0100,G 28331,A81000C,00200,0400,SYMPHONY REHAB 28331,A81000C,00200,0600,REHAB SERVICES 28331,A81000C,00300,0100,G 28331,A81000C,00300,0400,LTC MED LAB 28331,A81000C,00300,0600,LABORATORY 28331,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28331,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28331,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28331,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28331,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28331,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28331,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28331,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28331,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28331,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28331,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28331,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28331,E10A180,00301,0100,01/03/2000 28331,E10A180,00302,0100,09/18/2000 28331,E10A180,00501,0100,12/26/2000 28331,E10A180,00550,0300,12/26/2000 28331,S000000,00100,0200,11/01/2000 28331,S200000,00100,0100,2135 NORTH DENTON DRIVE 28331,S200000,00200,0100,CARROLLTON 28331,S200000,00200,0200,TX 28331,S200000,00200,0300,75006- 28331,S200000,00300,0100,DALLAS 28331,S200000,00300,0200,1920 28331,S200000,00300,0300,U 28331,S200000,00400,0100,IHS-THE GARDENS AT CARROLLTON 28331,S200000,00400,0200,675111 28331,S200000,00400,0300,09/01/1993 28331,S200000,00400,0500,P 28331,S200000,00600,0200,675111 28331,S200000,00600,0300,09/01/1993 28331,S200000,00600,0600,P 28331,S200000,01600,0100,Y 28331,S200000,02200,0100,Y 28337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28337,A000000,00300,0000,00300EMPLOYEE BENEFITS 28337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28337,A000000,00700,0000,00700HOUSEKEEPING 28337,A000000,00800,0000,00800DIETARY 28337,A000000,00900,0000,00900NURSING ADMINISTRATION 28337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28337,A000000,01100,0000,01100PHARMACY 28337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28337,A000000,01300,0000,01300SOCIAL SERVICE 28337,A000000,01350,0000,01500RECREATION ACTIVITIES 28337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28337,A000000,01600,0000,01600SKILLED NURSING FACILITY 28337,A000000,01800,0000,01800NURSING FACILITY 28337,A000000,01810,0000,01810ICF/MR 28337,A000000,02100,0000,02100RADIOLOGY 28337,A000000,02200,0000,02200LABORATORY 28337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28337,A000000,02500,0000,02500PHYSICAL THERAPY 28337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28337,A000000,02700,0000,02700SPEECH PATHOLOGY 28337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28337,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28337,A000000,03051,0000,03301ENTERAL FEEDING 28337,A000000,03550,0000,03550FQHC 28337,A000000,05000,0000,05000CORF 28337,A000000,05010,0000,05010CMHC 28337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28337,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28337,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28337,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28337,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28337,A000000,06153,0000,06312DIALYSIS 28337,A000000,06154,0000,06320APARTMENTS 28337,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28337,A000000,06156,0000,06340CLOSED PATIENT AREAS 28337,A000000,06157,0000,06350O/P ADULT DAYCARE 28337,A81000A,00100,0100,Y 28337,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28337,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28337,A81000B,00300,0300,REHAB ALLOCATION 28337,A81000B,00400,0300,REHAB ALLOCATION 28337,A81000B,00500,0300,REHAB ALLOCATION 28337,A81000B,00600,0300,CLINICAL ALLOCATION 28337,A81000B,00700,0300,SYMPHONY RESPIRATORY 28337,A81000B,00800,0300,SYMPHONY MOBILEX 28337,A81000B,00900,0300,LTC MEDICAL LABS 28337,A81000C,00100,0100,B 28337,A81000C,00100,0400,IHS INC. 28337,A81000C,00100,0600,NURSING HOMES 28337,A81000C,00200,0100,G 28337,A81000C,00200,0400,SYMPHONY REHAB 28337,A81000C,00200,0600,REHAB SERVICES 28337,A81000C,00300,0100,G 28337,A81000C,00300,0400,LTC MED LAB 28337,A81000C,00300,0600,LABORATORY 28337,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28337,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28337,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28337,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28337,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28337,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28337,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28337,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28337,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28337,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28337,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28337,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28337,E10A180,00350,0100,01/03/2000 28337,E10A180,00351,0100,09/18/2000 28337,E10A180,00501,0100,12/06/2001 28337,E10A180,00550,0100,10/30/2000 28337,E10A180,00550,0300,10/30/2000 28337,E10A180,00551,0100,12/26/2000 28337,S000000,00100,0200,11/01/2000 28337,S200000,00100,0100,1112 GIBBONS ROAD 28337,S200000,00200,0100,ARLINGTON 28337,S200000,00200,0200,TX 28337,S200000,00200,0300,76011- 28337,S200000,00300,0100,TARRANT 28337,S200000,00300,0200,2800 28337,S200000,00300,0300,U 28337,S200000,00400,0100,IHS-ARLINGTON 28337,S200000,00400,0200,675112 28337,S200000,00400,0300,04/01/1993 28337,S200000,00400,0500,P 28337,S200000,00600,0200,675112 28337,S200000,00600,0300,04/01/1993 28337,S200000,00600,0600,P 28337,S200000,01600,0100,Y 28337,S200000,02200,0100,Y 28345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28345,A000000,00300,0000,00300EMPLOYEE BENEFITS 28345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28345,A000000,00700,0000,00700HOUSEKEEPING 28345,A000000,00800,0000,00800DIETARY 28345,A000000,00900,0000,00900NURSING ADMINISTRATION 28345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28345,A000000,01100,0000,01100PHARMACY 28345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28345,A000000,01300,0000,01300SOCIAL SERVICE 28345,A000000,01350,0000,01500RECREATION ACTIVITIES 28345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28345,A000000,01600,0000,01600SKILLED NURSING FACILITY 28345,A000000,01800,0000,01800NURSING FACILITY 28345,A000000,01810,0000,01810ICF/MR 28345,A000000,02100,0000,02100RADIOLOGY 28345,A000000,02200,0000,02200LABORATORY 28345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28345,A000000,02500,0000,02500PHYSICAL THERAPY 28345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28345,A000000,02700,0000,02700SPEECH PATHOLOGY 28345,A000000,02800,0000,02800ELECTROCARDIOLOGY 28345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28345,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28345,A000000,03051,0000,03301ENTERAL FEEDING 28345,A000000,03550,0000,03550FQHC 28345,A000000,05000,0000,05000CORF 28345,A000000,05010,0000,05010CMHC 28345,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28345,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28345,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28345,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28345,A000000,06153,0000,06312DIALYSIS 28345,A000000,06154,0000,06320APARTMENTS 28345,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28345,A000000,06156,0000,06340CLOSED PATIENT AREAS 28345,A000000,06157,0000,06350O/P ADULT DAYCARE 28345,A81000A,00100,0100,Y 28345,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28345,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28345,A81000B,00700,0300,REHAB ALLOCATION 28345,A81000B,00800,0300,REHAB ALLOCATION 28345,A81000B,00900,0300,REHAB ALLOCATION 28345,A81000B,01000,0300,CLINCAL ALLOCATION 28345,A81000B,01100,0300,SYMPHONY MOBILEX 28345,A81000C,00100,0100,B 28345,A81000C,00100,0200,IHS INC. 28345,A81000C,00100,0400,IHS INC. 28345,A81000C,00100,0600,NURSING HOMES 28345,A81000C,00200,0100,G 28345,A81000C,00200,0200,IHS INC. 28345,A81000C,00200,0400,SYMPHONY REHAB 28345,A81000C,00200,0600,REHAB SERVICES 28345,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28345,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28345,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28345,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28345,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28345,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28345,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28345,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28345,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28345,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28345,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28345,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28345,E10A180,00301,0100,01/03/2000 28345,E10A180,00302,0100,09/18/2000 28345,E10A180,00501,0300,10/30/2000 28345,E10A180,00502,0100,12/06/2001 28345,E10A180,00550,0100,10/30/2000 28345,E10A180,00551,0100,12/26/2000 28345,E10A180,00551,0300,12/26/2000 28345,S000000,00100,0200,11/01/2000 28345,S200000,00100,0100,3208 THUNDERBIRD LANE 28345,S200000,00200,0100,PLANO 28345,S200000,00200,0200,TX 28345,S200000,00200,0300,75075- 28345,S200000,00300,0100,COLLINS 28345,S200000,00300,0200,1920 28345,S200000,00300,0300,U 28345,S200000,00400,0100,IHS-PLANO 28345,S200000,00400,0200,675113 28345,S200000,00400,0300,02/11/1993 28345,S200000,00400,0500,P 28345,S200000,00600,0200,675113 28345,S200000,00600,0300,02/11/1993 28345,S200000,00600,0600,P 28345,S200000,01600,0100,Y 28345,S200000,02200,0100,Y 28349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28349,A000000,00300,0000,00300EMPLOYEE BENEFITS 28349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28349,A000000,00700,0000,00700HOUSEKEEPING 28349,A000000,00800,0000,00800DIETARY 28349,A000000,00900,0000,00900NURSING ADMINISTRATION 28349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28349,A000000,01100,0000,01100PHARMACY 28349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28349,A000000,01300,0000,01300SOCIAL SERVICE 28349,A000000,01350,0000,01500RECREATION ACTIVITIES 28349,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28349,A000000,01600,0000,01600SKILLED NURSING FACILITY 28349,A000000,01800,0000,01800NURSING FACILITY 28349,A000000,01810,0000,01810ICF/MR 28349,A000000,02100,0000,02100RADIOLOGY 28349,A000000,02200,0000,02200LABORATORY 28349,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28349,A000000,02500,0000,02500PHYSICAL THERAPY 28349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28349,A000000,02700,0000,02700SPEECH PATHOLOGY 28349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28349,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28349,A000000,03051,0000,03301ENTERAL FEEDING 28349,A000000,03550,0000,03550FQHC 28349,A000000,05000,0000,05000CORF 28349,A000000,05010,0000,05010CMHC 28349,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28349,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28349,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28349,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28349,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28349,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28349,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28349,A000000,06153,0000,06312DIALYSIS 28349,A000000,06154,0000,06320APARTMENTS 28349,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28349,A000000,06156,0000,06340CLOSED PATIENT AREAS 28349,A000000,06157,0000,06350O/P ADULT DAYCARE 28349,A81000A,00100,0100,Y 28349,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28349,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28349,A81000B,00300,0300,LTC LABS 28349,A81000B,00400,0300,REHAB ALLOCATION 28349,A81000B,00500,0300,REHAB ALLOCATION 28349,A81000B,00600,0300,REHAB ALLOCATION 28349,A81000B,00700,0300,SYMPHONY RESPIRATORY 28349,A81000B,00800,0300,SYMPHONY MOBILEX 28349,A81000B,00900,0300,CLINICAL ALLOCATION 28349,A81000C,00100,0100,B 28349,A81000C,00100,0400,IHS INC. 28349,A81000C,00100,0600,NURSING HOMES 28349,A81000C,00200,0100,G 28349,A81000C,00200,0400,SYMPHONY REHAB 28349,A81000C,00200,0600,REHAB SERVICES 28349,A81000C,00300,0100,G 28349,A81000C,00300,0400,LTC MED LAB 28349,A81000C,00300,0600,LABORATORY SERV 28349,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28349,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28349,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28349,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28349,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28349,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28349,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28349,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28349,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28349,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28349,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28349,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28349,S000000,00100,0200,11/01/2000 28349,S200000,00100,0100,825 W KEARNEY 28349,S200000,00200,0100,MESQUITE 28349,S200000,00200,0200,TX 28349,S200000,00200,0300,75149- 28349,S200000,00300,0100,DALLAS 28349,S200000,00300,0200,1920 28349,S200000,00300,0300,U 28349,S200000,00400,0100,IHS-MESQUITE 28349,S200000,00400,0200,675119 28349,S200000,00400,0300,08/15/1993 28349,S200000,00400,0500,P 28349,S200000,00600,0200,675119 28349,S200000,00600,0300,08/15/1993 28349,S200000,00600,0600,P 28349,S200000,01600,0100,Y 28349,S200000,02200,0100,Y 28359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28359,A000000,00300,0000,00300EMPLOYEE BENEFITS 28359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28359,A000000,00700,0000,00700HOUSEKEEPING 28359,A000000,00800,0000,00800DIETARY 28359,A000000,00900,0000,00900NURSING ADMINISTRATION 28359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28359,A000000,01100,0000,01100PHARMACY 28359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28359,A000000,01300,0000,01300SOCIAL SERVICE 28359,A000000,01350,0000,01500RECREATION ACTIVITIES 28359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28359,A000000,01600,0000,01600SKILLED NURSING FACILITY 28359,A000000,01800,0000,01800NURSING FACILITY 28359,A000000,01810,0000,01810ICF/MR 28359,A000000,02100,0000,02100RADIOLOGY 28359,A000000,02200,0000,02200LABORATORY 28359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28359,A000000,02500,0000,02500PHYSICAL THERAPY 28359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28359,A000000,02700,0000,02700SPEECH PATHOLOGY 28359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28359,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28359,A000000,03051,0000,03301ENTERAL FEEDING 28359,A000000,03550,0000,03550FQHC 28359,A000000,05000,0000,05000CORF 28359,A000000,05010,0000,05010CMHC 28359,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28359,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28359,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28359,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28359,A000000,06153,0000,06312DIALYSIS 28359,A000000,06154,0000,06320APARTMENTS 28359,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28359,A000000,06156,0000,06340CLOSED PATIENT AREAS 28359,A000000,06157,0000,06350O/P ADULT DAYCARE 28359,A81000A,00100,0100,Y 28359,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28359,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28359,A81000B,00300,0300,MSU DEVELOPMENT COST 28359,A81000B,00400,0300,SYMPHONY REHAB 28359,A81000B,00500,0300,SYMPHONY REHAB 28359,A81000B,00600,0300,SYMPHONY REHAB 28359,A81000B,00800,0300,SYMPHONY MOBILEX 28359,A81000B,01000,0300,REHAB ALLOCATION 28359,A81000B,01100,0300,REHAB ALLOCATION 28359,A81000B,01200,0300,REHAB ALLOCATION 28359,A81000B,01300,0300,CLINICAL ALLOCATION 28359,A81000C,00100,0100,B 28359,A81000C,00100,0400,IHS INC. 28359,A81000C,00100,0600,NURSING HOMES 28359,A81000C,00200,0100,G 28359,A81000C,00200,0400,SYMPHONY REHAB 28359,A81000C,00200,0600,REHAB SERVICES 28359,A81000C,00300,0100,G 28359,A81000C,00300,0400,LTC MED LAB 28359,A81000C,00300,0600,LABORATORY 28359,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28359,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28359,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28359,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28359,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28359,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28359,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28359,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28359,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28359,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28359,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28359,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28359,E10A180,00301,0100,03/18/1999 28359,E10A180,00302,0100,12/03/1999 28359,E10A180,00350,0100,03/18/1999 28359,E10A180,00353,0100,05/18/2000 28359,E10A180,00501,0100,07/28/2000 28359,E10A180,00501,0300,06/05/2000 28359,E10A180,00550,0100,06/05/2000 28359,E10A180,00550,0300,07/28/2000 28359,S000000,00100,0200,06/06/2000 28359,S200000,00100,0100,601 MIDWESTERN PARKWAY EAST 28359,S200000,00200,0100,WICHITA FALLS 28359,S200000,00200,0200,TX 28359,S200000,00200,0300,76303-2499 28359,S200000,00300,0100,WICHITA 28359,S200000,00300,0200,9080 28359,S200000,00300,0300,U 28359,S200000,00400,0100,IHS-WICHITA FALLS 28359,S200000,00400,0200,675128 28359,S200000,00400,0300,02/08/1993 28359,S200000,00400,0500,P 28359,S200000,00600,0200,675128 28359,S200000,00600,0300,02/08/1993 28359,S200000,00600,0600,P 28359,S200000,01600,0100,Y 28359,S200000,02200,0100,Y 28369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28369,A000000,00300,0000,00300EMPLOYEE BENEFITS 28369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28369,A000000,00700,0000,00700HOUSEKEEPING 28369,A000000,00800,0000,00800DIETARY 28369,A000000,00900,0000,00900NURSING ADMINISTRATION 28369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28369,A000000,01100,0000,01100PHARMACY 28369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28369,A000000,01300,0000,01300SOCIAL SERVICE 28369,A000000,01350,0000,01500RECREATION ACTIVITIES 28369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28369,A000000,01600,0000,01600SKILLED NURSING FACILITY 28369,A000000,01800,0000,01800NURSING FACILITY 28369,A000000,01810,0000,01810ICF/MR 28369,A000000,02100,0000,02100RADIOLOGY 28369,A000000,02200,0000,02200LABORATORY 28369,A000000,02500,0000,02500PHYSICAL THERAPY 28369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28369,A000000,02700,0000,02700SPEECH PATHOLOGY 28369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28369,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28369,A000000,03051,0000,03301ENTERAL FEEDING 28369,A000000,03550,0000,03550FQHC 28369,A000000,05000,0000,05000CORF 28369,A000000,05010,0000,05010CMHC 28369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28369,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28369,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28369,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28369,A000000,06153,0000,06312DIALYSIS 28369,A000000,06154,0000,06320APARTMENTS 28369,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28369,A000000,06156,0000,06340CLOSED PATIENT AREAS 28369,A000000,06157,0000,06350O/P ADULT DAYCARE 28369,A81000A,00100,0100,Y 28369,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28369,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28369,A81000B,00400,0300,SYMPHONY REHAB 28369,A81000B,00600,0300,SYMPHONY REHAB 28369,A81000B,00700,0300,REHAB ALLOCATION 28369,A81000B,00800,0300,REHAB ALLOCATION 28369,A81000B,00900,0300,REHAB ALLOCATION 28369,A81000B,01000,0300,CLINCIAL ALLOCATION 28369,A81000C,00100,0100,B 28369,A81000C,00100,0400,IHS INC. 28369,A81000C,00100,0600,NURSING HOMES 28369,A81000C,00200,0100,G 28369,A81000C,00200,0400,SYMPHONY REHAB 28369,A81000C,00200,0600,REHAB SERVICES 28369,A81000C,00300,0100,G 28369,A81000C,00300,0400,LTC MED LAB 28369,A81000C,00300,0600,LABORATORY 28369,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28369,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28369,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28369,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28369,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28369,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28369,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28369,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28369,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28369,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28369,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28369,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28369,E10A180,00301,0100,03/18/1999 28369,E10A180,00302,0100,12/03/1999 28369,E10A180,00350,0100,03/18/1999 28369,E10A180,00351,0100,05/18/2000 28369,E10A180,00501,0300,05/31/2000 28369,E10A180,00550,0100,05/31/2000 28369,E10A180,00551,0100,07/28/2000 28369,E10A180,00551,0300,07/28/2000 28369,S000000,00100,0200,06/01/2000 28369,S200000,00100,0100,HIGHWAY 161 SOUTH ROUTE #2 28369,S200000,00200,0100,HUGHES SPRINGS 28369,S200000,00200,0200,TX 28369,S200000,00200,0300,75656- 28369,S200000,00300,0100,CASS 28369,S200000,00300,0200,67 28369,S200000,00300,0300,R 28369,S200000,00400,0100,IHS-THERON GRAINGER 28369,S200000,00400,0200,675137 28369,S200000,00400,0300,05/01/1993 28369,S200000,00400,0500,P 28369,S200000,00600,0200,675137 28369,S200000,00600,0300,05/01/1993 28369,S200000,00600,0600,P 28369,S200000,01600,0100,Y 28369,S200000,02200,0100,Y 28379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28379,A000000,00300,0000,00300EMPLOYEE BENEFITS 28379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28379,A000000,00700,0000,00700HOUSEKEEPING 28379,A000000,00800,0000,00800DIETARY 28379,A000000,00900,0000,00900NURSING ADMINISTRATION 28379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28379,A000000,01100,0000,01100PHARMACY 28379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28379,A000000,01300,0000,01300SOCIAL SERVICE 28379,A000000,01350,0000,01500RECREATION ACTIVITIES 28379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28379,A000000,01600,0000,01600SKILLED NURSING FACILITY 28379,A000000,01800,0000,01800NURSING FACILITY 28379,A000000,01810,0000,01810ICF/MR 28379,A000000,02100,0000,02100RADIOLOGY 28379,A000000,02200,0000,02200LABORATORY 28379,A000000,02500,0000,02500PHYSICAL THERAPY 28379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28379,A000000,02700,0000,02700SPEECH PATHOLOGY 28379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28379,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28379,A000000,03051,0000,03301ENTERAL FEEDING 28379,A000000,03550,0000,03550FQHC 28379,A000000,05000,0000,05000CORF 28379,A000000,05010,0000,05010CMHC 28379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 28379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28379,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28379,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28379,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28379,A000000,06153,0000,06312DIALYSIS 28379,A000000,06154,0000,06320APARTMENTS 28379,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28379,A000000,06156,0000,06340CLOSED PATIENT AREAS 28379,A000000,06157,0000,06350O/P ADULT DAYCARE 28379,A81000A,00100,0100,Y 28379,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28379,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28379,A81000B,00300,0300,SYMPHONY REHAB 28379,A81000B,00400,0300,SYMPHONY REHAB 28379,A81000B,00500,0300,SYMPHONY REHAB 28379,A81000B,00600,0300,CLINICAL ALLOCATION 28379,A81000B,00800,0300,SYMPHONY MOBILEX 28379,A81000B,00900,0300,LTC MEDICAL LABS 28379,A81000B,01000,0300,REHAB ALLOCATION 28379,A81000B,01100,0300,REHAB ALLOCATION 28379,A81000B,01200,0300,REHAB ALLOCATION 28379,A81000C,00100,0100,B 28379,A81000C,00100,0400,IHS INC. 28379,A81000C,00100,0600,NURSING HOMES 28379,A81000C,00200,0100,G 28379,A81000C,00200,0400,SYMPHONY REHAB 28379,A81000C,00200,0600,REHAB SERVICES 28379,A81000C,00300,0100,G 28379,A81000C,00300,0400,LTC MED LAB 28379,A81000C,00300,0600,LABORATORY 28379,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28379,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28379,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28379,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28379,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28379,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28379,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28379,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28379,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28379,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28379,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28379,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28379,E10A180,00350,0100,03/18/1999 28379,E10A180,00351,0100,12/03/1999 28379,E10A180,00354,0100,05/18/2000 28379,E10A180,00550,0100,05/31/2000 28379,E10A180,00550,0300,05/31/2000 28379,E10A180,00551,0100,07/28/2000 28379,S000000,00100,0200,06/01/2000 28379,S200000,00100,0100,459 E. PRICE 28379,S200000,00200,0100,KELLER 28379,S200000,00200,0200,TX 28379,S200000,00200,0300,76248- 28379,S200000,00300,0100,TARRANT 28379,S200000,00300,0200,2800 28379,S200000,00300,0300,U 28379,S200000,00400,0100,IHS-KELLER AT MIMOSA 28379,S200000,00400,0200,675153 28379,S200000,00400,0300,07/01/1993 28379,S200000,00400,0500,P 28379,S200000,00600,0200,675153 28379,S200000,00600,0300,07/01/1993 28379,S200000,00600,0600,P 28379,S200000,01600,0100,Y 28379,S200000,02200,0100,Y 28388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28388,A000000,00300,0000,00300EMPLOYEE BENEFITS 28388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28388,A000000,00700,0000,00700HOUSEKEEPING 28388,A000000,00800,0000,00800DIETARY 28388,A000000,00900,0000,00900NURSING ADMINISTRATION 28388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28388,A000000,01100,0000,01100PHARMACY 28388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28388,A000000,01300,0000,01300SOCIAL SERVICE 28388,A000000,01350,0000,01500RECREATION ACTIVITIES 28388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28388,A000000,01600,0000,01600SKILLED NURSING FACILITY 28388,A000000,01800,0000,01800NURSING FACILITY 28388,A000000,01810,0000,01810ICF/MR 28388,A000000,02100,0000,02100RADIOLOGY 28388,A000000,02200,0000,02200LABORATORY 28388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28388,A000000,02500,0000,02500PHYSICAL THERAPY 28388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28388,A000000,02700,0000,02700SPEECH PATHOLOGY 28388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28388,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28388,A000000,03051,0000,03301ENTERAL FEEDING 28388,A000000,03550,0000,03550FQHC 28388,A000000,05000,0000,05000CORF 28388,A000000,05010,0000,05010CMHC 28388,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28388,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28388,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28388,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 28388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28388,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28388,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28388,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28388,A000000,06153,0000,06312DIALYSIS 28388,A000000,06154,0000,06320APARTMENTS 28388,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28388,A000000,06156,0000,06340CLOSED PATIENT AREAS 28388,A000000,06157,0000,06350O/P ADULT DAYCARE 28388,A81000A,00100,0100,Y 28388,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28388,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28388,A81000B,00300,0300,MSU DEVELOPMENT COST 28388,A81000B,00400,0300,SYMPHONY REHAB 28388,A81000B,00500,0300,SYMPHONY REHAB 28388,A81000B,00600,0300,SYMPHONY REHAB 28388,A81000B,00800,0300,SYMPHONY MOBILE XRAY 28388,A81000B,00900,0300,LTC MED LAB 28388,A81000B,01000,0300,CLINICAL ALLOCATION 28388,A81000B,01100,0300,REHAB ALLOCATION 28388,A81000B,01200,0300,REHAB ALLOCATION 28388,A81000B,01300,0300,REHAB ALLOCATION 28388,A81000C,00100,0100,B 28388,A81000C,00100,0400,IHS INC. 28388,A81000C,00100,0600,NURSING HOMES 28388,A81000C,00200,0100,G 28388,A81000C,00200,0400,SYMPHONY REHAB 28388,A81000C,00200,0600,REHAB SERVICES 28388,A81000C,00300,0100,G 28388,A81000C,00300,0400,LTC MED LAB 28388,A81000C,00300,0600,LABORATORY 28388,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28388,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28388,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28388,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28388,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28388,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28388,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28388,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28388,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28388,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28388,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28388,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28388,E10A180,00301,0100,03/18/1999 28388,E10A180,00302,0100,12/03/1999 28388,E10A180,00350,0100,03/18/1999 28388,E10A180,00350,0300,03/18/1999 28388,E10A180,00351,0100,12/03/1999 28388,E10A180,00352,0100,05/18/2000 28388,E10A180,00501,0100,07/28/2000 28388,E10A180,00550,0100,05/31/2000 28388,E10A180,00550,0300,05/31/2000 28388,S000000,00100,0200,06/01/2000 28388,S200000,00100,0100,1500 AUTUMN DRIVE 28388,S200000,00200,0100,GRAPEVINE 28388,S200000,00200,0200,TX 28388,S200000,00200,0300,76051- 28388,S200000,00300,0100,TARRANT 28388,S200000,00300,0200,2800 28388,S200000,00300,0300,U 28388,S200000,00400,0100,IHS-WOODRIDGE 28388,S200000,00400,0200,675165 28388,S200000,00400,0300,08/11/1993 28388,S200000,00400,0500,P 28388,S200000,00600,0200,675165 28388,S200000,00600,0300,08/11/1993 28388,S200000,00600,0600,P 28388,S200000,01600,0100,Y 28388,S200000,02200,0100,Y 28395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28395,A000000,00300,0000,00300EMPLOYEE BENEFITS 28395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28395,A000000,00700,0000,00700HOUSEKEEPING 28395,A000000,00800,0000,00800DIETARY 28395,A000000,00900,0000,00900NURSING ADMINISTRATION 28395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28395,A000000,01100,0000,01100PHARMACY 28395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28395,A000000,01300,0000,01300SOCIAL SERVICE 28395,A000000,01350,0000,01500RECREATION ACTIVITIES 28395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28395,A000000,01600,0000,01600SKILLED NURSING FACILITY 28395,A000000,01800,0000,01800NURSING FACILITY 28395,A000000,01810,0000,01810ICF/MR 28395,A000000,02100,0000,02100RADIOLOGY 28395,A000000,02200,0000,02200LABORATORY 28395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28395,A000000,02500,0000,02500PHYSICAL THERAPY 28395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28395,A000000,02700,0000,02700SPEECH PATHOLOGY 28395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28395,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28395,A000000,03051,0000,03301ENTERAL FEEDING 28395,A000000,03550,0000,03550FQHC 28395,A000000,05000,0000,05000CORF 28395,A000000,05010,0000,05010CMHC 28395,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28395,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28395,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28395,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28395,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28395,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28395,A000000,06153,0000,06312DIALYSIS 28395,A000000,06154,0000,06320APARTMENTS 28395,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28395,A000000,06156,0000,06340CLOSED PATIENT AREAS 28395,A000000,06157,0000,06350O/P ADULT DAYCARE 28395,A81000A,00100,0100,Y 28395,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28395,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28395,A81000B,00700,0300,REHAB ALLOCATION 28395,A81000B,00800,0300,REHAB ALLOCATION 28395,A81000B,00900,0300,REHAB ALLOCATION 28395,A81000B,01000,0300,CLINCAL ALLOCATION 28395,A81000B,01100,0300,SYMPHONY MOBILEX 28395,A81000B,01200,0300,LTC MEDICAL LAB 28395,A81000C,00100,0100,B 28395,A81000C,00100,0400,IHS INC. 28395,A81000C,00100,0600,NURSING HOMES 28395,A81000C,00200,0100,G 28395,A81000C,00200,0400,SYMPHONY REHAB 28395,A81000C,00200,0600,REHAB SERVICES 28395,A81000C,00300,0100,G 28395,A81000C,00300,0400,LTC MED LAB 28395,A81000C,00300,0600,LABORATORY 28395,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28395,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28395,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28395,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28395,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28395,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28395,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28395,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28395,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28395,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28395,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28395,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28395,E10A180,00301,0100,01/03/2000 28395,E10A180,00302,0100,09/18/2000 28395,E10A180,00501,0300,10/30/2000 28395,E10A180,00502,0100,12/06/2001 28395,E10A180,00550,0100,10/30/2000 28395,E10A180,00551,0100,12/26/2000 28395,E10A180,00551,0300,12/26/2000 28395,S000000,00100,0200,11/01/2000 28395,S200000,00100,0100,120 MEADOWVIEW DRIVE 28395,S200000,00200,0100,JUSTIN 28395,S200000,00200,0200,TX 28395,S200000,00200,0300,76247- 28395,S200000,00300,0100,DENTON 28395,S200000,00300,0200,1920 28395,S200000,00300,0300,U 28395,S200000,00400,0100,IHS-LONGMEADOW AT JUSTIN 28395,S200000,00400,0200,675185 28395,S200000,00400,0300,11/04/1993 28395,S200000,00400,0500,P 28395,S200000,00600,0200,675185 28395,S200000,00600,0300,11/04/1993 28395,S200000,00600,0600,P 28395,S200000,01600,0100,Y 28395,S200000,02200,0100,Y 28398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 28398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 28398,A000000,00300,0000,00300EMPLOYEE BENEFITS 28398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 28398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28398,A000000,00700,0000,00700HOUSEKEEPING 28398,A000000,00800,0000,00800DIETARY 28398,A000000,00900,0000,00900NURSING ADMINISTRATION 28398,A000000,00901,0000,00910NURSING ADMIN MSU 28398,A000000,00902,0000,00920MSU MEDICAL DIRECTORS 28398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28398,A000000,01100,0000,01100PHARMACY 28398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28398,A000000,01300,0000,01300SOCIAL SERVICE 28398,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 28398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 28398,A000000,01600,0000,01600SKILLED NURSING FACILITY 28398,A000000,01800,0000,01800NURSING FACILITY 28398,A000000,01810,0000,01810ICF/MR 28398,A000000,02100,0000,02100RADIOLOGY 28398,A000000,02200,0000,02200LABORATORY 28398,A000000,02300,0000,02300INTRAVENOUS THERAPY 28398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28398,A000000,02500,0000,02500PHYSICAL THERAPY 28398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28398,A000000,02700,0000,02700SPEECH PATHOLOGY 28398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 28398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28398,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28398,A000000,03051,0000,03301ENTERAL FEEDING 28398,A000000,03550,0000,03550FQHC 28398,A000000,05000,0000,05000CORF 28398,A000000,05010,0000,05010CMHC 28398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28398,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28398,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28398,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28398,A000000,06153,0000,06312DIALYSIS 28398,A000000,06154,0000,06320APARTMENTS 28398,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28398,A000000,06156,0000,06340CLOSED PATIENT AREAS 28398,A000000,06157,0000,06350O/P ADULT DAYCARE 28398,A81000A,00100,0100,Y 28398,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28398,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28398,A81000B,00300,0300,CLINICAL ALLOCATION 28398,A81000B,00400,0300,REHAB ALLOCATION 28398,A81000B,00500,0300,REHAB ALLOCATION 28398,A81000B,00600,0300,REHAB ALLOCATION 28398,A81000B,00700,0300,SYMPHONY MOBILEX 28398,A81000B,00800,0300,SYMPHONY REHAB 28398,A81000B,00900,0300,SYMPHONY REHAB 28398,A81000B,01000,0300,SYMPHONY REHAB 28398,A81000C,00100,0100,B 28398,A81000C,00100,0200,IHS INC. 28398,B100000,00000,0100,00050(SQUARE FEET) 28398,B100000,00000,0200,00050(SQUARE FEET) 28398,B100000,00000,0300,00050(GROSS SALARIES) 28398,B100000,00000,0400,00050(ACCUM COST) 28398,B100000,00000,0500,00050(SQUARE FEET) 28398,B100000,00000,0600,00050(PATIENT DAYS) 28398,B100000,00000,0700,00050(SQUARE FEET) 28398,B100000,00000,0800,00050(PATIENT DAYS) 28398,B100000,00000,0900,00050(NURSING SALARIES) 28398,B100000,00000,0910,00050(MSU PAT DAYS) 28398,B100000,00000,0920,00050(MSU PAT DAYS) 28398,B100000,00000,1000,00050(COSTED REQUIS) 28398,B100000,00000,1100,00050(COSTED REQUIS) 28398,B100000,00000,1200,00050(PATIENT DAYS) 28398,B100000,00000,1300,00050(PATIENT DAYS) 28398,B100000,00000,1350,00050(PATIENT DAYS) 28398,B100000,00000,1400,00050(ASSIGNED TIME) 28398,S000000,00100,0200,12/13/1999 28398,S200000,00100,0100,301 W. RANDOL MILL ROAD 28398,S200000,00200,0100,ARLINGTON 28398,S200000,00200,0200,TX 28398,S200000,00200,0300,76011 28398,S200000,00300,0100,TARRANT 28398,S200000,00400,0100,IHS OF OAKWOOD AT ARLINGTON 28398,S200000,00400,0200,675224 28398,S200000,00400,0300,12/29/1993 28398,S200000,00400,0500,P 28398,S200000,00600,0200,675224 28398,S200000,00600,0300,12/29/1993 28398,S200000,00600,0600,P 28398,S200000,01600,0100,Y 28398,S200000,02200,0100,Y 28399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28399,A000000,00300,0000,00300EMPLOYEE BENEFITS 28399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28399,A000000,00700,0000,00700HOUSEKEEPING 28399,A000000,00800,0000,00800DIETARY 28399,A000000,00900,0000,00900NURSING ADMINISTRATION 28399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28399,A000000,01100,0000,01100PHARMACY 28399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28399,A000000,01300,0000,01300SOCIAL SERVICE 28399,A000000,01350,0000,01500RECREATION ACTIVITIES 28399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28399,A000000,01600,0000,01600SKILLED NURSING FACILITY 28399,A000000,01800,0000,01800NURSING FACILITY 28399,A000000,01810,0000,01810ICF/MR 28399,A000000,02100,0000,02100RADIOLOGY 28399,A000000,02200,0000,02200LABORATORY 28399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28399,A000000,02500,0000,02500PHYSICAL THERAPY 28399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28399,A000000,02700,0000,02700SPEECH PATHOLOGY 28399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28399,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28399,A000000,03051,0000,03301ENTERAL FEEDING 28399,A000000,03550,0000,03550FQHC 28399,A000000,05000,0000,05000CORF 28399,A000000,05010,0000,05010CMHC 28399,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28399,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28399,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28399,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28399,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28399,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28399,A000000,06153,0000,06312DIALYSIS 28399,A000000,06154,0000,06320APARTMENTS 28399,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28399,A000000,06156,0000,06340CLOSED PATIENT AREAS 28399,A000000,06157,0000,06350O/P ADULT DAYCARE 28399,A81000A,00100,0100,Y 28399,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28399,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28399,A81000B,00300,0300,MSU DEVELOPMENT COST 28399,A81000B,00400,0300,SYMPHONY REHAB 28399,A81000B,00500,0300,SYMPHONY REHAB 28399,A81000B,00600,0300,SYMPHONY REHAB 28399,A81000B,00700,0300,SYMPHONY REHAB 28399,A81000B,00800,0300,SYMPHONY MOBILEX 28399,A81000B,00900,0300,LTC MEDICAL LAB 28399,A81000B,01000,0300,REHAB ALLOCATION 28399,A81000B,01100,0300,REHAB ALLCOATION 28399,A81000B,01200,0300,REHAB ALLOCATION 28399,A81000B,01300,0300,CLINICAL ALLOCATION 28399,A81000C,00100,0100,B 28399,A81000C,00100,0400,IHS INC. 28399,A81000C,00100,0600,NURSING HOMES 28399,A81000C,00200,0100,G 28399,A81000C,00200,0400,SYMPHONY REHAB 28399,A81000C,00200,0600,REHAB SERVICES 28399,A81000C,00300,0100,G 28399,A81000C,00300,0400,LTC MED LAB 28399,A81000C,00300,0600,LABORATORY 28399,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28399,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28399,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28399,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28399,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28399,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28399,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28399,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28399,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28399,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28399,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28399,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28399,S000000,00100,0200,06/01/2000 28399,S200000,00100,0100,301 W. RANDOL MILL ROAD 28399,S200000,00200,0100,ARLINGTON 28399,S200000,00200,0200,TX 28399,S200000,00200,0300,76011- 28399,S200000,00300,0100,TARRANT 28399,S200000,00300,0200,2800 28399,S200000,00300,0300,U 28399,S200000,00400,0100,OAKWOOD CARE CENTER 28399,S200000,00400,0200,675224 28399,S200000,00400,0300,12/29/1993 28399,S200000,00400,0500,P 28399,S200000,00600,0200,675224 28399,S200000,00600,0300,12/29/1993 28399,S200000,00600,0600,P 28399,S200000,01500,0100,Y 28399,S200000,02200,0100,Y 28406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28406,A000000,00300,0000,00300EMPLOYEE BENEFITS 28406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28406,A000000,00700,0000,00700HOUSEKEEPING 28406,A000000,00800,0000,00800DIETARY 28406,A000000,00900,0000,00900NURSING ADMINISTRATION 28406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28406,A000000,01100,0000,01100PHARMACY 28406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28406,A000000,01300,0000,01300SOCIAL SERVICE 28406,A000000,01350,0000,01500RECREATION ACTIVITIES 28406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28406,A000000,01600,0000,01600SKILLED NURSING FACILITY 28406,A000000,01800,0000,01800NURSING FACILITY 28406,A000000,01810,0000,01810ICF/MR 28406,A000000,02100,0000,02100RADIOLOGY 28406,A000000,02200,0000,02200LABORATORY 28406,A000000,02500,0000,02500PHYSICAL THERAPY 28406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28406,A000000,02700,0000,02700SPEECH PATHOLOGY 28406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28406,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28406,A000000,03051,0000,03301ENTERAL FEEDING 28406,A000000,03550,0000,03550FQHC 28406,A000000,05000,0000,05000CORF 28406,A000000,05010,0000,05010CMHC 28406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28406,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28406,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28406,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28406,A000000,06153,0000,06312DIALYSIS 28406,A000000,06154,0000,06320APARTMENTS 28406,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28406,A000000,06156,0000,06340CLOSED PATIENT AREAS 28406,A000000,06157,0000,06350O/P ADULT DAYCARE 28406,A81000A,00100,0100,Y 28406,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28406,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28406,A81000B,00400,0300,SYMPHONY REHAB 28406,A81000B,00500,0300,SYMPHONY REHAB 28406,A81000B,00600,0300,SYMPHONY REHAB 28406,A81000B,00700,0300,REHAB ALLOCATION 28406,A81000B,00800,0300,REHAB ALLOCATION 28406,A81000B,00900,0300,REHAB ALLOCATION 28406,A81000B,01000,0300,CLINICAL ALLOCATION 28406,A81000B,01100,0300,SYMPHONY MOBILEX 28406,A81000B,01200,0300,LTC LABS 28406,A81000C,00100,0100,B 28406,A81000C,00100,0400,IHS INC. 28406,A81000C,00100,0600,NURSING HOMES 28406,A81000C,00200,0100,G 28406,A81000C,00200,0400,SYMPHONY REHAB 28406,A81000C,00200,0600,REHAB SERVICES 28406,A81000C,00300,0100,G 28406,A81000C,00300,0400,LTC MED LAB 28406,A81000C,00300,0600,LABORATORY 28406,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28406,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28406,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28406,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28406,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28406,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28406,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28406,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28406,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28406,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28406,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28406,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28406,E10A180,00350,0100,01/03/2000 28406,E10A180,00351,0100,09/18/2000 28406,E10A180,00501,0300,12/26/2000 28406,E10A180,00550,0100,12/26/2000 28406,S000000,00100,0200,11/01/2000 28406,S200000,00100,0100,12350 WOOD BAYOU DR 28406,S200000,00200,0100,HOUSTON 28406,S200000,00200,0200,TX 28406,S200000,00200,0300,77013- 28406,S200000,00300,0100,HARRIS 28406,S200000,00300,0200,3360 28406,S200000,00300,0300,U 28406,S200000,00400,0100,IHS-SILVER SPRING 28406,S200000,00400,0200,675249 28406,S200000,00400,0300,12/29/1993 28406,S200000,00400,0500,P 28406,S200000,00600,0200,675249 28406,S200000,00600,0300,12/29/1993 28406,S200000,00600,0600,P 28406,S200000,01600,0100,Y 28406,S200000,02200,0100,Y 28412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28412,A000000,00300,0000,00300EMPLOYEE BENEFITS 28412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28412,A000000,00700,0000,00700HOUSEKEEPING 28412,A000000,00800,0000,00800DIETARY 28412,A000000,00900,0000,00900NURSING ADMINISTRATION 28412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28412,A000000,01100,0000,01100PHARMACY 28412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28412,A000000,01300,0000,01300SOCIAL SERVICE 28412,A000000,01350,0000,01500RECREATION ACTIVITIES 28412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28412,A000000,01600,0000,01600SKILLED NURSING FACILITY 28412,A000000,01800,0000,01800NURSING FACILITY 28412,A000000,01810,0000,01810ICF/MR 28412,A000000,02100,0000,02100RADIOLOGY 28412,A000000,02200,0000,02200LABORATORY 28412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28412,A000000,02500,0000,02500PHYSICAL THERAPY 28412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28412,A000000,02700,0000,02700SPEECH PATHOLOGY 28412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28412,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28412,A000000,03051,0000,03301ENTERAL FEEDING 28412,A000000,03550,0000,03550FQHC 28412,A000000,05000,0000,05000CORF 28412,A000000,05010,0000,05010CMHC 28412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28412,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28412,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28412,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28412,A000000,06153,0000,06312DIALYSIS 28412,A000000,06154,0000,06320APARTMENTS 28412,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28412,A000000,06156,0000,06340CLOSED PATIENT AREAS 28412,A000000,06157,0000,06350O/P ADULT DAYCARE 28412,A81000A,00100,0100,Y 28412,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28412,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28412,A81000B,00400,0300,SYMPHONY REHAB 28412,A81000B,00500,0300,SYMPHONY REHAB 28412,A81000B,00600,0300,SYMPHONY REHAB 28412,A81000B,00700,0300,CLINICAL ALLOCATION 28412,A81000C,00100,0100,B 28412,A81000C,00100,0400,IHS INC. 28412,A81000C,00100,0600,NURSING HOMES 28412,A81000C,00200,0100,G 28412,A81000C,00200,0400,SYMPHONY REHAB 28412,A81000C,00200,0600,REHAB SERVICES 28412,A81000C,00300,0100,G 28412,A81000C,00300,0400,LTC MED LAB 28412,A81000C,00300,0600,LABORATORY 28412,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28412,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28412,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28412,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28412,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28412,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28412,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28412,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28412,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28412,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28412,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28412,E10A180,00301,0100,01/03/2000 28412,E10A180,00302,0100,09/18/2000 28412,E10A180,00501,0100,12/26/2000 28412,E10A180,00501,0300,12/26/2000 28412,S000000,00100,0200,11/01/2000 28412,S200000,00100,0100,901 SEVEN OAKS ROAD 28412,S200000,00200,0100,BONHAM 28412,S200000,00200,0200,TX 28412,S200000,00200,0300,75418- 28412,S200000,00300,0100,FANNIN 28412,S200000,00300,0200,67 28412,S200000,00300,0300,R 28412,S200000,00400,0100,IHS-BONHAM 28412,S200000,00400,0200,675271 28412,S200000,00400,0300,03/04/1994 28412,S200000,00400,0500,P 28412,S200000,00600,0200,675271 28412,S200000,00600,0300,03/04/1994 28412,S200000,00600,0600,P 28412,S200000,01600,0100,Y 28412,S200000,02200,0100,Y 28418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28418,A000000,00300,0000,00300EMPLOYEE BENEFITS 28418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28418,A000000,00700,0000,00700HOUSEKEEPING 28418,A000000,00800,0000,00800DIETARY 28418,A000000,00900,0000,00900NURSING ADMINISTRATION 28418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28418,A000000,01100,0000,01100PHARMACY 28418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28418,A000000,01300,0000,01300SOCIAL SERVICE 28418,A000000,01350,0000,01500RECREATION ACTIVITIES 28418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28418,A000000,01600,0000,01600SKILLED NURSING FACILITY 28418,A000000,01800,0000,01800NURSING FACILITY 28418,A000000,01810,0000,01810ICF/MR 28418,A000000,02100,0000,02100RADIOLOGY 28418,A000000,02200,0000,02200LABORATORY 28418,A000000,02500,0000,02500PHYSICAL THERAPY 28418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28418,A000000,02700,0000,02700SPEECH PATHOLOGY 28418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28418,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28418,A000000,03051,0000,03301ENTERAL FEEDING 28418,A000000,03550,0000,03550FQHC 28418,A000000,05000,0000,05000CORF 28418,A000000,05010,0000,05010CMHC 28418,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28418,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28418,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28418,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28418,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28418,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28418,A000000,06153,0000,06312DIALYSIS 28418,A000000,06154,0000,06320APARTMENTS 28418,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28418,A000000,06156,0000,06340CLOSED PATIENT AREAS 28418,A000000,06157,0000,06350O/P ADULT DAYCARE 28418,A81000A,00100,0100,Y 28418,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28418,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28418,A81000B,00700,0300,SYMPHONY MOBILEX 28418,A81000B,00800,0300,LTC MEDICAL LAB 28418,A81000B,00900,0300,CLINICAL ALLOCATION 28418,A81000B,01000,0300,REHAB ALLOCATION 28418,A81000B,01100,0300,REHAB ALLOCATION 28418,A81000B,01200,0300,REHAB ALLOCATION 28418,A81000C,00100,0100,B 28418,A81000C,00100,0400,IHS INC. 28418,A81000C,00100,0600,NURSING HOMES 28418,A81000C,00200,0100,G 28418,A81000C,00200,0400,SYMPHONY REHAB 28418,A81000C,00200,0600,REHAB SERVICES 28418,A81000C,00300,0100,G 28418,A81000C,00300,0400,LTC MED LAB 28418,A81000C,00300,0600,LABORATORY SERV 28418,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28418,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28418,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28418,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28418,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28418,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28418,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28418,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28418,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28418,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28418,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28418,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28418,E10A180,00301,0100,01/03/2000 28418,E10A180,00302,0100,09/18/2000 28418,E10A180,00501,0300,10/30/2000 28418,E10A180,00502,0100,12/06/2001 28418,E10A180,00550,0100,10/30/2000 28418,E10A180,00551,0100,12/26/2000 28418,E10A180,00551,0300,12/26/2000 28418,S000000,00100,0200,11/01/2000 28418,S200000,00100,0100,206 WEST AVENUE P 28418,S200000,00200,0100,DEERPARK 28418,S200000,00200,0200,TX 28418,S200000,00200,0300,77536- 28418,S200000,00300,0100,HARRIS 28418,S200000,00300,0200,3360 28418,S200000,00300,0300,U 28418,S200000,00400,0100,IHS-SAN JACINTO 28418,S200000,00400,0200,675392 28418,S200000,00400,0300,09/20/1994 28418,S200000,00400,0500,P 28418,S200000,00600,0200,675392 28418,S200000,00600,0300,09/20/1994 28418,S200000,00600,0600,P 28418,S200000,01600,0100,Y 28418,S200000,02200,0100,Y 28424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28424,A000000,00300,0000,00300EMPLOYEE BENEFITS 28424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28424,A000000,00700,0000,00700HOUSEKEEPING 28424,A000000,00800,0000,00800DIETARY 28424,A000000,00900,0000,00900NURSING ADMINISTRATION 28424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28424,A000000,01100,0000,01100PHARMACY 28424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28424,A000000,01300,0000,01300SOCIAL SERVICE 28424,A000000,01350,0000,01500RECREATION ACTIVITIES 28424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28424,A000000,01600,0000,01600SKILLED NURSING FACILITY 28424,A000000,01800,0000,01800NURSING FACILITY 28424,A000000,01810,0000,01810ICF/MR 28424,A000000,02100,0000,02100RADIOLOGY 28424,A000000,02200,0000,02200LABORATORY 28424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28424,A000000,02500,0000,02500PHYSICAL THERAPY 28424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28424,A000000,02700,0000,02700SPEECH PATHOLOGY 28424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28424,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28424,A000000,03051,0000,03301ENTERAL FEEDING 28424,A000000,03550,0000,03550FQHC 28424,A000000,05000,0000,05000CORF 28424,A000000,05010,0000,05010CMHC 28424,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28424,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28424,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28424,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28424,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28424,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28424,A000000,06153,0000,06312DIALYSIS 28424,A000000,06154,0000,06320APARTMENTS 28424,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28424,A000000,06156,0000,06340CLOSED PATIENT AREAS 28424,A000000,06157,0000,06350O/P ADULT DAYCARE 28424,A81000A,00100,0100,Y 28424,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28424,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28424,A81000B,00700,0300,CLINICAL ALLOCATION 28424,A81000B,00800,0300,SYMPHONY RESPIRATORY 28424,A81000B,00900,0300,SYMPHONY MOBILEX 28424,A81000B,01000,0300,LTC MEDICAL LAB 28424,A81000B,01100,0300,REHAB ALLOCATION 28424,A81000B,01200,0300,REHAB ALLOCATION 28424,A81000B,01300,0300,REHAB ALLOCATION 28424,A81000C,00100,0100,B 28424,A81000C,00100,0400,IHS INC. 28424,A81000C,00100,0600,NURSING HOMES 28424,A81000C,00200,0100,G 28424,A81000C,00200,0400,SYMPHONY 28424,A81000C,00200,0600,REHAB SERVICES 28424,A81000C,00300,0100,G 28424,A81000C,00300,0400,LTC MED LABS 28424,A81000C,00300,0600,LABORATORY 28424,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28424,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28424,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28424,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28424,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28424,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28424,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28424,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28424,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28424,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28424,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28424,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28424,E10A180,00301,0100,01/01/2000 28424,E10A180,00302,0100,09/18/2000 28424,E10A180,00501,0100,10/30/2000 28424,E10A180,00501,0300,12/06/2001 28424,E10A180,00550,0100,12/26/2000 28424,E10A180,00550,0300,10/30/2000 28424,S000000,00100,0200,11/01/2000 28424,S200000,00100,0100,9009 FOREST LANE 28424,S200000,00200,0100,DALLAS 28424,S200000,00200,0200,TX 28424,S200000,00200,0300,75243- 28424,S200000,00300,0100,DALLAS 28424,S200000,00300,0200,1920 28424,S200000,00300,0300,U 28424,S200000,00400,0100,IHS-FOREST LANE 28424,S200000,00400,0200,675447 28424,S200000,00400,0300,01/01/1995 28424,S200000,00400,0500,P 28424,S200000,00600,0200,675447 28424,S200000,00600,0300,01/01/1995 28424,S200000,00600,0600,P 28424,S200000,01600,0100,Y 28424,S200000,02200,0100,Y 28434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28434,A000000,00300,0000,00300EMPLOYEE BENEFITS 28434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28434,A000000,00700,0000,00700HOUSEKEEPING 28434,A000000,00800,0000,00800DIETARY 28434,A000000,00900,0000,00900NURSING ADMINISTRATION 28434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28434,A000000,01100,0000,01100PHARMACY 28434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28434,A000000,01300,0000,01300SOCIAL SERVICE 28434,A000000,01350,0000,01500RECREATION ACTIVITIES 28434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28434,A000000,01600,0000,01600SKILLED NURSING FACILITY 28434,A000000,01800,0000,01800NURSING FACILITY 28434,A000000,01810,0000,01810ICF/MR 28434,A000000,02100,0000,02100RADIOLOGY 28434,A000000,02200,0000,02200LABORATORY 28434,A000000,02500,0000,02500PHYSICAL THERAPY 28434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28434,A000000,02700,0000,02700SPEECH PATHOLOGY 28434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28434,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28434,A000000,03051,0000,03301ENTERAL FEEDING 28434,A000000,03550,0000,03550FQHC 28434,A000000,05000,0000,05000CORF 28434,A000000,05010,0000,05010CMHC 28434,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28434,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28434,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28434,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28434,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28434,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28434,A000000,06153,0000,06312DIALYSIS 28434,A000000,06154,0000,06320APARTMENTS 28434,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28434,A000000,06156,0000,06340CLOSED PATIENT AREAS 28434,A000000,06157,0000,06350O/P ADULT DAYCARE 28434,A81000A,00100,0100,Y 28434,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28434,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28434,A81000B,00400,0300,SYMPHONY REHAB 28434,A81000B,00500,0300,SYMPHONY REHAB 28434,A81000B,00600,0300,SYMPHONY REHAB 28434,A81000B,00700,0300,CLINICAL ALLOCATION 28434,A81000B,00800,0300,SYMPOMOBILE 28434,A81000B,00900,0300,REHAB ALLOCATION 28434,A81000B,01000,0300,REHAB ALLOCATION 28434,A81000B,01100,0300,REHAB ALLOCATION 28434,A81000C,00100,0100,B 28434,A81000C,00100,0400,IHS INC. 28434,A81000C,00100,0600,NURSING HOMES 28434,A81000C,00200,0100,G 28434,A81000C,00200,0400,SYMPHONY REHAB 28434,A81000C,00200,0600,REHAB SERVICES 28434,A81000C,00300,0100,G 28434,A81000C,00300,0400,LTC MED LAB 28434,A81000C,00300,0600,LABORATORY 28434,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28434,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28434,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28434,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28434,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28434,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28434,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28434,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28434,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28434,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28434,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28434,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28434,S000000,00100,0200,06/06/2000 28434,S200000,00100,0100,1109 NORTH THIRD 28434,S200000,00200,0100,IOWA PARK 28434,S200000,00200,0200,TX 28434,S200000,00200,0300,76367- 28434,S200000,00300,0100,WICHITA 28434,S200000,00300,0200,9080 28434,S200000,00300,0300,U 28434,S200000,00400,0100,IHS-IOWA PARK 28434,S200000,00400,0200,675483 28434,S200000,00400,0300,04/27/1995 28434,S200000,00400,0500,P 28434,S200000,00600,0200,675483 28434,S200000,00600,0300,04/27/1995 28434,S200000,00600,0600,P 28434,S200000,01600,0100,Y 28434,S200000,02200,0100,Y 28440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28440,A000000,00300,0000,00300EMPLOYEE BENEFITS 28440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28440,A000000,00700,0000,00700HOUSEKEEPING 28440,A000000,00800,0000,00800DIETARY 28440,A000000,00900,0000,00900NURSING ADMINISTRATION 28440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28440,A000000,01100,0000,01100PHARMACY 28440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28440,A000000,01300,0000,01300SOCIAL SERVICE 28440,A000000,01350,0000,01500RECREATION ACTIVITIES 28440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28440,A000000,01600,0000,01600SKILLED NURSING FACILITY 28440,A000000,01800,0000,01800NURSING FACILITY 28440,A000000,01810,0000,01810ICF/MR 28440,A000000,02100,0000,02100RADIOLOGY 28440,A000000,02200,0000,02200LABORATORY 28440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28440,A000000,02500,0000,02500PHYSICAL THERAPY 28440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28440,A000000,02700,0000,02700SPEECH PATHOLOGY 28440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28440,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28440,A000000,03051,0000,03301ENTERAL FEEDING 28440,A000000,03550,0000,03550FQHC 28440,A000000,05000,0000,05000CORF 28440,A000000,05010,0000,05010CMHC 28440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28440,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28440,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28440,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28440,A000000,06153,0000,06312DIALYSIS 28440,A000000,06154,0000,06320APARTMENTS 28440,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28440,A000000,06156,0000,06340CLOSED PATIENT AREAS 28440,A000000,06157,0000,06350O/P ADULT DAYCARE 28440,A81000A,00100,0100,Y 28440,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28440,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28440,A81000B,00700,0300,REHAB ALLOCATION 28440,A81000B,00800,0300,REHAB ALLOCATION 28440,A81000B,00900,0300,REHAB ALLOCATION 28440,A81000B,01000,0300,CINICAL ALLOCATION 28440,A81000C,00100,0100,B 28440,A81000C,00100,0400,IHS INC. 28440,A81000C,00100,0600,NURSING HOMES 28440,A81000C,00200,0100,G 28440,A81000C,00200,0400,SYMPHONY REHAB 28440,A81000C,00200,0600,REHAB SERVICES 28440,A81000C,00300,0100,G 28440,A81000C,00300,0400,LTC MED LAB 28440,A81000C,00300,0600,LABORATORY 28440,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28440,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28440,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28440,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28440,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28440,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28440,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28440,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28440,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28440,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28440,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28440,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28440,E10A180,00301,0100,09/18/2000 28440,E10A180,00350,0100,01/03/2000 28440,E10A180,00501,0100,12/06/2001 28440,E10A180,00501,0300,10/30/2000 28440,E10A180,00550,0100,10/30/2000 28440,E10A180,00551,0100,12/26/2000 28440,E10A180,00551,0300,12/26/2000 28440,S000000,00100,0200,11/01/2000 28440,S200000,00100,0100,15 HOSPITAL DRIVE 28440,S200000,00200,0100,CANYON 28440,S200000,00200,0200,TX 28440,S200000,00200,0300,79015- 28440,S200000,00300,0100,RANDALL 28440,S200000,00300,0200,0320 28440,S200000,00300,0300,U 28440,S200000,00400,0100,IHS-CANYON 28440,S200000,00400,0200,675498 28440,S200000,00400,0300,06/01/1995 28440,S200000,00400,0500,P 28440,S200000,00600,0200,675498 28440,S200000,00600,0300,06/01/1995 28440,S200000,00600,0600,P 28440,S200000,01600,0100,Y 28440,S200000,02200,0100,Y 28447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28447,A000000,00300,0000,00300EMPLOYEE BENEFITS 28447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28447,A000000,00700,0000,00700HOUSEKEEPING 28447,A000000,00800,0000,00800DIETARY 28447,A000000,00900,0000,00900NURSING ADMINISTRATION 28447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28447,A000000,01100,0000,01100PHARMACY 28447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28447,A000000,01300,0000,01300SOCIAL SERVICE 28447,A000000,01350,0000,01500RECREATION ACTIVITIES 28447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28447,A000000,01600,0000,01600SKILLED NURSING FACILITY 28447,A000000,01800,0000,01800NURSING FACILITY 28447,A000000,01810,0000,01810ICF/MR 28447,A000000,02100,0000,02100RADIOLOGY 28447,A000000,02200,0000,02200LABORATORY 28447,A000000,02500,0000,02500PHYSICAL THERAPY 28447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28447,A000000,02700,0000,02700SPEECH PATHOLOGY 28447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28447,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28447,A000000,03051,0000,03301ENTERAL FEEDING 28447,A000000,03550,0000,03550FQHC 28447,A000000,05000,0000,05000CORF 28447,A000000,05010,0000,05010CMHC 28447,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28447,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28447,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28447,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28447,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28447,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28447,A000000,06153,0000,06312DIALYSIS 28447,A000000,06154,0000,06320APARTMENTS 28447,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28447,A000000,06156,0000,06340CLOSED PATIENT AREAS 28447,A000000,06157,0000,06350O/P ADULT DAYCARE 28447,A81000A,00100,0100,Y 28447,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28447,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28447,A81000B,00600,0300,SYMPHONY REHAB 28447,A81000B,00700,0300,REHAB ALLOCATION 28447,A81000B,00800,0300,REHAB ALLOCATION 28447,A81000B,00900,0300,REHAB ALLOCATION 28447,A81000B,01000,0300,CLINICAL ALLOCATION 28447,A81000C,00100,0100,B 28447,A81000C,00100,0400,IHS INC. 28447,A81000C,00100,0600,NURSING HOMES 28447,A81000C,00200,0100,G 28447,A81000C,00200,0400,SYMPHONY REHAB 28447,A81000C,00200,0600,REHAB SERVICES 28447,A81000C,00300,0100,G 28447,A81000C,00300,0400,LTC MED LAB 28447,A81000C,00300,0600,LABORATORY 28447,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28447,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28447,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28447,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28447,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28447,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28447,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28447,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28447,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28447,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28447,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28447,E10A180,00301,0100,01/03/2000 28447,E10A180,00350,0100,09/18/2000 28447,E10A180,00501,0100,12/28/2000 28447,E10A180,00502,0300,11/08/2001 28447,E10A180,00550,0300,12/28/2000 28447,E10A180,00551,0100,11/08/2001 28447,S000000,00100,0200,11/01/2000 28447,S200000,00100,0100,901 WEST COLLEGE STREET 28447,S200000,00200,0100,CANTON 28447,S200000,00200,0200,TX 28447,S200000,00200,0300,75103- 28447,S200000,00300,0100,VAN ZANDT 28447,S200000,00300,0200,67 28447,S200000,00300,0300,R 28447,S200000,00400,0100,IHS-CANTON 28447,S200000,00400,0200,675623 28447,S200000,00400,0300,09/11/1996 28447,S200000,00400,0500,P 28447,S200000,00600,0200,675623 28447,S200000,00600,0300,09/11/1996 28447,S200000,00600,0600,P 28447,S200000,01600,0100,Y 28447,S200000,02200,0100,Y 28453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 28453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 28453,A000000,00300,0000,00300EMPLOYEE BENEFITS 28453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 28453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 28453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 28453,A000000,00700,0000,00700HOUSEKEEPING 28453,A000000,00800,0000,00800DIETARY 28453,A000000,00900,0000,00900NURSING ADMINISTRATION 28453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 28453,A000000,01100,0000,01100PHARMACY 28453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 28453,A000000,01300,0000,01300SOCIAL SERVICE 28453,A000000,01350,0000,01500RECREATION ACTIVITIES 28453,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 28453,A000000,01600,0000,01600SKILLED NURSING FACILITY 28453,A000000,01800,0000,01800NURSING FACILITY 28453,A000000,01810,0000,01810ICF/MR 28453,A000000,02100,0000,02100RADIOLOGY 28453,A000000,02200,0000,02200LABORATORY 28453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 28453,A000000,02500,0000,02500PHYSICAL THERAPY 28453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 28453,A000000,02700,0000,02700SPEECH PATHOLOGY 28453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 28453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 28453,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 28453,A000000,03051,0000,03301ENTERAL FEEDING 28453,A000000,03550,0000,03550FQHC 28453,A000000,05000,0000,05000CORF 28453,A000000,05010,0000,05010CMHC 28453,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 28453,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 28453,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 28453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 28453,A000000,06150,0000,06300ENTERSTOMAL THERAPY 28453,A000000,06151,0000,06310ENTERAL FEE SCHEDULE 28453,A000000,06152,0000,06311HYPERBARIC OXYGEN THERAPY 28453,A000000,06153,0000,06312DIALYSIS 28453,A000000,06154,0000,06320APARTMENTS 28453,A000000,06155,0000,06330O/P RESPIRATORY THERAPY 28453,A000000,06156,0000,06340CLOSED PATIENT AREAS 28453,A000000,06157,0000,06350O/P ADULT DAYCARE 28453,A81000A,00100,0100,Y 28453,A81000B,00100,0300,HOME OFFICE CAPITAL COST 28453,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 28453,A81000B,00400,0300,SYMPHONY REHAB 28453,A81000B,00500,0300,SYMPHONY REHAB 28453,A81000B,00600,0300,SYMPHONY REHAB 28453,A81000B,00700,0300,SYMPHY PRESSER 28453,A81000B,00800,0300,SYMPHONY MOBILEX 28453,A81000B,00900,0300,LTC MEDICAL LAB 28453,A81000B,01000,0300,CLINICAL ALLOCATION 28453,A81000B,01100,0300,REHAB ALLOCATION 28453,A81000B,01200,0300,REHAB ALLOCATION 28453,A81000B,01300,0300,REHAB ALLOCATION 28453,A81000C,00100,0100,B 28453,A81000C,00100,0200,IHS INC. 28453,A81000C,00100,0400,IHS INC. 28453,A81000C,00100,0600,NURSING HOMES 28453,A81000C,00200,0100,G 28453,A81000C,00200,0400,SYMPHONY REHAB 28453,A81000C,00200,0600,REHAB SERVICES 28453,A81000C,00300,0100,G 28453,A81000C,00300,0400,LTC MED LAB 28453,A81000C,00300,0600,LABORATORY SERV 28453,B100000,00000,0100,00050(SQUARE FEET) :CAP REL COSTS - BLD 28453,B100000,00000,0300,00050(GROSS SALARIES) :EMPLOYEE BENEFIT 28453,B100000,00000,0400,00050 ACCUM. COST :ADMINISTRATIVE & GENE 28453,B100000,00000,0500,00050(SQUARE FEET) :PLANT OPERATION MA 28453,B100000,00000,0650,00050(PATIENT DAYS) :LAUNDRY & LINEN SE 28453,B100000,00000,0750,00050(SQUARE FEET) :HOUSEKEEPING 28453,B100000,00000,0850,00050(PATIENT DAYS) :DIETARY 28453,B100000,00000,0950,00050(NURSING SALARIES) :NURSING ADMINI 28453,B100000,00000,1000,00050(COSTED REQUIS) :CENTRAL SERVICES 28453,B100000,00000,1250,00050(PATIENT DAYS) :MEDICAL RECORDS & 28453,B100000,00000,1330,00050(PATIENT DAYS) :SOCIAL SERVICE 28453,B100000,00000,1350,00050(PATIENT DAYS) :RECREATION ACTIVIT 28453,E10A180,00301,0100,01/03/2000 28453,E10A180,00350,0100,09/18/2000 28453,E10A180,00501,0100,12/26/2000 28453,E10A180,00501,0300,10/30/2000 28453,E10A180,00502,0100,12/06/2001 28453,E10A180,00550,0100,10/30/2000 28453,E10A180,00550,0300,12/26/2000 28453,S000000,00100,0200,11/01/2000 28453,S200000,00100,0100,6534 STEUBNER-AIRLINE ROAD 28453,S200000,00200,0100,HOUSTON 28453,S200000,00200,0200,TX 28453,S200000,00200,0300,77091- 28453,S200000,00300,0100,HARRIS 28453,S200000,00300,0200,3360 28453,S200000,00300,0300,U 28453,S200000,00400,0100,IHS-WINTERHAVEN 28453,S200000,00400,0200,675686 28453,S200000,00400,0300,06/11/1997 28453,S200000,00400,0500,P 28453,S200000,00600,0200,675686 28453,S200000,00600,0300,06/11/1997 28453,S200000,00600,0600,P 28453,S200000,01600,0100,Y 28453,S200000,02200,0100,Y 29286,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29286,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29286,A000000,00300,0000,00300EMPLOYEE BENEFITS 29286,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29286,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29286,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29286,A000000,00700,0000,00700HOUSEKEEPING 29286,A000000,00800,0000,00800DIETARY 29286,A000000,00900,0000,00900NURSING ADMINISTRATION 29286,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29286,A000000,01100,0000,01100PHARMACY 29286,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29286,A000000,01300,0000,01300SOCIAL SERVICE 29286,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29286,A000000,01600,0000,01600SKILLED NURSING FACILITY 29286,A000000,01800,0000,01800NURSING FACILITY 29286,A000000,01810,0000,01810ICF/MR 29286,A000000,02300,0000,02300INTRAVENOUS THERAPY 29286,A000000,02500,0000,02500PHYSICAL THERAPY 29286,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29286,A000000,02700,0000,02700SPEECH PATHOLOGY 29286,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29286,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29286,A000000,03050,0000,03300BGMT/ENTERALS 29286,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29286,A000000,05000,0000,05000CORF 29286,A000000,05010,0000,05010CMHC 29286,A000000,05020,0000,05020OPT 29286,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29286,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29286,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29286,A81000A,00100,0100,Y 29286,A81000B,00100,0300,H/O CAPITAL COSTS 29286,A81000B,00200,0300,MANAGEMENT FEES 29286,A81000C,00100,0100,F 29286,A81000C,00100,0200,JOHN L BLACK JR 29286,A81000C,00100,0400,HCM INC. 29286,A81000C,00100,0600,MANAGEMENT CO 29286,A81000C,00200,0100,F 29286,A81000C,00200,0200,BOBBY ARNOLD 29286,A81000C,00200,0400,HCM INC. 29286,A81000C,00200,0600,MANAGEMENT CO. 29286,A81000C,00300,0100,F 29286,A81000C,00300,0200,MARK WALDROP 29286,A81000C,00300,0400,HCM INC. 29286,A81000C,00300,0600,MANAGEMENT CO. 29286,B100000,00000,0100,00000(SQUARE FEET) 29286,B100000,00000,0200,00000(SQUARE FEET) 29286,B100000,00000,0300,00000(GROSS SALARIES) 29286,B100000,00000,0400,00000(ACCUM COST) 29286,B100000,00000,0500,00000(SQUARE FEET) 29286,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29286,B100000,00000,0700,00000(HOURS OF SERVICE) 29286,B100000,00000,0800,00000(MEALS SERVED) 29286,B100000,00000,0900,00000(DIR NRSG HOURS) 29286,B100000,00000,1000,00000(COSTED REQUIS) 29286,B100000,00000,1100,00000(COSTED REQUIS) 29286,B100000,00000,1200,00000(TIME SPENT) 29286,B100000,00000,1300,00000(TIME SPENT) 29286,B100000,00000,1400,00000(ASSIGNED TIME) 29286,S000000,00100,0200,05/30/2000 29286,S200000,00100,0100,100 9TH STREET 29286,S200000,00200,0100,MENA 29286,S200000,00200,0200,ARKANSAS 29286,S200000,00300,0100,POLK 29286,S200000,00400,0100,MENA MANOR 29286,S200000,00400,0200,045229 29286,S200000,00400,0300,04/01/1994 29286,S200000,00400,0500,P 29286,S200000,01600,0100,Y 29286,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29289,A000000,00300,0000,00300EMPLOYEE BENEFITS 29289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29289,A000000,00700,0000,00700HOUSEKEEPING 29289,A000000,00800,0000,00800DIETARY 29289,A000000,00900,0000,00900NURSING ADMINISTRATION 29289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29289,A000000,01100,0000,01100PHARMACY 29289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29289,A000000,01300,0000,01300SOCIAL SERVICE 29289,A000000,01600,0000,01600SKILLED NURSING FACILITY 29289,A000000,01800,0000,01800NURSING FACILITY 29289,A000000,02100,0000,02100RADIOLOGY 29289,A000000,02200,0000,02200LABORATORY 29289,A000000,02300,0000,02300INTRAVENOUS THERAPY 29289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29289,A000000,02500,0000,02500PHYSICAL THERAPY 29289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29289,A000000,02700,0000,02700SPEECH PATHOLOGY 29289,A000000,02800,0000,02800ELECTROCARDIOLOGY 29289,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 29289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29289,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 29289,A000000,03200,0000,03200SUPPORT SURFACES 29289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 29289,A000000,04800,0000,04800AMBULANCE 29289,A000000,05000,0000,05000CORF 29289,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 29289,A000000,05300,0000,05300INTEREST EXPENSE 29289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29289,A000000,05500,0000,05500HOSPICE 29289,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29289,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 29289,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 29289,A000000,06200,0000,06200PATIENTS LAUNDRY 29289,A81000A,00100,0100,Y 29289,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 29289,B100000,00000,0100,00000SQUARE FEET 29289,B100000,00000,0200,00000SQUARE FEET 29289,B100000,00000,0300,00000GROSS SALARIES 29289,B100000,00000,0400,00000ACCUM COST 29289,B100000,00000,0500,00000SQUARE FEET 29289,B100000,00000,0600,00000POUNDS OF LAUNDRY 29289,B100000,00000,0700,00000HOURS OF SERVICE 29289,B100000,00000,0800,00000MEALS SERVED 29289,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29289,B100000,00000,1000,00000COSTED REQUISITIO 29289,B100000,00000,1100,00000COSTED REQUISITIO 29289,B100000,00000,1200,00000TIME SPENT 29289,B100000,00000,1300,00000TIME SPENT 29289,S000000,00100,0200,05/31/2000 29289,S200000,00100,0100,3310 NORTH 50TH 29289,S200000,00200,0100,FORT SMITH 29289,S200000,00200,0200,AR 29289,S200000,00200,0300,72904 29289,S200000,00300,0100,SEBASTIAN 29289,S200000,00400,0100,FORT SMITH HEALTH & REHAB CENTER 29289,S200000,00400,0200,045267 29289,S200000,00400,0300,01/01/1995 29289,S200000,00400,0500,P 29289,S200000,01600,0100,Y 29301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29301,A000000,00300,0000,00300EMPLOYEE BENEFITS 29301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29301,A000000,00700,0000,00700HOUSEKEEPING 29301,A000000,00800,0000,00800DIETARY 29301,A000000,00900,0000,00900NURSING ADMINISTRATION 29301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29301,A000000,01100,0000,01100PHARMACY 29301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29301,A000000,01300,0000,01300SOCIAL SERVICE 29301,A000000,01350,0000,01500OTHER GENERAL SERVICES 29301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29301,A000000,01600,0000,01600SKILLED NURSING FACILITY 29301,A000000,01800,0000,01800NURSING FACILITY 29301,A000000,02100,0000,02100RADIOLOGY 29301,A000000,02200,0000,02200LABORATORY 29301,A000000,02500,0000,02500PHYSICAL THERAPY 29301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29301,A000000,02700,0000,02700SPEECH PATHOLOGY 29301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29301,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29301,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 29301,A000000,03550,0000,03550FQHC 29301,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29301,A000000,05000,0000,05000CORF 29301,A000000,05010,0000,05010CMHC 29301,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29301,A000000,05300,0000,05300INTEREST EXPENSE 29301,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29301,A81000A,00100,0100,Y 29301,A81000B,00100,0300,HOME OFFICE COSTS 29301,A81000B,00200,0300,INTEREST EXPENSE 29301,A81000C,00100,0100,A 29301,A81000C,00100,0200,ALLEN KILGORE 29301,A81000C,00100,0400,CENTRAL HEALTH CORP 29301,A81000C,00100,0600,MANAGEMENT COMPANY 29301,A81000C,00200,0100,A 29301,A81000C,00200,0200,JOAN BRANDT 29301,A81000C,00200,0400,CENTRAL HEALTH CORP 29301,A81000C,00200,0600,MANAGEMENT COMPANY 29301,B100000,00000,0100,00000SQUARE FEET 29301,B100000,00000,0200,00000SQUARE FEET 29301,B100000,00000,0300,00000GROSS SALARIES 29301,B100000,00000,0400,00000ACCUM. COST 29301,B100000,00000,0500,00000SQUARE FEET 29301,B100000,00000,0600,00000POUNDS OF LAUNDRY 29301,B100000,00000,0700,00000SQUARE FEET C 29301,B100000,00000,0800,00000MEALS SERVED 29301,B100000,00000,0900,00000SALARIES SUPERVISED 29301,B100000,00000,1000,00000COSTED REQUIS. 29301,B100000,00000,1100,00000COSTED REQUIS. 29301,B100000,00000,1200,00000TOTAL CHARGES 29301,B100000,00000,1300,00000TOTAL CHARGES 29301,B100000,00000,1350,00000NO STATISTICS 29301,B100000,00000,1400,00000ASSIGNED TIME 29301,S000000,00100,0200,09/19/2000 29301,S200000,00100,0100,2010 EAST MAIN STREET 29301,S200000,00200,0100,VAN BUREN 29301,S200000,00200,0200,AR 29301,S200000,00200,0300,72956 29301,S200000,00300,0100,CRAWFORD 29301,S200000,00400,0100,CRAWFORD HEALTHCARE AND REHAB 29301,S200000,00400,0200,045326 29301,S200000,00400,0300,07/01/1997 29301,S200000,00400,0500,P 29301,S200000,01600,0100,Y 29310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29310,A000000,00300,0000,00300EMPLOYEE BENEFITS 29310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29310,A000000,00700,0000,00700HOUSEKEEPING 29310,A000000,00800,0000,00800DIETARY 29310,A000000,00900,0000,00900NURSING ADMINISTRATION 29310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29310,A000000,01100,0000,01100PHARMACY 29310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29310,A000000,01300,0000,01300SOCIAL SERVICE 29310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29310,A000000,01600,0000,01600SKILLED NURSING FACILITY 29310,A000000,01800,0000,01800NURSING FACILITY 29310,A000000,01810,0000,01810ICF/MR 29310,A000000,02100,0000,02100RADIOLOGY 29310,A000000,02300,0000,02300INTRAVENOUS THERAPY 29310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29310,A000000,02500,0000,02500PHYSICAL THERAPY 29310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29310,A000000,02700,0000,02700SPEECH PATHOLOGY 29310,A000000,02800,0000,02800ELECTROCARDIOLOGY 29310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29310,A000000,03050,0000,03300BGMT/ENTERALS 29310,A000000,03250,0000,03250EQUIPMENT RENTAL 29310,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29310,A000000,05000,0000,05000CORF 29310,A000000,05010,0000,05010CMHC 29310,A000000,05020,0000,05020OPT 29310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29310,A81000A,00100,0100,Y 29310,A81000B,00100,0300,H/O CAPITAL COSTS 29310,A81000B,00200,0300,MANAGEMENT FEES 29310,A81000C,00100,0100,F 29310,A81000C,00100,0200,JOHN L BLACK JR 29310,A81000C,00100,0400,HCM INC. 29310,A81000C,00100,0600,MANAGEMENT CO. 29310,A81000C,00200,0100,F 29310,A81000C,00200,0200,BOBBY ARNOLD 29310,A81000C,00200,0400,HCM INC. 29310,A81000C,00200,0600,MANAGEMENT CO. 29310,A81000C,00300,0100,F 29310,A81000C,00300,0200,MARK WALDROP 29310,A81000C,00300,0400,HCM INC. 29310,A81000C,00300,0600,MANAGEMENT CO. 29310,B100000,00000,0100,00000(SQUARE FEET) 29310,B100000,00000,0200,00000(SQUARE FEET) 29310,B100000,00000,0300,00000(GROSS SALARIES) 29310,B100000,00000,0400,00000(ACCUM COST) 29310,B100000,00000,0500,00000(SQUARE FEET) 29310,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29310,B100000,00000,0700,00000(HOURS OF SERVICE) 29310,B100000,00000,0800,00000(MEALS SERVED) 29310,B100000,00000,0900,00000(DIR NRSG HOURS) 29310,B100000,00000,1000,00000(COSTED REQUIS) 29310,B100000,00000,1100,00000(COSTED REQUIS) 29310,B100000,00000,1200,00000(TIME SPENT) 29310,B100000,00000,1300,00000(TIME SPENT) 29310,B100000,00000,1400,00000(ASSIGNED TIME) 29310,S000000,00100,0200,08/30/2000 29310,S200000,00100,0100,2121 MESA DRIVE 29310,S200000,00200,0100,BOULDER 29310,S200000,00200,0200,COLORADO 29310,S200000,00200,0300,80304 29310,S200000,00300,0100,BOULDER 29310,S200000,00400,0100,TERRACE HEIGHTS CARE CENTER 29310,S200000,00400,0200,065052 29310,S200000,00400,0300,04/01/1993 29310,S200000,00400,0500,P 29310,S200000,01600,0100,Y 29310,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29316,A000000,00300,0000,00300EMPLOYEE BENEFITS 29316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29316,A000000,00700,0000,00700HOUSEKEEPING 29316,A000000,00800,0000,00800DIETARY 29316,A000000,00900,0000,00900NURSING ADMINISTRATION 29316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29316,A000000,01100,0000,01100PHARMACY 29316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29316,A000000,01300,0000,01300SOCIAL SERVICE 29316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29316,A000000,01600,0000,01600SKILLED NURSING FACILITY 29316,A000000,01800,0000,01800NURSING FACILITY 29316,A000000,01810,0000,01810ICF/MR 29316,A000000,02100,0000,02100RADIOLOGY 29316,A000000,02200,0000,02200LABORATORY 29316,A000000,02300,0000,02300INTRAVENOUS THERAPY 29316,A000000,02500,0000,02500PHYSICAL THERAPY 29316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29316,A000000,02700,0000,02700SPEECH PATHOLOGY 29316,A000000,02800,0000,02800ELECTROCARDIOLOGY 29316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29316,A000000,03050,0000,03300BGMT/ENTERALS 29316,A000000,03250,0000,03250EQUIPMENT RENTAL 29316,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29316,A000000,05000,0000,05000CORF 29316,A000000,05010,0000,05010CMHC 29316,A000000,05020,0000,05020OPT 29316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29316,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29316,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29316,A81000A,00100,0100,Y 29316,A81000B,00100,0300,H/O CAPITAL COST 29316,A81000B,00200,0300,MANAGEMENT FEES 29316,A81000C,00100,0100,F 29316,A81000C,00100,0200,JOHN L BLACK JR 29316,A81000C,00100,0400,HCM INC. 29316,A81000C,00100,0600,MANAGEMENT CO. 29316,A81000C,00200,0100,F 29316,A81000C,00200,0200,BOBBY ARNOLD 29316,A81000C,00200,0400,HCM INC. 29316,A81000C,00200,0600,MANAGEMENT CO. 29316,A81000C,00300,0100,F 29316,A81000C,00300,0200,MARK WALDROP 29316,A81000C,00300,0400,HCM INC. 29316,A81000C,00300,0600,MANAGEMENT CO. 29316,B100000,00000,0100,00000(SQUARE FEET) 29316,B100000,00000,0200,00000(SQUARE FEET) 29316,B100000,00000,0300,00000(GROSS SALARIES) 29316,B100000,00000,0400,00000(ACCUM COST) 29316,B100000,00000,0500,00000(SQUARE FEET) 29316,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29316,B100000,00000,0700,00000(HOURS OF SERVICE) 29316,B100000,00000,0800,00000(MEALS SERVED) 29316,B100000,00000,0900,00000(DIR NRSG HOURS) 29316,B100000,00000,1000,00000(COSTED REQUIS) 29316,B100000,00000,1100,00000(COSTED REQUIS) 29316,B100000,00000,1200,00000(TIME SPENT) 29316,B100000,00000,1300,00000(TIME SPENT) 29316,B100000,00000,1400,00000(ASSIGNED TIME) 29316,S000000,00100,0200,08/30/2000 29316,S200000,00100,0100,3131 SOUTH FEDERAL 29316,S200000,00200,0100,DENVER 29316,S200000,00200,0200,COLORADO 29316,S200000,00200,0300,80236 29316,S200000,00300,0100,DENVER 29316,S200000,00400,0100,AUTUMN HEIGHTS CARE CENTER 29316,S200000,00400,0200,065191 29316,S200000,00400,0300,08/01/1984 29316,S200000,00400,0500,P 29316,S200000,01600,0100,Y 29316,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29362,A000000,00300,0000,00300EMPLOYEE BENEFITS 29362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29362,A000000,00700,0000,00700HOUSEKEEPING 29362,A000000,00800,0000,00800DIETARY 29362,A000000,00900,0000,00900NURSING ADMINISTRATION 29362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29362,A000000,01100,0000,01100PHARMACY 29362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29362,A000000,01300,0000,01300SOCIAL SERVICE 29362,A000000,01350,0000,01500ACTIVITIES 29362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29362,A000000,01600,0000,01600SKILLED NURSING FACILITY 29362,A000000,01800,0000,01800NURSING FACILITY 29362,A000000,01810,0000,01810ICF/MR 29362,A000000,02100,0000,02100RADIOLOGY 29362,A000000,02200,0000,02200LABORATORY 29362,A000000,02300,0000,02300INTRAVENOUS THERAPY 29362,A000000,02500,0000,02500PHYSICAL THERAPY 29362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29362,A000000,02700,0000,02700SPEECH PATHOLOGY 29362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29362,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 29362,A000000,03550,0000,03550FQHC 29362,A000000,05000,0000,05000CORF 29362,A000000,05010,0000,05010CMHC 29362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29362,A000000,05300,0000,05300INTEREST EXPENSE 29362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29362,A81000A,00100,0100,Y 29362,A81000B,00100,0300,MANAGEMENT FEES 29362,A81000B,00200,0300,HOME OFFICE COSTS-WELLINGTON M 29362,A81000B,00300,0300,HOME OFFICE COSTS-WELLINGTON M 29362,A81000B,00400,0300,HOME OFFICE COSTS-WELLINGTON M 29362,A81000B,00500,0300,FINANCIAL MGMT-HEALTH CARE FIN 29362,A81000B,00600,0300,PHYSICAL THERAPY-NW REHAB 29362,A81000B,00700,0300,OCCUP THERAPY-NW REHAB 29362,A81000B,00800,0300,SPEECH THERAPY-NW REHAB 29362,A81000C,00100,0100,A 29362,A81000C,00100,0200,JOHN ROTHERT 29362,A81000C,00100,0400,WELLINGTON MANA 29362,A81000C,00100,0600,MANAGEMENT CO. 29362,A81000C,00200,0100,A 29362,A81000C,00200,0200,TERRY DOOLING 29362,A81000C,00200,0400,HEALTH CARE FIN 29362,A81000C,00200,0600,FINANCIAL MGMT. 29362,A81000C,00300,0100,A 29362,A81000C,00300,0200,DAVID KAMLER 29362,A81000C,00300,0400,HEALTH CARE FIN 29362,A81000C,00300,0600,FINANCIAL MGMT. 29362,A81000C,00400,0100,A 29362,A81000C,00400,0200,WELLINGTON MANA 29362,A81000C,00400,0400,NW REHAB L.L.C 29362,A81000C,00400,0600,THERAPY CO 29362,A81000C,00500,0100,A 29362,A81000C,00500,0200,HEALTH CARE FIN 29362,A81000C,00500,0400,NW REHAB L.L.C 29362,A81000C,00500,0600,THERAPY CO 29362,B100000,00000,0100,00000SQUARE FEET 29362,B100000,00000,0200,00000SQUARE FEET 29362,B100000,00000,0300,00000GROSS SALARIES 29362,B100000,00000,0400,00000ACCUM COST 29362,B100000,00000,0500,00000SQUARE FEET 29362,B100000,00000,0600,00000PATIENT DAYS 29362,B100000,00000,0700,00000SQUARE FEET 29362,B100000,00000,0800,00000MEALS SERVED 29362,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29362,B100000,00000,1000,00000COSTED REQUISITIO 29362,B100000,00000,1100,00000COSTED REQUIS 29362,B100000,00000,1200,00000TIME SPENT 29362,B100000,00000,1300,00000TIME SPENT 29362,B100000,00000,1350,00000PATIENT DAYS 29362,B100000,00000,1400,00000ASSIGNED TIME 29362,S000000,00100,0200,06/01/2000 29362,S200000,00100,0100,1001 SOUTH STATE STREET 29362,S200000,00200,0100,JERSEYVILLE 29362,S200000,00200,0200,IL 29362,S200000,00200,0300,62052 29362,S200000,00300,0100,JERSEY 29362,S200000,00400,0100,JERSEYVILLE NURSING AND REHAB CENTER 29362,S200000,00400,0200,145465 29362,S200000,00400,0300,06/01/1983 29362,S200000,00400,0500,P 29362,S200000,01600,0100,Y 29369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29369,A000000,00300,0000,00300EMPLOYEE BENEFITS 29369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29369,A000000,00700,0000,00700HOUSEKEEPING 29369,A000000,00800,0000,00800DIETARY 29369,A000000,00900,0000,00900NURSING ADMINISTRATION 29369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29369,A000000,01100,0000,01100PHARMACY 29369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29369,A000000,01300,0000,01300SOCIAL SERVICE 29369,A000000,01350,0000,01500ACTIVITIES 29369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29369,A000000,01600,0000,01600SKILLED NURSING FACILITY 29369,A000000,01800,0000,01800NURSING FACILITY 29369,A000000,01810,0000,01810ICF/MR 29369,A000000,02100,0000,02100RADIOLOGY 29369,A000000,02200,0000,02200LABORATORY 29369,A000000,02500,0000,02500PHYSICAL THERAPY 29369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29369,A000000,02700,0000,02700SPEECH PATHOLOGY 29369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29369,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 29369,A000000,03550,0000,03550FQHC 29369,A000000,05000,0000,05000CORF 29369,A000000,05010,0000,05010CMHC 29369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29369,A000000,05300,0000,05300INTEREST EXPENSE 29369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29369,A81000A,00100,0100,Y 29369,A81000B,00100,0300,MANAGEMENT FEES 29369,A81000B,00200,0300,HOME OFFICE COSTS - WELLINGTON 29369,A81000B,00300,0300,HOME OFFICE COSTS - WELLINGTON 29369,A81000B,00400,0300,FINANCIAL MGMT - HEALTH CARE F 29369,A81000B,00500,0300,PHYSICAL THERAPY-NW REHAB 29369,A81000B,00600,0300,OCCUP THERAPY-NW REHAB 29369,A81000B,00700,0300,SPEECH THERAPY-NW REHAB 29369,A81000C,00100,0100,A 29369,A81000C,00100,0200,JOHN ROTHERT 29369,A81000C,00100,0400,WELLINGTON MGMT 29369,A81000C,00100,0600,HOME OFFICE 29369,A81000C,00200,0100,A 29369,A81000C,00200,0200,TERRY DOOLING 29369,A81000C,00200,0400,HEALTH CARE FIN 29369,A81000C,00200,0600,FINANCIAL MGMT 29369,A81000C,00300,0100,A 29369,A81000C,00300,0200,DAVID KAMLER 29369,A81000C,00300,0400,HEALTH CARE FIN 29369,A81000C,00300,0600,FINANCIAL MGMT 29369,A81000C,00400,0100,A 29369,A81000C,00400,0200,WELLINGTON MANA 29369,A81000C,00400,0400,NW REHAB L.L.C 29369,A81000C,00400,0600,THERAPY CO. 29369,A81000C,00500,0100,A 29369,A81000C,00500,0200,HEALTH CARE FIN 29369,A81000C,00500,0400,NW REHAB L.L.C 29369,A81000C,00500,0600,THERAPY CO. 29369,B100000,00000,0100,00000SQUARE FEET 29369,B100000,00000,0200,00000SQUARE FEET 29369,B100000,00000,0300,00000GROSS SALARIES 29369,B100000,00000,0400,00000ACCUM COST 29369,B100000,00000,0500,00000SQUARE FEET 29369,B100000,00000,0600,00000PATIENT DAYS 29369,B100000,00000,0700,00000SQUARE FEET 29369,B100000,00000,0800,00000MEALS SERVED 29369,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29369,B100000,00000,1000,00000PATIENT DAYS 29369,B100000,00000,1100,00000COSTED REQUIS 29369,B100000,00000,1200,00000TIME SPENT 29369,B100000,00000,1300,00000TIME SPENT 29369,B100000,00000,1350,00000PATIENT DAYS 29369,B100000,00000,1400,00000ASSIGNED TIME 29369,S000000,00100,0200,06/01/2000 29369,S200000,00100,0100,SOUTH ROUTE 127 29369,S200000,00100,0300,309 29369,S200000,00200,0100,HILLSBORO 29369,S200000,00200,0200,IL 29369,S200000,00200,0300,62049 29369,S200000,00300,0100,MONTGOMERY 29369,S200000,00400,0100,MONTGOMERY HEALTH CARE CENTER 29369,S200000,00400,0200,145483 29369,S200000,00400,0300,04/01/1994 29369,S200000,00400,0500,P 29369,S200000,01600,0100,Y 29377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29377,A000000,00300,0000,00300EMPLOYEE BENEFITS 29377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29377,A000000,00700,0000,00700HOUSEKEEPING 29377,A000000,00800,0000,00800DIETARY 29377,A000000,00900,0000,00900NURSING ADMINISTRATION 29377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29377,A000000,01100,0000,01100PHARMACY 29377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29377,A000000,01300,0000,01300SOCIAL SERVICE 29377,A000000,01350,0000,01500ACTIVITIES 29377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29377,A000000,01600,0000,01600SKILLED NURSING FACILITY 29377,A000000,01800,0000,01800NURSING FACILITY 29377,A000000,01810,0000,01810ICF/MR 29377,A000000,02100,0000,02100RADIOLOGY 29377,A000000,02200,0000,02200LABORATORY 29377,A000000,02500,0000,02500PHYSICAL THERAPY 29377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29377,A000000,02700,0000,02700SPEECH PATHOLOGY 29377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29377,A000000,03050,0000,03300AMBULANCE 29377,A000000,03550,0000,03550FQHC 29377,A000000,05000,0000,05000CORF 29377,A000000,05010,0000,05010CMHC 29377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29377,A000000,05300,0000,05300INTEREST EXPENSE 29377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29377,A81000A,00100,0100,Y 29377,A81000B,00100,0300,DEPR EXP-BLDGS REAL EST CO 29377,A81000B,00200,0300,DEPR EXP-EQUIP REAL EST CO 29377,A81000B,00300,0300,INTEREST EXP-REAL EST CO 29377,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 29377,A81000B,00500,0300,RENT-REAL EST CO 29377,A81000B,00600,0300,INTEREST EXPENSE 29377,A81000B,00700,0300,MANAGEMENT FEE 29377,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 29377,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 29377,A81000B,00901,0300,SPEECH THERAPY 29377,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 29377,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29377,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 29377,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDG-HS 29377,A81000B,01300,0300,INTEREST INCOME-ELGIN 29377,A81000B,01400,0300,INTEREST INCOME-SWANSEA 29377,A81000B,01500,0300,INTEREST INCOME-JOLIET 29377,A81000B,01600,0300,INTEREST INCOME-EDWARDSVILLE 29377,A81000B,01700,0300,INTEREST INCOME-HOLDING COMPAN 29377,A81000B,01800,0300,INTEREST INCOME-ST LOUIS 29377,A81000B,01900,0300,INTEREST INCOME-ROCKFORD 29377,A81000B,02000,0300,INTEREST INCOME-ST CHARLES 29377,A81000B,02100,0300,INTEREST INCOME-PEORIA 29377,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 29377,A81000B,02300,0300,INTEREST INCOME-MOLINE 29377,A81000B,02400,0300,INTEREST INCOME-INVERNESS 29377,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 29377,A81000B,02600,0300,INTEREST INCOME-GALESBURG 29377,A81000B,02700,0300,INTEREST INCOME-ALTON 29377,A81000B,02800,0300,PHYSICAL THERAPY-ROSEWOOD THER 29377,A81000B,02900,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29377,A81000C,00100,0100,A 29377,A81000C,00100,0200,VANDER MATEN 29377,A81000C,00100,0400,HSM MANAGEMENT 29377,A81000C,00100,0600,MANAGEMENT 29377,A81000C,00200,0100,A 29377,A81000C,00200,0200,HOEFLING 29377,A81000C,00200,0400,HSM MANAGEMENT 29377,A81000C,00200,0600,MANAGEMENT 29377,A81000C,00300,0100,A 29377,A81000C,00300,0200,VANDER MATEN 29377,A81000C,00300,0400,GALESBURG R.E. 29377,A81000C,00300,0600,REAL ESTATE 29377,A81000C,00400,0100,A 29377,A81000C,00400,0200,HOEFLING 29377,A81000C,00400,0400,GALESBURG R.E. 29377,A81000C,00400,0600,REAL ESTATE 29377,A81000C,00500,0100,A 29377,A81000C,00500,0200,VANDER MATEN 29377,A81000C,00500,0400,HSM DEVELOPMENT 29377,A81000C,00500,0600,DEVELOPMENT 29377,A81000C,00600,0100,A 29377,A81000C,00600,0200,HOEFLING 29377,A81000C,00600,0400,HSM DEVELOPMENT 29377,A81000C,00600,0600,DEVELOPMENT 29377,A81000C,00700,0100,A 29377,A81000C,00700,0200,VANDER MATEN 29377,A81000C,00700,0400,RCC HOLDING CO 29377,A81000C,00700,0600,HOLDING CO 29377,A81000C,00800,0100,A 29377,A81000C,00800,0200,HOEFLING 29377,A81000C,00800,0400,RCC HOLDING CO 29377,A81000C,00800,0600,HOLDING CO 29377,A81000C,00900,0100,A 29377,A81000C,00900,0200,VANDER MATEN 29377,A81000C,00900,0400,ROSEWOOD THERAP 29377,A81000C,00900,0600,THERAPY CO 29377,A81000C,01000,0100,A 29377,A81000C,01000,0200,HOEFLING 29377,A81000C,01000,0400,ROSEWOOD THERAP 29377,A81000C,01000,0600,THERAPY CO 29377,B100000,00000,0100,00000SQUARE FEET 29377,B100000,00000,0200,00000SQUARE FEET 29377,B100000,00000,0300,00000GROSS SALARIES 29377,B100000,00000,0400,00000ACCUM COST 29377,B100000,00000,0500,00000SQUARE FEET 29377,B100000,00000,0600,00000PATIENT DAYS 29377,B100000,00000,0700,00000SQUARE FEET 29377,B100000,00000,0800,00000MEALS SERVED 29377,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29377,B100000,00000,1000,00000PATIENT DAYS 29377,B100000,00000,1100,00000COSTED REQUIS 29377,B100000,00000,1200,00000TIME SPENT 29377,B100000,00000,1300,00000TIME SPENT 29377,B100000,00000,1350,00000PATIENT DAYS 29377,B100000,00000,1400,00000ASSIGNED TIME 29377,E10A180,00501,0100,01/31/2001 29377,E10A180,00501,0300,01/31/2001 29377,S000000,00100,0200,12/01/2000 29377,S200000,00100,0100,1250 WEST CARL SANDBURG DR 29377,S200000,00200,0100,GALESBURG 29377,S200000,00200,0200,IL 29377,S200000,00200,0300,61401 29377,S200000,00300,0100,KNOX 29377,S200000,00400,0100,ROSEWOOD CARE CTR INC OF GALESBURG 29377,S200000,00400,0200,145619 29377,S200000,00400,0300,05/18/1989 29377,S200000,00400,0500,P 29377,S200000,01600,0100,Y 29389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29389,A000000,00300,0000,00300EMPLOYEE BENEFITS 29389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29389,A000000,00700,0000,00700HOUSEKEEPING 29389,A000000,00800,0000,00800DIETARY 29389,A000000,00900,0000,00900NURSING ADMINISTRATION 29389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29389,A000000,01100,0000,01100PHARMACY 29389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29389,A000000,01300,0000,01300SOCIAL SERVICE 29389,A000000,01350,0000,01500ACTIVITIES 29389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29389,A000000,01600,0000,01600SKILLED NURSING FACILITY 29389,A000000,01800,0000,01800NURSING FACILITY 29389,A000000,01810,0000,01810ICF/MR 29389,A000000,02100,0000,02100RADIOLOGY 29389,A000000,02200,0000,02200LABORATORY 29389,A000000,02500,0000,02500PHYSICAL THERAPY 29389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29389,A000000,02700,0000,02700SPEECH PATHOLOGY 29389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29389,A000000,03050,0000,03300AMBULANCE 29389,A000000,03550,0000,03550FQHC 29389,A000000,05000,0000,05000CORF 29389,A000000,05010,0000,05010CMHC 29389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29389,A000000,05300,0000,05300INTEREST EXPENSE 29389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29389,A81000A,00100,0100,Y 29389,A81000B,00100,0300,DEPR EXPENSE-BLDGS REAL ESTATE 29389,A81000B,00200,0300,DEPR EXPENSE-EQUIP REAL ESTATE 29389,A81000B,00300,0300,INTEREST EXPENSE-REAL ESTATE C 29389,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 29389,A81000B,00500,0300,RENT-REAL ESTATE CO 29389,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 29389,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 29389,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-MSM M 29389,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 29389,A81000B,00901,0300,SPEECH THERAPY-ROSEWOOD THERAP 29389,A81000B,00902,0300,PAYROLL TAXES-REAL ESTATE COMP 29389,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP 29389,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 29389,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDGS-H 29389,A81000B,01300,0300,INTEREST INCOME-ST LOUIS 29389,A81000B,01400,0300,INTEREST INCOME-SWANSEA 29389,A81000B,01500,0300,INTEREST INCOME-JOLIET 29389,A81000B,01600,0300,INTEREST INCOME-EDWARDSVILLE 29389,A81000B,01700,0300,INTEREST INCOME-HOLDING COMPAN 29389,A81000B,01800,0300,INTEREST INCOME-ROCKFORD 29389,A81000B,01900,0300,INTEREST INCOME-ELGIN 29389,A81000B,02000,0300,INTEREST INCOME-PEORIA 29389,A81000B,02100,0300,INTEREST INCOME-ST CHARLES 29389,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 29389,A81000B,02300,0300,INTEREST INCOME-MOLINE 29389,A81000B,02400,0300,INTEREST INCOME-INVERNESS 29389,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 29389,A81000B,02600,0300,INTEREST INCOME-GALESBURG 29389,A81000B,02700,0300,INTEREST INCOME-ALTON 29389,A81000B,02800,0300,PHYSICAL THERAPY-ROSEWOOD THER 29389,A81000B,02900,0300,OCCUP THERAPY-ROSEWOOD THERAPY 29389,A81000C,00100,0100,A 29389,A81000C,00100,0200,VANDER MATEN 29389,A81000C,00100,0400,HSM MANAGEMENT 29389,A81000C,00100,0600,MANAGEMENT 29389,A81000C,00200,0100,A 29389,A81000C,00200,0200,HOEFLING 29389,A81000C,00200,0400,HSM MANAGEMENT 29389,A81000C,00200,0600,MANAGEMENT 29389,A81000C,00300,0100,A 29389,A81000C,00300,0200,VANDER MATEN 29389,A81000C,00300,0400,EAST PEORIA RE 29389,A81000C,00300,0600,REAL ESTATE 29389,A81000C,00400,0100,A 29389,A81000C,00400,0200,HOEFLING 29389,A81000C,00400,0400,EAST PEORIA RE 29389,A81000C,00400,0600,REAL ESTATE 29389,A81000C,00500,0100,A 29389,A81000C,00500,0200,VANDER MATEN 29389,A81000C,00500,0400,HSM DEVELOPMENT 29389,A81000C,00500,0600,DEVELOPMENT 29389,A81000C,00600,0100,A 29389,A81000C,00600,0200,HOEFLING 29389,A81000C,00600,0400,HSM DEVELOPMENT 29389,A81000C,00600,0600,DEVELOPMENT 29389,A81000C,00700,0100,A 29389,A81000C,00700,0200,VANDER MATEN 29389,A81000C,00700,0400,RCC HOLDING CO 29389,A81000C,00700,0600,HOLDING CO 29389,A81000C,00800,0100,A 29389,A81000C,00800,0200,HOEFLING 29389,A81000C,00800,0400,RCC HOLDING CO 29389,A81000C,00800,0600,HOLDING CO 29389,A81000C,00900,0100,A 29389,A81000C,00900,0200,VANDER MATEN 29389,A81000C,00900,0400,ROSEWOOD HOME H 29389,A81000C,00900,0600,HOME HEALTH 29389,A81000C,01000,0100,A 29389,A81000C,01000,0200,HOEFLING 29389,A81000C,01000,0400,ROSEWOOD HOME H 29389,A81000C,01000,0600,HOME HEALTH 29389,B100000,00000,0100,00000SQUARE FEET 29389,B100000,00000,0200,00000SQUARE FEET 29389,B100000,00000,0300,00000GROSS SALARIES 29389,B100000,00000,0400,00000ACCUM COST 29389,B100000,00000,0500,00000SQUARE FEET 29389,B100000,00000,0600,00000PATIENT DAYS 29389,B100000,00000,0700,00000SQUARE FEET 29389,B100000,00000,0800,00000MEALS SERVED 29389,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29389,B100000,00000,1000,00000PATIENT DAYS 29389,B100000,00000,1100,00000COSTED REQUIS 29389,B100000,00000,1200,00000TIME SPENT 29389,B100000,00000,1300,00000TIME SPENT 29389,B100000,00000,1350,00000PATIENT DAYS 29389,B100000,00000,1400,00000ASSIGNED TIME 29389,E10A180,00301,0100,05/24/2000 29389,E10A180,00501,0100,01/31/2001 29389,E10A180,00501,0300,01/31/2001 29389,S000000,00100,0200,12/01/2000 29389,S200000,00100,0100,900 CENTENNIAL DRIVE 29389,S200000,00200,0100,EAST PEORIA 29389,S200000,00200,0200,IL 29389,S200000,00200,0300,61611 29389,S200000,00300,0100,TAZEWELL 29389,S200000,00300,0200,6120 29389,S200000,00300,0300,U 29389,S200000,00400,0100,ROSEWOOD CARE CTR INC OF EAST PEORAI 29389,S200000,00400,0200,145646 29389,S200000,00400,0300,05/18/1989 29389,S200000,00400,0500,P 29389,S200000,01600,0100,Y 29395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29395,A000000,00300,0000,00300EMPLOYEE BENEFITS 29395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29395,A000000,00700,0000,00700HOUSEKEEPING 29395,A000000,00800,0000,00800DIETARY 29395,A000000,00900,0000,00900NURSING ADMINISTRATION 29395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29395,A000000,01100,0000,01100PHARMACY 29395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29395,A000000,01300,0000,01300SOCIAL SERVICE 29395,A000000,01350,0000,01500ACTIVITIES 29395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29395,A000000,01600,0000,01600SKILLED NURSING FACILITY 29395,A000000,01800,0000,01800NURSING FACILITY 29395,A000000,01810,0000,01810ICF/MR 29395,A000000,02100,0000,02100RADIOLOGY 29395,A000000,02200,0000,02200LABORATORY 29395,A000000,02500,0000,02500PHYSICAL THERAPY 29395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29395,A000000,02700,0000,02700SPEECH PATHOLOGY 29395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29395,A000000,03050,0000,03300AMBULANCE 29395,A000000,03550,0000,03550FQHC 29395,A000000,05000,0000,05000CORF 29395,A000000,05010,0000,05010CMHC 29395,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29395,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29395,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29395,A000000,05300,0000,05300INTEREST EXPENSE 29395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29395,A81000A,00100,0100,Y 29395,A81000B,00100,0300,DEPR EXP-BLDGS REAL EST CO 29395,A81000B,00200,0300,DEPR EXP-EQUIP REAL EST CO 29395,A81000B,00300,0300,INTEREST EXPENSE-REAL EST CO 29395,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 29395,A81000B,00500,0300,RENT-REAL EST CO 29395,A81000B,00600,0300,INTEREST EXPENSE 29395,A81000B,00700,0300,MANAGEMENT FEES-MANAGEMENT COM 29395,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 29395,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM 29395,A81000B,00901,0300,SPEECH PATHOLOGY 29395,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 29395,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29395,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 29395,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDGS-H 29395,A81000B,01300,0300,INTEREST INCOME-ROCKFORD 29395,A81000B,01400,0300,INTEREST INCOME-ST LOUIS 29395,A81000B,01500,0300,INTEREST INCOME-SWANSEA 29395,A81000B,01600,0300,INTEREST INCOME-JOLIET 29395,A81000B,01700,0300,INTEREST INCOME-EDWARDSVILLE 29395,A81000B,01800,0300,INTEREST INCOME-HOLDING COMPAN 29395,A81000B,01900,0300,INTEREST INCOME-ELGIN 29395,A81000B,02000,0300,INTEREST INCOME-ST CHARLES 29395,A81000B,02100,0300,INTEREST INCOME-PEORIA 29395,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 29395,A81000B,02300,0300,INTEREST INCOME-MOLINE 29395,A81000B,02400,0300,INTEREST INCOME-INVERNESS 29395,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 29395,A81000B,02600,0300,INTEREST INCOME-GALESBURG 29395,A81000B,02700,0300,INTEREST INCOME-ALTON 29395,A81000B,02800,0300,PHYSICAL THERAPY 29395,A81000B,02900,0300,OCCUPATIONAL THERAPY 29395,A81000C,00100,0100,A 29395,A81000C,00100,0200,VANDER MATEN 29395,A81000C,00100,0400,HSM MANAGEMENT 29395,A81000C,00100,0600,MANAGEMENT CO 29395,A81000C,00200,0100,A 29395,A81000C,00200,0200,HOEFLING 29395,A81000C,00200,0400,HSM MANAGEMENT 29395,A81000C,00200,0600,MANAGEMENT 29395,A81000C,00300,0100,A 29395,A81000C,00300,0200,VANDER MATEN 29395,A81000C,00300,0400,PEORIA R.E. CO. 29395,A81000C,00300,0600,REAL ESTATE 29395,A81000C,00400,0100,A 29395,A81000C,00400,0200,HOEFLING 29395,A81000C,00400,0400,PEORIA R.E. CO. 29395,A81000C,00400,0600,REAL ESTATE 29395,A81000C,00500,0100,A 29395,A81000C,00500,0200,VANDER MATEN 29395,A81000C,00500,0400,HSM DEVELOPMENT 29395,A81000C,00500,0600,DEVELOPMENT 29395,A81000C,00600,0100,A 29395,A81000C,00600,0200,HOEFLING 29395,A81000C,00600,0400,HSM DEVELOPMENT 29395,A81000C,00600,0600,DEVELOPMENT 29395,A81000C,00700,0100,A 29395,A81000C,00700,0200,VANDER MATEN 29395,A81000C,00700,0400,RCC HOLDING CO 29395,A81000C,00700,0600,HOLDING CO 29395,A81000C,00800,0100,A 29395,A81000C,00800,0200,HOEFLING 29395,A81000C,00800,0400,RCC HOLDING CO 29395,A81000C,00800,0600,HOLDING CO 29395,A81000C,00900,0100,A 29395,A81000C,00900,0200,VANDER MATEN 29395,A81000C,00900,0400,ROSEWOOD THERAP 29395,A81000C,00900,0600,THERAPY CO 29395,A81000C,01000,0100,A 29395,A81000C,01000,0200,HOEFLING 29395,A81000C,01000,0400,ROSEWOOD THERAP 29395,A81000C,01000,0600,THERAPY CO 29395,B100000,00000,0100,00000SQUARE FEET 29395,B100000,00000,0200,00000SQUARE FEET 29395,B100000,00000,0300,00000GROSS SALARIES 29395,B100000,00000,0400,00000ACCUM COST 29395,B100000,00000,0500,00000SQUARE FEET 29395,B100000,00000,0600,00000PATIENT DAYS 29395,B100000,00000,0700,00000SQUARE FEET 29395,B100000,00000,0800,00000MEALS SERVED 29395,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29395,B100000,00000,1000,00000PATIENT DAYS 29395,B100000,00000,1100,00000COSTED REQUIS 29395,B100000,00000,1200,00000TIME SPENT 29395,B100000,00000,1300,00000TIME SPENT 29395,B100000,00000,1350,00000PATIENT DAYS 29395,B100000,00000,1400,00000ASSIGNED TIME 29395,E10A180,00501,0100,01/24/2001 29395,E10A180,00501,0300,01/24/2001 29395,S000000,00100,0200,12/01/2000 29395,S200000,00100,0100,1500 NORTHMOOR ROAD 29395,S200000,00200,0100,PEORIA 29395,S200000,00200,0200,IL 29395,S200000,00200,0300,61614 29395,S200000,00300,0100,PEORIA 29395,S200000,00400,0100,ROSEWOOD CARE CTR INC OF PEORIA 29395,S200000,00400,0200,145647 29395,S200000,00400,0300,06/29/1989 29395,S200000,00400,0500,P 29395,S200000,01600,0100,Y 29404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29404,A000000,00300,0000,00300EMPLOYEE BENEFITS 29404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29404,A000000,00700,0000,00700HOUSEKEEPING 29404,A000000,00800,0000,00800DIETARY 29404,A000000,00900,0000,00900NURSING ADMINISTRATION 29404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29404,A000000,01100,0000,01100PHARMACY 29404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29404,A000000,01300,0000,01300SOCIAL SERVICE 29404,A000000,01350,0000,01500ACTIVITIES 29404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29404,A000000,01600,0000,01600SKILLED NURSING FACILITY 29404,A000000,01800,0000,01800NURSING FACILITY 29404,A000000,01810,0000,01810ICF/MR 29404,A000000,02100,0000,02100RADIOLOGY 29404,A000000,02200,0000,02200LABORATORY 29404,A000000,02500,0000,02500PHYSICAL THERAPY 29404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29404,A000000,02700,0000,02700SPEECH PATHOLOGY 29404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29404,A000000,03050,0000,03300AMBULANCE 29404,A000000,03550,0000,03550FQHC 29404,A000000,05000,0000,05000CORF 29404,A000000,05010,0000,05010CMHC 29404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29404,A000000,05300,0000,05300INTEREST EXPENSE 29404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29404,A81000A,00100,0100,Y 29404,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE COM 29404,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE COM 29404,A81000B,00300,0300,INTEREST EXPENSE-REAL ESTATE C 29404,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES & 29404,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 29404,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 29404,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 29404,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 29404,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 29404,A81000B,00901,0300,SPEECH PATHOLOGY-ROSEWOOD THER 29404,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 29404,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29404,A81000B,01100,0300,HOME OFFICE POOLED CAP-BLDG-HS 29404,A81000B,01200,0300,HOME OFFICE POOLED CAP-EQUIP-H 29404,A81000B,01300,0300,INTEREST INCOME-ELGIN 29404,A81000B,01400,0300,INTEREST INCOME-ROCKFORD 29404,A81000B,01500,0300,INTEREST INCOME-ST LOUIS 29404,A81000B,01600,0300,INTEREST INCOME-SWANSEA 29404,A81000B,01700,0300,INTEREST INCOME-JOLIET 29404,A81000B,01800,0300,INTEREST INCOME-EDWARDSVILLE 29404,A81000B,01900,0300,INTEREST INCOME-HOLDING COMPAN 29404,A81000B,02000,0300,INTEREST INCOME-EAST PEORIA 29404,A81000B,02100,0300,INTEREST INCOME-INVERNESS 29404,A81000B,02200,0300,INTEREST INCOME-MOLINE 29404,A81000B,02300,0300,INTEREST INCOME-ST CHARLES 29404,A81000B,02400,0300,INTEREST INCOME-PEORIA 29404,A81000B,02500,0300,INTEREST INCOME-NORTHBROOK 29404,A81000B,02600,0300,INTEREST INCOME-GALESBURG 29404,A81000B,02700,0300,INTEREST INCOME-ALTON 29404,A81000B,02800,0300,PHYSICAL THERAPY-ROSEWOOD THER 29404,A81000B,02900,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29404,A81000C,00100,0100,A 29404,A81000C,00100,0200,VANDER MATEN 29404,A81000C,00100,0400,HSM MANAGEMENT 29404,A81000C,00100,0600,MANAGEMENT 29404,A81000C,00200,0100,A 29404,A81000C,00200,0200,HOEFLING 29404,A81000C,00200,0400,HSM MANEGEMENT 29404,A81000C,00200,0600,MANAGEMENT 29404,A81000C,00300,0100,A 29404,A81000C,00300,0200,VANDER MATEN 29404,A81000C,00300,0400,MOLINE R.E. CO. 29404,A81000C,00300,0600,REAL ESTATE 29404,A81000C,00400,0100,A 29404,A81000C,00400,0200,HOEFLING 29404,A81000C,00400,0400,MOLINE R.E. CO. 29404,A81000C,00400,0600,REAL ESTATE 29404,A81000C,00500,0100,A 29404,A81000C,00500,0200,VANDER MATEN 29404,A81000C,00500,0400,HSM DEVELOPMENT 29404,A81000C,00500,0600,DEVELOPMENT 29404,A81000C,00600,0100,A 29404,A81000C,00600,0200,HOEFLING 29404,A81000C,00600,0400,HSM DEVELOPMENT 29404,A81000C,00600,0600,DEVELOPMENT 29404,A81000C,00700,0100,A 29404,A81000C,00700,0200,VANDER MATEN 29404,A81000C,00700,0400,RCC HOLDING CO 29404,A81000C,00700,0600,HOLDING CO 29404,A81000C,00800,0100,A 29404,A81000C,00800,0200,HOEFLING 29404,A81000C,00800,0400,RCC HOLDING CO 29404,A81000C,00800,0600,HOLDING CO 29404,A81000C,00900,0100,A 29404,A81000C,00900,0200,VANDER MATEN 29404,A81000C,00900,0400,ROSEWOOD HOME 29404,A81000C,00900,0600,HOME HEALTH 29404,A81000C,01000,0100,A 29404,A81000C,01000,0200,HOEFLING 29404,A81000C,01000,0400,ROSEWOOD HOME 29404,A81000C,01000,0600,HOME HEALTH 29404,B100000,00000,0100,00000SQUARE FEET 29404,B100000,00000,0200,00000SQUARE FEET 29404,B100000,00000,0300,00000GROSS SALARIES 29404,B100000,00000,0400,00000ACCUM COST 29404,B100000,00000,0500,00000SQUARE FEET 29404,B100000,00000,0600,00000PATIENT DAYS 29404,B100000,00000,0700,00000SQUARE FEET 29404,B100000,00000,0800,00000MEALS SERVED 29404,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29404,B100000,00000,1000,00000PATIENT DAYS 29404,B100000,00000,1100,00000COSTED REQUIS 29404,B100000,00000,1200,00000TIME SPENT 29404,B100000,00000,1300,00000TIME SPENT 29404,B100000,00000,1350,00000PATIENT DAYS 29404,B100000,00000,1400,00000ASSIGNED TIME 29404,E10A180,00501,0100,01/24/2001 29404,E10A180,00501,0300,01/24/2001 29404,S000000,00100,0200,12/01/2000 29404,S200000,00100,0100,7300 THIRTY-FOURTH AVENUE 29404,S200000,00200,0100,MOLINE 29404,S200000,00200,0200,IL 29404,S200000,00200,0300,61265 29404,S200000,00300,0100,ROCK ISLAND 29404,S200000,00300,0200,1960 29404,S200000,00300,0300,U 29404,S200000,00400,0100,ROSEWOOD CARE CTR INC OF MOLINE 29404,S200000,00400,0200,145680 29404,S200000,00400,0300,06/08/1990 29404,S200000,00400,0500,P 29404,S200000,01600,0100,Y 29412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29412,A000000,00300,0000,00300EMPLOYEE BENEFITS 29412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29412,A000000,00700,0000,00700HOUSEKEEPING 29412,A000000,00800,0000,00800DIETARY 29412,A000000,00900,0000,00900NURSING ADMINISTRATION 29412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29412,A000000,01100,0000,01100PHARMACY 29412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29412,A000000,01300,0000,01300SOCIAL SERVICE 29412,A000000,01350,0000,01500ACTIVITIES 29412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29412,A000000,01600,0000,01600SKILLED NURSING FACILITY 29412,A000000,01800,0000,01800NURSING FACILITY 29412,A000000,01810,0000,01810ICF/MR 29412,A000000,02100,0000,02100RADIOLOGY 29412,A000000,02200,0000,02200LABORATORY 29412,A000000,02500,0000,02500PHYSICAL THERAPY 29412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29412,A000000,02700,0000,02700SPEECH PATHOLOGY 29412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29412,A000000,03050,0000,03300AMBULANCE 29412,A000000,03550,0000,03550FQHC 29412,A000000,05000,0000,05000CORF 29412,A000000,05010,0000,05010CMHC 29412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29412,A000000,05300,0000,05300INTEREST EXPENSE 29412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29412,A81000A,00100,0100,Y 29412,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE COM 29412,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE COM 29412,A81000B,00300,0300,INTEREST EXP-REAL ESTATE COMPA 29412,A81000B,00400,0300,INTEREST-REAL ESTATE COMPANY 29412,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 29412,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATE 29412,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 29412,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 29412,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 29412,A81000B,00901,0300,INTEREST INCOME-PEORIA 29412,A81000B,00902,0300,INTEREST INCOME-NORTHBROOK 29412,A81000B,00903,0300,INTEREST INCOME-NORTHBROOK 29412,A81000B,00904,0300,INTEREST INCOME-MOLINE 29412,A81000B,00905,0300,INTEREST INCOME-MOLINE 29412,A81000B,00906,0300,INTEREST INCOME-INVERNESS 29412,A81000B,00907,0300,INTEREST INCOME-INVERNESS 29412,A81000B,00908,0300,INTEREST INCOME-EAST PEORIA 29412,A81000B,00909,0300,INTEREST INCOME-EAST PEORIA 29412,A81000B,00910,0300,INTEREST INCOME-GALESBURG 29412,A81000B,00911,0300,INTEREST INCOME-GALESBURG 29412,A81000B,00912,0300,INTEREST INCOME-ALTON 29412,A81000B,00913,0300,INTEREST INCOME-ALTON 29412,A81000B,00914,0300,PHYSICAL THERAPY-ROSEWOOD THER 29412,A81000B,00915,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29412,A81000B,00916,0300,SPEECH THERAPY-ROSEWOOD THERAP 29412,A81000B,00917,0300,OWNERS COMP OFFICE SUPPLIES 29412,A81000B,00918,0300,PAYROLL TAXES-REAL ESTATE COMP 29412,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29412,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 29412,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDG-HS 29412,A81000B,01300,0300,INTEREST INCOME-ELGIN 29412,A81000B,01400,0300,INTEREST INCOME-ELGIN 29412,A81000B,01500,0300,INTEREST INCOME-ST. LOUIS 29412,A81000B,01600,0300,INTEREST INCOME-ST. LOUIS 29412,A81000B,01700,0300,INTEREST INCOME-SWANSEA 29412,A81000B,01800,0300,INTEREST INCOME-SWANSEA 29412,A81000B,01900,0300,INTEREST INCOME-JOLIET 29412,A81000B,02000,0300,INTEREST INCOME-JOLIET 29412,A81000B,02100,0300,INTEREST INCOME-EDWARDSVILLE 29412,A81000B,02200,0300,INTEREST INCOME-EDWARDSVILLE 29412,A81000B,02300,0300,INTEREST INCOME-HOLDING COMPAN 29412,A81000B,02400,0300,INTEREST INCOME-HOLDING COMPAN 29412,A81000B,02500,0300,INTEREST INCOME-ROCKFORD 29412,A81000B,02600,0300,INTEREST INCOME-ROCKFORD 29412,A81000B,02700,0300,INTEREST INCOME-ST. CHARLES 29412,A81000B,02800,0300,INTEREST INCOME-ST. CHARLES 29412,A81000B,02900,0300,INTEREST INCOME-PEORIA 29412,A81000C,00100,0100,A 29412,A81000C,00100,0200,VANDER MATEN 29412,A81000C,00100,0400,HSM MANAGEMENT 29412,A81000C,00100,0600,MANAGEMENT CO. 29412,A81000C,00200,0100,A 29412,A81000C,00200,0200,HOEFLING 29412,A81000C,00200,0400,HSM MANAGEMENT 29412,A81000C,00200,0600,MANAGEMENT CO. 29412,A81000C,00300,0100,A 29412,A81000C,00300,0200,VANDER MATEN 29412,A81000C,00300,0400,JOLIET R.E. COM 29412,A81000C,00300,0600,REAL ESTATE LSG 29412,A81000C,00400,0100,A 29412,A81000C,00400,0200,HOEFLING 29412,A81000C,00400,0400,JOLIET R.E. COM 29412,A81000C,00400,0600,REAL ESTATE LSG 29412,A81000C,00500,0100,A 29412,A81000C,00500,0200,VANDER MATEN 29412,A81000C,00500,0400,HSM DEVELOPMENT 29412,A81000C,00500,0600,DEVELOPMENT CO. 29412,A81000C,00600,0100,A 29412,A81000C,00600,0200,HOEFLING 29412,A81000C,00600,0400,HSM DEVELOPMENT 29412,A81000C,00600,0600,DEVELOPMENT CO. 29412,A81000C,00700,0100,A 29412,A81000C,00700,0200,VANDER MATEN 29412,A81000C,00700,0400,RCC HOLDING CO. 29412,A81000C,00700,0600,HOLDING COMPANY 29412,A81000C,00800,0100,A 29412,A81000C,00800,0200,HOEFLING 29412,A81000C,00800,0400,RCC HOLDING CO. 29412,A81000C,00800,0600,HOLDING COMPANY 29412,A81000C,00900,0100,A 29412,A81000C,00900,0200,VANDER MATEN 29412,A81000C,00900,0400,ROSEWOOD HOME H 29412,A81000C,00900,0600,HOME HEALTH CO. 29412,A81000C,01000,0100,A 29412,A81000C,01000,0200,HOEFLING 29412,A81000C,01000,0400,ROSEWOOD HOME H 29412,A81000C,01000,0600,HOME HEALTH CO. 29412,B100000,00000,0100,00000SQUARE FEET 29412,B100000,00000,0200,00000SQUARE FEET 29412,B100000,00000,0300,00000GROSS SALARIES 29412,B100000,00000,0400,00000ACCUM COST 29412,B100000,00000,0500,00000SQUARE FEET 29412,B100000,00000,0600,00000PATIENT DAYS 29412,B100000,00000,0700,00000SQUARE FEET 29412,B100000,00000,0800,00000MEALS SERVED 29412,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29412,B100000,00000,1000,00000PATIENT DAYS 29412,B100000,00000,1100,00000COSTED REQUIS 29412,B100000,00000,1200,00000TIME SPENT 29412,B100000,00000,1300,00000TIME SPENT 29412,B100000,00000,1350,00000PATIENT DAYS 29412,B100000,00000,1400,00000ASSIGNED TIME 29412,E10A180,00501,0100,01/31/2001 29412,E10A180,00501,0300,01/31/2001 29412,S000000,00100,0200,12/01/2000 29412,S200000,00100,0100,3401 HENNEPIN DRIVE 29412,S200000,00200,0100,JOLIET 29412,S200000,00200,0200,IL 29412,S200000,00200,0300,60435 29412,S200000,00300,0100,WILL 29412,S200000,00400,0100,ROSEWOOD CARE CTR INC OF JOLIET 29412,S200000,00400,0200,145694 29412,S200000,00400,0300,05/02/1991 29412,S200000,00400,0500,P 29412,S200000,01600,0100,Y 29417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29417,A000000,00300,0000,00300EMPLOYEE BENEFITS 29417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29417,A000000,00700,0000,00700HOUSEKEEPING 29417,A000000,00800,0000,00800DIETARY 29417,A000000,00900,0000,00900NURSING ADMINISTRATION 29417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29417,A000000,01100,0000,01100PHARMACY 29417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29417,A000000,01300,0000,01300SOCIAL SERVICE 29417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29417,A000000,01600,0000,01600SKILLED NURSING FACILITY 29417,A000000,01800,0000,01800NURSING FACILITY 29417,A000000,01810,0000,01810ICF/MR 29417,A000000,02200,0000,02200LABORATORY 29417,A000000,02500,0000,02500PHYSICAL THERAPY 29417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29417,A000000,02700,0000,02700SPEECH PATHOLOGY 29417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29417,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 29417,A000000,03550,0000,03550FQHC 29417,A000000,05000,0000,05000CORF 29417,A000000,05010,0000,05010CMHC 29417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29417,A81000A,00100,0100,Y 29417,A81000B,00100,0300,CAPITAL 29417,A81000B,00200,0300,EMPLOYEE BENEFITS 29417,A81000B,00300,0300,A&G 29417,A81000B,00400,0300,PLANT OPERATION 29417,A81000B,00500,0300,HOME OFFICE EXPENSE 29417,A81000B,00600,0300,HOME OFFICE ADMIN 29417,A81000B,00700,0300,CAPITAL 29417,A81000B,00800,0300,A&G 29417,A81000B,00900,0300,RE TAX 29417,A81000B,01000,0300,RENT 29417,A81000C,00100,0100,A 29417,A81000C,00100,0400,HEALTHCARE MGMT 29417,A81000C,00100,0600,MANAGEMENT CO. 29417,A81000C,00200,0100,A 29417,A81000C,00200,0400,EDWARDSVILLE HC 29417,A81000C,00200,0600,BUILDING CO. 29417,B100000,00000,0100,00000SQUARE FEET 29417,B100000,00000,0200,00000SQUARE FEET 29417,B100000,00000,0300,00000GROSS SALARIES 29417,B100000,00000,0400,00000ACCUM COST 29417,B100000,00000,0500,00000SQUARE FEET 29417,B100000,00000,0600,00000PATIENT DAYS 29417,B100000,00000,0700,00000SQUARE FEET 29417,B100000,00000,0800,00000MEALS SERVED 29417,B100000,00000,0900,00000DIRECT NRSG HRS 29417,B100000,00000,1000,00000PATIENT DAYS 29417,B100000,00000,1100,00000COSTED REQUIS 29417,B100000,00000,1200,00000PATIENT DAYS 29417,B100000,00000,1300,00000PATIENT DAYS 29417,B100000,00000,1400,00000ASSIGNED TIME 29417,S000000,00100,0200,06/01/2000 29417,S200000,00100,0100,637 HILLSBORO AVENUE 29417,S200000,00200,0100,EDWARDSVILLE 29417,S200000,00200,0200,IL 29417,S200000,00200,0300,62025 29417,S200000,00300,0100,MADISON 29417,S200000,00400,0100,ANNA HENRY NURSING & REHAB CENTER 29417,S200000,00400,0200,145755 29417,S200000,00400,0300,05/01/1993 29417,S200000,00400,0500,P 29417,S200000,01600,0100,Y 29423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29423,A000000,00300,0000,00300EMPLOYEE BENEFITS 29423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29423,A000000,00700,0000,00700HOUSEKEEPING 29423,A000000,00800,0000,00800DIETARY 29423,A000000,00900,0000,00900NURSING ADMINISTRATION 29423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29423,A000000,01100,0000,01100PHARMACY 29423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29423,A000000,01300,0000,01300SOCIAL SERVICE 29423,A000000,01350,0000,01500ACTIVITIES 29423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29423,A000000,01600,0000,01600SKILLED NURSING FACILITY 29423,A000000,01800,0000,01800NURSING FACILITY 29423,A000000,01810,0000,01810ICF/MR 29423,A000000,02100,0000,02100RADIOLOGY 29423,A000000,02200,0000,02200LABORATORY 29423,A000000,02500,0000,02500PHYSICAL THERAPY 29423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29423,A000000,02700,0000,02700SPEECH PATHOLOGY 29423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29423,A000000,03050,0000,03300AMBULANCE 29423,A000000,03200,0000,03200SUPPORT SURFACES 29423,A000000,03550,0000,03550FQHC 29423,A000000,05000,0000,05000CORF 29423,A000000,05010,0000,05010CMHC 29423,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29423,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29423,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29423,A000000,05300,0000,05300INTEREST EXPENSE 29423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29423,A81000A,00100,0100,Y 29423,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE COM 29423,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE COM 29423,A81000B,00300,0300,INTEREST EXPENSE-REAL ESTATE C 29423,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 29423,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 29423,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 29423,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 29423,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 29423,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 29423,A81000B,00901,0300,SPEECH THERAPY-ROSEWOOD THERAP 29423,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 29423,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29423,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 29423,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDG-HS 29423,A81000B,01300,0300,INTEREST INCOME-ELGIN 29423,A81000B,01400,0300,INTEREST INCOME-JOLIET 29423,A81000B,01500,0300,INTEREST INCOME-SWANSEA 29423,A81000B,01600,0300,INTEREST INCOME-EDWARDSVILLE 29423,A81000B,01700,0300,INTEREST INCOME-HOLDING COMPAN 29423,A81000B,01800,0300,INTEREST INCOME-ST LOUIS 29423,A81000B,01900,0300,INTEREST INCOME-ROCKFORD 29423,A81000B,02000,0300,INTEREST INCOME-ST CHARLES 29423,A81000B,02100,0300,INTEREST INCOME-PEORIA 29423,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 29423,A81000B,02300,0300,INTEREST INCOME-MOLINE 29423,A81000B,02400,0300,INTEREST INCOME-INVERNESS 29423,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 29423,A81000B,02600,0300,INTEREST INCOME-GALESBURG 29423,A81000B,02700,0300,INTEREST INCOME-ALTON 29423,A81000B,02800,0300,PHYSICAL THERAPY-ROSEWOOD THER 29423,A81000B,02900,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29423,A81000C,00100,0100,A 29423,A81000C,00100,0200,VANDER MATEN 29423,A81000C,00100,0400,HSM MANAGEMENT 29423,A81000C,00100,0600,MANAGEMENT 29423,A81000C,00200,0100,A 29423,A81000C,00200,0200,HOEFLING 29423,A81000C,00200,0400,HSM MANAGEMENT 29423,A81000C,00200,0600,MANAGEMENT 29423,A81000C,00300,0100,A 29423,A81000C,00300,0200,VANDER MATEN 29423,A81000C,00300,0400,ELGIN REAL ESTA 29423,A81000C,00300,0600,REAL ESTATE 29423,A81000C,00400,0100,A 29423,A81000C,00400,0200,HOEFLING 29423,A81000C,00400,0400,ELGIN REAL ESTA 29423,A81000C,00400,0600,REAL ESTATE 29423,A81000C,00500,0100,A 29423,A81000C,00500,0200,VANDER MATEN 29423,A81000C,00500,0400,HSM DEVELOPMENT 29423,A81000C,00500,0600,DEVELOPMENT 29423,A81000C,00600,0100,A 29423,A81000C,00600,0200,HOEFLING 29423,A81000C,00600,0400,HSM DEVELOPMENT 29423,A81000C,00600,0600,DEVELOPMENT 29423,A81000C,00700,0100,A 29423,A81000C,00700,0200,VANDER MATEN 29423,A81000C,00700,0400,RCC HOLDING CO. 29423,A81000C,00700,0600,HOLDING CO 29423,A81000C,00800,0100,A 29423,A81000C,00800,0200,HOEFLING 29423,A81000C,00800,0400,RCC HOLDING CO. 29423,A81000C,00800,0600,HOLDING CO 29423,A81000C,00900,0100,A 29423,A81000C,00900,0200,VANDER MATEN 29423,A81000C,00900,0400,ROSEWOOD THERAP 29423,A81000C,00900,0600,THERAPY CO 29423,A81000C,01000,0100,A 29423,A81000C,01000,0200,HOEFLING 29423,A81000C,01000,0400,ROSEWOOD THERAP 29423,A81000C,01000,0600,THERAPY CO 29423,B100000,00000,0100,00000SQUARE FEET 29423,B100000,00000,0200,00000SQUARE FEET 29423,B100000,00000,0300,00000GROSS SALARIES 29423,B100000,00000,0400,00000ACCUM COST 29423,B100000,00000,0500,00000SQUARE FEET 29423,B100000,00000,0600,00000PATIENT DAYS 29423,B100000,00000,0700,00000SQUARE FEET 29423,B100000,00000,0800,00000MEALS SERVED 29423,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29423,B100000,00000,1000,00000PATIENT DAYS 29423,B100000,00000,1100,00000COSTED REQUIS 29423,B100000,00000,1200,00000TIME SPENT 29423,B100000,00000,1300,00000TIME SPENT 29423,B100000,00000,1350,00000PATIENT DAYS 29423,B100000,00000,1400,00000ASSIGNED TIME 29423,E10A180,00501,0100,01/17/2001 29423,E10A180,00501,0300,01/17/2001 29423,S000000,00100,0200,12/01/2000 29423,S200000,00100,0100,2355 ROYAL BOULEVARD 29423,S200000,00200,0100,ELGIN 29423,S200000,00200,0200,IL 29423,S200000,00200,0300,60123 29423,S200000,00300,0100,KANE 29423,S200000,00400,0100,ROSEWOOD CARE CTR INC OF ELGIN 29423,S200000,00400,0200,145821 29423,S200000,00400,0300,12/07/1994 29423,S200000,00400,0500,P 29423,S200000,01600,0100,Y 29431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29431,A000000,00300,0000,00300EMPLOYEE BENEFITS 29431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29431,A000000,00700,0000,00700HOUSEKEEPING 29431,A000000,00800,0000,00800DIETARY 29431,A000000,00900,0000,00900NURSING ADMINISTRATION 29431,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29431,A000000,01100,0000,01100PHARMACY 29431,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29431,A000000,01300,0000,01300SOCIAL SERVICE 29431,A000000,01350,0000,01500ACTIVITIES 29431,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29431,A000000,01600,0000,01600SKILLED NURSING FACILITY 29431,A000000,01800,0000,01800NURSING FACILITY 29431,A000000,01810,0000,01810ICF/MR 29431,A000000,02100,0000,02100RADIOLOGY 29431,A000000,02200,0000,02200LABORATORY 29431,A000000,02500,0000,02500PHYSICAL THERAPY 29431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29431,A000000,02700,0000,02700SPEECH PATHOLOGY 29431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29431,A000000,03050,0000,03300AMBULANCE 29431,A000000,03550,0000,03550FQHC 29431,A000000,05000,0000,05000CORF 29431,A000000,05010,0000,05010CMHC 29431,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29431,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29431,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29431,A000000,05300,0000,05300INTEREST EXPENSE 29431,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29431,A81000A,00100,0100,Y 29431,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE COM 29431,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE COM 29431,A81000B,00300,0300,INTEREST EXPENSE-REAL ESTATE C 29431,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 29431,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 29431,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 29431,A81000B,00700,0300,MANAGEMENT FEES-HSM MANGEMENT 29431,A81000B,00800,0300,HOME OFFICE START UP COSTS-HSM 29431,A81000B,00900,0300,HOME OFFICE DIRECT COSTS-HSM M 29431,A81000B,00901,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29431,A81000B,00902,0300,SPEECH PATHOLOGY-ROSEWOOD THER 29431,A81000B,00903,0300,PAYROLL TAXES - REAL ESTATE CO 29431,A81000B,01000,0300,HOME OFFICE POOLED COSTS-HSM M 29431,A81000B,01100,0300,HOME OFFICE DIRECT CAP-EQUIP-H 29431,A81000B,01200,0300,HOME OFFICE POOLED CAP-EQUIP-H 29431,A81000B,01300,0300,HOME OFFICE POOLED CAP-BLDGS-H 29431,A81000B,01400,0300,INTEREST INCOME-ST LOUIS 29431,A81000B,01500,0300,INTEREST INCOME-SWANSEA 29431,A81000B,01600,0300,INTEREST INCOME-JOLIET 29431,A81000B,01700,0300,INTEREST INCOME-EDWARDSVILLE 29431,A81000B,01800,0300,INTEREST INCOME-HOLDING COMPAN 29431,A81000B,01900,0300,INTEREST INCOME-ROCKFORD 29431,A81000B,02000,0300,INTEREST INCOME-ELGIN 29431,A81000B,02100,0300,INTEREST INCOME-ALTON 29431,A81000B,02200,0300,INTEREST INCOME-GALESBURG 29431,A81000B,02300,0300,INTEREST INCOME-EAST PEORIA 29431,A81000B,02400,0300,INTEREST INCOME-ST CHARLES 29431,A81000B,02500,0300,INTEREST INCOME-PEORIA 29431,A81000B,02600,0300,INTEREST INCOME-NORTHBROOK 29431,A81000B,02700,0300,INTEREST INCOME-MOLINE 29431,A81000B,02800,0300,INTEREST INCOME-INVERNESS 29431,A81000B,02900,0300,PHYSICAL THERAPY-ROSEWOOD THER 29431,A81000C,00100,0100,A 29431,A81000C,00100,0200,VANDER MATEN 29431,A81000C,00100,0400,HSM MANAGEMENT 29431,A81000C,00100,0600,MANAGEMENT 29431,A81000C,00200,0100,A 29431,A81000C,00200,0200,HOEFLING 29431,A81000C,00200,0400,HSM MANAGEMENT 29431,A81000C,00200,0600,MANAGEMENT 29431,A81000C,00300,0100,A 29431,A81000C,00300,0200,VANDER MATEN 29431,A81000C,00300,0400,EDWARDSVILLE R. 29431,A81000C,00300,0600,REAL ESTATE 29431,A81000C,00400,0100,A 29431,A81000C,00400,0200,HOEFLING 29431,A81000C,00400,0400,EDWARDSVILLE R. 29431,A81000C,00400,0600,REAL ESTATE 29431,A81000C,00500,0100,A 29431,A81000C,00500,0200,VANDER MATEN 29431,A81000C,00500,0400,HSM DEVELOPMENT 29431,A81000C,00500,0600,DEVELOPMENT 29431,A81000C,00600,0100,A 29431,A81000C,00600,0200,HOEFLING 29431,A81000C,00600,0400,HSM DEVELOPMENT 29431,A81000C,00600,0600,DEVELOPMENT 29431,A81000C,00700,0100,A 29431,A81000C,00700,0200,VANDER MATEN 29431,A81000C,00700,0400,RCC HOLDING CO. 29431,A81000C,00700,0600,HOLDING CO 29431,A81000C,00800,0100,A 29431,A81000C,00800,0200,HOEFLING 29431,A81000C,00800,0400,RCC HOLDING CO 29431,A81000C,00800,0600,HOLDING CO 29431,A81000C,00900,0100,A 29431,A81000C,00900,0200,VANDER MATEN 29431,A81000C,00900,0400,ROSEWOOD HOME H 29431,A81000C,00900,0600,HOME HEALTH 29431,A81000C,01000,0100,A 29431,A81000C,01000,0200,HOEFLING 29431,A81000C,01000,0400,ROSEWOOD HOME H 29431,A81000C,01000,0600,HOME HEALTH 29431,B100000,00000,0100,00000SQUARE FEET 29431,B100000,00000,0200,00000SQUARE FEET 29431,B100000,00000,0300,00000GROSS SALARIES 29431,B100000,00000,0400,00000ACCUM COST 29431,B100000,00000,0500,00000SQUARE FEET 29431,B100000,00000,0600,00000PATIENT DAYS 29431,B100000,00000,0700,00000SQUARE FEET 29431,B100000,00000,0800,00000MEALS SERVED 29431,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29431,B100000,00000,1000,00000PATIENT DAYS 29431,B100000,00000,1100,00000COSTED REQUIS 29431,B100000,00000,1200,00000TIME SPENT 29431,B100000,00000,1300,00000TIME SPENT 29431,B100000,00000,1350,00000PATIENT DAYS 29431,B100000,00000,1400,00000ASSIGNED TIME 29431,E10A180,00501,0100,01/31/2001 29431,E10A180,00501,0300,01/31/2001 29431,S000000,00100,0200,12/01/2000 29431,S200000,00100,0100,6277 CENTER GROVE ROAD 29431,S200000,00200,0100,EDWARDSVILLE 29431,S200000,00200,0200,IL 29431,S200000,00200,0300,62025 29431,S200000,00300,0100,MADISON 29431,S200000,00400,0100,ROSEWOOD CARE CTR INC EDWARDSVILLE 29431,S200000,00400,0200,145846 29431,S200000,00400,0300,07/20/1995 29431,S200000,00400,0500,P 29431,S200000,01600,0100,Y 29437,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29437,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29437,A000000,00300,0000,00300EMPLOYEE BENEFITS 29437,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29437,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29437,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29437,A000000,00700,0000,00700HOUSEKEEPING 29437,A000000,00800,0000,00800DIETARY 29437,A000000,00900,0000,00900NURSING ADMINISTRATION 29437,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29437,A000000,01100,0000,01100PHARMACY 29437,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29437,A000000,01300,0000,01300SOCIAL SERVICE 29437,A000000,01350,0000,01500ACTIVITIES 29437,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29437,A000000,01600,0000,01600SKILLED NURSING FACILITY 29437,A000000,01800,0000,01800NURSING FACILITY 29437,A000000,01810,0000,01810ICF/MR 29437,A000000,02100,0000,02100RADIOLOGY 29437,A000000,02200,0000,02200LABORATORY 29437,A000000,02500,0000,02500PHYSICAL THERAPY 29437,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29437,A000000,02700,0000,02700SPEECH PATHOLOGY 29437,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29437,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29437,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 29437,A000000,03550,0000,03550FQHC 29437,A000000,05000,0000,05000CORF 29437,A000000,05010,0000,05010CMHC 29437,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29437,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29437,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29437,A000000,05300,0000,05300INTEREST EXPENSE 29437,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29437,A81000A,00100,0100,Y 29437,A81000B,00100,0300,DEPR EXP - BLDGS REAL ESTATE C 29437,A81000B,00200,0300,RENT EXPENSE - REAL ESTATE COM 29437,A81000B,00300,0300,INTEREST EXPENSE - AFFILIATES 29437,A81000B,00400,0300,INTEREST EXPENSE - REAL ESTATE 29437,A81000B,00500,0300,PROFESSIONAL FEES - REAL ESTAT 29437,A81000B,00600,0300,DEPR EXPENSE - EQUIP REAL ESTA 29437,A81000B,00700,0300,OCCUPATIONAL THERAPY - ROSEWOO 29437,A81000B,00800,0300,SPEECH THERAPY - ROSEWOOD THER 29437,A81000B,00900,0300,PHYSICAL THERAPY - ROSEWOOD TH 29437,A81000B,00901,0300,INTEREST INCOME OFFSET - MOLIN 29437,A81000B,00902,0300,INTEREST INCOME OFFSET - INVER 29437,A81000B,00903,0300,INTEREST INCOME OFFSET - EAST 29437,A81000B,00904,0300,INTEREST INCOME OFFSET - GALES 29437,A81000B,00905,0300,INTEREST INCOME OFFSET - ALTON 29437,A81000B,00906,0300,INTEREST INCOME OFFSET - JOLIE 29437,A81000B,01000,0300,HOME OFFICE START UP COSTS 29437,A81000B,01100,0300,MANAGEMENT FEES - HSM MANAGEME 29437,A81000B,01200,0300,HOME OFFICE COSTS - DIRECT 29437,A81000B,01300,0300,HOME OFFICE COSTS - POOLED 29437,A81000B,01400,0300,HOME OFFICE CAP COSTS - DIRECT 29437,A81000B,01500,0300,HOME OFFICE CAP COSTS - POOLED 29437,A81000B,01600,0300,HOME OFFICE CAP COSTS - POOLED 29437,A81000B,01700,0300,HOME OFFICE COSTS - 6/30/99 DI 29437,A81000B,01800,0300,HOME OFFICE COSTS - 6/30/99 PO 29437,A81000B,01900,0300,HOME OFFICE CAP COSTS - 6/30/9 29437,A81000B,02000,0300,HOME OFFICE CAP COSTS - 6/30/9 29437,A81000B,02100,0300,HOME OFFICE CAP COSTS - 6/30/9 29437,A81000B,02200,0300,INTEREST INCOME OFFSET - SWANS 29437,A81000B,02300,0300,INTEREST INCOME OFFSET - EDWAR 29437,A81000B,02400,0300,INTEREST INCOME OFFSET - ST. L 29437,A81000B,02500,0300,INTEREST INCOME OFFSET - ROCKF 29437,A81000B,02600,0300,INTEREST INCOME OFFSET - ELGIN 29437,A81000B,02700,0300,INTEREST INCOME OFFSET - ST. C 29437,A81000B,02800,0300,INTEREST INCOME OFFSET - PEORI 29437,A81000B,02900,0300,INTEREST INCOME OFFSET - NORTH 29437,A81000C,00100,0100,A 29437,A81000C,00100,0200,VANDER MATEN 29437,A81000C,00100,0400,HSM MANAGEMENT 29437,A81000C,00100,0600,MANAGEMENT CO 29437,A81000C,00200,0100,A 29437,A81000C,00200,0200,HOEFLING 29437,A81000C,00200,0400,HSM MANAGEMENT 29437,A81000C,00200,0600,MANAGEMENT CO 29437,A81000C,00300,0100,A 29437,A81000C,00300,0200,VANDER MATEN 29437,A81000C,00300,0400,ROCKFORD REAL E 29437,A81000C,00300,0600,REAL ESTATE LSG 29437,A81000C,00400,0100,A 29437,A81000C,00400,0200,HOEFLING 29437,A81000C,00400,0400,ROCKFORD REAL E 29437,A81000C,00400,0600,REAL ESTATE LSG 29437,A81000C,00500,0100,A 29437,A81000C,00500,0200,VANDER MATEN 29437,A81000C,00500,0400,HSM DEVELOPMENT 29437,A81000C,00500,0600,DEVELOPMENT CO 29437,A81000C,00600,0100,A 29437,A81000C,00600,0200,HOEFLING 29437,A81000C,00600,0400,HSM DEVELOPMENT 29437,A81000C,00600,0600,DEVELOPMENT CO 29437,A81000C,00700,0100,A 29437,A81000C,00700,0200,VANDER MATEN 29437,A81000C,00700,0400,RCC HOLDING 29437,A81000C,00700,0600,HOLDING COMPANY 29437,A81000C,00800,0100,A 29437,A81000C,00800,0200,HOEFLING 29437,A81000C,00800,0400,RCC HOLDING 29437,A81000C,00800,0600,HOLDING COMPANY 29437,A81000C,00900,0100,A 29437,A81000C,00900,0200,VANDER MATEN 29437,A81000C,00900,0400,ROSEWOOD THERAP 29437,A81000C,00900,0600,THERAPY COMPANY 29437,A81000C,01000,0100,A 29437,A81000C,01000,0200,HOEFLING 29437,A81000C,01000,0400,ROSEWOOD THERAP 29437,A81000C,01000,0600,THERAPY COMPANY 29437,B100000,00000,0100,00000SQUARE FEET 29437,B100000,00000,0200,00000SQUARE FEET 29437,B100000,00000,0300,00000GROSS SALARIES 29437,B100000,00000,0400,00000ACCUM COST 29437,B100000,00000,0500,00000SQUARE FEET 29437,B100000,00000,0600,00000PATIENT DAYS 29437,B100000,00000,0700,00000SQUARE FEET 29437,B100000,00000,0800,00000MEALS SERVED 29437,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29437,B100000,00000,1000,00000PATIENT DAYS 29437,B100000,00000,1100,00000COSTED REQUIS 29437,B100000,00000,1200,00000TIME SPENT 29437,B100000,00000,1300,00000TIME SPENT 29437,B100000,00000,1350,00000PATIENT DAYS 29437,B100000,00000,1400,00000ASSIGNED TIME 29437,S000000,00100,0200,09/01/2000 29437,S200000,00100,0100,1660 S. MULFORD ROAD 29437,S200000,00200,0100,ROCKFORD 29437,S200000,00200,0200,IL 29437,S200000,00200,0300,61108 29437,S200000,00300,0100,WINNEBAGO 29437,S200000,00400,0100,ROSEWOOD CARE CTR INC OF ROCKFORD 29437,S200000,00400,0200,145891 29437,S200000,00400,0300,05/29/1996 29437,S200000,00400,0500,P 29437,S200000,01600,0100,Y 29446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29446,A000000,00300,0000,00300EMPLOYEE BENEFITS 29446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29446,A000000,00700,0000,00700HOUSEKEEPING 29446,A000000,00800,0000,00800DIETARY 29446,A000000,00900,0000,00900NURSING ADMINISTRATION 29446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29446,A000000,01100,0000,01100PHARMACY 29446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29446,A000000,01300,0000,01300SOCIAL SERVICE 29446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29446,A000000,01600,0000,01600SKILLED NURSING FACILITY 29446,A000000,01800,0000,01800NURSING FACILITY 29446,A000000,01810,0000,01810ICF/MR 29446,A000000,02200,0000,02200LABORATORY 29446,A000000,02500,0000,02500PHYSICAL THERAPY 29446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29446,A000000,02700,0000,02700SPEECH PATHOLOGY 29446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29446,A000000,03550,0000,03550FQHC 29446,A000000,05000,0000,05000CORF 29446,A000000,05010,0000,05010CMHC 29446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29446,A000000,05300,0000,05300INTEREST EXPENSE 29446,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29446,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29446,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29446,A81000A,00100,0100,Y 29446,A81000B,00100,0300,CAPITAL RELATED COSTS 29446,A81000B,00200,0300,A & G EXPENSES 29446,A81000C,00100,0100,A 29446,A81000C,00100,0200,ROBERT WACHTER 29446,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 29446,A81000C,00100,0600,MANAGEMENT COMPANY 29446,B100000,00000,0100,00000SQUARE FEET 29446,B100000,00000,0200,00000SQUARE FEET 29446,B100000,00000,0300,00000GROSS SALARIES 29446,B100000,00000,0400,00000ACCUM. COST 29446,B100000,00000,0500,00000SQUARE FEET 29446,B100000,00000,0600,00000POUNDS OF LAUNDRY 29446,B100000,00000,0700,00000SQUARE FEET 29446,B100000,00000,0800,00000MEALS SERVED 29446,B100000,00000,0900,00000HOURS OF SERVICE 29446,B100000,00000,1000,00000COSTED REQUIS 29446,B100000,00000,1100,00000COSTED REQUIS 29446,B100000,00000,1200,00000TIME SPENT 29446,B100000,00000,1300,00000TIME SPENT 29446,B100000,00000,1400,00000ASSIGNED TIME 29446,S000000,00100,0200,05/10/2000 29446,S200000,00100,0100,1 MYRTLE LANE 29446,S200000,00200,0100,HARDIN 29446,S200000,00200,0200,IL 29446,S200000,00200,0300,62047 29446,S200000,00300,0100,CALHOUN 29446,S200000,00400,0100,CALHOUN CARE CENTER 29446,S200000,00400,0200,145910 29446,S200000,00400,0300,09/26/1996 29446,S200000,00400,0500,P 29446,S200000,01600,0100,Y 29446,S200000,02200,0100,Y 29449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29449,A000000,00300,0000,00300EMPLOYEE BENEFITS 29449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29449,A000000,00700,0000,00700HOUSEKEEPING 29449,A000000,00800,0000,00800DIETARY 29449,A000000,00900,0000,00900NURSING ADMINISTRATION 29449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29449,A000000,01100,0000,01100PHARMACY 29449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29449,A000000,01300,0000,01300SOCIAL SERVICE 29449,A000000,01350,0000,01500ACTIVITIES 29449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29449,A000000,01600,0000,01600SKILLED NURSING FACILITY 29449,A000000,01800,0000,01800NURSING FACILITY 29449,A000000,01810,0000,01810ICF/MR 29449,A000000,02200,0000,02200LABORATORY 29449,A000000,02500,0000,02500PHYSICAL THERAPY 29449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29449,A000000,02700,0000,02700SPEECH PATHOLOGY 29449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29449,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 29449,A000000,03550,0000,03550FQHC 29449,A000000,05000,0000,05000CORF 29449,A000000,05010,0000,05010CMHC 29449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29449,A000000,05300,0000,05300INTEREST EXPENSE 29449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29449,A81000A,00100,0100,Y 29449,A81000B,00100,0300,RENT EXPENSE-REAL ESTATE COMPA 29449,A81000B,00200,0300,INTEREST EXPENSE-AFFILIATES 29449,A81000B,00300,0300,PROFESSIONAL FEES-REAL ESTATE 29449,A81000B,00400,0300,OCCUPATIONAL THERAPY-ROSEWOOD 29449,A81000B,00500,0300,SPEECH THERAPY-ROSEWOOD THERAP 29449,A81000B,00600,0300,PHYSICAL THERAPY-ROSEWOOD THER 29449,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 29449,A81000B,00800,0300,HOME OFFICE COSTS-DIRECT 29449,A81000B,00900,0300,HOME OFFICE COSTS-POOLED 29449,A81000B,00901,0300,HOME OFFICE STARTUP COSTS 29449,A81000B,00902,0300,INTEREST INCOME OFFSET - NORTH 29449,A81000B,00903,0300,INTEREST INCOME OFFSET - MOLIN 29449,A81000B,00904,0300,INTEREST INCOME OFFSET - INVER 29449,A81000B,00905,0300,INTEREST INCOME OFFSET - EAST 29449,A81000B,00906,0300,INTEREST INCOME OFFSET - GALES 29449,A81000B,00907,0300,INTEREST INCOME OFFSET - ALTON 29449,A81000B,00908,0300,INTEREST INCOME OFFSET - HOLDI 29449,A81000B,00909,0300,HOME OFFICE CAP COSTS - DIRECT 29449,A81000B,01000,0300,HOME OFFICE CAP COSTS-POOLED 29449,A81000B,01100,0300,HOME OFFICE CAP COSTS-POOLED 29449,A81000B,01200,0300,HOME OFFICE COSTS - 6/30/99 DI 29449,A81000B,01300,0300,HOME OFFICE COSTS - 6/30/99 PO 29449,A81000B,01400,0300,HOME OFFICE CAP COSTS-6/30/99 29449,A81000B,01500,0300,HOME OFFICE CAP COSTS-6/30/99 29449,A81000B,01600,0300,HOME OFFICE CAP COSTS-6/30/99 29449,A81000B,01700,0300,INTEREST INCOME OFFSET - SWANS 29449,A81000B,01800,0300,INTEREST INCOME OFFSET - EDWAR 29449,A81000B,01900,0300,INTEREST INCOME OFFSET - JOLIE 29449,A81000B,02000,0300,INTEREST INCOME OFFSET - ST. L 29449,A81000B,02100,0300,INTEREST INCOME OFFSET - ROCKF 29449,A81000B,02200,0300,INTEREST INCOME OFFSET - ELGIN 29449,A81000B,02300,0300,INTEREST EXPENSE - REAL ESTATE 29449,A81000B,02400,0300,DEPR EXP - BLDGS REAL ESTATE C 29449,A81000B,02500,0300,DEPR EXP - EQUIP REAL ESTATE C 29449,A81000B,02600,0300,INTEREST INCOME OFFSET - ST. C 29449,A81000B,02700,0300,INTEREST INCOME OFFSET - PEORI 29449,A81000B,02800,0300,HOME OFFICE STARTUP COSTS 29449,A81000B,02900,0300,HOME OFFICE STARTUP COSTS 29449,A81000C,00100,0100,A 29449,A81000C,00100,0200,VANDER MATEN 29449,A81000C,00100,0400,HSM MANAGEMENT 29449,A81000C,00100,0600,MANAGEMENT CO 29449,A81000C,00200,0100,A 29449,A81000C,00200,0200,HOEFLING 29449,A81000C,00200,0400,HSM MANAGEMENT 29449,A81000C,00200,0600,MANAGEMENT CO 29449,A81000C,00300,0100,A 29449,A81000C,00300,0200,VANDER MATEN 29449,A81000C,00300,0400,NORTHBROOK REAL 29449,A81000C,00300,0600,REAL ESTATE LSG 29449,A81000C,00400,0100,A 29449,A81000C,00400,0200,HOEFLING 29449,A81000C,00400,0400,NORTHBROOK REAL 29449,A81000C,00400,0600,REAL ESTATE LSG 29449,A81000C,00500,0100,A 29449,A81000C,00500,0200,VANDER MATEN 29449,A81000C,00500,0400,HSM DEVELOPMENT 29449,A81000C,00500,0600,DEVELOPMENT CO 29449,A81000C,00600,0100,A 29449,A81000C,00600,0200,HOEFLING 29449,A81000C,00600,0400,HSM DEVELOPMENT 29449,A81000C,00600,0600,DEVELOPMENT CO 29449,A81000C,00700,0100,A 29449,A81000C,00700,0200,VANDER MATEN 29449,A81000C,00700,0400,RCC HOLDING CO 29449,A81000C,00700,0600,HOLDING COMPANY 29449,A81000C,00800,0100,A 29449,A81000C,00800,0200,HOEFLING 29449,A81000C,00800,0400,RCC HOLDING CO 29449,A81000C,00800,0600,HOLDING COMPANY 29449,A81000C,00900,0100,A 29449,A81000C,00900,0200,VANDER MATEN 29449,A81000C,00900,0400,ROSEWOOD THERAP 29449,A81000C,00900,0600,THERAPY COMPANY 29449,A81000C,01000,0100,A 29449,A81000C,01000,0200,HOEFLING 29449,A81000C,01000,0400,ROSEWOOD THERAP 29449,A81000C,01000,0600,THERAPY COMPANY 29449,B100000,00000,0100,00000SQUARE FEET 29449,B100000,00000,0200,00000SQUARE FEET 29449,B100000,00000,0300,00000GROSS SALARIES 29449,B100000,00000,0400,00000ACCUM COST 29449,B100000,00000,0500,00000SQUARE FEET 29449,B100000,00000,0600,00000PATIENT DAYS 29449,B100000,00000,0700,00000SQUARE FEET 29449,B100000,00000,0800,00000MEALS SERVED 29449,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29449,B100000,00000,1000,00000PATIENT DAYS 29449,B100000,00000,1100,00000COSTED REQUIS 29449,B100000,00000,1200,00000TIME SPENT 29449,B100000,00000,1300,00000TIME SPENT 29449,B100000,00000,1350,00000PATIENT DAYS 29449,B100000,00000,1400,00000ASSIGNED TIME 29449,S000000,00100,0200,09/01/2000 29449,S200000,00100,0100,4101 LAKE COOK ROAD 29449,S200000,00200,0100,NORTHBROOK 29449,S200000,00200,0200,IL 29449,S200000,00200,0300,60062 29449,S200000,00300,0100,COOK 29449,S200000,00400,0100,ROSEWOOD CARE CTR INC OF NORTHBROOK 29449,S200000,00400,0200,145971 29449,S200000,00400,0300,06/01/1998 29449,S200000,00400,0500,P 29449,S200000,01600,0100,Y 29449,S200000,04300,0100,Y 29459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29459,A000000,00300,0000,00300EMPLOYEE BENEFITS 29459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29459,A000000,00700,0000,00700HOUSEKEEPING 29459,A000000,00800,0000,00800DIETARY 29459,A000000,00900,0000,00900NURSING ADMINISTRATION 29459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29459,A000000,01100,0000,01100PHARMACY 29459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29459,A000000,01300,0000,01300SOCIAL SERVICE 29459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29459,A000000,01600,0000,01600SKILLED NURSING FACILITY 29459,A000000,01800,0000,01800NURSING FACILITY 29459,A000000,01810,0000,01810ICF/MR 29459,A000000,02100,0000,02100RADIOLOGY 29459,A000000,02200,0000,02200LABORATORY 29459,A000000,02500,0000,02500PHYSICAL THERAPY 29459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29459,A000000,02700,0000,02700SPEECH PATHOLOGY 29459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29459,A000000,03050,0000,03300BGMT/ENTERALS 29459,A000000,03250,0000,03250EQUIPMENT RENTAL 29459,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29459,A000000,05000,0000,05000CORF 29459,A000000,05010,0000,05010CMHC 29459,A000000,05020,0000,05020OPT 29459,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29459,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29459,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29459,A81000A,00100,0100,Y 29459,A81000B,00100,0300,H/O CAPITAL COSTS 29459,A81000B,00200,0300,MANAGEMENT FEES 29459,A81000C,00100,0100,F 29459,A81000C,00100,0200,BOBBY ARNOLD 29459,A81000C,00100,0400,HCM INC. 29459,A81000C,00100,0600,MANAGEMENT CO. 29459,A81000C,00200,0100,F 29459,A81000C,00200,0200,JOHN L BLACK JR 29459,A81000C,00200,0400,HCM INC. 29459,A81000C,00200,0600,MANAGEMENT CO. 29459,A81000C,00300,0100,F 29459,A81000C,00300,0200,MARK WALDROP 29459,A81000C,00300,0400,HCM INC. 29459,A81000C,00300,0600,MANAGEMENT CO. 29459,B100000,00000,0100,00000(SQUARE FEET) 29459,B100000,00000,0200,00000(SQUARE FEET) 29459,B100000,00000,0300,00000(GROSS SALARIES) 29459,B100000,00000,0400,00000(ACCUM COST) 29459,B100000,00000,0500,00000(SQUARE FEET) 29459,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29459,B100000,00000,0700,00000(HOURS OF SERVICE) 29459,B100000,00000,0800,00000(MEALS SERVED) 29459,B100000,00000,0900,00000(DIR NRSG HOURS) 29459,B100000,00000,1000,00000(COSTED REQUIS) 29459,B100000,00000,1100,00000(COSTED REQUIS) 29459,B100000,00000,1200,00000(TIME SPENT) 29459,B100000,00000,1300,00000(TIME SPENT) 29459,B100000,00000,1400,00000(ASSIGNED TIME) 29459,E10A180,00501,0300,03/15/2000 29459,E10A180,00550,0100,03/15/2000 29459,S000000,00100,0200,02/04/2000 29459,S200000,00100,0100,830 SOUTH 5TH STREET 29459,S200000,00100,0300,0 29459,S200000,00200,0100,OSAGE 29459,S200000,00200,0200,IOWA 29459,S200000,00200,0300,50461 29459,S200000,00300,0100,MITCHELL 29459,S200000,00400,0100,OSAGE REHAB 29459,S200000,00400,0200,165173 29459,S200000,00400,0300,07/01/1992 29459,S200000,00400,0500,P 29459,S200000,01600,0100,Y 29459,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29459,S200000,02800,0100,Y 29467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29467,A000000,00300,0000,00300EMPLOYEE BENEFITS 29467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29467,A000000,00700,0000,00700HOUSEKEEPING 29467,A000000,00800,0000,00800DIETARY 29467,A000000,00900,0000,00900NURSING ADMINISTRATION 29467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29467,A000000,01100,0000,01100PHARMACY 29467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29467,A000000,01300,0000,01300SOCIAL SERVICE 29467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29467,A000000,01600,0000,01600SKILLED NURSING FACILITY 29467,A000000,01800,0000,01800NURSING FACILITY 29467,A000000,01810,0000,01810ICF/MR 29467,A000000,02100,0000,02100RADIOLOGY 29467,A000000,02200,0000,02200LABORATORY 29467,A000000,02300,0000,02300INTRAVENOUS THERAPY 29467,A000000,02500,0000,02500PHYSICAL THERAPY 29467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29467,A000000,02700,0000,02700SPEECH PATHOLOGY 29467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29467,A000000,03050,0000,03300BGMT/ENTERALS 29467,A000000,03250,0000,03250EQUIPMENT RENTAL 29467,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29467,A000000,05000,0000,05000CORF 29467,A000000,05010,0000,05010CMHC 29467,A000000,05020,0000,05020OPT 29467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29467,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29467,A81000A,00100,0100,Y 29467,A81000B,00100,0300,H/O CAPITAL COSTS 29467,A81000B,00200,0300,MANAGEMENT FEES 29467,A81000C,00100,0100,F 29467,A81000C,00100,0200,BOBBY ARNOLD 29467,A81000C,00100,0400,HCM INC. 29467,A81000C,00100,0600,MANAGEMENT CO. 29467,A81000C,00200,0100,F 29467,A81000C,00200,0200,JOHN L BLACK JR 29467,A81000C,00200,0400,HCM INC. 29467,A81000C,00200,0600,MANAGEMENT CO. 29467,A81000C,00300,0100,F 29467,A81000C,00300,0200,MARK WALDROP 29467,A81000C,00300,0400,HCM INC. 29467,A81000C,00300,0600,MANAGEMENT CO. 29467,B100000,00000,0100,00000(SQUARE FEET) 29467,B100000,00000,0200,00000(SQUARE FEET) 29467,B100000,00000,0300,00000(GROSS SALARIES) 29467,B100000,00000,0400,00000(ACCUM COST) 29467,B100000,00000,0500,00000(SQUARE FEET) 29467,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29467,B100000,00000,0700,00000(HOURS OF SERVICE) 29467,B100000,00000,0800,00000(MEALS SERVED) 29467,B100000,00000,0900,00000(DIR NRSG HOURS) 29467,B100000,00000,1000,00000(COSTED REQUIS) 29467,B100000,00000,1100,00000(COSTED REQUIS) 29467,B100000,00000,1200,00000(TIME SPENT) 29467,B100000,00000,1300,00000(TIME SPENT) 29467,B100000,00000,1400,00000(ASSIGNED TIME) 29467,E10A180,00501,0100,04/06/2000 29467,E10A180,00550,0300,04/06/2000 29467,S000000,00100,0200,02/25/2000 29467,S200000,00100,0100,2121 WEST 19TH STREET 29467,S200000,00200,0100,SIOUX CITY 29467,S200000,00200,0200,IOWA 29467,S200000,00200,0300,51103 29467,S200000,00300,0100,WOODBURY 29467,S200000,00400,0100,CASA DE PAZ 29467,S200000,00400,0200,165174 29467,S200000,00400,0300,10/25/1992 29467,S200000,00400,0500,P 29467,S200000,01600,0100,Y 29467,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29467,S200000,02800,0100,Y 29476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29476,A000000,00300,0000,00300EMPLOYEE BENEFITS 29476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29476,A000000,00700,0000,00700HOUSEKEEPING 29476,A000000,00800,0000,00800DIETARY 29476,A000000,00900,0000,00900NURSING ADMINISTRATION 29476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29476,A000000,01100,0000,01100PHARMACY 29476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29476,A000000,01300,0000,01300SOCIAL SERVICE 29476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29476,A000000,01600,0000,01600SKILLED NURSING FACILITY 29476,A000000,01810,0000,01810ICF/MR 29476,A000000,02100,0000,02100RADIOLOGY 29476,A000000,02200,0000,02200LABORATORY 29476,A000000,02300,0000,02300INTRAVENOUS THERAPY 29476,A000000,02500,0000,02500PHYSICAL THERAPY 29476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29476,A000000,02700,0000,02700SPEECH PATHOLOGY 29476,A000000,02800,0000,02800ELECTROCARDIOLOGY 29476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29476,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 29476,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29476,A000000,05000,0000,05000CORF 29476,A000000,05010,0000,05010CMHC 29476,A000000,05020,0000,05020OPT 29476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29476,A81000A,00100,0100,Y 29476,A81000B,00100,0300,H/O CAPITAL COSTS 29476,A81000B,00200,0300,MANAGEMENT FEES 29476,A81000C,00100,0100,F 29476,A81000C,00100,0200,BOBBY ARNOLD 29476,A81000C,00100,0400,HCM INC. 29476,A81000C,00100,0600,MANAGEMENT CO. 29476,A81000C,00200,0100,F 29476,A81000C,00200,0200,JOHN L BLACK JR 29476,A81000C,00200,0400,HCM INC. 29476,A81000C,00200,0600,MANAGEMENT CO. 29476,A81000C,00300,0100,F 29476,A81000C,00300,0200,MARK WALDROP 29476,A81000C,00300,0400,HCM INC. 29476,A81000C,00300,0600,MANAGEMENT CO. 29476,B100000,00000,0100,00000(SQUARE FEET) 29476,B100000,00000,0200,00000(SQUARE FEET) 29476,B100000,00000,0300,00000(GROSS SALARIES) 29476,B100000,00000,0400,00000(ACCUM COST) 29476,B100000,00000,0500,00000(SQUARE FEET) 29476,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29476,B100000,00000,0700,00000(HOURS OF SERVICE) 29476,B100000,00000,0800,00000(MEALS SERVED) 29476,B100000,00000,0900,00000(DIR NRSG HOURS) 29476,B100000,00000,1000,00000(COSTED REQUIS) 29476,B100000,00000,1100,00000(COSTED REQUIS) 29476,B100000,00000,1200,00000(TIME SPENT) 29476,B100000,00000,1300,00000(TIME SPENT) 29476,B100000,00000,1400,00000(ASSIGNED TIME) 29476,E10A180,00501,0100,03/08/2000 29476,E10A180,00501,0300,03/08/2000 29476,S000000,00100,0200,02/04/2000 29476,S200000,00100,0100,508 2ND STREET N.E. 29476,S200000,00200,0100,DAYTON 29476,S200000,00200,0200,IOWA 29476,S200000,00200,0300,50530 29476,S200000,00300,0100,WEBSTER 29476,S200000,00400,0100,GRANDVIEW CARE CENTER 29476,S200000,00400,0200,165196 29476,S200000,00400,0300,01/03/1994 29476,S200000,00400,0500,P 29476,S200000,01500,0100,Y 29476,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29476,S200000,02200,0100,Y 29476,S200000,02800,0100,Y 29486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29486,A000000,00300,0000,00300EMPLOYEE BENEFITS 29486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29486,A000000,00700,0000,00700HOUSEKEEPING 29486,A000000,00800,0000,00800DIETARY 29486,A000000,00900,0000,00900NURSING ADMINISTRATION 29486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29486,A000000,01100,0000,01100PHARMACY 29486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29486,A000000,01300,0000,01300SOCIAL SERVICE 29486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29486,A000000,01600,0000,01600SKILLED NURSING FACILITY 29486,A000000,01800,0000,01800NURSING FACILITY 29486,A000000,01810,0000,01810ICF/MR 29486,A000000,02100,0000,02100RADIOLOGY 29486,A000000,02300,0000,02300INTRAVENOUS THERAPY 29486,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29486,A000000,02500,0000,02500PHYSICAL THERAPY 29486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29486,A000000,02700,0000,02700SPEECH PATHOLOGY 29486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29486,A000000,03050,0000,03300BGMT/ENTERALS 29486,A000000,03250,0000,03250EQUIPMENT RENTAL 29486,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29486,A000000,05000,0000,05000CORF 29486,A000000,05010,0000,05010CMHC 29486,A000000,05020,0000,05020OPT 29486,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29486,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29486,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29486,A81000A,00100,0100,Y 29486,A81000B,00100,0300,H/O CAPITAL COSTS 29486,A81000B,00200,0300,MANAGEMENT FEES 29486,A81000C,00100,0100,F 29486,A81000C,00100,0200,BOBBY ARNOLD 29486,A81000C,00100,0400,HCM INC. 29486,A81000C,00100,0600,MANAGEMENT CO. 29486,A81000C,00200,0100,F 29486,A81000C,00200,0200,JOHN L BLACK JR 29486,A81000C,00200,0400,HCM INC. 29486,A81000C,00200,0600,MANAGEMENT CO. 29486,A81000C,00300,0100,F 29486,A81000C,00300,0200,MARK WALDROP 29486,A81000C,00300,0400,HCM INC. 29486,A81000C,00300,0600,MANAGEMENT CO. 29486,B100000,00000,0100,00000(SQUARE FEET) 29486,B100000,00000,0200,00000(SQUARE FEET) 29486,B100000,00000,0300,00000(GROSS SALARIES) 29486,B100000,00000,0400,00000(ACCUM COST) 29486,B100000,00000,0500,00000(SQUARE FEET) 29486,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29486,B100000,00000,0700,00000(HOURS OF SERVICE) 29486,B100000,00000,0800,00000(MEALS SERVED) 29486,B100000,00000,0900,00000(DIR NRSG HOURS) 29486,B100000,00000,1000,00000(COSTED REQUIS) 29486,B100000,00000,1100,00000(COSTED REQUIS) 29486,B100000,00000,1200,00000(TIME SPENT) 29486,B100000,00000,1300,00000(TIME SPENT) 29486,B100000,00000,1400,00000(ASSIGNED TIME) 29486,E10A180,00501,0100,02/25/2000 29486,E10A180,00550,0300,02/25/2000 29486,S000000,00100,0200,02/24/2000 29486,S200000,00100,0100,1728 WEST 8TH STREET 29486,S200000,00100,0300,0 29486,S200000,00200,0100,CEDAR FALLS 29486,S200000,00200,0200,IOWA 29486,S200000,00200,0300,50613 29486,S200000,00300,0100,BLACK HAWK 29486,S200000,00300,0200,8920 29486,S200000,00300,0300,U 29486,S200000,00400,0100,CEDAR FALLS HEALTHCARE CENTER 29486,S200000,00400,0200,165197 29486,S200000,00400,0300,01/01/1994 29486,S200000,00400,0500,P 29486,S200000,01600,0100,Y 29486,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29486,S200000,02200,0100,Y 29486,S200000,02800,0100,Y 29494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29494,A000000,00300,0000,00300EMPLOYEE BENEFITS 29494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29494,A000000,00700,0000,00700HOUSEKEEPING 29494,A000000,00800,0000,00800DIETARY 29494,A000000,00900,0000,00900NURSING ADMINISTRATION 29494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29494,A000000,01100,0000,01100PHARMACY 29494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29494,A000000,01300,0000,01300SOCIAL SERVICE 29494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29494,A000000,01600,0000,01600SKILLED NURSING FACILITY 29494,A000000,01800,0000,01800NURSING FACILITY 29494,A000000,01810,0000,01810ICF/MR 29494,A000000,02100,0000,02100RADIOLOGY 29494,A000000,02200,0000,02200LABORATORY 29494,A000000,02300,0000,02300INTRAVENOUS THERAPY 29494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29494,A000000,02500,0000,02500PHYSICAL THERAPY 29494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29494,A000000,02700,0000,02700SPEECH PATHOLOGY 29494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29494,A000000,03200,0000,03200SUPPORT SURFACES 29494,A000000,03250,0000,03250EQUIPMENT RENTAL 29494,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29494,A000000,05000,0000,05000CORF 29494,A000000,05010,0000,05010CMHC 29494,A000000,05020,0000,05020OPT 29494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29494,A81000A,00100,0100,Y 29494,A81000B,00100,0300,H/O CAPITAL COSTS 29494,A81000B,00200,0300,MANAGEMENT COSTS 29494,A81000C,00100,0100,F 29494,A81000C,00100,0200,BOBBY ARNOLD 29494,A81000C,00100,0400,HCM INC. 29494,A81000C,00100,0600,MANAGEMENT CO. 29494,A81000C,00200,0100,F 29494,A81000C,00200,0200,JOHN L BLACK JR 29494,A81000C,00200,0400,HCM INC. 29494,A81000C,00200,0600,MANAGEMENT CO. 29494,A81000C,00300,0100,F 29494,A81000C,00300,0200,MARK WALDROP 29494,A81000C,00300,0400,HCM INC. 29494,A81000C,00300,0600,MANAGEMENT CO. 29494,B100000,00000,0100,00000(SQUARE FEET) 29494,B100000,00000,0200,00000(SQUARE FEET) 29494,B100000,00000,0300,00000(GROSS SALARIES) 29494,B100000,00000,0400,00000(ACCUM COST) 29494,B100000,00000,0500,00000(SQUARE FEET) 29494,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29494,B100000,00000,0700,00000(HOURS OF SERVICE) 29494,B100000,00000,0800,00000(MEALS SERVED) 29494,B100000,00000,0900,00000(DIR NRSG HOURS) 29494,B100000,00000,1000,00000(COSTED REQUIS) 29494,B100000,00000,1100,00000(COSTED REQUIS) 29494,B100000,00000,1200,00000(TIME SPENT) 29494,B100000,00000,1300,00000(TIME SPENT) 29494,B100000,00000,1400,00000(ASSIGNED TIME) 29494,E10A180,00501,0100,04/11/2000 29494,E10A180,00550,0300,04/11/2000 29494,S000000,00100,0200,02/25/2000 29494,S200000,00100,0100,4635 HERBERT HOOVER HWY S.E. 29494,S200000,00200,0100,IOWA CITY 29494,S200000,00200,0200,IOWA 29494,S200000,00200,0300,52240 29494,S200000,00300,0100,JOHNSON 29494,S200000,00300,0200,3500 29494,S200000,00300,0300,U 29494,S200000,00400,0100,IOWA CITY CARE CENTER 29494,S200000,00400,0200,165198 29494,S200000,00400,0300,01/01/1994 29494,S200000,00400,0500,P 29494,S200000,01600,0100,Y 29494,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29494,S200000,02800,0100,Y 29502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29502,A000000,00300,0000,00300EMPLOYEE BENEFITS 29502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29502,A000000,00700,0000,00700HOUSEKEEPING 29502,A000000,00800,0000,00800DIETARY 29502,A000000,00900,0000,00900NURSING ADMINISTRATION 29502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29502,A000000,01100,0000,01100PHARMACY 29502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29502,A000000,01300,0000,01300SOCIAL SERVICE 29502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29502,A000000,01600,0000,01600SKILLED NURSING FACILITY 29502,A000000,01810,0000,01810ICF/MR 29502,A000000,02100,0000,02100RADIOLOGY 29502,A000000,02200,0000,02200LABORATORY 29502,A000000,02500,0000,02500PHYSICAL THERAPY 29502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29502,A000000,02700,0000,02700SPEECH PATHOLOGY 29502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29502,A000000,03250,0000,03250EQUIPMENT RENTAL 29502,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29502,A000000,05000,0000,05000CORF 29502,A000000,05010,0000,05010CMHC 29502,A000000,05020,0000,05020OPT 29502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29502,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29502,A81000A,00100,0100,Y 29502,A81000B,00100,0300,H/O CAPITAL COSTS 29502,A81000B,00200,0300,MANAGEMENT FEES 29502,A81000C,00100,0100,F 29502,A81000C,00100,0200,BOBBY ARNOLD 29502,A81000C,00100,0400,HMC INC. 29502,A81000C,00100,0600,MANAGEMENT CO. 29502,A81000C,00200,0100,F 29502,A81000C,00200,0200,JOHN L. BLACK JR 29502,A81000C,00200,0400,HCM INC. 29502,A81000C,00200,0600,MANAGEMENT CO. 29502,A81000C,00300,0100,F 29502,A81000C,00300,0200,MARK WALDROP 29502,A81000C,00300,0400,HCM INC. 29502,A81000C,00300,0600,MANAGEMENT CO. 29502,B100000,00000,0100,00000(SQUARE FEET) 29502,B100000,00000,0200,00000(SQUARE FEET) 29502,B100000,00000,0300,00000(GROSS SALARIES) 29502,B100000,00000,0400,00000(ACCUM COST) 29502,B100000,00000,0500,00000(SQUARE FEET) 29502,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29502,B100000,00000,0700,00000(HOURS OF SERVICE) 29502,B100000,00000,0800,00000(MEALS SERVED) 29502,B100000,00000,0900,00000(DIR NRSG HOURS) 29502,B100000,00000,1000,00000(COSTED REQUIS) 29502,B100000,00000,1100,00000(COSTED REQUIS) 29502,B100000,00000,1200,00000(TIME SPENT) 29502,B100000,00000,1300,00000(TIME SPENT) 29502,B100000,00000,1400,00000(ASSIGNED TIME) 29502,S000000,00100,0200,02/25/2000 29502,S200000,00100,0100,1000 HILLCREST DRIVE 29502,S200000,00200,0100,ANITA 29502,S200000,00200,0200,IOWA 29502,S200000,00200,0300,50020 29502,S200000,00300,0100,CASS 29502,S200000,00400,0100,COLONIAL MANOR OF ANITA 29502,S200000,00400,0200,165217 29502,S200000,00400,0300,05/01/1994 29502,S200000,00400,0500,P 29502,S200000,01500,0100,Y 29502,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29502,S200000,02800,0100,Y 29510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29510,A000000,00300,0000,00300EMPLOYEE BENEFITS 29510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29510,A000000,00700,0000,00700HOUSEKEEPING 29510,A000000,00800,0000,00800DIETARY 29510,A000000,00900,0000,00900NURSING ADMINISTRATION 29510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29510,A000000,01100,0000,01100PHARMACY 29510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29510,A000000,01300,0000,01300SOCIAL SERVICE 29510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29510,A000000,01600,0000,01600SKILLED NURSING FACILITY 29510,A000000,01810,0000,01810ICF/MR 29510,A000000,02100,0000,02100RADIOLOGY 29510,A000000,02200,0000,02200LABORATORY 29510,A000000,02300,0000,02300INTRAVENOUS THERAPY 29510,A000000,02500,0000,02500PHYSICAL THERAPY 29510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29510,A000000,02700,0000,02700SPEECH PATHOLOGY 29510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29510,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29510,A000000,05000,0000,05000CORF 29510,A000000,05010,0000,05010CMHC 29510,A000000,05020,0000,05020OPT 29510,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29510,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29510,A81000A,00100,0100,Y 29510,A81000B,00100,0300,H/O CAPITAL COSTS 29510,A81000B,00200,0300,MANAGEMENT FEES 29510,A81000C,00100,0100,F 29510,A81000C,00100,0200,BOBBY ARNOLD 29510,A81000C,00100,0400,HCM INC. 29510,A81000C,00100,0600,MANAGEMENT CO. 29510,A81000C,00200,0100,F 29510,A81000C,00200,0200,JOHN L BLACK JR 29510,A81000C,00200,0400,HCM INC. 29510,A81000C,00200,0600,MANAGEMENT CO. 29510,A81000C,00300,0100,F 29510,A81000C,00300,0200,MARK WALDROP 29510,A81000C,00300,0400,HCM INC. 29510,A81000C,00300,0600,MANAGEMENT CO. 29510,B100000,00000,0100,00000(SQUARE FEET) 29510,B100000,00000,0200,00000(SQUARE FEET) 29510,B100000,00000,0300,00000(GROSS SALARIES) 29510,B100000,00000,0400,00000(ACCUM COST) 29510,B100000,00000,0500,00000(SQUARE FEET) 29510,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29510,B100000,00000,0700,00000(HOURS OF SERVICE) 29510,B100000,00000,0800,00000(MEALS SERVED) 29510,B100000,00000,0900,00000(DIR NRSG HOURS) 29510,B100000,00000,1000,00000(COSTED REQUIS) 29510,B100000,00000,1100,00000(COSTED REQUIS) 29510,B100000,00000,1200,00000(TIME SPENT) 29510,B100000,00000,1300,00000(TIME SPENT) 29510,B100000,00000,1400,00000(ASSIGNED TIME) 29510,E10A180,00501,0300,03/15/2000 29510,E10A180,00550,0100,03/15/2000 29510,S000000,00100,0200,02/04/2000 29510,S200000,00100,0100,111 E. VAN BUREN 29510,S200000,00200,0100,LENOX 29510,S200000,00200,0200,IOWA 29510,S200000,00200,0300,50851 29510,S200000,00300,0100,TAYLOR 29510,S200000,00400,0100,LENOX CARE CENTER 29510,S200000,00400,0200,165235 29510,S200000,00400,0300,11/01/1994 29510,S200000,00400,0500,P 29510,S200000,01500,0100,Y 29510,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29510,S200000,02800,0100,Y 29520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29520,A000000,00300,0000,00300EMPLOYEE BENEFITS 29520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29520,A000000,00700,0000,00700HOUSEKEEPING 29520,A000000,00800,0000,00800DIETARY 29520,A000000,00900,0000,00900NURSING ADMINISTRATION 29520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29520,A000000,01100,0000,01100PHARMACY 29520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29520,A000000,01300,0000,01300SOCIAL SERVICE 29520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29520,A000000,01600,0000,01600SKILLED NURSING FACILITY 29520,A000000,01810,0000,01810ICF/MR 29520,A000000,02100,0000,02100RADIOLOGY 29520,A000000,02200,0000,02200LABORATORY 29520,A000000,02500,0000,02500PHYSICAL THERAPY 29520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29520,A000000,02700,0000,02700SPEECH PATHOLOGY 29520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29520,A000000,03050,0000,03300EQUIPMENT RENTAL 29520,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29520,A000000,05000,0000,05000CORF 29520,A000000,05010,0000,05010CMHC 29520,A000000,05020,0000,05020OPT 29520,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29520,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29520,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29520,A81000A,00100,0100,Y 29520,A81000B,00100,0300,H/O CAPITAL COST 29520,A81000B,00200,0300,MANAGEMENT FEES 29520,A81000C,00100,0100,F 29520,A81000C,00100,0200,BOBBY ARNOLD 29520,A81000C,00100,0400,HCM INC. 29520,A81000C,00100,0600,MANAGEMENT CO. 29520,A81000C,00200,0100,F 29520,A81000C,00200,0200,JOHN L BLACK JR 29520,A81000C,00200,0400,HCM INC. 29520,A81000C,00200,0600,MANAGEMENT CO. 29520,A81000C,00300,0100,F 29520,A81000C,00300,0200,MARK WALDROP 29520,A81000C,00300,0400,HCM INC. 29520,A81000C,00300,0600,MANAGEMENT CO. 29520,B100000,00000,0100,00000(SQUARE FEET) 29520,B100000,00000,0200,00000(SQUARE FEET) 29520,B100000,00000,0300,00000(GROSS SALARIES) 29520,B100000,00000,0400,00000(ACCUM COST) 29520,B100000,00000,0500,00000(SQUARE FEET) 29520,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29520,B100000,00000,0700,00000(HOURS OF SERVICE) 29520,B100000,00000,0800,00000(MEALS SERVED) 29520,B100000,00000,0900,00000(DIR NRSG HOURS) 29520,B100000,00000,1000,00000(COSTED REQUIS) 29520,B100000,00000,1100,00000(COSTED REQUIS) 29520,B100000,00000,1200,00000(TIME SPENT) 29520,B100000,00000,1300,00000(TIME SPENT) 29520,B100000,00000,1400,00000(ASSIGNED TIME) 29520,E10A180,00501,0100,04/03/2000 29520,E10A180,00550,0300,04/03/2000 29520,S000000,00100,0200,02/24/2000 29520,S200000,00100,0100,1202 RIDGE ROAD 29520,S200000,00200,0100,DENISON 29520,S200000,00200,0200,IOWA 29520,S200000,00200,0300,51442 29520,S200000,00300,0100,CRAWFORD 29520,S200000,00400,0100,DENISON CARE CENTER 29520,S200000,00400,0200,165238 29520,S200000,00400,0300,11/01/1994 29520,S200000,00400,0500,P 29520,S200000,01500,0100,Y 29520,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29520,S200000,02800,0100,Y 29529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29529,A000000,00300,0000,00300EMPLOYEE BENEFITS 29529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29529,A000000,00700,0000,00700HOUSEKEEPING 29529,A000000,00800,0000,00800DIETARY 29529,A000000,00900,0000,00900NURSING ADMINISTRATION 29529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29529,A000000,01100,0000,01100PHARMACY 29529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29529,A000000,01300,0000,01300SOCIAL SERVICE 29529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29529,A000000,01600,0000,01600SKILLED NURSING FACILITY 29529,A000000,01810,0000,01810ICF/MR 29529,A000000,02100,0000,02100RADIOLOGY 29529,A000000,02200,0000,02200LABORATORY 29529,A000000,02300,0000,02300INTRAVENOUS THERAPY 29529,A000000,02500,0000,02500PHYSICAL THERAPY 29529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29529,A000000,02700,0000,02700SPEECH PATHOLOGY 29529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29529,A000000,03250,0000,03250EQUIPMENT RENTAL 29529,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29529,A000000,05000,0000,05000CORF 29529,A000000,05010,0000,05010CMHC 29529,A000000,05020,0000,05020OPT 29529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29529,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29529,A81000A,00100,0100,Y 29529,A81000B,00100,0300,H/O CAPITAL COSTS 29529,A81000B,00200,0300,MANAGEMENT FEES 29529,A81000C,00100,0100,F 29529,A81000C,00100,0200,BOBBY ARNOLD 29529,A81000C,00100,0400,HCM INC. 29529,A81000C,00100,0600,MANAGEMENT CO. 29529,A81000C,00200,0100,F 29529,A81000C,00200,0200,JOHN L BLACK JR 29529,A81000C,00200,0400,HCM INC. 29529,A81000C,00200,0600,MANAGEMENT CO. 29529,A81000C,00300,0100,F 29529,A81000C,00300,0200,MARK WALDROP 29529,A81000C,00300,0400,HCM INC. 29529,A81000C,00300,0600,MANAGEMENT CO. 29529,B100000,00000,0100,00000(SQUARE FEET) 29529,B100000,00000,0200,00000(SQUARE FEET) 29529,B100000,00000,0300,00000(GROSS SALARIES) 29529,B100000,00000,0400,00000(ACCUM COST) 29529,B100000,00000,0500,00000(SQUARE FEET) 29529,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29529,B100000,00000,0700,00000(HOURS OF SERVICE) 29529,B100000,00000,0800,00000(MEALS SERVED) 29529,B100000,00000,0900,00000(DIR NRSG HOURS) 29529,B100000,00000,1000,00000(COSTED REQUIS) 29529,B100000,00000,1100,00000(COSTED REQUIS) 29529,B100000,00000,1200,00000(TIME SPENT) 29529,B100000,00000,1300,00000(TIME SPENT) 29529,B100000,00000,1400,00000(ASSIGNED TIME) 29529,E10A180,00550,0100,03/22/2000 29529,E10A180,00550,0300,03/22/2000 29529,S000000,00100,0200,02/24/2000 29529,S200000,00100,0100,FIRST & J AVENUE 29529,S200000,00200,0100,GRUNDY CENTER 29529,S200000,00200,0200,IOWA 29529,S200000,00200,0300,50638 29529,S200000,00300,0100,GRUNDY 29529,S200000,00400,0100,GRUNDY CARE CENTER 29529,S200000,00400,0200,165241 29529,S200000,00400,0300,12/01/1994 29529,S200000,00400,0500,P 29529,S200000,01500,0100,Y 29529,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29529,S200000,02800,0100,Y 29536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29536,A000000,00300,0000,00300EMPLOYEE BENEFITS 29536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29536,A000000,00700,0000,00700HOUSEKEEPING 29536,A000000,00800,0000,00800DIETARY 29536,A000000,00900,0000,00900NURSING ADMINISTRATION 29536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29536,A000000,01100,0000,01100PHARMACY 29536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29536,A000000,01300,0000,01300SOCIAL SERVICE 29536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29536,A000000,01600,0000,01600SKILLED NURSING FACILITY 29536,A000000,01810,0000,01810ICF/MR 29536,A000000,02200,0000,02200LABORATORY 29536,A000000,02500,0000,02500PHYSICAL THERAPY 29536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29536,A000000,02700,0000,02700SPEECH PATHOLOGY 29536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29536,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 29536,A000000,05000,0000,05000CORF 29536,A000000,05010,0000,05010CMHC 29536,A000000,05020,0000,05020OPT 29536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 29536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29536,A81000A,00100,0100,Y 29536,A81000B,00100,0300,H/O CAPITAL COSTS 29536,A81000B,00200,0300,MANAGEMENT FEES 29536,A81000C,00100,0100,F 29536,A81000C,00100,0200,BOBBY ARNOLD 29536,A81000C,00100,0400,HCM INC. 29536,A81000C,00100,0600,MANAGEMENT CO. 29536,A81000C,00200,0100,F 29536,A81000C,00200,0200,JOHN L BLACK JR 29536,A81000C,00200,0400,HCM INC. 29536,A81000C,00200,0600,MANAGEMENT CO. 29536,A81000C,00300,0100,F 29536,A81000C,00300,0200,MARK WALDROP 29536,A81000C,00300,0400,HCM INC. 29536,A81000C,00300,0600,MANAGEMENT CO. 29536,B100000,00000,0100,00000(SQUARE FEET) 29536,B100000,00000,0200,00000(SQUARE FEET) 29536,B100000,00000,0300,00000(GROSS SALARIES) 29536,B100000,00000,0400,00000(ACCUM COST) 29536,B100000,00000,0500,00000(SQUARE FEET) 29536,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 29536,B100000,00000,0700,00000(HOURS OF SERVICE) 29536,B100000,00000,0800,00000(MEALS SERVED) 29536,B100000,00000,0900,00000(DIR NRSG HOURS) 29536,B100000,00000,1000,00000(COSTED REQUIS) 29536,B100000,00000,1100,00000(COSTED REQUIS) 29536,B100000,00000,1200,00000(TIME SPENT) 29536,B100000,00000,1300,00000(TIME SPENT) 29536,B100000,00000,1400,00000(ASSIGNED TIME) 29536,S000000,00100,0200,02/24/2000 29536,S200000,00100,0100,309 RAILROAD 29536,S200000,00200,0100,HULL 29536,S200000,00200,0200,IOWA 29536,S200000,00200,0300,51239 29536,S200000,00300,0100,SIOUX 29536,S200000,00400,0100,PLEASANT ACRES CARE CENTER 29536,S200000,00400,0200,165248 29536,S200000,00400,0300,01/01/1995 29536,S200000,00400,0500,P 29536,S200000,01500,0100,Y 29536,S200000,01900,0100,S-CORPORATION SUBSIDIARY 29536,S200000,02800,0100,Y 29544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29544,A000000,00300,0000,00300EMPLOYEE BENEFITS 29544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29544,A000000,00700,0000,00700HOUSEKEEPING 29544,A000000,00800,0000,00800DIETARY 29544,A000000,00810,0000,00801CAFETERIA 29544,A000000,00900,0000,00900NURSING ADMINISTRATION 29544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29544,A000000,01100,0000,01100PHARMACY 29544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29544,A000000,01300,0000,01300SOCIAL SERVICE 29544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29544,A000000,01600,0000,01600SKILLED NURSING FACILITY 29544,A000000,01800,0000,01800NURSING FACILITY 29544,A000000,01810,0000,01810ICF/MR 29544,A000000,02100,0000,02100RADIOLOGY 29544,A000000,02200,0000,02200LABORATORY 29544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29544,A000000,02500,0000,02500PHYSICAL THERAPY 29544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29544,A000000,02700,0000,02700SPEECH PATHOLOGY 29544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29544,A000000,03200,0000,03200SUPPORT SURFACES 29544,A000000,03550,0000,03550FQHC 29544,A000000,05000,0000,05000CORF 29544,A000000,05010,0000,05010CMHC 29544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29544,A000000,06150,0000,06300GUEST MEALS 29544,A81000A,00100,0100,Y 29544,A81000B,00100,0300,BLDG LEASE EXPENSE 29544,A81000B,00200,0300,LAB EXPENSE 29544,A81000B,00300,0300,RESP THERAPY EXP 29544,A81000C,00100,0100,A 29544,A81000C,00100,0200,PROGRESSIVE CAR 29544,A81000C,00100,0400,WILLIS KNIGHTON 29544,A81000C,00100,0600,INTEGRATED HEAL 29544,B100000,00000,0100,00000SQUARE FEET 29544,B100000,00000,0200,00000SQUARE FEET 29544,B100000,00000,0300,00000GROSS SALARIES 29544,B100000,00000,0400,00000ACCUM COST 29544,B100000,00000,0500,00000SQUARE FEET 29544,B100000,00000,0600,00000POUNDS OF LAUNDRY 29544,B100000,00000,0700,00000HOURS OF SERVICE 29544,B100000,00000,0800,00000MEALS SERVED 29544,B100000,00000,0801,00000PAID HOURS 29544,B100000,00000,0900,00000DIRECT NRSG HRS 29544,B100000,00000,1000,00000COSTED REQUIS 29544,B100000,00000,1100,00000COSTED REQUIS 29544,B100000,00000,1200,00000TIME SPENT 29544,B100000,00000,1300,00000TIME SPENT 29544,B100000,00000,1400,00000ASSIGNED TIME 29544,E10A180,00501,0100,05/03/2000 29544,E10A180,00501,0300,05/03/2000 29544,S000000,00100,0200,03/01/2000 29544,S200000,00100,0100,2715 VIRGINIA AVENUE 29544,S200000,00200,0100,SHREVEPORT 29544,S200000,00200,0200,LA 29544,S200000,00200,0300,71103 29544,S200000,00300,0100,CADDO 29544,S200000,00400,0100,PROGRESSIVE CARE CENTER 29544,S200000,00400,0200,195136 29544,S200000,00400,0300,06/20/1969 29544,S200000,00400,0500,P 29544,S200000,01600,0100,Y 29554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29554,A000000,00300,0000,00300EMPLOYEE BENEFITS 29554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29554,A000000,00700,0000,00700HOUSEKEEPING 29554,A000000,00800,0000,00800DIETARY 29554,A000000,00900,0000,00900NURSING ADMINISTRATION 29554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29554,A000000,01100,0000,01100PHARMACY 29554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29554,A000000,01300,0000,01300SOCIAL SERVICE 29554,A000000,01301,0000,01301MEDICAL STAFF 29554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29554,A000000,01800,0000,01800NURSING FACILITY 29554,A000000,01810,0000,01810ICF/MR 29554,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29554,A000000,02500,0000,02500PHYSICAL THERAPY 29554,A000000,02501,0000,02501RECREATIONAL ACTIVITIES 29554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29554,A000000,02700,0000,02700SPEECH PATHOLOGY 29554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29554,A000000,03550,0000,03550FQHC 29554,A000000,05000,0000,05000CORF 29554,A000000,05010,0000,05010CMHC 29554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29554,A81000A,00100,0100,Y 29554,A81000B,00100,0300,DHH INDIRECT COSTS 29554,A81000C,00100,0100,A 29554,A81000C,00100,0200,NEW ORLEANS HOM 29554,A81000C,00100,0400,DEPARTMENT OF H 29554,A81000C,00100,0600,MANAGEMENT 29554,B100000,00000,0100,00040SQUARE FEET 29554,B100000,00000,0200,00040SQUARE FEET 29554,B100000,00000,0300,00040GROSS SALARIES 29554,B100000,00000,0400,00040ACCUM COST 29554,B100000,00000,0500,00040SQUARE FEET 29554,B100000,00000,0600,00040POUNDS OF LAUNDRY 29554,B100000,00000,0700,00040HOURS OF SERVICE 29554,B100000,00000,0800,00040MEALS SERVED 29554,B100000,00000,0900,00040DIRECT NRSG HRS 29554,B100000,00000,1000,00040COSTED REQUIS 29554,B100000,00000,1100,00040COSTED REQUIS 29554,B100000,00000,1200,00040TIME SPENT 29554,B100000,00000,1300,00040TIME SPENT 29554,B100000,00000,1301,00040 29554,B100000,00000,1400,00040ASSIGNED TIME 29554,E10A180,00501,0100,08/22/2001 29554,E10A180,00550,0100,02/09/2001 29554,S000000,00100,0200,12/29/2000 29554,S200000,00100,0100,612 HENRY CLAY AVENUE 29554,S200000,00100,0300,4093 29554,S200000,00200,0100,NEW ORLEANS 29554,S200000,00200,0200,LA 29554,S200000,00200,0300,70173 29554,S200000,00300,0100,ORLEANS 29554,S200000,00400,0100,NEW ORLEANS HOME AND REHAB 29554,S200000,00400,0200,195149 29554,S200000,00400,0300,09/05/1981 29554,S200000,00400,0500,P 29554,S200000,00600,0200,151506 29554,S200000,00600,0300,09/05/1981 29554,S200000,00600,0600,P 29554,S200000,00610,0200,195149 29554,S200000,00610,0300,09/05/1981 29554,S200000,00610,0600,O 29554,S200000,01600,0100,Y 29554,S200000,01800,0100,Y 29554,S200000,02200,0100,Y 29554,S200000,03300,0100,Y 29554,S200000,03300,0200,Y 29554,S200000,03500,0300,Y 29554,S200000,04100,0100,Y 29554,S200000,04200,0100,Y 29569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29569,A000000,00300,0000,00300EMPLOYEE BENEFITS 29569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29569,A000000,00700,0000,00700HOUSEKEEPING 29569,A000000,00800,0000,00800DIETARY 29569,A000000,00900,0000,00900NURSING ADMINISTRATION 29569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29569,A000000,01100,0000,01100PHARMACY 29569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29569,A000000,01300,0000,01300SOCIAL SERVICE 29569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29569,A000000,01600,0000,01600SKILLED NURSING FACILITY 29569,A000000,01800,0000,01800NURSING FACILITY 29569,A000000,01810,0000,01810ICF/MR 29569,A000000,02100,0000,02100RADIOLOGY 29569,A000000,02200,0000,02200LABORATORY 29569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29569,A000000,02500,0000,02500PHYSICAL THERAPY 29569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29569,A000000,02700,0000,02700SPEECH PATHOLOGY 29569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29569,A000000,03550,0000,03550FQHC 29569,A000000,05000,0000,05000CORF 29569,A000000,05010,0000,05010CMHC 29569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29569,A000000,05300,0000,05300INTEREST EXPENSE 29569,A81000A,00100,0100,Y 29569,A81000B,00100,0300,HOME OFFICE COSTS - CRC - BUIL 29569,A81000B,00200,0300,HOME OFFICE COSTS - CRC - EQUI 29569,A81000B,00300,0300,HOME OFFICE COSTS - NON CAPITA 29569,A81000C,00100,0100,B 29569,A81000C,00100,0400,EVANGELINE HEAL 29569,A81000C,00100,0600,MGMT CO 29569,B100000,00000,0100,00000SQUARE FEET 29569,B100000,00000,0200,00000SQUARE FEET 29569,B100000,00000,0300,00000GROSS SALARIES 29569,B100000,00000,0400,00000ACCUM COST 29569,B100000,00000,0500,00000SQUARE FEET 29569,B100000,00000,0600,00000POUNDS OF LAUNDRY 29569,B100000,00000,0700,00000HOURS OF SERVICE 29569,B100000,00000,0800,00000MEALS SERVED 29569,B100000,00000,0900,00000DIRECT NRSG HRS 29569,B100000,00000,1000,00000COSTED REQUIS 29569,B100000,00000,1100,00000COSTED REQUIS 29569,B100000,00000,1200,00000TIME SPENT 29569,B100000,00000,1300,00000TIME SPENT 29569,B100000,00000,1400,00000ASSIGNED TIME 29569,S000000,00100,0200,11/30/2000 29569,S200000,00100,0100,400 MONARCH DRIVE 29569,S200000,00200,0100,HOUMA 29569,S200000,00200,0200,LOUISIANA 29569,S200000,00200,0300,70364 29569,S200000,00300,0100,TERREBONE PARISH 29569,S200000,00400,0100,EVANGELINE VILLAGE NURSING HOME INC 29569,S200000,00400,0200,195201 29569,S200000,00400,0300,07/01/1994 29569,S200000,00400,0500,P 29575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29575,A000000,00300,0000,00300EMPLOYEE BENEFITS 29575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29575,A000000,00700,0000,00700HOUSEKEEPING 29575,A000000,00800,0000,00800DIETARY 29575,A000000,00900,0000,00900NURSING ADMINISTRATION 29575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29575,A000000,01100,0000,01100PHARMACY 29575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29575,A000000,01300,0000,01300SOCIAL SERVICE 29575,A000000,01350,0000,01500PATIENT ACTIVITIES 29575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29575,A000000,01600,0000,01600SKILLED NURSING FACILITY 29575,A000000,01800,0000,01800NURSING FACILITY 29575,A000000,01810,0000,01810ICF/MR 29575,A000000,02100,0000,02100RADIOLOGY 29575,A000000,02200,0000,02200LABORATORY 29575,A000000,02500,0000,02500PHYSICAL THERAPY 29575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29575,A000000,02700,0000,02700SPEECH PATHOLOGY 29575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29575,A000000,03051,0000,03301AIR FLUIDIZED BEDS 29575,A000000,03550,0000,03550FQHC 29575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29575,A000000,05000,0000,05000CORF 29575,A000000,05010,0000,05010CMHC 29575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29575,B100000,00000,0100,00000SQUARE FEET 29575,B100000,00000,0200,00000SQUARE FEET 29575,B100000,00000,0300,00000GROSS SALARIES 29575,B100000,00000,0400,00000ACCUM. COST 29575,B100000,00000,0500,00000SQUARE FEET 29575,B100000,00000,0600,00000POUNDS OF LAUNDRY 29575,B100000,00000,0700,00000HOURS OF SERVICE 29575,B100000,00000,0800,00000MEALS SERVED 29575,B100000,00000,0900,00000DIRECT NRSING HRS 29575,B100000,00000,1000,00000COSTED REQUIS 29575,B100000,00000,1100,00000COSTED REQUIS 29575,B100000,00000,1200,00000TIME SPENT 29575,B100000,00000,1300,00000TIME SPENT 29575,B100000,00000,1350,00000PATIENT ACTIVITIES 29575,B100000,00000,1400,00000ASSIGNED TIME 29575,S000000,00100,0200,03/01/2000 29575,S200000,00100,0100,1050 MEDICAL CENTER BLVD 29575,S200000,00200,0100,MARRERO 29575,S200000,00200,0200,LA 29575,S200000,00300,0100,JEFFERSON 29575,S200000,00400,0100,WYNHOVEN HEALTH CARE CENTER 29575,S200000,00400,0200,195210 29575,S200000,00400,0300,01/22/1987 29575,S200000,00400,0500,P 29575,S200000,01600,0100,Y 29575,S200000,04300,0100,Y 29584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29584,A000000,00300,0000,00300EMPLOYEE BENEFITS 29584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29584,A000000,00700,0000,00700HOUSEKEEPING 29584,A000000,00800,0000,00800DIETARY 29584,A000000,00900,0000,00900NURSING ADMINISTRATION 29584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29584,A000000,01100,0000,01100PHARMACY 29584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29584,A000000,01300,0000,01300SOCIAL SERVICE 29584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29584,A000000,01600,0000,01600SKILLED NURSING FACILITY 29584,A000000,01800,0000,01800NURSING FACILITY 29584,A000000,01810,0000,01810ICF/MR 29584,A000000,02100,0000,02100RADIOLOGY 29584,A000000,02200,0000,02200LABORATORY 29584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29584,A000000,02500,0000,02500PHYSICAL THERAPY 29584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29584,A000000,02700,0000,02700SPEECH PATHOLOGY 29584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29584,A000000,03550,0000,03550FQHC 29584,A000000,05000,0000,05000CORF 29584,A000000,05010,0000,05010CMHC 29584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29584,A000000,05300,0000,05300INTEREST EXPENSE 29584,A81000A,00100,0100,Y 29584,A81000B,00100,0300,HOME OFFICE COSTS - CRC BLDG 29584,A81000B,00200,0300,HOME OFFICE COSTS - CRC EQUIP 29584,A81000B,00300,0300,HOME OFFICE COSTS - NON PROPER 29584,A81000C,00100,0100,B 29584,A81000C,00100,0400,EVANGELINE HEAL 29584,A81000C,00100,0600,MGMT CO 29584,B100000,00000,0100,00000SQUARE FEET 29584,B100000,00000,0200,00000SQUARE FEET 29584,B100000,00000,0300,00000GROSS SALARIES 29584,B100000,00000,0400,00000ACCUM COST 29584,B100000,00000,0500,00000SQUARE FEET 29584,B100000,00000,0600,00000POUNDS OF LAUNDRY 29584,B100000,00000,0700,00000HOURS OF SERVICE 29584,B100000,00000,0800,00000MEALS SERVED 29584,B100000,00000,0900,00000DIRECT NRSG HRS 29584,B100000,00000,1000,00000COSTED REQUIS 29584,B100000,00000,1100,00000COSTED REQUIS 29584,B100000,00000,1200,00000TIME SPENT 29584,B100000,00000,1300,00000TIME SPENT 29584,B100000,00000,1400,00000ASSIGNED TIME 29584,S000000,00100,0200,11/30/2000 29584,S200000,00100,0100,22 PLANTATION ROAD 29584,S200000,00200,0100,DESTREHAN 29584,S200000,00200,0200,LOUISIANA 29584,S200000,00200,0300,70047 29584,S200000,00300,0100,ST. CHARLES PARISH 29584,S200000,00400,0100,EVANGELINE OF ORMOND INC. 29584,S200000,00400,0200,195221 29584,S200000,00400,0300,07/01/1994 29584,S200000,00400,0500,P 29614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29614,A000000,00300,0000,00300EMPLOYEE BENEFITS 29614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29614,A000000,00700,0000,00700HOUSEKEEPING 29614,A000000,00800,0000,00800DIETARY 29614,A000000,00900,0000,00900NURSING ADMINISTRATION 29614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29614,A000000,01100,0000,01100PHARMACY 29614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29614,A000000,01300,0000,01300SOCIAL SERVICE 29614,A000000,01350,0000,01500OTHER GENERAL SERVICES 29614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29614,A000000,01600,0000,01600SKILLED NURSING FACILITY 29614,A000000,01800,0000,01800NURSING FACILITY 29614,A000000,01810,0000,01810ICF/MR 29614,A000000,02100,0000,02100RADIOLOGY 29614,A000000,02200,0000,02200LABORATORY 29614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29614,A000000,02500,0000,02500PHYSICAL THERAPY 29614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29614,A000000,02700,0000,02700SPEECH PATHOLOGY 29614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29614,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29614,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 29614,A000000,03550,0000,03550FQHC 29614,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29614,A000000,05000,0000,05000CORF 29614,A000000,05010,0000,05010CMHC 29614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29614,A81000A,00100,0100,Y 29614,A81000B,00100,0300,MANAGEMENT FEES 29614,A81000C,00100,0100,B 29614,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 29614,A81000C,00100,0600,MANAGEMENT COMPANY 29614,B100000,00000,0100,00000SQUARE FEET 29614,B100000,00000,0200,00000SQUARE FEET 29614,B100000,00000,0300,00000GROSS SALARIES 29614,B100000,00000,0400,00000ACCUM. COST 29614,B100000,00000,0500,00000SQUARE FEET 29614,B100000,00000,0600,00000POUNDS OF LAUNDRY 29614,B100000,00000,0700,00000SQUARE FEET 29614,B100000,00000,0800,00000MEALS SERVED 29614,B100000,00000,0900,00000DIRECT NRSING HRS 29614,B100000,00000,1000,00000COSTED REQUIS. 29614,B100000,00000,1100,00000COSTED REQUIS. 29614,B100000,00000,1200,00000TIME SPENT 29614,B100000,00000,1300,00000TIME SPENT 29614,B100000,00000,1350,00000NO STATISTICS 29614,B100000,00000,1400,00000ASSIGNED TIME 29614,E10A180,00301,0100,04/05/2000 29614,E10A180,00501,0100,12/06/2000 29614,E10A180,00501,0300,12/06/2000 29614,S000000,00100,0200,08/31/2000 29614,S200000,00100,0100,6340 HWY 4 29614,S200000,00100,0300,879 29614,S200000,00200,0100,WINNSBORO 29614,S200000,00200,0200,LA 29614,S200000,00200,0300,71295 29614,S200000,00300,0100,FRANKLIN 29614,S200000,00400,0100,PLANTATION MANOR NURSING HOME 29614,S200000,00400,0200,195257 29614,S200000,00400,0300,05/17/1990 29614,S200000,00400,0500,P 29614,S200000,01600,0100,Y 29614,S200000,04300,0100,Y 29621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29621,A000000,00300,0000,00300EMPLOYEE BENEFITS 29621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29621,A000000,00700,0000,00700HOUSEKEEPING 29621,A000000,00800,0000,00800DIETARY 29621,A000000,00900,0000,00900NURSING ADMINISTRATION 29621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29621,A000000,01100,0000,01100PHARMACY 29621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29621,A000000,01300,0000,01300SOCIAL SERVICE 29621,A000000,01350,0000,01500OTHER GENERAL SERVICES 29621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29621,A000000,01600,0000,01600SKILLED NURSING FACILITY 29621,A000000,01800,0000,01800NURSING FACILITY 29621,A000000,01810,0000,01810ICF/MR 29621,A000000,02100,0000,02100RADIOLOGY 29621,A000000,02200,0000,02200LABORATORY 29621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29621,A000000,02500,0000,02500PHYSICAL THERAPY 29621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29621,A000000,02700,0000,02700SPEECH PATHOLOGY 29621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29621,A000000,03550,0000,03550FQHC 29621,A000000,04800,0000,04800AMBULANCE 29621,A000000,05000,0000,05000CORF 29621,A000000,05010,0000,05010CMHC 29621,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29621,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29621,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29621,A000000,05300,0000,05300INTEREST EXPENSE 29621,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29621,A81000A,00100,0100,Y 29621,A81000B,00100,0300,HOME OFFICE COST 29621,A81000B,00200,0300,TUB FEEDING COST 29621,A81000C,00100,0100,B 29621,A81000C,00100,0200,FELICIANA HEALTH SERVICES 29621,A81000C,00100,0400,FELICIANA HEALTH SERVICES 29621,A81000C,00100,0600,HOME OFFICE 29621,B100000,00000,0100,00000SQUARE FEET 29621,B100000,00000,0200,00000DOLLAR VALUE 29621,B100000,00000,0300,00000GROSS SALARIES 29621,B100000,00000,0400,00000ACCUM. COST 29621,B100000,00000,0500,00000SQUARE FEET 29621,B100000,00000,0600,00000POUNDS OF LAUNDRY 29621,B100000,00000,0700,00000HOURS OF SERVICE 29621,B100000,00000,0800,00000MEALS SERVED 29621,B100000,00000,0900,00000DIRECT NRSING HRS 29621,B100000,00000,1000,00000COSTED REQUIS. 29621,B100000,00000,1100,00000COSTED REQUIS. 29621,B100000,00000,1200,00000TIME SPENT 29621,B100000,00000,1300,00000TIME SPENT 29621,B100000,00000,1350,00000NO STATISTICS 29621,B100000,00000,1400,00000ASSIGNED TIME 29621,E10A180,00302,0100,09/20/1999 29621,E10A180,00303,0100,12/01/1999 29621,S000000,00100,0200,05/22/2000 29621,S200000,00100,0100,9725 GRACE LANE 29621,S200000,00100,0300,2020 29621,S200000,00200,0100,CLINTON 29621,S200000,00200,0200,LA 29621,S200000,00300,0100,EAST FELICIANA PARISH 29621,S200000,00400,0100,GRACE NURSING HOME 29621,S200000,00400,0200,195258 29621,S200000,00400,0300,07/26/1990 29621,S200000,00400,0500,P 29621,S200000,00600,0200,195358 29621,S200000,00600,0300,07/26/1990 29621,S200000,01600,0100,Y 29621,S200000,04700,0100,Y 29621,S200000,04700,0200,Y 29665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29665,A000000,00300,0000,00300EMPLOYEE BENEFITS 29665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29665,A000000,00700,0000,00700HOUSEKEEPING 29665,A000000,00800,0000,00800DIETARY 29665,A000000,00900,0000,00900NURSING ADMINISTRATION 29665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29665,A000000,01100,0000,01100PHARMACY 29665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29665,A000000,01300,0000,01300SOCIAL SERVICE 29665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29665,A000000,01600,0000,01600SKILLED NURSING FACILITY 29665,A000000,02100,0000,02100RADIOLOGY 29665,A000000,02200,0000,02200LABORATORY 29665,A000000,02500,0000,02500PHYSICAL THERAPY 29665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29665,A000000,02700,0000,02700SPEECH PATHOLOGY 29665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29665,A000000,03550,0000,03550FQHC 29665,A000000,05000,0000,05000CORF 29665,A000000,05010,0000,05010CMHC 29665,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29665,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29665,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29665,A000000,05300,0000,05300INTEREST EXPENSE 29665,A81000A,00100,0100,Y 29665,A81000B,00100,0300,HOME OFFICE COSTS - BUILDING 29665,A81000B,00200,0300,HOME OFFICE COSTS - EQUIPMENT 29665,A81000B,00300,0300,HOME OFFICE COSTS - NON CAPITA 29665,A81000C,00100,0100,B 29665,A81000C,00100,0400,EVANGELINE HEAL 29665,A81000C,00100,0600,MGMT CO. 29665,B100000,00000,0100,00000SQUARE FEET 29665,B100000,00000,0200,00000SQUARE FEET 29665,B100000,00000,0300,00000GROSS SALARIES 29665,B100000,00000,0400,00000ACCUM COST 29665,B100000,00000,0500,00000SQUARE FEET 29665,B100000,00000,0600,00000POUNDS OF LAUNDRY 29665,B100000,00000,0700,00000HOURS OF SERVICE 29665,B100000,00000,0800,00000MEALS SERVED 29665,B100000,00000,0900,00000DIRECT NRSG HRS 29665,B100000,00000,1000,00000COSTED REQUIS 29665,B100000,00000,1100,00000COSTED REQUIS 29665,B100000,00000,1200,00000TIME SPENT 29665,B100000,00000,1300,00000TIME SPENT 29665,B100000,00000,1400,00000ASSIGNED TIME 29665,S000000,00100,0200,06/30/2000 29665,S200000,00100,0100,750 KEYSER LANE 29665,S200000,00200,0100,NATCHITOCHES 29665,S200000,00200,0200,LOUISIANA 29665,S200000,00200,0300,71457 29665,S200000,00300,0100,NATCHITOCHES PARISH 29665,S200000,00400,0100,EVANGELINE OF NATCHITOCHES INC. 29665,S200000,00400,0200,195293 29665,S200000,00400,0300,07/01/1994 29665,S200000,00400,0500,P 29680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29680,A000000,00300,0000,00300EMPLOYEE BENEFITS 29680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29680,A000000,00700,0000,00700HOUSEKEEPING 29680,A000000,00800,0000,00800DIETARY 29680,A000000,00900,0000,00900NURSING ADMINISTRATION 29680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29680,A000000,01100,0000,01100PHARMACY 29680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29680,A000000,01300,0000,01300SOCIAL SERVICE 29680,A000000,01350,0000,01500OTHER GENERAL SERVICES 29680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29680,A000000,01600,0000,01600SKILLED NURSING FACILITY 29680,A000000,01800,0000,01800NURSING FACILITY 29680,A000000,02100,0000,02100RADIOLOGY 29680,A000000,02200,0000,02200LABORATORY 29680,A000000,02300,0000,02300INTRAVENOUS THERAPY 29680,A000000,02500,0000,02500PHYSICAL THERAPY 29680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29680,A000000,02700,0000,02700SPEECH PATHOLOGY 29680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29680,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29680,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 29680,A000000,03451,0000,03601HYPERBARIC 29680,A000000,03550,0000,03550FQHC 29680,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29680,A000000,05000,0000,05000CORF 29680,A000000,05010,0000,05010CMHC 29680,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29680,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29680,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29680,A000000,05300,0000,05300INTEREST EXPENSE 29680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29680,A81000A,00100,0100,Y 29680,A81000B,00100,0300,CAP REL COST B&F (HOME OFF CAP 29680,A81000B,00200,0300,ADM & GEN MGT FEE 29680,A81000B,00300,0300,ADM & GEN ACCTG FEES 29680,A81000C,00100,0100,A 29680,A81000C,00100,0200,HENRY BURCH 29680,A81000C,00100,0400,BURCH AND ASSOCIATES 29680,A81000C,00100,0600,HOME OFFICE 29680,A81000C,00200,0100,A 29680,A81000C,00200,0200,L B EDELMAN 29680,A81000C,00200,0400,RIDER INVESTMENT 29680,A81000C,00200,0600,HOME OFFICE 29680,B100000,00000,0100,00000SQUARE FEET 29680,B100000,00000,0200,00000DOLLAR VALUE 29680,B100000,00000,0300,00000GROSS SALARIES 29680,B100000,00000,0400,00000ACCUM. COST 29680,B100000,00000,0500,00000SQUARE FEET 29680,B100000,00000,0600,00000POUNDS OF LAUNDRY 29680,B100000,00000,0700,00000HOURS OF SERVICE 29680,B100000,00000,0800,00000MEALS SERVED 29680,B100000,00000,0900,00000DIRECT NRSING HRS 29680,B100000,00000,1000,00000COSTED REQUIS. 29680,B100000,00000,1100,00000COSTED REQUIS. 29680,B100000,00000,1200,00000TIME SPENT 29680,B100000,00000,1300,00000TIME SPENT 29680,B100000,00000,1350,00000NO STATISTICS 29680,B100000,00000,1400,00000ASSIGNED TIME 29680,E10A180,00301,0100,11/16/1999 29680,E10A180,00302,0100,07/21/1999 29680,S000000,00100,0200,05/18/2000 29680,S200000,00100,0100,505 ROBERT BOULEVARD 29680,S200000,00200,0100,SLIDELL 29680,S200000,00200,0200,LA 29680,S200000,00300,0100,ST TAMMANY 29680,S200000,00400,0100,GREENBRIAR NURSING &CONVALESCENT NH 29680,S200000,00400,0200,195301 29680,S200000,00400,0300,12/31/1994 29680,S200000,00400,0500,P 29680,S200000,00600,0200,195301 29680,S200000,00600,0300,12/31/1994 29680,S200000,01600,0100,Y 29680,S200000,02800,0100,Y 29689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29689,A000000,00300,0000,00300EMPLOYEE BENEFITS 29689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29689,A000000,00700,0000,00700HOUSEKEEPING 29689,A000000,00800,0000,00800DIETARY 29689,A000000,00900,0000,00900NURSING ADMINISTRATION 29689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29689,A000000,01100,0000,01100PHARMACY 29689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29689,A000000,01300,0000,01300SOCIAL SERVICE 29689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29689,A000000,01600,0000,01600SKILLED NURSING FACILITY 29689,A000000,01800,0000,01800NURSING FACILITY 29689,A000000,01810,0000,01810ICF/MR 29689,A000000,02100,0000,02100RADIOLOGY 29689,A000000,02200,0000,02200LABORATORY 29689,A000000,02500,0000,02500PHYSICAL THERAPY 29689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29689,A000000,02700,0000,02700SPEECH PATHOLOGY 29689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29689,A000000,03550,0000,03550FQHC 29689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29689,A000000,05000,0000,05000CORF 29689,A000000,05010,0000,05010CMHC 29689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29689,A81000A,00100,0100,Y 29689,A81000B,00100,0300,HOME OFFICE COSTS 29689,A81000C,00100,0100,A 29689,A81000C,00100,0200,HENRY BURCH 29689,A81000C,00100,0400,BURCH & ASSOCIATES 29689,A81000C,00100,0600,HOME OFFICE 29689,A81000C,00200,0100,A 29689,A81000C,00200,0400,RIDER INVESTMENT 29689,A81000C,00200,0600,HOME OFFICE 29689,B100000,00000,0100,00000SQUARE FEET 29689,B100000,00000,0200,00000DOLLAR VALUE 29689,B100000,00000,0300,00000GROSS SALARIES 29689,B100000,00000,0400,00000ACCUM. COST 29689,B100000,00000,0500,00000SQUARE FEET 29689,B100000,00000,0600,00000POUNDS OF LAUNDRY 29689,B100000,00000,0700,00000HOURS OF SERVICE 29689,B100000,00000,0800,00000MEALS SERVED 29689,B100000,00000,0900,00000DIRECT NRSING HRS 29689,B100000,00000,1000,00000COSTED REQUIS. 29689,B100000,00000,1100,00000COSTED REQUIS. 29689,B100000,00000,1200,00000TIME SPENT 29689,B100000,00000,1300,00000TIME SPENT 29689,B100000,00000,1400,00000ASSIGNED TIME 29689,E10A180,00301,0100,10/14/1999 29689,E10A180,00501,0100,06/28/2000 29689,E10A180,00501,0300,06/28/2000 29689,S000000,00100,0200,05/22/2000 29689,S200000,00100,0100,1051 SOUTH ROBERT BOULEVARD 29689,S200000,00200,0100,SLIDELL 29689,S200000,00200,0200,AL 29689,S200000,00300,0100,ST TAMMANY 29689,S200000,00400,0100,GUEST HOUSE OF SLIDELL 29689,S200000,00400,0200,195302 29689,S200000,00400,0300,12/01/1994 29689,S200000,00400,0500,P 29689,S200000,00600,0200,195302 29689,S200000,00600,0300,12/01/1994 29689,S200000,01600,0100,Y 29706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29706,A000000,00300,0000,00300EMPLOYEE BENEFITS 29706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29706,A000000,00700,0000,00700HOUSEKEEPING 29706,A000000,00800,0000,00800DIETARY 29706,A000000,00900,0000,00900NURSING ADMINISTRATION 29706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29706,A000000,01100,0000,01100PHARMACY 29706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29706,A000000,01300,0000,01300SOCIAL SERVICE 29706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29706,A000000,01600,0000,01600SKILLED NURSING FACILITY 29706,A000000,01800,0000,01800NURSING FACILITY 29706,A000000,01810,0000,01810ICF/MR 29706,A000000,02200,0000,02200LABORATORY 29706,A000000,02500,0000,02500PHYSICAL THERAPY 29706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29706,A000000,02700,0000,02700SPEECH PATHOLOGY 29706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29706,A000000,03550,0000,03550FQHC 29706,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29706,A000000,05000,0000,05000CORF 29706,A000000,05010,0000,05010CMHC 29706,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29706,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29706,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29706,A000000,05300,0000,05300INTEREST EXPENSE 29706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 29706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29706,A81000A,00100,0100,Y 29706,A81000B,00100,0300,HOME OFFICE COST 29706,A81000C,00100,0100,A 29706,A81000C,00100,0200,HENRY BURCH 29706,A81000C,00100,0400,BURCH AND ASSOCIATES 29706,A81000C,00100,0600,HOME OFFICE 29706,B100000,00000,0100,00000SQUARE FEET 29706,B100000,00000,0200,00000DOLLAR VALUE 29706,B100000,00000,0300,00000GROSS SALARIES 29706,B100000,00000,0400,00000ACCUM. COST 29706,B100000,00000,0500,00000SQUARE FEET 29706,B100000,00000,0600,00000POUNDS OF LAUNDRY 29706,B100000,00000,0700,00000HOURS OF SERVICE 29706,B100000,00000,0800,00000MEALS SERVED 29706,B100000,00000,0900,00000DIRECT NRSING HRS 29706,B100000,00000,1000,00000COSTED REQUIS. 29706,B100000,00000,1100,00000COSTED REQUIS. 29706,B100000,00000,1200,00000TIME SPENT 29706,B100000,00000,1300,00000TIME SPENT 29706,B100000,00000,1400,00000ASSIGNED TIME 29706,E10A180,00301,0100,02/16/2000 29706,E10A180,00501,0100,06/28/2000 29706,S000000,00100,0200,05/26/2000 29706,S200000,00100,0100,P. O. DRAWER CC 29706,S200000,00200,0100,LUTCHER 29706,S200000,00200,0200,LA 29706,S200000,00200,0300,70071 29706,S200000,00300,0100,ST JAMES 29706,S200000,00400,0100,RIVERLAND HEALTH CARE CENTER 29706,S200000,00400,0200,195304 29706,S200000,00400,0300,12/01/1994 29706,S200000,00400,0500,P 29706,S200000,01600,0100,Y 29716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29716,A000000,00300,0000,00300EMPLOYEE BENEFITS 29716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29716,A000000,00700,0000,00700HOUSEKEEPING 29716,A000000,00800,0000,00800DIETARY 29716,A000000,00900,0000,00900NURSING ADMINISTRATION 29716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29716,A000000,01100,0000,01100PHARMACY 29716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29716,A000000,01300,0000,01300SOCIAL SERVICE 29716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29716,A000000,01600,0000,01600SKILLED NURSING FACILITY 29716,A000000,01800,0000,01800NURSING FACILITY 29716,A000000,01810,0000,01810ICF/MR 29716,A000000,02200,0000,02200LABORATORY 29716,A000000,02500,0000,02500PHYSICAL THERAPY 29716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29716,A000000,02700,0000,02700SPEECH PATHOLOGY 29716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29716,A000000,03550,0000,03550FQHC 29716,A000000,05000,0000,05000CORF 29716,A000000,05010,0000,05010CMHC 29716,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29716,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29716,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29716,A000000,05300,0000,05300INTEREST EXPENSE 29716,A81000A,00100,0100,Y 29716,A81000B,00100,0300,RENT 29716,A81000B,00200,0300,STORAGE 29716,A81000B,00300,0300,STORAGE - CAPITAL 29716,A81000B,00400,0300,HOME OFFICE COSTS 29716,A81000B,00500,0300,PUBLIC RELATIONS 29716,A81000C,00100,0100,A 29716,A81000C,00100,0200,BOB G. DEAN JR 29716,A81000C,00100,0400,BOB DEAN ENTERP 29716,A81000C,00100,0600,NURSING HOME MA 29716,A81000C,00200,0100,A 29716,A81000C,00200,0200,BOB G. DEAN JR 29716,A81000C,00200,0400,CHOCTAW WAREHOU 29716,A81000C,00200,0600,STORAGE 29716,B100000,00000,0100,00000SQUARE FEET 29716,B100000,00000,0200,00000SQUARE FEET 29716,B100000,00000,0300,00000GROSS SALARIES 29716,B100000,00000,0400,00000ACCUM COST 29716,B100000,00000,0500,00000SQUARE FEET 29716,B100000,00000,0600,00000PATIENT DAYS 29716,B100000,00000,0700,00000HOURS OF SERVICE 29716,B100000,00000,0800,00000MEALS SERVED 29716,B100000,00000,0900,00000DIRECT NRSG HRS 29716,B100000,00000,1000,00000COSTED REQUIS 29716,B100000,00000,1100,00000COSTED REQUIS 29716,B100000,00000,1200,00000PATIENT DAYS 29716,B100000,00000,1300,00000PATIENT DAYS 29716,B100000,00000,1400,00000ASSIGNED TIME 29716,E10A180,00301,0100,05/10/2000 29716,E10A180,00302,0100,12/06/1999 29716,S000000,00100,0200,08/07/2000 29716,S200000,00100,0100,4302 HIGHWAY I 29716,S200000,00200,0100,RACELAND 29716,S200000,00200,0200,LA 29716,S200000,00200,0300,70394 29716,S200000,00300,0100,LA FOURCHE 29716,S200000,00400,0100,RACELAND MANOR NURSING HOME 29716,S200000,00400,0200,195305 29716,S200000,00400,0300,02/01/1995 29716,S200000,00400,0500,P 29716,S200000,01600,0100,Y 29716,S200000,02200,0100,Y 29751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29751,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 29751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29751,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIPME 29751,A000000,00300,0000,00300EMPLOYEE BENEFITS 29751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29751,A000000,00700,0000,00700HOUSEKEEPING 29751,A000000,00800,0000,00800DIETARY 29751,A000000,00900,0000,00900NURSING ADMINISTRATION 29751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29751,A000000,01100,0000,01100PHARMACY 29751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29751,A000000,01300,0000,01300SOCIAL SERVICE 29751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29751,A000000,01600,0000,01600SKILLED NURSING FACILITY 29751,A000000,01800,0000,01800NURSING FACILITY 29751,A000000,01810,0000,01810ICF/MR 29751,A000000,02100,0000,02100RADIOLOGY 29751,A000000,02200,0000,02200LABORATORY 29751,A000000,02500,0000,02500PHYSICAL THERAPY 29751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29751,A000000,02700,0000,02700SPEECH PATHOLOGY 29751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29751,A000000,03550,0000,03550FQHC 29751,A000000,05000,0000,05000CORF 29751,A000000,05010,0000,05010CMHC 29751,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29751,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29751,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29751,A81000A,00100,0100,Y 29751,A81000B,00100,0300,CRC - BLDG 29751,A81000B,00200,0300,ADMIN & GENERAL 29751,A81000C,00100,0100,B 29751,A81000C,00100,0200,ST. AGNES PARTNERSHIP 29751,A81000C,00100,0400,ST. AGNES HEALTH CARE 29751,A81000C,00100,0600,REAL ESTATE HOLDING CO. 29751,B100000,00000,0100,00000SQUARE FEET 29751,B100000,00000,0101,00000SQUARE FEET 29751,B100000,00000,0200,00000SQUARE FEET 29751,B100000,00000,0201,00000SQUARE FEET 29751,B100000,00000,0300,00000GROSS SALARIES 29751,B100000,00000,0400,00000ACCUM. COST 29751,B100000,00000,0500,00000SQUARE FEET 29751,B100000,00000,0600,00000PATIENT DAYS 29751,B100000,00000,0700,00000SQUARE FEET 29751,B100000,00000,0800,00000MEALS SERVED 29751,B100000,00000,0900,00000DIRECT SUPERVISIO 29751,B100000,00000,1000,00000COSTED REQUIS. 29751,B100000,00000,1100,00000COSTED REQUIS. 29751,B100000,00000,1200,00000PATIENT REVENUE 29751,B100000,00000,1300,00000PATIENT DAYS 29751,B100000,00000,1400,00000ASSIGNED TIME 29751,E10A180,00301,0100,10/06/1999 29751,S000000,00100,0200,05/16/2000 29751,S200000,00100,0100,600 LATIOLAIS ROAD 29751,S200000,00100,0300,10 29751,S200000,00200,0100,BREAUX BRIDGE 29751,S200000,00200,0200,LA 29751,S200000,00300,0100,ST. MARTIN 29751,S200000,00400,0100,ST. AGNES HEALTH CARE AND REHAB INC. 29751,S200000,00400,0200,195313 29751,S200000,00400,0300,01/01/1995 29751,S200000,00400,0500,P 29751,S200000,01600,0100,Y 29801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29801,A000000,00300,0000,00300EMPLOYEE BENEFITS 29801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29801,A000000,00700,0000,00700HOUSEKEEPING 29801,A000000,00800,0000,00800DIETARY 29801,A000000,00900,0000,00900NURSING ADMINISTRATION 29801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29801,A000000,01100,0000,01100PHARMACY 29801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29801,A000000,01300,0000,01300SOCIAL SERVICE 29801,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29801,A000000,01600,0000,01600SKILLED NURSING FACILITY 29801,A000000,01800,0000,01800NURSING FACILITY 29801,A000000,01810,0000,01810ICF/MR 29801,A000000,02100,0000,02100RADIOLOGY 29801,A000000,02200,0000,02200LABORATORY 29801,A000000,02500,0000,02500PHYSICAL THERAPY 29801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29801,A000000,02700,0000,02700SPEECH PATHOLOGY 29801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29801,A000000,03550,0000,03550FQHC 29801,A000000,05000,0000,05000CORF 29801,A000000,05010,0000,05010CMHC 29801,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29801,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29801,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29801,A000000,05300,0000,05300INTEREST EXPENSE 29801,A81000A,00100,0100,Y 29801,A81000B,00100,0300,RENT 29801,A81000B,00200,0300,STORAGE 29801,A81000B,00300,0300,STORAGE - CAP COST 29801,A81000B,00400,0300,HOME OFFICE MGMT FEE 29801,A81000C,00100,0100,A 29801,A81000C,00100,0200,BOB G. DEAN 29801,A81000C,00100,0400,BOB DEAN ENT. 29801,A81000C,00100,0600,NURSING HOME MG 29801,A81000C,00200,0100,A 29801,A81000C,00200,0200,BOB G. DEAN 29801,A81000C,00200,0400,CHOCTAW WAREHOU 29801,A81000C,00200,0600,STORAGE 29801,A81000C,00300,0100,A 29801,A81000C,00300,0200,BILLIE F. DEAN 29801,A81000C,00300,0400,CHOCTAW WAREHOU 29801,A81000C,00300,0600,STORAGE 29801,B100000,00000,0100,00000SQUARE FEET 29801,B100000,00000,0200,00000SQUARE FEET 29801,B100000,00000,0300,00000GROSS SALARIES 29801,B100000,00000,0400,00000ACCUM COST 29801,B100000,00000,0500,00000SQUARE FEET 29801,B100000,00000,0600,00000PATIENT DAYS 29801,B100000,00000,0700,00000HOURS OF SERVICE 29801,B100000,00000,0800,00000MEALS SERVED 29801,B100000,00000,0900,00000DIRECT NRSG HRS 29801,B100000,00000,1000,00000COSTED REQUIS 29801,B100000,00000,1100,00000COSTED REQUIS 29801,B100000,00000,1200,00000PATIENT DAYS 29801,B100000,00000,1300,00000PATIENT DAYS 29801,B100000,00000,1400,00000ASSIGNED TIME 29801,E10A180,00301,0100,10/05/2000 29801,E10A180,00302,0100,05/09/2000 29801,E10A180,00501,0100,09/20/2000 29801,S000000,00100,0200,08/07/2000 29801,S200000,00100,0100,24320 FERDINAND STREET 29801,S200000,00200,0100,PLAQUEMINE 29801,S200000,00200,0200,LA 29801,S200000,00200,0300,70764 29801,S200000,00300,0100,IBERVILLE 29801,S200000,00400,0100,PLAQUEMINE MANOR NURSING HOME 29801,S200000,00400,0200,195329 29801,S200000,00400,0300,02/01/1995 29801,S200000,00400,0500,P 29801,S200000,00400,0600,O 29801,S200000,01600,0100,Y 29845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29845,A000000,00300,0000,00300EMPLOYEE BENEFITS 29845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29845,A000000,00700,0000,00700HOUSEKEEPING 29845,A000000,00800,0000,00800DIETARY 29845,A000000,00900,0000,00900NURSING ADMINISTRATION 29845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29845,A000000,01100,0000,01100PHARMACY 29845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29845,A000000,01300,0000,01300SOCIAL SERVICE 29845,A000000,01350,0000,01500OTHER GENERAL SERVICES 29845,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29845,A000000,01600,0000,01600SKILLED NURSING FACILITY 29845,A000000,01800,0000,01800NURSING FACILITY 29845,A000000,01810,0000,01810ICF/MR 29845,A000000,02200,0000,02200LABORATORY 29845,A000000,02300,0000,02300INTRAVENOUS THERAPY 29845,A000000,02500,0000,02500PHYSICAL THERAPY 29845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29845,A000000,02700,0000,02700SPEECH PATHOLOGY 29845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29845,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29845,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 29845,A000000,03550,0000,03550FQHC 29845,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29845,A000000,05000,0000,05000CORF 29845,A000000,05010,0000,05010CMHC 29845,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29845,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29845,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29845,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29845,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29845,A81000A,00100,0100,Y 29845,A81000B,00100,0300,MANAGEMENT FEES 29845,A81000B,00200,0300,DIETARY SUPPLEMENT 29845,A81000B,00300,0300,TUBE FEEDING SUPPLIES 29845,A81000C,00100,0100,A 29845,A81000C,00100,0200,T. BANKSTON 29845,A81000C,00100,0400,NURSING HOME MANAGEMENT 29845,A81000C,00100,0600,MANAGEMENT COMPANY 29845,A81000C,00200,0100,A 29845,A81000C,00200,0200,L. BANKSTON 29845,A81000C,00200,0400,NURSING HOME MANAGEMENT 29845,A81000C,00200,0600,MANAGEMENT COMPANY 29845,A81000C,00300,0100,A 29845,A81000C,00300,0200,F. SWAYZE 29845,A81000C,00300,0400,NURSING HOME MANAGEMENT 29845,A81000C,00300,0600,MANAGEMENT COMPANY 29845,A81000C,00400,0100,A 29845,A81000C,00400,0200,TOMMY & LYN BANKSTON 29845,A81000C,00400,0400,WINN MEDICAL 29845,A81000C,00400,0600,SUPPLY COMPANY 29845,A81000C,00500,0100,A 29845,B100000,00000,0100,00000SQUARE FEET 29845,B100000,00000,0200,00000SQUARE FEET 29845,B100000,00000,0300,00000GROSS SALARIES 29845,B100000,00000,0400,00000ACCUM. COST 29845,B100000,00000,0500,00000SQUARE FEET 29845,B100000,00000,0600,00000POUNDS OF LAUNDRY 29845,B100000,00000,0700,00000SQUARE FEET 29845,B100000,00000,0800,00000MEALS SERVED 29845,B100000,00000,0900,00000DIRECT NRSING HRS 29845,B100000,00000,1000,00000COSTED REQUIS. 29845,B100000,00000,1100,00000COSTED REQUIS. 29845,B100000,00000,1200,00000TIME SPENT 29845,B100000,00000,1300,00000TIME SPENT 29845,B100000,00000,1350,00000NO STATISTICS 29845,B100000,00000,1400,00000ASSIGNED TIME 29845,S000000,00100,0200,05/26/2000 29845,S200000,00100,0100,1451 DANIEL STREET 29845,S200000,00100,0300,726 29845,S200000,00200,0100,ARCADIA 29845,S200000,00200,0200,LA 29845,S200000,00300,0100,BIENVILLE 29845,S200000,00400,0100,ARCADIA HEALTHCARE CENTER INC 29845,S200000,00400,0200,195346 29845,S200000,00400,0300,05/26/1995 29845,S200000,00400,0500,P 29845,S200000,01600,0100,Y 29845,S200000,04300,0100,Y 29882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29882,A000000,00300,0000,00300EMPLOYEE BENEFITS 29882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29882,A000000,00700,0000,00700HOUSEKEEPING 29882,A000000,00800,0000,00800DIETARY 29882,A000000,00900,0000,00900NURSING ADMINISTRATION 29882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29882,A000000,01100,0000,01100PHARMACY 29882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29882,A000000,01300,0000,01300SOCIAL SERVICE 29882,A000000,01350,0000,01500OTHER GENERAL SERVICES 29882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29882,A000000,01600,0000,01600SKILLED NURSING FACILITY 29882,A000000,01800,0000,01800NURSING FACILITY 29882,A000000,01810,0000,01810ICF/MR 29882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29882,A000000,02500,0000,02500PHYSICAL THERAPY 29882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29882,A000000,02700,0000,02700SPEECH PATHOLOGY 29882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29882,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 29882,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 29882,A000000,03550,0000,03550FQHC 29882,A000000,04750,0000,05100OTHER REIMBURSABLE COST 29882,A000000,05000,0000,05000CORF 29882,A000000,05010,0000,05010CMHC 29882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29882,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 29882,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29882,B100000,00000,0100,00000SQUARE FEET 29882,B100000,00000,0200,00000SQUARE FEET 29882,B100000,00000,0300,00000GROSS SALARIES 29882,B100000,00000,0400,00000ACCUM. COST 29882,B100000,00000,0500,00000SQUARE FEET 29882,B100000,00000,0600,00000POUNDS OF LAUNDRY 29882,B100000,00000,0700,00000SQUARE FEET 29882,B100000,00000,0800,00000MEALS SERVED 29882,B100000,00000,0900,00000TIME SPENT 29882,B100000,00000,1000,00000COSTED REQUIS. 29882,B100000,00000,1100,00000COSTED REQUIS. 29882,B100000,00000,1200,00000TIME SPENT 29882,B100000,00000,1300,00000TIME SPENT 29882,B100000,00000,1350,00000NO STATISTICS 29882,B100000,00000,1400,00000ASSIGNED TIME 29882,E10A180,00501,0100,05/03/2000 29882,E10A180,00501,0300,05/03/2000 29882,S000000,00100,0200,03/23/2000 29882,S200000,00100,0100,5550 THOMAS ROAD 29882,S200000,00200,0100,BATON ROUGE 29882,S200000,00200,0200,LA 29882,S200000,00300,0100,EAST BATON ROUGE 29882,S200000,00400,0100,BATON ROUGE HEALTH CARE CENTER 29882,S200000,00400,0200,195361 29882,S200000,00400,0300,05/31/1996 29882,S200000,00400,0500,P 29882,S200000,01600,0100,Y 29882,S200000,04300,0100,Y 29931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29931,A000000,00300,0000,00300EMPLOYEE BENEFITS 29931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29931,A000000,00700,0000,00700HOUSEKEEPING 29931,A000000,00800,0000,00800DIETARY 29931,A000000,00900,0000,00900NURSING ADMINISTRATION 29931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29931,A000000,01100,0000,01100PHARMACY 29931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29931,A000000,01300,0000,01300SOCIAL SERVICE 29931,A000000,01350,0000,01500PATIENT ACTIVITIES 29931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29931,A000000,01600,0000,01600SKILLED NURSING FACILITY 29931,A000000,01810,0000,01810ICF/MR 29931,A000000,02500,0000,02500PHYSICAL THERAPY 29931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29931,A000000,02700,0000,02700SPEECH PATHOLOGY 29931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29931,A000000,02901,0000,02901AIR FLUIDIZED THERAPY 29931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29931,A000000,03550,0000,03550FQHC 29931,A000000,05000,0000,05000CORF 29931,A000000,05010,0000,05010CMHC 29931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 29931,A81000A,00100,0100,Y 29931,A81000B,00100,0300,CONTRACT SERVICES 29931,A81000C,00100,0100,B 29931,A81000C,00100,0200,MARINITE SISTERS OF HOLY 29931,A81000C,00100,0400,MARINITE SISTERS OF HOLY 29931,A81000C,00100,0600,MOTHER HOUSE 29931,B100000,00000,0100,00000SQUARE FEET 29931,B100000,00000,0200,00000SQUARE FEET 29931,B100000,00000,0300,00000GROSS SALARIES 29931,B100000,00000,0400,00000ACCUM. COST 29931,B100000,00000,0500,00000SQUARE FEET 29931,B100000,00000,0600,00000POUNDS OF LAUNDRY 29931,B100000,00000,0700,00000SQUARE FEET 29931,B100000,00000,0800,00000MEALS SERVED 29931,B100000,00000,0900,00000DIRECT NRSING HRS 29931,B100000,00000,1000,00000PATIENT DAYS 29931,B100000,00000,1100,00000COSTED REQUIS 29931,B100000,00000,1200,00000TIME SPENT 29931,B100000,00000,1300,00000PATIENT DAYS 29931,B100000,00000,1350,00000PATIENT DAYS 29931,B100000,00000,1400,00000ASSIGNED TIME 29931,E10A180,00501,0100,01/10/2001 29931,E10A180,00501,0300,01/10/2001 29931,S000000,00100,0200,12/04/2000 29931,S200000,00100,0100,751 PRUDHOMME 29931,S200000,00200,0100,OPELOUSAS 29931,S200000,00200,0200,LA 29931,S200000,00200,0300,70570 29931,S200000,00300,0100,S 29931,S200000,00400,0100,PROMPT SUCCOR NURSING HOME 29931,S200000,00400,0200,195369 29931,S200000,00400,0300,05/01/1996 29931,S200000,00400,0500,P 29931,S200000,01500,0100,Y 29939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29939,A000000,00300,0000,00300EMPLOYEE BENEFITS 29939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29939,A000000,00700,0000,00700HOUSEKEEPING 29939,A000000,00800,0000,00800DIETARY 29939,A000000,00900,0000,00900NURSING ADMINISTRATION 29939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29939,A000000,01100,0000,01100PHARMACY 29939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29939,A000000,01300,0000,01300SOCIAL SERVICE 29939,A000000,01600,0000,01600SKILLED NURSING FACILITY 29939,A000000,01800,0000,01800NURSING FACILITY 29939,A000000,02500,0000,02500PHYSICAL THERAPY 29939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29939,A000000,02700,0000,02700SPEECH PATHOLOGY 29939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29939,A000000,05300,0000,05300INTEREST EXPENSE 29939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29939,A81000A,00100,0100,Y 29939,A81000B,00100,0300,BUILDING LEASE 29939,A81000B,00200,0300,BUILDING DEPRECIATION 29939,A81000B,00300,0300,BUILDING INTEREST 29939,A81000B,00400,0300,BUILDING PROPERTY TAXES 29939,A81000C,00100,0100,B 29939,A81000C,00100,0200,MORRIS LAHASKY N.H. 29939,A81000C,00100,0400,VERMILION N.H. PARTNERSHI 29939,A81000C,00100,0600,PARTNERSHIP 29939,B100000,00000,0100,00000SQUARE FEET 29939,B100000,00000,0200,00000SQUARE FEET 29939,B100000,00000,0300,00000GROSS SALARIES 29939,B100000,00000,0400,00000ACCUM. COST 29939,B100000,00000,0500,00000SQUARE FEET 29939,B100000,00000,0600,00000PATIENT DAYS 29939,B100000,00000,0700,00000SQUARE FEET 29939,B100000,00000,0800,00000MEALS SERVED 29939,B100000,00000,0900,00000HOURS SUPERVISED 29939,B100000,00000,1000,00000COSTED REQUIS. 29939,B100000,00000,1100,00000COSTED REQUIS. 29939,B100000,00000,1200,00000GROSS REVENUE 29939,B100000,00000,1300,00000PATIENT DAYS 29939,S000000,00100,0200,10/09/2000 29939,S200000,00100,0100,501 EAST CONRAD 29939,S200000,00100,0300,323 29939,S200000,00200,0100,ERATH 29939,S200000,00200,0200,LA 29939,S200000,00200,0300,70533 29939,S200000,00300,0100,VERMILLION 29939,S200000,00400,0100,MORRIS LAHASKY NURSING HOME 29939,S200000,00400,0200,195370 29939,S200000,00400,0300,07/01/1996 29939,S200000,00400,0500,P 29939,S200000,01600,0100,Y 29939,S200000,03100,0100,Y 29980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29980,A000000,00300,0000,00300EMPLOYEE BENEFITS 29980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29980,A000000,00700,0000,00700HOUSEKEEPING 29980,A000000,00800,0000,00800DIETARY 29980,A000000,00900,0000,00900NURSING ADMINISTRATION 29980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29980,A000000,01100,0000,01100PHARMACY 29980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29980,A000000,01300,0000,01300SOCIAL SERVICE 29980,A000000,01350,0000,01500ACTIVITIES 29980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29980,A000000,01600,0000,01600SKILLED NURSING FACILITY 29980,A000000,01800,0000,01800NURSING FACILITY 29980,A000000,01810,0000,01810ICF/MR 29980,A000000,01900,0000,01900OTHER LONG TERM CARE 29980,A000000,02100,0000,02100RADIOLOGY 29980,A000000,02200,0000,02200LABORATORY 29980,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 29980,A000000,02500,0000,02500PHYSICAL THERAPY 29980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29980,A000000,02700,0000,02700SPEECH PATHOLOGY 29980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29980,A000000,03550,0000,03550FQHC 29980,A000000,05000,0000,05000CORF 29980,A000000,05010,0000,05010CMHC 29980,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29980,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29980,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29980,A000000,05900,0000,05900BARBER & BEAUTY SHOP 29980,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 29980,A81000A,00100,0100,Y 29980,A81000B,00100,0300,LEGAL FEES 29980,A81000C,00100,0100,E 29980,A81000C,00100,0200,CLINTON SHINN 29980,B100000,00000,0100,00000SQUARE FEET 29980,B100000,00000,0200,00000SQUARE FEET 29980,B100000,00000,0300,00000GROSS SALARIES 29980,B100000,00000,0400,00000ACCUM COST 29980,B100000,00000,0500,00000SQUARE FEET 29980,B100000,00000,0600,00000POUNDS OF LAUNDRY 29980,B100000,00000,0700,00000SQUARE FEET 29980,B100000,00000,0800,00000MEALS SERVED 29980,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 29980,B100000,00000,1000,00000PATIENT DAYS 29980,B100000,00000,1100,00000PATIENT DAYS 29980,B100000,00000,1200,00000TIME SPENT 29980,B100000,00000,1300,00000TIME SPENT 29980,B100000,00000,1350,00000PATIENT DAYS 29980,B100000,00000,1400,00000ASSIGNED TIME 29980,S000000,00100,0200,10/30/2000 29980,S200000,00100,0100,100 CHRISTWOOD BLVD 29980,S200000,00200,0100,COVINGTON 29980,S200000,00200,0200,LA 29980,S200000,00200,0300,70433 29980,S200000,00300,0100,ST TAMMANY 29980,S200000,00400,0100,CHRISTWOOD 29980,S200000,00400,0200,195381 29980,S200000,00400,0300,07/22/1996 29980,S200000,00400,0500,P 29980,S200000,01600,0100,Y 29987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 29987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 29987,A000000,00300,0000,00300EMPLOYEE BENEFITS 29987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 29987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 29987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 29987,A000000,00700,0000,00700HOUSEKEEPING 29987,A000000,00800,0000,00800DIETARY 29987,A000000,00900,0000,00900NURSING ADMINISTRATION 29987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 29987,A000000,01100,0000,01100PHARMACY 29987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 29987,A000000,01300,0000,01300SOCIAL SERVICE 29987,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 29987,A000000,01600,0000,01600SKILLED NURSING FACILITY 29987,A000000,01810,0000,01810ICF/MR 29987,A000000,02500,0000,02500PHYSICAL THERAPY 29987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 29987,A000000,02700,0000,02700SPEECH PATHOLOGY 29987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 29987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 29987,A000000,03550,0000,03550FQHC 29987,A000000,05000,0000,05000CORF 29987,A000000,05010,0000,05010CMHC 29987,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 29987,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 29987,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 29987,A81000A,00100,0100,Y 29987,A81000B,00100,0300,STERLING DEPRECIATION 29987,A81000B,00200,0300,STERLING A&G 29987,A81000B,00300,0300,STERLING MAINTAINENCE 29987,A81000B,00400,0300,STERLING LAUNDRY 29987,A81000B,00500,0300,STERLING DIETARY 29987,A81000B,00600,0300,GHS EXPENSE 29987,A81000B,00700,0300,GLC EXPENSE 29987,A81000C,00100,0100,B 29987,A81000C,00100,0200,GENERAL HEALTH SYSTEM 29987,B100000,00000,0100,00040SQUARE FEET 29987,B100000,00000,0200,00040SQUARE FEET 29987,B100000,00000,0300,00040GROSS SALARY 29987,B100000,00000,0400,00040ACCUM. COST 29987,B100000,00000,0500,00040SQUARE FEET 29987,B100000,00000,0600,00040PATIENT DAYSRY 29987,B100000,00000,0700,00040SQUARE FEET 29987,B100000,00000,0800,00040MEALS SERVED 29987,B100000,00000,0900,00040DIRECT NRSG HRS 29987,B100000,00000,1000,00040COSTED REQUIS 29987,B100000,00000,1100,00040COSTED REQUIS 29987,B100000,00000,1200,00040TIME SPENT 29987,B100000,00000,1300,00040TIME SPENT 29987,B100000,00000,1400,00040ASSIGNED TIME 29987,S000000,00100,0200,02/25/2000 29987,S200000,00100,0100,3888 NORTH BLVD 29987,S200000,00200,0100,BATON ROUGE 29987,S200000,00200,0200,LA 29987,S200000,00300,0100,EAST BATON ROUGE 29987,S200000,00400,0100,STERLING PLACE SKILLED NURSING 29987,S200000,00400,0200,195382 29987,S200000,00400,0300,01/01/1996 29987,S200000,00400,0500,P 29987,S200000,00400,0600,O 29987,S200000,01500,0100,Y 29987,S200000,02200,0100,Y 30032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30032,A000000,00300,0000,00300EMPLOYEE BENEFITS 30032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30032,A000000,00700,0000,00700HOUSEKEEPING 30032,A000000,00800,0000,00800DIETARY 30032,A000000,00900,0000,00900NURSING ADMINISTRATION 30032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30032,A000000,01100,0000,01100PHARMACY 30032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30032,A000000,01300,0000,01300SOCIAL SERVICE 30032,A000000,01350,0000,01500OTHER GENERAL SERVICES 30032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30032,A000000,01600,0000,01600SKILLED NURSING FACILITY 30032,A000000,01800,0000,01800NURSING FACILITY 30032,A000000,02100,0000,02100RADIOLOGY 30032,A000000,02200,0000,02200LABORATORY 30032,A000000,02300,0000,02300INTRAVENOUS THERAPY 30032,A000000,02500,0000,02500PHYSICAL THERAPY 30032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30032,A000000,02700,0000,02700SPEECH PATHOLOGY 30032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30032,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30032,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30032,A000000,03550,0000,03550FQHC 30032,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30032,A000000,05000,0000,05000CORF 30032,A000000,05010,0000,05010CMHC 30032,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30032,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30032,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30032,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30032,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30032,B100000,00000,0100,00000SQUARE FEET 30032,B100000,00000,0200,00000SQUARE FEET 30032,B100000,00000,0300,00000GROSS SALARIES 30032,B100000,00000,0400,00000ACCUM. COST 30032,B100000,00000,0500,00000SQUARE FEET 30032,B100000,00000,0600,00000POUNDS OF LAUNDRY 30032,B100000,00000,0700,00000SQUARE FEET 30032,B100000,00000,0800,00000MEALS SERVED 30032,B100000,00000,0900,00000DIRECT NRSING HRS 30032,B100000,00000,1000,00000COSTED REQUIS. 30032,B100000,00000,1100,00000COSTED REQUIS. 30032,B100000,00000,1200,00000TIME SPENT 30032,B100000,00000,1300,00000TIME SPENT 30032,B100000,00000,1350,00000NO STATISTICS 30032,B100000,00000,1400,00000ASSIGNED TIME 30032,S000000,00100,0200,05/30/2000 30032,S200000,00100,0100,336 EDGEWOOD DRIVE 30032,S200000,00100,0300,3067 30032,S200000,00200,0100,PINEVILLE 30032,S200000,00200,0200,LA 30032,S200000,00200,0300,71361 30032,S200000,00300,0100,ALEXANDRIA 30032,S200000,00400,0100,HILLTOP NURSING CENTER 30032,S200000,00400,0200,195390 30032,S200000,00400,0300,11/01/1996 30032,S200000,00400,0500,P 30032,S200000,01600,0100,Y 30032,S200000,04300,0100,Y 30049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30049,A000000,00300,0000,00300EMPLOYEE BENEFITS 30049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30049,A000000,00700,0000,00700HOUSEKEEPING 30049,A000000,00800,0000,00800DIETARY 30049,A000000,00900,0000,00900NURSING ADMINISTRATION 30049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30049,A000000,01100,0000,01100PHARMACY 30049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30049,A000000,01300,0000,01300SOCIAL SERVICE 30049,A000000,01350,0000,01500OTHER GENERAL SERVICES 30049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30049,A000000,01600,0000,01600SKILLED NURSING FACILITY 30049,A000000,01800,0000,01800NURSING FACILITY 30049,A000000,01810,0000,01810ICF/MR 30049,A000000,02100,0000,02100RADIOLOGY 30049,A000000,02200,0000,02200LABORATORY 30049,A000000,02500,0000,02500PHYSICAL THERAPY 30049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30049,A000000,02700,0000,02700SPEECH PATHOLOGY 30049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30049,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30049,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30049,A000000,03550,0000,03550FQHC 30049,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30049,A000000,05000,0000,05000CORF 30049,A000000,05010,0000,05010CMHC 30049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30049,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30049,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30049,A81000A,00100,0100,Y 30049,A81000B,00100,0300,MANAGEMENT FEES 30049,A81000C,00100,0100,B 30049,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30049,A81000C,00100,0600,MANAGEMENT COMPANY 30049,B100000,00000,0100,00000SQUARE FEET 30049,B100000,00000,0200,00000SQUARE FEET 30049,B100000,00000,0300,00000GROSS SALARIES 30049,B100000,00000,0400,00000ACCUM. COST 30049,B100000,00000,0500,00000SQUARE FEET 30049,B100000,00000,0600,00000POUNDS OF LAUNDRY 30049,B100000,00000,0700,00000SQUARE FEET 30049,B100000,00000,0800,00000MEALS SERVED 30049,B100000,00000,0900,00000DIRECT NRSING HRS 30049,B100000,00000,1000,00000COSTED REQUIS. 30049,B100000,00000,1100,00000COSTED REQUIS. 30049,B100000,00000,1200,00000TIME SPENT 30049,B100000,00000,1300,00000TIME SPENT 30049,B100000,00000,1350,00000NO STATISTICS 30049,B100000,00000,1400,00000ASSIGNED TIME 30049,S000000,00100,0200,08/31/2000 30049,S200000,00100,0100,522 MAIN STREET 30049,S200000,00100,0300,307 30049,S200000,00200,0100,DELHI 30049,S200000,00200,0200,LA 30049,S200000,00200,0300,71232 30049,S200000,00300,0100,RICHLAND 30049,S200000,00400,0100,RICHLAND MANOR NURSING HOME 30049,S200000,00400,0200,195393 30049,S200000,00400,0300,01/01/1997 30049,S200000,00400,0500,P 30049,S200000,01600,0100,Y 30049,S200000,04300,0100,Y 30055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30055,A000000,00300,0000,00300EMPLOYEE BENEFITS 30055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30055,A000000,00700,0000,00700HOUSEKEEPING 30055,A000000,00800,0000,00800DIETARY 30055,A000000,00900,0000,00900NURSING ADMINISTRATION 30055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30055,A000000,01100,0000,01100PHARMACY 30055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30055,A000000,01300,0000,01300SOCIAL SERVICE 30055,A000000,01350,0000,01500OTHER GENERAL SERVICES 30055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30055,A000000,01600,0000,01600SKILLED NURSING FACILITY 30055,A000000,01800,0000,01800NURSING FACILITY 30055,A000000,02100,0000,02100RADIOLOGY 30055,A000000,02200,0000,02200LABORATORY 30055,A000000,02500,0000,02500PHYSICAL THERAPY 30055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30055,A000000,02700,0000,02700SPEECH PATHOLOGY 30055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30055,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30055,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30055,A000000,03550,0000,03550FQHC 30055,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30055,A000000,05000,0000,05000CORF 30055,A000000,05010,0000,05010CMHC 30055,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30055,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30055,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30055,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30055,A81000A,00100,0100,Y 30055,A81000B,00100,0300,MANAGEMENT FEES 30055,A81000C,00100,0100,B 30055,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30055,A81000C,00100,0600,MANAGEMENT COMPANY 30055,B100000,00000,0100,00000SQUARE FEET 30055,B100000,00000,0200,00000SQUARE FEET 30055,B100000,00000,0300,00000GROSS SALARIES 30055,B100000,00000,0400,00000ACCUM. COST 30055,B100000,00000,0500,00000SQUARE FEET 30055,B100000,00000,0600,00000POUNDS OF LAUNDRY 30055,B100000,00000,0700,00000SQUARE FEET 30055,B100000,00000,0800,00000MEALS SERVED 30055,B100000,00000,0900,00000DIRECT NRSING HRS 30055,B100000,00000,1000,00000COSTED REQUIS. 30055,B100000,00000,1100,00000COSTED REQUIS. 30055,B100000,00000,1200,00000TIME SPENT 30055,B100000,00000,1300,00000TIME SPENT 30055,B100000,00000,1350,00000NO STATISTICS 30055,B100000,00000,1400,00000ASSIGNED TIME 30055,S000000,00100,0200,08/31/2000 30055,S200000,00100,0100,505 EAST FOURTH STREET 30055,S200000,00100,0300,874 30055,S200000,00200,0100,RAYVILLE 30055,S200000,00200,0200,LA 30055,S200000,00200,0300,71269 30055,S200000,00300,0100,RICHLAND 30055,S200000,00400,0100,COLONIAL MANOR GUEST HOUSE 30055,S200000,00400,0200,195394 30055,S200000,00400,0300,01/01/1997 30055,S200000,00400,0500,P 30055,S200000,01600,0100,Y 30055,S200000,04300,0100,Y 30128,S000000,00100,0200,07/15/1999 30138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30138,A000000,00300,0000,00300EMPLOYEE BENEFITS 30138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30138,A000000,00700,0000,00700HOUSEKEEPING 30138,A000000,00800,0000,00800DIETARY 30138,A000000,00900,0000,00900NURSING ADMINISTRATION 30138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30138,A000000,01100,0000,01100PHARMACY 30138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30138,A000000,01300,0000,01300SOCIAL SERVICE 30138,A000000,01350,0000,01500OTHER GENERAL SERVICES 30138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30138,A000000,01600,0000,01600SKILLED NURSING FACILITY 30138,A000000,01800,0000,01800NURSING FACILITY 30138,A000000,01810,0000,01810ICF/MR 30138,A000000,02200,0000,02200LABORATORY 30138,A000000,02500,0000,02500PHYSICAL THERAPY 30138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30138,A000000,02700,0000,02700SPEECH PATHOLOGY 30138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30138,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30138,A000000,03550,0000,03550FQHC 30138,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30138,A000000,05000,0000,05000CORF 30138,A000000,05010,0000,05010CMHC 30138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30138,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30138,A81000A,00100,0100,Y 30138,A81000B,00100,0300,MANAGEMENT FEES 30138,A81000C,00100,0100,B 30138,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30138,A81000C,00100,0600,MANAGEMENT COMPANY 30138,B100000,00000,0100,00000SQUARE FEET 30138,B100000,00000,0200,00000SQUARE FEET 30138,B100000,00000,0300,00000GROSS SALARIES 30138,B100000,00000,0400,00000ACCUM. COST 30138,B100000,00000,0500,00000SQUARE FEET 30138,B100000,00000,0600,00000POUNDS OF LAUNDRY 30138,B100000,00000,0700,00000SQUARE FEET 30138,B100000,00000,0800,00000MEALS SERVED 30138,B100000,00000,0900,00000DIRECT NRSING HRS 30138,B100000,00000,1000,00000COSTED REQUIS. 30138,B100000,00000,1100,00000COSTED REQUIS. 30138,B100000,00000,1200,00000TIME SPENT 30138,B100000,00000,1300,00000TIME SPENT 30138,B100000,00000,1350,00000NO STATISTICS 30138,B100000,00000,1400,00000ASSIGNED TIME 30138,E10A180,00301,0100,04/05/2000 30138,E10A180,00501,0100,10/11/2000 30138,S000000,00100,0200,08/31/2000 30138,S200000,00100,0100,1400 WEST COURT STREET 30138,S200000,00100,0300,591 30138,S200000,00200,0100,WINNFIELD 30138,S200000,00200,0200,LA 30138,S200000,00200,0300,71483 30138,S200000,00300,0100,WINN 30138,S200000,00400,0100,AUTUMN LEAVES NURSING HOME 30138,S200000,00400,0200,195412 30138,S200000,00400,0300,06/01/1997 30138,S200000,00400,0500,P 30138,S200000,01600,0100,Y 30138,S200000,04300,0100,Y 30222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30222,A000000,00300,0000,00300EMPLOYEE BENEFITS 30222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30222,A000000,00700,0000,00700HOUSEKEEPING 30222,A000000,00800,0000,00800DIETARY 30222,A000000,00900,0000,00900NURSING ADMINISTRATION 30222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30222,A000000,01100,0000,01100PHARMACY 30222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30222,A000000,01300,0000,01300SOCIAL SERVICE 30222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30222,A000000,01600,0000,01600SKILLED NURSING FACILITY 30222,A000000,01800,0000,01800NURSING FACILITY 30222,A000000,01810,0000,01810ICF/MR 30222,A000000,02100,0000,02100RADIOLOGY 30222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30222,A000000,02500,0000,02500PHYSICAL THERAPY 30222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30222,A000000,02700,0000,02700SPEECH PATHOLOGY 30222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30222,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 30222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 30222,A000000,03550,0000,03550FQHC 30222,A000000,05000,0000,05000CORF 30222,A000000,05010,0000,05010CMHC 30222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30222,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 30222,A81000A,00100,0100,Y 30222,A81000B,00100,0300,HOME OFFICE COSTS 30222,A81000B,00200,0300,HOME OFFICE COSTS 30222,A81000B,00300,0300,HOME OFFICE COSTS 30222,A81000C,00100,0100,A 30222,A81000C,00100,0200,DOUG WRIGHT SR 30222,A81000C,00100,0400,RIGHT CARE INC 30222,A81000C,00100,0600,MANAGEMENT 30222,B100000,00000,0100,00000SQUARE FEET 30222,B100000,00000,0200,00000SQUARE FEET 30222,B100000,00000,0300,00000GROSS SALARIES 30222,B100000,00000,0400,00000ACCUM COST 30222,B100000,00000,0500,00000SQUARE FEET 30222,B100000,00000,0600,00000PATIENT DAYS 30222,B100000,00000,0700,00000SQUARE FEET 30222,B100000,00000,0800,00000MEALS SERVED 30222,B100000,00000,0900,00000PATIENT DAYS 30222,B100000,00000,1000,00000COSTED REQUISITIO 30222,B100000,00000,1100,00000COSTED REQUIS 30222,B100000,00000,1200,00000PATIENT DAYS 30222,B100000,00000,1300,00000PATIENT DAYS 30222,B100000,00000,1400,00000ASSIGNED TIME 30222,S000000,00100,0200,07/12/2000 30222,S200000,00100,0100,ROUTE 2 BOX 73 30222,S200000,00200,0100,LAKE PROVIDENCE 30222,S200000,00200,0200,LA 30222,S200000,00200,0300,71254 30222,S200000,00300,0100,EAST CARROLL PARISH 30222,S200000,00400,0100,CYPRESS MANOR 30222,S200000,00400,0200,195432 30222,S200000,00400,0300,08/01/1997 30222,S200000,00400,0500,P 30222,S200000,01600,0100,Y 30237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30237,A000000,00300,0000,00300EMPLOYEE BENEFITS 30237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30237,A000000,00700,0000,00700HOUSEKEEPING 30237,A000000,00800,0000,00800DIETARY 30237,A000000,00900,0000,00900NURSING ADMINISTRATION 30237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30237,A000000,01100,0000,01100PHARMACY 30237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30237,A000000,01300,0000,01300SOCIAL SERVICE 30237,A000000,01350,0000,01500ACTIVITIES 30237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30237,A000000,01600,0000,01600SKILLED NURSING FACILITY 30237,A000000,01800,0000,01800NURSING FACILITY 30237,A000000,01810,0000,01810ICF/MR 30237,A000000,02100,0000,02100RADIOLOGY 30237,A000000,02200,0000,02200LABORATORY 30237,A000000,02500,0000,02500PHYSICAL THERAPY 30237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30237,A000000,02700,0000,02700SPEECH PATHOLOGY 30237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30237,A000000,03200,0000,03200SUPPORT SURFACES 30237,A000000,03550,0000,03550FQHC 30237,A000000,05000,0000,05000CORF 30237,A000000,05010,0000,05010CMHC 30237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30237,A000000,05300,0000,05300INTEREST EXPENSE 30237,B100000,00000,0100,00000SQ FT 30237,B100000,00000,0200,00000SQ FT 30237,B100000,00000,0300,00000GROSS SAL 30237,B100000,00000,0400,00000ACCUM. COST 30237,B100000,00000,0500,00000SQ FT 30237,B100000,00000,0600,00000LBS OF LAUNDRY 30237,B100000,00000,0700,00000SQ FT 30237,B100000,00000,0800,00000MEALS SERVED 30237,B100000,00000,0900,00000DIR NRSG HRS 30237,B100000,00000,1000,00000BLANK 30237,B100000,00000,1100,00000BLANK 30237,B100000,00000,1200,00000TIME SPENT -MED 30237,B100000,00000,1300,00000TIME SPENT -SOC 30237,B100000,00000,1350,00000TIME SPENT -ACT 30237,B100000,00000,1400,00000BLANK 30237,S000000,00100,0200,09/05/2000 30237,S200000,00100,0100,6220 CHARTRES STREET 30237,S200000,00200,0100,NEW ORLEANS 30237,S200000,00200,0200,LA 30237,S200000,00200,0300,70117 30237,S200000,00300,0100,ORLEANS 30237,S200000,00400,0100,ST. MARGARETS DAUGHTERS HOME 30237,S200000,00400,0200,195437 30237,S200000,00400,0300,10/01/1997 30237,S200000,00400,0500,P 30237,S200000,01600,0100,Y 30237,S200000,01900,0100,NON-PROFIT CATHOLIC WOMENS GROUP 30244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30244,A000000,00300,0000,00300EMPLOYEE BENEFITS 30244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30244,A000000,00700,0000,00700HOUSEKEEPING 30244,A000000,00800,0000,00800DIETARY 30244,A000000,00900,0000,00900NURSING ADMINISTRATION 30244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30244,A000000,01100,0000,01100PHARMACY 30244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30244,A000000,01300,0000,01300SOCIAL SERVICE 30244,A000000,01350,0000,01500OTHER GENERAL SERVICES 30244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30244,A000000,01600,0000,01600SKILLED NURSING FACILITY 30244,A000000,01800,0000,01800NURSING FACILITY 30244,A000000,01810,0000,01810ICF/MR 30244,A000000,02100,0000,02100RADIOLOGY 30244,A000000,02200,0000,02200LABORATORY 30244,A000000,02500,0000,02500PHYSICAL THERAPY 30244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30244,A000000,02700,0000,02700SPEECH PATHOLOGY 30244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30244,A000000,03550,0000,03550FQHC 30244,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30244,A000000,05000,0000,05000CORF 30244,A000000,05010,0000,05010CMHC 30244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30244,A81000A,00100,0100,Y 30244,A81000B,00100,0300,MANAGEMENT FEES 30244,A81000C,00100,0100,B 30244,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30244,A81000C,00100,0600,MANAGEMENT COMPANY 30244,B100000,00000,0100,00000SQUARE FEET 30244,B100000,00000,0200,00000SQUARE FEET 30244,B100000,00000,0300,00000GROSS SALARIES 30244,B100000,00000,0400,00000ACCUM. COST 30244,B100000,00000,0500,00000SQUARE FEET 30244,B100000,00000,0600,00000POUNDS OF LAUNDRY 30244,B100000,00000,0700,00000SQUARE FEET 30244,B100000,00000,0800,00000MEALS SERVED 30244,B100000,00000,0900,00000DIRECT NRSING HRS 30244,B100000,00000,1000,00000COSTED REQUIS. 30244,B100000,00000,1100,00000COSTED REQUIS. 30244,B100000,00000,1200,00000TIME SPENT 30244,B100000,00000,1300,00000TIME SPENT 30244,B100000,00000,1350,00000NO STATISTICS 30244,B100000,00000,1400,00000ASSIGNED TIME 30244,S000000,00100,0200,08/31/2000 30244,S200000,00100,0100,1611 WELLERMAN ROAD 30244,S200000,00200,0100,WEST MONROE 30244,S200000,00200,0200,LA 30244,S200000,00200,0300,71291 30244,S200000,00300,0100,OUACHITA 30244,S200000,00400,0100,LANDMARK NURSING CENTER 30244,S200000,00400,0200,195438 30244,S200000,00400,0300,10/01/1997 30244,S200000,00400,0500,P 30244,S200000,01600,0100,Y 30244,S200000,04300,0100,Y 30257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30257,A000000,00300,0000,00300EMPLOYEE BENEFITS 30257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30257,A000000,00700,0000,00700HOUSEKEEPING 30257,A000000,00800,0000,00800DIETARY 30257,A000000,00900,0000,00900NURSING ADMINISTRATION 30257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30257,A000000,01100,0000,01100PHARMACY 30257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30257,A000000,01300,0000,01300SOCIAL SERVICE 30257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30257,A000000,01600,0000,01600SKILLED NURSING FACILITY 30257,A000000,01800,0000,01800NURSING FACILITY 30257,A000000,01810,0000,01810ICF/MR 30257,A000000,02500,0000,02500PHYSICAL THERAPY 30257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30257,A000000,02700,0000,02700SPEECH PATHOLOGY 30257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30257,A000000,03550,0000,03550FQHC 30257,A000000,05000,0000,05000CORF 30257,A000000,05010,0000,05010CMHC 30257,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30257,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30257,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30257,A000000,06150,0000,06300VENDING 30257,B100000,00000,0100,00000SQUARE FEET 30257,B100000,00000,0200,00000SQUARE FEET 30257,B100000,00000,0300,00000GROSS SALARIES 30257,B100000,00000,0400,00000ACCUM. COST 30257,B100000,00000,0500,00000SQUARE FEET 30257,B100000,00000,0600,00000PATIENT DAYS 30257,B100000,00000,0700,00000SQUARE FEET 30257,B100000,00000,0800,00000MEALS SERVED 30257,B100000,00000,0900,00000HOURS SUPERVISED 30257,B100000,00000,1000,00000COSTED REQUIS. 30257,B100000,00000,1100,00000COSTED REQUIS. 30257,B100000,00000,1200,00000GROSS REVENUE 30257,B100000,00000,1300,00000PATIENT DAYS 30257,B100000,00000,1400,00000ASSIGNED TIME 30257,S000000,00100,0200,08/30/2000 30257,S200000,00100,0100,14008 CHENEAU 30257,S200000,00200,0100,KAPLAN 30257,S200000,00200,0200,LA 30257,S200000,00200,0300,70548 30257,S200000,00300,0100,VERMILLION 30257,S200000,00400,0100,VERMILLION HEALTH CARE CENTER 30257,S200000,00400,0200,195442 30257,S200000,00400,0300,10/15/1998 30257,S200000,00400,0500,P 30257,S200000,01600,0100,Y 30264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30264,A000000,00300,0000,00300EMPLOYEE BENEFITS 30264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30264,A000000,00700,0000,00700HOUSEKEEPING 30264,A000000,00800,0000,00800DIETARY 30264,A000000,00900,0000,00900NURSING ADMINISTRATION 30264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30264,A000000,01100,0000,01100PHARMACY 30264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30264,A000000,01300,0000,01300SOCIAL SERVICE 30264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30264,A000000,01600,0000,01600SKILLED NURSING FACILITY 30264,A000000,01800,0000,01800NURSING FACILITY 30264,A000000,01810,0000,01810ICF/MR 30264,A000000,02200,0000,02200LABORATORY 30264,A000000,02300,0000,02300INTRAVENOUS THERAPY 30264,A000000,02500,0000,02500PHYSICAL THERAPY 30264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30264,A000000,02700,0000,02700SPEECH PATHOLOGY 30264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30264,A000000,03050,0000,03300THER ANCILLARY SERVICES 30264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30264,A000000,03550,0000,03550FQHC 30264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30264,A000000,05000,0000,05000CORF 30264,A000000,05010,0000,05010CMHC 30264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30264,A000000,05300,0000,05300INTEREST EXPENSE 30264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 30264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30264,B100000,00000,0100,00000SQUARE FEET 30264,B100000,00000,0200,00000DOLLAR VALUE 30264,B100000,00000,0300,00000GROSS SALARIES 30264,B100000,00000,0400,00000ACCUM. COST 30264,B100000,00000,0500,00000SQUARE FEET 30264,B100000,00000,0600,00000POUNDS OF LAUNDRY 30264,B100000,00000,0700,00000HOURS OF SERVICE 30264,B100000,00000,0800,00000MEALS SERVED 30264,B100000,00000,0900,00000DIRECT NRSING HRS 30264,B100000,00000,1000,00000COSTED REQUIS. 30264,B100000,00000,1100,00000COSTED REQUIS. 30264,B100000,00000,1200,00000TIME SPENT 30264,B100000,00000,1300,00000TIME SPENT 30264,B100000,00000,1400,00000ASSIGNED TIME 30264,E10A180,00501,0100,06/14/2000 30264,E10A180,00550,0300,06/14/2000 30264,S000000,00100,0200,05/16/2000 30264,S200000,00100,0100,14 CROTHERS DRIVE 30264,S200000,00200,0100,THE OLIVE BRANCH NURSING HOME 30264,S200000,00300,0100,MADISON PRAISH 30264,S200000,00400,0100,THE OLIVE BRANCH NURSING HOME 30264,S200000,00400,0200,195443 30264,S200000,00400,0300,10/01/1997 30264,S200000,00400,0500,P 30264,S200000,01600,0100,Y 30293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30293,A000000,00300,0000,00300EMPLOYEE BENEFITS 30293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30293,A000000,00700,0000,00700HOUSEKEEPING 30293,A000000,00800,0000,00800DIETARY 30293,A000000,00900,0000,00900NURSING ADMINISTRATION 30293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30293,A000000,01100,0000,01100PHARMACY 30293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30293,A000000,01300,0000,01300SOCIAL SERVICE 30293,A000000,01350,0000,01500ACTIVITIES 30293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30293,A000000,01600,0000,01600SKILLED NURSING FACILITY 30293,A000000,01810,0000,01810ICF/MR 30293,A000000,02200,0000,02200LABORATORY 30293,A000000,02500,0000,02500PHYSICAL THERAPY 30293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30293,A000000,02700,0000,02700SPEECH PATHOLOGY 30293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30293,A000000,03550,0000,03550FQHC 30293,A000000,05000,0000,05000CORF 30293,A000000,05010,0000,05010CMHC 30293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30293,A000000,05300,0000,05300INTEREST EXPENSE 30293,B100000,00000,0100,00000SQUARE FOOTAGE 30293,B100000,00000,0200,00000SQUARE FOOTAGE 30293,B100000,00000,0300,00000GROSS SAL 30293,B100000,00000,0400,00000ACCUM. COST 30293,B100000,00000,0500,00000SQUARE FOOTAGE 30293,B100000,00000,0600,00000PAT DAYS 30293,B100000,00000,0700,00000SQUARE FOOTAGE 30293,B100000,00000,0800,00000MEALS SERVED 30293,B100000,00000,0900,00000HOURS SUPERVISED 30293,B100000,00000,1000,00000COSTED REQUISITIO 30293,B100000,00000,1100,00000COSTED REQUISITIO 30293,B100000,00000,1200,00000GROSS CHARGES 30293,B100000,00000,1300,00000GROSS R&B CHARGES 30293,B100000,00000,1350,00000PAT DAYS 30293,B100000,00000,1400,00000BLANK 30293,S000000,00100,0200,04/19/2000 30293,S200000,00100,0100,475 HIGH HOPE ROAD 30293,S200000,00100,0300,1460 30293,S200000,00200,0100,SULPHUR 30293,S200000,00200,0200,LA 30293,S200000,00200,0300,70664 30293,S200000,00300,0100,C 30293,S200000,00400,0100,HIGH HOPE CARE CENTER 30293,S200000,00400,0200,195450 30293,S200000,00400,0300,12/02/1997 30293,S200000,00400,0500,P 30293,S200000,01500,0100,Y 30293,S200000,03100,0100,Y 30300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30300,A000000,00300,0000,00300EMPLOYEE BENEFITS 30300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30300,A000000,00700,0000,00700HOUSEKEEPING 30300,A000000,00800,0000,00800DIETARY 30300,A000000,00900,0000,00900NURSING ADMINISTRATION 30300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30300,A000000,01100,0000,01100PHARMACY 30300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30300,A000000,01300,0000,01300SOCIAL SERVICE 30300,A000000,01350,0000,01500OTHER GENERAL SERVICES 30300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30300,A000000,01600,0000,01600SKILLED NURSING FACILITY 30300,A000000,01800,0000,01800NURSING FACILITY 30300,A000000,02100,0000,02100RADIOLOGY 30300,A000000,02200,0000,02200LABORATORY 30300,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30300,A000000,02500,0000,02500PHYSICAL THERAPY 30300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30300,A000000,02700,0000,02700SPEECH PATHOLOGY 30300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30300,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30300,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30300,A000000,03550,0000,03550FQHC 30300,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30300,A000000,05000,0000,05000CORF 30300,A000000,05010,0000,05010CMHC 30300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30300,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30300,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30300,A81000A,00100,0100,Y 30300,A81000B,00100,0300,MANAGEMENT FEES 30300,A81000C,00100,0100,B 30300,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30300,A81000C,00100,0600,MANAGEMENT COMPANY 30300,B100000,00000,0100,00000SQUARE FEET 30300,B100000,00000,0200,00000SQUARE FEET 30300,B100000,00000,0300,00000GROSS SALARIES 30300,B100000,00000,0400,00000ACCUM. COST 30300,B100000,00000,0500,00000SQUARE FEET 30300,B100000,00000,0600,00000POUNDS OF LAUNDRY 30300,B100000,00000,0700,00000SQUARE FEET 30300,B100000,00000,0800,00000MEALS SERVED 30300,B100000,00000,0900,00000DIRECT NRSING HRS 30300,B100000,00000,1000,00000COSTED REQUIS. 30300,B100000,00000,1100,00000COSTED REQUIS. 30300,B100000,00000,1200,00000TIME SPENT 30300,B100000,00000,1300,00000TIME SPENT 30300,B100000,00000,1350,00000NO STATISTICS 30300,B100000,00000,1400,00000ASSIGNED TIME 30300,S000000,00100,0200,09/25/2000 30300,S200000,00100,0100,2901 DOUGLAS STREET 30300,S200000,00200,0100,BOSSIER CITY 30300,S200000,00200,0200,LA 30300,S200000,00200,0300,71111 30300,S200000,00300,0100,CADDO 30300,S200000,00400,0100,GUEST HOUSE OF BOSSIER 30300,S200000,00400,0200,195452 30300,S200000,00400,0300,12/01/1997 30300,S200000,00400,0500,P 30300,S200000,01600,0100,Y 30300,S200000,04300,0100,Y 30316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30316,A000000,00300,0000,00300EMPLOYEE BENEFITS 30316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30316,A000000,00700,0000,00700HOUSEKEEPING 30316,A000000,00800,0000,00800DIETARY 30316,A000000,00900,0000,00900NURSING ADMINISTRATION 30316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30316,A000000,01100,0000,01100PHARMACY 30316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30316,A000000,01300,0000,01300SOCIAL SERVICE 30316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30316,A000000,01600,0000,01600SKILLED NURSING FACILITY 30316,A000000,01800,0000,01800NURSING FACILITY 30316,A000000,01810,0000,01810ICF/MR 30316,A000000,02500,0000,02500PHYSICAL THERAPY 30316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30316,A000000,03051,0000,03301AIR FLUIDIZED BEDS 30316,A000000,03550,0000,03550FQHC 30316,A000000,05000,0000,05000CORF 30316,A000000,05010,0000,05010CMHC 30316,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30316,B100000,00000,0100,00040SQAURE FEET 30316,B100000,00000,0200,00040SQAURE FEET 30316,B100000,00000,0300,00040GROSS SALARIES 30316,B100000,00000,0400,00040ACCUM. COST 30316,B100000,00000,0500,00040SQAURE FEET 30316,B100000,00000,0600,00040PATIENT DAYS 30316,B100000,00000,0700,00040SQUARE FEET 30316,B100000,00000,0800,00040PATIENT DAYS 30316,B100000,00000,0900,00040DIRECT NRSING HRS 30316,B100000,00000,1000,00040COSTED REQUIS 30316,B100000,00000,1100,00040COSTED REQUIS 30316,B100000,00000,1200,00040TIME SPENT 30316,B100000,00000,1300,00040TIME SPENT 30316,B100000,00000,1400,00040ASSIGNED TIME 30316,S000000,00100,0200,01/12/2000 30316,S200000,00100,0100,1745 BAILEY AVENUE 30316,S200000,00200,0100,HAYNESVILLE 30316,S200000,00200,0200,LA 30316,S200000,00300,0100,CLAIBORNE 30316,S200000,00400,0100,HERITAGE NURSING CENTER 30316,S200000,00400,0200,195457 30316,S200000,00400,0300,05/01/1998 30316,S200000,00400,0500,P 30316,S200000,01600,0100,Y 30316,S200000,03100,0100,Y 30320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30320,A000000,00300,0000,00300EMPLOYEE BENEFITS 30320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30320,A000000,00700,0000,00700HOUSEKEEPING 30320,A000000,00800,0000,00800DIETARY 30320,A000000,00900,0000,00900NURSING ADMINISTRATION 30320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30320,A000000,01100,0000,01100PHARMACY 30320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30320,A000000,01300,0000,01300SOCIAL SERVICE 30320,A000000,01600,0000,01600SKILLED NURSING FACILITY 30320,A000000,02200,0000,02200LABORATORY 30320,A000000,02500,0000,02500PHYSICAL THERAPY 30320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30320,A000000,02700,0000,02700SPEECH PATHOLOGY 30320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30320,B100000,00000,0100,00000SQUARE FEET 30320,B100000,00000,0200,00000SQUARE FEET 30320,B100000,00000,0300,00000GROSS SALARIES 30320,B100000,00000,0400,00000ACCUM COST 30320,B100000,00000,0500,00000SQUARE FEET 30320,B100000,00000,0600,00000POUNDS OF LAUNDRY 30320,B100000,00000,0700,00000SQUARE FEET 30320,B100000,00000,0800,00000MEALS SERVED 30320,B100000,00000,0900,00000DIRECT NRSG HRS 30320,B100000,00000,1000,00000COSTED REQUIS 30320,B100000,00000,1100,00000COSTED REQUIS 30320,B100000,00000,1200,00000TIME SPENT 30320,B100000,00000,1300,00000TIME SPENT 30320,S000000,00100,0200,08/30/2000 30320,S200000,00100,0100,1201 3RD STREET 30320,S200000,00100,0300,510 30320,S200000,00200,0100,GUEYDAN 30320,S200000,00200,0200,LA 30320,S200000,00200,0300,70542 30320,S200000,00300,0100,VERMILLION 30320,S200000,00400,0100,GUEYDAN MEMORIAL GUEST HOME 30320,S200000,00400,0200,195458 30320,S200000,00400,0300,04/01/1998 30320,S200000,00400,0500,P 30320,S200000,01600,0100,Y 30320,S200000,02200,0100,Y 30320,S200000,04300,0100,Y 30324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30324,A000000,00300,0000,00300EMPLOYEE BENEFITS 30324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30324,A000000,00700,0000,00700HOUSEKEEPING 30324,A000000,00800,0000,00800DIETARY 30324,A000000,00900,0000,00900NURSING ADMINISTRATION 30324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30324,A000000,01100,0000,01100PHARMACY 30324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30324,A000000,01300,0000,01300SOCIAL SERVICE 30324,A000000,01350,0000,01500OTHER GENERAL SERVICES 30324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30324,A000000,01600,0000,01600SKILLED NURSING FACILITY 30324,A000000,01800,0000,01800NURSING FACILITY 30324,A000000,01810,0000,01810ICF/MR 30324,A000000,02100,0000,02100RADIOLOGY 30324,A000000,02200,0000,02200LABORATORY 30324,A000000,02500,0000,02500PHYSICAL THERAPY 30324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30324,A000000,02700,0000,02700SPEECH PATHOLOGY 30324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30324,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30324,A000000,03550,0000,03550FQHC 30324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30324,A000000,05000,0000,05000CORF 30324,A000000,05010,0000,05010CMHC 30324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30324,A81000A,00100,0100,Y 30324,A81000B,00100,0300,MANAGEMENT FEES 30324,A81000C,00100,0100,B 30324,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30324,A81000C,00100,0600,MANAGEMENT COMPANY 30324,B100000,00000,0100,00000SQUARE FEET 30324,B100000,00000,0200,00000SQUARE FEET 30324,B100000,00000,0300,00000GROSS SALARIES 30324,B100000,00000,0400,00000ACCUM. COST 30324,B100000,00000,0500,00000SQUARE FEET 30324,B100000,00000,0600,00000POUNDS OF LAUNDRY 30324,B100000,00000,0700,00000SQUARE FEET 30324,B100000,00000,0800,00000MEALS SERVED 30324,B100000,00000,0900,00000DIRECT NRSING HRS 30324,B100000,00000,1000,00000COSTED REQUIS. 30324,B100000,00000,1100,00000COSTED REQUIS. 30324,B100000,00000,1200,00000TIME SPENT 30324,B100000,00000,1300,00000TIME SPENT 30324,B100000,00000,1350,00000NO STATISTICS 30324,B100000,00000,1400,00000ASSIGNED TIME 30324,E10A180,00301,0100,04/05/2000 30324,E10A180,00501,0100,10/25/2000 30324,S000000,00100,0200,08/31/2000 30324,S200000,00100,0100,1306 W ADMIRAL DOYLE DR 30324,S200000,00100,0300,9766 30324,S200000,00200,0100,NEW IBERIA 30324,S200000,00200,0200,LA 30324,S200000,00200,0300,70562 30324,S200000,00300,0100,IBERIA 30324,S200000,00400,0100,AZALEA VILLA NURSING CENTER 30324,S200000,00400,0200,195460 30324,S200000,00400,0300,04/01/1998 30324,S200000,00400,0500,P 30324,S200000,01600,0100,Y 30324,S200000,04300,0100,Y 30337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30337,A000000,00300,0000,00300EMPLOYEE BENEFITS 30337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30337,A000000,00700,0000,00700HOUSEKEEPING 30337,A000000,00800,0000,00800DIETARY 30337,A000000,00900,0000,00900NURSING ADMINISTRATION 30337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30337,A000000,01100,0000,01100PHARMACY 30337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30337,A000000,01300,0000,01300SOCIAL SERVICE 30337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30337,A000000,01600,0000,01600SKILLED NURSING FACILITY 30337,A000000,01800,0000,01800NURSING FACILITY 30337,A000000,01810,0000,01810ICF/MR 30337,A000000,02500,0000,02500PHYSICAL THERAPY 30337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30337,A000000,03450,0000,03600ER 30337,A000000,03550,0000,03550FQHC 30337,A000000,05000,0000,05000CORF 30337,A000000,05010,0000,05010CMHC 30337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30337,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 30337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30337,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 30337,A000000,06150,0000,06300PEN THERAPY 30337,B100000,00000,0100,00000SQUARE FEET 30337,B100000,00000,0200,00000SQUARE FEET 30337,B100000,00000,0300,00000GROSS SALARIES 30337,B100000,00000,0400,00000ACCUM COST 30337,B100000,00000,0500,00000SQUARE FEET 30337,B100000,00000,0600,00000POUNDS OF LAUNDRY 30337,B100000,00000,0700,00000SQUARE FEET 30337,B100000,00000,0800,00000MEALS SERVED 30337,B100000,00000,0900,00000PATIENT DAYS 30337,B100000,00000,1000,00000COSTED REQUIS 30337,B100000,00000,1100,00000COSTED REQUIS 30337,B100000,00000,1200,00000PATIENT DAYS 30337,B100000,00000,1300,00000TIME SPENT 30337,B100000,00000,1400,00000ASSIGNED TIME 30337,E10A180,00501,0300,05/03/2000 30337,S000000,00100,0200,03/02/2000 30337,S200000,00100,0300,1510 30337,S200000,00200,0100,JENA 30337,S200000,00200,0200,LA 30337,S200000,00200,0300,71342 30337,S200000,00300,0100,L 30337,S200000,00400,0100,LASALLE NURSING HOME INC. 30337,S200000,00400,0200,195466 30337,S200000,00400,0300,06/30/1998 30337,S200000,00400,0500,P 30337,S200000,00600,0200,195466 30337,S200000,00600,0300,06/30/1998 30337,S200000,00600,0600,P 30337,S200000,01600,0100,Y 30350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30350,A000000,00300,0000,00300EMPLOYEE BENEFITS 30350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30350,A000000,00700,0000,00700HOUSEKEEPING 30350,A000000,00800,0000,00800DIETARY 30350,A000000,00900,0000,00900NURSING ADMINISTRATION 30350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30350,A000000,01100,0000,01100PHARMACY 30350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30350,A000000,01300,0000,01300SOCIAL SERVICE 30350,A000000,01350,0000,01500OTHER GENERAL SERVICES 30350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30350,A000000,01600,0000,01600SKILLED NURSING FACILITY 30350,A000000,01800,0000,01800NURSING FACILITY 30350,A000000,01810,0000,01810ICF/MR 30350,A000000,02100,0000,02100RADIOLOGY 30350,A000000,02200,0000,02200LABORATORY 30350,A000000,02500,0000,02500PHYSICAL THERAPY 30350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30350,A000000,02700,0000,02700SPEECH PATHOLOGY 30350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30350,A000000,03550,0000,03550FQHC 30350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30350,A000000,05000,0000,05000CORF 30350,A000000,05010,0000,05010CMHC 30350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30350,A81000A,00100,0100,Y 30350,A81000B,00100,0300,MANAGEMENT FEES 30350,A81000C,00100,0100,B 30350,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 30350,A81000C,00100,0600,MANAGEMENT COMPANY 30350,B100000,00000,0100,00000SQUARE FEET 30350,B100000,00000,0200,00000SQUARE FEET 30350,B100000,00000,0300,00000GROSS SALARIES 30350,B100000,00000,0400,00000ACCUM. COST 30350,B100000,00000,0500,00000SQUARE FEET 30350,B100000,00000,0600,00000POUNDS OF LAUNDRY 30350,B100000,00000,0700,00000SQUARE FEET 30350,B100000,00000,0800,00000MEALS SERVED 30350,B100000,00000,0900,00000DIRECT NRSING HRS 30350,B100000,00000,1000,00000COSTED REQUIS. 30350,B100000,00000,1100,00000COSTED REQUIS. 30350,B100000,00000,1200,00000TIME SPENT 30350,B100000,00000,1300,00000TIME SPENT 30350,B100000,00000,1350,00000NO STATISTICS 30350,B100000,00000,1400,00000ASSIGNED TIME 30350,E10A180,00301,0100,04/05/2000 30350,E10A180,00501,0100,11/01/2000 30350,S000000,00100,0200,08/31/2000 30350,S200000,00100,0100,1818 HIGHWAY 121 30350,S200000,00200,0100,HINESTON 30350,S200000,00200,0200,LA 30350,S200000,00200,0300,71438 30350,S200000,00300,0100,RAPIDES 30350,S200000,00400,0100,FAIR OAKS NURSING HOME 30350,S200000,00400,0200,195470 30350,S200000,00400,0300,06/01/1998 30350,S200000,00400,0500,P 30350,S200000,01600,0100,Y 30350,S200000,04300,0100,Y 30392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30392,A000000,00300,0000,00300EMPLOYEE BENEFITS 30392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30392,A000000,00700,0000,00700HOUSEKEEPING 30392,A000000,00800,0000,00800DIETARY 30392,A000000,00900,0000,00900NURSING ADMINISTRATION 30392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30392,A000000,01100,0000,01100PHARMACY 30392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30392,A000000,01300,0000,01300SOCIAL SERVICE 30392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30392,A000000,01600,0000,01600SKILLED NURSING FACILITY 30392,A000000,01800,0000,01800NURSING FACILITY 30392,A000000,01810,0000,01810ICF/MR 30392,A000000,02100,0000,02100RADIOLOGY 30392,A000000,02200,0000,02200LABORATORY 30392,A000000,02500,0000,02500PHYSICAL THERAPY 30392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30392,A000000,02700,0000,02700SPEECH PATHOLOGY 30392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30392,A000000,03050,0000,03300BGMT-ENT 30392,A000000,03250,0000,03250EQUIPMENT RENTAL 30392,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 30392,A000000,05000,0000,05000CORF 30392,A000000,05010,0000,05010CMHC 30392,A000000,05020,0000,05020OPT 30392,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30392,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 30392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30392,A81000A,00100,0100,Y 30392,A81000B,00100,0300,H/O CAPITAL COST 30392,A81000B,00200,0300,MANAGEMENT FEES 30392,A81000C,00100,0100,F 30392,A81000C,00100,0200,JOHN L BLACK JR 30392,A81000C,00100,0400,HCM INC. 30392,A81000C,00100,0600,MANAGEMENT CO. 30392,A81000C,00200,0100,F 30392,A81000C,00200,0200,BOBBY ARNOLD 30392,A81000C,00200,0400,HCM INC. 30392,A81000C,00200,0600,MANAGEMENT CO. 30392,A81000C,00300,0100,F 30392,A81000C,00300,0200,MARK WALDROP 30392,A81000C,00300,0400,HCM INC. 30392,A81000C,00300,0600,MANAGEMENT CO. 30392,B100000,00000,0100,00000(SQUARE FEET) 30392,B100000,00000,0200,00000(SQUARE FEET) 30392,B100000,00000,0300,00000(GROSS SALARIES) 30392,B100000,00000,0400,00000(ACCUM COST) 30392,B100000,00000,0500,00000(SQUARE FEET) 30392,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 30392,B100000,00000,0700,00000(HOURS OF SERVICE) 30392,B100000,00000,0800,00000(MEALS SERVED) 30392,B100000,00000,0900,00000(DIR NRSG HOURS) 30392,B100000,00000,1000,00000(COSTED REQUIS) 30392,B100000,00000,1100,00000(COSTED REQUIS) 30392,B100000,00000,1200,00000(TIME SPENT) 30392,B100000,00000,1300,00000(TIME SPENT) 30392,B100000,00000,1400,00000(ASSIGNED TIME) 30392,E10A180,00501,0100,09/27/2000 30392,E10A180,00501,0300,09/27/2000 30392,S000000,00100,0200,08/07/2000 30392,S200000,00100,0100,1843 N HAGADORN ROAD 30392,S200000,00200,0100,EAST LANSING 30392,S200000,00200,0200,MI 30392,S200000,00200,0300,48823 30392,S200000,00300,0100,INGHAM 30392,S200000,00400,0100,WHITEHILLS HEALTH CARE CENTER 30392,S200000,00400,0200,235283 30392,S200000,00400,0300,09/24/1984 30392,S200000,00400,0500,P 30392,S200000,01600,0100,Y 30392,S200000,01900,0100,S-CORPORATION SUBSIDIARY 30402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30402,A000000,00300,0000,00300EMPLOYEE BENEFITS 30402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30402,A000000,00700,0000,00700HOUSEKEEPING 30402,A000000,00800,0000,00800DIETARY 30402,A000000,00900,0000,00900NURSING ADMINISTRATION 30402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30402,A000000,01100,0000,01100PHARMACY 30402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30402,A000000,01300,0000,01300SOCIAL SERVICE 30402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30402,A000000,01600,0000,01600SKILLED NURSING FACILITY 30402,A000000,01800,0000,01800NURSING FACILITY 30402,A000000,01810,0000,01810ICF/MR 30402,A000000,02100,0000,02100RADIOLOGY 30402,A000000,02200,0000,02200LABORATORY 30402,A000000,02500,0000,02500PHYSICAL THERAPY 30402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30402,A000000,02700,0000,02700SPEECH PATHOLOGY 30402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30402,A000000,03050,0000,03300BGMT/ENTERALS 30402,A000000,03250,0000,03250EQUIPMENT RENTAL 30402,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 30402,A000000,05000,0000,05000CORF 30402,A000000,05010,0000,05010CMHC 30402,A000000,05020,0000,05020OPT 30402,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30402,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 30402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30402,A81000A,00100,0100,Y 30402,A81000B,00100,0300,H/O CAPITAL COSTS 30402,A81000B,00200,0300,MANAGEMENT FEES 30402,A81000C,00100,0100,F 30402,A81000C,00100,0200,JOHN L BLACK JR 30402,A81000C,00100,0400,HCM INC. 30402,A81000C,00100,0600,MANAGEMENT CO. 30402,A81000C,00200,0100,F 30402,A81000C,00200,0200,BOBBY ARNOLD 30402,A81000C,00200,0400,HCM INC. 30402,A81000C,00200,0600,MANAGEMENT CO. 30402,A81000C,00300,0100,F 30402,A81000C,00300,0200,MARK WALDROP 30402,A81000C,00300,0400,HCM INC. 30402,A81000C,00300,0600,MANAGEMENT CO. 30402,B100000,00000,0100,00000(SQUARE FEET) 30402,B100000,00000,0200,00000(SQUARE FEET) 30402,B100000,00000,0300,00000(GROSS SALARIES) 30402,B100000,00000,0400,00000(ACCUM COST) 30402,B100000,00000,0500,00000(SQUARE FEET) 30402,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 30402,B100000,00000,0700,00000(HOURS OF SERVICE) 30402,B100000,00000,0800,00000(MEALS SERVED) 30402,B100000,00000,0900,00000(DIR NRSG HOURS) 30402,B100000,00000,1000,00000(COSTED REQUIS) 30402,B100000,00000,1100,00000(COSTED REQUIS) 30402,B100000,00000,1200,00000(TIME SPENT) 30402,B100000,00000,1300,00000(TIME SPENT) 30402,B100000,00000,1400,00000(ASSIGNED TIME) 30402,E10A180,00501,0100,09/27/2000 30402,E10A180,00501,0300,09/27/2000 30402,S000000,00100,0200,08/01/2000 30402,S200000,00100,0100,2815 NORTHWIND DRIVE 30402,S200000,00200,0100,EAST LANSING 30402,S200000,00200,0200,MICHIGAN 30402,S200000,00200,0300,48823 30402,S200000,00300,0100,INGHAM 30402,S200000,00400,0100,EAST LANSING HEALTH CARE CTR 30402,S200000,00400,0200,235517 30402,S200000,00400,0300,05/01/1992 30402,S200000,00400,0500,P 30402,S200000,01600,0100,Y 30402,S200000,01900,0100,S-CORPORATION SUBSIDIARY 30410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30410,A000000,00300,0000,00300EMPLOYEE BENEFITS 30410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30410,A000000,00700,0000,00700HOUSEKEEPING 30410,A000000,00800,0000,00800DIETARY 30410,A000000,00900,0000,00900NURSING ADMINISTRATION 30410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30410,A000000,01100,0000,01100PHARMACY 30410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30410,A000000,01300,0000,01300SOCIAL SERVICE 30410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30410,A000000,01600,0000,01600SKILLED NURSING FACILITY 30410,A000000,01800,0000,01800NURSING FACILITY 30410,A000000,01810,0000,01810ICF/MR 30410,A000000,02500,0000,02500PHYSICAL THERAPY 30410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30410,A000000,02700,0000,02700SPEECH PATHOLOGY 30410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30410,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30410,A000000,03550,0000,03550FQHC 30410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30410,A000000,05000,0000,05000CORF 30410,A000000,05010,0000,05010CMHC 30410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30410,A000000,05300,0000,05300INTEREST EXPENSE 30410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30410,A81000A,00100,0100,Y 30410,A81000B,00100,0300,ASSISTANT ADMINISTRATOR 30410,A81000B,00200,0300,BOARD OF DIRECTOR FEE 30410,A81000B,00300,0300,MEDICAL DIRECTOR FEES 30410,A81000B,00400,0300,BOARD OF DIRECTORS FEES 30410,A81000B,00500,0300,BOARD OF DIRECTORS FEES 30410,A81000B,00600,0300,BOARD OF DIRECTORS FEES 30410,A81000B,00700,0300,MANAGMENT COMPANY FEES 30410,A81000B,00800,0300,HOME OFFICE MEDICAL RECORDS 30410,A81000B,00900,0300,HOME OFFICE DIETARY 30410,A81000B,01000,0300,HOME OFFICE SOCIAL SERVICES 30410,A81000C,00100,0100,A 30410,A81000C,00100,0200,C BRUCE KELLY 30410,A81000C,00100,0400,C BRUCE KELLY 30410,A81000C,00100,0600,ASSISTANT ADMINIST/VP 30410,A81000C,00200,0100,A 30410,A81000C,00200,0400,C. BRUCE KELLY 30410,A81000C,00200,0600,BOARD OF DIRECTORS 30410,A81000C,00300,0100,A 30410,A81000C,00300,0400,C. RANDALL TILLMAN MD 30410,A81000C,00300,0600,MEDICAL DIRECTOR/PRES 30410,A81000C,00400,0100,A 30410,A81000C,00400,0400,C. RANDALL TILLMAN MD 30410,A81000C,00400,0600,BOARD OF DIRECTORS 30410,A81000C,00500,0100,D 30410,A81000C,00500,0400,RITA KELLY 30410,A81000C,00500,0600,BOARD OF DIRECTORS 30410,A81000C,00600,0100,D 30410,A81000C,00600,0400,ANN TILLMAN 30410,A81000C,00600,0600,BOARD OF DIRECTORS 30410,A81000C,00700,0100,A 30410,A81000C,00700,0400,C. BRUCE KELLY 30410,A81000C,00700,0600,SENIOR LIVING CENTERS LL 30410,A81000C,00800,0100,A 30410,A81000C,00800,0400,C. RANDALL TILLMAN MD 30410,A81000C,00800,0600,SENIOR LIVING CENTERS LL 30410,B100000,00000,0100,00000SQUARE FEET 30410,B100000,00000,0200,00000SQUARE FEET 30410,B100000,00000,0300,00000GROSS SALARIES 30410,B100000,00000,0400,00000ACCUM. COST 30410,B100000,00000,0500,00000SQUARE FEET 30410,B100000,00000,0600,00000POUNDS OF LAUNDRY 30410,B100000,00000,0700,00000HOURS OF SERVICES 30410,B100000,00000,0800,00000MEALS SERVED 30410,B100000,00000,0900,00000HOURS OF SERVICE 30410,B100000,00000,1000,00000COSTED REQS 30410,B100000,00000,1100,00000COSTED REQUIS 30410,B100000,00000,1200,00000TIME SPENT 30410,B100000,00000,1300,00000TIME SPENT 30410,B100000,00000,1400,00000ASSIGNED TIME 30410,E10A180,00301,0100,07/28/1999 30410,E10A180,00501,0100,07/24/2000 30410,E10A180,00550,0300,07/24/2000 30410,S000000,00100,0200,06/05/2000 30410,S200000,00100,0100,3 BOWLING GREEN ROAD 30410,S200000,00200,0100,LEXINGTON 30410,S200000,00200,0200,MS 30410,S200000,00200,0300,39095 30410,S200000,00300,0100,HOLMES 30410,S200000,00400,0100,LEXINGTON MANOR NURING HOME 30410,S200000,00400,0200,255091 30410,S200000,00400,0300,01/01/1989 30410,S200000,00400,0500,P 30410,S200000,01600,0100,Y 30419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30419,A000000,00300,0000,00300EMPLOYEE BENEFITS 30419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30419,A000000,00700,0000,00700HOUSEKEEPING 30419,A000000,00800,0000,00800DIETARY 30419,A000000,00900,0000,00900NURSING ADMINISTRATION 30419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30419,A000000,01100,0000,01100PHARMACY 30419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30419,A000000,01300,0000,01300SOCIAL SERVICE 30419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30419,A000000,01600,0000,01600SKILLED NURSING FACILITY 30419,A000000,01800,0000,01800NURSING FACILITY 30419,A000000,01810,0000,01810ICF/MR 30419,A000000,02200,0000,02200LABORATORY 30419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30419,A000000,02500,0000,02500PHYSICAL THERAPY 30419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30419,A000000,02700,0000,02700SPEECH PATHOLOGY 30419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30419,A000000,03550,0000,03550FQHC 30419,A000000,05000,0000,05000CORF 30419,A000000,05010,0000,05010CMHC 30419,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30419,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30419,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30419,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 30419,A000000,06200,0000,06200PATIENTS LAUNDRY 30419,A81000A,00100,0100,Y 30419,A81000B,00100,0300,THERAPY 30419,A81000B,00200,0300,THERAPY 30419,A81000B,00300,0300,THERAPY 30419,A81000B,00400,0300,HOME OFFICE COSTS 30419,A81000B,00500,0300,HOME OFFICE COSTS 30419,A81000B,00600,0300,RENT 30419,A81000B,00700,0300,NRS UNIFORMS 30419,A81000B,00800,0300,NRSG REPAIRS 30419,A81000B,00900,0300,NRSG SUPPLIES 30419,A81000B,01000,0300,NRSG FORMS 30419,A81000B,01100,0300,OBRA SUPPLIES 30419,A81000B,01200,0300,PHARMACY 30419,A81000B,01300,0300,PT PERSONAL NEEDS 30419,A81000B,01400,0300,MED SUPPLIES 30419,A81000B,01500,0300,UNIFORMS 30419,A81000B,01600,0300,SUPPLIES 30419,A81000B,01700,0300,LINEN 30419,A81000B,01800,0300,SUPPLIES 30419,A81000B,01900,0300,UNIFORMS 30419,A81000B,02000,0300,SUPPLIES 30419,A81000B,02100,0300,SUPPLIES 30419,A81000B,02200,0300,FORMS 30419,A81000B,02300,0300,REPAIRS 30419,A81000B,02400,0300,SUPPLIES 30419,A81000C,00100,0100,A 30419,A81000C,00100,0200,SEE HCFA 339 30419,A81000C,00100,0400,DELTA HEALTH GR 30419,A81000C,00100,0600,NRSG HOME OPERA 30419,A81000C,00200,0100,A 30419,A81000C,00200,0200,SEE HCFA 339 30419,A81000C,00200,0400,DELTA DURABLES 30419,A81000C,00200,0600,SUPPLIES 30419,A81000C,00300,0100,A 30419,A81000C,00300,0200,SEE HCFA 339 30419,A81000C,00300,0400,DELTA REHAB 30419,A81000C,00300,0600,THERAPY 30419,A81000C,00400,0100,A 30419,A81000C,00400,0200,SEE HCFA 339 30419,A81000C,00400,0400,SKYLER MS 30419,A81000C,00400,0600,LESSOR 30419,B100000,00000,0100,00000SQUARE FEET 30419,B100000,00000,0200,00000SQUARE FEET 30419,B100000,00000,0300,00000GROSS SALARIES 30419,B100000,00000,0400,00000ACCUM COST 30419,B100000,00000,0500,00000SQUARE FEET 30419,B100000,00000,0600,00000POUNDS OF LAUNDRY 30419,B100000,00000,0700,00000SQUARE FEET 30419,B100000,00000,0800,00000MEALS SERVED 30419,B100000,00000,0900,00000DIRECT NRSG HRS 30419,B100000,00000,1000,00000PATIENT DAYS 30419,B100000,00000,1100,00000COSTED REQUIS 30419,B100000,00000,1200,00000TIME SPENT 30419,B100000,00000,1300,00000TIME SPENT 30419,B100000,00000,1400,00000ASSIGNED TIME 30419,E10A180,00501,0100,07/12/2000 30419,S000000,00100,0200,06/01/2000 30419,S200000,00100,0100,1530 BROAD ST 30419,S200000,00200,0100,GULFPORT 30419,S200000,00200,0200,MS 30419,S200000,00200,0300,39501 30419,S200000,00300,0100,HARRISON 30419,S200000,00400,0100,THE BOYINGTON 30419,S200000,00400,0200,255092 30419,S200000,00400,0300,07/01/1994 30419,S200000,00400,0500,P 30419,S200000,00400,0600,O 30419,S200000,00600,0200,255092 30419,S200000,00600,0300,07/01/1994 30419,S200000,00600,0600,P 30419,S200000,01600,0100,Y 30427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30427,A000000,00300,0000,00300EMPLOYEE BENEFITS 30427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30427,A000000,00700,0000,00700HOUSEKEEPING 30427,A000000,00800,0000,00800DIETARY 30427,A000000,00900,0000,00900NURSING ADMINISTRATION 30427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30427,A000000,01100,0000,01100PHARMACY 30427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30427,A000000,01300,0000,01300SOCIAL SERVICE 30427,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 30427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30427,A000000,01600,0000,01600SKILLED NURSING FACILITY 30427,A000000,01800,0000,01800NURSING FACILITY 30427,A000000,01810,0000,01810ICF/MR 30427,A000000,02100,0000,02100RADIOLOGY 30427,A000000,02200,0000,02200LABORATORY 30427,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30427,A000000,02500,0000,02500PHYSICAL THERAPY 30427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30427,A000000,02700,0000,02700SPEECH PATHOLOGY 30427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30427,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 30427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 30427,A000000,03550,0000,03550FQHC 30427,A000000,05000,0000,05000CORF 30427,A000000,05010,0000,05010CMHC 30427,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30427,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30427,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30427,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30427,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 30427,A81000A,00100,0100,Y 30427,A81000B,00100,0300,HOME OFFICE COSTS 30427,A81000B,00200,0300,HOME OFFICE COSTS 30427,A81000B,00300,0300,HOME OFFICECOSTS 30427,A81000C,00100,0100,A 30427,A81000C,00100,0200,DOUG WRIGHT SR 30427,A81000C,00100,0400,RIGHT CARE INC 30427,A81000C,00100,0600,MANAGEMENT 30427,B100000,00000,0100,00000SQUARE FEET 30427,B100000,00000,0200,00000SQUARE FEET 30427,B100000,00000,0300,00000GROSS SALARIES 30427,B100000,00000,0400,00000ACCUM COST 30427,B100000,00000,0500,00000SQUARE FEET 30427,B100000,00000,0600,00000PATIENT DAYS 30427,B100000,00000,0700,00000SQUARE FEET 30427,B100000,00000,0800,00000MEALS SERVED 30427,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 30427,B100000,00000,1000,00000PATIENT DAYS 30427,B100000,00000,1100,00000PATIENT DAYS 30427,B100000,00000,1200,00000HOURS OF SERVICE 30427,B100000,00000,1300,00000HOURS OF SERVICE 30427,B100000,00000,1350,00000HOURS OF SERVICE 30427,B100000,00000,1400,00000ASSIGNED TIME 30427,S000000,00100,0200,06/27/2000 30427,S200000,00100,0100,2279 ATKINSON ROAD 30427,S200000,00200,0100,BILOXI 30427,S200000,00200,0200,MS 30427,S200000,00200,0300,39531 30427,S200000,00300,0100,HARRISON 30427,S200000,00400,0100,THE KARE CENTER 30427,S200000,00400,0200,255093 30427,S200000,00400,0300,01/24/1985 30427,S200000,00400,0500,P 30427,S200000,01600,0100,Y 30427,S200000,04300,0100,Y 30494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30494,A000000,00300,0000,00300EMPLOYEE BENEFITS 30494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30494,A000000,00700,0000,00700HOUSEKEEPING 30494,A000000,00800,0000,00800DIETARY 30494,A000000,00900,0000,00900NURSING ADMINISTRATION 30494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30494,A000000,01100,0000,01100PHARMACY 30494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30494,A000000,01300,0000,01300SOCIAL SERVICE 30494,A000000,01301,0000,01301ACTIVITES 30494,A000000,01350,0000,01500REHABILITATION 30494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30494,A000000,01600,0000,01600SKILLED NURSING FACILITY 30494,A000000,01800,0000,01800NURSING FACILITY 30494,A000000,01810,0000,01810ICF/MR 30494,A000000,02300,0000,02300INTRAVENOUS THERAPY 30494,A000000,02500,0000,02500PHYSICAL THERAPY 30494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30494,A000000,02700,0000,02700SPEECH PATHOLOGY 30494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30494,A000000,03050,0000,03300EQUIPMENT RENTAL 30494,A000000,03051,0000,03301PEN THERAPY 30494,A000000,03550,0000,03550FQHC 30494,A000000,05000,0000,05000CORF 30494,A000000,05010,0000,05010CMHC 30494,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30494,A000000,05300,0000,05300INTEREST EXPENSE 30494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30494,A000000,06150,0000,06300VENDING 30494,A000000,06151,0000,06301STAND-BY 30494,A81000A,00100,0100,Y 30494,A81000B,00100,0300,HOME OFFICE COST 30494,A81000B,00200,0300,DIETARY SUPPLEMENTS 30494,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 30494,A81000B,00400,0300,PRESCRIPTION DRUGS 30494,A81000B,00500,0300,MEDICAL SUPPLIES 30494,A81000B,00600,0300,ADMIN COSTS 30494,A81000B,00700,0300,HOME OFFICE INTEREST 30494,A81000B,00800,0300,EQUIPMENT RENTAL 30494,A81000B,00900,0300,IV THERAPY 30494,A81000B,01000,0300,THERAPY CONSULTING 30494,A81000B,01100,0300,PHYSICAL THERAPY 30494,A81000B,01200,0300,OCCUPATIONAL THERAPY 30494,A81000B,01300,0300,SPEECH THERAPY 30494,A81000B,01400,0300,ANC EQUIP RENTAL 30494,A81000C,00100,0100,B 30494,A81000C,00100,0200,YAZOO CITY H&R 30494,A81000C,00100,0400,MARINER PAN 30494,A81000C,00100,0600,NURSING HOMES 30494,A81000C,00200,0100,G 30494,A81000C,00200,0200,MARINER PAN 30494,A81000C,00200,0400,AMER PHARM SVCS 30494,A81000C,00200,0600,PHARMACEUTICALS 30494,A81000C,00300,0100,G 30494,A81000C,00300,0200,MARINER PAN 30494,A81000C,00300,0400,PRISM-ATS-ARS-T 30494,A81000C,00300,0600,THERAPIES 30494,B100000,00000,0100,00001SQUARE FEET 30494,B100000,00000,0200,00001SQUARE FEET 30494,B100000,00000,0300,00001GROSS SALARIES 30494,B100000,00000,0400,00001ACCUM COST 30494,B100000,00000,0500,00001SQUARE FEET 30494,B100000,00000,0600,00001PATIENT DAYS 30494,B100000,00000,0700,00001SQUARE FEET 30494,B100000,00000,0800,00001MEALS SERVED 30494,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30494,B100000,00000,1000,00001PATIENT DAYS 30494,B100000,00000,1100,00001COSTED REQUIS 30494,B100000,00000,1200,00001PATIENT DAYS 30494,B100000,00000,1300,00001PATIENT DAYS 30494,B100000,00000,1301,00001PATIENT DAYS 30494,B100000,00000,1350,00001UNITS OF SERVICE 30494,B100000,00000,1400,00001ASSIGNED TIME 30494,S000000,00100,0200,06/02/2000 30494,S200000,00100,0100,925 CALHOUN AVE. 30494,S200000,00200,0100,YAZOO CITY 30494,S200000,00200,0200,MS 30494,S200000,00300,0100,HOLMES 30494,S200000,00400,0100,YAZOO CITY HEALTH & REHAB CENTER 30494,S200000,00400,0200,255146 30494,S200000,00400,0300,06/01/1992 30494,S200000,00400,0500,P 30494,S200000,01600,0100,Y 30494,S200000,02200,0100,Y 30494,S200000,04300,0100,Y 30503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30503,A000000,00300,0000,00300EMPLOYEE BENEFITS 30503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30503,A000000,00700,0000,00700HOUSEKEEPING 30503,A000000,00800,0000,00800DIETARY 30503,A000000,00900,0000,00900NURSING ADMINISTRATION 30503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30503,A000000,01100,0000,01100PHARMACY 30503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30503,A000000,01300,0000,01300SOCIAL SERVICE 30503,A000000,01301,0000,01301ACTIVITES 30503,A000000,01350,0000,01500REHABILITATION 30503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30503,A000000,01600,0000,01600SKILLED NURSING FACILITY 30503,A000000,01800,0000,01800NURSING FACILITY 30503,A000000,01810,0000,01810ICF/MR 30503,A000000,02100,0000,02100RADIOLOGY 30503,A000000,02200,0000,02200LABORATORY 30503,A000000,02300,0000,02300INTRAVENOUS THERAPY 30503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30503,A000000,02500,0000,02500PHYSICAL THERAPY 30503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30503,A000000,02700,0000,02700SPEECH PATHOLOGY 30503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30503,A000000,03050,0000,03300EQUIPMENT RENTAL 30503,A000000,03051,0000,03301PEN THERAPY 30503,A000000,03550,0000,03550FQHC 30503,A000000,05000,0000,05000CORF 30503,A000000,05010,0000,05010CMHC 30503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30503,A000000,05300,0000,05300INTEREST EXPENSE 30503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30503,A000000,06150,0000,06300VENDING 30503,A000000,06151,0000,06301STAND-BY 30503,A81000A,00100,0100,Y 30503,A81000B,00100,0300,HOME OFFICE COST 30503,A81000B,00200,0300,DIETARY SUPPLEMENTS 30503,A81000B,00300,0300,NSG SUPPLIES 30503,A81000B,00400,0300,PT SUPPLIES 30503,A81000B,00500,0300,MEDICAL SUPPLIES 30503,A81000B,00600,0300,ADMIN COSTS 30503,A81000B,00700,0300,HOME OFFICE INTEREST 30503,A81000B,00800,0300,EQUIPMENT REPLACEMENT 30503,A81000B,00900,0300,IV THERAPY 30503,A81000B,01000,0300,THERAPY CONSULTING 30503,A81000B,01100,0300,PHYSICAL THERAPY 30503,A81000B,01200,0300,OCCUPATIONAL THERAPY 30503,A81000B,01300,0300,SPEECH THERAPY 30503,A81000B,01400,0300,ANC EQUIP RENTAL 30503,A81000C,00100,0100,B 30503,A81000C,00100,0200,CLINTON HC 30503,A81000C,00100,0400,MARINER PAN 30503,A81000C,00100,0600,NURSING HOMES 30503,A81000C,00200,0100,G 30503,A81000C,00200,0200,MARINER PAN 30503,A81000C,00200,0400,AMER PHARM SVCS 30503,A81000C,00200,0600,PHARMACEUTICALS 30503,A81000C,00300,0100,G 30503,A81000C,00300,0200,MARINER PAN 30503,A81000C,00300,0400,PRISM-ATS-ARS-T 30503,A81000C,00300,0600,THERAPIES 30503,B100000,00000,0100,00001SQUARE FEET 30503,B100000,00000,0200,00001SQUARE FEET 30503,B100000,00000,0300,00001GROSS SALARIES 30503,B100000,00000,0400,00001ACCUM COST 30503,B100000,00000,0500,00001SQUARE FEET 30503,B100000,00000,0600,00001PATIENT DAYS 30503,B100000,00000,0700,00001SQUARE FEET 30503,B100000,00000,0800,00001MEALS SERVED 30503,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30503,B100000,00000,1000,00001PATIENT DAYS 30503,B100000,00000,1100,00001COSTED REQUIS 30503,B100000,00000,1200,00001PATIENT DAYS 30503,B100000,00000,1300,00001PATIENT DAYS 30503,B100000,00000,1301,00001PATIENT DAYS 30503,B100000,00000,1350,00001UNITS OF SERVICE 30503,B100000,00000,1400,00001ASSIGNED TIME 30503,S000000,00100,0200,06/02/2000 30503,S200000,00100,0100,101 W. NORTHSIDE DRIVE 30503,S200000,00200,0100,CLINTON 30503,S200000,00200,0200,MS 30503,S200000,00300,0100,HINDS 30503,S200000,00400,0100,CLINTON HEALTH & REHAB CENTER 30503,S200000,00400,0200,255148 30503,S200000,00400,0300,05/01/1995 30503,S200000,00400,0500,P 30503,S200000,01600,0100,Y 30503,S200000,02200,0100,Y 30503,S200000,04300,0100,Y 30538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30538,A000000,00300,0000,00300EMPLOYEE BENEFITS 30538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30538,A000000,00700,0000,00700HOUSEKEEPING 30538,A000000,00800,0000,00800DIETARY 30538,A000000,00900,0000,00900NURSING ADMINISTRATION 30538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30538,A000000,01100,0000,01100PHARMACY 30538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30538,A000000,01300,0000,01300SOCIAL SERVICE 30538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30538,A000000,01600,0000,01600SKILLED NURSING FACILITY 30538,A000000,01800,0000,01800NURSING FACILITY 30538,A000000,01810,0000,01810ICF/MR 30538,A000000,02200,0000,02200LABORATORY 30538,A000000,02500,0000,02500PHYSICAL THERAPY 30538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30538,A000000,02700,0000,02700SPEECH PATHOLOGY 30538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30538,A000000,03550,0000,03550FQHC 30538,A000000,05000,0000,05000CORF 30538,A000000,05010,0000,05010CMHC 30538,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30538,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 30538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30538,A000000,06101,0000,06110OTHER NON-REIMBURSABLE COSTS 30538,A81000A,00100,0100,Y 30538,A81000B,00100,0300,MANAGEMENT FEES 30538,A81000B,00200,0300,HOME OFFICE EXPENSES 30538,A81000B,00300,0300,HOME OFFICE CAPITAL 30538,A81000B,00400,0300,CONTRACT NURSES 30538,A81000B,00500,0300,CONTRACT NURSES 30538,A81000B,00600,0300,NURSING SUPPLIES 30538,A81000B,00700,0300,NURSING SUPPLIES 30538,A81000B,00800,0300,SUPPLIES 30538,A81000B,00900,0300,DRUGS 30538,A81000B,01000,0300,LEASED PREMISES 30538,A81000C,00100,0100,A 30538,A81000C,00100,0200,MICHAEL E. MCEL 30538,A81000C,00100,0400,HMP MANAGEMENT 30538,A81000C,00100,0600,HOME OFFICE 30538,A81000C,00200,0100,A 30538,A81000C,00200,0200,MICHAEL E. MCEL 30538,A81000C,00200,0400,HMP MANAGEMENT 30538,A81000C,00200,0600,HOME OFFICE 30538,A81000C,00300,0100,A 30538,A81000C,00300,0200,MICHAEL E. MCEL 30538,A81000C,00300,0400,HMP MANAGEMENT 30538,A81000C,00300,0600,HOME OFFICE 30538,A81000C,00400,0100,A 30538,A81000C,00400,0200,MICHAEL E. MCEL 30538,A81000C,00400,0400,HMP NURSING SER 30538,A81000C,00400,0600,STAFF RELIEF NU 30538,A81000C,00500,0100,A 30538,A81000C,00500,0200,MICHAEL E. MCEL 30538,A81000C,00500,0400,HMP NURSING SER 30538,A81000C,00500,0600,STAFF RELIEF NU 30538,A81000C,00600,0100,A 30538,A81000C,00600,0200,MICHAEL E. MCEL 30538,A81000C,00600,0400,UNICARERX 30538,A81000C,00600,0600,INSTITUTIONAL P 30538,A81000C,00700,0100,A 30538,A81000C,00700,0200,MICHAEL E. MCEL 30538,A81000C,00700,0400,UNICARERX 30538,A81000C,00700,0600,INSTITUTIONAL P 30538,A81000C,00800,0100,A 30538,A81000C,00800,0200,MICHAEL E. MCEL 30538,A81000C,00800,0400,UNICARERX 30538,A81000C,00800,0600,INSTITUTIONAL P 30538,A81000C,00900,0100,A 30538,A81000C,00900,0200,MICHAEL E. MCEL 30538,A81000C,00900,0400,UNICARERX 30538,A81000C,00900,0600,INSTITUTIONAL P 30538,B100000,00000,0100,00010SQUARE FEET 30538,B100000,00000,0200,00010SQUARE FEET 30538,B100000,00000,0300,00010GROSS SALARIES 30538,B100000,00000,0400,00010ACCUM COST 30538,B100000,00000,0500,00010SQUARE FEET 30538,B100000,00000,0600,00010POUNDS OF LAUNDRY 30538,B100000,00000,0700,00010SQUARE FEET 30538,B100000,00000,0800,00010MEALS SERVED 30538,B100000,00000,0900,00010DIRECT NRSG HRS 30538,B100000,00000,1000,00010COSTED REQUIS 30538,B100000,00000,1100,00010COSTED REQUIS 30538,B100000,00000,1200,00010TIME SPENT 30538,B100000,00000,1300,00010TIME SPENT 30538,B100000,00000,1400,00010ASSIGNED TIME 30538,S000000,00100,0200,12/18/2000 30538,S200000,00100,0100,1009 SOUTH MAIN STREET 30538,S200000,00200,0100,NEWTON 30538,S200000,00200,0200,MS 30538,S200000,00200,0300,39345 30538,S200000,00300,0100,N 30538,S200000,00400,0100,CONVA-REST OF NEWTON INC. 30538,S200000,00400,0200,255153 30538,S200000,00400,0300,11/01/1992 30538,S200000,00400,0500,P 30538,S200000,00400,0600,O 30538,S200000,01600,0100,Y 30548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30548,A000000,00300,0000,00300EMPLOYEE BENEFITS 30548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30548,A000000,00700,0000,00700HOUSEKEEPING 30548,A000000,00800,0000,00800DIETARY 30548,A000000,00900,0000,00900NURSING ADMINISTRATION 30548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30548,A000000,01100,0000,01100PHARMACY 30548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30548,A000000,01300,0000,01300SOCIAL SERVICE 30548,A000000,01301,0000,01301ACTIVITES 30548,A000000,01350,0000,01500REHABILITATION 30548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30548,A000000,01600,0000,01600SKILLED NURSING FACILITY 30548,A000000,01800,0000,01800NURSING FACILITY 30548,A000000,01810,0000,01810ICF/MR 30548,A000000,02200,0000,02200LABORATORY 30548,A000000,02300,0000,02300INTRAVENOUS THERAPY 30548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30548,A000000,02500,0000,02500PHYSICAL THERAPY 30548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30548,A000000,02700,0000,02700SPEECH PATHOLOGY 30548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30548,A000000,03050,0000,03300EQUIPMENT RENTAL 30548,A000000,03051,0000,03301PEN THERAPY 30548,A000000,03550,0000,03550FQHC 30548,A000000,05000,0000,05000CORF 30548,A000000,05010,0000,05010CMHC 30548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30548,A000000,05300,0000,05300INTEREST EXPENSE 30548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30548,A000000,06150,0000,06300VENDING 30548,A000000,06151,0000,06301STAND-BY 30548,A81000A,00100,0100,Y 30548,A81000B,00100,0300,HOME OFFICE COST 30548,A81000B,00200,0300,DIETARY SUPPLEMENTS 30548,A81000B,00300,0300,NSG SUPPLIES 30548,A81000B,00500,0300,MEDICAL SUPPLIES 30548,A81000B,00700,0300,HOME OFFICE INTEREST 30548,A81000B,01100,0300,PHYSICAL THERAPY 30548,A81000B,01400,0300,ANC EQUIP RENTAL 30548,A81000C,00100,0100,B 30548,A81000C,00100,0200,HERITAGE - GREE 30548,A81000C,00100,0400,MARINER PAN 30548,A81000C,00100,0600,NURSING HOMES 30548,A81000C,00200,0100,G 30548,A81000C,00200,0200,MARINER PAN 30548,A81000C,00200,0400,AMER PHARM SVCS 30548,A81000C,00200,0600,PHARMACEUTICALS 30548,A81000C,00300,0100,G 30548,A81000C,00300,0200,MARINER PAN 30548,A81000C,00300,0400,PRISM-ATS-ARS-T 30548,A81000C,00300,0600,THERAPIES 30548,B100000,00000,0100,00001SQUARE FEET 30548,B100000,00000,0200,00001SQUARE FEET 30548,B100000,00000,0300,00001GROSS SALARIES 30548,B100000,00000,0400,00001ACCUM COST 30548,B100000,00000,0500,00001SQUARE FEET 30548,B100000,00000,0600,00001PATIENT DAYS 30548,B100000,00000,0700,00001SQUARE FEET 30548,B100000,00000,0800,00001MEALS SERVED 30548,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30548,B100000,00000,1000,00001PATIENT DAYS 30548,B100000,00000,1100,00001COSTED REQUIS 30548,B100000,00000,1200,00001PATIENT DAYS 30548,B100000,00000,1300,00001PATIENT DAYS 30548,B100000,00000,1301,00001PATIENT DAYS 30548,B100000,00000,1350,00001UNITS OF SERVICE 30548,B100000,00000,1400,00001ASSIGNED TIME 30548,S000000,00100,0200,06/02/2000 30548,S200000,00100,0100,HWY 82 W. 30548,S200000,00200,0100,GREENWOOD 30548,S200000,00200,0200,MS 30548,S200000,00200,0300,38930 30548,S200000,00300,0100,LEFLORE 30548,S200000,00400,0100,GREENWOOD HEALTH & REHAB CENTER 30548,S200000,00400,0200,255154 30548,S200000,00400,0300,01/01/1995 30548,S200000,00400,0500,P 30548,S200000,01600,0100,Y 30548,S200000,02200,0100,Y 30548,S200000,04300,0100,Y 30556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30556,A000000,00300,0000,00300EMPLOYEE BENEFITS 30556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30556,A000000,00700,0000,00700HOUSEKEEPING 30556,A000000,00800,0000,00800DIETARY 30556,A000000,00900,0000,00900NURSING ADMINISTRATION 30556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30556,A000000,01100,0000,01100PHARMACY 30556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30556,A000000,01300,0000,01300SOCIAL SERVICE 30556,A000000,01301,0000,01301ACTIVITES 30556,A000000,01350,0000,01500REHABILITATION 30556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30556,A000000,01600,0000,01600SKILLED NURSING FACILITY 30556,A000000,01800,0000,01800NURSING FACILITY 30556,A000000,01810,0000,01810ICF/MR 30556,A000000,02100,0000,02100RADIOLOGY 30556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30556,A000000,02500,0000,02500PHYSICAL THERAPY 30556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30556,A000000,02700,0000,02700SPEECH PATHOLOGY 30556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30556,A000000,03050,0000,03300EQUIPMENT RENTAL 30556,A000000,03051,0000,03301PEN THERAPY 30556,A000000,03550,0000,03550FQHC 30556,A000000,05000,0000,05000CORF 30556,A000000,05010,0000,05010CMHC 30556,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30556,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30556,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30556,A000000,05300,0000,05300INTEREST EXPENSE 30556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30556,A000000,06150,0000,06300VENDING 30556,A000000,06151,0000,06301STAND-BY 30556,A81000A,00100,0100,Y 30556,A81000B,00100,0300,HOME OFFICE COST 30556,A81000B,00300,0300,NSG SUPPLIES 30556,A81000B,00400,0300,CAPITAL 30556,A81000B,00500,0300,MEDICAL SUPPLIES 30556,A81000B,00600,0300,ADMIN COSTS 30556,A81000B,00700,0300,HOME OFFICE INTEREST 30556,A81000B,01100,0300,PHYSICAL THERAPY 30556,A81000B,01200,0300,OCCUPATIONAL THERAPY 30556,A81000B,01300,0300,SPEECH THERAPY 30556,A81000C,00100,0100,B 30556,A81000C,00100,0200,GRENADA HC 30556,A81000C,00100,0400,MARINER PAN 30556,A81000C,00100,0600,NURSING HOMES 30556,A81000C,00200,0100,G 30556,A81000C,00200,0200,MARINER PAN 30556,A81000C,00200,0400,AMER PHARM SVCS 30556,A81000C,00200,0600,PHARMACEUTICALS 30556,A81000C,00300,0100,G 30556,A81000C,00300,0200,MARINER PAN 30556,A81000C,00300,0400,PRISM-ATS-ARS-T 30556,A81000C,00300,0600,THERAPIES 30556,B100000,00000,0100,00001SQUARE FEET 30556,B100000,00000,0200,00001SQUARE FEET 30556,B100000,00000,0300,00001GROSS SALARIES 30556,B100000,00000,0400,00001ACCUM COST 30556,B100000,00000,0500,00001SQUARE FEET 30556,B100000,00000,0600,00001PATIENT DAYS 30556,B100000,00000,0700,00001SQUARE FEET 30556,B100000,00000,0800,00001MEALS SERVED 30556,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30556,B100000,00000,1000,00001PATIENT DAYS 30556,B100000,00000,1100,00001COSTED REQUIS 30556,B100000,00000,1200,00001PATIENT DAYS 30556,B100000,00000,1300,00001PATIENT DAYS 30556,B100000,00000,1301,00001PATIENT DAYS 30556,B100000,00000,1350,00001UNITS OF SERVICE 30556,B100000,00000,1400,00001ASSIGNED TIME 30556,S000000,00100,0200,06/02/2000 30556,S200000,00100,0100,1966 HILL DRIVE 30556,S200000,00200,0100,GRENADA 30556,S200000,00200,0200,MS 30556,S200000,00300,0100,GRENADA 30556,S200000,00400,0100,GRENADA HEALTH & REHAB CENTER 30556,S200000,00400,0200,255156 30556,S200000,00400,0300,09/17/1992 30556,S200000,00400,0500,P 30556,S200000,01600,0100,Y 30556,S200000,02200,0100,Y 30556,S200000,04300,0100,Y 30655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30655,A000000,00300,0000,00300EMPLOYEE BENEFITS 30655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30655,A000000,00700,0000,00700HOUSEKEEPING 30655,A000000,00800,0000,00800DIETARY 30655,A000000,00900,0000,00900NURSING ADMINISTRATION 30655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30655,A000000,01100,0000,01100PHARMACY 30655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30655,A000000,01300,0000,01300SOCIAL SERVICE 30655,A000000,01301,0000,01301ACTIVITES 30655,A000000,01350,0000,01500REHABILITATION 30655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30655,A000000,01600,0000,01600SKILLED NURSING FACILITY 30655,A000000,01800,0000,01800NURSING FACILITY 30655,A000000,01810,0000,01810ICF/MR 30655,A000000,02300,0000,02300INTRAVENOUS THERAPY 30655,A000000,02500,0000,02500PHYSICAL THERAPY 30655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30655,A000000,02700,0000,02700SPEECH PATHOLOGY 30655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30655,A000000,03050,0000,03300EQUIPMENT RENTAL 30655,A000000,03051,0000,03301PEN THERAPY 30655,A000000,03550,0000,03550FQHC 30655,A000000,05000,0000,05000CORF 30655,A000000,05010,0000,05010CMHC 30655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30655,A000000,05300,0000,05300INTEREST EXPENSE 30655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30655,A000000,06150,0000,06300VENDING 30655,A000000,06151,0000,06301STAND-BY 30655,A81000A,00100,0100,Y 30655,A81000B,00100,0300,HOME OFFICE COST 30655,A81000B,00200,0300,DIETARY SUPPLEMENTS 30655,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 30655,A81000B,00500,0300,MEDICAL SUPPLIES 30655,A81000B,00700,0300,HOME OFFICE INTEREST 30655,A81000B,01000,0300,THERAPY CONSULTING 30655,A81000B,01100,0300,PHYSICAL THERAPY 30655,A81000B,01200,0300,OCCUPATIONAL THERAPY 30655,A81000B,01300,0300,SPEECH THERAPY 30655,A81000C,00100,0100,B 30655,A81000C,00100,0200,INDIANOLA HC 30655,A81000C,00100,0400,MARINER PAN 30655,A81000C,00100,0600,NURSING HOMES 30655,A81000C,00200,0100,G 30655,A81000C,00200,0200,MARINER PAN 30655,A81000C,00200,0400,AMER PHARM SVCS 30655,A81000C,00200,0600,PHARMACEUTICALS 30655,A81000C,00300,0100,G 30655,A81000C,00300,0200,MARINER PAN 30655,A81000C,00300,0400,PRISM-ATS-ARS-T 30655,A81000C,00300,0600,THERAPIES 30655,B100000,00000,0100,00001SQUARE FEET 30655,B100000,00000,0200,00001SQUARE FEET 30655,B100000,00000,0300,00001GROSS SALARIES 30655,B100000,00000,0400,00001ACCUM COST 30655,B100000,00000,0500,00001SQUARE FEET 30655,B100000,00000,0600,00001PATIENT DAYS 30655,B100000,00000,0700,00001SQUARE FEET 30655,B100000,00000,0800,00001MEALS SERVED 30655,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30655,B100000,00000,1000,00001PATIENT DAYS 30655,B100000,00000,1100,00001COSTED REQUIS 30655,B100000,00000,1200,00001PATIENT DAYS 30655,B100000,00000,1300,00001PATIENT DAYS 30655,B100000,00000,1301,00001PATIENT DAYS 30655,B100000,00000,1350,00001UNITS OF SERVICE 30655,B100000,00000,1400,00001ASSIGNED TIME 30655,S000000,00100,0200,06/02/2000 30655,S200000,00100,0100,401 HWY 82 WEST 30655,S200000,00200,0100,INDIANOLA 30655,S200000,00200,0200,MS 30655,S200000,00300,0100,SUNFLOWER 30655,S200000,00400,0100,INDIANOLA HEALTH & REHAB CENTER 30655,S200000,00400,0200,255185 30655,S200000,00400,0300,11/28/1994 30655,S200000,00400,0500,P 30655,S200000,01600,0100,Y 30655,S200000,02200,0100,Y 30655,S200000,04300,0100,Y 30764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30764,A000000,00300,0000,00300EMPLOYEE BENEFITS 30764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30764,A000000,00700,0000,00700HOUSEKEEPING 30764,A000000,00800,0000,00800DIETARY 30764,A000000,00900,0000,00900NURSING ADMINISTRATION 30764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30764,A000000,01100,0000,01100PHARMACY 30764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30764,A000000,01300,0000,01300SOCIAL SERVICE 30764,A000000,01350,0000,01500PATIENT ACTIVITIES 30764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30764,A000000,01600,0000,01600SKILLED NURSING FACILITY 30764,A000000,01800,0000,01800NURSING FACILITY 30764,A000000,02200,0000,02200LABORATORY 30764,A000000,02500,0000,02500PHYSICAL THERAPY 30764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30764,A000000,02700,0000,02700SPEECH PATHOLOGY 30764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30764,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30764,A000000,03550,0000,03550FQHC 30764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30764,A000000,05000,0000,05000CORF 30764,A000000,05010,0000,05010CMHC 30764,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30764,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30764,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30764,A81000A,00100,0100,Y 30764,A81000B,00100,0300,HOME OFFICE 30764,A81000B,00200,0300,HOME OFFICE CAPITAL 30764,A81000B,00300,0300,HOME OFFICE NON CAPITAL 30764,A81000B,00400,0300,ANCILLARY MGMT FEE 30764,A81000B,00500,0300,ANCILLARY MGMT FEE 30764,A81000B,00600,0300,ANCILLARY MGMT FEE 30764,A81000C,00100,0100,B 30764,A81000C,00100,0200,FHS INC 30764,A81000C,00100,0400,FHS INC 30764,A81000C,00100,0600,HOME OFFICE 30764,A81000C,00200,0100,B 30764,A81000C,00200,0200,FAS INC 30764,A81000C,00200,0400,FAS INC 30764,A81000C,00200,0600,ANCILLARY MGMT FEE 30764,B100000,00000,0100,00000SQUARE FEET 30764,B100000,00000,0200,00000NO STATISTICS 30764,B100000,00000,0300,00000GROSS SALARIES 30764,B100000,00000,0400,00000ACCUM. COST 30764,B100000,00000,0500,00000SQUARE FEET 30764,B100000,00000,0600,00000PATIENT DAYS 30764,B100000,00000,0700,00000SQ FT EXCL DIET 30764,B100000,00000,0800,00000MEALS SERVED 30764,B100000,00000,0900,00000PATIENT DAYS 30764,B100000,00000,1000,00000NO STATISTICS 30764,B100000,00000,1100,00000PATIENT DAYS 30764,B100000,00000,1200,00000NO STATISTICS 30764,B100000,00000,1300,00000NO STATISTICS 30764,B100000,00000,1350,00000PATIENT DAYS 30764,B100000,00000,1400,00000NO STATISTICS 30764,S000000,00100,0200,06/01/2000 30764,S200000,00100,0100,402 ARNOLD AVENUE 30764,S200000,00200,0100,GREENVILLE 30764,S200000,00200,0200,MS 30764,S200000,00200,0300,38701 30764,S200000,00300,0100,BOLIVAR 30764,S200000,00400,0100,ARNOLD AVENUE NURSING HOME 30764,S200000,00400,0200,255217 30764,S200000,00400,0300,12/01/1995 30764,S200000,00400,0500,P 30764,S200000,01600,0100,Y 30788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30788,A000000,00300,0000,00300EMPLOYEE BENEFITS 30788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30788,A000000,00700,0000,00700HOUSEKEEPING 30788,A000000,00800,0000,00800DIETARY 30788,A000000,00900,0000,00900NURSING ADMINISTRATION 30788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30788,A000000,01100,0000,01100PHARMACY 30788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30788,A000000,01300,0000,01300SOCIAL SERVICE 30788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30788,A000000,01600,0000,01600SKILLED NURSING FACILITY 30788,A000000,01810,0000,01810ICF/MR 30788,A000000,02100,0000,02100RADIOLOGY 30788,A000000,02200,0000,02200LABORATORY 30788,A000000,02300,0000,02300INTRAVENOUS THERAPY 30788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30788,A000000,02500,0000,02500PHYSICAL THERAPY 30788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30788,A000000,02700,0000,02700SPEECH PATHOLOGY 30788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30788,A000000,03550,0000,03550FQHC 30788,A000000,04800,0000,04800AMBULANCE 30788,A000000,05000,0000,05000CORF 30788,A000000,05010,0000,05010CMHC 30788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30788,A81000A,00100,0100,Y 30788,A81000B,00100,0300,H.O. CAP REL BLDG & FIXTURES 30788,A81000B,00200,0300,H.O. CAP RELATED MME 30788,A81000B,00300,0300,H.O. FIELD SUPERVISION 30788,A81000C,00100,0100,B 30788,A81000C,00100,0200,LA EXTENDED CARE CENTERS 30788,B100000,00000,0100,00000SQUARE FEET 30788,B100000,00000,0200,00000SQUARE FEET 30788,B100000,00000,0300,00000GROSS SALARIES 30788,B100000,00000,0400,00000ACCUM. COST 30788,B100000,00000,0500,00000SQUARE FEET 30788,B100000,00000,0600,00000POUNDS OF LAUNDRY 30788,B100000,00000,0700,00000SQUARE FEET 30788,B100000,00000,0800,00000MEALS SERVED 30788,B100000,00000,0900,00000DIRECT NRSING HRS 30788,B100000,00000,1000,00000COSTED REQUIS 30788,B100000,00000,1100,00000COSTED REQUIS 30788,B100000,00000,1200,00000TIME SPENT 30788,B100000,00000,1300,00000TIME SPENT 30788,B100000,00000,1400,00000ASSIGNED TIME 30788,S000000,00100,0200,05/16/2000 30788,S200000,00100,0300,PO BOX 279 30788,S200000,00200,0100,ROLLING FORK 30788,S200000,00200,0200,MS 30788,S200000,00300,0100,SHARKEY 30788,S200000,00400,0100,HERITAGE MANOR OF ROLLING FORK 30788,S200000,00400,0200,255220 30788,S200000,00400,0300,05/01/1996 30788,S200000,00400,0500,P 30788,S200000,01500,0100,Y 30788,S200000,02200,0100,Y 30809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30809,A000000,00300,0000,00300EMPLOYEE BENEFITS 30809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30809,A000000,00700,0000,00700HOUSEKEEPING 30809,A000000,00800,0000,00800DIETARY 30809,A000000,00900,0000,00900NURSING ADMINISTRATION 30809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30809,A000000,01100,0000,01100PHARMACY 30809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30809,A000000,01300,0000,01300SOCIAL SERVICE 30809,A000000,01301,0000,01301ACTIVITES 30809,A000000,01350,0000,01500REHABILITATION 30809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30809,A000000,01600,0000,01600SKILLED NURSING FACILITY 30809,A000000,01800,0000,01800NURSING FACILITY 30809,A000000,01810,0000,01810ICF/MR 30809,A000000,02100,0000,02100RADIOLOGY 30809,A000000,02200,0000,02200LABORATORY 30809,A000000,02500,0000,02500PHYSICAL THERAPY 30809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30809,A000000,02700,0000,02700SPEECH PATHOLOGY 30809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30809,A000000,03050,0000,03300EQUIPMENT RENTAL 30809,A000000,03051,0000,03301PEN THERAPY 30809,A000000,03550,0000,03550FQHC 30809,A000000,04800,0000,04800AMBULANCE 30809,A000000,05000,0000,05000CORF 30809,A000000,05010,0000,05010CMHC 30809,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30809,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30809,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30809,A000000,05300,0000,05300INTEREST EXPENSE 30809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30809,A000000,06150,0000,06300VENDING 30809,A000000,06151,0000,06301STAND-BY 30809,A81000A,00100,0100,Y 30809,A81000B,00100,0300,HOME OFFICE COST 30809,A81000B,00200,0300,DIETARY SUPPLEMENTS 30809,A81000B,00300,0300,NSG SUPPLIES 30809,A81000B,00400,0300,HOME OFFICE INTEREST 30809,A81000B,00500,0300,PHYSICAL THERAPY 30809,A81000B,00600,0300,OCCUPATIONAL THERAPY 30809,A81000B,00700,0300,SPEECH THERAPY 30809,A81000C,00100,0100,B 30809,A81000C,00100,0200,TRACE HAVEN 30809,A81000C,00100,0400,MARINER PAN 30809,A81000C,00100,0600,NURSING HOMES 30809,A81000C,00200,0100,G 30809,A81000C,00200,0200,MARINER PAN 30809,A81000C,00200,0400,AMER PHARM SVCS 30809,A81000C,00200,0600,PHARMACEUTICALS 30809,A81000C,00300,0100,G 30809,A81000C,00300,0200,MARINER PAN 30809,A81000C,00300,0400,PRISM-ATS-ARS-T 30809,A81000C,00300,0600,THERAPIES 30809,B100000,00000,0100,00001SQUARE FEET 30809,B100000,00000,0200,00001SQUARE FEET 30809,B100000,00000,0300,00001GROSS SALARIES 30809,B100000,00000,0400,00001ACCUM COST 30809,B100000,00000,0500,00001SQUARE FEET 30809,B100000,00000,0600,00001PATIENT DAYS 30809,B100000,00000,0700,00001SQUARE FEET 30809,B100000,00000,0800,00001MEALS SERVED 30809,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30809,B100000,00000,1000,00001PATIENT DAYS 30809,B100000,00000,1100,00001COSTED REQUIS 30809,B100000,00000,1200,00001PATIENT DAYS 30809,B100000,00000,1300,00001PATIENT DAYS 30809,B100000,00000,1301,00001PATIENT DAYS 30809,B100000,00000,1350,00001UNITS OF SERVICE 30809,B100000,00000,1400,00001ASSIGNED TIME 30809,S000000,00100,0200,06/02/2000 30809,S200000,00100,0100,344 ARLINGTON 30809,S200000,00200,0100,NATCHEZ 30809,S200000,00200,0200,MS 30809,S200000,00300,0100,ADAMS 30809,S200000,00400,0100,TRACE HAVEN HEALTH & REHAB CENTER 30809,S200000,00400,0200,255226 30809,S200000,00400,0300,03/01/1996 30809,S200000,00400,0500,P 30809,S200000,01600,0100,Y 30809,S200000,02200,0100,Y 30809,S200000,04300,0100,Y 30815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30815,A000000,00300,0000,00300EMPLOYEE BENEFITS 30815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30815,A000000,00700,0000,00700HOUSEKEEPING 30815,A000000,00800,0000,00800DIETARY 30815,A000000,00900,0000,00900NURSING ADMINISTRATION 30815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30815,A000000,01100,0000,01100PHARMACY 30815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30815,A000000,01300,0000,01300SOCIAL SERVICE 30815,A000000,01301,0000,01301ACTIVITES 30815,A000000,01350,0000,01500REHABILITATION 30815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30815,A000000,01600,0000,01600SKILLED NURSING FACILITY 30815,A000000,01800,0000,01800NURSING FACILITY 30815,A000000,01810,0000,01810ICF/MR 30815,A000000,02200,0000,02200LABORATORY 30815,A000000,02500,0000,02500PHYSICAL THERAPY 30815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30815,A000000,02700,0000,02700SPEECH PATHOLOGY 30815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30815,A000000,03050,0000,03300EQUIPMENT RENTAL 30815,A000000,03051,0000,03301PEN THERAPY 30815,A000000,03550,0000,03550FQHC 30815,A000000,05000,0000,05000CORF 30815,A000000,05010,0000,05010CMHC 30815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30815,A000000,05300,0000,05300INTEREST EXPENSE 30815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30815,A000000,06150,0000,06300VENDING 30815,A000000,06151,0000,06301STAND-BY 30815,A81000A,00100,0100,Y 30815,A81000B,00100,0300,HOME OFFICE COST 30815,A81000B,00200,0300,DIETARY SUPPLEMENTS 30815,A81000B,00300,0300,HOME OFFICE INTEREST 30815,A81000B,00400,0300,THERAPY CONSULTING 30815,A81000B,00500,0300,PHYSICAL THERAPY 30815,A81000B,00600,0300,OCCUPATIONAL THERAPY 30815,A81000B,00700,0300,SPEECH THERAPY 30815,A81000C,00100,0100,B 30815,A81000C,00100,0200,COLUMBIA HC 30815,A81000C,00100,0400,MARINER PAN 30815,A81000C,00100,0600,NURSING HOMES 30815,A81000C,00200,0100,G 30815,A81000C,00200,0200,MARINER PAN 30815,A81000C,00200,0400,AMER PHARM SVCS 30815,A81000C,00200,0600,PHARMACEUTICALS 30815,A81000C,00300,0100,G 30815,A81000C,00300,0200,MARINER PAN 30815,A81000C,00300,0400,PRISM-ATS-ARS-T 30815,A81000C,00300,0600,THERAPIES 30815,B100000,00000,0100,00001SQUARE FEET 30815,B100000,00000,0200,00001SQUARE FEET 30815,B100000,00000,0300,00001GROSS SALARIES 30815,B100000,00000,0400,00001ACCUM COST 30815,B100000,00000,0500,00001SQUARE FEET 30815,B100000,00000,0600,00001PATIENT DAYS 30815,B100000,00000,0700,00001SQUARE FEET 30815,B100000,00000,0800,00001MEALS SERVED 30815,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30815,B100000,00000,1000,00001PATIENT DAYS 30815,B100000,00000,1100,00001COSTED REQUIS 30815,B100000,00000,1200,00001PATIENT DAYS 30815,B100000,00000,1300,00001PATIENT DAYS 30815,B100000,00000,1301,00001PATIENT DAYS 30815,B100000,00000,1350,00001UNITS OF SERVICE 30815,B100000,00000,1400,00001ASSIGNED TIME 30815,S000000,00100,0200,06/02/2000 30815,S200000,00100,0100,1506 NORTH MAIN STREET 30815,S200000,00200,0100,COLUMBIA 30815,S200000,00200,0200,MS 30815,S200000,00300,0100,MARION 30815,S200000,00400,0100,COLUMBIA HEALTH & REHAB CENTER 30815,S200000,00400,0200,255227 30815,S200000,00400,0300,03/01/1996 30815,S200000,00400,0500,P 30815,S200000,01600,0100,Y 30815,S200000,02200,0100,Y 30815,S200000,04300,0100,Y 30820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30820,A000000,00300,0000,00300EMPLOYEE BENEFITS 30820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30820,A000000,00700,0000,00700HOUSEKEEPING 30820,A000000,00800,0000,00800DIETARY 30820,A000000,00900,0000,00900NURSING ADMINISTRATION 30820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30820,A000000,01100,0000,01100PHARMACY 30820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30820,A000000,01300,0000,01300SOCIAL SERVICE 30820,A000000,01301,0000,01301ACTIVITES 30820,A000000,01350,0000,01500REHABILITATION 30820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30820,A000000,01600,0000,01600SKILLED NURSING FACILITY 30820,A000000,01800,0000,01800NURSING FACILITY 30820,A000000,01810,0000,01810ICF/MR 30820,A000000,02200,0000,02200LABORATORY 30820,A000000,02300,0000,02300INTRAVENOUS THERAPY 30820,A000000,02500,0000,02500PHYSICAL THERAPY 30820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30820,A000000,02700,0000,02700SPEECH PATHOLOGY 30820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30820,A000000,03050,0000,03300EQUIPMENT RENTAL 30820,A000000,03051,0000,03301PEN THERAPY 30820,A000000,03550,0000,03550FQHC 30820,A000000,05000,0000,05000CORF 30820,A000000,05010,0000,05010CMHC 30820,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30820,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30820,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30820,A000000,05300,0000,05300INTEREST EXPENSE 30820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30820,A000000,06150,0000,06300VENDING 30820,A000000,06151,0000,06301STAND-BY 30820,A81000A,00100,0100,Y 30820,A81000B,00100,0300,HOME OFFICE COST 30820,A81000B,00200,0300,DIETARY SUPPLEMENTS 30820,A81000B,00300,0300,NSG SUPPLIES 30820,A81000B,00400,0300,PT CONSULTANT 30820,A81000B,00500,0300,MEDICAL SUPPLIES 30820,A81000B,00600,0300,ADMIN COSTS 30820,A81000B,00700,0300,HOME OFFICE INTEREST 30820,A81000B,00800,0300,EQUIPMENT REPLACEMENT 30820,A81000B,00900,0300,IV THERAPY 30820,A81000B,01000,0300,THERAPY CONSULTING 30820,A81000B,01100,0300,PHYSICAL THERAPY 30820,A81000B,01200,0300,OCCUPATIONAL THERAPY 30820,A81000B,01300,0300,SPEECH THERAPY 30820,A81000B,01400,0300,ANC EQUIP RENTAL 30820,A81000C,00100,0100,B 30820,A81000C,00100,0200,BOLIVAR HC 30820,A81000C,00100,0400,MARINER PAN 30820,A81000C,00100,0600,NURSING HOMES 30820,A81000C,00200,0100,G 30820,A81000C,00200,0200,MARINER PAN 30820,A81000C,00200,0400,AMER PHARM SVCS 30820,A81000C,00200,0600,PHARMACEUTICALS 30820,A81000C,00300,0100,G 30820,A81000C,00300,0200,MARINER PAN 30820,A81000C,00300,0400,PRISM-ATS-ARS-T 30820,A81000C,00300,0600,THERAPIES 30820,B100000,00000,0100,00001SQUARE FEET 30820,B100000,00000,0200,00001SQUARE FEET 30820,B100000,00000,0300,00001GROSS SALARIES 30820,B100000,00000,0400,00001ACCUM COST 30820,B100000,00000,0500,00001SQUARE FEET 30820,B100000,00000,0600,00001PATIENT DAYS 30820,B100000,00000,0700,00001SQUARE FEET 30820,B100000,00000,0800,00001MEALS SERVED 30820,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30820,B100000,00000,1000,00001PATIENT DAYS 30820,B100000,00000,1100,00001COSTED REQUIS 30820,B100000,00000,1200,00001PATIENT DAYS 30820,B100000,00000,1300,00001PATIENT DAYS 30820,B100000,00000,1301,00001PATIENT DAYS 30820,B100000,00000,1350,00001UNITS OF SERVICE 30820,B100000,00000,1400,00001ASSIGNED TIME 30820,S000000,00100,0200,06/02/2000 30820,S200000,00100,0100,200 DR. MARTIN L. KING JR. DR. 30820,S200000,00200,0100,CLEVELAND 30820,S200000,00200,0200,MS 30820,S200000,00300,0100,BOLIVAR 30820,S200000,00400,0100,BOLIVAR HEALTH & REHAB CENTER 30820,S200000,00400,0200,255228 30820,S200000,00400,0300,03/01/1996 30820,S200000,00400,0500,P 30820,S200000,01600,0100,Y 30820,S200000,02200,0100,Y 30820,S200000,04300,0100,Y 30825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30825,A000000,00300,0000,00300EMPLOYEE BENEFITS 30825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30825,A000000,00700,0000,00700HOUSEKEEPING 30825,A000000,00800,0000,00800DIETARY 30825,A000000,00900,0000,00900NURSING ADMINISTRATION 30825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30825,A000000,01100,0000,01100PHARMACY 30825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30825,A000000,01300,0000,01300SOCIAL SERVICE 30825,A000000,01301,0000,01301ACTIVITES 30825,A000000,01350,0000,01500REHABILITATION 30825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30825,A000000,01600,0000,01600SKILLED NURSING FACILITY 30825,A000000,01800,0000,01800NURSING FACILITY 30825,A000000,01810,0000,01810ICF/MR 30825,A000000,02100,0000,02100RADIOLOGY 30825,A000000,02300,0000,02300INTRAVENOUS THERAPY 30825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30825,A000000,02500,0000,02500PHYSICAL THERAPY 30825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30825,A000000,02700,0000,02700SPEECH PATHOLOGY 30825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30825,A000000,03050,0000,03300EQUIPMENT RENTAL 30825,A000000,03051,0000,03301PEN THERAPY 30825,A000000,03550,0000,03550FQHC 30825,A000000,05000,0000,05000CORF 30825,A000000,05010,0000,05010CMHC 30825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30825,A000000,05300,0000,05300INTEREST EXPENSE 30825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30825,A000000,06150,0000,06300VENDING 30825,A000000,06151,0000,06301STAND-BY 30825,A81000A,00100,0100,Y 30825,A81000B,00100,0300,HOME OFFICE COST 30825,A81000B,00200,0300,S-T EQUIPMENT RENTAL 30825,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 30825,A81000B,00400,0300,MEDICAL SUPPLIES 30825,A81000B,00500,0300,HOME OFFICE INTEREST 30825,A81000B,00600,0300,EQUIPMENT REPLACEMENT 30825,A81000B,00700,0300,PHYSICAL THERAPY 30825,A81000B,00800,0300,SPEECH THERAPY 30825,A81000C,00100,0100,B 30825,A81000C,00100,0200,HOLLY SPRINGS 30825,A81000C,00100,0400,MARINER PAN 30825,A81000C,00100,0600,NURSING HOMES 30825,A81000C,00200,0100,G 30825,A81000C,00200,0200,MARINER PAN 30825,A81000C,00200,0400,AMER PHARM SVCS 30825,A81000C,00200,0600,PHARMACEUTICALS 30825,A81000C,00300,0100,G 30825,A81000C,00300,0200,MARINER PAN 30825,A81000C,00300,0400,PRISM-ATS-ARS-T 30825,A81000C,00300,0600,THERAPIES 30825,B100000,00000,0100,00001SQUARE FEET 30825,B100000,00000,0200,00001SQUARE FEET 30825,B100000,00000,0300,00001GROSS SALARIES 30825,B100000,00000,0400,00001ACCUM COST 30825,B100000,00000,0500,00001SQUARE FEET 30825,B100000,00000,0600,00001PATIENT DAYS 30825,B100000,00000,0700,00001SQUARE FEET 30825,B100000,00000,0800,00001MEALS SERVED 30825,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30825,B100000,00000,1000,00001PATIENT DAYS 30825,B100000,00000,1100,00001COSTED REQUIS 30825,B100000,00000,1200,00001PATIENT DAYS 30825,B100000,00000,1300,00001PATIENT DAYS 30825,B100000,00000,1301,00001PATIENT DAYS 30825,B100000,00000,1350,00001UNITS OF SERVICE 30825,B100000,00000,1400,00001ASSIGNED TIME 30825,S000000,00100,0200,06/02/2000 30825,S200000,00100,0100,960 E. SALEM AVE. 30825,S200000,00200,0100,HOLLY SPRINGS 30825,S200000,00200,0200,MS 30825,S200000,00300,0100,MARSHALL 30825,S200000,00400,0100,HOLLY SPRINGS HEALTH & REHAB CENTER 30825,S200000,00400,0200,255229 30825,S200000,00400,0300,04/01/1996 30825,S200000,00400,0500,P 30825,S200000,01600,0100,Y 30825,S200000,02200,0100,Y 30825,S200000,04300,0100,Y 30831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30831,A000000,00300,0000,00300EMPLOYEE BENEFITS 30831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30831,A000000,00700,0000,00700HOUSEKEEPING 30831,A000000,00800,0000,00800DIETARY 30831,A000000,00900,0000,00900NURSING ADMINISTRATION 30831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30831,A000000,01100,0000,01100PHARMACY 30831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30831,A000000,01300,0000,01300SOCIAL SERVICE 30831,A000000,01301,0000,01301ACTIVITES 30831,A000000,01350,0000,01500REHABILITATION 30831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30831,A000000,01600,0000,01600SKILLED NURSING FACILITY 30831,A000000,01800,0000,01800NURSING FACILITY 30831,A000000,01810,0000,01810ICF/MR 30831,A000000,02100,0000,02100RADIOLOGY 30831,A000000,02200,0000,02200LABORATORY 30831,A000000,02300,0000,02300INTRAVENOUS THERAPY 30831,A000000,02500,0000,02500PHYSICAL THERAPY 30831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30831,A000000,02700,0000,02700SPEECH PATHOLOGY 30831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30831,A000000,03050,0000,03300EQUIPMENT RENTAL 30831,A000000,03051,0000,03301PEN THERAPY 30831,A000000,03550,0000,03550FQHC 30831,A000000,05000,0000,05000CORF 30831,A000000,05010,0000,05010CMHC 30831,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30831,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30831,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30831,A000000,05300,0000,05300INTEREST EXPENSE 30831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30831,A000000,06150,0000,06300VENDING 30831,A000000,06151,0000,06301STAND-BY 30831,A81000A,00100,0100,Y 30831,A81000B,00100,0300,HOME OFFICE COST 30831,A81000B,00200,0300,DIETARY SUPPLEMENTS 30831,A81000B,00300,0300,NSG SUPPLIES 30831,A81000B,00400,0300,MEDICAL SUPPLIES 30831,A81000B,00500,0300,CAPTIAL 30831,A81000B,00600,0300,HOME OFFICE INTEREST 30831,A81000B,00700,0300,EQUIPMENT REPLACEMENT 30831,A81000B,00800,0300,PHYSICAL THERAPY 30831,A81000B,00900,0300,OCCUPATIONAL THERAPY 30831,A81000B,01000,0300,SPEECH THERAPY 30831,A81000B,01100,0300,ANC EQUIP RENTAL 30831,A81000C,00100,0100,B 30831,A81000C,00100,0200,HERITAGE HEALTH 30831,A81000C,00100,0400,MARINER PAN 30831,A81000C,00100,0600,NURSING HOMES 30831,A81000C,00200,0100,G 30831,A81000C,00200,0200,MARINER PAN 30831,A81000C,00200,0400,AMER PHARM SVCS 30831,A81000C,00200,0600,PHARMACEUTICALS 30831,A81000C,00300,0100,G 30831,A81000C,00300,0200,MARINER PAN 30831,A81000C,00300,0400,PRISM-ATS-ARS-T 30831,A81000C,00300,0600,THERAPIES 30831,B100000,00000,0100,00001SQUARE FEET 30831,B100000,00000,0200,00001SQUARE FEET 30831,B100000,00000,0300,00001GROSS SALARIES 30831,B100000,00000,0400,00001ACCUM COST 30831,B100000,00000,0500,00001SQUARE FEET 30831,B100000,00000,0600,00001PATIENT DAYS 30831,B100000,00000,0700,00001SQUARE FEET 30831,B100000,00000,0800,00001MEALS SERVED 30831,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 30831,B100000,00000,1000,00001PATIENT DAYS 30831,B100000,00000,1100,00001COSTED REQUIS 30831,B100000,00000,1200,00001PATIENT DAYS 30831,B100000,00000,1300,00001PATIENT DAYS 30831,B100000,00000,1301,00001PATIENT DAYS 30831,B100000,00000,1350,00001UNITS OF SERVICE 30831,B100000,00000,1400,00001ASSIGNED TIME 30831,S000000,00100,0200,06/02/2000 30831,S200000,00100,0100,302 ALCORN DRIVE 30831,S200000,00200,0100,CORINTH 30831,S200000,00200,0200,MS 30831,S200000,00300,0100,ALCORN 30831,S200000,00400,0100,CORINTH HEALTH & REHAB CENTER 30831,S200000,00400,0200,255232 30831,S200000,00400,0300,04/01/1996 30831,S200000,00400,0500,P 30831,S200000,01600,0100,Y 30831,S200000,02200,0100,Y 30831,S200000,04300,0100,Y 30838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30838,A000000,00300,0000,00300EMPLOYEE BENEFITS 30838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30838,A000000,00700,0000,00700HOUSEKEEPING 30838,A000000,00800,0000,00800DIETARY 30838,A000000,00900,0000,00900NURSING ADMINISTRATION 30838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30838,A000000,01100,0000,01100PHARMACY 30838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30838,A000000,01300,0000,01300SOCIAL SERVICE 30838,A000000,01350,0000,01500OTHER GENERAL SERVICES 30838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30838,A000000,01600,0000,01600SKILLED NURSING FACILITY 30838,A000000,01800,0000,01800NURSING FACILITY 30838,A000000,02100,0000,02100RADIOLOGY 30838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30838,A000000,02500,0000,02500PHYSICAL THERAPY 30838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30838,A000000,02700,0000,02700SPEECH PATHOLOGY 30838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30838,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30838,A000000,03201,0000,03201AIR FLOATATION 30838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30838,A000000,03550,0000,03550FQHC 30838,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30838,A000000,05000,0000,05000CORF 30838,A000000,05010,0000,05010CMHC 30838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30838,A000000,05300,0000,05300INTEREST EXPENSE 30838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 30838,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30838,A81000A,00100,0100,Y 30838,A81000B,00100,0300,HOME OFFICE COST 30838,A81000B,00200,0300,PT EXPENSE 30838,A81000B,00300,0300,OT EXPENSE 30838,A81000B,00400,0300,ST EXPENSE 30838,A81000C,00100,0100,A 30838,A81000C,00100,0200,CONNER CAIN 30838,A81000C,00100,0400,SPECIALIZED MANAGEMENT 30838,A81000C,00100,0600,HOME OFFICE 30838,A81000C,00200,0100,B 30838,A81000C,00200,0200,BRAIN CAIN 30838,A81000C,00200,0400,INNOVATIVE THERAPIES INC 30838,A81000C,00200,0600,THERAPY COMPANY 30838,B100000,00000,0100,00000SQUARE FEET 30838,B100000,00000,0200,00000SQUARE FEET 30838,B100000,00000,0300,00000GROSS SALARIES 30838,B100000,00000,0400,00000ACCUM. COST 30838,B100000,00000,0500,00000SQUARE FEET 30838,B100000,00000,0600,00000POUNDS OF LAUNDRY 30838,B100000,00000,0700,00000HOURS OF SERVICE 30838,B100000,00000,0800,00000MEALS SERVED 30838,B100000,00000,0900,00000DIRECT NRSING HRS 30838,B100000,00000,1000,00000COSTED REQUIS. 30838,B100000,00000,1100,00000COSTED REQUIS. 30838,B100000,00000,1200,00000TIME SPENT 30838,B100000,00000,1300,00000TIME SPENT 30838,B100000,00000,1350,00000NO STATISTICS 30838,B100000,00000,1400,00000ASSIGNED TIME 30838,S000000,00100,0200,06/15/2000 30838,S200000,00100,0100,530 HALL STREET 30838,S200000,00200,0100,WIGGINS 30838,S200000,00200,0200,MS 30838,S200000,00200,0300,39577 30838,S200000,00300,0100,STONE 30838,S200000,00400,0100,AZALEA GARDENS NURSING CENTER 30838,S200000,00400,0200,255233 30838,S200000,00400,0300,05/07/1996 30838,S200000,00400,0500,P 30838,S200000,00600,0200,255233 30838,S200000,00600,0300,05/07/1996 30838,S200000,01600,0100,Y 30866,S000000,00100,0200,07/15/1999 30871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30871,A000000,00300,0000,00300EMPLOYEE BENEFITS 30871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30871,A000000,00700,0000,00700HOUSEKEEPING 30871,A000000,00800,0000,00800DIETARY 30871,A000000,00900,0000,00900NURSING ADMINISTRATION 30871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30871,A000000,01100,0000,01100PHARMACY 30871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30871,A000000,01300,0000,01300SOCIAL SERVICE 30871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30871,A000000,01600,0000,01600SKILLED NURSING FACILITY 30871,A000000,01800,0000,01800NURSING FACILITY 30871,A000000,01810,0000,01810ICF/MR 30871,A000000,02500,0000,02500PHYSICAL THERAPY 30871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30871,A000000,02700,0000,02700SPEECH PATHOLOGY 30871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30871,A000000,03550,0000,03550FQHC 30871,A000000,05000,0000,05000CORF 30871,A000000,05010,0000,05010CMHC 30871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30871,A000000,05300,0000,05300INTEREST EXPENSE 30871,A000000,06200,0000,06200PATIENTS LAUNDRY 30871,A81000A,00100,0100,Y 30871,A81000B,00100,0300,PHYSICAL THERAPY REL 30871,A81000B,00200,0300,OCCUPATIONAL THERAPY 30871,A81000B,00300,0300,SPEECH THERAPY 30871,A81000B,00400,0300,INTEREST RELATED 30871,A81000B,00500,0300,INTEREST RELATED 30871,A81000B,00600,0300,INTEREST RELATED 30871,A81000B,00700,0300,INTEREST RELATED 30871,A81000C,00100,0100,D 30871,A81000C,00100,0200,PAUL CULLIVER 30871,A81000C,00100,0400,MS COMPREHENSIVE 30871,A81000C,00100,0600,THERAPY COMPANY 30871,A81000C,00200,0100,D 30871,A81000C,00200,0200,PAUL CILLIVER 30871,A81000C,00200,0400,MS COMPREHENSIVE 30871,A81000C,00200,0600,THERAPY COMPANY 30871,A81000C,00300,0100,D 30871,A81000C,00300,0200,PAUL CULLIVER 30871,A81000C,00300,0400,MS. COMPREHENSIVE 30871,A81000C,00300,0600,THERAPY COMPANY 30871,A81000C,00400,0100,D 30871,A81000C,00400,0200,CYNTHIA CULLIVER 30871,A81000C,00400,0400,GEOSOUTHERN 30871,A81000C,00400,0600,FUNDING SOURCE 30871,A81000C,00500,0100,A 30871,A81000C,00500,0200,CYNTHIA CULLIVER 30871,A81000C,00500,0400,AMERICAN FLOURITE 30871,A81000C,00500,0600,FUNDING SOURCE 30871,A81000C,00600,0100,A 30871,A81000C,00600,0200,CYNTHIA CULLIVER 30871,A81000C,00600,0400,US EXPLORATION 30871,A81000C,00600,0600,FUNDING SOURCE 30871,A81000C,00700,0100,G 30871,A81000C,00700,0200,CYNTHIA CULLIVER 30871,A81000C,00700,0400,CYNTHIA CULLIVER 30871,A81000C,00700,0600,FUNDING SOURCE 30871,B100000,00000,0100,00000SQUARE FEET 30871,B100000,00000,0200,00000SQUARE FEET 30871,B100000,00000,0300,00000GROSS SALARIES 30871,B100000,00000,0400,00000ACCUM COST 30871,B100000,00000,0500,00000SQUARE FEET 30871,B100000,00000,0600,00000POUNDS OF LAUNDRY 30871,B100000,00000,0700,00000HOURS OF SERVICE 30871,B100000,00000,0800,00000MEALS SERVED 30871,B100000,00000,0900,00000DIRECT NRSG HRS 30871,B100000,00000,1000,00000COSTED REQUIS 30871,B100000,00000,1100,00000COSTED REQUIS 30871,B100000,00000,1200,00000TIME SPENT 30871,B100000,00000,1300,00000TIME SPENT 30871,B100000,00000,1400,00000ASSIGNED TIME 30871,S000000,00100,0200,07/08/1999 30871,S200000,00100,0100,HIGHWAY 35 30871,S200000,00100,0300,128 30871,S200000,00200,0100,RALEIGH 30871,S200000,00200,0200,MS 30871,S200000,00200,0300,39153 30871,S200000,00400,0100,ROLLING ACRES RETIREMENT CENTER 30871,S200000,00400,0200,255248 30871,S200000,00400,0300,12/18/1996 30871,S200000,00400,0500,P 30871,S200000,00600,0200,230055 30871,S200000,00600,0300,01/21/1997 30871,S200000,00600,0600,P 30871,S200000,01600,0100,Y 30882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30882,A000000,00300,0000,00300EMPLOYEE BENEFITS 30882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30882,A000000,00700,0000,00700HOUSEKEEPING 30882,A000000,00800,0000,00800DIETARY 30882,A000000,00900,0000,00900NURSING ADMINISTRATION 30882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30882,A000000,01100,0000,01100PHARMACY 30882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30882,A000000,01300,0000,01300SOCIAL SERVICE 30882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30882,A000000,01600,0000,01600SKILLED NURSING FACILITY 30882,A000000,01800,0000,01800NURSING FACILITY 30882,A000000,01810,0000,01810ICF/MR 30882,A000000,02200,0000,02200LABORATORY 30882,A000000,02500,0000,02500PHYSICAL THERAPY 30882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30882,A000000,02700,0000,02700SPEECH PATHOLOGY 30882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30882,A000000,03550,0000,03550FQHC 30882,A000000,05000,0000,05000CORF 30882,A000000,05010,0000,05010CMHC 30882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30882,A81000A,00100,0100,Y 30882,A81000B,00100,0300,MANAGEMENT FEES 30882,A81000C,00100,0100,A 30882,A81000C,00100,0200,MICHAEL H. OVERSTREET 30882,A81000C,00100,0400,OXFORD MANAGEMENT COMPANY 30882,A81000C,00100,0600,MANAGEMENT COMPANY 30882,B100000,00000,0100,00000SQUARE FEET 30882,B100000,00000,0200,00000SQUARE FEET 30882,B100000,00000,0300,00000GROSS SALARIES 30882,B100000,00000,0400,00000ACCUM. COST 30882,B100000,00000,0500,00000SQUARE FEET 30882,B100000,00000,0600,00000PATIENT DAYS 30882,B100000,00000,0700,00000SQUARE FEET 30882,B100000,00000,0800,00000MEALS SERVED 30882,B100000,00000,0900,00000PATIENT DAYS 30882,B100000,00000,1000,00000PATIENT DAYS 30882,B100000,00000,1100,00000COSTED REQUIS 30882,B100000,00000,1200,00000PATIENT DAYS 30882,B100000,00000,1300,00000PATIENT DAYS 30882,B100000,00000,1400,00000ASSIGNED TIME 30882,S000000,00100,0200,06/05/2000 30882,S200000,00100,0100,OLD HWY 8O EAST 30882,S200000,00100,0300,459 30882,S200000,00200,0100,MORTON 30882,S200000,00200,0200,MS 30882,S200000,00200,0300,39117 30882,S200000,00300,0100,SCOTT 30882,S200000,00400,0100,MS CARE CENTER OF MORTON LLC 30882,S200000,00400,0200,255250 30882,S200000,00400,0300,11/01/1997 30882,S200000,00400,0500,P 30882,S200000,01600,0100,Y 30913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30913,A000000,00300,0000,00300EMPLOYEE BENEFITS 30913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30913,A000000,00700,0000,00700HOUSEKEEPING 30913,A000000,00800,0000,00800DIETARY 30913,A000000,00900,0000,00900NURSING ADMINISTRATION 30913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30913,A000000,01100,0000,01100PHARMACY 30913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30913,A000000,01300,0000,01300SOCIAL SERVICE 30913,A000000,01350,0000,01500OTHER GENERAL SERVICES 30913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30913,A000000,01600,0000,01600SKILLED NURSING FACILITY 30913,A000000,01800,0000,01800NURSING FACILITY 30913,A000000,01810,0000,01810ICF/MR 30913,A000000,02100,0000,02100RADIOLOGY 30913,A000000,02200,0000,02200LABORATORY 30913,A000000,02500,0000,02500PHYSICAL THERAPY 30913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30913,A000000,02700,0000,02700SPEECH PATHOLOGY 30913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30913,A000000,03550,0000,03550FQHC 30913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30913,A000000,05000,0000,05000CORF 30913,A000000,05010,0000,05010CMHC 30913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30913,A000000,05300,0000,05300INTEREST EXPENSE 30913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30913,B100000,00000,0100,00000SQUARE FEET 30913,B100000,00000,0200,00000NO STATISTICS 30913,B100000,00000,0300,00000GROSS SALARIES 30913,B100000,00000,0400,00000ACCUM. COST 30913,B100000,00000,0500,00000SQUARE FEET 30913,B100000,00000,0600,00000POUNDS OF LAUNDRY 30913,B100000,00000,0700,00000SQUARE FT CLEANED 30913,B100000,00000,0800,00000MEALS SERVED 30913,B100000,00000,0900,00000DIRECT NURSING HR 30913,B100000,00000,1000,00000COSTED REQUIS. 30913,B100000,00000,1100,00000NO STATISTICS 30913,B100000,00000,1200,00000NO STATISTICS 30913,B100000,00000,1300,00000NO STATISTICS 30913,B100000,00000,1350,00000NO STATISTICS 30913,B100000,00000,1400,00000NO STATISTICS 30913,E10A180,00501,0100,05/04/2000 30913,E10A180,00550,0300,05/04/2000 30913,S000000,00100,0200,03/16/2000 30913,S200000,00100,0100,920 W. MAIN STREET 30913,S200000,00200,0100,CABOOL 30913,S200000,00200,0200,MO 30913,S200000,00300,0100,TEXAS 30913,S200000,00400,0100,KABUL NURSING HOME INC. 30913,S200000,00400,0200,265055 30913,S200000,00400,0300,07/01/1966 30913,S200000,00400,0500,P 30913,S200000,01600,0100,Y 30925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30925,A000000,00300,0000,00300EMPLOYEE BENEFITS 30925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30925,A000000,00700,0000,00700HOUSEKEEPING 30925,A000000,00800,0000,00800DIETARY 30925,A000000,00900,0000,00900NURSING ADMINISTRATION 30925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30925,A000000,01100,0000,01100PHARMACY 30925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30925,A000000,01300,0000,01300SOCIAL SERVICE 30925,A000000,01350,0000,01500OTHER GENERAL SERVICES 30925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30925,A000000,01600,0000,01600SKILLED NURSING FACILITY 30925,A000000,01800,0000,01800NURSING FACILITY 30925,A000000,01810,0000,01810ICF/MR 30925,A000000,02200,0000,02200LABORATORY 30925,A000000,02500,0000,02500PHYSICAL THERAPY 30925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30925,A000000,02700,0000,02700SPEECH PATHOLOGY 30925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30925,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30925,A000000,03550,0000,03550FQHC 30925,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30925,A000000,05000,0000,05000CORF 30925,A000000,05010,0000,05010CMHC 30925,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30925,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30925,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30925,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30925,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30925,B100000,00000,0100,00000SQUARE FEET 30925,B100000,00000,0200,00000SQUARE FEET 30925,B100000,00000,0300,00000GROSS SALARY 30925,B100000,00000,0400,00000ACCUM. COST 30925,B100000,00000,0500,00000SQUARE FEET 30925,B100000,00000,0600,00000LAUNDRY POUNDS 30925,B100000,00000,0700,00000SQUARE FEET 30925,B100000,00000,0800,00000MEALS SERVED 30925,B100000,00000,0900,00000HRS OF SERVI 30925,B100000,00000,1000,00000ACCUM. COST 30925,B100000,00000,1100,00000COSTED REQUIS 30925,B100000,00000,1200,00000TIME SPENT 30925,B100000,00000,1300,00000TIME SPENT 30925,B100000,00000,1350,00000ACCUM. COST 30925,B100000,00000,1400,00000ACCUM. COST 30925,S000000,00100,0200,05/25/2000 30925,S200000,00100,0100,13190 S. OUTER FORTY ROAD 30925,S200000,00200,0100,CHESTERFIELD 30925,S200000,00200,0200,MO 30925,S200000,00300,0100,ST. LOUIS 30925,S200000,00400,0100,JEWISH CENTER FOR AGED 30925,S200000,00400,0200,265071 30925,S200000,00400,0300,07/01/1966 30925,S200000,00400,0500,O 30925,S200000,01600,0100,Y 30925,S200000,02200,0100,Y 30936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30936,A000000,00300,0000,00300EMPLOYEE BENEFITS 30936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30936,A000000,00700,0000,00700HOUSEKEEPING 30936,A000000,00800,0000,00800DIETARY 30936,A000000,00900,0000,00900NURSING ADMINISTRATION 30936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30936,A000000,01100,0000,01100PHARMACY 30936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30936,A000000,01300,0000,01300SOCIAL SERVICE 30936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30936,A000000,01600,0000,01600SKILLED NURSING FACILITY 30936,A000000,01800,0000,01800NURSING FACILITY 30936,A000000,01810,0000,01810ICF/MR 30936,A000000,02200,0000,02200LABORATORY 30936,A000000,02500,0000,02500PHYSICAL THERAPY 30936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30936,A000000,02700,0000,02700SPEECH PATHOLOGY 30936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30936,A000000,03200,0000,03200SUPPORT SURFACES 30936,A000000,03550,0000,03550FQHC 30936,A000000,05000,0000,05000CORF 30936,A000000,05010,0000,05010CMHC 30936,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30936,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30936,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30936,A000000,05300,0000,05300INTEREST EXPENSE 30936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30936,A81000A,00100,0100,Y 30936,A81000B,00100,0300,INTEREST EXPENSE 30936,A81000C,00100,0100,G 30936,A81000C,00100,0200,JEWISH GERIATRIC AND 30936,A81000C,00100,0400,CONVALESCENT CENTER 30936,A81000C,00100,0600,FOUNDATION TRUST 30936,B100000,00000,0100,00000SQUARE FEET 30936,B100000,00000,0200,00000SQUARE FEET 30936,B100000,00000,0300,00000GROSS SALARIES 30936,B100000,00000,0400,00000ACCUM. COST 30936,B100000,00000,0500,00000SQUARE FEET 30936,B100000,00000,0600,00000POUNDS OF LAUNDRY 30936,B100000,00000,0700,00000SQUARE FEET 30936,B100000,00000,0800,00000MEALS SERVED 30936,B100000,00000,0900,00000DIRECT NRSING HRS 30936,B100000,00000,1000,00000COSTED REQUIS. 30936,B100000,00000,1100,00000COSTED REQUIS 30936,B100000,00000,1200,00000TIME SPENT 30936,B100000,00000,1300,00000TIME SPENT 30936,B100000,00000,1400,00000ASSIGNED TIME 30936,S000000,00100,0200,04/12/2000 30936,S200000,00100,0100,7801 HOLMES ROAD 30936,S200000,00200,0100,KANSAS CITY 30936,S200000,00200,0200,MO 30936,S200000,00300,0100,JACKSON 30936,S200000,00400,0100,SHALOM GERIATRIC CENTER 30936,S200000,00400,0200,265074 30936,S200000,00400,0300,06/01/1988 30936,S200000,00400,0500,P 30936,S200000,01600,0100,Y 30952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30952,A000000,00300,0000,00300EMPLOYEE BENEFITS 30952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30952,A000000,00700,0000,00700HOUSEKEEPING 30952,A000000,00800,0000,00800DIETARY 30952,A000000,00900,0000,00900NURSING ADMINISTRATION 30952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30952,A000000,01100,0000,01100PHARMACY 30952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30952,A000000,01300,0000,01300SOCIAL SERVICE 30952,A000000,01350,0000,01500OTHER GENERAL SERVICES 30952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30952,A000000,01600,0000,01600SKILLED NURSING FACILITY 30952,A000000,01800,0000,01800NURSING FACILITY 30952,A000000,02100,0000,02100RADIOLOGY 30952,A000000,02200,0000,02200LABORATORY 30952,A000000,02500,0000,02500PHYSICAL THERAPY 30952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30952,A000000,02700,0000,02700SPEECH PATHOLOGY 30952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30952,A000000,03550,0000,03550FQHC 30952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30952,A000000,05000,0000,05000CORF 30952,A000000,05010,0000,05010CMHC 30952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 30952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30952,A81000A,00100,0100,Y 30952,A81000B,00100,0300,HOME OFFICE 30952,A81000B,00200,0300,TRAVEL EXPENSE 30952,A81000B,00300,0300,FACILITY LEASE 30952,A81000C,00100,0100,A 30952,A81000C,00100,0200,MAKHLOUF/LORRAINE SUISSA 30952,A81000C,00100,0400,HEALTHCARE MGT. ASSOCIATE 30952,A81000C,00100,0600,HOME OFFICE 30952,A81000C,00200,0100,A 30952,A81000C,00200,0200,MAKHLOUF/LORRAINE SUISSA 30952,A81000C,00200,0400,WESTVIEW HEALTH PROP. LLC 30952,A81000C,00200,0600,FACILITY LEASE 30952,A81000C,00300,0100,A 30952,A81000C,00300,0200,ERIC ROTHNER 30952,A81000C,00300,0400,WESTVIEW HEALTH PROP. LLC 30952,A81000C,00300,0600,FACILITY LEASE 30952,B100000,00000,0100,00000SQUARE FEET 30952,B100000,00000,0200,00000DOLLAR VALUE 30952,B100000,00000,0300,00000GROSS SALARIES 30952,B100000,00000,0400,00000ACCUM. COST 30952,B100000,00000,0500,00000SQUARE FEET 30952,B100000,00000,0600,00000POUNDS OF LAUNDRY 30952,B100000,00000,0700,00000SQUARE FT CLEANED 30952,B100000,00000,0800,00000MEALS SERVED 30952,B100000,00000,0900,00000DIRECT NSG HOURS 30952,B100000,00000,1000,00000COSTED REQUIS. 30952,B100000,00000,1100,00000COSTED REQUIS. 30952,B100000,00000,1200,00000TIME SPENT 30952,B100000,00000,1300,00000TIME SPENT 30952,B100000,00000,1350,00000NO STATISTICS 30952,B100000,00000,1400,00000ASSIGNED TIME 30952,S000000,00100,0200,06/22/2000 30952,S200000,00100,0100,1127 TIMBER RUN DRIVE 30952,S200000,00200,0100,ST. LOUIS 30952,S200000,00200,0200,MO 30952,S200000,00200,0300,63146 30952,S200000,00300,0100,ST. LOUIS 30952,S200000,00400,0100,WESTVIEW NURSING & REHAB CENTER 30952,S200000,00400,0200,265099 30952,S200000,00400,0300,08/02/1990 30952,S200000,00400,0500,P 30952,S200000,01600,0100,Y 30956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30956,A000000,00300,0000,00300EMPLOYEE BENEFITS 30956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30956,A000000,00700,0000,00700HOUSEKEEPING 30956,A000000,00800,0000,00800DIETARY 30956,A000000,00900,0000,00900NURSING ADMINISTRATION 30956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30956,A000000,01100,0000,01100PHARMACY 30956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30956,A000000,01300,0000,01300SOCIAL SERVICE 30956,A000000,01350,0000,01500OTHER GENERAL SERVICES 30956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30956,A000000,01600,0000,01600SKILLED NURSING FACILITY 30956,A000000,01800,0000,01800NURSING FACILITY 30956,A000000,01810,0000,01810ICF/MR 30956,A000000,02100,0000,02100RADIOLOGY 30956,A000000,02200,0000,02200LABORATORY 30956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30956,A000000,02500,0000,02500PHYSICAL THERAPY 30956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30956,A000000,02700,0000,02700SPEECH PATHOLOGY 30956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30956,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30956,A000000,03550,0000,03550FQHC 30956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30956,A000000,05000,0000,05000CORF 30956,A000000,05010,0000,05010CMHC 30956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30956,A000000,05300,0000,05300INTEREST EXPENSE 30956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30956,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30956,A81000A,00100,0100,Y 30956,A81000B,00100,0300,RESIDENT MEALS 30956,A81000B,00200,0300,PHYSICAL THERAPY 30956,A81000B,00300,0300,OCCUPATIONAL THERAPY 30956,A81000B,00400,0300,SPEECH THERAPY 30956,A81000B,00500,0300,RESPIRATORY THERAPY 30956,A81000B,00600,0300,MAINTENANCE SERVICES 30956,A81000B,00700,0300,HOUSEKEEPING SERVICES 30956,A81000C,00100,0100,B 30956,A81000C,00100,0400,NEVADA REGIONAL MED CTR 30956,A81000C,00100,0600,HOSPITAL 30956,B100000,00000,0100,00000SQUARE FEET 30956,B100000,00000,0200,00000NO STATISTICS 30956,B100000,00000,0300,00000GROSS SALARIES 30956,B100000,00000,0400,00000ACCUM. COST 30956,B100000,00000,0500,00000SQUARE FEET 30956,B100000,00000,0600,00000POUNDS OF LAUNDRY 30956,B100000,00000,0700,00000SQUARE FEET 30956,B100000,00000,0800,00000MEALS SERVED 30956,B100000,00000,0900,00000DIRECT NRSING HRS 30956,B100000,00000,1000,00000NO STATISTICS 30956,B100000,00000,1100,00000NO STATISTICS 30956,B100000,00000,1200,00000TOTAL CHARGES 30956,B100000,00000,1300,00000PATIENT DAYS 30956,B100000,00000,1350,00000NO STATISTICS 30956,B100000,00000,1400,00000NO STATISTICS 30956,E10A180,00501,0300,01/12/2000 30956,S000000,00100,0200,11/30/1999 30956,S200000,00100,0100,901 SOUTH ADAMS 30956,S200000,00200,0100,NEVADA 30956,S200000,00200,0200,MO 30956,S200000,00300,0100,VERNON 30956,S200000,00400,0100,NEVADA CITY NURSING HOME 30956,S200000,00400,0200,265110 30956,S200000,00400,0300,01/01/1988 30956,S200000,00400,0500,P 30956,S200000,01600,0100,Y 30956,S200000,02200,0100,Y 30958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30958,A000000,00300,0000,00300EMPLOYEE BENEFITS 30958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30958,A000000,00700,0000,00700HOUSEKEEPING 30958,A000000,00800,0000,00800DIETARY 30958,A000000,00900,0000,00900NURSING ADMINISTRATION 30958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30958,A000000,01100,0000,01100PHARMACY 30958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30958,A000000,01300,0000,01300SOCIAL SERVICE 30958,A000000,01350,0000,01500OTHER GENERAL SERVICES 30958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30958,A000000,01600,0000,01600SKILLED NURSING FACILITY 30958,A000000,01800,0000,01800NURSING FACILITY 30958,A000000,01810,0000,01810ICF/MR 30958,A000000,02100,0000,02100RADIOLOGY 30958,A000000,02200,0000,02200LABORATORY 30958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 30958,A000000,02500,0000,02500PHYSICAL THERAPY 30958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30958,A000000,02700,0000,02700SPEECH PATHOLOGY 30958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30958,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30958,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30958,A000000,03550,0000,03550FQHC 30958,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30958,A000000,05000,0000,05000CORF 30958,A000000,05010,0000,05010CMHC 30958,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30958,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30958,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30958,A000000,05300,0000,05300INTEREST EXPENSE 30958,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30958,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30958,A81000A,00100,0100,Y 30958,A81000B,00100,0300,RESIDENT MEALS 30958,A81000B,00200,0300,PHYSICAL THERAPY 30958,A81000B,00300,0300,OCCUPATIONAL THERAPY 30958,A81000B,00400,0300,SPEECH PATHOLOGY 30958,A81000B,00500,0300,MAINTENANCE SERVICES 30958,A81000B,00600,0300,HOUSEKEEPING SERVICES 30958,A81000B,00700,0300,ADMINISTRATIVE CONSULTING FEES 30958,A81000B,00800,0300,RESPIRATORY THERAPY 30958,A81000B,00900,0300,RADIOLOGY 30958,A81000B,01000,0300,LABORATORY 30958,A81000C,00100,0100,B 30958,A81000C,00100,0400,NEVADA REGIONAL MED CTR 30958,A81000C,00100,0600,HOSPITAL 30958,B100000,00000,0100,00000SQUARE FEET 30958,B100000,00000,0200,00000NO STATISTICS 30958,B100000,00000,0300,00000GROSS SALARIES 30958,B100000,00000,0400,00000ACCUM. COST 30958,B100000,00000,0500,00000SQUARE FEET 30958,B100000,00000,0600,00000POUNDS OF LAUNDRY 30958,B100000,00000,0700,00000SQUARE FEET 30958,B100000,00000,0800,00000MEALS SERVED 30958,B100000,00000,0900,00000DIRECT NRSG 30958,B100000,00000,1000,00000NO STATISTICS 30958,B100000,00000,1100,00000NO STATISTICS 30958,B100000,00000,1200,00000TIME SPENT 30958,B100000,00000,1300,00000TIME SPENT 30958,B100000,00000,1350,00000NO STATISTICS 30958,B100000,00000,1400,00000NO STATISTICS 30958,E10A180,00301,0100,04/26/2000 30958,E10A180,00501,0100,01/03/2001 30958,E10A180,00501,0300,01/03/2001 30958,S000000,00100,0200,11/08/2000 30958,S200000,00100,0100,901 SOUTH ADAMS 30958,S200000,00200,0100,NEVADA 30958,S200000,00200,0200,MO 30958,S200000,00200,0300,64772 30958,S200000,00400,0100,NEVADA CITY NURSING HOME 30958,S200000,00400,0200,265110 30958,S200000,00400,0300,01/01/1988 30958,S200000,00400,0500,P 30958,S200000,01600,0100,Y 30981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30981,A000000,00300,0000,00300EMPLOYEE BENEFITS 30981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30981,A000000,00700,0000,00700HOUSEKEEPING 30981,A000000,00800,0000,00800DIETARY 30981,A000000,00900,0000,00900NURSING ADMINISTRATION 30981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30981,A000000,01100,0000,01100PHARMACY 30981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30981,A000000,01300,0000,01300SOCIAL SERVICE 30981,A000000,01350,0000,01500OTHER GENERAL SERVICES 30981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30981,A000000,01600,0000,01600SKILLED NURSING FACILITY 30981,A000000,01800,0000,01800NURSING FACILITY 30981,A000000,01810,0000,01810ICF/MR 30981,A000000,02500,0000,02500PHYSICAL THERAPY 30981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30981,A000000,02700,0000,02700SPEECH PATHOLOGY 30981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30981,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30981,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30981,A000000,03550,0000,03550FQHC 30981,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30981,A000000,05000,0000,05000CORF 30981,A000000,05010,0000,05010CMHC 30981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30981,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30981,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30981,A81000A,00100,0100,Y 30981,A81000B,00100,0300,HOME OFFICE COSTS 30981,A81000B,00200,0300,HOME OFFICE COSTS 30981,A81000B,00300,0300,LEASE 30981,A81000B,00400,0300,NURSE AIDE TRAINING 30981,A81000B,00500,0300,HOME OFFICE - PT 30981,A81000B,00600,0300,HOME OFFICE - OT 30981,A81000B,00700,0300,HOME OFFICE - ST 30981,A81000B,00800,0300,VAN LEASE 30981,A81000C,00100,0100,B 30981,A81000C,00100,0200,BALANCED CARE CORPORATION 30981,A81000C,00100,0400,BALANCED CARE CORPORATION 30981,A81000C,00100,0600,MANAGEMENT COMPANY 30981,A81000C,00200,0100,A 30981,A81000C,00200,0200,VARIOUS STOCKHOLDERS 30981,A81000C,00200,0400,HAWTHORNE HEALTH PROP INC 30981,A81000C,00200,0600,LEASING COMPANY 30981,A81000C,00300,0100,B 30981,A81000C,00300,0200,BALANCED CARE CORPORATION 30981,A81000C,00300,0400,BCC LEBANON SOUTH 30981,A81000C,00300,0600,NURSING HOME 30981,B100000,00000,0100,00000SQUARE FEET 30981,B100000,00000,0200,00000DOLLAR VALUE 30981,B100000,00000,0300,00000GROSS SALARIES 30981,B100000,00000,0400,00000ACCUM. COST 30981,B100000,00000,0500,00000SQUARE FEET 30981,B100000,00000,0600,00000POUNDS OF LAUNDRY 30981,B100000,00000,0700,00000SQUARE FEET 30981,B100000,00000,0800,00000MEALS SERVED 30981,B100000,00000,0900,00000DIRECT NRSING HRS 30981,B100000,00000,1000,00000COSTED REQUIS. 30981,B100000,00000,1100,00000COSTED REQUIS. 30981,B100000,00000,1200,00000TIME SPENT 30981,B100000,00000,1300,00000TIME SPENT 30981,B100000,00000,1350,00000NO STATISTICS 30981,B100000,00000,1400,00000ASSIGNED TIME 30981,E10A180,00501,0100,07/12/2000 30981,E10A180,00501,0300,07/12/2000 30981,S000000,00100,0200,05/25/2000 30981,S200000,00100,0100,596 MORTON ROAD 30981,S200000,00100,0300,K 30981,S200000,00200,0100,LEBANON 30981,S200000,00200,0200,MO 30981,S200000,00200,0300,65536 30981,S200000,00300,0100,LACLEDE 30981,S200000,00400,0100,BCC AT LEBANON CARE CENTER INC. 30981,S200000,00400,0200,265123 30981,S200000,00400,0300,03/10/1976 30981,S200000,00400,0500,P 30981,S200000,01600,0100,Y 30996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 30996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 30996,A000000,00300,0000,00300EMPLOYEE BENEFITS 30996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 30996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 30996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 30996,A000000,00700,0000,00700HOUSEKEEPING 30996,A000000,00800,0000,00800DIETARY 30996,A000000,00900,0000,00900NURSING ADMINISTRATION 30996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 30996,A000000,01100,0000,01100PHARMACY 30996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 30996,A000000,01300,0000,01300SOCIAL SERVICE 30996,A000000,01350,0000,01500OTHER GENERAL SERVICES 30996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 30996,A000000,01600,0000,01600SKILLED NURSING FACILITY 30996,A000000,01800,0000,01800NURSING FACILITY 30996,A000000,01810,0000,01810ICF/MR 30996,A000000,01900,0000,01900OTHER LONG TERM CARE 30996,A000000,02500,0000,02500PHYSICAL THERAPY 30996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 30996,A000000,02700,0000,02700SPEECH PATHOLOGY 30996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 30996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 30996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 30996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 30996,A000000,03550,0000,03550FQHC 30996,A000000,04750,0000,05100OTHER REIMBURSABLE COST 30996,A000000,05000,0000,05000CORF 30996,A000000,05010,0000,05010CMHC 30996,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 30996,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 30996,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 30996,A000000,05300,0000,05300INTEREST EXPENSE 30996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 30996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 30996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 30996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 30996,A81000A,00100,0100,Y 30996,A81000B,00100,0300,MANAGEMENT FEES 30996,A81000B,00200,0300,MANAGEMENT FEES 30996,A81000C,00100,0100,B 30996,A81000C,00100,0200,RILEY SPENCE & ASSOCIATES 30996,A81000C,00100,0400,MID AMERICA HEALTH CARE 30996,A81000C,00100,0600,NURSING HOMES 30996,A81000C,00200,0100,B 30996,A81000C,00200,0200,RILEY SPENCE & ASSOCIATES 30996,A81000C,00200,0400,MID AMERICA HEALTH CARE 30996,A81000C,00200,0600,NURSING HOMES 30996,B100000,00000,0100,00000SQUARE FEET 30996,B100000,00000,0200,00000SQUARE FEET 30996,B100000,00000,0300,00000GROSS SALARIES 30996,B100000,00000,0400,00000ACCUM. COST 30996,B100000,00000,0500,00000SQUARE FEET 30996,B100000,00000,0600,00000POUNDS OF LAUNDRY 30996,B100000,00000,0700,00000SQUARE FEET 30996,B100000,00000,0800,00000MEALS SERVED 30996,B100000,00000,0900,00000TIME SPENT 30996,B100000,00000,1000,00000COSTED REQUIS. 30996,B100000,00000,1100,00000COSTED REQUIS. 30996,B100000,00000,1200,00000TIME SPENT 30996,B100000,00000,1300,00000TIME SPENT 30996,B100000,00000,1350,00000NO STATISTICS 30996,B100000,00000,1400,00000ASSIGNED TIME 30996,S000000,00100,0200,06/06/2000 30996,S200000,00100,0100,313 AUGUSTINE ROAD 30996,S200000,00200,0100,EUREKA 30996,S200000,00200,0200,MO 30996,S200000,00300,0100,ST. LOUIS COUNTY 30996,S200000,00400,0100,MARYMOUNT MANOR CARE CENTER 30996,S200000,00400,0200,265140 30996,S200000,00400,0300,04/01/1979 30996,S200000,00400,0500,P 30996,S200000,01600,0100,Y 30996,S200000,02200,0100,Y 31008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31008,A000000,00300,0000,00300EMPLOYEE BENEFITS 31008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31008,A000000,00700,0000,00700HOUSEKEEPING 31008,A000000,00800,0000,00800DIETARY 31008,A000000,00900,0000,00900NURSING ADMINISTRATION 31008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31008,A000000,01100,0000,01100PHARMACY 31008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31008,A000000,01300,0000,01300SOCIAL SERVICE 31008,A000000,01350,0000,01500OTHER GENERAL SERVICES 31008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31008,A000000,01600,0000,01600SKILLED NURSING FACILITY 31008,A000000,01800,0000,01800NURSING FACILITY 31008,A000000,01810,0000,01810ICF/MR 31008,A000000,02100,0000,02100RADIOLOGY 31008,A000000,02500,0000,02500PHYSICAL THERAPY 31008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31008,A000000,02700,0000,02700SPEECH PATHOLOGY 31008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31008,A000000,03550,0000,03550FQHC 31008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31008,A000000,05000,0000,05000CORF 31008,A000000,05010,0000,05010CMHC 31008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 31008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31008,B100000,00000,0100,00000SQUARE FEET 31008,B100000,00000,0200,00000SQUARE FEET 31008,B100000,00000,0300,00000GROSS SALARIES 31008,B100000,00000,0400,00000ACCUM. COST 31008,B100000,00000,0500,00000SQUARE FEET 31008,B100000,00000,0600,00000PATIENT DAYS 31008,B100000,00000,0700,00000SQUARE FEET 31008,B100000,00000,0800,00000MEALS SERVED 31008,B100000,00000,0900,00000DIRECT NRSING HRS 31008,B100000,00000,1000,00000COSTED REQUIS. 31008,B100000,00000,1100,00000COSTED REQUIS. 31008,B100000,00000,1200,00000TIME SPENT 31008,B100000,00000,1300,00000PATIENT DAYS 31008,B100000,00000,1350,00000SQUARE FEET 31008,B100000,00000,1400,00000ASSIGNED TIME 31008,E10A180,00550,0300,02/13/2001 31008,S000000,00100,0200,11/06/2001 31008,S200000,00100,0100,5900 SWOPE PARKWAY 31008,S200000,00200,0100,KANSAS CITY 31008,S200000,00200,0200,MO 31008,S200000,00200,0300,64130 31008,S200000,00300,0100,J 31008,S200000,00300,0200,3760 31008,S200000,00300,0300,U 31008,S200000,00400,0100,CARE CENTER OF KANSAS CITY 31008,S200000,00400,0200,265145 31008,S200000,00400,0300,10/01/1990 31008,S200000,00400,0500,P 31008,S200000,01600,0100,Y 31023,S000000,00100,0200,06/19/2000 31032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31032,A000000,00300,0000,00300EMPLOYEE BENEFITS 31032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31032,A000000,00700,0000,00700HOUSEKEEPING 31032,A000000,00800,0000,00800DIETARY 31032,A000000,00900,0000,00900NURSING ADMINISTRATION 31032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31032,A000000,01100,0000,01100PHARMACY 31032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31032,A000000,01300,0000,01300SOCIAL SERVICE 31032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31032,A000000,01600,0000,01600SKILLED NURSING FACILITY 31032,A000000,01800,0000,01800NURSING FACILITY 31032,A000000,01810,0000,01810ICF/MR 31032,A000000,02200,0000,02200LABORATORY 31032,A000000,02500,0000,02500PHYSICAL THERAPY 31032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31032,A000000,02700,0000,02700SPEECH PATHOLOGY 31032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31032,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31032,A000000,03550,0000,03550FQHC 31032,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31032,A000000,05000,0000,05000CORF 31032,A000000,05010,0000,05010CMHC 31032,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31032,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31032,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31032,A000000,05300,0000,05300INTEREST EXPENSE 31032,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31032,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31032,A81000A,00100,0100,Y 31032,A81000B,00100,0300,HOME OFFICE COSTS 31032,A81000C,00100,0100,B 31032,A81000C,00100,0200,CATHOLIC CHARITIES 31032,A81000C,00100,0400,INSTITUTE OF ST. LOUIS 31032,B100000,00000,0100,00000SQUARE FEET 31032,B100000,00000,0200,00000SQUARE FEET 31032,B100000,00000,0300,00000GROSS SALARY 31032,B100000,00000,0400,00000ACCUM. COST 31032,B100000,00000,0500,00000SQUARE FEET 31032,B100000,00000,0600,00000POUNDS OF LAUNDRY 31032,B100000,00000,0700,00000SQUARE FEET 31032,B100000,00000,0800,00000MEALS SERVED 31032,B100000,00000,0900,00000TIME SPENT 31032,B100000,00000,1000,00000COSTED REQUIS 31032,B100000,00000,1100,00000COSTED REQUIS 31032,B100000,00000,1200,00000TIME SPENT 31032,B100000,00000,1300,00000TIME SPENT 31032,B100000,00000,1400,00000ASSIGNED TIME 31032,S000000,00100,0200,11/28/2000 31032,S200000,00100,0100,7601 WATSON ROAD 31032,S200000,00200,0100,SAINT LOUIS 31032,S200000,00200,0200,MO 31032,S200000,00200,0300,63119 31032,S200000,00300,0100,S 31032,S200000,00400,0100,MARY QUEEN AND MOTHER CENTER 31032,S200000,00400,0200,265159 31032,S200000,00400,0300,10/01/1982 31032,S200000,00400,0500,P 31032,S200000,01600,0100,Y 31040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31040,A000000,00300,0000,00300EMPLOYEE BENEFITS 31040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31040,A000000,00700,0000,00700HOUSEKEEPING 31040,A000000,00800,0000,00800DIETARY 31040,A000000,00900,0000,00900NURSING ADMINISTRATION 31040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31040,A000000,01100,0000,01100PHARMACY 31040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31040,A000000,01300,0000,01300SOCIAL SERVICE 31040,A000000,01350,0000,01500OTHER GENERAL SERVICES 31040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31040,A000000,01600,0000,01600SKILLED NURSING FACILITY 31040,A000000,01800,0000,01800NURSING FACILITY 31040,A000000,02500,0000,02500PHYSICAL THERAPY 31040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31040,A000000,02700,0000,02700SPEECH PATHOLOGY 31040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31040,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31040,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31040,A000000,03550,0000,03550FQHC 31040,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31040,A000000,05000,0000,05000CORF 31040,A000000,05010,0000,05010CMHC 31040,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31040,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31040,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31040,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31040,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31040,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31040,A81000A,00100,0100,Y 31040,A81000B,00100,0300,FACILITY LEASE 31040,A81000B,00200,0300,MEDICAL RECORDS SALARY 31040,A81000B,00300,0300,CENTRAL SUPPLY SALARY 31040,A81000B,00400,0300,HOME OFFICE - A&G 31040,A81000B,00500,0300,HOME OFFICE - CAPITAL 31040,A81000B,00600,0300,H.O.-NURSE AIDE TRAINING 31040,A81000B,00700,0300,H.O.-PHYSICAL THERAPY 31040,A81000B,00800,0300,H.O.-OCCUPATIONAL THERAPY 31040,A81000B,00900,0300,H.O.-SPEECH THERAPY 31040,A81000C,00100,0100,A 31040,A81000C,00100,0200,VARIOUS STOCKHOLDERS 31040,A81000C,00100,0400,HAWTHORN HEALTH PROP. INC 31040,A81000C,00100,0600,LEASING COMPANY 31040,A81000C,00200,0100,B 31040,A81000C,00200,0200,BCC @ MT VERNON PARK CARE 31040,A81000C,00200,0400,BCC @ MT VERNON PARK CARE 31040,A81000C,00200,0600,SKILLED NURSING FACILITY 31040,A81000C,00300,0100,A 31040,A81000C,00300,0200,BALANCED CARE CORPORATION 31040,A81000C,00300,0400,BALANCED CARE CORPORATION 31040,A81000C,00300,0600,MANAGEMENT COMPANY 31040,B100000,00000,0100,00000SQUARE FEET 31040,B100000,00000,0200,00000NO STATISTICS 31040,B100000,00000,0300,00000GROSS SALARIES 31040,B100000,00000,0400,00000ACCUM. COST 31040,B100000,00000,0500,00000SQUARE FEET 31040,B100000,00000,0600,00000POUNDS OF LAUNDRY 31040,B100000,00000,0700,00000SQUARE FEET 31040,B100000,00000,0800,00000MEALS SERVED 31040,B100000,00000,0900,00000DIRECT NRSING HRS 31040,B100000,00000,1000,00000COSTED REQUIS. 31040,B100000,00000,1100,00000NO STATISTICS 31040,B100000,00000,1200,00000TIME SPENT 31040,B100000,00000,1300,00000TIME SPENT 31040,B100000,00000,1350,00000NO STATISTICS 31040,B100000,00000,1400,00000NO STATISTICS 31040,S000000,00100,0200,05/25/2000 31040,S200000,00100,0100,3403 WEST MT VERNON 31040,S200000,00200,0100,SPRINGFIELD 31040,S200000,00200,0200,MO 31040,S200000,00200,0300,65802 31040,S200000,00300,0100,GREENE 31040,S200000,00400,0100,BCC AT MT VERNON PARK CARE CENTER 31040,S200000,00400,0200,265161 31040,S200000,00400,0300,01/11/1982 31040,S200000,00400,0500,P 31040,S200000,01600,0100,Y 31045,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31045,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31045,A000000,00300,0000,00300EMPLOYEE BENEFITS 31045,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31045,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31045,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31045,A000000,00700,0000,00700HOUSEKEEPING 31045,A000000,00800,0000,00800DIETARY 31045,A000000,00900,0000,00900NURSING ADMINISTRATION 31045,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31045,A000000,01100,0000,01100PHARMACY 31045,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31045,A000000,01300,0000,01300SOCIAL SERVICE 31045,A000000,01350,0000,01500OTHER GENERAL SERVICES 31045,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31045,A000000,01600,0000,01600SKILLED NURSING FACILITY 31045,A000000,01800,0000,01800NURSING FACILITY 31045,A000000,01810,0000,01810ICF/MR 31045,A000000,02100,0000,02100RADIOLOGY 31045,A000000,02200,0000,02200LABORATORY 31045,A000000,02500,0000,02500PHYSICAL THERAPY 31045,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31045,A000000,02700,0000,02700SPEECH PATHOLOGY 31045,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31045,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31045,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31045,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31045,A000000,03550,0000,03550FQHC 31045,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31045,A000000,05000,0000,05000CORF 31045,A000000,05010,0000,05010CMHC 31045,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31045,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31045,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31045,A000000,05300,0000,05300INTEREST EXPENSE 31045,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31045,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31045,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31045,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31045,B100000,00000,0100,00000SQUARE FEET 31045,B100000,00000,0200,00000DOLLAR VALUE 31045,B100000,00000,0300,00000GROSS SALARIES 31045,B100000,00000,0400,00000ACCUM. COST 31045,B100000,00000,0500,00000SQUARE FEET 31045,B100000,00000,0600,00000POUNDS OF LAUNDRY 31045,B100000,00000,0700,00000SQUARE FEET 31045,B100000,00000,0800,00000MEALS SERVED 31045,B100000,00000,0900,00000DIRECT NRSING HRS 31045,B100000,00000,1000,00000COSTED REQUIS. 31045,B100000,00000,1100,00000COSTED REQUIS. 31045,B100000,00000,1200,00000TIME SPENT 31045,B100000,00000,1300,00000TIME SPENT 31045,B100000,00000,1350,00000NO STATISTICS 31045,B100000,00000,1400,00000ASSIGNED TIME 31045,E10A180,00501,0100,05/10/2000 31045,E10A180,00501,0300,05/10/2000 31045,S000000,00100,0200,03/15/2000 31045,S200000,00100,0100,210 DAVIS DRIVE 31045,S200000,00200,0100,WEST PLAINS 31045,S200000,00200,0200,MO 31045,S200000,00300,0100,HOWELL 31045,S200000,00400,0100,WEST VUE NURSING CENTER 31045,S200000,00400,0200,265164 31045,S200000,00400,0300,07/07/1993 31045,S200000,00400,0500,P 31045,S200000,01600,0100,Y 31066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31066,A000000,00300,0000,00300EMPLOYEE BENEFITS 31066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31066,A000000,00700,0000,00700HOUSEKEEPING 31066,A000000,00800,0000,00800DIETARY 31066,A000000,00900,0000,00900NURSING ADMINISTRATION 31066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31066,A000000,01100,0000,01100PHARMACY 31066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31066,A000000,01300,0000,01300SOCIAL SERVICE 31066,A000000,01350,0000,01500OTHER GENERAL SERVICES 31066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31066,A000000,01600,0000,01600SKILLED NURSING FACILITY 31066,A000000,01800,0000,01800NURSING FACILITY 31066,A000000,01810,0000,01810ICF/MR 31066,A000000,02100,0000,02100RADIOLOGY 31066,A000000,02200,0000,02200LABORATORY 31066,A000000,02500,0000,02500PHYSICAL THERAPY 31066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31066,A000000,02700,0000,02700SPEECH PATHOLOGY 31066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31066,A000000,03550,0000,03550FQHC 31066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31066,A000000,05000,0000,05000CORF 31066,A000000,05010,0000,05010CMHC 31066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31066,A000000,05300,0000,05300INTEREST EXPENSE 31066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31066,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31066,A81000A,00100,0100,Y 31066,A81000B,00100,0300,MGMT FEES - A&G 31066,A81000B,00200,0300,MGMT FEES - CAPITAL 31066,A81000B,00300,0300,RELATED PARTY LEASE 31066,A81000C,00100,0100,A 31066,A81000C,00100,0200,JAMES J. GIARDINA 31066,A81000C,00100,0400,CCC INC. 31066,A81000C,00100,0600,MANAGEMENT CO. 31066,A81000C,00200,0100,A 31066,A81000C,00200,0200,JAMES J. GIARDINA 31066,A81000C,00200,0400,MAPLE GROVE LODGE 31066,A81000C,00200,0600,NURSING HOME 31066,B100000,00000,0100,00000SQUARE FEET 31066,B100000,00000,0200,00000NO STATISTICS 31066,B100000,00000,0300,00000GROSS SALARIES 31066,B100000,00000,0400,00000ACCUM. COST 31066,B100000,00000,0500,00000SQUARE FEET 31066,B100000,00000,0600,00000POUNDS OF LAUNDRY 31066,B100000,00000,0700,00000SQUARE FEET 31066,B100000,00000,0800,00000MEALS SERVED 31066,B100000,00000,0900,00000DIRECT NSG HOURS 31066,B100000,00000,1000,00000COSTED REQUIS. 31066,B100000,00000,1100,00000NO STATISTICS 31066,B100000,00000,1200,00000TIME SPENT 31066,B100000,00000,1300,00000TIME SPENT 31066,B100000,00000,1350,00000NO STATISTICS 31066,B100000,00000,1400,00000NO STATISTICS 31066,E10A180,00550,0300,04/28/2000 31066,S000000,00100,0200,03/01/2000 31066,S200000,00100,0100,2407 WEST GEORGIA 31066,S200000,00200,0100,LOUISIANA 31066,S200000,00200,0200,MO 31066,S200000,00300,0100,PIKE 31066,S200000,00400,0100,SMITH BARR MANOR 31066,S200000,00400,0200,265187 31066,S200000,00400,0300,01/28/1983 31066,S200000,00400,0500,P 31066,S200000,01600,0100,Y 31083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31083,A000000,00300,0000,00300EMPLOYEE BENEFITS 31083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31083,A000000,00700,0000,00700HOUSEKEEPING 31083,A000000,00800,0000,00800DIETARY 31083,A000000,00900,0000,00900NURSING ADMINISTRATION 31083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31083,A000000,01100,0000,01100PHARMACY 31083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31083,A000000,01300,0000,01300SOCIAL SERVICE 31083,A000000,01301,0000,01301PASTORAL CARE 31083,A000000,01350,0000,01500OTHER GENERAL SERVICES 31083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31083,A000000,01600,0000,01600SKILLED NURSING FACILITY 31083,A000000,01800,0000,01800NURSING FACILITY 31083,A000000,02200,0000,02200LABORATORY 31083,A000000,02500,0000,02500PHYSICAL THERAPY 31083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31083,A000000,02700,0000,02700SPEECH PATHOLOGY 31083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31083,A000000,03550,0000,03550FQHC 31083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31083,A000000,05000,0000,05000CORF 31083,A000000,05010,0000,05010CMHC 31083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31083,A000000,05300,0000,05300INTEREST EXPENSE 31083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31083,A81000A,00100,0100,Y 31083,A81000B,00100,0300,LAUNDRY & LINEN 31083,A81000C,00100,0100,B 31083,A81000C,00100,0200,ST. JOSEPHS HILL INC. 31083,B100000,00000,0100,00000SQUARE FEET 31083,B100000,00000,0200,00000SQUARE FEET 31083,B100000,00000,0300,00000GROSS SALARIES 31083,B100000,00000,0400,00000ACCUM. COST 31083,B100000,00000,0500,00000SQUARE FEET 31083,B100000,00000,0600,00000POUNDS OF LAUNDRY 31083,B100000,00000,0700,00000SQUARE FEET 31083,B100000,00000,0800,00000MEALS SERVED 31083,B100000,00000,0900,00000DIRECT NRSING HRS 31083,B100000,00000,1000,00000COSTED REQUIS. 31083,B100000,00000,1100,00000COSTED REQUIS. 31083,B100000,00000,1200,00000TIME SPENT 31083,B100000,00000,1300,00000TIME SPENT 31083,B100000,00000,1301,00000TIME SPENT 31083,B100000,00000,1350,00000TIME SPENT 31083,B100000,00000,1400,00000ASSIGNED TIME 31083,S000000,00100,0200,12/04/2000 31083,S200000,00100,0100,300 FORBY ROAD 31083,S200000,00100,0300,476 31083,S200000,00200,0100,EUREKA 31083,S200000,00200,0200,MO 31083,S200000,00200,0300,63025 31083,S200000,00400,0100,PRICE MEMORIAL NURSING HOME 31083,S200000,00400,0200,265195 31083,S200000,00400,0300,05/01/1983 31083,S200000,00400,0500,P 31083,S200000,01600,0100,Y 31083,S200000,02200,0100,Y 31092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31092,A000000,00300,0000,00300EMPLOYEE BENEFITS 31092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31092,A000000,00700,0000,00700HOUSEKEEPING 31092,A000000,00800,0000,00800DIETARY 31092,A000000,00900,0000,00900NURSING ADMINISTRATION 31092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31092,A000000,01100,0000,01100PHARMACY 31092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31092,A000000,01300,0000,01300SOCIAL SERVICE 31092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31092,A000000,01600,0000,01600SKILLED NURSING FACILITY 31092,A000000,01800,0000,01800NURSING FACILITY 31092,A000000,01810,0000,01810ICF/MR 31092,A000000,02500,0000,02500PHYSICAL THERAPY 31092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31092,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 31092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 31092,A000000,03550,0000,03550FQHC 31092,A000000,05000,0000,05000CORF 31092,A000000,05010,0000,05010CMHC 31092,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31092,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31092,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31092,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 31092,B100000,00000,0100,00000SQUARE FEET 31092,B100000,00000,0200,00000SQUARE FEET 31092,B100000,00000,0300,00000GROSS SALARIES 31092,B100000,00000,0400,00000ACCUM COST 31092,B100000,00000,0500,00000SQUARE FEET 31092,B100000,00000,0600,00000PATIENT DAYS 31092,B100000,00000,0700,00000SQUARE FEET 31092,B100000,00000,0800,00000MEALS SERVED 31092,B100000,00000,0900,00000PATIENT DAYS 31092,B100000,00000,1000,00000COSTED REQUISITIO 31092,B100000,00000,1100,00000COSTED REQUISITIO 31092,B100000,00000,1200,00000TIME SPENT 31092,B100000,00000,1300,00000PATIENT DAYS 31092,B100000,00000,1400,00000ASSIGNED TIME 31092,S000000,00100,0200,11/10/2000 31092,S200000,00100,0100,615 EAST 6TH ST. 31092,S200000,00200,0100,KANSAS CITY 31092,S200000,00200,0200,MO 31092,S200000,00200,0300,64106 31092,S200000,00300,0100,JACKSON 31092,S200000,00400,0100,UNIVERSITY TOWERS INC. 31092,S200000,00400,0200,265197 31092,S200000,00400,0300,07/01/1983 31092,S200000,00400,0500,P 31092,S200000,01600,0100,Y 31092,S200000,03100,0100,Y 31100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31100,A000000,00300,0000,00300EMPLOYEE BENEFITS 31100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31100,A000000,00700,0000,00700HOUSEKEEPING 31100,A000000,00800,0000,00800DIETARY 31100,A000000,00900,0000,00900NURSING ADMINISTRATION 31100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31100,A000000,01100,0000,01100PHARMACY 31100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31100,A000000,01300,0000,01300SOCIAL SERVICE 31100,A000000,01350,0000,01500OTHER GENERAL SERVICES 31100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31100,A000000,01600,0000,01600SKILLED NURSING FACILITY 31100,A000000,01800,0000,01800NURSING FACILITY 31100,A000000,01810,0000,01810ICF/MR 31100,A000000,02100,0000,02100RADIOLOGY 31100,A000000,02200,0000,02200LABORATORY 31100,A000000,02500,0000,02500PHYSICAL THERAPY 31100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31100,A000000,02700,0000,02700SPEECH PATHOLOGY 31100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31100,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31100,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31100,A000000,03550,0000,03550FQHC 31100,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31100,A000000,05000,0000,05000CORF 31100,A000000,05010,0000,05010CMHC 31100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31100,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31100,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31100,B100000,00000,0100,00000SQUARE FEET 31100,B100000,00000,0200,00000SQUARE FEET 31100,B100000,00000,0300,00000GROSS SALARIES 31100,B100000,00000,0400,00000ACCUM. COST 31100,B100000,00000,0500,00000SQUARE FEET 31100,B100000,00000,0600,00000PATIENT DAYS 31100,B100000,00000,0700,00000SQUARE FEET 31100,B100000,00000,0800,00000MEALS SERVED 31100,B100000,00000,0900,00000DIRECT NRSING HRS 31100,B100000,00000,1000,00000COSTED REQUIS. 31100,B100000,00000,1100,00000COSTED REQUIS. 31100,B100000,00000,1200,00000PATIENT DAYS 31100,B100000,00000,1300,00000TIME SPENT 31100,B100000,00000,1350,00000NO STATISTICS 31100,B100000,00000,1400,00000ASSIGNED TIME 31100,E10A180,00501,0300,03/21/2001 31100,S000000,00100,0200,02/05/2001 31100,S200000,00100,0300,187 31100,S200000,00200,0100,MACON 31100,S200000,00200,0200,MO 31100,S200000,00200,0300,63552 31100,S200000,00300,0100,M 31100,S200000,00400,0100,LOCH HAVEN NURSING HOME 31100,S200000,00400,0200,265200 31100,S200000,00400,0300,08/01/1983 31100,S200000,00400,0500,P 31100,S200000,01600,0100,Y 31113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31113,A000000,00300,0000,00300EMPLOYEE BENEFITS 31113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31113,A000000,00700,0000,00700HOUSEKEEPING 31113,A000000,00800,0000,00800DIETARY 31113,A000000,00900,0000,00900NURSING ADMINISTRATION 31113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31113,A000000,01100,0000,01100PHARMACY 31113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31113,A000000,01300,0000,01300SOCIAL SERVICE 31113,A000000,01350,0000,01500OTHER GENERAL SERVICES 31113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31113,A000000,01600,0000,01600SKILLED NURSING FACILITY 31113,A000000,01800,0000,01800NURSING FACILITY 31113,A000000,01810,0000,01810ICF/MR 31113,A000000,02200,0000,02200LABORATORY 31113,A000000,02300,0000,02300INTRAVENOUS THERAPY 31113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31113,A000000,02500,0000,02500PHYSICAL THERAPY 31113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31113,A000000,02700,0000,02700SPEECH PATHOLOGY 31113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31113,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31113,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31113,A000000,03550,0000,03550FQHC 31113,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31113,A000000,05000,0000,05000CORF 31113,A000000,05010,0000,05010CMHC 31113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31113,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31113,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31113,A81000A,00100,0100,Y 31113,A81000B,00100,0300,HOME OFFICE COSTS 31113,A81000C,00100,0100,B 31113,A81000C,00100,0200,PRO AM INC 31113,A81000C,00100,0400,THE CEDARGATE DBA OF PRO 31113,A81000C,00100,0600,SKILLED NURSING FACILITY 31113,A81000C,00200,0100,B 31113,A81000C,00200,0200,PRO AM INC 31113,A81000C,00200,0400,BUTLER COUNTY CONV CTR IN 31113,A81000C,00200,0600,LEASING CORPORATION 31113,B100000,00000,0100,00000SQUARE FEET 31113,B100000,00000,0200,00000SQUARE FEET 31113,B100000,00000,0300,00000GROSS SALARIES 31113,B100000,00000,0400,00000ACCUM. COST 31113,B100000,00000,0500,00000SQUARE FEET 31113,B100000,00000,0600,00000POUNDS OF LAUNDRY 31113,B100000,00000,0700,00000HOURS OF SERVICE 31113,B100000,00000,0800,00000MEALS SERVED 31113,B100000,00000,0900,00000HOURS OF SERVICE 31113,B100000,00000,1000,00000COSTED REQUIS. 31113,B100000,00000,1100,00000COSTED REQ. 31113,B100000,00000,1200,00000TIME SPENT 31113,B100000,00000,1300,00000TIME SPENT 31113,B100000,00000,1350,00000NO STATISTICS 31113,B100000,00000,1400,00000TIME SPENT 31113,S000000,00100,0200,09/05/2000 31113,S200000,00100,0100,2350 KANELL BLVD 31113,S200000,00100,0300,684 31113,S200000,00200,0100,POPLR BLUFF 31113,S200000,00200,0200,MO 31113,S200000,00300,0100,BUTLER 31113,S200000,00400,0100,THE CEDARGATE 31113,S200000,00400,0200,265205 31113,S200000,00400,0300,10/08/1983 31113,S200000,00400,0500,P 31113,S200000,00400,0600,P 31113,S200000,01600,0100,Y 31113,S200000,02200,0100,Y 31113,S200000,02900,0100,Y 31113,S200000,03000,0100,Y 31113,S200000,04300,0100,Y 31142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31142,A000000,00201,0000,00201CAP REL COSTS - AMBULANCE BAY 31142,A000000,00300,0000,00300EMPLOYEE BENEFITS 31142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31142,A000000,00700,0000,00700HOUSEKEEPING 31142,A000000,00800,0000,00800DIETARY 31142,A000000,00900,0000,00900NURSING ADMINISTRATION 31142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31142,A000000,01100,0000,01100PHARMACY 31142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31142,A000000,01300,0000,01300SOCIAL SERVICE 31142,A000000,01350,0000,01500OTHER GENERAL SERVICES 31142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31142,A000000,01600,0000,01600SKILLED NURSING FACILITY 31142,A000000,01800,0000,01800NURSING FACILITY 31142,A000000,02100,0000,02100RADIOLOGY 31142,A000000,02500,0000,02500PHYSICAL THERAPY 31142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31142,A000000,02700,0000,02700SPEECH PATHOLOGY 31142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31142,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31142,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 31142,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 31142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31142,A000000,03550,0000,03550FQHC 31142,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 31142,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31142,A000000,05000,0000,05000CORF 31142,A000000,05010,0000,05010CMHC 31142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31142,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31142,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31142,A000000,06151,0000,06301APARTMENTS 31142,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 31142,A000000,06153,0000,06303GUEST MEALS 31142,A81000A,00100,0100,Y 31142,A81000B,00100,0300,LEASE EXPENSE 31142,A81000B,00200,0300,HOME OFFICE - A&G 31142,A81000B,00300,0300,HOME OFFICE - CAPITAL 31142,A81000B,00400,0300,HOME OFFICE - PHYSICAL THERAPY 31142,A81000B,00500,0300,HOME OFFICE - OCCUPATIONAL THE 31142,A81000B,00600,0300,HOME OFFICE - SPEECH THERAPY 31142,A81000C,00100,0100,A 31142,A81000C,00100,0200,VARIOUS STOCKHOLDERS 31142,A81000C,00100,0400,HAWTHORN HEALTH PROP INC 31142,A81000C,00100,0600,LEASING COMPANY 31142,A81000C,00200,0100,B 31142,A81000C,00200,0200,BCC MGMT CO AT MO INC 31142,A81000C,00200,0400,BCC MGMT CO AT MO INC 31142,A81000C,00200,0600,MANAGEMENT COMPANY 31142,B100000,00000,0100,00003SQUARE FEET 31142,B100000,00000,0200,00003SQUARE FEET 31142,B100000,00000,0201,00003SQUARE FEET 31142,B100000,00000,0300,00003GROSS SALARIES 31142,B100000,00000,0400,00003ACCUM. COST 31142,B100000,00000,0500,00003SQUARE FEET 31142,B100000,00000,0600,00003POUNDS OF LAUNDRY 31142,B100000,00000,0700,00003SQUARE FEET 31142,B100000,00000,0800,00003MEALS SERVED 31142,B100000,00000,0900,00003DIRECT NRSING HRS 31142,B100000,00000,1000,00003COSTED REQUIS. 31142,B100000,00000,1100,00003COSTED REQUIS. 31142,B100000,00000,1200,00003TIME SPENT 31142,B100000,00000,1300,00003TIME SPENT 31142,B100000,00000,1350,00003SQUARE FEET 31142,B100000,00000,1400,00003ASSIGNED TIME 31142,S000000,00100,0200,05/25/2000 31142,S200000,00100,0100,1ST STREET & US HWY 54 31142,S200000,00200,0100,HERMITAGE 31142,S200000,00200,0200,MO 31142,S200000,00200,0300,65669 31142,S200000,00300,0100,HICKORY 31142,S200000,00400,0100,CHRISTIAN HEALTH CARE OF HERMITAGE 31142,S200000,00400,0200,265239 31142,S200000,00400,0300,07/02/1984 31142,S200000,00400,0500,P 31142,S200000,01600,0100,Y 31152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31152,A000000,00300,0000,00300EMPLOYEE BENEFITS 31152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31152,A000000,00700,0000,00700HOUSEKEEPING 31152,A000000,00800,0000,00800DIETARY 31152,A000000,00801,0000,00801CAFETERIA 31152,A000000,00900,0000,00900NURSING ADMINISTRATION 31152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31152,A000000,01100,0000,01100PHARMACY 31152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31152,A000000,01300,0000,01300SOCIAL SERVICE 31152,A000000,01350,0000,01500OTHER GENERAL SERVICES 31152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31152,A000000,01600,0000,01600SKILLED NURSING FACILITY 31152,A000000,01800,0000,01800NURSING FACILITY 31152,A000000,01810,0000,01810ICF/MR 31152,A000000,02100,0000,02100RADIOLOGY 31152,A000000,02200,0000,02200LABORATORY 31152,A000000,02500,0000,02500PHYSICAL THERAPY 31152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31152,A000000,02700,0000,02700SPEECH PATHOLOGY 31152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31152,A000000,03550,0000,03550FQHC 31152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31152,A000000,05000,0000,05000CORF 31152,A000000,05010,0000,05010CMHC 31152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31152,A000000,05300,0000,05300INTEREST EXPENSE 31152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31152,A81000A,00100,0100,Y 31152,A81000B,00100,0300,FOUNDATION ADMINISTRATION 31152,A81000B,00200,0300,RIVERSIDE HOME OFFICE 31152,A81000B,00300,0300,RIVERSIDE HOME OFFICE 31152,A81000B,00400,0300,REHAB PT 31152,A81000B,00500,0300,REHAB OT 31152,A81000B,00600,0300,REHAB ST 31152,A81000B,00700,0300,MAINT PROVIDED BY CMH 31152,A81000B,00800,0300,ACTIVITIES PROVIDED BY CMH 31152,A81000B,00900,0300,NURSING SERVICES 31152,A81000B,01000,0300,NURSING SERVICES 31152,A81000B,01100,0300,ACTIVITIES 31152,A81000C,00100,0100,E 31152,A81000C,00100,0200,COMMON BOARD MEMBERS 31152,A81000C,00100,0400,CITIZENS MEMORIAL HOSP. 31152,A81000C,00100,0600,HOSPITAL 31152,A81000C,00200,0100,E 31152,A81000C,00200,0200,COMMON BOARD MEMBERS 31152,A81000C,00200,0400,RIVERSIDE MGT AND REHAB 31152,A81000C,00200,0600,MANAGEMENT AND REHAB CO. 31152,B100000,00000,0100,00000SQUARE FEET 31152,B100000,00000,0200,00000SQUARE FEET 31152,B100000,00000,0300,00000GROSS SALARIES 31152,B100000,00000,0400,00000ACCUM. COST 31152,B100000,00000,0500,00000SQUARE FEET 31152,B100000,00000,0600,00000POUNDS OF LAUNDRY 31152,B100000,00000,0700,00000SQUARE FEET 31152,B100000,00000,0800,00000MEALS SERVED 31152,B100000,00000,0801,00000MEALS SERVED 31152,B100000,00000,0900,00000DIRECT NRSING HRS 31152,B100000,00000,1000,00000COSTED REQUIS. 31152,B100000,00000,1100,00000COSTED REQUIS. 31152,B100000,00000,1200,00000TIME SPENT 31152,B100000,00000,1300,00000TOTAL CHARGES 31152,B100000,00000,1350,00000NO STATISTICS 31152,B100000,00000,1400,00000ASSIGNED TIME 31152,E10A180,00501,0300,12/20/2000 31152,S000000,00100,0200,10/31/2000 31152,S200000,00100,0100,750 WEST COOPER STREET 31152,S200000,00200,0100,BUFFALO 31152,S200000,00200,0200,MO 31152,S200000,00200,0300,65622 31152,S200000,00300,0100,DALLAS 31152,S200000,00400,0100,COLONIAL SPRINGS HEALTH CARE CENTER 31152,S200000,00400,0200,265245 31152,S200000,00400,0300,02/01/1996 31152,S200000,00400,0500,P 31152,S200000,01600,0100,Y 31182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31182,A000000,00101,0000,00101CAP REL COSTS - BLDGS - ADDITON 31182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31182,A000000,00300,0000,00300EMPLOYEE BENEFITS 31182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31182,A000000,00700,0000,00700HOUSEKEEPING 31182,A000000,00800,0000,00800DIETARY 31182,A000000,00900,0000,00900NURSING ADMINISTRATION 31182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31182,A000000,01100,0000,01100PHARMACY 31182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31182,A000000,01300,0000,01300SOCIAL SERVICE 31182,A000000,01350,0000,01500OTHER GENERAL SERVICES 31182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31182,A000000,01600,0000,01600SKILLED NURSING FACILITY 31182,A000000,01800,0000,01800NURSING FACILITY 31182,A000000,01810,0000,01810ICF/MR 31182,A000000,02100,0000,02100RADIOLOGY 31182,A000000,02200,0000,02200LABORATORY 31182,A000000,02500,0000,02500PHYSICAL THERAPY 31182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31182,A000000,02700,0000,02700SPEECH PATHOLOGY 31182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31182,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31182,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31182,A000000,03550,0000,03550FQHC 31182,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31182,A000000,05000,0000,05000CORF 31182,A000000,05010,0000,05010CMHC 31182,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31182,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31182,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31182,A000000,05300,0000,05300INTEREST EXPENSE 31182,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31182,A81000A,00100,0100,Y 31182,A81000B,00100,0300,MANAGEMENT FEES / H. O. 31182,A81000B,00200,0300,ACCOUNTING SERVICES 31182,A81000C,00100,0100,A 31182,A81000C,00100,0200,JUCKETTE FAMILY 31182,A81000C,00100,0400,JUCKETTE MANAGEMENT CO. 31182,A81000C,00100,0600,NURSING HOME MANAGEMENT 31182,B100000,00000,0100,00000SQUARE FEET 31182,B100000,00000,0101,00000SQUARE FEET - ADD 31182,B100000,00000,0200,00000SQUARE FEET-EQUP 31182,B100000,00000,0300,00000GROSS SALARIES 31182,B100000,00000,0400,00000ACCUM. COST 31182,B100000,00000,0500,00000SQUARE FEET 31182,B100000,00000,0600,00000POUNDS OF LAUNDRY 31182,B100000,00000,0700,00000SQUARE FEET CLEAN 31182,B100000,00000,0800,00000MEALS SERVED 31182,B100000,00000,0900,00000DIRECT NSG HOURS 31182,B100000,00000,1000,00000COSTED REQUIS. 31182,B100000,00000,1100,00000COSTED REQUIS. 31182,B100000,00000,1200,00000TIME SPENT 31182,B100000,00000,1300,00000TIME SPENT 31182,B100000,00000,1350,00000SQUARE FEET 31182,B100000,00000,1400,00000ASSIGNED TIME 31182,E10A180,00550,0100,09/20/2000 31182,S000000,00100,0200,08/03/2000 31182,S200000,00100,0100,1720 VIETH DRIVE 31182,S200000,00200,0100,JEFFERSON CITY 31182,S200000,00200,0200,MO 31182,S200000,00200,0300,65101 31182,S200000,00300,0100,COLE 31182,S200000,00400,0100,JEFFERSON CITY MANOR CARE CENTER 31182,S200000,00400,0200,265285 31182,S200000,00400,0300,08/28/1985 31182,S200000,00400,0500,P 31182,S200000,01600,0100,Y 31182,S200000,01900,0100,S-CORPORATION SUBSIDIARY 31197,S000000,00100,0200,11/30/2000 31235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31235,A000000,00300,0000,00300EMPLOYEE BENEFITS 31235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31235,A000000,00700,0000,00700HOUSEKEEPING 31235,A000000,00800,0000,00800DIETARY 31235,A000000,00900,0000,00900NURSING ADMINISTRATION 31235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31235,A000000,01100,0000,01100PHARMACY 31235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31235,A000000,01300,0000,01300SOCIAL SERVICE 31235,A000000,01350,0000,01500OTHER GENERAL SERVICES 31235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31235,A000000,01600,0000,01600SKILLED NURSING FACILITY 31235,A000000,01800,0000,01800NURSING FACILITY 31235,A000000,01810,0000,01810ICF/MR 31235,A000000,02500,0000,02500PHYSICAL THERAPY 31235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31235,A000000,02700,0000,02700SPEECH PATHOLOGY 31235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31235,A000000,03550,0000,03550FQHC 31235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31235,A000000,05000,0000,05000CORF 31235,A000000,05010,0000,05010CMHC 31235,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31235,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31235,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31235,A000000,05300,0000,05300INTEREST EXPENSE 31235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31235,A000000,06151,0000,06301APARTMENTS 31235,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 31235,A000000,06153,0000,06303GUEST MEALS 31235,A81000A,00100,0100,Y 31235,A81000B,00100,0300,LEASE EXPENSE NH 31235,A81000B,00200,0300,LEASE EXPENSE APTS 31235,A81000B,00300,0300,HOME OFFICE - A&G 31235,A81000B,00400,0300,HOME OFFICE - CAPITAL 31235,A81000B,00500,0300,HOME OFFICE - N. A. TRNG 31235,A81000B,00600,0300,HOME OFFICE - PT 31235,A81000B,00700,0300,HOME OFFICE - OT 31235,A81000B,00800,0300,HOME OFFICE - ST 31235,A81000B,00900,0300,HOME OFFICE - APTS 31235,A81000C,00100,0100,A 31235,A81000C,00100,0200,VARIOUS STOCKHOLDERS 31235,A81000C,00100,0400,HAWTHORNE HEALTH PROPERTI 31235,A81000C,00100,0600,LEASING COMPANY 31235,A81000C,00200,0100,B 31235,A81000C,00200,0200,BCC MGMT CO OF MO INC. 31235,A81000C,00200,0400,BCC MGMT CO OF MO INC. 31235,A81000C,00200,0600,MANAGEMENT COMPANY 31235,B100000,00000,0100,00003SQUARE FEET 31235,B100000,00000,0200,00003DOLLAR VALUE 31235,B100000,00000,0300,00003GROSS SALARIES 31235,B100000,00000,0400,00003ACCUM. COST 31235,B100000,00000,0500,00003SQUARE FEET 31235,B100000,00000,0600,00003POUNDS OF LAUNDRY 31235,B100000,00000,0700,00003SQUARE FEET 31235,B100000,00000,0800,00003MEALS SERVED 31235,B100000,00000,0900,00003DIRECT NRSING HRS 31235,B100000,00000,1000,00003COSTED REQUIS. 31235,B100000,00000,1100,00003COSTED REQUIS. 31235,B100000,00000,1200,00003TIME SPENT 31235,B100000,00000,1300,00003TIME SPENT 31235,B100000,00000,1350,00003NO STATISTICS 31235,B100000,00000,1400,00003ASSIGNED TIME 31235,S000000,00100,0200,05/25/2000 31235,S200000,00100,0100,1104 N MAIN 31235,S200000,00200,0100,NIXA 31235,S200000,00200,0200,MO 31235,S200000,00200,0300,65714 31235,S200000,00300,0100,CHRISTIAN 31235,S200000,00400,0100,BCC AT NIXA PARK CENTER INC. 31235,S200000,00400,0200,265322 31235,S200000,00400,0300,04/08/1988 31235,S200000,00400,0500,P 31235,S200000,01600,0100,Y 31251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31251,A000000,00300,0000,00300EMPLOYEE BENEFITS 31251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31251,A000000,00700,0000,00700HOUSEKEEPING 31251,A000000,00800,0000,00800DIETARY 31251,A000000,00900,0000,00900NURSING ADMINISTRATION 31251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31251,A000000,01100,0000,01100PHARMACY 31251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31251,A000000,01300,0000,01300SOCIAL SERVICE 31251,A000000,01350,0000,01500OTHER GENERAL SERVICES 31251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31251,A000000,01600,0000,01600SKILLED NURSING FACILITY 31251,A000000,01800,0000,01800NURSING FACILITY 31251,A000000,01810,0000,01810ICF/MR 31251,A000000,02500,0000,02500PHYSICAL THERAPY 31251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31251,A000000,02700,0000,02700SPEECH PATHOLOGY 31251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31251,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31251,A000000,03550,0000,03550FQHC 31251,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31251,A000000,05000,0000,05000CORF 31251,A000000,05010,0000,05010CMHC 31251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31251,A000000,05300,0000,05300INTEREST EXPENSE 31251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31251,A81000A,00100,0100,Y 31251,A81000B,00100,0300,HOME OFFICE COSTS-A&G 31251,A81000B,00200,0300,HOME OFFICE COSTS-CAPITAL 31251,A81000B,00300,0300,H.O. NURSE AIDE TRAINING 31251,A81000B,00400,0300,PHYSICAL THERAPY 31251,A81000B,00500,0300,OCCUPATIONAL THERAPY 31251,A81000B,00600,0300,SPEECH THERAPY 31251,A81000C,00100,0100,B 31251,A81000C,00100,0200,BALANCED CARE CORPORATION 31251,A81000C,00100,0400,BALANCED CARE COPORATION 31251,A81000C,00100,0600,MANAGEMENT COMPANY 31251,B100000,00000,0100,00000SQUARE FEET 31251,B100000,00000,0200,00000SQUARE FEET 31251,B100000,00000,0300,00000GROSS SALARIES 31251,B100000,00000,0400,00000ACCUM. COST 31251,B100000,00000,0500,00000SQUARE FEET 31251,B100000,00000,0600,00000POUNDS OF LAUNDRY 31251,B100000,00000,0700,00000SQUARE FEET 31251,B100000,00000,0800,00000MEALS SERVED 31251,B100000,00000,0900,00000DIRECT NRSING HRS 31251,B100000,00000,1000,00000COSTED REQUIS. 31251,B100000,00000,1100,00000COSTED REQUIS. 31251,B100000,00000,1200,00000TIME SPENT 31251,B100000,00000,1300,00000TIME SPENT 31251,B100000,00000,1350,00000GROSS SALARIES 31251,B100000,00000,1400,00000ASSIGNED TIME 31251,S000000,00100,0200,05/25/2000 31251,S200000,00100,0100,901 E HWY 174 31251,S200000,00100,0300,355 31251,S200000,00200,0100,REPUBLIC 31251,S200000,00200,0200,MO 31251,S200000,00200,0300,65738 31251,S200000,00300,0100,GREENE 31251,S200000,00400,0100,BCC AT REPUBLIC PARK CENTER 31251,S200000,00400,0200,265326 31251,S200000,00400,0300,05/15/1988 31251,S200000,00400,0500,P 31251,S200000,01600,0100,Y 31295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31295,A000000,00300,0000,00300EMPLOYEE BENEFITS 31295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31295,A000000,00700,0000,00700HOUSEKEEPING 31295,A000000,00800,0000,00800DIETARY 31295,A000000,00900,0000,00900NURSING ADMINISTRATION 31295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31295,A000000,01100,0000,01100PHARMACY 31295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31295,A000000,01300,0000,01300SOCIAL SERVICE 31295,A000000,01350,0000,01500OTHER GENERAL SERVICES 31295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31295,A000000,01600,0000,01600SKILLED NURSING FACILITY 31295,A000000,01800,0000,01800NURSING FACILITY 31295,A000000,01900,0000,01900OTHER LONG TERM CARE 31295,A000000,02100,0000,02100RADIOLOGY 31295,A000000,02200,0000,02200LABORATORY 31295,A000000,02500,0000,02500PHYSICAL THERAPY 31295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31295,A000000,02700,0000,02700SPEECH PATHOLOGY 31295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31295,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31295,A000000,03550,0000,03550FQHC 31295,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31295,A000000,05000,0000,05000CORF 31295,A000000,05010,0000,05010CMHC 31295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31295,A000000,05300,0000,05300INTEREST EXPENSE 31295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31295,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31295,A000000,06151,0000,06301HHA - NONREIMBURSABLE COST 31295,A81000A,00100,0100,Y 31295,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 31295,A81000B,00200,0300,CAPITAL - BLDG - HOME OFFICE 31295,A81000B,00300,0300,PHYSCICAL THERAPY 31295,A81000B,00400,0300,OCCUPATIONAL THERAPY 31295,A81000B,00500,0300,SPEECH THERAPY 31295,A81000C,00100,0100,B 31295,A81000C,00100,0400,DEACONESS LTC OF MO INC. 31295,A81000C,00100,0600,MANAGEMENT CO. 31295,A81000C,00200,0100,G 31295,A81000C,00200,0400,DEACONESS ANCILLARY SVC 31295,A81000C,00200,0600,THERAPY CO. 31295,B100000,00000,0100,00001SQUARE FEET 31295,B100000,00000,0200,00001NO STATISTICS 31295,B100000,00000,0300,00001GROSS SALARIES 31295,B100000,00000,0400,00001ACCUM. COST 31295,B100000,00000,0500,00001SQUARE FEET 31295,B100000,00000,0600,00001POUNDS OF LAUNDRY 31295,B100000,00000,0700,00001SQUARE FEET 31295,B100000,00000,0800,00001MEALS SERVED 31295,B100000,00000,0900,00001DIRECT NRSING HRS 31295,B100000,00000,1000,00001COSTED REQUIS. 31295,B100000,00000,1100,00001NO STATISTICS 31295,B100000,00000,1200,00001TIME SPENT 31295,B100000,00000,1300,00001TIME SPENT 31295,B100000,00000,1350,00001NO STATISTICS 31295,B100000,00000,1400,00001ASSIGNED TIME 31295,S000000,00100,0200,05/31/2000 31295,S200000,00100,0100,2003 JEFFERSON PARKWAY 31295,S200000,00200,0100,HARRISONVILLE 31295,S200000,00200,0200,MO 31295,S200000,00300,0100,CASS 31295,S200000,00400,0100,GOLDEN YEARS 31295,S200000,00400,0200,265349 31295,S200000,00400,0300,12/29/1988 31295,S200000,00400,0500,P 31295,S200000,01600,0100,Y 31317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31317,A000000,00300,0000,00300EMPLOYEE BENEFITS 31317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31317,A000000,00700,0000,00700HOUSEKEEPING 31317,A000000,00800,0000,00800DIETARY 31317,A000000,00900,0000,00900NURSING ADMINISTRATION 31317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31317,A000000,01100,0000,01100PHARMACY 31317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31317,A000000,01300,0000,01300SOCIAL SERVICE 31317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31317,A000000,01600,0000,01600SKILLED NURSING FACILITY 31317,A000000,01800,0000,01800NURSING FACILITY 31317,A000000,01810,0000,01810ICF/MR 31317,A000000,02200,0000,02200LABORATORY 31317,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31317,A000000,02500,0000,02500PHYSICAL THERAPY 31317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31317,A000000,02700,0000,02700SPEECH PATHOLOGY 31317,A000000,02800,0000,02800ELECTROCARDIOLOGY 31317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31317,A000000,03550,0000,03550FQHC 31317,A000000,05000,0000,05000CORF 31317,A000000,05010,0000,05010CMHC 31317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31317,A000000,05300,0000,05300INTEREST EXPENSE 31317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31317,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31317,B100000,00000,0100,00000SQUARE FEET 31317,B100000,00000,0200,00000SQUARE FEET 31317,B100000,00000,0300,00000GROSS SALARIES 31317,B100000,00000,0400,00000ACCUM. COST 31317,B100000,00000,0500,00000SQUARE FEET 31317,B100000,00000,0600,00000POUNDS OF LAUNDRY 31317,B100000,00000,0700,00000SQUARE FEET 31317,B100000,00000,0800,00000MEALS SERVED 31317,B100000,00000,0900,00000DIRECT NRSING HRS 31317,B100000,00000,1000,00000COSTED REQUIS. 31317,B100000,00000,1100,00000COSTED REQUIS 31317,B100000,00000,1200,00000TIME SPENT 31317,B100000,00000,1300,00000TIME SPENT 31317,B100000,00000,1400,00000ASSIGNED TIME 31317,E10A180,00501,0300,05/17/2000 31317,S000000,00100,0200,03/27/2000 31317,S200000,00100,0100,RR #2 HIGHWAY 81 NORTH 31317,S200000,00200,0100,CANTON 31317,S200000,00200,0200,MO 31317,S200000,00300,0100,LEWIS 31317,S200000,00400,0100,LEWIS COUNTY NURSING HOME DISTRICT 31317,S200000,00400,0200,265360 31317,S200000,00400,0300,04/18/1989 31317,S200000,00400,0500,P 31317,S200000,01600,0100,Y 31373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31373,A000000,00300,0000,00300EMPLOYEE BENEFITS 31373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31373,A000000,00700,0000,00700HOUSEKEEPING 31373,A000000,00800,0000,00800DIETARY 31373,A000000,00900,0000,00900NURSING ADMINISTRATION 31373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31373,A000000,01100,0000,01100PHARMACY 31373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31373,A000000,01300,0000,01300SOCIAL SERVICE 31373,A000000,01350,0000,01500OTHER GENERAL SERVICES 31373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31373,A000000,01600,0000,01600SKILLED NURSING FACILITY 31373,A000000,01800,0000,01800NURSING FACILITY 31373,A000000,02100,0000,02100RADIOLOGY 31373,A000000,02200,0000,02200LABORATORY 31373,A000000,02500,0000,02500PHYSICAL THERAPY 31373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31373,A000000,02700,0000,02700SPEECH PATHOLOGY 31373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31373,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31373,A000000,03550,0000,03550FQHC 31373,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31373,A000000,05000,0000,05000CORF 31373,A000000,05010,0000,05010CMHC 31373,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31373,A000000,05300,0000,05300INTEREST EXPENSE 31373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31373,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31373,A81000A,00100,0100,Y 31373,A81000B,00100,0300,MANAGEMENT FEES 31373,A81000B,00200,0300,PHYSICAL THERAPY 31373,A81000B,00300,0300,OCCUPATIONAL THERAPY 31373,A81000B,00400,0300,SPEECH THERAPY 31373,A81000C,00100,0100,B 31373,A81000C,00100,0400,DEACONESS LTC OF MO INC 31373,A81000C,00100,0600,MANAGEMENT COMPANY 31373,A81000C,00200,0100,G 31373,A81000C,00200,0400,DEACONESS ANCILLARY SVCS 31373,A81000C,00200,0600,THERAPY COMPANY 31373,B100000,00000,0100,00000SQUARE FEET 31373,B100000,00000,0200,00000SQUARE FEET 31373,B100000,00000,0300,00000GROSS SALARIES 31373,B100000,00000,0400,00000ACCUM. COST 31373,B100000,00000,0500,00000SQUARE FEET 31373,B100000,00000,0600,00000POUNDS OF LAUNDRY 31373,B100000,00000,0700,00000SQUARE FEET 31373,B100000,00000,0800,00000MEALS SERVED 31373,B100000,00000,0900,00000DIRECT NRSING HRS 31373,B100000,00000,1000,00000COSTED REQUIS. 31373,B100000,00000,1100,00000COSTED REQUIS. 31373,B100000,00000,1200,00000TIME SPENT 31373,B100000,00000,1300,00000TIME SPENT 31373,B100000,00000,1350,00000NO STATISTICS 31373,B100000,00000,1400,00000ASSIGNED TIME 31373,S000000,00100,0200,05/31/2000 31373,S200000,00100,0100,410 W BENTON 31373,S200000,00200,0100,MONETT 31373,S200000,00200,0200,MO 31373,S200000,00300,0100,BARRY 31373,S200000,00400,0100,MONETT HEALTH CARE CENTER 31373,S200000,00400,0200,265410 31373,S200000,00400,0300,12/18/1989 31373,S200000,00400,0500,P 31373,S200000,01600,0100,Y 31385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31385,A000000,00300,0000,00300EMPLOYEE BENEFITS 31385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31385,A000000,00700,0000,00700HOUSEKEEPING 31385,A000000,00800,0000,00800DIETARY 31385,A000000,00900,0000,00900NURSING ADMINISTRATION 31385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31385,A000000,01100,0000,01100PHARMACY 31385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31385,A000000,01300,0000,01300SOCIAL SERVICE 31385,A000000,01350,0000,01500OTHER GENERAL SERVICES 31385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31385,A000000,01600,0000,01600SKILLED NURSING FACILITY 31385,A000000,01800,0000,01800NURSING FACILITY 31385,A000000,01810,0000,01810ICF/MR 31385,A000000,02100,0000,02100RADIOLOGY 31385,A000000,02200,0000,02200LABORATORY 31385,A000000,02500,0000,02500PHYSICAL THERAPY 31385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31385,A000000,02700,0000,02700SPEECH PATHOLOGY 31385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31385,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31385,A000000,03550,0000,03550FQHC 31385,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31385,A000000,05000,0000,05000CORF 31385,A000000,05010,0000,05010CMHC 31385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31385,A000000,05300,0000,05300INTEREST EXPENSE 31385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31385,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31385,A81000A,00100,0100,Y 31385,A81000B,00100,0300,CNA TRAINING EXPENSE 31385,A81000B,00200,0300,HO CNA TRAINING 31385,A81000B,00300,0300,HOME OFFICE COSTS 31385,A81000B,00400,0300,HOME OFFICE COSTS 31385,A81000B,00500,0300,HOME OFFICE COSTS 31385,A81000B,00600,0300,PHYSICAL THERAPY COSTS 31385,A81000B,00700,0300,OCCUPATIONAL THERAPY COSTS 31385,A81000B,00800,0300,SPEECH THERAPY COSTS 31385,A81000C,00100,0100,B 31385,A81000C,00100,0200,WILLOW HEALTH CARE INC. 31385,A81000C,00100,0400,WILLOW HEALTH CARE INC. 31385,A81000C,00100,0600,HOME OFFICE 31385,A81000C,00200,0100,B 31385,A81000C,00200,0200,WILLOW HEALTH CARE INC. 31385,A81000C,00200,0400,WILLOW CARE NURSING HOME 31385,A81000C,00200,0600,NURSING HOME 31385,A81000C,00300,0100,B 31385,A81000C,00300,0200,WILLOW HEALTH CARE INC. 31385,A81000C,00300,0400,WESTWOOD REHAB 31385,A81000C,00300,0600,REHAB COMPANY 31385,B100000,00000,0100,00000SQUARE FEET 31385,B100000,00000,0200,00000SQUARE FEET 31385,B100000,00000,0300,00000GROSS SALARIES 31385,B100000,00000,0400,00000ACCUM. COST 31385,B100000,00000,0500,00000SQUARE FEET 31385,B100000,00000,0600,00000POUNDS OF LAUNDRY 31385,B100000,00000,0700,00000SQUARE FEET 31385,B100000,00000,0800,00000MEALS SERVED 31385,B100000,00000,0900,00000DIRECT NRSING HRS 31385,B100000,00000,1000,00000COSTED REQUIS. 31385,B100000,00000,1100,00000COSTED REQUIS. 31385,B100000,00000,1200,00000TIME SPENT 31385,B100000,00000,1300,00000TIME SPENT 31385,B100000,00000,1350,00000NO STATISTICS 31385,B100000,00000,1400,00000ASSIGNED TIME 31385,E10A180,00501,0100,01/29/2001 31385,E10A180,00550,0300,01/29/2001 31385,S000000,00100,0200,12/01/2000 31385,S200000,00100,0100,1211 ASH 31385,S200000,00100,0300,879 31385,S200000,00200,0100,MOUNTAIN VIEW 31385,S200000,00200,0200,MO 31385,S200000,00200,0300,65548 31385,S200000,00400,0100,MOUNTAIN VIEW 31385,S200000,00400,0200,265412 31385,S200000,00400,0300,01/25/1990 31385,S200000,00400,0500,P 31385,S200000,01600,0100,Y 31385,S200000,02200,0100,Y 31385,S200000,02800,0100,Y 31398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31398,A000000,00300,0000,00300EMPLOYEE BENEFITS 31398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31398,A000000,00700,0000,00700HOUSEKEEPING 31398,A000000,00800,0000,00800DIETARY 31398,A000000,00900,0000,00900NURSING ADMINISTRATION 31398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31398,A000000,01100,0000,01100PHARMACY 31398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31398,A000000,01300,0000,01300SOCIAL SERVICE 31398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31398,A000000,01600,0000,01600SKILLED NURSING FACILITY 31398,A000000,01800,0000,01800NURSING FACILITY 31398,A000000,01810,0000,01810ICF/MR 31398,A000000,01900,0000,01900OTHER LONG TERM CARE 31398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31398,A000000,02500,0000,02500PHYSICAL THERAPY 31398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31398,A000000,02700,0000,02700SPEECH PATHOLOGY 31398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31398,A000000,03550,0000,03550FQHC 31398,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31398,A000000,05000,0000,05000CORF 31398,A000000,05010,0000,05010CMHC 31398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31398,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 31398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31398,B100000,00000,0100,00000SQUARE FEET 31398,B100000,00000,0200,00000SQUARE FEET 31398,B100000,00000,0300,00000GROSS SALARIES 31398,B100000,00000,0400,00000ACCUM. COST 31398,B100000,00000,0500,00000SQUARE FEET 31398,B100000,00000,0600,00000POUNDS OF LAUNDRY 31398,B100000,00000,0700,00000SQUARE FEET 31398,B100000,00000,0800,00000MEALS SERVED 31398,B100000,00000,0900,00000DIRECT NRSING HRS 31398,B100000,00000,1000,00000COSTED REQUIS 31398,B100000,00000,1100,00000COSTED REQUIS 31398,B100000,00000,1200,00000TIME SPENT 31398,B100000,00000,1300,00000TIME SPENT 31398,B100000,00000,1400,00000ASSIGNED TIME 31398,E10A180,00501,0300,12/27/2000 31398,S000000,00100,0200,11/02/2000 31398,S200000,00100,0100,201 WEST HIGHWAY 100 31398,S200000,00200,0100,NEW HAVEN 31398,S200000,00200,0200,MO 31398,S200000,00200,0300,63038 31398,S200000,00400,0100,NEW HAVEN CARE CENTER 31398,S200000,00400,0200,265415 31398,S200000,00400,0300,02/21/1990 31398,S200000,00400,0500,P 31398,S200000,01600,0100,Y 31398,S200000,02200,0100,Y 31409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31409,A000000,00300,0000,00300EMPLOYEE BENEFITS 31409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31409,A000000,00700,0000,00700HOUSEKEEPING 31409,A000000,00800,0000,00800DIETARY 31409,A000000,00900,0000,00900NURSING ADMINISTRATION 31409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31409,A000000,01100,0000,01100PHARMACY 31409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31409,A000000,01300,0000,01300SOCIAL SERVICE 31409,A000000,01350,0000,01500OTHER GENERAL SERVICES 31409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31409,A000000,01600,0000,01600SKILLED NURSING FACILITY 31409,A000000,01800,0000,01800NURSING FACILITY 31409,A000000,01810,0000,01810ICF/MR 31409,A000000,02100,0000,02100RADIOLOGY 31409,A000000,02500,0000,02500PHYSICAL THERAPY 31409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31409,A000000,02700,0000,02700SPEECH PATHOLOGY 31409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31409,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31409,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31409,A000000,03550,0000,03550FQHC 31409,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31409,A000000,05000,0000,05000CORF 31409,A000000,05010,0000,05010CMHC 31409,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31409,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31409,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31409,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31409,A000000,06151,0000,06301APARTMENTS 31409,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 31409,A000000,06153,0000,06303GUEST MEALS 31409,A81000A,00100,0100,Y 31409,A81000B,00100,0300,HOME OFFICE - A&G 31409,A81000B,00200,0300,HOME OFFICE - CAPITAL 31409,A81000B,00300,0300,H.O. - PHYSICAL THERAPY 31409,A81000B,00400,0300,H.O. - OCCUPATIONAL THERAPY 31409,A81000B,00500,0300,H.O. - SPEECH THERAPY 31409,A81000B,00600,0300,NURSE AIDE TRAINING 31409,A81000C,00100,0100,B 31409,A81000C,00100,0200,BCC MGMT CO AT MO INC 31409,A81000C,00100,0400,BCC MGMT CO AT MO INC 31409,A81000C,00100,0600,MANAGEMENT 31409,A81000C,00200,0100,B 31409,A81000C,00200,0200,BALANCED CARE CORPORATION 31409,A81000C,00200,0400,BCC - LEBANON SOUTH 31409,A81000C,00200,0600,NURSING FACILITY 31409,B100000,00000,0100,00003SQUARE FEET 31409,B100000,00000,0200,00003SQUARE FEET 31409,B100000,00000,0300,00003GROSS SALARIES 31409,B100000,00000,0400,00003ACCUM. COST 31409,B100000,00000,0500,00003SQUARE FEET 31409,B100000,00000,0600,00003POUNDS OF LAUNDRY 31409,B100000,00000,0700,00003SQUARE FEET 31409,B100000,00000,0800,00003MEALS SERVED 31409,B100000,00000,0900,00003DIRECT NRSING HRS 31409,B100000,00000,1000,00003COSTED REQUIS. 31409,B100000,00000,1100,00003COSTED REQUIS. 31409,B100000,00000,1200,00003TIME SPENT 31409,B100000,00000,1300,00003TIME SPENT 31409,B100000,00000,1350,00003NO STATISTICS 31409,B100000,00000,1400,00003ASSIGNED TIME 31409,E10A180,00501,0300,07/05/2000 31409,S000000,00100,0200,05/25/2000 31409,S200000,00100,0100,HCR 60 31409,S200000,00100,0300,121 31409,S200000,00200,0100,DIXON 31409,S200000,00200,0200,MO 31409,S200000,00200,0300,65459 31409,S200000,00300,0100,PULASKI 31409,S200000,00400,0100,DIXON MANAGEMENT INC. 31409,S200000,00400,0200,265418 31409,S200000,00400,0300,02/07/1990 31409,S200000,00400,0500,P 31409,S200000,01600,0100,Y 31427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31427,A000000,00300,0000,00300EMPLOYEE BENEFITS 31427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31427,A000000,00700,0000,00700HOUSEKEEPING 31427,A000000,00800,0000,00800DIETARY 31427,A000000,00900,0000,00900NURSING ADMINISTRATION 31427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31427,A000000,01100,0000,01100PHARMACY 31427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31427,A000000,01300,0000,01300SOCIAL SERVICE 31427,A000000,01350,0000,01500OTHER GENERAL SERVICES 31427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31427,A000000,01600,0000,01600SKILLED NURSING FACILITY 31427,A000000,01810,0000,01810ICF/MR 31427,A000000,02100,0000,02100RADIOLOGY 31427,A000000,02200,0000,02200LABORATORY 31427,A000000,02500,0000,02500PHYSICAL THERAPY 31427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31427,A000000,02700,0000,02700SPEECH PATHOLOGY 31427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31427,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31427,A000000,03200,0000,03200SUPPORT SURFACES 31427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31427,A000000,03550,0000,03550FQHC 31427,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31427,A000000,04800,0000,04800AMBULANCE 31427,A000000,05000,0000,05000CORF 31427,A000000,05010,0000,05010CMHC 31427,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31427,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31427,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31427,A000000,05300,0000,05300INTEREST EXPENSE 31427,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31427,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31427,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31427,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31427,A81000A,00100,0100,Y 31427,A81000B,00100,0300,FACILITY LEASE 31427,A81000B,00200,0300,NURSING EQUIPMENT LEASE 31427,A81000B,00300,0300,EQUIPMENT LEASE 31427,A81000B,00400,0300,FLUIDIZED BED LEASE 31427,A81000C,00100,0100,A 31427,A81000C,00100,0200,WILLIAM & NANCY HARRIS 31427,A81000C,00100,0400,BNH ENTERPRISES INC. 31427,A81000C,00100,0600,LESSOR 31427,B100000,00000,0100,00000SQUARE FEET 31427,B100000,00000,0200,00000DOLLAR VALUE 31427,B100000,00000,0300,00000GROSS SALARIES 31427,B100000,00000,0400,00000ACCUM. COST 31427,B100000,00000,0500,00000SQUARE FEET 31427,B100000,00000,0600,00000POUNDS OF LAUNDRY 31427,B100000,00000,0700,00000SQUARE FEET C 31427,B100000,00000,0800,00000MEALS SERVED 31427,B100000,00000,0900,00000DIRECT NRSING HRS 31427,B100000,00000,1000,00000COSTED REQUIS. 31427,B100000,00000,1100,00000COSTED REQUIS. 31427,B100000,00000,1200,00000TIME SPENT 31427,B100000,00000,1300,00000TIME SPENT 31427,B100000,00000,1350,00000NO STATISTICS 31427,B100000,00000,1400,00000ASSIGNED TIME 31427,E10A180,00501,0100,05/04/2000 31427,E10A180,00550,0300,05/04/2000 31427,S000000,00100,0200,03/06/2000 31427,S200000,00100,0300,80 31427,S200000,00200,0100,CENTER 31427,S200000,00200,0200,MO 31427,S200000,00300,0100,RALLS 31427,S200000,00400,0100,WESTVIEW NURSING HOME INC. 31427,S200000,00400,0200,265423 31427,S200000,00400,0300,04/06/1990 31427,S200000,00400,0500,P 31427,S200000,01600,0100,Y 31437,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31437,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31437,A000000,00300,0000,00300EMPLOYEE BENEFITS 31437,A000000,00401,0000,00401ADMIN & GENERAL SNF ONLY 31437,A000000,00402,0000,00402ADMINISTRATIVE & GENERAL 31437,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31437,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31437,A000000,00700,0000,00700HOUSEKEEPING 31437,A000000,00800,0000,00800DIETARY 31437,A000000,00900,0000,00900NURSING ADMINISTRATION 31437,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31437,A000000,01100,0000,01100PHARMACY 31437,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31437,A000000,01300,0000,01300SOCIAL SERVICE 31437,A000000,01350,0000,01500OTHER GENERAL SERVICES 31437,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31437,A000000,01600,0000,01600SKILLED NURSING FACILITY 31437,A000000,01800,0000,01800NURSING FACILITY 31437,A000000,01810,0000,01810ICF/MR 31437,A000000,02100,0000,02100RADIOLOGY 31437,A000000,02200,0000,02200LABORATORY 31437,A000000,02500,0000,02500PHYSICAL THERAPY 31437,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31437,A000000,02700,0000,02700SPEECH PATHOLOGY 31437,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31437,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31437,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31437,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31437,A000000,03550,0000,03550FQHC 31437,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 31437,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 31437,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 31437,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 31437,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 31437,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 31437,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 31437,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 31437,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31437,A000000,05000,0000,05000CORF 31437,A000000,05010,0000,05010CMHC 31437,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31437,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31437,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31437,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31437,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31437,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31437,A81000A,00100,0100,Y 31437,A81000B,00100,0300,RELATED PARTY LEASE 31437,A81000B,00200,0300,RELATED PARTY LEASE 31437,A81000B,00300,0300,NURSE AIDE TRAINING 31437,A81000B,00400,0300,NURSE AIDE TRAINING 31437,A81000B,00500,0300,HHA SPACE 31437,A81000B,00600,0300,VEHICLE EXPENSE 31437,A81000B,00700,0300,HOME OFFICE COSTS - A&G 31437,A81000B,00800,0300,HOME OFFICE COSTS - BILLING CO 31437,A81000B,00900,0300,HOME OFFICE COSTS - CAPITAL 31437,A81000B,01000,0300,HOME OFFICE COSTS - PT SNF 31437,A81000B,01100,0300,HOME OFFICE COSTS - OT SNF 31437,A81000B,01200,0300,HOME OFFICE COSTS - ST SNF 31437,A81000B,01300,0300,HOME OFFICE COSTS - PT HHA 31437,A81000B,01400,0300,HOME OFFICE COSTS - OT HHA 31437,A81000B,01500,0300,HOME OFFICE COSTS - ST HHA 31437,A81000C,00100,0100,A 31437,A81000C,00100,0200,VARIOUS STOCKHOLDERS 31437,A81000C,00100,0400,HAWTHORN HEA PROP INC 31437,A81000C,00100,0600,LEASING COMPANY 31437,A81000C,00200,0100,A 31437,A81000C,00200,0200,VARIOUS STOCKHOLDERS 31437,A81000C,00200,0400,CHEROKEE ASSISTED LIVING 31437,A81000C,00200,0600,ASSISTED LIVING FACILITY 31437,A81000C,00300,0100,B 31437,A81000C,00300,0200,BCC MGMT CO AT MO INC 31437,A81000C,00300,0400,BCC MGMT CO AT MO INC. 31437,A81000C,00300,0600,MANAGEMENT COMPANY 31437,B100000,00000,0100,00000SQUARE FEET 31437,B100000,00000,0200,00000NO STATISTICS 31437,B100000,00000,0300,00000GROSS SALARIES 31437,B100000,00000,0401,00000ACCUM. COST 31437,B100000,00000,0402,00000ACCUM. COST 31437,B100000,00000,0500,00000SQUARE FEET 31437,B100000,00000,0600,00000POUNDS OF LAUNDRY 31437,B100000,00000,0700,00000SQUARE FEET 31437,B100000,00000,0800,00000MEALS SERVED 31437,B100000,00000,0900,00000DIRECT NRSING HRS 31437,B100000,00000,1000,00000COSTED REQUIS. 31437,B100000,00000,1100,00000NO STATISTICS 31437,B100000,00000,1200,00000TIME SPENT 31437,B100000,00000,1300,00000TIME SPENT 31437,B100000,00000,1350,00000NO STATISTICS 31437,B100000,00000,1400,00000ASSIGNED TIME 31437,H510100,00000,0000,9926 31437,H510100,02400,0000,9926 31437,H510100,02401,0000,7920 31437,H510200,00000,0000,7920 31437,H710000,00550,0100,08/07/2000 31437,S000000,00100,0200,06/12/2000 31437,S200000,00100,0100,514 WEST FREMONT ROAD 31437,S200000,00200,0100,LEBANON 31437,S200000,00200,0200,MO 31437,S200000,00200,0300,65536 31437,S200000,00300,0100,LACLEDE 31437,S200000,00400,0100,BCC AT LEBANON PARK MANOR INC. 31437,S200000,00400,0200,265428 31437,S200000,00400,0300,05/09/1990 31437,S200000,00400,0500,P 31437,S200000,00800,0200,267105 31437,S200000,00800,0300,06/16/1982 31437,S200000,00800,0500,P 31437,S200000,01600,0100,Y 31459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31459,A000000,00300,0000,00300EMPLOYEE BENEFITS 31459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31459,A000000,00700,0000,00700HOUSEKEEPING 31459,A000000,00800,0000,00800DIETARY 31459,A000000,00900,0000,00900NURSING ADMINISTRATION 31459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31459,A000000,01100,0000,01100PHARMACY 31459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31459,A000000,01300,0000,01300SOCIAL SERVICE 31459,A000000,01350,0000,01500ACTIVITIES 31459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31459,A000000,01600,0000,01600SKILLED NURSING FACILITY 31459,A000000,01800,0000,01800NURSING FACILITY 31459,A000000,01810,0000,01810ICF/MR 31459,A000000,02200,0000,02200LABORATORY 31459,A000000,02500,0000,02500PHYSICAL THERAPY 31459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31459,A000000,02700,0000,02700SPEECH PATHOLOGY 31459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31459,A000000,03550,0000,03550FQHC 31459,A000000,05000,0000,05000CORF 31459,A000000,05010,0000,05010CMHC 31459,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31459,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31459,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31459,A000000,05300,0000,05300INTEREST EXPENSE 31459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31459,A81000A,00100,0100,Y 31459,A81000B,00100,0300,HOME OFFICE CAPITAL 31459,A81000B,00200,0300,HOME OFFICE A&G 31459,A81000C,00100,0100,B 31459,A81000C,00100,0400,HEALTHCARE PROPERTIES INC 31459,A81000C,00100,0600,HOME OFFICE 31459,A81000C,00200,0100,B 31459,A81000C,00200,0400,HEALTHCARE PROPERTIES INC 31459,A81000C,00200,0600,HOME OFFICE 31459,B100000,00000,0100,00000SQUARE FEET 31459,B100000,00000,0200,00000SQUARE FEET 31459,B100000,00000,0300,00000GROSS SALARIES 31459,B100000,00000,0400,00000ACCUM. COST 31459,B100000,00000,0500,00000SQUARE FEET 31459,B100000,00000,0600,00000POUNDS OF LAUNDRY 31459,B100000,00000,0700,00000SQUARE FEET MO 31459,B100000,00000,0800,00000MEALS SERVED 31459,B100000,00000,0900,00000DIRECT NSG HOURS 31459,B100000,00000,1000,00000COSTED REQUIS. 31459,B100000,00000,1100,00000NO STATISTICS 31459,B100000,00000,1200,00000TIME SPENT 31459,B100000,00000,1300,00000TIME SPENT 31459,B100000,00000,1350,00000NO STATISTICS 31459,B100000,00000,1400,00000ASSIGNED TIME 31459,S000000,00100,0200,03/02/2000 31459,S200000,00100,0100,RR #3 31459,S200000,00200,0100,BETHANY 31459,S200000,00200,0200,MO 31459,S200000,00300,0100,HARRISON 31459,S200000,00400,0100,BETHANY CARE CENTER 31459,S200000,00400,0200,265443 31459,S200000,00400,0300,11/20/1990 31459,S200000,00400,0500,O 31459,S200000,01600,0100,Y 31459,S200000,02800,0100,Y 31459,S200000,03100,0100,Y 31459,S200000,04300,0100,Y 31472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31472,A000000,00300,0000,00300EMPLOYEE BENEFITS 31472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31472,A000000,00700,0000,00700HOUSEKEEPING 31472,A000000,00800,0000,00800DIETARY 31472,A000000,00900,0000,00900NURSING ADMINISTRATION 31472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31472,A000000,01100,0000,01100PHARMACY 31472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31472,A000000,01300,0000,01300SOCIAL SERVICE 31472,A000000,01350,0000,01500OTHER GENERAL SERVICES 31472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31472,A000000,01600,0000,01600SKILLED NURSING FACILITY 31472,A000000,01800,0000,01800NURSING FACILITY 31472,A000000,01810,0000,01810ICF/MR 31472,A000000,02100,0000,02100RADIOLOGY 31472,A000000,02200,0000,02200LABORATORY 31472,A000000,02500,0000,02500PHYSICAL THERAPY 31472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31472,A000000,02700,0000,02700SPEECH PATHOLOGY 31472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31472,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31472,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31472,A000000,03550,0000,03550FQHC 31472,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31472,A000000,05000,0000,05000CORF 31472,A000000,05010,0000,05010CMHC 31472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31472,A000000,05300,0000,05300INTEREST EXPENSE 31472,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31472,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31472,A81000A,00100,0100,Y 31472,A81000B,00100,0300,HOME OFFICE 31472,A81000B,00200,0300,HOME OFFICE-CAPITAL 31472,A81000B,00300,0300,LEASE EXPENSE 31472,A81000B,00400,0300,INTEREST 31472,A81000C,00100,0100,A 31472,A81000C,00100,0200,JAMES J GIARDINA 31472,A81000C,00100,0600,INDIVIDUAL 31472,A81000C,00200,0100,A 31472,A81000C,00200,0200,JAMES J GIARDINA 31472,A81000C,00200,0400,COMMUNITY CARE CTRS INC. 31472,A81000C,00200,0600,NURSING HOME MGMT 31472,B100000,00000,0100,00000SQUARE FEET 31472,B100000,00000,0200,00000NO STATISTICS 31472,B100000,00000,0300,00000GROSS SALARIES 31472,B100000,00000,0400,00000ACCUM. COST 31472,B100000,00000,0500,00000SQUARE FEET 31472,B100000,00000,0600,00000POUNDS OF LAUNDRY 31472,B100000,00000,0700,00000SQUARE FT 31472,B100000,00000,0800,00000MEALS SERVED 31472,B100000,00000,0900,00000DIRECT NSG HOURS 31472,B100000,00000,1000,00000COSTED REQUIS. 31472,B100000,00000,1100,00000NO STATISTICS 31472,B100000,00000,1200,00000TIME SPENT 31472,B100000,00000,1300,00000TIME SPENT 31472,B100000,00000,1350,00000NO STATISTICS 31472,B100000,00000,1400,00000NO STATISTICS 31472,E10A180,00501,0100,04/21/2000 31472,E10A180,00550,0300,04/21/2000 31472,S000000,00100,0200,03/01/2000 31472,S200000,00100,0100,1425 SOUTH LANDRUM 31472,S200000,00200,0100,MT VERNON 31472,S200000,00200,0200,MO 31472,S200000,00300,0100,LAWRENCE 31472,S200000,00400,0100,MT. VERNON PLACE CARE CENTER 31472,S200000,00400,0200,265452 31472,S200000,00400,0300,05/03/1991 31472,S200000,00400,0500,P 31472,S200000,01600,0100,Y 31472,S200000,02200,0100,Y 31491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31491,A000000,00300,0000,00300EMPLOYEE BENEFITS 31491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31491,A000000,00700,0000,00700HOUSEKEEPING 31491,A000000,00800,0000,00800DIETARY 31491,A000000,00900,0000,00900NURSING ADMINISTRATION 31491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31491,A000000,01100,0000,01100PHARMACY 31491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31491,A000000,01300,0000,01300SOCIAL SERVICE 31491,A000000,01350,0000,01500ACTIVITIES 31491,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31491,A000000,01600,0000,01600SKILLED NURSING FACILITY 31491,A000000,01800,0000,01800NURSING FACILITY 31491,A000000,01810,0000,01810ICF/MR 31491,A000000,02100,0000,02100RADIOLOGY 31491,A000000,02200,0000,02200LABORATORY 31491,A000000,02500,0000,02500PHYSICAL THERAPY 31491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31491,A000000,02700,0000,02700SPEECH PATHOLOGY 31491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31491,A000000,03050,0000,03300AMBULANCE 31491,A000000,03550,0000,03550FQHC 31491,A000000,05000,0000,05000CORF 31491,A000000,05010,0000,05010CMHC 31491,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31491,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31491,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31491,A000000,05300,0000,05300INTEREST EXPENSE 31491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31491,A81000A,00100,0100,Y 31491,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE CO 31491,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE CO 31491,A81000B,00300,0300,INTEREST EXPENSE 31491,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 31491,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 31491,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 31491,A81000B,00700,0300,MANAGEMENT FEES-HSM MANGESMENT 31491,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 31491,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 31491,A81000B,00901,0300,SPEECH THERAPY 31491,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 31491,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 31491,A81000B,01100,0300,HOME OFFICE POOLED CAP-EQUIP-H 31491,A81000B,01200,0300,HOME OFFICE POOLED CAP-BLDGS-H 31491,A81000B,01300,0300,INTEREST INCOME-JOLIET 31491,A81000B,01400,0300,INTEREST INCOME-ELGIN 31491,A81000B,01500,0300,INTEREST INCOME-ROCKFORD 31491,A81000B,01600,0300,INTEREST INCOME-ST. LOUIS 31491,A81000B,01700,0300,INTEREST INCOME-SWANSEA 31491,A81000B,01800,0300,INTEREST INCOME-EDWARDSVILLE 31491,A81000B,01900,0300,INTEREST INCOME-HOLDING COMPAN 31491,A81000B,02000,0300,INTEREST INCOME-ST. CHARLES 31491,A81000B,02100,0300,INTEREST INCOME-PEORIA 31491,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 31491,A81000B,02300,0300,INTEREST INCOME-MOLINE 31491,A81000B,02400,0300,INTEREST INCOME-INVERNESS 31491,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 31491,A81000B,02600,0300,INTEREST INCOME-GALESBURG 31491,A81000B,02700,0300,INTEREST INCOME-ALTON 31491,A81000B,02800,0300,PHYSICAL THERAPY 31491,A81000B,02900,0300,OCCUPATIONAL THERAPY 31491,A81000C,00100,0100,A 31491,A81000C,00100,0200,VANDER MATEN 31491,A81000C,00100,0400,HSM MANGEMENT 31491,A81000C,00100,0600,MANAGEMENT 31491,A81000C,00200,0100,A 31491,A81000C,00200,0200,HOEFLING 31491,A81000C,00200,0400,HSM MANGEMENT 31491,A81000C,00200,0600,MANAGEMENT 31491,A81000C,00300,0100,A 31491,A81000C,00300,0200,VANDER MATEN 31491,A81000C,00300,0400,SCHUETZ RD R.E. 31491,A81000C,00300,0600,REAL ESTATE 31491,A81000C,00400,0100,A 31491,A81000C,00400,0200,HOEFLING 31491,A81000C,00400,0400,SCHUETZ RD R.E. 31491,A81000C,00400,0600,REAL ESTATE 31491,A81000C,00500,0100,A 31491,A81000C,00500,0200,VANDER MATEN 31491,A81000C,00500,0400,HSM MANAGEMENT 31491,A81000C,00500,0600,DEVELOPMENT 31491,A81000C,00600,0100,A 31491,A81000C,00600,0200,HOEFLING 31491,A81000C,00600,0400,HSM MANAGEMENT 31491,A81000C,00600,0600,DEVELOPMENT 31491,A81000C,00700,0100,A 31491,A81000C,00700,0200,VANDER MATEN 31491,A81000C,00700,0400,RCC HOLDING CO. 31491,A81000C,00700,0600,HOLDING CO 31491,A81000C,00800,0100,A 31491,A81000C,00800,0200,HOEFLING 31491,A81000C,00800,0400,RCC HOLDING CO. 31491,A81000C,00800,0600,HOLDING CO 31491,A81000C,00900,0100,A 31491,A81000C,00900,0200,VANDER MATEN 31491,A81000C,00900,0400,ROSEWOOD THERAP 31491,A81000C,00900,0600,THERAPY CO 31491,A81000C,01000,0100,A 31491,A81000C,01000,0200,HOEFLING 31491,A81000C,01000,0400,ROSEWOOD THERAP 31491,A81000C,01000,0600,THERAPY CO 31491,B100000,00000,0100,00000SQUARE FEET 31491,B100000,00000,0200,00000SQUARE FEET 31491,B100000,00000,0300,00000GROSS SALARIES 31491,B100000,00000,0400,00000ACCUM COST 31491,B100000,00000,0500,00000SQUARE FEET 31491,B100000,00000,0600,00000PATIENT DAYS 31491,B100000,00000,0700,00000SQUARE FEET 31491,B100000,00000,0800,00000MEALS SERVED 31491,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 31491,B100000,00000,1000,00000PATIENT DAYS 31491,B100000,00000,1100,00000COSTED REQUIS 31491,B100000,00000,1200,00000TIME SPENT 31491,B100000,00000,1300,00000TIME SPENT 31491,B100000,00000,1350,00000PATIENT DAYS 31491,B100000,00000,1400,00000ASSIGNED TIME 31491,E10A180,00501,0100,01/24/2001 31491,E10A180,00501,0300,01/24/2001 31491,S000000,00100,0200,12/01/2000 31491,S200000,00100,0100,11278 SCHUETZ ROAD 31491,S200000,00200,0100,ST. LOUIS 31491,S200000,00200,0200,MO 31491,S200000,00200,0300,63146 31491,S200000,00300,0100,ST. LOUIS 31491,S200000,00400,0100,ROSEWOOD CARE CTR INC OF ST. LOUIS 31491,S200000,00400,0200,265457 31491,S200000,00400,0300,05/31/1991 31491,S200000,00400,0500,P 31491,S200000,01600,0100,Y 31514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31514,A000000,00300,0000,00300EMPLOYEE BENEFITS 31514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31514,A000000,00700,0000,00700HOUSEKEEPING 31514,A000000,00800,0000,00800DIETARY 31514,A000000,00900,0000,00900NURSING ADMINISTRATION 31514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31514,A000000,01100,0000,01100PHARMACY 31514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31514,A000000,01300,0000,01300SOCIAL SERVICE 31514,A000000,01350,0000,01500OTHER GENERAL SERVICES 31514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31514,A000000,01600,0000,01600SKILLED NURSING FACILITY 31514,A000000,01800,0000,01800NURSING FACILITY 31514,A000000,02500,0000,02500PHYSICAL THERAPY 31514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31514,A000000,02700,0000,02700SPEECH PATHOLOGY 31514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31514,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31514,A000000,03550,0000,03550FQHC 31514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31514,A000000,05000,0000,05000CORF 31514,A000000,05010,0000,05010CMHC 31514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31514,A000000,05300,0000,05300INTEREST EXPENSE 31514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31514,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31514,A81000A,00100,0100,Y 31514,A81000B,00100,0300,FACILITY LEASE 31514,A81000B,00200,0300,FACILITY LEASE 31514,A81000B,00300,0300,NURSE AIDE TRAINING 31514,A81000B,00400,0300,HOME OFFICE-BCC MGMT OF MO 31514,A81000B,00500,0300,HOME OFFICE-BCC MGMT OF MO 31514,A81000B,00600,0300,HOME OFFICE-BCC MGMT OF MO 31514,A81000B,00700,0300,PHYSICAL THERAPY 31514,A81000B,00800,0300,OCCUPATIONAL THERAPY 31514,A81000B,00900,0300,SPEECH THERAPY 31514,A81000C,00100,0100,B 31514,A81000C,00100,0200,BCC MANAGEMENT CO AT MO 31514,A81000C,00100,0400,BCC MANAGEMENT CO AT MO 31514,A81000C,00100,0600,MANAGEMENT COMPANY 31514,A81000C,00200,0100,A 31514,A81000C,00200,0200,VARIOUS STOCKHOLDERS 31514,A81000C,00200,0400,HAWTHORN HEALTH PROP INC 31514,A81000C,00200,0600,LEASING COMPANY 31514,B100000,00000,0100,00000SQUARE FEET 31514,B100000,00000,0200,00000NO STATISTICS 31514,B100000,00000,0300,00000GROSS SALARIES 31514,B100000,00000,0400,00000ACCUM. COST 31514,B100000,00000,0500,00000SQUARE FEET 31514,B100000,00000,0600,00000POUNDS OF LAUNDRY 31514,B100000,00000,0700,00000SQUARE FEET 31514,B100000,00000,0800,00000MEALS SERVED 31514,B100000,00000,0900,00000DIRECT NRSING HRS 31514,B100000,00000,1000,00000COSTED REQUIS. 31514,B100000,00000,1100,00000NO STATISTICS 31514,B100000,00000,1200,00000TIME SPENT 31514,B100000,00000,1300,00000TIME SPENT 31514,B100000,00000,1350,00000NO STATISTICS 31514,B100000,00000,1400,00000NO STATISTICS 31514,S000000,00100,0200,05/25/2000 31514,S200000,00100,0100,3535 EAST CHEROKEE 31514,S200000,00200,0100,SPRINGFIELD 31514,S200000,00200,0200,MO 31514,S200000,00200,0300,65809 31514,S200000,00300,0100,GREENE 31514,S200000,00400,0100,BCC AT SPRINGFIELD CARE CENTER INC. 31514,S200000,00400,0200,265473 31514,S200000,00400,0300,10/28/1991 31514,S200000,00400,0500,P 31514,S200000,01600,0100,Y 31523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31523,A000000,00300,0000,00300EMPLOYEE BENEFITS 31523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31523,A000000,00700,0000,00700HOUSEKEEPING 31523,A000000,00800,0000,00800DIETARY 31523,A000000,00900,0000,00900NURSING ADMINISTRATION 31523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31523,A000000,01100,0000,01100PHARMACY 31523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31523,A000000,01300,0000,01300SOCIAL SERVICE 31523,A000000,01350,0000,01500OTHER GENERAL SERVICES 31523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31523,A000000,01600,0000,01600SKILLED NURSING FACILITY 31523,A000000,01800,0000,01800NURSING FACILITY 31523,A000000,01810,0000,01810ICF/MR 31523,A000000,01900,0000,01900OTHER LONG TERM CARE 31523,A000000,02100,0000,02100RADIOLOGY 31523,A000000,02200,0000,02200LABORATORY 31523,A000000,02500,0000,02500PHYSICAL THERAPY 31523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31523,A000000,02700,0000,02700SPEECH PATHOLOGY 31523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31523,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31523,A000000,03550,0000,03550FQHC 31523,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31523,A000000,05000,0000,05000CORF 31523,A000000,05010,0000,05010CMHC 31523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31523,A000000,05300,0000,05300INTEREST EXPENSE 31523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31523,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31523,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 31523,A81000A,00100,0100,Y 31523,A81000B,00100,0300,INTEREST EXPENSE 31523,A81000B,00200,0300,INTEREST EXPENSE 31523,A81000B,00300,0300,PAYROLL/COMPUTER SUPPORT 31523,A81000C,00100,0100,G 31523,A81000C,00100,0200,GENERAL COUNCIL 31523,A81000C,00100,0400,ASSEMBLIES OF GOD 31523,A81000C,00100,0600,RELIGIOUS ORGANIZATION 31523,B100000,00000,0100,00001SQUARE FEET 31523,B100000,00000,0200,00001DOLLAR VALUE 31523,B100000,00000,0300,00001GROSS SALARIES 31523,B100000,00000,0400,00001ACCUM. COST 31523,B100000,00000,0500,00001SQUARE FEET 31523,B100000,00000,0600,00001POUNDS OF LAUNDRY 31523,B100000,00000,0700,00001SQ FEET CLEANED 31523,B100000,00000,0800,00001MEALS SERVED 31523,B100000,00000,0900,00001DIRECT NRSING HRS 31523,B100000,00000,1000,00001COSTED REQUIS. 31523,B100000,00000,1100,00001COSTED REQUIS. 31523,B100000,00000,1200,00001TIME SPENT 31523,B100000,00000,1300,00001TIME SPENT 31523,B100000,00000,1350,00001NO STATISTICS 31523,B100000,00000,1400,00001ASSIGNED TIME 31523,E10A180,00550,0300,10/25/2000 31523,S000000,00100,0200,09/01/2000 31523,S200000,00100,0100,233 EAST NORTON 31523,S200000,00200,0100,SPRINGFIELD 31523,S200000,00200,0200,MO 31523,S200000,00200,0300,65803 31523,S200000,00300,0100,GREENE 31523,S200000,00400,0100,MARANATHA VILLAGE 31523,S200000,00400,0200,265475 31523,S200000,00400,0300,01/01/1992 31523,S200000,00400,0500,P 31523,S200000,01600,0100,Y 31523,S200000,02800,0100,Y 31535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31535,A000000,00300,0000,00300EMPLOYEE BENEFITS 31535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31535,A000000,00700,0000,00700HOUSEKEEPING 31535,A000000,00800,0000,00800DIETARY 31535,A000000,00900,0000,00900NURSING ADMINISTRATION 31535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31535,A000000,01100,0000,01100PHARMACY 31535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31535,A000000,01300,0000,01300SOCIAL SERVICE 31535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31535,A000000,01600,0000,01600SKILLED NURSING FACILITY 31535,A000000,01800,0000,01800NURSING FACILITY 31535,A000000,01810,0000,01810ICF/MR 31535,A000000,01900,0000,01900OTHER LONG TERM CARE 31535,A000000,02500,0000,02500PHYSICAL THERAPY 31535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31535,A000000,02700,0000,02700SPEECH PATHOLOGY 31535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31535,A000000,03550,0000,03550FQHC 31535,A000000,05000,0000,05000CORF 31535,A000000,05010,0000,05010CMHC 31535,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31535,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31535,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31535,B100000,00000,0100,00000SQUARE FEET 31535,B100000,00000,0200,00000SQUARE FEET 31535,B100000,00000,0300,00000GROSS SALARIES 31535,B100000,00000,0400,00000ACCUM. COST 31535,B100000,00000,0500,00000SQUARE FEET 31535,B100000,00000,0600,00000POUNDS OF LAUNDRY 31535,B100000,00000,0700,00000SQUARE FEET 31535,B100000,00000,0800,00000PATIENT DAYS 31535,B100000,00000,0900,00000DIRECT NRSG HRS 31535,B100000,00000,1000,00000COSTED REQUIS 31535,B100000,00000,1100,00000COSTED REQUIS 31535,B100000,00000,1200,00000TIME SPENT 31535,B100000,00000,1300,00000ADMITS 31535,B100000,00000,1400,00000ASSIGNED TIME 31535,S000000,00100,0200,11/15/2000 31535,S200000,00100,0100,R.R. 2 HIGHWAY 81 NORTH 31535,S200000,00200,0100,KAHOKA 31535,S200000,00200,0200,MO 31535,S200000,00200,0300,63445 31535,S200000,00400,0100,CLARK COUNTY NURSING HOME 31535,S200000,00400,0200,265485 31535,S200000,00400,0300,01/30/1992 31535,S200000,00400,0500,P 31535,S200000,01600,0100,Y 31542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31542,A000000,00300,0000,00300EMPLOYEE BENEFITS 31542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31542,A000000,00700,0000,00700HOUSEKEEPING 31542,A000000,00800,0000,00800DIETARY 31542,A000000,00900,0000,00900NURSING ADMINISTRATION 31542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31542,A000000,01100,0000,01100PHARMACY 31542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31542,A000000,01300,0000,01300SOCIAL SERVICE 31542,A000000,01350,0000,01500OTHER GENERAL SERVICES 31542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31542,A000000,01600,0000,01600SKILLED NURSING FACILITY 31542,A000000,01800,0000,01800NURSING FACILITY 31542,A000000,01810,0000,01810ICF/MR 31542,A000000,02100,0000,02100RADIOLOGY 31542,A000000,02500,0000,02500PHYSICAL THERAPY 31542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31542,A000000,02700,0000,02700SPEECH PATHOLOGY 31542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31542,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31542,A000000,03550,0000,03550FQHC 31542,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31542,A000000,05000,0000,05000CORF 31542,A000000,05010,0000,05010CMHC 31542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31542,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31542,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31542,A81000A,00100,0100,Y 31542,A81000B,00100,0300,RENT 31542,A81000C,00100,0100,D 31542,A81000C,00100,0200,GLORIA LIERMAN 31542,A81000C,00100,0400,THE LIERMAN FAMILY PTRSHP 31542,A81000C,00100,0600,PROPERTY OWNER 31542,A81000C,00200,0100,D 31542,A81000C,00200,0200,ROBBYN LIERMAN IRREV TRUS 31542,A81000C,00300,0100,D 31542,A81000C,00300,0200,DEANNA BOKEL IRREV TRUST 31542,A81000C,00400,0100,D 31542,A81000C,00400,0200,STEVE LIERMAN IRREV TRUST 31542,A81000C,00500,0100,D 31542,A81000C,00500,0200,MARK LIERMAN IRREV TRUST 31542,A81000C,00600,0100,D 31542,A81000C,00600,0200,MICHELLE LIERMAN IRREV TR 31542,B100000,00000,0100,00000SQUARE FEET 31542,B100000,00000,0200,00000SQUARE FEET 31542,B100000,00000,0300,00000GROSS SALARIES 31542,B100000,00000,0400,00000ACCUM. COST 31542,B100000,00000,0500,00000SQUARE FEET 31542,B100000,00000,0600,00000LAUNDRY WEIGHTS 31542,B100000,00000,0700,00000MOD SQUARE 31542,B100000,00000,0800,00000MEALS 31542,B100000,00000,0900,00000HOURS OF SERVICE 31542,B100000,00000,1000,00000COSTED REQUIS 31542,B100000,00000,1100,00000COSTED REQUIS 31542,B100000,00000,1200,00000PATIENT DAYS 31542,B100000,00000,1300,00000TIME STUDY 31542,B100000,00000,1350,00000PATIENT DAYS 31542,B100000,00000,1400,00000ASSIGNED TIME 31542,E10A180,00550,0100,10/25/2000 31542,E10A180,00550,0300,10/25/2000 31542,S000000,00100,0200,09/05/2000 31542,S200000,00100,0100,2963 DODDRIDGE 31542,S200000,00200,0100,MARYLAND HEIGHTS 31542,S200000,00200,0200,MO 31542,S200000,00200,0300,63043 31542,S200000,00300,0100,ST LOUIS 31542,S200000,00400,0100,BROOK VIEW NURSING HOME 31542,S200000,00400,0200,265486 31542,S200000,00400,0300,02/10/1992 31542,S200000,00400,0500,P 31542,S200000,01600,0100,Y 31542,S200000,04300,0100,Y 31563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31563,A000000,00300,0000,00300EMPLOYEE BENEFITS 31563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31563,A000000,00700,0000,00700HOUSEKEEPING 31563,A000000,00800,0000,00800DIETARY 31563,A000000,00900,0000,00900NURSING ADMINISTRATION 31563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31563,A000000,01100,0000,01100PHARMACY 31563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31563,A000000,01300,0000,01300SOCIAL SERVICE 31563,A000000,01350,0000,01500OTHER GENERAL SERVICES 31563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31563,A000000,01600,0000,01600SKILLED NURSING FACILITY 31563,A000000,01800,0000,01800NURSING FACILITY 31563,A000000,01810,0000,01810ICF/MR 31563,A000000,01900,0000,01900OTHER LONG TERM CARE 31563,A000000,02100,0000,02100RADIOLOGY 31563,A000000,02200,0000,02200LABORATORY 31563,A000000,02500,0000,02500PHYSICAL THERAPY 31563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31563,A000000,02700,0000,02700SPEECH PATHOLOGY 31563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31563,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31563,A000000,03550,0000,03550FQHC 31563,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31563,A000000,05000,0000,05000CORF 31563,A000000,05010,0000,05010CMHC 31563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31563,A000000,05300,0000,05300INTEREST EXPENSE 31563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31563,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31563,A81000A,00100,0100,Y 31563,A81000B,00100,0300,FACILITY LEASE 31563,A81000B,00200,0300,HOME OFFICE 31563,A81000B,00300,0300,HOME OFFICE 31563,A81000B,00400,0300,INTEREST 31563,A81000C,00100,0100,A 31563,A81000C,00100,0200,JAMES J. GIARDINA 31563,A81000C,00100,0400,JAMES J. GIARDINA 31563,A81000C,00100,0600,INDIVIDUAL 31563,A81000C,00200,0100,A 31563,A81000C,00200,0200,JAMES J. GIARDINA 31563,A81000C,00200,0400,COMMUNITY CARE CTRS INC. 31563,A81000C,00200,0600,NRSG HOME MGMT 31563,A81000C,00300,0100,A 31563,A81000C,00300,0200,JAMES J. GIARDINA 31563,A81000C,00300,0400,JAMES J. GIARDINA 31563,A81000C,00300,0600,INDIVIDUAL 31563,B100000,00000,0100,00000SQUARE FEET 31563,B100000,00000,0200,00000SQUARE FEET 31563,B100000,00000,0300,00000GROSS SALARIES 31563,B100000,00000,0400,00000ACCUM. COST 31563,B100000,00000,0500,00000SQUARE FEET 31563,B100000,00000,0600,00000POUNDS OF LAUNDRY 31563,B100000,00000,0700,00000SQ FEET 31563,B100000,00000,0800,00000MEALS SERVED 31563,B100000,00000,0900,00000DIRECT NRSING HRS 31563,B100000,00000,1000,00000COSTED REQUIS. 31563,B100000,00000,1100,00000COSTED REQUIS. 31563,B100000,00000,1200,00000TIME SPENT 31563,B100000,00000,1300,00000TIME SPENT 31563,B100000,00000,1350,00000NO STATISTICS 31563,B100000,00000,1400,00000ASSIGNED TIME 31563,E10A180,00550,0300,04/28/2000 31563,S000000,00100,0200,03/01/2000 31563,S200000,00100,0100,914 CHICKESAW 31563,S200000,00200,0100,SENECA 31563,S200000,00200,0200,MO 31563,S200000,00300,0100,NEWTON 31563,S200000,00400,0100,COMMUNITY CARE CENTER OF SENECA 31563,S200000,00400,0200,265491 31563,S200000,00400,0300,02/26/1992 31563,S200000,00400,0500,P 31563,S200000,01600,0100,Y 31615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31615,A000000,00101,0000,00101CAP REL COSTS - NEW ADDITION 31615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31615,A000000,00300,0000,00300EMPLOYEE BENEFITS 31615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31615,A000000,00700,0000,00700HOUSEKEEPING 31615,A000000,00800,0000,00800DIETARY 31615,A000000,00801,0000,00801CAFETERIA 31615,A000000,00900,0000,00900NURSING ADMINISTRATION 31615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31615,A000000,01100,0000,01100PHARMACY 31615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31615,A000000,01300,0000,01300SOCIAL SERVICE 31615,A000000,01350,0000,01500OTHER GENERAL SERVICES 31615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31615,A000000,01600,0000,01600SKILLED NURSING FACILITY 31615,A000000,01800,0000,01800NURSING FACILITY 31615,A000000,01810,0000,01810ICF/MR 31615,A000000,02100,0000,02100RADIOLOGY 31615,A000000,02200,0000,02200LABORATORY 31615,A000000,02500,0000,02500PHYSICAL THERAPY 31615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31615,A000000,02700,0000,02700SPEECH PATHOLOGY 31615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31615,A000000,03550,0000,03550FQHC 31615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31615,A000000,05000,0000,05000CORF 31615,A000000,05010,0000,05010CMHC 31615,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31615,A000000,05300,0000,05300INTEREST EXPENSE 31615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31615,A81000A,00100,0100,Y 31615,A81000B,00100,0300,FOUNDATION ADMIN COSTS 31615,A81000B,00200,0300,HOME OFFICE RIVERSIDE 31615,A81000B,00300,0300,HOME OFFICE RIVERSIDE 31615,A81000B,00400,0300,RIVERSIDE REHAB PT 31615,A81000B,00500,0300,RIVERSIDE REHAB OT 31615,A81000B,00600,0300,RIVERSIDE REHAB ST 31615,A81000B,00700,0300,LAUNDRY 31615,A81000B,00800,0300,NURSING SALARIES 31615,A81000B,00900,0300,NURSING SALARIES 31615,A81000B,01000,0300,P.O. COSTS PROVIDED BY CMH 31615,A81000B,01100,0300,ACT/A&G COSTS PROVIDED BY CMH 31615,A81000B,01200,0300,LDRY COSTS PROVIDED BY CMH 31615,A81000B,01300,0300,HSKP COSTS PROVIDED BY CMH 31615,A81000C,00100,0100,E 31615,A81000C,00100,0200,COMMON BOARD MEMBERS 31615,A81000C,00100,0400,CITIZENS MEM. HOSPITAL 31615,A81000C,00100,0600,HOSPITAL 31615,A81000C,00200,0100,E 31615,A81000C,00200,0200,COMMON BOARD MEMBERS 31615,A81000C,00200,0400,RIVERSIDE MGT AND REHAB 31615,A81000C,00200,0600,REHAB AND MGT COMPANY 31615,B100000,00000,0100,00000SQUARE FEET 31615,B100000,00000,0101,00000SQUARE FEET 31615,B100000,00000,0200,00000SQUARE FEET 31615,B100000,00000,0300,00000GROSS SALARIES 31615,B100000,00000,0400,00000ACCUM. COST 31615,B100000,00000,0500,00000SQUARE FEET 31615,B100000,00000,0600,00000POUNDS OF LAUNDRY 31615,B100000,00000,0700,00000SQUARE FEET 31615,B100000,00000,0800,00000MEALS SERVED 31615,B100000,00000,0801,00000MEALS SERVED 31615,B100000,00000,0900,00000DIRECT NRSING HRS 31615,B100000,00000,1000,00000COSTED REQUIS. 31615,B100000,00000,1100,00000COSTED REQUIS. 31615,B100000,00000,1200,00000TIME SPENT 31615,B100000,00000,1300,00000TIME SPENT 31615,B100000,00000,1350,00000SQUARE FEET 31615,B100000,00000,1400,00000ASSIGNED TIME 31615,S000000,00100,0200,10/31/2000 31615,S200000,00100,0100,119 WEST FORREST STREET 31615,S200000,00200,0100,BOLIVAR 31615,S200000,00200,0200,MO 31615,S200000,00200,0300,65613 31615,S200000,00400,0100,PARKVIEW HEALTH CARE FACILITY 31615,S200000,00400,0200,265519 31615,S200000,00400,0300,12/02/1992 31615,S200000,00400,0500,P 31615,S200000,01600,0100,Y 31624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31624,A000000,00300,0000,00300EMPLOYEE BENEFITS 31624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31624,A000000,00700,0000,00700HOUSEKEEPING 31624,A000000,00800,0000,00800DIETARY 31624,A000000,00900,0000,00900NURSING ADMINISTRATION 31624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31624,A000000,01100,0000,01100PHARMACY 31624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31624,A000000,01300,0000,01300SOCIAL SERVICE 31624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31624,A000000,01600,0000,01600SKILLED NURSING FACILITY 31624,A000000,01800,0000,01800NURSING FACILITY 31624,A000000,01810,0000,01810ICF/MR 31624,A000000,02100,0000,02100RADIOLOGY 31624,A000000,02500,0000,02500PHYSICAL THERAPY 31624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31624,A000000,02700,0000,02700SPEECH PATHOLOGY 31624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31624,A000000,03550,0000,03550FQHC 31624,A000000,05000,0000,05000CORF 31624,A000000,05010,0000,05010CMHC 31624,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31624,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31624,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31624,A81000A,00100,0100,Y 31624,A81000B,00100,0300,CAP REL COST-BLDGS & FURN 31624,A81000C,00100,0100,D 31624,A81000C,00100,0200,THOMAS & ADELE DAAKE 31624,B100000,00000,0100,00000SQUARE FEET 31624,B100000,00000,0200,00000SQUARE FEET 31624,B100000,00000,0300,00000GROSS SALARIES 31624,B100000,00000,0400,00000ACCUM. COST 31624,B100000,00000,0500,00000SQUARE FEET 31624,B100000,00000,0600,00000RESIDENT DAYS 31624,B100000,00000,0700,00000SQUARE FEET 31624,B100000,00000,0800,00000MEALS SERVED 31624,B100000,00000,0900,00000HOURS OF SERVICE 31624,B100000,00000,1000,00000COSTED REQUIS 31624,B100000,00000,1100,00000COSTED REQUIS 31624,B100000,00000,1200,00000TIME SPENT 31624,B100000,00000,1300,00000ADMISSIONS S 31624,B100000,00000,1400,00000ASSIGNED TIME 31624,S000000,00100,0200,04/13/2000 31624,S200000,00100,0100,3201 PARKWOOD LANE 31624,S200000,00200,0100,SAINT LOUIS 31624,S200000,00200,0200,MO 31624,S200000,00300,0100,SAINT LOUIS 31624,S200000,00400,0100,FOREST HAVEN CARE CENTER 31624,S200000,00400,0200,265523 31624,S200000,00400,0300,11/04/1993 31624,S200000,00400,0500,P 31624,S200000,01600,0100,Y 31677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31677,A000000,00300,0000,00300EMPLOYEE BENEFITS 31677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31677,A000000,00700,0000,00700HOUSEKEEPING 31677,A000000,00800,0000,00800DIETARY 31677,A000000,00900,0000,00900NURSING ADMINISTRATION 31677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31677,A000000,01100,0000,01100PHARMACY 31677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31677,A000000,01300,0000,01300SOCIAL SERVICE 31677,A000000,01350,0000,01500OTHER GENERAL SERVICES 31677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31677,A000000,01600,0000,01600SKILLED NURSING FACILITY 31677,A000000,01800,0000,01800NURSING FACILITY 31677,A000000,01810,0000,01810ICF/MR 31677,A000000,02200,0000,02200LABORATORY 31677,A000000,02500,0000,02500PHYSICAL THERAPY 31677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31677,A000000,02700,0000,02700SPEECH PATHOLOGY 31677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31677,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31677,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31677,A000000,03550,0000,03550FQHC 31677,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31677,A000000,05000,0000,05000CORF 31677,A000000,05010,0000,05010CMHC 31677,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31677,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31677,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31677,A000000,05300,0000,05300INTEREST EXPENSE 31677,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31677,A81000A,00100,0100,Y 31677,A81000B,00100,0300,HOME OFFICE COSTS 31677,A81000B,00200,0300,HOME OFFICE COSTS 31677,A81000B,00300,0300,INTEREST 31677,A81000C,00100,0100,A 31677,A81000C,00100,0200,JAMES & JUDY LINCOLN 31677,A81000C,00100,0400,HEALTH SYSTEMS INC. 31677,A81000C,00100,0600,HOME OFFICE 31677,B100000,00000,0100,00000SQUARE FEET 31677,B100000,00000,0200,00000SQUARE FEET 31677,B100000,00000,0300,00000GROSS SALARIES 31677,B100000,00000,0400,00000ACCUM. COST 31677,B100000,00000,0500,00000SQUARE FEET 31677,B100000,00000,0600,00000POUNDS OF LAUNDRY 31677,B100000,00000,0700,00000SQUARE FEET 31677,B100000,00000,0800,00000MEALS SERVED 31677,B100000,00000,0900,00000DIRECT NRSG 31677,B100000,00000,1000,00000COSTED REQUIS. 31677,B100000,00000,1100,00000NO STATISTICS 31677,B100000,00000,1200,00000TIME SPENT 31677,B100000,00000,1300,00000TIME SPENT 31677,B100000,00000,1350,00000NO STATISTICS 31677,B100000,00000,1400,00000NO STATISTICS 31677,S000000,00100,0200,06/29/2000 31677,S200000,00100,0100,HWY 162 31677,S200000,00200,0100,PORTAGEVILLE 31677,S200000,00200,0200,MO 31677,S200000,00300,0100,NEW MADRID 31677,S200000,00400,0100,PORTAGEVILLE NURSING CENTER 31677,S200000,00400,0200,265549 31677,S200000,00400,0300,11/01/1993 31677,S200000,00400,0500,P 31677,S200000,01600,0100,Y 31677,S200000,02800,0100,Y 31705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31705,A000000,00300,0000,00300EMPLOYEE BENEFITS 31705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31705,A000000,00700,0000,00700HOUSEKEEPING 31705,A000000,00800,0000,00800DIETARY 31705,A000000,00900,0000,00900NURSING ADMINISTRATION 31705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31705,A000000,01100,0000,01100PHARMACY 31705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31705,A000000,01300,0000,01300SOCIAL SERVICE 31705,A000000,01350,0000,01500OTHER GENERAL SERVICES 31705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31705,A000000,01600,0000,01600SKILLED NURSING FACILITY 31705,A000000,01800,0000,01800NURSING FACILITY 31705,A000000,01810,0000,01810ICF/MR 31705,A000000,02500,0000,02500PHYSICAL THERAPY 31705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31705,A000000,02700,0000,02700SPEECH PATHOLOGY 31705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31705,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31705,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31705,A000000,03550,0000,03550FQHC 31705,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31705,A000000,05000,0000,05000CORF 31705,A000000,05010,0000,05010CMHC 31705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31705,A000000,05300,0000,05300INTEREST EXPENSE 31705,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31705,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31705,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31705,A81000A,00100,0100,Y 31705,A81000B,00100,0300,ADMINISTRATIVE & GENERAL HOME 31705,A81000B,00200,0300,CAP REL COSTS - BLDGS & FIXTUR 31705,A81000B,00300,0300,PT FEES PAID TO HOME OFFICE 31705,A81000B,00400,0300,OT FEES PAID TO HOME OFFICE 31705,A81000B,00500,0300,ST FEES PAID TO HOME OFFICE 31705,A81000C,00100,0100,B 31705,A81000C,00100,0200,BALANCED CARE CORPORATION 31705,A81000C,00100,0400,BALANCED CARE CORPORATION 31705,A81000C,00100,0600,HOME OFFICE 31705,B100000,00000,0100,00000SQUARE FEET 31705,B100000,00000,0200,00000NO STATISTICS 31705,B100000,00000,0300,00000GROSS SALARIES 31705,B100000,00000,0400,00000ACCUM. COST 31705,B100000,00000,0500,00000SQUARE FEET 31705,B100000,00000,0600,00000POUNDS OF LAUNDRY 31705,B100000,00000,0700,00000SQUARE FEET 31705,B100000,00000,0800,00000MEALS SERVED 31705,B100000,00000,0900,00000DIRECT NURSING HR 31705,B100000,00000,1000,00000COSTED REQUIS 31705,B100000,00000,1100,00000NO STATISTICS 31705,B100000,00000,1200,00000TIME SPENT 31705,B100000,00000,1300,00000TIME SPENT 31705,B100000,00000,1350,00000NO STATISTICS 31705,B100000,00000,1400,00000NO STATISTICS 31705,S000000,00100,0200,05/25/2000 31705,S200000,00100,0100,700 EAST HIGHLAND 31705,S200000,00200,0100,BCC AT NEVADA PARK CARE CENTER INC. 31705,S200000,00200,0300,64772 31705,S200000,00300,0100,VERNON 31705,S200000,00400,0100,BCC AT NEVADA PARK CARE CENTER INC. 31705,S200000,00400,0200,265558 31705,S200000,00400,0300,10/07/1993 31705,S200000,00400,0500,P 31705,S200000,01600,0100,Y 31715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31715,A000000,00300,0000,00300EMPLOYEE BENEFITS 31715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31715,A000000,00700,0000,00700HOUSEKEEPING 31715,A000000,00800,0000,00800DIETARY 31715,A000000,00900,0000,00900NURSING ADMINISTRATION 31715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31715,A000000,01100,0000,01100PHARMACY 31715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31715,A000000,01300,0000,01300SOCIAL SERVICE 31715,A000000,01350,0000,01500OTHER GENERAL SERVICES 31715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31715,A000000,01600,0000,01600SKILLED NURSING FACILITY 31715,A000000,01800,0000,01800NURSING FACILITY 31715,A000000,01810,0000,01810ICF/MR 31715,A000000,02100,0000,02100RADIOLOGY 31715,A000000,02200,0000,02200LABORATORY 31715,A000000,02500,0000,02500PHYSICAL THERAPY 31715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31715,A000000,02700,0000,02700SPEECH PATHOLOGY 31715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31715,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31715,A000000,03550,0000,03550FQHC 31715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31715,A000000,05000,0000,05000CORF 31715,A000000,05010,0000,05010CMHC 31715,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31715,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31715,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31715,A000000,05300,0000,05300INTEREST EXPENSE 31715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31715,B100000,00000,0100,00000SQUARE FEET 31715,B100000,00000,0200,00000SQUARE FEET 31715,B100000,00000,0300,00000GROSS SALARIES 31715,B100000,00000,0400,00000ACCUM. COST 31715,B100000,00000,0500,00000SQUARE FEET 31715,B100000,00000,0600,00000POUNDS OF LAUNDRY 31715,B100000,00000,0700,00000SQ FT CLEANED 31715,B100000,00000,0800,00000MEALS SERVED 31715,B100000,00000,0900,00000DIRECT NRSING HRS 31715,B100000,00000,1000,00000COSTED REQUIS. 31715,B100000,00000,1100,00000COSTED REQUIS. 31715,B100000,00000,1200,00000TIME SPENT 31715,B100000,00000,1300,00000TIME SPENT 31715,B100000,00000,1350,00000NO STATISTICS 31715,B100000,00000,1400,00000ASSIGNED TIME 31715,S000000,00100,0200,02/07/2000 31715,S200000,00100,0100,1115 EAST PRIMROSE 31715,S200000,00200,0100,SPRINGFIELD 31715,S200000,00200,0200,MO 31715,S200000,00300,0100,GREENE 31715,S200000,00400,0100,PRIMROSE PLACE HEALTH CARE CENTER 31715,S200000,00400,0200,265559 31715,S200000,00400,0300,12/28/1993 31715,S200000,00400,0500,P 31715,S200000,01600,0100,Y 31715,S200000,01900,0100,OTHER 31715,S200000,02200,0100,Y 31750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31750,A000000,00300,0000,00300EMPLOYEE BENEFITS 31750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31750,A000000,00700,0000,00700HOUSEKEEPING 31750,A000000,00800,0000,00800DIETARY 31750,A000000,00900,0000,00900NURSING ADMINISTRATION 31750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31750,A000000,01100,0000,01100PHARMACY 31750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31750,A000000,01300,0000,01300SOCIAL SERVICE 31750,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 31750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31750,A000000,01600,0000,01600SKILLED NURSING FACILITY 31750,A000000,01800,0000,01800NURSING FACILITY 31750,A000000,01810,0000,01810ICF/MR 31750,A000000,01900,0000,01900OTHER LONG TERM CARE 31750,A000000,02200,0000,02200LABORATORY 31750,A000000,02300,0000,02300INTRAVENOUS THERAPY 31750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31750,A000000,02500,0000,02500PHYSICAL THERAPY 31750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31750,A000000,02700,0000,02700SPEECH PATHOLOGY 31750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31750,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 31750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 31750,A000000,03550,0000,03550FQHC 31750,A000000,05000,0000,05000CORF 31750,A000000,05010,0000,05010CMHC 31750,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31750,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 31750,B100000,00000,0100,00000SQUARE FEET 31750,B100000,00000,0200,00000SQUARE FEET 31750,B100000,00000,0300,00000GROSS SALARIES 31750,B100000,00000,0400,00000ACCUM COST 31750,B100000,00000,0500,00000SQUARE FEET 31750,B100000,00000,0600,00000PATIENT DAYS 31750,B100000,00000,0700,00000SQUARE FEET 31750,B100000,00000,0800,00000MEALS SERVED 31750,B100000,00000,0900,00000PATIENT DAYS 31750,B100000,00000,1000,00000COSTED REQUISITIO 31750,B100000,00000,1100,00000COSTED REQUISITIO 31750,B100000,00000,1200,00000PATIENT DAYS 31750,B100000,00000,1300,00000PATIENT DAYS 31750,B100000,00000,1350,00000PATIENT DAYS 31750,B100000,00000,1400,00000ASSIGNED TIME 31750,S000000,00100,0200,12/28/2000 31750,S200000,00100,0100,400 BROAD STREET 31750,S200000,00200,0100,GREENFIELD 31750,S200000,00200,0200,MISSOURI 31750,S200000,00200,0300,65661 31750,S200000,00300,0100,D 31750,S200000,00400,0100,DADE COUNTY NURSING HOME DISTRICT 31750,S200000,00400,0200,265572 31750,S200000,00400,0300,07/01/1994 31750,S200000,00400,0500,P 31750,S200000,01600,0100,Y 31750,S200000,02800,0100,Y 31761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31761,A000000,00300,0000,00300EMPLOYEE BENEFITS 31761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31761,A000000,00700,0000,00700HOUSEKEEPING 31761,A000000,00800,0000,00800DIETARY 31761,A000000,00900,0000,00900NURSING ADMINISTRATION 31761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31761,A000000,01100,0000,01100PHARMACY 31761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31761,A000000,01300,0000,01300SOCIAL SERVICE 31761,A000000,01350,0000,01500OTHER GENERAL SERVICES 31761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31761,A000000,01600,0000,01600SKILLED NURSING FACILITY 31761,A000000,01800,0000,01800NURSING FACILITY 31761,A000000,02500,0000,02500PHYSICAL THERAPY 31761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31761,A000000,02700,0000,02700SPEECH PATHOLOGY 31761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31761,A000000,03550,0000,03550FQHC 31761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31761,A000000,05000,0000,05000CORF 31761,A000000,05010,0000,05010CMHC 31761,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31761,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31761,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31761,A81000A,00100,0100,Y 31761,A81000B,00100,0300,LEASE EXPENSE 31761,A81000B,00200,0300,MEDICAL RECORDS SALARIES 31761,A81000B,00300,0300,CENTRAL SUPPLIES SALARIES 31761,A81000B,00400,0300,HOME OFFICE - A&G 31761,A81000B,00500,0300,HOME OFFICE - CAPITAL 31761,A81000B,00600,0300,H.O.-NURSE AIDE TRAINING 31761,A81000B,00700,0300,H.O.-PHYSICAL THERAPY 31761,A81000B,00800,0300,H.O.-OCCUPATIONAL THERAPY 31761,A81000B,00900,0300,H.O.-SPEECH THERAPY 31761,A81000C,00100,0100,A 31761,A81000C,00100,0200,VARIOUS STOCKHOLDERS 31761,A81000C,00100,0400,HAWTHORN HEALTH PROPERTIE 31761,A81000C,00100,0600,LEASING COMPANY 31761,A81000C,00200,0100,B 31761,A81000C,00200,0200,BCC AT MT VERNON PARK CC 31761,A81000C,00200,0400,BCC AT MT VERNON PARK CC 31761,A81000C,00200,0600,SKILLED NURSING FACILITY 31761,A81000C,00300,0100,B 31761,A81000C,00300,0200,BCC MGMT CO AT MO INC 31761,A81000C,00300,0400,BCC MGMT CO AT MO INC 31761,A81000C,00300,0600,MANAGEMENT COMPANY 31761,B100000,00000,0100,00000SQUARE FEET 31761,B100000,00000,0200,00000DOLLAR VALUE 31761,B100000,00000,0300,00000GROSS SALARIES 31761,B100000,00000,0400,00000ACCUM. COST 31761,B100000,00000,0500,00000SQUARE FEET 31761,B100000,00000,0600,00000POUNDS OF LAUNDRY 31761,B100000,00000,0700,00000SQUARE FEET 31761,B100000,00000,0800,00000MEALS SERVED 31761,B100000,00000,0900,00000DIRECT NRSING HRS 31761,B100000,00000,1000,00000COSTED REQUIS. 31761,B100000,00000,1100,00000COSTED REQUIS. 31761,B100000,00000,1200,00000TIME SPENT 31761,B100000,00000,1300,00000TIME SPENT 31761,B100000,00000,1350,00000NO STATISTICS 31761,B100000,00000,1400,00000ASSIGNED TIME 31761,S000000,00100,0200,05/25/2000 31761,S200000,00100,0100,3401 WEST MT. VERNON 31761,S200000,00200,0100,SPRINGFIELD 31761,S200000,00200,0200,MO 31761,S200000,00200,0300,65802 31761,S200000,00300,0100,GREENE 31761,S200000,00400,0100,BCC AT MT VERNON PARK CARE CTR. WEST 31761,S200000,00400,0200,265575 31761,S200000,00400,0300,06/01/1994 31761,S200000,00400,0500,P 31761,S200000,01600,0100,Y 31773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31773,A000000,00300,0000,00300EMPLOYEE BENEFITS 31773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31773,A000000,00700,0000,00700HOUSEKEEPING 31773,A000000,00800,0000,00800DIETARY 31773,A000000,00900,0000,00900NURSING ADMINISTRATION 31773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31773,A000000,01100,0000,01100PHARMACY 31773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31773,A000000,01300,0000,01300SOCIAL SERVICE 31773,A000000,01350,0000,01500OTHER GENERAL SERVICES 31773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31773,A000000,01600,0000,01600SKILLED NURSING FACILITY 31773,A000000,01810,0000,01810ICF/MR 31773,A000000,02200,0000,02200LABORATORY 31773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31773,A000000,02500,0000,02500PHYSICAL THERAPY 31773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31773,A000000,02700,0000,02700SPEECH PATHOLOGY 31773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31773,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31773,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31773,A000000,03550,0000,03550FQHC 31773,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31773,A000000,05000,0000,05000CORF 31773,A000000,05010,0000,05010CMHC 31773,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31773,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31773,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31773,A000000,05300,0000,05300INTEREST EXPENSE 31773,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31773,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31773,A81000A,00100,0100,Y 31773,A81000B,00100,0300,MANAGEMENT FEES 31773,A81000C,00100,0100,B 31773,A81000C,00100,0200,DEACON INC. 31773,A81000C,00100,0400,STONECREST HEALTHCARE 31773,A81000C,00100,0600,MANAGEMENT COMPANY 31773,B100000,00000,0100,00000SQUARE FEET 31773,B100000,00000,0200,00000SQUARE FEET 31773,B100000,00000,0300,00000GROSS SALARIES 31773,B100000,00000,0400,00000ACCUM COST 31773,B100000,00000,0500,00000SQUARE FEET 31773,B100000,00000,0600,00000POUNDS OF LAUNDRY 31773,B100000,00000,0700,00000HOURS OF SERVICE 31773,B100000,00000,0800,00000MEALS SERVED 31773,B100000,00000,0900,00000DIRECT NRSG HRS 31773,B100000,00000,1000,00000COSTED REQUIS 31773,B100000,00000,1100,00000COSTED REQUIS 31773,B100000,00000,1200,00000TIME SPENT 31773,B100000,00000,1300,00000TIME SPENT 31773,B100000,00000,1350,00000 31773,B100000,00000,1400,00000ASSIGNED TIME 31773,E10A180,00550,0100,07/25/2000 31773,S000000,00100,0200,06/05/2000 31773,S200000,00100,0300,486 31773,S200000,00200,0100,VIBURNUM 31773,S200000,00200,0200,MO 31773,S200000,00200,0300,65566 31773,S200000,00300,0100,IRON 31773,S200000,00400,0100,STONECREST HEALTHCARE 31773,S200000,00400,0200,265582 31773,S200000,00400,0300,07/05/1994 31773,S200000,00400,0500,P 31773,S200000,01600,0100,Y 31773,S200000,01900,0100,S-CORPORATION SUBSIDIARY 31773,S200000,02800,0100,Y 31798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31798,A000000,00300,0000,00300EMPLOYEE BENEFITS 31798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31798,A000000,00700,0000,00700HOUSEKEEPING 31798,A000000,00800,0000,00800DIETARY 31798,A000000,00900,0000,00900NURSING ADMINISTRATION 31798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31798,A000000,01300,0000,01300SOCIAL SERVICE 31798,A000000,01600,0000,01600SKILLED NURSING FACILITY 31798,A000000,01800,0000,01800NURSING FACILITY 31798,A000000,02100,0000,02100RADIOLOGY 31798,A000000,02200,0000,02200LABORATORY 31798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31798,A000000,02500,0000,02500PHYSICAL THERAPY 31798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31798,A000000,02700,0000,02700SPEECH PATHOLOGY 31798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31798,A000000,05300,0000,05300INTEREST EXPENSE 31798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 31798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31798,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 31798,A000000,06100,0000,06100NONPAID WORKERS 31798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31798,A000000,06200,0000,06200PATIENTS LAUNDRY 31798,A81000A,00100,0100,Y 31798,A81000B,00100,0300,MANGMT FEES 31798,B100000,00000,0100,00000SQUARE FEET 31798,B100000,00000,0200,00000SQUARE FEET 31798,B100000,00000,0300,00000GROSS SALARIES 31798,B100000,00000,0400,00000ACCUM. COST 31798,B100000,00000,0500,00000SQUARE FEET 31798,B100000,00000,0600,00000POUNDS OF LAUNDRY 31798,B100000,00000,0700,00000SQUARE FEET 31798,B100000,00000,0800,00000MEALS SERVED 31798,B100000,00000,0900,00000HOURS OF SERVICE 31798,B100000,00000,1200,00000TIME SPENT 31798,B100000,00000,1300,00000TIME SPENT 31798,S000000,00100,0200,05/22/2000 31798,S200000,00100,0100,2600 REDMAN ROAD 31798,S200000,00200,0100,ST. LOUIS 31798,S200000,00200,0200,MO 31798,S200000,00300,0100,ST. LOUIS 31798,S200000,00400,0100,OAK FOREST NORTH 31798,S200000,00400,0200,265586 31798,S200000,00400,0300,06/15/1994 31798,S200000,00400,0500,P 31798,S200000,01600,0100,Y 31826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31826,A000000,00300,0000,00300EMPLOYEE BENEFITS 31826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31826,A000000,00700,0000,00700HOUSEKEEPING 31826,A000000,00800,0000,00800DIETARY 31826,A000000,00900,0000,00900NURSING ADMINISTRATION 31826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31826,A000000,01100,0000,01100PHARMACY 31826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31826,A000000,01300,0000,01300SOCIAL SERVICE 31826,A000000,01350,0000,01500ACTIVITIES 31826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31826,A000000,01600,0000,01600SKILLED NURSING FACILITY 31826,A000000,01800,0000,01800NURSING FACILITY 31826,A000000,01810,0000,01810ICF/MR 31826,A000000,02100,0000,02100RADIOLOGY 31826,A000000,02200,0000,02200LABORATORY 31826,A000000,02300,0000,02300INTRAVENOUS THERAPY 31826,A000000,02500,0000,02500PHYSICAL THERAPY 31826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31826,A000000,02700,0000,02700SPEECH PATHOLOGY 31826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31826,A000000,02901,0000,02901CLINITRON BEDS 31826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31826,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31826,A000000,03550,0000,03550FQHC 31826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31826,A000000,05000,0000,05000CORF 31826,A000000,05010,0000,05010CMHC 31826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31826,A81000A,00100,0100,Y 31826,A81000B,00100,0300,HOME OFFICE COSTS - OPERATING 31826,A81000B,00200,0300,HOME OFFICE COSTS - CAPITAL 31826,A81000C,00100,0100,A 31826,A81000C,00100,0200,MARTY CLARK 31826,A81000C,00100,0400,VILLAGE PROPERTIES INC. 31826,A81000C,00100,0600,MANAGEMENT 31826,A81000C,00200,0100,A 31826,A81000C,00200,0200,CHRIS CLARK 31826,A81000C,00200,0400,VILLAGE PROPERTIES INC. 31826,A81000C,00200,0600,MANAGEMENT 31826,A81000C,00300,0100,A 31826,A81000C,00300,0200,JACK CLARK 31826,A81000C,00300,0400,VILLAGE PROPERTIES INC 31826,A81000C,00300,0600,MANAGEMENT 31826,B100000,00000,0100,00000SQUARE FEET 31826,B100000,00000,0200,00000SQUARE FEET 31826,B100000,00000,0300,00000GROSS SALARIES 31826,B100000,00000,0400,00000ACCUM. COST 31826,B100000,00000,0500,00000SQUARE FEET 31826,B100000,00000,0600,00000POUNDS OF LAUNDRY 31826,B100000,00000,0700,00000SQ FEET LESS KITCH 31826,B100000,00000,0800,00000MEALS SERVED 31826,B100000,00000,0900,00000PATIENT DAYS 31826,B100000,00000,1000,00000COSTED REQUIS 31826,B100000,00000,1100,00000COSTED REQUIS 31826,B100000,00000,1200,00000HOURS OF SERVICE 31826,B100000,00000,1300,00000TIME SPENT 31826,B100000,00000,1350,00000PATIENT DAYS 31826,B100000,00000,1400,00000ASSIGNED TIME 31826,S000000,00100,0200,06/06/2000 31826,S200000,00100,0100,930 DUNCAN ROAD 31826,S200000,00200,0100,BLUE SPRINGS 31826,S200000,00200,0200,MO 31826,S200000,00200,0300,65014 31826,S200000,00300,0100,JACKSON 31826,S200000,00400,0100,BLUE SPRINGS CARE CENTER 31826,S200000,00400,0200,265595 31826,S200000,00400,0300,12/01/1994 31826,S200000,00400,0500,P 31826,S200000,01600,0100,Y 31826,S200000,01900,0100,S-CORPORATION SUBSIDIARY 31826,S200000,04300,0100,Y 31860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31860,A000000,00300,0000,00300EMPLOYEE BENEFITS 31860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31860,A000000,00700,0000,00700HOUSEKEEPING 31860,A000000,00800,0000,00800DIETARY 31860,A000000,00900,0000,00900NURSING ADMINISTRATION 31860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31860,A000000,01100,0000,01100PHARMACY 31860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31860,A000000,01300,0000,01300SOCIAL SERVICE 31860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31860,A000000,01600,0000,01600SKILLED NURSING FACILITY 31860,A000000,01800,0000,01800NURSING FACILITY 31860,A000000,01810,0000,01810ICF/MR 31860,A000000,02500,0000,02500PHYSICAL THERAPY 31860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31860,A000000,02700,0000,02700SPEECH PATHOLOGY 31860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31860,A000000,03550,0000,03550FQHC 31860,A000000,05000,0000,05000CORF 31860,A000000,05010,0000,05010CMHC 31860,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31860,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31860,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31860,A000000,05300,0000,05300INTEREST EXPENSE 31860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31860,B100000,00000,0100,00000SQUARE FEET 31860,B100000,00000,0200,00000SQUARE FEET 31860,B100000,00000,0300,00000GROSS SALARIES 31860,B100000,00000,0400,00000ACCUM. COST 31860,B100000,00000,0500,00000SQUARE FEET 31860,B100000,00000,0600,00000POUNDS OF LAUNDRY 31860,B100000,00000,0700,00000SQUARE FEET 31860,B100000,00000,0800,00000MEALS SERVED 31860,B100000,00000,0900,00000HOURS OF SERVICE 31860,B100000,00000,1000,00000COSTED REQUIS 31860,B100000,00000,1100,00000COSTED REQUIS 31860,B100000,00000,1200,00000TIME SPENT 31860,B100000,00000,1300,00000TIME SPENT 31860,B100000,00000,1400,00000ASSIGNED TIME 31860,S000000,00100,0200,08/02/1999 31860,S200000,00100,0100,11400 MEHL 31860,S200000,00200,0100,FLORISSANT 31860,S200000,00200,0200,MO 31860,S200000,00200,0300,63033 31860,S200000,00300,0100,ST. LOUIS 31860,S200000,00400,0100,ST. ELIZABETH MANOR 31860,S200000,00400,0200,265603 31860,S200000,00400,0300,02/01/1995 31860,S200000,00400,0500,P 31860,S200000,01600,0100,Y 31860,S200000,03100,0100,Y 31875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31875,A000000,00300,0000,00300EMPLOYEE BENEFITS 31875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31875,A000000,00700,0000,00700HOUSEKEEPING 31875,A000000,00800,0000,00800DIETARY 31875,A000000,00900,0000,00900NURSING ADMINISTRATION 31875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31875,A000000,01100,0000,01100PHARMACY 31875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31875,A000000,01300,0000,01300SOCIAL SERVICE 31875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31875,A000000,01600,0000,01600SKILLED NURSING FACILITY 31875,A000000,01810,0000,01810ICF/MR 31875,A000000,01900,0000,01900OTHER LONG TERM CARE 31875,A000000,02100,0000,02100RADIOLOGY 31875,A000000,02200,0000,02200LABORATORY 31875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 31875,A000000,02500,0000,02500PHYSICAL THERAPY 31875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31875,A000000,02700,0000,02700SPEECH PATHOLOGY 31875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31875,A000000,03550,0000,03550FQHC 31875,A000000,05000,0000,05000CORF 31875,A000000,05010,0000,05010CMHC 31875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31875,B100000,00000,0100,00040SQUARE FEET 31875,B100000,00000,0200,00040DOLLAR VALUE 31875,B100000,00000,0300,00040GROSS SALARIES 31875,B100000,00000,0400,00040ACCUM. COST 31875,B100000,00000,0500,00040SQUARE FEET 31875,B100000,00000,0600,00040PATIENT DA 31875,B100000,00000,0700,00040SQUARE FEET 31875,B100000,00000,0800,00040MEALS SERVED 31875,B100000,00000,0900,00040PATIENT DA 31875,B100000,00000,1000,00040COSTED REQUIS. 31875,B100000,00000,1100,00040COSTED REQUIS. 31875,B100000,00000,1200,00040PATIENT DA 31875,B100000,00000,1300,00040PATIENT DA 31875,B100000,00000,1400,00040ASSIGNED TIME 31875,S000000,00100,0200,06/01/2000 31875,S200000,00100,0100,250 NEW FLORISSANT 31875,S200000,00200,0100,FLORISSANT 31875,S200000,00200,0200,MO 31875,S200000,00300,0100,63031 ST LOUIS 31875,S200000,00400,0100,NORTHGATE PARK NURSING HOME 31875,S200000,00400,0200,265607 31875,S200000,00400,0300,04/01/1995 31875,S200000,00400,0500,P 31875,S200000,01600,0100,Y 31891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31891,A000000,00300,0000,00300EMPLOYEE BENEFITS 31891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31891,A000000,00700,0000,00700HOUSEKEEPING 31891,A000000,00800,0000,00800DIETARY 31891,A000000,00900,0000,00900NURSING ADMINISTRATION 31891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31891,A000000,01100,0000,01100PHARMACY 31891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31891,A000000,01300,0000,01300SOCIAL SERVICE 31891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31891,A000000,01600,0000,01600SKILLED NURSING FACILITY 31891,A000000,01800,0000,01800NURSING FACILITY 31891,A000000,01810,0000,01810ICF/MR 31891,A000000,02100,0000,02100RADIOLOGY 31891,A000000,02200,0000,02200LABORATORY 31891,A000000,02500,0000,02500PHYSICAL THERAPY 31891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31891,A000000,02700,0000,02700SPEECH PATHOLOGY 31891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31891,A000000,03550,0000,03550FQHC 31891,A000000,05000,0000,05000CORF 31891,A000000,05010,0000,05010CMHC 31891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31891,A000000,05300,0000,05300INTEREST EXPENSE 31891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31891,A000000,06150,0000,06300NON-REIMBURSABLE 31891,A81000A,00100,0100,Y 31891,A81000B,00100,0300,MANAGEMENT FEE 31891,A81000C,00100,0100,B 31891,A81000C,00100,0400,CHRISTIAN NURSI 31891,A81000C,00100,0600,CORP. OFFICE 31891,B100000,00000,0100,00000SQUARE FEET 31891,B100000,00000,0200,00000SQUARE FEET 31891,B100000,00000,0300,00000GROSS SALARIES 31891,B100000,00000,0400,00000ACCUM COST 31891,B100000,00000,0500,00000SQUARE FEET 31891,B100000,00000,0600,00000PATIENT DAYS 31891,B100000,00000,0700,00000SQUARE FEET 31891,B100000,00000,0800,00000PATIENT DAYS 31891,B100000,00000,0900,00000PATIENT DAYS 31891,B100000,00000,1000,00000PATIENT DAYS 31891,B100000,00000,1100,00000COSTED REQUIS 31891,B100000,00000,1200,00000TIME SPENT 31891,B100000,00000,1300,00000PATIENT DAYS 31891,B100000,00000,1400,00000ASSIGNED TIME 31891,E10A180,00501,0100,01/29/2001 31891,E10A180,00550,0300,01/29/2001 31891,S000000,00100,0200,12/04/2000 31891,S200000,00100,0100,201 NORTHPARK LANE 31891,S200000,00200,0100,JOPLIN 31891,S200000,00200,0200,MO 31891,S200000,00400,0100,SPRING RIVER CHRISTIAN VILLAGE 31891,S200000,00400,0200,265617 31891,S200000,00400,0300,07/01/1995 31891,S200000,00400,0500,P 31891,S200000,01600,0100,Y 31891,S200000,02200,0100,Y 31920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31920,A000000,00300,0000,00300EMPLOYEE BENEFITS 31920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31920,A000000,00700,0000,00700HOUSEKEEPING 31920,A000000,00800,0000,00800DIETARY 31920,A000000,00900,0000,00900NURSING ADMINISTRATION 31920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31920,A000000,01100,0000,01100PHARMACY 31920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31920,A000000,01300,0000,01300SOCIAL SERVICE 31920,A000000,01350,0000,01500ACTIVITIES 31920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31920,A000000,01600,0000,01600SKILLED NURSING FACILITY 31920,A000000,01800,0000,01800NURSING FACILITY 31920,A000000,01810,0000,01810ICF/MR 31920,A000000,02100,0000,02100RADIOLOGY 31920,A000000,02200,0000,02200LABORATORY 31920,A000000,02500,0000,02500PHYSICAL THERAPY 31920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31920,A000000,02700,0000,02700SPEECH PATHOLOGY 31920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31920,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31920,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31920,A000000,03550,0000,03550FQHC 31920,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31920,A000000,05000,0000,05000CORF 31920,A000000,05010,0000,05010CMHC 31920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31920,A000000,05300,0000,05300INTEREST EXPENSE 31920,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31920,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 31920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31920,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31920,A81000A,00100,0100,Y 31920,A81000B,00100,0300,MANAGEMENT FEES 31920,A81000B,00200,0300,HOME OFF CAPITAL EXPENSE 31920,A81000B,00300,0300,BLDG LEASE 31920,A81000B,00400,0300,RELATED PARTY INTEREST EXPENSE 31920,A81000C,00100,0100,A 31920,A81000C,00100,0200,WILLIAM WEIER 31920,A81000C,00100,0400,LARUS CORPORATION 31920,A81000C,00100,0600,MANAGMENT COMPANY 31920,A81000C,00200,0100,A 31920,A81000C,00200,0200,RICHARD WINTER 31920,A81000C,00200,0400,LARUS CORPORATION 31920,A81000C,00200,0600,MANAGMENT COMPANY 31920,A81000C,00300,0100,A 31920,A81000C,00300,0200,WILLIAM WEIER 31920,A81000C,00300,0400,LARUS REAL ESTATE 31920,A81000C,00300,0600,LESSOR 31920,A81000C,00400,0100,A 31920,A81000C,00400,0200,RICHARD WINTER 31920,A81000C,00400,0400,LARUS REAL ESTATE 31920,A81000C,00400,0600,LESSOR 31920,B100000,00000,0100,00000SQUARE FEET 31920,B100000,00000,0200,00000SQUARE FEET 31920,B100000,00000,0300,00000GROSS SALARIES 31920,B100000,00000,0400,00000ACCUM. COST 31920,B100000,00000,0500,00000SQUARE FEET 31920,B100000,00000,0600,00000POUNDS OF LAUNDRY 31920,B100000,00000,0700,00000SQUARE FT CLEANED 31920,B100000,00000,0800,00000MEALS SERVED 31920,B100000,00000,0900,00000DIRECT NRSING HRS 31920,B100000,00000,1000,00000COSTED REQUIS. 31920,B100000,00000,1100,00000COSTED REQUIS. 31920,B100000,00000,1200,00000TIME SPENT 31920,B100000,00000,1300,00000TIME SPENT 31920,B100000,00000,1350,00000TIME SPENT 31920,B100000,00000,1400,00000ASSIGNED TIME 31920,E10A180,00501,0100,02/12/2001 31920,E10A180,00501,0300,02/12/2001 31920,S000000,00100,0200,12/27/2000 31920,S200000,00100,0100,1025 CHESTERFIELD POINTE PARKWAY 31920,S200000,00200,0100,CHESTERFIELD 31920,S200000,00200,0200,MO 31920,S200000,00200,0300,63017 31920,S200000,00300,0100,S 31920,S200000,00400,0100,GARDEN VIEW CARE CTR CHESTERFIELD 31920,S200000,00400,0200,265627 31920,S200000,00400,0300,10/04/1995 31920,S200000,00400,0500,P 31920,S200000,01600,0100,Y 31930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31930,A000000,00300,0000,00300EMPLOYEE BENEFITS 31930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31930,A000000,00700,0000,00700HOUSEKEEPING 31930,A000000,00800,0000,00800DIETARY 31930,A000000,00900,0000,00900NURSING ADMINISTRATION 31930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31930,A000000,01100,0000,01100PHARMACY 31930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31930,A000000,01300,0000,01300SOCIAL SERVICE 31930,A000000,01350,0000,01500OTHER GENERAL SERVICES 31930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31930,A000000,01600,0000,01600SKILLED NURSING FACILITY 31930,A000000,01800,0000,01800NURSING FACILITY 31930,A000000,01810,0000,01810ICF/MR 31930,A000000,02100,0000,02100RADIOLOGY 31930,A000000,02200,0000,02200LABORATORY 31930,A000000,02500,0000,02500PHYSICAL THERAPY 31930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31930,A000000,02700,0000,02700SPEECH PATHOLOGY 31930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31930,A000000,03550,0000,03550FQHC 31930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31930,A000000,05000,0000,05000CORF 31930,A000000,05010,0000,05010CMHC 31930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31930,A81000A,00100,0100,Y 31930,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 31930,A81000B,00200,0300,CAPITAL REL COSTS - BLDGS 31930,A81000C,00100,0100,B 31930,A81000C,00100,0200,DAVID DUNCAN 31930,A81000C,00100,0400,TIFFANY CARE CENTERS INC 31930,A81000C,00100,0600,HOME OFFICE 31930,B100000,00000,0100,00000SQUARE FEET 31930,B100000,00000,0200,00000SQUARE FEET 31930,B100000,00000,0300,00000GROSS SALARIES 31930,B100000,00000,0400,00000ACCUM. COST 31930,B100000,00000,0500,00000SQUARE FEET 31930,B100000,00000,0600,00000POUNDS OF LAUNDRY 31930,B100000,00000,0700,00000SQUARE FEET 31930,B100000,00000,0800,00000MEALS SERVED 31930,B100000,00000,0900,00000DIRECT NRSING HRS 31930,B100000,00000,1000,00000COSTED REQUIS. 31930,B100000,00000,1100,00000COSTED REQUIS. 31930,B100000,00000,1200,00000TIME SPENT 31930,B100000,00000,1300,00000TIME SPENT 31930,B100000,00000,1350,00000NO STATISTICS 31930,B100000,00000,1400,00000ASSIGNED TIME 31930,S000000,00100,0200,06/01/2000 31930,S200000,00100,0100,501 SOUTH MONROE 31930,S200000,00200,0100,OREGON 31930,S200000,00200,0200,MO 31930,S200000,00200,0300,64473 31930,S200000,00300,0100,ATCHISON 31930,S200000,00400,0100,OREGON CARE CENTER 31930,S200000,00400,0200,265629 31930,S200000,00400,0300,02/01/1996 31930,S200000,00400,0500,P 31930,S200000,01600,0100,Y 31947,S000000,00100,0200,01/24/2000 31956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 31956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 31956,A000000,00300,0000,00300EMPLOYEE BENEFITS 31956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 31956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 31956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 31956,A000000,00700,0000,00700HOUSEKEEPING 31956,A000000,00800,0000,00800DIETARY 31956,A000000,00900,0000,00900NURSING ADMINISTRATION 31956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 31956,A000000,01100,0000,01100PHARMACY 31956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 31956,A000000,01300,0000,01300SOCIAL SERVICE 31956,A000000,01350,0000,01500OTHER GENERAL SERVICES 31956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 31956,A000000,01600,0000,01600SKILLED NURSING FACILITY 31956,A000000,01800,0000,01800NURSING FACILITY 31956,A000000,01810,0000,01810ICF/MR 31956,A000000,01900,0000,01900OTHER LONG TERM CARE 31956,A000000,02200,0000,02200LABORATORY 31956,A000000,02500,0000,02500PHYSICAL THERAPY 31956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 31956,A000000,02700,0000,02700SPEECH PATHOLOGY 31956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 31956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 31956,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 31956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 31956,A000000,03550,0000,03550FQHC 31956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 31956,A000000,04800,0000,04800AMBULANCE 31956,A000000,05000,0000,05000CORF 31956,A000000,05010,0000,05010CMHC 31956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 31956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 31956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 31956,A000000,05300,0000,05300INTEREST EXPENSE 31956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 31956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 31956,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 31956,A000000,06151,0000,06301COMMUNITY CENTER 31956,A000000,06152,0000,06302MANOR 31956,A000000,06153,0000,06303INDEPENDENT LIVING 31956,A000000,06154,0000,06304CHILD CARE 31956,A000000,06155,0000,06305DEVELOPMENT 31956,A81000A,00100,0100,Y 31956,A81000B,00100,0300,HOME OFFICE COSTS 31956,A81000C,00100,0100,B 31956,A81000C,00100,0200,NATIONAL BENEVOLENT ASSOC 31956,A81000C,00100,0400,NATIONAL BENEVOLENT ASSOC 31956,A81000C,00100,0600,MANAGEMENT 31956,B100000,00000,0100,00005SQUARE FEET 31956,B100000,00000,0200,00005SQUARE FEET 31956,B100000,00000,0300,00005GROSS SALARIES 31956,B100000,00000,0400,00005ACCUM. COST 31956,B100000,00000,0500,00005SQUARE FEET 31956,B100000,00000,0600,00005PATIENT DAYS 31956,B100000,00000,0700,00005SQUARE FEET 31956,B100000,00000,0800,00005MEALS SERVED 31956,B100000,00000,0900,00005DIRECT NRSING HRS 31956,B100000,00000,1000,00005COSTED REQUIS 31956,B100000,00000,1100,00005COSTED REQUIS 31956,B100000,00000,1200,00005PATIENT DAYS 31956,B100000,00000,1300,00005PATIENT DAYS 31956,B100000,00000,1350,00005 31956,B100000,00000,1400,00005ASSIGNED TIME 31956,E10A180,00501,0300,07/05/2000 31956,S000000,00100,0200,05/31/2000 31956,S200000,00100,0100,3612 LENOIR STREET 31956,S200000,00200,0100,COLUMBIA 31956,S200000,00200,0200,MO 31956,S200000,00200,0300,65201 31956,S200000,00300,0100,BOONE 31956,S200000,00400,0100,LENOIR HEALTH CARE CENTER 31956,S200000,00400,0200,265639 31956,S200000,00400,0300,02/21/1996 31956,S200000,00400,0500,P 31956,S200000,01600,0100,Y 31968,S000000,00100,0200,06/01/2000 32010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32010,A000000,00300,0000,00300EMPLOYEE BENEFITS 32010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32010,A000000,00700,0000,00700HOUSEKEEPING 32010,A000000,00800,0000,00800DIETARY 32010,A000000,00801,0000,00801CAFETERIA 32010,A000000,00900,0000,00900NURSING ADMINISTRATION 32010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32010,A000000,01100,0000,01100PHARMACY 32010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32010,A000000,01300,0000,01300SOCIAL SERVICE 32010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32010,A000000,01600,0000,01600SKILLED NURSING FACILITY 32010,A000000,01810,0000,01810ICF/MR 32010,A000000,02100,0000,02100RADIOLOGY 32010,A000000,02200,0000,02200LABORATORY 32010,A000000,02300,0000,02300INTRAVENOUS THERAPY 32010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32010,A000000,02500,0000,02500PHYSICAL THERAPY 32010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32010,A000000,02700,0000,02700SPEECH PATHOLOGY 32010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32010,A000000,03550,0000,03550FQHC 32010,A000000,05000,0000,05000CORF 32010,A000000,05010,0000,05010CMHC 32010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32010,A000000,05300,0000,05300INTEREST EXPENSE 32010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32010,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32010,B100000,00000,0100,00000SQUARE FEET 32010,B100000,00000,0200,00000SQUARE FEET 32010,B100000,00000,0300,00000GROSS SALARIES 32010,B100000,00000,0400,00000ACCUM COST 32010,B100000,00000,0500,00000SQUARE FEET 32010,B100000,00000,0600,00000PATIENT DAYS 32010,B100000,00000,0700,00000SQUARE FEET 32010,B100000,00000,0800,00000MEALS SERVED 32010,B100000,00000,0801,00000FTE EMPLOYEES 32010,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32010,B100000,00000,1000,00000COSTED REQUISITIO 32010,B100000,00000,1100,00000COSTED REQUISITIO 32010,B100000,00000,1200,00000PATIENT DAYS 32010,B100000,00000,1300,00000PATIENT DAYS 32010,B100000,00000,1400,00000ASSIGNED TIME 32010,S000000,00100,0200,12/01/2000 32010,S200000,00100,0100,404 EAST THIRD 32010,S200000,00100,0300,307 32010,S200000,00200,0100,STOVER 32010,S200000,00200,0200,MO 32010,S200000,00200,0300,65078 32010,S200000,00300,0100,M 32010,S200000,00400,0100,GOLDEN AGE NURSING HOME 32010,S200000,00400,0200,265655 32010,S200000,00400,0300,08/01/1996 32010,S200000,00400,0500,P 32010,S200000,01500,0100,Y 32025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32025,A000000,00300,0000,00300EMPLOYEE BENEFITS 32025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32025,A000000,00700,0000,00700HOUSEKEEPING 32025,A000000,00800,0000,00800DIETARY 32025,A000000,00900,0000,00900NURSING ADMINISTRATION 32025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32025,A000000,01100,0000,01100PHARMACY 32025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32025,A000000,01300,0000,01300SOCIAL SERVICE 32025,A000000,01350,0000,01500OTHER GENERAL SERVICES 32025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32025,A000000,01600,0000,01600SKILLED NURSING FACILITY 32025,A000000,01800,0000,01800NURSING FACILITY 32025,A000000,01810,0000,01810ICF/MR 32025,A000000,02200,0000,02200LABORATORY 32025,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32025,A000000,02500,0000,02500PHYSICAL THERAPY 32025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32025,A000000,02700,0000,02700SPEECH PATHOLOGY 32025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32025,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32025,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32025,A000000,03550,0000,03550FQHC 32025,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32025,A000000,05000,0000,05000CORF 32025,A000000,05010,0000,05010CMHC 32025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32025,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32025,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32025,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32025,A81000A,00100,0100,Y 32025,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 32025,A81000C,00100,0100,A 32025,A81000C,00100,0200,LOWELL FOX 32025,A81000C,00100,0400,DIAMOND HEALTHCARE INC 32025,A81000C,00100,0600,HOLDING CO. REAL ESTATE 32025,B100000,00000,0100,00000SQUARE FEET 32025,B100000,00000,0200,00000SQUARE FEET 32025,B100000,00000,0300,00000GROSS SALARIES 32025,B100000,00000,0400,00000ACCUM. COST 32025,B100000,00000,0500,00000SQUARE FEET 32025,B100000,00000,0600,00000PATIENT DAYS 32025,B100000,00000,0700,00000SQUARE FEET 32025,B100000,00000,0800,00000MEALS SERVED 32025,B100000,00000,0900,00000DIRECT NURSING HR 32025,B100000,00000,1000,00000NO STATISTICS 32025,B100000,00000,1100,00000NO STATISTICS 32025,B100000,00000,1200,00000PATIENT DAYS 32025,B100000,00000,1300,00000PATIENT DAYS 32025,B100000,00000,1350,00000NO STATISTICS 32025,B100000,00000,1400,00000NO STATISTICS 32025,S000000,00100,0200,01/12/2001 32025,S200000,00100,0100,5026 FARAON 32025,S200000,00200,0100,ST. JOSEPH 32025,S200000,00200,0200,MO 32025,S200000,00200,0300,64506 32025,S200000,00300,0100,B 32025,S200000,00400,0100,CITADEL HEALTH CARE 32025,S200000,00400,0200,265657 32025,S200000,00400,0300,08/02/1996 32025,S200000,00400,0500,P 32025,S200000,01600,0100,Y 32065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32065,A000000,00300,0000,00300EMPLOYEE BENEFITS 32065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32065,A000000,00700,0000,00700HOUSEKEEPING 32065,A000000,00800,0000,00800DIETARY 32065,A000000,00900,0000,00900NURSING ADMINISTRATION 32065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32065,A000000,01100,0000,01100PHARMACY 32065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32065,A000000,01300,0000,01300SOCIAL SERVICE 32065,A000000,01350,0000,01500OTHER GENERAL SERVICES 32065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32065,A000000,01600,0000,01600SKILLED NURSING FACILITY 32065,A000000,01800,0000,01800NURSING FACILITY 32065,A000000,01810,0000,01810ICF/MR 32065,A000000,02100,0000,02100RADIOLOGY 32065,A000000,02200,0000,02200LABORATORY 32065,A000000,02500,0000,02500PHYSICAL THERAPY 32065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32065,A000000,02700,0000,02700SPEECH PATHOLOGY 32065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32065,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32065,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32065,A000000,03550,0000,03550FQHC 32065,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32065,A000000,05000,0000,05000CORF 32065,A000000,05010,0000,05010CMHC 32065,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32065,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32065,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32065,A000000,05300,0000,05300INTEREST EXPENSE 32065,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32065,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32065,A81000A,00100,0100,Y 32065,A81000B,00100,0300,MANAGEMENT FEE 32065,A81000C,00100,0100,C 32065,A81000C,00100,0200,TOM DAAKE 32065,A81000C,00100,0400,PROF HEALTHCARE MGMT. INC 32065,A81000C,00100,0600,MANAGEMENT 32065,B100000,00000,0100,00000SQUARE FEET 32065,B100000,00000,0200,00000SQUARE FEET 32065,B100000,00000,0300,00000GROSS SALARIES 32065,B100000,00000,0400,00000ACCUM. COST 32065,B100000,00000,0500,00000SQUARE FEET 32065,B100000,00000,0600,00000PATIENT DAYS 32065,B100000,00000,0700,00000SQUARE FEET 32065,B100000,00000,0800,00000MEALS SERVED 32065,B100000,00000,0900,00000DIRECT NRSING HRS 32065,B100000,00000,1000,00000COSTED REQUIS. 32065,B100000,00000,1100,00000COSTED REQUIS. 32065,B100000,00000,1200,00000TIME SPENT 32065,B100000,00000,1300,00000TIME SPENT 32065,B100000,00000,1350,00000NO STATISTICS 32065,B100000,00000,1400,00000ASSIGNED TIME 32065,S000000,00100,0200,08/09/2000 32065,S200000,00100,0100,3421 GASCONADE 32065,S200000,00200,0100,ST. LOUIS 32065,S200000,00200,0200,MO 32065,S200000,00300,0100,CITY OF ST. LOUIS 32065,S200000,00400,0100,DUTCHTOWN CARE CENTER 32065,S200000,00400,0200,265672 32065,S200000,00400,0300,03/12/1997 32065,S200000,00400,0500,P 32065,S200000,01600,0100,Y 32065,S200000,02200,0100,Y 32079,S000000,00100,0200,01/04/2000 32082,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32082,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32082,A000000,00300,0000,00300EMPLOYEE BENEFITS 32082,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32082,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32082,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32082,A000000,00700,0000,00700HOUSEKEEPING 32082,A000000,00800,0000,00800DIETARY 32082,A000000,00900,0000,00900NURSING ADMINISTRATION 32082,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32082,A000000,01100,0000,01100PHARMACY 32082,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32082,A000000,01300,0000,01300SOCIAL SERVICE 32082,A000000,01350,0000,01500OTHER GENERAL SERVICES 32082,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32082,A000000,01600,0000,01600SKILLED NURSING FACILITY 32082,A000000,01800,0000,01800NURSING FACILITY 32082,A000000,01810,0000,01810ICF/MR 32082,A000000,02200,0000,02200LABORATORY 32082,A000000,02500,0000,02500PHYSICAL THERAPY 32082,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32082,A000000,02700,0000,02700SPEECH PATHOLOGY 32082,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32082,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32082,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32082,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32082,A000000,03550,0000,03550FQHC 32082,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32082,A000000,05000,0000,05000CORF 32082,A000000,05010,0000,05010CMHC 32082,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32082,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32082,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32082,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32082,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32082,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32082,B100000,00000,0100,00000SQUARE FEET 32082,B100000,00000,0200,00000DOLLAR VALUE 32082,B100000,00000,0300,00000GROSS SALARIES 32082,B100000,00000,0400,00000ACCUM. COST 32082,B100000,00000,0500,00000SQUARE FEET 32082,B100000,00000,0600,00000POUNDS OF LAUNDRY 32082,B100000,00000,0700,00000SQUARE FEET 32082,B100000,00000,0800,00000MEALS SERVED 32082,B100000,00000,0900,00000DIRECT NRSING HRS 32082,B100000,00000,1000,00000COSTED REQUIS. 32082,B100000,00000,1100,00000COSTED REQUIS. 32082,B100000,00000,1200,00000TIME SPENT 32082,B100000,00000,1300,00000TIME SPENT 32082,B100000,00000,1350,00000NO STATISTICS 32082,B100000,00000,1400,00000ASSIGNED TIME 32082,E10A180,00550,0300,04/11/2000 32082,S000000,00100,0200,03/01/2000 32082,S200000,00100,0100,ROUTE 2 BOX 650 32082,S200000,00200,0100,CAMPBELL 32082,S200000,00200,0200,MO 32082,S200000,00200,0300,63933 32082,S200000,00300,0100,D 32082,S200000,00400,0100,GENERAL BAPTIST NURSING HOME 32082,S200000,00400,0200,265677 32082,S200000,00400,0300,08/07/1997 32082,S200000,00400,0500,P 32082,S200000,01600,0100,Y 32095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32095,A000000,00300,0000,00300EMPLOYEE BENEFITS 32095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32095,A000000,00700,0000,00700HOUSEKEEPING 32095,A000000,00800,0000,00800DIETARY 32095,A000000,00900,0000,00900NURSING ADMINISTRATION 32095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32095,A000000,01100,0000,01100PHARMACY 32095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32095,A000000,01300,0000,01300SOCIAL SERVICE 32095,A000000,01350,0000,01500OTHER GENERAL SERVICES 32095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32095,A000000,01600,0000,01600SKILLED NURSING FACILITY 32095,A000000,01800,0000,01800NURSING FACILITY 32095,A000000,01810,0000,01810ICF/MR 32095,A000000,02100,0000,02100RADIOLOGY 32095,A000000,02200,0000,02200LABORATORY 32095,A000000,02300,0000,02300INTRAVENOUS THERAPY 32095,A000000,02500,0000,02500PHYSICAL THERAPY 32095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32095,A000000,02700,0000,02700SPEECH PATHOLOGY 32095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32095,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32095,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32095,A000000,03550,0000,03550FQHC 32095,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32095,A000000,05000,0000,05000CORF 32095,A000000,05010,0000,05010CMHC 32095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32095,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32095,A81000A,00100,0100,Y 32095,A81000B,00100,0300,MANAGEMENT FEES 32095,A81000B,00200,0300,ACCOUNTING SERVICES 32095,A81000B,00300,0300,VEHICLE & EQUIP EXPENSE 32095,A81000C,00100,0100,A 32095,A81000C,00100,0200,JUCKETTE FAMILY 32095,A81000C,00100,0400,JUCKETTE MANAGEMENT CO 32095,A81000C,00100,0600,NURSING HOME MANAGEMENT 32095,A81000C,00200,0100,A 32095,A81000C,00200,0200,JUCKETTE FAMILY 32095,A81000C,00200,0400,WITT & JUCKETTE CONSTRUCT 32095,A81000C,00200,0600,CONSTRUCTION COMPANY 32095,B100000,00000,0100,00000SQUARE FEET 32095,B100000,00000,0200,00000SQUARE FEET 32095,B100000,00000,0300,00000GROSS SALARIES 32095,B100000,00000,0400,00000ACCUM. COST 32095,B100000,00000,0500,00000SQUARE FEET 32095,B100000,00000,0600,00000POUNDS OF LAUNDRY 32095,B100000,00000,0700,00000SQUARE FEET CL 32095,B100000,00000,0800,00000MEALS SERVED 32095,B100000,00000,0900,00000DIRECT NURSING HR 32095,B100000,00000,1000,00000COSTED REQUIS. 32095,B100000,00000,1100,00000COSTED REQUIS. 32095,B100000,00000,1200,00000TIME SPENT 32095,B100000,00000,1300,00000TIME SPENT 32095,B100000,00000,1350,00000NO STATISTICS 32095,B100000,00000,1400,00000ASSIGNED TIME 32095,S000000,00100,0200,01/03/2001 32095,S200000,00100,0100,6814 SOBBIE ROAD 32095,S200000,00200,0100,LIBERTY 32095,S200000,00200,0200,MO 32095,S200000,00200,0300,64068 32095,S200000,00300,0100,C 32095,S200000,00400,0100,PLEASANT VALLEY MANOR CARE CENTER 32095,S200000,00400,0200,265679 32095,S200000,00400,0300,08/01/1997 32095,S200000,00400,0500,P 32095,S200000,01600,0100,Y 32115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32115,A000000,00300,0000,00300EMPLOYEE BENEFITS 32115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32115,A000000,00700,0000,00700HOUSEKEEPING 32115,A000000,00800,0000,00800DIETARY 32115,A000000,00900,0000,00900NURSING ADMINISTRATION 32115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32115,A000000,01100,0000,01100PHARMACY 32115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32115,A000000,01300,0000,01300SOCIAL SERVICE 32115,A000000,01350,0000,01500OTHER GENERAL SERVICES 32115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32115,A000000,01600,0000,01600SKILLED NURSING FACILITY 32115,A000000,01800,0000,01800NURSING FACILITY 32115,A000000,02200,0000,02200LABORATORY 32115,A000000,02500,0000,02500PHYSICAL THERAPY 32115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32115,A000000,02700,0000,02700SPEECH PATHOLOGY 32115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32115,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32115,A000000,03200,0000,03200SUPPORT SURFACES 32115,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32115,A000000,03550,0000,03550FQHC 32115,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32115,A000000,05000,0000,05000CORF 32115,A000000,05010,0000,05010CMHC 32115,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32115,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32115,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32115,A000000,05300,0000,05300INTEREST EXPENSE 32115,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32115,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32115,B100000,00000,0100,00000SQUARE FEET 32115,B100000,00000,0200,00000SQUARE FEET 32115,B100000,00000,0300,00000GROSS SALARY 32115,B100000,00000,0400,00000ACCUM. COST 32115,B100000,00000,0500,00000SQUARE FEET 32115,B100000,00000,0600,00000PATIENT DAYS 32115,B100000,00000,0700,00000SQUARE FEET 32115,B100000,00000,0800,00000MEALS SERVED 32115,B100000,00000,0900,00000PATIENT DAYS 32115,B100000,00000,1000,00000NO STATISTICS 32115,B100000,00000,1100,00000NO STATISTICS 32115,B100000,00000,1200,00000TIME SPENT 32115,B100000,00000,1300,00000TIME SPENT 32115,B100000,00000,1350,00000NO STATISTICS 32115,B100000,00000,1400,00000NO STATISTICS 32115,S000000,00100,0200,01/02/2001 32115,S200000,00100,0100,702 CENTER STREET 32115,S200000,00200,0100,LATHROP 32115,S200000,00200,0200,MO 32115,S200000,00200,0300,64429 32115,S200000,00300,0100,C 32115,S200000,00400,0100,LATHROP HEALTH FACILITY 32115,S200000,00400,0200,265691 32115,S200000,00400,0300,03/31/1998 32115,S200000,00400,0500,P 32115,S200000,01600,0100,Y 32121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32121,A000000,00300,0000,00300EMPLOYEE BENEFITS 32121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32121,A000000,00700,0000,00700HOUSEKEEPING 32121,A000000,00800,0000,00800DIETARY 32121,A000000,00900,0000,00900NURSING ADMINISTRATION 32121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32121,A000000,01100,0000,01100PHARMACY 32121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32121,A000000,01300,0000,01300SOCIAL SERVICE 32121,A000000,01350,0000,01500OTHER GENERAL SERVICES 32121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32121,A000000,01600,0000,01600SKILLED NURSING FACILITY 32121,A000000,01800,0000,01800NURSING FACILITY 32121,A000000,02200,0000,02200LABORATORY 32121,A000000,02500,0000,02500PHYSICAL THERAPY 32121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32121,A000000,02700,0000,02700SPEECH PATHOLOGY 32121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32121,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32121,A000000,03550,0000,03550FQHC 32121,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32121,A000000,05000,0000,05000CORF 32121,A000000,05010,0000,05010CMHC 32121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32121,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32121,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32121,B100000,00000,0100,00000SQUARE FEET 32121,B100000,00000,0200,00000SQUARE FEET 32121,B100000,00000,0300,00000GROSS SALARIES 32121,B100000,00000,0400,00000ACCUM. COST 32121,B100000,00000,0500,00000SQUARE FEET 32121,B100000,00000,0600,00000POUNDS OF LAUNDRY 32121,B100000,00000,0700,00000SQUARE FEET 32121,B100000,00000,0800,00000NUMBER OF MEALS 32121,B100000,00000,0900,00000DIRECT NSG. 32121,B100000,00000,1000,00000COSTEDREQU UISITIONS 32121,B100000,00000,1100,00000COSTEDREQU UISITIONS 32121,B100000,00000,1200,00000TIME SPENT 32121,B100000,00000,1300,00000TIME SPENT 32121,B100000,00000,1350,00000NO STATISTICS 32121,B100000,00000,1400,00000NO STATISTICS 32121,S000000,00100,0200,09/18/2000 32121,S200000,00100,0100,504 N. LIVINGSTON 32121,S200000,00200,0100,SHELBINA 32121,S200000,00200,0200,MO 32121,S200000,00200,0300,63468 32121,S200000,00300,0100,SHELBY 32121,S200000,00400,0100,SALT RIVER NURSING HOME 32121,S200000,00400,0200,265694 32121,S200000,00400,0300,07/01/1998 32121,S200000,00400,0500,P 32121,S200000,00600,0200,265694 32121,S200000,00600,0300,03/23/1986 32121,S200000,01600,0100,Y 32121,S200000,02800,0100,Y 32143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32143,A000000,00300,0000,00300EMPLOYEE BENEFITS 32143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32143,A000000,00700,0000,00700HOUSEKEEPING 32143,A000000,00800,0000,00800DIETARY 32143,A000000,00900,0000,00900NURSING ADMINISTRATION 32143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32143,A000000,01100,0000,01100PHARMACY 32143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32143,A000000,01300,0000,01300SOCIAL SERVICE 32143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32143,A000000,01600,0000,01600SKILLED NURSING FACILITY 32143,A000000,01800,0000,01800NURSING FACILITY 32143,A000000,01810,0000,01810ICF/MR 32143,A000000,02100,0000,02100RADIOLOGY 32143,A000000,02200,0000,02200LABORATORY 32143,A000000,02300,0000,02300INTRAVENOUS THERAPY 32143,A000000,02500,0000,02500PHYSICAL THERAPY 32143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32143,A000000,02700,0000,02700SPEECH PATHOLOGY 32143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32143,A000000,03200,0000,03200SUPPORT SURFACES 32143,A000000,03250,0000,03250EQUIPMENT RENTAL 32143,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 32143,A000000,05000,0000,05000CORF 32143,A000000,05010,0000,05010CMHC 32143,A000000,05020,0000,05020OPT 32143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32143,A81000A,00100,0100,Y 32143,A81000B,00100,0300,H/O CAPITAL COSTS 32143,A81000B,00200,0300,MANAGEMENT FEES 32143,A81000C,00100,0100,F 32143,A81000C,00100,0200,JOHN L BLACK JR 32143,A81000C,00100,0400,HCM INC. 32143,A81000C,00100,0600,MANAGEMENT CO. 32143,A81000C,00200,0100,F 32143,A81000C,00200,0200,BOBBY ARNOLD 32143,A81000C,00200,0400,HCM INC. 32143,A81000C,00200,0600,MANAGEMENT CO. 32143,A81000C,00300,0100,F 32143,A81000C,00300,0200,MARK WALDROP 32143,A81000C,00300,0400,HCM INC. 32143,A81000C,00300,0600,MANAGEMENT CO. 32143,B100000,00000,0100,00000(SQUARE FEET) 32143,B100000,00000,0200,00000(SQUARE FEET) 32143,B100000,00000,0300,00000(GROSS SALARIES) 32143,B100000,00000,0400,00000(ACCUM COST) 32143,B100000,00000,0500,00000(SQUARE FEET) 32143,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 32143,B100000,00000,0700,00000(HOURS OF SERVICE) 32143,B100000,00000,0800,00000(MEALS SERVED) 32143,B100000,00000,0900,00000(DIR NRSG HOURS) 32143,B100000,00000,1000,00000(COSTED REQUIS) 32143,B100000,00000,1100,00000(COSTED REQUIS) 32143,B100000,00000,1200,00000(TIME SPENT) 32143,B100000,00000,1300,00000(TIME SPENT) 32143,B100000,00000,1400,00000(ASSIGNED TIME) 32143,S000000,00100,0200,08/01/2000 32143,S200000,00100,0100,CLEBURNE HEALTH CARE CENTER 32143,S200000,00200,0100,CLEBURNE 32143,S200000,00200,0200,TEXAS 32143,S200000,00200,0300,76031 32143,S200000,00300,0100,JOHNSON 32143,S200000,00400,0100,CLEBURNE HEALTH CARE CENTER 32143,S200000,00400,0200,455665 32143,S200000,00400,0300,04/01/1993 32143,S200000,00400,0500,P 32143,S200000,01600,0100,Y 32143,S200000,01900,0100,S-CORPORATION SUBSIDIARY 32156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32156,A000000,00300,0000,00300EMPLOYEE BENEFITS 32156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32156,A000000,00700,0000,00700HOUSEKEEPING 32156,A000000,00800,0000,00800DIETARY 32156,A000000,00900,0000,00900NURSING ADMINISTRATION 32156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32156,A000000,01100,0000,01100PHARMACY 32156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32156,A000000,01300,0000,01300SOCIAL SERVICE 32156,A000000,01350,0000,01500OTHER GENERAL SERVICES 32156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32156,A000000,01600,0000,01600SKILLED NURSING FACILITY 32156,A000000,01800,0000,01800NURSING FACILITY 32156,A000000,01810,0000,01810ICF/MR 32156,A000000,02200,0000,02200LABORATORY 32156,A000000,02500,0000,02500PHYSICAL THERAPY 32156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32156,A000000,02700,0000,02700SPEECH PATHOLOGY 32156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32156,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32156,A000000,03550,0000,03550FQHC 32156,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32156,A000000,05000,0000,05000CORF 32156,A000000,05010,0000,05010CMHC 32156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32156,A81000A,00100,0100,Y 32156,A81000B,00100,0300,MGMT & ACCTG FEES 32156,A81000B,00200,0300,CAP REL COSTS 32156,A81000C,00100,0100,A 32156,A81000C,00100,0200,JOHN B GOODMAN 32156,A81000C,00100,0400,SAGE COMPANY 32156,A81000C,00100,0600,MANAGEMENT COMPANY 32156,B100000,00000,0100,00000SQUARE FEET 32156,B100000,00000,0200,00000DOLLAR VALUE 32156,B100000,00000,0300,00000GROSS SALARIES 32156,B100000,00000,0400,00000ACCUM. COST 32156,B100000,00000,0500,00000SQUARE FEET 32156,B100000,00000,0600,00000POUNDS OF LAUNDRY 32156,B100000,00000,0700,00000SQUARE FEET 32156,B100000,00000,0800,00000MEALS SERVED 32156,B100000,00000,0900,00000DIRECT NRSING HRS 32156,B100000,00000,1000,00000COSTED REQUIS. 32156,B100000,00000,1100,00000COSTED REQUIS. 32156,B100000,00000,1200,00000ADMISSION 32156,B100000,00000,1300,00000PATIENT DAYS 32156,B100000,00000,1350,00000NO STATISTICS 32156,B100000,00000,1400,00000ASSIGNED TIME 32156,E10A180,00501,0100,05/16/2000 32156,E10A180,00501,0300,05/16/2000 32156,S000000,00100,0200,06/06/2001 32156,S200000,00100,0100,1807 24TH STREET WEST 32156,S200000,00200,0100,BILLINGS 32156,S200000,00200,0200,MT 32156,S200000,00200,0300,59102 32156,S200000,00300,0100,YELLOWSTONE 32156,S200000,00400,0100,VALLEY HEALTH CARE CENTER 32156,S200000,00400,0200,275020 32156,S200000,00400,0300,01/01/1967 32156,S200000,00400,0500,P 32156,S200000,01600,0100,Y 32156,S200000,02800,0100,Y 32164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32164,A000000,00300,0000,00300EMPLOYEE BENEFITS 32164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32164,A000000,00700,0000,00700HOUSEKEEPING 32164,A000000,00800,0000,00800DIETARY 32164,A000000,00900,0000,00900NURSING ADMINISTRATION 32164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32164,A000000,01100,0000,01100PHARMACY 32164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32164,A000000,01300,0000,01300SOCIAL SERVICE 32164,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32164,A000000,01600,0000,01600SKILLED NURSING FACILITY 32164,A000000,01810,0000,01810ICF/MR 32164,A000000,02500,0000,02500PHYSICAL THERAPY 32164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32164,A000000,02700,0000,02700SPEECH PATHOLOGY 32164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32164,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32164,A000000,03550,0000,03550FQHC 32164,A000000,05000,0000,05000CORF 32164,A000000,05010,0000,05010CMHC 32164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32164,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32164,A81000A,00100,0100,Y 32164,A81000B,00100,0300,MANAGEMENT FEE 32164,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 32164,A81000B,00300,0300,CAP RLTD MOVE EQUIP 32164,A81000C,00100,0100,B 32164,A81000C,00100,0200,VALLE VISTA MAN 32164,A81000C,00100,0400,LANTIS ENTERPRI 32164,A81000C,00100,0600,HEALTH CARE 32164,B100000,00000,0100,00000SQUARE FEET 32164,B100000,00000,0200,00000SQUARE FEET 32164,B100000,00000,0300,00000GROSS SALARIES 32164,B100000,00000,0400,00000ACCUM COST 32164,B100000,00000,0500,00000SQUARE FEET 32164,B100000,00000,0600,00000POUNDS OF LAUNDRY 32164,B100000,00000,0700,00000SQUARE FEET 32164,B100000,00000,0800,00000MEALS SERVED 32164,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32164,B100000,00000,1000,00000COSTED REQUISITIO 32164,B100000,00000,1100,00000COSTED REQUISITIO 32164,B100000,00000,1200,00000TIME SPENT 32164,B100000,00000,1300,00000TIME SPENT 32164,B100000,00000,1350,00000COSTED REQUISITIO 32164,B100000,00000,1400,00000ASSIGNED TIME 32164,E10A180,00501,0100,06/06/2000 32164,E10A180,00501,0300,06/06/2000 32164,S000000,00100,0200,05/23/2000 32164,S200000,00100,0100,402 SUMMIT AVENUE 32164,S200000,00200,0100,LEWISTOWN 32164,S200000,00200,0200,MT 32164,S200000,00200,0300,59457 32164,S200000,00300,0100,FERGUS 32164,S200000,00400,0100,VALLE VISTA MANOR 32164,S200000,00400,0200,275021 32164,S200000,00400,0300,10/01/1987 32164,S200000,00400,0500,P 32164,S200000,01500,0100,Y 32172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32172,A000000,00300,0000,00300EMPLOYEE BENEFITS 32172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32172,A000000,00700,0000,00700HOUSEKEEPING 32172,A000000,00800,0000,00800DIETARY 32172,A000000,00900,0000,00900NURSING ADMINISTRATION 32172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32172,A000000,01100,0000,01100PHARMACY 32172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32172,A000000,01300,0000,01300SOCIAL SERVICE 32172,A000000,01350,0000,01500OTHER GENERAL SERVICES 32172,A000000,01351,0000,01501ACTIVITIES 32172,A000000,01352,0000,01502DAY CARE 32172,A000000,01353,0000,01503EMPLOYEE DAY CARE 32172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32172,A000000,01600,0000,01600SKILLED NURSING FACILITY 32172,A000000,01800,0000,01800NURSING FACILITY 32172,A000000,01810,0000,01810ICF/MR 32172,A000000,02200,0000,02200LABORATORY 32172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32172,A000000,02500,0000,02500PHYSICAL THERAPY 32172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32172,A000000,02700,0000,02700SPEECH PATHOLOGY 32172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32172,A000000,03550,0000,03550FQHC 32172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32172,A000000,05000,0000,05000CORF 32172,A000000,05010,0000,05010CMHC 32172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32172,A000000,05300,0000,05300INTEREST EXPENSE 32172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32172,A000000,06151,0000,06301SENIOR DAY CARE 32172,A000000,06152,0000,06302NON-EMPLOYEE DAY CARE 32172,A000000,06153,0000,06303MANAGEMENT SERVICE 32172,A000000,06154,0000,06304VISITING NURSE 32172,A000000,06155,0000,06305REHAB 32172,B100000,00000,0100,00005SQUARE FEET 32172,B100000,00000,0200,00005SQUARE FEET 32172,B100000,00000,0300,00005GROSS SALARIES 32172,B100000,00000,0400,00005ACCUM. COST 32172,B100000,00000,0500,00005SQUARE FEET 32172,B100000,00000,0600,00005PATIENT DAYS 32172,B100000,00000,0700,00005SQUARE FEET 32172,B100000,00000,0800,00005MEALS SERVED 32172,B100000,00000,0900,00005DIRECT NRSING HRS 32172,B100000,00000,1000,00005COSTED REQUIS. 32172,B100000,00000,1100,00005COSTED REQUIS. 32172,B100000,00000,1200,00005PATIENT DAYS 32172,B100000,00000,1300,00005PATIENT DAYS 32172,B100000,00000,1350,00005NO STATISTICS 32172,B100000,00000,1351,00005PATIENT DAYS 32172,B100000,00000,1352,00005HOURS 32172,B100000,00000,1353,00005FTES 32172,B100000,00000,1400,00005ASSIGNED TIME 32172,E10A180,00301,0100,07/13/1999 32172,E10A180,00501,0300,05/02/2000 32172,E10A180,00550,0100,05/02/2000 32172,S000000,00100,0200,04/10/2000 32172,S200000,00100,0100,3940 RIMROCK ROAD 32172,S200000,00200,0100,BILLINGS 32172,S200000,00200,0200,MT 32172,S200000,00200,0300,59102-3940 32172,S200000,00300,0100,YELLOWSTONE 32172,S200000,00400,0100,ST JOHNS LUTHERAN 32172,S200000,00400,0200,275024 32172,S200000,00400,0300,10/01/1981 32172,S200000,00400,0500,P 32172,S200000,00600,0200,275024 32172,S200000,00600,0300,10/01/1981 32172,S200000,00600,0600,P 32172,S200000,01600,0100,Y 32172,S200000,02800,0100,Y 32172,S200000,04300,0100,Y 32183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32183,A000000,00300,0000,00300EMPLOYEE BENEFITS 32183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32183,A000000,00700,0000,00700HOUSEKEEPING 32183,A000000,00800,0000,00800DIETARY 32183,A000000,00900,0000,00900NURSING ADMINISTRATION 32183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32183,A000000,01100,0000,01100PHARMACY 32183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32183,A000000,01300,0000,01300SOCIAL SERVICE 32183,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32183,A000000,01600,0000,01600SKILLED NURSING FACILITY 32183,A000000,01800,0000,01800NURSING FACILITY 32183,A000000,01810,0000,01810ICF/MR 32183,A000000,02500,0000,02500PHYSICAL THERAPY 32183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32183,A000000,02700,0000,02700SPEECH PATHOLOGY 32183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32183,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32183,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32183,A000000,03550,0000,03550FQHC 32183,A000000,05000,0000,05000CORF 32183,A000000,05010,0000,05010CMHC 32183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32183,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32183,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32183,A81000A,00100,0100,Y 32183,A81000B,00100,0300,MANAGEMENT FEE 32183,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 32183,A81000B,00300,0300,CAP RLTD MOVE EQUIP 32183,A81000C,00100,0100,B 32183,A81000C,00100,0200,HERITAGE PLACE 32183,A81000C,00100,0400,LANTIS ENTERPRI 32183,A81000C,00100,0600,HEALTH CARE 32183,B100000,00000,0100,00000SQUARE FEET 32183,B100000,00000,0200,00000SQUARE FEET 32183,B100000,00000,0300,00000GROSS SALARIES 32183,B100000,00000,0400,00000ACCUM COST 32183,B100000,00000,0500,00000SQUARE FEET 32183,B100000,00000,0600,00000POUNDS OF LAUNDRY 32183,B100000,00000,0700,00000SQUARE FEET 32183,B100000,00000,0800,00000MEALS SERVED 32183,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32183,B100000,00000,1000,00000COSTED REQUISITIO 32183,B100000,00000,1100,00000COSTED REQUISITIO 32183,B100000,00000,1200,00000TIME SPENT 32183,B100000,00000,1300,00000TIME SPENT 32183,B100000,00000,1350,00000COSTED REQUISITIO 32183,B100000,00000,1400,00000ASSIGNED TIME 32183,E10A180,00501,0100,06/13/2000 32183,E10A180,00501,0300,06/13/2000 32183,S000000,00100,0200,05/30/2000 32183,S200000,00100,0100,171 HERITAGE WAY 32183,S200000,00200,0100,KALISPELL 32183,S200000,00200,0200,MT 32183,S200000,00200,0300,59901 32183,S200000,00300,0100,FLATHEAD 0 32183,S200000,00400,0100,HERITAGE PLACE 32183,S200000,00400,0200,275025 32183,S200000,00400,0300,01/01/1977 32183,S200000,00400,0500,P 32183,S200000,01600,0100,Y 32191,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32191,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32191,A000000,00300,0000,00300EMPLOYEE BENEFITS 32191,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32191,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32191,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32191,A000000,00700,0000,00700HOUSEKEEPING 32191,A000000,00800,0000,00800DIETARY 32191,A000000,00900,0000,00900NURSING ADMINISTRATION 32191,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32191,A000000,01100,0000,01100PHARMACY 32191,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32191,A000000,01300,0000,01300SOCIAL SERVICE 32191,A000000,01350,0000,01500OTHER GENERAL SERVICES 32191,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32191,A000000,01600,0000,01600SKILLED NURSING FACILITY 32191,A000000,01800,0000,01800NURSING FACILITY 32191,A000000,01810,0000,01810ICF/MR 32191,A000000,02200,0000,02200LABORATORY 32191,A000000,02500,0000,02500PHYSICAL THERAPY 32191,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32191,A000000,02700,0000,02700SPEECH PATHOLOGY 32191,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32191,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32191,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32191,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32191,A000000,03550,0000,03550FQHC 32191,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32191,A000000,05000,0000,05000CORF 32191,A000000,05010,0000,05010CMHC 32191,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32191,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32191,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32191,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32191,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32191,A000000,06000,0000,06000ASSISTED LIVING FACILITY 32191,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32191,A81000A,00100,0100,Y 32191,A81000B,00100,0300,MGMT & ACCTG FEES 32191,A81000B,00200,0300,CAP REL COSTS 32191,A81000C,00100,0100,A 32191,A81000C,00100,0200,JOHN B GOODMAN 32191,A81000C,00100,0400,SAGE COMPANY 32191,A81000C,00100,0600,MANAGEMENT COMPANY 32191,A81000C,00200,0100,A 32191,A81000C,00200,0200,SIDNEY A GOODMAN 32191,A81000C,00200,0400,SAGE COMPANY 32191,A81000C,00200,0600,MANAGEMENT COMPANY 32191,A81000C,00300,0100,B 32191,A81000C,00300,0200,SAGE COMPANY 32191,A81000C,00300,0600,MGT CO / PARTNER PROVIDER 32191,B100000,00000,0100,00000SQUARE FOOTAGE 32191,B100000,00000,0200,00000NO STATISTICS 32191,B100000,00000,0300,00000GROSS SALARIES 32191,B100000,00000,0400,00000ACCUM. COST 32191,B100000,00000,0500,00000SQUARE FOOTAGE 32191,B100000,00000,0600,00000PATIENT DAYS 32191,B100000,00000,0700,00000SQUARE FOOTAGE 32191,B100000,00000,0800,00000MEALS SERVED 32191,B100000,00000,0900,00000DIRECT NSG HOURS 32191,B100000,00000,1000,00000NO STATISTICS 32191,B100000,00000,1100,00000NO STATISTICS 32191,B100000,00000,1200,00000BILLED CHARGES 32191,B100000,00000,1300,00000PATIENT DAYS 32191,B100000,00000,1350,00000NO STATISTICS 32191,B100000,00000,1400,00000NO STATISTICS 32191,E10A180,00501,0100,05/09/2000 32191,E10A180,00501,0300,05/09/2000 32191,S000000,00100,0200,04/10/2000 32191,S200000,00100,0100,4720 23RD STREET 32191,S200000,00200,0100,MISSOULA 32191,S200000,00200,0200,MT 32191,S200000,00300,0100,MISSOULA 32191,S200000,00400,0100,HILLSIDE MANOR 32191,S200000,00400,0200,275027 32191,S200000,00400,0300,01/01/1967 32191,S200000,00400,0500,P 32191,S200000,00600,0200,275027 32191,S200000,00600,0300,01/01/1967 32191,S200000,00600,0600,P 32191,S200000,01600,0100,Y 32191,S200000,02800,0100,Y 32200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32200,A000000,00300,0000,00300EMPLOYEE BENEFITS 32200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32200,A000000,00700,0000,00700HOUSEKEEPING 32200,A000000,00800,0000,00800DIETARY 32200,A000000,00900,0000,00900NURSING ADMINISTRATION 32200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32200,A000000,01100,0000,01100PHARMACY 32200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32200,A000000,01300,0000,01300SOCIAL SERVICE 32200,A000000,01350,0000,01500OTHER GENERAL SERVICES 32200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32200,A000000,01600,0000,01600SKILLED NURSING FACILITY 32200,A000000,01800,0000,01800NURSING FACILITY 32200,A000000,01810,0000,01810ICF/MR 32200,A000000,02200,0000,02200LABORATORY 32200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32200,A000000,02500,0000,02500PHYSICAL THERAPY 32200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32200,A000000,02700,0000,02700SPEECH PATHOLOGY 32200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32200,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32200,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32200,A000000,03550,0000,03550FQHC 32200,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32200,A000000,05000,0000,05000CORF 32200,A000000,05010,0000,05010CMHC 32200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32200,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32200,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32200,A81000A,00100,0100,Y 32200,A81000B,00100,0300,MGMT & ACCTG 32200,A81000B,00200,0300,CAPITAL RELATED COST 32200,A81000C,00100,0100,A 32200,A81000C,00100,0200,JOHN B GOODMAN 32200,A81000C,00100,0400,SAGE COMPANY 32200,A81000C,00100,0600,MANAGEMENT COMPANY 32200,A81000C,00200,0100,A 32200,A81000C,00200,0200,SIDNEY A GOODMAN 32200,A81000C,00200,0400,SAGE COMPANY 32200,A81000C,00200,0600,MANAGEMENT COMPANY 32200,A81000C,00300,0100,B 32200,A81000C,00300,0200,SAGE COMPANY 32200,B100000,00000,0100,00000SQUARE FEET 32200,B100000,00000,0200,00000DOLLAR VALUE 32200,B100000,00000,0300,00000GROSS SALARIES 32200,B100000,00000,0400,00000ACCUM. COST 32200,B100000,00000,0500,00000SQUARE FEET 32200,B100000,00000,0600,00000PATIENT DAYS 32200,B100000,00000,0700,00000SQUARE FEET 32200,B100000,00000,0800,00000MEALS SERVED 32200,B100000,00000,0900,00000DIRECT NRSING HRS 32200,B100000,00000,1000,00000COSTED REQUIS. 32200,B100000,00000,1100,00000COSTED REQUIS. 32200,B100000,00000,1200,00000BILLED CHARGES 32200,B100000,00000,1300,00000PATIENT DAYS 32200,B100000,00000,1350,00000NO STATISTICS 32200,B100000,00000,1400,00000ASSIGNED TIME 32200,E10A180,00501,0100,04/18/2000 32200,E10A180,00501,0300,04/18/2000 32200,S000000,00100,0200,04/10/2000 32200,S200000,00100,0100,2115 CENTRAL AVENUE 32200,S200000,00200,0100,BILLINGS 32200,S200000,00200,0200,MT 32200,S200000,00300,0100,YELLOWSTONE 32200,S200000,00400,0100,WESTERN MANOR NURSING HOME 32200,S200000,00400,0200,275029 32200,S200000,00400,0300,07/01/1978 32200,S200000,00400,0500,P 32200,S200000,01600,0100,Y 32200,S200000,02800,0100,Y 32212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32212,A000000,00300,0000,00300EMPLOYEE BENEFITS 32212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32212,A000000,00700,0000,00700HOUSEKEEPING 32212,A000000,00800,0000,00800DIETARY 32212,A000000,00900,0000,00900NURSING ADMINISTRATION 32212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32212,A000000,01100,0000,01100PHARMACY 32212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32212,A000000,01300,0000,01300SOCIAL SERVICE 32212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32212,A000000,01600,0000,01600SKILLED NURSING FACILITY 32212,A000000,01800,0000,01800NURSING FACILITY 32212,A000000,01810,0000,01810ICF/MR 32212,A000000,02200,0000,02200LABORATORY 32212,A000000,02300,0000,02300INTRAVENOUS THERAPY 32212,A000000,02500,0000,02500PHYSICAL THERAPY 32212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32212,A000000,02700,0000,02700SPEECH PATHOLOGY 32212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32212,A000000,03550,0000,03550FQHC 32212,A000000,05000,0000,05000CORF 32212,A000000,05010,0000,05010CMHC 32212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32212,A81000A,00100,0100,Y 32212,A81000B,00100,0300,A & G 32212,A81000B,00200,0300,PT 32212,A81000B,00300,0300,OT 32212,A81000C,00100,0100,D 32212,A81000C,00100,0200,ANDY MARTINI 32212,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32212,A81000C,00100,0600,MANAGEMENT SERVICE 32212,A81000C,00200,0100,B 32212,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32212,A81000C,00200,0400,EVERGREEN ANCILLARY 32212,A81000C,00200,0600,THERAPY SERVICE 32212,B100000,00000,0100,00000SQUARE FEET 32212,B100000,00000,0200,00000SQUARE FEET 32212,B100000,00000,0300,00000GROSS SALARIES 32212,B100000,00000,0400,00000ACCUM. COST 32212,B100000,00000,0500,00000SQUARE FEET 32212,B100000,00000,0600,00000PATIENT DAYS 32212,B100000,00000,0700,00000SQUARE FEET 32212,B100000,00000,0800,00000MEALS SERVED 32212,B100000,00000,0900,00000DIRECT NRSG 32212,B100000,00000,1000,00000PATIENT DAYS 32212,B100000,00000,1100,00000COSTED REQUIS 32212,B100000,00000,1200,00000PATIENT DAYS 32212,B100000,00000,1300,00000PATIENT DAYS 32212,B100000,00000,1400,00000ASSIGNED TIME 32212,E10A180,00501,0100,06/20/2000 32212,E10A180,00550,0300,06/20/2000 32212,S000000,00100,0200,05/31/2000 32212,S200000,00100,0100,3018 N RATTLESNAKE DRIVE 32212,S200000,00200,0100,MISSOULA 32212,S200000,00200,0200,MT 32212,S200000,00200,0300,59802 32212,S200000,00300,0100,MISSOULA 32212,S200000,00400,0100,EVERGREEN MISSOULA HLTH & REHB CTR 32212,S200000,00400,0200,275035 32212,S200000,00400,0300,06/01/1967 32212,S200000,00400,0500,P 32212,S200000,01600,0100,Y 32222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32222,A000000,00300,0000,00300EMPLOYEE BENEFITS 32222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32222,A000000,00700,0000,00700HOUSEKEEPING 32222,A000000,00800,0000,00800DIETARY 32222,A000000,00900,0000,00900NURSING ADMINISTRATION 32222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32222,A000000,01100,0000,01100PHARMACY 32222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32222,A000000,01300,0000,01300SOCIAL SERVICE 32222,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32222,A000000,01600,0000,01600SKILLED NURSING FACILITY 32222,A000000,01800,0000,01800NURSING FACILITY 32222,A000000,01810,0000,01810ICF/MR 32222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32222,A000000,02500,0000,02500PHYSICAL THERAPY 32222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32222,A000000,02700,0000,02700SPEECH PATHOLOGY 32222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32222,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32222,A000000,03550,0000,03550FQHC 32222,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32222,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32222,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32222,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32222,A000000,05000,0000,05000CORF 32222,A000000,05010,0000,05010CMHC 32222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32222,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32222,A000000,06151,0000,06301HOME HEALTH PRIVATE ASSIST 32222,A81000A,00100,0100,Y 32222,A81000B,00100,0300,MANAGEMENT FEE 32222,A81000B,00200,0300,CAP RLTD COSTS BLDGS/FIXTURES 32222,A81000B,00300,0300,CAP RLTD COSTS MOVE EQUIP 32222,A81000C,00100,0100,B 32222,A81000C,00100,0200,MOUNTAIN VIEW 32222,A81000C,00100,0400,LANTIS ENTERPRI 32222,A81000C,00100,0600,HEALTH CARE 32222,B100000,00000,0100,00001SQUARE FEET 32222,B100000,00000,0200,00001SQUARE FEET 32222,B100000,00000,0300,00001GROSS SALARIES 32222,B100000,00000,0400,00001ACCUM COST 32222,B100000,00000,0500,00001SQUARE FEET 32222,B100000,00000,0600,00001POUNDS OF LAUNDRY 32222,B100000,00000,0700,00001SQUARE FEET 32222,B100000,00000,0800,00001MEALS SERVED 32222,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 32222,B100000,00000,1000,00001COSTED REQUISITIO 32222,B100000,00000,1100,00001COSTED REQUISITIO 32222,B100000,00000,1200,00001TIME SPENT 32222,B100000,00000,1300,00001TIME SPENT 32222,B100000,00000,1350,00001ASSIGNED TIME 32222,B100000,00000,1400,00001ASSIGNED TIME 32222,E10A180,00501,0100,06/20/2000 32222,E10A180,00501,0300,06/20/2000 32222,H510100,00000,0000,27 32222,H510100,02400,0000,27 32222,H710000,00301,0100,08/10/1999 32222,H710000,00501,0100,06/20/2000 32222,S000000,00100,0200,05/23/2000 32222,S200000,00100,0100,205 N TRACY 32222,S200000,00200,0100,BOZEMAN 32222,S200000,00200,0200,MT 32222,S200000,00200,0300,59715 32222,S200000,00300,0100,GALLATIN 32222,S200000,00400,0100,MOUNTAIN VIEW CARE CENTER 32222,S200000,00400,0200,275039 32222,S200000,00400,0300,11/01/1988 32222,S200000,00400,0500,P 32222,S200000,00800,0200,277078 32222,S200000,00800,0300,11/23/1994 32222,S200000,00800,0500,P 32222,S200000,01600,0100,Y 32222,S200000,03700,0200,Y 32229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32229,A000000,00300,0000,00300EMPLOYEE BENEFITS 32229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32229,A000000,00700,0000,00700HOUSEKEEPING 32229,A000000,00800,0000,00800DIETARY 32229,A000000,00900,0000,00900NURSING ADMINISTRATION 32229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32229,A000000,01100,0000,01100PHARMACY 32229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32229,A000000,01300,0000,01300SOCIAL SERVICE 32229,A000000,01350,0000,01500OTHER GENERAL SERVICES 32229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32229,A000000,01600,0000,01600SKILLED NURSING FACILITY 32229,A000000,01800,0000,01800NURSING FACILITY 32229,A000000,01810,0000,01810ICF/MR 32229,A000000,02200,0000,02200LABORATORY 32229,A000000,02500,0000,02500PHYSICAL THERAPY 32229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32229,A000000,02700,0000,02700SPEECH PATHOLOGY 32229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32229,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32229,A000000,03550,0000,03550FQHC 32229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32229,A000000,05000,0000,05000CORF 32229,A000000,05010,0000,05010CMHC 32229,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32229,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32229,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32229,A81000A,00100,0100,Y 32229,A81000B,00100,0300,MGMT & ACCTG 32229,A81000B,00200,0300,CAP RELATED COSTS 32229,A81000C,00100,0100,A 32229,A81000C,00100,0200,JOHN B GOODMAN 32229,A81000C,00100,0400,SAGE COMPANY 32229,A81000C,00100,0600,MANAGEMENT COMPANY 32229,B100000,00000,0100,00000SQUARE FEET 32229,B100000,00000,0200,00000DOLLAR VALUE 32229,B100000,00000,0300,00000GROSS SALARIES 32229,B100000,00000,0400,00000ACCUM. COST 32229,B100000,00000,0500,00000SQUARE FEET 32229,B100000,00000,0600,00000POUNDS OF LAUNDRY 32229,B100000,00000,0700,00000SQUARE FEET 32229,B100000,00000,0800,00000MEALS SERVED 32229,B100000,00000,0900,00000DIRECT NRSING HRS 32229,B100000,00000,1000,00000COSTED REQUIS. 32229,B100000,00000,1100,00000COSTED REQUIS. 32229,B100000,00000,1200,00000BILLED CHARGES 32229,B100000,00000,1300,00000TIME SPENT 32229,B100000,00000,1350,00000NO STATISTICS 32229,B100000,00000,1400,00000ASSIGNED TIME 32229,E10A180,00501,0100,05/09/2000 32229,E10A180,00501,0300,05/09/2000 32229,S000000,00100,0200,04/10/2000 32229,S200000,00100,0100,2651 SOUTH AVENUE WEST 32229,S200000,00200,0100,MISSOULA 32229,S200000,00200,0200,MT 32229,S200000,00200,0300,59804 32229,S200000,00300,0100,MISSOULA 32229,S200000,00400,0100,VILLAGE HEALTH CARE CENTER 32229,S200000,00400,0200,275043 32229,S200000,00400,0300,10/24/1972 32229,S200000,00400,0500,P 32229,S200000,01600,0100,Y 32229,S200000,02800,0100,Y 32239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32239,A000000,00300,0000,00300EMPLOYEE BENEFITS 32239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32239,A000000,00700,0000,00700HOUSEKEEPING 32239,A000000,00800,0000,00800DIETARY 32239,A000000,00900,0000,00900NURSING ADMINISTRATION 32239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32239,A000000,01100,0000,01100PHARMACY 32239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32239,A000000,01300,0000,01300SOCIAL SERVICE 32239,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32239,A000000,01600,0000,01600SKILLED NURSING FACILITY 32239,A000000,01800,0000,01800NURSING FACILITY 32239,A000000,01810,0000,01810ICF/MR 32239,A000000,02500,0000,02500PHYSICAL THERAPY 32239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32239,A000000,02700,0000,02700SPEECH PATHOLOGY 32239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32239,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32239,A000000,03550,0000,03550FQHC 32239,A000000,05000,0000,05000CORF 32239,A000000,05010,0000,05010CMHC 32239,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32239,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32239,A000000,06151,0000,06301WEL-ASSIST 32239,A81000A,00100,0100,Y 32239,A81000B,00100,0300,MANAGEMENT FEE 32239,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 32239,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 32239,A81000C,00100,0100,B 32239,A81000C,00100,0200,BIG SKY CARE CE 32239,A81000C,00100,0400,LANTIS ENTERPRI 32239,A81000C,00100,0600,HEALTH CARE 32239,B100000,00000,0100,00001SQUARE FEET 32239,B100000,00000,0200,00001SQUARE FEET 32239,B100000,00000,0300,00001GROSS SALARIES 32239,B100000,00000,0400,00001ACCUM COST 32239,B100000,00000,0500,00001SQUARE FEET 32239,B100000,00000,0600,00001POUNDS OF LAUNDRY 32239,B100000,00000,0700,00001SQUARE FEET 32239,B100000,00000,0800,00001MEALS SERVED 32239,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 32239,B100000,00000,1000,00001COSTED REQUISITIO 32239,B100000,00000,1100,00001COSTED REQUISITIO 32239,B100000,00000,1200,00001TIME SPENT 32239,B100000,00000,1300,00001TIME SPENT 32239,B100000,00000,1350,00001COSTED REQUISITIO 32239,B100000,00000,1400,00001ASSIGNED TIME 32239,E10A180,00501,0100,06/13/2000 32239,E10A180,00501,0300,06/13/2000 32239,S000000,00100,0200,05/30/2000 32239,S200000,00100,0100,2475 WINNE AVE 32239,S200000,00200,0100,HELENA 32239,S200000,00200,0200,MT 32239,S200000,00200,0300,59601 32239,S200000,00300,0100,LEWIS AND CLARK 32239,S200000,00400,0100,BIG SKY CARE CENTER 32239,S200000,00400,0200,275044 32239,S200000,00400,0300,12/01/1992 32239,S200000,00400,0500,P 32239,S200000,01600,0100,Y 32246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32246,A000000,00300,0000,00300EMPLOYEE BENEFITS 32246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32246,A000000,00700,0000,00700HOUSEKEEPING 32246,A000000,00800,0000,00800DIETARY 32246,A000000,00900,0000,00900NURSING ADMINISTRATION 32246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32246,A000000,01100,0000,01100PHARMACY 32246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32246,A000000,01300,0000,01300SOCIAL SERVICE 32246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32246,A000000,01600,0000,01600SKILLED NURSING FACILITY 32246,A000000,01800,0000,01800NURSING FACILITY 32246,A000000,01810,0000,01810ICF/MR 32246,A000000,02100,0000,02100RADIOLOGY 32246,A000000,02200,0000,02200LABORATORY 32246,A000000,02300,0000,02300INTRAVENOUS THERAPY 32246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32246,A000000,02500,0000,02500PHYSICAL THERAPY 32246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32246,A000000,02700,0000,02700SPEECH PATHOLOGY 32246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32246,A000000,03200,0000,03200SUPPORT SURFACES 32246,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32246,A000000,03550,0000,03550FQHC 32246,A000000,05000,0000,05000CORF 32246,A000000,05010,0000,05010CMHC 32246,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32246,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32246,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32246,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32246,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32246,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32246,A000000,06151,0000,06301APARTMENTS/RENTALS 32246,A81000A,00100,0100,Y 32246,A81000B,00100,0300,A & G 32246,A81000B,00200,0300,PT 32246,A81000B,00300,0300,OT 32246,A81000B,00400,0300,ST 32246,A81000B,00500,0300,CAPITAL RELATED 32246,A81000C,00100,0100,D 32246,A81000C,00100,0200,ANDY MARTINI 32246,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32246,A81000C,00100,0600,MANAGEMENT SERVICE 32246,A81000C,00200,0100,B 32246,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32246,A81000C,00200,0400,EVERGREEN ANCILLARY 32246,A81000C,00200,0600,THERAPY SERVICE 32246,B100000,00000,0100,00001SQUARE FEET 32246,B100000,00000,0200,00001SQUARE FEET 32246,B100000,00000,0300,00001GROSS SALARIES 32246,B100000,00000,0400,00001ACCUM. COST 32246,B100000,00000,0500,00001SQUARE FEET 32246,B100000,00000,0600,00001PATIENT DAYS 32246,B100000,00000,0700,00001SQUARE FEET 32246,B100000,00000,0800,00001MEALS SERVED 32246,B100000,00000,0900,00001DIRECT NRSG 32246,B100000,00000,1000,00001PATIENT DAYS 32246,B100000,00000,1100,00001COSTED REQUIS 32246,B100000,00000,1200,00001PATIENT DAYS 32246,B100000,00000,1300,00001PATIENT DAYS 32246,B100000,00000,1400,00001ASSIGNED TIME 32246,E10A180,00301,0100,07/13/1999 32246,E10A180,00501,0100,06/20/2000 32246,E10A180,00501,0300,06/20/2000 32246,S000000,00100,0200,04/10/2000 32246,S200000,00100,0100,NINE 14TH AVE WEST 32246,S200000,00200,0100,POLSON 32246,S200000,00200,0200,MT 32246,S200000,00200,0300,59860 32246,S200000,00300,0100,LAKE 32246,S200000,00400,0100,EVERGREEN POLSON HLTH & REHAB CTR 32246,S200000,00400,0200,275049 32246,S200000,00400,0300,01/01/1970 32246,S200000,00400,0500,P 32246,S200000,01600,0100,Y 32255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32255,A000000,00300,0000,00300EMPLOYEE BENEFITS 32255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32255,A000000,00700,0000,00700HOUSEKEEPING 32255,A000000,00800,0000,00800DIETARY 32255,A000000,00900,0000,00900NURSING ADMINISTRATION 32255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32255,A000000,01100,0000,01100PHARMACY 32255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32255,A000000,01300,0000,01300SOCIAL SERVICE 32255,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32255,A000000,01600,0000,01600SKILLED NURSING FACILITY 32255,A000000,01810,0000,01810ICF/MR 32255,A000000,02500,0000,02500PHYSICAL THERAPY 32255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32255,A000000,02700,0000,02700SPEECH PATHOLOGY 32255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32255,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32255,A000000,03550,0000,03550FQHC 32255,A000000,05000,0000,05000CORF 32255,A000000,05010,0000,05010CMHC 32255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32255,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32255,A81000A,00100,0100,Y 32255,A81000B,00100,0300,MANAGEMENT FEE 32255,A81000B,00200,0300,CAP. REL. COSTS-MOVEABLE EQUIP 32255,A81000B,00300,0300,CAP. REL. COSTS-BLDGS & FIXTUR 32255,A81000C,00100,0100,B 32255,A81000C,00100,0200,CEDARWOOD VILLA 32255,A81000C,00100,0400,LANTIS ENTERPRI 32255,A81000C,00100,0600,HEALTH CARE 32255,B100000,00000,0100,00000SQUARE FEET 32255,B100000,00000,0200,00000SQUARE FEET 32255,B100000,00000,0300,00000GROSS SALARIES 32255,B100000,00000,0400,00000ACCUM COST 32255,B100000,00000,0500,00000SQUARE FEET 32255,B100000,00000,0600,00000POUNDS OF LAUNDRY 32255,B100000,00000,0700,00000SQUARE FEET 32255,B100000,00000,0800,00000MEALS SERVED 32255,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32255,B100000,00000,1000,00000COSTED REQUISITIO 32255,B100000,00000,1100,00000COSTED REQUISITIO 32255,B100000,00000,1200,00000TIME SPENT 32255,B100000,00000,1300,00000TIME SPENT 32255,B100000,00000,1350,00000COSTED REQUISITIO 32255,B100000,00000,1400,00000ASSIGNED TIME 32255,E10A180,00501,0100,06/13/2000 32255,E10A180,00501,0300,06/13/2000 32255,S000000,00100,0200,05/30/2000 32255,S200000,00200,0100,RED LODGE 32255,S200000,00200,0200,MT 32255,S200000,00200,0300,59068-0430 32255,S200000,00400,0100,CEDAR WOOD VILLA 32255,S200000,00400,0200,275053 32255,S200000,00400,0300,01/01/1970 32255,S200000,00400,0500,P 32255,S200000,01500,0100,Y 32267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32267,A000000,00300,0000,00300EMPLOYEE BENEFITS 32267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32267,A000000,00700,0000,00700HOUSEKEEPING 32267,A000000,00800,0000,00800DIETARY 32267,A000000,00900,0000,00900NURSING ADMINISTRATION 32267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32267,A000000,01100,0000,01100PHARMACY 32267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32267,A000000,01300,0000,01300SOCIAL SERVICE 32267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32267,A000000,01600,0000,01600SKILLED NURSING FACILITY 32267,A000000,01800,0000,01800NURSING FACILITY 32267,A000000,01810,0000,01810ICF/MR 32267,A000000,02200,0000,02200LABORATORY 32267,A000000,02300,0000,02300INTRAVENOUS THERAPY 32267,A000000,02500,0000,02500PHYSICAL THERAPY 32267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32267,A000000,02700,0000,02700SPEECH PATHOLOGY 32267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32267,A000000,03200,0000,03200SUPPORT SURFACES 32267,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32267,A000000,03550,0000,03550FQHC 32267,A000000,05000,0000,05000CORF 32267,A000000,05010,0000,05010CMHC 32267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32267,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32267,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32267,A81000A,00100,0100,Y 32267,A81000B,00100,0300,A & G 32267,A81000B,00200,0300,PT 32267,A81000B,00300,0300,OT 32267,A81000B,00400,0300,ST 32267,A81000C,00100,0100,D 32267,A81000C,00100,0200,ANDY MARTINI 32267,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32267,A81000C,00100,0600,MANAGEMENT SERVICE 32267,A81000C,00200,0100,B 32267,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32267,A81000C,00200,0400,EVERGREEN ANCILLARY 32267,A81000C,00200,0600,THERAPY SERVICE 32267,B100000,00000,0100,00000SQUARE FEET 32267,B100000,00000,0200,00000SQUARE FEET 32267,B100000,00000,0300,00000GROSS SALARIES 32267,B100000,00000,0400,00000ACCUM. COST 32267,B100000,00000,0500,00000SQUARE FEET 32267,B100000,00000,0600,00000PATIENT DAYS 32267,B100000,00000,0700,00000SQUARE FEET 32267,B100000,00000,0800,00000MEALS SERVED 32267,B100000,00000,0900,00000DIRECT NRSG 32267,B100000,00000,1000,00000PATIENT DAYS 32267,B100000,00000,1100,00000COSTED REQUIS 32267,B100000,00000,1200,00000PATIENT DAYS 32267,B100000,00000,1300,00000PATIENT DAYS 32267,B100000,00000,1400,00000ASSIGNED TIME 32267,E10A180,00501,0100,06/20/2000 32267,E10A180,00501,0300,06/20/2000 32267,S000000,00100,0200,05/31/2000 32267,S200000,00100,0100,474 HIGHWAY 282 32267,S200000,00200,0100,CLANCY 32267,S200000,00200,0200,MT 32267,S200000,00200,0300,59634 32267,S200000,00300,0100,JEFFERSON 32267,S200000,00400,0100,EVERGREEN CLANCY HLTH & REHAB CTR 32267,S200000,00400,0200,275056 32267,S200000,00400,0300,06/01/1977 32267,S200000,00400,0500,P 32267,S200000,01600,0100,Y 32274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32274,A000000,00300,0000,00300EMPLOYEE BENEFITS 32274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32274,A000000,00700,0000,00700HOUSEKEEPING 32274,A000000,00800,0000,00800DIETARY 32274,A000000,00900,0000,00900NURSING ADMINISTRATION 32274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32274,A000000,01100,0000,01100PHARMACY 32274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32274,A000000,01300,0000,01300SOCIAL SERVICE 32274,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32274,A000000,01600,0000,01600SKILLED NURSING FACILITY 32274,A000000,01800,0000,01800NURSING FACILITY 32274,A000000,01810,0000,01810ICF/MR 32274,A000000,02100,0000,02100RADIOLOGY 32274,A000000,02200,0000,02200LABORATORY 32274,A000000,02500,0000,02500PHYSICAL THERAPY 32274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32274,A000000,02700,0000,02700SPEECH PATHOLOGY 32274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32274,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32274,A000000,03550,0000,03550FQHC 32274,A000000,05000,0000,05000CORF 32274,A000000,05010,0000,05010CMHC 32274,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32274,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32274,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32274,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32274,A81000A,00100,0100,Y 32274,A81000B,00100,0300,A & G 32274,A81000B,00200,0300,PT 32274,A81000B,00300,0300,OT 32274,A81000B,00400,0300,ST 32274,A81000C,00100,0100,D 32274,A81000C,00100,0200,ANDY MARTINI 32274,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32274,A81000C,00100,0600,MANAGEMENT SERVICE 32274,A81000C,00200,0100,B 32274,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32274,A81000C,00200,0400,EVERGREEN ANCILLARY 32274,A81000C,00200,0600,THERAPY SERVICE 32274,B100000,00000,0100,00000SQUARE FEET 32274,B100000,00000,0200,00000SQUARE FEET 32274,B100000,00000,0300,00000GROSS SALARIES 32274,B100000,00000,0400,00000ACCUM. COST 32274,B100000,00000,0500,00000SQUARE FEET 32274,B100000,00000,0600,00000PATIENT DAYS 32274,B100000,00000,0700,00000SQUARE FEET 32274,B100000,00000,0800,00000MEALS SERVED 32274,B100000,00000,0900,00000DIRECT NRSG 32274,B100000,00000,1000,00000PATIENT DAYS 32274,B100000,00000,1100,00000COSTED REQUIS 32274,B100000,00000,1200,00000PATIENT DAYS 32274,B100000,00000,1300,00000PATIENT DAYS 32274,B100000,00000,1400,00000ASSIGNED TIME 32274,E10A180,00350,0100,07/13/1999 32274,E10A180,00501,0100,06/20/2000 32274,E10A180,00501,0300,06/20/2000 32274,S000000,00100,0200,05/31/2000 32274,S200000,00100,0100,3251 NETTIE STREET 32274,S200000,00200,0100,BUTTE 32274,S200000,00200,0200,MT 32274,S200000,00300,0100,SILVER BOW 32274,S200000,00400,0100,EVERGREEN BUTTE HLTH & REHAB CTR 32274,S200000,00400,0200,275060 32274,S200000,00400,0300,04/01/1977 32274,S200000,00400,0500,P 32274,S200000,00400,0600,P 32274,S200000,01600,0100,Y 32283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32283,A000000,00300,0000,00300EMPLOYEE BENEFITS 32283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32283,A000000,00700,0000,00700HOUSEKEEPING 32283,A000000,00800,0000,00800DIETARY 32283,A000000,00900,0000,00900NURSING ADMINISTRATION 32283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32283,A000000,01100,0000,01100PHARMACY 32283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32283,A000000,01300,0000,01300SOCIAL SERVICE 32283,A000000,01350,0000,01500OTHER GENERAL SERVICES 32283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32283,A000000,01600,0000,01600SKILLED NURSING FACILITY 32283,A000000,01810,0000,01810ICF/MR 32283,A000000,02300,0000,02300INTRAVENOUS THERAPY 32283,A000000,02500,0000,02500PHYSICAL THERAPY 32283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32283,A000000,02700,0000,02700SPEECH PATHOLOGY 32283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32283,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32283,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32283,A000000,03550,0000,03550FQHC 32283,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32283,A000000,05000,0000,05000CORF 32283,A000000,05010,0000,05010CMHC 32283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32283,A000000,05300,0000,05300INTEREST EXPENSE 32283,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32283,A000000,06150,0000,06300DETENTION CENTER MEALS 32283,A000000,06151,0000,06301GIFT SHOP 32283,A81000A,00100,0100,Y 32283,A81000B,00100,0300,COUNTY ADMINISTRATION 32283,A81000B,00200,0300,BUILDING MAINTENANCE 32283,A81000C,00100,0100,B 32283,A81000C,00100,0200,GALLATIN COUNTY 32283,A81000C,00100,0400,GALLATIN COUNTY 32283,A81000C,00100,0600,COUNTY GOVERNMENT 32283,B100000,00000,0100,00001SQUARE FEET 32283,B100000,00000,0200,00001SQUARE FEET 32283,B100000,00000,0300,00001NO STATISTICS 32283,B100000,00000,0400,00001ACCUM. COST 32283,B100000,00000,0500,00001SQUARE FEET 32283,B100000,00000,0600,00001100% NURSING 32283,B100000,00000,0700,00001SQUARE FEET 32283,B100000,00000,0800,00001MEALS SERVED 32283,B100000,00000,0900,00001HOURS OF SVC 32283,B100000,00000,1000,00001COSTED REQUIS. 32283,B100000,00000,1100,00001NO STATISTICS 32283,B100000,00000,1200,00001NO STATISTICS 32283,B100000,00000,1300,00001100% NURSING 32283,B100000,00000,1350,00001NO STATISTICS 32283,B100000,00000,1400,00001NO STATISTICS 32283,S000000,00100,0200,11/22/2000 32283,S200000,00100,0100,1221 DURSTON ROAD 32283,S200000,00200,0100,BOZEMAN 32283,S200000,00200,0200,MT 32283,S200000,00200,0300,59715 32283,S200000,00400,0100,GALLATIN COUNTY REST HOME 32283,S200000,00400,0200,275066 32283,S200000,00400,0300,07/01/1995 32283,S200000,00400,0500,P 32283,S200000,00400,0600,O 32283,S200000,01500,0100,Y 32283,S200000,02800,0100,Y 32290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32290,A000000,00300,0000,00300EMPLOYEE BENEFITS 32290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32290,A000000,00700,0000,00700HOUSEKEEPING 32290,A000000,00800,0000,00800DIETARY 32290,A000000,00900,0000,00900NURSING ADMINISTRATION 32290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32290,A000000,01100,0000,01100PHARMACY 32290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32290,A000000,01300,0000,01300SOCIAL SERVICE 32290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32290,A000000,01600,0000,01600SKILLED NURSING FACILITY 32290,A000000,01800,0000,01800NURSING FACILITY 32290,A000000,01810,0000,01810ICF/MR 32290,A000000,02200,0000,02200LABORATORY 32290,A000000,02300,0000,02300INTRAVENOUS THERAPY 32290,A000000,02500,0000,02500PHYSICAL THERAPY 32290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32290,A000000,02700,0000,02700SPEECH PATHOLOGY 32290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32290,A000000,03200,0000,03200SUPPORT SURFACES 32290,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32290,A000000,03550,0000,03550FQHC 32290,A000000,05000,0000,05000CORF 32290,A000000,05010,0000,05010CMHC 32290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32290,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32290,A81000A,00100,0100,Y 32290,A81000B,00100,0300,A & G 32290,A81000B,00200,0300,PT 32290,A81000B,00300,0300,OT 32290,A81000B,00400,0300,ST 32290,A81000C,00100,0100,D 32290,A81000C,00100,0200,ANDY MARTINI 32290,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32290,A81000C,00100,0600,MANAGEMENT SERVICE 32290,A81000C,00200,0100,B 32290,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32290,A81000C,00200,0400,EVERGREEN ANCILLARY 32290,A81000C,00200,0600,THERAPY SERVICE 32290,B100000,00000,0100,00000SQUARE FEET 32290,B100000,00000,0200,00000SQUARE FEET 32290,B100000,00000,0300,00000GROSS SALARIES 32290,B100000,00000,0400,00000ACCUM. COST 32290,B100000,00000,0500,00000SQUARE FEET 32290,B100000,00000,0600,00000PATIENT DAYS 32290,B100000,00000,0700,00000SQUARE FEET 32290,B100000,00000,0800,00000MEALS SERVED 32290,B100000,00000,0900,00000DIRECT NRSG 32290,B100000,00000,1000,00000PATIENT DAYS 32290,B100000,00000,1100,00000COSTED REQUIS 32290,B100000,00000,1200,00000PATIENT DAYS 32290,B100000,00000,1300,00000PATIENT DAYS 32290,B100000,00000,1400,00000ASSIGNED TIME 32290,E10A180,00501,0100,06/20/2000 32290,E10A180,00501,0300,06/20/2000 32290,S000000,00100,0200,04/01/2001 32290,S200000,00100,0100,600 FIRST AVENUE NORTH 32290,S200000,00200,0100,HOT SPRINGS 32290,S200000,00200,0200,MT 32290,S200000,00300,0100,SANDERS 32290,S200000,00400,0100,EVERGREEN HOT SPRINGS H & R CTR 32290,S200000,00400,0200,275069 32290,S200000,00400,0300,08/01/1977 32290,S200000,00400,0500,P 32290,S200000,01600,0100,Y 32299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32299,A000000,00300,0000,00300EMPLOYEE BENEFITS 32299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32299,A000000,00700,0000,00700HOUSEKEEPING 32299,A000000,00701,0000,00701HOUSEKEEPING 32299,A000000,00800,0000,00800DIETARY 32299,A000000,00900,0000,00900NURSING ADMINISTRATION 32299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32299,A000000,01100,0000,01100PHARMACY 32299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32299,A000000,01300,0000,01300SOCIAL SERVICE 32299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32299,A000000,01600,0000,01600SKILLED NURSING FACILITY 32299,A000000,01810,0000,01810ICF/MR 32299,A000000,02100,0000,02100RADIOLOGY 32299,A000000,02200,0000,02200LABORATORY 32299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32299,A000000,02500,0000,02500PHYSICAL THERAPY 32299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32299,A000000,02700,0000,02700SPEECH PATHOLOGY 32299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32299,A000000,03550,0000,03550FQHC 32299,A000000,05000,0000,05000CORF 32299,A000000,05010,0000,05010CMHC 32299,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32299,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32299,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32299,A81000A,00100,0100,Y 32299,A81000B,00100,0300,COUNTY SALARIES 32299,A81000B,00200,0300,COUNTY BENEFITS 32299,A81000C,00100,0100,B 32299,A81000C,00100,0200,TETON COUNTY 32299,A81000C,00100,0400,TETON NURSING HOME 32299,B100000,00000,0100,00040SQUARE FEET 32299,B100000,00000,0200,00040SQUARE FEET 32299,B100000,00000,0300,00040GROSS SALARIES 32299,B100000,00000,0400,00040ACCUM. COST 32299,B100000,00000,0500,00040SQUARE FEET 32299,B100000,00000,0600,00040PATIENT DAYS 32299,B100000,00000,0700,00040SQUARE FEET 32299,B100000,00000,0701,00040SQUARE FEET 32299,B100000,00000,0800,00040MEALS SERVED 32299,B100000,00000,0900,00040HOURS OF SERVICE 32299,B100000,00000,1000,00040COSTED REQUIS 32299,B100000,00000,1100,00040COSTED REQUIS 32299,B100000,00000,1200,00040TIME SPENT 32299,B100000,00000,1300,00040TIME SPENT 32299,B100000,00000,1400,00040ASSIGNED TIME 32299,S000000,00100,0200,11/16/2000 32299,S200000,00100,0100,24 MAIN AVE N 32299,S200000,00200,0100,CHOTEAU 32299,S200000,00200,0200,MT 32299,S200000,00200,0300,59422 32299,S200000,00400,0100,TETON NURSING HOME 32299,S200000,00400,0200,275075 32299,S200000,00400,0300,07/01/1977 32299,S200000,00400,0500,P 32299,S200000,01500,0100,Y 32299,S200000,04300,0100,Y 32308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32308,A000000,00300,0000,00300EMPLOYEE BENEFITS 32308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32308,A000000,00700,0000,00700HOUSEKEEPING 32308,A000000,00800,0000,00800DIETARY 32308,A000000,00900,0000,00900NURSING ADMINISTRATION 32308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32308,A000000,01100,0000,01100PHARMACY 32308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32308,A000000,01300,0000,01300SOCIAL SERVICE 32308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32308,A000000,01600,0000,01600SKILLED NURSING FACILITY 32308,A000000,01810,0000,01810ICF/MR 32308,A000000,02200,0000,02200LABORATORY 32308,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32308,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32308,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32308,A000000,03550,0000,03550FQHC 32308,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32308,A000000,05000,0000,05000CORF 32308,A000000,05010,0000,05010CMHC 32308,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32308,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32308,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32308,B100000,00000,0100,00040SQUARE FEET 32308,B100000,00000,0200,00040SQUARE FEET 32308,B100000,00000,0300,00040GROSS SALARY 32308,B100000,00000,0400,00040ACCUM. COST 32308,B100000,00000,0500,00040SQUARE FEET 32308,B100000,00000,0600,00040POUNDS OF LAUNDRY 32308,B100000,00000,0700,00040HOURS OF SERVICE 32308,B100000,00000,0800,00040MEALS SERVED 32308,B100000,00000,0900,00040HOURS OF SERVICE 32308,B100000,00000,1000,00040COSTED REQUIS 32308,B100000,00000,1100,00040COSTED REQUIS 32308,B100000,00000,1200,00040TIME SPENT 32308,B100000,00000,1300,00040TIME SPENT 32308,B100000,00000,1400,00040ASSIGNED TIME 32308,E10A180,00350,0300,07/27/1999 32308,E10A180,00501,0300,06/13/2000 32308,E10A180,00550,0100,06/13/2000 32308,H510100,00000,0000,27 32308,H510100,02400,0000,27 32308,S000000,00100,0200,05/15/2000 32308,S200000,00100,0100,601 SOUTH WIBAUX STREET 32308,S200000,00200,0100,WIBAUX 32308,S200000,00200,0200,MT 32308,S200000,00300,0100,WIBAUX 32308,S200000,00400,0100,WIBAUX COUNTY NURSING HOME 32308,S200000,00400,0200,275079 32308,S200000,00400,0300,07/01/1966 32308,S200000,00400,0500,P 32308,S200000,00800,0200,277091 32308,S200000,00800,0300,02/28/1999 32308,S200000,00800,0500,P 32308,S200000,01500,0100,Y 32308,S410002,01300,0000,DIRECTOR OF NURSING 32316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32316,A000000,00300,0000,00300EMPLOYEE BENEFITS 32316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32316,A000000,00700,0000,00700HOUSEKEEPING 32316,A000000,00800,0000,00800DIETARY 32316,A000000,00900,0000,00900NURSING ADMINISTRATION 32316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32316,A000000,01100,0000,01100PHARMACY 32316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32316,A000000,01300,0000,01300SOCIAL SERVICE 32316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32316,A000000,01600,0000,01600SKILLED NURSING FACILITY 32316,A000000,01810,0000,01810ICF/MR 32316,A000000,02100,0000,02100RADIOLOGY 32316,A000000,02200,0000,02200LABORATORY 32316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32316,A000000,02500,0000,02500PHYSICAL THERAPY 32316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32316,A000000,02700,0000,02700SPEECH PATHOLOGY 32316,A000000,02800,0000,02800ELECTROCARDIOLOGY 32316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32316,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 32316,A000000,05000,0000,05000CORF 32316,A000000,05010,0000,05010CMHC 32316,A000000,05020,0000,05020OPT 32316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32316,A000000,06150,0000,06300JAIL FOOD MEALS NON REIMB. 32316,A81000A,00100,0100,Y 32316,A81000B,00100,0300,COUNTY SUPPORT SERVICES 32316,A81000C,00100,0100,B 32316,A81000C,00100,0200,COONEY HOME 32316,A81000C,00100,0400,LEWIS & CLARK 32316,A81000C,00100,0600,COUNTY GOVT 32316,B100000,00000,0100,00000(SQUARE FEET) 32316,B100000,00000,0200,00000(SQUARE FEET) 32316,B100000,00000,0300,00000(GROSS SALARIES) 32316,B100000,00000,0400,00000ACCUM COST COST) 32316,B100000,00000,0500,00000(SQUARE FEET) 32316,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 32316,B100000,00000,0700,00000(HOURS OF SERVICE) 32316,B100000,00000,0800,00000(MEALS SERVED) 32316,B100000,00000,0900,00000(DIR NRSG HOURS) 32316,B100000,00000,1000,00000(COSTED REQUIS) 32316,B100000,00000,1100,00000(COSTED REQUIS) 32316,B100000,00000,1200,00000(TIME SPENT) 32316,B100000,00000,1300,00000(TIME SPENT) 32316,B100000,00000,1400,00000(ASSIGNED TIME) 32316,E10A180,00350,0100,12/01/2000 32316,E10A180,00501,0100,01/02/2001 32316,E10A180,00501,0300,01/02/2001 32316,S000000,00100,0200,12/11/2000 32316,S200000,00100,0100,2555 E. BROADWAY 32316,S200000,00200,0100,HELENA 32316,S200000,00200,0200,MT 32316,S200000,00200,0300,59601 32316,S200000,00300,0100,L 32316,S200000,00400,0100,COONEY CONVALESCENT HOME 32316,S200000,00400,0200,275080 32316,S200000,00400,0300,08/01/1977 32316,S200000,00400,0500,P 32316,S200000,01500,0100,Y 32326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32326,A000000,00300,0000,00300EMPLOYEE BENEFITS 32326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32326,A000000,00700,0000,00700HOUSEKEEPING 32326,A000000,00800,0000,00800DIETARY 32326,A000000,00900,0000,00900NURSING ADMINISTRATION 32326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32326,A000000,01100,0000,01100PHARMACY 32326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32326,A000000,01300,0000,01300SOCIAL SERVICE 32326,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32326,A000000,01600,0000,01600SKILLED NURSING FACILITY 32326,A000000,01810,0000,01810ICF/MR 32326,A000000,02500,0000,02500PHYSICAL THERAPY 32326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32326,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32326,A000000,03550,0000,03550FQHC 32326,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32326,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32326,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32326,A000000,05000,0000,05000CORF 32326,A000000,05010,0000,05010CMHC 32326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32326,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32326,A000000,06151,0000,06301PRIVATE ASSIST HOME HEALTH 32326,A81000A,00100,0100,Y 32326,A81000B,00100,0300,MANAGE FEE 32326,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 32326,A81000B,00300,0300,CAP RLTD MOVE EQUIP 32326,A81000C,00100,0100,B 32326,A81000C,00100,0200,FRIENDSHIP VILL 32326,A81000C,00100,0400,LANTIS ENTERPRI 32326,A81000C,00100,0600,HEALTH CARE 32326,B100000,00000,0100,00001SQUARE FEET 32326,B100000,00000,0200,00001SQUARE FEET 32326,B100000,00000,0300,00001GROSS SALARIES 32326,B100000,00000,0400,00001ACCUM COST 32326,B100000,00000,0500,00001SQUARE FEET 32326,B100000,00000,0600,00001POUNDS OF LAUNDRY 32326,B100000,00000,0700,00001SQUARE FEET 32326,B100000,00000,0800,00001MEALS SERVED 32326,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 32326,B100000,00000,1000,00001COSTED REQUISITIO 32326,B100000,00000,1100,00001COSTED REQUISITIO 32326,B100000,00000,1200,00001TIME SPENT 32326,B100000,00000,1300,00001TIME SPENT 32326,B100000,00000,1350,00001PATIENT DAYS 32326,B100000,00000,1400,00001ASSIGNED TIME 32326,E10A180,00501,0100,06/01/2000 32326,E10A180,00501,0300,06/01/2000 32326,E10A180,00550,0100,06/22/2000 32326,H510100,00000,0000,27 32326,H510100,02400,0000,27 32326,H710000,00301,0100,08/10/1999 32326,H710000,00302,0100,06/13/2000 32326,H710000,00501,0100,06/22/2000 32326,H710000,00550,0100,06/01/2000 32326,H710000,00551,0100,06/22/2000 32326,S000000,00100,0200,06/01/2000 32326,S200000,00100,0100,ROUTE 2 32326,S200000,00100,0300,PO BOX 3001 32326,S200000,00200,0100,MILES CITY 32326,S200000,00200,0200,MT 32326,S200000,00200,0300,59301 32326,S200000,00300,0100,CUSTER 32326,S200000,00400,0100,FRIENDSHIP VILLA CARE CENTER 32326,S200000,00400,0200,275081 32326,S200000,00400,0300,01/01/1983 32326,S200000,00400,0500,P 32326,S200000,00800,0200,277079 32326,S200000,00800,0300,12/07/1994 32326,S200000,00800,0500,P 32326,S200000,01500,0100,Y 32326,S200000,03700,0100,Y 32334,S000000,00100,0200,11/02/2000 32341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32341,A000000,00300,0000,00300EMPLOYEE BENEFITS 32341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32341,A000000,00700,0000,00700HOUSEKEEPING 32341,A000000,00800,0000,00800DIETARY 32341,A000000,00900,0000,00900NURSING ADMINISTRATION 32341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32341,A000000,01100,0000,01100PHARMACY 32341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32341,A000000,01300,0000,01300SOCIAL SERVICE 32341,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32341,A000000,01600,0000,01600SKILLED NURSING FACILITY 32341,A000000,01810,0000,01810ICF/MR 32341,A000000,02500,0000,02500PHYSICAL THERAPY 32341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32341,A000000,02700,0000,02700SPEECH PATHOLOGY 32341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32341,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32341,A000000,03550,0000,03550FQHC 32341,A000000,05000,0000,05000CORF 32341,A000000,05010,0000,05010CMHC 32341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32341,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32341,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32341,A81000A,00100,0100,Y 32341,A81000B,00100,0300,MANAGEMENT FEE 32341,A81000B,00200,0300,CAP REL. COSTS-MOVEABLE EQUIP 32341,A81000B,00300,0300,CAP REL. COSTS-BLDGS & FIXTURE 32341,A81000C,00100,0100,B 32341,A81000C,00100,0200,BEARTOOTH MANOR 32341,A81000C,00100,0400,LANTIS ENTERPRI 32341,A81000C,00100,0600,HEALTH CARE 32341,B100000,00000,0100,00000SQUARE FEET 32341,B100000,00000,0200,00000SQUARE FEET 32341,B100000,00000,0300,00000GROSS SALARIES 32341,B100000,00000,0400,00000ACCUM COST 32341,B100000,00000,0500,00000SQUARE FEET 32341,B100000,00000,0600,00000POUNDS OF LAUNDRY 32341,B100000,00000,0700,00000SQUARE FEET 32341,B100000,00000,0800,00000MEALS SERVED 32341,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32341,B100000,00000,1000,00000COSTED REQUISITIO 32341,B100000,00000,1100,00000COSTED REQUISITIO 32341,B100000,00000,1200,00000TIME SPENT 32341,B100000,00000,1300,00000TIME SPENT 32341,B100000,00000,1350,00000COSTED REQUISITIO 32341,B100000,00000,1400,00000ASSIGNED TIME 32341,E10A180,00501,0100,06/13/2000 32341,E10A180,00501,0300,06/13/2000 32341,S000000,00100,0200,05/25/2000 32341,S200000,00100,0300,PO BOX 789 32341,S200000,00200,0100,COLUMBUS 32341,S200000,00200,0200,MT 32341,S200000,00200,0300,59019-0789 32341,S200000,00400,0100,BEARTOOTH MANOR 32341,S200000,00400,0200,275090 32341,S200000,00400,0300,01/01/1983 32341,S200000,00400,0500,P 32341,S200000,01500,0100,Y 32350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32350,A000000,00300,0000,00300EMPLOYEE BENEFITS 32350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32350,A000000,00700,0000,00700HOUSEKEEPING 32350,A000000,00800,0000,00800DIETARY 32350,A000000,00801,0000,00801CAFETERI 32350,A000000,00900,0000,00900NURSING ADMINISTRATION 32350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32350,A000000,01100,0000,01100PHARMACY 32350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32350,A000000,01300,0000,01300SOCIAL SERVICE 32350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32350,A000000,01600,0000,01600SKILLED NURSING FACILITY 32350,A000000,01810,0000,01810ICF/MR 32350,A000000,02200,0000,02200LABORATORY 32350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32350,A000000,02500,0000,02500PHYSICAL THERAPY 32350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32350,A000000,03550,0000,03550FQHC 32350,A000000,05000,0000,05000CORF 32350,A000000,05010,0000,05010CMHC 32350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32350,A000000,05300,0000,05300INTEREST EXPENSE 32350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32350,B100000,00000,0100,00000SQUARE FEET 32350,B100000,00000,0200,00000DOLLAR VALUE 32350,B100000,00000,0300,00000GROSS SALARIES 32350,B100000,00000,0400,00000ACCUM. COST 32350,B100000,00000,0500,00000SQUARE FEET 32350,B100000,00000,0600,00000POUNDS OF LAUNDRY 32350,B100000,00000,0700,00000HOURS OF SERVICE 32350,B100000,00000,0800,00000MEALS 32350,B100000,00000,0801,00000FTES 32350,B100000,00000,0900,00000FTES 32350,B100000,00000,1000,00000COSTED REQUIS 32350,B100000,00000,1100,00000COSTED REQUIS 32350,B100000,00000,1200,00000TIME SPENT 32350,B100000,00000,1300,00000TIME SPENT 32350,B100000,00000,1400,00000ASSIGNED TIME 32350,E10A180,00301,0100,07/13/1999 32350,E10A180,00550,0100,06/20/2000 32350,E10A180,00551,0100,06/26/2000 32350,S000000,00100,0200,05/08/2000 32350,S200000,00100,0100,1225 PERRY LANE 32350,S200000,00200,0100,GLASGOW 32350,S200000,00200,0200,MS 32350,S200000,00200,0300,59230 32350,S200000,00300,0100,VALLEY 32350,S200000,00400,0100,VALLEY VIEW HOME 32350,S200000,00400,0200,275091 32350,S200000,00400,0300,10/01/1977 32350,S200000,00400,0500,P 32350,S200000,00400,0600,O 32350,S200000,01500,0100,Y 32358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32358,A000000,00300,0000,00300EMPLOYEE BENEFITS 32358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32358,A000000,00700,0000,00700HOUSEKEEPING 32358,A000000,00800,0000,00800DIETARY 32358,A000000,00900,0000,00900NURSING ADMINISTRATION 32358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32358,A000000,01100,0000,01100PHARMACY 32358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32358,A000000,01300,0000,01300SOCIAL SERVICE 32358,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32358,A000000,01600,0000,01600SKILLED NURSING FACILITY 32358,A000000,01810,0000,01810ICF/MR 32358,A000000,02500,0000,02500PHYSICAL THERAPY 32358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32358,A000000,02700,0000,02700SPEECH PATHOLOGY 32358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32358,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32358,A000000,03550,0000,03550FQHC 32358,A000000,05000,0000,05000CORF 32358,A000000,05010,0000,05010CMHC 32358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32358,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32358,A000000,06151,0000,06301PRIVATE ASSIST 32358,A81000A,00100,0100,Y 32358,A81000B,00100,0300,MANAGEMENT FEE 32358,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 32358,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 32358,A81000C,00100,0100,B 32358,A81000C,00100,0200,LAKE VIEW CARE 32358,A81000C,00100,0400,LANTIS ENTERPRI 32358,A81000C,00100,0600,HEALTH CARE 32358,B100000,00000,0100,00001SQUARE FEET 32358,B100000,00000,0200,00001SQUARE FEET 32358,B100000,00000,0300,00001GROSS SALARIES 32358,B100000,00000,0400,00001ACCUM COST 32358,B100000,00000,0500,00001SQUARE FEET 32358,B100000,00000,0600,00001POUNDS OF LAUNDRY 32358,B100000,00000,0700,00001SQUARE FEET 32358,B100000,00000,0800,00001MEALS SERVED 32358,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 32358,B100000,00000,1000,00001COSTED REQUISITIO 32358,B100000,00000,1100,00001COSTED REQUISITIO 32358,B100000,00000,1200,00001TIME SPENT 32358,B100000,00000,1300,00001TIME SPENT 32358,B100000,00000,1350,00001COSTED REQUISITIO 32358,B100000,00000,1400,00001ASSIGNED TIME 32358,E10A180,00501,0100,06/13/2000 32358,E10A180,00501,0300,06/13/2000 32358,S000000,00100,0200,05/26/2000 32358,S200000,00100,0100,1050 GRAND AVE 32358,S200000,00200,0100,BIG FORK 32358,S200000,00200,0200,MT 32358,S200000,00200,0300,59911 32358,S200000,00300,0100,FLATHEAD 32358,S200000,00400,0100,LAKE VIEW CARE CENTER 32358,S200000,00400,0200,275094 32358,S200000,00400,0300,02/03/1987 32358,S200000,00400,0500,P 32358,S200000,01500,0100,Y 32369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32369,A000000,00300,0000,00300EMPLOYEE BENEFITS 32369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32369,A000000,00700,0000,00700HOUSEKEEPING 32369,A000000,00800,0000,00800DIETARY 32369,A000000,00900,0000,00900NURSING ADMINISTRATION 32369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32369,A000000,01100,0000,01100PHARMACY 32369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32369,A000000,01300,0000,01300SOCIAL SERVICE 32369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32369,A000000,01600,0000,01600SKILLED NURSING FACILITY 32369,A000000,01800,0000,01800NURSING FACILITY 32369,A000000,01810,0000,01810ICF/MR 32369,A000000,02200,0000,02200LABORATORY 32369,A000000,02500,0000,02500PHYSICAL THERAPY 32369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32369,A000000,02700,0000,02700SPEECH PATHOLOGY 32369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32369,A000000,03550,0000,03550FQHC 32369,A000000,05000,0000,05000CORF 32369,A000000,05010,0000,05010CMHC 32369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32369,A81000A,00100,0100,Y 32369,A81000B,00100,0300,A & G 32369,A81000B,00200,0300,PT 32369,A81000B,00300,0300,OT 32369,A81000B,00400,0300,ST 32369,A81000C,00100,0100,D 32369,A81000C,00100,0200,ANDY MARTINI 32369,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32369,A81000C,00100,0600,MANAGEMENT SERVICE 32369,A81000C,00200,0100,B 32369,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32369,A81000C,00200,0400,EVERGREEN ANCILLARY 32369,A81000C,00200,0600,THERAPY SERVICE 32369,B100000,00000,0100,00000SQUARE FEET 32369,B100000,00000,0200,00000SQUARE FEET 32369,B100000,00000,0300,00000GROSS SALARIES 32369,B100000,00000,0400,00000ACCUM. COST 32369,B100000,00000,0500,00000SQUARE FEET 32369,B100000,00000,0600,00000PATIENT DAYS 32369,B100000,00000,0700,00000SQUARE FEET 32369,B100000,00000,0800,00000MEALS SERVED 32369,B100000,00000,0900,00000DIRECT NRSG 32369,B100000,00000,1000,00000PATIENT DAYS 32369,B100000,00000,1100,00000COSTED REQUIS 32369,B100000,00000,1200,00000PATIENT DAYS 32369,B100000,00000,1300,00000PATIENT DAYS 32369,B100000,00000,1400,00000ASSIGNED TIME 32369,E10A180,00501,0100,06/20/2000 32369,E10A180,00550,0300,06/20/2000 32369,S000000,00100,0200,05/31/2001 32369,S200000,00100,0100,1341 ROSEBUD LANE 32369,S200000,00200,0100,BILLINGS 32369,S200000,00200,0200,MT 32369,S200000,00200,0300,59101 32369,S200000,00300,0100,YELLOWSTONE 32369,S200000,00400,0100,EVERGREEN BILLINGS HLTH & REHAB CENT 32369,S200000,00400,0200,275096 32369,S200000,00400,0300,07/01/1979 32369,S200000,00400,0500,P 32369,S200000,01600,0100,Y 32375,S000000,00100,0200,09/29/2000 32382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32382,A000000,00300,0000,00300EMPLOYEE BENEFITS 32382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32382,A000000,00700,0000,00700HOUSEKEEPING 32382,A000000,00800,0000,00800DIETARY 32382,A000000,00900,0000,00900NURSING ADMINISTRATION 32382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32382,A000000,01100,0000,01100PHARMACY 32382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32382,A000000,01300,0000,01300SOCIAL SERVICE 32382,A000000,01350,0000,01500OTHER GENERAL SERVICES 32382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32382,A000000,01600,0000,01600SKILLED NURSING FACILITY 32382,A000000,01800,0000,01800NURSING FACILITY 32382,A000000,01810,0000,01810ICF/MR 32382,A000000,02100,0000,02100RADIOLOGY 32382,A000000,02200,0000,02200LABORATORY 32382,A000000,02500,0000,02500PHYSICAL THERAPY 32382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32382,A000000,02700,0000,02700SPEECH PATHOLOGY 32382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32382,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32382,A000000,03550,0000,03550FQHC 32382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32382,A000000,05000,0000,05000CORF 32382,A000000,05010,0000,05010CMHC 32382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32382,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32382,B100000,00000,0100,00000SQUARE FEET 32382,B100000,00000,0200,00000DOLLAR VALUE 32382,B100000,00000,0300,00000GROSS SALARIES 32382,B100000,00000,0400,00000ACCUM. COST 32382,B100000,00000,0500,00000SQUARE FEET 32382,B100000,00000,0600,00000POUNDS 32382,B100000,00000,0700,00000HOURS OF SERVICE 32382,B100000,00000,0800,00000MEALS SERVED 32382,B100000,00000,0900,00000DIRECT NRSING HRS 32382,B100000,00000,1000,00000COSTED REQUIS. 32382,B100000,00000,1100,00000COSTED REQUIS. 32382,B100000,00000,1200,00000TIME SPENT 32382,B100000,00000,1300,00000PATIENT DAYS 32382,B100000,00000,1350,00000NO STATISTICS 32382,B100000,00000,1400,00000ASSIGNED TIME 32382,E10A180,00501,0100,04/18/2000 32382,E10A180,00501,0300,04/18/2000 32382,S000000,00100,0200,04/10/2000 32382,S200000,00100,0100,225 NORTH EIGHTH STREET 32382,S200000,00200,0100,HAMILTON 32382,S200000,00200,0200,MT 32382,S200000,00300,0100,RAVALLI 32382,S200000,00400,0100,ILHCI D/B/A VALLEY VIEW ESTATES 32382,S200000,00400,0200,275101 32382,S200000,00400,0300,10/01/1983 32382,S200000,00400,0500,P 32382,S200000,01600,0100,Y 32382,S200000,02800,0100,Y 32391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32391,A000000,00300,0000,00300EMPLOYEE BENEFITS 32391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32391,A000000,00700,0000,00700HOUSEKEEPING 32391,A000000,00800,0000,00800DIETARY 32391,A000000,00900,0000,00900NURSING ADMINISTRATION 32391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32391,A000000,01100,0000,01100PHARMACY 32391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32391,A000000,01300,0000,01300SOCIAL SERVICE 32391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32391,A000000,01600,0000,01600SKILLED NURSING FACILITY 32391,A000000,01800,0000,01800NURSING FACILITY 32391,A000000,01810,0000,01810ICF/MR 32391,A000000,02100,0000,02100RADIOLOGY 32391,A000000,02200,0000,02200LABORATORY 32391,A000000,02500,0000,02500PHYSICAL THERAPY 32391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32391,A000000,02700,0000,02700SPEECH PATHOLOGY 32391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32391,A000000,03200,0000,03200SUPPORT SURFACES 32391,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32391,A000000,03550,0000,03550FQHC 32391,A000000,05000,0000,05000CORF 32391,A000000,05010,0000,05010CMHC 32391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32391,A81000A,00100,0100,Y 32391,A81000B,00100,0300,A & G 32391,A81000B,00200,0300,PT 32391,A81000B,00300,0300,OT 32391,A81000B,00400,0300,ST 32391,A81000C,00100,0100,D 32391,A81000C,00100,0200,ANDY MARTINI 32391,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32391,A81000C,00100,0600,MANAGEMENT SERVICE 32391,A81000C,00200,0100,B 32391,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32391,A81000C,00200,0400,EVERGREEN ANCILLARY 32391,A81000C,00200,0600,THERAPY SERVICE 32391,B100000,00000,0100,00000SQUARE FEET 32391,B100000,00000,0200,00000SQUARE FEET 32391,B100000,00000,0300,00000GROSS SALARIES 32391,B100000,00000,0400,00000ACCUM. COST 32391,B100000,00000,0500,00000SQUARE FEET 32391,B100000,00000,0600,00000PATIENT DAYS 32391,B100000,00000,0700,00000SQUARE FEET 32391,B100000,00000,0800,00000MEALS SERVED 32391,B100000,00000,0900,00000DIRECT NRSG 32391,B100000,00000,1000,00000PATIENT DAYS 32391,B100000,00000,1100,00000COSTED REQUIS 32391,B100000,00000,1200,00000PATIENT DAYS 32391,B100000,00000,1300,00000PATIENT DAYS 32391,B100000,00000,1400,00000ASSIGNED TIME 32391,E10A180,00501,0300,07/11/2000 32391,E10A180,00550,0100,07/03/2000 32391,E10A180,00551,0100,07/11/2000 32391,S000000,00100,0200,04/10/2000 32391,S200000,00100,0100,820 THIRD AVENUE 32391,S200000,00200,0100,LAUREL 32391,S200000,00200,0200,MT 32391,S200000,00200,0300,59044 32391,S200000,00300,0100,YELLOWSTONE 32391,S200000,00400,0100,EVERGREEN LAUREL HLTH & REHAB CTR 32391,S200000,00400,0200,275111 32391,S200000,00400,0300,09/01/1997 32391,S200000,00400,0500,P 32391,S200000,01600,0100,Y 32402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32402,A000000,00300,0000,00300EMPLOYEE BENEFITS 32402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32402,A000000,00700,0000,00700HOUSEKEEPING 32402,A000000,00800,0000,00800DIETARY 32402,A000000,00900,0000,00900NURSING ADMINISTRATION 32402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32402,A000000,01100,0000,01100PHARMACY 32402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32402,A000000,01300,0000,01300SOCIAL SERVICE 32402,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32402,A000000,01600,0000,01600SKILLED NURSING FACILITY 32402,A000000,01800,0000,01800NURSING FACILITY 32402,A000000,01810,0000,01810ICF/MR 32402,A000000,02500,0000,02500PHYSICAL THERAPY 32402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32402,A000000,02700,0000,02700SPEECH PATHOLOGY 32402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32402,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32402,A000000,03550,0000,03550FQHC 32402,A000000,05000,0000,05000CORF 32402,A000000,05010,0000,05010CMHC 32402,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32402,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32402,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32402,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32402,A000000,06201,0000,06202AREAS OUT OF SERVICE 32402,A81000A,00100,0100,Y 32402,A81000B,00100,0300,MANAGEMENT FEE 32402,A81000B,00200,0300,ALLOWABLE RENT 32402,A81000B,00300,0300,CAP RLTD BLDGS/FIXTURES 32402,A81000B,00400,0300,CAP RLTD MOVE EQUIP 32402,A81000C,00100,0100,B 32402,A81000C,00100,0200,ROCKY MTN CARE 32402,A81000C,00100,0400,LANTIS ENTERPRI 32402,A81000C,00100,0600,HEALTH CARE 32402,B100000,00000,0100,00000SQUARE FEET 32402,B100000,00000,0200,00000SQUARE FEET 32402,B100000,00000,0300,00000GROSS SALARIES 32402,B100000,00000,0400,00000ACCUM COST 32402,B100000,00000,0500,00000SQUARE FEET 32402,B100000,00000,0600,00000POUNDS OF LAUNDRY 32402,B100000,00000,0700,00000SQUARE FEET 32402,B100000,00000,0800,00000MEALS SERVED 32402,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32402,B100000,00000,1000,00000COSTED REQUISITIO 32402,B100000,00000,1100,00000COSTED REQUISITIO 32402,B100000,00000,1200,00000TIME SPENT 32402,B100000,00000,1300,00000TIME SPENT 32402,B100000,00000,1350,00000ASSIGNED TIME 32402,B100000,00000,1400,00000ASSIGNED TIME 32402,S000000,00100,0200,05/26/2000 32402,S200000,00200,0100,LEWIS & CLARK 32402,S200000,00400,0100,ROCKY MOUNTAIN CARE CENTER 32402,S200000,00400,0200,275114 32402,S200000,00400,0300,06/01/1986 32402,S200000,00400,0500,P 32402,S200000,01600,0100,Y 32414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32414,A000000,00300,0000,00300EMPLOYEE BENEFITS 32414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32414,A000000,00700,0000,00700HOUSEKEEPING 32414,A000000,00800,0000,00800DIETARY 32414,A000000,00900,0000,00900NURSING ADMINISTRATION 32414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32414,A000000,01100,0000,01100PHARMACY 32414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32414,A000000,01300,0000,01300SOCIAL SERVICE 32414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32414,A000000,01600,0000,01600SKILLED NURSING FACILITY 32414,A000000,01800,0000,01800NURSING FACILITY 32414,A000000,01810,0000,01810ICF/MR 32414,A000000,02100,0000,02100RADIOLOGY 32414,A000000,02200,0000,02200LABORATORY 32414,A000000,02300,0000,02300INTRAVENOUS THERAPY 32414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32414,A000000,02500,0000,02500PHYSICAL THERAPY 32414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32414,A000000,02700,0000,02700SPEECH PATHOLOGY 32414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32414,A000000,03200,0000,03200SUPPORT SURFACES 32414,A000000,03550,0000,03550FQHC 32414,A000000,05000,0000,05000CORF 32414,A000000,05010,0000,05010CMHC 32414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32414,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32414,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32414,A81000A,00100,0100,Y 32414,A81000B,00100,0300,A & G 32414,A81000B,00200,0300,P T 32414,A81000B,00300,0300,OT 32414,A81000B,00400,0300,ST 32414,A81000C,00100,0100,D 32414,A81000C,00100,0200,ANDY MARTINI 32414,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 32414,A81000C,00100,0600,MANAGEMENT SERVICE 32414,A81000C,00200,0100,B 32414,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 32414,A81000C,00200,0400,EVERGREEN ANCILLARY 32414,A81000C,00200,0600,THERAPY SERVICE 32414,B100000,00000,0100,00000SQUARE FEET 32414,B100000,00000,0200,00000SQUARE FEET 32414,B100000,00000,0300,00000GROSS SALARIES 32414,B100000,00000,0400,00000ACCUM. COST 32414,B100000,00000,0500,00000SQUARE FEET 32414,B100000,00000,0600,00000PATIENT DAYS 32414,B100000,00000,0700,00000SQUARE FEET 32414,B100000,00000,0800,00000MEALS SERVED 32414,B100000,00000,0900,00000DIRECT NRSG 32414,B100000,00000,1000,00000PATIENT DAYS 32414,B100000,00000,1100,00000COSTED REQUIS 32414,B100000,00000,1200,00000PATIENT DAYS 32414,B100000,00000,1300,00000PATIENT DAYS 32414,B100000,00000,1400,00000ASSIGNED TIME 32414,E10A180,00501,0300,06/20/2000 32414,E10A180,00550,0100,06/20/2000 32414,S000000,00100,0200,04/10/2000 32414,S200000,00100,0100,321 NORTH 5TH AVENUE 32414,S200000,00200,0100,BOZEMAN 32414,S200000,00200,0200,MT 32414,S200000,00300,0100,GALLATIN 32414,S200000,00400,0100,EVERGREEN BOZEMAN HEALTH & REHAB 32414,S200000,00400,0200,275115 32414,S200000,00400,0300,04/01/1988 32414,S200000,00400,0500,P 32414,S200000,00600,0200,275115 32414,S200000,00600,0300,04/01/1988 32414,S200000,01600,0100,Y 32424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32424,A000000,00300,0000,00300EMPLOYEE BENEFITS 32424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32424,A000000,00700,0000,00700HOUSEKEEPING 32424,A000000,00800,0000,00800DIETARY 32424,A000000,00900,0000,00900NURSING ADMINISTRATION 32424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32424,A000000,01100,0000,01100PHARMACY 32424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32424,A000000,01300,0000,01300SOCIAL SERVICE 32424,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32424,A000000,01600,0000,01600SKILLED NURSING FACILITY 32424,A000000,01810,0000,01810ICF/MR 32424,A000000,02500,0000,02500PHYSICAL THERAPY 32424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32424,A000000,02700,0000,02700SPEECH PATHOLOGY 32424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32424,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32424,A000000,03550,0000,03550FQHC 32424,A000000,05000,0000,05000CORF 32424,A000000,05010,0000,05010CMHC 32424,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32424,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32424,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32424,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32424,A81000A,00100,0100,Y 32424,A81000B,00100,0300,MANAGEMENT FEE 32424,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 32424,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 32424,A81000C,00100,0100,B 32424,A81000C,00100,0200,PARKVIEW CONVAL 32424,A81000C,00100,0400,LANTIS ENTERPRI 32424,A81000C,00100,0600,HEALTH CARE 32424,B100000,00000,0100,00000SQUARE FEET 32424,B100000,00000,0200,00000SQUARE FEET 32424,B100000,00000,0300,00000GROSS SALARIES 32424,B100000,00000,0400,00000ACCUM COST 32424,B100000,00000,0500,00000SQUARE FEET 32424,B100000,00000,0600,00000POUNDS OF LAUNDRY 32424,B100000,00000,0700,00000SQUARE FEET 32424,B100000,00000,0800,00000PATIENT DAYS 32424,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32424,B100000,00000,1000,00000COSTED REQUISITIO 32424,B100000,00000,1100,00000COSTED REQUISITIO 32424,B100000,00000,1200,00000PATIENT DAYS 32424,B100000,00000,1300,00000TIME SPENT 32424,B100000,00000,1350,00000COSTED REQUISITIO 32424,B100000,00000,1400,00000ASSIGNED TIME 32424,E10A180,00501,0100,06/13/2000 32424,E10A180,00501,0300,06/13/2000 32424,S000000,00100,0200,05/30/2001 32424,S200000,00100,0100,600 SOUTH 27TH STREET 32424,S200000,00200,0100,BILLINGS 32424,S200000,00200,0200,MT 32424,S200000,00200,0300,59101 32424,S200000,00300,0100,YELLOWSTONE 32424,S200000,00400,0100,PARKVIEW CONVALESCENT CARE 32424,S200000,00400,0200,275120 32424,S200000,00400,0300,03/01/1996 32424,S200000,00400,0500,P 32424,S200000,01500,0100,Y 32435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32435,A000000,00300,0000,00300EMPLOYEE BENEFITS 32435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32435,A000000,00700,0000,00700HOUSEKEEPING 32435,A000000,00800,0000,00800DIETARY 32435,A000000,00900,0000,00900NURSING ADMINISTRATION 32435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32435,A000000,01100,0000,01100PHARMACY 32435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32435,A000000,01300,0000,01300SOCIAL SERVICE 32435,A000000,01301,0000,01301ACTIVITIES 32435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32435,A000000,01600,0000,01600SKILLED NURSING FACILITY 32435,A000000,01810,0000,01810ICF/MR 32435,A000000,02200,0000,02200LABORATORY 32435,A000000,02500,0000,02500PHYSICAL THERAPY 32435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32435,A000000,02700,0000,02700SPEECH PATHOLOGY 32435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32435,A000000,03550,0000,03550FQHC 32435,A000000,05000,0000,05000CORF 32435,A000000,05010,0000,05010CMHC 32435,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32435,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32435,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32435,A000000,05300,0000,05300INTEREST EXPENSE 32435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32435,A81000A,00100,0100,Y 32435,A81000B,00100,0300,MANAGEMENT FEE 32435,A81000B,00200,0300,RENTAL 32435,A81000B,00300,0300,DEPRECIATION 32435,A81000C,00100,0100,B 32435,A81000C,00100,0200,ALLEN BIRD 32435,A81000C,00100,0400,RPH 32435,B100000,00000,0100,00000SQUARE FEET 32435,B100000,00000,0200,00000SQUARE FEET 32435,B100000,00000,0300,00000GROSS SALARIES 32435,B100000,00000,0400,00000ACCUM. COST 32435,B100000,00000,0500,00000SQUARE FEET 32435,B100000,00000,0600,00000POUNDS OF LAUNDRY 32435,B100000,00000,0700,00000SQUARE FEET 32435,B100000,00000,0800,00000MEALS SERVED 32435,B100000,00000,0900,00000DIRECT NRSING HRS 32435,B100000,00000,1000,00000COSTED REQUIS. 32435,B100000,00000,1100,00000COSTED REQUIS. 32435,B100000,00000,1200,00000TIME SPENT 32435,B100000,00000,1300,00000TIME SPENT 32435,B100000,00000,1301,00000TIME SPENT 32435,B100000,00000,1400,00000ASSIGNED TIME 32435,E10A180,00501,0100,06/13/2000 32435,E10A180,00501,0300,06/13/2000 32435,S000000,00100,0200,05/15/2000 32435,S200000,00100,0100,3131 AMHERST 32435,S200000,00200,0100,BUTTE 32435,S200000,00200,0200,MT 32435,S200000,00200,0300,59701 32435,S200000,00300,0100,SILVERBOW 32435,S200000,00400,0100,CREST NURSING HOME 32435,S200000,00400,0200,275122 32435,S200000,00400,0300,04/01/1988 32435,S200000,00400,0500,P 32435,S200000,01600,0100,Y 32435,S200000,04300,0100,Y 32447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32447,A000000,00300,0000,00300EMPLOYEE BENEFITS 32447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32447,A000000,00700,0000,00700HOUSEKEEPING 32447,A000000,00800,0000,00800DIETARY 32447,A000000,00900,0000,00900NURSING ADMINISTRATION 32447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32447,A000000,01100,0000,01100PHARMACY 32447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32447,A000000,01300,0000,01300SOCIAL SERVICE 32447,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32447,A000000,01600,0000,01600SKILLED NURSING FACILITY 32447,A000000,01800,0000,01800NURSING FACILITY 32447,A000000,01810,0000,01810ICF/MR 32447,A000000,02500,0000,02500PHYSICAL THERAPY 32447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32447,A000000,02700,0000,02700SPEECH PATHOLOGY 32447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32447,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32447,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32447,A000000,03550,0000,03550FQHC 32447,A000000,05000,0000,05000CORF 32447,A000000,05010,0000,05010CMHC 32447,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32447,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32447,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32447,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32447,A000000,06151,0000,06301PRIVATE ASSIST 32447,A000000,06152,0000,06302ASSISTED LIVING 32447,A81000A,00100,0100,Y 32447,A81000B,00100,0300,MANAGEMENT FEES 32447,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 32447,A81000B,00300,0300,CAP RLTD MOVE EQUIP 32447,A81000C,00100,0100,B 32447,A81000C,00100,0200,EAGLE CLIFF MAN 32447,A81000C,00100,0400,LANTIS ENTERPRI 32447,A81000C,00100,0600,HEALTH CARE 32447,B100000,00000,0100,00002SQUARE FEET 32447,B100000,00000,0200,00002SQUARE FEET 32447,B100000,00000,0300,00002GROSS SALARIES 32447,B100000,00000,0400,00002ACCUM COST 32447,B100000,00000,0500,00002SQUARE FEET 32447,B100000,00000,0600,00002POUNDS OF LAUNDRY 32447,B100000,00000,0700,00002SQUARE FEET 32447,B100000,00000,0800,00002PATIENT DAYS 32447,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 32447,B100000,00000,1000,00002COSTED REQUISITIO 32447,B100000,00000,1100,00002COSTED REQUISITIO 32447,B100000,00000,1200,00002PATIENT DAYS 32447,B100000,00000,1300,00002PATIENT DAYS 32447,B100000,00000,1350,00002COSTED REQUISITIO 32447,B100000,00000,1400,00002ASSIGNED TIME 32447,E10A180,00501,0100,06/06/2000 32447,E10A180,00501,0300,06/06/2000 32447,S000000,00100,0200,05/23/2000 32447,S200000,00100,0100,1415 YELLOWSTONE RIVER ROAD 32447,S200000,00200,0100,BILLINGS 32447,S200000,00200,0200,MT 32447,S200000,00200,0300,59105 32447,S200000,00300,0100,YELLOWSTON 0 32447,S200000,00400,0100,EAGLE CLIFF MANOR 32447,S200000,00400,0200,275123 32447,S200000,00400,0300,04/01/1988 32447,S200000,00400,0500,P 32455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32455,A000000,00300,0000,00300EMPLOYEE BENEFITS 32455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32455,A000000,00700,0000,00700HOUSEKEEPING 32455,A000000,00800,0000,00800DIETARY 32455,A000000,00900,0000,00900NURSING ADMINISTRATION 32455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32455,A000000,01100,0000,01100PHARMACY 32455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32455,A000000,01300,0000,01300SOCIAL SERVICE 32455,A000000,01350,0000,01500OTHER GENERAL SERVICES 32455,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32455,A000000,01600,0000,01600SKILLED NURSING FACILITY 32455,A000000,01800,0000,01800NURSING FACILITY 32455,A000000,01810,0000,01810ICF/MR 32455,A000000,02500,0000,02500PHYSICAL THERAPY 32455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32455,A000000,02700,0000,02700SPEECH PATHOLOGY 32455,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32455,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32455,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32455,A000000,03550,0000,03550FQHC 32455,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32455,A000000,05000,0000,05000CORF 32455,A000000,05010,0000,05010CMHC 32455,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32455,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32455,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32455,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32455,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32455,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32455,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32455,A81000A,00100,0100,Y 32455,A81000B,00100,0300,MGMT & ACCTG FEES 32455,A81000B,00200,0300,CAP REL COSTS 32455,A81000C,00100,0100,A 32455,A81000C,00100,0200,JOHN B GOODMAN 32455,A81000C,00100,0400,SAGE COMPANY 32455,A81000C,00100,0600,MANAGEMENT COMPANY 32455,B100000,00000,0100,00000SQUARE FOOTAGE 32455,B100000,00000,0200,00000NO STATISTICS 32455,B100000,00000,0300,00000GROSS SALARIES 32455,B100000,00000,0400,00000ACCUM. COST 32455,B100000,00000,0500,00000SQUARE FOOTAGE 32455,B100000,00000,0600,00000POUNDS OF LAUNDRY 32455,B100000,00000,0700,00000SQUARE FOOTAGE 32455,B100000,00000,0800,00000MEALS SERVED 32455,B100000,00000,0900,00000DIRECT NSG HOURS 32455,B100000,00000,1000,00000NO STATISTICS 32455,B100000,00000,1100,00000NO STATISTICS 32455,B100000,00000,1200,00000TIME SPENT 32455,B100000,00000,1300,00000TIME SPENT 32455,B100000,00000,1350,00000NO STATISTICS 32455,B100000,00000,1400,00000NO STATISTICS 32455,E10A180,00501,0100,05/09/2000 32455,E10A180,00501,0300,05/09/2000 32455,S000000,00100,0200,04/21/2000 32455,S200000,00100,0100,1301 EAST BROADWAY 32455,S200000,00200,0100,MISSOULA 32455,S200000,00200,0200,MT 32455,S200000,00300,0100,MISSOULA 32455,S200000,00400,0100,RIVERSIDE HEALTH CARE CENTER 32455,S200000,00400,0200,275126 32455,S200000,00400,0300,12/13/1988 32455,S200000,00400,0500,P 32455,S200000,01600,0100,Y 32455,S200000,02800,0100,Y 32463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32463,A000000,00300,0000,00300EMPLOYEE BENEFITS 32463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32463,A000000,00700,0000,00700HOUSEKEEPING 32463,A000000,00800,0000,00800DIETARY 32463,A000000,00900,0000,00900NURSING ADMINISTRATION 32463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32463,A000000,01100,0000,01100PHARMACY 32463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32463,A000000,01300,0000,01300SOCIAL SERVICE 32463,A000000,01350,0000,01500ACTIVITIES 32463,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32463,A000000,01600,0000,01600SKILLED NURSING FACILITY 32463,A000000,01810,0000,01810ICF/MR 32463,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32463,A000000,02500,0000,02500PHYSICAL THERAPY 32463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32463,A000000,03550,0000,03550FQHC 32463,A000000,05000,0000,05000CORF 32463,A000000,05010,0000,05010CMHC 32463,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32463,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32463,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32463,B100000,00000,0100,00000SQUARE FEET 32463,B100000,00000,0200,00000SQUARE FEET 32463,B100000,00000,0300,00000GROSS SALARIES 32463,B100000,00000,0400,00000ACCUM COST 32463,B100000,00000,0500,00000SQUARE FEET 32463,B100000,00000,0600,00000POUNDS OF LAUNDRY 32463,B100000,00000,0700,00000SQUARE FEET 32463,B100000,00000,0800,00000MEALS SERVED 32463,B100000,00000,0900,00000DIRECT NRSG HRS 32463,B100000,00000,1000,00000COSTED REQUIS 32463,B100000,00000,1100,00000COSTED REQUIS 32463,B100000,00000,1200,00000TIME SPENT 32463,B100000,00000,1300,00000TIME SPENT 32463,B100000,00000,1350,00000HOURS SPENT 32463,B100000,00000,1400,00000ASSIGNED TIME 32463,E10A180,00501,0300,05/23/2000 32463,S000000,00100,0200,05/31/2000 32463,S200000,00100,0100,HIGHWAY 2 WEST 32463,S200000,00100,0300,1190 32463,S200000,00200,0100,CHINOOK 32463,S200000,00200,0200,MT 32463,S200000,00200,0300,59523 32463,S200000,00300,0100,BLAINE 32463,S200000,00400,0100,SWEET MEMORIAL NURSING HOME 32463,S200000,00400,0200,275127 32463,S200000,00400,0300,02/16/1989 32463,S200000,00400,0500,P 32463,S200000,00400,0600,O 32463,S200000,01500,0100,Y 32463,S200000,01900,0100,NON-PROFIT CORPORATION 32469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32469,A000000,00300,0000,00300EMPLOYEE BENEFITS 32469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32469,A000000,00700,0000,00700HOUSEKEEPING 32469,A000000,00800,0000,00800DIETARY 32469,A000000,00900,0000,00900NURSING ADMINISTRATION 32469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32469,A000000,01100,0000,01100PHARMACY 32469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32469,A000000,01300,0000,01300SOCIAL SERVICE 32469,A000000,01350,0000,01500ACTIVITIES 32469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32469,A000000,01600,0000,01600SKILLED NURSING FACILITY 32469,A000000,01810,0000,01810ICF/MR 32469,A000000,02200,0000,02200LABORATORY 32469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32469,A000000,02500,0000,02500PHYSICAL THERAPY 32469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32469,A000000,02700,0000,02700SPEECH PATHOLOGY 32469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32469,A000000,03550,0000,03550FQHC 32469,A000000,04800,0000,04800AMBULANCE 32469,A000000,05000,0000,05000CORF 32469,A000000,05010,0000,05010CMHC 32469,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32469,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32469,B100000,00000,0100,00000SQUARE FEET 32469,B100000,00000,0200,00000SQUARE FEET 32469,B100000,00000,0300,00000GROSS SALARIES 32469,B100000,00000,0400,00000ACCUM COST 32469,B100000,00000,0500,00000SQUARE FEET 32469,B100000,00000,0600,00000PATIENT DAYS 32469,B100000,00000,0700,00000SQUARE FEET 32469,B100000,00000,0800,00000MEALS SERVED 32469,B100000,00000,0900,00000PATIENT DAYS 32469,B100000,00000,1000,00000PATIENT DAYS 32469,B100000,00000,1100,00000COSTED REQUIS 32469,B100000,00000,1200,00000PATIENT DAYS 32469,B100000,00000,1300,00000PATIENT DAYS 32469,B100000,00000,1350,00000PATIENT DAYS 32469,B100000,00000,1400,00000ASSIGNED TIME 32469,S000000,00100,0200,12/05/2000 32469,S200000,00100,0100,185 CRESTLINE AVENUE 32469,S200000,00200,0100,KALISPELL 32469,S200000,00200,0200,MT 32469,S200000,00200,0300,59901 32469,S200000,00300,0100,FLATHEAD 32469,S200000,00400,0100,IMMANUEL LUTHERAN CORPORATION 32469,S200000,00400,0200,275129 32469,S200000,00400,0300,03/16/1989 32469,S200000,00400,0500,P 32469,S200000,01500,0100,Y 32469,S200000,04300,0100,Y 32469,S200000,04700,0100,Y 32469,S200000,04700,0200,Y 32478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32478,A000000,00300,0000,00300EMPLOYEE BENEFITS 32478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32478,A000000,00501,0000,01301ACTIVITIES 32478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32478,A000000,00700,0000,00700HOUSEKEEPING 32478,A000000,00800,0000,00800DIETARY 32478,A000000,00900,0000,00900NURSING ADMINISTRATION 32478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32478,A000000,01100,0000,01100PHARMACY 32478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32478,A000000,01300,0000,01300SOCIAL SERVICE 32478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32478,A000000,01600,0000,01600SKILLED NURSING FACILITY 32478,A000000,01810,0000,01810ICF/MR 32478,A000000,02200,0000,02200LABORATORY 32478,A000000,02500,0000,02500PHYSICAL THERAPY 32478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32478,A000000,02700,0000,02700SPEECH PATHOLOGY 32478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32478,A000000,03550,0000,03550FQHC 32478,A000000,05000,0000,05000CORF 32478,A000000,05010,0000,05010CMHC 32478,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32478,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32478,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32478,A000000,05300,0000,05300INTEREST EXPENSE 32478,A000000,06150,0000,06300APARTMENTS & DAY CARE MEALS 32478,A000000,06152,0000,06302ASSISTED LIVING 32478,B100000,00000,0100,00002SQUARE FEET 32478,B100000,00000,0200,00002SQUARE FEET 32478,B100000,00000,0300,00002GROSS SALARY 32478,B100000,00000,0400,00002ACCUM. COST 32478,B100000,00000,0500,00002SQUARE FEET 32478,B100000,00000,0600,00002POUNDS OF LAUNDRY 32478,B100000,00000,0700,00002SQUARE FEET 32478,B100000,00000,0800,00002MEALS SERVED 32478,B100000,00000,0900,00002HOURS OF SERVICE 32478,B100000,00000,1000,00002COSTED REQUIS 32478,B100000,00000,1100,00002COSTED REQUIS 32478,B100000,00000,1200,00002TIME SPENT 32478,B100000,00000,1300,00002TIME SPENT 32478,B100000,00000,1301,00002TIME SPENT 32478,B100000,00000,1400,00002ASSIGNED TIME 32478,S000000,00100,0200,11/09/2000 32478,S200000,00100,0100,200 NORTH MITCHEL AVENUE 32478,S200000,00200,0100,HARDIN 32478,S200000,00200,0200,MT 32478,S200000,00200,0300,59034 32478,S200000,00400,0100,HERITAGE ACRES NURSING HOME 32478,S200000,00400,0200,275130 32478,S200000,00400,0300,07/01/1994 32478,S200000,00400,0500,P 32478,S200000,01500,0100,Y 32478,S200000,04300,0100,Y 32485,S000000,00100,0200,05/26/2000 32492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32492,A000000,00300,0000,00300EMPLOYEE BENEFITS 32492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32492,A000000,00700,0000,00700HOUSEKEEPING 32492,A000000,00800,0000,00800DIETARY 32492,A000000,00900,0000,00900NURSING ADMINISTRATION 32492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32492,A000000,01100,0000,01100PHARMACY 32492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32492,A000000,01300,0000,01300SOCIAL SERVICE 32492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32492,A000000,01600,0000,01600SKILLED NURSING FACILITY 32492,A000000,01810,0000,01810ICF/MR 32492,A000000,01900,0000,01900OTHER LONG TERM CARE 32492,A000000,02500,0000,02500PHYSICAL THERAPY 32492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32492,A000000,02700,0000,02700SPEECH PATHOLOGY 32492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32492,A000000,03550,0000,03550FQHC 32492,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32492,A000000,05000,0000,05000CORF 32492,A000000,05010,0000,05010CMHC 32492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32492,A000000,05300,0000,05300INTEREST EXPENSE 32492,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32492,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32492,A81000A,00100,0100,Y 32492,A81000B,00100,0300,DISCOVERY CARE MGMT LLC 32492,A81000B,00200,0300,JOHN ASH CONSULTING 32492,A81000C,00100,0100,B 32492,A81000C,00100,0200,WATKINS INC 32492,A81000C,00200,0100,B 32492,A81000C,00200,0200,ASH WATKINS 32492,A81000C,00300,0100,B 32492,A81000C,00300,0200,WATKINS IRREVOCABLE TRUST 32492,A81000C,00400,0100,A 32492,A81000C,00400,0200,JUNE WATKINS 32492,A81000C,00500,0100,A 32492,A81000C,00500,0200,WILBUR WATKINS 32492,B100000,00000,0100,00000SQUARE FEET 32492,B100000,00000,0200,00000SQUARE FEET 32492,B100000,00000,0300,00000GROSS SALARIES 32492,B100000,00000,0400,00000ACCUM. COST 32492,B100000,00000,0500,00000SQUARE FEET 32492,B100000,00000,0600,00000HOURS OF SERVICE 32492,B100000,00000,0700,00000HOURS OF SERVICE 32492,B100000,00000,0800,00000MEALS SERVED 32492,B100000,00000,0900,00000HOURS OF SERVICE 32492,B100000,00000,1000,00000COSTED REQUIS 32492,B100000,00000,1100,00000COSTED REQUIS 32492,B100000,00000,1200,00000TIME SPENT 32492,B100000,00000,1300,00000HOURS OF SERVICE 32492,B100000,00000,1400,00000ASSIGNED TIME 32492,E10A180,00501,0300,06/20/2000 32492,S000000,00100,0200,06/07/2000 32492,S200000,00100,0100,601 N. 10TH STREET 32492,S200000,00200,0100,HAMILTON 32492,S200000,00200,0200,MT 32492,S200000,00200,0300,59840 32492,S200000,00300,0100,RAVALLI 32492,S200000,00400,0100,DISCOVERY CARE CENTRE LTD. 32492,S200000,00400,0200,275135 32492,S200000,00400,0300,09/12/1990 32492,S200000,00400,0500,P 32492,S200000,01600,0100,Y 32492,S200000,02800,0100,Y 32501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32501,A000000,00300,0000,00300EMPLOYEE BENEFITS 32501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32501,A000000,00700,0000,00700HOUSEKEEPING 32501,A000000,00800,0000,00800DIETARY 32501,A000000,00900,0000,00900NURSING ADMINISTRATION 32501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32501,A000000,01100,0000,01100PHARMACY 32501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32501,A000000,01300,0000,01300SOCIAL SERVICE 32501,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32501,A000000,01600,0000,01600SKILLED NURSING FACILITY 32501,A000000,01810,0000,01810ICF/MR 32501,A000000,02100,0000,02100RADIOLOGY 32501,A000000,02200,0000,02200LABORATORY 32501,A000000,02500,0000,02500PHYSICAL THERAPY 32501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32501,A000000,02700,0000,02700SPEECH PATHOLOGY 32501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32501,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32501,A000000,03550,0000,03550FQHC 32501,A000000,05000,0000,05000CORF 32501,A000000,05010,0000,05010CMHC 32501,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32501,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32501,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32501,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32501,B100000,00000,0100,00000SQUARE FEET 32501,B100000,00000,0200,00000SQUARE FEET 32501,B100000,00000,0300,00000GROSS SALARIES 32501,B100000,00000,0400,00000ACCUM COST 32501,B100000,00000,0500,00000SQUARE FEET 32501,B100000,00000,0600,00000POUNDS OF LAUNDRY 32501,B100000,00000,0700,00000HOURS OF SERVICE 32501,B100000,00000,0800,00000MEALS SERVED 32501,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32501,B100000,00000,1000,00000COSTED REQUISITIO 32501,B100000,00000,1100,00000COSTED REQUISITIO 32501,B100000,00000,1200,00000TIME SPENT 32501,B100000,00000,1300,00000TIME SPENT 32501,B100000,00000,1350,00000 32501,B100000,00000,1400,00000ASSIGNED TIME 32501,S000000,00100,0200,11/30/2000 32501,S200000,00100,0100,211 NORTH MAIN STREET 32501,S200000,00100,0300,335 32501,S200000,00200,0100,ENNIS 32501,S200000,00200,0200,MT 32501,S200000,00200,0300,59729 32501,S200000,00300,0100,M 32501,S200000,00400,0100,MADISON VALLEY MANOR 32501,S200000,00400,0200,275136 32501,S200000,00400,0300,07/01/1991 32501,S200000,00400,0500,P 32501,S200000,01500,0100,Y 32512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32512,A000000,00300,0000,00300EMPLOYEE BENEFITS 32512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32512,A000000,00700,0000,00700HOUSEKEEPING 32512,A000000,00800,0000,00800DIETARY 32512,A000000,00801,0000,00801CAFETERIA 32512,A000000,00900,0000,00900NURSING ADMINISTRATION 32512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32512,A000000,01100,0000,01100PHARMACY 32512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32512,A000000,01300,0000,01300SOCIAL SERVICE 32512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32512,A000000,01600,0000,01600SKILLED NURSING FACILITY 32512,A000000,01800,0000,01800NURSING FACILITY 32512,A000000,01810,0000,01810ICF/MR 32512,A000000,02200,0000,02200LABORATORY 32512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32512,A000000,02500,0000,02500PHYSICAL THERAPY 32512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32512,A000000,02700,0000,02700SPEECH PATHOLOGY 32512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32512,A000000,03550,0000,03550FQHC 32512,A000000,05000,0000,05000CORF 32512,A000000,05010,0000,05010CMHC 32512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32512,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 32512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32512,A000000,06150,0000,06300PERSONAL CARE UNIT 32512,A000000,06151,0000,06301GUEST MEALS 32512,A81000A,00100,0100,Y 32512,A81000B,00100,0300,DEAC HEALTH CTR 32512,A81000B,00200,0300,ADMINISTRATIVE EXPEN 32512,A81000B,00300,0300,BILLING EXPENSE 32512,A81000B,00400,0300,ADMINISTRATIVE EXPEN 32512,A81000B,00500,0300,PT CHARGEABLE SUPPLI 32512,A81000B,00600,0300,ADMIN & GENERAL 32512,A81000B,00700,0300,MATERIALS MANAGEMENT 32512,A81000B,00800,0300,OP OF PLANT 32512,A81000B,00900,0300,PHARMACY 32512,A81000B,01000,0300,RESPIRATORY THERAPY 32512,A81000B,01100,0300,COMPUTER RESOURCES 32512,A81000C,00100,0100,A 32512,A81000C,00100,0200,DEACONESS BILLI 32512,A81000C,00100,0400,DEACONESS BILLI 32512,A81000C,00100,0600,HEALTH SYSTEM 32512,B100000,00000,0100,00001SQUARE FEET 32512,B100000,00000,0200,00001SQUARE FEET 32512,B100000,00000,0300,00001GROSS SALARIES 32512,B100000,00000,0400,00001ACCUM COST 32512,B100000,00000,0500,00001SQUARE FEET 32512,B100000,00000,0600,00001POUNDS OF LAUNDRY 32512,B100000,00000,0700,00001SQUARE FEET 32512,B100000,00000,0800,00001MEALS SERVED 32512,B100000,00000,0801,00001FTES 32512,B100000,00000,0900,00001DIRECT NRSG HRS 32512,B100000,00000,1000,00001COSTED REQUIS 32512,B100000,00000,1100,00001COSTED REQUIS 32512,B100000,00000,1200,00001GROSS REVENUE 32512,B100000,00000,1300,00001TIME SPENT 32512,B100000,00000,1400,00001ASSIGNED TIME 32512,E10A180,00350,0300,06/30/1999 32512,S000000,00100,0200,12/04/2000 32512,S200000,00100,0300,37000 32512,S200000,00200,0100,BILIINGS 32512,S200000,00200,0200,MT 32512,S200000,00300,0100,YELLOWSTONE 32512,S200000,00400,0100,ASPEN MEADOWS RETIREMENT COMMUNITY 32512,S200000,00400,0200,275140 32512,S200000,00400,0300,10/27/1992 32512,S200000,00400,0500,P 32512,S200000,00600,0200,275140 32512,S200000,00600,0300,10/27/1992 32512,S200000,00600,0600,P 32512,S200000,01600,0100,Y 32512,S200000,02800,0100,Y 32512,S200000,04600,0100,Y 32525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32525,A000000,00300,0000,00300EMPLOYEE BENEFITS 32525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32525,A000000,00700,0000,00700HOUSEKEEPING 32525,A000000,00800,0000,00800DIETARY 32525,A000000,00900,0000,00900NURSING ADMINISTRATION 32525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32525,A000000,01100,0000,01100PHARMACY 32525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32525,A000000,01300,0000,01300SOCIAL SERVICE 32525,A000000,01350,0000,01500OTHER GENERAL SERVICES 32525,A000000,01351,0000,01501ACTIVITIES 32525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32525,A000000,01600,0000,01600SKILLED NURSING FACILITY 32525,A000000,01810,0000,01810ICF/MR 32525,A000000,02200,0000,02200LABORATORY 32525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32525,A000000,02500,0000,02500PHYSICAL THERAPY 32525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32525,A000000,02700,0000,02700SPEECH PATHOLOGY 32525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32525,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32525,A000000,03550,0000,03550FQHC 32525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32525,A000000,05000,0000,05000CORF 32525,A000000,05010,0000,05010CMHC 32525,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32525,A81000A,00100,0100,Y 32525,A81000B,00100,0300,FIN/ADM/HR/INFO SYST/COM RELAT 32525,A81000B,00200,0300,LAUNDRY SERVICES 32525,A81000B,00300,0300,CLINICAL DIETICIAN 32525,A81000B,00400,0300,CONSULTING 32525,A81000B,00500,0300,PHARMACY 32525,A81000B,00600,0300,CONSULTING 32525,A81000B,00700,0300,CONSULTING 32525,A81000B,00800,0300,PURCHASED SERVICES 32525,A81000B,00900,0300,PURCHASED SERVICES 32525,A81000C,00100,0100,B 32525,A81000C,00100,0400,49562.00 32525,A81000C,00100,0600,HOSPITAL 32525,B100000,00000,0100,00000SQUARE FEET 32525,B100000,00000,0200,00000DOLLAR VALUE 32525,B100000,00000,0300,00000GROSS SALARIES 32525,B100000,00000,0400,00000ACCUM. COST 32525,B100000,00000,0500,00000SQUARE FEET 32525,B100000,00000,0600,00000POUNDS OF LAUNDRY 32525,B100000,00000,0700,00000SQUARE FEET 32525,B100000,00000,0800,00000MEALS SERVED 32525,B100000,00000,0900,00000DIRECT NRSING HRS 32525,B100000,00000,1000,00000COSTED REQUIS. 32525,B100000,00000,1100,00000COSTED REQUIS. 32525,B100000,00000,1200,00000TIME SPENT 32525,B100000,00000,1300,00000TIME SPENT 32525,B100000,00000,1350,00000NO STATISTICS 32525,B100000,00000,1351,00000TIME SPENT 32525,B100000,00000,1400,00000ASSIGNED TIME 32525,E10A180,00501,0300,12/19/2000 32525,S000000,00100,0200,01/14/2002 32525,S200000,00100,0100,2000 MONTANA AVENUE 32525,S200000,00200,0100,GLENDIVE 32525,S200000,00200,0200,MT 32525,S200000,00200,0300,59330 32525,S200000,00400,0100,EASTERN MONTANA VETERANS HOME 32525,S200000,00400,0200,275144 32525,S200000,00400,0300,08/01/1995 32525,S200000,00400,0500,P 32525,S200000,00600,0200,310037 32525,S200000,00600,0300,08/14/1995 32525,S200000,00600,0600,P 32525,S200000,01500,0100,Y 32534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32534,A000000,00300,0000,00300EMPLOYEE BENEFITS 32534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32534,A000000,00700,0000,00700HOUSEKEEPING 32534,A000000,00800,0000,00800DIETARY 32534,A000000,00900,0000,00900NURSING ADMINISTRATION 32534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32534,A000000,01100,0000,01100PHARMACY 32534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32534,A000000,01300,0000,01300SOCIAL SERVICE 32534,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32534,A000000,01600,0000,01600SKILLED NURSING FACILITY 32534,A000000,01810,0000,01810ICF/MR 32534,A000000,02500,0000,02500PHYSICAL THERAPY 32534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32534,A000000,02700,0000,02700SPEECH PATHOLOGY 32534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 32534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32534,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 32534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32534,A000000,03550,0000,03550FQHC 32534,A000000,05000,0000,05000CORF 32534,A000000,05010,0000,05010CMHC 32534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32534,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 32534,B100000,00000,0100,00000SQUARE FEET 32534,B100000,00000,0200,00000SQUARE FEET 32534,B100000,00000,0300,00000GROSS SALARIES 32534,B100000,00000,0400,00000ACCUM COST 32534,B100000,00000,0500,00000SQUARE FEET 32534,B100000,00000,0600,00000POUNDS OF LAUNDRY 32534,B100000,00000,0700,00000HOURS OF SERVICE 32534,B100000,00000,0800,00000MEALS SERVED 32534,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 32534,B100000,00000,1000,00000COSTED REQUISITIO 32534,B100000,00000,1100,00000COSTED REQUISITIO 32534,B100000,00000,1200,00000TIME SPENT 32534,B100000,00000,1300,00000TIME SPENT 32534,B100000,00000,1350,00000 32534,B100000,00000,1400,00000ASSIGNED TIME 32534,E10A180,00550,0100,12/11/2000 32534,E10A180,00550,0300,12/11/2000 32534,S000000,00100,0200,11/30/2000 32534,S200000,00100,0100,326 MADISON 32534,S200000,00100,0300,308 32534,S200000,00200,0100,SHERIDAN 32534,S200000,00200,0200,MT 32534,S200000,00200,0300,59749 32534,S200000,00300,0100,MADISON 32534,S200000,00400,0100,TOBACCO ROOT MOUNTAIN CARE CTR. 32534,S200000,00400,0200,275147 32534,S200000,00400,0300,06/14/1996 32534,S200000,00400,0500,P 32534,S200000,01500,0100,Y 32542,S000000,00100,0200,03/20/2000 32547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 32547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 32547,A000000,00300,0000,00300EMPLOYEE BENEFITS 32547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 32547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32547,A000000,00700,0000,00700HOUSEKEEPING 32547,A000000,00800,0000,00800DIETARY 32547,A000000,00900,0000,00900NURSING ADMINISTRATION 32547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32547,A000000,01100,0000,01100PHARMACY 32547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32547,A000000,01300,0000,01300SOCIAL SERVICE 32547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 32547,A000000,01600,0000,01600SKILLED NURSING FACILITY 32547,A000000,01810,0000,01810ICF/MR 32547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32547,A000000,02500,0000,02500PHYSICAL THERAPY 32547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32547,A000000,02700,0000,02700SPEECH PATHOLOGY 32547,A000000,03550,0000,03550FQHC 32547,A000000,05000,0000,05000CORF 32547,A000000,05010,0000,05010CMHC 32547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32547,A000000,05300,0000,05300INTEREST EXPENSE 32547,A81000A,00100,0100,Y 32547,A81000B,00100,0300,BUILDING DEPRECIATION 32547,A81000C,00100,0100,A 32547,A81000C,00100,0200,AWE KUALAWAACHE 32547,A81000C,00100,0400,CROW TRIBE 32547,A81000C,00100,0600,TRIBAL GOVERNMENT 32547,B100000,00000,0100,00000SQUARE FEET 32547,B100000,00000,0200,00000SQUARE FEET 32547,B100000,00000,0300,00000GROSS SALARIES 32547,B100000,00000,0400,00000ACCUM. COST 32547,B100000,00000,0500,00000SQUARE FEET 32547,B100000,00000,0600,00000POUNDS OF LAUNDRY 32547,B100000,00000,0700,00000SQUARE FEET 32547,B100000,00000,0800,00000MEALS SERVED 32547,B100000,00000,0900,00000DIRECT NRGS HRS 32547,B100000,00000,1000,00000COSTED REQUIS. 32547,B100000,00000,1100,00000COSTED REQUIS. 32547,B100000,00000,1200,00000TIME SPENT 32547,B100000,00000,1300,00000TIME SPENT 32547,B100000,00000,1400,00000ASSIGNED TIME 32547,E10A180,00301,0100,06/13/2000 32547,S000000,00100,0200,06/01/2000 32547,S200000,00100,0300,999 32547,S200000,00200,0100,CROW AGENCY 32547,S200000,00200,0200,MT 32547,S200000,00200,0300,59022 32547,S200000,00300,0100,BIG HORN 32547,S200000,00400,0100,AWE KUALAWAACHE CARE CENTER 32547,S200000,00400,0200,275153 32547,S200000,00400,0300,06/09/1998 32547,S200000,00400,0500,P 32547,S200000,01500,0100,Y 32547,S200000,01900,0100,TRIBAL 32554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32554,A000000,00300,0000,00300EMPLOYEE BENEFITS 32554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32554,A000000,00700,0000,00700HOUSEKEEPING 32554,A000000,00800,0000,00800DIETARY 32554,A000000,00900,0000,00900NURSING ADMINISTRATION 32554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32554,A000000,01300,0000,01300SOCIAL SERVICE 32554,A000000,01350,0000,01301ACTIVITIES 32554,A000000,01600,0000,01600SKILLED NURSING FACILITY 32554,A000000,01800,0000,01800NURSING FACILITY 32554,A000000,02200,0000,02200LABORATORY 32554,A000000,02500,0000,02500PHYSICAL THERAPY 32554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32554,A000000,02700,0000,02700SPEECH PATHOLOGY 32554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32554,A000000,05300,0000,05300INTEREST EXPENSE 32554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32554,A000000,06150,0000,06300MARKETING 32554,A000000,06151,0000,06301GUEST MEALS/MOW 32554,B100000,00000,0100,00001SQUARE FEET CAP REL COSTS - B 32554,B100000,00000,0200,00001SQUARE FEET CAP REL COSTS - M 32554,B100000,00000,0300,00001GROSS SALARIES EMPLOYEE BENE 32554,B100000,00000,0400,00001ACCUM. COST ADMINISTRATIVE & 32554,B100000,00000,0500,00001SQUARE FEET PLANT OPERATION 32554,B100000,00000,0600,00001RESIDENT DAYS LAUNDRY & LINEN S 32554,B100000,00000,0700,00001SQUARE FEET HOUSEKEEPING 32554,B100000,00000,0800,00001MEALS SERVED DIETARY 32554,B100000,00000,0900,00001RESIDENT DAYS NURSING ADMINISTR 32554,B100000,00000,1200,00001RESIDENT DAYS MEDICAL RECORDS & 32554,B100000,00000,1300,00001RESIDENT DAYS SOCIAL SERVICE 32554,B100000,00000,1301,00001RESIDENT DAYS ACTIVITIES 32554,S000000,00100,0200,06/28/2000 32554,S200000,00100,0100,2520 AVENUE M 32554,S200000,00200,0100,GOTHENBURG 32554,S200000,00200,0200,NE 32554,S200000,00200,0300,69138-0429 32554,S200000,00300,0100,DAWSON 32554,S200000,00300,0300,R 32554,S200000,00400,0100,HILLTOP ESTATES 32554,S200000,00400,0200,285163 32554,S200000,00400,0300,07/02/1995 32554,S200000,00400,0500,P 32554,S200000,01600,0100,Y 32554,S700003,00000,0400,X 32562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32562,A000000,00300,0000,00300EMPLOYEE BENEFITS 32562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32562,A000000,00700,0000,00700HOUSEKEEPING 32562,A000000,00800,0000,00800DIETARY 32562,A000000,00900,0000,00900NURSING ADMINISTRATION 32562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32562,A000000,01100,0000,01100PHARMACY 32562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32562,A000000,01300,0000,01300SOCIAL SERVICE 32562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32562,A000000,01600,0000,01600SKILLED NURSING FACILITY 32562,A000000,01900,0000,01900OTHER LONG TERM CARE 32562,A000000,02100,0000,02100RADIOLOGY 32562,A000000,02200,0000,02200LABORATORY 32562,A000000,02300,0000,02300INTRAVENOUS THERAPY 32562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32562,A000000,02500,0000,02500PHYSICAL THERAPY 32562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32562,A000000,02700,0000,02700SPEECH PATHOLOGY 32562,A000000,02800,0000,02800ELECTROCARDIOLOGY 32562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32562,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32562,A000000,03200,0000,03200SUPPORT SURFACES 32562,A000000,03400,0000,03400CLINIC 32562,A000000,04900,0000,04900INTERNS AND RESIDENTS (NOT APPRVD) 32562,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32562,A000000,05300,0000,05300INTEREST EXPENSE 32562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32562,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32562,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32562,A000000,06100,0000,06100NONPAID WORKERS 32562,A000000,06200,0000,06200PATIENTS LAUNDRY 32562,A81000A,00100,0100,Y 32562,A81000B,00100,0300,HOME OFFICE COSTS 32562,A81000B,00200,0300,HOME OFFICE COSTS 32562,A81000B,00300,0300,RENT 32562,A81000B,00400,0300,BUILDING DEPRECIATION 32562,A81000B,00500,0300,EQUIPMENT DEPRECIATION 32562,A81000B,00600,0300,INTEREST 32562,A81000C,00100,0100,B 32562,A81000C,00100,0400,OOD CARE CENTER 32562,A81000C,00100,0600,NURSING HOME MG 32562,A81000C,00200,0100,A 32562,A81000C,00200,0200,RALPH STRANGIS 32562,A81000C,00200,0400,LEONARD LOUIS 32562,A81000C,00200,0600,NURSING HOME MG 32562,A81000C,00300,0100,A 32562,A81000C,00300,0200,SAM CAPLAN 32562,A81000C,00300,0400,LEONARD LOUIS 32562,A81000C,00300,0600,NURSING HOME MG 32562,B100000,00000,0100,00000PATIENT DAYS CAP REL COSTS - BLD 32562,B100000,00000,0200,00000PATIENT DAYS CAP REL COSTS - MOV 32562,B100000,00000,0300,00000PATIENT DAYS EMPLOYEE BENEFITS 32562,B100000,00000,0400,00000PATIENT DAYS ADMINISTRATIVE & GE 32562,B100000,00000,0500,00000PATIENT DAYS PLANT OPERATION MA 32562,B100000,00000,0600,00000PATIENT DAYS LAUNDRY & LINEN SER 32562,B100000,00000,0700,00000PATIENT DAYS HOUSEKEEPING 32562,B100000,00000,0800,00000PATIENT DAYS DIETARY 32562,B100000,00000,0900,00000PATIENT DAYS NURSING ADMINISTRAT 32562,B100000,00000,1000,00000PATIENT DAYS CENTRAL SERVICES & 32562,B100000,00000,1100,00000PATIENT DAYS PHARMACY 32562,B100000,00000,1200,00000PATIENT DAYS MEDICAL RECORDS & L 32562,B100000,00000,1300,00000PATIENT DAYS SOCIAL SERVICE 32562,B100000,00000,1400,00000PATIENT DAYS INTERNS & RESIDENTS 32562,S000000,00100,0200,05/10/2000 32562,S200000,00100,0100,210 BROADWAY 32562,S200000,00200,0100,BUTTE 32562,S200000,00200,0200,NE 32562,S200000,00200,0300,68722 32562,S200000,00300,0100,BOYD 32562,S200000,00400,0100,BUTTE HEALTHCARE CENTER 32562,S200000,00400,0200,285180 32562,S200000,00400,0300,02/01/1996 32562,S200000,00400,0500,P 32562,S200000,01600,0100,Y 32562,S200000,05000,0100,Y 32562,S700003,00000,0400,X 32569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32569,A000000,00300,0000,00300EMPLOYEE BENEFITS 32569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32569,A000000,00700,0000,00700HOUSEKEEPING 32569,A000000,00800,0000,00800DIETARY 32569,A000000,00900,0000,00900NURSING ADMINISTRATION 32569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32569,A000000,01100,0000,01100PHARMACY 32569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32569,A000000,01300,0000,01300SOCIAL SERVICE 32569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32569,A000000,01600,0000,01600SKILLED NURSING FACILITY 32569,A000000,01810,0000,01810ICF/MR 32569,A000000,02200,0000,02200LABORATORY 32569,A000000,02500,0000,02500PHYSICAL THERAPY 32569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32569,A000000,02700,0000,02700SPEECH PATHOLOGY 32569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32569,A000000,03550,0000,03550FQHC 32569,A000000,05000,0000,05000CORF 32569,A000000,05010,0000,05010CMHC 32569,A000000,05020,0000,05020OPT 32569,A000000,05030,0000,05030OOT 32569,A000000,05040,0000,05040OSP 32569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32569,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 32569,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 32569,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 32569,B100000,00000,0400,00000ACCUM COST ADMINISTRATIVE & 32569,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 32569,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 32569,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 32569,B100000,00000,0800,00000MEALS SERVED DIETARY 32569,B100000,00000,0900,00000DIRECT NRSG HRS NURSING ADMIN 32569,B100000,00000,1000,00000COSTED REQUIS CENTRAL SERVICE 32569,B100000,00000,1100,00000COSTED REQUIS PHARMACY 32569,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 32569,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 32569,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 32569,S000000,00100,0200,06/06/2000 32569,S200000,00100,0100,412 W. 18TH ST. 32569,S200000,00200,0100,KEARNEY 32569,S200000,00200,0200,NE 32569,S200000,00200,0300,68847 32569,S200000,00300,0100,BUFFALO 32569,S200000,00400,0100,MOUNT CARMEL HOME 32569,S200000,00400,0200,285216 32569,S200000,00400,0300,12/01/1997 32569,S200000,00400,0500,P 32569,S200000,01500,0100,Y 32569,S200000,01900,0100,CORPORATE 32569,S700003,00000,0400,X 32577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32577,A000000,00300,0000,00300EMPLOYEE BENEFITS 32577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32577,A000000,00700,0000,00700HOUSEKEEPING 32577,A000000,00800,0000,00800DIETARY 32577,A000000,00900,0000,00900NURSING ADMINISTRATION 32577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32577,A000000,01100,0000,01100PHARMACY 32577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32577,A000000,01300,0000,01300SOCIAL SERVICE 32577,A000000,01350,0000,01500ACTIVITIES 32577,A000000,01351,0000,01501INDIRECT CONSULTANTS 32577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32577,A000000,01600,0000,01600SKILLED NURSING FACILITY 32577,A000000,01800,0000,01800NURSING FACILITY 32577,A000000,01810,0000,01810ICF/MR 32577,A000000,01900,0000,01900OTHER LONG TERM CARE 32577,A000000,02100,0000,02100RADIOLOGY 32577,A000000,02200,0000,02200LABORATORY 32577,A000000,02300,0000,02300INTRAVENOUS THERAPY 32577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32577,A000000,02500,0000,02500PHYSICAL THERAPY 32577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32577,A000000,02700,0000,02700SPEECH PATHOLOGY 32577,A000000,02800,0000,02800ELECTROCARDIOLOGY 32577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32577,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32577,A000000,03051,0000,03301PEN THERAPY 32577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32577,A000000,03200,0000,03200SUPPORT SURFACES 32577,A000000,03400,0000,03400CLINIC 32577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32577,A000000,03500,0000,03500RURAL HEALTH CLINIC 32577,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32577,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32577,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32577,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32577,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32577,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32577,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32577,A000000,04400,0000,04400DME RENTED - HHA 32577,A000000,04500,0000,04500DME SOLD - HHA 32577,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32577,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32577,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32577,A000000,04800,0000,04800AMBULANCE 32577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32577,A000000,05000,0000,05000CORF 32577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32577,A000000,05300,0000,05300INTEREST EXPENSE 32577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32577,A000000,05500,0000,05500HOSPICE 32577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32577,A000000,06100,0000,06100NONPAID WORKERS 32577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32577,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 32577,A000000,06152,0000,06302DENTAL/PHYSICIAN OFFICE 32577,A000000,06200,0000,06200PATIENTS LAUNDRY 32577,A81000A,00100,0100,Y 32577,A81000B,00100,0300,RENT-CAPITAL RELATED 32577,A81000B,00200,0300,RENT-NOT CAPITAL RELATED 32577,A81000B,00300,0300,ADMINISTRATOR SALARY 32577,A81000B,00400,0300,MANAGEMENT SERVICES 32577,A81000C,00100,0100,A 32577,A81000C,00100,0200,THEODORE LEE 32577,A81000C,00100,0400,LEE & LEE REALTY 32577,A81000C,00100,0600,RENTAL PROPERTY 32577,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 32577,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 32577,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 32577,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 32577,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 32577,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 32577,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 32577,B100000,00000,0800,00002MEALS SERVED :DIETARY 32577,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 32577,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 32577,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 32577,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 32577,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 32577,S000000,00100,0200,06/01/2000 32577,S200000,00100,0100,700 HANOVER STREET 32577,S200000,00200,0100,MANCHESTER 32577,S200000,00200,0200,NH 32577,S200000,00200,0300,03104- 32577,S200000,00300,0100,HILLSBOROUGH 32577,S200000,00300,0200,1123 32577,S200000,00300,0300,U 32577,S200000,00400,0100,HANOVER HILL HEALTH CARE CENTER 32577,S200000,00400,0200,305009 32577,S200000,00400,0300,07/24/1970 32577,S200000,00400,0500,P 32577,S200000,00400,0600,P 32577,S200000,01004,0500,O 32577,S200000,01600,0100,Y 32585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32585,A000000,00300,0000,00300EMPLOYEE BENEFITS 32585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32585,A000000,00700,0000,00700HOUSEKEEPING 32585,A000000,00800,0000,00800DIETARY 32585,A000000,00900,0000,00900NURSING ADMINISTRATION 32585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32585,A000000,01100,0000,01100PHARMACY 32585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32585,A000000,01300,0000,01300SOCIAL SERVICE 32585,A000000,01350,0000,01500OTHER GENERAL SERVICES 32585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32585,A000000,01600,0000,01600SKILLED NURSING FACILITY 32585,A000000,01800,0000,01800NURSING FACILITY 32585,A000000,01810,0000,01801ICF/MR 32585,A000000,01900,0000,01900OTHER LONG TERM CARE 32585,A000000,02100,0000,02100RADIOLOGY 32585,A000000,02200,0000,02200LABORATORY 32585,A000000,02300,0000,02300INTRAVENOUS THERAPY 32585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32585,A000000,02500,0000,02500PHYSICAL THERAPY 32585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32585,A000000,02700,0000,02700SPEECH PATHOLOGY 32585,A000000,02800,0000,02800ELECTROCARDIOLOGY 32585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32585,A000000,03200,0000,03200SUPPORT SURFACES 32585,A000000,03400,0000,03400CLINIC 32585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32585,A000000,03500,0000,03500RURAL HEALTH CLINIC 32585,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32585,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32585,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32585,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32585,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32585,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32585,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32585,A000000,04400,0000,04400DME RENTED - HHA 32585,A000000,04500,0000,04500DME SOLD - HHA 32585,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32585,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32585,A000000,04800,0000,04800AMBULANCE 32585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32585,A000000,05000,0000,05000CORF 32585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32585,A000000,05300,0000,05300INTEREST EXPENSE 32585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32585,A000000,05500,0000,05500HOSPICE 32585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32585,A000000,06100,0000,06100NONPAID WORKERS 32585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32585,A000000,06152,0000,06302HERITAGE HEIGHTS-NONREIMBURSABLE 32585,A000000,06200,0000,06200PATIENTS LAUNDRY 32585,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 32585,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 32585,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 32585,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 32585,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 32585,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 32585,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 32585,B100000,00000,0800,00002MEALS SERVED :DIETARY 32585,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 32585,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 32585,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 32585,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 32585,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 32585,B100000,00000,1350,00002PATIENT DAYS :OTHER GENERAL SERVIC 32585,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 32585,S000000,00100,0200,06/02/2000 32585,S200000,00100,0100,33 CHRISTIAN AVENUE 32585,S200000,00200,0100,CONCORD 32585,S200000,00200,0200,NH 32585,S200000,00200,0300,03301-6128 32585,S200000,00300,0100,MERRIMACK 32585,S200000,00400,0100,HAVENWOOD 32585,S200000,00400,0200,305016 32585,S200000,00400,0300,07/08/1969 32585,S200000,00400,0500,P 32585,S200000,01600,0100,Y 32585,S200000,02800,0100,Y 32585,S700003,00000,0100,1 32594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32594,A000000,00101,0000,00101CAP REL COSTS - LAND IMPROVEMENTS 32594,A000000,00102,0000,00102CAP REL COSTS - FIXED EQUIPMENT 32594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32594,A000000,00300,0000,00300EMPLOYEE BENEFITS 32594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32594,A000000,00501,0000,00501OPERATION OF PLANT 32594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32594,A000000,00700,0000,00700HOUSEKEEPING 32594,A000000,00800,0000,00800DIETARY 32594,A000000,00900,0000,00900NURSING ADMINISTRATION 32594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32594,A000000,01300,0000,01300SOCIAL SERVICE 32594,A000000,01600,0000,01600SKILLED NURSING FACILITY 32594,A000000,01900,0000,01900OTHER LONG TERM CARE 32594,A000000,02100,0000,02100RADIOLOGY 32594,A000000,02200,0000,02200LABORATORY 32594,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32594,A000000,02500,0000,02500PHYSICAL THERAPY 32594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32594,A000000,02700,0000,02700SPEECH PATHOLOGY 32594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32594,A000000,03050,0000,03300ENTERALS 32594,A000000,03450,0000,03600NEURODAY-PT 32594,A000000,03451,0000,03601NEURODAY-OT 32594,A000000,03452,0000,03602NEURODAY-ST 32594,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32594,A000000,05300,0000,05300INTEREST EXPENSE 32594,A81000A,00100,0100,Y 32594,A81000B,00100,0300,MANAGEMENT FEES 32594,A81000B,00200,0300,RESPIRATORY THERAPY SERVICES 32594,A81000B,00300,0300,DIRECTLY ASSIGNED HOME OFFICE COSTS 32594,A81000C,00100,0100,B 32594,A81000C,00100,0400,EXETER HLT RES 32594,A81000C,00100,0600,MANAGEMENT 32594,A81000C,00200,0100,G 32594,A81000C,00200,0200,EXETER HOSPITAL 32594,A81000C,00300,0100,B 32594,A81000C,00300,0400,EXETER HLT RES 32594,A81000C,00300,0600,MANAGEMENT 32594,A81000C,03100,0000,RESPIRATORY THERAPY SERVICES 32594,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32594,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - LAND 32594,B100000,00000,0102,00000SQUARE FEET :CAP REL COSTS - FIXED 32594,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32594,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 32594,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32594,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32594,B100000,00000,0501,00000SQUARE FEET :OPERATION OF PLANT 32594,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32594,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32594,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32594,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32594,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32594,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32594,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32594,E10A180,00350,0300,09/30/1999 32594,S000000,00100,0200,02/23/2000 32594,S200000,00100,0100,4 ALUMNI DRIVE 32594,S200000,00200,0100,EXETER 32594,S200000,00200,0200,NH 32594,S200000,00200,0300,03833- 32594,S200000,00300,0100,ROCKINGHAM U 32594,S200000,00400,0100,EXETER HEALTHCARE INC. 32594,S200000,00400,0200,305019 32594,S200000,00400,0300,01/21/1975 32594,S200000,00400,0500,P 32594,S200000,00400,0600,O 32594,S200000,01600,0100,Y 32594,S200000,01900,0100,PARTIALLY PARTICIPAT 32594,S700003,00000,0100,1 32601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32601,A000000,00300,0000,00300EMPLOYEE BENEFITS 32601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32601,A000000,00700,0000,00700HOUSEKEEPING 32601,A000000,00800,0000,00800DIETARY 32601,A000000,00900,0000,00900NURSING ADMINISTRATION 32601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32601,A000000,01100,0000,01100PHARMACY 32601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32601,A000000,01300,0000,01300SOCIAL SERVICE 32601,A000000,01301,0000,01301RECREATION 32601,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32601,A000000,01600,0000,01600SKILLED NURSING FACILITY 32601,A000000,01800,0000,01800NURSING FACILITY 32601,A000000,01900,0000,01900OTHER LONG TERM CARE 32601,A000000,02100,0000,02100RADIOLOGY 32601,A000000,02200,0000,02200LABORATORY 32601,A000000,02300,0000,02300INTRAVENOUS THERAPY 32601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32601,A000000,02500,0000,02500PHYSICAL THERAPY 32601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32601,A000000,02700,0000,02700SPEECH PATHOLOGY 32601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32601,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32601,A000000,04800,0000,04800AMBULANCE 32601,A000000,05300,0000,05300INTEREST EXPENSE 32601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32601,A000000,06150,0000,06300DAYCARE 32601,A81000A,00100,0100,Y 32601,A81000B,00100,0300,MANAGEMENT FEES 32601,A81000C,00100,0100,A 32601,A81000C,00100,0400,DIVECO 32601,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32601,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32601,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32601,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32601,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32601,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32601,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32601,B100000,00000,0800,00000MEALS SERVED :DIETARY 32601,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32601,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32601,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32601,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32601,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32601,B100000,00000,1331,00000PATIENT DAYS :RECREATION 32601,E10A180,00501,0100,09/01/2000 32601,E10A180,00550,0300,09/01/2000 32601,S000000,00100,0200,09/01/2000 32601,S200000,00100,0100,928 SOUTH STREET 32601,S200000,00200,0100,PORTSMOUTH 32601,S200000,00200,0200,NH 32601,S200000,00200,0300,03801- 32601,S200000,00300,0100,ROCKINGHAM 32601,S200000,00300,0200,1123 32601,S200000,00300,0300,U 32601,S200000,00400,0100,EDGEWOOD MANOR INC. 32601,S200000,00400,0200,305022 32601,S200000,00400,0300,06/13/1972 32601,S200000,00400,0500,P 32601,S200000,01600,0100,Y 32610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32610,A000000,00300,0000,00300EMPLOYEE BENEFITS 32610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32610,A000000,00700,0000,00700HOUSEKEEPING 32610,A000000,00800,0000,00800DIETARY 32610,A000000,00900,0000,00900NURSING ADMINISTRATION 32610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32610,A000000,01100,0000,01100PHARMACY 32610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32610,A000000,01300,0000,01300SOCIAL SERVICE 32610,A000000,01301,0000,01301INSERVICE 32610,A000000,01302,0000,01302ACTIVITIES 32610,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32610,A000000,01600,0000,01600SKILLED NURSING FACILITY 32610,A000000,01800,0000,01800NURSING FACILITY 32610,A000000,01900,0000,01900OTHER LONG TERM CARE 32610,A000000,02100,0000,02100RADIOLOGY 32610,A000000,02200,0000,02200LABORATORY 32610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32610,A000000,02500,0000,02500PHYSICAL THERAPY 32610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32610,A000000,02700,0000,02700SPEECH PATHOLOGY 32610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32610,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32610,A000000,04800,0000,04800AMBULANCE 32610,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32610,A000000,05300,0000,05300INTEREST EXPENSE 32610,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32610,A81000A,00100,0100,Y 32610,A81000B,00100,0300,MANAGEMENT FEE 32610,A81000B,00200,0300,LEASE EXPENSE 32610,A81000B,00300,0300,AMORT - ORGANIZATIONAL COSTS 32610,A81000C,00100,0100,A 32610,A81000C,00100,0200,FINKELSTEIN/POR 32610,A81000C,00100,0400,SUBACUTE MGMT 32610,A81000C,00100,0600,MGMT CO 32610,A81000C,00200,0100,A 32610,A81000C,00200,0200,PORTNOY/MARTIN 32610,A81000C,00200,0400,HRPT 32610,A81000C,00200,0600,REIT 32610,A81000C,00300,0100,A 32610,A81000C,00300,0200,PORTNOY 32610,A81000C,00300,0400,SULL & WORCHEST 32610,A81000C,00300,0600,LAW FIRM 32610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32610,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32610,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32610,B100000,00000,0800,00000MEALS SERVED :DIETARY 32610,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32610,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32610,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32610,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32610,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32610,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32610,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32610,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32610,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32610,S000000,00100,0200,01/24/2000 32610,S200000,00100,0100,WHITEHALL ROAD 32610,S200000,00200,0100,ROCHESTER 32610,S200000,00200,0200,NH 32610,S200000,00200,0300,03867- 32610,S200000,00300,0100,STRAFFORD 32610,S200000,00400,0100,ROCHESTER MANOR 32610,S200000,00400,0200,305024 32610,S200000,00400,0300,02/01/1995 32610,S200000,00400,0500,P 32610,S200000,01600,0100,Y 32610,S700003,00000,0100,1 32612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32612,A000000,00300,0000,00300EMPLOYEE BENEFITS 32612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32612,A000000,00700,0000,00700HOUSEKEEPING 32612,A000000,00800,0000,00800DIETARY 32612,A000000,00900,0000,00900NURSING ADMINISTRATION 32612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32612,A000000,01100,0000,01100PHARMACY 32612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32612,A000000,01300,0000,01300SOCIAL SERVICE 32612,A000000,01301,0000,01301INSERVICE 32612,A000000,01302,0000,01302ACTIVITIES 32612,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32612,A000000,01600,0000,01600SKILLED NURSING FACILITY 32612,A000000,01800,0000,01800NURSING FACILITY 32612,A000000,01900,0000,01900OTHER LONG TERM CARE 32612,A000000,02100,0000,02100RADIOLOGY 32612,A000000,02200,0000,02200LABORATORY 32612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32612,A000000,02500,0000,02500PHYSICAL THERAPY 32612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32612,A000000,02700,0000,02700SPEECH PATHOLOGY 32612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32612,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32612,A000000,04800,0000,04800AMBULANCE 32612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32612,A000000,05300,0000,05300INTEREST EXPENSE 32612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32612,A81000A,00100,0100,Y 32612,A81000B,00100,0300,MANAGEMENT FEE 32612,A81000B,00200,0300,HOME OFFICE CAPITAL 32612,A81000C,00100,0100,B 32612,A81000C,00100,0200,CPL SUBACUTE LL 32612,A81000C,00100,0400,CPL SUBACUTE LL 32612,A81000C,00100,0600,HOME OFFICE 32612,A81000C,00200,0100,B 32612,A81000C,00200,0200,CPL SUBACUTE LL 32612,A81000C,00200,0400,CPL SUBACUTE LL 32612,A81000C,00200,0600,HOME OFFICE 32612,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32612,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32612,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32612,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32612,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32612,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32612,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32612,B100000,00000,0800,00000MEALS SERVED :DIETARY 32612,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32612,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32612,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32612,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32612,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32612,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32612,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32612,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32612,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32612,S000000,00100,0200,06/01/2000 32612,S200000,00100,0100,WHITEHALL ROAD 32612,S200000,00200,0100,ROCHESTER 32612,S200000,00200,0200,NH 32612,S200000,00200,0300,03867- 32612,S200000,00300,0100,STRAFFORD 32612,S200000,00400,0100,ROCHESTER MANOR 32612,S200000,00400,0200,305024 32612,S200000,00400,0300,04/01/1999 32612,S200000,00400,0500,P 32612,S200000,01600,0100,Y 32612,S700003,00000,0200,2 32617,S000000,00100,0200,08/30/2000 32624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32624,A000000,00300,0000,00300EMPLOYEE BENEFITS 32624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32624,A000000,00700,0000,00700HOUSEKEEPING 32624,A000000,00800,0000,00800DIETARY 32624,A000000,00900,0000,00900NURSING ADMINISTRATION 32624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32624,A000000,01100,0000,01100PHARMACY 32624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32624,A000000,01300,0000,01300SOCIAL SERVICE 32624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32624,A000000,01600,0000,01600SKILLED NURSING FACILITY 32624,A000000,01800,0000,01800NURSING FACILITY 32624,A000000,01810,0000,01810ICF/MR 32624,A000000,02100,0000,02100RADIOLOGY 32624,A000000,02200,0000,02200LABORATORY 32624,A000000,02300,0000,02300INTRAVENOUS THERAPY 32624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32624,A000000,02500,0000,02500PHYSICAL THERAPY 32624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32624,A000000,02700,0000,02700SPEECH PATHOLOGY 32624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32624,A000000,03550,0000,03550FQHC 32624,A000000,05000,0000,05000CORF 32624,A000000,05010,0000,05010CMHC 32624,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32624,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32624,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32624,A000000,05300,0000,05300INTEREST EXPENSE 32624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32624,A81000A,00100,0100,Y 32624,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 32624,A81000B,00200,0300,DEPRECIATION--BUILDI 32624,A81000C,00100,0100,B 32624,A81000C,00100,0200,HEARTLAND HC 32624,A81000C,00100,0600,HOME OFFICE 32624,A81000C,00200,0100,B 32624,A81000C,00200,0200,MAPLE LEAF HP 32624,A81000C,00200,0600,REAL ESTATE 32624,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32624,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32624,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32624,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 32624,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32624,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32624,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32624,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32624,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32624,S000000,00100,0200,08/15/2000 32624,S200000,00100,0100,198 PEARL STREET 32624,S200000,00200,0100,MANCHESTER 32624,S200000,00200,0200,NH 32624,S200000,00200,0300,03104-4357 32624,S200000,00300,0100,HILLSBOROUGH 32624,S200000,00300,0200,1123 32624,S200000,00300,0300,U 32624,S200000,00400,0100,MAPLE LEAF HEALTH CARE CENTER 32624,S200000,00400,0200,305030 32624,S200000,00400,0300,10/01/1983 32624,S200000,00400,0500,P 32624,S200000,00600,0200,305030 32624,S200000,00600,0300,10/01/1983 32624,S200000,00600,0600,P 32624,S200000,01004,0500,O 32624,S200000,01600,0100,Y 32624,S200000,02200,0100,Y 32626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32626,A000000,00300,0000,00300EMPLOYEE BENEFITS 32626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32626,A000000,00700,0000,00700HOUSEKEEPING 32626,A000000,00800,0000,00800DIETARY 32626,A000000,00900,0000,00900NURSING ADMINISTRATION 32626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32626,A000000,01100,0000,01100PHARMACY 32626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32626,A000000,01300,0000,01300SOCIAL SERVICE 32626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32626,A000000,01600,0000,01600SKILLED NURSING FACILITY 32626,A000000,01800,0000,01800NURSING FACILITY 32626,A000000,01810,0000,01810ICF/MR 32626,A000000,02100,0000,02100RADIOLOGY 32626,A000000,02200,0000,02200LABORATORY 32626,A000000,02500,0000,02500PHYSICAL THERAPY 32626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32626,A000000,02700,0000,02700SPEECH PATHOLOGY 32626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32626,A000000,03550,0000,03550FQHC 32626,A000000,05000,0000,05000CORF 32626,A000000,05010,0000,05010CMHC 32626,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32626,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32626,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32626,A000000,05300,0000,05300INTEREST EXPENSE 32626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32626,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32626,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32626,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 32626,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32626,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32626,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32626,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 32626,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32626,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32626,B100000,00000,0950,00000(TIME SPENT) :NURSING ADMINISTRATI 32626,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 32626,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 32626,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 32626,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32626,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32626,S000000,00100,0200,05/30/2000 32626,S200000,00100,0100,198 PEARL STREET 32626,S200000,00200,0100,MANCHESTER 32626,S200000,00200,0200,NH 32626,S200000,00200,0300,03104- 32626,S200000,00300,0100,MANCHESTER 32626,S200000,00400,0100,MAPLE LEAF HEALTH CARE CENTER 32626,S200000,00400,0200,305030 32626,S200000,00400,0300,10/01/1983 32626,S200000,00400,0500,P 32626,S200000,00600,0200,305030 32626,S200000,00600,0300,10/01/1983 32626,S200000,00600,0600,P 32626,S200000,01004,0500,O 32626,S200000,01600,0100,Y 32626,S700003,00000,0200,2 32634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32634,A000000,00300,0000,00300EMPLOYEE BENEFITS 32634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32634,A000000,00700,0000,00700HOUSEKEEPING 32634,A000000,00800,0000,00800DIETARY 32634,A000000,00900,0000,00900NURSING ADMINISTRATION 32634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32634,A000000,01100,0000,01100PHARMACY 32634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32634,A000000,01300,0000,01300SOCIAL SERVICE 32634,A000000,01350,0000,01500ACTIVITIES 32634,A000000,01351,0000,01501INDIRECT CONSULTANTS 32634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32634,A000000,01600,0000,01600SKILLED NURSING FACILITY 32634,A000000,01800,0000,01800NURSING FACILITY 32634,A000000,01810,0000,01801ICF/MR 32634,A000000,01900,0000,01900OTHER LONG TERM CARE 32634,A000000,02100,0000,02100RADIOLOGY 32634,A000000,02200,0000,02200LABORATORY 32634,A000000,02300,0000,02300INTRAVENOUS THERAPY 32634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32634,A000000,02500,0000,02500PHYSICAL THERAPY 32634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32634,A000000,02700,0000,02700SPEECH PATHOLOGY 32634,A000000,02800,0000,02800ELECTROCARDIOLOGY 32634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32634,A000000,03051,0000,03301AMBULANCE 32634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32634,A000000,03200,0000,03200SUPPORT SURFACES 32634,A000000,03400,0000,03400CLINIC 32634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32634,A000000,03500,0000,03500RURAL HEALTH CLINIC 32634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32634,A000000,04400,0000,04400DME RENTED - HHA 32634,A000000,04500,0000,04500DME SOLD - HHA 32634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32634,A000000,04800,0000,04800AMBULANCE 32634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32634,A000000,05000,0000,05000CORF 32634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32634,A000000,05300,0000,05300INTEREST EXPENSE 32634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32634,A000000,05500,0000,05500HOSPICE 32634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32634,A000000,06100,0000,06100NONPAID WORKERS 32634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32634,A000000,06200,0000,06200PATIENTS LAUNDRY 32634,A81000A,00100,0100,Y 32634,A81000B,00100,0300,RENT-CAPITAL RELATED 32634,A81000B,00200,0300,MGMT FEE-CAPITAL RELATED 32634,A81000B,00300,0300,MGMT FEE-NOT CAPITAL RELATED 32634,A81000B,00400,0300,MGMT FEE-CAP REL MOVABLE 32634,A81000B,00500,0300,ACCOUNTING 32634,A81000B,00600,0300,LEGAL 32634,A81000C,00100,0100,A 32634,A81000C,00100,0200,RICHARD COURVILLE 32634,A81000C,00100,0400,THE COURVILLE CO. 32634,A81000C,00100,0600,CENTRAL OFFICE 32634,A81000C,00200,0100,A 32634,A81000C,00200,0200,RICHARD COURVILLE 32634,A81000C,00200,0400,THE COURVILLE AT MANCHEST 32634,A81000C,00200,0600,NURSING HOME 32634,A81000C,00300,0100,A 32634,A81000C,00300,0200,RICHARD COURVILLE 32634,A81000C,00300,0400,TCN REALTY 32634,A81000C,00300,0600,RENTAL PROPERTY 32634,A81000C,00400,0100,D 32634,A81000C,00400,0200,GAIL COURVILLE 32634,A81000C,00400,0400,TCN REALTY 32634,A81000C,00400,0600,RENTAL PROPERTY 32634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32634,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32634,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32634,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32634,B100000,00000,1150,00000N/A :PHARMACY 32634,B100000,00000,1250,00000N/A :MEDICAL RECORDS & LIBRARY 32634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32634,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32634,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 32634,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 32634,S000000,00100,0200,06/07/2000 32634,S200000,00100,0100,22 HUNT STREET 32634,S200000,00200,0100,NASHUA 32634,S200000,00200,0200,NH 32634,S200000,00200,0300,03060- 32634,S200000,00300,0100,HILLSBOROUGH 32634,S200000,00400,0100,THE COURVILLE AT NASHUA INC. 32634,S200000,00400,0200,305037 32634,S200000,00400,0300,05/06/1980 32634,S200000,00400,0500,P 32634,S200000,00400,0600,P 32634,S200000,01004,0500,O 32634,S200000,01600,0100,Y 32645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32645,A000000,00300,0000,00300EMPLOYEE BENEFITS 32645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32645,A000000,00700,0000,00700HOUSEKEEPING 32645,A000000,00800,0000,00800DIETARY 32645,A000000,00900,0000,00900NURSING ADMINISTRATION 32645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32645,A000000,01100,0000,01100PHARMACY 32645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32645,A000000,01300,0000,01300SOCIAL SERVICE 32645,A000000,01301,0000,01301ACTIVITIES 32645,A000000,01600,0000,01600SKILLED NURSING FACILITY 32645,A000000,01800,0000,01800NURSING FACILITY 32645,A000000,01900,0000,01900OTHER LONG TERM CARE 32645,A000000,02100,0000,02100RADIOLOGY 32645,A000000,02200,0000,02200LABORATORY 32645,A000000,02300,0000,02300INTRAVENOUS THERAPY 32645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32645,A000000,02500,0000,02500PHYSICAL THERAPY 32645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32645,A000000,02700,0000,02700SPEECH PATHOLOGY 32645,A000000,02800,0000,02800ELECTROCARDIOLOGY 32645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32645,A000000,03200,0000,03200SUPPORT SURFACES 32645,A000000,03400,0000,03400CLINIC 32645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32645,A000000,04400,0000,04400DME RENTED - HHA 32645,A000000,04500,0000,04500DME SOLD - HHA 32645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32645,A000000,04800,0000,04800AMBULANCE 32645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32645,A000000,05300,0000,05300INTEREST EXPENSE 32645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32645,A000000,05500,0000,05500HOSPICE 32645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32645,A000000,06100,0000,06100NONPAID WORKERS 32645,A000000,06101,0000,06101RESIDENTIAL CARE 32645,A000000,06102,0000,06102DENTAL 32645,A000000,06200,0000,06200PATIENTS LAUNDRY 32645,A000000,06201,0000,06201PUBLIC RELATIONS 32645,A81000A,00100,0100,Y 32645,A81000B,00100,0300,MANAGEMENT FEE 32645,A81000C,00100,0100,B 32645,A81000C,00100,0400,KENDAL CORT 32645,A81000C,00100,0600,HOME OFFICE 32645,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 32645,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 32645,B100000,00000,0300,00001GROSS SAL :EMPLOYEE BENEFITS 32645,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 32645,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 32645,B100000,00000,0650,00001LBS OF LAUNDRY :LAUNDRY & LINEN SER 32645,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 32645,B100000,00000,0800,00001MEALS SERVED :DIETARY 32645,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 32645,B100000,00000,1100,00001COSTED REQUISTION :PHARMACY 32645,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 32645,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 32645,S000000,00100,0200,08/31/2000 32645,S200000,00100,0100,80 LYME RD 32645,S200000,00200,0100,HANOVER 32645,S200000,00200,0200,NH 32645,S200000,00200,0300,03755-1218 32645,S200000,00300,0100,GRAFTON 32645,S200000,00300,0200,30 32645,S200000,00300,0300,R 32645,S200000,00400,0100,KENDAL AT HANOVER 32645,S200000,00400,0200,305042 32645,S200000,00400,0300,04/13/1992 32645,S200000,00400,0500,P 32645,S200000,01600,0100,Y 32645,S200000,02800,0100,Y 32652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32652,A000000,00300,0000,00300EMPLOYEE BENEFITS 32652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32652,A000000,00700,0000,00700HOUSEKEEPING 32652,A000000,00800,0000,00800DIETARY 32652,A000000,00900,0000,00900NURSING ADMINISTRATION 32652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32652,A000000,01100,0000,01100PHARMACY 32652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32652,A000000,01300,0000,01300SOCIAL SERVICE 32652,A000000,01350,0000,01500ACTIVITIES 32652,A000000,01351,0000,01501INDIRECT CONSULTANTS 32652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32652,A000000,01600,0000,01600SKILLED NURSING FACILITY 32652,A000000,01800,0000,01800NURSING FACILITY 32652,A000000,01900,0000,01900OTHER LONG TERM CARE 32652,A000000,02100,0000,02100RADIOLOGY 32652,A000000,02200,0000,02200LABORATORY 32652,A000000,02300,0000,02300INTRAVENOUS THERAPY 32652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32652,A000000,02500,0000,02500PHYSICAL THERAPY 32652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32652,A000000,02700,0000,02700SPEECH PATHOLOGY 32652,A000000,02800,0000,02800ELECTROCARDIOLOGY 32652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32652,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 32652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32652,A000000,03200,0000,03200SUPPORT SURFACES 32652,A000000,03400,0000,03400CLINIC 32652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32652,A000000,03500,0000,03500RURAL HEALTH CLINIC 32652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32652,A000000,04400,0000,04400DME RENTED - HHA 32652,A000000,04500,0000,04500DME SOLD - HHA 32652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32652,A000000,04800,0000,04800AMBULANCE 32652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32652,A000000,05000,0000,05000CORF 32652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32652,A000000,05300,0000,05300INTEREST EXPENSE 32652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32652,A000000,05500,0000,05500HOSPICE 32652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32652,A000000,06100,0000,06100NONPAID WORKERS 32652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32652,A000000,06200,0000,06200PATIENTS LAUNDRY 32652,A81000A,00100,0100,Y 32652,A81000B,00100,0300,RENT-CAPITAL RELATED 32652,A81000B,00200,0300,RENT-CAP.REL.MOVABLE 32652,A81000B,00300,0300,MGMT FEE-NOT CAP RELATED 32652,A81000B,00400,0300,OFFICE SALARY 32652,A81000B,00500,0300,SOCIAL SERVICE SALARY 32652,A81000B,00600,0300,ACTIVITIES SALARY 32652,A81000B,00700,0300,NURSING ADMIN SALARY 32652,A81000B,00800,0300,ADMINISTRATOR SALARY 32652,A81000C,00100,0100,A 32652,A81000C,00100,0200,JEANNE SANDERS 32652,A81000C,00100,0400,GOLDENVIEW ASSOC. 32652,A81000C,00100,0600,RENTAL PROPERTY 32652,A81000C,00200,0100,G 32652,A81000C,00200,0200,BEN SANDERS 32652,A81000C,00300,0100,G 32652,A81000C,00300,0200,HEIDI MURRAY 32652,A81000C,00400,0100,G 32652,A81000C,00400,0200,FRANK XIGNAND 32652,A81000C,00500,0100,G 32652,A81000C,00500,0200,GREG WILLIAMS 32652,A81000C,00600,0100,G 32652,A81000C,00600,0200,JENNIFER KOHLER 32652,A81000C,00700,0100,G 32652,A81000C,00700,0200,JAMES MURRAY 32652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32652,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32652,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32652,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32652,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32652,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 32652,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32652,B100000,00000,1150,00000N/A N/A :PHARMACY 32652,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32652,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32652,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32652,B100000,00000,1351,00000N/A N/A :INDIRECT CONSULTANTS 32652,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 32652,S000000,00100,0200,10/25/1999 32652,S200000,00100,0100,19 NH ROUTE 104 32652,S200000,00200,0100,MEREDITH 32652,S200000,00200,0200,NH 32652,S200000,00200,0300,03253- 32652,S200000,00300,0100,BELKNAP 32652,S200000,00400,0100,GOLDENVIEW HEALTH CENTER CORP 32652,S200000,00400,0200,305044 32652,S200000,00400,0300,04/01/1994 32652,S200000,00400,0500,P 32652,S200000,00400,0600,P 32652,S200000,00600,0200,305044 32652,S200000,00600,0300,04/01/1994 32652,S200000,00600,0600,P 32652,S200000,01600,0100,Y 32652,S700003,00000,0100,1 32654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32654,A000000,00300,0000,00300EMPLOYEE BENEFITS 32654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32654,A000000,00700,0000,00700HOUSEKEEPING 32654,A000000,00800,0000,00800DIETARY 32654,A000000,00900,0000,00900NURSING ADMINISTRATION 32654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32654,A000000,01100,0000,01100PHARMACY 32654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32654,A000000,01300,0000,01300SOCIAL SERVICE 32654,A000000,01350,0000,01500ACTIVITIES 32654,A000000,01351,0000,01501INDIRECT CONSULTANTS 32654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32654,A000000,01600,0000,01600SKILLED NURSING FACILITY 32654,A000000,01800,0000,01800NURSING FACILITY 32654,A000000,01810,0000,01801ICF/MR 32654,A000000,01900,0000,01900OTHER LONG TERM CARE 32654,A000000,02100,0000,02100RADIOLOGY 32654,A000000,02200,0000,02200LABORATORY 32654,A000000,02300,0000,02300INTRAVENOUS THERAPY 32654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32654,A000000,02500,0000,02500PHYSICAL THERAPY 32654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32654,A000000,02700,0000,02700SPEECH PATHOLOGY 32654,A000000,02800,0000,02800ELECTROCARDIOLOGY 32654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32654,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32654,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32654,A000000,03200,0000,03200SUPPORT SURFACES 32654,A000000,03400,0000,03400CLINIC 32654,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32654,A000000,03500,0000,03500RURAL HEALTH CLINIC 32654,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32654,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32654,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32654,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32654,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32654,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32654,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32654,A000000,04400,0000,04400DME RENTED - HHA 32654,A000000,04500,0000,04500DME SOLD - HHA 32654,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32654,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32654,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32654,A000000,04800,0000,04800AMBULANCE 32654,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32654,A000000,05000,0000,05000CORF 32654,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32654,A000000,05300,0000,05300INTEREST EXPENSE 32654,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32654,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32654,A000000,05500,0000,05500HOSPICE 32654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32654,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32654,A000000,06100,0000,06100NONPAID WORKERS 32654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32654,A000000,06200,0000,06200PATIENTS LAUNDRY 32654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32654,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32654,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32654,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32654,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32654,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 32654,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32654,B100000,00000,1150,00000N/A :PHARMACY 32654,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32654,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32654,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32654,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 32654,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 32654,E10A180,00301,0100,03/24/2000 32654,S000000,00100,0200,05/31/2000 32654,S200000,00100,0100,19 NH ROUTE 104 32654,S200000,00200,0100,MEREDITH 32654,S200000,00200,0200,NH 32654,S200000,00200,0300,03253- 32654,S200000,00300,0100,BELKNAP 32654,S200000,00400,0100,MET HLTH FOUND OF NH DBA GOLDENVIEW 32654,S200000,00400,0200,305044 32654,S200000,00400,0300,04/01/1994 32654,S200000,00400,0500,P 32654,S200000,00400,0600,P 32654,S200000,01004,0500,O 32654,S200000,01500,0100,Y 32654,S700003,00000,0200,2 32672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32672,A000000,00300,0000,00300EMPLOYEE BENEFITS 32672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32672,A000000,00700,0000,00700HOUSEKEEPING 32672,A000000,00800,0000,00800DIETARY 32672,A000000,00900,0000,00900NURSING ADMINISTRATION 32672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32672,A000000,01100,0000,01100PHARMACY 32672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32672,A000000,01300,0000,01300SOCIAL SERVICE 32672,A000000,01600,0000,01600SKILLED NURSING FACILITY 32672,A000000,01800,0000,01800NURSING FACILITY 32672,A000000,01900,0000,01900OTHER LONG TERM CARE 32672,A000000,02100,0000,02100RADIOLOGY 32672,A000000,02200,0000,02200LABORATORY 32672,A000000,02300,0000,02300INTRAVENOUS THERAPY 32672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32672,A000000,02500,0000,02500PHYSICAL THERAPY 32672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32672,A000000,02700,0000,02700SPEECH PATHOLOGY 32672,A000000,02800,0000,02800ELECTROCARDIOLOGY 32672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32672,A000000,03200,0000,03200SUPPORT SURFACES 32672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32672,A000000,05300,0000,05300INTEREST EXPENSE 32672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32672,A000000,06100,0000,06100NONPAID WORKERS 32672,A000000,06150,0000,06300RETIREMENT CENTER 32672,A000000,06151,0000,06301MARKETING 32672,A000000,06200,0000,06200PATIENTS LAUNDRY 32672,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 32672,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 32672,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 32672,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 32672,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 32672,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 32672,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 32672,B100000,00000,0800,00001MEALS SERVED :DIETARY 32672,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 32672,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 32672,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 32672,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 32672,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 32672,S000000,00100,0200,02/14/2001 32672,S200000,00100,0100,7 RIVERWOODS DRIVE 32672,S200000,00200,0100,EXETER 32672,S200000,00200,0200,NH 32672,S200000,00200,0300,03833- 32672,S200000,00300,0100,ROCKINGHAM 32672,S200000,00400,0100,MONADNOCK LODGE - RIVERWOODS 32672,S200000,00400,0200,305049 32672,S200000,00400,0300,03/17/1995 32672,S200000,00400,0500,P 32672,S200000,01004,0500,O 32672,S200000,01600,0100,Y 32672,S200000,01700,0100,Y 32672,S200000,02200,0100,Y 32672,S200000,04300,0100,Y 32686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32686,A000000,00300,0000,00300EMPLOYEE BENEFITS 32686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32686,A000000,00700,0000,00700HOUSEKEEPING 32686,A000000,00800,0000,00800DIETARY 32686,A000000,00801,0000,00801CAFETERIA 32686,A000000,00900,0000,00900NURSING ADMINISTRATION 32686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32686,A000000,01100,0000,01100PHARMACY 32686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32686,A000000,01300,0000,01300SOCIAL SERVICE 32686,A000000,01600,0000,01600SKILLED NURSING FACILITY 32686,A000000,02100,0000,02100RADIOLOGY 32686,A000000,02200,0000,02200LABORATORY 32686,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32686,A000000,02500,0000,02500PHYSICAL THERAPY 32686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32686,A000000,02700,0000,02700SPEECH PATHOLOGY 32686,A000000,02800,0000,02800ELECTROCARDIOLOGY 32686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32686,A000000,04800,0000,04800AMBULANCE 32686,A000000,05300,0000,05300INTEREST EXPENSE 32686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32686,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32686,A000000,06150,0000,06300NONREIMBURSABLE 32686,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32686,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32686,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32686,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32686,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32686,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 32686,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32686,B100000,00000,0800,00000MEALS SERVED :DIETARY 32686,B100000,00000,0851,00000FTES :CAFETERIA 32686,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 32686,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32686,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 32686,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32686,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32686,S000000,00100,0200,05/25/2000 32686,S200000,00100,0100,RIVER ROAD 32686,S200000,00200,0100,WESTMORELAND 32686,S200000,00200,0200,NH 32686,S200000,00200,0300,03467- 32686,S200000,00300,0100,CHESHIRE 32686,S200000,00400,0100,MAPLEWOOD NURSING HOME 32686,S200000,00400,0200,305054 32686,S200000,00400,0300,04/01/1996 32686,S200000,00400,0500,P 32686,S200000,01500,0100,Y 32693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32693,A000000,00300,0000,00300EMPLOYEE BENEFITS 32693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32693,A000000,00700,0000,00700HOUSEKEEPING 32693,A000000,00800,0000,00800DIETARY 32693,A000000,00900,0000,00900NURSING ADMINISTRATION 32693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32693,A000000,01100,0000,01100PHARMACY 32693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32693,A000000,01300,0000,01300SOCIAL SERVICE 32693,A000000,01350,0000,01500ACTIVITIES 32693,A000000,01351,0000,01501INDIRECT CONSULTANTS 32693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32693,A000000,01600,0000,01600SKILLED NURSING FACILITY 32693,A000000,01800,0000,01800NURSING FACILITY 32693,A000000,01810,0000,01810ICF/MR 32693,A000000,01900,0000,01900OTHER LONG TERM CARE 32693,A000000,02100,0000,02100RADIOLOGY 32693,A000000,02200,0000,02200LABORATORY 32693,A000000,02300,0000,02300INTRAVENOUS THERAPY 32693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32693,A000000,02500,0000,02500PHYSICAL THERAPY 32693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32693,A000000,02700,0000,02700SPEECH PATHOLOGY 32693,A000000,02800,0000,02800ELECTROCARDIOLOGY 32693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32693,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32693,A000000,03200,0000,03200SUPPORT SURFACES 32693,A000000,03400,0000,03400CLINIC 32693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32693,A000000,03500,0000,03500RURAL HEALTH CLINIC 32693,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32693,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32693,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32693,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32693,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32693,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32693,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32693,A000000,04400,0000,04400DME RENTED - HHA 32693,A000000,04500,0000,04500DME SOLD - HHA 32693,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32693,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32693,A000000,04800,0000,04800AMBULANCE 32693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32693,A000000,05000,0000,05000CORF 32693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32693,A000000,05300,0000,05300INTEREST EXPENSE 32693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32693,A000000,05500,0000,05500HOSPICE 32693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32693,A000000,06100,0000,06100NONPAID WORKERS 32693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32693,A000000,06200,0000,06200PATIENTS LAUNDRY 32693,A81000A,00100,0100,Y 32693,A81000B,00100,0300,ADMINISTRATOR 32693,A81000B,00200,0300,ASST ADMINISTRATOR 32693,A81000B,00300,0300,DON 32693,A81000B,00400,0300,PLANT 32693,A81000B,00500,0300,BUSINESS OFFICE 32693,A81000B,00600,0300,OFFICER SALARY 32693,A81000B,00700,0300,PLANT 32693,A81000B,00800,0300,MEDICAL RECORDS 32693,A81000B,00900,0300,DIETARY 32693,A81000C,00100,0100,A 32693,A81000C,00100,0200,DANIEL TRAHAN 32693,A81000C,00200,0100,A 32693,A81000C,00200,0200,GRACE TRAHAN 32693,A81000C,00300,0100,G 32693,A81000C,00300,0200,CAROL TRAHAN 32693,A81000C,00400,0100,A 32693,A81000C,00400,0200,LEON TRAHAN 32693,A81000C,00500,0100,A 32693,A81000C,00500,0200,DAVID TRAHAN 32693,A81000C,00600,0100,G 32693,A81000C,00600,0200,CRAIG TRAHAN 32693,A81000C,00700,0100,G 32693,A81000C,00700,0200,CHRISTOPHER GAGNON 32693,A81000C,00800,0100,G 32693,A81000C,00800,0200,DEANNE GAGNON 32693,A81000C,00900,0100,A 32693,A81000C,00900,0200,EILEEN PIET 32693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32693,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32693,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32693,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32693,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 32693,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32693,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32693,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32693,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32693,S000000,00100,0200,06/14/2000 32693,S200000,00100,0100,22 TUCK ROAD 32693,S200000,00200,0100,HAMPTON 32693,S200000,00200,0200,NH 32693,S200000,00200,0300,03842- 32693,S200000,00300,0100,ROCKINGHAM 32693,S200000,00300,0200,1123 32693,S200000,00300,0300,U 32693,S200000,00400,0100,SEACOAST HEALTH CENTER INC. 32693,S200000,00400,0200,305055 32693,S200000,00400,0300,01/07/1995 32693,S200000,00400,0500,P 32693,S200000,00400,0600,P 32693,S200000,01600,0100,Y 32703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32703,A000000,00300,0000,00300EMPLOYEE BENEFITS 32703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32703,A000000,00700,0000,00700HOUSEKEEPING 32703,A000000,00800,0000,00800DIETARY 32703,A000000,00900,0000,00900NURSING ADMINISTRATION 32703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32703,A000000,01100,0000,01100PHARMACY 32703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32703,A000000,01300,0000,01300SOCIAL SERVICE 32703,A000000,01350,0000,01500ACTIVITIES 32703,A000000,01351,0000,01501INDIRECT CONSULTANTS 32703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32703,A000000,01600,0000,01600SKILLED NURSING FACILITY 32703,A000000,01800,0000,01800NURSING FACILITY 32703,A000000,01810,0000,01801ICF/MR 32703,A000000,01900,0000,01900OTHER LONG TERM CARE 32703,A000000,02100,0000,02100RADIOLOGY 32703,A000000,02200,0000,02200LABORATORY 32703,A000000,02300,0000,02300INTRAVENOUS THERAPY 32703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32703,A000000,02500,0000,02500PHYSICAL THERAPY 32703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32703,A000000,02700,0000,02700SPEECH PATHOLOGY 32703,A000000,02800,0000,02800ELECTROCARDIOLOGY 32703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32703,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32703,A000000,03200,0000,03200SUPPORT SURFACES 32703,A000000,03400,0000,03400CLINIC 32703,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32703,A000000,03500,0000,03500RURAL HEALTH CLINIC 32703,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32703,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32703,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32703,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32703,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32703,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32703,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32703,A000000,04400,0000,04400DME RENTED - HHA 32703,A000000,04500,0000,04500DME SOLD - HHA 32703,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32703,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32703,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32703,A000000,04800,0000,04800AMBULANCE 32703,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32703,A000000,05000,0000,05000CORF 32703,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32703,A000000,05300,0000,05300INTEREST EXPENSE 32703,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32703,A000000,05500,0000,05500HOSPICE 32703,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32703,A000000,06100,0000,06100NONPAID WORKERS 32703,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32703,A000000,06200,0000,06200PATIENTS LAUNDRY 32703,A81000A,00100,0100,Y 32703,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 32703,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 32703,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 32703,A81000C,00100,0100,A 32703,A81000C,00100,0200,RICHARD COURVILLE 32703,A81000C,00100,0400,THE COURVILLE COMPANY 32703,A81000C,00100,0600,CENTRAL OFFICE 32703,A81000C,00200,0100,A 32703,A81000C,00200,0200,RICHARD COURVILLE 32703,A81000C,00200,0400,COURVILLE AT NASHUA 32703,A81000C,00200,0600,NURSING HOME 32703,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32703,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32703,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32703,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32703,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32703,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32703,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32703,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32703,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32703,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32703,B100000,00000,1150,00000N/A N/A :PHARMACY 32703,B100000,00000,1250,00000N/A N/A :MEDICAL RECORDS & LIBRARY 32703,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32703,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32703,B100000,00000,1351,00000N/A N/A :INDIRECT CONSULTANTS 32703,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 32703,S000000,00100,0200,03/08/2000 32703,S200000,00100,0100,44 WEBSTER STREET 32703,S200000,00200,0100,MANCHESTER 32703,S200000,00200,0200,NH 32703,S200000,00200,0300,03103- 32703,S200000,00300,0100,HILLSBOROUGH 32703,S200000,00400,0100,THE COURVILLE AT MANCHESTER LLC 32703,S200000,00400,0200,305057 32703,S200000,00400,0300,01/01/1996 32703,S200000,00400,0500,P 32703,S200000,00400,0600,P 32703,S200000,01004,0500,O 32703,S200000,01600,0100,Y 32703,S200000,02800,0100,Y 32711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32711,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32711,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32711,A000000,00300,0000,00300EMPLOYEE BENEFITS 32711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32711,A000000,00700,0000,00700HOUSEKEEPING 32711,A000000,00800,0000,00800DIETARY 32711,A000000,00801,0000,00801CAFETERIA 32711,A000000,00900,0000,00900NURSING ADMINISTRATION 32711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32711,A000000,01100,0000,01100PHARMACY 32711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32711,A000000,01300,0000,01300SOCIAL SERVICE 32711,A000000,01350,0000,01500ACTIVITIES 32711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32711,A000000,01600,0000,01600SKILLED NURSING FACILITY 32711,A000000,01800,0000,01800NURSING FACILITY 32711,A000000,01900,0000,01900OTHER LONG TERM CARE 32711,A000000,02100,0000,02100RADIOLOGY 32711,A000000,02200,0000,02200LABORATORY 32711,A000000,02300,0000,02300INTRAVENOUS THERAPY 32711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32711,A000000,02500,0000,02500PHYSICAL THERAPY 32711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32711,A000000,02700,0000,02700SPEECH PATHOLOGY 32711,A000000,02800,0000,02800ELECTROCARDIOLOGY 32711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32711,A000000,03050,0000,03300DME 32711,A000000,03051,0000,03301ORTHOTICS 32711,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 32711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32711,A000000,03200,0000,03200SUPPORT SURFACES 32711,A000000,03400,0000,03400CLINIC 32711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32711,A000000,03500,0000,03500RURAL HEALTH CLINIC 32711,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32711,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32711,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32711,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32711,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32711,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32711,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32711,A000000,04400,0000,04400DME RENTED - HHA 32711,A000000,04500,0000,04500DME SOLD - HHA 32711,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32711,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32711,A000000,04800,0000,04800AMBULANCE 32711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32711,A000000,05000,0000,05000CORF 32711,A000000,05010,0000,05010CMHC I 32711,A000000,05020,0000,05020OPT I 32711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32711,A000000,05300,0000,05300INTEREST EXPENSE 32711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32711,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32711,A000000,05500,0000,05500HOSPICE 32711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32711,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32711,A000000,06100,0000,06100NONPAID WORKERS 32711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32711,A000000,06200,0000,06200PATIENTS LAUNDRY 32711,A81000A,00100,0100,Y 32711,A81000B,00100,0300,HOME OFFICE ALLOCATION 32711,A81000B,00200,0300,THERACOR ACTUAL COSTS 32711,A81000B,00300,0300,THERACOR ACTUAL COSTS 32711,A81000B,00400,0300,THERACOR ACTUAL COSTS 32711,A81000C,00100,0100,B 32711,A81000C,00100,0200,HARBORSIDE 32711,A81000C,00200,0200,HEALTHCARE 32711,A81000C,00300,0200,LIMITED PSHIP 32711,A81000C,00300,0600,MANAGEMENT CO 32711,A81000C,00500,0100,B 32711,A81000C,00500,0200,HARBORSIDE 32711,A81000C,00600,0200,REHABILITITAION 32711,A81000C,00700,0200,LIMITED PSHIP 32711,A81000C,00700,0600,THERAPY 32711,A81000C,00800,0600,SERVICE AND 32711,A81000C,00900,0600,MANAGEMENT CO 32711,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32711,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32711,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32711,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32711,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32711,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32711,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32711,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32711,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32711,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32711,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32711,S000000,00100,0200,06/22/2000 32711,S200000,00100,0100,PHEASANT ROAD 32711,S200000,00200,0100,PETERBOROUGH 32711,S200000,00200,0200,NH 32711,S200000,00200,0300,03458- 32711,S200000,00300,0100,HILLSBOROUGH 32711,S200000,00300,0200,1123 32711,S200000,00300,0300,U 32711,S200000,00400,0100,HHC - PHEASANTWOOD 32711,S200000,00400,0200,305059 32711,S200000,00400,0300,01/01/1996 32711,S200000,00400,0500,P 32711,S200000,01600,0100,Y 32711,S200000,02200,0100,Y 32711,S200000,04700,0100,Y 32711,S200000,04700,0200,Y 32719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32719,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32719,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32719,A000000,00300,0000,00300EMPLOYEE BENEFITS 32719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32719,A000000,00700,0000,00700HOUSEKEEPING 32719,A000000,00800,0000,00800DIETARY 32719,A000000,00801,0000,00801CAFETERIA 32719,A000000,00900,0000,00900NURSING ADMINISTRATION 32719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32719,A000000,01100,0000,01100PHARMACY 32719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32719,A000000,01300,0000,01300SOCIAL SERVICE 32719,A000000,01350,0000,01500ACTIVITIES 32719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32719,A000000,01600,0000,01600SKILLED NURSING FACILITY 32719,A000000,01800,0000,01800NURSING FACILITY 32719,A000000,01900,0000,01900OTHER LONG TERM CARE 32719,A000000,02100,0000,02100RADIOLOGY 32719,A000000,02200,0000,02200LABORATORY 32719,A000000,02300,0000,02300INTRAVENOUS THERAPY 32719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32719,A000000,02500,0000,02500PHYSICAL THERAPY 32719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32719,A000000,02700,0000,02700SPEECH PATHOLOGY 32719,A000000,02800,0000,02800ELECTROCARDIOLOGY 32719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32719,A000000,03050,0000,03300DME 32719,A000000,03051,0000,03301OTHER ANCILLARY II 32719,A000000,03052,0000,03302OTHER ANCILLARY III 32719,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32719,A000000,03200,0000,03200SUPPORT SURFACES 32719,A000000,03400,0000,03400CLINIC 32719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32719,A000000,03500,0000,03500RURAL HEALTH CLINIC 32719,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32719,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32719,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32719,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32719,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32719,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32719,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32719,A000000,04400,0000,04400DME RENTED - HHA 32719,A000000,04500,0000,04500DME SOLD - HHA 32719,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32719,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32719,A000000,04800,0000,04800AMBULANCE 32719,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32719,A000000,05000,0000,05000CORF 32719,A000000,05010,0000,05010CMHC I 32719,A000000,05020,0000,05020OPT I 32719,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32719,A000000,05300,0000,05300INTEREST EXPENSE 32719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32719,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32719,A000000,05500,0000,05500HOSPICE 32719,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32719,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32719,A000000,06100,0000,06100NONPAID WORKERS 32719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32719,A000000,06200,0000,06200PATIENTS LAUNDRY 32719,A81000A,00100,0100,Y 32719,A81000B,00100,0300,HOME OFFICE ALLOCATION 32719,A81000B,00200,0300,THERACOR ACTUAL COSTS 32719,A81000B,00300,0300,THERACOR ACTUAL COSTS 32719,A81000B,00400,0300,THERACOR ACTUAL COSTS 32719,A81000C,00100,0100,B 32719,A81000C,00100,0200,HARBORSIDE 32719,A81000C,00200,0200,HEALTHCARE 32719,A81000C,00300,0200,LIMITED PSHIP 32719,A81000C,00300,0600,MANAGEMENT CO 32719,A81000C,00500,0100,B 32719,A81000C,00500,0200,HARBORSIDE 32719,A81000C,00600,0200,REHABILITITAION 32719,A81000C,00700,0200,LIMITED PSHIP 32719,A81000C,00700,0600,THERAPY 32719,A81000C,00800,0600,SERVICE AND 32719,A81000C,00900,0600,MANAGEMENT CO 32719,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32719,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32719,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32719,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32719,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32719,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32719,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32719,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32719,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32719,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32719,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32719,S000000,00100,0200,06/22/2000 32719,S200000,00100,0100,30 COLBY COURT 32719,S200000,00200,0100,BEDFORD 32719,S200000,00200,0200,NH 32719,S200000,00200,0300,03110- 32719,S200000,00300,0100,HILLBOROUGH 32719,S200000,00300,0200,1123 32719,S200000,00300,0300,U 32719,S200000,00400,0100,HHC - NORTHWOOD 32719,S200000,00400,0200,305060 32719,S200000,00400,0300,01/01/1996 32719,S200000,00400,0500,P 32719,S200000,01600,0100,Y 32719,S200000,02200,0100,Y 32719,S200000,04700,0100,Y 32719,S200000,04700,0200,Y 32727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32727,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32727,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32727,A000000,00300,0000,00300EMPLOYEE BENEFITS 32727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32727,A000000,00700,0000,00700HOUSEKEEPING 32727,A000000,00800,0000,00800DIETARY 32727,A000000,00801,0000,00801CAFETERIA 32727,A000000,00900,0000,00900NURSING ADMINISTRATION 32727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32727,A000000,01100,0000,01100PHARMACY 32727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32727,A000000,01300,0000,01300SOCIAL SERVICE 32727,A000000,01350,0000,01500ACTIVITIES 32727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32727,A000000,01600,0000,01600SKILLED NURSING FACILITY 32727,A000000,01800,0000,01800NURSING FACILITY 32727,A000000,02100,0000,02100RADIOLOGY 32727,A000000,02200,0000,02200LABORATORY 32727,A000000,02300,0000,02300INTRAVENOUS THERAPY 32727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32727,A000000,02500,0000,02500PHYSICAL THERAPY 32727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32727,A000000,02700,0000,02700SPEECH PATHOLOGY 32727,A000000,02800,0000,02800ELECTROCARDIOLOGY 32727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32727,A000000,03050,0000,03300DME 32727,A000000,03051,0000,03301ORTHOTICS 32727,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 32727,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32727,A000000,03200,0000,03200SUPPORT SURFACES 32727,A000000,03400,0000,03400CLINIC 32727,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32727,A000000,03500,0000,03500RURAL HEALTH CLINIC 32727,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32727,A000000,04800,0000,04800AMBULANCE 32727,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32727,A000000,05000,0000,05000CORF 32727,A000000,05010,0000,05010CMHC I 32727,A000000,05020,0000,05020OPT I 32727,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32727,A000000,05300,0000,05300INTEREST EXPENSE 32727,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32727,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32727,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32727,A000000,05500,0000,05500HOSPICE 32727,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32727,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32727,A000000,06100,0000,06100NONPAID WORKERS 32727,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32727,A000000,06200,0000,06200PATIENTS LAUNDRY 32727,A81000A,00100,0100,Y 32727,A81000B,00100,0300,HOME OFFICE ALLOCATION 32727,A81000B,00200,0300,THERACOR ACTUAL COSTS 32727,A81000B,00300,0300,THERACOR ACTUAL COSTS 32727,A81000B,00400,0300,THERACOR ACTUAL COSTS 32727,A81000C,00100,0100,B 32727,A81000C,00100,0200,HARBORSIDE 32727,A81000C,00200,0200,HEALTHCARE 32727,A81000C,00300,0200,LIMITED PSHIP 32727,A81000C,00300,0600,MANAGEMENT CO 32727,A81000C,00500,0100,B 32727,A81000C,00500,0200,HARBORSIDE 32727,A81000C,00600,0200,REHABILITITAION 32727,A81000C,00700,0200,LIMITED PSHIP 32727,A81000C,00700,0600,THERAPY 32727,A81000C,00800,0600,SERVICE AND 32727,A81000C,00900,0600,MANAGEMENT CO 32727,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32727,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32727,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32727,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32727,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32727,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32727,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32727,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32727,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32727,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32727,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32727,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32727,S000000,00100,0200,06/20/2000 32727,S200000,00100,0100,40 CROSBY STREET 32727,S200000,00200,0100,MILFORD 32727,S200000,00200,0200,NH 32727,S200000,00200,0300,03055- 32727,S200000,00300,0100,HILLSBOROUGH 32727,S200000,00300,0200,1123 32727,S200000,00300,0300,U 32727,S200000,00400,0100,HHC - CRESTWOOD 32727,S200000,00400,0200,305061 32727,S200000,00400,0300,01/01/1996 32727,S200000,00400,0500,P 32727,S200000,01600,0100,Y 32727,S200000,02200,0100,Y 32727,S200000,04700,0100,Y 32727,S200000,04700,0200,Y 32735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32735,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32735,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32735,A000000,00300,0000,00300EMPLOYEE BENEFITS 32735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32735,A000000,00700,0000,00700HOUSEKEEPING 32735,A000000,00800,0000,00800DIETARY 32735,A000000,00801,0000,00801CAFETERIA 32735,A000000,00900,0000,00900NURSING ADMINISTRATION 32735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32735,A000000,01100,0000,01100PHARMACY 32735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32735,A000000,01300,0000,01300SOCIAL SERVICE 32735,A000000,01350,0000,01500ACTIVITIES 32735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32735,A000000,01600,0000,01600SKILLED NURSING FACILITY 32735,A000000,01800,0000,01800NURSING FACILITY 32735,A000000,01900,0000,01900OTHER LONG TERM CARE 32735,A000000,02100,0000,02100RADIOLOGY 32735,A000000,02200,0000,02200LABORATORY 32735,A000000,02300,0000,02300INTRAVENOUS THERAPY 32735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32735,A000000,02500,0000,02500PHYSICAL THERAPY 32735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32735,A000000,02700,0000,02700SPEECH PATHOLOGY 32735,A000000,02800,0000,02800ELECTROCARDIOLOGY 32735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32735,A000000,03050,0000,03300DME 32735,A000000,03051,0000,03301ORTHOTICS 32735,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 32735,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32735,A000000,03200,0000,03200SUPPORT SURFACES 32735,A000000,03400,0000,03400CLINIC 32735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32735,A000000,03500,0000,03500RURAL HEALTH CLINIC 32735,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32735,A000000,04800,0000,04800AMBULANCE 32735,A000000,05000,0000,05000CORF 32735,A000000,05010,0000,05010CMHC I 32735,A000000,05020,0000,05020OPT I 32735,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32735,A000000,05300,0000,05300INTEREST EXPENSE 32735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32735,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32735,A000000,05500,0000,05500HOSPICE 32735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32735,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32735,A000000,06100,0000,06100NONPAID WORKERS 32735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32735,A000000,06200,0000,06200PATIENTS LAUNDRY 32735,A81000A,00100,0100,Y 32735,A81000B,00100,0300,HOME OFFICE ALLOCATION 32735,A81000B,00200,0300,THERACOR ACTUAL COSTS 32735,A81000B,00300,0300,THERACOR ACTUAL COSTS 32735,A81000B,00400,0300,THERACOR ACTUAL COSTS 32735,A81000C,00100,0100,B 32735,A81000C,00100,0200,HARBORSIDE 32735,A81000C,00200,0200,HEALTHCARE 32735,A81000C,00300,0200,LIMITED PSHIP 32735,A81000C,00300,0600,MANAGEMENT CO 32735,A81000C,00500,0100,B 32735,A81000C,00500,0200,HARBORSIDE 32735,A81000C,00600,0200,REHABILITITAION 32735,A81000C,00700,0200,LIMITED PSHIP 32735,A81000C,00700,0600,THERAPY 32735,A81000C,00800,0600,SERVICE AND 32735,A81000C,00900,0600,MANAGEMENT CO 32735,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32735,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32735,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32735,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32735,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32735,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32735,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32735,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32735,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32735,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32735,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32735,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32735,S000000,00100,0200,06/22/2000 32735,S200000,00100,0100,298 MAIN STREET 32735,S200000,00200,0100,KEENE 32735,S200000,00200,0200,NH 32735,S200000,00300,0100,CHESHIER 32735,S200000,00300,0200,0030 32735,S200000,00300,0300,R 32735,S200000,00400,0100,HHC - WESTWOOD 32735,S200000,00400,0200,305062 32735,S200000,00400,0300,01/01/1996 32735,S200000,00400,0500,P 32735,S200000,01600,0100,Y 32735,S200000,02200,0100,Y 32735,S200000,04700,0100,Y 32735,S200000,04700,0200,Y 32748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32748,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32748,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32748,A000000,00300,0000,00300EMPLOYEE BENEFITS 32748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32748,A000000,00700,0000,00700HOUSEKEEPING 32748,A000000,00800,0000,00800DIETARY 32748,A000000,00801,0000,00801CAFETERIA 32748,A000000,00900,0000,00900NURSING ADMINISTRATION 32748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32748,A000000,01100,0000,01100PHARMACY 32748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32748,A000000,01300,0000,01300SOCIAL SERVICE 32748,A000000,01350,0000,01500ACTIVITIES 32748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32748,A000000,01600,0000,01600SKILLED NURSING FACILITY 32748,A000000,01800,0000,01800NURSING FACILITY 32748,A000000,01900,0000,01900OTHER LONG TERM CARE 32748,A000000,02100,0000,02100RADIOLOGY 32748,A000000,02200,0000,02200LABORATORY 32748,A000000,02300,0000,02300INTRAVENOUS THERAPY 32748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32748,A000000,02500,0000,02500PHYSICAL THERAPY 32748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32748,A000000,02700,0000,02700SPEECH PATHOLOGY 32748,A000000,02800,0000,02800ELECTROCARDIOLOGY 32748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32748,A000000,03050,0000,03300DME 32748,A000000,03051,0000,03301ORTHOTICS 32748,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 32748,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32748,A000000,03200,0000,03200SUPPORT SURFACES 32748,A000000,03400,0000,03400CLINIC 32748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32748,A000000,03500,0000,03500RURAL HEALTH CLINIC 32748,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32748,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32748,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32748,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32748,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32748,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32748,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32748,A000000,04400,0000,04400DME RENTED - HHA 32748,A000000,04500,0000,04500DME SOLD - HHA 32748,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32748,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32748,A000000,04800,0000,04800AMBULANCE 32748,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32748,A000000,05000,0000,05000CORF 32748,A000000,05010,0000,05010CMHC I 32748,A000000,05020,0000,05020OPT I 32748,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32748,A000000,05300,0000,05300INTEREST EXPENSE 32748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32748,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32748,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32748,A000000,05500,0000,05500HOSPICE 32748,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32748,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32748,A000000,06100,0000,06100NONPAID WORKERS 32748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32748,A000000,06200,0000,06200PATIENTS LAUNDRY 32748,A81000A,00100,0100,Y 32748,A81000B,00100,0300,HOME OFFICE ALLOCATION 32748,A81000B,00200,0300,THERACOR ACTUAL COSTS 32748,A81000B,00300,0300,THERACOR ACTUAL COSTS 32748,A81000B,00400,0300,THERACOR ACTUAL COSTS 32748,A81000C,00100,0100,B 32748,A81000C,00100,0200,HARBORSIDE 32748,A81000C,00200,0200,HEALTHCARE 32748,A81000C,00300,0200,LIMITED PSHIP 32748,A81000C,00300,0600,MANAGEMENT CO 32748,A81000C,00500,0100,B 32748,A81000C,00500,0200,HARBORSIDE 32748,A81000C,00600,0200,REHABILITITAION 32748,A81000C,00700,0200,LIMITED PSHIP 32748,A81000C,00700,0600,THERAPY 32748,A81000C,00800,0600,SERVICE AND 32748,A81000C,00900,0600,MANAGEMENT CO 32748,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32748,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32748,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32748,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32748,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32748,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32748,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32748,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32748,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32748,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32748,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32748,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32748,E10A180,00501,0100,07/07/2000 32748,E10A180,00550,0300,07/07/2000 32748,S000000,00100,0200,06/22/2000 32748,S200000,00100,0100,8 SNOW ROAD 32748,S200000,00200,0100,WINCHESTER 32748,S200000,00200,0200,NH 32748,S200000,00200,0300,03470- 32748,S200000,00300,0100,CHESHIER 32748,S200000,00300,0200,0030 32748,S200000,00300,0300,R 32748,S200000,00400,0100,HHC - APPLEWOOD 32748,S200000,00400,0200,305065 32748,S200000,00400,0300,01/01/1996 32748,S200000,00400,0500,P 32748,S200000,01500,0100,Y 32748,S200000,02200,0100,Y 32748,S200000,04700,0200,Y 32756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32756,A000000,00300,0000,00300EMPLOYEE BENEFITS 32756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32756,A000000,00700,0000,00700HOUSEKEEPING 32756,A000000,00800,0000,00800DIETARY 32756,A000000,00900,0000,00900NURSING ADMINISTRATION 32756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32756,A000000,01100,0000,01100PHARMACY 32756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32756,A000000,01300,0000,01300SOCIAL SERVICE 32756,A000000,01350,0000,01500OTHER GENERAL SERVICES 32756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32756,A000000,01600,0000,01600SKILLED NURSING FACILITY 32756,A000000,01800,0000,01800NURSING FACILITY 32756,A000000,01810,0000,01810ICF/MR 32756,A000000,01900,0000,01900OTHER LONG TERM CARE 32756,A000000,02100,0000,02100RADIOLOGY 32756,A000000,02200,0000,02200LABORATORY 32756,A000000,02300,0000,02300INTRAVENOUS THERAPY 32756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32756,A000000,02500,0000,02500PHYSICAL THERAPY 32756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32756,A000000,02700,0000,02700SPEECH PATHOLOGY 32756,A000000,02800,0000,02800ELECTROCARDIOLOGY 32756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32756,A000000,03200,0000,03200SUPPORT SURFACES 32756,A000000,03400,0000,03400CLINIC 32756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32756,A000000,03500,0000,03500RURAL HEALTH CLINIC 32756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32756,A000000,04800,0000,04800AMBULANCE 32756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32756,A000000,05000,0000,05000CORF 32756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32756,A000000,05300,0000,05300INTEREST EXPENSE 32756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32756,A000000,05500,0000,05500HOSPICE 32756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32756,A000000,06100,0000,06100NONPAID WORKERS 32756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32756,A000000,06200,0000,06200PATIENTS LAUNDRY 32756,A81000A,00100,0100,Y 32756,A81000B,00100,0300,MANAGEMENT FEES 32756,A81000C,00100,0100,B 32756,A81000C,00100,0400,NH CATHOLIC CHARITIES 32756,A81000C,00100,0600,MANAGEMENT SERVICES 32756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32756,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32756,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32756,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32756,B100000,00000,0800,00000MEALS SERVED :DIETARY 32756,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32756,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32756,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32756,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32756,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32756,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32756,S000000,00100,0200,08/29/2000 32756,S200000,00100,0100,29 PROVIDENCE AVENUE 32756,S200000,00200,0100,BERLIN 32756,S200000,00200,0200,NH 32756,S200000,00200,0300,03570- 32756,S200000,00300,0100,COOS 32756,S200000,00300,0200,30 32756,S200000,00300,0300,R 32756,S200000,00400,0100,ST. VINCENT DE PAUL NURSING HOME 32756,S200000,00400,0200,305066 32756,S200000,00400,0300,04/01/1996 32756,S200000,00400,0500,P 32756,S200000,01004,0500,O 32756,S200000,01500,0100,Y 32756,S200000,02800,0100,Y 32756,S200000,04700,0200,Y 32765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32765,A000000,00300,0000,00300EMPLOYEE BENEFITS 32765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32765,A000000,00700,0000,00700HOUSEKEEPING 32765,A000000,00800,0000,00800DIETARY 32765,A000000,00900,0000,00900NURSING ADMINISTRATION 32765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32765,A000000,01100,0000,01100PHARMACY 32765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32765,A000000,01300,0000,01300SOCIAL SERVICE 32765,A000000,01350,0000,01500OTHER GENERAL SERVICES 32765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32765,A000000,01600,0000,01600SKILLED NURSING FACILITY 32765,A000000,01800,0000,01800NURSING FACILITY 32765,A000000,01810,0000,01810ICF/MR 32765,A000000,01900,0000,01900OTHER LONG TERM CARE 32765,A000000,02100,0000,02100RADIOLOGY 32765,A000000,02200,0000,02200LABORATORY 32765,A000000,02300,0000,02300INTRAVENOUS THERAPY 32765,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32765,A000000,02500,0000,02500PHYSICAL THERAPY 32765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32765,A000000,02700,0000,02700SPEECH PATHOLOGY 32765,A000000,02800,0000,02800ELECTROCARDIOLOGY 32765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32765,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32765,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32765,A000000,03200,0000,03200SUPPORT SURFACES 32765,A000000,03400,0000,03400CLINIC 32765,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32765,A000000,03500,0000,03500RURAL HEALTH CLINIC 32765,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32765,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32765,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32765,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32765,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32765,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32765,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32765,A000000,04400,0000,04400DME RENTED - HHA 32765,A000000,04500,0000,04500DME SOLD - HHA 32765,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32765,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32765,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32765,A000000,04800,0000,04800AMBULANCE 32765,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32765,A000000,05000,0000,05000CORF 32765,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32765,A000000,05300,0000,05300INTEREST EXPENSE 32765,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32765,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32765,A000000,05500,0000,05500HOSPICE 32765,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32765,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32765,A000000,06100,0000,06100NONPAID WORKERS 32765,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32765,A000000,06200,0000,06200PATIENTS LAUNDRY 32765,A81000A,00100,0100,Y 32765,A81000B,00100,0300,MANAGEMENT FEES 32765,A81000C,00100,0100,B 32765,A81000C,00100,0400,NH CATHOLIC CHARITIES INC 32765,A81000C,00100,0600,MANAGEMENT FEES 32765,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32765,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32765,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32765,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32765,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32765,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32765,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32765,B100000,00000,0800,00000MEALS SERVED :DIETARY 32765,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32765,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 32765,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32765,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32765,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32765,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32765,E10A180,00501,0100,08/30/2000 32765,E10A180,00550,0300,08/30/2000 32765,S000000,00100,0200,08/30/2000 32765,S200000,00100,0100,235 MYRTLE STREET 32765,S200000,00200,0100,MANCHESTER 32765,S200000,00200,0200,NH 32765,S200000,00200,0300,03104- 32765,S200000,00300,0100,HILLSBOROUGH 32765,S200000,00300,0200,1123 32765,S200000,00300,0300,U 32765,S200000,00400,0100,MOUNT CARMEL NURSING HOME 32765,S200000,00400,0200,305067 32765,S200000,00400,0300,04/01/1996 32765,S200000,00400,0500,P 32765,S200000,01500,0100,Y 32765,S200000,04700,0100,Y 32765,S200000,04700,0200,Y 32773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32773,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 32773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32773,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 32773,A000000,00300,0000,00300EMPLOYEE BENEFITS 32773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32773,A000000,00700,0000,00700HOUSEKEEPING 32773,A000000,00800,0000,00800DIETARY 32773,A000000,00801,0000,00801CAFETERIA 32773,A000000,00900,0000,00900NURSING ADMINISTRATION 32773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32773,A000000,01100,0000,01100PHARMACY 32773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32773,A000000,01300,0000,01300SOCIAL SERVICE 32773,A000000,01350,0000,01500ACTIVITIES 32773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32773,A000000,01600,0000,01600SKILLED NURSING FACILITY 32773,A000000,01800,0000,01800NURSING FACILITY 32773,A000000,01900,0000,01900OTHER LONG TERM CARE 32773,A000000,02100,0000,02100RADIOLOGY 32773,A000000,02200,0000,02200LABORATORY 32773,A000000,02300,0000,02300INTRAVENOUS THERAPY 32773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32773,A000000,02500,0000,02500PHYSICAL THERAPY 32773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32773,A000000,02700,0000,02700SPEECH PATHOLOGY 32773,A000000,02800,0000,02800ELECTROCARDIOLOGY 32773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32773,A000000,03050,0000,03300DME 32773,A000000,03051,0000,03301ORTHOTICS 32773,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 32773,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32773,A000000,03200,0000,03200SUPPORT SURFACES 32773,A000000,03400,0000,03400CLINIC 32773,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 32773,A000000,03500,0000,03500RURAL HEALTH CLINIC 32773,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32773,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32773,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32773,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32773,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32773,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32773,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32773,A000000,04400,0000,04400DME RENTED - HHA 32773,A000000,04500,0000,04500DME SOLD - HHA 32773,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32773,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32773,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32773,A000000,04800,0000,04800AMBULANCE 32773,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32773,A000000,05000,0000,05000CORF 32773,A000000,05010,0000,05010CMHC I 32773,A000000,05020,0000,05020OPT I 32773,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32773,A000000,05300,0000,05300INTEREST EXPENSE 32773,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 32773,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 32773,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32773,A000000,05500,0000,05500HOSPICE 32773,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32773,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32773,A000000,06100,0000,06100NONPAID WORKERS 32773,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32773,A000000,06200,0000,06200PATIENTS LAUNDRY 32773,A81000A,00100,0100,Y 32773,A81000B,00100,0300,HOME OFFICE ALLOCATION 32773,A81000B,00200,0300,THERACOR ACTUAL COSTS 32773,A81000B,00300,0300,THERACOR ACTUAL COSTS 32773,A81000B,00400,0300,THERACOR ACTUAL COSTS 32773,A81000C,00100,0100,B 32773,A81000C,00100,0200,HARBORSIDE 32773,A81000C,00200,0200,HEALTHCARE 32773,A81000C,00300,0200,LIMITED PSHIP 32773,A81000C,00300,0600,MANAGEMENT CO 32773,A81000C,00500,0100,B 32773,A81000C,00500,0200,HARBORSIDE 32773,A81000C,00600,0200,REHABILITITAION 32773,A81000C,00700,0200,LIMITED PSHIP 32773,A81000C,00700,0600,THERAPY 32773,A81000C,00800,0600,SERVICE AND 32773,A81000C,00900,0600,MANAGEMENT CO 32773,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32773,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32773,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32773,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 32773,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32773,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32773,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 32773,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 32773,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 32773,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 32773,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 32773,E10A180,00501,0100,07/07/2000 32773,E10A180,00501,0300,07/07/2000 32773,S000000,00100,0200,06/22/2000 32773,S200000,00100,0100,71 ELM STREET 32773,S200000,00200,0100,MILFORD 32773,S200000,00200,0200,NH 32773,S200000,00200,0300,03055- 32773,S200000,00300,0100,HILLSBOROUGH 32773,S200000,00300,0200,1123 32773,S200000,00300,0300,U 32773,S200000,00400,0100,HHC - MILFORD 32773,S200000,00400,0200,305068 32773,S200000,00400,0300,01/01/1996 32773,S200000,00400,0500,P 32773,S200000,01500,0100,Y 32773,S200000,02200,0100,Y 32773,S200000,04700,0100,Y 32773,S200000,04700,0200,Y 32781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32781,A000000,00300,0000,00300EMPLOYEE BENEFITS 32781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32781,A000000,00700,0000,00700HOUSEKEEPING 32781,A000000,00800,0000,00800DIETARY 32781,A000000,00900,0000,00900NURSING ADMINISTRATION 32781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32781,A000000,01100,0000,01100PHARMACY 32781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32781,A000000,01300,0000,01300SOCIAL SERVICE 32781,A000000,01350,0000,01500OTHER GENERAL SERVICES 32781,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32781,A000000,01600,0000,01600SKILLED NURSING FACILITY 32781,A000000,01800,0000,01800NURSING FACILITY 32781,A000000,01810,0000,01810ICF/MR 32781,A000000,01900,0000,01900OTHER LONG TERM CARE 32781,A000000,02100,0000,02100RADIOLOGY 32781,A000000,02200,0000,02200LABORATORY 32781,A000000,02300,0000,02300INTRAVENOUS THERAPY 32781,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32781,A000000,02500,0000,02500PHYSICAL THERAPY 32781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32781,A000000,02700,0000,02700SPEECH PATHOLOGY 32781,A000000,02800,0000,02800ELECTROCARDIOLOGY 32781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32781,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32781,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32781,A000000,03200,0000,03200SUPPORT SURFACES 32781,A000000,03400,0000,03400CLINIC 32781,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32781,A000000,03500,0000,03500RURAL HEALTH CLINIC 32781,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32781,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32781,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32781,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32781,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32781,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32781,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32781,A000000,04400,0000,04400DME RENTED - HHA 32781,A000000,04500,0000,04500DME SOLD - HHA 32781,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32781,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32781,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32781,A000000,04800,0000,04800AMBULANCE 32781,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32781,A000000,05000,0000,05000CORF 32781,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32781,A000000,05300,0000,05300INTEREST EXPENSE 32781,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32781,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32781,A000000,05500,0000,05500HOSPICE 32781,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32781,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32781,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32781,A000000,06100,0000,06100NONPAID WORKERS 32781,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32781,A000000,06200,0000,06200PATIENTS LAUNDRY 32781,A81000A,00100,0100,Y 32781,A81000B,00100,0300,MANAGEMENT FEES 32781,A81000C,00100,0100,B 32781,A81000C,00100,0400,NHCC 32781,A81000C,00100,0600,MGMT FEES 32781,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32781,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32781,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32781,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32781,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32781,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32781,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32781,B100000,00000,0800,00000MEALS SERVED :DIETARY 32781,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 32781,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32781,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32781,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32781,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32781,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32781,E10A180,00550,0300,08/31/2000 32781,S000000,00100,0200,08/31/2000 32781,S200000,00100,0100,406 COURT STREET 32781,S200000,00200,0100,LACONIA 32781,S200000,00200,0200,NH 32781,S200000,00200,0300,03246-3600 32781,S200000,00300,0100,BELKNAP 32781,S200000,00300,0200,30 32781,S200000,00300,0300,R 32781,S200000,00400,0100,SAINT FRANCIS HOME 32781,S200000,00400,0200,305070 32781,S200000,00400,0300,04/01/1996 32781,S200000,00400,0500,P 32781,S200000,01500,0100,Y 32781,S200000,02800,0100,Y 32789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32789,A000000,00300,0000,00300EMPLOYEE BENEFITS 32789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32789,A000000,00700,0000,00700HOUSEKEEPING 32789,A000000,00800,0000,00800DIETARY 32789,A000000,00900,0000,00900NURSING ADMINISTRATION 32789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32789,A000000,01100,0000,01100PHARMACY 32789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32789,A000000,01300,0000,01300SOCIAL SERVICE 32789,A000000,01350,0000,01500OTHER GENERAL SERVICES 32789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32789,A000000,01600,0000,01600SKILLED NURSING FACILITY 32789,A000000,01800,0000,01800NURSING FACILITY 32789,A000000,01810,0000,01810ICF/MR 32789,A000000,01900,0000,01900OTHER LONG TERM CARE 32789,A000000,02100,0000,02100RADIOLOGY 32789,A000000,02200,0000,02200LABORATORY 32789,A000000,02300,0000,02300INTRAVENOUS THERAPY 32789,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32789,A000000,02500,0000,02500PHYSICAL THERAPY 32789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32789,A000000,02700,0000,02700SPEECH PATHOLOGY 32789,A000000,02800,0000,02800ELECTROCARDIOLOGY 32789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32789,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32789,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32789,A000000,03200,0000,03200SUPPORT SURFACES 32789,A000000,03400,0000,03400CLINIC 32789,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32789,A000000,03500,0000,03500RURAL HEALTH CLINIC 32789,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32789,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32789,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32789,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32789,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32789,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32789,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32789,A000000,04400,0000,04400DME RENTED - HHA 32789,A000000,04500,0000,04500DME SOLD - HHA 32789,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32789,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32789,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32789,A000000,04800,0000,04800AMBULANCE 32789,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32789,A000000,05000,0000,05000CORF 32789,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32789,A000000,05300,0000,05300INTEREST EXPENSE 32789,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32789,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32789,A000000,05500,0000,05500HOSPICE 32789,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32789,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32789,A000000,06100,0000,06100NONPAID WORKERS 32789,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32789,A000000,06200,0000,06200PATIENTS LAUNDRY 32789,A81000A,00100,0100,Y 32789,A81000B,00100,0300,MANAGEMENT FEES 32789,A81000C,00100,0100,B 32789,A81000C,00100,0400,NH CATHOLIC CHARITIES 32789,A81000C,00100,0600,MANAGEMENT FEES 32789,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32789,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32789,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32789,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32789,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32789,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32789,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32789,B100000,00000,0800,00000MEALS SERVED :DIETARY 32789,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32789,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32789,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32789,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32789,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32789,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32789,E10A180,00550,0300,08/31/2000 32789,S000000,00100,0200,08/31/2000 32789,S200000,00100,0100,519 BRIDGE STREET 32789,S200000,00200,0100,MANCHESTER 32789,S200000,00200,0200,NH 32789,S200000,00200,0300,03104- 32789,S200000,00300,0100,HILLSBOROUGH 32789,S200000,00300,0200,1123 32789,S200000,00300,0300,U 32789,S200000,00400,0100,SAINT TERESAS MANOR 32789,S200000,00400,0200,305071 32789,S200000,00400,0300,04/01/1996 32789,S200000,00400,0500,P 32789,S200000,01500,0100,Y 32789,S200000,02800,0100,Y 32797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32797,A000000,00300,0000,00300EMPLOYEE BENEFITS 32797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32797,A000000,00700,0000,00700HOUSEKEEPING 32797,A000000,00800,0000,00800DIETARY 32797,A000000,00900,0000,00900NURSING ADMINISTRATION 32797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32797,A000000,01100,0000,01100PHARMACY 32797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32797,A000000,01300,0000,01300SOCIAL SERVICE 32797,A000000,01350,0000,01500OTHER GENERAL SERVICES 32797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32797,A000000,01600,0000,01600SKILLED NURSING FACILITY 32797,A000000,01800,0000,01800NURSING FACILITY 32797,A000000,01810,0000,01810ICF/MR 32797,A000000,01900,0000,01900OTHER LONG TERM CARE 32797,A000000,02100,0000,02100RADIOLOGY 32797,A000000,02200,0000,02200LABORATORY 32797,A000000,02300,0000,02300INTRAVENOUS THERAPY 32797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32797,A000000,02500,0000,02500PHYSICAL THERAPY 32797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32797,A000000,02700,0000,02700SPEECH PATHOLOGY 32797,A000000,02800,0000,02800ELECTROCARDIOLOGY 32797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32797,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32797,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32797,A000000,03200,0000,03200SUPPORT SURFACES 32797,A000000,03400,0000,03400CLINIC 32797,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32797,A000000,03500,0000,03500RURAL HEALTH CLINIC 32797,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32797,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32797,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32797,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32797,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32797,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32797,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32797,A000000,04400,0000,04400DME RENTED - HHA 32797,A000000,04500,0000,04500DME SOLD - HHA 32797,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32797,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32797,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32797,A000000,04800,0000,04800AMBULANCE 32797,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32797,A000000,05000,0000,05000CORF 32797,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32797,A000000,05300,0000,05300INTEREST EXPENSE 32797,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32797,A000000,05500,0000,05500HOSPICE 32797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32797,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32797,A000000,06100,0000,06100NONPAID WORKERS 32797,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32797,A000000,06200,0000,06200PATIENTS LAUNDRY 32797,A81000A,00100,0100,Y 32797,A81000B,00100,0300,MANAGEMENT FEES 32797,A81000B,00200,0300,MOVEABLE EQUIPMENT 32797,A81000C,00100,0100,B 32797,A81000C,00100,0400,NH CATHOLIC CHARITIES 32797,A81000C,00100,0600,MANAGEMENT SERVICES 32797,A81000C,00200,0100,B 32797,A81000C,00200,0400,ST VINCENT DEPAUL HOME 32797,A81000C,00200,0600,DEPR ON ORIGINAL BASIS 32797,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32797,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32797,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32797,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32797,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32797,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32797,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32797,B100000,00000,0800,00000MEALS SERVED :DIETARY 32797,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32797,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32797,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 32797,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32797,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32797,S000000,00100,0200,08/28/2000 32797,S200000,00100,0100,20 PLANTATION DRIVE 32797,S200000,00200,0100,JAFFREY 32797,S200000,00200,0200,NH 32797,S200000,00200,0300,03452- 32797,S200000,00300,0100,CHESHIRE 32797,S200000,00300,0200,30 32797,S200000,00300,0300,R 32797,S200000,00400,0100,GOOD SHEPHERD NURSING HOME 32797,S200000,00400,0200,305072 32797,S200000,00400,0300,04/01/1996 32797,S200000,00400,0500,P 32797,S200000,00600,0200,305072 32797,S200000,00600,0300,12/28/1989 32797,S200000,00600,0600,P 32797,S200000,01004,0500,O 32797,S200000,01600,0100,Y 32797,S200000,02200,0100,Y 32797,S200000,02800,0100,Y 32797,S200000,04900,0100,Y 32805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32805,A000000,00300,0000,00300EMPLOYEE BENEFITS 32805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32805,A000000,00700,0000,00700HOUSEKEEPING 32805,A000000,00800,0000,00800DIETARY 32805,A000000,00900,0000,00900NURSING ADMINISTRATION 32805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32805,A000000,01100,0000,01100PHARMACY 32805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32805,A000000,01300,0000,01300SOCIAL SERVICE 32805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32805,A000000,01600,0000,01600SKILLED NURSING FACILITY 32805,A000000,01800,0000,01800NURSING FACILITY 32805,A000000,01810,0000,01810ICF/MR 32805,A000000,02100,0000,02100RADIOLOGY 32805,A000000,02300,0000,02300INTRAVENOUS THERAPY 32805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32805,A000000,02500,0000,02500PHYSICAL THERAPY 32805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32805,A000000,02700,0000,02700SPEECH PATHOLOGY 32805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32805,A000000,03550,0000,03550FQHC 32805,A000000,05000,0000,05000CORF 32805,A000000,05010,0000,05010CMHC 32805,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32805,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32805,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32805,A000000,05300,0000,05300INTEREST EXPENSE 32805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32805,A81000A,00100,0100,Y 32805,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 32805,A81000B,00200,0300,DEPRECIATION 32805,A81000C,00100,0100,B 32805,A81000C,00100,0200,HEARTLAND 32805,A81000C,00100,0400,HEARTLAND HC 32805,A81000C,00100,0600,HOME OFFICE 32805,A81000C,00200,0100,B 32805,A81000C,00200,0200,HEARTLAND HC 32805,A81000C,00200,0400,VILLA CREST L 32805,A81000C,00200,0600,REAL ESTATE 32805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32805,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32805,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 32805,B100000,00000,0800,00000MEALS SERVED :DIETARY 32805,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 32805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32805,S000000,00100,0200,08/15/2000 32805,S200000,00100,0100,1276 HANOVER STREET 32805,S200000,00200,0100,MANCHESTER 32805,S200000,00200,0200,NH 32805,S200000,00200,0300,03104- 32805,S200000,00300,0100,HILLSBOROUGH 32805,S200000,00300,0200,1123 32805,S200000,00300,0300,U 32805,S200000,00400,0100,VILLA CREST HEALTH CARE CENTER 32805,S200000,00400,0200,305079 32805,S200000,00400,0300,10/01/1996 32805,S200000,00400,0500,P 32805,S200000,00600,0200,305079 32805,S200000,00600,0300,10/01/1996 32805,S200000,00600,0600,P 32805,S200000,01004,0500,O 32805,S200000,01600,0100,Y 32805,S200000,02200,0100,Y 32807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32807,A000000,00300,0000,00300EMPLOYEE BENEFITS 32807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32807,A000000,00700,0000,00700HOUSEKEEPING 32807,A000000,00800,0000,00800DIETARY 32807,A000000,00900,0000,00900NURSING ADMINISTRATION 32807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32807,A000000,01100,0000,01100PHARMACY 32807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32807,A000000,01300,0000,01300SOCIAL SERVICE 32807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32807,A000000,01600,0000,01600SKILLED NURSING FACILITY 32807,A000000,01800,0000,01800NURSING FACILITY 32807,A000000,01810,0000,01810ICF/MR 32807,A000000,02100,0000,02100RADIOLOGY 32807,A000000,02200,0000,02200LABORATORY 32807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32807,A000000,02500,0000,02500PHYSICAL THERAPY 32807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32807,A000000,02700,0000,02700SPEECH PATHOLOGY 32807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32807,A000000,03550,0000,03550FQHC 32807,A000000,05000,0000,05000CORF 32807,A000000,05010,0000,05010CMHC 32807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32807,A000000,05300,0000,05300INTEREST EXPENSE 32807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32807,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32807,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 32807,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32807,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32807,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32807,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32807,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 32807,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32807,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 32807,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 32807,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 32807,B100000,00000,1250,00000(GROSS REV CHARGE) :MEDICAL RECORDS 32807,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 32807,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32807,S000000,00100,0200,05/30/2000 32807,S200000,00100,0100,1276 HANOVER STREET 32807,S200000,00200,0100,MANCHESTER 32807,S200000,00200,0200,NH 32807,S200000,00200,0300,03104- 32807,S200000,00300,0100,HILLSBOROUGH 32807,S200000,00400,0100,VILLA CREST NURSING 32807,S200000,00400,0200,305079 32807,S200000,00400,0300,10/01/1996 32807,S200000,00400,0500,P 32807,S200000,00600,0200,305079 32807,S200000,00600,0300,10/01/1996 32807,S200000,00600,0600,P 32807,S200000,01004,0500,O 32807,S200000,01600,0100,Y 32807,S700003,00000,0400,4 32813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32813,A000000,00300,0000,00300EMPLOYEE BENEFITS 32813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32813,A000000,00700,0000,00700HOUSEKEEPING 32813,A000000,00800,0000,00800DIETARY 32813,A000000,00900,0000,00900NURSING ADMINISTRATION 32813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32813,A000000,01100,0000,01100PHARMACY 32813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32813,A000000,01300,0000,01300SOCIAL SERVICE 32813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32813,A000000,01600,0000,01600SKILLED NURSING FACILITY 32813,A000000,01800,0000,01800NURSING FACILITY 32813,A000000,01810,0000,01810ICF/MR 32813,A000000,02200,0000,02200LABORATORY 32813,A000000,02500,0000,02500PHYSICAL THERAPY 32813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32813,A000000,02700,0000,02700SPEECH PATHOLOGY 32813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32813,A000000,03550,0000,03550FQHC 32813,A000000,05000,0000,05000CORF 32813,A000000,05010,0000,05010CMHC 32813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32813,A000000,05300,0000,05300INTEREST EXPENSE 32813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32813,A81000A,00100,0100,Y 32813,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 32813,A81000B,00200,0300,BUILDING-DEPRECIATIO 32813,A81000C,00100,0100,B 32813,A81000C,00100,0200,HEARTLAND HC 32813,A81000C,00100,0400,HEARTLAND HC 32813,A81000C,00100,0600,HOME OFFICE 32813,A81000C,00200,0100,B 32813,A81000C,00200,0200,HEARTLAND HC 32813,A81000C,00200,0400,EPSOM HEALTH L 32813,A81000C,00200,0600,REAL ESTATE 32813,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32813,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32813,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32813,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32813,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32813,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 32813,B100000,00000,0800,00000MEALS SERVED :DIETARY 32813,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 32813,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32813,S000000,00100,0200,08/15/2000 32813,S200000,00100,0100,901 SUNCOOK VALLEY HIGHWAY 32813,S200000,00200,0100,EPSOM 32813,S200000,00200,0200,NH 32813,S200000,00200,0300,03234- 32813,S200000,00300,0100,MERRIMACK 32813,S200000,00300,0200,1123 32813,S200000,00300,0300,U 32813,S200000,00400,0100,EPSOM MANOR 32813,S200000,00400,0200,305080 32813,S200000,00400,0300,02/01/1997 32813,S200000,00400,0500,P 32813,S200000,00600,0200,305080 32813,S200000,00600,0300,02/01/1997 32813,S200000,00600,0600,P 32813,S200000,01004,0500,O 32813,S200000,01600,0100,Y 32813,S200000,02200,0100,Y 32815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32815,A000000,00300,0000,00300EMPLOYEE BENEFITS 32815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32815,A000000,00700,0000,00700HOUSEKEEPING 32815,A000000,00800,0000,00800DIETARY 32815,A000000,00900,0000,00900NURSING ADMINISTRATION 32815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32815,A000000,01100,0000,01100PHARMACY 32815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32815,A000000,01300,0000,01300SOCIAL SERVICE 32815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32815,A000000,01600,0000,01600SKILLED NURSING FACILITY 32815,A000000,01800,0000,01800NURSING FACILITY 32815,A000000,01810,0000,01810ICF/MR 32815,A000000,02100,0000,02100RADIOLOGY 32815,A000000,02200,0000,02200LABORATORY 32815,A000000,02300,0000,02300INTRAVENOUS THERAPY 32815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32815,A000000,02500,0000,02500PHYSICAL THERAPY 32815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32815,A000000,02700,0000,02700SPEECH PATHOLOGY 32815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32815,A000000,03550,0000,03550FQHC 32815,A000000,05000,0000,05000CORF 32815,A000000,05010,0000,05010CMHC 32815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 32815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32815,A000000,05300,0000,05300INTEREST EXPENSE 32815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32815,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32815,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 32815,B100000,00000,0800,00000MEALS SERVED :DIETARY 32815,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 32815,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 32815,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32815,S000000,00100,0200,05/30/2000 32815,S200000,00100,0100,901 SUNCOOK VALLEY HWY 32815,S200000,00200,0100,EPSOM 32815,S200000,00200,0200,NH 32815,S200000,00200,0300,03234- 32815,S200000,00300,0100,MERRIMACK 32815,S200000,00300,0200,1123 32815,S200000,00300,0300,U 32815,S200000,00400,0100,EPSOM MANOR 32815,S200000,00400,0200,305080 32815,S200000,00400,0300,02/01/1997 32815,S200000,00400,0500,P 32815,S200000,00600,0200,305080 32815,S200000,00600,0300,02/01/1997 32815,S200000,00600,0600,P 32815,S200000,01004,0500,O 32815,S200000,01600,0100,Y 32819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32819,A000000,00300,0000,00300EMPLOYEE BENEFITS 32819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32819,A000000,00700,0000,00700HOUSEKEEPING 32819,A000000,00800,0000,00800DIETARY 32819,A000000,00900,0000,00900NURSING ADMINISTRATION 32819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32819,A000000,01100,0000,01100PHARMACY 32819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32819,A000000,01300,0000,01300SOCIAL SERVICE 32819,A000000,01350,0000,01500RECREATION/ACTIVITIES 32819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32819,A000000,01600,0000,01600SKILLED NURSING FACILITY 32819,A000000,01800,0000,01800NURSING FACILITY 32819,A000000,01810,0000,01810ICF/MR 32819,A000000,01900,0000,01900OTHER LONG TERM CARE 32819,A000000,02100,0000,02100RADIOLOGY 32819,A000000,02200,0000,02200LABORATORY 32819,A000000,02300,0000,02300INTRAVENOUS THERAPY 32819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32819,A000000,02500,0000,02500PHYSICAL THERAPY 32819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32819,A000000,02700,0000,02700SPEECH PATHOLOGY 32819,A000000,02800,0000,02800ELECTROCARDIOLOGY 32819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32819,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32819,A000000,03200,0000,03200SUPPORT SURFACES 32819,A000000,03400,0000,03400CLINIC 32819,A000000,03500,0000,03500RURAL HEALTH CLINIC 32819,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 32819,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32819,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32819,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32819,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32819,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32819,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32819,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32819,A000000,04400,0000,04400DME RENTED - HHA 32819,A000000,04500,0000,04500DME SOLD - HHA 32819,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32819,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32819,A000000,04800,0000,04800AMBULANCE 32819,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32819,A000000,05000,0000,05000CORF 32819,A000000,05010,0000,05010CMHC 32819,A000000,05020,0000,05020OPT 32819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 32819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 32819,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32819,A000000,05300,0000,05300INTEREST EXPENSE 32819,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32819,A000000,05500,0000,05500HOSPICE 32819,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32819,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32819,A000000,06100,0000,06100NONPAID WORKERS 32819,A000000,06200,0000,06200PATIENTS LAUNDRY 32819,A81000A,00100,0100,Y 32819,A81000B,00100,0300,COST OF OWNERSHIP-DEPRECIATION 32819,A81000B,00200,0300,COST OF OWNERSHIP-INTEREST EXPENSE 32819,A81000B,00300,0300,RELATED PARTY LEASE 32819,A81000C,00100,0100,A 32819,A81000C,00100,0200,KAREN PHILBRICK 32819,A81000C,00100,0400,KAREN PHIL-RENTAL 32819,A81000C,00100,0600,RENTAL 32819,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 32819,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 32819,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 32819,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32819,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 32819,B100000,00000,0650,00000DAYS LAUNDRY) :LAUNDRY & LINEN SER 32819,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32819,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 32819,B100000,00000,0900,00000DAYS HOURS) :NURSING ADMINISTRATIO 32819,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 32819,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 32819,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 32819,B100000,00000,1330,00000DAYS SPENT) :SOCIAL SERVICE 32819,B100000,00000,1350,00000(DAYS) :RECREATION/ACTIVITIES 32819,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 32819,S000000,00100,0200,05/31/2000 32819,S200000,00100,0100,442 MAIN STREET 32819,S200000,00100,0300,101 32819,S200000,00200,0100,FREMONT 32819,S200000,00200,0200,NH 32819,S200000,00200,0300,03044- 32819,S200000,00300,0100,ROCKINGHAM 32819,S200000,00400,0100,COLONIAL POPLIN 32819,S200000,00400,0200,305091 32819,S200000,00400,0300,08/01/1999 32819,S200000,00400,0500,P 32819,S200000,00600,0200,305091 32819,S200000,00600,0300,06/14/1996 32819,S200000,00600,0600,P 32819,S200000,01004,0500,O 32819,S200000,01600,0100,Y 32823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32823,A000000,00300,0000,00300EMPLOYEE BENEFITS 32823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32823,A000000,00700,0000,00700HOUSEKEEPING 32823,A000000,00800,0000,00800DIETARY 32823,A000000,00900,0000,00900NURSING ADMINISTRATION 32823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32823,A000000,01100,0000,01100PHARMACY 32823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32823,A000000,01300,0000,01300SOCIAL SERVICE 32823,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32823,A000000,01600,0000,01600SKILLED NURSING FACILITY 32823,A000000,01800,0000,01800NURSING FACILITY 32823,A000000,01900,0000,01900OTHER LONG TERM CARE 32823,A000000,02100,0000,02100RADIOLOGY 32823,A000000,02200,0000,02200LABORATORY 32823,A000000,02300,0000,02300INTRAVENOUS THERAPY 32823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32823,A000000,02500,0000,02500PHYSICAL THERAPY 32823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32823,A000000,02700,0000,02700SPEECH PATHOLOGY 32823,A000000,02800,0000,02800ELECTROCARDIOLOGY 32823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32823,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32823,A000000,04800,0000,04800AMBULANCE 32823,A000000,05300,0000,05300INTEREST EXPENSE 32823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32823,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32823,B100000,00000,0800,00000MEALS SERVED :DIETARY 32823,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32823,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32823,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32823,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32823,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32823,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32823,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32823,E10A180,00501,0100,05/19/2000 32823,E10A180,00550,0300,05/19/2000 32823,S000000,00100,0200,05/19/2000 32823,S200000,00100,0100,RR # 1 BOX 97 32823,S200000,00200,0100,VERNON 32823,S200000,00200,0200,VT 32823,S200000,00300,0100,WINDSOR 32823,S200000,00400,0100,VERNON GREEN NURSING HOME 32823,S200000,00400,0200,475008 32823,S200000,00400,0300,01/01/1967 32823,S200000,00400,0500,P 32823,S200000,01600,0100,Y 32832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32832,A000000,00300,0000,00300EMPLOYEE BENEFITS 32832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32832,A000000,00700,0000,00700HOUSEKEEPING 32832,A000000,00800,0000,00800DIETARY 32832,A000000,00900,0000,00900NURSING ADMINISTRATION 32832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32832,A000000,01100,0000,01100PHARMACY 32832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32832,A000000,01300,0000,01300SOCIAL SERVICE 32832,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32832,A000000,01600,0000,01600SKILLED NURSING FACILITY 32832,A000000,01800,0000,01800NURSING FACILITY 32832,A000000,01900,0000,01900OTHER LONG TERM CARE 32832,A000000,02100,0000,02100RADIOLOGY 32832,A000000,02200,0000,02200LABORATORY 32832,A000000,02300,0000,02300INTRAVENOUS THERAPY 32832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32832,A000000,02500,0000,02500PHYSICAL THERAPY 32832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32832,A000000,02700,0000,02700SPEECH PATHOLOGY 32832,A000000,02800,0000,02800ELECTROCARDIOLOGY 32832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32832,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32832,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32832,A000000,04800,0000,04800AMBULANCE 32832,A000000,05300,0000,05300INTEREST EXPENSE 32832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32832,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32832,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32832,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32832,B100000,00000,0800,00000MEALS SERVED :DIETARY 32832,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32832,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32832,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32832,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32832,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32832,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32832,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32832,S000000,00100,0200,05/23/2000 32832,S200000,00100,0100,120 CHRISTIAN STREET 32832,S200000,00200,0100,WHITE RIVER JCT 32832,S200000,00200,0200,VT 32832,S200000,00200,0300,05001- 32832,S200000,00300,0100,WINDSOR 32832,S200000,00400,0100,BROOKSIDE NURSING HOME-WHITE RIVER 32832,S200000,00400,0200,475010 32832,S200000,00400,0300,04/13/1967 32832,S200000,00400,0500,P 32832,S200000,01600,0100,Y 32843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32843,A000000,00300,0000,00300EMPLOYEE BENEFITS 32843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32843,A000000,00700,0000,00700HOUSEKEEPING 32843,A000000,00800,0000,00800DIETARY 32843,A000000,00900,0000,00900NURSING ADMINISTRATION 32843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32843,A000000,01100,0000,01100PHARMACY 32843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32843,A000000,01300,0000,01300SOCIAL SERVICE 32843,A000000,01301,0000,01301INSERVICE 32843,A000000,01302,0000,01302ACTIVITIES 32843,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32843,A000000,01600,0000,01600SKILLED NURSING FACILITY 32843,A000000,01800,0000,01800NURSING FACILITY 32843,A000000,01900,0000,01900OTHER LONG TERM CARE 32843,A000000,02100,0000,02100RADIOLOGY 32843,A000000,02200,0000,02200LABORATORY 32843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32843,A000000,02500,0000,02500PHYSICAL THERAPY 32843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32843,A000000,02700,0000,02700SPEECH PATHOLOGY 32843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32843,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32843,A000000,04800,0000,04800AMBULANCE 32843,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32843,A000000,05300,0000,05300INTEREST EXPENSE 32843,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32843,A81000A,00100,0100,Y 32843,A81000B,00100,0300,MANAGEMENT FEE 32843,A81000B,00200,0300,LEASE EXPENSE 32843,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32843,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32843,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32843,A81000B,00600,0300,DAYCARE RENT 32843,A81000C,00100,0100,A 32843,A81000C,00100,0200,FINKELSTEIN/POR 32843,A81000C,00100,0400,SUBACUTE MGMT 32843,A81000C,00100,0600,MGMT CO 32843,A81000C,00200,0100,A 32843,A81000C,00200,0200,PORTNOY/MARTIN 32843,A81000C,00200,0400,HRPT 32843,A81000C,00200,0600,REIT 32843,A81000C,00300,0100,A 32843,A81000C,00300,0200,PORTNOY/MARTIN 32843,A81000C,00300,0400,HRPT 32843,A81000C,00300,0600,REIT 32843,A81000C,00400,0100,A 32843,A81000C,00400,0200,FINKELSTEIN/POR 32843,A81000C,00400,0400,SUBACUTE MGMT 32843,A81000C,00400,0600,MGMT CO 32843,A81000C,00500,0100,A 32843,A81000C,00500,0200,PORTNOY 32843,A81000C,00500,0400,SULL & WORCHEST 32843,A81000C,00500,0600,LAW FIRM 32843,A81000C,00600,0100,A 32843,A81000C,00600,0200,PORTNOY/MARTIN 32843,A81000C,00600,0400,HRPT 32843,A81000C,00600,0600,REIT 32843,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32843,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32843,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32843,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32843,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32843,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32843,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32843,B100000,00000,0800,00000MEALS SERVED :DIETARY 32843,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32843,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32843,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32843,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32843,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32843,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32843,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32843,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32843,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32843,S000000,00100,0200,11/19/1999 32843,S200000,00100,0100,300 PEARL STREET 32843,S200000,00200,0100,BURLINGTON 32843,S200000,00200,0200,VT 32843,S200000,00200,0300,05401- 32843,S200000,00300,0100,CHITTENDEN 32843,S200000,00400,0100,BURLINGTON HEALTH AND REHAB CTR. 32843,S200000,00400,0200,475014 32843,S200000,00400,0300,02/01/1995 32843,S200000,00400,0500,P 32843,S200000,01600,0100,Y 32843,S700003,00000,0100,1 32845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32845,A000000,00300,0000,00300EMPLOYEE BENEFITS 32845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32845,A000000,00700,0000,00700HOUSEKEEPING 32845,A000000,00800,0000,00800DIETARY 32845,A000000,00900,0000,00900NURSING ADMINISTRATION 32845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32845,A000000,01100,0000,01100PHARMACY 32845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32845,A000000,01300,0000,01300SOCIAL SERVICE 32845,A000000,01301,0000,01301INSERVICE 32845,A000000,01302,0000,01302ACTIVITIES 32845,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32845,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32845,A000000,01600,0000,01600SKILLED NURSING FACILITY 32845,A000000,01800,0000,01800NURSING FACILITY 32845,A000000,01900,0000,01900OTHER LONG TERM CARE 32845,A000000,02100,0000,02100RADIOLOGY 32845,A000000,02200,0000,02200LABORATORY 32845,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32845,A000000,02500,0000,02500PHYSICAL THERAPY 32845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32845,A000000,02700,0000,02700SPEECH PATHOLOGY 32845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32845,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32845,A000000,04800,0000,04800AMBULANCE 32845,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32845,A000000,05300,0000,05300INTEREST EXPENSE 32845,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32845,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32845,A81000A,00100,0100,Y 32845,A81000B,00100,0300,MANAGEMENT FEE 32845,A81000B,00200,0300,HOME OFFICE CAPITAL 32845,A81000C,00100,0100,B 32845,A81000C,00100,0200,CPL SUBACUTE LL 32845,A81000C,00100,0400,CPL SUBACUTE LL 32845,A81000C,00100,0600,HOME OFFICE 32845,A81000C,00200,0100,B 32845,A81000C,00200,0200,CPL SUBACUTE LL 32845,A81000C,00200,0400,CPL SUBACUTE LL 32845,A81000C,00200,0600,HOME OFFICE 32845,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32845,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32845,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32845,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32845,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32845,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32845,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32845,B100000,00000,0800,00000MEALS SERVED :DIETARY 32845,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32845,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32845,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32845,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32845,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32845,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32845,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32845,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32845,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32845,S000000,00100,0200,06/01/2000 32845,S200000,00100,0100,300 PEARL STREET 32845,S200000,00200,0100,BURLINGTON 32845,S200000,00200,0200,VT 32845,S200000,00200,0300,05401- 32845,S200000,00300,0100,CHITTENDEN 32845,S200000,00400,0100,BURLINGTON HEALTH AND REHAB CTR. 32845,S200000,00400,0200,475014 32845,S200000,00400,0300,04/01/1999 32845,S200000,00400,0500,P 32845,S200000,01600,0100,Y 32845,S700003,00000,0200,2 32851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32851,A000000,00300,0000,00300EMPLOYEE BENEFITS 32851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32851,A000000,00700,0000,00700HOUSEKEEPING 32851,A000000,00800,0000,00800DIETARY 32851,A000000,00900,0000,00900NURSING ADMINISTRATION 32851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32851,A000000,01100,0000,01100PHARMACY 32851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32851,A000000,01300,0000,01300SOCIAL SERVICE 32851,A000000,01301,0000,01301ACTIVITIES 32851,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32851,A000000,01600,0000,01600SKILLED NURSING FACILITY 32851,A000000,01800,0000,01800NURSING FACILITY 32851,A000000,01900,0000,01900OTHER LONG TERM CARE 32851,A000000,02100,0000,02100RADIOLOGY 32851,A000000,02200,0000,02200LABORATORY 32851,A000000,02300,0000,02300INTRAVENOUS THERAPY 32851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32851,A000000,02500,0000,02500PHYSICAL THERAPY 32851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32851,A000000,02700,0000,02700SPEECH PATHOLOGY 32851,A000000,02800,0000,02800ELECTROCARDIOLOGY 32851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32851,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32851,A000000,04800,0000,04800AMBULANCE 32851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32851,A81000A,00100,0100,Y 32851,A81000B,00100,0300,INTEREST 32851,A81000B,00200,0300,MEDICAL DIRECTOR 32851,A81000B,00300,0300,ADMIN SVCS 32851,A81000B,00400,0300,MEDICAL SUPPLIES 32851,A81000B,00500,0300,DRUGS 32851,A81000B,00600,0300,PHARMACY CONSULT 32851,A81000C,00100,0100,B 32851,A81000C,00100,0400,PORTER MEDICAL 32851,A81000C,00100,0600,FOUNDATION 32851,A81000C,00200,0100,B 32851,A81000C,00200,0400,PORTER HOSPITAL 32851,A81000C,00200,0600,HOSPITAL 32851,A81000C,00300,0100,B 32851,A81000C,00300,0400,PORTER MGMT SVC 32851,A81000C,00300,0600,MGMT COMPANY 32851,A81000C,00400,0100,B 32851,A81000C,00400,0400,PORTER HEALTH 32851,A81000C,00400,0600,MEDICAL STORE 32851,A81000C,00500,0100,B 32851,A81000C,00500,0400,PORTER HEALTH 32851,A81000C,00500,0600,MEDICAL STORE 32851,A81000C,00600,0100,B 32851,A81000C,00600,0400,PORTER HEALTH 32851,A81000C,00600,0600,MEDICAL STORE 32851,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32851,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32851,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32851,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32851,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32851,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32851,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32851,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32851,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32851,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 32851,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32851,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32851,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 32851,E10A180,00501,0300,02/29/2000 32851,E10A180,00550,0100,02/29/2000 32851,S000000,00100,0200,02/29/2000 32851,S200000,00100,0100,SOUTH STREET 32851,S200000,00200,0100,MIDDLEBURY 32851,S200000,00200,0200,VT 32851,S200000,00200,0300,05753- 32851,S200000,00300,0100,ADDISON 32851,S200000,00300,0200,47 32851,S200000,00300,0300,R 32851,S200000,00400,0100,HELEN PORTER NURSING HOME 32851,S200000,00400,0200,475017 32851,S200000,00400,0300,12/05/1992 32851,S200000,00400,0500,P 32851,S200000,01500,0100,Y 32861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32861,A000000,00300,0000,00300EMPLOYEE BENEFITS 32861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32861,A000000,00700,0000,00700HOUSEKEEPING 32861,A000000,00800,0000,00800DIETARY 32861,A000000,00900,0000,00900NURSING ADMINISTRATION 32861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32861,A000000,01100,0000,01100PHARMACY 32861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32861,A000000,01300,0000,01300SOCIAL SERVICE 32861,A000000,01350,0000,01500ACTIVITIES 32861,A000000,01600,0000,01600SKILLED NURSING FACILITY 32861,A000000,01800,0000,01800NURSING FACILITY 32861,A000000,02100,0000,02100RADIOLOGY 32861,A000000,02200,0000,02200LABORATORY 32861,A000000,02300,0000,02300INTRAVENOUS THERAPY 32861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32861,A000000,02500,0000,02500PHYSICAL THERAPY 32861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32861,A000000,02700,0000,02700SPEECH PATHOLOGY 32861,A000000,02800,0000,02800ELECTROCARDIOLOGY 32861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32861,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32861,A000000,03400,0000,03400CLINIC 32861,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 32861,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32861,A000000,04800,0000,04800AMBULANCE 32861,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32861,A000000,05300,0000,05300INTEREST EXPENSE 32861,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32861,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32861,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32861,A81000A,00100,0100,Y 32861,A81000B,00100,0300,REL CO - EMP H & W 32861,A81000B,00200,0300,REL CO - ADMIN & GENERAL 32861,A81000B,00300,0300,REL CO - OPER & MAINT 32861,A81000B,00400,0300,REL CO - HOUSEKEEPING 32861,A81000B,00500,0300,REL CO - DIETARY 32861,A81000B,00600,0300,REL CO - SOCIAL SERVICE 32861,A81000B,00700,0300,REL CO - NURSING 32861,A81000B,00800,0300,REL CO - CENTRAL SUPPLIES 32861,A81000B,00900,0300,DEPR-BUILDING & FIXTURES 32861,A81000B,01000,0300,CEPR-MOVEABLE EQUIPMENT 32861,A81000C,00100,0100,B 32861,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 32861,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 32861,A81000C,00100,0600,REALTY & MANAGEMENT 32861,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32861,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32861,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32861,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32861,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 32861,B100000,00000,0800,00000MEALS SERVED :DIETARY 32861,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 32861,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32861,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32861,B100000,00000,1350,00000NO. OF PARTIC :ACTIVITIES 32861,S000000,00100,0200,05/31/2000 32861,S200000,00100,0100,99 ALLEN ST. 32861,S200000,00200,0100,RUTLAND 32861,S200000,00200,0200,VT 32861,S200000,00200,0300,05701- 32861,S200000,00300,0100,RUTLAND 32861,S200000,00300,0200,0047 32861,S200000,00300,0300,R 32861,S200000,00400,0100,EDEN PARK NURSING HOME-RUTLAND 32861,S200000,00400,0200,475018 32861,S200000,00400,0300,09/10/1971 32861,S200000,00400,0500,P 32861,S200000,01500,0100,Y 32870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32870,A000000,00300,0000,00300EMPLOYEE BENEFITS 32870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32870,A000000,00700,0000,00700HOUSEKEEPING 32870,A000000,00800,0000,00800DIETARY 32870,A000000,00900,0000,00900NURSING ADMINISTRATION 32870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32870,A000000,01100,0000,01100PHARMACY 32870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32870,A000000,01300,0000,01300SOCIAL SERVICE 32870,A000000,01301,0000,01301INSERVICE 32870,A000000,01302,0000,01302ACTIVITIES 32870,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32870,A000000,01600,0000,01600SKILLED NURSING FACILITY 32870,A000000,01800,0000,01800NURSING FACILITY 32870,A000000,01900,0000,01900OTHER LONG TERM CARE 32870,A000000,02100,0000,02100RADIOLOGY 32870,A000000,02200,0000,02200LABORATORY 32870,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32870,A000000,02500,0000,02500PHYSICAL THERAPY 32870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32870,A000000,02700,0000,02700SPEECH PATHOLOGY 32870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32870,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32870,A000000,04800,0000,04800AMBULANCE 32870,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32870,A000000,05300,0000,05300INTEREST EXPENSE 32870,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32870,A81000A,00100,0100,Y 32870,A81000B,00100,0300,MANAGEMENT FEE 32870,A81000B,00200,0300,LEASE EXPENSE 32870,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32870,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32870,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32870,A81000C,00100,0100,A 32870,A81000C,00100,0200,FINKELSTEIN/POR 32870,A81000C,00100,0400,SUBACUTE MGMT 32870,A81000C,00100,0600,MGMT CO 32870,A81000C,00200,0100,A 32870,A81000C,00200,0200,PORTNOY/MARTIN 32870,A81000C,00200,0400,HRPT 32870,A81000C,00200,0600,REIT 32870,A81000C,00300,0100,A 32870,A81000C,00300,0200,PORTNOY/MARTIN 32870,A81000C,00300,0400,HRPT 32870,A81000C,00300,0600,REIT 32870,A81000C,00400,0100,A 32870,A81000C,00400,0200,FINKELSTEIN/POR 32870,A81000C,00400,0400,SUBACUTE MGMT 32870,A81000C,00400,0600,MGMT CO 32870,A81000C,00500,0100,A 32870,A81000C,00500,0200,PORTNOY 32870,A81000C,00500,0400,SULL & WORCHEST 32870,A81000C,00500,0600,LAW FIRM 32870,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32870,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32870,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32870,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32870,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32870,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32870,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32870,B100000,00000,0800,00000MEALS SERVED :DIETARY 32870,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32870,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32870,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32870,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32870,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32870,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32870,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32870,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32870,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32870,S000000,00100,0200,01/24/2000 32870,S200000,00100,0100,HOSPITAL DRIVE 32870,S200000,00200,0100,ST JOHNSBURY 32870,S200000,00200,0200,VT 32870,S200000,00200,0300,05819- 32870,S200000,00300,0100,CALEDONIA 32870,S200000,00400,0100,ST. JOHNSBURY HEALTH & REHAB 32870,S200000,00400,0200,475019 32870,S200000,00400,0300,02/01/1995 32870,S200000,00400,0500,P 32870,S200000,01600,0100,Y 32870,S700003,00000,0100,1 32872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32872,A000000,00300,0000,00300EMPLOYEE BENEFITS 32872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32872,A000000,00700,0000,00700HOUSEKEEPING 32872,A000000,00800,0000,00800DIETARY 32872,A000000,00900,0000,00900NURSING ADMINISTRATION 32872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32872,A000000,01100,0000,01100PHARMACY 32872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32872,A000000,01300,0000,01300SOCIAL SERVICE 32872,A000000,01301,0000,01301INSERVICE 32872,A000000,01302,0000,01302ACTIVITIES 32872,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32872,A000000,01600,0000,01600SKILLED NURSING FACILITY 32872,A000000,01800,0000,01800NURSING FACILITY 32872,A000000,01900,0000,01900OTHER LONG TERM CARE 32872,A000000,02100,0000,02100RADIOLOGY 32872,A000000,02200,0000,02200LABORATORY 32872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32872,A000000,02500,0000,02500PHYSICAL THERAPY 32872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32872,A000000,02700,0000,02700SPEECH PATHOLOGY 32872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32872,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32872,A000000,04800,0000,04800AMBULANCE 32872,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32872,A000000,05300,0000,05300INTEREST EXPENSE 32872,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32872,A81000A,00100,0100,Y 32872,A81000B,00100,0300,MANAGEMENT FEE 32872,A81000B,00200,0300,HOME OFFICE CAPITAL 32872,A81000C,00100,0100,B 32872,A81000C,00100,0200,CPL SUBACUTE LL 32872,A81000C,00100,0400,CPL SUBACUTE LL 32872,A81000C,00100,0600,HOME OFFICE 32872,A81000C,00200,0100,B 32872,A81000C,00200,0200,CPL SUBACUTE LL 32872,A81000C,00200,0400,CPL SUBACUTE LL 32872,A81000C,00200,0600,HOME OFFICE 32872,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32872,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32872,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32872,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32872,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32872,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32872,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32872,B100000,00000,0800,00000MEALS SERVED :DIETARY 32872,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32872,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32872,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32872,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32872,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32872,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32872,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32872,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32872,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32872,S000000,00100,0200,06/01/2000 32872,S200000,00100,0100,HOSPITAL DRIVE 32872,S200000,00200,0100,ST JOHNSBURY 32872,S200000,00200,0200,VT 32872,S200000,00200,0300,05819- 32872,S200000,00300,0100,CALEDONIA 32872,S200000,00400,0100,ST. JOHNSBURY HEALTH & REHAB 32872,S200000,00400,0200,475019 32872,S200000,00400,0300,04/01/1999 32872,S200000,00400,0500,P 32872,S200000,01600,0100,Y 32872,S700003,00000,0200,2 32880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32880,A000000,00300,0000,00300EMPLOYEE BENEFITS 32880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32880,A000000,00700,0000,00700HOUSEKEEPING 32880,A000000,00800,0000,00800DIETARY 32880,A000000,00900,0000,00900NURSING ADMINISTRATION 32880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32880,A000000,01100,0000,01100PHARMACY 32880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32880,A000000,01300,0000,01300SOCIAL SERVICE 32880,A000000,01301,0000,01301INSERVICE 32880,A000000,01302,0000,01302ACTIVITIES 32880,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32880,A000000,01600,0000,01600SKILLED NURSING FACILITY 32880,A000000,01800,0000,01800NURSING FACILITY 32880,A000000,01900,0000,01900OTHER LONG TERM CARE 32880,A000000,02100,0000,02100RADIOLOGY 32880,A000000,02200,0000,02200LABORATORY 32880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32880,A000000,02500,0000,02500PHYSICAL THERAPY 32880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32880,A000000,02700,0000,02700SPEECH PATHOLOGY 32880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32880,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32880,A000000,04800,0000,04800AMBULANCE 32880,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32880,A000000,05300,0000,05300INTEREST EXPENSE 32880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32880,A81000A,00100,0100,Y 32880,A81000B,00100,0300,MANAGEMENT FEE 32880,A81000B,00200,0300,LEASE EXPENSE 32880,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32880,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32880,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32880,A81000C,00100,0100,A 32880,A81000C,00100,0200,FINKELSTEIN/POR 32880,A81000C,00100,0400,SUBACUTE MGMT 32880,A81000C,00100,0600,MGMT CO 32880,A81000C,00200,0100,A 32880,A81000C,00200,0200,PORTNOY/MARTIN 32880,A81000C,00200,0400,HRPT 32880,A81000C,00200,0600,REIT 32880,A81000C,00300,0100,A 32880,A81000C,00300,0200,PORTNOY/MARTIN 32880,A81000C,00300,0400,HRPT 32880,A81000C,00300,0600,REIT 32880,A81000C,00400,0100,A 32880,A81000C,00400,0200,FINKELSTEIN/POR 32880,A81000C,00400,0400,SUBACUTE MGMT 32880,A81000C,00400,0600,MGMT CO 32880,A81000C,00500,0100,A 32880,A81000C,00500,0200,PORTNOY 32880,A81000C,00500,0400,SULL & WORCHEST 32880,A81000C,00500,0600,LAW FIRM 32880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32880,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32880,B100000,00000,0800,00000MEALS SERVED :DIETARY 32880,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32880,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32880,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32880,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32880,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32880,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32880,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32880,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32880,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32880,S000000,00100,0200,01/24/2000 32880,S200000,00100,0100,RD # 3 AIRPORT ROAD 32880,S200000,00200,0100,BARRE 32880,S200000,00200,0200,VT 32880,S200000,00200,0300,05641- 32880,S200000,00300,0100,WASHINGTON 32880,S200000,00400,0100,BERLIN HEALTH AND REHAB CTR. 32880,S200000,00400,0200,475020 32880,S200000,00400,0300,02/01/1995 32880,S200000,00400,0500,P 32880,S200000,01600,0100,Y 32880,S700003,00000,0100,1 32882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32882,A000000,00300,0000,00300EMPLOYEE BENEFITS 32882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32882,A000000,00700,0000,00700HOUSEKEEPING 32882,A000000,00800,0000,00800DIETARY 32882,A000000,00900,0000,00900NURSING ADMINISTRATION 32882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32882,A000000,01100,0000,01100PHARMACY 32882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32882,A000000,01300,0000,01300SOCIAL SERVICE 32882,A000000,01301,0000,01301INSERVICE 32882,A000000,01302,0000,01302ACTIVITIES 32882,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32882,A000000,01600,0000,01600SKILLED NURSING FACILITY 32882,A000000,01800,0000,01800NURSING FACILITY 32882,A000000,01900,0000,01900OTHER LONG TERM CARE 32882,A000000,02100,0000,02100RADIOLOGY 32882,A000000,02200,0000,02200LABORATORY 32882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32882,A000000,02500,0000,02500PHYSICAL THERAPY 32882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32882,A000000,02700,0000,02700SPEECH PATHOLOGY 32882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32882,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32882,A000000,04800,0000,04800AMBULANCE 32882,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32882,A000000,05300,0000,05300INTEREST EXPENSE 32882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32882,A81000A,00100,0100,Y 32882,A81000B,00100,0300,MANAGEMENT FEE 32882,A81000B,00200,0300,HOME OFFICE CAPITAL 32882,A81000C,00100,0100,B 32882,A81000C,00100,0200,CPL SUBACUTE LL 32882,A81000C,00100,0400,CPL SUBACUTE LL 32882,A81000C,00100,0600,HOME OFFICE 32882,A81000C,00200,0100,B 32882,A81000C,00200,0200,CPL SUBACUTE LL 32882,A81000C,00200,0400,CPL SUBACUTE LL 32882,A81000C,00200,0600,HOME OFFICE 32882,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32882,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32882,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32882,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32882,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32882,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32882,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32882,B100000,00000,0800,00000MEALS SERVED :DIETARY 32882,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32882,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32882,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32882,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32882,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32882,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32882,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32882,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32882,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32882,S000000,00100,0200,06/01/2000 32882,S200000,00100,0100,RD # 3 AIRPORT ROAD 32882,S200000,00200,0100,BARRE 32882,S200000,00200,0200,VT 32882,S200000,00200,0300,05641- 32882,S200000,00300,0100,WASHINGTON 32882,S200000,00400,0100,BERLIN HEALTH AND REHAB CTR. 32882,S200000,00400,0200,475020 32882,S200000,00400,0300,04/01/1999 32882,S200000,00400,0500,P 32882,S200000,01600,0100,Y 32882,S700003,00000,0200,2 32890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32890,A000000,00300,0000,00300EMPLOYEE BENEFITS 32890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32890,A000000,00700,0000,00700HOUSEKEEPING 32890,A000000,00800,0000,00800DIETARY 32890,A000000,00900,0000,00900NURSING ADMINISTRATION 32890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32890,A000000,01100,0000,01100PHARMACY 32890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32890,A000000,01300,0000,01300SOCIAL SERVICE 32890,A000000,01350,0000,01500ACTIVITIES 32890,A000000,01351,0000,01501INDIRECT CONSULTANTS 32890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32890,A000000,01600,0000,01600SKILLED NURSING FACILITY 32890,A000000,01800,0000,01800NURSING FACILITY 32890,A000000,01810,0000,01810ICF/MR 32890,A000000,01900,0000,01900OTHER LONG TERM CARE 32890,A000000,02100,0000,02100RADIOLOGY 32890,A000000,02200,0000,02200LABORATORY 32890,A000000,02300,0000,02300INTRAVENOUS THERAPY 32890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32890,A000000,02500,0000,02500PHYSICAL THERAPY 32890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32890,A000000,02700,0000,02700SPEECH PATHOLOGY 32890,A000000,02800,0000,02800ELECTROCARDIOLOGY 32890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32890,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32890,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32890,A000000,03200,0000,03200SUPPORT SURFACES 32890,A000000,03400,0000,03400CLINIC 32890,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32890,A000000,03500,0000,03500RURAL HEALTH CLINIC 32890,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32890,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32890,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32890,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32890,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32890,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32890,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32890,A000000,04400,0000,04400DME RENTED - HHA 32890,A000000,04500,0000,04500DME SOLD - HHA 32890,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32890,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32890,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32890,A000000,04800,0000,04800AMBULANCE 32890,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32890,A000000,05000,0000,05000CORF 32890,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32890,A000000,05300,0000,05300INTEREST EXPENSE 32890,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32890,A000000,05500,0000,05500HOSPICE 32890,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32890,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32890,A000000,06100,0000,06100NONPAID WORKERS 32890,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32890,A000000,06200,0000,06200PATIENTS LAUNDRY 32890,A81000A,00100,0100,Y 32890,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 32890,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 32890,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 32890,A81000C,00100,0100,A 32890,A81000C,00100,0200,MALCOM GLAZER 32890,A81000C,00100,0400,NURSING HOME MANAGMENT 32890,A81000C,00100,0600,HOME OFFICE 32890,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32890,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32890,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32890,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32890,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32890,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32890,B100000,00000,0800,00000MEALS SERVED :DIETARY 32890,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 32890,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32890,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32890,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32890,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32890,S000000,00100,0200,06/05/2000 32890,S200000,00100,0100,BOX 80 SHELDON ROAD 32890,S200000,00200,0100,ST. ALBANS 32890,S200000,00200,0200,VT 32890,S200000,00200,0300,05478- 32890,S200000,00300,0100,FRANKLIN 32890,S200000,00300,0200,1303 32890,S200000,00300,0300,U 32890,S200000,00400,0100,VERDELLE VILLAGE INC. 32890,S200000,00400,0200,475021 32890,S200000,00400,0300,12/07/1971 32890,S200000,00400,0500,P 32890,S200000,00400,0600,P 32890,S200000,01004,0500,O 32890,S200000,01600,0100,Y 32890,S200000,02800,0100,Y 32898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32898,A000000,00300,0000,00300EMPLOYEE BENEFITS 32898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32898,A000000,00700,0000,00700HOUSEKEEPING 32898,A000000,00800,0000,00800DIETARY 32898,A000000,00900,0000,00900NURSING ADMINISTRATION 32898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32898,A000000,01100,0000,01100PHARMACY 32898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32898,A000000,01300,0000,01300SOCIAL SERVICE 32898,A000000,01350,0000,01500ACTIVITIES 32898,A000000,01600,0000,01600SKILLED NURSING FACILITY 32898,A000000,01800,0000,01800NURSING FACILITY 32898,A000000,02100,0000,02100RADIOLOGY 32898,A000000,02200,0000,02200LABORATORY 32898,A000000,02300,0000,02300INTRAVENOUS THERAPY 32898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32898,A000000,02500,0000,02500PHYSICAL THERAPY 32898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32898,A000000,02700,0000,02700SPEECH PATHOLOGY 32898,A000000,02800,0000,02800ELECTROCARDIOLOGY 32898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32898,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32898,A000000,03400,0000,03400CLINIC 32898,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 32898,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32898,A000000,04800,0000,04800AMBULANCE 32898,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32898,A000000,05300,0000,05300INTEREST EXPENSE 32898,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32898,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32898,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32898,A81000A,00100,0100,Y 32898,A81000B,00100,0300,REL CO - EMP H & W 32898,A81000B,00200,0300,REL CO - ADMIN & GENERAL 32898,A81000B,00300,0300,REL CO - OPER & MAINT 32898,A81000B,00400,0300,REL CO - HOUSEKEEPING 32898,A81000B,00500,0300,REL CO - DIETARY 32898,A81000B,00600,0300,REL CO - SOCIAL SERVICE 32898,A81000B,00700,0300,REL CO - NURSING 32898,A81000B,00800,0300,REL CO - CENTRAL SUPPLIES 32898,A81000B,00900,0300,DEPR-BUILDING & FIXTURES 32898,A81000B,01000,0300,DEPR-MOVEABLE EQUIPMENT 32898,A81000C,00100,0100,B 32898,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 32898,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 32898,A81000C,00100,0600,REALTY & MANAGEMENT 32898,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32898,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32898,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32898,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32898,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 32898,B100000,00000,0800,00000MEALS SERVED :DIETARY 32898,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 32898,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32898,B100000,00000,1350,00000NO. OF PARTIC :ACTIVITIES 32898,E10A180,00501,0100,05/31/2000 32898,E10A180,00550,0300,05/31/2000 32898,S000000,00100,0200,05/31/2000 32898,S200000,00100,0100,187 OAK GROVE AVE. 32898,S200000,00200,0100,BRATTLEBOTO 32898,S200000,00200,0200,VT 32898,S200000,00200,0300,05301- 32898,S200000,00300,0100,WINDHAM 32898,S200000,00300,0200,0047 32898,S200000,00300,0300,R 32898,S200000,00400,0100,EDEN PARK NURSING HOME-BRATTLEBORO 32898,S200000,00400,0200,475023 32898,S200000,00400,0300,04/13/1967 32898,S200000,00400,0500,P 32898,S200000,01500,0100,Y 32898,S200000,04700,0100,Y 32898,S200000,04700,0200,Y 32907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32907,A000000,00300,0000,00300EMPLOYEE BENEFITS 32907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32907,A000000,00700,0000,00700HOUSEKEEPING 32907,A000000,00800,0000,00800DIETARY 32907,A000000,00900,0000,00900NURSING ADMINISTRATION 32907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32907,A000000,01100,0000,01100PHARMACY 32907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32907,A000000,01300,0000,01300SOCIAL SERVICE 32907,A000000,01301,0000,01301INSERVICE 32907,A000000,01302,0000,01302ACTIVITIES 32907,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32907,A000000,01600,0000,01600SKILLED NURSING FACILITY 32907,A000000,01800,0000,01800NURSING FACILITY 32907,A000000,01900,0000,01900OTHER LONG TERM CARE 32907,A000000,02100,0000,02100RADIOLOGY 32907,A000000,02200,0000,02200LABORATORY 32907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32907,A000000,02500,0000,02500PHYSICAL THERAPY 32907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32907,A000000,02700,0000,02700SPEECH PATHOLOGY 32907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32907,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32907,A000000,04800,0000,04800AMBULANCE 32907,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32907,A000000,05300,0000,05300INTEREST EXPENSE 32907,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32907,A81000A,00100,0100,Y 32907,A81000B,00100,0300,MANAGEMENT FEE 32907,A81000B,00200,0300,LEASE EXPENSE 32907,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32907,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32907,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32907,A81000B,00600,0300,DAYCARE RENT 32907,A81000C,00100,0100,A 32907,A81000C,00100,0200,FINKELSTEIN/POR 32907,A81000C,00100,0400,SUBACUTE MGMT 32907,A81000C,00100,0600,MGMT CO 32907,A81000C,00200,0100,A 32907,A81000C,00200,0200,PORTNOY/MARTIN 32907,A81000C,00200,0400,HRPT 32907,A81000C,00200,0600,REIT 32907,A81000C,00300,0100,A 32907,A81000C,00300,0200,PORTNOY/MARTIN 32907,A81000C,00300,0400,HRPT 32907,A81000C,00300,0600,REIT 32907,A81000C,00400,0100,A 32907,A81000C,00400,0200,FINKELSTEIN/POR 32907,A81000C,00400,0400,SUBACUTE MGMT 32907,A81000C,00400,0600,MGMT CO 32907,A81000C,00500,0100,A 32907,A81000C,00500,0200,PORTNOY 32907,A81000C,00500,0400,SULL & WORCHEST 32907,A81000C,00500,0600,LAW FIRM 32907,A81000C,00600,0100,A 32907,A81000C,00600,0200,PORTNOY/MARTIN 32907,A81000C,00600,0400,HRPT 32907,A81000C,00600,0600,REIT 32907,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32907,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32907,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32907,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32907,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32907,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32907,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32907,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32907,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32907,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32907,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32907,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32907,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32907,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32907,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32907,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32907,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32907,E10A180,00550,0300,11/19/1999 32907,S000000,00100,0200,01/24/2000 32907,S200000,00100,0100,105 CHESTER ROAD 32907,S200000,00200,0100,SPRINGFIELD 32907,S200000,00200,0200,VT 32907,S200000,00200,0300,05156- 32907,S200000,00300,0100,WINDSOR 32907,S200000,00400,0100,SPRINGFIELD HEALTH & REHAB CTR. 32907,S200000,00400,0200,475025 32907,S200000,00400,0300,02/01/1995 32907,S200000,00400,0500,P 32907,S200000,01600,0100,Y 32907,S700003,00000,0100,1 32909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32909,A000000,00300,0000,00300EMPLOYEE BENEFITS 32909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32909,A000000,00700,0000,00700HOUSEKEEPING 32909,A000000,00800,0000,00800DIETARY 32909,A000000,00900,0000,00900NURSING ADMINISTRATION 32909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32909,A000000,01100,0000,01100PHARMACY 32909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32909,A000000,01300,0000,01300SOCIAL SERVICE 32909,A000000,01301,0000,01301INSERVICE 32909,A000000,01302,0000,01302ACTIVITIES 32909,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32909,A000000,01600,0000,01600SKILLED NURSING FACILITY 32909,A000000,01800,0000,01800NURSING FACILITY 32909,A000000,01900,0000,01900OTHER LONG TERM CARE 32909,A000000,02100,0000,02100RADIOLOGY 32909,A000000,02200,0000,02200LABORATORY 32909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32909,A000000,02500,0000,02500PHYSICAL THERAPY 32909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32909,A000000,02700,0000,02700SPEECH PATHOLOGY 32909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32909,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32909,A000000,04800,0000,04800AMBULANCE 32909,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32909,A000000,05300,0000,05300INTEREST EXPENSE 32909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32909,A81000A,00100,0100,Y 32909,A81000B,00100,0300,MANAGEMENT FEE 32909,A81000B,00200,0300,HOME OFFICE CAPITAL 32909,A81000C,00100,0100,B 32909,A81000C,00100,0200,CPL SUBACUTE LL 32909,A81000C,00100,0400,CPL SUBACUTE LL 32909,A81000C,00100,0600,HOME OFFICE 32909,A81000C,00200,0100,B 32909,A81000C,00200,0200,CPL SUBACUTE LL 32909,A81000C,00200,0400,CPL SUBACUTE LL 32909,A81000C,00200,0600,HOME OFFICE 32909,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32909,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32909,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32909,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32909,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32909,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32909,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32909,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32909,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32909,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32909,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32909,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32909,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32909,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32909,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32909,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32909,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32909,S000000,00100,0200,06/01/2000 32909,S200000,00100,0100,105 CHESTER ROAD 32909,S200000,00200,0100,SPRINGFIELD 32909,S200000,00200,0200,VT 32909,S200000,00200,0300,05156- 32909,S200000,00300,0100,WINDSOR 32909,S200000,00400,0100,SPRINGFIELD HEALTH & REHAB CTR. 32909,S200000,00400,0200,475025 32909,S200000,00400,0300,04/01/1999 32909,S200000,00400,0500,P 32909,S200000,01600,0100,Y 32909,S700003,00000,0200,2 32915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32915,A000000,00300,0000,00300EMPLOYEE BENEFITS 32915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32915,A000000,00700,0000,00700HOUSEKEEPING 32915,A000000,00800,0000,00800DIETARY 32915,A000000,00900,0000,00900NURSING ADMINISTRATION 32915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32915,A000000,01100,0000,01100PHARMACY 32915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32915,A000000,01300,0000,01300SOCIAL SERVICE 32915,A000000,01600,0000,01600SKILLED NURSING FACILITY 32915,A000000,01800,0000,01800NURSING FACILITY 32915,A000000,02100,0000,02100RADIOLOGY 32915,A000000,02200,0000,02200LABORATORY 32915,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32915,A000000,02500,0000,02500PHYSICAL THERAPY 32915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32915,A000000,02700,0000,02700SPEECH PATHOLOGY 32915,A000000,02800,0000,02800ELECTROCARDIOLOGY 32915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32915,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32915,A000000,03051,0000,03301EMERGENCY 32915,A000000,03400,0000,03400CLINIC 32915,A000000,03500,0000,03500RURAL HEALTH CLINIC 32915,A000000,04800,0000,04800AMBULANCE 32915,A000000,05300,0000,05300INTEREST EXPENSE 32915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32915,A000000,06150,0000,06300ADULT DAY CARE 32915,A81000A,00100,0100,Y 32915,A81000B,00100,0300,LEASE OF CAR 32915,A81000B,00200,0300,LEGAL AND CONSULTING 32915,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32915,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32915,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32915,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32915,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32915,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 32915,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32915,B100000,00000,0800,00000MEALS SERVED :DIETARY 32915,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32915,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32915,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 32915,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32915,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32915,S000000,00100,0200,05/30/2000 32915,S200000,00100,0100,148 PROUTY DRIVE 32915,S200000,00200,0100,NEWPORT 32915,S200000,00200,0200,NH 32915,S200000,00200,0300,05855- 32915,S200000,00300,0100,ORLEANS 32915,S200000,00400,0100,NEWPORT HEALTH CARE CENTER 32915,S200000,00400,0200,475026 32915,S200000,00400,0300,02/01/1980 32915,S200000,00400,0500,P 32915,S200000,01600,0100,Y 32915,S200000,02200,0100,Y 32915,S700003,00000,0100,1 32923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32923,A000000,00300,0000,00300EMPLOYEE BENEFITS 32923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32923,A000000,00700,0000,00700HOUSEKEEPING 32923,A000000,00800,0000,00800DIETARY 32923,A000000,00900,0000,00900NURSING ADMINISTRATION 32923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32923,A000000,01100,0000,01100PHARMACY 32923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32923,A000000,01300,0000,01300SOCIAL SERVICE 32923,A000000,01301,0000,01301INSERVICE 32923,A000000,01302,0000,01302ACTIVITIES 32923,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32923,A000000,01600,0000,01600SKILLED NURSING FACILITY 32923,A000000,01800,0000,01800NURSING FACILITY 32923,A000000,01900,0000,01900OTHER LONG TERM CARE 32923,A000000,02100,0000,02100RADIOLOGY 32923,A000000,02200,0000,02200LABORATORY 32923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32923,A000000,02500,0000,02500PHYSICAL THERAPY 32923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32923,A000000,02700,0000,02700SPEECH PATHOLOGY 32923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32923,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32923,A000000,04800,0000,04800AMBULANCE 32923,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32923,A000000,05300,0000,05300INTEREST EXPENSE 32923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32923,A81000A,00100,0100,Y 32923,A81000B,00100,0300,MANAGEMENT FEE 32923,A81000B,00200,0300,LEASE EXPENSE 32923,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32923,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32923,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32923,A81000C,00100,0100,A 32923,A81000C,00100,0200,FINKELSTEIN/POR 32923,A81000C,00100,0400,SUBACUTE MGMT 32923,A81000C,00100,0600,MGMT CO 32923,A81000C,00200,0100,A 32923,A81000C,00200,0200,PORTNOY/MARTIN 32923,A81000C,00200,0400,HRPT 32923,A81000C,00200,0600,REIT 32923,A81000C,00300,0100,A 32923,A81000C,00300,0200,PORTNOY/MARTIN 32923,A81000C,00300,0400,HRPT 32923,A81000C,00300,0600,REIT 32923,A81000C,00400,0100,A 32923,A81000C,00400,0200,FINKELSTEIN/POR 32923,A81000C,00400,0400,SUBACUTE MGMT 32923,A81000C,00400,0600,MGMT CO 32923,A81000C,00500,0100,A 32923,A81000C,00500,0200,PORTNOY 32923,A81000C,00500,0400,SULL & WORCHEST 32923,A81000C,00500,0600,LAW FIRM 32923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32923,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32923,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32923,B100000,00000,0800,00000MEALS SERVED :DIETARY 32923,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32923,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32923,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32923,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32923,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32923,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32923,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32923,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32923,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32923,S000000,00100,0200,01/24/2000 32923,S200000,00100,0100,360 DEWEY STREET 32923,S200000,00200,0100,BENNINGTON 32923,S200000,00200,0200,VT 32923,S200000,00200,0300,05201- 32923,S200000,00300,0100,BENNINGTON 32923,S200000,00400,0100,BENNINGTON HEALTH AND REHAB CTR. 32923,S200000,00400,0200,475027 32923,S200000,00400,0300,02/01/1995 32923,S200000,00400,0500,P 32923,S200000,01600,0100,Y 32923,S700003,00000,0100,1 32925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32925,A000000,00300,0000,00300EMPLOYEE BENEFITS 32925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32925,A000000,00700,0000,00700HOUSEKEEPING 32925,A000000,00800,0000,00800DIETARY 32925,A000000,00900,0000,00900NURSING ADMINISTRATION 32925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32925,A000000,01100,0000,01100PHARMACY 32925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32925,A000000,01300,0000,01300SOCIAL SERVICE 32925,A000000,01301,0000,01301INSERVICE 32925,A000000,01302,0000,01302ACTIVITIES 32925,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32925,A000000,01600,0000,01600SKILLED NURSING FACILITY 32925,A000000,01800,0000,01800NURSING FACILITY 32925,A000000,01900,0000,01900OTHER LONG TERM CARE 32925,A000000,02100,0000,02100RADIOLOGY 32925,A000000,02200,0000,02200LABORATORY 32925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32925,A000000,02500,0000,02500PHYSICAL THERAPY 32925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32925,A000000,02700,0000,02700SPEECH PATHOLOGY 32925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32925,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32925,A000000,04800,0000,04800AMBULANCE 32925,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32925,A000000,05300,0000,05300INTEREST EXPENSE 32925,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32925,A81000A,00100,0100,Y 32925,A81000B,00100,0300,MANAGEMENT FEE 32925,A81000B,00200,0300,HOME OFFICE CAPITAL 32925,A81000C,00100,0100,B 32925,A81000C,00100,0200,CPL SUBACUTE LL 32925,A81000C,00100,0400,CPL SUBACUTE LL 32925,A81000C,00100,0600,HOME OFFICE 32925,A81000C,00200,0100,B 32925,A81000C,00200,0200,CPL SUBACUTE LL 32925,A81000C,00200,0400,CPL SUBACUTE LL 32925,A81000C,00200,0600,HOME OFFICE 32925,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32925,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32925,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32925,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32925,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32925,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32925,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32925,B100000,00000,0800,00000MEALS SERVED :DIETARY 32925,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 32925,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32925,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32925,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32925,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32925,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32925,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32925,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32925,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32925,S000000,00100,0200,06/01/2000 32925,S200000,00100,0100,360 DEWEY STREET 32925,S200000,00200,0100,BENNINGTON 32925,S200000,00200,0200,VT 32925,S200000,00200,0300,05201- 32925,S200000,00300,0100,BENNINGTON 32925,S200000,00400,0100,BENNINGTON HEALTH AND REHAB CTR. 32925,S200000,00400,0200,475027 32925,S200000,00400,0300,04/01/1999 32925,S200000,00400,0500,P 32925,S200000,01600,0100,Y 32925,S700003,00000,0200,2 32932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32932,A000000,00300,0000,00300EMPLOYEE BENEFITS 32932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32932,A000000,00700,0000,00700HOUSEKEEPING 32932,A000000,00800,0000,00800DIETARY 32932,A000000,00900,0000,00900NURSING ADMINISTRATION 32932,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32932,A000000,01100,0000,01100PHARMACY 32932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32932,A000000,01300,0000,01300SOCIAL SERVICE 32932,A000000,01350,0000,01500OTHER GENERAL SERVICES 32932,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32932,A000000,01600,0000,01600SKILLED NURSING FACILITY 32932,A000000,01800,0000,01800NURSING FACILITY 32932,A000000,01900,0000,01900OTHER LONG TERM CARE 32932,A000000,02100,0000,02100RADIOLOGY 32932,A000000,02200,0000,02200LABORATORY 32932,A000000,02300,0000,02300INTRAVENOUS THERAPY 32932,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32932,A000000,02500,0000,02500PHYSICAL THERAPY 32932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32932,A000000,02700,0000,02700SPEECH PATHOLOGY 32932,A000000,02800,0000,02800ELECTROCARDIOLOGY 32932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32932,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 32932,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32932,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32932,A000000,03200,0000,03200SUPPORT SURFACES 32932,A000000,03400,0000,03400CLINIC 32932,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32932,A000000,03500,0000,03500RURAL HEALTH CLINIC 32932,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32932,A000000,04800,0000,04800AMBULANCE 32932,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32932,A000000,05000,0000,05000CORF 32932,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32932,A000000,05300,0000,05300INTEREST EXPENSE 32932,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32932,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32932,A000000,05500,0000,05500HOSPICE 32932,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32932,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32932,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32932,A000000,06100,0000,06100NONPAID WORKERS 32932,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32932,A000000,06200,0000,06200PATIENTS LAUNDRY 32932,A81000A,00100,0100,Y 32932,A81000B,00100,0300,MEDICAL SUPPLIES 32932,A81000B,00200,0300,SUPPLIES 32932,A81000B,00300,0300,SUPPLIES 32932,A81000B,00400,0300,PURCHASED SERVICES 32932,A81000B,00500,0300,PURCHASED SERVICES 32932,A81000B,00600,0300,PURCHASED SERVICES 32932,A81000B,00700,0300,DRUGS/CONSULTANT 32932,A81000B,00800,0300,PURCHASED SERVICES/SUPPLIES 32932,A81000B,00900,0300,PURCHASED SERVICES 32932,A81000B,01000,0300,SUPPLIES 32932,A81000B,01100,0300,SUPPLIES 32932,A81000B,01200,0300,SUPPLIES/MANAGEMENT FEES 32932,A81000B,01300,0300,FUEL & ELECTRIC 32932,A81000B,01400,0300,INSURANCE 32932,A81000B,01500,0300,EMPLOYEE BENEFITS 32932,A81000B,01600,0300,INTEREST & INSURANCE 32932,A81000B,01700,0300,AUTO INSURANCE 32932,A81000C,00100,0100,G 32932,A81000C,00100,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00100,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00100,0600,HOSPITAL 32932,A81000C,00200,0100,G 32932,A81000C,00200,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00200,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00200,0600,HOSPITAL 32932,A81000C,00300,0100,G 32932,A81000C,00300,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00300,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00300,0600,HOSPITAL 32932,A81000C,00400,0100,G 32932,A81000C,00400,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00400,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00400,0600,HOSPITAL 32932,A81000C,00500,0100,G 32932,A81000C,00500,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00500,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00500,0600,HOSPITAL 32932,A81000C,00600,0100,G 32932,A81000C,00600,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00600,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00600,0600,HOSPITAL 32932,A81000C,00700,0100,G 32932,A81000C,00700,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00700,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00700,0600,HOSPITAL 32932,A81000C,00800,0100,G 32932,A81000C,00800,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00800,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00800,0600,HOSPITAL 32932,A81000C,00900,0100,G 32932,A81000C,00900,0200,WESTON HADDEN CONV CENTER 32932,A81000C,00900,0400,SOUTHWESTERN VT MED CTR 32932,A81000C,00900,0600,HOSPITAL 32932,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32932,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32932,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32932,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32932,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32932,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32932,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32932,B100000,00000,0850,00000PATIENT DAYS :DIETARY 32932,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 32932,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32932,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 32932,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32932,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32932,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32932,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32932,E10A180,00351,0300,12/31/1999 32932,E10A180,00550,0100,03/02/2000 32932,E10A180,00550,0300,03/02/2000 32932,S000000,00100,0200,03/16/2000 32932,S200000,00100,0100,160 HOSPITAL DRIVE 32932,S200000,00200,0100,BENNINGTON 32932,S200000,00200,0200,VT 32932,S200000,00200,0300,05201- 32932,S200000,00300,0100,BENNINGTON 32932,S200000,00400,0100,WESTON HADDEN CONVALESCENT CENTER 32932,S200000,00400,0200,475029 32932,S200000,00400,0300,03/12/1986 32932,S200000,00400,0500,P 32932,S200000,01500,0100,Y 32932,S200000,02200,0100,Y 32941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32941,A000000,00300,0000,00300EMPLOYEE BENEFITS 32941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32941,A000000,00700,0000,00700HOUSEKEEPING 32941,A000000,00800,0000,00800DIETARY 32941,A000000,00900,0000,00900NURSING ADMINISTRATION 32941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32941,A000000,01100,0000,01100PHARMACY 32941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32941,A000000,01300,0000,01300SOCIAL SERVICE 32941,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32941,A000000,01600,0000,01600SKILLED NURSING FACILITY 32941,A000000,01800,0000,01800NURSING FACILITY 32941,A000000,01900,0000,01900OTHER LONG TERM CARE 32941,A000000,02100,0000,02100RADIOLOGY 32941,A000000,02200,0000,02200LABORATORY 32941,A000000,02300,0000,02300INTRAVENOUS THERAPY 32941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32941,A000000,02500,0000,02500PHYSICAL THERAPY 32941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32941,A000000,02700,0000,02700SPEECH PATHOLOGY 32941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32941,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32941,A000000,04800,0000,04800AMBULANCE 32941,A000000,05300,0000,05300INTEREST EXPENSE 32941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32941,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32941,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32941,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32941,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32941,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32941,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32941,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32941,B100000,00000,0800,00000MEALS SERVED :DIETARY 32941,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32941,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32941,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32941,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32941,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32941,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32941,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32941,E10A180,00501,0100,05/23/2000 32941,E10A180,00550,0300,05/23/2000 32941,S000000,00100,0200,05/23/2000 32941,S200000,00100,0100,RR 1 BOX 2250 32941,S200000,00200,0100,BRADFORD 32941,S200000,00200,0200,VT 32941,S200000,00200,0300,05033- 32941,S200000,00300,0100,ORANGE 32941,S200000,00400,0100,BROOKSIDE NURSING HOME-BRADFORD 32941,S200000,00400,0200,475031 32941,S200000,00400,0300,01/01/1989 32941,S200000,00400,0500,P 32941,S200000,01600,0100,Y 32958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32958,A000000,00300,0000,00300EMPLOYEE BENEFITS 32958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32958,A000000,00700,0000,00700HOUSEKEEPING 32958,A000000,00800,0000,00800DIETARY 32958,A000000,00900,0000,00900NURSING ADMINISTRATION 32958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32958,A000000,01100,0000,01100PHARMACY 32958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32958,A000000,01300,0000,01300SOCIAL SERVICE 32958,A000000,01350,0000,01500ACTIVITIES 32958,A000000,01351,0000,01501INDIRECT CONSULTANTS 32958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32958,A000000,01600,0000,01600SKILLED NURSING FACILITY 32958,A000000,01800,0000,01800NURSING FACILITY 32958,A000000,01810,0000,01810ICF/MR 32958,A000000,01900,0000,01900OTHER LONG TERM CARE 32958,A000000,02100,0000,02100RADIOLOGY 32958,A000000,02200,0000,02200LABORATORY 32958,A000000,02300,0000,02300INTRAVENOUS THERAPY 32958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32958,A000000,02500,0000,02500PHYSICAL THERAPY 32958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32958,A000000,02700,0000,02700SPEECH PATHOLOGY 32958,A000000,02800,0000,02800ELECTROCARDIOLOGY 32958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32958,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 32958,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32958,A000000,03200,0000,03200SUPPORT SURFACES 32958,A000000,03400,0000,03400CLINIC 32958,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32958,A000000,03500,0000,03500RURAL HEALTH CLINIC 32958,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32958,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32958,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32958,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32958,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32958,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32958,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32958,A000000,04400,0000,04400DME RENTED - HHA 32958,A000000,04500,0000,04500DME SOLD - HHA 32958,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32958,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32958,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32958,A000000,04800,0000,04800AMBULANCE 32958,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32958,A000000,05000,0000,05000CORF 32958,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32958,A000000,05300,0000,05300INTEREST EXPENSE 32958,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32958,A000000,05500,0000,05500HOSPICE 32958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32958,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32958,A000000,06100,0000,06100NONPAID WORKERS 32958,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32958,A000000,06200,0000,06200PATIENTS LAUNDRY 32958,A81000A,00100,0100,Y 32958,A81000B,00100,0300,A&G LEGAL 32958,A81000B,00200,0300,A&G ACCOUNTING 32958,A81000B,00300,0300,A&G ACCOUNTING 32958,A81000B,00400,0300,A&G DIRECTORS FEES 32958,A81000B,00500,0300,A&G 32958,A81000B,00600,0300,EMPLOYEE BENEFITS 32958,A81000B,00700,0300,GROUNDS/BLDG SERVICES 32958,A81000B,00800,0300,A&G PROFESSIONAL SERVICES 32958,A81000B,00900,0300,PHYSICAL THERAPY OTHER 32958,A81000B,01000,0300,OCCUPATIONAL THERAPIST 32958,A81000B,01100,0300,SPEECH THERAPIST 32958,A81000C,00100,0100,E 32958,A81000C,00100,0200,D DUBENDORF 32958,A81000C,00100,0400,GRINELL & DUBENDORF 32958,A81000C,00100,0600,LAW FIRM 32958,A81000C,00200,0100,E 32958,A81000C,00200,0200,J UMLAUF 32958,A81000C,00200,0400,UMLAUF & DUNN 32958,A81000C,00200,0600,ACCOUNTING FIRM 32958,A81000C,00300,0100,D 32958,A81000C,00300,0200,ELAINE NEELY 32958,A81000C,00300,0400,SWEET BROOK 32958,A81000C,00300,0600,NURSING HOME 32958,A81000C,00400,0100,D 32958,A81000C,00400,0200,JACK MERSELLI 32958,A81000C,00400,0400,SWEET BROOK 32958,A81000C,00400,0600,NURSING HOME 32958,A81000C,00500,0100,D 32958,A81000C,00500,0200,BOARD OF DIRECTORS 32958,A81000C,00500,0400,B.O.D. 32958,A81000C,00500,0600,BOARD OF DIRECTORS 32958,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32958,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32958,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32958,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32958,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32958,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32958,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32958,B100000,00000,0800,00000MEALS SERVED :DIETARY 32958,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 32958,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 32958,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32958,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32958,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32958,S000000,00100,0200,02/29/2000 32958,S200000,00100,0100,312 CRESCENT BOULEVARD 32958,S200000,00200,0100,BENNINGTON 32958,S200000,00200,0200,VT 32958,S200000,00200,0300,05201- 32958,S200000,00300,0100,BENNINGTON 32958,S200000,00300,0200,47 32958,S200000,00300,0300,R 32958,S200000,00400,0100,CSR CORP.DBA CRESCENT MANOR CARE CTR 32958,S200000,00400,0200,475033 32958,S200000,00400,0300,10/01/1989 32958,S200000,00400,0500,P 32958,S200000,00400,0600,P 32958,S200000,01500,0100,Y 32958,S200000,04300,0100,Y 32964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32964,A000000,00300,0000,00300EMPLOYEE BENEFITS 32964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32964,A000000,00700,0000,00700HOUSEKEEPING 32964,A000000,00800,0000,00800DIETARY 32964,A000000,00900,0000,00900NURSING ADMINISTRATION 32964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32964,A000000,01100,0000,01100PHARMACY 32964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32964,A000000,01300,0000,01300SOCIAL SERVICE 32964,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32964,A000000,01600,0000,01600SKILLED NURSING FACILITY 32964,A000000,01800,0000,01800NURSING FACILITY 32964,A000000,01900,0000,01900OTHER LONG TERM CARE 32964,A000000,02100,0000,02100RADIOLOGY 32964,A000000,02200,0000,02200LABORATORY 32964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32964,A000000,02500,0000,02500PHYSICAL THERAPY 32964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32964,A000000,02700,0000,02700SPEECH PATHOLOGY 32964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32964,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32964,A000000,04800,0000,04800AMBULANCE 32964,A000000,05300,0000,05300INTEREST EXPENSE 32964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32964,A81000A,00100,0100,Y 32964,A81000B,00100,0300,MANAGEMENT FEE 32964,A81000C,00100,0100,A 32964,A81000C,00100,0200,PATRICIA RUSSEL 32964,A81000C,00100,0400,KINDOM KARE HEA 32964,A81000C,00100,0600,MGMT CO 32964,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32964,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32964,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32964,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32964,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32964,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32964,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32964,B100000,00000,0800,00000MEALS SERVED :DIETARY 32964,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32964,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32964,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32964,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32964,E10A180,00301,0100,11/03/1999 32964,S000000,00100,0200,05/22/2000 32964,S200000,00100,0100,RFD # 1 BOX 1 32964,S200000,00200,0100,GLOVER 32964,S200000,00200,0200,VT 32964,S200000,00200,0300,05839- 32964,S200000,00300,0100,ORLEANS 32964,S200000,00300,0200,0047 32964,S200000,00300,0300,R 32964,S200000,00400,0100,UNION HOUSE NURSING HOME INC. 32964,S200000,00400,0200,475036 32964,S200000,00400,0300,07/01/1991 32964,S200000,00400,0500,P 32964,S200000,01600,0100,Y 32974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32974,A000000,00300,0000,00300EMPLOYEE BENEFITS 32974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32974,A000000,00700,0000,00700HOUSEKEEPING 32974,A000000,00800,0000,00800DIETARY 32974,A000000,00900,0000,00900NURSING ADMINISTRATION 32974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32974,A000000,01100,0000,01100PHARMACY 32974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32974,A000000,01300,0000,01300SOCIAL SERVICE 32974,A000000,01301,0000,01301INSERVICE 32974,A000000,01302,0000,01302ACTIVITIES 32974,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32974,A000000,01600,0000,01600SKILLED NURSING FACILITY 32974,A000000,01800,0000,01800NURSING FACILITY 32974,A000000,01900,0000,01900OTHER LONG TERM CARE 32974,A000000,02100,0000,02100RADIOLOGY 32974,A000000,02200,0000,02200LABORATORY 32974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32974,A000000,02500,0000,02500PHYSICAL THERAPY 32974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32974,A000000,02700,0000,02700SPEECH PATHOLOGY 32974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32974,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32974,A000000,04800,0000,04800AMBULANCE 32974,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32974,A000000,05300,0000,05300INTEREST EXPENSE 32974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32974,A81000A,00100,0100,Y 32974,A81000B,00100,0300,MANAGEMENT FEE 32974,A81000B,00200,0300,LEASE EXPENSE 32974,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 32974,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 32974,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 32974,A81000C,00100,0100,A 32974,A81000C,00100,0200,FINKELSTEIN/POR 32974,A81000C,00100,0400,SUBACUTE MGMT 32974,A81000C,00100,0600,MGMT CO 32974,A81000C,00200,0100,A 32974,A81000C,00200,0200,PORTNOY/MARTIN 32974,A81000C,00200,0400,HRPT 32974,A81000C,00200,0600,REIT 32974,A81000C,00300,0100,A 32974,A81000C,00300,0200,PORTNOY/MARTIN 32974,A81000C,00300,0400,HRPT 32974,A81000C,00300,0600,REIT 32974,A81000C,00400,0100,A 32974,A81000C,00400,0200,FINKELSTEIN/POR 32974,A81000C,00400,0400,SUBACUTE MGMT 32974,A81000C,00400,0600,MGMT CO 32974,A81000C,00500,0100,A 32974,A81000C,00500,0200,PORTNOY 32974,A81000C,00500,0400,SULL & WORCHEST 32974,A81000C,00500,0600,LAW FIRM 32974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32974,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32974,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32974,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32974,B100000,00000,0800,00000MEALS SERVED :DIETARY 32974,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32974,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32974,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32974,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32974,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32974,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32974,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32974,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 32974,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 32974,S000000,00100,0200,01/24/2000 32974,S200000,00100,0100,UPPER PROSPECT STREET 32974,S200000,00200,0100,BARRE 32974,S200000,00200,0200,VT 32974,S200000,00200,0300,05641- 32974,S200000,00300,0100,WASHINGTON 32974,S200000,00400,0100,ROWAN COURT HEALTH AND REHAB CTR. 32974,S200000,00400,0200,475037 32974,S200000,00400,0300,02/01/1995 32974,S200000,00400,0500,P 32974,S200000,01600,0100,Y 32974,S700003,00000,0100,1 32976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32976,A000000,00300,0000,00300EMPLOYEE BENEFITS 32976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32976,A000000,00700,0000,00700HOUSEKEEPING 32976,A000000,00800,0000,00800DIETARY 32976,A000000,00900,0000,00900NURSING ADMINISTRATION 32976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32976,A000000,01100,0000,01100PHARMACY 32976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32976,A000000,01300,0000,01300SOCIAL SERVICE 32976,A000000,01301,0000,01301INSERVICE 32976,A000000,01302,0000,01302ACTIVITIES 32976,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32976,A000000,01600,0000,01600SKILLED NURSING FACILITY 32976,A000000,01800,0000,01800NURSING FACILITY 32976,A000000,01900,0000,01900OTHER LONG TERM CARE 32976,A000000,02100,0000,02100RADIOLOGY 32976,A000000,02200,0000,02200LABORATORY 32976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32976,A000000,02500,0000,02500PHYSICAL THERAPY 32976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32976,A000000,02700,0000,02700SPEECH PATHOLOGY 32976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32976,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32976,A000000,04800,0000,04800AMBULANCE 32976,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32976,A000000,05300,0000,05300INTEREST EXPENSE 32976,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32976,A81000A,00100,0100,Y 32976,A81000B,00100,0300,MANAGEMENT FEE 32976,A81000B,00200,0300,HOME OFFICE CAPITAL 32976,A81000C,00100,0100,B 32976,A81000C,00100,0200,CPL SUBACUTE LL 32976,A81000C,00100,0400,CPL SUBACUTE LL 32976,A81000C,00100,0600,HOME OFFICE 32976,A81000C,00200,0100,B 32976,A81000C,00200,0200,CPL SUBACUTE LL 32976,A81000C,00200,0400,CPL SUBACUTE LL 32976,A81000C,00200,0600,HOME OFFICE 32976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32976,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32976,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32976,B100000,00000,0800,00000MEALS SERVED :DIETARY 32976,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32976,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32976,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32976,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32976,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 32976,B100000,00000,1331,00000NURSING HOURS :INSERVICE 32976,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 32976,E10A180,00501,0100,06/01/2000 32976,E10A180,00550,0300,06/01/2000 32976,S000000,00100,0200,06/01/2000 32976,S200000,00100,0100,UPPER PROSPECT STREET 32976,S200000,00200,0100,BARRE 32976,S200000,00200,0200,VT 32976,S200000,00200,0300,05641- 32976,S200000,00300,0100,WASHINGTON 32976,S200000,00300,0200,0047 32976,S200000,00300,0300,R 32976,S200000,00400,0100,ROWAN COURT HEALTH AND REHAB CTR. 32976,S200000,00400,0200,475037 32976,S200000,00400,0300,04/01/1999 32976,S200000,00400,0500,P 32976,S200000,01600,0100,Y 32983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32983,A000000,00300,0000,00300EMPLOYEE BENEFITS 32983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32983,A000000,00700,0000,00700HOUSEKEEPING 32983,A000000,00800,0000,00800DIETARY 32983,A000000,00900,0000,00900NURSING ADMINISTRATION 32983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32983,A000000,01100,0000,01100PHARMACY 32983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32983,A000000,01300,0000,01300SOCIAL SERVICE 32983,A000000,01350,0000,01500ACTIVITIES 32983,A000000,01351,0000,01501INDIRECT CONSULTANTS 32983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32983,A000000,01600,0000,01600SKILLED NURSING FACILITY 32983,A000000,01800,0000,01800NURSING FACILITY 32983,A000000,01810,0000,01810ICF/MR 32983,A000000,01900,0000,01900OTHER LONG TERM CARE 32983,A000000,02100,0000,02100RADIOLOGY 32983,A000000,02200,0000,02200LABORATORY 32983,A000000,02300,0000,02300INTRAVENOUS THERAPY 32983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32983,A000000,02500,0000,02500PHYSICAL THERAPY 32983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32983,A000000,02700,0000,02700SPEECH PATHOLOGY 32983,A000000,02800,0000,02800ELECTROCARDIOLOGY 32983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32983,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 32983,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 32983,A000000,03052,0000,03302AMBULANCE 32983,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 32983,A000000,03200,0000,03200SUPPORT SURFACES 32983,A000000,03400,0000,03400CLINIC 32983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 32983,A000000,03500,0000,03500RURAL HEALTH CLINIC 32983,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 32983,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 32983,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 32983,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 32983,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 32983,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 32983,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 32983,A000000,04400,0000,04400DME RENTED - HHA 32983,A000000,04500,0000,04500DME SOLD - HHA 32983,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 32983,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 32983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 32983,A000000,04800,0000,04800AMBULANCE 32983,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 32983,A000000,05000,0000,05000CORF 32983,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 32983,A000000,05300,0000,05300INTEREST EXPENSE 32983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 32983,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 32983,A000000,05500,0000,05500HOSPICE 32983,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 32983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32983,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 32983,A000000,06100,0000,06100NONPAID WORKERS 32983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 32983,A000000,06200,0000,06200PATIENTS LAUNDRY 32983,A81000A,00100,0100,Y 32983,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 32983,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 32983,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 32983,A81000B,00400,0300,MGMT FEE-CAP REL MOVABLE 32983,A81000C,00100,0100,A 32983,A81000C,00100,0200,MALCOLM GLAZER 32983,A81000C,00100,0400,NURSING HOME MGMT COMPANY 32983,A81000C,00100,0600,MANAGEMENT COMPANY 32983,A81000C,00200,0100,A 32983,A81000C,00200,0200,MALCOLM GLAZER 32983,A81000C,00200,0400,NURSING HOME MGMT COMPANY 32983,A81000C,00200,0600,MANAGEMENT COMPANY 32983,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32983,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32983,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32983,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32983,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32983,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32983,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32983,B100000,00000,0800,00000MEALS SERVED :DIETARY 32983,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 32983,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32983,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32983,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32983,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 32983,S000000,00100,0200,06/05/2000 32983,S200000,00100,0100,46 NICHOLS STREET 32983,S200000,00200,0100,RUTLAND 32983,S200000,00200,0200,VT 32983,S200000,00200,0300,05701- 32983,S200000,00300,0100,RUTLAND 32983,S200000,00300,0200,0047 32983,S200000,00300,0300,R 32983,S200000,00400,0100,PLEASANT MANOR NURSING HOME INC. 32983,S200000,00400,0200,475039 32983,S200000,00400,0300,10/01/1991 32983,S200000,00400,0500,P 32983,S200000,00400,0600,P 32983,S200000,01004,0500,O 32983,S200000,01600,0100,Y 32991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 32991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 32991,A000000,00300,0000,00300EMPLOYEE BENEFITS 32991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 32991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 32991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 32991,A000000,00700,0000,00700HOUSEKEEPING 32991,A000000,00800,0000,00800DIETARY 32991,A000000,00900,0000,00900NURSING ADMINISTRATION 32991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 32991,A000000,01100,0000,01100PHARMACY 32991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 32991,A000000,01300,0000,01300SOCIAL SERVICE 32991,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 32991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 32991,A000000,01600,0000,01600SKILLED NURSING FACILITY 32991,A000000,01800,0000,01800NURSING FACILITY 32991,A000000,01900,0000,01900OTHER LONG TERM CARE 32991,A000000,02100,0000,02100RADIOLOGY 32991,A000000,02200,0000,02200LABORATORY 32991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 32991,A000000,02500,0000,02500PHYSICAL THERAPY 32991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 32991,A000000,02700,0000,02700SPEECH PATHOLOGY 32991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 32991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 32991,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 32991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 32991,A000000,04800,0000,04800AMBULANCE 32991,A000000,05300,0000,05300INTEREST EXPENSE 32991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 32991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 32991,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 32991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 32991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 32991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 32991,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 32991,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 32991,B100000,00000,0800,00000MEALS SERVED :DIETARY 32991,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 32991,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 32991,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 32991,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 32991,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 32991,S000000,00100,0200,01/23/2001 32991,S200000,00100,0100,1102 ETHAN ALLEN AVE 32991,S200000,00200,0100,COLCHESTER 32991,S200000,00200,0200,VT 32991,S200000,00200,0300,05446- 32991,S200000,00300,0100,CHITTENDEN 32991,S200000,00300,0200,1303 32991,S200000,00300,0300,U 32991,S200000,00400,0100,GREEN MOUNTAIN NURSING HOME 32991,S200000,00400,0200,475040 32991,S200000,00400,0300,04/01/1992 32991,S200000,00400,0500,P 32991,S200000,01500,0100,Y 33000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33000,A000000,00300,0000,00300EMPLOYEE BENEFITS 33000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33000,A000000,00700,0000,00700HOUSEKEEPING 33000,A000000,00800,0000,00800DIETARY 33000,A000000,00900,0000,00900NURSING ADMINISTRATION 33000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33000,A000000,01100,0000,01100PHARMACY 33000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33000,A000000,01300,0000,01300SOCIAL SERVICE 33000,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33000,A000000,01600,0000,01600SKILLED NURSING FACILITY 33000,A000000,01800,0000,01800NURSING FACILITY 33000,A000000,01900,0000,01900OTHER LONG TERM CARE 33000,A000000,02100,0000,02100RADIOLOGY 33000,A000000,02200,0000,02200LABORATORY 33000,A000000,02500,0000,02500PHYSICAL THERAPY 33000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33000,A000000,02700,0000,02700SPEECH PATHOLOGY 33000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33000,A000000,04800,0000,04800AMBULANCE 33000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33000,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33000,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33000,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33000,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33000,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33000,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33000,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33000,B100000,00000,0800,00000MEALS SERVED :DIETARY 33000,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33000,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33000,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33000,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33000,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33000,S000000,00100,0200,01/03/2000 33000,S200000,00100,0100,BARTON HILL ROAD 33000,S200000,00100,0300,291 33000,S200000,00200,0100,BARTON 33000,S200000,00200,0200,VT 33000,S200000,00200,0300,05822- 33000,S200000,00300,0100,ORLEANS 33000,S200000,00300,0200,47 33000,S200000,00300,0300,R 33000,S200000,00400,0100,MAPLE LANE NURSING HOME 33000,S200000,00400,0200,475042 33000,S200000,00400,0300,03/31/1993 33000,S200000,00400,0500,P 33000,S200000,01500,0100,Y 33000,S200000,02800,0100,Y 33007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33007,A000000,00300,0000,00300EMPLOYEE BENEFITS 33007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33007,A000000,00700,0000,00700HOUSEKEEPING 33007,A000000,00800,0000,00800DIETARY 33007,A000000,00900,0000,00900NURSING ADMINISTRATION 33007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33007,A000000,01100,0000,01100PHARMACY 33007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33007,A000000,01300,0000,01300SOCIAL SERVICE 33007,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33007,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33007,A000000,01600,0000,01600SKILLED NURSING FACILITY 33007,A000000,01800,0000,01800NURSING FACILITY 33007,A000000,01900,0000,01900OTHER LONG TERM CARE 33007,A000000,02100,0000,02100RADIOLOGY 33007,A000000,02200,0000,02200LABORATORY 33007,A000000,02300,0000,02300INTRAVENOUS THERAPY 33007,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33007,A000000,02500,0000,02500PHYSICAL THERAPY 33007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33007,A000000,02700,0000,02700SPEECH PATHOLOGY 33007,A000000,02800,0000,02800ELECTROCARDIOLOGY 33007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33007,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33007,A000000,03200,0000,03200SUPPORT SURFACES 33007,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 33007,A000000,04800,0000,04800AMBULANCE 33007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33007,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 33007,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33007,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33007,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33007,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33007,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33007,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33007,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33007,B100000,00000,0800,00000MEALS SERVED :DIETARY 33007,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33007,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33007,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33007,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33007,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33007,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33007,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33007,S000000,00100,0200,10/30/2000 33007,S200000,00100,0100,RR # 1 BOX 460 33007,S200000,00200,0100,GREENSBORO 33007,S200000,00200,0200,VT 33007,S200000,00200,0300,05841- 33007,S200000,00300,0100,ORLEANS 33007,S200000,00400,0100,GREENSBORO NURSING HOME 33007,S200000,00400,0200,475043 33007,S200000,00400,0300,01/01/1994 33007,S200000,00400,0500,P 33007,S200000,01500,0100,Y 33007,S700003,00000,0100,1 33011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33011,A000000,00300,0000,00300EMPLOYEE BENEFITS 33011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33011,A000000,00700,0000,00700HOUSEKEEPING 33011,A000000,00800,0000,00800DIETARY 33011,A000000,00900,0000,00900NURSING ADMINISTRATION 33011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33011,A000000,01100,0000,01100PHARMACY 33011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33011,A000000,01300,0000,01300SOCIAL SERVICE 33011,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33011,A000000,01600,0000,01600SKILLED NURSING FACILITY 33011,A000000,01800,0000,01800NURSING FACILITY 33011,A000000,01900,0000,01900OTHER LONG TERM CARE 33011,A000000,02100,0000,02100RADIOLOGY 33011,A000000,02200,0000,02200LABORATORY 33011,A000000,02300,0000,02300INTRAVENOUS THERAPY 33011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33011,A000000,02500,0000,02500PHYSICAL THERAPY 33011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33011,A000000,02700,0000,02700SPEECH PATHOLOGY 33011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33011,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 33011,A000000,04800,0000,04800AMBULANCE 33011,A000000,05300,0000,05300INTEREST EXPENSE 33011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33011,A81000A,00100,0100,Y 33011,A81000B,00100,0300,MANAGEMENT FEE 33011,A81000C,00100,0100,A 33011,A81000C,00100,0400,KINGDOM KARE HE 33011,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33011,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33011,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33011,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33011,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33011,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33011,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33011,B100000,00000,0800,00000MEALS SERVED :DIETARY 33011,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33011,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33011,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33011,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33011,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33011,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33011,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33011,S000000,00100,0200,08/28/2000 33011,S200000,00100,0300,P.O. BOX 548 33011,S200000,00200,0100,LYNDONVILLE 33011,S200000,00200,0200,VT 33011,S200000,00200,0300,05851- 33011,S200000,00300,0100,CALEDONIA 33011,S200000,00400,0100,THE PINES REHAB & HEALTH 33011,S200000,00400,0200,475044 33011,S200000,00400,0300,03/31/1994 33011,S200000,00400,0500,P 33011,S200000,01500,0100,Y 33011,S700003,00000,0100,1 33020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33020,A000000,00300,0000,00300EMPLOYEE BENEFITS 33020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33020,A000000,00700,0000,00700HOUSEKEEPING 33020,A000000,00800,0000,00800DIETARY 33020,A000000,00900,0000,00900NURSING ADMINISTRATION 33020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33020,A000000,01100,0000,01100PHARMACY 33020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33020,A000000,01300,0000,01300SOCIAL SERVICE 33020,A000000,01301,0000,01301ACTIVITIES 33020,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33020,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33020,A000000,01600,0000,01600SKILLED NURSING FACILITY 33020,A000000,01800,0000,01800NURSING FACILITY 33020,A000000,01900,0000,01900OTHER LONG TERM CARE 33020,A000000,02100,0000,02100RADIOLOGY 33020,A000000,02200,0000,02200LABORATORY 33020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33020,A000000,02500,0000,02500PHYSICAL THERAPY 33020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33020,A000000,02700,0000,02700SPEECH PATHOLOGY 33020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33020,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33020,A000000,04800,0000,04800AMBULANCE 33020,A81000A,00100,0100,Y 33020,A81000B,00100,0300,MANAGEMENT FEE 33020,A81000B,00200,0300,PURCHASED SERVICES 33020,A81000C,00100,0100,B 33020,A81000C,00100,0400,CENTL VT HOSP 33020,A81000C,00100,0600,GEN HOSP 33020,A81000C,00200,0100,B 33020,A81000C,00200,0400,CENT VT MED CTR 33020,A81000C,00200,0600,MGMT SVC 33020,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33020,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33020,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33020,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33020,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33020,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 33020,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33020,B100000,00000,0800,00000MEALS SERVED :DIETARY 33020,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33020,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 33020,B100000,00000,1150,00000 PERCENT OF TIME:PHARMACY 33020,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 33020,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 33020,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 33020,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICE 33020,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33020,E10A180,00501,0100,03/03/2000 33020,E10A180,00550,0300,03/03/2000 33020,S000000,00100,0200,03/01/2000 33020,S200000,00100,0100,P.O.BOX 550 33020,S200000,00200,0100,BARRE 33020,S200000,00200,0200,VT 33020,S200000,00200,0300,05641- 33020,S200000,00300,0100,WASHINGTON 33020,S200000,00400,0100,WOODRIDGE NURSING HOME 33020,S200000,00400,0200,475045 33020,S200000,00400,0300,03/15/1994 33020,S200000,00400,0500,P 33020,S200000,01500,0100,Y 33028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33028,A000000,00300,0000,00300EMPLOYEE BENEFITS 33028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33028,A000000,00700,0000,00700HOUSEKEEPING 33028,A000000,00800,0000,00800DIETARY 33028,A000000,00900,0000,00900NURSING ADMINISTRATION 33028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33028,A000000,01100,0000,01100PHARMACY 33028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33028,A000000,01300,0000,01300SOCIAL SERVICE 33028,A000000,01301,0000,01301INSERVICE/TRAINING 33028,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33028,A000000,01600,0000,01600SKILLED NURSING FACILITY 33028,A000000,01800,0000,01800NURSING FACILITY 33028,A000000,01900,0000,01900OTHER LONG TERM CARE 33028,A000000,02100,0000,02100RADIOLOGY 33028,A000000,02200,0000,02200LABORATORY 33028,A000000,02500,0000,02500PHYSICAL THERAPY 33028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33028,A000000,02700,0000,02700SPEECH PATHOLOGY 33028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33028,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33028,A000000,04800,0000,04800AMBULANCE 33028,A000000,05300,0000,05300INTEREST EXPENSE 33028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33028,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33028,B100000,00000,0800,00000MEALS SERVED :DIETARY 33028,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33028,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33028,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33028,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33028,B100000,00000,1331,00000PATIENT DAYS :INSERVICE/TRAINING 33028,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33028,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33028,E10A180,00301,0100,11/03/1999 33028,E10A180,00550,0100,06/01/2000 33028,E10A180,00550,0300,06/01/1920 33028,S000000,00100,0200,06/01/2000 33028,S200000,00100,0100,SHELDON ROAD 33028,S200000,00200,0100,ST ALBANS 33028,S200000,00200,0200,VT 33028,S200000,00200,0300,05478- 33028,S200000,00300,0100,FRANKLIN 33028,S200000,00400,0100,FOUR CS INC.-HOLIDAY HOUSE 33028,S200000,00400,0200,475047 33028,S200000,00400,0300,05/01/1994 33028,S200000,00400,0500,P 33028,S200000,01600,0100,Y 33035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33035,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 33035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33035,A000000,00300,0000,00300EMPLOYEE BENEFITS 33035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33035,A000000,00700,0000,00700HOUSEKEEPING 33035,A000000,00800,0000,00800DIETARY 33035,A000000,00900,0000,00900NURSING ADMINISTRATION 33035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33035,A000000,01100,0000,01100PHARMACY 33035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33035,A000000,01300,0000,01300SOCIAL SERVICE 33035,A000000,01350,0000,01500OTHER GENERAL SERVICES 33035,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33035,A000000,01600,0000,01600SKILLED NURSING FACILITY 33035,A000000,01800,0000,01800NURSING FACILITY 33035,A000000,01900,0000,01900OTHER LONG TERM CARE 33035,A000000,02100,0000,02100RADIOLOGY 33035,A000000,02200,0000,02200LABORATORY 33035,A000000,02300,0000,02300INTRAVENOUS THERAPY 33035,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33035,A000000,02500,0000,02500PHYSICAL THERAPY 33035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33035,A000000,02700,0000,02700SPEECH PATHOLOGY 33035,A000000,02800,0000,02800ELECTROCARDIOLOGY 33035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33035,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 33035,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 33035,A000000,03200,0000,03200SUPPORT SURFACES 33035,A000000,03400,0000,03400CLINIC 33035,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 33035,A000000,03500,0000,03500RURAL HEALTH CLINIC 33035,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 33035,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 33035,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 33035,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 33035,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 33035,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 33035,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 33035,A000000,04400,0000,04400DME RENTED - HHA 33035,A000000,04500,0000,04500DME SOLD - HHA 33035,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 33035,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 33035,A000000,04750,0000,05100OTHER REIMBURSABLE COST 33035,A000000,04800,0000,04800AMBULANCE 33035,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 33035,A000000,05000,0000,05000CORF 33035,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 33035,A000000,05300,0000,05300INTEREST EXPENSE 33035,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 33035,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 33035,A000000,05500,0000,05500HOSPICE 33035,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 33035,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33035,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 33035,A000000,06100,0000,06100NONPAID WORKERS 33035,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 33035,A000000,06200,0000,06200PATIENTS LAUNDRY 33035,A81000A,00100,0100,Y 33035,A81000B,00100,0300,SUPPLIES 33035,A81000B,00200,0300,MANAGEMENT FEES 33035,A81000B,00300,0300,LAUNDRY SERVICES 33035,A81000C,00100,0100,B 33035,A81000C,00100,0200,NORTH COUNTRY HOSPITAL 33035,A81000C,00100,0400,HOSPITAL 33035,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33035,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 33035,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33035,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33035,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33035,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 33035,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 33035,B100000,00000,0800,00000MEALS SERVED :DIETARY 33035,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 33035,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 33035,S000000,00100,0200,03/09/2000 33035,S200000,00100,0100,MAIN STREET 33035,S200000,00200,0100,DERBY 33035,S200000,00200,0200,VT 33035,S200000,00200,0300,05829- 33035,S200000,00300,0100,ORLEANS 33035,S200000,00300,0200,47 33035,S200000,00300,0300,R 33035,S200000,00400,0100,NORTH COUNTRY HLTH SVC (DERBY GREEN) 33035,S200000,00400,0200,475048 33035,S200000,00400,0300,10/01/1994 33035,S200000,00400,0500,P 33035,S200000,01500,0100,Y 33035,S200000,02200,0100,Y 33040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33040,A000000,00300,0000,00300EMPLOYEE BENEFITS 33040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33040,A000000,00700,0000,00700HOUSEKEEPING 33040,A000000,00800,0000,00800DIETARY 33040,A000000,00900,0000,00900NURSING ADMINISTRATION 33040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33040,A000000,01100,0000,01100PHARMACY 33040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33040,A000000,01300,0000,01300SOCIAL SERVICE 33040,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33040,A000000,01600,0000,01600SKILLED NURSING FACILITY 33040,A000000,01800,0000,01800NURSING FACILITY 33040,A000000,01900,0000,01900OTHER LONG TERM CARE 33040,A000000,02100,0000,02100RADIOLOGY 33040,A000000,02200,0000,02200LABORATORY 33040,A000000,02300,0000,02300INTRAVENOUS THERAPY 33040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33040,A000000,02500,0000,02500PHYSICAL THERAPY 33040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33040,A000000,02700,0000,02700SPEECH PATHOLOGY 33040,A000000,02800,0000,02800ELECTROCARDIOLOGY 33040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33040,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33040,A000000,04800,0000,04800AMBULANCE 33040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33040,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33040,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33040,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33040,B100000,00000,0800,00000MEALS SERVED :DIETARY 33040,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33040,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33040,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33040,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33040,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33040,E10A180,00501,0100,05/30/2000 33040,E10A180,00550,0300,05/30/2000 33040,S000000,00100,0200,05/31/2000 33040,S200000,00100,0100,30 MAPLE STREET 33040,S200000,00100,0300,1117 33040,S200000,00200,0100,BRATTLEBORO 33040,S200000,00200,0200,VT 33040,S200000,00200,0300,05302- 33040,S200000,00300,0100,WINDHAM 33040,S200000,00300,0200,0047 33040,S200000,00300,0300,R 33040,S200000,00400,0100,THOMPSON HOUSE 33040,S200000,00400,0200,475050 33040,S200000,00400,0300,07/01/1995 33040,S200000,00400,0500,P 33040,S200000,01500,0100,Y 33047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33047,A000000,00300,0000,00300EMPLOYEE BENEFITS 33047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33047,A000000,00700,0000,00700HOUSEKEEPING 33047,A000000,00800,0000,00800DIETARY 33047,A000000,00900,0000,00900NURSING ADMINISTRATION 33047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33047,A000000,01100,0000,01100PHARMACY 33047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33047,A000000,01300,0000,01300SOCIAL SERVICE 33047,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33047,A000000,01600,0000,01600SKILLED NURSING FACILITY 33047,A000000,01800,0000,01800NURSING FACILITY 33047,A000000,01900,0000,01900OTHER LONG TERM CARE 33047,A000000,02100,0000,02100RADIOLOGY 33047,A000000,02200,0000,02200LABORATORY 33047,A000000,02300,0000,02300INTRAVENOUS THERAPY 33047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33047,A000000,02500,0000,02500PHYSICAL THERAPY 33047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33047,A000000,02700,0000,02700SPEECH PATHOLOGY 33047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33047,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33047,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 33047,A000000,04800,0000,04800AMBULANCE 33047,A000000,05300,0000,05300INTEREST EXPENSE 33047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33047,A81000A,00100,0100,Y 33047,A81000B,00100,0300,SNOWPLOWING 33047,A81000C,00100,0100,A 33047,A81000C,00100,0200,JOSEPH GIROUARD 33047,A81000C,00100,0400,ADMINISTRATOR 33047,A81000C,00100,0600,INDIVIDUAL 33047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33047,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33047,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33047,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33047,B100000,00000,0800,00000MEALS SERVED :DIETARY 33047,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33047,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33047,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33047,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33047,S000000,00100,0200,07/24/2000 33047,S200000,00100,0100,8 GILL TERRACE 33047,S200000,00200,0100,LUDLOW 33047,S200000,00200,0200,VT 33047,S200000,00200,0300,05149- 33047,S200000,00300,0100,WINDSOR 33047,S200000,00300,0200,0047 33047,S200000,00300,0300,R 33047,S200000,00400,0100,GILL ODD FELLOWS HOME OF VERMONT 33047,S200000,00400,0200,475052 33047,S200000,00400,0300,10/01/1995 33047,S200000,00400,0500,P 33047,S200000,01600,0100,Y 33047,S200000,04700,0100,Y 33047,S200000,04700,0200,Y 33053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33053,A000000,00300,0000,00300EMPLOYEE BENEFITS 33053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33053,A000000,00700,0000,00700HOUSEKEEPING 33053,A000000,00800,0000,00800DIETARY 33053,A000000,00900,0000,00900NURSING ADMINISTRATION 33053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33053,A000000,01100,0000,01100PHARMACY 33053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33053,A000000,01300,0000,01300SOCIAL SERVICE 33053,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33053,A000000,01600,0000,01600SKILLED NURSING FACILITY 33053,A000000,01800,0000,01800NURSING FACILITY 33053,A000000,01900,0000,01900OTHER LONG TERM CARE 33053,A000000,02100,0000,02100RADIOLOGY 33053,A000000,02200,0000,02200LABORATORY 33053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33053,A000000,02500,0000,02500PHYSICAL THERAPY 33053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33053,A000000,02700,0000,02700SPEECH PATHOLOGY 33053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33053,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33053,A000000,04800,0000,04800AMBULANCE 33053,A000000,05300,0000,05300INTEREST EXPENSE 33053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33053,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33053,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33053,B100000,00000,0800,00000MEALS SERVED :DIETARY 33053,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33053,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33053,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33053,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33053,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33053,S000000,00100,0200,01/25/2000 33053,S200000,00100,0100,ONE RICHARDSON AVE 33053,S200000,00200,0100,NORTHFIELD 33053,S200000,00200,0200,VT 33053,S200000,00200,0300,05663- 33053,S200000,00300,0100,ORANGE 33053,S200000,00300,0200,47 33053,S200000,00300,0300,R 33053,S200000,00400,0100,MAYO HEALTHCARE INC. 33053,S200000,00400,0200,475053 33053,S200000,00400,0300,10/01/1995 33053,S200000,00400,0500,P 33053,S200000,01500,0100,Y 33066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33066,A000000,00300,0000,00300EMPLOYEE BENEFITS 33066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33066,A000000,00700,0000,00700HOUSEKEEPING 33066,A000000,00800,0000,00800DIETARY 33066,A000000,00900,0000,00900NURSING ADMINISTRATION 33066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33066,A000000,01100,0000,01100PHARMACY 33066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33066,A000000,01300,0000,01300SOCIAL SERVICE 33066,A000000,01301,0000,01301INSERVICE 33066,A000000,01302,0000,01302ACTIVITIES 33066,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33066,A000000,01600,0000,01600SKILLED NURSING FACILITY 33066,A000000,01800,0000,01800NURSING FACILITY 33066,A000000,01900,0000,01900OTHER LONG TERM CARE 33066,A000000,02100,0000,02100RADIOLOGY 33066,A000000,02200,0000,02200LABORATORY 33066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33066,A000000,02500,0000,02500PHYSICAL THERAPY 33066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33066,A000000,02700,0000,02700SPEECH PATHOLOGY 33066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33066,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33066,A000000,04800,0000,04800AMBULANCE 33066,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 33066,A000000,05300,0000,05300INTEREST EXPENSE 33066,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 33066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33066,A81000A,00100,0100,Y 33066,A81000B,00100,0300,MANAGEMENT FEE 33066,A81000B,00200,0300,LEASE EXPENSE 33066,A81000B,00300,0300,AMORT- ORGANIZATIONAL COSTS 33066,A81000B,00400,0300,AMORT - ORGANIZATIONAL COSTS 33066,A81000B,00500,0300,AMORT - ORGANIZATIONAL COSTS 33066,A81000C,00100,0100,A 33066,A81000C,00100,0200,FINKELSTEIN/POR 33066,A81000C,00100,0400,SUBACUTE MGMT 33066,A81000C,00100,0600,MGMT CO 33066,A81000C,00200,0100,A 33066,A81000C,00200,0200,PORTNOY/MARTIN 33066,A81000C,00200,0400,HRPT 33066,A81000C,00200,0600,REIT 33066,A81000C,00300,0100,A 33066,A81000C,00300,0200,PORTNOY/MARTIN 33066,A81000C,00300,0400,HRPT 33066,A81000C,00300,0600,REIT 33066,A81000C,00400,0100,A 33066,A81000C,00400,0200,FINKELSTEIN/POR 33066,A81000C,00400,0400,SUBACUTE MGMT 33066,A81000C,00400,0600,MGMT CO 33066,A81000C,00500,0100,A 33066,A81000C,00500,0200,PORTNOY 33066,A81000C,00500,0400,SULL & WORCHEST 33066,A81000C,00500,0600,LAW FIRM 33066,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33066,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33066,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33066,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33066,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33066,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33066,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33066,B100000,00000,0800,00000MEALS SERVED :DIETARY 33066,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33066,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33066,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33066,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33066,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33066,B100000,00000,1331,00000NURSING HOURS :INSERVICE 33066,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 33066,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33066,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33066,S000000,00100,0200,01/24/2000 33066,S200000,00100,0100,7 FOREST HILL DRIVE 33066,S200000,00200,0100,ST ALBANS 33066,S200000,00200,0200,VT 33066,S200000,00200,0300,05478- 33066,S200000,00300,0100,FRANKLIN 33066,S200000,00400,0100,REDSTONE VILLA 33066,S200000,00400,0200,475055 33066,S200000,00400,0300,02/01/1995 33066,S200000,00400,0500,P 33066,S200000,01004,0500,O 33066,S200000,01500,0100,Y 33066,S700003,00000,0400,4 33068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33068,A000000,00300,0000,00300EMPLOYEE BENEFITS 33068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33068,A000000,00700,0000,00700HOUSEKEEPING 33068,A000000,00800,0000,00800DIETARY 33068,A000000,00900,0000,00900NURSING ADMINISTRATION 33068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33068,A000000,01100,0000,01100PHARMACY 33068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33068,A000000,01300,0000,01300SOCIAL SERVICE 33068,A000000,01301,0000,01301INSERVICE 33068,A000000,01302,0000,01302ACTIVITIES 33068,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 33068,A000000,01600,0000,01600SKILLED NURSING FACILITY 33068,A000000,01800,0000,01800NURSING FACILITY 33068,A000000,01900,0000,01900OTHER LONG TERM CARE 33068,A000000,02100,0000,02100RADIOLOGY 33068,A000000,02200,0000,02200LABORATORY 33068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33068,A000000,02500,0000,02500PHYSICAL THERAPY 33068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33068,A000000,02700,0000,02700SPEECH PATHOLOGY 33068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33068,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33068,A000000,04800,0000,04800AMBULANCE 33068,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 33068,A000000,05300,0000,05300INTEREST EXPENSE 33068,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 33068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33068,A81000A,00100,0100,Y 33068,A81000B,00100,0300,MANAGEMENT FEE 33068,A81000B,00200,0300,HOME OFFICE CAPITAL 33068,A81000C,00100,0100,B 33068,A81000C,00100,0200,CPL SUBACUTE LL 33068,A81000C,00100,0400,CPL SUBACUTE LL 33068,A81000C,00100,0600,HOME OFFICE 33068,A81000C,00200,0100,B 33068,A81000C,00200,0200,CPL SUBACUTE LL 33068,A81000C,00200,0400,CPL SUBACUTE LL 33068,A81000C,00200,0600,HOME OFFICE 33068,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33068,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33068,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33068,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33068,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33068,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33068,B100000,00000,0800,00000MEALS SERVED :DIETARY 33068,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33068,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 33068,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33068,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 33068,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 33068,B100000,00000,1331,00000NURSING HOURS :INSERVICE 33068,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 33068,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33068,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 33068,S000000,00100,0200,06/01/2000 33068,S200000,00100,0100,7 FOREST HILL DRIVE 33068,S200000,00200,0100,ST ALBANS 33068,S200000,00200,0200,VT 33068,S200000,00200,0300,05478- 33068,S200000,00300,0100,FRANKLIN 33068,S200000,00400,0100,REDSTONE VILLA 33068,S200000,00400,0200,475055 33068,S200000,00400,0300,04/01/1999 33068,S200000,00400,0500,P 33068,S200000,01500,0100,Y 33068,S700003,00000,0400,4 33072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 33072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 33072,A000000,00300,0000,00300EMPLOYEE BENEFITS 33072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 33072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33072,A000000,00700,0000,00700HOUSEKEEPING 33072,A000000,00800,0000,00800DIETARY 33072,A000000,00900,0000,00900NURSING ADMINISTRATION 33072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33072,A000000,01100,0000,01100PHARMACY 33072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33072,A000000,01300,0000,01300SOCIAL SERVICE 33072,A000000,01301,0000,01301SECURITY 33072,A000000,01302,0000,01302ACTIVITIES 33072,A000000,01303,0000,01303TRANSPORT 33072,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 33072,A000000,01600,0000,01600SKILLED NURSING FACILITY 33072,A000000,01800,0000,01800NURSING FACILITY 33072,A000000,02100,0000,02100RADIOLOGY 33072,A000000,02200,0000,02200LABORATORY 33072,A000000,02300,0000,02300INTRAVENOUS THERAPY 33072,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 33072,A000000,02500,0000,02500PHYSICAL THERAPY 33072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 33072,A000000,02700,0000,02700SPEECH PATHOLOGY 33072,A000000,02800,0000,02800ELECTROCARDIOLOGY 33072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 33072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 33072,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 33072,A000000,04800,0000,04800AMBULANCE 33072,A000000,05300,0000,05300INTEREST EXPENSE 33072,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 33072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 33072,A000000,06001,0000,06001CLINIC 33072,A000000,06150,0000,06300INDEPENDENT LIVING UNITS 33072,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 33072,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 33072,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 33072,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 33072,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 33072,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 33072,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 33072,B100000,00000,0800,00000MEALS SERVED :DIETARY 33072,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 33072,B100000,00000,1050,00000LINDEN PATIENT DA :CENTRAL SERVICES 33072,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 33072,B100000,00000,1250,00000LINDEN PATIENT DA :MEDICAL RECORDS 33072,B100000,00000,1330,00000MARKETING DISALLOWED :SOCIAL SERVI 33072,B100000,00000,1331,00000PATIENT DAYS :SECURITY 33072,B100000,00000,1332,00000INDEPENDEN LIVING 100 :ACTIVITIES 33072,B100000,00000,1333,00000USAGE :TRANSPORT 33072,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 33072,S000000,00100,0200,05/30/2000 33072,S200000,00100,0100,200 WAKE ROBIN DRIVE 33072,S200000,00200,0100,SHELBURNE 33072,S200000,00200,0200,VT 33072,S200000,00200,0300,05482- 33072,S200000,00300,0100,CHITTENDEN 33072,S200000,00400,0100,WAKE ROBIN CORPORATION 33072,S200000,00400,0200,475056 33072,S200000,00400,0300,01/01/1998 33072,S200000,00400,0500,P 33072,S200000,01004,0500,O 33072,S200000,01500,0100,Y 33370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 33370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 33370,A000000,00300,0000,00300EMPLOYEE BENEFITS 33370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 33370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 33370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 33370,A000000,00700,0000,00700HOUSEKEEPING 33370,A000000,00800,0000,00800DIETARY 33370,A000000,00900,0000,00900NURSING ADMINISTRATION 33370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 33370,A000000,01100,0000,01100PHARMACY 33370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 33370,A000000,01300,0000,01300SOCIAL SERVICE 33370,A000000,01350,0000,01500OTHER GENERAL SERVICES 33370,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 33370,A000000,01600,0000,01600SKILLED NURSING FACILITY 33370,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 33370,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 33370,A000000,03550,0000,03550FQHC 33370,A000000,04750,0000,05100OTHER REIMBURSABLE COST 33370,A000000,05000,0000,05000CORF 33370,A000000,05010,0000,05010CMHC 33370,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 33370,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 33370,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 33370,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 33370,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 33370,B100000,00000,0100,00000SQUARE FEET 33370,B100000,00000,0200,00000DOLLAR VALUE 33370,B100000,00000,0300,00000GROSS SALARIES 33370,B100000,00000,0400,00000ACCUM. COST 33370,B100000,00000,0500,00000SQUARE FEET 33370,B100000,00000,0600,00000POUNDS OF LAUNDRY 33370,B100000,00000,0700,00000HOURS OF SERVICE 33370,B100000,00000,0800,00000MEALS SERVED 33370,B100000,00000,0900,00000DIRECT NRSING HRS 33370,B100000,00000,1000,00000COSTED REQUIS. 33370,B100000,00000,1100,00000COSTED REQUIS. 33370,B100000,00000,1200,00000TIME SPENT 33370,B100000,00000,1300,00000TIME SPENT 33370,B100000,00000,1350,00000NO STATISTICS 33370,B100000,00000,1400,00000ASSIGNED TIME 33370,S000000,00100,0200,06/24/1999 33370,S200000,00100,0100,188 HIGHWAY 34 33370,S200000,00200,0100,HOLMDEL 33370,S200000,00200,0200,NJ 33370,S200000,00200,0300,07733 33370,S200000,00300,0100,MONMOUTH 33370,S200000,00400,0100,HOLMDEL CONVALESCENT CENTER 33370,S200000,00400,0200,315092 33370,S200000,00400,0300,10/04/1968 33370,S200000,00400,0500,P 33370,S200000,01500,0100,Y 34530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34530,A000000,00300,0000,00300EMPLOYEE BENEFITS 34530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34530,A000000,00700,0000,00700HOUSEKEEPING 34530,A000000,00800,0000,00800DIETARY 34530,A000000,00900,0000,00900NURSING ADMINISTRATION 34530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34530,A000000,01100,0000,01100PHARMACY 34530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34530,A000000,01300,0000,01300SOCIAL SERVICE 34530,A000000,01301,0000,01301ACTIVITIES 34530,A000000,01350,0000,01500REHAB 34530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34530,A000000,01600,0000,01600SKILLED NURSING FACILITY 34530,A000000,01800,0000,01800NURSING FACILITY 34530,A000000,01810,0000,01810ICF/MR 34530,A000000,02100,0000,02100RADIOLOGY 34530,A000000,02200,0000,02200LABORATORY 34530,A000000,02300,0000,02300INTRAVENOUS THERAPY 34530,A000000,02500,0000,02500PHYSICAL THERAPY 34530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34530,A000000,02700,0000,02700SPEECH PATHOLOGY 34530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34530,A000000,03050,0000,03300EQUIPMENT RENTAL 34530,A000000,03051,0000,03301PEN THERAPY 34530,A000000,03550,0000,03550FQHC 34530,A000000,05000,0000,05000CORF 34530,A000000,05010,0000,05010CMHC 34530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34530,A000000,05300,0000,05300INTEREST EXPENSE 34530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34530,A000000,06150,0000,06300VENDING 34530,A000000,06151,0000,06301OTHER & STANDBY 34530,A81000A,00100,0100,Y 34530,A81000B,00100,0300,ADMIN & GENERAL 34530,A81000B,00200,0300,CENTRAL SUPPLY 34530,A81000B,00300,0300,MEDICAL SUPPLIES 34530,A81000B,00400,0300,ADMINISTRATION 34530,A81000B,00500,0300,PLANT 34530,A81000B,00600,0300,DIETARY 34530,A81000B,00700,0300,DRUGS 34530,A81000B,00800,0300,EQUIPMENT RENTAL 34530,A81000B,00900,0300,IV 34530,A81000B,01000,0300,PT 34530,A81000B,01100,0300,PT 34530,A81000B,01200,0300,OT 34530,A81000C,00100,0100,B 34530,A81000C,00100,0200,MARINER HEALTH 34530,A81000C,00100,0400,MARINER PAN 34530,A81000C,00100,0600,NURSING HOMES 34530,A81000C,00200,0100,G 34530,A81000C,00200,0200,MARINER PAN 34530,A81000C,00200,0400,AMERICAN PHARMA 34530,A81000C,00200,0600,PHARMACEUTICALS 34530,A81000C,00300,0100,G 34530,A81000C,00300,0200,MARINER PAN 34530,A81000C,00300,0400,PRISM (ATS ARS 34530,A81000C,00300,0600,THERAPIES 34530,B100000,00000,0100,00001SQUARE FEET 34530,B100000,00000,0200,00001SQUARE FEET 34530,B100000,00000,0300,00001GROSS SALARIES 34530,B100000,00000,0400,00001ACCUM COST 34530,B100000,00000,0500,00001SQUARE FEET 34530,B100000,00000,0600,00001PATIENT DAYS 34530,B100000,00000,0700,00001SQUARE FEET 34530,B100000,00000,0800,00001MEALS SERVED 34530,B100000,00000,0900,00001HOURS OF SERVICE 34530,B100000,00000,1000,00001PATIENT DAYS 34530,B100000,00000,1100,00001COSTED REQUIS 34530,B100000,00000,1200,00001PATIENT DAYS 34530,B100000,00000,1300,00001PATIENT DAYS 34530,B100000,00000,1301,00001PATIENT DAYS 34530,B100000,00000,1350,00001UNITS OF SERVICE 34530,B100000,00000,1400,00001ASSIGNED TIME 34530,S000000,00100,0200,06/02/2000 34530,S200000,00100,0100,895 SOUTH MONACO PARKWAY 34530,S200000,00200,0100,DENVER 34530,S200000,00200,0200,CO 34530,S200000,00200,0300,80224 34530,S200000,00300,0100,DENVER 34530,S200000,00400,0100,MARINER OF DENVER 34530,S200000,00400,0200,065290 34530,S200000,00400,0300,04/01/1991 34530,S200000,00400,0500,P 34530,S200000,01600,0100,Y 34534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34534,A000000,00300,0000,00300EMPLOYEE BENEFITS 34534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34534,A000000,00700,0000,00700HOUSEKEEPING 34534,A000000,00800,0000,00800DIETARY 34534,A000000,00900,0000,00900NURSING ADMINISTRATION 34534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34534,A000000,01100,0000,01100PHARMACY 34534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34534,A000000,01300,0000,01300SOCIAL SERVICE 34534,A000000,01350,0000,01500RECREATION 34534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34534,A000000,01600,0000,01600SKILLED NURSING FACILITY 34534,A000000,01800,0000,01800NURSING FACILITY 34534,A000000,01810,0000,01810ICF/MR 34534,A000000,02300,0000,02300INTRAVENOUS THERAPY 34534,A000000,02500,0000,02500PHYSICAL THERAPY 34534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34534,A000000,02700,0000,02700SPEECH PATHOLOGY 34534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34534,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34534,A000000,03200,0000,03200SUPPORT SURFACES 34534,A000000,03550,0000,03550FQHC 34534,A000000,05000,0000,05000CORF 34534,A000000,05010,0000,05010CMHC 34534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34534,A000000,06150,0000,06300DENTAL 34534,B100000,00000,0100,00000SQUARE FEET 34534,B100000,00000,0200,00000SQUARE FEET 34534,B100000,00000,0300,00000GROSS SALARIES 34534,B100000,00000,0400,00000ACCUM COST 34534,B100000,00000,0500,00000SQUARE FEET 34534,B100000,00000,0600,00000POUNDS OF LAUNDRY 34534,B100000,00000,0700,00000SQUARE FEET 34534,B100000,00000,0800,00000MEALS SERVED 34534,B100000,00000,0900,00000PATIENT DAYS 34534,B100000,00000,1000,00000COSTED REQUIS 34534,B100000,00000,1100,00000PATIENT DAYS 34534,B100000,00000,1200,00000TIME SPENT 34534,B100000,00000,1300,00000PATIENT DAYS 34534,B100000,00000,1350,00000PATIENT DAYS 34534,B100000,00000,1400,00000ASSIGNED TIME 34534,S000000,00100,0200,04/20/2000 34534,S200000,00100,0100,565 VERNON STREET 34534,S200000,00200,0100,MANCHESTER 34534,S200000,00200,0200,CT 34534,S200000,00200,0300,06040 34534,S200000,00300,0100,HARTFORD 34534,S200000,00400,0100,MANCHESTER HEALTH CARE CTR INC. 34534,S200000,00400,0200,075013 34534,S200000,00400,0300,05/14/1982 34534,S200000,00400,0500,P 34534,S200000,00600,0200,075013 34534,S200000,00600,0300,05/14/1982 34534,S200000,00600,0600,P 34534,S200000,01600,0100,Y 34541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34541,A000000,00300,0000,00300EMPLOYEE BENEFITS 34541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34541,A000000,00700,0000,00700HOUSEKEEPING 34541,A000000,00800,0000,00800DIETARY 34541,A000000,00900,0000,00900NURSING ADMINISTRATION 34541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34541,A000000,01100,0000,01100PHARMACY 34541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34541,A000000,01300,0000,01300SOCIAL SERVICE 34541,A000000,01350,0000,01500RECREATION 34541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34541,A000000,01600,0000,01600SKILLED NURSING FACILITY 34541,A000000,01810,0000,01810ICF/MR 34541,A000000,02100,0000,02100RADIOLOGY 34541,A000000,02200,0000,02200LABORATORY 34541,A000000,02300,0000,02300INTRAVENOUS THERAPY 34541,A000000,02500,0000,02500PHYSICAL THERAPY 34541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34541,A000000,02700,0000,02700SPEECH PATHOLOGY 34541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34541,A000000,03050,0000,03300EKG 34541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 34541,A000000,03550,0000,03550FQHC 34541,A000000,05000,0000,05000CORF 34541,A000000,05010,0000,05010CMHC 34541,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34541,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34541,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34541,A81000A,00100,0100,Y 34541,A81000B,00100,0300,RENT 34541,A81000B,00200,0300,INTEREST 34541,A81000B,00300,0300,DEPRECIATION @ 40 YR 34541,A81000B,00400,0300,CORP FEES 34541,A81000B,00500,0300,CORP ACCOUNTING FEES 34541,A81000B,00600,0300,CORP MANAGEMENT 34541,A81000B,00700,0300,OWNERS SALARIES 34541,A81000B,00800,0300,PSYCHIATRIST 34541,A81000B,00900,0300,NURSING POOL 34541,A81000C,00100,0100,A 34541,A81000C,00100,0200,BRIAN J FOLEY 34541,A81000C,00100,0400,CHESTERFIELDS R 34541,A81000C,00100,0600,REAL ESTATE REN 34541,A81000C,00200,0100,A 34541,A81000C,00200,0200,BRIAN J FOLEY 34541,A81000C,00200,0400,APPLE HEALTH CA 34541,A81000C,00200,0600,CORP MNGT & ACC 34541,A81000C,00300,0100,A 34541,A81000C,00300,0200,BRIAN J FOLEY 34541,A81000C,00300,0400,ESP 34541,A81000C,00300,0600,NURSING POOL 34541,A81000C,00400,0100,D 34541,A81000C,00400,0200,LISA WILSON FOL 34541,A81000C,00400,0400,MED OPTIONS 34541,A81000C,00400,0600,PSYCH CONSULTAN 34541,B100000,00000,0100,00000SQUARE FEET 34541,B100000,00000,0200,00000SQUARE FEET 34541,B100000,00000,0300,00000GROSS SALARIES 34541,B100000,00000,0400,00000ACCUM COST 34541,B100000,00000,0500,00000SQUARE FEET 34541,B100000,00000,0600,00000POUNDS OF LAUNDRY 34541,B100000,00000,0700,00000HOURS OF SERVICE 34541,B100000,00000,0800,00000MEALS SERVED 34541,B100000,00000,0900,00000DIRECT NRSG HRS 34541,B100000,00000,1000,00000COSTED REQUIS 34541,B100000,00000,1100,00000COSTED REQUIS 34541,B100000,00000,1200,00000TIME SPENT 34541,B100000,00000,1300,00000TIME SPENT 34541,B100000,00000,1350,00000 100% 34541,B100000,00000,1400,00000ASSIGNED TIME 34541,S000000,00100,0200,06/07/2000 34541,S200000,00100,0100,132 MAIN STREET 34541,S200000,00200,0100,CHESTER 34541,S200000,00200,0200,CT 34541,S200000,00200,0300,06412 34541,S200000,00300,0100,MIDDLESEX 34541,S200000,00400,0100,CHESTERFIELDS 34541,S200000,00400,0200,075028 34541,S200000,00400,0300,01/01/1967 34541,S200000,00400,0500,P 34541,S200000,01500,0100,Y 34544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34544,A000000,00101,0000,00101CAPITAL REL.-BLDGS & FIXTURES I 34544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34544,A000000,00201,0000,00201CAPITAL REL.-MOV. EQUIP II 34544,A000000,00300,0000,00300EMPLOYEE BENEFITS 34544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34544,A000000,00700,0000,00700HOUSEKEEPING 34544,A000000,00800,0000,00800DIETARY 34544,A000000,00801,0000,00801CAFETERIA 34544,A000000,00900,0000,00900NURSING ADMINISTRATION 34544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34544,A000000,01100,0000,01100PHARMACY 34544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34544,A000000,01300,0000,01300SOCIAL SERVICE 34544,A000000,01350,0000,01500ACTIVITIES 34544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34544,A000000,01600,0000,01600SKILLED NURSING FACILITY 34544,A000000,01800,0000,01800NURSING FACILITY 34544,A000000,01810,0000,01810ICF/MR 34544,A000000,02100,0000,02100RADIOLOGY 34544,A000000,02500,0000,02500PHYSICAL THERAPY 34544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34544,A000000,02700,0000,02700SPEECH PATHOLOGY 34544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34544,A000000,03050,0000,03300DME 34544,A000000,03051,0000,03301ORTHOTICS 34544,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 34544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 34544,A000000,03550,0000,03550FQHC 34544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34544,A000000,05000,0000,05000CORF 34544,A000000,05010,0000,05010CMHC 34544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 34544,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 34544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34544,A81000A,00100,0100,Y 34544,A81000B,00100,0300,HOME OFFICE ALLOCATI 34544,A81000C,00100,0100,B 34544,A81000C,00100,0200,HARBORSIDE HEALTHCAR 34544,A81000C,00100,0600,MANAGEMENT COMPANY 34544,A81000C,00500,0100,B 34544,A81000C,00500,0200,HARBORSIDE REHAB 34544,A81000C,00500,0600,THERAPY THERACOR 34544,B100000,00000,0100,00000SQUARE FEET 34544,B100000,00000,0101,00000SQUARE FEET 34544,B100000,00000,0200,00000SQUARE FEET 34544,B100000,00000,0201,00000SQUARE FEET 34544,B100000,00000,0300,00000GROSS SALARIES 34544,B100000,00000,0400,00000ACCUM COST 34544,B100000,00000,0500,00000SQUARE FEET 34544,B100000,00000,0600,00000POUNDS OF LAUNDRY 34544,B100000,00000,0700,00000HOURS OF SERVICE 34544,B100000,00000,0800,00000MEALS SERVED 34544,B100000,00000,0801,00000MEALS SERVED 34544,B100000,00000,0900,00000DIRECT NRSG HRS 34544,B100000,00000,1000,00000COSTED REQUIS 34544,B100000,00000,1100,00000COSTED REQUIS 34544,B100000,00000,1200,00000TIME SPENT 34544,B100000,00000,1300,00000TIME SPENT 34544,B100000,00000,1350,00000PATIENT DAYS 34544,B100000,00000,1400,00000ASSIGNED TIME 34544,E10A180,00501,0100,06/27/2001 34544,E10A180,00550,0300,06/27/2001 34544,S000000,00100,0200,07/01/1999 34544,S200000,00100,0100,1 GLEN HILL ROAD 34544,S200000,00200,0100,DANBURY 34544,S200000,00200,0200,CT 34544,S200000,00200,0300,06811 34544,S200000,00300,0100,FAIRFIELD 34544,S200000,00400,0100,HARBORSIDE HEALTHCARE-GLEN HILL 34544,S200000,00400,0200,075031 34544,S200000,00400,0300,01/01/1967 34544,S200000,00400,0500,P 34544,S200000,00400,0600,O 34544,S200000,01500,0100,Y 34546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34546,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 34546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34546,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 34546,A000000,00300,0000,00300EMPLOYEE BENEFITS 34546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34546,A000000,00700,0000,00700HOUSEKEEPING 34546,A000000,00800,0000,00800DIETARY 34546,A000000,00801,0000,00801CAFETERIA 34546,A000000,00900,0000,00900NURSING ADMINISTRATION 34546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34546,A000000,01100,0000,01100PHARMACY 34546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34546,A000000,01300,0000,01300SOCIAL SERVICE 34546,A000000,01350,0000,01500ACTIVITIES 34546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34546,A000000,01600,0000,01600SKILLED NURSING FACILITY 34546,A000000,01810,0000,01810ICF/MR 34546,A000000,02100,0000,02100RADIOLOGY 34546,A000000,02200,0000,02200LABORATORY 34546,A000000,02500,0000,02500PHYSICAL THERAPY 34546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34546,A000000,02700,0000,02700SPEECH PATHOLOGY 34546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34546,A000000,03050,0000,03300DME 34546,A000000,03051,0000,03301ORTHOTICS 34546,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 34546,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 34546,A000000,03550,0000,03550FQHC 34546,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34546,A000000,04800,0000,04800AMBULANCE 34546,A000000,05000,0000,05000CORF I 34546,A000000,05010,0000,05010CMHC I 34546,A000000,05020,0000,05020OPT I 34546,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34546,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34546,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 34546,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 34546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34546,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34546,A81000A,00100,0100,Y 34546,A81000B,00100,0300,HOME OFFICE ALLOCATION 34546,A81000B,00200,0300,THERACOR ACTUAL COSTS 34546,A81000B,00300,0300,THERACOR ACTUAL COSTS 34546,A81000B,00400,0300,THERACOR ACTUAL COSTS 34546,A81000C,00100,0100,B 34546,A81000C,00100,0200,HARBORSIDE 34546,A81000C,00200,0200,HEALTHCARE 34546,A81000C,00300,0200,LIMITED PSHIP 34546,A81000C,00300,0600,MANAGEMENT CO 34546,A81000C,00500,0100,B 34546,A81000C,00500,0200,HARBORSIDE 34546,A81000C,00600,0200,REHABILITITAION 34546,A81000C,00700,0200,LIMITED PSHIP 34546,A81000C,00700,0600,THERAPY 34546,A81000C,00800,0600,SERVICE AND 34546,A81000C,00900,0600,MANAGEMENT CO 34546,B100000,00000,0100,00000(SQUARE FEET) 34546,B100000,00000,0101,00000(SQUARE FEET) 34546,B100000,00000,0200,00000(SQUARE FEET) 34546,B100000,00000,0201,00000(SQUARE FEET) 34546,B100000,00000,0300,00000(GROSS SALARIES) 34546,B100000,00000,0400,00000(ACCUM. COST) 34546,B100000,00000,0500,00000(SQUARE FEET) 34546,B100000,00000,0600,00000(PATIENT DAYS) 34546,B100000,00000,0700,00000(SQUARE FEET) 34546,B100000,00000,0800,00000(MEALS SERVED) 34546,B100000,00000,0801,00000(MEALS SERVED) 34546,B100000,00000,0900,00000(NURSING SALARIES) 34546,B100000,00000,1000,00000(PATIENT DAYS) 34546,B100000,00000,1100,00000(PATIENT DAYS) 34546,B100000,00000,1200,00000(PATIENT DAYS) 34546,B100000,00000,1300,00000(PATIENT DAYS) 34546,B100000,00000,1350,00000(PATIENT DAYS) 34546,B100000,00000,1400,00000(ASSIGNED TIME) 34546,E10A180,00501,0100,06/26/2001 34546,S000000,00100,0200,05/31/2000 34546,S200000,00100,0100,1 GLEN HILL RD 34546,S200000,00200,0100,DANBURY 34546,S200000,00200,0200,CT 34546,S200000,00200,0300,06811 34546,S200000,00300,0100,FAIRFIELD 34546,S200000,00400,0100,HHC - GLEN HILL 34546,S200000,00400,0200,075031 34546,S200000,00400,0300,01/01/1967 34546,S200000,00400,0500,P 34546,S200000,01500,0100,Y 34546,S200000,01900,0100,NON PROFIT CORP 34546,S200000,02200,0100,Y 34546,S200000,04700,0100,Y 34550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34550,A000000,00300,0000,00300EMPLOYEE BENEFITS 34550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34550,A000000,00700,0000,00700HOUSEKEEPING 34550,A000000,00800,0000,00800DIETARY 34550,A000000,00900,0000,00900NURSING ADMINISTRATION 34550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34550,A000000,01100,0000,01100PHARMACY 34550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34550,A000000,01300,0000,01300SOCIAL SERVICE 34550,A000000,01350,0000,01500RECREATION 34550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34550,A000000,01600,0000,01600SKILLED NURSING FACILITY 34550,A000000,01800,0000,01800NURSING FACILITY 34550,A000000,01810,0000,01810ICF/MR 34550,A000000,02100,0000,02100RADIOLOGY 34550,A000000,02200,0000,02200LABORATORY 34550,A000000,02300,0000,02300INTRAVENOUS THERAPY 34550,A000000,02500,0000,02500PHYSICAL THERAPY 34550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34550,A000000,02700,0000,02700SPEECH PATHOLOGY 34550,A000000,02800,0000,02800ELECTROCARDIOLOGY 34550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34550,A000000,03200,0000,03200SUPPORT SURFACES 34550,A000000,03550,0000,03550FQHC 34550,A000000,04800,0000,04800AMBULANCE 34550,A000000,05000,0000,05000CORF 34550,A000000,05010,0000,05010CMHC 34550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34550,A81000A,00100,0100,Y 34550,A81000B,00100,0300,RENT 34550,A81000B,00200,0300,INTEREST EXPENSE 34550,A81000B,00300,0300,DEPRECIATION 34550,A81000C,00100,0100,A 34550,A81000C,00100,0200,CAMERON TORTORA 34550,A81000C,00100,0400,CMF REALTY 34550,A81000C,00100,0600,REAL ESTATE 34550,A81000C,00200,0100,A 34550,A81000C,00200,0200,FRANCIS TORTORA 34550,A81000C,00200,0400,CMF REALTY 34550,A81000C,00200,0600,REAL ESTATE 34550,A81000C,00300,0100,A 34550,A81000C,00300,0200,CAMERON TORTORA 34550,A81000C,00300,0400,MILL PLAIN INV. 34550,A81000C,00300,0600,REAL ESTATE 34550,A81000C,00400,0100,A 34550,A81000C,00400,0200,FRANCIS TORTORA 34550,A81000C,00400,0400,MILL PLAIN INV. 34550,A81000C,00400,0600,REAL ESTATE 34550,B100000,00000,0100,00000SQUARE FEET 34550,B100000,00000,0200,00000SQUARE FEET 34550,B100000,00000,0300,00000GROSS SALARIES 34550,B100000,00000,0400,00000ACCUM COST 34550,B100000,00000,0500,00000SQUARE FEET 34550,B100000,00000,0600,00000PATIENT DAYS 34550,B100000,00000,0700,00000SQUARE FEET 34550,B100000,00000,0800,00000MEALS SERVED 34550,B100000,00000,0900,00000PATIENT DAYS 34550,B100000,00000,1000,00000PATIENT DAYS 34550,B100000,00000,1100,00000COSTED REQUIS 34550,B100000,00000,1200,00000PATIENT DAYS 34550,B100000,00000,1300,00000PATIENT DAYS 34550,B100000,00000,1350,00000PATIENT DAYS 34550,B100000,00000,1400,00000ASSIGNED TIME 34550,S000000,00100,0200,04/25/2000 34550,S200000,00100,0100,400 MILL PLAIN ROAD 34550,S200000,00200,0100,FAIRFIELD 34550,S200000,00200,0200,CT 34550,S200000,00200,0300,06430 34550,S200000,00300,0100,FAIRFIELD 34550,S200000,00400,0100,CAROLTON CHRONIC & CONV. HOSPITAL 34550,S200000,00400,0200,075034 34550,S200000,00400,0300,01/01/1967 34550,S200000,00400,0500,P 34550,S200000,00400,0600,O 34550,S200000,01600,0100,Y 34554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34554,A000000,00300,0000,00300EMPLOYEE BENEFITS 34554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34554,A000000,00700,0000,00700HOUSEKEEPING 34554,A000000,00800,0000,00800DIETARY 34554,A000000,00900,0000,00900NURSING ADMINISTRATION 34554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34554,A000000,01100,0000,01100PHARMACY 34554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34554,A000000,01300,0000,01300SOCIAL SERVICE 34554,A000000,01350,0000,01500RECREATION 34554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34554,A000000,01600,0000,01600SKILLED NURSING FACILITY 34554,A000000,01810,0000,01810ICF/MR 34554,A000000,02500,0000,02500PHYSICAL THERAPY 34554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34554,A000000,02700,0000,02700SPEECH PATHOLOGY 34554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34554,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34554,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34554,A000000,03550,0000,03550FQHC 34554,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34554,A000000,05000,0000,05000CORF 34554,A000000,05010,0000,05010CMHC 34554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34554,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34554,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34554,A81000A,00100,0100,Y 34554,A81000B,00100,0300,RENT 34554,A81000B,00200,0300,WATER & SEWER 34554,A81000B,00300,0300,REAL ESTATE TAXES 34554,A81000B,00400,0300,LIABILITY INS 34554,A81000B,00500,0300,RENT 34554,A81000B,00600,0300,CABINET - CAPITAL ASSET 34554,A81000B,00700,0300,RENTAL OF STORAGE SPACE 34554,A81000B,00800,0300,INTEREST EXPENSE 34554,A81000B,00900,0300,REAL ESTATE TAXES 34554,A81000B,01000,0300,INSURANCE 34554,A81000B,01100,0300,UTILITIES 34554,A81000C,00100,0100,A 34554,A81000C,00100,0200,ANA PADILLA 34554,A81000C,00100,0400,LA CASA REALTY 34554,A81000C,00100,0600,LLC 34554,A81000C,00200,0200,BROTHER OF ANA 34554,A81000C,00200,0400,SPECIALTY SHOP 34554,A81000C,00200,0600,CORPORATION 34554,A81000C,00300,0100,A 34554,A81000C,00300,0200,ANA PADILLA 34554,A81000C,00300,0400,LA CASA REALTY 34554,A81000C,00300,0600,LLC 34554,B100000,00000,0100,00000SQUARE FEET 34554,B100000,00000,0200,00000SQUARE FEET 34554,B100000,00000,0300,00000GROSS SALARIES 34554,B100000,00000,0400,00000ACCUM. COST 34554,B100000,00000,0500,00000SQUARE FEET 34554,B100000,00000,0600,00000POUNDS OF LAUNDRY 34554,B100000,00000,0700,00000SQUARE FEET 34554,B100000,00000,0800,00000MEALS SERVED 34554,B100000,00000,0900,00000DIRECT NRSING HRS 34554,B100000,00000,1000,00000COSTED REQUIS. 34554,B100000,00000,1100,00000COSTED REQUIS. 34554,B100000,00000,1200,00000TIME SPENT 34554,B100000,00000,1300,00000TIME SPENT 34554,B100000,00000,1350,00000TIME SPENT 34554,B100000,00000,1400,00000ASSIGNED TIME 34554,S000000,00100,0200,06/20/2000 34554,S200000,00100,0100,32 LEXINGTON ST 34554,S200000,00200,0100,NEW BRITAIN 34554,S200000,00200,0200,CT 34554,S200000,00300,0100,HARTFORD 34554,S200000,00400,0100,LA CASA LEXINGTON 34554,S200000,00400,0200,075039 34554,S200000,00400,0300,01/01/1967 34554,S200000,00400,0500,P 34554,S200000,01500,0100,Y 34557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34557,A000000,00300,0000,00300EMPLOYEE BENEFITS 34557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34557,A000000,00700,0000,00700HOUSEKEEPING 34557,A000000,00800,0000,00800DIETARY 34557,A000000,00900,0000,00900NURSING ADMINISTRATION 34557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34557,A000000,01100,0000,01100PHARMACY 34557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34557,A000000,01300,0000,01300SOCIAL SERVICE 34557,A000000,01350,0000,01500RECEREATION 34557,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34557,A000000,01600,0000,01600SKILLED NURSING FACILITY 34557,A000000,01810,0000,01810ICF/MR 34557,A000000,01900,0000,01900OTHER LONG TERM CARE 34557,A000000,02100,0000,02100RADIOLOGY 34557,A000000,02200,0000,02200LABORATORY 34557,A000000,02300,0000,02300INTRAVENOUS THERAPY 34557,A000000,02500,0000,02500PHYSICAL THERAPY 34557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34557,A000000,02700,0000,02700SPEECH PATHOLOGY 34557,A000000,02800,0000,02800ELECTROCARDIOLOGY 34557,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34557,A000000,03550,0000,03550FQHC 34557,A000000,05000,0000,05000CORF 34557,A000000,05010,0000,05010CMHC 34557,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34557,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34557,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34557,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34557,A81000A,00100,0100,Y 34557,A81000B,00100,0300,RENT 34557,A81000B,00200,0300,INTEREST 34557,A81000B,00300,0300,DEPR@ 40YRS LIFE 34557,A81000B,00400,0300,CORP FEES 34557,A81000B,00500,0300,CORP ACCOUNTING FEES 34557,A81000B,00600,0300,CORP MGMT FEES 34557,A81000B,00700,0300,P/S RN-SNF 34557,A81000B,00800,0300,P/S LPN-SNF 34557,A81000B,00900,0300,P/S AIDES-SNF 34557,A81000B,01000,0300,PSYCHIATRIST FEES 34557,A81000C,00100,0100,A 34557,A81000C,00100,0200,BRIAN FOLEY 34557,A81000C,00100,0400,PLAINVILLE REA 34557,A81000C,00100,0600,REAL ESTATE REN 34557,A81000C,00200,0100,A 34557,A81000C,00200,0200,BRIAN FOLEY 34557,A81000C,00200,0400,APPLE HEALTH CA 34557,A81000C,00200,0600,CORP ACCOUNT & 34557,A81000C,00300,0100,A 34557,A81000C,00300,0200,BRIAN FOLEY 34557,A81000C,00300,0400,EMPLOYEE SHARE 34557,A81000C,00300,0600,POOLS RN LPN CN 34557,A81000C,00400,0100,D 34557,A81000C,00400,0200,LISA WILSON FOL 34557,A81000C,00400,0400,MED OPTIONS 34557,A81000C,00400,0600,PSYCH FEES 34557,B100000,00000,0100,00000SQUARE FEET 34557,B100000,00000,0200,00000SQUARE FEET 34557,B100000,00000,0300,00000GROSS SALARIES 34557,B100000,00000,0400,00000ACCUM COST 34557,B100000,00000,0500,00000SQUARE FEET 34557,B100000,00000,0600,00000POUNDS OF LAUNDRY 34557,B100000,00000,0700,00000SQUARE FEET 34557,B100000,00000,0800,00000MEALS SERVED 34557,B100000,00000,0900,00000DIRECT NRSG HRS 34557,B100000,00000,1000,00000PATIENT DAYS 34557,B100000,00000,1100,00000COSTED REQUIS 34557,B100000,00000,1200,00000TIME SPENT 34557,B100000,00000,1300,00000PATIENT DAYS 34557,B100000,00000,1350,00000PATIENT DAYS 34557,B100000,00000,1400,00000ASSIGNED TIME 34557,S000000,00100,0200,05/31/2000 34557,S200000,00100,0100,269 FARMINGTON AVENUE 34557,S200000,00200,0100,PLAINVILLE 34557,S200000,00200,0200,CT 34557,S200000,00200,0300,06062 34557,S200000,00400,0100,PLAINVILLE HEALTH CARE CTR. INC. 34557,S200000,00400,0200,075044 34557,S200000,00400,0300,09/30/1982 34557,S200000,00400,0500,P 34557,S200000,01500,0100,Y 34561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34561,A000000,00300,0000,00300EMPLOYEE BENEFITS 34561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34561,A000000,00700,0000,00700HOUSEKEEPING 34561,A000000,00800,0000,00800DIETARY 34561,A000000,00900,0000,00900NURSING ADMINISTRATION 34561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34561,A000000,01100,0000,01100PHARMACY 34561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34561,A000000,01300,0000,01300SOCIAL SERVICE 34561,A000000,01350,0000,01500RECREATION 34561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34561,A000000,01600,0000,01600SKILLED NURSING FACILITY 34561,A000000,01800,0000,01800NURSING FACILITY 34561,A000000,01810,0000,01810ICF/MR 34561,A000000,02100,0000,02100RADIOLOGY 34561,A000000,02200,0000,02200LABORATORY 34561,A000000,02300,0000,02300INTRAVENOUS THERAPY 34561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34561,A000000,02500,0000,02500PHYSICAL THERAPY 34561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34561,A000000,02700,0000,02700SPEECH PATHOLOGY 34561,A000000,02800,0000,02800ELECTROCARDIOLOGY 34561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34561,A000000,03550,0000,03550FQHC 34561,A000000,04800,0000,04800AMBULANCE 34561,A000000,05000,0000,05000CORF 34561,A000000,05010,0000,05010CMHC 34561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34561,A000000,05300,0000,05300INTEREST EXPENSE 34561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34561,A81000A,00100,0100,Y 34561,A81000B,00100,0300,MANAGEMENT FEES 34561,A81000C,00100,0100,B 34561,A81000C,00100,0200,HEWITT MGT CORP 34561,A81000C,00100,0400,F & W HEWITT ME 34561,A81000C,00100,0600,LTC MANAGEMENT 34561,B100000,00000,0100,00000SQUARE FEET 34561,B100000,00000,0200,00000SQUARE FEET 34561,B100000,00000,0300,00000GROSS SALARIES 34561,B100000,00000,0400,00000ACCUM COST 34561,B100000,00000,0500,00000SQUARE FEET 34561,B100000,00000,0600,00000PATIENT DAYS 34561,B100000,00000,0700,00000HOURS OF SERVICE 34561,B100000,00000,0800,00000PATIENT DAYS 34561,B100000,00000,0900,00000PATIENT DAYS 34561,B100000,00000,1000,00000PATIENT DAYS 34561,B100000,00000,1100,00000PATIENT DAYS 34561,B100000,00000,1200,00000PATIENT DAYS 34561,B100000,00000,1300,00000PATIENT DAYS 34561,B100000,00000,1350,00000PATIENT DAYS 34561,B100000,00000,1400,00000ASSIGNED TIME 34561,E10A180,00550,0100,03/03/2000 34561,E10A180,00550,0300,03/03/2000 34561,S000000,00100,0200,03/01/2000 34561,S200000,00100,0100,45 MALTBY STREET 34561,S200000,00200,0100,SHELTON 34561,S200000,00200,0200,CT 34561,S200000,00200,0300,06484 34561,S200000,00300,0100,FAIRFIELD 34561,S200000,00400,0100,FLORA & MARY HEWITT MEMORIAL HOSP. 34561,S200000,00400,0200,075047 34561,S200000,00400,0300,01/01/1967 34561,S200000,00400,0500,P 34561,S200000,00600,0200,075047 34561,S200000,00600,0300,01/01/1967 34561,S200000,00600,0600,P 34561,S200000,01600,0100,Y 34561,S200000,01900,0100,501 (C) 3 34569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34569,A000000,00300,0000,00300EMPLOYEE BENEFITS 34569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34569,A000000,00700,0000,00700HOUSEKEEPING 34569,A000000,00800,0000,00800DIETARY 34569,A000000,00900,0000,00900NURSING ADMINISTRATION 34569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34569,A000000,01100,0000,01100PHARMACY 34569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34569,A000000,01300,0000,01300SOCIAL SERVICE 34569,A000000,01350,0000,01500RECREATION 34569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34569,A000000,01600,0000,01600SKILLED NURSING FACILITY 34569,A000000,01810,0000,01810ICF/MR 34569,A000000,02100,0000,02100RADIOLOGY 34569,A000000,02200,0000,02200LABORATORY 34569,A000000,02300,0000,02300INTRAVENOUS THERAPY 34569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34569,A000000,02500,0000,02500PHYSICAL THERAPY 34569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34569,A000000,02700,0000,02700SPEECH PATHOLOGY 34569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34569,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34569,A000000,03550,0000,03550FQHC 34569,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34569,A000000,04800,0000,04800AMBULANCE 34569,A000000,05000,0000,05000CORF 34569,A000000,05010,0000,05010CMHC 34569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34569,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34569,A81000A,00100,0100,Y 34569,A81000B,00100,0300,RENT BUILDING & FIXTURES 34569,A81000B,00200,0300,PROPERTY TAXES 34569,A81000B,00300,0300,DEPRECIATION 34569,A81000B,00400,0300,INTEREST 34569,A81000B,00500,0300,MANAGMENT FEES 34569,A81000B,00600,0300,MGMT FEE CAP EXP 34569,A81000B,00700,0300,MGMT FEE EQ EXP 34569,A81000B,00800,0300,MGMT OTHER EXP 34569,A81000B,00900,0300,PAYROLL PROCESSING 34569,A81000C,00100,0100,A 34569,A81000C,00100,0200,B FISCHMAN 34569,A81000C,00100,0400,BLAIR MANOR LLC 34569,A81000C,00100,0600,REALTY COMPANY 34569,A81000C,00200,0100,A 34569,A81000C,00200,0200,B FISCHMAN 34569,A81000C,00200,0400,AFFINITY HEALTH CARE 34569,A81000C,00200,0600,OVERSIGHT OF OPERATIONS 34569,A81000C,00300,0100,A 34569,A81000C,00300,0200,B FISCHMAN 34569,A81000C,00300,0400,AFFINITY HEALTH CARE 34569,A81000C,00300,0600,PAYROLL PROCESSING 34569,B100000,00000,0100,00000SQUARE FEET 34569,B100000,00000,0200,00000SQUARE FEET 34569,B100000,00000,0300,00000GROSS SALARIES 34569,B100000,00000,0400,00000ACCUM. COST 34569,B100000,00000,0500,00000SQUARE FEET 34569,B100000,00000,0600,00000PATIENT DAYS 34569,B100000,00000,0700,00000SQUARE FEET 34569,B100000,00000,0800,00000MEALS SERVED 34569,B100000,00000,0900,00000HOURS OF SERVICE 34569,B100000,00000,1000,00000NO STATISTICS 34569,B100000,00000,1100,00000NO STATISTICS 34569,B100000,00000,1200,00000TIME SPENT 34569,B100000,00000,1300,00000TIME SPENT 34569,B100000,00000,1350,00000PATIENT DAYS 34569,B100000,00000,1400,00000NO STATISTICS 34569,S000000,00100,0200,06/21/2000 34569,S200000,00100,0100,612 HAZARD AVENUE 34569,S200000,00200,0100,ENFIELD 34569,S200000,00200,0200,CT 34569,S200000,00200,0300,06082 34569,S200000,00300,0100,HARTFORD 34569,S200000,00400,0100,HCA D/B/A BLAIR MANOR 34569,S200000,00400,0200,075056 34569,S200000,00400,0300,06/01/1969 34569,S200000,00400,0500,P 34569,S200000,01500,0100,Y 34584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34584,A000000,00300,0000,00300EMPLOYEE BENEFITS 34584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34584,A000000,00700,0000,00700HOUSEKEEPING 34584,A000000,00800,0000,00800DIETARY 34584,A000000,00900,0000,00900NURSING ADMINISTRATION 34584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34584,A000000,01100,0000,01100PHARMACY 34584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34584,A000000,01300,0000,01300SOCIAL SERVICE 34584,A000000,01350,0000,01500OTHER GENERAL SERVICES 34584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34584,A000000,01600,0000,01600SKILLED NURSING FACILITY 34584,A000000,01810,0000,01810ICF/MR 34584,A000000,02100,0000,02100RADIOLOGY 34584,A000000,02200,0000,02200LABORATORY 34584,A000000,02300,0000,02300INTRAVENOUS THERAPY 34584,A000000,02500,0000,02500PHYSICAL THERAPY 34584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34584,A000000,02700,0000,02700SPEECH PATHOLOGY 34584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34584,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34584,A000000,03051,0000,03301CLINITRON THERAPY 34584,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34584,A000000,03550,0000,03550FQHC 34584,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34584,A000000,04800,0000,04800AMBULANCE 34584,A000000,05000,0000,05000CORF 34584,A000000,05010,0000,05010CMHC 34584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34584,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34584,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34584,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34584,A81000A,00100,0100,Y 34584,A81000B,00100,0300,RENT 34584,A81000B,00200,0300,BANK CHARGES 34584,A81000B,00300,0300,DEPRECIATION 34584,A81000B,00400,0300,MANAGEMENT FEE 34584,A81000B,00500,0300,MORTGAGE INTEREST 34584,A81000B,00600,0300,OFFICE 34584,A81000C,00100,0100,A 34584,A81000C,00100,0200,M.J. OSTREICHER 34584,A81000C,00100,0400,MILBOROUGH REALTY 34584,A81000C,00100,0600,REAL ESTATE 34584,A81000C,00200,0100,A 34584,A81000C,00200,0200,M.J. OSTREICHER 34584,A81000C,00200,0400,NATIONAL HEALTH CARE 34584,A81000C,00200,0600,BOOKEEPING 34584,B100000,00000,0100,00000SQUARE FEET 34584,B100000,00000,0200,00000DOLLAR VALUE 34584,B100000,00000,0300,00000GROSS SALARIES 34584,B100000,00000,0400,00000ACCUM. COST 34584,B100000,00000,0500,00000SQUARE FEET 34584,B100000,00000,0600,00000POUNDS OF LAUNDRY 34584,B100000,00000,0700,00000SQUARE FEET 34584,B100000,00000,0800,00000MEALS SERVED 34584,B100000,00000,0900,00000HOURS OF SERVICE 34584,B100000,00000,1000,00000COSTED REQUIS. 34584,B100000,00000,1100,00000COSTED REQUIS. 34584,B100000,00000,1200,00000TIME SPENTONS 34584,B100000,00000,1300,00000TIME SPENT 34584,B100000,00000,1350,00000NO STATISTICS 34584,B100000,00000,1400,00000TIME SPENT 34584,E10A180,00550,0300,06/14/2000 34584,S000000,00100,0200,05/26/2000 34584,S200000,00100,0100,195 PLATT STREET 34584,S200000,00200,0100,MILFORD 34584,S200000,00200,0200,CT 34584,S200000,00300,0100,NEW HAVEN 34584,S200000,00400,0100,MILFORD HEALTH CARE CENTER INC. 34584,S200000,00400,0200,075064 34584,S200000,00400,0300,10/01/1978 34584,S200000,00400,0500,P 34584,S200000,01500,0100,Y 34588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34588,A000000,00300,0000,00300EMPLOYEE BENEFITS 34588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34588,A000000,00700,0000,00700HOUSEKEEPING 34588,A000000,00800,0000,00800DIETARY 34588,A000000,00900,0000,00900NURSING ADMINISTRATION 34588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34588,A000000,01100,0000,01100PHARMACY 34588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34588,A000000,01300,0000,01300SOCIAL SERVICE 34588,A000000,01350,0000,01500RECREATION 34588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34588,A000000,01600,0000,01600SKILLED NURSING FACILITY 34588,A000000,01810,0000,01810ICF/MR 34588,A000000,02100,0000,02100RADIOLOGY 34588,A000000,02200,0000,02200LABORATORY 34588,A000000,02500,0000,02500PHYSICAL THERAPY 34588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34588,A000000,02700,0000,02700SPEECH PATHOLOGY 34588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34588,A000000,03550,0000,03550FQHC 34588,A000000,05000,0000,05000CORF 34588,A000000,05010,0000,05010CMHC 34588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34588,A000000,06150,0000,06300DENTAL 34588,A81000A,00100,0100,Y 34588,A81000B,00100,0300,WAGES 34588,A81000C,00100,0100,A 34588,A81000C,00100,0200,BIRNBAUM-CARUSO 34588,A81000C,00100,0400,SAME 34588,A81000C,00100,0600,DIRECTORS 34588,B100000,00000,0100,00000SQUARE FEET 34588,B100000,00000,0200,00000SQUARE FEET 34588,B100000,00000,0300,00000GROSS SALARIES 34588,B100000,00000,0400,00000ACCUM COST 34588,B100000,00000,0500,00000SQUARE FEET 34588,B100000,00000,0600,00000PATIENT DAYS 34588,B100000,00000,0700,00000SQUARE FEET 34588,B100000,00000,0800,00000MEALS SERVED 34588,B100000,00000,0900,00000TIME SPENT 34588,B100000,00000,1000,00000PATIENT DAYS 34588,B100000,00000,1100,00000PATIENT DAYS 34588,B100000,00000,1200,00000PATIENT DAYS 34588,B100000,00000,1300,00000PATIENT DAYS 34588,B100000,00000,1350,00000PATIENT DAYS 34588,B100000,00000,1400,00000ASSIGNED TIME 34588,S000000,00100,0200,05/04/2000 34588,S200000,00100,0100,1188 KING STREET 34588,S200000,00200,0100,GREENWICH 34588,S200000,00200,0200,CT 34588,S200000,00200,0300,06831 34588,S200000,00300,0100,FAIRFIELD 34588,S200000,00400,0100,GREENWICH LAURELTON NURS & CONV HOME 34588,S200000,00400,0200,075069 34588,S200000,00400,0300,01/01/1967 34588,S200000,00400,0500,P 34588,S200000,01500,0100,Y 34595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34595,A000000,00300,0000,00300EMPLOYEE BENEFITS 34595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34595,A000000,00700,0000,00700HOUSEKEEPING 34595,A000000,00800,0000,00800DIETARY 34595,A000000,00900,0000,00900NURSING ADMINISTRATION 34595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34595,A000000,01100,0000,01100PHARMACY 34595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34595,A000000,01300,0000,01300SOCIAL SERVICE 34595,A000000,01350,0000,01500OTHER GENERAL SERVICES 34595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34595,A000000,01600,0000,01600SKILLED NURSING FACILITY 34595,A000000,01810,0000,01810ICF/MR 34595,A000000,02200,0000,02200LABORATORY 34595,A000000,02300,0000,02300INTRAVENOUS THERAPY 34595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34595,A000000,02500,0000,02500PHYSICAL THERAPY 34595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34595,A000000,02700,0000,02700SPEECH PATHOLOGY 34595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34595,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34595,A000000,03550,0000,03550FQHC 34595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34595,A000000,05000,0000,05000CORF 34595,A000000,05010,0000,05010CMHC 34595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34595,A000000,06200,0000,06200PATIENTS LAUNDRY 34595,A81000A,00100,0100,Y 34595,A81000B,00100,0300,OFFICE EXPENSE 34595,A81000B,00200,0300,MAINT & REPAIRS EXPENSE 34595,A81000B,00300,0300,HOUSEKEEPING EXPENSE 34595,A81000B,00400,0300,DIETARY SUPPLIES 34595,A81000B,00500,0300,LAUNDRY AND LINEN & BEDDING EX 34595,A81000B,00600,0300,PHYSICAL THERAPY CONSULTING 34595,A81000B,00700,0300,OCCUPATIONAL THERAPY CONSULTIN 34595,A81000B,00800,0300,SPEECH THERAPY CONSULTING 34595,A81000B,00900,0300,PHARMACY IV THERAPY 34595,A81000B,01000,0300,IV THERAPY EXPENSE 34595,A81000B,01100,0300,LABORATORY EXPENSE 34595,A81000B,01200,0300,OXYGEN NURSING SUPPLIES 34595,A81000B,01300,0300,MEDICAL EQUIPMENT RENTAL 34595,A81000B,01400,0300,PHARMACY MEDICARE EXPENSE 34595,A81000B,01500,0300,MEDICAL RECORDS CONSULTING 34595,A81000B,01600,0300,RENT EXPENSE 34595,A81000B,01700,0300,HOME OFFICE ALLOCATION 34595,A81000C,00100,0100,B 34595,A81000C,00100,0400,BALZ MEDICAL SERVICES 34595,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34595,A81000C,00200,0100,B 34595,A81000C,00200,0400,LEXICORE REHAB SERVICES 34595,A81000C,00200,0600,REHAB THERAPY SERVICES 34595,A81000C,00300,0100,B 34595,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34595,A81000C,00300,0600,PHARMACY AND IV THERAPY 34595,A81000C,00400,0100,A 34595,A81000C,00400,0200,JACK FRIEDLER 34595,A81000C,00400,0400,THE FAIRFIELD GROUP 34595,A81000C,00400,0600,FACILITY LESSOR 34595,A81000C,00500,0100,B 34595,A81000C,00500,0400,LEXINGTON HC GROUP INC. 34595,A81000C,00500,0600,HOME OFFICE 34595,A81000C,00600,0100,B 34595,A81000C,00600,0400,PROFESSIONAL RELIEF NURSE 34595,A81000C,00600,0600,HOME HEALTH AGENCY 34595,B100000,00000,0100,00000SQUARE FEET 34595,B100000,00000,0200,00000SQUARE FEET 34595,B100000,00000,0300,00000GROSS SALARIES 34595,B100000,00000,0400,00000ACCUM. COST 34595,B100000,00000,0500,00000SQUARE FEET 34595,B100000,00000,0600,00000POUNDS OF LAUNDRY 34595,B100000,00000,0700,00000SQUARE FEET 34595,B100000,00000,0800,00000MEALS SERVED 34595,B100000,00000,0900,00000TIME SPENT 34595,B100000,00000,1000,00000COSTEDREQU UISITIONS 34595,B100000,00000,1100,00000COSTED REQUIS. 34595,B100000,00000,1200,00000TIME SPENT 34595,B100000,00000,1300,00000TIME SPENT 34595,B100000,00000,1350,00000NO STATISTICS 34595,B100000,00000,1400,00000NO STATISTICS 34595,E10A180,00501,0100,06/16/2001 34595,E10A180,00550,0300,06/16/2001 34595,S000000,00100,0200,06/02/2000 34595,S200000,00100,0100,60 PLATT STREET 34595,S200000,00200,0100,MILFORD 34595,S200000,00200,0200,CT 34595,S200000,00300,0100,NEW HAVEN 34595,S200000,00400,0100,POND POINT 34595,S200000,00400,0200,075072 34595,S200000,00400,0300,07/01/1997 34595,S200000,00400,0500,P 34595,S200000,01500,0100,Y 34595,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34598,A000000,00300,0000,00300EMPLOYEE BENEFITS 34598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34598,A000000,00700,0000,00700HOUSEKEEPING 34598,A000000,00800,0000,00800DIETARY 34598,A000000,00900,0000,00900NURSING ADMINISTRATION 34598,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34598,A000000,01100,0000,01100PHARMACY 34598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34598,A000000,01300,0000,01300SOCIAL SERVICE 34598,A000000,01350,0000,01500OTHER GENERAL SERVICES 34598,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34598,A000000,01600,0000,01600SKILLED NURSING FACILITY 34598,A000000,01810,0000,01810ICF/MR 34598,A000000,02100,0000,02100RADIOLOGY 34598,A000000,02200,0000,02200LABORATORY 34598,A000000,02300,0000,02300INTRAVENOUS THERAPY 34598,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34598,A000000,02500,0000,02500PHYSICAL THERAPY 34598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34598,A000000,02700,0000,02700SPEECH PATHOLOGY 34598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34598,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34598,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34598,A000000,03550,0000,03550FQHC 34598,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34598,A000000,05000,0000,05000CORF 34598,A000000,05010,0000,05010CMHC 34598,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34598,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34598,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34598,A000000,05300,0000,05300INTEREST EXPENSE 34598,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34598,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34598,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34598,A81000A,00100,0100,Y 34598,A81000B,00100,0300,RENT-BUILDING 34598,A81000B,00200,0300,INTEREST EXPENSE-FILOSA CARE C 34598,A81000B,00300,0300,DEPRECIATION-BUILDING 34598,A81000B,00400,0300,DEPREICATION-MOVEABLE EQUIP 34598,A81000B,00500,0300,WRITE OFF OF FINANCING COSTS 34598,A81000B,00600,0300,INTEREST 34598,A81000B,00700,0300,INTEREST EXPENSE-BARBARA MALON 34598,A81000B,00800,0300,AMORTIZATION OF MTG REFINA. CO 34598,A81000B,00900,0300,LOAN PREPAYMENT FEE 34598,A81000C,00100,0100,A 34598,A81000C,00100,0200,BARBARA MALONE 34598,A81000C,00100,0400,INDIVIDUAL RENTAL PROPERT 34598,A81000C,00100,0600,INDIVIDUAL-SELF OWNER 34598,A81000C,00200,0100,A 34598,A81000C,00200,0200,BARBARA MALONE 34598,A81000C,00200,0400,FILOSA CARE CENTER 34598,A81000C,00200,0600,CORPORATION-NURSING HOME 34598,A81000C,00300,0100,A 34598,A81000C,00300,0200,BARBARA MALONE 34598,A81000C,00300,0400,INDIVIDUAL RENTAL PROPERT 34598,A81000C,00300,0600,INDIVIDUAL-SELF OWNER 34598,A81000C,00400,0100,A 34598,A81000C,00400,0200,BARBARA MALONE 34598,A81000C,00400,0400,INDIVIDUAL RENTAL PROPERT 34598,A81000C,00400,0600,INDIVIDUAL-SELF OWNER 34598,A81000C,00500,0100,A 34598,A81000C,00500,0200,BARBARA MALONE 34598,A81000C,00500,0400,INDIVIDUAL RENTAL PROPERT 34598,A81000C,00500,0600,INDIVIDUAL-SELF OWNER 34598,A81000C,00600,0100,A 34598,A81000C,00600,0200,BARBARA MALONE 34598,A81000C,00600,0400,INDIVIDUAL RENTAL PROPERT 34598,A81000C,00600,0600,INDIVIDUAL-SELF OWNER 34598,A81000C,00700,0100,A 34598,A81000C,00700,0200,BARBARA MALONE 34598,A81000C,00700,0400,INDIVIDUAL 34598,A81000C,00700,0600,INDIVIDUAL 34598,B100000,00000,0100,00000SQUARE FEET 34598,B100000,00000,0200,00000SQUARE FEET 34598,B100000,00000,0300,00000GROSS SALARIES 34598,B100000,00000,0400,00000ACCUM. COST 34598,B100000,00000,0500,00000SQUARE FEET 34598,B100000,00000,0600,00000POUNDS OF LAUNDRY 34598,B100000,00000,0700,00000SQUARE FEET 34598,B100000,00000,0800,00000MEALS SERVED 34598,B100000,00000,0900,00000DIRECT NRSING HRS 34598,B100000,00000,1000,00000COSTED REQUIS. 34598,B100000,00000,1100,00000COSTED REQUIS. 34598,B100000,00000,1200,00000TIME SPENT 34598,B100000,00000,1300,00000TIME SPENT 34598,B100000,00000,1350,00000NO STATISTICS 34598,B100000,00000,1400,00000ASSIGNED TIME 34598,E10A180,00350,0100,09/09/1999 34598,S000000,00100,0200,05/30/2000 34598,S200000,00100,0100,13 HAKIM STREET 34598,S200000,00200,0100,DANBURY 34598,S200000,00200,0200,CT 34598,S200000,00300,0100,FAIRFIELD 34598,S200000,00400,0100,FILOSA CONVALESCENT HOME INC. 34598,S200000,00400,0200,075074 34598,S200000,00400,0300,07/10/1968 34598,S200000,00400,0500,P 34598,S200000,01500,0100,Y 34598,S200000,02800,0100,Y 34601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34601,A000000,00300,0000,00300EMPLOYEE BENEFITS 34601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34601,A000000,00700,0000,00700HOUSEKEEPING 34601,A000000,00800,0000,00800DIETARY 34601,A000000,00900,0000,00900NURSING ADMINISTRATION 34601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34601,A000000,01100,0000,01100PHARMACY 34601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34601,A000000,01300,0000,01300SOCIAL SERVICE 34601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34601,A000000,01600,0000,01600SKILLED NURSING FACILITY 34601,A000000,01810,0000,01810ICF/MR 34601,A000000,02100,0000,02100RADIOLOGY 34601,A000000,02200,0000,02200LABORATORY 34601,A000000,02300,0000,02300INTRAVENOUS THERAPY 34601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34601,A000000,02500,0000,02500PHYSICAL THERAPY 34601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34601,A000000,02700,0000,02700SPEECH PATHOLOGY 34601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34601,A000000,03550,0000,03550FQHC 34601,A000000,05000,0000,05000CORF 34601,A000000,05010,0000,05010CMHC 34601,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34601,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34601,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34601,A81000A,00100,0100,Y 34601,A81000B,00100,0300,RENT 34601,A81000B,00200,0300,MORTGAGE INTEREST 34601,A81000B,00300,0300,DEPRECIATION 34601,A81000B,00400,0300,PROFESSIONAL FEES 34601,A81000B,00500,0300,BANK CHARGES 34601,A81000B,00600,0300,INSURANCE EXPENSE 34601,A81000B,00700,0300,MISC. EXPENSE 34601,A81000B,00800,0300,REAL ESTATE TAXES 34601,A81000C,00100,0100,B 34601,B100000,00000,0100,00000SQUARE FEET 34601,B100000,00000,0200,00000SQUARE FEET 34601,B100000,00000,0300,00000GROSS SALARIES 34601,B100000,00000,0400,00000ACCUM COST 34601,B100000,00000,0500,00000SQUARE FEET 34601,B100000,00000,0600,00000POUNDS OF LAUNDRY 34601,B100000,00000,0700,00000HOURS OF SERVICE 34601,B100000,00000,0800,00000MEALS SERVED 34601,B100000,00000,0900,00000DIRECT NRSG HRS 34601,B100000,00000,1000,00000COSTED REQUIS 34601,B100000,00000,1100,00000COSTED REQUIS 34601,B100000,00000,1200,00000TIME SPENT 34601,B100000,00000,1300,00000TIME SPENT 34601,B100000,00000,1400,00000ASSIGNED TIME 34601,S000000,00100,0200,05/25/2000 34601,S200000,00100,0100,150 WARE ROAD 34601,S200000,00100,0300,428 34601,S200000,00200,0100,DAYVILLE 34601,S200000,00200,0200,CT 34601,S200000,00200,0300,06241 34601,S200000,00300,0100,WINDHAM 34601,S200000,00400,0100,WESTVIEW NRSG CARE & REHAB CENTER 34601,S200000,00400,0200,075078 34601,S200000,00400,0300,09/01/1974 34601,S200000,00400,0500,P 34601,S200000,01500,0100,Y 34601,S200000,01800,0100,Y 34601,S200000,02200,0100,Y 34609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34609,A000000,00300,0000,00300EMPLOYEE BENEFITS 34609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34609,A000000,00700,0000,00700HOUSEKEEPING 34609,A000000,00800,0000,00800DIETARY 34609,A000000,00900,0000,00900NURSING ADMINISTRATION 34609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34609,A000000,01100,0000,01100PHARMACY 34609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34609,A000000,01300,0000,01300SOCIAL SERVICE 34609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34609,A000000,01600,0000,01600SKILLED NURSING FACILITY 34609,A000000,01810,0000,01810ICF/MR 34609,A000000,02100,0000,02100RADIOLOGY 34609,A000000,02200,0000,02200LABORATORY 34609,A000000,02500,0000,02500PHYSICAL THERAPY 34609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34609,A000000,02700,0000,02700SPEECH PATHOLOGY 34609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34609,A000000,03550,0000,03550FQHC 34609,A000000,05000,0000,05000CORF 34609,A000000,05010,0000,05010CMHC 34609,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34609,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34609,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34609,A000000,05300,0000,05300INTEREST EXPENSE 34609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34609,A81000A,00100,0100,Y 34609,A81000B,00100,0300,RENT 34609,A81000B,00200,0300,DEPRECIATION 34609,A81000C,00100,0100,A 34609,A81000C,00100,0200,EUGENE R. FLAXM 34609,B100000,00000,0100,00000SQUARE FEET 34609,B100000,00000,0200,00000SQUARE FEET 34609,B100000,00000,0300,00000GROSS SALARIES 34609,B100000,00000,0400,00000ACCUM COST 34609,B100000,00000,0500,00000SQUARE FEET 34609,B100000,00000,0600,00000POUNDS OF LAUNDRY 34609,B100000,00000,0700,00000SQUARE FEET 34609,B100000,00000,0800,00000MEALS SERVED 34609,B100000,00000,0900,00000PATIENT DAYS 34609,B100000,00000,1000,00000COSTED REQUIS 34609,B100000,00000,1100,00000COSTED REQUIS 34609,B100000,00000,1200,00000PATIENT DAYS 34609,B100000,00000,1300,00000PATIENT DAYS 34609,B100000,00000,1400,00000ASSIGNED TIME 34609,S000000,00100,0200,05/30/2000 34609,S200000,00100,0100,29 HIGHLAND STREET 34609,S200000,00200,0100,WEST HARTFORD 34609,S200000,00200,0200,CT 34609,S200000,00200,0300,06119 34609,S200000,00300,0100,HARTFORD 34609,S200000,00400,0100,HUGHES HEALTH & REHABILITATION INC 34609,S200000,00400,0200,075082 34609,S200000,00400,0300,01/01/1967 34609,S200000,00400,0500,P 34609,S200000,01500,0100,Y 34609,S200000,02800,0100,Y 34614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34614,A000000,00300,0000,00300EMPLOYEE BENEFITS 34614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34614,A000000,00700,0000,00700HOUSEKEEPING 34614,A000000,00800,0000,00800DIETARY 34614,A000000,00900,0000,00900NURSING ADMINISTRATION 34614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34614,A000000,01100,0000,01100PHARMACY 34614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34614,A000000,01300,0000,01300SOCIAL SERVICE 34614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34614,A000000,01600,0000,01600SKILLED NURSING FACILITY 34614,A000000,01800,0000,01800NURSING FACILITY 34614,A000000,01810,0000,01810ICF/MR 34614,A000000,01900,0000,01900OTHER LONG TERM CARE 34614,A000000,02500,0000,02500PHYSICAL THERAPY 34614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34614,A000000,02700,0000,02700SPEECH PATHOLOGY 34614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34614,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34614,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34614,A000000,03550,0000,03550FQHC 34614,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34614,A000000,05000,0000,05000CORF 34614,A000000,05010,0000,05010CMHC 34614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34614,A81000A,00100,0100,Y 34614,A81000B,00100,0300,SALARY SISTERS PASTORAL 34614,A81000B,00200,0300,SISTERS (FWA) 34614,A81000B,00300,0300,SISTER GIFT SHOP 34614,A81000B,00400,0300,MERCY COMMUNITY HEALTH 34614,A81000B,00500,0300,CATHOLIC HEALTH EAST 34614,A81000C,00100,0100,B 34614,A81000C,00100,0200,SISTERS OF MERCY OF CT 34614,A81000C,00100,0400,SISTERS OF MERCY OF CT 34614,A81000C,00100,0600,RELIGIOUS ORDER 34614,A81000C,00200,0100,B 34614,A81000C,00200,0200,CATHOLIC HEALTH EAST 34614,A81000C,00200,0400,CATHOLIC HEALTH EAST 34614,A81000C,00200,0600,CORP PLANNING 34614,A81000C,00300,0100,B 34614,A81000C,00300,0200,MERCY COMMUNITY HEALTH 34614,A81000C,00300,0400,MERCY COMMUNITY HEALTH 34614,A81000C,00300,0600,CORP PLANNING 34614,B100000,00000,0100,00000SQUARE FOOTAGE 34614,B100000,00000,0200,00000SQUARE FOOTAGE 34614,B100000,00000,0300,00000GROSS SALARIES 34614,B100000,00000,0400,00000ACCUM. COST 34614,B100000,00000,0500,00000SQUARE FOOTAGE 34614,B100000,00000,0600,00000POUNDS OF LAUNDRY 34614,B100000,00000,0700,00000HOURS OF SERVICE 34614,B100000,00000,0800,00000MEALS SERVED 34614,B100000,00000,0900,00000DIREST NRSNG HOUR 34614,B100000,00000,1000,00000COSTED REQUIS 34614,B100000,00000,1100,00000COSTED REQUIS 34614,B100000,00000,1200,00000TIME SPENT 34614,B100000,00000,1300,00000PATIENT DAYS 34614,B100000,00000,1400,00000ASSIGNED TIME 34614,S000000,00100,0200,03/03/2000 34614,S200000,00100,0100,2021 ALBANY AVENUE 34614,S200000,00200,0100,WEST HARTFORD 34614,S200000,00200,0200,CT 34614,S200000,00300,0100,HARTFORD 34614,S200000,00400,0100,SAINT MARY HOME 34614,S200000,00400,0200,075085 34614,S200000,00400,0300,01/01/1967 34614,S200000,00400,0500,P 34614,S200000,00600,0200,075085 34614,S200000,00600,0300,01/01/1967 34614,S200000,00600,0600,P 34614,S200000,01600,0100,Y 34620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34620,A000000,00300,0000,00300EMPLOYEE BENEFITS 34620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34620,A000000,00700,0000,00700HOUSEKEEPING 34620,A000000,00800,0000,00800DIETARY 34620,A000000,00900,0000,00900NURSING ADMINISTRATION 34620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34620,A000000,01100,0000,01100PHARMACY 34620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34620,A000000,01300,0000,01300SOCIAL SERVICE 34620,A000000,01350,0000,01500RECREATION 34620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34620,A000000,01600,0000,01600SKILLED NURSING FACILITY 34620,A000000,01810,0000,01810ICF/MR 34620,A000000,02100,0000,02100RADIOLOGY 34620,A000000,02200,0000,02200LABORATORY 34620,A000000,02300,0000,02300INTRAVENOUS THERAPY 34620,A000000,02500,0000,02500PHYSICAL THERAPY 34620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34620,A000000,02700,0000,02700SPEECH PATHOLOGY 34620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34620,A000000,03550,0000,03550FQHC 34620,A000000,05000,0000,05000CORF 34620,A000000,05010,0000,05010CMHC 34620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34620,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34620,A81000A,00100,0100,Y 34620,A81000B,00100,0300,RENT 34620,A81000B,00200,0300,INTEREST 34620,A81000B,00300,0300,DEPRECIATION @ 40 YR 34620,A81000B,00400,0300,CORP FEES 34620,A81000B,00500,0300,CORP ACCTG FEES - A&G 34620,A81000B,00600,0300,CORP MANAGE FEES 34620,A81000B,00700,0300,NURSING POOL 34620,A81000B,00800,0300,PSYCHIATRIST FEES 34620,A81000B,00900,0300,CAPITAL MOVEABLE EQUIPMENT 34620,A81000C,00100,0100,A 34620,A81000C,00100,0200,BRIAN J. FOLEY 34620,A81000C,00100,0400,HIGHVIEW REALTY 34620,A81000C,00100,0600,REAL ESTATE REN 34620,A81000C,00200,0100,A 34620,A81000C,00200,0200,BRIAN J. FOLEY 34620,A81000C,00200,0400,APPLE HEALTH CA 34620,A81000C,00200,0600,CORP ACCT MANAG 34620,A81000C,00300,0100,A 34620,A81000C,00300,0200,BRIAN J. FOLEY 34620,A81000C,00300,0400,EMPLOYEE SHARE 34620,A81000C,00300,0600,NURSING POOL 34620,A81000C,00400,0100,D 34620,A81000C,00400,0200,LISA WILSON FOL 34620,A81000C,00400,0400,MED OPTIONS 34620,A81000C,00400,0600,PSYCHIATRIC SER 34620,B100000,00000,0100,00000SQUARE FEET 34620,B100000,00000,0200,00000SQUARE FEET 34620,B100000,00000,0300,00000GROSS SALARIES 34620,B100000,00000,0400,00000ACCUM COST 34620,B100000,00000,0500,00000SQUARE FEET 34620,B100000,00000,0600,00000100 % 34620,B100000,00000,0700,00000100 % 34620,B100000,00000,0800,00000MEALS SERVED 34620,B100000,00000,0900,00000100 % 34620,B100000,00000,1000,00000COSTED REQUIS 34620,B100000,00000,1100,00000COSTED REQUIS 34620,B100000,00000,1200,00000TIME SPENT 34620,B100000,00000,1300,00000100 % 34620,B100000,00000,1350,00000100 % 34620,B100000,00000,1400,00000ASSIGNED TIME 34620,S000000,00100,0200,05/31/2000 34620,S200000,00100,0100,600 HIGHLAND AVE 34620,S200000,00200,0100,MIDDLETOWN 34620,S200000,00200,0200,CT 34620,S200000,00200,0300,06457 34620,S200000,00300,0100,MIDDLESEX 34620,S200000,00400,0100,HIGHVIEW HEALTH CARE CTR. INC. 34620,S200000,00400,0200,075089 34620,S200000,00400,0300,02/26/1969 34620,S200000,00400,0500,P 34620,S200000,01500,0100,Y 34620,S200000,01900,0100,NON PROFIT CORP 34625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34625,A000000,00300,0000,00300EMPLOYEE BENEFITS 34625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34625,A000000,00700,0000,00700HOUSEKEEPING 34625,A000000,00800,0000,00800DIETARY 34625,A000000,00900,0000,00900NURSING ADMINISTRATION 34625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34625,A000000,01100,0000,01100PHARMACY 34625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34625,A000000,01300,0000,01300SOCIAL SERVICE 34625,A000000,01350,0000,01500RECREATION 34625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34625,A000000,01600,0000,01600SKILLED NURSING FACILITY 34625,A000000,01810,0000,01810ICF/MR 34625,A000000,02100,0000,02100RADIOLOGY 34625,A000000,02200,0000,02200LABORATORY 34625,A000000,02300,0000,02300INTRAVENOUS THERAPY 34625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34625,A000000,02500,0000,02500PHYSICAL THERAPY 34625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34625,A000000,02700,0000,02700SPEECH PATHOLOGY 34625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34625,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34625,A000000,03550,0000,03550FQHC 34625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34625,A000000,05000,0000,05000CORF 34625,A000000,05010,0000,05010CMHC 34625,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34625,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34625,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34625,B100000,00000,0100,00000SQUARE FEET 34625,B100000,00000,0200,00000SQUARE FEET 34625,B100000,00000,0300,00000SALARIES 34625,B100000,00000,0400,00000ACCUM. COST 34625,B100000,00000,0500,00000SQUARE FEET 34625,B100000,00000,0600,00000PATIENT DAYS 34625,B100000,00000,0700,00000SQUARE FEET 34625,B100000,00000,0800,00000PATIENT DAYS 34625,B100000,00000,0900,00000PATIENT DAYS 34625,B100000,00000,1000,00000NO STATISTICS 34625,B100000,00000,1100,00000PATIENT DAYS 34625,B100000,00000,1200,00000PATIENT DAYS 34625,B100000,00000,1300,00000PATIENT DAYS 34625,B100000,00000,1350,00000PATIENT DAYS 34625,B100000,00000,1400,00000NO STATISTICS 34625,S000000,00100,0200,05/23/2000 34625,S200000,00100,0100,145 GROVE STREET 34625,S200000,00200,0100,WATERBURY 34625,S200000,00200,0200,CT 34625,S200000,00300,0100,NEW HAVEN 34625,S200000,00400,0100,GROVE MANOR NURSING HOME INC 34625,S200000,00400,0200,075096 34625,S200000,00400,0300,01/01/1967 34625,S200000,00400,0500,P 34625,S200000,01500,0100,Y 34625,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34625,S200000,02800,0100,Y 34631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34631,A000000,00300,0000,00300EMPLOYEE BENEFITS 34631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34631,A000000,00700,0000,00700HOUSEKEEPING 34631,A000000,00800,0000,00800DIETARY 34631,A000000,00900,0000,00900NURSING ADMINISTRATION 34631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34631,A000000,01100,0000,01100PHARMACY 34631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34631,A000000,01300,0000,01300SOCIAL SERVICE 34631,A000000,01350,0000,01500ACTIVITIES 34631,A000000,01351,0000,01501INDIRECT CONSULTANTS 34631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34631,A000000,01600,0000,01600SKILLED NURSING FACILITY 34631,A000000,01800,0000,01800NURSING FACILITY 34631,A000000,01810,0000,01810ICF/MR 34631,A000000,02100,0000,02100RADIOLOGY 34631,A000000,02300,0000,02300INTRAVENOUS THERAPY 34631,A000000,02500,0000,02500PHYSICAL THERAPY 34631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34631,A000000,02700,0000,02700SPEECH PATHOLOGY 34631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34631,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMEN 34631,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34631,A000000,03550,0000,03550FQHC 34631,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34631,A000000,05000,0000,05000CORF 34631,A000000,05010,0000,05010CMHC 34631,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34631,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34631,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34631,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34631,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34631,A81000A,00100,0100,Y 34631,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 34631,A81000B,00500,0300,CONTRACT LABOR 34631,A81000B,00600,0300,CONTRACT LABOR 34631,A81000B,00700,0300,CONTRACT LABOR 34631,A81000C,00100,0100,F 34631,A81000C,00100,0200,FRONTIER REHAB 34631,A81000C,00100,0400,FRONTIER GROUP INC. 34631,A81000C,00100,0600,THERAPY SERVICES 34631,A81000C,00200,0100,F 34631,A81000C,00200,0200,FRONTIER MNMGT 34631,A81000C,00200,0400,FRONTIER GROUP INC. 34631,A81000C,00200,0600,MNMGT SERVICES 34631,A81000C,00300,0100,F 34631,A81000C,00300,0200,FRONTIER MNMGT 34631,A81000C,00300,0400,FRONTIER GROUP INC. 34631,A81000C,00300,0600,CAPITAL COSTS 34631,B100000,00000,0100,00000SQUARE FEET 34631,B100000,00000,0200,00000SQUARE FEET 34631,B100000,00000,0300,00000GROSS SALARIES 34631,B100000,00000,0400,00000ACCUM. COST 34631,B100000,00000,0500,00000SQUARE FEET 34631,B100000,00000,0600,00000PATIENT DAYS 34631,B100000,00000,0700,00000SQUARE FEET 34631,B100000,00000,0800,00000PATIENT DAYS 34631,B100000,00000,0900,00000DIRECT NURSING HR 34631,B100000,00000,1000,00000PATIENT DAYS 34631,B100000,00000,1100,00000PATIENT DAYS 34631,B100000,00000,1200,00000TIME SPENT 34631,B100000,00000,1300,00000TIME SPENT 34631,B100000,00000,1350,00000PATIENT DAYS 34631,B100000,00000,1351,00000NO STATISTICS 34631,B100000,00000,1400,00000NO STATISTICS 34631,S000000,00100,0200,04/05/2000 34631,S200000,00100,0100,171 ROPE FERRY ROAD 34631,S200000,00200,0100,WATERFORD 34631,S200000,00200,0200,CT 34631,S200000,00300,0100,NEW LONDON 34631,S200000,00400,0100,COC - WATERFORD 34631,S200000,00400,0200,075098 34631,S200000,00400,0300,04/15/1996 34631,S200000,00400,0500,P 34631,S200000,00400,0600,P 34631,S200000,01600,0100,Y 34631,S200000,01900,0100,501 (C) 3 34631,S200000,02200,0100,Y 34631,S200000,02800,0100,Y 34631,S200000,03100,0100,Y 34633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34633,A000000,00300,0000,00300EMPLOYEE BENEFITS 34633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34633,A000000,00700,0000,00700HOUSEKEEPING 34633,A000000,00800,0000,00800DIETARY 34633,A000000,00900,0000,00900NURSING ADMINISTRATION 34633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34633,A000000,01100,0000,01100PHARMACY 34633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34633,A000000,01300,0000,01300SOCIAL SERVICE 34633,A000000,01350,0000,01500RECREATION 34633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34633,A000000,01600,0000,01600SKILLED NURSING FACILITY 34633,A000000,01800,0000,01800NURSING FACILITY 34633,A000000,01810,0000,01810ICF/MR 34633,A000000,02100,0000,02100RADIOLOGY 34633,A000000,02200,0000,02200LABORATORY 34633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34633,A000000,02500,0000,02500PHYSICAL THERAPY 34633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34633,A000000,02700,0000,02700SPEECH PATHOLOGY 34633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34633,A000000,03550,0000,03550FQHC 34633,A000000,05000,0000,05000CORF 34633,A000000,05010,0000,05010CMHC 34633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34633,A000000,06150,0000,06300DENTIST 34633,A81000A,00100,0100,Y 34633,A81000B,00100,0300,RENT 34633,A81000B,00200,0300,DEPRECIATION 34633,A81000C,00100,0100,A 34633,A81000C,00100,0200,CLEARY &RECHENB 34633,A81000C,00100,0400,R&C REALTY 34633,A81000C,00100,0600,REAL ESTATE 34633,B100000,00000,0100,00000SQUARE FEET 34633,B100000,00000,0200,00000SQUARE FEET 34633,B100000,00000,0300,00000GROSS SALARIES 34633,B100000,00000,0400,00000ACCUM COST 34633,B100000,00000,0500,00000SQUARE FEET 34633,B100000,00000,0600,00000POUNDS OF LAUNDRY 34633,B100000,00000,0700,00000SQUARE FEET 34633,B100000,00000,0800,00000MEALS SERVED 34633,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34633,B100000,00000,1000,00000COSTED REQUIS 34633,B100000,00000,1100,00000COSTED REQUIS 34633,B100000,00000,1200,00000TIME SPENT 34633,B100000,00000,1300,00000TIME SPENT 34633,B100000,00000,1350,00000PATIENT DAYS 34633,B100000,00000,1400,00000ASSIGNED TIME 34633,S000000,00100,0200,03/09/2000 34633,S200000,00100,0100,1132 MERIDEN ROAD 34633,S200000,00200,0100,WATERBURY 34633,S200000,00200,0200,CT 34633,S200000,00200,0300,06705 34633,S200000,00300,0100,NEW HAVEN 34633,S200000,00400,0100,MERIDIAN MANOR 34633,S200000,00400,0200,075102 34633,S200000,00400,0300,01/01/1967 34633,S200000,00400,0500,P 34633,S200000,01600,0100,Y 34633,S200000,01900,0100,NON PROFIT CORP 34633,S200000,02800,0100,Y 34638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34638,A000000,00300,0000,00300EMPLOYEE BENEFITS 34638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34638,A000000,00700,0000,00700HOUSEKEEPING 34638,A000000,00800,0000,00800DIETARY 34638,A000000,00900,0000,00900NURSING ADMINISTRATION 34638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34638,A000000,01100,0000,01100PHARMACY 34638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34638,A000000,01300,0000,01300SOCIAL SERVICE 34638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34638,A000000,01600,0000,01600SKILLED NURSING FACILITY 34638,A000000,01810,0000,01810ICF/MR 34638,A000000,02100,0000,02100RADIOLOGY 34638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34638,A000000,02500,0000,02500PHYSICAL THERAPY 34638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34638,A000000,02700,0000,02700SPEECH PATHOLOGY 34638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34638,A000000,03550,0000,03550FQHC 34638,A000000,05000,0000,05000CORF 34638,A000000,05010,0000,05010CMHC 34638,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34638,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34638,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34638,A000000,05300,0000,05300INTEREST EXPENSE 34638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34638,A81000A,00100,0100,Y 34638,A81000B,00100,0300,FISCAL SERVICES 34638,A81000B,00200,0300,RENT 34638,A81000B,00300,0300,MORTGAGE INTEREST 34638,A81000B,00400,0300,DEPRECIATION 34638,A81000B,00500,0300,DEP - ROOF 34638,A81000C,00100,0100,A 34638,A81000C,00100,0200,D.FRANCO 34638,A81000C,00100,0400,PARAGON GROUP 34638,A81000C,00100,0600,ACCOUNTING / CO 34638,A81000C,00200,0100,A 34638,A81000C,00200,0200,D.FRANCO 34638,A81000C,00200,0400,D.FRANCO 34638,A81000C,00200,0600,REAL ESTATTE 34638,B100000,00000,0100,00000SQUARE FEET 34638,B100000,00000,0200,00000SQUARE FEET 34638,B100000,00000,0300,00000GROSS SALARIES 34638,B100000,00000,0400,00000ACCUM COST 34638,B100000,00000,0500,00000SQUARE FEET 34638,B100000,00000,0600,00000POUNDS OF LAUNDRY 34638,B100000,00000,0700,00000SQUARE FEET 34638,B100000,00000,0800,00000MEALS SERVED 34638,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34638,B100000,00000,1000,00000COSTED REQUIS 34638,B100000,00000,1100,00000COSTED REQUISITIO 34638,B100000,00000,1200,00000TIME SPENT 34638,B100000,00000,1300,00000TIME SPENT 34638,B100000,00000,1400,00000ASSIGNED TIME 34638,S000000,00100,0200,06/22/2000 34638,S200000,00100,0100,725 PARK AVE 34638,S200000,00200,0100,BRIGEPORT 34638,S200000,00200,0200,CT 34638,S200000,00200,0300,06604 34638,S200000,00300,0100,FAIRFIELD 34638,S200000,00400,0100,ASTORIA PARK 34638,S200000,00400,0200,075104 34638,S200000,00400,0300,04/22/1985 34638,S200000,00400,0500,P 34638,S200000,01500,0100,Y 34638,S200000,01900,0100,NON PROFIT CORP 34641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34641,A000000,00300,0000,00300EMPLOYEE BENEFITS 34641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34641,A000000,00700,0000,00700HOUSEKEEPING 34641,A000000,00800,0000,00800DIETARY 34641,A000000,00900,0000,00900NURSING ADMINISTRATION 34641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34641,A000000,01100,0000,01100PHARMACY 34641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34641,A000000,01300,0000,01300SOCIAL SERVICE 34641,A000000,01350,0000,01500OTHER GENERAL SERVICES 34641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34641,A000000,01600,0000,01600SKILLED NURSING FACILITY 34641,A000000,01800,0000,01800NURSING FACILITY 34641,A000000,01810,0000,01810ICF/MR 34641,A000000,02200,0000,02200LABORATORY 34641,A000000,02500,0000,02500PHYSICAL THERAPY 34641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34641,A000000,02700,0000,02700SPEECH PATHOLOGY 34641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34641,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34641,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34641,A000000,03550,0000,03550FQHC 34641,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34641,A000000,05000,0000,05000CORF 34641,A000000,05010,0000,05010CMHC 34641,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34641,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34641,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34641,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34641,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34641,A000000,06200,0000,06200PATIENTS LAUNDRY 34641,A81000A,00100,0100,Y 34641,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34641,A81000B,00200,0300,LINEN AND BEDDING 34641,A81000B,00300,0300,NURSING & INCONTINENT SUPPLIES 34641,A81000B,00400,0300,CHARGEABLE NURSING SUPPLIES 34641,A81000B,00500,0300,PHYSICAL THERAPY CONSULTING 34641,A81000B,00600,0300,SPEECH THERAPY CONSULTING 34641,A81000B,00700,0300,OCCUPATIONAL THERAPY CONSULT 34641,A81000B,00800,0300,HOME OFFICE ALLOCATION 34641,A81000C,00100,0100,B 34641,A81000C,00100,0400,BALZ MEDICAL SERVICE 34641,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34641,A81000C,00200,0100,B 34641,A81000C,00200,0400,LEXICORE REHAB SERVICES 34641,A81000C,00200,0600,REHAB THERAPY SERVICES 34641,A81000C,00300,0100,B 34641,A81000C,00300,0400,LEXINGTON HC GROUP INC. 34641,A81000C,00300,0600,HOME OFFICE 34641,A81000C,00400,0100,B 34641,A81000C,00400,0400,LEXICON PHARMACY SERVICES 34641,A81000C,00400,0600,PHARMACY AND IV THERAPY 34641,A81000C,00500,0100,B 34641,A81000C,00500,0400,PROFESSIONAL RELIEF NURSE 34641,A81000C,00500,0600,HOME HEALTH AGENCY 34641,B100000,00000,0100,00000SQUARE FEET 34641,B100000,00000,0200,00000SQUARE FEET 34641,B100000,00000,0300,00000GROSS SALARIES 34641,B100000,00000,0400,00000ACCUM. COST 34641,B100000,00000,0500,00000SQUARE FEET 34641,B100000,00000,0600,00000POUNDS OF LAUNDRY 34641,B100000,00000,0700,00000SQUARE FEET 34641,B100000,00000,0800,00000PATIENT DAYS 34641,B100000,00000,0900,00000NURS ADMINTIME 34641,B100000,00000,1000,00000PATIENT DAYS 34641,B100000,00000,1100,00000NO STATISTICS 34641,B100000,00000,1200,00000GROSS REVENUE 34641,B100000,00000,1300,00000SOC SERVICE TI 34641,B100000,00000,1350,00000NO STATISTICS 34641,B100000,00000,1400,00000NO STATISTICS 34641,E10A180,00550,0100,08/10/2000 34641,E10A180,00550,0300,08/10/2000 34641,S000000,00100,0200,08/03/2000 34641,S200000,00100,0100,80 FERN DRIVE 34641,S200000,00200,0100,TORRINGTON 34641,S200000,00200,0200,CT 34641,S200000,00200,0300,06790 34641,S200000,00300,0100,LITCHFIELD 34641,S200000,00400,0100,ADAMS HOUSE 34641,S200000,00400,0200,075105 34641,S200000,00400,0300,09/07/1999 34641,S200000,00400,0500,P 34641,S200000,00600,0200,075015 34641,S200000,00600,0300,09/07/1999 34641,S200000,00600,0600,P 34641,S200000,01600,0100,Y 34647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34647,A000000,00300,0000,00300EMPLOYEE BENEFITS 34647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34647,A000000,00700,0000,00700HOUSEKEEPING 34647,A000000,00800,0000,00800DIETARY 34647,A000000,00900,0000,00900NURSING ADMINISTRATION 34647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34647,A000000,01100,0000,01100PHARMACY 34647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34647,A000000,01300,0000,01300SOCIAL SERVICE 34647,A000000,01350,0000,01500RECTRATION 34647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34647,A000000,01600,0000,01600SKILLED NURSING FACILITY 34647,A000000,01810,0000,01810ICF/MR 34647,A000000,02100,0000,02100RADIOLOGY 34647,A000000,02200,0000,02200LABORATORY 34647,A000000,02500,0000,02500PHYSICAL THERAPY 34647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34647,A000000,02700,0000,02700SPEECH PATHOLOGY 34647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34647,A000000,03050,0000,03300EKG 34647,A000000,03200,0000,03200SUPPORT SURFACES 34647,A000000,03550,0000,03550FQHC 34647,A000000,04800,0000,04800AMBULANCE 34647,A000000,05000,0000,05000CORF 34647,A000000,05010,0000,05010CMHC 34647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34647,A81000A,00100,0100,Y 34647,A81000B,00100,0300,RENT 34647,A81000B,00200,0300,INTEREST 34647,A81000B,00300,0300,DEPRCIATION @ 40 YRS 34647,A81000B,00400,0300,PSCHIATRIC CONS 34647,A81000B,00500,0300,CORP FEES 34647,A81000B,00600,0300,CORP ACCOUNTING FEES 34647,A81000B,00700,0300,CORP MANAGEMENT 34647,A81000B,00800,0300,OWNERS SALARIES 34647,A81000C,00100,0100,A 34647,A81000C,00100,0200,BRIAN J FOLEY 34647,A81000C,00100,0400,WOLCOTT REALTY 34647,A81000C,00100,0600,REAL ESTATE REN 34647,A81000C,00200,0100,A 34647,A81000C,00200,0200,BRIAN J FOLEY 34647,A81000C,00200,0400,APPLE HEALTH CA 34647,A81000C,00200,0600,MNGT & ACCOUNTI 34647,A81000C,00300,0100,D 34647,A81000C,00300,0200,LISA WILSON FOL 34647,A81000C,00300,0400,MED OPTIONS 34647,A81000C,00300,0600,PHYCH CONSULANT 34647,B100000,00000,0100,00000SQUARE FEET 34647,B100000,00000,0200,00000SQUARE FEET 34647,B100000,00000,0300,00000GROSS SALARIES 34647,B100000,00000,0400,00000ACCUM COST 34647,B100000,00000,0500,00000SQUARE FEET 34647,B100000,00000,0600,00000POUNDS OF 100% 34647,B100000,00000,0700,00000SQUARE FEET 34647,B100000,00000,0800,00000MEALS 100% 34647,B100000,00000,0900,00000DIRECT 100% 34647,B100000,00000,1000,00000COSTED REQUIS 34647,B100000,00000,1100,00000COSTED REQUIS 34647,B100000,00000,1200,00000TIME SPENT 34647,B100000,00000,1300,00000TIME 100% 34647,B100000,00000,1350,00000 100% 34647,B100000,00000,1400,00000ASSIGNED TIME 34647,S000000,00100,0200,05/31/2000 34647,S200000,00100,0100,215 FOREST ST 34647,S200000,00200,0100,TORRINGTON 34647,S200000,00200,0200,CR 34647,S200000,00200,0300,06790 34647,S200000,00300,0100,LITCHFIELD 34647,S200000,00400,0100,WOLCOTT HALL NURSING CENTER INC. 34647,S200000,00400,0200,075111 34647,S200000,00400,0300,10/01/1978 34647,S200000,00400,0500,P 34647,S200000,01500,0100,Y 34647,S200000,01900,0100,NON PROFIT CORP 34647,S200000,04700,0100,Y 34657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34657,A000000,00300,0000,00300EMPLOYEE BENEFITS 34657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34657,A000000,00700,0000,00700HOUSEKEEPING 34657,A000000,00800,0000,00800DIETARY 34657,A000000,00900,0000,00900NURSING ADMINISTRATION 34657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34657,A000000,01100,0000,01100PHARMACY 34657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34657,A000000,01300,0000,01300SOCIAL SERVICE 34657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34657,A000000,01600,0000,01600SKILLED NURSING FACILITY 34657,A000000,01810,0000,01810ICF/MR 34657,A000000,02200,0000,02200LABORATORY 34657,A000000,02500,0000,02500PHYSICAL THERAPY 34657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34657,A000000,03550,0000,03550FQHC 34657,A000000,05000,0000,05000CORF 34657,A000000,05010,0000,05010CMHC 34657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34657,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34657,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34657,A000000,06150,0000,06300DENTIST 34657,A000000,06152,0000,06310PAVILION 34657,B100000,00000,0100,00010SQUARE FEET 34657,B100000,00000,0200,00010SQUARE FEET 34657,B100000,00000,0300,00010GROSS SALARIES 34657,B100000,00000,0400,00010ACCUM COST 34657,B100000,00000,0500,00010SQUARE FEET 34657,B100000,00000,0600,00010POUNDS OF LAUNDRY 34657,B100000,00000,0700,00010HOURS OF SERVICE 34657,B100000,00000,0800,00010MEALS SERVED 34657,B100000,00000,0900,00010DIRECT NRSG HRS 34657,B100000,00000,1000,00010COSTED REQUIS 34657,B100000,00000,1100,00010COSTED REQUIS 34657,B100000,00000,1200,00010TIME SPENT 34657,B100000,00000,1300,00010TIME SPENT 34657,B100000,00000,1400,00010ASSIGNED TIME 34657,E10A180,00501,0100,05/04/2001 34657,E10A180,00550,0100,02/12/2001 34657,E10A180,00551,0100,04/05/2001 34657,S000000,00100,0200,03/30/2001 34657,S200000,00100,0100,70 PARSONAGE ROAD 34657,S200000,00200,0100,GREENWICH 34657,S200000,00200,0200,CT 34657,S200000,00200,0300,06830 34657,S200000,00300,0100,F 34657,S200000,00400,0100,NATHANIEL WITHERELL 34657,S200000,00400,0200,075117 34657,S200000,00400,0300,01/01/1967 34657,S200000,00400,0500,P 34657,S200000,01500,0100,Y 34660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34660,A000000,00300,0000,00300EMPLOYEE BENEFITS 34660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34660,A000000,00700,0000,00700HOUSEKEEPING 34660,A000000,00800,0000,00800DIETARY 34660,A000000,00900,0000,00900NURSING ADMINISTRATION 34660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34660,A000000,01100,0000,01100PHARMACY 34660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34660,A000000,01300,0000,01300SOCIAL SERVICE 34660,A000000,01350,0000,01500ACTIVITIES 34660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34660,A000000,01600,0000,01600SKILLED NURSING FACILITY 34660,A000000,01810,0000,01810ICF/MR 34660,A000000,02100,0000,02100RADIOLOGY 34660,A000000,02200,0000,02200LABORATORY 34660,A000000,02300,0000,02300INTRAVENOUS THERAPY 34660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34660,A000000,02500,0000,02500PHYSICAL THERAPY 34660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34660,A000000,02700,0000,02700SPEECH PATHOLOGY 34660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34660,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34660,A000000,03550,0000,03550FQHC 34660,A000000,05000,0000,05000CORF 34660,A000000,05010,0000,05010CMHC 34660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34660,A000000,05300,0000,05300INTEREST EXPENSE 34660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34660,A81000A,00100,0100,Y 34660,A81000B,00100,0300,RENT 34660,A81000B,00200,0300,DEPRECIATION 34660,A81000B,00300,0300,INTEREST EXPENSE 34660,A81000C,00100,0100,A 34660,A81000C,00100,0200,MARVIN OSTRICHE 34660,A81000C,00100,0400,BLOOMFIELD HEAL 34660,A81000C,00100,0600,REAL ESTATE REN 34660,A81000C,00200,0400,REALTY OF CT LL 34660,A81000C,00400,0100,A 34660,A81000C,00400,0200,AGNES ZITTLER 34660,A81000C,00400,0400,BLOOMFIELD HEAL 34660,A81000C,00400,0600,REAL ESTATE REN 34660,A81000C,00500,0400,REALTY OF CT LL 34660,B100000,00000,0100,00000SQUARE FEET 34660,B100000,00000,0200,00000SQUARE FEET 34660,B100000,00000,0300,00000GROSS SALARIES 34660,B100000,00000,0400,00000ACCUM COST 34660,B100000,00000,0500,00000SQUARE FEET 34660,B100000,00000,0600,00000PATIENT DAYS 34660,B100000,00000,0700,00000SQUARE FEET 34660,B100000,00000,0800,00000PATIENT DAYS 34660,B100000,00000,0900,00000PATIENT DAYS 34660,B100000,00000,1000,00000PATIENT DAYS 34660,B100000,00000,1100,00000PATIENT DAYS 34660,B100000,00000,1200,00000PATIENT DAYS 34660,B100000,00000,1300,00000PATIENT DAYS 34660,B100000,00000,1350,00000PATIENT DAYS 34660,B100000,00000,1400,00000ASSIGNED TIME 34660,E10A180,00501,0300,04/27/2001 34660,E10A180,00550,0100,04/27/2001 34660,S000000,00100,0200,05/01/2000 34660,S200000,00100,0100,353 PARK AVENUE 34660,S200000,00200,0100,BLOOMFIELD 34660,S200000,00200,0200,CT 34660,S200000,00200,0300,06002 34660,S200000,00300,0100,HARTFORD 34660,S200000,00400,0100,BLOOMFIELD HEALTH CARE CENTER INC. 34660,S200000,00400,0200,075138 34660,S200000,00400,0300,03/21/1973 34660,S200000,00400,0500,P 34660,S200000,01500,0100,Y 34660,S200000,01900,0100,NON PROFIT CORP 34666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34666,A000000,00300,0000,00300EMPLOYEE BENEFITS 34666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34666,A000000,00700,0000,00700HOUSEKEEPING 34666,A000000,00800,0000,00800DIETARY 34666,A000000,00900,0000,00900NURSING ADMINISTRATION 34666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34666,A000000,01100,0000,01100PHARMACY 34666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34666,A000000,01300,0000,01300SOCIAL SERVICE 34666,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 34666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34666,A000000,01600,0000,01600SKILLED NURSING FACILITY 34666,A000000,01800,0000,01800NURSING FACILITY 34666,A000000,01810,0000,01810ICF/MR 34666,A000000,01900,0000,01900OTHER LONG TERM CARE 34666,A000000,02100,0000,02100RADIOLOGY 34666,A000000,02200,0000,02200LABORATORY 34666,A000000,02300,0000,02300INTRAVENOUS THERAPY 34666,A000000,02500,0000,02500PHYSICAL THERAPY 34666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34666,A000000,02700,0000,02700SPEECH PATHOLOGY 34666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34666,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 34666,A000000,03550,0000,03550FQHC 34666,A000000,05000,0000,05000CORF 34666,A000000,05010,0000,05010CMHC 34666,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34666,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34666,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34666,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34666,B100000,00000,0100,00000SQUARE FEET 34666,B100000,00000,0200,00000SQUARE FEET 34666,B100000,00000,0300,00000GROSS SALARIES 34666,B100000,00000,0400,00000ACCUM COST 34666,B100000,00000,0500,00000SQUARE FEET 34666,B100000,00000,0600,00000POUNDS OF LAUNDRY 34666,B100000,00000,0700,00000SQUARE FEET 34666,B100000,00000,0800,00000PATIENT DAYS 34666,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34666,B100000,00000,1000,00000HOURS OF SERVICE 34666,B100000,00000,1100,00000COSTED REQUISITIO 34666,B100000,00000,1200,00000TIME SPENT 34666,B100000,00000,1300,00000TIME SPENT 34666,B100000,00000,1350,00000 34666,B100000,00000,1400,00000ASSIGNED TIME 34666,S000000,00100,0200,06/26/2000 34666,S200000,00100,0100,62 COLEMAN ST. 34666,S200000,00200,0100,BRIDGEPORT 34666,S200000,00200,0200,CT 34666,S200000,00200,0300,06604 34666,S200000,00300,0100,FAIRFIELD 34666,S200000,00400,0100,GOLDEN HEIGHTS HEALTH CENTER 34666,S200000,00400,0200,075139 34666,S200000,00400,0300,02/22/1995 34666,S200000,00400,0500,P 34666,S200000,00600,0200,075139 34666,S200000,00600,0300,02/22/1995 34666,S200000,00600,0600,P 34666,S200000,01600,0100,Y 34669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34669,A000000,00300,0000,00300EMPLOYEE BENEFITS 34669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34669,A000000,00700,0000,00700HOUSEKEEPING 34669,A000000,00800,0000,00800DIETARY 34669,A000000,00900,0000,00900NURSING ADMINISTRATION 34669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34669,A000000,01100,0000,01100PHARMACY 34669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34669,A000000,01300,0000,01300SOCIAL SERVICE 34669,A000000,01350,0000,01500RECREATION 34669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34669,A000000,01600,0000,01600SKILLED NURSING FACILITY 34669,A000000,01810,0000,01810ICF/MR 34669,A000000,02100,0000,02100RADIOLOGY 34669,A000000,02200,0000,02200LABORATORY 34669,A000000,02500,0000,02500PHYSICAL THERAPY 34669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34669,A000000,02700,0000,02700SPEECH PATHOLOGY 34669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34669,A000000,03550,0000,03550FQHC 34669,A000000,05000,0000,05000CORF 34669,A000000,05010,0000,05010CMHC 34669,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34669,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34669,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34669,A81000A,00100,0100,Y 34669,A81000B,00100,0300,RENT 34669,A81000B,00200,0300,INTEREST 34669,A81000B,00300,0300,DEPRE @ 40 YEAR LIFE 34669,A81000B,00400,0300,CORP FEES 34669,A81000B,00500,0300,CORP ACCOUNTING FEES 34669,A81000B,00600,0300,CORPORATE MANAGEMENT 34669,A81000B,00700,0300,PHYSCIATRIC CONSULT 34669,A81000B,00800,0300,H/O CAP REL EQUIPMEN 34669,A81000C,00100,0100,A 34669,A81000C,00100,0200,BRIAN FOLEY 34669,A81000C,00100,0400,FOWLER REALTY 34669,A81000C,00100,0600,REAL ESTATE REN 34669,A81000C,00200,0100,A 34669,A81000C,00200,0200,BRIAN FOLEY 34669,A81000C,00200,0400,APPLE HEALTH CA 34669,A81000C,00200,0600,CORP MGT & ACCT 34669,A81000C,00300,0100,D 34669,A81000C,00300,0200,LISA WILSON FOL 34669,A81000C,00300,0400,MED OPTIONS 34669,A81000C,00300,0600,PSYCHIATRIC SER 34669,B100000,00000,0100,00000SQUARE FEET 34669,B100000,00000,0200,00000SQUARE FEET 34669,B100000,00000,0300,00000GROSS SALARIES 34669,B100000,00000,0400,00000ACCUM COST 34669,B100000,00000,0500,00000SQUARE FEET 34669,B100000,00000,0600,00000100% 34669,B100000,00000,0700,00000SQUARE FEET 34669,B100000,00000,0800,00000100% 34669,B100000,00000,0900,00000100% 34669,B100000,00000,1000,00000COSTED REQUIS 34669,B100000,00000,1100,00000COSTED REQUIS 34669,B100000,00000,1200,00000TIME SPENT 34669,B100000,00000,1300,00000100% 34669,B100000,00000,1350,00000100% 34669,B100000,00000,1400,00000ASSIGNED TIME 34669,S000000,00100,0200,05/31/2000 34669,S200000,00100,0100,10 BOSTON POST ROAD 34669,S200000,00200,0100,GUILFORD 34669,S200000,00200,0200,CT 34669,S200000,00200,0300,06437 34669,S200000,00300,0100,NEW HAVEN 34669,S200000,00400,0100,FOWLER NURSING CENTER INC. 34669,S200000,00400,0200,075144 34669,S200000,00400,0300,09/28/1984 34669,S200000,00400,0500,P 34669,S200000,01500,0100,Y 34669,S200000,01900,0100,NON PROFIT CORP 34672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34672,A000000,00300,0000,00300EMPLOYEE BENEFITS 34672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34672,A000000,00700,0000,00700HOUSEKEEPING 34672,A000000,00800,0000,00800DIETARY 34672,A000000,00900,0000,00900NURSING ADMINISTRATION 34672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34672,A000000,01100,0000,01100PHARMACY 34672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34672,A000000,01300,0000,01300SOCIAL SERVICE 34672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34672,A000000,01600,0000,01600SKILLED NURSING FACILITY 34672,A000000,01810,0000,01810ICF/MR 34672,A000000,02200,0000,02200LABORATORY 34672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34672,A000000,02500,0000,02500PHYSICAL THERAPY 34672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34672,A000000,02700,0000,02700SPEECH PATHOLOGY 34672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34672,A000000,03550,0000,03550FQHC 34672,A000000,05000,0000,05000CORF 34672,A000000,05010,0000,05010CMHC 34672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34672,A000000,05300,0000,05300INTEREST EXPENSE 34672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34672,B100000,00000,0100,00000SQUARE FEET 34672,B100000,00000,0200,00000SQUARE FEET 34672,B100000,00000,0300,00000GROSS SALARIES 34672,B100000,00000,0400,00000ACCUM COST 34672,B100000,00000,0500,00000SQUARE FEET 34672,B100000,00000,0600,00000POUNDS OF LAUNDRY 34672,B100000,00000,0700,00000HOURS OF SERVICE 34672,B100000,00000,0800,00000MEALS SERVED 34672,B100000,00000,0900,00000DIRECT NRSG HRS 34672,B100000,00000,1000,00000COSTED REQUIS 34672,B100000,00000,1100,00000COSTED REQUIS 34672,B100000,00000,1200,00000TIME SPENT 34672,B100000,00000,1300,00000TIME SPENT 34672,B100000,00000,1400,00000ASSIGNED TIME 34672,S000000,00100,0200,05/26/2000 34672,S200000,00100,0100,778 MIDDLEBURY RAOD 34672,S200000,00200,0100,MIDDLEBURY 34672,S200000,00200,0200,CT 34672,S200000,00200,0300,06762 34672,S200000,00300,0100,US 34672,S200000,00400,0100,MIDDLEBURY CONVALESCENT HOME 34672,S200000,00400,0200,075146 34672,S200000,00400,0300,01/01/1967 34672,S200000,00400,0500,P 34672,S200000,01500,0100,Y 34672,S200000,01900,0100,NON PROFIT CORP 34672,S200000,04600,0100,Y 34675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34675,A000000,00300,0000,00300EMPLOYEE BENEFITS 34675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34675,A000000,00700,0000,00700HOUSEKEEPING 34675,A000000,00800,0000,00800DIETARY 34675,A000000,00900,0000,00900NURSING ADMINISTRATION 34675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34675,A000000,01100,0000,01100PHARMACY 34675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34675,A000000,01300,0000,01300SOCIAL SERVICE 34675,A000000,01350,0000,01500RECREATION 34675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34675,A000000,01600,0000,01600SKILLED NURSING FACILITY 34675,A000000,01810,0000,01810ICF/MR 34675,A000000,02500,0000,02500PHYSICAL THERAPY 34675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34675,A000000,02700,0000,02700SPEECH PATHOLOGY 34675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34675,A000000,03550,0000,03550FQHC 34675,A000000,05000,0000,05000CORF 34675,A000000,05010,0000,05010CMHC 34675,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34675,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34675,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34675,A000000,05300,0000,05300INTEREST EXPENSE 34675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34675,B100000,00000,0100,00000SQUARE FEET 34675,B100000,00000,0200,00000SQUARE FEET 34675,B100000,00000,0300,00000GROSS SALARIES 34675,B100000,00000,0400,00000ACCUM COST 34675,B100000,00000,0500,00000SQUARE FEET 34675,B100000,00000,0600,00000POUNDS OF LAUNDRY 34675,B100000,00000,0700,00000HOURS OF SERVICE 34675,B100000,00000,0800,00000MEALS SERVED 34675,B100000,00000,0900,00000DIRECT NRSG HRS 34675,B100000,00000,1000,00000COSTED REQUIS 34675,B100000,00000,1100,00000COSTED REQUIS 34675,B100000,00000,1200,00000TIME SPENT 34675,B100000,00000,1300,00000TIME SPENT 34675,B100000,00000,1350,00000 34675,B100000,00000,1400,00000ASSIGNED TIME 34675,S000000,00100,0200,06/15/2000 34675,S200000,00100,0100,88 ROCKRIMMON ROAD 34675,S200000,00200,0100,STAMFORD 34675,S200000,00200,0200,CT 34675,S200000,00200,0300,06903 34675,S200000,00400,0100,SMITH HOUSE SNF 34675,S200000,00400,0200,075153 34675,S200000,00400,0300,01/01/1967 34675,S200000,00400,0500,P 34675,S200000,01500,0100,Y 34675,S200000,01900,0100,NON PROFIT CORP 34678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34678,A000000,00300,0000,00300EMPLOYEE BENEFITS 34678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34678,A000000,00700,0000,00700HOUSEKEEPING 34678,A000000,00800,0000,00800DIETARY 34678,A000000,00900,0000,00900NURSING ADMINISTRATION 34678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34678,A000000,01100,0000,01100PHARMACY 34678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34678,A000000,01300,0000,01300SOCIAL SERVICE 34678,A000000,01350,0000,01500RECREATION 34678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34678,A000000,01600,0000,01600SKILLED NURSING FACILITY 34678,A000000,01810,0000,01810ICF/MR 34678,A000000,02100,0000,02100RADIOLOGY 34678,A000000,02200,0000,02200LABORATORY 34678,A000000,02300,0000,02300INTRAVENOUS THERAPY 34678,A000000,02500,0000,02500PHYSICAL THERAPY 34678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34678,A000000,02700,0000,02700SPEECH PATHOLOGY 34678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34678,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34678,A000000,03550,0000,03550FQHC 34678,A000000,04800,0000,04800AMBULANCE 34678,A000000,05000,0000,05000CORF 34678,A000000,05010,0000,05010CMHC 34678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34678,A81000A,00100,0100,Y 34678,A81000B,00100,0300,RENT 34678,A81000B,00200,0300,MANAGEMENT FEES 34678,A81000B,00300,0300,INTEREST 34678,A81000B,00400,0300,DEPRECIATION 34678,A81000B,00500,0300,LAUNDRY 34678,A81000B,00600,0300,AMORTIZATION 34678,A81000B,00700,0300,HOME OFFICE 34678,A81000B,00800,0300,HOME OFFICE 34678,A81000C,00100,0100,A 34678,A81000C,00100,0200,HERBERT\LENORE 34678,A81000C,00100,0400,HERLEE MGMT. CO 34678,A81000C,00100,0600,HOME OFFICE 34678,A81000C,00200,0100,A 34678,A81000C,00200,0200,HERBERT\LENORE 34678,A81000C,00200,0400,LENORE HALLEN 34678,A81000C,00200,0600,SHAREHOLDER 34678,A81000C,00300,0100,B 34678,A81000C,00300,0200,HERBERT\LENORE 34678,A81000C,00300,0400,NORWICHTOWN CON 34678,A81000C,00300,0600,NURSING HOME 34678,A81000C,00400,0100,B 34678,A81000C,00400,0200,HERBERT\LENORE 34678,A81000C,00400,0400,REAL ESTATE 34678,A81000C,00400,0600,REAL ESTATE 34678,B100000,00000,0100,00000SQUARE FEET 34678,B100000,00000,0200,00000SQUARE FEET 34678,B100000,00000,0300,00000GROSS SALARIES 34678,B100000,00000,0400,00000ACCUM COST 34678,B100000,00000,0500,00000SQUARE FEET 34678,B100000,00000,0600,00000PATIENT DAYS 34678,B100000,00000,0700,00000SQUARE FEET 34678,B100000,00000,0800,00000MEALS SERVED 34678,B100000,00000,0900,00000PATIENT DAYS 34678,B100000,00000,1000,00000COSTED REQUIS 34678,B100000,00000,1100,00000PATIENT DAYS 34678,B100000,00000,1200,00000PATIENT DAYS 34678,B100000,00000,1300,00000PATIENT DAYS 34678,B100000,00000,1350,00000PATIENT DAYS 34678,B100000,00000,1400,00000ASSIGNED TIME 34678,E10A180,00350,0300,05/18/2000 34678,S000000,00100,0200,05/15/2000 34678,S200000,00100,0100,88 CLARK LANE 34678,S200000,00200,0100,WATERFORD 34678,S200000,00200,0200,CT 34678,S200000,00200,0300,06385 34678,S200000,00300,0100,NEW LONDON 34678,S200000,00400,0100,NEW LONDON CONVALESCENT HOME 34678,S200000,00400,0200,075158 34678,S200000,00400,0300,03/22/1984 34678,S200000,00400,0500,P 34678,S200000,01500,0100,Y 34678,S200000,01900,0100,NON PROFIT CORP 34684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34684,A000000,00300,0000,00300EMPLOYEE BENEFITS 34684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34684,A000000,00700,0000,00700HOUSEKEEPING 34684,A000000,00800,0000,00800DIETARY 34684,A000000,00900,0000,00900NURSING ADMINISTRATION 34684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34684,A000000,01100,0000,01100PHARMACY 34684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34684,A000000,01300,0000,01300SOCIAL SERVICE 34684,A000000,01350,0000,01500OTHER GENERAL SERVICES 34684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34684,A000000,01600,0000,01600SKILLED NURSING FACILITY 34684,A000000,01810,0000,01810ICF/MR 34684,A000000,02200,0000,02200LABORATORY 34684,A000000,02300,0000,02300INTRAVENOUS THERAPY 34684,A000000,02500,0000,02500PHYSICAL THERAPY 34684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34684,A000000,02700,0000,02700SPEECH PATHOLOGY 34684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34684,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34684,A000000,03550,0000,03550FQHC 34684,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34684,A000000,05000,0000,05000CORF 34684,A000000,05010,0000,05010CMHC 34684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34684,A000000,06200,0000,06200PATIENTS LAUNDRY 34684,A81000A,00100,0100,Y 34684,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34684,A81000B,00200,0300,DIETARY SUPPLIES 34684,A81000B,00300,0300,LAUNDRY AND LINEN & BEDDING 34684,A81000B,00400,0300,NURSING EXPENSE 34684,A81000B,00500,0300,PHYSICAL THERAPY CONSULTING 34684,A81000B,00600,0300,OCCUPATIONAL THER CONSULTING 34684,A81000B,00700,0300,SPEECH THERAPY CONSULTING 34684,A81000B,00800,0300,PHARM IV OTHER CONSULTING 34684,A81000B,00900,0300,IV THERAPY EXPENSE 34684,A81000B,01000,0300,LABORATORY EXPENSE 34684,A81000B,01100,0300,PHARM HOUSE OXYGEN SUPPLIES 34684,A81000B,01200,0300,PHARMACY MEDICARE EXPENSE 34684,A81000B,01300,0300,CHARGEABLE NURSING SUPPLIES 34684,A81000B,01400,0300,MEDICAL RECORDS CONSULTING 34684,A81000B,01500,0300,MOVEABLE EQUIP DEPRECIATION 34684,A81000B,01600,0300,RENT EXPENSE 34684,A81000B,01700,0300,HOME OFFICE ALLOCATION 34684,A81000C,00100,0100,B 34684,A81000C,00100,0400,BALZ MEDICAL SERVICES 34684,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34684,A81000C,00200,0100,B 34684,A81000C,00200,0400,LEXICORE REHAB SERVICES 34684,A81000C,00200,0600,REHAB THERAPY SERVICES 34684,A81000C,00300,0100,B 34684,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34684,A81000C,00300,0600,PHARMACY AND IV THERAPY 34684,A81000C,00400,0100,A 34684,A81000C,00400,0200,JACK FRIEDLER 34684,A81000C,00400,0400,THE FAIRFIELD GROUP 34684,A81000C,00400,0600,FACILITY LESSOR 34684,A81000C,00500,0100,B 34684,A81000C,00500,0400,LEXINGTON HC GROUP INC. 34684,A81000C,00500,0600,HOME OFFICE 34684,A81000C,00600,0100,B 34684,A81000C,00600,0400,PROFESSIONAL RELIEF NURSE 34684,A81000C,00600,0600,HOME HEALTH AGENCY 34684,A81000C,00700,0100,B 34684,B100000,00000,0100,00000SQUARE FEET 34684,B100000,00000,0200,00000SQUARE FEET 34684,B100000,00000,0300,00000GROSS SALARIES 34684,B100000,00000,0400,00000ACCUM. COST 34684,B100000,00000,0500,00000SQUARE FEET 34684,B100000,00000,0600,00000POUNDS OF LAUNDRY 34684,B100000,00000,0700,00000SQUARE FEET 34684,B100000,00000,0800,00000MEALS SERVED 34684,B100000,00000,0900,00000TIME SPENT 34684,B100000,00000,1000,00000COSTED REQUIS. 34684,B100000,00000,1100,00000COSTED REQUIS. 34684,B100000,00000,1200,00000TIME SPENT 34684,B100000,00000,1300,00000TIME SPENT 34684,B100000,00000,1350,00000NO STATISTICS 34684,B100000,00000,1400,00000ASSIGNED TIME 34684,E10A180,00501,0100,06/15/2000 34684,E10A180,00550,0300,06/15/2000 34684,S000000,00100,0200,06/02/2000 34684,S200000,00100,0100,23 PROSPECT STREET 34684,S200000,00200,0100,NORWALK 34684,S200000,00200,0200,CT 34684,S200000,00300,0100,FAIRFIELD 34684,S200000,00400,0100,FAIRFIELD MANOR 34684,S200000,00400,0200,075159 34684,S200000,00400,0300,07/01/1997 34684,S200000,00400,0500,P 34684,S200000,01500,0100,Y 34688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34688,A000000,00300,0000,00300EMPLOYEE BENEFITS 34688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34688,A000000,00700,0000,00700HOUSEKEEPING 34688,A000000,00800,0000,00800DIETARY 34688,A000000,00900,0000,00900NURSING ADMINISTRATION 34688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34688,A000000,01100,0000,01100PHARMACY 34688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34688,A000000,01300,0000,01300SOCIAL SERVICE 34688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34688,A000000,01600,0000,01600SKILLED NURSING FACILITY 34688,A000000,01810,0000,01810ICF/MR 34688,A000000,02100,0000,02100RADIOLOGY 34688,A000000,02200,0000,02200LABORATORY 34688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34688,A000000,02500,0000,02500PHYSICAL THERAPY 34688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34688,A000000,02700,0000,02700SPEECH PATHOLOGY 34688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34688,A000000,03550,0000,03550FQHC 34688,A000000,05000,0000,05000CORF 34688,A000000,05010,0000,05010CMHC 34688,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34688,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34688,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34688,A81000A,00100,0100,Y 34688,A81000B,00100,0300,MANAGEMENT FEES 34688,A81000B,00200,0300,OFFICE RENTAL 34688,A81000B,00300,0300,INSURANCE (ESTIMATE) 34688,A81000B,00400,0300,OFFICE OF THE PRESIDENT (25%) 34688,A81000B,00500,0300,FINANCE (65%) 34688,A81000B,00600,0300,HUMAN RESOURCES (58%) 34688,A81000C,00100,0100,B 34688,A81000C,00100,0200,UMH 34688,A81000C,00100,0400,UMH 34688,A81000C,00100,0600,MGMT SERVICES 34688,A81000C,00200,0100,B 34688,A81000C,00200,0200,JAMES TOMCHIK 34688,A81000C,00200,0400,BEARDSLEY BROW 34688,A81000C,00200,0600,INSURANCE 34688,A81000C,00300,0100,B 34688,A81000C,00300,0200,UMH/WESLEY 34688,A81000C,00300,0400,UMH/WESLEY 34688,A81000C,00300,0600,RENTAL OF SPACE 34688,B100000,00000,0100,00000SQUARE FEET 34688,B100000,00000,0200,00000SQUARE FEET 34688,B100000,00000,0300,00000GROSS SALARIES 34688,B100000,00000,0400,00000ACCUM COST 34688,B100000,00000,0500,00000SQUARE FEET 34688,B100000,00000,0600,00000PATIENT DAYS 34688,B100000,00000,0700,00000SQUARE FEET 34688,B100000,00000,0800,00000MEALS SERVED 34688,B100000,00000,0900,00000PATIENT DAYS 34688,B100000,00000,1000,00000COSTED REQUIS 34688,B100000,00000,1100,00000COSTED REQUIS 34688,B100000,00000,1200,00000TIME SPENT 34688,B100000,00000,1300,00000PATIENT DAYS 34688,B100000,00000,1400,00000ASSIGNED TIME 34688,E10A180,00550,0300,03/14/2000 34688,S000000,00100,0200,03/13/2000 34688,S200000,00100,0100,584 LONG HILL ROAD 34688,S200000,00200,0100,SHELTON 34688,S200000,00200,0200,CT 34688,S200000,00200,0300,06484 34688,S200000,00300,0100,FAIRFIELD 34688,S200000,00400,0100,BISHOP WICKE HEALTH & REHAB CENTER 34688,S200000,00400,0200,075163 34688,S200000,00400,0300,01/01/1967 34688,S200000,00400,0500,P 34688,S200000,01500,0100,Y 34697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34697,A000000,00300,0000,00300EMPLOYEE BENEFITS 34697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34697,A000000,00700,0000,00700HOUSEKEEPING 34697,A000000,00800,0000,00800DIETARY 34697,A000000,00900,0000,00900NURSING ADMINISTRATION 34697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34697,A000000,01100,0000,01100PHARMACY 34697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34697,A000000,01300,0000,01300SOCIAL SERVICE 34697,A000000,01350,0000,01500RECREATION 34697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34697,A000000,01600,0000,01600SKILLED NURSING FACILITY 34697,A000000,01810,0000,01810ICF/MR 34697,A000000,02100,0000,02100RADIOLOGY 34697,A000000,02200,0000,02200LABORATORY 34697,A000000,02300,0000,02300INTRAVENOUS THERAPY 34697,A000000,02500,0000,02500PHYSICAL THERAPY 34697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34697,A000000,02700,0000,02700SPEECH PATHOLOGY 34697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34697,A000000,03550,0000,03550FQHC 34697,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34697,A000000,04800,0000,04800AMBULANCE 34697,A000000,05000,0000,05000CORF 34697,A000000,05010,0000,05010CMHC 34697,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34697,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34697,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34697,A81000A,00100,0100,Y 34697,A81000B,00100,0300,RENT BUILDING & FIXTURES 34697,A81000B,00200,0300,INTEREST 34697,A81000B,00300,0300,PROPERTY TAXES 34697,A81000B,00400,0300,DEPRECIATION BLDG 34697,A81000B,00500,0300,DEPRECIATION IMPROV 34697,A81000B,00600,0300,DEPRECIATION EQUIPMENT 34697,A81000B,00700,0300,DEPRECIATION LAND IMPROV 34697,A81000B,00800,0300,AMORTIZATION 34697,A81000B,00900,0300,MANAGEMENT FEES 34697,A81000B,01000,0300,MGMT FEE - CAP EXP 34697,A81000B,01100,0300,MGMT FEE - EQ EXP 34697,A81000B,01200,0300,MGMT FEE - OTHER EXP 34697,A81000B,01300,0300,PAYROLL SERVICE 34697,A81000B,01400,0300,MGMT FEE - CAP EXP. 34697,A81000B,01500,0300,MGMT FEE - EQUIP EXP 34697,A81000B,01600,0300,MGMT FEE - OTHER EXP 34697,A81000C,00100,0100,A 34697,A81000C,00100,0200,B FISCHMAN 34697,A81000C,00100,0400,CRESCENT MANOR LLC 34697,A81000C,00100,0600,REALTY COMPANY 34697,A81000C,00200,0100,A 34697,A81000C,00200,0200,B FISCHMAN 34697,A81000C,00200,0400,AFFINITY HEALTH CARE 34697,A81000C,00200,0600,OVERSIGHT OF OPERATIONS 34697,A81000C,00300,0100,A 34697,A81000C,00300,0200,B FISCHMAN 34697,A81000C,00300,0400,CRESCENT MANOR LLC 34697,A81000C,00300,0600,PAYROLL SERVICE 34697,B100000,00000,0100,00000SQUARE FEET 34697,B100000,00000,0200,00000SQUARE FEET 34697,B100000,00000,0300,00000GROSS SALARIES 34697,B100000,00000,0400,00000ACCUM. COST 34697,B100000,00000,0500,00000SQUARE FEET 34697,B100000,00000,0600,00000POUNDS OF LAUNDRY 34697,B100000,00000,0700,00000SQUARE FEET 34697,B100000,00000,0800,00000MEALS SERVED 34697,B100000,00000,0900,00000HOURS OF SERVICE 34697,B100000,00000,1000,00000NO STATISTICS 34697,B100000,00000,1100,00000NO STATISTICS 34697,B100000,00000,1200,00000TIME SPENT 34697,B100000,00000,1300,00000TIME SPENT 34697,B100000,00000,1350,00000PATIENT DAYS 34697,B100000,00000,1400,00000ASSIGNED TIME 34697,S000000,00100,0200,06/21/2000 34697,S200000,00100,0100,1243 WEST MAIN STREET 34697,S200000,00200,0100,WATERBURY 34697,S200000,00200,0200,CT 34697,S200000,00200,0300,06708 34697,S200000,00300,0100,NEW HAVEN 34697,S200000,00400,0100,HCV D/B/A CRESCENT MANOR 34697,S200000,00400,0200,075174 34697,S200000,00400,0300,06/01/1969 34697,S200000,00400,0500,P 34697,S200000,01500,0100,Y 34703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34703,A000000,00300,0000,00300EMPLOYEE BENEFITS 34703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34703,A000000,00700,0000,00700HOUSEKEEPING 34703,A000000,00800,0000,00800DIETARY 34703,A000000,00900,0000,00900NURSING ADMINISTRATION 34703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34703,A000000,01100,0000,01100PHARMACY 34703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34703,A000000,01300,0000,01300SOCIAL SERVICE 34703,A000000,01350,0000,01500RECREATION 34703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34703,A000000,01600,0000,01600SKILLED NURSING FACILITY 34703,A000000,01810,0000,01810ICF/MR 34703,A000000,01900,0000,01900OTHER LONG TERM CARE 34703,A000000,02100,0000,02100RADIOLOGY 34703,A000000,02200,0000,02200LABORATORY 34703,A000000,02300,0000,02300INTRAVENOUS THERAPY 34703,A000000,02500,0000,02500PHYSICAL THERAPY 34703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34703,A000000,02700,0000,02700SPEECH PATHOLOGY 34703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34703,A000000,03200,0000,03200SUPPORT SURFACES 34703,A000000,03550,0000,03550FQHC 34703,A000000,04800,0000,04800AMBULANCE 34703,A000000,05000,0000,05000CORF 34703,A000000,05010,0000,05010CMHC 34703,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34703,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34703,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34703,A000000,05300,0000,05300INTEREST EXPENSE 34703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34703,A81000A,00100,0100,Y 34703,A81000B,00100,0300,RENT 34703,A81000B,00200,0300,INTEREST 34703,A81000B,00300,0300,DEPRECIATION 34703,A81000B,00400,0300,CORP FEES 34703,A81000B,00500,0300,CORP ACCOUNTING FEES 34703,A81000B,00600,0300,CORP MANAGEMENT FEES 34703,A81000B,00700,0300,PSYCHIATRIC SERVICE 34703,A81000C,00100,0100,A 34703,A81000C,00100,0200,BRIAN J. FOLEY 34703,A81000C,00100,0400,WATERBURY REALT 34703,A81000C,00100,0600,REAL ESTATE REN 34703,A81000C,00200,0100,A 34703,A81000C,00200,0200,BRIAN J. FOLEY 34703,A81000C,00200,0400,APPLE HEALTH CA 34703,A81000C,00200,0600,CORP ACCT MANA 34703,A81000C,00300,0100,D 34703,A81000C,00300,0200,LISA WILSON FOL 34703,A81000C,00300,0400,MEDOPTIONS 34703,A81000C,00300,0600,PSYCHIATRY 34703,B100000,00000,0100,00000SQUARE FEET 34703,B100000,00000,0200,00000SQUARE FEET 34703,B100000,00000,0300,00000GROSS SALARIES 34703,B100000,00000,0400,00000ACCUM COST 34703,B100000,00000,0500,00000SQUARE FEET 34703,B100000,00000,0600,00000POUNDS OF LAUNDRY 34703,B100000,00000,0700,00000HOURS OF SERVICE 34703,B100000,00000,0800,00000MEALS SERVED 34703,B100000,00000,0900,00000DIRECT NRSG HRS 34703,B100000,00000,1000,00000PATIENT DAYS 34703,B100000,00000,1100,00000COSTED REQUIS 34703,B100000,00000,1200,00000TIME SPENT 34703,B100000,00000,1300,00000PATIENT DAYS 34703,B100000,00000,1350,00000PATIENT DAYS 34703,B100000,00000,1400,00000ASSIGNED TIME 34703,S000000,00100,0200,06/12/2000 34703,S200000,00100,0100,35 BUNKER HILL RD 34703,S200000,00200,0100,WATERTOWN 34703,S200000,00200,0200,CT 34703,S200000,00200,0300,06795 34703,S200000,00300,0100,NEW HAVEN 34703,S200000,00400,0100,WATERBURY EXTENDED CARE FACILITY 34703,S200000,00400,0200,075181 34703,S200000,00400,0300,04/17/1967 34703,S200000,00400,0500,P 34703,S200000,00400,0600,O 34703,S200000,01500,0100,Y 34703,S200000,01900,0100,NON PROFIT CORP 34703,S200000,04700,0100,Y 34706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34706,A000000,00300,0000,00300EMPLOYEE BENEFITS 34706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34706,A000000,00700,0000,00700HOUSEKEEPING 34706,A000000,00800,0000,00800DIETARY 34706,A000000,00900,0000,00900NURSING ADMINISTRATION 34706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34706,A000000,01100,0000,01100PHARMACY 34706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34706,A000000,01300,0000,01300SOCIAL SERVICE 34706,A000000,01350,0000,01500RECREATION 34706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34706,A000000,01600,0000,01600SKILLED NURSING FACILITY 34706,A000000,01810,0000,01810ICF/MR 34706,A000000,02100,0000,02100RADIOLOGY 34706,A000000,02200,0000,02200LABORATORY 34706,A000000,02300,0000,02300INTRAVENOUS THERAPY 34706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34706,A000000,02500,0000,02500PHYSICAL THERAPY 34706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34706,A000000,02700,0000,02700SPEECH PATHOLOGY 34706,A000000,02800,0000,02800ELECTROCARDIOLOGY 34706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34706,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34706,A000000,03550,0000,03550FQHC 34706,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34706,A000000,05000,0000,05000CORF 34706,A000000,05010,0000,05010CMHC 34706,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34706,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34706,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34706,B100000,00000,0100,00000SQUARE FEET 34706,B100000,00000,0200,00000SQUARE FEET 34706,B100000,00000,0300,00000GROSS SALARIES 34706,B100000,00000,0400,00000ACCUM. COST 34706,B100000,00000,0500,00000SQUARE FEET 34706,B100000,00000,0600,00000PATIENT DAYS 34706,B100000,00000,0700,00000SQUARE FEET 34706,B100000,00000,0800,00000MEALS SERVED 34706,B100000,00000,0900,00000PATIENT DAYS 34706,B100000,00000,1000,00000NO STATISTICS 34706,B100000,00000,1100,00000PATIENT DAYS 34706,B100000,00000,1200,00000PATIENT DAYS 34706,B100000,00000,1300,00000PATIENT DAYS 34706,B100000,00000,1350,00000PATIENT DAYS 34706,B100000,00000,1400,00000NO STATISTICS 34706,S000000,00100,0200,05/31/2000 34706,S200000,00100,0100,55 GRAND STREET 34706,S200000,00200,0100,NEW BRITAIN 34706,S200000,00200,0200,CT 34706,S200000,00300,0100,HARTFORD 34706,S200000,00400,0100,WALNUT HILL INC 34706,S200000,00400,0200,075182 34706,S200000,00400,0300,04/14/1967 34706,S200000,00400,0500,P 34706,S200000,01900,0100,NON PROFIT CORP 34706,S200000,02800,0100,Y 34711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34711,A000000,00300,0000,00300EMPLOYEE BENEFITS 34711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34711,A000000,00700,0000,00700HOUSEKEEPING 34711,A000000,00800,0000,00800DIETARY 34711,A000000,00900,0000,00900NURSING ADMINISTRATION 34711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34711,A000000,01100,0000,01100PHARMACY 34711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34711,A000000,01300,0000,01300SOCIAL SERVICE 34711,A000000,01350,0000,01500ACTIVITIES 34711,A000000,01351,0000,01501INDIRECT CONSULTANTS 34711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34711,A000000,01600,0000,01600SKILLED NURSING FACILITY 34711,A000000,01810,0000,01810ICF/MR 34711,A000000,02100,0000,02100RADIOLOGY 34711,A000000,02200,0000,02200LABORATORY 34711,A000000,02300,0000,02300INTRAVENOUS THERAPY 34711,A000000,02500,0000,02500PHYSICAL THERAPY 34711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34711,A000000,02700,0000,02700SPEECH PATHOLOGY 34711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34711,A000000,03550,0000,03550FQHC 34711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34711,A000000,05000,0000,05000CORF 34711,A000000,05010,0000,05010CMHC 34711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34711,A000000,05901,0000,05901DENTAL CARE 34711,A000000,06150,0000,06300ADULT DAY HEALTH 34711,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 34711,A000000,06152,0000,06302DENTAL CARE 34711,A81000A,00100,0100,Y 34711,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 34711,A81000B,00200,0300,MGMT FEE-NOT CAPITAL REL 34711,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 34711,A81000C,00100,0100,A 34711,A81000C,00100,0200,MALCOM GLAZER 34711,A81000C,00100,0400,MANAGEMENT OFFICE 34711,A81000C,00100,0600,MANAGEMENT COMPANY 34711,B100000,00000,0100,00002SQUARE FEET 34711,B100000,00000,0200,00002SQUARE FEET 34711,B100000,00000,0300,00002GROSS SALARIES 34711,B100000,00000,0400,00002ACCUM. COST 34711,B100000,00000,0500,00002SQUARE FEET 34711,B100000,00000,0600,00002POUNDS OF LAUNDRY 34711,B100000,00000,0700,00002SQUARE FEET 34711,B100000,00000,0800,00002MEALS SERVED 34711,B100000,00000,0900,00002DIRECT NRSING HRS 34711,B100000,00000,1000,00002COSTED REQUIS. 34711,B100000,00000,1100,00002N/A N/A 34711,B100000,00000,1200,00002TIME SPENT 34711,B100000,00000,1300,00002TIME SPENT 34711,B100000,00000,1350,00002TIME SPENT 34711,B100000,00000,1351,00002N/A N/A 34711,B100000,00000,1400,00002N/A N/A 34711,S000000,00100,0200,05/24/2000 34711,S200000,00100,0100,60 WEST STREET 34711,S200000,00200,0100,ROCKY HILL 34711,S200000,00200,0200,CT 34711,S200000,00200,0300,06067 34711,S200000,00300,0100,HARTFORD 34711,S200000,00400,0100,WEST HILL NURSING & REHAB CENTER 34711,S200000,00400,0200,075186 34711,S200000,00400,0300,06/29/1973 34711,S200000,00400,0500,P 34711,S200000,00400,0600,P 34711,S200000,01500,0100,Y 34711,S200000,01900,0100,NON PROFIT CORP 34711,S200000,02800,0100,Y 34711,S200000,04300,0100,Y 34714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34714,A000000,00300,0000,00300EMPLOYEE BENEFITS 34714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34714,A000000,00700,0000,00700HOUSEKEEPING 34714,A000000,00800,0000,00800DIETARY 34714,A000000,00900,0000,00900NURSING ADMINISTRATION 34714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34714,A000000,01100,0000,01100PHARMACY 34714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34714,A000000,01300,0000,01300SOCIAL SERVICE 34714,A000000,01350,0000,01500OTHER GENERAL SERVICES 34714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34714,A000000,01600,0000,01600SKILLED NURSING FACILITY 34714,A000000,01800,0000,01800NURSING FACILITY 34714,A000000,01810,0000,01810ICF/MR 34714,A000000,02200,0000,02200LABORATORY 34714,A000000,02500,0000,02500PHYSICAL THERAPY 34714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34714,A000000,02700,0000,02700SPEECH PATHOLOGY 34714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34714,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34714,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34714,A000000,03550,0000,03550FQHC 34714,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34714,A000000,05000,0000,05000CORF 34714,A000000,05010,0000,05010CMHC 34714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34714,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34714,A81000A,00100,0100,Y 34714,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34714,A81000B,00200,0300,LINEN AND BEDDING 34714,A81000B,00300,0300,PHARM HOUSE NURSING INCONT 34714,A81000B,00400,0300,CHARGEABLE NURSING SUPPLIES 34714,A81000B,00500,0300,RESPIRATORY THERAPY EXPENSE 34714,A81000B,00600,0300,PHYSICAL THERAPY CONSULTING 34714,A81000B,00700,0300,OCCUPATIONAL THERAPY EXPENSE 34714,A81000B,00800,0300,SPEECH THERAPY EXPENSE 34714,A81000B,00900,0300,HOME OFFICE ALLOCATION 34714,A81000C,00100,0100,B 34714,A81000C,00100,0400,BALZ MEDICAL SERVICES 34714,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34714,A81000C,00200,0100,B 34714,A81000C,00200,0400,LEXICORE REHAB SERVICES 34714,A81000C,00200,0600,REHAB THERAPY SERVICES 34714,A81000C,00300,0100,B 34714,A81000C,00300,0400,LEXINGTON HC GROUP INC. 34714,A81000C,00300,0600,HOME OFFICE 34714,A81000C,00400,0100,B 34714,A81000C,00400,0400,LEXICON PHARMACY SERVICES 34714,A81000C,00400,0600,PHARMACY AND IV THERAPY 34714,A81000C,00500,0100,B 34714,A81000C,00500,0400,PROFESSIONAL RELIEF NURSE 34714,A81000C,00500,0600,HOME HEALTH AGENCY 34714,B100000,00000,0100,00000SQUARE FEET 34714,B100000,00000,0200,00000SQUARE FEET 34714,B100000,00000,0300,00000GROSS SALARIES 34714,B100000,00000,0400,00000ACCUM. COST 34714,B100000,00000,0500,00000SQUARE FEET 34714,B100000,00000,0600,00000PATIENT DAYS 34714,B100000,00000,0700,00000SQUARE FEET 34714,B100000,00000,0800,00000PATIENT DAYS 34714,B100000,00000,0900,00000NURS ADMIN TIME 34714,B100000,00000,1000,00000PATIENT DAYS 34714,B100000,00000,1100,00000NO STATISTICS 34714,B100000,00000,1200,00000GROSS REVENUE 34714,B100000,00000,1300,00000SOC SERVICESTI 34714,B100000,00000,1350,00000NO STATISTICS 34714,B100000,00000,1400,00000NO STATISTICS 34714,E10A180,00550,0100,08/10/2000 34714,E10A180,00550,0300,08/10/2000 34714,S000000,00100,0200,08/03/2000 34714,S200000,00100,0100,22 HOSPITAL AVENUE 34714,S200000,00200,0100,DANBURY 34714,S200000,00200,0200,CT 34714,S200000,00200,0300,06810 34714,S200000,00300,0100,FAIRFIELD 34714,S200000,00400,0100,HERITAGE HEIGHTS CARE CENTER 34714,S200000,00400,0200,075191 34714,S200000,00400,0300,09/07/1999 34714,S200000,00400,0500,P 34714,S200000,00600,0200,075191 34714,S200000,00600,0300,09/07/1999 34714,S200000,00600,0600,P 34714,S200000,01600,0100,Y 34719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34719,A000000,00300,0000,00300EMPLOYEE BENEFITS 34719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34719,A000000,00700,0000,00700HOUSEKEEPING 34719,A000000,00800,0000,00800DIETARY 34719,A000000,00900,0000,00900NURSING ADMINISTRATION 34719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34719,A000000,01100,0000,01100PHARMACY 34719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34719,A000000,01300,0000,01300SOCIAL SERVICE 34719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34719,A000000,01600,0000,01600SKILLED NURSING FACILITY 34719,A000000,01800,0000,01800NURSING FACILITY 34719,A000000,01810,0000,01810ICF/MR 34719,A000000,02100,0000,02100RADIOLOGY 34719,A000000,02200,0000,02200LABORATORY 34719,A000000,02500,0000,02500PHYSICAL THERAPY 34719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34719,A000000,02700,0000,02700SPEECH PATHOLOGY 34719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34719,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 34719,A000000,03550,0000,03550FQHC 34719,A000000,05000,0000,05000CORF 34719,A000000,05010,0000,05010CMHC 34719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34719,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34719,A000000,06100,0000,06100NONPAID WORKERS 34719,A81000A,00100,0100,Y 34719,A81000B,00100,0300,MANAGEMENT EXPENSES 34719,A81000C,00100,0100,B 34719,A81000C,00100,0200,SUB MGMT OF AM 34719,A81000C,00100,0400,SUB MGMT OF AM 34719,A81000C,00100,0600,HOME OFFICE 34719,B100000,00000,0100,00000SQUARE FEET 34719,B100000,00000,0200,00000SQUARE FEET 34719,B100000,00000,0300,00000GROSS SALARIES 34719,B100000,00000,0400,00000ACCUM. COST 34719,B100000,00000,0500,00000SQUARE FEET 34719,B100000,00000,0600,00000PATIENT DAYS 34719,B100000,00000,0700,00000SQ FEET LESS DIETA 34719,B100000,00000,0800,00000MEALS SERVED 34719,B100000,00000,0900,00000DIRECT SALARIES 34719,B100000,00000,1000,00000PATIENT DAYS 34719,B100000,00000,1100,00000PATIENT DAYS 34719,B100000,00000,1200,00000PATIENT DAYS 34719,B100000,00000,1300,00000PATIENT DAYS 34719,B100000,00000,1400,00000ASSIGNED TIME 34719,S000000,00100,0200,10/25/1999 34719,S200000,00100,0100,23 FAIR STREET 34719,S200000,00200,0100,FORESTVILLE 34719,S200000,00200,0200,CT 34719,S200000,00200,0300,06910 34719,S200000,00300,0100,HARTFORD 34719,S200000,00400,0100,SUBACUTE CENTER OF BRISTOL 34719,S200000,00400,0200,075198 34719,S200000,00400,0300,11/17/1969 34719,S200000,00400,0500,P 34719,S200000,00600,0200,075198 34719,S200000,00600,0300,11/17/1969 34719,S200000,00600,0600,P 34719,S200000,01600,0100,Y 34721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34721,A000000,00300,0000,00300EMPLOYEE BENEFITS 34721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34721,A000000,00700,0000,00700HOUSEKEEPING 34721,A000000,00800,0000,00800DIETARY 34721,A000000,00900,0000,00900NURSING ADMINISTRATION 34721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34721,A000000,01100,0000,01100PHARMACY 34721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34721,A000000,01300,0000,01300SOCIAL SERVICE 34721,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 34721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34721,A000000,01600,0000,01600SKILLED NURSING FACILITY 34721,A000000,01800,0000,01800NURSING FACILITY 34721,A000000,01810,0000,01810ICF/MR 34721,A000000,02100,0000,02100RADIOLOGY 34721,A000000,02200,0000,02200LABORATORY 34721,A000000,02500,0000,02500PHYSICAL THERAPY 34721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34721,A000000,02700,0000,02700SPEECH PATHOLOGY 34721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34721,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34721,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 34721,A000000,03550,0000,03550FQHC 34721,A000000,04800,0000,04800AMBULANCE 34721,A000000,05000,0000,05000CORF 34721,A000000,05010,0000,05010CMHC 34721,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34721,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34721,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34721,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34721,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34721,A81000A,00100,0100,Y 34721,A81000B,00100,0300,MANAGEMENT FEES 34721,A81000B,00200,0300,HOME OFFICE CAPITAL 34721,A81000C,00100,0100,B 34721,A81000C,00100,0200,CPL SUBACUTE LL 34721,A81000C,00100,0400,CPL SUBACUTE LL 34721,A81000C,00100,0600,HOME OFFICE 34721,A81000C,00200,0100,B 34721,A81000C,00200,0200,CPL SUBACUTE LL 34721,A81000C,00200,0400,CPL SUBACUTE LL 34721,A81000C,00200,0600,HOME OFFICE 34721,B100000,00000,0100,00000SQUARE FEET 34721,B100000,00000,0200,00000SQUARE FEET 34721,B100000,00000,0300,00000GROSS SALARIES 34721,B100000,00000,0400,00000ACCUM COST 34721,B100000,00000,0500,00000SQUARE FEET 34721,B100000,00000,0600,00000PATIENT DAYS 34721,B100000,00000,0700,00000SQUARE FEE LESS DIET 34721,B100000,00000,0800,00000MEALS SERVED 34721,B100000,00000,0900,00000DIRECT SALARIES 34721,B100000,00000,1000,00000PATIENT DAYS 34721,B100000,00000,1100,00000PATIENT DAYS 34721,B100000,00000,1200,00000PATIENT DAYS 34721,B100000,00000,1300,00000PATIENT DAYS 34721,B100000,00000,1350,00000PATIENT DAYS 34721,B100000,00000,1400,00000ASSIGNED TIME 34721,S000000,00100,0200,06/05/2000 34721,S200000,00100,0100,23 FAIR STREET 34721,S200000,00200,0100,FORESTVILLE 34721,S200000,00200,0200,CT 34721,S200000,00200,0300,06910 34721,S200000,00300,0100,HARTFORD 34721,S200000,00400,0100,SUBACUTE CENTER OF BRISTOL 34721,S200000,00400,0200,075198 34721,S200000,00400,0300,04/01/1999 34721,S200000,00400,0500,P 34721,S200000,00600,0200,075198 34721,S200000,00600,0300,04/01/1999 34721,S200000,00600,0600,P 34721,S200000,01600,0100,Y 34726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34726,A000000,00300,0000,00300EMPLOYEE BENEFITS 34726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34726,A000000,00700,0000,00700HOUSEKEEPING 34726,A000000,00800,0000,00800DIETARY 34726,A000000,00900,0000,00900NURSING ADMINISTRATION 34726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34726,A000000,01100,0000,01100PHARMACY 34726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34726,A000000,01300,0000,01300SOCIAL SERVICE 34726,A000000,01350,0000,01500RECREATION 34726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34726,A000000,01600,0000,01600SKILLED NURSING FACILITY 34726,A000000,01800,0000,01800NURSING FACILITY 34726,A000000,01810,0000,01810ICF/MR 34726,A000000,02100,0000,02100RADIOLOGY 34726,A000000,02200,0000,02200LABORATORY 34726,A000000,02500,0000,02500PHYSICAL THERAPY 34726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34726,A000000,02700,0000,02700SPEECH PATHOLOGY 34726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34726,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34726,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34726,A000000,03550,0000,03550FQHC 34726,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34726,A000000,05000,0000,05000CORF 34726,A000000,05010,0000,05010CMHC 34726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34726,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34726,A000000,06150,0000,06300ALSA 34726,A81000A,00100,0100,Y 34726,A81000B,00100,0300,MANAGEMENT FEES 34726,A81000B,00200,0300,A&G SALARIES 34726,A81000B,00300,0300,A&G FRINGE BENEFITS 34726,A81000B,00400,0300,A&G SUPPLIES 34726,A81000B,00500,0300,MIS 34726,A81000B,00600,0300,EQUIP LEASE 34726,A81000B,00700,0300,RENT 34726,A81000B,00800,0300,TELEPHONE 34726,A81000B,00900,0300,PROPERTY INS 34726,A81000B,01000,0300,CONTRACTED SERVICE 34726,A81000B,01100,0300,MISCELLANEOUS 34726,A81000B,01200,0300,RECEIVING SALARY 34726,A81000B,01300,0300,LAUNDRY PURCHASED SERVICE 34726,A81000B,01400,0300,DIETARY PURCHASED SVC FOOD 34726,A81000B,01500,0300,PURCHASED REPAIRS & MAINT 34726,A81000B,01600,0300,SECURITY SALARY 34726,A81000B,01700,0300,COMMUNICATIONS 34726,A81000C,00100,0100,B 34726,A81000C,00100,0200,INTER-CHURCH RESIDENCES 34726,A81000C,00100,0400,3030 PARK FAIRFIELD 34726,A81000C,00100,0600,NURSING HOME 34726,A81000C,00200,0100,B 34726,A81000C,00200,0200,3030 PARK H SYS 34726,B100000,00000,0100,00000SQUARE FEET 34726,B100000,00000,0200,00000SQUARE FEET 34726,B100000,00000,0300,00000GROSS SALARIES 34726,B100000,00000,0400,00000ACCUM. COST 34726,B100000,00000,0500,00000SQUARE FEET 34726,B100000,00000,0600,00000PATIENT DAYS 34726,B100000,00000,0700,00000SQUARE FEET 34726,B100000,00000,0800,00000MEALS SERVED 34726,B100000,00000,0900,00000PATIENT DAYS 34726,B100000,00000,1000,00000PATIENT DAYS 34726,B100000,00000,1100,00000PATIENT DAYS 34726,B100000,00000,1200,00000PATIENT DAYS 34726,B100000,00000,1300,00000PATIENT DAYS 34726,B100000,00000,1350,00000PATIENT DAYS 34726,B100000,00000,1400,00000NO STATISTICS 34726,S000000,00100,0200,06/23/2000 34726,S200000,00100,0100,3030 PARK AVE 34726,S200000,00200,0100,BRIDGEPORT 34726,S200000,00200,0200,CT 34726,S200000,00200,0300,06604 34726,S200000,00300,0100,FAIRFIELD 34726,S200000,00400,0100,INTER-CHURCH RESIDENT INC. 34726,S200000,00400,0200,075199 34726,S200000,00400,0300,01/06/1970 34726,S200000,00400,0500,P 34726,S200000,00600,0200,075199 34726,S200000,00600,0300,12/31/1969 34726,S200000,00600,0600,P 34726,S200000,01600,0100,Y 34730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34730,A000000,00300,0000,00300EMPLOYEE BENEFITS 34730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34730,A000000,00700,0000,00700HOUSEKEEPING 34730,A000000,00800,0000,00800DIETARY 34730,A000000,00900,0000,00900NURSING ADMINISTRATION 34730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34730,A000000,01100,0000,01100PHARMACY 34730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34730,A000000,01300,0000,01300SOCIAL SERVICE 34730,A000000,01350,0000,01500RECREATION 34730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34730,A000000,01600,0000,01600SKILLED NURSING FACILITY 34730,A000000,01810,0000,01810ICF/MR 34730,A000000,02100,0000,02100RADIOLOGY 34730,A000000,02200,0000,02200LABORATORY 34730,A000000,02300,0000,02300INTRAVENOUS THERAPY 34730,A000000,02500,0000,02500PHYSICAL THERAPY 34730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34730,A000000,02700,0000,02700SPEECH PATHOLOGY 34730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34730,A000000,03550,0000,03550FQHC 34730,A000000,05000,0000,05000CORF 34730,A000000,05010,0000,05010CMHC 34730,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34730,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34730,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34730,A000000,06201,0000,06201PSYCHIATRIC CONSULTANT 34730,A81000A,00100,0100,Y 34730,A81000B,00100,0300,RENT 34730,A81000B,00200,0300,AMORTIZATION OF MORTGAGE COSTS 34730,A81000B,00300,0300,NON-ALLOW. AMORTIZ. OF MORTGAG 34730,A81000B,00400,0300,INTEREST EXPENSE 34730,A81000B,00500,0300,NON-ALLOWABLE INTEREST EXPENSE 34730,A81000B,00600,0300,DEPRECIATION 34730,A81000C,00100,0100,A 34730,A81000C,00100,0200,ALBERT GAROFALO 34730,A81000C,00100,0400,OAK PARK REALTY 34730,B100000,00000,0100,00001SQUARE FEET 34730,B100000,00000,0200,00001SQUARE FEET 34730,B100000,00000,0300,00001GROSS SALARIES 34730,B100000,00000,0400,00001ACCUM COST 34730,B100000,00000,0500,00001SQUARE FEET 34730,B100000,00000,0600,00001PATIENT DAYS 34730,B100000,00000,0700,00001SQUARE FEET 34730,B100000,00000,0800,00001MEALS SERVED 34730,B100000,00000,0900,00001DIRECT COSTS 34730,B100000,00000,1000,00001COSTED REQUIS 34730,B100000,00000,1100,00001PATIENT DAYS 34730,B100000,00000,1200,00001PATIENT DAYS 34730,B100000,00000,1300,00001TIME SPENT 34730,B100000,00000,1350,00001HOURS OF SERVICE 34730,B100000,00000,1400,00001ASSIGNED TIME 34730,S000000,00100,0200,05/01/2000 34730,S200000,00100,0100,930 MILL HILL TERRACE 34730,S200000,00200,0100,SOUTHPORT 34730,S200000,00200,0200,CT 34730,S200000,00200,0300,06490 34730,S200000,00300,0100,FAIRFIELD 34730,S200000,00400,0100,SOUTHPORT MANOR CONV. CENTER 34730,S200000,00400,0200,075200 34730,S200000,00400,0300,01/02/1974 34730,S200000,00400,0500,P 34730,S200000,01500,0100,Y 34738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34738,A000000,00300,0000,00300EMPLOYEE BENEFITS 34738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34738,A000000,00700,0000,00700HOUSEKEEPING 34738,A000000,00800,0000,00800DIETARY 34738,A000000,00900,0000,00900NURSING ADMINISTRATION 34738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34738,A000000,01100,0000,01100PHARMACY 34738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34738,A000000,01300,0000,01300SOCIAL SERVICE 34738,A000000,01350,0000,01500OTHER GENERAL SERVICES 34738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34738,A000000,01600,0000,01600SKILLED NURSING FACILITY 34738,A000000,01810,0000,01810ICF/MR 34738,A000000,02200,0000,02200LABORATORY 34738,A000000,02300,0000,02300INTRAVENOUS THERAPY 34738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34738,A000000,02500,0000,02500PHYSICAL THERAPY 34738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34738,A000000,02700,0000,02700SPEECH PATHOLOGY 34738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34738,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34738,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34738,A000000,03550,0000,03550FQHC 34738,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34738,A000000,05000,0000,05000CORF 34738,A000000,05010,0000,05010CMHC 34738,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34738,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34738,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34738,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34738,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34738,A000000,06200,0000,06200PATIENTS LAUNDRY 34738,A81000A,00100,0100,Y 34738,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34738,A81000B,00200,0300,DIETARY SUPPLIES 34738,A81000B,00300,0300,LINEN & BEDDING 34738,A81000B,00400,0300,MED SUPPL INCONTINEN HOUSE P 34738,A81000B,00500,0300,RESPIRATORY THERAPY EQUIPMENT 34738,A81000B,00600,0300,PHARMACY 34738,A81000B,00700,0300,CHARGEABLE NURSING SUPPLIES 34738,A81000B,00800,0300,MEDICAL EQUIPMENT RENTAL 34738,A81000B,00900,0300,PHYSICAL THERAPY SERVICES 34738,A81000B,01000,0300,SPEECH THERAPY SERVICES 34738,A81000B,01100,0300,OCCUPATIONAL THERAPY SERVICES 34738,A81000B,01200,0300,PHARMACY OXYGEN NURSING SUP 34738,A81000B,01300,0300,PHARMACY AND IV THERAPY 34738,A81000B,01400,0300,MEDICAL RECORDS CONSULTING 34738,A81000B,01500,0300,CHARGEABLE NURSING SUPPLIES 34738,A81000B,01600,0300,OFFICE SUPPLIES 34738,A81000B,01700,0300,X-RAY EXPENSE 34738,A81000B,01800,0300,RENT EXPENSE 34738,A81000B,01900,0300,MANAGEMENT FEES 34738,A81000B,02000,0300,THERAPY EXPENSE 34738,A81000C,00100,0100,B 34738,A81000C,00100,0400,BALZ MEDICAL SERVICES 34738,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34738,A81000C,00200,0100,B 34738,A81000C,00200,0400,LEXICORE REHAB SERVICES 34738,A81000C,00200,0600,REHAB THERAPY SERVICES 34738,A81000C,00300,0100,B 34738,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34738,A81000C,00300,0600,PHARMACY AND IV THERAPY 34738,A81000C,00400,0100,A 34738,A81000C,00400,0200,JACK FRIEDLER 34738,A81000C,00400,0400,THE FAIRFIELD GROUP 34738,A81000C,00400,0600,LESSOR 34738,A81000C,00500,0100,B 34738,A81000C,00500,0400,LEXINGTON HC GROUP INC. 34738,A81000C,00500,0600,HOME OFFICE 34738,B100000,00000,0100,00000SQUARE FEET 34738,B100000,00000,0200,00000SQUARE FEET 34738,B100000,00000,0300,00000GROSS SALARIES 34738,B100000,00000,0400,00000ACCUM. COST 34738,B100000,00000,0500,00000SQUARE FEET 34738,B100000,00000,0600,00000POUNDS OF LAUNDRY 34738,B100000,00000,0700,00000SQUARE FEET 34738,B100000,00000,0800,00000MEALS SERVED 34738,B100000,00000,0900,00000TIME SPENT 34738,B100000,00000,1000,00000COSTED REQUIS. 34738,B100000,00000,1100,00000COSTED REQUIS. 34738,B100000,00000,1200,00000TIME SPENT 34738,B100000,00000,1300,00000TIME SPENT 34738,B100000,00000,1350,00000NO STATISTICS 34738,B100000,00000,1400,00000NO STATISTICS 34738,E10A180,00550,0100,03/03/2000 34738,E10A180,00550,0300,03/03/2000 34738,S000000,00100,0200,03/01/2000 34738,S200000,00100,0100,310 TERRACE AVENUE 34738,S200000,00200,0100,WEST HAVEN 34738,S200000,00200,0200,CT 34738,S200000,00300,0100,NEW HAVEN 34738,S200000,00400,0100,BENTLEY GARDENS 34738,S200000,00400,0200,075201 34738,S200000,00400,0300,07/01/1997 34738,S200000,00400,0500,P 34738,S200000,01500,0100,Y 34744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34744,A000000,00300,0000,00300EMPLOYEE BENEFITS 34744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34744,A000000,00700,0000,00700HOUSEKEEPING 34744,A000000,00800,0000,00800DIETARY 34744,A000000,00900,0000,00900NURSING ADMINISTRATION 34744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34744,A000000,01100,0000,01100PHARMACY 34744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34744,A000000,01300,0000,01300SOCIAL SERVICE 34744,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 34744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34744,A000000,01600,0000,01600SKILLED NURSING FACILITY 34744,A000000,01810,0000,01810ICF/MR 34744,A000000,02100,0000,02100RADIOLOGY 34744,A000000,02200,0000,02200LABORATORY 34744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34744,A000000,02500,0000,02500PHYSICAL THERAPY 34744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34744,A000000,02700,0000,02700SPEECH PATHOLOGY 34744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34744,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34744,A000000,03550,0000,03550FQHC 34744,A000000,05000,0000,05000CORF 34744,A000000,05010,0000,05010CMHC 34744,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34744,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34744,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34744,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34744,A81000A,00100,0100,Y 34744,A81000B,00100,0300,MEDICAL DIRECTOR FEES 34744,A81000B,00200,0300,LEGAL FEES 34744,A81000B,00300,0300,HARDWARE & OIL SERVICE 34744,A81000B,00400,0300,PLUMBING & HEATING 34744,A81000C,00100,0100,D 34744,A81000C,00100,0200,DR. JOEL DANISI 34744,A81000C,00100,0400,SELF 34744,A81000C,00100,0600,PHYSICIAN 34744,A81000C,00200,0100,D 34744,A81000C,00200,0200,ANTHONY NANIA 34744,A81000C,00200,0400,NANIA & DRURY 34744,A81000C,00200,0600,LAWFIRM 34744,A81000C,00300,0100,D 34744,A81000C,00300,0200,RUSSELL RIVA 34744,A81000C,00300,0400,C A LINDELLS I 34744,A81000C,00300,0600,HWARE/FUEL 34744,A81000C,00400,0100,D 34744,A81000C,00400,0200,FRANK PEROTTI 34744,A81000C,00400,0400,PEROTTI & SONS 34744,A81000C,00400,0600,PLUMBING/HEATIN 34744,B100000,00000,0100,00000SQUARE FEET 34744,B100000,00000,0200,00000SQUARE FEET 34744,B100000,00000,0300,00000GROSS SALARIES 34744,B100000,00000,0400,00000ACCUM COST 34744,B100000,00000,0500,00000SQUARE FEET 34744,B100000,00000,0600,00000POUNDS OF LAUNDRY 34744,B100000,00000,0700,00000SQUARE FEET 34744,B100000,00000,0800,00000MEALS SERVED 34744,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34744,B100000,00000,1000,00000COSTED REQUIS 34744,B100000,00000,1100,00000TIME SPENT 34744,B100000,00000,1200,00000TIME SPENT 34744,B100000,00000,1300,00000TIME SPENT 34744,B100000,00000,1350,00000TIME SPENT 34744,B100000,00000,1400,00000ASSIGNED TIME 34744,E10A180,00550,0300,03/09/2000 34744,S000000,00100,0200,03/03/2000 34744,S200000,00100,0100,99 SOUTH CANAAN ROAD 34744,S200000,00200,0100,CANAAN 34744,S200000,00200,0200,CT 34744,S200000,00200,0300,06018 34744,S200000,00300,0100,LITCHFIELD 34744,S200000,00400,0100,GEER NURSING & REHAB CENTER 34744,S200000,00400,0200,075202 34744,S200000,00400,0300,04/01/1984 34744,S200000,00400,0500,P 34744,S200000,00600,0200,075202 34744,S200000,00600,0300,02/01/1974 34744,S200000,00600,0600,P 34744,S200000,01500,0100,Y 34749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34749,A000000,00300,0000,00300EMPLOYEE BENEFITS 34749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34749,A000000,00700,0000,00700HOUSEKEEPING 34749,A000000,00800,0000,00800DIETARY 34749,A000000,00900,0000,00900NURSING ADMINISTRATION 34749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34749,A000000,01100,0000,01100PHARMACY 34749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34749,A000000,01300,0000,01300SOCIAL SERVICE 34749,A000000,01350,0000,01500RECREATION 34749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34749,A000000,01600,0000,01600SKILLED NURSING FACILITY 34749,A000000,01810,0000,01810ICF/MR 34749,A000000,02100,0000,02100RADIOLOGY 34749,A000000,02200,0000,02200LABORATORY 34749,A000000,02300,0000,02300INTRAVENOUS THERAPY 34749,A000000,02500,0000,02500PHYSICAL THERAPY 34749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34749,A000000,02700,0000,02700SPEECH PATHOLOGY 34749,A000000,02800,0000,02800ELECTROCARDIOLOGY 34749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34749,A000000,03550,0000,03550FQHC 34749,A000000,05000,0000,05000CORF 34749,A000000,05010,0000,05010CMHC 34749,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34749,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34749,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34749,A000000,05300,0000,05300INTEREST EXPENSE 34749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34749,A81000A,00100,0100,Y 34749,A81000B,00100,0300,RENT 34749,A81000B,00200,0300,INTEREST 34749,A81000B,00300,0300,DEPRECIATION 34749,A81000B,00400,0300,COPR FEES 34749,A81000B,00500,0300,CORP ACCOUNTING FEES 34749,A81000B,00600,0300,CORP MANAGEMENT FEES 34749,A81000B,00700,0300,SALARY - OWNER 34749,A81000B,00800,0300,P/S NURSING 34749,A81000B,00900,0300,PSYCHIATRIST 34749,A81000C,00100,0100,A 34749,A81000C,00100,0200,BRIAN J. FOLEY 34749,A81000C,00100,0400,WESTFIELD REALT 34749,A81000C,00100,0600,REAL ESTATE REN 34749,A81000C,00200,0100,A 34749,A81000C,00200,0200,BRIAN J. FOLEY 34749,A81000C,00200,0400,APLE HEALTH CAR 34749,A81000C,00200,0600,MANGEMENT & ACC 34749,A81000C,00300,0100,A 34749,A81000C,00300,0200,BRIAN J. FOLEY 34749,A81000C,00300,0400,ESP 34749,A81000C,00300,0600,TEMP PERSONNEL 34749,A81000C,00400,0100,D 34749,A81000C,00400,0200,LISA WILSON FOL 34749,A81000C,00400,0400,MED OPTIONS 34749,A81000C,00400,0600,PYSCH CONSULT 34749,B100000,00000,0100,00000SQUARE FEET 34749,B100000,00000,0200,00000SQUARE FEET 34749,B100000,00000,0300,00000GROSS SALARIES 34749,B100000,00000,0400,00000ACCUM COST 34749,B100000,00000,0500,00000SQUARE FEET 34749,B100000,00000,0600,00000POUNDS OF LAUNDRY 34749,B100000,00000,0700,00000100 PERCENT 34749,B100000,00000,0800,00000100 PERCENT 34749,B100000,00000,0900,00000100 PERCENT 34749,B100000,00000,1000,00000COSTED REQUIS 34749,B100000,00000,1100,00000COSTED REQUIS 34749,B100000,00000,1200,00000TIME SPENT 34749,B100000,00000,1300,00000100 PERCENT 34749,B100000,00000,1350,00000100 PERCENT 34749,B100000,00000,1400,00000ASSIGNED TIME 34749,S000000,00100,0200,06/07/2000 34749,S200000,00100,0100,65 WESDTFIELD RD 34749,S200000,00200,0100,MERIDEN 34749,S200000,00200,0200,CT 34749,S200000,00200,0300,06450 34749,S200000,00300,0100,NEW HAVEN 34749,S200000,00400,0100,WESTFIELD CARE & REHAB CENTER INC. 34749,S200000,00400,0200,075205 34749,S200000,00400,0300,01/01/1990 34749,S200000,00400,0500,P 34749,S200000,01500,0100,Y 34749,S200000,01900,0100,NON PROFIT CORP 34753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34753,A000000,00300,0000,00300EMPLOYEE BENEFITS 34753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34753,A000000,00700,0000,00700HOUSEKEEPING 34753,A000000,00800,0000,00800DIETARY 34753,A000000,00900,0000,00900NURSING ADMINISTRATION 34753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34753,A000000,01100,0000,01100PHARMACY 34753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34753,A000000,01300,0000,01300SOCIAL SERVICE 34753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34753,A000000,01600,0000,01600SKILLED NURSING FACILITY 34753,A000000,01810,0000,01810ICF/MR 34753,A000000,01900,0000,01900OTHER LONG TERM CARE 34753,A000000,02100,0000,02100RADIOLOGY 34753,A000000,02200,0000,02200LABORATORY 34753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34753,A000000,02500,0000,02500PHYSICAL THERAPY 34753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34753,A000000,02700,0000,02700SPEECH PATHOLOGY 34753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34753,A000000,03550,0000,03550FQHC 34753,A000000,05000,0000,05000CORF 34753,A000000,05010,0000,05010CMHC 34753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34753,A000000,05300,0000,05300INTEREST EXPENSE 34753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34753,A81000A,00100,0100,Y 34753,A81000B,00100,0300,MANAGEMENT FEES 34753,A81000B,00200,0300,HOME OFFICE COST REPT-BLDG 34753,A81000B,00300,0300,HOME OFFICE COST REPT-MOVEABLE 34753,A81000B,00400,0300,HOME OFFICE COST REPT-NON CAPI 34753,A81000C,00100,0100,B 34753,A81000C,00100,0400,MEDWAY EQUITIES 34753,A81000C,00100,0600,HOLDING CO-MGMT 34753,B100000,00000,0100,00000SQUARE FEET 34753,B100000,00000,0200,00000SQUARE FEET 34753,B100000,00000,0300,00000GROSS SAL 34753,B100000,00000,0400,00000ACCUM. COST 34753,B100000,00000,0500,00000SQUARE FEET 34753,B100000,00000,0600,00000LLBS LAUNDRY 34753,B100000,00000,0700,00000HOURS OF SERVICE 34753,B100000,00000,0800,00000MEALS SERVED 34753,B100000,00000,0900,00000NRS HRS SVC 34753,B100000,00000,1000,00000PATIENT DAYS 34753,B100000,00000,1100,00000PATIENT DAYS 34753,B100000,00000,1200,00000TIME SPENT 34753,B100000,00000,1300,00000TIME SPENT SS 34753,B100000,00000,1400,00000BLANK 34753,S000000,00100,0200,03/03/2000 34753,S200000,00100,0100,51 APPLEGATE LANE 34753,S200000,00200,0100,EAST HARTFORD 34753,S200000,00200,0200,CT 34753,S200000,00200,0300,06118 34753,S200000,00300,0100,HARTFORD 34753,S200000,00400,0100,SAINT ELIZABETH HEALTH CENTER 34753,S200000,00400,0200,075206 34753,S200000,00400,0300,10/01/1978 34753,S200000,00400,0500,P 34753,S200000,01500,0100,Y 34753,S200000,02200,0100,Y 34758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34758,A000000,00300,0000,00300EMPLOYEE BENEFITS 34758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34758,A000000,00700,0000,00700HOUSEKEEPING 34758,A000000,00800,0000,00800DIETARY 34758,A000000,00900,0000,00900NURSING ADMINISTRATION 34758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34758,A000000,01100,0000,01100PHARMACY 34758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34758,A000000,01300,0000,01300SOCIAL SERVICE 34758,A000000,01350,0000,01500OTHER GENERAL SERVICES 34758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34758,A000000,01600,0000,01600SKILLED NURSING FACILITY 34758,A000000,01810,0000,01810ICF/MR 34758,A000000,02200,0000,02200LABORATORY 34758,A000000,02300,0000,02300INTRAVENOUS THERAPY 34758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34758,A000000,02500,0000,02500PHYSICAL THERAPY 34758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34758,A000000,02700,0000,02700SPEECH PATHOLOGY 34758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34758,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34758,A000000,03550,0000,03550FQHC 34758,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34758,A000000,05000,0000,05000CORF 34758,A000000,05010,0000,05010CMHC 34758,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34758,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34758,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34758,A81000A,00100,0100,Y 34758,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34758,A81000B,00200,0300,DIETARY SUPPLIES 34758,A81000B,00300,0300,LINEN & BEDDING 34758,A81000B,00400,0300,NURS SUPPL INCONT HOUSE PHAR 34758,A81000B,00500,0300,RESPIRATORY THERAPY 34758,A81000B,00600,0300,PHARMACY AND IV THERAPY 34758,A81000B,00700,0300,LABORATORY EXPENSE 34758,A81000B,00800,0300,CHARGEABLE NURSING SUPPLIES 34758,A81000B,00900,0300,MEDICAL EQUIPMENT RENTAL 34758,A81000B,01000,0300,MEDICAL EQUIPMENT RENTAL 34758,A81000B,01100,0300,PHYSICAL THERAPY SERVICES 34758,A81000B,01200,0300,SPEECH THERAPY SERVICES 34758,A81000B,01300,0300,OCCUPATIONAL THERAPY SERVICES 34758,A81000B,01400,0300,PHARMACY AND IV THERAPY 34758,A81000B,01500,0300,PHARMACY AND IV THERAPY 34758,A81000B,01600,0300,CHARGEABLE NURSING SUPPLIES 34758,A81000B,01700,0300,MEDICAL RECORDS CONSULTING 34758,A81000B,01800,0300,THERAPY SERVICES 34758,A81000B,01900,0300,RENT EXPENSE 34758,A81000B,02000,0300,MANAGEMENT FEES 34758,A81000C,00100,0100,B 34758,A81000C,00100,0400,BALZ MEDICAL SERVICES 34758,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34758,A81000C,00200,0100,B 34758,A81000C,00200,0400,LEXICORE REHAB SERVICES 34758,A81000C,00200,0600,REHAB THERAPY SERVICES 34758,A81000C,00300,0100,B 34758,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34758,A81000C,00300,0600,PHARMACY AND IV THERAPY 34758,A81000C,00400,0100,B 34758,A81000C,00400,0400,LEXINGTON HC GROUP INC. 34758,A81000C,00400,0600,HOME OFFICE 34758,A81000C,00500,0100,A 34758,A81000C,00500,0200,JACK FRIEDLER 34758,A81000C,00500,0400,FARIFIELD GROUP 34758,A81000C,00500,0600,FACILITY LESSOR 34758,B100000,00000,0100,00000SQUARE FEET 34758,B100000,00000,0200,00000SQUARE FEET 34758,B100000,00000,0300,00000GROSS SALARIES 34758,B100000,00000,0400,00000ACCUM. COST 34758,B100000,00000,0500,00000SQUARE FEET 34758,B100000,00000,0600,00000POUNDS OF LAUNDRY 34758,B100000,00000,0700,00000SQUARE FEET 34758,B100000,00000,0800,00000MEALS SERVED 34758,B100000,00000,0900,00000TIME SPENT 34758,B100000,00000,1000,00000COSTED REQUIS. 34758,B100000,00000,1100,00000COSTED REQUIS. 34758,B100000,00000,1200,00000TIME SPENT 34758,B100000,00000,1300,00000TIME SPENT 34758,B100000,00000,1350,00000NO STATISTICS 34758,B100000,00000,1400,00000TIME SPENT 34758,E10A180,00550,0100,03/03/2000 34758,E10A180,00550,0300,03/03/2000 34758,S000000,00100,0200,03/01/2000 34758,S200000,00100,0100,64 SUMMIT ROAD 34758,S200000,00100,0300,7060 34758,S200000,00200,0100,PROSPECT 34758,S200000,00200,0200,CT 34758,S200000,00300,0100,NEW HAVEN 34758,S200000,00400,0100,COUNTRY MANOR 34758,S200000,00400,0200,075207 34758,S200000,00400,0300,07/01/1997 34758,S200000,00400,0500,P 34758,S200000,01500,0100,Y 34766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34766,A000000,00300,0000,00300EMPLOYEE BENEFITS 34766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34766,A000000,00700,0000,00700HOUSEKEEPING 34766,A000000,00800,0000,00800DIETARY 34766,A000000,00900,0000,00900NURSING ADMINISTRATION 34766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34766,A000000,01100,0000,01100PHARMACY 34766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34766,A000000,01300,0000,01300SOCIAL SERVICE 34766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34766,A000000,01600,0000,01600SKILLED NURSING FACILITY 34766,A000000,01800,0000,01800NURSING FACILITY 34766,A000000,01810,0000,01810ICF/MR 34766,A000000,02100,0000,02100RADIOLOGY 34766,A000000,02200,0000,02200LABORATORY 34766,A000000,02300,0000,02300INTRAVENOUS THERAPY 34766,A000000,02500,0000,02500PHYSICAL THERAPY 34766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34766,A000000,02700,0000,02700SPEECH PATHOLOGY 34766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34766,A000000,03200,0000,03200SUPPORT SURFACES 34766,A000000,03550,0000,03550FQHC 34766,A000000,05000,0000,05000CORF 34766,A000000,05010,0000,05010CMHC 34766,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34766,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34766,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34766,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34766,A81000A,00100,0100,Y 34766,A81000B,00100,0300,MANAGEMENT EXPENSES 34766,A81000C,00100,0100,B 34766,A81000C,00100,0200,SUBMGMT CORP 34766,A81000C,00100,0400,SUBMGMT CORP 34766,A81000C,00100,0600,HOME OFFICE 34766,B100000,00000,0100,00000SQUARE FEET 34766,B100000,00000,0200,00000SQUARE FEET 34766,B100000,00000,0300,00000GROSS SALARIES 34766,B100000,00000,0400,00000ACCUM. COST 34766,B100000,00000,0500,00000SQUARE FEET 34766,B100000,00000,0600,00000PATIENT DAYS 34766,B100000,00000,0700,00000SQ FEET LESS DIETA 34766,B100000,00000,0800,00000MEALS SERVED 34766,B100000,00000,0900,00000DIRECT SALARIES 34766,B100000,00000,1000,00000PATIENT DAYS 34766,B100000,00000,1100,00000PATIENT DAYS 34766,B100000,00000,1200,00000PATIENT DAYS 34766,B100000,00000,1300,00000PATIENT DAYS 34766,B100000,00000,1400,00000ASSIGNED TIME 34766,S000000,00100,0200,10/25/1999 34766,S200000,00100,0100,128 CEDAR AVENUE 34766,S200000,00200,0100,WATERBURY 34766,S200000,00200,0200,CT 34766,S200000,00200,0300,06705 34766,S200000,00300,0100,NEW HAVEN 34766,S200000,00400,0100,CEDAR LANE REHAB AND HEALTH CENTER 34766,S200000,00400,0200,075210 34766,S200000,00400,0300,11/22/1971 34766,S200000,00400,0500,P 34766,S200000,01600,0100,Y 34766,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34768,A000000,00300,0000,00300EMPLOYEE BENEFITS 34768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34768,A000000,00700,0000,00700HOUSEKEEPING 34768,A000000,00800,0000,00800DIETARY 34768,A000000,00900,0000,00900NURSING ADMINISTRATION 34768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34768,A000000,01100,0000,01100PHARMACY 34768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34768,A000000,01300,0000,01300SOCIAL SERVICE 34768,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 34768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34768,A000000,01600,0000,01600SKILLED NURSING FACILITY 34768,A000000,01800,0000,01800NURSING FACILITY 34768,A000000,01810,0000,01810ICF/MR 34768,A000000,02100,0000,02100RADIOLOGY 34768,A000000,02200,0000,02200LABORATORY 34768,A000000,02500,0000,02500PHYSICAL THERAPY 34768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34768,A000000,02700,0000,02700SPEECH PATHOLOGY 34768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34768,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34768,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 34768,A000000,03550,0000,03550FQHC 34768,A000000,04800,0000,04800AMBULANCE 34768,A000000,05000,0000,05000CORF 34768,A000000,05010,0000,05010CMHC 34768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34768,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34768,A000000,06150,0000,06300PATIENT TRANSPORTATION 34768,A81000A,00100,0100,Y 34768,A81000B,00100,0300,MANAGEMENT FEES 34768,A81000B,00200,0300,HOME OFFICE CAPITAL 34768,A81000C,00100,0100,B 34768,A81000C,00100,0200,CPL SUBACUTE LL 34768,A81000C,00100,0400,CPL SUBACUTE LL 34768,A81000C,00100,0600,HOME OFFICE 34768,A81000C,00200,0100,B 34768,A81000C,00200,0200,CPL SUBACUTE LL 34768,A81000C,00200,0400,CPL SUBACUTE LL 34768,A81000C,00200,0600,HOME OFFICE 34768,B100000,00000,0100,00000SQUARE FEET 34768,B100000,00000,0200,00000SQUARE FEET 34768,B100000,00000,0300,00000GROSS SALARIES 34768,B100000,00000,0400,00000ACCUM COST 34768,B100000,00000,0500,00000SQUARE FEET 34768,B100000,00000,0600,00000PATIENT DAYS 34768,B100000,00000,0700,00000SQ FT LESS DIETARY 34768,B100000,00000,0800,00000MEALS SERVED 34768,B100000,00000,0900,00000DIRECT SALARIES 34768,B100000,00000,1000,00000PATIENT DAYS 34768,B100000,00000,1100,00000PATIENT DAYS 34768,B100000,00000,1200,00000PATIENT DAYS 34768,B100000,00000,1300,00000PATIENT DAYS 34768,B100000,00000,1350,00000PATIENT DAYS 34768,B100000,00000,1400,00000ASSIGNED TIME 34768,S000000,00100,0200,06/05/2000 34768,S200000,00100,0100,128 CEDAR AVENUE 34768,S200000,00200,0100,WATERBURY 34768,S200000,00200,0200,CT 34768,S200000,00200,0300,06705 34768,S200000,00300,0100,NEW HAVEN 34768,S200000,00400,0100,CEDAR LANE HEALTH CARE CENTER 34768,S200000,00400,0200,075210 34768,S200000,00400,0300,04/01/1999 34768,S200000,00400,0500,P 34768,S200000,00600,0200,075210 34768,S200000,00600,0300,04/01/1999 34768,S200000,00600,0600,P 34768,S200000,01600,0100,Y 34772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34772,A000000,00300,0000,00300EMPLOYEE BENEFITS 34772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34772,A000000,00700,0000,00700HOUSEKEEPING 34772,A000000,00800,0000,00800DIETARY 34772,A000000,00900,0000,00900NURSING ADMINISTRATION 34772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34772,A000000,01100,0000,01100PHARMACY 34772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34772,A000000,01300,0000,01300SOCIAL SERVICE 34772,A000000,01350,0000,01500RECREATION 34772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34772,A000000,01600,0000,01600SKILLED NURSING FACILITY 34772,A000000,01810,0000,01810ICF/MR 34772,A000000,02100,0000,02100RADIOLOGY 34772,A000000,02200,0000,02200LABORATORY 34772,A000000,02500,0000,02500PHYSICAL THERAPY 34772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34772,A000000,02700,0000,02700SPEECH PATHOLOGY 34772,A000000,02800,0000,02800ELECTROCARDIOLOGY 34772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34772,A000000,03550,0000,03550FQHC 34772,A000000,05000,0000,05000CORF 34772,A000000,05010,0000,05010CMHC 34772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34772,A81000A,00100,0100,Y 34772,A81000B,00100,0300,RENT 34772,A81000B,00200,0300,INTEREST 34772,A81000B,00300,0300,DEPREC @ 40 YEARS 34772,A81000B,00400,0300,CORP FEES 34772,A81000B,00500,0300,CORP ACCOUNTING FEE 34772,A81000B,00600,0300,CORP MGT FEE 34772,A81000B,00700,0300,P/S RN LPN CNA 34772,A81000C,00100,0100,A 34772,A81000C,00100,0200,BRIAN FOLEY 34772,A81000C,00100,0400,ELM HILL REALTY 34772,A81000C,00100,0600,FACILITY RENTAL 34772,A81000C,00200,0100,A 34772,A81000C,00200,0200,BRIAN FOLEY 34772,A81000C,00200,0400,APPLE HEALTH CA 34772,A81000C,00200,0600,ACCT & MGT SERV 34772,A81000C,00300,0100,A 34772,A81000C,00300,0200,BRIAN FOLEY 34772,A81000C,00300,0400,ESP 34772,A81000C,00300,0600,TEMP NURSING SE 34772,B100000,00000,0100,00000SQUARE FEET 34772,B100000,00000,0200,00000SQUARE FEET 34772,B100000,00000,0300,00000GROSS SALARIES 34772,B100000,00000,0400,00000ACCUM COST 34772,B100000,00000,0500,00000SQUARE FEET 34772,B100000,00000,0600,00000100% 34772,B100000,00000,0700,00000SQUARE FEET 34772,B100000,00000,0800,00000100% 34772,B100000,00000,0900,00000DIRECT NRSG HRS 34772,B100000,00000,1000,00000COSTED REQUIS 34772,B100000,00000,1100,00000COSTED REQUIS 34772,B100000,00000,1200,00000TIME SPENT 34772,B100000,00000,1300,00000100% 34772,B100000,00000,1350,00000100% 34772,B100000,00000,1400,00000ASSIGNED TIME 34772,S000000,00100,0200,05/31/2000 34772,S200000,00100,0100,45 ELM STREET 34772,S200000,00200,0100,ROCKY HILL 34772,S200000,00200,0200,CT 34772,S200000,00200,0300,06067 34772,S200000,00300,0100,HARTFORD 34772,S200000,00400,0100,ELM HILL NURSING CENTER INC. 34772,S200000,00400,0200,075211 34772,S200000,00400,0300,01/01/1990 34772,S200000,00400,0500,P 34772,S200000,01500,0100,Y 34772,S200000,01900,0100,NON PROFIT CORP 34772,S200000,04300,0100,Y 34787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34787,A000000,00300,0000,00300EMPLOYEE BENEFITS 34787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34787,A000000,00700,0000,00700HOUSEKEEPING 34787,A000000,00800,0000,00800DIETARY 34787,A000000,00900,0000,00900NURSING ADMINISTRATION 34787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34787,A000000,01100,0000,01100PHARMACY 34787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34787,A000000,01300,0000,01300SOCIAL SERVICE 34787,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34787,A000000,01600,0000,01600SKILLED NURSING FACILITY 34787,A000000,01800,0000,01800NURSING FACILITY 34787,A000000,01810,0000,01810ICF/MR 34787,A000000,02100,0000,02100RADIOLOGY 34787,A000000,02200,0000,02200LABORATORY 34787,A000000,02300,0000,02300INTRAVENOUS THERAPY 34787,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34787,A000000,02500,0000,02500PHYSICAL THERAPY 34787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34787,A000000,02700,0000,02700SPEECH PATHOLOGY 34787,A000000,02800,0000,02800ELECTROCARDIOLOGY 34787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34787,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34787,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 34787,A000000,03550,0000,03550FQHC 34787,A000000,04800,0000,04800AMBULANCE 34787,A000000,05000,0000,05000CORF 34787,A000000,05010,0000,05010CMHC 34787,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34787,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34787,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34787,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34787,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34787,B100000,00000,0100,00000SQUARE FEET 34787,B100000,00000,0200,00000SQUARE FEET 34787,B100000,00000,0300,00000GROSS SALARIES 34787,B100000,00000,0400,00000ACCUM COST 34787,B100000,00000,0500,00000SQUARE FEET 34787,B100000,00000,0600,00000PATIENT DAYS 34787,B100000,00000,0700,00000SQUARE FEET 34787,B100000,00000,0800,00000PATIENT DAYS 34787,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34787,B100000,00000,1000,00000HOURS OF SERVICE 34787,B100000,00000,1100,00000COSTED REQUISITIO 34787,B100000,00000,1200,00000PATIENT DAYS 34787,B100000,00000,1300,00000PATIENT DAYS 34787,B100000,00000,1400,00000ASSIGNED TIME 34787,S000000,00100,0200,07/14/2000 34787,S200000,00100,0100,425 GRANT STREET 34787,S200000,00200,0100,BRIDGEPORT 34787,S200000,00200,0200,CT 34787,S200000,00200,0300,06610 34787,S200000,00300,0100,FAIRFIELD 34787,S200000,00400,0100,GRANT STREET & REHAB CTR 34787,S200000,00400,0200,075224 34787,S200000,00400,0300,02/22/1995 34787,S200000,00400,0500,P 34787,S200000,00600,0200,075224 34787,S200000,00600,0300,01/01/1976 34787,S200000,00600,0600,P 34787,S200000,01600,0100,Y 34790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34790,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 34790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34790,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 34790,A000000,00300,0000,00300EMPLOYEE BENEFITS 34790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34790,A000000,00700,0000,00700HOUSEKEEPING 34790,A000000,00800,0000,00800DIETARY 34790,A000000,00801,0000,00801CAFETERIA 34790,A000000,00900,0000,00900NURSING ADMINISTRATION 34790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34790,A000000,01100,0000,01100PHARMACY 34790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34790,A000000,01300,0000,01300SOCIAL SERVICE 34790,A000000,01350,0000,01500ACTIVITIES 34790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34790,A000000,01600,0000,01600SKILLED NURSING FACILITY 34790,A000000,01800,0000,01800NURSING FACILITY 34790,A000000,01810,0000,01810ICF/MR 34790,A000000,02100,0000,02100RADIOLOGY 34790,A000000,02200,0000,02200LABORATORY 34790,A000000,02500,0000,02500PHYSICAL THERAPY 34790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34790,A000000,02700,0000,02700SPEECH PATHOLOGY 34790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34790,A000000,03050,0000,03300DME 34790,A000000,03051,0000,03301ORTHOTICS 34790,A000000,03052,0000,03302PSYCH/NON-PHYSCIAN DIAG 34790,A000000,03200,0000,03200SUPPORT SURFACES 34790,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 34790,A000000,03550,0000,03550FQHC 34790,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34790,A000000,05000,0000,05000CORF I 34790,A000000,05010,0000,05010CMHC I 34790,A000000,05020,0000,05020OPT I 34790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34790,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 34790,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 34790,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34790,A81000A,00100,0100,Y 34790,A81000B,00100,0300,HOME OFFICE ALLOCATION 34790,A81000B,00200,0300,THERACOR ACTUAL COSTS 34790,A81000B,00300,0300,THERACOR ACTUAL COSTS 34790,A81000B,00400,0300,THERACOR ACTUAL COSTS 34790,A81000C,00100,0100,B 34790,A81000C,00100,0200,HARBORSIDE 34790,A81000C,00200,0200,HEALTHCARE 34790,A81000C,00300,0200,LIMITED PSHIP 34790,A81000C,00300,0600,MANAGEMENT CO 34790,A81000C,00500,0100,B 34790,A81000C,00500,0200,HARBORSIDE 34790,A81000C,00600,0200,REHABILITITAION 34790,A81000C,00700,0200,LIMITED PSHIP 34790,A81000C,00700,0600,THERAPY 34790,A81000C,00800,0600,SERVICE AND 34790,A81000C,00900,0600,MANAGEMENT CO 34790,B100000,00000,0100,00000(SQUARE FEET) 34790,B100000,00000,0101,00000(SQUARE FEET) 34790,B100000,00000,0200,00000(SQUARE FEET) 34790,B100000,00000,0201,00000(SQUARE FEET) 34790,B100000,00000,0300,00000(GROSS SALARIES) 34790,B100000,00000,0400,00000(ACCUM. COST) 34790,B100000,00000,0500,00000(SQUARE FEET) 34790,B100000,00000,0600,00000(PATIENT DAYS) 34790,B100000,00000,0700,00000(SQUARE FEET) 34790,B100000,00000,0800,00000(MEALS SERVED) 34790,B100000,00000,0801,00000(MEALS SERVED) 34790,B100000,00000,0900,00000(NURSING SALARIES) 34790,B100000,00000,1000,00000(PATIENT DAYS) 34790,B100000,00000,1100,00000(PATIENT DAYS) 34790,B100000,00000,1200,00000(PATIENT DAYS) 34790,B100000,00000,1300,00000(PATIENT DAYS) 34790,B100000,00000,1350,00000(PATIENT DAYS) 34790,B100000,00000,1400,00000(ASSIGNED TIME) 34790,S000000,00100,0200,06/01/2000 34790,S200000,00100,0100,850 MIX AVENUE 34790,S200000,00200,0100,HAMDEN 34790,S200000,00200,0200,CT 34790,S200000,00200,0300,06514 34790,S200000,00300,0100,NEW HAVEN 34790,S200000,00400,0100,HHC - ARDEN HOUSE 34790,S200000,00400,0200,075228 34790,S200000,00400,0300,08/01/1973 34790,S200000,00400,0500,P 34790,S200000,00600,0200,075228 34790,S200000,00600,0300,12/12/1997 34790,S200000,00600,0600,P 34790,S200000,01600,0100,Y 34790,S200000,02200,0100,Y 34790,S200000,04700,0100,Y 34790,S200000,04700,0200,Y 34797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34797,A000000,00300,0000,00300EMPLOYEE BENEFITS 34797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34797,A000000,00700,0000,00700HOUSEKEEPING 34797,A000000,00800,0000,00800DIETARY 34797,A000000,00900,0000,00900NURSING ADMINISTRATION 34797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34797,A000000,01100,0000,01100PHARMACY 34797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34797,A000000,01300,0000,01300SOCIAL SERVICE 34797,A000000,01350,0000,01500RECREATION 34797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34797,A000000,01600,0000,01600SKILLED NURSING FACILITY 34797,A000000,01810,0000,01810ICF/MR 34797,A000000,02100,0000,02100RADIOLOGY 34797,A000000,02200,0000,02200LABORATORY 34797,A000000,02300,0000,02300INTRAVENOUS THERAPY 34797,A000000,02500,0000,02500PHYSICAL THERAPY 34797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34797,A000000,02700,0000,02700SPEECH PATHOLOGY 34797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34797,A000000,03550,0000,03550FQHC 34797,A000000,05000,0000,05000CORF 34797,A000000,05010,0000,05010CMHC 34797,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34797,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34797,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34797,A000000,06150,0000,06300MEALS ON WHEELS 34797,A81000A,00100,0100,Y 34797,A81000B,00100,0300,RENT 34797,A81000B,00200,0300,INTEREST 34797,A81000B,00300,0300,DEPRECIATION @ 40 YR 34797,A81000B,00400,0300,CORP FEES 34797,A81000B,00500,0300,CORP ACCOUNTING FEES 34797,A81000B,00600,0300,CORP MANAGEMENT 34797,A81000B,00700,0300,PSCYIATRIST 34797,A81000B,00800,0300,NURSING POOL 34797,A81000C,00100,0100,A 34797,A81000C,00100,0200,BRIAN J FOLEY 34797,A81000C,00100,0400,LEADGECREST REA 34797,A81000C,00100,0600,RENTAL REAL EST 34797,A81000C,00200,0100,A 34797,A81000C,00200,0200,BRAIN J FOLEY 34797,A81000C,00200,0400,APPLE HEALTH CA 34797,A81000C,00200,0600,CORP MGT & ACCT 34797,A81000C,00300,0100,A 34797,A81000C,00300,0200,BRAIN J FOLEY 34797,A81000C,00300,0400,ESP 34797,A81000C,00300,0600,NURSING POOL 34797,A81000C,00400,0100,D 34797,A81000C,00400,0200,LISA WILSON FOL 34797,A81000C,00400,0400,MED-OPTIONS 34797,A81000C,00400,0600,PSYCH CONSULTAN 34797,B100000,00000,0100,00000SQUARE FEET 34797,B100000,00000,0200,00000SQUARE FEET 34797,B100000,00000,0300,00000GROSS SALARIES 34797,B100000,00000,0400,00000ACCUM COST 34797,B100000,00000,0500,00000SQUARE FEET 34797,B100000,00000,0600,00000POUNDS OF LAUNDRY 34797,B100000,00000,0700,00000HOURS OF SERVICE 34797,B100000,00000,0800,00000MEALS SERVED 34797,B100000,00000,0900,00000DIRECT NRSG HRS 34797,B100000,00000,1000,00000COSTED REQUIS 34797,B100000,00000,1100,00000COSTED REQUIS 34797,B100000,00000,1200,00000TIME SPENT 34797,B100000,00000,1300,00000TIME SPENT 34797,B100000,00000,1350,00000 100% 34797,B100000,00000,1400,00000ASSIGNED TIME 34797,S000000,00100,0200,06/12/2000 34797,S200000,00100,0100,154 KENSINGTON ROAD 34797,S200000,00200,0100,KENSINGTON 34797,S200000,00200,0200,CT 34797,S200000,00200,0300,06037 34797,S200000,00300,0100,HARTFORD 34797,S200000,00400,0100,LEDGECREST HEALTH CARE CTR. INC. 34797,S200000,00400,0200,075230 34797,S200000,00400,0300,12/21/1988 34797,S200000,00400,0500,P 34797,S200000,01500,0100,Y 34797,S200000,01900,0100,NON PROFIT CORP 34800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34800,A000000,00300,0000,00300EMPLOYEE BENEFITS 34800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34800,A000000,00700,0000,00700HOUSEKEEPING 34800,A000000,00800,0000,00800DIETARY 34800,A000000,00900,0000,00900NURSING ADMINISTRATION 34800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34800,A000000,01100,0000,01100PHARMACY 34800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34800,A000000,01300,0000,01300SOCIAL SERVICE 34800,A000000,01350,0000,01500RECREATION 34800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34800,A000000,01600,0000,01600SKILLED NURSING FACILITY 34800,A000000,01810,0000,01810ICF/MR 34800,A000000,02100,0000,02100RADIOLOGY 34800,A000000,02200,0000,02200LABORATORY 34800,A000000,02500,0000,02500PHYSICAL THERAPY 34800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34800,A000000,02700,0000,02700SPEECH PATHOLOGY 34800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34800,A000000,03550,0000,03550FQHC 34800,A000000,05000,0000,05000CORF 34800,A000000,05010,0000,05010CMHC 34800,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34800,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34800,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34800,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34800,A81000A,00100,0100,Y 34800,A81000B,00100,0300,RENT 34800,A81000B,00200,0300,INTEREST 34800,A81000B,00300,0300,DEPRECIATION @ 40 YR 34800,A81000B,00400,0300,CORP FEES 34800,A81000B,00500,0300,CORP ACCT FEES 34800,A81000B,00600,0300,CORP MANAGEMENT FEES 34800,A81000B,00700,0300,NURSING POOLS 34800,A81000B,00800,0300,PSYCHIATRIC SERVICES 34800,A81000C,00100,0100,A 34800,A81000C,00100,0200,BRIAN J. FOLEY 34800,A81000C,00100,0400,LIBERTY REALTY 34800,A81000C,00100,0600,REAL ESTATE REN 34800,A81000C,00200,0100,A 34800,A81000C,00200,0200,BRIAN J. FOLEY 34800,A81000C,00200,0400,APPLE HEALTH CA 34800,A81000C,00200,0600,CORP MANAGE\ACC 34800,A81000C,00300,0100,A 34800,A81000C,00300,0200,BRIAN J. FOLEY 34800,A81000C,00300,0400,EMPLOYEE SHARE 34800,A81000C,00300,0600,NURSING POOL 34800,A81000C,00400,0100,B 34800,A81000C,00400,0200,LISA WILSON FOL 34800,A81000C,00400,0400,MED OPTIONS 34800,A81000C,00400,0600,PSYCHIATRIC SER 34800,B100000,00000,0100,00000SQUARE FEET 34800,B100000,00000,0200,00000SQUARE FEET 34800,B100000,00000,0300,00000GROSS SALARIES 34800,B100000,00000,0400,00000ACCUM COST 34800,B100000,00000,0500,00000SQUARE FEET 34800,B100000,00000,0600,00000100 % 34800,B100000,00000,0700,00000SQUARE FEET 34800,B100000,00000,0800,00000100 % 34800,B100000,00000,0900,00000100 % 34800,B100000,00000,1000,00000COSTED REQUIS 34800,B100000,00000,1100,00000COSTED REQUIS 34800,B100000,00000,1200,00000100 % 34800,B100000,00000,1300,00000100 % 34800,B100000,00000,1350,00000100 % 34800,B100000,00000,1400,00000ASSIGNED TIME 34800,S000000,00100,0200,05/31/2000 34800,S200000,00100,0100,36 BROADWAY LANE 34800,S200000,00200,0100,COLCHESTER 34800,S200000,00200,0200,CT 34800,S200000,00200,0300,06415 34800,S200000,00300,0100,NEW LONDON 34800,S200000,00400,0100,LIBERTY HALL NURSING CENTER 34800,S200000,00400,0200,075231 34800,S200000,00400,0300,06/10/1974 34800,S200000,00400,0500,P 34800,S200000,01500,0100,Y 34800,S200000,01900,0100,NON PROFIT CORP 34804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34804,A000000,00300,0000,00300EMPLOYEE BENEFITS 34804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34804,A000000,00700,0000,00700HOUSEKEEPING 34804,A000000,00800,0000,00800DIETARY 34804,A000000,00900,0000,00900NURSING ADMINISTRATION 34804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34804,A000000,01100,0000,01100PHARMACY 34804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34804,A000000,01300,0000,01300SOCIAL SERVICE 34804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34804,A000000,01600,0000,01600SKILLED NURSING FACILITY 34804,A000000,01800,0000,01800NURSING FACILITY 34804,A000000,01810,0000,01810ICF/MR 34804,A000000,01900,0000,01900OTHER LONG TERM CARE 34804,A000000,02100,0000,02100RADIOLOGY 34804,A000000,02200,0000,02200LABORATORY 34804,A000000,02500,0000,02500PHYSICAL THERAPY 34804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34804,A000000,02700,0000,02700SPEECH PATHOLOGY 34804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34804,A000000,03200,0000,03200SUPPORT SURFACES 34804,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 34804,A000000,05000,0000,05000CORF 34804,A000000,05010,0000,05010CMHC 34804,A000000,05020,0000,05020OPT 34804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34804,A000000,05300,0000,05300INTEREST EXPENSE 34804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34804,B100000,00000,0100,00000(SQUARE FEET) 34804,B100000,00000,0200,00000(SQUARE FEET) 34804,B100000,00000,0300,00000(GROSS SALARIES) 34804,B100000,00000,0400,00000(ACCUM COST) 34804,B100000,00000,0500,00000(SQUARE FEET) 34804,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 34804,B100000,00000,0700,00000(HOURS OF SERVICE) 34804,B100000,00000,0800,00000(MEALS SERVED) 34804,B100000,00000,0900,00000(DIR NRSG HOURS) 34804,B100000,00000,1000,00000(COSTED REQUIS) 34804,B100000,00000,1100,00000(COSTED REQUIS) 34804,B100000,00000,1200,00000(TIME SPENT) 34804,B100000,00000,1300,00000(TIME SPENT) 34804,B100000,00000,1400,00000(ASSIGNED TIME) 34804,E10A180,00350,0100,09/30/1997 34804,E10A180,00351,0100,09/30/1998 34804,E10A180,00501,0100,05/02/2000 34804,E10A180,00550,0300,05/02/2000 34804,S000000,00100,0200,05/02/2000 34804,S200000,00100,0100,ROUTE 151 34804,S200000,00100,0300,246 34804,S200000,00200,0100,COBALT 34804,S200000,00200,0200,CT 34804,S200000,00200,0300,06414 34804,S200000,00300,0100,MIDDLESEX 34804,S200000,00400,0100,COBALT LODGE 34804,S200000,00400,0200,075232 34804,S200000,00400,0300,09/30/1974 34804,S200000,00400,0500,P 34804,S200000,01500,0100,Y 34808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34808,A000000,00300,0000,00300EMPLOYEE BENEFITS 34808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34808,A000000,00700,0000,00700HOUSEKEEPING 34808,A000000,00800,0000,00800DIETARY 34808,A000000,00900,0000,00900NURSING ADMINISTRATION 34808,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34808,A000000,01100,0000,01100PHARMACY 34808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34808,A000000,01300,0000,01300SOCIAL SERVICE 34808,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34808,A000000,01600,0000,01600SKILLED NURSING FACILITY 34808,A000000,01800,0000,01800NURSING FACILITY 34808,A000000,01810,0000,01810ICF/MR 34808,A000000,02100,0000,02100RADIOLOGY 34808,A000000,02500,0000,02500PHYSICAL THERAPY 34808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34808,A000000,02700,0000,02700SPEECH PATHOLOGY 34808,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34808,A000000,03101,0000,03101COMPLEX MEDICAL EQUIPMENT 34808,A000000,03550,0000,03550FQHC 34808,A000000,05000,0000,05000CORF 34808,A000000,05010,0000,05010CMHC 34808,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34808,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34808,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34808,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34808,A000000,06100,0000,06100NONPAID WORKERS 34808,A81000A,00100,0100,Y 34808,A81000B,00100,0300,MANAGEMENT FEES 34808,A81000C,00100,0100,B 34808,A81000C,00100,0200,SUB MGT OF AMER 34808,A81000C,00100,0400,SUB MGT OF AMER 34808,A81000C,00100,0600,HOME OFFICE 34808,B100000,00000,0100,00000SQUARE FEET 34808,B100000,00000,0200,00000SQUARE FEET 34808,B100000,00000,0300,00000GROSS SALARIES 34808,B100000,00000,0400,00000ACCUM. COST 34808,B100000,00000,0500,00000SQUARE FEET 34808,B100000,00000,0600,00000PATIENT DAYS 34808,B100000,00000,0700,00000SQ FEET LESS DIETA 34808,B100000,00000,0800,00000MEALS SERVED 34808,B100000,00000,0900,00000DIRECT SALARIES 34808,B100000,00000,1000,00000PATIENT DAYS 34808,B100000,00000,1100,00000PATIENT DAYS 34808,B100000,00000,1200,00000PATIENT DAYS 34808,B100000,00000,1300,00000PATIENT DAYS 34808,B100000,00000,1400,00000ASSIGNED TIME 34808,S000000,00100,0200,10/25/1999 34808,S200000,00100,0100,55 KONDRACKI LANE 34808,S200000,00200,0100,WALLINGFORD 34808,S200000,00200,0200,CT 34808,S200000,00200,0300,06492 34808,S200000,00300,0100,NEW HAVEN 34808,S200000,00400,0100,BROOK HOLLOW HEALTH CARE CENTER 34808,S200000,00400,0200,075234 34808,S200000,00400,0300,10/01/1976 34808,S200000,00400,0500,P 34808,S200000,00600,0200,075234 34808,S200000,00600,0300,10/01/1976 34808,S200000,00600,0600,P 34808,S200000,01600,0100,Y 34810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34810,A000000,00300,0000,00300EMPLOYEE BENEFITS 34810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34810,A000000,00700,0000,00700HOUSEKEEPING 34810,A000000,00800,0000,00800DIETARY 34810,A000000,00900,0000,00900NURSING ADMINISTRATION 34810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34810,A000000,01100,0000,01100PHARMACY 34810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34810,A000000,01300,0000,01300SOCIAL SERVICE 34810,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 34810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34810,A000000,01600,0000,01600SKILLED NURSING FACILITY 34810,A000000,01800,0000,01800NURSING FACILITY 34810,A000000,01810,0000,01810ICF/MR 34810,A000000,02100,0000,02100RADIOLOGY 34810,A000000,02200,0000,02200LABORATORY 34810,A000000,02500,0000,02500PHYSICAL THERAPY 34810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34810,A000000,02700,0000,02700SPEECH PATHOLOGY 34810,A000000,02800,0000,02800ELECTROCARDIOLOGY 34810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34810,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34810,A000000,03550,0000,03550FQHC 34810,A000000,04800,0000,04800AMBULANCE 34810,A000000,05000,0000,05000CORF 34810,A000000,05010,0000,05010CMHC 34810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34810,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34810,A000000,06150,0000,06300PATIENT TRANSPORTATION 34810,A81000A,00100,0100,Y 34810,A81000B,00100,0300,MANAGEMENT FEES 34810,A81000B,00200,0300,HOME OFFICE CAPITAL 34810,A81000C,00100,0100,B 34810,A81000C,00100,0200,CPL SUBACUTE LL 34810,A81000C,00100,0400,CPL SUBACUTE LL 34810,A81000C,00100,0600,HOME OFFICE 34810,A81000C,00200,0100,B 34810,A81000C,00200,0200,CPL SUBACUTE LL 34810,A81000C,00200,0400,CPL SUBACUTE LL 34810,A81000C,00200,0600,HOME OFFICE 34810,B100000,00000,0100,00000SQUARE FEET 34810,B100000,00000,0200,00000SQUARE FEET 34810,B100000,00000,0300,00000GROSS SALARIES 34810,B100000,00000,0400,00000ACCUM COST 34810,B100000,00000,0500,00000SQUARE FEET 34810,B100000,00000,0600,00000PATIENT DAYS 34810,B100000,00000,0700,00000SQ FT. LES DIETARY 34810,B100000,00000,0800,00000MEALS SERVED 34810,B100000,00000,0900,00000DIRECT SALARIES 34810,B100000,00000,1000,00000PATIENT DAYS 34810,B100000,00000,1100,00000PATIENT DAYS 34810,B100000,00000,1200,00000PATIENT DAYS 34810,B100000,00000,1300,00000PATIENT DAYS 34810,B100000,00000,1350,00000PATIENT DAYS 34810,B100000,00000,1400,00000ASSIGNED TIME 34810,S000000,00100,0200,06/05/2000 34810,S200000,00100,0100,55 KONDRACKI LANE 34810,S200000,00200,0100,WALLINGFORD 34810,S200000,00200,0200,CT 34810,S200000,00200,0300,06492 34810,S200000,00300,0100,NEW HAVEN 34810,S200000,00400,0100,BROOK HOLLOW HEALTH CARE CENTER 34810,S200000,00400,0200,075234 34810,S200000,00400,0300,04/01/1999 34810,S200000,00400,0500,P 34810,S200000,00600,0200,075234 34810,S200000,00600,0300,04/01/1999 34810,S200000,00600,0600,P 34810,S200000,01600,0100,Y 34813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34813,A000000,00300,0000,00300EMPLOYEE BENEFITS 34813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34813,A000000,00700,0000,00700HOUSEKEEPING 34813,A000000,00800,0000,00800DIETARY 34813,A000000,00900,0000,00900NURSING ADMINISTRATION 34813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34813,A000000,01100,0000,01100PHARMACY 34813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34813,A000000,01300,0000,01300SOCIAL SERVICE 34813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34813,A000000,01600,0000,01600SKILLED NURSING FACILITY 34813,A000000,01810,0000,01810ICF/MR 34813,A000000,02100,0000,02100RADIOLOGY 34813,A000000,02200,0000,02200LABORATORY 34813,A000000,02500,0000,02500PHYSICAL THERAPY 34813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34813,A000000,03550,0000,03550FQHC 34813,A000000,05000,0000,05000CORF 34813,A000000,05010,0000,05010CMHC 34813,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34813,B100000,00000,0100,00000SQUARE FEET 34813,B100000,00000,0200,00000SQUARE FEET 34813,B100000,00000,0300,00000GROSS SALARIES 34813,B100000,00000,0400,00000ACCUM COST 34813,B100000,00000,0500,00000SQUARE FEET 34813,B100000,00000,0600,00000PATIENT DAYS 34813,B100000,00000,0700,00000SQUARE FEET 34813,B100000,00000,0800,00000MEALS SERVED 34813,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34813,B100000,00000,1000,00000PATIENT DAYS 34813,B100000,00000,1100,00000PATIENT DAYS 34813,B100000,00000,1200,00000PATIENT DAYS 34813,B100000,00000,1300,00000PATIENT DAYS 34813,B100000,00000,1400,00000ASSIGNED TIME 34813,S000000,00100,0200,05/23/2000 34813,S200000,00100,0100,WEST LAKE AVENUE 34813,S200000,00200,0100,GUILFORD 34813,S200000,00200,0200,CT 34813,S200000,00200,0300,06437 34813,S200000,00300,0100,NEW HAVEN 34813,S200000,00400,0100,WEST LAKE LODGE INC. 34813,S200000,00400,0200,075235 34813,S200000,00400,0300,12/18/1974 34813,S200000,00400,0500,P 34813,S200000,01500,0100,Y 34819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34819,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 34819,A000000,00102,0000,00102CAP REL COSTS - BLDGS & FIXTURE 34819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34819,A000000,00201,0000,00201CAP REL COSTS - MOVEABLE EQUIPM 34819,A000000,00202,0000,00202CAP REL COSTS - MOVEABLE EQUIPM 34819,A000000,00300,0000,00300EMPLOYEE BENEFITS 34819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34819,A000000,00501,0000,00501PLANT OPERATIONS 34819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34819,A000000,00700,0000,00700HOUSEKEEPING 34819,A000000,00800,0000,00800DIETARY 34819,A000000,00900,0000,00900NURSING ADMINISTRATION 34819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34819,A000000,01100,0000,01100PHARMACY 34819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34819,A000000,01300,0000,01300SOCIAL SERVICE 34819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34819,A000000,01600,0000,01600SKILLED NURSING FACILITY 34819,A000000,01800,0000,01800NURSING FACILITY 34819,A000000,01810,0000,01810ICF/MR 34819,A000000,01900,0000,01900OTHER LONG TERM CARE 34819,A000000,02100,0000,02100RADIOLOGY 34819,A000000,02200,0000,02200LABORATORY 34819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34819,A000000,02500,0000,02500PHYSICAL THERAPY 34819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34819,A000000,02700,0000,02700SPEECH PATHOLOGY 34819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34819,A000000,03550,0000,03550FQHC 34819,A000000,05000,0000,05000CORF 34819,A000000,05010,0000,05010CMHC 34819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34819,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34819,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34819,A000000,06151,0000,06301RESIDENT COTTAGES 34819,A000000,06152,0000,06302PUBLIC RELATIONS 34819,A81000A,00100,0100,Y 34819,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 34819,A81000B,00200,0300,CAPITAL RELATED COSTS - HCF 34819,A81000B,00300,0300,CAPITAL RELATED COSTS - APTS 34819,A81000B,00400,0300,MOVEABLE EQUIPMENT - HCF 34819,A81000B,00500,0300,MOVEABLE EQUIPMENT - APTS 34819,A81000C,00100,0100,B 34819,A81000C,00100,0200,CHURCH HOMES I 34819,B100000,00000,0100,00002SQUARE FEET 34819,B100000,00000,0101,00002SQUARE FEET 34819,B100000,00000,0102,00002SQUARE FEET 34819,B100000,00000,0200,00002DIRECT COSTS 34819,B100000,00000,0201,00002SQUARE FEET 34819,B100000,00000,0202,00002SQUARE FEET 34819,B100000,00000,0300,00002GROSS SALARIES 34819,B100000,00000,0400,00002ACCUM COST 34819,B100000,00000,0500,00002SQUARE FEET 34819,B100000,00000,0501,00002SQUARE FEET 34819,B100000,00000,0600,00002POUNDS OF LAUNDRY 34819,B100000,00000,0700,00002SQUARE FEET 34819,B100000,00000,0800,00002MEALS SERVED 34819,B100000,00000,0900,00002GROSS REVENUES 34819,B100000,00000,1000,00002COSTED REQUIS 34819,B100000,00000,1100,00002COSTED REQUIS 34819,B100000,00000,1200,00002GROSS REVENUES 34819,B100000,00000,1300,00002GROSS REVENUES 34819,B100000,00000,1400,00002ASSIGNED TIME 34819,E10A180,00550,0300,03/09/2000 34819,S000000,00100,0200,02/29/2000 34819,S200000,00100,0100,LOWER COBBLE ROAD 34819,S200000,00200,0100,SALISBURY 34819,S200000,00200,0200,CT 34819,S200000,00200,0300,06068 34819,S200000,00300,0100,LITCHFIELD 34819,S200000,00400,0100,NOBLE HORIZONS 34819,S200000,00400,0200,075236 34819,S200000,00400,0300,01/03/1975 34819,S200000,00400,0500,P 34819,S200000,00600,0200,075236 34819,S200000,00600,0300,01/03/1975 34819,S200000,00600,0600,P 34819,S200000,01500,0100,Y 34819,S200000,02800,0100,Y 34823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34823,A000000,00300,0000,00300EMPLOYEE BENEFITS 34823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34823,A000000,00700,0000,00700HOUSEKEEPING 34823,A000000,00800,0000,00800DIETARY 34823,A000000,00900,0000,00900NURSING ADMINISTRATION 34823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34823,A000000,01100,0000,01100PHARMACY 34823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34823,A000000,01300,0000,01300SOCIAL SERVICE 34823,A000000,01350,0000,01500RECREATION 34823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34823,A000000,01600,0000,01600SKILLED NURSING FACILITY 34823,A000000,01810,0000,01810ICF/MR 34823,A000000,02100,0000,02100RADIOLOGY 34823,A000000,02200,0000,02200LABORATORY 34823,A000000,02300,0000,02300INTRAVENOUS THERAPY 34823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34823,A000000,02500,0000,02500PHYSICAL THERAPY 34823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34823,A000000,02700,0000,02700SPEECH PATHOLOGY 34823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34823,A000000,03550,0000,03550FQHC 34823,A000000,05000,0000,05000CORF 34823,A000000,05010,0000,05010CMHC 34823,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34823,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34823,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34823,A000000,05300,0000,05300INTEREST EXPENSE 34823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34823,A81000A,00100,0100,Y 34823,A81000B,00100,0300,RENT 34823,A81000B,00200,0300,DEPRECIATION 34823,A81000B,00300,0300,INTEREST EXPENSE 34823,A81000C,00100,0100,A 34823,A81000C,00100,0200,MARVIN OSTRICHE 34823,A81000C,00100,0400,MAPLEVIEW HEALT 34823,A81000C,00100,0600,REAL ESTATE REN 34823,A81000C,00200,0400,REALTY OF CT L 34823,A81000C,00400,0100,A 34823,A81000C,00400,0200,AGNES ZITLER 34823,A81000C,00400,0400,MAPLEVIEW HEALT 34823,A81000C,00400,0600,REAL ESTATE REN 34823,A81000C,00500,0400,REALTY OF CT L 34823,B100000,00000,0100,00000SQUARE FEET 34823,B100000,00000,0200,00000SQUARE FEET 34823,B100000,00000,0300,00000GROSS SALARIES 34823,B100000,00000,0400,00000ACCUM COST 34823,B100000,00000,0500,00000SQUARE FEET 34823,B100000,00000,0600,00000PATIENT DAYS 34823,B100000,00000,0700,00000SQUARE FOOTAGE 34823,B100000,00000,0800,00000PATIENT DAYS 34823,B100000,00000,0900,00000PATIENT DAYS 34823,B100000,00000,1000,00000PATIENT DAYS 34823,B100000,00000,1100,00000PATIENT DAYS 34823,B100000,00000,1200,00000PATIENT DAYS 34823,B100000,00000,1300,00000PATIENT DAYS 34823,B100000,00000,1350,00000PATIENT DAYS 34823,B100000,00000,1400,00000ASSIGNED TIME 34823,S000000,00100,0200,05/26/2000 34823,S200000,00100,0100,856 MAPLE STREET 34823,S200000,00200,0100,ROCKY HILL 34823,S200000,00200,0200,CT 34823,S200000,00200,0300,06067 34823,S200000,00300,0100,HARTFORD 34823,S200000,00400,0100,MAPLEVIEW MANOR INC. 34823,S200000,00400,0200,075238 34823,S200000,00400,0300,03/20/1975 34823,S200000,00400,0500,P 34823,S200000,01500,0100,Y 34823,S200000,01900,0100,NON PROFIT CORP 34828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34828,A000000,00300,0000,00300EMPLOYEE BENEFITS 34828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34828,A000000,00700,0000,00700HOUSEKEEPING 34828,A000000,00800,0000,00800DIETARY 34828,A000000,00900,0000,00900NURSING ADMINISTRATION 34828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34828,A000000,01100,0000,01100PHARMACY 34828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34828,A000000,01300,0000,01300SOCIAL SERVICE 34828,A000000,01350,0000,01500RECREATION 34828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34828,A000000,01600,0000,01600SKILLED NURSING FACILITY 34828,A000000,01810,0000,01810ICF/MR 34828,A000000,02100,0000,02100RADIOLOGY 34828,A000000,02200,0000,02200LABORATORY 34828,A000000,02500,0000,02500PHYSICAL THERAPY 34828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34828,A000000,02700,0000,02700SPEECH PATHOLOGY 34828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34828,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34828,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34828,A000000,03550,0000,03550FQHC 34828,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34828,A000000,05000,0000,05000CORF 34828,A000000,05010,0000,05010CMHC 34828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34828,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34828,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34828,A81000A,00100,0100,Y 34828,A81000B,00100,0300,RENT BUILDING & FIXTURES 34828,A81000B,00200,0300,PROPERTY TAXES 34828,A81000B,00300,0300,DEPRECIATION 34828,A81000B,00400,0300,AMORTIZATION 34828,A81000B,00500,0300,INTEREST 34828,A81000B,00600,0300,INTEREST LEASES 34828,A81000B,00700,0300,MANAGEMENT FEE 34828,A81000B,00800,0300,MGMT FEE CAP EXP 34828,A81000B,00900,0300,MGMT FEE EQ EXP 34828,A81000B,01000,0300,MGMT FEE OTHER EXP 34828,A81000B,01100,0300,PAYROLL SERVICE 34828,A81000C,00100,0100,B 34828,A81000C,00100,0400,RELIANCE HEALTH ASSOC LLC 34828,A81000C,00100,0600,REALTY COMPANY 34828,A81000C,00200,0100,B 34828,A81000C,00200,0400,AFFINITY HEALTH CARE 34828,A81000C,00200,0600,OVERSIGHT OF OPERATIONS 34828,A81000C,00300,0100,B 34828,A81000C,00300,0400,AFFINITY HEALTH CARE 34828,A81000C,00300,0600,PAYROLL SERVICE 34828,B100000,00000,0100,00000SQUARE FEET 34828,B100000,00000,0200,00000SQUARE FEET 34828,B100000,00000,0300,00000GROSS SALARIES 34828,B100000,00000,0400,00000ACCUM. COST 34828,B100000,00000,0500,00000SQUARE FEET 34828,B100000,00000,0600,00000POUNDS OF LAUNDRY 34828,B100000,00000,0700,00000SQUARE FEET 34828,B100000,00000,0800,00000MEALS SERVED 34828,B100000,00000,0900,00000DIRECT NRSG HOURS 34828,B100000,00000,1000,00000COSTED REQUISTION 34828,B100000,00000,1100,00000COSTED REQUISTION 34828,B100000,00000,1200,00000TIME SPENT 34828,B100000,00000,1300,00000TIME SPENT 34828,B100000,00000,1350,00000PATIENT DAYS 34828,B100000,00000,1400,00000NO STATISTICS 34828,S000000,00100,0200,06/21/2000 34828,S200000,00100,0100,210 GEORGE STREET 34828,S200000,00200,0100,HARTFORD 34828,S200000,00200,0200,CT 34828,S200000,00200,0300,06114 34828,S200000,00300,0100,HARTFORD 34828,S200000,00400,0100,HCR D/B/A ELLIS MANOR 34828,S200000,00400,0200,075239 34828,S200000,00400,0300,05/01/1997 34828,S200000,00400,0500,P 34828,S200000,01500,0100,Y 34832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34832,A000000,00300,0000,00300EMPLOYEE BENEFITS 34832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34832,A000000,00700,0000,00700HOUSEKEEPING 34832,A000000,00800,0000,00800DIETARY 34832,A000000,00900,0000,00900NURSING ADMINISTRATION 34832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34832,A000000,01100,0000,01100PHARMACY 34832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34832,A000000,01300,0000,01300SOCIAL SERVICE 34832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34832,A000000,01600,0000,01600SKILLED NURSING FACILITY 34832,A000000,01800,0000,01800NURSING FACILITY 34832,A000000,01810,0000,01810ICF/MR 34832,A000000,01900,0000,01900OTHER LONG TERM CARE 34832,A000000,02500,0000,02500PHYSICAL THERAPY 34832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34832,A000000,02700,0000,02700SPEECH PATHOLOGY 34832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34832,A000000,03550,0000,03550FQHC 34832,A000000,05000,0000,05000CORF 34832,A000000,05010,0000,05010CMHC 34832,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34832,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34832,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34832,A000000,06150,0000,06300ADULT DAY CARE 34832,B100000,00000,0100,00000(SQUARE FEET) 34832,B100000,00000,0200,00000(SQUARE FEET) 34832,B100000,00000,0300,00000(GROSS SALARIES) 34832,B100000,00000,0400,00000(ACCUM COST) 34832,B100000,00000,0500,00000(SQUARE FEET) 34832,B100000,00000,0600,00000PATIENT DAYS 34832,B100000,00000,0700,00000SQUARE FEET 34832,B100000,00000,0800,00000(MEALS SERVED) 34832,B100000,00000,0900,00000(DIR NRSG HOURS) 34832,B100000,00000,1000,00000COSTED REQUIS 34832,B100000,00000,1100,00000COSTED REQUIS 34832,B100000,00000,1200,00000TIME SPENT 34832,B100000,00000,1300,00000PATEINT DAYS 34832,B100000,00000,1400,00000ASSIGNED TIME 34832,S000000,00100,0200,04/07/2000 34832,S200000,00100,0100,44 CANTERBURY ROAD 34832,S200000,00100,0300,326 34832,S200000,00200,0100,BROOKLYN 34832,S200000,00200,0200,CT 34832,S200000,00200,0300,06234 34832,S200000,00300,0100,WINDHAM 34832,S200000,00400,0100,PIERCE MEMORIAL BAPTIST HOME 34832,S200000,00400,0200,075243 34832,S200000,00400,0300,06/16/1975 34832,S200000,00400,0500,P 34832,S200000,00600,0200,206007 34832,S200000,00600,0300,06/16/1975 34832,S200000,00600,0600,P 34832,S200000,01600,0100,Y 34832,S200000,01900,0100,BOARD OF TRUSTEES 34832,S200000,02800,0100,Y 34836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34836,A000000,00300,0000,00300EMPLOYEE BENEFITS 34836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34836,A000000,00700,0000,00700HOUSEKEEPING 34836,A000000,00800,0000,00800DIETARY 34836,A000000,00900,0000,00900NURSING ADMINISTRATION 34836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34836,A000000,01100,0000,01100PHARMACY 34836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34836,A000000,01300,0000,01300SOCIAL SERVICE 34836,A000000,01350,0000,01500PATIENT ACTIVITIES 34836,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34836,A000000,01600,0000,01600SKILLED NURSING FACILITY 34836,A000000,01810,0000,01810ICF/MR 34836,A000000,02200,0000,02200LABORATORY 34836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34836,A000000,02500,0000,02500PHYSICAL THERAPY 34836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34836,A000000,02700,0000,02700SPEECH PATHOLOGY 34836,A000000,02800,0000,02800ELECTROCARDIOLOGY 34836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34836,A000000,03550,0000,03550FQHC 34836,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34836,A000000,05010,0000,05010CMHC 34836,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34836,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34836,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34836,A000000,05300,0000,05300INTEREST EXPENSE 34836,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34836,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34836,A81000A,00100,0100,Y 34836,A81000B,00100,0300,RENT EXPENSE 34836,A81000B,00200,0300,INTEREST EXPENSE 34836,A81000B,00300,0300,REAL ESTATE TAXES 34836,A81000B,00400,0300,DEPRECIATION 34836,A81000B,00500,0300,HOME OFFICE MGT FEES 34836,A81000C,00100,0100,B 34836,A81000C,00100,0200,L. SCHWARTZ 34836,A81000C,00100,0400,AVON REALTY CO 34836,A81000C,00100,0600,RENTL LAND & BL 34836,A81000C,00200,0100,B 34836,A81000C,00200,0200,L. & F. SCHWART 34836,A81000C,00200,0400,LJS ASSOCIATES 34836,A81000C,00200,0600,MANAGEMENT SVCS 34836,B100000,00000,0100,00000(SQUARE FEET) 34836,B100000,00000,0200,00000(SQUARE FEET) 34836,B100000,00000,0300,00000(GROSS SALARIES) 34836,B100000,00000,0400,00000(ACCUM COST) 34836,B100000,00000,0500,00000(SQUARE FEET) 34836,B100000,00000,0600,00000PATIENT DAYS 34836,B100000,00000,0700,00000SQUARE FEET 34836,B100000,00000,0800,00000PATIENT DAYS 34836,B100000,00000,0900,00000PATIENT DAYS 34836,B100000,00000,1000,00000(COSTED REQUIS) 34836,B100000,00000,1100,00000PATIENT DAYS 34836,B100000,00000,1200,00000PATIENT DAYS 34836,B100000,00000,1300,00000PATIENT DAYS 34836,B100000,00000,1350,00000PATIENT DAYS 34836,B100000,00000,1400,00000(ASSIGNED TIME) 34836,E10A180,00550,0300,06/29/2000 34836,S000000,00100,0200,05/31/2000 34836,S200000,00100,0100,652 WEST AVON ROAD 34836,S200000,00200,0100,AVON 34836,S200000,00200,0200,CT 34836,S200000,00200,0300,06001 34836,S200000,00300,0100,HARTFORD 34836,S200000,00400,0100,AVON HEALTH CENTER 34836,S200000,00400,0200,075244 34836,S200000,00400,0300,06/13/1975 34836,S200000,00400,0500,P 34836,S200000,00400,0600,O 34836,S200000,00600,0200,075244 34836,S200000,00600,0300,06/13/1975 34836,S200000,00600,0600,P 34836,S200000,01600,0100,Y 34836,S200000,01900,0100,NON PROFIT CORP 34836,S200000,04700,0100,Y 34836,S200000,04900,0100,Y 34845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34845,A000000,00300,0000,00300EMPLOYEE BENEFITS 34845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34845,A000000,00700,0000,00700HOUSEKEEPING 34845,A000000,00800,0000,00800DIETARY 34845,A000000,00900,0000,00900NURSING ADMINISTRATION 34845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34845,A000000,01100,0000,01100PHARMACY 34845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34845,A000000,01300,0000,01300SOCIAL SERVICE 34845,A000000,01350,0000,01500OTHER GENERAL SERVICES 34845,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34845,A000000,01600,0000,01600SKILLED NURSING FACILITY 34845,A000000,01810,0000,01810ICF/MR 34845,A000000,02200,0000,02200LABORATORY 34845,A000000,02300,0000,02300INTRAVENOUS THERAPY 34845,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34845,A000000,02500,0000,02500PHYSICAL THERAPY 34845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34845,A000000,02700,0000,02700SPEECH PATHOLOGY 34845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34845,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34845,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34845,A000000,03550,0000,03550FQHC 34845,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34845,A000000,05000,0000,05000CORF 34845,A000000,05010,0000,05010CMHC 34845,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34845,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34845,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34845,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34845,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34845,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34845,A000000,06200,0000,06200PATIENTS LAUNDRY 34845,A81000A,00100,0100,Y 34845,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34845,A81000B,00200,0300,DIETARY SUPPLMENTAL FEEDINGS 34845,A81000B,00300,0300,LINEN & BEDDING 34845,A81000B,00400,0300,MED SUPPL INCONTINEN HOUSE P 34845,A81000B,00500,0300,PHYSICAL THERAPY SERVICES 34845,A81000B,00600,0300,SPEECH THERAPY SERVICES 34845,A81000B,00700,0300,OCCUPATIONAL THERAPY SERVICES 34845,A81000B,00800,0300,RESPIRATORY THERAPY EXPENSE 34845,A81000B,00900,0300,PHARMACY AND IV THERAPY 34845,A81000B,01000,0300,PHARMACY AND IV THERAPY 34845,A81000B,01100,0300,CHARGEABLE NURSING SUPPLIES 34845,A81000B,01200,0300,MEDICAL EQUIPMENT RENTAL 34845,A81000B,01300,0300,MEDICAL EQUIPMENT RENTAL 34845,A81000B,01400,0300,MEDICAL RECORDS CONSULTING 34845,A81000B,01500,0300,CHARGEABLE MEDICAL SUPPLIES 34845,A81000B,01600,0300,MANAGEMENT FEES 34845,A81000B,01700,0300,THERAPY SERVICES 34845,A81000C,00100,0100,B 34845,A81000C,00100,0400,BALZ MEDICAL SERVICES 34845,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34845,A81000C,00200,0100,B 34845,A81000C,00200,0400,LEXICORE REHAB SERVICES 34845,A81000C,00200,0600,REHAB THERAPY SERVICES 34845,A81000C,00300,0100,B 34845,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34845,A81000C,00300,0600,PHARMACY AND IV THERAPY 34845,A81000C,00400,0100,B 34845,A81000C,00400,0400,LEXINGTON HC GROUP INC. 34845,A81000C,00400,0600,HOME OFFICE 34845,A81000C,00500,0100,B 34845,B100000,00000,0100,00000SQUARE FEET 34845,B100000,00000,0200,00000SQUARE FEET 34845,B100000,00000,0300,00000GROSS SALARIES 34845,B100000,00000,0400,00000ACCUM. COST 34845,B100000,00000,0500,00000SQUARE FEET 34845,B100000,00000,0600,00000POUNDS OF LAUNDRY 34845,B100000,00000,0700,00000SQUARE FEET 34845,B100000,00000,0800,00000MEALS SERVED 34845,B100000,00000,0900,00000TIME SPENT 34845,B100000,00000,1000,00000COSTED REQUIS. 34845,B100000,00000,1100,00000COSTED REQUIS. 34845,B100000,00000,1200,00000TIME SPENT 34845,B100000,00000,1300,00000TIME SPENT 34845,B100000,00000,1350,00000NO STATISTICS 34845,B100000,00000,1400,00000ASSIGNED TIME 34845,S000000,00100,0200,03/01/2000 34845,S200000,00100,0100,5 GREENWOOD STREET 34845,S200000,00200,0100,HARTFORD 34845,S200000,00200,0200,CT 34845,S200000,00200,0300,06120 34845,S200000,00300,0100,HARTFORD 34845,S200000,00400,0100,GREENWOOD HEALTH CENTER 34845,S200000,00400,0200,075250 34845,S200000,00400,0300,07/01/1997 34845,S200000,00400,0500,P 34845,S200000,01500,0100,Y 34850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34850,A000000,00300,0000,00300EMPLOYEE BENEFITS 34850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34850,A000000,00700,0000,00700HOUSEKEEPING 34850,A000000,00800,0000,00800DIETARY 34850,A000000,00900,0000,00900NURSING ADMINISTRATION 34850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34850,A000000,01100,0000,01100PHARMACY 34850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34850,A000000,01300,0000,01300SOCIAL SERVICE 34850,A000000,01350,0000,01500RECREATION 34850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34850,A000000,01600,0000,01600SKILLED NURSING FACILITY 34850,A000000,01800,0000,01800NURSING FACILITY 34850,A000000,01810,0000,01810ICF/MR 34850,A000000,02100,0000,02100RADIOLOGY 34850,A000000,02200,0000,02200LABORATORY 34850,A000000,02300,0000,02300INTRAVENOUS THERAPY 34850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34850,A000000,02500,0000,02500PHYSICAL THERAPY 34850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34850,A000000,02700,0000,02700SPEECH PATHOLOGY 34850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34850,A000000,03050,0000,03300OTHER ANCILLARY 34850,A000000,03550,0000,03550FQHC 34850,A000000,05000,0000,05000CORF 34850,A000000,05010,0000,05010CMHC 34850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34850,A81000A,00100,0100,Y 34850,A81000B,00100,0300,HOME OFFICE 34850,A81000B,00200,0300,HOME OFFICE 34850,A81000B,00300,0300,HOME OFFICE 34850,A81000B,00400,0300,REALTY 34850,A81000B,00500,0300,REALTY 34850,A81000B,00600,0300,REALTY 34850,A81000C,00100,0100,A 34850,A81000C,00100,0400,OLYMPUS H/C GRO 34850,A81000C,00100,0600,OWN/MNG. FACILI 34850,A81000C,00200,0100,A 34850,A81000C,00200,0400,OLYMPUS H/C GRO 34850,A81000C,00200,0600,OWN/MNG. FACILI 34850,A81000C,00300,0100,A 34850,A81000C,00300,0400,OLYMPUS H/C GRO 34850,A81000C,00300,0600,OWN/MNG. FACILI 34850,A81000C,00400,0100,B 34850,A81000C,00400,0200,DANIEL J. KANE 34850,A81000C,00400,0400,LAHAINA REALTY 34850,A81000C,00400,0600,REALTY EXPENSE 34850,A81000C,00500,0100,B 34850,A81000C,00500,0200,DANIEL J. KANE 34850,A81000C,00500,0400,LAHAINA REALTY 34850,A81000C,00500,0600,REALTY EXPENSE 34850,A81000C,00600,0100,B 34850,A81000C,00600,0200,DANIEL J. KANE 34850,A81000C,00600,0400,LAHAINA REALTY 34850,A81000C,00600,0600,REALTY EXPENSE 34850,A81000C,00800,0200,SEE HCFA FORM 3 34850,A81000C,00900,0200,A-8-5 FOR OTHER 34850,A81000C,01000,0200,RELATED PARTY 34850,A81000C,01100,0200,TRANSACTIONS 34850,B100000,00000,0100,00000SQUARE FEET 34850,B100000,00000,0200,00000SQUARE FEET 34850,B100000,00000,0300,00000GROSS SALARIES 34850,B100000,00000,0400,00000ACCUM COST 34850,B100000,00000,0500,00000SQUARE FEET 34850,B100000,00000,0600,00000RESIDENT DAYS 34850,B100000,00000,0700,00000SQUARE FEET 34850,B100000,00000,0800,00000MEALS SERVED 34850,B100000,00000,0900,00000RESIDENT DAYS 34850,B100000,00000,1000,00000RESIDENT DAYS 34850,B100000,00000,1100,00000RESIDENT DAYS 34850,B100000,00000,1200,00000RESIDENT DAYS 34850,B100000,00000,1300,00000RESIDENT DAYS 34850,B100000,00000,1350,00000RESIDENT DAYS 34850,B100000,00000,1400,00000ASSIGNED TIME 34850,S000000,00100,0200,05/30/2000 34850,S200000,00100,0100,20 SCOTT SWAMP ROAD 34850,S200000,00200,0100,FARMINGTON 34850,S200000,00200,0200,CT 34850,S200000,00200,0300,06032 34850,S200000,00400,0100,OLYMPUS H/C CTR. - FARMINGTON 34850,S200000,00400,0200,075251 34850,S200000,00400,0300,05/01/1987 34850,S200000,00400,0500,P 34850,S200000,00400,0600,O 34850,S200000,00600,0200,075251 34850,S200000,00600,0300,11/30/1994 34850,S200000,00600,0600,P 34850,S200000,01500,0100,Y 34850,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34850,S200000,02200,0100,Y 34852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34852,A000000,00300,0000,00300EMPLOYEE BENEFITS 34852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34852,A000000,00700,0000,00700HOUSEKEEPING 34852,A000000,00800,0000,00800DIETARY 34852,A000000,00900,0000,00900NURSING ADMINISTRATION 34852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34852,A000000,01100,0000,01100PHARMACY 34852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34852,A000000,01300,0000,01300SOCIAL SERVICE 34852,A000000,01350,0000,01500RECREATION 34852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34852,A000000,01600,0000,01600SKILLED NURSING FACILITY 34852,A000000,01800,0000,01800NURSING FACILITY 34852,A000000,01810,0000,01810ICF/MR 34852,A000000,02100,0000,02100RADIOLOGY 34852,A000000,02200,0000,02200LABORATORY 34852,A000000,02300,0000,02300INTRAVENOUS THERAPY 34852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34852,A000000,02500,0000,02500PHYSICAL THERAPY 34852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34852,A000000,02700,0000,02700SPEECH PATHOLOGY 34852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34852,A000000,03050,0000,03300OTHER THERAPUTIC 34852,A000000,03550,0000,03550FQHC 34852,A000000,05000,0000,05000CORF 34852,A000000,05010,0000,05010CMHC 34852,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34852,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34852,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34852,A81000A,00100,0100,Y 34852,A81000B,00100,0300,HOME OFFICE 34852,A81000B,00200,0300,HOME OFFICE 34852,A81000B,00300,0300,HOME OFFICE 34852,A81000B,00400,0300,REALTY EXPENSE 34852,A81000B,00500,0300,REALTY EXPENSE 34852,A81000B,00600,0300,REALTY EXPENSE 34852,A81000C,00100,0100,A 34852,A81000C,00100,0400,OLYMPUS H/C GRO 34852,A81000C,00100,0600,OWN/MNG. FACILI 34852,A81000C,00200,0100,A 34852,A81000C,00200,0400,OLYMPUS H/C GRO 34852,A81000C,00200,0600,OWN/MNG. FACILI 34852,A81000C,00300,0100,A 34852,A81000C,00300,0400,OLYMPUS H/C GRO 34852,A81000C,00300,0600,OWN/MNG. FACILI 34852,A81000C,00400,0100,B 34852,A81000C,00400,0200,DANIEL J. KANE 34852,A81000C,00400,0400,LAHAINA REALTY 34852,A81000C,00400,0600,REALTY EXPENSE 34852,A81000C,00500,0100,B 34852,A81000C,00500,0200,DANIEL J. KANE 34852,A81000C,00500,0400,LAHAINA REALTY 34852,A81000C,00500,0600,REALTY EXPENSE 34852,A81000C,00600,0100,B 34852,A81000C,00600,0200,DANIEL J. KANE 34852,A81000C,00600,0400,LAHAINA REALTY 34852,A81000C,00600,0600,REALTY EXPENSE 34852,A81000C,00800,0200,SEE HCFA FORM 3 34852,A81000C,00900,0200,A-8-5 FOR OTHER 34852,A81000C,01000,0200,RELATED PARTY 34852,A81000C,01100,0200,TRANSACTIONS 34852,B100000,00000,0100,00000SQUARE FEET 34852,B100000,00000,0200,00000SQUARE FEET 34852,B100000,00000,0300,00000GROSS SALARIES 34852,B100000,00000,0400,00000ACCUM COST 34852,B100000,00000,0500,00000SQUARE FEET 34852,B100000,00000,0600,00000RESIDENT DAYS 34852,B100000,00000,0700,00000SQUARE FEET 34852,B100000,00000,0800,00000MEALS SERVED 34852,B100000,00000,0900,00000RESIDENT DAYS 34852,B100000,00000,1000,00000RESIDENT DAYS 34852,B100000,00000,1100,00000RESIDENT DAYS 34852,B100000,00000,1200,00000RESIDENT DAYS 34852,B100000,00000,1300,00000RESIDENT DAYS 34852,B100000,00000,1350,00000RESIDENT DAYS 34852,B100000,00000,1400,00000ASSIGNED TIME 34852,S000000,00100,0200,05/30/2000 34852,S200000,00100,0100,349 BIDWELL ST. 34852,S200000,00200,0100,MANCHESTER 34852,S200000,00200,0200,CT 34852,S200000,00200,0300,06040 34852,S200000,00400,0100,OLY. H/C CTR - MANCHESTER WESTSIDE 34852,S200000,00400,0200,075252 34852,S200000,00400,0300,05/01/1987 34852,S200000,00400,0500,P 34852,S200000,00400,0600,O 34852,S200000,00600,0200,075252 34852,S200000,00600,0300,05/01/1987 34852,S200000,00600,0600,P 34852,S200000,01500,0100,Y 34852,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34852,S200000,02200,0100,Y 34854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34854,A000000,00300,0000,00300EMPLOYEE BENEFITS 34854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34854,A000000,00700,0000,00700HOUSEKEEPING 34854,A000000,00800,0000,00800DIETARY 34854,A000000,00900,0000,00900NURSING ADMINISTRATION 34854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34854,A000000,01100,0000,01100PHARMACY 34854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34854,A000000,01300,0000,01300SOCIAL SERVICE 34854,A000000,01350,0000,01500RECREATION 34854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34854,A000000,01600,0000,01600SKILLED NURSING FACILITY 34854,A000000,01810,0000,01810ICF/MR 34854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34854,A000000,02500,0000,02500PHYSICAL THERAPY 34854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34854,A000000,02700,0000,02700SPEECH PATHOLOGY 34854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34854,A000000,03550,0000,03550FQHC 34854,A000000,05000,0000,05000CORF 34854,A000000,05010,0000,05010CMHC 34854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34854,A000000,05300,0000,05300INTEREST EXPENSE 34854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34854,A000000,06100,0000,06100NONPAID WORKERS 34854,A81000A,00100,0100,Y 34854,A81000B,00100,0300,MANAGEMENT FEES 34854,A81000B,00200,0300,ACCOUNTING FEES 34854,A81000C,00100,0100,A 34854,A81000C,00100,0200,THOMAS DEMCHAK 34854,A81000C,00100,0400,UNIONTELL & AS 34854,A81000C,00100,0600,MGT/ REIMBURSAB 34854,A81000C,00200,0100,A 34854,A81000C,00200,0200,GWYNN LAMONT 34854,A81000C,00200,0400,UNIONTELL & ASS 34854,A81000C,00200,0600,MGT/REIMBURSABL 34854,A81000C,00300,0100,B 34854,A81000C,00300,0200,THOMAS DEMCHAK 34854,A81000C,00300,0400,TJ DEMCHAK CPA 34854,A81000C,00300,0600,ACCOUNTING 34854,A81000C,00400,0100,B 34854,A81000C,00400,0200,GWYNN LAMONT 34854,A81000C,00400,0400,TJ DEMCHAK CPA 34854,A81000C,00400,0600,ACCOUNTING 34854,B100000,00000,0100,00000SQUARE FEET 34854,B100000,00000,0200,00000SQUARE FEET 34854,B100000,00000,0300,00000GROSS SALARIES 34854,B100000,00000,0400,00000ACCUM COST 34854,B100000,00000,0500,00000SQUARE FEET 34854,B100000,00000,0600,00000POUNDS OF LAUNDRY 34854,B100000,00000,0700,00000HOURS OF SERVICE 34854,B100000,00000,0800,00000MEALS SERVED 34854,B100000,00000,0900,00000DIRECT NRSG HRS 34854,B100000,00000,1000,00000COSTED REQUIS 34854,B100000,00000,1100,00000COSTED REQUIS 34854,B100000,00000,1200,00000TIME SPENT 34854,B100000,00000,1300,00000TIME SPENT 34854,B100000,00000,1350,00000 34854,B100000,00000,1400,00000ASSIGNED TIME 34854,S000000,00100,0200,06/14/2000 34854,S200000,00100,0100,1060 MAIN STREET 34854,S200000,00200,0100,SOUTH WINDSOR 34854,S200000,00200,0200,CT 34854,S200000,00200,0300,06074 34854,S200000,00400,0100,SOUTH WINDSOR NURSING CENTER 34854,S200000,00400,0200,075256 34854,S200000,00400,0300,12/05/1978 34854,S200000,00400,0500,P 34854,S200000,01500,0100,Y 34854,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34862,A000000,00101,0000,00101CAP REL COSTS - REHAB BUILDING 34862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34862,A000000,00300,0000,00300EMPLOYEE BENEFITS 34862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34862,A000000,00700,0000,00700HOUSEKEEPING 34862,A000000,00800,0000,00800DIETARY 34862,A000000,00900,0000,00900NURSING ADMINISTRATION 34862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34862,A000000,01100,0000,01100PHARMACY 34862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34862,A000000,01300,0000,01300SOCIAL SERVICE 34862,A000000,01350,0000,01500RECREATION 34862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34862,A000000,01600,0000,01600SKILLED NURSING FACILITY 34862,A000000,01810,0000,01810ICF/MR 34862,A000000,02100,0000,02100RADIOLOGY 34862,A000000,02200,0000,02200LABORATORY 34862,A000000,02500,0000,02500PHYSICAL THERAPY 34862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34862,A000000,02700,0000,02700SPEECH PATHOLOGY 34862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34862,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34862,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34862,A000000,03550,0000,03550FQHC 34862,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34862,A000000,04800,0000,04800AMBULANCE 34862,A000000,05000,0000,05000CORF 34862,A000000,05010,0000,05010CMHC 34862,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34862,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34862,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34862,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34862,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34862,A81000A,00100,0100,Y 34862,A81000B,00100,0300,RENT BUILDING & FIXTURES 34862,A81000B,00200,0300,INTEREST 34862,A81000B,00300,0300,PROPERTY TAXES 34862,A81000B,00400,0300,DEPRECIATION 34862,A81000B,00500,0300,AMORTIZATION 34862,A81000B,00600,0300,INTEREST EQ 34862,A81000B,00700,0300,MANAGEMENT FEES 34862,A81000B,00800,0300,MGMT FEES - CAP EXP 34862,A81000B,00900,0300,MGMT FEES - EQ EXP 34862,A81000B,01000,0300,MGMT FEES - OTHER EXP 34862,A81000B,01100,0300,PAYROLL SERVICE 34862,A81000C,00100,0100,A 34862,A81000C,00100,0200,B FISCHMAN 34862,A81000C,00100,0400,ASSURANCE HC ASSOC LLC 34862,A81000C,00100,0600,REALTY COMPANY 34862,A81000C,00200,0100,A 34862,A81000C,00200,0200,B FISCHMAN 34862,A81000C,00200,0400,AFFINITY HEALTH CARE 34862,A81000C,00200,0600,OVERSIGHT OF OPERATIONS 34862,A81000C,00300,0100,A 34862,A81000C,00300,0200,B FISCHMAN 34862,A81000C,00300,0400,AFFINITY HEALTH CARE 34862,A81000C,00300,0600,PAYROLL SERVICE 34862,B100000,00000,0100,00000SQUARE FEET 34862,B100000,00000,0101,00000REHAB SQ FEET 34862,B100000,00000,0200,00000SQUARE FEET 34862,B100000,00000,0300,00000GROSS SALARIES 34862,B100000,00000,0400,00000ACCUM. COST 34862,B100000,00000,0500,00000SQUARE FEET 34862,B100000,00000,0600,00000POUNDS OF LAUNDRY 34862,B100000,00000,0700,00000SQUARE FEET 34862,B100000,00000,0800,00000MEALS SERVED 34862,B100000,00000,0900,00000DIRECT NRSING HRS 34862,B100000,00000,1000,00000COSTED REQUIS. 34862,B100000,00000,1100,00000COSTED REQUIS. 34862,B100000,00000,1200,00000TIME SPENT 34862,B100000,00000,1300,00000TIME SPENT 34862,B100000,00000,1350,00000PATIENT DAYS 34862,B100000,00000,1400,00000ASSIGNED TIME 34862,S000000,00100,0200,06/21/2000 34862,S200000,00100,0100,103 NORTH ROAD 34862,S200000,00200,0100,WINDHAM 34862,S200000,00200,0200,CT 34862,S200000,00200,0300,06280 34862,S200000,00300,0100,WINDHAM 34862,S200000,00400,0100,HCA D/B/A DOUGLAS MANOR 34862,S200000,00400,0200,075258 34862,S200000,00400,0300,05/01/1997 34862,S200000,00400,0500,P 34862,S200000,01500,0100,Y 34867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34867,A000000,00300,0000,00300EMPLOYEE BENEFITS 34867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34867,A000000,00700,0000,00700HOUSEKEEPING 34867,A000000,00800,0000,00800DIETARY 34867,A000000,00900,0000,00900NURSING ADMINISTRATION 34867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34867,A000000,01100,0000,01100PHARMACY 34867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34867,A000000,01300,0000,01300SOCIAL SERVICE 34867,A000000,01350,0000,01500OTHER GENERAL SERVICES 34867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34867,A000000,01600,0000,01600SKILLED NURSING FACILITY 34867,A000000,01810,0000,01810ICF/MR 34867,A000000,02100,0000,02100RADIOLOGY 34867,A000000,02200,0000,02200LABORATORY 34867,A000000,02300,0000,02300INTRAVENOUS THERAPY 34867,A000000,02500,0000,02500PHYSICAL THERAPY 34867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34867,A000000,02700,0000,02700SPEECH PATHOLOGY 34867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34867,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34867,A000000,03051,0000,03301CLINITRON BEDS 34867,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34867,A000000,03550,0000,03550FQHC 34867,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34867,A000000,05000,0000,05000CORF 34867,A000000,05010,0000,05010CMHC 34867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34867,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34867,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34867,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34867,A81000A,00100,0100,Y 34867,A81000B,00100,0300,RENT 34867,A81000B,00200,0300,OFFICE 34867,A81000C,00100,0100,A 34867,A81000C,00100,0200,M.J. OSTREICHER 34867,A81000C,00100,0400,NATIONAL HEALTH CARE 34867,A81000C,00100,0600,BOOKEEPING 34867,A81000C,00200,0100,A 34867,A81000C,00200,0200,M.J. OSTREICHER 34867,A81000C,00200,0400,WALLIMGFORD REALTY 34867,A81000C,00200,0600,REALTY-SUB LEASE 34867,B100000,00000,0100,00000SQUARE FEET 34867,B100000,00000,0200,00000DOLLAR VALUE 34867,B100000,00000,0300,00000GROSS SALARIES 34867,B100000,00000,0400,00000ACCUM. COST 34867,B100000,00000,0500,00000SQUARE FEET 34867,B100000,00000,0600,00000POUNDS OF LAUNDRY 34867,B100000,00000,0700,00000HOURS OF SERVICE 34867,B100000,00000,0800,00000MEALS SERVED 34867,B100000,00000,0900,00000HOURS OF SERVICE 34867,B100000,00000,1000,00000COSTED REQUIS. 34867,B100000,00000,1100,00000COSTED REQUIS. 34867,B100000,00000,1200,00000TIME SPENT 34867,B100000,00000,1300,00000TIME SPENT 34867,B100000,00000,1350,00000NO STATISTICS 34867,B100000,00000,1400,00000TIME SPENT 34867,E10A180,00301,0100,09/30/1998 34867,E10A180,00501,0100,06/14/2000 34867,E10A180,00550,0300,06/14/2000 34867,S000000,00100,0200,05/26/2000 34867,S200000,00100,0100,181 EAST MAIN STREET 34867,S200000,00200,0100,WALLINGFORD 34867,S200000,00200,0200,CT 34867,S200000,00300,0100,NEW HAVEN 34867,S200000,00400,0100,REGENCY HOUSE OF WALLINGFORD INC. 34867,S200000,00400,0200,075261 34867,S200000,00400,0300,12/01/1975 34867,S200000,00400,0500,P 34867,S200000,01500,0100,Y 34873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34873,A000000,00300,0000,00300EMPLOYEE BENEFITS 34873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34873,A000000,00700,0000,00700HOUSEKEEPING 34873,A000000,00800,0000,00800DIETARY 34873,A000000,00900,0000,00900NURSING ADMINISTRATION 34873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34873,A000000,01100,0000,01100PHARMACY 34873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34873,A000000,01300,0000,01300SOCIAL SERVICE 34873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34873,A000000,01600,0000,01600SKILLED NURSING FACILITY 34873,A000000,01810,0000,01810ICF/MR 34873,A000000,01900,0000,01900OTHER LONG TERM CARE 34873,A000000,02100,0000,02100RADIOLOGY 34873,A000000,02200,0000,02200LABORATORY 34873,A000000,02300,0000,02300INTRAVENOUS THERAPY 34873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34873,A000000,02500,0000,02500PHYSICAL THERAPY 34873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34873,A000000,02700,0000,02700SPEECH PATHOLOGY 34873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34873,A000000,03550,0000,03550FQHC 34873,A000000,05000,0000,05000CORF 34873,A000000,05010,0000,05010CMHC 34873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34873,A000000,05300,0000,05300INTEREST EXPENSE 34873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34873,A81000A,00100,0100,Y 34873,A81000B,00100,0300,MANAGEMENT FEES 34873,A81000B,00200,0300,HOME OFFICE CAPITAL-HO COST RE 34873,A81000C,00100,0100,B 34873,A81000C,00100,0400,MEDWAY HC MGMT 34873,A81000C,00100,0600,CEO/PRESIDENT 34873,A81000C,00200,0100,B 34873,A81000C,00200,0400,MEDWAY INC 34873,A81000C,00200,0600,HOLDING COMPANY 34873,B100000,00000,0100,00000SQ FEET 34873,B100000,00000,0200,00000SQ FEET 34873,B100000,00000,0300,00000GROSS SAL 34873,B100000,00000,0400,00000ACCUM. COST 34873,B100000,00000,0500,00000SQ FEET 34873,B100000,00000,0600,00000PAT DAYS 34873,B100000,00000,0700,00000SQ FEET 34873,B100000,00000,0800,00000MEALS SERVED 34873,B100000,00000,0900,00000HRS NRSG PERSONNEL 34873,B100000,00000,1000,00000PAT DAYS 34873,B100000,00000,1100,00000PAT DAYS 34873,B100000,00000,1200,00000HOURS OF SVC- MR 34873,B100000,00000,1300,00000TIME SPENT SS 34873,B100000,00000,1400,00000BLANK 34873,S000000,00100,0200,03/03/2000 34873,S200000,00100,0100,385 MAIN STREET 34873,S200000,00200,0100,CROMWELL 34873,S200000,00200,0200,CT 34873,S200000,00200,0300,06416 34873,S200000,00300,0100,HARTFORD 34873,S200000,00400,0100,CROMWELL CREST CONVALESCENT HOME 34873,S200000,00400,0200,075263 34873,S200000,00400,0300,03/16/1976 34873,S200000,00400,0500,P 34873,S200000,00400,0600,O 34873,S200000,01500,0100,Y 34878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34878,A000000,00300,0000,00300EMPLOYEE BENEFITS 34878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34878,A000000,00700,0000,00700HOUSEKEEPING 34878,A000000,00800,0000,00800DIETARY 34878,A000000,00900,0000,00900NURSING ADMINISTRATION 34878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34878,A000000,01100,0000,01100PHARMACY 34878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34878,A000000,01300,0000,01300SOCIAL SERVICE 34878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34878,A000000,01600,0000,01600SKILLED NURSING FACILITY 34878,A000000,01810,0000,01810ICF/MR 34878,A000000,02100,0000,02100RADIOLOGY 34878,A000000,02200,0000,02200LABORATORY 34878,A000000,02300,0000,02300INTRAVENOUS THERAPY 34878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34878,A000000,02500,0000,02500PHYSICAL THERAPY 34878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34878,A000000,02700,0000,02700SPEECH PATHOLOGY 34878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34878,A000000,03050,0000,03300OTHER ANCILLARY COSTS 34878,A000000,03550,0000,03550FQHC 34878,A000000,05000,0000,05000CORF 34878,A000000,05010,0000,05010CMHC 34878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34878,A000000,05300,0000,05300INTEREST EXPENSE 34878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34878,B100000,00000,0100,00000SQUARE FEET 34878,B100000,00000,0200,00000SQUARE FEET 34878,B100000,00000,0300,00000GROSS SALARIES 34878,B100000,00000,0400,00000ACCUM COST 34878,B100000,00000,0500,00000SQUARE FEET 34878,B100000,00000,0600,00000PATIENT DAYS 34878,B100000,00000,0700,00000SQUARE FEET 34878,B100000,00000,0800,00000PATIENT DAYS 34878,B100000,00000,0900,00000PATIENT DAYS 34878,B100000,00000,1000,00000PATIENT DAYS 34878,B100000,00000,1100,00000PATIENT DAYS 34878,B100000,00000,1200,00000PATIENT DAYS 34878,B100000,00000,1300,00000PATIENT DAYS 34878,B100000,00000,1400,00000ASSIGNED TIME 34878,S000000,00100,0200,02/11/2000 34878,S200000,00100,0100,140 PARK AVENUE 34878,S200000,00200,0100,BLOOMFIELD 34878,S200000,00200,0200,CT 34878,S200000,00200,0300,06002 34878,S200000,00300,0100,HARTFORD 34878,S200000,00400,0100,WINTONBURY CARE CENTER 34878,S200000,00400,0200,075264 34878,S200000,00400,0300,03/04/1976 34878,S200000,00400,0500,P 34878,S200000,01500,0100,Y 34878,S200000,01900,0100,NON PROFIT CORP 34878,S200000,02800,0100,Y 34878,S200000,03100,0100,Y 34879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34879,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 34879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34879,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 34879,A000000,00300,0000,00300EMPLOYEE BENEFITS 34879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34879,A000000,00700,0000,00700HOUSEKEEPING 34879,A000000,00800,0000,00800DIETARY 34879,A000000,00801,0000,00801CAFETERIA 34879,A000000,00900,0000,00900NURSING ADMINISTRATION 34879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34879,A000000,01100,0000,01100PHARMACY 34879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34879,A000000,01300,0000,01300SOCIAL SERVICE 34879,A000000,01350,0000,01500ACTIVITIES 34879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34879,A000000,01600,0000,01600SKILLED NURSING FACILITY 34879,A000000,01810,0000,01810ICF/MR 34879,A000000,02100,0000,02100RADIOLOGY 34879,A000000,02200,0000,02200LABORATORY 34879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34879,A000000,02500,0000,02500PHYSICAL THERAPY 34879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34879,A000000,02700,0000,02700SPEECH PATHOLOGY 34879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34879,A000000,03050,0000,03300OXYGEN 34879,A000000,03051,0000,03301PEN THERAPY 34879,A000000,03052,0000,03302OTHER ANCILLARY III 34879,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 34879,A000000,03550,0000,03550FQHC 34879,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34879,A000000,04800,0000,04800AMBULANCE 34879,A000000,05000,0000,05000CORF I 34879,A000000,05010,0000,05010CMHC I 34879,A000000,05020,0000,05020OPT I 34879,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34879,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34879,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 34879,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 34879,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34879,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34879,A81000A,00100,0100,Y 34879,A81000B,00100,0300,BUILDING LEASE 34879,A81000B,00200,0300,MANAGEMENT FEES 34879,A81000B,00300,0300,THERAPY SERVICES 34879,A81000B,00400,0300,THERAPY SERVICES 34879,A81000B,00500,0300,THERAPY SERVICES 34879,A81000B,00600,0300,HEALTH CARE CONSULTING 34879,A81000B,00700,0300,THERAPY CONSULTING 34879,A81000C,00100,0100,A 34879,A81000C,00100,0200,KRAUSZ ET AL 34879,A81000C,00100,0400,HARTFD/WINDSR 34879,A81000C,00100,0600,REAL ESTATE 34879,A81000C,00200,0100,A 34879,A81000C,00200,0200,KRAUSZ ET AL 34879,A81000C,00200,0400,SOLOMON HLT SVC 34879,A81000C,00200,0600,HC MGMT CO 34879,A81000C,00300,0100,A 34879,A81000C,00300,0200,KRAUSZ ET AL 34879,A81000C,00300,0400,PROG PROV SVC 34879,A81000C,00300,0600,THERAPY SVC 34879,A81000C,00400,0100,A 34879,A81000C,00400,0200,KRAUSZ ET AL 34879,A81000C,00400,0400,PROG PROV SVC 34879,A81000C,00400,0600,THERAPY SVC 34879,A81000C,00500,0100,A 34879,A81000C,00500,0200,KRAUSZ ET AL 34879,A81000C,00500,0400,PROG PROV SVC 34879,A81000C,00500,0600,THERAPY SVC 34879,A81000C,00600,0100,A 34879,A81000C,00600,0200,KRAUSZ ET AL 34879,A81000C,00600,0400,SOLOMON HC CONS 34879,A81000C,00600,0600,HC CONSULTING 34879,A81000C,00700,0100,A 34879,A81000C,00700,0200,KRAUSZ ET AL 34879,A81000C,00700,0400,SOLOMON HC CONS 34879,A81000C,00700,0600,THERAPY CONSULT 34879,B100000,00000,0100,00000(SQUARE FEET) 34879,B100000,00000,0101,00000(SQUARE FEET) 34879,B100000,00000,0200,00000(SQUARE FEET) 34879,B100000,00000,0201,00000(SQUARE FEET) 34879,B100000,00000,0300,00000(GROSS SALARIES) 34879,B100000,00000,0400,00000(ACCUM. COST) 34879,B100000,00000,0500,00000(SQUARE FEET) 34879,B100000,00000,0600,00000(PATIENT DAYS) 34879,B100000,00000,0700,00000(SQUARE FEET) 34879,B100000,00000,0800,00000(MEALS SERVED) 34879,B100000,00000,0801,00000(MEALS SERVED) 34879,B100000,00000,0900,00000(NURSING SALARIES) 34879,B100000,00000,1000,00000(PATIENT DAYS) 34879,B100000,00000,1100,00000(PATIENT DAYS) 34879,B100000,00000,1200,00000(PATIENT DAYS) 34879,B100000,00000,1300,00000(PATIENT DAYS) 34879,B100000,00000,1350,00000(PATIENT DAYS) 34879,B100000,00000,1400,00000(ASSIGNED TIME) 34879,S000000,00100,0200,05/26/2000 34879,S200000,00100,0100,140 PARK AVENUE 34879,S200000,00200,0100,BLOOMFIELD 34879,S200000,00200,0200,CT 34879,S200000,00200,0300,06002 34879,S200000,00300,0100,HARTFORD 34879,S200000,00400,0100,WINTONBURY CARE CENTER 34879,S200000,00400,0200,075264 34879,S200000,00400,0300,03/04/1976 34879,S200000,00400,0500,P 34879,S200000,01500,0100,Y 34879,S200000,02200,0100,Y 34879,S200000,04300,0100,Y 34879,S200000,04700,0100,Y 34882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34882,A000000,00300,0000,00300EMPLOYEE BENEFITS 34882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34882,A000000,00700,0000,00700HOUSEKEEPING 34882,A000000,00800,0000,00800DIETARY 34882,A000000,00900,0000,00900NURSING ADMINISTRATION 34882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34882,A000000,01100,0000,01100PHARMACY 34882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34882,A000000,01300,0000,01300SOCIAL SERVICE 34882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34882,A000000,01600,0000,01600SKILLED NURSING FACILITY 34882,A000000,01800,0000,01800NURSING FACILITY 34882,A000000,01810,0000,01810ICF/MR 34882,A000000,01900,0000,01900OTHER LONG TERM CARE 34882,A000000,02200,0000,02200LABORATORY 34882,A000000,02500,0000,02500PHYSICAL THERAPY 34882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34882,A000000,02700,0000,02700SPEECH PATHOLOGY 34882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34882,A000000,03550,0000,03550FQHC 34882,A000000,05000,0000,05000CORF 34882,A000000,05010,0000,05010CMHC 34882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34882,A000000,05300,0000,05300INTEREST EXPENSE 34882,A000000,06150,0000,06300FUND RAISING 34882,A000000,06151,0000,06302CCRC 34882,A81000A,00100,0100,Y 34882,A81000B,00100,0300,ALLIANCE MEMBERSHIP 34882,A81000C,00100,0100,C 34882,A81000C,00100,0200,ELIM PARK 34882,A81000C,00100,0400,CAIC 34882,A81000C,00100,0600,CARE\CASE MANAG 34882,B100000,00000,0100,00002SQUARE FEET 34882,B100000,00000,0200,00002SQUARE FEET 34882,B100000,00000,0300,00002GROSS SALARIES 34882,B100000,00000,0400,00002ACCUM COST 34882,B100000,00000,0500,00002SQUARE FEET 34882,B100000,00000,0600,00002POUNDS OF LAUNDRY 34882,B100000,00000,0700,00002SQUARE FOOTAGE 34882,B100000,00000,0800,00002MEALS SERVED 34882,B100000,00000,0900,00002DIRECT NRSG HRS 34882,B100000,00000,1000,00002COSTED REQUIS 34882,B100000,00000,1100,00002PATIENT DAYS 34882,B100000,00000,1200,00002TIME SPENT 34882,B100000,00000,1300,00002TIME SPENT 34882,B100000,00000,1400,00002ASSIGNED TIME 34882,S000000,00100,0200,02/29/2000 34882,S200000,00100,0100,140 COOK HILL ROAD 34882,S200000,00200,0100,CHESHIRE 34882,S200000,00200,0200,CT 34882,S200000,00200,0300,06410 34882,S200000,00300,0100,NEW HAVEN 34882,S200000,00400,0100,ELIM PARK 34882,S200000,00400,0200,075265 34882,S200000,00400,0300,03/20/1976 34882,S200000,00400,0500,P 34882,S200000,00600,0200,0113RH 34882,S200000,00600,0300,04/01/1988 34882,S200000,00600,0600,P 34882,S200000,01600,0100,Y 34882,S200000,02800,0100,Y 34887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34887,A000000,00300,0000,00300EMPLOYEE BENEFITS 34887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34887,A000000,00700,0000,00700HOUSEKEEPING 34887,A000000,00800,0000,00800DIETARY 34887,A000000,00900,0000,00900NURSING ADMINISTRATION 34887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34887,A000000,01100,0000,01100PHARMACY 34887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34887,A000000,01300,0000,01300SOCIAL SERVICE 34887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34887,A000000,01600,0000,01600SKILLED NURSING FACILITY 34887,A000000,01800,0000,01800NURSING FACILITY 34887,A000000,01810,0000,01810ICF/MR 34887,A000000,02100,0000,02100RADIOLOGY 34887,A000000,02200,0000,02200LABORATORY 34887,A000000,02300,0000,02300INTRAVENOUS THERAPY 34887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34887,A000000,02500,0000,02500PHYSICAL THERAPY 34887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34887,A000000,02700,0000,02700SPEECH PATHOLOGY 34887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34887,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST 34887,A000000,03550,0000,03550FQHC 34887,A000000,05000,0000,05000CORF 34887,A000000,05010,0000,05010CMHC 34887,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34887,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34887,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34887,A000000,05300,0000,05300INTEREST EXPENSE 34887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34887,B100000,00000,0100,00000SQUARE FEET 34887,B100000,00000,0200,00000SQUARE FEET 34887,B100000,00000,0300,00000GROSS SALARIES 34887,B100000,00000,0400,00000ACCUM COST 34887,B100000,00000,0500,00000SQUARE FEET 34887,B100000,00000,0600,00000PATIENT DAYS 34887,B100000,00000,0700,00000SQUARE FOOTAGE 34887,B100000,00000,0800,00000PATIENT DAYS 34887,B100000,00000,0900,00000PATIENT DAYS 34887,B100000,00000,1000,00000PATIENT DAYS 34887,B100000,00000,1100,00000PATIENT DAYS 34887,B100000,00000,1200,00000PATIENT DAYS 34887,B100000,00000,1300,00000PATIENT DAYS 34887,B100000,00000,1400,00000ASSIGNED TIME 34887,S000000,00100,0200,02/11/2000 34887,S200000,00100,0100,151 HILLSIDE AVENUE 34887,S200000,00200,0100,HARTFORD 34887,S200000,00200,0200,CT 34887,S200000,00200,0300,06106 34887,S200000,00300,0100,HARTFORD 34887,S200000,00400,0100,TRINITY HILL HEALTHCARE CENTER 34887,S200000,00400,0200,075268 34887,S200000,00400,0300,04/09/1976 34887,S200000,00400,0500,P 34887,S200000,00600,0200,075268 34887,S200000,00600,0300,04/09/1976 34887,S200000,00600,0600,P 34887,S200000,01600,0100,Y 34887,S200000,01900,0100,NON PROFIT CORP 34887,S200000,02800,0100,Y 34887,S200000,03100,0100,Y 34891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34891,A000000,00300,0000,00300EMPLOYEE BENEFITS 34891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34891,A000000,00700,0000,00700HOUSEKEEPING 34891,A000000,00800,0000,00800DIETARY 34891,A000000,00900,0000,00900NURSING ADMINISTRATION 34891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34891,A000000,01100,0000,01100PHARMACY 34891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34891,A000000,01300,0000,01300SOCIAL SERVICE 34891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34891,A000000,01600,0000,01600SKILLED NURSING FACILITY 34891,A000000,01810,0000,01810ICF/MR 34891,A000000,02100,0000,02100RADIOLOGY 34891,A000000,02200,0000,02200LABORATORY 34891,A000000,02500,0000,02500PHYSICAL THERAPY 34891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34891,A000000,02700,0000,02700SPEECH PATHOLOGY 34891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34891,A000000,03550,0000,03550FQHC 34891,A000000,04800,0000,04800AMBULANCE 34891,A000000,05000,0000,05000CORF 34891,A000000,05010,0000,05010CMHC 34891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34891,A81000A,00100,0100,Y 34891,A81000B,00100,0300,LANDSCAPING & PLOWING 34891,A81000C,00100,0100,D 34891,A81000C,00100,0200,ROBERT G. WHIPP 34891,A81000C,00100,0400,RENAISSANCE COL 34891,A81000C,00100,0600,LANDSCAPING 34891,B100000,00000,0100,00000SQUARE FEET 34891,B100000,00000,0200,00000SQUARE FEET 34891,B100000,00000,0300,00000GROSS SALARIES 34891,B100000,00000,0400,00000ACCUM COST 34891,B100000,00000,0500,00000SQUARE FEET 34891,B100000,00000,0600,00000PATIENT DAYS 34891,B100000,00000,0700,00000SQUARE FEET 34891,B100000,00000,0800,00000MEALS SERVED 34891,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34891,B100000,00000,1000,00000COSTED REQUIS 34891,B100000,00000,1100,00000PATIENT DAYS 34891,B100000,00000,1200,00000PATIENT DAYS 34891,B100000,00000,1300,00000PATIENT DAYS 34891,B100000,00000,1400,00000ASSIGNED TIME 34891,E10A180,00550,0300,03/09/2000 34891,S000000,00100,0200,03/03/2000 34891,S200000,00100,0100,475 HIGH STREET 34891,S200000,00100,0300,P.O. BOX 40 34891,S200000,00200,0100,MYSTIC 34891,S200000,00200,0200,CT 34891,S200000,00200,0300,06355 34891,S200000,00300,0100,NEW LONDON 34891,S200000,00400,0100,MYSTIC MANOR 34891,S200000,00400,0200,075271 34891,S200000,00400,0300,08/01/1976 34891,S200000,00400,0500,P 34891,S200000,01500,0100,Y 34891,S200000,04700,0100,Y 34897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34897,A000000,00300,0000,00300EMPLOYEE BENEFITS 34897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34897,A000000,00700,0000,00700HOUSEKEEPING 34897,A000000,00800,0000,00800DIETARY 34897,A000000,00900,0000,00900NURSING ADMINISTRATION 34897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34897,A000000,01100,0000,01100PHARMACY 34897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34897,A000000,01300,0000,01300SOCIAL SERVICE 34897,A000000,01350,0000,01500PATIENT ACTIVITIES 34897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34897,A000000,01600,0000,01600SKILLED NURSING FACILITY 34897,A000000,01800,0000,01800NURSING FACILITY 34897,A000000,01810,0000,01810ICF/MR 34897,A000000,02200,0000,02200LABORATORY 34897,A000000,02300,0000,02300INTRAVENOUS THERAPY 34897,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34897,A000000,02401,0000,02401RESPIRATORY 34897,A000000,02500,0000,02500PHYSICAL THERAPY 34897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34897,A000000,02700,0000,02700SPEECH PATHOLOGY 34897,A000000,02800,0000,02800ELECTROCARDIOLOGY 34897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34897,A000000,03550,0000,03550FQHC 34897,A000000,04800,0000,04800AMBULANCE 34897,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34897,A000000,05010,0000,05010CMHC 34897,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34897,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34897,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34897,A000000,05300,0000,05300INTEREST EXPENSE 34897,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34897,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34897,A81000A,00100,0100,Y 34897,A81000B,00100,0300,RENT EXPENSE 34897,A81000B,00200,0300,INTEREST 34897,A81000B,00300,0300,REAL ESTATE TAXES 34897,A81000B,00500,0300,PARKING LOT RENTAL 34897,A81000B,00600,0300,DEPRECIATION 34897,A81000B,00700,0300,AMORTIZATION 34897,A81000C,00100,0100,A 34897,A81000C,00100,0200,LEONARD SCHWART 34897,A81000C,00100,0400,BROOKVIEW MANOR 34897,A81000C,00100,0600,REAL ESTATE 34897,A81000C,00200,0100,A 34897,A81000C,00200,0200,SID SILVERMAN 34897,A81000C,00200,0400,BROOKVIEW MANOR 34897,A81000C,00200,0600,REAL ESTATE 34897,A81000C,00300,0100,A 34897,A81000C,00300,0200,LEONARD SCHWART 34897,A81000C,00300,0400,LJS ASSOCIATES 34897,A81000C,00300,0600,MANAGEMENT CO 34897,B100000,00000,0100,00000(SQUARE FEET) 34897,B100000,00000,0200,00000(SQUARE FEET) 34897,B100000,00000,0300,00000(GROSS SALARIES) 34897,B100000,00000,0400,00000(ACCUM COST) 34897,B100000,00000,0500,00000(SQUARE FEET) 34897,B100000,00000,0600,00000PATIENT DAYS 34897,B100000,00000,0700,00000SQUARE FEET 34897,B100000,00000,0800,00000PATIENT DAYS 34897,B100000,00000,0900,00000PATIENT DAYS 34897,B100000,00000,1000,00000(COSTED REQUIS) 34897,B100000,00000,1100,00000PATIENT DAYS 34897,B100000,00000,1200,00000PATIENT DAYS 34897,B100000,00000,1300,00000PATIENT DAYS 34897,B100000,00000,1350,00000PATIENT DAYS 34897,B100000,00000,1400,00000(ASSIGNED TIME) 34897,E10A180,00550,0300,06/29/2000 34897,S000000,00100,0200,05/31/2000 34897,S200000,00100,0100,130 LOOMIS DRIVE 34897,S200000,00200,0100,WEST HARTFORD 34897,S200000,00200,0200,CT 34897,S200000,00200,0300,06107 34897,S200000,00300,0100,HARTFORD 34897,S200000,00400,0100,BROOKVIEW HEALTH CARE FACILITY 34897,S200000,00400,0200,075278 34897,S200000,00400,0300,02/16/1977 34897,S200000,00400,0500,P 34897,S200000,00400,0600,O 34897,S200000,00600,0200,075278 34897,S200000,00600,0300,02/16/1977 34897,S200000,00600,0600,P 34897,S200000,01600,0100,Y 34897,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34899,A000000,00300,0000,00300EMPLOYEE BENEFITS 34899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34899,A000000,00700,0000,00700HOUSEKEEPING 34899,A000000,00800,0000,00800DIETARY 34899,A000000,00900,0000,00900NURSING ADMINISTRATION 34899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34899,A000000,01100,0000,01100PHARMACY 34899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34899,A000000,01300,0000,01300SOCIAL SERVICE 34899,A000000,01350,0000,01500RECREATION 34899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34899,A000000,01600,0000,01600SKILLED NURSING FACILITY 34899,A000000,01800,0000,01800NURSING FACILITY 34899,A000000,01810,0000,01810ICF/MR 34899,A000000,02100,0000,02100RADIOLOGY 34899,A000000,02200,0000,02200LABORATORY 34899,A000000,02300,0000,02300INTRAVENOUS THERAPY 34899,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34899,A000000,02500,0000,02500PHYSICAL THERAPY 34899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34899,A000000,02700,0000,02700SPEECH PATHOLOGY 34899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34899,A000000,03550,0000,03550FQHC 34899,A000000,05000,0000,05000CORF 34899,A000000,05010,0000,05010CMHC 34899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34899,A81000A,00100,0100,Y 34899,A81000B,00100,0300,INTEREST 34899,A81000B,00200,0300,SNOW PLOW - F. SERGI 34899,A81000B,00300,0300,STATION SUPPLIES 34899,A81000B,00400,0300,RENT 34899,A81000B,00500,0300,DEPRECIATION 34899,A81000B,00600,0300,AMORTIZATION 34899,A81000B,00700,0300,MORTGAGE INTEREST 34899,A81000B,00800,0300,OFFICE EXPENSE 34899,A81000C,00100,0100,A 34899,A81000C,00100,0200,JAMES CLEARY 34899,A81000C,00100,0600,BEACH BLDG. 34899,A81000C,00200,0100,A 34899,A81000C,00200,0200,ESTATE OF KEN C 34899,A81000C,00200,0600,BEACH BLD. 34899,A81000C,00300,0100,A 34899,A81000C,00300,0200,DENNIS CLEARY 34899,A81000C,00300,0600,BEACH BLD. 34899,A81000C,00400,0100,A 34899,A81000C,00400,0200,EDWARD CLEARY 34899,A81000C,00400,0600,BEACH BLD. 34899,A81000C,00500,0100,A 34899,A81000C,00500,0200,SHELLEY CLEARY 34899,A81000C,00500,0600,BEACH BLD 34899,A81000C,00600,0100,A 34899,A81000C,00600,0200,CHRISTINE CLEAR 34899,A81000C,00600,0600,BEACH BLD. 34899,A81000C,00700,0100,A 34899,A81000C,00700,0200,JUDE CLEARY 34899,A81000C,00700,0600,BEACH BLD. 34899,A81000C,00800,0100,A 34899,A81000C,00800,0200,MARYANNE PAWSON 34899,A81000C,00800,0600,BEACH BLD. 34899,A81000C,00900,0100,A 34899,A81000C,00900,0200,CAROLYN FORESTE 34899,A81000C,00900,0600,BEACH BLD. 34899,A81000C,01000,0100,A 34899,A81000C,01000,0200,JOHN CLEARY 34899,A81000C,01000,0600,BEACH BLD. 34899,B100000,00000,0100,00000SQUARE FEET 34899,B100000,00000,0200,00000SQUARE FEET 34899,B100000,00000,0300,00000GROSS SALARIES 34899,B100000,00000,0400,00000ACCUM COST 34899,B100000,00000,0500,00000SQUARE FEET 34899,B100000,00000,0600,00000PATIENT DAYS 34899,B100000,00000,0700,00000SQUARE FEET 34899,B100000,00000,0800,00000MEALS SERVED 34899,B100000,00000,0900,00000PATIENT DAYS 34899,B100000,00000,1000,00000PATIENT DAYS 34899,B100000,00000,1100,00000COSTED REQUIS 34899,B100000,00000,1200,00000PATIENT DAYS 34899,B100000,00000,1300,00000PATIENT DAYS 34899,B100000,00000,1350,00000PATIENT DAYS 34899,B100000,00000,1400,00000ASSIGNED TIME 34899,E10A180,00550,0300,05/18/2000 34899,S000000,00100,0200,05/15/2000 34899,S200000,00100,0100,50 BEACH ROAD 34899,S200000,00200,0100,WOLCOTT 34899,S200000,00200,0200,CT 34899,S200000,00200,0300,06716 34899,S200000,00300,0100,NEW HAVEN 34899,S200000,00400,0100,WOLCOTT VIEW MANOR INC. 34899,S200000,00400,0200,075282 34899,S200000,00400,0300,02/07/1977 34899,S200000,00400,0500,P 34899,S200000,01600,0100,Y 34899,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34902,A000000,00300,0000,00300EMPLOYEE BENEFITS 34902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34902,A000000,00700,0000,00700HOUSEKEEPING 34902,A000000,00800,0000,00800DIETARY 34902,A000000,00900,0000,00900NURSING ADMINISTRATION 34902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34902,A000000,01100,0000,01100PHARMACY 34902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34902,A000000,01300,0000,01300SOCIAL SERVICE 34902,A000000,01350,0000,01500OTHER GENERAL SERVICES 34902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34902,A000000,01600,0000,01600SKILLED NURSING FACILITY 34902,A000000,01810,0000,01810ICF/MR 34902,A000000,02100,0000,02100RADIOLOGY 34902,A000000,02200,0000,02200LABORATORY 34902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34902,A000000,02500,0000,02500PHYSICAL THERAPY 34902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34902,A000000,02700,0000,02700SPEECH PATHOLOGY 34902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34902,A000000,03050,0000,03300CLINITRON THERAPY 34902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34902,A000000,03550,0000,03550FQHC 34902,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34902,A000000,05000,0000,05000CORF 34902,A000000,05010,0000,05010CMHC 34902,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34902,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34902,A81000A,00100,0100,Y 34902,A81000B,00100,0300,RENT 34902,A81000B,00200,0300,INTEREST 34902,A81000B,00300,0300,LHI DEPR(DEFRA) 34902,A81000B,00400,0300,DEPRECIATION (DEFRA) 34902,A81000B,00500,0300,AMORT. ORG. COSTS 34902,A81000C,00100,0100,A 34902,A81000C,00100,0200,L. WOLCOWITZ 34902,A81000C,00100,0400,W.E.F. ASSOICIATES 34902,A81000C,00100,0600,REAL ESTATE 34902,B100000,00000,0100,00000SQUARE FEET 34902,B100000,00000,0200,00000DOLLAR VALUE 34902,B100000,00000,0300,00000GROSS SALARIES 34902,B100000,00000,0400,00000ACCUM. COST 34902,B100000,00000,0500,00000SQUARE FEET 34902,B100000,00000,0600,00000POUNDS OF LAUNDRY 34902,B100000,00000,0700,00000HOURS OF SERVICE 34902,B100000,00000,0800,00000MEALS SERVED 34902,B100000,00000,0900,00000HOURS OF SERVICE 34902,B100000,00000,1000,00000COSTED REQUIS. 34902,B100000,00000,1100,00000COSTED REQUIS. 34902,B100000,00000,1200,00000TIME SPENT 34902,B100000,00000,1300,00000TIME SPENT 34902,B100000,00000,1350,00000NO STATISTICS 34902,B100000,00000,1400,00000TIME SPENT 34902,E10A180,00301,0100,04/28/1998 34902,S000000,00100,0200,06/14/2000 34902,S200000,00100,0100,240 WINTHROP AVENUE 34902,S200000,00200,0100,NEW HAVEN 34902,S200000,00200,0200,CT 34902,S200000,00300,0100,NEW HAVEN 34902,S200000,00400,0100,ATRIUM PLAZA HEALTH CARE CENTER INC. 34902,S200000,00400,0200,075283 34902,S200000,00400,0300,06/03/1985 34902,S200000,00400,0500,P 34902,S200000,01500,0100,Y 34902,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34905,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34905,A000000,00300,0000,00300EMPLOYEE BENEFITS 34905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34905,A000000,00700,0000,00700HOUSEKEEPING 34905,A000000,00800,0000,00800DIETARY 34905,A000000,00900,0000,00900NURSING ADMINISTRATION 34905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34905,A000000,01100,0000,01100PHARMACY 34905,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34905,A000000,01300,0000,01300SOCIAL SERVICE 34905,A000000,01350,0000,01500OTHER GENERAL SERVICES 34905,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34905,A000000,01600,0000,01600SKILLED NURSING FACILITY 34905,A000000,01810,0000,01810ICF/MR 34905,A000000,02200,0000,02200LABORATORY 34905,A000000,02300,0000,02300INTRAVENOUS THERAPY 34905,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34905,A000000,02500,0000,02500PHYSICAL THERAPY 34905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34905,A000000,02700,0000,02700SPEECH PATHOLOGY 34905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34905,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34905,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34905,A000000,03550,0000,03550FQHC 34905,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34905,A000000,05000,0000,05000CORF 34905,A000000,05010,0000,05010CMHC 34905,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34905,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34905,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34905,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34905,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34905,A000000,06200,0000,06200PATIENTS LAUNDRY 34905,A81000A,00100,0100,Y 34905,A81000B,00100,0300,HOUSEKEEPING SUPPLIES 34905,A81000B,00200,0300,DIETARY SUPPLIES 34905,A81000B,00300,0300,LINEN & BEDDING 34905,A81000B,00400,0300,NUR SUPPL INCONTINENT HOUSE 34905,A81000B,00500,0300,PHARMACY 34905,A81000B,00600,0300,PHYSICAL THERAPY CONSULTING 34905,A81000B,00700,0300,SPEECH THERAPY CONSULTING 34905,A81000B,00800,0300,OCCUPATIONAL THERAPY CONSULTIN 34905,A81000B,00900,0300,PHARMACY AND IV THERAPY 34905,A81000B,01000,0300,CHARGEABLE NURSING SUPPLIES 34905,A81000B,01100,0300,MEDICAL EQUIPMENT RENTAL 34905,A81000B,01200,0300,CHARGEABLE NURSING SUPPLIES 34905,A81000B,01300,0300,MEDICAL RECORDS CONSULTING 34905,A81000B,01400,0300,DEPRECIATION EXPENSE 34905,A81000B,01500,0300,MANAGEMENT FEES 34905,A81000B,01600,0300,THERAPY SERVICES 34905,A81000C,00100,0100,B 34905,A81000C,00100,0400,BALZ MEDICAL SERVICES 34905,A81000C,00100,0600,MEDICAL OTHER SUPPLIES 34905,A81000C,00200,0100,B 34905,A81000C,00200,0400,LEXICORE REHAB SERVICES 34905,A81000C,00200,0600,REHAB THERAPY SERVICES 34905,A81000C,00300,0100,B 34905,A81000C,00300,0400,LEXICON PHARMACY SERVICES 34905,A81000C,00300,0600,PHARMACY AND IV THERAPY 34905,A81000C,00400,0100,B 34905,A81000C,00400,0400,LEXINGTON HC GROUP INC. 34905,A81000C,00400,0600,HOME OFFICE 34905,A81000C,00500,0100,B 34905,B100000,00000,0100,00000SQUARE FEET 34905,B100000,00000,0200,00000SQUARE FEET 34905,B100000,00000,0300,00000GROSS SALARIES 34905,B100000,00000,0400,00000ACCUM. COST 34905,B100000,00000,0500,00000SQUARE FEET 34905,B100000,00000,0600,00000POUNDS OF LAUNDRY 34905,B100000,00000,0700,00000SQUARE FEET 34905,B100000,00000,0800,00000MEALS SERVED 34905,B100000,00000,0900,00000TIME SPENT 34905,B100000,00000,1000,00000COSTED REQUIS. 34905,B100000,00000,1100,00000COSTED REQUIS. 34905,B100000,00000,1200,00000TIME SPENT 34905,B100000,00000,1300,00000TIME TIME 34905,B100000,00000,1350,00000NO STATISTICS 34905,B100000,00000,1400,00000TIME TIME 34905,E10A180,00550,0100,03/03/2000 34905,E10A180,00550,0300,03/03/2000 34905,S000000,00100,0200,03/01/2000 34905,S200000,00100,0100,108 EAST STREET 34905,S200000,00200,0100,WINSTED 34905,S200000,00200,0200,CT 34905,S200000,00300,0100,LITCHFIELD 34905,S200000,00400,0100,HIGHLAND ACRES EXTEND-A-CARE 34905,S200000,00400,0200,075284 34905,S200000,00400,0300,07/01/1997 34905,S200000,00400,0500,P 34905,S200000,01500,0100,Y 34916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34916,A000000,00300,0000,00300EMPLOYEE BENEFITS 34916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34916,A000000,00700,0000,00700HOUSEKEEPING 34916,A000000,00800,0000,00800DIETARY 34916,A000000,00900,0000,00900NURSING ADMINISTRATION 34916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34916,A000000,01100,0000,01100PHARMACY 34916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34916,A000000,01300,0000,01300SOCIAL SERVICE 34916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34916,A000000,01600,0000,01600SKILLED NURSING FACILITY 34916,A000000,01810,0000,01810ICF/MR 34916,A000000,02100,0000,02100RADIOLOGY 34916,A000000,02200,0000,02200LABORATORY 34916,A000000,02500,0000,02500PHYSICAL THERAPY 34916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34916,A000000,02700,0000,02700SPEECH PATHOLOGY 34916,A000000,02800,0000,02800ELECTROCARDIOLOGY 34916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34916,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34916,A000000,03550,0000,03550FQHC 34916,A000000,05000,0000,05000CORF 34916,A000000,05010,0000,05010CMHC 34916,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34916,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34916,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34916,A000000,05300,0000,05300INTEREST EXPENSE 34916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34916,A000000,06150,0000,06300NONREIMBURSABLE-RESIDENT APARTM 34916,A000000,06151,0000,06301NONREIMBURSABLE-SNF PATIENT TV 34916,B100000,00000,0100,00001SQUARE FEET 34916,B100000,00000,0200,00001DOLLAR VALUE 34916,B100000,00000,0300,00001GROSS SAL 34916,B100000,00000,0400,00001ACCUM. COST 34916,B100000,00000,0500,00001SQUARE FEET 34916,B100000,00000,0600,00001LBS OF LAUNDRY 34916,B100000,00000,0700,00001HSKP SQUARE FEE 34916,B100000,00000,0800,00001MEALS SERVED 34916,B100000,00000,0900,00001PAT DAYS 34916,B100000,00000,1000,00001COSTED REQUIS 34916,B100000,00000,1100,00001COSTED REQUIS 34916,B100000,00000,1200,00001PAT DAYS 34916,B100000,00000,1300,00001PAT DAYS 34916,B100000,00000,1400,00001ASSIGNED TIME 34916,S000000,00100,0200,06/05/2000 34916,S200000,00100,0100,200 LEEDER HILL DRIVE 34916,S200000,00200,0100,HAMDEN 34916,S200000,00200,0200,CT 34916,S200000,00200,0300,06517 34916,S200000,00300,0100,NEW HAVEN 34916,S200000,00400,0100,WHITNEY CENTER INC. 34916,S200000,00400,0200,075290 34916,S200000,00400,0300,01/04/1979 34916,S200000,00400,0500,P 34916,S200000,01500,0100,Y 34916,S200000,01900,0100,ELDERLY RESIDENTIAL COMMUNITY 34916,S200000,02800,0100,Y 34920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34920,A000000,00300,0000,00300EMPLOYEE BENEFITS 34920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34920,A000000,00700,0000,00700HOUSEKEEPING 34920,A000000,00800,0000,00800DIETARY 34920,A000000,00900,0000,00900NURSING ADMINISTRATION 34920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34920,A000000,01100,0000,01100PHARMACY 34920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34920,A000000,01300,0000,01300SOCIAL SERVICE 34920,A000000,01350,0000,01500RECREATION 34920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34920,A000000,01600,0000,01600SKILLED NURSING FACILITY 34920,A000000,01810,0000,01810ICF/MR 34920,A000000,02100,0000,02100RADIOLOGY 34920,A000000,02200,0000,02200LABORATORY 34920,A000000,02300,0000,02300INTRAVENOUS THERAPY 34920,A000000,02500,0000,02500PHYSICAL THERAPY 34920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34920,A000000,02700,0000,02700SPEECH PATHOLOGY 34920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34920,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34920,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34920,A000000,03550,0000,03550FQHC 34920,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34920,A000000,05000,0000,05000CORF 34920,A000000,05010,0000,05010CMHC 34920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34920,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34920,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34920,A000000,06200,0000,06200PATIENTS LAUNDRY 34920,A81000A,00100,0100,Y 34920,A81000B,00100,0300,RENT BUILDING & FIXTURES 34920,A81000B,00200,0300,PROPERTY TAX 34920,A81000B,00300,0300,DEPRECIATION BUILDING 34920,A81000B,00400,0300,DEPRECIATION MOVEABLE EQMT 34920,A81000B,00500,0300,AMORTIZATION 34920,A81000B,00600,0300,INTEREST 34920,A81000B,00700,0300,MANAGEMENT FEES 34920,A81000B,00800,0300,MGMT FEES OTHER EXP 34920,A81000B,00900,0300,MGMT FEES CAP EXP 34920,A81000B,01000,0300,MGMT FEES EQ EXP 34920,A81000B,01100,0300,PAYROLL SERVICE 34920,A81000C,00100,0100,A 34920,A81000C,00100,0200,B FISCHMAN 34920,A81000C,00100,0400,ALEXANDRIA MANOR LLC 34920,A81000C,00100,0600,REALTY COMPANY 34920,A81000C,00200,0100,A 34920,A81000C,00200,0200,B FISCHMAN 34920,A81000C,00200,0400,AFFINITY HEALTH CARE 34920,A81000C,00200,0600,OVERSIDENT OF OPERATIONS 34920,A81000C,00300,0100,A 34920,A81000C,00300,0200,B FISCHMAN 34920,A81000C,00300,0400,AFFINITY HEALTH CARE 34920,A81000C,00300,0600,PAYROLL PROCESSING 34920,A81000C,00400,0100,A 34920,B100000,00000,0100,00000SQUARE FEET 34920,B100000,00000,0200,00000SQUARE FEET 34920,B100000,00000,0300,00000GROSS SALARIES 34920,B100000,00000,0400,00000ACCUM. COST 34920,B100000,00000,0500,00000SQUARE FEET 34920,B100000,00000,0600,00000POUNDS OF LAUNDRY 34920,B100000,00000,0700,00000SQUARE FEET 34920,B100000,00000,0800,00000MEALS SERVED 34920,B100000,00000,0900,00000HOURS OF SERVICE 34920,B100000,00000,1000,00000COSTEDREQU UISITIONS 34920,B100000,00000,1100,00000COSTEDREQU UISITIONS 34920,B100000,00000,1200,00000TIME SPENT 34920,B100000,00000,1300,00000TIME SPENT 34920,B100000,00000,1350,00000PATIENT DAYS 34920,B100000,00000,1400,00000NO STATISTICS 34920,S000000,00100,0200,06/21/2000 34920,S200000,00100,0100,55 TUNXIS AVENUE 34920,S200000,00200,0100,BLOOMFIELD 34920,S200000,00200,0200,CT 34920,S200000,00200,0300,06002 34920,S200000,00300,0100,HARTFORD 34920,S200000,00400,0100,HCI D/B/A ALEXANDRIA MANOR 34920,S200000,00400,0200,075291 34920,S200000,00400,0300,10/28/1979 34920,S200000,00400,0500,P 34920,S200000,01500,0100,Y 34923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34923,A000000,00300,0000,00300EMPLOYEE BENEFITS 34923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34923,A000000,00700,0000,00700HOUSEKEEPING 34923,A000000,00800,0000,00800DIETARY 34923,A000000,00900,0000,00900NURSING ADMINISTRATION 34923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34923,A000000,01100,0000,01100PHARMACY 34923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34923,A000000,01300,0000,01300SOCIAL SERVICE 34923,A000000,01350,0000,01500RECREATION 34923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34923,A000000,01600,0000,01600SKILLED NURSING FACILITY 34923,A000000,01800,0000,01800NURSING FACILITY 34923,A000000,01810,0000,01810ICF/MR 34923,A000000,02100,0000,02100RADIOLOGY 34923,A000000,02200,0000,02200LABORATORY 34923,A000000,02500,0000,02500PHYSICAL THERAPY 34923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34923,A000000,02700,0000,02700SPEECH PATHOLOGY 34923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34923,A000000,03550,0000,03550FQHC 34923,A000000,04800,0000,04800AMBULANCE 34923,A000000,05000,0000,05000CORF 34923,A000000,05010,0000,05010CMHC 34923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34923,A81000A,00100,0100,Y 34923,A81000B,00100,0300,SALARIES 34923,A81000B,00200,0300,EMPLOYEE BENEFITS 34923,A81000B,00300,0300,S.T. EXPENSE 34923,A81000C,00100,0100,B 34923,A81000C,00100,0200,HSC COMMUNITY S 34923,A81000C,00100,0400,HSC COMMUNITY S 34923,A81000C,00100,0600,MGMT. 34923,B100000,00000,0100,00000SQUARE FEET 34923,B100000,00000,0200,00000SQUARE FEET 34923,B100000,00000,0300,00000GROSS SALARIES 34923,B100000,00000,0400,00000ACCUM COST 34923,B100000,00000,0500,00000SQUARE FEET 34923,B100000,00000,0600,00000PATIENT DAYS 34923,B100000,00000,0700,00000SQUARE FEET 34923,B100000,00000,0800,00000MEALS SERVED 34923,B100000,00000,0900,00000PATIENT DAYS 34923,B100000,00000,1000,00000COSTED REQUIS 34923,B100000,00000,1100,00000COSTED REQUIS 34923,B100000,00000,1200,00000PATIENT DAYS 34923,B100000,00000,1300,00000PATIENT DAYS 34923,B100000,00000,1350,00000PATIENT DAYS 34923,B100000,00000,1400,00000ASSIGNED TIME 34923,S000000,00100,0200,07/25/2000 34923,S200000,00100,0100,400 BRITTANY FARMS ROAD 34923,S200000,00200,0100,NEW BRITAIN 34923,S200000,00200,0200,CT 34923,S200000,00200,0300,06053 34923,S200000,00300,0100,HARTFORD 34923,S200000,00400,0100,BRITTANY FARMS HEALTH CENTER 34923,S200000,00400,0200,075292 34923,S200000,00400,0300,07/01/1983 34923,S200000,00400,0500,P 34923,S200000,00400,0600,O 34923,S200000,01600,0100,Y 34926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34926,A000000,00300,0000,00300EMPLOYEE BENEFITS 34926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34926,A000000,00700,0000,00700HOUSEKEEPING 34926,A000000,00800,0000,00800DIETARY 34926,A000000,00900,0000,00900NURSING ADMINISTRATION 34926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34926,A000000,01100,0000,01100PHARMACY 34926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34926,A000000,01300,0000,01300SOCIAL SERVICE 34926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34926,A000000,01600,0000,01600SKILLED NURSING FACILITY 34926,A000000,01810,0000,01810ICF/MR 34926,A000000,02100,0000,02100RADIOLOGY 34926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34926,A000000,02500,0000,02500PHYSICAL THERAPY 34926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34926,A000000,02700,0000,02700SPEECH PATHOLOGY 34926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34926,A000000,03550,0000,03550FQHC 34926,A000000,05000,0000,05000CORF 34926,A000000,05010,0000,05010CMHC 34926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34926,A000000,05300,0000,05300INTEREST EXPENSE 34926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34926,A81000A,00100,0100,Y 34926,A81000B,00100,0300,ACCOUNTING/COMPUTERS 34926,A81000C,00100,0100,F 34926,A81000C,00100,0200,D.FRANCO 34926,A81000C,00100,0400,PARAGON GROUP 34926,A81000C,00100,0600,ACCTING/COMPUTE 34926,B100000,00000,0100,00000SQUARE FEET 34926,B100000,00000,0200,00000SQUARE FEET 34926,B100000,00000,0300,00000GROSS SALARIES 34926,B100000,00000,0400,00000ACCUM COST 34926,B100000,00000,0500,00000SQUARE FEET 34926,B100000,00000,0600,00000POUNDS OF LAUNDRY 34926,B100000,00000,0700,00000SQUARE FEET 34926,B100000,00000,0800,00000MEALS SERVED 34926,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34926,B100000,00000,1000,00000COSTED REQUIS 34926,B100000,00000,1100,00000COSTED REQUISITIO 34926,B100000,00000,1200,00000TIME SPENT 34926,B100000,00000,1300,00000TIME SPENT 34926,B100000,00000,1400,00000ASSIGNED TIME 34926,S000000,00100,0200,06/23/2000 34926,S200000,00100,0100,TALMADGE AVE. 34926,S200000,00200,0100,EAST HAVEN 34926,S200000,00200,0200,CT 34926,S200000,00200,0300,06512 34926,S200000,00300,0100,FAIRFIELD 34926,S200000,00400,0100,TALMADGE PARK INC. 34926,S200000,00400,0200,075294 34926,S200000,00400,0300,11/30/1979 34926,S200000,00400,0500,P 34926,S200000,01500,0100,Y 34926,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34929,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 34929,A000000,00102,0000,00102CAP REL COSTS - BLDGS & FIXTURE 34929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34929,A000000,00201,0000,00201CAP REL COSTS - MOVEABLE EQUIPM 34929,A000000,00202,0000,00202CAP REL COSTS - MOVEABLE EQUIPM 34929,A000000,00300,0000,00300EMPLOYEE BENEFITS 34929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34929,A000000,00501,0000,00501PLANT OPERATIONS 34929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34929,A000000,00700,0000,00700HOUSEKEEPING 34929,A000000,00800,0000,00800DIETARY 34929,A000000,00900,0000,00900NURSING ADMINISTRATION 34929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34929,A000000,01100,0000,01100PHARMACY 34929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34929,A000000,01300,0000,01300SOCIAL SERVICE 34929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34929,A000000,01600,0000,01600SKILLED NURSING FACILITY 34929,A000000,01800,0000,01800NURSING FACILITY 34929,A000000,01810,0000,01810ICF/MR 34929,A000000,02100,0000,02100RADIOLOGY 34929,A000000,02200,0000,02200LABORATORY 34929,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34929,A000000,02500,0000,02500PHYSICAL THERAPY 34929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34929,A000000,02700,0000,02700SPEECH PATHOLOGY 34929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34929,A000000,03550,0000,03550FQHC 34929,A000000,04800,0000,04800AMBULANCE 34929,A000000,05000,0000,05000CORF 34929,A000000,05010,0000,05010CMHC 34929,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34929,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34929,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34929,A000000,06150,0000,06300RESIDENT COTTAGES 34929,A81000A,00100,0100,Y 34929,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 34929,A81000B,00200,0300,CAPITAL RELATED COSTS - HCF 34929,A81000B,00300,0300,CAPITAL RELATED COSTS - COTTAG 34929,A81000B,00400,0300,MOVEABLE EQUIPMENT 34929,A81000B,00500,0300,MOVEABLE EQUIPMENT 34929,A81000C,00100,0100,B 34929,A81000C,00100,0200,CHURCH HOMES I 34929,B100000,00000,0100,00000SQUARE FEET 34929,B100000,00000,0101,00000SQUARE FEET 34929,B100000,00000,0102,00000SQUARE FEET 34929,B100000,00000,0200,00000DIRECT COSTS 34929,B100000,00000,0201,00000SQUARE FEET 34929,B100000,00000,0202,00000SQUARE FEET 34929,B100000,00000,0300,00000GROSS SALARIES 34929,B100000,00000,0400,00000ACCUM COST 34929,B100000,00000,0500,00000SQUARE FEET 34929,B100000,00000,0501,00000SQUARE FEET 34929,B100000,00000,0600,00000POUNDS OF LAUNDRY 34929,B100000,00000,0700,00000SQUARE FEET 34929,B100000,00000,0800,00000MEALS SERVED 34929,B100000,00000,0900,00000GROSS REVENUES 34929,B100000,00000,1000,00000COSTED REQUIS 34929,B100000,00000,1100,00000COSTED REQUIS 34929,B100000,00000,1200,00000GROSS REVENUES 34929,B100000,00000,1300,00000GROSS REVENUES 34929,B100000,00000,1400,00000ASSIGNED TIME 34929,E10A180,00550,0300,03/09/2000 34929,S000000,00100,0200,02/29/2000 34929,S200000,00100,0100,360 BROAD STREET 34929,S200000,00200,0100,MERIDEN 34929,S200000,00200,0200,CT 34929,S200000,00200,0300,06450 34929,S200000,00300,0100,NEW HAVEN 34929,S200000,00400,0100,MILLER MEMORIAL 34929,S200000,00400,0200,075295 34929,S200000,00400,0300,09/01/1980 34929,S200000,00400,0500,P 34929,S200000,00600,0200,075295 34929,S200000,00600,0300,09/01/1980 34929,S200000,00600,0600,P 34929,S200000,01500,0100,Y 34929,S200000,02800,0100,Y 34934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34934,A000000,00300,0000,00300EMPLOYEE BENEFITS 34934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34934,A000000,00700,0000,00700HOUSEKEEPING 34934,A000000,00800,0000,00800DIETARY 34934,A000000,00900,0000,00900NURSING ADMINISTRATION 34934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34934,A000000,01100,0000,01100PHARMACY 34934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34934,A000000,01300,0000,01300SOCIAL SERVICE 34934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34934,A000000,01600,0000,01600SKILLED NURSING FACILITY 34934,A000000,01800,0000,01800NURSING FACILITY 34934,A000000,01810,0000,01810ICF/MR 34934,A000000,02100,0000,02100RADIOLOGY 34934,A000000,02200,0000,02200LABORATORY 34934,A000000,02300,0000,02300INTRAVENOUS THERAPY 34934,A000000,02500,0000,02500PHYSICAL THERAPY 34934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34934,A000000,02700,0000,02700SPEECH PATHOLOGY 34934,A000000,02800,0000,02800ELECTROCARDIOLOGY 34934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34934,A000000,03550,0000,03550FQHC 34934,A000000,05000,0000,05000CORF 34934,A000000,05010,0000,05010CMHC 34934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34934,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34934,A000000,06151,0000,06301DENTAL 34934,A81000A,00100,0100,Y 34934,A81000B,00100,0300,MANAGEMENT FEES 34934,A81000B,00200,0300,RENT - PLAYCARE LOT 6 34934,A81000B,00300,0300,RENT - LOT 8 SPICE BUSH 34934,A81000B,00400,0300,VEHICLE LEASES 34934,A81000C,00100,0100,A 34934,A81000C,00100,0200,C. SHELTON 34934,A81000C,00100,0400,MANAGEMENT SERV 34934,A81000C,00200,0100,A 34934,A81000C,00200,0200,C. SHELTON 34934,A81000C,00200,0400,REAL ESTATE 34934,A81000C,00300,0100,A 34934,A81000C,00300,0200,C. SHELTON 34934,A81000C,00300,0400,REAL ESTATE 34934,A81000C,00400,0100,A 34934,A81000C,00400,0200,V. SHELTON 34934,A81000C,00400,0400,VEHICLE LEASE 34934,B100000,00000,0100,00001SQUARE FEET 34934,B100000,00000,0200,00001SQUARE FEET 34934,B100000,00000,0300,00001GROSS SALARIES 34934,B100000,00000,0400,00001ACCUM COST 34934,B100000,00000,0500,00001SQUARE FEET 34934,B100000,00000,0600,00001PATIENT DAYS 34934,B100000,00000,0700,00001SQUARE FEET 34934,B100000,00000,0800,00001MEALS SERVED 34934,B100000,00000,0900,00001PATIENT DAYS 34934,B100000,00000,1000,00001PATIENT DAYS 34934,B100000,00000,1100,00001PATIENT DAYS 34934,B100000,00000,1200,00001PATIENT DAYS 34934,B100000,00000,1300,00001PATIENT DAYS 34934,B100000,00000,1400,00001ASSIGNED TIME 34934,E10A180,00550,0100,06/11/2001 34934,E10A180,00550,0300,03/09/2000 34934,E10A180,00551,0300,03/09/2000 34934,E10A180,00552,0300,06/11/2001 34934,S000000,00100,0200,03/03/2000 34934,S200000,00100,0100,189 ALPS ROAD 34934,S200000,00200,0100,BRANFORD 34934,S200000,00200,0200,CT 34934,S200000,00200,0300,06405 34934,S200000,00300,0100,NEW HAVEN 34934,S200000,00400,0100,BRANFORD HILLS HEALTH CARE CENTER 34934,S200000,00400,0200,075296 34934,S200000,00400,0300,07/01/1966 34934,S200000,00400,0500,P 34934,S200000,00600,0200,075296 34934,S200000,00600,0300,01/01/1980 34934,S200000,00600,0600,P 34934,S200000,01600,0100,Y 34934,S200000,01900,0100,NON PROFIT CORP 34940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34940,A000000,00300,0000,00300EMPLOYEE BENEFITS 34940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34940,A000000,00700,0000,00700HOUSEKEEPING 34940,A000000,00800,0000,00800DIETARY 34940,A000000,00900,0000,00900NURSING ADMINISTRATION 34940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34940,A000000,01100,0000,01100PHARMACY 34940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34940,A000000,01300,0000,01300SOCIAL SERVICE 34940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34940,A000000,01600,0000,01600SKILLED NURSING FACILITY 34940,A000000,01810,0000,01810ICF/MR 34940,A000000,02200,0000,02200LABORATORY 34940,A000000,02300,0000,02300INTRAVENOUS THERAPY 34940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34940,A000000,02500,0000,02500PHYSICAL THERAPY 34940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34940,A000000,02700,0000,02700SPEECH PATHOLOGY 34940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34940,A000000,03550,0000,03550FQHC 34940,A000000,05000,0000,05000CORF 34940,A000000,05010,0000,05010CMHC 34940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34940,A000000,05300,0000,05300INTEREST EXPENSE 34940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34940,B100000,00000,0100,00000SQUARE FEET 34940,B100000,00000,0200,00000SQUARE FEET 34940,B100000,00000,0300,00000GROSS SALARIES 34940,B100000,00000,0400,00000ACCUM COST 34940,B100000,00000,0500,00000SQUARE FEET 34940,B100000,00000,0600,00000PATIENT DAYS 34940,B100000,00000,0700,00000SQUARE FEET 34940,B100000,00000,0800,00000PATIENT DAYS 34940,B100000,00000,0900,00000PATIENT DAYS 34940,B100000,00000,1000,00000PATIENT DAYS 34940,B100000,00000,1100,00000PATIENT DAYS 34940,B100000,00000,1200,00000PATIENT DAYS 34940,B100000,00000,1300,00000PATIENT DAYS. 34940,B100000,00000,1400,00000ASSIGNED TIME 34940,S000000,00100,0200,02/11/2000 34940,S200000,00100,0100,25 LORRAINE STREET 34940,S200000,00200,0100,HARTFORD 34940,S200000,00200,0200,CT 34940,S200000,00300,0100,HARTFORD 34940,S200000,00400,0100,CHELSEA PLACE HEALTHCARE CENTER 34940,S200000,00400,0200,075299 34940,S200000,00400,0300,06/18/1982 34940,S200000,00400,0500,P 34940,S200000,01500,0100,Y 34940,S200000,01900,0100,NON PROFIT CORP 34940,S200000,02800,0100,Y 34940,S200000,03100,0100,Y 34941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34941,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 34941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34941,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 34941,A000000,00300,0000,00300EMPLOYEE BENEFITS 34941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34941,A000000,00700,0000,00700HOUSEKEEPING 34941,A000000,00800,0000,00800DIETARY 34941,A000000,00801,0000,00801CAFETERIA 34941,A000000,00900,0000,00900NURSING ADMINISTRATION 34941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34941,A000000,01100,0000,01100PHARMACY 34941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34941,A000000,01300,0000,01300SOCIAL SERVICE 34941,A000000,01350,0000,01500ACTIVITIES 34941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34941,A000000,01600,0000,01600SKILLED NURSING FACILITY 34941,A000000,01810,0000,01810ICF/MR 34941,A000000,02100,0000,02100RADIOLOGY 34941,A000000,02200,0000,02200LABORATORY 34941,A000000,02500,0000,02500PHYSICAL THERAPY 34941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34941,A000000,02700,0000,02700SPEECH PATHOLOGY 34941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34941,A000000,03050,0000,03300OTHER ANCILLARY 34941,A000000,03051,0000,03301PEN THERAPY 34941,A000000,03052,0000,03302OTHER ANCILLARY III 34941,A000000,03200,0000,03200SUPPORT SURFACES 34941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 34941,A000000,03550,0000,03550FQHC 34941,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34941,A000000,04800,0000,04800AMBULANCE 34941,A000000,05000,0000,05000CORF I 34941,A000000,05010,0000,05010CMHC I 34941,A000000,05020,0000,05020OPT I 34941,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34941,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 34941,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 34941,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34941,A81000A,00100,0100,Y 34941,A81000B,00100,0300,BUILDING LEASE 34941,A81000B,00200,0300,MANAGEMENT FEES 34941,A81000B,00300,0300,THERAPY SERVICES 34941,A81000B,00400,0300,THERAPY SERVICES 34941,A81000B,00500,0300,THERAPY SERVICES 34941,A81000B,00600,0300,HEALTH CARE CONSULT 34941,A81000B,00700,0300,THERAPY CONSULTING 34941,A81000C,00100,0100,A 34941,A81000C,00100,0200,KRAUSZ ET AL 34941,A81000C,00100,0400,HARTFD/WINDSR 34941,A81000C,00100,0600,REAL ESTATE 34941,A81000C,00200,0100,A 34941,A81000C,00200,0200,KRAUSZ ET AL 34941,A81000C,00200,0400,SOLOMON HLT SVC 34941,A81000C,00200,0600,HC MGMT CO 34941,A81000C,00300,0100,A 34941,A81000C,00300,0200,KRAUSZ ET AL 34941,A81000C,00300,0400,PROG PROV SVC 34941,A81000C,00300,0600,THERAPY SVCS 34941,A81000C,00400,0100,A 34941,A81000C,00400,0200,KRAUSZ ET AL 34941,A81000C,00400,0400,PROG PROV SVC 34941,A81000C,00400,0600,THERAPY SVCS 34941,A81000C,00500,0100,A 34941,A81000C,00500,0200,KRAUSZ ET AL 34941,A81000C,00500,0400,PROG PROV SVC 34941,A81000C,00500,0600,THERAPY SVCS 34941,A81000C,00600,0100,A 34941,A81000C,00600,0200,KRAUSZ ET AL 34941,A81000C,00600,0400,SOLOMON HC CONS 34941,A81000C,00600,0600,HC CONSULTING 34941,A81000C,00700,0100,A 34941,A81000C,00700,0200,KRAUSZ ET AL 34941,A81000C,00700,0400,SOLOMON HC CONS 34941,A81000C,00700,0600,THERAPY CONS 34941,B100000,00000,0100,00000(SQUARE FEET) 34941,B100000,00000,0101,00000(SQUARE FEET) 34941,B100000,00000,0200,00000(SQUARE FEET) 34941,B100000,00000,0201,00000(SQUARE FEET) 34941,B100000,00000,0300,00000(GROSS SALARIES) 34941,B100000,00000,0400,00000(ACCUM. COST) 34941,B100000,00000,0500,00000(SQUARE FEET) 34941,B100000,00000,0600,00000(PATIENT DAYS) 34941,B100000,00000,0700,00000(SQUARE FEET) 34941,B100000,00000,0800,00000(MEALS SERVED) 34941,B100000,00000,0801,00000(MEALS SERVED) 34941,B100000,00000,0900,00000(PATIENT DAYS) 34941,B100000,00000,1000,00000(PATIENT DAYS) 34941,B100000,00000,1100,00000(PATIENT DAYS) 34941,B100000,00000,1200,00000(PATIENT DAYS) 34941,B100000,00000,1300,00000(PATIENT DAYS) 34941,B100000,00000,1350,00000(PATIENT DAYS) 34941,B100000,00000,1400,00000(ASSIGNED TIME) 34941,S000000,00100,0200,05/26/2000 34941,S200000,00100,0100,25 LORRAINE STREET 34941,S200000,00200,0100,HARTFORD 34941,S200000,00200,0200,CT 34941,S200000,00200,0300,06105 34941,S200000,00300,0100,HARTFORD 34941,S200000,00400,0100,CHELSEA PLACE CARE CENTER LLC 34941,S200000,00400,0200,075299 34941,S200000,00400,0300,06/18/1982 34941,S200000,00400,0500,P 34941,S200000,01500,0100,Y 34941,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34941,S200000,02200,0100,Y 34941,S200000,04300,0100,Y 34941,S200000,04700,0100,Y 34944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34944,A000000,00300,0000,00300EMPLOYEE BENEFITS 34944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34944,A000000,00700,0000,00700HOUSEKEEPING 34944,A000000,00800,0000,00800DIETARY 34944,A000000,00900,0000,00900NURSING ADMINISTRATION 34944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34944,A000000,01100,0000,01100PHARMACY 34944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34944,A000000,01300,0000,01300SOCIAL SERVICE 34944,A000000,01350,0000,01500RECREATION 34944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34944,A000000,01600,0000,01600SKILLED NURSING FACILITY 34944,A000000,01800,0000,01800NURSING FACILITY 34944,A000000,01810,0000,01810ICF/MR 34944,A000000,01900,0000,01900OTHER LONG TERM CARE 34944,A000000,02100,0000,02100RADIOLOGY 34944,A000000,02200,0000,02200LABORATORY 34944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34944,A000000,02500,0000,02500PHYSICAL THERAPY 34944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34944,A000000,02700,0000,02700SPEECH PATHOLOGY 34944,A000000,02800,0000,02800ELECTROCARDIOLOGY 34944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34944,A000000,03550,0000,03550FQHC 34944,A000000,04750,0000,05100ADULT DAYCARE 34944,A000000,04800,0000,04800AMBULANCE 34944,A000000,05000,0000,05000CORF 34944,A000000,05010,0000,05010CMHC 34944,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34944,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34944,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34944,A000000,05300,0000,05300INTEREST EXPENSE 34944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34944,A81000A,00100,0100,Y 34944,A81000B,00100,0300,MANAGEMENT FEES 34944,A81000C,00100,0100,A 34944,A81000C,00100,0200,HEWITT MANAGEME 34944,B100000,00000,0100,00000SQUARE FEET 34944,B100000,00000,0200,00000SQUARE FEET 34944,B100000,00000,0300,00000GROSS SALARIES 34944,B100000,00000,0400,00000ACCUM COST 34944,B100000,00000,0500,00000SQUARE FEET 34944,B100000,00000,0600,00000PATIENT DAYS 34944,B100000,00000,0700,00000SQUARE FEET 34944,B100000,00000,0800,00000PATIENT DAYS 34944,B100000,00000,0900,00000PATIENT DAYS 34944,B100000,00000,1000,00000PATIENT DAYS 34944,B100000,00000,1100,00000PATIENT DAYS 34944,B100000,00000,1200,00000PATIENT DAYS 34944,B100000,00000,1300,00000PATIENT DAYS 34944,B100000,00000,1350,00000PATIENT DAYS 34944,B100000,00000,1400,00000ASSIGNED TIME 34944,E10A180,00550,0100,03/03/2000 34944,E10A180,00550,0300,03/03/2000 34944,S000000,00100,0200,03/01/2000 34944,S200000,00100,0100,5 LAKE ROAD 34944,S200000,00200,0100,SHELTON 34944,S200000,00200,0200,CT 34944,S200000,00200,0300,06484 34944,S200000,00300,0100,FAIRFIELD 34944,S200000,00400,0100,SHELTON LAKE NURSING HOME 34944,S200000,00400,0200,075300 34944,S200000,00400,0300,11/17/1982 34944,S200000,00400,0500,P 34944,S200000,00600,0200,075300 34944,S200000,00600,0300,11/17/1982 34944,S200000,00600,0600,P 34944,S200000,01600,0100,Y 34944,S200000,01900,0100,501 (C) 3 34948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34948,A000000,00300,0000,00300EMPLOYEE BENEFITS 34948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34948,A000000,00700,0000,00700HOUSEKEEPING 34948,A000000,00800,0000,00800DIETARY 34948,A000000,00900,0000,00900NURSING ADMINISTRATION 34948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34948,A000000,01100,0000,01100PHARMACY 34948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34948,A000000,01300,0000,01300SOCIAL SERVICE 34948,A000000,01350,0000,01500RECREATION 34948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34948,A000000,01600,0000,01600SKILLED NURSING FACILITY 34948,A000000,01810,0000,01810ICF/MR 34948,A000000,02100,0000,02100RADIOLOGY 34948,A000000,02500,0000,02500PHYSICAL THERAPY 34948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34948,A000000,02700,0000,02700SPEECH PATHOLOGY 34948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34948,A000000,03400,0000,03400CLINIC 34948,A000000,03550,0000,03550FQHC 34948,A000000,05000,0000,05000CORF 34948,A000000,05010,0000,05010CMHC 34948,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34948,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34948,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34948,A000000,05300,0000,05300INTEREST EXPENSE 34948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34948,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34948,A000000,06150,0000,06300APARTMENTS - NONREIMBURSABLE 34948,B100000,00000,0100,00000SQUARE FEET 34948,B100000,00000,0200,00000SQUARE FEET 34948,B100000,00000,0300,00000GROSS SALARIES 34948,B100000,00000,0400,00000ACCUM COST 34948,B100000,00000,0500,00000SQUARE FEET 34948,B100000,00000,0600,00000POUNDS OF LAUNDRY 34948,B100000,00000,0700,00000SQUARE FEET 34948,B100000,00000,0800,00000MEALS SERVED 34948,B100000,00000,0900,00000PATIENT DAYS 34948,B100000,00000,1000,00000COSTED REQUIS 34948,B100000,00000,1100,00000COSTED REQUIS 34948,B100000,00000,1200,00000TIME SPENT 34948,B100000,00000,1300,00000TIME SPENT 34948,B100000,00000,1350,00000PATIENT DAYS 34948,B100000,00000,1400,00000ASSIGNED TIME 34948,S000000,00100,0200,06/25/1999 34948,S200000,00100,0100,40 LOEFFLER ROAD 34948,S200000,00200,0100,BLOOMFIELD 34948,S200000,00200,0200,CT 34948,S200000,00200,0300,06002 34948,S200000,00300,0100,HARTFORD 34948,S200000,00400,0100,CALEB HITCHCOCK HEALTH 34948,S200000,00400,0200,075301 34948,S200000,00400,0300,07/03/1984 34948,S200000,00400,0500,P 34948,S200000,01500,0100,Y 34948,S200000,01900,0100,CCRC 34948,S200000,02800,0100,Y 34949,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34949,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34949,A000000,00300,0000,00300EMPLOYEE BENEFITS 34949,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34949,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34949,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34949,A000000,00700,0000,00700HOUSEKEEPING 34949,A000000,00800,0000,00800DIETARY 34949,A000000,00900,0000,00900NURSING ADMINISTRATION 34949,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34949,A000000,01100,0000,01100PHARMACY 34949,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34949,A000000,01300,0000,01300SOCIAL SERVICE 34949,A000000,01350,0000,01500PATIENT ACTIVITIES 34949,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34949,A000000,01600,0000,01600SKILLED NURSING FACILITY 34949,A000000,01810,0000,01810ICF/MR 34949,A000000,02100,0000,02100RADIOLOGY 34949,A000000,02200,0000,02200LABORATORY 34949,A000000,02300,0000,02300INTRAVENOUS THERAPY 34949,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34949,A000000,02500,0000,02500PHYSICAL THERAPY 34949,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34949,A000000,02700,0000,02700SPEECH PATHOLOGY 34949,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34949,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34949,A000000,03400,0000,03400CLINIC 34949,A000000,03550,0000,03550FQHC 34949,A000000,05000,0000,05000CORF 34949,A000000,05010,0000,05010CMHC 34949,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34949,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34949,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34949,A000000,05300,0000,05300INTEREST EXPENSE 34949,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34949,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34949,A000000,06150,0000,06300NONREIMBURSABLE 34949,B100000,00000,0100,00000SQUARE FEET 34949,B100000,00000,0200,00000SQUARE FEET 34949,B100000,00000,0300,00000GROSS SALARIES 34949,B100000,00000,0400,00000ACCUM COST 34949,B100000,00000,0500,00000SQUARE FEET 34949,B100000,00000,0600,00000POUNDS OF LAUNDRY 34949,B100000,00000,0700,00000SQUARE FEE EXCL KITCH 34949,B100000,00000,0800,00000MEALS SERVED 34949,B100000,00000,0900,00000PATIENT DAYS 34949,B100000,00000,1000,00000COSTED REQUIS 34949,B100000,00000,1100,00000COSTED REQUIS 34949,B100000,00000,1200,00000TIME SPENT 34949,B100000,00000,1300,00000TIME SPENT 34949,B100000,00000,1350,00000TIME SPENT 34949,B100000,00000,1400,00000ASSIGNED TIME 34949,E10A180,00350,0100,03/20/2000 34949,E10A180,00501,0300,07/30/2001 34949,E10A180,00550,0100,07/30/2001 34949,S000000,00100,0200,05/31/2000 34949,S200000,00100,0100,40 LOEFFLER ROAD 34949,S200000,00200,0100,BLOOMFIELD 34949,S200000,00200,0200,CT 34949,S200000,00200,0300,06002 34949,S200000,00300,0100,HARTFORD 34949,S200000,00400,0100,CALEB HITCHCOCK HEALTH 34949,S200000,00400,0200,075301 34949,S200000,00400,0300,07/03/1984 34949,S200000,00400,0500,P 34949,S200000,01500,0100,Y 34949,S200000,01900,0100,CCRC 34949,S200000,02800,0100,Y 34952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34952,A000000,00300,0000,00300EMPLOYEE BENEFITS 34952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34952,A000000,00700,0000,00700HOUSEKEEPING 34952,A000000,00800,0000,00800DIETARY 34952,A000000,00900,0000,00900NURSING ADMINISTRATION 34952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34952,A000000,01100,0000,01100PHARMACY 34952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34952,A000000,01300,0000,01300SOCIAL SERVICE 34952,A000000,01350,0000,01500PATIENT ACTIVITIES 34952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34952,A000000,01600,0000,01600SKILLED NURSING FACILITY 34952,A000000,01800,0000,01800NURSING FACILITY 34952,A000000,01810,0000,01810ICF/MR 34952,A000000,02100,0000,02100RADIOLOGY 34952,A000000,02200,0000,02200LABORATORY 34952,A000000,02500,0000,02500PHYSICAL THERAPY 34952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34952,A000000,02700,0000,02700SPEECH PATHOLOGY 34952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34952,A000000,03550,0000,03550FQHC 34952,A000000,05000,0000,05000CORF 34952,A000000,05010,0000,05010CMHC 34952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34952,A81000A,00100,0100,Y 34952,A81000B,00100,0300,RENT 34952,A81000B,00200,0300,MORTGAGE INTEREST 34952,A81000B,00300,0300,REAL ESTATE TAXES 34952,A81000B,00400,0300,DEPRECIATION 34952,A81000B,00500,0300,AMORTIZATION 34952,A81000C,00100,0100,A 34952,A81000C,00100,0200,BRINTON EPRIGHT 34952,A81000C,00100,0400,NO LEGAL NAME 34952,A81000C,00100,0600,PROPERTY OWNERSHIP 34952,A81000C,00200,0100,A 34952,A81000C,00200,0200,EVELYN EPRIGHT 34952,A81000C,00200,0400,NO LEGAL NAME 34952,A81000C,00200,0600,PROPERTY OWNERSHIP 34952,B100000,00000,0100,00000SQUARE FEET 34952,B100000,00000,0200,00000SQUARE FEET 34952,B100000,00000,0300,00000GROSS SALARIES 34952,B100000,00000,0400,00000ACCUM. COST 34952,B100000,00000,0500,00000SQUARE FEET 34952,B100000,00000,0600,00000PATIENT DAYS 34952,B100000,00000,0700,00000SQ FT EXCL DIET 34952,B100000,00000,0800,00000MEALS SERVED 34952,B100000,00000,0900,00000PATIENT DAYS 34952,B100000,00000,1000,00000PATIENT DAYS 34952,B100000,00000,1100,00000COSTED REQUIS. 34952,B100000,00000,1200,00000PATIENT DAYS 34952,B100000,00000,1300,00000PATIENT DAYS 34952,B100000,00000,1350,00000PATIENT DAYS 34952,B100000,00000,1400,00000ASSIGNED TIME 34952,S000000,00100,0200,05/22/2000 34952,S200000,00100,0100,534 TOWN STREET 34952,S200000,00200,0100,MOODUS 34952,S200000,00200,0200,CT 34952,S200000,00300,0100,MIDDLESEX 34952,S200000,00400,0100,CHESTELM HEALTH CARE 34952,S200000,00400,0200,075307 34952,S200000,00400,0300,05/01/1986 34952,S200000,00400,0500,P 34952,S200000,00400,0600,O 34952,S200000,01600,0100,Y 34954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34954,A000000,00300,0000,00300EMPLOYEE BENEFITS 34954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34954,A000000,00700,0000,00700HOUSEKEEPING 34954,A000000,00800,0000,00800DIETARY 34954,A000000,00900,0000,00900NURSING ADMINISTRATION 34954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34954,A000000,01100,0000,01100PHARMACY 34954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34954,A000000,01300,0000,01300SOCIAL SERVICE 34954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34954,A000000,01600,0000,01600SKILLED NURSING FACILITY 34954,A000000,01800,0000,01800NURSING FACILITY 34954,A000000,01810,0000,01810ICF/MR 34954,A000000,02100,0000,02100RADIOLOGY 34954,A000000,02200,0000,02200LABORATORY 34954,A000000,02500,0000,02500PHYSICAL THERAPY 34954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34954,A000000,02700,0000,02700SPEECH PATHOLOGY 34954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34954,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34954,A000000,03550,0000,03550FQHC 34954,A000000,05000,0000,05000CORF 34954,A000000,05010,0000,05010CMHC 34954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34954,A000000,05300,0000,05300INTEREST EXPENSE 34954,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34954,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34954,A81000A,00100,0100,Y 34954,A81000B,00100,0300,PAYROLL TAX DIR OF OPER 34954,A81000B,00200,0300,BENEFITS DIR OF OPER 34954,A81000B,00300,0300,PAYROLL TAX CONTROLLER 34954,A81000B,00400,0300,BENEFITS CONTROLLER 34954,A81000B,00500,0300,PAYROLL TAX ASSIST DIR OF OPER 34954,A81000B,00600,0300,SALARY DIR OF OPER 34954,A81000B,00700,0300,SALARY CONTROLLER 34954,A81000B,00800,0300,SALARY ASSIST DIR OF OPER 34954,A81000B,00900,0300,TELEPHONE TRANSCON 34954,A81000B,01000,0300,TRAVEL TRANSCON 34954,A81000B,01100,0300,MANAGEMENT FEES 34954,A81000B,01200,0300,ACCOUNTING FEES 34954,A81000C,00100,0100,B 34954,A81000C,00100,0400,TRANSCON INC. 34954,A81000C,00100,0600,BUILDERS 34954,B100000,00000,0100,00000SQUARE FEET 34954,B100000,00000,0200,00000SQUARE FEET 34954,B100000,00000,0300,00000GROSS SALARIES 34954,B100000,00000,0400,00000ACCUM. COST 34954,B100000,00000,0500,00000SQUARE FEET 34954,B100000,00000,0600,00000POUNDS OF LAUNDRY 34954,B100000,00000,0700,00000SQUARE FEET 34954,B100000,00000,0800,00000MEALS SERVED 34954,B100000,00000,0900,00000DIRECT NRSING HRS 34954,B100000,00000,1000,00000INPATIENT DAYS 34954,B100000,00000,1100,00000INPATIENT DAYS 34954,B100000,00000,1200,00000INPATIENT DAYS 34954,B100000,00000,1300,00000INPATIENT DAYS 34954,B100000,00000,1400,00000ASSIGNED TIME 34954,E10A180,00550,0300,06/21/2000 34954,S000000,00100,0200,05/30/2000 34954,S200000,00100,0100,1165 KING STREET 34954,S200000,00200,0100,GREENWICH 34954,S200000,00200,0200,CT 34954,S200000,00300,0100,FAIRFIELD 34954,S200000,00400,0100,GREENWICH WOODS 34954,S200000,00400,0200,075309 34954,S200000,00400,0300,06/24/1986 34954,S200000,00400,0500,P 34954,S200000,01600,0100,Y 34954,S200000,01900,0100,NON PROFIT CORP 34956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34956,A000000,00300,0000,00300EMPLOYEE BENEFITS 34956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34956,A000000,00700,0000,00700HOUSEKEEPING 34956,A000000,00800,0000,00800DIETARY 34956,A000000,00900,0000,00900NURSING ADMINISTRATION 34956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34956,A000000,01100,0000,01100PHARMACY 34956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34956,A000000,01300,0000,01300SOCIAL SERVICE 34956,A000000,01350,0000,01500OTHER GENERAL 34956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34956,A000000,01600,0000,01600SKILLED NURSING FACILITY 34956,A000000,01810,0000,01810ICF/MR 34956,A000000,02100,0000,02100RADIOLOGY 34956,A000000,02200,0000,02200LABORATORY 34956,A000000,02300,0000,02300INTRAVENOUS THERAPY 34956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34956,A000000,02500,0000,02500PHYSICAL THERAPY 34956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34956,A000000,02700,0000,02700SPEECH PATHOLOGY 34956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34956,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 34956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 34956,A000000,03550,0000,03550FQHC 34956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 34956,A000000,04800,0000,04800AMBULANCE 34956,A000000,05000,0000,05000CORF 34956,A000000,05010,0000,05010CMHC 34956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34956,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 34956,A81000A,00100,0100,Y 34956,A81000B,00100,0300,RENT 34956,A81000B,00200,0300,INTEREST ON MORTGAGE 34956,A81000B,00300,0300,REAL ESTATE TAXES 34956,A81000B,00400,0300,DEPRECIATION EXP 34956,A81000C,00100,0100,B 34956,A81000C,00100,0200,ALAM RODOWICZ 34956,A81000C,00100,0400,VILLAGE MANOR 34956,A81000C,00100,0600,LEASE BLDG & LAND 34956,B100000,00000,0100,00000SQUARE FOOTAGE 34956,B100000,00000,0200,00000SQUARE FOOTAGE 34956,B100000,00000,0300,00000GROSS SALARIES 34956,B100000,00000,0400,00000ACCUM. COST 34956,B100000,00000,0500,00000SQUARE FOOTAGE 34956,B100000,00000,0600,00000POUNDS OF LAUNDRY 34956,B100000,00000,0700,00000SQUARE FOOTAGE 34956,B100000,00000,0800,00000MEALS SERVED 34956,B100000,00000,0900,00000DIRECT HOURS 34956,B100000,00000,1000,00000PATIENT DAYS 34956,B100000,00000,1100,00000PATIENT DAYS 34956,B100000,00000,1200,00000PATIENT DAYS 34956,B100000,00000,1300,00000PATIENT DAYS 34956,B100000,00000,1350,00000PATIENT DAYS 34956,B100000,00000,1400,00000NO STATISTICS 34956,S000000,00100,0200,05/26/2000 34956,S200000,00100,0100,16 WINDSOR AVE 34956,S200000,00200,0100,PLAINFIELD 34956,S200000,00200,0200,CT 34956,S200000,00300,0100,WINDHAM 34956,S200000,00400,0100,VILLAGE MANOR HEALTH CARE INC. 34956,S200000,00400,0200,075310 34956,S200000,00400,0300,10/01/1986 34956,S200000,00400,0500,P 34956,S200000,01500,0100,Y 34956,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34956,S200000,04700,0100,Y 34958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34958,A000000,00300,0000,00300EMPLOYEE BENEFITS 34958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34958,A000000,00700,0000,00700HOUSEKEEPING 34958,A000000,00800,0000,00800DIETARY 34958,A000000,00900,0000,00900NURSING ADMINISTRATION 34958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34958,A000000,01100,0000,01100PHARMACY 34958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34958,A000000,01300,0000,01300SOCIAL SERVICE 34958,A000000,01350,0000,01500PATIENT ACTIVITIES 34958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34958,A000000,01600,0000,01600SKILLED NURSING FACILITY 34958,A000000,01800,0000,01800NURSING FACILITY 34958,A000000,01810,0000,01810ICF/MR 34958,A000000,02200,0000,02200LABORATORY 34958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34958,A000000,02500,0000,02500PHYSICAL THERAPY 34958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34958,A000000,02700,0000,02700SPEECH PATHOLOGY 34958,A000000,02800,0000,02800ELECTROCARDIOLOGY 34958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34958,A000000,03550,0000,03550FQHC 34958,A000000,04800,0000,04800AMBULANCE 34958,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34958,A000000,05010,0000,05010CMHC 34958,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34958,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34958,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34958,A000000,05300,0000,05300INTEREST EXPENSE 34958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34958,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34958,A81000A,00100,0100,Y 34958,A81000B,00100,0300,MGNT FEES 34958,A81000B,00200,0300,DEPREC BLGD 34958,A81000B,00300,0300,DEPREC MOVALBE 34958,A81000C,00100,0100,A 34958,A81000C,00100,0200,JANICE SANTILLI 34958,A81000C,00100,0400,CT HEALTH CTR 34958,A81000C,00100,0600,LIMITED PTNERSH 34958,A81000C,00200,0100,A 34958,A81000C,00200,0200,LAWRENCE SANTIL 34958,A81000C,00200,0400,CT HEALTH CTR 34958,A81000C,00200,0600,LIMITED PTNERSH 34958,A81000C,00300,0100,A 34958,A81000C,00300,0200,PAUL SIROP 34958,A81000C,00300,0400,CT HEALTH CTR 34958,A81000C,00300,0600,LIMITED PTNERSH 34958,A81000C,00400,0100,A 34958,A81000C,00400,0200,O.J. BIZZOZERO 34958,A81000C,00400,0400,CT HEALTH CTR 34958,A81000C,00400,0600,LIMITED PTNERSH 34958,A81000C,00500,0100,A 34958,A81000C,00500,0200,A.J. CAPPELLETT 34958,A81000C,00500,0400,CT HEALTH CTR 34958,A81000C,00500,0600,LIMITED PTNERSH 34958,A81000C,00600,0100,A 34958,A81000C,00600,0200,ABBOTT INV TRUS 34958,A81000C,00600,0400,CT HEALTH CTR 34958,A81000C,00600,0600,LIMITED PTNERSH 34958,A81000C,00700,0100,A 34958,A81000C,00700,0200,ALAN LOVERIDGE 34958,A81000C,00700,0400,CT HEALTH CTR 34958,A81000C,00700,0600,LIMITED PTNERSH 34958,A81000C,00800,0100,A 34958,A81000C,00800,0200,JOHN NOCERA JR 34958,A81000C,00800,0400,CT HEALTH CTR 34958,A81000C,00800,0600,LIMITED PTNERSH 34958,A81000C,00900,0100,A 34958,A81000C,00900,0200,CHRIS ERRICHETT 34958,A81000C,00900,0400,CT HEALTH CTR 34958,A81000C,00900,0600,LIMITED PTNERSH 34958,A81000C,01000,0100,A 34958,A81000C,01000,0200,RICK ERRICHETTI 34958,A81000C,01000,0400,CT HEALTH CTR 34958,A81000C,01000,0600,LIMITED PTNERSH 34958,A81000C,01100,0100,A 34958,A81000C,01100,0200,JOYCE ERRICHETT 34958,A81000C,01100,0400,CT HEALTH CTR 34958,A81000C,01100,0600,LIMITED PTNERSH 34958,A81000C,01200,0100,A 34958,A81000C,01200,0200,JOHN MAHANEY 34958,A81000C,01200,0400,CT HEALTH CTR 34958,A81000C,01200,0600,LIMITED PTNERSH 34958,A81000C,01300,0100,A 34958,A81000C,01300,0200,SANTILLI CUSTOD 34958,A81000C,01300,0400,CT HEALTH CTR 34958,A81000C,01300,0600,LIMITED PTNERSH 34958,A81000C,01400,0100,A 34958,A81000C,01400,0200,RUSSELL SCHWART 34958,A81000C,01400,0400,CT HEALTH CTR 34958,A81000C,01400,0600,LIMITED PTNERSH 34958,A81000C,01500,0100,A 34958,A81000C,01500,0200,JOSEPH COLACI 34958,A81000C,01500,0400,CT HEALTH CTR 34958,A81000C,01500,0600,LIMITED PTNERSH 34958,A81000C,01600,0100,A 34958,A81000C,01600,0200,WILLIAM THOMAS 34958,A81000C,01600,0400,CT HEALTH CTR 34958,A81000C,01600,0600,LIMITED PTNERSH 34958,A81000C,01700,0100,A 34958,A81000C,01700,0200,ANNE MARIE MURR 34958,A81000C,01700,0400,CT HEALTH CTR 34958,A81000C,01700,0600,LIMITED PTNERSH 34958,B100000,00000,0100,00000(SQUARE FEET) 34958,B100000,00000,0200,00000(SQUARE FEET) 34958,B100000,00000,0300,00000(GROSS SALARIES) 34958,B100000,00000,0400,00000(ACCUM COST) 34958,B100000,00000,0500,00000(SQUARE FEET) 34958,B100000,00000,0600,00000PATIENT DAYS 34958,B100000,00000,0700,00000SQUARE FEET 34958,B100000,00000,0800,00000PATIENT DAYS 34958,B100000,00000,0900,00000PATIENT DAYS 34958,B100000,00000,1000,00000(COSTED REQUIS) 34958,B100000,00000,1100,00000PATIENT DAYS 34958,B100000,00000,1200,00000PATIENT DAYS 34958,B100000,00000,1300,00000PATIENT DAYS 34958,B100000,00000,1350,00000PATIENT DAYS 34958,B100000,00000,1400,00000(ASSIGNED TIME) 34958,S000000,00100,0200,05/31/2000 34958,S200000,00100,0100,30 BOSTON POST ROAD 34958,S200000,00200,0100,MIDDLETOWN 34958,S200000,00200,0200,CT 34958,S200000,00200,0300,06457 34958,S200000,00300,0100,NEW HAVEN 34958,S200000,00400,0100,WADSWORTH GLEN HEALTH CARE CTR 34958,S200000,00400,0200,075312 34958,S200000,00400,0300,06/29/1987 34958,S200000,00400,0500,P 34958,S200000,00400,0600,O 34958,S200000,00600,0200,075312 34958,S200000,00600,0300,06/29/1987 34958,S200000,00600,0600,P 34958,S200000,01600,0100,Y 34958,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34958,S200000,04900,0100,Y 34960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34960,A000000,00300,0000,00300EMPLOYEE BENEFITS 34960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34960,A000000,00700,0000,00700HOUSEKEEPING 34960,A000000,00800,0000,00800DIETARY 34960,A000000,00900,0000,00900NURSING ADMINISTRATION 34960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34960,A000000,01100,0000,01100PHARMACY 34960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34960,A000000,01300,0000,01300SOCIAL SERVICE 34960,A000000,01350,0000,01500PATIENT ACTIVITIES 34960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34960,A000000,01600,0000,01600SKILLED NURSING FACILITY 34960,A000000,01800,0000,01800NURSING FACILITY 34960,A000000,01810,0000,01810ICF/MR 34960,A000000,02200,0000,02200LABORATORY 34960,A000000,02300,0000,02300INTRAVENOUS THERAPY 34960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34960,A000000,02500,0000,02500PHYSICAL THERAPY 34960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34960,A000000,02700,0000,02700SPEECH PATHOLOGY 34960,A000000,02800,0000,02800ELECTROCARDIOLOGY 34960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34960,A000000,03550,0000,03550FQHC 34960,A000000,04800,0000,04800AMBULANCE 34960,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34960,A000000,05010,0000,05010CMHC 34960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34960,A000000,05300,0000,05300INTEREST EXPENSE 34960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34960,A81000A,00100,0100,Y 34960,A81000B,00100,0300,RENT EXPENSE 34960,A81000B,00200,0300,DEPREC - BUILDING 34960,A81000B,00300,0300,DEPREC - MOVABLE 34960,A81000B,00400,0300,INTEREST - BUILDING 34960,A81000B,00500,0300,INTEREST - MOVABLE 34960,A81000B,00600,0300,ASST ADMINISTRATOR 34960,A81000C,00100,0100,A 34960,A81000C,00100,0200,M. SILBERSTEIN 34960,A81000C,00100,0600,BLDG&EQUIP LEAS 34960,B100000,00000,0100,00000(SQUARE FEET) 34960,B100000,00000,0200,00000(SQUARE FEET) 34960,B100000,00000,0300,00000(GROSS SALARIES) 34960,B100000,00000,0400,00000(ACCUM COST) 34960,B100000,00000,0500,00000(SQUARE FEET) 34960,B100000,00000,0600,00000PATIENT DAYS 34960,B100000,00000,0700,00000SQUARE FEET 34960,B100000,00000,0800,00000PATIENT DAYS 34960,B100000,00000,0900,00000PATIENT DAYS 34960,B100000,00000,1000,00000(COSTED REQUIS) 34960,B100000,00000,1100,00000PATIENT DAYS 34960,B100000,00000,1200,00000PATIENT DAYS 34960,B100000,00000,1300,00000PATIENT DAYS 34960,B100000,00000,1350,00000PATIENT DAYS 34960,B100000,00000,1400,00000(ASSIGNED TIME) 34960,E10A180,00550,0300,06/29/2000 34960,S000000,00100,0200,05/31/2000 34960,S200000,00100,0100,60 BOSTON POST ROAD 34960,S200000,00200,0100,OLD SAYBROOK 34960,S200000,00200,0200,CT 34960,S200000,00200,0300,06475 34960,S200000,00300,0100,MIDDLESEX 34960,S200000,00400,0100,GLADEVIEW HEALTH CARE CENTER 34960,S200000,00400,0200,075313 34960,S200000,00400,0300,10/09/1987 34960,S200000,00400,0500,P 34960,S200000,00400,0600,O 34960,S200000,00600,0200,075313 34960,S200000,00600,0300,10/09/1987 34960,S200000,00600,0600,P 34960,S200000,00800,0200,075313 34960,S200000,00800,0300,10/09/1987 34960,S200000,00800,0500,O 34960,S200000,00800,0600,P 34960,S200000,01600,0100,Y 34960,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34966,A000000,00300,0000,00300EMPLOYEE BENEFITS 34966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34966,A000000,00700,0000,00700HOUSEKEEPING 34966,A000000,00800,0000,00800DIETARY 34966,A000000,00900,0000,00900NURSING ADMINISTRATION 34966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34966,A000000,01100,0000,01100PHARMACY 34966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34966,A000000,01300,0000,01300SOCIAL SERVICE 34966,A000000,01350,0000,01500PATIENT ACTIVITIES 34966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34966,A000000,01600,0000,01600SKILLED NURSING FACILITY 34966,A000000,01800,0000,01800NURSING FACILITY 34966,A000000,01810,0000,01810ICF/MR 34966,A000000,02200,0000,02200LABORATORY 34966,A000000,02300,0000,02300INTRAVENOUS THERAPY 34966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34966,A000000,02500,0000,02500PHYSICAL THERAPY 34966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34966,A000000,02700,0000,02700SPEECH PATHOLOGY 34966,A000000,02800,0000,02800ELECTROCARDIOLOGY 34966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34966,A000000,03550,0000,03550FQHC 34966,A000000,04800,0000,04800AMBULANCE 34966,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34966,A000000,05010,0000,05010CMHC 34966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34966,A000000,05300,0000,05300INTEREST EXPENSE 34966,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34966,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34966,A81000A,00100,0100,Y 34966,A81000B,00100,0300,MANAGEMENT FEES 34966,A81000C,00100,0100,F 34966,A81000C,00100,0200,LAWRENCE SANTIL 34966,A81000C,00100,0400,ATHENA HEALTH 34966,A81000C,00100,0600,MANAGEMENT CO 34966,A81000C,00200,0100,F 34966,A81000C,00200,0200,JANICE SANTILLI 34966,A81000C,00200,0400,ATHENA HEALTH 34966,A81000C,00200,0600,MANAGEMENT CO 34966,A81000C,00300,0100,F 34966,A81000C,00300,0200,ANNE MARIE MURR 34966,A81000C,00300,0400,ATHENA HEALTH 34966,A81000C,00300,0600,MANAGEMENT CO 34966,A81000C,00400,0100,F 34966,A81000C,00400,0200,MICHAEL ZACCARO 34966,A81000C,00400,0400,ATHENA HEALTH 34966,A81000C,00400,0600,MANAGEMENT CO 34966,A81000C,00500,0100,F 34966,A81000C,00500,0200,EDWARD JAMELE 34966,A81000C,00500,0400,ATHENA HEALTH 34966,A81000C,00500,0600,MANAGEMENT CO 34966,A81000C,00600,0100,F 34966,A81000C,00600,0200,SANTILLI CUSTOD 34966,A81000C,00600,0400,ATHENA HEALTH 34966,A81000C,00600,0600,MANAGEMENT CO 34966,A81000C,00700,0100,F 34966,A81000C,00700,0200,WILLIAM THOMAS 34966,A81000C,00700,0400,ATHENA HEALTH 34966,A81000C,00700,0600,MANAGEMENT CO 34966,A81000C,00800,0100,F 34966,A81000C,00800,0200,JOSEPH COLACI 34966,A81000C,00800,0400,ATHENA HEALTH 34966,A81000C,00800,0600,MANAGEMENT CO 34966,A81000C,00900,0100,F 34966,A81000C,00900,0200,RUSSELL SCHWART 34966,A81000C,00900,0400,ATHENA HEALTH 34966,A81000C,00900,0600,MANAGEMENT CO 34966,B100000,00000,0100,00000(SQUARE FEET) 34966,B100000,00000,0200,00000(SQUARE FEET) 34966,B100000,00000,0300,00000(GROSS SALARIES) 34966,B100000,00000,0400,00000(ACCUM COST) 34966,B100000,00000,0500,00000(SQUARE FEET) 34966,B100000,00000,0600,00000PATIENT DAYS 34966,B100000,00000,0700,00000SQUARE FEET 34966,B100000,00000,0800,00000PATIENT DAYS 34966,B100000,00000,0900,00000PATIENT DAYS 34966,B100000,00000,1000,00000(COSTED REQUIS) 34966,B100000,00000,1100,00000PATIENT DAYS 34966,B100000,00000,1200,00000PATIENT DAYS 34966,B100000,00000,1300,00000PATIENT DAYS 34966,B100000,00000,1350,00000PATIENT DAYS 34966,B100000,00000,1400,00000(ASSIGNED TIME) 34966,E10A180,00551,0300,06/29/2000 34966,S000000,00100,0200,05/31/2000 34966,S200000,00100,0100,1175 HEBRON AVENUE 34966,S200000,00200,0100,GLASTONBURY 34966,S200000,00200,0200,CT 34966,S200000,00200,0300,06033 34966,S200000,00300,0100,HARTFORD 34966,S200000,00400,0100,GLASTONBURY HEALTH CARE CENTER 34966,S200000,00400,0200,075316 34966,S200000,00400,0300,02/10/1988 34966,S200000,00400,0500,P 34966,S200000,00400,0600,O 34966,S200000,00600,0200,075316 34966,S200000,00600,0300,02/10/1988 34966,S200000,00600,0600,P 34966,S200000,01600,0100,Y 34966,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34966,S200000,04700,0100,Y 34966,S200000,04900,0100,Y 34968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34968,A000000,00300,0000,00300EMPLOYEE BENEFITS 34968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34968,A000000,00700,0000,00700HOUSEKEEPING 34968,A000000,00800,0000,00800DIETARY 34968,A000000,00900,0000,00900NURSING ADMINISTRATION 34968,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34968,A000000,01100,0000,01100PHARMACY 34968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34968,A000000,01300,0000,01300SOCIAL SERVICE 34968,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34968,A000000,01600,0000,01600SKILLED NURSING FACILITY 34968,A000000,01800,0000,01800NURSING FACILITY 34968,A000000,01810,0000,01810ICF/MR 34968,A000000,02100,0000,02100RADIOLOGY 34968,A000000,02200,0000,02200LABORATORY 34968,A000000,02500,0000,02500PHYSICAL THERAPY 34968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34968,A000000,02700,0000,02700SPEECH PATHOLOGY 34968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34968,A000000,03550,0000,03550FQHC 34968,A000000,04800,0000,04800AMBULANCE 34968,A000000,05000,0000,05000CORF 34968,A000000,05010,0000,05010CMHC 34968,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34968,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34968,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34968,A000000,05300,0000,05300INTEREST EXPENSE 34968,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34968,A000000,06200,0000,06200PATIENTS LAUNDRY 34968,A81000A,00100,0100,Y 34968,A81000B,00100,0300,PAYROLL TAX DIR OF OPER 34968,A81000B,00200,0300,BENEFITS DIR OF OPER 34968,A81000B,00300,0300,PAYROLL TAX CONTROLLER 34968,A81000B,00400,0300,BENEFITS CONTROLLER 34968,A81000B,00500,0300,PAYROLL TAX ASSIST DIR OF OPER 34968,A81000B,00600,0300,SALARY CONTROLLER 34968,A81000B,00700,0300,SALARY DIR OF OPER 34968,A81000B,00800,0300,SALARY ASSIST DIR OF OPER 34968,A81000B,00900,0300,TELEPHONE TRANSCON 34968,A81000B,01000,0300,TRAVEL TRANSCON 34968,A81000B,01100,0300,MANAGEMENT FEES 34968,A81000B,01200,0300,BOOKKEEPING FEES 34968,A81000C,00100,0100,B 34968,A81000C,00100,0200,TRANSCON INC. 34968,A81000C,00100,0400,TRANSCON INC. 34968,A81000C,00100,0600,BUILDERS 34968,B100000,00000,0100,00000SQUARE FEET 34968,B100000,00000,0200,00000SQUARE FEET 34968,B100000,00000,0300,00000GROSS SALARIES 34968,B100000,00000,0400,00000ACCUM. COST 34968,B100000,00000,0500,00000SQUARE FEET 34968,B100000,00000,0600,00000POUNDS OF LAUNDRY 34968,B100000,00000,0700,00000SQUARE FEET 34968,B100000,00000,0800,00000MEALS SERVED 34968,B100000,00000,0900,00000DIRECT NRSING HRS 34968,B100000,00000,1000,00000INPATIENT DAYS 34968,B100000,00000,1100,00000INPATIENT DAYS 34968,B100000,00000,1200,00000INPATIENT DAYS 34968,B100000,00000,1300,00000INPATIENT DAYS 34968,B100000,00000,1400,00000ASSIGNED TIME 34968,E10A180,00550,0300,06/21/2000 34968,S000000,00100,0200,05/30/2000 34968,S200000,00100,0100,439 DANBURY ROAD 34968,S200000,00200,0100,WILTON 34968,S200000,00200,0200,CT 34968,S200000,00300,0100,FAIRFIELD 34968,S200000,00400,0100,WILTON MEADOWS 34968,S200000,00400,0200,075317 34968,S200000,00400,0300,05/05/1988 34968,S200000,00400,0500,P 34968,S200000,00400,0600,O 34968,S200000,01600,0100,Y 34968,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34968,S200000,04700,0100,Y 34970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34970,A000000,00300,0000,00300EMPLOYEE BENEFITS 34970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34970,A000000,00700,0000,00700HOUSEKEEPING 34970,A000000,00800,0000,00800DIETARY 34970,A000000,00900,0000,00900NURSING ADMINISTRATION 34970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34970,A000000,01100,0000,01100PHARMACY 34970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34970,A000000,01300,0000,01300SOCIAL SERVICE 34970,A000000,01350,0000,01500PATIENT ACTIVITIES 34970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34970,A000000,01600,0000,01600SKILLED NURSING FACILITY 34970,A000000,01800,0000,01800NURSING FACILITY 34970,A000000,01810,0000,01810ICF/MR 34970,A000000,02200,0000,02200LABORATORY 34970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34970,A000000,02401,0000,02401RESPIRATORY THERAPY 34970,A000000,02500,0000,02500PHYSICAL THERAPY 34970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34970,A000000,02700,0000,02700SPEECH PATHOLOGY 34970,A000000,02800,0000,02800ELECTROCARDIOLOGY 34970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34970,A000000,03550,0000,03550FQHC 34970,A000000,04800,0000,04800AMBULANCE 34970,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34970,A000000,05010,0000,05010CMHC 34970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34970,A000000,05300,0000,05300INTEREST EXPENSE 34970,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34970,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34970,A81000A,00100,0100,Y 34970,A81000B,00100,0300,MANAGEMENT FEES 34970,A81000B,00200,0300,DEPRECIATION BLDG 34970,A81000B,00300,0300,DEPRECIATION MOVABLE 34970,A81000C,00100,0100,F 34970,A81000C,00100,0200,JANICE SANTILLI 34970,A81000C,00100,0400,CT HEALTH CTR 34970,A81000C,00200,0100,F 34970,A81000C,00200,0200,LAWRENCE SANTIL 34970,A81000C,00200,0400,CT HEALTH CTR 34970,A81000C,00300,0100,F 34970,A81000C,00300,0200,ALAN LOVERIDGE 34970,A81000C,00300,0400,CT HEALTH CTR 34970,A81000C,00400,0100,F 34970,A81000C,00400,0200,JOHN NOCERA JR 34970,A81000C,00400,0400,CT HEALTH CTR 34970,A81000C,00500,0100,F 34970,A81000C,00500,0200,CHRIS ERRICHETT 34970,A81000C,00500,0400,CT HEALTH CTR 34970,A81000C,00600,0100,F 34970,A81000C,00600,0200,RICK ERRICHETTI 34970,A81000C,00600,0400,CT HEALTH CTR 34970,A81000C,00700,0100,F 34970,A81000C,00700,0200,JOYCE ERRICHETT 34970,A81000C,00700,0400,CT HEALTH CTR 34970,A81000C,00800,0100,F 34970,A81000C,00800,0200,JOHN MAHANEY 34970,A81000C,00800,0400,CT HEALTH CTR 34970,A81000C,00900,0100,F 34970,A81000C,00900,0200,PAUL SIROP 34970,A81000C,00900,0400,CT HEALTH CTR 34970,A81000C,01000,0100,F 34970,A81000C,01000,0200,O.J. BIZZOZERO 34970,A81000C,01000,0400,CT HEALTH CTR 34970,A81000C,01100,0100,F 34970,A81000C,01100,0200,A.J. CAPPELLETT 34970,A81000C,01100,0400,CT HEALTH CTR 34970,A81000C,01200,0100,F 34970,A81000C,01200,0200,ABBOTT INV TRUS 34970,A81000C,01200,0400,CT HEALTH CTR 34970,A81000C,01300,0100,F 34970,A81000C,01300,0200,SANTILLI CUSTOD 34970,A81000C,01300,0400,CT HEALTH CTR 34970,A81000C,01400,0100,F 34970,A81000C,01400,0200,JOSEPH COLACI 34970,A81000C,01400,0400,CT HEALTH CTR 34970,A81000C,01500,0100,F 34970,A81000C,01500,0200,RUSSELL SCHWART 34970,A81000C,01500,0400,CT HEALTH CTR 34970,A81000C,01600,0100,F 34970,A81000C,01600,0200,WILLIAM THOMAS 34970,A81000C,01600,0400,CT HEALTH CTR 34970,A81000C,01700,0100,F 34970,A81000C,01700,0200,ANNE MARIE MURR 34970,A81000C,01700,0400,CT HEALTH CTR 34970,B100000,00000,0100,00000(SQUARE FEET) 34970,B100000,00000,0200,00000(SQUARE FEET) 34970,B100000,00000,0300,00000(GROSS SALARIES) 34970,B100000,00000,0400,00000(ACCUM COST) 34970,B100000,00000,0500,00000(SQUARE FEET) 34970,B100000,00000,0600,00000PATIENT DAYS 34970,B100000,00000,0700,00000SQUARE FEET 34970,B100000,00000,0800,00000PATIENT DAYS 34970,B100000,00000,0900,00000PATIENT DAYS 34970,B100000,00000,1000,00000(COSTED REQUIS) 34970,B100000,00000,1100,00000PATIENT DAYS 34970,B100000,00000,1200,00000PATIENT DAYS 34970,B100000,00000,1300,00000PATIENT DAYS 34970,B100000,00000,1350,00000PATIENT DAYS 34970,B100000,00000,1400,00000(ASSIGNED TIME) 34970,E10A180,00550,0300,06/29/2000 34970,S000000,00100,0200,05/31/2000 34970,S200000,00100,0100,255 ROBERTS STREET 34970,S200000,00200,0100,TORRINGTON 34970,S200000,00200,0200,CT 34970,S200000,00200,0300,06790 34970,S200000,00300,0100,LITCHFIELD 34970,S200000,00400,0100,LITCHFIELD WOODS HEALTH CARE CTR 34970,S200000,00400,0200,075319 34970,S200000,00400,0300,07/19/1988 34970,S200000,00400,0500,P 34970,S200000,00400,0600,O 34970,S200000,00600,0200,075319 34970,S200000,00600,0300,07/19/1988 34970,S200000,00600,0600,P 34970,S200000,01600,0100,Y 34970,S200000,04700,0100,Y 34970,S200000,04900,0100,Y 34973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34973,A000000,00300,0000,00300EMPLOYEE BENEFITS 34973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34973,A000000,00700,0000,00700HOUSEKEEPING 34973,A000000,00800,0000,00800DIETARY 34973,A000000,00900,0000,00900NURSING ADMINISTRATION 34973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34973,A000000,01100,0000,01100PHARMACY 34973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34973,A000000,01300,0000,01300SOCIAL SERVICE 34973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34973,A000000,01600,0000,01600SKILLED NURSING FACILITY 34973,A000000,01800,0000,01800NURSING FACILITY 34973,A000000,01810,0000,01810ICF/MR 34973,A000000,02500,0000,02500PHYSICAL THERAPY 34973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34973,A000000,02700,0000,02700SPEECH PATHOLOGY 34973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34973,A000000,03550,0000,03550FQHC 34973,A000000,05000,0000,05000CORF 34973,A000000,05010,0000,05010CMHC 34973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34973,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34973,A81000A,00100,0100,Y 34973,A81000B,00100,0300,CAP REL MOVE EQUIP 34973,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 34973,A81000C,00100,0100,B 34973,A81000C,00100,0200,HOME OFFICE 34973,A81000C,00100,0400,BRIDGEPORT DIOC 34973,B100000,00000,0100,00000SQUARE FEET 34973,B100000,00000,0200,00000SQUARE FEET 34973,B100000,00000,0300,00000GROSS SALARIES 34973,B100000,00000,0400,00000ACCUM COST 34973,B100000,00000,0500,00000SQUARE FEET 34973,B100000,00000,0600,00000POUNDS OF LAUNDRY 34973,B100000,00000,0700,00000HOURS OF SERVICE 34973,B100000,00000,0800,00000MEALS SERVED 34973,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34973,B100000,00000,1000,00000COSTED REQUIS 34973,B100000,00000,1100,00000COSTED REQUIS 34973,B100000,00000,1200,00000TIME SPENT 34973,B100000,00000,1300,00000TIME SPENT 34973,B100000,00000,1400,00000ASSIGNED TIME 34973,S000000,00100,0200,03/01/2000 34973,S200000,00100,0100,494 ELM STREET 34973,S200000,00200,0100,STAMFORD 34973,S200000,00200,0200,CT 34973,S200000,00200,0300,06902 34973,S200000,00300,0100,FAIRFIELD 34973,S200000,00400,0100,ST. CAMILLUS HEALTH CENTER 34973,S200000,00400,0200,075320 34973,S200000,00400,0300,10/05/1988 34973,S200000,00400,0500,P 34973,S200000,01500,0100,Y 34973,S200000,01900,0100,501 (C) 3 34973,S200000,04600,0100,Y 34976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34976,A000000,00300,0000,00300EMPLOYEE BENEFITS 34976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34976,A000000,00700,0000,00700HOUSEKEEPING 34976,A000000,00800,0000,00800DIETARY 34976,A000000,00900,0000,00900NURSING ADMINISTRATION 34976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34976,A000000,01100,0000,01100PHARMACY 34976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34976,A000000,01300,0000,01300SOCIAL SERVICE 34976,A000000,01350,0000,01500PATIENT ACTIVITIES 34976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34976,A000000,01600,0000,01600SKILLED NURSING FACILITY 34976,A000000,01810,0000,01810ICF/MR 34976,A000000,02200,0000,02200LABORATORY 34976,A000000,02300,0000,02300INTRAVENOUS THERAPY 34976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34976,A000000,02500,0000,02500PHYSICAL THERAPY 34976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34976,A000000,02700,0000,02700SPEECH PATHOLOGY 34976,A000000,02800,0000,02800ELECTROCARDIOLOGY 34976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34976,A000000,03550,0000,03550FQHC 34976,A000000,04800,0000,04800AMBULANCE 34976,A000000,05000,0000,05000CORF 34976,A000000,05010,0000,05010CMHC 34976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34976,A000000,05300,0000,05300INTEREST EXPENSE 34976,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34976,A000000,06200,0000,06200PATIENTS LAUNDRY 34976,B100000,00000,0100,00000SQUARE FEET 34976,B100000,00000,0200,00000SQUARE FEET 34976,B100000,00000,0300,00000GROSS SALARIES 34976,B100000,00000,0400,00000ACCUM COST 34976,B100000,00000,0500,00000SQUARE FEET 34976,B100000,00000,0600,00000PATIENT DAYS 34976,B100000,00000,0700,00000SQUARE FEET 34976,B100000,00000,0800,00000PATIENT DAYS 34976,B100000,00000,0900,00000PATIENT DAYS 34976,B100000,00000,1000,00000COSTED REQUIS 34976,B100000,00000,1100,00000PATIENT DAYS 34976,B100000,00000,1200,00000PATIENT DAYS 34976,B100000,00000,1300,00000TIME SPENT 34976,B100000,00000,1350,00000PATIENT DAYS 34976,B100000,00000,1400,00000PATIENT DAYS 34976,E10A180,00550,0300,06/29/2000 34976,S000000,00100,0200,05/31/2000 34976,S200000,00100,0100,14 CLUB ROAD 34976,S200000,00200,0100,WINDHAM 34976,S200000,00200,0200,CT 34976,S200000,00200,0300,06280 34976,S200000,00300,0100,WINDHAM 34976,S200000,00400,0100,ST JOSEPH LIVING CENTER INC. 34976,S200000,00400,0200,075321 34976,S200000,00400,0300,10/12/1988 34976,S200000,00400,0500,P 34976,S200000,00400,0600,O 34976,S200000,00600,0200,075321 34976,S200000,00600,0300,10/12/1988 34976,S200000,00600,0600,P 34976,S200000,01500,0100,Y 34976,S200000,04900,0100,Y 34978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34978,A000000,00300,0000,00300EMPLOYEE BENEFITS 34978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34978,A000000,00700,0000,00700HOUSEKEEPING 34978,A000000,00800,0000,00800DIETARY 34978,A000000,00900,0000,00900NURSING ADMINISTRATION 34978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34978,A000000,01100,0000,01100PHARMACY 34978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34978,A000000,01300,0000,01300SOCIAL SERVICE 34978,A000000,01350,0000,01500RECREATION 34978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34978,A000000,01600,0000,01600SKILLED NURSING FACILITY 34978,A000000,01800,0000,01800NURSING FACILITY 34978,A000000,01810,0000,01810ICF/MR 34978,A000000,02100,0000,02100RADIOLOGY 34978,A000000,02200,0000,02200LABORATORY 34978,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34978,A000000,02500,0000,02500PHYSICAL THERAPY 34978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34978,A000000,02700,0000,02700SPEECH PATHOLOGY 34978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34978,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34978,A000000,03550,0000,03550FQHC 34978,A000000,05000,0000,05000CORF 34978,A000000,05010,0000,05010CMHC 34978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34978,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34978,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34978,A81000A,00100,0100,Y 34978,A81000B,00100,0300,RENT 34978,A81000B,00200,0300,BLDG. & FIXTURE DEPR. 34978,A81000B,00300,0300,MOVEABLE EQUIPMENT 34978,A81000B,00400,0300,BLDG. & FIXTURE INTEREST 34978,A81000B,00500,0300,AMORTIZATION EXPENSE 34978,A81000B,00600,0300,INTEREST EXPENSE 34978,A81000C,00100,0100,A 34978,A81000C,00100,0200,FAIRFIELD ONE - 34978,B100000,00000,0100,00000SQUARE FEET 34978,B100000,00000,0200,00000SQUARE FEET 34978,B100000,00000,0300,00000GROSS SALARIES 34978,B100000,00000,0400,00000ACCUM COST 34978,B100000,00000,0500,00000SQUARE FEET 34978,B100000,00000,0600,00000PATIENT DAYS 34978,B100000,00000,0700,00000SQUARE FEET 34978,B100000,00000,0800,00000MEALS SERVED 34978,B100000,00000,0900,00000PATIENT DAYS 34978,B100000,00000,1000,00000PATIENT DAYS 34978,B100000,00000,1100,00000COSTED REQUIS 34978,B100000,00000,1200,00000TIME SPENT 34978,B100000,00000,1300,00000PATIENT DAYS 34978,B100000,00000,1350,00000PATIENT DAYS 34978,B100000,00000,1400,00000ASSIGNED TIME 34978,S000000,00100,0200,02/22/2000 34978,S200000,00100,0100,2428 EASTON TURNPIKE 34978,S200000,00200,0100,FAIRFIELD 34978,S200000,00200,0200,CT 34978,S200000,00200,0300,06340 34978,S200000,00300,0100,FAIRFIELD 34978,S200000,00400,0100,CAMBRIDGE MANOR HEALTH CARE CENTER 34978,S200000,00400,0200,075323 34978,S200000,00400,0300,05/01/1989 34978,S200000,00400,0500,P 34978,S200000,00400,0600,O 34978,S200000,01600,0100,Y 34978,S200000,04700,0100,Y 34981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34981,A000000,00300,0000,00300EMPLOYEE BENEFITS 34981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34981,A000000,00700,0000,00700HOUSEKEEPING 34981,A000000,00800,0000,00800DIETARY 34981,A000000,00900,0000,00900NURSING ADMINISTRATION 34981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34981,A000000,01100,0000,01100PHARMACY 34981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34981,A000000,01300,0000,01300SOCIAL SERVICE 34981,A000000,01350,0000,01500PATIENT ACTIVITIES 34981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34981,A000000,01600,0000,01600SKILLED NURSING FACILITY 34981,A000000,01800,0000,01800NURSING FACILITY 34981,A000000,01810,0000,01810ICF/MR 34981,A000000,02200,0000,02200LABORATORY 34981,A000000,02300,0000,02300INTRAVENOUS THERAPY 34981,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34981,A000000,02401,0000,02401RESPIRATORY 34981,A000000,02500,0000,02500PHYSICAL THERAPY 34981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34981,A000000,02700,0000,02700SPEECH PATHOLOGY 34981,A000000,02800,0000,02800ELECTROCARDIOLOGY 34981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34981,A000000,03550,0000,03550FQHC 34981,A000000,04800,0000,04800AMBULANCE 34981,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 34981,A000000,05010,0000,05010CMHC 34981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34981,A000000,05300,0000,05300INTEREST EXPENSE 34981,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34981,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34981,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 34981,A81000A,00100,0100,Y 34981,A81000B,00100,0300,RENT EXPENSE 34981,A81000B,00200,0300,INTEREST - BUILDING 34981,A81000B,00400,0300,DEPREC - BUILDING 34981,A81000B,00500,0300,DEPREC - MOVABLE 34981,A81000B,00600,0300,OTHER FEES 34981,A81000C,00100,0100,A 34981,A81000C,00100,0200,JOHN ANTONINO 34981,A81000C,00100,0600,LAND BLDG & EQU 34981,A81000C,00200,0100,A 34981,A81000C,00200,0200,LEO ANTONINO 34981,A81000C,00200,0600,LAND BLDG & EQU 34981,A81000C,00300,0100,A 34981,A81000C,00300,0200,GIRARD ANTONINO 34981,A81000C,00300,0600,LAND BLDG & EQU 34981,B100000,00000,0100,00000(SQUARE FEET) 34981,B100000,00000,0200,00000(SQUARE FEET) 34981,B100000,00000,0300,00000(GROSS SALARIES) 34981,B100000,00000,0400,00000(ACCUM COST) 34981,B100000,00000,0500,00000(SQUARE FEET) 34981,B100000,00000,0600,00000PATIENT DAYS 34981,B100000,00000,0700,00000SQUARE FEET 34981,B100000,00000,0800,00000PATIENT DAYS 34981,B100000,00000,0900,00000PATIENT DAYS 34981,B100000,00000,1000,00000(COSTED REQUIS) 34981,B100000,00000,1100,00000PATIENT DAYS 34981,B100000,00000,1200,00000PATIENT DAYS 34981,B100000,00000,1300,00000PATIENT DAYS 34981,B100000,00000,1350,00000PATIENT DAYS 34981,B100000,00000,1400,00000(ASSIGNED TIME) 34981,S000000,00100,0200,05/31/2000 34981,S200000,00100,0100,301 ROPE FERRY ROAD 34981,S200000,00200,0100,WATERFORD 34981,S200000,00200,0200,CT 34981,S200000,00200,0300,06385 34981,S200000,00300,0100,NEW LONDON 34981,S200000,00400,0100,BAYVIEW HEALTH CARE CENTER 34981,S200000,00400,0200,075324 34981,S200000,00400,0300,07/27/1989 34981,S200000,00400,0500,P 34981,S200000,00400,0600,O 34981,S200000,00600,0200,075324 34981,S200000,00600,0300,07/21/1989 34981,S200000,00600,0600,P 34981,S200000,00800,0200,075324 34981,S200000,00800,0300,07/21/1989 34981,S200000,00800,0500,O 34981,S200000,01600,0100,Y 34981,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 34981,S200000,04700,0100,Y 34981,S200000,04900,0100,Y 34986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34986,A000000,00300,0000,00300EMPLOYEE BENEFITS 34986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34986,A000000,00700,0000,00700HOUSEKEEPING 34986,A000000,00800,0000,00800DIETARY 34986,A000000,00900,0000,00900NURSING ADMINISTRATION 34986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34986,A000000,01100,0000,01100PHARMACY 34986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34986,A000000,01300,0000,01300SOCIAL SERVICE 34986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34986,A000000,01600,0000,01600SKILLED NURSING FACILITY 34986,A000000,01810,0000,01810ICF/MR 34986,A000000,02100,0000,02100RADIOLOGY 34986,A000000,02200,0000,02200LABORATORY 34986,A000000,02300,0000,02300INTRAVENOUS THERAPY 34986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 34986,A000000,02500,0000,02500PHYSICAL THERAPY 34986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34986,A000000,02700,0000,02700SPEECH PATHOLOGY 34986,A000000,02800,0000,02800ELECTROCARDIOLOGY 34986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34986,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 34986,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 34986,A000000,03550,0000,03550FQHC 34986,A000000,04800,0000,04800AMBULANCE 34986,A000000,05000,0000,05000CORF 34986,A000000,05010,0000,05010CMHC 34986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34986,A000000,05300,0000,05300INTEREST EXPENSE 34986,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 34986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34986,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 34986,A000000,06200,0000,06200PATIENTS LAUNDRY 34986,A81000A,00100,0100,Y 34986,A81000B,00100,0300,COST SHARING AGRMNT 34986,A81000B,00200,0300,GENERAL INSURANCE 34986,A81000B,00300,0300,PROFESSIONAL FEES 34986,A81000B,00400,0300,COMPUTER LEASE 34986,A81000B,00500,0300,MAINT CONTRACT SVC 34986,A81000B,00600,0300,WATER & SEWER 34986,A81000C,00100,0100,G 34986,A81000C,00100,0200,AFFILIATE 34986,A81000C,00100,0400,JOHNSON MEM HO 34986,A81000C,00100,0600,HOSPITAL 34986,A81000C,00200,0100,G 34986,A81000C,00200,0200,AFFILIATE 34986,A81000C,00200,0400,HOME & COMMUNIT 34986,A81000C,00200,0600,HHA 34986,A81000C,00300,0100,B 34986,A81000C,00300,0400,JOHNSON MEMORIA 34986,A81000C,00300,0600,PARENT 34986,B100000,00000,0100,00000SQUARE FEET 34986,B100000,00000,0200,00000SQUARE FEET 34986,B100000,00000,0300,00000GROSS SALARIES 34986,B100000,00000,0400,00000ACCUM COST 34986,B100000,00000,0500,00000SQUARE FEET 34986,B100000,00000,0600,00000POUNDS OF LAUNDRY 34986,B100000,00000,0700,00000SQUARE FEET 34986,B100000,00000,0800,00000MEALS SERVED 34986,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 34986,B100000,00000,1000,00000COSTED REQUISITIO 34986,B100000,00000,1100,00000COSTED REQUISITIO 34986,B100000,00000,1200,00000TIME SPENT 34986,B100000,00000,1300,00000TIME SPENT 34986,B100000,00000,1400,00000ASSIGNED TIME 34986,E10A180,00550,0300,03/03/2000 34986,S000000,00100,0200,02/29/2000 34986,S200000,00100,0100,205 CHESTNUT HILL ROAD 34986,S200000,00100,0300,P.O. BOX 549 34986,S200000,00200,0100,STAFFORD SPRINGS 34986,S200000,00200,0200,CT 34986,S200000,00400,0100,EVERGREEN HEALTH CARE CENTER 34986,S200000,00400,0200,075326 34986,S200000,00400,0300,10/26/1989 34986,S200000,00400,0500,P 34986,S200000,01900,0100,CCRC 34990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34990,A000000,00300,0000,00300EMPLOYEE BENEFITS 34990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34990,A000000,00700,0000,00700HOUSEKEEPING 34990,A000000,00800,0000,00800DIETARY 34990,A000000,00900,0000,00900NURSING ADMINISTRATION 34990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34990,A000000,01100,0000,01100PHARMACY 34990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34990,A000000,01300,0000,01300SOCIAL SERVICE 34990,A000000,01350,0000,01500RECREATION 34990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34990,A000000,01600,0000,01600SKILLED NURSING FACILITY 34990,A000000,01810,0000,01810ICF/MR 34990,A000000,02100,0000,02100RADIOLOGY 34990,A000000,02200,0000,02200LABORATORY 34990,A000000,02500,0000,02500PHYSICAL THERAPY 34990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34990,A000000,02700,0000,02700SPEECH PATHOLOGY 34990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34990,A000000,03550,0000,03550FQHC 34990,A000000,05000,0000,05000CORF 34990,A000000,05010,0000,05010CMHC 34990,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34990,A81000A,00100,0100,Y 34990,A81000B,00100,0300,RENT 34990,A81000B,00200,0300,INTEREST 34990,A81000B,00300,0300,DEPRECIATION @ 40 YR 34990,A81000B,00400,0300,DEP MOVABLE EQUIP 34990,A81000B,00500,0300,CORP FEES 34990,A81000B,00600,0300,CORP ACCOUNTING FEES 34990,A81000B,00700,0300,CORP MANAGEMENT FEES 34990,A81000C,00100,0100,A 34990,A81000C,00100,0200,BRAIN FOLEY 34990,A81000C,00100,0400,MARY ELIZABETH 34990,A81000C,00100,0600,REAL ESTATE REN 34990,A81000C,00200,0100,A 34990,A81000C,00200,0200,BRAIN FOLEY 34990,A81000C,00200,0400,APPLE HEALTH CA 34990,A81000C,00200,0600,CORP ACT & MGT 34990,B100000,00000,0100,00000SQUARE FEET 34990,B100000,00000,0200,00000SQUARE FEET 34990,B100000,00000,0300,00000GROSS SALARIES 34990,B100000,00000,0400,00000ACCUM COST 34990,B100000,00000,0500,00000SQUARE FEET 34990,B100000,00000,0600,00000100 PERCENT 34990,B100000,00000,0700,00000HOURS OF SERVICE 34990,B100000,00000,0800,00000100 PERCENT 34990,B100000,00000,0900,00000100 PERCENT 34990,B100000,00000,1000,00000COSTED REQUIS 34990,B100000,00000,1100,00000COSTED REQUIS 34990,B100000,00000,1200,00000TIME SPENT 34990,B100000,00000,1300,00000100 PERCENT 34990,B100000,00000,1350,00000100 PERCENT 34990,B100000,00000,1400,00000ASSIGNED TIME 34990,E10A180,00550,0300,06/28/2000 34990,S000000,00100,0200,06/07/2000 34990,S200000,00100,0100,28 BROADWAY 34990,S200000,00200,0100,MYSTIC 34990,S200000,00200,0200,CT 34990,S200000,00200,0300,06355 34990,S200000,00300,0100,NEW LONDON 34990,S200000,00400,0100,MARY ELIZABETH NURSING CTR. INC. 34990,S200000,00400,0200,075327 34990,S200000,00400,0300,01/01/1990 34990,S200000,00400,0500,P 34990,S200000,01900,0100,NON PROFIT CORP 34992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34992,A000000,00300,0000,00300EMPLOYEE BENEFITS 34992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34992,A000000,00700,0000,00700HOUSEKEEPING 34992,A000000,00800,0000,00800DIETARY 34992,A000000,00900,0000,00900NURSING ADMINISTRATION 34992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34992,A000000,01100,0000,01100PHARMACY 34992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34992,A000000,01300,0000,01300SOCIAL SERVICE 34992,A000000,01350,0000,01500RECREATION 34992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34992,A000000,01600,0000,01600SKILLED NURSING FACILITY 34992,A000000,01810,0000,01810ICF/MR 34992,A000000,02100,0000,02100RADIOLOGY 34992,A000000,02200,0000,02200LABORATORY 34992,A000000,02500,0000,02500PHYSICAL THERAPY 34992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34992,A000000,02700,0000,02700SPEECH PATHOLOGY 34992,A000000,02800,0000,02800ELECTROCARDIOLOGY 34992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34992,A000000,03200,0000,03200SUPPORT SURFACES 34992,A000000,03550,0000,03550FQHC 34992,A000000,05000,0000,05000CORF 34992,A000000,05010,0000,05010CMHC 34992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34992,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 34992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 34992,A81000A,00100,0100,Y 34992,A81000B,00100,0300,RENT 34992,A81000B,00200,0300,INTEREST 34992,A81000B,00300,0300,DEPREC @ 40 YR LIFE 34992,A81000B,00400,0300,CORP FEES 34992,A81000B,00500,0300,CORP ACCOUNTING FEES 34992,A81000B,00600,0300,CORP MANAGEMENT FEE 34992,A81000B,00700,0300,PHYCIATRIC CONSULT 34992,A81000C,00100,0100,A 34992,A81000C,00100,0200,BRIAN FOLEY 34992,A81000C,00100,0400,WATROUS REALTY 34992,A81000C,00100,0600,REAL ESTATE REN 34992,A81000C,00200,0100,A 34992,A81000C,00200,0200,BRIAN FOLEY 34992,A81000C,00200,0400,APPLE HEALTH CA 34992,A81000C,00200,0600,CORP MGT & ACCT 34992,A81000C,00300,0100,D 34992,A81000C,00300,0200,LISA WILSON FOL 34992,A81000C,00300,0400,MED OPTIONS 34992,A81000C,00300,0600,PHYSICATRIC SER 34992,B100000,00000,0100,00000SQUARE FEET 34992,B100000,00000,0200,00000SQUARE FEET 34992,B100000,00000,0300,00000GROSS SALARIES 34992,B100000,00000,0400,00000ACCUM COST 34992,B100000,00000,0500,00000SQUARE FEET 34992,B100000,00000,0600,00000100 PERCENT 34992,B100000,00000,0700,00000SQUARE FEET 34992,B100000,00000,0800,00000100% 34992,B100000,00000,0900,00000DIRECT NRSG HRS 34992,B100000,00000,1000,00000COSTED REQUIS 34992,B100000,00000,1100,00000COSTED REQUIS 34992,B100000,00000,1200,00000TIME SPENT 34992,B100000,00000,1300,00000100% 34992,B100000,00000,1350,00000100% 34992,B100000,00000,1400,00000ASSIGNED TIME 34992,S000000,00100,0200,05/31/2000 34992,S200000,00100,0100,9 NECK ROAD 34992,S200000,00100,0300,668 34992,S200000,00200,0100,MADISON 34992,S200000,00200,0200,CT 34992,S200000,00200,0300,06443 34992,S200000,00300,0100,NEW HAVEN 34992,S200000,00400,0100,WATROUS NURSING CENTER 34992,S200000,00400,0200,075328 34992,S200000,00400,0300,01/01/1990 34992,S200000,00400,0500,P 34992,S200000,01500,0100,Y 34997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 34997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 34997,A000000,00300,0000,00300EMPLOYEE BENEFITS 34997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 34997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 34997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 34997,A000000,00700,0000,00700HOUSEKEEPING 34997,A000000,00800,0000,00800DIETARY 34997,A000000,00900,0000,00900NURSING ADMINISTRATION 34997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 34997,A000000,01100,0000,01100PHARMACY 34997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 34997,A000000,01300,0000,01300SOCIAL SERVICE 34997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 34997,A000000,01600,0000,01600SKILLED NURSING FACILITY 34997,A000000,01810,0000,01810ICF/MR 34997,A000000,02500,0000,02500PHYSICAL THERAPY 34997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 34997,A000000,02700,0000,02700SPEECH PATHOLOGY 34997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 34997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 34997,A000000,03550,0000,03550FQHC 34997,A000000,05000,0000,05000CORF 34997,A000000,05010,0000,05010CMHC 34997,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 34997,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 34997,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 34997,A000000,05300,0000,05300INTEREST EXPENSE 34997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 34997,A000000,06150,0000,06300DENTAL 34997,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST CENT 34997,A81000A,00100,0100,Y 34997,A81000B,00100,0300,MANAGEMENT FEE 34997,A81000B,00200,0300,EMPLOYEE BENEFITS FOR MGMT FEE 34997,A81000B,00300,0300,LAUNDRY & LINEN SERVICE 34997,A81000B,00400,0300,EMPLOYEE PHYSICALS 34997,A81000C,00100,0100,E 34997,A81000C,00100,0200,THOMAS KENNEDY 34997,A81000C,00100,0400,BRISTOL HOSP. 34997,A81000C,00200,0100,E 34997,A81000C,00200,0200,JAMES MOYLAN 34997,A81000C,00200,0400,BRISTOL HOSP. 34997,A81000C,00300,0100,E 34997,A81000C,00300,0200,JOHN SMITH 34997,A81000C,00300,0400,BRISTOL HOSP. 34997,B100000,00000,0100,00001SQUARE FEET 34997,B100000,00000,0200,00001SQUARE FEET 34997,B100000,00000,0300,00001GROSS SALARY 34997,B100000,00000,0400,00001ACCUM. COST 34997,B100000,00000,0500,00001SQUARE FEET 34997,B100000,00000,0600,00001LBS OF LAUNDRY 34997,B100000,00000,0700,00001HSKPING HOURS 34997,B100000,00000,0800,00001#MEALS 34997,B100000,00000,0900,00001GROSS REVENUE 34997,B100000,00000,1000,00001BLANK 34997,B100000,00000,1100,00001PAT DAYS 34997,B100000,00000,1200,00001GROSS REVENUE 34997,B100000,00000,1300,00001TIME SPENT 34997,B100000,00000,1400,00001BLANK 34997,S000000,00100,0200,04/03/2000 34997,S200000,00100,0100,400 NORTH MAIN STREET 34997,S200000,00200,0100,BRISTOL 34997,S200000,00200,0200,CT 34997,S200000,00200,0300,06010 34997,S200000,00300,0100,HARTFORD 34997,S200000,00400,0100,INGRAHAM MANOR 34997,S200000,00400,0200,075329 34997,S200000,00400,0300,12/29/1989 34997,S200000,00400,0500,P 34997,S200000,01500,0100,Y 34997,S200000,01900,0100,CORPORATION 35002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35002,A000000,00300,0000,00300EMPLOYEE BENEFITS 35002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35002,A000000,00700,0000,00700HOUSEKEEPING 35002,A000000,00800,0000,00800DIETARY 35002,A000000,00900,0000,00900NURSING ADMINISTRATION 35002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35002,A000000,01100,0000,01100PHARMACY 35002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35002,A000000,01300,0000,01300SOCIAL SERVICE 35002,A000000,01350,0000,01500RECREATION 35002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35002,A000000,01600,0000,01600SKILLED NURSING FACILITY 35002,A000000,01810,0000,01810ICF/MR 35002,A000000,02100,0000,02100RADIOLOGY 35002,A000000,02200,0000,02200LABORATORY 35002,A000000,02500,0000,02500PHYSICAL THERAPY 35002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35002,A000000,02700,0000,02700SPEECH PATHOLOGY 35002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35002,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35002,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35002,A000000,03550,0000,03550FQHC 35002,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35002,A000000,05000,0000,05000CORF 35002,A000000,05010,0000,05010CMHC 35002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35002,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35002,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35002,A81000A,00100,0100,Y 35002,A81000B,00200,0300,MANAGEMENT FEES 35002,A81000B,00300,0300,A&G SALARIES 35002,A81000B,00400,0300,A&G FRINGE BENEFITS 35002,A81000B,00500,0300,MIS 35002,A81000B,00600,0300,EQUIPMENT LEASE 35002,A81000B,00700,0300,RENT 35002,A81000B,00800,0300,TELEPHONE 35002,A81000B,00900,0300,SUPPLIES 35002,A81000B,01000,0300,PROPERTY INS 35002,A81000B,01100,0300,CONTRACTED SERVICE 35002,A81000B,01200,0300,MISC EXPENSE 35002,A81000B,01300,0300,PHARMACY 35002,A81000C,00100,0100,B 35002,A81000C,00100,0200,3030 PARK HEALTH CENTER 35002,A81000C,00100,0600,NURSING HOME 35002,A81000C,00200,0100,B 35002,A81000C,00200,0200,INTER-CHURCH RESIDENCES 35002,B100000,00000,0100,00000SQUARE FEET 35002,B100000,00000,0200,00000SQUARE FEET 35002,B100000,00000,0300,00000GROSS SALARIES 35002,B100000,00000,0400,00000ACCUM. COST 35002,B100000,00000,0500,00000SQUARE FEET 35002,B100000,00000,0600,00000PATIENT DAYS 35002,B100000,00000,0700,00000SQUARE FEET 35002,B100000,00000,0800,00000MEALS SERVED 35002,B100000,00000,0900,00000PATIENT DAYS 35002,B100000,00000,1000,00000COSTED REQUIS 35002,B100000,00000,1100,00000COSTED REQUIS 35002,B100000,00000,1200,00000TIME SPENT 35002,B100000,00000,1300,00000TIME SPENT 35002,B100000,00000,1350,00000TIME SPENT 35002,B100000,00000,1400,00000ASSIGNED TIME 35002,S000000,00100,0200,06/05/2000 35002,S200000,00100,0100,118 JEFFERSON STREET 35002,S200000,00200,0100,FAIRFIELD 35002,S200000,00200,0200,CT 35002,S200000,00300,0100,FAIRFIELD 35002,S200000,00400,0100,3030 PARK FAIRFIELD HEALTH CENTER 35002,S200000,00400,0200,075330 35002,S200000,00400,0300,12/12/1989 35002,S200000,00400,0500,P 35002,S200000,01500,0100,Y 35002,S200000,01900,0100,NON PROFIT CORP 35006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35006,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35006,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35006,A000000,00300,0000,00300EMPLOYEE BENEFITS 35006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35006,A000000,00700,0000,00700HOUSEKEEPING 35006,A000000,00800,0000,00800DIETARY 35006,A000000,00801,0000,00801CAFETERIA 35006,A000000,00900,0000,00900NURSING ADMINISTRATION 35006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35006,A000000,01100,0000,01100PHARMACY 35006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35006,A000000,01300,0000,01300SOCIAL SERVICE 35006,A000000,01350,0000,01500ACTIVITIES 35006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35006,A000000,01600,0000,01600SKILLED NURSING FACILITY 35006,A000000,01800,0000,01800NURSING FACILITY 35006,A000000,01810,0000,01810ICF/MR 35006,A000000,02100,0000,02100RADIOLOGY 35006,A000000,02200,0000,02200LABORATORY 35006,A000000,02300,0000,02300INTRAVENOUS THERAPY 35006,A000000,02500,0000,02500PHYSICAL THERAPY 35006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35006,A000000,02700,0000,02700SPEECH PATHOLOGY 35006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35006,A000000,03050,0000,03300DME 35006,A000000,03051,0000,03301ORTHOTICS 35006,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 35006,A000000,03200,0000,03200SUPPORT SURFACES 35006,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35006,A000000,03550,0000,03550FQHC 35006,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35006,A000000,04800,0000,04800AMBULANCE 35006,A000000,05000,0000,05000CORF I 35006,A000000,05010,0000,05010CMHC I 35006,A000000,05020,0000,05020OPT I 35006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35006,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35006,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35006,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35006,A81000A,00100,0100,Y 35006,A81000B,00100,0300,HOME OFFICE ALLOCATION 35006,A81000B,00200,0300,THERACOR ACTUAL COSTS 35006,A81000B,00300,0300,THERACOR ACTUAL COSTS 35006,A81000B,00400,0300,THERACOR ACTUAL COSTS 35006,A81000C,00100,0100,B 35006,A81000C,00100,0200,HARBORSIDE 35006,A81000C,00200,0200,HEALTHCARE 35006,A81000C,00300,0200,LIMITED PSHIP 35006,A81000C,00300,0600,MANAGEMENT CO 35006,A81000C,00500,0100,B 35006,A81000C,00500,0200,HARBORSIDE 35006,A81000C,00600,0200,REHABILITITAION 35006,A81000C,00700,0200,LIMITED PSHIP 35006,A81000C,00700,0600,THERAPY 35006,A81000C,00800,0600,SERVICE AND 35006,A81000C,00900,0600,MANAGEMENT CO 35006,B100000,00000,0100,00000(SQUARE FEET) 35006,B100000,00000,0101,00000(SQUARE FEET) 35006,B100000,00000,0200,00000(SQUARE FEET) 35006,B100000,00000,0201,00000(SQUARE FEET) 35006,B100000,00000,0300,00000(GROSS SALARIES) 35006,B100000,00000,0400,00000(ACCUM. COST) 35006,B100000,00000,0500,00000(SQUARE FEET) 35006,B100000,00000,0600,00000(PATIENT DAYS) 35006,B100000,00000,0700,00000(SQUARE FEET) 35006,B100000,00000,0800,00000(MEALS SERVED) 35006,B100000,00000,0801,00000(MEALS SERVED) 35006,B100000,00000,0900,00000(NURSING SALARIES) 35006,B100000,00000,1000,00000(PATIENT DAYS) 35006,B100000,00000,1100,00000(PATIENT DAYS) 35006,B100000,00000,1200,00000(PATIENT DAYS) 35006,B100000,00000,1300,00000(PATIENT DAYS) 35006,B100000,00000,1350,00000(PATIENT DAYS) 35006,B100000,00000,1400,00000(ASSIGNED TIME) 35006,S000000,00100,0200,06/01/2000 35006,S200000,00100,0100,225 AMITY ROAD 35006,S200000,00200,0100,WOODBRIDGE 35006,S200000,00200,0200,CT 35006,S200000,00200,0300,06525 35006,S200000,00300,0100,NEW HAVEN 35006,S200000,00400,0100,HHC - WILLOWS 35006,S200000,00400,0200,075331 35006,S200000,00400,0300,02/26/1990 35006,S200000,00400,0500,P 35006,S200000,00600,0200,075331 35006,S200000,00600,0300,02/26/1990 35006,S200000,00600,0600,P 35006,S200000,01600,0100,Y 35006,S200000,01900,0100,CCRC 35006,S200000,02200,0100,Y 35006,S200000,04700,0100,Y 35006,S200000,04700,0200,Y 35010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35010,A000000,00300,0000,00300EMPLOYEE BENEFITS 35010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35010,A000000,00700,0000,00700HOUSEKEEPING 35010,A000000,00800,0000,00800DIETARY 35010,A000000,00900,0000,00900NURSING ADMINISTRATION 35010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35010,A000000,01100,0000,01100PHARMACY 35010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35010,A000000,01300,0000,01300SOCIAL SERVICE 35010,A000000,01350,0000,01500PATIENT ACTIVITIES 35010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35010,A000000,01600,0000,01600SKILLED NURSING FACILITY 35010,A000000,01800,0000,01800NURSING FACILITY 35010,A000000,01810,0000,01810ICF/MR 35010,A000000,02200,0000,02200LABORATORY 35010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35010,A000000,02500,0000,02500PHYSICAL THERAPY 35010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35010,A000000,02700,0000,02700SPEECH PATHOLOGY 35010,A000000,02800,0000,02800ELECTROCARDIOLOGY 35010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35010,A000000,03550,0000,03550FQHC 35010,A000000,04800,0000,04800AMBULANCE 35010,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35010,A000000,05010,0000,05010CMHC 35010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35010,A000000,05300,0000,05300INTEREST EXPENSE 35010,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35010,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35010,A000000,06200,0000,06200PATIENTS LAUNDRY 35010,A81000A,00100,0100,Y 35010,A81000B,00100,0300,MANAGEMENT FEES 35010,A81000B,00200,0300,HERITAGE FEES 35010,A81000C,00100,0100,A 35010,A81000C,00100,0200,LAWRENCE SANTIL 35010,A81000C,00100,0400,ATHENA HEALTH 35010,A81000C,00100,0600,MANAGEMENT CO 35010,A81000C,00200,0100,A 35010,A81000C,00200,0200,JANICE SANTILLI 35010,A81000C,00200,0400,ATHENA HEALTH 35010,A81000C,00200,0600,MANAGEMENT CO 35010,A81000C,00300,0100,A 35010,A81000C,00300,0200,ANNE MARIE MURR 35010,A81000C,00300,0400,ATHENA HEALTH 35010,A81000C,00300,0600,MANAGEMENT CO 35010,A81000C,00400,0100,A 35010,A81000C,00400,0200,MICHAEL ZACCARO 35010,A81000C,00400,0400,ATHENA HEALTH 35010,A81000C,00400,0600,MANAGEMENT CO 35010,A81000C,00500,0100,A 35010,A81000C,00500,0200,EDWARD JAMELE 35010,A81000C,00500,0400,ATHENA HEALTH 35010,A81000C,00500,0600,MANAGEMENT CO 35010,A81000C,00600,0100,A 35010,A81000C,00600,0200,SANTILLI CUSTOD 35010,A81000C,00600,0400,ATHENA HEALTH 35010,A81000C,00600,0600,MANAGEMENT CO 35010,A81000C,00700,0100,A 35010,A81000C,00700,0200,WILLIAM THOMAS 35010,A81000C,00800,0100,A 35010,A81000C,00800,0200,JOSEPH COLACI 35010,A81000C,00900,0100,A 35010,A81000C,00900,0200,RUSSELL SCHWART 35010,B100000,00000,0100,00000(SQUARE FEET) 35010,B100000,00000,0200,00000(SQUARE FEET) 35010,B100000,00000,0300,00000(GROSS SALARIES) 35010,B100000,00000,0400,00000(ACCUM COST) 35010,B100000,00000,0500,00000(SQUARE FEET) 35010,B100000,00000,0600,00000PATIENT DAYS 35010,B100000,00000,0700,00000SQUARE FEET 35010,B100000,00000,0800,00000PATIENT DAYS 35010,B100000,00000,0900,00000PATIENT DAYS 35010,B100000,00000,1000,00000(COSTED REQUIS) 35010,B100000,00000,1100,00000PATIENT DAYS 35010,B100000,00000,1200,00000PATIENT DAYS 35010,B100000,00000,1300,00000PATIENT DAYS 35010,B100000,00000,1350,00000PATIENT DAYS 35010,B100000,00000,1400,00000(ASSIGNED TIME) 35010,S000000,00100,0200,05/31/2000 35010,S200000,00100,0100,1360 TORRINGFORD STREET 35010,S200000,00200,0100,TORRINGTON 35010,S200000,00200,0200,CT 35010,S200000,00200,0300,06790 35010,S200000,00300,0100,LITCHFIELD 35010,S200000,00400,0100,VALERIE MANOR HEALTH CARE CTR 35010,S200000,00400,0200,075332 35010,S200000,00400,0300,02/01/1990 35010,S200000,00400,0500,P 35010,S200000,00400,0600,O 35010,S200000,00600,0200,075332 35010,S200000,00600,0300,02/01/1990 35010,S200000,00600,0600,P 35010,S200000,01600,0100,Y 35010,S200000,04700,0100,Y 35010,S200000,04900,0100,Y 35023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35023,A000000,00300,0000,00300EMPLOYEE BENEFITS 35023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35023,A000000,00700,0000,00700HOUSEKEEPING 35023,A000000,00800,0000,00800DIETARY 35023,A000000,00900,0000,00900NURSING ADMINISTRATION 35023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35023,A000000,01100,0000,01100PHARMACY 35023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35023,A000000,01300,0000,01300SOCIAL SERVICE 35023,A000000,01350,0000,01500RECREATION 35023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35023,A000000,01600,0000,01600SKILLED NURSING FACILITY 35023,A000000,01800,0000,01800NURSING FACILITY 35023,A000000,01810,0000,01810ICF/MR 35023,A000000,02100,0000,02100RADIOLOGY 35023,A000000,02200,0000,02200LABORATORY 35023,A000000,02300,0000,02300INTRAVENOUS THERAPY 35023,A000000,02500,0000,02500PHYSICAL THERAPY 35023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35023,A000000,02700,0000,02700SPEECH PATHOLOGY 35023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35023,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35023,A000000,03550,0000,03550FQHC 35023,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35023,A000000,05000,0000,05000CORF 35023,A000000,05010,0000,05010CMHC 35023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35023,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35023,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35023,A81000A,00100,0100,Y 35023,A81000B,00100,0300,HOME OFFICE EXPENSE 35023,A81000B,00200,0300,MANAGEMENT FEE 35023,A81000B,00300,0300,LAB FEES 35023,A81000B,00400,0300,PT FEES 35023,A81000B,00500,0300,OT FEES 35023,A81000B,00600,0300,ST FEES 35023,A81000B,00700,0300,DIETICIAN CONSULTANT 35023,A81000B,00800,0300,MEDICAL DIRECTOR 35023,A81000C,00100,0100,B 35023,A81000C,00100,0400,BRADLEY MEMORIAL HOSPITAL 35023,A81000C,00100,0600,HOME OFFICE 35023,A81000C,00200,0100,B 35023,A81000C,00200,0400,CTRL CT HEALTH ALLIANCE 35023,A81000C,00200,0600,MANAGMENT COMPANY 35023,A81000C,00300,0100,B 35023,A81000C,00300,0400,CTRL CT SPORTS MEDICINE 35023,A81000C,00300,0600,THERAPY COMPANY 35023,A81000C,00400,0100,B 35023,A81000C,00400,0400,BRADLEY MEM HOS LAB 35023,A81000C,00400,0600,HOSPITAL LAB SERVICES 35023,A81000C,00500,0100,B 35023,A81000C,00500,0400,BRADLEY MEMORIAL HOPSITAL 35023,A81000C,00500,0600,DIETICIAN CONSULTING 35023,A81000C,00600,0200,DR JAMES MERTZ 35023,A81000C,00600,0600,MEDICAL DIRECTOR 35023,B100000,00000,0100,00000SQUARE FEET 35023,B100000,00000,0200,00000SQUARE FEET 35023,B100000,00000,0300,00000GROSS SALARIES 35023,B100000,00000,0400,00000ACCUM. COST 35023,B100000,00000,0500,00000SQUARE FEET 35023,B100000,00000,0600,00000PATIENT DAYS 35023,B100000,00000,0700,00000SQUARE FEET 35023,B100000,00000,0800,00000MEALS SERVED 35023,B100000,00000,0900,00000PATIENT DAYS 35023,B100000,00000,1000,00000PATIENT DAYS 35023,B100000,00000,1100,00000PATIENT DAYS 35023,B100000,00000,1200,00000PATIENT DAYS 35023,B100000,00000,1300,00000PATIENT DAYS 35023,B100000,00000,1350,00000PATIENT DAYS 35023,B100000,00000,1400,00000NO STATISTICS 35023,S000000,00100,0200,06/16/2000 35023,S200000,00100,0100,45 MERIDEN AVENUE 35023,S200000,00200,0100,SOUTHINGTON 35023,S200000,00200,0200,CT 35023,S200000,00300,0100,HARTFORD 35023,S200000,00400,0100,SOUTHINGTON CARE CENTER 35023,S200000,00400,0200,075336 35023,S200000,00400,0300,04/10/1990 35023,S200000,00400,0500,P 35023,S200000,00600,0200,075336 35023,S200000,00600,0300,04/10/1990 35023,S200000,00600,0600,P 35023,S200000,01600,0100,Y 35027,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35027,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35027,A000000,00300,0000,00300EMPLOYEE BENEFITS 35027,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35027,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35027,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35027,A000000,00700,0000,00700HOUSEKEEPING 35027,A000000,00800,0000,00800DIETARY 35027,A000000,00900,0000,00900NURSING ADMINISTRATION 35027,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35027,A000000,01100,0000,01100PHARMACY 35027,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35027,A000000,01300,0000,01300SOCIAL SERVICE 35027,A000000,01350,0000,01500RECREATION 35027,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35027,A000000,01600,0000,01600SKILLED NURSING FACILITY 35027,A000000,01800,0000,01800NURSING FACILITY 35027,A000000,01810,0000,01810ICF/MR 35027,A000000,02100,0000,02100RADIOLOGY 35027,A000000,02200,0000,02200LABORATORY 35027,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35027,A000000,02500,0000,02500PHYSICAL THERAPY 35027,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35027,A000000,02700,0000,02700SPEECH PATHOLOGY 35027,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35027,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35027,A000000,03050,0000,03300OTHER THERAPUTIC 35027,A000000,03550,0000,03550FQHC 35027,A000000,05000,0000,05000CORF 35027,A000000,05010,0000,05010CMHC 35027,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35027,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35027,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35027,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35027,A81000A,00100,0100,Y 35027,A81000B,00100,0300,HOME OFFICE 35027,A81000B,00300,0300,HOME OFFICE 35027,A81000B,00400,0300,REALTY 35027,A81000B,00500,0300,REALTY 35027,A81000B,00600,0300,REALTY 35027,A81000C,00100,0100,A 35027,A81000C,00100,0400,OLYMPUS H/C GRO 35027,A81000C,00100,0600,OWN/MNG FACILIT 35027,A81000C,00200,0100,A 35027,A81000C,00200,0400,OLYMPUS H/C GRO 35027,A81000C,00200,0600,OWN/MNG FACILIT 35027,A81000C,00300,0100,A 35027,A81000C,00300,0400,OLYMPUS H/C GRO 35027,A81000C,00300,0600,OWN/MNG FACILIT 35027,A81000C,00400,0100,B 35027,A81000C,00400,0200,DANIEL J. KANE 35027,A81000C,00400,0400,LAHAINA REALTY 35027,A81000C,00400,0600,REALTY EXPENSE 35027,A81000C,00500,0100,B 35027,A81000C,00500,0200,DANIEL J. KANE 35027,A81000C,00500,0400,LAHAINA REALTY 35027,A81000C,00500,0600,REALTY EXPENSE 35027,A81000C,00600,0100,B 35027,A81000C,00600,0200,DANIEL J. KANE 35027,A81000C,00600,0400,LAHAINA REALTY 35027,A81000C,00600,0600,REALTY EXPENSE 35027,A81000C,00800,0200,SEE HCFA FORM 3 35027,A81000C,00900,0200,A-8-5 FOR OTHER 35027,A81000C,01000,0200,RELATED PARTY 35027,A81000C,01100,0200,TRANSACTIONS 35027,B100000,00000,0100,00000SQUARE FEET 35027,B100000,00000,0200,00000SQUARE FEET 35027,B100000,00000,0300,00000GROSS SALARIES 35027,B100000,00000,0400,00000ACCUM COST 35027,B100000,00000,0500,00000SQUARE FEET 35027,B100000,00000,0600,00000RESIDENT DAYS 35027,B100000,00000,0700,00000SQUARE FEET 35027,B100000,00000,0800,00000MEALS SERVED 35027,B100000,00000,0900,00000RESIDENT DAYS 35027,B100000,00000,1000,00000RESIDENT DAYS 35027,B100000,00000,1100,00000RESIDENT DAYS 35027,B100000,00000,1200,00000RESIDENT DAYS 35027,B100000,00000,1300,00000RESIDENT DAYS 35027,B100000,00000,1350,00000RESIDENT DAYS 35027,B100000,00000,1400,00000ASSIGNED TIME 35027,S000000,00100,0200,05/30/2000 35027,S200000,00100,0100,33 ROY STREET 35027,S200000,00200,0100,MERIDEN 35027,S200000,00200,0200,CT 35027,S200000,00200,0300,06450 35027,S200000,00400,0100,OLYMPUS H/C CTR. - MERIDEN 35027,S200000,00400,0200,075337 35027,S200000,00400,0300,04/01/1991 35027,S200000,00400,0500,P 35027,S200000,00400,0600,O 35027,S200000,00600,0200,075337 35027,S200000,00600,0300,04/01/1991 35027,S200000,00600,0600,P 35027,S200000,01500,0100,Y 35027,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35027,S200000,02200,0100,Y 35031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35031,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35031,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35031,A000000,00300,0000,00300EMPLOYEE BENEFITS 35031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35031,A000000,00700,0000,00700HOUSEKEEPING 35031,A000000,00800,0000,00800DIETARY 35031,A000000,00801,0000,00801CAFETERIA 35031,A000000,00900,0000,00900NURSING ADMINISTRATION 35031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35031,A000000,01100,0000,01100PHARMACY 35031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35031,A000000,01300,0000,01300SOCIAL SERVICE 35031,A000000,01350,0000,01500ACTIVITIES 35031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35031,A000000,01600,0000,01600SKILLED NURSING FACILITY 35031,A000000,01800,0000,01800NURSING FACILITY 35031,A000000,01810,0000,01810ICF/MR 35031,A000000,02100,0000,02100RADIOLOGY 35031,A000000,02200,0000,02200LABORATORY 35031,A000000,02300,0000,02300INTRAVENOUS THERAPY 35031,A000000,02500,0000,02500PHYSICAL THERAPY 35031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35031,A000000,02700,0000,02700SPEECH PATHOLOGY 35031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35031,A000000,03050,0000,03300DME 35031,A000000,03051,0000,03301ORTHOTICS 35031,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 35031,A000000,03200,0000,03200SUPPORT SURFACES 35031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35031,A000000,03550,0000,03550FQHC 35031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35031,A000000,04800,0000,04800AMBULANCE 35031,A000000,05000,0000,05000CORF I 35031,A000000,05010,0000,05010CMHC I 35031,A000000,05020,0000,05020OPT I 35031,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35031,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35031,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35031,A81000A,00100,0100,Y 35031,A81000B,00100,0300,HOME OFFICE ALLOCATION 35031,A81000B,00200,0300,THERACOR ACTUAL COSTS 35031,A81000B,00300,0300,THERACOR ACTUAL COSTS 35031,A81000B,00400,0300,THERACOR ACTUAL COSTS 35031,A81000C,00100,0100,B 35031,A81000C,00100,0200,HARBORSIDE 35031,A81000C,00200,0200,HEALTHCARE 35031,A81000C,00300,0200,LIMITED PSHIP 35031,A81000C,00300,0600,MANAGEMENT CO 35031,A81000C,00500,0100,B 35031,A81000C,00500,0200,HARBORSIDE 35031,A81000C,00600,0200,REHABILITITAION 35031,A81000C,00700,0200,LIMITED PSHIP 35031,A81000C,00700,0600,THERAPY 35031,A81000C,00800,0600,SERVICE AND 35031,A81000C,00900,0600,MANAGEMENT CO 35031,B100000,00000,0100,00000(SQUARE FEET) 35031,B100000,00000,0101,00000(SQUARE FEET) 35031,B100000,00000,0200,00000(SQUARE FEET) 35031,B100000,00000,0201,00000(SQUARE FEET) 35031,B100000,00000,0300,00000(GROSS SALARIES) 35031,B100000,00000,0400,00000(ACCUM. COST) 35031,B100000,00000,0500,00000(SQUARE FEET) 35031,B100000,00000,0600,00000(PATIENT DAYS) 35031,B100000,00000,0700,00000(SQUARE FEET) 35031,B100000,00000,0800,00000(MEALS SERVED) 35031,B100000,00000,0801,00000(MEALS SERVED) 35031,B100000,00000,0900,00000(NURSING SALARIES) 35031,B100000,00000,1000,00000(PATIENT DAYS) 35031,B100000,00000,1100,00000(PATIENT DAYS) 35031,B100000,00000,1200,00000(PATIENT DAYS) 35031,B100000,00000,1300,00000(PATIENT DAYS) 35031,B100000,00000,1350,00000(PATIENT DAYS) 35031,B100000,00000,1400,00000(ASSIGNED TIME) 35031,S000000,00100,0200,06/01/2000 35031,S200000,00100,0100,36 FIRETOWN RD 35031,S200000,00200,0100,SIMSBURY 35031,S200000,00200,0200,CT 35031,S200000,00200,0300,06070 35031,S200000,00300,0100,HARTFORD 35031,S200000,00400,0100,HHC - GOVERNORS HOUSE 35031,S200000,00400,0200,075338 35031,S200000,00400,0300,07/25/1990 35031,S200000,00400,0500,P 35031,S200000,00600,0200,075338 35031,S200000,00600,0300,07/25/1990 35031,S200000,00600,0600,P 35031,S200000,01600,0100,Y 35031,S200000,01900,0100,CCRC 35031,S200000,02200,0100,Y 35031,S200000,04700,0100,Y 35031,S200000,04700,0200,Y 35035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35035,A000000,00300,0000,00300EMPLOYEE BENEFITS 35035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35035,A000000,00700,0000,00700HOUSEKEEPING 35035,A000000,00800,0000,00800DIETARY 35035,A000000,00900,0000,00900NURSING ADMINISTRATION 35035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35035,A000000,01100,0000,01100PHARMACY 35035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35035,A000000,01300,0000,01300SOCIAL SERVICE 35035,A000000,01350,0000,01500RECREATION SERVICES 35035,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35035,A000000,01600,0000,01600SKILLED NURSING FACILITY 35035,A000000,01810,0000,01810ICF/MR 35035,A000000,02100,0000,02100RADIOLOGY 35035,A000000,02200,0000,02200LABORATORY 35035,A000000,02300,0000,02300INTRAVENOUS THERAPY 35035,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35035,A000000,02500,0000,02500PHYSICAL THERAPY 35035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35035,A000000,02700,0000,02700SPEECH PATHOLOGY 35035,A000000,02800,0000,02800ELECTROCARDIOLOGY 35035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35035,A000000,03550,0000,03550FQHC 35035,A000000,04800,0000,04800AMBULANCE 35035,A000000,05000,0000,05000CORF 35035,A000000,05010,0000,05010CMHC 35035,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35035,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35035,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35035,A000000,05300,0000,05300INTEREST EXPENSE 35035,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35035,A81000A,00100,0100,Y 35035,A81000B,00100,0300,MANAGEMENT FEE 35035,A81000B,00200,0300,RENT 35035,A81000B,00300,0300,MANAGEMENT FEE 35035,A81000B,00400,0300,MANAGEMENT FEE 35035,A81000B,00500,0300,INTEREST 35035,A81000B,00600,0300,DEPRECIATION 35035,A81000C,00100,0100,A 35035,A81000C,00100,0200,M. SBRIGLIO 35035,A81000C,00100,0600,REAL ESTATE REN 35035,A81000C,00300,0100,A 35035,A81000C,00300,0200,ROBERT SBRIGLIO 35035,A81000C,00300,0600,REAL ESTATE REN 35035,B100000,00000,0100,00000SQUARE FEET 35035,B100000,00000,0200,00000SQUARE FEET 35035,B100000,00000,0300,00000GROSS SALARIES 35035,B100000,00000,0400,00000ACCUM COST 35035,B100000,00000,0500,00000SQUARE FEET 35035,B100000,00000,0600,00000PATIENT DAYS 35035,B100000,00000,0700,00000SQUARE FEET 35035,B100000,00000,0800,00000PATIENT DAYS 35035,B100000,00000,0900,00000PATIENT DAYS 35035,B100000,00000,1000,00000PATIENT DAYS 35035,B100000,00000,1100,00000PATIENT DAYS 35035,B100000,00000,1200,00000PATIENT DAYS 35035,B100000,00000,1300,00000PATIENT DAYS 35035,B100000,00000,1350,00000PATIENT DAYS 35035,B100000,00000,1400,00000PATIENT DAYS 35035,S000000,00100,0200,06/14/2000 35035,S200000,00100,0100,7003 MAIN STREET 35035,S200000,00200,0100,STRATFORD 35035,S200000,00200,0200,CT 35035,S200000,00200,0300,06497 35035,S200000,00300,0100,FAIRFIELD 35035,S200000,00400,0100,LORD CHAMBERLAIN INC. 35035,S200000,00400,0200,075339 35035,S200000,00400,0300,09/17/1990 35035,S200000,00400,0500,P 35035,S200000,01500,0100,Y 35035,S200000,01900,0100,NON PROFIT CORP 35037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35037,A000000,00300,0000,00300EMPLOYEE BENEFITS 35037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35037,A000000,00700,0000,00700HOUSEKEEPING 35037,A000000,00800,0000,00800DIETARY 35037,A000000,00900,0000,00900NURSING ADMINISTRATION 35037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35037,A000000,01100,0000,01100PHARMACY 35037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35037,A000000,01300,0000,01300SOCIAL SERVICE 35037,A000000,01350,0000,01500RECREATION 35037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35037,A000000,01600,0000,01600SKILLED NURSING FACILITY 35037,A000000,01810,0000,01810ICF/MR 35037,A000000,02500,0000,02500PHYSICAL THERAPY 35037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35037,A000000,02700,0000,02700SPEECH PATHOLOGY 35037,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 35037,A000000,05000,0000,05000CORF 35037,A000000,05010,0000,05010CMHC 35037,A000000,05020,0000,05020OPT 35037,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35037,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35037,A81000A,00100,0100,Y 35037,A81000B,00100,0300,RENT 35037,A81000C,00100,0100,A 35037,B100000,00000,0100,00040(SQUARE FEET) 35037,B100000,00000,0200,00040(SQUARE FEET) 35037,B100000,00000,0300,00040(GROSS SALARIES) 35037,B100000,00000,0400,00040(ACCUM COST) 35037,B100000,00000,0500,00040(SQUARE FEET) 35037,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 35037,B100000,00000,0700,00040(HOURS OF SERVICE) 35037,B100000,00000,0800,00040(MEALS SERVED) 35037,B100000,00000,0900,00040(DIR NRSG HOURS) 35037,B100000,00000,1000,00040(COSTED REQUIS) 35037,B100000,00000,1100,00040(COSTED REQUIS) 35037,B100000,00000,1200,00040(TIME SPENT) 35037,B100000,00000,1300,00040(TIME SPENT) 35037,B100000,00000,1350,00040TIME SPENT 35037,B100000,00000,1400,00040(ASSIGNED TIME) 35037,S000000,00100,0200,10/12/2000 35037,S200000,00100,0100,560 WOODBURY ROAD 35037,S200000,00200,0100,WATERTOWN 35037,S200000,00200,0200,CT 35037,S200000,00200,0300,06795 35037,S200000,00300,0100,LITCHFIELD 35037,S200000,00400,0100,MVM INC. - DBA WATERTOWN CONVA 35037,S200000,00400,0200,075340 35037,S200000,00400,0300,07/01/1966 35037,S200000,00400,0500,P 35037,S200000,00400,0600,O 35037,S200000,01500,0100,Y 35037,S200000,01900,0100,CCRC 35040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35040,A000000,00300,0000,00300EMPLOYEE BENEFITS 35040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35040,A000000,00700,0000,00700HOUSEKEEPING 35040,A000000,00800,0000,00800DIETARY 35040,A000000,00900,0000,00900NURSING ADMINISTRATION 35040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35040,A000000,01100,0000,01100PHARMACY 35040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35040,A000000,01300,0000,01300SOCIAL SERVICE 35040,A000000,01301,0000,01301ACTIVITES 35040,A000000,01350,0000,01500REHABILITATION 35040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35040,A000000,01600,0000,01600SKILLED NURSING FACILITY 35040,A000000,01800,0000,01800NURSING FACILITY 35040,A000000,01810,0000,01810ICF/MR 35040,A000000,02100,0000,02100RADIOLOGY 35040,A000000,02200,0000,02200LABORATORY 35040,A000000,02300,0000,02300INTRAVENOUS THERAPY 35040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35040,A000000,02500,0000,02500PHYSICAL THERAPY 35040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35040,A000000,02700,0000,02700SPEECH PATHOLOGY 35040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35040,A000000,03050,0000,03300EQUIPMENT RENTAL 35040,A000000,03051,0000,03301PEN THERAPY 35040,A000000,03550,0000,03550FQHC 35040,A000000,05000,0000,05000CORF 35040,A000000,05010,0000,05010CMHC 35040,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35040,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35040,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35040,A000000,05300,0000,05300INTEREST EXPENSE 35040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35040,A000000,06150,0000,06300VENDING 35040,A000000,06151,0000,06301STAND-BY 35040,A81000A,00100,0100,Y 35040,A81000B,00100,0300,HOME OFFICE COST 35040,A81000B,00200,0300,DIETARY SUPPLEMENTS 35040,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35040,A81000B,00400,0300,PRESCRIPTION DRUGS 35040,A81000B,00500,0300,MEDICAL SUPPLIES 35040,A81000B,00600,0300,ADMIN COSTS 35040,A81000B,00700,0300,HOME OFFICE INTEREST 35040,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35040,A81000B,00900,0300,IV THERAPY 35040,A81000B,01000,0300,THERAPY CONSULTING 35040,A81000B,01100,0300,PHYSICAL THERAPY 35040,A81000B,01200,0300,OCCUPATIONAL THERAPY 35040,A81000B,01300,0300,SPEECH THERAPY 35040,A81000B,01400,0300,ANC EQUIP RENTAL 35040,A81000B,01500,0300,DURABLE MEDICAL EQUIP 35040,A81000C,00100,0100,B 35040,A81000C,00100,0200,MH AT PENDLETON 35040,A81000C,00100,0400,MARINER PAN 35040,A81000C,00100,0600,NURSING HOMES 35040,A81000C,00200,0100,G 35040,A81000C,00200,0200,MARINER PAN 35040,A81000C,00200,0400,AMER PHARM SVCS 35040,A81000C,00200,0600,PHARMACEUTICALS 35040,A81000C,00300,0100,G 35040,A81000C,00300,0200,MARINER PAN 35040,A81000C,00300,0400,PRISM-ATS-ARS-T 35040,A81000C,00300,0600,THERAPIES 35040,A81000C,00400,0100,G 35040,A81000C,00400,0200,MARINER REHAB 35040,A81000C,00400,0400,MARINER REHAB 35040,A81000C,00400,0600,CONTRACT SERVIC 35040,B100000,00000,0100,00001SQUARE FEET 35040,B100000,00000,0200,00001SQUARE FEET 35040,B100000,00000,0300,00001GROSS SALARIES 35040,B100000,00000,0400,00001ACCUM COST 35040,B100000,00000,0500,00001SQUARE FEET 35040,B100000,00000,0600,00001PATIENT DAYS 35040,B100000,00000,0700,00001SQUARE FEET 35040,B100000,00000,0800,00001MEALS SERVED 35040,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35040,B100000,00000,1000,00001PATIENT DAYS 35040,B100000,00000,1100,00001COSTED REQUIS 35040,B100000,00000,1200,00001PATIENT DAYS 35040,B100000,00000,1300,00001PATIENT DAYS 35040,B100000,00000,1301,00001PATIENT DAYS 35040,B100000,00000,1350,00001UNITS OF SERVICE 35040,B100000,00000,1400,00001ASSIGNED TIME 35040,S000000,00100,0200,06/02/2000 35040,S200000,00100,0100,44 MARITIME DRIVE 35040,S200000,00200,0100,MYSTIC 35040,S200000,00200,0200,CT 35040,S200000,00200,0300,06355 35040,S200000,00300,0100,NEW LONDON 35040,S200000,00400,0100,MARINER HEALTH AT PENDLETON 35040,S200000,00400,0200,075341 35040,S200000,00400,0300,02/20/1991 35040,S200000,00400,0500,P 35040,S200000,01600,0100,Y 35040,S200000,02200,0100,Y 35043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35043,A000000,00300,0000,00300EMPLOYEE BENEFITS 35043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35043,A000000,00700,0000,00700HOUSEKEEPING 35043,A000000,00800,0000,00800DIETARY 35043,A000000,00900,0000,00900NURSING ADMINISTRATION 35043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35043,A000000,01100,0000,01100PHARMACY 35043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35043,A000000,01300,0000,01300SOCIAL SERVICE 35043,A000000,01350,0000,01500RECREATION 35043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35043,A000000,01600,0000,01600SKILLED NURSING FACILITY 35043,A000000,01800,0000,01800NURSING FACILITY 35043,A000000,01810,0000,01810ICF/MR 35043,A000000,01900,0000,01900OTHER LONG TERM CARE 35043,A000000,02100,0000,02100RADIOLOGY 35043,A000000,02200,0000,02200LABORATORY 35043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35043,A000000,02500,0000,02500PHYSICAL THERAPY 35043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35043,A000000,02700,0000,02700SPEECH PATHOLOGY 35043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35043,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35043,A000000,03550,0000,03550FQHC 35043,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35043,A000000,05000,0000,05000CORF 35043,A000000,05010,0000,05010CMHC 35043,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35043,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35043,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35043,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35043,A81000A,00100,0100,Y 35043,A81000B,00100,0300,MANAGEMENT FEE 35043,A81000B,00200,0300,MANAGEMENT OVERSIGHT 35043,A81000B,00300,0300,PT FEES 35043,A81000B,00400,0300,OT FEES 35043,A81000B,00500,0300,ST FEES 35043,A81000B,00600,0300,ACCOUNTING 35043,A81000C,00100,0100,E 35043,A81000C,00100,0400,BRADLEY MEMORIAL HOSP 35043,A81000C,00100,0600,MANAGEMENT CONTRACT 35043,A81000C,00200,0100,B 35043,A81000C,00200,0400,CENTRAL CT HEALTH ALLIANC 35043,A81000C,00200,0600,MANAGEMENT FEE 35043,A81000C,00300,0100,B 35043,A81000C,00300,0400,CENTRAL CT SPORTS MEDICIN 35043,A81000C,00300,0600,THERAPY SERVICES 35043,A81000C,00400,0100,E 35043,A81000C,00400,0400,SOUTHINGTON CARE 35043,A81000C,00400,0600,ACCOUNTING SERVICES 35043,B100000,00000,0100,00000SQUARE FEET 35043,B100000,00000,0200,00000SQUARE FEET 35043,B100000,00000,0300,00000GROSS SALARIES 35043,B100000,00000,0400,00000ACCUM. COST 35043,B100000,00000,0500,00000SQUARE FEET 35043,B100000,00000,0600,00000POUNDS OF LAUNDRY 35043,B100000,00000,0700,00000SQUARE FEET 35043,B100000,00000,0800,00000MEALS SERVED 35043,B100000,00000,0900,00000DIRECT NRG HOURS 35043,B100000,00000,1000,00000PATIENT DAYS 35043,B100000,00000,1100,00000PATIENT DAYS 35043,B100000,00000,1200,00000PATIENT DAYS 35043,B100000,00000,1300,00000PATIENT DAYS 35043,B100000,00000,1350,00000PATIENT DAYS 35043,B100000,00000,1400,00000PATIENT DAYS 35043,S000000,00100,0200,06/27/2000 35043,S200000,00100,0100,975 CORBIN AVENUE 35043,S200000,00200,0100,NEW BRITAIN 35043,S200000,00200,0200,CT 35043,S200000,00300,0100,HARTFORD 35043,S200000,00400,0100,THE JEROME HOME 35043,S200000,00400,0200,075343 35043,S200000,00400,0300,11/06/1990 35043,S200000,00400,0500,P 35043,S200000,00600,0200,075343 35043,S200000,00600,0300,11/06/1990 35043,S200000,00600,0600,P 35043,S200000,01600,0100,Y 35043,S200000,01900,0100,NON PROFIT CORP 35046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35046,A000000,00300,0000,00300EMPLOYEE BENEFITS 35046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35046,A000000,00700,0000,00700HOUSEKEEPING 35046,A000000,00800,0000,00800DIETARY 35046,A000000,00900,0000,00900NURSING ADMINISTRATION 35046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35046,A000000,01100,0000,01100PHARMACY 35046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35046,A000000,01300,0000,01300SOCIAL SERVICE 35046,A000000,01350,0000,01500RECREATION 35046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35046,A000000,01600,0000,01600SKILLED NURSING FACILITY 35046,A000000,01810,0000,01810ICF/MR 35046,A000000,01900,0000,01900OTHER LONG TERM CARE 35046,A000000,02100,0000,02100RADIOLOGY 35046,A000000,02200,0000,02200LABORATORY 35046,A000000,02500,0000,02500PHYSICAL THERAPY 35046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35046,A000000,02700,0000,02700SPEECH PATHOLOGY 35046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35046,A000000,03550,0000,03550FQHC 35046,A000000,05000,0000,05000CORF 35046,A000000,05010,0000,05010CMHC 35046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35046,A000000,05300,0000,05300INTEREST EXPENSE 35046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35046,A81000A,00100,0100,Y 35046,A81000B,00100,0300,RENT 35046,A81000B,00200,0300,INTEREST 35046,A81000B,00300,0300,DEPRECIATION 35046,A81000B,00400,0300,CORP FEES 35046,A81000B,00500,0300,CORP ACCT FEES 35046,A81000B,00600,0300,CORP MANAGE FEES 35046,A81000B,00700,0300,NURSING POOLS 35046,A81000B,00800,0300,PSYCHIATRIC SERVICES 35046,A81000C,00100,0100,A 35046,A81000C,00100,0200,BRIAN J. FOLEY 35046,A81000C,00100,0400,COCCOMO REALTY 35046,A81000C,00100,0600,REAL ESTATE REN 35046,A81000C,00200,0100,A 35046,A81000C,00200,0200,BRIAN J. FOLEY 35046,A81000C,00200,0400,APPLE HEALTH CA 35046,A81000C,00200,0600,CORP ACCT MANA 35046,A81000C,00300,0100,A 35046,A81000C,00300,0200,BRIAN J. FOLEY 35046,A81000C,00300,0400,EMPLOYEE SHARE 35046,A81000C,00300,0600,NURSING POOL 35046,A81000C,00400,0100,D 35046,A81000C,00400,0200,LISA WILSON FOL 35046,A81000C,00400,0400,MEDOPTIONS 35046,A81000C,00400,0600,PSYCHIATRIC SER 35046,B100000,00000,0100,00000SQUARE FEET 35046,B100000,00000,0200,00000SQUARE FEET 35046,B100000,00000,0300,00000GROSS SALARIES 35046,B100000,00000,0400,00000ACCUM COST 35046,B100000,00000,0500,00000SQUARE FEET 35046,B100000,00000,0600,00000POUNDS OF LAUNDRY 35046,B100000,00000,0700,00000SQUARE FEET 35046,B100000,00000,0800,00000MEALS SERVED 35046,B100000,00000,0900,00000DIRECT NRSG HRS 35046,B100000,00000,1000,00000PATIENT DAYS 35046,B100000,00000,1100,00000COSTED REQUIS 35046,B100000,00000,1200,00000PATIENT DAYS 35046,B100000,00000,1300,00000PATIENT DAYS 35046,B100000,00000,1350,00000PATIENT DAYS 35046,B100000,00000,1400,00000ASSIGNED TIME 35046,S000000,00100,0200,05/31/2000 35046,S200000,00100,0100,33 CONE AVE 35046,S200000,00200,0100,MERIDEN 35046,S200000,00200,0200,CT 35046,S200000,00200,0300,06450 35046,S200000,00300,0100,MIDDLESEX 35046,S200000,00400,0100,T.A. COCCOMO MEMORIAL 35046,S200000,00400,0200,075345 35046,S200000,00400,0300,05/17/1991 35046,S200000,00400,0500,P 35046,S200000,00400,0600,O 35046,S200000,01500,0100,Y 35046,S200000,01900,0100,NON PROFIT CORP 35048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35048,A000000,00300,0000,00300EMPLOYEE BENEFITS 35048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35048,A000000,00700,0000,00700HOUSEKEEPING 35048,A000000,00800,0000,00800DIETARY 35048,A000000,00900,0000,00900NURSING ADMINISTRATION 35048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35048,A000000,01100,0000,01100PHARMACY 35048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35048,A000000,01300,0000,01300SOCIAL SERVICE 35048,A000000,01350,0000,01500RECREATION 35048,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35048,A000000,01600,0000,01600SKILLED NURSING FACILITY 35048,A000000,01810,0000,01810ICF/MR 35048,A000000,01900,0000,01900OTHER LONG TERM CARE 35048,A000000,02100,0000,02100RADIOLOGY 35048,A000000,02200,0000,02200LABORATORY 35048,A000000,02500,0000,02500PHYSICAL THERAPY 35048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35048,A000000,02700,0000,02700SPEECH PATHOLOGY 35048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35048,A000000,03550,0000,03550FQHC 35048,A000000,05000,0000,05000CORF 35048,A000000,05010,0000,05010CMHC 35048,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35048,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35048,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35048,A000000,05300,0000,05300INTEREST EXPENSE 35048,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35048,A81000A,00100,0100,Y 35048,A81000B,00100,0300,RENT 35048,A81000B,00200,0300,INTEREST 35048,A81000B,00300,0300,DEPRECIATION 35048,A81000B,00400,0300,CORP FEES 35048,A81000B,00500,0300,CORP ACCT FEES 35048,A81000B,00600,0300,CORP MANAGE FEES 35048,A81000B,00700,0300,NURSING POOL 35048,A81000B,00800,0300,PSYCHIATRIC FEES 35048,A81000C,00100,0100,A 35048,A81000C,00100,0200,BRIAN J. FOLEY 35048,A81000C,00100,0400,ROSE HAVEN REAL 35048,A81000C,00100,0600,REAL ESTATE REN 35048,A81000C,00200,0100,A 35048,A81000C,00200,0200,BRIAN J. FOLEY 35048,A81000C,00200,0400,APPLE HEALTH CA 35048,A81000C,00200,0600,CORP ACCT MANAG 35048,A81000C,00300,0100,A 35048,A81000C,00300,0200,BRIAN J. FOLEY 35048,A81000C,00300,0400,EMPLOYEE SHARE 35048,A81000C,00300,0600,NURSING POOL 35048,A81000C,00400,0100,D 35048,A81000C,00400,0200,LISA WILSON FOL 35048,A81000C,00400,0400,MEDOPTIONS 35048,A81000C,00400,0600,PSYCHIATRY 35048,B100000,00000,0100,00000SQUARE FEET 35048,B100000,00000,0200,00000SQUARE FEET 35048,B100000,00000,0300,00000GROSS SALARIES 35048,B100000,00000,0400,00000ACCUM COST 35048,B100000,00000,0500,00000SQUARE FEET 35048,B100000,00000,0600,00000POUNDS OF LAUNDRY 35048,B100000,00000,0700,00000SQUARE FEET 35048,B100000,00000,0800,00000MEALS SERVED 35048,B100000,00000,0900,00000DIRECT NRSG HRS 35048,B100000,00000,1000,00000PATIENT DAYS 35048,B100000,00000,1100,00000COSTED REQUIS 35048,B100000,00000,1200,00000TIME SPENT 35048,B100000,00000,1300,00000PATIENT DAYS 35048,B100000,00000,1350,00000PATIENT DAYS 35048,B100000,00000,1400,00000ASSIGNED TIME 35048,S000000,00100,0200,06/07/2000 35048,S200000,00100,0100,31 NORTH ST 35048,S200000,00200,0100,LITCHFIELD 35048,S200000,00200,0200,CT 35048,S200000,00200,0300,06059 35048,S200000,00300,0100,LITCHFIELD 35048,S200000,00400,0100,ROSE HAVEN LTD. 35048,S200000,00400,0200,075346 35048,S200000,00400,0300,06/10/1991 35048,S200000,00400,0500,P 35048,S200000,00400,0600,O 35048,S200000,01500,0100,Y 35050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35050,A000000,00300,0000,00300EMPLOYEE BENEFITS 35050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35050,A000000,00700,0000,00700HOUSEKEEPING 35050,A000000,00800,0000,00800DIETARY 35050,A000000,00900,0000,00900NURSING ADMINISTRATION 35050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35050,A000000,01100,0000,01100PHARMACY 35050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35050,A000000,01300,0000,01300SOCIAL SERVICE 35050,A000000,01350,0000,01500RECREATION 35050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35050,A000000,01600,0000,01600SKILLED NURSING FACILITY 35050,A000000,01810,0000,01810ICF/MR 35050,A000000,02100,0000,02100RADIOLOGY 35050,A000000,02200,0000,02200LABORATORY 35050,A000000,02300,0000,02300INTRAVENOUS THERAPY 35050,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35050,A000000,02500,0000,02500PHYSICAL THERAPY 35050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35050,A000000,02700,0000,02700SPEECH PATHOLOGY 35050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35050,A000000,03550,0000,03550FQHC 35050,A000000,05000,0000,05000CORF 35050,A000000,05010,0000,05010CMHC 35050,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35050,A000000,05300,0000,05300INTEREST EXPENSE 35050,A81000A,00100,0100,Y 35050,A81000B,00100,0300,BUILDING RENT 35050,A81000B,00200,0300,DEPREC ON MORTGAGE 35050,A81000B,00300,0300,INTEREST ON MORTGAGE 35050,A81000C,00100,0100,A 35050,A81000C,00100,0200,SUFFIELD HOUSE 35050,A81000C,00100,0400,H.J. MOFFIE 35050,A81000C,00100,0600,CORP FOR PROFIT 35050,B100000,00000,0100,00000SQUARE FEET 35050,B100000,00000,0200,00000SQUARE FEET 35050,B100000,00000,0300,00000GROSS SALARIES 35050,B100000,00000,0400,00000ACCUM COST 35050,B100000,00000,0500,00000SQUARE FEET 35050,B100000,00000,0600,00000PATIENT DAYS 35050,B100000,00000,0700,00000SQUARE FOOTAGE 35050,B100000,00000,0800,00000PATIENT DAYS 35050,B100000,00000,0900,00000PATIENT DAYS 35050,B100000,00000,1000,00000PATIENT DAYS 35050,B100000,00000,1100,00000PATIENT DAYS 35050,B100000,00000,1200,00000PATIENT DAYS 35050,B100000,00000,1300,00000PATIENT DAYS 35050,B100000,00000,1350,00000PATIENT DAYS 35050,B100000,00000,1400,00000ASSIGNED TIME 35050,E10A180,00501,0300,05/05/2000 35050,E10A180,00550,0100,05/05/2000 35050,S000000,00100,0200,05/03/2000 35050,S200000,00100,0100,ONE CANAL ROAD 35050,S200000,00200,0100,SUFFIELD 35050,S200000,00200,0200,CT 35050,S200000,00200,0300,06078 35050,S200000,00300,0100,HARTFORD 35050,S200000,00400,0100,SUFFIELD HOUSE 35050,S200000,00400,0200,075347 35050,S200000,00400,0300,06/21/1991 35050,S200000,00400,0500,P 35050,S200000,01500,0100,Y 35050,S200000,01900,0100,NON PROFIT CORP 35054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35054,A000000,00300,0000,00300EMPLOYEE BENEFITS 35054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35054,A000000,00700,0000,00700HOUSEKEEPING 35054,A000000,00800,0000,00800DIETARY 35054,A000000,00900,0000,00900NURSING ADMINISTRATION 35054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35054,A000000,01100,0000,01100PHARMACY 35054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35054,A000000,01300,0000,01300SOCIAL SERVICE 35054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35054,A000000,01600,0000,01600SKILLED NURSING FACILITY 35054,A000000,01810,0000,01810ICF/MR 35054,A000000,02100,0000,02100RADIOLOGY 35054,A000000,02200,0000,02200LABORATORY 35054,A000000,02300,0000,02300INTRAVENOUS THERAPY 35054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35054,A000000,02500,0000,02500PHYSICAL THERAPY 35054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35054,A000000,02700,0000,02700SPEECH PATHOLOGY 35054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35054,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35054,A000000,03550,0000,03550FQHC 35054,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35054,A000000,04800,0000,04800AMBULANCE 35054,A000000,05000,0000,05000CORF 35054,A000000,05010,0000,05010CMHC 35054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35054,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35054,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35054,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35054,A000000,06201,0000,06201ADULT DAY CARE - NEW HAVEN 35054,A000000,06202,0000,06202CATERING 35054,A000000,06203,0000,06203ADULT CARE CARE - WOODBRIDGE 35054,A000000,06204,0000,06204DEVELOPMENT/PUBLIC RELATIONS 35054,A81000A,00100,0100,Y 35054,A81000B,00100,0300,STRAGTEGIC PLANNING PROJECT 35054,A81000B,00200,0300,LEGAL FEES-BED AQUISITION 35054,A81000B,00300,0300,INTERIOR DESIGN/FURNISHINGS 35054,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 35054,A81000C,00100,0100,B 35054,A81000C,00100,0200,CURT BRESLIN 35054,A81000C,00100,0400,BRESLIN ASSOICATES 35054,A81000C,00100,0600,STRATEGIC PLANNING 35054,A81000C,00200,0100,B 35054,A81000C,00200,0200,BACHMAN & MCKEON 35054,A81000C,00200,0400,BACHMAN & MCKEON 35054,A81000C,00200,0600,LEGAL 35054,A81000C,00300,0100,B 35054,A81000C,00300,0200,SZS INTERIORS 35054,A81000C,00300,0400,SZS INTERIORS 35054,A81000C,00300,0600,INTERIOR DESIGN 35054,A81000C,00400,0100,B 35054,A81000C,00400,0200,ROMAC 35054,A81000C,00400,0400,ROMAC 35054,A81000C,00400,0600,HOUSEKEEPING SUPPLIES 35054,B100000,00000,0100,00000SQUARE FOOTAGE 35054,B100000,00000,0200,00000SQUARE FOOTAGE 35054,B100000,00000,0300,00000GROSS SALARIES 35054,B100000,00000,0400,00000ACCUM. COST 35054,B100000,00000,0500,00000SQUARE FOOTAGE 35054,B100000,00000,0600,00000POUNDS OF LAUNDRY 35054,B100000,00000,0700,00000SQUARE FOOTAGE 35054,B100000,00000,0800,00000MEALS SERVED 35054,B100000,00000,0900,00000DIRECT NRSNG HRS 35054,B100000,00000,1000,00000COSTED REQUIS 35054,B100000,00000,1100,00000PATIENT DAYS 35054,B100000,00000,1200,00000DAYS 35054,B100000,00000,1300,00000DAYS 35054,B100000,00000,1400,00000ASSIGNED TIME 35054,S000000,00100,0200,04/10/2000 35054,S200000,00100,0100,169 DAVENPORT AVE 35054,S200000,00200,0100,NEW HAVEN 35054,S200000,00200,0200,CT 35054,S200000,00300,0100,NEW HAVEN 35054,S200000,00400,0100,JEWISH HOME FOR THE AGED 35054,S200000,00400,0200,075348 35054,S200000,00400,0300,08/01/1991 35054,S200000,00400,0500,P 35054,S200000,01500,0100,Y 35054,S200000,01900,0100,NON PROFIT CORP 35059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35059,A000000,00300,0000,00300EMPLOYEE BENEFITS 35059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35059,A000000,00700,0000,00700HOUSEKEEPING 35059,A000000,00800,0000,00800DIETARY 35059,A000000,00900,0000,00900NURSING ADMINISTRATION 35059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35059,A000000,01100,0000,01100PHARMACY 35059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35059,A000000,01300,0000,01300SOCIAL SERVICE 35059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35059,A000000,01600,0000,01600SKILLED NURSING FACILITY 35059,A000000,01810,0000,01810ICF/MR 35059,A000000,02100,0000,02100RADIOLOGY 35059,A000000,02200,0000,02200LABORATORY 35059,A000000,02300,0000,02300INTRAVENOUS THERAPY 35059,A000000,02500,0000,02500PHYSICAL THERAPY 35059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35059,A000000,02700,0000,02700SPEECH PATHOLOGY 35059,A000000,03550,0000,03550FQHC 35059,A000000,05000,0000,05000CORF 35059,A000000,05010,0000,05010CMHC 35059,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35059,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35059,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35059,A000000,06200,0000,06200PATIENTS LAUNDRY 35059,A81000A,00100,0100,Y 35059,A81000B,00100,0300,EQUIPMENT LEASING 35059,A81000B,00200,0300,EQUIPMENT LEASING 35059,A81000B,00300,0300,PHYSICAL THERAPY 35059,A81000B,00400,0300,OCCUPATIONAL THERAPY 35059,A81000B,00500,0300,SPEECH THERAPY 35059,A81000C,00100,0100,E 35059,A81000C,00100,0200,SUE MACDONALD 35059,A81000C,00100,0400,COOK COMMONS RE 35059,A81000C,00100,0600,EQUIPMENT RENTA 35059,A81000C,00200,0100,E 35059,A81000C,00200,0200,SUE MACDONALD 35059,A81000C,00200,0400,COOK & MACDONAL 35059,A81000C,00200,0600,EQUIPMENT RENTA 35059,A81000C,00300,0100,E 35059,A81000C,00300,0200,SUE MACDONALD 35059,A81000C,00300,0400,THERAPY PLUS 35059,A81000C,00300,0600,OUTPATIENT TREA 35059,B100000,00000,0100,00000SQUARE FEET 35059,B100000,00000,0200,00000SQUARE FEET 35059,B100000,00000,0300,00000GROSS SALARIES 35059,B100000,00000,0400,00000ACCUM COST 35059,B100000,00000,0500,00000SQUARE FEET 35059,B100000,00000,0600,00000POUNDS OF LAUNDRY 35059,B100000,00000,0700,00000HOURS OF SERVICE 35059,B100000,00000,0800,00000MEALS SERVED 35059,B100000,00000,0900,00000DIRECT NRSG HRS 35059,B100000,00000,1000,00000COSTED REQUIS 35059,B100000,00000,1100,00000COSTED REQUIS 35059,B100000,00000,1200,00000TIME SPENT 35059,B100000,00000,1300,00000TIME SPENT 35059,B100000,00000,1400,00000ASSIGNED TIME 35059,E10A180,00301,0100,10/15/1999 35059,S000000,00100,0200,03/03/2000 35059,S200000,00100,0100,81 HILLSIDE AVENUE 35059,S200000,00200,0100,PLYMOUTH 35059,S200000,00200,0200,CT 35059,S200000,00200,0300,06782 35059,S200000,00300,0100,LITCHFIELD 35059,S200000,00400,0100,COOK WILLOW CONVALESCENT HOSPT. 35059,S200000,00400,0200,075349 35059,S200000,00400,0300,11/01/1991 35059,S200000,00400,0500,P 35059,S200000,00400,0600,O 35059,S200000,01500,0100,Y 35059,S200000,01900,0100,LIMITED LIABILITY COMPANY (LLC) 35059,S200000,02200,0100,Y 35064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35064,A000000,00300,0000,00300EMPLOYEE BENEFITS 35064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35064,A000000,00700,0000,00700HOUSEKEEPING 35064,A000000,00800,0000,00800DIETARY 35064,A000000,00900,0000,00900NURSING ADMINISTRATION 35064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35064,A000000,01100,0000,01100PHARMACY 35064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35064,A000000,01300,0000,01300SOCIAL SERVICE 35064,A000000,01350,0000,01500PATIENT ACTIVITIES 35064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35064,A000000,01600,0000,01600SKILLED NURSING FACILITY 35064,A000000,01800,0000,01800NURSING FACILITY 35064,A000000,01810,0000,01810ICF/MR 35064,A000000,02200,0000,02200LABORATORY 35064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35064,A000000,02500,0000,02500PHYSICAL THERAPY 35064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35064,A000000,02700,0000,02700SPEECH PATHOLOGY 35064,A000000,02800,0000,02800ELECTROCARDIOLOGY 35064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35064,A000000,03550,0000,03550FQHC 35064,A000000,04800,0000,04800AMBULANCE 35064,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35064,A000000,05010,0000,05010CMHC 35064,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35064,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35064,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35064,A000000,05300,0000,05300INTEREST EXPENSE 35064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35064,A81000A,00100,0100,Y 35064,A81000B,00100,0300,MANAGEMENT FEE 35064,A81000B,00200,0300,HERITAGE FEES 35064,A81000B,00300,0300,DRUGS 35064,A81000B,00400,0300,CAP REL COSTS BLGD/FIX 35064,A81000C,00100,0100,F 35064,A81000C,00100,0200,MICHAEL ZACCARO 35064,A81000C,00100,0400,ATHENA HEALTH 35064,A81000C,00100,0600,MANAGEMENT CO 35064,A81000C,00200,0100,F 35064,A81000C,00200,0200,LAWRENCE SANTIL 35064,A81000C,00200,0400,ATHENA HEALTH 35064,A81000C,00200,0600,MANAGEMENT CO 35064,A81000C,00300,0100,F 35064,A81000C,00300,0200,ANNE MARIE MURR 35064,A81000C,00300,0400,ATHENA HEALTH 35064,A81000C,00300,0600,MANAGEMENT CO 35064,A81000C,00400,0100,F 35064,A81000C,00400,0200,JANICE SANTILLI 35064,A81000C,00400,0400,ATHENA HEALTH 35064,A81000C,00400,0600,MANAGEMENT CO 35064,A81000C,00500,0100,F 35064,A81000C,00500,0200,EDWARD JAMELE 35064,A81000C,00500,0400,ATHENA HEALTH 35064,A81000C,00500,0600,MANAGEMENT CO 35064,B100000,00000,0100,00000(SQUARE FEET) 35064,B100000,00000,0200,00000(SQUARE FEET) 35064,B100000,00000,0300,00000(GROSS SALARIES) 35064,B100000,00000,0400,00000(ACCUM COST) 35064,B100000,00000,0500,00000(SQUARE FEET) 35064,B100000,00000,0600,00000PATIENT DAYS 35064,B100000,00000,0700,00000SQUARE FEET 35064,B100000,00000,0800,00000PATIENT DAYS 35064,B100000,00000,0900,00000PATIENT DAYS 35064,B100000,00000,1000,00000(COSTED REQUIS) 35064,B100000,00000,1100,00000PATIENT DAYS 35064,B100000,00000,1200,00000PATIENT DAYS 35064,B100000,00000,1300,00000PATIENT DAYS 35064,B100000,00000,1350,00000PATIENT DAYS 35064,B100000,00000,1400,00000(ASSIGNED TIME) 35064,E10A180,00550,0300,06/29/2000 35064,S000000,00100,0200,05/31/2000 35064,S200000,00100,0100,321 STONECREST DRIVE 35064,S200000,00200,0100,BRISTOL 35064,S200000,00200,0200,CT 35064,S200000,00200,0300,06010 35064,S200000,00300,0100,HARTFORD 35064,S200000,00400,0100,SHERIDEN WOODS HEALTH CARE CTR 35064,S200000,00400,0200,075350 35064,S200000,00400,0300,10/01/1991 35064,S200000,00400,0500,P 35064,S200000,00400,0600,O 35064,S200000,00600,0200,075350 35064,S200000,00600,0300,10/01/1991 35064,S200000,00600,0600,P 35064,S200000,01600,0100,Y 35064,S200000,04700,0100,Y 35064,S200000,04900,0100,Y 35067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35067,A000000,00300,0000,00300EMPLOYEE BENEFITS 35067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35067,A000000,00700,0000,00700HOUSEKEEPING 35067,A000000,00800,0000,00800DIETARY 35067,A000000,00900,0000,00900NURSING ADMINISTRATION 35067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35067,A000000,01100,0000,01100PHARMACY 35067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35067,A000000,01300,0000,01300SOCIAL SERVICE 35067,A000000,01350,0000,01500PATIENT ACTIVITIES 35067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35067,A000000,01600,0000,01600SKILLED NURSING FACILITY 35067,A000000,01800,0000,01800NURSING FACILITY 35067,A000000,01810,0000,01810ICF/MR 35067,A000000,02200,0000,02200LABORATORY 35067,A000000,02300,0000,02300INTRAVENOUS THERAPY 35067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35067,A000000,02401,0000,02401RESPIRATORY 35067,A000000,02500,0000,02500PHYSICAL THERAPY 35067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35067,A000000,02700,0000,02700SPEECH PATHOLOGY 35067,A000000,02800,0000,02800ELECTROCARDIOLOGY 35067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35067,A000000,03550,0000,03550FQHC 35067,A000000,04800,0000,04800AMBULANCE 35067,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35067,A000000,05010,0000,05010CMHC 35067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35067,A000000,05300,0000,05300INTEREST EXPENSE 35067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35067,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35067,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35067,A000000,06101,0000,06101ADULT DAYCARE 35067,A000000,06200,0000,06200PATIENTS LAUNDRY 35067,A81000A,00100,0100,Y 35067,A81000B,00100,0300,MANAGEMENT FEES 35067,A81000B,00200,0300,HERITAGE FEES 35067,A81000B,00300,0300,DEPRECIATION BLDG 35067,A81000B,00400,0300,DEPRECIATION MOVALBE 35067,A81000B,00500,0300,OLD FINANCE FEES 35067,A81000B,00600,0300,MEDICAL DIRECTIR 35067,A81000C,00100,0100,A 35067,A81000C,00100,0200,JOHN ERRICHETTI 35067,A81000C,00100,0400,WTBY HEALTH CTR 35067,A81000C,00100,0600,LIMITED PRTNRSH 35067,A81000C,00200,0100,A 35067,A81000C,00200,0200,CHRIS ERRICHETT 35067,A81000C,00200,0400,WTBY HEALTH CTR 35067,A81000C,00200,0600,LIMITED PRTNRSH 35067,A81000C,00300,0100,A 35067,A81000C,00300,0200,JOHN ERRICHETTI 35067,A81000C,00300,0400,WTBY HEALTH CTR 35067,A81000C,00300,0600,LIMITED PRTNRSH 35067,A81000C,00400,0100,A 35067,A81000C,00400,0200,JOHN ERRICHETTI 35067,A81000C,00400,0400,ATHENA/HERITAGE 35067,A81000C,00400,0600,MANAGEMENT CO 35067,B100000,00000,0100,00000(SQUARE FEET) 35067,B100000,00000,0200,00000(SQUARE FEET) 35067,B100000,00000,0300,00000(GROSS SALARIES) 35067,B100000,00000,0400,00000(ACCUM COST) 35067,B100000,00000,0500,00000(SQUARE FEET) 35067,B100000,00000,0600,00000PATIENT DAYS 35067,B100000,00000,0700,00000SQUARE FEET 35067,B100000,00000,0800,00000PATIENT DAYS 35067,B100000,00000,0900,00000PATIENT DAYS 35067,B100000,00000,1000,00000(COSTED REQUIS) 35067,B100000,00000,1100,00000PATIENT DAYS 35067,B100000,00000,1200,00000PATIENT DAYS 35067,B100000,00000,1300,00000PATIENT DAYS 35067,B100000,00000,1350,00000PATIENT DAYS 35067,B100000,00000,1400,00000(ASSIGNED TIME) 35067,S000000,00100,0200,05/31/2000 35067,S200000,00100,0100,44 ABBOTT TERRACE 35067,S200000,00200,0100,WATERBURY 35067,S200000,00200,0200,CT 35067,S200000,00200,0300,06702 35067,S200000,00300,0100,NEW HAVEN 35067,S200000,00400,0100,ABBOTT TERRACE HEALTH CENTER 35067,S200000,00400,0200,075351 35067,S200000,00400,0300,10/01/1991 35067,S200000,00400,0500,P 35067,S200000,00400,0600,O 35067,S200000,00600,0200,075351 35067,S200000,00600,0300,10/01/1991 35067,S200000,00600,0600,P 35067,S200000,01600,0100,Y 35067,S200000,01900,0100,NON PROFIT CORP 35067,S200000,02200,0100,Y 35067,S200000,04700,0100,Y 35067,S200000,04900,0100,Y 35072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35072,A000000,00101,0000,00101CAPITAL BUILDING NEW 35072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35072,A000000,00201,0000,00201MOVEABLE EQUIPMENT NEW 35072,A000000,00300,0000,00300EMPLOYEE BENEFITS 35072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35072,A000000,00700,0000,00700HOUSEKEEPING 35072,A000000,00800,0000,00800DIETARY 35072,A000000,00900,0000,00900NURSING ADMINISTRATION 35072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35072,A000000,01100,0000,01100PHARMACY 35072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35072,A000000,01300,0000,01300SOCIAL SERVICE 35072,A000000,01350,0000,01500RECREATION 35072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35072,A000000,01600,0000,01600SKILLED NURSING FACILITY 35072,A000000,01800,0000,01800NURSING FACILITY 35072,A000000,01810,0000,01810ICF/MR 35072,A000000,02100,0000,02100RADIOLOGY 35072,A000000,02200,0000,02200LABORATORY 35072,A000000,02500,0000,02500PHYSICAL THERAPY 35072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35072,A000000,02700,0000,02700SPEECH PATHOLOGY 35072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35072,A000000,03550,0000,03550FQHC 35072,A000000,05000,0000,05000CORF 35072,A000000,05010,0000,05010CMHC 35072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35072,A000000,06150,0000,06300CHILD CARE 35072,A000000,06151,0000,06301WORK ACTIVITY CENTER 35072,A000000,06152,0000,06302DENTAL 35072,A000000,06153,0000,06303PSYCHIATRIST 35072,A000000,06154,0000,06304FOUNDATION 35072,A000000,06155,0000,06305ADULT DAY CARE 35072,A81000A,00100,0100,Y 35072,A81000B,00100,0300,INSURANCE & W/C 35072,A81000B,00200,0300,SUPPLIES 35072,A81000B,00300,0300,LEGAL 35072,A81000B,00400,0300,ALLIANCE 35072,A81000B,00500,0300,SALARIES 35072,A81000B,00600,0300,NON-SALARY 35072,A81000C,00100,0100,D 35072,A81000C,00100,0200,M. BURGER 35072,A81000C,00100,0400,UNITED INSURANC 35072,A81000C,00100,0600,INSURANCE 35072,A81000C,00200,0100,D 35072,A81000C,00200,0200,J. SUGARMAN 35072,A81000C,00200,0400,EASTERN BAG 35072,A81000C,00200,0600,SUPPLIES 35072,A81000C,00300,0100,D 35072,A81000C,00300,0200,BOWMAN & WOLF 35072,A81000C,00300,0400,COHEN & WOLF 35072,A81000C,00300,0600,LEGAL 35072,A81000C,00400,0100,G 35072,A81000C,00400,0200,CALTC 35072,A81000C,00400,0400,CT ALLIANCE 35072,A81000C,00400,0600,SERVICES 35072,A81000C,00500,0100,G 35072,A81000C,00500,0200,JHE 35072,A81000C,00500,0400,ADULT DAY CARE 35072,A81000C,00500,0600,SERVICES 35072,A81000C,00600,0100,G 35072,A81000C,00600,0200,JHE 35072,A81000C,00600,0400,ADULT DAY CARE 35072,A81000C,00600,0600,SERVICES 35072,B100000,00000,0100,00005SQUARE FEET 35072,B100000,00000,0101,00005SQUARE FEET 35072,B100000,00000,0200,00005SQUARE FEET 35072,B100000,00000,0201,00005SQUARE FEET 35072,B100000,00000,0300,00005GROSS SALARIES 35072,B100000,00000,0400,00005ACCUM COST 35072,B100000,00000,0500,00005SQUARE FEET 35072,B100000,00000,0600,00005PATIENT DAYS 35072,B100000,00000,0700,00005SQUARE FEET 35072,B100000,00000,0800,00005MEALS SERVED 35072,B100000,00000,0900,00005PATIENT DAYS 35072,B100000,00000,1000,00005PATIENT DAYS 35072,B100000,00000,1100,00005PATIENT DAYS 35072,B100000,00000,1200,00005PATIENT DAYS 35072,B100000,00000,1300,00005PATIENT DAYS 35072,B100000,00000,1350,00005PATIENT DAYS 35072,B100000,00000,1400,00005ASSIGNED TIME 35072,E10A180,00550,0300,03/15/2000 35072,S000000,00100,0200,03/09/2000 35072,S200000,00100,0100,175 JEFFERSON ST 35072,S200000,00200,0100,FAIRFIELD 35072,S200000,00200,0200,CT 35072,S200000,00200,0300,06432 35072,S200000,00300,0100,FAIRFIELD 35072,S200000,00400,0100,JEWISH HOME FOR THE ELDERLY 35072,S200000,00400,0200,075353 35072,S200000,00400,0300,10/01/1991 35072,S200000,00400,0500,P 35072,S200000,01600,0100,Y 35072,S200000,01900,0100,NON PROFIT CORP 35072,S200000,02800,0100,Y 35075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35075,A000000,00300,0000,00300EMPLOYEE BENEFITS 35075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35075,A000000,00700,0000,00700HOUSEKEEPING 35075,A000000,00800,0000,00800DIETARY 35075,A000000,00900,0000,00900NURSING ADMINISTRATION 35075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35075,A000000,01100,0000,01100PHARMACY 35075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35075,A000000,01300,0000,01300SOCIAL SERVICE 35075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35075,A000000,01600,0000,01600SKILLED NURSING FACILITY 35075,A000000,01800,0000,01800NURSING FACILITY 35075,A000000,01810,0000,01810ICF/MR 35075,A000000,02500,0000,02500PHYSICAL THERAPY 35075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35075,A000000,02700,0000,02700SPEECH PATHOLOGY 35075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35075,A000000,03550,0000,03550FQHC 35075,A000000,05000,0000,05000CORF 35075,A000000,05010,0000,05010CMHC 35075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35075,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35075,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35075,A81000A,00100,0100,Y 35075,A81000B,00100,0300,CAP REL MOVE EQUIP 35075,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 35075,A81000C,00100,0100,B 35075,A81000C,00100,0200,HOME OFFICE 35075,A81000C,00100,0400,BRIDGEPORT DIOC 35075,B100000,00000,0100,00000SQUARE FEET 35075,B100000,00000,0200,00000SQUARE FEET 35075,B100000,00000,0300,00000GROSS SALARIES 35075,B100000,00000,0400,00000ACCUM COST 35075,B100000,00000,0500,00000SQUARE FEET 35075,B100000,00000,0600,00000POUNDS OF LAUNDRY 35075,B100000,00000,0700,00000HOURS OF SERVICE 35075,B100000,00000,0800,00000MEALS SERVED 35075,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35075,B100000,00000,1000,00000COSTED REQUIS 35075,B100000,00000,1100,00000COSTED REQUIS 35075,B100000,00000,1200,00000TIME SPENT 35075,B100000,00000,1300,00000TIME SPENT 35075,B100000,00000,1400,00000ASSIGNED TIME 35075,S000000,00100,0200,03/01/2000 35075,S200000,00100,0100,33 LINCOLN AVENUE 35075,S200000,00200,0100,DANBURY 35075,S200000,00200,0300,06810 35075,S200000,00300,0100,FAIRFIELD 35075,S200000,00400,0100,POPE JOHN PAUL II CTR. FOR HLTH CARE 35075,S200000,00400,0200,075354 35075,S200000,00400,0300,10/01/1991 35075,S200000,00400,0500,P 35075,S200000,01500,0100,Y 35075,S200000,01900,0100,CCRC 35075,S200000,04600,0100,Y 35080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35080,A000000,00300,0000,00300EMPLOYEE BENEFITS 35080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35080,A000000,00700,0000,00700HOUSEKEEPING 35080,A000000,00800,0000,00800DIETARY 35080,A000000,00900,0000,00900NURSING ADMINISTRATION 35080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35080,A000000,01100,0000,01100PHARMACY 35080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35080,A000000,01300,0000,01300SOCIAL SERVICE 35080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35080,A000000,01600,0000,01600SKILLED NURSING FACILITY 35080,A000000,01810,0000,01810ICF/MR 35080,A000000,02500,0000,02500PHYSICAL THERAPY 35080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35080,A000000,02700,0000,02700SPEECH PATHOLOGY 35080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35080,A000000,03550,0000,03550FQHC 35080,A000000,05000,0000,05000CORF 35080,A000000,05010,0000,05010CMHC 35080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35080,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35080,A000000,06150,0000,06300MARKETING 35080,A000000,06151,0000,06301ASSISTED LIVING 35080,A81000A,00100,0100,Y 35080,A81000B,00100,0300,MANAGEMENT FEES 35080,A81000B,00200,0300,CAPITAL 35080,A81000B,00300,0300,SERVICES FROM MGHC 35080,A81000C,00100,0100,B 35080,A81000C,00100,0400,MASONICARE 35080,A81000C,00200,0100,B 35080,A81000C,00200,0400,MASONICARE 35080,A81000C,00300,0100,B 35080,A81000C,00300,0400,MGHC 35080,B100000,00000,0100,00001SQUARE FEET 35080,B100000,00000,0200,00001NET SQUARE FEE 35080,B100000,00000,0300,00001GROSS SALARIES 35080,B100000,00000,0400,00001ACCUM. COST 35080,B100000,00000,0500,00001NET SQUARE FEE 35080,B100000,00000,0600,00001NET SQUARE FEE 35080,B100000,00000,0700,00001NET SQUARE FEE 35080,B100000,00000,0800,00001PATIENT DAYS 35080,B100000,00000,0900,00001NET SQUARE FEE 35080,B100000,00000,1000,00001NET SQUARE FEE 35080,B100000,00000,1100,00001NET SQUARE FEE 35080,B100000,00000,1200,00001PATIENT DAYS 35080,B100000,00000,1300,00001PATIENT DAYS 35080,B100000,00000,1400,00001NET SQUARE FEE 35080,E10A180,00501,0100,11/14/2000 35080,S000000,00100,0200,03/01/2000 35080,S200000,00100,0100,TOBY HILL ROAD 35080,S200000,00100,0300,5505 35080,S200000,00200,0100,NEWTOWN 35080,S200000,00200,0200,CT 35080,S200000,00200,0300,06470 35080,S200000,00300,0100,FAIRFIELD 35080,S200000,00400,0100,ASHLAR OF NEWTOWN 35080,S200000,00400,0200,075355 35080,S200000,00400,0300,10/01/1991 35080,S200000,00400,0500,P 35080,S200000,01500,0100,Y 35080,S200000,01900,0100,CCRC 35080,S200000,02800,0100,Y 35083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35083,A000000,00300,0000,00300EMPLOYEE BENEFITS 35083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35083,A000000,00700,0000,00700HOUSEKEEPING 35083,A000000,00800,0000,00800DIETARY 35083,A000000,00900,0000,00900NURSING ADMINISTRATION 35083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35083,A000000,01100,0000,01100PHARMACY 35083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35083,A000000,01300,0000,01300SOCIAL SERVICE 35083,A000000,01350,0000,01500RECREATION 35083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35083,A000000,01600,0000,01600SKILLED NURSING FACILITY 35083,A000000,01800,0000,01800NURSING FACILITY 35083,A000000,01810,0000,01810ICF/MR 35083,A000000,02100,0000,02100RADIOLOGY 35083,A000000,02200,0000,02200LABORATORY 35083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35083,A000000,02500,0000,02500PHYSICAL THERAPY 35083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35083,A000000,02700,0000,02700SPEECH PATHOLOGY 35083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35083,A000000,03550,0000,03550FQHC 35083,A000000,04800,0000,04800AMBULANCE 35083,A000000,05000,0000,05000CORF 35083,A000000,05010,0000,05010CMHC 35083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35083,B100000,00000,0100,00000SQUARE FEET 35083,B100000,00000,0200,00000SQUARE FEET 35083,B100000,00000,0300,00000GROSS SALARIES 35083,B100000,00000,0400,00000ACCUM COST 35083,B100000,00000,0500,00000SQUARE FEET 35083,B100000,00000,0600,00000PATIENT DAYS 35083,B100000,00000,0700,00000SQUARE FEET 35083,B100000,00000,0800,00000MEALS SERVED 35083,B100000,00000,0900,00000PATIENT DAYS 35083,B100000,00000,1000,00000PATIENT DAYS 35083,B100000,00000,1100,00000PATIENT DAYS 35083,B100000,00000,1200,00000PATIENT DAYS 35083,B100000,00000,1300,00000PATIENT DAYS 35083,B100000,00000,1350,00000PATIENT DAYS 35083,B100000,00000,1400,00000ASSIGNED TIME 35083,E10A180,00550,0300,05/18/2000 35083,S000000,00100,0200,05/15/2000 35083,S200000,00100,0100,76 WEST ROCKS ROAD 35083,S200000,00200,0100,NORWALK 35083,S200000,00200,0200,CT 35083,S200000,00200,0300,06851 35083,S200000,00300,0100,FAIRFIELD 35083,S200000,00400,0100,NOTRE DAME CONVALESCENT HOME INC. 35083,S200000,00400,0200,075356 35083,S200000,00400,0300,10/01/1991 35083,S200000,00400,0500,P 35083,S200000,00400,0600,O 35083,S200000,01600,0100,Y 35083,S200000,04700,0100,Y 35087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35087,A000000,00300,0000,00300EMPLOYEE BENEFITS 35087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35087,A000000,00700,0000,00700HOUSEKEEPING 35087,A000000,00800,0000,00800DIETARY 35087,A000000,00900,0000,00900NURSING ADMINISTRATION 35087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35087,A000000,01100,0000,01100PHARMACY 35087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35087,A000000,01300,0000,01300SOCIAL SERVICE 35087,A000000,01350,0000,01500RECREATION 35087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35087,A000000,01600,0000,01600SKILLED NURSING FACILITY 35087,A000000,01810,0000,01810ICF/MR 35087,A000000,02200,0000,02200LABORATORY 35087,A000000,02500,0000,02500PHYSICAL THERAPY 35087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35087,A000000,02700,0000,02700SPEECH PATHOLOGY 35087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35087,A000000,03550,0000,03550FQHC 35087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35087,A000000,05000,0000,05000CORF 35087,A000000,05010,0000,05010CMHC 35087,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35087,A81000A,00100,0100,Y 35087,A81000B,00100,0300,RECREATION CONSULTANT 35087,A81000B,00200,0300,SOCIAL SERVICE CONSULTANT 35087,A81000B,00300,0300,VOLUNTEER CONSULTANT 35087,A81000C,00100,0100,E 35087,A81000C,00100,0200,BARBARA BODNAR 35087,A81000C,00100,0400,LINCOM ENTERPRISES 35087,A81000C,00100,0600,CONSULTING FIRM 35087,B100000,00000,0100,00000SQUARE FEET 35087,B100000,00000,0200,00000SQUARE FEET 35087,B100000,00000,0300,00000GROSS SALARIES 35087,B100000,00000,0400,00000ACCUM. COST 35087,B100000,00000,0500,00000SQUARE FEET 35087,B100000,00000,0600,00000POUNDS OF LAUNDRY 35087,B100000,00000,0700,00000SQUARE FEET 35087,B100000,00000,0800,00000MEALS SERVED 35087,B100000,00000,0900,00000DIRECT NRSNG HRS 35087,B100000,00000,1000,00000TIME SPENT 35087,B100000,00000,1100,00000PATIENT DAYS 35087,B100000,00000,1200,00000TIME SPENT 35087,B100000,00000,1300,00000TIME SPENT 35087,B100000,00000,1350,00000PATIENT DAYS 35087,B100000,00000,1400,00000NO STATISTICS 35087,S000000,00100,0200,05/30/2000 35087,S200000,00100,0100,14 MAIN STREET 35087,S200000,00200,0100,WINDSOR LOCKS 35087,S200000,00200,0200,CT 35087,S200000,00300,0100,HARTFORD 35087,S200000,00400,0100,BICKFORD HEALTH CARE CENTER 35087,S200000,00400,0200,075358 35087,S200000,00400,0300,10/01/1991 35087,S200000,00400,0500,P 35087,S200000,01500,0100,Y 35087,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35091,A000000,00300,0000,00300EMPLOYEE BENEFITS 35091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35091,A000000,00700,0000,00700HOUSEKEEPING 35091,A000000,00800,0000,00800DIETARY 35091,A000000,00900,0000,00900NURSING ADMINISTRATION 35091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35091,A000000,01100,0000,01100PHARMACY 35091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35091,A000000,01300,0000,01300SOCIAL SERVICE 35091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35091,A000000,01600,0000,01600SKILLED NURSING FACILITY 35091,A000000,01810,0000,01810ICF/MR 35091,A000000,02100,0000,02100RADIOLOGY 35091,A000000,02200,0000,02200LABORATORY 35091,A000000,02300,0000,02300INTRAVENOUS THERAPY 35091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35091,A000000,02500,0000,02500PHYSICAL THERAPY 35091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35091,A000000,02700,0000,02700SPEECH PATHOLOGY 35091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35091,A000000,03550,0000,03550FQHC 35091,A000000,05000,0000,05000CORF 35091,A000000,05010,0000,05010CMHC 35091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35091,A000000,05300,0000,05300INTEREST EXPENSE 35091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35091,B100000,00000,0100,00000SQUARE FEET 35091,B100000,00000,0200,00000SQUARE FEET 35091,B100000,00000,0300,00000GROSS SALARIES 35091,B100000,00000,0400,00000ACCUM COST 35091,B100000,00000,0500,00000SQUARE FEET 35091,B100000,00000,0600,00000PATIENT DAYS 35091,B100000,00000,0700,00000SQUARE FEET 35091,B100000,00000,0800,00000PATIENT DAYS 35091,B100000,00000,0900,00000PATIENT DAYS 35091,B100000,00000,1000,00000PATIENT DAYS 35091,B100000,00000,1100,00000PATIENT DAYS 35091,B100000,00000,1200,00000PATIENT DAYS 35091,B100000,00000,1300,00000PATIENT DAYS 35091,B100000,00000,1400,00000ASSIGNED TIME 35091,S000000,00100,0200,02/11/2000 35091,S200000,00100,0100,96 PROSPECT HILL ROAD 35091,S200000,00200,0100,EAST WINDSOR 35091,S200000,00200,0200,CT 35091,S200000,00200,0300,06088 35091,S200000,00300,0100,HARTFORD 35091,S200000,00400,0100,KETTLEBROOK HEALTHCARE CENTER 35091,S200000,00400,0200,075359 35091,S200000,00400,0300,10/01/1991 35091,S200000,00400,0500,P 35091,S200000,01500,0100,Y 35091,S200000,01900,0100,NON PROFIT CORP 35091,S200000,02800,0100,Y 35091,S200000,03100,0100,Y 35099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35099,A000000,00300,0000,00300EMPLOYEE BENEFITS 35099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35099,A000000,00700,0000,00700HOUSEKEEPING 35099,A000000,00800,0000,00800DIETARY 35099,A000000,00900,0000,00900NURSING ADMINISTRATION 35099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35099,A000000,01100,0000,01100PHARMACY 35099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35099,A000000,01300,0000,01300SOCIAL SERVICE 35099,A000000,01350,0000,01500RECREATION 35099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35099,A000000,01600,0000,01600SKILLED NURSING FACILITY 35099,A000000,01810,0000,01810ICF/MR 35099,A000000,02200,0000,02200LABORATORY 35099,A000000,02300,0000,02300INTRAVENOUS THERAPY 35099,A000000,02500,0000,02500PHYSICAL THERAPY 35099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35099,A000000,02700,0000,02700SPEECH PATHOLOGY 35099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35099,A000000,03001,0000,03001COMPLEX MEDICAL EQUIPMENT 35099,A000000,03550,0000,03550FQHC 35099,A000000,04800,0000,04800AMBULANCE 35099,A000000,05000,0000,05000CORF 35099,A000000,05010,0000,05010CMHC 35099,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35099,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35099,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35099,A000000,06150,0000,06300ADULT DAY CARE 35099,A000000,06151,0000,06301GERIATRIC 35099,A000000,06152,0000,06302MEALS ON WHEELS 35099,A81000A,00100,0100,Y 35099,A81000B,00100,0300,A &G 35099,A81000C,00100,0100,A 35099,A81000C,00100,0200,G. ANGIOLILLO 35099,A81000C,00100,0400,CUMMINGS & LOCK 35099,A81000C,00100,0600,LAW FIRM 35099,A81000C,00200,0100,A 35099,A81000C,00200,0200,SUE NEILSON 35099,A81000C,00200,0400,CUMMINGS & LOCK 35099,A81000C,00200,0600,LAW FIRM 35099,A81000C,00300,0100,A 35099,A81000C,00300,0200,GEORGE MOORE 35099,A81000C,00300,0400,MERRILL LYNCH 35099,A81000C,00300,0600,INVESTMENT FIRM 35099,B100000,00000,0100,00002SQUARE FEET 35099,B100000,00000,0200,00002SQUARE FEET 35099,B100000,00000,0300,00002GROSS SALARIES 35099,B100000,00000,0400,00002ACCUM COST 35099,B100000,00000,0500,00002SQUARE FEET 35099,B100000,00000,0600,00002POUNDS OF LAUNDRY 35099,B100000,00000,0700,00002SQUARE FEET 35099,B100000,00000,0800,00002MEALS SERVED 35099,B100000,00000,0900,00002GROSS SALARIES 35099,B100000,00000,1000,00002COSTED REQUIS 35099,B100000,00000,1100,00002PATIENT DAYS 35099,B100000,00000,1200,00002TIME SPENT 35099,B100000,00000,1300,00002GROSS REVENUES 35099,B100000,00000,1350,00002PATIENT DAYS 35099,B100000,00000,1400,00002ASSIGNED TIME 35099,S000000,00100,0200,05/31/2000 35099,S200000,00100,0100,3 FARM ROAD 35099,S200000,00200,0100,NEW CANAAN 35099,S200000,00200,0200,CT 35099,S200000,00200,0300,06840 35099,S200000,00300,0100,FAIRFIELD 35099,S200000,00400,0100,WAVENY CARE CENTER INC. 35099,S200000,00400,0200,075361 35099,S200000,00400,0300,10/01/1991 35099,S200000,00400,0500,P 35099,S200000,01500,0100,Y 35102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35102,A000000,00300,0000,00300EMPLOYEE BENEFITS 35102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35102,A000000,00700,0000,00700HOUSEKEEPING 35102,A000000,00800,0000,00800DIETARY 35102,A000000,00900,0000,00900NURSING ADMINISTRATION 35102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35102,A000000,01100,0000,01100PHARMACY 35102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35102,A000000,01300,0000,01300SOCIAL SERVICE 35102,A000000,01350,0000,01500OTHER GENERAL SERVICES 35102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35102,A000000,01600,0000,01600SKILLED NURSING FACILITY 35102,A000000,01810,0000,01810ICF/MR 35102,A000000,02100,0000,02100RADIOLOGY 35102,A000000,02200,0000,02200LABORATORY 35102,A000000,02500,0000,02500PHYSICAL THERAPY 35102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35102,A000000,02700,0000,02700SPEECH PATHOLOGY 35102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35102,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35102,A000000,03550,0000,03550FQHC 35102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35102,A000000,05000,0000,05000CORF 35102,A000000,05010,0000,05010CMHC 35102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35102,A81000A,00100,0100,Y 35102,A81000B,00100,0300,RENT 35102,A81000B,00200,0300,DEPRECIATION 35102,A81000B,00300,0300,MORTGAGE INTEREST 35102,A81000B,00400,0300,REAL ESTATE TAXES 35102,A81000B,00500,0300,INTEREST EXPENSE 35102,A81000B,00600,0300,ELECTRICAL SERVICES 35102,A81000B,00700,0300,MAINTENANCE SUPERVISOR 35102,A81000B,00800,0300,0 35102,A81000B,00900,0300,0 35102,A81000C,00100,0100,B 35102,A81000C,00100,0200,ASCO UNLIMITED 35102,A81000C,00100,0400,ASCO UNLIMITED 35102,A81000C,00100,0600,PARTNERSHIP 35102,A81000C,00200,0100,B 35102,A81000C,00200,0200,ASCO UNLIMITED 35102,A81000C,00200,0400,ASCO UNLIMITED 35102,A81000C,00200,0600,PARTNERSHIP 35102,A81000C,00300,0100,B 35102,A81000C,00300,0200,ASCO UNLIMITED 35102,A81000C,00300,0400,ASCO UNLIMITED 35102,A81000C,00300,0600,PARTNERSHIP 35102,A81000C,00400,0100,B 35102,A81000C,00400,0200,ASCO UNLIMITED 35102,A81000C,00400,0400,ASCO UNLIMITED 35102,A81000C,00400,0600,PARTNERSHIP 35102,A81000C,00500,0100,D 35102,A81000C,00500,0200,ANGELA LEVEILLE 35102,A81000C,00500,0400,ANGELA LEVEILLE 35102,A81000C,00500,0600,INDIVIDUAL 35102,A81000C,00600,0100,B 35102,A81000C,00600,0200,STATE ELECTRIC 35102,A81000C,00600,0400,STATE ELECTRIC 35102,A81000C,00600,0600,INDIVIDUAL 35102,A81000C,00700,0100,A 35102,A81000C,00700,0200,MARCEL LEVEILLE 35102,A81000C,00700,0400,ASCO UNLIMITED 35102,A81000C,00700,0600,PARTNERSHIP 35102,B100000,00000,0100,00000SQUARE FOOTAGE 35102,B100000,00000,0200,00000SQUARE FOOTAGE 35102,B100000,00000,0300,00000GROSS SALARIES 35102,B100000,00000,0400,00000ACCUM. COST 35102,B100000,00000,0500,00000SQUARE FOOTAGE 35102,B100000,00000,0600,00000POUNDS OF LAUNDRY 35102,B100000,00000,0700,00000SQUARE FOOTAGE 35102,B100000,00000,0800,00000MEALS SERVED 35102,B100000,00000,0900,00000DIRECT HOURS 35102,B100000,00000,1000,00000COSTED REQUIS 35102,B100000,00000,1100,00000PATIENT DAYS 35102,B100000,00000,1200,00000PATIENT DAYS 35102,B100000,00000,1300,00000PATIENT DAYS 35102,B100000,00000,1350,00000PATIENT DAYS 35102,B100000,00000,1400,00000PATIENT DAYS 35102,S000000,00100,0200,03/03/2000 35102,S200000,00100,0100,582 MERIDEN AVE 35102,S200000,00200,0100,SOUTHINGTON 35102,S200000,00200,0200,CT 35102,S200000,00300,0100,HARTFORD 35102,S200000,00400,0100,RIDGEWOOD HEALTH CARE FACILITY 35102,S200000,00400,0200,075363 35102,S200000,00400,0300,10/01/1991 35102,S200000,00400,0500,P 35102,S200000,01500,0100,Y 35106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35106,A000000,00300,0000,00300EMPLOYEE BENEFITS 35106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35106,A000000,00700,0000,00700HOUSEKEEPING 35106,A000000,00800,0000,00800DIETARY 35106,A000000,00900,0000,00900NURSING ADMINISTRATION 35106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35106,A000000,01100,0000,01100PHARMACY 35106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35106,A000000,01300,0000,01300SOCIAL SERVICE 35106,A000000,01350,0000,01500ACTIVITIES 35106,A000000,01351,0000,01501INDIRECT CONSULTANTS 35106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35106,A000000,01600,0000,01600SKILLED NURSING FACILITY 35106,A000000,01810,0000,01810ICF/MR 35106,A000000,01900,0000,01900OTHER LONG TERM CARE 35106,A000000,02100,0000,02100RADIOLOGY 35106,A000000,02200,0000,02200LABORATORY 35106,A000000,02500,0000,02500PHYSICAL THERAPY 35106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35106,A000000,02700,0000,02700SPEECH PATHOLOGY 35106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35106,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35106,A000000,03550,0000,03550FQHC 35106,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35106,A000000,05000,0000,05000CORF 35106,A000000,05010,0000,05010CMHC 35106,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35106,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35106,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35106,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 35106,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 35106,A81000A,00100,0100,Y 35106,A81000B,00400,0300,MGMT FEE - NOT CAPITAL REL 35106,A81000B,00500,0300,MGMT FEE - CAPITAL REL 35106,A81000B,00600,0300,MGMT FEE - CAP REL MOVABLE 35106,A81000C,00100,0100,B 35106,A81000C,00100,0400,LUTHERAN SOCIAL SERVICE 35106,A81000C,00100,0600,HOME OFFICE 35106,B100000,00000,0100,00002SQUARE FEET 35106,B100000,00000,0200,00002SQUARE FEET 35106,B100000,00000,0300,00002GROSS SALARIES 35106,B100000,00000,0400,00002ACCUM. COST 35106,B100000,00000,0500,00002SQUARE FEET 35106,B100000,00000,0600,00002POUNDS OF LAUNDRY 35106,B100000,00000,0700,00002SQUARE FEET 35106,B100000,00000,0800,00002MEALS SERVED 35106,B100000,00000,0900,00002HOURS 35106,B100000,00000,1000,00002PATIENT DAYS 35106,B100000,00000,1100,00002N/A 35106,B100000,00000,1200,00002PATIENT DAYS 35106,B100000,00000,1300,00002PATIENT DAYS 35106,B100000,00000,1350,00002PATIENT DAYS 35106,B100000,00000,1351,00002N/A 35106,B100000,00000,1400,00002N/A 35106,S000000,00100,0200,06/01/2000 35106,S200000,00100,0100,628 CONGDON STREET 35106,S200000,00200,0100,WEST MIDDLETOWN 35106,S200000,00200,0200,CT 35106,S200000,00200,0300,06457 35106,S200000,00300,0100,MIDDLESEX 35106,S200000,00400,0100,LUTHERAN HOME OF MIDDLETOWN 35106,S200000,00400,0200,075364 35106,S200000,00400,0300,10/01/1991 35106,S200000,00400,0500,P 35106,S200000,00400,0600,P 35106,S200000,01600,0100,Y 35106,S200000,01900,0100,CCRC 35111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35111,A000000,00300,0000,00300EMPLOYEE BENEFITS 35111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35111,A000000,00700,0000,00700HOUSEKEEPING 35111,A000000,00800,0000,00800DIETARY 35111,A000000,00900,0000,00900NURSING ADMINISTRATION 35111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35111,A000000,01100,0000,01100PHARMACY 35111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35111,A000000,01300,0000,01300SOCIAL SERVICE 35111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35111,A000000,01600,0000,01600SKILLED NURSING FACILITY 35111,A000000,01810,0000,01810ICF/MR 35111,A000000,02100,0000,02100RADIOLOGY 35111,A000000,02200,0000,02200LABORATORY 35111,A000000,02300,0000,02300INTRAVENOUS THERAPY 35111,A000000,02500,0000,02500PHYSICAL THERAPY 35111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35111,A000000,02700,0000,02700SPEECH PATHOLOGY 35111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35111,A000000,03550,0000,03550FQHC 35111,A000000,05000,0000,05000CORF 35111,A000000,05010,0000,05010CMHC 35111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35111,A000000,05300,0000,05300INTEREST EXPENSE 35111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35111,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35111,A81000A,00100,0100,Y 35111,A81000B,00100,0300,PAYROLL TAX DIR OF OPER 35111,A81000B,00200,0300,BENEFITS DIR OF OPER 35111,A81000B,00300,0300,PAYROLL TAX CONTROLLER 35111,A81000B,00400,0300,BENEFITS CONTROLLER 35111,A81000B,00500,0300,ASST DIR OPER PAYROLL TAXES 35111,A81000B,00600,0300,SALARY CONTROLLER 35111,A81000B,00700,0300,SALARY DIRECTOR OPERATIONS 35111,A81000B,00800,0300,SALARY ASST DIR OF OPERATIONS 35111,A81000B,00900,0300,TELEPHONE TRANSCON 35111,A81000B,01000,0300,TRAVEL TRANSCON 35111,A81000B,01100,0300,MANAGEMENT FEES 35111,A81000B,01200,0300,INTEREST 35111,A81000B,01300,0300,ACCOUNTING FEES 35111,A81000C,00100,0100,B 35111,A81000C,00100,0400,TRANSCON INC. 35111,A81000C,00100,0600,BUILDERS 35111,B100000,00000,0100,00000SQUARE FEET 35111,B100000,00000,0200,00000SQUARE FEET 35111,B100000,00000,0300,00000GROSS SALARIES 35111,B100000,00000,0400,00000ACCUM. COST 35111,B100000,00000,0500,00000SQUARE FEET 35111,B100000,00000,0600,00000POUNDS OF LAUNDRY 35111,B100000,00000,0700,00000SQUARE FEET 35111,B100000,00000,0800,00000MEALS SERVED 35111,B100000,00000,0900,00000DIRECT NRSING HRS 35111,B100000,00000,1000,00000INPATIENT DAYS 35111,B100000,00000,1100,00000INPATIENT DAYS 35111,B100000,00000,1200,00000INPATIENT DAYS 35111,B100000,00000,1300,00000INPATIENT DAYS 35111,B100000,00000,1400,00000ASSIGNED TIME 35111,S000000,00100,0200,05/30/2000 35111,S200000,00100,0100,1270 SHERMAN LANE 35111,S200000,00200,0100,HAMDEN 35111,S200000,00200,0200,CT 35111,S200000,00300,0100,NEW HAVEN 35111,S200000,00400,0100,HAMDEN HEALTH CARE 35111,S200000,00400,0200,075366 35111,S200000,00400,0300,10/01/1994 35111,S200000,00400,0500,P 35111,S200000,01500,0100,Y 35121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35121,A000000,00300,0000,00300EMPLOYEE BENEFITS 35121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35121,A000000,00700,0000,00700HOUSEKEEPING 35121,A000000,00800,0000,00800DIETARY 35121,A000000,00900,0000,00900NURSING ADMINISTRATION 35121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35121,A000000,01100,0000,01100PHARMACY 35121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35121,A000000,01300,0000,01300SOCIAL SERVICE 35121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35121,A000000,01600,0000,01600SKILLED NURSING FACILITY 35121,A000000,01800,0000,01800NURSING FACILITY 35121,A000000,01810,0000,01810ICF/MR 35121,A000000,02100,0000,02100RADIOLOGY 35121,A000000,02200,0000,02200LABORATORY 35121,A000000,02300,0000,02300INTRAVENOUS THERAPY 35121,A000000,02500,0000,02500PHYSICAL THERAPY 35121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35121,A000000,02700,0000,02700SPEECH PATHOLOGY 35121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35121,A000000,03001,0000,03001RESPIRATORY THERAPY 35121,A000000,03002,0000,03002CLINITRON BEDS 35121,A000000,03101,0000,03101CLINITRON BEDS 35121,A000000,03550,0000,03550FQHC 35121,A000000,05000,0000,05000CORF 35121,A000000,05010,0000,05010CMHC 35121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35121,B100000,00000,0100,00000SQUARE FEET 35121,B100000,00000,0200,00000SQUARE FEET 35121,B100000,00000,0300,00000GROSS SALARIES 35121,B100000,00000,0400,00000ACCUM COST 35121,B100000,00000,0500,00000SQUARE FEET 35121,B100000,00000,0600,00000PATIENT DAYS 35121,B100000,00000,0700,00000SQUARE FEET 35121,B100000,00000,0800,00000MEALS SERVED 35121,B100000,00000,0900,00000PATIENT DAYS 35121,B100000,00000,1000,00000PATIENT DAYS 35121,B100000,00000,1100,00000PATIENT DAYS 35121,B100000,00000,1200,00000PATIENT DAYS 35121,B100000,00000,1300,00000PATIENT DAYS 35121,B100000,00000,1400,00000ASSIGNED TIME 35121,S000000,00100,0200,04/14/2000 35121,S200000,00100,0100,600 BOND STREET 35121,S200000,00200,0100,BRIDGEPORT 35121,S200000,00200,0200,CT 35121,S200000,00200,0300,06610 35121,S200000,00300,0100,FAIRFIELD 35121,S200000,00400,0100,BRIDGEPORT MANOR 35121,S200000,00400,0200,075369 35121,S200000,00400,0300,01/02/1992 35121,S200000,00400,0500,P 35121,S200000,00600,0200,075369 35121,S200000,00600,0300,01/02/1992 35121,S200000,00600,0600,P 35121,S200000,01600,0100,Y 35121,S200000,01900,0100,VOLUNTARY 35128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35128,A000000,00300,0000,00300EMPLOYEE BENEFITS 35128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35128,A000000,00700,0000,00700HOUSEKEEPING 35128,A000000,00800,0000,00800DIETARY 35128,A000000,00900,0000,00900NURSING ADMINISTRATION 35128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35128,A000000,01100,0000,01100PHARMACY 35128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35128,A000000,01300,0000,01300SOCIAL SERVICE 35128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35128,A000000,01600,0000,01600SKILLED NURSING FACILITY 35128,A000000,01810,0000,01810ICF/MR 35128,A000000,02100,0000,02100RADIOLOGY 35128,A000000,02200,0000,02200LABORATORY 35128,A000000,02300,0000,02300INTRAVENOUS THERAPY 35128,A000000,02500,0000,02500PHYSICAL THERAPY 35128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35128,A000000,02700,0000,02700SPEECH PATHOLOGY 35128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35128,A000000,03002,0000,03002SURGICAL SUPPLIES 35128,A000000,03101,0000,03101CLINITRON BEDS 35128,A000000,03550,0000,03550FQHC 35128,A000000,05000,0000,05000CORF 35128,A000000,05010,0000,05010CMHC 35128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35128,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35128,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35128,A000000,06200,0000,06200PATIENTS LAUNDRY 35128,B100000,00000,0100,00000SQUARE FEET 35128,B100000,00000,0200,00000SQUARE FEET 35128,B100000,00000,0300,00000GROSS SALARIES 35128,B100000,00000,0400,00000ACCUM COST 35128,B100000,00000,0500,00000SQUARE FEET 35128,B100000,00000,0600,00000PATIENT DAYS 35128,B100000,00000,0700,00000SQUARE FEET 35128,B100000,00000,0800,00000MEALS SERVED 35128,B100000,00000,0900,00000PATIENT DAYS 35128,B100000,00000,1000,00000PATIENT DAYS 35128,B100000,00000,1100,00000PATIENT DAYS 35128,B100000,00000,1200,00000TIME SPENT 35128,B100000,00000,1300,00000PATIENT DAYS 35128,B100000,00000,1400,00000ASSIGNED TIME 35128,S000000,00100,0200,03/01/2000 35128,S200000,00100,0100,600 BOND STREET 35128,S200000,00200,0100,BRIDGEPORT 35128,S200000,00200,0200,CT 35128,S200000,00200,0300,06610 35128,S200000,00300,0100,FAIRFIELD 35128,S200000,00400,0100,BRIDGEPORT HEALTH CARE 35128,S200000,00400,0200,075370 35128,S200000,00400,0300,01/01/1992 35128,S200000,00400,0500,P 35128,S200000,01500,0100,Y 35133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35133,A000000,00300,0000,00300EMPLOYEE BENEFITS 35133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35133,A000000,00700,0000,00700HOUSEKEEPING 35133,A000000,00800,0000,00800DIETARY 35133,A000000,00900,0000,00900NURSING ADMINISTRATION 35133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35133,A000000,01100,0000,01100PHARMACY 35133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35133,A000000,01300,0000,01300SOCIAL SERVICE 35133,A000000,01350,0000,01500ACTIVITIES 35133,A000000,01351,0000,01501INDIRECT CONSULTANTS 35133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35133,A000000,01600,0000,01600SKILLED NURSING FACILITY 35133,A000000,01800,0000,01800NURSING FACILITY 35133,A000000,01810,0000,01810ICF/MR 35133,A000000,01900,0000,01900OTHER LONG TERM CARE 35133,A000000,02100,0000,02100RADIOLOGY 35133,A000000,02500,0000,02500PHYSICAL THERAPY 35133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35133,A000000,02700,0000,02700SPEECH PATHOLOGY 35133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35133,A000000,03550,0000,03550FQHC 35133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35133,A000000,05000,0000,05000CORF 35133,A000000,05010,0000,05010CMHC 35133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35133,A81000A,00100,0100,Y 35133,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 35133,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 35133,A81000B,00300,0300,MGMT FEE-CAP REL MOVEABLE 35133,A81000C,00100,0100,B 35133,A81000C,00100,0400,LUTERHAN SS OF NE 35133,A81000C,00100,0600,HOME OFFICE 35133,B100000,00000,0100,00000SQUARE FEET 35133,B100000,00000,0200,00000SQUARE FEET 35133,B100000,00000,0300,00000GROSS SALARIES 35133,B100000,00000,0400,00000ACCUM. COST 35133,B100000,00000,0500,00000SQUARE FEET 35133,B100000,00000,0600,00000POUNDS OF LAUNDRY 35133,B100000,00000,0700,00000SQUARE FEET 35133,B100000,00000,0800,00000MEALS SERVED 35133,B100000,00000,0900,00000HOURS 35133,B100000,00000,1000,00000PATIENT DAYS 35133,B100000,00000,1100,00000N/A 35133,B100000,00000,1200,00000PATIENT DAYS 35133,B100000,00000,1300,00000PATIENT DAYS 35133,B100000,00000,1350,00000PATIENT DAYS 35133,B100000,00000,1351,00000N/A 35133,B100000,00000,1400,00000N/A 35133,S000000,00100,0200,06/01/2000 35133,S200000,00100,0100,990 MAIN STREET 35133,S200000,00200,0100,NORTH SOUTHBURY 35133,S200000,00200,0200,CT 35133,S200000,00200,0300,06488 35133,S200000,00300,0100,NEW HAVEN 35133,S200000,00400,0100,LUTHERAN HOME OF SOUTHBURY 35133,S200000,00400,0200,075371 35133,S200000,00400,0300,10/01/1991 35133,S200000,00400,0500,P 35133,S200000,00400,0600,P 35133,S200000,01600,0100,Y 35133,S200000,01900,0100,CCRC 35141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35141,A000000,00101,0000,00101CAP REL COSTS - INTEREST 35141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35141,A000000,00300,0000,00300EMPLOYEE BENEFITS 35141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35141,A000000,00700,0000,00700HOUSEKEEPING 35141,A000000,00800,0000,00800DIETARY 35141,A000000,00900,0000,00900NURSING ADMINISTRATION 35141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35141,A000000,01100,0000,01100PHARMACY 35141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35141,A000000,01300,0000,01300SOCIAL SERVICE 35141,A000000,01350,0000,01500RECREATION 35141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35141,A000000,01600,0000,01600SKILLED NURSING FACILITY 35141,A000000,01800,0000,01800NURSING FACILITY 35141,A000000,01810,0000,01810ICF/MR 35141,A000000,02100,0000,02100RADIOLOGY 35141,A000000,02200,0000,02200LABORATORY 35141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35141,A000000,02500,0000,02500PHYSICAL THERAPY 35141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35141,A000000,02700,0000,02700SPEECH PATHOLOGY 35141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35141,A000000,03550,0000,03550FQHC 35141,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35141,A000000,05000,0000,05000CORF 35141,A000000,05010,0000,05010CMHC 35141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35141,A000000,06150,0000,06300CONVENT OF MERCY 35141,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 35141,A000000,06152,0000,06302PRIVATE THERAPIST OFFICE 35141,A81000A,00100,0100,Y 35141,A81000B,00100,0300,PT - SMH #6293 35141,A81000B,00200,0300,OT - SMH #6294 35141,A81000B,00300,0300,ST - SMH #6295 35141,A81000B,00400,0300,SAL SISTER ADMIN 35141,A81000B,00500,0300,SAL SISTER SOCIAL SER #7211 35141,A81000B,00600,0300,SAL SISTER REC #7011 35141,A81000B,00700,0300,SAL SISTER NUR #6211 35141,A81000B,00800,0300,MERCY COMM HEALTH #4355 35141,A81000B,00900,0300,CATHOLIC HEALTH #4354 35141,A81000B,01000,0300,DATA PROCESSING #4302 35141,A81000C,00100,0100,B 35141,A81000C,00100,0200,SISTERS OF MERCY OF CT 35141,A81000C,00100,0400,SAINT MARY HOME 35141,A81000C,00100,0600,NSG HOME REHAB DEPT 35141,A81000C,00200,0100,B 35141,A81000C,00200,0200,SISTERS OF MERCY OF CT 35141,A81000C,00200,0400,SAINT MARY HOME 35141,A81000C,00200,0600,NSG HOME REHAB DEPT 35141,A81000C,00300,0100,B 35141,A81000C,00300,0200,SISTERS OF MERCY OF CT 35141,A81000C,00300,0400,SAINT MARY HOME 35141,A81000C,00300,0600,NSG HOME REHAB DEPT 35141,A81000C,00400,0100,B 35141,A81000C,00400,0200,SISTERS OF MERCY OF CT 35141,A81000C,00400,0400,SISTERS OF MERCY 35141,A81000C,00400,0600,PROVIDE SISTER EMPLOYEES 35141,A81000C,00500,0100,B 35141,A81000C,00500,0200,SISTERS OF MERCY OF CT 35141,A81000C,00500,0400,SISTERS OF MERCY 35141,A81000C,00500,0600,PROVIDE SISTER EMPLOYEES 35141,A81000C,00600,0100,B 35141,A81000C,00600,0200,SISTERS OF MERCY OF CT 35141,A81000C,00600,0400,SISTERS OF MERCY 35141,A81000C,00600,0600,PROVIDE SISTER EMPLOYEES 35141,A81000C,00700,0100,B 35141,A81000C,00700,0200,SISTERS OF MERCY OF CT 35141,A81000C,00700,0400,SISTERS OF MERCY 35141,A81000C,00700,0600,PROVIDE SISTER EMPLOYEES 35141,A81000C,00800,0100,B 35141,A81000C,00800,0200,MERCY SERVICES INC 35141,A81000C,00800,0600,FINANCIAL MANAGEMENT 35141,A81000C,00900,0100,B 35141,A81000C,00900,0200,MERCY SERVICES INC 35141,A81000C,00900,0600,FINANCIAL MANAGEMENT 35141,A81000C,01000,0100,B 35141,A81000C,01000,0200,SISTERS OF MERCY OF CT 35141,A81000C,01000,0400,SAINT MARY HOME 35141,A81000C,01000,0600,ACCOUNTING AND COMPUTERS 35141,B100000,00000,0100,00002SQUARE FOOTAGE 35141,B100000,00000,0101,00002DOLLAR VALUE 35141,B100000,00000,0200,00002SQUARE FOOTAGE 35141,B100000,00000,0300,00002GROSS SALARIES 35141,B100000,00000,0400,00002ACCUM. COST 35141,B100000,00000,0500,00002SQUARE FOOTAGE 35141,B100000,00000,0600,00002POUNDS OF LAUNDRY 35141,B100000,00000,0700,00002SQUARE FOOTAGE 35141,B100000,00000,0800,00002MEALS SERVED 35141,B100000,00000,0900,00002DIRECT NRSNG HOUR 35141,B100000,00000,1000,00002COSTED REQUIS 35141,B100000,00000,1100,00002COSTED REQUIS 35141,B100000,00000,1200,00002PATIENT DAYS 35141,B100000,00000,1300,00002PATIENT DAYS 35141,B100000,00000,1350,00002PATIENT DAYS 35141,B100000,00000,1400,00002ASSIGNED TIME 35141,S000000,00100,0200,03/17/2000 35141,S200000,00100,0100,243 STEELE RD 35141,S200000,00200,0100,WEST HARTFORD 35141,S200000,00200,0200,CT 35141,S200000,00300,0100,HARTFORD 35141,S200000,00400,0100,MERCYKNOLL INC. 35141,S200000,00400,0200,075376 35141,S200000,00400,0300,06/30/1992 35141,S200000,00400,0500,P 35141,S200000,00600,0200,075376 35141,S200000,00600,0300,06/30/1992 35141,S200000,00600,0600,P 35141,S200000,01600,0100,Y 35141,S200000,01900,0100,NON PROFIT CORP 35141,S200000,02200,0100,Y 35147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35147,A000000,00300,0000,00300EMPLOYEE BENEFITS 35147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35147,A000000,00700,0000,00700HOUSEKEEPING 35147,A000000,00800,0000,00800DIETARY 35147,A000000,00900,0000,00900NURSING ADMINISTRATION 35147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35147,A000000,01100,0000,01100PHARMACY 35147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35147,A000000,01300,0000,01300SOCIAL SERVICE 35147,A000000,01350,0000,01500RECREATION 35147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35147,A000000,01600,0000,01600SKILLED NURSING FACILITY 35147,A000000,01810,0000,01810ICF/MR 35147,A000000,02500,0000,02500PHYSICAL THERAPY 35147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35147,A000000,02700,0000,02700SPEECH PATHOLOGY 35147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35147,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35147,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35147,A000000,03550,0000,03550FQHC 35147,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35147,A000000,05000,0000,05000CORF 35147,A000000,05010,0000,05010CMHC 35147,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35147,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35147,A000000,06150,0000,06300ALSA 35147,A81000A,00100,0100,Y 35147,A81000B,00100,0300,MEDICAL DIRECTOR 35147,A81000C,00100,0100,G 35147,A81000C,00100,0200,ALAN SEIGAL MD 35147,A81000C,00100,0400,CENTER FOR GERIATRIC 35147,A81000C,00100,0600,MEDICAL DIRECTOR 35147,B100000,00000,0100,00000SQUARE FEET 35147,B100000,00000,0200,00000SQUARE FEET 35147,B100000,00000,0300,00000GROSS SALARIES 35147,B100000,00000,0400,00000ACCUM. COST 35147,B100000,00000,0500,00000SQUARE FEET 35147,B100000,00000,0600,00000TIME SPENT 35147,B100000,00000,0700,00000SQUARE FEET 35147,B100000,00000,0800,00000MEALS SERVED 35147,B100000,00000,0900,00000TIME SPENT 35147,B100000,00000,1000,00000COSTED REQUIS 35147,B100000,00000,1100,00000TIME SPENT 35147,B100000,00000,1200,00000TIME SPENT 35147,B100000,00000,1300,00000TIME SPENT 35147,B100000,00000,1350,00000TIME SPENT 35147,B100000,00000,1400,00000ASSIGNED TIME 35147,S000000,00100,0200,06/01/2000 35147,S200000,00100,0100,1231 SOUTH MAIN STREET 35147,S200000,00200,0100,PLANTSVILLE 35147,S200000,00200,0200,CT 35147,S200000,00300,0100,HARTFORD 35147,S200000,00400,0100,ALZHEIMERS RESOURCE CENTER OF CT 35147,S200000,00400,0200,075378 35147,S200000,00400,0300,11/13/1992 35147,S200000,00400,0500,P 35147,S200000,01500,0100,Y 35149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35149,A000000,00300,0000,00300EMPLOYEE BENEFITS 35149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35149,A000000,00700,0000,00700HOUSEKEEPING 35149,A000000,00800,0000,00800DIETARY 35149,A000000,00900,0000,00900NURSING ADMINISTRATION 35149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35149,A000000,01100,0000,01100PHARMACY 35149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35149,A000000,01300,0000,01300SOCIAL SERVICE 35149,A000000,01350,0000,01500PATIENT ACTIVITIES 35149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35149,A000000,01600,0000,01600SKILLED NURSING FACILITY 35149,A000000,01800,0000,01800NURSING FACILITY 35149,A000000,01810,0000,01810ICF/MR 35149,A000000,02200,0000,02200LABORATORY 35149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35149,A000000,02401,0000,02401RESPIRATORY 35149,A000000,02500,0000,02500PHYSICAL THERAPY 35149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35149,A000000,02700,0000,02700SPEECH PATHOLOGY 35149,A000000,02800,0000,02800ELECTROCARDIOLOGY 35149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35149,A000000,03550,0000,03550FQHC 35149,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35149,A000000,05010,0000,05010CMHC 35149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35149,A000000,05300,0000,05300INTEREST EXPENSE 35149,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35149,A000000,05810,0000,05810OUTSIDE CHILD DAYCARE 35149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35149,A81000A,00100,0100,Y 35149,A81000B,00100,0300,NURSING SUPPLIES 35149,A81000C,00100,0100,B 35149,A81000C,00100,0200,SHARON HOSPITAL 35149,A81000C,00100,0400,SHARON HOSPITAL 35149,A81000C,00100,0600,GENERAL HOSPITA 35149,B100000,00000,0100,00000(SQUARE FEET) 35149,B100000,00000,0200,00000(SQUARE FEET) 35149,B100000,00000,0300,00000(GROSS SALARIES) 35149,B100000,00000,0400,00000(ACCUM COST) 35149,B100000,00000,0500,00000(SQUARE FEET) 35149,B100000,00000,0600,00000PATIENT DAYS 35149,B100000,00000,0700,00000SQUARE FEET 35149,B100000,00000,0800,00000PATIENT DAYS 35149,B100000,00000,0900,00000PATIENT DAYS 35149,B100000,00000,1000,00000(COSTED REQUIS) 35149,B100000,00000,1100,00000PATIENT DAYS 35149,B100000,00000,1200,00000PATIENT DAYS 35149,B100000,00000,1300,00000PATIENT DAYS 35149,B100000,00000,1350,00000PATIENT DAYS 35149,B100000,00000,1400,00000(ASSIGNED TIME) 35149,S000000,00100,0200,05/31/2000 35149,S200000,00100,0100,27 HOSPITAL HILL ROAD 35149,S200000,00200,0100,SHARON 35149,S200000,00200,0200,CT 35149,S200000,00200,0300,06069 35149,S200000,00300,0100,LITCHFIELD 35149,S200000,00400,0100,SHARON HEALTH CARE CENTER 35149,S200000,00400,0200,075379 35149,S200000,00400,0300,11/18/1992 35149,S200000,00400,0500,P 35149,S200000,00400,0600,O 35149,S200000,00600,0200,075379 35149,S200000,00600,0300,11/18/1992 35149,S200000,00600,0600,P 35149,S200000,01600,0100,Y 35149,S200000,01900,0100,NON PROFIT CORP 35151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35151,A000000,00300,0000,00300EMPLOYEE BENEFITS 35151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35151,A000000,00700,0000,00700HOUSEKEEPING 35151,A000000,00800,0000,00800DIETARY 35151,A000000,00900,0000,00900NURSING ADMINISTRATION 35151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35151,A000000,01100,0000,01100PHARMACY 35151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35151,A000000,01300,0000,01300SOCIAL SERVICE 35151,A000000,01350,0000,01500RECREATION 35151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35151,A000000,01600,0000,01600SKILLED NURSING FACILITY 35151,A000000,01810,0000,01810ICF/MR 35151,A000000,01900,0000,01900OTHER LONG TERM CARE 35151,A000000,02100,0000,02100RADIOLOGY 35151,A000000,02200,0000,02200LABORATORY 35151,A000000,02500,0000,02500PHYSICAL THERAPY 35151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35151,A000000,02700,0000,02700SPEECH PATHOLOGY 35151,A000000,02800,0000,02800ELECTROCARDIOLOGY 35151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35151,A000000,03200,0000,03200SUPPORT SURFACES 35151,A000000,03550,0000,03550FQHC 35151,A000000,04800,0000,04800AMBULANCE 35151,A000000,05000,0000,05000CORF 35151,A000000,05010,0000,05010CMHC 35151,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35151,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35151,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35151,A000000,05300,0000,05300INTEREST EXPENSE 35151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35151,A81000A,00100,0100,Y 35151,A81000B,00100,0300,RENT 35151,A81000B,00200,0300,INTEREST 35151,A81000B,00300,0300,DEPRECIATION 35151,A81000B,00400,0300,DEPRECIATION 35151,A81000B,00500,0300,CORP FEES 35151,A81000B,00600,0300,CORP ACCT FEES 35151,A81000B,00700,0300,CORP MANAGE FEES 35151,A81000B,00800,0300,NURSING POOL 35151,A81000B,00900,0300,PSYCHIATRIC SERVICES 35151,A81000C,00100,0100,A 35151,A81000C,00100,0200,BRIAN J. FOLEY 35151,A81000C,00100,0400,RIDGEVIEW REALT 35151,A81000C,00100,0600,REAL ESTATE REN 35151,A81000C,00200,0100,A 35151,A81000C,00200,0200,BRIAN J. FOLEY 35151,A81000C,00200,0400,APPLE HEALTH CA 35151,A81000C,00200,0600,CORP ACCT MANA 35151,A81000C,00300,0100,A 35151,A81000C,00300,0200,BRIAN J. FOLEY 35151,A81000C,00300,0400,EMPLOYEE SHARE 35151,A81000C,00300,0600,NURSING POOL 35151,A81000C,00400,0100,D 35151,A81000C,00400,0200,LISA WILSON FOL 35151,A81000C,00400,0400,MEDOPTIONS 35151,A81000C,00400,0600,PSYCHIATRIC SER 35151,B100000,00000,0100,00000SQUARE FEET 35151,B100000,00000,0200,00000SQUARE FEET 35151,B100000,00000,0300,00000GROSS SALARIES 35151,B100000,00000,0400,00000ACCUM COST 35151,B100000,00000,0500,00000SQUARE FEET 35151,B100000,00000,0600,00000POUNDS OF LAUNDRY 35151,B100000,00000,0700,00000SQUARE FEET 35151,B100000,00000,0800,00000MEALS SERVED 35151,B100000,00000,0900,00000HOURS OF SERVICE 35151,B100000,00000,1000,00000PATIENT DAYS 35151,B100000,00000,1100,00000COSTED REQUIS 35151,B100000,00000,1200,00000PATIENT DAYS 35151,B100000,00000,1300,00000PATIENT DAYS 35151,B100000,00000,1350,00000PATIENT DAYS 35151,B100000,00000,1400,00000ASSIGNED TIME 35151,S000000,00100,0200,06/07/2000 35151,S200000,00100,0100,156 BERLIN RD 35151,S200000,00200,0100,CROMWELL 35151,S200000,00200,0200,CT 35151,S200000,00200,0300,06416 35151,S200000,00300,0100,MIDDLESEX 35151,S200000,00400,0100,RIDGEVIEW HEALTH CARE CENTER 35151,S200000,00400,0200,075380 35151,S200000,00400,0300,12/21/1992 35151,S200000,00400,0500,P 35151,S200000,01500,0100,Y 35151,S200000,04700,0100,Y 35153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35153,A000000,00300,0000,00300EMPLOYEE BENEFITS 35153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35153,A000000,00700,0000,00700HOUSEKEEPING 35153,A000000,00800,0000,00800DIETARY 35153,A000000,00900,0000,00900NURSING ADMINISTRATION 35153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35153,A000000,01100,0000,01100PHARMACY 35153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35153,A000000,01300,0000,01300SOCIAL SERVICE 35153,A000000,01301,0000,01301RECREATION 35153,A000000,01350,0000,01500OTHER GENERAL SERVICES 35153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35153,A000000,01600,0000,01600SKILLED NURSING FACILITY 35153,A000000,01810,0000,01810ICF/MR 35153,A000000,02100,0000,02100RADIOLOGY 35153,A000000,02200,0000,02200LABORATORY 35153,A000000,02300,0000,02300INTRAVENOUS THERAPY 35153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35153,A000000,02500,0000,02500PHYSICAL THERAPY 35153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35153,A000000,02700,0000,02700SPEECH PATHOLOGY 35153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35153,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35153,A000000,03051,0000,03301CLINITRN THERAPY 35153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35153,A000000,03550,0000,03550FQHC 35153,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35153,A000000,04800,0000,04800AMBULANCE 35153,A000000,05000,0000,05000CORF 35153,A000000,05010,0000,05010CMHC 35153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35153,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35153,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35153,A81000A,00100,0100,Y 35153,A81000B,00100,0300,RENT 35153,A81000B,00200,0300,MORTGAGE INTEREST 35153,A81000B,00300,0300,DEPRCIATION 35153,A81000B,00400,0300,OFFICE 35153,A81000C,00100,0100,A 35153,A81000C,00100,0200,M.J. OSTREICHER 35153,A81000C,00100,0400,MIDDLETOWN REALTY 35153,A81000C,00100,0600,REAL ESTATE 35153,A81000C,00200,0100,A 35153,A81000C,00200,0200,M.J. OSTREICHER 35153,A81000C,00200,0400,NATIONAL HEALTH CARE 35153,A81000C,00200,0600,BOOKEEPING 35153,B100000,00000,0100,00000SQUARE FEET 35153,B100000,00000,0200,00000DOLLAR VALUE 35153,B100000,00000,0300,00000GROSS SALARIES 35153,B100000,00000,0400,00000ACCUM. COST 35153,B100000,00000,0500,00000SQUARE FEET 35153,B100000,00000,0600,00000POUNDS OF LAUNDRY 35153,B100000,00000,0700,00000HOURS OF SERVICE 35153,B100000,00000,0800,00000MEALS SERVED 35153,B100000,00000,0900,00000HOURS OF SERVICE 35153,B100000,00000,1000,00000CENSUS 35153,B100000,00000,1100,00000COSTED REQUIS. 35153,B100000,00000,1200,00000HOURS OF SERVICE 35153,B100000,00000,1300,00000HOURS OF SERVICE 35153,B100000,00000,1301,00000CENSUS 35153,B100000,00000,1350,00000NO STATISTICS 35153,B100000,00000,1400,00000TIME SPENT 35153,E10A180,00301,0100,04/09/1998 35153,E10A180,00351,0100,06/11/1997 35153,S000000,00100,0200,05/26/2000 35153,S200000,00100,0100,111 CHURCH STREET 35153,S200000,00200,0100,MIDDLETOWN 35153,S200000,00200,0200,CT 35153,S200000,00300,0100,MIDDLESEX 35153,S200000,00400,0100,HARBOR HILL CARE CENTER INC. 35153,S200000,00400,0200,075381 35153,S200000,00400,0300,01/29/1993 35153,S200000,00400,0500,P 35153,S200000,01500,0100,Y 35158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35158,A000000,00300,0000,00300EMPLOYEE BENEFITS 35158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35158,A000000,00700,0000,00700HOUSEKEEPING 35158,A000000,00800,0000,00800DIETARY 35158,A000000,00900,0000,00900NURSING ADMINISTRATION 35158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35158,A000000,01100,0000,01100PHARMACY 35158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35158,A000000,01300,0000,01300SOCIAL SERVICE 35158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35158,A000000,01600,0000,01600SKILLED NURSING FACILITY 35158,A000000,01810,0000,01810ICF/MR 35158,A000000,01900,0000,01900OTHER LONG TERM CARE 35158,A000000,02100,0000,02100RADIOLOGY 35158,A000000,02200,0000,02200LABORATORY 35158,A000000,02500,0000,02500PHYSICAL THERAPY 35158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35158,A000000,02700,0000,02700SPEECH PATHOLOGY 35158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35158,A000000,03550,0000,03550FQHC 35158,A000000,05000,0000,05000CORF 35158,A000000,05010,0000,05010CMHC 35158,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35158,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35158,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35158,A000000,05300,0000,05300INTEREST EXPENSE 35158,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35158,A000000,06200,0000,06200PATIENTS LAUNDRY 35158,A000000,06201,0000,06201MARKETING 35158,A000000,06202,0000,06202LIVING QUARTERS 35158,A000000,06203,0000,06203LIVING QUARTERS CLINIC 35158,A000000,06204,0000,06204CONGREGATE 35158,A81000A,00100,0100,Y 35158,A81000B,00100,0300,LEGAL FEES 35158,A81000B,00200,0300,MAINTENANCE JOINT VENTURE 35158,A81000B,00300,0300,NURSING WAGES 35158,A81000C,00100,0100,E 35158,A81000C,00100,0200,BARCLAY ROBINSON 35158,A81000C,00100,0600,ATTORNEY 35158,A81000C,00200,0100,B 35158,A81000C,00200,0200,ELDER CARE 35158,A81000C,00200,0600,ELDERLY HOUSING 35158,A81000C,00300,0100,E 35158,A81000C,00300,0200,KATHLEEN MOBLEY 35158,A81000C,00300,0600,RN 35158,B100000,00000,0100,00004SQUARE FEET 35158,B100000,00000,0200,00004SQUARE FEET 35158,B100000,00000,0300,00004GROSS SALARIES 35158,B100000,00000,0400,00004ACCUM. COST 35158,B100000,00000,0500,00004SQUARE FEET 35158,B100000,00000,0600,00004POUNDS OF LAUNDRY 35158,B100000,00000,0700,00004SQUARE FEET 35158,B100000,00000,0800,00004MEALS SERVED 35158,B100000,00000,0900,00004HOURS OF SERVICE 35158,B100000,00000,1000,00004PATIENT DAYS 35158,B100000,00000,1100,00004COSTED REQUIS 35158,B100000,00000,1200,00004PATIENT DAYS 35158,B100000,00000,1300,00004PATIENT DAYS 35158,B100000,00000,1400,00004ASSIGNED TIME 35158,E10A180,00550,0100,03/09/2000 35158,E10A180,00550,0300,03/09/2000 35158,S000000,00100,0200,03/03/2000 35158,S200000,00100,0100,200 SEABURY DRIVE 35158,S200000,00200,0100,BLOOMFIELD 35158,S200000,00200,0200,CT 35158,S200000,00300,0100,HARTFORD 35158,S200000,00400,0100,CHURCH HOME OF HARTFORD INC. 35158,S200000,00400,0200,075383 35158,S200000,00400,0300,04/21/1993 35158,S200000,00400,0500,P 35158,S200000,01600,0100,Y 35164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35164,A000000,00300,0000,00300EMPLOYEE BENEFITS 35164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35164,A000000,00700,0000,00700HOUSEKEEPING 35164,A000000,00800,0000,00800DIETARY 35164,A000000,00900,0000,00900NURSING ADMINISTRATION 35164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35164,A000000,01100,0000,01100PHARMACY 35164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35164,A000000,01300,0000,01300SOCIAL SERVICE 35164,A000000,01350,0000,01500RECREATION 35164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35164,A000000,01600,0000,01600SKILLED NURSING FACILITY 35164,A000000,01810,0000,01810ICF/MR 35164,A000000,02100,0000,02100RADIOLOGY 35164,A000000,02200,0000,02200LABORATORY 35164,A000000,02300,0000,02300INTRAVENOUS THERAPY 35164,A000000,02500,0000,02500PHYSICAL THERAPY 35164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35164,A000000,02700,0000,02700SPEECH PATHOLOGY 35164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35164,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35164,A000000,03051,0000,03301CLINITRON 35164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35164,A000000,03550,0000,03550FQHC 35164,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35164,A000000,04800,0000,04800AMBULANCE 35164,A000000,05000,0000,05000CORF 35164,A000000,05010,0000,05010CMHC 35164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35164,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35164,A81000A,00100,0100,Y 35164,A81000B,00100,0300,RENT 35164,A81000B,00200,0300,MORTGAGE INTEREST 35164,A81000B,00300,0300,DEPRECIATION 35164,A81000C,00100,0100,A 35164,A81000C,00100,0200,M.J. OSTREICHER 35164,A81000C,00100,0400,MILBOROUGH REALTY 35164,A81000C,00100,0600,REAL ESTATE 35164,A81000C,00200,0100,A 35164,A81000C,00200,0200,M.J. OSTREICHER 35164,A81000C,00200,0400,NATIONAL HEALTH CARE 35164,A81000C,00200,0600,BOOKEEPING 35164,B100000,00000,0100,00000SQUARE FEET 35164,B100000,00000,0200,00000DOLLAR VALUE 35164,B100000,00000,0300,00000GROSS SALARIES 35164,B100000,00000,0400,00000ACCUM. COST 35164,B100000,00000,0500,00000SQUARE FEET 35164,B100000,00000,0600,00000POUNDS OF LAUNDRY 35164,B100000,00000,0700,00000HOURS OF SERVICE 35164,B100000,00000,0800,00000MEALS SERVED 35164,B100000,00000,0900,00000HOURS OF SERVICE 35164,B100000,00000,1000,00000CENSUS 35164,B100000,00000,1100,00000COSTED REQUIS. 35164,B100000,00000,1200,00000# OF DISCHARGES 35164,B100000,00000,1300,00000HOURS OF SERVICE 35164,B100000,00000,1350,00000CENSUS 35164,B100000,00000,1400,00000TIME SPENT 35164,E10A180,00301,0100,09/30/1998 35164,E10A180,00350,0300,09/30/1998 35164,S000000,00100,0200,05/26/2000 35164,S200000,00100,0100,85 STAGE ROAD 35164,S200000,00200,0100,MARLBOROUGH 35164,S200000,00200,0200,CT 35164,S200000,00300,0100,HARTFORD 35164,S200000,00400,0100,MARLBOROUGH HEALTH CARE CENTER INC. 35164,S200000,00400,0200,075384 35164,S200000,00400,0300,04/14/1993 35164,S200000,00400,0500,P 35164,S200000,01600,0100,Y 35164,S200000,01900,0100,NON PROFIT CORP 35167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35167,A000000,00300,0000,00300EMPLOYEE BENEFITS 35167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35167,A000000,00700,0000,00700HOUSEKEEPING 35167,A000000,00800,0000,00800DIETARY 35167,A000000,00900,0000,00900NURSING ADMINISTRATION 35167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35167,A000000,01100,0000,01100PHARMACY 35167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35167,A000000,01300,0000,01300SOCIAL SERVICE 35167,A000000,01350,0000,01500PATIENT ACTIVITIES 35167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35167,A000000,01600,0000,01600SKILLED NURSING FACILITY 35167,A000000,01800,0000,01800NURSING FACILITY 35167,A000000,01810,0000,01810ICF/MR 35167,A000000,02200,0000,02200LABORATORY 35167,A000000,02300,0000,02300INTRAVENOUS THERAPY 35167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35167,A000000,02500,0000,02500PHYSICAL THERAPY 35167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35167,A000000,02700,0000,02700SPEECH PATHOLOGY 35167,A000000,02800,0000,02800ELECTROCARDIOLOGY 35167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35167,A000000,03550,0000,03550FQHC 35167,A000000,04800,0000,04800AMBULANCE 35167,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35167,A000000,05010,0000,05010CMHC 35167,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35167,A000000,05300,0000,05300INTEREST EXPENSE 35167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35167,A81000A,00100,0100,Y 35167,A81000B,00100,0300,RENT EXPENSE 35167,A81000B,00200,0300,DEPRECIATION-BLDG 35167,A81000B,00300,0300,DEPRECIATION-MOVABLE 35167,A81000B,00400,0300,INTEREST-BLDG 35167,A81000B,00500,0300,FINANCE FEES 35167,A81000C,00100,0100,A 35167,A81000C,00100,0200,JOHN ANTONINO 35167,A81000C,00100,0400,GIRANCO ASSOCS 35167,A81000C,00100,0600,LAND LEASE 35167,A81000C,00200,0100,A 35167,A81000C,00200,0200,LEO ANTONINO 35167,A81000C,00300,0100,A 35167,A81000C,00300,0200,TRUST-LECARO 35167,A81000C,00400,0100,A 35167,A81000C,00400,0200,TRUST-MERCADO 35167,B100000,00000,0100,00000(SQUARE FEET) 35167,B100000,00000,0200,00000(SQUARE FEET) 35167,B100000,00000,0300,00000(GROSS SALARIES) 35167,B100000,00000,0400,00000(ACCUM COST) 35167,B100000,00000,0500,00000(SQUARE FEET) 35167,B100000,00000,0600,00000PATIENT DAYS 35167,B100000,00000,0700,00000SQUARE FEET 35167,B100000,00000,0800,00000PATIENT DAYS 35167,B100000,00000,0900,00000PATIENT DAYS 35167,B100000,00000,1000,00000(COSTED REQUIS) 35167,B100000,00000,1100,00000PATIENT DAYS 35167,B100000,00000,1200,00000PATIENT DAYS 35167,B100000,00000,1300,00000PATIENT DAYS 35167,B100000,00000,1350,00000PATIENT DAYS 35167,B100000,00000,1400,00000(ASSIGNED TIME) 35167,S000000,00100,0200,05/31/2000 35167,S200000,00100,0100,5 RICHARD BROWN DRIVE 35167,S200000,00200,0100,UNCASVILLE 35167,S200000,00200,0200,CT 35167,S200000,00200,0300,06382 35167,S200000,00300,0100,NEW LONDON 35167,S200000,00400,0100,HILLCREST HEALTH CARE CENTER 35167,S200000,00400,0200,075385 35167,S200000,00400,0300,06/03/1993 35167,S200000,00400,0500,P 35167,S200000,00400,0600,O 35167,S200000,00600,0200,075385 35167,S200000,00600,0300,06/03/1993 35167,S200000,00600,0600,P 35167,S200000,01600,0100,Y 35167,S200000,01900,0100,NON PROFIT CORP 35167,S200000,04200,0100,Y 35167,S200000,04700,0100,Y 35167,S200000,04900,0100,Y 35169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35169,A000000,00300,0000,00300EMPLOYEE BENEFITS 35169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35169,A000000,00700,0000,00700HOUSEKEEPING 35169,A000000,00800,0000,00800DIETARY 35169,A000000,00900,0000,00900NURSING ADMINISTRATION 35169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35169,A000000,01100,0000,01100PHARMACY 35169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35169,A000000,01300,0000,01300SOCIAL SERVICE 35169,A000000,01350,0000,01500PATIENT ACTIVITIES 35169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35169,A000000,01600,0000,01600SKILLED NURSING FACILITY 35169,A000000,01800,0000,01800NURSING FACILITY 35169,A000000,01810,0000,01810ICF/MR 35169,A000000,02200,0000,02200LABORATORY 35169,A000000,02300,0000,02300INTRAVENOUS THERAPY 35169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35169,A000000,02401,0000,02401RESPIRATORY 35169,A000000,02500,0000,02500PHYSICAL THERAPY 35169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35169,A000000,02700,0000,02700SPEECH PATHOLOGY 35169,A000000,02800,0000,02800ELECTROCARDIOLOGY 35169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35169,A000000,03550,0000,03550FQHC 35169,A000000,04800,0000,04800AMBULANCE 35169,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35169,A000000,05010,0000,05010CMHC 35169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35169,A000000,05300,0000,05300INTEREST EXPENSE 35169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35169,A81000A,00100,0100,Y 35169,A81000B,00100,0300,MANAGEMENT FEES 35169,A81000B,00200,0300,RENT EXPENSE - LAND 35169,A81000C,00100,0100,B 35169,A81000C,00100,0400,SEYMOUR HEALTH 35169,A81000C,00100,0600,LAND LEASE 35169,B100000,00000,0100,00000(SQUARE FEET) 35169,B100000,00000,0200,00000(SQUARE FEET) 35169,B100000,00000,0300,00000(GROSS SALARIES) 35169,B100000,00000,0400,00000(ACCUM COST) 35169,B100000,00000,0500,00000(SQUARE FEET) 35169,B100000,00000,0600,00000PATIENT DAYS 35169,B100000,00000,0700,00000SQUARE FEET 35169,B100000,00000,0800,00000PATIENT DAYS 35169,B100000,00000,0900,00000PATIENT DAYS 35169,B100000,00000,1000,00000(COSTED REQUIS) 35169,B100000,00000,1100,00000PATIENT DAYS 35169,B100000,00000,1200,00000PATIENT DAYS 35169,B100000,00000,1300,00000PATIENT DAYS 35169,B100000,00000,1350,00000PATIENT DAYS 35169,B100000,00000,1400,00000(ASSIGNED TIME) 35169,E10A180,00550,0300,06/29/2000 35169,S000000,00100,0200,05/31/2000 35169,S200000,00100,0100,41 SKOKORAT STREET 35169,S200000,00200,0100,SEYMOUR 35169,S200000,00200,0200,CT 35169,S200000,00200,0300,06483 35169,S200000,00300,0100,NEW HAVEN 35169,S200000,00400,0100,SHADY KNOLL HEALTH CARE CENTER 35169,S200000,00400,0200,075386 35169,S200000,00400,0300,06/09/1993 35169,S200000,00400,0500,P 35169,S200000,00400,0600,O 35169,S200000,00600,0200,075386 35169,S200000,00600,0300,06/09/1993 35169,S200000,00600,0600,P 35169,S200000,01600,0100,Y 35169,S200000,01900,0100,NON PROFIT CORP 35169,S200000,04700,0100,Y 35169,S200000,04900,0100,Y 35173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35173,A000000,00300,0000,00300EMPLOYEE BENEFITS 35173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35173,A000000,00700,0000,00700HOUSEKEEPING 35173,A000000,00800,0000,00800DIETARY 35173,A000000,00900,0000,00900NURSING ADMINISTRATION 35173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35173,A000000,01100,0000,01100PHARMACY 35173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35173,A000000,01300,0000,01300SOCIAL SERVICE 35173,A000000,01350,0000,01500PATIENT ACTIVITIES 35173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35173,A000000,01600,0000,01600SKILLED NURSING FACILITY 35173,A000000,01800,0000,01800NURSING FACILITY 35173,A000000,01810,0000,01810ICF/MR 35173,A000000,02100,0000,02100RADIOLOGY 35173,A000000,02200,0000,02200LABORATORY 35173,A000000,02300,0000,02300INTRAVENOUS THERAPY 35173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35173,A000000,02500,0000,02500PHYSICAL THERAPY 35173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35173,A000000,02700,0000,02700SPEECH PATHOLOGY 35173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35173,A000000,03550,0000,03550FQHC 35173,A000000,04750,0000,05100INTEREST 35173,A000000,05000,0000,05000CORF 35173,A000000,05010,0000,05010CMHC 35173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35173,A000000,05901,0000,05901DENTAL 35173,A000000,06150,0000,06300PHARMACY 35173,A81000A,00100,0100,Y 35173,A81000B,00100,0300,PHYSICAL THERAPY-NORWALK HOSPI 35173,A81000B,00200,0300,OCCUPATIONAL THERAPY-NORWALK H 35173,A81000B,00300,0300,SPEECH THERAPY-NORWALK HOSPITA 35173,A81000B,00400,0300,MANAGEMENT FEES-NORWALK HOSPIT 35173,A81000B,00500,0300,SWC PHARMACY 35173,A81000B,00600,0300,LAUNDRY -NORWALK HOSPITAL 35173,A81000C,00100,0100,B 35173,A81000C,00100,0400,NORWALK HEALTH 35173,A81000C,00100,0600,THERAPY 35173,A81000C,00200,0100,B 35173,A81000C,00200,0400,NORWALK HEALTH 35173,A81000C,00200,0600,LAUNDRY 35173,A81000C,00300,0100,B 35173,A81000C,00300,0400,NORWALK HEALTH 35173,A81000C,00300,0600,PHARMACEUTICALS 35173,B100000,00000,0100,00000SQUARE FEET 35173,B100000,00000,0200,00000SQUARE FEET 35173,B100000,00000,0300,00000GROSS SALARIES 35173,B100000,00000,0400,00000ACCUM. COST 35173,B100000,00000,0500,00000SQUARE FEET 35173,B100000,00000,0600,00000PATIENT DAYS 35173,B100000,00000,0700,00000SQUARE FEET 35173,B100000,00000,0800,00000MEALS SERVED 35173,B100000,00000,0900,00000DIR NRS HRS SRVC 35173,B100000,00000,1000,00000COSTED REQUIS 35173,B100000,00000,1100,00000PATIENT DAYS 35173,B100000,00000,1200,00000PATIENT DAYS 35173,B100000,00000,1300,00000TIME SPENT 35173,B100000,00000,1350,00000TIME SPENT 35173,B100000,00000,1400,00000ASSIGNED TIME 35173,E10A180,00550,0300,06/22/2000 35173,S000000,00100,0200,05/30/2000 35173,S200000,00100,0100,34 MIDROCKS ROAD 35173,S200000,00200,0100,NORWALK 35173,S200000,00200,0200,CT 35173,S200000,00200,0300,06856 35173,S200000,00300,0100,FAIRFIELD 35173,S200000,00400,0100,HONEY HILL HEALTH CENTER 35173,S200000,00400,0200,075387 35173,S200000,00400,0300,07/30/1993 35173,S200000,00400,0500,P 35173,S200000,00400,0600,O 35173,S200000,01600,0100,Y 35173,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35175,A000000,00300,0000,00300EMPLOYEE BENEFITS 35175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35175,A000000,00700,0000,00700HOUSEKEEPING 35175,A000000,00800,0000,00800DIETARY 35175,A000000,00900,0000,00900NURSING ADMINISTRATION 35175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35175,A000000,01100,0000,01100PHARMACY 35175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35175,A000000,01300,0000,01300SOCIAL SERVICE 35175,A000000,01350,0000,01500RECREATION 35175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35175,A000000,01600,0000,01600SKILLED NURSING FACILITY 35175,A000000,01810,0000,01810ICF/MR 35175,A000000,02100,0000,02100RADIOLOGY 35175,A000000,02200,0000,02200LABORATORY 35175,A000000,02300,0000,02300INTRAVENOUS THERAPY 35175,A000000,02500,0000,02500PHYSICAL THERAPY 35175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35175,A000000,02700,0000,02700SPEECH PATHOLOGY 35175,A000000,02800,0000,02800ELECTROCARDIOLOGY 35175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35175,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 35175,A000000,03200,0000,03200SUPPORT SURFACES 35175,A000000,03251,0000,03210COMPLEX MEDICAL EQUIPMENT 35175,A000000,03550,0000,03550FQHC 35175,A000000,05000,0000,05000CORF 35175,A000000,05010,0000,05010CMHC 35175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35175,A000000,05300,0000,05300INTEREST EXPENSE 35175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35175,A000000,06200,0000,06200PATIENTS LAUNDRY 35175,A81000A,00100,0100,Y 35175,A81000B,00100,0300,RENT 35175,A81000B,00200,0300,INTEREST 35175,A81000B,00300,0300,DEPR @40YR LIFE 35175,A81000B,00400,0300,CORP FEES 35175,A81000B,00500,0300,CORP ACCOUNTING FEES 35175,A81000B,00600,0300,CORP MANAGEMENT 35175,A81000B,00700,0300,P/SLPN-SNF 35175,A81000B,00800,0300,P/S AIDES-SNF 35175,A81000B,00900,0300,SALARIES-OWNER 35175,A81000B,01000,0300,PSYCHIATRIST FEES 35175,A81000C,00100,0100,A 35175,A81000C,00100,0200,BRIAN FOLEY 35175,A81000C,00100,0400,BRIGHTVIEW REAL 35175,A81000C,00100,0600,REAL ESTATE REN 35175,A81000C,00200,0100,A 35175,A81000C,00200,0200,BRIAN FOLEY 35175,A81000C,00200,0400,APPLE HEALTH CA 35175,A81000C,00200,0600,CORP ACCOUNT & 35175,A81000C,00300,0100,A 35175,A81000C,00300,0200,BRIAN FOLEY 35175,A81000C,00300,0400,EMPLOYEE SHARE 35175,A81000C,00300,0600,POOLS LPN CNA 35175,A81000C,00400,0100,D 35175,A81000C,00400,0200,LISA WILSON FOL 35175,A81000C,00400,0400,MED OPTIONS 35175,A81000C,00400,0600,PSYCH FEES 35175,B100000,00000,0100,00000SQUARE FEET 35175,B100000,00000,0200,00000SQUARE FEET 35175,B100000,00000,0300,00000GROSS SALARIES 35175,B100000,00000,0400,00000ACCUM COST 35175,B100000,00000,0500,00000SQUARE FEET 35175,B100000,00000,0600,00000100 PERCENT 35175,B100000,00000,0700,00000SQUARE FEET 35175,B100000,00000,0800,00000100 PERCENT 35175,B100000,00000,0900,00000100 PERCENT 35175,B100000,00000,1000,00000COSTED REQUIS 35175,B100000,00000,1100,00000COSTED REQUIS 35175,B100000,00000,1200,00000100 PERCENT 35175,B100000,00000,1300,00000100 PERCENT 35175,B100000,00000,1350,00000100 PERCENT 35175,B100000,00000,1400,00000ASSIGNED TIME 35175,S000000,00100,0200,05/31/2000 35175,S200000,00100,0100,220 SCOVILLE ROAD 35175,S200000,00200,0100,AVON 35175,S200000,00200,0200,CT 35175,S200000,00200,0300,06001 35175,S200000,00300,0100,HARTFORD 35175,S200000,00400,0100,BRIGHTVIEW NURSING & RETIREMENT CENT 35175,S200000,00400,0200,075388 35175,S200000,00400,0300,08/09/1993 35175,S200000,00400,0500,P 35175,S200000,00400,0600,O 35175,S200000,01500,0100,Y 35181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35181,A000000,00300,0000,00300EMPLOYEE BENEFITS 35181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35181,A000000,00700,0000,00700HOUSEKEEPING 35181,A000000,00800,0000,00800DIETARY 35181,A000000,00900,0000,00900NURSING ADMINISTRATION 35181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35181,A000000,01100,0000,01100PHARMACY 35181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35181,A000000,01300,0000,01300SOCIAL SERVICE 35181,A000000,01350,0000,01500PATIENT ACTIVITIES 35181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35181,A000000,01600,0000,01600SKILLED NURSING FACILITY 35181,A000000,01800,0000,01800NURSING FACILITY 35181,A000000,01810,0000,01810ICF/MR 35181,A000000,02101,0000,02101RESPIRATORY 35181,A000000,02200,0000,02200LABORATORY 35181,A000000,02300,0000,02300INTRAVENOUS THERAPY 35181,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35181,A000000,02500,0000,02500PHYSICAL THERAPY 35181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35181,A000000,02700,0000,02700SPEECH PATHOLOGY 35181,A000000,02800,0000,02800ELECTROCARDIOLOGY 35181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35181,A000000,03550,0000,03550FQHC 35181,A000000,04800,0000,04800AMBULANCE 35181,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35181,A000000,05010,0000,05010CMHC 35181,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35181,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35181,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35181,A000000,05300,0000,05300INTEREST EXPENSE 35181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35181,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35181,B100000,00000,0100,00000(SQUARE FEET) 35181,B100000,00000,0200,00000(SQUARE FEET) 35181,B100000,00000,0300,00000(GROSS SALARIES) 35181,B100000,00000,0400,00000(ACCUM COST) 35181,B100000,00000,0500,00000(SQUARE FEET) 35181,B100000,00000,0600,00000PATIENT DAYS 35181,B100000,00000,0700,00000SQUARE FEET 35181,B100000,00000,0800,00000PATIENT DAYS 35181,B100000,00000,0900,00000PATIENT DAYS 35181,B100000,00000,1000,00000(COSTED REQUIS) 35181,B100000,00000,1100,00000PATIENT DAYS 35181,B100000,00000,1200,00000PATIENT DAYS 35181,B100000,00000,1300,00000TIME SPENT 35181,B100000,00000,1350,00000PATIENT DAYS 35181,B100000,00000,1400,00000(ASSIGNED TIME) 35181,E10A180,00550,0300,06/29/2000 35181,S000000,00100,0200,05/31/2000 35181,S200000,00100,0100,89 WEID DRIVE 35181,S200000,00200,0100,NAUGATUCK 35181,S200000,00200,0200,CT 35181,S200000,00200,0300,06770 35181,S200000,00300,0100,NEW HAVEN 35181,S200000,00400,0100,BEACON BROOK HEALTH CARE CENTER 35181,S200000,00400,0200,075390 35181,S200000,00400,0300,11/23/1993 35181,S200000,00400,0500,P 35181,S200000,00400,0600,O 35181,S200000,00600,0200,075390 35181,S200000,00600,0300,11/23/1993 35181,S200000,00600,0600,P 35181,S200000,01600,0100,Y 35181,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35181,S200000,04900,0100,Y 35183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35183,A000000,00300,0000,00300EMPLOYEE BENEFITS 35183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35183,A000000,00700,0000,00700HOUSEKEEPING 35183,A000000,00800,0000,00800DIETARY 35183,A000000,00900,0000,00900NURSING ADMINISTRATION 35183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35183,A000000,01100,0000,01100PHARMACY 35183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35183,A000000,01300,0000,01300SOCIAL SERVICE 35183,A000000,01350,0000,01500RECREATION 35183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35183,A000000,01600,0000,01600SKILLED NURSING FACILITY 35183,A000000,01810,0000,01810ICF/MR 35183,A000000,02100,0000,02100RADIOLOGY 35183,A000000,02200,0000,02200LABORATORY 35183,A000000,02500,0000,02500PHYSICAL THERAPY 35183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35183,A000000,02700,0000,02700SPEECH PATHOLOGY 35183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35183,A000000,03550,0000,03550FQHC 35183,A000000,05000,0000,05000CORF 35183,A000000,05010,0000,05010CMHC 35183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35183,A000000,05300,0000,05300INTEREST EXPENSE 35183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35183,A81000A,00100,0100,Y 35183,A81000B,00100,0300,RENT 35183,A81000B,00200,0300,INTEREST 35183,A81000B,00300,0300,DEPREC @ 40 YR LIFE 35183,A81000B,00400,0300,CORP FEES 35183,A81000B,00500,0300,CORP ACCOUNTING FEES 35183,A81000B,00600,0300,CORPORATE MANAGEMENT 35183,A81000B,00700,0300,PSYCHIATRIC CONSULT 35183,A81000B,00800,0300,P/S CNA - SNF 35183,A81000B,00900,0300,HO CAP REL EQUIPMENT 35183,A81000C,00100,0100,A 35183,A81000C,00100,0200,BRIAN FOLEY 35183,A81000C,00100,0400,KENT REALTY 35183,A81000C,00100,0600,REAL ESTATE REN 35183,A81000C,00200,0100,A 35183,A81000C,00200,0200,BRIAN FOLEY 35183,A81000C,00200,0400,APPLE HEALTH CA 35183,A81000C,00200,0600,CORP MGT & ACCT 35183,A81000C,00300,0100,D 35183,A81000C,00300,0200,LISA WILSON FOL 35183,A81000C,00300,0400,MED OPTIONS 35183,A81000C,00300,0600,PHYSCHIATRIC SE 35183,A81000C,00400,0100,A 35183,A81000C,00400,0200,BRIAN FOLEY 35183,A81000C,00400,0400,ESP 35183,A81000C,00400,0600,TEMP NUSRING SE 35183,B100000,00000,0100,00000SQUARE FEET 35183,B100000,00000,0200,00000SQUARE FEET 35183,B100000,00000,0300,00000GROSS SALARIES 35183,B100000,00000,0400,00000ACCUM COST 35183,B100000,00000,0500,00000SQUARE FEET 35183,B100000,00000,0600,00000100% 35183,B100000,00000,0700,00000SQUARE FEET 35183,B100000,00000,0800,00000100% 35183,B100000,00000,0900,00000100% 35183,B100000,00000,1000,00000COSTED REQUIS 35183,B100000,00000,1100,00000COSTED REQUIS 35183,B100000,00000,1200,00000TIME SPENT 35183,B100000,00000,1300,00000100% 35183,B100000,00000,1350,00000100% 35183,B100000,00000,1400,00000ASSIGNED TIME 35183,E10A180,00301,0100,01/16/2001 35183,S000000,00100,0200,06/07/2000 35183,S200000,00100,0100,46 MAPLE STREET 35183,S200000,00200,0100,KENT 35183,S200000,00200,0200,CT 35183,S200000,00200,0300,06757 35183,S200000,00300,0100,LITCHFIELD 35183,S200000,00400,0100,THE KENT LTD. 35183,S200000,00400,0200,075391 35183,S200000,00400,0300,10/27/1993 35183,S200000,00400,0500,P 35185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35185,A000000,00300,0000,00300EMPLOYEE BENEFITS 35185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35185,A000000,00700,0000,00700HOUSEKEEPING 35185,A000000,00800,0000,00800DIETARY 35185,A000000,00900,0000,00900NURSING ADMINISTRATION 35185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35185,A000000,01100,0000,01100PHARMACY 35185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35185,A000000,01300,0000,01300SOCIAL SERVICE 35185,A000000,01301,0000,01301ACTIVITIES 35185,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35185,A000000,01600,0000,01600SKILLED NURSING FACILITY 35185,A000000,01800,0000,01800NURSING FACILITY 35185,A000000,01810,0000,01810ICF/MR 35185,A000000,02100,0000,02100RADIOLOGY 35185,A000000,02200,0000,02200LABORATORY 35185,A000000,02300,0000,02300INTRAVENOUS THERAPY 35185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35185,A000000,02500,0000,02500PHYSICAL THERAPY 35185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35185,A000000,02700,0000,02700SPEECH PATHOLOGY 35185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35185,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35185,A000000,03051,0000,03301PEN THERAPY 35185,A000000,03400,0000,03400CLINIC 35185,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35185,A000000,03550,0000,03550FQHC 35185,A000000,05000,0000,05000CORF 35185,A000000,05010,0000,05010CMHC 35185,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35185,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35185,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35185,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35185,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35185,A81000A,00100,0100,Y 35185,A81000B,00100,0300,HOME OFFICE INTEREST 35185,A81000B,00200,0300,HOME OFFICE COST 35185,A81000B,00300,0300,SILVER KEY EXP-MARKETING 35185,A81000B,00400,0300,RX NON-RX DRUGS CONTRACT RX 35185,A81000B,00500,0300,NURSING CONSULTING 35185,A81000B,00600,0300,IV THERAPY 35185,A81000B,00700,0300,PHYSICAL THERAPY 35185,A81000B,00800,0300,OCCUPATIONAL THERAPY 35185,A81000B,00900,0300,SPEECH THERAPY 35185,A81000C,00100,0100,B 35185,A81000C,00100,0200,MH SOUTHERN CON 35185,A81000C,00100,0400,MARINER PAN 35185,A81000C,00100,0600,NURSING HOMES 35185,A81000C,00200,0100,G 35185,A81000C,00200,0200,MARINER POST-AC 35185,A81000C,00200,0400,AMERICAN PHARMA 35185,A81000C,00200,0600,PHARMACEUTICALS 35185,A81000C,00300,0100,G 35185,A81000C,00300,0200,MARINER POST-AC 35185,A81000C,00300,0400,PRISM (ARS ATS 35185,A81000C,00300,0600,THERAPIES 35185,B100000,00000,0100,00000SQUARE FEET 35185,B100000,00000,0200,00000SQUARE FEET 35185,B100000,00000,0300,00000GROSS SALARIES 35185,B100000,00000,0400,00000ACCUM COST 35185,B100000,00000,0500,00000SQUARE FEET 35185,B100000,00000,0600,00000PATIENT DAYS 35185,B100000,00000,0700,00000SQUARE FEET 35185,B100000,00000,0800,00000MEALS SERVED 35185,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35185,B100000,00000,1000,00000COSTED REQUISITIO 35185,B100000,00000,1100,00000COSTED REQUIS 35185,B100000,00000,1200,00000PATIENT DAYS 35185,B100000,00000,1300,00000PATIENT DAYS 35185,B100000,00000,1301,00000PATIENT DAYS 35185,B100000,00000,1350,00000UNITS OF SERVICE 35185,B100000,00000,1400,00000ASSIGNED TIME 35185,S000000,00100,0200,03/06/2000 35185,S200000,00100,0100,126 FORD STREET 35185,S200000,00200,0100,ANSONIA 35185,S200000,00200,0200,CT 35185,S200000,00200,0300,06401 35185,S200000,00300,0100,NEW HAVEN 35185,S200000,00400,0100,MARINER HEALTH OF SOUTHERN CT 35185,S200000,00400,0200,075392 35185,S200000,00400,0300,11/15/1993 35185,S200000,00400,0500,P 35185,S200000,01600,0100,Y 35185,S200000,01900,0100,VOLUNTARY 35193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35193,A000000,00300,0000,00300EMPLOYEE BENEFITS 35193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35193,A000000,00700,0000,00700HOUSEKEEPING 35193,A000000,00800,0000,00800DIETARY 35193,A000000,00900,0000,00900NURSING ADMINISTRATION 35193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35193,A000000,01100,0000,01100PHARMACY 35193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35193,A000000,01300,0000,01300SOCIAL SERVICE 35193,A000000,01350,0000,01500PATIENT ACTIVITIES 35193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35193,A000000,01600,0000,01600SKILLED NURSING FACILITY 35193,A000000,01800,0000,01800NURSING FACILITY 35193,A000000,01810,0000,01810ICF/MR 35193,A000000,02200,0000,02200LABORATORY 35193,A000000,02300,0000,02300INTRAVENOUS THERAPY 35193,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35193,A000000,02500,0000,02500PHYSICAL THERAPY 35193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35193,A000000,02700,0000,02700SPEECH PATHOLOGY 35193,A000000,02800,0000,02800ELECTROCARDIOLOGY 35193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35193,A000000,03550,0000,03550FQHC 35193,A000000,04800,0000,04800AMBULANCE 35193,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35193,A000000,05010,0000,05010CMHC 35193,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35193,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35193,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35193,A000000,05300,0000,05300INTEREST EXPENSE 35193,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35193,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35193,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35193,B100000,00000,0100,00000(SQUARE FEET) 35193,B100000,00000,0200,00000(SQUARE FEET) 35193,B100000,00000,0300,00000(GROSS SALARIES) 35193,B100000,00000,0400,00000(ACCUM COST) 35193,B100000,00000,0500,00000(SQUARE FEET) 35193,B100000,00000,0600,00000PATIENT DAYS 35193,B100000,00000,0700,00000SQUARE FEET 35193,B100000,00000,0800,00000PATIENT DAYS 35193,B100000,00000,0900,00000PATIENT DAYS 35193,B100000,00000,1000,00000(COSTED REQUIS) 35193,B100000,00000,1100,00000PATIENT DAYS 35193,B100000,00000,1200,00000PATIENT DAYS 35193,B100000,00000,1300,00000PATIENT DAYS 35193,B100000,00000,1350,00000PATIENT DAYS 35193,B100000,00000,1400,00000(ASSIGNED TIME) 35193,E10A180,00550,0300,06/29/2000 35193,S000000,00100,0200,05/31/2000 35193,S200000,00100,0100,642 DANBURY ROAD 35193,S200000,00200,0100,RIDGEFIELD 35193,S200000,00200,0200,CT 35193,S200000,00200,0300,06877 35193,S200000,00300,0100,FAIRFIELD 35193,S200000,00400,0100,LAURELWOOD REHAB & SKILLED NSG 35193,S200000,00400,0200,075395 35193,S200000,00400,0300,10/01/1993 35193,S200000,00400,0500,P 35193,S200000,00400,0600,O 35193,S200000,00600,0200,075395 35193,S200000,00600,0300,10/01/1993 35193,S200000,00600,0600,P 35193,S200000,01600,0100,Y 35193,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35193,S200000,04100,0100,Y 35193,S200000,04200,0100,Y 35193,S200000,04900,0100,Y 35195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35195,A000000,00300,0000,00300EMPLOYEE BENEFITS 35195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35195,A000000,00700,0000,00700HOUSEKEEPING 35195,A000000,00800,0000,00800DIETARY 35195,A000000,00900,0000,00900NURSING ADMINISTRATION 35195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35195,A000000,01100,0000,01100PHARMACY 35195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35195,A000000,01300,0000,01300SOCIAL SERVICE 35195,A000000,01350,0000,01500PATIENT ACTIVITIES 35195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35195,A000000,01600,0000,01600SKILLED NURSING FACILITY 35195,A000000,01800,0000,01800NURSING FACILITY 35195,A000000,01810,0000,01810ICF/MR 35195,A000000,02200,0000,02200LABORATORY 35195,A000000,02300,0000,02300INTRAVENOUS THERAPY 35195,A000000,02301,0000,02301RESPIRATORY 35195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35195,A000000,02500,0000,02500PHYSICAL THERAPY 35195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35195,A000000,02700,0000,02700SPEECH PATHOLOGY 35195,A000000,02800,0000,02800ELECTROCARDIOLOGY 35195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35195,A000000,03550,0000,03550FQHC 35195,A000000,04800,0000,04800AMBULANCE 35195,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35195,A000000,05010,0000,05010CMHC 35195,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35195,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35195,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35195,A000000,05300,0000,05300INTEREST EXPENSE 35195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35195,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35195,B100000,00000,0100,00000(SQUARE FEET) 35195,B100000,00000,0200,00000(SQUARE FEET) 35195,B100000,00000,0300,00000(GROSS SALARIES) 35195,B100000,00000,0400,00000(ACCUM COST) 35195,B100000,00000,0500,00000(SQUARE FEET) 35195,B100000,00000,0600,00000PATIENT DAYS 35195,B100000,00000,0700,00000SQUARE FEET 35195,B100000,00000,0800,00000PATIENT DAYS 35195,B100000,00000,0900,00000PATIENT DAYS 35195,B100000,00000,1000,00000(COSTED REQUIS) 35195,B100000,00000,1100,00000PATIENT DAYS 35195,B100000,00000,1200,00000PATIENT DAYS 35195,B100000,00000,1300,00000PATIENT DAYS 35195,B100000,00000,1350,00000PATIENT DAYS 35195,B100000,00000,1400,00000(ASSIGNED TIME) 35195,E10A180,00350,0300,04/19/1995 35195,S000000,00100,0200,05/31/2000 35195,S200000,00100,0100,102 DYER AVENUE 35195,S200000,00200,0100,COLLINSVILLE 35195,S200000,00200,0200,CT 35195,S200000,00200,0300,06019 35195,S200000,00300,0100,HARTFORD 35195,S200000,00400,0100,CHERRY BROOK HEALTH CARE CENTER 35195,S200000,00400,0200,075396 35195,S200000,00400,0300,01/27/1994 35195,S200000,00400,0500,P 35195,S200000,00400,0600,O 35195,S200000,00600,0200,075396 35195,S200000,00600,0300,01/27/1994 35195,S200000,00600,0600,P 35195,S200000,01600,0100,Y 35195,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 35195,S200000,04100,0100,Y 35195,S200000,04200,0100,Y 35198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35198,A000000,00300,0000,00300EMPLOYEE BENEFITS 35198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35198,A000000,00700,0000,00700HOUSEKEEPING 35198,A000000,00800,0000,00800DIETARY 35198,A000000,00900,0000,00900NURSING ADMINISTRATION 35198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35198,A000000,01100,0000,01100PHARMACY 35198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35198,A000000,01300,0000,01300SOCIAL SERVICE 35198,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35198,A000000,01600,0000,01600SKILLED NURSING FACILITY 35198,A000000,01800,0000,01800NURSING FACILITY 35198,A000000,01810,0000,01810ICF/MR 35198,A000000,01900,0000,01900OTHER LONG TERM CARE 35198,A000000,02100,0000,02100RADIOLOGY 35198,A000000,02200,0000,02200LABORATORY 35198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35198,A000000,02500,0000,02500PHYSICAL THERAPY 35198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35198,A000000,02700,0000,02700SPEECH PATHOLOGY 35198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35198,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35198,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35198,A000000,03550,0000,03550FQHC 35198,A000000,05000,0000,05000CORF 35198,A000000,05010,0000,05010CMHC 35198,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35198,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35198,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35198,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35198,B100000,00000,0100,00000SQUARE FEET 35198,B100000,00000,0200,00000SQUARE FEET 35198,B100000,00000,0300,00000GROSS SALARIES 35198,B100000,00000,0400,00000ACCUM COST 35198,B100000,00000,0500,00000SQUARE FEET 35198,B100000,00000,0600,00000POUNDS OF LAUNDRY 35198,B100000,00000,0700,00000SQUARE FEET 35198,B100000,00000,0800,00000PATIENT DAYS 35198,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35198,B100000,00000,1000,00000HOURS OF SERVICE 35198,B100000,00000,1100,00000COSTED REQUISITIO 35198,B100000,00000,1200,00000TIME SPENT 35198,B100000,00000,1300,00000TIME SPENT 35198,B100000,00000,1350,00000 35198,B100000,00000,1400,00000ASSIGNED TIME 35198,S000000,00100,0200,07/05/2000 35198,S200000,00100,0100,3584 EAST MAIN ST. 35198,S200000,00200,0100,WATERBURY 35198,S200000,00200,0200,CT 35198,S200000,00200,0300,06705 35198,S200000,00300,0100,NEW HAVEN 35198,S200000,00400,0100,WOODLANDS HEALTHCARE CENTER 35198,S200000,00400,0200,075399 35198,S200000,00400,0300,02/22/1995 35198,S200000,00400,0500,P 35198,S200000,01600,0100,Y 35198,S200000,01900,0100,CCRC 35210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35210,A000000,00300,0000,00300EMPLOYEE BENEFITS 35210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35210,A000000,00700,0000,00700HOUSEKEEPING 35210,A000000,00800,0000,00800DIETARY 35210,A000000,00900,0000,00900NURSING ADMINISTRATION 35210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35210,A000000,01100,0000,01100PHARMACY 35210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35210,A000000,01300,0000,01300SOCIAL SERVICE 35210,A000000,01350,0000,01500PATIENT ACTIVITIES 35210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35210,A000000,01600,0000,01600SKILLED NURSING FACILITY 35210,A000000,01800,0000,01800NURSING FACILITY 35210,A000000,01810,0000,01810ICF/MR 35210,A000000,02200,0000,02200LABORATORY 35210,A000000,02300,0000,02300INTRAVENOUS THERAPY 35210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35210,A000000,02500,0000,02500PHYSICAL THERAPY 35210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35210,A000000,02700,0000,02700SPEECH PATHOLOGY 35210,A000000,02800,0000,02800ELECTROCARDIOLOGY 35210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35210,A000000,03550,0000,03550FQHC 35210,A000000,04800,0000,04800AMBULANCE 35210,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 35210,A000000,05010,0000,05010CMHC 35210,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35210,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35210,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35210,A000000,05300,0000,05300INTEREST EXPENSE 35210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35210,A81000A,00100,0100,Y 35210,A81000B,00100,0300,CORPORATE MANAGEMENT 35210,A81000B,00200,0300,HO CAP REL BLDG/FIX 35210,A81000B,00300,0300,HO CAP REL EQUIPMENT 35210,A81000C,00100,0100,F 35210,A81000C,00100,0200,EDWARD JAMELE 35210,A81000C,00100,0400,ATHENA HEALTH 35210,A81000C,00100,0600,MANAGEMENT CO 35210,A81000C,00200,0100,F 35210,A81000C,00200,0200,ANNE MARIE MURR 35210,A81000C,00200,0400,ATHENA HEALTH 35210,A81000C,00200,0600,MANAGEMENT CO 35210,A81000C,00300,0100,F 35210,A81000C,00300,0200,LAWRENCE SANTIL 35210,A81000C,00300,0400,ATHENA HEALTH 35210,A81000C,00300,0600,MANAGEMENT CO 35210,A81000C,00400,0100,F 35210,A81000C,00400,0200,JANICE SANTILLI 35210,A81000C,00400,0400,ATHENA HEALTH 35210,A81000C,00400,0600,MANAGEMENT CO 35210,A81000C,00500,0100,F 35210,A81000C,00500,0200,CAROLE STEPANIK 35210,B100000,00000,0100,00000(SQUARE FEET) 35210,B100000,00000,0200,00000(SQUARE FEET) 35210,B100000,00000,0300,00000(GROSS SALARIES) 35210,B100000,00000,0400,00000(ACCUM COST) 35210,B100000,00000,0500,00000(SQUARE FEET) 35210,B100000,00000,0600,00000PATIENT DAYS 35210,B100000,00000,0700,00000SQUARE FEET 35210,B100000,00000,0800,00000PATIENT DAYS 35210,B100000,00000,0900,00000PATIENT DAYS 35210,B100000,00000,1000,00000(COSTED REQUIS) 35210,B100000,00000,1100,00000PATIENT DAYS 35210,B100000,00000,1200,00000PATIENT DAYS 35210,B100000,00000,1300,00000TIME SPENT 35210,B100000,00000,1350,00000PATIENT DAYS 35210,B100000,00000,1400,00000(ASSIGNED TIME) 35210,E10A180,00550,0300,06/29/2000 35210,S000000,00100,0200,05/31/2000 35210,S200000,00100,0100,21 MAEFAIR COURT 35210,S200000,00200,0100,TRUMBULL 35210,S200000,00200,0200,CT 35210,S200000,00200,0300,06611 35210,S200000,00300,0100,FAIRFIELD 35210,S200000,00400,0100,MAEFAIR HEALTH CARE CENTER 35210,S200000,00400,0200,075404 35210,S200000,00400,0300,05/04/1994 35210,S200000,00400,0500,P 35210,S200000,00400,0600,O 35210,S200000,00600,0200,075404 35210,S200000,00600,0300,05/04/1994 35210,S200000,00600,0600,P 35210,S200000,01600,0100,Y 35210,S200000,04300,0100,Y 35210,S200000,04700,0100,Y 35210,S200000,04900,0100,Y 35214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35214,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35214,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35214,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35214,A000000,00300,0000,00300EMPLOYEE BENEFITS 35214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35214,A000000,00700,0000,00700HOUSEKEEPING 35214,A000000,00800,0000,00800DIETARY 35214,A000000,00801,0000,00801CAFETERIA 35214,A000000,00900,0000,00900NURSING ADMINISTRATION 35214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35214,A000000,01100,0000,01100PHARMACY 35214,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35214,A000000,01300,0000,01300SOCIAL SERVICE 35214,A000000,01350,0000,01500ACTIVITIES 35214,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35214,A000000,01600,0000,01600SKILLED NURSING FACILITY 35214,A000000,01800,0000,01800NURSING FACILITY 35214,A000000,01810,0000,01810ICF/MR 35214,A000000,02100,0000,02100RADIOLOGY 35214,A000000,02200,0000,02200LABORATORY 35214,A000000,02300,0000,02300INTRAVENOUS THERAPY 35214,A000000,02500,0000,02500PHYSICAL THERAPY 35214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35214,A000000,02700,0000,02700SPEECH PATHOLOGY 35214,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35214,A000000,03050,0000,03300DME 35214,A000000,03051,0000,03301ORTHOTICS 35214,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 35214,A000000,03200,0000,03200SUPPORT SURFACES 35214,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35214,A000000,03550,0000,03550FQHC 35214,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35214,A000000,05000,0000,05000CORF I 35214,A000000,05010,0000,05010CMHC I 35214,A000000,05020,0000,05020OPT I 35214,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35214,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35214,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35214,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35214,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35214,A81000A,00100,0100,Y 35214,A81000B,00100,0300,HOME OFFICE ALLOCATION 35214,A81000B,00200,0300,THERACOR ACTUAL COSTS 35214,A81000B,00300,0300,THERACOR ACTUAL COSTS 35214,A81000B,00400,0300,THERACOR ACTUAL COSTS 35214,A81000C,00100,0100,B 35214,A81000C,00100,0200,HARBORSIDE 35214,A81000C,00200,0200,HEALTHCARE 35214,A81000C,00300,0200,LIMITED PSHIP 35214,A81000C,00300,0600,MANAGEMENT CO 35214,A81000C,00500,0100,B 35214,A81000C,00500,0200,HARBORSIDE 35214,A81000C,00600,0200,REHABILITITAION 35214,A81000C,00700,0200,LIMITED PSHIP 35214,A81000C,00700,0600,THERAPY 35214,A81000C,00800,0600,SERVICE AND 35214,A81000C,00900,0600,MANAGEMENT CO 35214,B100000,00000,0100,00000(SQUARE FEET) 35214,B100000,00000,0101,00000(SQUARE FEET) 35214,B100000,00000,0200,00000(SQUARE FEET) 35214,B100000,00000,0201,00000(SQUARE FEET) 35214,B100000,00000,0300,00000(GROSS SALARIES) 35214,B100000,00000,0400,00000(ACCUM. COST) 35214,B100000,00000,0500,00000(SQUARE FEET) 35214,B100000,00000,0600,00000(PATIENT DAYS) 35214,B100000,00000,0700,00000(SQUARE FEET) 35214,B100000,00000,0800,00000(MEALS SERVED) 35214,B100000,00000,0801,00000(MEALS SERVED) 35214,B100000,00000,0900,00000(NURSING SALARIES) 35214,B100000,00000,1000,00000(PATIENT DAYS) 35214,B100000,00000,1100,00000(PATIENT DAYS) 35214,B100000,00000,1200,00000(PATIENT DAYS) 35214,B100000,00000,1300,00000(PATIENT DAYS) 35214,B100000,00000,1350,00000(PATIENT DAYS) 35214,B100000,00000,1400,00000(ASSIGNED TIME) 35214,S000000,00100,0200,06/01/2000 35214,S200000,00100,0100,34 WILDWOOD AVE 35214,S200000,00200,0100,MADISON 35214,S200000,00200,0200,CT 35214,S200000,00200,0300,06443 35214,S200000,00300,0100,NEW HAVEN 35214,S200000,00400,0100,HHC - MADISON HOUSE 35214,S200000,00400,0200,075405 35214,S200000,00400,0300,06/16/1994 35214,S200000,00400,0500,P 35214,S200000,00600,0200,075405 35214,S200000,00600,0300,06/16/1994 35214,S200000,00600,0600,P 35214,S200000,01600,0100,Y 35214,S200000,01900,0100,CCRC 35214,S200000,02200,0100,Y 35214,S200000,04700,0100,Y 35214,S200000,04700,0200,Y 35216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35216,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35216,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35216,A000000,00300,0000,00300EMPLOYEE BENEFITS 35216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35216,A000000,00700,0000,00700HOUSEKEEPING 35216,A000000,00800,0000,00800DIETARY 35216,A000000,00801,0000,00801CAFETERIA 35216,A000000,00900,0000,00900NURSING ADMINISTRATION 35216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35216,A000000,01100,0000,01100PHARMACY 35216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35216,A000000,01300,0000,01300SOCIAL SERVICE 35216,A000000,01350,0000,01500ACTIVITIES 35216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35216,A000000,01600,0000,01600SKILLED NURSING FACILITY 35216,A000000,01810,0000,01810ICF/MR 35216,A000000,02100,0000,02100RADIOLOGY 35216,A000000,02200,0000,02200LABORATORY 35216,A000000,02300,0000,02300INTRAVENOUS THERAPY 35216,A000000,02500,0000,02500PHYSICAL THERAPY 35216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35216,A000000,02700,0000,02700SPEECH PATHOLOGY 35216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35216,A000000,03050,0000,03300DME 35216,A000000,03051,0000,03301ORTHOTICS 35216,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 35216,A000000,03200,0000,03200SUPPORT SURFACES 35216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35216,A000000,03550,0000,03550FQHC 35216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35216,A000000,05000,0000,05000CORF I 35216,A000000,05010,0000,05010CMHC I 35216,A000000,05020,0000,05020OPT I 35216,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35216,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35216,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35216,A81000A,00100,0100,Y 35216,A81000B,00100,0300,HOME OFFICE ALLOCATION 35216,A81000B,00200,0300,THERACOR ACTUAL COSTS 35216,A81000B,00300,0300,THERACOR ACTUAL COSTS 35216,A81000B,00400,0300,THERACOR ACTUAL COSTS 35216,A81000C,00100,0100,B 35216,A81000C,00100,0200,HARBORSIDE 35216,A81000C,00200,0200,HEALTHCARE 35216,A81000C,00300,0200,LIMITED PSHIP 35216,A81000C,00300,0600,MANAGEMENT CO 35216,A81000C,00500,0100,B 35216,A81000C,00500,0200,HARBORSIDE 35216,A81000C,00600,0200,REHABILITITAION 35216,A81000C,00700,0200,LIMITED PSHIP 35216,A81000C,00700,0600,THERAPY 35216,A81000C,00800,0600,SERVICE AND 35216,A81000C,00900,0600,MANAGEMENT CO 35216,B100000,00000,0100,00000(SQUARE FEET) 35216,B100000,00000,0101,00000(SQUARE FEET) 35216,B100000,00000,0200,00000(SQUARE FEET) 35216,B100000,00000,0201,00000(SQUARE FEET) 35216,B100000,00000,0300,00000(GROSS SALARIES) 35216,B100000,00000,0400,00000(ACCUM. COST) 35216,B100000,00000,0500,00000(SQUARE FEET) 35216,B100000,00000,0600,00000(PATIENT DAYS) 35216,B100000,00000,0700,00000(SQUARE FEET) 35216,B100000,00000,0800,00000(MEALS SERVED) 35216,B100000,00000,0801,00000(MEALS SERVED) 35216,B100000,00000,0900,00000(NURSING SALARIES) 35216,B100000,00000,1000,00000(PATIENT DAYS) 35216,B100000,00000,1100,00000(PATIENT DAYS) 35216,B100000,00000,1200,00000(PATIENT DAYS) 35216,B100000,00000,1300,00000(PATIENT DAYS) 35216,B100000,00000,1350,00000(PATIENT DAYS) 35216,B100000,00000,1400,00000(ASSIGNED TIME) 35216,S000000,00100,0200,06/01/2000 35216,S200000,00100,0100,1 EMILY WAY 35216,S200000,00200,0100,WEST HARTFORD 35216,S200000,00200,0200,CT 35216,S200000,00200,0300,06107 35216,S200000,00300,0100,HARTFORD 35216,S200000,00400,0100,HHC - THE RESERVOIR 35216,S200000,00400,0200,075407 35216,S200000,00400,0300,11/03/1995 35216,S200000,00400,0500,P 35216,S200000,01500,0100,Y 35216,S200000,01900,0100,NON PROFIT 501C 35216,S200000,02200,0100,Y 35216,S200000,04700,0100,Y 35216,S200000,04700,0200,Y 35221,S000000,00100,0200,02/14/2001 35228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35228,A000000,00300,0000,00300EMPLOYEE BENEFITS 35228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35228,A000000,00700,0000,00700HOUSEKEEPING 35228,A000000,00800,0000,00800DIETARY 35228,A000000,00900,0000,00900NURSING ADMINISTRATION 35228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35228,A000000,01100,0000,01100PHARMACY 35228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35228,A000000,01300,0000,01300SOCIAL SERVICE 35228,A000000,01350,0000,01500OTHER GENERAL SERVICES 35228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35228,A000000,01600,0000,01600SKILLED NURSING FACILITY 35228,A000000,01810,0000,01810ICF/MR 35228,A000000,02500,0000,02500PHYSICAL THERAPY 35228,A000000,02700,0000,02700SPEECH PATHOLOGY 35228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35228,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35228,A000000,03550,0000,03550FQHC 35228,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35228,A000000,05000,0000,05000CORF 35228,A000000,05010,0000,05010CMHC 35228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35228,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35228,A81000A,00100,0100,Y 35228,A81000B,00100,0300,RENT 35228,A81000B,00200,0300,SALARY-SISTER 35228,A81000B,00300,0300,SALARY-SISTER 35228,A81000B,00400,0300,SALARY-SISTER 35228,A81000B,00500,0300,SLRY-SISTER RECREATION 35228,A81000B,00600,0300,SLRY-SISTER RN/ASST. 35228,A81000B,00700,0300,SLRY-SISTER LITURG/PASTORAL 35228,A81000C,00100,0100,G 35228,A81000C,00100,0200,VARIOUS SISTERS 35228,A81000C,00100,0400,STRS OF IMMACULATE CONCEP 35228,A81000C,00100,0600,NON-PROFIT 35228,B100000,00000,0100,00000SQUARE FEET 35228,B100000,00000,0200,00000SQUARE FEET 35228,B100000,00000,0300,00000GROSS SALARY 35228,B100000,00000,0400,00000ACCUM. COST 35228,B100000,00000,0500,00000SQUARE FEET 35228,B100000,00000,0600,00000POUNDS OF LAUNDRY 35228,B100000,00000,0700,00000HOURS OF SERVICE 35228,B100000,00000,0800,00000MEALS SERVED 35228,B100000,00000,0900,00000NO STATISTICS 35228,B100000,00000,1000,00000NO STATISTICS 35228,B100000,00000,1100,00000NO STATISTICS 35228,B100000,00000,1200,00000NO STATISTICS 35228,B100000,00000,1300,00000TIME SPENT 35228,B100000,00000,1350,00000ACCUM. COST 35228,B100000,00000,1400,00000NO STATISTICS 35228,E10A180,00550,0100,03/09/2000 35228,S000000,00100,0200,04/10/2000 35228,S200000,00100,0100,10 THURBER ROAD 35228,S200000,00200,0100,PUTNAM 35228,S200000,00200,0200,CT 35228,S200000,00300,0100,WINDHAM 35228,S200000,00400,0100,MATULAITIS NURSING HOME INC 35228,S200000,00400,0200,075411 35228,S200000,00400,0300,07/01/1966 35228,S200000,00400,0500,P 35228,S200000,01500,0100,Y 35228,S200000,01900,0100,CORPORATION 35228,S200000,02800,0100,Y 35231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35231,A000000,00300,0000,00300EMPLOYEE BENEFITS 35231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35231,A000000,00700,0000,00700HOUSEKEEPING 35231,A000000,00800,0000,00800DIETARY 35231,A000000,00900,0000,00900NURSING ADMINISTRATION 35231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35231,A000000,01100,0000,01100PHARMACY 35231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35231,A000000,01300,0000,01300SOCIAL SERVICE 35231,A000000,01350,0000,01500RECREATION 35231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35231,A000000,01600,0000,01600SKILLED NURSING FACILITY 35231,A000000,01810,0000,01810ICF/MR 35231,A000000,02100,0000,02100RADIOLOGY 35231,A000000,02200,0000,02200LABORATORY 35231,A000000,02300,0000,02300INTRAVENOUS THERAPY 35231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35231,A000000,02500,0000,02500PHYSICAL THERAPY 35231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35231,A000000,02700,0000,02700SPEECH PATHOLOGY 35231,A000000,02800,0000,02800ELECTROCARDIOLOGY 35231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35231,A000000,03550,0000,03550FQHC 35231,A000000,05000,0000,05000CORF 35231,A000000,05010,0000,05010CMHC 35231,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35231,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35231,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35231,A000000,05300,0000,05300INTEREST EXPENSE 35231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35231,A81000A,00100,0100,Y 35231,A81000B,00100,0300,MANAGEMENT FEE 35231,A81000B,00200,0300,RENT 35231,A81000B,00300,0300,ASST ADMIN SALARY 35231,A81000B,00400,0300,MANAGEMENT FEE 35231,A81000B,00500,0300,MANAGEMENT FEE 35231,A81000B,00600,0300,INTEREST 35231,A81000B,00700,0300,DEPRECIATION 35231,A81000B,00800,0300,INTEREST 35231,A81000C,00100,0100,A 35231,A81000C,00100,0200,M. SBRIGLIO 35231,A81000C,00100,0600,REAL ESTATE REN 35231,A81000C,00400,0100,A 35231,A81000C,00400,0200,ROBERT SBRIGLIO 35231,A81000C,00400,0600,REAL ESTATE REN 35231,B100000,00000,0100,00000SQUARE FEET 35231,B100000,00000,0200,00000SQUARE FEET 35231,B100000,00000,0300,00000GROSS SALARIES 35231,B100000,00000,0400,00000ACCUM COST 35231,B100000,00000,0500,00000SQUARE FEET 35231,B100000,00000,0600,00000PATIENT DAYS 35231,B100000,00000,0700,00000SQUARE FEET 35231,B100000,00000,0800,00000PATIENT DAYS 35231,B100000,00000,0900,00000PATIENT DAYS 35231,B100000,00000,1000,00000PATIENT DAYS 35231,B100000,00000,1100,00000PATIENT DAYS 35231,B100000,00000,1200,00000PATIENT DAYS 35231,B100000,00000,1300,00000PATIENT DAYS 35231,B100000,00000,1350,00000PATIENT DAYS 35231,B100000,00000,1400,00000ASSIGNED TIME 35231,S000000,00100,0200,06/13/2000 35231,S200000,00100,0100,7003 MAIN STREET 35231,S200000,00200,0100,STRATFORD 35231,S200000,00200,0200,CT 35231,S200000,00200,0300,06497 35231,S200000,00300,0100,FAIRFIELD 35231,S200000,00400,0100,LORD CHAMBERLAIN MANOR 35231,S200000,00400,0200,075412 35231,S200000,00400,0300,08/01/1996 35231,S200000,00400,0500,P 35231,S200000,01500,0100,Y 35231,S200000,01900,0100,NON PROFIT CORP 35233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35233,A000000,00300,0000,00300EMPLOYEE BENEFITS 35233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35233,A000000,00700,0000,00700HOUSEKEEPING 35233,A000000,00800,0000,00800DIETARY 35233,A000000,00900,0000,00900NURSING ADMINISTRATION 35233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35233,A000000,01100,0000,01100PHARMACY 35233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35233,A000000,01300,0000,01300SOCIAL SERVICE 35233,A000000,01350,0000,01500PATIENT ACTIVITIES 35233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35233,A000000,01600,0000,01600SKILLED NURSING FACILITY 35233,A000000,01800,0000,01800NURSING FACILITY 35233,A000000,01810,0000,01810ICF/MR 35233,A000000,02200,0000,02200LABORATORY 35233,A000000,02300,0000,02300INTRAVENOUS THERAPY 35233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35233,A000000,02500,0000,02500PHYSICAL THERAPY 35233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35233,A000000,02700,0000,02700SPEECH PATHOLOGY 35233,A000000,02800,0000,02800ELECTROCARDIOLOGY 35233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35233,A000000,03550,0000,03550FQHC 35233,A000000,04800,0000,04800AMBULANCE 35233,A000000,05000,0000,05000CORF 35233,A000000,05010,0000,05010CMHC 35233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35233,A000000,05300,0000,05300INTEREST EXPENSE 35233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35233,A81000A,00100,0100,Y 35233,A81000B,00100,0300,MANAGEMENT FEES 35233,A81000C,00100,0100,F 35233,A81000C,00100,0200,ANNE MARIE MURR 35233,A81000C,00100,0400,ATHENA HEALTH C 35233,A81000C,00100,0600,MANAGEMENT COMP 35233,A81000C,00200,0100,F 35233,A81000C,00200,0200,EDWARD JAMELE 35233,A81000C,00200,0400,ATHENA HEALTH C 35233,A81000C,00200,0600,MANAGEMENT COMP 35233,A81000C,00300,0100,F 35233,A81000C,00300,0200,LAWRENCE SANTIL 35233,A81000C,00300,0400,ATHENA HEALTH C 35233,A81000C,00300,0600,MANAGEMENT COMP 35233,A81000C,00400,0100,F 35233,A81000C,00400,0200,JANICE SANTILLI 35233,A81000C,00400,0400,ATHENA HEALTH C 35233,A81000C,00400,0600,MANAGEMENT COMP 35233,A81000C,00500,0100,F 35233,A81000C,00500,0200,MICHAEL MOSIER 35233,A81000C,00600,0100,F 35233,A81000C,00600,0200,JMJ TRUST 35233,A81000C,00700,0100,F 35233,A81000C,00700,0200,WILLIAM THOMAS 35233,B100000,00000,0100,00000(SQUARE FEET) 35233,B100000,00000,0200,00000(SQUARE FEET) 35233,B100000,00000,0300,00000(GROSS SALARIES) 35233,B100000,00000,0400,00000(ACCUM COST) 35233,B100000,00000,0500,00000(SQUARE FEET) 35233,B100000,00000,0600,00000PATIENT DAYS 35233,B100000,00000,0700,00000SQUARE FEET 35233,B100000,00000,0800,00000PATIENT DAYS 35233,B100000,00000,0900,00000PATIENT DAYS 35233,B100000,00000,1000,00000(COSTED REQUIS) 35233,B100000,00000,1100,00000PATIENT DAYS 35233,B100000,00000,1200,00000PATIENT DAYS 35233,B100000,00000,1300,00000PATIEN DAYS 35233,B100000,00000,1350,00000PATIENT DAYS 35233,B100000,00000,1400,00000(ASSIGNED TIME) 35233,E10A180,00550,0300,06/29/2000 35233,S000000,00100,0200,05/31/2000 35233,S200000,00100,0100,2875 MAIN STREET 35233,S200000,00200,0100,BRIDGEPORT 35233,S200000,00200,0200,CT 35233,S200000,00200,0300,06606 35233,S200000,00300,0100,FAIRFIELD 35233,S200000,00400,0100,NORTHBRIDGE HEALTH CARE CENTE 35233,S200000,00400,0200,075413 35233,S200000,00400,0300,11/15/1996 35233,S200000,00400,0500,P 35233,S200000,00400,0600,O 35233,S200000,00600,0200,075413 35233,S200000,00600,0300,11/15/1996 35233,S200000,00600,0600,P 35233,S200000,00800,0200,075413 35233,S200000,00800,0300,11/15/1996 35233,S200000,00800,0500,O 35233,S200000,01600,0100,Y 35233,S200000,01900,0100,NON PROFIT CORP 35233,S200000,04700,0100,Y 35233,S200000,04900,0100,Y 35235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35235,A000000,00300,0000,00300EMPLOYEE BENEFITS 35235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35235,A000000,00700,0000,00700HOUSEKEEPING 35235,A000000,00800,0000,00800DIETARY 35235,A000000,00900,0000,00900NURSING ADMINISTRATION 35235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35235,A000000,01100,0000,01100PHARMACY 35235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35235,A000000,01300,0000,01300SOCIAL SERVICE 35235,A000000,01350,0000,01500OTHER GENERAL SERVICES 35235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35235,A000000,01600,0000,01600SKILLED NURSING FACILITY 35235,A000000,01800,0000,01800NURSING FACILITY 35235,A000000,01810,0000,01810ICF/MR 35235,A000000,02100,0000,02100RADIOLOGY 35235,A000000,02200,0000,02200LABORATORY 35235,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35235,A000000,02500,0000,02500PHYSICAL THERAPY 35235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35235,A000000,02700,0000,02700SPEECH PATHOLOGY 35235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35235,A000000,03550,0000,03550FQHC 35235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35235,A000000,05000,0000,05000CORF 35235,A000000,05010,0000,05010CMHC 35235,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35235,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35235,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35235,A000000,05300,0000,05300INTEREST EXPENSE 35235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35235,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35235,A81000A,00100,0100,Y 35235,A81000B,00100,0300,RENT 35235,A81000B,00200,0300,DEPREICATION-BUILDING 35235,A81000B,00300,0300,DEPRECIATION-ELEVATOR 35235,A81000B,00400,0300,INTEREST 35235,A81000B,00500,0300,PREPAYMENT FEE ON MORTGAGE 35235,A81000B,00600,0300,AMORTIZATION OF FINANCING FEES 35235,A81000C,00100,0100,A 35235,A81000C,00100,0200,BARBARA MALONE 35235,A81000C,00100,0400,STAPLES REALTY 35235,A81000C,00100,0600,PARTNERSHIP 35235,A81000C,00200,0100,A 35235,A81000C,00200,0200,FRANK MALONE 35235,A81000C,00200,0400,STAPLES REALTY 35235,A81000C,00200,0600,PARTNERSHIP 35235,A81000C,00300,0100,A 35235,A81000C,00300,0200,THE TWO ABOVE ARE SAME 35235,A81000C,00300,0400,FOR ALL LINE ITEMS 35235,A81000C,00300,0600,PARTNERSHIP 35235,B100000,00000,0100,00000SQUARE FEET 35235,B100000,00000,0200,00000SQUARE FEET 35235,B100000,00000,0300,00000WAGES 35235,B100000,00000,0400,00000ACCUM. COST 35235,B100000,00000,0500,00000SQUARE FEET 35235,B100000,00000,0600,00000POUND OF LAUNDRY 35235,B100000,00000,0700,00000SQUARE FEET 35235,B100000,00000,0800,00000MEALS SERVED 35235,B100000,00000,0900,00000DIRECT NURSI 35235,B100000,00000,1000,00000NO STATISTICS 35235,B100000,00000,1100,00000NO STATISTICS 35235,B100000,00000,1200,00000TIME SPENT 35235,B100000,00000,1300,00000TIME SPENT 35235,B100000,00000,1350,00000NO STATISTICS 35235,B100000,00000,1400,00000NO STATISTICS 35235,S000000,00100,0200,05/30/2000 35235,S200000,00100,0100,31 STAPLES STREET 35235,S200000,00200,0100,DANBURY 35235,S200000,00200,0200,CT 35235,S200000,00300,0100,FAIRFIELD 35235,S200000,00400,0100,FILOSA CARE CENTER D/B/A HANCOCK HAL 35235,S200000,00400,0200,075414 35235,S200000,00400,0300,02/07/1997 35235,S200000,00400,0500,P 35235,S200000,00600,0200,075414 35235,S200000,00600,0300,02/07/1997 35235,S200000,00600,0600,P 35235,S200000,01500,0100,Y 35241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35241,A000000,00300,0000,00300EMPLOYEE BENEFITS 35241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35241,A000000,00700,0000,00700HOUSEKEEPING 35241,A000000,00800,0000,00800DIETARY 35241,A000000,00900,0000,00900NURSING ADMINISTRATION 35241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35241,A000000,01100,0000,01100PHARMACY 35241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35241,A000000,01300,0000,01300SOCIAL SERVICE 35241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35241,A000000,01600,0000,01600SKILLED NURSING FACILITY 35241,A000000,01800,0000,01800NURSING FACILITY 35241,A000000,01810,0000,01810ICF/MR 35241,A000000,01900,0000,01900OTHER LONG TERM CARE 35241,A000000,02200,0000,02200LABORATORY 35241,A000000,02500,0000,02500PHYSICAL THERAPY 35241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35241,A000000,02700,0000,02700SPEECH PATHOLOGY 35241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35241,A000000,03550,0000,03550FQHC 35241,A000000,05000,0000,05000CORF 35241,A000000,05010,0000,05010CMHC 35241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35241,A000000,05300,0000,05300INTEREST EXPENSE 35241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35241,A81000A,00100,0100,Y 35241,A81000B,00100,0300,PAYROLL TAX DIR OF OPER 35241,A81000B,00200,0300,BENEFITS DIR OF OPER 35241,A81000B,00300,0300,PAYROLL TAX CONTROLLER 35241,A81000B,00400,0300,BENEFITS CONTROLLER 35241,A81000B,00500,0300,PAYROLL TAX ASSIST DIR OF OPER 35241,A81000B,00600,0300,SALARY CONTROLLER 35241,A81000B,00700,0300,SALARY DIR OF OPER 35241,A81000B,00800,0300,SALARY ASSIST DIR OF OPER 35241,A81000B,00900,0300,TELEPHONE TRANSCON 35241,A81000B,01000,0300,TRAVEL TRANSCON 35241,A81000B,01100,0300,ACCOUNTING FEES 35241,A81000B,01200,0300,MANAGEMENT FEES 35241,A81000C,00100,0100,B 35241,A81000C,00100,0200,TRANSCON INC. 35241,A81000C,00100,0400,TRANSCON INC. 35241,A81000C,00100,0600,BUILDERS 35241,B100000,00000,0100,00000SQUARE FEET 35241,B100000,00000,0200,00000SQUARE FEET 35241,B100000,00000,0300,00000GROSS SALARIES 35241,B100000,00000,0400,00000ACCUM. COST 35241,B100000,00000,0500,00000SQUARE FEET 35241,B100000,00000,0600,00000POUNDS OF LAUNDRY 35241,B100000,00000,0700,00000SQUARE FEET 35241,B100000,00000,0800,00000MEALS SERVED 35241,B100000,00000,0900,00000DIRECT NRSING HRS 35241,B100000,00000,1000,00000INPATIENT DAYS 35241,B100000,00000,1100,00000INPATIENT DAYS 35241,B100000,00000,1200,00000INPATIENT DAYS 35241,B100000,00000,1300,00000INPATIENT DAYS 35241,B100000,00000,1400,00000ASSIGNED TIME 35241,S000000,00100,0200,05/30/2000 35241,S200000,00100,0100,30 PARK LANE EAST 35241,S200000,00200,0100,NEW MILFORD 35241,S200000,00200,0200,CT 35241,S200000,00300,0100,LITCHFIELD 35241,S200000,00400,0100,CANDLEWOOD VALLEY 35241,S200000,00400,0200,075416 35241,S200000,00400,0300,06/16/1998 35241,S200000,00400,0500,P 35241,S200000,00600,0200,075416 35241,S200000,00600,0300,06/16/1998 35241,S200000,00600,0600,P 35241,S200000,01600,0100,Y 35243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35243,A000000,00300,0000,00300EMPLOYEE BENEFITS 35243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35243,A000000,00700,0000,00700HOUSEKEEPING 35243,A000000,00800,0000,00800DIETARY 35243,A000000,00900,0000,00900NURSING ADMINISTRATION 35243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35243,A000000,01100,0000,01100PHARMACY 35243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35243,A000000,01300,0000,01300SOCIAL SERVICE 35243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35243,A000000,01600,0000,01600SKILLED NURSING FACILITY 35243,A000000,01810,0000,01810ICF/MR 35243,A000000,02100,0000,02100RADIOLOGY 35243,A000000,02200,0000,02200LABORATORY 35243,A000000,02300,0000,02300INTRAVENOUS THERAPY 35243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35243,A000000,02500,0000,02500PHYSICAL THERAPY 35243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35243,A000000,02700,0000,02700SPEECH PATHOLOGY 35243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35243,A000000,03200,0000,03200SUPPORT SURFACES 35243,A000000,03550,0000,03550FQHC 35243,A000000,05000,0000,05000CORF 35243,A000000,05010,0000,05010CMHC 35243,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35243,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35243,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35243,A000000,05300,0000,05300INTEREST EXPENSE 35243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35243,A81000A,00100,0100,Y 35243,A81000B,00100,0300,MANAGEMENT FEES 35243,A81000B,00200,0300,HOME OFFICE COST REPT-BLDG 35243,A81000B,00300,0300,HOME OFFICE COST REPT-MOVEABLE 35243,A81000B,00400,0300,HOME OFFICE COST REPT-NON CAPI 35243,A81000C,00100,0100,B 35243,A81000C,00100,0400,MEDWAY HC TRUST 35243,A81000C,00100,0600,LLC 35243,B100000,00000,0100,00000SQUARE FEET 35243,B100000,00000,0200,00000SQUARE FEET 35243,B100000,00000,0300,00000GROSS SAL 35243,B100000,00000,0400,00000ACCUM. COST 35243,B100000,00000,0500,00000SQUARE FEET 35243,B100000,00000,0600,00000LLBS OF LAUNDRY 35243,B100000,00000,0700,00000SQUARE FEET 35243,B100000,00000,0800,00000MEALS SERVED 35243,B100000,00000,0900,00000TIME SPENT 35243,B100000,00000,1000,00000PAT DAYS 35243,B100000,00000,1100,00000PAT DAYS 35243,B100000,00000,1200,00000HOURS OF SERVICE 35243,B100000,00000,1300,00000TIME SPENT 35243,B100000,00000,1400,00000BLANK 35243,S000000,00100,0200,05/26/2000 35243,S200000,00100,0100,60 CROUCH AVENUE 35243,S200000,00200,0100,NORWICH 35243,S200000,00200,0200,CT 35243,S200000,00200,0300,06360 35243,S200000,00300,0100,NEW LONDON 35243,S200000,00400,0100,SAINT CHRISTOPHERS HEALTH CENTER LLC 35243,S200000,00400,0200,075417 35243,S200000,00400,0300,11/05/1998 35243,S200000,00400,0500,P 35243,S200000,01500,0100,Y 35243,S200000,01900,0100,LIMITED LIABILITY COMPANY (LLC) 35243,S200000,02200,0100,Y 35243,S200000,02800,0100,Y 35266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35266,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35266,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35266,A000000,00300,0000,00300EMPLOYEE BENEFITS 35266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35266,A000000,00700,0000,00700HOUSEKEEPING 35266,A000000,00800,0000,00800DIETARY 35266,A000000,00801,0000,00801CAFETERIA 35266,A000000,00900,0000,00900NURSING ADMINISTRATION 35266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35266,A000000,01100,0000,01100PHARMACY 35266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35266,A000000,01300,0000,01300SOCIAL SERVICE 35266,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35266,A000000,01600,0000,01600SKILLED NURSING FACILITY 35266,A000000,01800,0000,01800NURSING FACILITY 35266,A000000,01810,0000,01810ICF/MR 35266,A000000,02100,0000,02100RADIOLOGY 35266,A000000,02200,0000,02200LABORATORY 35266,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35266,A000000,02500,0000,02500PHYSICAL THERAPY 35266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35266,A000000,02700,0000,02700SPEECH PATHOLOGY 35266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35266,A000000,03050,0000,03300OTHER ANCILLARY 35266,A000000,03051,0000,03301OTHER ANCILLARY II 35266,A000000,03052,0000,03302OTHER ANCILLARY III 35266,A000000,03200,0000,03200SUPPORT SURFACES 35266,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35266,A000000,03550,0000,03550FQHC 35266,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35266,A000000,05000,0000,05000CORF I 35266,A000000,05010,0000,05010CMHC I 35266,A000000,05020,0000,05020OPT I 35266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35266,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35266,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35266,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35266,A81000A,00100,0100,Y 35266,A81000B,00100,0300,GENERAL & ADMIN 35266,A81000B,00200,0300,INTEREST - BONDS 35266,A81000B,00300,0300,AMORT - BOND ISSUE 35266,A81000B,00400,0300,INTEREST ADJUSTMENT 35266,A81000B,00500,0300,AMORT ADJUSTMENT 35266,A81000C,00100,0100,A 35266,A81000C,00100,0200,DELAWARE HEALTH 35266,A81000C,00100,0400,DELAWARE HEALTH 35266,A81000C,00100,0600,HOLDING COMPANY 35266,A81000C,00200,0100,B 35266,A81000C,00200,0200,HOOSIER HEALTH 35266,A81000C,00200,0400,HOOSIER HEALTH 35266,A81000C,00200,0600,OWNER 35266,B100000,00000,0100,00000(SQUARE FEET) 35266,B100000,00000,0101,00000(SQUARE FEET) 35266,B100000,00000,0200,00000(SQUARE FEET) 35266,B100000,00000,0201,00000(SQUARE FEET) 35266,B100000,00000,0300,00000(GROSS SALARIES) 35266,B100000,00000,0400,00000(ACCUM. COST) 35266,B100000,00000,0500,00000(SQUARE FEET) 35266,B100000,00000,0600,00000(PATIENT DAYS) 35266,B100000,00000,0700,00000(SQUARE FEET) 35266,B100000,00000,0800,00000(MEALS SERVED) 35266,B100000,00000,0801,00000(MEALS SERVED) 35266,B100000,00000,0900,00000(NURSING SALARIES) 35266,B100000,00000,1000,00000(PATIENT DAYS) 35266,B100000,00000,1100,00000(PATIENT DAYS) 35266,B100000,00000,1200,00000(PATIENT DAYS) 35266,B100000,00000,1300,00000(PATIENT DAYS) 35266,B100000,00000,1350,00000(PATIENT DAYS) 35266,B100000,00000,1400,00000(ASSIGNED TIME) 35266,S000000,00100,0200,05/31/2000 35266,S200000,00100,0100,2801 WEST 6TH STREET 35266,S200000,00200,0100,WILMINGTON 35266,S200000,00200,0200,DE 35266,S200000,00200,0300,19805 35266,S200000,00300,0100,NEW CASTLE 35266,S200000,00400,0100,PARKVIEW NURSING CENTER 35266,S200000,00400,0200,085002 35266,S200000,00400,0300,02/26/1994 35266,S200000,00400,0500,P 35266,S200000,00600,0200,085002 35266,S200000,00600,0300,02/26/1994 35266,S200000,00600,0600,P 35266,S200000,01600,0100,Y 35266,S200000,01900,0100,CCRC 35266,S200000,02200,0100,Y 35277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35277,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35277,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35277,A000000,00300,0000,00300EMPLOYEE BENEFITS 35277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35277,A000000,00700,0000,00700HOUSEKEEPING 35277,A000000,00800,0000,00800DIETARY 35277,A000000,00801,0000,00801CAFETERIA 35277,A000000,00900,0000,00900NURSING ADMINISTRATION 35277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35277,A000000,01100,0000,01100PHARMACY 35277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35277,A000000,01300,0000,01300SOCIAL SERVICE 35277,A000000,01350,0000,01500ACTIVITIES 35277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35277,A000000,01600,0000,01600SKILLED NURSING FACILITY 35277,A000000,01810,0000,01810ICF/MR 35277,A000000,01900,0000,01900OTHER LONG TERM CARE 35277,A000000,02200,0000,02200LABORATORY 35277,A000000,02500,0000,02500PHYSICAL THERAPY 35277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35277,A000000,02700,0000,02700SPEECH PATHOLOGY 35277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35277,A000000,03050,0000,03300OTHER ANCILLARY 35277,A000000,03051,0000,03301RESPIRATORY 35277,A000000,03052,0000,03302OTHER ANCILLARY III 35277,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35277,A000000,03550,0000,03550FQHC 35277,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35277,A000000,05000,0000,05000CORF I 35277,A000000,05010,0000,05010CMHC I 35277,A000000,05020,0000,05020OPT I 35277,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35277,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35277,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35277,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35277,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35277,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35277,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35277,A000000,06150,0000,06300RETIREMENT COMMUNITY 35277,A81000A,00100,0100,Y 35277,A81000B,00100,0300,MGMT FEE 35277,A81000B,00200,0300,MKTG FEE 35277,A81000B,00300,0300,CAP RELATED-BLDGS 35277,A81000B,00400,0300,EMPLOYEE BENEFITS 35277,A81000B,00500,0300,ADMIN AND GENERAL 35277,A81000B,00600,0300,PLANT/MAINT 35277,A81000C,00100,0100,A 35277,A81000C,00100,0200,PUMH 35277,A81000C,00100,0400,PUMH 35277,A81000C,00100,0600,MGMT-CHURCH 35277,B100000,00000,0100,00000(SQUARE FEET) 35277,B100000,00000,0101,00000 35277,B100000,00000,0200,00000(SQUARE FEET) 35277,B100000,00000,0201,00000 35277,B100000,00000,0300,00000(GROSS SALARIES) 35277,B100000,00000,0400,00000(ACCUM. COST) 35277,B100000,00000,0500,00000(SQUARE FEET) 35277,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35277,B100000,00000,0700,00000(SQUARE FEET) 35277,B100000,00000,0800,00000(MEALS SERVED) 35277,B100000,00000,0801,00000 35277,B100000,00000,0900,00000(NURSING SALARIES) 35277,B100000,00000,1000,00000(PATIENT DAYS) 35277,B100000,00000,1100,00000(PATIENT DAYS) 35277,B100000,00000,1200,00000(TIME SPENT) 35277,B100000,00000,1300,00000(TIME SPENT) 35277,B100000,00000,1350,00000PATIENT DAYS 35277,B100000,00000,1400,00000(ASSIGNED TIME) 35277,S000000,00100,0200,10/04/2000 35277,S200000,00100,0100,4830 KENNETT PIKE 35277,S200000,00200,0100,WILMINGTON 35277,S200000,00200,0200,DE 35277,S200000,00200,0300,19807 35277,S200000,00300,0100,NEW CASTLE 35277,S200000,00400,0100,METHODIST COUNTRY HOUSE 35277,S200000,00400,0200,085003 35277,S200000,00400,0300,01/01/1967 35277,S200000,00400,0500,P 35277,S200000,01700,0100,Y 35285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35285,A000000,00300,0000,00300EMPLOYEE BENEFITS 35285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35285,A000000,00700,0000,00700HOUSEKEEPING 35285,A000000,00800,0000,00800DIETARY 35285,A000000,00900,0000,00900NURSING ADMINISTRATION 35285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35285,A000000,01100,0000,01100PHARMACY 35285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35285,A000000,01300,0000,01300SOCIAL SERVICE 35285,A000000,01350,0000,01500ACTIVITIES 35285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35285,A000000,01600,0000,01600SKILLED NURSING FACILITY 35285,A000000,01800,0000,01800NURSING FACILITY 35285,A000000,01810,0000,01810ICF/MR 35285,A000000,02100,0000,02100RADIOLOGY 35285,A000000,02200,0000,02200LABORATORY 35285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35285,A000000,02500,0000,02500PHYSICAL THERAPY 35285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35285,A000000,02700,0000,02700SPEECH PATHOLOGY 35285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35285,A000000,03550,0000,03550FQHC 35285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35285,A000000,05000,0000,05000CORF 35285,A000000,05010,0000,05010CMHC 35285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35285,A81000A,00100,0100,Y 35285,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 35285,A81000B,00200,0300,HOME OFFICE - CAPITAL 35285,A81000C,00100,0100,B 35285,A81000C,00100,0200,INGLESIDE HOMES 35285,A81000C,00100,0600,HOME OFFICE 35285,B100000,00000,0100,00000SQUARE FEET 35285,B100000,00000,0200,00000DOLLAR VALUE 35285,B100000,00000,0300,00000GROSS SALARIES 35285,B100000,00000,0400,00000ACCUM. COST 35285,B100000,00000,0500,00000SQUARE FEET 35285,B100000,00000,0600,00000PATIENT DAYS 35285,B100000,00000,0700,00000SQ FEET(EX DI 35285,B100000,00000,0800,00000MEALS SERVED 35285,B100000,00000,0900,00000NURSING SALARIES 35285,B100000,00000,1000,00000COSTED REQUIS. 35285,B100000,00000,1100,00000PATIENT DAYS 35285,B100000,00000,1200,00000PATIENT DAYS 35285,B100000,00000,1300,00000PATIENT DAYS 35285,B100000,00000,1350,00000PATIENT DAYS 35285,B100000,00000,1400,00000ASSIGNED TIME 35285,S000000,00100,0200,06/01/2000 35285,S200000,00100,0100,6526 LANCASTER PIKE 35285,S200000,00200,0100,HOCKESSIN 35285,S200000,00200,0200,DE 35285,S200000,00200,0300,19707 35285,S200000,00300,0100,NEW CASTLE 35285,S200000,00400,0100,INGLESIDE CARE CENTER 35285,S200000,00400,0200,085006 35285,S200000,00400,0300,01/01/1967 35285,S200000,00400,0500,P 35285,S200000,00600,0200,085006 35285,S200000,00600,0300,01/01/1967 35285,S200000,00600,0600,O 35285,S200000,01600,0100,Y 35285,S200000,01900,0100,CCRC 35294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35294,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35294,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35294,A000000,00300,0000,00300EMPLOYEE BENEFITS 35294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35294,A000000,00700,0000,00700HOUSEKEEPING 35294,A000000,00800,0000,00800DIETARY 35294,A000000,00801,0000,00801CAFETERIA 35294,A000000,00900,0000,00900NURSING ADMINISTRATION 35294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35294,A000000,01100,0000,01100PHARMACY 35294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35294,A000000,01300,0000,01300SOCIAL SERVICE 35294,A000000,01350,0000,01500ACTIVITIES 35294,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35294,A000000,01600,0000,01600SKILLED NURSING FACILITY 35294,A000000,01810,0000,01810ICF/MR 35294,A000000,02200,0000,02200LABORATORY 35294,A000000,02500,0000,02500PHYSICAL THERAPY 35294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35294,A000000,02700,0000,02700SPEECH PATHOLOGY 35294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35294,A000000,03050,0000,03300OTHER ANCILLARY 35294,A000000,03051,0000,03301OTHER ANCILLARY II 35294,A000000,03052,0000,03302OTHER ANCILLARY III 35294,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35294,A000000,03550,0000,03550FQHC 35294,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35294,A000000,05000,0000,05000CORF I 35294,A000000,05010,0000,05010CMHC I 35294,A000000,05020,0000,05020OPT I 35294,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35294,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35294,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35294,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35294,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35294,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35294,A81000A,00100,0100,Y 35294,A81000B,00100,0300,MANAGEMENT FEE 35294,A81000B,00200,0300,MARKETING FEE 35294,A81000B,00300,0300,H.O. COST SUB 35294,A81000B,00400,0300,H.O. COST SUB 35294,A81000B,00500,0300,H.O. COST SUB 35294,A81000B,00600,0300,H.O. COST SUB 35294,A81000C,00100,0100,A 35294,A81000C,00100,0200,PUMH INC. 35294,A81000C,00100,0400,PUMH INC. 35294,A81000C,00100,0600,MANAGEMENT 35294,B100000,00000,0100,00000(SQUARE FEET) 35294,B100000,00000,0101,00000(SQUARE FEET) 35294,B100000,00000,0200,00000(SQUARE FEET) 35294,B100000,00000,0201,00000(SQUARE FEET) 35294,B100000,00000,0300,00000(GROSS SALARIES) 35294,B100000,00000,0400,00000(ACCUM. COST) 35294,B100000,00000,0500,00000(SQUARE FEET) 35294,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35294,B100000,00000,0700,00000(SQUARE FEET) 35294,B100000,00000,0800,00000(MEALS SERVED) 35294,B100000,00000,0801,00000(MEALS SERVED) 35294,B100000,00000,0900,00000(NURSING SALARIES) 35294,B100000,00000,1000,00000(PATIENT DAYS) 35294,B100000,00000,1100,00000(PATIENT DAYS) 35294,B100000,00000,1200,00000(TIME SPENT) 35294,B100000,00000,1300,00000(PATIENT DAYS) 35294,B100000,00000,1350,00000(PATIENT DAYS) 35294,B100000,00000,1400,00000(ASSIGNED TIME) 35294,S000000,00100,0200,11/10/2000 35294,S200000,00100,0100,1001 MIDDLEFORD ROAD 35294,S200000,00200,0100,SEAFORD 35294,S200000,00200,0200,DE 35294,S200000,00200,0300,19973 35294,S200000,00300,0100,KENT 35294,S200000,00400,0100,METHODIST MANOR HOUSE 35294,S200000,00400,0200,085009 35294,S200000,00400,0300,11/16/1967 35294,S200000,00400,0500,P 35294,S200000,01500,0100,Y 35294,S200000,02200,0100,Y 35294,S200000,02800,0100,Y 35304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35304,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35304,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35304,A000000,00300,0000,00300EMPLOYEE BENEFITS 35304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35304,A000000,00700,0000,00700HOUSEKEEPING 35304,A000000,00800,0000,00800DIETARY 35304,A000000,00801,0000,00801CAFETERIA 35304,A000000,00900,0000,00900NURSING ADMINISTRATION 35304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35304,A000000,01100,0000,01100PHARMACY 35304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35304,A000000,01300,0000,01300SOCIAL SERVICE 35304,A000000,01350,0000,01500ACTIVITIES 35304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35304,A000000,01600,0000,01600SKILLED NURSING FACILITY 35304,A000000,01810,0000,01810ICF/MR 35304,A000000,01900,0000,01900OTHER LONG TERM CARE 35304,A000000,02500,0000,02500PHYSICAL THERAPY 35304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35304,A000000,02700,0000,02700SPEECH PATHOLOGY 35304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35304,A000000,03050,0000,03300OTHER ANCILLARY 35304,A000000,03051,0000,03301OTHER ANCILLARY II 35304,A000000,03052,0000,03302OTHER ANCILLARY III 35304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35304,A000000,03550,0000,03550FQHC 35304,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35304,A000000,05000,0000,05000CORF I 35304,A000000,05010,0000,05010CMHC I 35304,A000000,05020,0000,05020OPT I 35304,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35304,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35304,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35304,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35304,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35304,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35304,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35304,A81000A,00100,0100,Y 35304,A81000B,00100,0300,MGMT FEE 35304,A81000B,00200,0300,MKTG FEE 35304,A81000B,00300,0300,H/O CAPITAL 35304,A81000B,00400,0300,H/O EMP BENEFITS 35304,A81000B,00500,0300,H/O ADMIN 35304,A81000B,00600,0300,H/O PLANT 35304,A81000C,00100,0100,A 35304,A81000C,00100,0200,PUMH 35304,A81000C,00100,0400,PUMH INC 35304,A81000C,00100,0600,MGMT 35304,B100000,00000,0100,00000(SQUARE FEET) 35304,B100000,00000,0101,00000(SQUARE FEET) 35304,B100000,00000,0200,00000(SQUARE FEET) 35304,B100000,00000,0201,00000(SQUARE FEET) 35304,B100000,00000,0300,00000(GROSS SALARIES) 35304,B100000,00000,0400,00000(ACCUM. COST) 35304,B100000,00000,0500,00000(SQUARE FEET) 35304,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35304,B100000,00000,0700,00000(SQUARE FEET) 35304,B100000,00000,0800,00000(MEALS SERVED) 35304,B100000,00000,0801,00000(MEALS SERVED) 35304,B100000,00000,0900,00000(NURSING SALARIES) 35304,B100000,00000,1000,00000(PATIENT DAYS) 35304,B100000,00000,1100,00000(PATIENT DAYS) 35304,B100000,00000,1200,00000(PATIENT DAYS) 35304,B100000,00000,1300,00000(PATIENT DAYS) 35304,B100000,00000,1350,00000(PATIENT DAYS) 35304,B100000,00000,1400,00000(ASSIGNED TIME) 35304,S000000,00100,0200,10/03/2000 35304,S200000,00100,0100,1013 CENTRE ROAD 35304,S200000,00200,0100,WILMINGTON 35304,S200000,00200,0200,DE 35304,S200000,00200,0300,19805 35304,S200000,00300,0100,NEW CASTLE 35304,S200000,00400,0100,COKESBURY VILLAGE 35304,S200000,00400,0200,085017 35304,S200000,00400,0300,11/16/1967 35304,S200000,00400,0500,P 35304,S200000,01700,0100,Y 35308,S000000,00100,0200,12/01/2000 35318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35318,A000000,00300,0000,00300EMPLOYEE BENEFITS 35318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35318,A000000,00700,0000,00700HOUSEKEEPING 35318,A000000,00800,0000,00800DIETARY 35318,A000000,00900,0000,00900NURSING ADMINISTRATION 35318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35318,A000000,01100,0000,01100PHARMACY 35318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35318,A000000,01300,0000,01300SOCIAL SERVICE 35318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35318,A000000,01600,0000,01600SKILLED NURSING FACILITY 35318,A000000,01810,0000,01810ICF/MR 35318,A000000,01900,0000,01900OTHER LONG TERM CARE 35318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35318,A000000,02500,0000,02500PHYSICAL THERAPY 35318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35318,A000000,02700,0000,02700SPEECH PATHOLOGY 35318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35318,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35318,A000000,03550,0000,03550FQHC 35318,A000000,05000,0000,05000CORF 35318,A000000,05010,0000,05010CMHC 35318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35318,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35318,B100000,00000,0100,00000SQUARE FEET 35318,B100000,00000,0200,00000SQUARE FEET 35318,B100000,00000,0300,00000GROSS SALARIES 35318,B100000,00000,0400,00000ACCUM COST 35318,B100000,00000,0500,00000SQUARE FEET 35318,B100000,00000,0600,00000POUNDS OF LAUNDRY 35318,B100000,00000,0700,00000SQUARE FEET 35318,B100000,00000,0800,00000MEALS SERVED 35318,B100000,00000,0900,00000PATIENT DAYS 35318,B100000,00000,1000,00000COSTED REQUISITIO 35318,B100000,00000,1100,00000COSTED REQUISITIO 35318,B100000,00000,1200,00000PATIENT DAYS 35318,B100000,00000,1300,00000PATIENT DAYS 35318,B100000,00000,1400,00000ASSIGNED TIME 35318,S000000,00100,0200,11/02/2000 35318,S200000,00100,0100,4031 KENNETT PIKE 35318,S200000,00200,0100,GREENVILLE DE 19807 35318,S200000,00300,0100,NEW CASTLE 35318,S200000,00400,0100,STONEGATES GREENVILLE RETIRE COMM 35318,S200000,00400,0200,085026 35318,S200000,00400,0300,04/01/1999 35318,S200000,00400,0500,P 35318,S200000,01600,0100,Y 35324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35324,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35324,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35324,A000000,00300,0000,00300EMPLOYEE BENEFITS 35324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35324,A000000,00700,0000,00700HOUSEKEEPING 35324,A000000,00800,0000,00800DIETARY 35324,A000000,00801,0000,00801CAFETERIA 35324,A000000,00900,0000,00900NURSING ADMINISTRATION 35324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35324,A000000,01100,0000,01100PHARMACY 35324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35324,A000000,01300,0000,01300SOCIAL SERVICE 35324,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35324,A000000,01600,0000,01600SKILLED NURSING FACILITY 35324,A000000,01810,0000,01810ICF/MR 35324,A000000,02100,0000,02100RADIOLOGY 35324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35324,A000000,02500,0000,02500PHYSICAL THERAPY 35324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35324,A000000,02700,0000,02700SPEECH PATHOLOGY 35324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35324,A000000,03050,0000,03300OTHER ANCILLARY 35324,A000000,03051,0000,03301OTHER ANCILLARY II 35324,A000000,03052,0000,03302OTHER ANCILLARY III 35324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35324,A000000,03550,0000,03550FQHC 35324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35324,A000000,05000,0000,05000CORF I 35324,A000000,05010,0000,05010CMHC I 35324,A000000,05020,0000,05020OPT I 35324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35324,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35324,A81000A,00100,0100,Y 35324,A81000B,00100,0300,MANAGEMENT FEE 35324,A81000B,00200,0300,MNGT FEE SUBST 35324,A81000B,00300,0300,MGMT FEE 35324,A81000B,00400,0300,MGMT FEE 35324,A81000B,00500,0300,MNGT FEE SUBST 35324,A81000B,00600,0300,MNGT FEE SUBST 35324,A81000B,00700,0300,RENT EXPENSE 35324,A81000B,00800,0300,RENT SUB COSTS 35324,A81000B,00900,0300,INTEREST EXPENSE 35324,A81000C,00100,0100,A 35324,A81000C,00100,0200,HARRISON ENTER 35324,A81000C,00100,0400,GEORGETOWN LTD 35324,A81000C,00100,0600,FACILITY RENTAL 35324,A81000C,00200,0100,B 35324,A81000C,00200,0200,HARRISON ENTER 35324,A81000C,00200,0400,SRC 35324,A81000C,00200,0600,MNGT SERVICES 35324,B100000,00000,0100,00000(SQUARE FEET) 35324,B100000,00000,0101,00000(SQUARE FEET) 35324,B100000,00000,0200,00000(SQUARE FEET) 35324,B100000,00000,0201,00000(SQUARE FEET) 35324,B100000,00000,0300,00000(GROSS SALARIES) 35324,B100000,00000,0400,00000(ACCUM. COST) 35324,B100000,00000,0500,00000(SQUARE FEET) 35324,B100000,00000,0600,00000(PATIENT DAYS) 35324,B100000,00000,0700,00000(SQUARE FEET) 35324,B100000,00000,0800,00000(MEALS SERVED) 35324,B100000,00000,0801,00000(MEALS SERVED) 35324,B100000,00000,0900,00000(PATIENT DAYS) 35324,B100000,00000,1000,00000(PATIENT DAYS) 35324,B100000,00000,1100,00000(PATIENT DAYS) 35324,B100000,00000,1200,00000(PATIENT DAYS) 35324,B100000,00000,1300,00000(PATIENT DAYS) 35324,B100000,00000,1350,00000(PATIENT DAYS) 35324,B100000,00000,1400,00000(ASSIGNED TIME) 35324,S000000,00100,0200,07/24/2000 35324,S200000,00100,0100,110 WEST NORTH STREET 35324,S200000,00200,0100,GEORGETOWN 35324,S200000,00200,0200,DE 35324,S200000,00200,0300,19047 35324,S200000,00300,0100,SUSSEX 35324,S200000,00400,0100,HARRISON HOUSE OF GEORGETOWN 35324,S200000,00400,0200,085029 35324,S200000,00400,0300,07/22/1985 35324,S200000,00400,0500,P 35324,S200000,01500,0100,Y 35324,S200000,02200,0100,Y 35324,S200000,03300,0100,Y 35332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35332,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35332,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35332,A000000,00300,0000,00300EMPLOYEE BENEFITS 35332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35332,A000000,00700,0000,00700HOUSEKEEPING 35332,A000000,00800,0000,00800DIETARY 35332,A000000,00801,0000,00801CAFETERIA 35332,A000000,00900,0000,00900NURSING ADMINISTRATION 35332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35332,A000000,01100,0000,01100PHARMACY 35332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35332,A000000,01300,0000,01300SOCIAL SERVICE 35332,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35332,A000000,01600,0000,01600SKILLED NURSING FACILITY 35332,A000000,01800,0000,01800NURSING FACILITY 35332,A000000,01810,0000,01810ICF/MR 35332,A000000,02100,0000,02100RADIOLOGY 35332,A000000,02200,0000,02200LABORATORY 35332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35332,A000000,02500,0000,02500PHYSICAL THERAPY 35332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35332,A000000,02700,0000,02700SPEECH PATHOLOGY 35332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35332,A000000,03050,0000,03300OTHER ANCILLARY 35332,A000000,03051,0000,03301OTHER ANCILLARY II 35332,A000000,03052,0000,03302OTHER ANCILLARY III 35332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35332,A000000,03550,0000,03550FQHC 35332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35332,A000000,05000,0000,05000CORF I 35332,A000000,05010,0000,05010CMHC I 35332,A000000,05020,0000,05020OPT I 35332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35332,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35332,A81000A,00100,0100,Y 35332,A81000B,00100,0300,GENERAL & ADMIN 35332,A81000B,00200,0300,INTEREST BONDS 35332,A81000B,00300,0300,AMORT - BOND ISSUE 35332,A81000B,00400,0300,INTEREST ADJUSTMENT 35332,A81000B,00500,0300,AMORT ADJUSTMENT 35332,A81000C,00100,0100,A 35332,A81000C,00100,0200,DELAWARE HEALTH 35332,A81000C,00100,0400,DELAWARE HEALTH 35332,A81000C,00100,0600,HOLDING CO 35332,A81000C,00200,0100,B 35332,A81000C,00200,0200,HOOSIER HLTHCAR 35332,A81000C,00200,0400,HOOSIER HLTHCAR 35332,A81000C,00200,0600,OWNER 35332,B100000,00000,0100,00000(SQUARE FEET) 35332,B100000,00000,0101,00000(SQUARE FEET) 35332,B100000,00000,0200,00000(SQUARE FEET) 35332,B100000,00000,0201,00000(SQUARE FEET) 35332,B100000,00000,0300,00000(GROSS SALARIES) 35332,B100000,00000,0400,00000(ACCUM. COST) 35332,B100000,00000,0500,00000(SQUARE FEET) 35332,B100000,00000,0600,00000(PATIENT DAYS) 35332,B100000,00000,0700,00000(SQUARE FEET) 35332,B100000,00000,0800,00000(MEALS SERVED) 35332,B100000,00000,0801,00000(MEALS SERVED) 35332,B100000,00000,0900,00000(NURSING SALARIES) 35332,B100000,00000,1000,00000(PATIENT DAYS) 35332,B100000,00000,1100,00000(PATIENT DAYS) 35332,B100000,00000,1200,00000(PATIENT DAYS) 35332,B100000,00000,1300,00000(PATIENT DAYS) 35332,B100000,00000,1350,00000(PATIENT DAYS) 35332,B100000,00000,1400,00000(ASSIGNED TIME) 35332,S000000,00100,0200,05/31/2000 35332,S200000,00100,0100,301 OCEANVIEW BLVD 35332,S200000,00200,0100,LEWES 35332,S200000,00200,0200,DE 35332,S200000,00200,0300,19958 35332,S200000,00300,0100,SUSSEX 35332,S200000,00400,0100,HARBOR HEALTHCARE 35332,S200000,00400,0200,085034 35332,S200000,00400,0300,02/26/1994 35332,S200000,00400,0500,P 35332,S200000,00600,0200,085034 35332,S200000,00600,0300,01/01/1990 35332,S200000,00600,0600,P 35332,S200000,01600,0100,Y 35332,S200000,01900,0100,CCRC 35348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35348,A000000,00300,0000,00300EMPLOYEE BENEFITS 35348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35348,A000000,00700,0000,00700HOUSEKEEPING 35348,A000000,00800,0000,00800DIETARY 35348,A000000,00900,0000,00900NURSING ADMINISTRATION 35348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35348,A000000,01100,0000,01100PHARMACY 35348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35348,A000000,01300,0000,01300SOCIAL SERVICE 35348,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35348,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35348,A000000,01600,0000,01600SKILLED NURSING FACILITY 35348,A000000,01810,0000,01810ICF/MR 35348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35348,A000000,02500,0000,02500PHYSICAL THERAPY 35348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35348,A000000,02700,0000,02700SPEECH PATHOLOGY 35348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35348,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35348,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35348,A000000,03550,0000,03550FQHC 35348,A000000,05000,0000,05000CORF 35348,A000000,05010,0000,05010CMHC 35348,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35348,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35348,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35348,A000000,05300,0000,05300INTEREST EXPENSE 35348,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35348,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35348,A81000A,00100,0100,Y 35348,A81000B,00100,0300,DRUGS CHARGED TO PATIENTS 35348,A81000B,00200,0300,OTC DRUGS 35348,A81000B,00300,0300,PHARMACY CONSULTANT 35348,A81000B,00400,0300,EMPLOYEE BENEFITS 35348,A81000B,00500,0300,NURSING SUPPLIES 35348,A81000B,00600,0300,CAPITAL ITEMS 35348,A81000B,00700,0300,MAINTENANCE SUPPLIES 35348,A81000B,00800,0300,LINENS 35348,A81000C,00100,0100,A 35348,A81000C,00100,0200,EVEA BAINUM 35348,A81000C,00100,0400,ATLANTIC PHARMA 35348,A81000C,00100,0600,PHARMACY 35348,A81000C,00200,0100,A 35348,A81000C,00200,0200,EVEA BAINUM 35348,A81000C,00200,0400,BOARDWALK INN 35348,A81000C,00200,0600,MOTEL 35348,A81000C,00300,0100,A 35348,A81000C,00300,0200,TIMOTHY BAINUM 35348,A81000C,00300,0400,BOARDWALK INN 35348,A81000C,00300,0600,MOTEL 35348,A81000C,00400,0100,A 35348,A81000C,00400,0200,DUKE BAINUM 35348,A81000C,00400,0400,BOARDWALK INN 35348,A81000C,00400,0600,MOTEL 35348,B100000,00000,0100,00000SQUARE FEET 35348,B100000,00000,0200,00000SQUARE FEET 35348,B100000,00000,0300,00000GROSS SALARIES 35348,B100000,00000,0400,00000ACCUM COST 35348,B100000,00000,0500,00000SQUARE FEET 35348,B100000,00000,0600,00000POUNDS OF LAUNDRY 35348,B100000,00000,0700,00000HOURS OF SERVICE 35348,B100000,00000,0800,00000MEALS SERVED 35348,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35348,B100000,00000,1000,00000COSTED REQUISITIO 35348,B100000,00000,1100,00000COSTED REQUISITIO 35348,B100000,00000,1200,00000TIME SPENT 35348,B100000,00000,1300,00000TIME SPENT 35348,B100000,00000,1350,00000 35348,B100000,00000,1400,00000ASSIGNED TIME 35348,S000000,00100,0200,06/22/2000 35348,S200000,00100,0100,231 SOUTH WASHINGTON STREET 35348,S200000,00100,0300,P.O. BOX 909 35348,S200000,00200,0100,MILLSBORO NC 19966 35348,S200000,00400,0100,MILLSBORO NC 19966 35348,S200000,00400,0200,085037 35348,S200000,00400,0300,01/01/1990 35348,S200000,00400,0500,P 35348,S200000,01500,0100,Y 35356,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35356,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35356,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35356,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35356,A000000,00300,0000,00300EMPLOYEE BENEFITS 35356,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35356,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35356,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35356,A000000,00700,0000,00700HOUSEKEEPING 35356,A000000,00800,0000,00800DIETARY 35356,A000000,00801,0000,00801CAFETERIA 35356,A000000,00900,0000,00900NURSING ADMINISTRATION 35356,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35356,A000000,01100,0000,01100PHARMACY 35356,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35356,A000000,01300,0000,01300SOCIAL SERVICE 35356,A000000,01350,0000,01500ACTIVITIES 35356,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35356,A000000,01600,0000,01600SKILLED NURSING FACILITY 35356,A000000,01810,0000,01810ICF/MR 35356,A000000,02100,0000,02100RADIOLOGY 35356,A000000,02200,0000,02200LABORATORY 35356,A000000,02300,0000,02300INTRAVENOUS THERAPY 35356,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35356,A000000,02500,0000,02500PHYSICAL THERAPY 35356,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35356,A000000,02700,0000,02700SPEECH PATHOLOGY 35356,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35356,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35356,A000000,03050,0000,03300OTHER ANCILLARY 35356,A000000,03051,0000,03301OTHER ANCILLARY II 35356,A000000,03052,0000,03302OTHER ANCILLARY III 35356,A000000,03200,0000,03200SUPPORT SURFACES 35356,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35356,A000000,03550,0000,03550FQHC 35356,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35356,A000000,05000,0000,05000CORF I 35356,A000000,05010,0000,05010CMHC I 35356,A000000,05020,0000,05020OPT I 35356,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35356,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35356,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35356,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35356,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35356,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35356,A81000A,00100,0100,Y 35356,A81000B,00100,0300,MANAGEMENT FEE 35356,A81000B,00200,0300,H/O ALLOC - CAPITAL 35356,A81000B,00300,0300,H/O ALLOC - CAPITAL 35356,A81000B,00400,0300,H/O ALLOC - A&G 35356,A81000C,00100,0100,A 35356,A81000C,00100,0200,CHANCELLOR HEAL 35356,A81000C,00100,0400,CHANCELLOR HEAL 35356,A81000C,00100,0600,MANAGEMENT CO. 35356,B100000,00000,0100,00000(SQUARE FEET) 35356,B100000,00000,0101,00000(SQUARE FEET) 35356,B100000,00000,0200,00000(SQUARE FEET) 35356,B100000,00000,0201,00000(SQUARE FEET) 35356,B100000,00000,0300,00000(GROSS SALARIES) 35356,B100000,00000,0400,00000(ACCUM. COST) 35356,B100000,00000,0500,00000(SQUARE FEET) 35356,B100000,00000,0600,00000(PATIENT DAYS) 35356,B100000,00000,0700,00000(SQUARE FEET) 35356,B100000,00000,0800,00000(MEALS SERVED) 35356,B100000,00000,0801,00000(MEALS SERVED) 35356,B100000,00000,0900,00000(NURSING SALARIES) 35356,B100000,00000,1000,00000(PATIENT DAYS) 35356,B100000,00000,1100,00000(PATIENT DAYS) 35356,B100000,00000,1200,00000(PATIENT DAYS) 35356,B100000,00000,1300,00000(PATIENT DAYS) 35356,B100000,00000,1350,00000(PATIENT DAYS) 35356,B100000,00000,1400,00000(ASSIGNED TIME) 35356,E10A180,00550,0300,06/15/2000 35356,S000000,00100,0200,05/30/2000 35356,S200000,00100,0100,101 EAST DELAWARE AVE 35356,S200000,00200,0100,DELMAR 35356,S200000,00200,0200,DE 35356,S200000,00200,0300,19940 35356,S200000,00300,0100,SUSSEX 35356,S200000,00400,0100,CHANCELLOR CARE CENTER OF DELMAR I. 35356,S200000,00400,0200,085041 35356,S200000,00400,0300,08/13/1992 35356,S200000,00400,0500,P 35356,S200000,01500,0100,Y 35356,S200000,01900,0100,CCRC 35371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35371,A000000,00300,0000,00300EMPLOYEE BENEFITS 35371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35371,A000000,00700,0000,00700HOUSEKEEPING 35371,A000000,00800,0000,00800DIETARY 35371,A000000,00900,0000,00900NURSING ADMINISTRATION 35371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35371,A000000,01100,0000,01100PHARMACY 35371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35371,A000000,01300,0000,01300SOCIAL SERVICE 35371,A000000,01350,0000,01500PATIENT ACTIVITIES 35371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35371,A000000,01600,0000,01600SKILLED NURSING FACILITY 35371,A000000,01800,0000,01800NURSING FACILITY 35371,A000000,01810,0000,01810ICF/MR 35371,A000000,01900,0000,01900OTHER LONG TERM CARE 35371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35371,A000000,02500,0000,02500PHYSICAL THERAPY 35371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35371,A000000,02700,0000,02700SPEECH PATHOLOGY 35371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35371,A000000,03550,0000,03550FQHC 35371,A000000,05000,0000,05000CORF 35371,A000000,05010,0000,05010CMHC 35371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35371,A000000,05300,0000,05300INTEREST EXPENSE 35371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35371,A000000,06150,0000,06300NON-REIMBURSABLE 35371,A81000A,00100,0100,Y 35371,A81000B,00100,0300,FUNERAL SERVICES 35371,A81000B,00200,0300,COMMISSIONS & BANK F 35371,A81000B,00300,0300,LEGAL FEES 35371,A81000C,00100,0100,E 35371,A81000C,00100,0200,HARVEY SMITH 35371,A81000C,00100,0400,SPICER-MULLIKIN 35371,A81000C,00100,0600,FUNERAL SERVICE 35371,A81000C,00200,0100,E 35371,A81000C,00200,0200,STEPHEN CLARK 35371,A81000C,00200,0400,PNC BANK 35371,A81000C,00200,0600,BANKING & INVES 35371,A81000C,00300,0100,E 35371,A81000C,00300,0200,MICHAEL TUMAS 35371,A81000C,00300,0400,POTTER ANDERSO 35371,A81000C,00300,0600,LEGAL FEES 35371,B100000,00000,0100,00000SQUARE FEET 35371,B100000,00000,0200,00000SQUARE FEET 35371,B100000,00000,0300,00000GROSS SALARIES 35371,B100000,00000,0400,00000ACCUM COST 35371,B100000,00000,0500,00000SQUARE FEET 35371,B100000,00000,0600,00000POUNDS OF LAUNDRY 35371,B100000,00000,0700,00000SQUARE FEET 35371,B100000,00000,0800,00000MEALS SERVED 35371,B100000,00000,0900,00000DIRECT NRSG HRS 35371,B100000,00000,1000,00000COSTED REQUIS 35371,B100000,00000,1100,00000COSTED REQUIS 35371,B100000,00000,1200,00000TIME SPENT 35371,B100000,00000,1300,00000TIME SPENT 35371,B100000,00000,1350,00000TIME SPENT 35371,B100000,00000,1400,00000ASSIGNED TIME 35371,S000000,00100,0200,06/07/2000 35371,S200000,00100,0100,1101 GILPIN HALL 35371,S200000,00200,0100,WILMINGTON 35371,S200000,00200,0200,DE 35371,S200000,00200,0300,19806 35371,S200000,00300,0100,NEW CASTLE 35371,S200000,00400,0100,GILPIN HALL 35371,S200000,00400,0200,085047 35371,S200000,00400,0300,01/07/1997 35371,S200000,00400,0500,P 35371,S200000,00400,0600,O 35371,S200000,01600,0100,Y 35371,S200000,01900,0100,PRIVATE 35371,S200000,02200,0100,Y 35380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35380,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35380,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35380,A000000,00300,0000,00300EMPLOYEE BENEFITS 35380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35380,A000000,00700,0000,00700HOUSEKEEPING 35380,A000000,00800,0000,00800DIETARY 35380,A000000,00801,0000,00801CAFETERIA 35380,A000000,00900,0000,00900NURSING ADMINISTRATION 35380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35380,A000000,01100,0000,01100PHARMACY 35380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35380,A000000,01300,0000,01300SOCIAL SERVICE 35380,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35380,A000000,01600,0000,01600SKILLED NURSING FACILITY 35380,A000000,01800,0000,01800NURSING FACILITY 35380,A000000,01810,0000,01810ICF/MR 35380,A000000,02100,0000,02100RADIOLOGY 35380,A000000,02200,0000,02200LABORATORY 35380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35380,A000000,02500,0000,02500PHYSICAL THERAPY 35380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35380,A000000,02700,0000,02700SPEECH PATHOLOGY 35380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35380,A000000,03050,0000,03300OTHER ANCILLARY 35380,A000000,03051,0000,03301OTHER ANCILLARY II 35380,A000000,03052,0000,03302OTHER ANCILLARY III 35380,A000000,03200,0000,03200SUPPORT SURFACES 35380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35380,A000000,03550,0000,03550FQHC 35380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35380,A000000,05000,0000,05000CORF I 35380,A000000,05010,0000,05010CMHC I 35380,A000000,05020,0000,05020OPT I 35380,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35380,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35380,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35380,A81000A,00100,0100,Y 35380,A81000B,00100,0300,MANAGEMENT FEE 35380,A81000B,00200,0300,MANAGEMENT FEE 35380,A81000B,00300,0300,MANAGEMENT FEE 35380,A81000B,00400,0300,MANAGEMENT FEE 35380,A81000B,00500,0300,MANAGEMENT FEE 35380,A81000C,00100,0100,A 35380,A81000C,00100,0200,RONALD SCHAFER 35380,A81000C,00100,0400,LONG TERM CARE 35380,A81000C,00100,0600,MNGT SERVICES 35380,A81000C,00200,0100,B 35380,A81000C,00200,0200,STEVEN SILVER 35380,A81000C,00200,0400,LONG TERM CARE 35380,A81000C,00200,0600,MNGT SERVICES 35380,B100000,00000,0100,00000(SQUARE FEET) 35380,B100000,00000,0101,00000(SQUARE FEET) 35380,B100000,00000,0200,00000(SQUARE FEET) 35380,B100000,00000,0201,00000(SQUARE FEET) 35380,B100000,00000,0300,00000(GROSS SALARIES) 35380,B100000,00000,0400,00000(ACCUM. COST) 35380,B100000,00000,0500,00000(SQUARE FEET) 35380,B100000,00000,0600,00000(PATIENT DAYS) 35380,B100000,00000,0700,00000(SQUARE FEET) 35380,B100000,00000,0800,00000(MEALS SERVED) 35380,B100000,00000,0801,00000(MEALS SERVED) 35380,B100000,00000,0900,00000(NURSING SALARIES) 35380,B100000,00000,1000,00000(PATIENT DAYS) 35380,B100000,00000,1100,00000(PATIENT DAYS) 35380,B100000,00000,1200,00000(PATIENT DAYS) 35380,B100000,00000,1300,00000(PATIENT DAYS) 35380,B100000,00000,1350,00000(PATIENT DAYS) 35380,B100000,00000,1400,00000(ASSIGNED TIME) 35380,S000000,00100,0200,05/31/2000 35380,S200000,00100,0100,1225 WALKER ROAD 35380,S200000,00200,0100,DOVER 35380,S200000,00200,0200,DE 35380,S200000,00200,0300,19904 35380,S200000,00300,0100,KENT 35380,S200000,00400,0100,CAPITOL HEALTHCARE SERVICES 35380,S200000,00400,0200,085048 35380,S200000,00400,0300,02/06/1997 35380,S200000,00400,0500,P 35380,S200000,00600,0200,085048 35380,S200000,00600,0300,02/06/1997 35380,S200000,00600,0600,P 35380,S200000,01600,0100,Y 35380,S200000,01900,0100,PRIVATE 35380,S200000,02200,0100,Y 35384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35384,A000000,00300,0000,00300EMPLOYEE BENEFITS 35384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35384,A000000,00700,0000,00700HOUSEKEEPING 35384,A000000,00800,0000,00800DIETARY 35384,A000000,00900,0000,00900NURSING ADMINISTRATION 35384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35384,A000000,01100,0000,01100PHARMACY 35384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35384,A000000,01300,0000,01300SOCIAL SERVICE 35384,A000000,01301,0000,01301ACTIVITIES 35384,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35384,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35384,A000000,01600,0000,01600SKILLED NURSING FACILITY 35384,A000000,01800,0000,01800NURSING FACILITY 35384,A000000,01810,0000,01810ICF/MR 35384,A000000,02100,0000,02100RADIOLOGY 35384,A000000,02200,0000,02200LABORATORY 35384,A000000,02300,0000,02300INTRAVENOUS THERAPY 35384,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35384,A000000,02500,0000,02500PHYSICAL THERAPY 35384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35384,A000000,02700,0000,02700SPEECH PATHOLOGY 35384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35384,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35384,A000000,03051,0000,03301PEN THERAPY 35384,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35384,A000000,03550,0000,03550FQHC 35384,A000000,05000,0000,05000CORF 35384,A000000,05010,0000,05010CMHC 35384,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35384,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35384,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35384,A000000,05300,0000,05300INTEREST EXPENSE 35384,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35384,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35384,A81000A,00100,0100,Y 35384,A81000B,00100,0300,HOME OFFICE INTEREST 35384,A81000B,00200,0300,HOME OFFICE COST 35384,A81000B,00300,0300,MEDICAL SUPPLIES 35384,A81000B,00400,0300,DIETARY SUPPLEMENTS 35384,A81000B,00500,0300,SHORT TERM DME 35384,A81000B,00600,0300,RX NON-RX RX CONTR 35384,A81000B,00700,0300,IV THERAPY 35384,A81000B,00800,0300,PT 35384,A81000B,00900,0300,OT 35384,A81000B,01000,0300,ST 35384,A81000C,00100,0100,B 35384,A81000C,00100,0200,MARINER HEALTH 35384,A81000C,00100,0400,MARINER PAN 35384,A81000C,00100,0600,NURSING HOMES 35384,A81000C,00200,0100,G 35384,A81000C,00200,0200,MARINER POST-AC 35384,A81000C,00200,0400,AMERICAN PHARMA 35384,A81000C,00200,0600,PHARMACEUTICALS 35384,A81000C,00300,0100,G 35384,A81000C,00300,0200,MARINER POST-AC 35384,A81000C,00300,0400,PRISM (ATS ARS 35384,A81000C,00300,0600,THERAPIES 35384,B100000,00000,0100,00000SQUARE FEET 35384,B100000,00000,0200,00000SQUARE FEET 35384,B100000,00000,0300,00000GROSS SALARIES 35384,B100000,00000,0400,00000ACCUM COST 35384,B100000,00000,0500,00000SQUARE FEET 35384,B100000,00000,0600,00000PATIENT DAYS 35384,B100000,00000,0700,00000SQUARE FEET 35384,B100000,00000,0800,00000MEALS SERVED 35384,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35384,B100000,00000,1000,00000COSTED REQUISITIO 35384,B100000,00000,1100,00000COSTED REQUIS 35384,B100000,00000,1200,00000PATIENT DAYS 35384,B100000,00000,1300,00000PATIENT DAYS 35384,B100000,00000,1301,00000PATIENT DAYS 35384,B100000,00000,1350,00000UNITS OF SERVICE 35384,B100000,00000,1400,00000ASSIGNED TIME 35384,S000000,00100,0200,03/06/2000 35384,S200000,00100,0100,1200 NORTH STONE STREET 35384,S200000,00200,0100,DELAND 35384,S200000,00200,0200,FL 35384,S200000,00200,0300,32720 35384,S200000,00300,0100,VOLUSIA 35384,S200000,00400,0100,MARINER HEALTH OF DELAND 35384,S200000,00400,0200,105406 35384,S200000,00400,0300,06/01/1982 35384,S200000,00400,0500,P 35384,S200000,01600,0100,Y 35384,S200000,01900,0100,VOLUNTARY 35386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35386,A000000,00300,0000,00300EMPLOYEE BENEFITS 35386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35386,A000000,00700,0000,00700HOUSEKEEPING 35386,A000000,00800,0000,00800DIETARY 35386,A000000,00900,0000,00900NURSING ADMINISTRATION 35386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35386,A000000,01100,0000,01100PHARMACY 35386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35386,A000000,01300,0000,01300SOCIAL SERVICE 35386,A000000,01301,0000,01301ACTIVITES 35386,A000000,01350,0000,01500REHABILITATION 35386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35386,A000000,01600,0000,01600SKILLED NURSING FACILITY 35386,A000000,01800,0000,01800NURSING FACILITY 35386,A000000,01810,0000,01810ICF/MR 35386,A000000,02100,0000,02100RADIOLOGY 35386,A000000,02200,0000,02200LABORATORY 35386,A000000,02300,0000,02300INTRAVENOUS THERAPY 35386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35386,A000000,02500,0000,02500PHYSICAL THERAPY 35386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35386,A000000,02700,0000,02700SPEECH PATHOLOGY 35386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35386,A000000,03050,0000,03300EQUIPMENT RENTAL 35386,A000000,03051,0000,03301PEN THERAPY 35386,A000000,03550,0000,03550FQHC 35386,A000000,05000,0000,05000CORF 35386,A000000,05010,0000,05010CMHC 35386,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35386,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35386,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35386,A000000,05300,0000,05300INTEREST EXPENSE 35386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35386,A000000,06150,0000,06300VENDING 35386,A000000,06151,0000,06301STAND-BY 35386,A81000A,00100,0100,Y 35386,A81000B,00100,0300,HOME OFFICE COST 35386,A81000B,00200,0300,DIETARY SUPPLEMENTS 35386,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35386,A81000B,00400,0300,PRESCRIPTION DRUGS 35386,A81000B,00500,0300,MEDICAL SUPPLIES 35386,A81000B,00600,0300,ADMIN COSTS 35386,A81000B,00700,0300,HOME OFFICE INTEREST 35386,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35386,A81000B,00900,0300,IV THERAPY 35386,A81000B,01000,0300,THERAPY CONSULTING 35386,A81000B,01100,0300,PHYSICAL THERAPY 35386,A81000B,01200,0300,OCCUPATIONAL THERAPY 35386,A81000B,01300,0300,SPEECH THERAPY 35386,A81000B,01400,0300,ANC EQUIP RENTAL 35386,A81000B,01500,0300,NURSING ADMIN 35386,A81000B,01600,0300,CAP REL COSTS - BLDGS & F LEAS 35386,A81000C,00100,0100,B 35386,A81000C,00100,0200,MH OF PORT CHAR 35386,A81000C,00100,0400,MARINER PAN 35386,A81000C,00100,0600,NURSING HOMES 35386,A81000C,00200,0100,G 35386,A81000C,00200,0200,MARINER PAN 35386,A81000C,00200,0400,AMER PHARM SVCS 35386,A81000C,00200,0600,PHARMACEUTICALS 35386,A81000C,00300,0100,G 35386,A81000C,00300,0200,MARINER PAN 35386,A81000C,00300,0400,PRISM-ATS-ARS-T 35386,A81000C,00300,0600,THERAPIES 35386,A81000C,00400,0100,G 35386,A81000C,00400,0200,MARINER PAN 35386,A81000C,00400,0400,MARINER REHAB 35386,A81000C,00400,0600,CONTRACT SERVIC 35386,A81000C,00500,0100,B 35386,A81000C,00500,0200,PORT CHARLOTTE 35386,A81000C,00500,0600,REAL ESTATE LES 35386,B100000,00000,0100,00001SQUARE FEET 35386,B100000,00000,0200,00001SQUARE FEET 35386,B100000,00000,0300,00001GROSS SALARIES 35386,B100000,00000,0400,00001ACCUM COST 35386,B100000,00000,0500,00001SQUARE FEET 35386,B100000,00000,0600,00001PATIENT DAYS 35386,B100000,00000,0700,00001SQUARE FEET 35386,B100000,00000,0800,00001MEALS SERVED 35386,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35386,B100000,00000,1000,00001PATIENT DAYS 35386,B100000,00000,1100,00001COSTED REQUIS 35386,B100000,00000,1200,00001PATIENT DAYS 35386,B100000,00000,1300,00001PATIENT DAYS 35386,B100000,00000,1301,00001PATIENT DAYS 35386,B100000,00000,1350,00001UNITS OF SERVICE 35386,B100000,00000,1400,00001ASSIGNED TIME 35386,S000000,00100,0200,06/02/2000 35386,S200000,00100,0100,25325 RAMPART BLVD. 35386,S200000,00200,0100,PORT CHARLOTTE 35386,S200000,00200,0200,FL 35386,S200000,00200,0300,33983 35386,S200000,00300,0100,CHARLOTTE 35386,S200000,00400,0100,MARINER HEALTH OF PORT CHARLOTTE 35386,S200000,00400,0200,105524 35386,S200000,00400,0300,07/01/1994 35386,S200000,00400,0500,P 35386,S200000,01600,0100,Y 35386,S200000,02200,0100,Y 35391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35391,A000000,00300,0000,00300EMPLOYEE BENEFITS 35391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35391,A000000,00700,0000,00700HOUSEKEEPING 35391,A000000,00800,0000,00800DIETARY 35391,A000000,00900,0000,00900NURSING ADMINISTRATION 35391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35391,A000000,01100,0000,01100PHARMACY 35391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35391,A000000,01300,0000,01300SOCIAL SERVICE 35391,A000000,01301,0000,01301ACTIVITES 35391,A000000,01350,0000,01500REHABILITATION 35391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35391,A000000,01600,0000,01600SKILLED NURSING FACILITY 35391,A000000,01800,0000,01800NURSING FACILITY 35391,A000000,01810,0000,01810ICF/MR 35391,A000000,02100,0000,02100RADIOLOGY 35391,A000000,02200,0000,02200LABORATORY 35391,A000000,02300,0000,02300INTRAVENOUS THERAPY 35391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35391,A000000,02500,0000,02500PHYSICAL THERAPY 35391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35391,A000000,02700,0000,02700SPEECH PATHOLOGY 35391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35391,A000000,03050,0000,03300EQUIPMENT RENTAL 35391,A000000,03051,0000,03301PEN THERAPY 35391,A000000,03550,0000,03550FQHC 35391,A000000,05000,0000,05000CORF 35391,A000000,05010,0000,05010CMHC 35391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35391,A000000,05300,0000,05300INTEREST EXPENSE 35391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35391,A000000,06150,0000,06300VENDING 35391,A000000,06151,0000,06301STAND-BY 35391,A81000A,00100,0100,Y 35391,A81000B,00100,0300,HOME OFFICE COST 35391,A81000B,00200,0300,DIETARY SUPPLEMENTS 35391,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35391,A81000B,00400,0300,PRESCRIPTION DRUGS 35391,A81000B,00500,0300,MEDICAL SUPPLIES 35391,A81000B,00600,0300,ADMIN COSTS 35391,A81000B,00700,0300,HOME OFFICE INTEREST 35391,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35391,A81000B,00900,0300,IV THERAPY 35391,A81000B,01000,0300,THERAPY CONSULTING 35391,A81000B,01100,0300,PHYSICAL THERAPY 35391,A81000B,01200,0300,OCCUPATIONAL THERAPY 35391,A81000B,01300,0300,SPEECH THERAPY 35391,A81000B,01400,0300,ANC EQUIP RENTAL 35391,A81000B,01500,0300,BENEFITS 35391,A81000B,01600,0300,CAP REL COSTS - BLDG & F RENT 35391,A81000C,00100,0100,B 35391,A81000C,00100,0200,MH OF TALLAHASS 35391,A81000C,00100,0400,MARINER PAN 35391,A81000C,00100,0600,NURSING HOMES 35391,A81000C,00200,0100,G 35391,A81000C,00200,0200,MARINER PAN 35391,A81000C,00200,0400,AMER PHARM SVCS 35391,A81000C,00200,0600,PHARMACEUTICALS 35391,A81000C,00300,0100,G 35391,A81000C,00300,0200,MARINER PAN 35391,A81000C,00300,0400,PRISM-ATS-ARS-T 35391,A81000C,00300,0600,THERAPIES 35391,A81000C,00400,0100,G 35391,A81000C,00400,0200,MARINER PAN 35391,A81000C,00400,0400,MARINER REHAB 35391,A81000C,00400,0600,CONTRACT SERVIC 35391,B100000,00000,0100,00001SQUARE FEET 35391,B100000,00000,0200,00001SQUARE FEET 35391,B100000,00000,0300,00001GROSS SALARIES 35391,B100000,00000,0400,00001ACCUM COST 35391,B100000,00000,0500,00001SQUARE FEET 35391,B100000,00000,0600,00001PATIENT DAYS 35391,B100000,00000,0700,00001SQUARE FEET 35391,B100000,00000,0800,00001MEALS SERVED 35391,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35391,B100000,00000,1000,00001PATIENT DAYS 35391,B100000,00000,1100,00001COSTED REQUIS 35391,B100000,00000,1200,00001PATIENT DAYS 35391,B100000,00000,1300,00001PATIENT DAYS 35391,B100000,00000,1301,00001PATIENT DAYS 35391,B100000,00000,1350,00001UNITS OF SERVICE 35391,B100000,00000,1400,00001ASSIGNED TIME 35391,S000000,00100,0200,06/02/2000 35391,S200000,00100,0100,2255 CENTERVILLE ROAD 35391,S200000,00200,0100,TALLAHASSEE 35391,S200000,00200,0200,FL 35391,S200000,00200,0300,32308 35391,S200000,00300,0100,LEON 35391,S200000,00400,0100,MARINER HEALTH OF TALLAHASSEE 35391,S200000,00400,0200,105563 35391,S200000,00400,0300,07/01/1994 35391,S200000,00400,0500,P 35391,S200000,01600,0100,Y 35391,S200000,02200,0100,Y 35398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35398,A000000,00300,0000,00300EMPLOYEE BENEFITS 35398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35398,A000000,00700,0000,00700HOUSEKEEPING 35398,A000000,00800,0000,00800DIETARY 35398,A000000,00900,0000,00900NURSING ADMINISTRATION 35398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35398,A000000,01100,0000,01100PHARMACY 35398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35398,A000000,01300,0000,01300SOCIAL SERVICE 35398,A000000,01301,0000,01301ACTIVITES 35398,A000000,01350,0000,01500REHABILITATION 35398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35398,A000000,01600,0000,01600SKILLED NURSING FACILITY 35398,A000000,01800,0000,01800NURSING FACILITY 35398,A000000,01810,0000,01810ICF/MR 35398,A000000,02100,0000,02100RADIOLOGY 35398,A000000,02200,0000,02200LABORATORY 35398,A000000,02300,0000,02300INTRAVENOUS THERAPY 35398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35398,A000000,02500,0000,02500PHYSICAL THERAPY 35398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35398,A000000,02700,0000,02700SPEECH PATHOLOGY 35398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35398,A000000,03050,0000,03300EQUIPMENT RENTAL 35398,A000000,03051,0000,03301PEN THERAPY 35398,A000000,03550,0000,03550FQHC 35398,A000000,05000,0000,05000CORF 35398,A000000,05010,0000,05010CMHC 35398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35398,A000000,05300,0000,05300INTEREST EXPENSE 35398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35398,A000000,06150,0000,06300VENDING 35398,A000000,06151,0000,06301STAND-BY 35398,A81000A,00100,0100,Y 35398,A81000B,00100,0300,HOME OFFICE COST 35398,A81000B,00200,0300,DIETARY SUPPLEMENTS 35398,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35398,A81000B,00400,0300,PRESCRIPTION DRUGS 35398,A81000B,00500,0300,MEDICAL SUPPLIES 35398,A81000B,00600,0300,ADMIN COSTS 35398,A81000B,00700,0300,HOME OFFICE INTEREST 35398,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35398,A81000B,00900,0300,IV THERAPY 35398,A81000B,01000,0300,THERAPY CONSULTING 35398,A81000B,01100,0300,PHYSICAL THERAPY 35398,A81000B,01200,0300,OCCUPATIONAL THERAPY 35398,A81000B,01300,0300,SPEECH THERAPY 35398,A81000B,01400,0300,ANC EQUIP RENTAL 35398,A81000C,00100,0100,B 35398,A81000C,00100,0200,MH OF BELLAIRE 35398,A81000C,00100,0400,MARINER PAN 35398,A81000C,00100,0600,NURSING HOMES 35398,A81000C,00200,0100,G 35398,A81000C,00200,0200,MARINER PAN 35398,A81000C,00200,0400,AMER PHARM SVCS 35398,A81000C,00200,0600,PHARMACEUTICALS 35398,A81000C,00300,0100,G 35398,A81000C,00300,0200,MARINER PAN 35398,A81000C,00300,0400,PRISM-ATS-ARS-T 35398,A81000C,00300,0600,THERAPIES 35398,B100000,00000,0100,00001SQUARE FEET 35398,B100000,00000,0200,00001SQUARE FEET 35398,B100000,00000,0300,00001GROSS SALARIES 35398,B100000,00000,0400,00001ACCUM COST 35398,B100000,00000,0500,00001SQUARE FEET 35398,B100000,00000,0600,00001PATIENT DAYS 35398,B100000,00000,0700,00001SQUARE FEET 35398,B100000,00000,0800,00001MEALS SERVED 35398,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35398,B100000,00000,1000,00001PATIENT DAYS 35398,B100000,00000,1100,00001COSTED REQUIS 35398,B100000,00000,1200,00001PATIENT DAYS 35398,B100000,00000,1300,00001PATIENT DAYS 35398,B100000,00000,1301,00001PATIENT DAYS 35398,B100000,00000,1350,00001UNITS OF SERVICE 35398,B100000,00000,1400,00001ASSIGNED TIME 35398,S000000,00100,0200,06/02/2000 35398,S200000,00100,0100,1150 PONCE DELEON BLVD 35398,S200000,00200,0100,CLEARWATER 35398,S200000,00200,0200,FL 35398,S200000,00200,0300,34616 35398,S200000,00300,0100,PINELLAS 35398,S200000,00400,0100,MARINER HEALTH OF BELLEAIR 35398,S200000,00400,0200,105636 35398,S200000,00400,0300,12/01/1988 35398,S200000,00400,0500,P 35398,S200000,01600,0100,Y 35398,S200000,02200,0100,Y 35400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35400,A000000,00300,0000,00300EMPLOYEE BENEFITS 35400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35400,A000000,00700,0000,00700HOUSEKEEPING 35400,A000000,00800,0000,00800DIETARY 35400,A000000,00900,0000,00900NURSING ADMINISTRATION 35400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35400,A000000,01100,0000,01100PHARMACY 35400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35400,A000000,01300,0000,01300SOCIAL SERVICE 35400,A000000,01301,0000,01301ACTIVITES 35400,A000000,01350,0000,01500REHABILITATION 35400,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35400,A000000,01600,0000,01600SKILLED NURSING FACILITY 35400,A000000,01800,0000,01800NURSING FACILITY 35400,A000000,01810,0000,01810ICF/MR 35400,A000000,02100,0000,02100RADIOLOGY 35400,A000000,02200,0000,02200LABORATORY 35400,A000000,02300,0000,02300INTRAVENOUS THERAPY 35400,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35400,A000000,02500,0000,02500PHYSICAL THERAPY 35400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35400,A000000,02700,0000,02700SPEECH PATHOLOGY 35400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35400,A000000,03050,0000,03300EQUIPMENT RENTAL 35400,A000000,03051,0000,03301PEN THERAPY 35400,A000000,03550,0000,03550FQHC 35400,A000000,05000,0000,05000CORF 35400,A000000,05010,0000,05010CMHC 35400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35400,A000000,06150,0000,06300VENDING 35400,A000000,06151,0000,06301STAND-BY 35400,A81000A,00100,0100,Y 35400,A81000B,00100,0300,HOME OFFICE COST 35400,A81000B,00200,0300,DIETARY SUPPLEMENTS 35400,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35400,A81000B,00400,0300,PRESCRIPTION DRUGS 35400,A81000B,00500,0300,MEDICAL SUPPLIES 35400,A81000B,00600,0300,ADMIN COSTS 35400,A81000B,00700,0300,HOME OFFICE INTEREST 35400,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35400,A81000B,00900,0300,IV THERAPY 35400,A81000B,01000,0300,THERAPY CONSULTING 35400,A81000B,01100,0300,PHYSICAL THERAPY 35400,A81000B,01200,0300,OCCUPATIONAL THERAPY 35400,A81000B,01300,0300,SPEECH THERAPY 35400,A81000B,01400,0300,ANC EQUIP RENTAL 35400,A81000B,01500,0300,CONTRACT CNSLT_NURSING 35400,A81000B,01600,0300,CAP REL COSTS -BLDGS & F RENT 35400,A81000C,00100,0100,B 35400,A81000C,00100,0200,MH OF TAMPA #10 35400,A81000C,00100,0400,MARINER PAN 35400,A81000C,00100,0600,NURSING HOMES 35400,A81000C,00200,0100,G 35400,A81000C,00200,0200,MARINER PAN 35400,A81000C,00200,0400,AMER PHARM SVCS 35400,A81000C,00200,0600,PHARMACEUTICALS 35400,A81000C,00300,0100,G 35400,A81000C,00300,0200,MARINER PAN 35400,A81000C,00300,0400,PRISM-ATS-ARS-T 35400,A81000C,00300,0600,THERAPIES 35400,A81000C,00400,0100,G 35400,A81000C,00400,0200,MARINER PAN 35400,A81000C,00400,0400,MARINER REHAB 35400,A81000C,00400,0600,CONTRACT SERVIC 35400,A81000C,00500,0100,B 35400,A81000C,00500,0200,MARINER PAN 35400,A81000C,00500,0400,TAMPA HEALTH PR 35400,A81000C,00500,0600,RENTAL PROPERTY 35400,B100000,00000,0100,00001SQUARE FEET 35400,B100000,00000,0200,00001SQUARE FEET 35400,B100000,00000,0300,00001GROSS SALARIES 35400,B100000,00000,0400,00001ACCUM COST 35400,B100000,00000,0500,00001SQUARE FEET 35400,B100000,00000,0600,00001PATIENT DAYS 35400,B100000,00000,0700,00001SQUARE FEET 35400,B100000,00000,0800,00001MEALS SERVED 35400,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35400,B100000,00000,1000,00001COSTED REQUISITIO 35400,B100000,00000,1100,00001COSTED REQUIS 35400,B100000,00000,1200,00001PATIENT DAYS 35400,B100000,00000,1300,00001PATIENT DAYS 35400,B100000,00000,1301,00001PATIENT DAYS 35400,B100000,00000,1350,00001UNITS OF SERVICE 35400,B100000,00000,1400,00001ASSIGNED TIME 35400,S000000,00100,0200,06/02/2000 35400,S200000,00100,0100,3117 WEST GANDY BLVD 35400,S200000,00200,0100,TAMPA 35400,S200000,00200,0200,FL 35400,S200000,00200,0300,33611 35400,S200000,00300,0100,HILLSBOROUGH 35400,S200000,00400,0100,MARINER HEALTH OF TAMPA 35400,S200000,00400,0200,105650 35400,S200000,00400,0300,11/01/1996 35400,S200000,00400,0500,P 35400,S200000,01600,0100,Y 35400,S200000,02200,0100,Y 35404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35404,A000000,00300,0000,00300EMPLOYEE BENEFITS 35404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35404,A000000,00700,0000,00700HOUSEKEEPING 35404,A000000,00800,0000,00800DIETARY 35404,A000000,00900,0000,00900NURSING ADMINISTRATION 35404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35404,A000000,01100,0000,01100PHARMACY 35404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35404,A000000,01300,0000,01300SOCIAL SERVICE 35404,A000000,01301,0000,01301ACTIVITES 35404,A000000,01350,0000,01500REHABILITATION 35404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35404,A000000,01600,0000,01600SKILLED NURSING FACILITY 35404,A000000,01800,0000,01800NURSING FACILITY 35404,A000000,01810,0000,01810ICF/MR 35404,A000000,02100,0000,02100RADIOLOGY 35404,A000000,02200,0000,02200LABORATORY 35404,A000000,02300,0000,02300INTRAVENOUS THERAPY 35404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35404,A000000,02500,0000,02500PHYSICAL THERAPY 35404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35404,A000000,02700,0000,02700SPEECH PATHOLOGY 35404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35404,A000000,03050,0000,03300EQUIPMENT RENTAL 35404,A000000,03051,0000,03301PEN THERAPY 35404,A000000,03550,0000,03550FQHC 35404,A000000,04800,0000,04800AMBULANCE 35404,A000000,05000,0000,05000CORF 35404,A000000,05010,0000,05010CMHC 35404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35404,A000000,05300,0000,05300INTEREST EXPENSE 35404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35404,A000000,06150,0000,06300VENDING 35404,A000000,06151,0000,06301STAND-BY 35404,A81000A,00100,0100,Y 35404,A81000B,00100,0300,HOME OFFICE COST 35404,A81000B,00200,0300,DIETARY SUPPLEMENTS 35404,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35404,A81000B,00400,0300,PRESCRIPTION DRUGS 35404,A81000B,00500,0300,MEDICAL SUPPLIES 35404,A81000B,00600,0300,ADMIN COSTS 35404,A81000B,00700,0300,HOME OFFICE INTEREST 35404,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35404,A81000B,00900,0300,IV THERAPY 35404,A81000B,01000,0300,THERAPY CONSULTING 35404,A81000B,01100,0300,PHYSICAL THERAPY 35404,A81000B,01200,0300,OCCUPATIONAL THERAPY 35404,A81000B,01300,0300,SPEECH THERAPY 35404,A81000B,01400,0300,ANC EQUIP RENTAL 35404,A81000C,00100,0100,B 35404,A81000C,00100,0200,MH OF CLEARWATE 35404,A81000C,00100,0400,MARINER PAN 35404,A81000C,00100,0600,NURSING HOMES 35404,A81000C,00200,0100,G 35404,A81000C,00200,0200,MARINER PAN 35404,A81000C,00200,0400,AMER PHARM SVCS 35404,A81000C,00200,0600,PHARMACEUTICALS 35404,A81000C,00300,0100,G 35404,A81000C,00300,0200,MARINER PAN 35404,A81000C,00300,0400,PRISM-ATS-ARS-T 35404,A81000C,00300,0600,THERAPIES 35404,A81000C,00400,0100,G 35404,A81000C,00400,0200,MARINER PAN 35404,A81000C,00400,0400,MARINER REHAB 35404,A81000C,00400,0600,CONTRACT SERVIC 35404,B100000,00000,0100,00001SQUARE FEET 35404,B100000,00000,0200,00001SQUARE FEET 35404,B100000,00000,0300,00001GROSS SALARIES 35404,B100000,00000,0400,00001ACCUM COST 35404,B100000,00000,0500,00001SQUARE FEET 35404,B100000,00000,0600,00001PATIENT DAYS 35404,B100000,00000,0700,00001SQUARE FEET 35404,B100000,00000,0800,00001MEALS SERVED 35404,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35404,B100000,00000,1000,00001PATIENT DAYS 35404,B100000,00000,1100,00001COSTED REQUIS 35404,B100000,00000,1200,00001PATIENT DAYS 35404,B100000,00000,1300,00001PATIENT DAYS 35404,B100000,00000,1301,00001PATIENT DAYS 35404,B100000,00000,1350,00001UNITS OF SERVICE 35404,B100000,00000,1400,00001ASSIGNED TIME 35404,S000000,00100,0200,06/02/2000 35404,S200000,00100,0100,4470 EAST BAY DRIVE 35404,S200000,00200,0100,CLEARWATER 35404,S200000,00200,0200,FL 35404,S200000,00200,0300,34624 35404,S200000,00300,0100,PINELLAS 35404,S200000,00400,0100,MARINER HEALTH OF CLEARWATER 35404,S200000,00400,0200,105697 35404,S200000,00400,0300,07/01/1990 35404,S200000,00400,0500,P 35404,S200000,01600,0100,Y 35404,S200000,02200,0100,Y 35406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35406,A000000,00300,0000,00300EMPLOYEE BENEFITS 35406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35406,A000000,00700,0000,00700HOUSEKEEPING 35406,A000000,00800,0000,00800DIETARY 35406,A000000,00900,0000,00900NURSING ADMINISTRATION 35406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35406,A000000,01100,0000,01100PHARMACY 35406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35406,A000000,01300,0000,01300SOCIAL SERVICE 35406,A000000,01301,0000,01301ACTIVITIES 35406,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35406,A000000,01600,0000,01600SKILLED NURSING FACILITY 35406,A000000,01800,0000,01800NURSING FACILITY 35406,A000000,01810,0000,01810ICF/MR 35406,A000000,02100,0000,02100RADIOLOGY 35406,A000000,02200,0000,02200LABORATORY 35406,A000000,02300,0000,02300INTRAVENOUS THERAPY 35406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35406,A000000,02500,0000,02500PHYSICAL THERAPY 35406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35406,A000000,02700,0000,02700SPEECH PATHOLOGY 35406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35406,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35406,A000000,03051,0000,03301PEN THERAPY 35406,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35406,A000000,03550,0000,03550FQHC 35406,A000000,04800,0000,04800AMBULANCE 35406,A000000,05000,0000,05000CORF 35406,A000000,05010,0000,05010CMHC 35406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35406,A000000,05300,0000,05300INTEREST EXPENSE 35406,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35406,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35406,A81000A,00100,0100,Y 35406,A81000B,00100,0300,HOME OFFICE INTEREST 35406,A81000B,00200,0300,HOME OFFICE COST 35406,A81000B,00300,0300,COST OF OXYGEN NONCHARGEABLE 35406,A81000B,00400,0300,COST OF OXYGEN AND UROLOGICAL 35406,A81000B,00500,0300,OTC RX DRUGS CONSULTING 35406,A81000B,00600,0300,COST OF GOODS SOLD - PEN 35406,A81000B,00700,0300,IV THERAPY AND SUPPLIES 35406,A81000B,00800,0300,PT 35406,A81000B,00900,0300,OT 35406,A81000B,01000,0300,ST 35406,A81000C,00100,0100,B 35406,A81000C,00100,0200,MARINER HEALTH 35406,A81000C,00100,0400,MARINER PAN 35406,A81000C,00100,0600,NURSING HOMES 35406,A81000C,00200,0100,G 35406,A81000C,00200,0200,MARINER POST-AC 35406,A81000C,00200,0400,AMERICAN PHARMA 35406,A81000C,00200,0600,PHARMACEUTICALS 35406,A81000C,00300,0100,G 35406,A81000C,00300,0200,MARINER POST-AC 35406,A81000C,00300,0400,PRISM (ARS ATS 35406,A81000C,00300,0600,THERAPIES 35406,B100000,00000,0100,00000SQUARE FEET 35406,B100000,00000,0200,00000SQUARE FEET 35406,B100000,00000,0300,00000GROSS SALARIES 35406,B100000,00000,0400,00000ACCUM COST 35406,B100000,00000,0500,00000SQUARE FEET 35406,B100000,00000,0600,00000PATIENT DAYS 35406,B100000,00000,0700,00000SQUARE FEET 35406,B100000,00000,0800,00000MEALS SERVED 35406,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35406,B100000,00000,1000,00000COSTED REQUISITIO 35406,B100000,00000,1100,00000COSTED REQUISITIO 35406,B100000,00000,1200,00000PATIENT DAYS 35406,B100000,00000,1300,00000PATIENT DAYS 35406,B100000,00000,1301,00000PATIENT DAYS 35406,B100000,00000,1350,00000UNITS OF SERVICE 35406,B100000,00000,1400,00000ASSIGNED TIME 35406,S000000,00100,0200,03/06/2000 35406,S200000,00100,0100,600 TURNER CAMP ROAD 35406,S200000,00200,0100,INVERNESS 35406,S200000,00200,0200,FL 35406,S200000,00200,0300,34453 35406,S200000,00300,0100,CITRUS 35406,S200000,00400,0100,MARINER HEALTH OF INVERNESS 35406,S200000,00400,0200,105703 35406,S200000,00400,0300,07/01/1990 35406,S200000,00400,0500,P 35406,S200000,01600,0100,Y 35406,S200000,01900,0100,VOLUNTARY 35409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35409,A000000,00300,0000,00300EMPLOYEE BENEFITS 35409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35409,A000000,00700,0000,00700HOUSEKEEPING 35409,A000000,00800,0000,00800DIETARY 35409,A000000,00900,0000,00900NURSING ADMINISTRATION 35409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35409,A000000,01100,0000,01100PHARMACY 35409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35409,A000000,01300,0000,01300SOCIAL SERVICE 35409,A000000,01301,0000,01301ACTIVITIES 35409,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35409,A000000,01600,0000,01600SKILLED NURSING FACILITY 35409,A000000,01800,0000,01800NURSING FACILITY 35409,A000000,01810,0000,01810ICF/MR 35409,A000000,02100,0000,02100RADIOLOGY 35409,A000000,02200,0000,02200LABORATORY 35409,A000000,02300,0000,02300INTRAVENOUS THERAPY 35409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35409,A000000,02500,0000,02500PHYSICAL THERAPY 35409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35409,A000000,02700,0000,02700SPEECH PATHOLOGY 35409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35409,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35409,A000000,03051,0000,03301PEN THERAPY 35409,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35409,A000000,03550,0000,03550FQHC 35409,A000000,04800,0000,04800AMBULANCE 35409,A000000,05000,0000,05000CORF 35409,A000000,05010,0000,05010CMHC 35409,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35409,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35409,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35409,A000000,05300,0000,05300INTEREST EXPENSE 35409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35409,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35409,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35409,A81000A,00100,0100,Y 35409,A81000B,00100,0300,HOME OFFICE INTEREST 35409,A81000B,00200,0300,HOME OFFICE EXPENSE 35409,A81000B,00300,0300,NURSING SUPPLIES 35409,A81000B,00400,0300,OTHER DIRECT EXP - LAB 35409,A81000B,00500,0300,SHORT TERM - DME 35409,A81000B,00600,0300,PRESCRIPTION DRUGS 35409,A81000B,00700,0300,PT SUPPLIES 35409,A81000B,00800,0300,RT 35409,A81000B,00900,0300,PT 35409,A81000B,01000,0300,OT 35409,A81000B,01100,0300,ST 35409,A81000C,00100,0100,G 35409,A81000C,00100,0200,MH JACKSONVILLE 35409,A81000C,00100,0400,MARINER PAN 35409,A81000C,00100,0600,NURSING HOMES 35409,A81000C,00200,0100,B 35409,A81000C,00200,0200,MARINER PAN 35409,A81000C,00200,0400,AMERICAN PHARMA 35409,A81000C,00200,0600,PHARMACEUTICALS 35409,A81000C,00300,0100,B 35409,A81000C,00300,0200,MARINER PAN 35409,A81000C,00300,0400,PRISM (ARS ATS 35409,A81000C,00300,0600,THERAPIES 35409,B100000,00000,0100,00000SQUARE FEET 35409,B100000,00000,0200,00000SQUARE FEET 35409,B100000,00000,0300,00000GROSS SALARIES 35409,B100000,00000,0400,00000ACCUM COST 35409,B100000,00000,0500,00000SQUARE FEET 35409,B100000,00000,0600,00000PATIENT DAYS 35409,B100000,00000,0700,00000SQUARE FEET 35409,B100000,00000,0800,00000MEALS SERVED 35409,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35409,B100000,00000,1000,00000COSTED REQUISITIO 35409,B100000,00000,1100,00000COSTED REQUISITIO 35409,B100000,00000,1200,00000PATIENT DAYS 35409,B100000,00000,1300,00000PATIENT DAYS 35409,B100000,00000,1301,00000PATIENT DAYS 35409,B100000,00000,1350,00000UNITS OF SERVICE 35409,B100000,00000,1400,00000ASSIGNED TIME 35409,S000000,00100,0200,03/06/2000 35409,S200000,00100,0100,4134 DUNN AVE 35409,S200000,00200,0100,JACKSONVILLE 35409,S200000,00200,0200,FL 35409,S200000,00200,0300,32218 35409,S200000,00300,0100,DUVAL 35409,S200000,00400,0100,MARINER HEALTH OF JACKSONVILLE 35409,S200000,00400,0200,105710 35409,S200000,00400,0300,10/02/1990 35409,S200000,00400,0500,P 35409,S200000,01600,0100,Y 35409,S200000,01900,0100,VOLUNTARY 35412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35412,A000000,00300,0000,00300EMPLOYEE BENEFITS 35412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35412,A000000,00700,0000,00700HOUSEKEEPING 35412,A000000,00800,0000,00800DIETARY 35412,A000000,00900,0000,00900NURSING ADMINISTRATION 35412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35412,A000000,01100,0000,01100PHARMACY 35412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35412,A000000,01300,0000,01300SOCIAL SERVICE 35412,A000000,01301,0000,01301ACTIVITIES 35412,A000000,01350,0000,01500REHAB 35412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35412,A000000,01600,0000,01600SKILLED NURSING FACILITY 35412,A000000,01800,0000,01800NURSING FACILITY 35412,A000000,01810,0000,01810ICF/MR 35412,A000000,02100,0000,02100RADIOLOGY 35412,A000000,02200,0000,02200LABORATORY 35412,A000000,02300,0000,02300INTRAVENOUS THERAPY 35412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35412,A000000,02500,0000,02500PHYSICAL THERAPY 35412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35412,A000000,02700,0000,02700SPEECH PATHOLOGY 35412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35412,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35412,A000000,03051,0000,03301PEN THERAPY 35412,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35412,A000000,03550,0000,03550FQHC 35412,A000000,05000,0000,05000CORF 35412,A000000,05010,0000,05010CMHC 35412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35412,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35412,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35412,A81000A,00100,0100,Y 35412,A81000B,00100,0300,NURSING SUPPLIES 35412,A81000B,00200,0300,COST OF SUPPLIES SOLD 35412,A81000B,00300,0300,PRESCRIPTION DRUGS 35412,A81000B,00400,0300,ANC EQUIP RENTAL 35412,A81000B,00500,0300,PEN 35412,A81000B,00600,0300,PHYSICAL THERAPY 35412,A81000B,00700,0300,OCCUPATIONAL THERAPY 35412,A81000B,00800,0300,SPEECH THERAPY 35412,A81000B,00900,0300,HOME OFFICE INTEREST 35412,A81000B,01000,0300,HOME OFFICE COST ALLOCATION 35412,A81000C,00100,0100,B 35412,A81000C,00100,0200,ORANGE CITY #04 35412,A81000C,00100,0400,MARINER POST-AC 35412,A81000C,00100,0600,NURSING HOMES 35412,A81000C,00200,0100,G 35412,A81000C,00200,0200,MARINER POST-AC 35412,A81000C,00200,0400,AMERICAN PHARMA 35412,A81000C,00200,0600,PHARMACEUTICALS 35412,A81000C,00300,0100,G 35412,A81000C,00300,0200,MARINER POST-AC 35412,A81000C,00300,0400,PRISM (ATS ARS 35412,A81000C,00300,0600,THERAPIES 35412,B100000,00000,0100,00000SQUARE FEET 35412,B100000,00000,0200,00000SQUARE FEET 35412,B100000,00000,0300,00000GROSS SALARIES 35412,B100000,00000,0400,00000ACCUM COST 35412,B100000,00000,0500,00000SQUARE FEET 35412,B100000,00000,0600,00000PATIENT DAYS 35412,B100000,00000,0700,00000SQUARE FEET 35412,B100000,00000,0800,00000MEALS SERVED 35412,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35412,B100000,00000,1000,00000COSTED REQUISITIO 35412,B100000,00000,1100,00000COSTED REQUISITIO 35412,B100000,00000,1200,00000PATIENT DAYS 35412,B100000,00000,1300,00000PATIENT DAYS 35412,B100000,00000,1301,00000PATIENT DAYS 35412,B100000,00000,1350,00000UNIT OF SERVICE 35412,B100000,00000,1400,00000ASSIGNED TIME 35412,S000000,00100,0200,04/03/2000 35412,S200000,00100,0100,2810 ENTERPRISE ROAD 35412,S200000,00200,0100,DE BARY 35412,S200000,00300,0100,VOLUSIA 35412,S200000,00400,0100,MH OF ORANGE CITY 35412,S200000,00400,0200,105735 35412,S200000,00400,0300,06/26/1991 35412,S200000,00400,0500,P 35412,S200000,01600,0100,Y 35414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35414,A000000,00300,0000,00300EMPLOYEE BENEFITS 35414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35414,A000000,00700,0000,00700HOUSEKEEPING 35414,A000000,00800,0000,00800DIETARY 35414,A000000,00900,0000,00900NURSING ADMINISTRATION 35414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35414,A000000,01100,0000,01100PHARMACY 35414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35414,A000000,01300,0000,01300SOCIAL SERVICE 35414,A000000,01301,0000,01301ACTIVITIES 35414,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35414,A000000,01600,0000,01600SKILLED NURSING FACILITY 35414,A000000,01800,0000,01800NURSING FACILITY 35414,A000000,01810,0000,01810ICF/MR 35414,A000000,02100,0000,02100RADIOLOGY 35414,A000000,02200,0000,02200LABORATORY 35414,A000000,02300,0000,02300INTRAVENOUS THERAPY 35414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35414,A000000,02500,0000,02500PHYSICAL THERAPY 35414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35414,A000000,02700,0000,02700SPEECH PATHOLOGY 35414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35414,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35414,A000000,03051,0000,03301PEN THERAPY 35414,A000000,03200,0000,03200SUPPORT SURFACES 35414,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35414,A000000,03550,0000,03550FQHC 35414,A000000,05000,0000,05000CORF 35414,A000000,05010,0000,05010CMHC 35414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35414,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35414,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35414,A81000A,00100,0100,Y 35414,A81000B,00100,0300,HOME OFFICE INTEREST 35414,A81000B,00200,0300,HOME OFFICE ALLOCATION 35414,A81000B,00300,0300,COST OF OXYGEN CHGBLE 35414,A81000B,00400,0300,COST OF OXYGEN 35414,A81000B,00500,0300,RX NON-RX RX-CONTRACT 35414,A81000B,00600,0300,PEN THERAPY 35414,A81000B,00700,0300,IV SUPPLIES 35414,A81000B,00800,0300,OT SUPPLIES 35414,A81000B,00900,0300,PT 35414,A81000B,01000,0300,OT 35414,A81000B,01100,0300,ST 35414,A81000C,00100,0100,B 35414,A81000C,00100,0200,MH MAC CLENNY 35414,A81000C,00100,0400,MARINER PAN 35414,A81000C,00100,0600,NURSING HOMES 35414,A81000C,00200,0100,G 35414,A81000C,00200,0200,MARINER PAN 35414,A81000C,00200,0400,AMERICAN PHARMA 35414,A81000C,00200,0600,PHARMACEUTICALS 35414,A81000C,00300,0100,G 35414,A81000C,00300,0200,MARINER PAN 35414,A81000C,00300,0400,PRISM (ATS ARS 35414,A81000C,00300,0600,THERAPIES 35414,B100000,00000,0100,00000SQUARE FEET 35414,B100000,00000,0200,00000SQUARE FEET 35414,B100000,00000,0300,00000GROSS SALARIES 35414,B100000,00000,0400,00000ACCUM COST 35414,B100000,00000,0500,00000SQUARE FEET 35414,B100000,00000,0600,00000PATIENT DAYS 35414,B100000,00000,0700,00000HOURS OF SERVICE 35414,B100000,00000,0800,00000MEALS SERVED 35414,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35414,B100000,00000,1000,00000COSTED REQUISITIO 35414,B100000,00000,1100,00000COSTED REQUISITIO 35414,B100000,00000,1200,00000PATIENT DAYS 35414,B100000,00000,1300,00000PATIENT DAYS 35414,B100000,00000,1301,00000PATIENT DAYS 35414,B100000,00000,1350,00000UNITS OF SERVICE 35414,B100000,00000,1400,00000ASSIGNED TIME 35414,S000000,00100,0200,03/06/2000 35414,S200000,00100,0100,755 SOUTH FIFTH AVE 35414,S200000,00200,0100,MACCLENNY 35414,S200000,00200,0200,FL 35414,S200000,00200,0300,32063 35414,S200000,00300,0100,BAKER 35414,S200000,00400,0100,MARINER HEALTH OF MACCLENNY 35414,S200000,00400,0200,105737 35414,S200000,00400,0300,07/01/1992 35414,S200000,00400,0500,P 35414,S200000,01600,0100,Y 35414,S200000,01900,0100,VOLUNTARY 35417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35417,A000000,00300,0000,00300EMPLOYEE BENEFITS 35417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35417,A000000,00700,0000,00700HOUSEKEEPING 35417,A000000,00800,0000,00800DIETARY 35417,A000000,00900,0000,00900NURSING ADMINISTRATION 35417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35417,A000000,01100,0000,01100PHARMACY 35417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35417,A000000,01300,0000,01300SOCIAL SERVICE 35417,A000000,01301,0000,01301ACTIVITIES 35417,A000000,01350,0000,01500REHAB 35417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35417,A000000,01600,0000,01600SKILLED NURSING FACILITY 35417,A000000,01800,0000,01800NURSING FACILITY 35417,A000000,01810,0000,01810ICF/MR 35417,A000000,02100,0000,02100RADIOLOGY 35417,A000000,02200,0000,02200LABORATORY 35417,A000000,02300,0000,02300INTRAVENOUS THERAPY 35417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35417,A000000,02500,0000,02500PHYSICAL THERAPY 35417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35417,A000000,02700,0000,02700SPEECH PATHOLOGY 35417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35417,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35417,A000000,03051,0000,03301PEN THERAPY 35417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35417,A000000,03550,0000,03550FQHC 35417,A000000,05000,0000,05000CORF 35417,A000000,05010,0000,05010CMHC 35417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35417,A000000,06150,0000,06300VENDING 35417,A81000A,00100,0100,Y 35417,A81000B,00100,0300,NON CERT 35417,A81000B,00200,0300,MEDICAL SUPPLIER 35417,A81000B,00300,0300,ADMIN 35417,A81000B,00400,0300,CAPITAL 35417,A81000B,00500,0300,DRUGS 35417,A81000B,00600,0300,IV 35417,A81000B,00700,0300,REHAB 35417,A81000B,00800,0300,PT 35417,A81000B,00900,0300,OT 35417,A81000B,01000,0300,ST 35417,A81000B,01100,0300,BLDG CAPITAL 35417,A81000B,01200,0300,ADMIN & GENERAL 35417,A81000C,00100,0100,B 35417,A81000C,00100,0200,PORT ORANGE #00 35417,A81000C,00100,0400,MARINER PAN 35417,A81000C,00100,0600,NURSING HOME 35417,A81000C,00200,0100,G 35417,A81000C,00200,0200,MARINER POST-AC 35417,A81000C,00200,0400,AMERICAN PHARMA 35417,A81000C,00200,0600,PHARMACEUTICALS 35417,A81000C,00300,0100,G 35417,A81000C,00300,0200,MARINER POST-AC 35417,A81000C,00300,0400,PRISM (ATS ARS 35417,A81000C,00300,0600,THERAPIES 35417,B100000,00000,0100,00000SQUARE FEET 35417,B100000,00000,0200,00000SQUARE FEET 35417,B100000,00000,0300,00000GROSS SALARIES 35417,B100000,00000,0400,00000ACCUM COST 35417,B100000,00000,0500,00000SQUARE FEET 35417,B100000,00000,0600,00000PATIENT DAYS 35417,B100000,00000,0700,00000SQUARE FEET 35417,B100000,00000,0800,00000MEALS SERVED 35417,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35417,B100000,00000,1000,00000COSTED REQUISITIO 35417,B100000,00000,1100,00000COSTED REQUISITIO 35417,B100000,00000,1200,00000PATIENT DAYS 35417,B100000,00000,1300,00000PATIENT DAYS 35417,B100000,00000,1301,00000PT DAYS 35417,B100000,00000,1350,00000UNITS OF SERVICE 35417,B100000,00000,1400,00000ASSIGNED TIME 35417,S000000,00100,0200,04/03/2000 35417,S200000,00100,0100,5600 VICTORIA GARDENS BLVD. 35417,S200000,00200,0100,PORT ORANGE 35417,S200000,00200,0200,FLORIDA 35417,S200000,00200,0300,32127 35417,S200000,00300,0100,VOLUSIA 35417,S200000,00400,0100,MH OF PORT ORANGE 35417,S200000,00400,0200,105776 35417,S200000,00400,0300,10/09/1992 35417,S200000,00400,0500,P 35417,S200000,01600,0100,Y 35417,S200000,01900,0100,VOLUNTARY 35420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35420,A000000,00300,0000,00300EMPLOYEE BENEFITS 35420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35420,A000000,00700,0000,00700HOUSEKEEPING 35420,A000000,00800,0000,00800DIETARY 35420,A000000,00900,0000,00900NURSING ADMINISTRATION 35420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35420,A000000,01100,0000,01100PHARMACY 35420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35420,A000000,01300,0000,01300SOCIAL SERVICE 35420,A000000,01301,0000,01301ACTIVITES 35420,A000000,01350,0000,01500REHABILITATION 35420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35420,A000000,01600,0000,01600SKILLED NURSING FACILITY 35420,A000000,01800,0000,01800NURSING FACILITY 35420,A000000,01810,0000,01810ICF/MR 35420,A000000,02100,0000,02100RADIOLOGY 35420,A000000,02200,0000,02200LABORATORY 35420,A000000,02300,0000,02300INTRAVENOUS THERAPY 35420,A000000,02500,0000,02500PHYSICAL THERAPY 35420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35420,A000000,02700,0000,02700SPEECH PATHOLOGY 35420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35420,A000000,03050,0000,03300EQUIPMENT RENTAL 35420,A000000,03051,0000,03301PEN THERAPY 35420,A000000,03550,0000,03550FQHC 35420,A000000,05000,0000,05000CORF 35420,A000000,05010,0000,05010CMHC 35420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35420,A000000,06150,0000,06300VENDING 35420,A000000,06151,0000,06301STAND-BY 35420,A81000A,00100,0100,Y 35420,A81000B,00100,0300,HOME OFFICE COST 35420,A81000B,00200,0300,DIETARY SUPPLEMENTS 35420,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35420,A81000B,00400,0300,PRESCRIPTION DRUGS 35420,A81000B,00500,0300,MEDICAL SUPPLIES 35420,A81000B,00600,0300,ADMIN COSTS 35420,A81000B,00700,0300,HOME OFFICE INTEREST 35420,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35420,A81000B,00900,0300,IV THERAPY 35420,A81000B,01000,0300,THERAPY CONSULTING 35420,A81000B,01100,0300,PHYSICAL THERAPY 35420,A81000B,01200,0300,OCCUPATIONAL THERAPY 35420,A81000B,01300,0300,SPEECH THERAPY 35420,A81000B,01400,0300,ANC EQUIP RENTAL 35420,A81000C,00100,0100,B 35420,A81000C,00100,0200,MH OF PORT LUCI 35420,A81000C,00100,0400,MARINER PAN 35420,A81000C,00100,0600,NURSING HOMES 35420,A81000C,00200,0100,G 35420,A81000C,00200,0200,MARINER PAN 35420,A81000C,00200,0400,AMER PHARM SVCS 35420,A81000C,00200,0600,PHARMACEUTICALS 35420,A81000C,00300,0100,G 35420,A81000C,00300,0200,MARINER PAN 35420,A81000C,00300,0400,PRISM-ATS-ARS-T 35420,A81000C,00300,0600,THERAPIES 35420,A81000C,00400,0100,G 35420,A81000C,00400,0200,MARINER PAN 35420,A81000C,00400,0400,MARINER REHAB 35420,A81000C,00400,0600,CONTRACT SERVIC 35420,B100000,00000,0100,00001SQUARE FEET 35420,B100000,00000,0200,00001SQUARE FEET 35420,B100000,00000,0300,00001GROSS SALARIES 35420,B100000,00000,0400,00001ACCUM COST 35420,B100000,00000,0500,00001SQUARE FEET 35420,B100000,00000,0600,00001PATIENT DAYS 35420,B100000,00000,0700,00001SQUARE FEET 35420,B100000,00000,0800,00001MEALS SERVED 35420,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35420,B100000,00000,1000,00001PATIENT DAYS 35420,B100000,00000,1100,00001COSTED REQUIS 35420,B100000,00000,1200,00001PATIENT DAYS 35420,B100000,00000,1300,00001PATIENT DAYS 35420,B100000,00000,1301,00001PATIENT DAYS 35420,B100000,00000,1350,00001UNITS OF SERVICE 35420,B100000,00000,1400,00001ASSIGNED TIME 35420,S000000,00100,0200,06/02/2000 35420,S200000,00100,0100,1800 S. E. HILLMOOR DRIVE 35420,S200000,00200,0100,PORT ST. LUCIE 35420,S200000,00200,0200,FL 35420,S200000,00200,0300,34952 35420,S200000,00300,0100,ST. LUCIE 35420,S200000,00400,0100,MARINER HEALTH OF PORT ST. LUCIE 35420,S200000,00400,0200,105819 35420,S200000,00400,0300,07/01/1994 35420,S200000,00400,0500,P 35420,S200000,01600,0100,Y 35420,S200000,02200,0100,Y 35422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35422,A000000,00300,0000,00300EMPLOYEE BENEFITS 35422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35422,A000000,00700,0000,00700HOUSEKEEPING 35422,A000000,00800,0000,00800DIETARY 35422,A000000,00900,0000,00900NURSING ADMINISTRATION 35422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35422,A000000,01100,0000,01100PHARMACY 35422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35422,A000000,01300,0000,01300SOCIAL SERVICE 35422,A000000,01301,0000,01301ACTIVITIES 35422,A000000,01350,0000,01500REHAB 35422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35422,A000000,01600,0000,01600SKILLED NURSING FACILITY 35422,A000000,01800,0000,01800NURSING FACILITY 35422,A000000,01810,0000,01810ICF/MR 35422,A000000,02100,0000,02100RADIOLOGY 35422,A000000,02200,0000,02200LABORATORY 35422,A000000,02300,0000,02300INTRAVENOUS THERAPY 35422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35422,A000000,02500,0000,02500PHYSICAL THERAPY 35422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35422,A000000,02700,0000,02700SPEECH PATHOLOGY 35422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35422,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35422,A000000,03051,0000,03301PEN THERAPY 35422,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35422,A000000,03550,0000,03550FQHC 35422,A000000,05000,0000,05000CORF 35422,A000000,05010,0000,05010CMHC 35422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35422,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35422,A000000,06150,0000,06300VENDING 35422,A81000A,00100,0100,Y 35422,A81000B,00100,0300,NON-PRES DRUGS 35422,A81000B,00200,0300,MEDICAL SUPPLIES 35422,A81000B,00300,0300,PRES. DRUGS 35422,A81000B,00400,0300,IV CONTRACT 35422,A81000B,00500,0300,PT REHAB 35422,A81000B,00600,0300,OT REHAB 35422,A81000B,00700,0300,ST REHAB 35422,A81000B,00800,0300,BLDG CAPITAL 35422,A81000B,00900,0300,ADMIN & GENERAL 35422,A81000B,01000,0300,BENEFITS 35422,A81000C,00100,0100,B 35422,A81000C,00100,0200,PALM CITY #0045 35422,A81000C,00100,0400,MARINER POST-AC 35422,A81000C,00100,0600,NURSING HOME 35422,A81000C,00200,0100,G 35422,A81000C,00200,0200,MARINER POST-AC 35422,A81000C,00200,0400,AMERICAN PHARMA 35422,A81000C,00200,0600,PHARMACEUTICALS 35422,A81000C,00300,0100,G 35422,A81000C,00300,0200,MARINER POST-AC 35422,A81000C,00300,0400,PRISM (ATS ARS 35422,A81000C,00300,0600,THERAPIES 35422,B100000,00000,0100,00000SQUARE FEET 35422,B100000,00000,0200,00000SQUARE FEET 35422,B100000,00000,0300,00000GROSS SALARIES 35422,B100000,00000,0400,00000ACCUM COST 35422,B100000,00000,0500,00000SQUARE FEET 35422,B100000,00000,0600,00000PATIENT DAYS 35422,B100000,00000,0700,00000SQUARE FEET 35422,B100000,00000,0800,00000MEALS SERVED 35422,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35422,B100000,00000,1000,00000COSTED REQUISITIO 35422,B100000,00000,1100,00000COSTED REQUISITIO 35422,B100000,00000,1200,00000PATIENT DAYS 35422,B100000,00000,1300,00000PATIENT DAYS 35422,B100000,00000,1301,00000SQUARE FEET 35422,B100000,00000,1350,00000UNITS OF SERVICE 35422,B100000,00000,1400,00000ASSIGNED TIME 35422,S000000,00100,0200,04/03/2000 35422,S200000,00100,0100,2505 SW MARTIN HWY 35422,S200000,00200,0100,PALMETTO 35422,S200000,00200,0200,FLORIDA 35422,S200000,00200,0300,34990 35422,S200000,00300,0100,MARTIN 35422,S200000,00400,0100,MH OF PALM CITY 35422,S200000,00400,0200,105831 35422,S200000,00400,0300,10/01/1993 35422,S200000,00400,0500,P 35422,S200000,01600,0100,Y 35422,S200000,01900,0100,VOLUNTARY 35424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35424,A000000,00300,0000,00300EMPLOYEE BENEFITS 35424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35424,A000000,00700,0000,00700HOUSEKEEPING 35424,A000000,00800,0000,00800DIETARY 35424,A000000,00900,0000,00900NURSING ADMINISTRATION 35424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35424,A000000,01100,0000,01100PHARMACY 35424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35424,A000000,01300,0000,01300SOCIAL SERVICE 35424,A000000,01301,0000,01301ACTIVITIES 35424,A000000,01350,0000,01500REHAB 35424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35424,A000000,01600,0000,01600SKILLED NURSING FACILITY 35424,A000000,01800,0000,01800NURSING FACILITY 35424,A000000,01810,0000,01810ICF/MR 35424,A000000,02100,0000,02100RADIOLOGY 35424,A000000,02200,0000,02200LABORATORY 35424,A000000,02300,0000,02300INTRAVENOUS THERAPY 35424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35424,A000000,02500,0000,02500PHYSICAL THERAPY 35424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35424,A000000,02700,0000,02700SPEECH PATHOLOGY 35424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35424,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35424,A000000,03051,0000,03301PEN THERAPY 35424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35424,A000000,03550,0000,03550FQHC 35424,A000000,04800,0000,04800AMBULANCE 35424,A000000,05000,0000,05000CORF 35424,A000000,05010,0000,05010CMHC 35424,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35424,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35424,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35424,A000000,06150,0000,06300VENDING 35424,A81000A,00100,0100,Y 35424,A81000B,00100,0300,NON-CERT 35424,A81000B,00200,0300,MEDICAL SUPPLIER 35424,A81000B,00300,0300,DRUG 35424,A81000B,00400,0300,PEN 35424,A81000B,00500,0300,IV 35424,A81000B,00600,0300,PT 35424,A81000B,00700,0300,OT 35424,A81000B,00800,0300,ST 35424,A81000B,00900,0300,BLDG CAPITAL 35424,A81000B,01000,0300,ADMIN & GENERAL 35424,A81000C,00100,0100,B 35424,A81000C,00100,0200,BOYNTON BEACH # 35424,A81000C,00100,0400,MARINER POST-AC 35424,A81000C,00100,0600,NURSING HOME 35424,A81000C,00200,0100,G 35424,A81000C,00200,0200,MARINER POST-AC 35424,A81000C,00200,0400,AMERICAN PHARMA 35424,A81000C,00200,0600,PHARMACEUTICALS 35424,A81000C,00300,0100,G 35424,A81000C,00300,0200,MARINER POST-AC 35424,A81000C,00300,0400,PRISM (ATS ARS 35424,A81000C,00300,0600,THERAPIES 35424,B100000,00000,0100,00000SQUARE FEET 35424,B100000,00000,0200,00000SQUARE FEET 35424,B100000,00000,0300,00000GROSS SALARIES 35424,B100000,00000,0400,00000ACCUM COST 35424,B100000,00000,0500,00000SQUARE FEET 35424,B100000,00000,0600,00000PATIENT DAYS 35424,B100000,00000,0700,00000SQUARE FEET 35424,B100000,00000,0800,00000MEALS SERVED 35424,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35424,B100000,00000,1000,00000COSTED REQUISITIO 35424,B100000,00000,1100,00000COSTED REQUISITIO 35424,B100000,00000,1200,00000PATIENT DAYS 35424,B100000,00000,1300,00000PATIENT DAYS 35424,B100000,00000,1301,00000SQUARE FEET 35424,B100000,00000,1350,00000UNITS OF SERVICE 35424,B100000,00000,1400,00000ASSIGNED TIME 35424,S000000,00100,0200,04/03/2000 35424,S200000,00100,0100,9600 LAWRENCE ROAD 35424,S200000,00200,0100,BOYNTON BEACH 35424,S200000,00200,0200,FLORIDA 35424,S200000,00200,0300,33436 35424,S200000,00300,0100,PALM BEACH 35424,S200000,00400,0100,MH OF BOYNTON 35424,S200000,00400,0200,105837 35424,S200000,00400,0300,10/01/1994 35424,S200000,00400,0500,P 35424,S200000,01600,0100,Y 35424,S200000,01900,0100,VOLUNTARY 35426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35426,A000000,00300,0000,00300EMPLOYEE BENEFITS 35426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35426,A000000,00700,0000,00700HOUSEKEEPING 35426,A000000,00800,0000,00800DIETARY 35426,A000000,00900,0000,00900NURSING ADMINISTRATION 35426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35426,A000000,01100,0000,01100PHARMACY 35426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35426,A000000,01300,0000,01300SOCIAL SERVICE 35426,A000000,01301,0000,01301ACTIVITIES 35426,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35426,A000000,01600,0000,01600SKILLED NURSING FACILITY 35426,A000000,01800,0000,01800NURSING FACILITY 35426,A000000,01810,0000,01810ICF/MR 35426,A000000,02100,0000,02100RADIOLOGY 35426,A000000,02200,0000,02200LABORATORY 35426,A000000,02300,0000,02300INTRAVENOUS THERAPY 35426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35426,A000000,02500,0000,02500PHYSICAL THERAPY 35426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35426,A000000,02700,0000,02700SPEECH PATHOLOGY 35426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35426,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35426,A000000,03051,0000,03301PEN THERAPY 35426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35426,A000000,03550,0000,03550FQHC 35426,A000000,04800,0000,04800AMBULANCE 35426,A000000,05000,0000,05000CORF 35426,A000000,05010,0000,05010CMHC 35426,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35426,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35426,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35426,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35426,A81000A,00100,0100,Y 35426,A81000B,00100,0300,HOME OFFICE INTEREST 35426,A81000B,00200,0300,HOME OFFICE COST 35426,A81000B,00300,0300,NURSING SUPPLIES 35426,A81000B,00400,0300,COST OF SUPPLIES SOLD 35426,A81000B,00500,0300,COST OF GOODS SOLD 35426,A81000B,00600,0300,PT 35426,A81000B,00700,0300,OT 35426,A81000B,00800,0300,ST 35426,A81000C,00100,0100,G 35426,A81000C,00100,0200,MH METROWEST 35426,A81000C,00100,0400,MARINER PAN 35426,A81000C,00100,0600,NURSING HOMES 35426,A81000C,00200,0100,B 35426,A81000C,00200,0200,MARINER POST-AC 35426,A81000C,00200,0400,AMERICAN PHARMA 35426,A81000C,00200,0600,PHARMACEUTICALS 35426,A81000C,00300,0100,B 35426,A81000C,00300,0200,MARINER POST-AC 35426,A81000C,00300,0400,PRISM (ATS ARS 35426,A81000C,00300,0600,THERAPIES 35426,B100000,00000,0100,00000SQUARE FEET 35426,B100000,00000,0200,00000SQUARE FEET 35426,B100000,00000,0300,00000GROSS SALARIES 35426,B100000,00000,0400,00000ACCUM COST 35426,B100000,00000,0500,00000SQUARE FEET 35426,B100000,00000,0600,00000PATIENT DAYS 35426,B100000,00000,0700,00000SQUARE FEET 35426,B100000,00000,0800,00000MEALS SERVED 35426,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35426,B100000,00000,1000,00000COSTED REQUISITIO 35426,B100000,00000,1100,00000COSTED REQUISITIO 35426,B100000,00000,1200,00000PATIENT DAYS 35426,B100000,00000,1300,00000PATIENT DAYS 35426,B100000,00000,1301,00000PATIENT DAYS 35426,B100000,00000,1350,00000UNITS OF SERVICE 35426,B100000,00000,1400,00000ASSIGNED TIME 35426,S000000,00100,0200,03/06/2000 35426,S200000,00100,0100,5900 WESTGATE DRIVE 35426,S200000,00200,0100,ORLANDO 35426,S200000,00200,0200,FL 35426,S200000,00200,0300,32825 35426,S200000,00300,0100,ORANGE 35426,S200000,00400,0100,MARINER HEALTH OF METRO WEST 35426,S200000,00400,0200,105868 35426,S200000,00400,0300,10/21/1994 35426,S200000,00400,0500,P 35426,S200000,01600,0100,Y 35426,S200000,01900,0100,VOLUNTARY 35432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35432,A000000,00300,0000,00300EMPLOYEE BENEFITS 35432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35432,A000000,00700,0000,00700HOUSEKEEPING 35432,A000000,00800,0000,00800DIETARY 35432,A000000,00900,0000,00900NURSING ADMINISTRATION 35432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35432,A000000,01100,0000,01100PHARMACY 35432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35432,A000000,01300,0000,01300SOCIAL SERVICE 35432,A000000,01301,0000,01301ACTIVITIES 35432,A000000,01350,0000,01500REHAB 35432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35432,A000000,01600,0000,01600SKILLED NURSING FACILITY 35432,A000000,01800,0000,01800NURSING FACILITY 35432,A000000,01810,0000,01810ICF/MR 35432,A000000,02100,0000,02100RADIOLOGY 35432,A000000,02200,0000,02200LABORATORY 35432,A000000,02300,0000,02300INTRAVENOUS THERAPY 35432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35432,A000000,02500,0000,02500PHYSICAL THERAPY 35432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35432,A000000,02700,0000,02700SPEECH PATHOLOGY 35432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35432,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35432,A000000,03051,0000,03301PEN THERAPY 35432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35432,A000000,03550,0000,03550FQHC 35432,A000000,04800,0000,04800AMBULANCE 35432,A000000,05000,0000,05000CORF 35432,A000000,05010,0000,05010CMHC 35432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35432,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35432,A81000A,00100,0100,Y 35432,A81000B,00100,0300,COST OF SUPPLIES 35432,A81000B,00200,0300,PLANT 35432,A81000B,00300,0300,DIETARY 35432,A81000B,00400,0300,REHAB 35432,A81000B,00500,0300,PT 35432,A81000B,00600,0300,OT 35432,A81000B,00700,0300,ST 35432,A81000B,00800,0300,BLDG CAPITAL 35432,A81000B,00900,0300,ADMIN & GENERAL 35432,A81000C,00100,0100,B 35432,A81000C,00100,0200,MH OF ATLANTIC 35432,A81000C,00100,0400,MARINER POST-AC 35432,A81000C,00100,0600,NURSING HOMES 35432,A81000C,00200,0100,G 35432,A81000C,00200,0200,MARINER POST-AC 35432,A81000C,00200,0400,AMERICAN PHARMA 35432,A81000C,00200,0600,PHARMACEUTICALS 35432,A81000C,00300,0100,G 35432,A81000C,00300,0200,MARINER POST-AC 35432,A81000C,00300,0400,PRISM (ATS ARS 35432,A81000C,00300,0600,THERAPIES 35432,B100000,00000,0100,00000SQUARE FEET 35432,B100000,00000,0200,00000SQUARE FEET 35432,B100000,00000,0300,00000GROSS SALARIES 35432,B100000,00000,0400,00000ACCUM COST 35432,B100000,00000,0500,00000SQUARE FEET 35432,B100000,00000,0600,00000PATIENT DAYS 35432,B100000,00000,0700,00000SQUARE FEET 35432,B100000,00000,0800,00000MEALS SERVED 35432,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35432,B100000,00000,1000,00000COSTED REQUISITIO 35432,B100000,00000,1100,00000COSTED REQUIS 35432,B100000,00000,1200,00000PATIENT DAYS 35432,B100000,00000,1300,00000PATIENT DAYS 35432,B100000,00000,1301,00000PT DAYS 35432,B100000,00000,1350,00000UNITS OF SERVICE 35432,B100000,00000,1400,00000ASSIGNED TIME 35432,S000000,00100,0200,04/03/2000 35432,S200000,00100,0100,4251 STACK BLVD. 35432,S200000,00200,0100,MELBOURNE 35432,S200000,00200,0200,FLORIDA 35432,S200000,00200,0300,32901 35432,S200000,00300,0100,BREVARD 35432,S200000,00400,0100,MH OF ATLANTIC SHORES 35432,S200000,00400,0200,105904 35432,S200000,00400,0300,01/31/1996 35432,S200000,00400,0500,P 35432,S200000,01600,0100,Y 35432,S200000,01900,0100,VOLUNTARY 35436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35436,A000000,00300,0000,00300EMPLOYEE BENEFITS 35436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35436,A000000,00700,0000,00700HOUSEKEEPING 35436,A000000,00800,0000,00800DIETARY 35436,A000000,00900,0000,00900NURSING ADMINISTRATION 35436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35436,A000000,01100,0000,01100PHARMACY 35436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35436,A000000,01300,0000,01300SOCIAL SERVICE 35436,A000000,01301,0000,01301ACTIVITES 35436,A000000,01350,0000,01500REHABILITATION 35436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35436,A000000,01600,0000,01600SKILLED NURSING FACILITY 35436,A000000,01800,0000,01800NURSING FACILITY 35436,A000000,01810,0000,01810ICF/MR 35436,A000000,02100,0000,02100RADIOLOGY 35436,A000000,02200,0000,02200LABORATORY 35436,A000000,02300,0000,02300INTRAVENOUS THERAPY 35436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35436,A000000,02500,0000,02500PHYSICAL THERAPY 35436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35436,A000000,02700,0000,02700SPEECH PATHOLOGY 35436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35436,A000000,03050,0000,03300EQUIPMENT RENTAL 35436,A000000,03051,0000,03301PEN THERAPY 35436,A000000,03550,0000,03550FQHC 35436,A000000,05000,0000,05000CORF 35436,A000000,05010,0000,05010CMHC 35436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35436,A000000,06150,0000,06300VENDING 35436,A000000,06151,0000,06301STAND-BY 35436,A81000A,00100,0100,Y 35436,A81000B,00100,0300,HOME OFFICE COST 35436,A81000B,00200,0300,DIETARY SUPPLEMENTS 35436,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35436,A81000B,00400,0300,PRESCRIPTION DRUGS 35436,A81000B,00500,0300,MEDICAL SUPPLIES 35436,A81000B,00600,0300,ADMIN COSTS 35436,A81000B,00700,0300,HOME OFFICE CAPITAL 35436,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35436,A81000B,00900,0300,IV THERAPY 35436,A81000B,01000,0300,THERAPY CONSULTING 35436,A81000B,01100,0300,PHYSICAL THERAPY 35436,A81000B,01200,0300,OCCUPATIONAL THERAPY 35436,A81000B,01300,0300,SPEECH THERAPY 35436,A81000B,01400,0300,ANC EQUIP RENTAL 35436,A81000B,01500,0300,PEN 35436,A81000C,00100,0100,B 35436,A81000C,00100,0200,NE ATLANTA PS# 35436,A81000C,00100,0400,MARINER PAN 35436,A81000C,00100,0600,NURSING HOMES 35436,A81000C,00200,0100,G 35436,A81000C,00200,0200,MARINER PAN 35436,A81000C,00200,0400,AMER PHARM SVCS 35436,A81000C,00200,0600,PHARMACEUTICALS 35436,A81000C,00300,0100,G 35436,A81000C,00300,0200,MARINER PAN 35436,A81000C,00300,0400,PRISM-ATS-ARS-T 35436,A81000C,00300,0600,THERAPIES 35436,B100000,00000,0100,00001SQUARE FEET 35436,B100000,00000,0200,00001SQUARE FEET 35436,B100000,00000,0300,00001GROSS SALARIES 35436,B100000,00000,0400,00001ACCUM COST 35436,B100000,00000,0500,00001SQUARE FEET 35436,B100000,00000,0600,00001PATIENT DAYS 35436,B100000,00000,0700,00001SQUARE FEET 35436,B100000,00000,0800,00001MEALS SERVED 35436,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35436,B100000,00000,1000,00001COSTED REQUISITIO 35436,B100000,00000,1100,00001COSTED REQUIS 35436,B100000,00000,1200,00001PATIENT DAYS 35436,B100000,00000,1300,00001PATIENT DAYS 35436,B100000,00000,1301,00001PATIENT DAYS 35436,B100000,00000,1350,00001UNITS OF SERVICE 35436,B100000,00000,1400,00001ASSIGNED TIME 35436,S000000,00100,0200,06/02/2000 35436,S200000,00100,0100,1500 SOUTH JOHNSON FERRY RD. 35436,S200000,00200,0100,ATLANTA 35436,S200000,00200,0200,GA 35436,S200000,00200,0300,30319 35436,S200000,00300,0100,DEKAIB 35436,S200000,00400,0100,MARINER HEALTH OF NORTHEAST ATLANTA 35436,S200000,00400,0200,115504 35436,S200000,00400,0300,01/01/1996 35436,S200000,00400,0500,P 35436,S200000,01600,0100,Y 35436,S200000,02200,0100,Y 35438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35438,A000000,00300,0000,00300EMPLOYEE BENEFITS 35438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35438,A000000,00700,0000,00700HOUSEKEEPING 35438,A000000,00800,0000,00800DIETARY 35438,A000000,00900,0000,00900NURSING ADMINISTRATION 35438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35438,A000000,01100,0000,01100PHARMACY 35438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35438,A000000,01300,0000,01300SOCIAL SERVICE 35438,A000000,01301,0000,01301ACTIVITES 35438,A000000,01350,0000,01500REHABILITATION 35438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35438,A000000,01600,0000,01600SKILLED NURSING FACILITY 35438,A000000,01800,0000,01800NURSING FACILITY 35438,A000000,01810,0000,01810ICF/MR 35438,A000000,02100,0000,02100RADIOLOGY 35438,A000000,02200,0000,02200LABORATORY 35438,A000000,02300,0000,02300INTRAVENOUS THERAPY 35438,A000000,02500,0000,02500PHYSICAL THERAPY 35438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35438,A000000,02700,0000,02700SPEECH PATHOLOGY 35438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35438,A000000,03050,0000,03300EQUIPMENT RENTAL 35438,A000000,03051,0000,03301PEN THERAPY 35438,A000000,03550,0000,03550FQHC 35438,A000000,04800,0000,04800AMBULANCE 35438,A000000,05000,0000,05000CORF 35438,A000000,05010,0000,05010CMHC 35438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35438,A000000,05300,0000,05300INTEREST EXPENSE 35438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35438,A000000,06150,0000,06300VENDING 35438,A000000,06151,0000,06301STAND-BY 35438,A81000A,00100,0100,Y 35438,A81000B,00100,0300,HOME OFFICE ADMIN 35438,A81000B,00200,0300,DIETARY SUPPLEMENTS 35438,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35438,A81000B,00400,0300,PRESCRIPTION DRUGS 35438,A81000B,00500,0300,MEDICAL SUPPLIES 35438,A81000B,00600,0300,ADMIN COSTS 35438,A81000B,00700,0300,HOME OFFICE CAPITAL 35438,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35438,A81000B,00900,0300,IV THERAPY 35438,A81000B,01000,0300,THERAPY CONSULTING 35438,A81000B,01100,0300,PHYSICAL THERAPY 35438,A81000B,01200,0300,OCCUPATIONAL THERAPY 35438,A81000B,01300,0300,SPEECH THERAPY 35438,A81000B,01400,0300,ANC EQUIP RENTAL 35438,A81000C,00100,0100,B 35438,A81000C,00100,0200,WESTCHESTER PS# 35438,A81000C,00100,0400,MARINER PAN 35438,A81000C,00100,0600,NURSING HOMES 35438,A81000C,00200,0100,G 35438,A81000C,00200,0200,MARINER PAN 35438,A81000C,00200,0400,AMER PHARM SVCS 35438,A81000C,00200,0600,PHARMACEUTICALS 35438,A81000C,00300,0100,G 35438,A81000C,00300,0200,MARINER PAN 35438,A81000C,00300,0400,PRISM-ATS-ARS-T 35438,A81000C,00300,0600,THERAPIES 35438,B100000,00000,0100,00001SQUARE FEET 35438,B100000,00000,0200,00001SQUARE FEET 35438,B100000,00000,0300,00001GROSS SALARIES 35438,B100000,00000,0400,00001ACCUM COST 35438,B100000,00000,0500,00001SQUARE FEET 35438,B100000,00000,0600,00001PATIENT DAYS 35438,B100000,00000,0700,00001SQUARE FEET 35438,B100000,00000,0800,00001MEALS SERVED 35438,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35438,B100000,00000,1000,00001PATIENT DAYS 35438,B100000,00000,1100,00001COSTED REQUIS 35438,B100000,00000,1200,00001PATIENT DAYS 35438,B100000,00000,1300,00001PATIENT DAYS 35438,B100000,00000,1301,00001PATIENT DAYS 35438,B100000,00000,1350,00001UNITS OF SERVICE 35438,B100000,00000,1400,00001ASSIGNED TIME 35438,S000000,00100,0200,06/02/2000 35438,S200000,00100,0100,2901 S. WOLF ROAD 35438,S200000,00200,0100,WESTCHESTER 35438,S200000,00200,0200,IL 35438,S200000,00200,0300,60154 35438,S200000,00300,0100,COOK 35438,S200000,00400,0100,MARINER HEALTH OF WESTCHESTER 35438,S200000,00400,0200,145660 35438,S200000,00400,0300,11/24/1989 35438,S200000,00400,0500,P 35438,S200000,01600,0100,Y 35438,S200000,02200,0100,Y 35440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35440,A000000,00300,0000,00300EMPLOYEE BENEFITS 35440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35440,A000000,00700,0000,00700HOUSEKEEPING 35440,A000000,00800,0000,00800DIETARY 35440,A000000,00900,0000,00900NURSING ADMINISTRATION 35440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35440,A000000,01100,0000,01100PHARMACY 35440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35440,A000000,01300,0000,01300SOCIAL SERVICE 35440,A000000,01301,0000,01301ACTIVITIES 35440,A000000,01350,0000,01500REHAB 35440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35440,A000000,01600,0000,01600SKILLED NURSING FACILITY 35440,A000000,01800,0000,01800NURSING FACILITY 35440,A000000,01810,0000,01810ICF/MR 35440,A000000,02100,0000,02100RADIOLOGY 35440,A000000,02200,0000,02200LABORATORY 35440,A000000,02300,0000,02300INTRAVENOUS THERAPY 35440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35440,A000000,02500,0000,02500PHYSICAL THERAPY 35440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35440,A000000,02700,0000,02700SPEECH PATHOLOGY 35440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35440,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35440,A000000,03051,0000,03301PEN THERAPY 35440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35440,A000000,03550,0000,03550FQHC 35440,A000000,05000,0000,05000CORF 35440,A000000,05010,0000,05010CMHC 35440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35440,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35440,A81000A,00100,0100,Y 35440,A81000B,00100,0300,HOME OFFICE 35440,A81000B,00200,0300,NON CERT 35440,A81000B,00300,0300,DRUGS 35440,A81000B,00400,0300,IV 35440,A81000B,00500,0300,PT 35440,A81000B,00600,0300,OT 35440,A81000B,00700,0300,ST 35440,A81000C,00100,0100,B 35440,A81000C,00100,0200,M/H SILVER SPRI 35440,A81000C,00100,0400,MARINER POST AC 35440,A81000C,00100,0600,NURSING HOMES 35440,A81000C,00200,0100,G 35440,A81000C,00200,0200,MARINER POST AC 35440,A81000C,00200,0400,AMERICAN PHARMA 35440,A81000C,00200,0600,PHARMACEUTICALS 35440,A81000C,00300,0100,G 35440,A81000C,00300,0200,MARINER POST AC 35440,A81000C,00300,0400,PRISM (ATS ARS 35440,A81000C,00300,0600,THERAPIES 35440,B100000,00000,0100,00000SQUARE FEET 35440,B100000,00000,0200,00000SQUARE FEET 35440,B100000,00000,0300,00000GROSS SALARIES 35440,B100000,00000,0400,00000ACCUM COST 35440,B100000,00000,0500,00000SQUARE FEET 35440,B100000,00000,0600,00000POUNDS OF LAUNDRY 35440,B100000,00000,0700,00000HOURS OF SERVICE 35440,B100000,00000,0800,00000MEALS SERVED 35440,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35440,B100000,00000,1000,00000COSTED REQUISITIO 35440,B100000,00000,1100,00000COSTED REQUISITIO 35440,B100000,00000,1200,00000PT DAYS PT DAYS 35440,B100000,00000,1300,00000PT DAYS PT DAYS 35440,B100000,00000,1301,00000PT DAYS PT DAYS 35440,B100000,00000,1350,00000UNITS OF S UNITS OF S 35440,B100000,00000,1400,00000ASSIGNED TIME 35440,S000000,00100,0200,03/06/2000 35440,S200000,00100,0100,901 ARCOLA 35440,S200000,00200,0100,SILVER SPRINGS 35440,S200000,00200,0200,MD 35440,S200000,00200,0300,20902 35440,S200000,00300,0100,MONTGOMERY 35440,S200000,00400,0100,MARINER HEALTH OF SILVER SPRING 35440,S200000,00400,0200,215014 35440,S200000,00400,0300,02/01/1990 35440,S200000,00400,0500,P 35440,S200000,01600,0100,Y 35442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35442,A000000,00300,0000,00300EMPLOYEE BENEFITS 35442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35442,A000000,00700,0000,00700HOUSEKEEPING 35442,A000000,00800,0000,00800DIETARY 35442,A000000,00900,0000,00900NURSING ADMINISTRATION 35442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35442,A000000,01001,0000,01001CS & S HOUSESTOCK 35442,A000000,01100,0000,01100PHARMACY 35442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35442,A000000,01300,0000,01300SOCIAL SERVICE 35442,A000000,01350,0000,01500ADMISSIONS 35442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35442,A000000,01600,0000,01600SKILLED NURSING FACILITY 35442,A000000,01800,0000,01800NURSING FACILITY 35442,A000000,02100,0000,02100RADIOLOGY 35442,A000000,02200,0000,02200LABORATORY 35442,A000000,02300,0000,02300INTRAVENOUS THERAPY 35442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35442,A000000,02500,0000,02500PHYSICAL THERAPY 35442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35442,A000000,02700,0000,02700SPEECH PATHOLOGY 35442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35442,A000000,03050,0000,03300AIR FLUIDIZED BEDS 35442,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 35442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35442,A000000,03550,0000,03550FQHC 35442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35442,A000000,04800,0000,04800AMBULANCE 35442,A000000,05000,0000,05000CORF 35442,A000000,05010,0000,05010CMHC 35442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35442,A81000A,00100,0100,Y 35442,A81000B,00100,0300,HOME OFFICE CAPITAL 35442,A81000B,00200,0300,HOME OFFICE A & G 35442,A81000B,00300,0300,HOME OFFICE DEBT ALLOCATION 35442,A81000C,00100,0100,B 35442,A81000C,00100,0200,MARINER P-A NETWORK INC. 35442,A81000C,00100,0600,HOME OFFICE 35442,A81000C,00200,0100,B 35442,A81000C,00200,0200,MARINER P-A NETWORK INC. 35442,A81000C,00200,0600,HOME OFFICE 35442,A81000C,00300,0100,B 35442,A81000C,00300,0200,MARINER P-A NETWORK INC. 35442,A81000C,00300,0600,HOME OFFICE 35442,B100000,00000,0100,00000SQUARE FEET 35442,B100000,00000,0200,00000NO STATISTICS 35442,B100000,00000,0300,00000GROSS SALARIES 35442,B100000,00000,0400,00000ACCUM. COST 35442,B100000,00000,0500,00000SQUARE FEET 35442,B100000,00000,0600,00000PATIENT DAYS 35442,B100000,00000,0700,00000MODIFIED SQ. FT. 35442,B100000,00000,0800,00000PATIENT DAYS 35442,B100000,00000,0900,00000NURSING SALARIES 35442,B100000,00000,1000,00000NO STATISTICS 35442,B100000,00000,1001,00000COSTED REQUIS. 35442,B100000,00000,1100,00000NO STATISTICS 35442,B100000,00000,1200,00000GROSS REVENUE 35442,B100000,00000,1300,00000PATIENT DAYS 35442,B100000,00000,1350,00000NUMBER OF ADMISSIONS 35442,B100000,00000,1400,00000NO STATISTICS 35442,S000000,00100,0200,09/29/1999 35442,S200000,00100,0100,98 SMITHWOOD AVENUE 35442,S200000,00200,0100,BALTIMORE 35442,S200000,00200,0200,MD 35442,S200000,00200,0300,21228 35442,S200000,00300,0100,BALTIMORE 35442,S200000,00400,0100,MARINER HEALTH OF CATONSVILLE 35442,S200000,00400,0200,215018 35442,S200000,00400,0300,01/01/1967 35442,S200000,00400,0500,P 35442,S200000,01600,0100,Y 35443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35443,A000000,00300,0000,00300EMPLOYEE BENEFITS 35443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35443,A000000,00700,0000,00700HOUSEKEEPING 35443,A000000,00800,0000,00800DIETARY 35443,A000000,00900,0000,00900NURSING ADMINISTRATION 35443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35443,A000000,01100,0000,01100PHARMACY 35443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35443,A000000,01300,0000,01300SOCIAL SERVICE 35443,A000000,01301,0000,01301ACTIVITIES 35443,A000000,01350,0000,01500REHAB 35443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35443,A000000,01600,0000,01600SKILLED NURSING FACILITY 35443,A000000,01800,0000,01800NURSING FACILITY 35443,A000000,01810,0000,01810ICF/MR 35443,A000000,02100,0000,02100RADIOLOGY 35443,A000000,02200,0000,02200LABORATORY 35443,A000000,02300,0000,02300INTRAVENOUS THERAPY 35443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35443,A000000,02500,0000,02500PHYSICAL THERAPY 35443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35443,A000000,02700,0000,02700SPEECH PATHOLOGY 35443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35443,A000000,03051,0000,03301PEN THERAPY 35443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35443,A000000,03550,0000,03550FQHC 35443,A000000,05000,0000,05000CORF 35443,A000000,05010,0000,05010CMHC 35443,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35443,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35443,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35443,A000000,05300,0000,05300INTEREST EXPENSE 35443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35443,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35443,A81000A,00100,0100,Y 35443,A81000B,00100,0300,HOME OFFICE COST 35443,A81000B,00200,0300,NON CERT 35443,A81000B,00300,0300,MEDICAL SUPPLIES 35443,A81000B,00400,0300,ADMIN 35443,A81000B,00500,0300,DRUGS 35443,A81000B,00600,0300,NRSG ADMIN 35443,A81000B,00700,0300,IV 35443,A81000B,00800,0300,PT 35443,A81000B,00900,0300,OT 35443,A81000B,01000,0300,ST 35443,A81000C,00100,0100,B 35443,A81000C,00100,0200,KENSINGTON 1550 35443,A81000C,00100,0400,MARINER POST AC 35443,A81000C,00100,0600,NURSING HOMES 35443,A81000C,00200,0100,G 35443,A81000C,00200,0200,MARINER POST AC 35443,A81000C,00200,0400,AMERICAN PHARMA 35443,A81000C,00200,0600,PHARMACEUTICALS 35443,A81000C,00300,0100,G 35443,A81000C,00300,0200,MARINER POST AC 35443,A81000C,00300,0400,PRISM (ATS ARS 35443,A81000C,00300,0600,THERAPIES 35443,B100000,00000,0100,00000SQUARE FEET 35443,B100000,00000,0200,00000SQUARE FEET 35443,B100000,00000,0300,00000GROSS SALARIES 35443,B100000,00000,0400,00000ACCUM COST 35443,B100000,00000,0500,00000SQUARE FEET 35443,B100000,00000,0600,00000PT DAYS PT DAYS 35443,B100000,00000,0700,00000SQ. FT SQ. FT 35443,B100000,00000,0800,00000MEALS SERVED 35443,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35443,B100000,00000,1000,00000COSTED REQUIS 35443,B100000,00000,1100,00000COSTED REQUIS 35443,B100000,00000,1200,00000PT DAYS PT DAYS 35443,B100000,00000,1300,00000PT DAYS PT DAYS 35443,B100000,00000,1301,00000PT DAYS 35443,B100000,00000,1350,00000UNITS OF S 35443,B100000,00000,1400,00000ASSIGNED TIME 35443,S000000,00100,0200,03/06/2000 35443,S200000,00100,0100,3000 MCCOMAS AVENUE 35443,S200000,00200,0100,KENSINGTON 35443,S200000,00200,0200,MD 35443,S200000,00200,0300,20895 35443,S200000,00300,0100,MONTGOMERY 35443,S200000,00400,0100,MARINER HEALTH OF KENSINGTON 35443,S200000,00400,0200,215043 35443,S200000,00400,0300,07/01/1993 35443,S200000,00400,0500,P 35443,S200000,01600,0100,Y 35445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35445,A000000,00300,0000,00300EMPLOYEE BENEFITS 35445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35445,A000000,00700,0000,00700HOUSEKEEPING 35445,A000000,00800,0000,00800DIETARY 35445,A000000,00900,0000,00900NURSING ADMINISTRATION 35445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35445,A000000,01100,0000,01100PHARMACY 35445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35445,A000000,01300,0000,01300SOCIAL SERVICE 35445,A000000,01301,0000,01301ACTIVITIES 35445,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35445,A000000,01600,0000,01600SKILLED NURSING FACILITY 35445,A000000,01800,0000,01800NURSING FACILITY 35445,A000000,01810,0000,01810ICF/MR 35445,A000000,02100,0000,02100RADIOLOGY 35445,A000000,02200,0000,02200LABORATORY 35445,A000000,02300,0000,02300INTRAVENOUS THERAPY 35445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35445,A000000,02500,0000,02500PHYSICAL THERAPY 35445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35445,A000000,02700,0000,02700SPEECH PATHOLOGY 35445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35445,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35445,A000000,03051,0000,03301PEN THERAPY 35445,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35445,A000000,03550,0000,03550FQHC 35445,A000000,05000,0000,05000CORF 35445,A000000,05010,0000,05010CMHC 35445,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35445,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35445,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35445,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35445,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35445,A81000A,00100,0100,Y 35445,A81000B,00100,0300,HOME OFFICE INTEREST 35445,A81000B,00200,0300,HOME OFFICE COST 35445,A81000B,00300,0300,COGS-NURSING SUPPLIES 35445,A81000B,00400,0300,COST OF SUPPLIES SOLD 35445,A81000B,00500,0300,OFFICE SUPPLIES/OVERNIGHT DELI 35445,A81000B,00600,0300,RX OTC CONSULTING 35445,A81000B,00700,0300,NURSING ADMINISTRATION 35445,A81000B,00800,0300,IV THERPAY AND SUPPLIES 35445,A81000B,00900,0300,RT SUPPLIES 35445,A81000B,01000,0300,PT 35445,A81000B,01100,0300,OT 35445,A81000B,01200,0300,ST 35445,A81000C,00100,0100,B 35445,A81000C,00100,0200,MARINER HEALTH 35445,A81000C,00100,0400,MARINER POST-AC 35445,A81000C,00100,0600,NURSING HOMES 35445,A81000C,00200,0100,G 35445,A81000C,00200,0200,MARINER PAN 35445,A81000C,00200,0400,AMERICAN PHARMA 35445,A81000C,00200,0600,PHARMACEUTICALS 35445,A81000C,00300,0100,G 35445,A81000C,00300,0200,MARINER PAN 35445,A81000C,00300,0400,PRISM (ATS ARS 35445,A81000C,00300,0600,THERAPIES 35445,B100000,00000,0100,00000SQUARE FEET 35445,B100000,00000,0200,00000SQUARE FEET 35445,B100000,00000,0300,00000GROSS SALARIES 35445,B100000,00000,0400,00000ACCUM COST 35445,B100000,00000,0500,00000SQUARE FEET 35445,B100000,00000,0600,00000PATIENT DAYS 35445,B100000,00000,0700,00000SQUARE FEET 35445,B100000,00000,0800,00000MEALS SERVED 35445,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35445,B100000,00000,1000,00000COSTED REQUISITIO 35445,B100000,00000,1100,00000COSTED REQUISITIO 35445,B100000,00000,1200,00000PATIENT DAYS 35445,B100000,00000,1300,00000PATIENT DAYS 35445,B100000,00000,1301,00000PATIENT DAYS 35445,B100000,00000,1350,00000UNITS OF SERVICE 35445,B100000,00000,1400,00000ASSIGNED TIME 35445,S000000,00100,0200,03/06/2000 35445,S200000,00100,0100,14200 LAUREL PARK DRVIE 35445,S200000,00200,0100,LAUREL 35445,S200000,00200,0200,MD 35445,S200000,00200,0300,20707 35445,S200000,00300,0100,PRINCE GEORGES 35445,S200000,00400,0100,MARINER HEALTH OF GREATER LAUREL 35445,S200000,00400,0200,215141 35445,S200000,00400,0300,02/24/1987 35445,S200000,00400,0500,P 35445,S200000,01600,0100,Y 35445,S200000,01900,0100,VOLUNTARY 35448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35448,A000000,00300,0000,00300EMPLOYEE BENEFITS 35448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35448,A000000,00700,0000,00700HOUSEKEEPING 35448,A000000,00800,0000,00800DIETARY 35448,A000000,00900,0000,00900NURSING ADMINISTRATION 35448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35448,A000000,01100,0000,01100PHARMACY 35448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35448,A000000,01300,0000,01300SOCIAL SERVICE 35448,A000000,01301,0000,01301ACTIVITES 35448,A000000,01350,0000,01500REHABILITATION 35448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35448,A000000,01600,0000,01600SKILLED NURSING FACILITY 35448,A000000,01800,0000,01800NURSING FACILITY 35448,A000000,01810,0000,01810ICF/MR 35448,A000000,02100,0000,02100RADIOLOGY 35448,A000000,02200,0000,02200LABORATORY 35448,A000000,02300,0000,02300INTRAVENOUS THERAPY 35448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35448,A000000,02500,0000,02500PHYSICAL THERAPY 35448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35448,A000000,02700,0000,02700SPEECH PATHOLOGY 35448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35448,A000000,03050,0000,03300EQUIPMENT RENTAL 35448,A000000,03051,0000,03301PEN THERAPY 35448,A000000,03550,0000,03550FQHC 35448,A000000,05000,0000,05000CORF 35448,A000000,05010,0000,05010CMHC 35448,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35448,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35448,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35448,A000000,05300,0000,05300INTEREST EXPENSE 35448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35448,A000000,06150,0000,06300VENDING 35448,A000000,06151,0000,06301STAND-BY 35448,A81000A,00100,0100,Y 35448,A81000B,00100,0300,HOME OFFICE COST 35448,A81000B,00200,0300,DIETARY SUPPLEMENTS 35448,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 35448,A81000B,00400,0300,PRESCRIPTION DRUGS 35448,A81000B,00500,0300,MEDICAL SUPPLIES 35448,A81000B,00600,0300,ADMIN COSTS 35448,A81000B,00700,0300,HOME OFFICE INTEREST 35448,A81000B,00800,0300,EQUIPMENT REPLACEMENT 35448,A81000B,00900,0300,IV THERAPY 35448,A81000B,01000,0300,THERAPY CONSULTING 35448,A81000B,01100,0300,PHYSICAL THERAPY 35448,A81000B,01200,0300,OCCUPATIONAL THERAPY 35448,A81000B,01300,0300,SPEECH THERAPY 35448,A81000B,01400,0300,ANC EQUIP RENTAL 35448,A81000C,00100,0100,B 35448,A81000C,00100,0200,MH OF BETHESDA 35448,A81000C,00100,0400,MARINER PAN 35448,A81000C,00100,0600,NURSING HOMES 35448,A81000C,00200,0100,G 35448,A81000C,00200,0200,MARINER PAN 35448,A81000C,00200,0400,AMER PHARM SVCS 35448,A81000C,00200,0600,PHARMACEUTICALS 35448,A81000C,00300,0100,G 35448,A81000C,00300,0200,MARINER PAN 35448,A81000C,00300,0400,PRISM-ATS-ARS-T 35448,A81000C,00300,0600,THERAPIES 35448,B100000,00000,0100,00001SQUARE FEET 35448,B100000,00000,0200,00001SQUARE FEET 35448,B100000,00000,0300,00001GROSS SALARIES 35448,B100000,00000,0400,00001ACCUM COST 35448,B100000,00000,0500,00001SQUARE FEET 35448,B100000,00000,0600,00001PATIENT DAYS 35448,B100000,00000,0700,00001SQUARE FEET 35448,B100000,00000,0800,00001MEALS SERVED 35448,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35448,B100000,00000,1000,00001PATIENT DAYS 35448,B100000,00000,1100,00001COSTED REQUIS 35448,B100000,00000,1200,00001PATIENT DAYS 35448,B100000,00000,1300,00001PATIENT DAYS 35448,B100000,00000,1301,00001PATIENT DAYS 35448,B100000,00000,1350,00001UNITS OF SERVICE 35448,B100000,00000,1400,00001ASSIGNED TIME 35448,S000000,00100,0200,06/02/2000 35448,S200000,00100,0100,5721 GROSVENOR LANE 35448,S200000,00200,0100,BETHESDA 35448,S200000,00200,0200,MD 35448,S200000,00200,0300,20814 35448,S200000,00300,0100,MONTGOMERY 35448,S200000,00400,0100,MARINER HEALTH OF BETHESDA 35448,S200000,00400,0200,215187 35448,S200000,00400,0300,10/01/1995 35448,S200000,00400,0500,P 35448,S200000,01600,0100,Y 35448,S200000,02200,0100,Y 35450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35450,A000000,00300,0000,00300EMPLOYEE BENEFITS 35450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35450,A000000,00700,0000,00700HOUSEKEEPING 35450,A000000,00800,0000,00800DIETARY 35450,A000000,00900,0000,00900NURSING ADMINISTRATION 35450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35450,A000000,01100,0000,01100PHARMACY 35450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35450,A000000,01300,0000,01300SOCIAL SERVICE 35450,A000000,01301,0000,01301ACTIVITIES 35450,A000000,01350,0000,01500REHAB 35450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35450,A000000,01600,0000,01600SKILLED NURSING FACILITY 35450,A000000,01800,0000,01800NURSING FACILITY 35450,A000000,01810,0000,01810ICF/MR 35450,A000000,02100,0000,02100RADIOLOGY 35450,A000000,02200,0000,02200LABORATORY 35450,A000000,02300,0000,02300INTRAVENOUS THERAPY 35450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35450,A000000,02500,0000,02500PHYSICAL THERAPY 35450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35450,A000000,02700,0000,02700SPEECH PATHOLOGY 35450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35450,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35450,A000000,03051,0000,03301PEN THERAPY 35450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35450,A000000,03550,0000,03550FQHC 35450,A000000,04800,0000,04800AMBULANCE 35450,A000000,05000,0000,05000CORF 35450,A000000,05010,0000,05010CMHC 35450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35450,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35450,A81000A,00100,0100,Y 35450,A81000B,00100,0300,HOME OFFICE COST 35450,A81000B,00200,0300,NON CERT 35450,A81000B,00300,0300,IV THERAPY 35450,A81000B,00400,0300,CAPITAL 35450,A81000B,00500,0300,DRUGS 35450,A81000B,00600,0300,NRSG ADMIN 35450,A81000B,00700,0300,PT. 35450,A81000B,00800,0300,OT 35450,A81000B,00900,0300,ST 35450,A81000C,00100,0100,B 35450,A81000C,00100,0200,MH/FOREST HILL 35450,A81000C,00100,0400,MARINER POST AC 35450,A81000C,00100,0600,NURSING HOMES 35450,A81000C,00200,0100,G 35450,A81000C,00200,0200,MARINER POST AC 35450,A81000C,00200,0400,AMERICAN PHARMA 35450,A81000C,00200,0600,PHARMACEUTICALS 35450,A81000C,00300,0100,G 35450,A81000C,00300,0200,MARINER POST AC 35450,A81000C,00300,0400,PRISM (ATS ARS 35450,A81000C,00300,0600,THERAPIES 35450,B100000,00000,0100,00000SQUARE FEET 35450,B100000,00000,0200,00000SQUARE FEET 35450,B100000,00000,0300,00000GROSS SALARIES 35450,B100000,00000,0400,00000ACCUM COST 35450,B100000,00000,0500,00000SQUARE FEET 35450,B100000,00000,0600,00000PATIENT DAYS 35450,B100000,00000,0700,00000SQUARE FEET 35450,B100000,00000,0800,00000MEALS SERVED 35450,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35450,B100000,00000,1000,00000COSTED REQUISITIO 35450,B100000,00000,1100,00000COSTED REQUISITIO 35450,B100000,00000,1200,00000PATIENT DAYS 35450,B100000,00000,1300,00000PATIENT DAYS 35450,B100000,00000,1301,00000PT DAYS 35450,B100000,00000,1350,00000UNITS OF S FEET 35450,B100000,00000,1400,00000ASSIGNED TIME 35450,S000000,00100,0200,03/06/2000 35450,S200000,00100,0100,109 FOREST VALLEY DRIVE 35450,S200000,00200,0100,FOREST HILL 35450,S200000,00200,0200,MD 35450,S200000,00200,0300,21050 35450,S200000,00300,0100,HARFORD 35450,S200000,00400,0100,MARINER HEALTH OF FOREST HILL 35450,S200000,00400,0200,215194 35450,S200000,00400,0300,09/01/1997 35450,S200000,00400,0500,P 35450,S200000,01600,0100,Y 35452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35452,A000000,00300,0000,00300EMPLOYEE BENEFITS 35452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35452,A000000,00700,0000,00700HOUSEKEEPING 35452,A000000,00800,0000,00800DIETARY 35452,A000000,00900,0000,00900NURSING ADMINISTRATION 35452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35452,A000000,01100,0000,01100PHARMACY 35452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35452,A000000,01300,0000,01300SOCIAL SERVICE 35452,A000000,01301,0000,01301ACTIVITIES 35452,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35452,A000000,01600,0000,01600SKILLED NURSING FACILITY 35452,A000000,01800,0000,01800NURSING FACILITY 35452,A000000,01810,0000,01810ICF/MR 35452,A000000,02300,0000,02300INTRAVENOUS THERAPY 35452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35452,A000000,02500,0000,02500PHYSICAL THERAPY 35452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35452,A000000,02700,0000,02700SPEECH PATHOLOGY 35452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35452,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35452,A000000,03051,0000,03301PEN THERAPY 35452,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35452,A000000,03550,0000,03550FQHC 35452,A000000,04800,0000,04800AMBULANCE 35452,A000000,05000,0000,05000CORF 35452,A000000,05010,0000,05010CMHC 35452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35452,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35452,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35452,A81000A,00100,0100,Y 35452,A81000B,00100,0300,HOME OFFICE INTEREST 35452,A81000B,00200,0300,HOME OFFICE COST 35452,A81000B,00300,0300,NURSING SUPPLIES 35452,A81000B,00400,0300,PT 35452,A81000B,00500,0300,OT 35452,A81000B,00600,0300,ST 35452,A81000C,00100,0100,B 35452,A81000C,00100,0200,MARINER HEALTH 35452,A81000C,00100,0400,MARINER PAN 35452,A81000C,00100,0600,NURSING HOMES 35452,A81000C,00200,0100,G 35452,A81000C,00200,0200,MARINER POST-AC 35452,A81000C,00200,0400,AMERICAN PHARMA 35452,A81000C,00200,0600,PHARMACEUTICALS 35452,A81000C,00300,0100,G 35452,A81000C,00300,0200,MARINER POST-AC 35452,A81000C,00300,0400,PRISM (ATS ARS 35452,A81000C,00300,0600,THERAPIES 35452,B100000,00000,0100,00000SQUARE FEET 35452,B100000,00000,0200,00000SQUARE FEET 35452,B100000,00000,0300,00000GROSS SALARIES 35452,B100000,00000,0400,00000ACCUM COST 35452,B100000,00000,0500,00000SQUARE FEET 35452,B100000,00000,0600,00000PATIENT DAYS 35452,B100000,00000,0700,00000SQUARE FEET 35452,B100000,00000,0800,00000MEALS SERVED 35452,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35452,B100000,00000,1000,00000COSTED REQUISITIO 35452,B100000,00000,1100,00000COSTED REQUISITIO 35452,B100000,00000,1200,00000PATIENT DAYS 35452,B100000,00000,1300,00000PATIENT DAYS 35452,B100000,00000,1301,00000PATIENT DAYS 35452,B100000,00000,1350,00000UNITS OF SERVICE 35452,B100000,00000,1400,00000ASSIGNED TIME 35452,S000000,00100,0200,03/06/2000 35452,S200000,00100,0100,10231 CARROLL PLACE 35452,S200000,00200,0100,KENSINGTON 35452,S200000,00200,0200,MD 35452,S200000,00200,0300,20895 35452,S200000,00300,0100,MONTGOMERY 35452,S200000,00400,0100,MARINER HEALTH OF CIRCLE MANOR 35452,S200000,00400,0200,215205 35452,S200000,00400,0300,10/01/1968 35452,S200000,00400,0500,P 35452,S200000,01600,0100,Y 35452,S200000,01900,0100,VOLUNTARY 35454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35454,A000000,00300,0000,00300EMPLOYEE BENEFITS 35454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35454,A000000,00700,0000,00700HOUSEKEEPING 35454,A000000,00800,0000,00800DIETARY 35454,A000000,00900,0000,00900NURSING ADMINISTRATION 35454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35454,A000000,01100,0000,01100PHARMACY 35454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35454,A000000,01300,0000,01300SOCIAL SERVICE 35454,A000000,01301,0000,01301ACTIVITIES 35454,A000000,01350,0000,01500REHAB 35454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35454,A000000,01600,0000,01600SKILLED NURSING FACILITY 35454,A000000,01800,0000,01800NURSING FACILITY 35454,A000000,01810,0000,01810ICF/MR 35454,A000000,02100,0000,02100RADIOLOGY 35454,A000000,02200,0000,02200LABORATORY 35454,A000000,02300,0000,02300INTRAVENOUS THERAPY 35454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35454,A000000,02500,0000,02500PHYSICAL THERAPY 35454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35454,A000000,02700,0000,02700SPEECH PATHOLOGY 35454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35454,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35454,A000000,03051,0000,03301PEN THERAPY 35454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35454,A000000,03550,0000,03550FQHC 35454,A000000,04800,0000,04800AMBULANCE 35454,A000000,05000,0000,05000CORF 35454,A000000,05010,0000,05010CMHC 35454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35454,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35454,A81000A,00100,0100,Y 35454,A81000B,00100,0300,HOME OFFICE COST 35454,A81000B,00200,0300,NON CERT 35454,A81000B,00300,0300,MEDICAL SUPPLIES 35454,A81000B,00400,0300,ADMINISTRATIVE 35454,A81000B,00500,0300,DRUGS 35454,A81000B,00600,0300,NRSG ADMIN 35454,A81000B,00700,0300,PT 35454,A81000B,00800,0300,OT 35454,A81000B,00900,0300,ST 35454,A81000C,00100,0100,B 35454,A81000C,00100,0200,OVERLEA 15503 35454,A81000C,00100,0400,MARINER POST AC 35454,A81000C,00100,0600,NURSING HOMES 35454,A81000C,00200,0100,G 35454,A81000C,00200,0200,MARINER POST AC 35454,A81000C,00200,0400,AMERICAN PHARM 35454,A81000C,00200,0600,PHARMACEUTICALS 35454,A81000C,00300,0100,G 35454,A81000C,00300,0200,MARINER POST AC 35454,A81000C,00300,0400,PRISM (ATS ARS 35454,A81000C,00300,0600,THERAPIES 35454,B100000,00000,0100,00000SQUARE FEET 35454,B100000,00000,0200,00000SQUARE FEET 35454,B100000,00000,0300,00000GROSS SALARIES 35454,B100000,00000,0400,00000ACCUM COST 35454,B100000,00000,0500,00000SQUARE FEET 35454,B100000,00000,0600,00000PT DAYS PT DAYS 35454,B100000,00000,0700,00000SQ FT SQ.FT 35454,B100000,00000,0800,00000PT DAYS PT DAYS 35454,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35454,B100000,00000,1000,00000COSTED REQUISITIO 35454,B100000,00000,1100,00000COSTED REQUISITIO 35454,B100000,00000,1200,00000PT DAYS PT DAYS 35454,B100000,00000,1300,00000PT DAYS PT DAYS 35454,B100000,00000,1301,00000PT DAYS 35454,B100000,00000,1350,00000UNITS OF S UNITS OF S 35454,B100000,00000,1400,00000ASSIGNED TIME 35454,S000000,00100,0200,03/06/2000 35454,S200000,00100,0100,6116 BELAIR RD 35454,S200000,00200,0100,BALTIMORE 35454,S200000,00200,0200,MD 35454,S200000,00200,0300,21206 35454,S200000,00300,0100,BALTIMORE 35454,S200000,00400,0100,MARINER HEALTH OF OVERLEA 35454,S200000,00400,0200,215209 35454,S200000,00400,0300,11/01/1994 35454,S200000,00400,0500,P 35454,S200000,01600,0100,Y 35456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35456,A000000,00300,0000,00300EMPLOYEE BENEFITS 35456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35456,A000000,00700,0000,00700HOUSEKEEPING 35456,A000000,00800,0000,00800DIETARY 35456,A000000,00900,0000,00900NURSING ADMINISTRATION 35456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35456,A000000,01100,0000,01100PHARMACY 35456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35456,A000000,01300,0000,01300SOCIAL SERVICE 35456,A000000,01301,0000,01301ACTIVITIES 35456,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35456,A000000,01600,0000,01600SKILLED NURSING FACILITY 35456,A000000,01800,0000,01800NURSING FACILITY 35456,A000000,01810,0000,01810ICF/MR 35456,A000000,02100,0000,02100RADIOLOGY 35456,A000000,02200,0000,02200LABORATORY 35456,A000000,02300,0000,02300INTRAVENOUS THERAPY 35456,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35456,A000000,02500,0000,02500PHYSICAL THERAPY 35456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35456,A000000,02700,0000,02700SPEECH PATHOLOGY 35456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35456,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35456,A000000,03051,0000,03301PEN THERAPY 35456,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35456,A000000,03550,0000,03550FQHC 35456,A000000,05000,0000,05000CORF 35456,A000000,05010,0000,05010CMHC 35456,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35456,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35456,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35456,A81000A,00100,0100,Y 35456,A81000B,00100,0300,HOME OFFICE INTEREST 35456,A81000B,00200,0300,HOME OFFICE COST 35456,A81000B,00300,0300,COGS-UROLOGICAL 35456,A81000B,00400,0300,DIETARY SUPPLEMENTS 35456,A81000B,00500,0300,COGS-PEN 35456,A81000B,00600,0300,PT 35456,A81000B,00700,0300,OT 35456,A81000B,00800,0300,ST 35456,A81000C,00100,0100,B 35456,A81000C,00100,0200,MARINER HEALTH 35456,A81000C,00100,0400,MARINER PAN 35456,A81000C,00100,0600,NURSING HOMES 35456,A81000C,00200,0100,G 35456,A81000C,00200,0200,MARINER POST-AC 35456,A81000C,00200,0400,AMERICAN PHARMA 35456,A81000C,00200,0600,PHARMACEUTICALS 35456,A81000C,00300,0100,G 35456,A81000C,00300,0200,MARINER POST-AC 35456,A81000C,00300,0400,PRISM (ATS ARS 35456,A81000C,00300,0600,THERAPIES 35456,B100000,00000,0100,00000SQUARE FEET 35456,B100000,00000,0200,00000SQUARE FEET 35456,B100000,00000,0300,00000GROSS SALARIES 35456,B100000,00000,0400,00000ACCUM COST 35456,B100000,00000,0500,00000SQUARE FEET 35456,B100000,00000,0600,00000PATIENT DAYS 35456,B100000,00000,0700,00000SQUARE FEET 35456,B100000,00000,0800,00000MEALS SERVED 35456,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35456,B100000,00000,1000,00000COSTED REQUISITIO 35456,B100000,00000,1100,00000COSTED REQUISITIO 35456,B100000,00000,1200,00000PATIENT DAYS 35456,B100000,00000,1300,00000PATIENT DAYS 35456,B100000,00000,1301,00000PATIENT DAYS 35456,B100000,00000,1350,00000UNITS OF SERVICE 35456,B100000,00000,1400,00000ASSIGNED TIME 35456,S000000,00100,0200,03/02/2000 35456,S200000,00100,0100,9211 STUART LANE 35456,S200000,00200,0100,CLINTON 35456,S200000,00200,0200,MD 35456,S200000,00200,0300,20735 35456,S200000,00300,0100,PRINCE GEORGES 35456,S200000,00400,0100,MARINER HEALTH OF SOUTHERN MARYLAND 35456,S200000,00400,0200,215231 35456,S200000,00400,0300,07/01/1990 35456,S200000,00400,0500,P 35456,S200000,01600,0100,Y 35456,S200000,01900,0100,VOLUNTARY 35458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35458,A000000,00300,0000,00300EMPLOYEE BENEFITS 35458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35458,A000000,00700,0000,00700HOUSEKEEPING 35458,A000000,00800,0000,00800DIETARY 35458,A000000,00900,0000,00900NURSING ADMINISTRATION 35458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35458,A000000,01100,0000,01100PHARMACY 35458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35458,A000000,01300,0000,01300SOCIAL SERVICE 35458,A000000,01301,0000,01301ACTIVITIES 35458,A000000,01350,0000,01500REHAB 35458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35458,A000000,01600,0000,01600SKILLED NURSING FACILITY 35458,A000000,01800,0000,01800NURSING FACILITY 35458,A000000,01810,0000,01810ICF/MR 35458,A000000,02100,0000,02100RADIOLOGY 35458,A000000,02200,0000,02200LABORATORY 35458,A000000,02300,0000,02300INTRAVENOUS THERAPY 35458,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35458,A000000,02500,0000,02500PHYSICAL THERAPY 35458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35458,A000000,02700,0000,02700SPEECH PATHOLOGY 35458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35458,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35458,A000000,03051,0000,03301PEN THERAPY 35458,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35458,A000000,03550,0000,03550FQHC 35458,A000000,04800,0000,04800AMBULANCE 35458,A000000,05000,0000,05000CORF 35458,A000000,05010,0000,05010CMHC 35458,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35458,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35458,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35458,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35458,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35458,A81000A,00100,0100,Y 35458,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 35458,A81000B,00200,0300,PT 35458,A81000B,00300,0300,OT 35458,A81000B,00400,0300,ST 35458,A81000C,00100,0100,B 35458,A81000C,00100,0200,GLEN BURNIE 155 35458,A81000C,00100,0400,MARINER POST AC 35458,A81000C,00100,0600,NURSING HOMES 35458,A81000C,00200,0100,G 35458,A81000C,00200,0200,MARINER POST AC 35458,A81000C,00200,0400,AMERICAN PHARMA 35458,A81000C,00200,0600,PHARMACEUTICALS 35458,A81000C,00300,0100,G 35458,A81000C,00300,0200,MARINER POST AC 35458,A81000C,00300,0400,PRISM (ATS ARS 35458,A81000C,00300,0600,THERAPIES 35458,B100000,00000,0100,00000SQUARE FEET 35458,B100000,00000,0200,00000SQUARE FEET 35458,B100000,00000,0300,00000GROSS SALARIES 35458,B100000,00000,0400,00000ACCUM COST 35458,B100000,00000,0500,00000SQUARE FEET 35458,B100000,00000,0600,00000PT DAYS PT DAYS 35458,B100000,00000,0700,00000SQ. FT SQ. FT 35458,B100000,00000,0800,00000MEALS SERVED 35458,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35458,B100000,00000,1000,00000COSTED REQUISITIO 35458,B100000,00000,1100,00000COSTED REQUIS 35458,B100000,00000,1200,00000PT DAYS PT DAYS 35458,B100000,00000,1300,00000PT DAYS PT DAYS 35458,B100000,00000,1301,00000PT DAYS PT DAYS 35458,B100000,00000,1350,00000UNITS OF S UNITS OF S 35458,B100000,00000,1400,00000ASSIGNED TIME 35458,S000000,00100,0200,03/06/2000 35458,S200000,00100,0100,7355 FURNACE BRANCH RD 35458,S200000,00200,0100,GLEN BURNIE 35458,S200000,00200,0200,MD 35458,S200000,00200,0300,21060 35458,S200000,00300,0100,ANNE ARUNDEL 35458,S200000,00400,0100,MARINER HEALTH OF GLEN BURNIE 35458,S200000,00400,0200,215266 35458,S200000,00400,0300,07/01/1994 35458,S200000,00400,0500,P 35458,S200000,01600,0100,Y 35458,S200000,01900,0100,VOLUNTARY 35460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35460,A000000,00300,0000,00300EMPLOYEE BENEFITS 35460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35460,A000000,00700,0000,00700HOUSEKEEPING 35460,A000000,00800,0000,00800DIETARY 35460,A000000,00900,0000,00900NURSING ADMINISTRATION 35460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35460,A000000,01100,0000,01100PHARMACY 35460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35460,A000000,01300,0000,01300SOCIAL SERVICE 35460,A000000,01301,0000,01301ACTIVITIES 35460,A000000,01350,0000,01500REHAB 35460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35460,A000000,01600,0000,01600SKILLED NURSING FACILITY 35460,A000000,01800,0000,01800NURSING FACILITY 35460,A000000,01810,0000,01810ICF/MR 35460,A000000,02100,0000,02100RADIOLOGY 35460,A000000,02200,0000,02200LABORATORY 35460,A000000,02300,0000,02300INTRAVENOUS THERAPY 35460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35460,A000000,02500,0000,02500PHYSICAL THERAPY 35460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35460,A000000,02700,0000,02700SPEECH PATHOLOGY 35460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35460,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35460,A000000,03051,0000,03301PEN THERAPY 35460,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35460,A000000,03550,0000,03550FQHC 35460,A000000,04800,0000,04800AMBULANCE 35460,A000000,05000,0000,05000CORF 35460,A000000,05010,0000,05010CMHC 35460,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35460,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35460,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35460,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35460,A81000A,00100,0100,Y 35460,A81000B,00100,0300,HOME OFFICE COST 35460,A81000B,00200,0300,PT 35460,A81000B,00300,0300,OT 35460,A81000B,00400,0300,ST 35460,A81000C,00100,0100,B 35460,A81000C,00100,0200,MH/BELAIR 35460,A81000C,00100,0400,MARINER POST AC 35460,A81000C,00100,0600,NURSING HOMES 35460,A81000C,00200,0100,G 35460,A81000C,00200,0200,MARINER POST AC 35460,A81000C,00200,0400,AMERICAN PHARMA 35460,A81000C,00200,0600,PHARMACEUTICALS 35460,A81000C,00300,0100,G 35460,A81000C,00300,0200,MARINER POST AC 35460,A81000C,00300,0400,PRISM (ATS ARS 35460,A81000C,00300,0600,THERAPIES 35460,B100000,00000,0100,00000SQUARE FEET 35460,B100000,00000,0200,00000SQUARE FEET 35460,B100000,00000,0300,00000GROSS SALARIES 35460,B100000,00000,0400,00000ACCUM COST 35460,B100000,00000,0500,00000SQUARE FEET 35460,B100000,00000,0600,00000PT DAYS PT DAYS 35460,B100000,00000,0700,00000SQ FT SQ FT 35460,B100000,00000,0800,00000MEALS SERVED 35460,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35460,B100000,00000,1000,00000COSTED REQUISITIO 35460,B100000,00000,1100,00000COSTED REQUISITIO 35460,B100000,00000,1200,00000PT DAYS PT DAYS 35460,B100000,00000,1300,00000PT DAYS PT DAYS 35460,B100000,00000,1301,00000PT DAYS 35460,B100000,00000,1350,00000UNITS OF S UNITS OF S 35460,B100000,00000,1400,00000ASSIGNED TIME 35460,S000000,00100,0200,03/06/2000 35460,S200000,00100,0100,410 EAST MACPHAIL ROAD 35460,S200000,00200,0100,BEL AIR 35460,S200000,00200,0200,MD 35460,S200000,00200,0300,21014 35460,S200000,00300,0100,HARFORD 35460,S200000,00400,0100,MARINER HEALTH OF BEL AIR 35460,S200000,00400,0200,215312 35460,S200000,00400,0300,09/16/1997 35460,S200000,00400,0500,P 35460,S200000,01600,0100,Y 35462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35462,A000000,00300,0000,00300EMPLOYEE BENEFITS 35462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35462,A000000,00700,0000,00700HOUSEKEEPING 35462,A000000,00800,0000,00800DIETARY 35462,A000000,00900,0000,00900NURSING ADMINISTRATION 35462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35462,A000000,01100,0000,01100PHARMACY 35462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35462,A000000,01300,0000,01300SOCIAL SERVICE 35462,A000000,01301,0000,01301ACTIVITIES 35462,A000000,01350,0000,01500REHAB 35462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35462,A000000,01600,0000,01600SKILLED NURSING FACILITY 35462,A000000,01800,0000,01800NURSING FACILITY 35462,A000000,01810,0000,01810ICF/MR 35462,A000000,02100,0000,02100RADIOLOGY 35462,A000000,02200,0000,02200LABORATORY 35462,A000000,02300,0000,02300INTRAVENOUS THERAPY 35462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35462,A000000,02500,0000,02500PHYSICAL THERAPY 35462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35462,A000000,02700,0000,02700SPEECH PATHOLOGY 35462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35462,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35462,A000000,03051,0000,03301PEN THERAPY 35462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35462,A000000,03550,0000,03550FQHC 35462,A000000,05000,0000,05000CORF 35462,A000000,05010,0000,05010CMHC 35462,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35462,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35462,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35462,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35462,A000000,06151,0000,06301STAND/BY 35462,A81000A,00100,0100,Y 35462,A81000B,00100,0300,HOME OFFICE COST 35462,A81000B,00200,0300,MEDICAL SUPPLIES 35462,A81000B,00300,0300,PT 35462,A81000B,00400,0300,OT 35462,A81000B,00500,0300,ST 35462,A81000C,00100,0100,B 35462,A81000C,00100,0200,NORTH ARUNDEL 1 35462,A81000C,00100,0400,MARINER POST AC 35462,A81000C,00100,0600,NURSING HOMES 35462,A81000C,00200,0100,G 35462,A81000C,00200,0200,MARINER POST AC 35462,A81000C,00200,0400,AMERICAN PHARMA 35462,A81000C,00200,0600,PHARMACEUTICALS 35462,A81000C,00300,0100,G 35462,A81000C,00300,0200,MARINER POST AC 35462,A81000C,00300,0400,PRISM (ATS ARS 35462,A81000C,00300,0600,THERAPIES 35462,B100000,00000,0100,00001SQUARE FEET 35462,B100000,00000,0200,00001SQUARE FEET 35462,B100000,00000,0300,00001GROSS SALARIES 35462,B100000,00000,0400,00001ACCUM COST 35462,B100000,00000,0500,00001SQUARE FEET 35462,B100000,00000,0600,00001PT DAYS PT DAYS 35462,B100000,00000,0700,00001SQ. FT SQ. FT 35462,B100000,00000,0800,00001MEALS SERVED 35462,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35462,B100000,00000,1000,00001COSTED REQUISITIO 35462,B100000,00000,1100,00001COSTED REQUIS 35462,B100000,00000,1200,00001PT DAYS PT DAYS 35462,B100000,00000,1300,00001PT DAYS PT DAYS 35462,B100000,00000,1301,00001PT DAYS 35462,B100000,00000,1350,00001UNITS OF S UNITS OF S 35462,B100000,00000,1400,00001ASSIGNED TIME 35462,S000000,00100,0200,03/06/2000 35462,S200000,00100,0100,313 HOSPITAL DRIVE 35462,S200000,00200,0100,GLEN BURNIE 35462,S200000,00200,0200,MD 35462,S200000,00200,0300,21061 35462,S200000,00300,0100,ANNE ARUNDEL 35462,S200000,00400,0100,MARINER HEALTH OF NORTH ARUNDEL 35462,S200000,00400,0200,215316 35462,S200000,00400,0300,09/04/1997 35462,S200000,00400,0500,P 35462,S200000,01600,0100,Y 35467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35467,A000000,00300,0000,00300EMPLOYEE BENEFITS 35467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35467,A000000,00700,0000,00700HOUSEKEEPING 35467,A000000,00800,0000,00800DIETARY 35467,A000000,00900,0000,00900NURSING ADMINISTRATION 35467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35467,A000000,01100,0000,01100PHARMACY 35467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35467,A000000,01300,0000,01300SOCIAL SERVICE 35467,A000000,01301,0000,01301ACTIVITES 35467,A000000,01350,0000,01500REHABILITATION 35467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35467,A000000,01600,0000,01600SKILLED NURSING FACILITY 35467,A000000,01800,0000,01800NURSING FACILITY 35467,A000000,01810,0000,01810ICF/MR 35467,A000000,02100,0000,02100RADIOLOGY 35467,A000000,02200,0000,02200LABORATORY 35467,A000000,02300,0000,02300INTRAVENOUS THERAPY 35467,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35467,A000000,02500,0000,02500PHYSICAL THERAPY 35467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35467,A000000,02700,0000,02700SPEECH PATHOLOGY 35467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35467,A000000,03050,0000,03300EQUIPMENT RENTAL 35467,A000000,03051,0000,03301PEN THERAPY 35467,A000000,03550,0000,03550FQHC 35467,A000000,05000,0000,05000CORF 35467,A000000,05010,0000,05010CMHC 35467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35467,A000000,06150,0000,06300VENDING 35467,A000000,06151,0000,06301STAND-BY 35467,A81000A,00100,0100,Y 35467,A81000B,00100,0300,HOME OFFICE COST 35467,A81000B,00200,0300,NURSING ADMIN 35467,A81000B,00300,0300,ACTIVITIES 35467,A81000B,00400,0300,PRESCRIPTION DRUGS 35467,A81000B,00500,0300,MEDICAL SUPPLIES 35467,A81000B,00600,0300,ADMIN COSTS 35467,A81000B,00700,0300,HOME OFFICE INTEREST 35467,A81000B,00800,0300,CENTRAL SUPPLY 35467,A81000B,00900,0300,IV THERAPY 35467,A81000B,01000,0300,THERAPY CONSULTING 35467,A81000B,01100,0300,PHYSICAL THERAPY 35467,A81000B,01200,0300,OCCUPATIONAL THERAPY 35467,A81000B,01300,0300,SPEECH THERAPY 35467,A81000B,01400,0300,ANC EQUIP RENTAL 35467,A81000C,00100,0100,B 35467,A81000C,00100,0200,MH NORTH CENTRA 35467,A81000C,00100,0400,MARINER PAN 35467,A81000C,00100,0600,NURSING HOMES 35467,A81000C,00200,0100,G 35467,A81000C,00200,0200,MARINER PAN 35467,A81000C,00200,0400,AMER PHARM SVCS 35467,A81000C,00200,0600,PHARMACEUTICALS 35467,A81000C,00300,0100,G 35467,A81000C,00300,0200,MARINER PAN 35467,A81000C,00300,0400,PRISM-ATS-ARS-T 35467,A81000C,00300,0600,THERAPIES 35467,B100000,00000,0100,00001SQUARE FEET 35467,B100000,00000,0200,00001SQUARE FEET 35467,B100000,00000,0300,00001GROSS SALARIES 35467,B100000,00000,0400,00001ACCUM COST 35467,B100000,00000,0500,00001SQUARE FEET 35467,B100000,00000,0600,00001PATIENT DAYS 35467,B100000,00000,0700,00001SQUARE FEET 35467,B100000,00000,0800,00001MEALS SERVED 35467,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35467,B100000,00000,1000,00001PATIENT DAYS 35467,B100000,00000,1100,00001COSTED REQUIS 35467,B100000,00000,1200,00001PATIENT DAYS 35467,B100000,00000,1300,00001PATIENT DAYS 35467,B100000,00000,1301,00001PATIENT DAYS 35467,B100000,00000,1350,00001UNITS OF SERVICE 35467,B100000,00000,1400,00001ASSIGNED TIME 35467,S000000,00100,0200,06/02/2000 35467,S200000,00100,0100,360 ELECTRIC AVE. 35467,S200000,00200,0100,FICHBURG 35467,S200000,00200,0200,MA 35467,S200000,00200,0300,01420 35467,S200000,00300,0100,WORCESTER 35467,S200000,00400,0100,MH CARE OF NORTH CENTRAL MASS. 35467,S200000,00400,0200,225039 35467,S200000,00400,0300,05/01/1984 35467,S200000,00400,0500,P 35467,S200000,01600,0100,Y 35467,S200000,02200,0100,Y 35467,S200000,04300,0100,Y 35484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35484,A000000,00300,0000,00300EMPLOYEE BENEFITS 35484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35484,A000000,00700,0000,00700HOUSEKEEPING 35484,A000000,00800,0000,00800DIETARY 35484,A000000,00900,0000,00900NURSING ADMINISTRATION 35484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35484,A000000,01100,0000,01100PHARMACY 35484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35484,A000000,01300,0000,01300SOCIAL SERVICE 35484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35484,A000000,01600,0000,01600SKILLED NURSING FACILITY 35484,A000000,01800,0000,01800NURSING FACILITY 35484,A000000,01810,0000,01810ICF/MR 35484,A000000,02100,0000,02100RADIOLOGY 35484,A000000,02200,0000,02200LABORATORY 35484,A000000,02300,0000,02300INTRAVENOUS THERAPY 35484,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35484,A000000,02500,0000,02500PHYSICAL THERAPY 35484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35484,A000000,03550,0000,03550FQHC 35484,A000000,05000,0000,05000CORF 35484,A000000,05010,0000,05010CMHC 35484,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35484,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35484,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35484,A000000,05300,0000,05300INTEREST EXPENSE 35484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35484,B100000,00000,0100,00000SQUARE FEET 35484,B100000,00000,0200,00000SQUARE FEET 35484,B100000,00000,0300,00000GROSS SALARIES 35484,B100000,00000,0400,00000ACCUM COST 35484,B100000,00000,0500,00000SQUARE FEET 35484,B100000,00000,0600,00000PATIENT DAYS 35484,B100000,00000,0700,00000SQUARE FEET 35484,B100000,00000,0800,00000MEALS SERVED 35484,B100000,00000,0900,00000DIRECT NRSG HRS 35484,B100000,00000,1000,00000COSTED REQUIS 35484,B100000,00000,1100,00000COSTED REQUIS 35484,B100000,00000,1200,00000PATIENT DAYS 35484,B100000,00000,1300,00000PATIENT DAYS 35484,B100000,00000,1400,00000ASSIGNED TIME 35484,S000000,00100,0200,12/04/2000 35484,S200000,00100,0100,282 CABOT STREET 35484,S200000,00200,0100,HOLYOKE 35484,S200000,00200,0200,MA 35484,S200000,00200,0300,01040 35484,S200000,00300,0100,HAMPDEN 35484,S200000,00400,0100,BUCKLEY NURSING & REHAB-HOLYOK 35484,S200000,00400,0200,225232 35484,S200000,00400,0300,03/16/1997 35484,S200000,00400,0500,P 35484,S200000,00600,0200,225232 35484,S200000,00600,0300,03/16/1997 35484,S200000,00600,0600,P 35484,S200000,01600,0100,Y 35485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35485,A000000,00300,0000,00300EMPLOYEE BENEFITS 35485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35485,A000000,00700,0000,00700HOUSEKEEPING 35485,A000000,00800,0000,00800DIETARY 35485,A000000,00900,0000,00900NURSING ADMINISTRATION 35485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35485,A000000,01100,0000,01100PHARMACY 35485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35485,A000000,01300,0000,01300SOCIAL SERVICE 35485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35485,A000000,01600,0000,01600SKILLED NURSING FACILITY 35485,A000000,01800,0000,01800NURSING FACILITY 35485,A000000,01810,0000,01810ICF/MR 35485,A000000,02100,0000,02100RADIOLOGY 35485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35485,A000000,02500,0000,02500PHYSICAL THERAPY 35485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35485,A000000,02700,0000,02700SPEECH PATHOLOGY 35485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35485,A000000,03550,0000,03550FQHC 35485,A000000,05000,0000,05000CORF 35485,A000000,05010,0000,05010CMHC 35485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35485,A000000,05300,0000,05300INTEREST EXPENSE 35485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35485,B100000,00000,0100,00000(SQUARE FEET) 35485,B100000,00000,0200,00000(SQUARE FEET) 35485,B100000,00000,0300,00000(GROSS SALARIES) 35485,B100000,00000,0400,00000(ACCUM COST) 35485,B100000,00000,0500,00000(SQUARE FEET) 35485,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35485,B100000,00000,0700,00000(SQUARE FEET) 35485,B100000,00000,0800,00000(MEALS SERVED) 35485,B100000,00000,0900,00000NURSING HOURS 35485,B100000,00000,1000,00000(PATIENT DAYS) 35485,B100000,00000,1100,00000(COSTED REQUIS) 35485,B100000,00000,1200,00000(GROSS REV CHARGES) 35485,B100000,00000,1300,00000(TIME SPENT) 35485,B100000,00000,1400,00000ASSIGNED TIME 35485,S000000,00100,0200,05/31/2000 35485,S200000,00100,0100,282 CABOT STREET 35485,S200000,00200,0100,HOLYOKE 35485,S200000,00200,0200,MA 35485,S200000,00200,0300,01040 35485,S200000,00300,0100,HAMPDEN 35485,S200000,00400,0100,HOLYOKE NURSING AND REHAB 35485,S200000,00400,0200,225232 35485,S200000,00400,0300,08/12/1999 35485,S200000,00400,0500,P 35485,S200000,00600,0200,225232 35485,S200000,00600,0300,08/12/1999 35485,S200000,00600,0600,P 35485,S200000,01600,0100,Y 35485,S200000,01900,0100,NON PROFIT 501C 35496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35496,A000000,00300,0000,00300EMPLOYEE BENEFITS 35496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35496,A000000,00700,0000,00700HOUSEKEEPING 35496,A000000,00800,0000,00800DIETARY 35496,A000000,00900,0000,00900NURSING ADMINISTRATION 35496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35496,A000000,01100,0000,01100PHARMACY 35496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35496,A000000,01300,0000,01300SOCIAL SERVICE 35496,A000000,01350,0000,01500ACTIVITIES 35496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35496,A000000,01600,0000,01600SKILLED NURSING FACILITY 35496,A000000,01800,0000,01800NURSING FACILITY 35496,A000000,01810,0000,01810ICF/MR 35496,A000000,02100,0000,02100RADIOLOGY 35496,A000000,02500,0000,02500PHYSICAL THERAPY 35496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35496,A000000,02700,0000,02700SPEECH PATHOLOGY 35496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35496,A000000,03101,0000,03110CLINITRON BEDS 35496,A000000,03550,0000,03550FQHC 35496,A000000,05000,0000,05000CORF 35496,A000000,05010,0000,05010CMHC 35496,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35496,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35496,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35496,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35496,A000000,06200,0000,06200PATIENTS LAUNDRY 35496,A81000A,00100,0100,Y 35496,A81000B,00100,0300,RENT 35496,A81000B,00200,0300,RENT 35496,A81000B,00300,0300,RENT 35496,A81000B,00400,0300,WORKING CAPITAL INT 35496,A81000B,00500,0300,MANAGEMENT FEE 35496,A81000B,00600,0300,MANAGEMENT FEE 35496,A81000B,00700,0300,MANAGEMENT FEE 35496,A81000B,00800,0300,MGMT FEE NON CAPITAL 35496,A81000B,00900,0300,MANAGEMENT FEE BHS 35496,A81000B,01000,0300,MANAGEMENT FEE BHS 35496,A81000B,01100,0300,MANAGEMENT FEE BHS 35496,A81000C,00100,0100,A 35496,A81000C,00100,0200,ARTHUR IVEY 35496,A81000C,00100,0400,WILLOWOOD AT GB 35496,A81000C,00100,0600,RENTAL PROPERTY 35496,A81000C,00200,0100,A 35496,A81000C,00300,0100,A 35496,A81000C,00400,0100,B 35496,A81000C,00400,0200,G. SCHUSTER 35496,A81000C,00400,0400,WINGATE HEALTHC 35496,A81000C,00400,0600,HOME OFFICE 35496,A81000C,00500,0100,C 35496,A81000C,00500,0200,ARTHUR IVEY 35496,A81000C,00500,0400,THE WILLOWOOD G 35496,A81000C,00500,0600,HOME OFFICE 35496,A81000C,00600,0100,C 35496,A81000C,00700,0100,C 35496,A81000C,00800,0100,D 35496,A81000C,00800,0200,G. SCHUSTER 35496,A81000C,00800,0400,WINGATE HEALTHC 35496,A81000C,00800,0600,HOME OFFICE 35496,A81000C,00900,0100,E 35496,A81000C,00900,0200,BHS 35496,A81000C,00900,0400,BHS 35496,A81000C,00900,0600,MANAGEMENT 35496,A81000C,01000,0100,E 35496,B100000,00000,0100,00000SQUARE FEET 35496,B100000,00000,0200,00000SQUARE FEET 35496,B100000,00000,0300,00000GROSS SALARIES 35496,B100000,00000,0400,00000ACCUM COST 35496,B100000,00000,0500,00000SQUARE FEET 35496,B100000,00000,0600,00000POUNDS OF LAUNDRY 35496,B100000,00000,0700,00000SQUARE FEET 35496,B100000,00000,0800,00000PATIENT DAYS 35496,B100000,00000,0900,00000DIRECT NRSG HRS 35496,B100000,00000,1000,00000PATIENT DAYS 35496,B100000,00000,1100,00000PATIENT DAYS 35496,B100000,00000,1200,00000PATIENT DAYS 35496,B100000,00000,1300,00000PATIENT DAYS 35496,B100000,00000,1350,00000PATIENT DAYS 35496,B100000,00000,1400,00000ASSIGNED TIME 35496,S000000,00100,0200,05/31/2000 35496,S200000,00100,0100,CHRISTIAN HILL ROAD 35496,S200000,00200,0100,GREAT BARRINGTON 35496,S200000,00200,0200,MA 35496,S200000,00200,0300,01230 35496,S200000,00300,0100,BERKSHIRE 35496,S200000,00400,0100,WILLOWOOD OF GREAT BARRINGTON 35496,S200000,00400,0200,225250 35496,S200000,00400,0300,01/01/1967 35496,S200000,00400,0500,P 35496,S200000,01600,0100,Y 35496,S200000,01900,0100,CORPORATION 35496,S200000,02200,0100,Y 35504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35504,A000000,00300,0000,00300EMPLOYEE BENEFITS 35504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35504,A000000,00700,0000,00700HOUSEKEEPING 35504,A000000,00800,0000,00800DIETARY 35504,A000000,00900,0000,00900NURSING ADMINISTRATION 35504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35504,A000000,01100,0000,01100PHARMACY 35504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35504,A000000,01300,0000,01300SOCIAL SERVICE 35504,A000000,01350,0000,01500ACTIVITIES 35504,A000000,01351,0000,01501INDIRECT CONSULTANTS 35504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35504,A000000,01600,0000,01600SKILLED NURSING FACILITY 35504,A000000,01800,0000,01800NURSING FACILITY 35504,A000000,01810,0000,01810ICF/MR 35504,A000000,02100,0000,02100RADIOLOGY 35504,A000000,02200,0000,02200LABORATORY 35504,A000000,02300,0000,02300INTRAVENOUS THERAPY 35504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35504,A000000,02500,0000,02500PHYSICAL THERAPY 35504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35504,A000000,02700,0000,02700SPEECH PATHOLOGY 35504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35504,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35504,A000000,03051,0000,03301NEUTRITIONAL THERAPY 35504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35504,A000000,03550,0000,03550FQHC 35504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35504,A000000,05000,0000,05000CORF 35504,A000000,05010,0000,05010CMHC 35504,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35504,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35504,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35504,A000000,06150,0000,06300ADULT DAY HEALTH 35504,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 35504,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 35504,B100000,00000,0100,00002SQUARE FEET 35504,B100000,00000,0200,00002SQUARE FEET 35504,B100000,00000,0300,00002GROSS SALARIES 35504,B100000,00000,0400,00002ACCUM. COST 35504,B100000,00000,0500,00002SQUARE FEET 35504,B100000,00000,0600,00002PATIENT DAYS 35504,B100000,00000,0700,00002SQUARE FEET 35504,B100000,00000,0800,00002PATIENT DAYS 35504,B100000,00000,0900,00002DIRECT NRSING HRS 35504,B100000,00000,1000,00002PATIENT DAYS 35504,B100000,00000,1100,00002N/A 35504,B100000,00000,1200,00002PATIENT DAYS 35504,B100000,00000,1300,00002PATIENT DAYS 35504,B100000,00000,1350,00002PATIENT DAYS 35504,B100000,00000,1351,00002N/A 35504,B100000,00000,1400,00002N/A 35504,S000000,00100,0200,06/01/2000 35504,S200000,00100,0100,42 PROSPECT AVENUE 35504,S200000,00200,0100,WEST SPRINGFIELD 35504,S200000,00200,0200,MA 35504,S200000,00200,0300,01089 35504,S200000,00300,0100,HAMPDEN 35504,S200000,00400,0100,RIVERDALE GARDENS REHAB & NRSG CTR 35504,S200000,00400,0200,225262 35504,S200000,00400,0300,11/01/1989 35504,S200000,00400,0500,P 35504,S200000,00400,0600,P 35504,S200000,01600,0100,Y 35504,S200000,01900,0100,CORPORATION 35513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35513,A000000,00300,0000,00300EMPLOYEE BENEFITS 35513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35513,A000000,00700,0000,00700HOUSEKEEPING 35513,A000000,00800,0000,00800DIETARY 35513,A000000,00900,0000,00900NURSING ADMINISTRATION 35513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35513,A000000,01100,0000,01100PHARMACY 35513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35513,A000000,01300,0000,01300SOCIAL SERVICE 35513,A000000,01350,0000,01500ACTIVITIES 35513,A000000,01351,0000,01501INDIRECT CONSULTANTS 35513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35513,A000000,01600,0000,01600SKILLED NURSING FACILITY 35513,A000000,01800,0000,01800NURSING FACILITY 35513,A000000,01810,0000,01810ICF/MR 35513,A000000,02100,0000,02100RADIOLOGY 35513,A000000,02200,0000,02200LABORATORY 35513,A000000,02300,0000,02300INTRAVENOUS THERAPY 35513,A000000,02500,0000,02500PHYSICAL THERAPY 35513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35513,A000000,02700,0000,02700SPEECH PATHOLOGY 35513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35513,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35513,A000000,03051,0000,03301NEUTRITIONAL THERAPY 35513,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35513,A000000,03550,0000,03550FQHC 35513,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35513,A000000,05000,0000,05000CORF 35513,A000000,05010,0000,05010CMHC 35513,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35513,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35513,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35513,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35513,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35513,B100000,00000,0100,00000SQUARE FEET 35513,B100000,00000,0200,00000SQUARE FEET 35513,B100000,00000,0300,00000GROSS SALARIES 35513,B100000,00000,0400,00000ACCUM. COST 35513,B100000,00000,0500,00000SQUARE FEET 35513,B100000,00000,0600,00000PATIENT DAYS 35513,B100000,00000,0700,00000SQUARE FEET 35513,B100000,00000,0800,00000PATIENT DAYS 35513,B100000,00000,0900,00000DIRECT NRSING HRS 35513,B100000,00000,1000,00000PATIENT DAYS 35513,B100000,00000,1100,00000N/A 35513,B100000,00000,1200,00000PATIENT DAYS 35513,B100000,00000,1300,00000PATIENT DAYS 35513,B100000,00000,1350,00000PATIENT DAYS 35513,B100000,00000,1351,00000N/A 35513,B100000,00000,1400,00000N/A 35513,S000000,00100,0200,06/01/2000 35513,S200000,00100,0100,34 MAIN STREET 35513,S200000,00200,0100,HAMPDEN 35513,S200000,00200,0200,MA 35513,S200000,00200,0300,01036 35513,S200000,00300,0100,HAMPDEN 35513,S200000,00400,0100,MARY LYON NURSING HOME 35513,S200000,00400,0200,225265 35513,S200000,00400,0300,05/01/1977 35513,S200000,00400,0500,P 35513,S200000,00400,0600,P 35513,S200000,01600,0100,Y 35513,S200000,01900,0100,CORPORATION 35524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35524,A000000,00300,0000,00300EMPLOYEE BENEFITS 35524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35524,A000000,00700,0000,00700HOUSEKEEPING 35524,A000000,00800,0000,00800DIETARY 35524,A000000,00900,0000,00900NURSING ADMINISTRATION 35524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35524,A000000,01100,0000,01100PHARMACY 35524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35524,A000000,01300,0000,01300SOCIAL SERVICE 35524,A000000,01350,0000,01500ACTIVITIES 35524,A000000,01351,0000,01501INDIRECT CONSULTING 35524,A000000,01352,0000,01502SNF PARITCIPATING 35524,A000000,01353,0000,01503SNF NONPARTICIPATING 35524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35524,A000000,01600,0000,01600SKILLED NURSING FACILITY 35524,A000000,01800,0000,01800NURSING FACILITY 35524,A000000,01810,0000,01810ICF/MR 35524,A000000,02100,0000,02100RADIOLOGY 35524,A000000,02200,0000,02200LABORATORY 35524,A000000,02300,0000,02300INTRAVENOUS THERAPY 35524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35524,A000000,02500,0000,02500PHYSICAL THERAPY 35524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35524,A000000,02700,0000,02700SPEECH PATHOLOGY 35524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35524,A000000,03550,0000,03550FQHC 35524,A000000,05000,0000,05000CORF 35524,A000000,05010,0000,05010CMHC 35524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35524,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35524,A81000A,00100,0100,Y 35524,A81000B,00100,0300,RENT - CAPITAL RELATED 35524,A81000B,00200,0300,RENT - MME 35524,A81000B,00300,0300,MGT. FEE - NON-CAPITAL 35524,A81000B,00400,0300,BLDG & FIXED 35524,A81000B,00500,0300,MME 35524,A81000B,00600,0300,BENEFITS 35524,A81000B,00700,0300,PHYSICAL THERAPY 35524,A81000B,00800,0300,NUR DEPT PUB & TRAIN 35524,A81000B,00900,0300,MED REC SUPPLIES 35524,A81000B,01000,0300,ENTL SUPPLY - NURSING SERVICE 35524,A81000B,01100,0300,PHARMACY CONSULTANT 35524,A81000B,01200,0300,EMPLOYEE PHYSICALS 35524,A81000B,01300,0300,PHARMACY - A 35524,A81000B,01400,0300,PHARMACY - MEDICAID 35524,A81000B,01500,0300,PHARMACY - CONTRACT 35524,A81000B,01800,0300,IV THERAPY - MED A 35524,A81000B,01900,0300,IV THERAPY - WELFARE 35524,A81000B,02000,0300,IV THERAPY - CONTRACT 35524,A81000B,02100,0300,MED IV PREP 35524,A81000B,02200,0300,IV INSTALL/PREP - OTHER 35524,A81000B,02300,0300,MED SEPP CONTRACT 35524,A81000C,00100,0100,A 35524,A81000C,00100,0200,ALFRED ARCIDI 35524,A81000C,00100,0400,AAPEM ASSOC 35524,A81000C,00100,0600,RENTAL PROPERTY 35524,A81000C,00200,0100,A 35524,A81000C,00200,0200,ALFRED ARCIDI 35524,A81000C,00200,0400,ARBRO CORP 35524,A81000C,00200,0600,HOME OFFICE 35524,A81000C,00300,0100,A 35524,A81000C,00300,0200,ALFRED ARCIDI 35524,A81000C,00300,0400,WHITTIER PHARMA 35524,A81000C,00300,0600,PHARMACY 35524,B100000,00000,0100,00000SQUARE FEET 35524,B100000,00000,0200,00000DOLLAR VALUE 35524,B100000,00000,0300,00000GROSS SALARIES 35524,B100000,00000,0400,00000ACCUM. COST 35524,B100000,00000,0500,00000SQUARE FEET 35524,B100000,00000,0600,00000POUNDS OF LAUNDRY 35524,B100000,00000,0700,00000HOURS OF SERVICE 35524,B100000,00000,0800,00000MEALS SERVED 35524,B100000,00000,0900,00000DIRECT NRSING HRS 35524,B100000,00000,1000,00000COSTED REQUIS. 35524,B100000,00000,1100,00000COSTED REQUIS. 35524,B100000,00000,1200,00000TIME SPENT 35524,B100000,00000,1300,00000TIME SPENT 35524,B100000,00000,1350,00000OTHER 35524,B100000,00000,1351,00000OTHER 35524,B100000,00000,1352,00000OTHER 35524,B100000,00000,1353,00000OTHER 35524,B100000,00000,1400,00000ASSIGNED TIME 35524,S000000,00100,0200,06/08/2000 35524,S200000,00100,0100,HALE & LOW STREETS 35524,S200000,00200,0100,NEWBURYPORT 35524,S200000,00200,0200,MA 35524,S200000,00300,0100,01950 ESSEX 35524,S200000,00400,0100,NWB D/B/A PORT REHAB SKILLED NC 35524,S200000,00400,0200,225271 35524,S200000,00400,0300,01/01/1995 35524,S200000,00400,0500,P 35524,S200000,00600,0200,225271 35524,S200000,00600,0300,01/01/1995 35524,S200000,00600,0600,P 35524,S200000,01600,0100,Y 35524,S200000,01900,0100,CORPORATION 35534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35534,A000000,00300,0000,00300EMPLOYEE BENEFITS 35534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35534,A000000,00700,0000,00700HOUSEKEEPING 35534,A000000,00800,0000,00800DIETARY 35534,A000000,00900,0000,00900NURSING ADMINISTRATION 35534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35534,A000000,01100,0000,01100PHARMACY 35534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35534,A000000,01300,0000,01300SOCIAL SERVICE 35534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35534,A000000,01600,0000,01600SKILLED NURSING FACILITY 35534,A000000,01810,0000,01810ICF/MR 35534,A000000,02100,0000,02100RADIOLOGY 35534,A000000,02200,0000,02200LABORATORY 35534,A000000,02300,0000,02300INTRAVENOUS THERAPY 35534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35534,A000000,02500,0000,02500PHYSICAL THERAPY 35534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35534,A000000,02700,0000,02700SPEECH PATHOLOGY 35534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35534,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 35534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35534,A000000,03550,0000,03550FQHC 35534,A000000,04800,0000,04800AMBULANCE 35534,A000000,05000,0000,05000CORF 35534,A000000,05010,0000,05010CMHC 35534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35534,A000000,06151,0000,06301HOME OFFICE 35534,A000000,06152,0000,06302CCRC 35534,A000000,06153,0000,06303HOME HEALTH AGENCY 35534,B100000,00000,0100,00003SQUARE FEET 35534,B100000,00000,0200,00003SQUARE FEET 35534,B100000,00000,0300,00003SALARIES 35534,B100000,00000,0400,00003ACCUM. COST 35534,B100000,00000,0500,00003SQUARE FEET 35534,B100000,00000,0600,00003POUNDS OF LAUNDRY 35534,B100000,00000,0700,00003SQUARE FEET 35534,B100000,00000,0800,00003MEALS SERVED 35534,B100000,00000,0900,00003DIRECT NRSING HRS 35534,B100000,00000,1000,00003DAYS 35534,B100000,00000,1100,00003DAYS 35534,B100000,00000,1200,00003DAYS 35534,B100000,00000,1300,00003DAYS 35534,B100000,00000,1400,00003DAYS 35534,S000000,00100,0200,11/02/2000 35534,S200000,00100,0100,865 CENTRAL AVENUE 35534,S200000,00200,0100,NEEDHAM 35534,S200000,00200,0200,MA 35534,S200000,00200,0300,02492 35534,S200000,00300,0100,NORFOLK 35534,S200000,00400,0100,THE SNF AT NORTH HILL 35534,S200000,00400,0200,225281 35534,S200000,00400,0300,01/01/1985 35534,S200000,00400,0500,P 35534,S200000,00400,0600,O 35534,S200000,01500,0100,Y 35534,S200000,01900,0100,CONT. CARE RETIREMEN 35534,S200000,02200,0100,Y 35534,S200000,02800,0100,Y 35543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35543,A000000,00300,0000,00300EMPLOYEE BENEFITS 35543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35543,A000000,00700,0000,00700HOUSEKEEPING 35543,A000000,00800,0000,00800DIETARY 35543,A000000,00900,0000,00900NURSING ADMINISTRATION 35543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35543,A000000,01100,0000,01100PHARMACY 35543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35543,A000000,01300,0000,01300SOCIAL SERVICE 35543,A000000,01350,0000,01500ACTIVITIES 35543,A000000,01351,0000,01502SNF PARTICIPATING 35543,A000000,01352,0000,01501INDIRECT CONSULTING 35543,A000000,01353,0000,01503SNF NONPARTICIPATING 35543,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35543,A000000,01600,0000,01600SKILLED NURSING FACILITY 35543,A000000,01800,0000,01800NURSING FACILITY 35543,A000000,01810,0000,01810ICF/MR 35543,A000000,02100,0000,02100RADIOLOGY 35543,A000000,02200,0000,02200LABORATORY 35543,A000000,02300,0000,02300INTRAVENOUS THERAPY 35543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35543,A000000,02500,0000,02500PHYSICAL THERAPY 35543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35543,A000000,02700,0000,02700SPEECH PATHOLOGY 35543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35543,A000000,03050,0000,03300AIR FLUID THERAPY 35543,A000000,03550,0000,03550FQHC 35543,A000000,05000,0000,05000CORF 35543,A000000,05010,0000,05010CMHC 35543,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35543,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35543,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35543,A81000A,00100,0100,Y 35543,A81000B,00100,0300,MANAGEMENT FEE 35543,A81000B,00200,0300,BLDG & FIXED DEPR 35543,A81000B,00300,0300,MME 35543,A81000B,00400,0300,BEBEFITS 35543,A81000B,00500,0300,PHYSICAL THERAPY 35543,A81000B,00600,0300,RENT - BLDG & FIXED 35543,A81000B,00700,0300,RENT - MME 35543,A81000B,00800,0300,NURS DEPT PUB & TRAIN 35543,A81000B,00900,0300,ENTL SUPPLY - NURSING SERVICE 35543,A81000B,01000,0300,PHARMACY CONSULTANT 35543,A81000B,01100,0300,EMPLOYEE PHYSICALS 35543,A81000B,01200,0300,PHARMACY - A 35543,A81000B,01300,0300,PHARMACY - MEDICAID 35543,A81000B,01400,0300,PHARMACY - CONTRACT 35543,A81000B,01500,0300,PHARMACY - VA 35543,A81000B,01600,0300,IV THERAPY - MED A 35543,A81000B,01700,0300,IV THERAPY - WELFARE 35543,A81000B,01800,0300,IV THERAPY - CONTRACT 35543,A81000B,01900,0300,MED IV PREP 35543,A81000B,02000,0300,IV INSTALL/PREP - OTHER 35543,A81000C,00100,0100,A 35543,A81000C,00100,0200,ALFRED ARCIDI 35543,A81000C,00100,0400,ARBRO CORP 35543,A81000C,00100,0600,HOME OFFICE 35543,A81000C,00200,0100,A 35543,A81000C,00200,0200,ALFRED ARCIDI 35543,A81000C,00200,0400,HANNAH DUSTON 35543,A81000C,00200,0600,RENTAL PROPERTY 35543,A81000C,00300,0100,A 35543,A81000C,00300,0200,ALFRED ARCIDI 35543,A81000C,00300,0400,WHITTIER PHARMA 35543,A81000C,00300,0600,PHARMACY 35543,B100000,00000,0100,00000SQUARE FEET 35543,B100000,00000,0200,00000DOLLAR VALUE 35543,B100000,00000,0300,00000GROSS SALARIES 35543,B100000,00000,0400,00000ACCUM. COST 35543,B100000,00000,0500,00000SQUARE FEET 35543,B100000,00000,0600,00000POUNDS OF LAUNDRY 35543,B100000,00000,0700,00000HOURS OF SERVICE 35543,B100000,00000,0800,00000MEALS SERVED 35543,B100000,00000,0900,00000DIRECT NRSING HRS 35543,B100000,00000,1000,00000COSTED REQUIS. 35543,B100000,00000,1100,00000COSTED REQUIS. 35543,B100000,00000,1200,00000TIME SPENT 35543,B100000,00000,1300,00000TIME SPENT 35543,B100000,00000,1350,00000OTHER 35543,B100000,00000,1351,00000OTHER 35543,B100000,00000,1352,00000OTHER 35543,B100000,00000,1353,00000OTHER 35543,B100000,00000,1400,00000ASSIGNED TIME 35543,E10A180,00301,0100,02/17/2000 35543,S000000,00100,0200,08/08/2000 35543,S200000,00100,0100,126 MONUMENT STREET 35543,S200000,00200,0100,HAVERHILL 35543,S200000,00200,0200,MA 35543,S200000,00200,0300,01832 35543,S200000,00300,0100,ESSEX 35543,S200000,00400,0100,HDH DBA HANNAH DUSTON LTHCC 35543,S200000,00400,0200,225290 35543,S200000,00400,0300,11/26/1986 35543,S200000,00400,0500,P 35543,S200000,00600,0200,225290 35543,S200000,00600,0300,01/01/1987 35543,S200000,00600,0600,P 35543,S200000,01600,0100,Y 35550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35550,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35550,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35550,A000000,00300,0000,00300EMPLOYEE BENEFITS 35550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35550,A000000,00700,0000,00700HOUSEKEEPING 35550,A000000,00800,0000,00800DIETARY 35550,A000000,00801,0000,00801CAFETERIA 35550,A000000,00900,0000,00900NURSING ADMINISTRATION 35550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35550,A000000,01100,0000,01100PHARMACY 35550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35550,A000000,01300,0000,01300SOCIAL SERVICE 35550,A000000,01350,0000,01500ACTIVITIES 35550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35550,A000000,01600,0000,01600SKILLED NURSING FACILITY 35550,A000000,01800,0000,01800NURSING FACILITY 35550,A000000,01810,0000,01810ICF/MR 35550,A000000,02100,0000,02100RADIOLOGY 35550,A000000,02200,0000,02200LABORATORY 35550,A000000,02300,0000,02300INTRAVENOUS THERAPY 35550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35550,A000000,02500,0000,02500PHYSICAL THERAPY 35550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35550,A000000,02700,0000,02700SPEECH PATHOLOGY 35550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35550,A000000,03050,0000,03300OTHER ANCILLARY 35550,A000000,03051,0000,03301OTHER ANCILLARY II 35550,A000000,03052,0000,03302OTHER ANCILLARY III 35550,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 35550,A000000,03200,0000,03200SUPPORT SURFACES 35550,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35550,A000000,03550,0000,03550FQHC 35550,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35550,A000000,05000,0000,05000CORF I 35550,A000000,05010,0000,05010CMHC I 35550,A000000,05020,0000,05020OPT I 35550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35550,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35550,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35550,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35550,B100000,00000,0100,00000(SQUARE FEET) 35550,B100000,00000,0101,00000(SQUARE FEET) 35550,B100000,00000,0200,00000(SQUARE FEET) 35550,B100000,00000,0201,00000(SQUARE FEET) 35550,B100000,00000,0300,00000(GROSS SALARIES) 35550,B100000,00000,0400,00000(ACCUM. COST) 35550,B100000,00000,0500,00000(SQUARE FEET) 35550,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35550,B100000,00000,0700,00000(SQUARE FEET) 35550,B100000,00000,0800,00000(MEALS SERVED) 35550,B100000,00000,0801,00000(MEALS SERVED) 35550,B100000,00000,0900,00000TIME SPENT 35550,B100000,00000,1000,00000(COSTED REQUIS.) 35550,B100000,00000,1100,00000(COSTED REQUIS.) 35550,B100000,00000,1200,00000(TIME SPENT) 35550,B100000,00000,1300,00000(TIME SPENT) 35550,B100000,00000,1350,00000PAT DAYS 35550,B100000,00000,1400,00000(ASSIGNED TIME) 35550,S000000,00100,0200,08/11/2000 35550,S200000,00100,0100,289 ELM STREET 35550,S200000,00200,0100,EVERETT 35550,S200000,00200,0200,MA 35550,S200000,00200,0300,02149 35550,S200000,00300,0100,MIDDLESEX 35550,S200000,00400,0100,WOODLAWN NURSING HOME 35550,S200000,00400,0200,225300 35550,S200000,00400,0300,04/10/1987 35550,S200000,00400,0500,P 35550,S200000,01600,0100,Y 35550,S200000,02200,0100,Y 35558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35558,A000000,00300,0000,00300EMPLOYEE BENEFITS 35558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35558,A000000,00700,0000,00700HOUSEKEEPING 35558,A000000,00800,0000,00800DIETARY 35558,A000000,00900,0000,00900NURSING ADMINISTRATION 35558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35558,A000000,01100,0000,01100PHARMACY 35558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35558,A000000,01300,0000,01300SOCIAL SERVICE 35558,A000000,01350,0000,01500ACTIVITIES 35558,A000000,01351,0000,01501INDIRECT CONSULTANTS 35558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35558,A000000,01600,0000,01600SKILLED NURSING FACILITY 35558,A000000,01800,0000,01800NURSING FACILITY 35558,A000000,01810,0000,01810ICF/MR 35558,A000000,02100,0000,02100RADIOLOGY 35558,A000000,02200,0000,02200LABORATORY 35558,A000000,02300,0000,02300INTRAVENOUS THERAPY 35558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35558,A000000,02500,0000,02500PHYSICAL THERAPY 35558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35558,A000000,02700,0000,02700SPEECH PATHOLOGY 35558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35558,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35558,A000000,03051,0000,03301NUTRITIONAL THERAPY 35558,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 35558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35558,A000000,03550,0000,03550FQHC 35558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35558,A000000,05000,0000,05000CORF 35558,A000000,05010,0000,05010CMHC 35558,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35558,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35558,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35558,B100000,00000,0100,00000SQUARE FEET 35558,B100000,00000,0200,00000SQUARE FEET 35558,B100000,00000,0300,00000GROSS SALARIES 35558,B100000,00000,0400,00000ACCUM. COST 35558,B100000,00000,0500,00000SQUARE FEET 35558,B100000,00000,0600,00000PATIENT DAYS 35558,B100000,00000,0700,00000SQUARE FEET 35558,B100000,00000,0800,00000PATIENT DAYS 35558,B100000,00000,0900,00000NURSING HOURS 35558,B100000,00000,1000,00000PATIENT DAYS 35558,B100000,00000,1100,00000N/A 35558,B100000,00000,1200,00000PATIENT DAYS 35558,B100000,00000,1300,00000PATIENT DAYS 35558,B100000,00000,1350,00000PATIENT DAYS 35558,B100000,00000,1351,00000N/A 35558,B100000,00000,1400,00000N/A 35558,S000000,00100,0200,06/01/2000 35558,S200000,00100,0100,32 CHESTNUT STREET 35558,S200000,00200,0100,EAST LONGMEADOW 35558,S200000,00200,0200,MA 35558,S200000,00200,0300,01028 35558,S200000,00300,0100,HAMPDEN 35558,S200000,00400,0100,CHESTNUT HILL NURSING & REHAB CENTER 35558,S200000,00400,0200,225303 35558,S200000,00400,0300,09/11/1987 35558,S200000,00400,0500,P 35558,S200000,00400,0600,P 35558,S200000,01600,0100,Y 35573,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35573,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35573,A000000,00300,0000,00300EMPLOYEE BENEFITS 35573,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35573,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35573,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35573,A000000,00700,0000,00700HOUSEKEEPING 35573,A000000,00800,0000,00800DIETARY 35573,A000000,00900,0000,00900NURSING ADMINISTRATION 35573,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35573,A000000,01100,0000,01100PHARMACY 35573,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35573,A000000,01300,0000,01300SOCIAL SERVICE 35573,A000000,01301,0000,01301ACTIVITES 35573,A000000,01350,0000,01500REHABILITATION 35573,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35573,A000000,01600,0000,01600SKILLED NURSING FACILITY 35573,A000000,01800,0000,01800NURSING FACILITY 35573,A000000,01810,0000,01810ICF/MR 35573,A000000,02100,0000,02100RADIOLOGY 35573,A000000,02200,0000,02200LABORATORY 35573,A000000,02300,0000,02300INTRAVENOUS THERAPY 35573,A000000,02500,0000,02500PHYSICAL THERAPY 35573,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35573,A000000,02700,0000,02700SPEECH PATHOLOGY 35573,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35573,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35573,A000000,03050,0000,03300EQUIPMENT RENTAL 35573,A000000,03051,0000,03301PEN THERAPY 35573,A000000,03550,0000,03550FQHC 35573,A000000,05000,0000,05000CORF 35573,A000000,05010,0000,05010CMHC 35573,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35573,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35573,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35573,A000000,05300,0000,05300INTEREST EXPENSE 35573,A000000,06150,0000,06300VENDING 35573,A000000,06151,0000,06301STAND-BY 35573,A81000A,00100,0100,Y 35573,A81000B,00100,0300,HOME OFFICE COST 35573,A81000B,00200,0300,DIETARY SUPPLEMENTS 35573,A81000B,00300,0300,CENTRAL SUPPLY 35573,A81000B,00400,0300,PRESCRIPTION DRUGS 35573,A81000B,00500,0300,MEDICAL SUPPLIES 35573,A81000B,00600,0300,LAUNDRY 35573,A81000B,00700,0300,BENEFITS 35573,A81000B,00800,0300,ACTIVITIES 35573,A81000B,00900,0300,IV THERAPY 35573,A81000B,01000,0300,NURSING ADMIN. 35573,A81000B,01100,0300,PHYSICAL THERAPY 35573,A81000B,01200,0300,OCCUPATIONAL THERAPY 35573,A81000B,01300,0300,SPEECH THERAPY 35573,A81000B,01400,0300,ANC EQUIP RENTAL 35573,A81000C,00100,0100,B 35573,A81000C,00100,0200,MHC SE MASS-152 35573,A81000C,00100,0400,MARINER PAN 35573,A81000C,00100,0600,NURSING HOMES 35573,A81000C,00200,0100,G 35573,A81000C,00200,0200,MARINER PAN 35573,A81000C,00200,0400,AMER PHARM SVCS 35573,A81000C,00200,0600,PHARMACEUTICALS 35573,A81000C,00300,0100,G 35573,A81000C,00300,0200,MARINER PAN 35573,A81000C,00300,0400,PRISM-ATS-ARS-T 35573,A81000C,00300,0600,THERAPIES 35573,B100000,00000,0100,00001SQUARE FEET 35573,B100000,00000,0200,00001SQUARE FEET 35573,B100000,00000,0300,00001GROSS SALARIES 35573,B100000,00000,0400,00001ACCUM COST 35573,B100000,00000,0500,00001SQUARE FEET 35573,B100000,00000,0600,00001PATIENT DAYS 35573,B100000,00000,0700,00001SQUARE FEET 35573,B100000,00000,0800,00001MEALS SERVED 35573,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35573,B100000,00000,1000,00001PATIENT DAYS 35573,B100000,00000,1100,00001COSTED REQUIS 35573,B100000,00000,1200,00001PATIENT DAYS 35573,B100000,00000,1300,00001PATIENT DAYS 35573,B100000,00000,1301,00001PATIENT DAYS 35573,B100000,00000,1350,00001UNITS OF SERVICE 35573,B100000,00000,1400,00001ASSIGNED TIME 35573,S000000,00100,0200,06/02/2000 35573,S200000,00100,0100,4586 ACUSHNET AVENUE 35573,S200000,00200,0100,NEW BEDFORD 35573,S200000,00200,0200,MASSACHUSETTS 35573,S200000,00200,0300,02745 35573,S200000,00300,0100,BRISTOL 35573,S200000,00400,0100,MH CARE OF SOUTH EASTERN MASS. 35573,S200000,00400,0200,225314 35573,S200000,00400,0300,08/15/1988 35573,S200000,00400,0500,P 35573,S200000,01600,0100,Y 35573,S200000,02200,0100,Y 35573,S200000,04300,0100,Y 35575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35575,A000000,00300,0000,00300EMPLOYEE BENEFITS 35575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35575,A000000,00700,0000,00700HOUSEKEEPING 35575,A000000,00800,0000,00800DIETARY 35575,A000000,00900,0000,00900NURSING ADMINISTRATION 35575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35575,A000000,01100,0000,01100PHARMACY 35575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35575,A000000,01300,0000,01300SOCIAL SERVICE 35575,A000000,01301,0000,01301ACTIVITIES 35575,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 35575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35575,A000000,01600,0000,01600SKILLED NURSING FACILITY 35575,A000000,01800,0000,01800NURSING FACILITY 35575,A000000,01810,0000,01810ICF/MR 35575,A000000,02100,0000,02100RADIOLOGY 35575,A000000,02200,0000,02200LABORATORY 35575,A000000,02300,0000,02300INTRAVENOUS THERAPY 35575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35575,A000000,02500,0000,02500PHYSICAL THERAPY 35575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35575,A000000,02700,0000,02700SPEECH PATHOLOGY 35575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35575,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35575,A000000,03550,0000,03550FQHC 35575,A000000,05000,0000,05000CORF 35575,A000000,05010,0000,05010CMHC 35575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35575,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35575,A000000,06200,0000,06200PATIENTS LAUNDRY 35575,A81000A,00100,0100,Y 35575,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 35575,A81000B,00200,0300,CENTRAL SUPPLY 35575,A81000B,00300,0300,MEDICAL SUPPLIES 35575,A81000B,00400,0300,ADMIN 35575,A81000B,00500,0300,CAPITAL 35575,A81000B,00600,0300,DRUGS 35575,A81000C,00100,0100,B 35575,A81000C,00100,0200,MH/MERRIMACK VA 35575,A81000C,00100,0400,MARINER POST AC 35575,A81000C,00100,0600,NURSING HOMES 35575,A81000C,00200,0100,G 35575,A81000C,00200,0200,MARINER PAN 35575,A81000C,00200,0400,AMERICAN PHARMA 35575,A81000C,00200,0600,PHARMACEUTICALS 35575,A81000C,00300,0100,G 35575,A81000C,00300,0200,MARINER PAN 35575,A81000C,00300,0400,PRISM (ATS ARS 35575,A81000C,00300,0600,THERAPIES 35575,B100000,00000,0100,00000SQUARE FEET 35575,B100000,00000,0200,00000SQUARE FEET 35575,B100000,00000,0300,00000GROSS SALARIES 35575,B100000,00000,0400,00000ACCUM COST 35575,B100000,00000,0500,00000SQUARE FEET 35575,B100000,00000,0600,00000PATIENT DAYS 35575,B100000,00000,0700,00000SQUARE FEET 35575,B100000,00000,0800,00000MEALS SERVED 35575,B100000,00000,0900,00000NRSG HOURS HRS OF SVC 35575,B100000,00000,1000,00000PATIENT DAYS 35575,B100000,00000,1100,00000COSTED REQUIS 35575,B100000,00000,1200,00000PATIENT DAYS 35575,B100000,00000,1300,00000PATIENT DAYS 35575,B100000,00000,1301,00000PATIENT DAYS 35575,B100000,00000,1350,00000UNITS OF SERVICE 35575,B100000,00000,1400,00000ASSIGNED TIME 35575,S000000,00100,0200,06/02/2000 35575,S200000,00100,0100,22 MAPLE STREET 35575,S200000,00200,0100,AMESBURY 35575,S200000,00200,0200,MASS 35575,S200000,00200,0300,01913 35575,S200000,00300,0100,ESSEX 35575,S200000,00400,0100,MH CARE OF MERRIMACK VALLEY 35575,S200000,00400,0200,225318 35575,S200000,00400,0300,04/01/1989 35575,S200000,00400,0500,P 35577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35577,A000000,00300,0000,00300EMPLOYEE BENEFITS 35577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35577,A000000,00700,0000,00700HOUSEKEEPING 35577,A000000,00800,0000,00800DIETARY 35577,A000000,00900,0000,00900NURSING ADMINISTRATION 35577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35577,A000000,01100,0000,01100PHARMACY 35577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35577,A000000,01300,0000,01300SOCIAL SERVICE 35577,A000000,01301,0000,01301ACTIVITIES 35577,A000000,01350,0000,01500REHAB 35577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35577,A000000,01600,0000,01600SKILLED NURSING FACILITY 35577,A000000,01800,0000,01800NURSING FACILITY 35577,A000000,01810,0000,01810ICF/MR 35577,A000000,02100,0000,02100RADIOLOGY 35577,A000000,02200,0000,02200LABORATORY 35577,A000000,02300,0000,02300INTRAVENOUS THERAPY 35577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35577,A000000,02500,0000,02500PHYSICAL THERAPY 35577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35577,A000000,02700,0000,02700SPEECH PATHOLOGY 35577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35577,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35577,A000000,03550,0000,03550FQHC 35577,A000000,04800,0000,04800AMBULANCE 35577,A000000,05000,0000,05000CORF 35577,A000000,05010,0000,05010CMHC 35577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35577,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35577,A81000A,00100,0100,Y 35577,A81000B,00100,0300,NURSING SUPPLIES 35577,A81000B,00200,0300,OXYGEN 35577,A81000B,00300,0300,PROFESSIONAL SERVICES 35577,A81000B,00400,0300,DRUG EXPENSE 35577,A81000B,00500,0300,EQUIPMENT RENTAL 35577,A81000B,00600,0300,CENTRAL SUPPLY 35577,A81000B,00700,0300,NURSING SUPPLIES 35577,A81000B,00800,0300,PROFESSIONAL SERVICES 35577,A81000B,00900,0300,HOME OFFICE COST 35577,A81000C,00100,0100,B 35577,A81000C,00100,0200,MH OF METHUEN 35577,A81000C,00100,0400,MARINER POST AC 35577,A81000C,00100,0600,NURSING HOMES 35577,A81000C,00200,0100,G 35577,A81000C,00200,0200,MARINER POST AC 35577,A81000C,00200,0400,AMERICAN PHARMA 35577,A81000C,00200,0600,PHARMACEUTICALS 35577,A81000C,00300,0100,G 35577,A81000C,00300,0200,MARINER POST AC 35577,A81000C,00300,0400,PRISM(ATS ARS 35577,A81000C,00300,0600,THERAPIES 35577,B100000,00000,0100,00000SQUARE FEET 35577,B100000,00000,0200,00000SQUARE FEET 35577,B100000,00000,0300,00000GROSS SALARIES 35577,B100000,00000,0400,00000ACCUM COST 35577,B100000,00000,0500,00000SQUARE FEET 35577,B100000,00000,0600,00000PATIENT DAYS 35577,B100000,00000,0700,00000HOURS OF SERVICE 35577,B100000,00000,0800,00000MEALS SERVED 35577,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35577,B100000,00000,1000,00000COSTED REQUISITIO 35577,B100000,00000,1100,00000COSTED REQUIS 35577,B100000,00000,1200,00000PATIENT DAYS 35577,B100000,00000,1300,00000PATIENT DAYS 35577,B100000,00000,1301,00000PATIENT DAYS 35577,B100000,00000,1350,00000UNITS OF SERVICE 35577,B100000,00000,1400,00000ASSIGNED TIME 35577,S000000,00100,0200,06/02/2000 35577,S200000,00100,0100,480 JACKSON STREET 35577,S200000,00200,0100,METHUEN 35577,S200000,00200,0200,MA 35577,S200000,00200,0300,01844 35577,S200000,00300,0100,ESSEX 35577,S200000,00400,0100,MH CARE OF METHUEN 35577,S200000,00400,0200,225333 35577,S200000,00400,0300,07/17/1989 35577,S200000,00400,0500,P 35584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35584,A000000,00300,0000,00300EMPLOYEE BENEFITS 35584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35584,A000000,00700,0000,00700HOUSEKEEPING 35584,A000000,00800,0000,00800DIETARY 35584,A000000,00900,0000,00900NURSING ADMINISTRATION 35584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35584,A000000,01100,0000,01100PHARMACY 35584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35584,A000000,01300,0000,01300SOCIAL SERVICE 35584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35584,A000000,01600,0000,01600SKILLED NURSING FACILITY 35584,A000000,01800,0000,01800NURSING FACILITY 35584,A000000,01810,0000,01810ICF/MR 35584,A000000,02100,0000,02100RADIOLOGY 35584,A000000,02300,0000,02300INTRAVENOUS THERAPY 35584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35584,A000000,02500,0000,02500PHYSICAL THERAPY 35584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35584,A000000,02700,0000,02700SPEECH PATHOLOGY 35584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35584,A000000,03550,0000,03550FQHC 35584,A000000,05000,0000,05000CORF 35584,A000000,05010,0000,05010CMHC 35584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35584,A000000,05300,0000,05300INTEREST EXPENSE 35584,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35584,B100000,00000,0100,00000SQUARE FEET 35584,B100000,00000,0200,00000SQUARE FEET 35584,B100000,00000,0300,00000GROSS SALARIES 35584,B100000,00000,0400,00000ACCUM COST 35584,B100000,00000,0500,00000SQUARE FEET 35584,B100000,00000,0600,00000PATIENT DAYS 35584,B100000,00000,0700,00000SQUARE FEET 35584,B100000,00000,0800,00000MEALS SERVED 35584,B100000,00000,0900,00000DIRECT NRSG HRS 35584,B100000,00000,1000,00000COSTED REQUIS 35584,B100000,00000,1100,00000COSTED REQUIS 35584,B100000,00000,1200,00000PATIENT DAYS 35584,B100000,00000,1300,00000PATIENT DAYS 35584,B100000,00000,1400,00000ASSIGNED TIME 35584,S000000,00100,0200,12/01/2000 35584,S200000,00100,0100,95 LAUREL STREET 35584,S200000,00200,0100,GREENFIELD 35584,S200000,00200,0200,MA 35584,S200000,00200,0300,01302 35584,S200000,00300,0100,FRANKLIN 35584,S200000,00400,0100,BUCKLEY NURSING HOME-GREENFIEL 35584,S200000,00400,0200,225335 35584,S200000,00400,0300,03/16/1997 35584,S200000,00400,0500,P 35584,S200000,00600,0200,225335 35584,S200000,00600,0300,03/16/1997 35584,S200000,00600,0600,P 35584,S200000,01600,0100,Y 35585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35585,A000000,00300,0000,00300EMPLOYEE BENEFITS 35585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35585,A000000,00700,0000,00700HOUSEKEEPING 35585,A000000,00800,0000,00800DIETARY 35585,A000000,00900,0000,00900NURSING ADMINISTRATION 35585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35585,A000000,01100,0000,01100PHARMACY 35585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35585,A000000,01300,0000,01300SOCIAL SERVICE 35585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35585,A000000,01600,0000,01600SKILLED NURSING FACILITY 35585,A000000,01800,0000,01800NURSING FACILITY 35585,A000000,01810,0000,01810ICF/MR 35585,A000000,02100,0000,02100RADIOLOGY 35585,A000000,02200,0000,02200LABORATORY 35585,A000000,02300,0000,02300INTRAVENOUS THERAPY 35585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35585,A000000,02500,0000,02500PHYSICAL THERAPY 35585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35585,A000000,02700,0000,02700SPEECH PATHOLOGY 35585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35585,A000000,03550,0000,03550FQHC 35585,A000000,05000,0000,05000CORF 35585,A000000,05010,0000,05010CMHC 35585,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35585,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35585,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35585,A000000,05300,0000,05300INTEREST EXPENSE 35585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35585,B100000,00000,0100,00000(SQUARE FEET) 35585,B100000,00000,0200,00000(SQUARE FEET) 35585,B100000,00000,0300,00000(GROSS SALARIES) 35585,B100000,00000,0400,00000(ACCUM COST) 35585,B100000,00000,0500,00000(SQUARE FEET) 35585,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 35585,B100000,00000,0700,00000(SQUARE FEET) 35585,B100000,00000,0800,00000(MEALS SERVED) 35585,B100000,00000,0900,00000(DIRECT NRSG HRS) 35585,B100000,00000,1000,00000(COSTED REQUIS) 35585,B100000,00000,1100,00000(COSTED REQUIS) 35585,B100000,00000,1200,00000(GROSS REV CHARGES) 35585,B100000,00000,1300,00000(TIME SPENT) 35585,B100000,00000,1400,00000ASSIGNED TIME 35585,S000000,00100,0200,05/31/2000 35585,S200000,00100,0100,95 LAUREL STREET 35585,S200000,00200,0100,GREENFIELD 35585,S200000,00200,0200,MA 35585,S200000,00200,0300,01302 35585,S200000,00300,0100,FRANKLIN 35585,S200000,00400,0100,GREENFIELD NURSING HOME 35585,S200000,00400,0200,225335 35585,S200000,00400,0300,08/12/1999 35585,S200000,00400,0500,P 35585,S200000,00600,0200,225335 35585,S200000,00600,0300,08/12/1999 35585,S200000,00600,0600,P 35585,S200000,01600,0100,Y 35585,S200000,01900,0100,NON PROFIT 501C 35594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35594,A000000,00300,0000,00300EMPLOYEE BENEFITS 35594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35594,A000000,00700,0000,00700HOUSEKEEPING 35594,A000000,00800,0000,00800DIETARY 35594,A000000,00900,0000,00900NURSING ADMINISTRATION 35594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35594,A000000,01100,0000,01100PHARMACY 35594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35594,A000000,01300,0000,01300SOCIAL SERVICE 35594,A000000,01350,0000,01500ACTIVITIES 35594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35594,A000000,01600,0000,01600SKILLED NURSING FACILITY 35594,A000000,01800,0000,01800NURSING FACILITY 35594,A000000,01810,0000,01810ICF/MR 35594,A000000,02200,0000,02200LABORATORY 35594,A000000,02500,0000,02500PHYSICAL THERAPY 35594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35594,A000000,02700,0000,02700SPEECH PATHOLOGY 35594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35594,A000000,03101,0000,03110CLINITRON BEDS 35594,A000000,03550,0000,03550FQHC 35594,A000000,05000,0000,05000CORF 35594,A000000,05010,0000,05010CMHC 35594,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35594,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35594,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35594,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35594,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35594,A000000,06200,0000,06200PATIENTS LAUNDRY 35594,A81000A,00100,0100,Y 35594,A81000B,00100,0300,RENT 35594,A81000B,00200,0300,RENT 35594,A81000B,00300,0300,RENT 35594,A81000B,00400,0300,MANAGEMENT FEE 35594,A81000B,00500,0300,MANAGEMENT FEE 35594,A81000B,00600,0300,MANAGEMENT FEE 35594,A81000B,00700,0300,MANAGEMENT FEE 35594,A81000B,00800,0300,INTEREST 35594,A81000B,00900,0300,MANAGEMENT FEE BHS 35594,A81000B,01000,0300,MANAGEMENT FEE BHS 35594,A81000B,01100,0300,MANAGEMENT FEE BHS 35594,A81000C,00100,0100,A 35594,A81000C,00100,0200,ARTHUR IVEY 35594,A81000C,00100,0400,WILLOWOOD AT WL 35594,A81000C,00100,0600,RENTAL PROPERTY 35594,A81000C,00400,0100,B 35594,A81000C,00400,0200,ARTHER IVEY 35594,A81000C,00400,0400,THE WILLOWOOD G 35594,A81000C,00400,0600,HOME OFFICE 35594,A81000C,00700,0100,C 35594,A81000C,00700,0200,G. SCHUSTER 35594,A81000C,00700,0400,WINGATE HEALTHC 35594,A81000C,00700,0600,HOME OFFICE 35594,A81000C,00800,0100,D 35594,A81000C,00800,0200,G. SCHUSTER 35594,A81000C,00800,0400,WINGATE HEALTHC 35594,A81000C,00800,0600,HOME OFFICE 35594,A81000C,00900,0100,E 35594,A81000C,00900,0200,BHS 35594,A81000C,00900,0400,BHS 35594,A81000C,00900,0600,MANAGEMENT 35594,B100000,00000,0100,00000SQUARE FEET 35594,B100000,00000,0200,00000SQUARE FEET 35594,B100000,00000,0300,00000GROSS SALARIES 35594,B100000,00000,0400,00000ACCUM COST 35594,B100000,00000,0500,00000SQUARE FEET 35594,B100000,00000,0600,00000POUNDS OF LAUNDRY 35594,B100000,00000,0700,00000SQUARE FEET 35594,B100000,00000,0800,00000MEALS SERVED 35594,B100000,00000,0900,00000DIRECT NRSG HRS 35594,B100000,00000,1000,00000PATIENT DAYS 35594,B100000,00000,1100,00000PATIENT DAYS 35594,B100000,00000,1200,00000PATIENT DAYS 35594,B100000,00000,1300,00000PATIENT DAYS 35594,B100000,00000,1350,00000SQUARE FEET 35594,B100000,00000,1400,00000ASSIGNED TIME 35594,E10A180,00501,0100,12/21/2000 35594,E10A180,00550,0100,06/29/2000 35594,E10A180,00550,0300,06/29/2000 35594,E10A180,00551,0100,01/11/2001 35594,S000000,00100,0200,05/31/2000 35594,S200000,00100,0100,25 ADAMS ROAD 35594,S200000,00200,0100,WILLIAMSTOWN 35594,S200000,00200,0200,MA 35594,S200000,00200,0300,01257 35594,S200000,00300,0100,BERKSHIRE 35594,S200000,00400,0100,WILLOWOOD OF WILLIAMSTOWN 35594,S200000,00400,0200,225341 35594,S200000,00400,0300,02/17/1989 35594,S200000,00400,0500,P 35594,S200000,01600,0100,Y 35594,S200000,01900,0100,CORPORATION 35602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35602,A000000,00300,0000,00300EMPLOYEE BENEFITS 35602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35602,A000000,00700,0000,00700HOUSEKEEPING 35602,A000000,00800,0000,00800DIETARY 35602,A000000,00900,0000,00900NURSING ADMINISTRATION 35602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35602,A000000,01100,0000,01100PHARMACY 35602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35602,A000000,01300,0000,01300SOCIAL SERVICE 35602,A000000,01350,0000,01500ACTIVITIES 35602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35602,A000000,01600,0000,01600SKILLED NURSING FACILITY 35602,A000000,01800,0000,01800NURSING FACILITY 35602,A000000,01810,0000,01810ICF/MR 35602,A000000,02100,0000,02100RADIOLOGY 35602,A000000,02500,0000,02500PHYSICAL THERAPY 35602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35602,A000000,02700,0000,02700SPEECH PATHOLOGY 35602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35602,A000000,03101,0000,03110CLINITRON BEDS 35602,A000000,03550,0000,03550FQHC 35602,A000000,05000,0000,05000CORF 35602,A000000,05010,0000,05010CMHC 35602,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35602,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35602,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35602,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35602,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35602,A000000,06200,0000,06200PATIENTS LAUNDRY 35602,A81000A,00100,0100,Y 35602,A81000B,00100,0300,RENT 35602,A81000B,00200,0300,RENT 35602,A81000B,00300,0300,RENT 35602,A81000B,00400,0300,MANAGEMENT FEE 35602,A81000B,00500,0300,MANAGEMENT FEE 35602,A81000B,00600,0300,MANAGEMENT FEE 35602,A81000B,00700,0300,MANAGEMENT FEE 35602,A81000B,00800,0300,INTEREST 35602,A81000B,00900,0300,MANAGEMENT FEE BHS 35602,A81000B,01000,0300,MANAGEMENT FEE BHS 35602,A81000B,01100,0300,MANAGEMENT FEE BHS 35602,A81000C,00100,0100,A 35602,A81000C,00100,0200,ARTHUR IVEY 35602,A81000C,00100,0400,WILLOWOOD AT N. 35602,A81000C,00100,0600,RENTAL PROPERTY 35602,A81000C,00400,0100,B 35602,A81000C,00400,0200,ARTHUR IVEY 35602,A81000C,00400,0400,THE WILLOWOOD G 35602,A81000C,00400,0600,HOME OFFICE 35602,A81000C,00700,0100,C 35602,A81000C,00700,0200,G. SCHUSTER 35602,A81000C,00700,0400,WINGATE HEALTHC 35602,A81000C,00700,0600,HOME OFFICE 35602,A81000C,00800,0100,D 35602,A81000C,00800,0200,G. SCHUSTER 35602,A81000C,00800,0400,WINGATE HEALTHC 35602,A81000C,00800,0600,HOME OFFICE 35602,A81000C,00900,0100,E 35602,A81000C,00900,0200,BHS 35602,A81000C,00900,0400,BHS 35602,A81000C,00900,0600,MANAGEMENT 35602,B100000,00000,0100,00000SQUARE FEET 35602,B100000,00000,0200,00000SQUARE FEET 35602,B100000,00000,0300,00000GROSS SALARIES 35602,B100000,00000,0400,00000ACCUM COST 35602,B100000,00000,0500,00000SQUARE FEET 35602,B100000,00000,0600,00000POUNDS OF LAUNDRY 35602,B100000,00000,0700,00000SQUARE FEET 35602,B100000,00000,0800,00000MEALS SERVED 35602,B100000,00000,0900,00000DIRECT NRSG HRS 35602,B100000,00000,1000,00000PATIENT DAYS 35602,B100000,00000,1100,00000PATIENT DAYS 35602,B100000,00000,1200,00000PATIENT DAYS 35602,B100000,00000,1300,00000PATIENT DAYS 35602,B100000,00000,1350,00000PATIENT DAYS 35602,B100000,00000,1400,00000ASSIGNED TIME 35602,E10A180,00501,0100,12/21/2000 35602,E10A180,00550,0100,01/11/2001 35602,S000000,00100,0200,05/31/2000 35602,S200000,00100,0100,175 FRANKLIN STREET 35602,S200000,00200,0100,NORTH ADAMS 35602,S200000,00200,0200,MA 35602,S200000,00200,0300,01247 35602,S200000,00300,0100,BERKSHIRE 35602,S200000,00400,0100,WILLOWOOD OF NORTH ADAMS 35602,S200000,00400,0200,225342 35602,S200000,00400,0300,02/17/1989 35602,S200000,00400,0500,P 35602,S200000,01600,0100,Y 35602,S200000,01900,0100,CORPORATION 35602,S200000,02200,0100,Y 35606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35606,A000000,00300,0000,00300EMPLOYEE BENEFITS 35606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35606,A000000,00700,0000,00700HOUSEKEEPING 35606,A000000,00800,0000,00800DIETARY 35606,A000000,00900,0000,00900NURSING ADMINISTRATION 35606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35606,A000000,01100,0000,01100PHARMACY 35606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35606,A000000,01300,0000,01300SOCIAL SERVICE 35606,A000000,01350,0000,01500ACTIVITIES 35606,A000000,01351,0000,01501INDIRECT CONSULTANTS 35606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35606,A000000,01600,0000,01600SKILLED NURSING FACILITY 35606,A000000,01800,0000,01800NURSING FACILITY 35606,A000000,01810,0000,01810ICF/MR 35606,A000000,01900,0000,01900OTHER LONG TERM CARE 35606,A000000,02100,0000,02100RADIOLOGY 35606,A000000,02200,0000,02200LABORATORY 35606,A000000,02500,0000,02500PHYSICAL THERAPY 35606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35606,A000000,02700,0000,02700SPEECH PATHOLOGY 35606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35606,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35606,A000000,03051,0000,03301AMBULANCE 35606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35606,A000000,03550,0000,03550FQHC 35606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35606,A000000,05000,0000,05000CORF 35606,A000000,05010,0000,05010CMHC 35606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35606,A000000,06150,0000,06300ADULT DAY HEALTH 35606,A81000A,00100,0100,Y 35606,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 35606,A81000B,00200,0300,MANAGEMENT FEE - CAPITAL RELAT 35606,A81000B,00300,0300,MANAGEMENT FEE - CAP. RELATED 35606,A81000C,00100,0100,B 35606,A81000C,00100,0400,LUTHERAN SOCIAL SERVICE 35606,A81000C,00100,0600,HOME OFFICE 35606,B100000,00000,0100,00000SQUARE FEET 35606,B100000,00000,0200,00000SQUARE FEET 35606,B100000,00000,0300,00000GROSS SALARIES 35606,B100000,00000,0400,00000ACCUM. COST 35606,B100000,00000,0500,00000SQUARE FEET 35606,B100000,00000,0600,00000POUNTS OF LAUNDRY 35606,B100000,00000,0700,00000SQUARE FEET 35606,B100000,00000,0800,00000MEALS SERVED 35606,B100000,00000,0900,00000HOURS OF SERVICE 35606,B100000,00000,1000,00000COSTED REQUIS 35606,B100000,00000,1100,00000N/A 35606,B100000,00000,1200,00000PATIENT DAYS 35606,B100000,00000,1300,00000PATIENT DAYS 35606,B100000,00000,1350,00000PATIENT DAYS 35606,B100000,00000,1351,00000N/A 35606,B100000,00000,1400,00000N/A 35606,S000000,00100,0200,06/01/2000 35606,S200000,00100,0100,6 HARVARD STREET 35606,S200000,00200,0100,WORCESTER 35606,S200000,00200,0200,MA 35606,S200000,00200,0300,01608 35606,S200000,00300,0100,WORCESTER 35606,S200000,00400,0100,LUTHERAN HOME OF WORCESTER 35606,S200000,00400,0200,225379 35606,S200000,00400,0300,07/01/1990 35606,S200000,00400,0500,P 35606,S200000,00400,0600,P 35606,S200000,01600,0100,Y 35617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35617,A000000,00300,0000,00300EMPLOYEE BENEFITS 35617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35617,A000000,00700,0000,00700HOUSEKEEPING 35617,A000000,00800,0000,00800DIETARY 35617,A000000,00900,0000,00900NURSING ADMINISTRATION 35617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35617,A000000,01100,0000,01100PHARMACY 35617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35617,A000000,01300,0000,01300SOCIAL SERVICE 35617,A000000,01350,0000,01500ACTIVITIES 35617,A000000,01351,0000,01501INDIRECT CONSULTANTS 35617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35617,A000000,01600,0000,01600SKILLED NURSING FACILITY 35617,A000000,01810,0000,01810ICF/MR 35617,A000000,02100,0000,02100RADIOLOGY 35617,A000000,02200,0000,02200LABORATORY 35617,A000000,02300,0000,02300INTRAVENOUS THERAPY 35617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35617,A000000,02500,0000,02500PHYSICAL THERAPY 35617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35617,A000000,02700,0000,02700SPEECH PATHOLOGY 35617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35617,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35617,A000000,03550,0000,03550FQHC 35617,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35617,A000000,05000,0000,05000CORF 35617,A000000,05010,0000,05010CMHC 35617,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35617,B100000,00000,0100,00000SQUARE FEET 35617,B100000,00000,0200,00000SQUARE FEET 35617,B100000,00000,0300,00000GROSS SALARIES 35617,B100000,00000,0400,00000ACCUM. COST 35617,B100000,00000,0500,00000SQUARE FEET 35617,B100000,00000,0600,00000PATIENT DAYS 35617,B100000,00000,0700,00000SQUARE FEET 35617,B100000,00000,0800,00000PATIENT DAYS 35617,B100000,00000,0900,00000DIRECT NRSING HRS 35617,B100000,00000,1000,00000PATIENT DAYS 35617,B100000,00000,1100,00000N/A 35617,B100000,00000,1200,00000PATIENT DAYS 35617,B100000,00000,1300,00000PATIENT DAYS 35617,B100000,00000,1350,00000PATIENT DAYS 35617,B100000,00000,1351,00000N/A 35617,B100000,00000,1400,00000N/A 35617,S000000,00100,0200,05/31/2000 35617,S200000,00100,0100,359SUMMER STREET 35617,S200000,00200,0100,NEW BEDFORD 35617,S200000,00200,0200,MA 35617,S200000,00200,0300,02740 35617,S200000,00300,0100,BRISTOL 35617,S200000,00400,0100,SACRED HEART NURSING HOME 35617,S200000,00400,0200,225389 35617,S200000,00400,0300,07/01/1990 35617,S200000,00400,0500,P 35617,S200000,00400,0600,P 35617,S200000,01500,0100,Y 35630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35630,A000000,00300,0000,00300EMPLOYEE BENEFITS 35630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35630,A000000,00700,0000,00700HOUSEKEEPING 35630,A000000,00800,0000,00800DIETARY 35630,A000000,00900,0000,00900NURSING ADMINISTRATION 35630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35630,A000000,01100,0000,01100PHARMACY 35630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35630,A000000,01300,0000,01300SOCIAL SERVICE 35630,A000000,01350,0000,01500ACTIVITIES 35630,A000000,01351,0000,01501INDIRECT CONSULTANTS 35630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35630,A000000,01600,0000,01600SKILLED NURSING FACILITY 35630,A000000,01800,0000,01800NURSING FACILITY 35630,A000000,01810,0000,01810ICF/MR 35630,A000000,02100,0000,02100RADIOLOGY 35630,A000000,02200,0000,02200LABORATORY 35630,A000000,02300,0000,02300INTRAVENOUS THERAPY 35630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35630,A000000,02500,0000,02500PHYSICAL THERAPY 35630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35630,A000000,02700,0000,02700SPEECH PATHOLOGY 35630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35630,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35630,A000000,03051,0000,03301AMBULANCE 35630,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35630,A000000,03550,0000,03550FQHC 35630,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35630,A000000,05000,0000,05000CORF 35630,A000000,05010,0000,05010CMHC 35630,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35630,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35630,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35630,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35630,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35630,A81000A,00100,0100,Y 35630,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 35630,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 35630,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 35630,A81000B,00400,0300,INTEREST 35630,A81000B,00500,0300,ADMINISTRATORS SALARY 35630,A81000C,00100,0100,G 35630,A81000C,00100,0200,LANDMARK HEALTH SOLUTIONS 35630,A81000C,00100,0600,MGMT CO 35630,A81000C,00200,0100,A 35630,A81000C,00200,0200,WILLIAM MANTZOUKAS 35630,B100000,00000,0100,00000SQUARE FEET 35630,B100000,00000,0200,00000SQUARE FEET 35630,B100000,00000,0300,00000GROSS SALARIES 35630,B100000,00000,0400,00000ACCUM. COST 35630,B100000,00000,0500,00000SQUARE FEET 35630,B100000,00000,0600,00000PATIENT DAYS 35630,B100000,00000,0700,00000SQUARE FEET 35630,B100000,00000,0800,00000MEALS SERVED 35630,B100000,00000,0900,00000HOURS OF SERVICE 35630,B100000,00000,1000,00000PATIENT DAYS 35630,B100000,00000,1100,00000N/A 35630,B100000,00000,1200,00000PATIENT DAYS 35630,B100000,00000,1300,00000PATIENT DAYS 35630,B100000,00000,1350,00000PATIENT DAYS 35630,B100000,00000,1351,00000N/A 35630,B100000,00000,1400,00000N/A 35630,S000000,00100,0200,06/01/2000 35630,S200000,00100,0100,25 LAFAYETTE STREET 35630,S200000,00200,0100,MARBLEHEAD 35630,S200000,00200,0200,MA 35630,S200000,00200,0300,01945 35630,S200000,00300,0100,ESSEX 35630,S200000,00400,0100,LAFAYETTE CONVALESCENT HOME INC. 35630,S200000,00400,0200,225411 35630,S200000,00400,0300,07/01/1990 35630,S200000,00400,0500,P 35630,S200000,00400,0600,P 35630,S200000,01600,0100,Y 35640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35640,A000000,00300,0000,00300EMPLOYEE BENEFITS 35640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35640,A000000,00700,0000,00700HOUSEKEEPING 35640,A000000,00800,0000,00800DIETARY 35640,A000000,00900,0000,00900NURSING ADMINISTRATION 35640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35640,A000000,01100,0000,01100PHARMACY 35640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35640,A000000,01300,0000,01300SOCIAL SERVICE 35640,A000000,01350,0000,01500ACTIVITIES 35640,A000000,01351,0000,01501INDIRECT CONSULTANTS 35640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35640,A000000,01600,0000,01600SKILLED NURSING FACILITY 35640,A000000,01800,0000,01800NURSING FACILITY 35640,A000000,01810,0000,01810ICF/MR 35640,A000000,02100,0000,02100RADIOLOGY 35640,A000000,02200,0000,02200LABORATORY 35640,A000000,02300,0000,02300INTRAVENOUS THERAPY 35640,A000000,02500,0000,02500PHYSICAL THERAPY 35640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35640,A000000,02700,0000,02700SPEECH PATHOLOGY 35640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35640,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35640,A000000,03051,0000,03301AMBULANCE 35640,A000000,03052,0000,03302NUTRITIONAL THERAPY 35640,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35640,A000000,03550,0000,03550FQHC 35640,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35640,A000000,05000,0000,05000CORF 35640,A000000,05010,0000,05010CMHC 35640,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35640,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35640,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35640,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35640,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35640,A81000A,00100,0100,Y 35640,A81000B,00100,0300,RENT-CAPTIAL RELATED 35640,A81000B,00200,0300,RENT-CAP REL MOVABLE 35640,A81000B,00300,0300,CLERICAL SALARIES 35640,A81000B,00400,0300,CLERICAL SALARIES 35640,A81000B,00500,0300,CLERICAL SALARIES 35640,A81000C,00100,0100,D 35640,A81000C,00100,0200,HOPEDALE GARDEN 35640,A81000C,00100,0400,RSM LLC 35640,A81000C,00100,0600,REALTY 35640,B100000,00000,0100,00000SQUARE FEET 35640,B100000,00000,0200,00000SQUARE FEET 35640,B100000,00000,0300,00000GROSS SALARIES 35640,B100000,00000,0400,00000ACCUM. COST 35640,B100000,00000,0500,00000SQUARE FEET 35640,B100000,00000,0600,00000PATIENT DAYS 35640,B100000,00000,0700,00000SQUARE FEET 35640,B100000,00000,0800,00000PATIENT DAYS 35640,B100000,00000,0900,00000DIRECT NRSING HRS 35640,B100000,00000,1000,00000PATIENT DAYS 35640,B100000,00000,1100,00000N/A 35640,B100000,00000,1200,00000PATIENT DAYS 35640,B100000,00000,1300,00000PATIENT DAYS 35640,B100000,00000,1350,00000PATIENT DAYS 35640,B100000,00000,1351,00000N/A 35640,B100000,00000,1400,00000N/A 35640,S000000,00100,0200,06/01/2000 35640,S200000,00100,0100,325 MAIN STREET 35640,S200000,00200,0100,HOPEDALE 35640,S200000,00200,0200,MA 35640,S200000,00200,0300,01747 35640,S200000,00300,0100,WORCESTER 35640,S200000,00400,0100,HOPEDALE GARDEN NURSING HOME 35640,S200000,00400,0200,225416 35640,S200000,00400,0300,08/06/1997 35640,S200000,00400,0500,P 35640,S200000,00400,0600,P 35640,S200000,01600,0100,Y 35650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35650,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35650,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35650,A000000,00300,0000,00300EMPLOYEE BENEFITS 35650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35650,A000000,00700,0000,00700HOUSEKEEPING 35650,A000000,00800,0000,00800DIETARY 35650,A000000,00801,0000,00801CAFETERIA 35650,A000000,00900,0000,00900NURSING ADMINISTRATION 35650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35650,A000000,01100,0000,01100PHARMACY 35650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35650,A000000,01300,0000,01300SOCIAL SERVICE 35650,A000000,01350,0000,01500INDIRECT CONSULTANTS 35650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35650,A000000,01600,0000,01600SKILLED NURSING FACILITY 35650,A000000,01800,0000,01800NURSING FACILITY 35650,A000000,01810,0000,01810ICF/MR 35650,A000000,02100,0000,02100RADIOLOGY 35650,A000000,02200,0000,02200LABORATORY 35650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35650,A000000,02500,0000,02500PHYSICAL THERAPY 35650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35650,A000000,02700,0000,02700SPEECH PATHOLOGY 35650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35650,A000000,03050,0000,03300COMPLEX MED EQUIP 35650,A000000,03051,0000,03301OTHER ANCILLARY II 35650,A000000,03052,0000,03302OTHER ANCILLARY III 35650,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35650,A000000,03550,0000,03550FQHC 35650,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35650,A000000,04800,0000,04800AMBULANCE 35650,A000000,05000,0000,05000CORF I 35650,A000000,05010,0000,05010CMHC I 35650,A000000,05020,0000,05020OPT I 35650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35650,A000000,05300,0000,05300INTEREST EXPENSE 35650,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35650,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35650,B100000,00000,0100,00000(SQUARE FEET) 35650,B100000,00000,0101,00000(SQUARE FEET) 35650,B100000,00000,0200,00000(SQUARE FEET) 35650,B100000,00000,0201,00000(SQUARE FEET) 35650,B100000,00000,0300,00000(GROSS SALARIES) 35650,B100000,00000,0400,00000(ACCUM. COST) 35650,B100000,00000,0500,00000(SQUARE FEET) 35650,B100000,00000,0600,00000(PATIENT DAYS) 35650,B100000,00000,0700,00000(SQUARE FEET) 35650,B100000,00000,0800,00000(MEALS SERVED) 35650,B100000,00000,0801,00000(MEALS SERVED) 35650,B100000,00000,0900,00000(DIRECT NRSING HRS 35650,B100000,00000,1000,00000(PATIENT DAYS) 35650,B100000,00000,1100,00000(COSTED REQUIS.) 35650,B100000,00000,1200,00000(PATIENT DAYS) 35650,B100000,00000,1300,00000(PATIENT DAYS) 35650,B100000,00000,1350,00000 35650,B100000,00000,1400,00000(ASSIGNED TIME) 35650,S000000,00100,0200,06/01/2000 35650,S200000,00100,0100,201 S. HUNTINGTON AVENUE 35650,S200000,00200,0100,BOSTON 35650,S200000,00200,0200,MA 35650,S200000,00200,0300,02130 35650,S200000,00300,0100,SUFFOLK 35650,S200000,00400,0100,GODDARD HOUSE 35650,S200000,00400,0200,225424 35650,S200000,00400,0300,07/01/1990 35650,S200000,00400,0500,P 35650,S200000,00600,0200,225424 35650,S200000,00600,0300,07/01/1990 35650,S200000,00600,0600,P 35650,S200000,01600,0100,Y 35650,S200000,02200,0100,Y 35658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35658,A000000,00300,0000,00300EMPLOYEE BENEFITS 35658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35658,A000000,00700,0000,00700HOUSEKEEPING 35658,A000000,00800,0000,00800DIETARY 35658,A000000,00900,0000,00900NURSING ADMINISTRATION 35658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35658,A000000,01100,0000,01100PHARMACY 35658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35658,A000000,01300,0000,01300SOCIAL SERVICE 35658,A000000,01350,0000,01500ACTIVITIES 35658,A000000,01351,0000,01501INDIRECT CONSULTANTS 35658,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35658,A000000,01600,0000,01600SKILLED NURSING FACILITY 35658,A000000,01800,0000,01800NURSING FACILITY 35658,A000000,01810,0000,01810ICF/MR 35658,A000000,02100,0000,02100RADIOLOGY 35658,A000000,02200,0000,02200LABORATORY 35658,A000000,02300,0000,02300INTRAVENOUS THERAPY 35658,A000000,02500,0000,02500PHYSICAL THERAPY 35658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35658,A000000,02700,0000,02700SPEECH PATHOLOGY 35658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35658,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35658,A000000,03051,0000,03301AMBULANCE 35658,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35658,A000000,03550,0000,03550FQHC 35658,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35658,A000000,05000,0000,05000CORF 35658,A000000,05010,0000,05010CMHC 35658,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35658,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35658,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35658,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35658,A81000A,00100,0100,Y 35658,A81000B,00100,0300,RENT-CAPITAL RELATED 35658,A81000B,00200,0300,RENT-CAP REL MOVABLE 35658,A81000B,00300,0300,ADMINISTRATOR SALARY 35658,A81000C,00100,0100,A 35658,A81000C,00100,0200,THOMAS COSTIN 35658,A81000C,00100,0400,JESMOND REALTY 35658,A81000C,00100,0600,RENTAL PROPERTY 35658,A81000C,00200,0100,G 35658,A81000C,00200,0200,MAURA COSTIN SCALISE 35658,B100000,00000,0100,00000SQUARE FEET 35658,B100000,00000,0200,00000SQUARE FEET 35658,B100000,00000,0300,00000GROSS SALARIES 35658,B100000,00000,0400,00000ACCUM. COST 35658,B100000,00000,0500,00000SQUARE FEET 35658,B100000,00000,0600,00000PATIENT DAYS 35658,B100000,00000,0700,00000SQUARE FEET 35658,B100000,00000,0800,00000MEALS SERVED 35658,B100000,00000,0900,00000HOURS OF SERVICE 35658,B100000,00000,1000,00000PATIENT DAYS 35658,B100000,00000,1100,00000N/A 35658,B100000,00000,1200,00000N/A 35658,B100000,00000,1300,00000PATIENT DAYS 35658,B100000,00000,1350,00000PATIENT DAYS 35658,B100000,00000,1351,00000N/A 35658,B100000,00000,1400,00000N/A 35658,E10A180,00301,0100,12/21/1999 35658,S000000,00100,0200,05/04/2000 35658,S200000,00100,0100,271 NAHANT ROAD 35658,S200000,00200,0100,NAHANT 35658,S200000,00200,0200,MA 35658,S200000,00300,0100,ESSEX 35658,S200000,00400,0100,JESMOND NURSING HOME 35658,S200000,00400,0200,225471 35658,S200000,00400,0300,07/01/1990 35658,S200000,00400,0500,P 35658,S200000,00400,0600,P 35658,S200000,01600,0100,Y 35669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35669,A000000,00300,0000,00300EMPLOYEE BENEFITS 35669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35669,A000000,00700,0000,00700HOUSEKEEPING 35669,A000000,00800,0000,00800DIETARY 35669,A000000,00900,0000,00900NURSING ADMINISTRATION 35669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35669,A000000,01100,0000,01100PHARMACY 35669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35669,A000000,01300,0000,01300SOCIAL SERVICE 35669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35669,A000000,01600,0000,01600SKILLED NURSING FACILITY 35669,A000000,01800,0000,01800NURSING FACILITY 35669,A000000,01810,0000,01810ICF/MR 35669,A000000,02100,0000,02100RADIOLOGY 35669,A000000,02200,0000,02200LABORATORY 35669,A000000,02300,0000,02300INTRAVENOUS THERAPY 35669,A000000,02500,0000,02500PHYSICAL THERAPY 35669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35669,A000000,02700,0000,02700SPEECH PATHOLOGY 35669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35669,A000000,03550,0000,03550FQHC 35669,A000000,05000,0000,05000CORF 35669,A000000,05010,0000,05010CMHC 35669,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35669,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35669,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35669,A000000,05300,0000,05300INTEREST EXPENSE 35669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35669,A81000A,00100,0100,Y 35669,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 35669,A81000C,00100,0100,B 35669,A81000C,00100,0200,IATROS 35669,A81000C,00100,0400,OAISIS HC IN 35669,B100000,00000,0100,00000SQUARE FEET 35669,B100000,00000,0200,00000SQUARE FEET 35669,B100000,00000,0300,00000GROSS SALARIES 35669,B100000,00000,0400,00000ACCUM COST 35669,B100000,00000,0500,00000SQUARE FEET 35669,B100000,00000,0600,00000PATIENT DAYS 35669,B100000,00000,0700,00000SQUARE FOOTAGE 35669,B100000,00000,0800,00000MEALS SERVED 35669,B100000,00000,0900,00000DIRECT NRSG HRS 35669,B100000,00000,1000,00000COSTED REQUIS 35669,B100000,00000,1100,00000COSTED REQUIS 35669,B100000,00000,1200,00000PATIENT DAYS 35669,B100000,00000,1300,00000PATIENT DAYS 35669,B100000,00000,1400,00000ASSIGNED TIME 35669,S000000,00100,0200,11/29/2000 35669,S200000,00100,0100,DO NOT USE; SEE MA3460 35669,S200000,00200,0200,MA 35669,S200000,00200,0300,00000 35669,S200000,00400,0100,LONGMEADOW OF TAUNTON 35669,S200000,00400,0200,225474 35669,S200000,00400,0300,06/01/1997 35669,S200000,00400,0500,P 35669,S200000,00600,0200,225474 35669,S200000,00600,0300,06/01/1997 35669,S200000,00600,0600,P 35669,S200000,01600,0100,Y 35669,S200000,02200,0100,Y 35670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35670,A000000,00300,0000,00300EMPLOYEE BENEFITS 35670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35670,A000000,00700,0000,00700HOUSEKEEPING 35670,A000000,00800,0000,00800DIETARY 35670,A000000,00900,0000,00900NURSING ADMINISTRATION 35670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35670,A000000,01100,0000,01100PHARMACY 35670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35670,A000000,01300,0000,01300SOCIAL SERVICE 35670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35670,A000000,01600,0000,01600SKILLED NURSING FACILITY 35670,A000000,01800,0000,01800NURSING FACILITY 35670,A000000,01810,0000,01810ICF/MR 35670,A000000,02100,0000,02100RADIOLOGY 35670,A000000,02200,0000,02200LABORATORY 35670,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35670,A000000,02500,0000,02500PHYSICAL THERAPY 35670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35670,A000000,02700,0000,02700SPEECH PATHOLOGY 35670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35670,A000000,03550,0000,03550FQHC 35670,A000000,05000,0000,05000CORF 35670,A000000,05010,0000,05010CMHC 35670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35670,A000000,05300,0000,05300INTEREST EXPENSE 35670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35670,B100000,00000,0100,00000(SQUARE FEET) 35670,B100000,00000,0200,00000(SQUARE FEET) 35670,B100000,00000,0300,00000(GROSS SALARIES) 35670,B100000,00000,0400,00000(ACCUM COST) 35670,B100000,00000,0500,00000(SQUARE FEET) 35670,B100000,00000,0600,00000(PATIENT DAYS) 35670,B100000,00000,0700,00000(SQUARE FEET) 35670,B100000,00000,0800,00000(MEALS SERVED) 35670,B100000,00000,0900,00000(DIRECT NRSG HRS) 35670,B100000,00000,1000,00000(PATIENT DAYS) 35670,B100000,00000,1100,00000(COSTED REQUIS) 35670,B100000,00000,1200,00000CHARGES 35670,B100000,00000,1300,00000(PATIENT DAYS) 35670,B100000,00000,1400,00000ASSIGNED TIME 35670,S000000,00100,0200,06/24/2000 35670,S200000,00100,0100,680 DEAN STREET 35670,S200000,00200,0100,TAUNTON 35670,S200000,00200,0200,MA 35670,S200000,00200,0300,02780 35670,S200000,00300,0100,BRISTOL 35670,S200000,00400,0100,LONGMEADOW OF TAUNTON 35670,S200000,00400,0200,225474 35670,S200000,00400,0300,08/12/1999 35670,S200000,00400,0500,P 35670,S200000,00600,0200,225474 35670,S200000,00600,0300,07/01/1990 35670,S200000,00600,0600,P 35670,S200000,01600,0100,Y 35670,S200000,01900,0100,NON PROFIT 501C 35678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35678,A000000,00300,0000,00300EMPLOYEE BENEFITS 35678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35678,A000000,00700,0000,00700HOUSEKEEPING 35678,A000000,00800,0000,00800DIETARY 35678,A000000,00900,0000,00900NURSING ADMINISTRATION 35678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35678,A000000,01100,0000,01100PHARMACY 35678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35678,A000000,01300,0000,01300SOCIAL SERVICE 35678,A000000,01350,0000,01500ACTIVITIES 35678,A000000,01351,0000,01501INDIRECT CONSULTANTS 35678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35678,A000000,01600,0000,01600SKILLED NURSING FACILITY 35678,A000000,01800,0000,01800NURSING FACILITY 35678,A000000,01810,0000,01810ICF/MR 35678,A000000,02100,0000,02100RADIOLOGY 35678,A000000,02200,0000,02200LABORATORY 35678,A000000,02300,0000,02300INTRAVENOUS THERAPY 35678,A000000,02500,0000,02500PHYSICAL THERAPY 35678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35678,A000000,02700,0000,02700SPEECH PATHOLOGY 35678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35678,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35678,A000000,03051,0000,03301AMBULANCE 35678,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35678,A000000,03550,0000,03550FQHC 35678,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35678,A000000,05000,0000,05000CORF 35678,A000000,05010,0000,05010CMHC 35678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35678,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35678,A000000,06151,0000,06301ASSISTED LIVING 35678,A000000,06152,0000,06302CHAPEL 35678,A81000A,00100,0100,Y 35678,A81000B,00100,0300,RENT-CAPITAL RELATED 35678,A81000B,00200,0300,RENT-CAP REL MOVABLE 35678,A81000B,00300,0300,ADMINISTRATOR SALARY 35678,A81000C,00100,0100,A 35678,A81000C,00100,0200,NORMAND MESSIER 35678,A81000C,00100,0400,N&P REALTY 35678,A81000C,00100,0600,RENTAL PROPERTY 35678,B100000,00000,0100,00002SQUARE FEET 35678,B100000,00000,0200,00002SQUARE FEET 35678,B100000,00000,0300,00002GROSS SALARIES 35678,B100000,00000,0400,00002ACCUM. COST 35678,B100000,00000,0500,00002SQUARE FEET 35678,B100000,00000,0600,00002PATIENT DAYS 35678,B100000,00000,0700,00002SQUARE FEET 35678,B100000,00000,0800,00002PATIENT DAYS 35678,B100000,00000,0900,00002DIRECT NSG 35678,B100000,00000,1000,00002PATIENT DAYS 35678,B100000,00000,1100,00002N/A 35678,B100000,00000,1200,00002PATIENT DAYS 35678,B100000,00000,1300,00002PATIENT DAYS 35678,B100000,00000,1350,00002PATIENT DAYS 35678,B100000,00000,1351,00002N/A 35678,B100000,00000,1400,00002N/A 35678,S000000,00100,0200,04/27/2000 35678,S200000,00100,0100,81 BIRCH STREET 35678,S200000,00200,0100,ABINGTON 35678,S200000,00200,0200,MA 35678,S200000,00300,0100,PLYMOUTH 35678,S200000,00400,0100,MILDRED ALFORD NURSING HOME 35678,S200000,00400,0200,225479 35678,S200000,00400,0300,07/01/1990 35678,S200000,00400,0500,P 35678,S200000,00400,0600,P 35678,S200000,01600,0100,Y 35688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35688,A000000,00300,0000,00300EMPLOYEE BENEFITS 35688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35688,A000000,00700,0000,00700HOUSEKEEPING 35688,A000000,00800,0000,00800DIETARY 35688,A000000,00900,0000,00900NURSING ADMINISTRATION 35688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35688,A000000,01100,0000,01100PHARMACY 35688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35688,A000000,01300,0000,01300SOCIAL SERVICE 35688,A000000,01350,0000,01500ACTIVITIES 35688,A000000,01351,0000,01501INDIRECT CONSULTANTS 35688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35688,A000000,01600,0000,01600SKILLED NURSING FACILITY 35688,A000000,01800,0000,01800NURSING FACILITY 35688,A000000,01810,0000,01810ICF/MR 35688,A000000,01900,0000,01900OTHER LONG TERM CARE 35688,A000000,02100,0000,02100RADIOLOGY 35688,A000000,02200,0000,02200LABORATORY 35688,A000000,02300,0000,02300INTRAVENOUS THERAPY 35688,A000000,02500,0000,02500PHYSICAL THERAPY 35688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35688,A000000,02700,0000,02700SPEECH PATHOLOGY 35688,A000000,02800,0000,02800ELECTROCARDIOLOGY 35688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35688,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35688,A000000,03051,0000,03301PEN THERAPY 35688,A000000,03052,0000,03302AMBULANCE 35688,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35688,A000000,03550,0000,03550FQHC 35688,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35688,A000000,05000,0000,05000CORF 35688,A000000,05010,0000,05010CMHC 35688,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35688,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35688,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35688,B100000,00000,0100,00000SQUARE FEET 35688,B100000,00000,0200,00000SQUARE FEET 35688,B100000,00000,0300,00000GROSS SALARIES 35688,B100000,00000,0400,00000ACCUM. COST 35688,B100000,00000,0500,00000SQUARE FEET 35688,B100000,00000,0600,00000PATIENT DAYS 35688,B100000,00000,0700,00000SQUARE FEET 35688,B100000,00000,0800,00000PATIENT DAYS 35688,B100000,00000,0900,00000DIRECT NRSING HRS 35688,B100000,00000,1000,00000PATIENT DAYS 35688,B100000,00000,1100,00000N/A 35688,B100000,00000,1200,00000PATIENT DAYS 35688,B100000,00000,1300,00000PATIENT DAYS 35688,B100000,00000,1350,00000 35688,B100000,00000,1351,00000 35688,B100000,00000,1400,00000N/A 35688,S000000,00100,0200,05/17/2000 35688,S200000,00100,0100,25 ALPINE STREET 35688,S200000,00200,0100,BOSTON 35688,S200000,00200,0200,MA 35688,S200000,00300,0100,SUFFOLK 35688,S200000,00400,0100,VILLAGE MANOR NURSING HOME 35688,S200000,00400,0200,225498 35688,S200000,00400,0300,07/01/1990 35688,S200000,00400,0500,P 35688,S200000,00400,0600,P 35688,S200000,01600,0100,Y 35696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35696,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35696,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35696,A000000,00300,0000,00300EMPLOYEE BENEFITS 35696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35696,A000000,00700,0000,00700HOUSEKEEPING 35696,A000000,00800,0000,00800DIETARY 35696,A000000,00801,0000,00801CAFETERIA 35696,A000000,00900,0000,00900NURSING ADMINISTRATION 35696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35696,A000000,01100,0000,01100PHARMACY 35696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35696,A000000,01300,0000,01300SOCIAL SERVICE 35696,A000000,01350,0000,01500ACTIVITIES 35696,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35696,A000000,01600,0000,01600SKILLED NURSING FACILITY 35696,A000000,01800,0000,01800NURSING FACILITY 35696,A000000,01810,0000,01810ICF/MR 35696,A000000,02100,0000,02100RADIOLOGY 35696,A000000,02500,0000,02500PHYSICAL THERAPY 35696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35696,A000000,02700,0000,02700SPEECH PATHOLOGY 35696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35696,A000000,03050,0000,03300PEN THERAPY 35696,A000000,03051,0000,03301FEE SCREENING 35696,A000000,03052,0000,03302OTHER ANCILLARY III 35696,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35696,A000000,03550,0000,03550FQHC 35696,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35696,A000000,05000,0000,05000CORF I 35696,A000000,05010,0000,05010CMHC I 35696,A000000,05020,0000,05020OPT I 35696,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35696,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35696,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35696,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35696,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35696,A81000A,00100,0100,Y 35696,A81000B,00100,0300,HOME OFFICE 35696,A81000B,00200,0300,HOME OFFICE CAPITAL 35696,A81000B,00500,0300,SEE ATTACHED 35696,A81000C,00100,0100,B 35696,A81000C,00100,0400,GENESIS HEALTH 35696,A81000C,00100,0600,HOME OFFICE 35696,A81000C,00200,0100,B 35696,A81000C,00200,0400,GENESIS HEALTH 35696,A81000C,00200,0600,HOME OFFICE 35696,A81000C,00300,0100,B 35696,A81000C,00300,0400,GEN ELDER REHAB 35696,A81000C,00300,0600,PT REHAB 35696,A81000C,00400,0100,B 35696,A81000C,00400,0400,GEN ELDER REHAB 35696,A81000C,00400,0600,OT REHAB 35696,A81000C,00500,0100,B 35696,A81000C,00500,0400,GEN ELDER REHAB 35696,A81000C,00500,0600,ST REHAB 35696,A81000C,00600,0100,B 35696,A81000C,00600,0400,RESPIRATORY HEA 35696,A81000C,00600,0600,RT SERVICES 35696,A81000C,00700,0100,B 35696,A81000C,00700,0400,NEIGHBORCARE 35696,A81000C,00700,0600,MED SUPPLIES 35696,A81000C,00800,0100,B 35696,A81000C,00800,0400,NEIGHBORCARE 35696,A81000C,00800,0600,DRUGS 35696,A81000C,00900,0100,B 35696,A81000C,00900,0400,GEN HOSPITALITY 35696,A81000C,00900,0600,DIETARY 35696,A81000C,01000,0100,B 35696,A81000C,01000,0400,GEN PHYSICIAN 35696,A81000C,01000,0600,EMPLOYEE PHYSIC 35696,B100000,00000,0100,00000(SQUARE FEET) 35696,B100000,00000,0101,00000(SQUARE FEET) 35696,B100000,00000,0200,00000(SQUARE FEET) 35696,B100000,00000,0201,00000(SQUARE FEET) 35696,B100000,00000,0300,00000(GROSS SALARIES) 35696,B100000,00000,0400,00000(ACCUM. COST) 35696,B100000,00000,0500,00000(SQUARE FEET) 35696,B100000,00000,0600,00000(PATIENT DAYS) 35696,B100000,00000,0700,00000(SQUARE FEET) 35696,B100000,00000,0800,00000(MEALS SERVED) 35696,B100000,00000,0801,00000(MEALS SERVED) 35696,B100000,00000,0900,00000(NURSING SALARIES) 35696,B100000,00000,1000,00000(COSTED REQUIS.) 35696,B100000,00000,1100,00000(COSTED REQUIS.) 35696,B100000,00000,1200,00000(GROSS CHARGES) 35696,B100000,00000,1300,00000(PATIENT DAYS) 35696,B100000,00000,1350,00000(PATIENT DAYS) 35696,B100000,00000,1400,00000(ASSIGNED TIME) 35696,S000000,00100,0200,05/26/2000 35696,S200000,00100,0100,40 PARKHURST ROAD 35696,S200000,00200,0100,CHELMSFORD 35696,S200000,00200,0200,MA 35696,S200000,00200,0300,01824 35696,S200000,00300,0100,MIDDLESEX 35696,S200000,00400,0100,PALM MANOR 35696,S200000,00400,0200,225508 35696,S200000,00400,0300,07/01/1990 35696,S200000,00400,0500,P 35696,S200000,01600,0100,Y 35705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35705,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35705,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35705,A000000,00300,0000,00300EMPLOYEE BENEFITS 35705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35705,A000000,00700,0000,00700HOUSEKEEPING 35705,A000000,00800,0000,00800DIETARY 35705,A000000,00801,0000,00801CAFETERIA 35705,A000000,00900,0000,00900NURSING ADMINISTRATION 35705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35705,A000000,01100,0000,01100PHARMACY 35705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35705,A000000,01300,0000,01300SOCIAL SERVICE 35705,A000000,01350,0000,01500ACTIVITIES 35705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35705,A000000,01600,0000,01600SKILLED NURSING FACILITY 35705,A000000,01800,0000,01800NURSING FACILITY 35705,A000000,01810,0000,01810ICF/MR 35705,A000000,02100,0000,02100RADIOLOGY 35705,A000000,02500,0000,02500PHYSICAL THERAPY 35705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35705,A000000,02700,0000,02700SPEECH PATHOLOGY 35705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35705,A000000,03050,0000,03300PEN THERAPY 35705,A000000,03051,0000,03301FEE SCREENING 35705,A000000,03052,0000,03302OTHER ANCILLARY III 35705,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35705,A000000,03550,0000,03550FQHC 35705,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35705,A000000,05000,0000,05000CORF I 35705,A000000,05010,0000,05010CMHC I 35705,A000000,05020,0000,05020OPT I 35705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35705,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35705,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35705,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35705,A81000A,00100,0100,Y 35705,A81000B,00100,0300,HOME OFFICE 35705,A81000B,00200,0300,HOME OFFICE CAPITAL 35705,A81000B,00300,0300,INTEREST ALLOCATION 35705,A81000B,00500,0300,SEE ATTACHED 35705,A81000C,00100,0100,B 35705,A81000C,00100,0400,GENESIS HEALTH 35705,A81000C,00100,0600,HOME OFFICE 35705,A81000C,00200,0100,B 35705,A81000C,00200,0400,GEN ELDER REHAB 35705,A81000C,00200,0600,PT REHAB 35705,A81000C,00300,0100,B 35705,A81000C,00300,0400,GEN ELDER REHAB 35705,A81000C,00300,0600,OT REHAB 35705,A81000C,00400,0100,B 35705,A81000C,00400,0400,GEN ELDER REHAB 35705,A81000C,00400,0600,ST REHAB 35705,A81000C,00500,0100,B 35705,A81000C,00500,0400,NEIGHBORCARE 35705,A81000C,00500,0600,MED SUPPLIES 35705,A81000C,00600,0100,B 35705,A81000C,00600,0400,NEIGHBORCARE 35705,A81000C,00600,0600,DRUGS 35705,A81000C,00700,0100,B 35705,A81000C,00700,0400,GEN HOSP SERV 35705,A81000C,00700,0600,DIETARY 35705,A81000C,00800,0100,B 35705,A81000C,00800,0400,GENESIS PHYSICN 35705,A81000C,00800,0600,EMPL PHYSICALS 35705,B100000,00000,0100,00000(SQUARE FEET) 35705,B100000,00000,0101,00000(SQUARE FEET) 35705,B100000,00000,0200,00000(SQUARE FEET) 35705,B100000,00000,0201,00000(SQUARE FEET) 35705,B100000,00000,0300,00000(GROSS SALARIES) 35705,B100000,00000,0400,00000(ACCUM. COST) 35705,B100000,00000,0500,00000(SQUARE FEET) 35705,B100000,00000,0600,00000(PATIENT DAYS) 35705,B100000,00000,0700,00000(SQUARE FEET) 35705,B100000,00000,0800,00000(MEALS SERVED) 35705,B100000,00000,0801,00000(MEALS SERVED) 35705,B100000,00000,0900,00000(NURSING SALARIES) 35705,B100000,00000,1000,00000(COSTED REQUIS.) 35705,B100000,00000,1100,00000(COSTED REQUIS.) 35705,B100000,00000,1200,00000(GROSS CHARGES) 35705,B100000,00000,1300,00000(PATIENT DAYS) 35705,B100000,00000,1350,00000(PATIENT DAYS) 35705,B100000,00000,1400,00000(ASSIGNED TIME) 35705,S000000,00100,0200,05/26/2000 35705,S200000,00100,0100,140 PRESCOTT STREET 35705,S200000,00200,0100,NORTH ANDOVER 35705,S200000,00200,0200,MA 35705,S200000,00200,0300,01845 35705,S200000,00300,0100,ESSEX 35705,S200000,00400,0100,PRESCOTT CENTER 35705,S200000,00400,0200,225510 35705,S200000,00400,0300,07/01/1990 35705,S200000,00400,0500,P 35705,S200000,01600,0100,Y 35715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35715,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35715,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35715,A000000,00300,0000,00300EMPLOYEE BENEFITS 35715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35715,A000000,00700,0000,00700HOUSEKEEPING 35715,A000000,00800,0000,00800DIETARY 35715,A000000,00801,0000,00801CAFETERIA 35715,A000000,00900,0000,00900NURSING ADMINISTRATION 35715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35715,A000000,01100,0000,01100PHARMACY 35715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35715,A000000,01300,0000,01300SOCIAL SERVICE 35715,A000000,01350,0000,01500ACTIVITIES 35715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35715,A000000,01600,0000,01600SKILLED NURSING FACILITY 35715,A000000,01800,0000,01800NURSING FACILITY 35715,A000000,01810,0000,01810ICF/MR 35715,A000000,02100,0000,02100RADIOLOGY 35715,A000000,02500,0000,02500PHYSICAL THERAPY 35715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35715,A000000,02700,0000,02700SPEECH PATHOLOGY 35715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35715,A000000,03050,0000,03300PEN THERAPY 35715,A000000,03051,0000,03301FEE SCREENING 35715,A000000,03052,0000,03302OTHER ANCILLARY III 35715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35715,A000000,03550,0000,03550FQHC 35715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35715,A000000,05000,0000,05000CORF I 35715,A000000,05010,0000,05010CMHC I 35715,A000000,05020,0000,05020OPT I 35715,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35715,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35715,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35715,A81000A,00100,0100,Y 35715,A81000B,00100,0300,HOME OFFICE 35715,A81000B,00200,0300,HOME OFFICE CAPITAL 35715,A81000B,00300,0300,INTEREST ALLOCATION 35715,A81000B,00600,0300,SEE ATTACHED 35715,A81000C,00100,0100,B 35715,A81000C,00100,0400,GENESIS HEALTH 35715,A81000C,00100,0600,HOME OFFICE 35715,A81000C,00200,0100,B 35715,A81000C,00200,0400,GEN ELDER REHAB 35715,A81000C,00200,0600,PT REHAB 35715,A81000C,00300,0100,B 35715,A81000C,00300,0400,GEN ELDER REHAB 35715,A81000C,00300,0600,OT REHAB 35715,A81000C,00400,0100,B 35715,A81000C,00400,0400,GEN ELDER REHAB 35715,A81000C,00400,0600,ST REHAB 35715,A81000C,00500,0100,B 35715,A81000C,00500,0400,NEIGHBORCARE 35715,A81000C,00500,0600,MED SUPPLIES 35715,A81000C,00600,0100,B 35715,A81000C,00600,0400,NEIGHBORCARE 35715,A81000C,00600,0600,DRUGS 35715,A81000C,00700,0100,B 35715,A81000C,00700,0400,RESP. HEALTH 35715,A81000C,00700,0600,RESP THERAPY 35715,B100000,00000,0100,00000(SQUARE FEET) 35715,B100000,00000,0101,00000(SQUARE FEET) 35715,B100000,00000,0200,00000(SQUARE FEET) 35715,B100000,00000,0201,00000(SQUARE FEET) 35715,B100000,00000,0300,00000(GROSS SALARIES) 35715,B100000,00000,0400,00000(ACCUM. COST) 35715,B100000,00000,0500,00000(SQUARE FEET) 35715,B100000,00000,0600,00000(PATIENT DAYS) 35715,B100000,00000,0700,00000(SQUARE FEET) 35715,B100000,00000,0800,00000(MEALS SERVED) 35715,B100000,00000,0801,00000(MEALS SERVED) 35715,B100000,00000,0900,00000(NURSING SALARIES) 35715,B100000,00000,1000,00000(COSTED REQUIS.) 35715,B100000,00000,1100,00000(COSTED REQUIS.) 35715,B100000,00000,1200,00000(GROSS CHARGES) 35715,B100000,00000,1300,00000(PATIENT DAYS) 35715,B100000,00000,1350,00000(PATIENT DAYS) 35715,B100000,00000,1400,00000(ASSIGNED TIME) 35715,S000000,00100,0200,05/26/2000 35715,S200000,00100,0100,30PRINCETON BLVD. 35715,S200000,00200,0100,LOWELL 35715,S200000,00200,0200,MA 35715,S200000,00200,0300,01851 35715,S200000,00300,0100,MIDDLESEX 35715,S200000,00400,0100,WILLOW MANOR 35715,S200000,00400,0200,225511 35715,S200000,00400,0300,07/01/1990 35715,S200000,00400,0500,P 35715,S200000,01600,0100,Y 35727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35727,A000000,00300,0000,00300EMPLOYEE BENEFITS 35727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35727,A000000,00700,0000,00700HOUSEKEEPING 35727,A000000,00800,0000,00800DIETARY 35727,A000000,00900,0000,00900NURSING ADMINISTRATION 35727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35727,A000000,01100,0000,01100PHARMACY 35727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35727,A000000,01300,0000,01300SOCIAL SERVICE 35727,A000000,01350,0000,01500ACTIVITIES 35727,A000000,01351,0000,01501INDIRECT CONSULTING 35727,A000000,01355,0000,01502SNF PARTICIPATING 35727,A000000,01356,0000,01503SNF NONPARTICIPATING 35727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35727,A000000,01600,0000,01600SKILLED NURSING FACILITY 35727,A000000,01800,0000,01800NURSING FACILITY 35727,A000000,01810,0000,01810ICF/MR 35727,A000000,02100,0000,02100RADIOLOGY 35727,A000000,02200,0000,02200LABORATORY 35727,A000000,02300,0000,02300INTRAVENOUS THERAPY 35727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35727,A000000,02500,0000,02500PHYSICAL THERAPY 35727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35727,A000000,02700,0000,02700SPEECH PATHOLOGY 35727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35727,A000000,03050,0000,03300AIR FLUID THERAPY 35727,A000000,03550,0000,03550FQHC 35727,A000000,05000,0000,05000CORF 35727,A000000,05010,0000,05010CMHC 35727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35727,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35727,A81000A,00100,0100,Y 35727,A81000B,00100,0300,RENT - BLDGS & FIXTURES 35727,A81000B,00200,0300,RENT - MOVEABLE EQUIPMENT 35727,A81000B,00300,0300,MGT FEE - NON CAPITAL 35727,A81000B,00400,0300,BLD & FIXED 35727,A81000B,00500,0300,MME 35727,A81000B,00600,0300,BENEFITS 35727,A81000B,00700,0300,PHYSICAL THERAPY 35727,A81000B,00800,0300,NURSING PUBLICATIONS 35727,A81000B,00900,0300,ENTL SUPPLY-NURSING SERVICE 35727,A81000B,01000,0300,MED REC SUPPLIES 35727,A81000B,01100,0300,PHARMACY CONSULTANT 35727,A81000B,01200,0300,EMPLOYEE PHYSICALS 35727,A81000B,01300,0300,PHARMACY - A 35727,A81000B,01400,0300,PHARMACY - MEDICAID 35727,A81000B,01500,0300,PHARMACY - CONTRACT 35727,A81000B,01600,0300,PHARMACY - B 35727,A81000B,01700,0300,IV THERAPY - MED A 35727,A81000B,01800,0300,IV THERAPY - WELFARE 35727,A81000B,01900,0300,IV THERAPY - CONTRACT 35727,A81000B,02000,0300,MED IV PREP 35727,A81000B,02100,0300,IV PREP OTHER 35727,A81000B,02200,0300,MED SUPPLY - PART A 35727,A81000B,02300,0300,MED SUPPLY - CONTRACE 35727,A81000C,00100,0100,A 35727,A81000C,00100,0200,ALFRED ARCIDI 35727,A81000C,00100,0400,SIPPICAN REALTY 35727,A81000C,00100,0600,RENTAL PROPERY 35727,A81000C,00200,0100,A 35727,A81000C,00200,0200,ALFRED ARCIDI 35727,A81000C,00200,0400,ARBRO CORP 35727,A81000C,00200,0600,HOME OFFICE 35727,A81000C,00300,0100,A 35727,A81000C,00300,0200,ALFRED ARCIDI 35727,A81000C,00300,0400,WHITTIER PHARMA 35727,A81000C,00300,0600,PHARMACY 35727,B100000,00000,0100,00000SQUARE FEET 35727,B100000,00000,0200,00000DOLLAR VALUE 35727,B100000,00000,0300,00000GROSS SALARIES 35727,B100000,00000,0400,00000ACCUM. COST 35727,B100000,00000,0500,00000SQUARE FEET 35727,B100000,00000,0600,00000POUNDS OF LAUNDRY 35727,B100000,00000,0700,00000HOURS OF SERVICE 35727,B100000,00000,0800,00000MEALS SERVED 35727,B100000,00000,0900,00000DIRECT NRSING HRS 35727,B100000,00000,1000,00000COSTED REQUIS. 35727,B100000,00000,1100,00000COSTED REQUIS. 35727,B100000,00000,1200,00000TIME SPENT 35727,B100000,00000,1300,00000TIME SPENT 35727,B100000,00000,1350,00000OTHER 35727,B100000,00000,1351,00000OTHER 35727,B100000,00000,1352,00000OTHER 35727,B100000,00000,1353,00000OTHER 35727,B100000,00000,1400,00000ASSIGNED TIME 35727,E10A180,00301,0100,04/11/2000 35727,S000000,00100,0200,06/08/2000 35727,S200000,00100,0100,15 MILL STREET 35727,S200000,00200,0100,MARION 35727,S200000,00200,0200,MA 35727,S200000,00300,0100,02738 PLYMOUTH 35727,S200000,00400,0100,MRN D/B/A SIPPICAN LTCF 35727,S200000,00400,0200,225518 35727,S200000,00400,0300,06/21/1990 35727,S200000,00400,0500,P 35727,S200000,00600,0200,225518 35727,S200000,00600,0300,06/21/1990 35727,S200000,00600,0600,P 35727,S200000,01600,0100,Y 35735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35735,A000000,00300,0000,00300EMPLOYEE BENEFITS 35735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35735,A000000,00700,0000,00700HOUSEKEEPING 35735,A000000,00800,0000,00800DIETARY 35735,A000000,00900,0000,00900NURSING ADMINISTRATION 35735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35735,A000000,01100,0000,01100PHARMACY 35735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35735,A000000,01300,0000,01300SOCIAL SERVICE 35735,A000000,01350,0000,01500ACTIVITIES 35735,A000000,01351,0000,01501INDIRECT CONSULTANTS 35735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35735,A000000,01600,0000,01600SKILLED NURSING FACILITY 35735,A000000,01800,0000,01800NURSING FACILITY 35735,A000000,01810,0000,01810ICF/MR 35735,A000000,02200,0000,02200LABORATORY 35735,A000000,02500,0000,02500PHYSICAL THERAPY 35735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35735,A000000,02700,0000,02700SPEECH PATHOLOGY 35735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35735,A000000,03050,0000,03300PHARMACY 35735,A000000,03051,0000,03301AMBULANCE 35735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35735,A000000,03550,0000,03550FQHC 35735,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35735,A000000,05000,0000,05000CORF 35735,A000000,05010,0000,05010CMHC 35735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35735,A81000A,00100,0100,Y 35735,A81000B,00100,0300,EMPLOYEE BENEFITS 35735,A81000B,00200,0300,A&G 35735,A81000B,00300,0300,PLANT 35735,A81000C,00100,0100,G 35735,A81000C,00100,0200,CITY OF HAVERHILL 35735,B100000,00000,0100,00000SQUARE FEET 35735,B100000,00000,0200,00000SQUARE FEET 35735,B100000,00000,0300,00000GROSS SALARIES 35735,B100000,00000,0400,00000ACCUM. COST 35735,B100000,00000,0500,00000SQUARE FEET 35735,B100000,00000,0600,00000PATIENT DAYS 35735,B100000,00000,0700,00000SQUARE FEET 35735,B100000,00000,0800,00000MEALS SERVED 35735,B100000,00000,0900,00000HOURS OF SERVICE 35735,B100000,00000,1000,00000PATIENT DAYS 35735,B100000,00000,1100,00000N/A 35735,B100000,00000,1200,00000PATIENT DAYS 35735,B100000,00000,1300,00000PATIENT DAYS 35735,B100000,00000,1350,00000PATIENT DAYS 35735,B100000,00000,1351,00000N/A 35735,B100000,00000,1400,00000N/A 35735,S000000,00100,0200,06/01/2000 35735,S200000,00100,0100,61 BROWN STREET 35735,S200000,00200,0100,HAVERHILL 35735,S200000,00200,0200,MA 35735,S200000,00200,0300,01830 35735,S200000,00300,0100,ESSEX 35735,S200000,00400,0100,GLYNN MEMORIAL NURSING HOME 35735,S200000,00400,0200,225519 35735,S200000,00400,0300,07/23/1990 35735,S200000,00400,0500,P 35735,S200000,00400,0600,P 35735,S200000,01600,0100,Y 35745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35745,A000000,00300,0000,00300EMPLOYEE BENEFITS 35745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35745,A000000,00700,0000,00700HOUSEKEEPING 35745,A000000,00800,0000,00800DIETARY 35745,A000000,00900,0000,00900NURSING ADMINISTRATION 35745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35745,A000000,01100,0000,01100PHARMACY 35745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35745,A000000,01300,0000,01300SOCIAL SERVICE 35745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35745,A000000,01600,0000,01600SKILLED NURSING FACILITY 35745,A000000,01800,0000,01800NURSING FACILITY 35745,A000000,01810,0000,01810ICF/MR 35745,A000000,02100,0000,02100RADIOLOGY 35745,A000000,02200,0000,02200LABORATORY 35745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35745,A000000,02500,0000,02500PHYSICAL THERAPY 35745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35745,A000000,02700,0000,02700SPEECH PATHOLOGY 35745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35745,A000000,03550,0000,03550FQHC 35745,A000000,05000,0000,05000CORF 35745,A000000,05010,0000,05010CMHC 35745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35745,A000000,05300,0000,05300INTEREST EXPENSE 35745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35745,B100000,00000,0100,00000SQUARE FEET 35745,B100000,00000,0200,00000SQUARE FEET 35745,B100000,00000,0300,00000GROSS SALARIES 35745,B100000,00000,0400,00000ACCUM COST 35745,B100000,00000,0500,00000SQUARE FEET 35745,B100000,00000,0600,00000PATIENT DAYS 35745,B100000,00000,0700,00000SQUARE FEET 35745,B100000,00000,0800,00000MEALS SERVED 35745,B100000,00000,0900,00000DIRECT NRSG HRS 35745,B100000,00000,1000,00000COSTED REQUIS 35745,B100000,00000,1100,00000COSTED REQUIS 35745,B100000,00000,1200,00000PATIENT DAYS 35745,B100000,00000,1300,00000PATIENT DAYS 35745,B100000,00000,1400,00000ASSIGNED TIME 35745,S000000,00100,0200,12/01/2000 35745,S200000,00100,0100,211 FRANKLIN STREET 35745,S200000,00200,0100,QUINCY 35745,S200000,00200,0200,MA 35745,S200000,00200,0300,02169 35745,S200000,00300,0100,NORFOLK 35745,S200000,00400,0100,JOHN ADAMS CONTINUING CARE CTR 35745,S200000,00400,0200,225522 35745,S200000,00400,0300,06/01/1997 35745,S200000,00400,0500,P 35745,S200000,00600,0200,225522 35745,S200000,00600,0300,06/01/1997 35745,S200000,00600,0600,P 35745,S200000,01600,0100,Y 35746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35746,A000000,00300,0000,00300EMPLOYEE BENEFITS 35746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35746,A000000,00700,0000,00700HOUSEKEEPING 35746,A000000,00800,0000,00800DIETARY 35746,A000000,00900,0000,00900NURSING ADMINISTRATION 35746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35746,A000000,01100,0000,01100PHARMACY 35746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35746,A000000,01300,0000,01300SOCIAL SERVICE 35746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35746,A000000,01600,0000,01600SKILLED NURSING FACILITY 35746,A000000,01800,0000,01800NURSING FACILITY 35746,A000000,01810,0000,01810ICF/MR 35746,A000000,02100,0000,02100RADIOLOGY 35746,A000000,02200,0000,02200LABORATORY 35746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35746,A000000,02500,0000,02500PHYSICAL THERAPY 35746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35746,A000000,02700,0000,02700SPEECH PATHOLOGY 35746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35746,A000000,03550,0000,03550FQHC 35746,A000000,05000,0000,05000CORF 35746,A000000,05010,0000,05010CMHC 35746,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35746,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35746,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35746,A000000,05300,0000,05300INTEREST EXPENSE 35746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35746,B100000,00000,0100,00000(SQUARE FEET) 35746,B100000,00000,0200,00000(SQUARE FEET) 35746,B100000,00000,0300,00000(GROSS SALARIES) 35746,B100000,00000,0400,00000(ACCUM COST) 35746,B100000,00000,0500,00000(SQUARE FEET) 35746,B100000,00000,0600,00000PATIENT DAYS 35746,B100000,00000,0700,00000(SQUARE FEET) 35746,B100000,00000,0800,00000(MEALS SERVED) 35746,B100000,00000,0900,00000(DIRECT NRSG HRS) 35746,B100000,00000,1000,00000(COSTED REQUIS) 35746,B100000,00000,1100,00000(COSTED REQUIS) 35746,B100000,00000,1200,00000(GROSS REV CHARGE) 35746,B100000,00000,1300,00000(TIME SPENT) 35746,B100000,00000,1400,00000ASSIGNED TIME 35746,S000000,00100,0200,05/31/2000 35746,S200000,00100,0100,211 FRANKLIN STREET 35746,S200000,00100,0300,NOT SET 35746,S200000,00200,0100,QUINCY 35746,S200000,00200,0200,MA 35746,S200000,00200,0300,02169 35746,S200000,00300,0100,NORFOLK 35746,S200000,00400,0100,JOHN ADAMS CONTINUING CARE CTR 35746,S200000,00400,0200,225522 35746,S200000,00400,0300,08/12/1999 35746,S200000,00400,0500,P 35746,S200000,00600,0200,225522 35746,S200000,00600,0300,08/12/1999 35746,S200000,00600,0600,P 35746,S200000,01600,0100,Y 35746,S200000,01900,0100,NON PROFIT 501C 35756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35756,A000000,00300,0000,00300EMPLOYEE BENEFITS 35756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35756,A000000,00700,0000,00700HOUSEKEEPING 35756,A000000,00800,0000,00800DIETARY 35756,A000000,00900,0000,00900NURSING ADMINISTRATION 35756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35756,A000000,01100,0000,01100PHARMACY 35756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35756,A000000,01300,0000,01300SOCIAL SERVICE 35756,A000000,01350,0000,01500ACTIVITIES 35756,A000000,01351,0000,01501INDIRECT CONSULTANTS 35756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35756,A000000,01600,0000,01600SKILLED NURSING FACILITY 35756,A000000,01800,0000,01800NURSING FACILITY 35756,A000000,01810,0000,01810ICF/MR 35756,A000000,02200,0000,02200LABORATORY 35756,A000000,02300,0000,02300INTRAVENOUS THERAPY 35756,A000000,02500,0000,02500PHYSICAL THERAPY 35756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35756,A000000,02700,0000,02700SPEECH PATHOLOGY 35756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35756,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35756,A000000,03051,0000,03301NUTRITIONAL THERAPY 35756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35756,A000000,03550,0000,03550FQHC 35756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35756,A000000,05000,0000,05000CORF 35756,A000000,05010,0000,05010CMHC 35756,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35756,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35756,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35756,A81000A,00100,0100,Y 35756,A81000B,00100,0300,RENT-CAPITAL RELATED 35756,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 35756,A81000B,00300,0300,EMPLOYEE BENEFITS-MEAL TICKETS 35756,A81000B,00400,0300,EMPLOYEE BENEFITS-W/COMP 35756,A81000B,00500,0300,EMPLOYEE BENEFITS-EMPLOYEE PHY 35756,A81000B,00600,0300,MGMT FEE-CAP RELATED BLDG 35756,A81000B,00700,0300,MGMT FEE-CAP RELATED MME 35756,A81000C,00100,0100,B 35756,A81000C,00100,0200,N SUBURBAN REALTY 35756,A81000C,00100,0400,N SUBURBAN REALTY 35756,A81000C,00100,0600,RENTAL PROPERTIES 35756,A81000C,00200,0100,B 35756,A81000C,00200,0200,ATLANTIC CONSOLIDATED 35756,A81000C,00300,0100,C 35756,A81000C,00300,0200,N SUBURBAN REALTY 35756,A81000C,00300,0400,COPLEY HEALTHCARE MGMT 35756,A81000C,00300,0600,HOME OFFICE 35756,A81000C,00400,0100,C 35756,A81000C,00400,0200,ATLANTIC CONSOLIDATED 35756,A81000C,00400,0400,COPLEY HEALTHCARE MGMT 35756,A81000C,00400,0600,HOME OFFICE 35756,A81000C,00500,0200,OCCUPATIONAL HEALTH 35756,A81000C,00500,0400,N SUBURBAN HEALTH SYS INC 35756,A81000C,00500,0600,W/COMP INSURANCE 35756,A81000C,00600,0100,A 35756,A81000C,00600,0200,MALDEN HOSPITAL 35756,A81000C,00600,0400,N SUBURBAN REALTY 35756,B100000,00000,0100,00000SQUARE FEET 35756,B100000,00000,0200,00000SQUARE FEET 35756,B100000,00000,0300,00000GROSS SALARIES 35756,B100000,00000,0400,00000ACCUM. COST 35756,B100000,00000,0500,00000SQUARE FEET 35756,B100000,00000,0600,00000PATIENT DAYS 35756,B100000,00000,0700,00000SQUARE FEET 35756,B100000,00000,0800,00000PATIENT DAYS 35756,B100000,00000,0900,00000DIRECT NRSING HRS 35756,B100000,00000,1000,00000PATIENT DAYS 35756,B100000,00000,1100,00000N/A 35756,B100000,00000,1200,00000PATIENT DAYS 35756,B100000,00000,1300,00000PATIENT DAYS 35756,B100000,00000,1350,00000PATIENT DAYS 35756,B100000,00000,1351,00000N/A 35756,B100000,00000,1400,00000N/A 35756,S000000,00100,0200,05/24/2000 35756,S200000,00100,0100,HOSPITAL ROAD 35756,S200000,00200,0100,MALDEN 35756,S200000,00200,0200,MA 35756,S200000,00200,0300,02148 35756,S200000,00300,0100,MIDDLESEX 35756,S200000,00400,0100,GLEN RIDGE NURSING CARE CENTER 35756,S200000,00400,0200,225523 35756,S200000,00400,0300,08/16/1990 35756,S200000,00400,0500,P 35756,S200000,00400,0600,P 35756,S200000,01600,0100,Y 35764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35764,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35764,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35764,A000000,00300,0000,00300EMPLOYEE BENEFITS 35764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35764,A000000,00700,0000,00700HOUSEKEEPING 35764,A000000,00800,0000,00800DIETARY 35764,A000000,00801,0000,00801CAFETERIA 35764,A000000,00900,0000,00900NURSING ADMINISTRATION 35764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35764,A000000,01100,0000,01100PHARMACY 35764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35764,A000000,01300,0000,01300SOCIAL SERVICE 35764,A000000,01350,0000,01500ACTIVITIES 35764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35764,A000000,01600,0000,01600SKILLED NURSING FACILITY 35764,A000000,01800,0000,01800NURSING FACILITY 35764,A000000,01810,0000,01810ICF/MR 35764,A000000,02100,0000,02100RADIOLOGY 35764,A000000,02500,0000,02500PHYSICAL THERAPY 35764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35764,A000000,02700,0000,02700SPEECH PATHOLOGY 35764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35764,A000000,03050,0000,03300PEN THERAPY 35764,A000000,03051,0000,03301FEE SCREENING 35764,A000000,03052,0000,03302OTHER ANCILLARY III 35764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35764,A000000,03550,0000,03550FQHC 35764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35764,A000000,05000,0000,05000CORF I 35764,A000000,05010,0000,05010CMHC I 35764,A000000,05020,0000,05020OPT I 35764,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35764,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35764,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35764,A81000A,00100,0100,Y 35764,A81000B,00100,0300,HOME OFFICE 35764,A81000B,00200,0300,HOME OFFICE CAPITAL 35764,A81000B,00500,0300,SEE ATTACHED 35764,A81000C,00100,0100,B 35764,A81000C,00100,0400,GENESIS HEALTH 35764,A81000C,00100,0600,HOME OFFICE 35764,A81000C,00200,0100,B 35764,A81000C,00200,0400,GEN ELDER REHAB 35764,A81000C,00200,0600,PT REHAB 35764,A81000C,00300,0100,B 35764,A81000C,00300,0400,GEN ELDER REHAB 35764,A81000C,00300,0600,OT REHAB 35764,A81000C,00400,0100,B 35764,A81000C,00400,0400,GEN ELDER REHAB 35764,A81000C,00400,0600,ST REHAB 35764,A81000C,00500,0100,B 35764,A81000C,00500,0400,NEIGHBORCARE 35764,A81000C,00500,0600,MED SUPPLIES 35764,A81000C,00600,0100,B 35764,A81000C,00600,0400,NEIGHBORCARE 35764,A81000C,00600,0600,DRUGS 35764,A81000C,00700,0100,B 35764,A81000C,00700,0400,GEN HOSP SERV 35764,A81000C,00700,0600,DIETARY 35764,B100000,00000,0100,00000(SQUARE FEET) 35764,B100000,00000,0101,00000(SQUARE FEET) 35764,B100000,00000,0200,00000(SQUARE FEET) 35764,B100000,00000,0201,00000(SQUARE FEET) 35764,B100000,00000,0300,00000(GROSS SALARIES) 35764,B100000,00000,0400,00000(ACCUM. COST) 35764,B100000,00000,0500,00000(SQUARE FEET) 35764,B100000,00000,0600,00000(PATIENT DAYS) 35764,B100000,00000,0700,00000(SQUARE FEET) 35764,B100000,00000,0800,00000(MEALS SERVED) 35764,B100000,00000,0801,00000(MEALS SERVED) 35764,B100000,00000,0900,00000(NURSING SALARIES) 35764,B100000,00000,1000,00000(COSTED REQUIS.) 35764,B100000,00000,1100,00000(COSTED REQUIS.) 35764,B100000,00000,1200,00000(GROSS CHARGES) 35764,B100000,00000,1300,00000(PATIENT DAYS) 35764,B100000,00000,1350,00000(PATIENT DAYS) 35764,B100000,00000,1400,00000(ASSIGNED TIME) 35764,S000000,00100,0200,05/26/2000 35764,S200000,00100,0100,1841 TRAPELO ROAD 35764,S200000,00200,0100,WALTHAM 35764,S200000,00200,0200,MA 35764,S200000,00200,0300,02154 35764,S200000,00300,0100,MIDDLESEX 35764,S200000,00400,0100,RESERVOIR CENTER 35764,S200000,00400,0200,225524 35764,S200000,00400,0300,07/01/1990 35764,S200000,00400,0500,P 35764,S200000,01600,0100,Y 35773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35773,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35773,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35773,A000000,00300,0000,00300EMPLOYEE BENEFITS 35773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35773,A000000,00700,0000,00700HOUSEKEEPING 35773,A000000,00800,0000,00800DIETARY 35773,A000000,00801,0000,00801CAFETERIA 35773,A000000,00900,0000,00900NURSING ADMINISTRATION 35773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35773,A000000,01100,0000,01100PHARMACY 35773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35773,A000000,01300,0000,01300SOCIAL SERVICE 35773,A000000,01350,0000,01500ACTIVITIES 35773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35773,A000000,01600,0000,01600SKILLED NURSING FACILITY 35773,A000000,01800,0000,01800NURSING FACILITY 35773,A000000,01810,0000,01810ICF/MR 35773,A000000,02100,0000,02100RADIOLOGY 35773,A000000,02500,0000,02500PHYSICAL THERAPY 35773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35773,A000000,02700,0000,02700SPEECH PATHOLOGY 35773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35773,A000000,03050,0000,03300PEN THERAPY 35773,A000000,03051,0000,03301FEE SCREENING 35773,A000000,03052,0000,03302OTHER ANCILLARY III 35773,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35773,A000000,03550,0000,03550FQHC 35773,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35773,A000000,05000,0000,05000CORF I 35773,A000000,05010,0000,05010CMHC I 35773,A000000,05020,0000,05020OPT I 35773,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35773,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35773,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35773,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35773,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35773,A81000A,00100,0100,Y 35773,A81000B,00100,0300,HOME OFFICE ALLOCATION 35773,A81000B,00200,0300,HOME OFFICE ALLOCATION 35773,A81000B,00300,0300,CAPITAL INTEREST 35773,A81000B,00400,0300,SEE ATTACHED 35773,A81000C,00100,0100,B 35773,A81000C,00100,0400,GENESIS HEALTH 35773,A81000C,00100,0600,HOME OFFICE 35773,A81000C,00200,0100,B 35773,A81000C,00200,0400,GENESIS HEALTH 35773,A81000C,00200,0600,HOME OFFICE 35773,A81000C,00300,0100,B 35773,A81000C,00300,0400,GENESIS HEALTH 35773,A81000C,00300,0600,HOME OFFICE 35773,A81000C,00400,0100,B 35773,A81000C,00400,0400,SEE ATTACHED 35773,A81000C,00400,0600,VARIOUS 35773,B100000,00000,0100,00000(SQUARE FEET) 35773,B100000,00000,0101,00000(SQUARE FEET) 35773,B100000,00000,0200,00000(SQUARE FEET) 35773,B100000,00000,0201,00000(SQUARE FEET) 35773,B100000,00000,0300,00000(GROSS SALARIES) 35773,B100000,00000,0400,00000(ACCUM. COST) 35773,B100000,00000,0500,00000(SQUARE FEET) 35773,B100000,00000,0600,00000(PATIENT DAYS) 35773,B100000,00000,0700,00000(SQUARE FEET) 35773,B100000,00000,0800,00000(MEALS SERVED) 35773,B100000,00000,0801,00000(MEALS SERVED) 35773,B100000,00000,0900,00000(NURSING SALARIES) 35773,B100000,00000,1000,00000(COSTED REQUIS.) 35773,B100000,00000,1100,00000(COSTED REQUIS.) 35773,B100000,00000,1200,00000(GROSS CHARGES) 35773,B100000,00000,1300,00000(PATIENT DAYS) 35773,B100000,00000,1350,00000(PATIENT DAYS) 35773,B100000,00000,1400,00000(ASSIGNED TIME) 35773,S000000,00100,0200,05/26/2000 35773,S200000,00100,0100,1801 TURNPIKE STREET 35773,S200000,00200,0100,NORTH ANDOVER 35773,S200000,00200,0200,MA 35773,S200000,00200,0300,01845 35773,S200000,00300,0100,ESSEX 35773,S200000,00400,0100,SUTTON HILL 35773,S200000,00400,0200,225530 35773,S200000,00400,0300,01/14/1991 35773,S200000,00400,0500,P 35773,S200000,01600,0100,Y 35784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35784,A000000,00300,0000,00300EMPLOYEE BENEFITS 35784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35784,A000000,00700,0000,00700HOUSEKEEPING 35784,A000000,00800,0000,00800DIETARY 35784,A000000,00900,0000,00900NURSING ADMINISTRATION 35784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35784,A000000,01100,0000,01100PHARMACY 35784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35784,A000000,01300,0000,01300SOCIAL SERVICE 35784,A000000,01350,0000,01500ACTIVITIES 35784,A000000,01351,0000,01501INDIRECT CONSULTANTS 35784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35784,A000000,01600,0000,01600SKILLED NURSING FACILITY 35784,A000000,01800,0000,01800NURSING FACILITY 35784,A000000,01810,0000,01810ICF/MR 35784,A000000,02500,0000,02500PHYSICAL THERAPY 35784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35784,A000000,02700,0000,02700SPEECH PATHOLOGY 35784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35784,A000000,03550,0000,03550FQHC 35784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35784,A000000,05000,0000,05000CORF 35784,A000000,05010,0000,05010CMHC 35784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35784,A81000A,00100,0100,Y 35784,A81000B,00100,0300,RENT-CAPITAL RELATED 35784,A81000B,00200,0300,RENT-CAP REL MOVABLE 35784,A81000B,00300,0300,ADMINISTRATOR SALARY 35784,A81000C,00100,0100,A 35784,A81000C,00100,0200,DENNIS MORGAN 35784,A81000C,00100,0400,DENNIS MORGAN 35784,A81000C,00100,0600,ADMINISTRATOR 35784,B100000,00000,0100,00000SQUARE FEET 35784,B100000,00000,0200,00000SQUARE FEET 35784,B100000,00000,0300,00000GROSS SALARIES 35784,B100000,00000,0400,00000ACCUM. COST 35784,B100000,00000,0500,00000SQUARE FEET 35784,B100000,00000,0600,00000PATIENT DAYS 35784,B100000,00000,0700,00000SQUARE FEET 35784,B100000,00000,0800,00000PATIENT DAYS 35784,B100000,00000,0900,00000PATIENT DAYS 35784,B100000,00000,1000,00000PATIENT DAYS 35784,B100000,00000,1100,00000N/A 35784,B100000,00000,1200,00000PATIENT DAYS 35784,B100000,00000,1300,00000PATIENT DAYS 35784,B100000,00000,1350,00000PATIENT DAYS 35784,B100000,00000,1351,00000N/A 35784,B100000,00000,1400,00000N/A 35784,S000000,00100,0200,05/30/2000 35784,S200000,00100,0100,342 WINTER STREET 35784,S200000,00200,0100,FRAMINGHAM 35784,S200000,00200,0200,MA 35784,S200000,00200,0300,01701 35784,S200000,00300,0100,MIDDLESEX 35784,S200000,00400,0100,CARLYLE HOUSE 35784,S200000,00400,0200,225541 35784,S200000,00400,0300,05/31/1997 35784,S200000,00400,0500,P 35784,S200000,00400,0600,P 35784,S200000,01600,0100,Y 35794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35794,A000000,00300,0000,00300EMPLOYEE BENEFITS 35794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35794,A000000,00700,0000,00700HOUSEKEEPING 35794,A000000,00800,0000,00800DIETARY 35794,A000000,00900,0000,00900NURSING ADMINISTRATION 35794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35794,A000000,01100,0000,01100PHARMACY 35794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35794,A000000,01300,0000,01300SOCIAL SERVICE 35794,A000000,01350,0000,01500ACTIVITIES 35794,A000000,01351,0000,01501INDIRECT CONSULTANTS 35794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35794,A000000,01600,0000,01600SKILLED NURSING FACILITY 35794,A000000,01800,0000,01800NURSING FACILITY 35794,A000000,01810,0000,01810ICF/MR 35794,A000000,02100,0000,02100RADIOLOGY 35794,A000000,02200,0000,02200LABORATORY 35794,A000000,02300,0000,02300INTRAVENOUS THERAPY 35794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35794,A000000,02500,0000,02500PHYSICAL THERAPY 35794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35794,A000000,02700,0000,02700SPEECH PATHOLOGY 35794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35794,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35794,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 35794,A000000,03052,0000,03302AMBULANCE 35794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35794,A000000,03550,0000,03550FQHC 35794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35794,A000000,05000,0000,05000CORF 35794,A000000,05010,0000,05010CMHC 35794,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35794,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35794,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35794,A81000A,00100,0100,Y 35794,A81000B,00100,0300,MGMT FEES - CAPITAL RELATED 35794,A81000B,00200,0300,MGMT FEES - NON CAP RELATED 35794,A81000B,00300,0300,MGMT FEES - CAP REL MOVEABLE 35794,A81000B,00400,0300,LEGAL FEES 35794,A81000C,00100,0100,A 35794,A81000C,00100,0200,ABEMM 35794,A81000C,00100,0400,ABEMM 35794,A81000C,00100,0600,HOME OFFICE 35794,A81000C,00200,0100,E 35794,A81000C,00200,0200,L. STARRETT 35794,A81000C,00200,0400,MAHONEY HAWKES & GOLD 35794,A81000C,00200,0600,LEGAL FIRM 35794,B100000,00000,0100,00000SQUARE FEET 35794,B100000,00000,0200,00000SQUARE FEET 35794,B100000,00000,0300,00000GROSS SALARIES 35794,B100000,00000,0400,00000ACCUM. COST 35794,B100000,00000,0500,00000SQUARE FEET 35794,B100000,00000,0600,00000PATIENT DAYS 35794,B100000,00000,0700,00000SQUARE FEET 35794,B100000,00000,0800,00000MEALS SERVED 35794,B100000,00000,0900,00000HOURS OF SERVICE 35794,B100000,00000,1000,00000PATIENT DAYS 35794,B100000,00000,1100,00000N/A 35794,B100000,00000,1200,00000PATIENT DAYS 35794,B100000,00000,1300,00000PATIENT DAYS 35794,B100000,00000,1350,00000PATIENT DAYS 35794,B100000,00000,1351,00000N/A 35794,B100000,00000,1400,00000N/A 35794,E10A180,00301,0100,02/14/2000 35794,S000000,00100,0200,06/05/2000 35794,S200000,00100,0100,17 CHIPMAN WAY 35794,S200000,00200,0100,KINGSTON 35794,S200000,00200,0200,MA 35794,S200000,00200,0300,02364 35794,S200000,00300,0100,PLYMOUTH 35794,S200000,00400,0100,BETHESDA AT EVANSWOOD 35794,S200000,00400,0200,225544 35794,S200000,00400,0300,02/01/1992 35794,S200000,00400,0500,P 35794,S200000,00400,0600,P 35794,S200000,01600,0100,Y 35802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35802,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35802,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35802,A000000,00300,0000,00300EMPLOYEE BENEFITS 35802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35802,A000000,00700,0000,00700HOUSEKEEPING 35802,A000000,00800,0000,00800DIETARY 35802,A000000,00801,0000,00801CAFETERIA 35802,A000000,00900,0000,00900NURSING ADMINISTRATION 35802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35802,A000000,01100,0000,01100PHARMACY 35802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35802,A000000,01300,0000,01300SOCIAL SERVICE 35802,A000000,01350,0000,01500ACTIVITIES 35802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35802,A000000,01600,0000,01600SKILLED NURSING FACILITY 35802,A000000,01800,0000,01800NURSING FACILITY 35802,A000000,01810,0000,01810ICF/MR 35802,A000000,02100,0000,02100RADIOLOGY 35802,A000000,02200,0000,02200LABORATORY 35802,A000000,02300,0000,02300INTRAVENOUS THERAPY 35802,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35802,A000000,02500,0000,02500PHYSICAL THERAPY 35802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35802,A000000,02700,0000,02700SPEECH PATHOLOGY 35802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35802,A000000,03050,0000,03300PEN THERAPY 35802,A000000,03051,0000,03301FEE SCREENINGS 35802,A000000,03052,0000,03302OTHER ANCILLARY III 35802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35802,A000000,03550,0000,03550FQHC 35802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35802,A000000,04800,0000,04800AMBULANCE 35802,A000000,05000,0000,05000CORF I 35802,A000000,05010,0000,05010CMHC I 35802,A000000,05020,0000,05020OPT I 35802,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35802,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35802,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35802,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35802,A81000A,00100,0100,Y 35802,A81000B,00100,0300,MANAGEMENT FEES 35802,A81000B,00200,0300,SEE ATTACHED 35802,A81000C,00100,0100,B 35802,A81000C,00100,0400,GHV 35802,A81000C,00100,0600,JOINT VENTURE 35802,A81000C,00200,0100,B 35802,A81000C,00200,0400,VARIOUS 35802,A81000C,00200,0600,OTHER 35802,B100000,00000,0100,00000(SQUARE FEET) 35802,B100000,00000,0101,00000(SQUARE FEET) 35802,B100000,00000,0200,00000(SQUARE FEET) 35802,B100000,00000,0201,00000(SQUARE FEET) 35802,B100000,00000,0300,00000(GROSS SALARIES) 35802,B100000,00000,0400,00000(ACCUM. COST) 35802,B100000,00000,0500,00000(SQUARE FEET) 35802,B100000,00000,0600,00000(PATIENT DAYS) 35802,B100000,00000,0700,00000(SQUARE FEET) 35802,B100000,00000,0800,00000(MEALS SERVED) 35802,B100000,00000,0801,00000(MEALS SERVED) 35802,B100000,00000,0900,00000(NURSING SALARIES) 35802,B100000,00000,1000,00000(COSTED REQUIS.) 35802,B100000,00000,1100,00000(COSTED REQUIS.) 35802,B100000,00000,1200,00000(GROSS CHARGES) 35802,B100000,00000,1300,00000(PATIENT DAYS) 35802,B100000,00000,1350,00000(PATIENT DAYS) 35802,B100000,00000,1400,00000(ASSIGNED TIME) 35802,E10A180,00501,0100,08/21/2001 35802,S000000,00100,0200,07/14/2000 35802,S200000,00100,0100,200 GOVENORS AVE. 35802,S200000,00200,0100,MEDFORD 35802,S200000,00200,0200,MA 35802,S200000,00200,0300,02155 35802,S200000,00300,0100,MIDDLESEX 35802,S200000,00400,0100,COURTYARD CENTER 35802,S200000,00400,0200,225545 35802,S200000,00400,0300,02/10/1992 35802,S200000,00400,0500,P 35802,S200000,01600,0100,Y 35814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35814,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35814,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35814,A000000,00300,0000,00300EMPLOYEE BENEFITS 35814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35814,A000000,00700,0000,00700HOUSEKEEPING 35814,A000000,00800,0000,00800DIETARY 35814,A000000,00801,0000,00801CAFETERIA 35814,A000000,00900,0000,00900NURSING ADMINISTRATION 35814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35814,A000000,01100,0000,01100PHARMACY 35814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35814,A000000,01300,0000,01300SOCIAL SERVICE 35814,A000000,01350,0000,01500ACTIVITIES 35814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35814,A000000,01600,0000,01600SKILLED NURSING FACILITY 35814,A000000,01800,0000,01800NURSING FACILITY 35814,A000000,01810,0000,01810ICF/MR 35814,A000000,02100,0000,02100RADIOLOGY 35814,A000000,02500,0000,02500PHYSICAL THERAPY 35814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35814,A000000,02700,0000,02700SPEECH PATHOLOGY 35814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35814,A000000,03050,0000,03300PENN THERAPY 35814,A000000,03051,0000,03301FEE SCREENING 35814,A000000,03052,0000,03302OTHER ANCILLARY III 35814,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35814,A000000,03550,0000,03550FQHC 35814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35814,A000000,05000,0000,05000CORF I 35814,A000000,05010,0000,05010CMHC I 35814,A000000,05020,0000,05020OPT I 35814,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35814,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35814,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35814,A81000A,00100,0100,Y 35814,A81000B,00100,0300,HOME OFFICE ALLOCATION 35814,A81000B,00200,0300,HOME OFFICE ALLOCATION 35814,A81000B,00300,0300,INTEREST ALLOCATION 35814,A81000B,00400,0300,SEE ATTACHED 35814,A81000C,00100,0100,B 35814,A81000C,00100,0400,GENESIS HEALTH 35814,A81000C,00100,0600,HOME OFFICE 35814,A81000C,00200,0100,B 35814,A81000C,00200,0400,GENESIS HEALTH 35814,A81000C,00200,0600,HOME OFFICE 35814,A81000C,00300,0100,B 35814,A81000C,00300,0400,GENESIS HEALTH 35814,A81000C,00300,0600,HOME OFFICE 35814,A81000C,00400,0100,B 35814,A81000C,00400,0400,SEE ATTACHED 35814,A81000C,00400,0600,VARIOUS 35814,B100000,00000,0100,00000(SQUARE FEET) 35814,B100000,00000,0101,00000(SQUARE FEET) 35814,B100000,00000,0200,00000(SQUARE FEET) 35814,B100000,00000,0201,00000(SQUARE FEET) 35814,B100000,00000,0300,00000(GROSS SALARIES) 35814,B100000,00000,0400,00000(ACCUM. COST) 35814,B100000,00000,0500,00000(SQUARE FEET) 35814,B100000,00000,0600,00000(PATIENT DAYS) 35814,B100000,00000,0700,00000(SQUARE FEET) 35814,B100000,00000,0800,00000(MEALS SERVED) 35814,B100000,00000,0801,00000(MEALS SERVED) 35814,B100000,00000,0900,00000(NURSING SALARIES) 35814,B100000,00000,1000,00000(COSTED REQUIS.) 35814,B100000,00000,1100,00000(PATIENT DAYS) 35814,B100000,00000,1200,00000(GROSS CHARGES) 35814,B100000,00000,1300,00000(PATIENT DAYS) 35814,B100000,00000,1350,00000(PATIENT DAYS) 35814,B100000,00000,1400,00000(ASSIGNED TIME) 35814,S000000,00100,0200,05/26/2000 35814,S200000,00100,0100,30 WEBSTER ST. 35814,S200000,00200,0100,BROOKLINE 35814,S200000,00200,0200,MA 35814,S200000,00300,0100,NORFOLK 35814,S200000,00400,0100,COOLIDGE HOUSE 35814,S200000,00400,0200,225554 35814,S200000,00400,0300,06/25/1992 35814,S200000,00400,0500,P 35814,S200000,01600,0100,Y 35814,S200000,02200,0100,Y 35825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35825,A000000,00300,0000,00300EMPLOYEE BENEFITS 35825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35825,A000000,00700,0000,00700HOUSEKEEPING 35825,A000000,00800,0000,00800DIETARY 35825,A000000,00900,0000,00900NURSING ADMINISTRATION 35825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35825,A000000,01100,0000,01100PHARMACY 35825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35825,A000000,01300,0000,01300SOCIAL SERVICE 35825,A000000,01350,0000,01500ACTIVITIES 35825,A000000,01351,0000,01501INDIRECT CONSULTANTS 35825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35825,A000000,01600,0000,01600SKILLED NURSING FACILITY 35825,A000000,01800,0000,01800NURSING FACILITY 35825,A000000,01810,0000,01810ICF/MR 35825,A000000,02100,0000,02100RADIOLOGY 35825,A000000,02200,0000,02200LABORATORY 35825,A000000,02300,0000,02300INTRAVENOUS THERAPY 35825,A000000,02500,0000,02500PHYSICAL THERAPY 35825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35825,A000000,02700,0000,02700SPEECH PATHOLOGY 35825,A000000,02800,0000,02800ELECTROCARDIOLOGY 35825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35825,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 35825,A000000,03051,0000,03301AMBULANCE 35825,A000000,03052,0000,03302PEN THERAPY 35825,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35825,A000000,03550,0000,03550FQHC 35825,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35825,A000000,05000,0000,05000CORF 35825,A000000,05010,0000,05010CMHC 35825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35825,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35825,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35825,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35825,A81000A,00100,0100,Y 35825,A81000B,00100,0300,RENT-CAPITAL RELATED 35825,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 35825,A81000B,00300,0300,ADMINISTRATIVE 35825,A81000C,00100,0100,A 35825,A81000C,00100,0200,METRO WEST 35825,A81000C,00100,0400,METRO WEST HEALTH 35825,A81000C,00100,0600,HOSPITAL 35825,B100000,00000,0100,00000SQUARE FEET 35825,B100000,00000,0200,00000SQUARE FEET 35825,B100000,00000,0300,00000GROSS SALARIES 35825,B100000,00000,0400,00000ACCUM. COST 35825,B100000,00000,0500,00000SQUARE FEET 35825,B100000,00000,0600,00000PATIENT DAYS 35825,B100000,00000,0700,00000SQUARE FEET 35825,B100000,00000,0800,00000PATIENT DAYS 35825,B100000,00000,0900,00000DIRECT NRSING HRS 35825,B100000,00000,1000,00000PATIENT DAYS 35825,B100000,00000,1100,00000N/A 35825,B100000,00000,1200,00000PATIENT DAYS 35825,B100000,00000,1300,00000PATIENT DAYS 35825,B100000,00000,1350,00000PATIENT DAYS 35825,B100000,00000,1351,00000N/A 35825,B100000,00000,1400,00000N/A 35825,S000000,00100,0200,10/20/2000 35825,S200000,00100,0100,78 UNION STREET 35825,S200000,00200,0100,NATICK 35825,S200000,00200,0200,MA 35825,S200000,00200,0300,01760 35825,S200000,00300,0100,MIDDLESEX 35825,S200000,00400,0100,MARY ANNE MORSE NURSING HOME 35825,S200000,00400,0200,225555 35825,S200000,00400,0300,06/08/1992 35825,S200000,00400,0500,P 35825,S200000,00400,0600,P 35825,S200000,01600,0100,Y 35827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35827,A000000,00300,0000,00300EMPLOYEE BENEFITS 35827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35827,A000000,00700,0000,00700HOUSEKEEPING 35827,A000000,00800,0000,00800DIETARY 35827,A000000,00900,0000,00900NURSING ADMINISTRATION 35827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35827,A000000,01100,0000,01100PHARMACY 35827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35827,A000000,01300,0000,01300SOCIAL SERVICE 35827,A000000,01350,0000,01500ACTIVITIES 35827,A000000,01351,0000,01501INDIRECT CONSULTANTS 35827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35827,A000000,01600,0000,01600SKILLED NURSING FACILITY 35827,A000000,01810,0000,01810ICF/MR 35827,A000000,02200,0000,02200LABORATORY 35827,A000000,02500,0000,02500PHYSICAL THERAPY 35827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35827,A000000,02700,0000,02700SPEECH PATHOLOGY 35827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35827,A000000,03550,0000,03550FQHC 35827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35827,A000000,05000,0000,05000CORF 35827,A000000,05010,0000,05010CMHC 35827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35827,A81000A,00100,0100,Y 35827,A81000B,00100,0300,RENT-CAPITAL RELATED 35827,A81000B,00200,0300,SOCIAL SERVICE 35827,A81000B,00300,0300,ADMIN 35827,A81000C,00100,0100,A 35827,A81000C,00100,0200,FRANCIS CALDWELL 35827,A81000C,00100,0400,F. CALDWELL REALTY 35827,A81000C,00100,0600,RENTAL PROPERTY 35827,A81000C,00200,0100,A 35827,A81000C,00200,0200,SUE PAGE 35827,A81000C,00300,0100,A 35827,A81000C,00300,0200,DOROTHY PAGE 35827,A81000C,00400,0100,A 35827,A81000C,00400,0200,ROBERT PAGE 35827,B100000,00000,0100,00000SQUARE FEET 35827,B100000,00000,0200,00000SQUARE FEET 35827,B100000,00000,0300,00000GROSS SALARIES 35827,B100000,00000,0400,00000ACCUM. COST 35827,B100000,00000,0500,00000SQUARE FEET 35827,B100000,00000,0600,00000PATIENT DAYS 35827,B100000,00000,0700,00000SQUARE FEET 35827,B100000,00000,0800,00000PATIENT DAYS 35827,B100000,00000,0900,00000DIRECT NRSING HRS 35827,B100000,00000,1000,00000PATIENT DAYS 35827,B100000,00000,1100,00000N/A 35827,B100000,00000,1200,00000PATIENT DAYS 35827,B100000,00000,1300,00000PATIENT DAYS 35827,B100000,00000,1350,00000PATIENT DAYS 35827,B100000,00000,1351,00000N/A 35827,B100000,00000,1400,00000N/A 35827,S000000,00100,0200,06/05/2000 35827,S200000,00100,0100,MOHAWK TRAIL ROUTE 2 35827,S200000,00200,0100,SHELBURNE 35827,S200000,00200,0200,MA 35827,S200000,00200,0300,01370 35827,S200000,00300,0100,FRANKLIN 35827,S200000,00400,0100,ANCHORAGE NURSING HOME 35827,S200000,00400,0200,225559 35827,S200000,00400,0300,01/01/1993 35827,S200000,00400,0500,P 35827,S200000,00400,0600,P 35827,S200000,01500,0100,Y 35835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35835,A000000,00300,0000,00300EMPLOYEE BENEFITS 35835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35835,A000000,00700,0000,00700HOUSEKEEPING 35835,A000000,00800,0000,00800DIETARY 35835,A000000,00900,0000,00900NURSING ADMINISTRATION 35835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35835,A000000,01100,0000,01100PHARMACY 35835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35835,A000000,01300,0000,01300SOCIAL SERVICE 35835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35835,A000000,01600,0000,01600SKILLED NURSING FACILITY 35835,A000000,01800,0000,01800NURSING FACILITY 35835,A000000,01810,0000,01810ICF/MR 35835,A000000,02100,0000,02100RADIOLOGY 35835,A000000,02200,0000,02200LABORATORY 35835,A000000,02300,0000,02300INTRAVENOUS THERAPY 35835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35835,A000000,02500,0000,02500PHYSICAL THERAPY 35835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35835,A000000,02700,0000,02700SPEECH PATHOLOGY 35835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35835,A000000,02901,0000,02901NUTRITIONAL THERAPY 35835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35835,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35835,A000000,03200,0000,03200SUPPORT SURFACES 35835,A000000,03550,0000,03550FQHC 35835,A000000,04800,0000,04800AMBULANCE 35835,A000000,05000,0000,05000CORF 35835,A000000,05010,0000,05010CMHC 35835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35835,A000000,05300,0000,05300INTEREST EXPENSE 35835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35835,A81000A,00100,0100,Y 35835,A81000B,00100,0300,EMPLOYEE EDUCATION 35835,A81000B,00200,0300,HEALTH INSURANCE 35835,A81000B,00300,0300,EMPLOYEE PHYSICALS 35835,A81000B,00400,0300,PLAN OPERATION 35835,A81000B,00500,0300,DIETICIAN PURCHASED 35835,A81000C,00100,0100,G 35835,A81000C,00100,0200,NORTHEAST HEALT 35835,A81000C,00100,0400,NORTHEAST HEALT 35835,A81000C,00100,0600,HEALTH CARE 35835,B100000,00000,0100,00000SQUARE FEET 35835,B100000,00000,0200,00000SQUARE FEET 35835,B100000,00000,0300,00000GROSS SALARIES 35835,B100000,00000,0400,00000ACCUM COST 35835,B100000,00000,0500,00000SQUARE FEET 35835,B100000,00000,0600,00000PATIENT DAYS 35835,B100000,00000,0700,00000SQUARE FEET 35835,B100000,00000,0800,00000MEALS SERVED 35835,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35835,B100000,00000,1000,00000PATIENT DAYS 35835,B100000,00000,1100,00000PATIENT DAYS 35835,B100000,00000,1200,00000PATIENT DAYS 35835,B100000,00000,1300,00000PATIENT DAYS 35835,B100000,00000,1400,00000ASSIGNED TIME 35835,E10A180,00550,0300,03/03/2000 35835,S000000,00100,0200,03/23/2000 35835,S200000,00100,0100,300 WASHINGTON STREET 35835,S200000,00200,0100,GLOUCESTER 35835,S200000,00200,0200,MA 35835,S200000,00200,0300,01930 35835,S200000,00300,0100,ESSEX 35835,S200000,00400,0100,SEACOAST NURSING & RETIRE. CTR INC. 35835,S200000,00400,0200,225567 35835,S200000,00400,0300,02/10/1993 35835,S200000,00400,0500,P 35835,S200000,01600,0100,Y 35835,S200000,04700,0100,Y 35844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35844,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35844,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35844,A000000,00300,0000,00300EMPLOYEE BENEFITS 35844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35844,A000000,00700,0000,00700HOUSEKEEPING 35844,A000000,00800,0000,00800DIETARY 35844,A000000,00801,0000,00801CAFETERIA 35844,A000000,00900,0000,00900NURSING ADMINISTRATION 35844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35844,A000000,01100,0000,01100PHARMACY 35844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35844,A000000,01300,0000,01300SOCIAL SERVICE 35844,A000000,01350,0000,01500ACTIVITIES 35844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35844,A000000,01600,0000,01600SKILLED NURSING FACILITY 35844,A000000,01800,0000,01800NURSING FACILITY 35844,A000000,01810,0000,01810ICF/MR 35844,A000000,02100,0000,02100RADIOLOGY 35844,A000000,02500,0000,02500PHYSICAL THERAPY 35844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35844,A000000,02700,0000,02700SPEECH PATHOLOGY 35844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35844,A000000,03050,0000,03300PEN THERAPY 35844,A000000,03051,0000,03301OTHER ANCILLARY II 35844,A000000,03052,0000,03302OTHER ANCILLARY III 35844,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35844,A000000,03550,0000,03550FQHC 35844,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35844,A000000,05000,0000,05000CORF I 35844,A000000,05010,0000,05010CMHC I 35844,A000000,05020,0000,05020OPT I 35844,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35844,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35844,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35844,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35844,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35844,A81000A,00100,0100,Y 35844,A81000B,00100,0300,HOME OFFICE 35844,A81000B,00200,0300,HOME OFFICE CAPITAL 35844,A81000B,00300,0300,SEE ATTACHED 35844,A81000C,00100,0100,B 35844,A81000C,00100,0400,GHV 35844,A81000C,00100,0600,HOME OFFICE 35844,A81000C,00200,0100,B 35844,A81000C,00200,0400,GHV 35844,A81000C,00200,0600,HOME OFFICE 35844,A81000C,00300,0100,B 35844,A81000C,00300,0400,SEE ATTACHED 35844,A81000C,00300,0600,VARIOUS 35844,B100000,00000,0100,00000(SQUARE FEET) 35844,B100000,00000,0101,00000(SQUARE FEET) 35844,B100000,00000,0200,00000(SQUARE FEET) 35844,B100000,00000,0201,00000(SQUARE FEET) 35844,B100000,00000,0300,00000(GROSS SALARIES) 35844,B100000,00000,0400,00000(ACCUM. COST) 35844,B100000,00000,0500,00000(SQUARE FEET) 35844,B100000,00000,0600,00000(PATIENT DAYS) 35844,B100000,00000,0700,00000(SQUARE FEET) 35844,B100000,00000,0800,00000(MEALS SERVED) 35844,B100000,00000,0801,00000(MEALS SERVED) 35844,B100000,00000,0900,00000(NURSING SALARIES) 35844,B100000,00000,1000,00000(COSTED REQUIS.) 35844,B100000,00000,1100,00000(COSTED REQUIS.) 35844,B100000,00000,1200,00000(GROSS CHARGES) 35844,B100000,00000,1300,00000(PATIENT DAYS) 35844,B100000,00000,1350,00000(PATIENT DAYS) 35844,B100000,00000,1400,00000(ASSIGNED TIME) 35844,S000000,00100,0200,06/06/2000 35844,S200000,00100,0100,3 PARK DRIVE 35844,S200000,00200,0100,WESTFORD 35844,S200000,00200,0200,MA 35844,S200000,00200,0300,01886 35844,S200000,00300,0100,MIDDLESEX 35844,S200000,00400,0100,WESTFORD CENTER 35844,S200000,00400,0200,225586 35844,S200000,00400,0300,07/27/1993 35844,S200000,00400,0500,P 35844,S200000,01600,0100,Y 35854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35854,A000000,00300,0000,00300EMPLOYEE BENEFITS 35854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35854,A000000,00700,0000,00700HOUSEKEEPING 35854,A000000,00800,0000,00800DIETARY 35854,A000000,00900,0000,00900NURSING ADMINISTRATION 35854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35854,A000000,01100,0000,01100PHARMACY 35854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35854,A000000,01300,0000,01300SOCIAL SERVICE 35854,A000000,01350,0000,01500ACTIVITIES 35854,A000000,01351,0000,01501INDIRECT CONSULTANTS 35854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35854,A000000,01600,0000,01600SKILLED NURSING FACILITY 35854,A000000,01800,0000,01800NURSING FACILITY 35854,A000000,01810,0000,01810ICF/MR 35854,A000000,02100,0000,02100RADIOLOGY 35854,A000000,02200,0000,02200LABORATORY 35854,A000000,02300,0000,02300INTRAVENOUS THERAPY 35854,A000000,02500,0000,02500PHYSICAL THERAPY 35854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35854,A000000,02700,0000,02700SPEECH PATHOLOGY 35854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35854,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 35854,A000000,03051,0000,03301PAT TRANSPORTATION 35854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35854,A000000,03550,0000,03550FQHC 35854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35854,A000000,05000,0000,05000CORF 35854,A000000,05010,0000,05010CMHC 35854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35854,A000000,06150,0000,06300CHILD CARE 35854,A81000A,00100,0100,Y 35854,A81000B,00100,0300,RENT-CAPITAL RELATED 35854,A81000B,00200,0300,RENT-CAP. REL. MOVABLE 35854,A81000B,00300,0300,PHYSICAL THERAPY 35854,A81000B,00400,0300,OCCUPATIONAL THERAPY 35854,A81000B,00500,0300,SPEECH THERAPY 35854,A81000B,00600,0300,LABORATORY 35854,A81000C,00100,0100,B 35854,A81000C,00100,0200,CENTRAL MASS LTC 35854,A81000C,00100,0600,RENTAL 35854,A81000C,00200,0100,B 35854,A81000C,00200,0200,CTR FOR HEALTH & FITNESS 35854,A81000C,00200,0600,REHAB FACILITY 35854,B100000,00000,0100,00000SQUARE FEET 35854,B100000,00000,0200,00000SQUARE FEET 35854,B100000,00000,0300,00000GROSS SALARIES 35854,B100000,00000,0400,00000ACCUM. COST 35854,B100000,00000,0500,00000SQUARE FEET 35854,B100000,00000,0600,00000PATIENT DAYS 35854,B100000,00000,0700,00000SQUARE FEET 35854,B100000,00000,0800,00000PATIENT DAYS 35854,B100000,00000,0900,00000NRSG HOURS 35854,B100000,00000,1000,00000PATIENT DAYS 35854,B100000,00000,1100,00000N/A N/A 35854,B100000,00000,1200,00000PATIENT DAYS 35854,B100000,00000,1300,00000PATIENT DAYS 35854,B100000,00000,1350,00000PATIENT DAYS 35854,B100000,00000,1351,00000N/A N/A 35854,B100000,00000,1400,00000N/A N/A 35854,E10A180,00501,0300,03/10/2000 35854,E10A180,00550,0100,03/10/2000 35854,S000000,00100,0200,03/03/2000 35854,S200000,00100,0100,378 PLANTATION STREET 35854,S200000,00200,0100,WORCESTER 35854,S200000,00200,0200,MA 35854,S200000,00300,0100,WORCESTER 35854,S200000,00400,0100,UNIVERSITY COMMONS 35854,S200000,00400,0200,225594 35854,S200000,00400,0300,11/01/1993 35854,S200000,00400,0500,P 35854,S200000,00400,0600,P 35854,S200000,01600,0100,Y 35854,S200000,04700,0100,Y 35863,S000000,00100,0200,06/22/2000 35870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35870,A000000,00300,0000,00300EMPLOYEE BENEFITS 35870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35870,A000000,00700,0000,00700HOUSEKEEPING 35870,A000000,00800,0000,00800DIETARY 35870,A000000,00900,0000,00900NURSING ADMINISTRATION 35870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35870,A000000,01100,0000,01100PHARMACY 35870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35870,A000000,01300,0000,01300SOCIAL SERVICE 35870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35870,A000000,01600,0000,01600SKILLED NURSING FACILITY 35870,A000000,01810,0000,01810ICF/MR 35870,A000000,02200,0000,02200LABORATORY 35870,A000000,02500,0000,02500PHYSICAL THERAPY 35870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35870,A000000,02700,0000,02700SPEECH PATHOLOGY 35870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35870,A000000,03550,0000,03550FQHC 35870,A000000,05000,0000,05000CORF 35870,A000000,05010,0000,05010CMHC 35870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35870,B100000,00000,0100,00040SQUARE FEET 35870,B100000,00000,0200,00040DOLLAR VALUE 35870,B100000,00000,0300,00040GROSS SALARIES 35870,B100000,00000,0400,00040ACCUM. COST 35870,B100000,00000,0500,00040SQUARE FEET 35870,B100000,00000,0600,00040POUNDS OF LAUNDRY 35870,B100000,00000,0700,00040HOURS OF SERVICE 35870,B100000,00000,0800,00040MEALS SERVED 35870,B100000,00000,0900,00040DIRECT NRSING HRS 35870,B100000,00000,1000,00040COSTED REQUIS. 35870,B100000,00000,1100,00040COSTED REQUIS. 35870,B100000,00000,1200,00040TIME SPENT 35870,B100000,00000,1300,00040TIME SPENT 35870,B100000,00000,1400,00040ASSIGNED TIME 35870,S000000,00100,0200,12/04/2000 35870,S200000,00100,0100,200 TRAPELO ROAD 35870,S200000,00200,0100,WALTHAM 35870,S200000,00200,0200,MA 35870,S200000,00200,0300,02154 35870,S200000,00300,0100,MIDDLESEX 35870,S200000,00400,0100,MARQUARDT NURSING FACILITY 35870,S200000,00400,0200,225641 35870,S200000,00400,0300,07/01/1994 35870,S200000,00400,0500,P 35870,S200000,03300,0100,Y 35878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35878,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 35878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35878,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 35878,A000000,00300,0000,00300EMPLOYEE BENEFITS 35878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35878,A000000,00700,0000,00700HOUSEKEEPING 35878,A000000,00800,0000,00800DIETARY 35878,A000000,00801,0000,00801CAFETERIA 35878,A000000,00900,0000,00900NURSING ADMINISTRATION 35878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35878,A000000,01100,0000,01100PHARMACY 35878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35878,A000000,01300,0000,01300SOCIAL SERVICE 35878,A000000,01350,0000,01500INDIR CONSULT 35878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35878,A000000,01600,0000,01600SKILLED NURSING FACILITY 35878,A000000,01800,0000,01800NURSING FACILITY 35878,A000000,01810,0000,01810ICF/MR 35878,A000000,02100,0000,02100RADIOLOGY 35878,A000000,02200,0000,02200LABORATORY 35878,A000000,02300,0000,02300INTRAVENOUS THERAPY 35878,A000000,02500,0000,02500PHYSICAL THERAPY 35878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35878,A000000,02700,0000,02700SPEECH PATHOLOGY 35878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35878,A000000,03050,0000,03300COMPLEX MED EQUIP 35878,A000000,03051,0000,03301OTHER ANCILLARY II 35878,A000000,03052,0000,03302OTHER ANCILLARY III 35878,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 35878,A000000,03550,0000,03550FQHC 35878,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35878,A000000,04800,0000,04800AMBULANCE 35878,A000000,05000,0000,05000CORF I 35878,A000000,05010,0000,05010CMHC I 35878,A000000,05020,0000,05020OPT I 35878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35878,A000000,05300,0000,05300INTEREST EXPENSE 35878,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 35878,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 35878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35878,A000000,06150,0000,06300DEVELOPMENT 35878,A81000A,00100,0100,Y 35878,A81000B,00100,0300,WORKING CAP INTEREST 35878,A81000C,00100,0100,G 35878,A81000C,00100,0200,AFFILIAT CHURCH 35878,A81000C,00100,0600,RELIGOUS 35878,B100000,00000,0100,00000(SQUARE FEET) 35878,B100000,00000,0101,00000(SQUARE FEET) 35878,B100000,00000,0200,00000(SQUARE FEET) 35878,B100000,00000,0201,00000(SQUARE FEET) 35878,B100000,00000,0300,00000(GROSS SALARIES) 35878,B100000,00000,0400,00000(ACCUM. COST) 35878,B100000,00000,0500,00000(SQUARE FEET) 35878,B100000,00000,0600,00000(PATIENT DAYS) 35878,B100000,00000,0700,00000(SQUARE FEET) 35878,B100000,00000,0800,00000(MEALS SERVED) 35878,B100000,00000,0801,00000(MEALS SERVED) 35878,B100000,00000,0900,00000(DIRECT NRSING HRS 35878,B100000,00000,1000,00000(PATIENT DAYS) 35878,B100000,00000,1100,00000(COSTED REQUIS.) 35878,B100000,00000,1200,00000(TIME SPENT) 35878,B100000,00000,1300,00000(TIME SPENT) 35878,B100000,00000,1350,00000 35878,B100000,00000,1400,00000(ASSIGNED TIME) 35878,S000000,00100,0200,05/26/2000 35878,S200000,00100,0100,300 BARBER AVE 35878,S200000,00200,0100,WORCESTER 35878,S200000,00200,0200,MA 35878,S200000,00200,0300,02154 35878,S200000,00300,0100,WORCESTER 35878,S200000,00400,0100,HOLY TRINITY EASTERN ORTHODOX 35878,S200000,00400,0200,225648 35878,S200000,00400,0300,08/22/1994 35878,S200000,00400,0500,P 35878,S200000,01600,0100,Y 35878,S200000,04700,0100,Y 35878,S200000,04700,0200,Y 35888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35888,A000000,00300,0000,00300EMPLOYEE BENEFITS 35888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35888,A000000,00700,0000,00700HOUSEKEEPING 35888,A000000,00800,0000,00800DIETARY 35888,A000000,00900,0000,00900NURSING ADMINISTRATION 35888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35888,A000000,01100,0000,01100PHARMACY 35888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35888,A000000,01300,0000,01300SOCIAL SERVICE 35888,A000000,01350,0000,01500ACTIVITIES 35888,A000000,01351,0000,01501INDIRECT CONSULTANTS 35888,A000000,01352,0000,01502ADMISSIONS 35888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35888,A000000,01600,0000,01600SKILLED NURSING FACILITY 35888,A000000,01800,0000,01800NURSING FACILITY 35888,A000000,01810,0000,01810ICF/MR 35888,A000000,02200,0000,02200LABORATORY 35888,A000000,02300,0000,02300INTRAVENOUS THERAPY 35888,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35888,A000000,02500,0000,02500PHYSICAL THERAPY 35888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35888,A000000,02700,0000,02700SPEECH PATHOLOGY 35888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35888,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35888,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35888,A000000,03550,0000,03550FQHC 35888,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35888,A000000,05000,0000,05000CORF 35888,A000000,05010,0000,05010CMHC 35888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35888,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35888,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35888,A81000A,00100,0100,Y 35888,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 35888,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 35888,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 35888,A81000C,00100,0100,B 35888,A81000C,00100,0200,GERALD SOHN 35888,A81000C,00100,0400,COPLEY HEALTHCARE 35888,A81000C,00100,0600,MANAGEMENT COMPANY 35888,B100000,00000,0100,00000SQUARE FEET 35888,B100000,00000,0200,00000SQUARE FEET 35888,B100000,00000,0300,00000GROSS SALARIES 35888,B100000,00000,0400,00000ACCUM. COST 35888,B100000,00000,0500,00000SQUARE FEET 35888,B100000,00000,0600,00000POUNDS OF LAUNDRY 35888,B100000,00000,0700,00000TIME SPENT 35888,B100000,00000,0800,00000MEALS SERVED 35888,B100000,00000,0900,00000HOURS OF SERVICE 35888,B100000,00000,1000,00000PATIENT DAYS 35888,B100000,00000,1100,00000N/A 35888,B100000,00000,1200,00000PATIENT DAYS 35888,B100000,00000,1300,00000TIME SPENT 35888,B100000,00000,1350,00000PATIENT DAYS 35888,B100000,00000,1351,00000N/A 35888,B100000,00000,1352,00000TIME SPENT 35888,B100000,00000,1400,00000N/A 35888,E10A180,00350,0100,08/24/1999 35888,S000000,00100,0200,02/29/2000 35888,S200000,00100,0100,380 SUMMER STREET 35888,S200000,00200,0100,STOUGHTON 35888,S200000,00200,0200,MA 35888,S200000,00300,0100,NORFOLK 35888,S200000,00400,0100,COPLEY AT STOUGHTON 35888,S200000,00400,0200,225653 35888,S200000,00400,0300,11/15/1994 35888,S200000,00400,0500,P 35888,S200000,00400,0600,P 35888,S200000,01600,0100,Y 35903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35903,A000000,00300,0000,00300EMPLOYEE BENEFITS 35903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35903,A000000,00700,0000,00700HOUSEKEEPING 35903,A000000,00800,0000,00800DIETARY 35903,A000000,00900,0000,00900NURSING ADMINISTRATION 35903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35903,A000000,01100,0000,01100PHARMACY 35903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35903,A000000,01300,0000,01300SOCIAL SERVICE 35903,A000000,01350,0000,01500ACTIVITIES 35903,A000000,01351,0000,01501INDIRECT CONSULTING 35903,A000000,01352,0000,01502SNF PARTICIPATING 35903,A000000,01353,0000,01503SNF NONPARTICIPATING 35903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35903,A000000,01600,0000,01600SKILLED NURSING FACILITY 35903,A000000,01800,0000,01800NURSING FACILITY 35903,A000000,01810,0000,01810ICF/MR 35903,A000000,02100,0000,02100RADIOLOGY 35903,A000000,02200,0000,02200LABORATORY 35903,A000000,02300,0000,02300INTRAVENOUS THERAPY 35903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35903,A000000,02500,0000,02500PHYSICAL THERAPY 35903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35903,A000000,02700,0000,02700SPEECH PATHOLOGY 35903,A000000,02800,0000,02800ELECTROCARDIOLOGY 35903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35903,A000000,03050,0000,03300AIR FLUID THERAPY 35903,A000000,03550,0000,03550FQHC 35903,A000000,05000,0000,05000CORF 35903,A000000,05010,0000,05010CMHC 35903,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35903,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35903,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 35903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35903,A81000A,00100,0100,Y 35903,A81000B,00100,0300,RENT - CAPITAL RELATED 35903,A81000B,00200,0300,RENT - MME 35903,A81000B,00300,0300,MGT FEE - NON-CAPITAL 35903,A81000B,00400,0300,BLDG & FIXED 35903,A81000B,00500,0300,MME 35903,A81000B,00600,0300,BENEFITS 35903,A81000B,00700,0300,OCCUPATIONAL THERAPY 35903,A81000B,00800,0300,TUITION 35903,A81000B,00900,0300,NURS DEPT PUBL & TRAIN 35903,A81000B,01000,0300,MEDICAL RECORD SUPPLIES 35903,A81000B,01100,0300,ENTL SUPPLY - NURSING SERVICE 35903,A81000B,01200,0300,PHARMACY CONSULTANT 35903,A81000B,01300,0300,EMPLOYEE PHYSICALS 35903,A81000B,01400,0300,PHARMACY - A 35903,A81000B,01500,0300,PHARMACY - MEDICAID 35903,A81000B,01600,0300,PHARMACY - CONTRACT 35903,A81000B,01700,0300,IV THERAPY - PART A 35903,A81000B,01800,0300,IV THERAPY - CONTRACT 35903,A81000B,01900,0300,IV THERAPY - WELFARE 35903,A81000B,02000,0300,IV INSTALL/PREP - MED A 35903,A81000B,02100,0300,IV INSTALL/PREP - OTHER 35903,A81000B,02200,0300,ED SUPP - PART A 35903,A81000B,02300,0300,MEDICAL SUPPLIEY - CONTRACT/NY 35903,A81000C,00100,0100,A 35903,A81000C,00100,0200,ALFRED ARCIDI 35903,A81000C,00100,0400,ARBETTER ASSOC 35903,A81000C,00100,0600,RENTAL PROPERTY 35903,A81000C,00200,0100,A 35903,A81000C,00200,0200,ALFRED ARCIDI 35903,A81000C,00200,0400,ARBRO CORP 35903,A81000C,00200,0600,HOME OFFICE 35903,A81000C,00300,0100,A 35903,A81000C,00300,0200,ALFRED ARCIDI 35903,A81000C,00300,0400,WHITTIER PHARMA 35903,A81000C,00300,0600,PHARMACY 35903,B100000,00000,0100,00000SQUARE FEET 35903,B100000,00000,0200,00000DOLLAR VALUE 35903,B100000,00000,0300,00000GROSS SALARIES 35903,B100000,00000,0400,00000ACCUM. COST 35903,B100000,00000,0500,00000SQUARE FEET 35903,B100000,00000,0600,00000POUNDS OF LAUNDRY 35903,B100000,00000,0700,00000HOURS OF SERVICE 35903,B100000,00000,0800,00000MEALS SERVED 35903,B100000,00000,0900,00000DIRECT NRSING HRS 35903,B100000,00000,1000,00000COSTED REQUIS. 35903,B100000,00000,1100,00000COSTED REQUIS. 35903,B100000,00000,1200,00000TIME SPENT 35903,B100000,00000,1300,00000TIME SPENT 35903,B100000,00000,1350,00000OTHER 35903,B100000,00000,1351,00000OTHER 35903,B100000,00000,1352,00000OTHER 35903,B100000,00000,1353,00000OTHER 35903,B100000,00000,1400,00000ASSIGNED TIME 35903,S000000,00100,0200,06/08/2000 35903,S200000,00100,0100,9 ARBETTER WAY 35903,S200000,00200,0100,FRAMINGHAM 35903,S200000,00200,0200,MA 35903,S200000,00300,0100,01701 MIDDLESEX 35903,S200000,00400,0100,ARBETTER D/B/A OAK KNOLL LTC 35903,S200000,00400,0200,225682 35903,S200000,00400,0300,11/20/1995 35903,S200000,00400,0500,P 35903,S200000,00600,0200,225682 35903,S200000,00600,0300,11/20/1995 35903,S200000,00600,0600,P 35903,S200000,01600,0100,Y 35917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35917,A000000,00300,0000,00300EMPLOYEE BENEFITS 35917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35917,A000000,00700,0000,00700HOUSEKEEPING 35917,A000000,00800,0000,00800DIETARY 35917,A000000,00900,0000,00900NURSING ADMINISTRATION 35917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35917,A000000,01100,0000,01100PHARMACY 35917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35917,A000000,01300,0000,01300SOCIAL SERVICE 35917,A000000,01350,0000,01500ACTIVITIES 35917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35917,A000000,01600,0000,01600SKILLED NURSING FACILITY 35917,A000000,01800,0000,01800NURSING FACILITY 35917,A000000,01810,0000,01810ICF/MR 35917,A000000,02100,0000,02100RADIOLOGY 35917,A000000,02500,0000,02500PHYSICAL THERAPY 35917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35917,A000000,02700,0000,02700SPEECH PATHOLOGY 35917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35917,A000000,03101,0000,03110CLINITRON BEDS 35917,A000000,03550,0000,03550FQHC 35917,A000000,05000,0000,05000CORF 35917,A000000,05010,0000,05010CMHC 35917,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35917,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35917,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35917,A81000A,00100,0100,Y 35917,A81000B,00100,0300,RENT 35917,A81000B,00200,0300,RENT 35917,A81000B,00300,0300,RENT 35917,A81000B,00400,0300,MANAGEMENT FEE 35917,A81000B,00500,0300,MANAGEMENT FEE 35917,A81000B,00600,0300,MANAGEMENT FEE 35917,A81000B,00700,0300,MANAGEMENT FEE 35917,A81000B,00800,0300,INTEREST 35917,A81000B,00900,0300,MANAGEMENT FEE BHS 35917,A81000B,01000,0300,MANAGEMENT FEE BHS 35917,A81000B,01100,0300,MANAGEMENT FEE BHS 35917,A81000C,00100,0100,A 35917,A81000C,00100,0200,ARTHUR IVEY 35917,A81000C,00100,0400,WLWD AT SALISBU 35917,A81000C,00100,0600,RENTAL PROPERTY 35917,A81000C,00400,0100,B 35917,A81000C,00400,0200,ARTHUR IVEY 35917,A81000C,00400,0400,THE WILLOWOOD G 35917,A81000C,00400,0600,HOME OFFICE 35917,A81000C,00700,0100,C 35917,A81000C,00700,0200,G. SCHUSTER 35917,A81000C,00700,0400,WINGATE HEALTHC 35917,A81000C,00700,0600,HOME OFFICE 35917,A81000C,00800,0100,D 35917,A81000C,00800,0200,G. SCHUSTER 35917,A81000C,00800,0400,WINGATE HEALTHC 35917,A81000C,00800,0600,HOME OFFICE 35917,A81000C,00900,0100,E 35917,A81000C,00900,0200,BHS 35917,A81000C,00900,0400,BHS 35917,A81000C,00900,0600,MANAGEMENT 35917,B100000,00000,0100,00000SQUARE FEET 35917,B100000,00000,0200,00000SQUARE FEET 35917,B100000,00000,0300,00000GROSS SALARIES 35917,B100000,00000,0400,00000ACCUM COST 35917,B100000,00000,0500,00000SQUARE FEET 35917,B100000,00000,0600,00000PATIENT DAYS 35917,B100000,00000,0700,00000SQUARE FEET 35917,B100000,00000,0800,00000MEALS SERVED 35917,B100000,00000,0900,00000DIRECT NRSG HRS 35917,B100000,00000,1000,00000PATIENT DAYS 35917,B100000,00000,1100,00000PATIENT DAYS 35917,B100000,00000,1200,00000PATIENT DAYS 35917,B100000,00000,1300,00000PATIENT DAYS 35917,B100000,00000,1350,00000PATIENT DAYS 35917,B100000,00000,1400,00000ASSIGNED TIME 35917,S000000,00100,0200,05/31/2000 35917,S200000,00100,0100,169 VALENTINE ROAD 35917,S200000,00200,0100,PITTSFIELD 35917,S200000,00200,0200,MA 35917,S200000,00200,0300,01201 35917,S200000,00300,0100,BERKSHIRE 35917,S200000,00400,0100,WILLOWOOD OF PITTSFIELD 35917,S200000,00400,0200,225687 35917,S200000,00400,0300,07/31/1995 35917,S200000,00400,0500,P 35917,S200000,01600,0100,Y 35917,S200000,01900,0100,CORPORATION 35917,S200000,02200,0100,Y 35931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35931,A000000,00300,0000,00300EMPLOYEE BENEFITS 35931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35931,A000000,00700,0000,00700HOUSEKEEPING 35931,A000000,00800,0000,00800DIETARY 35931,A000000,00900,0000,00900NURSING ADMINISTRATION 35931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35931,A000000,01100,0000,01100PHARMACY 35931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35931,A000000,01300,0000,01300SOCIAL SERVICE 35931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35931,A000000,01600,0000,01600SKILLED NURSING FACILITY 35931,A000000,01810,0000,01810ICF/MR 35931,A000000,02100,0000,02100RADIOLOGY 35931,A000000,02200,0000,02200LABORATORY 35931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35931,A000000,02500,0000,02500PHYSICAL THERAPY 35931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35931,A000000,02700,0000,02700SPEECH PATHOLOGY 35931,A000000,02800,0000,02800ELECTROCARDIOLOGY 35931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35931,A000000,03550,0000,03550FQHC 35931,A000000,05000,0000,05000CORF 35931,A000000,05010,0000,05010CMHC 35931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35931,A000000,06150,0000,06300ADULT DAY CARE 35931,A000000,06151,0000,06301DENTAL 35931,B100000,00000,0100,00001SQUARE FEET 35931,B100000,00000,0200,00001SQUARE FEET 35931,B100000,00000,0300,00001GROSS SALARIES 35931,B100000,00000,0400,00001ACCUM COST 35931,B100000,00000,0500,00001SQUARE FEET 35931,B100000,00000,0600,00001POUNDS OF LAUNDRY 35931,B100000,00000,0700,00001HOURS OF SERVICE 35931,B100000,00000,0800,00001MEALS SERVED 35931,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35931,B100000,00000,1000,00001COSTED REQUISITIO 35931,B100000,00000,1100,00001COSTED REQUISITIO 35931,B100000,00000,1200,00001TIME SPENT 35931,B100000,00000,1300,00001TIME SPENT 35931,B100000,00000,1400,00001ASSIGNED TIME 35931,E10A180,00301,0100,05/10/2000 35931,S000000,00100,0200,05/26/2000 35931,S200000,00100,0100,2000 EAST MAIN ST 35931,S200000,00200,0100,PEEKSKILL 35931,S200000,00200,0200,NY 35931,S200000,00200,0300,10566 35931,S200000,00300,0100,WESTCHESTER 35931,S200000,00400,0100,WESTLEDGE NURSING HOME 35931,S200000,00400,0200,335003 35931,S200000,00400,0300,01/01/1967 35931,S200000,00400,0500,P 35931,S200000,01500,0100,Y 35931,S200000,04200,0100,Y 35931,S200000,04300,0100,Y 35933,S000000,00100,0200,05/25/2000 35936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35936,A000000,00300,0000,00300EMPLOYEE BENEFITS 35936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35936,A000000,00700,0000,00700HOUSEKEEPING 35936,A000000,00800,0000,00800DIETARY 35936,A000000,00900,0000,00900NURSING ADMINISTRATION 35936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35936,A000000,01100,0000,01100PHARMACY 35936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35936,A000000,01300,0000,01300SOCIAL SERVICE 35936,A000000,01350,0000,01500ACTIVITIES 35936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35936,A000000,01600,0000,01600SKILLED NURSING FACILITY 35936,A000000,01810,0000,01810ICF/MR 35936,A000000,02100,0000,02100RADIOLOGY 35936,A000000,02200,0000,02200LABORATORY 35936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 35936,A000000,02500,0000,02500PHYSICAL THERAPY 35936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35936,A000000,02700,0000,02700SPEECH PATHOLOGY 35936,A000000,02800,0000,02800ELECTROCARDIOLOGY 35936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35936,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35936,A000000,03550,0000,03550FQHC 35936,A000000,05000,0000,05000CORF 35936,A000000,05010,0000,05010CMHC 35936,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35936,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35936,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35936,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35936,A000000,06200,0000,06200PATIENTS LAUNDRY 35936,A000000,06201,0000,06201DENTAL 35936,A81000A,00100,0100,Y 35936,A81000B,00100,0300,RENT 35936,A81000B,00200,0300,DEPRECIATION 35936,A81000B,00300,0300,INTEREST 35936,A81000C,00100,0100,A 35936,A81000C,00100,0200,PAUL S. ROTH 35936,A81000C,00100,0400,620 SLEEPY HOLL 35936,A81000C,00100,0600,REAL PROPERTY 35936,A81000C,00200,0100,A 35936,A81000C,00200,0200,ESTATE OF IVAN 35936,A81000C,00200,0400,620 SLEEPY HOLL 35936,A81000C,00200,0600,REAL PROPERTY 35936,A81000C,00300,0100,A 35936,A81000C,00300,0200,MATTHEW RUSSO 35936,A81000C,00300,0400,620 SLEEPY HOLL 35936,A81000C,00300,0600,REAL PROPERTY 35936,A81000C,00400,0100,A 35936,A81000C,00400,0200,T. BERGMAN 35936,A81000C,00400,0400,620 SLEEPY HOLL 35936,A81000C,00400,0600,REAL PROPERTY 35936,A81000C,00500,0100,A 35936,A81000C,00500,0200,ROSLYN ROTH 35936,A81000C,00500,0400,620 SLEEPY HOLL 35936,A81000C,00500,0600,REAL PROPERTY 35936,B100000,00000,0100,00000SQUARE FEET 35936,B100000,00000,0200,00000SQUARE FEET 35936,B100000,00000,0300,00000GROSS SALARIES 35936,B100000,00000,0400,00000ACCUM COST 35936,B100000,00000,0500,00000SQUARE FEET 35936,B100000,00000,0600,00000POUNDS OF LAUNDRY 35936,B100000,00000,0700,00000HOURS OF SERVICE 35936,B100000,00000,0800,00000MEALS SERVED 35936,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35936,B100000,00000,1000,00000COSTED REQUISITIO 35936,B100000,00000,1100,00000COSTED REQUISITIO 35936,B100000,00000,1200,00000TIME SPENT 35936,B100000,00000,1300,00000TIME SPENT 35936,B100000,00000,1350,00000NUMBER OF PARTICIPAN 35936,B100000,00000,1400,00000ASSIGNED TIME 35936,E10A180,00301,0100,05/10/2000 35936,S000000,00100,0200,05/31/2000 35936,S200000,00100,0100,620 SLEEPY HOLLOW ROAD 35936,S200000,00200,0100,BRIARCLIFF 35936,S200000,00200,0200,NY 35936,S200000,00200,0300,10510 35936,S200000,00300,0100,WESTCHESTER 35936,S200000,00400,0100,BRANDYWINE NURSING HOME 35936,S200000,00400,0200,335005 35936,S200000,00400,0300,01/01/1967 35936,S200000,00400,0500,P 35936,S200000,01500,0100,Y 35954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35954,A000000,00300,0000,00300EMPLOYEE BENEFITS 35954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35954,A000000,00700,0000,00700HOUSEKEEPING 35954,A000000,00800,0000,00800DIETARY 35954,A000000,00900,0000,00900NURSING ADMINISTRATION 35954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35954,A000000,01100,0000,01100PHARMACY 35954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35954,A000000,01300,0000,01300SOCIAL SERVICE 35954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35954,A000000,01600,0000,01600SKILLED NURSING FACILITY 35954,A000000,01810,0000,01810ICF/MR 35954,A000000,02200,0000,02200LABORATORY 35954,A000000,02500,0000,02500PHYSICAL THERAPY 35954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35954,A000000,02700,0000,02700SPEECH PATHOLOGY 35954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35954,A000000,03550,0000,03550FQHC 35954,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 35954,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 35954,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 35954,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 35954,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 35954,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 35954,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 35954,A000000,05000,0000,05000CORF 35954,A000000,05010,0000,05010CMHC 35954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35954,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENT 35954,B100000,00000,0100,00000SQUARE FOOTAGE 35954,B100000,00000,0200,00000SQUARE FOOTAGE 35954,B100000,00000,0300,00000GROSS SAL 35954,B100000,00000,0400,00000ACCUM. COST 35954,B100000,00000,0500,00000SQUARE FOOTAGE 35954,B100000,00000,0600,00000LBS. OF LAUNDRY 35954,B100000,00000,0700,00000HSKG HRS OF SERV 35954,B100000,00000,0800,00000MEALS SERVED 35954,B100000,00000,0900,00000NURSING HOURS 35954,B100000,00000,1000,00000COST REQ SUPPL 35954,B100000,00000,1100,00000COST REQUISITIO 35954,B100000,00000,1200,00000BLANK 35954,B100000,00000,1300,00000SOC SERV TIME 35954,B100000,00000,1400,00000BLANK 35954,E10A180,00301,0100,05/10/2000 35954,E10A180,00350,0100,08/19/1999 35954,H510100,00000,0000,6840 35954,H510100,02400,0000,6840 35954,H710000,00301,0100,08/18/1999 35954,H710000,00501,0100,10/12/2000 35954,H710000,00550,0100,08/04/2000 35954,S000000,00100,0200,09/08/2000 35954,S200000,00100,0100,150 HIGHLAND AVENUE 35954,S200000,00200,0100,ROCHESTER 35954,S200000,00200,0200,NY 35954,S200000,00200,0300,14620 35954,S200000,00300,0100,MONROE 35954,S200000,00400,0100,ST. JOHNS HEALTH CARE CORP. 35954,S200000,00400,0200,335008 35954,S200000,00400,0300,06/19/1972 35954,S200000,00400,0500,P 35954,S200000,00800,0200,337270 35954,S200000,00800,0300,06/12/1990 35954,S200000,00800,0500,P 35954,S200000,01500,0100,Y 35954,S200000,01900,0100,OTHER 35954,S200000,02100,0100,E 35954,S200000,02200,0100,Y 35954,S200000,04300,0100,Y 35961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35961,A000000,00300,0000,00300EMPLOYEE BENEFITS 35961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35961,A000000,00700,0000,00700HOUSEKEEPING 35961,A000000,00800,0000,00800DIETARY 35961,A000000,00801,0000,00801CAFETERIA 35961,A000000,00900,0000,00900NURSING ADMINISTRATION 35961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35961,A000000,01100,0000,01100PHARMACY 35961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35961,A000000,01300,0000,01300SOCIAL SERVICE 35961,A000000,01350,0000,01500ACTIVITIES 35961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35961,A000000,01600,0000,01600SKILLED NURSING FACILITY 35961,A000000,01810,0000,01810ICF/MR 35961,A000000,02100,0000,02100RADIOLOGY 35961,A000000,02200,0000,02200LABORATORY 35961,A000000,02500,0000,02500PHYSICAL THERAPY 35961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35961,A000000,02700,0000,02700SPEECH PATHOLOGY 35961,A000000,02800,0000,02800ELECTROCARDIOLOGY 35961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35961,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35961,A000000,03550,0000,03550FQHC 35961,A000000,05000,0000,05000CORF 35961,A000000,05010,0000,05010CMHC 35961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35961,A000000,05300,0000,05300INTEREST EXPENSE 35961,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35961,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35961,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 35961,A000000,06201,0000,06201DENTAL/FUND RAISING/NON REIMB. 35961,B100000,00000,0100,00000SQUARE FEET 35961,B100000,00000,0200,00000SQUARE FEET 35961,B100000,00000,0300,00000GROSS SALARIES 35961,B100000,00000,0400,00000ACCUM COST 35961,B100000,00000,0500,00000SQUARE FEET 35961,B100000,00000,0600,00000POUNDS OF LAUNDRY 35961,B100000,00000,0700,00000HOURS OF SERVICE 35961,B100000,00000,0800,00000MEALS SERVED 35961,B100000,00000,0801,00000MEALS SERVED 35961,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 35961,B100000,00000,1000,00000COSTED REQUISITIO 35961,B100000,00000,1100,00000COSTED REQUISITIO 35961,B100000,00000,1200,00000TIME SPENT 35961,B100000,00000,1300,00000TIME SPENT 35961,B100000,00000,1350,00000NUMBER OF PARTICIPAN 35961,B100000,00000,1400,00000ASSIGNED TIME 35961,E10A180,00301,0100,05/09/2000 35961,E10A180,00350,0100,08/23/1999 35961,S000000,00100,0200,06/01/2000 35961,S200000,00100,0100,66 VAN CORTLANDT PARK SOUTH 35961,S200000,00200,0100,BRONX 35961,S200000,00200,0200,NY 35961,S200000,00200,0300,10463 35961,S200000,00300,0100,NEW YORK 35961,S200000,00400,0100,ST. PATRICKS HOME FOR THE AGED 35961,S200000,00400,0200,335011 35961,S200000,00400,0300,01/01/1967 35961,S200000,00400,0500,P 35961,S200000,01500,0100,Y 35961,S200000,01900,0100,CORPORATION 35965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35965,A000000,00300,0000,00300EMPLOYEE BENEFITS 35965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35965,A000000,00700,0000,00700HOUSEKEEPING 35965,A000000,00800,0000,00800DIETARY 35965,A000000,00900,0000,00900NURSING ADMINISTRATION 35965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35965,A000000,01100,0000,01100PHARMACY 35965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35965,A000000,01300,0000,01300SOCIAL SERVICE 35965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35965,A000000,01600,0000,01600SKILLED NURSING FACILITY 35965,A000000,01810,0000,01810ICF/MR 35965,A000000,02100,0000,02100RADIOLOGY 35965,A000000,02200,0000,02200LABORATORY 35965,A000000,02500,0000,02500PHYSICAL THERAPY 35965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35965,A000000,02700,0000,02700SPEECH PATHOLOGY 35965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35965,A000000,03550,0000,03550FQHC 35965,A000000,05000,0000,05000CORF 35965,A000000,05010,0000,05010CMHC 35965,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35965,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35965,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35965,A000000,06150,0000,06300ADULT DAY CARE 35965,A000000,06151,0000,06301DENTAL 35965,B100000,00000,0100,00001SQUARE FEET 35965,B100000,00000,0200,00001SQUARE FEET 35965,B100000,00000,0300,00001GROSS SALARIES 35965,B100000,00000,0400,00001ACCUM COST 35965,B100000,00000,0500,00001SQUARE FEET 35965,B100000,00000,0600,00001POUNDS OF LAUNDRY 35965,B100000,00000,0700,00001HOURS OF SERVICE 35965,B100000,00000,0800,00001MEALS SERVED 35965,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 35965,B100000,00000,1000,00001COSTED REQUISITIO 35965,B100000,00000,1100,00001COSTED REQUISITIO 35965,B100000,00000,1200,00001TIME SPENT 35965,B100000,00000,1300,00001TIME SPENT 35965,B100000,00000,1400,00001ASSIGNED TIME 35965,E10A180,00301,0100,05/10/2000 35965,S000000,00100,0200,05/30/2000 35965,S200000,00100,0100,330 MEETING HOUSE LANE 35965,S200000,00200,0100,SOUTHAMPTON 35965,S200000,00200,0200,NY 35965,S200000,00200,0300,11968 35965,S200000,00300,0100,SUFFOLK 35965,S200000,00400,0100,SOUTHAMPTON NURSING HOME 35965,S200000,00400,0200,335013 35965,S200000,00400,0300,12/01/1983 35965,S200000,00400,0500,P 35965,S200000,01500,0100,Y 35965,S200000,04200,0100,Y 35965,S200000,04300,0100,Y 35973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35973,A000000,00300,0000,00300EMPLOYEE BENEFITS 35973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35973,A000000,00700,0000,00700HOUSEKEEPING 35973,A000000,00800,0000,00800DIETARY 35973,A000000,00900,0000,00900NURSING ADMINISTRATION 35973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35973,A000000,01100,0000,01100PHARMACY 35973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35973,A000000,01300,0000,01300SOCIAL SERVICE 35973,A000000,01350,0000,01500OTHER GENERAL SERVICES 35973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35973,A000000,01600,0000,01600SKILLED NURSING FACILITY 35973,A000000,01810,0000,01810ICF/MR 35973,A000000,02500,0000,02500PHYSICAL THERAPY 35973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35973,A000000,02700,0000,02700SPEECH PATHOLOGY 35973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 35973,A000000,03200,0000,03200SUPPORT SURFACES 35973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35973,A000000,03550,0000,03550FQHC 35973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35973,A000000,05000,0000,05000CORF 35973,A000000,05010,0000,05010CMHC 35973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35973,B100000,00000,0100,00000SQUARE FEET 35973,B100000,00000,0200,00000SQUARE FEET 35973,B100000,00000,0300,00000GROSS SALARIES 35973,B100000,00000,0400,00000ACCUM. COST 35973,B100000,00000,0500,00000SQUARE FEET 35973,B100000,00000,0600,00000POUNDS OF LAUNDRY 35973,B100000,00000,0700,00000HOURS OF SERVICE 35973,B100000,00000,0800,00000MEALS SERVED 35973,B100000,00000,0900,00000HOURS OF SERVICE 35973,B100000,00000,1000,00000COSTEDREQU UISITIONS 35973,B100000,00000,1100,00000COSTEDREQU UISITIONS 35973,B100000,00000,1200,00000TIME SPENT 35973,B100000,00000,1300,00000TIME SPENT 35973,B100000,00000,1350,00000NO STATISTICS 35973,B100000,00000,1400,00000NO STATISTICS 35973,E10A180,00301,0100,09/02/1999 35973,E10A180,00302,0100,05/09/2000 35973,S000000,00100,0200,06/21/2000 35973,S200000,00100,0100,526 ALTAMONT AVENUE 35973,S200000,00200,0100,SCHENECTADY 35973,S200000,00200,0200,NY 35973,S200000,00200,0300,12303 35973,S200000,00300,0100,SCHENECTADY 35973,S200000,00400,0100,HALLMARK NURSING CENTRE -SCHENECTADY 35973,S200000,00400,0200,335014 35973,S200000,00400,0300,01/01/1967 35973,S200000,00400,0500,P 35973,S200000,01500,0100,Y 35973,S200000,02800,0100,Y 35981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35981,A000000,00300,0000,00300EMPLOYEE BENEFITS 35981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35981,A000000,00700,0000,00700HOUSEKEEPING 35981,A000000,00800,0000,00800DIETARY 35981,A000000,00900,0000,00900NURSING ADMINISTRATION 35981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35981,A000000,01100,0000,01100PHARMACY 35981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35981,A000000,01300,0000,01300SOCIAL SERVICE 35981,A000000,01350,0000,01500ACTIVITIES 35981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35981,A000000,01600,0000,01600SKILLED NURSING FACILITY 35981,A000000,01810,0000,01810ICF/MR 35981,A000000,02100,0000,02100RADIOLOGY 35981,A000000,02200,0000,02200LABORATORY 35981,A000000,02500,0000,02500PHYSICAL THERAPY 35981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35981,A000000,02700,0000,02700SPEECH PATHOLOGY 35981,A000000,02800,0000,02800ELECTROCARDIOLOGY 35981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35981,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 35981,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 35981,A000000,03550,0000,03550FQHC 35981,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 35981,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 35981,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 35981,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 35981,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 35981,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 35981,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 35981,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 35981,A000000,05000,0000,05000CORF 35981,A000000,05010,0000,05010CMHC 35981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35981,A000000,05300,0000,05300INTEREST EXPENSE 35981,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35981,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 35981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35981,A000000,06150,0000,06300DENTAL 35981,A000000,06151,0000,06301COMMUNITY RELATIONS 35981,A000000,06152,0000,06302CHILD DAY CARE 35981,A000000,06153,0000,06303AUDIOLOGY 35981,A000000,06154,0000,06304DEMENTIA RESEARCH 35981,A000000,06155,0000,06305RENTAL SPACE 35981,A000000,06156,0000,06306CLERGY 35981,B100000,00000,0100,00006SQUARE FEET 35981,B100000,00000,0200,00006SQUARE FEET 35981,B100000,00000,0300,00006GROSS SALARIES 35981,B100000,00000,0400,00006ACCUM COST 35981,B100000,00000,0500,00006SQUARE FEET 35981,B100000,00000,0600,00006POUNDS OF LAUNDRY 35981,B100000,00000,0700,00006HOURS OF SERVICE 35981,B100000,00000,0800,00006MEALS SERVED 35981,B100000,00000,0900,00006DIR NURSIN HRS OF SVC 35981,B100000,00000,1000,00006COSTED REQUISITIO 35981,B100000,00000,1100,00006COSTED REQUISITIO 35981,B100000,00000,1200,00006TIME SPENT 35981,B100000,00000,1300,00006TIME SPENT 35981,B100000,00000,1350,00006ASSIGNED TIME 35981,B100000,00000,1400,00006ASSIGNED TIME 35981,E10A180,00301,0100,05/09/2000 35981,E10A180,00350,0100,09/22/1999 35981,H510100,00000,0000,5600 35981,H510100,02400,0000,5600 35981,H710000,00301,0100,10/25/1999 35981,S000000,00100,0200,09/18/2000 35981,S200000,00100,0100,2975 INDEPENDENCE AVEUNE 35981,S200000,00200,0100,BRONX 35981,S200000,00200,0200,NY 35981,S200000,00200,0300,10463 35981,S200000,00300,0100,BRONX 35981,S200000,00400,0100,FRANCES SCHERVIER HOME & HOSPITAL 35981,S200000,00400,0200,335015 35981,S200000,00400,0300,01/01/1967 35981,S200000,00400,0500,P 35981,S200000,00800,0200,337191 35981,S200000,00800,0300,04/22/1983 35981,S200000,00800,0500,P 35981,S200000,01500,0100,Y 35981,S200000,04600,0100,Y 35981,S410002,01300,0000,PCA 35981,S410002,01400,0000,NUTRITION 35989,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35989,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35989,A000000,00300,0000,00300EMPLOYEE BENEFITS 35989,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35989,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35989,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35989,A000000,00700,0000,00700HOUSEKEEPING 35989,A000000,00800,0000,00800DIETARY 35989,A000000,00900,0000,00900NURSING ADMINISTRATION 35989,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35989,A000000,01100,0000,01100PHARMACY 35989,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35989,A000000,01300,0000,01300SOCIAL SERVICE 35989,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35989,A000000,01600,0000,01600SKILLED NURSING FACILITY 35989,A000000,01810,0000,01810ICF/MR 35989,A000000,02200,0000,02200LABORATORY 35989,A000000,02500,0000,02500PHYSICAL THERAPY 35989,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35989,A000000,02700,0000,02700SPEECH PATHOLOGY 35989,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35989,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35989,A000000,03550,0000,03550FQHC 35989,A000000,05000,0000,05000CORF 35989,A000000,05010,0000,05010CMHC 35989,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35989,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35989,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35989,A000000,05300,0000,05300INTEREST EXPENSE 35989,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35989,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35989,A000000,06150,0000,06300ANIMAL EXPENSES 35989,B100000,00000,0100,00000SQUARE FEET 35989,B100000,00000,0200,00000SQUARE FEET 35989,B100000,00000,0300,00000GROSS SALARIES 35989,B100000,00000,0400,00000ACCUM COST 35989,B100000,00000,0500,00000SQUARE FEET 35989,B100000,00000,0600,00000POUNDS OF LAUNDRY 35989,B100000,00000,0700,00000HOURS OF SERVICE 35989,B100000,00000,0800,00000MEALS SERVED 35989,B100000,00000,0900,00000DIRECT NRSG HRS 35989,B100000,00000,1000,00000COSTED REQUIS 35989,B100000,00000,1100,00000COSTED REQUIS 35989,B100000,00000,1200,00000TIME SPENT 35989,B100000,00000,1300,00000TIME SPENT 35989,B100000,00000,1400,00000ASSIGNED TIME 35989,E10A180,00303,0100,05/09/2000 35989,E10A180,00350,0100,01/18/2000 35989,E10A180,00501,0300,03/23/2001 35989,E10A180,00550,0100,03/23/2001 35989,S000000,00100,0200,06/12/2000 35989,S200000,00100,0100,318 SOUTH ALBANY AVENUE 35989,S200000,00200,0100,ITHACA 35989,S200000,00200,0200,NY 35989,S200000,00200,0300,14850 35989,S200000,00300,0100,TOMPKINS 35989,S200000,00400,0100,RECONSTRUCTION HOME 35989,S200000,00400,0200,335017 35989,S200000,00400,0300,01/01/1967 35989,S200000,00400,0500,P 35989,S200000,01500,0100,Y 35994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 35994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 35994,A000000,00300,0000,00300EMPLOYEE BENEFITS 35994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 35994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 35994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 35994,A000000,00700,0000,00700HOUSEKEEPING 35994,A000000,00800,0000,00800DIETARY 35994,A000000,00900,0000,00900NURSING ADMINISTRATION 35994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 35994,A000000,01100,0000,01100PHARMACY 35994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 35994,A000000,01300,0000,01300SOCIAL SERVICE 35994,A000000,01350,0000,01500OTHER GENERAL SERVICES 35994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 35994,A000000,01600,0000,01600SKILLED NURSING FACILITY 35994,A000000,01810,0000,01810ICF/MR 35994,A000000,02100,0000,02100RADIOLOGY 35994,A000000,02200,0000,02200LABORATORY 35994,A000000,02500,0000,02500PHYSICAL THERAPY 35994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 35994,A000000,02700,0000,02700SPEECH PATHOLOGY 35994,A000000,02800,0000,02800ELECTROCARDIOLOGY 35994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 35994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 35994,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 35994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 35994,A000000,03550,0000,03550FQHC 35994,A000000,04750,0000,05100OTHER REIMBURSABLE COST 35994,A000000,04800,0000,04800AMBULANCE 35994,A000000,05000,0000,05000CORF 35994,A000000,05010,0000,05010CMHC 35994,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 35994,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 35994,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 35994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 35994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 35994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 35994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 35994,A81000A,00100,0100,Y 35994,A81000B,00100,0300,RENT 35994,A81000B,00200,0300,DEPRECIATION & AMORTIZATION 35994,A81000B,00300,0300,INTEREST 35994,A81000C,00100,0100,A 35994,A81000C,00100,0200,C. SEIGER 35994,A81000C,00100,0400,JACOBS LADDER REALTY LL 35994,A81000C,00100,0600,REAL ESTATE 35994,B100000,00000,0100,00000SQUARE FEET 35994,B100000,00000,0200,00000DOLLAR VALUE 35994,B100000,00000,0300,00000GROSS SALARIES 35994,B100000,00000,0400,00000ACCUM. COST 35994,B100000,00000,0500,00000SQUARE FEET 35994,B100000,00000,0600,00000POUNDS OF LAUNDRY 35994,B100000,00000,0700,00000HOURS OF SERVICE 35994,B100000,00000,0800,00000MEALS SERVED 35994,B100000,00000,0900,00000HOURS OF SERVICE 35994,B100000,00000,1000,00000COSTED REQUIS. 35994,B100000,00000,1100,00000COSTED REQUIS. 35994,B100000,00000,1200,00000TIME SPENT 35994,B100000,00000,1300,00000TIME SPENT 35994,B100000,00000,1350,00000NO STATISTICS 35994,B100000,00000,1400,00000TIME SPENT 35994,E10A180,00301,0100,05/10/2000 35994,S000000,00100,0200,06/02/2000 35994,S200000,00100,0100,946 EAST 211TH STREET 35994,S200000,00200,0100,BRONX 35994,S200000,00200,0200,NY 35994,S200000,00200,0300,10469 35994,S200000,00300,0100,BRONX 35994,S200000,00400,0100,ROFAY NURSING HOME 35994,S200000,00400,0200,335019 35994,S200000,00400,0300,02/22/1970 35994,S200000,00400,0500,P 35994,S200000,01500,0100,Y 36004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36004,A000000,00300,0000,00300EMPLOYEE BENEFITS 36004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36004,A000000,00700,0000,00700HOUSEKEEPING 36004,A000000,00800,0000,00800DIETARY 36004,A000000,00900,0000,00900NURSING ADMINISTRATION 36004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36004,A000000,01100,0000,01100PHARMACY 36004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36004,A000000,01300,0000,01300SOCIAL SERVICE 36004,A000000,01350,0000,01500ACTIVITIES 36004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36004,A000000,01600,0000,01600SKILLED NURSING FACILITY 36004,A000000,01810,0000,01810ICF/MR 36004,A000000,02100,0000,02100RADIOLOGY 36004,A000000,02200,0000,02200LABORATORY 36004,A000000,02500,0000,02500PHYSICAL THERAPY 36004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36004,A000000,02700,0000,02700SPEECH PATHOLOGY 36004,A000000,02800,0000,02800ELECTROCARDIOLOGY 36004,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36004,A000000,03200,0000,03200SUPPORT SURFACES 36004,A000000,03450,0000,03600ADULT DAY CARE 36004,A000000,03451,0000,03601DIAGNOSTIC &TREATMENT CENTER 36004,A000000,03550,0000,03550FQHC 36004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 36004,A000000,05000,0000,05000CORF 36004,A000000,05010,0000,05010CMHC 36004,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36004,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36004,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36004,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36004,A000000,06201,0000,06201DENTAL OPTHOM AUDIOL POD WH 36004,A000000,06202,0000,06202RESEARCH 36004,A000000,06203,0000,06203ADC 36004,A000000,06204,0000,06204DTC 36004,A000000,06205,0000,06205SNF PALISADE 36004,B100000,00000,0100,00000SQUARE FEET 36004,B100000,00000,0200,00000SQUARE FEET 36004,B100000,00000,0300,00000GROSS SALARIES 36004,B100000,00000,0400,00000ACCUM COST 36004,B100000,00000,0500,00000SQUARE FEET 36004,B100000,00000,0600,00000POUNDS OF LAUNDRY 36004,B100000,00000,0700,00000HOURS OF SERVICE 36004,B100000,00000,0800,00000MEALS SERVED 36004,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36004,B100000,00000,1000,00000COSTED REQUISITIO 36004,B100000,00000,1100,00000COSTED REQUISITIO 36004,B100000,00000,1200,00000TIME SPENT 36004,B100000,00000,1300,00000TIME SPENT 36004,B100000,00000,1350,00000TIME SPENT 36004,B100000,00000,1400,00000ASSIGNED TIME 36004,E10A180,00301,0100,05/09/2000 36004,E10A180,00350,0100,09/27/1999 36004,H510100,00000,0000,5600 36004,H510100,02400,0000,5600 36004,S000000,00100,0200,09/19/2000 36004,S200000,00100,0100,5901 PALISADE AVENUE 36004,S200000,00200,0100,RIVERDALE 36004,S200000,00200,0200,NY 36004,S200000,00200,0300,10471 36004,S200000,00300,0100,BRONX 36004,S200000,00400,0100,HEBREW HOME FOR THE AGED/RIVERDALE 36004,S200000,00400,0200,335020 36004,S200000,00400,0300,01/01/1967 36004,S200000,00400,0500,P 36004,S200000,00800,0200,337276 36004,S200000,00800,0300,01/01/1991 36004,S200000,00800,0500,P 36004,S200000,01000,0200,334513 36004,S200000,01000,0300,10/09/1990 36004,S200000,01000,0500,P 36006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36006,A000000,00300,0000,00300EMPLOYEE BENEFITS 36006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36006,A000000,00700,0000,00700HOUSEKEEPING 36006,A000000,00800,0000,00800DIETARY 36006,A000000,00900,0000,00900NURSING ADMINISTRATION 36006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36006,A000000,01100,0000,01100PHARMACY 36006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36006,A000000,01300,0000,01300SOCIAL SERVICE 36006,A000000,01350,0000,01500OTHER GENERAL SERVICES 36006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36006,A000000,01600,0000,01600SKILLED NURSING FACILITY 36006,A000000,01810,0000,01810ICF/MR 36006,A000000,02100,0000,02100RADIOLOGY 36006,A000000,02200,0000,02200LABORATORY 36006,A000000,02300,0000,02300INTRAVENOUS THERAPY 36006,A000000,02500,0000,02500PHYSICAL THERAPY 36006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36006,A000000,02700,0000,02700SPEECH PATHOLOGY 36006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36006,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36006,A000000,03051,0000,03301CLINITRON 36006,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36006,A000000,03550,0000,03550FQHC 36006,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36006,A000000,04800,0000,04800AMBULANCE 36006,A000000,05000,0000,05000CORF 36006,A000000,05010,0000,05010CMHC 36006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36006,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36006,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36006,A81000A,00100,0100,Y 36006,A81000B,00100,0300,OFFICE 36006,A81000C,00100,0100,A 36006,A81000C,00100,0200,M. OSTREICHER 36006,A81000C,00100,0400,103 REALTY 36006,A81000C,00100,0600,OFFICE 36006,B100000,00000,0100,00000SQUARE FEET 36006,B100000,00000,0200,00000DOLLAR VALUE 36006,B100000,00000,0300,00000GROSS SALARIES 36006,B100000,00000,0400,00000ACCUM. COST 36006,B100000,00000,0500,00000SQUARE FEET 36006,B100000,00000,0600,00000POUNDS OF LAUNDRY 36006,B100000,00000,0700,00000HOURS OF SERVICE 36006,B100000,00000,0800,00000MEALS SERVED 36006,B100000,00000,0900,00000HOURS OF SERVICE 36006,B100000,00000,1000,00000COSTED REQUIS. 36006,B100000,00000,1100,00000COSTED REQUIS. 36006,B100000,00000,1200,00000TIME SPENT 36006,B100000,00000,1300,00000TIME SPENT 36006,B100000,00000,1350,00000NO STATISTICS 36006,B100000,00000,1400,00000TIME SPENT 36006,E10A180,00301,0100,05/10/2000 36006,S000000,00100,0200,05/31/2000 36006,S200000,00100,0100,1440 PORT WASHINGTON BLVD. 36006,S200000,00200,0100,PORT WASHINGTON 36006,S200000,00200,0200,NY 36006,S200000,00200,0300,11051 36006,S200000,00300,0100,NASSAU 36006,S200000,00400,0100,AGMA INC. D/B/A SANDS POINT NURSING 36006,S200000,00400,0200,335022 36006,S200000,00400,0300,07/01/1971 36006,S200000,00400,0500,P 36006,S200000,01500,0100,Y 36010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36010,A000000,00300,0000,00300EMPLOYEE BENEFITS 36010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36010,A000000,00700,0000,00700HOUSEKEEPING 36010,A000000,00800,0000,00800DIETARY 36010,A000000,00900,0000,00900NURSING ADMINISTRATION 36010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36010,A000000,01100,0000,01100PHARMACY 36010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36010,A000000,01300,0000,01300SOCIAL SERVICE 36010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36010,A000000,01600,0000,01600SKILLED NURSING FACILITY 36010,A000000,01810,0000,01810ICF/MR 36010,A000000,02200,0000,02200LABORATORY 36010,A000000,02500,0000,02500PHYSICAL THERAPY 36010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36010,A000000,02700,0000,02700SPEECH PATHOLOGY 36010,A000000,02800,0000,02800ELECTROCARDIOLOGY 36010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36010,A000000,03001,0000,03001PSYCHIATRY 36010,A000000,03050,0000,03300PSYSICIANS 36010,A000000,03550,0000,03550FQHC 36010,A000000,04800,0000,04800AMBULANCE 36010,A000000,05000,0000,05000CORF 36010,A000000,05010,0000,05010CMHC 36010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36010,A000000,05300,0000,05300INTEREST EXPENSE 36010,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36010,A000000,05901,0000,05901DENTAL 36010,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36010,B100000,00000,0100,00000SQUARE FEET 36010,B100000,00000,0200,00000SQUARE FEET 36010,B100000,00000,0300,00000GROSS SALARIES 36010,B100000,00000,0400,00000ACCUM COST 36010,B100000,00000,0500,00000SQUARE FEET 36010,B100000,00000,0600,00000POUNDS OF LAUNDRY 36010,B100000,00000,0700,00000HOURS OF SERVICE 36010,B100000,00000,0800,00000MEALS SERVED 36010,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36010,B100000,00000,1000,00000COSTED REQUISITIO 36010,B100000,00000,1100,00000COSTED REQUISITIO 36010,B100000,00000,1200,00000TIME SPENT 36010,B100000,00000,1300,00000TIME SPENT 36010,B100000,00000,1400,00000ASSIGNED TIME 36010,E10A180,00301,0100,05/10/2000 36010,S000000,00100,0200,07/18/2000 36010,S200000,00100,0100,875 JERUSALEM AVE 36010,S200000,00200,0100,UNIONDALE 36010,S200000,00200,0200,NY 36010,S200000,00200,0300,11553 36010,S200000,00300,0100,NASSAU 36010,S200000,00400,0100,A HOLLY PATTERSON 36010,S200000,00400,0200,335023 36010,S200000,00400,0300,01/01/1982 36010,S200000,00400,0500,P 36010,S200000,01500,0100,Y 36010,S200000,04300,0100,Y 36012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36012,A000000,00300,0000,00300EMPLOYEE BENEFITS 36012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36012,A000000,00700,0000,00700HOUSEKEEPING 36012,A000000,00800,0000,00800DIETARY 36012,A000000,00900,0000,00900NURSING ADMINISTRATION 36012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36012,A000000,01100,0000,01100PHARMACY 36012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36012,A000000,01300,0000,01300SOCIAL SERVICE 36012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36012,A000000,01600,0000,01600SKILLED NURSING FACILITY 36012,A000000,01810,0000,01810ICF/MR 36012,A000000,02200,0000,02200LABORATORY 36012,A000000,02500,0000,02500PHYSICAL THERAPY 36012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36012,A000000,02700,0000,02700SPEECH PATHOLOGY 36012,A000000,02800,0000,02800ELECTROCARDIOLOGY 36012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36012,A000000,03050,0000,03300PHYSICIANS 36012,A000000,03550,0000,03550FQHC 36012,A000000,04800,0000,04800AMBULANCE 36012,A000000,05000,0000,05000CORF 36012,A000000,05010,0000,05010CMHC 36012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36012,A000000,05300,0000,05300INTEREST EXPENSE 36012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36012,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36012,B100000,00000,0100,00000SQUARE FEET 36012,B100000,00000,0200,00000SQUARE FEET 36012,B100000,00000,0300,00000GROSS SALARIES 36012,B100000,00000,0400,00000ACCUM COST 36012,B100000,00000,0500,00000SQUARE FEET 36012,B100000,00000,0600,00000POUNDS OF LAUNDRY 36012,B100000,00000,0700,00000HOURS OF SERVICE 36012,B100000,00000,0800,00000MEALS SERVED 36012,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36012,B100000,00000,1000,00000COSTED REQUISITIO 36012,B100000,00000,1100,00000COSTED REQUISITIO 36012,B100000,00000,1200,00000TIME SPENT 36012,B100000,00000,1300,00000TIME SPENT 36012,B100000,00000,1400,00000ASSIGNED TIME 36012,S000000,00100,0200,07/18/2000 36012,S200000,00100,0100,875 JERUSALEM AVE 36012,S200000,00200,0100,UNIONDALE 36012,S200000,00200,0200,NY 36012,S200000,00200,0300,11553 36012,S200000,00300,0100,NASSAU 36012,S200000,00400,0100,A HOLLY PATTERSON 36012,S200000,00400,0200,335023 36012,S200000,00400,0300,01/01/1982 36012,S200000,00400,0500,P 36012,S200000,01500,0100,Y 36012,S200000,04300,0100,Y 36015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36015,A000000,00300,0000,00300EMPLOYEE BENEFITS 36015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36015,A000000,00700,0000,00700HOUSEKEEPING 36015,A000000,00800,0000,00800DIETARY 36015,A000000,00900,0000,00900NURSING ADMINISTRATION 36015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36015,A000000,01100,0000,01100PHARMACY 36015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36015,A000000,01300,0000,01300SOCIAL SERVICE 36015,A000000,01350,0000,01500OTHER GENERAL SERVICES 36015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36015,A000000,01600,0000,01600SKILLED NURSING FACILITY 36015,A000000,01810,0000,01810ICF/MR 36015,A000000,02100,0000,02100RADIOLOGY 36015,A000000,02200,0000,02200LABORATORY 36015,A000000,02500,0000,02500PHYSICAL THERAPY 36015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36015,A000000,02700,0000,02700SPEECH PATHOLOGY 36015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36015,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36015,A000000,03101,0000,03101CLINITRON THERAPY 36015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36015,A000000,03550,0000,03550FQHC 36015,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36015,A000000,04800,0000,04800AMBULANCE 36015,A000000,05000,0000,05000CORF 36015,A000000,05010,0000,05010CMHC 36015,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36015,B100000,00000,0100,00000SQUARE FEET 36015,B100000,00000,0200,00000DOLLAR VALUE 36015,B100000,00000,0300,00000GROSS SALARIES 36015,B100000,00000,0400,00000ACCUM. COST 36015,B100000,00000,0500,00000SQUARE FEET 36015,B100000,00000,0600,00000POUNDS OF LAUNDRY 36015,B100000,00000,0700,00000HOURS OF SERVICE 36015,B100000,00000,0800,00000MEALS SERVED 36015,B100000,00000,0900,00000HOURS OF SERVICE 36015,B100000,00000,1000,00000COSTED REQUIS. 36015,B100000,00000,1100,00000COSTED REQUIS. 36015,B100000,00000,1200,00000TIME SPENT 36015,B100000,00000,1300,00000TIME SPENT 36015,B100000,00000,1350,00000 36015,B100000,00000,1400,00000TIME SPENT 36015,E10A180,00301,0100,05/10/2000 36015,E10A180,00550,0100,06/07/2000 36015,S000000,00100,0200,05/31/2000 36015,S200000,00100,0100,640 WEST BROADWAY 36015,S200000,00200,0100,LONG BEACH 36015,S200000,00200,0200,NY 36015,S200000,00200,0300,11561 36015,S200000,00300,0100,NASSAU 36015,S200000,00400,0100,BEACH TERRACE CARE CENTER INC. 36015,S200000,00400,0200,335024 36015,S200000,00400,0300,01/01/1967 36015,S200000,00400,0500,P 36015,S200000,01500,0100,Y 36019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36019,A000000,00300,0000,00300EMPLOYEE BENEFITS 36019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36019,A000000,00700,0000,00700HOUSEKEEPING 36019,A000000,00800,0000,00800DIETARY 36019,A000000,00900,0000,00900NURSING ADMINISTRATION 36019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36019,A000000,01100,0000,01100PHARMACY 36019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36019,A000000,01300,0000,01300SOCIAL SERVICE 36019,A000000,01350,0000,01500MEDICAL STAFF SERVICES 36019,A000000,01351,0000,01501ACTIVITIES 36019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36019,A000000,01600,0000,01600SKILLED NURSING FACILITY 36019,A000000,01810,0000,01810ICF/MR 36019,A000000,02100,0000,02100RADIOLOGY 36019,A000000,02200,0000,02200LABORATORY 36019,A000000,02500,0000,02500PHYSICAL THERAPY 36019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36019,A000000,02700,0000,02700SPEECH PATHOLOGY 36019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36019,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36019,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36019,A000000,03550,0000,03550FQHC 36019,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36019,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36019,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36019,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36019,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36019,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36019,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36019,A000000,05000,0000,05000CORF 36019,A000000,05010,0000,05010CMHC 36019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36019,A000000,05300,0000,05300INTEREST EXPENSE 36019,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36019,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36019,A000000,06150,0000,06300ADC #40 46 47 48 36019,A000000,06151,0000,06301CASE MANAGEMENT 36019,A000000,06152,0000,06302DENTAL DEPARTMENT 36019,A000000,06153,0000,06303AUDIOLOGY 36019,A81000A,00100,0100,Y 36019,A81000B,00100,0300,MANAGEMENT FEES 36019,A81000C,00100,0100,B 36019,A81000C,00100,0400,VCNY 36019,A81000C,00100,0600,HOME OFFICE 36019,B100000,00000,0100,00003SQUARE FEET 36019,B100000,00000,0200,00003SQUARE FEET 36019,B100000,00000,0300,00003GROSS SALARIES 36019,B100000,00000,0400,00003ACCUM COST 36019,B100000,00000,0500,00003SQUARE FEET 36019,B100000,00000,0600,00003POUNDS OF LAUNDRY 36019,B100000,00000,0700,00003HOURS OF SERVICE 36019,B100000,00000,0800,00003MEALS SERVED 36019,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 36019,B100000,00000,1000,00003COSTED REQUISITIO 36019,B100000,00000,1100,00003COSTED REQUISITIO 36019,B100000,00000,1200,00003TIME SPENT 36019,B100000,00000,1300,00003TIME SPENT 36019,B100000,00000,1350,00003ASSIGNED TIME 36019,B100000,00000,1351,00003ASSIGNED TIME 36019,B100000,00000,1400,00003ASSIGNED TIME 36019,E10A180,00301,0100,05/10/2000 36019,H510100,00000,0000,5600 36019,H510100,02400,0000,5600 36019,H710000,00550,0100,03/20/2001 36019,S000000,00100,0200,05/31/2000 36019,S200000,00100,0100,607 HUDSON STREET 36019,S200000,00200,0100,NEW YORK 36019,S200000,00200,0200,NY 36019,S200000,00200,0300,10014 36019,S200000,00300,0100,MANHATTAN 36019,S200000,00400,0100,VILLAGE CENTER FOR CARE 36019,S200000,00400,0200,335027 36019,S200000,00400,0300,10/01/1977 36019,S200000,00400,0500,P 36019,S200000,00800,0200,337280 36019,S200000,00800,0300,01/31/1991 36019,S200000,00800,0500,P 36019,S200000,01500,0100,Y 36019,S410002,01300,0000,NON-REIMBURSABLE 36021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36021,A000000,00300,0000,00300EMPLOYEE BENEFITS 36021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36021,A000000,00700,0000,00700HOUSEKEEPING 36021,A000000,00800,0000,00800DIETARY 36021,A000000,00900,0000,00900NURSING ADMINISTRATION 36021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36021,A000000,01100,0000,01100PHARMACY 36021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36021,A000000,01300,0000,01300SOCIAL SERVICE 36021,A000000,01350,0000,01500OTHER GENERAL SERVICES 36021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36021,A000000,01600,0000,01600SKILLED NURSING FACILITY 36021,A000000,01810,0000,01810ICF/MR 36021,A000000,02100,0000,02100RADIOLOGY 36021,A000000,02200,0000,02200LABORATORY 36021,A000000,02300,0000,02300INTRAVENOUS THERAPY 36021,A000000,02500,0000,02500PHYSICAL THERAPY 36021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36021,A000000,02700,0000,02700SPEECH PATHOLOGY 36021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36021,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36021,A000000,03101,0000,03101CLINITRON THERAPY 36021,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36021,A000000,03550,0000,03550FQHC 36021,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36021,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36021,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36021,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36021,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36021,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36021,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36021,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36021,A000000,05000,0000,05000CORF 36021,A000000,05010,0000,05010CMHC 36021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36021,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36021,A81000A,00100,0100,Y 36021,A81000B,00100,0300,RENT 36021,A81000B,00200,0300,MORTGAGE INTEREST 36021,A81000B,00300,0300,DEPRECIATION 36021,A81000B,00400,0300,AMORTIZATION 36021,A81000B,00500,0300,LEGAL 36021,A81000C,00100,0100,A 36021,A81000C,00100,0200,H. SEIGER 36021,A81000C,00100,0400,C.G LIMITED PARTNERSHIP 36021,A81000C,00100,0600,REALTY COMPANY 36021,B100000,00000,0100,00000SQUARE FEET 36021,B100000,00000,0200,00000DOLLAR VALUE 36021,B100000,00000,0300,00000GROSS SALARIES 36021,B100000,00000,0400,00000ACCUM. COST 36021,B100000,00000,0500,00000SQUARE FEET 36021,B100000,00000,0600,00000POUNDS OF LAUNDRY 36021,B100000,00000,0700,00000HOURS OF SERVICE 36021,B100000,00000,0800,00000MEALS SERVED 36021,B100000,00000,0900,00000HOURS OF SERVICE 36021,B100000,00000,1000,00000COSTED REQUIS. 36021,B100000,00000,1100,00000COSTED REQUIS. 36021,B100000,00000,1200,00000TIME SPENT 36021,B100000,00000,1300,00000TIME SPENT 36021,B100000,00000,1350,00000NO STATISTICS 36021,B100000,00000,1400,00000TIME SPENT 36021,E10A180,00301,0100,05/10/2000 36021,E10A180,00550,0100,08/10/2000 36021,H510100,00000,0000,5600 36021,H510100,02400,0000,5600 36021,H710000,00501,0100,08/10/2000 36021,H710000,00502,0100,03/20/2001 36021,S000000,00100,0200,07/31/2000 36021,S200000,00100,0100,3400 CANON PLACE 36021,S200000,00200,0100,BRONX 36021,S200000,00200,0200,NY 36021,S200000,00200,0300,10463 36021,S200000,00300,0100,BRONX 36021,S200000,00400,0100,KINGSBRIDGE REHABILITATION C.C. 36021,S200000,00400,0200,335028 36021,S200000,00400,0300,01/01/1967 36021,S200000,00400,0500,P 36021,S200000,00800,0200,337196 36021,S200000,00800,0300,11/24/1983 36021,S200000,00800,0500,P 36021,S200000,01500,0100,Y 36023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36023,A000000,00300,0000,00300EMPLOYEE BENEFITS 36023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36023,A000000,00700,0000,00700HOUSEKEEPING 36023,A000000,00800,0000,00800DIETARY 36023,A000000,00900,0000,00900NURSING ADMINISTRATION 36023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36023,A000000,01100,0000,01100PHARMACY 36023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36023,A000000,01300,0000,01300SOCIAL SERVICE 36023,A000000,01350,0000,01500ACTIVITIES 36023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36023,A000000,01600,0000,01600SKILLED NURSING FACILITY 36023,A000000,01810,0000,01810ICF/MR 36023,A000000,02100,0000,02100RADIOLOGY 36023,A000000,02200,0000,02200LABORATORY 36023,A000000,02500,0000,02500PHYSICAL THERAPY 36023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36023,A000000,02700,0000,02700SPEECH PATHOLOGY 36023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36023,A000000,03200,0000,03200SUPPORT SURFACES 36023,A000000,03550,0000,03550FQHC 36023,A000000,05000,0000,05000CORF 36023,A000000,05010,0000,05010CMHC 36023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36023,A000000,06150,0000,06300DENTAL 36023,A000000,06151,0000,06301CLINIC 36023,A81000A,00100,0100,Y 36023,A81000B,00100,0300,RENT 36023,A81000B,00200,0300,GUARENTEED PAYMENTS 36023,A81000B,00300,0300,DEPRECIATION 36023,A81000B,00400,0300,PENSION 36023,A81000B,00500,0300,REAL ESTATE TAX 36023,A81000B,00600,0300,MISC 36023,A81000B,00700,0300,INTEREST 36023,A81000B,00800,0300,UTILITIES 36023,A81000B,00900,0300,PROFESSIONAL FEES 36023,A81000C,00100,0100,A 36023,A81000C,00100,0200,J. BRACHFELD 36023,A81000C,00100,0400,B&G REALTY 36023,A81000C,00100,0600,REAL ESTATE 36023,A81000C,00200,0100,B 36023,A81000C,00200,0200,I. GOLDBRENNER 36023,A81000C,00200,0400,B&G REALTY 36023,A81000C,00200,0600,REAL ESTATE 36023,A81000C,00300,0100,C 36023,A81000C,00300,0200,I. HARTMAN 36023,A81000C,00300,0400,B&G REALTY 36023,A81000C,00300,0600,REAL ESTATE 36023,B100000,00000,0100,00001SQUARE FEET 36023,B100000,00000,0200,00001SQUARE FEET 36023,B100000,00000,0300,00001GROSS SALARIES 36023,B100000,00000,0400,00001ACCUM COST 36023,B100000,00000,0500,00001SQUARE FEET 36023,B100000,00000,0600,00001POUNDS OF LAUNDRY 36023,B100000,00000,0700,00001HOURS OF SERVICE 36023,B100000,00000,0800,00001MEALS SERVED 36023,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36023,B100000,00000,1000,00001COSTED REQUISITIO 36023,B100000,00000,1100,00001COSTED REQUISITIO 36023,B100000,00000,1200,00001TIME SPENT 36023,B100000,00000,1300,00001TIME SPENT 36023,B100000,00000,1350,00001PATIENT DAYS 36023,B100000,00000,1400,00001ASSIGNED TIME 36023,E10A180,00301,0100,05/10/2000 36023,E10A180,00550,0100,06/07/2000 36023,S000000,00100,0200,05/31/2000 36023,S200000,00100,0100,3356 PERRY AVENUE 36023,S200000,00200,0100,BRONX 36023,S200000,00200,0200,NY 36023,S200000,00200,0300,10467 36023,S200000,00300,0100,BRONX 36023,S200000,00400,0100,MOSHOLU PARKWAY NRSG HOME 36023,S200000,00400,0200,335030 36023,S200000,00400,0300,01/01/1967 36023,S200000,00400,0500,P 36023,S200000,01500,0100,Y 36026,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36026,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36026,A000000,00300,0000,00300EMPLOYEE BENEFITS 36026,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36026,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36026,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36026,A000000,00700,0000,00700HOUSEKEEPING 36026,A000000,00800,0000,00800DIETARY 36026,A000000,00900,0000,00900NURSING ADMINISTRATION 36026,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36026,A000000,01100,0000,01100PHARMACY 36026,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36026,A000000,01300,0000,01300SOCIAL SERVICE 36026,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36026,A000000,01600,0000,01600SKILLED NURSING FACILITY 36026,A000000,01810,0000,01810ICF/MR 36026,A000000,02100,0000,02100RADIOLOGY 36026,A000000,02200,0000,02200LABORATORY 36026,A000000,02500,0000,02500PHYSICAL THERAPY 36026,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36026,A000000,02700,0000,02700SPEECH PATHOLOGY 36026,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36026,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36026,A000000,03550,0000,03550FQHC 36026,A000000,05000,0000,05000CORF 36026,A000000,05010,0000,05010CMHC 36026,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36026,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36026,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36026,A000000,06150,0000,06300ADULT DAY CARE 36026,A000000,06151,0000,06301DENTAL 36026,A81000A,00100,0100,Y 36026,A81000B,00100,0300,RENT 36026,A81000B,00200,0300,RE TAXES 36026,A81000B,00300,0300,DEPRECIATION 36026,A81000B,00400,0300,WATER 36026,A81000B,00500,0300,PROFESSIONAL EXPENSE 36026,A81000C,00100,0100,A 36026,A81000C,00100,0200,MI CHAEL GOTTSEGEN 36026,A81000C,00100,0400,HILAIRE CO 36026,A81000C,00100,0600,REAL ESTATE 36026,A81000C,00200,0100,A 36026,A81000C,00200,0200,PETER GOTTSEGEN 36026,A81000C,00200,0400,HILAIRE CO 36026,A81000C,00200,0600,REAL ESTATE 36026,B100000,00000,0100,00001SQUARE FEET 36026,B100000,00000,0200,00001SQUARE FEET 36026,B100000,00000,0300,00001GROSS SALARIES 36026,B100000,00000,0400,00001ACCUM COST 36026,B100000,00000,0500,00001SQUARE FEET 36026,B100000,00000,0600,00001POUNDS OF LAUNDRY 36026,B100000,00000,0700,00001HOURS OF SERVICE 36026,B100000,00000,0800,00001MEALS SERVED 36026,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36026,B100000,00000,1000,00001COSTED REQUISITIO 36026,B100000,00000,1100,00001COSTED REQUISITIO 36026,B100000,00000,1200,00001TIME SPENT 36026,B100000,00000,1300,00001TIME SPENT 36026,B100000,00000,1400,00001ASSIGNED TIME 36026,E10A180,00301,0100,05/10/2000 36026,S000000,00100,0200,05/30/2000 36026,S200000,00100,0100,HILAIRE DRIVE 36026,S200000,00100,0300,667 36026,S200000,00200,0100,HUNTINGTON 36026,S200000,00200,0200,NY 36026,S200000,00200,0300,11743 36026,S200000,00300,0100,SUFFOLK 36026,S200000,00400,0100,HILAIRE FARM NURSING HOME 36026,S200000,00400,0200,335040 36026,S200000,00400,0300,01/01/1967 36026,S200000,00400,0500,P 36026,S200000,01500,0100,Y 36026,S200000,04200,0100,Y 36026,S200000,04300,0100,Y 36029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36029,A000000,00300,0000,00300EMPLOYEE BENEFITS 36029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36029,A000000,00700,0000,00700HOUSEKEEPING 36029,A000000,00800,0000,00800DIETARY 36029,A000000,00900,0000,00900NURSING ADMINISTRATION 36029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36029,A000000,01100,0000,01100PHARMACY 36029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36029,A000000,01300,0000,01300SOCIAL SERVICE 36029,A000000,01350,0000,01500OTHER GENERAL SERVICES 36029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36029,A000000,01600,0000,01600SKILLED NURSING FACILITY 36029,A000000,01810,0000,01810ICF/MR 36029,A000000,02100,0000,02100RADIOLOGY 36029,A000000,02200,0000,02200LABORATORY 36029,A000000,02500,0000,02500PHYSICAL THERAPY 36029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36029,A000000,02700,0000,02700SPEECH PATHOLOGY 36029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36029,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36029,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36029,A000000,03550,0000,03550FQHC 36029,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36029,A000000,05000,0000,05000CORF 36029,A000000,05010,0000,05010CMHC 36029,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36029,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36029,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36029,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36029,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36029,B100000,00000,0100,00000SQUARE FEET 36029,B100000,00000,0200,00000DOLLAR VALUE 36029,B100000,00000,0300,00000GROSS SALARIES 36029,B100000,00000,0400,00000ACCUM. COST 36029,B100000,00000,0500,00000SQUARE FEET 36029,B100000,00000,0600,00000POUNDS OF LAUNDRY 36029,B100000,00000,0700,00000HOURS OF SERVICE 36029,B100000,00000,0800,00000MEALS SERVED 36029,B100000,00000,0900,00000HOURS OF SERVICE 36029,B100000,00000,1000,00000COSTED REQUIS. 36029,B100000,00000,1100,00000COSTED REQUIS. 36029,B100000,00000,1200,00000TIME SPENT 36029,B100000,00000,1300,00000TIME SPENT 36029,B100000,00000,1350,00000NO STATISTICS 36029,B100000,00000,1400,00000TIME SPENT 36029,E10A180,00301,0100,05/10/2000 36029,S000000,00100,0200,06/01/2000 36029,S200000,00100,0100,13-11 VIRGINIA STREET 36029,S200000,00200,0100,FAR ROCKAWAY 36029,S200000,00200,0200,NY 36029,S200000,00200,0300,11691 36029,S200000,00300,0100,QUEENS 36029,S200000,00400,0100,FAR ROCKAWAY NURSING HOME 36029,S200000,00400,0200,335044 36029,S200000,00400,0300,04/01/1973 36029,S200000,00400,0500,P 36029,S200000,01500,0100,Y 36037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36037,A000000,00300,0000,00300EMPLOYEE BENEFITS 36037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36037,A000000,00700,0000,00700HOUSEKEEPING 36037,A000000,00800,0000,00800DIETARY 36037,A000000,00900,0000,00900NURSING ADMINISTRATION 36037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36037,A000000,01100,0000,01100PHARMACY 36037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36037,A000000,01300,0000,01300SOCIAL SERVICE 36037,A000000,01350,0000,01500ACTIVITIES 36037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36037,A000000,01600,0000,01600SKILLED NURSING FACILITY 36037,A000000,01810,0000,01810ICF/MR 36037,A000000,02100,0000,02100RADIOLOGY 36037,A000000,02200,0000,02200LABORATORY 36037,A000000,02500,0000,02500PHYSICAL THERAPY 36037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36037,A000000,02700,0000,02700SPEECH PATHOLOGY 36037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36037,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36037,A000000,03200,0000,03200SUPPORT SURFACES 36037,A000000,03550,0000,03550FQHC 36037,A000000,05000,0000,05000CORF 36037,A000000,05010,0000,05010CMHC 36037,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36037,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36037,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36037,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36037,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36037,A000000,06150,0000,06300ADULT DAY CARE 36037,A000000,06151,0000,06301DENTAL 36037,B100000,00000,0100,00001SQUARE FEET 36037,B100000,00000,0200,00001SQUARE FEET 36037,B100000,00000,0300,00001GROSS SALARIES 36037,B100000,00000,0400,00001ACCUM COST 36037,B100000,00000,0500,00001SQUARE FEET 36037,B100000,00000,0600,00001POUNDS OF LAUNDRY 36037,B100000,00000,0700,00001SQUARE FEET 36037,B100000,00000,0800,00001MEALS SERVED 36037,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36037,B100000,00000,1000,00001COSTED REQUISITIO 36037,B100000,00000,1100,00001COSTED REQUISITIO 36037,B100000,00000,1200,00001TIME SPENT 36037,B100000,00000,1300,00001TIME SPENT 36037,B100000,00000,1350,00001PATIENT DAYS 36037,B100000,00000,1400,00001ASSIGNED TIME 36037,E10A180,00301,0100,09/01/1999 36037,E10A180,00302,0100,05/09/2000 36037,E10A180,00550,0100,06/02/2000 36037,S000000,00100,0200,06/01/2000 36037,S200000,00100,0100,199 NORTH MIDDLETON RD 36037,S200000,00200,0100,NANUET 36037,S200000,00200,0200,NY 36037,S200000,00200,0300,10954 36037,S200000,00300,0100,ROCKLAND 36037,S200000,00400,0100,NORTHERN MANOR GERIATRIC CTR 36037,S200000,00400,0200,335046 36037,S200000,00400,0300,01/01/1967 36037,S200000,00400,0500,P 36037,S200000,01500,0100,Y 36042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36042,A000000,00300,0000,00300EMPLOYEE BENEFITS 36042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36042,A000000,00700,0000,00700HOUSEKEEPING 36042,A000000,00800,0000,00800DIETARY 36042,A000000,00900,0000,00900NURSING ADMINISTRATION 36042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36042,A000000,01100,0000,01100PHARMACY 36042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36042,A000000,01300,0000,01300SOCIAL SERVICE 36042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36042,A000000,01600,0000,01600SKILLED NURSING FACILITY 36042,A000000,01810,0000,01810ICF/MR 36042,A000000,02200,0000,02200LABORATORY 36042,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36042,A000000,02500,0000,02500PHYSICAL THERAPY 36042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36042,A000000,02700,0000,02700SPEECH PATHOLOGY 36042,A000000,02800,0000,02800ELECTROCARDIOLOGY 36042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36042,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36042,A000000,03550,0000,03550FQHC 36042,A000000,05000,0000,05000CORF 36042,A000000,05010,0000,05010CMHC 36042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36042,B100000,00000,0100,00040SQUARE FEET 36042,B100000,00000,0200,00040SQUARE FEET 36042,B100000,00000,0300,00040GROSS SALARIES 36042,B100000,00000,0400,00040ACCUM COST 36042,B100000,00000,0500,00040SQUARE FEET 36042,B100000,00000,0600,00040POUNDS OF LAUNDRY 36042,B100000,00000,0700,00040HOURS OF SERVICE 36042,B100000,00000,0800,00040MEALS SERVED 36042,B100000,00000,0900,00040DIRECT NRSG HRS 36042,B100000,00000,1000,00040COSTED REQUIS 36042,B100000,00000,1100,00040COSTED REQUIS 36042,B100000,00000,1200,00040TIME SPENT 36042,B100000,00000,1300,00040TIME SPENT 36042,B100000,00000,1400,00040ASSIGNED TIME 36042,S000000,00100,0200,05/25/2000 36042,S200000,00100,0100,150 LILY POND AVE. 36042,S200000,00200,0100,STATEN ISLAND 36042,S200000,00200,0200,NY 36042,S200000,00200,0300,10305 36042,S200000,00300,0100,RICHMOND 36042,S200000,00400,0100,LILY POND NURSING HOME 36042,S200000,00400,0200,335047 36042,S200000,00400,0300,03/01/1969 36042,S200000,00400,0500,P 36042,S200000,01500,0100,Y 36042,S200000,04300,0100,Y 36046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36046,A000000,00300,0000,00300EMPLOYEE BENEFITS 36046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36046,A000000,00700,0000,00700HOUSEKEEPING 36046,A000000,00800,0000,00800DIETARY 36046,A000000,00900,0000,00900NURSING ADMINISTRATION 36046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36046,A000000,01100,0000,01100PHARMACY 36046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36046,A000000,01300,0000,01300SOCIAL SERVICE 36046,A000000,01350,0000,01500OTHER GENERAL SERVICES 36046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36046,A000000,01600,0000,01600SKILLED NURSING FACILITY 36046,A000000,01810,0000,01810ICF/MR 36046,A000000,02500,0000,02500PHYSICAL THERAPY 36046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36046,A000000,02700,0000,02700SPEECH PATHOLOGY 36046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36046,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36046,A000000,03101,0000,03101CLINITRON THERAPY 36046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36046,A000000,03550,0000,03550FQHC 36046,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36046,A000000,05000,0000,05000CORF 36046,A000000,05010,0000,05010CMHC 36046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36046,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36046,B100000,00000,0100,00000SQUARE FEET 36046,B100000,00000,0200,00000DOLLAR VALUE 36046,B100000,00000,0300,00000GROSS SALARIES 36046,B100000,00000,0400,00000ACCUM. COST 36046,B100000,00000,0500,00000SQUARE FEET 36046,B100000,00000,0600,00000POUNDS OF LAUNDRY 36046,B100000,00000,0700,00000HOURS OF SERVICE 36046,B100000,00000,0800,00000MEALS SERVED 36046,B100000,00000,0900,00000HOURS OF SERVICE 36046,B100000,00000,1000,00000COSTED REQUIS. 36046,B100000,00000,1100,00000COSTED REQUIS. 36046,B100000,00000,1200,00000TIME SPENT 36046,B100000,00000,1300,00000TIME SPENT 36046,B100000,00000,1350,00000NO STATISTICS 36046,B100000,00000,1400,00000TIME SPENT 36046,E10A180,00550,0100,06/14/2000 36046,S000000,00100,0200,06/06/2000 36046,S200000,00100,0100,1540 TOMLINSON AVENUE 36046,S200000,00200,0100,BRONX 36046,S200000,00200,0200,NY 36046,S200000,00200,0300,10461 36046,S200000,00300,0100,BRONX 36046,S200000,00400,0100,WILLIAMSBRIDGE MANOR NURSING HOME 36046,S200000,00400,0200,335048 36046,S200000,00400,0300,05/16/1969 36046,S200000,00400,0500,P 36046,S200000,01500,0100,Y 36053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36053,A000000,00300,0000,00300EMPLOYEE BENEFITS 36053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36053,A000000,00700,0000,00700HOUSEKEEPING 36053,A000000,00800,0000,00800DIETARY 36053,A000000,00801,0000,00801CAFETERIA 36053,A000000,00802,0000,00802MAINTENANCE OF PERSONNEL 36053,A000000,00900,0000,00900NURSING ADMINISTRATION 36053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36053,A000000,01100,0000,01100PHARMACY 36053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36053,A000000,01300,0000,01300SOCIAL SERVICE 36053,A000000,01350,0000,01500ACTIVITIES 36053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36053,A000000,01600,0000,01600SKILLED NURSING FACILITY 36053,A000000,01810,0000,01810ICF/MR 36053,A000000,02100,0000,02100RADIOLOGY 36053,A000000,02200,0000,02200LABORATORY 36053,A000000,02500,0000,02500PHYSICAL THERAPY 36053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36053,A000000,02700,0000,02700SPEECH PATHOLOGY 36053,A000000,02800,0000,02800ELECTROCARDIOLOGY 36053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36053,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36053,A000000,03550,0000,03550FQHC 36053,A000000,05000,0000,05000CORF 36053,A000000,05010,0000,05010CMHC 36053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36053,A000000,05300,0000,05300INTEREST EXPENSE 36053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36053,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 36053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36053,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36053,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36053,A000000,06200,0000,06200PATIENTS LAUNDRY 36053,A000000,06201,0000,06201DENTAL OPHTHALMOLOGY 36053,B100000,00000,0100,00000SQUARE FEET 36053,B100000,00000,0200,00000SQUARE FEET 36053,B100000,00000,0300,00000GROSS SALARIES 36053,B100000,00000,0400,00000ACCUM COST 36053,B100000,00000,0500,00000SQUARE FEET 36053,B100000,00000,0600,00000POUNDS OF LAUNDRY 36053,B100000,00000,0700,00000HOURS OF SERVICE 36053,B100000,00000,0800,00000MEALS SERVED 36053,B100000,00000,0801,00000MEALS SERVED 36053,B100000,00000,0802,00000NUMBER HOUSED 36053,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36053,B100000,00000,1000,00000COSTED REQUISITIO 36053,B100000,00000,1100,00000COSTED REQUISITIO 36053,B100000,00000,1200,00000TIME SPENT 36053,B100000,00000,1300,00000TIME SPENT 36053,B100000,00000,1350,00000NUMBER OF PARTICIPNT 36053,B100000,00000,1400,00000ASSIGNED TIME 36053,E10A180,00301,0100,05/09/2000 36053,E10A180,00350,0100,01/18/2000 36053,S000000,00100,0200,05/25/2000 36053,S200000,00100,0100,1339 YORK AVENUE 36053,S200000,00200,0100,NEW YORK 36053,S200000,00200,0200,NY 36053,S200000,00300,0100,NEW YORK 36053,S200000,00400,0100,MARY MANNING WALSH NH CO INC 36053,S200000,00400,0200,335050 36053,S200000,00400,0300,01/01/1967 36053,S200000,00400,0500,P 36053,S200000,01500,0100,Y 36062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36062,A000000,00300,0000,00300EMPLOYEE BENEFITS 36062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36062,A000000,00700,0000,00700HOUSEKEEPING 36062,A000000,00800,0000,00800DIETARY 36062,A000000,00900,0000,00900NURSING ADMINISTRATION 36062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36062,A000000,01100,0000,01100PHARMACY 36062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36062,A000000,01300,0000,01300SOCIAL SERVICE 36062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36062,A000000,01600,0000,01600SKILLED NURSING FACILITY 36062,A000000,01810,0000,01810ICF/MR 36062,A000000,02100,0000,02100RADIOLOGY 36062,A000000,02200,0000,02200LABORATORY 36062,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36062,A000000,02500,0000,02500PHYSICAL THERAPY 36062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36062,A000000,02700,0000,02700SPEECH PATHOLOGY 36062,A000000,02800,0000,02800ELECTROCARDIOLOGY 36062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36062,A000000,03450,0000,03600ADULT DAY CARE 36062,A000000,03550,0000,03550FQHC 36062,A000000,05000,0000,05000CORF 36062,A000000,05010,0000,05010CMHC 36062,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36062,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36062,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36062,A000000,05300,0000,05300INTEREST EXPENSE 36062,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36062,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36062,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36062,A81000A,00100,0100,Y 36062,A81000B,00100,0300,ELCOR LAND RENT 36062,A81000B,00200,0300,LRS ASSOC RENT 36062,A81000B,00300,0300,MARRIOTT MANOR RENT 36062,A81000B,00400,0300,LRS DEPREC BLDG/FIX 36062,A81000B,00500,0300,LRS AMORTIZATION 36062,A81000B,00600,0300,LRS INTEREST 36062,A81000B,00700,0300,ELCOR LAND DEPREC 36062,A81000B,00800,0300,MARRIOTT AMORTIZATIO 36062,A81000B,00900,0300,MARRIOTT DEPREC 36062,A81000B,01000,0300,MARRIOTT INTEREST 36062,A81000B,01100,0300,LRS MOVABLE DEPREC 36062,A81000B,01200,0300,MARRIOTT MOVABLE DEP 36062,A81000B,01300,0300,ELCOR LAND PROF FEES 36062,A81000B,01400,0300,LRS PROF FEES 36062,A81000C,00100,0100,A 36062,A81000C,00100,0200,RICHARD POES 36062,A81000C,00100,0400,ELCOR LAND DEVE 36062,A81000C,00100,0600,REALTY 36062,A81000C,00200,0100,D 36062,A81000C,00200,0200,LESTER POES 36062,A81000C,00200,0400,ELCOR LAND DEVE 36062,A81000C,00200,0600,REALTY 36062,A81000C,00300,0100,A 36062,A81000C,00300,0200,RICHARD POES 36062,A81000C,00300,0400,LRS ASSOCIATES 36062,A81000C,00300,0600,REALTY 36062,A81000C,00400,0100,D 36062,A81000C,00400,0200,LESTER POES 36062,A81000C,00400,0400,LRS ASSOCIATES 36062,A81000C,00400,0600,REALTY 36062,A81000C,00500,0100,D 36062,A81000C,00500,0200,STEPH LINDQUIST 36062,A81000C,00500,0400,LRS ASSOCIATES 36062,A81000C,00500,0600,REALTY 36062,A81000C,00600,0100,D 36062,A81000C,00600,0200,LESTER POES 36062,A81000C,00600,0400,MARRIOTT MANOR 36062,A81000C,00600,0600,REALTY 36062,B100000,00000,0100,00000SQUARE FEET 36062,B100000,00000,0200,00000SQUARE FEET 36062,B100000,00000,0300,00000GROSS SALARIES 36062,B100000,00000,0400,00000ACCUM COST 36062,B100000,00000,0500,00000SQUARE FEET 36062,B100000,00000,0600,00000POUNDS OF LAUNDRY 36062,B100000,00000,0700,00000HOURS OF SERVICE 36062,B100000,00000,0800,00000MEALS SERVED 36062,B100000,00000,0900,00000DIRECT NRSG HRS 36062,B100000,00000,1000,00000COSTED REQUIS 36062,B100000,00000,1100,00000COSTED REQUIS 36062,B100000,00000,1200,00000TIME SPENT 36062,B100000,00000,1300,00000TIME SPENT 36062,B100000,00000,1400,00000ASSIGNED TIME 36062,E10A180,00301,0100,05/09/2000 36062,S000000,00100,0200,06/07/2000 36062,S200000,00100,0100,108 COLONIAL DRIVE 36062,S200000,00200,0100,HORSEHEADS 36062,S200000,00200,0200,NY 36062,S200000,00200,0300,14845 36062,S200000,00300,0100,CHEMUNG 36062,S200000,00400,0100,ELCOR NURSING HOME 36062,S200000,00400,0200,335053 36062,S200000,00400,0300,01/01/1967 36062,S200000,00400,0500,P 36062,S200000,01500,0100,Y 36071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36071,A000000,00300,0000,00300EMPLOYEE BENEFITS 36071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36071,A000000,00700,0000,00700HOUSEKEEPING 36071,A000000,00800,0000,00800DIETARY 36071,A000000,00900,0000,00900NURSING ADMINISTRATION 36071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36071,A000000,01100,0000,01100PHARMACY 36071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36071,A000000,01300,0000,01300SOCIAL SERVICE 36071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36071,A000000,01600,0000,01600SKILLED NURSING FACILITY 36071,A000000,01810,0000,01810ICF/MR 36071,A000000,02100,0000,02100RADIOLOGY 36071,A000000,02200,0000,02200LABORATORY 36071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36071,A000000,02500,0000,02500PHYSICAL THERAPY 36071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36071,A000000,02700,0000,02700SPEECH PATHOLOGY 36071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36071,A000000,03050,0000,03300PHYSICIAN 36071,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36071,A000000,03550,0000,03550FQHC 36071,A000000,05000,0000,05000CORF 36071,A000000,05010,0000,05010CMHC 36071,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36071,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36071,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36071,A81000A,00100,0100,Y 36071,A81000B,00100,0300,RENT 36071,A81000B,00200,0300,DEPRECIATION 36071,A81000B,00300,0300,AUDIT 36071,A81000B,00400,0300,INTEREST 36071,A81000B,00500,0300,LEGAL 36071,A81000B,00600,0300,OFFICE 36071,A81000B,00700,0300,MAINTENANCE 36071,A81000C,00100,0100,C 36071,A81000C,00100,0400,HG REALTY 36071,A81000C,00100,0600,LESSOR 36071,B100000,00000,0100,00000SQUARE FEET 36071,B100000,00000,0200,00000SQUARE FEET 36071,B100000,00000,0300,00000GROSS SALARIES 36071,B100000,00000,0400,00000ACCUM COST 36071,B100000,00000,0500,00000SQUARE FEET 36071,B100000,00000,0600,00000POUNDS OF LAUNDRY 36071,B100000,00000,0700,00000HOURS OF SERVICE 36071,B100000,00000,0800,00000MEALS SERVED 36071,B100000,00000,0900,00000DIRECT NRSG HRS 36071,B100000,00000,1000,00000COSTED REQUIS 36071,B100000,00000,1100,00000COSTED REQUIS 36071,B100000,00000,1200,00000TIME SPENT 36071,B100000,00000,1300,00000TIME SPENT 36071,B100000,00000,1400,00000ASSIGNED TIME 36071,E10A180,00301,0100,05/09/2000 36071,S000000,00100,0200,05/25/2000 36071,S200000,00100,0100,4459 BAILEY AVE 36071,S200000,00200,0100,AMHERST 36071,S200000,00200,0200,NY 36071,S200000,00200,0300,14226 36071,S200000,00300,0100,ERIE 36071,S200000,00400,0100,AMHERST HEALTH CARE CENTER 36071,S200000,00400,0200,335056 36071,S200000,00400,0300,01/09/1967 36071,S200000,00400,0500,P 36071,S200000,01500,0100,Y 36071,S200000,04600,0100,Y 36075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36075,A000000,00300,0000,00300EMPLOYEE BENEFITS 36075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36075,A000000,00700,0000,00700HOUSEKEEPING 36075,A000000,00800,0000,00800DIETARY 36075,A000000,00900,0000,00900NURSING ADMINISTRATION 36075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36075,A000000,01100,0000,01100PHARMACY 36075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36075,A000000,01300,0000,01300SOCIAL SERVICE 36075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36075,A000000,01600,0000,01600SKILLED NURSING FACILITY 36075,A000000,01810,0000,01810ICF/MR 36075,A000000,02200,0000,02200LABORATORY 36075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36075,A000000,02500,0000,02500PHYSICAL THERAPY 36075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36075,A000000,02700,0000,02700SPEECH PATHOLOGY 36075,A000000,02800,0000,02800ELECTROCARDIOLOGY 36075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36075,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36075,A000000,03550,0000,03550FQHC 36075,A000000,05000,0000,05000CORF 36075,A000000,05010,0000,05010CMHC 36075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36075,B100000,00000,0100,00040SQUARE FEET 36075,B100000,00000,0200,00040SQUARE FEET 36075,B100000,00000,0300,00040GROSS SALARIES 36075,B100000,00000,0400,00040ACCUM COST 36075,B100000,00000,0500,00040SQUARE FEET 36075,B100000,00000,0600,00040POUNDS OF LAUNDRY 36075,B100000,00000,0700,00040HOURS OF SERVICE 36075,B100000,00000,0800,00040MEALS SERVED 36075,B100000,00000,0900,00040DIRECT NRSG HRS 36075,B100000,00000,1000,00040COSTED REQUIS 36075,B100000,00000,1100,00040COSTED REQUIS 36075,B100000,00000,1200,00040TIME SPENT 36075,B100000,00000,1300,00040TIME SPENT 36075,B100000,00000,1400,00040ASSIGNED TIME 36075,E10A180,00550,0100,06/07/2000 36075,S000000,00100,0200,05/30/2000 36075,S200000,00100,0100,2505 GRAND AVE. 36075,S200000,00200,0100,BRONX 36075,S200000,00200,0200,NY 36075,S200000,00200,0300,10468 36075,S200000,00300,0100,BRONX 36075,S200000,00400,0100,UNIVERSITY NURSING HOME 36075,S200000,00400,0200,335061 36075,S200000,00400,0300,04/23/1969 36075,S200000,00400,0500,P 36075,S200000,01500,0100,Y 36078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36078,A000000,00300,0000,00300EMPLOYEE BENEFITS 36078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36078,A000000,00700,0000,00700HOUSEKEEPING 36078,A000000,00800,0000,00800DIETARY 36078,A000000,00900,0000,00900NURSING ADMINISTRATION 36078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36078,A000000,01100,0000,01100PHARMACY 36078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36078,A000000,01300,0000,01300SOCIAL SERVICE 36078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36078,A000000,01600,0000,01600SKILLED NURSING FACILITY 36078,A000000,01810,0000,01810ICF/MR 36078,A000000,02100,0000,02100RADIOLOGY 36078,A000000,02200,0000,02200LABORATORY 36078,A000000,02300,0000,02300INTRAVENOUS THERAPY 36078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36078,A000000,02500,0000,02500PHYSICAL THERAPY 36078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36078,A000000,02700,0000,02700SPEECH PATHOLOGY 36078,A000000,02800,0000,02800ELECTROCARDIOLOGY 36078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36078,A000000,03550,0000,03550FQHC 36078,A000000,04800,0000,04800AMBULANCE 36078,A000000,05000,0000,05000CORF 36078,A000000,05010,0000,05010CMHC 36078,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36078,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36078,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36078,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36078,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36078,A000000,06150,0000,06300ADULT DAY CARE 36078,A000000,06151,0000,06301DENTAL 36078,A81000A,00100,0100,Y 36078,A81000B,00100,0300,RENT 36078,A81000B,00200,0300,MORTG INT 36078,A81000B,00300,0300,DEPRECIATION 36078,A81000B,00400,0300,AMORT MGT EXP 36078,A81000B,00500,0300,INSURANCE 36078,A81000B,00600,0300,UTILITIES 36078,A81000B,00700,0300,ACCOUNTING FEES 36078,A81000C,00100,0100,A 36078,A81000C,00100,0200,DR. TIM STEFFEN 36078,A81000C,00100,0400,STEFFENS FAMILY 36078,A81000C,00200,0100,A 36078,A81000C,00200,0200,DORIS STEFFENS 36078,A81000C,00200,0400,STEFFENS FAMILY 36078,A81000C,00300,0100,A 36078,A81000C,00300,0200,DAWN OMAHONEY 36078,A81000C,00300,0400,STEFFENS FAMILY 36078,A81000C,00400,0100,A 36078,A81000C,00400,0200,APRIL FAUSER 36078,A81000C,00400,0400,STEFFENS FAMILY 36078,A81000C,00500,0100,A 36078,A81000C,00500,0200,TIMOTHY STEFFEN 36078,A81000C,00500,0400,STEFFENS FAMILY 36078,A81000C,00600,0100,A 36078,A81000C,00600,0200,KEVIN STEFFENS 36078,A81000C,00600,0400,STEFFENS FAMILY 36078,B100000,00000,0100,00001SQUARE FEET 36078,B100000,00000,0200,00001SQUARE FEET 36078,B100000,00000,0300,00001GROSS SALARIES 36078,B100000,00000,0400,00001ACCUM COST 36078,B100000,00000,0500,00001SQUARE FEET 36078,B100000,00000,0600,00001POUNDS OF LAUNDRY 36078,B100000,00000,0700,00001HOURS OF SERVICE 36078,B100000,00000,0800,00001MEALS SERVED 36078,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36078,B100000,00000,1000,00001COSTED REQUISITIO 36078,B100000,00000,1100,00001COSTED REQUISITIO 36078,B100000,00000,1200,00001TIME SPENT 36078,B100000,00000,1300,00001TIME SPENT 36078,B100000,00000,1400,00001ASSIGNED TIME 36078,E10A180,00301,0100,05/10/2000 36078,E10A180,00550,0100,06/07/2000 36078,S000000,00100,0200,05/24/2000 36078,S200000,00100,0100,78 BIRCHWOOD DRIVE 36078,S200000,00200,0100,HUNTINGTON STATION 36078,S200000,00200,0200,NY 36078,S200000,00200,0300,11746 36078,S200000,00300,0100,SUFFOLK 36078,S200000,00400,0100,BIRCHWOOD HEALTH CENTER 36078,S200000,00400,0200,335067 36078,S200000,00400,0300,01/01/1967 36078,S200000,00400,0500,P 36078,S200000,01500,0100,Y 36078,S200000,04300,0100,Y 36086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36086,A000000,00300,0000,00300EMPLOYEE BENEFITS 36086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36086,A000000,00700,0000,00700HOUSEKEEPING 36086,A000000,00800,0000,00800DIETARY 36086,A000000,00900,0000,00900NURSING ADMINISTRATION 36086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36086,A000000,01100,0000,01100PHARMACY 36086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36086,A000000,01300,0000,01300SOCIAL SERVICE 36086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36086,A000000,01600,0000,01600SKILLED NURSING FACILITY 36086,A000000,01810,0000,01810ICF/MR 36086,A000000,02200,0000,02200LABORATORY 36086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36086,A000000,02500,0000,02500PHYSICAL THERAPY 36086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36086,A000000,03550,0000,03550FQHC 36086,A000000,05000,0000,05000CORF 36086,A000000,05010,0000,05010CMHC 36086,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36086,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36086,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36086,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36086,A000000,05300,0000,05300INTEREST EXPENSE 36086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36086,B100000,00000,0100,00000SQUARE FEET 36086,B100000,00000,0200,00000SQUARE FEET 36086,B100000,00000,0300,00000GROSS SALARIES 36086,B100000,00000,0400,00000ACCUM COST 36086,B100000,00000,0500,00000SQUARE FEET 36086,B100000,00000,0600,00000POUNDS OF LAUNDRY 36086,B100000,00000,0700,00000HOURS OF SERVICE 36086,B100000,00000,0800,00000MEALS SERVED 36086,B100000,00000,0900,00000DIRECT NRSG HRS 36086,B100000,00000,1000,00000COSTED REQUIS 36086,B100000,00000,1100,00000COSTED REQUIS 36086,B100000,00000,1200,00000TIME SPENT 36086,B100000,00000,1300,00000TIME SPENT 36086,B100000,00000,1400,00000ASSIGNED TIME 36086,E10A180,00301,0100,05/09/2000 36086,S000000,00100,0200,11/14/2000 36086,S200000,00100,0100,RR3 BOX 137 101 SOUTH STREET 36086,S200000,00200,0100,MORRISVILLE 36086,S200000,00200,0200,NY 36086,S200000,00200,0300,13408 36086,S200000,00300,0100,MADISON 36086,S200000,00400,0100,CROUSE COMMUNITY CENTER INC. 36086,S200000,00400,0200,335068 36086,S200000,00400,0300,01/01/1967 36086,S200000,00400,0500,P 36086,S200000,01500,0100,Y 36086,S200000,01900,0100,CORPORATION 36086,S200000,02800,0100,Y 36102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36102,A000000,00300,0000,00300EMPLOYEE BENEFITS 36102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36102,A000000,00700,0000,00700HOUSEKEEPING 36102,A000000,00800,0000,00800DIETARY 36102,A000000,00900,0000,00900NURSING ADMINISTRATION 36102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36102,A000000,01100,0000,01100PHARMACY 36102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36102,A000000,01300,0000,01300SOCIAL SERVICE 36102,A000000,01350,0000,01500MEDICAL AFFAIRS 36102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36102,A000000,01600,0000,01600SKILLED NURSING FACILITY 36102,A000000,01810,0000,01810ICF/MR 36102,A000000,02100,0000,02100RADIOLOGY 36102,A000000,02200,0000,02200LABORATORY 36102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36102,A000000,02500,0000,02500PHYSICAL THERAPY 36102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36102,A000000,02700,0000,02700SPEECH PATHOLOGY 36102,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36102,A000000,03401,0000,03410ADULT DAY CARE 36102,A000000,03550,0000,03550FQHC 36102,A000000,05000,0000,05000CORF 36102,A000000,05010,0000,05010CMHC 36102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36102,B100000,00000,0100,00040SQUARE FEET 36102,B100000,00000,0200,00040SQUARE FEET 36102,B100000,00000,0300,00040GROSS SALARIES 36102,B100000,00000,0400,00040ACCUM COST 36102,B100000,00000,0500,00040SQUARE FEET 36102,B100000,00000,0600,00040POUNDS OF LAUNDRY 36102,B100000,00000,0700,00040HOURS OF SERVICE 36102,B100000,00000,0800,00040MEALS SERVED 36102,B100000,00000,0900,00040DIRECT NRSG HRS 36102,B100000,00000,1000,00040COSTED REQUIS 36102,B100000,00000,1100,00040COSTED REQUIS 36102,B100000,00000,1200,00040TIME SPENT 36102,B100000,00000,1300,00040TIME SPENT 36102,B100000,00000,1350,00040ASSIGNED TIME 36102,B100000,00000,1400,00040ASSIGNED TIME 36102,S000000,00100,0200,12/07/2000 36102,S200000,00100,0100,835 HERKIMER STREET 36102,S200000,00200,0100,BROOKLYN 36102,S200000,00200,0200,NY 36102,S200000,00200,0300,11233 36102,S200000,00300,0100,BROOKLYN 36102,S200000,00400,0100,BISHOP HENRY B. HUCLES NRSG. HOME 36102,S200000,00400,0200,335070 36102,S200000,00400,0300,01/01/1967 36102,S200000,00400,0500,P 36102,S200000,00400,0600,O 36102,S200000,01500,0100,Y 36102,S200000,01900,0100,VOLUNTARY NONPROFIT 36102,S200000,02200,0100,Y 36111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36111,A000000,00300,0000,00300EMPLOYEE BENEFITS 36111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36111,A000000,00700,0000,00700HOUSEKEEPING 36111,A000000,00800,0000,00800DIETARY 36111,A000000,00900,0000,00900NURSING ADMINISTRATION 36111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36111,A000000,01100,0000,01100PHARMACY 36111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36111,A000000,01300,0000,01300SOCIAL SERVICE 36111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36111,A000000,01600,0000,01600SKILLED NURSING FACILITY 36111,A000000,01810,0000,01810ICF/MR 36111,A000000,02100,0000,02100RADIOLOGY 36111,A000000,02200,0000,02200LABORATORY 36111,A000000,02500,0000,02500PHYSICAL THERAPY 36111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36111,A000000,02700,0000,02700SPEECH PATHOLOGY 36111,A000000,02800,0000,02800ELECTROCARDIOLOGY 36111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36111,A000000,03550,0000,03550FQHC 36111,A000000,05000,0000,05000CORF 36111,A000000,05010,0000,05010CMHC 36111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36111,A000000,06150,0000,06300DENTAL 36111,A81000A,00100,0100,Y 36111,A81000B,00100,0300,DEPR/RENTAL EXPENSE 36111,A81000B,00200,0300,DEPRECIATION EXPENSE 36111,A81000B,00300,0300,FRINGE/PAYROLL TAXES 36111,A81000B,00400,0300,A & G SALARIES 36111,A81000B,00500,0300,OTHER A & G EXPENSE 36111,A81000C,00100,0100,A 36111,A81000C,00100,0200,DONALD G. LARDE 36111,A81000C,00100,0400,MANOR OAK S.N.F 36111,A81000C,00100,0600,ADMIN & FISCAL 36111,A81000C,00200,0100,0 36111,A81000C,00200,0200,0 36111,A81000C,00200,0400,0 36111,A81000C,00200,0600,0 36111,A81000C,00300,0100,0 36111,A81000C,00300,0200,0 36111,A81000C,00300,0400,0 36111,A81000C,00300,0600,0 36111,A81000C,00400,0200,0 36111,A81000C,00400,0400,0 36111,A81000C,00400,0600,0 36111,A81000C,00500,0200,0 36111,A81000C,00500,0400,0 36111,B100000,00000,0100,00000SQUARE FEET 36111,B100000,00000,0200,00000SQUARE FEET 36111,B100000,00000,0300,00000GROSS SALARIES 36111,B100000,00000,0400,00000ACCUM COST 36111,B100000,00000,0500,00000SQUARE FEET 36111,B100000,00000,0600,00000POUNDS OF LAUNDRY 36111,B100000,00000,0700,00000HOURS OF SERVICE 36111,B100000,00000,0800,00000MEALS SERVED 36111,B100000,00000,0900,00000DIRECT NRSG HRS 36111,B100000,00000,1000,00000COSTED REQUIS 36111,B100000,00000,1100,00000COSTED REQUIS 36111,B100000,00000,1200,00000TIME SPENT 36111,B100000,00000,1300,00000TIME SPENT 36111,B100000,00000,1400,00000ASSIGNED TIME 36111,E10A180,00301,0100,05/09/2000 36111,E10A180,00351,0100,01/18/2000 36111,S000000,00100,0200,06/01/2000 36111,S200000,00100,0100,423 BAKER STREET 36111,S200000,00200,0100,JAMESTOWN 36111,S200000,00200,0200,NY 36111,S200000,00200,0300,14701 36111,S200000,00300,0100,CHAUTAUQUA 36111,S200000,00400,0100,MANOR OAK S.N.F. JAMESTOWN 36111,S200000,00400,0200,335071 36111,S200000,00400,0300,01/01/1967 36111,S200000,00400,0500,P 36111,S200000,01500,0100,Y 36111,S200000,04300,0100,Y 36120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36120,A000000,00300,0000,00300EMPLOYEE BENEFITS 36120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36120,A000000,00700,0000,00700HOUSEKEEPING 36120,A000000,00800,0000,00800DIETARY 36120,A000000,00900,0000,00900NURSING ADMINISTRATION 36120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36120,A000000,01100,0000,01100PHARMACY 36120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36120,A000000,01300,0000,01300SOCIAL SERVICE 36120,A000000,01350,0000,01500ACTIVITIES 36120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36120,A000000,01600,0000,01600SKILLED NURSING FACILITY 36120,A000000,01800,0000,01800NURSING FACILITY 36120,A000000,01810,0000,01810ICF/MR 36120,A000000,02200,0000,02200LABORATORY 36120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36120,A000000,02500,0000,02500PHYSICAL THERAPY 36120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36120,A000000,02700,0000,02700SPEECH PATHOLOGY 36120,A000000,02800,0000,02800ELECTROCARDIOLOGY 36120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36120,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36120,A000000,03550,0000,03550FQHC 36120,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 36120,A000000,05000,0000,05000CORF 36120,A000000,05010,0000,05010CMHC 36120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36120,A000000,06100,0000,06100NONPAID WORKERS 36120,A000000,06150,0000,06300DENTAL 36120,B100000,00000,0100,00000SQUARE FEET 36120,B100000,00000,0200,00000SQUARE FEET 36120,B100000,00000,0300,00000GROSS SALARIES 36120,B100000,00000,0400,00000ACCUM COST 36120,B100000,00000,0500,00000SQUARE FEET 36120,B100000,00000,0600,00000POUNDS OF LAUNDRY 36120,B100000,00000,0700,00000HOURS OF SERVICE 36120,B100000,00000,0800,00000MEALS SERVED 36120,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36120,B100000,00000,1000,00000COSTED REQUISITIO 36120,B100000,00000,1100,00000COSTED REQUISITIO 36120,B100000,00000,1200,00000TIME SPENT 36120,B100000,00000,1300,00000TIME SPENT 36120,B100000,00000,1350,00000TIME SPENT 36120,B100000,00000,1400,00000ASSIGNED TIME 36120,E10A180,00301,0100,05/09/2000 36120,S000000,00100,0200,07/11/2000 36120,S200000,00100,0100,1516 ORIENTAL BLVD 36120,S200000,00200,0100,BROOKLYN 36120,S200000,00200,0200,NY 36120,S200000,00200,0300,11235 36120,S200000,00300,0100,KINGS 36120,S200000,00400,0100,MENORAH HOME & HOSPITAL 36120,S200000,00400,0200,335073 36120,S200000,00400,0300,01/01/1967 36120,S200000,00400,0500,P 36120,S200000,01500,0100,Y 36120,S200000,01900,0100,ENTIRELY PARTICIPATING SNF 36124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36124,A000000,00300,0000,00300EMPLOYEE BENEFITS 36124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36124,A000000,00700,0000,00700HOUSEKEEPING 36124,A000000,00800,0000,00800DIETARY 36124,A000000,00900,0000,00900NURSING ADMINISTRATION 36124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36124,A000000,01100,0000,01100PHARMACY 36124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36124,A000000,01300,0000,01300SOCIAL SERVICE 36124,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36124,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36124,A000000,01600,0000,01600SKILLED NURSING FACILITY 36124,A000000,01810,0000,01810ICF/MR 36124,A000000,02100,0000,02100RADIOLOGY 36124,A000000,02200,0000,02200LABORATORY 36124,A000000,02500,0000,02500PHYSICAL THERAPY 36124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36124,A000000,02700,0000,02700SPEECH PATHOLOGY 36124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36124,A000000,03550,0000,03550FQHC 36124,A000000,05000,0000,05000CORF 36124,A000000,05010,0000,05010CMHC 36124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36124,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36124,A000000,06201,0000,06201DENTAL 36124,B100000,00000,0100,00000SQUARE FEET 36124,B100000,00000,0200,00000SQUARE FEET 36124,B100000,00000,0300,00000GROSS SALARIES 36124,B100000,00000,0400,00000ACCUM COST 36124,B100000,00000,0500,00000SQUARE FEET 36124,B100000,00000,0600,00000POUNDS OF LAUNDRY 36124,B100000,00000,0700,00000HOURS OF SERVICE 36124,B100000,00000,0800,00000MEALS SERVED 36124,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36124,B100000,00000,1000,00000COSTED REQUISITIO 36124,B100000,00000,1100,00000COSTED REQUISITIO 36124,B100000,00000,1200,00000TIME SPENT 36124,B100000,00000,1300,00000TIME SPENT 36124,B100000,00000,1301,00000PARTICIPAN 36124,B100000,00000,1350,00000 36124,B100000,00000,1400,00000ASSIGNED TIME 36124,E10A180,00301,0100,05/10/2000 36124,S000000,00100,0200,07/17/2000 36124,S200000,00100,0100,5353 MERRICK ROAD 36124,S200000,00200,0100,MASSAPEQUA 36124,S200000,00200,0200,NEW YORK 36124,S200000,00200,0300,11758 36124,S200000,00300,0100,NASSAU 36124,S200000,00400,0100,PARKVIEW NURSING HOME 36124,S200000,00400,0200,335074 36124,S200000,00400,0300,01/01/1971 36124,S200000,00400,0500,P 36124,S200000,01500,0100,Y 36138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36138,A000000,00300,0000,00300EMPLOYEE BENEFITS 36138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36138,A000000,00700,0000,00700HOUSEKEEPING 36138,A000000,00800,0000,00800DIETARY 36138,A000000,00900,0000,00900NURSING ADMINISTRATION 36138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36138,A000000,01100,0000,01100PHARMACY 36138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36138,A000000,01300,0000,01300SOCIAL SERVICE 36138,A000000,01350,0000,01500ACTIVITIES 36138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36138,A000000,01600,0000,01600SKILLED NURSING FACILITY 36138,A000000,01810,0000,01810ICF/MR 36138,A000000,02100,0000,02100RADIOLOGY 36138,A000000,02500,0000,02500PHYSICAL THERAPY 36138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36138,A000000,02700,0000,02700SPEECH PATHOLOGY 36138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36138,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36138,A000000,03550,0000,03550FQHC 36138,A000000,05000,0000,05000CORF 36138,A000000,05010,0000,05010CMHC 36138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36138,A000000,05300,0000,05300INTEREST EXPENSE 36138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36138,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36138,A000000,06201,0000,06201DENTAL 36138,B100000,00000,0100,00000SQUARE FEET 36138,B100000,00000,0200,00000SQUARE FEET 36138,B100000,00000,0300,00000GROSS SALARIES 36138,B100000,00000,0400,00000ACCUM COST 36138,B100000,00000,0500,00000SQUARE FEET 36138,B100000,00000,0600,00000POUNDS OF LAUNDRY 36138,B100000,00000,0700,00000HOURS OF SERVICE 36138,B100000,00000,0800,00000MEALS SERVED 36138,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36138,B100000,00000,1000,00000COSTED REQUISITIO 36138,B100000,00000,1100,00000COSTED REQUISITIO 36138,B100000,00000,1200,00000TIME SPENT 36138,B100000,00000,1300,00000TIME SPENT 36138,B100000,00000,1350,00000NUMBER OF PARTICIPAN 36138,B100000,00000,1400,00000ASSIGNED TIME 36138,E10A180,00301,0100,05/09/2000 36138,S000000,00100,0200,06/02/2000 36138,S200000,00100,0100,CATHERINE STREET 36138,S200000,00100,0300,222 36138,S200000,00200,0100,YORKTOWN HEIGHTS 36138,S200000,00200,0200,NY 36138,S200000,00200,0300,10598 36138,S200000,00300,0100,WESTCHESTER 36138,S200000,00400,0100,FIELD HOME-HOLY COMFORTER 36138,S200000,00400,0200,335078 36138,S200000,00400,0300,01/01/1976 36138,S200000,00400,0500,P 36138,S200000,01500,0100,Y 36142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36142,A000000,00300,0000,00300EMPLOYEE BENEFITS 36142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36142,A000000,00700,0000,00700HOUSEKEEPING 36142,A000000,00800,0000,00800DIETARY 36142,A000000,00900,0000,00900NURSING ADMINISTRATION 36142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36142,A000000,01100,0000,01100PHARMACY 36142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36142,A000000,01300,0000,01300SOCIAL SERVICE 36142,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36142,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36142,A000000,01600,0000,01600SKILLED NURSING FACILITY 36142,A000000,01810,0000,01810ICF/MR 36142,A000000,02500,0000,02500PHYSICAL THERAPY 36142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36142,A000000,02700,0000,02700SPEECH PATHOLOGY 36142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36142,A000000,03550,0000,03550FQHC 36142,A000000,05000,0000,05000CORF 36142,A000000,05010,0000,05010CMHC 36142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36142,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36142,A000000,06201,0000,06201DENTAL 36142,B100000,00000,0100,00000SQUARE FEET 36142,B100000,00000,0200,00000SQUARE FEET 36142,B100000,00000,0300,00000GROSS SALARIES 36142,B100000,00000,0400,00000ACCUM COST 36142,B100000,00000,0500,00000SQUARE FEET 36142,B100000,00000,0600,00000POUNDS OF LAUNDRY 36142,B100000,00000,0700,00000HOURS OF SERVICE 36142,B100000,00000,0800,00000MEALS SERVED 36142,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36142,B100000,00000,1000,00000COSTED REQUISITIO 36142,B100000,00000,1100,00000COSTED REQUISITIO 36142,B100000,00000,1200,00000TIME SPENT 36142,B100000,00000,1300,00000TIME SPENT 36142,B100000,00000,1301,00000PARTICIPAN 36142,B100000,00000,1350,00000 36142,B100000,00000,1400,00000ASSIGNED TIME 36142,E10A180,00301,0100,05/10/2000 36142,S000000,00100,0200,06/27/2000 36142,S200000,00100,0100,2316 BRUNER AVENUE 36142,S200000,00200,0100,BRONX 36142,S200000,00200,0200,NEW YORK 36142,S200000,00200,0300,10469 36142,S200000,00300,0100,BRONX 36142,S200000,00400,0100,GOLDCREST CARE CENTER 36142,S200000,00400,0200,335079 36142,S200000,00400,0300,04/20/1976 36142,S200000,00400,0500,P 36142,S200000,01500,0100,Y 36147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36147,A000000,00300,0000,00300EMPLOYEE BENEFITS 36147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36147,A000000,00700,0000,00700HOUSEKEEPING 36147,A000000,00800,0000,00800DIETARY 36147,A000000,00900,0000,00900NURSING ADMINISTRATION 36147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36147,A000000,01100,0000,01100PHARMACY 36147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36147,A000000,01300,0000,01300SOCIAL SERVICE 36147,A000000,01350,0000,01500OTHER GENERAL SERVICES 36147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36147,A000000,01600,0000,01600SKILLED NURSING FACILITY 36147,A000000,01810,0000,01810ICF/MR 36147,A000000,02100,0000,02100RADIOLOGY 36147,A000000,02200,0000,02200LABORATORY 36147,A000000,02300,0000,02300INTRAVENOUS THERAPY 36147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36147,A000000,02500,0000,02500PHYSICAL THERAPY 36147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36147,A000000,02700,0000,02700SPEECH PATHOLOGY 36147,A000000,02800,0000,02800ELECTROCARDIOLOGY 36147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36147,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36147,A000000,03101,0000,03101CLINITRON THERAPY 36147,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36147,A000000,03550,0000,03550FQHC 36147,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36147,A000000,04800,0000,04800AMBULANCE 36147,A000000,05000,0000,05000CORF 36147,A000000,05010,0000,05010CMHC 36147,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36147,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36147,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36147,A81000A,00100,0100,Y 36147,A81000B,00100,0300,RENT 36147,A81000B,00200,0300,MORTGAGE INTEREST 36147,A81000B,00300,0300,DEPRECIATION 36147,A81000B,00600,0300,81% OF EXPENSES==% PROPTY 36147,A81000C,00100,0100,A 36147,A81000C,00100,0200,M. MELNICKE 36147,A81000C,00100,0400,HUDSON REALTY 36147,A81000C,00100,0600,REAL ESTATE 36147,B100000,00000,0100,00000SQUARE FEET 36147,B100000,00000,0200,00000DOLLAR VALUE 36147,B100000,00000,0300,00000GROSS SALARIES 36147,B100000,00000,0400,00000ACCUM. COST 36147,B100000,00000,0500,00000SQUARE FEET 36147,B100000,00000,0600,00000POUNDS OF LAUNDRY 36147,B100000,00000,0700,00000HOURS OF SERVICE 36147,B100000,00000,0800,00000MEALS SERVED 36147,B100000,00000,0900,00000HOURS OF SERVICE 36147,B100000,00000,1000,00000COSTED REQUIS. 36147,B100000,00000,1100,00000COSTED REQUIS. 36147,B100000,00000,1200,00000TIME SPENT 36147,B100000,00000,1300,00000TIME SPENT 36147,B100000,00000,1350,00000NO STATISTICS 36147,B100000,00000,1400,00000TIME SPENT 36147,E10A180,00301,0100,05/10/2000 36147,S000000,00100,0200,06/23/2000 36147,S200000,00100,0100,65 ASHBURTON AVE. 36147,S200000,00200,0100,YONKERS 36147,S200000,00200,0200,NY 36147,S200000,00200,0300,10701 36147,S200000,00300,0100,WESTCHESTER 36147,S200000,00400,0100,HUDSON VIEW CARE CENTER INC. 36147,S200000,00400,0200,335080 36147,S200000,00400,0300,01/01/1971 36147,S200000,00400,0500,P 36147,S200000,01500,0100,Y 36168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36168,A000000,00300,0000,00300EMPLOYEE BENEFITS 36168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36168,A000000,00700,0000,00700HOUSEKEEPING 36168,A000000,00800,0000,00800DIETARY 36168,A000000,00900,0000,00900NURSING ADMINISTRATION 36168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36168,A000000,01100,0000,01100PHARMACY 36168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36168,A000000,01300,0000,01300SOCIAL SERVICE 36168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36168,A000000,01600,0000,01600SKILLED NURSING FACILITY 36168,A000000,01810,0000,01810ICF/MR 36168,A000000,02100,0000,02100RADIOLOGY 36168,A000000,02200,0000,02200LABORATORY 36168,A000000,02500,0000,02500PHYSICAL THERAPY 36168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36168,A000000,02700,0000,02700SPEECH PATHOLOGY 36168,A000000,02800,0000,02800ELECTROCARDIOLOGY 36168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36168,A000000,03550,0000,03550FQHC 36168,A000000,04800,0000,04800AMBULANCE 36168,A000000,05000,0000,05000CORF 36168,A000000,05010,0000,05010CMHC 36168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36168,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36168,A000000,06150,0000,06300ADULT DAY CARE 36168,A000000,06151,0000,06301DENTAL 36168,B100000,00000,0100,00001SQUARE FEET 36168,B100000,00000,0200,00001SQUARE FEET 36168,B100000,00000,0300,00001GROSS SALARIES 36168,B100000,00000,0400,00001ACCUM COST 36168,B100000,00000,0500,00001SQUARE FEET 36168,B100000,00000,0600,00001POUNDS OF LAUNDRY 36168,B100000,00000,0700,00001HOURS OF SERVICE 36168,B100000,00000,0800,00001MEALS SERVED 36168,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36168,B100000,00000,1000,00001COSTED REQUISITIO 36168,B100000,00000,1100,00001COSTED REQUISITIO 36168,B100000,00000,1200,00001TIME SPENT 36168,B100000,00000,1300,00001TIME SPENT 36168,B100000,00000,1400,00001ASSIGNED TIME 36168,E10A180,00301,0100,05/10/2000 36168,S000000,00100,0200,05/30/2000 36168,S200000,00100,0100,10 BERKSHIRE ROAD 36168,S200000,00200,0100,WEST BABYLON 36168,S200000,00200,0200,NY 36168,S200000,00200,0300,11704 36168,S200000,00300,0100,SUFFOLK 36168,S200000,00400,0100,BERKSHIRE NURSING & REHAB CENTER 36168,S200000,00400,0200,335083 36168,S200000,00400,0300,07/01/1975 36168,S200000,00400,0500,P 36168,S200000,01500,0100,Y 36168,S200000,04200,0100,Y 36168,S200000,04300,0100,Y 36177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36177,A000000,00300,0000,00300EMPLOYEE BENEFITS 36177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36177,A000000,00700,0000,00700HOUSEKEEPING 36177,A000000,00800,0000,00800DIETARY 36177,A000000,00900,0000,00900NURSING ADMINISTRATION 36177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36177,A000000,01100,0000,01100PHARMACY 36177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36177,A000000,01300,0000,01300SOCIAL SERVICE 36177,A000000,01301,0000,01301ACTIVITIES 36177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36177,A000000,01600,0000,01600SKILLED NURSING FACILITY 36177,A000000,01810,0000,01810ICF/MR 36177,A000000,02500,0000,02500PHYSICAL THERAPY 36177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36177,A000000,02700,0000,02700SPEECH PATHOLOGY 36177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36177,A000000,03050,0000,03300PSYCHIATRY 36177,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36177,A000000,03550,0000,03550FQHC 36177,A000000,05000,0000,05000CORF 36177,A000000,05010,0000,05010CMHC 36177,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36177,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36177,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36177,A000000,05901,0000,05901PASTORAL CARE 36177,B100000,00000,0100,00001SQUARE FEET 36177,B100000,00000,0200,00001SQUARE FEET 36177,B100000,00000,0300,00001GROSS SALARIES 36177,B100000,00000,0400,00001ACCUM COST 36177,B100000,00000,0500,00001SQUARE FEET 36177,B100000,00000,0600,00001POUNDS OF LAUNDRY 36177,B100000,00000,0700,00001HOURS OF SERVICE 36177,B100000,00000,0800,00001MEALS SERVED 36177,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36177,B100000,00000,1000,00001COSTED REQUISITIO 36177,B100000,00000,1100,00001COSTED REQUISITIO 36177,B100000,00000,1200,00001TIME SPENT 36177,B100000,00000,1300,00001TIME SPENT 36177,B100000,00000,1301,00001HOURS OF SERVICE 36177,B100000,00000,1400,00001ASSIGNED TIME 36177,E10A180,00301,0100,05/09/2000 36177,S000000,00100,0200,06/21/2000 36177,S200000,00100,0100,420 LAFAYETTE STREET 36177,S200000,00200,0100,OGDENSBURG 36177,S200000,00200,0200,NEW YORK 36177,S200000,00200,0300,13669 36177,S200000,00300,0100,ST.LAWRENCE 36177,S200000,00400,0100,ST. JOSEPHS HOME 36177,S200000,00400,0200,335087 36177,S200000,00400,0300,06/01/1976 36177,S200000,00400,0500,P 36177,S200000,01500,0100,Y 36187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36187,A000000,00300,0000,00300EMPLOYEE BENEFITS 36187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36187,A000000,00700,0000,00700HOUSEKEEPING 36187,A000000,00800,0000,00800DIETARY 36187,A000000,00900,0000,00900NURSING ADMINISTRATION 36187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36187,A000000,01100,0000,01100PHARMACY 36187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36187,A000000,01300,0000,01300SOCIAL SERVICE 36187,A000000,01350,0000,01500ACTIVITIES 36187,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36187,A000000,01600,0000,01600SKILLED NURSING FACILITY 36187,A000000,01810,0000,01810ICF/MR 36187,A000000,02100,0000,02100RADIOLOGY 36187,A000000,02200,0000,02200LABORATORY 36187,A000000,02500,0000,02500PHYSICAL THERAPY 36187,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36187,A000000,02700,0000,02700SPEECH PATHOLOGY 36187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36187,A000000,03550,0000,03550FQHC 36187,A000000,05000,0000,05000CORF 36187,A000000,05010,0000,05010CMHC 36187,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36187,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36187,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36187,A000000,05300,0000,05300INTEREST EXPENSE 36187,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36187,A000000,06150,0000,06300CHAPLAIN 36187,A000000,06151,0000,06301MANOR HOUSING HSKPG 36187,A000000,06152,0000,06302NON ALLOW DIETARY SQ FT 36187,A81000A,00100,0100,Y 36187,A81000B,00100,0300,HOME OFFICE COSTS 36187,A81000B,00500,0300,DIETARY SERVICES 36187,A81000C,00100,0100,B 36187,A81000C,00100,0200,ELIZABETH 36187,A81000C,00100,0400,UNITED METH- 36187,A81000C,00100,0600,HOME OFFICE 36187,A81000C,00200,0200,CHURCH MANOR 36187,A81000C,00200,0400,ODIST HOMES 36187,A81000C,00500,0100,G 36187,A81000C,00500,0200,ELIZABETH 36187,A81000C,00500,0400,ELIZABETH 36187,A81000C,00500,0600,PERSONAL CARE 36187,A81000C,00600,0200,CHURCH MANOR 36187,A81000C,00600,0400,CHURCH-DEPAUL 36187,A81000C,00700,0400,CORPORATION 36187,A81000C,00800,0400,D/B/A ST.LOUISE 36187,A81000C,00900,0400,MANOR 36187,B100000,00000,0100,00002SQUARE FEET 36187,B100000,00000,0200,00002DOLLAR VAL OR SQ.FEET 36187,B100000,00000,0300,00002GROSS SALARIES 36187,B100000,00000,0400,00002ACCUMULA- TED COST 36187,B100000,00000,0500,00002SQUARE FEET 36187,B100000,00000,0600,00002POUNDS OF LAUNDRY 36187,B100000,00000,0700,00002HOURS OF SERVICE 36187,B100000,00000,0800,00002MEALS SERVED 36187,B100000,00000,0900,00002DIRECT HOU OF SERVICE 36187,B100000,00000,1000,00002COSTED REQUIS 36187,B100000,00000,1100,00002COSTED REQUIS 36187,B100000,00000,1200,00002TIME SPENT 36187,B100000,00000,1300,00002TIME SPENT 36187,B100000,00000,1350,00002OTHER 36187,B100000,00000,1400,00002ASSIGNED TIME 36187,S000000,00100,0200,05/31/2000 36187,S200000,00100,0100,863 FRONT STREET 36187,S200000,00200,0100,BINGHAMTON 36187,S200000,00200,0200,NY 36187,S200000,00200,0300,13905 36187,S200000,00300,0100,BROOME 36187,S200000,00400,0100,ELIZABETH CHURCH MANOR 36187,S200000,00400,0200,335090 36187,S200000,00400,0300,01/01/1967 36187,S200000,00400,0500,P 36187,S200000,01500,0100,Y 36187,S200000,01900,0100,CORPORATION 36187,S200000,02200,0100,Y 36187,S200000,02800,0100,Y 36195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36195,A000000,00300,0000,00300EMPLOYEE BENEFITS 36195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36195,A000000,00700,0000,00700HOUSEKEEPING 36195,A000000,00800,0000,00800DIETARY 36195,A000000,00900,0000,00900NURSING ADMINISTRATION 36195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36195,A000000,01100,0000,01100PHARMACY 36195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36195,A000000,01300,0000,01300SOCIAL SERVICE 36195,A000000,01350,0000,01500OTHER GENERAL SERVICES 36195,A000000,01352,0000,01502MEDICAL DIRECTOR AND STAFF 36195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36195,A000000,01600,0000,01600SKILLED NURSING FACILITY 36195,A000000,01810,0000,01810ICF/MR 36195,A000000,02500,0000,02500PHYSICAL THERAPY 36195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36195,A000000,02700,0000,02700SPEECH PATHOLOGY 36195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36195,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36195,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36195,A000000,03550,0000,03550FQHC 36195,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36195,A000000,05000,0000,05000CORF 36195,A000000,05010,0000,05010CMHC 36195,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36195,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36195,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36195,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36195,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36195,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36195,A000000,06151,0000,06301OTHER NONREIMBURSABLE GUEST MEA 36195,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST DENT 36195,A81000A,00100,0100,Y 36195,A81000B,00100,0300,COUNTY ALLOCATION 36195,A81000B,00200,0300,TRANSFER FROM THE CHHA 36195,A81000C,00100,0100,G 36195,A81000C,00100,0200,FULTON COUNTY 36195,A81000C,00100,0400,COUNTY OF FULTON 36195,A81000C,00100,0600,COUNTY GOVERNMENT 36195,A81000C,00200,0100,G 36195,A81000C,00200,0200,FUL CTY NURSING SERVICE 36195,A81000C,00200,0400,FUL CTY NURSING SERVICE 36195,A81000C,00200,0600,HOME HEALTH AGENCY 36195,B100000,00000,0100,00002SQUARE FEET 36195,B100000,00000,0200,00002DOLLAR VALUE 36195,B100000,00000,0300,00002GROSS SALARIES 36195,B100000,00000,0400,00002ACCUM. COST 36195,B100000,00000,0500,00002SQUARE FEET 36195,B100000,00000,0600,00002POUNDS OF LAUNDRY 36195,B100000,00000,0700,00002HOURS OF SERVICE 36195,B100000,00000,0800,00002MEALS SERVED 36195,B100000,00000,0900,00002DIRECT NRSING HRS 36195,B100000,00000,1000,00002COSTED REQUIS. 36195,B100000,00000,1100,00002COSTED REQUIS. 36195,B100000,00000,1200,00002TIME SPENT 36195,B100000,00000,1300,00002TIME SPENT 36195,B100000,00000,1350,00002NO STATISTICS 36195,B100000,00000,1352,00002ASSIGNED TIME 36195,B100000,00000,1400,00002ASSIGNED TIME 36195,S000000,00100,0200,09/07/2000 36195,S200000,00100,0100,847 COHWY 122 36195,S200000,00200,0100,GLOVERSVILLE 36195,S200000,00200,0200,NY 36195,S200000,00200,0300,12078 36195,S200000,00300,0100,FULTON 36195,S200000,00400,0100,FULTON COUNTY RHCF 36195,S200000,00400,0200,335091 36195,S200000,00400,0300,01/01/1967 36195,S200000,00400,0500,P 36195,S200000,01500,0100,Y 36195,S200000,02800,0100,Y 36199,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36199,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36199,A000000,00300,0000,00300EMPLOYEE BENEFITS 36199,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36199,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36199,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36199,A000000,00700,0000,00700HOUSEKEEPING 36199,A000000,00800,0000,00800DIETARY 36199,A000000,00900,0000,00900NURSING ADMINISTRATION 36199,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36199,A000000,01100,0000,01100PHARMACY 36199,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36199,A000000,01300,0000,01300SOCIAL SERVICE 36199,A000000,01350,0000,01500OTHER GENERAL SERVICES 36199,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36199,A000000,01600,0000,01600SKILLED NURSING FACILITY 36199,A000000,01810,0000,01810ICF/MR 36199,A000000,02100,0000,02100RADIOLOGY 36199,A000000,02200,0000,02200LABORATORY 36199,A000000,02500,0000,02500PHYSICAL THERAPY 36199,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36199,A000000,02700,0000,02700SPEECH PATHOLOGY 36199,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36199,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36199,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36199,A000000,03550,0000,03550FQHC 36199,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36199,A000000,05000,0000,05000CORF 36199,A000000,05010,0000,05010CMHC 36199,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36199,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36199,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36199,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36199,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36199,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36199,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36199,B100000,00000,0100,00000SQUARE FEET 36199,B100000,00000,0200,00000DOLLAR VALUE 36199,B100000,00000,0300,00000GROSS SALARIES 36199,B100000,00000,0400,00000ACCUM. COST 36199,B100000,00000,0500,00000SQUARE FEET 36199,B100000,00000,0600,00000POUNDS OF LAUNDRY 36199,B100000,00000,0700,00000HOURS OF SERVICE 36199,B100000,00000,0800,00000MEALS SERVED 36199,B100000,00000,0900,00000HOURS OF SERVICE 36199,B100000,00000,1000,00000COSTED REQUIS. 36199,B100000,00000,1100,00000COSTED REQUIS. 36199,B100000,00000,1200,00000TIME SPENT 36199,B100000,00000,1300,00000TIME SPENT 36199,B100000,00000,1350,00000NO STATISTICS 36199,B100000,00000,1400,00000TIME SPENT 36199,E10A180,00301,0100,05/10/2000 36199,S000000,00100,0200,06/06/2000 36199,S200000,00100,0100,128 BEACH 115TH STREET 36199,S200000,00200,0100,ROCKAWAY PARK 36199,S200000,00200,0200,NY 36199,S200000,00200,0300,11694 36199,S200000,00300,0100,QUEENS 36199,S200000,00400,0100,PARK NURSING HOME 36199,S200000,00400,0200,335093 36199,S200000,00400,0300,01/01/1967 36199,S200000,00400,0500,P 36199,S200000,01500,0100,Y 36206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36206,A000000,00300,0000,00300EMPLOYEE BENEFITS 36206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36206,A000000,00700,0000,00700HOUSEKEEPING 36206,A000000,00800,0000,00800DIETARY 36206,A000000,00900,0000,00900NURSING ADMINISTRATION 36206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36206,A000000,01100,0000,01100PHARMACY 36206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36206,A000000,01300,0000,01300SOCIAL SERVICE 36206,A000000,01350,0000,01500OTHER GENERAL SERVICES 36206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36206,A000000,01600,0000,01600SKILLED NURSING FACILITY 36206,A000000,01810,0000,01810ICF/MR 36206,A000000,02100,0000,02100RADIOLOGY 36206,A000000,02200,0000,02200LABORATORY 36206,A000000,02300,0000,02300INTRAVENOUS THERAPY 36206,A000000,02500,0000,02500PHYSICAL THERAPY 36206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36206,A000000,02700,0000,02700SPEECH PATHOLOGY 36206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36206,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36206,A000000,03101,0000,03101CLINITRON THERAPY 36206,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36206,A000000,03550,0000,03550FQHC 36206,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36206,A000000,05000,0000,05000CORF 36206,A000000,05010,0000,05010CMHC 36206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36206,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36206,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36206,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36206,A81000A,00100,0100,Y 36206,A81000B,00100,0300,RENT 36206,A81000B,00200,0300,NOTE INTEREST 36206,A81000B,00300,0300,DEPRECIATION 36206,A81000B,00400,0300,AMORTIZATION 36206,A81000C,00100,0100,A 36206,A81000C,00100,0200,M. BEINHORN 36206,A81000C,00100,0400,641 WEST 230TH.ST.LLC 36206,A81000C,00100,0600,REAL ESTATE 36206,B100000,00000,0100,00000SQUARE FEET 36206,B100000,00000,0200,00000DOLLAR VALUE 36206,B100000,00000,0300,00000GROSS SALARIES 36206,B100000,00000,0400,00000ACCUM. COST 36206,B100000,00000,0500,00000SQUARE FEET 36206,B100000,00000,0600,00000POUNDS OF LAUNDRY 36206,B100000,00000,0700,00000HOURS OF SERVICE 36206,B100000,00000,0800,00000MEALS SERVED 36206,B100000,00000,0900,00000HOURS OF SERVICE 36206,B100000,00000,1000,00000COSTED REQUIS. 36206,B100000,00000,1100,00000COSTED REQUIS. 36206,B100000,00000,1200,00000TIME SPENT 36206,B100000,00000,1300,00000TIME SPENT 36206,B100000,00000,1350,00000NO STATISTICS 36206,B100000,00000,1400,00000TIME SPENT 36206,E10A180,00301,0100,05/10/2000 36206,S000000,00100,0200,06/16/2000 36206,S200000,00100,0100,641 WEST 230TH STREET 36206,S200000,00200,0100,BRONX 36206,S200000,00200,0200,NY 36206,S200000,00200,0300,10463 36206,S200000,00300,0100,BRONX 36206,S200000,00400,0100,RIVERDALE NURSING HOME INC. 36206,S200000,00400,0200,335096 36206,S200000,00400,0300,04/11/1976 36206,S200000,00400,0500,P 36206,S200000,01500,0100,Y 36215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36215,A000000,00300,0000,00300EMPLOYEE BENEFITS 36215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36215,A000000,00700,0000,00700HOUSEKEEPING 36215,A000000,00800,0000,00800DIETARY 36215,A000000,00900,0000,00900NURSING ADMINISTRATION 36215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36215,A000000,01100,0000,01100PHARMACY 36215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36215,A000000,01300,0000,01300SOCIAL SERVICE 36215,A000000,01350,0000,01500ACTIVITY PROGRAM 36215,A000000,01351,0000,01510PHYSICIAN CARE 36215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36215,A000000,01600,0000,01600SKILLED NURSING FACILITY 36215,A000000,01810,0000,01810ICF/MR 36215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36215,A000000,02500,0000,02500PHYSICAL THERAPY 36215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36215,A000000,02700,0000,02700SPEECH PATHOLOGY 36215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36215,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36215,A000000,03550,0000,03550FQHC 36215,A000000,05000,0000,05000CORF 36215,A000000,05010,0000,05010CMHC 36215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36215,A000000,05300,0000,05300INTEREST EXPENSE 36215,A000000,06100,0000,06100NONPAID WORKERS 36215,B100000,00000,0100,00000SQUARE FEET 36215,B100000,00000,0200,00000SQUARE FEET 36215,B100000,00000,0300,00000GROSS SALARIES 36215,B100000,00000,0400,00000ACCUM COST 36215,B100000,00000,0500,00000SQUARE FEET 36215,B100000,00000,0600,00000POUNDS OF LAUNDRY 36215,B100000,00000,0700,00000HOURS OF SERVICE 36215,B100000,00000,0800,00000MEALS SERVED 36215,B100000,00000,0900,00000DIRECT NRSG HRS 36215,B100000,00000,1000,00000COSTED REQUIS 36215,B100000,00000,1100,00000COSTED REQUIS 36215,B100000,00000,1200,00000TIME SPENT 36215,B100000,00000,1300,00000TIME SPENT 36215,B100000,00000,1350,00000PATIENT CONTACTS 36215,B100000,00000,1360,00000TIME SPENT 36215,B100000,00000,1400,00000ASSIGNED TIME 36215,E10A180,00302,0100,05/09/2000 36215,S000000,00100,0200,11/03/2000 36215,S200000,00100,0100,4211 STATE HIGHWAY 220 36215,S200000,00200,0100,OXFORD 36215,S200000,00200,0200,NY 36215,S200000,00200,0300,13830 36215,S200000,00300,0100,CHENANGO 36215,S200000,00400,0100,NYS VETERABS HOME AT OXFORD 36215,S200000,00400,0200,335097 36215,S200000,00400,0300,01/01/1967 36215,S200000,00400,0500,P 36215,S200000,01500,0100,Y 36228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36228,A000000,00300,0000,00300EMPLOYEE BENEFITS 36228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36228,A000000,00700,0000,00700HOUSEKEEPING 36228,A000000,00800,0000,00800DIETARY 36228,A000000,00900,0000,00900NURSING ADMINISTRATION 36228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36228,A000000,01100,0000,01100PHARMACY 36228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36228,A000000,01300,0000,01300SOCIAL SERVICE 36228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36228,A000000,01600,0000,01600SKILLED NURSING FACILITY 36228,A000000,01810,0000,01810ICF/MR 36228,A000000,02100,0000,02100RADIOLOGY 36228,A000000,02200,0000,02200LABORATORY 36228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36228,A000000,02500,0000,02500PHYSICAL THERAPY 36228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36228,A000000,02700,0000,02700SPEECH PATHOLOGY 36228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36228,A000000,03550,0000,03550FQHC 36228,A000000,05000,0000,05000CORF 36228,A000000,05010,0000,05010CMHC 36228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36228,A81000A,00100,0100,Y 36228,A81000B,00100,0300,RENT 36228,A81000B,00200,0300,DEPRECIATION 36228,A81000B,00300,0300,PROPERTY TAXES 36228,A81000B,00400,0300,MORTGAGE INTEREST 36228,A81000B,00500,0300,PROPERTY INSURANCE 36228,A81000B,00600,0300,PROF. FEES & MISC 36228,A81000B,00700,0300,INCOME TAXES 36228,A81000B,00800,0300,UTILITIES 36228,A81000B,00900,0300,REPIARS & MAINTENANC 36228,A81000C,00100,0100,A 36228,A81000C,00100,0200,MURL B. KNAUF 36228,A81000C,00100,0400,100 RICHMOND ST REAL 36228,A81000C,00100,0600,OWNERSHIP 36228,A81000C,00200,0100,A 36228,A81000C,00200,0200,ENOS BENEDICT 36228,A81000C,00200,0400,100 RICH. ST. REALTY 36228,A81000C,00300,0100,A 36228,A81000C,00300,0200,LARRY M. RAMSAY 36228,A81000C,00300,0400,100 RICHMOND ST REAL 36228,A81000C,00300,0600,LEASING OF 36228,A81000C,00400,0100,D 36228,A81000C,00400,0200,PHILIP KNAUF 36228,A81000C,00400,0400,100 RICH. ST REALITY 36228,A81000C,00400,0600,REAL 36228,A81000C,00500,0100,D 36228,A81000C,00500,0200,BERNARD KNAUF 36228,A81000C,00500,0400,100 RICHMOND ST REAL 36228,A81000C,00500,0600,PROPERTY 36228,A81000C,00600,0100,D 36228,A81000C,00600,0200,DORIS BENEDICT 36228,A81000C,00600,0400,100 RICHMOND ST 36228,A81000C,00600,0600, 36228,A81000C,00700,0100,D 36228,A81000C,00700,0200,MARGHERITA RAMSAY 36228,A81000C,00700,0400,100 RICHMOND ST REAL 36228,A81000C,00700,0600, 36228,A81000C,00800,0100,A 36228,A81000C,00800,0200,ENOS BENEDICT 36228,A81000C,00800,0400,BARK ASSOCIATES 36228,A81000C,00900,0100,A 36228,A81000C,00900,0200,LARRY M. RAMSAY 36228,A81000C,00900,0400,BARK ASSOCIATES 36228,A81000C,01000,0100,A 36228,A81000C,01000,0200,MURL B. KNAUF 36228,A81000C,01000,0400,BARK ASSOCIATES 36228,B100000,00000,0100,00000PATIENT DA FEET 36228,B100000,00000,0200,00000PATIENT DAYS 36228,B100000,00000,0300,00000PATIENT DAYS 36228,B100000,00000,0400,00000ACCUM COST 36228,B100000,00000,0500,00000PATIENT DAYS 36228,B100000,00000,0600,00000PATIENT DAYS 36228,B100000,00000,0700,00000PATIENT DAYS 36228,B100000,00000,0800,00000MEALS SERVED 36228,B100000,00000,0900,00000DIRECT NRSG HRS 36228,B100000,00000,1000,00000COSTED REQUIS 36228,B100000,00000,1100,00000COSTED REQUIS 36228,B100000,00000,1200,00000PATIENT DAYS 36228,B100000,00000,1300,00000PATIENT DAYS 36228,B100000,00000,1400,00000ASSIGNED TIME 36228,S000000,00100,0200,08/21/2000 36228,S200000,00100,0100,510 FIFTH AVENUE 36228,S200000,00200,0100,OWEGO 36228,S200000,00200,0200,NY 36228,S200000,00200,0300,13827 36228,S200000,00300,0100,TIOGA 36228,S200000,00400,0100,RIVERVIEW MANOR NURSING 36228,S200000,00400,0200,335103 36228,S200000,00400,0300,01/01/1967 36228,S200000,00400,0500,P 36228,S200000,01500,0100,Y 36228,S200000,02100,0100,E 36228,S200000,02800,0100,Y 36228,S200000,02900,0100,Y 36228,S200000,04300,0100,Y 36232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36232,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36232,A000000,00300,0000,00300EMPLOYEE BENEFITS 36232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36232,A000000,00700,0000,00700HOUSEKEEPING 36232,A000000,00800,0000,00800DIETARY 36232,A000000,00900,0000,00900NURSING ADMINISTRATION 36232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36232,A000000,01100,0000,01100PHARMACY 36232,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36232,A000000,01300,0000,01300SOCIAL SERVICE 36232,A000000,01350,0000,01500OTHER GENERAL SERVICES 36232,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36232,A000000,01600,0000,01600SKILLED NURSING FACILITY 36232,A000000,01810,0000,01810ICF/MR 36232,A000000,02100,0000,02100RADIOLOGY 36232,A000000,02200,0000,02200LABORATORY 36232,A000000,02300,0000,02300INTRAVENOUS THERAPY 36232,A000000,02500,0000,02500PHYSICAL THERAPY 36232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36232,A000000,02700,0000,02700SPEECH PATHOLOGY 36232,A000000,02800,0000,02800ELECTROCARDIOLOGY 36232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36232,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36232,A000000,03051,0000,03301CLINITRON THERAPY 36232,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36232,A000000,03550,0000,03550FQHC 36232,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36232,A000000,05000,0000,05000CORF 36232,A000000,05010,0000,05010CMHC 36232,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36232,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36232,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36232,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36232,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36232,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36232,B100000,00000,0100,00000SQUARE FEET 36232,B100000,00000,0200,00000DOLLAR VALUE 36232,B100000,00000,0300,00000GROSS SALARIES 36232,B100000,00000,0400,00000ACCUM. COST 36232,B100000,00000,0500,00000SQUARE FEET 36232,B100000,00000,0600,00000POUNDS OF LAUNDRY 36232,B100000,00000,0700,00000HOURS OF SERVICE 36232,B100000,00000,0800,00000MEALS SERVED 36232,B100000,00000,0900,00000HOURS OF SERVICE 36232,B100000,00000,1000,00000COSTED REQUIS. 36232,B100000,00000,1100,00000COSTED REQUIS. 36232,B100000,00000,1200,00000TIME SPENT 36232,B100000,00000,1300,00000TIME SPENT 36232,B100000,00000,1350,00000NO STATISTICS 36232,B100000,00000,1400,00000TIME SPENT 36232,E10A180,00301,0100,05/10/2000 36232,S000000,00100,0200,06/13/2000 36232,S200000,00100,0100,5606 15TH AVENUE 36232,S200000,00200,0100,BROOKLYN 36232,S200000,00200,0200,NY 36232,S200000,00200,0300,11219 36232,S200000,00300,0100,KINGS 36232,S200000,00400,0100,PALM TREE NURSING HOME 36232,S200000,00400,0200,335104 36232,S200000,00400,0300,01/01/1967 36232,S200000,00400,0500,P 36232,S200000,01500,0100,Y 36240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36240,A000000,00300,0000,00300EMPLOYEE BENEFITS 36240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36240,A000000,00700,0000,00700HOUSEKEEPING 36240,A000000,00800,0000,00800DIETARY 36240,A000000,00900,0000,00900NURSING ADMINISTRATION 36240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36240,A000000,01100,0000,01100PHARMACY 36240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36240,A000000,01300,0000,01300SOCIAL SERVICE 36240,A000000,01350,0000,01500ACTIVITIES 36240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36240,A000000,01600,0000,01600SKILLED NURSING FACILITY 36240,A000000,01810,0000,01810ICF/MR 36240,A000000,02100,0000,02100RADIOLOGY 36240,A000000,02200,0000,02200LABORATORY 36240,A000000,02500,0000,02500PHYSICAL THERAPY 36240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36240,A000000,02700,0000,02700SPEECH PATHOLOGY 36240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36240,A000000,03050,0000,03300MEDICAL STAFF SERVICES 36240,A000000,03401,0000,03401DAY SERVICES 36240,A000000,03550,0000,03550FQHC 36240,A000000,05000,0000,05000CORF 36240,A000000,05010,0000,05010CMHC 36240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36240,A000000,05300,0000,05300INTEREST EXPENSE 36240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36240,A000000,06201,0000,06201DENTAL & PODIATRY & OTH 36240,A000000,06202,0000,06202DEVELOPMENT & PUBLIC RELATIONS 36240,A000000,06203,0000,06203SUMMIT 36240,A000000,06204,0000,06204FOUNDATION 36240,A000000,06205,0000,06205AUXILARY 36240,B100000,00000,0100,00005SQUARE FEET 36240,B100000,00000,0200,00005SQUARE FEET 36240,B100000,00000,0300,00005GROSS SALARIES 36240,B100000,00000,0400,00005ACCUM COST 36240,B100000,00000,0500,00005SQUARE FEET 36240,B100000,00000,0600,00005POUNDS OF LAUNDRY 36240,B100000,00000,0700,00005HOURS OF SERVICE 36240,B100000,00000,0800,00005MEALS SERVED 36240,B100000,00000,0900,00005DIRECT NRSG HRS 36240,B100000,00000,1000,00005COSTED REQUIS 36240,B100000,00000,1100,00005COSTED REQUIS 36240,B100000,00000,1200,00005TIME SPENT 36240,B100000,00000,1300,00005TIME SPENT 36240,B100000,00000,1350,00005TIME SPENT 36240,B100000,00000,1400,00005ASSIGNED TIME 36240,E10A180,00301,0100,05/09/2000 36240,E10A180,00350,0100,01/18/2000 36240,E10A180,00550,0100,07/31/2001 36240,E10A180,00550,0300,07/31/2001 36240,S000000,00100,0200,06/15/2000 36240,S200000,00100,0100,2021 WINTON ROAD SOUTH 36240,S200000,00200,0100,ROCHESTER 36240,S200000,00200,0200,NY 36240,S200000,00200,0300,14618 36240,S200000,00300,0100,MONROE 36240,S200000,00400,0100,JEWISH HOME OF ROCHESTER 36240,S200000,00400,0200,335105 36240,S200000,00400,0300,01/01/1967 36240,S200000,00400,0500,P 36240,S200000,01500,0100,Y 36240,S200000,03300,0100,Y 36240,S200000,03300,0200,Y 36240,S200000,04100,0100,Y 36240,S200000,04300,0100,Y 36240,S200000,04600,0100,Y 36252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36252,A000000,00300,0000,00300EMPLOYEE BENEFITS 36252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36252,A000000,00700,0000,00700HOUSEKEEPING 36252,A000000,00800,0000,00800DIETARY 36252,A000000,00801,0000,00810CAFETERIA 36252,A000000,00900,0000,00900NURSING ADMINISTRATION 36252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36252,A000000,01100,0000,01100PHARMACY 36252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36252,A000000,01300,0000,01300SOCIAL SERVICE 36252,A000000,01301,0000,01310ACTIVITIES 36252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36252,A000000,01600,0000,01600SKILLED NURSING FACILITY 36252,A000000,01810,0000,01810ICF/MR 36252,A000000,02100,0000,02100RADIOLOGY 36252,A000000,02200,0000,02200LABORATORY 36252,A000000,02300,0000,02300INTRAVENOUS THERAPY 36252,A000000,02500,0000,02500PHYSICAL THERAPY 36252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36252,A000000,02700,0000,02700SPEECH PATHOLOGY 36252,A000000,02800,0000,02800ELECTROCARDIOLOGY 36252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36252,A000000,03050,0000,03300PHYSICIAN SERVICES 36252,A000000,03550,0000,03550FQHC 36252,A000000,05000,0000,05000CORF 36252,A000000,05010,0000,05010CMHC 36252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36252,A000000,05300,0000,05300INTEREST EXPENSE 36252,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36252,A000000,05901,0000,05910MARKETING 36252,A000000,05902,0000,05920DENTAL 36252,A81000A,00100,0100,Y 36252,A81000B,00100,0300,RENTAL OF SPACE 36252,A81000B,00200,0300,RENTAL OF SPACE 36252,A81000B,00300,0300,RENTAL OF SPACE 36252,A81000B,00400,0300,RENTAL OF SPACE 36252,A81000C,00100,0100,B 36252,A81000C,00100,0200,BROTHERS OF MER 36252,A81000C,00100,0400,BROS. OF MERCY 36252,A81000C,00100,0600,RELIGIOUS ORDER 36252,B100000,00000,0100,00020SQUARE FEET 36252,B100000,00000,0200,00020SQUARE FEET 36252,B100000,00000,0300,00020GROSS SALARIES 36252,B100000,00000,0400,00020ACCUM COST 36252,B100000,00000,0500,00020SQUARE FEET 36252,B100000,00000,0600,00020POUNDS OF LAUNDRY 36252,B100000,00000,0700,00020HOURS OF SERVICE 36252,B100000,00000,0800,00020MEALS SERVED 36252,B100000,00000,0810,00020AVG. NUM OF EMP. 36252,B100000,00000,0900,00020DIRECT NRSG HRS 36252,B100000,00000,1000,00020COSTED REQUIS 36252,B100000,00000,1100,00020COSTED REQUIS 36252,B100000,00000,1200,00020TIME SPENT 36252,B100000,00000,1300,00020TIME SPENT 36252,B100000,00000,1310,00020TIME SPENT 36252,B100000,00000,1400,00020ASSIGNED TIME 36252,E10A180,00301,0100,05/09/2000 36252,E10A180,00350,0100,09/23/1999 36252,S000000,00100,0200,06/02/2000 36252,S200000,00400,0100,BROTHERS OF MERCY NRSG & REHAB. 36252,S200000,00400,0200,335112 36252,S200000,00400,0300,01/01/1967 36252,S200000,00400,0500,P 36252,S200000,01500,0100,Y 36252,S200000,01600,0100,Y 36252,S200000,01900,0100,CORPORATION 36252,S200000,02800,0100,Y 36256,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36256,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36256,A000000,00300,0000,00300EMPLOYEE BENEFITS 36256,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36256,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36256,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36256,A000000,00700,0000,00700HOUSEKEEPING 36256,A000000,00800,0000,00800DIETARY 36256,A000000,00900,0000,00900NURSING ADMINISTRATION 36256,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36256,A000000,01100,0000,01100PHARMACY 36256,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36256,A000000,01300,0000,01300SOCIAL SERVICE 36256,A000000,01350,0000,01500OTHER GENERAL SERVICE 36256,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36256,A000000,01600,0000,01600SKILLED NURSING FACILITY 36256,A000000,01810,0000,01810ICF/MR 36256,A000000,02100,0000,02100RADIOLOGY 36256,A000000,02200,0000,02200LABORATORY 36256,A000000,02500,0000,02500PHYSICAL THERAPY 36256,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36256,A000000,02700,0000,02700SPEECH PATHOLOGY 36256,A000000,02800,0000,02800ELECTROCARDIOLOGY 36256,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36256,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36256,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36256,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36256,A000000,03550,0000,03550FQHC 36256,A000000,05000,0000,05000CORF 36256,A000000,05010,0000,05010CMHC 36256,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36256,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36256,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36256,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36256,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36256,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36256,A000000,06201,0000,06201DENTAL PUBLIC RELATIONS 36256,B100000,00000,0100,00000SQUARE FEET 36256,B100000,00000,0200,00000SQUARE FEET 36256,B100000,00000,0300,00000GROSS SALARIES 36256,B100000,00000,0400,00000ACCUM COST 36256,B100000,00000,0500,00000SQUARE FEET 36256,B100000,00000,0600,00000POUNDS OF LAUNDRY 36256,B100000,00000,0700,00000HOURS OF SERVICE 36256,B100000,00000,0800,00000MEALS SERVED 36256,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36256,B100000,00000,1000,00000COSTED REQUISITIO 36256,B100000,00000,1100,00000COSTED REQUISITIO 36256,B100000,00000,1200,00000TIME SPENT 36256,B100000,00000,1300,00000TIME SPENT 36256,B100000,00000,1350,00000 36256,B100000,00000,1400,00000ASSIGNED TIME 36256,E10A180,00301,0100,05/10/2000 36256,S000000,00100,0200,05/31/2000 36256,S200000,00100,0100,37 DEKALB AVENUE 36256,S200000,00200,0100,WHITE PLAINS 36256,S200000,00200,0200,NEW YORK 36256,S200000,00200,0300,10605 36256,S200000,00300,0100,WESTCHESTER 36256,S200000,00400,0100,NATHAN MILLER CTR FOR NURSING CARE 36256,S200000,00400,0200,335118 36256,S200000,00400,0300,10/01/1978 36256,S200000,00400,0500,P 36256,S200000,01500,0100,Y 36259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36259,A000000,00300,0000,00300EMPLOYEE BENEFITS 36259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36259,A000000,00700,0000,00700HOUSEKEEPING 36259,A000000,00800,0000,00800DIETARY 36259,A000000,00900,0000,00900NURSING ADMINISTRATION 36259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36259,A000000,01100,0000,01100PHARMACY 36259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36259,A000000,01300,0000,01300SOCIAL SERVICE 36259,A000000,01350,0000,01500ACTIVITIES 36259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36259,A000000,01600,0000,01600SKILLED NURSING FACILITY 36259,A000000,01810,0000,01810ICF/MR 36259,A000000,02100,0000,02100RADIOLOGY 36259,A000000,02200,0000,02200LABORATORY 36259,A000000,02500,0000,02500PHYSICAL THERAPY 36259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36259,A000000,02700,0000,02700SPEECH PATHOLOGY 36259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36259,A000000,03550,0000,03550FQHC 36259,A000000,05000,0000,05000CORF 36259,A000000,05010,0000,05010CMHC 36259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36259,A000000,06150,0000,06300DENTAL 36259,A81000A,00100,0100,Y 36259,A81000B,00100,0300,RENT/DEPRECIATION 36259,A81000B,00200,0300,ADMINISTRATIVE COSTS 36259,A81000C,00100,0100,A 36259,A81000C,00100,0200,MAX GOLDBERG 36259,A81000C,00100,0400,GOLDFAR REALTY 36259,A81000C,00100,0600,REALTY 36259,A81000C,00200,0100,A 36259,A81000C,00200,0200,BENJAMIN FABER 36259,A81000C,00200,0400,GOLDFAR REALTY 36259,A81000C,00200,0600,REALTY 36259,A81000C,00300,0100,A 36259,A81000C,00300,0200,JEROME MANN 36259,A81000C,00300,0400,GOLDFAR REALTY 36259,A81000C,00300,0600,REALTY 36259,A81000C,00400,0100,F 36259,A81000C,00400,0200,MAX GOLDBERG 36259,A81000C,00400,0400,GOLDEN SHARES 36259,A81000C,00400,0600,REALTY 36259,A81000C,00500,0100,F 36259,A81000C,00500,0200,BENJAMIN FABER 36259,A81000C,00500,0400,GOLDEN SHARES 36259,A81000C,00500,0600,REALTY 36259,A81000C,00600,0100,F 36259,A81000C,00600,0200,JEROME MANN 36259,A81000C,00600,0400,GOLDEN SHARES 36259,A81000C,00600,0600,REALTY 36259,B100000,00000,0100,00000SQUARE FEET 36259,B100000,00000,0200,00000SQUARE FEET 36259,B100000,00000,0300,00000GROSS SALARIES 36259,B100000,00000,0400,00000ACCUM COST 36259,B100000,00000,0500,00000SQUARE FEET 36259,B100000,00000,0600,00000POUNDS OF LAUNDRY 36259,B100000,00000,0700,00000HOURS OF SERVICE 36259,B100000,00000,0800,00000MEALS SERVED 36259,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36259,B100000,00000,1000,00000COSTED REQUISITIO 36259,B100000,00000,1100,00000COSTED REQUISITIO 36259,B100000,00000,1200,00000TIME SPENT 36259,B100000,00000,1300,00000TIME SPENT 36259,B100000,00000,1350,00000PATIENT DAYS 36259,B100000,00000,1400,00000ASSIGNED TIME 36259,E10A180,00301,0100,05/10/2000 36259,S000000,00100,0200,05/26/2000 36259,S200000,00100,0100,949 WILLOUGHBY AVE 36259,S200000,00200,0100,BROOKLYN 36259,S200000,00200,0200,NY 36259,S200000,00200,0300,11221 36259,S200000,00300,0100,KINGS 36259,S200000,00400,0100,WILLOUGHBY NURSING HOME 36259,S200000,00400,0200,335125 36259,S200000,00400,0300,01/01/1967 36259,S200000,00400,0500,P 36259,S200000,01500,0100,Y 36267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36267,A000000,00300,0000,00300EMPLOYEE BENEFITS 36267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36267,A000000,00700,0000,00700HOUSEKEEPING 36267,A000000,00800,0000,00800DIETARY 36267,A000000,00900,0000,00900NURSING ADMINISTRATION 36267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36267,A000000,01100,0000,01100PHARMACY 36267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36267,A000000,01300,0000,01300SOCIAL SERVICE 36267,A000000,01350,0000,01500OTHER GENERAL SERVICES 36267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36267,A000000,01600,0000,01600SKILLED NURSING FACILITY 36267,A000000,01810,0000,01810ICF/MR 36267,A000000,02100,0000,02100RADIOLOGY 36267,A000000,02200,0000,02200LABORATORY 36267,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36267,A000000,02500,0000,02500PHYSICAL THERAPY 36267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36267,A000000,02700,0000,02700SPEECH PATHOLOGY 36267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36267,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36267,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36267,A000000,03550,0000,03550FQHC 36267,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36267,A000000,05000,0000,05000CORF 36267,A000000,05010,0000,05010CMHC 36267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36267,A000000,05300,0000,05300INTEREST EXPENSE 36267,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36267,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36267,A81000A,00100,0100,Y 36267,A81000B,00100,0300,SERVICE CONTRACTS 36267,A81000B,00200,0300,DUES 36267,A81000C,00100,0100,B 36267,A81000C,00100,0200,VILLA MARY IMMACULATE IS 36267,A81000C,00100,0400,MERCYCARE CORPORATION 36267,A81000C,00200,0200,SPONSORED BY THE SISTERS 36267,A81000C,00300,0200,OF MERCY A RELIGIOUS 36267,A81000C,00400,0200,COMMUNITY OF THE ROMAN 36267,A81000C,00500,0200,CATHOLIC CHURCH AND IS A 36267,A81000C,00600,0200,COMPONENT CORPORATION OF 36267,A81000C,00700,0200,MERCYCARE CORPORATION 36267,B100000,00000,0100,00000SQUARE FEET 36267,B100000,00000,0200,00000DOLLAR VALUE 36267,B100000,00000,0300,00000GROSS SALARIES 36267,B100000,00000,0400,00000ACCUM. COST 36267,B100000,00000,0500,00000SQAURE FEET 36267,B100000,00000,0600,00000POUNDS OF LAUNDRY 36267,B100000,00000,0700,00000HOURS OF SERVICE 36267,B100000,00000,0800,00000MEALS SERVED 36267,B100000,00000,0900,00000DIRECT NRSG HOURS 36267,B100000,00000,1000,00000COSTED REQUIS 36267,B100000,00000,1100,00000NO STATISTICS 36267,B100000,00000,1200,00000TIME SPENT 36267,B100000,00000,1300,00000TIME SPENT 36267,B100000,00000,1350,00000NO STATISTICS 36267,B100000,00000,1400,00000NO STATISTICS 36267,E10A180,00301,0100,05/09/2000 36267,S000000,00100,0200,05/31/2000 36267,S200000,00100,0100,301 HACKETT BLVD. 36267,S200000,00200,0100,ALBANY 36267,S200000,00200,0200,NY 36267,S200000,00200,0300,12208 36267,S200000,00300,0100,ALBANY 36267,S200000,00400,0100,VILLA MARY IMMACULATE 36267,S200000,00400,0200,335128 36267,S200000,00400,0300,01/01/1967 36267,S200000,00400,0500,P 36267,S200000,01500,0100,Y 36267,S200000,02800,0100,Y 36271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36271,A000000,00300,0000,00300EMPLOYEE BENEFITS 36271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36271,A000000,00700,0000,00700HOUSEKEEPING 36271,A000000,00800,0000,00800DIETARY 36271,A000000,00900,0000,00900NURSING ADMINISTRATION 36271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36271,A000000,01100,0000,01100PHARMACY 36271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36271,A000000,01300,0000,01300SOCIAL SERVICE 36271,A000000,01350,0000,01500ACTIVITIES 36271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36271,A000000,01600,0000,01600SKILLED NURSING FACILITY 36271,A000000,01810,0000,01810ICF/MR 36271,A000000,02100,0000,02100RADIOLOGY 36271,A000000,02200,0000,02200LABORATORY 36271,A000000,02500,0000,02500PHYSICAL THERAPY 36271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36271,A000000,02700,0000,02700SPEECH PATHOLOGY 36271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36271,A000000,03550,0000,03550FQHC 36271,A000000,05000,0000,05000CORF 36271,A000000,05010,0000,05010CMHC 36271,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36271,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36271,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36271,A000000,06150,0000,06300DENTAL 36271,A81000A,00100,0100,Y 36271,A81000B,00100,0300,DATA PROCESSING 36271,A81000B,00200,0300,LABOR 36271,A81000B,00300,0300,NONLABOR 36271,A81000B,00400,0300,EMPLOYEE BENEFITS 36271,A81000B,00500,0300,DEPRECIATION 36271,A81000B,00600,0300,OFFICE SALARIES 36271,A81000B,00700,0300,DIETARY LABOR 36271,A81000B,00900,0300,NURSING ADMINISTRATION LABOR 36271,A81000B,01000,0300,EMPLOYEE BENEFITS 36271,A81000B,01100,0300,RENT 36271,A81000B,01200,0300,OTHER DIRECT EXPENSES 36271,A81000B,01300,0300,DEPRECIATION 36271,A81000B,01400,0300,AMORTIZATION 36271,A81000C,00100,0100,A 36271,A81000C,00100,0200,E & J DICKER 36271,A81000C,00100,0400,JEM ASSOCIATES 36271,A81000C,00100,0600,DATA PROCESSING 36271,A81000C,00200,0100,D 36271,A81000C,00200,0200,E & J DICKER 36271,A81000C,00200,0400,OCEAN WAVE 36271,A81000C,00200,0600,OFFICE SERVICES 36271,A81000C,00300,0100,A 36271,A81000C,00300,0200,E & J DICKER 36271,A81000C,00300,0400,CLEAR VIEW OCTA 36271,A81000C,00300,0600,ADMINISTRATIVE 36271,B100000,00000,0100,00000SQUARE FEET 36271,B100000,00000,0200,00000SQUARE FEET 36271,B100000,00000,0300,00000GROSS SALARIES 36271,B100000,00000,0400,00000ACCUM COST 36271,B100000,00000,0500,00000SQUARE FEET 36271,B100000,00000,0600,00000POUNDS OF LAUNDRY 36271,B100000,00000,0700,00000HOURS OF SERVICE 36271,B100000,00000,0800,00000MEALS SERVED 36271,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36271,B100000,00000,1000,00000COSTED REQUISITIO 36271,B100000,00000,1100,00000COSTED REQUISITIO 36271,B100000,00000,1200,00000TIME SPENT 36271,B100000,00000,1300,00000TIME SPENT 36271,B100000,00000,1350,00000PATIENT DAYS 36271,B100000,00000,1400,00000ASSIGNED TIME 36271,E10A180,00301,0100,05/10/2000 36271,E10A180,00550,0100,06/07/2000 36271,S000000,00100,0200,05/31/2000 36271,S200000,00100,0100,157-15 19TH AVE 36271,S200000,00200,0100,WHITESTONE 36271,S200000,00200,0200,NY 36271,S200000,00200,0300,11357 36271,S200000,00300,0100,QUEENS 36271,S200000,00400,0100,CLEARVIEW NURSING HOME 36271,S200000,00400,0200,335130 36271,S200000,00400,0300,01/01/1967 36271,S200000,00400,0500,P 36271,S200000,01500,0100,Y 36274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36274,A000000,00300,0000,00300EMPLOYEE BENEFITS 36274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36274,A000000,00700,0000,00700HOUSEKEEPING 36274,A000000,00800,0000,00800DIETARY 36274,A000000,00900,0000,00900NURSING ADMINISTRATION 36274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36274,A000000,01100,0000,01100PHARMACY 36274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36274,A000000,01300,0000,01300SOCIAL SERVICE 36274,A000000,01350,0000,01500OTHER GENERAL SERVICES 36274,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36274,A000000,01600,0000,01600SKILLED NURSING FACILITY 36274,A000000,01810,0000,01810ICF/MR 36274,A000000,02500,0000,02500PHYSICAL THERAPY 36274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36274,A000000,02700,0000,02700SPEECH PATHOLOGY 36274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36274,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36274,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36274,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36274,A000000,03550,0000,03550FQHC 36274,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36274,A000000,05000,0000,05000CORF 36274,A000000,05010,0000,05010CMHC 36274,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36274,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36274,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36274,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36274,B100000,00000,0100,00000NO STATISTICS 36274,B100000,00000,0200,00000NO STATISTICS 36274,B100000,00000,0300,00000NO STATISTICS 36274,B100000,00000,0400,00000ACCUM. COST 36274,B100000,00000,0500,00000NO STATISTICS 36274,B100000,00000,0600,00000NO STATISTICS 36274,B100000,00000,0700,00000NO STATISTICS 36274,B100000,00000,0800,00000NO STATISTICS 36274,B100000,00000,0900,00000NO STATISTICS 36274,B100000,00000,1000,00000NO STATISTICS 36274,B100000,00000,1100,00000NO STATISTICS 36274,B100000,00000,1200,00000NO STATISTICS 36274,B100000,00000,1300,00000NO STATISTICS 36274,B100000,00000,1350,00000NO STATISTICS 36274,B100000,00000,1400,00000NO STATISTICS 36274,E10A180,00301,0100,05/10/2000 36274,S000000,00100,0200,06/26/2000 36274,S200000,00100,0100,405 CARLTON AVE 36274,S200000,00200,0100,BROOKLYN 36274,S200000,00200,0200,NY 36274,S200000,00300,0100,KINGS 36274,S200000,00400,0100,CARLTON N H 36274,S200000,00400,0200,335131 36274,S200000,00400,0300,01/01/1967 36274,S200000,00400,0500,P 36274,S200000,01500,0100,Y 36274,S200000,01900,0100,OTHER (SPECIFY) 36274,S200000,03300,0100,Y 36274,S200000,03300,0200,Y 36285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36285,A000000,00300,0000,00300EMPLOYEE BENEFITS 36285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36285,A000000,00700,0000,00700HOUSEKEEPING 36285,A000000,00800,0000,00800DIETARY 36285,A000000,00900,0000,00900NURSING ADMINISTRATION 36285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36285,A000000,01100,0000,01100PHARMACY 36285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36285,A000000,01300,0000,01300SOCIAL SERVICE 36285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36285,A000000,01600,0000,01600SKILLED NURSING FACILITY 36285,A000000,01800,0000,01800NURSING FACILITY 36285,A000000,01810,0000,01810ICF/MR 36285,A000000,02100,0000,02100RADIOLOGY 36285,A000000,02200,0000,02200LABORATORY 36285,A000000,02500,0000,02500PHYSICAL THERAPY 36285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36285,A000000,02700,0000,02700SPEECH PATHOLOGY 36285,A000000,02800,0000,02800ELECTROCARDIOLOGY 36285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36285,A000000,03550,0000,03550FQHC 36285,A000000,05000,0000,05000CORF 36285,A000000,05010,0000,05010CMHC 36285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36285,A81000A,00100,0100,Y 36285,A81000B,00100,0300,B&F RENT 36285,A81000B,00200,0300,LEGAL 36285,A81000B,00300,0300,DEPRECIATION 36285,A81000B,00400,0300,SNF NURSING CONSULTI 36285,A81000C,00100,0100,A 36285,A81000C,00100,0200,BENENSONS 36285,A81000C,00100,0400,FMNH REALTY 36285,A81000C,00100,0600,REALTY 36285,A81000C,00200,0100,A 36285,A81000C,00200,0200,BENENSONS 36285,A81000C,00200,0400,SUBACUTE NETWOR 36285,A81000C,00200,0600,NURSING CONSULT 36285,B100000,00000,0100,00000SQUARE FEET 36285,B100000,00000,0200,00000SQUARE FEET 36285,B100000,00000,0300,00000GROSS SALARIES 36285,B100000,00000,0400,00000ACCUM COST 36285,B100000,00000,0500,00000SQUARE FEET 36285,B100000,00000,0600,00000POUNDS OF LAUNDRY 36285,B100000,00000,0700,00000HOURS OF SERVICE 36285,B100000,00000,0800,00000MEALS SERVED 36285,B100000,00000,0900,00000DIRECT NRSG HRS 36285,B100000,00000,1000,00000COSTED REQUIS 36285,B100000,00000,1100,00000COSTED REQUIS 36285,B100000,00000,1200,00000TIME SPENT 36285,B100000,00000,1300,00000TIME SPENT 36285,B100000,00000,1400,00000ASSIGNED TIME 36285,E10A180,00301,0100,05/10/2000 36285,S000000,00100,0200,05/30/2000 36285,S200000,00100,0100,35-15 PARSONS BLVD 36285,S200000,00200,0100,FLUSHING 36285,S200000,00200,0200,NY 36285,S200000,00200,0300,11354 36285,S200000,00300,0100,QUEENS 36285,S200000,00400,0100,FLUSHING MANOR NRSG. HOME INC. 36285,S200000,00400,0200,335133 36285,S200000,00400,0300,01/01/1967 36285,S200000,00400,0500,P 36285,S200000,01500,0100,Y 36294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36294,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIX. BL 36294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36294,A000000,00300,0000,00300EMPLOYEE BENEFITS 36294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36294,A000000,00700,0000,00700HOUSEKEEPING 36294,A000000,00800,0000,00800DIETARY 36294,A000000,00801,0000,00801CAFETARIA 36294,A000000,00900,0000,00900NURSING ADMINISTRATION 36294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36294,A000000,01100,0000,01100PHARMACY 36294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36294,A000000,01300,0000,01300SOCIAL SERVICE 36294,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36294,A000000,01600,0000,01600SKILLED NURSING FACILITY 36294,A000000,01810,0000,01810ICF/MR 36294,A000000,02100,0000,02100RADIOLOGY 36294,A000000,02500,0000,02500PHYSICAL THERAPY 36294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36294,A000000,02700,0000,02700SPEECH PATHOLOGY 36294,A000000,02800,0000,02800ELECTROCARDIOLOGY 36294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36294,A000000,03050,0000,03300VISION 36294,A000000,03450,0000,03600DAY CARE 36294,A000000,03550,0000,03550FQHC 36294,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36294,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36294,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36294,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36294,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36294,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36294,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36294,A000000,05000,0000,05000CORF 36294,A000000,05010,0000,05010CMHC 36294,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36294,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36294,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36294,A000000,05300,0000,05300INTEREST EXPENSE 36294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36294,A000000,06150,0000,06300DENTAL 36294,A000000,06151,0000,06301PODIATRY 36294,A000000,06152,0000,06302OUTPATIENT PRIMARY CARE 36294,A000000,06153,0000,06303LIFE LINE 36294,A81000A,00100,0100,Y 36294,A81000B,00100,0300,DISABILITY 36294,A81000B,00200,0300,WORKERS COMP 36294,A81000B,00300,0300,GROUP LIFE 36294,A81000B,00400,0300,ADMINISTRATION ASSESSMENT 36294,A81000B,00500,0300,ADMISSIONS ASSESSMENT 36294,A81000B,00600,0300,FINANCE ASSESSMENT 36294,A81000B,00700,0300,HUMAN RESOURCES ASSESSMENT 36294,A81000B,00800,0300,SALES ASSESSMENT 36294,A81000B,00900,0300,PURCHASING ASSESSMENT 36294,A81000B,01000,0300,COMMUNICATIONS ASSESSMENT 36294,A81000B,01100,0300,INFORMATION TECH. ASSESSMENT 36294,A81000B,01200,0300,TRANSPORTATION ASSESSMENT 36294,A81000C,00100,0100,B 36294,A81000C,00100,0200,LORETTO MANAGEMENT CORP 36294,A81000C,00100,0400,LORETTO REST RHCF 36294,A81000C,00100,0600,ADULT HOME 36294,A81000C,00200,0100,B 36294,A81000C,00200,0200,CHURCHILL MANOR 36294,A81000C,00200,0400,LORETTO REST RHCF 36294,A81000C,00200,0600,ENRICHED HOUSING 36294,A81000C,00300,0100,B 36294,A81000C,00300,0200,LORETTO ADULT COMM 36294,A81000C,00300,0400,LORETTO REST RHCF 36294,A81000C,00300,0600,IND LIVING COMMUNITY 36294,A81000C,00400,0100,B 36294,A81000C,00400,0200,BERNADINE APARTMENTS 36294,A81000C,00400,0400,LORETTO REST RHCF 36294,A81000C,00400,0600,APARTMENT HOUSING 36294,A81000C,00500,0100,B 36294,A81000C,00500,0200,LORETTO FOUNDATION 36294,A81000C,00500,0400,LORETTO REST RHCF 36294,A81000C,00500,0600,FUND RAISING 36294,A81000C,00600,0100,B 36294,A81000C,00600,0200,BRIGHTON MANAGEMENT SERV. 36294,A81000C,00600,0400,LORETTO REST RHCF 36294,A81000C,00600,0600,CONSULTING 36294,A81000C,00700,0100,B 36294,A81000C,00700,0200,LORETTO UTICA ADULT RES. 36294,A81000C,00700,0400,LORETTO REST RHCF 36294,A81000C,00700,0600,NURSING HOME 36294,A81000C,00800,0100,B 36294,A81000C,00800,0200,LORETTO INDEPENDANT LIVIN 36294,A81000C,00800,0400,LORETTO REST RHCF 36294,A81000C,00800,0600,PACE PROGRAM 36294,A81000C,00900,0100,B 36294,A81000C,00900,0200,LORETTO GERIATRIC COMM.RE 36294,A81000C,00900,0400,LORETTO REST RHCF 36294,A81000C,00900,0600,COMMUNITY RESIDENCE PROGR 36294,A81000C,01000,0100,B 36294,A81000C,01000,0200,NOTTINGHAM RETIREMENT COM 36294,A81000C,01000,0400,LORETTO REST RHCF 36294,A81000C,01000,0600,INDEPENDANT LIVING 36294,A81000C,01100,0100,B 36294,A81000C,01100,0200,NOTTINGHAM RHCF 36294,A81000C,01100,0400,LORETTO REST RHCF 36294,A81000C,01100,0600,NURSING HOME 36294,A81000C,01200,0100,B 36294,A81000C,01200,0200,LORETTO UTICA RHCF 36294,A81000C,01200,0400,LORETTO REST RHCF 36294,A81000C,01200,0600,NURSING HOME 36294,A81000C,01300,0100,B 36294,A81000C,01300,0200,LORETTO OSWEGO RHCF 36294,A81000C,01300,0400,LORETTO REST RHCF 36294,A81000C,01300,0600,NURSING HOME 36294,B100000,00000,0100,00003SQUARE FEET 36294,B100000,00000,0101,00003SQUARE FOOT 2 36294,B100000,00000,0200,00003TOTAL SQ FEET 36294,B100000,00000,0300,00003GROSS SALARIES 36294,B100000,00000,0400,00003ACCUM. COST 36294,B100000,00000,0500,00003TOTAL SQ FEET 36294,B100000,00000,0600,00003POUNDS OF LAUNDRY 36294,B100000,00000,0700,00003SQUARE FOOT 2 36294,B100000,00000,0800,00003MEALS SERVED 36294,B100000,00000,0801,00003FTES 36294,B100000,00000,0900,00003HOURS OF SERVICE 36294,B100000,00000,1000,00003COSTED REQUIS. 36294,B100000,00000,1100,00003COSTED REQUIS. 36294,B100000,00000,1200,00003TIME SPENT 36294,B100000,00000,1300,00003TIME SPENT 36294,B100000,00000,1400,00003ASSIGNED TIME 36294,E10A180,00301,0100,05/09/2000 36294,E10A180,00350,0100,09/28/1999 36294,H510100,00000,0000,8160 36294,H510100,02400,0000,8160 36294,H710000,00301,0100,10/15/1999 36294,H710000,00501,0100,07/28/2000 36294,S000000,00100,0200,07/17/2000 36294,S200000,00100,0100,700 E. BRIGHTON 36294,S200000,00200,0100,SYRACUSE NY 13205 36294,S200000,00200,0200,NY 36294,S200000,00200,0300,13205 36294,S200000,00300,0100,ONONDAGA 36294,S200000,00400,0100,LORETTO REST RHCF INC. 36294,S200000,00400,0200,335136 36294,S200000,00400,0300,01/01/1967 36294,S200000,00400,0500,P 36294,S200000,00800,0200,337186 36294,S200000,00800,0300,11/10/1982 36294,S200000,00800,0500,P 36294,S200000,01000,0200,334502 36294,S200000,01000,0300,10/30/1984 36294,S200000,01000,0500,P 36294,S200000,01500,0100,Y 36294,S200000,02200,0100,Y 36294,S200000,02800,0100,Y 36294,S410002,01300,0000,ASSISTANT DIRECTOR 36294,S410002,01400,0000,SUPERVISOR 36298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36298,A000000,00300,0000,00300EMPLOYEE BENEFITS 36298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36298,A000000,00700,0000,00700HOUSEKEEPING 36298,A000000,00800,0000,00800DIETARY 36298,A000000,00900,0000,00900NURSING ADMINISTRATION 36298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36298,A000000,01100,0000,01100PHARMACY 36298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36298,A000000,01300,0000,01300SOCIAL SERVICE 36298,A000000,01350,0000,01500OTHER GENERAL SERVICES 36298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36298,A000000,01600,0000,01600SKILLED NURSING FACILITY 36298,A000000,01810,0000,01810ICF/MR 36298,A000000,02100,0000,02100RADIOLOGY 36298,A000000,02200,0000,02200LABORATORY 36298,A000000,02500,0000,02500PHYSICAL THERAPY 36298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36298,A000000,02700,0000,02700SPEECH PATHOLOGY 36298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36298,A000000,03550,0000,03550FQHC 36298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36298,A000000,05000,0000,05000CORF 36298,A000000,05010,0000,05010CMHC 36298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36298,A81000A,00100,0100,Y 36298,A81000B,00100,0300,RENT 36298,A81000B,00200,0300,MORTGAGE INTEREST 36298,A81000B,00300,0300,DEPRECIATION 36298,A81000B,00400,0300,B/C 36298,A81000C,00100,0100,D 36298,A81000C,00100,0200,B. LANDA 36298,A81000C,00100,0400,FOREST HILLS ESTATES 36298,A81000C,00100,0600,REALTY 36298,B100000,00000,0100,00000SQUARE FEET 36298,B100000,00000,0200,00000DOLLAR VALUE 36298,B100000,00000,0300,00000GROSS SALARIES 36298,B100000,00000,0400,00000ACCUM. COST 36298,B100000,00000,0500,00000SQUARE FEET 36298,B100000,00000,0600,00000POUNDS OF LAUNDRY 36298,B100000,00000,0700,00000HOURS OF SERVICE 36298,B100000,00000,0800,00000MEALS SERVED 36298,B100000,00000,0900,00000HOURS OF SERVICE 36298,B100000,00000,1000,00000COSTED REQUIS. 36298,B100000,00000,1100,00000COSTED REQUIS. 36298,B100000,00000,1200,00000TIME SPENT 36298,B100000,00000,1300,00000TIME SPENT 36298,B100000,00000,1350,00000NO STATISTICS 36298,B100000,00000,1400,00000TIME SPENT 36298,E10A180,00301,0100,05/10/2000 36298,E10A180,00550,0100,06/22/2001 36298,S000000,00100,0200,06/24/2000 36298,S200000,00100,0100,71-44 YELLOWSTONE BLVD. 36298,S200000,00200,0100,FOREST HILLS 36298,S200000,00200,0200,NY 36298,S200000,00200,0300,11375 36298,S200000,00300,0100,QUEENS 36298,S200000,00400,0100,FOREST HILLS NURSING HOME INC. 36298,S200000,00400,0200,335139 36298,S200000,00400,0300,12/01/1997 36298,S200000,00400,0500,P 36298,S200000,01500,0100,Y 36302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36302,A000000,00300,0000,00300EMPLOYEE BENEFITS 36302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36302,A000000,00700,0000,00700HOUSEKEEPING 36302,A000000,00800,0000,00800DIETARY 36302,A000000,00900,0000,00900NURSING ADMINISTRATION 36302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36302,A000000,01100,0000,01100PHARMACY 36302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36302,A000000,01300,0000,01300SOCIAL SERVICE 36302,A000000,01350,0000,01500OTHER GENERAL SERVICES 36302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36302,A000000,01600,0000,01600SKILLED NURSING FACILITY 36302,A000000,01810,0000,01810ICF/MR 36302,A000000,02100,0000,02100RADIOLOGY 36302,A000000,02200,0000,02200LABORATORY 36302,A000000,02300,0000,02300INTRAVENOUS THERAPY 36302,A000000,02500,0000,02500PHYSICAL THERAPY 36302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36302,A000000,02700,0000,02700SPEECH PATHOLOGY 36302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36302,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36302,A000000,03051,0000,03301CLINITRON 36302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36302,A000000,03550,0000,03550FQHC 36302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36302,A000000,05000,0000,05000CORF 36302,A000000,05010,0000,05010CMHC 36302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36302,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36302,A81000A,00100,0100,Y 36302,A81000B,00100,0300,RENT 36302,A81000B,00200,0300,DEPRECIATION 36302,A81000B,00300,0300,RENT 36302,A81000C,00100,0100,A 36302,A81000C,00100,0200,M. OSTREICHER 36302,A81000C,00100,0400,BELAIR REALTY COMPANY 36302,A81000C,00100,0600,REAL ESTATE 36302,A81000C,00200,0100,A 36302,A81000C,00200,0200,M.OSTREICHER 36302,A81000C,00200,0400,103 REALTY 36302,A81000C,00200,0600,OFFICE 36302,B100000,00000,0100,00000SQUARE FEET 36302,B100000,00000,0200,00000SQUARE FEET 36302,B100000,00000,0300,00000GROSS SALARIES 36302,B100000,00000,0400,00000ACCUM. COST 36302,B100000,00000,0500,00000SQUARE FEET 36302,B100000,00000,0600,00000POUNDS OF LAUNDRY 36302,B100000,00000,0700,00000HOURS OF SERVICE 36302,B100000,00000,0800,00000MEALS SERVED 36302,B100000,00000,0900,00000HOURS OF SERVICE 36302,B100000,00000,1000,00000COSTED REQUIS. 36302,B100000,00000,1100,00000COSTED REQUIS. 36302,B100000,00000,1200,00000TIME SPENT 36302,B100000,00000,1300,00000TIME SPENT 36302,B100000,00000,1350,00000NO STATISTICS 36302,B100000,00000,1400,00000TIME SPENT 36302,E10A180,00301,0100,05/10/2000 36302,S000000,00100,0200,05/31/2000 36302,S200000,00100,0100,2478 JERUSALEM AVENUE 36302,S200000,00200,0100,NORTH BELLMORE 36302,S200000,00200,0200,NY 36302,S200000,00200,0300,11710 36302,S200000,00300,0100,NASSAU 36302,S200000,00400,0100,BELAIR CARE CENTER INC. 36302,S200000,00400,0200,335140 36302,S200000,00400,0300,01/01/1967 36302,S200000,00400,0500,P 36302,S200000,01500,0100,Y 36305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36305,A000000,00300,0000,00300EMPLOYEE BENEFITS 36305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36305,A000000,00700,0000,00700HOUSEKEEPING 36305,A000000,00800,0000,00800DIETARY 36305,A000000,00900,0000,00900NURSING ADMINISTRATION 36305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36305,A000000,01100,0000,01100PHARMACY 36305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36305,A000000,01300,0000,01300SOCIAL SERVICE 36305,A000000,01350,0000,01500OTHER GENERAL SERVICES 36305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36305,A000000,01600,0000,01600SKILLED NURSING FACILITY 36305,A000000,01810,0000,01810ICF/MR 36305,A000000,02100,0000,02100RADIOLOGY 36305,A000000,02200,0000,02200LABORATORY 36305,A000000,02500,0000,02500PHYSICAL THERAPY 36305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36305,A000000,02700,0000,02700SPEECH PATHOLOGY 36305,A000000,02800,0000,02800ELECTROCARDIOLOGY 36305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36305,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36305,A000000,03051,0000,03301CLINITRON THERAPY 36305,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36305,A000000,03550,0000,03550FQHC 36305,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36305,A000000,04800,0000,04800AMBULANCE 36305,A000000,05000,0000,05000CORF 36305,A000000,05010,0000,05010CMHC 36305,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36305,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36305,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36305,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36305,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36305,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36305,B100000,00000,0100,00000SQUARE FEET 36305,B100000,00000,0200,00000DOLLAR VALUE 36305,B100000,00000,0300,00000GROSS SALARIES 36305,B100000,00000,0400,00000ACCUM. COST 36305,B100000,00000,0500,00000SQUARE FEET 36305,B100000,00000,0600,00000POUNDS OF LAUNDRY 36305,B100000,00000,0700,00000HOURS OF SERVICE 36305,B100000,00000,0800,00000MEALS SERVED 36305,B100000,00000,0900,00000DIRECT NRSING HRS 36305,B100000,00000,1000,00000COSTED REQUIS. 36305,B100000,00000,1100,00000COSTED REQUIS. 36305,B100000,00000,1200,00000TIME SPENT 36305,B100000,00000,1300,00000TIME SPENT 36305,B100000,00000,1350,00000NO STATISTICS 36305,B100000,00000,1400,00000ASSIGNED TIME 36305,E10A180,00301,0100,05/10/2000 36305,S000000,00100,0200,05/31/2000 36305,S200000,00100,0100,2 MEDICAL PLAZA 36305,S200000,00200,0100,GLEN COVE 36305,S200000,00200,0200,NY 36305,S200000,00200,0300,11542 36305,S200000,00300,0100,NASSAU 36305,S200000,00400,0100,MONTCLAIR CARE CENTER INC. 36305,S200000,00400,0200,335141 36305,S200000,00400,0300,01/01/1967 36305,S200000,00400,0500,P 36305,S200000,01500,0100,Y 36313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36313,A000000,00300,0000,00300EMPLOYEE BENEFITS 36313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36313,A000000,00700,0000,00700HOUSEKEEPING 36313,A000000,00800,0000,00800DIETARY 36313,A000000,00900,0000,00900NURSING ADMINISTRATION 36313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36313,A000000,01100,0000,01100PHARMACY 36313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36313,A000000,01300,0000,01300SOCIAL SERVICE 36313,A000000,01350,0000,01500MEDICAL DIRECTOR 36313,A000000,01351,0000,01501ACTIVITIES 36313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36313,A000000,01600,0000,01600SKILLED NURSING FACILITY 36313,A000000,01810,0000,01810ICF/MR 36313,A000000,02100,0000,02100RADIOLOGY 36313,A000000,02101,0000,02101PSYCHIATRIC 36313,A000000,02200,0000,02200LABORATORY 36313,A000000,02500,0000,02500PHYSICAL THERAPY 36313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36313,A000000,02700,0000,02700SPEECH PATHOLOGY 36313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36313,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36313,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36313,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36313,A000000,03550,0000,03550FQHC 36313,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36313,A000000,05000,0000,05000CORF 36313,A000000,05010,0000,05010CMHC 36313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36313,A000000,05300,0000,05300INTEREST EXPENSE 36313,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36313,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36313,B100000,00000,0100,00000SQUARE FEET 36313,B100000,00000,0200,00000SQUARE FEET 36313,B100000,00000,0300,00000GROSS SALARIES 36313,B100000,00000,0400,00000ACCUM COST 36313,B100000,00000,0500,00000SQUARE FEET 36313,B100000,00000,0600,00000POUNDS OF LAUNDRY 36313,B100000,00000,0700,00000HOURS OF SERVICE 36313,B100000,00000,0800,00000MEALS SERVED 36313,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36313,B100000,00000,1000,00000COSTED REQUISITIO 36313,B100000,00000,1100,00000COSTED REQUISITIO 36313,B100000,00000,1200,00000TIME SPENT 36313,B100000,00000,1300,00000TIME SPENT 36313,B100000,00000,1350,00000TIME SPENT 36313,B100000,00000,1351,00000TIME SPENT 36313,B100000,00000,1400,00000ASSIGNED TIME 36313,E10A180,00301,0100,05/09/2000 36313,S000000,00100,0200,06/02/2000 36313,S200000,00100,0100,150 PRATHER AVENUE 36313,S200000,00200,0100,JAMESTOWN 36313,S200000,00200,0200,NY 36313,S200000,00200,0300,14701 36313,S200000,00300,0100,CHAUTAUQUA 36313,S200000,00400,0100,HERITAGE PARK HEALTH CARE CENTER 36313,S200000,00400,0200,335142 36313,S200000,00400,0300,01/01/1995 36313,S200000,00400,0500,P 36313,S200000,01500,0100,Y 36317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36317,A000000,00300,0000,00300EMPLOYEE BENEFITS 36317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36317,A000000,00700,0000,00700HOUSEKEEPING 36317,A000000,00800,0000,00800DIETARY 36317,A000000,00900,0000,00900NURSING ADMINISTRATION 36317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36317,A000000,01100,0000,01100PHARMACY 36317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36317,A000000,01300,0000,01300SOCIAL SERVICE 36317,A000000,01350,0000,01500ACTIVITIES 36317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36317,A000000,01600,0000,01600SKILLED NURSING FACILITY 36317,A000000,01810,0000,01810ICF/MR 36317,A000000,02100,0000,02100RADIOLOGY 36317,A000000,02200,0000,02200LABORATORY 36317,A000000,02500,0000,02500PHYSICAL THERAPY 36317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36317,A000000,02700,0000,02700SPEECH PATHOLOGY 36317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36317,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36317,A000000,03550,0000,03550FQHC 36317,A000000,05000,0000,05000CORF 36317,A000000,05010,0000,05010CMHC 36317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36317,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36317,A000000,06150,0000,06300ADULT DAY CARE 36317,A000000,06151,0000,06301DENTAL 36317,B100000,00000,0100,00001SQUARE FEET 36317,B100000,00000,0200,00001SQUARE FEET 36317,B100000,00000,0300,00001GROSS SALARIES 36317,B100000,00000,0400,00001ACCUM COST 36317,B100000,00000,0500,00001SQUARE FEET 36317,B100000,00000,0600,00001POUNDS OF LAUNDRY 36317,B100000,00000,0700,00001HOURS OF SERVICE 36317,B100000,00000,0800,00001MEALS SERVED 36317,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36317,B100000,00000,1000,00001COSTED REQUISITIO 36317,B100000,00000,1100,00001COSTED REQUISITIO 36317,B100000,00000,1200,00001TIME SPENT 36317,B100000,00000,1300,00001TIME SPENT 36317,B100000,00000,1350,00001PATIENT DAYS 36317,B100000,00000,1400,00001ASSIGNED TIME 36317,E10A180,00302,0100,05/10/2000 36317,E10A180,00550,0100,06/07/2000 36317,S000000,00100,0200,05/30/2000 36317,S200000,00100,0100,69-70 GRAND CENTRAL PARKWAY 36317,S200000,00200,0100,FOREST HILLS 36317,S200000,00200,0200,NY 36317,S200000,00200,0300,11375 36317,S200000,00300,0100,QUEENS 36317,S200000,00400,0100,FAIRVIEW NURSING HOME 36317,S200000,00400,0200,335146 36317,S200000,00400,0300,09/01/1968 36317,S200000,00400,0500,P 36317,S200000,01500,0100,Y 36320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36320,A000000,00300,0000,00300EMPLOYEE BENEFITS 36320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36320,A000000,00700,0000,00700HOUSEKEEPING 36320,A000000,00800,0000,00800DIETARY 36320,A000000,00900,0000,00900NURSING ADMINISTRATION 36320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36320,A000000,01100,0000,01100PHARMACY 36320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36320,A000000,01300,0000,01300SOCIAL SERVICE 36320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36320,A000000,01600,0000,01600SKILLED NURSING FACILITY 36320,A000000,01810,0000,01810ICF/MR 36320,A000000,02500,0000,02500PHYSICAL THERAPY 36320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36320,A000000,02700,0000,02700SPEECH PATHOLOGY 36320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36320,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36320,A000000,03550,0000,03550FQHC 36320,A000000,04800,0000,04800AMBULANCE 36320,A000000,05000,0000,05000CORF 36320,A000000,05010,0000,05010CMHC 36320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36320,A000000,05300,0000,05300INTEREST EXPENSE 36320,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36320,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36320,A000000,06100,0000,06100NONPAID WORKERS 36320,A000000,06200,0000,06200PATIENTS LAUNDRY 36320,A81000A,00100,0100,Y 36320,A81000B,00100,0300,ELIMINATE RENT EXP. 36320,A81000B,00200,0300,RECORD R/E TAX 36320,A81000B,00300,0300,RECORD DEPN EXP 36320,A81000B,00400,0300,RECORD INTEREST EXP. 36320,A81000B,00500,0300,RECORD AMORTIZATION 36320,A81000B,00600,0300,RECORD ACCT FEE. 36320,A81000C,00100,0200,ELEANOR KLUGER 36320,A81000C,00100,0400,SANFORD KLUGER 36320,A81000C,00200,0200,JOSEPH KLUGER 36320,A81000C,00200,0400,JOSEPH KLUGER 36320,A81000C,00300,0200,STEVEN KLUGER 36320,A81000C,00300,0400,STEVEN KLUGER 36320,A81000C,00400,0400,MICHAEL KLUGER 36320,A81000C,00500,0400,JEFFREY S. KLUG 36320,A81000C,00600,0400,MARK F. KLUGER 36320,A81000C,00700,0400,ELEANOR KLUGER 36320,A81000C,00800,0400,ESTATE OF L. KL 36320,A81000C,00900,0400,SARA KLUGER TRU 36320,A81000C,01000,0400,NICOLE KLUGER T 36320,A81000C,01100,0400,JOHN KLUGER TRU 36320,B100000,00000,0100,00000SQUARE FEET 36320,B100000,00000,0200,00000SQUARE FEET 36320,B100000,00000,0300,00000GROSS SALARIES 36320,B100000,00000,0400,00000ACCUM COST 36320,B100000,00000,0500,00000SQUARE FEET 36320,B100000,00000,0600,00000POUNDS OF LAUNDRY 36320,B100000,00000,0700,00000HOURS OF SERVICE 36320,B100000,00000,0800,00000MEALS SERVED 36320,B100000,00000,0900,00000DIRECT NRSG HRS 36320,B100000,00000,1000,00000COSTED REQUIS 36320,B100000,00000,1100,00000COSTED REQUIS 36320,B100000,00000,1200,00000TIME SPENT 36320,B100000,00000,1300,00000TIME SPENT 36320,B100000,00000,1400,00000ASSIGNED TIME 36320,E10A180,00301,0100,05/10/2000 36320,S000000,00100,0200,05/31/2000 36320,S200000,00100,0100,CRAGMERE ROAD 36320,S200000,00200,0100,SUFFERN 36320,S200000,00200,0200,NY 36320,S200000,00200,0300,10901 36320,S200000,00300,0100,POUGKEEPSIE 36320,S200000,00400,0100,RAMAPO MANOR NURSING CEN TER 36320,S200000,00400,0200,335148 36320,S200000,00400,0300,01/01/1967 36320,S200000,00400,0500,P 36320,S200000,01500,0100,Y 36320,S200000,04300,0100,Y 36323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36323,A000000,00300,0000,00300EMPLOYEE BENEFITS 36323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36323,A000000,00700,0000,00700HOUSEKEEPING 36323,A000000,00800,0000,00800DIETARY 36323,A000000,00900,0000,00900NURSING ADMINISTRATION 36323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36323,A000000,01100,0000,01100PHARMACY 36323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36323,A000000,01300,0000,01300SOCIAL SERVICE 36323,A000000,01350,0000,01500OTHER GENERAL SERVICES 36323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36323,A000000,01600,0000,01600SKILLED NURSING FACILITY 36323,A000000,01810,0000,01810ICF/MR 36323,A000000,02100,0000,02100RADIOLOGY 36323,A000000,02200,0000,02200LABORATORY 36323,A000000,02300,0000,02300INTRAVENOUS THERAPY 36323,A000000,02500,0000,02500PHYSICAL THERAPY 36323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36323,A000000,02700,0000,02700SPEECH PATHOLOGY 36323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36323,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36323,A000000,03201,0000,03201CLINTRN THERAPY 36323,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36323,A000000,03550,0000,03550FQHC 36323,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36323,A000000,05000,0000,05000CORF 36323,A000000,05010,0000,05010CMHC 36323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36323,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36323,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36323,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36323,A81000A,00100,0100,Y 36323,A81000B,00100,0300,RENT 36323,A81000B,00200,0300,DEPRECIATION 36323,A81000B,00300,0300,NOTE INTEREST 36323,A81000B,00400,0300,B/C 36323,A81000C,00100,0100,A 36323,A81000C,00100,0200,M. BEINHORN 36323,A81000C,00100,0400,JUS SARA JAC 36323,A81000C,00100,0600,REALTY 36323,B100000,00000,0100,00000SQUARE FEET 36323,B100000,00000,0200,00000DOLLAR VALUE 36323,B100000,00000,0300,00000GROSS SALARIES 36323,B100000,00000,0400,00000ACCUM. COST 36323,B100000,00000,0500,00000SQUARE FEET 36323,B100000,00000,0600,00000POUNDS OF LAUNDRY 36323,B100000,00000,0700,00000HOURS OF SERVICE 36323,B100000,00000,0800,00000MEALS SERVED 36323,B100000,00000,0900,00000HOURS OF SERVICE 36323,B100000,00000,1000,00000COSTED REQUIS. 36323,B100000,00000,1100,00000COSTED REQUIS. 36323,B100000,00000,1200,00000TIME SPENT 36323,B100000,00000,1300,00000TIME SPENT 36323,B100000,00000,1350,00000NO STATISTICS 36323,B100000,00000,1400,00000TIME SPENT 36323,E10A180,00301,0100,05/10/2000 36323,E10A180,00550,0100,06/07/2000 36323,S000000,00100,0200,05/29/2000 36323,S200000,00100,0100,119-15 27TH AVE. 36323,S200000,00200,0100,FLUSHING 36323,S200000,00200,0200,NY 36323,S200000,00200,0300,11354 36323,S200000,00300,0100,QUEENS 36323,S200000,00400,0100,WATERVIEW NURSING CARE CENTER INC. 36323,S200000,00400,0200,335154 36323,S200000,00400,0300,08/01/1976 36323,S200000,00400,0500,P 36323,S200000,01500,0100,Y 36326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36326,A000000,00300,0000,00300EMPLOYEE BENEFITS 36326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36326,A000000,00700,0000,00700HOUSEKEEPING 36326,A000000,00800,0000,00800DIETARY 36326,A000000,00900,0000,00900NURSING ADMINISTRATION 36326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36326,A000000,01100,0000,01100PHARMACY 36326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36326,A000000,01300,0000,01300SOCIAL SERVICE 36326,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36326,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36326,A000000,01600,0000,01600SKILLED NURSING FACILITY 36326,A000000,01810,0000,01810ICF/MR 36326,A000000,02500,0000,02500PHYSICAL THERAPY 36326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36326,A000000,02700,0000,02700SPEECH PATHOLOGY 36326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36326,A000000,03550,0000,03550FQHC 36326,A000000,05000,0000,05000CORF 36326,A000000,05010,0000,05010CMHC 36326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36326,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36326,A000000,06201,0000,06201DENTAL 36326,B100000,00000,0100,00000SQUARE FEET 36326,B100000,00000,0200,00000SQUARE FEET 36326,B100000,00000,0300,00000GROSS SALARIES 36326,B100000,00000,0400,00000ACCUM COST 36326,B100000,00000,0500,00000SQUARE FEET 36326,B100000,00000,0600,00000POUNDS OF LAUNDRY 36326,B100000,00000,0700,00000HOURS OF SERVICE 36326,B100000,00000,0800,00000MEALS SERVED 36326,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36326,B100000,00000,1000,00000COSTED REQUISITIO 36326,B100000,00000,1100,00000COSTED REQUISITIO 36326,B100000,00000,1200,00000TIME SPENT 36326,B100000,00000,1300,00000TIME SPENT 36326,B100000,00000,1301,00000PARTICIPAN 36326,B100000,00000,1350,00000 36326,B100000,00000,1400,00000ASSIGNED TIME 36326,E10A180,00301,0100,05/10/2000 36326,S000000,00100,0200,06/27/2000 36326,S200000,00100,0100,212-40 HILLSIDE AVENUE 36326,S200000,00200,0100,QUEENS VILLAGE 36326,S200000,00200,0200,NEW YORK 36326,S200000,00200,0300,11427 36326,S200000,00300,0100,QUEENS 36326,S200000,00400,0100,WINDSOR PARK NURSING HOME 36326,S200000,00400,0200,335155 36326,S200000,00400,0300,01/01/1967 36326,S200000,00400,0500,P 36326,S200000,01500,0100,Y 36329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36329,A000000,00300,0000,00300EMPLOYEE BENEFITS 36329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36329,A000000,00700,0000,00700HOUSEKEEPING 36329,A000000,00800,0000,00800DIETARY 36329,A000000,00900,0000,00900NURSING ADMINISTRATION 36329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36329,A000000,01100,0000,01100PHARMACY 36329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36329,A000000,01300,0000,01300SOCIAL SERVICE 36329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36329,A000000,01600,0000,01600SKILLED NURSING FACILITY 36329,A000000,01810,0000,01810ICF/MR 36329,A000000,02100,0000,02100RADIOLOGY 36329,A000000,02200,0000,02200LABORATORY 36329,A000000,02300,0000,02300INTRAVENOUS THERAPY 36329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36329,A000000,02500,0000,02500PHYSICAL THERAPY 36329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36329,A000000,02700,0000,02700SPEECH PATHOLOGY 36329,A000000,02800,0000,02800ELECTROCARDIOLOGY 36329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36329,A000000,03550,0000,03550FQHC 36329,A000000,05000,0000,05000CORF 36329,A000000,05010,0000,05010CMHC 36329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36329,A000000,06150,0000,06300ADULT DAY CARE 36329,A000000,06151,0000,06301DENTAL 36329,A81000A,00100,0100,Y 36329,A81000B,00100,0300,RENT 36329,A81000B,00200,0300,MORTG INT 36329,A81000B,00300,0300,DEPRECIATION 36329,A81000B,00400,0300,AMORT MGT EXP 36329,A81000B,00500,0300,MISC 36329,A81000C,00100,0100,A 36329,A81000C,00100,0200,STEVEN CROOPNIC 36329,A81000C,00100,0400,S.S.N.H.R. 36329,A81000C,00200,0100,A 36329,A81000C,00200,0200,ROBERT SCHLUNDT 36329,A81000C,00200,0400,S.S.N.H.R. 36329,A81000C,00300,0100,A 36329,A81000C,00300,0200,MARK GORSTEIN 36329,A81000C,00300,0400,S.S.N.H.R. 36329,A81000C,00400,0100,A 36329,A81000C,00400,0200,SUSANA LANNIK G 36329,A81000C,00400,0400,S.S.N.H.R. 36329,A81000C,00500,0100,A 36329,A81000C,00500,0200,ALAN KATZ 36329,A81000C,00500,0400,S.S.N.H.R. 36329,A81000C,00600,0100,A 36329,A81000C,00600,0200,KAREN GORSTAYN 36329,A81000C,00600,0400,S.S.N.H.R. 36329,A81000C,00700,0100,A 36329,A81000C,00700,0200,NADEJA GORSTEIN 36329,A81000C,00700,0400,S.S.N.H.R. 36329,A81000C,00800,0100,A 36329,A81000C,00800,0200,SAM GORSTEIN 36329,A81000C,00800,0400,S.S.N.H.R. 36329,A81000C,00900,0100,A 36329,A81000C,00900,0200,J. CROOPNICK 36329,A81000C,00900,0400,S.S.N.H.R. 36329,A81000C,01000,0100,A 36329,A81000C,01000,0200,J. CROOPNICK 36329,A81000C,01000,0400,S.S.N.H.R. 36329,B100000,00000,0100,00001SQUARE FEET 36329,B100000,00000,0200,00001SQUARE FEET 36329,B100000,00000,0300,00001GROSS SALARIES 36329,B100000,00000,0400,00001ACCUM COST 36329,B100000,00000,0500,00001SQUARE FEET 36329,B100000,00000,0600,00001POUNDS OF LAUNDRY 36329,B100000,00000,0700,00001HOURS OF SERVICE 36329,B100000,00000,0800,00001MEALS SERVED 36329,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36329,B100000,00000,1000,00001COSTED REQUISITIO 36329,B100000,00000,1100,00001COSTED REQUISITIO 36329,B100000,00000,1200,00001TIME SPENT 36329,B100000,00000,1300,00001TIME SPENT 36329,B100000,00000,1400,00001ASSIGNED TIME 36329,E10A180,00301,0100,05/10/2000 36329,E10A180,00550,0100,06/07/2000 36329,S000000,00100,0200,05/30/2000 36329,S200000,00100,0100,275 WEST MERRICK ROAD 36329,S200000,00200,0100,FREEPORT 36329,S200000,00200,0200,NY 36329,S200000,00300,0100,NASSAU 36329,S200000,00400,0100,SOUTH SHORE HEALTHCARE 36329,S200000,00400,0200,335156 36329,S200000,00400,0300,03/15/1980 36329,S200000,00400,0500,P 36329,S200000,01500,0100,Y 36329,S200000,04200,0100,Y 36329,S200000,04300,0100,Y 36332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36332,A000000,00300,0000,00300EMPLOYEE BENEFITS 36332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36332,A000000,00700,0000,00700HOUSEKEEPING 36332,A000000,00800,0000,00800DIETARY 36332,A000000,00900,0000,00900NURSING ADMINISTRATION 36332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36332,A000000,01100,0000,01100PHARMACY 36332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36332,A000000,01300,0000,01300SOCIAL SERVICE 36332,A000000,01350,0000,01500ACTIVITIES 36332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36332,A000000,01600,0000,01600SKILLED NURSING FACILITY 36332,A000000,01810,0000,01810ICF/MR 36332,A000000,02100,0000,02100RADIOLOGY 36332,A000000,02200,0000,02200LABORATORY 36332,A000000,02500,0000,02500PHYSICAL THERAPY 36332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36332,A000000,02700,0000,02700SPEECH PATHOLOGY 36332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36332,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36332,A000000,03550,0000,03550FQHC 36332,A000000,05000,0000,05000CORF 36332,A000000,05010,0000,05010CMHC 36332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36332,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36332,A81000A,00100,0100,Y 36332,A81000B,00100,0300,RENT 36332,A81000B,00200,0300,DEPRECIATION 36332,A81000B,00300,0300,PROFESSIONAL FEES 36332,A81000B,00400,0300,R/E TAXES 36332,A81000C,00100,0100,B 36332,A81000C,00100,0200,ABRAHAM KLIEN 36332,A81000C,00100,0400,LINCOLN REALTY 36332,A81000C,00100,0600,REALTY 36332,B100000,00000,0100,00000SQUARE FEET 36332,B100000,00000,0200,00000SQUARE FEET 36332,B100000,00000,0300,00000GROSS SALARIES 36332,B100000,00000,0400,00000ACCUM COST 36332,B100000,00000,0500,00000SQUARE FEET 36332,B100000,00000,0600,00000POUNDS OF LAUNDRY 36332,B100000,00000,0700,00000HOURS OF SERVICE 36332,B100000,00000,0800,00000MEALS SERVED 36332,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36332,B100000,00000,1000,00000COSTED REQUISITIO 36332,B100000,00000,1100,00000COSTED REQUISITIO 36332,B100000,00000,1200,00000TIME SPENT 36332,B100000,00000,1300,00000TIME SPENT 36332,B100000,00000,1350,00000PATIENT DAYS 36332,B100000,00000,1400,00000ASSIGNED TIME 36332,E10A180,00301,0100,05/10/2000 36332,S000000,00100,0200,05/26/2000 36332,S200000,00100,0100,3914 LINCOLN AVE 36332,S200000,00200,0100,OCEANSIDE 36332,S200000,00200,0200,NY 36332,S200000,00200,0300,11572 36332,S200000,00300,0100,NASSAU 36332,S200000,00400,0100,OCEANSIDE CARE CENTER 36332,S200000,00400,0200,335158 36332,S200000,00400,0300,04/01/1968 36332,S200000,00400,0500,P 36332,S200000,01500,0100,Y 36335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36335,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36335,A000000,00300,0000,00300EMPLOYEE BENEFITS 36335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36335,A000000,00700,0000,00700HOUSEKEEPING 36335,A000000,00800,0000,00800DIETARY 36335,A000000,00900,0000,00900NURSING ADMINISTRATION 36335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36335,A000000,01100,0000,01100PHARMACY 36335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36335,A000000,01300,0000,01300SOCIAL SERVICE 36335,A000000,01350,0000,01500OTHER GENERAL SERVICES 36335,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36335,A000000,01600,0000,01600SKILLED NURSING FACILITY 36335,A000000,01810,0000,01810ICF/MR 36335,A000000,02100,0000,02100RADIOLOGY 36335,A000000,02200,0000,02200LABORATORY 36335,A000000,02300,0000,02300INTRAVENOUS THERAPY 36335,A000000,02500,0000,02500PHYSICAL THERAPY 36335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36335,A000000,02700,0000,02700SPEECH PATHOLOGY 36335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36335,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36335,A000000,03051,0000,03301CLINITRON THERAPY 36335,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36335,A000000,03550,0000,03550FQHC 36335,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36335,A000000,05000,0000,05000CORF 36335,A000000,05010,0000,05010CMHC 36335,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36335,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36335,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36335,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36335,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36335,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36335,A81000A,00100,0100,Y 36335,A81000B,00100,0300,RENT 36335,A81000B,00300,0300,MORTGAGE INTEREST 36335,A81000B,00400,0300,DEPRECIATION 36335,A81000B,00500,0300,RENT 36335,A81000C,00100,0100,A 36335,A81000C,00100,0200,M. OSTREICHER 36335,A81000C,00100,0400,ROSS HEALTH CARE REALTY 36335,A81000C,00100,0600,REAL ESTATE 36335,A81000C,00200,0100,A 36335,A81000C,00200,0200,M. OSTREICHER 36335,A81000C,00200,0400,103 REALTY 36335,A81000C,00200,0600,OFFICE 36335,B100000,00000,0100,00000SQUARE FEET 36335,B100000,00000,0200,00000DOLLAR VALUE 36335,B100000,00000,0300,00000GROSS SALARIES 36335,B100000,00000,0400,00000ACCUM. COST 36335,B100000,00000,0500,00000SQUARE FEET 36335,B100000,00000,0600,00000POUNDS OF LAUNDRY 36335,B100000,00000,0700,00000HOURS OF SERVICE 36335,B100000,00000,0800,00000MEALS SERVED 36335,B100000,00000,0900,00000HOURS OF SERVICE 36335,B100000,00000,1000,00000COSTED REQUIS. 36335,B100000,00000,1100,00000COSTED REQUIS. 36335,B100000,00000,1200,00000TIME SPENTONS 36335,B100000,00000,1300,00000TIME SPENT 36335,B100000,00000,1350,00000NO STATISTICS 36335,B100000,00000,1400,00000TIME SPENT 36335,E10A180,00301,0100,05/10/2000 36335,S000000,00100,0200,05/31/2000 36335,S200000,00100,0100,839 SUFFOLK AVE. 36335,S200000,00200,0100,BRENTWOOD 36335,S200000,00200,0200,NY 36335,S200000,00200,0300,11717 36335,S200000,00300,0100,SUFFOLK 36335,S200000,00400,0100,ROSS HEALTH CARE CENTER INC. 36335,S200000,00400,0200,335159 36335,S200000,00400,0300,01/01/1974 36335,S200000,00400,0500,P 36335,S200000,01500,0100,Y 36337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36337,A000000,00300,0000,00300EMPLOYEE BENEFITS 36337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36337,A000000,00700,0000,00700HOUSEKEEPING 36337,A000000,00800,0000,00800DIETARY 36337,A000000,00900,0000,00900NURSING ADMINISTRATION 36337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36337,A000000,01100,0000,01100PHARMACY 36337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36337,A000000,01300,0000,01300SOCIAL SERVICE 36337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36337,A000000,01600,0000,01600SKILLED NURSING FACILITY 36337,A000000,01810,0000,01810ICF/MR 36337,A000000,02100,0000,02100RADIOLOGY 36337,A000000,02200,0000,02200LABORATORY 36337,A000000,02500,0000,02500PHYSICAL THERAPY 36337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36337,A000000,02700,0000,02700SPEECH PATHOLOGY 36337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36337,A000000,03550,0000,03550FQHC 36337,A000000,04800,0000,04800AMBULANCE 36337,A000000,05000,0000,05000CORF 36337,A000000,05010,0000,05010CMHC 36337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36337,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36337,A000000,06150,0000,06300ADULT DAY CARE 36337,A000000,06151,0000,06301DENTAL 36337,B100000,00000,0100,00001SQUARE FEET 36337,B100000,00000,0200,00001SQUARE FEET 36337,B100000,00000,0300,00001GROSS SALARIES 36337,B100000,00000,0400,00001ACCUM COST 36337,B100000,00000,0500,00001SQUARE FEET 36337,B100000,00000,0600,00001POUNDS OF LAUNDRY 36337,B100000,00000,0700,00001HOURS OF SERVICE 36337,B100000,00000,0800,00001MEALS SERVED 36337,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36337,B100000,00000,1000,00001COSTED REQUISITIO 36337,B100000,00000,1100,00001COSTED REQUISITIO 36337,B100000,00000,1200,00001TIME SPENT 36337,B100000,00000,1300,00001TIME SPENT 36337,B100000,00000,1400,00001ASSIGNED TIME 36337,E10A180,00301,0100,05/10/2000 36337,E10A180,00550,0100,06/07/2000 36337,S000000,00100,0200,05/31/2000 36337,S200000,00100,0100,243 ATLANTIC AVE 36337,S200000,00200,0100,LYNBROOK 36337,S200000,00200,0200,NY 36337,S200000,00200,0300,11563 36337,S200000,00300,0100,NASSAU 36337,S200000,00400,0100,EAST ROCKAWAY PROGRESSIVE CARE FAC 36337,S200000,00400,0200,335160 36337,S200000,00400,0300,12/01/1968 36337,S200000,00400,0500,P 36337,S200000,01500,0100,Y 36337,S200000,04200,0100,Y 36337,S200000,04300,0100,Y 36340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36340,A000000,00300,0000,00300EMPLOYEE BENEFITS 36340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36340,A000000,00700,0000,00700HOUSEKEEPING 36340,A000000,00800,0000,00800DIETARY 36340,A000000,00900,0000,00900NURSING ADMINISTRATION 36340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36340,A000000,01100,0000,01100PHARMACY 36340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36340,A000000,01300,0000,01300SOCIAL SERVICE 36340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36340,A000000,01600,0000,01600SKILLED NURSING FACILITY 36340,A000000,01810,0000,01810ICF/MR 36340,A000000,02100,0000,02100RADIOLOGY 36340,A000000,02200,0000,02200LABORATORY 36340,A000000,02500,0000,02500PHYSICAL THERAPY 36340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36340,A000000,02700,0000,02700SPEECH PATHOLOGY 36340,A000000,02800,0000,02800ELECTROCARDIOLOGY 36340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36340,A000000,03550,0000,03550FQHC 36340,A000000,05000,0000,05000CORF 36340,A000000,05010,0000,05010CMHC 36340,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36340,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36340,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36340,A000000,06150,0000,06300ADULT DAY CARE 36340,A000000,06151,0000,06301DENTAL 36340,B100000,00000,0100,00001SQUARE FEET 36340,B100000,00000,0200,00001SQUARE FEET 36340,B100000,00000,0300,00001GROSS SALARIES 36340,B100000,00000,0400,00001ACCUM COST 36340,B100000,00000,0500,00001SQUARE FEET 36340,B100000,00000,0600,00001POUNDS OF LAUNDRY 36340,B100000,00000,0700,00001HOURS OF SERVICE 36340,B100000,00000,0800,00001MEALS SERVED 36340,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36340,B100000,00000,1000,00001COSTED REQUISITIO 36340,B100000,00000,1100,00001COSTED REQUISITIO 36340,B100000,00000,1200,00001TIME SPENT 36340,B100000,00000,1300,00001TIME SPENT 36340,B100000,00000,1400,00001ASSIGNED TIME 36340,E10A180,00301,0100,05/10/2000 36340,E10A180,00550,0100,06/07/2000 36340,S000000,00100,0200,05/25/2000 36340,S200000,00100,0100,574 FULTON STREET 36340,S200000,00200,0100,FARMINGDALE 36340,S200000,00200,0200,NY 36340,S200000,00200,0300,11432 36340,S200000,00300,0100,QUEENS 36340,S200000,00400,0100,DALEVIEW CARE CENTER 36340,S200000,00400,0200,335161 36340,S200000,00400,0300,01/01/1972 36340,S200000,00400,0500,P 36340,S200000,01500,0100,Y 36340,S200000,04200,0100,Y 36340,S200000,04300,0100,Y 36343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36343,A000000,00300,0000,00300EMPLOYEE BENEFITS 36343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36343,A000000,00700,0000,00700HOUSEKEEPING 36343,A000000,00800,0000,00800DIETARY 36343,A000000,00900,0000,00900NURSING ADMINISTRATION 36343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36343,A000000,01100,0000,01100PHARMACY 36343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36343,A000000,01300,0000,01300SOCIAL SERVICE 36343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36343,A000000,01600,0000,01600SKILLED NURSING FACILITY 36343,A000000,01810,0000,01810ICF/MR 36343,A000000,02100,0000,02100RADIOLOGY 36343,A000000,02200,0000,02200LABORATORY 36343,A000000,02500,0000,02500PHYSICAL THERAPY 36343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36343,A000000,02700,0000,02700SPEECH PATHOLOGY 36343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36343,A000000,03550,0000,03550FQHC 36343,A000000,05000,0000,05000CORF 36343,A000000,05010,0000,05010CMHC 36343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36343,A000000,06150,0000,06300ADULT DAY CARE 36343,A000000,06151,0000,06301DENTAL 36343,B100000,00000,0100,00001SQUARE FEET 36343,B100000,00000,0200,00001SQUARE FEET 36343,B100000,00000,0300,00001GROSS SALARIES 36343,B100000,00000,0400,00001ACCUM COST 36343,B100000,00000,0500,00001SQUARE FEET 36343,B100000,00000,0600,00001POUNDS OF LAUNDRY 36343,B100000,00000,0700,00001HOURS OF SERVICE 36343,B100000,00000,0800,00001MEALS SERVED 36343,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36343,B100000,00000,1000,00001COSTED REQUISITIO 36343,B100000,00000,1100,00001COSTED REQUISITIO 36343,B100000,00000,1200,00001TIME SPENT 36343,B100000,00000,1300,00001TIME SPENT 36343,B100000,00000,1400,00001ASSIGNED TIME 36343,E10A180,00301,0100,05/10/2000 36343,E10A180,00550,0100,06/07/2000 36343,S000000,00100,0200,05/31/2000 36343,S200000,00100,0100,1 LONG BEACH ROAD 36343,S200000,00200,0100,ISLAND PARK 36343,S200000,00200,0200,NEW YORK 36343,S200000,00200,0300,11558 36343,S200000,00300,0100,NASSAU 36343,S200000,00400,0100,UCP BAYVIEW NURSING HOME 36343,S200000,00400,0200,335162 36343,S200000,00400,0300,01/01/1967 36343,S200000,00400,0500,P 36343,S200000,01500,0100,Y 36343,S200000,04300,0100,Y 36346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36346,A000000,00300,0000,00300EMPLOYEE BENEFITS 36346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36346,A000000,00700,0000,00700HOUSEKEEPING 36346,A000000,00800,0000,00800DIETARY 36346,A000000,00900,0000,00900NURSING ADMINISTRATION 36346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36346,A000000,01100,0000,01100PHARMACY 36346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36346,A000000,01300,0000,01300SOCIAL SERVICE 36346,A000000,01350,0000,01500ACTIVITIES 36346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36346,A000000,01600,0000,01600SKILLED NURSING FACILITY 36346,A000000,01810,0000,01810ICF/MR 36346,A000000,02100,0000,02100RADIOLOGY 36346,A000000,02200,0000,02200LABORATORY 36346,A000000,02500,0000,02500PHYSICAL THERAPY 36346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36346,A000000,02700,0000,02700SPEECH PATHOLOGY 36346,A000000,02800,0000,02800ELECTROCARDIOLOGY 36346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36346,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36346,A000000,03550,0000,03550FQHC 36346,A000000,04800,0000,04800AMBULANCE 36346,A000000,05000,0000,05000CORF 36346,A000000,05010,0000,05010CMHC 36346,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36346,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36346,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36346,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36346,A000000,06150,0000,06300DENTAL 36346,A81000A,00100,0100,Y 36346,A81000B,00100,0300,RENT/INTEREST DEPRECIATION 36346,A81000C,00100,0100,D 36346,A81000C,00100,0200,BARRY BRAUNSTEI 36346,A81000C,00100,0400,OXFORD REALTY 36346,A81000C,00100,0600,REALTY 36346,B100000,00000,0100,00000SQUARE FEET 36346,B100000,00000,0200,00000SQUARE FEET 36346,B100000,00000,0300,00000GROSS SALARIES 36346,B100000,00000,0400,00000ACCUM COST 36346,B100000,00000,0500,00000SQUARE FEET 36346,B100000,00000,0600,00000POUNDS OF LAUNDRY 36346,B100000,00000,0700,00000HOURS OF SERVICE 36346,B100000,00000,0800,00000MEALS SERVED 36346,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36346,B100000,00000,1000,00000COSTED REQUISITIO 36346,B100000,00000,1100,00000COSTED REQUISITIO 36346,B100000,00000,1200,00000TIME SPENT 36346,B100000,00000,1300,00000TIME SPENT 36346,B100000,00000,1350,00000TIME SPENT 36346,B100000,00000,1400,00000ASSIGNED TIME 36346,E10A180,00301,0100,05/10/2000 36346,E10A180,00550,0100,06/07/2000 36346,S000000,00100,0200,05/31/2000 36346,S200000,00100,0100,144 SOUTH OXFORD STREET 36346,S200000,00200,0100,BROOKLYN 36346,S200000,00200,0200,NY 36346,S200000,00200,0300,11217 36346,S200000,00300,0100,KINGS 36346,S200000,00400,0100,OXFORD NURSING HOME 36346,S200000,00400,0200,335163 36346,S200000,00400,0300,01/01/1967 36346,S200000,00400,0500,P 36346,S200000,01500,0100,Y 36346,S200000,04700,0100,Y 36346,S200000,04700,0200,Y 36354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36354,A000000,00300,0000,00300EMPLOYEE BENEFITS 36354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36354,A000000,00700,0000,00700HOUSEKEEPING 36354,A000000,00800,0000,00800DIETARY 36354,A000000,00801,0000,00801CAFETERIA 36354,A000000,00900,0000,00900NURSING ADMINISTRATION 36354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36354,A000000,01100,0000,01100PHARMACY 36354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36354,A000000,01300,0000,01300SOCIAL SERVICE 36354,A000000,01350,0000,01500ACTIVITIES 36354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36354,A000000,01600,0000,01600SKILLED NURSING FACILITY 36354,A000000,01810,0000,01810ICF/MR 36354,A000000,02100,0000,02100RADIOLOGY 36354,A000000,02200,0000,02200LABORATORY 36354,A000000,02300,0000,02300INTRAVENOUS THERAPY 36354,A000000,02500,0000,02500PHYSICAL THERAPY 36354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36354,A000000,02700,0000,02700SPEECH PATHOLOGY 36354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36354,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 36354,A000000,03550,0000,03550FQHC 36354,A000000,04800,0000,04800AMBULANCE 36354,A000000,05000,0000,05000CORF 36354,A000000,05010,0000,05010CMHC 36354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36354,A000000,05300,0000,05300INTEREST EXPENSE 36354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36354,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENT 36354,A000000,06151,0000,06301PUBLIC RELATIONS 36354,A000000,06152,0000,06302DENTAL 36354,A81000A,00100,0100,Y 36354,A81000B,00100,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00200,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00300,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00400,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00500,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00600,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000B,00700,0300,CONTRACTED MANAGEMENT SERVICES 36354,A81000C,00100,0100,G 36354,A81000C,00100,0200,NLHRC 36354,A81000C,00100,0400,NIA. LUTHERAN 36354,A81000C,00100,0600,MANAGEMENT 36354,B100000,00000,0100,00002SQUARE FOOTAGE 1 36354,B100000,00000,0200,00002SQUARE FOOTAGE 2 36354,B100000,00000,0300,00002GROSS SAL 36354,B100000,00000,0400,00002ACCUM. COST 36354,B100000,00000,0500,00002SQUARE FOOTAGE 3 36354,B100000,00000,0600,00002LBS OF LAUNDRY 36354,B100000,00000,0700,00002HOUSEKEEPI HOURS 36354,B100000,00000,0800,00002MEALS SERVED 36354,B100000,00000,0801,00002FTES 36354,B100000,00000,0900,00002DIR OF NURSING HR 36354,B100000,00000,1000,00002CMS REQUISITIO 36354,B100000,00000,1100,00002DRUG REQUISITIO 36354,B100000,00000,1200,00002MEDICAL RECORD HRS 36354,B100000,00000,1300,00002SOCIAL SERVICE HR 36354,B100000,00000,1350,00002BEDS 36354,B100000,00000,1400,00002ASSIGNED TIME 36354,E10A180,00301,0100,05/09/2000 36354,S000000,00100,0200,05/31/2000 36354,S200000,00100,0100,64 HAGER STREET 36354,S200000,00200,0100,BUFFALO 36354,S200000,00200,0200,NY 36354,S200000,00200,0300,14208 36354,S200000,00300,0100,ERIE 36354,S200000,00400,0100,NIAGARA LUTHERAN HOME & REHAB CENTER 36354,S200000,00400,0200,335164 36354,S200000,00400,0300,01/01/1967 36354,S200000,00400,0500,P 36354,S200000,01500,0100,Y 36354,S200000,01900,0100,SKILLED NURSING FACILITY 36354,S200000,02200,0100,Y 36354,S200000,04300,0100,Y 36354,S200000,04700,0100,Y 36354,S200000,04700,0200,Y 36358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36358,A000000,00300,0000,00300EMPLOYEE BENEFITS 36358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36358,A000000,00700,0000,00700HOUSEKEEPING 36358,A000000,00800,0000,00800DIETARY 36358,A000000,00900,0000,00900NURSING ADMINISTRATION 36358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36358,A000000,01100,0000,01100PHARMACY 36358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36358,A000000,01300,0000,01300SOCIAL SERVICE 36358,A000000,01350,0000,01500OTHER GENERAL SERVICES 36358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36358,A000000,01600,0000,01600SKILLED NURSING FACILITY 36358,A000000,01810,0000,01810ICF/MR 36358,A000000,02100,0000,02100RADIOLOGY 36358,A000000,02200,0000,02200LABORATORY 36358,A000000,02500,0000,02500PHYSICAL THERAPY 36358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36358,A000000,02700,0000,02700SPEECH PATHOLOGY 36358,A000000,02800,0000,02800ELECTROCARDIOLOGY 36358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36358,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36358,A000000,03051,0000,03301CLINITRON 36358,A000000,03201,0000,03201SUPPORT SURFACES 36358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36358,A000000,03550,0000,03550FQHC 36358,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36358,A000000,05000,0000,05000CORF 36358,A000000,05010,0000,05010CMHC 36358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36358,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36358,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36358,B100000,00000,0100,00000SQUARE FEET 36358,B100000,00000,0200,00000DOLLAR VALUE 36358,B100000,00000,0300,00000GROSS SALARIES 36358,B100000,00000,0400,00000ACCUM. COST 36358,B100000,00000,0500,00000SQUARE FEET 36358,B100000,00000,0600,00000POUNDS OF LAUNDRY 36358,B100000,00000,0700,00000HOURS OF SERVICE 36358,B100000,00000,0800,00000MEALS SERVED 36358,B100000,00000,0900,00000HOURS OF SERVICE 36358,B100000,00000,1000,00000COSTED REQUIS. 36358,B100000,00000,1100,00000COSTED REQUIS. 36358,B100000,00000,1200,00000TIME SPENT 36358,B100000,00000,1300,00000TIME SPENT 36358,B100000,00000,1350,00000NO STATISTICS 36358,B100000,00000,1400,00000TIME SPENT 36358,E10A180,00301,0100,05/10/2000 36358,S000000,00100,0200,06/07/2000 36358,S200000,00100,0100,2241 NEW HAVEN AVE. 36358,S200000,00200,0100,FAR ROCKAWAY 36358,S200000,00200,0200,NY 36358,S200000,00200,0300,11691 36358,S200000,00300,0100,QUEENS 36358,S200000,00400,0100,NEW SURFSIDE NURSING HOME 36358,S200000,00400,0200,335165 36358,S200000,00400,0300,02/06/1981 36358,S200000,00400,0500,P 36358,S200000,01500,0100,Y 36361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36361,A000000,00300,0000,00300EMPLOYEE BENEFITS 36361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36361,A000000,00700,0000,00700HOUSEKEEPING 36361,A000000,00800,0000,00800DIETARY 36361,A000000,00900,0000,00900NURSING ADMINISTRATION 36361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36361,A000000,01100,0000,01100PHARMACY 36361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36361,A000000,01300,0000,01300SOCIAL SERVICE 36361,A000000,01350,0000,01500OTHER GENERAL SERVICES 36361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36361,A000000,01600,0000,01600SKILLED NURSING FACILITY 36361,A000000,01810,0000,01810ICF/MR 36361,A000000,02100,0000,02100RADIOLOGY 36361,A000000,02200,0000,02200LABORATORY 36361,A000000,02300,0000,02300INTRAVENOUS THERAPY 36361,A000000,02500,0000,02500PHYSICAL THERAPY 36361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36361,A000000,02700,0000,02700SPEECH PATHOLOGY 36361,A000000,02800,0000,02800ELECTROCARDIOLOGY 36361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36361,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36361,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36361,A000000,03550,0000,03550FQHC 36361,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36361,A000000,04800,0000,04800AMBULANCE 36361,A000000,05000,0000,05000CORF 36361,A000000,05010,0000,05010CMHC 36361,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36361,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36361,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36361,B100000,00000,0100,00000SQUARE FEET 36361,B100000,00000,0200,00000DOLLAR VALUE 36361,B100000,00000,0300,00000GROSS SALARIES 36361,B100000,00000,0400,00000ACCUM. COST 36361,B100000,00000,0500,00000SQUARE FEET 36361,B100000,00000,0600,00000POUNDS OF LAUNDRY 36361,B100000,00000,0700,00000HOURS OF SERVICE 36361,B100000,00000,0800,00000MEALS SERVED 36361,B100000,00000,0900,00000HOURS OF SERVICE 36361,B100000,00000,1000,00000COSTED REQUIS. 36361,B100000,00000,1100,00000COSTED REQUIS. 36361,B100000,00000,1200,00000TIME SPENT 36361,B100000,00000,1300,00000TIME SPENT 36361,B100000,00000,1350,00000NO STATISTICS 36361,B100000,00000,1400,00000TIME SPENT 36361,E10A180,00301,0100,05/10/2000 36361,S000000,00100,0200,06/16/2000 36361,S200000,00100,0100,315 BEACH 9TH STR. 36361,S200000,00200,0100,FAR ROCKAWAY 36361,S200000,00200,0200,NY 36361,S200000,00300,0100,QUEENS 36361,S200000,00400,0100,OCEANVIEW NURSING HOME 36361,S200000,00400,0200,335168 36361,S200000,00400,0300,07/01/1969 36361,S200000,00400,0500,P 36361,S200000,01500,0100,Y 36364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36364,A000000,00300,0000,00300EMPLOYEE BENEFITS 36364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36364,A000000,00700,0000,00700HOUSEKEEPING 36364,A000000,00800,0000,00800DIETARY 36364,A000000,00900,0000,00900NURSING ADMINISTRATION 36364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36364,A000000,01100,0000,01100PHARMACY 36364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36364,A000000,01300,0000,01300SOCIAL SERVICE 36364,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36364,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36364,A000000,01600,0000,01600SKILLED NURSING FACILITY 36364,A000000,01810,0000,01810ICF/MR 36364,A000000,02100,0000,02100RADIOLOGY 36364,A000000,02200,0000,02200LABORATORY 36364,A000000,02500,0000,02500PHYSICAL THERAPY 36364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36364,A000000,02700,0000,02700SPEECH PATHOLOGY 36364,A000000,02800,0000,02800ELECTROCARDIOLOGY 36364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36364,A000000,03550,0000,03550FQHC 36364,A000000,04800,0000,04800AMBULANCE 36364,A000000,05000,0000,05000CORF 36364,A000000,05010,0000,05010CMHC 36364,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36364,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36364,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36364,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36364,A000000,06201,0000,06201DENTAL 36364,B100000,00000,0100,00000SQUARE FEET 36364,B100000,00000,0200,00000SQUARE FEET 36364,B100000,00000,0300,00000GROSS SALARIES 36364,B100000,00000,0400,00000ACCUM COST 36364,B100000,00000,0500,00000SQUARE FEET 36364,B100000,00000,0600,00000POUNDS OF LAUNDRY 36364,B100000,00000,0700,00000HOURS OF SERVICE 36364,B100000,00000,0800,00000MEALS SERVED 36364,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36364,B100000,00000,1000,00000COSTED REQUISITIO 36364,B100000,00000,1100,00000COSTED REQUISITIO 36364,B100000,00000,1200,00000TIME SPENT 36364,B100000,00000,1300,00000TIME SPENT 36364,B100000,00000,1301,00000PARTICIPAN 36364,B100000,00000,1350,00000 36364,B100000,00000,1400,00000ASSIGNED TIME 36364,E10A180,00301,0100,05/10/2000 36364,S000000,00100,0200,06/27/2000 36364,S200000,00100,0100,70 NORTH COUNTRY ROAD 36364,S200000,00200,0100,PORT JEFFERSON 36364,S200000,00200,0200,NEW YORK 36364,S200000,00200,0300,11777 36364,S200000,00300,0100,SUFFOLK 36364,S200000,00400,0100,SUNREST HEALTH FACILITIES 36364,S200000,00400,0200,335171 36364,S200000,00400,0300,01/13/1967 36364,S200000,00400,0500,P 36364,S200000,01500,0100,Y 36372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36372,A000000,00300,0000,00300EMPLOYEE BENEFITS 36372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36372,A000000,00700,0000,00700HOUSEKEEPING 36372,A000000,00800,0000,00800DIETARY 36372,A000000,00900,0000,00900NURSING ADMINISTRATION 36372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36372,A000000,01100,0000,01100PHARMACY 36372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36372,A000000,01300,0000,01300SOCIAL SERVICE 36372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36372,A000000,01600,0000,01600SKILLED NURSING FACILITY 36372,A000000,01800,0000,01800NURSING FACILITY 36372,A000000,01810,0000,01810ICF/MR 36372,A000000,02500,0000,02500PHYSICAL THERAPY 36372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36372,A000000,02700,0000,02700SPEECH PATHOLOGY 36372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36372,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36372,A000000,03550,0000,03550FQHC 36372,A000000,05000,0000,05000CORF 36372,A000000,05010,0000,05010CMHC 36372,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36372,A81000A,00100,0100,Y 36372,A81000B,00100,0300,MANAGEMENT FEE 36372,A81000C,00100,0100,B 36372,A81000C,00100,0400,CATHOLIC HEALTH 36372,A81000C,00100,0600,RELIGIOUS 36372,B100000,00000,0100,00000SQUARE FEET 36372,B100000,00000,0200,00000SQUARE FEET 36372,B100000,00000,0300,00000GROSS SALARIES 36372,B100000,00000,0400,00000ACCUM COST 36372,B100000,00000,0500,00000SQUARE FEET 36372,B100000,00000,0600,00000POUNDS OF LAUNDRY 36372,B100000,00000,0700,00000HOURS OF SERVICE 36372,B100000,00000,0800,00000MEALS SERVED 36372,B100000,00000,0900,00000DIRECT NRSG HRS 36372,B100000,00000,1000,00000COSTED REQUIS 36372,B100000,00000,1100,00000COSTED REQUIS 36372,B100000,00000,1200,00000TIME SPENT 36372,B100000,00000,1300,00000TIME SPENT 36372,B100000,00000,1400,00000ASSIGNED TIME 36372,E10A180,00301,0100,05/09/2000 36372,E10A180,00350,0100,01/18/2000 36372,S000000,00100,0200,06/14/2000 36372,S200000,00100,0100,147 REIST STREET 36372,S200000,00200,0100,WILLIAMSVILLE 36372,S200000,00200,0200,NY 36372,S200000,00200,0300,14222 36372,S200000,00300,0100,ERIE 36372,S200000,00400,0100,ST. FRANCIS HOME OF WILLIAMSVILLE 36372,S200000,00400,0200,335172 36372,S200000,00400,0300,01/01/1967 36372,S200000,00400,0500,P 36372,S200000,01500,0100,Y 36376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36376,A000000,00300,0000,00300EMPLOYEE BENEFITS 36376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36376,A000000,00700,0000,00700HOUSEKEEPING 36376,A000000,00800,0000,00800DIETARY 36376,A000000,00900,0000,00900NURSING ADMINISTRATION 36376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36376,A000000,01100,0000,01100PHARMACY 36376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36376,A000000,01300,0000,01300SOCIAL SERVICE 36376,A000000,01350,0000,01500OTHER GENERAL SERVICES 36376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36376,A000000,01600,0000,01600SKILLED NURSING FACILITY 36376,A000000,01810,0000,01810ICF/MR 36376,A000000,02100,0000,02100RADIOLOGY 36376,A000000,02200,0000,02200LABORATORY 36376,A000000,02500,0000,02500PHYSICAL THERAPY 36376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36376,A000000,02700,0000,02700SPEECH PATHOLOGY 36376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36376,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36376,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36376,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36376,A000000,03550,0000,03550FQHC 36376,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36376,A000000,05000,0000,05000CORF 36376,A000000,05010,0000,05010CMHC 36376,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36376,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36376,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36376,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36376,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36376,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36376,B100000,00000,0100,00000NO STATISTICS 36376,B100000,00000,0200,00000NO STATISTICS 36376,B100000,00000,0300,00000NO STATISTICS 36376,B100000,00000,0400,00000ACCUM. COST 36376,B100000,00000,0500,00000NO STATISTICS 36376,B100000,00000,0600,00000NO STATISTICS 36376,B100000,00000,0700,00000NO STATISTICS 36376,B100000,00000,0800,00000NO STATISTICS 36376,B100000,00000,0900,00000NO STATISTICS 36376,B100000,00000,1000,00000NO STATISTICS 36376,B100000,00000,1100,00000NO STATISTICS 36376,B100000,00000,1200,00000NO STATISTICS 36376,B100000,00000,1300,00000NO STATISTICS 36376,B100000,00000,1350,00000NO STATISTICS 36376,B100000,00000,1400,00000NO STATISTICS 36376,E10A180,00301,0100,05/10/2000 36376,E10A180,00550,0100,01/20/1999 36376,S000000,00100,0200,06/05/2000 36376,S200000,00100,0100,380 HENRY STREET 36376,S200000,00200,0100,BROOKLYN 36376,S200000,00200,0200,NY 36376,S200000,00200,0300,11201 36376,S200000,00300,0100,KINGS 36376,S200000,00400,0100,COBBLE HILL HEALTH CENTER 36376,S200000,00400,0200,335174 36376,S200000,00400,0300,05/17/1976 36376,S200000,00400,0500,P 36376,S200000,01500,0100,Y 36376,S200000,03300,0100,Y 36376,S200000,03300,0200,Y 36379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36379,A000000,00300,0000,00300EMPLOYEE BENEFITS 36379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36379,A000000,00700,0000,00700HOUSEKEEPING 36379,A000000,00800,0000,00800DIETARY 36379,A000000,00900,0000,00900NURSING ADMINISTRATION 36379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36379,A000000,01100,0000,01100PHARMACY 36379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36379,A000000,01300,0000,01300SOCIAL SERVICE 36379,A000000,01350,0000,01500ACTIVITIES 36379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36379,A000000,01600,0000,01600SKILLED NURSING FACILITY 36379,A000000,01810,0000,01810ICF/MR 36379,A000000,02100,0000,02100RADIOLOGY 36379,A000000,02200,0000,02200LABORATORY 36379,A000000,02300,0000,02300INTRAVENOUS THERAPY 36379,A000000,02500,0000,02500PHYSICAL THERAPY 36379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36379,A000000,02700,0000,02700SPEECH PATHOLOGY 36379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36379,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36379,A000000,03200,0000,03200SUPPORT SURFACES 36379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36379,A000000,03550,0000,03550FQHC 36379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36379,A000000,05000,0000,05000CORF 36379,A000000,05010,0000,05010CMHC 36379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36379,A000000,06101,0000,06101ADULT DAY CARE 36379,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36379,A000000,06200,0000,06200PATIENTS LAUNDRY 36379,A000000,06201,0000,06201DENTAL 36379,A000000,06202,0000,06202AUDIOLOGY 36379,B100000,00000,0100,00000SQUARE FEET 36379,B100000,00000,0200,00000SQUARE FEET 36379,B100000,00000,0300,00000GROSS SALARIES 36379,B100000,00000,0400,00000ACCUM COST 36379,B100000,00000,0500,00000SQUARE FEET 36379,B100000,00000,0600,00000POUNDS OF LAUNDRY 36379,B100000,00000,0700,00000HOURS OF SERVICE 36379,B100000,00000,0800,00000MEALS SERVED 36379,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36379,B100000,00000,1000,00000COSTED REQUISITIO 36379,B100000,00000,1100,00000COSTED REQUISITIO 36379,B100000,00000,1200,00000TIME SPENT 36379,B100000,00000,1300,00000TIME SPENT 36379,B100000,00000,1350,00000ASSIGNED TIME 36379,B100000,00000,1400,00000ASSIGNED TIME 36379,E10A180,00301,0100,05/10/2000 36379,H510100,00000,0000,5380 36379,H510100,02400,0000,5380 36379,H710000,00501,0100,03/20/2001 36379,S000000,00100,0200,06/28/2000 36379,S200000,00100,0100,ROUT25A 36379,S200000,00200,0100,SMITHTOWN 36379,S200000,00200,0200,NEW YORK 36379,S200000,00200,0300,11787 36379,S200000,00300,0100,SUFFOLK 36379,S200000,00400,0100,LUTHERAN CENTER FOR THE AGING 36379,S200000,00400,0200,335175 36379,S200000,00400,0300,06/12/1978 36379,S200000,00400,0500,P 36379,S200000,00800,0200,337201 36379,S200000,00800,0300,10/26/1983 36379,S200000,00800,0500,P 36379,S200000,01500,0100,Y 36385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36385,A000000,00300,0000,00300EMPLOYEE BENEFITS 36385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36385,A000000,00700,0000,00700HOUSEKEEPING 36385,A000000,00800,0000,00800DIETARY 36385,A000000,00900,0000,00900NURSING ADMINISTRATION 36385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36385,A000000,01100,0000,01100PHARMACY 36385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36385,A000000,01300,0000,01300SOCIAL SERVICE 36385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36385,A000000,01600,0000,01600SKILLED NURSING FACILITY 36385,A000000,01810,0000,01810ICF/MR 36385,A000000,02100,0000,02100RADIOLOGY 36385,A000000,02200,0000,02200LABORATORY 36385,A000000,02500,0000,02500PHYSICAL THERAPY 36385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36385,A000000,02700,0000,02700SPEECH PATHOLOGY 36385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36385,A000000,03550,0000,03550FQHC 36385,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36385,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36385,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36385,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36385,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36385,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36385,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36385,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 36385,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36385,A000000,05000,0000,05000CORF 36385,A000000,05010,0000,05010CMHC 36385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36385,A000000,05300,0000,05300INTEREST EXPENSE 36385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36385,A000000,06101,0000,06101DENTAL 36385,A000000,06102,0000,06102GUEST MEALS 36385,A000000,06103,0000,06103LIFELINE 36385,A81000A,00100,0100,Y 36385,A81000B,01000,0300,RENT 36385,A81000B,01100,0300,RENT 36385,A81000B,01200,0300,ADMIN AND FISCAL SVCS 36385,A81000B,01300,0300,MAINTENANCE SVCS 36385,A81000B,01400,0300,LAUNDRY SERVICES 36385,A81000B,01500,0300,HOUSEKEEPING SERVICES 36385,A81000C,00100,0100,B 36385,A81000C,00100,0400,MENORAH CAMPUS 36385,A81000C,00100,0600,HEALTHCARE 36385,B100000,00000,0100,00003SQUARE FEET 36385,B100000,00000,0200,00003DOLLAR VALUE 36385,B100000,00000,0300,00003GROSS SALARIES 36385,B100000,00000,0400,00003ACCUM. COST 36385,B100000,00000,0500,00003SQUARE FEET 36385,B100000,00000,0600,00003POUNDS OF LAUNDRY 36385,B100000,00000,0700,00003HOURS OF SERVICE 36385,B100000,00000,0800,00003MEALS SERVED 36385,B100000,00000,0900,00003DIRECT NRSING HRS 36385,B100000,00000,1000,00003COSTED REQUIS. 36385,B100000,00000,1100,00003COSTED REQUIS. 36385,B100000,00000,1200,00003TIME SPENT 36385,B100000,00000,1300,00003TIME SPENT 36385,B100000,00000,1400,00003ASSIGNED TIME 36385,E10A180,00301,0100,09/16/1999 36385,E10A180,00302,0100,05/09/2000 36385,H510100,00000,0000,1280 36385,H510100,02400,0000,1280 36385,H710000,00350,0100,08/24/1999 36385,H710000,00501,0100,07/20/2000 36385,S000000,00100,0200,06/20/2000 36385,S200000,00100,0100,2700 NORTH FOREST ROAD 36385,S200000,00200,0100,GETZVILLE 36385,S200000,00200,0200,NY 36385,S200000,00300,0100,ERIE 36385,S200000,00400,0100,ROSA COPLON JEWISH HOME & INFIRMARY 36385,S200000,00400,0200,335176 36385,S200000,00400,0300,01/01/1967 36385,S200000,00400,0500,P 36385,S200000,00800,0200,337234 36385,S200000,00800,0300,10/16/1987 36385,S200000,00800,0500,P 36385,S200000,01500,0100,Y 36385,S200000,02200,0100,Y 36385,S410002,01300,0000,CLERICAL 36387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36387,A000000,00300,0000,00300EMPLOYEE BENEFITS 36387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36387,A000000,00700,0000,00700HOUSEKEEPING 36387,A000000,00800,0000,00800DIETARY 36387,A000000,00900,0000,00900NURSING ADMINISTRATION 36387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36387,A000000,01100,0000,01100PHARMACY 36387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36387,A000000,01300,0000,01300SOCIAL SERVICE 36387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36387,A000000,01600,0000,01600SKILLED NURSING FACILITY 36387,A000000,01810,0000,01810ICF/MR 36387,A000000,02500,0000,02500PHYSICAL THERAPY 36387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36387,A000000,02700,0000,02700SPEECH PATHOLOGY 36387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36387,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36387,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36387,A000000,03550,0000,03550FQHC 36387,A000000,05000,0000,05000CORF 36387,A000000,05010,0000,05010CMHC 36387,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36387,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36387,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36387,A000000,05300,0000,05300INTEREST EXPENSE 36387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36387,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36387,B100000,00000,0100,00000SQUARE FEET 36387,B100000,00000,0200,00000SQUARE FEET 36387,B100000,00000,0300,00000GROSS SALARIES 36387,B100000,00000,0400,00000ACCUM COST 36387,B100000,00000,0500,00000SQUARE FEET 36387,B100000,00000,0600,00000POUNDS OF LAUNDRY 36387,B100000,00000,0700,00000HOURS OF SERVICE 36387,B100000,00000,0800,00000MEALS SERVED 36387,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36387,B100000,00000,1000,00000COSTED REQUISITIO 36387,B100000,00000,1100,00000COSTED REQUISITIO 36387,B100000,00000,1200,00000TIME SPENT 36387,B100000,00000,1300,00000TIME SPENT 36387,B100000,00000,1400,00000ASSIGNED TIME 36387,E10A180,00301,0100,05/10/2000 36387,E10A180,00550,0100,06/28/2000 36387,S000000,00100,0200,06/26/2000 36387,S200000,00100,0100,1455 CONEY ISLAND AVENUE 36387,S200000,00200,0100,BROOKLYN/NEW YORK/11230 36387,S200000,00300,0100,KINGS 36387,S200000,00400,0100,PROSPECT PARK NURSING HOME INC. 36387,S200000,00400,0200,335178 36387,S200000,00400,0300,02/01/1976 36387,S200000,00400,0500,P 36387,S200000,01500,0100,Y 36387,S200000,03300,0100,Y 36387,S200000,03300,0200,Y 36396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36396,A000000,00300,0000,00300EMPLOYEE BENEFITS 36396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36396,A000000,00700,0000,00700HOUSEKEEPING 36396,A000000,00800,0000,00800DIETARY 36396,A000000,00900,0000,00900NURSING ADMINISTRATION 36396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36396,A000000,01100,0000,01100PHARMACY 36396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36396,A000000,01300,0000,01300SOCIAL SERVICE 36396,A000000,01350,0000,01500ACTIVITIES 36396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36396,A000000,01600,0000,01600SKILLED NURSING FACILITY 36396,A000000,01810,0000,01810ICF/MR 36396,A000000,02100,0000,02100RADIOLOGY 36396,A000000,02200,0000,02200LABORATORY 36396,A000000,02500,0000,02500PHYSICAL THERAPY 36396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36396,A000000,02700,0000,02700SPEECH PATHOLOGY 36396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36396,A000000,03550,0000,03550FQHC 36396,A000000,05000,0000,05000CORF 36396,A000000,05010,0000,05010CMHC 36396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36396,A000000,06150,0000,06300DENTAL 36396,A81000A,00100,0100,Y 36396,A81000B,00100,0300,BUILDING RENT 36396,A81000B,00200,0300,INTEREST EXPENSE 36396,A81000B,00300,0300,DEPRECIATION 36396,A81000B,00400,0300,ACCOUNTING 36396,A81000B,00500,0300,INSURANCE 36396,A81000B,00600,0300,OTHER EXPENSES 36396,A81000B,00700,0300,INTEREST INCOME 36396,A81000B,00800,0300,INTEREST INCOME 36396,A81000B,00900,0300,EQUIPMENT RENT 36396,A81000C,00100,0100,A 36396,A81000C,00100,0200,JUDY ZACHER 36396,A81000C,00100,0400,SH. MAN. REALTY 36396,A81000C,00100,0600,REALTY 36396,B100000,00000,0100,00000SQUARE FEET 36396,B100000,00000,0200,00000SQUARE FEET 36396,B100000,00000,0300,00000GROSS SAL 36396,B100000,00000,0400,00000ACCUM. COST 36396,B100000,00000,0500,00000SQUARE FEET 36396,B100000,00000,0600,00000LAUNDRY LBS 36396,B100000,00000,0700,00000HOUSEKEEPI TIME 36396,B100000,00000,0800,00000DIETARY MEALS 36396,B100000,00000,0900,00000NUR ADMIN TIME 36396,B100000,00000,1000,00000BLANK 36396,B100000,00000,1100,00000PHARM CONSULT TI 36396,B100000,00000,1200,00000MED REC TIME 36396,B100000,00000,1300,00000SOCIAL SERVIVE TI 36396,B100000,00000,1350,00000ACTIVITIES PARTIC 36396,B100000,00000,1400,00000BLANK 36396,E10A180,00301,0100,05/09/2000 36396,E10A180,00350,0100,01/18/2000 36396,S000000,00100,0200,06/20/2000 36396,S200000,00100,0100,2799 SHERIDAN DRIVE 36396,S200000,00200,0100,TONAWANDA 36396,S200000,00200,0200,NY 36396,S200000,00200,0300,14150 36396,S200000,00300,0100,ERIE 36396,S200000,00400,0100,SHERIDAN MANOR NURSING HOME 36396,S200000,00400,0200,335180 36396,S200000,00400,0300,01/01/1967 36396,S200000,00400,0500,P 36396,S200000,01500,0100,Y 36396,S200000,02200,0100,Y 36421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36421,A000000,00300,0000,00300EMPLOYEE BENEFITS 36421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36421,A000000,00700,0000,00700HOUSEKEEPING 36421,A000000,00800,0000,00800DIETARY 36421,A000000,00900,0000,00900NURSING ADMINISTRATION 36421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36421,A000000,01100,0000,01100PHARMACY 36421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36421,A000000,01300,0000,01300SOCIAL SERVICE 36421,A000000,01350,0000,01500ACTIVITIES 36421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36421,A000000,01600,0000,01600SKILLED NURSING FACILITY 36421,A000000,01810,0000,01810ICF/MR 36421,A000000,02100,0000,02100RADIOLOGY 36421,A000000,02200,0000,02200LABORATORY 36421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36421,A000000,02500,0000,02500PHYSICAL THERAPY 36421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36421,A000000,02700,0000,02700SPEECH PATHOLOGY 36421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36421,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36421,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36421,A000000,03550,0000,03550FQHC 36421,A000000,05000,0000,05000CORF 36421,A000000,05010,0000,05010CMHC 36421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36421,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36421,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36421,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36421,A000000,06201,0000,06201DENTAL 36421,B100000,00000,0100,00000SQUARE FEET 36421,B100000,00000,0200,00000SQUARE FEET 36421,B100000,00000,0300,00000GROSS SALARIES 36421,B100000,00000,0400,00000ACCUM COST 36421,B100000,00000,0500,00000SQUARE FEET 36421,B100000,00000,0600,00000POUNDS OF LAUNDRY 36421,B100000,00000,0700,00000HOURS OF SERVICE 36421,B100000,00000,0800,00000MEALS SERVED 36421,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36421,B100000,00000,1000,00000COSTED REQUISITIO 36421,B100000,00000,1100,00000COSTED REQUISITIO 36421,B100000,00000,1200,00000TIME SPENT 36421,B100000,00000,1300,00000TIME SPENT 36421,B100000,00000,1350,00000NUMBER OF PARTICIPAN 36421,B100000,00000,1400,00000ASSIGNED TIME 36421,E10A180,00301,0100,05/10/2000 36421,S000000,00100,0200,05/31/2000 36421,S200000,00100,0100,CEDAR LANE 36421,S200000,00200,0100,OSSINING 36421,S200000,00200,0200,NY 36421,S200000,00200,0300,10562 36421,S200000,00300,0100,WESTCHESTER 36421,S200000,00400,0100,CEDAR MANOR NURSING HOME 36421,S200000,00400,0200,335185 36421,S200000,00400,0300,01/13/1967 36421,S200000,00400,0500,P 36421,S200000,01500,0100,Y 36433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36433,A000000,00300,0000,00300EMPLOYEE BENEFITS 36433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36433,A000000,00700,0000,00700HOUSEKEEPING 36433,A000000,00800,0000,00800DIETARY 36433,A000000,00900,0000,00900NURSING ADMINISTRATION 36433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36433,A000000,01100,0000,01100PHARMACY 36433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36433,A000000,01300,0000,01300SOCIAL SERVICE 36433,A000000,01350,0000,01500ACTIVTIES 36433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36433,A000000,01600,0000,01600SKILLED NURSING FACILITY 36433,A000000,01810,0000,01810ICF/MR 36433,A000000,02200,0000,02200LABORATORY 36433,A000000,02500,0000,02500PHYSICAL THERAPY 36433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36433,A000000,02700,0000,02700SPEECH PATHOLOGY 36433,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36433,A000000,03550,0000,03550FQHC 36433,A000000,05000,0000,05000CORF 36433,A000000,05010,0000,05010CMHC 36433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36433,A000000,06100,0000,06100NONPAID WORKERS 36433,A000000,06150,0000,06300DENTAL 36433,A000000,06151,0000,06301PODIATRY 36433,A000000,06152,0000,06302AUDIOLOGY 36433,B100000,00000,0100,00002SQUARE FEET 36433,B100000,00000,0200,00002SQUARE FEET 36433,B100000,00000,0300,00002GROSS SALARIES 36433,B100000,00000,0400,00002ACCUM COST 36433,B100000,00000,0500,00002SQUARE FEET 36433,B100000,00000,0600,00002POUNDS OF LAUNDRY 36433,B100000,00000,0700,00002HOURS OF SERVICE 36433,B100000,00000,0800,00002MEALS SERVED 36433,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 36433,B100000,00000,1000,00002COSTED REQUISITIO 36433,B100000,00000,1100,00002COSTED REQUISITIO 36433,B100000,00000,1200,00002TIME SPENT 36433,B100000,00000,1300,00002TIME SPENT 36433,B100000,00000,1350,00002ASSIGNED TIME 36433,B100000,00000,1400,00002ASSIGNED TIME 36433,E10A180,00301,0100,05/10/2000 36433,S000000,00100,0200,07/26/2000 36433,S200000,00100,0100,3260 HENRY HUDSON PARKWAY 36433,S200000,00200,0100,BRONX 36433,S200000,00200,0200,NY 36433,S200000,00200,0300,10463 36433,S200000,00300,0100,BRONX 36433,S200000,00400,0100,THE HEBREW HOME - FAIRFIELD DIVISION 36433,S200000,00400,0200,335187 36433,S200000,00400,0300,06/20/1979 36433,S200000,00400,0500,P 36440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36440,A000000,00300,0000,00300EMPLOYEE BENEFITS 36440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36440,A000000,00700,0000,00700HOUSEKEEPING 36440,A000000,00800,0000,00800DIETARY 36440,A000000,00900,0000,00900NURSING ADMINISTRATION 36440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36440,A000000,01100,0000,01100PHARMACY 36440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36440,A000000,01300,0000,01300SOCIAL SERVICE 36440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36440,A000000,01600,0000,01600SKILLED NURSING FACILITY 36440,A000000,01810,0000,01810ICF/MR 36440,A000000,02500,0000,02500PHYSICAL THERAPY 36440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36440,A000000,02700,0000,02700SPEECH PATHOLOGY 36440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36440,A000000,03550,0000,03550FQHC 36440,A000000,05000,0000,05000CORF 36440,A000000,05010,0000,05010CMHC 36440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36440,A000000,06150,0000,06300DENTAL 36440,A81000A,00100,0100,Y 36440,A81000B,00100,0300,ACCOUNTING SERVICE 36440,A81000B,00200,0300,MANAGEMENT SERVICE 36440,A81000C,00100,0100,B 36440,A81000C,00100,0400,CATHOLIC CHARIT 36440,A81000C,00100,0600,RELIGIOUS 36440,A81000C,00200,0100,G 36440,A81000C,00200,0200,ST. CLARE MANOR 36440,A81000C,00200,0400,CATH HEALTH SYSTEMS 36440,A81000C,00200,0600,RELIGIOUS SNF 36440,B100000,00000,0100,00000SQUARE FEET 36440,B100000,00000,0200,00000SQUARE FEET 36440,B100000,00000,0300,00000GROSS SALARIES 36440,B100000,00000,0400,00000ACCUM COST 36440,B100000,00000,0500,00000SQUARE FEET 36440,B100000,00000,0600,00000POUNDS OF LAUNDRY 36440,B100000,00000,0700,00000HOURS OF SERVICE 36440,B100000,00000,0800,00000MEALS SERVED 36440,B100000,00000,0900,00000DIRECT NRSG HRS 36440,B100000,00000,1000,00000COSTED REQUIS 36440,B100000,00000,1100,00000COSTED REQUIS 36440,B100000,00000,1200,00000TIME SPENT 36440,B100000,00000,1300,00000TIME SPENT 36440,B100000,00000,1400,00000ASSIGNED TIME 36440,E10A180,00550,0100,06/28/2000 36440,S000000,00100,0200,07/10/2000 36440,S200000,00100,0100,WEST STATE STREET 36440,S200000,00200,0100,OLEAN 36440,S200000,00200,0200,NY 36440,S200000,00200,0300,14760 36440,S200000,00300,0100,CATTARAUGUS 36440,S200000,00400,0100,SAINT JOSEPHS MANOR 36440,S200000,00400,0200,335189 36440,S200000,00400,0300,01/06/1967 36440,S200000,00400,0500,P 36440,S200000,01500,0100,Y 36440,S200000,01900,0100,RELIGIOUS 36449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36449,A000000,00300,0000,00300EMPLOYEE BENEFITS 36449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36449,A000000,00700,0000,00700HOUSEKEEPING 36449,A000000,00800,0000,00800DIETARY 36449,A000000,00900,0000,00900NURSING ADMINISTRATION 36449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36449,A000000,01100,0000,01100PHARMACY 36449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36449,A000000,01300,0000,01300SOCIAL SERVICE 36449,A000000,01350,0000,01500ACTIVITIES 36449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36449,A000000,01600,0000,01600SKILLED NURSING FACILITY 36449,A000000,01810,0000,01810ICF/MR 36449,A000000,02200,0000,02200LABORATORY 36449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36449,A000000,02500,0000,02500PHYSICAL THERAPY 36449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36449,A000000,02700,0000,02700SPEECH PATHOLOGY 36449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36449,A000000,03050,0000,03300HOME CARE 36449,A000000,03401,0000,03401ADULT DAY SERVICES 36449,A000000,03550,0000,03550FQHC 36449,A000000,05000,0000,05000CORF 36449,A000000,05010,0000,05010CMHC 36449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36449,A000000,05300,0000,05300INTEREST EXPENSE 36449,A000000,05350,0000,05600RESPITE 36449,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36449,A000000,06150,0000,06300JEWISH FAMILY SERVICE AGENCY 36449,A000000,06151,0000,06301RESIDENTIAL LIVING 36449,A000000,06152,0000,06302FOUNDATION 36449,A000000,06153,0000,06303DENTAL 36449,B100000,00000,0100,00003SQUARE FEET 1 36449,B100000,00000,0200,00003SQUARE FEET 2 36449,B100000,00000,0300,00003GROSS SALARIES 36449,B100000,00000,0400,00003ACC COST 36449,B100000,00000,0500,00003SQUARE FEET 36449,B100000,00000,0600,00003POUNDS OF LAUND 36449,B100000,00000,0700,00003HSKPG HOURS 36449,B100000,00000,0800,00003MEALS 36449,B100000,00000,0900,00003NURSING HOURS 36449,B100000,00000,1000,00003BLANK 36449,B100000,00000,1100,00003DRUG COST 36449,B100000,00000,1200,00003MED. REC HOURS 36449,B100000,00000,1300,00003SOC SERV TIME 36449,B100000,00000,1350,00003ACT PARTICI 36449,B100000,00000,1400,00003ASSIGNED TIME 36449,E10A180,00301,0100,05/09/2000 36449,S000000,00100,0200,05/11/2000 36449,S200000,00100,0100,4101 EAST GENESSEE STREET 36449,S200000,00200,0100,SYRACUSE 36449,S200000,00200,0200,NY 36449,S200000,00200,0300,13214 36449,S200000,00300,0100,ONONDAGA 36449,S200000,00400,0100,JEWISH HOME OF CENTRAL NY 36449,S200000,00400,0200,335190 36449,S200000,00400,0300,01/01/1967 36449,S200000,00400,0500,P 36449,S200000,01500,0100,Y 36449,S200000,04300,0100,Y 36453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36453,A000000,00300,0000,00300EMPLOYEE BENEFITS 36453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36453,A000000,00700,0000,00700HOUSEKEEPING 36453,A000000,00800,0000,00800DIETARY 36453,A000000,00900,0000,00900NURSING ADMINISTRATION 36453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36453,A000000,01100,0000,01100PHARMACY 36453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36453,A000000,01300,0000,01300SOCIAL SERVICE 36453,A000000,01350,0000,01500OTHER GENERAL SERVICES 36453,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36453,A000000,01600,0000,01600SKILLED NURSING FACILITY 36453,A000000,01810,0000,01810ICF/MR 36453,A000000,02100,0000,02100RADIOLOGY 36453,A000000,02200,0000,02200LABORATORY 36453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36453,A000000,02500,0000,02500PHYSICAL THERAPY 36453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36453,A000000,02700,0000,02700SPEECH PATHOLOGY 36453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36453,A000000,02901,0000,02901SUPPLY RENTAL 36453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36453,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36453,A000000,03101,0000,03101CLINITRN THERAPY 36453,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36453,A000000,03550,0000,03550FQHC 36453,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36453,A000000,04800,0000,04800AMBULANCE 36453,A000000,05000,0000,05000CORF 36453,A000000,05010,0000,05010CMHC 36453,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36453,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36453,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36453,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36453,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36453,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36453,A81000A,00100,0100,Y 36453,A81000B,00100,0300,RENT 36453,A81000B,00200,0300,MORTGAGE INTEREST 36453,A81000B,00300,0300,DEPRECIATION 36453,A81000C,00100,0100,A 36453,A81000C,00100,0200,O. WEINGARTEN 36453,A81000C,00100,0400,SILVERLAKE N.H. REALTY 36453,A81000C,00100,0600,REAL ESTATE 36453,B100000,00000,0100,00000SQUARE FEET 36453,B100000,00000,0200,00000DOLLAR VALUE 36453,B100000,00000,0300,00000GROSS SALARIES 36453,B100000,00000,0400,00000ACCUM. COST 36453,B100000,00000,0500,00000SQUARE FEET 36453,B100000,00000,0600,00000POUNDS OF LAUNDRY 36453,B100000,00000,0700,00000HOURS OF SERVICE 36453,B100000,00000,0800,00000MEALS SERVED 36453,B100000,00000,0900,00000HOURS OF SERVICE 36453,B100000,00000,1000,00000COSTED REQUIS. 36453,B100000,00000,1100,00000COSTED REQUIS. 36453,B100000,00000,1200,00000TIME SPENT 36453,B100000,00000,1300,00000TIME SPENT 36453,B100000,00000,1350,00000NO STATISTICS 36453,B100000,00000,1400,00000TIME SPENT 36453,E10A180,00301,0100,05/10/2000 36453,S000000,00100,0200,06/08/2000 36453,S200000,00100,0100,275 CASTLETON AVE. 36453,S200000,00200,0100,STATEN ISLAND 36453,S200000,00200,0200,NY 36453,S200000,00200,0300,10301 36453,S200000,00300,0100,RICHMOND 36453,S200000,00400,0100,SILVERLAKE NURSING HOME INC. 36453,S200000,00400,0200,335196 36453,S200000,00400,0300,01/01/1971 36453,S200000,00400,0500,P 36453,S200000,01500,0100,Y 36457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36457,A000000,00300,0000,00300EMPLOYEE BENEFITS 36457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36457,A000000,00700,0000,00700HOUSEKEEPING 36457,A000000,00800,0000,00800DIETARY 36457,A000000,00900,0000,00900NURSING ADMINISTRATION 36457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36457,A000000,01100,0000,01100PHARMACY 36457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36457,A000000,01300,0000,01300SOCIAL SERVICE 36457,A000000,01350,0000,01500OTHER GENERAL SERVICES 36457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36457,A000000,01600,0000,01600SKILLED NURSING FACILITY 36457,A000000,01810,0000,01810ICF/MR 36457,A000000,02100,0000,02100RADIOLOGY 36457,A000000,02200,0000,02200LABORATORY 36457,A000000,02300,0000,02300INTRAVENOUS THERAPY 36457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36457,A000000,02500,0000,02500PHYSICAL THERAPY 36457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36457,A000000,02700,0000,02700SPEECH PATHOLOGY 36457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36457,A000000,03101,0000,03101CLINITON THERAPY 36457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36457,A000000,03550,0000,03550FQHC 36457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36457,A000000,05000,0000,05000CORF 36457,A000000,05010,0000,05010CMHC 36457,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36457,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36457,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36457,B100000,00000,0100,00000SQUARE FEET 36457,B100000,00000,0200,00000DOLLAR VALUE 36457,B100000,00000,0300,00000GROSS SALARIES 36457,B100000,00000,0400,00000ACCUM. COST 36457,B100000,00000,0500,00000SQUARE FEET 36457,B100000,00000,0600,00000POUNDS OF LAUNDRY 36457,B100000,00000,0700,00000HOURS OF SERVICES 36457,B100000,00000,0800,00000MEALS SERVED 36457,B100000,00000,0900,00000HOURS OF SERVICE 36457,B100000,00000,1000,00000COSTED REQUIS. 36457,B100000,00000,1100,00000COSTED REQUIS. 36457,B100000,00000,1200,00000TIME SPENT 36457,B100000,00000,1300,00000TIME SPENT 36457,B100000,00000,1350,00000NO STATISTICS 36457,B100000,00000,1400,00000TIME SPENT 36457,E10A180,00301,0100,05/10/2000 36457,S000000,00100,0200,05/31/2000 36457,S200000,00100,0100,430 BEACH 68TH STREET 36457,S200000,00200,0100,FAR ROCKAWAY 36457,S200000,00200,0200,NY 36457,S200000,00200,0300,11690 36457,S200000,00300,0100,QUEENS 36457,S200000,00400,0100,RESORT NURSING HOME 36457,S200000,00400,0200,335199 36457,S200000,00400,0300,10/07/1969 36457,S200000,00400,0500,P 36457,S200000,01500,0100,Y 36467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36467,A000000,00300,0000,00300EMPLOYEE BENEFITS 36467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36467,A000000,00700,0000,00700HOUSEKEEPING 36467,A000000,00800,0000,00800DIETARY 36467,A000000,00900,0000,00900NURSING ADMINISTRATION 36467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36467,A000000,01100,0000,01100PHARMACY 36467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36467,A000000,01300,0000,01300SOCIAL SERVICE 36467,A000000,01350,0000,01500ACTIVITIES 36467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36467,A000000,01600,0000,01600SKILLED NURSING FACILITY 36467,A000000,01810,0000,01810ICF/MR 36467,A000000,02100,0000,02100RADIOLOGY 36467,A000000,02200,0000,02200LABORATORY 36467,A000000,02500,0000,02500PHYSICAL THERAPY 36467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36467,A000000,02700,0000,02700SPEECH PATHOLOGY 36467,A000000,02800,0000,02800ELECTROCARDIOLOGY 36467,A000000,02801,0000,02801MEDICAL STAFF SERVICES 36467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36467,A000000,03550,0000,03550FQHC 36467,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36467,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36467,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36467,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36467,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36467,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36467,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36467,A000000,05000,0000,05000CORF 36467,A000000,05010,0000,05010CMHC 36467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36467,A000000,05901,0000,05901LONG TERM HOME HEALTH SOCIAL D 36467,A000000,05902,0000,05902WEINBERG BUILDING 36467,A000000,05903,0000,05903HHA GRANTS 36467,A000000,06100,0000,06100NONPAID WORKERS 36467,A000000,06201,0000,06201DENTAL 36467,A000000,06202,0000,06202RESEARCH & NON-REIMBURSABLE 36467,A000000,06203,0000,06203ADULT DAY CARE 36467,B100000,00000,0100,00003SQUARE FEET 36467,B100000,00000,0200,00003SQUARE FEET 36467,B100000,00000,0300,00003GROSS SALARIES 36467,B100000,00000,0400,00003ACCUM COST 36467,B100000,00000,0500,00003SQUARE FEET 36467,B100000,00000,0600,00003POUNDS OF LAUNDRY 36467,B100000,00000,0700,00003HOURS OF SERVICE 36467,B100000,00000,0800,00003MEALS SERVED 36467,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 36467,B100000,00000,1000,00003COSTED REQUISITIO 36467,B100000,00000,1100,00003COSTED REQUISITIO 36467,B100000,00000,1200,00003TIME SPENT 36467,B100000,00000,1300,00003TIME SPENT 36467,B100000,00000,1350,00003TIME SPENT 36467,B100000,00000,1400,00003ASSIGNED TIME 36467,E10A180,00301,0100,05/16/2001 36467,E10A180,00302,0100,05/09/2000 36467,E10A180,00350,0100,09/23/1999 36467,H510100,00000,0000,5600 36467,H510100,02400,0000,5600 36467,H710000,00301,0100,10/20/1999 36467,H710000,00501,0100,08/17/2000 36467,S000000,00100,0200,07/05/2000 36467,S200000,00100,0100,612 ALLERTON AVENUE 36467,S200000,00200,0100,BRONX 36467,S200000,00200,0200,NY 36467,S200000,00200,0300,10467 36467,S200000,00300,0100,BRONX 36467,S200000,00400,0100,BETH ABRAHAM HEALTH SERVICES 36467,S200000,00400,0200,335201 36467,S200000,00400,0300,03/20/1967 36467,S200000,00400,0500,P 36467,S200000,00800,0200,337192 36467,S200000,00800,0300,09/19/1983 36467,S200000,00800,0500,P 36467,S200000,01500,0100,Y 36474,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36474,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36474,A000000,00300,0000,00300EMPLOYEE BENEFITS 36474,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36474,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36474,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36474,A000000,00700,0000,00700HOUSEKEEPING 36474,A000000,00800,0000,00800DIETARY 36474,A000000,00900,0000,00900NURSING ADMINISTRATION 36474,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36474,A000000,01100,0000,01100PHARMACY 36474,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36474,A000000,01300,0000,01300SOCIAL SERVICE 36474,A000000,01350,0000,01500ACTIVITIES 36474,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36474,A000000,01600,0000,01600SKILLED NURSING FACILITY 36474,A000000,01810,0000,01810ICF/MR 36474,A000000,02500,0000,02500PHYSICAL THERAPY 36474,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36474,A000000,03550,0000,03550FQHC 36474,A000000,05000,0000,05000CORF 36474,A000000,05010,0000,05010CMHC 36474,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36474,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36474,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36474,A000000,06150,0000,06300NON REIMBURSABLE DENTAL COST 36474,A81000A,00100,0100,Y 36474,A81000B,00100,0300,RENT 36474,A81000B,00200,0300,DEPRECIATION 36474,A81000B,00300,0300,PROPERTY TAXES 36474,A81000B,00400,0300,ACCOUNTING 36474,A81000B,00500,0300,ADMINISTRATIVE EXPENSE 36474,A81000B,00600,0300,DIRECTORS FEES 36474,A81000C,00100,0100,A 36474,A81000C,00100,0200,PINCUS SOBIE 36474,A81000C,00100,0400,GERIATRIC REALTY 36474,A81000C,00100,0600,REALTY 36474,A81000C,00200,0100,A 36474,A81000C,00200,0200,MORRIS SHAPIRO 36474,A81000C,00200,0400,GEROATRIC REALTY 36474,A81000C,00200,0600,REALTY 36474,B100000,00000,0100,00000(SQUARE FEET) 36474,B100000,00000,0200,00000(SQUARE FEET) 36474,B100000,00000,0300,00000(GROSS SALARIES) 36474,B100000,00000,0400,00000(ACCUM COST) 36474,B100000,00000,0500,00000(SQUARE FEET) 36474,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 36474,B100000,00000,0700,00000(HOURS OF SERVICE) 36474,B100000,00000,0800,00000(MEALS SERVED) 36474,B100000,00000,0900,00000(DIR NRSG HOURS) 36474,B100000,00000,1000,00000COSTED REQUIS 36474,B100000,00000,1100,00000COSTED REQUIS 36474,B100000,00000,1200,00000TIME SPENT 36474,B100000,00000,1300,00000(TIME SPENT) 36474,B100000,00000,1350,00000HOURS USED 2626 36474,B100000,00000,1400,00000ASSIGNED TIME 36474,S000000,00100,0200,01/23/2001 36474,S200000,00100,0100,257 STATE STREET 36474,S200000,00200,0100,BATAVIA 36474,S200000,00200,0200,NEW YORK 36474,S200000,00200,0300,14020 36474,S200000,00300,0100,G 36474,S200000,00400,0100,BATAVIA NURSING HOME INC. 36474,S200000,00400,0200,335202 36474,S200000,00400,0300,07/01/1970 36474,S200000,00400,0500,P 36474,S200000,01500,0100,Y 36482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36482,A000000,00300,0000,00300EMPLOYEE BENEFITS 36482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36482,A000000,00700,0000,00700HOUSEKEEPING 36482,A000000,00800,0000,00800DIETARY 36482,A000000,00801,0000,00801CAFETERIA 36482,A000000,00900,0000,00900NURSING ADMINISTRATION 36482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36482,A000000,01100,0000,01100PHARMACY 36482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36482,A000000,01300,0000,01300SOCIAL SERVICE 36482,A000000,01301,0000,01301ACTIVITIES 36482,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36482,A000000,01600,0000,01600SKILLED NURSING FACILITY 36482,A000000,01810,0000,01810ICF/MR 36482,A000000,02500,0000,02500PHYSICAL THERAPY 36482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36482,A000000,02700,0000,02700SPEECH PATHOLOGY 36482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36482,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36482,A000000,03550,0000,03550FQHC 36482,A000000,05000,0000,05000CORF 36482,A000000,05010,0000,05010CMHC 36482,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36482,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36482,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36482,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36482,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36482,B100000,00000,0100,00000SQUARE FEET 36482,B100000,00000,0200,00000SQUARE FEET 36482,B100000,00000,0300,00000GROSS SALARIES 36482,B100000,00000,0400,00000ACCUM COST 36482,B100000,00000,0500,00000SQUARE FEET 36482,B100000,00000,0600,00000POUNDS OF LAUNDRY 36482,B100000,00000,0700,00000HOURS OF SERVICE 36482,B100000,00000,0800,00000MEALS SERVED 36482,B100000,00000,0801,00000HOURS OF SERVICE 36482,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36482,B100000,00000,1000,00000COSTED REQUIS 36482,B100000,00000,1100,00000COSTED REQUISITIO 36482,B100000,00000,1200,00000TIME SPENT 36482,B100000,00000,1300,00000TIME SPENT 36482,B100000,00000,1301,00000TIME SPENT 36482,B100000,00000,1400,00000ASSIGNED TIME 36482,E10A180,00301,0100,05/10/2000 36482,E10A180,00350,0100,01/18/2000 36482,S000000,00100,0200,07/17/2000 36482,S200000,00300,0100,ST. LAWRENCE 36482,S200000,00400,0100,UNITED HELPERS CEDARS NH 36482,S200000,00400,0200,335203 36482,S200000,00400,0300,05/01/1976 36482,S200000,00400,0500,P 36482,S200000,01500,0100,Y 36486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36486,A000000,00300,0000,00300EMPLOYEE BENEFITS 36486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36486,A000000,00700,0000,00700HOUSEKEEPING 36486,A000000,00800,0000,00800DIETARY 36486,A000000,00900,0000,00900NURSING ADMINISTRATION 36486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36486,A000000,01100,0000,01100PHARMACY 36486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36486,A000000,01300,0000,01300SOCIAL SERVICE 36486,A000000,01350,0000,01500ACTIVITIES 36486,A000000,01351,0000,01501INDIRECT CONSULTANTS 36486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36486,A000000,01600,0000,01600SKILLED NURSING FACILITY 36486,A000000,01810,0000,01810ICF/MR 36486,A000000,02100,0000,02100RADIOLOGY 36486,A000000,02200,0000,02200LABORATORY 36486,A000000,02500,0000,02500PHYSICAL THERAPY 36486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36486,A000000,02700,0000,02700SPEECH PATHOLOGY 36486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36486,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 36486,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36486,A000000,03550,0000,03550FQHC 36486,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36486,A000000,05000,0000,05000CORF 36486,A000000,05010,0000,05010CMHC 36486,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36486,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36486,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36486,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36486,A000000,06150,0000,06300ADULT DAY HEALTH 36486,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 36486,A000000,06152,0000,06302DENTAL & PSYCHIATRIC 36486,A81000A,00100,0100,Y 36486,A81000B,00100,0300,RENT-CAPITAL RELATED 36486,A81000B,00200,0300,RENT-CAP REL MOVABLE 36486,A81000B,00300,0300,MGMT FEE-NOT CAPITAL RELATED 36486,A81000B,00400,0300,CAP. REL. COSTS-MGMT FEE- CAP 36486,A81000B,00500,0300,CAP. REL.COST-MGMT FEE-MOV. 36486,A81000C,00100,0100,A 36486,A81000C,00100,0200,MALCOLM GLAZER 36486,A81000C,00100,0400,VALLEY VIEW REALTY 36486,A81000C,00100,0600,REAL ESTATE 36486,A81000C,00200,0100,B 36486,A81000C,00200,0200,MALCOLM GLAZER 36486,A81000C,00200,0400,NURSING HOME MGMT 36486,A81000C,00200,0600,MANAGEMENT 36486,B100000,00000,0100,00002SQUARE FEET 36486,B100000,00000,0200,00002SQUARE FEET 36486,B100000,00000,0300,00002GROSS SALARIES 36486,B100000,00000,0400,00002ACCUM. COST 36486,B100000,00000,0500,00002SQUARE FEET 36486,B100000,00000,0600,00002POUNDS OF LAUNDRY 36486,B100000,00000,0700,00002SQUARE FEET 36486,B100000,00000,0800,00002MEALS SERVED 36486,B100000,00000,0900,00002HOURS OF SERVICE 36486,B100000,00000,1000,00002PATIENT DAYS 36486,B100000,00000,1100,00002N/A 36486,B100000,00000,1200,00002PATIENT DAYS 36486,B100000,00000,1300,00002PATIENT DAYS 36486,B100000,00000,1350,00002PATIENT DAYS 36486,B100000,00000,1351,00002N/A 36486,B100000,00000,1400,00002N/A 36486,E10A180,00301,0100,05/10/2000 36486,E10A180,00550,0100,06/21/2000 36486,S000000,00100,0200,06/13/2000 36486,S200000,00100,0100,40 PARK STREET 36486,S200000,00200,0100,NORWICH 36486,S200000,00200,0200,NY 36486,S200000,00200,0300,13815 36486,S200000,00300,0100,CHENANGO 36486,S200000,00400,0100,VALLEY VIEW MANOR NURSING HOME INC. 36486,S200000,00400,0200,335208 36486,S200000,00400,0300,08/01/1975 36486,S200000,00400,0500,P 36486,S200000,01500,0100,Y 36493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36493,A000000,00300,0000,00300EMPLOYEE BENEFITS 36493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36493,A000000,00700,0000,00700HOUSEKEEPING 36493,A000000,00800,0000,00800DIETARY 36493,A000000,00900,0000,00900NURSING ADMINISTRATION 36493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36493,A000000,01100,0000,01100PHARMACY 36493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36493,A000000,01300,0000,01300SOCIAL SERVICE 36493,A000000,01350,0000,01500ACTIVITIES PROGRAM 36493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36493,A000000,01600,0000,01600SKILLED NURSING FACILITY 36493,A000000,01810,0000,01810ICF/MR 36493,A000000,02100,0000,02100RADIOLOGY 36493,A000000,02200,0000,02200LABORATORY 36493,A000000,02500,0000,02500PHYSICAL THERAPY 36493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36493,A000000,02700,0000,02700SPEECH PATHOLOGY 36493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36493,A000000,03550,0000,03550FQHC 36493,A000000,05000,0000,05000CORF 36493,A000000,05010,0000,05010CMHC 36493,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36493,A000000,06150,0000,06300DENTAL 36493,A000000,06151,0000,06310ADULT DAY CARE 36493,A81000A,00100,0100,Y 36493,A81000B,00100,0300,RENT 36493,A81000B,00200,0300,INTEREST EXPENSE 36493,A81000B,00300,0300,DEPRECIATION 36493,A81000B,00400,0300,PROFESSIONAL FEES 36493,A81000B,00500,0300,REAL ESTATE TAXES 36493,A81000C,00100,0100,A 36493,A81000C,00100,0200,ANTHONY SALERNO 36493,A81000C,00100,0400,160 SENECA ST L 36493,A81000C,00100,0600,REAL ESTATE 36493,A81000C,00200,0100,A 36493,A81000C,00200,0200,HARRY SATIN 36493,A81000C,00200,0400,160 SENECA ST L 36493,A81000C,00200,0600,REAL ESTATE 36493,A81000C,00300,0100,A 36493,A81000C,00300,0200,LOWELL FELDMAN 36493,A81000C,00300,0400,160 SENECA ST L 36493,A81000C,00300,0600,REAL ESTATE 36493,A81000C,00400,0100,A 36493,A81000C,00400,0200,JEFFREY SUNSHIN 36493,A81000C,00400,0400,160 SENECA ST L 36493,A81000C,00400,0600,REAL ESTATE 36493,B100000,00000,0100,00010SQUARE FEET 36493,B100000,00000,0200,00010SQUARE FEET 36493,B100000,00000,0300,00010GROSS SALARIES 36493,B100000,00000,0400,00010ACCUM COST 36493,B100000,00000,0500,00010SQUARE FEET 36493,B100000,00000,0600,00010POUNDS OF LAUNDRY 36493,B100000,00000,0700,00010HOURS OF SERVICE 36493,B100000,00000,0800,00010MEALS SERVED 36493,B100000,00000,0900,00010DIRECT NRSG HRS 36493,B100000,00000,1000,00010COSTED REQUIS 36493,B100000,00000,1100,00010COSTED REQUIS 36493,B100000,00000,1200,00010TIME SPENT 36493,B100000,00000,1300,00010TIME SPENT 36493,B100000,00000,1350,00010NUMBER OF PARTCPANTS 36493,B100000,00000,1400,00010ASSIGNED TIME 36493,E10A180,00301,0100,05/10/2000 36493,E10A180,00350,0100,09/01/1999 36493,S000000,00100,0200,06/05/2000 36493,S200000,00100,0100,160 SENECA STREET 36493,S200000,00200,0100,WELLSVILLE 36493,S200000,00200,0200,NY 36493,S200000,00200,0300,14895 36493,S200000,00300,0100,ALLEGANY 36493,S200000,00400,0100,HIGHLAND HEALTHCARE CENTER 36493,S200000,00400,0200,335210 36493,S200000,00400,0300,02/20/1967 36493,S200000,00400,0500,P 36493,S200000,00400,0600,O 36493,S200000,01500,0100,Y 36493,S200000,04300,0100,Y 36498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36498,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 36498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36498,A000000,00300,0000,00300EMPLOYEE BENEFITS 36498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36498,A000000,00700,0000,00700HOUSEKEEPING 36498,A000000,00800,0000,00800DIETARY 36498,A000000,00900,0000,00900NURSING ADMINISTRATION 36498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36498,A000000,01100,0000,01100PHARMACY 36498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36498,A000000,01300,0000,01300SOCIAL SERVICE 36498,A000000,01350,0000,01500OTHER GENERAL SERVICES 36498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36498,A000000,01600,0000,01600SKILLED NURSING FACILITY 36498,A000000,01810,0000,01810ICF/MR 36498,A000000,02100,0000,02100RADIOLOGY 36498,A000000,02200,0000,02200LABORATORY 36498,A000000,02300,0000,02300INTRAVENOUS THERAPY 36498,A000000,02500,0000,02500PHYSICAL THERAPY 36498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36498,A000000,02700,0000,02700SPEECH PATHOLOGY 36498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36498,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36498,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36498,A000000,03550,0000,03550FQHC 36498,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36498,A000000,05000,0000,05000CORF 36498,A000000,05010,0000,05010CMHC 36498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36498,B100000,00000,0100,00000SQUARE FEET 36498,B100000,00000,0101,00000SQUARE FEET 36498,B100000,00000,0200,00000SQUARE FEET 36498,B100000,00000,0300,00000GROSS SALARI 36498,B100000,00000,0400,00000ACCUM. COST 36498,B100000,00000,0500,00000SQUARE FEET 36498,B100000,00000,0600,00000PDS OF LAUNDRY 36498,B100000,00000,0700,00000HOURS OF SERVICE 36498,B100000,00000,0800,00000MEALS SERVED 36498,B100000,00000,0900,00000DIRECT NURSE 36498,B100000,00000,1000,00000COSTED REQUIS. 36498,B100000,00000,1100,00000COSTED REQUIS. 36498,B100000,00000,1200,00000TIME SPENT 36498,B100000,00000,1300,00000TIME SPENT 36498,B100000,00000,1350,00000NO STATISTICS 36498,B100000,00000,1400,00000ASSIGNED TIME 36498,E10A180,00301,0100,05/10/2000 36498,S000000,00100,0200,05/30/2000 36498,S200000,00100,0100,DOSORIS LANE 36498,S200000,00200,0100,GLEN COVE 36498,S200000,00200,0200,NY 36498,S200000,00200,0300,11542 36498,S200000,00300,0100,NASSAU 36498,S200000,00400,0100,THE GLENGARIFF CORPORATION 36498,S200000,00400,0200,335211 36498,S200000,00400,0300,06/16/1971 36498,S200000,00400,0500,P 36498,S200000,01500,0100,Y 36506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36506,A000000,00300,0000,00300EMPLOYEE BENEFITS 36506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36506,A000000,00700,0000,00700HOUSEKEEPING 36506,A000000,00800,0000,00800DIETARY 36506,A000000,00900,0000,00900NURSING ADMINISTRATION 36506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36506,A000000,01100,0000,01100PHARMACY 36506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36506,A000000,01300,0000,01300SOCIAL SERVICE 36506,A000000,01350,0000,01500ACTIVITIES 36506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36506,A000000,01600,0000,01600SKILLED NURSING FACILITY 36506,A000000,01810,0000,01810ICF/MR 36506,A000000,01900,0000,01900OTHER LONG TERM CARE 36506,A000000,02100,0000,02100RADIOLOGY 36506,A000000,02200,0000,02200LABORATORY 36506,A000000,02500,0000,02500PHYSICAL THERAPY 36506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36506,A000000,02700,0000,02700SPEECH PATHOLOGY 36506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36506,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36506,A000000,03200,0000,03200SUPPORT SURFACES 36506,A000000,03550,0000,03550FQHC 36506,A000000,05000,0000,05000CORF 36506,A000000,05010,0000,05010CMHC 36506,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36506,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36506,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36506,A000000,05300,0000,05300INTEREST EXPENSE 36506,A000000,06150,0000,06300PUBLIC HEALTH RENTAL 36506,B100000,00000,0100,00000SQUARE FEET 36506,B100000,00000,0200,00000DOLLAR VALUE 36506,B100000,00000,0300,00000GROSS SALARIES 36506,B100000,00000,0400,00000ACCUM COST 36506,B100000,00000,0500,00000SQUARE FEET 36506,B100000,00000,0600,00000POUNDS OF LAUNDRY 36506,B100000,00000,0700,00000HOURS OF SERVICE 36506,B100000,00000,0800,00000MEALS SERVED 36506,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36506,B100000,00000,1000,00000COSTED REQUISITIO 36506,B100000,00000,1100,00000COSTED REQUISITIO 36506,B100000,00000,1200,00000TIME SPENT 36506,B100000,00000,1300,00000TIME SPENT 36506,B100000,00000,1350,00000ACTIVITIES 36506,B100000,00000,1400,00000ASSIGNED TIME 36506,E10A180,00301,0100,05/10/2000 36506,S000000,00100,0200,06/28/2000 36506,S200000,00100,0100,14012 RT 31 36506,S200000,00200,0100,ALBION 36506,S200000,00200,0200,NY 36506,S200000,00200,0300,14411 36506,S200000,00300,0100,ORLEANS 36506,S200000,00400,0100,ORLEANS COUNTY NRSG HOME 36506,S200000,00400,0200,335212 36506,S200000,00400,0300,01/01/1967 36506,S200000,00400,0500,P 36506,S200000,01500,0100,Y 36506,S200000,02800,0100,Y 36509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36509,A000000,00300,0000,00300EMPLOYEE BENEFITS 36509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36509,A000000,00700,0000,00700HOUSEKEEPING 36509,A000000,00800,0000,00800DIETARY 36509,A000000,00900,0000,00900NURSING ADMINISTRATION 36509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36509,A000000,01100,0000,01100PHARMACY 36509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36509,A000000,01300,0000,01300SOCIAL SERVICE 36509,A000000,01350,0000,01500ACTIVITIES 36509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36509,A000000,01600,0000,01600SKILLED NURSING FACILITY 36509,A000000,01810,0000,01810ICF/MR 36509,A000000,02100,0000,02100RADIOLOGY 36509,A000000,02200,0000,02200LABORATORY 36509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36509,A000000,02500,0000,02500PHYSICAL THERAPY 36509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36509,A000000,02700,0000,02700SPEECH PATHOLOGY 36509,A000000,02800,0000,02800ELECTROCARDIOLOGY 36509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36509,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36509,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36509,A000000,03550,0000,03550FQHC 36509,A000000,05000,0000,05000CORF 36509,A000000,05010,0000,05010CMHC 36509,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36509,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36509,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36509,A000000,06151,0000,06301DENTAL 36509,A81000A,00100,0100,Y 36509,A81000B,00100,0300,RENT 36509,A81000B,00200,0300,REAL ESTATE TAXES 36509,A81000B,00300,0300,ACCOUNTING FEES 36509,A81000B,00400,0300,OTHER A&G EXPENSES 36509,A81000C,00100,0100,A 36509,A81000C,00100,0200,N.P. ZELMANOWIC 36509,A81000C,00100,0400,EMZEL REALTY CO 36509,A81000C,00100,0600,REAL ESTATE 36509,A81000C,00200,0100,A 36509,A81000C,00200,0200,A. ZALMANOWICZ 36509,A81000C,00200,0400,EMZEL REALTY CO 36509,A81000C,00200,0600,REAL ESTATE 36509,A81000C,00300,0100,A 36509,A81000C,00300,0200,REBECCA RICH 36509,A81000C,00300,0400,EMZEL REALTY CO 36509,A81000C,00300,0600,REAL ESTATE 36509,B100000,00000,0100,00001SQUARE FEET 36509,B100000,00000,0200,00001SQUARE FEET 36509,B100000,00000,0300,00001GROSS SALARIES 36509,B100000,00000,0400,00001ACCUM COST 36509,B100000,00000,0500,00001SQUARE FEET 36509,B100000,00000,0600,00001POUNDS OF LAUNDRY 36509,B100000,00000,0700,00001HOURS OF SERVICE 36509,B100000,00000,0800,00001MEALS SERVED 36509,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36509,B100000,00000,1000,00001COSTED REQUISITIO 36509,B100000,00000,1100,00001COSTED REQUISITIO 36509,B100000,00000,1200,00001TIME SPENT 36509,B100000,00000,1300,00001TIME SPENT 36509,B100000,00000,1350,00001TIME SPENT 36509,B100000,00000,1400,00001ASSIGNED TIME 36509,E10A180,00301,0100,05/10/2000 36509,S000000,00100,0200,07/06/2000 36509,S200000,00100,0100,2700 EASTCHESTER ROAD 36509,S200000,00200,0100,BRONX 36509,S200000,00200,0200,NEW YORK 36509,S200000,00200,0300,10469 36509,S200000,00300,0100,BRONX 36509,S200000,00400,0100,EASTCHESTER NURSING HOME 36509,S200000,00400,0200,335214 36509,S200000,00400,0300,03/31/1967 36509,S200000,00400,0500,P 36509,S200000,01500,0100,Y 36523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36523,A000000,00300,0000,00300EMPLOYEE BENEFITS 36523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36523,A000000,00700,0000,00700HOUSEKEEPING 36523,A000000,00800,0000,00800DIETARY 36523,A000000,00900,0000,00900NURSING ADMINISTRATION 36523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36523,A000000,01100,0000,01100PHARMACY 36523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36523,A000000,01300,0000,01300SOCIAL SERVICE 36523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36523,A000000,01600,0000,01600SKILLED NURSING FACILITY 36523,A000000,01810,0000,01810ICF/MR 36523,A000000,02200,0000,02200LABORATORY 36523,A000000,02500,0000,02500PHYSICAL THERAPY 36523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36523,A000000,02700,0000,02700SPEECH PATHOLOGY 36523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36523,A000000,03001,0000,03001PHYSICIAN SERVICES 36523,A000000,03550,0000,03550FQHC 36523,A000000,05000,0000,05000CORF 36523,A000000,05010,0000,05010CMHC 36523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36523,A000000,05300,0000,05300INTEREST EXPENSE 36523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36523,A000000,05901,0000,05901ADULT DAY CARE 36523,A000000,06001,0000,06001DENTAL SERVICES 36523,B100000,00000,0100,00001SQUARE FEET 36523,B100000,00000,0200,00001SQUARE FEET 36523,B100000,00000,0300,00001GROSS SALARIES 36523,B100000,00000,0400,00001ACCUM COST 36523,B100000,00000,0500,00001SQUARE FEET 36523,B100000,00000,0600,00001POUNDS OF LAUNDRY 36523,B100000,00000,0700,00001HOURS OF SERVICE 36523,B100000,00000,0800,00001MEALS SERVED 36523,B100000,00000,0900,00001DIRECT NRSG HRS 36523,B100000,00000,1000,00001COSTED REQUIS 36523,B100000,00000,1100,00001COSTED REQUIS 36523,B100000,00000,1200,00001TIME SPENT 36523,B100000,00000,1300,00001TIME SPENT 36523,B100000,00000,1400,00001ASSIGNED TIME 36523,S000000,00100,0200,06/23/2000 36523,S200000,00100,0100,14 GLOVER DRIVE 36523,S200000,00200,0100,YAPHANK 36523,S200000,00200,0200,NY 36523,S200000,00200,0300,11980 36523,S200000,00300,0100,SUFFOLK 36523,S200000,00400,0100,JOHN J. FOLEY SKILLED NRSG. FACILIT 36523,S200000,00400,0200,335217 36523,S200000,00400,0300,06/01/1982 36523,S200000,00400,0500,P 36523,S200000,01500,0100,Y 36523,S200000,04100,0100,Y 36532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36532,A000000,00300,0000,00300EMPLOYEE BENEFITS 36532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36532,A000000,00700,0000,00700HOUSEKEEPING 36532,A000000,00800,0000,00800DIETARY 36532,A000000,00900,0000,00900NURSING ADMINISTRATION 36532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36532,A000000,01100,0000,01100PHARMACY 36532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36532,A000000,01300,0000,01300SOCIAL SERVICE 36532,A000000,01350,0000,01500ACTIVITIES PROGRAM 36532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36532,A000000,01600,0000,01600SKILLED NURSING FACILITY 36532,A000000,01810,0000,01810ICF/MR 36532,A000000,02100,0000,02100RADIOLOGY 36532,A000000,02200,0000,02200LABORATORY 36532,A000000,02500,0000,02500PHYSICAL THERAPY 36532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36532,A000000,02700,0000,02700SPEECH PATHOLOGY 36532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36532,A000000,03550,0000,03550FQHC 36532,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 36532,A000000,05000,0000,05000CORF 36532,A000000,05010,0000,05010CMHC 36532,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36532,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36532,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36532,A000000,06150,0000,06300DENTAL 36532,B100000,00000,0100,00000SQUARE FEET 36532,B100000,00000,0200,00000SQUARE FEET 36532,B100000,00000,0300,00000GROSS SALARIES 36532,B100000,00000,0400,00000ACCUM COST 36532,B100000,00000,0500,00000SQUARE FEET 36532,B100000,00000,0600,00000POUNDS OF LAUNDRY 36532,B100000,00000,0700,00000HOURS OF SERVICE 36532,B100000,00000,0800,00000MEALS SERVED 36532,B100000,00000,0900,00000DIRECT NRSG HRS 36532,B100000,00000,1000,00000COSTED REQUIS 36532,B100000,00000,1100,00000COSTED REQUIS 36532,B100000,00000,1200,00000TIME SPENT 36532,B100000,00000,1300,00000TIME SPENT 36532,B100000,00000,1350,00000NUMBER OF PARTCPANTS 36532,B100000,00000,1400,00000ASSIGNED TIME 36532,E10A180,00301,0100,05/10/2000 36532,E10A180,00350,0100,09/16/1999 36532,S000000,00100,0200,06/05/2000 36532,S200000,00100,0100,193 CLINTON AVENUE 36532,S200000,00200,0100,CORTLAND 36532,S200000,00200,0200,NY 36532,S200000,00200,0300,13045 36532,S200000,00300,0100,CORTLAND 36532,S200000,00400,0100,CORTLAND CARE CENTER 36532,S200000,00400,0200,335218 36532,S200000,00400,0300,01/01/1967 36532,S200000,00400,0500,P 36532,S200000,00400,0600,O 36532,S200000,01500,0100,Y 36532,S200000,04300,0100,Y 36550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36550,A000000,00300,0000,00300EMPLOYEE BENEFITS 36550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36550,A000000,00700,0000,00700HOUSEKEEPING 36550,A000000,00800,0000,00800DIETARY 36550,A000000,00900,0000,00900NURSING ADMINISTRATION 36550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36550,A000000,01100,0000,01100PHARMACY 36550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36550,A000000,01300,0000,01300SOCIAL SERVICE 36550,A000000,01350,0000,01500OTHER GENERAL SERVICES 36550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36550,A000000,01600,0000,01600SKILLED NURSING FACILITY 36550,A000000,01810,0000,01810ICF/MR 36550,A000000,02100,0000,02100RADIOLOGY 36550,A000000,02200,0000,02200LABORATORY 36550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36550,A000000,02500,0000,02500PHYSICAL THERAPY 36550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36550,A000000,02700,0000,02700SPEECH PATHOLOGY 36550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36550,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36550,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36550,A000000,03550,0000,03550FQHC 36550,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36550,A000000,05000,0000,05000CORF 36550,A000000,05010,0000,05010CMHC 36550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36550,A000000,05300,0000,05300INTEREST EXPENSE 36550,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36550,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36550,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 36550,A81000A,00100,0100,Y 36550,A81000B,00100,0300,CAPITAL RELATED COSTS 36550,A81000B,00200,0300,ADMIN & GENERAL COSTS 36550,A81000C,00100,0100,B 36550,A81000C,00100,0200,CATHOLIC HEALTH EAST 36550,A81000C,00100,0400,CATHOLIC HEALTH EAST 36550,A81000C,00100,0600,NON PROFIT RELIGIOUS 36550,B100000,00000,0100,00001SQUARE FEET 36550,B100000,00000,0200,00001SQUARE FEET 36550,B100000,00000,0300,00001GROSS SALARIES 36550,B100000,00000,0400,00001ACCUM. COST 36550,B100000,00000,0500,00001SQUARE FEET 36550,B100000,00000,0600,00001POUNDS OF LAUNDRY 36550,B100000,00000,0700,00001TIME SPENT 36550,B100000,00000,0800,00001MEALS SERVED 36550,B100000,00000,0900,00001DIRECT NRSG HRS 36550,B100000,00000,1000,00001COSTED REQUIS. 36550,B100000,00000,1100,00001COSTED REQUIS. 36550,B100000,00000,1200,00001TIME SPENT 36550,B100000,00000,1300,00001TIME SPENT 36550,B100000,00000,1350,00001NUMBERPART TICIPANTS 36550,B100000,00000,1400,00001NO STATISTICS 36550,S000000,00100,0200,06/22/2000 36550,S200000,00100,0100,114 WAWBEEK AVENUE 36550,S200000,00200,0100,TUPPER LAKE 36550,S200000,00200,0200,NY 36550,S200000,00200,0300,12986 36550,S200000,00300,0100,FRANKLIN 36550,S200000,00400,0100,MERCY HEALTHCARE CENTER 36550,S200000,00400,0200,335220 36550,S200000,00400,0300,05/24/1967 36550,S200000,00400,0500,P 36550,S200000,01500,0100,Y 36550,S200000,02800,0100,Y 36554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36554,A000000,00300,0000,00300EMPLOYEE BENEFITS 36554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36554,A000000,00700,0000,00700HOUSEKEEPING 36554,A000000,00800,0000,00800DIETARY 36554,A000000,00900,0000,00900NURSING ADMINISTRATION 36554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36554,A000000,01100,0000,01100PHARMACY 36554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36554,A000000,01300,0000,01300SOCIAL SERVICE 36554,A000000,01350,0000,01500OTHER GENERAL SERVICE 36554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36554,A000000,01600,0000,01600SKILLED NURSING FACILITY 36554,A000000,01810,0000,01810ICF/MR 36554,A000000,02100,0000,02100RADIOLOGY 36554,A000000,02200,0000,02200LABORATORY 36554,A000000,02500,0000,02500PHYSICAL THERAPY 36554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36554,A000000,02700,0000,02700SPEECH PATHOLOGY 36554,A000000,02800,0000,02800ELECTROCARDIOLOGY 36554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36554,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36554,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36554,A000000,03550,0000,03550FQHC 36554,A000000,05000,0000,05000CORF 36554,A000000,05010,0000,05010CMHC 36554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36554,A000000,05300,0000,05300INTEREST EXPENSE 36554,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36554,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36554,A000000,06201,0000,06201DENTAL PUBLIC RELATIONS 36554,B100000,00000,0100,00000SQUARE FEET 36554,B100000,00000,0200,00000SQUARE FEET 36554,B100000,00000,0300,00000GROSS SALARIES 36554,B100000,00000,0400,00000ACCUM COST 36554,B100000,00000,0500,00000SQUARE FEET 36554,B100000,00000,0600,00000POUNDS OF LAUNDRY 36554,B100000,00000,0700,00000HOURS OF SERVICE 36554,B100000,00000,0800,00000MEALS SERVED 36554,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36554,B100000,00000,1000,00000COSTED REQUISITIO 36554,B100000,00000,1100,00000COSTED REQUISITIO 36554,B100000,00000,1200,00000TIME SPENT 36554,B100000,00000,1300,00000TIME SPENT 36554,B100000,00000,1350,00000 36554,B100000,00000,1400,00000ASSIGNED TIME 36554,E10A180,00301,0100,05/10/2000 36554,S000000,00100,0200,05/31/2000 36554,S200000,00100,0100,220 WEST POST ROAD 36554,S200000,00200,0100,WHITE PLAINS 36554,S200000,00200,0200,NEW YORK 36554,S200000,00200,0300,10606 36554,S200000,00300,0100,WESTCHESTER 36554,S200000,00400,0100,WHITE PLAINS CTR FOR NURSING CARE 36554,S200000,00400,0200,335224 36554,S200000,00400,0300,07/06/1984 36554,S200000,00400,0500,P 36561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36561,A000000,00300,0000,00300EMPLOYEE BENEFITS 36561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36561,A000000,00700,0000,00700HOUSEKEEPING 36561,A000000,00800,0000,00800DIETARY 36561,A000000,00900,0000,00900NURSING ADMINISTRATION 36561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36561,A000000,01100,0000,01100PHARMACY 36561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36561,A000000,01300,0000,01300SOCIAL SERVICE 36561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36561,A000000,01600,0000,01600SKILLED NURSING FACILITY 36561,A000000,01810,0000,01810ICF/MR 36561,A000000,02100,0000,02100RADIOLOGY 36561,A000000,02200,0000,02200LABORATORY 36561,A000000,02500,0000,02500PHYSICAL THERAPY 36561,A000000,02700,0000,02700SPEECH PATHOLOGY 36561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36561,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36561,A000000,03550,0000,03550FQHC 36561,A000000,05000,0000,05000CORF 36561,A000000,05010,0000,05010CMHC 36561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36561,A81000A,00100,0100,Y 36561,A81000B,00100,0300,RENT 36561,A81000B,00200,0300,DEPRECIATION 36561,A81000B,00300,0300,PROPERTY TAXES 36561,A81000B,00400,0300,PROFESSIONAL FEES 36561,A81000B,00500,0300,MISCELLANEOUS 36561,A81000B,00600,0300,INCOME TAXES 36561,A81000C,00100,0100,A 36561,A81000C,00100,0200,MURL B. KNAUF 36561,A81000C,00100,0400,SAN ASSOC. INC 36561,A81000C,00100,0600,OWNS 36561,A81000C,00200,0100,A 36561,A81000C,00200,0200,ENOS S. BENEDICT 36561,A81000C,00200,0400,SAN ASSOC. INC 36561,A81000C,00300,0100,D 36561,A81000C,00300,0200,DORIS O. BENEDICT 36561,A81000C,00300,0400,SAN ASSOC. INC 36561,A81000C,00300,0600,RENTS 36561,A81000C,00400,0100,A 36561,A81000C,00400,0200,EUGENE A. BATTAGLINI 36561,A81000C,00400,0400,SAN ASSOC. INC. 36561,A81000C,00400,0600,REAL 36561,A81000C,00500,0100,D 36561,A81000C,00500,0200,SUSAN BATTAGLINI 36561,A81000C,00500,0400,SAN ASSOC. INC 36561,A81000C,00500,0600,PROPERTY 36561,B100000,00000,0100,00000PATIENT DAYS 36561,B100000,00000,0200,00000PATIENT DAYS 36561,B100000,00000,0300,00000PATIENT DAYS 36561,B100000,00000,0400,00000ACCUM COST 36561,B100000,00000,0500,00000PATIENT DAYS 36561,B100000,00000,0600,00000PATIENT DAYS 36561,B100000,00000,0700,00000PATIENT DAYS 36561,B100000,00000,0800,00000MEALS PATIENT 36561,B100000,00000,0900,00000DIRECT NRSG HRS 36561,B100000,00000,1000,00000COSTED REQUIS 36561,B100000,00000,1100,00000COSTED REQUIS 36561,B100000,00000,1200,00000PATIENT DAYS 36561,B100000,00000,1300,00000PATIENT DAYS 36561,B100000,00000,1400,00000ASSIGNED TIME 36561,S000000,00100,0200,08/25/2000 36561,S200000,00100,0100,602 HUDSON STREET 36561,S200000,00200,0100,ITHACA 36561,S200000,00200,0200,NY 36561,S200000,00200,0300,14850 36561,S200000,00300,0100,TOMPKINS 36561,S200000,00400,0100,OAK HILL MANOR 36561,S200000,00400,0200,335225 36561,S200000,00400,0300,07/01/1967 36561,S200000,00400,0500,P 36561,S200000,01500,0100,Y 36561,S200000,02100,0100,E 36561,S200000,02900,0100,Y 36561,S200000,04300,0100,Y 36570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36570,A000000,00300,0000,00300EMPLOYEE BENEFITS 36570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36570,A000000,00700,0000,00700HOUSEKEEPING 36570,A000000,00800,0000,00800DIETARY 36570,A000000,00900,0000,00900NURSING ADMINISTRATION 36570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36570,A000000,01100,0000,01100PHARMACY 36570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36570,A000000,01300,0000,01300SOCIAL SERVICE 36570,A000000,01350,0000,01500ACTIVITIES PROGRAM 36570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36570,A000000,01600,0000,01600SKILLED NURSING FACILITY 36570,A000000,01810,0000,01810ICF/MR 36570,A000000,02100,0000,02100RADIOLOGY 36570,A000000,02200,0000,02200LABORATORY 36570,A000000,02500,0000,02500PHYSICAL THERAPY 36570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36570,A000000,02700,0000,02700SPEECH PATHOLOGY 36570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36570,A000000,03550,0000,03550FQHC 36570,A000000,05000,0000,05000CORF 36570,A000000,05010,0000,05010CMHC 36570,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36570,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36570,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36570,A000000,06150,0000,06300DENTAL 36570,B100000,00000,0100,00000SQUARE FEET 36570,B100000,00000,0200,00000SQUARE FEET 36570,B100000,00000,0300,00000GROSS SALARIES 36570,B100000,00000,0400,00000ACCUM COST 36570,B100000,00000,0500,00000SQUARE FEET 36570,B100000,00000,0600,00000POUNDS OF LAUNDRY 36570,B100000,00000,0700,00000HOURS OF SERVICE 36570,B100000,00000,0800,00000MEALS SERVED 36570,B100000,00000,0900,00000DIRECT NRSG HRS 36570,B100000,00000,1000,00000COSTED REQUIS 36570,B100000,00000,1100,00000COSTED REQUIS 36570,B100000,00000,1200,00000TIME SPENT 36570,B100000,00000,1300,00000TIME SPENT 36570,B100000,00000,1350,00000NUMBER OF PARTCPANTS 36570,B100000,00000,1400,00000ASSIGNED TIME 36570,E10A180,00301,0100,08/30/1999 36570,E10A180,00302,0100,05/10/2000 36570,S000000,00100,0200,06/02/2000 36570,S200000,00100,0100,860 OLD VESTAL LANE 36570,S200000,00200,0100,VESTAL 36570,S200000,00200,0200,NY 36570,S200000,00200,0300,13850 36570,S200000,00300,0100,BROOME 36570,S200000,00400,0100,VESTAL NURSING CENTER 36570,S200000,00400,0200,335226 36570,S200000,00400,0300,06/30/1967 36570,S200000,00400,0500,P 36570,S200000,00400,0600,O 36570,S200000,01500,0100,Y 36570,S200000,04300,0100,Y 36583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36583,A000000,00300,0000,00300EMPLOYEE BENEFITS 36583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36583,A000000,00700,0000,00700HOUSEKEEPING 36583,A000000,00800,0000,00800DIETARY 36583,A000000,00900,0000,00900NURSING ADMINISTRATION 36583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36583,A000000,01100,0000,01100PHARMACY 36583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36583,A000000,01300,0000,01300SOCIAL SERVICE 36583,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36583,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36583,A000000,01600,0000,01600SKILLED NURSING FACILITY 36583,A000000,01810,0000,01810ICF/MR 36583,A000000,02100,0000,02100RADIOLOGY 36583,A000000,02200,0000,02200LABORATORY 36583,A000000,02500,0000,02500PHYSICAL THERAPY 36583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36583,A000000,02700,0000,02700SPEECH PATHOLOGY 36583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36583,A000000,03550,0000,03550FQHC 36583,A000000,05000,0000,05000CORF 36583,A000000,05010,0000,05010CMHC 36583,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36583,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36583,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36583,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36583,A000000,06201,0000,06201DENTAL 36583,B100000,00000,0100,00000SQUARE FEET 36583,B100000,00000,0200,00000SQUARE FEET 36583,B100000,00000,0300,00000GROSS SALARIES 36583,B100000,00000,0400,00000ACCUM COST 36583,B100000,00000,0500,00000SQUARE FEET 36583,B100000,00000,0600,00000POUNDS OF LAUNDRY 36583,B100000,00000,0700,00000HOURS OF SERVICE 36583,B100000,00000,0800,00000MEALS SERVED 36583,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36583,B100000,00000,1000,00000COSTED REQUISITIO 36583,B100000,00000,1100,00000COSTED REQUISITIO 36583,B100000,00000,1200,00000TIME SPENT 36583,B100000,00000,1300,00000TIME SPENT 36583,B100000,00000,1301,00000PARTICIPAN 36583,B100000,00000,1350,00000 36583,B100000,00000,1400,00000ASSIGNED TIME 36583,E10A180,00301,0100,05/10/2000 36583,S000000,00100,0200,06/15/2000 36583,S200000,00100,0100,LUDINGTONVILLE ROAD 36583,S200000,00200,0100,HOLMES 36583,S200000,00300,0100,PUTNAM 36583,S200000,00400,0100,PUTNAM NURSING & REHAB CTR 36583,S200000,00400,0200,335229 36583,S200000,00400,0300,01/01/1967 36583,S200000,00400,0500,P 36583,S200000,01500,0100,Y 36591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36591,A000000,00300,0000,00300EMPLOYEE BENEFITS 36591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36591,A000000,00700,0000,00700HOUSEKEEPING 36591,A000000,00800,0000,00800DIETARY 36591,A000000,00900,0000,00900NURSING ADMINISTRATION 36591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36591,A000000,01100,0000,01100PHARMACY 36591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36591,A000000,01300,0000,01300SOCIAL SERVICE 36591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36591,A000000,01600,0000,01600SKILLED NURSING FACILITY 36591,A000000,01810,0000,01810ICF/MR 36591,A000000,02100,0000,02100RADIOLOGY 36591,A000000,02200,0000,02200LABORATORY 36591,A000000,02500,0000,02500PHYSICAL THERAPY 36591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36591,A000000,02700,0000,02700SPEECH PATHOLOGY 36591,A000000,02800,0000,02800ELECTROCARDIOLOGY 36591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36591,A000000,03550,0000,03550FQHC 36591,A000000,05000,0000,05000CORF 36591,A000000,05010,0000,05010CMHC 36591,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36591,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36591,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36591,A000000,06150,0000,06300DENTAL 36591,A000000,06152,0000,06301PODIATRY 36591,A81000A,00100,0100,Y 36591,A81000B,00100,0300,DEPR/RENTAL EXPENSE 36591,A81000B,00200,0300,DEPR/RENTAL EXPENSE 36591,A81000B,00300,0300,FRINGE/PAYROLL TAXES 36591,A81000B,00400,0300,A & G SALARIES 36591,A81000B,00500,0300,OTHER A & G EXPENSE 36591,A81000C,00100,0100,A 36591,A81000C,00100,0200,DONALD G. LARDE 36591,A81000C,00100,0400,MANOR OAK S.N.F 36591,A81000C,00100,0600,ADMIN & FISCAL 36591,B100000,00000,0100,00001SQUARE FEET 36591,B100000,00000,0200,00001SQUARE FEET 36591,B100000,00000,0300,00001GROSS SALARIES 36591,B100000,00000,0400,00001ACCUM COST 36591,B100000,00000,0500,00001SQUARE FEET 36591,B100000,00000,0600,00001POUNDS OF LAUNDRY 36591,B100000,00000,0700,00001HOURS OF SERVICE 36591,B100000,00000,0800,00001MEALS SERVED 36591,B100000,00000,0900,00001DIRECT NRSG HRS 36591,B100000,00000,1000,00001COSTED REQUIS 36591,B100000,00000,1100,00001COSTED REQUIS 36591,B100000,00000,1200,00001TIME SPENT 36591,B100000,00000,1300,00001TIME SPENT 36591,B100000,00000,1400,00001ASSIGNED TIME 36591,E10A180,00301,0100,05/10/2000 36591,E10A180,00350,0100,01/18/2000 36591,S000000,00100,0200,06/01/2000 36591,S200000,00100,0100,283 N.MAIN STREET 36591,S200000,00200,0100,WARSAW 36591,S200000,00200,0200,NY 36591,S200000,00200,0300,14569 36591,S200000,00300,0100,WYOMING 36591,S200000,00400,0100,MANOR OAK S.N.F. WARSAW 36591,S200000,00400,0200,335230 36591,S200000,00400,0300,07/01/1967 36591,S200000,00400,0500,P 36591,S200000,01500,0100,Y 36591,S200000,04100,0100,Y 36591,S200000,04300,0100,Y 36594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36594,A000000,00300,0000,00300EMPLOYEE BENEFITS 36594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36594,A000000,00700,0000,00700HOUSEKEEPING 36594,A000000,00800,0000,00800DIETARY 36594,A000000,00900,0000,00900NURSING ADMINISTRATION 36594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36594,A000000,01100,0000,01100PHARMACY 36594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36594,A000000,01300,0000,01300SOCIAL SERVICE 36594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36594,A000000,01600,0000,01600SKILLED NURSING FACILITY 36594,A000000,01810,0000,01810ICF/MR 36594,A000000,02100,0000,02100RADIOLOGY 36594,A000000,02200,0000,02200LABORATORY 36594,A000000,02500,0000,02500PHYSICAL THERAPY 36594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36594,A000000,02700,0000,02700SPEECH PATHOLOGY 36594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36594,A000000,03550,0000,03550FQHC 36594,A000000,04800,0000,04800AMBULANCE 36594,A000000,05000,0000,05000CORF 36594,A000000,05010,0000,05010CMHC 36594,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36594,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36594,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36594,A000000,06150,0000,06300ADULT DAY CARE 36594,A000000,06151,0000,06301DENTAL 36594,B100000,00000,0100,00001SQUARE FEET 36594,B100000,00000,0200,00001SQUARE FEET 36594,B100000,00000,0300,00001GROSS SALARIES 36594,B100000,00000,0400,00001ACCUM COST 36594,B100000,00000,0500,00001SQUARE FEET 36594,B100000,00000,0600,00001POUNDS OF LAUNDRY 36594,B100000,00000,0700,00001HOURS OF SERVICE 36594,B100000,00000,0800,00001MEALS SERVED 36594,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36594,B100000,00000,1000,00001COSTED REQUISITIO 36594,B100000,00000,1100,00001COSTED REQUISITIO 36594,B100000,00000,1200,00001TIME SPENT 36594,B100000,00000,1300,00001TIME SPENT 36594,B100000,00000,1400,00001ASSIGNED TIME 36594,E10A180,00301,0100,05/10/2000 36594,E10A180,00550,0100,06/07/2000 36594,S000000,00100,0200,05/25/2000 36594,S200000,00100,0100,8533 JERICHO TURNPIKE 36594,S200000,00200,0100,WOODBURY 36594,S200000,00200,0200,NY 36594,S200000,00200,0300,11797 36594,S200000,00300,0100,NASSAU 36594,S200000,00400,0100,WOODBURY CENTER FOR HEALTH CARE 36594,S200000,00400,0200,335231 36594,S200000,00400,0300,04/19/1968 36594,S200000,00400,0500,P 36594,S200000,01500,0100,Y 36594,S200000,04200,0100,Y 36594,S200000,04300,0100,Y 36597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36597,A000000,00300,0000,00300EMPLOYEE BENEFITS 36597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36597,A000000,00700,0000,00700HOUSEKEEPING 36597,A000000,00800,0000,00800DIETARY 36597,A000000,00900,0000,00900NURSING ADMINISTRATION 36597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36597,A000000,01100,0000,01100PHARMACY 36597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36597,A000000,01300,0000,01300SOCIAL SERVICE 36597,A000000,01350,0000,01500ACTIVITIES 36597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36597,A000000,01600,0000,01600SKILLED NURSING FACILITY 36597,A000000,01810,0000,01810ICF/MR 36597,A000000,02100,0000,02100RADIOLOGY 36597,A000000,02200,0000,02200LABORATORY 36597,A000000,02500,0000,02500PHYSICAL THERAPY 36597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36597,A000000,02700,0000,02700SPEECH PATHOLOGY 36597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36597,A000000,03550,0000,03550FQHC 36597,A000000,04800,0000,04800AMBULANCE 36597,A000000,05000,0000,05000CORF 36597,A000000,05010,0000,05010CMHC 36597,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36597,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36597,A000000,06150,0000,06300DENTAL 36597,A81000A,00100,0100,Y 36597,A81000B,00100,0300,ELEVATOR MAINTENANCE 36597,A81000C,00100,0100,A 36597,A81000C,00100,0200,MARILYN LICHTMA 36597,A81000C,00100,0400,ELTECH INDUSTRI 36597,A81000C,00100,0600,ELEVATOR REPAIR 36597,B100000,00000,0100,00000SQUARE FEET 36597,B100000,00000,0200,00000SQUARE FEET 36597,B100000,00000,0300,00000GROSS SALARIES 36597,B100000,00000,0400,00000ACCUM COST 36597,B100000,00000,0500,00000SQUARE FEET 36597,B100000,00000,0600,00000POUNDS OF LAUNDRY 36597,B100000,00000,0700,00000HOURS OF SERVICE 36597,B100000,00000,0800,00000MEALS SERVED 36597,B100000,00000,0900,00000DIRECT NRSG HRS 36597,B100000,00000,1000,00000COSTED REQUIS 36597,B100000,00000,1100,00000COSTED REQUIS 36597,B100000,00000,1200,00000TIME SPENT 36597,B100000,00000,1300,00000TIME SPENT 36597,B100000,00000,1350,00000NO. OF PARTICIPAN 36597,B100000,00000,1400,00000ASSIGNED TIME 36597,E10A180,00301,0100,05/10/2000 36597,S000000,00100,0200,05/30/2000 36597,S200000,00100,0100,211 EAST 79TH ST 36597,S200000,00200,0100,NEW YORK 36597,S200000,00200,0200,NY 36597,S200000,00200,0300,10021 36597,S200000,00300,0100,NEW YORK 36597,S200000,00400,0100,DEWITT NURSING HOME 36597,S200000,00400,0200,335232 36597,S200000,00400,0300,03/01/1968 36597,S200000,00400,0500,P 36597,S200000,01500,0100,Y 36597,S200000,04600,0100,Y 36605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36605,A000000,00300,0000,00300EMPLOYEE BENEFITS 36605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36605,A000000,00700,0000,00700HOUSEKEEPING 36605,A000000,00800,0000,00800DIETARY 36605,A000000,00900,0000,00900NURSING ADMINISTRATION 36605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36605,A000000,01100,0000,01100PHARMACY 36605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36605,A000000,01300,0000,01300SOCIAL SERVICE 36605,A000000,01350,0000,01500ACTIVITIES PROGRAM 36605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36605,A000000,01600,0000,01600SKILLED NURSING FACILITY 36605,A000000,01810,0000,01810ICF/MR 36605,A000000,02100,0000,02100RADIOLOGY 36605,A000000,02200,0000,02200LABORATORY 36605,A000000,02500,0000,02500PHYSICAL THERAPY 36605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36605,A000000,03550,0000,03550FQHC 36605,A000000,04800,0000,04800AMBULANCE 36605,A000000,05000,0000,05000CORF 36605,A000000,05010,0000,05010CMHC 36605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36605,A000000,06150,0000,06300DENTAL 36605,B100000,00000,0100,00000SQUARE FEET 36605,B100000,00000,0200,00000SQUARE FEET 36605,B100000,00000,0300,00000GROSS SALARIES 36605,B100000,00000,0400,00000ACCUM COST 36605,B100000,00000,0500,00000SQUARE FEET 36605,B100000,00000,0600,00000POUNDS OF LAUNDRY 36605,B100000,00000,0700,00000HOURS OF SERVICE 36605,B100000,00000,0800,00000MEALS SERVED 36605,B100000,00000,0900,00000DIRECT NRSG HRS 36605,B100000,00000,1000,00000COSTED REQUIS 36605,B100000,00000,1100,00000COSTED REQUIS 36605,B100000,00000,1200,00000TIME SPENT 36605,B100000,00000,1300,00000TIME SPENT 36605,B100000,00000,1350,00000NUMBER OF PARTCPANTS 36605,B100000,00000,1400,00000ASSIGNED TIME 36605,E10A180,00301,0100,09/02/1999 36605,E10A180,00302,0100,05/10/2000 36605,S000000,00100,0200,06/25/2000 36605,S200000,00100,0100,950 FLOYD AVENUE 36605,S200000,00200,0100,ROME 36605,S200000,00200,0200,NY 36605,S200000,00200,0300,13440 36605,S200000,00300,0100,ONEIDA 36605,S200000,00400,0100,ROME NURSING HOME 36605,S200000,00400,0200,335233 36605,S200000,00400,0300,08/01/1967 36605,S200000,00400,0500,P 36605,S200000,00400,0600,O 36605,S200000,01500,0100,Y 36605,S200000,04300,0100,Y 36605,S200000,04700,0100,Y 36605,S200000,04700,0200,Y 36612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36612,A000000,00300,0000,00300EMPLOYEE BENEFITS 36612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36612,A000000,00700,0000,00700HOUSEKEEPING 36612,A000000,00800,0000,00800DIETARY 36612,A000000,00900,0000,00900NURSING ADMINISTRATION 36612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36612,A000000,01100,0000,01100PHARMACY 36612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36612,A000000,01300,0000,01300SOCIAL SERVICE 36612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36612,A000000,01600,0000,01600SKILLED NURSING FACILITY 36612,A000000,01810,0000,01810ICF/MR 36612,A000000,02500,0000,02500PHYSICAL THERAPY 36612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36612,A000000,02700,0000,02700SPEECH PATHOLOGY 36612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36612,A000000,03550,0000,03550FQHC 36612,A000000,05000,0000,05000CORF 36612,A000000,05010,0000,05010CMHC 36612,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36612,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36612,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36612,A81000A,00100,0100,Y 36612,A81000B,00100,0300,MANAGEMENT FEE 36612,A81000C,00100,0100,B 36612,A81000C,00100,0400,CATHOLIC HEALTH 36612,A81000C,00100,0600,RELIGIOUS 36612,B100000,00000,0100,00000SQUARE FEET 36612,B100000,00000,0200,00000SQUARE FEET 36612,B100000,00000,0300,00000GROSS SALARIES 36612,B100000,00000,0400,00000ACCUM COST 36612,B100000,00000,0500,00000SQUARE FEET 36612,B100000,00000,0600,00000POUNDS OF LAUNDRY 36612,B100000,00000,0700,00000HOURS OF SERVICE 36612,B100000,00000,0800,00000MEALS SERVED 36612,B100000,00000,0900,00000DIRECT NRSG HRS 36612,B100000,00000,1000,00000COSTED REQUIS 36612,B100000,00000,1100,00000COSTED REQUIS 36612,B100000,00000,1200,00000TIME SPENT 36612,B100000,00000,1300,00000TIME SPENT 36612,B100000,00000,1400,00000ASSIGNED TIME 36612,E10A180,00301,0100,05/10/2000 36612,S000000,00100,0200,06/14/2000 36612,S200000,00400,0100,SAINT MARYS MANOR 36612,S200000,00400,0200,335234 36612,S200000,00400,0300,09/01/1967 36612,S200000,00400,0500,P 36612,S200000,01500,0100,Y 36612,S200000,01900,0100,RELIGIOUS 36620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36620,A000000,00300,0000,00300EMPLOYEE BENEFITS 36620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36620,A000000,00700,0000,00700HOUSEKEEPING 36620,A000000,00800,0000,00800DIETARY 36620,A000000,00900,0000,00900NURSING ADMINISTRATION 36620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36620,A000000,01100,0000,01100PHARMACY 36620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36620,A000000,01300,0000,01300SOCIAL SERVICE 36620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36620,A000000,01600,0000,01600SKILLED NURSING FACILITY 36620,A000000,01810,0000,01810ICF/MR 36620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36620,A000000,02500,0000,02500PHYSICAL THERAPY 36620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36620,A000000,02700,0000,02700SPEECH PATHOLOGY 36620,A000000,02800,0000,02800ELECTROCARDIOLOGY 36620,A000000,03550,0000,03550FQHC 36620,A000000,05000,0000,05000CORF 36620,A000000,05010,0000,05010CMHC 36620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36620,A000000,05300,0000,05300INTEREST EXPENSE 36620,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36620,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36620,B100000,00000,0100,00000SQUARE FEET 36620,B100000,00000,0200,00000SQUARE FEET 36620,B100000,00000,0300,00000GROSS SALARIES 36620,B100000,00000,0400,00000ACCUM COST 36620,B100000,00000,0500,00000SQUARE FEET 36620,B100000,00000,0600,00000POUNDS OF LAUNDRY 36620,B100000,00000,0700,00000HOURS OF SERVICE 36620,B100000,00000,0800,00000MEALS SERVED 36620,B100000,00000,0900,00000DIRECT NRSG HRS 36620,B100000,00000,1000,00000COSTED REQUIS 36620,B100000,00000,1100,00000COSTED REQUIS 36620,B100000,00000,1200,00000TIME SPENT 36620,B100000,00000,1300,00000TIME SPENT 36620,B100000,00000,1400,00000ASSIGNED TIME 36620,S000000,00100,0200,05/30/2000 36620,S200000,00100,0100,RR # 1 BOX 251 HARPER STREET 36620,S200000,00200,0100,STAMFORD 36620,S200000,00200,0200,NY 36620,S200000,00200,0300,12167 36620,S200000,00300,0100,DELAWARE 36620,S200000,00400,0100,ROBINSON TERRACE 36620,S200000,00400,0200,335236 36620,S200000,00400,0300,11/01/1967 36620,S200000,00400,0500,P 36620,S200000,01500,0100,Y 36620,S200000,01900,0100,501(C)(3) 36620,S200000,02800,0100,Y 36620,S200000,04600,0100,Y 36629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36629,A000000,00300,0000,00300EMPLOYEE BENEFITS 36629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36629,A000000,00700,0000,00700HOUSEKEEPING 36629,A000000,00800,0000,00800DIETARY 36629,A000000,00900,0000,00900NURSING ADMINISTRATION 36629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36629,A000000,01100,0000,01100PHARMACY 36629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36629,A000000,01300,0000,01300SOCIAL SERVICE 36629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36629,A000000,01600,0000,01600SKILLED NURSING FACILITY 36629,A000000,01810,0000,01810ICF/MR 36629,A000000,02100,0000,02100RADIOLOGY 36629,A000000,02200,0000,02200LABORATORY 36629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36629,A000000,02500,0000,02500PHYSICAL THERAPY 36629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36629,A000000,02700,0000,02700SPEECH PATHOLOGY 36629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36629,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36629,A000000,03550,0000,03550FQHC 36629,A000000,05000,0000,05000CORF 36629,A000000,05010,0000,05010CMHC 36629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36629,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36629,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36629,A81000A,00100,0100,Y 36629,A81000B,00100,0300,INTEREST 36629,A81000C,00100,0100,B 36629,A81000C,00100,0400,FRANCISCAN SIST 36629,A81000C,00100,0600,RELIGIOUS ORDER 36629,B100000,00000,0100,00000SQUARE FEET 36629,B100000,00000,0200,00000SQUARE FEET 36629,B100000,00000,0300,00000GROSS SALARIES 36629,B100000,00000,0400,00000ACCUM COST 36629,B100000,00000,0500,00000SQUARE FEET 36629,B100000,00000,0600,00000POUNDS OF LAUNDRY 36629,B100000,00000,0700,00000HOURS OF SERVICE 36629,B100000,00000,0800,00000MEALS SERVED 36629,B100000,00000,0900,00000DIRECT NRSG HRS 36629,B100000,00000,1000,00000COSTED REQUIS 36629,B100000,00000,1100,00000COSTED REQUIS 36629,B100000,00000,1200,00000TIME SPENT 36629,B100000,00000,1300,00000TIME SPENT 36629,B100000,00000,1400,00000ASSIGNED TIME 36629,E10A180,00301,0100,05/10/2000 36629,S000000,00100,0200,05/30/2000 36629,S200000,00100,0100,291 W. NORTH STREET 36629,S200000,00200,0100,BUFFALO 36629,S200000,00200,0200,NY 36629,S200000,00200,0300,14201 36629,S200000,00300,0100,ERIE 36629,S200000,00400,0100,NAZARETH NURSING HOME 36629,S200000,00400,0200,335237 36629,S200000,00400,0300,11/01/1967 36629,S200000,00400,0500,P 36629,S200000,01500,0100,Y 36629,S200000,01900,0100,RELIGOUS ORDER 36629,S200000,02200,0100,Y 36633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36633,A000000,00300,0000,00300EMPLOYEE BENEFITS 36633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36633,A000000,00700,0000,00700HOUSEKEEPING 36633,A000000,00800,0000,00800DIETARY 36633,A000000,00900,0000,00900NURSING ADMINISTRATION 36633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36633,A000000,01100,0000,01100PHARMACY 36633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36633,A000000,01300,0000,01300SOCIAL SERVICE 36633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36633,A000000,01600,0000,01600SKILLED NURSING FACILITY 36633,A000000,01810,0000,01810ICF/MR 36633,A000000,02100,0000,02100RADIOLOGY 36633,A000000,02200,0000,02200LABORATORY 36633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36633,A000000,02500,0000,02500PHYSICAL THERAPY 36633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36633,A000000,02700,0000,02700SPEECH PATHOLOGY 36633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36633,A000000,03550,0000,03550FQHC 36633,A000000,04800,0000,04800AMBULANCE 36633,A000000,05000,0000,05000CORF 36633,A000000,05010,0000,05010CMHC 36633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36633,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36633,A000000,06001,0000,06001PSYCHIARIST 36633,A000000,06150,0000,06300ADULT DAY CARE 36633,A000000,06151,0000,06301DENTAL 36633,B100000,00000,0100,00001SQUARE FEET 36633,B100000,00000,0200,00001SQUARE FEET 36633,B100000,00000,0300,00001GROSS SALARIES 36633,B100000,00000,0400,00001ACCUM COST 36633,B100000,00000,0500,00001SQUARE FEET 36633,B100000,00000,0600,00001POUNDS OF LAUNDRY 36633,B100000,00000,0700,00001HOURS OF SERVICE 36633,B100000,00000,0800,00001MEALS SERVED 36633,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36633,B100000,00000,1000,00001COSTED REQUISITIO 36633,B100000,00000,1100,00001COSTED REQUISITIO 36633,B100000,00000,1200,00001TIME SPENT 36633,B100000,00000,1300,00001TIME SPENT 36633,B100000,00000,1400,00001ASSIGNED TIME 36633,E10A180,00301,0100,05/10/2000 36633,E10A180,00550,0100,06/07/2000 36633,S000000,00100,0200,05/30/2000 36633,S200000,00100,0100,QUARRY ROAD 36633,S200000,00200,0100,GOSHEN 36633,S200000,00200,0200,NY 36633,S200000,00200,0300,10924 36633,S200000,00300,0100,ORANGE 36633,S200000,00400,0100,ORANGE COUNTY 36633,S200000,00400,0200,335238 36633,S200000,00400,0300,10/01/1967 36633,S200000,00400,0500,P 36633,S200000,01500,0100,Y 36633,S200000,04200,0100,Y 36633,S200000,04300,0100,Y 36638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36638,A000000,00300,0000,00300EMPLOYEE BENEFITS 36638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36638,A000000,00700,0000,00700HOUSEKEEPING 36638,A000000,00800,0000,00800DIETARY 36638,A000000,00900,0000,00900NURSING ADMINISTRATION 36638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36638,A000000,01100,0000,01100PHARMACY 36638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36638,A000000,01300,0000,01300SOCIAL SERVICE 36638,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36638,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36638,A000000,01600,0000,01600SKILLED NURSING FACILITY 36638,A000000,01810,0000,01810ICF/MR 36638,A000000,02100,0000,02100RADIOLOGY 36638,A000000,02200,0000,02200LABORATORY 36638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36638,A000000,02500,0000,02500PHYSICAL THERAPY 36638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36638,A000000,02700,0000,02700SPEECH PATHOLOGY 36638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36638,A000000,03550,0000,03550FQHC 36638,A000000,05000,0000,05000CORF 36638,A000000,05010,0000,05010CMHC 36638,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36638,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36638,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36638,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36638,A000000,06201,0000,06201DENTAL 36638,B100000,00000,0100,00000SQUARE FEET 36638,B100000,00000,0200,00000SQUARE FEET 36638,B100000,00000,0300,00000GROSS SALARIES 36638,B100000,00000,0400,00000ACCUM COST 36638,B100000,00000,0500,00000SQUARE FEET 36638,B100000,00000,0600,00000POUNDS OF LAUNDRY 36638,B100000,00000,0700,00000HOURS OF SERVICE 36638,B100000,00000,0800,00000MEALS SERVED 36638,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36638,B100000,00000,1000,00000COSTED REQUISITIO 36638,B100000,00000,1100,00000COSTED REQUISITIO 36638,B100000,00000,1200,00000TIME SPENT 36638,B100000,00000,1300,00000TIME SPENT 36638,B100000,00000,1301,00000PARTICIPAN 36638,B100000,00000,1350,00000 36638,B100000,00000,1400,00000ASSIGNED TIME 36638,E10A180,00301,0100,05/10/2000 36638,S000000,00100,0200,07/07/2000 36638,S200000,00100,0100,25 FANNING STREET 36638,S200000,00200,0100,STATEN ISLAND 36638,S200000,00200,0200,NEW YORK 36638,S200000,00200,0300,10314 36638,S200000,00300,0100,RICHMOND 36638,S200000,00400,0100,CLOVE LAKES REHAB & HLTH CTR INC 36638,S200000,00400,0200,335239 36638,S200000,00400,0300,06/25/1969 36638,S200000,00400,0500,P 36638,S200000,01500,0100,Y 36645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36645,A000000,00300,0000,00300EMPLOYEE BENEFITS 36645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36645,A000000,00700,0000,00700HOUSEKEEPING 36645,A000000,00800,0000,00800DIETARY 36645,A000000,00900,0000,00900NURSING ADMINISTRATION 36645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36645,A000000,01100,0000,01100PHARMACY 36645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36645,A000000,01300,0000,01300SOCIAL SERVICE 36645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36645,A000000,01600,0000,01600SKILLED NURSING FACILITY 36645,A000000,01810,0000,01810ICF/MR 36645,A000000,02100,0000,02100RADIOLOGY 36645,A000000,02200,0000,02200LABORATORY 36645,A000000,02500,0000,02500PHYSICAL THERAPY 36645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36645,A000000,02700,0000,02700SPEECH PATHOLOGY 36645,A000000,02800,0000,02800ELECTROCARDIOLOGY 36645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36645,A000000,03550,0000,03550FQHC 36645,A000000,04800,0000,04800AMBULANCE 36645,A000000,05000,0000,05000CORF 36645,A000000,05010,0000,05010CMHC 36645,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36645,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36645,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36645,A000000,06150,0000,06300DENTAL 36645,A81000A,00100,0100,Y 36645,A81000B,00100,0300,DEPR/RENTAL EXPENSE 36645,A81000B,00200,0300,DEPRECIATION EXPENSE 36645,A81000B,00300,0300,FRINGE/PAYROLL TAXES 36645,A81000B,00400,0300,A & G SALARIES 36645,A81000B,00500,0300,OTHER A & G EXPENSE 36645,A81000C,00100,0100,A 36645,A81000C,00100,0200,DONALD G. LARDE 36645,A81000C,00100,0400,MANOR OAK S.N.F 36645,A81000C,00100,0600,ADMIN & FISCAL 36645,B100000,00000,0100,00000SQUARE FEET 36645,B100000,00000,0200,00000SQUARE FEET 36645,B100000,00000,0300,00000GROSS SALARIES 36645,B100000,00000,0400,00000ACCUM COST 36645,B100000,00000,0500,00000SQUARE FEET 36645,B100000,00000,0600,00000POUNDS OF LAUNDRY 36645,B100000,00000,0700,00000HOURS OF SERVICE 36645,B100000,00000,0800,00000MEALS SERVED 36645,B100000,00000,0900,00000DIRECT NRSG HRS 36645,B100000,00000,1000,00000COSTED REQUIS 36645,B100000,00000,1100,00000COSTED REQUIS 36645,B100000,00000,1200,00000TIME SPENT 36645,B100000,00000,1300,00000TIME SPENT 36645,B100000,00000,1400,00000ASSIGNED TIME 36645,E10A180,00301,0100,05/10/2000 36645,E10A180,00350,0100,01/18/2000 36645,S000000,00100,0200,06/23/2000 36645,S200000,00100,0100,3600 HARLEM ROAD 36645,S200000,00200,0100,BUFFALO 36645,S200000,00200,0200,NY 36645,S200000,00200,0300,14215 36645,S200000,00300,0100,ERIE 36645,S200000,00400,0100,MANOR OAK S.N.F. BUFFALO 36645,S200000,00400,0200,335241 36645,S200000,00400,0300,07/01/1967 36645,S200000,00400,0500,P 36645,S200000,01500,0100,Y 36645,S200000,04100,0100,Y 36645,S200000,04300,0100,Y 36653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36653,A000000,00300,0000,00300EMPLOYEE BENEFITS 36653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36653,A000000,00700,0000,00700HOUSEKEEPING 36653,A000000,00800,0000,00800DIETARY 36653,A000000,00900,0000,00900NURSING ADMINISTRATION 36653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36653,A000000,01100,0000,01100PHARMACY 36653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36653,A000000,01300,0000,01300SOCIAL SERVICE 36653,A000000,01350,0000,01500ACTIVITIES PROGRAM 36653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36653,A000000,01600,0000,01600SKILLED NURSING FACILITY 36653,A000000,01810,0000,01810ICF/MR 36653,A000000,02100,0000,02100RADIOLOGY 36653,A000000,02200,0000,02200LABORATORY 36653,A000000,02500,0000,02500PHYSICAL THERAPY 36653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36653,A000000,02700,0000,02700SPEECH PATHOLOGY 36653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36653,A000000,03550,0000,03550FQHC 36653,A000000,05000,0000,05000CORF 36653,A000000,05010,0000,05010CMHC 36653,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36653,A000000,06150,0000,06300DENTAL 36653,B100000,00000,0100,00000SQUARE FEET 36653,B100000,00000,0200,00000SQUARE FEET 36653,B100000,00000,0300,00000GROSS SALARIES 36653,B100000,00000,0400,00000ACCUM COST 36653,B100000,00000,0500,00000SQUARE FEET 36653,B100000,00000,0600,00000POUNDS OF LAUNDRY 36653,B100000,00000,0700,00000HOURS OF SERVICE 36653,B100000,00000,0800,00000MEALS SERVED 36653,B100000,00000,0900,00000DIRECT NRSG HRS 36653,B100000,00000,1000,00000COSTED REQUIS 36653,B100000,00000,1100,00000COSTED REQUIS 36653,B100000,00000,1200,00000TIME SPENT 36653,B100000,00000,1300,00000TIME SPENT 36653,B100000,00000,1350,00000NUMBER OF PARTCPANTS 36653,B100000,00000,1400,00000ASSIGNED TIME 36653,E10A180,00301,0100,05/10/2000 36653,E10A180,00350,0100,08/27/1999 36653,S000000,00100,0200,06/02/2000 36653,S200000,00100,0100,330 CHESTNUT STREET 36653,S200000,00200,0100,ONEONTA 36653,S200000,00200,0200,NY 36653,S200000,00200,0300,13820 36653,S200000,00300,0100,OTSEGO 36653,S200000,00400,0100,ONEONTA NURSING HOME 36653,S200000,00400,0200,335243 36653,S200000,00400,0300,10/01/1967 36653,S200000,00400,0500,P 36653,S200000,00400,0600,O 36653,S200000,01500,0100,Y 36653,S200000,04300,0100,Y 36658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36658,A000000,00101,0000,00101CAP REL COSTS- FNHC ONLY 36658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36658,A000000,00300,0000,00300EMPLOYEE BENEFITS 36658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36658,A000000,00501,0000,00501PLANT OPERATION MAINT.-FNHC ON 36658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36658,A000000,00700,0000,00700HOUSEKEEPING 36658,A000000,00800,0000,00800DIETARY 36658,A000000,00900,0000,00900NURSING ADMINISTRATION 36658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36658,A000000,01100,0000,01100PHARMACY 36658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36658,A000000,01300,0000,01300SOCIAL SERVICE 36658,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36658,A000000,01600,0000,01600SKILLED NURSING FACILITY 36658,A000000,01810,0000,01810ICF/MR 36658,A000000,02100,0000,02100RADIOLOGY 36658,A000000,02200,0000,02200LABORATORY 36658,A000000,02500,0000,02500PHYSICAL THERAPY 36658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36658,A000000,02700,0000,02700SPEECH PATHOLOGY 36658,A000000,02800,0000,02800ELECTROCARDIOLOGY 36658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36658,A000000,03550,0000,03550FQHC 36658,A000000,05000,0000,05000CORF 36658,A000000,05010,0000,05010CMHC 36658,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36658,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36658,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36658,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36658,A000000,06150,0000,06300ADULT DAY CARE 36658,A000000,06151,0000,06301DENTAL 36658,A000000,06152,0000,06302COMMERCIAL SPACE 36658,A81000A,00100,0100,Y 36658,A81000B,00100,0300,RENT 36658,A81000B,00200,0300,CAP REL COSTS BLDG & FIX 36658,A81000B,00300,0300,CAP REL COST FNHC ONLY 36658,A81000B,00400,0300,DEPRECIATION 36658,A81000B,00500,0300,A & G MISC 36658,A81000B,00600,0300,ENGINEERING - UTILITIES 36658,A81000B,00700,0300,COMMERCIAL AREA 36658,A81000C,00100,0100,A 36658,B100000,00000,0100,00002SQUARE FEET 36658,B100000,00000,0101,00002SQUARE FEET 36658,B100000,00000,0200,00002SQUARE FEET 36658,B100000,00000,0300,00002GROSS SALARIES 36658,B100000,00000,0400,00002ACCUM COST 36658,B100000,00000,0500,00002SQUARE FEET 36658,B100000,00000,0501,00002SQUARE FEET 36658,B100000,00000,0600,00002POUNDS OF LAUNDRY 36658,B100000,00000,0700,00002HOURS OF SERVICE 36658,B100000,00000,0800,00002MEALS SERVED 36658,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 36658,B100000,00000,1000,00002COSTED REQUISITIO 36658,B100000,00000,1100,00002COSTED REQUISITIO 36658,B100000,00000,1200,00002TIME SPENT 36658,B100000,00000,1300,00002TIME SPENT 36658,B100000,00000,1400,00002ASSIGNED TIME 36658,E10A180,00301,0100,05/10/2000 36658,E10A180,00550,0100,06/07/2000 36658,S000000,00100,0200,05/30/2000 36658,S200000,00100,0100,1760 THIRD AVE 36658,S200000,00200,0100,NEW YORK 36658,S200000,00200,0200,NEW YORK 36658,S200000,00200,0300,10029 36658,S200000,00300,0100,NYC 36658,S200000,00400,0100,FLORENCE NIGHTINGALE HEALTH CENTER 36658,S200000,00400,0200,335244 36658,S200000,00400,0300,01/01/1980 36658,S200000,00400,0500,P 36658,S200000,01500,0100,Y 36658,S200000,04300,0100,Y 36662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36662,A000000,00300,0000,00300EMPLOYEE BENEFITS 36662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36662,A000000,00700,0000,00700HOUSEKEEPING 36662,A000000,00800,0000,00800DIETARY 36662,A000000,00900,0000,00900NURSING ADMINISTRATION 36662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36662,A000000,01100,0000,01100PHARMACY 36662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36662,A000000,01300,0000,01300SOCIAL SERVICE 36662,A000000,01350,0000,01500OTHER GENERAL SERVICES 36662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36662,A000000,01600,0000,01600SKILLED NURSING FACILITY 36662,A000000,01810,0000,01810ICF/MR 36662,A000000,02200,0000,02200LABORATORY 36662,A000000,02500,0000,02500PHYSICAL THERAPY 36662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36662,A000000,02700,0000,02700SPEECH PATHOLOGY 36662,A000000,02800,0000,02800ELECTROCARDIOLOGY 36662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36662,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36662,A000000,03051,0000,03301CLINITRON THERAPY 36662,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36662,A000000,03550,0000,03550FQHC 36662,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36662,A000000,05000,0000,05000CORF 36662,A000000,05010,0000,05010CMHC 36662,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36662,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36662,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36662,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36662,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36662,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36662,B100000,00000,0100,00000SQUARE FEET 36662,B100000,00000,0200,00000DOLLAR VALUE 36662,B100000,00000,0300,00000GROSS SALARIES 36662,B100000,00000,0400,00000ACCUM. COST 36662,B100000,00000,0500,00000SQUARE FEET 36662,B100000,00000,0600,00000POUNDS OF LAUNDRY 36662,B100000,00000,0700,00000HOURS OF SERVICE 36662,B100000,00000,0800,00000MEALS SERVED 36662,B100000,00000,0900,00000HOURS OF SERVICE 36662,B100000,00000,1000,00000COSTED REQUIS. 36662,B100000,00000,1100,00000COSTED REQUIS. 36662,B100000,00000,1200,00000TIME SPENT 36662,B100000,00000,1300,00000TIME SPENT 36662,B100000,00000,1350,00000NO STATISTICS 36662,B100000,00000,1400,00000TIME SPENT 36662,E10A180,00301,0100,05/10/2000 36662,S000000,00100,0200,11/19/2001 36662,S200000,00100,0100,1312 CATON AVE. 36662,S200000,00200,0100,BROOKLYN 36662,S200000,00200,0200,NY 36662,S200000,00200,0300,11226 36662,S200000,00300,0100,KINGS 36662,S200000,00400,0100,CATON PARK NURSING HOME 36662,S200000,00400,0200,335245 36662,S200000,00400,0300,08/21/1968 36662,S200000,00400,0500,P 36662,S200000,01500,0100,Y 36670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36670,A000000,00300,0000,00300EMPLOYEE BENEFITS 36670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36670,A000000,00700,0000,00700HOUSEKEEPING 36670,A000000,00800,0000,00800DIETARY 36670,A000000,00900,0000,00900NURSING ADMINISTRATION 36670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36670,A000000,01100,0000,01100PHARMACY 36670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36670,A000000,01300,0000,01300SOCIAL SERVICE 36670,A000000,01350,0000,01500ACTIVITIES 36670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36670,A000000,01600,0000,01600SKILLED NURSING FACILITY 36670,A000000,01800,0000,01800NURSING FACILITY 36670,A000000,01810,0000,01810ICF/MR 36670,A000000,02500,0000,02500PHYSICAL THERAPY 36670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36670,A000000,02700,0000,02700SPEECH PATHOLOGY 36670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36670,A000000,03050,0000,03300PHYSICIAN SERVICES 36670,A000000,03550,0000,03550FQHC 36670,A000000,05000,0000,05000CORF 36670,A000000,05010,0000,05010CMHC 36670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36670,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36670,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36670,A000000,06100,0000,06100NONPAID WORKERS 36670,A000000,06150,0000,06300DENTAL 36670,B100000,00000,0100,00000SQUARE FEET 36670,B100000,00000,0200,00000SQUARE FEET 36670,B100000,00000,0300,00000GROSS SALARIES 36670,B100000,00000,0400,00000ACCUM COST 36670,B100000,00000,0500,00000SQUARE FEET 36670,B100000,00000,0600,00000POUNDS OF LAUNDRY 36670,B100000,00000,0700,00000HOURS OF SERVICE 36670,B100000,00000,0800,00000MEALS SERVED 36670,B100000,00000,0900,00000DIRECT NRSG HRS 36670,B100000,00000,1000,00000COSTED REQUIS 36670,B100000,00000,1100,00000COSTED REQUIS 36670,B100000,00000,1200,00000TIME SPENT 36670,B100000,00000,1300,00000TIME SPENT 36670,B100000,00000,1350,00000ACTIVITIES 36670,B100000,00000,1400,00000ASSIGNED TIME 36670,E10A180,00301,0100,05/10/2000 36670,S000000,00100,0200,06/01/2000 36670,S200000,00100,0100,1550 EMPIRE BLVD. 36670,S200000,00200,0100,WEBSTER 36670,S200000,00200,0200,NY 36670,S200000,00200,0300,14580 36670,S200000,00300,0100,MONROE 36670,S200000,00400,0100,HILL HAVEN 36670,S200000,00400,0200,335247 36670,S200000,00400,0300,02/01/1993 36670,S200000,00400,0500,P 36670,S200000,01500,0100,Y 36670,S200000,01900,0100,FREESTANDING 36675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36675,A000000,00300,0000,00300EMPLOYEE BENEFITS 36675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36675,A000000,00700,0000,00700HOUSEKEEPING 36675,A000000,00800,0000,00800DIETARY 36675,A000000,00900,0000,00900NURSING ADMINISTRATION 36675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36675,A000000,01100,0000,01100PHARMACY 36675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36675,A000000,01300,0000,01300SOCIAL SERVICE 36675,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36675,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36675,A000000,01600,0000,01600SKILLED NURSING FACILITY 36675,A000000,01810,0000,01810ICF/MR 36675,A000000,02100,0000,02100RADIOLOGY 36675,A000000,02200,0000,02200LABORATORY 36675,A000000,02500,0000,02500PHYSICAL THERAPY 36675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36675,A000000,02700,0000,02700SPEECH PATHOLOGY 36675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36675,A000000,03550,0000,03550FQHC 36675,A000000,05000,0000,05000CORF 36675,A000000,05010,0000,05010CMHC 36675,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36675,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36675,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36675,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36675,A000000,06201,0000,06201DENTAL 36675,B100000,00000,0100,00000SQUARE FEET 36675,B100000,00000,0200,00000SQUARE FEET 36675,B100000,00000,0300,00000GROSS SALARIES 36675,B100000,00000,0400,00000ACCUM COST 36675,B100000,00000,0500,00000SQUARE FEET 36675,B100000,00000,0600,00000POUNDS OF LAUNDRY 36675,B100000,00000,0700,00000HOURS OF SERVICE 36675,B100000,00000,0800,00000MEALS SERVED 36675,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36675,B100000,00000,1000,00000COSTED REQUISITIO 36675,B100000,00000,1100,00000COSTED REQUISITIO 36675,B100000,00000,1200,00000TIME SPENT 36675,B100000,00000,1300,00000TIME SPENT 36675,B100000,00000,1301,00000PARTICIPAN 36675,B100000,00000,1350,00000 36675,B100000,00000,1400,00000ASSIGNED TIME 36675,E10A180,00301,0100,05/10/2000 36675,S000000,00100,0200,06/26/2000 36675,S200000,00100,0100,666 KAPPOCK STREET 36675,S200000,00200,0100,BRONX 36675,S200000,00200,0200,NEW YORK 36675,S200000,00200,0300,10463 36675,S200000,00300,0100,BRONX 36675,S200000,00400,0100,FIELDSTON LODGE NURSING HOME 36675,S200000,00400,0200,335248 36675,S200000,00400,0300,01/03/1968 36675,S200000,00400,0500,P 36675,S200000,01500,0100,Y 36683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36683,A000000,00300,0000,00300EMPLOYEE BENEFITS 36683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36683,A000000,00700,0000,00700HOUSEKEEPING 36683,A000000,00800,0000,00800DIETARY 36683,A000000,00801,0000,00801CAFETERIA 36683,A000000,00900,0000,00900NURSING ADMINISTRATION 36683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36683,A000000,01100,0000,01100PHARMACY 36683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36683,A000000,01300,0000,01300SOCIAL SERVICE 36683,A000000,01301,0000,01301ACTIVITIES 36683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36683,A000000,01600,0000,01600SKILLED NURSING FACILITY 36683,A000000,01810,0000,01810ICF/MR 36683,A000000,02500,0000,02500PHYSICAL THERAPY 36683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36683,A000000,02700,0000,02700SPEECH PATHOLOGY 36683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36683,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36683,A000000,03101,0000,03101PSYCHIATRIC 36683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36683,A000000,03550,0000,03550FQHC 36683,A000000,05000,0000,05000CORF 36683,A000000,05010,0000,05010CMHC 36683,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36683,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36683,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36683,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36683,B100000,00000,0100,00000SQUARE FEET 36683,B100000,00000,0200,00000SQUARE FEET 36683,B100000,00000,0300,00000GROSS SALARIES 36683,B100000,00000,0400,00000ACCUM COST 36683,B100000,00000,0500,00000SQUARE FEET 36683,B100000,00000,0600,00000POUNDS OF LAUNDRY 36683,B100000,00000,0700,00000HOURS OF SERVICE 36683,B100000,00000,0800,00000MEALS SERVED 36683,B100000,00000,0801,00000ASSIGNED TIME 36683,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36683,B100000,00000,1000,00000COSTED REQUISITIO 36683,B100000,00000,1100,00000COSTED REQUISITIO 36683,B100000,00000,1200,00000TIME SPENT 36683,B100000,00000,1300,00000TIME SPENT 36683,B100000,00000,1301,00000HOURS OF SERVICE 36683,B100000,00000,1400,00000ASSIGNED TIME 36683,E10A180,00301,0100,01/18/2000 36683,E10A180,00302,0100,05/10/2000 36683,S000000,00100,0200,06/23/2000 36683,S200000,00100,0100,1229 TRUMANSBURG RD RT 96 36683,S200000,00200,0100,ITHACA 36683,S200000,00200,0200,NY 36683,S200000,00400,0100,LAKESIDE NURSING HOME 36683,S200000,00400,0200,335249 36683,S200000,00400,0300,02/14/1968 36683,S200000,00400,0500,P 36683,S200000,01500,0100,Y 36686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36686,A000000,00300,0000,00300EMPLOYEE BENEFITS 36686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36686,A000000,00700,0000,00700HOUSEKEEPING 36686,A000000,00800,0000,00800DIETARY 36686,A000000,00900,0000,00900NURSING ADMINISTRATION 36686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36686,A000000,01100,0000,01100PHARMACY 36686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36686,A000000,01300,0000,01300SOCIAL SERVICE 36686,A000000,01350,0000,01500OTHER GENERAL SERVICES 36686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36686,A000000,01600,0000,01600SKILLED NURSING FACILITY 36686,A000000,01810,0000,01810ICF/MR 36686,A000000,02100,0000,02100RADIOLOGY 36686,A000000,02200,0000,02200LABORATORY 36686,A000000,02300,0000,02300INTRAVENOUS THERAPY 36686,A000000,02500,0000,02500PHYSICAL THERAPY 36686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36686,A000000,02700,0000,02700SPEECH PATHOLOGY 36686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36686,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36686,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36686,A000000,03550,0000,03550FQHC 36686,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36686,A000000,05000,0000,05000CORF 36686,A000000,05010,0000,05010CMHC 36686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36686,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36686,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36686,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36686,A81000A,00100,0100,Y 36686,A81000B,00100,0300,RENT 36686,A81000B,00200,0300,DEPRECIATION 36686,A81000B,00300,0300,AMORTIZATION MORTGAGE COSTS 36686,A81000B,00400,0300,MORTGAGE INTEREST-NET CONS.LOA 36686,A81000C,00100,0100,A 36686,A81000C,00100,0200,ANN GOTTLIEB 36686,A81000C,00100,0400,WEDGEWOOD CARE CENTER REA 36686,A81000C,00100,0600,REAL ESTATE 36686,B100000,00000,0100,00000SQUARE FEET 36686,B100000,00000,0200,00000DOLLAR VALUE 36686,B100000,00000,0300,00000GROSS SALARIES 36686,B100000,00000,0400,00000ACCUM. COST 36686,B100000,00000,0500,00000SQUARE FEET 36686,B100000,00000,0600,00000POUNDS OF LAUNDRY 36686,B100000,00000,0700,00000HOURS OF SERVICE 36686,B100000,00000,0800,00000MEALS SERVED 36686,B100000,00000,0900,00000HOURS OF SERVICE 36686,B100000,00000,1000,00000COSTED REQUIS. 36686,B100000,00000,1100,00000COSTED REQUIS. 36686,B100000,00000,1200,00000TIME SPENT 36686,B100000,00000,1300,00000TIME SPENT 36686,B100000,00000,1350,00000NO STATISTICS 36686,B100000,00000,1400,00000TIME SPENT 36686,E10A180,00301,0100,05/10/2000 36686,S000000,00100,0200,06/01/2000 36686,S200000,00100,0100,199 COMMUNITY DR. 36686,S200000,00200,0100,GREAT NECK 36686,S200000,00200,0200,NY 36686,S200000,00200,0300,11021 36686,S200000,00300,0100,NASSAU 36686,S200000,00400,0100,WEDGEWOOD NURSING HOME 36686,S200000,00400,0200,335250 36686,S200000,00400,0300,04/01/1977 36686,S200000,00400,0500,P 36686,S200000,01500,0100,Y 36694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36694,A000000,00300,0000,00300EMPLOYEE BENEFITS 36694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36694,A000000,00700,0000,00700HOUSEKEEPING 36694,A000000,00800,0000,00800DIETARY 36694,A000000,00900,0000,00900NURSING ADMINISTRATION 36694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36694,A000000,01100,0000,01100PHARMACY 36694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36694,A000000,01300,0000,01300SOCIAL SERVICE 36694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36694,A000000,01600,0000,01600SKILLED NURSING FACILITY 36694,A000000,01810,0000,01810ICF/MR 36694,A000000,02100,0000,02100RADIOLOGY 36694,A000000,02200,0000,02200LABORATORY 36694,A000000,02500,0000,02500PHYSICAL THERAPY 36694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36694,A000000,02700,0000,02700SPEECH PATHOLOGY 36694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36694,A000000,03200,0000,03200SUPPORT SURFACES 36694,A000000,03550,0000,03550FQHC 36694,A000000,05000,0000,05000CORF 36694,A000000,05010,0000,05010CMHC 36694,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36694,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36694,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36694,A000000,06150,0000,06300OTHER NON-REIMBUSABLE COSTS 36694,A81000A,00100,0100,Y 36694,A81000B,00100,0300,SHARED SERVICES 36694,A81000C,00100,0100,B 36694,A81000C,00100,0200,SCHENECTADY COU 36694,B100000,00000,0100,00000SQUARE FEET 36694,B100000,00000,0200,00000SQUARE FEET 36694,B100000,00000,0300,00000GROSS SALARIES 36694,B100000,00000,0400,00000ACCUM COST 36694,B100000,00000,0500,00000SQUARE FEET 36694,B100000,00000,0600,00000POUNDS OF LAUNDRY 36694,B100000,00000,0700,00000HOURS OF SERVICE 36694,B100000,00000,0800,00000MEALS SERVED 36694,B100000,00000,0900,00000DIRECT NRSG HRS 36694,B100000,00000,1000,00000COSTED REQUIS 36694,B100000,00000,1100,00000COSTED REQUIS 36694,B100000,00000,1200,00000TIME SPENT 36694,B100000,00000,1300,00000TIME SPENT 36694,B100000,00000,1400,00000ASSIGNED TIME 36694,E10A180,00301,0100,05/10/2000 36694,S000000,00100,0200,11/06/2000 36694,S200000,00100,0100,59 HETCHELTOWN RD. 36694,S200000,00200,0100,SCOTIA 36694,S200000,00200,0200,NY 36694,S200000,00200,0300,12302 36694,S200000,00300,0100,SCHENECTADY 36694,S200000,00400,0100,GLENDALE HOME 36694,S200000,00400,0200,335252 36694,S200000,00400,0300,04/01/1968 36694,S200000,00400,0500,P 36694,S200000,01500,0100,Y 36694,S200000,02800,0100,Y 36703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36703,A000000,00300,0000,00300EMPLOYEE BENEFITS 36703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36703,A000000,00700,0000,00700HOUSEKEEPING 36703,A000000,00800,0000,00800DIETARY 36703,A000000,00900,0000,00900NURSING ADMINISTRATION 36703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36703,A000000,01100,0000,01100PHARMACY 36703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36703,A000000,01300,0000,01300SOCIAL SERVICE 36703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36703,A000000,01600,0000,01600SKILLED NURSING FACILITY 36703,A000000,01810,0000,01810ICF/MR 36703,A000000,02100,0000,02100RADIOLOGY 36703,A000000,02200,0000,02200LABORATORY 36703,A000000,02500,0000,02500PHYSICAL THERAPY 36703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36703,A000000,02700,0000,02700SPEECH PATHOLOGY 36703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36703,A000000,03550,0000,03550FQHC 36703,A000000,05000,0000,05000CORF 36703,A000000,05010,0000,05010CMHC 36703,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36703,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36703,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36703,A000000,06150,0000,06300ADULT DAY CARE 36703,A000000,06151,0000,06301DENTAL 36703,B100000,00000,0100,00001SQUARE FEET 36703,B100000,00000,0200,00001SQUARE FEET 36703,B100000,00000,0300,00001GROSS SALARIES 36703,B100000,00000,0400,00001ACCUM COST 36703,B100000,00000,0500,00001SQUARE FEET 36703,B100000,00000,0600,00001POUNDS OF LAUNDRY 36703,B100000,00000,0700,00001HOURS OF SERVICE 36703,B100000,00000,0800,00001MEALS SERVED 36703,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36703,B100000,00000,1000,00001COSTED REQUISITIO 36703,B100000,00000,1100,00001COSTED REQUISITIO 36703,B100000,00000,1200,00001TIME SPENT 36703,B100000,00000,1300,00001TIME SPENT 36703,B100000,00000,1400,00001ASSIGNED TIME 36703,E10A180,00301,0100,05/10/2000 36703,S000000,00100,0200,05/26/2000 36703,S200000,00100,0100,1146 WOODCREST AVE. 36703,S200000,00200,0100,RIVERHEAD 36703,S200000,00200,0200,NY 36703,S200000,00200,0300,11901 36703,S200000,00300,0100,SUFFOLK 36703,S200000,00400,0100,RIVERHEAD NURSING HOME 36703,S200000,00400,0200,335254 36703,S200000,00400,0300,12/11/1985 36703,S200000,00400,0500,P 36703,S200000,01500,0100,Y 36703,S200000,04200,0100,Y 36703,S200000,04300,0100,Y 36716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36716,A000000,00300,0000,00300EMPLOYEE BENEFITS 36716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36716,A000000,00700,0000,00700HOUSEKEEPING 36716,A000000,00800,0000,00800DIETARY 36716,A000000,00900,0000,00900NURSING ADMINISTRATION 36716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36716,A000000,01100,0000,01100PHARMACY 36716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36716,A000000,01300,0000,01300SOCIAL SERVICE 36716,A000000,01350,0000,01500ACTIVITIES 36716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36716,A000000,01600,0000,01600SKILLED NURSING FACILITY 36716,A000000,01810,0000,01810ICF/MR 36716,A000000,02100,0000,02100RADIOLOGY 36716,A000000,02200,0000,02200LABORATORY 36716,A000000,02500,0000,02500PHYSICAL THERAPY 36716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36716,A000000,02700,0000,02700SPEECH PATHOLOGY 36716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36716,A000000,03550,0000,03550FQHC 36716,A000000,04800,0000,04800AMBULANCE 36716,A000000,05000,0000,05000CORF 36716,A000000,05010,0000,05010CMHC 36716,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36716,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36716,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36716,A000000,06150,0000,06300DENTAL 36716,A81000A,00100,0100,Y 36716,A81000B,00100,0300,MANAGEMENT SERVICES 36716,A81000B,00200,0300,SALARY 36716,A81000B,00300,0300,OTHER 36716,A81000B,00400,0300,BENEFITS 36716,A81000B,00500,0300,SALARY 36716,A81000B,00600,0300,SALARY 36716,A81000B,00700,0300,SALARY 36716,A81000B,00800,0300,SALARY 36716,A81000B,00900,0300,SALARY 36716,A81000B,01000,0300,SALARY 36716,A81000B,01100,0300,RENT 36716,A81000C,00100,0100,D 36716,A81000C,00100,0200,FRIEDMAN 36716,A81000C,00100,0400,801 WEST 190 MG 36716,A81000C,00100,0600,PAYROLL 36716,A81000C,00200,0100,D 36716,A81000C,00200,0200,FRIEDMAN 36716,A81000C,00200,0400,WINET TRUST 36716,A81000C,00200,0600,REALTY 36716,B100000,00000,0100,00000SQUARE FEET 36716,B100000,00000,0200,00000SQUARE FEET 36716,B100000,00000,0300,00000GROSS SALARIES 36716,B100000,00000,0400,00000ACCUM COST 36716,B100000,00000,0500,00000SQUARE FEET 36716,B100000,00000,0600,00000POUNDS OF LAUNDRY 36716,B100000,00000,0700,00000HOURS OF SERVICE 36716,B100000,00000,0800,00000MEALS SERVED 36716,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36716,B100000,00000,1000,00000COSTED REQUISITIO 36716,B100000,00000,1100,00000COSTED REQUISITIO 36716,B100000,00000,1200,00000TIME SPENT 36716,B100000,00000,1300,00000TIME SPENT 36716,B100000,00000,1350,00000PATIENT DAYS 36716,B100000,00000,1400,00000ASSIGNED TIME 36716,E10A180,00301,0100,05/10/2000 36716,E10A180,00550,0100,06/07/2000 36716,S000000,00100,0200,05/31/2000 36716,S200000,00100,0100,801 WEST 190TH STREET 36716,S200000,00200,0100,NEW YORK 36716,S200000,00200,0200,NY 36716,S200000,00200,0300,10040 36716,S200000,00300,0100,NEW YORK 36716,S200000,00400,0100,FORT TRYON NURSING HOME 36716,S200000,00400,0200,335257 36716,S200000,00400,0300,03/17/1968 36716,S200000,00400,0500,P 36716,S200000,01500,0100,Y 36719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36719,A000000,00300,0000,00300EMPLOYEE BENEFITS 36719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36719,A000000,00700,0000,00700HOUSEKEEPING 36719,A000000,00800,0000,00800DIETARY 36719,A000000,00900,0000,00900NURSING ADMINISTRATION 36719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36719,A000000,01100,0000,01100PHARMACY 36719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36719,A000000,01300,0000,01300SOCIAL SERVICE 36719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36719,A000000,01600,0000,01600SKILLED NURSING FACILITY 36719,A000000,01810,0000,01810ICF/MR 36719,A000000,02500,0000,02500PHYSICAL THERAPY 36719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36719,A000000,02700,0000,02700SPEECH PATHOLOGY 36719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36719,A000000,03550,0000,03550FQHC 36719,A000000,05000,0000,05000CORF 36719,A000000,05010,0000,05010CMHC 36719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36719,A000000,06150,0000,06300ADULT DAY CARE 36719,A000000,06151,0000,06301DENTAL 36719,A81000A,00100,0100,Y 36719,A81000B,00100,0300,RENT 36719,A81000B,00200,0300,RE TAXES 36719,A81000B,00300,0300,DEPRECIATION 36719,A81000C,00100,0100,A 36719,A81000C,00100,0200,BRENT TENANTS 36719,A81000C,00100,0400,BRENT TENANTS 36719,A81000C,00100,0600,REAL ESTATE 36719,A81000C,00200,0100,A 36719,A81000C,00200,0200,JULIE SHATZ 36719,A81000C,00200,0400,JULIE SHATZ 36719,A81000C,00200,0600,REAL ESTATE 36719,A81000C,00300,0100,A 36719,A81000C,00300,0200,BARRY REISLER 36719,A81000C,00300,0400,BARRY REISLER 36719,A81000C,00300,0600,REAL ESTATE 36719,A81000C,00400,0100,A 36719,A81000C,00400,0200,RITA REISLER 36719,A81000C,00400,0400,RITA REISLER 36719,A81000C,00400,0600,REAL ESTATE 36719,A81000C,00500,0100,A 36719,A81000C,00500,0200,JEANETTE SHATZ 36719,A81000C,00500,0400,JEANETTE SHATZ 36719,A81000C,00500,0600,REAL ESTATE 36719,A81000C,00600,0100,A 36719,A81000C,00600,0200,PEGGY TILLES 36719,A81000C,00600,0400,PEGGY TILLES 36719,A81000C,00600,0600,REAL ESTATE 36719,B100000,00000,0100,00001SQUARE FEET 36719,B100000,00000,0200,00001SQUARE FEET 36719,B100000,00000,0300,00001GROSS SALARIES 36719,B100000,00000,0400,00001ACCUM COST 36719,B100000,00000,0500,00001SQUARE FEET 36719,B100000,00000,0600,00001POUNDS OF LAUNDRY 36719,B100000,00000,0700,00001HOURS OF SERVICE 36719,B100000,00000,0800,00001MEALS SERVED 36719,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36719,B100000,00000,1000,00001COSTED REQUISITIO 36719,B100000,00000,1100,00001COSTED REQUISITIO 36719,B100000,00000,1200,00001TIME SPENT 36719,B100000,00000,1300,00001TIME SPENT 36719,B100000,00000,1400,00001ASSIGNED TIME 36719,E10A180,00301,0100,05/10/2000 36719,S000000,00100,0200,05/26/2000 36719,S200000,00100,0100,537 ROUTE 22 36719,S200000,00200,0100,PURDYS 36719,S200000,00200,0200,NY 36719,S200000,00200,0300,10578 36719,S200000,00300,0100,WESTCHESTER 36719,S200000,00400,0100,WATERVIEW HIILS NURSING CENTER 36719,S200000,00400,0200,335259 36719,S200000,00400,0300,07/01/1971 36719,S200000,00400,0500,P 36719,S200000,01500,0100,Y 36719,S200000,04200,0100,Y 36719,S200000,04300,0100,Y 36727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36727,A000000,00300,0000,00300EMPLOYEE BENEFITS 36727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36727,A000000,00700,0000,00700HOUSEKEEPING 36727,A000000,00800,0000,00800DIETARY 36727,A000000,00900,0000,00900NURSING ADMINISTRATION 36727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36727,A000000,01100,0000,01100PHARMACY 36727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36727,A000000,01300,0000,01300SOCIAL SERVICE 36727,A000000,01350,0000,01500ACTIVITIES 36727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36727,A000000,01600,0000,01600SKILLED NURSING FACILITY 36727,A000000,01810,0000,01810ICF/MR 36727,A000000,02500,0000,02500PHYSICAL THERAPY 36727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36727,A000000,02700,0000,02700SPEECH PATHOLOGY 36727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36727,A000000,03550,0000,03550FQHC 36727,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36727,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36727,A000000,05000,0000,05000CORF 36727,A000000,05010,0000,05010CMHC 36727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36727,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36727,A000000,05300,0000,05300INTEREST EXPENSE 36727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36727,A000000,06150,0000,06300DENTAL SERVICES 36727,A81000A,00100,0100,Y 36727,A81000B,00100,0300,SNF MGMT/ACCT. FEES 36727,A81000B,00200,0300,SALARIES & REL WAGE 36727,A81000B,00300,0300,MANAGEMENT FEES 36727,A81000B,00400,0300,AUTO LEASING 36727,A81000B,00500,0300,AUTO INSURANCE 36727,A81000B,00600,0300,DEPRECIATION 36727,A81000B,00700,0300,ACCT/LEGAL FEES 36727,A81000B,00800,0300,MISC OTHER EXPENSES 36727,A81000C,00100,0100,A 36727,A81000C,00100,0200,ARNOLD PUTTERMA 36727,A81000C,00100,0400,SNF MANAGEMENT 36727,A81000C,00100,0600,MGMT/CONSULTING 36727,A81000C,00200,0100,D 36727,A81000C,00200,0200,PEARL PUTTERMAN 36727,A81000C,00200,0400,SNF MANAGEMENT 36727,A81000C,00200,0600,MGMT/CONSULTING 36727,A81000C,00300,0100,D 36727,A81000C,00300,0200,D. PUTTERMAN 36727,A81000C,00300,0400,SNF MANAGEMENT 36727,A81000C,00300,0600,MGMT/CONSULTING 36727,B100000,00000,0100,00000SQUARE FEET 36727,B100000,00000,0200,00000SQUARE FEET 36727,B100000,00000,0300,00000GROSS SALARIES 36727,B100000,00000,0400,00000ACCUM COST 36727,B100000,00000,0500,00000SQUARE FEET 36727,B100000,00000,0600,00000POUNDS OF LAUNDRY 36727,B100000,00000,0700,00000HOURS OF SERVICE 36727,B100000,00000,0800,00000MEALS SERVED 36727,B100000,00000,0900,00000DIRECT NRSG HRS 36727,B100000,00000,1000,00000COSTED REQUIS 36727,B100000,00000,1100,00000COSTED REQUIS 36727,B100000,00000,1200,00000TIME SPENT 36727,B100000,00000,1300,00000TIME SPENT 36727,B100000,00000,1350,00000NO. OF PARTICIPAN 36727,B100000,00000,1400,00000ASSIGNED TIME 36727,E10A180,00301,0100,01/18/2000 36727,E10A180,00302,0100,05/10/2000 36727,S000000,00100,0200,06/09/2000 36727,S200000,00100,0100,ROUTE 100 36727,S200000,00100,0300,445 36727,S200000,00200,0100,SOMERS 36727,S200000,00200,0200,NY 36727,S200000,00200,0300,10589 36727,S200000,00300,0100,WESTCHESTER 36727,S200000,00400,0100,SOMERS MANOR NURSING HOME 36727,S200000,00400,0200,335261 36727,S200000,00400,0300,07/01/1968 36727,S200000,00400,0500,P 36727,S200000,01500,0100,Y 36727,S200000,02200,0100,Y 36735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36735,A000000,00300,0000,00300EMPLOYEE BENEFITS 36735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36735,A000000,00700,0000,00700HOUSEKEEPING 36735,A000000,00800,0000,00800DIETARY 36735,A000000,00801,0000,00801CAFETERIA 36735,A000000,00900,0000,00900NURSING ADMINISTRATION 36735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36735,A000000,01100,0000,01100PHARMACY 36735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36735,A000000,01300,0000,01300SOCIAL SERVICE 36735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36735,A000000,01600,0000,01600SKILLED NURSING FACILITY 36735,A000000,01810,0000,01810ICF/MR 36735,A000000,02500,0000,02500PHYSICAL THERAPY 36735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36735,A000000,02700,0000,02700SPEECH PATHOLOGY 36735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36735,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36735,A000000,03550,0000,03550FQHC 36735,A000000,05000,0000,05000CORF 36735,A000000,05010,0000,05010CMHC 36735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36735,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36735,B100000,00000,0100,00000SQUARE FEET 36735,B100000,00000,0200,00000SQUARE FEET 36735,B100000,00000,0300,00000GROSS SALARIES 36735,B100000,00000,0400,00000ACCUM COST 36735,B100000,00000,0500,00000SQUARE FEET 36735,B100000,00000,0600,00000POUNDS OF LAUNDRY 36735,B100000,00000,0700,00000HOURS OF SERVICE 36735,B100000,00000,0800,00000MEALS SERVED 36735,B100000,00000,0801,00000SQUARE FEET 36735,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36735,B100000,00000,1000,00000COSTED REQUISITIO 36735,B100000,00000,1100,00000COSTED REQUISITIO 36735,B100000,00000,1200,00000TIME SPENT 36735,B100000,00000,1300,00000TIME SPENT 36735,B100000,00000,1400,00000ASSIGNED TIME 36735,E10A180,00301,0100,05/10/2000 36735,S000000,00100,0200,06/05/2000 36735,S200000,00100,0100,505 MOUNT HOPE AVENUE 36735,S200000,00200,0100,ROCHESTER 36735,S200000,00200,0200,NEW YORK 36735,S200000,00200,0300,14620 36735,S200000,00300,0100,MONROE 36735,S200000,00400,0100,THE EPISCOPAL CHURCH HOME 36735,S200000,00400,0200,335263 36735,S200000,00400,0300,03/31/1974 36735,S200000,00400,0500,P 36735,S200000,01500,0100,Y 36743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36743,A000000,00300,0000,00300EMPLOYEE BENEFITS 36743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36743,A000000,00700,0000,00700HOUSEKEEPING 36743,A000000,00800,0000,00800DIETARY 36743,A000000,00900,0000,00900NURSING ADMINISTRATION 36743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36743,A000000,01100,0000,01100PHARMACY 36743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36743,A000000,01300,0000,01300SOCIAL SERVICE 36743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36743,A000000,01600,0000,01600SKILLED NURSING FACILITY 36743,A000000,01810,0000,01810ICF/MR 36743,A000000,02500,0000,02500PHYSICAL THERAPY 36743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36743,A000000,02700,0000,02700SPEECH PATHOLOGY 36743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36743,A000000,03550,0000,03550FQHC 36743,A000000,05000,0000,05000CORF 36743,A000000,05010,0000,05010CMHC 36743,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36743,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36743,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36743,A000000,05300,0000,05300INTEREST EXPENSE 36743,A000000,05350,0000,05600DENTAL 36743,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36743,A81000A,00100,0100,Y 36743,A81000B,00100,0300,COUNTY A-87 36743,A81000C,00100,0100,G 36743,A81000C,00100,0200,RENSSELAER COUN 36743,A81000C,00100,0400,RENSSELAER COUN 36743,A81000C,00100,0600,COUNTY GOVERNME 36743,B100000,00000,0100,00000SQUARE FEET 36743,B100000,00000,0200,00000SQUARE FEET 36743,B100000,00000,0300,00000GROSS SALARIES 36743,B100000,00000,0400,00000ACCUM COST 36743,B100000,00000,0500,00000SQUARE FEET 36743,B100000,00000,0600,00000POUNDS OF LAUNDRY 36743,B100000,00000,0700,00000HOURS OF SERVICE 36743,B100000,00000,0800,00000MEALS SERVED 36743,B100000,00000,0900,00000DIRECT NRSG HRS 36743,B100000,00000,1000,00000COSTED REQUIS 36743,B100000,00000,1100,00000COSTED REQUIS 36743,B100000,00000,1200,00000TIME SPENT 36743,B100000,00000,1300,00000TIME SPENT 36743,B100000,00000,1400,00000ASSIGNED TIME 36743,E10A180,00301,0100,05/10/2000 36743,E10A180,00350,0100,09/27/1999 36743,S000000,00100,0200,06/27/2000 36743,S200000,00100,0100,85 BLOOMINGROVE DRIVE 36743,S200000,00200,0100,TROY 36743,S200000,00200,0200,NY 36743,S200000,00200,0300,12180 36743,S200000,00300,0100,RENSSELAER 36743,S200000,00400,0100,VAN RENSSELAER MANOR 36743,S200000,00400,0200,335265 36743,S200000,00400,0300,10/01/1968 36743,S200000,00400,0500,P 36743,S200000,01500,0100,Y 36746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36746,A000000,00300,0000,00300EMPLOYEE BENEFITS 36746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36746,A000000,00700,0000,00700HOUSEKEEPING 36746,A000000,00800,0000,00800DIETARY 36746,A000000,00900,0000,00900NURSING ADMINISTRATION 36746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36746,A000000,01100,0000,01100PHARMACY 36746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36746,A000000,01300,0000,01300SOCIAL SERVICE 36746,A000000,01350,0000,01500OTHER GENERAL SERVICES 36746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36746,A000000,01600,0000,01600SKILLED NURSING FACILITY 36746,A000000,01810,0000,01810ICF/MR 36746,A000000,02100,0000,02100RADIOLOGY 36746,A000000,02200,0000,02200LABORATORY 36746,A000000,02500,0000,02500PHYSICAL THERAPY 36746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36746,A000000,02700,0000,02700SPEECH PATHOLOGY 36746,A000000,02800,0000,02800ELECTROCARDIOLOGY 36746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36746,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36746,A000000,03051,0000,03301CLINITRON THERAPY 36746,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36746,A000000,03550,0000,03550FQHC 36746,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36746,A000000,05000,0000,05000CORF 36746,A000000,05010,0000,05010CMHC 36746,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36746,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36746,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36746,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36746,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36746,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36746,B100000,00000,0100,00000SQUARE FEET 36746,B100000,00000,0200,00000DOLLAR VALUE 36746,B100000,00000,0300,00000GROSS SALARIES 36746,B100000,00000,0400,00000ACCUM. COST 36746,B100000,00000,0500,00000SQUARE FEET 36746,B100000,00000,0600,00000POUNDS OF LAUNDRY 36746,B100000,00000,0700,00000HOURS OF SERVICE 36746,B100000,00000,0800,00000MEALS SERVED 36746,B100000,00000,0900,00000HOURS OF SERVICE 36746,B100000,00000,1000,00000COSTED REQUIS. 36746,B100000,00000,1100,00000COSTED REQUIS. 36746,B100000,00000,1200,00000TIME SPENT 36746,B100000,00000,1300,00000TIME SPENT 36746,B100000,00000,1350,00000NO STATISTICS 36746,B100000,00000,1400,00000TIME SPENT 36746,E10A180,00301,0100,05/10/2000 36746,S000000,00100,0200,05/30/2000 36746,S200000,00100,0100,119-09 26TH AVE. 36746,S200000,00200,0100,COLLEGE POINT 36746,S200000,00200,0200,NY 36746,S200000,00200,0300,11354 36746,S200000,00300,0100,QUEENS 36746,S200000,00400,0100,WOODCREST NURSING HOME 36746,S200000,00400,0200,335266 36746,S200000,00400,0300,01/01/1973 36746,S200000,00400,0500,P 36746,S200000,01500,0100,Y 36754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36754,A000000,00300,0000,00300EMPLOYEE BENEFITS 36754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36754,A000000,00700,0000,00700HOUSEKEEPING 36754,A000000,00800,0000,00800DIETARY 36754,A000000,00900,0000,00900NURSING ADMINISTRATION 36754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36754,A000000,01100,0000,01100PHARMACY 36754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36754,A000000,01300,0000,01300SOCIAL SERVICE 36754,A000000,01350,0000,01500OTHER GENERAL SERVICES 36754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36754,A000000,01600,0000,01600SKILLED NURSING FACILITY 36754,A000000,01810,0000,01810ICF/MR 36754,A000000,01900,0000,01900OTHER LONG TERM CARE 36754,A000000,02100,0000,02100RADIOLOGY 36754,A000000,02200,0000,02200LABORATORY 36754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36754,A000000,02500,0000,02500PHYSICAL THERAPY 36754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36754,A000000,02700,0000,02700SPEECH PATHOLOGY 36754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36754,A000000,03550,0000,03550FQHC 36754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36754,A000000,05000,0000,05000CORF 36754,A000000,05010,0000,05010CMHC 36754,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36754,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36754,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36754,A000000,05300,0000,05300INTEREST EXPENSE 36754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36754,A81000A,00100,0100,Y 36754,A81000B,00100,0300,CAPITAL 36754,A81000B,00200,0300,ADMINISTRATIVE EXPENSES 36754,A81000C,00100,0100,B 36754,A81000C,00100,0200,CATHOLIC HEALTH EAST 36754,A81000C,00100,0400,CATHOLIC HEALTH EAST 36754,A81000C,00100,0600,RELIGIOUS NON PROFIT 36754,B100000,00000,0100,00000SQUARE FEET 36754,B100000,00000,0200,00000SQUARE FEET 36754,B100000,00000,0300,00000GROSS SALARIES 36754,B100000,00000,0400,00000ACCUM. COST 36754,B100000,00000,0500,00000SQUARE FEET 36754,B100000,00000,0600,00000POUNDS OF LAUNDRY 36754,B100000,00000,0700,00000HOURS OF SERVICE 36754,B100000,00000,0800,00000MEALS SERVED 36754,B100000,00000,0900,00000DIRECT NRSG HRS 36754,B100000,00000,1000,00000COSTED REQUIS. 36754,B100000,00000,1100,00000COSTED REQUIS. 36754,B100000,00000,1200,00000TIME SPENT 36754,B100000,00000,1300,00000TIME SPENT 36754,B100000,00000,1350,00000PARTICIPAN N NTS 36754,B100000,00000,1400,00000NO STATISTICS 36754,S000000,00100,0200,06/22/2000 36754,S200000,00100,0100,420 OLD MILITARY ROAD 36754,S200000,00200,0100,LAKE PLACID 36754,S200000,00200,0200,NY 36754,S200000,00200,0300,12946 36754,S200000,00300,0100,ESSEX 36754,S200000,00400,0100,UIHLEIN MERCY CENTER 36754,S200000,00400,0200,335267 36754,S200000,00400,0300,09/04/1968 36754,S200000,00400,0500,P 36754,S200000,01500,0100,Y 36754,S200000,02800,0100,Y 36762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36762,A000000,00300,0000,00300EMPLOYEE BENEFITS 36762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36762,A000000,00700,0000,00700HOUSEKEEPING 36762,A000000,00800,0000,00800DIETARY 36762,A000000,00900,0000,00900NURSING ADMINISTRATION 36762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36762,A000000,01100,0000,01100PHARMACY 36762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36762,A000000,01300,0000,01300SOCIAL SERVICE 36762,A000000,01301,0000,01301ACTIVITIES 36762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36762,A000000,01600,0000,01600SKILLED NURSING FACILITY 36762,A000000,01810,0000,01810ICF/MR 36762,A000000,02100,0000,02100RADIOLOGY 36762,A000000,02200,0000,02200LABORATORY 36762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36762,A000000,02500,0000,02500PHYSICAL THERAPY 36762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36762,A000000,02700,0000,02700SPEECH PATHOLOGY 36762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36762,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36762,A000000,03550,0000,03550FQHC 36762,A000000,05000,0000,05000CORF 36762,A000000,05010,0000,05010CMHC 36762,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36762,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36762,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36762,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36762,B100000,00000,0100,00000SQUARE FEET 36762,B100000,00000,0200,00000SQUARE FEET 36762,B100000,00000,0300,00000GROSS SALARIES 36762,B100000,00000,0400,00000ACCUM COST 36762,B100000,00000,0500,00000SQUARE FEET 36762,B100000,00000,0600,00000POUNDS OF LAUNDRY 36762,B100000,00000,0700,00000HOURS OF SERVICE 36762,B100000,00000,0800,00000MEALS SERVED 36762,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36762,B100000,00000,1000,00000COSTED REQUISITIO 36762,B100000,00000,1100,00000COSTED REQUISITIO 36762,B100000,00000,1200,00000TIME SPENT 36762,B100000,00000,1300,00000TIME SPENT 36762,B100000,00000,1301,00000PATIENT DAYS 36762,B100000,00000,1400,00000ASSIGNED TIME 36762,E10A180,00301,0100,05/10/2000 36762,E10A180,00350,0100,01/18/2000 36762,S000000,00100,0200,06/02/2000 36762,S200000,00100,0100,715 FALCONER STREET 36762,S200000,00200,0100,JAMESTOWN 36762,S200000,00200,0200,NY 36762,S200000,00200,0300,14701 36762,S200000,00300,0100,CHAUTAUQUA 36762,S200000,00400,0100,LUTHERAN RETIREMENT HOME 36762,S200000,00400,0200,335268 36762,S200000,00400,0300,08/29/1968 36762,S200000,00400,0500,P 36762,S200000,01500,0100,Y 36762,S200000,01900,0100,OTHER 36762,S200000,02200,0100,Y 36762,S200000,04300,0100,Y 36766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36766,A000000,00300,0000,00300EMPLOYEE BENEFITS 36766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36766,A000000,00700,0000,00700HOUSEKEEPING 36766,A000000,00800,0000,00800DIETARY 36766,A000000,00900,0000,00900NURSING ADMINISTRATION 36766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36766,A000000,01100,0000,01100PHARMACY 36766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36766,A000000,01300,0000,01300SOCIAL SERVICE 36766,A000000,01350,0000,01500ACTIVITIES 36766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36766,A000000,01600,0000,01600SKILLED NURSING FACILITY 36766,A000000,01810,0000,01810ICF/MR 36766,A000000,02100,0000,02100RADIOLOGY 36766,A000000,02200,0000,02200LABORATORY 36766,A000000,02500,0000,02500PHYSICAL THERAPY 36766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36766,A000000,02700,0000,02700SPEECH PATHOLOGY 36766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36766,A000000,03050,0000,03300AUDIOLOGY 36766,A000000,03051,0000,03301ORTHODICS 36766,A000000,03200,0000,03200SUPPORT SURFACES 36766,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36766,A000000,03550,0000,03550FQHC 36766,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36766,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36766,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36766,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36766,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36766,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36766,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36766,A000000,05000,0000,05000CORF 36766,A000000,05010,0000,05010CMHC 36766,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36766,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36766,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36766,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36766,A000000,06150,0000,06300ADULT DAY CARE 36766,A000000,06151,0000,06301HOUSING 36766,A000000,06152,0000,06302DENTAL 36766,A000000,06153,0000,06303MARKETING 36766,B100000,00000,0100,00003SQUARE FEET 36766,B100000,00000,0200,00003SQUARE FEET 36766,B100000,00000,0300,00003GROSS SALARIES 36766,B100000,00000,0400,00003ACCUM COST 36766,B100000,00000,0500,00003SQUARE FEET 36766,B100000,00000,0600,00003POUNDS OF LAUNDRY 36766,B100000,00000,0700,00003HOURS OF SERVICE 36766,B100000,00000,0800,00003MEALS SERVED 36766,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 36766,B100000,00000,1000,00003COSTED REQUISITIO 36766,B100000,00000,1100,00003COSTED REQUISITIO 36766,B100000,00000,1200,00003TIME SPENT 36766,B100000,00000,1300,00003TIME SPENT 36766,B100000,00000,1350,00003PARTICIPAN 36766,B100000,00000,1400,00003ASSIGNED TIME 36766,E10A180,00301,0100,05/10/2000 36766,H510100,00000,0000,5600 36766,H510100,02400,0000,5600 36766,H710000,00501,0100,03/20/2001 36766,H710000,00501,0300,03/20/2001 36766,S000000,00100,0200,05/30/2000 36766,S200000,00100,0100,1 BRADELY AVE 36766,S200000,00200,0100,MT. VERNON 36766,S200000,00200,0200,NY 36766,S200000,00200,0300,10552 36766,S200000,00300,0100,WESTCHESTER 36766,S200000,00400,0100,THE WARTBURG HOME 36766,S200000,00400,0200,335269 36766,S200000,00400,0300,06/07/1968 36766,S200000,00400,0500,P 36766,S200000,00800,0200,337265 36766,S200000,00800,0300,04/10/1990 36766,S200000,00800,0500,P 36766,S200000,01500,0100,Y 36766,S200000,02800,0100,Y 36766,S410002,01300,0000,NUTRITIONIST 36766,S410002,01400,0000,RESPIRATORY THPY 36767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36767,A000000,00300,0000,00300EMPLOYEE BENEFITS 36767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36767,A000000,00700,0000,00700HOUSEKEEPING 36767,A000000,00800,0000,00800DIETARY 36767,A000000,00900,0000,00900NURSING ADMINISTRATION 36767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36767,A000000,01100,0000,01100PHARMACY 36767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36767,A000000,01300,0000,01300SOCIAL SERVICE 36767,A000000,01350,0000,01500ACTIVITIES 36767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36767,A000000,01600,0000,01600SKILLED NURSING FACILITY 36767,A000000,01810,0000,01810ICF/MR 36767,A000000,02100,0000,02100RADIOLOGY 36767,A000000,02200,0000,02200LABORATORY 36767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36767,A000000,02500,0000,02500PHYSICAL THERAPY 36767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36767,A000000,02700,0000,02700SPEECH PATHOLOGY 36767,A000000,02800,0000,02800ELECTROCARDIOLOGY 36767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36767,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36767,A000000,03200,0000,03200SUPPORT SURFACES 36767,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36767,A000000,03550,0000,03550FQHC 36767,A000000,05000,0000,05000CORF 36767,A000000,05010,0000,05010CMHC 36767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36767,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36767,A000000,06200,0000,06200PATIENTS LAUNDRY 36767,A000000,06201,0000,06201DENTAL 36767,B100000,00000,0100,00000SQUARE FEET 36767,B100000,00000,0200,00000SQUARE FEET 36767,B100000,00000,0300,00000GROSS SALARIES 36767,B100000,00000,0400,00000ACCUM COST 36767,B100000,00000,0500,00000SQUARE FEET 36767,B100000,00000,0600,00000POUNDS OF LAUNDRY 36767,B100000,00000,0700,00000HOURS OF SERVICE 36767,B100000,00000,0800,00000MEALS SERVED 36767,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36767,B100000,00000,1000,00000COSTED REQUISITIO 36767,B100000,00000,1100,00000COSTED REQUISITIO 36767,B100000,00000,1200,00000TIME SPENT 36767,B100000,00000,1300,00000TIME SPENT 36767,B100000,00000,1350,00000NUMBER OF PARTICIPAN 36767,B100000,00000,1400,00000ASSIGNED TIME 36767,E10A180,00301,0100,05/10/2000 36767,S000000,00100,0200,05/31/2000 36767,S200000,00100,0100,676 PELHAM ROAD 36767,S200000,00200,0100,NEW ROCHELLE 36767,S200000,00200,0200,NY 36767,S200000,00200,0300,10805 36767,S200000,00300,0100,WESTCHESTER 36767,S200000,00400,0100,GERMAN MASONIC HOME CORP 36767,S200000,00400,0200,335271 36767,S200000,00400,0300,09/30/1982 36767,S200000,00400,0500,P 36767,S200000,01500,0100,Y 36770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36770,A000000,00300,0000,00300EMPLOYEE BENEFITS 36770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36770,A000000,00700,0000,00700HOUSEKEEPING 36770,A000000,00800,0000,00800DIETARY 36770,A000000,00900,0000,00900NURSING ADMINISTRATION 36770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36770,A000000,01100,0000,01100PHARMACY 36770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36770,A000000,01300,0000,01300SOCIAL SERVICE 36770,A000000,01350,0000,01500OTHER GENERAL SERVICES 36770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36770,A000000,01600,0000,01600SKILLED NURSING FACILITY 36770,A000000,01810,0000,01810ICF/MR 36770,A000000,02100,0000,02100RADIOLOGY 36770,A000000,02200,0000,02200LABORATORY 36770,A000000,02300,0000,02300INTRAVENOUS THERAPY 36770,A000000,02500,0000,02500PHYSICAL THERAPY 36770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36770,A000000,02700,0000,02700SPEECH PATHOLOGY 36770,A000000,02800,0000,02800ELECTROCARDIOLOGY 36770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36770,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36770,A000000,03550,0000,03550FQHC 36770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36770,A000000,05000,0000,05000CORF 36770,A000000,05010,0000,05010CMHC 36770,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36770,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36770,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36770,B100000,00000,0100,00000SQUARE FEET 36770,B100000,00000,0200,00000DOLLAR VALUE 36770,B100000,00000,0300,00000GROSS SALARIES 36770,B100000,00000,0400,00000ACCUM. COST 36770,B100000,00000,0500,00000SQUARE FEET 36770,B100000,00000,0600,00000POUNDS OF LAUNDRY 36770,B100000,00000,0700,00000HOURS OF SERVICE 36770,B100000,00000,0800,00000MEALS SERVED 36770,B100000,00000,0900,00000HOURS OF SERVICE 36770,B100000,00000,1000,00000COSTED REQUIS. 36770,B100000,00000,1100,00000COSTED REQUIS. 36770,B100000,00000,1200,00000TIME SPENT 36770,B100000,00000,1300,00000TIME SPENT 36770,B100000,00000,1350,00000NO STATISTICS 36770,B100000,00000,1400,00000TIME SPENT 36770,E10A180,00301,0100,05/10/2000 36770,S000000,00100,0200,06/01/2000 36770,S200000,00100,0100,100 CASTLETON AVENUE 36770,S200000,00200,0100,STATEN ISLAND 36770,S200000,00200,0200,NY 36770,S200000,00200,0300,10301 36770,S200000,00300,0100,STATEN ISLAND 36770,S200000,00400,0100,VERRAZANO NURSING HOME INC. 36770,S200000,00400,0200,335273 36770,S200000,00400,0300,01/01/1970 36770,S200000,00400,0500,P 36770,S200000,01500,0100,Y 36773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36773,A000000,00300,0000,00300EMPLOYEE BENEFITS 36773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36773,A000000,00700,0000,00700HOUSEKEEPING 36773,A000000,00800,0000,00800DIETARY 36773,A000000,00900,0000,00900NURSING ADMINISTRATION 36773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36773,A000000,01100,0000,01100PHARMACY 36773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36773,A000000,01300,0000,01300SOCIAL SERVICE 36773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36773,A000000,01600,0000,01600SKILLED NURSING FACILITY 36773,A000000,01810,0000,01810ICF/MR 36773,A000000,02100,0000,02100RADIOLOGY 36773,A000000,02200,0000,02200LABORATORY 36773,A000000,02500,0000,02500PHYSICAL THERAPY 36773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36773,A000000,02700,0000,02700SPEECH PATHOLOGY 36773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36773,A000000,03550,0000,03550FQHC 36773,A000000,04800,0000,04800AMBULANCE 36773,A000000,05000,0000,05000CORF 36773,A000000,05010,0000,05010CMHC 36773,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36773,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36773,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36773,A000000,06150,0000,06300ADULT DAY CARE 36773,A000000,06151,0000,06301DENTAL 36773,B100000,00000,0100,00001SQUARE FEET 36773,B100000,00000,0200,00001SQUARE FEET 36773,B100000,00000,0300,00001GROSS SALARIES 36773,B100000,00000,0400,00001ACCUM COST 36773,B100000,00000,0500,00001SQUARE FEET 36773,B100000,00000,0600,00001POUNDS OF LAUNDRY 36773,B100000,00000,0700,00001HOURS OF SERVICE 36773,B100000,00000,0800,00001MEALS SERVED 36773,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36773,B100000,00000,1000,00001COSTED REQUISITIO 36773,B100000,00000,1100,00001COSTED REQUISITIO 36773,B100000,00000,1200,00001TIME SPENT 36773,B100000,00000,1300,00001TIME SPENT 36773,B100000,00000,1400,00001ASSIGNED TIME 36773,E10A180,00501,0100,07/31/2001 36773,E10A180,00550,0300,07/31/2001 36773,S000000,00100,0200,05/30/2000 36773,S200000,00100,0100,61700 ROUTE 48 36773,S200000,00200,0100,GREENPORT 36773,S200000,00200,0200,NY 36773,S200000,00200,0300,11944 36773,S200000,00300,0100,SUFFOLK 36773,S200000,00400,0100,SAN SIMEON BY THE SOUND 36773,S200000,00400,0200,335274 36773,S200000,00400,0300,09/01/1979 36773,S200000,00400,0500,P 36773,S200000,01500,0100,Y 36773,S200000,04200,0100,Y 36773,S200000,04300,0100,Y 36777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36777,A000000,00300,0000,00300EMPLOYEE BENEFITS 36777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36777,A000000,00700,0000,00700HOUSEKEEPING 36777,A000000,00800,0000,00800DIETARY 36777,A000000,00900,0000,00900NURSING ADMINISTRATION 36777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36777,A000000,01100,0000,01100PHARMACY 36777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36777,A000000,01300,0000,01300SOCIAL SERVICE 36777,A000000,01350,0000,01500ACTIVITIES 36777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36777,A000000,01600,0000,01600SKILLED NURSING FACILITY 36777,A000000,01810,0000,01810ICF/MR 36777,A000000,02500,0000,02500PHYSICAL THERAPY 36777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36777,A000000,02700,0000,02700SPEECH PATHOLOGY 36777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36777,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36777,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36777,A000000,03550,0000,03550FQHC 36777,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36777,A000000,05000,0000,05000CORF 36777,A000000,05010,0000,05010CMHC 36777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36777,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36777,A000000,05300,0000,05300INTEREST EXPENSE 36777,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36777,A000000,06150,0000,06300DENTAL 36777,A81000A,00100,0100,Y 36777,A81000B,00100,0300,RENT EXPENSE 36777,A81000B,00200,0300,LAUNDRY SVC BY FHRC 36777,A81000C,00100,0100,A 36777,A81000C,00100,0200,LYNN KASIN 36777,A81000C,00100,0400,SCHOOLHOUSE REALTY 36777,A81000C,00100,0600,REALTY CORPORATION 36777,A81000C,00200,0100,A 36777,A81000C,00200,0200,RAMESH PATEL 36777,A81000C,00200,0400,SCHOOLHOUSE REALTY 36777,A81000C,00200,0600,REALTY CORPORATION 36777,A81000C,00300,0100,A 36777,A81000C,00300,0200,LYNN KASIN 36777,A81000C,00300,0400,FISHKILL HEALTH RELATED 36777,A81000C,00300,0600,LAUNDRY SERVICES 36777,B100000,00000,0100,00000SQUARE FEET 36777,B100000,00000,0200,00000DOLLAR VALUE 36777,B100000,00000,0300,00000GROSS SALARIES 36777,B100000,00000,0400,00000ACCUM. COST 36777,B100000,00000,0500,00000SQUARE FEET 36777,B100000,00000,0600,00000POUNDS OF LAUNDRY 36777,B100000,00000,0700,00000HOURS OF SERVICE 36777,B100000,00000,0800,00000MEALS SERVED 36777,B100000,00000,0900,00000DIRECT NRSING HRS 36777,B100000,00000,1000,00000COSTED REQUIS. 36777,B100000,00000,1100,00000COSTED REQUIS. 36777,B100000,00000,1200,00000TIME SPENT 36777,B100000,00000,1300,00000TIME SPENT 36777,B100000,00000,1350,00000NUMBER OFPARTICIP 36777,B100000,00000,1400,00000ASSIGNED TIME 36777,S000000,00100,0200,06/02/2000 36777,S200000,00100,0100,37 MEISER AVENUE 36777,S200000,00200,0100,WAPPINGERS FALLS 36777,S200000,00200,0200,NY 36777,S200000,00300,0100,DUTCHESS 36777,S200000,00400,0100,HUDSON HAVEN HEALTH CARE CENTER INC 36777,S200000,00400,0200,335275 36777,S200000,00400,0300,01/05/1971 36777,S200000,00400,0500,P 36777,S200000,01500,0100,Y 36777,S200000,02200,0100,Y 36782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36782,A000000,00300,0000,00300EMPLOYEE BENEFITS 36782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36782,A000000,00700,0000,00700HOUSEKEEPING 36782,A000000,00800,0000,00800DIETARY 36782,A000000,00900,0000,00900NURSING ADMINISTRATION 36782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36782,A000000,01100,0000,01100PHARMACY 36782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36782,A000000,01300,0000,01300SOCIAL SERVICE 36782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36782,A000000,01600,0000,01600SKILLED NURSING FACILITY 36782,A000000,01810,0000,01810ICF/MR 36782,A000000,02100,0000,02100RADIOLOGY 36782,A000000,02200,0000,02200LABORATORY 36782,A000000,02500,0000,02500PHYSICAL THERAPY 36782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36782,A000000,02700,0000,02700SPEECH PATHOLOGY 36782,A000000,02800,0000,02800ELECTROCARDIOLOGY 36782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36782,A000000,03550,0000,03550FQHC 36782,A000000,05000,0000,05000CORF 36782,A000000,05010,0000,05010CMHC 36782,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36782,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36782,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36782,A000000,06150,0000,06300ADULT DAY CARE 36782,A000000,06151,0000,06301DENTAL 36782,A81000A,00100,0100,Y 36782,A81000B,00100,0300,ADMIN MGMT FEE 36782,A81000B,00200,0300,ALL BENEFITS 36782,A81000B,00300,0300,ADMIN AND FISCAL SALARY 36782,A81000B,00400,0300,PLANT SALARY 36782,A81000B,00500,0300,HSKPG SALARY 36782,A81000B,00600,0300,DIETARY SALARY 36782,A81000B,00700,0300,NURSING ADMIN SALARY 36782,A81000B,00800,0300,SOCIAL SERVICE SALARY 36782,A81000B,00900,0300,MEDICAL RECORDS SALARY 36782,A81000B,01000,0300,SNF SALARY 36782,A81000B,01100,0300,PT SALARY 36782,A81000B,01200,0300,ADMIN CONT SVC 36782,A81000B,01300,0300,PLANT CONT SVC 36782,A81000B,01400,0300,HSKPG CONT SVC 36782,A81000B,01500,0300,DIETARY CONT SVC 36782,A81000B,01600,0300,NURS CONT SVC 36782,A81000B,01700,0300,SOCIAL CONT SVC 36782,A81000B,01800,0300,SNF CONT SVC 36782,A81000B,01900,0300,PT CONT SVC 36782,A81000C,00100,0100,A 36782,A81000C,00100,0200,MOSHE KALTER 36782,A81000C,00100,0400,NEW MAYFAIR 36782,A81000C,00100,0600,MGMT CO. 36782,A81000C,00200,0100,A 36782,A81000C,00200,0200,FRADY KALTER 36782,A81000C,00200,0400,NEW MAYFAIR 36782,A81000C,00200,0600,MGMT CO. 36782,A81000C,00300,0100,A 36782,A81000C,00300,0200,AARON KALTER 36782,A81000C,00300,0400,NEW MAYFAIR 36782,A81000C,00300,0600,MGMT CO. 36782,A81000C,00400,0100,A 36782,A81000C,00400,0200,ESTER FOGEL 36782,A81000C,00400,0400,NEW MAYFAIR 36782,A81000C,00400,0600,MGMT CO. 36782,B100000,00000,0100,00001SQUARE FEET 36782,B100000,00000,0200,00001SQUARE FEET 36782,B100000,00000,0300,00001GROSS SALARIES 36782,B100000,00000,0400,00001ACCUM COST 36782,B100000,00000,0500,00001SQUARE FEET 36782,B100000,00000,0600,00001POUNDS OF LAUNDRY 36782,B100000,00000,0700,00001HOURS OF SERVICE 36782,B100000,00000,0800,00001MEALS SERVED 36782,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36782,B100000,00000,1000,00001COSTED REQUISITIO 36782,B100000,00000,1100,00001COSTED REQUISITIO 36782,B100000,00000,1200,00001TIME SPENT 36782,B100000,00000,1300,00001TIME SPENT 36782,B100000,00000,1400,00001ASSIGNED TIME 36782,E10A180,00301,0100,05/10/2000 36782,E10A180,00501,0300,06/07/2000 36782,E10A180,00550,0100,06/07/2000 36782,S000000,00100,0200,05/31/2000 36782,S200000,00100,0100,100 BALDWIN ROAD 36782,S200000,00200,0100,HEMPSTEAD 36782,S200000,00200,0200,NY 36782,S200000,00200,0300,11550 36782,S200000,00300,0100,NASSAU 36782,S200000,00400,0100,MAYFAIR CARE CENTER 36782,S200000,00400,0200,335279 36782,S200000,00400,0300,01/14/1969 36782,S200000,00400,0500,P 36782,S200000,01500,0100,Y 36782,S200000,04200,0100,Y 36782,S200000,04300,0100,Y 36791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36791,A000000,00300,0000,00300EMPLOYEE BENEFITS 36791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36791,A000000,00700,0000,00700HOUSEKEEPING 36791,A000000,00800,0000,00800DIETARY 36791,A000000,00900,0000,00900NURSING ADMINISTRATION 36791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36791,A000000,01100,0000,01100PHARMACY 36791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36791,A000000,01300,0000,01300SOCIAL SERVICE 36791,A000000,01350,0000,01500OTHER GENERAL SERVICES 36791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36791,A000000,01600,0000,01600SKILLED NURSING FACILITY 36791,A000000,01810,0000,01810ICF/MR 36791,A000000,02500,0000,02500PHYSICAL THERAPY 36791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36791,A000000,02700,0000,02700SPEECH PATHOLOGY 36791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36791,A000000,03200,0000,03200SUPPORT SURFACES 36791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36791,A000000,03550,0000,03550FQHC 36791,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36791,A000000,05000,0000,05000CORF 36791,A000000,05010,0000,05010CMHC 36791,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36791,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36791,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36791,B100000,00000,0100,00000SQUARE FEET 36791,B100000,00000,0200,00000SQUARE FEET 36791,B100000,00000,0300,00000GROSS SALARIES 36791,B100000,00000,0400,00000ACCUM. COST 36791,B100000,00000,0500,00000SQUARE FEET 36791,B100000,00000,0600,00000POUNDS OF LAUNDRY 36791,B100000,00000,0700,00000HOURS OF SERVICE 36791,B100000,00000,0800,00000MEALS SERVED 36791,B100000,00000,0900,00000HOURS OF SERVICE 36791,B100000,00000,1000,00000COSTSREQUI ISITIONE 36791,B100000,00000,1100,00000COSTSREQUS SISTIONE 36791,B100000,00000,1200,00000TIME SPENT 36791,B100000,00000,1300,00000TIME SPENT 36791,B100000,00000,1350,00000NO STATISTICS 36791,B100000,00000,1400,00000ASSIGNED TIME 36791,E10A180,00301,0100,05/10/2000 36791,S000000,00100,0200,06/21/2000 36791,S200000,00100,0100,49 MARVIN AVE 36791,S200000,00200,0100,TROY 36791,S200000,00200,0200,NY 36791,S200000,00200,0300,12180 36791,S200000,00300,0100,RENSELLEAR 36791,S200000,00400,0100,HALLMARK NURSING CENTRE - TROY 36791,S200000,00400,0200,335280 36791,S200000,00400,0300,02/01/1969 36791,S200000,00400,0500,P 36791,S200000,01500,0100,Y 36811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36811,A000000,00300,0000,00300EMPLOYEE BENEFITS 36811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36811,A000000,00700,0000,00700HOUSEKEEPING 36811,A000000,00800,0000,00800DIETARY 36811,A000000,00900,0000,00900NURSING ADMINISTRATION 36811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36811,A000000,01100,0000,01100PHARMACY 36811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36811,A000000,01300,0000,01300SOCIAL SERVICE 36811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36811,A000000,01600,0000,01600SKILLED NURSING FACILITY 36811,A000000,01810,0000,01810ICF/MR 36811,A000000,02100,0000,02100RADIOLOGY 36811,A000000,02200,0000,02200LABORATORY 36811,A000000,02300,0000,02300INTRAVENOUS THERAPY 36811,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36811,A000000,02500,0000,02500PHYSICAL THERAPY 36811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36811,A000000,02700,0000,02700SPEECH PATHOLOGY 36811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36811,A000000,03550,0000,03550FQHC 36811,A000000,04800,0000,04800AMBULANCE 36811,A000000,05000,0000,05000CORF 36811,A000000,05010,0000,05010CMHC 36811,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36811,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36811,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36811,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36811,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36811,A000000,06150,0000,06300ADULT DAY CARE 36811,A000000,06151,0000,06301DENTAL 36811,A81000A,00100,0100,Y 36811,A81000B,00100,0300,RENT 36811,A81000B,00200,0300,MORTG INT 36811,A81000B,00300,0300,REAL ESTATE TAX 36811,A81000B,00400,0300,DEPRECIATION 36811,A81000B,00500,0300,AMORT OF MORT EXP 36811,A81000B,00600,0300,INSURANCES 36811,A81000B,00700,0300,MISC 36811,A81000C,00100,0100,A 36811,A81000C,00100,0200,STEVEN CROOPNIC 36811,A81000C,00100,0400,S.S.N.H.R. 36811,A81000C,00200,0100,A 36811,A81000C,00200,0200,ROBERT SCHLUNDT 36811,A81000C,00200,0400,S.S.N.H.R. 36811,A81000C,00300,0100,A 36811,A81000C,00300,0200,MARK GORSTEIN 36811,A81000C,00300,0400,S.S.N.H.R. 36811,A81000C,00400,0100,A 36811,A81000C,00400,0200,SUSANA LANNIK G 36811,A81000C,00400,0400,S.S.N.H.R. 36811,A81000C,00500,0100,A 36811,A81000C,00500,0200,ALAN KATZ 36811,A81000C,00500,0400,S.S.N.H.R. 36811,A81000C,00600,0100,A 36811,A81000C,00600,0200,KAREN GORSTAYN 36811,A81000C,00600,0400,S.S.N.H.R. 36811,A81000C,00700,0100,A 36811,A81000C,00700,0200,NADEJA GORSTEIN 36811,A81000C,00700,0400,S.S.N.H.R. 36811,A81000C,00800,0100,A 36811,A81000C,00800,0200,SAM GORSTEIN 36811,A81000C,00800,0400,S.S.N.H.R. 36811,A81000C,00900,0100,A 36811,A81000C,00900,0200,J. CROOPNICK 36811,A81000C,00900,0400,S.S.N.H.R. 36811,A81000C,01000,0100,A 36811,A81000C,01000,0200,J. CROOPNICK 36811,A81000C,01000,0400,S.S.N.H.R. 36811,B100000,00000,0100,00001SQUARE FEET 36811,B100000,00000,0200,00001SQUARE FEET 36811,B100000,00000,0300,00001GROSS SALARIES 36811,B100000,00000,0400,00001ACCUM COST 36811,B100000,00000,0500,00001SQUARE FEET 36811,B100000,00000,0600,00001POUNDS OF LAUNDRY 36811,B100000,00000,0700,00001HOURS OF SERVICE 36811,B100000,00000,0800,00001MEALS SERVED 36811,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36811,B100000,00000,1000,00001COSTED REQUISITIO 36811,B100000,00000,1100,00001COSTED REQUISITIO 36811,B100000,00000,1200,00001TIME SPENT 36811,B100000,00000,1300,00001TIME SPENT 36811,B100000,00000,1400,00001ASSIGNED TIME 36811,E10A180,00301,0100,05/10/2000 36811,E10A180,00550,0100,06/07/2000 36811,S000000,00100,0200,05/30/2000 36811,S200000,00100,0100,825 OLD COUNTRY ROAD 36811,S200000,00200,0100,PLAINVIEW 36811,S200000,00200,0200,NY 36811,S200000,00200,0300,11803 36811,S200000,00300,0100,NASSAU 36811,S200000,00400,0100,CENTRAL ISLAND HEALTHCARE 36811,S200000,00400,0200,335284 36811,S200000,00400,0300,03/15/1980 36811,S200000,00400,0500,P 36811,S200000,01500,0100,Y 36811,S200000,04200,0100,Y 36811,S200000,04300,0100,Y 36814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36814,A000000,00300,0000,00300EMPLOYEE BENEFITS 36814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36814,A000000,00700,0000,00700HOUSEKEEPING 36814,A000000,00800,0000,00800DIETARY 36814,A000000,00900,0000,00900NURSING ADMINISTRATION 36814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36814,A000000,01100,0000,01100PHARMACY 36814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36814,A000000,01300,0000,01300SOCIAL SERVICE 36814,A000000,01350,0000,01500ACTIVITIES PROGRAM 36814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36814,A000000,01600,0000,01600SKILLED NURSING FACILITY 36814,A000000,01810,0000,01810ICF/MR 36814,A000000,02100,0000,02100RADIOLOGY 36814,A000000,02200,0000,02200LABORATORY 36814,A000000,02500,0000,02500PHYSICAL THERAPY 36814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36814,A000000,02700,0000,02700SPEECH PATHOLOGY 36814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36814,A000000,03550,0000,03550FQHC 36814,A000000,04800,0000,04800AMBULANCE 36814,A000000,05000,0000,05000CORF 36814,A000000,05010,0000,05010CMHC 36814,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36814,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36814,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36814,A000000,06150,0000,06300DENTAL 36814,A000000,06151,0000,06301RENTAL SPACE 36814,A81000A,00100,0100,Y 36814,A81000B,00100,0300,RENT 36814,A81000B,00200,0300,MANAGEMENT FEES 36814,A81000B,00300,0300,DEPRECIATION 36814,A81000B,00400,0300,INTEREST 36814,A81000B,00500,0300,AMORTIZATION MORTGAG 36814,A81000B,00600,0300,PROFESSIONAL FEES 36814,A81000C,00100,0100,A 36814,A81000C,00100,0200,HARRY SATIN 36814,A81000C,00100,0400,NORTH MAIN LP 36814,A81000C,00100,0600,REAL ESTATE 36814,A81000C,00200,0100,A 36814,A81000C,00200,0200,ANTHONY SALERNO 36814,A81000C,00200,0400,NORTH MAIN LP 36814,A81000C,00200,0600,REAL ESTATE 36814,B100000,00000,0100,00001SQUARE FEET 36814,B100000,00000,0200,00001SQUARE FEET 36814,B100000,00000,0300,00001GROSS SALARIES 36814,B100000,00000,0400,00001ACCUM COST 36814,B100000,00000,0500,00001SQUARE FEET 36814,B100000,00000,0600,00001POUNDS OF LAUNDRY 36814,B100000,00000,0700,00001HOURS OF SERVICE 36814,B100000,00000,0800,00001MEALS SERVED 36814,B100000,00000,0900,00001DIRECT NRSG HRS 36814,B100000,00000,1000,00001COSTED REQUIS 36814,B100000,00000,1100,00001COSTED REQUIS 36814,B100000,00000,1200,00001TIME SPENT 36814,B100000,00000,1300,00001TIME SPENT 36814,B100000,00000,1350,00001NUMBER OF PARTCPANTS 36814,B100000,00000,1400,00001ASSIGNED TIME 36814,E10A180,00301,0100,05/10/2000 36814,S000000,00100,0200,06/01/2000 36814,S200000,00100,0100,661 NORTH MAIN STREET 36814,S200000,00200,0100,SPRING VALLEY 36814,S200000,00200,0200,NY 36814,S200000,00200,0300,10977 36814,S200000,00300,0100,ROCKLAND 36814,S200000,00400,0100,HILLCREST NURSING HOME 36814,S200000,00400,0200,335285 36814,S200000,00400,0300,05/14/1969 36814,S200000,00400,0500,P 36814,S200000,00400,0600,O 36814,S200000,01500,0100,Y 36814,S200000,04300,0100,Y 36814,S200000,04700,0100,Y 36814,S200000,04700,0200,Y 36817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36817,A000000,00300,0000,00300EMPLOYEE BENEFITS 36817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36817,A000000,00700,0000,00700HOUSEKEEPING 36817,A000000,00800,0000,00800DIETARY 36817,A000000,00900,0000,00900NURSING ADMINISTRATION 36817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36817,A000000,01100,0000,01100PHARMACY 36817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36817,A000000,01300,0000,01300SOCIAL SERVICE 36817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36817,A000000,01600,0000,01600SKILLED NURSING FACILITY 36817,A000000,01810,0000,01810ICF/MR 36817,A000000,02100,0000,02100RADIOLOGY 36817,A000000,02200,0000,02200LABORATORY 36817,A000000,02300,0000,02300INTRAVENOUS THERAPY 36817,A000000,02500,0000,02500PHYSICAL THERAPY 36817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36817,A000000,02700,0000,02700SPEECH PATHOLOGY 36817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36817,A000000,03550,0000,03550FQHC 36817,A000000,04800,0000,04800AMBULANCE 36817,A000000,05000,0000,05000CORF 36817,A000000,05010,0000,05010CMHC 36817,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36817,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36817,A000000,06150,0000,06300ADULT DAY CARE 36817,A000000,06151,0000,06301DENTAL 36817,A81000A,00100,0100,Y 36817,A81000B,00100,0300,RENT 36817,A81000B,00200,0300,ACCOUNTING FEES 36817,A81000B,00300,0300,INCOME TAXES 36817,A81000B,00500,0300,OCCUPATIONAL THERAPY 36817,A81000B,00600,0300,PT 36817,A81000B,00700,0300,SNF 36817,A81000B,00800,0300,ST 36817,A81000B,00900,0300,ADMINISTRATIVE 36817,A81000B,01000,0300,PT 36817,A81000B,01100,0300,OT 36817,A81000B,01200,0300,ST 36817,A81000B,01300,0300,SNF 36817,A81000B,01400,0300,PT 36817,A81000B,01500,0300,OT 36817,A81000B,01600,0300,ST 36817,A81000B,01700,0300,SNF 36817,A81000B,01800,0300,ADMINISTRATIVE 36817,A81000B,01900,0300,PT 36817,A81000B,02000,0300,OT 36817,A81000B,02100,0300,ST 36817,A81000B,02200,0300,SNF 36817,A81000C,00100,0100,A 36817,A81000C,00100,0200,JOSEPH F. CARIL 36817,A81000C,00100,0400,CARILLON PROJEC 36817,A81000C,00200,0100,A 36817,A81000C,00200,0200,VINCENT CARILLO 36817,A81000C,00200,0400,CARILLON PROJEC 36817,A81000C,00300,0100,A 36817,A81000C,00300,0200,JANET A. CARILL 36817,A81000C,00400,0100,A 36817,A81000C,00400,0200,JOSEPH F CARILL 36817,A81000C,00500,0100,A 36817,A81000C,00500,0200,ROBERT CARILLO 36817,A81000C,00600,0100,A 36817,A81000C,00600,0200,LISA BANGER 36817,A81000C,00700,0100,A 36817,A81000C,00700,0200,BEATRICE CARILL 36817,A81000C,00800,0100,A 36817,A81000C,00800,0200,LAURA S. ISSERO 36817,A81000C,00900,0100,A 36817,A81000C,00900,0200,JOE CARILLO III 36817,A81000C,01000,0100,A 36817,A81000C,01000,0200,CHRIS CARILLO 36817,B100000,00000,0100,00001SQUARE FEET 36817,B100000,00000,0200,00001SQUARE FEET 36817,B100000,00000,0300,00001GROSS SALARIES 36817,B100000,00000,0400,00001ACCUM COST 36817,B100000,00000,0500,00001SQUARE FEET 36817,B100000,00000,0600,00001POUNDS OF LAUNDRY 36817,B100000,00000,0700,00001HOURS OF SERVICE 36817,B100000,00000,0800,00001MEALS SERVED 36817,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36817,B100000,00000,1000,00001COSTED REQUISITIO 36817,B100000,00000,1100,00001COSTED REQUISITIO 36817,B100000,00000,1200,00001TIME SPENT 36817,B100000,00000,1300,00001TIME SPENT 36817,B100000,00000,1400,00001ASSIGNED TIME 36817,E10A180,00301,0100,05/10/2000 36817,E10A180,00550,0100,06/14/2000 36817,S000000,00100,0200,05/31/2000 36817,S200000,00100,0100,830 PARK AVE 36817,S200000,00200,0100,HUNTINGTON 36817,S200000,00200,0200,NY 36817,S200000,00200,0300,11776 36817,S200000,00400,0100,CARILLON NURSING & REHAB CENTER 36817,S200000,00400,0200,335286 36817,S200000,00400,0300,01/01/1973 36817,S200000,00400,0500,P 36817,S200000,01500,0100,Y 36817,S200000,04200,0100,Y 36817,S200000,04300,0100,Y 36820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36820,A000000,00300,0000,00300EMPLOYEE BENEFITS 36820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36820,A000000,00700,0000,00700HOUSEKEEPING 36820,A000000,00800,0000,00800DIETARY 36820,A000000,00900,0000,00900NURSING ADMINISTRATION 36820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36820,A000000,01100,0000,01100PHARMACY 36820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36820,A000000,01300,0000,01300SOCIAL SERVICE 36820,A000000,01350,0000,01500OTHER GENERAL SERVICES 36820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36820,A000000,01600,0000,01600SKILLED NURSING FACILITY 36820,A000000,01810,0000,01810ICF/MR 36820,A000000,02100,0000,02100RADIOLOGY 36820,A000000,02200,0000,02200LABORATORY 36820,A000000,02500,0000,02500PHYSICAL THERAPY 36820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36820,A000000,02700,0000,02700SPEECH PATHOLOGY 36820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36820,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36820,A000000,03051,0000,03301CLINITRON 36820,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36820,A000000,03550,0000,03550FQHC 36820,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36820,A000000,04800,0000,04800AMBULANCE 36820,A000000,05000,0000,05000CORF 36820,A000000,05010,0000,05010CMHC 36820,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36820,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36820,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36820,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36820,B100000,00000,0100,00000SQUARE FEET 36820,B100000,00000,0200,00000DOLLAR VALUE 36820,B100000,00000,0300,00000GROSS SALARIES 36820,B100000,00000,0400,00000ACCUM. COST 36820,B100000,00000,0500,00000SQUARE FEET 36820,B100000,00000,0600,00000POUNDS OF LAUNDRY 36820,B100000,00000,0700,00000HOURS OF SERVICE 36820,B100000,00000,0800,00000MEALS SERVED 36820,B100000,00000,0900,00000HOURS OF SERVICE 36820,B100000,00000,1000,00000COSTED REQUIS. 36820,B100000,00000,1100,00000COSTED REQUIS. 36820,B100000,00000,1200,00000TIME SPENT 36820,B100000,00000,1300,00000TIME SPENT 36820,B100000,00000,1350,00000NO STATISTICS 36820,B100000,00000,1400,00000TIME SPENT 36820,E10A180,00301,0100,05/10/2000 36820,S000000,00100,0200,05/31/2000 36820,S200000,00100,0100,6585 BROADWAY 36820,S200000,00200,0100,BRONX 36820,S200000,00200,0200,NY 36820,S200000,00200,0300,10471 36820,S200000,00300,0100,BRONX 36820,S200000,00400,0100,PARKVIEW NURSING HOME 36820,S200000,00400,0200,335287 36820,S200000,00400,0300,12/31/1972 36820,S200000,00400,0500,P 36820,S200000,01500,0100,Y 36824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36824,A000000,00300,0000,00300EMPLOYEE BENEFITS 36824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36824,A000000,00700,0000,00700HOUSEKEEPING 36824,A000000,00800,0000,00800DIETARY 36824,A000000,00900,0000,00900NURSING ADMINISTRATION 36824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36824,A000000,01100,0000,01100PHARMACY 36824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36824,A000000,01300,0000,01300SOCIAL SERVICE 36824,A000000,01350,0000,01500ACTIVITIES 36824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36824,A000000,01600,0000,01600SKILLED NURSING FACILITY 36824,A000000,01810,0000,01810ICF/MR 36824,A000000,02100,0000,02100RADIOLOGY 36824,A000000,02200,0000,02200LABORATORY 36824,A000000,02300,0000,02300INTRAVENOUS THERAPY 36824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36824,A000000,02500,0000,02500PHYSICAL THERAPY 36824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36824,A000000,02700,0000,02700SPEECH PATHOLOGY 36824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36824,A000000,03200,0000,03200SUPPORT SURFACES 36824,A000000,03550,0000,03550FQHC 36824,A000000,05000,0000,05000CORF 36824,A000000,05010,0000,05010CMHC 36824,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36824,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36824,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36824,A000000,06150,0000,06300DENTAL 36824,A81000A,00100,0100,Y 36824,A81000B,00100,0300,DATA PROCESSING 36824,A81000B,00200,0300,LABOR 36824,A81000B,00300,0300,NONLABOR 36824,A81000B,00400,0300,EMPLOYEE BENEFIT 36824,A81000B,00500,0300,DEPRECIATION 36824,A81000B,00600,0300,OFFICE SERVICES 36824,A81000B,00700,0300,DIETARY LABOR 36824,A81000B,00800,0300,NURSING ADM LABOR 36824,A81000B,00900,0300,EMPLOYEE BENEFIT 36824,A81000C,00100,0100,A 36824,A81000C,00100,0200,E & J DICKER 36824,A81000C,00100,0600,DATA PROCESSING 36824,A81000C,00200,0100,A 36824,A81000C,00200,0200,E & J DICKER 36824,A81000C,00200,0600,OFFICE SERVICE 36824,B100000,00000,0100,00000SQUARE FEET 36824,B100000,00000,0200,00000SQUARE FEET 36824,B100000,00000,0300,00000GROSS SALARIES 36824,B100000,00000,0400,00000ACCUM COST 36824,B100000,00000,0500,00000SQUARE FEET 36824,B100000,00000,0600,00000POUNDS OF LAUNDRY 36824,B100000,00000,0700,00000HOURS OF SERVICE 36824,B100000,00000,0800,00000MEALS SERVED 36824,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36824,B100000,00000,1000,00000COSTED REQUISITIO 36824,B100000,00000,1100,00000COSTED REQUISITIO 36824,B100000,00000,1200,00000TIME SPENT 36824,B100000,00000,1300,00000TIME SPENT 36824,B100000,00000,1350,00000TIME SPENT 36824,B100000,00000,1400,00000ASSIGNED TIME 36824,E10A180,00301,0100,05/10/2000 36824,E10A180,00550,0100,06/07/2000 36824,S000000,00100,0200,05/31/2000 36824,S200000,00100,0100,2865 BRIGHTON 3RD STREET 36824,S200000,00200,0100,BROOKLYN 36824,S200000,00200,0200,NY 36824,S200000,00200,0300,11235 36824,S200000,00300,0100,KINGS 36824,S200000,00400,0100,SHORE VIEW NURSING HOME 36824,S200000,00400,0200,335288 36824,S200000,00400,0300,05/20/1969 36824,S200000,00400,0500,P 36824,S200000,01500,0100,Y 36827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36827,A000000,00300,0000,00300EMPLOYEE BENEFITS 36827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36827,A000000,00700,0000,00700HOUSEKEEPING 36827,A000000,00800,0000,00800DIETARY 36827,A000000,00900,0000,00900NURSING ADMINISTRATION 36827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36827,A000000,01100,0000,01100PHARMACY 36827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36827,A000000,01300,0000,01300SOCIAL SERVICE 36827,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36827,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36827,A000000,01600,0000,01600SKILLED NURSING FACILITY 36827,A000000,01810,0000,01810ICF/MR 36827,A000000,02100,0000,02100RADIOLOGY 36827,A000000,02200,0000,02200LABORATORY 36827,A000000,02500,0000,02500PHYSICAL THERAPY 36827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36827,A000000,02700,0000,02700SPEECH PATHOLOGY 36827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36827,A000000,03550,0000,03550FQHC 36827,A000000,05000,0000,05000CORF 36827,A000000,05010,0000,05010CMHC 36827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36827,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36827,A000000,06201,0000,06201DENTAL 36827,B100000,00000,0100,00000SQUARE FEET 36827,B100000,00000,0200,00000SQUARE FEET 36827,B100000,00000,0300,00000GROSS SALARIES 36827,B100000,00000,0400,00000ACCUM COST 36827,B100000,00000,0500,00000SQUARE FEET 36827,B100000,00000,0600,00000POUNDS OF LAUNDRY 36827,B100000,00000,0700,00000HOURS OF SERVICE 36827,B100000,00000,0800,00000MEALS SERVED 36827,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36827,B100000,00000,1000,00000COSTED REQUISITIO 36827,B100000,00000,1100,00000COSTED REQUISITIO 36827,B100000,00000,1200,00000TIME SPENT 36827,B100000,00000,1300,00000TIME SPENT 36827,B100000,00000,1301,00000PARTICIPAN 36827,B100000,00000,1350,00000 36827,B100000,00000,1400,00000ASSIGNED TIME 36827,E10A180,00301,0100,05/10/2000 36827,S000000,00100,0200,07/05/2000 36827,S200000,00100,0100,3457 NOSTRAND AVENUE 36827,S200000,00200,0100,BROOKLYN 36827,S200000,00200,0200,NEW YORK 36827,S200000,00200,0300,11229 36827,S200000,00300,0100,BROOKLYN 36827,S200000,00400,0100,CROWN NURSING HOME ASSOCIATES 36827,S200000,00400,0200,335290 36827,S200000,00400,0300,08/01/1969 36827,S200000,00400,0500,P 36827,S200000,01500,0100,Y 36837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36837,A000000,00300,0000,00300EMPLOYEE BENEFITS 36837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36837,A000000,00700,0000,00700HOUSEKEEPING 36837,A000000,00800,0000,00800DIETARY 36837,A000000,00900,0000,00900NURSING ADMINISTRATION 36837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36837,A000000,01100,0000,01100PHARMACY 36837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36837,A000000,01300,0000,01300SOCIAL SERVICE 36837,A000000,01350,0000,01500ACTIVITIES 36837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36837,A000000,01600,0000,01600SKILLED NURSING FACILITY 36837,A000000,01810,0000,01810ICF/MR 36837,A000000,02100,0000,02100RADIOLOGY 36837,A000000,02200,0000,02200LABORATORY 36837,A000000,02500,0000,02500PHYSICAL THERAPY 36837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36837,A000000,02700,0000,02700SPEECH PATHOLOGY 36837,A000000,02800,0000,02800ELECTROCARDIOLOGY 36837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36837,A000000,03550,0000,03550FQHC 36837,A000000,05000,0000,05000CORF 36837,A000000,05010,0000,05010CMHC 36837,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36837,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36837,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36837,A000000,05300,0000,05300INTEREST EXPENSE 36837,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36837,A000000,06150,0000,06300DENTAL 36837,B100000,00000,0100,00000SQUARE FEET 36837,B100000,00000,0200,00000SQUARE FEET 36837,B100000,00000,0300,00000GROSS SALARIES 36837,B100000,00000,0400,00000ACCUM COST 36837,B100000,00000,0500,00000SQUARE FEET 36837,B100000,00000,0600,00000POUNDS OF LAUNDRY 36837,B100000,00000,0700,00000HOURS OF SERVICE 36837,B100000,00000,0800,00000MEALS SERVED 36837,B100000,00000,0900,00000DIRECT NRSG HRS 36837,B100000,00000,1000,00000COSTED REQUIS 36837,B100000,00000,1100,00000COSTED REQUIS 36837,B100000,00000,1200,00000TIME SPENT 36837,B100000,00000,1300,00000TIME SPENT 36837,B100000,00000,1350,00000NUMBER OF PARTICIPAN 36837,B100000,00000,1400,00000ASSIGNED TIME 36837,E10A180,00301,0100,03/07/2000 36837,E10A180,00302,0100,04/07/2000 36837,S000000,00100,0200,06/02/2000 36837,S200000,00100,0100,3700 OLD VESTAL ROAD 36837,S200000,00200,0100,VESTAL 36837,S200000,00200,0200,NY 36837,S200000,00200,0300,13850 36837,S200000,00300,0100,BROOME 36837,S200000,00400,0100,WILLOW POINT NURSING FACILITY 36837,S200000,00400,0200,335291 36837,S200000,00400,0300,07/01/1969 36837,S200000,00400,0500,P 36837,S200000,01500,0100,Y 36837,S200000,02800,0100,Y 36840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36840,A000000,00300,0000,00300EMPLOYEE BENEFITS 36840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36840,A000000,00700,0000,00700HOUSEKEEPING 36840,A000000,00800,0000,00800DIETARY 36840,A000000,00900,0000,00900NURSING ADMINISTRATION 36840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36840,A000000,01100,0000,01100PHARMACY 36840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36840,A000000,01300,0000,01300SOCIAL SERVICE 36840,A000000,01350,0000,01500ACTIVITIES 36840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36840,A000000,01600,0000,01600SKILLED NURSING FACILITY 36840,A000000,01810,0000,01810ICF/MR 36840,A000000,02100,0000,02100RADIOLOGY 36840,A000000,02200,0000,02200LABORATORY 36840,A000000,02500,0000,02500PHYSICAL THERAPY 36840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36840,A000000,02700,0000,02700SPEECH PATHOLOGY 36840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36840,A000000,03550,0000,03550FQHC 36840,A000000,05000,0000,05000CORF 36840,A000000,05010,0000,05010CMHC 36840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36840,A000000,06150,0000,06300DENTAL 36840,B100000,00000,0100,00000SQUARE FEET 36840,B100000,00000,0200,00000SQUARE FEET 36840,B100000,00000,0300,00000GROSS SALARIES 36840,B100000,00000,0400,00000ACCUM COST 36840,B100000,00000,0500,00000SQUARE FEET 36840,B100000,00000,0600,00000POUNDS OF LAUNDRY 36840,B100000,00000,0700,00000HOURS OF SERVICE 36840,B100000,00000,0800,00000MEALS SERVED 36840,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36840,B100000,00000,1000,00000COSTED REQUISITIO 36840,B100000,00000,1100,00000COSTED REQUISITIO 36840,B100000,00000,1200,00000TIME SPENT 36840,B100000,00000,1300,00000TIME SPENT 36840,B100000,00000,1350,00000PATIENT DAYS 36840,B100000,00000,1400,00000ASSIGNED TIME 36840,E10A180,00301,0100,05/10/2000 36840,E10A180,00501,0300,06/07/2000 36840,E10A180,00550,0100,06/07/2000 36840,S000000,00100,0200,05/30/2000 36840,S200000,00100,0100,140 BEACH 114TH STREET 36840,S200000,00200,0100,ROCKAWAY PARK 36840,S200000,00200,0200,NY 36840,S200000,00200,0300,11694 36840,S200000,00300,0100,QUEENS 36840,S200000,00400,0100,PROMENADE NURSING HOME 36840,S200000,00400,0200,335292 36840,S200000,00400,0300,02/12/1970 36840,S200000,00400,0500,P 36840,S200000,01500,0100,Y 36848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36848,A000000,00300,0000,00300EMPLOYEE BENEFITS 36848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36848,A000000,00700,0000,00700HOUSEKEEPING 36848,A000000,00800,0000,00800DIETARY 36848,A000000,00801,0000,00801CAFETERIA 36848,A000000,00900,0000,00900NURSING ADMINISTRATION 36848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36848,A000000,01100,0000,01100PHARMACY 36848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36848,A000000,01300,0000,01300SOCIAL SERVICE 36848,A000000,01301,0000,01301ACTIVITIES 36848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36848,A000000,01600,0000,01600SKILLED NURSING FACILITY 36848,A000000,01810,0000,01810ICF/MR 36848,A000000,02500,0000,02500PHYSICAL THERAPY 36848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36848,A000000,02700,0000,02700SPEECH PATHOLOGY 36848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36848,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36848,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36848,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36848,A000000,03550,0000,03550FQHC 36848,A000000,05000,0000,05000CORF 36848,A000000,05010,0000,05010CMHC 36848,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36848,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36848,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36848,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36848,A000000,05901,0000,05901MEDICAL STAFF 36848,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36848,B100000,00000,0100,00000SQUARE FEET 36848,B100000,00000,0200,00000SQUARE FEET 36848,B100000,00000,0300,00000GROSS SALARIES 36848,B100000,00000,0400,00000ACCUM COST 36848,B100000,00000,0500,00000SQUARE FEET 36848,B100000,00000,0600,00000POUNDS OF LAUNDRY 36848,B100000,00000,0700,00000HOURS OF SERVICE 36848,B100000,00000,0800,00000MEALS SERVED 36848,B100000,00000,0801,00000TIME SPENT 36848,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36848,B100000,00000,1000,00000COSTED REQUISITIO 36848,B100000,00000,1100,00000COSTED REQUISITIO 36848,B100000,00000,1200,00000TIME SPENT 36848,B100000,00000,1300,00000TIME SPENT 36848,B100000,00000,1301,00000HOURS OF SERVICE 36848,B100000,00000,1400,00000ASSIGNED TIME 36848,S000000,00100,0200,07/10/2000 36848,S200000,00100,0100,FINNEY BLVD 36848,S200000,00200,0100,MALONE 36848,S200000,00200,0200,NEW YORK 36848,S200000,00200,0300,12953 36848,S200000,00300,0100,FRANKLIN 36848,S200000,00400,0100,FRANKLIN COUNTY NURSING HOME 36848,S200000,00400,0200,335293 36848,S200000,00400,0300,11/05/1969 36848,S200000,00400,0500,P 36848,S200000,01500,0100,Y 36852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36852,A000000,00300,0000,00300EMPLOYEE BENEFITS 36852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36852,A000000,00700,0000,00700HOUSEKEEPING 36852,A000000,00800,0000,00800DIETARY 36852,A000000,00900,0000,00900NURSING ADMINISTRATION 36852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36852,A000000,01100,0000,01100PHARMACY 36852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36852,A000000,01300,0000,01300SOCIAL SERVICE 36852,A000000,01350,0000,01500OTHER GENERAL SERVICES 36852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36852,A000000,01600,0000,01600SKILLED NURSING FACILITY 36852,A000000,01810,0000,01810ICF/MR 36852,A000000,02100,0000,02100RADIOLOGY 36852,A000000,02200,0000,02200LABORATORY 36852,A000000,02500,0000,02500PHYSICAL THERAPY 36852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36852,A000000,02700,0000,02700SPEECH PATHOLOGY 36852,A000000,02800,0000,02800ELECTROCARDIOLOGY 36852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36852,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36852,A000000,03051,0000,03301CLINITRON THERAPY 36852,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36852,A000000,03550,0000,03550FQHC 36852,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36852,A000000,05000,0000,05000CORF 36852,A000000,05010,0000,05010CMHC 36852,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36852,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36852,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36852,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36852,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36852,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36852,A81000A,00100,0100,Y 36852,A81000B,00100,0300,RENT 36852,A81000B,00200,0300,DEPRECIATION 36852,A81000C,00100,0100,A 36852,A81000C,00100,0200,GERALD NEUMAN 36852,A81000C,00100,0400,LONG ISLAND REALTY CO. 36852,B100000,00000,0100,00000SQUARE FEET 36852,B100000,00000,0200,00000DOLLAR VALUE 36852,B100000,00000,0300,00000GROSS SALARIES 36852,B100000,00000,0400,00000ACCUM. COST 36852,B100000,00000,0500,00000SQUARE FEET 36852,B100000,00000,0600,00000POUNDS OF LAUNDRY 36852,B100000,00000,0700,00000HOURS OF SERVICE 36852,B100000,00000,0800,00000MEALS SERVED 36852,B100000,00000,0900,00000HOURS OF SERVICE 36852,B100000,00000,1000,00000COSTED REQUIS. 36852,B100000,00000,1100,00000COSTED REQUIS. 36852,B100000,00000,1200,00000TIME SPENT 36852,B100000,00000,1300,00000TIME SPENT 36852,B100000,00000,1350,00000NO STATISTICS 36852,B100000,00000,1400,00000TIME SPENT 36852,E10A180,00301,0100,05/12/2000 36852,S000000,00100,0200,05/31/2000 36852,S200000,00100,0100,144-61 38TH AVE. 36852,S200000,00200,0100,FLUSHING 36852,S200000,00200,0200,NY 36852,S200000,00200,0300,11354 36852,S200000,00300,0100,QUEENS 36852,S200000,00400,0100,LONG ISLAND CARE CENTER INC. 36852,S200000,00400,0200,335294 36852,S200000,00400,0300,10/15/1969 36852,S200000,00400,0500,P 36852,S200000,01500,0100,Y 36860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36860,A000000,00300,0000,00300EMPLOYEE BENEFITS 36860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36860,A000000,00700,0000,00700HOUSEKEEPING 36860,A000000,00800,0000,00800DIETARY 36860,A000000,00900,0000,00900NURSING ADMINISTRATION 36860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36860,A000000,01100,0000,01100PHARMACY 36860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36860,A000000,01300,0000,01300SOCIAL SERVICE 36860,A000000,01350,0000,01500ACTIVITIES 36860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36860,A000000,01600,0000,01600SKILLED NURSING FACILITY 36860,A000000,01810,0000,01810ICF/MR 36860,A000000,02100,0000,02100RADIOLOGY 36860,A000000,02200,0000,02200LABORATORY 36860,A000000,02500,0000,02500PHYSICAL THERAPY 36860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36860,A000000,02700,0000,02700SPEECH PATHOLOGY 36860,A000000,02800,0000,02800ELECTROCARDIOLOGY 36860,A000000,03550,0000,03550FQHC 36860,A000000,04750,0000,05100PHYSICIANS 36860,A000000,05000,0000,05000CORF 36860,A000000,05010,0000,05010CMHC 36860,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36860,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36860,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36860,A000000,06101,0000,06101ADULT DAY CARE 36860,A000000,06150,0000,06300DENTAL 36860,A000000,06201,0000,06201AUDIOLOGY 36860,B100000,00000,0100,00000SQUARE FEET 36860,B100000,00000,0200,00000SQUARE FEET 36860,B100000,00000,0300,00000GROSS SALARIES 36860,B100000,00000,0400,00000ACCUM COST 36860,B100000,00000,0500,00000SQUARE FEET 36860,B100000,00000,0600,00000POUNDS OF LAUNDRY 36860,B100000,00000,0700,00000HOURS OF SERVICE 36860,B100000,00000,0800,00000MEALS SERVED 36860,B100000,00000,0900,00000DIRECT NRSG HRS 36860,B100000,00000,1000,00000COSTED REQUIS 36860,B100000,00000,1100,00000COSTED REQUIS 36860,B100000,00000,1200,00000TIME SPENT 36860,B100000,00000,1300,00000TIME SPENT 36860,B100000,00000,1350,00000# OF PARTI 36860,B100000,00000,1400,00000ASSIGNED TIME 36860,E10A180,00301,0100,05/10/2000 36860,E10A180,00350,0100,01/18/2000 36860,E10A180,00550,0100,06/15/2000 36860,S000000,00100,0200,06/15/2000 36860,S200000,00100,0100,845 PALMER AVENUE 36860,S200000,00200,0100,MAMARONECK 36860,S200000,00200,0200,NY 36860,S200000,00200,0300,10543 36860,S200000,00300,0100,WESTCHESTER 36860,S200000,00400,0100,SRN CORPORATION 36860,S200000,00400,0200,335296 36860,S200000,00400,0300,12/10/1991 36860,S200000,00400,0500,P 36860,S200000,01500,0100,Y 36860,S200000,01900,0100,FREESTANDING 36860,S200000,03300,0100,Y 36860,S200000,03300,0200,Y 36860,S200000,04600,0100,Y 36867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36867,A000000,00300,0000,00300EMPLOYEE BENEFITS 36867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36867,A000000,00700,0000,00700HOUSEKEEPING 36867,A000000,00800,0000,00800DIETARY 36867,A000000,00900,0000,00900NURSING ADMINISTRATION 36867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36867,A000000,01100,0000,01100PHARMACY 36867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36867,A000000,01300,0000,01300SOCIAL SERVICE 36867,A000000,01350,0000,01500ACTIVITIES 36867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36867,A000000,01600,0000,01600SKILLED NURSING FACILITY 36867,A000000,01810,0000,01810ICF/MR 36867,A000000,02500,0000,02500PHYSICAL THERAPY 36867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36867,A000000,02700,0000,02700SPEECH PATHOLOGY 36867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36867,A000000,03550,0000,03550FQHC 36867,A000000,05000,0000,05000CORF 36867,A000000,05010,0000,05010CMHC 36867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36867,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36867,A000000,05300,0000,05300INTEREST EXPENSE 36867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36867,A000000,06150,0000,06300DENTAL SERVICES 36867,A81000A,00100,0100,Y 36867,A81000B,00100,0300,MANAGEMENT FEES 36867,A81000B,00200,0300,SALARIES & REL. WAGE 36867,A81000B,00300,0300,MANAGEMENT FEES 36867,A81000B,00400,0300,AUTO LEASING 36867,A81000B,00500,0300,AUTO INSURANCE 36867,A81000B,00600,0300,OFFICE 36867,A81000B,00700,0300,TELEPHONE 36867,A81000B,00800,0300,DEPRECIATION 36867,A81000C,00100,0100,D 36867,A81000C,00100,0200,A. PUTTERMAN 36867,A81000C,00100,0400,SNF MANAGEMENT 36867,A81000C,00100,0600,MANAGEMENT SERV 36867,A81000C,00200,0100,D 36867,A81000C,00200,0200,D. PUTTERMAN 36867,A81000C,00200,0400,SNF MANAGEMENT 36867,A81000C,00200,0600,MANAGEMENT SERV 36867,A81000C,00300,0100,D 36867,A81000C,00300,0200,P. PUTTERMAN 36867,B100000,00000,0100,00000SQUARE FEET 36867,B100000,00000,0200,00000SQUARE FEET 36867,B100000,00000,0300,00000GROSS SALARIES 36867,B100000,00000,0400,00000ACCUM COST 36867,B100000,00000,0500,00000SQUARE FEET 36867,B100000,00000,0600,00000POUNDS OF LAUNDRY 36867,B100000,00000,0700,00000HOURS OF SERVICE 36867,B100000,00000,0800,00000MEALS SERVED 36867,B100000,00000,0900,00000DIRECT NRSG HRS 36867,B100000,00000,1000,00000COSTED REQUIS 36867,B100000,00000,1100,00000COSTED REQUIS 36867,B100000,00000,1200,00000TIME SPENT 36867,B100000,00000,1300,00000TIME SPENT 36867,B100000,00000,1350,00000NO. OF PARTICIPAN 36867,B100000,00000,1400,00000ASSIGNED TIME 36867,E10A180,00301,0100,09/03/1999 36867,E10A180,00302,0100,05/10/2000 36867,S000000,00100,0200,06/09/2000 36867,S200000,00100,0100,41 MAINE AVENUE 36867,S200000,00200,0100,ROCKVILLE CENTER 36867,S200000,00200,0200,NY 36867,S200000,00200,0300,11570 36867,S200000,00300,0100,NASSAU 36867,S200000,00400,0100,ROCKVILLE NURSING HOME 36867,S200000,00400,0200,335297 36867,S200000,00400,0300,12/08/1969 36867,S200000,00400,0500,P 36867,S200000,01500,0100,Y 36871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36871,A000000,00300,0000,00300EMPLOYEE BENEFITS 36871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36871,A000000,00700,0000,00700HOUSEKEEPING 36871,A000000,00800,0000,00800DIETARY 36871,A000000,00900,0000,00900NURSING ADMINISTRATION 36871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36871,A000000,01100,0000,01100PHARMACY 36871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36871,A000000,01300,0000,01300SOCIAL SERVICE 36871,A000000,01350,0000,01500OTHER GENERAL SERVICES 36871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36871,A000000,01600,0000,01600SKILLED NURSING FACILITY 36871,A000000,01810,0000,01810ICF/MR 36871,A000000,02100,0000,02100RADIOLOGY 36871,A000000,02200,0000,02200LABORATORY 36871,A000000,02500,0000,02500PHYSICAL THERAPY 36871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36871,A000000,02700,0000,02700SPEECH PATHOLOGY 36871,A000000,02800,0000,02800ELECTROCARDIOLOGY 36871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36871,A000000,03550,0000,03550FQHC 36871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36871,A000000,05000,0000,05000CORF 36871,A000000,05010,0000,05010CMHC 36871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36871,B100000,00000,0100,00000SQUARE FEET 36871,B100000,00000,0200,00000DOLLAR VALUE 36871,B100000,00000,0300,00000GROSS SALARIES 36871,B100000,00000,0400,00000ACCUM. COST 36871,B100000,00000,0500,00000SQUARE FEET 36871,B100000,00000,0600,00000POUNDS OF LAUNDRY 36871,B100000,00000,0700,00000HOURS OF SERVICE 36871,B100000,00000,0800,00000MEALS SERVED 36871,B100000,00000,0900,00000HOURS OF SERVICE 36871,B100000,00000,1000,00000COSTED REQUIS. 36871,B100000,00000,1100,00000COSTED REQUIS. 36871,B100000,00000,1200,00000TIME SPENT 36871,B100000,00000,1300,00000TIME SPENT 36871,B100000,00000,1350,00000NO STATISTICS 36871,B100000,00000,1400,00000TIME SPENT 36871,E10A180,00301,0100,05/10/2000 36871,S000000,00100,0200,05/31/2000 36871,S200000,00100,0100,1.444 36871,S200000,00200,0100,GLEN OAKS 36871,S200000,00200,0200,NY 36871,S200000,00200,0300,11004 36871,S200000,00300,0100,QUEENS 36871,S200000,00400,0100,NEW GLEN OAKS NURSING HOME 36871,S200000,00400,0200,335299 36871,S200000,00400,0300,10/01/1970 36871,S200000,00400,0500,P 36871,S200000,01500,0100,Y 36879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36879,A000000,00300,0000,00300EMPLOYEE BENEFITS 36879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36879,A000000,00700,0000,00700HOUSEKEEPING 36879,A000000,00800,0000,00800DIETARY 36879,A000000,00900,0000,00900NURSING ADMINISTRATION 36879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36879,A000000,01100,0000,01100PHARMACY 36879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36879,A000000,01300,0000,01300SOCIAL SERVICE 36879,A000000,01350,0000,01500OTHER GENERAL SERVICES 36879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36879,A000000,01600,0000,01600SKILLED NURSING FACILITY 36879,A000000,01810,0000,01810ICF/MR 36879,A000000,02500,0000,02500PHYSICAL THERAPY 36879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36879,A000000,02700,0000,02700SPEECH PATHOLOGY 36879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36879,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36879,A000000,03450,0000,03600ADULT DAY CARE 36879,A000000,03550,0000,03550FQHC 36879,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36879,A000000,05000,0000,05000CORF 36879,A000000,05010,0000,05010CMHC 36879,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36879,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36879,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36879,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36879,A000000,05300,0000,05300INTEREST EXPENSE 36879,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36879,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36879,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36879,A000000,06151,0000,06301DENTAL 36879,B100000,00000,0100,00001SQUARE FEET 36879,B100000,00000,0200,00001SQUARE FEET 36879,B100000,00000,0300,00001GROSS SALARIES 36879,B100000,00000,0400,00001ACCUM. COST 36879,B100000,00000,0500,00001SQUARE FEET 36879,B100000,00000,0600,00001POUNDS OF LAUNDRY 36879,B100000,00000,0700,00001HOURS OF SERVICE 36879,B100000,00000,0800,00001MEALS SERVED 36879,B100000,00000,0900,00001DIRECT NRSING HRS 36879,B100000,00000,1000,00001COSTED REQUIS. 36879,B100000,00000,1100,00001COSTED REQUIS. 36879,B100000,00000,1200,00001TIME SPENT 36879,B100000,00000,1300,00001TIME SPENT 36879,B100000,00000,1350,00001NO STATISTICS 36879,B100000,00000,1400,00001ASSIGNED TIME 36879,E10A180,00301,0100,05/10/2000 36879,S000000,00100,0200,05/18/2000 36879,S200000,00100,0100,319 UPPER BROADWAY 36879,S200000,00200,0100,FORT EDWARD 36879,S200000,00200,0200,NY 36879,S200000,00200,0300,12828 36879,S200000,00300,0100,WASHINGTON 36879,S200000,00400,0100,FORT HUDSON NURSING HOME INC. 36879,S200000,00400,0200,335300 36879,S200000,00400,0300,01/01/1970 36879,S200000,00400,0500,P 36879,S200000,01500,0100,Y 36887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36887,A000000,00300,0000,00300EMPLOYEE BENEFITS 36887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36887,A000000,00700,0000,00700HOUSEKEEPING 36887,A000000,00800,0000,00800DIETARY 36887,A000000,00900,0000,00900NURSING ADMINISTRATION 36887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36887,A000000,01100,0000,01100PHARMACY 36887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36887,A000000,01300,0000,01300SOCIAL SERVICE 36887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36887,A000000,01600,0000,01600SKILLED NURSING FACILITY 36887,A000000,01810,0000,01810ICF/MR 36887,A000000,02100,0000,02100RADIOLOGY 36887,A000000,02200,0000,02200LABORATORY 36887,A000000,02500,0000,02500PHYSICAL THERAPY 36887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36887,A000000,02700,0000,02700SPEECH PATHOLOGY 36887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36887,A000000,03550,0000,03550FQHC 36887,A000000,04800,0000,04800AMBULANCE 36887,A000000,05000,0000,05000CORF 36887,A000000,05010,0000,05010CMHC 36887,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36887,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36887,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36887,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36887,A000000,06150,0000,06300ADULT DAY CARE 36887,A000000,06151,0000,06301DENTAL 36887,A81000A,00100,0100,Y 36887,A81000B,00100,0300,RENT 36887,A81000B,00200,0300,MORTG INT 36887,A81000B,00300,0300,RE TAXES 36887,A81000B,00400,0300,DEPRECIATION 36887,A81000B,00500,0300,INSURANCE 36887,A81000B,00600,0300,MISC 36887,A81000B,00700,0300,AMORTIZATION 36887,A81000B,00800,0300,INTEREST 36887,A81000B,00900,0300,LEGAL 36887,A81000B,01000,0300,STP SERVICE CONTRACT 36887,A81000C,00100,0100,A 36887,A81000C,00100,0400,SJNH REALTY COR 36887,B100000,00000,0100,00001SQUARE FEET 36887,B100000,00000,0200,00001SQUARE FEET 36887,B100000,00000,0300,00001GROSS SALARIES 36887,B100000,00000,0400,00001ACCUM COST 36887,B100000,00000,0500,00001SQUARE FEET 36887,B100000,00000,0600,00001POUNDS OF LAUNDRY 36887,B100000,00000,0700,00001HOURS OF SERVICE 36887,B100000,00000,0800,00001MEALS SERVED 36887,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36887,B100000,00000,1000,00001COSTED REQUISITIO 36887,B100000,00000,1100,00001COSTED REQUISITIO 36887,B100000,00000,1200,00001TIME SPENT 36887,B100000,00000,1300,00001TIME SPENT 36887,B100000,00000,1400,00001ASSIGNED TIME 36887,E10A180,00301,0100,09/15/1999 36887,E10A180,00302,0100,05/10/2000 36887,E10A180,00550,0100,06/07/2000 36887,S000000,00100,0200,06/01/2000 36887,S200000,00100,0100,275 MORICHES ROAD 36887,S200000,00200,0100,ST. JAMES 36887,S200000,00200,0200,NY 36887,S200000,00200,0300,11780 36887,S200000,00300,0100,SUFFOLK 36887,S200000,00400,0100,ST. JAMES HEALTHCARE CENTER 36887,S200000,00400,0200,335301 36887,S200000,00400,0300,01/29/1970 36887,S200000,00400,0500,P 36887,S200000,01500,0100,Y 36887,S200000,04300,0100,Y 36896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36896,A000000,00300,0000,00300EMPLOYEE BENEFITS 36896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36896,A000000,00700,0000,00700HOUSEKEEPING 36896,A000000,00800,0000,00800DIETARY 36896,A000000,00900,0000,00900NURSING ADMINISTRATION 36896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36896,A000000,01100,0000,01100PHARMACY 36896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36896,A000000,01300,0000,01300SOCIAL SERVICE 36896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36896,A000000,01600,0000,01600SKILLED NURSING FACILITY 36896,A000000,01810,0000,01810ICF/MR 36896,A000000,02100,0000,02100RADIOLOGY 36896,A000000,02200,0000,02200LABORATORY 36896,A000000,02500,0000,02500PHYSICAL THERAPY 36896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36896,A000000,02700,0000,02700SPEECH PATHOLOGY 36896,A000000,02800,0000,02800ELECTROCARDIOLOGY 36896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36896,A000000,03550,0000,03550FQHC 36896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 36896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36896,A000000,05000,0000,05000CORF 36896,A000000,05010,0000,05010CMHC 36896,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36896,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36896,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36896,B100000,00000,0100,00040SQ. FT. 1 36896,B100000,00000,0200,00040DOLLAR VALUE 36896,B100000,00000,0300,00040GROSS SALARIES 36896,B100000,00000,0400,00040ACCUMMOLAT COST 36896,B100000,00000,0500,00040SQ. FR. 2 36896,B100000,00000,0600,00040POUNG LAUNDRY 36896,B100000,00000,0700,00040HOUR OF SERVICE 36896,B100000,00000,0800,00040MEALS SERVE 36896,B100000,00000,0900,00040SPUNS OF NURS TIME 36896,B100000,00000,1000,00040NUMBER OF REQUEST 36896,B100000,00000,1100,00040COSTED REQUESITIO 36896,B100000,00000,1200,00040%OF TIME SPENT 36896,B100000,00000,1300,00040TIME SPENT 36896,B100000,00000,1400,00040ASSIGNED TIME 36896,E10A180,00301,0100,05/10/2000 36896,E10A180,00350,0100,09/22/1999 36896,H510100,00000,0000,5600 36896,H510100,02400,0000,5600 36896,H710000,00301,0100,10/19/1999 36896,H710000,00550,0100,12/05/2000 36896,S000000,00100,0200,09/06/2000 36896,S200000,00100,0100,542 E. 5TH STREET 36896,S200000,00200,0100,NEW YORK 36896,S200000,00200,0200,NY 36896,S200000,00200,0300,10009 36896,S200000,00300,0100,MANHATTAN 36896,S200000,00400,0100,CABRINI CENTER FOR NURSING & REHAB 36896,S200000,00400,0200,335302 36896,S200000,00400,0300,01/01/1973 36896,S200000,00400,0500,P 36896,S200000,00800,0200,337412 36896,S200000,00800,0300,01/16/1997 36896,S200000,00800,0500,P 36896,S200000,01500,0100,Y 36896,S200000,01900,0100,VOLUNTAARY NONPROFIT OTHER 36896,S200000,02200,0100,Y 36896,S200000,03300,0100,Y 36896,S200000,03300,0200,Y 36896,S200000,03700,0100,Y 36896,S200000,03700,0200,Y 36896,S200000,04300,0100,Y 36896,S410002,01300,0000,OTHER HOME HEALTH SERVICES 36903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36903,A000000,00300,0000,00300EMPLOYEE BENEFITS 36903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36903,A000000,00700,0000,00700HOUSEKEEPING 36903,A000000,00800,0000,00800DIETARY 36903,A000000,00900,0000,00900NURSING ADMINISTRATION 36903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36903,A000000,01100,0000,01100PHARMACY 36903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36903,A000000,01300,0000,01300SOCIAL SERVICE 36903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36903,A000000,01600,0000,01600SKILLED NURSING FACILITY 36903,A000000,01810,0000,01810ICF/MR 36903,A000000,02100,0000,02100RADIOLOGY 36903,A000000,02200,0000,02200LABORATORY 36903,A000000,02500,0000,02500PHYSICAL THERAPY 36903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36903,A000000,02700,0000,02700SPEECH PATHOLOGY 36903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36903,A000000,03550,0000,03550FQHC 36903,A000000,05000,0000,05000CORF 36903,A000000,05010,0000,05010CMHC 36903,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36903,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36903,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36903,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36903,A000000,06151,0000,06301DENTAL 36903,B100000,00000,0100,00001SQUARE FEET 36903,B100000,00000,0200,00001SQUARE FEET 36903,B100000,00000,0300,00001GROSS SALARIES 36903,B100000,00000,0400,00001ACCUM COST 36903,B100000,00000,0500,00001SQUARE FEET 36903,B100000,00000,0600,00001POUNDS OF LAUNDRY 36903,B100000,00000,0700,00001HOURS OF SERVICE 36903,B100000,00000,0800,00001MEALS SERVED 36903,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36903,B100000,00000,1000,00001COSTED REQUISITIO 36903,B100000,00000,1100,00001COSTED REQUISITIO 36903,B100000,00000,1200,00001TIME SPENT 36903,B100000,00000,1300,00001TIME SPENT 36903,B100000,00000,1400,00001ASSIGNED TIME 36903,E10A180,00301,0100,05/10/2000 36903,S000000,00100,0200,06/01/2000 36903,S200000,00100,0100,2600 MAIN STREET 36903,S200000,00200,0100,NIAGARA FALLS 36903,S200000,00200,0200,NY 36903,S200000,00200,0300,14306 36903,S200000,00300,0100,NIAGARA 36903,S200000,00400,0100,MOUNT ST. MARYS LTC FACILITY 36903,S200000,00400,0200,335303 36903,S200000,00400,0300,03/01/1970 36903,S200000,00400,0500,P 36911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36911,A000000,00300,0000,00300EMPLOYEE BENEFITS 36911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36911,A000000,00700,0000,00700HOUSEKEEPING 36911,A000000,00800,0000,00800DIETARY 36911,A000000,00900,0000,00900NURSING ADMINISTRATION 36911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36911,A000000,01100,0000,01100PHARMACY 36911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36911,A000000,01300,0000,01300SOCIAL SERVICE 36911,A000000,01350,0000,01500OTHER GENERAL SERVICES 36911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36911,A000000,01600,0000,01600SKILLED NURSING FACILITY 36911,A000000,01810,0000,01810ICF/MR 36911,A000000,02500,0000,02500PHYSICAL THERAPY 36911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36911,A000000,02700,0000,02700SPEECH PATHOLOGY 36911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36911,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36911,A000000,03200,0000,03200SUPPORT SURFACES 36911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36911,A000000,03550,0000,03550FQHC 36911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36911,A000000,05000,0000,05000CORF 36911,A000000,05010,0000,05010CMHC 36911,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36911,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36911,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36911,B100000,00000,0100,00000SQUARE FEET 36911,B100000,00000,0200,00000SQUARE FEET 36911,B100000,00000,0300,00000GROSS SALARIES 36911,B100000,00000,0400,00000ACCUM. COST 36911,B100000,00000,0500,00000SQUARE FEET 36911,B100000,00000,0600,00000POUNDS OF LAUNDRY 36911,B100000,00000,0700,00000HOURS OF SERVICE 36911,B100000,00000,0800,00000MEALS SERVED 36911,B100000,00000,0900,00000HOURS OF SERVICE 36911,B100000,00000,1000,00000COSTEDREQU UISITIONS 36911,B100000,00000,1100,00000COSTED REQUSITION 36911,B100000,00000,1200,00000TIME SPENT 36911,B100000,00000,1300,00000TIME SPENT 36911,B100000,00000,1350,00000NO STATISTICS 36911,B100000,00000,1400,00000ASSIGNED TIME 36911,E10A180,00301,0100,05/10/2000 36911,E10A180,00350,0100,09/08/1999 36911,S000000,00100,0200,06/21/2000 36911,S200000,00100,0100,152 SHERMAN AVE. 36911,S200000,00200,0100,GLENS FALLS 36911,S200000,00200,0200,NY 36911,S200000,00200,0300,12801 36911,S200000,00300,0100,WARREN 36911,S200000,00400,0100,HALLMARK NURSING CENTRE -GLENS FALLS 36911,S200000,00400,0200,335306 36911,S200000,00400,0300,05/01/1970 36911,S200000,00400,0500,P 36911,S200000,01500,0100,Y 36920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36920,A000000,00300,0000,00300EMPLOYEE BENEFITS 36920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36920,A000000,00700,0000,00700HOUSEKEEPING 36920,A000000,00800,0000,00800DIETARY 36920,A000000,00900,0000,00900NURSING ADMINISTRATION 36920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36920,A000000,01100,0000,01100PHARMACY 36920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36920,A000000,01300,0000,01300SOCIAL SERVICE 36920,A000000,01350,0000,01500ACTIVITIES 36920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36920,A000000,01600,0000,01600SKILLED NURSING FACILITY 36920,A000000,01810,0000,01810ICF/MR 36920,A000000,02100,0000,02100RADIOLOGY 36920,A000000,02200,0000,02200LABORATORY 36920,A000000,02500,0000,02500PHYSICAL THERAPY 36920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36920,A000000,02700,0000,02700SPEECH PATHOLOGY 36920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36920,A000000,03550,0000,03550FQHC 36920,A000000,05000,0000,05000CORF 36920,A000000,05010,0000,05010CMHC 36920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36920,A000000,06201,0000,06201DENTAL 36920,A000000,06202,0000,06202OTHER NONREIMBURSABLE COST CENT 36920,B100000,00000,0100,00002SQUARE FEET 36920,B100000,00000,0200,00002SQUARE FEET 36920,B100000,00000,0300,00002GROSS SAL 36920,B100000,00000,0400,00002ACCUM. COST 36920,B100000,00000,0500,00002SQUARE FEET 36920,B100000,00000,0600,00002LBS OF LAUNDRU 36920,B100000,00000,0700,00002HOUSEKEEP TIME 36920,B100000,00000,0800,00002MEALS SERVED 36920,B100000,00000,0900,00002NURSING ADMIN HRS 36920,B100000,00000,1000,00002CENTRAL SUPPLY RE 36920,B100000,00000,1100,00002DRUGS 36920,B100000,00000,1200,00002MEDICAL RECORDS T 36920,B100000,00000,1300,00002SOCIAL SERVICES 36920,B100000,00000,1350,00002#OF PARTICIPAN 36920,B100000,00000,1400,00002BLANK 36920,E10A180,00301,0100,05/10/2000 36920,S000000,00100,0200,05/31/2000 36920,S200000,00100,0100,7002 MT. WASHINGTON ROAD 36920,S200000,00200,0100,BATH 36920,S200000,00200,0200,NY 36920,S200000,00200,0300,14810 36920,S200000,00300,0100,STEUBEN 36920,S200000,00400,0100,STEUBEN COUNTY HEALTH CARE FACILITY 36920,S200000,00400,0200,335309 36920,S200000,00400,0300,07/15/1970 36920,S200000,00400,0500,P 36920,S200000,01500,0100,Y 36920,S200000,02800,0100,Y 36920,S200000,04300,0100,Y 36923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36923,A000000,00300,0000,00300EMPLOYEE BENEFITS 36923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36923,A000000,00700,0000,00700HOUSEKEEPING 36923,A000000,00800,0000,00800DIETARY 36923,A000000,00900,0000,00900NURSING ADMINISTRATION 36923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36923,A000000,01100,0000,01100PHARMACY 36923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36923,A000000,01300,0000,01300SOCIAL SERVICE 36923,A000000,01350,0000,01500OTHER GENERAL SERVICES 36923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36923,A000000,01600,0000,01600SKILLED NURSING FACILITY 36923,A000000,01810,0000,01810ICF/MR 36923,A000000,02100,0000,02100RADIOLOGY 36923,A000000,02200,0000,02200LABORATORY 36923,A000000,02500,0000,02500PHYSICAL THERAPY 36923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36923,A000000,02700,0000,02700SPEECH PATHOLOGY 36923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36923,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36923,A000000,03201,0000,03201CLINITRN THERAPY 36923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36923,A000000,03550,0000,03550FQHC 36923,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36923,A000000,05000,0000,05000CORF 36923,A000000,05010,0000,05010CMHC 36923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36923,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36923,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 36923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36923,A000000,06151,0000,06301ADULT DAY CARE 36923,B100000,00000,0100,00001SQUARE FEET 36923,B100000,00000,0200,00001DOLLAR VALUE 36923,B100000,00000,0300,00001GROSS SALARIES 36923,B100000,00000,0400,00001ACCUM. COST 36923,B100000,00000,0500,00001SQUARE FEET 36923,B100000,00000,0600,00001POUNDS OF LAUNDRY 36923,B100000,00000,0700,00001HOURS OF SERVICE 36923,B100000,00000,0800,00001MEALS SERVED 36923,B100000,00000,0900,00001HOURS OF SERVICE 36923,B100000,00000,1000,00001COSTED REQUIS. 36923,B100000,00000,1100,00001COSTED REQUIS. 36923,B100000,00000,1200,00001TIME SPENT 36923,B100000,00000,1300,00001TIME SPENT 36923,B100000,00000,1350,00001NO STATISTICS 36923,B100000,00000,1400,00001TIME SPENT 36923,E10A180,00301,0100,05/10/2000 36923,S000000,00100,0200,06/01/2000 36923,S200000,00100,0100,71-20 110TH STREET 36923,S200000,00200,0100,FOREST HILLS 36923,S200000,00200,0200,NY 36923,S200000,00200,0300,11375 36923,S200000,00300,0100,QUEENS 36923,S200000,00400,0100,FOREST VIEW NURSING HOME 36923,S200000,00400,0200,335310 36923,S200000,00400,0300,10/28/1970 36923,S200000,00400,0500,P 36923,S200000,01500,0100,Y 36930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36930,A000000,00300,0000,00300EMPLOYEE BENEFITS 36930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36930,A000000,00700,0000,00700HOUSEKEEPING 36930,A000000,00800,0000,00800DIETARY 36930,A000000,00900,0000,00900NURSING ADMINISTRATION 36930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36930,A000000,01100,0000,01100PHARMACY 36930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36930,A000000,01300,0000,01300SOCIAL SERVICE 36930,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 36930,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 36930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36930,A000000,01600,0000,01600SKILLED NURSING FACILITY 36930,A000000,01810,0000,01810ICF/MR 36930,A000000,02100,0000,02100RADIOLOGY 36930,A000000,02200,0000,02200LABORATORY 36930,A000000,02500,0000,02500PHYSICAL THERAPY 36930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36930,A000000,02700,0000,02700SPEECH PATHOLOGY 36930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36930,A000000,03550,0000,03550FQHC 36930,A000000,05000,0000,05000CORF 36930,A000000,05010,0000,05010CMHC 36930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36930,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36930,A000000,06201,0000,06201DENTAL 36930,B100000,00000,0100,00000SQUARE FEET 36930,B100000,00000,0200,00000SQUARE FEET 36930,B100000,00000,0300,00000GROSS SALARIES 36930,B100000,00000,0400,00000ACCUM COST 36930,B100000,00000,0500,00000SQUARE FEET 36930,B100000,00000,0600,00000POUNDS OF LAUNDRY 36930,B100000,00000,0700,00000HOURS OF SERVICE 36930,B100000,00000,0800,00000MEALS SERVED 36930,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36930,B100000,00000,1000,00000COSTED REQUISITIO 36930,B100000,00000,1100,00000COSTED REQUISITIO 36930,B100000,00000,1200,00000TIME SPENT 36930,B100000,00000,1300,00000TIME SPENT 36930,B100000,00000,1301,00000PARTICIPAN 36930,B100000,00000,1350,00000 36930,B100000,00000,1400,00000ASSIGNED TIME 36930,E10A180,00301,0100,05/10/2000 36930,E10A180,00350,0100,09/02/1999 36930,S000000,00100,0200,06/27/2000 36930,S200000,00100,0100,100 LAKE ROAD 36930,S200000,00100,0300,319 36930,S200000,00200,0100,VALLEY COTTAGE 36930,S200000,00200,0200,NEW YORK 36930,S200000,00200,0300,10989 36930,S200000,00300,0100,ROCKLAND 36930,S200000,00400,0100,TOLSTOY FOUNDATION NURSING HOME 36930,S200000,00400,0200,335311 36930,S200000,00400,0300,10/05/1970 36930,S200000,00400,0500,P 36930,S200000,01500,0100,Y 36939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36939,A000000,00300,0000,00300EMPLOYEE BENEFITS 36939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36939,A000000,00700,0000,00700HOUSEKEEPING 36939,A000000,00800,0000,00800DIETARY 36939,A000000,00900,0000,00900NURSING ADMINISTRATION 36939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36939,A000000,01100,0000,01100PHARMACY 36939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36939,A000000,01300,0000,01300SOCIAL SERVICE 36939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36939,A000000,01600,0000,01600SKILLED NURSING FACILITY 36939,A000000,01810,0000,01810ICF/MR 36939,A000000,02100,0000,02100RADIOLOGY 36939,A000000,02200,0000,02200LABORATORY 36939,A000000,02500,0000,02500PHYSICAL THERAPY 36939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36939,A000000,02700,0000,02700SPEECH PATHOLOGY 36939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36939,A000000,03550,0000,03550FQHC 36939,A000000,05000,0000,05000CORF 36939,A000000,05010,0000,05010CMHC 36939,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36939,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36939,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36939,A000000,06101,0000,06101PSYCHIATRIST 36939,A000000,06150,0000,06300ADULT DAY CARE 36939,A000000,06151,0000,06301DENTAL 36939,B100000,00000,0100,00001SQUARE FEET 36939,B100000,00000,0200,00001SQUARE FEET 36939,B100000,00000,0300,00001GROSS SALARIES 36939,B100000,00000,0400,00001ACCUM COST 36939,B100000,00000,0500,00001SQUARE FEET 36939,B100000,00000,0600,00001POUNDS OF LAUNDRY 36939,B100000,00000,0700,00001HOURS OF SERVICE 36939,B100000,00000,0800,00001MEALS SERVED 36939,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36939,B100000,00000,1000,00001COSTED REQUISITIO 36939,B100000,00000,1100,00001COSTED REQUISITIO 36939,B100000,00000,1200,00001TIME SPENT 36939,B100000,00000,1300,00001TIME SPENT 36939,B100000,00000,1400,00001ASSIGNED TIME 36939,E10A180,00301,0100,01/18/2000 36939,E10A180,00302,0100,05/10/2000 36939,S000000,00100,0200,06/01/2000 36939,S200000,00100,0100,1000 HIGH STREET 36939,S200000,00200,0100,PORTCHESTER 36939,S200000,00200,0200,NY 36939,S200000,00200,0300,10573 36939,S200000,00300,0100,WESTCHESTER 36939,S200000,00400,0100,PORT CHESTER NURSING & REHAB CENTRE 36939,S200000,00400,0200,335312 36939,S200000,00400,0300,11/05/1970 36939,S200000,00400,0500,P 36939,S200000,01500,0100,Y 36939,S200000,04200,0100,Y 36939,S200000,04300,0100,Y 36947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36947,A000000,00300,0000,00300EMPLOYEE BENEFITS 36947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36947,A000000,00700,0000,00700HOUSEKEEPING 36947,A000000,00800,0000,00800DIETARY 36947,A000000,00900,0000,00900NURSING ADMINISTRATION 36947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36947,A000000,01100,0000,01100PHARMACY 36947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36947,A000000,01300,0000,01300SOCIAL SERVICE 36947,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36947,A000000,01600,0000,01600SKILLED NURSING FACILITY 36947,A000000,01810,0000,01810ICF/MR 36947,A000000,02100,0000,02100RADIOLOGY 36947,A000000,02200,0000,02200LABORATORY 36947,A000000,02500,0000,02500PHYSICAL THERAPY 36947,A000000,02501,0000,02501OUTPATIENT PHYSICAL THERAPY 36947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36947,A000000,02700,0000,02700SPEECH PATHOLOGY 36947,A000000,02800,0000,02800ELECTROCARDIOLOGY 36947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36947,A000000,03400,0000,03400CLINIC 36947,A000000,03450,0000,03600OUTPATIENT PHYSICAL THERPAY 36947,A000000,03550,0000,03550FQHC 36947,A000000,05000,0000,05000CORF 36947,A000000,05010,0000,05010CMHC 36947,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36947,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36947,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 36947,A000000,05300,0000,05300INTEREST EXPENSE 36947,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36947,A000000,06150,0000,06300DENTAL 36947,A000000,06151,0000,06301PODIATRY 36947,A000000,06152,0000,06302ADULT DAY CARE 36947,B100000,00000,0100,00002SQUARE FEET 36947,B100000,00000,0200,00002SQUARE FEET 36947,B100000,00000,0300,00002GROSS SALARIES 36947,B100000,00000,0400,00002ACCUM COST 36947,B100000,00000,0500,00002SQUARE FEET 36947,B100000,00000,0600,00002POUNDS OF LAUNDRY 36947,B100000,00000,0700,00002HOURS OF SERVICE 36947,B100000,00000,0800,00002MEALS SERVED 36947,B100000,00000,0900,00002DIRECT NRSG HRS 36947,B100000,00000,1000,00002COSTED REQUIS 36947,B100000,00000,1100,00002COSTED REQUIS 36947,B100000,00000,1200,00002TIME SPENT 36947,B100000,00000,1300,00002TIME SPENT 36947,B100000,00000,1400,00002ASSIGNED TIME 36947,E10A180,00301,0100,05/10/2000 36947,S000000,00100,0200,12/19/2000 36947,S200000,00100,0100,201 W. MADISON AVE. 36947,S200000,00200,0100,JOHNSTOWN 36947,S200000,00200,0200,NY 36947,S200000,00200,0300,12095 36947,S200000,00300,0100,FULTON 36947,S200000,00400,0100,WELLS NURSING HOME INC. 36947,S200000,00400,0200,335314 36947,S200000,00400,0300,01/05/1971 36947,S200000,00400,0500,P 36947,S200000,01500,0100,Y 36947,S200000,01900,0100,501 C (3) 36947,S200000,04100,0100,Y 36947,S200000,04200,0100,Y 36955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36955,A000000,00300,0000,00300EMPLOYEE BENEFITS 36955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36955,A000000,00700,0000,00700HOUSEKEEPING 36955,A000000,00800,0000,00800DIETARY 36955,A000000,00900,0000,00900NURSING ADMINISTRATION 36955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36955,A000000,01100,0000,01100PHARMACY 36955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36955,A000000,01300,0000,01300SOCIAL SERVICE 36955,A000000,01350,0000,01500ACTIVITIES 36955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36955,A000000,01600,0000,01600SKILLED NURSING FACILITY 36955,A000000,01810,0000,01810ICF/MR 36955,A000000,02500,0000,02500PHYSICAL THERAPY 36955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36955,A000000,02700,0000,02700SPEECH PATHOLOGY 36955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36955,A000000,03550,0000,03550FQHC 36955,A000000,05000,0000,05000CORF 36955,A000000,05010,0000,05010CMHC 36955,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36955,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36955,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36955,A000000,06150,0000,06300ADULT DAY CARE & DENTAL 36955,A000000,06200,0000,06200PATIENTS LAUNDRY 36955,B100000,00000,0100,00000SQUARE FEET 36955,B100000,00000,0200,00000SQUARE FEET 36955,B100000,00000,0300,00000GROSS SALARIES 36955,B100000,00000,0400,00000ACCUM COST 36955,B100000,00000,0500,00000SQUARE FEET 36955,B100000,00000,0600,00000POUNDS OF LAUNDRY 36955,B100000,00000,0700,00000HOURS OF SERVICE 36955,B100000,00000,0800,00000MEALS SERVED 36955,B100000,00000,0900,00000DIRECT NRSG HRS 36955,B100000,00000,1000,00000COSTED REQUIS 36955,B100000,00000,1100,00000COSTED REQUIS 36955,B100000,00000,1200,00000TIME SPENT 36955,B100000,00000,1300,00000TIME SPENT 36955,B100000,00000,1350,00000ACTIVITIES NO.OF PART 36955,B100000,00000,1400,00000ASSIGNED TIME 36955,E10A180,00301,0100,05/10/2000 36955,S000000,00100,0200,06/20/2000 36955,S200000,00100,0100,420 ROCKLAND ROAD 36955,S200000,00200,0100,ROSCOE 36955,S200000,00200,0200,NY 36955,S200000,00200,0300,12776 36955,S200000,00300,0100,SULLIVAN 36955,S200000,00400,0100,ROSCOE COMMUNITY NURSING HOME 36955,S200000,00400,0200,335316 36955,S200000,00400,0300,01/22/1971 36955,S200000,00400,0500,P 36955,S200000,01500,0100,Y 36955,S200000,01900,0100,COMMUNITY 36955,S200000,04600,0100,Y 36960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36960,A000000,00300,0000,00300EMPLOYEE BENEFITS 36960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36960,A000000,00700,0000,00700HOUSEKEEPING 36960,A000000,00800,0000,00800DIETARY 36960,A000000,00900,0000,00900NURSING ADMINISTRATION 36960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36960,A000000,01100,0000,01100PHARMACY 36960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36960,A000000,01300,0000,01300SOCIAL SERVICE 36960,A000000,01350,0000,01500ACTIVITIES 36960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36960,A000000,01600,0000,01600SKILLED NURSING FACILITY 36960,A000000,01810,0000,01810ICF/MR 36960,A000000,02100,0000,02100RADIOLOGY 36960,A000000,02200,0000,02200LABORATORY 36960,A000000,02500,0000,02500PHYSICAL THERAPY 36960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36960,A000000,02700,0000,02700SPEECH PATHOLOGY 36960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36960,A000000,03550,0000,03550FQHC 36960,A000000,04800,0000,04800AMBULANCE 36960,A000000,05000,0000,05000CORF 36960,A000000,05010,0000,05010CMHC 36960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36960,A000000,06150,0000,06300DENTAL 36960,B100000,00000,0100,00000SQUARE FEET 36960,B100000,00000,0200,00000SQUARE FEET 36960,B100000,00000,0300,00000GROSS SALARIES 36960,B100000,00000,0400,00000ACCUM COST 36960,B100000,00000,0500,00000SQUARE FEET 36960,B100000,00000,0600,00000POUNDS OF LAUNDRY 36960,B100000,00000,0700,00000HOURS OF SERVICE 36960,B100000,00000,0800,00000MEALS SERVED 36960,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36960,B100000,00000,1000,00000COSTED REQUISITIO 36960,B100000,00000,1100,00000COSTED REQUISITIO 36960,B100000,00000,1200,00000TIME SPENT 36960,B100000,00000,1300,00000TIME SPENT 36960,B100000,00000,1350,00000PATIENT DAYS 36960,B100000,00000,1400,00000ASSIGNED TIME 36960,E10A180,00301,0100,05/10/2000 36960,E10A180,00550,0100,06/07/2000 36960,S000000,00100,0200,05/30/2000 36960,S200000,00100,0100,59-20 VAN DOREN ST 36960,S200000,00200,0100,REGO PARK 36960,S200000,00200,0200,NY 36960,S200000,00200,0300,11368 36960,S200000,00300,0100,QUEENS 36960,S200000,00400,0100,PARK TERRACE CARE CENTER 36960,S200000,00400,0200,335317 36960,S200000,00400,0300,02/03/1971 36960,S200000,00400,0500,P 36960,S200000,01500,0100,Y 36960,S200000,04700,0100,Y 36960,S200000,04700,0200,Y 36963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36963,A000000,00300,0000,00300EMPLOYEE BENEFITS 36963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36963,A000000,00700,0000,00700HOUSEKEEPING 36963,A000000,00800,0000,00800DIETARY 36963,A000000,00900,0000,00900NURSING ADMINISTRATION 36963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36963,A000000,01100,0000,01100PHARMACY 36963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36963,A000000,01300,0000,01300SOCIAL SERVICE 36963,A000000,01350,0000,01500ACTIVITIES 36963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36963,A000000,01600,0000,01600SKILLED NURSING FACILITY 36963,A000000,01810,0000,01810ICF/MR 36963,A000000,02100,0000,02100RADIOLOGY 36963,A000000,02200,0000,02200LABORATORY 36963,A000000,02500,0000,02500PHYSICAL THERAPY 36963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36963,A000000,02700,0000,02700SPEECH PATHOLOGY 36963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36963,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36963,A000000,03550,0000,03550FQHC 36963,A000000,04800,0000,04800AMBULANCE 36963,A000000,05000,0000,05000CORF 36963,A000000,05010,0000,05010CMHC 36963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36963,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36963,A000000,06151,0000,06301DENTAL 36963,A81000A,00100,0100,Y 36963,A81000B,00100,0300,RENT 36963,A81000B,00200,0300,AMORTIZATION 36963,A81000B,00300,0300,ADMINISTRATIVE EXPENSES 36963,A81000C,00100,0100,A 36963,A81000C,00100,0200,A. GROSSMAN 36963,A81000C,00100,0400,LYDEN CARE REAL 36963,A81000C,00100,0600,REALTY 36963,B100000,00000,0100,00001SQUARE FEET 36963,B100000,00000,0200,00001SQUARE FEET 36963,B100000,00000,0300,00001GROSS SALARIES 36963,B100000,00000,0400,00001ACCUM COST 36963,B100000,00000,0500,00001SQUARE FEET 36963,B100000,00000,0600,00001POUNDS OF LAUNDRY 36963,B100000,00000,0700,00001HOURS OF SERVICE 36963,B100000,00000,0800,00001MEALS SERVED 36963,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36963,B100000,00000,1000,00001COSTED REQUISITIO 36963,B100000,00000,1100,00001COSTED REQUISITIO 36963,B100000,00000,1200,00001TIME SPENT 36963,B100000,00000,1300,00001TIME SPENT 36963,B100000,00000,1350,00001TIME SPENT 36963,B100000,00000,1400,00001ASSIGNED TIME 36963,E10A180,00301,0100,05/10/2000 36963,E10A180,00550,0100,06/07/2000 36963,S000000,00100,0200,05/30/2000 36963,S200000,00100,0100,27-37 27TH STREET 36963,S200000,00200,0100,ASTORIA 36963,S200000,00200,0200,NY 36963,S200000,00200,0300,11102 36963,S200000,00300,0100,QUEENS 36963,S200000,00400,0100,LYDEN NURSING HOME 36963,S200000,00400,0200,335319 36963,S200000,00400,0300,03/01/1973 36963,S200000,00400,0500,P 36963,S200000,01500,0100,Y 36966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36966,A000000,00300,0000,00300EMPLOYEE BENEFITS 36966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36966,A000000,00700,0000,00700HOUSEKEEPING 36966,A000000,00800,0000,00800DIETARY 36966,A000000,00900,0000,00900NURSING ADMINISTRATION 36966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36966,A000000,01100,0000,01100PHARMACY 36966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36966,A000000,01300,0000,01300SOCIAL SERVICE 36966,A000000,01350,0000,01500ACTIVITIES 36966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36966,A000000,01600,0000,01600SKILLED NURSING FACILITY 36966,A000000,01810,0000,01810ICF/MR 36966,A000000,02100,0000,02100RADIOLOGY 36966,A000000,02200,0000,02200LABORATORY 36966,A000000,02500,0000,02500PHYSICAL THERAPY 36966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36966,A000000,02700,0000,02700SPEECH PATHOLOGY 36966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36966,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36966,A000000,03200,0000,03200SUPPORT SURFACES 36966,A000000,03550,0000,03550FQHC 36966,A000000,05000,0000,05000CORF 36966,A000000,05010,0000,05010CMHC 36966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36966,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36966,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36966,B100000,00000,0100,00000SQUARE FEET 36966,B100000,00000,0200,00000SQUARE FEET 36966,B100000,00000,0300,00000GROSS SALARIES 36966,B100000,00000,0400,00000ACCUM COST 36966,B100000,00000,0500,00000SQUARE FEET 36966,B100000,00000,0600,00000POUNDS OF LAUNDRY 36966,B100000,00000,0700,00000HOURS OF SERVICE 36966,B100000,00000,0800,00000MEALS SERVED 36966,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 36966,B100000,00000,1000,00000COSTED REQUISITIO 36966,B100000,00000,1100,00000COSTED REQUISITIO 36966,B100000,00000,1200,00000TIME SPENT 36966,B100000,00000,1300,00000TIME SPENT 36966,B100000,00000,1350,00000PATIENT DAYS 36966,B100000,00000,1400,00000ASSIGNED TIME 36966,E10A180,00301,0100,05/10/2000 36966,E10A180,00550,0100,06/07/2000 36966,S000000,00100,0200,05/30/2000 36966,S200000,00100,0100,77 JACKSON AVE 36966,S200000,00200,0100,SCARSDALE 36966,S200000,00200,0200,NY 36966,S200000,00200,0300,10583 36966,S200000,00300,0100,WESTCHESTER 36966,S200000,00400,0100,SPRAIN BROOK MANOR 36966,S200000,00400,0200,335320 36966,S200000,00400,0300,11/01/1973 36966,S200000,00400,0500,P 36966,S200000,01500,0100,Y 36970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36970,A000000,00300,0000,00300EMPLOYEE BENEFITS 36970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36970,A000000,00700,0000,00700HOUSEKEEPING 36970,A000000,00800,0000,00800DIETARY 36970,A000000,00900,0000,00900NURSING ADMINISTRATION 36970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36970,A000000,01100,0000,01100PHARMACY 36970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36970,A000000,01300,0000,01300SOCIAL SERVICE 36970,A000000,01350,0000,01500ACTIVITIES 36970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36970,A000000,01600,0000,01600SKILLED NURSING FACILITY 36970,A000000,01810,0000,01810ICF/MR 36970,A000000,02100,0000,02100RADIOLOGY 36970,A000000,02200,0000,02200LABORATORY 36970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36970,A000000,02500,0000,02500PHYSICAL THERAPY 36970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36970,A000000,02700,0000,02700SPEECH PATHOLOGY 36970,A000000,02800,0000,02800ELECTROCARDIOLOGY 36970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36970,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 36970,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 36970,A000000,03550,0000,03550FQHC 36970,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 36970,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 36970,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 36970,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 36970,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 36970,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 36970,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 36970,A000000,05000,0000,05000CORF 36970,A000000,05010,0000,05010CMHC 36970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36970,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36970,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36970,A000000,06151,0000,06301ADULT DAY CARE PROGRAM 36970,A000000,06152,0000,06302DENTAL 36970,A81000A,00100,0100,Y 36970,A81000B,00100,0300,RENT 36970,A81000B,00200,0300,DEPR./AMORTIZATION 36970,A81000B,00300,0300,INTEREST 36970,A81000B,00400,0300,ACCOUNTING/LEGAL FEES 36970,A81000C,00100,0100,A 36970,A81000C,00100,0200,N.P. ZELMANOWIC 36970,A81000C,00100,0400,ZELMA PROP. 36970,A81000C,00100,0600,REALTY 36970,A81000C,00200,0100,A 36970,A81000C,00200,0200,A. ZELMANOWICZ 36970,A81000C,00200,0400,ZELMA PROP. 36970,A81000C,00200,0600,REALTY 36970,A81000C,00300,0100,A 36970,A81000C,00300,0200,REBECCA RICH 36970,A81000C,00300,0400,ZELMA PROP. 36970,A81000C,00300,0600,REALTY 36970,B100000,00000,0100,00002SQUARE FEET 36970,B100000,00000,0200,00002SQUARE FEET 36970,B100000,00000,0300,00002GROSS SALARIES 36970,B100000,00000,0400,00002ACCUM COST 36970,B100000,00000,0500,00002SQUARE FEET 36970,B100000,00000,0600,00002POUNDS OF LAUNDRY 36970,B100000,00000,0700,00002HOURS OF SERVICE 36970,B100000,00000,0800,00002MEALS SERVED 36970,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 36970,B100000,00000,1000,00002COSTED REQUISITIO 36970,B100000,00000,1100,00002COSTED REQUISITIO 36970,B100000,00000,1200,00002TIME SPENT 36970,B100000,00000,1300,00002TIME SPENT 36970,B100000,00000,1350,00002TIME SPENT 36970,B100000,00000,1400,00002ASSIGNED TIME 36970,E10A180,00301,0100,05/10/2000 36970,H510100,00000,0000,5600 36970,H510100,02400,0000,5600 36970,H710000,00550,0100,03/20/2001 36970,S000000,00100,0200,06/29/2000 36970,S200000,00100,0100,3525 BAYCHESTER AVE. 36970,S200000,00200,0100,BRONX 36970,S200000,00200,0200,NEW YORK 36970,S200000,00200,0300,10466 36970,S200000,00300,0100,BRONX 36970,S200000,00400,0100,SPLIT ROCK NURSING HOME 36970,S200000,00400,0200,335321 36970,S200000,00400,0300,12/20/1983 36970,S200000,00400,0500,P 36970,S200000,00800,0200,337416 36970,S200000,00800,0300,08/14/1999 36970,S200000,00800,0500,P 36970,S200000,01500,0100,Y 36984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36984,A000000,00300,0000,00300EMPLOYEE BENEFITS 36984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36984,A000000,00700,0000,00700HOUSEKEEPING 36984,A000000,00800,0000,00800DIETARY 36984,A000000,00900,0000,00900NURSING ADMINISTRATION 36984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36984,A000000,01100,0000,01100PHARMACY 36984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36984,A000000,01300,0000,01300SOCIAL SERVICE 36984,A000000,01350,0000,01500OTHER GENERAL SERVICES 36984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36984,A000000,01600,0000,01600SKILLED NURSING FACILITY 36984,A000000,01810,0000,01810ICF/MR 36984,A000000,02100,0000,02100RADIOLOGY 36984,A000000,02200,0000,02200LABORATORY 36984,A000000,02500,0000,02500PHYSICAL THERAPY 36984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36984,A000000,02700,0000,02700SPEECH PATHOLOGY 36984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36984,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 36984,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36984,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 36984,A000000,03550,0000,03550FQHC 36984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 36984,A000000,05000,0000,05000CORF 36984,A000000,05010,0000,05010CMHC 36984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 36984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 36984,B100000,00000,0100,00000SQUARE FEET 36984,B100000,00000,0200,00000SQUARE FEET 36984,B100000,00000,0300,00000GROSS WAGES 36984,B100000,00000,0400,00000ACCUM. COST 36984,B100000,00000,0500,00000SQUARE FEET 36984,B100000,00000,0600,00000PATIENT DAYS 36984,B100000,00000,0700,00000PATIENT DAYS 36984,B100000,00000,0800,00000MEALS SERVED 36984,B100000,00000,0900,00000PATIENT DAYS 36984,B100000,00000,1000,00000PATIENT DAYS 36984,B100000,00000,1100,00000PATIENT DAYS 36984,B100000,00000,1200,00000NO STATISTICS 36984,B100000,00000,1300,00000NO STATISTICS 36984,B100000,00000,1350,00000NO STATISTICS 36984,B100000,00000,1400,00000NO STATISTICS 36984,E10A180,00301,0100,09/21/1999 36984,E10A180,00302,0100,05/10/2000 36984,S000000,00100,0200,06/23/2000 36984,S200000,00100,0100,419 NORTH QUAKER LANE 36984,S200000,00200,0100,HYDE PARK 36984,S200000,00200,0200,NY 36984,S200000,00200,0300,12538 36984,S200000,00300,0100,DUTCHESS 36984,S200000,00400,0100,VICTORY LAKE NURSING CENTER 36984,S200000,00400,0200,335323 36984,S200000,00400,0300,03/29/1971 36984,S200000,00400,0500,P 36984,S200000,01500,0100,Y 36984,S200000,02800,0100,Y 36994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36994,A000000,00300,0000,00300EMPLOYEE BENEFITS 36994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36994,A000000,00700,0000,00700HOUSEKEEPING 36994,A000000,00800,0000,00800DIETARY 36994,A000000,00801,0000,00801CAFETERIA 36994,A000000,00900,0000,00900NURSING ADMINISTRATION 36994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36994,A000000,01100,0000,01100PHARMACY 36994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36994,A000000,01300,0000,01300SOCIAL SERVICE 36994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36994,A000000,01600,0000,01600SKILLED NURSING FACILITY 36994,A000000,01810,0000,01810ICF/MR 36994,A000000,02100,0000,02100RADIOLOGY 36994,A000000,02200,0000,02200LABORATORY 36994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 36994,A000000,02500,0000,02500PHYSICAL THERAPY 36994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36994,A000000,02700,0000,02700SPEECH PATHOLOGY 36994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 36994,A000000,03550,0000,03550FQHC 36994,A000000,05000,0000,05000CORF 36994,A000000,05010,0000,05010CMHC 36994,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36994,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36994,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 36994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36994,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 36994,A000000,06151,0000,06301GUEST MEALS 36994,A81000A,00100,0100,Y 36994,A81000B,00100,0300,RENT 36994,A81000B,00200,0300,DEP. 36994,A81000B,00300,0300,AMORT. - MTG. COSTS 36994,A81000B,00400,0300,INTEREST EXP. 36994,A81000B,00500,0300,PREPYMT. PENALTY 36994,A81000B,00600,0300,MTG. ACC.COSTS - ORIG. MTG. 36994,A81000B,00700,0300,ACCTG./LEGAL/SVC. CHGS. 36994,A81000B,00800,0300,WOODMARK PHARMACY 36994,A81000C,00100,0100,A 36994,A81000C,00100,0200,ROBERT M. CHUR 36994,A81000C,00100,0400,ELDERWOOD AFFIL 36994,A81000C,00100,0600,MGMT. CO. 36994,A81000C,00200,0100,A 36994,A81000C,00200,0200,ROBERT M. CHUR 36994,A81000C,00200,0400,OAKWOOD PROPERT 36994,A81000C,00200,0600,PROP. CO. 36994,A81000C,00300,0100,A 36994,A81000C,00300,0200,CAROL L. CHUR 36994,A81000C,00300,0400,ELDERWOOD AFFIL 36994,A81000C,00300,0600,FINAN. & PURCH. 36994,A81000C,00400,0100,A 36994,A81000C,00400,0200,CAROL L. CHUR 36994,A81000C,00400,0400,OAKWOOD PROPETY 36994,A81000C,00400,0600,MGMT. CO. 36994,A81000C,00500,0100,A 36994,A81000C,00500,0200,ROBERT M. CHUR 36994,A81000C,00500,0400,WOODMARK PHARMA 36994,A81000C,00500,0600,FAC. PHARMACY 36994,A81000C,00600,0100,A 36994,A81000C,00600,0200,CAROL L. CHUR 36994,A81000C,00600,0400,WOODMARK PHARMA 36994,A81000C,00600,0600,FAC. PHARMACY 36994,B100000,00000,0100,00001SQUARE FEET 36994,B100000,00000,0200,00001SQUARE FEET 36994,B100000,00000,0300,00001GROSS SALARIES 36994,B100000,00000,0400,00001ACCUM COST 36994,B100000,00000,0500,00001SQUARE FEET 36994,B100000,00000,0600,00001POUNDS OF LAUNDRY 36994,B100000,00000,0700,00001HOURS OF SERVICE 36994,B100000,00000,0800,00001MEALS SERVED 36994,B100000,00000,0801,00001NO. OF EMP 36994,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36994,B100000,00000,1000,00001COSTED REQUIS 36994,B100000,00000,1100,00001COSTED REQUIS 36994,B100000,00000,1200,00001TIME SPENT 36994,B100000,00000,1300,00001TIME SPENT 36994,B100000,00000,1400,00001ASSIGNED TIME 36994,E10A180,00301,0100,05/10/2000 36994,E10A180,00350,0100,08/19/1999 36994,E10A180,00550,0100,05/31/2000 36994,E10A180,00550,0300,05/31/2000 36994,S000000,00100,0200,05/22/2000 36994,S200000,00100,0100,200 BASSETT RD. 36994,S200000,00200,0100,WILLIAMSVILLE 36994,S200000,00200,0200,NEW YORK 36994,S200000,00200,0300,14221 36994,S200000,00300,0100,ERIE 36994,S200000,00400,0100,OAKWOOD HEALTH CARE CENTER INC. 36994,S200000,00400,0200,335326 36994,S200000,00400,0300,08/05/1992 36994,S200000,00400,0500,P 36994,S200000,01500,0100,Y 36994,S200000,03300,0100,Y 36999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 36999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 36999,A000000,00300,0000,00300EMPLOYEE BENEFITS 36999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 36999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 36999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 36999,A000000,00700,0000,00700HOUSEKEEPING 36999,A000000,00800,0000,00800DIETARY 36999,A000000,00900,0000,00900NURSING ADMINISTRATION 36999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 36999,A000000,01100,0000,01100PHARMACY 36999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 36999,A000000,01300,0000,01300SOCIAL SERVICE 36999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 36999,A000000,01600,0000,01600SKILLED NURSING FACILITY 36999,A000000,01810,0000,01810ICF/MR 36999,A000000,02100,0000,02100RADIOLOGY 36999,A000000,02200,0000,02200LABORATORY 36999,A000000,02300,0000,02300INTRAVENOUS THERAPY 36999,A000000,02500,0000,02500PHYSICAL THERAPY 36999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 36999,A000000,02700,0000,02700SPEECH PATHOLOGY 36999,A000000,02800,0000,02800ELECTROCARDIOLOGY 36999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 36999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 36999,A000000,03550,0000,03550FQHC 36999,A000000,05000,0000,05000CORF 36999,A000000,05010,0000,05010CMHC 36999,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 36999,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 36999,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 36999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 36999,A000000,06150,0000,06300ADULT DAY CARE 36999,A000000,06151,0000,06301DENTAL 36999,A81000A,00100,0100,Y 36999,A81000B,00100,0300,ADMIN MGMT FEE 36999,A81000B,00200,0300,ALL BENEFITS 36999,A81000B,00300,0300,ADMIN & FISCAL SALARY 36999,A81000B,00400,0300,HOUSEKEEPING 36999,A81000B,00500,0300,DIETARY SALARY 36999,A81000B,00600,0300,ADMIN SALARY 36999,A81000B,00700,0300,SOCIAL SERV SALARY 36999,A81000B,00800,0300,SNF SALARY 36999,A81000B,00900,0300,PT SALARY 36999,A81000B,01000,0300,ADMIN CONT SVC 36999,A81000B,01100,0300,HSKP CONT SVC 36999,A81000B,01200,0300,DIETARY CONT SVC 36999,A81000B,01300,0300,NURSING CONT SVC 36999,A81000B,01400,0300,SOCIAL CONT SVC 36999,A81000B,01500,0300,SNF CONT. SVC. 36999,A81000B,01600,0300,PT CONT. SVC. 36999,A81000B,01700,0300,RENT 36999,A81000B,01800,0300,DEPRECIATION 36999,A81000B,01900,0300,MORTGAGE INTEREST 36999,A81000C,00100,0100,A 36999,A81000C,00100,0200,MOSHE KALTER 36999,A81000C,00100,0400,NEW BRIDGEVIEW 36999,A81000C,00200,0100,B 36999,A81000C,00200,0200,REBECCA FOGEL 36999,A81000C,00200,0400,NEW BRIDGEVIEW 36999,A81000C,00300,0100,C 36999,A81000C,00300,0200,AARON FOGEL 36999,A81000C,00300,0400,BRIDGEVIEW REAL 36999,A81000C,00400,0100,D 36999,A81000C,00400,0200,FRADY KALTER 36999,A81000C,00400,0400,BRIDGEVIEW REAL 36999,A81000C,00500,0100,E 36999,A81000C,00500,0200,RESHA ASSOCIATE 36999,A81000C,00500,0400,BRIDGEVIEW REAL 36999,B100000,00000,0100,00001SQUARE FEET 36999,B100000,00000,0200,00001SQUARE FEET 36999,B100000,00000,0300,00001GROSS SALARIES 36999,B100000,00000,0400,00001ACCUM COST 36999,B100000,00000,0500,00001SQUARE FEET 36999,B100000,00000,0600,00001POUNDS OF LAUNDRY 36999,B100000,00000,0700,00001HOURS OF SERVICE 36999,B100000,00000,0800,00001MEALS SERVED 36999,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 36999,B100000,00000,1000,00001COSTED REQUISITIO 36999,B100000,00000,1100,00001COSTED REQUISITIO 36999,B100000,00000,1200,00001TIME SPENT 36999,B100000,00000,1300,00001TIME SPENT 36999,B100000,00000,1400,00001ASSIGNED TIME 36999,E10A180,00301,0100,05/10/2000 36999,E10A180,00501,0300,06/07/2000 36999,E10A180,00550,0100,06/07/2000 36999,S000000,00100,0200,05/31/2000 36999,S200000,00100,0100,143-10 20TH AVENUE 36999,S200000,00200,0100,WHITESTONE 36999,S200000,00200,0200,NY 36999,S200000,00200,0300,11357 36999,S200000,00300,0100,QUEENS 36999,S200000,00400,0100,BRIDGE VIEW NURSING HOME 36999,S200000,00400,0200,335327 36999,S200000,00400,0300,05/16/1971 36999,S200000,00400,0500,P 36999,S200000,01500,0100,Y 36999,S200000,04200,0100,Y 36999,S200000,04300,0100,Y 37003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37003,A000000,00300,0000,00300EMPLOYEE BENEFITS 37003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37003,A000000,00700,0000,00700HOUSEKEEPING 37003,A000000,00800,0000,00800DIETARY 37003,A000000,00900,0000,00900NURSING ADMINISTRATION 37003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37003,A000000,01100,0000,01100PHARMACY 37003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37003,A000000,01300,0000,01300SOCIAL SERVICE 37003,A000000,01301,0000,01301RECREATION 37003,A000000,01350,0000,01500OTHER GENERAL SERVICES 37003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37003,A000000,01600,0000,01600SKILLED NURSING FACILITY 37003,A000000,01810,0000,01810ICF/MR 37003,A000000,02100,0000,02100RADIOLOGY 37003,A000000,02200,0000,02200LABORATORY 37003,A000000,02300,0000,02300INTRAVENOUS THERAPY 37003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37003,A000000,02500,0000,02500PHYSICAL THERAPY 37003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37003,A000000,02700,0000,02700SPEECH PATHOLOGY 37003,A000000,02800,0000,02800ELECTROCARDIOLOGY 37003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37003,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37003,A000000,03101,0000,03101CLINITRON THERAPY 37003,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37003,A000000,03550,0000,03550FQHC 37003,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37003,A000000,05000,0000,05000CORF 37003,A000000,05010,0000,05010CMHC 37003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37003,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37003,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37003,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37003,A000000,06151,0000,06301ADULT DAYCARE 37003,A81000A,00100,0100,Y 37003,A81000B,00100,0300,RENT 37003,A81000B,00200,0300,MORTGAGE INTEREST 37003,A81000B,00300,0300,DEPRECIATION 37003,A81000B,00400,0300,REAL ESTATE TAXES 37003,A81000B,00500,0300,GENERAL 37003,A81000C,00100,0100,A 37003,A81000C,00100,0200,I. LEFKOWITZ 37003,A81000C,00100,0400,PALM GARDENS REALTY LLC 37003,A81000C,00100,0600,REAL ESTATE 37003,B100000,00000,0100,00001SQUARE FEET 37003,B100000,00000,0200,00001DOLLAR VALUE 37003,B100000,00000,0300,00001GROSS SALARIES 37003,B100000,00000,0400,00001ACCUM. COST 37003,B100000,00000,0500,00001SQUARE FEET 37003,B100000,00000,0600,00001POUNDS OF LAUNDRY 37003,B100000,00000,0700,00001HOURS OF SERVICE 37003,B100000,00000,0800,00001MEALS SERVED 37003,B100000,00000,0900,00001HOURS OF SERVICE 37003,B100000,00000,1000,00001COSTED REQUIS. 37003,B100000,00000,1100,00001COSTED REQUIS. 37003,B100000,00000,1200,00001TIME SPENT 37003,B100000,00000,1300,00001TIME SPENT 37003,B100000,00000,1301,00001# OF PARTICIPAN 37003,B100000,00000,1350,00001NO STATISTICS 37003,B100000,00000,1400,00001TIME SPENT 37003,E10A180,00301,0100,05/10/2000 37003,S000000,00100,0200,06/13/2000 37003,S200000,00100,0100,615 AVE. C 37003,S200000,00200,0100,BROOKLYN 37003,S200000,00200,0200,NY 37003,S200000,00200,0300,11218 37003,S200000,00300,0100,KINGS 37003,S200000,00400,0100,PALM GARDENS NURSING HOME 37003,S200000,00400,0200,335328 37003,S200000,00400,0300,06/01/1971 37003,S200000,00400,0500,P 37003,S200000,01500,0100,Y 37011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37011,A000000,00300,0000,00300EMPLOYEE BENEFITS 37011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37011,A000000,00700,0000,00700HOUSEKEEPING 37011,A000000,00800,0000,00800DIETARY 37011,A000000,00900,0000,00900NURSING ADMINISTRATION 37011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37011,A000000,01100,0000,01100PHARMACY 37011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37011,A000000,01300,0000,01300SOCIAL SERVICE 37011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37011,A000000,01600,0000,01600SKILLED NURSING FACILITY 37011,A000000,01810,0000,01810ICF/MR 37011,A000000,02100,0000,02100RADIOLOGY 37011,A000000,02200,0000,02200LABORATORY 37011,A000000,02500,0000,02500PHYSICAL THERAPY 37011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37011,A000000,02700,0000,02700SPEECH PATHOLOGY 37011,A000000,02800,0000,02800ELECTROCARDIOLOGY 37011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37011,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 37011,A000000,05000,0000,05000CORF 37011,A000000,05010,0000,05010CMHC 37011,A000000,05020,0000,05020OPT 37011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37011,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37011,A000000,05300,0000,05300INTEREST EXPENSE 37011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37011,A000000,06200,0000,06200PATIENTS LAUNDRY 37011,A000000,06201,0000,06201OTHER NON REIMB ADHC & ALERT LI 37011,A81000A,00100,0100,Y 37011,A81000B,00100,0300,HOUSEKEEPING CLEANING 37011,A81000B,00200,0300,PHARMACY PHARM & M 37011,A81000B,00300,0300,SNF PARTICIPATING MED & OTH 37011,A81000B,00400,0300,MAINTENANCE SECURITY 37011,A81000B,00500,0300,A&G DATA PROC 37011,A81000B,00600,0300,LAUNDRY & LINEN DISPOSABL 37011,A81000C,00100,0100,B 37011,A81000C,00100,0200,FOUNDERS PAVILION 37011,A81000C,00100,0400,CORNING HOSPITAL 37011,A81000C,00100,0600,HOSPITAL 37011,B100000,00000,0100,00001(SQUARE FEET) 37011,B100000,00000,0200,00001(SQUARE FEET) 37011,B100000,00000,0300,00001(GROSS SALARIES) 37011,B100000,00000,0400,00001(ACCUM COST) 37011,B100000,00000,0500,00001(SQUARE FEET) 37011,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 37011,B100000,00000,0700,00001(HOURS OF SERVICE) 37011,B100000,00000,0800,00001124762 SERVED) 37011,B100000,00000,0900,00001(DIR NRSG HOURS) 37011,B100000,00000,1000,00001(COSTED REQUIS) 37011,B100000,00000,1100,00001(COSTED REQUIS) 37011,B100000,00000,1200,00001(TIME SPENT) 37011,B100000,00000,1300,00001(TIME SPENT) 37011,B100000,00000,1400,00001(ASSIGNED TIME) 37011,E10A180,00301,0100,05/10/2000 37011,E10A180,00350,0100,01/18/2000 37011,E10A180,00550,0300,04/30/2001 37011,S000000,00100,0200,03/27/2001 37011,S200000,00100,0100,205 EAST FIRST STREET 37011,S200000,00200,0100,CORNING 37011,S200000,00200,0200,NY 37011,S200000,00200,0300,14830 37011,S200000,00300,0100,STEUBEN 37011,S200000,00400,0100,CORNING HOSP FOUNDERS PAVILION 37011,S200000,00400,0200,335330 37011,S200000,00400,0300,07/01/1971 37011,S200000,00400,0500,P 37011,S200000,01500,0100,Y 37011,S200000,01900,0100,ENTIRELY PARTICIPATING SNF 37011,S200000,02800,0100,Y 37011,S200000,04300,0100,Y 37019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37019,A000000,00300,0000,00300EMPLOYEE BENEFITS 37019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37019,A000000,00700,0000,00700HOUSEKEEPING 37019,A000000,00800,0000,00800DIETARY 37019,A000000,00900,0000,00900NURSING ADMINISTRATION 37019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37019,A000000,01100,0000,01100PHARMACY 37019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37019,A000000,01300,0000,01300SOCIAL SERVICE 37019,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 37019,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37019,A000000,01600,0000,01600SKILLED NURSING FACILITY 37019,A000000,01810,0000,01810ICF/MR 37019,A000000,02100,0000,02100RADIOLOGY 37019,A000000,02200,0000,02200LABORATORY 37019,A000000,02500,0000,02500PHYSICAL THERAPY 37019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37019,A000000,03550,0000,03550FQHC 37019,A000000,05000,0000,05000CORF 37019,A000000,05010,0000,05010CMHC 37019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37019,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37019,A000000,06201,0000,06201DENTAL 37019,B100000,00000,0100,00000SQUARE FEET 37019,B100000,00000,0200,00000SQUARE FEET 37019,B100000,00000,0300,00000GROSS SALARIES 37019,B100000,00000,0400,00000ACCUM COST 37019,B100000,00000,0500,00000SQUARE FEET 37019,B100000,00000,0600,00000POUNDS OF LAUNDRY 37019,B100000,00000,0700,00000HOURS OF SERVICE 37019,B100000,00000,0800,00000MEALS SERVED 37019,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37019,B100000,00000,1000,00000COSTED REQUISITIO 37019,B100000,00000,1100,00000COSTED REQUISITIO 37019,B100000,00000,1200,00000TIME SPENT 37019,B100000,00000,1300,00000TIME SPENT 37019,B100000,00000,1301,00000PARTICIPAN 37019,B100000,00000,1350,00000 37019,B100000,00000,1400,00000ASSIGNED TIME 37019,E10A180,00350,0100,05/10/2000 37019,S000000,00100,0200,11/07/2000 37019,S200000,00100,0100,17 MADISON STREET 37019,S200000,00200,0100,GRANVILLE 37019,S200000,00200,0200,NEW YORK 37019,S200000,00200,0300,12832 37019,S200000,00300,0100,WASHINGTON 37019,S200000,00400,0100,INDIAN RIVER NURSING HOME 37019,S200000,00400,0200,335331 37019,S200000,00400,0300,08/22/1971 37019,S200000,00400,0500,P 37019,S200000,01500,0100,Y 37028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37028,A000000,00300,0000,00300EMPLOYEE BENEFITS 37028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37028,A000000,00700,0000,00700HOUSEKEEPING 37028,A000000,00800,0000,00800DIETARY 37028,A000000,00801,0000,00801CAFETERIA 37028,A000000,00900,0000,00900NURSING ADMINISTRATION 37028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37028,A000000,01100,0000,01100PHARMACY 37028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37028,A000000,01300,0000,01300SOCIAL SERVICE 37028,A000000,01301,0000,01301ACTIVITIES 37028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37028,A000000,01600,0000,01600SKILLED NURSING FACILITY 37028,A000000,01810,0000,01810ICF/MR 37028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37028,A000000,02500,0000,02500PHYSICAL THERAPY 37028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37028,A000000,02700,0000,02700SPEECH PATHOLOGY 37028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37028,A000000,03001,0000,03001UTILIZATION EXPENSE 37028,A000000,03550,0000,03550FQHC 37028,A000000,05000,0000,05000CORF 37028,A000000,05010,0000,05010CMHC 37028,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37028,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37028,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37028,A000000,05300,0000,05300INTEREST EXPENSE 37028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37028,A000000,05901,0000,05901DENTAL EYE 37028,B100000,00000,0100,00001SQUARE FEET 37028,B100000,00000,0200,00001SQUARE FEET 37028,B100000,00000,0300,00001GROSS SALARIES 37028,B100000,00000,0400,00001ACCUM COST 37028,B100000,00000,0500,00001SQUARE FEET 37028,B100000,00000,0600,00001POUNDS OF LAUNDRY 37028,B100000,00000,0700,00001HOURS OF SERVICE 37028,B100000,00000,0800,00001MEALS SERVED 37028,B100000,00000,0801,00001MEALS SERVED 37028,B100000,00000,0900,00001DIRECT NRSG HRS 37028,B100000,00000,1000,00001COSTED REQUIS 37028,B100000,00000,1100,00001COSTED REQUIS 37028,B100000,00000,1200,00001TIME SPENT 37028,B100000,00000,1300,00001TIME SPENT 37028,B100000,00000,1301,00001TIME SPENT 37028,B100000,00000,1400,00001ASSIGNED TIME 37028,E10A180,00301,0100,05/10/2000 37028,E10A180,00350,0100,01/18/2000 37028,S000000,00100,0200,05/24/2000 37028,S200000,00100,0100,140 MEISNER AVE. 37028,S200000,00200,0100,STATEN ISLAND 37028,S200000,00200,0200,NY 37028,S200000,00200,0300,10306 37028,S200000,00300,0100,STATEN ISLAND 37028,S200000,00400,0100,EGER HEALTH CARE 37028,S200000,00400,0200,335332 37028,S200000,00400,0300,08/10/1989 37028,S200000,00400,0500,P 37028,S200000,01500,0100,Y 37028,S200000,02200,0100,Y 37031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37031,A000000,00300,0000,00300EMPLOYEE BENEFITS 37031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37031,A000000,00700,0000,00700HOUSEKEEPING 37031,A000000,00800,0000,00800DIETARY 37031,A000000,00900,0000,00900NURSING ADMINISTRATION 37031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37031,A000000,01100,0000,01100PHARMACY 37031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37031,A000000,01300,0000,01300SOCIAL SERVICE 37031,A000000,01350,0000,01500OTHER GENERAL SERVICES 37031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37031,A000000,01600,0000,01600SKILLED NURSING FACILITY 37031,A000000,01810,0000,01810ICF/MR 37031,A000000,02100,0000,02100RADIOLOGY 37031,A000000,02200,0000,02200LABORATORY 37031,A000000,02500,0000,02500PHYSICAL THERAPY 37031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37031,A000000,02700,0000,02700SPEECH PATHOLOGY 37031,A000000,02800,0000,02800ELECTROCARDIOLOGY 37031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37031,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37031,A000000,03550,0000,03550FQHC 37031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37031,A000000,05000,0000,05000CORF 37031,A000000,05010,0000,05010CMHC 37031,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37031,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37031,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37031,A81000A,00100,0100,Y 37031,A81000B,00100,0300,RENT 37031,A81000B,00200,0300,DEPRECIATION 37031,A81000B,00400,0300,B/C 37031,A81000C,00100,0100,A 37031,A81000C,00100,0200,J.BRONNER 37031,A81000C,00100,0400,HOLLIS PARK NURSING HOME 37031,A81000C,00100,0600,REAL ESTATE 37031,B100000,00000,0100,00000SQUARE FEET 37031,B100000,00000,0200,00000DOLLAR VALUE 37031,B100000,00000,0300,00000GROSS SALARIES 37031,B100000,00000,0400,00000ACCUM. COST 37031,B100000,00000,0500,00000SQUARE FEET 37031,B100000,00000,0600,00000POUNDS OF LAUNDRY 37031,B100000,00000,0700,00000HOURS OF SERVICE 37031,B100000,00000,0800,00000MEALS SERVED 37031,B100000,00000,0900,00000HOURS OF SERVICE 37031,B100000,00000,1000,00000COSTED REQUIS. 37031,B100000,00000,1100,00000COSTED REQUIS. 37031,B100000,00000,1200,00000TIME SPENT 37031,B100000,00000,1300,00000TIME SPENT 37031,B100000,00000,1350,00000NO STATISTICS 37031,B100000,00000,1400,00000TIME SPENT 37031,E10A180,00301,0100,05/10/2000 37031,S000000,00100,0200,06/07/2000 37031,S200000,00100,0100,191-06 HILLSIDE AVE. 37031,S200000,00200,0100,HOLLIS 37031,S200000,00200,0200,NY 37031,S200000,00200,0300,11423 37031,S200000,00300,0100,QUEENS 37031,S200000,00400,0100,HOLLIS PARK MANOR NURSING HOME INC. 37031,S200000,00400,0200,335333 37031,S200000,00400,0300,10/23/1984 37031,S200000,00400,0500,P 37031,S200000,01500,0100,Y 37036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37036,A000000,00300,0000,00300EMPLOYEE BENEFITS 37036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37036,A000000,00700,0000,00700HOUSEKEEPING 37036,A000000,00800,0000,00800DIETARY 37036,A000000,00900,0000,00900NURSING ADMINISTRATION 37036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37036,A000000,01100,0000,01100PHARMACY 37036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37036,A000000,01300,0000,01300SOCIAL SERVICE 37036,A000000,01350,0000,01500ACTIVITIES 37036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37036,A000000,01600,0000,01600SKILLED NURSING FACILITY 37036,A000000,01810,0000,01810ICF/MR 37036,A000000,02100,0000,02100RADIOLOGY 37036,A000000,02200,0000,02200LABORATORY 37036,A000000,02500,0000,02500PHYSICAL THERAPY 37036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37036,A000000,02700,0000,02700SPEECH PATHOLOGY 37036,A000000,02800,0000,02800ELECTROCARDIOLOGY 37036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37036,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37036,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37036,A000000,03550,0000,03550FQHC 37036,A000000,05000,0000,05000CORF 37036,A000000,05010,0000,05010CMHC 37036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37036,A000000,05300,0000,05300INTEREST EXPENSE 37036,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37036,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37036,A000000,06201,0000,06201DENTAL 37036,B100000,00000,0100,00000SQUARE FEET 37036,B100000,00000,0200,00000SQUARE FEET 37036,B100000,00000,0300,00000GROSS SALARIES 37036,B100000,00000,0400,00000ACCUM COST 37036,B100000,00000,0500,00000SQUARE FEET 37036,B100000,00000,0600,00000POUNDS OF LAUNDRY 37036,B100000,00000,0700,00000HOURS OF SERVICE 37036,B100000,00000,0800,00000MEALS SERVED 37036,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37036,B100000,00000,1000,00000COSTED REQUISITIO 37036,B100000,00000,1100,00000COSTED REQUISITIO 37036,B100000,00000,1200,00000TIME SPENT 37036,B100000,00000,1300,00000TIME SPENT 37036,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37036,B100000,00000,1400,00000ASSIGNED TIME 37036,E10A180,00301,0100,05/10/2000 37036,S000000,00100,0200,05/31/2000 37036,S200000,00100,0100,150 RIVERSIDE DRIVE 37036,S200000,00200,0100,NEW YORK 37036,S200000,00200,0200,NY 37036,S200000,00200,0300,10024 37036,S200000,00300,0100,NEW YORK 37036,S200000,00400,0100,KATERI RESIDENCE 37036,S200000,00400,0200,335334 37036,S200000,00400,0300,09/28/1981 37036,S200000,00400,0500,P 37036,S200000,01500,0100,Y 37045,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37045,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37045,A000000,00300,0000,00300EMPLOYEE BENEFITS 37045,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37045,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37045,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37045,A000000,00700,0000,00700HOUSEKEEPING 37045,A000000,00800,0000,00800DIETARY 37045,A000000,00900,0000,00900NURSING ADMINISTRATION 37045,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37045,A000000,01100,0000,01100PHARMACY 37045,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37045,A000000,01300,0000,01300SOCIAL SERVICE 37045,A000000,01350,0000,01500ACTIVITIES 37045,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37045,A000000,01600,0000,01600SKILLED NURSING FACILITY 37045,A000000,01810,0000,01810ICF/MR 37045,A000000,02100,0000,02100RADIOLOGY 37045,A000000,02200,0000,02200LABORATORY 37045,A000000,02500,0000,02500PHYSICAL THERAPY 37045,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37045,A000000,02700,0000,02700SPEECH PATHOLOGY 37045,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37045,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37045,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37045,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37045,A000000,03550,0000,03550FQHC 37045,A000000,05000,0000,05000CORF 37045,A000000,05010,0000,05010CMHC 37045,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37045,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37045,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37045,A000000,05300,0000,05300INTEREST EXPENSE 37045,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37045,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37045,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37045,A000000,06201,0000,06201DENTAL PODIATRY 37045,A000000,06202,0000,06202ADULT DAY CARE PROGRAM 37045,B100000,00000,0100,00000SQUARE FEET 37045,B100000,00000,0200,00000SQUARE FEET 37045,B100000,00000,0300,00000GROSS SALARIES 37045,B100000,00000,0400,00000ACCUM COST 37045,B100000,00000,0500,00000SQUARE FEET 37045,B100000,00000,0600,00000POUNDS OF LAUNDRY 37045,B100000,00000,0700,00000HOURS OF SERVICE 37045,B100000,00000,0800,00000MEALS SERVED 37045,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37045,B100000,00000,1000,00000COSTED REQUISITIO 37045,B100000,00000,1100,00000COSTED REQUISITIO 37045,B100000,00000,1200,00000TIME SPENT 37045,B100000,00000,1300,00000TIME SPENT 37045,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37045,B100000,00000,1400,00000ASSIGNED TIME 37045,E10A180,00301,0100,05/10/2000 37045,E10A180,00350,0100,01/18/2000 37045,S000000,00100,0200,06/29/2000 37045,S200000,00100,0100,164-11 CHAPIN PARKWAY 37045,S200000,00200,0100,JAMAICA 37045,S200000,00200,0200,NY 37045,S200000,00200,0300,11432 37045,S200000,00300,0100,QUEENS 37045,S200000,00400,0100,MARGARET TIETZ CENTER 37045,S200000,00400,0200,335336 37045,S200000,00400,0300,11/01/1971 37045,S200000,00400,0500,P 37045,S200000,01500,0100,Y 37053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37053,A000000,00300,0000,00300EMPLOYEE BENEFITS 37053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37053,A000000,00700,0000,00700HOUSEKEEPING 37053,A000000,00800,0000,00800DIETARY 37053,A000000,00900,0000,00900NURSING ADMINISTRATION 37053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37053,A000000,01100,0000,01100PHARMACY 37053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37053,A000000,01300,0000,01300SOCIAL SERVICE 37053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37053,A000000,01600,0000,01600SKILLED NURSING FACILITY 37053,A000000,01810,0000,01810ICF/MR 37053,A000000,02100,0000,02100RADIOLOGY 37053,A000000,02200,0000,02200LABORATORY 37053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37053,A000000,02500,0000,02500PHYSICAL THERAPY 37053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37053,A000000,02700,0000,02700SPEECH PATHOLOGY 37053,A000000,02800,0000,02800ELECTROCARDIOLOGY 37053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37053,A000000,03550,0000,03550FQHC 37053,A000000,05000,0000,05000CORF 37053,A000000,05010,0000,05010CMHC 37053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37053,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37053,A000000,06150,0000,06300DAYCARE 37053,A000000,06151,0000,06301DENTAL 37053,A81000A,00100,0100,Y 37053,A81000B,00100,0300,RENT 37053,A81000B,00200,0300,MORTGAGE INT 37053,A81000B,00300,0300,REAL ESTATE TAX 37053,A81000B,00400,0300,DEPRECIATION 37053,A81000B,00500,0300,AMORT MTG EXP 37053,A81000B,00600,0300,INSURANCE 37053,A81000B,00700,0300,UTILITIES 37053,A81000B,00800,0300,ADMIN COSTS 37053,A81000C,00100,0100,A 37053,A81000C,00100,0200,EDWARD LEFFLER 37053,B100000,00000,0100,00001SQUARE FEET 37053,B100000,00000,0200,00001SQUARE FEET 37053,B100000,00000,0300,00001GROSS SALARIES 37053,B100000,00000,0400,00001ACCUM COST 37053,B100000,00000,0500,00001SQUARE FEET 37053,B100000,00000,0600,00001POUNDS OF LAUNDRY 37053,B100000,00000,0700,00001HOURS OF SERVICE 37053,B100000,00000,0800,00001MEALS SERVED 37053,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37053,B100000,00000,1000,00001COSTED REQUISITIO 37053,B100000,00000,1100,00001COSTED REQUISITIO 37053,B100000,00000,1200,00001TIME SPENT 37053,B100000,00000,1300,00001TIME SPENT 37053,B100000,00000,1400,00001ASSIGNED TIME 37053,E10A180,00301,0100,05/10/2000 37053,E10A180,00350,0100,01/18/2000 37053,S000000,00100,0200,05/24/2000 37053,S200000,00100,0100,918 JAMES STREET 37053,S200000,00200,0100,SYRACUSE 37053,S200000,00200,0200,NY 37053,S200000,00200,0300,13203 37053,S200000,00300,0100,ONONDAGA 37053,S200000,00400,0100,JAMES SQUARE NURSING HOME 37053,S200000,00400,0200,335338 37053,S200000,00400,0300,11/14/1971 37053,S200000,00400,0500,P 37053,S200000,01500,0100,Y 37053,S200000,04300,0100,Y 37060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37060,A000000,00300,0000,00300EMPLOYEE BENEFITS 37060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37060,A000000,00700,0000,00700HOUSEKEEPING 37060,A000000,00800,0000,00800DIETARY 37060,A000000,00900,0000,00900NURSING ADMINISTRATION 37060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37060,A000000,01100,0000,01100PHARMACY 37060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37060,A000000,01300,0000,01300SOCIAL SERVICE 37060,A000000,01350,0000,01500OTHER GENERAL SERVICES 37060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37060,A000000,01600,0000,01600SKILLED NURSING FACILITY 37060,A000000,01810,0000,01810ICF/MR 37060,A000000,02100,0000,02100RADIOLOGY 37060,A000000,02200,0000,02200LABORATORY 37060,A000000,02500,0000,02500PHYSICAL THERAPY 37060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37060,A000000,02700,0000,02700SPEECH PATHOLOGY 37060,A000000,02800,0000,02800ELECTROCARDIOLOGY 37060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37060,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37060,A000000,03550,0000,03550FQHC 37060,A000000,05000,0000,05000CORF 37060,A000000,05010,0000,05010CMHC 37060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37060,A000000,05300,0000,05300INTEREST EXPENSE 37060,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37060,A81000A,00100,0100,Y 37060,A81000B,00100,0300,EMPLOYEE BENEFITS 37060,A81000B,00200,0300,ADMIN&GEN 37060,A81000B,00300,0300,PLANT OPERATION.MAINT 37060,A81000B,00400,0300,LAUNDRY & LINEN SERVICE 37060,A81000B,00500,0300,HOUSEKEEPING 37060,A81000B,00600,0300,PHARMACY 37060,A81000B,00700,0300,CENTRAL SERVICES & SUPPLY 37060,A81000C,00100,0100,B 37060,A81000C,00100,0200,MARGARETVILLE MEM.HOSP. 37060,B100000,00000,0100,00000SQUARE FEET 37060,B100000,00000,0200,00000DOLLAR VALUE 37060,B100000,00000,0300,00000GROSS SALARIES 37060,B100000,00000,0400,00000ACCUM. COST 37060,B100000,00000,0500,00000SQUARE FEET 37060,B100000,00000,0600,00000POUNDS OF LAUNDRY 37060,B100000,00000,0700,00000HOURS OF SERVICE 37060,B100000,00000,0800,00000MEALS SERVED 37060,B100000,00000,0900,00000DIRECT NRSING HRS 37060,B100000,00000,1000,00000COSTED REQUIS. 37060,B100000,00000,1100,00000COSTED REQUIS. 37060,B100000,00000,1200,00000TIME SPENT 37060,B100000,00000,1300,00000TIME SPENT 37060,B100000,00000,1350,00000 37060,B100000,00000,1400,00000ASSIGNED TIME 37060,E10A180,00301,0100,05/10/2000 37060,E10A180,00550,0100,06/23/2000 37060,S000000,00100,0200,01/02/2001 37060,S200000,00100,0100,ROUTE 28 37060,S200000,00100,0300,890 37060,S200000,00200,0100,MARGARETVILLE 37060,S200000,00200,0200,NY 37060,S200000,00200,0300,12455 37060,S200000,00300,0100,D 37060,S200000,00400,0100,MARGARETVILLE NURSING HOME 37060,S200000,00400,0200,335339 37060,S200000,00400,0300,11/14/1971 37060,S200000,00400,0500,P 37060,S200000,01500,0100,Y 37060,S200000,01900,0100,NOT FOR PROFIT 37060,S200000,02100,0100,E 37068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37068,A000000,00300,0000,00300EMPLOYEE BENEFITS 37068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37068,A000000,00700,0000,00700HOUSEKEEPING 37068,A000000,00800,0000,00800DIETARY 37068,A000000,00900,0000,00900NURSING ADMINISTRATION 37068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37068,A000000,01100,0000,01100PHARMACY 37068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37068,A000000,01300,0000,01300SOCIAL SERVICE 37068,A000000,01350,0000,01500ACTIVITIES 37068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37068,A000000,01600,0000,01600SKILLED NURSING FACILITY 37068,A000000,01810,0000,01810ICF/MR 37068,A000000,02500,0000,02500PHYSICAL THERAPY 37068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37068,A000000,02700,0000,02700SPEECH PATHOLOGY 37068,A000000,03550,0000,03550FQHC 37068,A000000,05000,0000,05000CORF 37068,A000000,05010,0000,05010CMHC 37068,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37068,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37068,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37068,A000000,06150,0000,06300DENTAL 37068,B100000,00000,0100,00000SQUARE FEET 37068,B100000,00000,0200,00000SQUARE FEET 37068,B100000,00000,0300,00000GROSS SALARIES 37068,B100000,00000,0400,00000ACCUM COST 37068,B100000,00000,0500,00000SQUARE FEET 37068,B100000,00000,0600,00000POUNDS OF LAUNDRY 37068,B100000,00000,0700,00000HOURS OF SERVICE 37068,B100000,00000,0800,00000MEALS SERVED 37068,B100000,00000,0900,00000DIRECT NRSG HRS 37068,B100000,00000,1000,00000COSTED REQUIS 37068,B100000,00000,1100,00000COSTED REQUIS 37068,B100000,00000,1200,00000TIME SPENT 37068,B100000,00000,1300,00000TIME SPENT 37068,B100000,00000,1350,00000TIME SPENT 37068,B100000,00000,1400,00000ASSIGNED TIME 37068,E10A180,00301,0100,01/18/2000 37068,E10A180,00302,0100,05/10/2000 37068,S000000,00100,0200,07/17/2000 37068,S200000,00100,0100,614 SOUTH CROUSE AVE 37068,S200000,00200,0100,SYRACUSE 37068,S200000,00200,0200,NY 37068,S200000,00200,0300,13210 37068,S200000,00300,0100,ONONDAGA U 37068,S200000,00400,0100,PLAZA NURSING HOME CO. INC. 37068,S200000,00400,0200,335340 37068,S200000,00400,0300,12/01/1971 37068,S200000,00400,0500,P 37068,S200000,01500,0100,Y 37068,S200000,01900,0100,2 (501C3 CORP) 37068,S200000,02200,0100,Y 37068,S200000,02800,0100,Y 37068,S200000,04100,0100,Y 37068,S200000,04300,0100,Y 37079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37079,A000000,00300,0000,00300EMPLOYEE BENEFITS 37079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37079,A000000,00700,0000,00700HOUSEKEEPING 37079,A000000,00800,0000,00800DIETARY 37079,A000000,00900,0000,00900NURSING ADMINISTRATION 37079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37079,A000000,01100,0000,01100PHARMACY 37079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37079,A000000,01300,0000,01300SOCIAL SERVICE 37079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37079,A000000,01600,0000,01600SKILLED NURSING FACILITY 37079,A000000,01810,0000,01810ICF/MR 37079,A000000,02100,0000,02100RADIOLOGY 37079,A000000,02200,0000,02200LABORATORY 37079,A000000,02500,0000,02500PHYSICAL THERAPY 37079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37079,A000000,02700,0000,02700SPEECH PATHOLOGY 37079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37079,A000000,03550,0000,03550FQHC 37079,A000000,05000,0000,05000CORF 37079,A000000,05010,0000,05010CMHC 37079,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37079,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37079,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37079,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37079,A000000,06151,0000,06301DENTAL 37079,A81000A,00100,0100,Y 37079,A81000B,00100,0300,RENT 37079,A81000B,00200,0300,DEPRECIATION 37079,A81000C,00100,0100,A 37079,A81000C,00100,0200,SAM KLEIN 37079,A81000C,00100,0400,TREETOPS REALTY 37079,A81000C,00100,0600,REAL ESTATE 37079,B100000,00000,0100,00001SQUARE FEET 37079,B100000,00000,0200,00001SQUARE FEET 37079,B100000,00000,0300,00001GROSS SALARIES 37079,B100000,00000,0400,00001ACCUM COST 37079,B100000,00000,0500,00001SQUARE FEET 37079,B100000,00000,0600,00001POUNDS OF LAUNDRY 37079,B100000,00000,0700,00001HOURS OF SERVICE 37079,B100000,00000,0800,00001MEALS SERVED 37079,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37079,B100000,00000,1000,00001COSTED REQUISITIO 37079,B100000,00000,1100,00001COSTED REQUISITIO 37079,B100000,00000,1200,00001TIME SPENT 37079,B100000,00000,1300,00001TIME SPENT 37079,B100000,00000,1400,00001ASSIGNED TIME 37079,E10A180,00301,0100,05/10/2000 37079,E10A180,00550,0100,06/07/2000 37079,S000000,00100,0200,06/01/2000 37079,S200000,00100,0100,3550 LEXINGTON AVE 37079,S200000,00200,0100,MOHEGAN LAKE 37079,S200000,00200,0200,NY 37079,S200000,00200,0300,10547 37079,S200000,00300,0100,WESTCHESTER 37079,S200000,00400,0100,TREETOPS AT MOHEGAN LAKE 37079,S200000,00400,0200,335342 37079,S200000,00400,0300,02/14/1972 37079,S200000,00400,0500,P 37079,S200000,01500,0100,Y 37087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37087,A000000,00300,0000,00300EMPLOYEE BENEFITS 37087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37087,A000000,00700,0000,00700HOUSEKEEPING 37087,A000000,00800,0000,00800DIETARY 37087,A000000,00900,0000,00900NURSING ADMINISTRATION 37087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37087,A000000,01100,0000,01100PHARMACY 37087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37087,A000000,01300,0000,01300SOCIAL SERVICE 37087,A000000,01301,0000,01301ACTIVITIES 37087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37087,A000000,01600,0000,01600SKILLED NURSING FACILITY 37087,A000000,01810,0000,01810ICF/MR 37087,A000000,02500,0000,02500PHYSICAL THERAPY 37087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37087,A000000,02700,0000,02700SPEECH PATHOLOGY 37087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37087,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37087,A000000,03550,0000,03550FQHC 37087,A000000,05000,0000,05000CORF 37087,A000000,05010,0000,05010CMHC 37087,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37087,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37087,B100000,00000,0100,00000SQUARE FEET 37087,B100000,00000,0200,00000SQUARE FEET 37087,B100000,00000,0300,00000GROSS SALARIES 37087,B100000,00000,0400,00000ACCUM COST 37087,B100000,00000,0500,00000SQUARE FEET 37087,B100000,00000,0600,00000POUNDS OF LAUNDRY 37087,B100000,00000,0700,00000HOURS OF SERVICE 37087,B100000,00000,0800,00000MEALS SERVED 37087,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37087,B100000,00000,1000,00000COSTED REQUISITIO 37087,B100000,00000,1100,00000COSTED REQUISITIO 37087,B100000,00000,1200,00000TIME SPENT 37087,B100000,00000,1300,00000TIME SPENT 37087,B100000,00000,1301,00000# OF PARTICIPAN 37087,B100000,00000,1400,00000ASSIGNED TIME 37087,E10A180,00301,0100,05/10/2000 37087,E10A180,00350,0100,09/22/1999 37087,S000000,00100,0200,08/03/2000 37087,S200000,00100,0100,ONE TERRACE HEIGHTS 37087,S200000,00200,0100,NEW BERLIN 37087,S200000,00200,0200,NY 37087,S200000,00200,0300,13411 37087,S200000,00300,0100,CHENANGO 37087,S200000,00400,0100,CHASE MEMORIAL NURSING HOME 37087,S200000,00400,0200,335344 37087,S200000,00400,0300,03/06/1972 37087,S200000,00400,0500,P 37087,S200000,01500,0100,Y 37095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37095,A000000,00300,0000,00300EMPLOYEE BENEFITS 37095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37095,A000000,00700,0000,00700HOUSEKEEPING 37095,A000000,00800,0000,00800DIETARY 37095,A000000,00900,0000,00900NURSING ADMINISTRATION 37095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37095,A000000,01100,0000,01100PHARMACY 37095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37095,A000000,01300,0000,01300SOCIAL SERVICE 37095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37095,A000000,01600,0000,01600SKILLED NURSING FACILITY 37095,A000000,01810,0000,01810ICF/MR 37095,A000000,02100,0000,02100RADIOLOGY 37095,A000000,02200,0000,02200LABORATORY 37095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37095,A000000,02500,0000,02500PHYSICAL THERAPY 37095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37095,A000000,02700,0000,02700SPEECH PATHOLOGY 37095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37095,A000000,03550,0000,03550FQHC 37095,A000000,05000,0000,05000CORF 37095,A000000,05010,0000,05010CMHC 37095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37095,A000000,05300,0000,05300INTEREST EXPENSE 37095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37095,A000000,06150,0000,06300ADULT MEDICAL DAY CARE 37095,A000000,06151,0000,06301OTHER NONREIMBURSABLE 1 37095,A81000A,00100,0100,Y 37095,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 37095,A81000B,00200,0300,PHYSICAL THERAPY 37095,A81000B,00300,0300,OCCUPATIONAL THERAPY 37095,A81000B,00400,0300,SPEECH THERAPY 37095,A81000B,01000,0300,CARE COORDINATORS 37095,A81000C,00100,0100,B 37095,A81000C,00100,0200,GHS 37095,A81000C,00100,0400,GHS 37095,A81000C,00100,0600,HEALTHCARE 37095,A81000C,00200,0100,B 37095,A81000C,00200,0200,GHS 37095,A81000C,00200,0400,GHS 37095,A81000C,00200,0600,HEALTHCARE 37095,A81000C,00300,0100,B 37095,A81000C,00300,0200,GHS 37095,A81000C,00300,0400,GHS 37095,A81000C,00300,0600,HEALTHCARE 37095,A81000C,00400,0100,B 37095,A81000C,00400,0200,GHS 37095,A81000C,00400,0400,GHS 37095,A81000C,00400,0600,HEALTHCARE 37095,A81000C,01100,0100,B 37095,A81000C,01100,0200,GHS 37095,A81000C,01100,0400,GHS 37095,A81000C,01100,0600,HEALTHCARE 37095,B100000,00000,0100,00001SQUARE FEET 37095,B100000,00000,0200,00001DOLLAR VALUE 37095,B100000,00000,0300,00001GROSS SALARIES 37095,B100000,00000,0400,00001ACCUM. COST 37095,B100000,00000,0500,00001SQUARE FEET 37095,B100000,00000,0600,00001POUNDS OF LAUNDRY 37095,B100000,00000,0700,00001HOURS OF SERVICE 37095,B100000,00000,0800,00001MEALS SERVED 37095,B100000,00000,0900,00001DIRECT NRSING HRS 37095,B100000,00000,1000,00001COSTED REQUIS. 37095,B100000,00000,1100,00001COSTED REQUIS. 37095,B100000,00000,1200,00001TIME SPENT 37095,B100000,00000,1300,00001TIME SPENT 37095,B100000,00000,1400,00001ASSIGNED TIME 37095,E10A180,00301,0100,01/18/2000 37095,E10A180,00302,0100,05/10/2000 37095,S000000,00100,0200,06/21/2000 37095,S200000,00100,0100,37 NORTH CHEMUNG STREET 37095,S200000,00200,0100,WAVERLY 37095,S200000,00200,0200,NY 37095,S200000,00200,0300,14892 37095,S200000,00300,0100,TIOGA 37095,S200000,00400,0100,TIOGA NURSING FACILITY 37095,S200000,00400,0200,335346 37095,S200000,00400,0300,12/10/1971 37095,S200000,00400,0500,P 37095,S200000,01500,0100,Y 37097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37097,A000000,00300,0000,00300EMPLOYEE BENEFITS 37097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37097,A000000,00700,0000,00700HOUSEKEEPING 37097,A000000,00800,0000,00800DIETARY 37097,A000000,00900,0000,00900NURSING ADMINISTRATION 37097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37097,A000000,01100,0000,01100PHARMACY 37097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37097,A000000,01300,0000,01300SOCIAL SERVICE 37097,A000000,01350,0000,01500ACTIVITIES 37097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37097,A000000,01600,0000,01600SKILLED NURSING FACILITY 37097,A000000,01810,0000,01810ICF/MR 37097,A000000,02100,0000,02100RADIOLOGY 37097,A000000,02200,0000,02200LABORATORY 37097,A000000,02500,0000,02500PHYSICAL THERAPY 37097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37097,A000000,02700,0000,02700SPEECH PATHOLOGY 37097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37097,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37097,A000000,03550,0000,03550FQHC 37097,A000000,05000,0000,05000CORF 37097,A000000,05010,0000,05010CMHC 37097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37097,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37097,A000000,06150,0000,06300DENTAL 37097,B100000,00000,0100,00000SQUARE FEET 37097,B100000,00000,0200,00000SQUARE FEET 37097,B100000,00000,0300,00000GROSS SALARIES 37097,B100000,00000,0400,00000ACCUM COST 37097,B100000,00000,0500,00000SQUARE FEET 37097,B100000,00000,0600,00000POUNDS OF LAUNDRY 37097,B100000,00000,0700,00000HOURS OF SERVICE 37097,B100000,00000,0800,00000MEALS SERVED 37097,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37097,B100000,00000,1000,00000COSTED REQUISITIO 37097,B100000,00000,1100,00000COSTED REQUISITIO 37097,B100000,00000,1200,00000TIME SPENT 37097,B100000,00000,1300,00000TIME SPENT 37097,B100000,00000,1350,00000PATIENT DAYS 37097,B100000,00000,1400,00000ASSIGNED TIME 37097,E10A180,00301,0100,05/10/2000 37097,E10A180,00550,0100,06/07/2000 37097,S000000,00100,0200,05/25/2000 37097,S200000,00100,0100,1235 PELHAM PARKAWAY 37097,S200000,00200,0100,BRONX 37097,S200000,00200,0200,NY 37097,S200000,00200,0300,10469 37097,S200000,00300,0100,BRONX 37097,S200000,00400,0100,MORRIS PARK NURSING HOME 37097,S200000,00400,0200,335347 37097,S200000,00400,0300,03/27/1972 37097,S200000,00400,0500,P 37097,S200000,01500,0100,Y 37105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37105,A000000,00300,0000,00300EMPLOYEE BENEFITS 37105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37105,A000000,00700,0000,00700HOUSEKEEPING 37105,A000000,00800,0000,00800DIETARY 37105,A000000,00900,0000,00900NURSING ADMINISTRATION 37105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37105,A000000,01100,0000,01100PHARMACY 37105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37105,A000000,01300,0000,01300SOCIAL SERVICE 37105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37105,A000000,01600,0000,01600SKILLED NURSING FACILITY 37105,A000000,01810,0000,01810ICF/MR 37105,A000000,02100,0000,02100RADIOLOGY 37105,A000000,02200,0000,02200LABORATORY 37105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37105,A000000,02500,0000,02500PHYSICAL THERAPY 37105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37105,A000000,02700,0000,02700SPEECH PATHOLOGY 37105,A000000,02800,0000,02800ELECTROCARDIOLOGY 37105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37105,A000000,03550,0000,03550FQHC 37105,A000000,05000,0000,05000CORF 37105,A000000,05010,0000,05010CMHC 37105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37105,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37105,A000000,05300,0000,05300INTEREST EXPENSE 37105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37105,A81000A,00100,0100,Y 37105,A81000C,00100,0100,G 37105,A81000C,00100,0200,N. DUTCHESS RHC 37105,A81000C,00100,0400,N. DUTCHESS HOS 37105,A81000C,00100,0600,HOSPITAL 37105,A81000C,00200,0100,G 37105,A81000C,00200,0200,N.DUTCHESS RHCF 37105,A81000C,00200,0400,VASSAR BROTHERS 37105,A81000C,00200,0600,HOSPITAL 37105,B100000,00000,0100,00000SQUARE FEET 37105,B100000,00000,0200,00000SQUARE FEET 37105,B100000,00000,0300,00000GROSS SALARIES 37105,B100000,00000,0400,00000ACCUM COST 37105,B100000,00000,0500,00000SQUARE FEET 37105,B100000,00000,0600,00000POUNDS OF LAUNDRY 37105,B100000,00000,0700,00000HOURS OF SERVICE 37105,B100000,00000,0800,00000MEALS SERVED 37105,B100000,00000,0900,00000DIRECT NRSG HRS 37105,B100000,00000,1000,00000COSTED REQUIS 37105,B100000,00000,1100,00000COSTED REQUIS 37105,B100000,00000,1200,00000TIME SPENT 37105,B100000,00000,1300,00000TIME SPENT 37105,B100000,00000,1400,00000ASSIGNED TIME 37105,S000000,00100,0200,06/01/2000 37105,S200000,00100,0100,6525 SPRINGBROOK AVE. 37105,S200000,00100,0300,514 37105,S200000,00200,0100,RHINEBECK 37105,S200000,00200,0200,NY 37105,S200000,00200,0300,12572 37105,S200000,00300,0100,DUTCHESS 37105,S200000,00400,0100,NORTHERN DUTCHESS RHCF INC. 37105,S200000,00400,0200,335348 37105,S200000,00400,0300,02/07/1972 37105,S200000,00400,0500,P 37105,S200000,01500,0100,Y 37105,S200000,01900,0100,CORPORATION 37108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37108,A000000,00300,0000,00300EMPLOYEE BENEFITS 37108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37108,A000000,00700,0000,00700HOUSEKEEPING 37108,A000000,00800,0000,00800DIETARY 37108,A000000,00900,0000,00900NURSING ADMINISTRATION 37108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37108,A000000,01100,0000,01100PHARMACY 37108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37108,A000000,01300,0000,01300SOCIAL SERVICE 37108,A000000,01350,0000,01500OTHER GENERAL SERVICES 37108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37108,A000000,01600,0000,01600SKILLED NURSING FACILITY 37108,A000000,01810,0000,01810ICF/MR 37108,A000000,02100,0000,02100RADIOLOGY 37108,A000000,02200,0000,02200LABORATORY 37108,A000000,02500,0000,02500PHYSICAL THERAPY 37108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37108,A000000,02700,0000,02700SPEECH PATHOLOGY 37108,A000000,02800,0000,02800ELECTROCARDIOLOGY 37108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37108,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37108,A000000,03201,0000,03201CLINITRON THERAPY 37108,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37108,A000000,03550,0000,03550FQHC 37108,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37108,A000000,04800,0000,04800AMBULANCE 37108,A000000,05000,0000,05000CORF 37108,A000000,05010,0000,05010CMHC 37108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37108,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37108,A000000,06100,0000,06100NONPAID WORKERS 37108,A000000,06101,0000,06101MEALS ON WHEELS 37108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37108,B100000,00000,0100,00000SQUARE FEET 37108,B100000,00000,0200,00000DOLLAR VALUE 37108,B100000,00000,0300,00000GROSS SALARIES 37108,B100000,00000,0400,00000ACCUM. COST 37108,B100000,00000,0500,00000SQUARE FEET 37108,B100000,00000,0600,00000POUNDS OF LAUNDRY 37108,B100000,00000,0700,00000HOURS OF SERVICE 37108,B100000,00000,0800,00000MEALS SERVED 37108,B100000,00000,0900,00000HOURS OF SERVICE 37108,B100000,00000,1000,00000COSTED REQUIS. 37108,B100000,00000,1100,00000COSTED REQUIS. 37108,B100000,00000,1200,00000TIME SPENT 37108,B100000,00000,1300,00000TIME SPENT 37108,B100000,00000,1350,00000NO STATISTICS 37108,B100000,00000,1400,00000TIME SPENT 37108,E10A180,00301,0100,05/10/2000 37108,S000000,00100,0200,05/31/2000 37108,S200000,00100,0100,119-19 GRAHAM COURT 37108,S200000,00200,0100,FLUSHING 37108,S200000,00200,0200,NY 37108,S200000,00200,0300,11354 37108,S200000,00300,0100,QUEENS 37108,S200000,00400,0100,CLIFFSIDE NURSING HOME INC. 37108,S200000,00400,0200,335349 37108,S200000,00400,0300,10/01/1973 37108,S200000,00400,0500,P 37108,S200000,01500,0100,Y 37113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37113,A000000,00300,0000,00300EMPLOYEE BENEFITS 37113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37113,A000000,00700,0000,00700HOUSEKEEPING 37113,A000000,00800,0000,00800DIETARY 37113,A000000,00900,0000,00900NURSING ADMINISTRATION 37113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37113,A000000,01100,0000,01100PHARMACY 37113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37113,A000000,01300,0000,01300SOCIAL SERVICE 37113,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 37113,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37113,A000000,01600,0000,01600SKILLED NURSING FACILITY 37113,A000000,01810,0000,01810ICF/MR 37113,A000000,02200,0000,02200LABORATORY 37113,A000000,02500,0000,02500PHYSICAL THERAPY 37113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37113,A000000,02700,0000,02700SPEECH PATHOLOGY 37113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37113,A000000,03550,0000,03550FQHC 37113,A000000,05000,0000,05000CORF 37113,A000000,05010,0000,05010CMHC 37113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37113,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37113,A000000,06201,0000,06201DENTAL 37113,B100000,00000,0100,00000SQUARE FEET 37113,B100000,00000,0200,00000SQUARE FEET 37113,B100000,00000,0300,00000GROSS SALARIES 37113,B100000,00000,0400,00000ACCUM COST 37113,B100000,00000,0500,00000SQUARE FEET 37113,B100000,00000,0600,00000POUNDS OF LAUNDRY 37113,B100000,00000,0700,00000HOURS OF SERVICE 37113,B100000,00000,0800,00000MEALS SERVED 37113,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37113,B100000,00000,1000,00000COSTED REQUISITIO 37113,B100000,00000,1100,00000COSTED REQUISITIO 37113,B100000,00000,1200,00000TIME SPENT 37113,B100000,00000,1300,00000TIME SPENT 37113,B100000,00000,1301,00000PARTICIPAN 37113,B100000,00000,1350,00000 37113,B100000,00000,1400,00000ASSIGNED TIME 37113,E10A180,00301,0100,05/10/2000 37113,S000000,00100,0200,06/28/2000 37113,S200000,00100,0100,31 LOCKWOOD AVENUE 37113,S200000,00200,0100,NEW ROCHELLE 37113,S200000,00200,0200,NEW YORK 37113,S200000,00200,0300,10801 37113,S200000,00300,0100,WESTCHESTER 37113,S200000,00400,0100,NEW ROCHELLE CARE CENTER 37113,S200000,00400,0200,335350 37113,S200000,00400,0300,05/01/1972 37113,S200000,00400,0500,P 37113,S200000,01500,0100,Y 37121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37121,A000000,00300,0000,00300EMPLOYEE BENEFITS 37121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37121,A000000,00700,0000,00700HOUSEKEEPING 37121,A000000,00800,0000,00800DIETARY 37121,A000000,00900,0000,00900NURSING ADMINISTRATION 37121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37121,A000000,01100,0000,01100PHARMACY 37121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37121,A000000,01300,0000,01300SOCIAL SERVICE 37121,A000000,01350,0000,01500MEDICAL DIRECTOR 37121,A000000,01351,0000,01501ACTIVITIES 37121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37121,A000000,01600,0000,01600SKILLED NURSING FACILITY 37121,A000000,01810,0000,01810ICF/MR 37121,A000000,02100,0000,02100RADIOLOGY 37121,A000000,02101,0000,02101PSYCHIATRIC 37121,A000000,02200,0000,02200LABORATORY 37121,A000000,02500,0000,02500PHYSICAL THERAPY 37121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37121,A000000,02700,0000,02700SPEECH PATHOLOGY 37121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37121,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37121,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37121,A000000,03550,0000,03550FQHC 37121,A000000,05000,0000,05000CORF 37121,A000000,05010,0000,05010CMHC 37121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37121,A000000,05300,0000,05300INTEREST EXPENSE 37121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37121,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37121,B100000,00000,0100,00000SQUARE FEET 37121,B100000,00000,0200,00000SQUARE FEET 37121,B100000,00000,0300,00000GROSS SALARIES 37121,B100000,00000,0400,00000ACCUM COST 37121,B100000,00000,0500,00000SQUARE FEET 37121,B100000,00000,0600,00000POUNDS OF LAUNDRY 37121,B100000,00000,0700,00000HOURS OF SERVICE 37121,B100000,00000,0800,00000MEALS SERVED 37121,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37121,B100000,00000,1000,00000COSTED REQUISITIO 37121,B100000,00000,1100,00000COSTED REQUISITIO 37121,B100000,00000,1200,00000TIME SPENT 37121,B100000,00000,1300,00000TIME SPENT 37121,B100000,00000,1350,00000ASSIGNED TIME 37121,B100000,00000,1351,00000ASSIGNED TIME 37121,B100000,00000,1400,00000ASSIGNED TIME 37121,E10A180,00301,0100,01/18/2000 37121,E10A180,00302,0100,05/10/2000 37121,S000000,00100,0200,06/22/2000 37121,S200000,00100,0300,367 37121,S200000,00200,0100,GERRY 37121,S200000,00200,0200,NEW YORK 37121,S200000,00400,0100,GERRY NURSING HOME INC. 37121,S200000,00400,0200,335353 37121,S200000,00400,0300,08/01/1972 37121,S200000,00400,0500,P 37121,S200000,01500,0100,Y 37129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37129,A000000,00300,0000,00300EMPLOYEE BENEFITS 37129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37129,A000000,00700,0000,00700HOUSEKEEPING 37129,A000000,00800,0000,00800DIETARY 37129,A000000,00900,0000,00900NURSING ADMINISTRATION 37129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37129,A000000,01100,0000,01100PHARMACY 37129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37129,A000000,01300,0000,01300SOCIAL SERVICE 37129,A000000,01350,0000,01500OTHER GENERAL SERVICES 37129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37129,A000000,01600,0000,01600SKILLED NURSING FACILITY 37129,A000000,01810,0000,01810ICF/MR 37129,A000000,02500,0000,02500PHYSICAL THERAPY 37129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37129,A000000,02700,0000,02700SPEECH PATHOLOGY 37129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37129,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37129,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37129,A000000,03200,0000,03200SUPPORT SURFACES 37129,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37129,A000000,03550,0000,03550FQHC 37129,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37129,A000000,05000,0000,05000CORF 37129,A000000,05010,0000,05010CMHC 37129,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37129,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37129,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37129,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37129,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37129,B100000,00000,0100,00000SQUARE FEET 37129,B100000,00000,0200,00000SQUARE FEET 37129,B100000,00000,0300,00000GROSS SALARIES 37129,B100000,00000,0400,00000ACCUM. COST 37129,B100000,00000,0500,00000SQUARE FEET 37129,B100000,00000,0600,00000POUNDS OF LAUNDRY 37129,B100000,00000,0700,00000HOURS OF SERVICE 37129,B100000,00000,0800,00000MEALS SERVED 37129,B100000,00000,0900,00000HOURS OF SERVICE 37129,B100000,00000,1000,00000COSTSREQUI ISITIOND 37129,B100000,00000,1100,00000COSTSREQUS SITIONED 37129,B100000,00000,1200,00000TIME SPENT 37129,B100000,00000,1300,00000TIME SPENT 37129,B100000,00000,1350,00000NO STATISTICS 37129,B100000,00000,1400,00000ASSIGNED TIME 37129,E10A180,00301,0100,05/10/2000 37129,S000000,00100,0200,06/21/2000 37129,S200000,00100,0100,1940 HAMURG STREET 37129,S200000,00200,0100,SCHENECTADY 37129,S200000,00200,0200,NY 37129,S200000,00200,0300,12304 37129,S200000,00300,0100,SCHENECTADY 37129,S200000,00400,0100,HALLMARK NURSING CENTRE - ROTTERDAM 37129,S200000,00400,0200,335354 37129,S200000,00400,0300,08/06/1972 37129,S200000,00400,0500,P 37129,S200000,01500,0100,Y 37138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37138,A000000,00300,0000,00300EMPLOYEE BENEFITS 37138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37138,A000000,00700,0000,00700HOUSEKEEPING 37138,A000000,00800,0000,00800DIETARY 37138,A000000,00900,0000,00900NURSING ADMINISTRATION 37138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37138,A000000,01100,0000,01100PHARMACY 37138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37138,A000000,01300,0000,01300SOCIAL SERVICE 37138,A000000,01350,0000,01500OTHER GENERAL SERVICES 37138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37138,A000000,01600,0000,01600SKILLED NURSING FACILITY 37138,A000000,01810,0000,01810ICF/MR 37138,A000000,02100,0000,02100RADIOLOGY 37138,A000000,02200,0000,02200LABORATORY 37138,A000000,02500,0000,02500PHYSICAL THERAPY 37138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37138,A000000,02700,0000,02700SPEECH PATHOLOGY 37138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37138,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37138,A000000,03550,0000,03550FQHC 37138,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37138,A000000,05000,0000,05000CORF 37138,A000000,05010,0000,05010CMHC 37138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37138,A000000,05300,0000,05300INTEREST EXPENSE 37138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37138,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37138,A000000,06151,0000,06301DENTAL 37138,B100000,00000,0100,00001SQUARE FEET 37138,B100000,00000,0200,00001DOLLAR VALUE 37138,B100000,00000,0300,00001GROSS SALARIES 37138,B100000,00000,0400,00001ACCUM. COST 37138,B100000,00000,0500,00001SQUARE FEET 37138,B100000,00000,0600,00001POUNDS OF LAUNDRY 37138,B100000,00000,0700,00001HOURS OF SERVICE 37138,B100000,00000,0800,00001MEALS SERVED 37138,B100000,00000,0900,00001DIRECT NRSING HRS 37138,B100000,00000,1000,00001COSTED REQUIS. 37138,B100000,00000,1100,00001COSTED REQUIS. 37138,B100000,00000,1200,00001TIME SPENT 37138,B100000,00000,1300,00001TIME SPENT 37138,B100000,00000,1350,00001NO STATISTICS 37138,B100000,00000,1400,00001ASSIGNED TIME 37138,S000000,00100,0200,05/31/2000 37138,S200000,00100,0100,2245 W. STATE STREET 37138,S200000,00200,0100,OLEAN 37138,S200000,00200,0200,NY 37138,S200000,00200,0300,14760 37138,S200000,00300,0100,CATTARAUGUS 37138,S200000,00400,0100,CATTARAUGUS COUNTY PUBLIC NRSG HOME 37138,S200000,00400,0200,335357 37138,S200000,00400,0300,08/20/1972 37138,S200000,00400,0500,P 37138,S200000,01500,0100,Y 37138,S200000,02800,0100,Y 37138,S200000,04100,0100,Y 37143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37143,A000000,00300,0000,00300EMPLOYEE BENEFITS 37143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37143,A000000,00700,0000,00700HOUSEKEEPING 37143,A000000,00800,0000,00800DIETARY 37143,A000000,00900,0000,00900NURSING ADMINISTRATION 37143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37143,A000000,01100,0000,01100PHARMACY 37143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37143,A000000,01300,0000,01300SOCIAL SERVICE 37143,A000000,01350,0000,01500OTHER GENERAL SERVICES 37143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37143,A000000,01600,0000,01600SKILLED NURSING FACILITY 37143,A000000,01810,0000,01810ICF/MR 37143,A000000,02500,0000,02500PHYSICAL THERAPY 37143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37143,A000000,02700,0000,02700SPEECH PATHOLOGY 37143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37143,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37143,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37143,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37143,A000000,03550,0000,03550FQHC 37143,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37143,A000000,05000,0000,05000CORF 37143,A000000,05010,0000,05010CMHC 37143,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37143,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37143,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37143,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37143,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37143,B100000,00000,0100,00000NO STATISTICS 37143,B100000,00000,0200,00000NO STATISTICS 37143,B100000,00000,0300,00000NO STATISTICS 37143,B100000,00000,0400,00000ACCUM. COST 37143,B100000,00000,0500,00000NO STATISTICS 37143,B100000,00000,0600,00000NO STATISTICS 37143,B100000,00000,0700,00000NO STATISTICS 37143,B100000,00000,0800,00000NO STATISTICS 37143,B100000,00000,0900,00000NO STATISTICS 37143,B100000,00000,1000,00000NO STATISTICS 37143,B100000,00000,1100,00000NO STATISTICS 37143,B100000,00000,1200,00000NO STATISTICS 37143,B100000,00000,1300,00000NO STATISTICS 37143,B100000,00000,1350,00000NO STATISTICS 37143,B100000,00000,1400,00000NO STATISTICS 37143,E10A180,00301,0100,05/10/2000 37143,S000000,00100,0200,06/27/2000 37143,S200000,00100,0100,3845 CARPENTER AVE 37143,S200000,00200,0100,BRONX 37143,S200000,00200,0200,NY 37143,S200000,00400,0100,WHITE PLAINS NH 37143,S200000,00400,0200,335358 37143,S200000,00400,0300,08/27/1972 37143,S200000,00400,0500,P 37143,S200000,01500,0100,Y 37153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37153,A000000,00300,0000,00300EMPLOYEE BENEFITS 37153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37153,A000000,00700,0000,00700HOUSEKEEPING 37153,A000000,00800,0000,00800DIETARY 37153,A000000,00801,0000,00801EMPLOYEE CAFETERIA 37153,A000000,00802,0000,00802MAINTENANCE OF PERSONNEL 37153,A000000,00900,0000,00900NURSING ADMINISTRATION 37153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37153,A000000,01100,0000,01100PHARMACY 37153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37153,A000000,01300,0000,01300SOCIAL SERVICE 37153,A000000,01350,0000,01500EDUCATION 37153,A000000,01351,0000,01510ACTIVITIES 37153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37153,A000000,01600,0000,01600SKILLED NURSING FACILITY 37153,A000000,01810,0000,01810ICF/MR 37153,A000000,02100,0000,02100RADIOLOGY 37153,A000000,02200,0000,02200LABORATORY 37153,A000000,02500,0000,02500PHYSICAL THERAPY 37153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37153,A000000,02700,0000,02700SPEECH PATHOLOGY 37153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37153,A000000,03550,0000,03550FQHC 37153,A000000,05000,0000,05000CORF 37153,A000000,05010,0000,05010CMHC 37153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37153,A000000,05300,0000,05300INTEREST EXPENSE 37153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37153,A000000,06150,0000,06300DENTAL AND PODIATRY 37153,B100000,00000,0100,00000SQUARE FEET 37153,B100000,00000,0200,00000SQUARE FEET 37153,B100000,00000,0300,00000GROSS SALARIES 37153,B100000,00000,0400,00000ACCUM COST 37153,B100000,00000,0500,00000SQUARE FEET 37153,B100000,00000,0600,00000POUNDS OF LAUNDRY 37153,B100000,00000,0700,00000HOURS OF SERVICE 37153,B100000,00000,0800,00000MEALS SERVED 37153,B100000,00000,0801,00000(MEALS SERVED) 37153,B100000,00000,0802,00000NUMBERS HOUSED 37153,B100000,00000,0900,00000DIRECT NRSG HRS 37153,B100000,00000,1000,00000COSTED REQUIS 37153,B100000,00000,1100,00000COSTED REQUIS 37153,B100000,00000,1200,00000TIME SPENT 37153,B100000,00000,1300,00000TIME SPENT 37153,B100000,00000,1350,00000NUMBERS HOUSED 37153,B100000,00000,1360,00000NUMBER OF ACTIVITIES 37153,B100000,00000,1400,00000ASSIGNED TIME 37153,E10A180,00301,0100,05/10/2000 37153,E10A180,00350,0100,09/15/1999 37153,S000000,00100,0200,07/06/2000 37153,S200000,00100,0100,42-41 201ST STREET 37153,S200000,00200,0100,BAYSIDE 37153,S200000,00200,0200,NY 37153,S200000,00200,0300,11361 37153,S200000,00300,0100,QUEENS 37153,S200000,00400,0100,OZANAM HALL OF QUEENS N.H. INC 37153,S200000,00400,0200,335363 37153,S200000,00400,0300,09/10/1972 37153,S200000,00400,0500,P 37153,S200000,01500,0100,Y 37153,S200000,01900,0100,28A 37153,S200000,02800,0100,Y 37153,S200000,04300,0100,Y 37163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37163,A000000,00300,0000,00300EMPLOYEE BENEFITS 37163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37163,A000000,00700,0000,00700HOUSEKEEPING 37163,A000000,00800,0000,00800DIETARY 37163,A000000,00801,0000,00801CAFETERIA 37163,A000000,00900,0000,00900NURSING ADMINISTRATION 37163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37163,A000000,01100,0000,01100PHARMACY 37163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37163,A000000,01300,0000,01300SOCIAL SERVICE 37163,A000000,01350,0000,01500ACTIVITIES 37163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37163,A000000,01600,0000,01600SKILLED NURSING FACILITY 37163,A000000,01810,0000,01810ICF/MR 37163,A000000,02100,0000,02100RADIOLOGY 37163,A000000,02200,0000,02200LABORATORY 37163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37163,A000000,02500,0000,02500PHYSICAL THERAPY 37163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37163,A000000,02700,0000,02700SPEECH PATHOLOGY 37163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37163,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37163,A000000,03200,0000,03200SUPPORT SURFACES 37163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37163,A000000,03550,0000,03550FQHC 37163,A000000,05000,0000,05000CORF 37163,A000000,05010,0000,05010CMHC 37163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37163,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37163,A000000,06201,0000,06201DENTAL 37163,A81000A,00100,0100,Y 37163,A81000B,00100,0300,LEGAL SERVICES 37163,A81000C,00100,0100,A 37163,A81000C,00100,0200,A. SELIGSON 37163,A81000C,00100,0400,SELIG. ROTHMAN 37163,A81000C,00100,0600,LAW FIRM 37163,A81000C,00200,0100,A 37163,A81000C,00200,0200,M. ROTHMAN 37163,A81000C,00200,0400,SELIG. ROTHMAN 37163,A81000C,00200,0600,LAW FIRM 37163,A81000C,00300,0100,A 37163,A81000C,00300,0200,EST OF H. ROTHM 37163,A81000C,00300,0400,SELIG. ROTHMAN 37163,A81000C,00300,0600,LAW FIRM 37163,B100000,00000,0100,00000SQUARE FEET 37163,B100000,00000,0200,00000SQUARE FEET 37163,B100000,00000,0300,00000GROSS SALARIES 37163,B100000,00000,0400,00000ACCUM COST 37163,B100000,00000,0500,00000SQUARE FEET 37163,B100000,00000,0600,00000POUNDS OF LAUNDRY 37163,B100000,00000,0700,00000HOURS OF SERVICE 37163,B100000,00000,0800,00000MEALS SERVED 37163,B100000,00000,0801,00000MEALS SERVED 37163,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37163,B100000,00000,1000,00000COSTED REQUISITIO 37163,B100000,00000,1100,00000COSTED REQUISITIO 37163,B100000,00000,1200,00000TIME SPENT 37163,B100000,00000,1300,00000TIME SPENT 37163,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37163,B100000,00000,1400,00000ASSIGNED TIME 37163,E10A180,00301,0100,05/10/2000 37163,E10A180,00350,0100,01/18/2000 37163,S000000,00100,0200,06/07/2000 37163,S200000,00100,0100,CHRISTIAN HERALD ROAD 37163,S200000,00100,0300,D 36 37163,S200000,00200,0100,VALLEY COTTAGE 37163,S200000,00200,0200,NY 37163,S200000,00200,0300,10989 37163,S200000,00300,0100,ROCKLAND 37163,S200000,00400,0100,NYACK MANOR NURSING HOME 37163,S200000,00400,0200,335365 37163,S200000,00400,0300,11/01/1972 37163,S200000,00400,0500,P 37163,S200000,01500,0100,Y 37189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37189,A000000,00300,0000,00300EMPLOYEE BENEFITS 37189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37189,A000000,00700,0000,00700HOUSEKEEPING 37189,A000000,00800,0000,00800DIETARY 37189,A000000,00900,0000,00900NURSING ADMINISTRATION 37189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37189,A000000,01100,0000,01100PHARMACY 37189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37189,A000000,01300,0000,01300SOCIAL SERVICE 37189,A000000,01350,0000,01500OTHER GENERAL SERVICES 37189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37189,A000000,01600,0000,01600SKILLED NURSING FACILITY 37189,A000000,01810,0000,01810ICF/MR 37189,A000000,02100,0000,02100RADIOLOGY 37189,A000000,02200,0000,02200LABORATORY 37189,A000000,02300,0000,02300INTRAVENOUS THERAPY 37189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37189,A000000,02500,0000,02500PHYSICAL THERAPY 37189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37189,A000000,02700,0000,02700SPEECH PATHOLOGY 37189,A000000,02800,0000,02800ELECTROCARDIOLOGY 37189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37189,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37189,A000000,03101,0000,03101CLINITRON THERAPY 37189,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37189,A000000,03550,0000,03550FQHC 37189,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37189,A000000,04800,0000,04800AMBULANCE 37189,A000000,05000,0000,05000CORF 37189,A000000,05010,0000,05010CMHC 37189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37189,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37189,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37189,A81000A,00100,0100,Y 37189,A81000B,00100,0300,RENT 37189,A81000B,00200,0300,MORTGAGE INTEREST 37189,A81000B,00300,0300,DEPRECIATION 37189,A81000B,00400,0300,MORTGAGE COSTS AMORTIZAT 37189,A81000B,00500,0300,PROFESSIONAL FEES 37189,A81000C,00100,0100,F 37189,A81000C,00100,0200,S. HEISLER 37189,A81000C,00100,0400,VANDERBILT N.H. 37189,B100000,00000,0100,00000SQUARE FEET 37189,B100000,00000,0200,00000DOLLAR VALUE 37189,B100000,00000,0300,00000GROSS SALARIES 37189,B100000,00000,0400,00000ACCUM. COST 37189,B100000,00000,0500,00000SQUARE FEET 37189,B100000,00000,0600,00000POUNDS OF LAUNDRY 37189,B100000,00000,0700,00000HOURS OF SERVICE 37189,B100000,00000,0800,00000MEALS SERVED 37189,B100000,00000,0900,00000HOURS OF SERVICE 37189,B100000,00000,1000,00000COSTED REQUIS. 37189,B100000,00000,1100,00000COSTED REQUIS. 37189,B100000,00000,1200,00000TIME SPENT 37189,B100000,00000,1300,00000TIME SPENT 37189,B100000,00000,1350,00000NO STATISTICS 37189,B100000,00000,1400,00000TIME SPENT 37189,E10A180,00301,0100,05/10/2000 37189,S000000,00100,0200,05/30/2000 37189,S200000,00100,0100,135 VANDERBILT AVE. 37189,S200000,00200,0100,STATEN ISLAND 37189,S200000,00200,0200,NY 37189,S200000,00200,0300,10304 37189,S200000,00300,0100,RICHMOND 37189,S200000,00400,0100,NEW VANDERBILT NURSING HOME INC. 37189,S200000,00400,0200,335372 37189,S200000,00400,0300,11/01/1972 37189,S200000,00400,0500,P 37189,S200000,01500,0100,Y 37193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37193,A000000,00300,0000,00300EMPLOYEE BENEFITS 37193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37193,A000000,00700,0000,00700HOUSEKEEPING 37193,A000000,00800,0000,00800DIETARY 37193,A000000,00900,0000,00900NURSING ADMINISTRATION 37193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37193,A000000,01100,0000,01100PHARMACY 37193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37193,A000000,01300,0000,01300SOCIAL SERVICE 37193,A000000,01350,0000,01500ACTIVITIES 37193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37193,A000000,01600,0000,01600SKILLED NURSING FACILITY 37193,A000000,01810,0000,01810ICF/MR 37193,A000000,02100,0000,02100RADIOLOGY 37193,A000000,02200,0000,02200LABORATORY 37193,A000000,02300,0000,02300INTRAVENOUS THERAPY 37193,A000000,02500,0000,02500PHYSICAL THERAPY 37193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37193,A000000,02700,0000,02700SPEECH PATHOLOGY 37193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37193,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37193,A000000,03550,0000,03550FQHC 37193,A000000,04800,0000,04800AMBULANCE 37193,A000000,05000,0000,05000CORF 37193,A000000,05010,0000,05010CMHC 37193,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37193,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37193,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37193,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37193,A000000,06150,0000,06300ADULT DAY CARE 37193,A000000,06151,0000,06301DENTAL 37193,A81000A,00100,0100,Y 37193,A81000B,00100,0300,RENT 37193,A81000B,00200,0300,REAL ESTATE TAXES 37193,A81000B,00300,0300,DEPRECIATION 37193,A81000B,00400,0300,AMORTIZATION 37193,A81000B,00500,0300,MORTGAGE INTEREST 37193,A81000B,00600,0300,BANK CHARGES 37193,A81000C,00100,0100,A 37193,A81000C,00100,0200,A HARTMAN 37193,A81000C,00100,0400,GUNHILL ASSOCIA 37193,A81000C,00100,0600,REAL ESTATE 37193,B100000,00000,0100,00001SQUARE FEET 37193,B100000,00000,0200,00001SQUARE FEET 37193,B100000,00000,0300,00001GROSS SALARIES 37193,B100000,00000,0400,00001ACCUM COST 37193,B100000,00000,0500,00001SQUARE FEET 37193,B100000,00000,0600,00001POUNDS OF LAUNDRY 37193,B100000,00000,0700,00001SQUARE FEET 37193,B100000,00000,0800,00001MEALS SERVED 37193,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37193,B100000,00000,1000,00001COSTED REQUISITIO 37193,B100000,00000,1100,00001COSTED REQUISITIO 37193,B100000,00000,1200,00001TIME SPENT 37193,B100000,00000,1300,00001TIME SPENT 37193,B100000,00000,1350,00001# OF PARTICIPAN 37193,B100000,00000,1400,00001ASSIGNED TIME 37193,E10A180,00301,0100,05/10/2000 37193,S000000,00100,0200,05/31/2000 37193,S200000,00100,0100,3518 BAINBRIDGE AVENUE 37193,S200000,00200,0100,BRONX 37193,S200000,00200,0200,NY 37193,S200000,00200,0300,10467 37193,S200000,00300,0100,BRONX 37193,S200000,00400,0100,BAINBRIDGE NURSING HOME 37193,S200000,00400,0200,335373 37193,S200000,00400,0300,08/01/1973 37193,S200000,00400,0500,P 37193,S200000,01500,0100,Y 37193,S200000,04700,0100,Y 37193,S200000,04700,0200,Y 37202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37202,A000000,00300,0000,00300EMPLOYEE BENEFITS 37202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37202,A000000,00700,0000,00700HOUSEKEEPING 37202,A000000,00800,0000,00800DIETARY 37202,A000000,00900,0000,00900NURSING ADMINISTRATION 37202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37202,A000000,01100,0000,01100PHARMACY 37202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37202,A000000,01300,0000,01300SOCIAL SERVICE 37202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37202,A000000,01600,0000,01600SKILLED NURSING FACILITY 37202,A000000,01810,0000,01810ICF/MR 37202,A000000,02100,0000,02100RADIOLOGY 37202,A000000,02200,0000,02200LABORATORY 37202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37202,A000000,02500,0000,02500PHYSICAL THERAPY 37202,A000000,02700,0000,02700SPEECH PATHOLOGY 37202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37202,A000000,03550,0000,03550FQHC 37202,A000000,05000,0000,05000CORF 37202,A000000,05010,0000,05010CMHC 37202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37202,B100000,00000,0100,00040SQUARE FEET 37202,B100000,00000,0200,00040SQUARE FEET 37202,B100000,00000,0300,00040GROSS SAL 37202,B100000,00000,0400,00040ACCUM. COST 37202,B100000,00000,0500,00040SQUARE FEET 37202,B100000,00000,0600,00040POUNDS OF LAUNDRY 37202,B100000,00000,0700,00040HOURS OF SERVICE 37202,B100000,00000,0800,00040MEALS SERVED 37202,B100000,00000,0900,00040GROSS SALARIES 37202,B100000,00000,1000,00040CS COSTED REQUSIT 37202,B100000,00000,1100,00040PHARMACY COSTED REQ 37202,B100000,00000,1200,00040MED REC TIME SPENT 37202,B100000,00000,1300,00040SS TIME SPENT 37202,B100000,00000,1400,00040BLANK 37202,S000000,00100,0200,07/11/2000 37202,S200000,00100,0100,621 10TH STREET 37202,S200000,00100,0300,708 37202,S200000,00200,0100,NIAGARA FALLS 37202,S200000,00200,0200,NY 37202,S200000,00300,0100,NIAGARA 37202,S200000,00400,0100,SCHOELLKOPF HEALTH CENTER 37202,S200000,00400,0200,335376 37202,S200000,00400,0300,01/03/1973 37202,S200000,00400,0500,P 37202,S200000,01500,0100,Y 37202,S200000,01900,0100,SKILLED NURSING FACILITY 37225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37225,A000000,00300,0000,00300EMPLOYEE BENEFITS 37225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37225,A000000,00700,0000,00700HOUSEKEEPING 37225,A000000,00800,0000,00800DIETARY 37225,A000000,00900,0000,00900NURSING ADMINISTRATION 37225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37225,A000000,01100,0000,01100PHARMACY 37225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37225,A000000,01300,0000,01300SOCIAL SERVICE 37225,A000000,01350,0000,01500ACTIVITIES 37225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37225,A000000,01600,0000,01600SKILLED NURSING FACILITY 37225,A000000,01810,0000,01810ICF/MR 37225,A000000,02100,0000,02100RADIOLOGY 37225,A000000,02200,0000,02200LABORATORY 37225,A000000,02500,0000,02500PHYSICAL THERAPY 37225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37225,A000000,02700,0000,02700SPEECH PATHOLOGY 37225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37225,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37225,A000000,03550,0000,03550FQHC 37225,A000000,05000,0000,05000CORF 37225,A000000,05010,0000,05010CMHC 37225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37225,A000000,06150,0000,06300ADULT DAY CARE 37225,A000000,06151,0000,06301DENTAL 37225,B100000,00000,0100,00001SQUARE FEET 37225,B100000,00000,0200,00001SQUARE FEET 37225,B100000,00000,0300,00001GROSS SALARIES 37225,B100000,00000,0400,00001ACCUM COST 37225,B100000,00000,0500,00001SQUARE FEET 37225,B100000,00000,0600,00001POUNDS OF LAUNDRY 37225,B100000,00000,0700,00001HOURS OF SERVICE 37225,B100000,00000,0800,00001MEALS SERVED 37225,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37225,B100000,00000,1000,00001COSTED REQUISITIO 37225,B100000,00000,1100,00001COSTED REQUISITIO 37225,B100000,00000,1200,00001TIME SPENT 37225,B100000,00000,1300,00001TIME SPENT 37225,B100000,00000,1350,00001PATIENT DAYS 37225,B100000,00000,1400,00001ASSIGNED TIME 37225,E10A180,00301,0100,05/10/2000 37225,E10A180,00550,0100,06/14/2000 37225,S000000,00100,0200,06/06/2000 37225,S200000,00100,0100,111-26 CORONA AVE 37225,S200000,00200,0100,FLUSHING 37225,S200000,00200,0200,NY 37225,S200000,00200,0300,11368 37225,S200000,00300,0100,QUEENS 37225,S200000,00400,0100,REGO PARK NURSING HOME 37225,S200000,00400,0200,335379 37225,S200000,00400,0300,11/01/1973 37225,S200000,00400,0500,P 37225,S200000,01500,0100,Y 37228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37228,A000000,00300,0000,00300EMPLOYEE BENEFITS 37228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37228,A000000,00700,0000,00700HOUSEKEEPING 37228,A000000,00800,0000,00800DIETARY 37228,A000000,00900,0000,00900NURSING ADMINISTRATION 37228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37228,A000000,01100,0000,01100PHARMACY 37228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37228,A000000,01300,0000,01300SOCIAL SERVICE 37228,A000000,01350,0000,01500ACTIVITIES 37228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37228,A000000,01600,0000,01600SKILLED NURSING FACILITY 37228,A000000,01810,0000,01810ICF/MR 37228,A000000,02100,0000,02100RADIOLOGY 37228,A000000,02200,0000,02200LABORATORY 37228,A000000,02500,0000,02500PHYSICAL THERAPY 37228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37228,A000000,02700,0000,02700SPEECH PATHOLOGY 37228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37228,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37228,A000000,03550,0000,03550FQHC 37228,A000000,04800,0000,04800AMBULANCE 37228,A000000,05000,0000,05000CORF 37228,A000000,05010,0000,05010CMHC 37228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37228,A000000,06150,0000,06300DENTAL 37228,A000000,06151,0000,06301ADULT DAY CARE 37228,A000000,06152,0000,06302MEALS ON WHEELS 37228,B100000,00000,0100,00002SQUARE FEET 37228,B100000,00000,0200,00002SQUARE FEET 37228,B100000,00000,0300,00002GROSS SALARIES 37228,B100000,00000,0400,00002ACCUM COST 37228,B100000,00000,0500,00002SQUARE FEET 37228,B100000,00000,0600,00002POUNDS OF LAUNDRY 37228,B100000,00000,0700,00002HOURS OF SERVICE 37228,B100000,00000,0800,00002MEALS SERVED 37228,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 37228,B100000,00000,1000,00002COSTED REQUISITIO 37228,B100000,00000,1100,00002COSTED REQUISITIO 37228,B100000,00000,1200,00002TIME SPENT 37228,B100000,00000,1300,00002TIME SPENT 37228,B100000,00000,1350,00002# OF PARTICIPAN 37228,B100000,00000,1400,00002ASSIGNED TIME 37228,E10A180,00301,0100,05/10/2000 37228,E10A180,00550,0100,06/07/2000 37228,S000000,00100,0200,05/31/2000 37228,S200000,00100,0100,225 MAPLE AVE 37228,S200000,00200,0100,MONSEY 37228,S200000,00200,0200,NY 37228,S200000,00200,0300,10952 37228,S200000,00300,0100,ROCKLAND 37228,S200000,00400,0100,NORTHERN METROPOLITAN RHCF 37228,S200000,00400,0200,335380 37228,S200000,00400,0300,04/30/1981 37228,S200000,00400,0500,P 37228,S200000,01500,0100,Y 37228,S200000,04700,0100,Y 37228,S200000,04700,0200,Y 37236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37236,A000000,00300,0000,00300EMPLOYEE BENEFITS 37236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37236,A000000,00700,0000,00700HOUSEKEEPING 37236,A000000,00800,0000,00800DIETARY 37236,A000000,00900,0000,00900NURSING ADMINISTRATION 37236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37236,A000000,01100,0000,01100PHARMACY 37236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37236,A000000,01300,0000,01300SOCIAL SERVICE 37236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37236,A000000,01600,0000,01600SKILLED NURSING FACILITY 37236,A000000,01810,0000,01810ICF/MR 37236,A000000,02100,0000,02100RADIOLOGY 37236,A000000,02200,0000,02200LABORATORY 37236,A000000,02500,0000,02500PHYSICAL THERAPY 37236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37236,A000000,02700,0000,02700SPEECH PATHOLOGY 37236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37236,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37236,A000000,03400,0000,03400CLINIC 37236,A000000,03550,0000,03550FQHC 37236,A000000,05000,0000,05000CORF 37236,A000000,05010,0000,05010CMHC 37236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37236,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37236,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37236,A81000A,00100,0100,Y 37236,A81000B,00200,0300,LEASE - OFFICE SPACE 37236,A81000B,00300,0300,LEASE - OFFICE SPACE 37236,A81000B,00400,0300,LEASE - OFFICE SPACE 37236,B100000,00000,0100,00000SQUARE FEET 37236,B100000,00000,0200,00000SQUARE FEET 37236,B100000,00000,0300,00000GROSS SALARIES 37236,B100000,00000,0400,00000ACCUM COST 37236,B100000,00000,0500,00000SQUARE FEET 37236,B100000,00000,0600,00000POUNDS OF LAUNDRY 37236,B100000,00000,0700,00000HOURS OF SERVICE 37236,B100000,00000,0800,00000MEALS SERVED 37236,B100000,00000,0900,00000DIRECT NRSG HRS 37236,B100000,00000,1000,00000COSTED REQUIS 37236,B100000,00000,1100,00000COSTED REQUIS 37236,B100000,00000,1200,00000TIME SPENT 37236,B100000,00000,1300,00000TIME SPENT 37236,B100000,00000,1400,00000ASSIGNED TIME 37236,E10A180,00301,0100,05/10/2000 37236,S000000,00100,0200,06/02/2000 37236,S200000,00100,0100,3 SAINT ANTHONY STREET 37236,S200000,00200,0100,AUBURN 37236,S200000,00200,0200,NY 37236,S200000,00200,0300,13021 37236,S200000,00300,0100,CAYUGA 37236,S200000,00400,0100,MERCY HEALTH & REHABILITATION CTR. 37236,S200000,00400,0200,335382 37236,S200000,00400,0300,10/17/1972 37236,S200000,00400,0500,P 37236,S200000,01500,0100,Y 37236,S200000,02200,0100,Y 37236,S200000,04300,0100,Y 37246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37246,A000000,00300,0000,00300EMPLOYEE BENEFITS 37246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37246,A000000,00700,0000,00700HOUSEKEEPING 37246,A000000,00800,0000,00800DIETARY 37246,A000000,00801,0000,00801CAFETERIA 37246,A000000,00900,0000,00900NURSING ADMINISTRATION 37246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37246,A000000,01100,0000,01100PHARMACY 37246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37246,A000000,01300,0000,01300SOCIAL SERVICE 37246,A000000,01350,0000,01500ACTIVITIES 37246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37246,A000000,01600,0000,01600SKILLED NURSING FACILITY 37246,A000000,01810,0000,01810ICF/MR 37246,A000000,02200,0000,02200LABORATORY 37246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37246,A000000,02500,0000,02500PHYSICAL THERAPY 37246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37246,A000000,02700,0000,02700SPEECH PATHOLOGY 37246,A000000,02800,0000,02800ELECTROCARDIOLOGY 37246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37246,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37246,A000000,03550,0000,03550FQHC 37246,A000000,05000,0000,05000CORF 37246,A000000,05010,0000,05010CMHC 37246,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37246,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37246,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37246,A000000,06150,0000,06300ADULT DAY HEALTH CARE 37246,B100000,00000,0100,00000SQUARE FEET 37246,B100000,00000,0200,00000SQUARE FEET 37246,B100000,00000,0300,00000GROSS SALARIES 37246,B100000,00000,0400,00000ACCUM COST 37246,B100000,00000,0500,00000SQUARE FEET 37246,B100000,00000,0600,00000POUNDS OF LAUNDRY 37246,B100000,00000,0700,00000HOURS OF SERVICE 37246,B100000,00000,0800,00000MEALS SERVED 37246,B100000,00000,0801,00000MEALS SERVED 37246,B100000,00000,0900,00000DIRECT NRSG HRS 37246,B100000,00000,1000,00000COSTED REQUIS 37246,B100000,00000,1100,00000COSTED REQUIS 37246,B100000,00000,1200,00000TIME SPENT 37246,B100000,00000,1300,00000TIME SPENT 37246,B100000,00000,1350,00000PARTICI PANTS 37246,B100000,00000,1400,00000ASSIGNED TIME 37246,S000000,00100,0200,05/30/2000 37246,S200000,00100,0100,99 SIXTH AVENUE 37246,S200000,00200,0100,ILION 37246,S200000,00200,0200,NY 37246,S200000,00200,0300,13357 37246,S200000,00300,0100,HERKIMER 37246,S200000,00400,0100,MOHAWK VALLEY NRSG. HOME INC. 37246,S200000,00400,0200,335386 37246,S200000,00400,0300,11/21/1972 37246,S200000,00400,0500,P 37246,S200000,01500,0100,Y 37246,S200000,01900,0100,N-F-P CORPORATION 37249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37249,A000000,00300,0000,00300EMPLOYEE BENEFITS 37249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37249,A000000,00700,0000,00700HOUSEKEEPING 37249,A000000,00800,0000,00800DIETARY 37249,A000000,00900,0000,00900NURSING ADMINISTRATION 37249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37249,A000000,01100,0000,01100PHARMACY 37249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37249,A000000,01300,0000,01300SOCIAL SERVICE 37249,A000000,01350,0000,01500OTHER GENERAL SERVICES 37249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37249,A000000,01600,0000,01600SKILLED NURSING FACILITY 37249,A000000,01810,0000,01810ICF/MR 37249,A000000,02500,0000,02500PHYSICAL THERAPY 37249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37249,A000000,02700,0000,02700SPEECH PATHOLOGY 37249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37249,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37249,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37249,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37249,A000000,03550,0000,03550FQHC 37249,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37249,A000000,05000,0000,05000CORF 37249,A000000,05010,0000,05010CMHC 37249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37249,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37249,B100000,00000,0100,00000NO STATISTICS 37249,B100000,00000,0200,00000NO STATISTICS 37249,B100000,00000,0300,00000NO STATISTICS 37249,B100000,00000,0400,00000ACCUM. COST 37249,B100000,00000,0500,00000NO STATISTICS 37249,B100000,00000,0600,00000NO STATISTICS 37249,B100000,00000,0700,00000NO STATISTICS 37249,B100000,00000,0800,00000NO STATISTICS 37249,B100000,00000,0900,00000NO STATISTICS 37249,B100000,00000,1000,00000NO STATISTICS 37249,B100000,00000,1100,00000NO STATISTICS 37249,B100000,00000,1200,00000NO STATISTICS 37249,B100000,00000,1300,00000NO STATISTICS 37249,B100000,00000,1350,00000NO STATISTICS 37249,B100000,00000,1400,00000NO STATISTICS 37249,E10A180,00301,0100,05/10/2000 37249,S000000,00100,0200,09/05/2000 37249,S200000,00100,0100,1050 EAST 230TH STREET 37249,S200000,00200,0100,BRONX 37249,S200000,00200,0200,NY 37249,S200000,00200,0300,10466 37249,S200000,00300,0100,BRONX 37249,S200000,00400,0100,LACONIA NURSING HOME 37249,S200000,00400,0200,335388 37249,S200000,00400,0300,11/15/1973 37249,S200000,00400,0500,P 37249,S200000,01500,0100,Y 37249,S200000,03300,0100,Y 37249,S200000,03300,0200,Y 37256,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37256,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37256,A000000,00300,0000,00300EMPLOYEE BENEFITS 37256,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37256,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37256,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37256,A000000,00700,0000,00700HOUSEKEEPING 37256,A000000,00800,0000,00800DIETARY 37256,A000000,00900,0000,00900NURSING ADMINISTRATION 37256,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37256,A000000,01100,0000,01100PHARMACY 37256,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37256,A000000,01300,0000,01300SOCIAL SERVICE 37256,A000000,01350,0000,01500OTHER GENERAL SERVICES 37256,A000000,01351,0000,01501RECREATION THERAPY 37256,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37256,A000000,01600,0000,01600SKILLED NURSING FACILITY 37256,A000000,01810,0000,01810ICF/MR 37256,A000000,02100,0000,02100RADIOLOGY 37256,A000000,02200,0000,02200LABORATORY 37256,A000000,02500,0000,02500PHYSICAL THERAPY 37256,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37256,A000000,02700,0000,02700SPEECH PATHOLOGY 37256,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37256,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37256,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37256,A000000,03051,0000,03301PODIATRY 37256,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37256,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37256,A000000,03550,0000,03550FQHC 37256,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37256,A000000,05000,0000,05000CORF 37256,A000000,05010,0000,05010CMHC 37256,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37256,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37256,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37256,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37256,A000000,05300,0000,05300INTEREST EXPENSE 37256,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37256,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37256,B100000,00000,0100,00000SQUARE FEET 37256,B100000,00000,0200,00000DOLLAR VALUE 37256,B100000,00000,0300,00000GROSS SALARIES 37256,B100000,00000,0400,00000ACCUM. COST 37256,B100000,00000,0500,00000SQUARE FEET 37256,B100000,00000,0600,00000POUNDS OF LAUNDRY 37256,B100000,00000,0700,00000HOURS OF SERVICE 37256,B100000,00000,0800,00000MEALS SERVED 37256,B100000,00000,0900,00000DIRECT NRSING HRS 37256,B100000,00000,1000,00000COSTED REQUIS. 37256,B100000,00000,1100,00000COSTED REQUIS. 37256,B100000,00000,1200,00000TIME SPENT 37256,B100000,00000,1300,00000TIME SPENT 37256,B100000,00000,1350,00000RECREATION N THER 37256,B100000,00000,1351,00000RECREATION N THER 37256,B100000,00000,1400,00000ASSIGNED TIME 37256,E10A180,00301,0100,09/23/1999 37256,E10A180,00302,0100,05/10/2000 37256,S000000,00100,0200,09/28/2000 37256,S200000,00100,0100,ROUTE 9 37256,S200000,00100,0300,95 37256,S200000,00200,0100,LIVINGSTON 37256,S200000,00200,0200,NY 37256,S200000,00200,0300,12541 37256,S200000,00300,0100,COLUMBIA 37256,S200000,00400,0100,ADVENTIST NURSING HOME 37256,S200000,00400,0200,335389 37256,S200000,00400,0300,05/01/1973 37256,S200000,00400,0500,P 37256,S200000,00400,0600,O 37256,S200000,01500,0100,Y 37258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37258,A000000,00300,0000,00300EMPLOYEE BENEFITS 37258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37258,A000000,00700,0000,00700HOUSEKEEPING 37258,A000000,00800,0000,00800DIETARY 37258,A000000,00900,0000,00900NURSING ADMINISTRATION 37258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37258,A000000,01100,0000,01100PHARMACY 37258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37258,A000000,01300,0000,01300SOCIAL SERVICE 37258,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 37258,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37258,A000000,01600,0000,01600SKILLED NURSING FACILITY 37258,A000000,01810,0000,01810ICF/MR 37258,A000000,02100,0000,02100RADIOLOGY 37258,A000000,02200,0000,02200LABORATORY 37258,A000000,02500,0000,02500PHYSICAL THERAPY 37258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37258,A000000,02700,0000,02700SPEECH PATHOLOGY 37258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37258,A000000,03550,0000,03550FQHC 37258,A000000,05000,0000,05000CORF 37258,A000000,05010,0000,05010CMHC 37258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37258,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37258,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37258,A000000,06201,0000,06201DENTAL 37258,B100000,00000,0100,00000SQUARE FEET 37258,B100000,00000,0200,00000SQUARE FEET 37258,B100000,00000,0300,00000GROSS SALARIES 37258,B100000,00000,0400,00000ACCUM COST 37258,B100000,00000,0500,00000SQUARE FEET 37258,B100000,00000,0600,00000POUNDS OF LAUNDRY 37258,B100000,00000,0700,00000HOURS OF SERVICE 37258,B100000,00000,0800,00000MEALS SERVED 37258,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37258,B100000,00000,1000,00000COSTED REQUISITIO 37258,B100000,00000,1100,00000COSTED REQUISITIO 37258,B100000,00000,1200,00000TIME SPENT 37258,B100000,00000,1300,00000TIME SPENT 37258,B100000,00000,1301,00000PARTICIPAN 37258,B100000,00000,1350,00000 37258,B100000,00000,1400,00000ASSIGNED TIME 37258,E10A180,00301,0100,05/10/2000 37258,S000000,00100,0200,06/21/2000 37258,S200000,00100,0100,49 OAKCREST AVE 37258,S200000,00200,0100,MIDDLE ISLAND 37258,S200000,00200,0200,NEW YORK 37258,S200000,00200,0300,11930 37258,S200000,00300,0100,SUFFOLK 37258,S200000,00400,0100,OAK HOLLOW CORP 37258,S200000,00400,0200,335390 37258,S200000,00400,0300,06/25/1973 37258,S200000,00400,0500,P 37258,S200000,01500,0100,Y 37266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37266,A000000,00300,0000,00300EMPLOYEE BENEFITS 37266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37266,A000000,00700,0000,00700HOUSEKEEPING 37266,A000000,00800,0000,00800DIETARY 37266,A000000,00801,0000,00801CAFETERIA 37266,A000000,00900,0000,00900NURSING ADMINISTRATION 37266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37266,A000000,01100,0000,01100PHARMACY 37266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37266,A000000,01300,0000,01300SOCIAL SERVICE 37266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37266,A000000,01600,0000,01600SKILLED NURSING FACILITY 37266,A000000,01810,0000,01810ICF/MR 37266,A000000,02100,0000,02100RADIOLOGY 37266,A000000,02200,0000,02200LABORATORY 37266,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37266,A000000,02500,0000,02500PHYSICAL THERAPY 37266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37266,A000000,02700,0000,02700SPEECH PATHOLOGY 37266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37266,A000000,03550,0000,03550FQHC 37266,A000000,05000,0000,05000CORF 37266,A000000,05010,0000,05010CMHC 37266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37266,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37266,A000000,06151,0000,06301GUEST MEALS 37266,A000000,06152,0000,06302MEALS ON WHEELS 37266,A81000A,00100,0100,Y 37266,A81000B,00100,0300,INTEREST EXP. - GMAC 37266,A81000B,00200,0300,INTEREST EXP. - RMC 37266,A81000B,00300,0300,DEPREC. BLDG. 37266,A81000B,00400,0300,DEPREC. MM& E 37266,A81000B,00500,0300,AMORT - ORG. EXPENSE 37266,A81000B,00600,0300,AMORT. - MTG. COSTS 37266,A81000B,00700,0300,LEGAL ACTG. & SALES TAX 37266,A81000B,00800,0300,RENT 37266,A81000B,00900,0300,DRUGS 37266,A81000C,00100,0100,A 37266,A81000C,00100,0200,ROBERT M. CHUR 37266,A81000C,00100,0400,ELDERWOOD AFFIL 37266,A81000C,00100,0600,MGMT. CO. 37266,A81000C,00200,0100,A 37266,A81000C,00200,0200,CAROL L. CHUR 37266,A81000C,00200,0400,ELDERWOOD AFFIL 37266,A81000C,00200,0600,MGMT. CO. 37266,A81000C,00300,0100,A 37266,A81000C,00300,0200,ROBERT M. CHUR 37266,A81000C,00300,0400,WOODMARK PHARMA 37266,A81000C,00300,0600,FACILITY PHARM. 37266,A81000C,00400,0100,A 37266,A81000C,00400,0200,CAROL L. CHUR 37266,A81000C,00400,0400,WOODMARK PHARMA 37266,A81000C,00400,0600,FACILITY PHARM. 37266,A81000C,00500,0100,A 37266,A81000C,00500,0200,ROBERT M. CHUR 37266,A81000C,00500,0400,RIVERWOOD PROP 37266,A81000C,00500,0600,PROP. CO. 37266,A81000C,00600,0100,A 37266,A81000C,00600,0200,CAROL L. CHUR 37266,A81000C,00600,0400,RIVERWOOD PROP 37266,A81000C,00600,0600,PROP. CO. 37266,B100000,00000,0100,00002SQUARE FEET 37266,B100000,00000,0200,00002SQUARE FEET 37266,B100000,00000,0300,00002GROSS SALARIES 37266,B100000,00000,0400,00002ACCUM COST 37266,B100000,00000,0500,00002SQUARE FEET 37266,B100000,00000,0600,00002POUNDS OF LAUNDRY 37266,B100000,00000,0700,00002HOURS OF SERVICE 37266,B100000,00000,0800,00002MEALS SERVED 37266,B100000,00000,0801,00002NO. OF EMPLOYEES 37266,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 37266,B100000,00000,1000,00002COSTED REQUIS 37266,B100000,00000,1100,00002COSTED REQUIS 37266,B100000,00000,1200,00002TIME SPENT 37266,B100000,00000,1300,00002TIME SPENT 37266,B100000,00000,1400,00002ASSIGNED TIME 37266,E10A180,00301,0100,08/23/1999 37266,E10A180,00302,0100,05/10/2000 37266,E10A180,00501,0100,05/10/2001 37266,E10A180,00501,0300,05/25/2000 37266,E10A180,00550,0100,05/25/2000 37266,E10A180,00550,0300,05/10/2001 37266,S000000,00100,0200,06/02/2000 37266,S200000,00100,0100,2850 GRAND ISLAND BLVD. 37266,S200000,00200,0100,GRAND ISLAND 37266,S200000,00200,0200,NEW YORK 37266,S200000,00200,0300,14072 37266,S200000,00300,0100,ERIE 37266,S200000,00400,0100,RIVERWOOD HEALTH CARE CENTER INC. 37266,S200000,00400,0200,335391 37266,S200000,00400,0300,07/01/1973 37266,S200000,00400,0500,P 37266,S200000,01500,0100,Y 37266,S200000,03300,0100,Y 37278,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37278,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37278,A000000,00300,0000,00300EMPLOYEE BENEFITS 37278,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37278,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37278,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37278,A000000,00700,0000,00700HOUSEKEEPING 37278,A000000,00800,0000,00800DIETARY 37278,A000000,00801,0000,00801CAFETERIA 37278,A000000,00900,0000,00900NURSING ADMINISTRATION 37278,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37278,A000000,01100,0000,01100PHARMACY 37278,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37278,A000000,01300,0000,01300SOCIAL SERVICE 37278,A000000,01350,0000,01500ACTIVITIES 37278,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37278,A000000,01600,0000,01600SKILLED NURSING FACILITY 37278,A000000,01810,0000,01810ICF/MR 37278,A000000,02100,0000,02100RADIOLOGY 37278,A000000,02200,0000,02200LABORATORY 37278,A000000,02300,0000,02300INTRAVENOUS THERAPY 37278,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37278,A000000,02500,0000,02500PHYSICAL THERAPY 37278,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37278,A000000,02700,0000,02700SPEECH PATHOLOGY 37278,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37278,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37278,A000000,03550,0000,03550FQHC 37278,A000000,05000,0000,05000CORF 37278,A000000,05010,0000,05010CMHC 37278,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37278,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37278,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37278,A000000,05300,0000,05300INTEREST EXPENSE 37278,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37278,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37278,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37278,A000000,06150,0000,06300GUEST MEALS 37278,A000000,06151,0000,06301DENTAL 37278,A81000A,00100,0100,Y 37278,A81000B,00100,0300,RECEIVER FEES 37278,A81000B,00200,0300,HSG DEPREC & RENT 37278,A81000B,00300,0300,HSG DEPREC 37278,A81000B,00400,0300,HSG ADMIN/CONSULTING 37278,A81000B,00500,0300,HSG CAFETERIA 37278,A81000B,00600,0300,HSG REPAIRS & MAINT 37278,A81000C,00100,0100,G 37278,A81000C,00100,0200,LORETTO PROPERT 37278,A81000C,00200,0100,G 37278,A81000C,00200,0200,HILLTOP MANOR 37278,A81000C,00300,0200,HILLTOP MANOR 37278,A81000C,00400,0200,HILLTOP MANOR 37278,A81000C,00500,0200,HILLTOP MANOR 37278,B100000,00000,0100,00001SQUARE FEET 37278,B100000,00000,0200,00001SQUARE FEET 37278,B100000,00000,0300,00001GROSS SALARIES 37278,B100000,00000,0400,00001ACCUM COST 37278,B100000,00000,0500,00001SQUARE FEET 37278,B100000,00000,0600,00001POUNDS OF LAUNDRY 37278,B100000,00000,0700,00001HOURS OF SERVICE 37278,B100000,00000,0800,00001MEALS SERVED 37278,B100000,00000,0801,00001NO. OF EMPLOYEES 37278,B100000,00000,0900,00001DIRECT NRSG HRS 37278,B100000,00000,1000,00001COSTED REQUIS 37278,B100000,00000,1100,00001COSTED REQUIS 37278,B100000,00000,1200,00001TIME SPENT 37278,B100000,00000,1300,00001TIME SPENT 37278,B100000,00000,1350,00001NUMBER OF PARTICIPAN 37278,B100000,00000,1400,00001ASSIGNED TIME 37278,E10A180,00550,0100,12/14/2000 37278,S000000,00100,0200,12/08/2000 37278,S200000,00100,0100,28 KELLOGG ROAD 37278,S200000,00100,0300,5510 37278,S200000,00200,0100,CORTLAND 37278,S200000,00200,0200,NY 37278,S200000,00200,0300,13045 37278,S200000,00300,0100,CORTLAND 37278,S200000,00400,0100,HIGHGATE MANOR OF CORTLAND 37278,S200000,00400,0200,335392 37278,S200000,00400,0300,02/21/1973 37278,S200000,00400,0500,P 37278,S200000,01500,0100,Y 37285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37285,A000000,00300,0000,00300EMPLOYEE BENEFITS 37285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37285,A000000,00700,0000,00700HOUSEKEEPING 37285,A000000,00800,0000,00800DIETARY 37285,A000000,00900,0000,00900NURSING ADMINISTRATION 37285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37285,A000000,01100,0000,01100PHARMACY 37285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37285,A000000,01300,0000,01300SOCIAL SERVICE 37285,A000000,01350,0000,01500OTHER 37285,A000000,01351,0000,01501ACTIVITIES 37285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37285,A000000,01600,0000,01600SKILLED NURSING FACILITY 37285,A000000,01810,0000,01810ICF/MR 37285,A000000,02500,0000,02500PHYSICAL THERAPY 37285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37285,A000000,02700,0000,02700SPEECH PATHOLOGY 37285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37285,A000000,03550,0000,03550FQHC 37285,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37285,A000000,04701,0000,04701DAY CARE 37285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37285,A000000,05000,0000,05000CORF 37285,A000000,05010,0000,05010CMHC 37285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37285,A000000,06151,0000,06301DAY HAB 37285,A81000A,00100,0100,Y 37285,A81000B,00100,0300,RENT 37285,A81000B,00200,0300,CONSULTING FEE 37285,A81000B,00300,0300,DEPRECIATION 37285,A81000B,00400,0300,OWNERS COMP. 37285,A81000C,00100,0100,G 37285,A81000C,00100,0200,REAL ESTATE 37285,B100000,00000,0100,00001SQUARE FEET 37285,B100000,00000,0200,00001DOLLAR VALUE 37285,B100000,00000,0300,00001GROSS SALARIES 37285,B100000,00000,0400,00001ACCUM. COST 37285,B100000,00000,0500,00001SQUARE FEET 37285,B100000,00000,0600,00001POUNDS OF LAUNDRY 37285,B100000,00000,0700,00001SQUARE FEET 37285,B100000,00000,0800,00001MEALS SERVED 37285,B100000,00000,0900,00001DIRECT NRSING HRS 37285,B100000,00000,1000,00001COSTED REQUIS. 37285,B100000,00000,1100,00001COSTED REQUIS. 37285,B100000,00000,1200,00001TIME SPENT 37285,B100000,00000,1300,00001TIME SPENT 37285,B100000,00000,1350,00001ASSIGNED TIME 37285,B100000,00000,1351,00001( # OF PARTICIP) 37285,B100000,00000,1400,00001TIME SPENT 37285,E10A180,00301,0100,05/10/2000 37285,S000000,00100,0200,06/23/2000 37285,S200000,00100,0100,282 RIVERSIDE DRIVE 37285,S200000,00200,0100,JOHNSON CITY 37285,S200000,00200,0200,NY 37285,S200000,00200,0300,13790 37285,S200000,00300,0100,BROOME 37285,S200000,00400,0100,SUSQUEHANNA NURSING HOME 37285,S200000,00400,0200,335393 37285,S200000,00400,0300,03/05/1973 37285,S200000,00400,0500,P 37285,S200000,01500,0100,Y 37285,S200000,04100,0100,Y 37293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37293,A000000,00300,0000,00300EMPLOYEE BENEFITS 37293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37293,A000000,00700,0000,00700HOUSEKEEPING 37293,A000000,00800,0000,00800DIETARY 37293,A000000,00900,0000,00900NURSING ADMINISTRATION 37293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37293,A000000,01100,0000,01100PHARMACY 37293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37293,A000000,01300,0000,01300SOCIAL SERVICE 37293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37293,A000000,01600,0000,01600SKILLED NURSING FACILITY 37293,A000000,01810,0000,01810ICF/MR 37293,A000000,02500,0000,02500PHYSICAL THERAPY 37293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37293,A000000,02601,0000,02610CLINITRON THERAPY 37293,A000000,02700,0000,02700SPEECH PATHOLOGY 37293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37293,A000000,03201,0000,03210MEDICAL STAFF 37293,A000000,03202,0000,03220PSYCHIATRIC 37293,A000000,03550,0000,03550FQHC 37293,A000000,05000,0000,05000CORF 37293,A000000,05010,0000,05010CMHC 37293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37293,A000000,05300,0000,05300INTEREST EXPENSE 37293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37293,A000000,06201,0000,06201MEDICAL MODEL ADULT DAY CARE 37293,A000000,06202,0000,06202SOCIAL MODEL ADULT DAY CARE 37293,B100000,00000,0100,00002SQUARE FEET 37293,B100000,00000,0200,00002SQUARE FEET 37293,B100000,00000,0300,00002GROSS SALARIES 37293,B100000,00000,0400,00002ACCUM COST 37293,B100000,00000,0500,00002SQUARE FEET 37293,B100000,00000,0600,00002POUNDS OF LAUNDRY 37293,B100000,00000,0700,00002HOURS OF SERVICE 37293,B100000,00000,0800,00002MEALS SERVED 37293,B100000,00000,0900,00002DIRECT NRSG HRS 37293,B100000,00000,1000,00002COSTED REQUIS 37293,B100000,00000,1100,00002COSTED REQUIS 37293,B100000,00000,1200,00002TIME SPENT 37293,B100000,00000,1300,00002TIME SPENT 37293,B100000,00000,1400,00002ASSIGNED TIME 37293,E10A180,00301,0100,05/10/2000 37293,E10A180,00350,0100,09/24/1999 37293,S000000,00100,0200,06/01/2000 37293,S200000,00100,0100,131 LAWRENCE STREET 37293,S200000,00200,0100,SARATOGA SPRINGS 37293,S200000,00200,0200,NY 37293,S200000,00200,0300,12866 37293,S200000,00300,0100,SARATOGA 37293,S200000,00400,0100,WESLEY HEALTH CARE CENTER 37293,S200000,00400,0200,335394 37293,S200000,00400,0300,05/01/1974 37293,S200000,00400,0500,P 37293,S200000,01500,0100,Y 37293,S200000,02800,0100,Y 37302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37302,A000000,00300,0000,00300EMPLOYEE BENEFITS 37302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37302,A000000,00700,0000,00700HOUSEKEEPING 37302,A000000,00800,0000,00800DIETARY 37302,A000000,00900,0000,00900NURSING ADMINISTRATION 37302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37302,A000000,01100,0000,01100PHARMACY 37302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37302,A000000,01300,0000,01300SOCIAL SERVICE 37302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37302,A000000,01600,0000,01600SKILLED NURSING FACILITY 37302,A000000,01810,0000,01810ICF/MR 37302,A000000,02100,0000,02100RADIOLOGY 37302,A000000,02200,0000,02200LABORATORY 37302,A000000,02300,0000,02300INTRAVENOUS THERAPY 37302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37302,A000000,02500,0000,02500PHYSICAL THERAPY 37302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37302,A000000,02700,0000,02700SPEECH PATHOLOGY 37302,A000000,02800,0000,02800ELECTROCARDIOLOGY 37302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37302,A000000,03550,0000,03550FQHC 37302,A000000,05000,0000,05000CORF 37302,A000000,05010,0000,05010CMHC 37302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37302,A000000,06150,0000,06300ADULT DAY HEALTH CARE 37302,B100000,00000,0100,00000SQUARE FEET 37302,B100000,00000,0200,00000SQUARE FEET 37302,B100000,00000,0300,00000GROSS SALARIES 37302,B100000,00000,0400,00000ACCUM COST 37302,B100000,00000,0500,00000SQUARE FEET 37302,B100000,00000,0600,00000POUNDS OF LAUNDRY 37302,B100000,00000,0700,00000HOURS OF SERVICE 37302,B100000,00000,0800,00000MEALS SERVED 37302,B100000,00000,0900,00000DIRECT NRSG HRS 37302,B100000,00000,1000,00000COSTED REQUIS 37302,B100000,00000,1100,00000COSTED REQUIS 37302,B100000,00000,1200,00000TIME SPENT 37302,B100000,00000,1300,00000TIME SPENT 37302,B100000,00000,1400,00000ASSIGNED TIME 37302,E10A180,00301,0100,05/10/2000 37302,S000000,00100,0200,05/30/2000 37302,S200000,00100,0100,5465 UPPER MOUNTAIN ROAD 37302,S200000,00200,0100,LOCKPORT 37302,S200000,00200,0200,NY 37302,S200000,00200,0300,14094 37302,S200000,00300,0100,NIAGARA 37302,S200000,00400,0100,MOUNT VIEW HEALTH FACILITY 37302,S200000,00400,0200,335395 37302,S200000,00400,0300,09/05/1973 37302,S200000,00400,0500,P 37302,S200000,01500,0100,Y 37302,S200000,03100,0100,Y 37302,S200000,04300,0100,Y 37305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37305,A000000,00300,0000,00300EMPLOYEE BENEFITS 37305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37305,A000000,00700,0000,00700HOUSEKEEPING 37305,A000000,00800,0000,00800DIETARY 37305,A000000,00900,0000,00900NURSING ADMINISTRATION 37305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37305,A000000,01100,0000,01100PHARMACY 37305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37305,A000000,01300,0000,01300SOCIAL SERVICE 37305,A000000,01350,0000,01500OTHER GENERAL SERVICES 37305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37305,A000000,01600,0000,01600SKILLED NURSING FACILITY 37305,A000000,01810,0000,01810ICF/MR 37305,A000000,02100,0000,02100RADIOLOGY 37305,A000000,02200,0000,02200LABORATORY 37305,A000000,02500,0000,02500PHYSICAL THERAPY 37305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37305,A000000,02700,0000,02700SPEECH PATHOLOGY 37305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37305,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37305,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37305,A000000,03550,0000,03550FQHC 37305,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37305,A000000,05000,0000,05000CORF 37305,A000000,05010,0000,05010CMHC 37305,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37305,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37305,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37305,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37305,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37305,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37305,A81000A,00100,0100,Y 37305,A81000B,00100,0300,RENT 37305,A81000B,00200,0300,MORTGAGE INTEREST 37305,A81000B,00300,0300,DEPRECIATION 37305,A81000C,00100,0100,A 37305,A81000C,00100,0200,J. MACK 37305,A81000C,00100,0400,BRAM PROPERTY CORP. 37305,A81000C,00100,0600,REAL ESTATE 37305,B100000,00000,0100,00000SQUARE FEET 37305,B100000,00000,0200,00000DOLLAR VALUE 37305,B100000,00000,0300,00000GROSS SALARIES 37305,B100000,00000,0400,00000ACCUM. COST 37305,B100000,00000,0500,00000SQUARE FEET 37305,B100000,00000,0600,00000POUNDS OF LAUNDRY 37305,B100000,00000,0700,00000HOURS OF SERVICE 37305,B100000,00000,0800,00000MEALS SERVED 37305,B100000,00000,0900,00000HOURS OF SERVICE 37305,B100000,00000,1000,00000COSTED REQUIS. 37305,B100000,00000,1100,00000COSTED REQUIS. 37305,B100000,00000,1200,00000TIME SPENT 37305,B100000,00000,1300,00000TIME SPENT 37305,B100000,00000,1350,00000NO STATISTICS 37305,B100000,00000,1400,00000TIME SPENT 37305,E10A180,00301,0100,05/10/2000 37305,S000000,00100,0200,06/02/2000 37305,S200000,00100,0100,ALBANY POST RD. 37305,S200000,00200,0100,MONTGOMERY 37305,S200000,00200,0200,NY 37305,S200000,00200,0300,12549 37305,S200000,00300,0100,ORANGE 37305,S200000,00400,0100,MONTGOMERY NURSING HOME 37305,S200000,00400,0200,335396 37305,S200000,00400,0300,11/01/1973 37305,S200000,00400,0500,P 37305,S200000,01500,0100,Y 37313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37313,A000000,00300,0000,00300EMPLOYEE BENEFITS 37313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37313,A000000,00700,0000,00700HOUSEKEEPING 37313,A000000,00800,0000,00800DIETARY 37313,A000000,00900,0000,00900NURSING ADMINISTRATION 37313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37313,A000000,01100,0000,01100PHARMACY 37313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37313,A000000,01300,0000,01300SOCIAL SERVICE 37313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37313,A000000,01600,0000,01600SKILLED NURSING FACILITY 37313,A000000,01810,0000,01810ICF/MR 37313,A000000,02200,0000,02200LABORATORY 37313,A000000,02500,0000,02500PHYSICAL THERAPY 37313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37313,A000000,02700,0000,02700SPEECH PATHOLOGY 37313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37313,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37313,A000000,03200,0000,03200SUPPORT SURFACES 37313,A000000,03550,0000,03550FQHC 37313,A000000,05000,0000,05000CORF 37313,A000000,05010,0000,05010CMHC 37313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37313,A81000A,00100,0100,Y 37313,A81000B,00100,0300,PHYSICAL THERAPIST 37313,A81000B,00200,0300,AIDE 37313,A81000B,00300,0300,DRUGS 37313,A81000B,00400,0300,OCCUP. THERAPIST 37313,A81000B,00500,0300,SPEECH THERAPIST 37313,A81000C,00100,0100,B 37313,A81000C,00100,0400,MEDINA MEMORIAL 37313,A81000C,00100,0600,HOSPITAL 37313,B100000,00000,0100,00000SQUARE FEET 37313,B100000,00000,0200,00000SQUARE FEET 37313,B100000,00000,0300,00000GROSS SALARIES 37313,B100000,00000,0400,00000ACCUM COST 37313,B100000,00000,0500,00000SQUARE FEET 37313,B100000,00000,0600,00000POUNDS OF LAUNDRY 37313,B100000,00000,0700,00000HOURS OF SERVICE 37313,B100000,00000,0800,00000MEALS SERVED 37313,B100000,00000,0900,00000DIRECT NRSG HRS 37313,B100000,00000,1000,00000COSTED REQUIS 37313,B100000,00000,1100,00000COSTED REQUIS 37313,B100000,00000,1200,00000TIME SPENT 37313,B100000,00000,1300,00000TIME SPENT 37313,B100000,00000,1400,00000ASSIGNED TIME 37313,S000000,00100,0200,05/30/2000 37313,S200000,00100,0100,600 BATES ROAD 37313,S200000,00200,0100,MEDINA 37313,S200000,00200,0200,NY 37313,S200000,00200,0300,14103 37313,S200000,00300,0100,ORLEANS 37313,S200000,00400,0100,ORCHARD MANOR 37313,S200000,00400,0200,335397 37313,S200000,00400,0300,11/01/1973 37313,S200000,00400,0500,P 37313,S200000,01500,0100,Y 37313,S200000,01900,0100,COMMUNITY HOSPITAL 37313,S200000,02200,0100,Y 37321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37321,A000000,00300,0000,00300EMPLOYEE BENEFITS 37321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37321,A000000,00700,0000,00700HOUSEKEEPING 37321,A000000,00800,0000,00800DIETARY 37321,A000000,00900,0000,00900NURSING ADMINISTRATION 37321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37321,A000000,01100,0000,01100PHARMACY 37321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37321,A000000,01300,0000,01300SOCIAL SERVICE 37321,A000000,01350,0000,01500ACTIVITIES 37321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37321,A000000,01600,0000,01600SKILLED NURSING FACILITY 37321,A000000,01810,0000,01810ICF/MR 37321,A000000,02100,0000,02100RADIOLOGY 37321,A000000,02200,0000,02200LABORATORY 37321,A000000,02500,0000,02500PHYSICAL THERAPY 37321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37321,A000000,02700,0000,02700SPEECH PATHOLOGY 37321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37321,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37321,A000000,03550,0000,03550FQHC 37321,A000000,04800,0000,04800AMBULANCE 37321,A000000,05000,0000,05000CORF 37321,A000000,05010,0000,05010CMHC 37321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37321,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37321,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37321,A81000A,00100,0100,Y 37321,A81000B,00100,0300,RENT 37321,A81000B,00200,0300,MORTGAGE INTEREST 37321,A81000B,00300,0300,DEPRECIATION 37321,A81000C,00100,0100,A 37321,A81000C,00100,0200,LEO KONSTAM 37321,A81000C,00100,0400,PARK AVE REALTY 37321,A81000C,00100,0600,REALTY 37321,B100000,00000,0100,00000SQUARE FEET 37321,B100000,00000,0200,00000SQUARE FEET 37321,B100000,00000,0300,00000GROSS SALARIES 37321,B100000,00000,0400,00000ACCUM COST 37321,B100000,00000,0500,00000SQUARE FEET 37321,B100000,00000,0600,00000POUNDS OF LAUNDRY 37321,B100000,00000,0700,00000HOURS OF SERVICE 37321,B100000,00000,0800,00000MEALS SERVED 37321,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37321,B100000,00000,1000,00000COSTED REQUISITIO 37321,B100000,00000,1100,00000COSTED REQUISITIO 37321,B100000,00000,1200,00000TIME SPENT 37321,B100000,00000,1300,00000TIME SPENT 37321,B100000,00000,1350,00000TIME SPENT 37321,B100000,00000,1400,00000ASSIGNED TIME 37321,E10A180,00301,0100,05/10/2000 37321,E10A180,00350,0100,09/15/1999 37321,E10A180,00550,0100,06/28/2000 37321,S000000,00100,0200,05/31/2000 37321,S200000,00100,0100,115 PARK AVE 37321,S200000,00200,0100,YONKERS 37321,S200000,00200,0200,NY 37321,S200000,00200,0300,10703 37321,S200000,00300,0100,WESTCHESTER 37321,S200000,00400,0100,NEW SANS SOUCI NURSING HOME 37321,S200000,00400,0200,335398 37321,S200000,00400,0300,11/01/1973 37321,S200000,00400,0500,P 37321,S200000,01500,0100,Y 37321,S200000,04700,0100,Y 37321,S200000,04700,0200,Y 37329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37329,A000000,00300,0000,00300EMPLOYEE BENEFITS 37329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37329,A000000,00700,0000,00700HOUSEKEEPING 37329,A000000,00800,0000,00800DIETARY 37329,A000000,00801,0000,00801CAFETERIA 37329,A000000,00900,0000,00900NURSING ADMINISTRATION 37329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37329,A000000,01100,0000,01100PHARMACY 37329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37329,A000000,01300,0000,01300SOCIAL SERVICE 37329,A000000,01350,0000,01500ACTIVITIES 37329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37329,A000000,01600,0000,01600SKILLED NURSING FACILITY 37329,A000000,01810,0000,01810ICF/MR 37329,A000000,02100,0000,02100RADIOLOGY 37329,A000000,02200,0000,02200LABORATORY 37329,A000000,02500,0000,02500PHYSICAL THERAPY 37329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37329,A000000,02700,0000,02700SPEECH PATHOLOGY 37329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37329,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37329,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37329,A000000,03550,0000,03550FQHC 37329,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37329,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37329,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37329,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37329,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37329,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37329,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37329,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 37329,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37329,A000000,05000,0000,05000CORF 37329,A000000,05010,0000,05010CMHC 37329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37329,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37329,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37329,A000000,06151,0000,06301DENTAL 37329,A81000A,00100,0100,Y 37329,A81000B,00100,0300,RENT 37329,A81000B,00200,0300,INTEREST EXPENSE 37329,A81000B,00300,0300,DEPREC./AMORTIZATION 37329,A81000B,00400,0300,REAL ESTATE TAXES 37329,A81000B,00500,0300,PROP & AUTO INSURANCE 37329,A81000B,00600,0300,SALARY & BENEFITS 37329,A81000B,00700,0300,FEES CONSULT & MISC. 37329,A81000B,00800,0300,AUTO LEASE 37329,A81000B,00900,0300,MANAGEMENT FEES 37329,A81000C,00100,0100,A 37329,A81000C,00100,0200,S. DICKER 37329,A81000C,00100,0400,HIGHLAND ASSOCI 37329,A81000C,00100,0600,REALTY 37329,A81000C,00200,0100,A 37329,A81000C,00200,0200,J. DICKER 37329,A81000C,00200,0400,HIGHLAND ASSOCI 37329,A81000C,00200,0600,REALTY 37329,A81000C,00300,0100,A 37329,A81000C,00300,0200,S. DICKER 37329,A81000C,00300,0400,S&J MANAGEMENT 37329,A81000C,00300,0600,MANAGEMENT 37329,A81000C,00400,0100,A 37329,A81000C,00400,0200,J. DICKER 37329,A81000C,00400,0400,S&J MANAGEMENT 37329,A81000C,00400,0600,MANAGEMENT 37329,B100000,00000,0100,00001SQUARE FEET 37329,B100000,00000,0200,00001SQUARE FEET 37329,B100000,00000,0300,00001GROSS SALARIES 37329,B100000,00000,0400,00001ACCUM COST 37329,B100000,00000,0500,00001SQUARE FEET 37329,B100000,00000,0600,00001POUNDS OF LAUNDRY 37329,B100000,00000,0700,00001HOURS OF SERVICE 37329,B100000,00000,0800,00001MEALS SERVED 37329,B100000,00000,0801,00001MEALS SERVED 37329,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37329,B100000,00000,1000,00001COSTED REQUISITIO 37329,B100000,00000,1100,00001COSTED REQUISITIO 37329,B100000,00000,1200,00001TIME SPENT 37329,B100000,00000,1300,00001TIME SPENT 37329,B100000,00000,1350,00001TIME SPENT 37329,B100000,00000,1400,00001ASSIGNED TIME 37329,E10A180,00301,0100,05/10/2000 37329,H510100,00000,0000,33 37329,H510100,02400,0000,33 37329,H710000,00301,0100,10/15/1999 37329,H710000,00501,0100,07/20/2000 37329,S000000,00100,0200,06/19/2000 37329,S200000,00100,0100,VINEYARD AVENUE - RT 44/55 37329,S200000,00200,0100,HIGHLAND 37329,S200000,00200,0200,NEW YORK 37329,S200000,00200,0300,12528 37329,S200000,00300,0100,ULSTER 37329,S200000,00400,0100,HUDSON VALLEY REHAB EXTENDED CARE 37329,S200000,00400,0200,335399 37329,S200000,00400,0300,08/20/1973 37329,S200000,00400,0500,P 37329,S200000,00800,0200,337277 37329,S200000,00800,0300,11/01/1990 37329,S200000,00800,0500,P 37329,S200000,01500,0100,Y 37340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37340,A000000,00300,0000,00300EMPLOYEE BENEFITS 37340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37340,A000000,00700,0000,00700HOUSEKEEPING 37340,A000000,00800,0000,00800DIETARY 37340,A000000,00900,0000,00900NURSING ADMINISTRATION 37340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37340,A000000,01100,0000,01100PHARMACY 37340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37340,A000000,01300,0000,01300SOCIAL SERVICE 37340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37340,A000000,01600,0000,01600SKILLED NURSING FACILITY 37340,A000000,01810,0000,01810ICF/MR 37340,A000000,02100,0000,02100RADIOLOGY 37340,A000000,02200,0000,02200LABORATORY 37340,A000000,02500,0000,02500PHYSICAL THERAPY 37340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37340,A000000,02700,0000,02700SPEECH PATHOLOGY 37340,A000000,02800,0000,02800ELECTROCARDIOLOGY 37340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37340,A000000,03550,0000,03550FQHC 37340,A000000,04800,0000,04800AMBULANCE 37340,A000000,05000,0000,05000CORF 37340,A000000,05010,0000,05010CMHC 37340,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37340,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37340,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37340,A000000,06150,0000,06300ADULT DAY CARE 37340,A000000,06151,0000,06301DENTAL 37340,B100000,00000,0100,00001SQUARE FEET 37340,B100000,00000,0200,00001SQUARE FEET 37340,B100000,00000,0300,00001GROSS SALARIES 37340,B100000,00000,0400,00001ACCUM COST 37340,B100000,00000,0500,00001SQUARE FEET 37340,B100000,00000,0600,00001POUNDS OF LAUNDRY 37340,B100000,00000,0700,00001HOURS OF SERVICE 37340,B100000,00000,0800,00001MEALS SERVED 37340,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37340,B100000,00000,1000,00001COSTED REQUISITIO 37340,B100000,00000,1100,00001COSTED REQUISITIO 37340,B100000,00000,1200,00001TIME SPENT 37340,B100000,00000,1300,00001TIME SPENT 37340,B100000,00000,1400,00001ASSIGNED TIME 37340,E10A180,00301,0100,05/10/2000 37340,E10A180,00550,0100,06/07/2000 37340,S000000,00100,0200,05/24/2000 37340,S200000,00100,0100,340 MONTAUK HIGHWAY 37340,S200000,00200,0100,EAST ISLIP 37340,S200000,00300,0100,SUFFOLK 37340,S200000,00400,0100,LITTLE FLOWER NURSING HOME 37340,S200000,00400,0200,335401 37340,S200000,00400,0300,10/25/1973 37340,S200000,00400,0500,P 37340,S200000,01500,0100,Y 37340,S200000,04300,0100,Y 37343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37343,A000000,00300,0000,00300EMPLOYEE BENEFITS 37343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37343,A000000,00700,0000,00700HOUSEKEEPING 37343,A000000,00800,0000,00800DIETARY 37343,A000000,00900,0000,00900NURSING ADMINISTRATION 37343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37343,A000000,01100,0000,01100PHARMACY 37343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37343,A000000,01300,0000,01300SOCIAL SERVICE 37343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37343,A000000,01600,0000,01600SKILLED NURSING FACILITY 37343,A000000,01810,0000,01810ICF/MR 37343,A000000,02100,0000,02100RADIOLOGY 37343,A000000,02200,0000,02200LABORATORY 37343,A000000,02500,0000,02500PHYSICAL THERAPY 37343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37343,A000000,02700,0000,02700SPEECH PATHOLOGY 37343,A000000,02800,0000,02800ELECTROCARDIOLOGY 37343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37343,A000000,03550,0000,03550FQHC 37343,A000000,05000,0000,05000CORF 37343,A000000,05010,0000,05010CMHC 37343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37343,A000000,06150,0000,06300ADULT DAY CARE 37343,A000000,06151,0000,06301DENTAL 37343,B100000,00000,0100,00001SQUARE FEET 37343,B100000,00000,0200,00001SQUARE FEET 37343,B100000,00000,0300,00001GROSS SALARIES 37343,B100000,00000,0400,00001ACCUM COST 37343,B100000,00000,0500,00001SQUARE FEET 37343,B100000,00000,0600,00001POUNDS OF LAUNDRY 37343,B100000,00000,0700,00001HOURS OF SERVICE 37343,B100000,00000,0800,00001MEALS SERVED 37343,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37343,B100000,00000,1000,00001COSTED REQUISITIO 37343,B100000,00000,1100,00001COSTED REQUISITIO 37343,B100000,00000,1200,00001TIME SPENT 37343,B100000,00000,1300,00001TIME SPENT 37343,B100000,00000,1400,00001ASSIGNED TIME 37343,E10A180,00301,0100,05/10/2000 37343,S000000,00100,0200,05/26/2000 37343,S200000,00100,0100,6 FROWEIN ROAD 37343,S200000,00200,0100,CENTER MORICHES 37343,S200000,00200,0200,NY 37343,S200000,00200,0300,11934 37343,S200000,00300,0100,SUFFOLK 37343,S200000,00400,0100,CEDAR LODGE NURSING HOME 37343,S200000,00400,0200,335402 37343,S200000,00400,0300,08/06/1973 37343,S200000,00400,0500,P 37343,S200000,01500,0100,Y 37343,S200000,04200,0100,Y 37343,S200000,04300,0100,Y 37351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37351,A000000,00300,0000,00300EMPLOYEE BENEFITS 37351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37351,A000000,00700,0000,00700HOUSEKEEPING 37351,A000000,00800,0000,00800DIETARY 37351,A000000,00900,0000,00900NURSING ADMINISTRATION 37351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37351,A000000,01100,0000,01100PHARMACY 37351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37351,A000000,01300,0000,01300SOCIAL SERVICE 37351,A000000,01350,0000,01500ACTIVITIES 37351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37351,A000000,01600,0000,01600SKILLED NURSING FACILITY 37351,A000000,01810,0000,01810ICF/MR 37351,A000000,02100,0000,02100RADIOLOGY 37351,A000000,02200,0000,02200LABORATORY 37351,A000000,02500,0000,02500PHYSICAL THERAPY 37351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37351,A000000,02700,0000,02700SPEECH PATHOLOGY 37351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37351,A000000,03550,0000,03550FQHC 37351,A000000,05000,0000,05000CORF 37351,A000000,05010,0000,05010CMHC 37351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37351,A000000,06150,0000,06300DENTAL 37351,A81000A,00100,0100,Y 37351,A81000B,00100,0300,LEASE LAND BUILDING 37351,A81000B,00200,0300,DEPRECIATION 37351,A81000B,00300,0300,INTEREST EXPENSE 37351,A81000B,00400,0300,AMORTIZATION 37351,A81000B,00500,0300,MISC 37351,A81000C,00100,0100,A 37351,A81000C,00100,0200,A. KLEIN 37351,A81000C,00100,0400,HYDE PARK REALT 37351,A81000C,00100,0600,REAL ESTATE 37351,A81000C,00200,0100,B 37351,A81000C,00200,0200,B. HURWITZ 37351,A81000C,00200,0400,HYDE PARK REALT 37351,A81000C,00200,0600,REAL ESTATE 37351,A81000C,00300,0100,C 37351,A81000C,00300,0200,L. BRAVERMAN 37351,A81000C,00300,0400,HYDE PARK REALT 37351,A81000C,00300,0600,REAL ESTATE 37351,A81000C,00400,0100,D 37351,A81000C,00400,0200,B. GELBTUCH 37351,A81000C,00400,0400,HYDE PARK REALT 37351,A81000C,00400,0600,REAL ESTATE 37351,A81000C,00500,0100,E 37351,A81000C,00500,0200,N. ELLMAN 37351,A81000C,00500,0400,HYDE PARK REALT 37351,A81000C,00500,0600,REAL ESTATE 37351,A81000C,00600,0100,F 37351,A81000C,00600,0200,Z. DARSHIN 37351,A81000C,00600,0400,HYDE PARK REALT 37351,A81000C,00600,0600,REAL ESTATE 37351,B100000,00000,0100,00000SQUARE FEET 37351,B100000,00000,0200,00000SQUARE FEET 37351,B100000,00000,0300,00000GROSS SALARIES 37351,B100000,00000,0400,00000ACCUM COST 37351,B100000,00000,0500,00000SQUARE FEET 37351,B100000,00000,0600,00000POUNDS OF LAUNDRY 37351,B100000,00000,0700,00000HOURS OF SERVICE 37351,B100000,00000,0800,00000MEALS SERVED 37351,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37351,B100000,00000,1000,00000COSTED REQUISITIO 37351,B100000,00000,1100,00000COSTED REQUISITIO 37351,B100000,00000,1200,00000TIME SPENT 37351,B100000,00000,1300,00000TIME SPENT 37351,B100000,00000,1350,00000PATIENT DAYS 37351,B100000,00000,1400,00000ASSIGNED TIME 37351,E10A180,00301,0100,05/10/2000 37351,E10A180,00350,0100,01/18/2000 37351,E10A180,00550,0100,06/29/2000 37351,S000000,00100,0200,06/05/2000 37351,S200000,00100,0100,ROUTE 9 & ANDERSON SCHOOL ROAD 37351,S200000,00200,0100,STAATSBURG 37351,S200000,00200,0200,NY 37351,S200000,00200,0300,12580 37351,S200000,00300,0100,POUGHKEEPSIE 37351,S200000,00400,0100,HYDE PARK NURSING HOME 37351,S200000,00400,0200,335404 37351,S200000,00400,0300,12/01/1973 37351,S200000,00400,0500,P 37351,S200000,01500,0100,Y 37358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37358,A000000,00300,0000,00300EMPLOYEE BENEFITS 37358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37358,A000000,00700,0000,00700HOUSEKEEPING 37358,A000000,00800,0000,00800DIETARY 37358,A000000,00801,0000,00801CAFETERIA 37358,A000000,00900,0000,00900NURSING ADMINISTRATION 37358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37358,A000000,01100,0000,01100PHARMACY 37358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37358,A000000,01300,0000,01300SOCIAL SERVICE 37358,A000000,01350,0000,01500ACTIVITIES 37358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37358,A000000,01600,0000,01600SKILLED NURSING FACILITY 37358,A000000,01810,0000,01810ICF/MR 37358,A000000,02100,0000,02100RADIOLOGY 37358,A000000,02200,0000,02200LABORATORY 37358,A000000,02500,0000,02500PHYSICAL THERAPY 37358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37358,A000000,02700,0000,02700SPEECH PATHOLOGY 37358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37358,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37358,A000000,03550,0000,03550FQHC 37358,A000000,05000,0000,05000CORF 37358,A000000,05010,0000,05010CMHC 37358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37358,A000000,05300,0000,05300INTEREST EXPENSE 37358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37358,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37358,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37358,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37358,A000000,06201,0000,06201DENTAL OPHTHALMOLOGY PODIATRY 37358,A000000,06202,0000,06202ADULT DAY CARE 37358,B100000,00000,0100,00000SQUARE FEET 37358,B100000,00000,0200,00000SQUARE FEET 37358,B100000,00000,0300,00000GROSS SALARIES 37358,B100000,00000,0400,00000ACCUM COST 37358,B100000,00000,0500,00000SQUARE FEET 37358,B100000,00000,0600,00000POUNDS OF LAUNDRY 37358,B100000,00000,0700,00000HOURS OF SERVICE 37358,B100000,00000,0800,00000MEALS SERVED 37358,B100000,00000,0801,00000MEALS SERVED 37358,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37358,B100000,00000,1000,00000COSTED REQUISITIO 37358,B100000,00000,1100,00000COSTED REQUISITIO 37358,B100000,00000,1200,00000TIME SPENT 37358,B100000,00000,1300,00000TIME SPENT 37358,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37358,B100000,00000,1400,00000ASSIGNED TIME 37358,E10A180,00301,0100,05/10/2000 37358,E10A180,00350,0100,09/03/1999 37358,S000000,00100,0200,06/01/2000 37358,S200000,00100,0100,52 RIVER ROAD 37358,S200000,00200,0100,RHINEBECK 37358,S200000,00200,0200,NY 37358,S200000,00200,0300,12572 37358,S200000,00300,0100,DUTCHESS 37358,S200000,00400,0100,FERNCLIFF NURSING HOME CO INC 37358,S200000,00400,0200,335405 37358,S200000,00400,0300,10/01/1973 37358,S200000,00400,0500,P 37358,S200000,01500,0100,Y 37358,S200000,01900,0100,NON PROFIT CORP 37358,S200000,02800,0100,Y 37366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37366,A000000,00300,0000,00300EMPLOYEE BENEFITS 37366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37366,A000000,00700,0000,00700HOUSEKEEPING 37366,A000000,00800,0000,00800DIETARY 37366,A000000,00900,0000,00900NURSING ADMINISTRATION 37366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37366,A000000,01100,0000,01100PHARMACY 37366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37366,A000000,01300,0000,01300SOCIAL SERVICE 37366,A000000,01350,0000,01500ACTIVITIES 37366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37366,A000000,01600,0000,01600SKILLED NURSING FACILITY 37366,A000000,01810,0000,01810ICF/MR 37366,A000000,02100,0000,02100RADIOLOGY 37366,A000000,02500,0000,02500PHYSICAL THERAPY 37366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37366,A000000,02700,0000,02700SPEECH PATHOLOGY 37366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37366,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37366,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37366,A000000,03550,0000,03550FQHC 37366,A000000,05000,0000,05000CORF 37366,A000000,05010,0000,05010CMHC 37366,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37366,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37366,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37366,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37366,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37366,A000000,06100,0000,06100NONPAID WORKERS 37366,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37366,A000000,06201,0000,06201DENTAL 37366,A000000,06202,0000,06202PODIATRY 37366,A000000,06203,0000,06203PSYCHIATRY 37366,B100000,00000,0100,00000SQUARE FEET 37366,B100000,00000,0200,00000SQUARE FEET 37366,B100000,00000,0300,00000GROSS SALARIES 37366,B100000,00000,0400,00000ACCUM COST 37366,B100000,00000,0500,00000SQUARE FEET 37366,B100000,00000,0600,00000POUNDS OF LAUNDRY 37366,B100000,00000,0700,00000HOURS OF SERVICE 37366,B100000,00000,0800,00000MEALS SERVED 37366,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37366,B100000,00000,1000,00000COSTED REQUISITIO 37366,B100000,00000,1100,00000COSTED REQUISITIO 37366,B100000,00000,1200,00000TIME SPENT 37366,B100000,00000,1300,00000TIME SPENT 37366,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37366,B100000,00000,1400,00000NUMBER OF PARTICIPAN 37366,S000000,00100,0200,06/05/2000 37366,S200000,00100,0100,7376 ROUTE 31 37366,S200000,00200,0100,LYONS 37366,S200000,00200,0200,NEW YORK 37366,S200000,00200,0300,14489 37366,S200000,00300,0100,WAYNE 37366,S200000,00400,0100,WAYNE COUNTY NURSING HOME 37366,S200000,00400,0200,335406 37366,S200000,00400,0300,01/01/1974 37366,S200000,00400,0500,P 37366,S200000,01500,0100,Y 37366,S200000,03300,0100,Y 37366,S200000,03300,0200,Y 37389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37389,A000000,00300,0000,00300EMPLOYEE BENEFITS 37389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37389,A000000,00700,0000,00700HOUSEKEEPING 37389,A000000,00800,0000,00800DIETARY 37389,A000000,00900,0000,00900NURSING ADMINISTRATION 37389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37389,A000000,01100,0000,01100PHARMACY 37389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37389,A000000,01300,0000,01300SOCIAL SERVICE 37389,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37389,A000000,01600,0000,01600SKILLED NURSING FACILITY 37389,A000000,01810,0000,01810ICF/MR 37389,A000000,02100,0000,02100RADIOLOGY 37389,A000000,02500,0000,02500PHYSICAL THERAPY 37389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37389,A000000,02700,0000,02700SPEECH PATHOLOGY 37389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37389,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37389,A000000,03550,0000,03550FQHC 37389,A000000,05000,0000,05000CORF 37389,A000000,05010,0000,05010CMHC 37389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37389,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37389,B100000,00000,0100,00000SQUARE FEET 37389,B100000,00000,0200,00000SQUARE FEET 37389,B100000,00000,0300,00000GROSS SALARIES 37389,B100000,00000,0400,00000ACCUM COST 37389,B100000,00000,0500,00000SQUARE FEET 37389,B100000,00000,0600,00000POUNDS OF LAUNDRY 37389,B100000,00000,0700,00000HOURS OF SERVICE 37389,B100000,00000,0800,00000MEALS SERVED 37389,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37389,B100000,00000,1000,00000COSTED REQUISITIO 37389,B100000,00000,1100,00000COSTED REQUISITIO 37389,B100000,00000,1200,00000TIME SPENT 37389,B100000,00000,1300,00000TIME SPENT 37389,B100000,00000,1350,00000 37389,B100000,00000,1400,00000ASSIGNED TIME 37389,S000000,00100,0200,09/18/2000 37389,S200000,00100,0100,7000 COLLAMER ROAD 37389,S200000,00200,0100,EAST SYRACUSE 37389,S200000,00200,0200,NEW YORK 37389,S200000,00200,0300,13057 37389,S200000,00300,0100,ONANDAGA 37389,S200000,00400,0100,SUNNYSIDE NURSING HOME 37389,S200000,00400,0200,335409 37389,S200000,00400,0300,01/01/1974 37389,S200000,00400,0500,P 37389,S200000,01500,0100,Y 37393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37393,A000000,00300,0000,00300EMPLOYEE BENEFITS 37393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37393,A000000,00700,0000,00700HOUSEKEEPING 37393,A000000,00800,0000,00800DIETARY 37393,A000000,00900,0000,00900NURSING ADMINISTRATION 37393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37393,A000000,01100,0000,01100PHARMACY 37393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37393,A000000,01300,0000,01300SOCIAL SERVICE 37393,A000000,01350,0000,01500OTHER GENERAL SERVICES 37393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37393,A000000,01600,0000,01600SKILLED NURSING FACILITY 37393,A000000,01810,0000,01810ICF/MR 37393,A000000,02100,0000,02100RADIOLOGY 37393,A000000,02200,0000,02200LABORATORY 37393,A000000,02500,0000,02500PHYSICAL THERAPY 37393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37393,A000000,02700,0000,02700SPEECH PATHOLOGY 37393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37393,A000000,03550,0000,03550FQHC 37393,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37393,A000000,05000,0000,05000CORF 37393,A000000,05010,0000,05010CMHC 37393,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37393,A81000A,00100,0100,Y 37393,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 37393,A81000B,00200,0300,CAP REL COSTS - BLDGS & F DEPR 37393,A81000B,00300,0300,CAP REL COSTS - BLDGS & F MORT 37393,A81000B,00400,0300,ADMINISTRATIVE & GENERAL OTHER 37393,A81000B,00500,0300,CAP REL COSTS - BLDGS & F RECO 37393,A81000C,00100,0100,A 37393,A81000C,00100,0200,MICHAEL MINESS 37393,A81000C,00100,0400,GLEN - HAVEN HOLDING 37393,A81000C,00100,0600,REAL PROPERTY 37393,A81000C,00200,0100,A 37393,A81000C,00200,0200,ROBERT GROSSMAN 37393,A81000C,00200,0400,GLEN - HAVEN HOLDING 37393,A81000C,00200,0600,REAL PROPERTY 37393,A81000C,00300,0100,A 37393,A81000C,00300,0200,SAUL FENCHEL 37393,A81000C,00300,0400,GLEN - HAVEN HOLDING 37393,A81000C,00300,0600,REAL PROPERTY 37393,B100000,00000,0100,00000SQUARE FEET 37393,B100000,00000,0200,00000DOLLAR VALUE 37393,B100000,00000,0300,00000GROSS SALARY 37393,B100000,00000,0400,00000ACCUM. COST 37393,B100000,00000,0500,00000SQUARE FEET 37393,B100000,00000,0600,00000POUNDS OF LAUNDRY 37393,B100000,00000,0700,00000HOURS OF SERVICE 37393,B100000,00000,0800,00000MEALS SERVED 37393,B100000,00000,0900,00000DIRECT NURSING HO 37393,B100000,00000,1000,00000COSTED REQUIS. 37393,B100000,00000,1100,00000COSTED REQUIS. 37393,B100000,00000,1200,00000TIME SPENT 37393,B100000,00000,1300,00000TIME SPENT 37393,B100000,00000,1350,00000NO STATISTICS 37393,B100000,00000,1400,00000NO STATISTICS 37393,E10A180,00301,0100,05/10/2000 37393,S000000,00100,0200,05/30/2000 37393,S200000,00100,0100,DARK HOLLOW ROAD 37393,S200000,00200,0100,PORT JEFFERSON 37393,S200000,00200,0200,NY 37393,S200000,00200,0300,11777 37393,S200000,00300,0100,SUFFOLK 37393,S200000,00400,0100,GLEN-HAVEN RHCF 37393,S200000,00400,0200,335410 37393,S200000,00400,0300,12/04/1973 37393,S200000,00400,0500,P 37393,S200000,01500,0100,Y 37393,S200000,04100,0100,Y 37397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37397,A000000,00300,0000,00300EMPLOYEE BENEFITS 37397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37397,A000000,00700,0000,00700HOUSEKEEPING 37397,A000000,00800,0000,00800DIETARY 37397,A000000,00900,0000,00900NURSING ADMINISTRATION 37397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37397,A000000,01100,0000,01100PHARMACY 37397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37397,A000000,01300,0000,01300SOCIAL SERVICE 37397,A000000,01350,0000,01500ACTIVITIES 37397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37397,A000000,01600,0000,01600SKILLED NURSING FACILITY 37397,A000000,01810,0000,01810ICF/MR 37397,A000000,02100,0000,02100RADIOLOGY 37397,A000000,02200,0000,02200LABORATORY 37397,A000000,02500,0000,02500PHYSICAL THERAPY 37397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37397,A000000,02700,0000,02700SPEECH PATHOLOGY 37397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37397,A000000,03200,0000,03200SUPPORT SURFACES 37397,A000000,03550,0000,03550FQHC 37397,A000000,05000,0000,05000CORF 37397,A000000,05010,0000,05010CMHC 37397,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37397,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37397,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37397,A000000,06150,0000,06300DENTAL 37397,A81000A,00100,0100,Y 37397,A81000B,00100,0300,A&G LABOR 37397,A81000B,00200,0300,DIETARY LABOR 37397,A81000B,00300,0300,NURSING ADMIN 37397,A81000B,00400,0300,EMPLOYEE BENEFITS 37397,A81000B,00500,0300,OTHER A&G 37397,A81000B,00600,0300,DATA PROCESSING 37397,A81000B,00700,0300,OFFICE LABOR 37397,A81000B,00800,0300,EMPLOYEE BENEFITS 37397,A81000B,00900,0300,OFFICE NONLABOR 37397,A81000B,01000,0300,DEPRECIATION 37397,A81000C,00100,0100,D 37397,A81000C,00100,0200,E & J DICKER 37397,A81000C,00100,0400,OCEAN WAVE 37397,A81000C,00100,0600,OFFICE SERVICES 37397,A81000C,00200,0100,D 37397,A81000C,00200,0200,E & J DICKER 37397,A81000C,00200,0400,JEMS 37397,A81000C,00200,0600,DATA PROCESSING 37397,B100000,00000,0100,00000SQUARE FEET 37397,B100000,00000,0200,00000SQUARE FEET 37397,B100000,00000,0300,00000GROSS SALARIES 37397,B100000,00000,0400,00000ACCUM COST 37397,B100000,00000,0500,00000SQUARE FEET 37397,B100000,00000,0600,00000POUNDS OF LAUNDRY 37397,B100000,00000,0700,00000HOURS OF SERVICE 37397,B100000,00000,0800,00000MEALS SERVED 37397,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37397,B100000,00000,1000,00000COSTED REQUISITIO 37397,B100000,00000,1100,00000COSTED REQUISITIO 37397,B100000,00000,1200,00000TIME SPENT 37397,B100000,00000,1300,00000TIME SPENT 37397,B100000,00000,1350,00000TIME SPENT 37397,B100000,00000,1400,00000ASSIGNED TIME 37397,E10A180,00301,0100,05/10/2000 37397,E10A180,00550,0100,06/07/2000 37397,S000000,00100,0200,05/31/2000 37397,S200000,00100,0100,30-35 WEST 24TH STREET 37397,S200000,00200,0100,BROOKLYN 37397,S200000,00200,0200,NY 37397,S200000,00200,0300,11224 37397,S200000,00300,0100,KINGS 37397,S200000,00400,0100,SEA CREST HEALTH CARE CENTER 37397,S200000,00400,0200,335411 37397,S200000,00400,0300,11/01/1973 37397,S200000,00400,0500,P 37397,S200000,01500,0100,Y 37404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37404,A000000,00300,0000,00300EMPLOYEE BENEFITS 37404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37404,A000000,00700,0000,00700HOUSEKEEPING 37404,A000000,00800,0000,00800DIETARY 37404,A000000,00900,0000,00900NURSING ADMINISTRATION 37404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37404,A000000,01100,0000,01100PHARMACY 37404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37404,A000000,01300,0000,01300SOCIAL SERVICE 37404,A000000,01350,0000,01500ACTIVITIES 37404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37404,A000000,01600,0000,01600SKILLED NURSING FACILITY 37404,A000000,01810,0000,01810ICF/MR 37404,A000000,02500,0000,02500PHYSICAL THERAPY 37404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37404,A000000,03550,0000,03550FQHC 37404,A000000,05000,0000,05000CORF 37404,A000000,05010,0000,05010CMHC 37404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37404,A000000,06101,0000,06101DENTAL 37404,A81000A,00100,0100,Y 37404,A81000B,00100,0300,PLANT MAINTENANCE 37404,A81000B,00200,0300,PURCHASING PERSONN 37404,A81000C,00100,0100,G 37404,A81000C,00100,0200,OTSEGO COUNTY 37404,B100000,00000,0100,00001SQUARE FEET 37404,B100000,00000,0200,00001SQUARE FEET 37404,B100000,00000,0300,00001GROSS SALARIES 37404,B100000,00000,0400,00001ACCUM COST 37404,B100000,00000,0500,00001SQUARE FEET 37404,B100000,00000,0600,00001POUNDS OF LAUNDRY 37404,B100000,00000,0700,00001HOURS OF SERVICE 37404,B100000,00000,0800,00001MEALS SERVED 37404,B100000,00000,0900,00001DIRECT NRSG HRS 37404,B100000,00000,1000,00001COSTED REQUIS 37404,B100000,00000,1100,00001COSTED REQUIS 37404,B100000,00000,1200,00001TIME SPENT 37404,B100000,00000,1300,00001TIME SPENT 37404,B100000,00000,1350,00001ASSIGNED TIME 37404,B100000,00000,1400,00001ASSIGNED TIME 37404,E10A180,00550,0100,06/23/2000 37404,S000000,00100,0200,12/26/2000 37404,S200000,00100,0100,RR # 4 37404,S200000,00100,0300,400 37404,S200000,00200,0100,COOPERSTOWN 37404,S200000,00200,0200,NY 37404,S200000,00200,0300,13326 37404,S200000,00300,0100,O 37404,S200000,00400,0100,THE MEADOWS 37404,S200000,00400,0200,335412 37404,S200000,00400,0300,06/01/1974 37404,S200000,00400,0500,P 37404,S200000,01500,0100,Y 37411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37411,A000000,00300,0000,00300EMPLOYEE BENEFITS 37411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37411,A000000,00700,0000,00700HOUSEKEEPING 37411,A000000,00800,0000,00800DIETARY 37411,A000000,00900,0000,00900NURSING ADMINISTRATION 37411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37411,A000000,01100,0000,01100PHARMACY 37411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37411,A000000,01300,0000,01300SOCIAL SERVICE 37411,A000000,01350,0000,01500OTHER GENERAL SERVICES 37411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37411,A000000,01600,0000,01600SKILLED NURSING FACILITY 37411,A000000,01810,0000,01810ICF/MR 37411,A000000,02500,0000,02500PHYSICAL THERAPY 37411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37411,A000000,02700,0000,02700SPEECH PATHOLOGY 37411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37411,A000000,03001,0000,03001OTHER ANCILLARY SERVICE COST CE 37411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37411,A000000,03052,0000,03301ADULT DAY CARE 37411,A000000,03101,0000,03101INTEREST ON UNRESTRICTED FUNDS 37411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37411,A000000,03550,0000,03550FQHC 37411,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37411,A000000,05000,0000,05000CORF 37411,A000000,05010,0000,05010CMHC 37411,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37411,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37411,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37411,A000000,05300,0000,05300INTEREST EXPENSE 37411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37411,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37411,B100000,00000,0100,00000SQUARE FEET 37411,B100000,00000,0200,00000SQUARE FEET 37411,B100000,00000,0300,00000GROSS SALARIES 37411,B100000,00000,0400,00000ACCUM. COST 37411,B100000,00000,0500,00000SQUARE FEET 37411,B100000,00000,0600,00000POUNDS OF LAUNDRY 37411,B100000,00000,0700,00000HOURS OF SERVICE 37411,B100000,00000,0800,00000MEALS SERVED 37411,B100000,00000,0900,00000DIRECT NRSING HRS 37411,B100000,00000,1000,00000COSTED REQUIS. 37411,B100000,00000,1100,00000COSTED REQUIS. 37411,B100000,00000,1200,00000TIME SPENT 37411,B100000,00000,1300,00000TIME SPENT 37411,B100000,00000,1350,00000NO STATISTICS 37411,B100000,00000,1400,00000ASSIGNED TIME 37411,E10A180,00301,0100,12/31/1999 37411,S000000,00100,0200,06/02/2000 37411,S200000,00100,0100,RTE 40 37411,S200000,00200,0100,ARGYLE 37411,S200000,00200,0200,NY 37411,S200000,00200,0300,12809 37411,S200000,00300,0100,WASHINGTON 37411,S200000,00400,0100,PLEASANT VALLEY 37411,S200000,00400,0200,335413 37411,S200000,00400,0300,07/01/1974 37411,S200000,00400,0500,P 37411,S200000,01500,0100,Y 37411,S200000,02800,0100,Y 37413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37413,A000000,00300,0000,00300EMPLOYEE BENEFITS 37413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37413,A000000,00700,0000,00700HOUSEKEEPING 37413,A000000,00800,0000,00800DIETARY 37413,A000000,00900,0000,00900NURSING ADMINISTRATION 37413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37413,A000000,01100,0000,01100PHARMACY 37413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37413,A000000,01300,0000,01300SOCIAL SERVICE 37413,A000000,01350,0000,01500OTHER GENERAL SERVICES 37413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37413,A000000,01600,0000,01600SKILLED NURSING FACILITY 37413,A000000,01810,0000,01810ICF/MR 37413,A000000,02100,0000,02100RADIOLOGY 37413,A000000,02200,0000,02200LABORATORY 37413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37413,A000000,02500,0000,02500PHYSICAL THERAPY 37413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37413,A000000,02700,0000,02700SPEECH PATHOLOGY 37413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37413,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37413,A000000,03051,0000,03301CLINITRON THERAPY 37413,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37413,A000000,03550,0000,03550FQHC 37413,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37413,A000000,05000,0000,05000CORF 37413,A000000,05010,0000,05010CMHC 37413,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37413,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37413,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37413,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37413,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37413,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37413,A81000A,00100,0100,Y 37413,A81000B,00100,0300,ADMIN CONS. 37413,A81000B,00200,0300,OFFICE 37413,A81000C,00100,0100,A 37413,A81000C,00100,0200,M. TENENBAUM 37413,A81000C,00100,0400,EXCELSIOR HEALTH MGMNT. 37413,A81000C,00100,0600,MANAGEMENT 37413,A81000C,00200,0100,A 37413,A81000C,00200,0200,M. TENENBAUM 37413,A81000C,00200,0400,MJT MANAGEMENT 37413,A81000C,00200,0600,FISCAL 37413,B100000,00000,0100,00000SQUARE FEET 37413,B100000,00000,0200,00000DOLLAR VALUE 37413,B100000,00000,0300,00000GROSS SALARIES 37413,B100000,00000,0400,00000ACCUM. COST 37413,B100000,00000,0500,00000SQUARE FEET 37413,B100000,00000,0600,00000POUNDS OF LAUNDRY 37413,B100000,00000,0700,00000HOURS OF SERVICE 37413,B100000,00000,0800,00000MEALS SERVED 37413,B100000,00000,0900,00000HOURS OF SERVICE 37413,B100000,00000,1000,00000COSTED REQUIS. 37413,B100000,00000,1100,00000COSTED REQUIS. 37413,B100000,00000,1200,00000TIME SPENT 37413,B100000,00000,1300,00000TIME SPENT 37413,B100000,00000,1350,00000NO STATISTICS 37413,B100000,00000,1400,00000TIME SPENT 37413,E10A180,00301,0100,05/10/2000 37413,S000000,00100,0200,05/31/2000 37413,S200000,00100,0100,350 BEACH 54TH STREET 37413,S200000,00200,0100,ARVERNE 37413,S200000,00200,0200,NY 37413,S200000,00200,0300,11692 37413,S200000,00300,0100,QUEENS 37413,S200000,00400,0100,LAWRENCE NURSING CARE CENTER INC. 37413,S200000,00400,0200,335415 37413,S200000,00400,0300,09/01/1979 37413,S200000,00400,0500,P 37413,S200000,01500,0100,Y 37416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37416,A000000,00300,0000,00300EMPLOYEE BENEFITS 37416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37416,A000000,00700,0000,00700HOUSEKEEPING 37416,A000000,00800,0000,00800DIETARY 37416,A000000,00900,0000,00900NURSING ADMINISTRATION 37416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37416,A000000,01100,0000,01100PHARMACY 37416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37416,A000000,01300,0000,01300SOCIAL SERVICE 37416,A000000,01350,0000,01500OTHER GENERAL SERVICES 37416,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37416,A000000,01600,0000,01600SKILLED NURSING FACILITY 37416,A000000,01810,0000,01810ICF/MR 37416,A000000,02100,0000,02100RADIOLOGY 37416,A000000,02200,0000,02200LABORATORY 37416,A000000,02500,0000,02500PHYSICAL THERAPY 37416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37416,A000000,02700,0000,02700SPEECH PATHOLOGY 37416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37416,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37416,A000000,03051,0000,03301CLINITRON THERAPY 37416,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37416,A000000,03550,0000,03550FQHC 37416,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37416,A000000,05000,0000,05000CORF 37416,A000000,05010,0000,05010CMHC 37416,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37416,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37416,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37416,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37416,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37416,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37416,A000000,06151,0000,06301ADULT DAYCARE 37416,A81000A,00100,0100,Y 37416,A81000B,00100,0300,RENT 37416,A81000B,00200,0300,MORTGAGE INTEREST 37416,A81000B,00300,0300,DEPRECIATION 37416,A81000C,00100,0100,A 37416,A81000C,00100,0200,J. STRASSER 37416,A81000C,00100,0400,DRY HARBOR REALTY 37416,A81000C,00100,0600,REAL ESTATE 37416,B100000,00000,0100,00001SQUARE FEET 37416,B100000,00000,0200,00001DOLLAR VALUE 37416,B100000,00000,0300,00001GROSS SALARIES 37416,B100000,00000,0400,00001ACCUM. COST 37416,B100000,00000,0500,00001SQUARE FEET 37416,B100000,00000,0600,00001POUNDS OF LAUNDRY 37416,B100000,00000,0700,00001HOURS OF SERVICE 37416,B100000,00000,0800,00001MEALS SERVED 37416,B100000,00000,0900,00001DIRECT NRSING HRS 37416,B100000,00000,1000,00001COSTED REQUIS. 37416,B100000,00000,1100,00001COSTED REQUIS. 37416,B100000,00000,1200,00001TIME SPENT 37416,B100000,00000,1300,00001TIME SPENT 37416,B100000,00000,1350,00001NO STATISTICS 37416,B100000,00000,1400,00001ASSIGNED TIME 37416,E10A180,00301,0100,05/10/2000 37416,S000000,00100,0200,05/30/2000 37416,S200000,00100,0100,61-35 DRY HARBOR ROAD 37416,S200000,00200,0100,MIDDLE VILLAGE 37416,S200000,00200,0200,NY 37416,S200000,00200,0300,11379 37416,S200000,00300,0100,QUEENS 37416,S200000,00400,0100,DRY HARBOR HRF INC. 37416,S200000,00400,0200,335416 37416,S200000,00400,0300,06/01/1974 37416,S200000,00400,0500,P 37416,S200000,01500,0100,Y 37419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37419,A000000,00300,0000,00300EMPLOYEE BENEFITS 37419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37419,A000000,00700,0000,00700HOUSEKEEPING 37419,A000000,00800,0000,00800DIETARY 37419,A000000,00900,0000,00900NURSING ADMINISTRATION 37419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37419,A000000,01100,0000,01100PHARMACY 37419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37419,A000000,01300,0000,01300SOCIAL SERVICE 37419,A000000,01350,0000,01500ACTIVITIES 37419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37419,A000000,01600,0000,01600SKILLED NURSING FACILITY 37419,A000000,01810,0000,01810ICF/MR 37419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37419,A000000,02500,0000,02500PHYSICAL THERAPY 37419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37419,A000000,02700,0000,02700SPEECH PATHOLOGY 37419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37419,A000000,03550,0000,03550FQHC 37419,A000000,05000,0000,05000CORF 37419,A000000,05010,0000,05010CMHC 37419,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37419,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37419,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37419,A000000,05300,0000,05300INTEREST EXPENSE 37419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37419,A000000,06150,0000,06300DENTAL 37419,A000000,06151,0000,06301PSYCHIATRIC 37419,A81000A,00100,0100,Y 37419,A81000B,00100,0300,PURCHASED SERVICES 37419,A81000C,00100,0100,A 37419,A81000C,00100,0200,CHARLES A GLESS 37419,A81000C,00100,0400,MEDICAL LINEN S 37419,A81000C,00100,0600,LINEN SERVICE 37419,B100000,00000,0100,00001SQUARE FEET 37419,B100000,00000,0200,00001SQUARE FEET 37419,B100000,00000,0300,00001GROSS SALARIES 37419,B100000,00000,0400,00001ACCUM COST 37419,B100000,00000,0500,00001SQUARE FEET 37419,B100000,00000,0600,00001POUNDS OF LAUNDRY 37419,B100000,00000,0700,00001HOURS OF SERVICE 37419,B100000,00000,0800,00001MEALS SERVED 37419,B100000,00000,0900,00001DIRECT NRSG HRS 37419,B100000,00000,1000,00001COSTED REQUIS 37419,B100000,00000,1100,00001COSTED REQUIS 37419,B100000,00000,1200,00001TIME SPENT 37419,B100000,00000,1300,00001TIME SPENT 37419,B100000,00000,1350,00001ASSIGNED TIME 37419,B100000,00000,1400,00001ASSIGNED TIME 37419,E10A180,00301,0100,05/10/2000 37419,S000000,00100,0200,08/15/2000 37419,S200000,00100,0100,346 WASHINGTON AVENUE 37419,S200000,00200,0100,KINGSTON 37419,S200000,00200,0200,NY 37419,S200000,00200,0300,12401 37419,S200000,00300,0100,ULSTER 37419,S200000,00400,0100,HUTTON NURSING HOME 37419,S200000,00400,0200,335417 37419,S200000,00400,0300,01/07/1983 37419,S200000,00400,0500,P 37419,S200000,01500,0100,Y 37422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37422,A000000,00300,0000,00300EMPLOYEE BENEFITS 37422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37422,A000000,00700,0000,00700HOUSEKEEPING 37422,A000000,00800,0000,00800DIETARY 37422,A000000,00900,0000,00900NURSING ADMINISTRATION 37422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37422,A000000,01100,0000,01100PHARMACY 37422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37422,A000000,01300,0000,01300SOCIAL SERVICE 37422,A000000,01350,0000,01500ACTIVITIES 37422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37422,A000000,01600,0000,01600SKILLED NURSING FACILITY 37422,A000000,01810,0000,01810ICF/MR 37422,A000000,02100,0000,02100RADIOLOGY 37422,A000000,02200,0000,02200LABORATORY 37422,A000000,02500,0000,02500PHYSICAL THERAPY 37422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37422,A000000,02700,0000,02700SPEECH PATHOLOGY 37422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37422,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37422,A000000,03550,0000,03550FQHC 37422,A000000,05000,0000,05000CORF 37422,A000000,05010,0000,05010CMHC 37422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37422,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37422,A000000,06150,0000,06300DENTAL 37422,A000000,06151,0000,06301IDLE SPACE 37422,B100000,00000,0100,00001SQUARE FEET 37422,B100000,00000,0200,00001SQUARE FEET 37422,B100000,00000,0300,00001GROSS SALARIES 37422,B100000,00000,0400,00001ACCUM COST 37422,B100000,00000,0500,00001SQUARE FEET 37422,B100000,00000,0600,00001POUNDS OF LAUNDRY 37422,B100000,00000,0700,00001HOURS OF SERVICE 37422,B100000,00000,0800,00001MEALS SERVED 37422,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37422,B100000,00000,1000,00001COSTED REQUISITIO 37422,B100000,00000,1100,00001COSTED REQUISITIO 37422,B100000,00000,1200,00001TIME SPENT 37422,B100000,00000,1300,00001TIME SPENT 37422,B100000,00000,1350,00001PATIENT DAYS 37422,B100000,00000,1400,00001ASSIGNED TIME 37422,E10A180,00301,0100,05/10/2000 37422,E10A180,00550,0100,06/07/2000 37422,S000000,00100,0200,05/31/2000 37422,S200000,00100,0100,87 SOUTH ROUTE 9 WEST 37422,S200000,00200,0100,HAVESTRAW 37422,S200000,00200,0200,NY 37422,S200000,00200,0300,10927 37422,S200000,00300,0100,ROCKLAND 37422,S200000,00400,0100,NORTHERN RIVERVIEW HLTH CARE CTR 37422,S200000,00400,0200,335418 37422,S200000,00400,0300,07/01/1974 37422,S200000,00400,0500,P 37422,S200000,01500,0100,Y 37429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37429,A000000,00300,0000,00300EMPLOYEE BENEFITS 37429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37429,A000000,00700,0000,00700HOUSEKEEPING 37429,A000000,00800,0000,00800DIETARY 37429,A000000,00900,0000,00900NURSING ADMINISTRATION 37429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37429,A000000,01100,0000,01100PHARMACY 37429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37429,A000000,01300,0000,01300SOCIAL SERVICE 37429,A000000,01350,0000,01500ACTIVITIES 37429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37429,A000000,01600,0000,01600SKILLED NURSING FACILITY 37429,A000000,01810,0000,01810ICF/MR 37429,A000000,02100,0000,02100RADIOLOGY 37429,A000000,02200,0000,02200LABORATORY 37429,A000000,02500,0000,02500PHYSICAL THERAPY 37429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37429,A000000,02700,0000,02700SPEECH PATHOLOGY 37429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37429,A000000,03550,0000,03550FQHC 37429,A000000,05000,0000,05000CORF 37429,A000000,05010,0000,05010CMHC 37429,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37429,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37429,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37429,A000000,06150,0000,06300DENTAL 37429,A81000A,00100,0100,Y 37429,A81000B,00100,0300,BUILDING RENT 37429,A81000B,00200,0300,MORTGAGE INTEREST 37429,A81000B,00300,0300,BUILDING DEPRECIATION 37429,A81000B,00400,0300,PROPERTY TAXES 37429,A81000B,00500,0300,ADMINISTRATIVE 37429,A81000B,00600,0300,INVESTMENT INCOME 37429,A81000B,00700,0300,OTHER INCOME 37429,A81000C,00100,0100,A 37429,A81000C,00100,0200,W. H. ZACHER 37429,A81000C,00100,0600,REALTY 37429,B100000,00000,0100,00000SQUARE FEET 37429,B100000,00000,0200,00000SQUARE FEET 37429,B100000,00000,0300,00000GROSS SAL 37429,B100000,00000,0400,00000ACCUM. COST 37429,B100000,00000,0500,00000SQUARE FEET 37429,B100000,00000,0600,00000LAUNDRY LBS 37429,B100000,00000,0700,00000HOUSEKKEPI TIME 37429,B100000,00000,0800,00000DIETARY MEALS 37429,B100000,00000,0900,00000NUR ADMIN TIME 37429,B100000,00000,1000,00000BLANK 37429,B100000,00000,1100,00000PHAR CONSULT TI 37429,B100000,00000,1200,00000MED REC TIME 37429,B100000,00000,1300,00000SOC SERV TIME 37429,B100000,00000,1350,00000ACTIVITIES PARTIC 37429,B100000,00000,1400,00000BLANK 37429,E10A180,00301,0100,05/10/2000 37429,E10A180,00350,0100,08/26/1999 37429,S000000,00100,0200,06/06/2000 37429,S200000,00100,0100,300 MANHATTAN AVENUE 37429,S200000,00200,0100,BUFFALO 37429,S200000,00200,0200,NY 37429,S200000,00200,0300,14214 37429,S200000,00300,0100,ERIE 37429,S200000,00400,0100,THE GARDENS AT MANHATTAN HRC 37429,S200000,00400,0200,335420 37429,S200000,00400,0300,08/01/1974 37429,S200000,00400,0500,P 37429,S200000,01500,0100,Y 37429,S200000,02200,0100,Y 37432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37432,A000000,00300,0000,00300EMPLOYEE BENEFITS 37432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37432,A000000,00700,0000,00700HOUSEKEEPING 37432,A000000,00800,0000,00800DIETARY 37432,A000000,00900,0000,00900NURSING ADMINISTRATION 37432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37432,A000000,01100,0000,01100PHARMACY 37432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37432,A000000,01300,0000,01300SOCIAL SERVICE 37432,A000000,01350,0000,01500OTHER GENERAL SERVICES 37432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37432,A000000,01600,0000,01600SKILLED NURSING FACILITY 37432,A000000,01810,0000,01810ICF/MR 37432,A000000,02200,0000,02200LABORATORY 37432,A000000,02500,0000,02500PHYSICAL THERAPY 37432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37432,A000000,02700,0000,02700SPEECH PATHOLOGY 37432,A000000,02800,0000,02800ELECTROCARDIOLOGY 37432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37432,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37432,A000000,03550,0000,03550FQHC 37432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37432,A000000,05000,0000,05000CORF 37432,A000000,05010,0000,05010CMHC 37432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37432,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37432,A81000A,00100,0100,Y 37432,A81000B,00100,0300,RENT 37432,A81000B,00200,0300,DEPRECIATION 37432,A81000B,00300,0300,MORTGAGE INTEREST 37432,A81000C,00100,0100,A 37432,A81000C,00100,0200,M. GLICKMAN 37432,A81000C,00100,0400,TARRYTOWN HALL ASSOC. LL 37432,A81000C,00100,0600,REALTY 37432,B100000,00000,0100,00000SQUARE FEET 37432,B100000,00000,0200,00000DOLLAR VALUE 37432,B100000,00000,0300,00000GROSS SALARIES 37432,B100000,00000,0400,00000ACCUM. COST 37432,B100000,00000,0500,00000SQUARE FEET 37432,B100000,00000,0600,00000POUNDS OF LAUNDRY 37432,B100000,00000,0700,00000HOURS OF SERVICE 37432,B100000,00000,0800,00000MEALS SERVED 37432,B100000,00000,0900,00000HOURS OF SERVICE 37432,B100000,00000,1000,00000COSTED REQUIS. 37432,B100000,00000,1100,00000COSTED REQUIS. 37432,B100000,00000,1200,00000TIME SPENT 37432,B100000,00000,1300,00000TIME SPENT 37432,B100000,00000,1350,00000NO STATISTICS 37432,B100000,00000,1400,00000TIME SPENT 37432,E10A180,00301,0100,05/10/2000 37432,S000000,00100,0200,05/30/2000 37432,S200000,00100,0100,WOODCOURT 37432,S200000,00200,0100,TARRYTOWN 37432,S200000,00200,0200,NY 37432,S200000,00200,0300,10591 37432,S200000,00300,0100,WESTCHESTER 37432,S200000,00400,0100,TARRYTOWN HALL NURSING HOME 37432,S200000,00400,0200,335421 37432,S200000,00400,0300,10/01/1974 37432,S200000,00400,0500,P 37432,S200000,01500,0100,Y 37440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37440,A000000,00300,0000,00300EMPLOYEE BENEFITS 37440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37440,A000000,00700,0000,00700HOUSEKEEPING 37440,A000000,00800,0000,00800DIETARY 37440,A000000,00900,0000,00900NURSING ADMINISTRATION 37440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37440,A000000,01100,0000,01100PHARMACY 37440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37440,A000000,01300,0000,01300SOCIAL SERVICE 37440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37440,A000000,01600,0000,01600SKILLED NURSING FACILITY 37440,A000000,01810,0000,01810ICF/MR 37440,A000000,02500,0000,02500PHYSICAL THERAPY 37440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37440,A000000,02700,0000,02700SPEECH PATHOLOGY 37440,A000000,03550,0000,03550FQHC 37440,A000000,05000,0000,05000CORF 37440,A000000,05010,0000,05010CMHC 37440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37440,A000000,05300,0000,05300INTEREST EXPENSE 37440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37440,A000000,06150,0000,06300DENTAL 37440,A81000A,00100,0100,Y 37440,A81000B,00100,0300,INTRA-COUNTY CHARGES 37440,A81000C,00100,0100,G 37440,A81000C,00100,0200,MONTGOMERY COUNTY 37440,B100000,00000,0100,00000SQUARE FEET 37440,B100000,00000,0200,00000SQUARE FEET 37440,B100000,00000,0300,00000GROSS SALARIES 37440,B100000,00000,0400,00000ACCUM COST 37440,B100000,00000,0500,00000SQUARE FEET 37440,B100000,00000,0600,00000POUNDS OF LAUNDRY 37440,B100000,00000,0700,00000HOURS OF SERVICE 37440,B100000,00000,0800,00000MEALS SERVED 37440,B100000,00000,0900,00000DIRECT NRSG HRS 37440,B100000,00000,1000,00000COSTED REQUIS 37440,B100000,00000,1100,00000COSTED REQUIS 37440,B100000,00000,1200,00000TIME SPENT 37440,B100000,00000,1300,00000TIME SPENT 37440,B100000,00000,1400,00000ASSIGNED TIME 37440,S000000,00100,0200,07/24/2000 37440,S200000,00100,0100,100 SANDY DRIVE 37440,S200000,00200,0100,AMSTERDAM 37440,S200000,00200,0200,NY 37440,S200000,00200,0300,12010 37440,S200000,00300,0100,MONTGOMERY 37440,S200000,00400,0100,MONTGOMERY MEADOWS RHCF 37440,S200000,00400,0200,335422 37440,S200000,00400,0300,12/01/1974 37440,S200000,00400,0500,P 37440,S200000,01500,0100,Y 37440,S200000,03300,0100,Y 37440,S200000,03300,0200,Y 37456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37456,A000000,00300,0000,00300EMPLOYEE BENEFITS 37456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37456,A000000,00700,0000,00700HOUSEKEEPING 37456,A000000,00800,0000,00800DIETARY 37456,A000000,00900,0000,00900NURSING ADMINISTRATION 37456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37456,A000000,01100,0000,01100PHARMACY 37456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37456,A000000,01300,0000,01300SOCIAL SERVICE 37456,A000000,01350,0000,01500ACTIVITIES 37456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37456,A000000,01600,0000,01600SKILLED NURSING FACILITY 37456,A000000,01810,0000,01810ICF/MR 37456,A000000,02500,0000,02500PHYSICAL THERAPY 37456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37456,A000000,02700,0000,02700SPEECH PATHOLOGY 37456,A000000,02801,0000,02801MEDICAL STAFF SERVICES 37456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37456,A000000,03550,0000,03550FQHC 37456,A000000,05000,0000,05000CORF 37456,A000000,05010,0000,05010CMHC 37456,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37456,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37456,A000000,06100,0000,06100NONPAID WORKERS 37456,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37456,B100000,00000,0100,00000SQUARE FEET 37456,B100000,00000,0200,00000SQUARE FEET 37456,B100000,00000,0300,00000GROSS SALARIES 37456,B100000,00000,0400,00000ACCUM COST 37456,B100000,00000,0500,00000SQUARE FEET 37456,B100000,00000,0600,00000POUNDS OF LAUNDRY 37456,B100000,00000,0700,00000HOURS OF SERVICE 37456,B100000,00000,0800,00000MEALS SERVED 37456,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37456,B100000,00000,1000,00000COSTED REQUISITIO 37456,B100000,00000,1100,00000COSTED REQUISITIO 37456,B100000,00000,1200,00000TIME SPENT 37456,B100000,00000,1300,00000TIME SPENT 37456,B100000,00000,1350,00000TIME SPENT 37456,B100000,00000,1400,00000ASSIGNED TIME 37456,E10A180,00301,0100,09/28/1999 37456,E10A180,00302,0100,05/10/2000 37456,S000000,00100,0200,06/29/2000 37456,S200000,00100,0100,12 TIBBITS AVENUE 37456,S200000,00200,0100,WHITE PLAINS 37456,S200000,00200,0200,NY 37456,S200000,00200,0300,10606 37456,S200000,00300,0100,WESTCHESTER 37456,S200000,00400,0100,BETH ISRAEL NURSING HOME INC. 37456,S200000,00400,0200,335424 37456,S200000,00400,0300,11/01/1974 37456,S200000,00400,0500,P 37456,S200000,01800,0100,Y 37456,S200000,01900,0100,501 (C) 37468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37468,A000000,00300,0000,00300EMPLOYEE BENEFITS 37468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37468,A000000,00700,0000,00700HOUSEKEEPING 37468,A000000,00800,0000,00800DIETARY 37468,A000000,00900,0000,00900NURSING ADMINISTRATION 37468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37468,A000000,01100,0000,01100PHARMACY 37468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37468,A000000,01300,0000,01300SOCIAL SERVICE 37468,A000000,01350,0000,01500ACTIVITIES 37468,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37468,A000000,01600,0000,01600SKILLED NURSING FACILITY 37468,A000000,01810,0000,01810ICF/MR 37468,A000000,02100,0000,02100RADIOLOGY 37468,A000000,02200,0000,02200LABORATORY 37468,A000000,02500,0000,02500PHYSICAL THERAPY 37468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37468,A000000,02700,0000,02700SPEECH PATHOLOGY 37468,A000000,02800,0000,02800ELECTROCARDIOLOGY 37468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37468,A000000,03050,0000,03300AUDIOLOGY 37468,A000000,03051,0000,03301ORTHOTICS 37468,A000000,03200,0000,03200SUPPORT SURFACES 37468,A000000,03550,0000,03550FQHC 37468,A000000,04800,0000,04800AMBULANCE 37468,A000000,05000,0000,05000CORF 37468,A000000,05010,0000,05010CMHC 37468,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37468,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37468,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37468,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37468,A000000,06150,0000,06300DENTAL 37468,A81000A,00100,0100,Y 37468,A81000B,00100,0300,MANAGEMENT FEES YAGEL 37468,A81000B,00200,0300,EMPLOYEE BEN YAGEL 37468,A81000B,00300,0300,EH&W FRANK MGT 37468,A81000B,00400,0300,A&G FRANK MGT 37468,A81000B,00500,0300,PLANT OPER FRANK MGT 37468,A81000B,00600,0300,DIETARY FRANK MGT 37468,A81000B,00700,0300,NURSE ADIMIN FRANK MGT 37468,A81000B,00800,0300,MEDICAL REC FRANK MGT 37468,A81000B,00900,0300,SOC SRVC FRANK MGT 37468,A81000B,01000,0300,ACTIVITIES FRANK MGT 37468,A81000B,01100,0300,SNF FRANKLIN MGT 37468,A81000B,01200,0300,P/T FRANK MGT 37468,A81000B,01300,0300,O/T FRANK MGT 37468,A81000B,01400,0300,S/T FRANK MGT 37468,A81000B,01500,0300,PARKING LOT RENT 37468,A81000C,00100,0100,A 37468,A81000C,00100,0200,FRANKLIN N/H 37468,A81000C,00100,0400,YAGEL CORP 37468,A81000C,00100,0600,PAYROLL 37468,A81000C,00200,0100,B 37468,A81000C,00200,0200,FRANKLIN 37468,A81000C,00200,0400,142-27 FRANKLIN 37468,A81000C,00200,0600,PAYROLL 37468,A81000C,00300,0100,A 37468,A81000C,00300,0200,FRANKLIN 37468,A81000C,00300,0400,UP ASSOCIATES 37468,A81000C,00300,0600,RENTAL 37468,B100000,00000,0100,00000SQUARE FEET 37468,B100000,00000,0200,00000SQUARE FEET 37468,B100000,00000,0300,00000GROSS SALARIES 37468,B100000,00000,0400,00000ACCUM COST 37468,B100000,00000,0500,00000SQUARE FEET 37468,B100000,00000,0600,00000POUNDS OF LAUNDRY 37468,B100000,00000,0700,00000HOURS OF SERVICE 37468,B100000,00000,0800,00000MEALS SERVED 37468,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37468,B100000,00000,1000,00000COSTED REQUISITIO 37468,B100000,00000,1100,00000COSTED REQUISITIO 37468,B100000,00000,1200,00000TIME SPENT 37468,B100000,00000,1300,00000TIME SPENT 37468,B100000,00000,1350,00000TIME SPENT 37468,B100000,00000,1400,00000ASSIGNED TIME 37468,E10A180,00301,0100,05/10/2000 37468,E10A180,00550,0100,06/07/2000 37468,S000000,00100,0200,05/30/2000 37468,S200000,00100,0100,142-27 FRANKLIN AVE 37468,S200000,00200,0100,FLUSHING 37468,S200000,00200,0200,NY 37468,S200000,00200,0300,11355 37468,S200000,00300,0100,QUEENS 37468,S200000,00400,0100,FRANKLIN NURSING HOME 37468,S200000,00400,0200,335426 37468,S200000,00400,0300,12/01/1974 37468,S200000,00400,0500,P 37468,S200000,01500,0100,Y 37475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37475,A000000,00300,0000,00300EMPLOYEE BENEFITS 37475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37475,A000000,00700,0000,00700HOUSEKEEPING 37475,A000000,00800,0000,00800DIETARY 37475,A000000,00900,0000,00900NURSING ADMINISTRATION 37475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37475,A000000,01100,0000,01100PHARMACY 37475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37475,A000000,01300,0000,01300SOCIAL SERVICE 37475,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37475,A000000,01600,0000,01600SKILLED NURSING FACILITY 37475,A000000,01810,0000,01810ICF/MR 37475,A000000,02100,0000,02100RADIOLOGY 37475,A000000,02500,0000,02500PHYSICAL THERAPY 37475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37475,A000000,02700,0000,02700SPEECH PATHOLOGY 37475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37475,A000000,03450,0000,03600OUTPATIENT THERAPIES 37475,A000000,03550,0000,03550FQHC 37475,A000000,05000,0000,05000CORF 37475,A000000,05010,0000,05010CMHC 37475,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37475,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37475,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37475,A000000,05300,0000,05300INTEREST EXPENSE 37475,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37475,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37475,A000000,06150,0000,06300ADULT DAY CARE 37475,B100000,00000,0100,00000SQUARE FEET 37475,B100000,00000,0200,00000SQUARE FEET 37475,B100000,00000,0300,00000GROSS SALARIES 37475,B100000,00000,0400,00000ACCUM COST 37475,B100000,00000,0500,00000SQUARE FEET 37475,B100000,00000,0600,00000POUNDS OF LAUNDRY 37475,B100000,00000,0700,00000HOURS OF SERVICE 37475,B100000,00000,0800,00000MEALS SERVED 37475,B100000,00000,0900,00000DIRECT NRSG HRS 37475,B100000,00000,1000,00000COSTED REQUIS 37475,B100000,00000,1100,00000COSTED REQUIS 37475,B100000,00000,1200,00000TIME SPENT 37475,B100000,00000,1300,00000TIME SPENT 37475,B100000,00000,1400,00000ASSIGNED TIME 37475,S000000,00100,0200,09/19/2000 37475,S200000,00100,0100,112 SKI BOWL ROAD 37475,S200000,00100,0300,500 37475,S200000,00200,0100,NORTH CREEK 37475,S200000,00200,0200,NY 37475,S200000,00200,0300,12853 37475,S200000,00300,0100,WARREN 37475,S200000,00400,0100,ADIRONDACK TRI-CTY HLTH/C CTR.INC. 37475,S200000,00400,0200,335429 37475,S200000,00400,0300,10/02/1974 37475,S200000,00400,0500,P 37475,S200000,01500,0100,Y 37475,S200000,01900,0100,BOARD OF DIRECTORS 37475,S200000,02800,0100,Y 37483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37483,A000000,00300,0000,00300EMPLOYEE BENEFITS 37483,A000000,00401,0000,00401NON-PATIENT TELEPHONES 37483,A000000,00402,0000,00402DATA PROCESSING 37483,A000000,00403,0000,00403PURCHASING RECEIVING AND STORES 37483,A000000,00404,0000,00404ADMITTING 37483,A000000,00405,0000,00405ACCOUNTS RECEIVBLE 37483,A000000,00406,0000,00406OTHER ADMIN & GENERAL 37483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37483,A000000,00700,0000,00700HOUSEKEEPING 37483,A000000,00800,0000,00800DIETARY 37483,A000000,00900,0000,00900NURSING ADMINISTRATION 37483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37483,A000000,01100,0000,01100PHARMACY 37483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37483,A000000,01300,0000,01300SOCIAL SERVICE 37483,A000000,01350,0000,01500RECREATIONAL THERAPY 37483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37483,A000000,01600,0000,01600SKILLED NURSING FACILITY 37483,A000000,01810,0000,01810ICF/MR 37483,A000000,02100,0000,02100RADIOLOGY 37483,A000000,02200,0000,02200LABORATORY 37483,A000000,02500,0000,02500PHYSICAL THERAPY 37483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37483,A000000,02700,0000,02700SPEECH PATHOLOGY 37483,A000000,02800,0000,02800ELECTROCARDIOLOGY 37483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37483,A000000,03400,0000,03400CLINIC 37483,A000000,03550,0000,03550FQHC 37483,A000000,04750,0000,05100MEDICAL DIRECTOR 37483,A000000,05000,0000,05000CORF 37483,A000000,05001,0000,05001CORF II 37483,A000000,05010,0000,05010CMHC 37483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37483,A000000,05300,0000,05300INTEREST EXPENSE 37483,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37483,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37483,A000000,06100,0000,06100NONPAID WORKERS 37483,A000000,06200,0000,06200PATIENTS LAUNDRY 37483,B100000,00000,0100,00000(SQUARE FEET) 37483,B100000,00000,0200,00000($ VALUE) FEET 37483,B100000,00000,0300,00000(GROSS SALARIES) 37483,B100000,00000,0401,00000 (NO OF INSTRMNTS) 37483,B100000,00000,0402,00000 (MACHINE TIME) 37483,B100000,00000,0403,00000 (COST OF SUPPL EXP) 37483,B100000,00000,0404,00000(GROSS I/P CHARGES) 37483,B100000,00000,0405,00000 (GROSS CHARGES) 37483,B100000,00000,0406,00000 37483,B100000,00000,0500,00000(SQUARE FEET) 37483,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 37483,B100000,00000,0700,00000(HOURS OF SERVICE) 37483,B100000,00000,0800,00000(MEALS SERVED) 37483,B100000,00000,0900,00000(DIR NRSG HOURS) 37483,B100000,00000,1000,00000(COSTED REQUIS) 37483,B100000,00000,1100,00000(COSTED REQUIS) 37483,B100000,00000,1200,00000(TIME SPENT) 37483,B100000,00000,1300,00000(TIME SPENT) 37483,B100000,00000,1350,00000 37483,B100000,00000,1400,00000(ASSIGNED TIME) 37483,E10A180,00301,0100,01/18/2000 37483,E10A180,00302,0100,05/10/2000 37483,S000000,00100,0200,06/07/2000 37483,S200000,00100,0100,133 PRATT STREET 37483,S200000,00100,0300,100 37483,S200000,00200,0100,WATERTOWN 37483,S200000,00200,0200,NY 37483,S200000,00200,0300,13601 37483,S200000,00300,0100,JEFFERSON 37483,S200000,00400,0100,SAMARITAN KEEP NRSG. HOME INC. 37483,S200000,00400,0200,335431 37483,S200000,00400,0300,01/01/1975 37483,S200000,00400,0500,P 37483,S200000,01500,0100,Y 37483,S200000,01900,0100,NURSING HOME 37483,S200000,02200,0100,Y 37483,S200000,02800,0100,Y 37486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37486,A000000,00300,0000,00300EMPLOYEE BENEFITS 37486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37486,A000000,00700,0000,00700HOUSEKEEPING 37486,A000000,00800,0000,00800DIETARY 37486,A000000,00900,0000,00900NURSING ADMINISTRATION 37486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37486,A000000,01100,0000,01100PHARMACY 37486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37486,A000000,01300,0000,01300SOCIAL SERVICE 37486,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 37486,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37486,A000000,01600,0000,01600SKILLED NURSING FACILITY 37486,A000000,01810,0000,01810ICF/MR 37486,A000000,02500,0000,02500PHYSICAL THERAPY 37486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37486,A000000,02700,0000,02700SPEECH PATHOLOGY 37486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37486,A000000,03550,0000,03550FQHC 37486,A000000,05000,0000,05000CORF 37486,A000000,05010,0000,05010CMHC 37486,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37486,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37486,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37486,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37486,A000000,06201,0000,06201DENTAL 37486,A81000A,00100,0100,Y 37486,A81000B,00100,0300,RENT 37486,A81000B,00200,0300,INTEREST 37486,A81000B,00300,0300,DEPRECIATION 37486,A81000B,00400,0300,AMORTIZATION MORTGAGE COSTS 37486,A81000C,00100,0100,A 37486,A81000C,00100,0200,SIDNEY ESIKOFF 37486,A81000C,00100,0400,LNNH ASOC 37486,A81000C,00100,0600,REAL ESTATE 37486,A81000C,00200,0100,A 37486,A81000C,00200,0200,EUGENE KATZ 37486,A81000C,00200,0400,LNNH ASSOC 37486,A81000C,00200,0600,REAL ESTATE 37486,A81000C,00300,0100,A 37486,A81000C,00300,0200,BERNIE TANNEBAU 37486,A81000C,00300,0400,LNNH ASSOC 37486,A81000C,00300,0600,REAL ESTATE 37486,A81000C,00400,0100,A 37486,A81000C,00400,0200,BEN LEVINE 37486,A81000C,00400,0400,LNNH ASSOC 37486,A81000C,00400,0600,REAL ESTATE 37486,B100000,00000,0100,00000SQUARE FEET 37486,B100000,00000,0200,00000SQUARE FEET 37486,B100000,00000,0300,00000GROSS SALARIES 37486,B100000,00000,0400,00000ACCUM COST 37486,B100000,00000,0500,00000SQUARE FEET 37486,B100000,00000,0600,00000POUNDS OF LAUNDRY 37486,B100000,00000,0700,00000HOURS OF SERVICE 37486,B100000,00000,0800,00000MEALS SERVED 37486,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37486,B100000,00000,1000,00000COSTED REQUISITIO 37486,B100000,00000,1100,00000COSTED REQUISITIO 37486,B100000,00000,1200,00000TIME SPENT 37486,B100000,00000,1300,00000TIME SPENT 37486,B100000,00000,1301,00000PARTICIPAN 37486,B100000,00000,1350,00000 37486,B100000,00000,1400,00000ASSIGNED TIME 37486,E10A180,00301,0100,05/10/2000 37486,S000000,00100,0200,06/13/2000 37486,S200000,00100,0100,260-19 NASSAU BOULEVARD 37486,S200000,00200,0100,LITTLE NECK NEW YORK 11362 37486,S200000,00300,0100,QUEENS 37486,S200000,00400,0100,LITTLE NECK NURSING HOME 37486,S200000,00400,0200,335434 37486,S200000,00400,0300,02/01/1975 37486,S200000,00400,0500,P 37486,S200000,01500,0100,Y 37498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37498,A000000,00300,0000,00300EMPLOYEE BENEFITS 37498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37498,A000000,00700,0000,00700HOUSEKEEPING 37498,A000000,00800,0000,00800DIETARY 37498,A000000,00900,0000,00900NURSING ADMINISTRATION 37498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37498,A000000,01100,0000,01100PHARMACY 37498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37498,A000000,01300,0000,01300SOCIAL SERVICE 37498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37498,A000000,01600,0000,01600SKILLED NURSING FACILITY 37498,A000000,01810,0000,01810ICF/MR 37498,A000000,02100,0000,02100RADIOLOGY 37498,A000000,02200,0000,02200LABORATORY 37498,A000000,02500,0000,02500PHYSICAL THERAPY 37498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37498,A000000,02700,0000,02700SPEECH PATHOLOGY 37498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37498,A000000,03550,0000,03550FQHC 37498,A000000,05000,0000,05000CORF 37498,A000000,05010,0000,05010CMHC 37498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37498,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37498,A000000,06150,0000,06300ADULT DAY CARE 37498,A000000,06151,0000,06301DENTAL 37498,A81000A,00100,0100,Y 37498,A81000B,00100,0300,RENT 37498,A81000B,00200,0300,MORTG INT 37498,A81000B,00300,0300,RE TAXES 37498,A81000B,00400,0300,DEPRECIATION 37498,A81000B,00500,0300,AMORT MGT EXP 37498,A81000B,00600,0300,INSURANCE 37498,A81000B,00700,0300,INT ON EQUIP 37498,A81000B,00800,0300,MISC 37498,A81000B,00900,0300,PREPAYMENT PENALITY 37498,A81000C,00100,0100,A 37498,A81000C,00100,0200,STEVE RUBIN 37498,A81000C,00100,0400,MEADOWBROOK REA 37498,A81000C,00200,0100,A 37498,A81000C,00200,0200,STEVE CROOPNIK 37498,A81000C,00200,0400,MEADOWBROOK REA 37498,A81000C,00300,0100,A 37498,A81000C,00300,0200,MARK GORSTEIN 37498,A81000C,00300,0400,MEADOWBROOK REA 37498,A81000C,00400,0100,A 37498,A81000C,00400,0200,ROBERT SCHLUNDT 37498,A81000C,00400,0400,MEADOWBROOK RE 37498,B100000,00000,0100,00001SQUARE FEET 37498,B100000,00000,0200,00001SQUARE FEET 37498,B100000,00000,0300,00001GROSS SALARIES 37498,B100000,00000,0400,00001ACCUM COST 37498,B100000,00000,0500,00001SQUARE FEET 37498,B100000,00000,0600,00001POUNDS OF LAUNDRY 37498,B100000,00000,0700,00001HOURS OF SERVICE 37498,B100000,00000,0800,00001MEALS SERVED 37498,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37498,B100000,00000,1000,00001COSTED REQUISITIO 37498,B100000,00000,1100,00001COSTED REQUISITIO 37498,B100000,00000,1200,00001TIME SPENT 37498,B100000,00000,1300,00001TIME SPENT 37498,B100000,00000,1400,00001ASSIGNED TIME 37498,E10A180,00301,0100,05/10/2000 37498,E10A180,00550,0100,06/28/2000 37498,S000000,00100,0200,05/30/2000 37498,S200000,00100,0100,154 PROSPECT AVE 37498,S200000,00200,0100,PLATTSBIRG 37498,S200000,00200,0200,NY 37498,S200000,00200,0300,12901 37498,S200000,00300,0100,CLINTON 37498,S200000,00400,0100,MEADOWBROOK HEALTHCARE 37498,S200000,00400,0200,335438 37498,S200000,00400,0300,07/01/1995 37498,S200000,00400,0500,P 37498,S200000,01500,0100,Y 37498,S200000,04300,0100,Y 37510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37510,A000000,00300,0000,00300EMPLOYEE BENEFITS 37510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37510,A000000,00700,0000,00700HOUSEKEEPING 37510,A000000,00800,0000,00800DIETARY 37510,A000000,00900,0000,00900NURSING ADMINISTRATION 37510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37510,A000000,01100,0000,01100PHARMACY 37510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37510,A000000,01300,0000,01300SOCIAL SERVICE 37510,A000000,01350,0000,01500ACTIVITIES 37510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37510,A000000,01600,0000,01600SKILLED NURSING FACILITY 37510,A000000,01810,0000,01810ICF/MR 37510,A000000,02500,0000,02500PHYSICAL THERAPY 37510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37510,A000000,02700,0000,02700SPEECH PATHOLOGY 37510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37510,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37510,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37510,A000000,03550,0000,03550FQHC 37510,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37510,A000000,05000,0000,05000CORF 37510,A000000,05010,0000,05010CMHC 37510,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37510,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37510,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37510,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37510,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37510,A81000A,00100,0100,Y 37510,A81000B,00100,0300,RENT EXPENSE 37510,A81000B,00200,0300,REAL ESTATE TAXES 37510,A81000B,00300,0300,DEPRECIATION 37510,A81000B,00400,0300,ACCOUNTING FEES 37510,A81000C,00100,0100,G 37510,A81000C,00100,0200,ESTATE OF PERCY GARSON 37510,A81000C,00100,0400,CORTLANDT HEALTH CARE CTR 37510,A81000C,00100,0600,REALTY CORP 37510,A81000C,00200,0100,G 37510,A81000C,00200,0200,ESTATE OF HERMINA GARSON 37510,A81000C,00200,0400,CORTLANDT HEALTH CARE CTR 37510,A81000C,00200,0600,REALTY CORP 37510,B100000,00000,0100,00000SQUARE FEET 37510,B100000,00000,0200,00000SQUARE FEET 37510,B100000,00000,0300,00000GROSS SALARIES 37510,B100000,00000,0400,00000ACCUM. COST 37510,B100000,00000,0500,00000SQUARE FEET 37510,B100000,00000,0600,00000POUNDS OF LAUNDRY 37510,B100000,00000,0700,00000HOURS OF SERVICE 37510,B100000,00000,0800,00000MEALS SERVED 37510,B100000,00000,0900,00000DIRECT NURS 37510,B100000,00000,1000,00000COSTEDREQU UISITIONS 37510,B100000,00000,1100,00000COSTEDREQU UISITIONS 37510,B100000,00000,1200,00000TIME SPENT 37510,B100000,00000,1300,00000TIME SPENT 37510,B100000,00000,1350,00000# OF PARTICI 37510,B100000,00000,1400,00000NO STATISTICS 37510,E10A180,00301,0100,05/10/2000 37510,E10A180,00550,0100,06/14/2000 37510,S000000,00100,0200,06/09/2000 37510,S200000,00100,0100,110 OREGON ROAD 37510,S200000,00200,0100,CORTLANDT MANOR 37510,S200000,00200,0200,NY 37510,S200000,00200,0300,10566 37510,S200000,00300,0100,WESTCHESTER 37510,S200000,00400,0100,CORTLANDT NURSING CARE CENTER INC. 37510,S200000,00400,0200,335441 37510,S200000,00400,0300,02/01/1977 37510,S200000,00400,0500,P 37510,S200000,01500,0100,Y 37518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37518,A000000,00300,0000,00300EMPLOYEE BENEFITS 37518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37518,A000000,00700,0000,00700HOUSEKEEPING 37518,A000000,00800,0000,00800DIETARY 37518,A000000,00900,0000,00900NURSING ADMINISTRATION 37518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37518,A000000,01100,0000,01100PHARMACY 37518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37518,A000000,01300,0000,01300SOCIAL SERVICE 37518,A000000,01350,0000,01500ACTIVITIES 37518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37518,A000000,01600,0000,01600SKILLED NURSING FACILITY 37518,A000000,01800,0000,01800NURSING FACILITY 37518,A000000,01810,0000,01810ICF/MR 37518,A000000,02200,0000,02200LABORATORY 37518,A000000,02500,0000,02500PHYSICAL THERAPY 37518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37518,A000000,02700,0000,02700SPEECH PATHOLOGY 37518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37518,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37518,A000000,03550,0000,03550FQHC 37518,A000000,05000,0000,05000CORF 37518,A000000,05010,0000,05010CMHC 37518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37518,A000000,06101,0000,06101DAY CARE 37518,A000000,06150,0000,06300DENTAL 37518,B100000,00000,0100,00000SQUARE FEET 37518,B100000,00000,0200,00000SQUARE FEET 37518,B100000,00000,0300,00000GROSS SALARIES 37518,B100000,00000,0400,00000ACCUM COST 37518,B100000,00000,0500,00000SQUARE FEET 37518,B100000,00000,0600,00000POUNDS OF LAUNDRY 37518,B100000,00000,0700,00000HOURS OF SERVICE 37518,B100000,00000,0800,00000MEALS SERVED 37518,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37518,B100000,00000,1000,00000COSTED REQUISITIO 37518,B100000,00000,1100,00000COSTED REQUISITIO 37518,B100000,00000,1200,00000TIME SPENT 37518,B100000,00000,1300,00000TIME SPENT 37518,B100000,00000,1350,00000ASSIGNED TIME 37518,B100000,00000,1400,00000ASSIGNED TIME 37518,E10A180,00301,0100,09/22/1999 37518,E10A180,00302,0100,05/10/2000 37518,S000000,00100,0200,07/13/2000 37518,S200000,00100,0100,1160 TELLER AVENUE 37518,S200000,00200,0100,BRONX/NY/10456 37518,S200000,00300,0100,BRONX 37518,S200000,00400,0100,DAUGHTERS OF JACOB NURSING HOME 37518,S200000,00400,0200,335445 37518,S200000,00400,0300,07/01/1975 37518,S200000,00400,0500,P 37518,S200000,01900,0100,OTHER (SPECIFY) 37522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37522,A000000,00300,0000,00300EMPLOYEE BENEFITS 37522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37522,A000000,00700,0000,00700HOUSEKEEPING 37522,A000000,00800,0000,00800DIETARY 37522,A000000,00900,0000,00900NURSING ADMINISTRATION 37522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37522,A000000,01100,0000,01100PHARMACY 37522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37522,A000000,01300,0000,01300SOCIAL SERVICE 37522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37522,A000000,01600,0000,01600SKILLED NURSING FACILITY 37522,A000000,01810,0000,01810ICF/MR 37522,A000000,02100,0000,02100RADIOLOGY 37522,A000000,02200,0000,02200LABORATORY 37522,A000000,02500,0000,02500PHYSICAL THERAPY 37522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37522,A000000,02700,0000,02700SPEECH PATHOLOGY 37522,A000000,02800,0000,02800ELECTROCARDIOLOGY 37522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37522,A000000,03550,0000,03550FQHC 37522,A000000,05000,0000,05000CORF 37522,A000000,05010,0000,05010CMHC 37522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37522,A81000A,00100,0100,Y 37522,A81000B,00100,0300,NURSING CONSULTING 37522,A81000C,00100,0100,A 37522,A81000C,00100,0200,BENENSONS 37522,A81000C,00100,0400,SUBACUTE NETWOR 37522,A81000C,00100,0600,NURSING CONSULT 37522,B100000,00000,0100,00000SQUARE FEET 37522,B100000,00000,0200,00000SQUARE FEET 37522,B100000,00000,0300,00000GROSS SALARIES 37522,B100000,00000,0400,00000ACCUM COST 37522,B100000,00000,0500,00000SQUARE FEET 37522,B100000,00000,0600,00000POUNDS OF LAUNDRY 37522,B100000,00000,0700,00000HOURS OF SERVICE 37522,B100000,00000,0800,00000MEALS SERVED 37522,B100000,00000,0900,00000DIRECT NRSG HRS 37522,B100000,00000,1000,00000COSTED REQUIS 37522,B100000,00000,1100,00000COSTED REQUIS 37522,B100000,00000,1200,00000TIME SPENT 37522,B100000,00000,1300,00000TIME SPENT 37522,B100000,00000,1400,00000ASSIGNED TIME 37522,E10A180,00301,0100,05/10/2000 37522,S000000,00100,0200,05/30/2000 37522,S200000,00100,0100,139-66 35TH AVENUE 37522,S200000,00200,0100,FLUSHING 37522,S200000,00200,0200,NY 37522,S200000,00200,0300,11354 37522,S200000,00300,0100,QUEENS 37522,S200000,00400,0100,FLUSHING MANOR CARE CTR. INC. 37522,S200000,00400,0200,335446 37522,S200000,00400,0300,07/01/1975 37522,S200000,00400,0500,P 37522,S200000,01500,0100,Y 37524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37524,A000000,00300,0000,00300EMPLOYEE BENEFITS 37524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37524,A000000,00700,0000,00700HOUSEKEEPING 37524,A000000,00800,0000,00800DIETARY 37524,A000000,00900,0000,00900NURSING ADMINISTRATION 37524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37524,A000000,01100,0000,01100PHARMACY 37524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37524,A000000,01300,0000,01300SOCIAL SERVICE 37524,A000000,01350,0000,01500ACTIVITIES 37524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37524,A000000,01600,0000,01600SKILLED NURSING FACILITY 37524,A000000,01810,0000,01810ICF/MR 37524,A000000,02100,0000,02100RADIOLOGY 37524,A000000,02200,0000,02200LABORATORY 37524,A000000,02500,0000,02500PHYSICAL THERAPY 37524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37524,A000000,02700,0000,02700SPEECH PATHOLOGY 37524,A000000,02800,0000,02800ELECTROCARDIOLOGY 37524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37524,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37524,A000000,03200,0000,03200SUPPORT SURFACES 37524,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37524,A000000,03550,0000,03550FQHC 37524,A000000,05000,0000,05000CORF 37524,A000000,05010,0000,05010CMHC 37524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37524,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37524,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37524,A000000,06201,0000,06201DENTAL 37524,A81000A,00100,0100,Y 37524,A81000B,00100,0300,FOOD 37524,A81000B,00200,0300,LAUNDRY SUPPLIES 37524,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 37524,A81000B,00400,0300,NURSING SUPPLIES 37524,A81000B,00500,0300,MAINTENANCE SUPPLIES 37524,A81000C,00100,0100,A 37524,A81000C,00100,0200,KING STREET HOM 37524,A81000C,00100,0400,RUBBER UTILITIE 37524,B100000,00000,0100,00000SQUARE FEET 37524,B100000,00000,0200,00000SQUARE FEET 37524,B100000,00000,0300,00000GROSS SALARIES 37524,B100000,00000,0400,00000ACCUM COST 37524,B100000,00000,0500,00000SQUARE FEET 37524,B100000,00000,0600,00000POUNDS OF LAUNDRY 37524,B100000,00000,0700,00000HOURS OF SERVICE 37524,B100000,00000,0800,00000MEALS SERVED 37524,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37524,B100000,00000,1000,00000COSTED REQUISITIO 37524,B100000,00000,1100,00000COSTED REQUISITIO 37524,B100000,00000,1200,00000TIME SPENT 37524,B100000,00000,1300,00000TIME SPENT 37524,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37524,B100000,00000,1400,00000ASSIGNED TIME 37524,E10A180,00301,0100,05/10/2000 37524,S000000,00100,0200,06/01/2000 37524,S200000,00100,0100,787 KING STREET 37524,S200000,00200,0100,PORT CHESTER 37524,S200000,00200,0200,NY 37524,S200000,00200,0300,10573 37524,S200000,00300,0100,WESTCHESTER 37524,S200000,00400,0100,KING STREET HOME INC 37524,S200000,00400,0200,335447 37524,S200000,00400,0300,07/01/1975 37524,S200000,00400,0500,P 37524,S200000,01500,0100,Y 37532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37532,A000000,00300,0000,00300EMPLOYEE BENEFITS 37532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37532,A000000,00700,0000,00700HOUSEKEEPING 37532,A000000,00800,0000,00800DIETARY 37532,A000000,00900,0000,00900NURSING ADMINISTRATION 37532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37532,A000000,01100,0000,01100PHARMACY 37532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37532,A000000,01300,0000,01300SOCIAL SERVICE 37532,A000000,01350,0000,01500OTHER GENERAL SERVICES 37532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37532,A000000,01600,0000,01600SKILLED NURSING FACILITY 37532,A000000,01810,0000,01810ICF/MR 37532,A000000,02100,0000,02100RADIOLOGY 37532,A000000,02200,0000,02200LABORATORY 37532,A000000,02500,0000,02500PHYSICAL THERAPY 37532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37532,A000000,02700,0000,02700SPEECH PATHOLOGY 37532,A000000,02800,0000,02800ELECTROCARDIOLOGY 37532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37532,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37532,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37532,A000000,03550,0000,03550FQHC 37532,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37532,A000000,04800,0000,04800AMBULANCE 37532,A000000,05000,0000,05000CORF 37532,A000000,05010,0000,05010CMHC 37532,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37532,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37532,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37532,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37532,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37532,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37532,B100000,00000,0100,00000SQUARE FEET 37532,B100000,00000,0200,00000DOLLAR VALUE 37532,B100000,00000,0300,00000GROSS SALARIES 37532,B100000,00000,0400,00000ACCUM. COST 37532,B100000,00000,0500,00000SQUARE FEET 37532,B100000,00000,0600,00000POUNDS OF LAUNDRY 37532,B100000,00000,0700,00000HOURS OF SERVICE 37532,B100000,00000,0800,00000MEALS SERVED 37532,B100000,00000,0900,00000HOURS OF SERVICE 37532,B100000,00000,1000,00000COSTED REQUIS. 37532,B100000,00000,1100,00000COSTED REQUIS. 37532,B100000,00000,1200,00000TIME SPENT 37532,B100000,00000,1300,00000TIME SPENT 37532,B100000,00000,1350,00000NO STATISTICS 37532,B100000,00000,1400,00000TIME SPENT 37532,E10A180,00301,0100,05/10/2000 37532,E10A180,00302,0100,01/27/2000 37532,E10A180,00350,0100,01/27/2000 37532,S000000,00100,0200,06/08/2000 37532,S200000,00100,0100,520 BEACH 19TH STREET 37532,S200000,00200,0100,FAR ROCKAWAY 37532,S200000,00200,0200,NY 37532,S200000,00300,0100,QUEENS 37532,S200000,00400,0100,QUEENS NASSAU NURSING HOME INC. 37532,S200000,00400,0200,335448 37532,S200000,00400,0300,08/01/1975 37532,S200000,00400,0500,P 37532,S200000,01500,0100,Y 37535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37535,A000000,00300,0000,00300EMPLOYEE BENEFITS 37535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37535,A000000,00700,0000,00700HOUSEKEEPING 37535,A000000,00800,0000,00800DIETARY 37535,A000000,00900,0000,00900NURSING ADMINISTRATION 37535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37535,A000000,01100,0000,01100PHARMACY 37535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37535,A000000,01300,0000,01300SOCIAL SERVICE 37535,A000000,01350,0000,01500ACTIVITIES 37535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37535,A000000,01600,0000,01600SKILLED NURSING FACILITY 37535,A000000,01810,0000,01810ICF/MR 37535,A000000,02500,0000,02500PHYSICAL THERAPY 37535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37535,A000000,02700,0000,02700SPEECH PATHOLOGY 37535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37535,A000000,03550,0000,03550FQHC 37535,A000000,05000,0000,05000CORF 37535,A000000,05010,0000,05010CMHC 37535,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37535,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37535,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37535,A000000,06150,0000,06300DENTAL 37535,B100000,00000,0100,00000SQUARE FEET 37535,B100000,00000,0200,00000SQUARE FEET 37535,B100000,00000,0300,00000GROSS SALARIES 37535,B100000,00000,0400,00000ACCUM COST 37535,B100000,00000,0500,00000SQUARE FEET 37535,B100000,00000,0600,00000POUNDS OF LAUNDRY 37535,B100000,00000,0700,00000HOURS OF SERVICE 37535,B100000,00000,0800,00000MEALS SERVED 37535,B100000,00000,0900,00000DIRECT NRSG HRS 37535,B100000,00000,1000,00000COSTED REQUIS 37535,B100000,00000,1100,00000COSTED REQUIS 37535,B100000,00000,1200,00000TIME SPENT 37535,B100000,00000,1300,00000TIME SPENT 37535,B100000,00000,1350,00000NO OF PARTICIPAN 37535,B100000,00000,1400,00000ASSIGNED TIME 37535,E10A180,00301,0100,05/10/2000 37535,S000000,00100,0200,05/24/2000 37535,S200000,00100,0100,170 LAKE STREET 37535,S200000,00200,0100,LIBERTY 37535,S200000,00200,0200,NY 37535,S200000,00200,0300,12754 37535,S200000,00300,0100,SULLIVAN 37535,S200000,00400,0100,WALNUT MOUNTAIN CARE CENTER 37535,S200000,00400,0200,335449 37535,S200000,00400,0300,09/01/1975 37535,S200000,00400,0500,P 37535,S200000,01500,0100,Y 37542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37542,A000000,00300,0000,00300EMPLOYEE BENEFITS 37542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37542,A000000,00700,0000,00700HOUSEKEEPING 37542,A000000,00800,0000,00800DIETARY 37542,A000000,00900,0000,00900NURSING ADMINISTRATION 37542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37542,A000000,01100,0000,01100PHARMACY 37542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37542,A000000,01300,0000,01300SOCIAL SERVICE 37542,A000000,01350,0000,01500ACTIVITIES 37542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37542,A000000,01600,0000,01600SKILLED NURSING FACILITY 37542,A000000,01810,0000,01810ICF/MR 37542,A000000,02100,0000,02100RADIOLOGY 37542,A000000,02200,0000,02200LABORATORY 37542,A000000,02300,0000,02300INTRAVENOUS THERAPY 37542,A000000,02500,0000,02500PHYSICAL THERAPY 37542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37542,A000000,02700,0000,02700SPEECH PATHOLOGY 37542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37542,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37542,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37542,A000000,03200,0000,03200SUPPORT SURFACES 37542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37542,A000000,03550,0000,03550FQHC 37542,A000000,05000,0000,05000CORF 37542,A000000,05010,0000,05010CMHC 37542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37542,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37542,A000000,06100,0000,06100NONPAID WORKERS 37542,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37542,B100000,00000,0100,00000SQUARE FEET 37542,B100000,00000,0200,00000SQUARE FEET 37542,B100000,00000,0300,00000GROSS SALARIES 37542,B100000,00000,0400,00000ACCUM COST 37542,B100000,00000,0500,00000SQUARE FEET 37542,B100000,00000,0600,00000POUNDS OF LAUNDRY 37542,B100000,00000,0700,00000HOURS OF SERVICE 37542,B100000,00000,0800,00000MEALS SERVED 37542,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37542,B100000,00000,1000,00000COSTED REQUISITIO 37542,B100000,00000,1100,00000COSTED REQUISITIO 37542,B100000,00000,1200,00000TIME SPENT 37542,B100000,00000,1300,00000TIME SPENT 37542,B100000,00000,1350,00000TIME SPENT 37542,B100000,00000,1400,00000ASSIGNED TIME 37542,E10A180,00301,0100,05/10/2000 37542,E10A180,00350,0100,09/15/1999 37542,S000000,00100,0200,11/08/2000 37542,S200000,00100,0100,50 SHEFFIELD AVENUE 37542,S200000,00200,0100,BROOKLYN/NY/11207 37542,S200000,00300,0100,KINGS 37542,S200000,00400,0100,WARTBURG NURSING HOME 37542,S200000,00400,0200,335450 37542,S200000,00400,0300,01/01/1976 37542,S200000,00400,0500,P 37549,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37549,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37549,A000000,00300,0000,00300EMPLOYEE BENEFITS 37549,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37549,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37549,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37549,A000000,00700,0000,00700HOUSEKEEPING 37549,A000000,00800,0000,00800DIETARY 37549,A000000,00801,0000,00801CAFETERIA 37549,A000000,00900,0000,00900NURSING ADMINISTRATION 37549,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37549,A000000,01100,0000,01100PHARMACY 37549,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37549,A000000,01300,0000,01300SOCIAL SERVICE 37549,A000000,01350,0000,01500ACTIVITIES 37549,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37549,A000000,01600,0000,01600SKILLED NURSING FACILITY 37549,A000000,01810,0000,01810ICF/MR 37549,A000000,02500,0000,02500PHYSICAL THERAPY 37549,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37549,A000000,02700,0000,02700SPEECH PATHOLOGY 37549,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37549,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37549,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37549,A000000,03550,0000,03550FQHC 37549,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37549,A000000,05000,0000,05000CORF 37549,A000000,05010,0000,05010CMHC 37549,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37549,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37549,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37549,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37549,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37549,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37549,A000000,06150,0000,06300DENTAL 37549,A000000,06151,0000,06301GUEST MEALS 37549,A81000A,00100,0100,Y 37549,A81000B,00100,0300,EXCLUDE CTY ADMINISTRATOR 37549,A81000B,00200,0300,COST IN INTRA CTY CHARGES 37549,A81000C,00100,0100,G 37549,A81000C,00100,0200,GOLDEN HILL HEALTH CARE C 37549,A81000C,00100,0400,ULSTER COUNTY 37549,A81000C,00100,0600,COUNTY GOVERNMENT 37549,B100000,00000,0100,00001SQUARE FEET 37549,B100000,00000,0200,00001SQUARE FEET 37549,B100000,00000,0300,00001GROSS SALARIES 37549,B100000,00000,0400,00001ACCUM. COST 37549,B100000,00000,0500,00001SQUARE FEET 37549,B100000,00000,0600,00001POUNDS OF LAUNDRY 37549,B100000,00000,0700,00001HOURS OF SERVICE 37549,B100000,00000,0800,00001MEALS SERVED 37549,B100000,00000,0801,00001EMPLOYEE FTES 37549,B100000,00000,0900,00001HOURS OF SERVICE 37549,B100000,00000,1000,00001HOURS OF SERVICE 37549,B100000,00000,1100,00001NO STATISTICS 37549,B100000,00000,1200,00001HOURS OF SERVICE 37549,B100000,00000,1300,00001HOURS OF SERVICE 37549,B100000,00000,1350,00001HOURS OF SERVICE 37549,B100000,00000,1400,00001TIME SPENT 37549,S000000,00100,0200,07/13/2000 37549,S200000,00100,0100,99 GOLDEN HILL DRIVE 37549,S200000,00200,0100,KINGSTON 37549,S200000,00200,0200,NY 37549,S200000,00200,0300,12401 37549,S200000,00300,0100,ULSTER 37549,S200000,00400,0100,GOLDEN HILL HEALTH CARE CENTER 37549,S200000,00400,0200,335451 37549,S200000,00400,0300,11/01/1975 37549,S200000,00400,0500,P 37549,S200000,01500,0100,Y 37549,S200000,02100,0100,A 37549,S200000,02200,0100,Y 37549,S200000,02800,0100,Y 37557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37557,A000000,00300,0000,00300EMPLOYEE BENEFITS 37557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37557,A000000,00700,0000,00700HOUSEKEEPING 37557,A000000,00800,0000,00800DIETARY 37557,A000000,00801,0000,00801CAFETARIA 37557,A000000,00900,0000,00900NURSING ADMINISTRATION 37557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37557,A000000,01100,0000,01100PHARMACY 37557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37557,A000000,01300,0000,01300SOCIAL SERVICE 37557,A000000,01301,0000,01301ACTIVITIES 37557,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37557,A000000,01600,0000,01600SKILLED NURSING FACILITY 37557,A000000,01810,0000,01810ICF/MR 37557,A000000,02500,0000,02500PHYSICAL THERAPY 37557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37557,A000000,02700,0000,02700SPEECH PATHOLOGY 37557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37557,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37557,A000000,03101,0000,03101PSYCHIATRIC 37557,A000000,03550,0000,03550FQHC 37557,A000000,05000,0000,05000CORF 37557,A000000,05010,0000,05010CMHC 37557,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37557,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37557,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37557,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37557,B100000,00000,0100,00000SQUARE FEET 37557,B100000,00000,0200,00000SQUARE FEET 37557,B100000,00000,0300,00000GROSS SALARIES 37557,B100000,00000,0400,00000ACCUM COST 37557,B100000,00000,0500,00000SQUARE FEET 37557,B100000,00000,0600,00000POUNDS OF LAUNDRY 37557,B100000,00000,0700,00000HOURS OF SERVICE 37557,B100000,00000,0800,00000MEALS SERVED 37557,B100000,00000,0801,00000TIME SPENT 37557,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37557,B100000,00000,1000,00000COSTED REQUIS 37557,B100000,00000,1100,00000COSTED REQUISITIO 37557,B100000,00000,1200,00000TIME SPENT 37557,B100000,00000,1300,00000TIME SPENT 37557,B100000,00000,1301,00000TIME SPENT 37557,B100000,00000,1400,00000ASSIGNED TIME 37557,E10A180,00301,0100,05/10/2000 37557,E10A180,00350,0100,01/18/2000 37557,S000000,00100,0200,11/30/2000 37557,S200000,00100,0100,ROUTE 4 BOX 3 37557,S200000,00200,0100,OGDENSBURG 37557,S200000,00200,0200,NY 37557,S200000,00200,0300,13669 37557,S200000,00300,0100,ST. LAWRENCE 37557,S200000,00400,0100,UNITED HELPERS NURSING HOME 37557,S200000,00400,0200,335454 37557,S200000,00400,0300,12/01/1975 37557,S200000,00400,0500,P 37563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37563,A000000,00300,0000,00300EMPLOYEE BENEFITS 37563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37563,A000000,00700,0000,00700HOUSEKEEPING 37563,A000000,00800,0000,00800DIETARY 37563,A000000,00801,0000,00801CAFETERIA 37563,A000000,00900,0000,00900NURSING ADMINISTRATION 37563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37563,A000000,01100,0000,01100PHARMACY 37563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37563,A000000,01300,0000,01300SOCIAL SERVICE 37563,A000000,01350,0000,01500ACTIVITIES 37563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37563,A000000,01600,0000,01600SKILLED NURSING FACILITY 37563,A000000,01810,0000,01810ICF/MR 37563,A000000,02100,0000,02100RADIOLOGY 37563,A000000,02200,0000,02200LABORATORY 37563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37563,A000000,02500,0000,02500PHYSICAL THERAPY 37563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37563,A000000,02700,0000,02700SPEECH PATHOLOGY 37563,A000000,02800,0000,02800ELECTROCARDIOLOGY 37563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37563,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37563,A000000,03200,0000,03200SUPPORT SURFACES 37563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37563,A000000,03550,0000,03550FQHC 37563,A000000,05000,0000,05000CORF 37563,A000000,05010,0000,05010CMHC 37563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37563,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37563,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37563,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37563,A000000,06151,0000,06301ADULT DAY CARE PROGRAM 37563,A000000,06201,0000,06201DENTAL PODIATRY EYE CLINIC 37563,B100000,00000,0100,00001SQUARE FEET 37563,B100000,00000,0200,00001SQUARE FEET 37563,B100000,00000,0300,00001GROSS SALARIES 37563,B100000,00000,0400,00001ACCUM COST 37563,B100000,00000,0500,00001SQUARE FEET 37563,B100000,00000,0600,00001POUNDS OF LAUNDRY 37563,B100000,00000,0700,00001HOURS OF SERVICE 37563,B100000,00000,0800,00001MEALS SERVED 37563,B100000,00000,0801,00001MEALS SERVED 37563,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37563,B100000,00000,1000,00001COSTED REQUISITIO 37563,B100000,00000,1100,00001COSTED REQUISITIO 37563,B100000,00000,1200,00001TIME SPENT 37563,B100000,00000,1300,00001TIME SPENT 37563,B100000,00000,1350,00001NUMBER OF PARTICIPAN 37563,B100000,00000,1400,00001ASSIGNED TIME 37563,E10A180,00301,0100,05/10/2000 37563,S000000,00100,0200,06/05/2000 37563,S200000,00100,0100,88 OLD TOWN ROAD 37563,S200000,00200,0100,STATEN ISLAND 37563,S200000,00200,0200,NEW YORK 37563,S200000,00200,0300,10304 37563,S200000,00300,0100,RICHMOND 37563,S200000,00400,0100,CARMEL RICHMOND NURSING HOME INC 37563,S200000,00400,0200,335455 37563,S200000,00400,0300,01/01/1976 37563,S200000,00400,0500,P 37563,S200000,01900,0100,CCRC 37563,S200000,02800,0100,Y 37571,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37571,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37571,A000000,00300,0000,00300EMPLOYEE BENEFITS 37571,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37571,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37571,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37571,A000000,00700,0000,00700HOUSEKEEPING 37571,A000000,00800,0000,00800DIETARY 37571,A000000,00900,0000,00900NURSING ADMINISTRATION 37571,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37571,A000000,01100,0000,01100PHARMACY 37571,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37571,A000000,01300,0000,01300SOCIAL SERVICE 37571,A000000,01350,0000,01500ACTIVITIES PROGRAM 37571,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37571,A000000,01600,0000,01600SKILLED NURSING FACILITY 37571,A000000,01810,0000,01810ICF/MR 37571,A000000,02100,0000,02100RADIOLOGY 37571,A000000,02200,0000,02200LABORATORY 37571,A000000,02500,0000,02500PHYSICAL THERAPY 37571,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37571,A000000,02700,0000,02700SPEECH PATHOLOGY 37571,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37571,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37571,A000000,03550,0000,03550FQHC 37571,A000000,04800,0000,04800AMBULANCE 37571,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 37571,A000000,05000,0000,05000CORF 37571,A000000,05010,0000,05010CMHC 37571,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37571,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37571,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37571,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37571,A000000,06150,0000,06300DENTAL 37571,B100000,00000,0100,00000SQUARE FEET 37571,B100000,00000,0200,00000SQUARE FEET 37571,B100000,00000,0300,00000GROSS SALARIES 37571,B100000,00000,0400,00000ACCUM COST 37571,B100000,00000,0500,00000SQUARE FEET 37571,B100000,00000,0600,00000POUNDS OF LAUNDRY 37571,B100000,00000,0700,00000HOURS OF SERVICE 37571,B100000,00000,0800,00000MEALS SERVED 37571,B100000,00000,0900,00000DIRECT NRSG HRS 37571,B100000,00000,1000,00000COSTED REQUIS 37571,B100000,00000,1100,00000COSTED REQUIS 37571,B100000,00000,1200,00000TIME SPENT 37571,B100000,00000,1300,00000TIME SPENT 37571,B100000,00000,1350,00000NUMBER OF PARTCPANTS 37571,B100000,00000,1400,00000ASSIGNED TIME 37571,E10A180,00301,0100,09/02/1999 37571,E10A180,00302,0100,05/10/2000 37571,S000000,00100,0200,06/05/2000 37571,S200000,00100,0100,1175 MONROE AVENUE 37571,S200000,00200,0100,ROCHESTER 37571,S200000,00200,0200,NY 37571,S200000,00200,0300,14620 37571,S200000,00300,0100,MONROE 37571,S200000,00400,0100,ARBOR HILL LIVING CENTER 37571,S200000,00400,0200,335456 37571,S200000,00400,0300,11/01/1976 37571,S200000,00400,0500,P 37571,S200000,00400,0600,O 37571,S200000,01500,0100,Y 37571,S200000,04300,0100,Y 37571,S200000,04700,0100,Y 37571,S200000,04700,0200,Y 37578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37578,A000000,00300,0000,00300EMPLOYEE BENEFITS 37578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37578,A000000,00700,0000,00700HOUSEKEEPING 37578,A000000,00800,0000,00800DIETARY 37578,A000000,00900,0000,00900NURSING ADMINISTRATION 37578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37578,A000000,01100,0000,01100PHARMACY 37578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37578,A000000,01300,0000,01300SOCIAL SERVICE 37578,A000000,01350,0000,01500ACTIVITIES 37578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37578,A000000,01600,0000,01600SKILLED NURSING FACILITY 37578,A000000,01810,0000,01810ICF/MR 37578,A000000,02100,0000,02100RADIOLOGY 37578,A000000,02200,0000,02200LABORATORY 37578,A000000,02500,0000,02500PHYSICAL THERAPY 37578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37578,A000000,02700,0000,02700SPEECH PATHOLOGY 37578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37578,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37578,A000000,03550,0000,03550FQHC 37578,A000000,05000,0000,05000CORF 37578,A000000,05010,0000,05010CMHC 37578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37578,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37578,B100000,00000,0100,00000SQUARE FEET 37578,B100000,00000,0200,00000SQUARE FEET 37578,B100000,00000,0300,00000GROSS SALARIES 37578,B100000,00000,0400,00000ACCUM COST 37578,B100000,00000,0500,00000SQUARE FEET 37578,B100000,00000,0600,00000POUNDS OF LAUNDRY 37578,B100000,00000,0700,00000HOURS OF SERVICE 37578,B100000,00000,0800,00000MEALS SERVED 37578,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37578,B100000,00000,1000,00000COSTED REQUISITIO 37578,B100000,00000,1100,00000COSTED REQUISITIO 37578,B100000,00000,1200,00000TIME SPENT 37578,B100000,00000,1300,00000TIME SPENT 37578,B100000,00000,1350,00000PATIENT DAYS 37578,B100000,00000,1400,00000ASSIGNED TIME 37578,E10A180,00301,0100,05/10/2000 37578,E10A180,00550,0100,06/07/2000 37578,S000000,00100,0200,05/31/2000 37578,S200000,00100,0100,1 RESEVOIR RD 37578,S200000,00200,0100,PAWLING 37578,S200000,00200,0200,NY 37578,S200000,00200,0300,11564 37578,S200000,00300,0100,DUTCHESS 37578,S200000,00400,0100,LOVELY HILL NURSING HOME 37578,S200000,00400,0200,335458 37578,S200000,00400,0300,05/08/1984 37578,S200000,00400,0500,P 37584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37584,A000000,00300,0000,00300EMPLOYEE BENEFITS 37584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37584,A000000,00700,0000,00700HOUSEKEEPING 37584,A000000,00800,0000,00800DIETARY 37584,A000000,00900,0000,00900NURSING ADMINISTRATION 37584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37584,A000000,01100,0000,01100PHARMACY 37584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37584,A000000,01300,0000,01300SOCIAL SERVICE 37584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37584,A000000,01600,0000,01600SKILLED NURSING FACILITY 37584,A000000,01810,0000,01810ICF/MR 37584,A000000,02100,0000,02100RADIOLOGY 37584,A000000,02200,0000,02200LABORATORY 37584,A000000,02500,0000,02500PHYSICAL THERAPY 37584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37584,A000000,02700,0000,02700SPEECH PATHOLOGY 37584,A000000,02800,0000,02800ELECTROCARDIOLOGY 37584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37584,A000000,03550,0000,03550FQHC 37584,A000000,04800,0000,04800AMBULANCE 37584,A000000,05000,0000,05000CORF 37584,A000000,05010,0000,05010CMHC 37584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37584,A000000,06150,0000,06300ADULT DAY CARE 37584,A000000,06151,0000,06301DENTAL 37584,B100000,00000,0100,00001SQUARE FEET 37584,B100000,00000,0200,00001SQUARE FEET 37584,B100000,00000,0300,00001GROSS SALARIES 37584,B100000,00000,0400,00001ACCUM COST 37584,B100000,00000,0500,00001SQUARE FEET 37584,B100000,00000,0600,00001POUNDS OF LAUNDRY 37584,B100000,00000,0700,00001HOURS OF SERVICE 37584,B100000,00000,0800,00001MEALS SERVED 37584,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37584,B100000,00000,1000,00001COSTED REQUISITIO 37584,B100000,00000,1100,00001COSTED REQUISITIO 37584,B100000,00000,1200,00001TIME SPENT 37584,B100000,00000,1300,00001TIME SPENT 37584,B100000,00000,1400,00001ASSIGNED TIME 37584,E10A180,00301,0100,05/10/2000 37584,E10A180,00350,0100,01/18/2000 37584,S000000,00100,0200,07/24/2000 37584,S200000,00100,0100,10 CLAREMONT AVENUE 37584,S200000,00200,0100,MOUNT VERNON 37584,S200000,00200,0200,NY 37584,S200000,00200,0300,10550 37584,S200000,00300,0100,WESTCHESTER 37584,S200000,00400,0100,SHALOM NURSING HOME 37584,S200000,00400,0200,335459 37584,S200000,00400,0300,11/25/1975 37584,S200000,00400,0500,P 37584,S200000,01500,0100,Y 37584,S200000,04200,0100,Y 37584,S200000,04300,0100,Y 37592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37592,A000000,00300,0000,00300EMPLOYEE BENEFITS 37592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37592,A000000,00700,0000,00700HOUSEKEEPING 37592,A000000,00800,0000,00800DIETARY 37592,A000000,00900,0000,00900NURSING ADMINISTRATION 37592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37592,A000000,01100,0000,01100PHARMACY 37592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37592,A000000,01300,0000,01300SOCIAL SERVICE 37592,A000000,01350,0000,01500OTHER GENERAL SERVICES 37592,A000000,01351,0000,01501ACTIVITIES 37592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37592,A000000,01600,0000,01600SKILLED NURSING FACILITY 37592,A000000,01810,0000,01810ICF/MR 37592,A000000,02500,0000,02500PHYSICAL THERAPY 37592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37592,A000000,02700,0000,02700SPEECH PATHOLOGY 37592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37592,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37592,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37592,A000000,03550,0000,03550FQHC 37592,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37592,A000000,05000,0000,05000CORF 37592,A000000,05010,0000,05010CMHC 37592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37592,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37592,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37592,B100000,00000,0100,00000SQUARE FEET 37592,B100000,00000,0200,00000EQUIP VALUE 37592,B100000,00000,0300,00000SALARIES 37592,B100000,00000,0400,00000ACCUM. COST 37592,B100000,00000,0500,00000TIME SPENT 37592,B100000,00000,0600,00000POUNDS OF LAUNDRY 37592,B100000,00000,0700,00000TIME SPENT 37592,B100000,00000,0800,00000MEALS 37592,B100000,00000,0900,00000HOURS 37592,B100000,00000,1000,00000NO STATISTICS 37592,B100000,00000,1100,00000REQUIS 37592,B100000,00000,1200,00000HOURS 37592,B100000,00000,1300,00000HOURS 37592,B100000,00000,1350,00000NO STATISTICS 37592,B100000,00000,1351,00000( # OF PARTICIP) 37592,B100000,00000,1400,00000ASSIGNED TIME 37592,S000000,00100,0200,07/31/2000 37592,S200000,00200,0100,FULTON 37592,S200000,00200,0200,NY 37592,S200000,00200,0300,14609 37592,S200000,00300,0100,OSWEGO 37592,S200000,00400,0100,ANDREW MICHAUD 37592,S200000,00400,0200,335460 37592,S200000,00400,0300,06/01/1975 37592,S200000,00400,0500,P 37592,S200000,01500,0100,Y 37606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37606,A000000,00300,0000,00300EMPLOYEE BENEFITS 37606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37606,A000000,00700,0000,00700HOUSEKEEPING 37606,A000000,00800,0000,00800DIETARY 37606,A000000,00900,0000,00900NURSING ADMINISTRATION 37606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37606,A000000,01100,0000,01100PHARMACY 37606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37606,A000000,01300,0000,01300SOCIAL SERVICE 37606,A000000,01350,0000,01500ACTIVITY 37606,A000000,01351,0000,01501TRANSPORTERS 37606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37606,A000000,01600,0000,01600SKILLED NURSING FACILITY 37606,A000000,01810,0000,01810ICF/MR 37606,A000000,02100,0000,02100RADIOLOGY 37606,A000000,02101,0000,02101PHYSICIAN PSYCH MEDICAL DIR 37606,A000000,02200,0000,02200LABORATORY 37606,A000000,02500,0000,02500PHYSICAL THERAPY 37606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37606,A000000,02700,0000,02700SPEECH PATHOLOGY 37606,A000000,02800,0000,02800ELECTROCARDIOLOGY 37606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37606,A000000,03550,0000,03550FQHC 37606,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37606,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37606,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37606,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37606,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37606,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37606,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37606,A000000,05000,0000,05000CORF 37606,A000000,05010,0000,05010CMHC 37606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37606,A000000,05300,0000,05300INTEREST EXPENSE 37606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37606,A000000,05901,0000,05901EYEGLASSES/HEARING AIDS 37606,A000000,05902,0000,05902PHYSICIAN NON-COVERED 37606,A000000,05903,0000,05903SERVICE PACKAGE 37606,A000000,06001,0000,06001ADULT DAY CARE / GUILD CARE 37606,A000000,06002,0000,06004PUBLIC AFFAIRS AND PLANNING 37606,A000000,06003,0000,06005DIAGNOSTIC AND TREATMENT CTR 37606,A000000,06004,0000,06002PODIATRY 37606,A000000,06005,0000,06003DENTAL 37606,B100000,00000,0100,00005SQUARE FEET 37606,B100000,00000,0200,00005SQUARE FEET 37606,B100000,00000,0300,00005GROSS SALARIES 37606,B100000,00000,0400,00005ACCUM COST 37606,B100000,00000,0500,00005SQUARE FEET 37606,B100000,00000,0600,00005POUNDS OF LAUNDRY 37606,B100000,00000,0700,00005HOURS OF SERVICE 37606,B100000,00000,0800,00005MEALS SERVED 37606,B100000,00000,0900,00005DIRECT NRSG HRS 37606,B100000,00000,1000,00005COSTED REQUIS 37606,B100000,00000,1100,00005COSTED REQUIS 37606,B100000,00000,1200,00005TIME SPENT 37606,B100000,00000,1300,00005TIME SPENT 37606,B100000,00000,1350,00005# OF PARTI 37606,B100000,00000,1351,00005COST 37606,B100000,00000,1400,00005ASSIGNED TIME 37606,E10A180,00301,0100,05/10/2000 37606,E10A180,00350,0100,09/27/1999 37606,H510100,00000,0000,5600 37606,H510100,02400,0000,5600 37606,S000000,00100,0200,07/10/2000 37606,S200000,00100,0100,100 WEST KINGSBRIDGE ROAD 37606,S200000,00200,0100,BRONX 37606,S200000,00200,0200,NY 37606,S200000,00200,0300,10468-3990 37606,S200000,00300,0100,BRONX 37606,S200000,00400,0100,THE JEWISH HM & HOSPT./BRONX DIV. 37606,S200000,00400,0200,335462 37606,S200000,00400,0300,01/01/1976 37606,S200000,00400,0500,P 37606,S200000,00800,0200,337185 37606,S200000,00800,0300,05/11/1982 37606,S200000,00800,0500,P 37606,S200000,01000,0200,334509 37606,S200000,01000,0300,06/13/1989 37606,S200000,01000,0500,P 37606,S200000,01500,0100,Y 37606,S200000,01700,0100,Y 37606,S200000,01800,0100,Y 37606,S200000,01900,0100,VOLUNTARY 37608,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37608,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37608,A000000,00300,0000,00300EMPLOYEE BENEFITS 37608,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37608,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37608,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37608,A000000,00700,0000,00700HOUSEKEEPING 37608,A000000,00800,0000,00800DIETARY 37608,A000000,00900,0000,00900NURSING ADMINISTRATION 37608,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37608,A000000,01100,0000,01100PHARMACY 37608,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37608,A000000,01300,0000,01300SOCIAL SERVICE 37608,A000000,01350,0000,01500ACTIVITIES 37608,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37608,A000000,01600,0000,01600SKILLED NURSING FACILITY 37608,A000000,01810,0000,01810ICF/MR 37608,A000000,02500,0000,02500PHYSICAL THERAPY 37608,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37608,A000000,02700,0000,02700SPEECH PATHOLOGY 37608,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37608,A000000,03550,0000,03550FQHC 37608,A000000,05000,0000,05000CORF 37608,A000000,05010,0000,05010CMHC 37608,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37608,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37608,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37608,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37608,A000000,06150,0000,06300ADULT DAY CARE & DENTAL 37608,A81000A,00100,0100,Y 37608,A81000B,00100,0300,BUILDING RENT 37608,A81000B,00200,0300,MORTGAGE INTEREST 37608,A81000B,00300,0300,BUILDING DEPRECIATIO 37608,A81000B,00400,0300,ACCOUNTING 37608,A81000C,00100,0100,A 37608,A81000C,00100,0200,EDWARD SYLCOX 37608,A81000C,00100,0400,SYLCOX NH REALT 37608,A81000C,00100,0600,REALTY - BUILDI 37608,B100000,00000,0100,00000SQUARE FEET 37608,B100000,00000,0200,00000SQUARE FEET 37608,B100000,00000,0300,00000GROSS SALARIES 37608,B100000,00000,0400,00000ACCUM COST 37608,B100000,00000,0500,00000SQUARE FEET 37608,B100000,00000,0600,00000POUNDS OF LAUNDRY 37608,B100000,00000,0700,00000HOURS OF SERVICE 37608,B100000,00000,0800,00000MEALS SERVED 37608,B100000,00000,0900,00000DIRECT NRSG HRS 37608,B100000,00000,1000,00000COSTED REQUIS 37608,B100000,00000,1100,00000COSTED REQUIS 37608,B100000,00000,1200,00000TIME SPENT 37608,B100000,00000,1300,00000TIME SPENT 37608,B100000,00000,1350,00000ACTIVITIES NO.OF PART 37608,B100000,00000,1400,00000ASSIGNED TIME 37608,E10A180,00301,0100,05/10/2000 37608,S000000,00100,0200,05/24/2000 37608,S200000,00100,0100,172 MEADOW HILL ROAD 37608,S200000,00200,0100,NEWBURGH 37608,S200000,00200,0200,NY 37608,S200000,00200,0300,12550 37608,S200000,00300,0100,ORANGE 37608,S200000,00400,0100,SYLCOX HEALTH CARE FACILITIES 37608,S200000,00400,0200,335464 37608,S200000,00400,0300,02/01/1976 37608,S200000,00400,0500,P 37608,S200000,01500,0100,Y 37615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37615,A000000,00300,0000,00300EMPLOYEE BENEFITS 37615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37615,A000000,00700,0000,00700HOUSEKEEPING 37615,A000000,00800,0000,00800DIETARY 37615,A000000,00900,0000,00900NURSING ADMINISTRATION 37615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37615,A000000,01100,0000,01100PHARMACY 37615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37615,A000000,01300,0000,01300SOCIAL SERVICE 37615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37615,A000000,01600,0000,01600SKILLED NURSING FACILITY 37615,A000000,01800,0000,01800NURSING FACILITY 37615,A000000,01810,0000,01810ICF/MR 37615,A000000,02100,0000,02100RADIOLOGY 37615,A000000,02200,0000,02200LABORATORY 37615,A000000,02500,0000,02500PHYSICAL THERAPY 37615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37615,A000000,02700,0000,02700SPEECH PATHOLOGY 37615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37615,A000000,03550,0000,03550FQHC 37615,A000000,05000,0000,05000CORF 37615,A000000,05010,0000,05010CMHC 37615,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37615,A000000,05300,0000,05300INTEREST EXPENSE 37615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37615,A000000,06201,0000,06201ADULT DAY CARE 37615,A000000,06202,0000,06202PODIATRY 37615,A000000,06203,0000,06203OPTOMETRY 37615,A000000,06204,0000,06204PSYCHOLOGY 37615,A000000,06205,0000,06205MEDICAL STAFF 37615,A000000,06206,0000,06206VOLUNTEER 37615,A000000,06207,0000,06207DENTAL 37615,B100000,00000,0100,00007SQUARE FEET 37615,B100000,00000,0200,00007SQUARE FEET 37615,B100000,00000,0300,00007GROSS SALARIES 37615,B100000,00000,0400,00007ACCUM COST 37615,B100000,00000,0500,00007SQUARE FEET 37615,B100000,00000,0600,00007POUNDS OF LAUNDRY 37615,B100000,00000,0700,00007HOURS OF SERVICE 37615,B100000,00000,0800,00007MEALS SERVED 37615,B100000,00000,0900,00007DIRECT NRSG HRS 37615,B100000,00000,1000,00007COSTED REQUIS 37615,B100000,00000,1100,00007COSTED REQUIS 37615,B100000,00000,1200,00007TIME SPENT 37615,B100000,00000,1300,00007TIME SPENT 37615,B100000,00000,1400,00007ASSIGNED TIME 37615,E10A180,00301,0100,05/10/2000 37615,S000000,00100,0200,06/02/2000 37615,S200000,00100,0100,WASHINGTON AVENUE EXT 37615,S200000,00100,0300,15103 37615,S200000,00200,0100,ALBANY 37615,S200000,00200,0200,NY 37615,S200000,00300,0100,ALBANY 37615,S200000,00400,0100,DAUGHTERS OF SARAH NURSING HOME 37615,S200000,00400,0200,335465 37615,S200000,00400,0300,03/01/1976 37615,S200000,00400,0500,P 37615,S200000,01500,0100,Y 37615,S200000,01900,0100,NOT FOR PROFIT 37615,S200000,02100,0100,A 37615,S200000,02200,0100,Y 37615,S200000,03300,0100,Y 37615,S200000,03300,0200,Y 37622,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37622,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37622,A000000,00300,0000,00300EMPLOYEE BENEFITS 37622,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37622,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37622,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37622,A000000,00700,0000,00700HOUSEKEEPING 37622,A000000,00800,0000,00800DIETARY 37622,A000000,00900,0000,00900NURSING ADMINISTRATION 37622,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37622,A000000,01100,0000,01100PHARMACY 37622,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37622,A000000,01300,0000,01300SOCIAL SERVICE 37622,A000000,01350,0000,01500ACTIVITIES 37622,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37622,A000000,01600,0000,01600SKILLED NURSING FACILITY 37622,A000000,01810,0000,01810ICF/MR 37622,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37622,A000000,02500,0000,02500PHYSICAL THERAPY 37622,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37622,A000000,02700,0000,02700SPEECH PATHOLOGY 37622,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37622,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37622,A000000,03550,0000,03550FQHC 37622,A000000,05000,0000,05000CORF 37622,A000000,05010,0000,05010CMHC 37622,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37622,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37622,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37622,A000000,05300,0000,05300INTEREST EXPENSE 37622,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37622,A000000,06101,0000,06150DENTAL 37622,A81000A,00100,0100,Y 37622,A81000B,00100,0300,FISCAL SERVICES 37622,A81000B,00200,0300,MEAL SALES - DAYCARE 37622,A81000B,00300,0300,REL PARTY DEPREC 37622,A81000C,00100,0100,A 37622,A81000C,00100,0200,JP MCPARTLON 37622,A81000C,00100,0400,PARKLAND MANAGE 37622,A81000C,00100,0600,FISCAL SERVICES 37622,A81000C,00200,0100,A 37622,A81000C,00200,0200,JP MCPARTLON 37622,A81000C,00200,0400,PARKLAND DEVELO 37622,A81000C,00200,0600,CONSTRUCTION DE 37622,A81000C,00300,0100,A 37622,A81000C,00300,0200,JP MCPARTLON 37622,A81000C,00300,0400,KINGSWAY KIDS C 37622,A81000C,00300,0600,DAY CARE 37622,B100000,00000,0100,00050SQUARE FEET 37622,B100000,00000,0200,00050SQUARE FEET 37622,B100000,00000,0300,00050GROSS SALARIES 37622,B100000,00000,0400,00050ACCUM COST 37622,B100000,00000,0500,00050SQUARE FEET 37622,B100000,00000,0600,00050POUNDS OF LAUNDRY 37622,B100000,00000,0700,00050HOURS OF SERVICE 37622,B100000,00000,0800,00050MEALS SERVED 37622,B100000,00000,0900,00050DIRECT NRSG HRS 37622,B100000,00000,1000,00050COSTED REQUIS 37622,B100000,00000,1100,00050COSTED REQUIS 37622,B100000,00000,1200,00050TIME SPENT 37622,B100000,00000,1300,00050TIME SPENT 37622,B100000,00000,1350,00050ASSIGNED TIME 37622,B100000,00000,1400,00050ASSIGNED TIME 37622,E10A180,00301,0100,05/10/2000 37622,E10A180,00350,0100,01/18/2000 37622,E10A180,00501,0100,06/15/2000 37622,E10A180,00550,0300,06/15/2000 37622,S000000,00100,0200,06/05/2000 37622,S200000,00100,0100,323 KINGS ROAD 37622,S200000,00200,0100,SCHENECTADY 37622,S200000,00200,0200,NY 37622,S200000,00200,0300,12304 37622,S200000,00300,0100,SCHENECTADY 37622,S200000,00400,0100,KINGSWAY ARMS NURSING CENTER 37622,S200000,00400,0200,335466 37622,S200000,00400,0300,02/01/1976 37622,S200000,00400,0500,P 37622,S200000,01500,0100,Y 37622,S200000,01900,0100,NOT FOR PROFIT 37622,S200000,02800,0100,Y 37636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37636,A000000,00300,0000,00300EMPLOYEE BENEFITS 37636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37636,A000000,00700,0000,00700HOUSEKEEPING 37636,A000000,00800,0000,00800DIETARY 37636,A000000,00801,0000,00801CAFETERIA 37636,A000000,00900,0000,00900NURSING ADMINISTRATION 37636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37636,A000000,01100,0000,01100PHARMACY 37636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37636,A000000,01300,0000,01300SOCIAL SERVICE 37636,A000000,01350,0000,01500ACTIVITIES 37636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37636,A000000,01600,0000,01600SKILLED NURSING FACILITY 37636,A000000,01810,0000,01810ICF/MR 37636,A000000,02100,0000,02100RADIOLOGY 37636,A000000,02200,0000,02200LABORATORY 37636,A000000,02500,0000,02500PHYSICAL THERAPY 37636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37636,A000000,02700,0000,02700SPEECH PATHOLOGY 37636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37636,A000000,03550,0000,03550FQHC 37636,A000000,05000,0000,05000CORF 37636,A000000,05010,0000,05010CMHC 37636,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37636,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37636,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37636,A000000,06200,0000,06200PATIENTS LAUNDRY 37636,A000000,06201,0000,06201DENTAL 37636,B100000,00000,0100,00001SQUARE FEET 37636,B100000,00000,0200,00001SQUARE FEET 37636,B100000,00000,0300,00001GROSS SAL 37636,B100000,00000,0400,00001ACCUM. COST 37636,B100000,00000,0500,00001SQUARE FEET 37636,B100000,00000,0600,00001LAUNDRY POUNDS 37636,B100000,00000,0700,00001HOUSEKEEPI 37636,B100000,00000,0800,00001MEALS 37636,B100000,00000,0801,00001FTES 37636,B100000,00000,0900,00001NURSING HOURS 37636,B100000,00000,1000,00001CENTRAL SUPPLY 37636,B100000,00000,1100,00001PHARMACY 37636,B100000,00000,1200,00001MEDICAL RECORD TIM 37636,B100000,00000,1300,00001SOCIAL SERVICE TI 37636,B100000,00000,1350,00001#OF PARTICIPAN 37636,B100000,00000,1400,00001#OF INTERNS 37636,E10A180,00301,0100,05/10/2000 37636,E10A180,00350,0100,01/18/2000 37636,S000000,00100,0200,05/31/2000 37636,S200000,00100,0100,100 STAHL ROAD 37636,S200000,00200,0100,GETZVILLE 37636,S200000,00200,0200,NY 37636,S200000,00200,0300,14068 37636,S200000,00300,0100,ERIE 37636,S200000,00400,0100,BEECHWOOD NURSING HOME 37636,S200000,00400,0200,335468 37636,S200000,00400,0300,01/01/1977 37636,S200000,00400,0500,P 37636,S200000,01500,0100,Y 37636,S200000,01900,0100,NONPROFIT NURSING HOME 37636,S200000,02200,0100,Y 37636,S200000,02800,0100,Y 37636,S200000,04300,0100,Y 37644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37644,A000000,00300,0000,00300EMPLOYEE BENEFITS 37644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37644,A000000,00700,0000,00700HOUSEKEEPING 37644,A000000,00800,0000,00800DIETARY 37644,A000000,00801,0000,00801CAFETERIA 37644,A000000,00900,0000,00900NURSING ADMINISTRATION 37644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37644,A000000,01100,0000,01100PHARMACY 37644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37644,A000000,01300,0000,01300SOCIAL SERVICE 37644,A000000,01301,0000,01301MEDICAL DIRECTOR 37644,A000000,01350,0000,01500ACTIVITIES 37644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37644,A000000,01600,0000,01600SKILLED NURSING FACILITY 37644,A000000,01800,0000,01800NURSING FACILITY 37644,A000000,01810,0000,01810ICF/MR 37644,A000000,02100,0000,02100RADIOLOGY 37644,A000000,02200,0000,02200LABORATORY 37644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37644,A000000,02500,0000,02500PHYSICAL THERAPY 37644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37644,A000000,02700,0000,02700SPEECH PATHOLOGY 37644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37644,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37644,A000000,03200,0000,03200SUPPORT SURFACES 37644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37644,A000000,03550,0000,03550FQHC 37644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 37644,A000000,05000,0000,05000CORF 37644,A000000,05010,0000,05010CMHC 37644,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37644,A000000,05300,0000,05300INTEREST EXPENSE 37644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37644,A000000,05500,0000,05500HOSPICE 37644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37644,A000000,06001,0000,06001PHYSICIAN STANDBY TIME 37644,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37644,A000000,06151,0000,06301ADULT DAY CARE 37644,A000000,06152,0000,06302PODIETRY & DENTAL 37644,A000000,06153,0000,06303OPTOMETRY/DENTAL 37644,B100000,00000,0100,00003SQUARE FEET 37644,B100000,00000,0200,00003SQUARE FEET 37644,B100000,00000,0300,00003GROSS SALARIES 37644,B100000,00000,0400,00003ACCUM COST 37644,B100000,00000,0500,00003SQUARE FEET 37644,B100000,00000,0600,00003POUNDS OF LAUNDRY 37644,B100000,00000,0700,00003HOURS OF SERVICE 37644,B100000,00000,0800,00003MEALS SERVED 37644,B100000,00000,0801,00003FTES 37644,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 37644,B100000,00000,1000,00003COSTED REQUISITIO 37644,B100000,00000,1100,00003COSTED REQUISITIO 37644,B100000,00000,1200,00003TIME SPENT 37644,B100000,00000,1300,00003TIME SPENT 37644,B100000,00000,1301,00003TIME SPENT 37644,B100000,00000,1350,00003TIME SPENT 37644,B100000,00000,1400,00003ASSIGNED TIME 37644,E10A180,00301,0100,09/24/1999 37644,E10A180,00302,0100,05/10/2000 37644,E10A180,00350,0100,08/30/1999 37644,E10A180,00351,0100,09/19/2000 37644,S000000,00100,0200,09/13/2000 37644,S200000,00100,0100,4915 10TH AVENUE 37644,S200000,00200,0100,BROOKLYN NY 11219 37644,S200000,00300,0100,RICHMOND 37644,S200000,00400,0100,MJG NURSING HOME COMPANY INC. 37644,S200000,00400,0200,335470 37644,S200000,00400,0300,03/01/1976 37644,S200000,00400,0500,P 37644,S200000,01500,0100,Y 37652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37652,A000000,00300,0000,00300EMPLOYEE BENEFITS 37652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37652,A000000,00700,0000,00700HOUSEKEEPING 37652,A000000,00800,0000,00800DIETARY 37652,A000000,00900,0000,00900NURSING ADMINISTRATION 37652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37652,A000000,01100,0000,01100PHARMACY 37652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37652,A000000,01300,0000,01300SOCIAL SERVICE 37652,A000000,01350,0000,01500ACTIVITIES 37652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37652,A000000,01600,0000,01600SKILLED NURSING FACILITY 37652,A000000,01810,0000,01810ICF/MR 37652,A000000,02100,0000,02100RADIOLOGY 37652,A000000,02200,0000,02200LABORATORY 37652,A000000,02500,0000,02500PHYSICAL THERAPY 37652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37652,A000000,02700,0000,02700SPEECH PATHOLOGY 37652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37652,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37652,A000000,03550,0000,03550FQHC 37652,A000000,05000,0000,05000CORF 37652,A000000,05010,0000,05010CMHC 37652,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37652,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37652,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37652,A000000,05300,0000,05300INTEREST EXPENSE 37652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37652,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37652,A000000,06151,0000,06301DENTAL 37652,B100000,00000,0100,00001SQUARE FEET 37652,B100000,00000,0200,00001SQUARE FEET 37652,B100000,00000,0300,00001GROSS SALARIES 37652,B100000,00000,0400,00001ACCUM COST 37652,B100000,00000,0500,00001SQUARE FEET 37652,B100000,00000,0600,00001POUNDS OF LAUNDRY 37652,B100000,00000,0700,00001HOURS OF SERVICE 37652,B100000,00000,0800,00001MEALS SERVED 37652,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37652,B100000,00000,1000,00001COSTED REQUISITIO 37652,B100000,00000,1100,00001COSTED REQUISITIO 37652,B100000,00000,1200,00001TIME SPENT 37652,B100000,00000,1300,00001TIME SPENT 37652,B100000,00000,1350,00001NUMBER OF PARTICIPAN 37652,B100000,00000,1400,00001ASSIGNED TIME 37652,E10A180,00301,0100,01/18/2000 37652,E10A180,00302,0100,05/10/2000 37652,E10A180,00550,0100,06/15/2000 37652,E10A180,00550,0300,06/15/2000 37652,S000000,00100,0200,05/22/2000 37652,S200000,00100,0100,2535 GENESEE STREET 37652,S200000,00200,0100,UTICA 37652,S200000,00200,0200,NY 37652,S200000,00200,0300,13501 37652,S200000,00300,0100,ONEIDA 37652,S200000,00400,0100,ST. JOSEPH NH CO. OF UTICA INC. 37652,S200000,00400,0200,335471 37652,S200000,00400,0300,02/01/1976 37652,S200000,00400,0500,P 37652,S200000,01500,0100,Y 37657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37657,A000000,00300,0000,00300EMPLOYEE BENEFITS 37657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37657,A000000,00700,0000,00700HOUSEKEEPING 37657,A000000,00800,0000,00800DIETARY 37657,A000000,00900,0000,00900NURSING ADMINISTRATION 37657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37657,A000000,01100,0000,01100PHARMACY 37657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37657,A000000,01300,0000,01300SOCIAL SERVICE 37657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37657,A000000,01600,0000,01600SKILLED NURSING FACILITY 37657,A000000,01810,0000,01810ICF/MR 37657,A000000,02100,0000,02100RADIOLOGY 37657,A000000,02200,0000,02200LABORATORY 37657,A000000,02500,0000,02500PHYSICAL THERAPY 37657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37657,A000000,02700,0000,02700SPEECH PATHOLOGY 37657,A000000,02800,0000,02800ELECTROCARDIOLOGY 37657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37657,A000000,03550,0000,03550FQHC 37657,A000000,05000,0000,05000CORF 37657,A000000,05010,0000,05010CMHC 37657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37657,A000000,06150,0000,06300ADULT DAY CARE 37657,A000000,06151,0000,06301DENTAL 37657,A81000A,00100,0100,Y 37657,A81000B,00100,0300,ADMIN MGMT FEE 37657,A81000B,00200,0300,ALL BENEFITS 37657,A81000B,00300,0300,ADMIN & FISCAL SAL 37657,A81000B,00400,0300,PLANT SALARY 37657,A81000B,00500,0300,HOUSEKEEPING 37657,A81000B,00600,0300,DIETARY SALARY 37657,A81000B,00700,0300,NURSING ADMIN SALARY 37657,A81000B,00800,0300,MEDICAL RECORDS SALARY 37657,A81000B,00900,0300,SOCIAL SERVICE SALARY 37657,A81000B,01000,0300,NURSING SALARY 37657,A81000B,01100,0300,PT SALARY 37657,A81000B,01200,0300,ADMIN CONT SVC 37657,A81000B,01300,0300,PLANT CONT SVC 37657,A81000B,01400,0300,HSKPG CONT SVC 37657,A81000B,01500,0300,DIETARY 37657,A81000B,01600,0300,NURS ADM CONT SVC 37657,A81000B,01700,0300,MEDICAL CONT SVC 37657,A81000B,01800,0300,SOCIAL CONT SVC 37657,A81000B,01900,0300,SNF CONT SVC 37657,A81000B,02000,0300,PT CONT SVC 37657,A81000C,00100,0100,A 37657,A81000C,00100,0200,MOSHE KALTER 37657,A81000C,00100,0400,NEW MIDWAY 37657,A81000C,00200,0100,A 37657,A81000C,00200,0200,AARON FOGEL 37657,A81000C,00200,0400,NEW MIDWAY 37657,A81000C,00300,0100,A 37657,A81000C,00300,0200,REBECCA FOGEL 37657,A81000C,00300,0400,NEW MIDWAY 37657,B100000,00000,0100,00001SQUARE FEET 37657,B100000,00000,0200,00001SQUARE FEET 37657,B100000,00000,0300,00001GROSS SALARIES 37657,B100000,00000,0400,00001ACCUM COST 37657,B100000,00000,0500,00001SQUARE FEET 37657,B100000,00000,0600,00001POUNDS OF LAUNDRY 37657,B100000,00000,0700,00001HOURS OF SERVICE 37657,B100000,00000,0800,00001MEALS SERVED 37657,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37657,B100000,00000,1000,00001COSTED REQUISITIO 37657,B100000,00000,1100,00001COSTED REQUISITIO 37657,B100000,00000,1200,00001TIME SPENT 37657,B100000,00000,1300,00001TIME SPENT 37657,B100000,00000,1400,00001ASSIGNED TIME 37657,E10A180,00301,0100,05/10/2000 37657,E10A180,00550,0100,06/07/2000 37657,S000000,00100,0200,05/31/2000 37657,S200000,00100,0100,69-95 MIDTOWN EXPRESS 37657,S200000,00200,0100,MASPETH 37657,S200000,00200,0200,NY 37657,S200000,00200,0300,11378 37657,S200000,00300,0100,QUEENS 37657,S200000,00400,0100,MIDWAY NURSING HOME 37657,S200000,00400,0200,335472 37657,S200000,00400,0300,02/01/1976 37657,S200000,00400,0500,P 37657,S200000,01500,0100,Y 37657,S200000,04200,0100,Y 37657,S200000,04300,0100,Y 37670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37670,A000000,00300,0000,00300EMPLOYEE BENEFITS 37670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37670,A000000,00700,0000,00700HOUSEKEEPING 37670,A000000,00800,0000,00800DIETARY 37670,A000000,00801,0000,00801CAFETERIA 37670,A000000,00900,0000,00900NURSING ADMINISTRATION 37670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37670,A000000,01100,0000,01100PHARMACY 37670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37670,A000000,01300,0000,01300SOCIAL SERVICE 37670,A000000,01350,0000,01500ACTIVITIES 37670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37670,A000000,01600,0000,01600SKILLED NURSING FACILITY 37670,A000000,01810,0000,01810ICF/MR 37670,A000000,02500,0000,02500PHYSICAL THERAPY 37670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37670,A000000,02700,0000,02700SPEECH PATHOLOGY 37670,A000000,03550,0000,03550FQHC 37670,A000000,05000,0000,05000CORF 37670,A000000,05010,0000,05010CMHC 37670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37670,A000000,06150,0000,06300DENTAL 37670,B100000,00000,0100,00000SQUARE FEET 37670,B100000,00000,0200,00000SQUARE FEET 37670,B100000,00000,0300,00000GROSS SALARIES 37670,B100000,00000,0400,00000ACCUM COST 37670,B100000,00000,0500,00000SQUARE FEET 37670,B100000,00000,0600,00000POUNDS OF LAUNDRY 37670,B100000,00000,0700,00000HOURS OF SERVICE 37670,B100000,00000,0800,00000MEALS SERVED 37670,B100000,00000,0801,00000MEALS SERVED 37670,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37670,B100000,00000,1000,00000COSTED REQUISITIO 37670,B100000,00000,1100,00000COSTED REQUISITIO 37670,B100000,00000,1200,00000TIME SPENT 37670,B100000,00000,1300,00000TIME SPENT 37670,B100000,00000,1350,00000TIME SPENT 37670,B100000,00000,1400,00000ASSIGNED TIME 37670,E10A180,00301,0100,05/09/2000 37670,E10A180,00350,0100,09/17/1999 37670,S000000,00100,0200,08/08/2000 37670,S200000,00100,0100,391 PELHAM ROAD 37670,S200000,00200,0100,NEW ROCHELLE 37670,S200000,00200,0200,NEW YORK 37670,S200000,00200,0300,10805 37670,S200000,00300,0100,WESTCHESTER 37670,S200000,00400,0100,UNITED NURSING HOME FOR THE AGED 37670,S200000,00400,0200,335474 37670,S200000,00400,0300,01/28/1976 37670,S200000,00400,0500,P 37670,S200000,01500,0100,Y 37678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37678,A000000,00300,0000,00300EMPLOYEE BENEFITS 37678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37678,A000000,00700,0000,00700HOUSEKEEPING 37678,A000000,00800,0000,00800DIETARY 37678,A000000,00900,0000,00900NURSING ADMINISTRATION 37678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37678,A000000,01100,0000,01100PHARMACY 37678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37678,A000000,01300,0000,01300SOCIAL SERVICE 37678,A000000,01350,0000,01500ACTIVITIES 37678,A000000,01351,0000,01501TRANSPORTATION 37678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37678,A000000,01600,0000,01600SKILLED NURSING FACILITY 37678,A000000,01810,0000,01810ICF/MR 37678,A000000,02100,0000,02100RADIOLOGY 37678,A000000,02200,0000,02200LABORATORY 37678,A000000,02500,0000,02500PHYSICAL THERAPY 37678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37678,A000000,02700,0000,02700SPEECH PATHOLOGY 37678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37678,A000000,03050,0000,03300PHYSICIANS 37678,A000000,03450,0000,03600DAY CARE 37678,A000000,03550,0000,03550FQHC 37678,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37678,A000000,04800,0000,04800AMBULANCE 37678,A000000,05000,0000,05000CORF 37678,A000000,05010,0000,05010CMHC 37678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37678,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37678,A000000,06201,0000,06201MEALS ON WHEELS 37678,A000000,06202,0000,06202COMMUNITY WAIVER SERVICES 37678,A000000,06203,0000,06203DENTAL 37678,A000000,06204,0000,06204PSYCHOLOGIST 37678,A000000,06205,0000,06205DIAGNOSTIC & TREATMENT CENTER 37678,A000000,06206,0000,06206ADULT DAY CARE 37678,A000000,06207,0000,06207SOLD SERVICES 37678,B100000,00000,0100,00007SQUARE FEET 37678,B100000,00000,0200,00007DOLLAR VALUE 37678,B100000,00000,0300,00007GROSS SALARIES 37678,B100000,00000,0400,00007ACCUM COST 37678,B100000,00000,0500,00007SQUARE FEET 37678,B100000,00000,0600,00007POUNDS OF LAUNDRY 37678,B100000,00000,0700,00007HOURS OF SERVICE 37678,B100000,00000,0800,00007MEALS SERVED 37678,B100000,00000,0900,00007DIRECT NRSG HRS 37678,B100000,00000,1000,00007COSTED REQUIS 37678,B100000,00000,1100,00007COSTED REQUIS 37678,B100000,00000,1200,00007TIME SPENT 37678,B100000,00000,1300,00007TIME SPENT 37678,B100000,00000,1350,00007TIME SPENT 37678,B100000,00000,1351,00007 37678,B100000,00000,1400,00007ASSIGNED TIME 37678,E10A180,00301,0100,05/10/2000 37678,E10A180,00350,0100,09/28/1999 37678,S000000,00100,0200,10/18/2000 37678,S200000,00100,0100,2050 TILDEN AVENUE 37678,S200000,00200,0100,NEW HARTFORD 37678,S200000,00200,0200,NY 37678,S200000,00200,0300,13413 37678,S200000,00300,0100,ONEIDA 37678,S200000,00400,0100,CHARLES T. SITRIN HEALTH CARE CTR. 37678,S200000,00400,0200,335475 37678,S200000,00400,0300,02/01/1975 37678,S200000,00400,0500,P 37678,S200000,01000,0200,334526 37678,S200000,01000,0300,01/09/1998 37678,S200000,01000,0500,O 37678,S200000,01500,0100,Y 37678,S200000,01900,0100,CHARITABLE 37678,S200000,02800,0100,Y 37686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37686,A000000,00300,0000,00300EMPLOYEE BENEFITS 37686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37686,A000000,00700,0000,00700HOUSEKEEPING 37686,A000000,00800,0000,00800DIETARY 37686,A000000,00900,0000,00900NURSING ADMINISTRATION 37686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37686,A000000,01100,0000,01100PHARMACY 37686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37686,A000000,01300,0000,01300SOCIAL SERVICE 37686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37686,A000000,01600,0000,01600SKILLED NURSING FACILITY 37686,A000000,01810,0000,01810ICF/MR 37686,A000000,02100,0000,02100RADIOLOGY 37686,A000000,02200,0000,02200LABORATORY 37686,A000000,02500,0000,02500PHYSICAL THERAPY 37686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37686,A000000,02700,0000,02700SPEECH PATHOLOGY 37686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37686,A000000,03550,0000,03550FQHC 37686,A000000,05000,0000,05000CORF 37686,A000000,05010,0000,05010CMHC 37686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37686,B100000,00000,0100,00040SQUARE FEET 37686,B100000,00000,0200,00040SQUARE FEET 37686,B100000,00000,0300,00040GROSS SALARIES 37686,B100000,00000,0400,00040ACCUM COST 37686,B100000,00000,0500,00040SQUARE FEET 37686,B100000,00000,0600,00040POUNDS OF LAUNDRY 37686,B100000,00000,0700,00040HOURS OF SERVICE 37686,B100000,00000,0800,00040MEALS SERVED 37686,B100000,00000,0900,00040DIRECT NRSG HRS 37686,B100000,00000,1000,00040COSTED REQUIS 37686,B100000,00000,1100,00040COSTED REQUIS 37686,B100000,00000,1200,00040TIME SPENT 37686,B100000,00000,1300,00040TIME SPENT 37686,B100000,00000,1400,00040ASSIGNED TIME 37686,E10A180,00301,0100,05/10/2000 37686,E10A180,00350,0100,08/19/1999 37686,S000000,00100,0200,06/26/2000 37686,S200000,00100,0100,3156 EAST AVENUE 37686,S200000,00200,0100,ROCHESTER 37686,S200000,00200,0200,NY 37686,S200000,00200,0300,14618 37686,S200000,00300,0100,MONROE 37686,S200000,00400,0100,THE ROCHESTER FRIENDLY HOME 37686,S200000,00400,0200,335476 37686,S200000,00400,0300,01/01/1976 37686,S200000,00400,0500,P 37686,S200000,01500,0100,Y 37694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37694,A000000,00300,0000,00300EMPLOYEE BENEFITS 37694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37694,A000000,00700,0000,00700HOUSEKEEPING 37694,A000000,00800,0000,00800DIETARY 37694,A000000,00900,0000,00900NURSING ADMINISTRATION 37694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37694,A000000,01100,0000,01100PHARMACY 37694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37694,A000000,01300,0000,01300SOCIAL SERVICE 37694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37694,A000000,01600,0000,01600SKILLED NURSING FACILITY 37694,A000000,01810,0000,01810ICF/MR 37694,A000000,02500,0000,02500PHYSICAL THERAPY 37694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37694,A000000,02700,0000,02700SPEECH PATHOLOGY 37694,A000000,03050,0000,03300AUDIOLOGY 37694,A000000,03550,0000,03550FQHC 37694,A000000,05000,0000,05000CORF 37694,A000000,05010,0000,05010CMHC 37694,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37694,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37694,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37694,A000000,05300,0000,05300INTEREST EXPENSE 37694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37694,A000000,06101,0000,06101PODIATRY 37694,A000000,06102,0000,06102DENTAL 37694,B100000,00000,0100,00002SQUARE FEET 37694,B100000,00000,0200,00002SQUARE FEET 37694,B100000,00000,0300,00002GROSS SALARIES 37694,B100000,00000,0400,00002ACCUM COST 37694,B100000,00000,0500,00002SQUARE FEET 37694,B100000,00000,0600,00002POUNDS OF LAUNDRY 37694,B100000,00000,0700,00002HOURS OF SERVICE 37694,B100000,00000,0800,00002MEALS SERVED 37694,B100000,00000,0900,00002DIRECT NRSG HRS 37694,B100000,00000,1000,00002COSTED REQUIS 37694,B100000,00000,1100,00002COSTED REQUIS 37694,B100000,00000,1200,00002TIME SPENT 37694,B100000,00000,1300,00002TIME SPENT 37694,B100000,00000,1400,00002ASSIGNED TIME 37694,S000000,00100,0200,05/30/2000 37694,S200000,00100,0100,PARK STREET 37694,S200000,00100,0300,127 37694,S200000,00200,0100,ELIZABETHTOWN 37694,S200000,00200,0200,NY 37694,S200000,00200,0300,12932 37694,S200000,00300,0100,ESSEX 37694,S200000,00400,0100,HORACE NYE HOME 37694,S200000,00400,0200,335478 37694,S200000,00400,0300,04/01/1976 37694,S200000,00400,0500,P 37694,S200000,01500,0100,Y 37694,S200000,02800,0100,Y 37702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37702,A000000,00300,0000,00300EMPLOYEE BENEFITS 37702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37702,A000000,00700,0000,00700HOUSEKEEPING 37702,A000000,00800,0000,00800DIETARY 37702,A000000,00900,0000,00900NURSING ADMINISTRATION 37702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37702,A000000,01100,0000,01100PHARMACY 37702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37702,A000000,01300,0000,01300SOCIAL SERVICE 37702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37702,A000000,01600,0000,01600SKILLED NURSING FACILITY 37702,A000000,01810,0000,01810ICF/MR 37702,A000000,02200,0000,02200LABORATORY 37702,A000000,02500,0000,02500PHYSICAL THERAPY 37702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37702,A000000,02700,0000,02700SPEECH PATHOLOGY 37702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37702,A000000,03550,0000,03550FQHC 37702,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37702,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37702,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37702,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37702,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37702,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37702,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37702,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 37702,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37702,A000000,05000,0000,05000CORF 37702,A000000,05010,0000,05010CMHC 37702,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37702,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37702,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37702,A000000,05300,0000,05300INTEREST EXPENSE 37702,A81000A,00100,0100,Y 37702,A81000B,00100,0300,RELIEF STAFFING 37702,A81000C,00100,0100,B 37702,A81000C,00100,0200,CHILDS NURSING 37702,A81000C,00100,0400,CHILDS ALL AGE 37702,B100000,00000,0100,00000SQUARE FEET 37702,B100000,00000,0200,00000SQUARE FEET 37702,B100000,00000,0300,00000GROSS SALARIES 37702,B100000,00000,0400,00000ACCUM COST 37702,B100000,00000,0500,00000SQUARE FEET 37702,B100000,00000,0600,00000POUNDS OF LAUNDRY 37702,B100000,00000,0700,00000HOURS OF SERVICE 37702,B100000,00000,0800,00000MEALS SERVED 37702,B100000,00000,0900,00000DIRECT NRSG HRS 37702,B100000,00000,1000,00000COSTED REQUIS 37702,B100000,00000,1100,00000COSTED REQUIS 37702,B100000,00000,1200,00000TIME SPENT 37702,B100000,00000,1300,00000TIME SPENT 37702,B100000,00000,1400,00000ASSIGNED TIME 37702,H510100,00000,0000,160 37702,H510100,02400,0000,160 37702,H710000,00550,0100,07/24/2000 37702,S000000,00100,0200,07/17/2000 37702,S200000,00100,0100,25 HACKETT BLVD. 37702,S200000,00200,0100,ALBANY 37702,S200000,00200,0200,NY 37702,S200000,00200,0300,12208 37702,S200000,00300,0100,ALBANY 37702,S200000,00400,0100,CHILDS NURSING HOME CO. INC. 37702,S200000,00400,0200,335479 37702,S200000,00400,0300,05/01/1976 37702,S200000,00400,0500,P 37702,S200000,00800,0200,337275 37702,S200000,00800,0300,08/31/1990 37702,S200000,00800,0500,P 37702,S200000,01500,0100,Y 37702,S200000,01900,0100,NON-PROFIT 37709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37709,A000000,00300,0000,00300EMPLOYEE BENEFITS 37709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37709,A000000,00700,0000,00700HOUSEKEEPING 37709,A000000,00800,0000,00800DIETARY 37709,A000000,00900,0000,00900NURSING ADMINISTRATION 37709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37709,A000000,01100,0000,01100PHARMACY 37709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37709,A000000,01300,0000,01300SOCIAL SERVICE 37709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37709,A000000,01600,0000,01600SKILLED NURSING FACILITY 37709,A000000,01810,0000,01810ICF/MR 37709,A000000,02200,0000,02200LABORATORY 37709,A000000,02500,0000,02500PHYSICAL THERAPY 37709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37709,A000000,02700,0000,02700SPEECH PATHOLOGY 37709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37709,A000000,03550,0000,03550FQHC 37709,A000000,05000,0000,05000CORF 37709,A000000,05010,0000,05010CMHC 37709,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37709,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37709,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37709,A000000,05300,0000,05300INTEREST EXPENSE 37709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37709,B100000,00000,0100,00000SQUARE FEET 37709,B100000,00000,0200,00000SQUARE FEET 37709,B100000,00000,0300,00000GROSS SALARIES 37709,B100000,00000,0400,00000ACCUM COST 37709,B100000,00000,0500,00000SQUARE FEET 37709,B100000,00000,0600,00000POUNDS OF LAUNDRY 37709,B100000,00000,0700,00000HOURS OF SERVICE 37709,B100000,00000,0800,00000MEALS SERVED 37709,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37709,B100000,00000,1000,00000COSTED REQUISITIO 37709,B100000,00000,1100,00000COSTED REQUISITIO 37709,B100000,00000,1200,00000TIME SPENT 37709,B100000,00000,1300,00000TIME SPENT 37709,B100000,00000,1400,00000ASSIGNED TIME 37709,S000000,00100,0200,06/09/2000 37709,S200000,00100,0100,103 WASHINGTON STREET 37709,S200000,00200,0100,ELMIRA 37709,S200000,00200,0200,NY 37709,S200000,00200,0300,14901 37709,S200000,00300,0100,CHEMUNG 37709,S200000,00400,0100,CHEMUNG COUNTY NURSING FACILITY 37709,S200000,00400,0200,335480 37709,S200000,00400,0300,03/01/1976 37709,S200000,00400,0500,P 37709,S200000,01500,0100,Y 37709,S200000,01900,0100,NONPROFIT NURSING HOME 37709,S200000,02100,0100,A 37717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37717,A000000,00300,0000,00300EMPLOYEE BENEFITS 37717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37717,A000000,00700,0000,00700HOUSEKEEPING 37717,A000000,00800,0000,00800DIETARY 37717,A000000,00900,0000,00900NURSING ADMINISTRATION 37717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37717,A000000,01100,0000,01100PHARMACY 37717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37717,A000000,01300,0000,01300SOCIAL SERVICE 37717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37717,A000000,01600,0000,01600SKILLED NURSING FACILITY 37717,A000000,01810,0000,01810ICF/MR 37717,A000000,02100,0000,02100RADIOLOGY 37717,A000000,02200,0000,02200LABORATORY 37717,A000000,02500,0000,02500PHYSICAL THERAPY 37717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37717,A000000,02700,0000,02700SPEECH PATHOLOGY 37717,A000000,02800,0000,02800ELECTROCARDIOLOGY 37717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37717,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37717,A000000,03550,0000,03550FQHC 37717,A000000,05000,0000,05000CORF 37717,A000000,05010,0000,05010CMHC 37717,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37717,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37717,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37717,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37717,B100000,00000,0100,00000SQUARE FEET 37717,B100000,00000,0200,00000SQUARE FEET 37717,B100000,00000,0300,00000GROSS SALARIES 37717,B100000,00000,0400,00000ACCUM COST 37717,B100000,00000,0500,00000SQUARE FEET 37717,B100000,00000,0600,00000POUNDS OF LAUNDRY 37717,B100000,00000,0700,00000HOURS OF SERVICE 37717,B100000,00000,0800,00000MEALS SERVED 37717,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37717,B100000,00000,1000,00000COSTED REQUISITIO 37717,B100000,00000,1100,00000COSTED REQUISITIO 37717,B100000,00000,1200,00000TIME SPENT 37717,B100000,00000,1300,00000TIME SPENT 37717,B100000,00000,1400,00000ASSIGNED TIME 37717,E10A180,00301,0100,05/10/2000 37717,S000000,00100,0200,06/05/2000 37717,S200000,00100,0100,2709 TRANSIT ROAD 37717,S200000,00200,0100,NEWFANE 37717,S200000,00200,0200,NEW YORK 37717,S200000,00200,0300,14108 37717,S200000,00300,0100,NIAGARA 37717,S200000,00400,0100,NEWFANE REHAB AND HEALTHCARE CTR. 37717,S200000,00400,0200,335481 37717,S200000,00400,0300,12/13/1997 37717,S200000,00400,0500,P 37717,S200000,01500,0100,Y 37717,S200000,01900,0100,OTHER (SPECIFY) 37717,S200000,04300,0100,Y 37717,S200000,04600,0100,Y 37725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37725,A000000,00300,0000,00300EMPLOYEE BENEFITS 37725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37725,A000000,00700,0000,00700HOUSEKEEPING 37725,A000000,00800,0000,00800DIETARY 37725,A000000,00900,0000,00900NURSING ADMINISTRATION 37725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37725,A000000,01100,0000,01100PHARMACY 37725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37725,A000000,01300,0000,01300SOCIAL SERVICE 37725,A000000,01350,0000,01500OTHER GENERAL SERVICES 37725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37725,A000000,01600,0000,01600SKILLED NURSING FACILITY 37725,A000000,01810,0000,01810ICF/MR 37725,A000000,02500,0000,02500PHYSICAL THERAPY 37725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37725,A000000,02700,0000,02700SPEECH PATHOLOGY 37725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37725,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37725,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37725,A000000,03550,0000,03550FQHC 37725,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37725,A000000,05000,0000,05000CORF 37725,A000000,05010,0000,05010CMHC 37725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37725,A000000,05300,0000,05300INTEREST EXPENSE 37725,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37725,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37725,B100000,00000,0100,00000SQUARE FEET 37725,B100000,00000,0200,00000SQUARE FEET 37725,B100000,00000,0300,00000GROSS SALARIES 37725,B100000,00000,0400,00000ACCUM. COST 37725,B100000,00000,0500,00000SQUARE FEET 37725,B100000,00000,0600,00000POUNDS OF LAUNDRY 37725,B100000,00000,0700,00000SQUARE FEET 37725,B100000,00000,0800,00000MEALS SERVED 37725,B100000,00000,0900,00000DIRECT NRSING HRS 37725,B100000,00000,1000,00000COSTED REQUIS. 37725,B100000,00000,1100,00000COSTED REQUIS. 37725,B100000,00000,1200,00000TIME SPENT 37725,B100000,00000,1300,00000TIME SPENT 37725,B100000,00000,1350,00000NO STATISTICS 37725,B100000,00000,1400,00000TIME SPENT 37725,S000000,00100,0200,06/01/2000 37725,S200000,00100,0100,WICKER STREET 37725,S200000,00200,0100,TICONDEROGA 37725,S200000,00200,0200,NY 37725,S200000,00200,0300,12803 37725,S200000,00300,0100,ESSEX 37725,S200000,00400,0100,MOSES-LUDINGTON NURSING HOME 37725,S200000,00400,0200,335482 37725,S200000,00400,0300,04/01/1976 37725,S200000,00400,0500,P 37725,S200000,01500,0100,Y 37729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37729,A000000,00300,0000,00300EMPLOYEE BENEFITS 37729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37729,A000000,00700,0000,00700HOUSEKEEPING 37729,A000000,00800,0000,00800DIETARY 37729,A000000,00900,0000,00900NURSING ADMINISTRATION 37729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37729,A000000,01100,0000,01100PHARMACY 37729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37729,A000000,01300,0000,01300SOCIAL SERVICE 37729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37729,A000000,01600,0000,01600SKILLED NURSING FACILITY 37729,A000000,01810,0000,01810ICF/MR 37729,A000000,02100,0000,02100RADIOLOGY 37729,A000000,02200,0000,02200LABORATORY 37729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37729,A000000,02500,0000,02500PHYSICAL THERAPY 37729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37729,A000000,02700,0000,02700SPEECH PATHOLOGY 37729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37729,A000000,03550,0000,03550FQHC 37729,A000000,05000,0000,05000CORF 37729,A000000,05010,0000,05010CMHC 37729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37729,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37729,A000000,06150,0000,06300ADULT DAY CARE 37729,A000000,06151,0000,06301DENTAL 37729,A81000A,00100,0100,Y 37729,A81000B,00100,0300,RENT 37729,A81000B,00200,0300,MORTG INT 37729,A81000B,00300,0300,DEPRECIATION 37729,A81000B,00400,0300,INSURANCE 37729,A81000B,00500,0300,ACCOUNTING FEES 37729,A81000C,00100,0100,A 37729,A81000C,00100,0200,EDWARD STRAUSMA 37729,A81000C,00100,0400,STRAUSMAN BROS 37729,A81000C,00200,0100,A 37729,A81000C,00200,0200,GEORGE STRAUSMA 37729,A81000C,00200,0400,STRAUSMAN BROS 37729,A81000C,00300,0100,A 37729,A81000C,00300,0200,STRAUS. ENTER 37729,A81000C,00300,0400,STRAUSMAN BROS 37729,A81000C,00400,0100,A 37729,A81000C,00400,0200,EDWARD STRAUSMA 37729,A81000C,00400,0400,EDGE REALTY 37729,A81000C,00500,0100,A 37729,A81000C,00500,0200,GEORGE STRAUSMA 37729,A81000C,00500,0400,EDGE REALTY 37729,A81000C,00600,0100,A 37729,A81000C,00600,0200,G. STRAUS FBO S 37729,A81000C,00600,0400,EDGE REALTY 37729,A81000C,00700,0100,A 37729,A81000C,00700,0200,STRAUS. ENTERP 37729,A81000C,00700,0400,EDGE REALTY 37729,A81000C,00800,0100,A 37729,A81000C,00800,0200,DAVID STRAUSMAN 37729,A81000C,00800,0400,EDGE REALTY 37729,A81000C,00900,0100,A 37729,A81000C,00900,0200,G. STRAUS FBO S 37729,A81000C,00900,0400,EDGE REALTY 37729,A81000C,01000,0100,A 37729,A81000C,01000,0200,G. STRAUS FBO E 37729,A81000C,01000,0400,EDGE REALTY 37729,A81000C,01100,0100,A 37729,A81000C,01100,0200,G STRAUS FBO LI 37729,A81000C,01100,0400,EDGE REALTY 37729,A81000C,01200,0100,A 37729,A81000C,01200,0200,VICTORIA STRAUSMAN 37729,A81000C,01200,0400,EDGE REALTY 37729,B100000,00000,0100,00001SQUARE FEET 37729,B100000,00000,0200,00001SQUARE FEET 37729,B100000,00000,0300,00001GROSS SALARIES 37729,B100000,00000,0400,00001ACCUM COST 37729,B100000,00000,0500,00001SQUARE FEET 37729,B100000,00000,0600,00001POUNDS OF LAUNDRY 37729,B100000,00000,0700,00001HOURS OF SERVICE 37729,B100000,00000,0800,00001MEALS SERVED 37729,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37729,B100000,00000,1000,00001COSTED REQUISITIO 37729,B100000,00000,1100,00001COSTED REQUISITIO 37729,B100000,00000,1200,00001TIME SPENT 37729,B100000,00000,1300,00001TIME SPENT 37729,B100000,00000,1400,00001ASSIGNED TIME 37729,E10A180,00301,0100,05/10/2000 37729,S000000,00100,0200,06/23/2000 37729,S200000,00100,0100,15 ST. PAULS PLACE 37729,S200000,00200,0100,GREAT NECK 37729,S200000,00200,0200,NY 37729,S200000,00200,0300,11021 37729,S200000,00300,0100,NASSAU 37729,S200000,00400,0100,GRACE PLAZA OF GREAT NECK 37729,S200000,00400,0200,335483 37729,S200000,00400,0300,04/01/1976 37729,S200000,00400,0500,P 37729,S200000,01500,0100,Y 37729,S200000,04300,0100,Y 37731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37731,A000000,00300,0000,00300EMPLOYEE BENEFITS 37731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37731,A000000,00700,0000,00700HOUSEKEEPING 37731,A000000,00800,0000,00800DIETARY 37731,A000000,00900,0000,00900NURSING ADMINISTRATION 37731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37731,A000000,01100,0000,01100PHARMACY 37731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37731,A000000,01300,0000,01300SOCIAL SERVICE 37731,A000000,01350,0000,01500ACTIVITIES 37731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37731,A000000,01600,0000,01600SKILLED NURSING FACILITY 37731,A000000,01810,0000,01810ICF/MR 37731,A000000,02100,0000,02100RADIOLOGY 37731,A000000,02200,0000,02200LABORATORY 37731,A000000,02500,0000,02500PHYSICAL THERAPY 37731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37731,A000000,02700,0000,02700SPEECH PATHOLOGY 37731,A000000,02800,0000,02800ELECTROCARDIOLOGY 37731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37731,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37731,A000000,03550,0000,03550FQHC 37731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 37731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37731,A000000,05000,0000,05000CORF 37731,A000000,05010,0000,05010CMHC 37731,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37731,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37731,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37731,A000000,05300,0000,05300INTEREST EXPENSE 37731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37731,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37731,A000000,06151,0000,06301DENTAL 37731,A000000,06152,0000,06302ADULT DAY CARE PROGRAM 37731,B100000,00000,0100,00002SQUARE FEET 37731,B100000,00000,0200,00002SQUARE FEET 37731,B100000,00000,0300,00002GROSS SALARIES 37731,B100000,00000,0400,00002ACCUM COST 37731,B100000,00000,0500,00002SQUARE FEET 37731,B100000,00000,0600,00002POUNDS OF LAUNDRY 37731,B100000,00000,0700,00002HOURS OF SERVICE 37731,B100000,00000,0800,00002MEALS SERVED 37731,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 37731,B100000,00000,1000,00002COSTED REQUISITIO 37731,B100000,00000,1100,00002COSTED REQUISITIO 37731,B100000,00000,1200,00002TIME SPENT 37731,B100000,00000,1300,00002TIME SPENT 37731,B100000,00000,1350,00002TIME SPENT 37731,B100000,00000,1400,00002ASSIGNED TIME 37731,E10A180,00301,0100,05/10/2000 37731,H510100,00000,0000,5600 37731,H510100,02400,0000,5600 37731,H710000,00501,0300,03/20/2001 37731,H710000,00550,0100,03/20/2001 37731,S000000,00100,0200,05/31/2000 37731,S200000,00100,0100,1500 PELHAM PARKWAY 37731,S200000,00200,0100,BRONX 37731,S200000,00200,0200,NEW YORK 37731,S200000,00200,0300,10461 37731,S200000,00300,0100,BRONX 37731,S200000,00400,0100,MORNINGSIDE HOUSE NH CO INC 37731,S200000,00400,0200,335484 37731,S200000,00400,0300,04/01/1976 37731,S200000,00400,0500,P 37731,S200000,00800,0200,337278 37731,S200000,00800,0300,09/18/1990 37731,S200000,00800,0500,P 37731,S200000,01500,0100,Y 37737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37737,A000000,00300,0000,00300EMPLOYEE BENEFITS 37737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37737,A000000,00700,0000,00700HOUSEKEEPING 37737,A000000,00800,0000,00800DIETARY 37737,A000000,00900,0000,00900NURSING ADMINISTRATION 37737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37737,A000000,01100,0000,01100PHARMACY 37737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37737,A000000,01300,0000,01300SOCIAL SERVICE 37737,A000000,01350,0000,01500ACTIVITIES 37737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37737,A000000,01600,0000,01600SKILLED NURSING FACILITY 37737,A000000,01810,0000,01810ICF/MR 37737,A000000,02100,0000,02100RADIOLOGY 37737,A000000,02200,0000,02200LABORATORY 37737,A000000,02500,0000,02500PHYSICAL THERAPY 37737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37737,A000000,02700,0000,02700SPEECH PATHOLOGY 37737,A000000,02800,0000,02800ELECTROCARDIOLOGY 37737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37737,A000000,03050,0000,03300PHYSICIAN & MEDICAL DIRECTOR 37737,A000000,03550,0000,03550FQHC 37737,A000000,04800,0000,04800AMBULANCE 37737,A000000,05000,0000,05000CORF 37737,A000000,05010,0000,05010CMHC 37737,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37737,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37737,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37737,A000000,05300,0000,05300INTEREST EXPENSE 37737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37737,A000000,06150,0000,06300DENTAL 37737,B100000,00000,0100,00000SQUARE FOOTAGE 37737,B100000,00000,0200,00000SQUARE FOOTAGE 37737,B100000,00000,0300,00000GROSS SAL 37737,B100000,00000,0400,00000ACCUM. COST 37737,B100000,00000,0500,00000SQUARE FOOTAGE 37737,B100000,00000,0600,00000#OF LAUNDRY 37737,B100000,00000,0700,00000HSK HOURS OF SERVICE 37737,B100000,00000,0800,00000MEALS SERVED 37737,B100000,00000,0900,00000DIR NURSING HO 37737,B100000,00000,1000,00000CS COSTED REQ. 37737,B100000,00000,1100,00000RX COSTED REQ. 37737,B100000,00000,1200,00000MR TIME 37737,B100000,00000,1300,00000SS TIME 37737,B100000,00000,1350,00000ACT #OF PART. 37737,B100000,00000,1400,00000ASSIGNED TIME 37737,E10A180,00301,0100,05/10/2000 37737,S000000,00100,0200,06/07/2000 37737,S200000,00100,0100,10836 TEMPLE ROAD 37737,S200000,00200,0100,DUNKIRK 37737,S200000,00200,0200,NY 37737,S200000,00200,0300,14048 37737,S200000,00300,0100,CHAUTAUQUA 37737,S200000,00400,0100,CHAUTAUQUA COUNTY HOME 37737,S200000,00400,0200,335485 37737,S200000,00400,0300,04/01/1976 37737,S200000,00400,0500,P 37737,S200000,01500,0100,Y 37737,S200000,02800,0100,Y 37747,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37747,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37747,A000000,00300,0000,00300EMPLOYEE BENEFITS 37747,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37747,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37747,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37747,A000000,00700,0000,00700HOUSEKEEPING 37747,A000000,00800,0000,00800DIETARY 37747,A000000,00900,0000,00900NURSING ADMINISTRATION 37747,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37747,A000000,01100,0000,01100PHARMACY 37747,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37747,A000000,01300,0000,01300SOCIAL SERVICE 37747,A000000,01350,0000,01500ACTIVITIES 37747,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37747,A000000,01600,0000,01600SKILLED NURSING FACILITY 37747,A000000,01810,0000,01810ICF/MR 37747,A000000,02100,0000,02100RADIOLOGY 37747,A000000,02200,0000,02200LABORATORY 37747,A000000,02500,0000,02500PHYSICAL THERAPY 37747,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37747,A000000,02700,0000,02700SPEECH PATHOLOGY 37747,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37747,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37747,A000000,03050,0000,03300GROUP THERAPY - CMHC 37747,A000000,03450,0000,03600DIANGNOSTIC SERVICES 37747,A000000,03550,0000,03550FQHC 37747,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37747,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37747,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37747,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37747,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37747,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37747,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37747,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37747,A000000,04750,0000,05100ADULT DAY CARE CENTER 37747,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 37747,A000000,05000,0000,05000CORF 37747,A000000,05010,0000,05010CMHC 37747,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37747,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37747,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37747,A000000,05300,0000,05300INTEREST EXPENSE 37747,A000000,05350,0000,05600INVESTMENT PROPERTY 37747,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37747,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37747,A000000,06001,0000,06001PODIATRY 37747,A000000,06002,0000,06002DENTISTRY 37747,A000000,06150,0000,06300PSYCHOLOGICAL PROGRAMS (CMHM) 37747,B100000,00000,0100,00000(SQUARE FEET) 37747,B100000,00000,0200,00000PHYSICAL LOCATION 37747,B100000,00000,0300,00000(GROSS SALARIES) 37747,B100000,00000,0400,00000(ACCUM COST) 37747,B100000,00000,0500,00000(SQUARE FEET) 37747,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 37747,B100000,00000,0700,00000(SQUARE FEET) 37747,B100000,00000,0800,00000(MEALS SERVED) 37747,B100000,00000,0900,00000(DIRECT NRSG HRS) 37747,B100000,00000,1000,00000(COSTED REQUIS) 37747,B100000,00000,1100,00000(COSTED REQUIS) 37747,B100000,00000,1200,00000(TIME SPENT) 37747,B100000,00000,1300,00000(TIME SPENT) 37747,B100000,00000,1350,00000 37747,B100000,00000,1400,00000(ASSIGNED TIME) 37747,E10A180,00301,0100,05/10/2000 37747,E10A180,00350,0100,09/23/1999 37747,H510100,00000,0000,5380 37747,H510100,02400,0000,5380 37747,H710000,00350,0100,08/05/1999 37747,H710000,00550,0100,07/20/2000 37747,S000000,00100,0200,06/01/2000 37747,S200000,00100,0100,395 SUNKEN MEADOW ROAD 37747,S200000,00200,0100,KINGS PARK 37747,S200000,00200,0200,NY 37747,S200000,00200,0300,11754 37747,S200000,00300,0100,SUFFOLK 37747,S200000,00400,0100,ST. JOHNLAND NURSING CENTER 37747,S200000,00400,0200,335487 37747,S200000,00400,0300,12/27/1975 37747,S200000,00400,0500,P 37747,S200000,00800,0200,337285 37747,S200000,00800,0300,04/09/1992 37747,S200000,00800,0500,P 37747,S200000,01500,0100,Y 37747,S200000,02200,0100,Y 37755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37755,A000000,00300,0000,00300EMPLOYEE BENEFITS 37755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37755,A000000,00700,0000,00700HOUSEKEEPING 37755,A000000,00800,0000,00800DIETARY 37755,A000000,00900,0000,00900NURSING ADMINISTRATION 37755,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37755,A000000,01100,0000,01100PHARMACY 37755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37755,A000000,01300,0000,01300SOCIAL SERVICE 37755,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37755,A000000,01600,0000,01600SKILLED NURSING FACILITY 37755,A000000,01810,0000,01810ICF/MR 37755,A000000,02100,0000,02100RADIOLOGY 37755,A000000,02200,0000,02200LABORATORY 37755,A000000,02500,0000,02500PHYSICAL THERAPY 37755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37755,A000000,02700,0000,02700SPEECH PATHOLOGY 37755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37755,A000000,03550,0000,03550FQHC 37755,A000000,05000,0000,05000CORF 37755,A000000,05010,0000,05010CMHC 37755,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37755,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37755,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37755,A000000,05300,0000,05300INTEREST EXPENSE 37755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37755,B100000,00000,0100,00000SQUARE FEET 37755,B100000,00000,0200,00000SQUARE FEET 37755,B100000,00000,0300,00000GROSS SALARIES 37755,B100000,00000,0400,00000ACCUM COST 37755,B100000,00000,0500,00000SQUARE FEET 37755,B100000,00000,0600,00000POUNDS OF LAUNDRY 37755,B100000,00000,0700,00000HOURS OF SERVICE 37755,B100000,00000,0800,00000MEALS SERVED 37755,B100000,00000,0900,00000DIRECT NRSG HRS 37755,B100000,00000,1000,00000COSTED REQUIS 37755,B100000,00000,1100,00000COSTED REQUIS 37755,B100000,00000,1200,00000TIME SPENT 37755,B100000,00000,1300,00000TIME SPENT 37755,B100000,00000,1400,00000ASSIGNED TIME 37755,S000000,00100,0200,06/02/2000 37755,S200000,00100,0100,8 NORTH GOODMAN ST. 37755,S200000,00200,0100,ROCHESTER 37755,S200000,00200,0200,NY 37755,S200000,00200,0300,14607 37755,S200000,00300,0100,MONROE 37755,S200000,00400,0100,WESLEY GARDENS CORPORATION 37755,S200000,00400,0200,335488 37755,S200000,00400,0300,07/01/1976 37755,S200000,00400,0500,P 37755,S200000,01500,0100,Y 37755,S200000,01900,0100,NON PROFIT 37755,S200000,02800,0100,Y 37763,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37763,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37763,A000000,00300,0000,00300EMPLOYEE BENEFITS 37763,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37763,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37763,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37763,A000000,00700,0000,00700HOUSEKEEPING 37763,A000000,00800,0000,00800DIETARY 37763,A000000,00900,0000,00900NURSING ADMINISTRATION 37763,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37763,A000000,01100,0000,01100PHARMACY 37763,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37763,A000000,01300,0000,01300SOCIAL SERVICE 37763,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37763,A000000,01600,0000,01600SKILLED NURSING FACILITY 37763,A000000,01810,0000,01810ICF/MR 37763,A000000,02100,0000,02100RADIOLOGY 37763,A000000,02200,0000,02200LABORATORY 37763,A000000,02500,0000,02500PHYSICAL THERAPY 37763,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37763,A000000,02700,0000,02700SPEECH PATHOLOGY 37763,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37763,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37763,A000000,03550,0000,03550FQHC 37763,A000000,05000,0000,05000CORF 37763,A000000,05010,0000,05010CMHC 37763,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37763,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37763,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37763,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37763,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37763,A000000,06150,0000,06300ADULT DAY CARE 37763,A000000,06151,0000,06301DENTAL 37763,A81000A,00100,0100,Y 37763,A81000B,00100,0300,RENT 37763,A81000B,00200,0300,MORTGAGE INTEREST 37763,A81000B,00300,0300,DEPRECIATION 37763,A81000B,00400,0300,AMORTIZATION OF MORTGAGE EXPEN 37763,A81000C,00100,0100,A 37763,A81000C,00100,0200,JOSEPH F. CARIL 37763,A81000C,00100,0400,CARILLON PROJEC 37763,A81000C,00200,0100,A 37763,A81000C,00200,0200,VINCENT CARILLO 37763,A81000C,00200,0400,CARILLON PROJEC 37763,A81000C,00300,0100,A 37763,A81000C,00300,0200,JANET A. CARILL 37763,A81000C,00400,0100,A 37763,A81000C,00400,0200,JOSEPH F CARILL 37763,A81000C,00500,0100,A 37763,A81000C,00500,0200,ROBERT CARILLO 37763,A81000C,00600,0100,A 37763,A81000C,00600,0200,LISA BANGER 37763,A81000C,00700,0100,A 37763,A81000C,00700,0200,BEATRICE CARILL 37763,A81000C,00800,0100,A 37763,A81000C,00800,0200,LAURA S. ISSERO 37763,A81000C,00900,0100,A 37763,A81000C,00900,0200,JOE CARILLO III 37763,A81000C,01000,0100,A 37763,A81000C,01000,0200,CHRIS CARILLO 37763,B100000,00000,0100,00001SQUARE FEET 37763,B100000,00000,0200,00001SQUARE FEET 37763,B100000,00000,0300,00001GROSS SALARIES 37763,B100000,00000,0400,00001ACCUM COST 37763,B100000,00000,0500,00001SQUARE FEET 37763,B100000,00000,0600,00001POUNDS OF LAUNDRY 37763,B100000,00000,0700,00001HOURS OF SERVICE 37763,B100000,00000,0800,00001MEALS SERVED 37763,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37763,B100000,00000,1000,00001COSTED REQUISITIO 37763,B100000,00000,1100,00001COSTED REQUISITIO 37763,B100000,00000,1200,00001TIME SPENT 37763,B100000,00000,1300,00001TIME SPENT 37763,B100000,00000,1400,00001ASSIGNED TIME 37763,E10A180,00301,0100,05/10/2000 37763,S000000,00100,0200,06/28/2000 37763,S200000,00100,0100,17 SUNRISE HOME 37763,S200000,00200,0100,OSWEGO 37763,S200000,00200,0200,NY 37763,S200000,00200,0300,13126 37763,S200000,00300,0100,OSWEGO 37763,S200000,00400,0100,SUNRISE NURSING HOME 37763,S200000,00400,0200,335489 37763,S200000,00400,0300,04/21/1995 37763,S200000,00400,0500,P 37763,S200000,01500,0100,Y 37763,S200000,01900,0100,NON PROFIT 37763,S200000,04200,0100,Y 37763,S200000,04300,0100,Y 37767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37767,A000000,00300,0000,00300EMPLOYEE BENEFITS 37767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37767,A000000,00700,0000,00700HOUSEKEEPING 37767,A000000,00800,0000,00800DIETARY 37767,A000000,00900,0000,00900NURSING ADMINISTRATION 37767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37767,A000000,01100,0000,01100PHARMACY 37767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37767,A000000,01300,0000,01300SOCIAL SERVICE 37767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37767,A000000,01600,0000,01600SKILLED NURSING FACILITY 37767,A000000,01810,0000,01810ICF/MR 37767,A000000,02100,0000,02100RADIOLOGY 37767,A000000,02200,0000,02200LABORATORY 37767,A000000,02500,0000,02500PHYSICAL THERAPY 37767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37767,A000000,02700,0000,02700SPEECH PATHOLOGY 37767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37767,A000000,03550,0000,03550FQHC 37767,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37767,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37767,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37767,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37767,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37767,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37767,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37767,A000000,04400,0000,04400DME RENTED - HHA 37767,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37767,A000000,05000,0000,05000CORF 37767,A000000,05010,0000,05010CMHC 37767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37767,A000000,06150,0000,06300ADULT DAY CARE 37767,A000000,06151,0000,06301DENTAL 37767,B100000,00000,0100,00001SQUARE FEET 37767,B100000,00000,0200,00001SQUARE FEET 37767,B100000,00000,0300,00001GROSS SALARIES 37767,B100000,00000,0400,00001ACCUM COST 37767,B100000,00000,0500,00001SQUARE FEET 37767,B100000,00000,0600,00001POUNDS OF LAUNDRY 37767,B100000,00000,0700,00001HOURS OF SERVICE 37767,B100000,00000,0800,00001MEALS SERVED 37767,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37767,B100000,00000,1000,00001COSTED REQUISITIO 37767,B100000,00000,1100,00001COSTED REQUISITIO 37767,B100000,00000,1200,00001TIME SPENT 37767,B100000,00000,1300,00001TIME SPENT 37767,B100000,00000,1400,00001ASSIGNED TIME 37767,E10A180,00301,0100,05/10/2000 37767,H510100,00000,0000,5600 37767,H510100,02400,0000,5600 37767,H710000,00501,0300,03/20/2001 37767,S000000,00100,0200,06/28/2000 37767,S200000,00100,0100,17 NARRANGANSETT AVE 37767,S200000,00200,0100,OSSINING 37767,S200000,00200,0200,NY 37767,S200000,00200,0300,10562 37767,S200000,00300,0100,WESTCHESTER 37767,S200000,00400,0100,BETHEL NURSING HOME 37767,S200000,00400,0200,335490 37767,S200000,00400,0300,04/01/1976 37767,S200000,00400,0500,P 37767,S200000,00800,0200,337211 37767,S200000,00800,0300,12/06/1985 37767,S200000,00800,0500,P 37767,S200000,01500,0100,Y 37767,S200000,04200,0100,Y 37767,S200000,04300,0100,Y 37775,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37775,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37775,A000000,00300,0000,00300EMPLOYEE BENEFITS 37775,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37775,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37775,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37775,A000000,00700,0000,00700HOUSEKEEPING 37775,A000000,00800,0000,00800DIETARY 37775,A000000,00900,0000,00900NURSING ADMINISTRATION 37775,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37775,A000000,01100,0000,01100PHARMACY 37775,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37775,A000000,01300,0000,01300SOCIAL SERVICE 37775,A000000,01301,0000,01301ACTIVITIES 37775,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37775,A000000,01600,0000,01600SKILLED NURSING FACILITY 37775,A000000,01810,0000,01810ICF/MR 37775,A000000,02100,0000,02100RADIOLOGY 37775,A000000,02200,0000,02200LABORATORY 37775,A000000,02401,0000,02401CLINITRON BEDS 37775,A000000,02500,0000,02500PHYSICAL THERAPY 37775,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37775,A000000,02700,0000,02700SPEECH PATHOLOGY 37775,A000000,02800,0000,02800ELECTROCARDIOLOGY 37775,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37775,A000000,03550,0000,03550FQHC 37775,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37775,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37775,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37775,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37775,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37775,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37775,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37775,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 37775,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37775,A000000,05000,0000,05000CORF 37775,A000000,05010,0000,05010CMHC 37775,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37775,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37775,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37775,A000000,05501,0000,05501PHYSICIANS 37775,A000000,05502,0000,05502MEDICAL RESEARCH AND EDUCATION 37775,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37775,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37775,A000000,06001,0000,06001HOME ASSISTANCE PERSONNEL INC 37775,A000000,06002,0000,06002FUND FOR THE AGED INC 37775,A000000,06003,0000,06003EXTERNAL AFFAIRS 37775,A000000,06004,0000,06004DAYCARE 37775,A000000,06005,0000,06005ENRICHED HOUSING 37775,A000000,06006,0000,06006GERIATRIC OUTREACH 37775,A000000,06007,0000,06007AUDIOLOGY 37775,A000000,06008,0000,06008PENN SOUTH 37775,A000000,06009,0000,06009DENTAL AND PODIATRY 37775,A000000,06010,0000,06010PROGRAM PLANNING 37775,A000000,06011,0000,06011SENIOR CARE OPTIONS 37775,A000000,06012,0000,06012MEDICAL ASSOCIATES 37775,B100000,00000,0100,00012SQUARE FEET 37775,B100000,00000,0200,00012SQUARE FEET 37775,B100000,00000,0300,00012GROSS SALARIES 37775,B100000,00000,0400,00012ACCUM COST 37775,B100000,00000,0500,00012SQUARE FEET 37775,B100000,00000,0600,00012POUNDS OF LAUNDRY 37775,B100000,00000,0700,00012HOURS OF SERVICE 37775,B100000,00000,0800,00012MEALS SERVED 37775,B100000,00000,0900,00012DIRECT NRSG HRS 37775,B100000,00000,1000,00012COSTED REQUIS 37775,B100000,00000,1100,00012COSTED REQUIS 37775,B100000,00000,1200,00012TIME SPENT 37775,B100000,00000,1300,00012TIME SPENT 37775,B100000,00000,1301,00012 37775,B100000,00000,1400,00012ASSIGNED TIME 37775,E10A180,00301,0100,09/21/1999 37775,E10A180,00302,0100,05/10/2000 37775,H510100,00000,0000,5600 37775,H510100,02400,0000,5600 37775,H710000,00550,0100,12/28/2000 37775,S000000,00100,0200,03/15/2001 37775,S200000,00100,0100,120 WEST 106TH STREET 37775,S200000,00200,0100,NEW YORK 37775,S200000,00200,0200,NY 37775,S200000,00200,0300,10025 37775,S200000,00300,0100,N 37775,S200000,00400,0100,THE JEWISH HOME AND HOSPITAL 37775,S200000,00400,0200,335491 37775,S200000,00400,0300,04/01/1976 37775,S200000,00400,0500,P 37775,S200000,00800,0200,337180 37775,S200000,00800,0300,08/04/1981 37775,S200000,00800,0500,P 37775,S200000,01500,0100,Y 37775,S200000,01900,0100,PARTICIPATING SKILLED NSG FACILITY 37778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37778,A000000,00300,0000,00300EMPLOYEE BENEFITS 37778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37778,A000000,00700,0000,00700HOUSEKEEPING 37778,A000000,00800,0000,00800DIETARY 37778,A000000,00900,0000,00900NURSING ADMINISTRATION 37778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37778,A000000,01100,0000,01100PHARMACY 37778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37778,A000000,01300,0000,01300SOCIAL SERVICE 37778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37778,A000000,01600,0000,01600SKILLED NURSING FACILITY 37778,A000000,01810,0000,01810ICF/MR 37778,A000000,02500,0000,02500PHYSICAL THERAPY 37778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37778,A000000,02700,0000,02700SPEECH PATHOLOGY 37778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37778,A000000,03050,0000,03300GLUCOSE FINGER STICKS 37778,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37778,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37778,A000000,03550,0000,03550FQHC 37778,A000000,05000,0000,05000CORF 37778,A000000,05010,0000,05010CMHC 37778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37778,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37778,A000000,06150,0000,06300DENTAL 37778,A81000A,00100,0100,Y 37778,A81000B,00100,0300,RENT 37778,A81000B,00200,0300,LEGAL 37778,A81000B,00300,0300,INTEREST 37778,A81000B,00400,0300,DEPRECIATION 37778,A81000B,00500,0300,AMORTIZATION 37778,A81000B,00600,0300,BANK CHARGES 37778,A81000B,00700,0300,PATIENT LAUNDRY 37778,A81000B,00800,0300,PART B PHYSICIAN 37778,A81000B,00900,0300,NEIMAN AUTO INS 37778,A81000B,01000,0300,INTEREST INCOME 37778,A81000C,00100,0100,A 37778,A81000C,00100,0200,GRACON ASSOC 37778,A81000C,00100,0400,CONCOURSE N.H. 37778,A81000C,00100,0600,REAL ESTATE 37778,B100000,00000,0100,00000SQUARE FEET 37778,B100000,00000,0200,00000SQUARE FEET 37778,B100000,00000,0300,00000GROSS SALARIES 37778,B100000,00000,0400,00000ACCUM COST 37778,B100000,00000,0500,00000SQUARE FEET 37778,B100000,00000,0600,00000POUNDS OF LAUNDRY 37778,B100000,00000,0700,00000HOURS OF SERVICE 37778,B100000,00000,0800,00000MEALS SERVED 37778,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37778,B100000,00000,1000,00000COSTED REQUISITIO 37778,B100000,00000,1100,00000COSTED REQUISITIO 37778,B100000,00000,1200,00000TIME SPENT 37778,B100000,00000,1300,00000TIME SPENT 37778,B100000,00000,1400,00000ASSIGNED TIME 37778,E10A180,00301,0100,05/10/2000 37778,E10A180,00501,0100,06/14/2001 37778,E10A180,00550,0300,06/14/2001 37778,S000000,00100,0200,06/05/2000 37778,S200000,00100,0100,1072 GRAND CONCOURSE 37778,S200000,00200,0100,BRONX NY 10456 37778,S200000,00300,0100,BRONX 37778,S200000,00400,0100,CONCOURSE REHAB & NURSING CTR 37778,S200000,00400,0200,335493 37778,S200000,00400,0300,04/01/1976 37778,S200000,00400,0500,P 37778,S200000,01500,0100,Y 37778,S200000,03300,0100,Y 37786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37786,A000000,00300,0000,00300EMPLOYEE BENEFITS 37786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37786,A000000,00700,0000,00700HOUSEKEEPING 37786,A000000,00800,0000,00800DIETARY 37786,A000000,00900,0000,00900NURSING ADMINISTRATION 37786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37786,A000000,01100,0000,01100PHARMACY 37786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37786,A000000,01300,0000,01300SOCIAL SERVICE 37786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37786,A000000,01600,0000,01600SKILLED NURSING FACILITY 37786,A000000,01810,0000,01810ICF/MR 37786,A000000,02100,0000,02100RADIOLOGY 37786,A000000,02200,0000,02200LABORATORY 37786,A000000,02500,0000,02500PHYSICAL THERAPY 37786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37786,A000000,02700,0000,02700SPEECH PATHOLOGY 37786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37786,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37786,A000000,03550,0000,03550FQHC 37786,A000000,05000,0000,05000CORF 37786,A000000,05010,0000,05010CMHC 37786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37786,A000000,05300,0000,05300INTEREST EXPENSE 37786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37786,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37786,B100000,00000,0100,00000SQUARE FEET 37786,B100000,00000,0200,00000SQUARE FEET 37786,B100000,00000,0300,00000GROSS SALARIES 37786,B100000,00000,0400,00000ACCUM COST 37786,B100000,00000,0500,00000SQUARE FEET 37786,B100000,00000,0600,00000PATIENT DAYS 37786,B100000,00000,0700,00000SQUARE FEET 37786,B100000,00000,0800,00000PATIENT DAYS 37786,B100000,00000,0900,00000PATIENT DAYS 37786,B100000,00000,1000,00000COSTED REQUISITIO 37786,B100000,00000,1100,00000PATIENT DAYS 37786,B100000,00000,1200,00000TIME SPENT 37786,B100000,00000,1300,00000PATIENT DAYS 37786,B100000,00000,1400,00000ASSIGNED TIME 37786,S000000,00100,0200,06/21/2000 37786,S200000,00100,0100,655 NORTH LIBERTY STREET 37786,S200000,00200,0100,PENN YAN NY 14527 37786,S200000,00300,0100,YATES 37786,S200000,00400,0100,PENN YAN MANOR NURSING HOME 37786,S200000,00400,0200,335494 37786,S200000,00400,0300,01/01/1976 37786,S200000,00400,0500,P 37786,S200000,01500,0100,Y 37786,S200000,01900,0100,NOT FOR PROFIT 37786,S200000,04300,0100,Y 37790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37790,A000000,00300,0000,00300EMPLOYEE BENEFITS 37790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37790,A000000,00700,0000,00700HOUSEKEEPING 37790,A000000,00800,0000,00800DIETARY 37790,A000000,00900,0000,00900NURSING ADMINISTRATION 37790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37790,A000000,01100,0000,01100PHARMACY 37790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37790,A000000,01300,0000,01300SOCIAL SERVICE 37790,A000000,01350,0000,01500ACTIVITIES 37790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37790,A000000,01600,0000,01600SKILLED NURSING FACILITY 37790,A000000,01810,0000,01810ICF/MR 37790,A000000,02100,0000,02100RADIOLOGY 37790,A000000,02200,0000,02200LABORATORY 37790,A000000,02300,0000,02300INTRAVENOUS THERAPY 37790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37790,A000000,02500,0000,02500PHYSICAL THERAPY 37790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37790,A000000,02700,0000,02700SPEECH PATHOLOGY 37790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37790,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37790,A000000,03200,0000,03200SUPPORT SURFACES 37790,A000000,03550,0000,03550FQHC 37790,A000000,04800,0000,04800AMBULANCE 37790,A000000,05000,0000,05000CORF 37790,A000000,05010,0000,05010CMHC 37790,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37790,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37790,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37790,A81000A,00100,0100,Y 37790,A81000B,00100,0300,RENT 37790,A81000B,00200,0300,REAL ESTATE TAXES 37790,A81000B,00300,0300,DEPRECIATION 37790,A81000B,00400,0300,AMORTIZATION 37790,A81000B,00500,0300,MORTGAGE INTEREST 37790,A81000B,00600,0300,BANK CHARGES 37790,A81000C,00100,0100,A 37790,A81000C,00100,0200,A HARTMAN 37790,A81000C,00100,0400,GUN HILL ASSOCI 37790,A81000C,00100,0600,REAL ESTATE 37790,B100000,00000,0100,00000SQUARE FEET 37790,B100000,00000,0200,00000SQUARE FEET 37790,B100000,00000,0300,00000GROSS SALARIES 37790,B100000,00000,0400,00000ACCUM COST 37790,B100000,00000,0500,00000SQUARE FEET 37790,B100000,00000,0600,00000POUNDS OF LAUNDRY 37790,B100000,00000,0700,00000SQUARE FEET 37790,B100000,00000,0800,00000MEALS SERVED 37790,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37790,B100000,00000,1000,00000COSTED REQUISITIO 37790,B100000,00000,1100,00000COSTED REQUISITIO 37790,B100000,00000,1200,00000TIME SPENT 37790,B100000,00000,1300,00000TIME SPENT 37790,B100000,00000,1350,00000# OF PARTICIPAN 37790,B100000,00000,1400,00000ASSIGNED TIME 37790,E10A180,00301,0100,05/10/2000 37790,E10A180,00550,0100,06/07/2000 37790,S000000,00100,0200,05/31/2000 37790,S200000,00100,0100,3534 WAYNE AVE 37790,S200000,00200,0100,BRONX 37790,S200000,00200,0200,NY 37790,S200000,00200,0300,10467 37790,S200000,00300,0100,BRONX 37790,S200000,00400,0100,WAYNE NURSING HOME 37790,S200000,00400,0200,335495 37790,S200000,00400,0300,04/01/1976 37790,S200000,00400,0500,P 37790,S200000,01500,0100,Y 37790,S200000,04700,0100,Y 37790,S200000,04700,0200,Y 37798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37798,A000000,00300,0000,00300EMPLOYEE BENEFITS 37798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37798,A000000,00700,0000,00700HOUSEKEEPING 37798,A000000,00800,0000,00800DIETARY 37798,A000000,00900,0000,00900NURSING ADMINISTRATION 37798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37798,A000000,01100,0000,01100PHARMACY 37798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37798,A000000,01300,0000,01300SOCIAL SERVICE 37798,A000000,01350,0000,01500OTHER GENERAL SERVICES 37798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37798,A000000,01600,0000,01600SKILLED NURSING FACILITY 37798,A000000,01810,0000,01810ICF/MR 37798,A000000,02500,0000,02500PHYSICAL THERAPY 37798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37798,A000000,02700,0000,02700SPEECH PATHOLOGY 37798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37798,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37798,A000000,03550,0000,03550FQHC 37798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37798,A000000,05000,0000,05000CORF 37798,A000000,05010,0000,05010CMHC 37798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37798,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 37798,A000000,05300,0000,05300INTEREST EXPENSE 37798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37798,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37798,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37798,A000000,06200,0000,06200PATIENTS LAUNDRY 37798,B100000,00000,0100,00000SQUARE FEET 37798,B100000,00000,0200,00000SQUARE FEET 37798,B100000,00000,0300,00000GROSS SALARIES 37798,B100000,00000,0400,00000ACCUM. COST 37798,B100000,00000,0500,00000SQUARE FEET 37798,B100000,00000,0600,00000POUNDS OF LAUNDRY 37798,B100000,00000,0700,00000HOURS OF SERVICE 37798,B100000,00000,0800,00000MEALS SERVED 37798,B100000,00000,0900,00000DIRECTNURS SING HOUR 37798,B100000,00000,1000,00000COSTED REQUIS. 37798,B100000,00000,1100,00000COSTED REQUIS. 37798,B100000,00000,1200,00000TIME SPENT 37798,B100000,00000,1300,00000TIME SPENT 37798,B100000,00000,1350,00000NO STATISTICS 37798,B100000,00000,1400,00000NO STATISTICS 37798,E10A180,00301,0100,05/10/2000 37798,E10A180,00350,0100,01/18/2000 37798,S000000,00100,0200,05/31/2000 37798,S200000,00100,0100,UTICA STREET 37798,S200000,00200,0100,ORISKANY 37798,S200000,00200,0200,NY 37798,S200000,00200,0300,13424 37798,S200000,00300,0100,ONEIDA 37798,S200000,00400,0100,EASTERN STAR HALL & HOME 37798,S200000,00400,0200,335497 37798,S200000,00400,0300,05/01/1976 37798,S200000,00400,0500,P 37798,S200000,01500,0100,Y 37798,S200000,02200,0100,Y 37802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37802,A000000,00300,0000,00300EMPLOYEE BENEFITS 37802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37802,A000000,00700,0000,00700HOUSEKEEPING 37802,A000000,00800,0000,00800DIETARY 37802,A000000,00900,0000,00900NURSING ADMINISTRATION 37802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37802,A000000,01100,0000,01100PHARMACY 37802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37802,A000000,01300,0000,01300SOCIAL SERVICE 37802,A000000,01350,0000,01500OTHER GENERAL SERVICES 37802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37802,A000000,01600,0000,01600SKILLED NURSING FACILITY 37802,A000000,01810,0000,01810ICF/MR 37802,A000000,02100,0000,02100RADIOLOGY 37802,A000000,02200,0000,02200LABORATORY 37802,A000000,02500,0000,02500PHYSICAL THERAPY 37802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37802,A000000,02700,0000,02700SPEECH PATHOLOGY 37802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37802,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37802,A000000,03201,0000,03201CLINITRN THERAPY 37802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37802,A000000,03550,0000,03550FQHC 37802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37802,A000000,05000,0000,05000CORF 37802,A000000,05010,0000,05010CMHC 37802,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37802,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37802,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37802,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37802,B100000,00000,0100,00000SQUARE FEET 37802,B100000,00000,0200,00000SQUARE FEET 37802,B100000,00000,0300,00000GROSS SALARIES 37802,B100000,00000,0400,00000ACCUM. COST 37802,B100000,00000,0500,00000SQUARE FEET 37802,B100000,00000,0600,00000POUNDS OF LAUNDRY 37802,B100000,00000,0700,00000HOURS OF SERVICE 37802,B100000,00000,0800,00000MEALS SERVED 37802,B100000,00000,0900,00000HOURS OF SERVICE 37802,B100000,00000,1000,00000COSTED REQUIS. 37802,B100000,00000,1100,00000COSTED REQUIS. 37802,B100000,00000,1200,00000TIME SPENT 37802,B100000,00000,1300,00000TIME SPENT 37802,B100000,00000,1350,00000NO STATISTICS 37802,B100000,00000,1400,00000TIME SPENT 37802,E10A180,00301,0100,05/10/2000 37802,E10A180,00550,0100,06/07/2000 37802,S000000,00100,0200,06/02/2000 37802,S200000,00100,0100,645 WEST BROADWAY 37802,S200000,00200,0100,LONG BEACH 37802,S200000,00200,0200,NY 37802,S200000,00200,0300,11561 37802,S200000,00300,0100,NASSAU 37802,S200000,00400,0100,LONG BEACH GRANDELL INC. 37802,S200000,00400,0200,335498 37802,S200000,00400,0300,05/01/1976 37802,S200000,00400,0500,P 37802,S200000,01500,0100,Y 37811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37811,A000000,00300,0000,00300EMPLOYEE BENEFITS 37811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37811,A000000,00700,0000,00700HOUSEKEEPING 37811,A000000,00800,0000,00800DIETARY 37811,A000000,00900,0000,00900NURSING ADMINISTRATION 37811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37811,A000000,01100,0000,01100PHARMACY 37811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37811,A000000,01300,0000,01300SOCIAL SERVICE 37811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37811,A000000,01600,0000,01600SKILLED NURSING FACILITY 37811,A000000,01810,0000,01810ICF/MR 37811,A000000,02100,0000,02100RADIOLOGY 37811,A000000,02200,0000,02200LABORATORY 37811,A000000,02500,0000,02500PHYSICAL THERAPY 37811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37811,A000000,02700,0000,02700SPEECH PATHOLOGY 37811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37811,A000000,03550,0000,03550FQHC 37811,A000000,05000,0000,05000CORF 37811,A000000,05010,0000,05010CMHC 37811,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37811,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37811,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37811,B100000,00000,0100,00000SQUARE FEET 37811,B100000,00000,0200,00000SQUARE FEET 37811,B100000,00000,0300,00000GROSS SALARIES 37811,B100000,00000,0400,00000ACCUM COST 37811,B100000,00000,0500,00000SQUARE FEET 37811,B100000,00000,0600,00000POUNDS OF LAUNDRY 37811,B100000,00000,0700,00000HOURS OF SERVICE 37811,B100000,00000,0800,00000MEALS SERVED 37811,B100000,00000,0900,00000DIRECT NRSG HRS 37811,B100000,00000,1000,00000COSTED REQUIS 37811,B100000,00000,1100,00000COSTED REQUIS 37811,B100000,00000,1200,00000TIME SPENT 37811,B100000,00000,1300,00000TIME SPENT 37811,B100000,00000,1400,00000ASSIGNED TIME 37811,E10A180,00301,0100,05/10/2000 37811,S000000,00100,0200,06/21/2000 37811,S200000,00100,0100,104 OLD NIAGARA ROAD 37811,S200000,00200,0100,LOCKPORT 37811,S200000,00200,0200,NY 37811,S200000,00200,0300,14094 37811,S200000,00300,0100,NIAGARA 37811,S200000,00400,0100,ODDFELLOW & REBEKAH HLTH CARE INC. 37811,S200000,00400,0200,335500 37811,S200000,00400,0300,08/01/1976 37811,S200000,00400,0500,P 37811,S200000,01500,0100,Y 37811,S200000,01900,0100,NOT FOR PROFIT 37811,S200000,02800,0100,Y 37816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37816,A000000,00300,0000,00300EMPLOYEE BENEFITS 37816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37816,A000000,00700,0000,00700HOUSEKEEPING 37816,A000000,00800,0000,00800DIETARY 37816,A000000,00900,0000,00900NURSING ADMINISTRATION 37816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37816,A000000,01100,0000,01100PHARMACY 37816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37816,A000000,01300,0000,01300SOCIAL SERVICE 37816,A000000,01350,0000,01500OTHER GENERAL SERVICES 37816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37816,A000000,01600,0000,01600SKILLED NURSING FACILITY 37816,A000000,01810,0000,01810ICF/MR 37816,A000000,02100,0000,02100RADIOLOGY 37816,A000000,02200,0000,02200LABORATORY 37816,A000000,02300,0000,02300INTRAVENOUS THERAPY 37816,A000000,02500,0000,02500PHYSICAL THERAPY 37816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37816,A000000,02700,0000,02700SPEECH PATHOLOGY 37816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37816,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37816,A000000,03101,0000,03101CLINITRON THERAPY 37816,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37816,A000000,03550,0000,03550FQHC 37816,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37816,A000000,05000,0000,05000CORF 37816,A000000,05010,0000,05010CMHC 37816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37816,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37816,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37816,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37816,A81000A,00100,0100,Y 37816,A81000B,00100,0300,RENT 37816,A81000B,00200,0300,MORTGAGE INTEREST 37816,A81000B,00300,0300,DEPRECIATION 37816,A81000B,00400,0300,MORTGAGE COST AMORTIZAT 37816,A81000C,00100,0100,A 37816,A81000C,00100,0200,M. CHOPP 37816,A81000C,00100,0400,C.F.C. ASSOCIATES 37816,A81000C,00100,0600,REAL ESTATE 37816,B100000,00000,0100,00000SQUARE FEET 37816,B100000,00000,0200,00000DOLLAR VALUE 37816,B100000,00000,0300,00000GROSS SALARIES 37816,B100000,00000,0400,00000ACCUM. COST 37816,B100000,00000,0500,00000SQUARE FEET 37816,B100000,00000,0600,00000POUNDS OF LAUNDRY 37816,B100000,00000,0700,00000HOURS OF SERVICE 37816,B100000,00000,0800,00000MEALS SERVED 37816,B100000,00000,0900,00000HOURS OF SERVICE 37816,B100000,00000,1000,00000COSTED REQUIS. 37816,B100000,00000,1100,00000COSTED REQUIS. 37816,B100000,00000,1200,00000TIME SPENT 37816,B100000,00000,1300,00000TIME SPENT 37816,B100000,00000,1350,00000NO STATISTICS 37816,B100000,00000,1400,00000TIME SPENT 37816,E10A180,00301,0100,05/10/2000 37816,S000000,00100,0200,06/19/2000 37816,S200000,00100,0100,191 BRADLEY AVE. 37816,S200000,00200,0100,STATEN ISLAND 37816,S200000,00200,0200,NY 37816,S200000,00200,0300,10314 37816,S200000,00300,0100,RICHMOND 37816,S200000,00400,0100,GOLDEN GATE HEALTH CARE CENTER INC. 37816,S200000,00400,0200,335502 37816,S200000,00400,0300,05/01/1976 37816,S200000,00400,0500,P 37816,S200000,01500,0100,Y 37820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37820,A000000,00300,0000,00300EMPLOYEE BENEFITS 37820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37820,A000000,00700,0000,00700HOUSEKEEPING 37820,A000000,00800,0000,00800DIETARY 37820,A000000,00900,0000,00900NURSING ADMINISTRATION 37820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37820,A000000,01100,0000,01100PHARMACY 37820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37820,A000000,01300,0000,01300SOCIAL SERVICE 37820,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 37820,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 37820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37820,A000000,01600,0000,01600SKILLED NURSING FACILITY 37820,A000000,01810,0000,01810ICF/MR 37820,A000000,02100,0000,02100RADIOLOGY 37820,A000000,02500,0000,02500PHYSICAL THERAPY 37820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37820,A000000,02700,0000,02700SPEECH PATHOLOGY 37820,A000000,02800,0000,02800ELECTROCARDIOLOGY 37820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37820,A000000,03550,0000,03550FQHC 37820,A000000,05000,0000,05000CORF 37820,A000000,05010,0000,05010CMHC 37820,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37820,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37820,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37820,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37820,A000000,06201,0000,06201DENTAL 37820,B100000,00000,0100,00000SQUARE FEET 37820,B100000,00000,0200,00000SQUARE FEET 37820,B100000,00000,0300,00000GROSS SALARIES 37820,B100000,00000,0400,00000ACCUM COST 37820,B100000,00000,0500,00000SQUARE FEET 37820,B100000,00000,0600,00000POUNDS OF LAUNDRY 37820,B100000,00000,0700,00000HOURS OF SERVICE 37820,B100000,00000,0800,00000MEALS SERVED 37820,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37820,B100000,00000,1000,00000COSTED REQUISITIO 37820,B100000,00000,1100,00000COSTED REQUISITIO 37820,B100000,00000,1200,00000TIME SPENT 37820,B100000,00000,1300,00000TIME SPENT 37820,B100000,00000,1301,00000PARTICIPAN 37820,B100000,00000,1350,00000 37820,B100000,00000,1400,00000ASSIGNED TIME 37820,E10A180,00301,0100,05/10/2000 37820,S000000,00100,0200,06/26/2000 37820,S200000,00100,0100,195-44 WOODHULL AVENUE 37820,S200000,00200,0100,HOLLIS 37820,S200000,00200,0200,NEW YORK 37820,S200000,00200,0300,11423 37820,S200000,00300,0100,QUEENS 37820,S200000,00400,0100,HOLLISWOOD CARE CENTER 37820,S200000,00400,0200,335503 37820,S200000,00400,0300,07/01/1980 37820,S200000,00400,0500,P 37820,S200000,01500,0100,Y 37828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37828,A000000,00300,0000,00300EMPLOYEE BENEFITS 37828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37828,A000000,00700,0000,00700HOUSEKEEPING 37828,A000000,00800,0000,00800DIETARY 37828,A000000,00900,0000,00900NURSING ADMINISTRATION 37828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37828,A000000,01100,0000,01100PHARMACY 37828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37828,A000000,01300,0000,01300SOCIAL SERVICE 37828,A000000,01350,0000,01500ACTIVITIES 37828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37828,A000000,01600,0000,01600SKILLED NURSING FACILITY 37828,A000000,01810,0000,01810ICF/MR 37828,A000000,02100,0000,02100RADIOLOGY 37828,A000000,02200,0000,02200LABORATORY 37828,A000000,02500,0000,02500PHYSICAL THERAPY 37828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37828,A000000,02700,0000,02700SPEECH PATHOLOGY 37828,A000000,02800,0000,02800ELECTROCARDIOLOGY 37828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37828,A000000,03550,0000,03550FQHC 37828,A000000,05000,0000,05000CORF 37828,A000000,05010,0000,05010CMHC 37828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37828,A81000A,00100,0100,Y 37828,A81000B,00100,0300,RENT 37828,A81000B,00200,0300,INTEREST 37828,A81000B,00300,0300,AMORTIZATION 37828,A81000B,00400,0300,DEPRECIATION - BUILDING 37828,A81000B,00500,0300,ACCOUNTING FEE 37828,A81000B,00600,0300,LEGAL 37828,A81000C,00100,0100,A 37828,A81000C,00100,0200,FRANK MCGUIRE 37828,A81000C,00100,0400,MCGUIRE MANOR 37828,A81000C,00100,0600,BUILDING RENTAL 37828,A81000C,00200,0100,F 37828,A81000C,00200,0200,DONALD SMITH 37828,A81000C,00200,0400,MCGUIRE MANOR 37828,A81000C,00200,0600,BUILDING RENTAL 37828,B100000,00000,0100,00000SQUARE FEET 37828,B100000,00000,0200,00000SQUARE FEET 37828,B100000,00000,0300,00000GROSS SAL 37828,B100000,00000,0400,00000ACCUM. COST 37828,B100000,00000,0500,00000SQUARE FEET 37828,B100000,00000,0600,00000LBS OF LAUNDRY 37828,B100000,00000,0700,00000HOUSEKEEPI HOURS 37828,B100000,00000,0800,00000DIETARY MEALS 37828,B100000,00000,0900,00000NURSING ADMIN. HOU 37828,B100000,00000,1000,00000COSTED REQUIS 37828,B100000,00000,1100,00000COSTED REQUIS 37828,B100000,00000,1200,00000MEDICAL RECORDS TI 37828,B100000,00000,1300,00000SOCIAL SERVICE TI 37828,B100000,00000,1350,00000ACTIVITIES PARTIC 37828,B100000,00000,1400,00000ASSIGNED TIME 37828,E10A180,00301,0100,01/18/2000 37828,E10A180,00302,0100,05/10/2000 37828,S000000,00100,0200,05/30/2000 37828,S200000,00100,0100,2987 SENECA STREET 37828,S200000,00200,0100,WEST SENECA 37828,S200000,00200,0200,NY 37828,S200000,00200,0300,14224 37828,S200000,00300,0100,ERIE 37828,S200000,00400,0100,SENECA MANOR 37828,S200000,00400,0200,335504 37828,S200000,00400,0300,05/01/1976 37828,S200000,00400,0500,P 37828,S200000,01500,0100,Y 37828,S200000,04100,0100,Y 37828,S200000,04200,0100,Y 37828,S200000,04300,0100,Y 37832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37832,A000000,00300,0000,00300EMPLOYEE BENEFITS 37832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37832,A000000,00700,0000,00700HOUSEKEEPING 37832,A000000,00800,0000,00800DIETARY 37832,A000000,00900,0000,00900NURSING ADMINISTRATION 37832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37832,A000000,01100,0000,01100PHARMACY 37832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37832,A000000,01300,0000,01300SOCIAL SERVICE 37832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37832,A000000,01600,0000,01600SKILLED NURSING FACILITY 37832,A000000,01810,0000,01810ICF/MR 37832,A000000,02100,0000,02100RADIOLOGY 37832,A000000,02200,0000,02200LABORATORY 37832,A000000,02500,0000,02500PHYSICAL THERAPY 37832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37832,A000000,02700,0000,02700SPEECH PATHOLOGY 37832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37832,A000000,03550,0000,03550FQHC 37832,A000000,05000,0000,05000CORF 37832,A000000,05010,0000,05010CMHC 37832,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37832,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37832,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37832,A000000,06150,0000,06300ADULT DAY CARE 37832,A000000,06151,0000,06301DENTAL 37832,B100000,00000,0100,00001SQUARE FEET 37832,B100000,00000,0200,00001SQUARE FEET 37832,B100000,00000,0300,00001GROSS SALARIES 37832,B100000,00000,0400,00001ACCUM COST 37832,B100000,00000,0500,00001SQUARE FEET 37832,B100000,00000,0600,00001POUNDS OF LAUNDRY 37832,B100000,00000,0700,00001HOURS OF SERVICE 37832,B100000,00000,0800,00001MEALS SERVED 37832,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37832,B100000,00000,1000,00001COSTED REQUISITIO 37832,B100000,00000,1100,00001COSTED REQUISITIO 37832,B100000,00000,1200,00001TIME SPENT 37832,B100000,00000,1300,00001TIME SPENT 37832,B100000,00000,1400,00001ASSIGNED TIME 37832,E10A180,00301,0100,05/10/2000 37832,E10A180,00550,0100,06/07/2000 37832,S000000,00100,0200,05/30/2000 37832,S200000,00100,0100,91-31 175TH STREET 37832,S200000,00200,0100,JAMAICA 37832,S200000,00200,0200,NY 37832,S200000,00200,0300,11432 37832,S200000,00300,0100,QUEENS 37832,S200000,00400,0100,HIGHLAND CARE CENTER 37832,S200000,00400,0200,335505 37832,S200000,00400,0300,05/01/1976 37832,S200000,00400,0500,P 37832,S200000,01500,0100,Y 37832,S200000,04200,0100,Y 37832,S200000,04300,0100,Y 37846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37846,A000000,00300,0000,00300EMPLOYEE BENEFITS 37846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37846,A000000,00700,0000,00700HOUSEKEEPING 37846,A000000,00800,0000,00800DIETARY 37846,A000000,00900,0000,00900NURSING ADMINISTRATION 37846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37846,A000000,01100,0000,01100PHARMACY 37846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37846,A000000,01300,0000,01300SOCIAL SERVICE 37846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37846,A000000,01600,0000,01600SKILLED NURSING FACILITY 37846,A000000,01810,0000,01810ICF/MR 37846,A000000,02200,0000,02200LABORATORY 37846,A000000,02500,0000,02500PHYSICAL THERAPY 37846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37846,A000000,02700,0000,02700SPEECH PATHOLOGY 37846,A000000,03550,0000,03550FQHC 37846,A000000,05000,0000,05000CORF 37846,A000000,05010,0000,05010CMHC 37846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37846,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37846,A81000A,00100,0100,Y 37846,A81000B,00100,0300,RENT 37846,A81000B,00200,0300,ACCOUNTING 37846,A81000B,00300,0300,OTHER ADMIN EXPENSES 37846,A81000B,00400,0300,OFFICE EXPENSES 37846,A81000B,00500,0300,MORTGAGE INTEREST 37846,A81000B,00600,0300,MISC FINANCE 37846,A81000B,00700,0300,MTGE INSURANCE PERM 37846,A81000B,00800,0300,DEPRECIATION 37846,A81000C,00100,0100,A 37846,A81000C,00100,0200,B.ZIMMERMAN 37846,A81000C,00100,0400,SKYVIEW HAVEN A 37846,A81000C,00100,0600,REAL ESTATE 37846,A81000C,00200,0100,A 37846,A81000C,00200,0200,R.ZIMMERMAN 37846,A81000C,00200,0400,SKYVIEW HAVEN A 37846,A81000C,00200,0600,REAL ESTATE 37846,A81000C,00300,0100,A 37846,A81000C,00300,0200,ESTATE OF K OPP 37846,A81000C,00300,0400,SKYVIEW HAVEN A 37846,A81000C,00300,0600,REAL ESTATE 37846,A81000C,00400,0100,A 37846,A81000C,00400,0200,W FELTON 37846,A81000C,00400,0400,SKYVIEW HAVEN A 37846,A81000C,00400,0600,REAL ESTATE 37846,B100000,00000,0100,00000SQUARE FEET 37846,B100000,00000,0200,00000SQUARE FEET 37846,B100000,00000,0300,00000GROSS SALARIES 37846,B100000,00000,0400,00000ACCUM COST 37846,B100000,00000,0500,00000SQUARE FEET 37846,B100000,00000,0600,00000POUNDS OF LAUNDRY 37846,B100000,00000,0700,00000HOURS OF SERVICE 37846,B100000,00000,0800,00000MEALS SERVED 37846,B100000,00000,0900,00000DIRECT NRSG HRS 37846,B100000,00000,1000,00000COSTED REQUIS 37846,B100000,00000,1100,00000COSTED REQUIS 37846,B100000,00000,1200,00000TIME SPENT 37846,B100000,00000,1300,00000TIME SPENT 37846,B100000,00000,1400,00000ASSIGNED TIME 37846,E10A180,00301,0100,05/10/2000 37846,S000000,00100,0200,05/31/2000 37846,S200000,00100,0100,ALBANY POST ROAD 37846,S200000,00200,0100,CROTON-ON-HUDSON 37846,S200000,00200,0200,NY 37846,S200000,00300,0100,WESTCHESTER 37846,S200000,00400,0100,SKYVIEW HAVEN NURSING HOME 37846,S200000,00400,0200,335508 37846,S200000,00400,0300,05/01/1976 37846,S200000,00400,0500,P 37846,S200000,01500,0100,Y 37855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37855,A000000,00300,0000,00300EMPLOYEE BENEFITS 37855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37855,A000000,00700,0000,00700HOUSEKEEPING 37855,A000000,00800,0000,00800DIETARY 37855,A000000,00801,0000,00801CAFETERIA 37855,A000000,00900,0000,00900NURSING ADMINISTRATION 37855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37855,A000000,01100,0000,01100PHARMACY 37855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37855,A000000,01300,0000,01300SOCIAL SERVICE 37855,A000000,01301,0000,01301ACTIVITIES 37855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37855,A000000,01600,0000,01600SKILLED NURSING FACILITY 37855,A000000,01810,0000,01810ICF/MR 37855,A000000,02100,0000,02100RADIOLOGY 37855,A000000,02200,0000,02200LABORATORY 37855,A000000,02500,0000,02500PHYSICAL THERAPY 37855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37855,A000000,02700,0000,02700SPEECH PATHOLOGY 37855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37855,A000000,03550,0000,03550FQHC 37855,A000000,05000,0000,05000CORF 37855,A000000,05010,0000,05010CMHC 37855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37855,A000000,06001,0000,06002DENTAL 37855,A000000,06200,0000,06200PATIENTS LAUNDRY 37855,A81000A,00100,0100,Y 37855,A81000B,00100,0300,LTC (EDDY) MGMT. FEE 37855,A81000C,00100,0100,A 37855,A81000C,00100,0200,LTC (EDDY) INC 37855,A81000C,00100,0600,SOLE MEMBER 37855,B100000,00000,0100,00000SQUARE FEET 37855,B100000,00000,0200,00000SQUARE FEET 37855,B100000,00000,0300,00000GROSS SALARIES 37855,B100000,00000,0400,00000ACCUM COST 37855,B100000,00000,0500,00000SQUARE FEET 37855,B100000,00000,0600,00000POUNDS OF LAUNDRY 37855,B100000,00000,0700,00000HOURS OF SERVICE 37855,B100000,00000,0800,00000MEALS SERVED 37855,B100000,00000,0801,00000AVER. EMPL PER RHCF 37855,B100000,00000,0900,00000DIRECT NRSG HRS 37855,B100000,00000,1000,00000COSTED REQUIS 37855,B100000,00000,1100,00000COSTED REQUIS 37855,B100000,00000,1200,00000TIME SPENT 37855,B100000,00000,1300,00000TIME SPENT 37855,B100000,00000,1301,00000PATIENT DAYS 37855,B100000,00000,1400,00000ASSIGNED TIME 37855,E10A180,00301,0100,01/18/2000 37855,E10A180,00302,0100,05/10/2000 37855,S000000,00100,0200,06/01/2000 37855,S200000,00100,0100,421 WEST COLUMBIA STREET 37855,S200000,00200,0100,COHOES 37855,S200000,00200,0200,NY 37855,S200000,00200,0300,12047 37855,S200000,00300,0100,ALBANY 37855,S200000,00400,0100,EDDY FORD NURSING HOME 37855,S200000,00400,0200,335509 37855,S200000,00400,0300,05/01/1976 37855,S200000,00400,0500,P 37855,S200000,01500,0100,Y 37855,S200000,01900,0100,NYS MEMBERSHIP CORP. 37855,S200000,02200,0100,Y 37855,S200000,04300,0100,Y 37863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37863,A000000,00300,0000,00300EMPLOYEE BENEFITS 37863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37863,A000000,00700,0000,00700HOUSEKEEPING 37863,A000000,00800,0000,00800DIETARY 37863,A000000,00900,0000,00900NURSING ADMINISTRATION 37863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37863,A000000,01100,0000,01100PHARMACY 37863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37863,A000000,01300,0000,01300SOCIAL SERVICE 37863,A000000,01350,0000,01500OTHER GENERAL SERVICES 37863,A000000,01351,0000,01501ACTIVITIES 37863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37863,A000000,01600,0000,01600SKILLED NURSING FACILITY 37863,A000000,01810,0000,01810ICF/MR 37863,A000000,02500,0000,02500PHYSICAL THERAPY 37863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37863,A000000,02700,0000,02700SPEECH PATHOLOGY 37863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37863,A000000,03550,0000,03550FQHC 37863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37863,A000000,04751,0000,05101ADULT DAY CARE 37863,A000000,04752,0000,05102CHILD DAY CARE 37863,A000000,05000,0000,05000CORF 37863,A000000,05010,0000,05010CMHC 37863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37863,A000000,05300,0000,05300INTEREST EXPENSE 37863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37863,A000000,06151,0000,06301DENTAL 37863,B100000,00000,0100,00001SQUARE FEET 37863,B100000,00000,0200,00001DOLLAR VALUE 37863,B100000,00000,0300,00001GROSS SALARIES 37863,B100000,00000,0400,00001ACCUM. COST 37863,B100000,00000,0500,00001SQUARE FEET 37863,B100000,00000,0600,00001POUNDS OF LAUNDRY 37863,B100000,00000,0700,00001HOURS OF SERVICE 37863,B100000,00000,0800,00001MEALS SERVED 37863,B100000,00000,0900,00001DIRECT NRSING HRS 37863,B100000,00000,1000,00001COSTED REQUIS. 37863,B100000,00000,1100,00001COSTED REQUIS. 37863,B100000,00000,1200,00001TIME SPENT 37863,B100000,00000,1300,00001TIME SPENT 37863,B100000,00000,1350,00001NO STATISTICS 37863,B100000,00000,1351,00001(# OF PARTICIPAN 37863,B100000,00000,1400,00001ASSIGNED TIME 37863,E10A180,00301,0100,01/18/2000 37863,E10A180,00302,0100,05/10/2000 37863,E10A180,00501,0300,06/08/2000 37863,E10A180,00550,0100,06/08/2000 37863,E10A180,00550,0300,06/28/2000 37863,S000000,00100,0200,06/23/2000 37863,S200000,00100,0100,104 NORTH WASHINGTON ST. 37863,S200000,00200,0100,HERKIMER 37863,S200000,00200,0200,NY 37863,S200000,00200,0300,13350 37863,S200000,00300,0100,HERKIMER 37863,S200000,00400,0100,FOLTS HOME INC. 37863,S200000,00400,0200,335510 37863,S200000,00400,0300,03/01/1976 37863,S200000,00400,0500,P 37863,S200000,01500,0100,Y 37879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37879,A000000,00101,0000,00101CAP REL COSTS-BLDG & FIX NEWMAN 37879,A000000,00102,0000,00102CAP REL COSTS-BLDG & FIX CFAC 37879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37879,A000000,00201,0000,00201CAP REL COSTS-MOV EQUIP-NEWMAN 37879,A000000,00202,0000,00202CAP REL COSTS-MOV EQUIP-CFAC 37879,A000000,00300,0000,00300EMPLOYEE BENEFITS 37879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37879,A000000,00501,0000,00501PLANT OPERATION NEWMAN BUILDING 37879,A000000,00502,0000,00502PLANT OPERATION CFAC 37879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37879,A000000,00700,0000,00700HOUSEKEEPING 37879,A000000,00701,0000,00701HOUSEKEEPING NEWMAN BUILDING 37879,A000000,00702,0000,00702HOUSEKEEPING CFAC 37879,A000000,00800,0000,00800DIETARY 37879,A000000,00900,0000,00900NURSING ADMINISTRATION 37879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37879,A000000,01100,0000,01100PHARMACY 37879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37879,A000000,01300,0000,01300SOCIAL SERVICE 37879,A000000,01350,0000,01500MEDICAL DIRECTOR 37879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37879,A000000,01600,0000,01600SKILLED NURSING FACILITY 37879,A000000,01810,0000,01810ICF/MR 37879,A000000,02100,0000,02100RADIOLOGY 37879,A000000,02200,0000,02200LABORATORY 37879,A000000,02300,0000,02300INTRAVENOUS THERAPY 37879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37879,A000000,02500,0000,02500PHYSICAL THERAPY 37879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37879,A000000,02700,0000,02700SPEECH PATHOLOGY 37879,A000000,02800,0000,02800ELECTROCARDIOLOGY 37879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37879,A000000,03050,0000,03300PSYCHIATRY 37879,A000000,03051,0000,03301OPHTHALMOLOGY 37879,A000000,03052,0000,03303MEDICAL STAFF 37879,A000000,03053,0000,03304PODIATRY 37879,A000000,03054,0000,03305DERMATOLOGY 37879,A000000,03550,0000,03550FQHC 37879,A000000,04800,0000,04800AMBULANCE 37879,A000000,05000,0000,05000CORF 37879,A000000,05010,0000,05010CMHC 37879,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37879,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37879,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37879,A000000,05350,0000,05600DENTAL 37879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37879,A000000,06150,0000,06300ADULT DAY HEALTH CARE 37879,A000000,06151,0000,06301HOUSING 37879,A000000,06152,0000,06302NON PROGRAM COSTS 37879,B100000,00000,0100,00002SQUARE FEET 37879,B100000,00000,0101,00002(SQUARE FEET) 37879,B100000,00000,0102,00002(SQUARE FEET) 37879,B100000,00000,0200,00002SQUARE FEET 37879,B100000,00000,0201,00002(SQUARE FEET) 37879,B100000,00000,0202,00002(SQUARE FEET) 37879,B100000,00000,0300,00002GROSS SALARIES 37879,B100000,00000,0400,00002ACCUM COST 37879,B100000,00000,0500,00002SQUARE FEET 37879,B100000,00000,0501,00002(SQUARE FEET) 37879,B100000,00000,0502,00002(SQUARE FEET) 37879,B100000,00000,0600,00002POUNDS OF LAUNDRY 37879,B100000,00000,0700,00002HOURS OF SERVICE 37879,B100000,00000,0701,00002(HOURS OF SERVICE) 37879,B100000,00000,0702,00002(HOURS OF SERVICE) 37879,B100000,00000,0800,00002MEALS SERVED 37879,B100000,00000,0900,00002DIRECT NRSG HRS 37879,B100000,00000,1000,00002COSTED REQUIS 37879,B100000,00000,1100,00002COSTED REQUIS 37879,B100000,00000,1200,00002TIME SPENT 37879,B100000,00000,1300,00002TIME SPENT 37879,B100000,00000,1350,00002(TIME SPENT) 37879,B100000,00000,1400,00002ASSIGNED TIME 37879,E10A180,00301,0100,05/10/2000 37879,E10A180,00351,0100,01/18/2000 37879,S000000,00100,0200,06/19/2000 37879,S200000,00100,0100,75 STRATTON STREET SOUTH 37879,S200000,00200,0100,YONKERS 37879,S200000,00200,0200,NY 37879,S200000,00200,0300,10710 37879,S200000,00300,0100,WESTCHESTER 37879,S200000,00400,0100,J.G.B. HEALTH FACILITIES CORP 37879,S200000,00400,0200,335512 37879,S200000,00400,0300,06/01/1976 37879,S200000,00400,0500,P 37879,S200000,01500,0100,Y 37879,S200000,02200,0100,Y 37879,S200000,04300,0100,Y 37889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37889,A000000,00300,0000,00300EMPLOYEE BENEFITS 37889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37889,A000000,00700,0000,00700HOUSEKEEPING 37889,A000000,00800,0000,00800DIETARY 37889,A000000,00801,0000,00801CAFTERIA 37889,A000000,00900,0000,00900NURSING ADMINISTRATION 37889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37889,A000000,01100,0000,01100PHARMACY 37889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37889,A000000,01300,0000,01300SOCIAL SERVICE 37889,A000000,01301,0000,01301MEDICAL DIRECTOR 37889,A000000,01350,0000,01500ACTIVITIES 37889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37889,A000000,01600,0000,01600SKILLED NURSING FACILITY 37889,A000000,01810,0000,01810ICF/MR 37889,A000000,02100,0000,02100RADIOLOGY 37889,A000000,02200,0000,02200LABORATORY 37889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37889,A000000,02500,0000,02500PHYSICAL THERAPY 37889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37889,A000000,02700,0000,02700SPEECH PATHOLOGY 37889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37889,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37889,A000000,03200,0000,03200SUPPORT SURFACES 37889,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37889,A000000,03550,0000,03550FQHC 37889,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37889,A000000,03701,0000,03701ADMINISTRATIVE & GENERAL - FTC 37889,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37889,A000000,03801,0000,03801SKILLED NURSING CARE - FTC 37889,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37889,A000000,03901,0000,03901PHYSICAL THERAPY - FTC 37889,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37889,A000000,04001,0000,04001OCCUPATIONAL THERAPY - FTC 37889,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37889,A000000,04101,0000,04101SPEECH PATHOLOGY - FTC 37889,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37889,A000000,04201,0000,04201MEDICAL SOCIAL SERVICES - FTC 37889,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37889,A000000,04301,0000,04301HOME HEALTH AIDE - FTC 37889,A000000,04401,0000,04401DME RENTED - FTC 37889,A000000,04501,0000,04501DME SOLD - FTC 37889,A000000,04601,0000,04601HOME DELIVERED MEALS - FTC 37889,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37889,A000000,04701,0000,04701OTHER HOME HEALTH SERVICES - FT 37889,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 37889,A000000,05000,0000,05000CORF 37889,A000000,05010,0000,05010CMHC 37889,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37889,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37889,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37889,A000000,05300,0000,05300INTEREST EXPENSE 37889,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 37889,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37889,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37889,A000000,06151,0000,06301STANDBY TIME 37889,A000000,06152,0000,06302PODIETRY & DENTAL 37889,A000000,06153,0000,06303OPTOMETRY & DENTAL 37889,B100000,00000,0100,00003SQUARE FEET 37889,B100000,00000,0200,00003SQUARE FEET 37889,B100000,00000,0300,00003GROSS SALARIES 37889,B100000,00000,0400,00003ACCUM COST 37889,B100000,00000,0500,00003SQUARE FEET 37889,B100000,00000,0600,00003POUNDS OF LAUNDRY 37889,B100000,00000,0700,00003HOURS OF SERVICE 37889,B100000,00000,0800,00003MEALS SERVED 37889,B100000,00000,0801,00003FTES 37889,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 37889,B100000,00000,1000,00003COSTED REQUISITIO 37889,B100000,00000,1100,00003COSTED REQUISITIO 37889,B100000,00000,1200,00003TIME SPENT 37889,B100000,00000,1300,00003TIME SPENT 37889,B100000,00000,1301,00003TIME SPENT 37889,B100000,00000,1350,00003TIME SPENT 37889,B100000,00000,1400,00003ASSIGNED TIME 37889,E10A180,00301,0100,09/17/1999 37889,E10A180,00302,0100,05/10/2000 37889,E10A180,00501,0100,06/07/2000 37889,E10A180,00501,0300,06/07/2000 37889,E10A180,00550,0100,07/06/2001 37889,E10A180,00550,0300,07/06/2001 37889,H510100,00000,0000,5600 37889,H510100,02400,0000,5600 37889,H520100,00000,0000,5600 37889,H520100,02400,0000,5600 37889,H710000,00501,0100,08/14/2000 37889,H710000,00550,0100,06/07/2000 37889,H710000,00551,0100,07/25/2000 37889,H710000,00552,0100,07/06/2001 37889,H720000,00501,0100,06/07/2000 37889,H720000,00550,0100,07/06/2001 37889,S000000,00100,0200,07/12/2000 37889,S200000,00100,0100,7TH AVENUE 37889,S200000,00200,0100,BROOKLYN NEW YORK 11220 37889,S200000,00300,0100,KINGS 37889,S200000,00400,0100,METROPOLITAN JEWISH GERIATRIC CENTER 37889,S200000,00400,0200,335513 37889,S200000,00400,0300,01/01/1976 37889,S200000,00400,0500,P 37889,S200000,00800,0200,337176 37889,S200000,00800,0300,07/05/1979 37889,S200000,00800,0500,P 37889,S200000,00801,0200,337297 37889,S200000,00801,0300,12/22/1993 37889,S200000,00801,0500,O 37889,S200000,01500,0100,Y 37889,S200000,02900,0100,Y 37889,S200000,03000,0100,Y 37889,S410002,01300,0000,OTHER 37892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37892,A000000,00300,0000,00300EMPLOYEE BENEFITS 37892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37892,A000000,00700,0000,00700HOUSEKEEPING 37892,A000000,00800,0000,00800DIETARY 37892,A000000,00900,0000,00900NURSING ADMINISTRATION 37892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37892,A000000,01100,0000,01100PHARMACY 37892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37892,A000000,01300,0000,01300SOCIAL SERVICE 37892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37892,A000000,01600,0000,01600SKILLED NURSING FACILITY 37892,A000000,01810,0000,01810ICF/MR 37892,A000000,02100,0000,02100RADIOLOGY 37892,A000000,02200,0000,02200LABORATORY 37892,A000000,02500,0000,02500PHYSICAL THERAPY 37892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37892,A000000,02700,0000,02700SPEECH PATHOLOGY 37892,A000000,02800,0000,02800ELECTROCARDIOLOGY 37892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37892,A000000,03550,0000,03550FQHC 37892,A000000,04800,0000,04800AMBULANCE 37892,A000000,05000,0000,05000CORF 37892,A000000,05010,0000,05010CMHC 37892,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37892,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37892,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37892,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37892,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37892,A000000,06151,0000,06301DENTAL 37892,B100000,00000,0100,00001SQUARE FEET 37892,B100000,00000,0200,00001SQUARE FEET 37892,B100000,00000,0300,00001GROSS SALARIES 37892,B100000,00000,0400,00001ACCUM COST 37892,B100000,00000,0500,00001SQUARE FEET 37892,B100000,00000,0600,00001POUNDS OF LAUNDRY 37892,B100000,00000,0700,00001HOURS OF SERVICE 37892,B100000,00000,0800,00001MEALS SERVED 37892,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37892,B100000,00000,1000,00001COSTED REQUISITIO 37892,B100000,00000,1100,00001COSTED REQUISITIO 37892,B100000,00000,1200,00001TIME SPENT 37892,B100000,00000,1300,00001TIME SPENT 37892,B100000,00000,1400,00001ASSIGNED TIME 37892,E10A180,00301,0100,05/10/2000 37892,E10A180,00550,0100,06/07/2000 37892,S000000,00100,0200,05/31/2000 37892,S200000,00100,0100,1360 HIGHWAY 112 37892,S200000,00200,0100,PORT JEFFERSON 37892,S200000,00200,0200,NY 37892,S200000,00300,0100,SUFFOLK 37892,S200000,00400,0100,WOODHAVEN NURSING HOME 37892,S200000,00400,0200,335514 37892,S200000,00400,0300,06/01/1976 37892,S200000,00400,0500,P 37892,S200000,01500,0100,Y 37892,S200000,04300,0100,Y 37895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37895,A000000,00300,0000,00300EMPLOYEE BENEFITS 37895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37895,A000000,00700,0000,00700HOUSEKEEPING 37895,A000000,00800,0000,00800DIETARY 37895,A000000,00900,0000,00900NURSING ADMINISTRATION 37895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37895,A000000,01100,0000,01100PHARMACY 37895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37895,A000000,01300,0000,01300SOCIAL SERVICE 37895,A000000,01350,0000,01500OTHER GENERAL SERVICES 37895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37895,A000000,01600,0000,01600SKILLED NURSING FACILITY 37895,A000000,01810,0000,01810ICF/MR 37895,A000000,02100,0000,02100RADIOLOGY 37895,A000000,02200,0000,02200LABORATORY 37895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 37895,A000000,02500,0000,02500PHYSICAL THERAPY 37895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37895,A000000,02700,0000,02700SPEECH PATHOLOGY 37895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37895,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37895,A000000,03201,0000,03201CLINITRON THERAPY 37895,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37895,A000000,03550,0000,03550FQHC 37895,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37895,A000000,04800,0000,04800AMBULANCE 37895,A000000,05000,0000,05000CORF 37895,A000000,05010,0000,05010CMHC 37895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37895,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37895,B100000,00000,0100,00000SQUARE FEET 37895,B100000,00000,0200,00000DOLLAR VALUE 37895,B100000,00000,0300,00000GROSS SALARIES 37895,B100000,00000,0400,00000ACCUM. COST 37895,B100000,00000,0500,00000SQUARE FEET 37895,B100000,00000,0600,00000POUNDS OF LAUNDRY 37895,B100000,00000,0700,00000HOURS WORKED 37895,B100000,00000,0800,00000MEALS SERVED 37895,B100000,00000,0900,00000HOURS OF SERVICE 37895,B100000,00000,1000,00000COSTED REQUIS. 37895,B100000,00000,1100,00000COSTED REQUIS. 37895,B100000,00000,1200,00000TIME SPENT 37895,B100000,00000,1300,00000TIME SPENT 37895,B100000,00000,1350,00000NO STATISTICS 37895,B100000,00000,1400,00000TIME SPENT 37895,E10A180,00301,0100,05/10/2000 37895,S000000,00100,0200,05/25/2000 37895,S200000,00100,0100,140 ST. EDWARDS STREET 37895,S200000,00200,0100,BROOKLYN 37895,S200000,00200,0200,NY 37895,S200000,00200,0300,11201 37895,S200000,00300,0100,KINGS 37895,S200000,00400,0100,GREENPARK CARE CENTER INC. 37895,S200000,00400,0200,335516 37895,S200000,00400,0300,02/01/1976 37895,S200000,00400,0500,P 37895,S200000,01500,0100,Y 37902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37902,A000000,00300,0000,00300EMPLOYEE BENEFITS 37902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37902,A000000,00700,0000,00700HOUSEKEEPING 37902,A000000,00800,0000,00800DIETARY 37902,A000000,00900,0000,00900NURSING ADMINISTRATION 37902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37902,A000000,01100,0000,01100PHARMACY 37902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37902,A000000,01300,0000,01300SOCIAL SERVICE 37902,A000000,01350,0000,01500OTHER GENERAL SERVICES 37902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37902,A000000,01600,0000,01600SKILLED NURSING FACILITY 37902,A000000,01810,0000,01810ICF/MR 37902,A000000,02100,0000,02100RADIOLOGY 37902,A000000,02200,0000,02200LABORATORY 37902,A000000,02500,0000,02500PHYSICAL THERAPY 37902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37902,A000000,02700,0000,02700SPEECH PATHOLOGY 37902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37902,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37902,A000000,03550,0000,03550FQHC 37902,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37902,A000000,05000,0000,05000CORF 37902,A000000,05010,0000,05010CMHC 37902,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37902,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37902,B100000,00000,0100,00000SQUARE FEET 37902,B100000,00000,0200,00000DOLLAR VALUE 37902,B100000,00000,0300,00000GROSS SALARIES 37902,B100000,00000,0400,00000ACCUM. COST 37902,B100000,00000,0500,00000SQUARE FEET 37902,B100000,00000,0600,00000POUNDS OF LAUNDRY 37902,B100000,00000,0700,00000HOURS OF SERVICE 37902,B100000,00000,0800,00000MEALS SERVED 37902,B100000,00000,0900,00000HOURS OF SERVICE 37902,B100000,00000,1000,00000COSTED REQUIS. 37902,B100000,00000,1100,00000COSTED REQUIS. 37902,B100000,00000,1200,00000TIME SPENT 37902,B100000,00000,1300,00000TIME SPENT 37902,B100000,00000,1350,00000NO STATISTICS 37902,B100000,00000,1400,00000TIME SPENT 37902,E10A180,00301,0100,05/09/2000 37902,E10A180,00350,0100,01/18/2000 37902,E10A180,00550,0100,06/15/2000 37902,S000000,00100,0200,06/05/2000 37902,S200000,00100,0100,25 BIALYSTOKER PLACE 37902,S200000,00200,0100,NEW YORK 37902,S200000,00200,0200,NY 37902,S200000,00300,0100,NYC 37902,S200000,00400,0100,HOME OF THE SAGES OF ISRAEL 37902,S200000,00400,0200,335517 37902,S200000,00400,0300,03/01/1976 37902,S200000,00400,0500,P 37902,S200000,01500,0100,Y 37912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37912,A000000,00300,0000,00300EMPLOYEE BENEFITS 37912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37912,A000000,00501,0000,00501PLANT OPERATIONS: SECURITY 37912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37912,A000000,00700,0000,00700HOUSEKEEPING 37912,A000000,00800,0000,00800DIETARY 37912,A000000,00900,0000,00900NURSING ADMINISTRATION 37912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37912,A000000,01100,0000,01100PHARMACY 37912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37912,A000000,01300,0000,01300SOCIAL SERVICE 37912,A000000,01350,0000,01500ACTIVITIES 37912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37912,A000000,01600,0000,01600SKILLED NURSING FACILITY 37912,A000000,01810,0000,01810ICF/MR 37912,A000000,02500,0000,02500PHYSICAL THERAPY 37912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37912,A000000,02700,0000,02700SPEECH PATHOLOGY 37912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37912,A000000,03050,0000,03300DENTAL 37912,A000000,03550,0000,03550FQHC 37912,A000000,05000,0000,05000CORF 37912,A000000,05010,0000,05010CMHC 37912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37912,A81000A,00100,0100,Y 37912,A81000B,00100,0300,CENTRAL SERVICE COST 37912,A81000C,00100,0100,G 37912,A81000C,00100,0200,SARATOGA COUNTY 37912,A81000C,00100,0400,SARATOGA COUNTY 37912,A81000C,00100,0600,COUNTY GOVERNME 37912,B100000,00000,0100,00000SQUARE FEET 37912,B100000,00000,0200,00000SQUARE FEET 37912,B100000,00000,0300,00000GROSS SALARIES 37912,B100000,00000,0400,00000ACCUM COST 37912,B100000,00000,0500,00000SQUARE FEET 37912,B100000,00000,0501,00000GROSS SALARIES 37912,B100000,00000,0600,00000POUNDS OF LAUNDRY 37912,B100000,00000,0700,00000HOURS OF SERVICE 37912,B100000,00000,0800,00000MEALS SERVED 37912,B100000,00000,0900,00000DIRECT NRSG HRS 37912,B100000,00000,1000,00000COSTED REQUIS 37912,B100000,00000,1100,00000COSTED REQUIS 37912,B100000,00000,1200,00000TIME SPENT 37912,B100000,00000,1300,00000TIME SPENT 37912,B100000,00000,1350,00000TIME SPENT 37912,B100000,00000,1400,00000ASSIGNED TIME 37912,E10A180,00301,0100,01/18/2000 37912,E10A180,00302,0100,05/09/2000 37912,S000000,00100,0200,06/05/2000 37912,S200000,00100,0100,149 BALLSTON AVENUE 37912,S200000,00200,0100,BALLSTON SPA 37912,S200000,00200,0200,NY 37912,S200000,00200,0300,12020 37912,S200000,00300,0100,SARATOGA 37912,S200000,00400,0100,SARATOGA COUNTY MAPLEWOOD MANOR 37912,S200000,00400,0200,335518 37912,S200000,00400,0300,07/01/1976 37912,S200000,00400,0500,P 37912,S200000,01500,0100,Y 37921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37921,A000000,00300,0000,00300EMPLOYEE BENEFITS 37921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37921,A000000,00700,0000,00700HOUSEKEEPING 37921,A000000,00800,0000,00800DIETARY 37921,A000000,00900,0000,00900NURSING ADMINISTRATION 37921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37921,A000000,01100,0000,01100PHARMACY 37921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37921,A000000,01300,0000,01300SOCIAL SERVICE 37921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37921,A000000,01600,0000,01600SKILLED NURSING FACILITY 37921,A000000,01810,0000,01810ICF/MR 37921,A000000,02500,0000,02500PHYSICAL THERAPY 37921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37921,A000000,02700,0000,02700SPEECH PATHOLOGY 37921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37921,A000000,03200,0000,03200SUPPORT SURFACES 37921,A000000,03550,0000,03550FQHC 37921,A000000,05000,0000,05000CORF 37921,A000000,05010,0000,05010CMHC 37921,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37921,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37921,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37921,B100000,00000,0100,00040SQUARE FEET 37921,B100000,00000,0200,00040SQUARE FEET 37921,B100000,00000,0300,00040GROSS SALARIES 37921,B100000,00000,0400,00040ACCUM COST 37921,B100000,00000,0500,00040SQUARE FEET 37921,B100000,00000,0600,00040POUNDS OF LAUNDRY 37921,B100000,00000,0700,00040HOURS OF SERVICE 37921,B100000,00000,0800,00040MEALS SERVED 37921,B100000,00000,0900,00040DIRECT NRSG HRS 37921,B100000,00000,1000,00040COSTED REQUIS 37921,B100000,00000,1100,00040COSTED REQUIS 37921,B100000,00000,1200,00040TIME SPENT 37921,B100000,00000,1300,00040TIME SPENT 37921,B100000,00000,1400,00040ASSIGNED TIME 37921,E10A180,00301,0100,05/09/2000 37921,S000000,00100,0200,05/31/2000 37921,S200000,00100,0100,845 RTES 5 & 20 37921,S200000,00200,0100,IRVING 37921,S200000,00200,0200,NY 37921,S200000,00200,0300,14081 37921,S200000,00300,0100,CHAUTAUQUA 37921,S200000,00400,0100,LAKE SHORE NURSING HOME INC. 37921,S200000,00400,0200,335519 37921,S200000,00400,0300,07/01/1976 37921,S200000,00400,0500,P 37921,S200000,01500,0100,Y 37921,S200000,01900,0100,NON-PROFIT PUBLIC BENEFIT 37930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37930,A000000,00300,0000,00300EMPLOYEE BENEFITS 37930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37930,A000000,00700,0000,00700HOUSEKEEPING 37930,A000000,00800,0000,00800DIETARY 37930,A000000,00900,0000,00900NURSING ADMINISTRATION 37930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37930,A000000,01100,0000,01100PHARMACY 37930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37930,A000000,01300,0000,01300SOCIAL SERVICE 37930,A000000,01350,0000,01500OTHER GENERAL SERVICES 37930,A000000,01351,0000,01501RECREATIONAL ACTIVITIES 37930,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENT 37930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37930,A000000,01600,0000,01600SKILLED NURSING FACILITY 37930,A000000,01810,0000,01810ICF/MR 37930,A000000,02100,0000,02100RADIOLOGY 37930,A000000,02200,0000,02200LABORATORY 37930,A000000,02500,0000,02500PHYSICAL THERAPY 37930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37930,A000000,02700,0000,02700SPEECH PATHOLOGY 37930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37930,A000000,03550,0000,03550FQHC 37930,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37930,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37930,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37930,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37930,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37930,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37930,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37930,A000000,05000,0000,05000CORF 37930,A000000,05010,0000,05010CMHC 37930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37930,A000000,05300,0000,05300INTEREST EXPENSE 37930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37930,A81000A,00100,0100,Y 37930,A81000B,00100,0300,DRUGS SUPPLIES 37930,A81000B,00200,0300,CONSULTANT PHARMACIST 37930,A81000B,00300,0300,THERAPY SVCS 37930,A81000B,00400,0300,THERAPY SVCS 37930,A81000B,00500,0300,THERAPY SVCS 37930,A81000B,00600,0300,DENTAL SVCS 37930,A81000B,00700,0300,CONSULTING 37930,A81000B,00800,0300,BLDG USE FEE 37930,A81000B,00900,0300,HHA PT SVC 37930,A81000B,01900,0300,NURSING HHA 37930,A81000C,00100,0100,G 37930,A81000C,00100,0400,UHS HOSPITALS 37930,A81000C,00100,0600,HOSPITAL 37930,A81000C,00200,0100,G 37930,A81000C,00200,0400,UHS HOSPITAL 37930,A81000C,00200,0600,HOSPITAL 37930,A81000C,00300,0100,G 37930,A81000C,00300,0400,UHS HOSPITALS 37930,A81000C,00300,0600,HOSPITAL 37930,A81000C,00400,0100,G 37930,A81000C,00400,0400,UHS HOSPITALS 37930,A81000C,00400,0600,HOSPITAL 37930,A81000C,00500,0100,G 37930,A81000C,00500,0400,UHS HOSPITALS 37930,A81000C,00500,0600,HOSPITAL 37930,A81000C,00600,0100,G 37930,A81000C,00600,0400,UHS HOSPITALS 37930,A81000C,00600,0600,HOSPITAL 37930,A81000C,00700,0100,G 37930,A81000C,00700,0400,UHS INC 37930,A81000C,00700,0600,HEALTH CARE 37930,A81000C,00800,0100,G 37930,A81000C,00800,0400,ISLCHC 37930,A81000C,00800,0600,ELDERLY HOUSING 37930,A81000C,00900,0100,G 37930,A81000C,00900,0400,UHS HOSPITALS 37930,A81000C,00900,0600,HOSPITALS 37930,A81000C,01000,0100,G 37930,A81000C,01000,0400,PROFESSIONAL HOME CARE 37930,A81000C,01000,0600,HOME CARE COMPANY 37930,B100000,00000,0100,00000SQUARE FEET 37930,B100000,00000,0200,00000DOLLAR VALUE 37930,B100000,00000,0300,00000GROSS SALARIES 37930,B100000,00000,0400,00000ACCUM. COST 37930,B100000,00000,0500,00000SQUARE FEET 37930,B100000,00000,0600,00000POUNDS OF LAUNDRY 37930,B100000,00000,0700,00000HOURS OF SERVICE 37930,B100000,00000,0800,00000MEALS SERVED 37930,B100000,00000,0900,00000DIRECT NRSING HRS 37930,B100000,00000,1000,00000COSTED REQUIS. 37930,B100000,00000,1100,00000COSTED REQUIS. 37930,B100000,00000,1200,00000SPENT 37930,B100000,00000,1300,00000TIME SPENT 37930,B100000,00000,1350,00000NO STATISTICS 37930,B100000,00000,1351,00000TIME SPENT 37930,B100000,00000,1352,00000TIME SPENT 37930,B100000,00000,1400,00000ASSIGNED TIME 37930,E10A180,00301,0100,05/09/2000 37930,E10A180,00350,0100,02/14/2000 37930,H510100,00000,0000,960 37930,H510100,02400,0000,960 37930,H710000,00550,0100,07/24/2000 37930,S000000,00100,0200,05/30/2000 37930,S200000,00100,0100,508 HIGH AVENUE 37930,S200000,00200,0100,ENDICOTT 37930,S200000,00200,0200,NY 37930,S200000,00200,0300,13760 37930,S200000,00300,0100,BROOME 37930,S200000,00400,0100,IDEAL SENIOR LIVING CENTER 37930,S200000,00400,0200,335520 37930,S200000,00400,0300,05/03/1976 37930,S200000,00400,0500,P 37930,S200000,00400,0600,O 37930,S200000,00800,0200,337215 37930,S200000,00800,0300,12/31/1985 37930,S200000,00800,0500,P 37930,S200000,00800,0600,P 37930,S200000,01500,0100,Y 37930,S410002,01300,0000,PCA/HSKPR 37938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37938,A000000,00300,0000,00300EMPLOYEE BENEFITS 37938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37938,A000000,00700,0000,00700HOUSEKEEPING 37938,A000000,00800,0000,00800DIETARY 37938,A000000,00900,0000,00900NURSING ADMINISTRATION 37938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37938,A000000,01100,0000,01100PHARMACY 37938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37938,A000000,01300,0000,01300SOCIAL SERVICE 37938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37938,A000000,01600,0000,01600SKILLED NURSING FACILITY 37938,A000000,01810,0000,01810ICF/MR 37938,A000000,02500,0000,02500PHYSICAL THERAPY 37938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37938,A000000,02700,0000,02700SPEECH PATHOLOGY 37938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37938,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37938,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37938,A000000,03550,0000,03550FQHC 37938,A000000,05000,0000,05000CORF 37938,A000000,05010,0000,05010CMHC 37938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37938,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37938,A81000A,00100,0100,Y 37938,A81000B,00100,0300,MEDICAL SUPPLIES 37938,A81000B,00200,0300,TELEPHONE SERVICE 37938,A81000B,00300,0300,SECURITY SERVICE 37938,A81000B,00400,0300,FINANCE SERVICES 37938,A81000B,00500,0300,BILLING SERVICES 37938,A81000B,00600,0300,ADMIN SERVICES 37938,A81000B,00700,0300,POSTAGE 37938,A81000B,00800,0300,BANK FEES 37938,A81000B,00900,0300,SPEECH PATHOLOGY 37938,A81000B,01000,0300,DENTAL 37938,A81000C,00100,0100,B 37938,A81000C,00100,0200,LMC 37938,B100000,00000,0100,00000SQUARE FEET 37938,B100000,00000,0200,00000SQUARE FEET 37938,B100000,00000,0300,00000GROSS SALARIES 37938,B100000,00000,0400,00000ACCUM COST 37938,B100000,00000,0500,00000SQUARE FEET 37938,B100000,00000,0600,00000POUNDS OF LAUNDRY 37938,B100000,00000,0700,00000HOURS OF SERVICE 37938,B100000,00000,0800,00000MEALS SERVED 37938,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37938,B100000,00000,1000,00000COSTED REQUISITIO 37938,B100000,00000,1100,00000COSTED REQUISITIO 37938,B100000,00000,1200,00000TIME SPENT 37938,B100000,00000,1300,00000TIME SPENT 37938,B100000,00000,1400,00000ASSIGNED TIME 37938,E10A180,00301,0100,05/09/2000 37938,E10A180,00350,0100,01/18/2000 37938,S000000,00100,0200,06/19/2000 37938,S200000,00100,0100,5434 SECOND AVENUE 37938,S200000,00200,0100,BROOKLYN 37938,S200000,00200,0200,NY 37938,S200000,00200,0300,11220 37938,S200000,00300,0100,KINGS 37938,S200000,00400,0100,AUGUSTANA LUTHERAN HOME FOR AGED 37938,S200000,00400,0200,335521 37938,S200000,00400,0300,04/01/1976 37938,S200000,00400,0500,P 37938,S200000,01500,0100,Y 37938,S200000,01900,0100,OTHER (SPECIFY) 37938,S200000,04300,0100,Y 37943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37943,A000000,00300,0000,00300EMPLOYEE BENEFITS 37943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37943,A000000,00700,0000,00700HOUSEKEEPING 37943,A000000,00800,0000,00800DIETARY 37943,A000000,00900,0000,00900NURSING ADMINISTRATION 37943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37943,A000000,01100,0000,01100PHARMACY 37943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37943,A000000,01300,0000,01300SOCIAL SERVICE 37943,A000000,01350,0000,01500ACTIVITIES 37943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37943,A000000,01600,0000,01600SKILLED NURSING FACILITY 37943,A000000,01810,0000,01810ICF/MR 37943,A000000,02500,0000,02500PHYSICAL THERAPY 37943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37943,A000000,02700,0000,02700SPEECH PATHOLOGY 37943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37943,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37943,A000000,03200,0000,03200SUPPORT SURFACES 37943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37943,A000000,03550,0000,03550FQHC 37943,A000000,05000,0000,05000CORF 37943,A000000,05010,0000,05010CMHC 37943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37943,A000000,05300,0000,05300INTEREST EXPENSE 37943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37943,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37943,B100000,00000,0100,00000SQUARE FEET 37943,B100000,00000,0200,00000SQUARE FEET 37943,B100000,00000,0300,00000GROSS SALARIES 37943,B100000,00000,0400,00000ACCUM COST 37943,B100000,00000,0500,00000SQUARE FEET 37943,B100000,00000,0600,00000POUNDS OF LAUNDRY 37943,B100000,00000,0700,00000HOURS OF SERVICE 37943,B100000,00000,0800,00000MEALS SERVED 37943,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37943,B100000,00000,1000,00000COSTED REQUISITIO 37943,B100000,00000,1100,00000COSTED REQUISITIO 37943,B100000,00000,1200,00000TIME SPENT 37943,B100000,00000,1300,00000TIME SPENT 37943,B100000,00000,1350,00000TIME SPENT 37943,B100000,00000,1400,00000ASSIGNED TIME 37943,E10A180,00301,0100,05/10/2000 37943,S000000,00100,0200,05/31/2000 37943,S200000,00100,0100,30 W 138 STREET 37943,S200000,00200,0100,NEW YORK NY 10037 37943,S200000,00300,0100,NEW YORK CITY 37943,S200000,00400,0100,GREATER HARLEM NURSING HOME 37943,S200000,00400,0200,335522 37943,S200000,00400,0300,02/04/1976 37943,S200000,00400,0500,P 37943,S200000,01500,0100,Y 37943,S200000,03300,0100,Y 37951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37951,A000000,00300,0000,00300EMPLOYEE BENEFITS 37951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37951,A000000,00700,0000,00700HOUSEKEEPING 37951,A000000,00800,0000,00800DIETARY 37951,A000000,00900,0000,00900NURSING ADMINISTRATION 37951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37951,A000000,01100,0000,01100PHARMACY 37951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37951,A000000,01300,0000,01300SOCIAL SERVICE 37951,A000000,01350,0000,01500ACTIVITIES 37951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37951,A000000,01600,0000,01600SKILLED NURSING FACILITY 37951,A000000,01810,0000,01810ICF/MR 37951,A000000,02100,0000,02100RADIOLOGY 37951,A000000,02200,0000,02200LABORATORY 37951,A000000,02500,0000,02500PHYSICAL THERAPY 37951,A000000,02700,0000,02700SPEECH PATHOLOGY 37951,A000000,02800,0000,02800ELECTROCARDIOLOGY 37951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37951,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37951,A000000,03550,0000,03550FQHC 37951,A000000,05000,0000,05000CORF 37951,A000000,05010,0000,05010CMHC 37951,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37951,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37951,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37951,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37951,B100000,00000,0100,00000SQUARE FEET 37951,B100000,00000,0200,00000SQUARE FEET 37951,B100000,00000,0300,00000GROSS SALARIES 37951,B100000,00000,0400,00000ACCUM COST 37951,B100000,00000,0500,00000SQUARE FEET 37951,B100000,00000,0600,00000POUNDS OF LAUNDRY 37951,B100000,00000,0700,00000HOURS OF SERVICE 37951,B100000,00000,0800,00000MEALS SERVED 37951,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37951,B100000,00000,1000,00000COSTED REQUISITIO 37951,B100000,00000,1100,00000COSTED REQUISITIO 37951,B100000,00000,1200,00000TIME SPENT 37951,B100000,00000,1300,00000TIME SPENT 37951,B100000,00000,1350,00000SQUARE FEET 37951,B100000,00000,1400,00000ASSIGNED TIME 37951,S000000,00100,0200,09/06/2000 37951,S200000,00100,0100,1270 67 STREET 37951,S200000,00200,0100,BROOKLYN NY 11219 37951,S200000,00300,0100,KINGS 37951,S200000,00400,0100,THE NORWEGIAN CHRISTIAN HOME 37951,S200000,00400,0200,335523 37951,S200000,00400,0300,07/01/1976 37951,S200000,00400,0500,P 37951,S200000,01500,0100,Y 37951,S200000,01900,0100,OTHER (SPECIFY) 37951,S200000,02100,0100,A 37951,S200000,04300,0100,Y 37961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37961,A000000,00300,0000,00300EMPLOYEE BENEFITS 37961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37961,A000000,00700,0000,00700HOUSEKEEPING 37961,A000000,00800,0000,00800DIETARY 37961,A000000,00801,0000,00801CAFETERIA 37961,A000000,00900,0000,00900NURSING ADMINISTRATION 37961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37961,A000000,01100,0000,01100PHARMACY 37961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37961,A000000,01300,0000,01300SOCIAL SERVICE 37961,A000000,01350,0000,01500ACTIVITIES 37961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37961,A000000,01600,0000,01600SKILLED NURSING FACILITY 37961,A000000,01810,0000,01810ICF/MR 37961,A000000,02100,0000,02100RADIOLOGY 37961,A000000,02200,0000,02200LABORATORY 37961,A000000,02500,0000,02500PHYSICAL THERAPY 37961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37961,A000000,02700,0000,02700SPEECH PATHOLOGY 37961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37961,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37961,A000000,03550,0000,03550FQHC 37961,A000000,05000,0000,05000CORF 37961,A000000,05010,0000,05010CMHC 37961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37961,A000000,05300,0000,05300INTEREST EXPENSE 37961,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37961,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 37961,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37961,A000000,06201,0000,06201DENTAL 37961,B100000,00000,0100,00000SQUARE FEET 37961,B100000,00000,0200,00000SQUARE FEET 37961,B100000,00000,0300,00000GROSS SALARIES 37961,B100000,00000,0400,00000ACCUM COST 37961,B100000,00000,0500,00000SQUARE FEET 37961,B100000,00000,0600,00000POUNDS OF LAUNDRY 37961,B100000,00000,0700,00000HOURS OF SERVICE 37961,B100000,00000,0800,00000MEALS SERVED 37961,B100000,00000,0801,00000MEALS SERVED 37961,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37961,B100000,00000,1000,00000COSTED REQUISITIO 37961,B100000,00000,1100,00000COSTED REQUISITIO 37961,B100000,00000,1200,00000TIME SPENT 37961,B100000,00000,1300,00000TIME SPENT 37961,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37961,B100000,00000,1400,00000ASSIGNED TIME 37961,E10A180,00350,0100,01/01/2000 37961,S000000,00100,0200,05/31/2000 37961,S200000,00100,0100,4499 MANHATTAN COLLEGE PARKWAY 37961,S200000,00200,0100,BRONX 37961,S200000,00200,0200,NY 37961,S200000,00200,0300,10471 37961,S200000,00300,0100,NEW YORK 37961,S200000,00400,0100,METHODIST CHURCH HM FOR THE AGED 37961,S200000,00400,0200,335524 37961,S200000,00400,0300,07/01/1976 37961,S200000,00400,0500,P 37961,S200000,01500,0100,Y 37969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37969,A000000,00300,0000,00300EMPLOYEE BENEFITS 37969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37969,A000000,00700,0000,00700HOUSEKEEPING 37969,A000000,00800,0000,00800DIETARY 37969,A000000,00900,0000,00900NURSING ADMINISTRATION 37969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37969,A000000,01100,0000,01100PHARMACY 37969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37969,A000000,01300,0000,01300SOCIAL SERVICE 37969,A000000,01350,0000,01500OTHER GENERAL SERVICES 37969,A000000,01351,0000,01501MEDICAL DIRECTOR 37969,A000000,01352,0000,01502MAINTENACE OF RELIGIOUS STAFF 37969,A000000,01353,0000,01503PSYCHIATRIC 37969,A000000,01354,0000,01504OTHER GENERAL SERVICE COST CENT 37969,A000000,01355,0000,01505OTHER GENERAL SERVICE COST CENT 37969,A000000,01356,0000,01506OTHER GENERAL SERVICE COST CENT 37969,A000000,01357,0000,01507OTHER GENERAL SERVICE COST CENT 37969,A000000,01358,0000,01508OTHER GENERAL SERVICE COST CENT 37969,A000000,01359,0000,01509OTHER GENERAL SERVICE COST CENT 37969,A000000,01360,0000,01510OTHER GENERAL SERVICE COST CENT 37969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37969,A000000,01600,0000,01600SKILLED NURSING FACILITY 37969,A000000,01810,0000,01810ICF/MR 37969,A000000,02500,0000,02500PHYSICAL THERAPY 37969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37969,A000000,02700,0000,02700SPEECH PATHOLOGY 37969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37969,A000000,03051,0000,03301ACTIVITIES 37969,A000000,03052,0000,03302RESIDENT TRANSPORTATION 37969,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 37969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37969,A000000,03550,0000,03550FQHC 37969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37969,A000000,05000,0000,05000CORF 37969,A000000,05010,0000,05010CMHC 37969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37969,A000000,05300,0000,05300INTEREST EXPENSE 37969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37969,B100000,00000,0100,00000SQUARE FEET 37969,B100000,00000,0200,00000DOLLAR VALUE 37969,B100000,00000,0300,00000GROSS SALARIES 37969,B100000,00000,0400,00000ACCUM. COST 37969,B100000,00000,0500,00000FEET 37969,B100000,00000,0600,00000POUNDS OF LAUNDRY 37969,B100000,00000,0700,00000HOURS OF SERVICE 37969,B100000,00000,0800,00000MEALS SERVED 37969,B100000,00000,0900,00000DIRECT NRSING HRS 37969,B100000,00000,1000,00000COSTED REQUIS. 37969,B100000,00000,1100,00000COSTED REQUIS. 37969,B100000,00000,1200,00000TIME SPENT 37969,B100000,00000,1300,00000TIME SPENT 37969,B100000,00000,1350,00000NO STATISTICS 37969,B100000,00000,1351,00000ACCUM. COST 37969,B100000,00000,1352,00000ACCUM. COST 37969,B100000,00000,1353,00000ACCUM. COST 37969,B100000,00000,1354,00000NO STATISTICS 37969,B100000,00000,1355,00000COST 37969,B100000,00000,1356,00000COST 37969,B100000,00000,1357,00000COST 37969,B100000,00000,1358,00000ACCUM. COST 37969,B100000,00000,1359,00000ACCUM. COST 37969,B100000,00000,1360,00000ACCUM. COST 37969,B100000,00000,1400,00000ASSIGNED TIME 37969,E10A180,00301,0100,05/09/2000 37969,E10A180,00550,0100,06/23/2000 37969,S000000,00100,0200,06/16/2000 37969,S200000,00100,0100,90 NORTH MAIN STREET 37969,S200000,00200,0100,CASTLETON-ON-HUDSON 37969,S200000,00200,0200,NY 37969,S200000,00200,0300,12033 37969,S200000,00300,0100,RENSSELEAR 37969,S200000,00400,0100,RESURRECTION REST HOME 37969,S200000,00400,0200,335525 37969,S200000,00400,0300,06/01/1976 37969,S200000,00400,0500,P 37969,S200000,01500,0100,Y 37973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37973,A000000,00300,0000,00300EMPLOYEE BENEFITS 37973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37973,A000000,00700,0000,00700HOUSEKEEPING 37973,A000000,00800,0000,00800DIETARY 37973,A000000,00900,0000,00900NURSING ADMINISTRATION 37973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37973,A000000,01100,0000,01100PHARMACY 37973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37973,A000000,01300,0000,01300SOCIAL SERVICE 37973,A000000,01350,0000,01500ACTIVITIES 37973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37973,A000000,01600,0000,01600SKILLED NURSING FACILITY 37973,A000000,01810,0000,01810ICF/MR 37973,A000000,02200,0000,02200LABORATORY 37973,A000000,02500,0000,02500PHYSICAL THERAPY 37973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37973,A000000,02700,0000,02700SPEECH PATHOLOGY 37973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37973,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37973,A000000,03550,0000,03550FQHC 37973,A000000,05000,0000,05000CORF 37973,A000000,05010,0000,05010CMHC 37973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37973,A000000,05300,0000,05300INTEREST EXPENSE 37973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37973,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37973,A000000,06201,0000,06201DENTAL 37973,B100000,00000,0100,00000SQUARE FEET 37973,B100000,00000,0200,00000SQUARE FEET 37973,B100000,00000,0300,00000GROSS SALARIES 37973,B100000,00000,0400,00000ACCUM COST 37973,B100000,00000,0500,00000SQUARE FEET 37973,B100000,00000,0600,00000POUNDS OF LAUNDRY 37973,B100000,00000,0700,00000HOURS OF SERVICE 37973,B100000,00000,0800,00000MEALS SERVED 37973,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 37973,B100000,00000,1000,00000COSTED REQUISITIO 37973,B100000,00000,1100,00000COSTED REQUISITIO 37973,B100000,00000,1200,00000TIME SPENT 37973,B100000,00000,1300,00000TIME SPENT 37973,B100000,00000,1350,00000NUMBER OF PARTICIPAN 37973,B100000,00000,1400,00000ASSIGNED TIME 37973,E10A180,00301,0100,05/10/2000 37973,E10A180,00302,0100,05/10/2000 37973,S000000,00100,0200,06/26/2000 37973,S200000,00100,0100,120 HIGHLAND AVENUE 37973,S200000,00200,0100,MIDDLETOWN 37973,S200000,00200,0200,NY 37973,S200000,00200,0300,10940 37973,S200000,00300,0100,ORANGE 37973,S200000,00400,0100,ST. TERESAS NURSING HOME INC 37973,S200000,00400,0200,335526 37973,S200000,00400,0300,07/01/1976 37973,S200000,00400,0500,P 37973,S200000,01500,0100,Y 37977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37977,A000000,00300,0000,00300EMPLOYEE BENEFITS 37977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37977,A000000,00700,0000,00700HOUSEKEEPING 37977,A000000,00800,0000,00800DIETARY 37977,A000000,00801,0000,00801STAFF DINING ROOM 37977,A000000,00900,0000,00900NURSING ADMINISTRATION 37977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37977,A000000,01100,0000,01100PHARMACY 37977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37977,A000000,01300,0000,01300SOCIAL SERVICE 37977,A000000,01350,0000,01500OTHER GENERAL SERVICES 37977,A000000,01351,0000,01501ACTIVITIES 37977,A000000,01352,0000,01502TRANSPORTATION 37977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37977,A000000,01600,0000,01600SKILLED NURSING FACILITY 37977,A000000,01810,0000,01810ICF/MR 37977,A000000,01900,0000,01900OTHER LONG TERM CARE 37977,A000000,02100,0000,02100RADIOLOGY 37977,A000000,02200,0000,02200LABORATORY 37977,A000000,02300,0000,02300INTRAVENOUS THERAPY 37977,A000000,02500,0000,02500PHYSICAL THERAPY 37977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37977,A000000,02700,0000,02700SPEECH PATHOLOGY 37977,A000000,02800,0000,02800ELECTROCARDIOLOGY 37977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37977,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 37977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 37977,A000000,03550,0000,03550FQHC 37977,A000000,04750,0000,05100OTHER REIMBURSABLE COST 37977,A000000,04800,0000,04800AMBULANCE 37977,A000000,05000,0000,05000CORF 37977,A000000,05010,0000,05010CMHC 37977,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37977,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37977,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37977,A000000,05300,0000,05300INTEREST EXPENSE 37977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37977,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 37977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37977,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 37977,A000000,06151,0000,06301DENTAL 37977,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 37977,B100000,00000,0100,00002SQUARE FEET 37977,B100000,00000,0200,00002SQUARE FEET 37977,B100000,00000,0300,00002GROSS SALARIES 37977,B100000,00000,0400,00002ACCUM. COST 37977,B100000,00000,0500,00002SQUARE FEET 37977,B100000,00000,0600,00002POUNDS OF LAUNDRY 37977,B100000,00000,0700,00002HOURS OF SERVICE 37977,B100000,00000,0800,00002MEALS SERVED 37977,B100000,00000,0801,00002NUMBER OF EMPLOYEES 37977,B100000,00000,0900,00002DIRECT NRSING HRS 37977,B100000,00000,1000,00002COSTED REQUIS. 37977,B100000,00000,1100,00002COSTED REQUIS. 37977,B100000,00000,1200,00002TIME SPENT 37977,B100000,00000,1300,00002TIME SPENT 37977,B100000,00000,1350,00002NO STATISTICS 37977,B100000,00000,1351,00002NUMBER OFPARTICIP 37977,B100000,00000,1352,00002NUMBER OF USERS 37977,B100000,00000,1400,00002ASSIGNED TIME 37977,S000000,00100,0200,11/29/2001 37977,S200000,00100,0100,80 FAIRVIEW AVENUE 37977,S200000,00200,0100,BINGHAMTON 37977,S200000,00200,0200,NY 37977,S200000,00200,0300,13904 37977,S200000,00300,0100,BROOME 37977,S200000,00400,0100,GOOD SHEPHERD FAIRVIEW HOME 37977,S200000,00400,0200,335527 37977,S200000,00400,0300,07/01/1976 37977,S200000,00400,0500,P 37977,S200000,01900,0100,ENTIRELY PART OF ACF 37977,S200000,02800,0100,Y 37986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37986,A000000,00300,0000,00300EMPLOYEE BENEFITS 37986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37986,A000000,00700,0000,00700HOUSEKEEPING 37986,A000000,00800,0000,00800DIETARY 37986,A000000,00900,0000,00900NURSING ADMINISTRATION 37986,A000000,00901,0000,00910MEDICAL DIRECTOR 37986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37986,A000000,01100,0000,01100PHARMACY 37986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37986,A000000,01300,0000,01300SOCIAL SERVICE 37986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37986,A000000,01600,0000,01600SKILLED NURSING FACILITY 37986,A000000,01810,0000,01810ICF/MR 37986,A000000,02500,0000,02500PHYSICAL THERAPY 37986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37986,A000000,02700,0000,02700SPEECH PATHOLOGY 37986,A000000,03550,0000,03550FQHC 37986,A000000,05000,0000,05000CORF 37986,A000000,05010,0000,05010CMHC 37986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37986,A000000,06201,0000,06210DENTAL 37986,A81000A,00100,0100,Y 37986,A81000B,00100,0300,LEASES AND BUILDINGS 37986,A81000C,00100,0100,A 37986,A81000C,00100,0200,WILLIAM HASSETT 37986,A81000C,00100,0400,8 MICKLE STREET 37986,A81000C,00100,0600,REAL ESTATE 37986,A81000C,00200,0100,A 37986,A81000C,00200,0200,MARGARET HASSET 37986,A81000C,00200,0400,8 MICKLE STREET 37986,A81000C,00200,0600,REAL ESTATE 37986,B100000,00000,0100,00010SQUARE FEET 37986,B100000,00000,0200,00010SQUARE FEET 37986,B100000,00000,0300,00010GROSS SALARIES 37986,B100000,00000,0400,00010ACCUM COST 37986,B100000,00000,0500,00010SQUARE FEET 37986,B100000,00000,0600,00010POUNDS OF LAUNDRY 37986,B100000,00000,0700,00010HOURS OF SERVICE 37986,B100000,00000,0800,00010MEALS SERVED 37986,B100000,00000,0900,00010DIRECT NRSG HRS 37986,B100000,00000,0910,00010HOURS OF SERVICE 37986,B100000,00000,1000,00010COSTED REQUIS 37986,B100000,00000,1100,00010COSTED REQUIS 37986,B100000,00000,1200,00010TIME SPENT 37986,B100000,00000,1300,00010TIME SPENT 37986,B100000,00000,1400,00010ASSIGNED TIME 37986,E10A180,00301,0100,02/14/2000 37986,E10A180,00302,0100,05/09/2000 37986,E10A180,00550,0100,06/23/2000 37986,E10A180,00550,0300,06/23/2000 37986,S000000,00100,0200,06/20/2000 37986,S200000,00100,0100,8 BUSHEY BOULEVARD 37986,S200000,00200,0100,PLATTSBURGH 37986,S200000,00200,0200,NY 37986,S200000,00200,0300,12901 37986,S200000,00300,0100,CLINTON 37986,S200000,00400,0100,EVERGREEN VALLEY NURSING HOME 37986,S200000,00400,0200,335528 37986,S200000,00400,0300,09/24/1994 37986,S200000,00400,0500,P 37986,S200000,01500,0100,Y 37986,S200000,04300,0100,Y 37995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 37995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 37995,A000000,00300,0000,00300EMPLOYEE BENEFITS 37995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 37995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 37995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 37995,A000000,00700,0000,00700HOUSEKEEPING 37995,A000000,00800,0000,00800DIETARY 37995,A000000,00801,0000,00801CAFETERIA 37995,A000000,00900,0000,00900NURSING ADMINISTRATION 37995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 37995,A000000,01100,0000,01100PHARMACY 37995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 37995,A000000,01300,0000,01300SOCIAL SERVICE 37995,A000000,01350,0000,01500ACTIVITIES 37995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 37995,A000000,01600,0000,01600SKILLED NURSING FACILITY 37995,A000000,01810,0000,01810ICF/MR 37995,A000000,02100,0000,02100RADIOLOGY 37995,A000000,02200,0000,02200LABORATORY 37995,A000000,02500,0000,02500PHYSICAL THERAPY 37995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 37995,A000000,02700,0000,02700SPEECH PATHOLOGY 37995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 37995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 37995,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 37995,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 37995,A000000,03550,0000,03550FQHC 37995,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 37995,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 37995,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 37995,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 37995,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 37995,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 37995,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 37995,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 37995,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 37995,A000000,05000,0000,05000CORF 37995,A000000,05010,0000,05010CMHC 37995,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 37995,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 37995,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 37995,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 37995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 37995,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 37995,A000000,06151,0000,06301DENTAL 37995,A81000A,00100,0100,Y 37995,A81000B,00100,0300,RENT 37995,A81000B,00200,0300,INTEREST EXPENSE 37995,A81000B,00300,0300,DEPREC./AMORTIZATION 37995,A81000B,00400,0300,REAL ESTATE TAXES 37995,A81000B,00500,0300,PROP & AUTO INSURANCE 37995,A81000B,00600,0300,SALARY & BENEFITS 37995,A81000B,00700,0300,FEES CONSULT & MISC. 37995,A81000B,00800,0300,AUTO LEASE 37995,A81000B,00900,0300,MANAGEMENT FEES 37995,A81000C,00100,0100,A 37995,A81000C,00100,0200,S. DICKER 37995,A81000C,00100,0400,BOWNE ASSOCIATE 37995,A81000C,00100,0600,REALTY 37995,A81000C,00200,0100,A 37995,A81000C,00200,0200,J. DICKER 37995,A81000C,00200,0400,BOWNE ASSOCIATE 37995,A81000C,00200,0600,REALTY 37995,A81000C,00300,0100,A 37995,A81000C,00300,0200,S. DICKER 37995,A81000C,00300,0400,S&J MANAGEMENT 37995,A81000C,00300,0600,MANAGEMENT 37995,A81000C,00400,0100,A 37995,A81000C,00400,0200,J. DICKER 37995,A81000C,00400,0400,S&J MANAGEMENT 37995,A81000C,00400,0600,MANAGEMENT 37995,B100000,00000,0100,00001SQUARE FEET 37995,B100000,00000,0200,00001SQUARE FEET 37995,B100000,00000,0300,00001GROSS SALARIES 37995,B100000,00000,0400,00001ACCUM COST 37995,B100000,00000,0500,00001SQUARE FEET 37995,B100000,00000,0600,00001POUNDS OF LAUNDRY 37995,B100000,00000,0700,00001HOURS OF SERVICE 37995,B100000,00000,0800,00001MEALS SERVED 37995,B100000,00000,0801,00001MEALS SERVED 37995,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 37995,B100000,00000,1000,00001COSTED REQUISITIO 37995,B100000,00000,1100,00001COSTED REQUISITIO 37995,B100000,00000,1200,00001TIME SPENT 37995,B100000,00000,1300,00001TIME SPENT 37995,B100000,00000,1350,00001TIME SPENT 37995,B100000,00000,1400,00001ASSIGNED TIME 37995,E10A180,00301,0100,05/09/2000 37995,E10A180,00350,0100,09/27/1999 37995,H510100,00000,0000,5600 37995,H510100,02400,0000,5600 37995,H710000,00501,0100,07/28/2000 37995,S000000,00100,0200,06/19/2000 37995,S200000,00100,0100,182-15 HILLSIDE AVENUE 37995,S200000,00200,0100,JAMAICA ESTATES 37995,S200000,00200,0200,NEW YORK 37995,S200000,00200,0300,11432 37995,S200000,00300,0100,QUEENS 37995,S200000,00400,0100,HILLSIDE MANOR REHAB & EXTENDED CARE 37995,S200000,00400,0200,335531 37995,S200000,00400,0300,06/01/1976 37995,S200000,00400,0500,P 37995,S200000,00800,0200,337262 37995,S200000,00800,0300,11/30/1988 37995,S200000,00800,0500,P 37995,S200000,01500,0100,Y 38031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38031,A000000,00300,0000,00300EMPLOYEE BENEFITS 38031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38031,A000000,00700,0000,00700HOUSEKEEPING 38031,A000000,00800,0000,00800DIETARY 38031,A000000,00900,0000,00900NURSING ADMINISTRATION 38031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38031,A000000,01100,0000,01100PHARMACY 38031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38031,A000000,01300,0000,01300SOCIAL SERVICE 38031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38031,A000000,01600,0000,01600SKILLED NURSING FACILITY 38031,A000000,01810,0000,01810ICF/MR 38031,A000000,02200,0000,02200LABORATORY 38031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38031,A000000,02500,0000,02500PHYSICAL THERAPY 38031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38031,A000000,02700,0000,02700SPEECH PATHOLOGY 38031,A000000,02800,0000,02800ELECTROCARDIOLOGY 38031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38031,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38031,A000000,03550,0000,03550FQHC 38031,A000000,05000,0000,05000CORF 38031,A000000,05010,0000,05010CMHC 38031,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38031,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38031,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38031,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38031,B100000,00000,0100,00000SQUARE FEET 38031,B100000,00000,0200,00000SQUARE FEET 38031,B100000,00000,0300,00000GROSS SALARIES 38031,B100000,00000,0400,00000ACCUM COST 38031,B100000,00000,0500,00000SQUARE FEET 38031,B100000,00000,0600,00000POUNDS OF LAUNDRY 38031,B100000,00000,0700,00000HOURS OF SERVICE 38031,B100000,00000,0800,00000MEALS SERVED 38031,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38031,B100000,00000,1000,00000COSTED REQUISITIO 38031,B100000,00000,1100,00000COSTED REQUISITIO 38031,B100000,00000,1200,00000TIME SPENT 38031,B100000,00000,1300,00000TIME SPENT 38031,B100000,00000,1400,00000ASSIGNED TIME 38031,S000000,00100,0200,05/30/2000 38031,S200000,00100,0100,8629 BAY PRKWY 38031,S200000,00200,0100,BROOKLYN 38031,S200000,00200,0200,NY 38031,S200000,00200,0300,11214 38031,S200000,00300,0100,KINGS 38031,S200000,00400,0100,LEMBERG HOME & GERIATRIC INSTITUTE 38031,S200000,00400,0200,335536 38031,S200000,00400,0300,09/01/1976 38031,S200000,00400,0500,P 38031,S200000,01500,0100,Y 38031,S200000,03300,0100,Y 38031,S200000,03300,0200,Y 38034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38034,A000000,00300,0000,00300EMPLOYEE BENEFITS 38034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38034,A000000,00700,0000,00700HOUSEKEEPING 38034,A000000,00800,0000,00800DIETARY 38034,A000000,00900,0000,00900NURSING ADMINISTRATION 38034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38034,A000000,01100,0000,01100PHARMACY 38034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38034,A000000,01300,0000,01300SOCIAL SERVICE 38034,A000000,01350,0000,01500OTHER COST CENTER 38034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38034,A000000,01600,0000,01600SKILLED NURSING FACILITY 38034,A000000,01810,0000,01810ICF/MR 38034,A000000,02100,0000,02100RADIOLOGY 38034,A000000,02200,0000,02200LABORATORY 38034,A000000,02500,0000,02500PHYSICAL THERAPY 38034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38034,A000000,02700,0000,02700SPEECH PATHOLOGY 38034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38034,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38034,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38034,A000000,03550,0000,03550FQHC 38034,A000000,05000,0000,05000CORF 38034,A000000,05010,0000,05010CMHC 38034,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38034,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38034,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38034,A000000,05300,0000,05300INTEREST EXPENSE 38034,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38034,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38034,A000000,06201,0000,06201DENTAL 38034,B100000,00000,0100,00000SQUARE FEET 38034,B100000,00000,0200,00000SQUARE FEET 38034,B100000,00000,0300,00000GROSS SALARIES 38034,B100000,00000,0400,00000ACCUM COST 38034,B100000,00000,0500,00000SQUARE FEET 38034,B100000,00000,0600,00000POUNDS OF LAUNDRY 38034,B100000,00000,0700,00000HOURS OF SERVICE 38034,B100000,00000,0800,00000MEALS SERVED 38034,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38034,B100000,00000,1000,00000COSTED REQUISITIO 38034,B100000,00000,1100,00000COSTED REQUISITIO 38034,B100000,00000,1200,00000TIME SPENT 38034,B100000,00000,1300,00000TIME SPENT 38034,B100000,00000,1350,00000NUMBER OF PARTICIPAN 38034,B100000,00000,1400,00000ASSIGNED TIME 38034,E10A180,00301,0100,05/10/2000 38034,S000000,00100,0200,06/01/2000 38034,S200000,00100,0100,300 MADISON STREET 38034,S200000,00200,0100,BROOKLYN 38034,S200000,00200,0200,NY 38034,S200000,00200,0300,11216 38034,S200000,00300,0100,BROOKLYN 38034,S200000,00400,0100,THE CONCORD NURSING HOME INC 38034,S200000,00400,0200,335538 38034,S200000,00400,0300,07/01/1976 38034,S200000,00400,0500,P 38034,S200000,01500,0100,Y 38041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38041,A000000,00300,0000,00300EMPLOYEE BENEFITS 38041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38041,A000000,00700,0000,00700HOUSEKEEPING 38041,A000000,00800,0000,00800DIETARY 38041,A000000,00801,0000,00801CAFETERIA 38041,A000000,00900,0000,00900NURSING ADMINISTRATION 38041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38041,A000000,01100,0000,01100PHARMACY 38041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38041,A000000,01300,0000,01300SOCIAL SERVICE 38041,A000000,01301,0000,01301ACTIVITIES 38041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38041,A000000,01600,0000,01600SKILLED NURSING FACILITY 38041,A000000,01810,0000,01810ICF/MR 38041,A000000,02100,0000,02100RADIOLOGY 38041,A000000,02200,0000,02200LABORATORY 38041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38041,A000000,02500,0000,02500PHYSICAL THERAPY 38041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38041,A000000,02700,0000,02700SPEECH PATHOLOGY 38041,A000000,02800,0000,02800ELECTROCARDIOLOGY 38041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38041,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38041,A000000,03550,0000,03550FQHC 38041,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38041,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38041,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38041,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38041,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38041,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38041,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38041,A000000,04800,0000,04800AMBULANCE 38041,A000000,05000,0000,05000CORF 38041,A000000,05010,0000,05010CMHC 38041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38041,A000000,05300,0000,05300INTEREST EXPENSE 38041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38041,B100000,00000,0100,00000SQUARE FEET 38041,B100000,00000,0200,00000SQUARE FEET 38041,B100000,00000,0300,00000GROSS SALARIES 38041,B100000,00000,0400,00000ACCUM COST 38041,B100000,00000,0500,00000SQUARE FEET 38041,B100000,00000,0600,00000POUNDS OF LAUNDRY 38041,B100000,00000,0700,00000HOURS OF SERVICE 38041,B100000,00000,0800,00000MEALS SERVED 38041,B100000,00000,0801,00000NUMBER OF EMPLOYEES 38041,B100000,00000,0900,00000DIRECT NRSG HRS 38041,B100000,00000,1000,00000COSTED REQUIS 38041,B100000,00000,1100,00000COSTED REQUIS 38041,B100000,00000,1200,00000TIME SPENT 38041,B100000,00000,1300,00000TIME SPENT 38041,B100000,00000,1301,00000NUMBER OF PARTICIPAN 38041,B100000,00000,1400,00000ASSIGNED TIME 38041,E10A180,00301,0100,05/09/2000 38041,E10A180,00350,0100,09/27/1999 38041,H510100,00000,0000,5380 38041,H510100,02400,0000,5380 38041,H710000,00301,0100,08/16/1999 38041,H710000,00501,0100,07/17/2000 38041,S000000,00100,0200,05/24/2000 38041,S200000,00100,0100,111 BEACH DR 38041,S200000,00200,0100,WEST ISLIP 38041,S200000,00200,0200,NY 38041,S200000,00200,0300,11795 38041,S200000,00400,0100,OUR LADY OF CONSOLATION 38041,S200000,00400,0200,335539 38041,S200000,00400,0300,09/01/1976 38041,S200000,00400,0500,P 38041,S200000,00400,0600,O 38041,S200000,00800,0200,337197 38041,S200000,00800,0300,12/15/1983 38041,S200000,00800,0500,P 38041,S200000,00800,0600,P 38041,S200000,01500,0100,Y 38041,S200000,02200,0100,Y 38041,S200000,02800,0100,Y 38041,S200000,04700,0100,Y 38041,S200000,04700,0200,Y 38049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38049,A000000,00300,0000,00300EMPLOYEE BENEFITS 38049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38049,A000000,00700,0000,00700HOUSEKEEPING 38049,A000000,00800,0000,00800DIETARY 38049,A000000,00900,0000,00900NURSING ADMINISTRATION 38049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38049,A000000,01100,0000,01100PHARMACY 38049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38049,A000000,01300,0000,01300SOCIAL SERVICE 38049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38049,A000000,01600,0000,01600SKILLED NURSING FACILITY 38049,A000000,01810,0000,01810ICF/MR 38049,A000000,02500,0000,02500PHYSICAL THERAPY 38049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38049,A000000,02700,0000,02700SPEECH PATHOLOGY 38049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38049,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38049,A000000,03550,0000,03550FQHC 38049,A000000,05000,0000,05000CORF 38049,A000000,05010,0000,05010CMHC 38049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38049,A000000,05300,0000,05300INTEREST EXPENSE 38049,B100000,00000,0100,00000SQUARE FEET 38049,B100000,00000,0200,00000SQUARE FEET 38049,B100000,00000,0300,00000GROSS SALARIES 38049,B100000,00000,0400,00000ACCUM COST 38049,B100000,00000,0500,00000SQUARE FEET 38049,B100000,00000,0600,00000POUNDS OF LAUNDRY 38049,B100000,00000,0700,00000HOURS OF SERVICE 38049,B100000,00000,0800,00000MEALS SERVED 38049,B100000,00000,0900,00000DIRECT NRSG HRS 38049,B100000,00000,1000,00000COSTED REQUIS 38049,B100000,00000,1100,00000COSTED REQUIS 38049,B100000,00000,1200,00000TIME SPENT 38049,B100000,00000,1300,00000TIME SPENT 38049,B100000,00000,1400,00000ASSIGNED TIME 38049,S000000,00100,0200,07/26/2000 38049,S200000,00100,0100,428 RTE 146 38049,S200000,00100,0300,36 38049,S200000,00200,0100,GUILDERLAND CENTER 38049,S200000,00200,0200,NY 38049,S200000,00200,0300,12085 38049,S200000,00300,0100,ALBANY 38049,S200000,00400,0100,GUILDERLAND CTR. NRSG. HOME 38049,S200000,00400,0200,335540 38049,S200000,00400,0300,09/01/1976 38049,S200000,00400,0500,P 38049,S200000,01500,0100,Y 38049,S200000,02900,0100,Y 38049,S200000,03000,0100,Y 38058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38058,A000000,00300,0000,00300EMPLOYEE BENEFITS 38058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38058,A000000,00700,0000,00700HOUSEKEEPING 38058,A000000,00800,0000,00800DIETARY 38058,A000000,00900,0000,00900NURSING ADMINISTRATION 38058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38058,A000000,01100,0000,01100PHARMACY 38058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38058,A000000,01300,0000,01300SOCIAL SERVICE 38058,A000000,01350,0000,01500ACTIVITIES 38058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38058,A000000,01600,0000,01600SKILLED NURSING FACILITY 38058,A000000,01810,0000,01810ICF/MR 38058,A000000,01900,0000,01900OTHER LONG TERM CARE 38058,A000000,02100,0000,02100RADIOLOGY 38058,A000000,02200,0000,02200LABORATORY 38058,A000000,02500,0000,02500PHYSICAL THERAPY 38058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38058,A000000,02700,0000,02700SPEECH PATHOLOGY 38058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38058,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38058,A000000,03550,0000,03550FQHC 38058,A000000,04800,0000,04800AMBULANCE 38058,A000000,05000,0000,05000CORF 38058,A000000,05010,0000,05010CMHC 38058,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38058,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38058,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38058,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38058,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38058,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38058,A000000,06150,0000,06300DENTAL/PODIATRY/OPTHAMOLOGY 38058,A000000,06151,0000,06301INDEPENDENT LIVING 38058,A000000,06152,0000,06302NONALLOWABLE COSTS 38058,B100000,00000,0100,00002DOLLAR VALUE 38058,B100000,00000,0200,00002DOLLAR VALUE 38058,B100000,00000,0300,00002GROSS SALARIES 38058,B100000,00000,0400,00002ACCUM COST 38058,B100000,00000,0500,00002SQUARE FEET 38058,B100000,00000,0600,00002POUNDS OF LAUNDRY 38058,B100000,00000,0700,00002SQUARE FEET 38058,B100000,00000,0800,00002MEALS SERVED 38058,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 38058,B100000,00000,1000,00002COSTED REQUISITIO 38058,B100000,00000,1100,00002COSTED REQUISITIO 38058,B100000,00000,1200,00002TIME SPENT 38058,B100000,00000,1300,00002TIME SPENT 38058,B100000,00000,1350,00002# OF PARTICIPAN 38058,B100000,00000,1400,00002ASSIGNED TIME 38058,E10A180,00301,0100,02/28/2000 38058,E10A180,00302,0100,04/07/2000 38058,E10A180,00350,0100,08/27/1999 38058,S000000,00100,0200,09/15/2000 38058,S200000,00100,0100,2150 BLEEKER STREET 38058,S200000,00200,0100,UTICA 38058,S200000,00200,0200,NY 38058,S200000,00200,0300,13501 38058,S200000,00300,0100,ONEIDA 38058,S200000,00400,0100,MASONIC HOME & HEALTH FACILITY 38058,S200000,00400,0200,335541 38058,S200000,00400,0300,06/01/1976 38058,S200000,00400,0500,P 38058,S200000,01500,0100,Y 38058,S200000,04700,0100,Y 38058,S200000,04700,0200,Y 38072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38072,A000000,00300,0000,00300EMPLOYEE BENEFITS 38072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38072,A000000,00501,0000,00501PLANT OPERATION MAINT. & REPAI 38072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38072,A000000,00700,0000,00700HOUSEKEEPING 38072,A000000,00800,0000,00800DIETARY 38072,A000000,00900,0000,00900NURSING ADMINISTRATION 38072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38072,A000000,01100,0000,01100PHARMACY 38072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38072,A000000,01300,0000,01300SOCIAL SERVICE 38072,A000000,01350,0000,01500OTHER GENERAL SERVICES 38072,A000000,01351,0000,01501MEDICAL DIRECTOR 38072,A000000,01352,0000,01502MAINTENANCE OF RELIGIOUS 38072,A000000,01353,0000,01503OTHER GENERAL SERVICE COST CENT 38072,A000000,01354,0000,01504OTHER GENERAL SERVICE COST CENT 38072,A000000,01355,0000,01505OTHER GENERAL SERVICE COST CENT 38072,A000000,01356,0000,01506OTHER GENERAL SERVICE COST CENT 38072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38072,A000000,01600,0000,01600SKILLED NURSING FACILITY 38072,A000000,01810,0000,01810ICF/MR 38072,A000000,02100,0000,02100RADIOLOGY 38072,A000000,02500,0000,02500PHYSICAL THERAPY 38072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38072,A000000,02700,0000,02700SPEECH PATHOLOGY 38072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38072,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38072,A000000,03051,0000,03301ACTIVITIES 38072,A000000,03052,0000,03302RESIDENT TRANSPORTATION 38072,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38072,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38072,A000000,03550,0000,03550FQHC 38072,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38072,A000000,05000,0000,05000CORF 38072,A000000,05010,0000,05010CMHC 38072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38072,A000000,05300,0000,05300INTEREST EXPENSE 38072,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38072,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38072,B100000,00000,0100,00000SQUARE FEET 38072,B100000,00000,0200,00000SQUARE FEET 38072,B100000,00000,0300,00000GROSS SALARIES 38072,B100000,00000,0400,00000ACCUM. COST 38072,B100000,00000,0500,00000SQUARE FEET 38072,B100000,00000,0501,00000SQUARE FEET 38072,B100000,00000,0600,00000POUNDS OF LAUNDRY 38072,B100000,00000,0700,00000HOURS OF SERVICE 38072,B100000,00000,0800,00000MEALS SERVED 38072,B100000,00000,0900,00000DIRECT NRSING HRS 38072,B100000,00000,1000,00000COSTED REQUIS. 38072,B100000,00000,1100,00000COSTED REQUIS. 38072,B100000,00000,1200,00000TIME SPENT 38072,B100000,00000,1300,00000TIME SPENT 38072,B100000,00000,1350,00000NO STATISTICS 38072,B100000,00000,1351,00000ACCUM. COST 38072,B100000,00000,1352,00000ACCUM. COST 38072,B100000,00000,1353,00000ACCUM. COST 38072,B100000,00000,1354,00000ACCUM. COST 38072,B100000,00000,1355,00000ACCUM. COST 38072,B100000,00000,1356,00000ACCUM. COST 38072,B100000,00000,1400,00000ASSIGNED TIME 38072,E10A180,00301,0100,05/09/2000 38072,E10A180,00501,0300,06/23/2000 38072,E10A180,00550,0100,06/23/2000 38072,S000000,00100,0200,11/03/2000 38072,S200000,00100,0100,302 SWART HILL ROAD 38072,S200000,00200,0100,AMSTERDAM 38072,S200000,00200,0200,NY 38072,S200000,00200,0300,12010 38072,S200000,00300,0100,MONTGOMERY 38072,S200000,00400,0100,MOUNT LORETTO 38072,S200000,00400,0200,335543 38072,S200000,00400,0300,10/01/1976 38072,S200000,00400,0500,P 38072,S200000,01500,0100,Y 38072,S200000,04100,0100,Y 38090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38090,A000000,00300,0000,00300EMPLOYEE BENEFITS 38090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38090,A000000,00700,0000,00700HOUSEKEEPING 38090,A000000,00800,0000,00800DIETARY 38090,A000000,00900,0000,00900NURSING ADMINISTRATION 38090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38090,A000000,01100,0000,01100PHARMACY 38090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38090,A000000,01300,0000,01300SOCIAL SERVICE 38090,A000000,01350,0000,01500ACTIVITIES 38090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38090,A000000,01600,0000,01600SKILLED NURSING FACILITY 38090,A000000,01810,0000,01810ICF/MR 38090,A000000,02200,0000,02200LABORATORY 38090,A000000,02500,0000,02500PHYSICAL THERAPY 38090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38090,A000000,02700,0000,02700SPEECH PATHOLOGY 38090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38090,A000000,03001,0000,03001THERAPUTIC BEDS 38090,A000000,03550,0000,03550FQHC 38090,A000000,05000,0000,05000CORF 38090,A000000,05010,0000,05010CMHC 38090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38090,A000000,05300,0000,05300INTEREST EXPENSE 38090,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38090,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38090,A000000,06100,0000,06100NONPAID WORKERS 38090,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38090,B100000,00000,0100,00000SQUARE FEET 38090,B100000,00000,0200,00000SQUARE FEET 38090,B100000,00000,0300,00000GROSS SALARIES 38090,B100000,00000,0400,00000ACCUM COST 38090,B100000,00000,0500,00000SQUARE FEET 38090,B100000,00000,0600,00000POUNDS OF LAUNDRY 38090,B100000,00000,0700,00000HOURS OF SERVICE 38090,B100000,00000,0800,00000MEALS SERVED 38090,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38090,B100000,00000,1000,00000COSTED REQUISITIO 38090,B100000,00000,1100,00000COSTED REQUISITIO 38090,B100000,00000,1200,00000TIME SPENT 38090,B100000,00000,1300,00000TIME SPENT 38090,B100000,00000,1350,00000TIME SPENT 38090,B100000,00000,1400,00000ASSIGNED TIME 38090,E10A180,00301,0100,05/09/2000 38090,E10A180,00350,0100,08/30/1999 38090,S000000,00100,0200,07/31/2000 38090,S200000,00100,0100,2266 CROPSEY AVENUE 38090,S200000,00200,0100,BROOKLYN 38090,S200000,00200,0200,NEW YORK 38090,S200000,00200,0300,11214 38090,S200000,00300,0100,KINGS 38090,S200000,00400,0100,SEPHARDIC HOME FOR THE AGED 38090,S200000,00400,0200,335545 38090,S200000,00400,0300,09/01/1976 38090,S200000,00400,0500,P 38090,S200000,01500,0100,Y 38090,S200000,01900,0100,NON PROFIT CORP 38100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38100,A000000,00300,0000,00300EMPLOYEE BENEFITS 38100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38100,A000000,00700,0000,00700HOUSEKEEPING 38100,A000000,00800,0000,00800DIETARY 38100,A000000,00801,0000,00801CAFETERIA 38100,A000000,00900,0000,00900NURSING ADMINISTRATION 38100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38100,A000000,01100,0000,01100PHARMACY 38100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38100,A000000,01300,0000,01300SOCIAL SERVICE 38100,A000000,01350,0000,01500ACTIVITIES 38100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38100,A000000,01600,0000,01600SKILLED NURSING FACILITY 38100,A000000,01810,0000,01810ICF/MR 38100,A000000,01900,0000,01900OTHER LONG TERM CARE 38100,A000000,02100,0000,02100RADIOLOGY 38100,A000000,02200,0000,02200LABORATORY 38100,A000000,02500,0000,02500PHYSICAL THERAPY 38100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38100,A000000,02700,0000,02700SPEECH PATHOLOGY 38100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38100,A000000,03550,0000,03550FQHC 38100,A000000,05000,0000,05000CORF 38100,A000000,05010,0000,05010CMHC 38100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38100,A000000,05300,0000,05300INTEREST EXPENSE 38100,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38100,A000000,06101,0000,06101SERVICES SOLD 38100,A000000,06200,0000,06200PATIENTS LAUNDRY 38100,B100000,00000,0100,00000SQUARE FEET 38100,B100000,00000,0200,00000SQUARE FEET 38100,B100000,00000,0300,00000GROSS SALARIES 38100,B100000,00000,0400,00000ACCUM COST 38100,B100000,00000,0500,00000SQUARE FEET 38100,B100000,00000,0600,00000POUNDS OF LAUNDRY 38100,B100000,00000,0700,00000HOURS OF SERVICE 38100,B100000,00000,0800,00000MEALS SERVED 38100,B100000,00000,0801,00000AVG # EMPL 38100,B100000,00000,0900,00000DIRECT NRSG HRS 38100,B100000,00000,1000,00000COSTED REQUIS 38100,B100000,00000,1100,00000COSTED REQUIS 38100,B100000,00000,1200,00000TIME SPENT 38100,B100000,00000,1300,00000TIME SPENT 38100,B100000,00000,1350,00000# OF PARTI CIPANTS 38100,B100000,00000,1400,00000ASSIGNED TIME 38100,E10A180,00301,0100,05/09/2000 38100,E10A180,00350,0100,01/18/2000 38100,S000000,00100,0200,05/30/2000 38100,S200000,00100,0100,4290 MIDDLE SETTLEMENT RD 38100,S200000,00100,0300,1144 38100,S200000,00200,0100,NEW HARTFORD 38100,S200000,00200,0200,NY 38100,S200000,00200,0300,13413 38100,S200000,00300,0100,ONEIDA 38100,S200000,00400,0100,PRESBYTERIAN HOME FOR CNY INC. 38100,S200000,00400,0200,335546 38100,S200000,00400,0300,07/01/1976 38100,S200000,00400,0500,P 38100,S200000,01500,0100,Y 38100,S200000,01900,0100,PRIVATE NON PROFIT 38100,S200000,02800,0100,Y 38109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38109,A000000,00300,0000,00300EMPLOYEE BENEFITS 38109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38109,A000000,00700,0000,00700HOUSEKEEPING 38109,A000000,00800,0000,00800DIETARY 38109,A000000,00900,0000,00900NURSING ADMINISTRATION 38109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38109,A000000,01100,0000,01100PHARMACY 38109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38109,A000000,01300,0000,01300SOCIAL SERVICE 38109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38109,A000000,01600,0000,01600SKILLED NURSING FACILITY 38109,A000000,01810,0000,01810ICF/MR 38109,A000000,02500,0000,02500PHYSICAL THERAPY 38109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38109,A000000,02700,0000,02700SPEECH PATHOLOGY 38109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38109,A000000,03550,0000,03550FQHC 38109,A000000,05000,0000,05000CORF 38109,A000000,05010,0000,05010CMHC 38109,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38109,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38109,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38109,A000000,06150,0000,06300OTHER NON REIMB. COST 38109,A81000A,00100,0100,Y 38109,A81000B,00100,0300,LMC FEE/SHARED SERVICES 38109,A81000B,00200,0300,LMC FEE/SHARED SERVICES 38109,A81000C,00100,0100,A 38109,A81000C,00100,0200,LORETTO MANAGEMENT CORP. 38109,A81000C,00100,0400,MANAGEMENT 38109,B100000,00000,0100,00000SQUARE FEET 38109,B100000,00000,0200,00000SQUARE FEET 38109,B100000,00000,0300,00000GROSS SALARIES 38109,B100000,00000,0400,00000ACCUM. COST 38109,B100000,00000,0500,00000SQUARE FEET 38109,B100000,00000,0600,00000POUNDS OF LAUNDRY 38109,B100000,00000,0700,00000SQUARE FEET 38109,B100000,00000,0800,00000MEALS SERVED 38109,B100000,00000,0900,00000TIME SPENT 38109,B100000,00000,1000,00000COSTED REQUIS. 38109,B100000,00000,1100,00000COSTED REQUIS. 38109,B100000,00000,1200,00000TIME SPENT 38109,B100000,00000,1300,00000TIME SPENT 38109,B100000,00000,1400,00000ASSIGNED TIME 38109,E10A180,00301,0100,01/18/2000 38109,E10A180,00302,0100,05/10/2000 38109,S000000,00100,0200,05/30/2000 38109,S200000,00100,0100,132 ELLEN STREET 38109,S200000,00200,0100,OSWEGO 38109,S200000,00200,0200,NY 38109,S200000,00200,0300,13126 38109,S200000,00300,0100,OSWEGO 38109,S200000,00400,0100,LORETTO OSWEGO 38109,S200000,00400,0200,335547 38109,S200000,00400,0300,08/01/1994 38109,S200000,00400,0500,P 38109,S200000,01500,0100,Y 38109,S200000,02200,0100,Y 38109,S200000,04100,0100,Y 38118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38118,A000000,00300,0000,00300EMPLOYEE BENEFITS 38118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38118,A000000,00700,0000,00700HOUSEKEEPING 38118,A000000,00800,0000,00800DIETARY 38118,A000000,00900,0000,00900NURSING ADMINISTRATION 38118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38118,A000000,01100,0000,01100PHARMACY 38118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38118,A000000,01300,0000,01300SOCIAL SERVICE 38118,A000000,01350,0000,01500OTHER GENERAL SERVICES 38118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38118,A000000,01600,0000,01600SKILLED NURSING FACILITY 38118,A000000,02500,0000,02500PHYSICAL THERAPY 38118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38118,A000000,02700,0000,02700SPEECH PATHOLOGY 38118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38118,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38118,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38118,A000000,03200,0000,03200SUPPORT SURFACES 38118,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38118,A000000,03550,0000,03550FQHC 38118,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38118,A000000,05000,0000,05000CORF 38118,A000000,05010,0000,05010CMHC 38118,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38118,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38118,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38118,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38118,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38118,B100000,00000,0100,00000SQUARE FEET 38118,B100000,00000,0200,00000SQUARE FEET 38118,B100000,00000,0300,00000GROSS SALARIES 38118,B100000,00000,0400,00000ACCUM. COST 38118,B100000,00000,0500,00000SQUARE FEET 38118,B100000,00000,0600,00000POUNDS OF LAUNDRY 38118,B100000,00000,0700,00000HOURS OF SERVICE 38118,B100000,00000,0800,00000MEALS SERVED 38118,B100000,00000,0900,00000HOURS OF SERVICE 38118,B100000,00000,1000,00000COSTS REQUSITION 38118,B100000,00000,1100,00000COSTSREQUI ISITIONE 38118,B100000,00000,1200,00000TIME SPENT 38118,B100000,00000,1300,00000TIME SPENT 38118,B100000,00000,1350,00000NO STATISTICS 38118,B100000,00000,1400,00000ASSIGNED TIME 38118,E10A180,00301,0100,05/09/2000 38118,S000000,00100,0200,07/12/2000 38118,S200000,00100,0100,217 EAST AVE 38118,S200000,00200,0100,MINOA 38118,S200000,00200,0200,NY 38118,S200000,00200,0300,13116 38118,S200000,00300,0100,ONONDAGA 38118,S200000,00400,0100,HALLMARK NURSING CENTRE - MINOA 38118,S200000,00400,0200,335548 38118,S200000,00400,0300,10/01/1976 38118,S200000,00400,0500,P 38118,S200000,01500,0100,Y 38126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38126,A000000,00300,0000,00300EMPLOYEE BENEFITS 38126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38126,A000000,00700,0000,00700HOUSEKEEPING 38126,A000000,00800,0000,00800DIETARY 38126,A000000,00900,0000,00900NURSING ADMINISTRATION 38126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38126,A000000,01100,0000,01100PHARMACY 38126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38126,A000000,01300,0000,01300SOCIAL SERVICE 38126,A000000,01350,0000,01500OTHER GENERAL SERVICES 38126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38126,A000000,01600,0000,01600SKILLED NURSING FACILITY 38126,A000000,01810,0000,01810ICF/MR 38126,A000000,02500,0000,02500PHYSICAL THERAPY 38126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38126,A000000,02700,0000,02700SPEECH PATHOLOGY 38126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38126,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38126,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38126,A000000,03550,0000,03550FQHC 38126,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38126,A000000,05000,0000,05000CORF 38126,A000000,05010,0000,05010CMHC 38126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38126,A000000,05300,0000,05300INTEREST EXPENSE 38126,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38126,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38126,B100000,00000,0100,00000SQUARE FEET 38126,B100000,00000,0200,00000SQUARE FEET 38126,B100000,00000,0300,00000GROSS SALARIES 38126,B100000,00000,0400,00000ACCUM. COST 38126,B100000,00000,0500,00000SQUARE FEET 38126,B100000,00000,0600,00000POUNDS OF LAUNDRY 38126,B100000,00000,0700,00000SQUARE FEET 38126,B100000,00000,0800,00000MEALS SERVED 38126,B100000,00000,0900,00000DIRECT NURSING HR 38126,B100000,00000,1000,00000COSTED REQUIS. 38126,B100000,00000,1100,00000COSTED REQUIS. 38126,B100000,00000,1200,00000TIME SPENT 38126,B100000,00000,1300,00000TIME SPENT 38126,B100000,00000,1350,00000NO STATISTICS 38126,B100000,00000,1400,00000ASSIGNED TIME 38126,S000000,00100,0200,05/23/2000 38126,S200000,00100,0100,42 GURNEY LANE 38126,S200000,00200,0100,QUEENSBURY 38126,S200000,00200,0200,NY 38126,S200000,00200,0300,12804 38126,S200000,00300,0100,WARREN 38126,S200000,00400,0100,WESTMOUNT HEALTH FACILITY 38126,S200000,00400,0200,335549 38126,S200000,00400,0300,09/01/1976 38126,S200000,00400,0500,P 38126,S200000,01500,0100,Y 38126,S200000,01900,0100,NOT FOR PROFIT 38126,S200000,02800,0100,Y 38131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38131,A000000,00300,0000,00300EMPLOYEE BENEFITS 38131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38131,A000000,00700,0000,00700HOUSEKEEPING 38131,A000000,00800,0000,00800DIETARY 38131,A000000,00900,0000,00900NURSING ADMINISTRATION 38131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38131,A000000,01100,0000,01100PHARMACY 38131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38131,A000000,01300,0000,01300SOCIAL SERVICE 38131,A000000,01301,0000,01301ACTIVITIES 38131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38131,A000000,01600,0000,01600SKILLED NURSING FACILITY 38131,A000000,01810,0000,01810ICF/MR 38131,A000000,02500,0000,02500PHYSICAL THERAPY 38131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38131,A000000,02700,0000,02700SPEECH PATHOLOGY 38131,A000000,03550,0000,03550FQHC 38131,A000000,05000,0000,05000CORF 38131,A000000,05010,0000,05010CMHC 38131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38131,A000000,05300,0000,05300INTEREST EXPENSE 38131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38131,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38131,A000000,06200,0000,06200PATIENTS LAUNDRY 38131,B100000,00000,0100,00000SQUARE FEET 38131,B100000,00000,0200,00000SQUARE FEET 38131,B100000,00000,0300,00000GROSS SALARIES 38131,B100000,00000,0400,00000ACCUM COST 38131,B100000,00000,0500,00000SQUARE FEET 38131,B100000,00000,0600,00000POUNDS OF LAUNDRY 38131,B100000,00000,0700,00000HOURS OF SERVICE 38131,B100000,00000,0800,00000MEALS SERVED 38131,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38131,B100000,00000,1000,00000COSTED REQUISITIO 38131,B100000,00000,1100,00000COSTED REQUISITIO 38131,B100000,00000,1200,00000TIME SPENT 38131,B100000,00000,1300,00000TIME SPENT 38131,B100000,00000,1301,00000ACTIVITIES 38131,B100000,00000,1400,00000ASSIGNED TIME 38131,E10A180,00301,0100,05/10/2000 38131,S000000,00100,0200,06/01/2000 38131,S200000,00100,0100,270 NOSTRAND AVE 38131,S200000,00200,0100,BROOKLYN 38131,S200000,00200,0200,NY 38131,S200000,00200,0300,11205 38131,S200000,00300,0100,KINGS 38131,S200000,00400,0100,CABS NURSING HOME 38131,S200000,00400,0200,335550 38131,S200000,00400,0300,08/01/1976 38131,S200000,00400,0500,P 38131,S200000,01500,0100,Y 38131,S200000,03300,0100,Y 38131,S200000,03300,0200,Y 38134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38134,A000000,00300,0000,00300EMPLOYEE BENEFITS 38134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38134,A000000,00700,0000,00700HOUSEKEEPING 38134,A000000,00800,0000,00800DIETARY 38134,A000000,00900,0000,00900NURSING ADMINISTRATION 38134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38134,A000000,01100,0000,01100PHARMACY 38134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38134,A000000,01300,0000,01300SOCIAL SERVICE 38134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38134,A000000,01600,0000,01600SKILLED NURSING FACILITY 38134,A000000,01810,0000,01810ICF/MR 38134,A000000,02100,0000,02100RADIOLOGY 38134,A000000,02200,0000,02200LABORATORY 38134,A000000,02500,0000,02500PHYSICAL THERAPY 38134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38134,A000000,02700,0000,02700SPEECH PATHOLOGY 38134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38134,A000000,03550,0000,03550FQHC 38134,A000000,05000,0000,05000CORF 38134,A000000,05010,0000,05010CMHC 38134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38134,A000000,06150,0000,06300ADULT DAY CARE 38134,A000000,06151,0000,06301DENTAL 38134,A81000A,00100,0100,Y 38134,A81000B,00100,0300,RENT 38134,A81000B,00200,0300,MORTG INT 38134,A81000B,00300,0300,AMORT MGT EXP 38134,A81000B,00400,0300,DEPRECIATION 38134,A81000C,00100,0100,A 38134,A81000C,00100,0200,SAM KLEIN 38134,A81000C,00100,0400,PRRG LLC 38134,A81000C,00100,0600,REALTY 38134,B100000,00000,0100,00001SQUARE FEET 38134,B100000,00000,0200,00001SQUARE FEET 38134,B100000,00000,0300,00001GROSS SALARIES 38134,B100000,00000,0400,00001ACCUM COST 38134,B100000,00000,0500,00001SQUARE FEET 38134,B100000,00000,0600,00001POUNDS OF LAUNDRY 38134,B100000,00000,0700,00001HOURS OF SERVICE 38134,B100000,00000,0800,00001MEALS SERVED 38134,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38134,B100000,00000,1000,00001COSTED REQUISITIO 38134,B100000,00000,1100,00001COSTED REQUISITIO 38134,B100000,00000,1200,00001TIME SPENT 38134,B100000,00000,1300,00001TIME SPENT 38134,B100000,00000,1400,00001ASSIGNED TIME 38134,E10A180,00301,0100,05/10/2000 38134,E10A180,00550,0100,06/07/2000 38134,S000000,00100,0200,05/30/2000 38134,S200000,00100,0100,31 OVERTON RD 38134,S200000,00200,0100,OSSINING 38134,S200000,00200,0200,NEW YORK 38134,S200000,00200,0300,10562 38134,S200000,00300,0100,WESTCHESTER 38134,S200000,00400,0100,CHANDLER CARE CENTER 38134,S200000,00400,0200,335551 38134,S200000,00400,0300,10/01/1976 38134,S200000,00400,0500,P 38134,S200000,01500,0100,Y 38134,S200000,04200,0100,Y 38134,S200000,04300,0100,Y 38141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38141,A000000,00300,0000,00300EMPLOYEE BENEFITS 38141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38141,A000000,00700,0000,00700HOUSEKEEPING 38141,A000000,00800,0000,00800DIETARY 38141,A000000,00900,0000,00900NURSING ADMINISTRATION 38141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38141,A000000,01100,0000,01100PHARMACY 38141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38141,A000000,01300,0000,01300SOCIAL SERVICE 38141,A000000,01350,0000,01500OTHER GENERAL SERVICES 38141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38141,A000000,01600,0000,01600SKILLED NURSING FACILITY 38141,A000000,01810,0000,01810ICF/MR 38141,A000000,02100,0000,02100RADIOLOGY 38141,A000000,02200,0000,02200LABORATORY 38141,A000000,02500,0000,02500PHYSICAL THERAPY 38141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38141,A000000,02700,0000,02700SPEECH PATHOLOGY 38141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38141,A000000,03101,0000,03101CLINITRON THERAPY 38141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38141,A000000,03550,0000,03550FQHC 38141,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38141,A000000,04800,0000,04800AMBULANCE 38141,A000000,05000,0000,05000CORF 38141,A000000,05010,0000,05010CMHC 38141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38141,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38141,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38141,B100000,00000,0100,00000SQUARE FEET 38141,B100000,00000,0200,00000DOLLAR VALUE 38141,B100000,00000,0300,00000GROSS SALARIES 38141,B100000,00000,0400,00000ACCUM. COST 38141,B100000,00000,0500,00000SQUARE FEET 38141,B100000,00000,0600,00000POUNDS OF LAUNDRY 38141,B100000,00000,0700,00000HOURS OF SERVICE 38141,B100000,00000,0800,00000MEALS SERVED 38141,B100000,00000,0900,00000HOURS OF SERVICE 38141,B100000,00000,1000,00000COSTED REQUIS. 38141,B100000,00000,1100,00000COSTED REQUIS. 38141,B100000,00000,1200,00000TIME SPENT 38141,B100000,00000,1300,00000TIME SPENT 38141,B100000,00000,1350,00000NO STATISTICS 38141,B100000,00000,1400,00000TIME SPENT 38141,E10A180,00301,0100,05/09/2000 38141,E10A180,00350,0100,01/18/2000 38141,S000000,00100,0200,06/16/2000 38141,S200000,00100,0100,228 EAST BROADWAY 38141,S200000,00200,0100,NEW YORK 38141,S200000,00200,0200,NY 38141,S200000,00200,0300,10002 38141,S200000,00300,0100,NYC 38141,S200000,00400,0100,BIALYSTOKER HOME FOR THE AGED 38141,S200000,00400,0200,335552 38141,S200000,00400,0300,06/01/1976 38141,S200000,00400,0500,P 38141,S200000,01500,0100,Y 38149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38149,A000000,00300,0000,00300EMPLOYEE BENEFITS 38149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38149,A000000,00700,0000,00700HOUSEKEEPING 38149,A000000,00800,0000,00800DIETARY 38149,A000000,00900,0000,00900NURSING ADMINISTRATION 38149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38149,A000000,01100,0000,01100PHARMACY 38149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38149,A000000,01300,0000,01300SOCIAL SERVICE 38149,A000000,01350,0000,01500MAINT.OF SRS.PERSONNEL 38149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38149,A000000,01600,0000,01600SKILLED NURSING FACILITY 38149,A000000,01810,0000,01810ICF/MR 38149,A000000,02500,0000,02500PHYSICAL THERAPY 38149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38149,A000000,02700,0000,02700SPEECH PATHOLOGY 38149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38149,A000000,03050,0000,03300ACTIVITIES 38149,A000000,03200,0000,03200SUPPORT SURFACES 38149,A000000,03400,0000,03400CLINIC 38149,A000000,03450,0000,03600DENTIST 38149,A000000,03550,0000,03550FQHC 38149,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38149,A000000,05000,0000,05000CORF 38149,A000000,05010,0000,05010CMHC 38149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38149,A000000,05300,0000,05300INTEREST EXPENSE 38149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38149,B100000,00000,0100,00000SQ. FEET 38149,B100000,00000,0200,00000DOLLAR VALUE 38149,B100000,00000,0300,00000GROSS SALARIES 38149,B100000,00000,0400,00000ACCUM. COST 38149,B100000,00000,0500,00000SQ. FEET 38149,B100000,00000,0600,00000POUNDS OF LD 38149,B100000,00000,0700,00000HRS. OF SERV 38149,B100000,00000,0800,00000MEALS SERVED 38149,B100000,00000,0900,00000DIR.NURS.H HR 38149,B100000,00000,1000,00000NO STATISTICS 38149,B100000,00000,1100,00000COSTED REQ 38149,B100000,00000,1200,00000TIME SPENT 38149,B100000,00000,1300,00000TIME SPENT 38149,B100000,00000,1350,00000# SRS HOUSED 38149,B100000,00000,1400,00000ASSIGNED TIME 38149,S000000,00100,0200,05/29/2001 38149,S200000,00100,0100,1 JEANNE JUGAN LANE 38149,S200000,00200,0100,LATHAM 38149,S200000,00200,0200,NY 38149,S200000,00200,0300,12210 38149,S200000,00300,0100,ALBANY 38149,S200000,00400,0100,OUR LADY OF HOPE RESIDENCE 38149,S200000,00400,0200,335553 38149,S200000,00400,0300,10/02/1976 38149,S200000,00400,0500,P 38149,S200000,01500,0100,Y 38163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38163,A000000,00300,0000,00300EMPLOYEE BENEFITS 38163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38163,A000000,00700,0000,00700HOUSEKEEPING 38163,A000000,00800,0000,00800DIETARY 38163,A000000,00900,0000,00900NURSING ADMINISTRATION 38163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38163,A000000,01100,0000,01100PHARMACY 38163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38163,A000000,01300,0000,01300SOCIAL SERVICE 38163,A000000,01350,0000,01500ACTIVITIES 38163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38163,A000000,01600,0000,01600SKILLED NURSING FACILITY 38163,A000000,01810,0000,01810ICF/MR 38163,A000000,02100,0000,02100RADIOLOGY 38163,A000000,02200,0000,02200LABORATORY 38163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38163,A000000,02500,0000,02500PHYSICAL THERAPY 38163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38163,A000000,02700,0000,02700SPEECH PATHOLOGY 38163,A000000,02800,0000,02800ELECTROCARDIOLOGY 38163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38163,A000000,03550,0000,03550FQHC 38163,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38163,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38163,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38163,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38163,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38163,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38163,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38163,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38163,A000000,04800,0000,04800AMBULANCE 38163,A000000,05000,0000,05000CORF 38163,A000000,05010,0000,05010CMHC 38163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38163,A000000,05300,0000,05300INTEREST EXPENSE 38163,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38163,A000000,06001,0000,06010MEDICAL SERVICES 38163,A000000,06002,0000,06020DENTAL SERVICES 38163,A000000,06003,0000,06030ADULT DAY CARE 38163,B100000,00000,0100,00030SQUARE FEET 38163,B100000,00000,0200,00030SQUARE FEET 38163,B100000,00000,0300,00030GROSS SALARIES 38163,B100000,00000,0400,00030ACCUM COST 38163,B100000,00000,0500,00030SQUARE FEET 38163,B100000,00000,0600,00030POUNDS OF LAUNDRY 38163,B100000,00000,0700,00030HOURS OF SERVICE 38163,B100000,00000,0800,00030MEALS SERVED 38163,B100000,00000,0900,00030DIRECT NRSG HRS 38163,B100000,00000,1000,00030COSTED REQUIS 38163,B100000,00000,1100,00030COSTED REQUIS 38163,B100000,00000,1200,00030TIME SPENT 38163,B100000,00000,1300,00030TIME SPENT 38163,B100000,00000,1350,00030 38163,B100000,00000,1400,00030ASSIGNED TIME 38163,E10A180,00301,0100,08/27/1999 38163,E10A180,00302,0100,05/09/2000 38163,E10A180,00501,0100,02/26/2001 38163,H510100,00000,0000,5380 38163,H510100,02400,0000,5380 38163,H710000,00501,0100,12/28/2000 38163,S000000,00100,0200,09/22/2000 38163,S200000,00100,0100,378 SYOSSET - WOODBURY ROAD 38163,S200000,00200,0100,WOODBURY 38163,S200000,00200,0200,NY 38163,S200000,00200,0300,11797 38163,S200000,00300,0100,NASSAU 38163,S200000,00400,0100,UNITED PRESBYTERIAN RESIDENCE 38163,S200000,00400,0200,335555 38163,S200000,00400,0300,04/01/1977 38163,S200000,00400,0500,P 38163,S200000,00800,0200,337221 38163,S200000,00800,0300,02/24/1987 38163,S200000,00800,0500,P 38163,S200000,01500,0100,Y 38163,S200000,02100,0100,A 38169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38169,A000000,00300,0000,00300EMPLOYEE BENEFITS 38169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38169,A000000,00700,0000,00700HOUSEKEEPING 38169,A000000,00800,0000,00800DIETARY 38169,A000000,00900,0000,00900NURSING ADMINISTRATION 38169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38169,A000000,01100,0000,01100PHARMACY 38169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38169,A000000,01300,0000,01300SOCIAL SERVICE 38169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38169,A000000,01600,0000,01600SKILLED NURSING FACILITY 38169,A000000,01810,0000,01810ICF/MR 38169,A000000,02100,0000,02100RADIOLOGY 38169,A000000,02200,0000,02200LABORATORY 38169,A000000,02500,0000,02500PHYSICAL THERAPY 38169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38169,A000000,02700,0000,02700SPEECH PATHOLOGY 38169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38169,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 38169,A000000,03550,0000,03550FQHC 38169,A000000,04800,0000,04800AMBULANCE 38169,A000000,05000,0000,05000CORF 38169,A000000,05010,0000,05010CMHC 38169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38169,A000000,05300,0000,05300INTEREST EXPENSE 38169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38169,A81000A,00100,0100,Y 38169,A81000B,00100,0300,RENT - WESTGATE PROP 38169,A81000B,00200,0300,MGMT FEES - HEALTHCR 38169,A81000B,00300,0300,DEPRECIATION - BLDG 38169,A81000B,00400,0300,PROF FEES 38169,A81000C,00100,0100,A 38169,A81000C,00100,0200,DENNIS CHRISTIA 38169,A81000C,00100,0400,WESTGATE PROPER 38169,A81000C,00100,0600,REAL ESTATE 38169,A81000C,00200,0100,A 38169,A81000C,00200,0200,ALL OWNERS 38169,A81000C,00200,0400,HEALTHCRAFT SYS 38169,A81000C,00200,0600,MANAGEMENT SERV 38169,B100000,00000,0100,00000SQUARE FEET 38169,B100000,00000,0200,00000SQUARE FEET 38169,B100000,00000,0300,00000GROSS SALARIES 38169,B100000,00000,0400,00000ACCUM COST 38169,B100000,00000,0500,00000SQUARE FEET 38169,B100000,00000,0600,00000POUNDS OF LAUNDRY 38169,B100000,00000,0700,00000HOURS OF SERVICE 38169,B100000,00000,0800,00000MEALS SERVED 38169,B100000,00000,0900,00000DIRECT NRSG HRS 38169,B100000,00000,1000,00000COSTED REQUIS 38169,B100000,00000,1100,00000COSTED REQUIS 38169,B100000,00000,1200,00000TIME SPENT 38169,B100000,00000,1300,00000TIME SPENT 38169,B100000,00000,1400,00000ASSIGNED TIME 38169,E10A180,00301,0100,05/09/2000 38169,S000000,00100,0200,06/02/2000 38169,S200000,00100,0100,525 BEAHAN ROAD 38169,S200000,00200,0100,ROCHESTER 38169,S200000,00200,0200,NY 38169,S200000,00200,0300,14624 38169,S200000,00300,0100,MONROE 38169,S200000,00400,0100,WESTGATE NURSING HOME 38169,S200000,00400,0200,335556 38169,S200000,00400,0300,08/01/1973 38169,S200000,00400,0500,P 38169,S200000,01500,0100,Y 38169,S200000,02800,0100,Y 38178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38178,A000000,00300,0000,00300EMPLOYEE BENEFITS 38178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38178,A000000,00700,0000,00700HOUSEKEEPING 38178,A000000,00800,0000,00800DIETARY 38178,A000000,00801,0000,00801CAFETERIA 38178,A000000,00900,0000,00900NURSING ADMINISTRATION 38178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38178,A000000,01100,0000,01100PHARMACY 38178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38178,A000000,01300,0000,01300SOCIAL SERVICE 38178,A000000,01350,0000,01500ACTIVITIES 38178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38178,A000000,01600,0000,01600SKILLED NURSING FACILITY 38178,A000000,01810,0000,01810ICF/MR 38178,A000000,02100,0000,02100RADIOLOGY 38178,A000000,02200,0000,02200LABORATORY 38178,A000000,02500,0000,02500PHYSICAL THERAPY 38178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38178,A000000,02700,0000,02700SPEECH PATHOLOGY 38178,A000000,02800,0000,02800ELECTROCARDIOLOGY 38178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38178,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38178,A000000,03550,0000,03550FQHC 38178,A000000,05000,0000,05000CORF 38178,A000000,05010,0000,05010CMHC 38178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38178,A000000,05300,0000,05300INTEREST EXPENSE 38178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38178,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38178,A000000,06201,0000,06201DENTAL 38178,A81000A,00100,0100,Y 38178,A81000B,00100,0300,RENT 38178,A81000B,00200,0300,DEPRECIATION 38178,A81000B,00300,0300,INTEREST EXPENSE 38178,A81000B,00400,0300,PROFESSIONAL FEES 38178,A81000C,00100,0100,C 38178,A81000C,00100,0200,UOF HOUSING CO. 38178,A81000C,00100,0600,REAL ESTATE 38178,B100000,00000,0100,00000SQUARE FEET 38178,B100000,00000,0200,00000SQUARE FEET 38178,B100000,00000,0300,00000GROSS SALARIES 38178,B100000,00000,0400,00000ACCUM COST 38178,B100000,00000,0500,00000SQUARE FEET 38178,B100000,00000,0600,00000POUNDS OF LAUNDRY 38178,B100000,00000,0700,00000HOURS OF SERVICE 38178,B100000,00000,0800,00000MEALS SERVED 38178,B100000,00000,0801,00000MEALS SERVED 38178,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38178,B100000,00000,1000,00000COSTED REQUISITIO 38178,B100000,00000,1100,00000COSTED REQUISITIO 38178,B100000,00000,1200,00000TIME SPENT 38178,B100000,00000,1300,00000TIME SPENT 38178,B100000,00000,1350,00000NUMBER OF PARTICIPAN 38178,B100000,00000,1400,00000ASSIGNED TIME 38178,E10A180,00301,0100,05/09/2000 38178,E10A180,00350,0100,01/01/1999 38178,S000000,00100,0200,06/27/2000 38178,S200000,00100,0100,1072 HAVEMEYER AVENUE 38178,S200000,00200,0100,BRONX 38178,S200000,00200,0200,NY 38178,S200000,00200,0300,10462 38178,S200000,00300,0100,BRONX 38178,S200000,00400,0100,UNITED ODD FELLOW & REBEKAH HOME 38178,S200000,00400,0200,335557 38178,S200000,00400,0300,11/01/1976 38178,S200000,00400,0500,P 38178,S200000,01500,0100,Y 38182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38182,A000000,00300,0000,00300EMPLOYEE BENEFITS 38182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38182,A000000,00700,0000,00700HOUSEKEEPING 38182,A000000,00800,0000,00800DIETARY 38182,A000000,00900,0000,00900NURSING ADMINISTRATION 38182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38182,A000000,01100,0000,01100PHARMACY 38182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38182,A000000,01300,0000,01300SOCIAL SERVICE 38182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38182,A000000,01600,0000,01600SKILLED NURSING FACILITY 38182,A000000,01810,0000,01810ICF/MR 38182,A000000,02100,0000,02100RADIOLOGY 38182,A000000,02200,0000,02200LABORATORY 38182,A000000,02500,0000,02500PHYSICAL THERAPY 38182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38182,A000000,02700,0000,02700SPEECH PATHOLOGY 38182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38182,A000000,03550,0000,03550FQHC 38182,A000000,04800,0000,04800AMBULANCE 38182,A000000,05000,0000,05000CORF 38182,A000000,05010,0000,05010CMHC 38182,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38182,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38182,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38182,A000000,06150,0000,06300ADULT DAY CARE 38182,A000000,06151,0000,06301DENTAL 38182,A81000A,00100,0100,Y 38182,A81000B,00100,0300,RENT 38182,A81000B,00200,0300,MORTG INT 38182,A81000B,00300,0300,DEPRECIATION 38182,A81000B,00400,0300,AMORT MGT EXP 38182,A81000B,00500,0300,MISCELLANEOUS 38182,A81000C,00100,0100,A 38182,A81000C,00100,0200,GERALD OSINOFF 38182,A81000C,00100,0400,SUNHARBOR MANOR 38182,A81000C,00200,0100,A 38182,A81000C,00200,0200,CLIFF OSINOFF 38182,A81000C,00200,0400,SUNHARBOR MANOR 38182,A81000C,00300,0100,A 38182,A81000C,00300,0200,RICHARD GERZOF 38182,A81000C,00300,0400,SUNHARBOR REAL 38182,A81000C,00400,0100,A 38182,A81000C,00400,0200,RONNI OSINOFF 38182,A81000C,00400,0400,SUNHARBOR REAL 38182,B100000,00000,0100,00001SQUARE FEET 38182,B100000,00000,0200,00001SQUARE FEET 38182,B100000,00000,0300,00001GROSS SALARIES 38182,B100000,00000,0400,00001ACCUM COST 38182,B100000,00000,0500,00001SQUARE FEET 38182,B100000,00000,0600,00001POUNDS OF LAUNDRY 38182,B100000,00000,0700,00001HOURS OF SERVICE 38182,B100000,00000,0800,00001MEALS SERVED 38182,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38182,B100000,00000,1000,00001COSTED REQUISITIO 38182,B100000,00000,1100,00001COSTED REQUISITIO 38182,B100000,00000,1200,00001TIME SPENT 38182,B100000,00000,1300,00001TIME SPENT 38182,B100000,00000,1400,00001ASSIGNED TIME 38182,E10A180,00301,0100,05/10/2000 38182,E10A180,00550,0100,06/07/2000 38182,S000000,00100,0200,05/25/2000 38182,S200000,00100,0100,255 WARNER AVE 38182,S200000,00200,0100,ROSLYN HEIGHTS 38182,S200000,00200,0200,NY 38182,S200000,00300,0100,NASSAU 38182,S200000,00400,0100,SUNHARBOR MANOR 38182,S200000,00400,0200,335559 38182,S200000,00400,0300,03/01/1977 38182,S200000,00400,0500,P 38182,S200000,01500,0100,Y 38182,S200000,04300,0100,Y 38190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38190,A000000,00300,0000,00300EMPLOYEE BENEFITS 38190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38190,A000000,00700,0000,00700HOUSEKEEPING 38190,A000000,00800,0000,00800DIETARY 38190,A000000,00900,0000,00900NURSING ADMINISTRATION 38190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38190,A000000,01100,0000,01100PHARMACY 38190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38190,A000000,01300,0000,01300SOCIAL SERVICE 38190,A000000,01350,0000,01500ACTIVTIES 38190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38190,A000000,01600,0000,01600SKILLED NURSING FACILITY 38190,A000000,01810,0000,01810ICF/MR 38190,A000000,02100,0000,02100RADIOLOGY 38190,A000000,02200,0000,02200LABORATORY 38190,A000000,02500,0000,02500PHYSICAL THERAPY 38190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38190,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38190,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38190,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38190,A000000,03550,0000,03550FQHC 38190,A000000,05000,0000,05000CORF 38190,A000000,05010,0000,05010CMHC 38190,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38190,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38190,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38190,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38190,A000000,06150,0000,06300DENTAL 38190,A000000,06151,0000,06301FUNERAL AND CEMENTARY 38190,A000000,06152,0000,06302FUND RAISING 38190,B100000,00000,0100,00002SQUARE FEET 38190,B100000,00000,0200,00002SQUARE FEET 38190,B100000,00000,0300,00002GROSS SALARIES 38190,B100000,00000,0400,00002ACCUM COST 38190,B100000,00000,0500,00002SQUARE FEET 38190,B100000,00000,0600,00002POUNDS OF LAUNDRY 38190,B100000,00000,0700,00002HOURS OF SERVICE 38190,B100000,00000,0800,00002MEALS SERVED 38190,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 38190,B100000,00000,1000,00002COSTED REQUISITIO 38190,B100000,00000,1100,00002COSTED REQUISITIO 38190,B100000,00000,1200,00002TIME SPENT 38190,B100000,00000,1300,00002TIME SPENT 38190,B100000,00000,1350,00002TIME SPENT 38190,B100000,00000,1400,00002ASSIGNED TIME 38190,S000000,00100,0200,08/10/2000 38190,S200000,00100,0100,123 LINDEN BOULEVARD 38190,S200000,00200,0100,BROOKLYN 38190,S200000,00200,0200,NY 38190,S200000,00200,0300,11226 38190,S200000,00300,0100,KINGS 38190,S200000,00400,0100,NY CONGREGATIONAL NURSING CTR 38190,S200000,00400,0200,335560 38190,S200000,00400,0300,10/01/1976 38190,S200000,00400,0500,P 38203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38203,A000000,00300,0000,00300EMPLOYEE BENEFITS 38203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38203,A000000,00700,0000,00700HOUSEKEEPING 38203,A000000,00800,0000,00800DIETARY 38203,A000000,00900,0000,00900NURSING ADMINISTRATION 38203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38203,A000000,01100,0000,01100PHARMACY 38203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38203,A000000,01300,0000,01300SOCIAL SERVICE 38203,A000000,01350,0000,01500ACTIVITIES 38203,A000000,01351,0000,01501TRANSPORTATION 38203,A000000,01352,0000,01502BLANK 38203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38203,A000000,01600,0000,01600SKILLED NURSING FACILITY 38203,A000000,01810,0000,01810ICF/MR 38203,A000000,02100,0000,02100RADIOLOGY 38203,A000000,02200,0000,02200LABORATORY 38203,A000000,02500,0000,02500PHYSICAL THERAPY 38203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38203,A000000,02700,0000,02700SPEECH PATHOLOGY 38203,A000000,02800,0000,02800ELECTROCARDIOLOGY 38203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38203,A000000,03050,0000,03300PHYSICIANS 38203,A000000,03550,0000,03550FQHC 38203,A000000,05000,0000,05000CORF 38203,A000000,05010,0000,05010CMHC 38203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38203,A000000,06150,0000,06300RENTAL WING 38203,A000000,06151,0000,06301SOLD SERVICES 38203,A000000,06152,0000,06302PHYSICIANS/DENTAL 38203,A000000,06153,0000,06303MARKETING 38203,A000000,06154,0000,06304BLANK 38203,A81000A,00100,0100,Y 38203,A81000B,00100,0300,COUNTY COST ALLOCATIONS 38203,A81000B,00200,0300,INSURANCE PAID BY COUNTY 38203,A81000B,00300,0300,FISCAL DP PHARMACY DEPRECIAT 38203,A81000B,00400,0300,FISCAL DP PHARMACY DEPRECIAT 38203,A81000B,00500,0300,SHARED ADMIN FISCAL DIRECTOR 38203,A81000B,00600,0300,SHARED PHARMACY SERVICE 38203,A81000B,00700,0300,SHARED PHYSICAL THERAPIST 38203,A81000B,00800,0300,SHARED NURSING STAFFING 38203,A81000B,00900,0300,SHARED ADMISSIONS FUNCTION 38203,A81000B,01000,0300,SHARED MARKETING FUNCTION 38203,A81000C,00100,0100,G 38203,A81000C,00100,0200,LIVINGSTON CNTY 38203,A81000C,00100,0600,CNTY GOVERNMENT 38203,A81000C,00200,0100,G 38203,A81000C,00200,0200,CAMPUS SNF 38203,A81000C,00200,0600,NURSING HOME 38203,B100000,00000,0100,00004SQUARE FOOTAGE 38203,B100000,00000,0200,00004SQUARE FOOTAGE 38203,B100000,00000,0300,00004BLANK 38203,B100000,00000,0400,00004ACCUM. COST 38203,B100000,00000,0500,00004SQUARE FOOTAGE 38203,B100000,00000,0600,00004LBS OF LAUNDRY 38203,B100000,00000,0700,00004HSKG HRS SPENT 38203,B100000,00000,0800,00004MEALS SERVED 38203,B100000,00000,0900,00004NURSING HOURS 38203,B100000,00000,1000,00004COSTS OF SUPPLYS 38203,B100000,00000,1100,00004COSTS OF DRUGS 38203,B100000,00000,1200,00004MED REC HOURS 38203,B100000,00000,1300,00004SOC SERV HOURS 38203,B100000,00000,1350,00004NO. OF PARTICI 38203,B100000,00000,1351,00004#TRANS- PORTED 38203,B100000,00000,1352,00004BLANK 38203,B100000,00000,1400,00004BLANK 38203,E10A180,00301,0100,05/09/2000 38203,S000000,00100,0200,06/30/2000 38203,S200000,00100,0100,4223 LAKEVILLE ROAD 38203,S200000,00200,0100,GENESEO 38203,S200000,00200,0200,NY 38203,S200000,00200,0300,14454 38203,S200000,00300,0100,LIVINGSTON 38203,S200000,00400,0100,LIVINGSTON COUNTY SNF 38203,S200000,00400,0200,335562 38203,S200000,00400,0300,11/01/1976 38203,S200000,00400,0500,P 38203,S200000,01500,0100,Y 38203,S200000,02800,0100,Y 38212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38212,A000000,00300,0000,00300EMPLOYEE BENEFITS 38212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38212,A000000,00700,0000,00700HOUSEKEEPING 38212,A000000,00800,0000,00800DIETARY 38212,A000000,00900,0000,00900NURSING ADMINISTRATION 38212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38212,A000000,01100,0000,01100PHARMACY 38212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38212,A000000,01300,0000,01300SOCIAL SERVICE 38212,A000000,01301,0000,01301ACTIVITIES 38212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38212,A000000,01600,0000,01600SKILLED NURSING FACILITY 38212,A000000,01810,0000,01810ICF/MR 38212,A000000,02100,0000,02100RADIOLOGY 38212,A000000,02200,0000,02200LABORATORY 38212,A000000,02500,0000,02500PHYSICAL THERAPY 38212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38212,A000000,02700,0000,02700SPEECH PATHOLOGY 38212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38212,A000000,03550,0000,03550FQHC 38212,A000000,05000,0000,05000CORF 38212,A000000,05010,0000,05010CMHC 38212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38212,A000000,05300,0000,05300INTEREST EXPENSE 38212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38212,A81000A,00100,0100,Y 38212,A81000B,00100,0300,ONTARIO COUNTY COSTS 38212,A81000C,00100,0100,A 38212,B100000,00000,0100,00000SQUARE FEET 38212,B100000,00000,0200,00000SQUARE FEET 38212,B100000,00000,0300,00000GROSS SALARIES 38212,B100000,00000,0400,00000ACCUM COST 38212,B100000,00000,0500,00000SQUARE FEET 38212,B100000,00000,0600,00000POUNDS OF LAUNDRY 38212,B100000,00000,0700,00000HOURS OF SERVICE 38212,B100000,00000,0800,00000MEALS SERVED 38212,B100000,00000,0900,00000DIRECT NRSG HRS 38212,B100000,00000,1000,00000COSTED REQUIS 38212,B100000,00000,1100,00000COSTED REQUIS 38212,B100000,00000,1200,00000TIME SPENT 38212,B100000,00000,1300,00000TIME SPENT 38212,B100000,00000,1301,00000TIME SPENT 38212,B100000,00000,1400,00000ASSIGNED TIME 38212,S000000,00100,0200,07/11/2000 38212,S200000,00100,0100,3893 COUNTY ROAD 46 38212,S200000,00200,0100,CANANDAIGUA 38212,S200000,00200,0200,NY 38212,S200000,00200,0300,14424 38212,S200000,00300,0100,ONTARIO 38212,S200000,00400,0100,ONTARIO COUNTY HEALTH FACILITY 38212,S200000,00400,0200,335564 38212,S200000,00400,0300,01/01/1977 38212,S200000,00400,0500,P 38212,S200000,01500,0100,Y 38212,S200000,02100,0100,B 38212,S200000,02200,0100,Y 38212,S200000,02800,0100,Y 38221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38221,A000000,00300,0000,00300EMPLOYEE BENEFITS 38221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38221,A000000,00700,0000,00700HOUSEKEEPING 38221,A000000,00800,0000,00800DIETARY 38221,A000000,00900,0000,00900NURSING ADMINISTRATION 38221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38221,A000000,01100,0000,01100PHARMACY 38221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38221,A000000,01300,0000,01300SOCIAL SERVICE 38221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38221,A000000,01600,0000,01600SKILLED NURSING FACILITY 38221,A000000,01810,0000,01810ICF/MR 38221,A000000,02100,0000,02100RADIOLOGY 38221,A000000,02200,0000,02200LABORATORY 38221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38221,A000000,02500,0000,02500PHYSICAL THERAPY 38221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38221,A000000,02700,0000,02700SPEECH PATHOLOGY 38221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38221,A000000,03550,0000,03550FQHC 38221,A000000,05000,0000,05000CORF 38221,A000000,05010,0000,05010CMHC 38221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38221,A000000,06150,0000,06300ADULT DAY CARE 38221,A000000,06151,0000,06301DENTAL 38221,B100000,00000,0100,00001SQUARE FEET 38221,B100000,00000,0200,00001SQUARE FEET 38221,B100000,00000,0300,00001GROSS SALARIES 38221,B100000,00000,0400,00001ACCUM COST 38221,B100000,00000,0500,00001SQUARE FEET 38221,B100000,00000,0600,00001POUNDS OF LAUNDRY 38221,B100000,00000,0700,00001HOURS OF SERVICE 38221,B100000,00000,0800,00001MEALS SERVED 38221,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38221,B100000,00000,1000,00001COSTED REQUISITIO 38221,B100000,00000,1100,00001COSTED REQUISITIO 38221,B100000,00000,1200,00001TIME SPENT 38221,B100000,00000,1300,00001TIME SPENT 38221,B100000,00000,1400,00001ASSIGNED TIME 38221,E10A180,00301,0100,05/09/2000 38221,S000000,00100,0200,05/30/2000 38221,S200000,00100,0100,CHURCH STREET 38221,S200000,00200,0100,VALATIE 38221,S200000,00200,0200,NY 38221,S200000,00200,0300,12184 38221,S200000,00300,0100,COLUMBIA 38221,S200000,00400,0100,BARNWELL NURSING HOME 38221,S200000,00400,0200,335565 38221,S200000,00400,0300,11/01/1976 38221,S200000,00400,0500,P 38221,S200000,01500,0100,Y 38221,S200000,04300,0100,Y 38230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38230,A000000,00300,0000,00300EMPLOYEE BENEFITS 38230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38230,A000000,00700,0000,00700HOUSEKEEPING 38230,A000000,00800,0000,00800DIETARY 38230,A000000,00801,0000,00801CAFETERIA 38230,A000000,00900,0000,00900NURSING ADMINISTRATION 38230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38230,A000000,01100,0000,01100PHARMACY 38230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38230,A000000,01300,0000,01300SOCIAL SERVICE 38230,A000000,01301,0000,01301ACTIVITIES 38230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38230,A000000,01600,0000,01600SKILLED NURSING FACILITY 38230,A000000,01810,0000,01810ICF/MR 38230,A000000,02500,0000,02500PHYSICAL THERAPY 38230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38230,A000000,02700,0000,02700SPEECH PATHOLOGY 38230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38230,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38230,A000000,03550,0000,03550FQHC 38230,A000000,05000,0000,05000CORF 38230,A000000,05010,0000,05010CMHC 38230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38230,B100000,00000,0100,00000SQUARE FEET 38230,B100000,00000,0200,00000SQUARE FEET 38230,B100000,00000,0300,00000GROSS SALARIES 38230,B100000,00000,0400,00000ACCUM COST 38230,B100000,00000,0500,00000SQUARE FEET 38230,B100000,00000,0600,00000POUNDS OF LAUNDRY 38230,B100000,00000,0700,00000HOURS OF SERVICE 38230,B100000,00000,0800,00000MEALS SERVED 38230,B100000,00000,0801,00000MEALS SERVED 38230,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38230,B100000,00000,1000,00000COSTED REQUIS 38230,B100000,00000,1100,00000COSTED REQUISITIO 38230,B100000,00000,1200,00000TIME SPENT 38230,B100000,00000,1300,00000TIME SPENT 38230,B100000,00000,1301,00000TIME SPENT 38230,B100000,00000,1400,00000ASSIGNED TIME 38230,E10A180,00301,0100,01/18/2000 38230,E10A180,00302,0100,05/09/2000 38230,S000000,00100,0200,12/04/2000 38230,S200000,00100,0100,WEST MAIN STREET 38230,S200000,00200,0100,CANTON 38230,S200000,00200,0200,NY 38230,S200000,00200,0300,13617 38230,S200000,00300,0100,ST. LAWRENCE 38230,S200000,00400,0100,UNITED HELPERS CANTON NH 38230,S200000,00400,0200,335566 38230,S200000,00400,0300,01/01/1977 38230,S200000,00400,0500,P 38230,S200000,01500,0100,Y 38237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38237,A000000,00300,0000,00300EMPLOYEE BENEFITS 38237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38237,A000000,00700,0000,00700HOUSEKEEPING 38237,A000000,00800,0000,00800DIETARY 38237,A000000,00900,0000,00900NURSING ADMINISTRATION 38237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38237,A000000,01100,0000,01100PHARMACY 38237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38237,A000000,01300,0000,01300SOCIAL SERVICE 38237,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38237,A000000,01351,0000,01501ACTIVITIES 38237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38237,A000000,01600,0000,01600SKILLED NURSING FACILITY 38237,A000000,01810,0000,01810ICF/MR 38237,A000000,02500,0000,02500PHYSICAL THERAPY 38237,A000000,02700,0000,02700SPEECH PATHOLOGY 38237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38237,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38237,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38237,A000000,03550,0000,03550FQHC 38237,A000000,05000,0000,05000CORF 38237,A000000,05010,0000,05010CMHC 38237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38237,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38237,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38237,A81000A,00100,0100,Y 38237,A81000B,00100,0300,DEPRECIATION 38237,A81000B,00200,0300,INTEREST 38237,A81000B,00300,0300,REAL ESTATE TAXES 38237,A81000B,00400,0300,PROPERTY INSURANCE 38237,A81000B,00500,0300,ADMIN. & GENERAL EXPENSES 38237,A81000B,00600,0300,BUILDING RENT 38237,A81000C,00100,0100,E 38237,A81000C,00100,0200,HENRY M SLOMA 38237,A81000C,00100,0400,FAIRCHHILD HOLD 38237,A81000C,00100,0600,REAL ESTATE 38237,A81000C,00200,0100,E 38237,A81000C,00200,0200,GARY J SLOMA 38237,A81000C,00200,0400,FAIRCHILD HOLDI 38237,A81000C,00200,0600,REAL ESTATE 38237,B100000,00000,0100,00000SQUARE FEET 38237,B100000,00000,0200,00000SQUARE FEET 38237,B100000,00000,0300,00000GROSS SALARIES 38237,B100000,00000,0400,00000ACCUM COST 38237,B100000,00000,0500,00000SQUARE FEET 38237,B100000,00000,0600,00000POUNDS OF LAUNDRY 38237,B100000,00000,0700,00000HOURS OF SERVICE 38237,B100000,00000,0800,00000MEALS SERVED 38237,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38237,B100000,00000,1000,00000COSTED REQUISITIO 38237,B100000,00000,1100,00000COSTED REQUISITIO 38237,B100000,00000,1200,00000TIME SPENT 38237,B100000,00000,1300,00000TIME SPENT 38237,B100000,00000,1350,00000ASSIGNED TIME 38237,B100000,00000,1351,00000ASSIGNED TIME 38237,B100000,00000,1400,00000ASSIGNED TIME 38237,S000000,00100,0200,06/01/2000 38237,S200000,00100,0100,765 FAIRCHILD PLACE 38237,S200000,00100,0300,PO BOX 327 38237,S200000,00200,0100,LEWISTON 38237,S200000,00200,0200,NY 38237,S200000,00200,0300,14092 38237,S200000,00300,0100,NIAGARA 38237,S200000,00400,0100,FAIRCHILD MANOR 38237,S200000,00400,0200,335567 38237,S200000,00400,0300,11/01/1976 38237,S200000,00400,0500,P 38237,S200000,01500,0100,Y 38242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38242,A000000,00300,0000,00300EMPLOYEE BENEFITS 38242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38242,A000000,00700,0000,00700HOUSEKEEPING 38242,A000000,00800,0000,00800DIETARY 38242,A000000,00900,0000,00900NURSING ADMINISTRATION 38242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38242,A000000,01100,0000,01100PHARMACY 38242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38242,A000000,01300,0000,01300SOCIAL SERVICE 38242,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 38242,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38242,A000000,01600,0000,01600SKILLED NURSING FACILITY 38242,A000000,01810,0000,01810ICF/MR 38242,A000000,02500,0000,02500PHYSICAL THERAPY 38242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38242,A000000,02700,0000,02700SPEECH PATHOLOGY 38242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38242,A000000,03550,0000,03550FQHC 38242,A000000,05000,0000,05000CORF 38242,A000000,05010,0000,05010CMHC 38242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38242,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38242,A000000,06201,0000,06201DENTAL 38242,B100000,00000,0100,00000SQUARE FEET 38242,B100000,00000,0200,00000SQUARE FEET 38242,B100000,00000,0300,00000GROSS SALARIES 38242,B100000,00000,0400,00000ACCUM COST 38242,B100000,00000,0500,00000SQUARE FEET 38242,B100000,00000,0600,00000POUNDS OF LAUNDRY 38242,B100000,00000,0700,00000HOURS OF SERVICE 38242,B100000,00000,0800,00000MEALS SERVED 38242,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38242,B100000,00000,1000,00000COSTED REQUISITIO 38242,B100000,00000,1100,00000COSTED REQUISITIO 38242,B100000,00000,1200,00000TIME SPENT 38242,B100000,00000,1300,00000TIME SPENT 38242,B100000,00000,1301,00000PARTICIPAN 38242,B100000,00000,1350,00000 38242,B100000,00000,1400,00000ASSIGNED TIME 38242,E10A180,00301,0100,05/10/2000 38242,S000000,00100,0200,05/31/2000 38242,S200000,00100,0100,1325 BRENTWOOD ROAD 38242,S200000,00200,0100,BAY SHORE 38242,S200000,00200,0200,NEW YORK 38242,S200000,00200,0300,11706 38242,S200000,00300,0100,SUFFOLK 38242,S200000,00400,0100,SUNRISE MANOR NURSING HOME 38242,S200000,00400,0200,335568 38242,S200000,00400,0300,11/01/1976 38242,S200000,00400,0500,P 38242,S200000,01500,0100,Y 38249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38249,A000000,00300,0000,00300EMPLOYEE BENEFITS 38249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38249,A000000,00700,0000,00700HOUSEKEEPING 38249,A000000,00800,0000,00800DIETARY 38249,A000000,00900,0000,00900NURSING ADMINISTRATION 38249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38249,A000000,01100,0000,01100PHARMACY 38249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38249,A000000,01300,0000,01300SOCIAL SERVICE 38249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38249,A000000,01600,0000,01600SKILLED NURSING FACILITY 38249,A000000,01810,0000,01810ICF/MR 38249,A000000,02500,0000,02500PHYSICAL THERAPY 38249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38249,A000000,02700,0000,02700SPEECH PATHOLOGY 38249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38249,A000000,03550,0000,03550FQHC 38249,A000000,05000,0000,05000CORF 38249,A000000,05010,0000,05010CMHC 38249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38249,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 38249,A000000,05300,0000,05300INTEREST EXPENSE 38249,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38249,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38249,A81000A,00100,0100,Y 38249,A81000B,00100,0300,INTEREST 38249,A81000B,00200,0300,PT SERVICES 38249,A81000B,00300,0300,DIETARY 38249,A81000B,00400,0300,HOUSEKEEPING 38249,A81000B,00500,0300,LAUNDRY/LINEN 38249,A81000B,00600,0300,PLANT SERVICES 38249,A81000B,00700,0300,ADMINISTRATION 38249,A81000C,00100,0100,B 38249,A81000C,00100,0200,LAKESIDE MEMORI 38249,A81000C,00100,0400,LAKESIDE MEMORI 38249,A81000C,00100,0600,HOSPITAL 38249,B100000,00000,0100,00000SQUARE FEET 38249,B100000,00000,0200,00000SQUARE FEET 38249,B100000,00000,0300,00000GROSS SALARIES 38249,B100000,00000,0400,00000ACCUM COST 38249,B100000,00000,0500,00000SQUARE FEET 38249,B100000,00000,0600,00000POUNDS OF LAUNDRY 38249,B100000,00000,0700,00000HOURS OF SERVICE 38249,B100000,00000,0800,00000MEALS SERVED 38249,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38249,B100000,00000,1000,00000COSTED REQUIS 38249,B100000,00000,1100,00000COSTED REQUISITIO 38249,B100000,00000,1200,00000TIME SPENT 38249,B100000,00000,1300,00000TIME SPENT 38249,B100000,00000,1400,00000ASSIGNED TIME 38249,S000000,00100,0200,06/06/2000 38249,S200000,00100,0100,156 WEST AVE 38249,S200000,00200,0100,BROCKPORT 38249,S200000,00200,0200,NEW YORK 38249,S200000,00300,0100,MONROE 38249,S200000,00400,0100,LAKESIDE BEIKIRCH CARE CENTER 38249,S200000,00400,0200,335569 38249,S200000,00400,0300,12/01/1976 38249,S200000,00400,0500,P 38249,S200000,01500,0100,Y 38249,S200000,02200,0100,Y 38249,S200000,02800,0100,Y 38249,S200000,03300,0100,Y 38249,S200000,03300,0200,Y 38253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38253,A000000,00300,0000,00300EMPLOYEE BENEFITS 38253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38253,A000000,00700,0000,00700HOUSEKEEPING 38253,A000000,00800,0000,00800DIETARY 38253,A000000,00900,0000,00900NURSING ADMINISTRATION 38253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38253,A000000,01100,0000,01100PHARMACY 38253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38253,A000000,01300,0000,01300SOCIAL SERVICE 38253,A000000,01350,0000,01500ACTIVITY 38253,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38253,A000000,01600,0000,01600SKILLED NURSING FACILITY 38253,A000000,01800,0000,01800NURSING FACILITY 38253,A000000,01810,0000,01810ICF/MR 38253,A000000,02100,0000,02100RADIOLOGY 38253,A000000,02200,0000,02200LABORATORY 38253,A000000,02500,0000,02500PHYSICAL THERAPY 38253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38253,A000000,02700,0000,02700SPEECH PATHOLOGY 38253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38253,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38253,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38253,A000000,03550,0000,03550FQHC 38253,A000000,05000,0000,05000CORF 38253,A000000,05010,0000,05010CMHC 38253,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38253,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38253,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38253,A000000,05300,0000,05300INTEREST EXPENSE 38253,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 38253,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38253,A000000,06150,0000,06300ADULT DAY CARE 38253,A000000,06151,0000,06301DENTAL AND PODIATRY 38253,B100000,00000,0100,00001SQUARE FEET 38253,B100000,00000,0200,00001SQUARE FEET 38253,B100000,00000,0300,00001GROSS SALARIES 38253,B100000,00000,0400,00001ACCUM COST 38253,B100000,00000,0500,00001SQUARE FEET 38253,B100000,00000,0600,00001POUNDS OF LAUNDRY 38253,B100000,00000,0700,00001HOURS OF SERVICE 38253,B100000,00000,0800,00001MEALS SERVED 38253,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38253,B100000,00000,1000,00001COSTED REQUISITIO 38253,B100000,00000,1100,00001COSTED REQUISITIO 38253,B100000,00000,1200,00001TIME SPENT 38253,B100000,00000,1300,00001TIME SPENT 38253,B100000,00000,1350,00001ASSIGNED TIME 38253,B100000,00000,1400,00001ASSIGNED TIME 38253,E10A180,00301,0100,05/10/2000 38253,S000000,00100,0200,05/31/2000 38253,S200000,00100,0100,1060 AMSTERDAM AVENUE 38253,S200000,00200,0100,NEW YORK 38253,S200000,00200,0200,NEW YORK 38253,S200000,00200,0300,10025 38253,S200000,00300,0100,NEW YORK 38253,S200000,00400,0100,AMSTERDAM NURSING HOME CORP 38253,S200000,00400,0200,335570 38253,S200000,00400,0300,11/12/1976 38253,S200000,00400,0500,P 38253,S200000,01500,0100,Y 38253,S200000,02200,0100,Y 38257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38257,A000000,00300,0000,00300EMPLOYEE BENEFITS 38257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38257,A000000,00700,0000,00700HOUSEKEEPING 38257,A000000,00800,0000,00800DIETARY 38257,A000000,00900,0000,00900NURSING ADMINISTRATION 38257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38257,A000000,01100,0000,01100PHARMACY 38257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38257,A000000,01300,0000,01300SOCIAL SERVICE 38257,A000000,01350,0000,01500OTHER GENERAL SERVICES 38257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38257,A000000,01600,0000,01600SKILLED NURSING FACILITY 38257,A000000,01810,0000,01810ICF/MR 38257,A000000,02100,0000,02100RADIOLOGY 38257,A000000,02200,0000,02200LABORATORY 38257,A000000,02300,0000,02300INTRAVENOUS THERAPY 38257,A000000,02500,0000,02500PHYSICAL THERAPY 38257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38257,A000000,02700,0000,02700SPEECH PATHOLOGY 38257,A000000,02800,0000,02800ELECTROCARDIOLOGY 38257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38257,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38257,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38257,A000000,03550,0000,03550FQHC 38257,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38257,A000000,05000,0000,05000CORF 38257,A000000,05010,0000,05010CMHC 38257,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38257,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38257,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38257,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38257,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38257,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38257,A81000A,00100,0100,Y 38257,A81000B,00100,0300,RENT 38257,A81000B,00200,0300,MORTGAGE INTEREST 38257,A81000B,00300,0300,DEPRECIATION 38257,A81000B,00400,0300,PRO FEES 38257,A81000C,00100,0100,A 38257,A81000C,00100,0200,M. MELNICKE 38257,A81000C,00100,0400,ROCKAWAY CARE CENTER BLDG 38257,A81000C,00100,0600,REAL ESTATE 38257,B100000,00000,0100,00000S 38257,B100000,00000,0200,00000NO STATISTICS 38257,B100000,00000,0300,00000PAYROLL 38257,B100000,00000,0400,00000ACCUM. COST 38257,B100000,00000,0500,00000S 38257,B100000,00000,0600,00000LAUNDRY DISTRIBUTE 38257,B100000,00000,0700,00000TIME SPENT 38257,B100000,00000,0800,00000MEALS SERVED 38257,B100000,00000,0900,00000NO STATISTICS 38257,B100000,00000,1000,00000NO STATISTICS 38257,B100000,00000,1100,00000NO STATISTICS 38257,B100000,00000,1200,00000NO STATISTICS 38257,B100000,00000,1300,00000NO STATISTICS 38257,B100000,00000,1350,00000NO STATISTICS 38257,B100000,00000,1400,00000NO STATISTICS 38257,E10A180,00301,0100,05/10/2000 38257,S000000,00100,0200,06/07/2000 38257,S200000,00100,0100,353 BEACH 48TH STREET 38257,S200000,00200,0100,EDGEMERE 38257,S200000,00200,0200,NY 38257,S200000,00200,0300,11691 38257,S200000,00300,0100,QUEENS 38257,S200000,00400,0100,ROCKAWAY CARE CENTER 38257,S200000,00400,0200,335571 38257,S200000,00400,0300,04/26/1976 38257,S200000,00400,0500,P 38257,S200000,01500,0100,Y 38266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38266,A000000,00300,0000,00300EMPLOYEE BENEFITS 38266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38266,A000000,00700,0000,00700HOUSEKEEPING 38266,A000000,00800,0000,00800DIETARY 38266,A000000,00900,0000,00900NURSING ADMINISTRATION 38266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38266,A000000,01100,0000,01100PHARMACY 38266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38266,A000000,01300,0000,01300SOCIAL SERVICE 38266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38266,A000000,01600,0000,01600SKILLED NURSING FACILITY 38266,A000000,01810,0000,01810ICF/MR 38266,A000000,02100,0000,02100RADIOLOGY 38266,A000000,02200,0000,02200LABORATORY 38266,A000000,02500,0000,02500PHYSICAL THERAPY 38266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38266,A000000,02700,0000,02700SPEECH PATHOLOGY 38266,A000000,02800,0000,02800ELECTROCARDIOLOGY 38266,A000000,02801,0000,02810ORTHOPEDICS 38266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38266,A000000,03201,0000,03210TRANSPORTATION 38266,A000000,03550,0000,03550FQHC 38266,A000000,05000,0000,05000CORF 38266,A000000,05010,0000,05010CMHC 38266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38266,A000000,06200,0000,06200PATIENTS LAUNDRY 38266,A81000A,00100,0100,Y 38266,A81000B,00100,0300,RENT 38266,A81000B,00200,0300,AMORTIZATION 38266,A81000B,00300,0300,DEPRECIATION 38266,A81000B,00400,0300,INTEREST MORTGAGE - 38266,A81000B,00500,0300,PROF FEES 38266,A81000B,00600,0300,REAL ESTATE TAX 38266,A81000B,00700,0300,INTEREST - BLDG/FIXE 38266,A81000C,00100,0100,F 38266,A81000C,00100,0200,GREG CHAMBERY 38266,A81000C,00200,0100,D 38266,A81000C,00200,0200,JAMES CHAMBERY 38266,A81000C,00200,0400,MAPLEWOOD PARTN 38266,A81000C,00200,0600,REAL ESTATE 38266,A81000C,00300,0100,D 38266,A81000C,00300,0200,JUDITH CHAMBERY 38266,A81000C,00300,0400,MAPLEWOOD PARTN 38266,A81000C,00300,0600,REAL ESTATE 38266,B100000,00000,0100,00000SQUARE FEET 38266,B100000,00000,0200,00000SQUARE FEET 38266,B100000,00000,0300,00000GROSS SALARIES 38266,B100000,00000,0400,00000ACCUM COST 38266,B100000,00000,0500,00000SQUARE FEET 38266,B100000,00000,0600,00000POUNDS OF LAUNDRY 38266,B100000,00000,0700,00000HOURS OF SERVICE 38266,B100000,00000,0800,00000MEALS SERVED 38266,B100000,00000,0900,00000DIRECT NRSG HRS 38266,B100000,00000,1000,00000COSTED REQUIS 38266,B100000,00000,1100,00000COSTED REQUIS 38266,B100000,00000,1200,00000TIME SPENT 38266,B100000,00000,1300,00000TIME SPENT 38266,B100000,00000,1400,00000ASSIGNED TIME 38266,S000000,00100,0200,05/17/2000 38266,S200000,00100,0100,100 DANIEL DRIVE 38266,S200000,00200,0100,WEBSTER 38266,S200000,00200,0200,NY 38266,S200000,00200,0300,14580 38266,S200000,00300,0100,MONROE 38266,S200000,00400,0100,MAPLEWOOD NURSING HOME INC. 38266,S200000,00400,0200,335572 38266,S200000,00400,0300,11/22/1976 38266,S200000,00400,0500,P 38266,S200000,01500,0100,Y 38266,S200000,01900,0100,PROPRIETARY PARTNERSHIP 38266,S200000,02800,0100,Y 38275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38275,A000000,00300,0000,00300EMPLOYEE BENEFITS 38275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38275,A000000,00700,0000,00700HOUSEKEEPING 38275,A000000,00800,0000,00800DIETARY 38275,A000000,00900,0000,00900NURSING ADMINISTRATION 38275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38275,A000000,01100,0000,01100PHARMACY 38275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38275,A000000,01300,0000,01300SOCIAL SERVICE 38275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38275,A000000,01600,0000,01600SKILLED NURSING FACILITY 38275,A000000,01810,0000,01810ICF/MR 38275,A000000,02100,0000,02100RADIOLOGY 38275,A000000,02200,0000,02200LABORATORY 38275,A000000,02500,0000,02500PHYSICAL THERAPY 38275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38275,A000000,02700,0000,02700SPEECH PATHOLOGY 38275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38275,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38275,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38275,A000000,03550,0000,03550FQHC 38275,A000000,05000,0000,05000CORF 38275,A000000,05010,0000,05010CMHC 38275,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38275,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38275,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38275,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38275,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38275,A81000A,00100,0100,Y 38275,A81000B,00100,0300,RENT 38275,A81000B,00200,0300,PROPERTY TAXES 38275,A81000B,00300,0300,INTEREST 38275,A81000B,00400,0300,DEPRECIATION 38275,A81000B,00500,0300,MANAGEMENT FEE 38275,A81000B,00600,0300,LEGAL & PROFESSIONAL 38275,A81000B,00700,0300,OFFICE 38275,A81000B,00800,0300,INSURANCE 38275,A81000C,00100,0100,C 38275,A81000C,00100,0400,909 LINCOLN 38275,A81000C,00100,0600,LESSOR 38275,B100000,00000,0100,00000SQUARE FEET 38275,B100000,00000,0200,00000SQUARE FEET 38275,B100000,00000,0300,00000GROSS SALARIES 38275,B100000,00000,0400,00000ACCUM COST 38275,B100000,00000,0500,00000SQUARE FEET 38275,B100000,00000,0600,00000POUNDS OF LAUNDRY 38275,B100000,00000,0700,00000HOURS OF SERVICE 38275,B100000,00000,0800,00000MEALS SERVED 38275,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38275,B100000,00000,1000,00000COSTED REQUISITIO 38275,B100000,00000,1100,00000COSTED REQUISITIO 38275,B100000,00000,1200,00000TIME SPENT 38275,B100000,00000,1300,00000TIME SPENT 38275,B100000,00000,1400,00000ASSIGNED TIME 38275,E10A180,00301,0100,05/09/2000 38275,E10A180,00350,0100,08/20/1999 38275,S000000,00100,0200,05/31/2000 38275,S200000,00100,0100,909 LINCOLN AVENUE 38275,S200000,00200,0100,LOCKPORT NY 14094 38275,S200000,00300,0100,NIAGARA 38275,S200000,00400,0100,BRIODY HEALTH CARE FACILITY 38275,S200000,00400,0200,335573 38275,S200000,00400,0300,01/01/1977 38275,S200000,00400,0500,P 38275,S200000,01500,0100,Y 38275,S200000,01900,0100,PROPRIETARY PARTNERSHIP 38275,S200000,02800,0100,Y 38284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38284,A000000,00300,0000,00300EMPLOYEE BENEFITS 38284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38284,A000000,00700,0000,00700HOUSEKEEPING 38284,A000000,00800,0000,00800DIETARY 38284,A000000,00900,0000,00900NURSING ADMINISTRATION 38284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38284,A000000,01100,0000,01100PHARMACY 38284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38284,A000000,01300,0000,01300SOCIAL SERVICE 38284,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38284,A000000,01600,0000,01600SKILLED NURSING FACILITY 38284,A000000,01810,0000,01810ICF/MR 38284,A000000,02500,0000,02500PHYSICAL THERAPY 38284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38284,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38284,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38284,A000000,03550,0000,03550FQHC 38284,A000000,05000,0000,05000CORF 38284,A000000,05010,0000,05010CMHC 38284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38284,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38284,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38284,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38284,B100000,00000,0100,00000SQUARE FEET 38284,B100000,00000,0200,00000SQUARE FEET 38284,B100000,00000,0300,00000GROSS SALARIES 38284,B100000,00000,0400,00000ACCUM COST 38284,B100000,00000,0500,00000SQUARE FEET 38284,B100000,00000,0600,00000POUNDS OF LAUNDRY 38284,B100000,00000,0700,00000HOURS OF SERVICE 38284,B100000,00000,0800,00000MEALS SERVED 38284,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38284,B100000,00000,1000,00000COSTED REQUISITIO 38284,B100000,00000,1100,00000COSTED REQUISITIO 38284,B100000,00000,1200,00000TIME SPENT 38284,B100000,00000,1300,00000TIME SPENT 38284,B100000,00000,1350,00000PARTICIPAN 38284,B100000,00000,1400,00000ASSIGNED TIME 38284,E10A180,00301,0100,05/09/2000 38284,S000000,00100,0200,06/01/2000 38284,S200000,00100,0100,4646 NINE MILE POINT ROAD 38284,S200000,00200,0100,FAIRPORT NEW YORK 38284,S200000,00300,0100,MONROE 38284,S200000,00400,0100,FAIRPORT BAPTIST HOMES 38284,S200000,00400,0200,335576 38284,S200000,00400,0300,01/01/1971 38284,S200000,00400,0500,P 38284,S200000,01500,0100,Y 38284,S200000,01900,0100,PROPRIETARY PARTNERSHIP 38284,S200000,02800,0100,Y 38284,S200000,04300,0100,Y 38303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38303,A000000,00300,0000,00300EMPLOYEE BENEFITS 38303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38303,A000000,00700,0000,00700HOUSEKEEPING 38303,A000000,00800,0000,00800DIETARY 38303,A000000,00900,0000,00900NURSING ADMINISTRATION 38303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38303,A000000,01100,0000,01100PHARMACY 38303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38303,A000000,01300,0000,01300SOCIAL SERVICE 38303,A000000,01350,0000,01500OTHER GENERAL SERVICES 38303,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38303,A000000,01600,0000,01600SKILLED NURSING FACILITY 38303,A000000,01810,0000,01810ICF/MR 38303,A000000,02100,0000,02100RADIOLOGY 38303,A000000,02200,0000,02200LABORATORY 38303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38303,A000000,02500,0000,02500PHYSICAL THERAPY 38303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38303,A000000,02700,0000,02700SPEECH PATHOLOGY 38303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38303,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38303,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38303,A000000,03550,0000,03550FQHC 38303,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38303,A000000,05000,0000,05000CORF 38303,A000000,05010,0000,05010CMHC 38303,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38303,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38303,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38303,A000000,05300,0000,05300INTEREST EXPENSE 38303,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38303,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38303,A000000,06151,0000,06301DENTAL 38303,B100000,00000,0100,00001SQUARE FEET 38303,B100000,00000,0200,00001DOLLAR VALUE 38303,B100000,00000,0300,00001GROSS SALARIES 38303,B100000,00000,0400,00001ACCUM. COST 38303,B100000,00000,0500,00001SQUARE FEET 38303,B100000,00000,0600,00001POUNDS OF LAUNDRY 38303,B100000,00000,0700,00001HOURS OF SERVICE 38303,B100000,00000,0800,00001MEALS SERVED 38303,B100000,00000,0900,00001DIRECT NRSING HRS 38303,B100000,00000,1000,00001COSTED REQUIS. 38303,B100000,00000,1100,00001COSTED REQUIS. 38303,B100000,00000,1200,00001TIME SPENT 38303,B100000,00000,1300,00001TIME SPENT 38303,B100000,00000,1350,00001NO STATISTICS 38303,B100000,00000,1400,00001ASSIGNED TIME 38303,S000000,00100,0200,05/30/2000 38303,S200000,00100,0100,ROUTE 16 38303,S200000,00200,0100,MACHIAS 38303,S200000,00200,0200,NY 38303,S200000,00200,0300,14101 38303,S200000,00300,0100,CATTARAUGUS 38303,S200000,00400,0100,CATTARAUGUS COUNTY HOME & INFIRMARY 38303,S200000,00400,0200,335578 38303,S200000,00400,0300,01/01/1977 38303,S200000,00400,0500,P 38303,S200000,01500,0100,Y 38303,S200000,02800,0100,Y 38303,S200000,04100,0100,Y 38312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38312,A000000,00300,0000,00300EMPLOYEE BENEFITS 38312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38312,A000000,00700,0000,00700HOUSEKEEPING 38312,A000000,00800,0000,00800DIETARY 38312,A000000,00900,0000,00900NURSING ADMINISTRATION 38312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38312,A000000,01100,0000,01100PHARMACY 38312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38312,A000000,01300,0000,01300SOCIAL SERVICE 38312,A000000,01350,0000,01500OTHER GENERAL SERVICES 38312,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38312,A000000,01600,0000,01600SKILLED NURSING FACILITY 38312,A000000,01810,0000,01810ICF/MR 38312,A000000,02500,0000,02500PHYSICAL THERAPY 38312,A000000,02700,0000,02700SPEECH PATHOLOGY 38312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38312,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38312,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38312,A000000,03200,0000,03200SUPPORT SURFACES 38312,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38312,A000000,03550,0000,03550FQHC 38312,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38312,A000000,05000,0000,05000CORF 38312,A000000,05010,0000,05010CMHC 38312,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38312,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38312,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38312,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38312,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38312,B100000,00000,0100,00000SQUARE FEET 38312,B100000,00000,0200,00000SQUARE FEET 38312,B100000,00000,0300,00000GROSS SALARIES 38312,B100000,00000,0400,00000ACCUM. COST 38312,B100000,00000,0500,00000SQUARE FEET 38312,B100000,00000,0600,00000POUNDS OF LAUNDRY 38312,B100000,00000,0700,00000HOURS OF SERVICE 38312,B100000,00000,0800,00000MEALS SERVED 38312,B100000,00000,0900,00000HOURS OF SERVICE 38312,B100000,00000,1000,00000COSTSREQUI ISITIONE 38312,B100000,00000,1100,00000COSTSREQUI ISITIONE 38312,B100000,00000,1200,00000TIME SPENT 38312,B100000,00000,1300,00000TIME SPENT 38312,B100000,00000,1350,00000NO STATISTICS 38312,B100000,00000,1400,00000ASSIGNED TIME 38312,E10A180,00301,0100,05/09/2000 38312,S000000,00100,0200,06/21/2000 38312,S200000,00100,0100,1045 WEST STREET 38312,S200000,00200,0100,CARTHAGE 38312,S200000,00200,0200,NY 38312,S200000,00200,0300,13619 38312,S200000,00300,0100,JEFFERSON 38312,S200000,00400,0100,HALLMARK NURSING CENTRE - CARTHAGE 38312,S200000,00400,0200,335579 38312,S200000,00400,0300,01/01/1977 38312,S200000,00400,0500,P 38312,S200000,01500,0100,Y 38323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38323,A000000,00300,0000,00300EMPLOYEE BENEFITS 38323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38323,A000000,00700,0000,00700HOUSEKEEPING 38323,A000000,00800,0000,00800DIETARY 38323,A000000,00900,0000,00900NURSING ADMINISTRATION 38323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38323,A000000,01100,0000,01100PHARMACY 38323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38323,A000000,01300,0000,01300SOCIAL SERVICE 38323,A000000,01301,0000,01350ACTIVITIES 38323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38323,A000000,01600,0000,01600SKILLED NURSING FACILITY 38323,A000000,01810,0000,01810ICF/MR 38323,A000000,02100,0000,02100RADIOLOGY 38323,A000000,02200,0000,02200LABORATORY 38323,A000000,02500,0000,02500PHYSICAL THERAPY 38323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38323,A000000,02700,0000,02700SPEECH PATHOLOGY 38323,A000000,02800,0000,02800ELECTROCARDIOLOGY 38323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38323,A000000,03550,0000,03550FQHC 38323,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38323,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38323,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38323,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38323,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38323,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38323,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38323,A000000,05000,0000,05000CORF 38323,A000000,05010,0000,05010CMHC 38323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38323,A000000,05350,0000,05600PHYSICIAN (HOUSESTAFF) LICENSED 38323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38323,A000000,06101,0000,06150ADULT DAY/DENTAL/OPTOMETRY 38323,A81000A,00100,0100,Y 38323,A81000B,00100,0300,HO FISCAL & ADMIN 38323,A81000B,00200,0300,HO FISCAL & ADMIN 38323,A81000B,00300,0300,HO FISCAL & ADMIN 38323,A81000B,00400,0300,HO FISCAL & ADMIN 38323,A81000B,00500,0300,HO FISCAL & ADMIN 38323,A81000B,00600,0300,HO FISCAL & ADMIN 38323,A81000B,00700,0300,HO FISCAL & ADMIN 38323,A81000B,00800,0300,HO FISCAL & ADMIN 38323,A81000C,00100,0100,A 38323,A81000C,00100,0200,HEBREW HOSPITAL 38323,A81000C,00100,0400,HHCS INC 38323,A81000C,00100,0600,HOME OFFICE 38323,B100000,00000,0100,00050SQUARE FEET 38323,B100000,00000,0200,00050SQUARE FEET 38323,B100000,00000,0300,00050GROSS SALARIES 38323,B100000,00000,0400,00050ACCUM COST 38323,B100000,00000,0500,00050SQUARE FEET 38323,B100000,00000,0600,00050POUNDS OF LAUNDRY 38323,B100000,00000,0700,00050HOURS OF SERVICE 38323,B100000,00000,0800,00050MEALS SERVED 38323,B100000,00000,0900,00050DIRECT NRSG HRS 38323,B100000,00000,1000,00050COSTED REQUIS 38323,B100000,00000,1100,00050COSTED REQUIS 38323,B100000,00000,1200,00050TIME SPENT 38323,B100000,00000,1300,00050TIME SPENT 38323,B100000,00000,1350,00050NO OF PART 38323,B100000,00000,1400,00050ASSIGNED TIME 38323,H510100,00000,0000,5600 38323,H510100,02400,0000,5600 38323,H710000,00301,0100,08/12/1999 38323,H710000,00302,0100,01/18/2000 38323,H710000,00550,0100,07/17/2000 38323,S000000,00100,0200,08/23/2000 38323,S200000,00100,0100,801 COOP CITY BLVD 38323,S200000,00200,0100,BRONX 38323,S200000,00200,0200,NY 38323,S200000,00200,0300,10475 38323,S200000,00300,0100,BRONX 38323,S200000,00400,0100,HEBREW HOSPITAL HOME INC. 38323,S200000,00400,0200,335581 38323,S200000,00400,0300,11/04/1976 38323,S200000,00400,0500,P 38323,S200000,00800,0200,337202 38323,S200000,00800,0300,05/01/1984 38323,S200000,00800,0500,P 38323,S200000,01500,0100,Y 38323,S200000,01900,0100,COMMUNITY BASED 38323,S410002,01300,0000,OTHER 38330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38330,A000000,00300,0000,00300EMPLOYEE BENEFITS 38330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38330,A000000,00700,0000,00700HOUSEKEEPING 38330,A000000,00800,0000,00800DIETARY 38330,A000000,00801,0000,00801CAFETERIA 38330,A000000,00900,0000,00900NURSING ADMINISTRATION 38330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38330,A000000,01100,0000,01100PHARMACY 38330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38330,A000000,01300,0000,01300SOCIAL SERVICE 38330,A000000,01350,0000,01500ACTIVITIES 38330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38330,A000000,01600,0000,01600SKILLED NURSING FACILITY 38330,A000000,01810,0000,01810ICF/MR 38330,A000000,02500,0000,02500PHYSICAL THERAPY 38330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38330,A000000,02700,0000,02700SPEECH PATHOLOGY 38330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38330,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38330,A000000,03550,0000,03550FQHC 38330,A000000,05000,0000,05000CORF 38330,A000000,05010,0000,05010CMHC 38330,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38330,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38330,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38330,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38330,A000000,06201,0000,06201DENTAL 38330,A81000A,00100,0100,Y 38330,A81000B,00100,0300,LEGAL SERVICES 38330,A81000B,00200,0300,MAINTENANCE AGENCY FEES 38330,A81000B,00300,0300,NURSE AGENCY FEES 38330,A81000B,00400,0300,RECREATION AGENCY FEES 38330,A81000B,00500,0300,AGENCY FEES- ADMINISTRATION 38330,A81000B,00600,0300,AGENCY FEES-MAINTENANCE 38330,A81000B,00700,0300,AGENCY FEES-NURSING 38330,A81000B,00800,0300,AGENCY FEES-ACTIVITIES 38330,A81000C,00100,0100,A 38330,A81000C,00100,0200,A. SELIGSON 38330,A81000C,00100,0400,SELIG. ROTHMAN 38330,A81000C,00100,0600,LAW FIRM 38330,A81000C,00200,0100,A 38330,A81000C,00200,0200,M. ROTHMAN 38330,A81000C,00200,0400,SELIG. ROTHMAN 38330,A81000C,00200,0600,LAW FIRM 38330,A81000C,00300,0100,A 38330,A81000C,00300,0200,EST OF H. ROTHM 38330,A81000C,00300,0400,SELIG. ROTHMAN 38330,A81000C,00300,0600,LAW FIRM 38330,A81000C,00400,0100,C 38330,A81000C,00400,0200,P. BRUDER 38330,A81000C,00400,0400,HUDSON MGMT. 38330,A81000C,00400,0600,STAFF AGENCY 38330,A81000C,00500,0100,C 38330,A81000C,00500,0200,M. DOLAK 38330,A81000C,00500,0400,HUDSON MGMT. 38330,A81000C,00500,0600,STAFF AGENCY 38330,B100000,00000,0100,00000SQUARE FEET 38330,B100000,00000,0200,00000SQUARE FEET 38330,B100000,00000,0300,00000GROSS SALARIES 38330,B100000,00000,0400,00000ACCUM COST 38330,B100000,00000,0500,00000SQUARE FEET 38330,B100000,00000,0600,00000POUNDS OF LAUNDRY 38330,B100000,00000,0700,00000HOURS OF SERVICE 38330,B100000,00000,0800,00000MEALS SERVED 38330,B100000,00000,0801,00000MEALS SERVED 38330,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38330,B100000,00000,1000,00000COSTED REQUISITIO 38330,B100000,00000,1100,00000COSTED REQUISITIO 38330,B100000,00000,1200,00000TIME SPENT 38330,B100000,00000,1300,00000TIME SPENT 38330,B100000,00000,1350,00000NUMBER OF PARTICIPAN 38330,B100000,00000,1400,00000ASSIGNED TIME 38330,E10A180,00301,0100,05/09/2000 38330,E10A180,00350,0100,01/18/2000 38330,S000000,00100,0200,08/11/2000 38330,S200000,00100,0100,250 BEACH 17TH STREET 38330,S200000,00200,0100,FAR ROCKAWAY 38330,S200000,00200,0200,NY 38330,S200000,00200,0300,11691 38330,S200000,00300,0100,QUEENS 38330,S200000,00400,0100,BROOKHAVEN BEACH HLTH RELATED INC 38330,S200000,00400,0200,335582 38330,S200000,00400,0300,01/01/1977 38330,S200000,00400,0500,P 38330,S200000,01500,0100,Y 38335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38335,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38335,A000000,00300,0000,00300EMPLOYEE BENEFITS 38335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38335,A000000,00700,0000,00700HOUSEKEEPING 38335,A000000,00800,0000,00800DIETARY 38335,A000000,00900,0000,00900NURSING ADMINISTRATION 38335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38335,A000000,01100,0000,01100PHARMACY 38335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38335,A000000,01300,0000,01300SOCIAL SERVICE 38335,A000000,01350,0000,01500ACTIVITIES 38335,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38335,A000000,01600,0000,01600SKILLED NURSING FACILITY 38335,A000000,01810,0000,01810ICF/MR 38335,A000000,02100,0000,02100RADIOLOGY 38335,A000000,02200,0000,02200LABORATORY 38335,A000000,02500,0000,02500PHYSICAL THERAPY 38335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38335,A000000,02700,0000,02700SPEECH PATHOLOGY 38335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38335,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38335,A000000,03200,0000,03200SUPPORT SURFACES 38335,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38335,A000000,03550,0000,03550FQHC 38335,A000000,05000,0000,05000CORF 38335,A000000,05010,0000,05010CMHC 38335,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38335,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38335,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38335,A000000,05300,0000,05300INTEREST EXPENSE 38335,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38335,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38335,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38335,A000000,06151,0000,06301ADULT DAY CARE PROGRAM 38335,A000000,06201,0000,06201DENTAL OPTOM. 38335,A81000A,00100,0100,Y 38335,A81000B,00100,0300,INTEREST EXPENSE 38335,A81000C,00100,0100,D 38335,A81000C,00100,0200,PROVIDENCE REST 38335,A81000C,00100,0400,SRS OF ST JOHN 38335,A81000C,00100,0600,RELIGOUS ORDER 38335,B100000,00000,0100,00001SQUARE FEET 38335,B100000,00000,0200,00001SQUARE FEET 38335,B100000,00000,0300,00001GROSS SALARIES 38335,B100000,00000,0400,00001ACCUM COST 38335,B100000,00000,0500,00001SQUARE FEET 38335,B100000,00000,0600,00001POUNDS OF LAUNDRY 38335,B100000,00000,0700,00001HOURS OF SERVICE 38335,B100000,00000,0800,00001MEALS SERVED 38335,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38335,B100000,00000,1000,00001COSTED REQUISITIO 38335,B100000,00000,1100,00001COSTED REQUISITIO 38335,B100000,00000,1200,00001TIME SPENT 38335,B100000,00000,1300,00001TIME SPENT 38335,B100000,00000,1350,00001NUMBER OF PARTICIPAN 38335,B100000,00000,1400,00001ASSIGNED TIME 38335,E10A180,00301,0100,05/10/2000 38335,S000000,00100,0200,05/31/2000 38335,S200000,00100,0100,3304 WATERBURY AVENUE 38335,S200000,00200,0100,BRONX 38335,S200000,00200,0200,NEW YORK 38335,S200000,00200,0300,10465 38335,S200000,00300,0100,BRONX 38335,S200000,00400,0100,PROVIDENCE REST 38335,S200000,00400,0200,335583 38335,S200000,00400,0300,12/01/1976 38335,S200000,00400,0500,P 38335,S200000,02800,0100,Y 38343,S000000,00100,0200,05/30/2000 38352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38352,A000000,00300,0000,00300EMPLOYEE BENEFITS 38352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38352,A000000,00700,0000,00700HOUSEKEEPING 38352,A000000,00800,0000,00800DIETARY 38352,A000000,00900,0000,00900NURSING ADMINISTRATION 38352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38352,A000000,01100,0000,01100PHARMACY 38352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38352,A000000,01300,0000,01300SOCIAL SERVICE 38352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38352,A000000,01600,0000,01600SKILLED NURSING FACILITY 38352,A000000,01810,0000,01810ICF/MR 38352,A000000,02100,0000,02100RADIOLOGY 38352,A000000,02200,0000,02200LABORATORY 38352,A000000,02500,0000,02500PHYSICAL THERAPY 38352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38352,A000000,03550,0000,03550FQHC 38352,A000000,05000,0000,05000CORF 38352,A000000,05010,0000,05010CMHC 38352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38352,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38352,A81000A,00100,0100,Y 38352,A81000B,00100,0300,RENT 38352,A81000B,00200,0300,AMORTIZATION 38352,A81000B,00300,0300,DEPRECIATION 38352,A81000B,00400,0300,INTEREST MORTGAGE 38352,A81000B,00500,0300,PROFESSIONAL FEES 38352,A81000B,00600,0300,PROFESSIONAL FEES 38352,A81000B,00700,0300,PROPERTY REPARITS 38352,A81000B,00800,0300,PROPERTY TAXES 38352,A81000B,00900,0300,BANK FEES 38352,A81000C,00100,0100,A 38352,A81000C,00100,0200,ROBERT HARDING 38352,A81000C,00100,0400,HARDING REALTY 38352,A81000C,00100,0600,REAL ESTATE 38352,A81000C,00200,0100,A 38352,A81000C,00200,0200,CATHERINE HARDI 38352,A81000C,00200,0400,HARDING REALTY 38352,A81000C,00200,0600,REAL ESTATE 38352,A81000C,00300,0100,A 38352,A81000C,00300,0200,ELAINE RALLS 38352,A81000C,00300,0400,HARDING REALTY 38352,A81000C,00300,0600,REAL ESTATE 38352,A81000C,00400,0100,A 38352,A81000C,00400,0200,CHARLES RALLS 38352,A81000C,00400,0400,HARDING REALTY 38352,A81000C,00400,0600,REAL ESTATE 38352,A81000C,00500,0100,A 38352,A81000C,00500,0200,LOUSIE HARDING 38352,A81000C,00500,0400,HARDING REALTY 38352,A81000C,00500,0600,REAL ESTATE 38352,B100000,00000,0100,00000SQUARE FEET 38352,B100000,00000,0200,00000SQUARE FEET 38352,B100000,00000,0300,00000GROSS SALARIES 38352,B100000,00000,0400,00000ACCUM COST 38352,B100000,00000,0500,00000SQUARE FEET 38352,B100000,00000,0600,00000POUNDS OF LAUNDRY 38352,B100000,00000,0700,00000HOURS OF SERVICE 38352,B100000,00000,0800,00000MEALS SERVED 38352,B100000,00000,0900,00000DIRECT NRSG HRS 38352,B100000,00000,1000,00000COSTED REQUIS 38352,B100000,00000,1100,00000COSTED REQUIS 38352,B100000,00000,1200,00000TIME SPENT 38352,B100000,00000,1300,00000TIME SPENT 38352,B100000,00000,1400,00000ASSIGNED TIME 38352,E10A180,00501,0300,06/15/2000 38352,E10A180,00550,0100,06/15/2000 38352,S000000,00100,0200,06/02/2000 38352,S200000,00100,0100,220 TOWER STREET 38352,S200000,00200,0100,WATERVILLE 38352,S200000,00200,0200,NY 38352,S200000,00200,0300,13480 38352,S200000,00300,0100,ONEIDA 38352,S200000,00400,0100,HARDING NURSING HOME 38352,S200000,00400,0200,335585 38352,S200000,00400,0300,01/01/1977 38352,S200000,00400,0500,P 38352,S200000,01500,0100,Y 38353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38353,A000000,00300,0000,00300EMPLOYEE BENEFITS 38353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38353,A000000,00700,0000,00700HOUSEKEEPING 38353,A000000,00800,0000,00800DIETARY 38353,A000000,00900,0000,00900NURSING ADMINISTRATION 38353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38353,A000000,01100,0000,01100PHARMACY 38353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38353,A000000,01300,0000,01300SOCIAL SERVICE 38353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38353,A000000,01600,0000,01600SKILLED NURSING FACILITY 38353,A000000,01810,0000,01810ICF/MR 38353,A000000,02100,0000,02100RADIOLOGY 38353,A000000,02200,0000,02200LABORATORY 38353,A000000,02500,0000,02500PHYSICAL THERAPY 38353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38353,A000000,03550,0000,03550FQHC 38353,A000000,05000,0000,05000CORF 38353,A000000,05010,0000,05010CMHC 38353,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38353,A000000,06100,0000,06100NONPAID WORKERS 38353,A81000A,00100,0100,Y 38353,A81000B,00100,0300,RENT 38353,A81000B,00200,0300,AMORTIZATION 38353,A81000B,00300,0300,DEPRECIATION 38353,A81000B,00400,0300,INTEREST MTG 38353,A81000B,00500,0300,PROFESSIONAL FEES 38353,A81000B,00600,0300,PROFESSIONAL FEES 38353,A81000B,00700,0300,PROPERTY REPAIRS 38353,A81000B,00800,0300,PROPERTY TAXES 38353,A81000B,00900,0300,BANK FEES 38353,A81000C,00100,0100,A 38353,A81000C,00100,0200,ELAINE RALLS 38353,A81000C,00100,0400,HARDING REALTY 38353,A81000C,00100,0600,REAL ESTATE 38353,A81000C,00200,0100,A 38353,A81000C,00200,0200,ROBERT HARDING 38353,A81000C,00200,0400,HARDING REALTY 38353,A81000C,00200,0600,REAL ESTATE 38353,A81000C,00300,0100,A 38353,A81000C,00300,0200,LOUISE HARDING 38353,A81000C,00300,0400,HARDING REALTY 38353,A81000C,00300,0600,REAL ESTATE 38353,B100000,00000,0100,00000SQUARE FEET 38353,B100000,00000,0200,00000SQUARE FEET 38353,B100000,00000,0300,00000GROSS SALARIES 38353,B100000,00000,0400,00000ACCUM COST 38353,B100000,00000,0500,00000SQUARE FEET 38353,B100000,00000,0600,00000POUNDS OF LAUNDRY 38353,B100000,00000,0700,00000HOURS OF SERVICE 38353,B100000,00000,0800,00000MEALS SERVED 38353,B100000,00000,0900,00000DIRECT NRSG HRS 38353,B100000,00000,1000,00000COSTED REQUIS 38353,B100000,00000,1100,00000COSTED REQUIS 38353,B100000,00000,1200,00000TIME SPENT 38353,B100000,00000,1300,00000TIME SPENT 38353,B100000,00000,1400,00000ASSIGNED TIME 38353,S000000,00100,0200,06/02/2000 38353,S200000,00100,0100,220 TOWER STREET 38353,S200000,00200,0100,WATERVILLE 38353,S200000,00200,0200,NY 38353,S200000,00200,0300,13480 38353,S200000,00300,0100,ONEIDA 38353,S200000,00400,0100,HARDING NURSING HOME 38353,S200000,00400,0200,335585 38353,S200000,00400,0300,09/01/1999 38353,S200000,00400,0500,P 38353,S200000,01500,0100,Y 38353,S200000,02800,0100,Y 38362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38362,A000000,00300,0000,00300EMPLOYEE BENEFITS 38362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38362,A000000,00700,0000,00700HOUSEKEEPING 38362,A000000,00800,0000,00800DIETARY 38362,A000000,00900,0000,00900NURSING ADMINISTRATION 38362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38362,A000000,01100,0000,01100PHARMACY 38362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38362,A000000,01300,0000,01300SOCIAL SERVICE 38362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38362,A000000,01600,0000,01600SKILLED NURSING FACILITY 38362,A000000,01810,0000,01810ICF/MR 38362,A000000,02100,0000,02100RADIOLOGY 38362,A000000,02200,0000,02200LABORATORY 38362,A000000,02500,0000,02500PHYSICAL THERAPY 38362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38362,A000000,02700,0000,02700SPEECH PATHOLOGY 38362,A000000,02800,0000,02800ELECTROCARDIOLOGY 38362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38362,A000000,03550,0000,03550FQHC 38362,A000000,04800,0000,04800AMBULANCE 38362,A000000,05000,0000,05000CORF 38362,A000000,05010,0000,05010CMHC 38362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38362,A000000,05300,0000,05300INTEREST EXPENSE 38362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38362,B100000,00000,0100,00000SQUARE FEET 38362,B100000,00000,0200,00000SQUARE FEET 38362,B100000,00000,0300,00000GROSS SALARIES 38362,B100000,00000,0400,00000ACCUM COST 38362,B100000,00000,0500,00000SQUARE FEET 38362,B100000,00000,0600,00000POUNDS OF LAUNDRY 38362,B100000,00000,0700,00000HOURS OF SERVICE 38362,B100000,00000,0800,00000MEALS SERVED 38362,B100000,00000,0900,00000DIRECT NRSG HRS 38362,B100000,00000,1000,00000COSTED REQUIS 38362,B100000,00000,1100,00000COSTED REQUIS 38362,B100000,00000,1200,00000TIME SPENT 38362,B100000,00000,1300,00000TIME SPENT 38362,B100000,00000,1400,00000ASSIGNED TIME 38362,E10A180,00301,0100,05/09/2000 38362,E10A180,00350,0100,01/18/2000 38362,S000000,00100,0200,05/22/2000 38362,S200000,00100,0100,755 E. MONROE ST. 38362,S200000,00200,0100,LITTLE FALLS 38362,S200000,00200,0200,NY 38362,S200000,00200,0300,13365 38362,S200000,00300,0100,HERKIMER 38362,S200000,00400,0100,VAN ALLEN NURSING HOME 38362,S200000,00400,0200,335586 38362,S200000,00400,0300,03/01/1977 38362,S200000,00400,0500,P 38362,S200000,01500,0100,Y 38372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38372,A000000,00300,0000,00300EMPLOYEE BENEFITS 38372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38372,A000000,00700,0000,00700HOUSEKEEPING 38372,A000000,00800,0000,00800DIETARY 38372,A000000,00900,0000,00900NURSING ADMINISTRATION 38372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38372,A000000,01100,0000,01100PHARMACY 38372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38372,A000000,01300,0000,01300SOCIAL SERVICE 38372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38372,A000000,01600,0000,01600SKILLED NURSING FACILITY 38372,A000000,01810,0000,01810ICF/MR 38372,A000000,02100,0000,02100RADIOLOGY 38372,A000000,02200,0000,02200LABORATORY 38372,A000000,02500,0000,02500PHYSICAL THERAPY 38372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38372,A000000,02700,0000,02700SPEECH PATHOLOGY 38372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38372,A000000,03550,0000,03550FQHC 38372,A000000,05000,0000,05000CORF 38372,A000000,05010,0000,05010CMHC 38372,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38372,A000000,05300,0000,05300INTEREST EXPENSE 38372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38372,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38372,B100000,00000,0100,00000SQUARE FEET 38372,B100000,00000,0200,00000SQUARE FEET 38372,B100000,00000,0300,00000GROSS SALARIES 38372,B100000,00000,0400,00000ACCUM COST 38372,B100000,00000,0500,00000SQUARE FEET 38372,B100000,00000,0600,00000POUNDS OF LAUNDRY 38372,B100000,00000,0700,00000HOURS OF SERVICE 38372,B100000,00000,0800,00000MEALS SERVED 38372,B100000,00000,0900,00000DIRECT NRSG HRS 38372,B100000,00000,1000,00000COSTED REQUIS 38372,B100000,00000,1100,00000COSTED REQUIS 38372,B100000,00000,1200,00000TIME SPENT 38372,B100000,00000,1300,00000TIME SPENT 38372,B100000,00000,1400,00000ASSIGNED TIME 38372,E10A180,00301,0100,01/18/2000 38372,E10A180,00302,0100,05/09/2000 38372,S000000,00100,0200,05/24/2000 38372,S200000,00100,0100,232 ACADEMY STREET 38372,S200000,00200,0100,BOONVILLE 38372,S200000,00200,0200,NY 38372,S200000,00200,0300,13309 38372,S200000,00300,0100,ONEIDA 38372,S200000,00400,0100,SUNSET NURSING HOME 38372,S200000,00400,0200,335587 38372,S200000,00400,0300,04/01/1977 38372,S200000,00400,0500,P 38372,S200000,01500,0100,Y 38379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38379,A000000,00300,0000,00300EMPLOYEE BENEFITS 38379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38379,A000000,00700,0000,00700HOUSEKEEPING 38379,A000000,00800,0000,00800DIETARY 38379,A000000,00900,0000,00900NURSING ADMINISTRATION 38379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38379,A000000,01100,0000,01100PHARMACY 38379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38379,A000000,01300,0000,01300SOCIAL SERVICE 38379,A000000,01301,0000,01301ACTIVITIES 38379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38379,A000000,01600,0000,01600SKILLED NURSING FACILITY 38379,A000000,01810,0000,01810ICF/MR 38379,A000000,02500,0000,02500PHYSICAL THERAPY 38379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38379,A000000,02700,0000,02700SPEECH PATHOLOGY 38379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38379,A000000,03550,0000,03550FQHC 38379,A000000,05000,0000,05000CORF 38379,A000000,05010,0000,05010CMHC 38379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38379,A000000,05901,0000,05901GUEST MEALS 38379,B100000,00000,0100,00001SQUARE FEET 38379,B100000,00000,0200,00001SQUARE FEET 38379,B100000,00000,0300,00001GROSS SALARIES 38379,B100000,00000,0400,00001ACCUM COST 38379,B100000,00000,0500,00001SQUARE FEET 38379,B100000,00000,0600,00001POUNDS OF LAUNDRY 38379,B100000,00000,0700,00001HOURS OF SERVICE 38379,B100000,00000,0800,00001MEALS SERVED 38379,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38379,B100000,00000,1000,00001COSTED REQUIS 38379,B100000,00000,1100,00001COSTED REQUISITIO 38379,B100000,00000,1200,00001TIME SPENT 38379,B100000,00000,1300,00001TIME SPENT 38379,B100000,00000,1301,00001TIME SPENT 38379,B100000,00000,1400,00001ASSIGNED TIME 38379,E10A180,00301,0100,05/09/2000 38379,S000000,00100,0200,06/22/2000 38379,S200000,00100,0100,331 RUSSELL STREET 38379,S200000,00200,0100,CHITTENANGO 38379,S200000,00200,0200,NY 38379,S200000,00200,0300,13037 38379,S200000,00300,0100,ONONDAGA 38379,S200000,00400,0100,STONEHEDGE NSG HOME CHITTENANGO 38379,S200000,00400,0200,335588 38379,S200000,00400,0300,03/01/1977 38379,S200000,00400,0500,P 38388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38388,A000000,00300,0000,00300EMPLOYEE BENEFITS 38388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38388,A000000,00700,0000,00700HOUSEKEEPING 38388,A000000,00800,0000,00800DIETARY 38388,A000000,00900,0000,00900NURSING ADMINISTRATION 38388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38388,A000000,01100,0000,01100PHARMACY 38388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38388,A000000,01300,0000,01300SOCIAL SERVICE 38388,A000000,01301,0000,01301ACTIVITIES 38388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38388,A000000,01600,0000,01600SKILLED NURSING FACILITY 38388,A000000,01810,0000,01810ICF/MR 38388,A000000,02500,0000,02500PHYSICAL THERAPY 38388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38388,A000000,02700,0000,02700SPEECH PATHOLOGY 38388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38388,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38388,A000000,03450,0000,03600ADULT DAY HEALTH CARE 38388,A000000,03550,0000,03550FQHC 38388,A000000,05000,0000,05000CORF 38388,A000000,05010,0000,05010CMHC 38388,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38388,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38388,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38388,A000000,05901,0000,05901GUEST MEALS 38388,B100000,00000,0100,00001SQUARE FEET 38388,B100000,00000,0200,00001SQUARE FEET 38388,B100000,00000,0300,00001GROSS SALARIES 38388,B100000,00000,0400,00001ACCUM COST 38388,B100000,00000,0500,00001SQUARE FEET 38388,B100000,00000,0600,00001POUNDS OF LAUNDRY 38388,B100000,00000,0700,00001HOURS OF SERVICE 38388,B100000,00000,0800,00001MEALS SERVED 38388,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38388,B100000,00000,1000,00001COSTED REQUIS 38388,B100000,00000,1100,00001COSTED REQUIS 38388,B100000,00000,1200,00001TIME SPENT 38388,B100000,00000,1300,00001TIME SPENT 38388,B100000,00000,1301,00001TIME SPENT 38388,B100000,00000,1400,00001ASSIGNED TIME 38388,E10A180,00301,0100,09/09/1999 38388,E10A180,00302,0100,05/09/2000 38388,S000000,00100,0200,06/22/2000 38388,S200000,00100,0100,801 NORTH JAMES STREET 38388,S200000,00200,0100,ROME 38388,S200000,00200,0200,NEW YORK 38388,S200000,00200,0300,13440 38388,S200000,00300,0100,ONEIDA 38388,S200000,00400,0100,STONEHEDGE NSG HOME ROME 38388,S200000,00400,0200,335589 38388,S200000,00400,0300,08/01/1976 38388,S200000,00400,0500,P 38396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38396,A000000,00300,0000,00300EMPLOYEE BENEFITS 38396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38396,A000000,00700,0000,00700HOUSEKEEPING 38396,A000000,00800,0000,00800DIETARY 38396,A000000,00900,0000,00900NURSING ADMINISTRATION 38396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38396,A000000,01100,0000,01100PHARMACY 38396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38396,A000000,01300,0000,01300SOCIAL SERVICE 38396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38396,A000000,01600,0000,01600SKILLED NURSING FACILITY 38396,A000000,01810,0000,01810ICF/MR 38396,A000000,02100,0000,02100RADIOLOGY 38396,A000000,02200,0000,02200LABORATORY 38396,A000000,02500,0000,02500PHYSICAL THERAPY 38396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38396,A000000,02700,0000,02700SPEECH PATHOLOGY 38396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38396,A000000,03550,0000,03550FQHC 38396,A000000,05000,0000,05000CORF 38396,A000000,05010,0000,05010CMHC 38396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38396,A000000,05300,0000,05300INTEREST EXPENSE 38396,A81000A,00100,0100,Y 38396,A81000B,00100,0300,RENT 38396,A81000B,00200,0300,INTEREST 38396,A81000B,00300,0300,AMORTIZATION 38396,A81000B,00400,0300,DEPREC-BLDG & FIXED 38396,A81000B,00500,0300,INTEREST-MORTGAGE 38396,A81000C,00100,0100,F 38396,A81000C,00100,0200,JOHN VIVENZIO 38396,A81000C,00100,0400,VIVENZIO PROPER 38396,A81000C,00100,0600,REAL ESTATE 38396,B100000,00000,0100,00000SQUARE FEET 38396,B100000,00000,0200,00000SQUARE FEET 38396,B100000,00000,0300,00000GROSS SALARIES 38396,B100000,00000,0400,00000ACCUM COST 38396,B100000,00000,0500,00000SQUARE FEET 38396,B100000,00000,0600,00000POUNDS OF LAUNDRY 38396,B100000,00000,0700,00000HOURS OF SERVICE 38396,B100000,00000,0800,00000MEALS SERVED 38396,B100000,00000,0900,00000DIRECT NRSG HRS 38396,B100000,00000,1000,00000COSTED REQUIS 38396,B100000,00000,1100,00000COSTED REQUIS 38396,B100000,00000,1200,00000TIME SPENT 38396,B100000,00000,1300,00000TIME SPENT 38396,B100000,00000,1400,00000ASSIGNED TIME 38396,E10A180,00301,0100,01/18/2000 38396,E10A180,00302,0100,05/09/2000 38396,E10A180,00550,0100,06/15/2000 38396,S000000,00100,0200,06/02/2000 38396,S200000,00100,0100,303 EAST RIVER ROAD 38396,S200000,00200,0100,OSWEGO 38396,S200000,00200,0200,NY 38396,S200000,00200,0300,13126 38396,S200000,00300,0100,OSWEGO 38396,S200000,00400,0100,PONTIAC NURSING HOME 38396,S200000,00400,0200,335590 38396,S200000,00400,0300,01/01/1977 38396,S200000,00400,0500,P 38396,S200000,01500,0100,Y 38404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38404,A000000,00300,0000,00300EMPLOYEE BENEFITS 38404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38404,A000000,00700,0000,00700HOUSEKEEPING 38404,A000000,00800,0000,00800DIETARY 38404,A000000,00801,0000,00801CAFETERIA 38404,A000000,00900,0000,00900NURSING ADMINISTRATION 38404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38404,A000000,01100,0000,01100PHARMACY 38404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38404,A000000,01300,0000,01300SOCIAL SERVICE 38404,A000000,01301,0000,01301ACTIVITIES 38404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38404,A000000,01600,0000,01600SKILLED NURSING FACILITY 38404,A000000,01810,0000,01810ICF/MR 38404,A000000,02500,0000,02500PHYSICAL THERAPY 38404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38404,A000000,02700,0000,02700SPEECH PATHOLOGY 38404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38404,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38404,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38404,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38404,A000000,03550,0000,03550FQHC 38404,A000000,05000,0000,05000CORF 38404,A000000,05010,0000,05010CMHC 38404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38404,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38404,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38404,A81000A,00100,0100,Y 38404,A81000B,00100,0300,LEASE EXPENSE 38404,A81000C,00100,0100,B 38404,A81000C,00100,0400,CANTON-POTSDAM 38404,A81000C,00100,0600,HOSPITAL 38404,B100000,00000,0100,00000SQUARE FEET 38404,B100000,00000,0200,00000SQUARE FEET 38404,B100000,00000,0300,00000GROSS SALARIES 38404,B100000,00000,0400,00000ACCUM COST 38404,B100000,00000,0500,00000SQUARE FEET 38404,B100000,00000,0600,00000POUNDS OF LAUNDRY 38404,B100000,00000,0700,00000HOURS OF SERVICE 38404,B100000,00000,0800,00000MEALS SERVED 38404,B100000,00000,0801,00000AVG # OF EMPLOYEES 38404,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38404,B100000,00000,1000,00000COSTED REQUISITIO 38404,B100000,00000,1100,00000COSTED REQUISITIO 38404,B100000,00000,1200,00000TIME SPENT 38404,B100000,00000,1300,00000TIME SPENT 38404,B100000,00000,1301,00000# OF PARTICIPAN 38404,B100000,00000,1400,00000ASSIGNED TIME 38404,E10A180,00301,0100,09/10/1999 38404,E10A180,00302,0100,05/09/2000 38404,S000000,00100,0200,07/12/2000 38404,S200000,00100,0100,COTTAGE/GROVE 38404,S200000,00200,0100,POTSDAM 38404,S200000,00200,0200,NY 38404,S200000,00200,0300,13676 38404,S200000,00300,0100,ST. LAWRENCE 38404,S200000,00400,0100,COMMUNITY NURSING HOME 38404,S200000,00400,0200,335591 38404,S200000,00400,0300,02/01/1977 38404,S200000,00400,0500,P 38404,S200000,01500,0100,Y 38404,S200000,02800,0100,Y 38411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38411,A000000,00300,0000,00300EMPLOYEE BENEFITS 38411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38411,A000000,00700,0000,00700HOUSEKEEPING 38411,A000000,00800,0000,00800DIETARY 38411,A000000,00801,0000,00801CAFETERIA 38411,A000000,00900,0000,00900NURSING ADMINISTRATION 38411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38411,A000000,01100,0000,01100PHARMACY 38411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38411,A000000,01300,0000,01300SOCIAL SERVICE 38411,A000000,01301,0000,01301ACTIVITIES 38411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38411,A000000,01600,0000,01600SKILLED NURSING FACILITY 38411,A000000,01810,0000,01810ICF/MR 38411,A000000,02500,0000,02500PHYSICAL THERAPY 38411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38411,A000000,02700,0000,02700SPEECH PATHOLOGY 38411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38411,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38411,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38411,A000000,03550,0000,03550FQHC 38411,A000000,05000,0000,05000CORF 38411,A000000,05010,0000,05010CMHC 38411,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38411,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38411,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38411,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38411,A81000A,00100,0100,Y 38411,A81000B,00100,0300,BLDG RENT-BOGOSIAN REALTY 38411,A81000B,00200,0300,CLEANING & REPAIR-BC CARPET 38411,A81000B,00300,0300,EQUIP RENTAL-BC CARPET 38411,A81000B,00400,0300,TRAINING BLDG RENT-J&H ASSOCIA 38411,A81000B,00500,0300,PATIENT BUS RENT-J&H ASSOCIATE 38411,A81000B,00600,0300,LAUNDRY VAN RENT-J&H ASSOCIATE 38411,A81000C,00100,0100,A 38411,A81000C,00100,0200,H. BOGOSIAN SR. 38411,A81000C,00100,0400,BOGOSIAN REALTY 38411,A81000C,00100,0600,REALTY 38411,A81000C,00200,0100,D 38411,A81000C,00200,0200,H. BOGOSIAN JR. 38411,A81000C,00200,0400,BC CARPET 38411,A81000C,00200,0600,CARPETING 38411,A81000C,00300,0100,D 38411,A81000C,00300,0200,G. BOGOSIAN 38411,A81000C,00300,0400,BC CARPET 38411,A81000C,00300,0600,CARPETING 38411,A81000C,00400,0100,D 38411,A81000C,00400,0200,A. BOGOSIAN 38411,A81000C,00400,0400,BC CARPET 38411,A81000C,00400,0600,CARPETING 38411,A81000C,00500,0100,A 38411,A81000C,00500,0200,DR. H. DOBIES 38411,A81000C,00500,0400,J&H ASSOCIATES 38411,A81000C,00600,0100,A 38411,A81000C,00600,0200,H. BOGOSIAN SR. 38411,A81000C,00600,0400,J&H ASSOCIATES 38411,A81000C,00700,0100,A 38411,A81000C,00700,0200,J. BOGOSIAN 38411,A81000C,00700,0400,J&H ASSOCIATES 38411,B100000,00000,0100,00000SQUARE FEET 38411,B100000,00000,0200,00000SQUARE FEET 38411,B100000,00000,0300,00000GROSS SALARIES 38411,B100000,00000,0400,00000ACCUM COST 38411,B100000,00000,0500,00000SQUARE FEET 38411,B100000,00000,0600,00000POUNDS OF LAUNDRY 38411,B100000,00000,0700,00000HOURS OF SERVICE 38411,B100000,00000,0800,00000MEALS SERVED 38411,B100000,00000,0801,00000MEALS SERVED 38411,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38411,B100000,00000,1000,00000COSTED REQUISITIO 38411,B100000,00000,1100,00000COSTED REQUISITIO 38411,B100000,00000,1200,00000TIME SPENT 38411,B100000,00000,1300,00000TIME SPENT 38411,B100000,00000,1301,00000HOURS OF SERVICE 38411,B100000,00000,1400,00000ASSIGNED TIME 38411,E10A180,00301,0100,09/15/1999 38411,E10A180,00302,0100,05/09/2000 38411,S000000,00100,0200,07/10/2000 38411,S200000,00100,0100,ST. REGIS BLVD 38411,S200000,00200,0100,MASSENA NY 13662 38411,S200000,00300,0100,ST. LAWRENCE 38411,S200000,00400,0100,ST. REGIS NURSING HOME 38411,S200000,00400,0200,335592 38411,S200000,00400,0300,04/01/1977 38411,S200000,00400,0500,P 38411,S200000,01500,0100,Y 38420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38420,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 38420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38420,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 38420,A000000,00300,0000,00300EMPLOYEE BENEFITS 38420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38420,A000000,00700,0000,00700HOUSEKEEPING 38420,A000000,00800,0000,00800DIETARY 38420,A000000,00801,0000,00801CAFETERIA 38420,A000000,00900,0000,00900NURSING ADMINISTRATION 38420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38420,A000000,01100,0000,01100PHARMACY 38420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38420,A000000,01300,0000,01300SOCIAL SERVICE 38420,A000000,01350,0000,01500ACTIVITIES 38420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38420,A000000,01600,0000,01600SKILLED NURSING FACILITY 38420,A000000,01810,0000,01810ICF/MR 38420,A000000,02100,0000,02100RADIOLOGY 38420,A000000,02200,0000,02200LABORATORY 38420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38420,A000000,02500,0000,02500PHYSICAL THERAPY 38420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38420,A000000,02700,0000,02700SPEECH PATHOLOGY 38420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38420,A000000,03050,0000,03300OTHER ANCILLARY 38420,A000000,03051,0000,03301OTHER ANCILLARY II 38420,A000000,03052,0000,03302OTHER ANCILLARY III 38420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 38420,A000000,03550,0000,03550FQHC 38420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38420,A000000,05000,0000,05000CORF I 38420,A000000,05010,0000,05010CMHC I 38420,A000000,05020,0000,05020OPT I 38420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38420,A000000,05300,0000,05300INTEREST EXPENSE 38420,A000000,05350,0000,05600HOME OFFICE COSTS 38420,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 38420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38420,A000000,06150,0000,06300DENTAL 38420,A81000A,00100,0100,Y 38420,A81000B,00100,0300,HOME OFFICE-BLDG 38420,A81000B,00200,0300,HOME OFFICE-MOVEABLE 38420,A81000B,00300,0300,HOME OFFICE-BENEFITS 38420,A81000B,00400,0300,HOME OFFICE-A&G 38420,A81000C,00100,0100,B 38420,A81000C,00100,0400,PRESBYTERIAN 38420,A81000C,00100,0600,HOME OFFICE 38420,A81000C,00200,0400,HOMES OF WNY 38420,B100000,00000,0100,00000(SQUARE FEET) 38420,B100000,00000,0101,00000(SQUARE FEET) 38420,B100000,00000,0200,00000(SQUARE FEET) 38420,B100000,00000,0201,00000(SQUARE FEET) 38420,B100000,00000,0300,00000(GROSS SALARIES) 38420,B100000,00000,0400,00000(ACCUM. COST) 38420,B100000,00000,0500,00000(SQUARE FEET) 38420,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 38420,B100000,00000,0700,00000(HOURS OF SERVICE) 38420,B100000,00000,0800,00000(MEALS SERVED) 38420,B100000,00000,0801,00000(MEALS SERVED) 38420,B100000,00000,0900,00000(DIRECT NRSING HRS 38420,B100000,00000,1000,00000(COSTED REQUIS.) 38420,B100000,00000,1100,00000(COSTED REQUIS.) 38420,B100000,00000,1200,00000(TIME SPENT) 38420,B100000,00000,1300,00000(TIME SPENT) 38420,B100000,00000,1350,00000TIME SPENT 38420,B100000,00000,1400,00000(ASSIGNED TIME) 38420,E10A180,00301,0100,05/09/2000 38420,E10A180,00350,0100,01/18/2000 38420,E10A180,00501,0300,06/29/2000 38420,E10A180,00550,0100,06/29/2000 38420,S000000,00100,0200,05/30/2000 38420,S200000,00100,0100,1175 DELAWARE AVENUE 38420,S200000,00200,0100,BUFFALO 38420,S200000,00200,0200,NY 38420,S200000,00200,0300,14209 38420,S200000,00300,0100,ERIE 38420,S200000,00400,0100,ST. LUKES PRESBYTERIAN NURSING CTR 38420,S200000,00400,0200,335593 38420,S200000,00400,0300,04/01/1977 38420,S200000,00400,0500,P 38420,S200000,01500,0100,Y 38420,S200000,02200,0100,Y 38420,S200000,02800,0100,Y 38420,S200000,04300,0100,Y 38427,S000000,00100,0200,05/30/2000 38435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38435,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 38435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38435,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 38435,A000000,00300,0000,00300EMPLOYEE BENEFITS 38435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38435,A000000,00700,0000,00700HOUSEKEEPING 38435,A000000,00800,0000,00800DIETARY 38435,A000000,00801,0000,00801CAFETERIA 38435,A000000,00900,0000,00900NURSING ADMINISTRATION 38435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38435,A000000,01100,0000,01100PHARMACY 38435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38435,A000000,01300,0000,01300SOCIAL SERVICE 38435,A000000,01350,0000,01500ACTIVITIES 38435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38435,A000000,01600,0000,01600SKILLED NURSING FACILITY 38435,A000000,01810,0000,01810ICF/MR 38435,A000000,02100,0000,02100RADIOLOGY 38435,A000000,02200,0000,02200LABORATORY 38435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38435,A000000,02500,0000,02500PHYSICAL THERAPY 38435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38435,A000000,02700,0000,02700SPEECH PATHOLOGY 38435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38435,A000000,03050,0000,03300PHYSICIANS 38435,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 38435,A000000,03052,0000,03302OTHER ANCILLARY III 38435,A000000,03450,0000,03600OUTPATIENT P.T. 38435,A000000,03451,0000,03601OUTPATIENT O.T. 38435,A000000,03452,0000,03602OUTPATIENT S.T. 38435,A000000,03550,0000,03550FQHC 38435,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38435,A000000,04800,0000,04800AMBULANCE 38435,A000000,05000,0000,05000CORF I 38435,A000000,05010,0000,05010CMHC I 38435,A000000,05020,0000,05020OPT I 38435,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38435,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 38435,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 38435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38435,A81000A,00100,0100,Y 38435,A81000B,00100,0300,DEPREC/INTEREST/INS 38435,A81000B,00200,0300,ADMIN/FISCAL SERV 38435,A81000B,00300,0300,UTILITIES/MAINT EXP 38435,A81000B,00400,0300,LAUNDRY & LINEN 38435,A81000B,00500,0300,HOUSEKEEPING 38435,A81000C,00100,0100,A 38435,A81000C,00100,0200,NEIL M. CHUR 38435,A81000C,00100,0400,THE PARK ASSOC. 38435,A81000C,00100,0600,ADMIN FIN QA 38435,A81000C,00200,0100,F 38435,A81000C,00200,0200,BARBARA B. CHUR 38435,A81000C,00200,0400,PARK COLLECTION 38435,A81000C,00200,0600,WHOLESALE PURCH 38435,A81000C,00300,0100,A 38435,A81000C,00300,0200,NEIL M. CHUR 38435,A81000C,00300,0400,LAKE SHORE DR 38435,A81000C,00300,0600,REAL PROPERTY 38435,A81000C,00400,0100,F 38435,A81000C,00400,0200,BARBARA B. CHUR 38435,A81000C,00400,0400,LAKE SHORE DR 38435,A81000C,00400,0600,REAL PROPERTY 38435,A81000C,00500,0100,F 38435,A81000C,00500,0200,ELISABETH TEHAN 38435,A81000C,00500,0400,LAKE SHORE DR 38435,A81000C,00500,0600,REAL PROPERTY 38435,A81000C,00600,0100,F 38435,A81000C,00600,0200,NEIL M CHUR JR 38435,A81000C,00600,0400,LAKE SHORE DR 38435,A81000C,00600,0600,REAL PROPERTY 38435,B100000,00000,0100,00000(SQUARE FEET) 38435,B100000,00000,0101,00000(SQUARE FEET) 38435,B100000,00000,0200,00000(SQUARE FEET) 38435,B100000,00000,0201,00000(SQUARE FEET) 38435,B100000,00000,0300,00000(GROSS SALARIES) 38435,B100000,00000,0400,00000(ACCUM. COST) 38435,B100000,00000,0500,00000(SQUARE FEET) 38435,B100000,00000,0600,00000(PATIENT DAYS) 38435,B100000,00000,0700,00000(HOURS OF SERVICE) 38435,B100000,00000,0800,00000(MEALS SERVED) 38435,B100000,00000,0801,00000(MEALS SERVED) 38435,B100000,00000,0900,00000(GROSS CHARGES) 38435,B100000,00000,1000,00000(COSTED REQUIS.) 38435,B100000,00000,1100,00000(COSTED REQUIS.) 38435,B100000,00000,1200,00000(TIME SPENT) 38435,B100000,00000,1300,00000(PATIENT DAYS) 38435,B100000,00000,1350,00000(PATIENT DAYS) 38435,B100000,00000,1400,00000(ASSIGNED TIME) 38435,E10A180,00301,0100,05/09/2000 38435,E10A180,00350,0100,01/18/2000 38435,S000000,00100,0200,06/05/2000 38435,S200000,00100,0100,447 LAKESHORE DRIVE W. 38435,S200000,00200,0100,DUNKIRK 38435,S200000,00200,0200,NY 38435,S200000,00200,0300,14048 38435,S200000,00300,0100,CHAUTAUQUA 38435,S200000,00400,0100,PARK SHORE HEALTH CARE CENTER 38435,S200000,00400,0200,335595 38435,S200000,00400,0300,01/01/1977 38435,S200000,00400,0500,P 38435,S200000,01500,0100,Y 38435,S200000,04300,0100,Y 38435,S200000,04900,0100,Y 38438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38438,A000000,00300,0000,00300EMPLOYEE BENEFITS 38438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38438,A000000,00700,0000,00700HOUSEKEEPING 38438,A000000,00800,0000,00800DIETARY 38438,A000000,00900,0000,00900NURSING ADMINISTRATION 38438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38438,A000000,01100,0000,01100PHARMACY 38438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38438,A000000,01300,0000,01300SOCIAL SERVICE 38438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38438,A000000,01600,0000,01600SKILLED NURSING FACILITY 38438,A000000,01810,0000,01810ICF/MR 38438,A000000,02100,0000,02100RADIOLOGY 38438,A000000,02200,0000,02200LABORATORY 38438,A000000,02500,0000,02500PHYSICAL THERAPY 38438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38438,A000000,02700,0000,02700SPEECH PATHOLOGY 38438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38438,A000000,03550,0000,03550FQHC 38438,A000000,05000,0000,05000CORF 38438,A000000,05010,0000,05010CMHC 38438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38438,A000000,06150,0000,06300ADULT DAY CARE 38438,A000000,06151,0000,06301DENTAL 38438,A000000,06200,0000,06200PATIENTS LAUNDRY 38438,B100000,00000,0100,00001SQUARE FEET 38438,B100000,00000,0200,00001SQUARE FEET 38438,B100000,00000,0300,00001GROSS SALARIES 38438,B100000,00000,0400,00001ACCUM COST 38438,B100000,00000,0500,00001SQUARE FEET 38438,B100000,00000,0600,00001POUNDS OF LAUNDRY 38438,B100000,00000,0700,00001HOURS OF SERVICE 38438,B100000,00000,0800,00001MEALS SERVED 38438,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38438,B100000,00000,1000,00001COSTED REQUISITIO 38438,B100000,00000,1100,00001COSTED REQUISITIO 38438,B100000,00000,1200,00001TIME SPENT 38438,B100000,00000,1300,00001TIME SPENT 38438,B100000,00000,1400,00001ASSIGNED TIME 38438,E10A180,00301,0100,05/10/2000 38438,S000000,00100,0200,05/31/2000 38438,S200000,00100,0100,25 SCHOENFELD BLVD 38438,S200000,00200,0100,PATCHOGUE 38438,S200000,00200,0200,NY 38438,S200000,00200,0300,11772 38438,S200000,00300,0100,SUFFOLK 38438,S200000,00400,0100,PATCHOGUE NURSING CENTER 38438,S200000,00400,0200,335596 38438,S200000,00400,0300,01/01/1977 38438,S200000,00400,0500,P 38438,S200000,01500,0100,Y 38438,S200000,04300,0100,Y 38446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38446,A000000,00300,0000,00300EMPLOYEE BENEFITS 38446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38446,A000000,00700,0000,00700HOUSEKEEPING 38446,A000000,00800,0000,00800DIETARY 38446,A000000,00900,0000,00900NURSING ADMINISTRATION 38446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38446,A000000,01100,0000,01100PHARMACY 38446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38446,A000000,01300,0000,01300SOCIAL SERVICE 38446,A000000,01350,0000,01500ACTIVITIES 38446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38446,A000000,01600,0000,01600SKILLED NURSING FACILITY 38446,A000000,01810,0000,01810ICF/MR 38446,A000000,02500,0000,02500PHYSICAL THERAPY 38446,A000000,02700,0000,02700SPEECH PATHOLOGY 38446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38446,A000000,03550,0000,03550FQHC 38446,A000000,05000,0000,05000CORF 38446,A000000,05010,0000,05010CMHC 38446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38446,A000000,05300,0000,05300INTEREST EXPENSE 38446,A000000,06101,0000,06150DENTAL 38446,A81000A,00100,0100,Y 38446,A81000B,00100,0300,INTRACOUNTY CHARGES 38446,A81000B,00200,0300,INTRACOUNTY CHARGES 38446,A81000C,00100,0100,G 38446,A81000C,00100,0200,CLINTON COUNTY 38446,A81000C,00100,0400,CLINTON COUNTY 38446,A81000C,00100,0600,GOVERNMENT 38446,B100000,00000,0100,00050SQUARE FEET 38446,B100000,00000,0200,00050SQUARE FEET 38446,B100000,00000,0300,00050GROSS SALARIES 38446,B100000,00000,0400,00050ACCUM COST 38446,B100000,00000,0500,00050SQUARE FEET 38446,B100000,00000,0600,00050POUNDS OF LAUNDRY 38446,B100000,00000,0700,00050HOURS OF SERVICE 38446,B100000,00000,0800,00050MEALS SERVED 38446,B100000,00000,0900,00050DIRECT NRSG HRS 38446,B100000,00000,1000,00050COSTED REQUIS 38446,B100000,00000,1100,00050COSTED REQUIS 38446,B100000,00000,1200,00050TIME SPENT 38446,B100000,00000,1300,00050TIME SPENT 38446,B100000,00000,1350,00050ASSIGNED TIME 38446,B100000,00000,1400,00050ASSIGNED TIME 38446,E10A180,00550,0100,06/15/2000 38446,E10A180,00550,0300,06/15/2000 38446,S000000,00100,0200,06/02/2000 38446,S200000,00100,0100,16 FLYNN AVENUE 38446,S200000,00200,0100,PLATTSBURGH 38446,S200000,00200,0200,NY 38446,S200000,00200,0300,12901 38446,S200000,00300,0100,CLINTON 38446,S200000,00400,0100,CLINTON COUNTY NURSING HOME 38446,S200000,00400,0200,335598 38446,S200000,00400,0300,01/29/1977 38446,S200000,00400,0500,P 38446,S200000,01500,0100,Y 38446,S200000,02800,0100,Y 38455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38455,A000000,00300,0000,00300EMPLOYEE BENEFITS 38455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38455,A000000,00700,0000,00700HOUSEKEEPING 38455,A000000,00800,0000,00800DIETARY 38455,A000000,00900,0000,00900NURSING ADMINISTRATION 38455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38455,A000000,01100,0000,01100PHARMACY 38455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38455,A000000,01300,0000,01300SOCIAL SERVICE 38455,A000000,01350,0000,01500ACTIVITIES 38455,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38455,A000000,01600,0000,01600SKILLED NURSING FACILITY 38455,A000000,01810,0000,01810ICF/MR 38455,A000000,02500,0000,02500PHYSICAL THERAPY 38455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38455,A000000,02700,0000,02700SPEECH PATHOLOGY 38455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38455,A000000,03450,0000,03600OUTPATIENT PHYSICAL THERAPY 38455,A000000,03451,0000,03610OUTPATIENT OCCUPATIONAL THERAPY 38455,A000000,03550,0000,03550FQHC 38455,A000000,05000,0000,05000CORF 38455,A000000,05010,0000,05010CMHC 38455,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38455,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38455,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38455,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38455,A000000,05901,0000,05910COMMUNITY RELATIONS 38455,A000000,05902,0000,05920COMMUNITY RELATIONS 2 38455,A000000,06001,0000,06010DENTAL 38455,A000000,06002,0000,06020PT MAINT 38455,A000000,06003,0000,06030OT MAINT 38455,B100000,00000,0100,00030SQUARE FEET 38455,B100000,00000,0200,00030SQUARE FEET 38455,B100000,00000,0300,00030GROSS SALARIES 38455,B100000,00000,0400,00030ACCUM COST 38455,B100000,00000,0500,00030SQUARE FEET 38455,B100000,00000,0600,00030POUNDS OF LAUNDRY 38455,B100000,00000,0700,00030HOURS OF SERVICE 38455,B100000,00000,0800,00030MEALS SERVED 38455,B100000,00000,0900,00030DIRECT NRSG HRS 38455,B100000,00000,1000,00030COSTED REQUIS 38455,B100000,00000,1100,00030COSTED REQUIS 38455,B100000,00000,1200,00030TIME SPENT 38455,B100000,00000,1300,00030TIME SPENT 38455,B100000,00000,1350,00030PARTICIPAN 38455,B100000,00000,1400,00030ASSIGNED TIME 38455,E10A180,00301,0100,05/09/2000 38455,E10A180,00350,0100,01/18/2000 38455,S000000,00100,0200,06/01/2000 38455,S200000,00100,0100,1657 SUNSET AVE 38455,S200000,00200,0100,UTICA 38455,S200000,00200,0200,NY 38455,S200000,00200,0300,13502 38455,S200000,00300,0100,ONEIDA 38455,S200000,00400,0100,HERITAGE HEALTH CARE CENTER 38455,S200000,00400,0200,335600 38455,S200000,00400,0300,01/31/1977 38455,S200000,00400,0500,P 38455,S200000,01500,0100,Y 38455,S200000,01900,0100,COMMUNITY 38455,S200000,04300,0100,Y 38463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38463,A000000,00300,0000,00300EMPLOYEE BENEFITS 38463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38463,A000000,00700,0000,00700HOUSEKEEPING 38463,A000000,00800,0000,00800DIETARY 38463,A000000,00900,0000,00900NURSING ADMINISTRATION 38463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38463,A000000,01100,0000,01100PHARMACY 38463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38463,A000000,01300,0000,01300SOCIAL SERVICE 38463,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 38463,A000000,01351,0000,01501ACTIVITIES 38463,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38463,A000000,01600,0000,01600SKILLED NURSING FACILITY 38463,A000000,01810,0000,01810ICF/MR 38463,A000000,02500,0000,02500PHYSICAL THERAPY 38463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38463,A000000,02700,0000,02700SPEECH PATHOLOGY 38463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38463,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38463,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38463,A000000,03550,0000,03550FQHC 38463,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38463,A000000,05000,0000,05000CORF 38463,A000000,05010,0000,05010CMHC 38463,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38463,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38463,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38463,A000000,05300,0000,05300INTEREST EXPENSE 38463,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38463,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38463,A000000,06151,0000,06301DENTAL 38463,B100000,00000,0100,00001SQUARE FEET 38463,B100000,00000,0200,00001DOLLAR VALUE 38463,B100000,00000,0300,00001GROSS SALARIES 38463,B100000,00000,0400,00001ACCUM. COST 38463,B100000,00000,0500,00001SQUARE FEET 38463,B100000,00000,0600,00001POUNDS OF LAUNDRY 38463,B100000,00000,0700,00001HOURS OF SERVICE 38463,B100000,00000,0800,00001MEALS SERVED 38463,B100000,00000,0900,00001DIRECT NRSING HRS 38463,B100000,00000,1000,00001COSTED REQUIS. 38463,B100000,00000,1100,00001COSTED REQUIS. 38463,B100000,00000,1200,00001TIME SPENT 38463,B100000,00000,1300,00001TIME SPENT 38463,B100000,00000,1350,00001NO STATISTICS 38463,B100000,00000,1351,00001NUMBER OFPARTICIP 38463,B100000,00000,1400,00001ASSIGNED TIME 38463,S000000,00100,0200,06/05/2000 38463,S200000,00100,0100,DANFORTH STREET 38463,S200000,00200,0100,HOOSICK FALLS 38463,S200000,00200,0200,NY 38463,S200000,00200,0300,12090 38463,S200000,00300,0100,RENSSELAER 38463,S200000,00400,0100,HOOSICK FALLS HEALTH CENTER INC 38463,S200000,00400,0200,335601 38463,S200000,00400,0300,03/01/1977 38463,S200000,00400,0500,P 38463,S200000,01500,0100,Y 38463,S200000,02800,0100,Y 38472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38472,A000000,00300,0000,00300EMPLOYEE BENEFITS 38472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38472,A000000,00700,0000,00700HOUSEKEEPING 38472,A000000,00800,0000,00800DIETARY 38472,A000000,00801,0000,00801CAFETERIA 38472,A000000,00900,0000,00900NURSING ADMINISTRATION 38472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38472,A000000,01100,0000,01100PHARMACY 38472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38472,A000000,01300,0000,01300SOCIAL SERVICE 38472,A000000,01350,0000,01500ACTIVITIES 38472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38472,A000000,01600,0000,01600SKILLED NURSING FACILITY 38472,A000000,01810,0000,01810ICF/MR 38472,A000000,02100,0000,02100RADIOLOGY 38472,A000000,02200,0000,02200LABORATORY 38472,A000000,02500,0000,02500PHYSICAL THERAPY 38472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38472,A000000,02700,0000,02700SPEECH PATHOLOGY 38472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38472,A000000,03550,0000,03550FQHC 38472,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38472,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38472,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38472,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38472,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38472,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38472,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38472,A000000,05000,0000,05000CORF 38472,A000000,05010,0000,05010CMHC 38472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38472,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38472,A000000,06150,0000,06300ADULT DAY CARE 38472,A000000,06151,0000,06301DIET/PCA-HHA DENTAL 38472,A81000A,00100,0100,Y 38472,A81000B,00100,0300,ADM FEE EPISCP COMM HTH 38472,A81000B,00200,0300,ADM FEE EPISCP COMM HTH 38472,A81000B,00300,0300,ADM FEE EPISC COMM HTH 38472,A81000B,00400,0300,LAUNDRY SERVCS EPISC CHRCH HOM 38472,A81000B,00500,0300,OFFICE RENT EPISC COMM HOUSING 38472,A81000C,00100,0100,A 38472,A81000C,00100,0200,EPISCOPAL RHCF 38472,A81000C,00100,0400,EPISCCOMMHLTHCT 38472,A81000C,00100,0600,ADMSVC ACCTG 38472,A81000C,00200,0100,A 38472,A81000C,00200,0200,EPISCOPAL RHCF 38472,A81000C,00200,0400,EPISCCHURCHHOME 38472,A81000C,00200,0600,LAUNDRY SRVC 38472,A81000C,00300,0100,A 38472,A81000C,00300,0200,EPISCOPAL RHCF 38472,A81000C,00300,0400,OFFICE SPACE 38472,A81000C,00300,0600,OFFICE SPACE 38472,B100000,00000,0100,00001SQUARE FEET 38472,B100000,00000,0200,00001SQUARE FEET 38472,B100000,00000,0300,00001GROSS SALARIES 38472,B100000,00000,0400,00001ACCUM COST 38472,B100000,00000,0500,00001SQUARE FEET 38472,B100000,00000,0600,00001POUNDS OF LAUNDRY 38472,B100000,00000,0700,00001HOURS OF SERVICE 38472,B100000,00000,0800,00001MEALS SERVED 38472,B100000,00000,0801,00001FTES 38472,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38472,B100000,00000,1000,00001COSTED REQUISITIO 38472,B100000,00000,1100,00001COSTED REQUISITIO 38472,B100000,00000,1200,00001TIME SPENT 38472,B100000,00000,1300,00001TIME SPENT 38472,B100000,00000,1350,00001TIME SPENT 38472,B100000,00000,1400,00001ASSIGNED TIME 38472,E10A180,00301,0100,05/09/2000 38472,E10A180,00350,0100,09/28/1999 38472,H510100,00000,0000,1280 38472,H510100,02400,0000,1280 38472,H710000,00301,0100,01/26/2000 38472,H710000,00350,0100,08/05/1999 38472,H710000,00351,0100,10/26/1999 38472,H710000,00501,0100,07/10/2000 38472,S000000,00100,0200,06/01/2000 38472,S200000,00100,0100,24 RHODE ISLAND ST 38472,S200000,00200,0100,BUFFALO 38472,S200000,00200,0200,NY 38472,S200000,00200,0300,14213 38472,S200000,00300,0100,ERIE 38472,S200000,00400,0100,EPISCOPAL RHCF INC. 38472,S200000,00400,0200,335602 38472,S200000,00400,0300,05/01/1977 38472,S200000,00400,0500,P 38472,S200000,00800,0200,337175 38472,S200000,00800,0300,02/20/1979 38472,S200000,00800,0500,P 38472,S200000,01500,0100,Y 38472,S410002,01300,0000,DIETICIAN 38472,S410002,01400,0000,PCA/HOUSEKEEPER 38478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38478,A000000,00300,0000,00300EMPLOYEE BENEFITS 38478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38478,A000000,00700,0000,00700HOUSEKEEPING 38478,A000000,00800,0000,00800DIETARY 38478,A000000,00801,0000,00801CAFETERIA 38478,A000000,00900,0000,00900NURSING ADMINISTRATION 38478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38478,A000000,01100,0000,01100PHARMACY 38478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38478,A000000,01300,0000,01300SOCIAL SERVICE 38478,A000000,01350,0000,01500ACTIVITIES 38478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38478,A000000,01600,0000,01600SKILLED NURSING FACILITY 38478,A000000,01810,0000,01810ICF/MR 38478,A000000,02100,0000,02100RADIOLOGY 38478,A000000,02200,0000,02200LABORATORY 38478,A000000,02500,0000,02500PHYSICAL THERAPY 38478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38478,A000000,02700,0000,02700SPEECH PATHOLOGY 38478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38478,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38478,A000000,03550,0000,03550FQHC 38478,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38478,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38478,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38478,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38478,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38478,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38478,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38478,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38478,A000000,05000,0000,05000CORF 38478,A000000,05010,0000,05010CMHC 38478,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38478,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38478,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38478,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38478,A000000,06201,0000,06201DENTAL 38478,A000000,06202,0000,06202ADULT DAY HEALTH CARE 38478,A000000,06203,0000,06203LICENSED AGENCY NON- REIMB 38478,A81000A,00100,0100,Y 38478,A81000B,00100,0300,HHA 3090-4508 38478,A81000B,00200,0300,PCA & HSKP ACCESS 38478,A81000B,00300,0300,SHHCS OTHER KS 38478,A81000C,00100,0100,G 38478,A81000C,00100,0200,SCHOFIELD BOARD 38478,A81000C,00100,0400,SCHOFIELD HOME 38478,A81000C,00100,0600,LICENSED AGENCY 38478,B100000,00000,0100,00000SQUARE FEET 38478,B100000,00000,0200,00000SQUARE FEET 38478,B100000,00000,0300,00000GROSS SALARIES 38478,B100000,00000,0400,00000ACCUM COST 38478,B100000,00000,0500,00000SQUARE FEET 38478,B100000,00000,0600,00000POUNDS OF LAUNDRY 38478,B100000,00000,0700,00000HOURS OF SERVICE 38478,B100000,00000,0800,00000MEALS SERVED 38478,B100000,00000,0801,00000AVG. # OF EMPLOYEES 38478,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38478,B100000,00000,1000,00000COSTED REQUISITIO 38478,B100000,00000,1100,00000COSTED REQUISITIO 38478,B100000,00000,1200,00000TIME SPENT 38478,B100000,00000,1300,00000TIME SPENT 38478,B100000,00000,1350,00000# OF PAR- TICIPENTS 38478,B100000,00000,1400,00000ASSIGNED TIME 38478,E10A180,00301,0100,05/09/2000 38478,E10A180,00350,0100,09/27/1999 38478,H510100,00000,0000,1280 38478,H510100,02400,0000,1280 38478,H710000,00301,0100,10/19/1999 38478,H710000,00501,0100,07/10/2000 38478,S000000,00100,0200,06/02/2000 38478,S200000,00100,0100,3333 ELMWOOD AVENUE 38478,S200000,00200,0100,KENMORE 38478,S200000,00200,0200,NY 38478,S200000,00200,0300,14217 38478,S200000,00300,0100,ERIE 38478,S200000,00400,0100,SCHOFIELD RESIDENCE 38478,S200000,00400,0200,335603 38478,S200000,00400,0300,08/01/1977 38478,S200000,00400,0500,P 38478,S200000,00800,0200,337207 38478,S200000,00800,0300,05/09/1985 38478,S200000,00800,0500,P 38478,S200000,01500,0100,Y 38478,S200000,02800,0100,Y 38478,S410002,01300,0000,OTHER 38478,S410002,01400,0000,AUDIOLOGY 38485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38485,A000000,00300,0000,00300EMPLOYEE BENEFITS 38485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38485,A000000,00700,0000,00700HOUSEKEEPING 38485,A000000,00800,0000,00800DIETARY 38485,A000000,00900,0000,00900NURSING ADMINISTRATION 38485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38485,A000000,01100,0000,01100PHARMACY 38485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38485,A000000,01300,0000,01300SOCIAL SERVICE 38485,A000000,01350,0000,01500OTHER GENERAL SRVC COST-ACTIVIT 38485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38485,A000000,01600,0000,01600SKILLED NURSING FACILITY 38485,A000000,01810,0000,01810ICF/MR 38485,A000000,02500,0000,02500PHYSICAL THERAPY 38485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38485,A000000,02700,0000,02700SPEECH PATHOLOGY 38485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38485,A000000,03550,0000,03550FQHC 38485,A000000,05000,0000,05000CORF 38485,A000000,05010,0000,05010CMHC 38485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38485,A000000,05300,0000,05300INTEREST EXPENSE 38485,A000000,05350,0000,05600OTHR SPEC PURP COST-MED STAFF 38485,A000000,06150,0000,06300OTHR NON-REIMB COST-DENTAL 38485,B100000,00000,0100,00000SQUARE FEET 38485,B100000,00000,0200,00000SQUARE FEET 38485,B100000,00000,0300,00000GROSS SALARIES 38485,B100000,00000,0400,00000ACCUM COST 38485,B100000,00000,0500,00000SQUARE FEET 38485,B100000,00000,0600,00000POUNDS OF LAUNDRY 38485,B100000,00000,0700,00000HOURS OF SERVICE 38485,B100000,00000,0800,00000MEALS SERVED 38485,B100000,00000,0900,00000DIRECT NRSG HRS 38485,B100000,00000,1000,00000COSTED REQUIS 38485,B100000,00000,1100,00000COSTED REQUIS 38485,B100000,00000,1200,00000TIME SPENT 38485,B100000,00000,1300,00000TIME SPENT 38485,B100000,00000,1350,00000# OF PAR- TICIPANTS 38485,B100000,00000,1400,00000ASSIGNED TIME 38485,E10A180,00301,0100,05/09/2000 38485,E10A180,00350,0100,09/21/1999 38485,S000000,00100,0200,06/12/2000 38485,S200000,00100,0100,1485 DUMONT AVENUE 38485,S200000,00200,0100,BROOKLYN 38485,S200000,00200,0200,NY 38485,S200000,00200,0300,11208 38485,S200000,00300,0100,KINGS 38485,S200000,00400,0100,BROOKLYN UNITED METHODIST CHURCH HME 38485,S200000,00400,0200,335604 38485,S200000,00400,0300,06/01/1977 38485,S200000,00400,0500,P 38485,S200000,01500,0100,Y 38485,S200000,02100,0100,A 38485,S200000,02200,0100,Y 38485,S200000,03300,0100,Y 38485,S200000,04100,0100,Y 38485,S200000,04200,0100,Y 38498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38498,A000000,00300,0000,00300EMPLOYEE BENEFITS 38498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38498,A000000,00700,0000,00700HOUSEKEEPING 38498,A000000,00800,0000,00800DIETARY 38498,A000000,00900,0000,00900NURSING ADMINISTRATION 38498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38498,A000000,01100,0000,01100PHARMACY 38498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38498,A000000,01300,0000,01300SOCIAL SERVICE 38498,A000000,01350,0000,01500LEISURE TIME ACTIVITIES 38498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38498,A000000,01600,0000,01600SKILLED NURSING FACILITY 38498,A000000,01810,0000,01810ICF/MR 38498,A000000,01900,0000,01900OTHER LONG TERM CARE 38498,A000000,02500,0000,02500PHYSICAL THERAPY 38498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38498,A000000,02700,0000,02700SPEECH PATHOLOGY 38498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38498,A000000,03550,0000,03550FQHC 38498,A000000,05000,0000,05000CORF 38498,A000000,05010,0000,05010CMHC 38498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38498,A000000,05300,0000,05300INTEREST EXPENSE 38498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38498,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38498,A000000,06200,0000,06200PATIENTS LAUNDRY 38498,B100000,00000,0100,00000SQUARE FEET 38498,B100000,00000,0200,00000SQUARE FEET 38498,B100000,00000,0300,00000GROSS SALARIES 38498,B100000,00000,0400,00000ACCUM COST 38498,B100000,00000,0500,00000SQUARE FEET 38498,B100000,00000,0600,00000POUNDS OF LAUNDRY 38498,B100000,00000,0700,00000HOURS OF SERVICE 38498,B100000,00000,0800,00000MEALS SERVED 38498,B100000,00000,0900,00000DIRECT NRSG HRS 38498,B100000,00000,1000,00000COSTED REQUIS 38498,B100000,00000,1100,00000COSTED REQUIS 38498,B100000,00000,1200,00000TIME SPENT 38498,B100000,00000,1300,00000TIME SPENT 38498,B100000,00000,1350,00000PARTICIPAN 38498,B100000,00000,1400,00000ASSIGNED TIME 38498,S000000,00100,0200,09/07/2000 38498,S200000,00100,0100,110-30 221ST ST. 38498,S200000,00200,0100,QUEENS VILLAGE 38498,S200000,00200,0200,NY 38498,S200000,00300,0100,QUEENS 38498,S200000,00400,0100,QUEEN OF PEACE RESIDENCE 38498,S200000,00400,0200,335606 38498,S200000,00400,0300,01/01/1977 38498,S200000,00400,0500,P 38498,S200000,01500,0100,Y 38498,S200000,01700,0100,Y 38498,S200000,04300,0100,Y 38508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38508,A000000,00300,0000,00300EMPLOYEE BENEFITS 38508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38508,A000000,00700,0000,00700HOUSEKEEPING 38508,A000000,00800,0000,00800DIETARY 38508,A000000,00900,0000,00900NURSING ADMINISTRATION 38508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38508,A000000,01100,0000,01100PHARMACY 38508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38508,A000000,01300,0000,01300SOCIAL SERVICE 38508,A000000,01350,0000,01500ACTIVITY 38508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38508,A000000,01600,0000,01600SKILLED NURSING FACILITY 38508,A000000,01810,0000,01810ICF/MR 38508,A000000,02100,0000,02100RADIOLOGY 38508,A000000,02200,0000,02200LABORATORY 38508,A000000,02500,0000,02500PHYSICAL THERAPY 38508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38508,A000000,02700,0000,02700SPEECH PATHOLOGY 38508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38508,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38508,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38508,A000000,03550,0000,03550FQHC 38508,A000000,05000,0000,05000CORF 38508,A000000,05010,0000,05010CMHC 38508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38508,A000000,05300,0000,05300INTEREST EXPENSE 38508,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38508,A000000,06150,0000,06300DENTAL 38508,B100000,00000,0100,00000SQUARE FEET 38508,B100000,00000,0200,00000SQUARE FEET 38508,B100000,00000,0300,00000GROSS SALARIES 38508,B100000,00000,0400,00000ACCUM COST 38508,B100000,00000,0500,00000SQUARE FEET 38508,B100000,00000,0600,00000POUNDS OF LAUNDRY 38508,B100000,00000,0700,00000HOURS OF SERVICE 38508,B100000,00000,0800,00000MEALS SERVED 38508,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38508,B100000,00000,1000,00000COSTED REQUISITIO 38508,B100000,00000,1100,00000COSTED REQUISITIO 38508,B100000,00000,1200,00000TIME SPENT 38508,B100000,00000,1300,00000TIME SPENT 38508,B100000,00000,1350,00000ASSIGNED TIME 38508,B100000,00000,1400,00000ASSIGNED TIME 38508,E10A180,00301,0100,05/10/2000 38508,S000000,00100,0200,06/07/2000 38508,S200000,00100,0100,810 ST. MARKS AVENUE 38508,S200000,00200,0100,BROOKLYN 38508,S200000,00200,0200,NY 38508,S200000,00200,0300,11213 38508,S200000,00300,0100,KINGS 38508,S200000,00400,0100,MARCUS GARVEY NURSING HOME 38508,S200000,00400,0200,335609 38508,S200000,00400,0300,06/16/1977 38508,S200000,00400,0500,P 38508,S200000,01500,0100,Y 38508,S200000,03300,0100,Y 38508,S200000,03300,0200,Y 38522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38522,A000000,00300,0000,00300EMPLOYEE BENEFITS 38522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38522,A000000,00700,0000,00700HOUSEKEEPING 38522,A000000,00800,0000,00800DIETARY 38522,A000000,00900,0000,00900NURSING ADMINISTRATION 38522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38522,A000000,01100,0000,01100PHARMACY 38522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38522,A000000,01300,0000,01300SOCIAL SERVICE 38522,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 38522,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38522,A000000,01600,0000,01600SKILLED NURSING FACILITY 38522,A000000,01810,0000,01810ICF/MR 38522,A000000,02500,0000,02500PHYSICAL THERAPY 38522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38522,A000000,02700,0000,02700SPEECH PATHOLOGY 38522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38522,A000000,03550,0000,03550FQHC 38522,A000000,05000,0000,05000CORF 38522,A000000,05010,0000,05010CMHC 38522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38522,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38522,A000000,06201,0000,06201DENTAL 38522,B100000,00000,0100,00000SQUARE FEET 38522,B100000,00000,0200,00000SQUARE FEET 38522,B100000,00000,0300,00000GROSS SALARIES 38522,B100000,00000,0400,00000ACCUM COST 38522,B100000,00000,0500,00000SQUARE FEET 38522,B100000,00000,0600,00000POUNDS OF LAUNDRY 38522,B100000,00000,0700,00000HOURS OF SERVICE 38522,B100000,00000,0800,00000MEALS SERVED 38522,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38522,B100000,00000,1000,00000COSTED REQUISITIO 38522,B100000,00000,1100,00000COSTED REQUISITIO 38522,B100000,00000,1200,00000TIME SPENT 38522,B100000,00000,1300,00000TIME SPENT 38522,B100000,00000,1301,00000PARTICIPAN 38522,B100000,00000,1350,00000 38522,B100000,00000,1400,00000ASSIGNED TIME 38522,E10A180,00301,0100,05/09/2000 38522,E10A180,00350,0100,08/24/1999 38522,S000000,00100,0200,07/13/2000 38522,S200000,00100,0100,490 PELHAM ROAD 38522,S200000,00200,0100,NEW ROCHELLE 38522,S200000,00200,0200,NEW YORK 38522,S200000,00200,0300,10800 38522,S200000,00300,0100,WESTCHESTER 38522,S200000,00400,0100,GLEN ISLAND CARE CENTER 38522,S200000,00400,0200,335611 38522,S200000,00400,0300,01/01/1978 38522,S200000,00400,0500,P 38522,S200000,01500,0100,Y 38530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38530,A000000,00300,0000,00300EMPLOYEE BENEFITS 38530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38530,A000000,00700,0000,00700HOUSEKEEPING 38530,A000000,00800,0000,00800DIETARY 38530,A000000,00900,0000,00900NURSING ADMINISTRATION 38530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38530,A000000,01100,0000,01100PHARMACY 38530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38530,A000000,01300,0000,01300SOCIAL SERVICE 38530,A000000,01350,0000,01500ACTIVITIES 38530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38530,A000000,01600,0000,01600SKILLED NURSING FACILITY 38530,A000000,01810,0000,01810ICF/MR 38530,A000000,02100,0000,02100RADIOLOGY 38530,A000000,02200,0000,02200LABORATORY 38530,A000000,02500,0000,02500PHYSICAL THERAPY 38530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38530,A000000,02700,0000,02700SPEECH PATHOLOGY 38530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38530,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38530,A000000,03550,0000,03550FQHC 38530,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38530,A000000,05000,0000,05000CORF 38530,A000000,05010,0000,05010CMHC 38530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38530,B100000,00000,0100,00000SQUARE FEET 38530,B100000,00000,0200,00000DOLLAR VALUE 38530,B100000,00000,0300,00000GROSS SALARIES 38530,B100000,00000,0400,00000ACCUM. COST 38530,B100000,00000,0500,00000SQUARE FEET 38530,B100000,00000,0600,00000POUNDS OF LAUNDRY 38530,B100000,00000,0700,00000HOURS OF SERVICE 38530,B100000,00000,0800,00000MEALS SERVED 38530,B100000,00000,0900,00000DIRECT NRSING HRS 38530,B100000,00000,1000,00000COSTED REQUIS. 38530,B100000,00000,1100,00000COSTED REQUIS. 38530,B100000,00000,1200,00000TIME SPENT 38530,B100000,00000,1300,00000TIME SPENT 38530,B100000,00000,1350,00000NO. OF PARTICIPAN 38530,B100000,00000,1400,00000ASSIGNED TIME 38530,E10A180,00301,0100,05/09/2000 38530,S000000,00100,0200,06/05/2000 38530,S200000,00100,0100,297 NO. BALLSTON AVENUE 38530,S200000,00200,0100,SCOTIA 38530,S200000,00200,0200,NY 38530,S200000,00200,0300,12302 38530,S200000,00300,0100,SCHENECTADY 38530,S200000,00400,0100,BAPTIST HEALTH NURSING & REHAB 38530,S200000,00400,0200,335612 38530,S200000,00400,0300,11/09/1977 38530,S200000,00400,0500,P 38530,S200000,01500,0100,Y 38535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38535,A000000,00300,0000,00300EMPLOYEE BENEFITS 38535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38535,A000000,00700,0000,00700HOUSEKEEPING 38535,A000000,00800,0000,00800DIETARY 38535,A000000,00900,0000,00900NURSING ADMINISTRATION 38535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38535,A000000,01100,0000,01100PHARMACY 38535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38535,A000000,01300,0000,01300SOCIAL SERVICE 38535,A000000,01350,0000,01500ACTIVITIES 38535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38535,A000000,01600,0000,01600SKILLED NURSING FACILITY 38535,A000000,01810,0000,01810ICF/MR 38535,A000000,02100,0000,02100RADIOLOGY 38535,A000000,02200,0000,02200LABORATORY 38535,A000000,02500,0000,02500PHYSICAL THERAPY 38535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38535,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38535,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38535,A000000,03550,0000,03550FQHC 38535,A000000,05000,0000,05000CORF 38535,A000000,05010,0000,05010CMHC 38535,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38535,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38535,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38535,A000000,05300,0000,05300INTEREST EXPENSE 38535,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38535,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38535,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38535,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38535,A000000,06151,0000,06301DENTAL MARKETING 38535,B100000,00000,0100,00001SQUARE FEET 38535,B100000,00000,0200,00001SQUARE FEET 38535,B100000,00000,0300,00001GROSS SALARIES 38535,B100000,00000,0400,00001ACCUM COST 38535,B100000,00000,0500,00001SQUARE FEET 38535,B100000,00000,0600,00001POUNDS OF LAUNDRY 38535,B100000,00000,0700,00001HOURS OF SERVICE 38535,B100000,00000,0800,00001MEALS SERVED 38535,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38535,B100000,00000,1000,00001COSTED REQUISITIO 38535,B100000,00000,1100,00001COSTED REQUISITIO 38535,B100000,00000,1200,00001TIME SPENT 38535,B100000,00000,1300,00001TIME SPENT 38535,B100000,00000,1350,00001NUMBER OF PARTICIPAN 38535,B100000,00000,1400,00001ASSIGNED TIME 38535,E10A180,00301,0100,05/10/2000 38535,S000000,00100,0200,05/26/2000 38535,S200000,00100,0100,198 STATE ROUTE 308 38535,S200000,00200,0100,RHINEBECK 38535,S200000,00200,0200,NY 38535,S200000,00200,0300,12572 38535,S200000,00300,0100,DUTCHESS 38535,S200000,00400,0100,BAPTIST HOME OF BROOKLYN NY 38535,S200000,00400,0200,335613 38535,S200000,00400,0300,12/01/1977 38535,S200000,00400,0500,P 38535,S200000,01500,0100,Y 38538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38538,A000000,00300,0000,00300EMPLOYEE BENEFITS 38538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38538,A000000,00700,0000,00700HOUSEKEEPING 38538,A000000,00800,0000,00800DIETARY 38538,A000000,00900,0000,00900NURSING ADMINISTRATION 38538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38538,A000000,01100,0000,01100PHARMACY 38538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38538,A000000,01300,0000,01300SOCIAL SERVICE 38538,A000000,01350,0000,01500ACTIVITIES 38538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38538,A000000,01600,0000,01600SKILLED NURSING FACILITY 38538,A000000,01810,0000,01810ICF/MR 38538,A000000,02100,0000,02100RADIOLOGY 38538,A000000,02200,0000,02200LABORATORY 38538,A000000,02500,0000,02500PHYSICAL THERAPY 38538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38538,A000000,02700,0000,02700SPEECH PATHOLOGY 38538,A000000,02800,0000,02800ELECTROCARDIOLOGY 38538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38538,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38538,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38538,A000000,03550,0000,03550FQHC 38538,A000000,05000,0000,05000CORF 38538,A000000,05010,0000,05010CMHC 38538,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38538,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38538,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38538,A000000,06201,0000,06201DENTAL 38538,A81000A,00100,0100,Y 38538,A81000B,00100,0300,RENT 38538,A81000B,00300,0300,DEPREC & AMORT 38538,A81000C,00100,0100,A 38538,A81000C,00100,0200,WILLIAM RUSS 38538,A81000C,00100,0400,SANFRAN REALTY 38538,A81000C,00100,0600,REAL PROP 38538,A81000C,00200,0100,B 38538,A81000C,00200,0200,SYLVIA RUSS 38538,A81000C,00200,0400,SANFRAN REALTY 38538,A81000C,00200,0600,REAL PROP 38538,A81000C,00300,0100,C 38538,A81000C,00300,0200,LEN RUSS 38538,B100000,00000,0100,00000SQUARE FEET 38538,B100000,00000,0200,00000SQUARE FEET 38538,B100000,00000,0300,00000GROSS SALARIES 38538,B100000,00000,0400,00000ACCUM COST 38538,B100000,00000,0500,00000SQUARE FEET 38538,B100000,00000,0600,00000POUNDS OF LAUNDRY 38538,B100000,00000,0700,00000HOURS OF SERVICE 38538,B100000,00000,0800,00000MEALS SERVED 38538,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38538,B100000,00000,1000,00000COSTED REQUISITIO 38538,B100000,00000,1100,00000COSTED REQUISITIO 38538,B100000,00000,1200,00000TIME SPENT 38538,B100000,00000,1300,00000TIME SPENT 38538,B100000,00000,1350,00000NUMBER OF PARTICIPAN 38538,B100000,00000,1400,00000ASSIGNED TIME 38538,E10A180,00301,0100,05/10/2000 38538,S000000,00100,0200,05/31/2000 38538,S200000,00100,0100,40 KEOGH LANE 38538,S200000,00200,0100,NEW ROCHELLE 38538,S200000,00200,0200,NY 38538,S200000,00200,0300,10850 38538,S200000,00300,0100,WESTCHESTER 38538,S200000,00400,0100,BAYBERRY NURSING HOME 38538,S200000,00400,0200,335614 38538,S200000,00400,0300,01/01/1983 38538,S200000,00400,0500,P 38538,S200000,01500,0100,Y 38548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38548,A000000,00300,0000,00300EMPLOYEE BENEFITS 38548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38548,A000000,00700,0000,00700HOUSEKEEPING 38548,A000000,00800,0000,00800DIETARY 38548,A000000,00900,0000,00900NURSING ADMINISTRATION 38548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38548,A000000,01100,0000,01100PHARMACY 38548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38548,A000000,01300,0000,01300SOCIAL SERVICE 38548,A000000,01350,0000,01500ACTIVITIES 38548,A000000,01351,0000,01501TRANSPORTATION INTERIOR 38548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38548,A000000,01600,0000,01600SKILLED NURSING FACILITY 38548,A000000,01810,0000,01810ICF/MR 38548,A000000,02200,0000,02200LABORATORY 38548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38548,A000000,02500,0000,02500PHYSICAL THERAPY 38548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38548,A000000,02700,0000,02700SPEECH PATHOLOGY 38548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38548,A000000,03550,0000,03550FQHC 38548,A000000,05000,0000,05000CORF 38548,A000000,05010,0000,05010CMHC 38548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38548,A000000,05300,0000,05300INTEREST EXPENSE 38548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38548,A000000,06201,0000,06201DENTAL/PODIATRY 38548,B100000,00000,0100,00001SQUARE FEET 38548,B100000,00000,0200,00001SQUARE FEET 38548,B100000,00000,0300,00001GROSS SALARIES 38548,B100000,00000,0400,00001ACCUM COST 38548,B100000,00000,0500,00001SQUARE FEET 38548,B100000,00000,0600,00001POUNDS OF LAUNDRY 38548,B100000,00000,0700,00001HOURS OF SERVICE 38548,B100000,00000,0800,00001MEALS SERVED 38548,B100000,00000,0900,00001DIRECT NRSG HRS 38548,B100000,00000,1000,00001COSTED REQUIS 38548,B100000,00000,1100,00001COSTED REQUIS 38548,B100000,00000,1200,00001TIME SPENT 38548,B100000,00000,1300,00001TIME SPENT 38548,B100000,00000,1350,00001(TIME SPENT) 38548,B100000,00000,1351,00001TRIPS 38548,B100000,00000,1400,00001ASSIGNED TIME 38548,S000000,00100,0200,06/01/2000 38548,S200000,00100,0100,11580 WALDEN AVENUE 38548,S200000,00200,0100,ALDEN 38548,S200000,00200,0200,NY 38548,S200000,00200,0300,14004 38548,S200000,00300,0100,ERIE 38548,S200000,00400,0100,ERIE COUNTY HOME 38548,S200000,00400,0200,335616 38548,S200000,00400,0300,01/01/1978 38548,S200000,00400,0500,P 38548,S200000,00400,0600,P 38548,S200000,01900,0100,501 C 3 38556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38556,A000000,00300,0000,00300EMPLOYEE BENEFITS 38556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38556,A000000,00700,0000,00700HOUSEKEEPING 38556,A000000,00800,0000,00800DIETARY 38556,A000000,00900,0000,00900NURSING ADMINISTRATION 38556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38556,A000000,01100,0000,01100PHARMACY 38556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38556,A000000,01300,0000,01300SOCIAL SERVICE 38556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38556,A000000,01600,0000,01600SKILLED NURSING FACILITY 38556,A000000,01810,0000,01810ICF/MR 38556,A000000,02200,0000,02200LABORATORY 38556,A000000,02500,0000,02500PHYSICAL THERAPY 38556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38556,A000000,02700,0000,02700SPEECH PATHOLOGY 38556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38556,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38556,A000000,03550,0000,03550FQHC 38556,A000000,05000,0000,05000CORF 38556,A000000,05010,0000,05010CMHC 38556,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38556,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38556,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38556,A000000,05300,0000,05300INTEREST EXPENSE 38556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38556,B100000,00000,0100,00000SQUARE FEET 38556,B100000,00000,0200,00000SQUARE FEET 38556,B100000,00000,0300,00000GROSS SALARIES 38556,B100000,00000,0400,00000ACCUM COST 38556,B100000,00000,0500,00000SQUARE FEET 38556,B100000,00000,0600,00000POUNDS OF LAUNDRY 38556,B100000,00000,0700,00000HOURS OF SERVICE 38556,B100000,00000,0800,00000MEALS SERVED 38556,B100000,00000,0900,00000DIRECT NRSG HRS 38556,B100000,00000,1000,00000COSTED REQUIS 38556,B100000,00000,1100,00000COSTED REQUIS 38556,B100000,00000,1200,00000TIME SPENT 38556,B100000,00000,1300,00000TIME SPENT 38556,B100000,00000,1400,00000ASSIGNED TIME 38556,E10A180,00301,0100,05/10/2000 38556,S000000,00100,0200,05/30/2000 38556,S200000,00100,0100,182 HIGHLAND RAOD 38556,S200000,00200,0100,MASSENA 38556,S200000,00200,0200,NY 38556,S200000,00200,0300,13662 38556,S200000,00300,0100,ST. LAURENCE 38556,S200000,00400,0100,HIGHLAND NURSING HOME 38556,S200000,00400,0200,335619 38556,S200000,00400,0300,01/01/1982 38556,S200000,00400,0500,P 38556,S200000,01500,0100,Y 38562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38562,A000000,00300,0000,00300EMPLOYEE BENEFITS 38562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38562,A000000,00501,0000,00501SECURITY 38562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38562,A000000,00700,0000,00700HOUSEKEEPING 38562,A000000,00800,0000,00800DIETARY 38562,A000000,00900,0000,00900NURSING ADMINISTRATION 38562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38562,A000000,01100,0000,01100PHARMACY 38562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38562,A000000,01300,0000,01300SOCIAL SERVICE 38562,A000000,01301,0000,01301ACTIVITIES 38562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38562,A000000,01600,0000,01600SKILLED NURSING FACILITY 38562,A000000,01810,0000,01810ICF/MR 38562,A000000,02100,0000,02100RADIOLOGY 38562,A000000,02200,0000,02200LABORATORY 38562,A000000,02500,0000,02500PHYSICAL THERAPY 38562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38562,A000000,02700,0000,02700SPEECH PATHOLOGY 38562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38562,A000000,03550,0000,03550FQHC 38562,A000000,05000,0000,05000CORF 38562,A000000,05010,0000,05010CMHC 38562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38562,A000000,05300,0000,05300INTEREST EXPENSE 38562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38562,B100000,00000,0100,00000SQUARE FEET 38562,B100000,00000,0200,00000SQUARE FEET 38562,B100000,00000,0300,00000GROSS SALARIES 38562,B100000,00000,0400,00000ACCUM COST 38562,B100000,00000,0500,00000SQUARE FEET 38562,B100000,00000,0501,00000TIME SPENT 38562,B100000,00000,0600,00000POUNDS OF LAUNDRY 38562,B100000,00000,0700,00000HOURS OF SERVICE 38562,B100000,00000,0800,00000MEALS SERVED 38562,B100000,00000,0900,00000DIRECT NRSG HRS 38562,B100000,00000,1000,00000COSTED REQUIS 38562,B100000,00000,1100,00000COSTED REQUIS 38562,B100000,00000,1200,00000TIME SPENT 38562,B100000,00000,1300,00000TIME SPENT 38562,B100000,00000,1301,00000TIME SPENT 38562,B100000,00000,1400,00000ASSIGNED TIME 38562,S000000,00100,0200,07/19/2000 38562,S200000,00100,0100,1556 MT. HOPE AVENUE 38562,S200000,00200,0100,ROCHESTER 38562,S200000,00200,0200,NY 38562,S200000,00200,0300,14620 38562,S200000,00300,0100,MONROE 38562,S200000,00400,0100,PARK HOPE NURSING HOME 38562,S200000,00400,0200,335620 38562,S200000,00400,0300,01/01/1978 38562,S200000,00400,0500,P 38562,S200000,01500,0100,Y 38562,S200000,02800,0100,Y 38569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38569,A000000,00300,0000,00300EMPLOYEE BENEFITS 38569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38569,A000000,00700,0000,00700HOUSEKEEPING 38569,A000000,00800,0000,00800DIETARY 38569,A000000,00801,0000,00801CAFETERIA 38569,A000000,00900,0000,00900NURSING ADMINISTRATION 38569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38569,A000000,01100,0000,01100PHARMACY 38569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38569,A000000,01300,0000,01300SOCIAL SERVICE 38569,A000000,01350,0000,01500ACTIVITIES 38569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38569,A000000,01600,0000,01600SKILLED NURSING FACILITY 38569,A000000,01810,0000,01810ICF/MR 38569,A000000,02500,0000,02500PHYSICAL THERAPY 38569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38569,A000000,02700,0000,02700SPEECH PATHOLOGY 38569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38569,A000000,03550,0000,03550FQHC 38569,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38569,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38569,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38569,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38569,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38569,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38569,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38569,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38569,A000000,05000,0000,05000CORF 38569,A000000,05010,0000,05010CMHC 38569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38569,A000000,06150,0000,06300DAY CARE 38569,A000000,06151,0000,06301DENTAL 38569,B100000,00000,0100,00001SQUARE FEET 38569,B100000,00000,0200,00001SQUARE FEET 38569,B100000,00000,0300,00001GROSS SALARIES 38569,B100000,00000,0400,00001ACCUM COST 38569,B100000,00000,0500,00001SQUARE FEET 38569,B100000,00000,0600,00001POUNDS OF LAUNDRY 38569,B100000,00000,0700,00001HOURS OF SERVICE 38569,B100000,00000,0800,00001MEALS SERVED 38569,B100000,00000,0801,00001MEALS SERVED 38569,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38569,B100000,00000,1000,00001COSTED REQUISITIO 38569,B100000,00000,1100,00001COSTED REQUISITIO 38569,B100000,00000,1200,00001TIME SPENT 38569,B100000,00000,1300,00001TIME SPENT 38569,B100000,00000,1350,00001TIME SPENT 38569,B100000,00000,1400,00001ASSIGNED TIME 38569,E10A180,00301,0100,05/09/2000 38569,E10A180,00350,0100,09/02/1999 38569,H510100,00000,0000,5600 38569,H510100,02400,0000,5600 38569,H710000,00301,0100,10/26/1999 38569,H710000,00501,0100,09/14/2000 38569,S000000,00100,0200,08/09/2000 38569,S200000,00100,0100,60 WILLOW DRIVE 38569,S200000,00200,0100,NEW ROCHELLE 38569,S200000,00200,0200,NEW YORK 38569,S200000,00200,0300,10805 38569,S200000,00300,0100,WESTCHSTER 38569,S200000,00400,0100,UNITED HEBREW GERIATRIC CENTER 38569,S200000,00400,0200,335621 38569,S200000,00400,0300,07/01/1978 38569,S200000,00400,0500,P 38569,S200000,00800,0200,337195 38569,S200000,00800,0300,08/02/1983 38569,S200000,00800,0500,P 38569,S200000,01500,0100,Y 38569,S410002,01300,0000,OTHER 38569,S410002,01400,0000,NUTRITION 38576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38576,A000000,00300,0000,00300EMPLOYEE BENEFITS 38576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38576,A000000,00700,0000,00700HOUSEKEEPING 38576,A000000,00800,0000,00800DIETARY 38576,A000000,00801,0000,00801CAFETERIA 38576,A000000,00900,0000,00900NURSING ADMINISTRATION 38576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38576,A000000,01100,0000,01100PHARMACY 38576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38576,A000000,01300,0000,01300SOCIAL SERVICE 38576,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38576,A000000,01600,0000,01600SKILLED NURSING FACILITY 38576,A000000,01810,0000,01810ICF/MR 38576,A000000,02100,0000,02100RADIOLOGY 38576,A000000,02200,0000,02200LABORATORY 38576,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38576,A000000,02500,0000,02500PHYSICAL THERAPY 38576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38576,A000000,02700,0000,02700SPEECH PATHOLOGY 38576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38576,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38576,A000000,03550,0000,03550FQHC 38576,A000000,04800,0000,04800AMBULANCE 38576,A000000,05000,0000,05000CORF 38576,A000000,05010,0000,05010CMHC 38576,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38576,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38576,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38576,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38576,A000000,06151,0000,06301GUEST MEALS 38576,A000000,06152,0000,06302MEALS ON WHEELS 38576,A81000A,00100,0100,Y 38576,A81000B,00100,0300,RENT 38576,A81000B,00200,0300,DRUG CHG TO PAT 38576,A81000B,00300,0300,INTEREST EXP. 38576,A81000B,00400,0300,DEP. 38576,A81000B,00500,0300,AMORT. 38576,A81000B,00600,0300,ACCTY/CONSULT. 38576,A81000B,00700,0300,LEGAL/BANK SVC. CHG. 38576,A81000C,00100,0100,A 38576,A81000C,00100,0200,ROBERT M. CHUR 38576,A81000C,00100,0400,EAI - HEATHWOOD 38576,A81000C,00100,0600,REAL ESTATE 100 38576,A81000C,00200,0100,A 38576,A81000C,00200,0200,ROBERT M. CHUR 38576,A81000C,00200,0400,EAI - MGMT. 38576,A81000C,00200,0600,FINANCE & PURCH 38576,A81000C,00300,0100,A 38576,A81000C,00300,0200,ROBERT M. CHUR 38576,A81000C,00300,0400,WOODMARK PHARMA 38576,A81000C,00300,0600,FACILITY PHARMA 38576,B100000,00000,0100,00002SQUARE FEET 38576,B100000,00000,0200,00002SQUARE FEET 38576,B100000,00000,0300,00002GROSS SALARIES 38576,B100000,00000,0400,00002ACCUM COST 38576,B100000,00000,0500,00002SQUARE FEET 38576,B100000,00000,0600,00002POUNDS OF LAUNDRY 38576,B100000,00000,0700,00002HOURS OF SERVICE 38576,B100000,00000,0800,00002MEALS SERVED 38576,B100000,00000,0801,00002NO. OF EMPLOYEES 38576,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 38576,B100000,00000,1000,00002COSTED REQUIS 38576,B100000,00000,1100,00002COSTED REQUIS 38576,B100000,00000,1200,00002TIME SPENT 38576,B100000,00000,1300,00002TIME SPENT 38576,B100000,00000,1400,00002ASSIGNED TIME 38576,E10A180,00301,0100,01/18/2000 38576,E10A180,00302,0100,05/09/2000 38576,E10A180,00550,0300,02/08/2001 38576,S000000,00100,0200,05/22/2000 38576,S200000,00100,0100,815 HOPKINS RD. 38576,S200000,00200,0100,WILLIAMSVILLE 38576,S200000,00200,0200,NEW YORK 38576,S200000,00200,0300,14221 38576,S200000,00300,0100,ERIE 38576,S200000,00400,0100,HEATHWOOD HEALTH CARE CENTER INC. 38576,S200000,00400,0200,335622 38576,S200000,00400,0300,05/15/1978 38576,S200000,00400,0500,P 38576,S200000,01500,0100,Y 38576,S200000,03300,0100,Y 38582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38582,A000000,00300,0000,00300EMPLOYEE BENEFITS 38582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38582,A000000,00700,0000,00700HOUSEKEEPING 38582,A000000,00800,0000,00800DIETARY 38582,A000000,00900,0000,00900NURSING ADMINISTRATION 38582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38582,A000000,01100,0000,01100PHARMACY 38582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38582,A000000,01300,0000,01300SOCIAL SERVICE 38582,A000000,01350,0000,01500ACTIVITIES 38582,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38582,A000000,01600,0000,01600SKILLED NURSING FACILITY 38582,A000000,01810,0000,01810ICF/MR 38582,A000000,02500,0000,02500PHYSICAL THERAPY 38582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38582,A000000,02700,0000,02700SPEECH PATHOLOGY 38582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38582,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38582,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38582,A000000,03550,0000,03550FQHC 38582,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38582,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38582,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38582,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38582,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38582,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38582,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38582,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 38582,A000000,05000,0000,05000CORF 38582,A000000,05010,0000,05010CMHC 38582,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38582,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38582,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38582,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38582,A000000,05500,0000,05500HOSPICE 38582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38582,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38582,A000000,06151,0000,06301ADULT DAY CARE 6060 38582,A000000,06152,0000,06302ADULT DAY CARE 6065 38582,A000000,06153,0000,06303ADULT DAY CARE 6070 38582,A000000,06154,0000,06304ADULT DAY CARE 6080 38582,A000000,06155,0000,06305DTC 38582,A000000,06156,0000,06306PERSONAL CARE WORKERS 38582,A000000,06157,0000,06307DENTAL/OPTH 38582,B100000,00000,0100,00007SQUARE FEET 38582,B100000,00000,0200,00007SQUARE FEET 38582,B100000,00000,0300,00007GROSS SALARIES 38582,B100000,00000,0400,00007ACCUM COST 38582,B100000,00000,0500,00007SQUARE FEET 38582,B100000,00000,0600,00007POUNDS OF LAUNDRY 38582,B100000,00000,0700,00007HOURS OF SERVICE 38582,B100000,00000,0800,00007MEALS SERVED 38582,B100000,00000,0900,00007DIR NURSIN HRS OF SVC 38582,B100000,00000,1000,00007COSTED REQUISITIO 38582,B100000,00000,1100,00007COSTED REQUISITIO 38582,B100000,00000,1200,00007TIME SPENT 38582,B100000,00000,1300,00007TIME SPENT 38582,B100000,00000,1350,00007ASSIGNED TIME 38582,B100000,00000,1400,00007ASSIGNED TIME 38582,E10A180,00301,0100,05/10/2000 38582,H510100,00000,0000,5600 38582,H510100,02400,0000,5600 38582,H710000,00501,0100,03/20/2001 38582,H710000,00550,0100,03/20/2001 38582,S000000,00100,0200,06/26/2000 38582,S200000,00100,0100,520 PROSPECT AVENUE 38582,S200000,00200,0100,BROOKLYN 38582,S200000,00200,0200,NY 38582,S200000,00200,0300,11238 38582,S200000,00300,0100,KINGS 38582,S200000,00400,0100,CTR FOR NURSING & REHABILITATION 38582,S200000,00400,0200,335625 38582,S200000,00400,0300,01/01/1982 38582,S200000,00400,0500,P 38582,S200000,00800,0200,337217 38582,S200000,00800,0300,05/23/1986 38582,S200000,00800,0500,P 38584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38584,A000000,00300,0000,00300EMPLOYEE BENEFITS 38584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38584,A000000,00700,0000,00700HOUSEKEEPING 38584,A000000,00800,0000,00800DIETARY 38584,A000000,00900,0000,00900NURSING ADMINISTRATION 38584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38584,A000000,01100,0000,01100PHARMACY 38584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38584,A000000,01300,0000,01300SOCIAL SERVICE 38584,A000000,01350,0000,01500OTHER GENERAL SERVICES 38584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38584,A000000,01600,0000,01600SKILLED NURSING FACILITY 38584,A000000,01810,0000,01810ICF/MR 38584,A000000,02100,0000,02100RADIOLOGY 38584,A000000,02200,0000,02200LABORATORY 38584,A000000,02300,0000,02300INTRAVENOUS THERAPY 38584,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38584,A000000,02500,0000,02500PHYSICAL THERAPY 38584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38584,A000000,02700,0000,02700SPEECH PATHOLOGY 38584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38584,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38584,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38584,A000000,03550,0000,03550FQHC 38584,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38584,A000000,05000,0000,05000CORF 38584,A000000,05010,0000,05010CMHC 38584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38584,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38584,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38584,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38584,B100000,00000,0100,00000SQUARE FEET 38584,B100000,00000,0200,00000DOLLAR VALUE 38584,B100000,00000,0300,00000GROSS SALARIES 38584,B100000,00000,0400,00000ACCUM. COST 38584,B100000,00000,0500,00000SQUARE FEET 38584,B100000,00000,0600,00000POUNDS OF LAUNDRY 38584,B100000,00000,0700,00000HOURS OF SERVICE 38584,B100000,00000,0800,00000MEALS SERVED 38584,B100000,00000,0900,00000HOURS OF SERVICE 38584,B100000,00000,1000,00000COSTED REQUIS. 38584,B100000,00000,1100,00000COSTED REQUIS. 38584,B100000,00000,1200,00000TIME SPENT 38584,B100000,00000,1300,00000TIME SPENT 38584,B100000,00000,1350,00000NO STATISTICS 38584,B100000,00000,1400,00000TIME SPENT 38584,E10A180,00301,0100,05/10/2000 38584,S000000,00100,0200,05/31/2000 38584,S200000,00100,0100,40 HEYWARD STREET 38584,S200000,00200,0100,BROOKLYN 38584,S200000,00200,0200,NY 38584,S200000,00200,0300,11211 38584,S200000,00300,0100,KINGS 38584,S200000,00400,0100,AISHEL AVRAHAM RHCF 38584,S200000,00400,0200,335626 38584,S200000,00400,0300,08/15/1978 38584,S200000,00400,0500,P 38584,S200000,01500,0100,Y 38592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38592,A000000,00300,0000,00300EMPLOYEE BENEFITS 38592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38592,A000000,00700,0000,00700HOUSEKEEPING 38592,A000000,00800,0000,00800DIETARY 38592,A000000,00900,0000,00900NURSING ADMINISTRATION 38592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38592,A000000,01100,0000,01100PHARMACY 38592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38592,A000000,01300,0000,01300SOCIAL SERVICE 38592,A000000,01350,0000,01500OTHER GENERAL SERVICES 38592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38592,A000000,01600,0000,01600SKILLED NURSING FACILITY 38592,A000000,01810,0000,01810ICF/MR 38592,A000000,02500,0000,02500PHYSICAL THERAPY 38592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38592,A000000,02700,0000,02700SPEECH PATHOLOGY 38592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38592,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38592,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38592,A000000,03550,0000,03550FQHC 38592,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38592,A000000,05000,0000,05000CORF 38592,A000000,05010,0000,05010CMHC 38592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38592,A000000,05300,0000,05300INTEREST EXPENSE 38592,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38592,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38592,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38592,A81000A,00100,0100,Y 38592,A81000B,00100,0300,CARMELITE SISTERS SALARY 38592,A81000B,00200,0300,CARMELITE SISTERS SALARY 38592,A81000B,00300,0300,CARMELITE SISTERS SALARY 38592,A81000B,00400,0300,CARMELITE SISTERS SALARY 38592,A81000C,00100,0100,G 38592,A81000C,00100,0200,CARMELITE SISTERS 38592,B100000,00000,0100,00000SQUARE FEET 38592,B100000,00000,0200,00000SQUARE FEET 38592,B100000,00000,0300,00000GROSS SALARIES 38592,B100000,00000,0400,00000ACCUM. COST 38592,B100000,00000,0500,00000SQUARE FEET 38592,B100000,00000,0600,00000POUNDS OF LAUNDRY 38592,B100000,00000,0700,00000HOURS OF SERVICE 38592,B100000,00000,0800,00000MEALS SERVED 38592,B100000,00000,0900,00000HOURS OF SERVICE 38592,B100000,00000,1000,00000NO STATISTICS 38592,B100000,00000,1100,00000PRESCRIPTS S 38592,B100000,00000,1200,00000HOURS OF SERVICE 38592,B100000,00000,1300,00000HOURS OF SERVICE 38592,B100000,00000,1350,00000ACTIVITIES S 38592,B100000,00000,1400,00000NO STATISTICS 38592,E10A180,00301,0100,05/10/2000 38592,S000000,00100,0200,05/30/2000 38592,S200000,00100,0100,200 WASHINGTON AVENUE EXT 38592,S200000,00200,0100,ALBANY 38592,S200000,00200,0200,NY 38592,S200000,00200,0300,12203 38592,S200000,00300,0100,ALBANY 38592,S200000,00400,0100,TERESIAN HOUSE NURSING HOME 38592,S200000,00400,0200,335627 38592,S200000,00400,0300,06/20/1978 38592,S200000,00400,0500,P 38592,S200000,01500,0100,Y 38601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38601,A000000,00300,0000,00300EMPLOYEE BENEFITS 38601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38601,A000000,00700,0000,00700HOUSEKEEPING 38601,A000000,00800,0000,00800DIETARY 38601,A000000,00900,0000,00900NURSING ADMINISTRATION 38601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38601,A000000,01100,0000,01100PHARMACY 38601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38601,A000000,01300,0000,01300SOCIAL SERVICE 38601,A000000,01350,0000,01500OTHER GENERAL SERVICES 38601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38601,A000000,01600,0000,01600SKILLED NURSING FACILITY 38601,A000000,01810,0000,01810ICF/MR 38601,A000000,02500,0000,02500PHYSICAL THERAPY 38601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38601,A000000,02700,0000,02700SPEECH PATHOLOGY 38601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38601,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38601,A000000,03550,0000,03550FQHC 38601,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38601,A000000,05000,0000,05000CORF 38601,A000000,05010,0000,05010CMHC 38601,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38601,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38601,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38601,A000000,05300,0000,05300INTEREST EXPENSE 38601,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38601,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38601,A000000,06151,0000,06301DENTAL 38601,A000000,06152,0000,06302PSYCHIATRIC 38601,A000000,06153,0000,06303OTHER NONREIMBURSABLE COST 38601,B100000,00000,0100,00003SQUARE FEET 38601,B100000,00000,0200,00003SQUARE FEET 38601,B100000,00000,0300,00003GROSS SALARIES 38601,B100000,00000,0400,00003ACCUM. COST 38601,B100000,00000,0500,00003SQUARE FEET 38601,B100000,00000,0600,00003POUNDS OF LAUNDRY 38601,B100000,00000,0700,00003HOURS OF SERVICE 38601,B100000,00000,0800,00003MEALS SERVED 38601,B100000,00000,0900,00003DIRECT NRSING HRS 38601,B100000,00000,1000,00003COSTED REQUIS. 38601,B100000,00000,1100,00003COSTED REQUIS. 38601,B100000,00000,1200,00003TIME SPENT 38601,B100000,00000,1300,00003TIME SPENT 38601,B100000,00000,1350,00003NO STATISTICS 38601,B100000,00000,1400,00003TIME SPENT 38601,S000000,00100,0200,06/22/2000 38601,S200000,00100,0100,INFIRMARY ROAD 38601,S200000,00100,0300,671 38601,S200000,00200,0100,LIBERTY 38601,S200000,00200,0200,NY 38601,S200000,00200,0300,12754 38601,S200000,00300,0100,SULLIVAN 38601,S200000,00400,0100,SULLIVAN COUNTY ADULT CARE CENTER 38601,S200000,00400,0200,335628 38601,S200000,00400,0300,04/01/1978 38601,S200000,00400,0500,P 38601,S200000,01500,0100,Y 38601,S200000,02800,0100,Y 38611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38611,A000000,00300,0000,00300EMPLOYEE BENEFITS 38611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38611,A000000,00700,0000,00700HOUSEKEEPING 38611,A000000,00800,0000,00800DIETARY 38611,A000000,00900,0000,00900NURSING ADMINISTRATION 38611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38611,A000000,01100,0000,01100PHARMACY 38611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38611,A000000,01300,0000,01300SOCIAL SERVICE 38611,A000000,01350,0000,01500ACTIVITIES 38611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38611,A000000,01600,0000,01600SKILLED NURSING FACILITY 38611,A000000,01810,0000,01810ICF/MR 38611,A000000,02100,0000,02100RADIOLOGY 38611,A000000,02200,0000,02200LABORATORY 38611,A000000,02500,0000,02500PHYSICAL THERAPY 38611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38611,A000000,02700,0000,02700SPEECH PATHOLOGY 38611,A000000,02800,0000,02800ELECTROCARDIOLOGY 38611,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38611,A000000,03200,0000,03200SUPPORT SURFACES 38611,A000000,03450,0000,03600ADULT DAY CARE 38611,A000000,03451,0000,03601DIAGNOSTIC TREATMENT CENTER 38611,A000000,03550,0000,03550FQHC 38611,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 38611,A000000,05000,0000,05000CORF 38611,A000000,05010,0000,05010CMHC 38611,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38611,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38611,A000000,06201,0000,06201DENTAL OPTHOM AUDIOL POD WH 38611,A000000,06202,0000,06202RESEARCH 38611,A000000,06203,0000,06203ADC 38611,A000000,06204,0000,06204DTC 38611,A000000,06205,0000,06205SNF HH 38611,A000000,06206,0000,06206HHA COSTS 38611,B100000,00000,0100,00006SQUARE FEET 38611,B100000,00000,0200,00006SQUARE FEET 38611,B100000,00000,0300,00006GROSS SALARIES 38611,B100000,00000,0400,00006ACCUM COST 38611,B100000,00000,0500,00006SQUARE FEET 38611,B100000,00000,0600,00006POUNDS OF LAUNDRY 38611,B100000,00000,0700,00006HOURS OF SERVICE 38611,B100000,00000,0800,00006MEALS SERVED 38611,B100000,00000,0900,00006DIR NURSIN HRS OF SVC 38611,B100000,00000,1000,00006COSTED REQUISITIO 38611,B100000,00000,1100,00006COSTED REQUISITIO 38611,B100000,00000,1200,00006TIME SPENT 38611,B100000,00000,1300,00006TIME SPENT 38611,B100000,00000,1350,00006TIME SPENT 38611,B100000,00000,1400,00006ASSIGNED TIME 38611,E10A180,00301,0100,05/10/2000 38611,E10A180,00302,0100,01/16/2001 38611,E10A180,00350,0100,09/28/1999 38611,S000000,00100,0200,08/15/2000 38611,S200000,00100,0100,5901 PALISADE AVENUE 38611,S200000,00200,0100,BRONX 38611,S200000,00200,0200,NY 38611,S200000,00200,0300,10471 38611,S200000,00300,0100,BRONX 38611,S200000,00400,0100,PALISADE NURSING HOME 38611,S200000,00400,0200,335629 38611,S200000,00400,0300,01/01/1979 38611,S200000,00400,0500,P 38620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38620,A000000,00300,0000,00300EMPLOYEE BENEFITS 38620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38620,A000000,00700,0000,00700HOUSEKEEPING 38620,A000000,00800,0000,00800DIETARY 38620,A000000,00900,0000,00900NURSING ADMINISTRATION 38620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38620,A000000,01100,0000,01100PHARMACY 38620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38620,A000000,01300,0000,01300SOCIAL SERVICE 38620,A000000,01350,0000,01500ACTIVITIES 38620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38620,A000000,01600,0000,01600SKILLED NURSING FACILITY 38620,A000000,01810,0000,01810ICF/MR 38620,A000000,01900,0000,01900OTHER LONG TERM CARE 38620,A000000,02100,0000,02100RADIOLOGY 38620,A000000,02200,0000,02200LABORATORY 38620,A000000,02500,0000,02500PHYSICAL THERAPY 38620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38620,A000000,02700,0000,02700SPEECH PATHOLOGY 38620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38620,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38620,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38620,A000000,03550,0000,03550FQHC 38620,A000000,05000,0000,05000CORF 38620,A000000,05010,0000,05010CMHC 38620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38620,A000000,05300,0000,05300INTEREST EXPENSE 38620,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38620,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38620,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38620,A000000,06201,0000,06201DENTAL 38620,B100000,00000,0100,00000SQUARE FEET 38620,B100000,00000,0200,00000SQUARE FEET 38620,B100000,00000,0300,00000GROSS SALARIES 38620,B100000,00000,0400,00000ACCUM COST 38620,B100000,00000,0500,00000SQUARE FEET 38620,B100000,00000,0600,00000POUNDS OF LAUNDRY 38620,B100000,00000,0700,00000HOURS OF SERVICE 38620,B100000,00000,0800,00000MEALS SERVED 38620,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38620,B100000,00000,1000,00000COSTED REQUISITIO 38620,B100000,00000,1100,00000COSTED REQUISITIO 38620,B100000,00000,1200,00000TIME SPENT 38620,B100000,00000,1300,00000TIME SPENT 38620,B100000,00000,1350,00000NUMBER OF PARTICIPAN 38620,B100000,00000,1400,00000ASSIGNED TIME 38620,E10A180,00301,0100,05/10/2000 38620,E10A180,00350,0100,08/30/1999 38620,S000000,00100,0200,06/01/2000 38620,S200000,00100,0100,165-01 CHAPIN PARKWAY 38620,S200000,00200,0100,JAMAICA N.Y. 11432 38620,S200000,00300,0100,QUEENS 38620,S200000,00400,0100,CHAPIN HOME 38620,S200000,00400,0200,335631 38620,S200000,00400,0300,02/01/1979 38620,S200000,00400,0500,P 38620,S200000,01500,0100,Y 38620,S200000,02100,0100,A 38620,S200000,02200,0100,Y 38635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38635,A000000,00300,0000,00300EMPLOYEE BENEFITS 38635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38635,A000000,00700,0000,00700HOUSEKEEPING 38635,A000000,00800,0000,00800DIETARY 38635,A000000,00900,0000,00900NURSING ADMINISTRATION 38635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38635,A000000,01100,0000,01100PHARMACY 38635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38635,A000000,01300,0000,01300SOCIAL SERVICE 38635,A000000,01350,0000,01500ACTIVITIES 38635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38635,A000000,01600,0000,01600SKILLED NURSING FACILITY 38635,A000000,01810,0000,01810ICF/MR 38635,A000000,01900,0000,01900OTHER LONG TERM CARE 38635,A000000,02100,0000,02100RADIOLOGY 38635,A000000,02200,0000,02200LABORATORY 38635,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38635,A000000,02500,0000,02500PHYSICAL THERAPY 38635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38635,A000000,02700,0000,02700SPEECH PATHOLOGY 38635,A000000,02800,0000,02800ELECTROCARDIOLOGY 38635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38635,A000000,03550,0000,03550FQHC 38635,A000000,05000,0000,05000CORF 38635,A000000,05010,0000,05010CMHC 38635,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38635,A81000A,00100,0100,Y 38635,A81000B,00100,0300,RENT 38635,A81000B,00200,0300,INTEREST 38635,A81000B,00300,0300,AMORTIZATION 38635,A81000B,00400,0300,DEPRECIATION - BUILDING 38635,A81000B,00500,0300,ACCOUNTING FEES 38635,A81000B,00600,0300,GENL & ADMIN. EXPENSE 38635,A81000B,00700,0300,CAPITALIZED INTEREST 38635,A81000B,00800,0300,LEGAL FEES 38635,A81000C,00100,0100,A 38635,A81000C,00100,0200,FRANK MCGUIRE 38635,A81000C,00100,0400,GGM PARTNERSHIP 38635,A81000C,00100,0600,BLDG. RENTAL 38635,A81000C,00200,0100,F 38635,A81000C,00200,0200,DONALD SMITH 38635,A81000C,00200,0400,GGM PARTNERSHIP 38635,A81000C,00200,0600,BLDG. RENTAL 38635,B100000,00000,0100,00000SQUARE FEET 38635,B100000,00000,0200,00000SQUARE FEET 38635,B100000,00000,0300,00000GROSS SAL 38635,B100000,00000,0400,00000ACCUM. COST 38635,B100000,00000,0500,00000SQUARE FEET 38635,B100000,00000,0600,00000LBS. OF LAUNDRY 38635,B100000,00000,0700,00000HOUSEKEEPI HOURS 38635,B100000,00000,0800,00000DIETARY MEALS 38635,B100000,00000,0900,00000NURSING ADMIN. HOU 38635,B100000,00000,1000,00000COSTED REQUIS 38635,B100000,00000,1100,00000COSTED REQUIS 38635,B100000,00000,1200,00000MED. RECORDS TI 38635,B100000,00000,1300,00000SOCIAL SERVICE TI 38635,B100000,00000,1350,00000ACTIVITIES PARTIC 38635,B100000,00000,1400,00000ASSIGNED TIME 38635,E10A180,00301,0100,01/18/2000 38635,E10A180,00302,0100,05/10/2000 38635,S000000,00100,0200,05/30/2000 38635,S200000,00100,0100,2365 UNION ROAD 38635,S200000,00200,0100,CHEEKTOWAGA 38635,S200000,00200,0200,NY 38635,S200000,00200,0300,14227 38635,S200000,00300,0100,ERIE 38635,S200000,00400,0100,GARDEN GATE MANOR 38635,S200000,00400,0200,335634 38635,S200000,00400,0300,01/29/1979 38635,S200000,00400,0500,P 38635,S200000,01500,0100,Y 38635,S200000,04100,0100,Y 38635,S200000,04200,0100,Y 38635,S200000,04300,0100,Y 38643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38643,A000000,00300,0000,00300EMPLOYEE BENEFITS 38643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38643,A000000,00700,0000,00700HOUSEKEEPING 38643,A000000,00800,0000,00800DIETARY 38643,A000000,00900,0000,00900NURSING ADMINISTRATION 38643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38643,A000000,01100,0000,01100PHARMACY 38643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38643,A000000,01300,0000,01300SOCIAL SERVICE 38643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38643,A000000,01600,0000,01600SKILLED NURSING FACILITY 38643,A000000,01810,0000,01810ICF/MR 38643,A000000,01900,0000,01900OTHER LONG TERM CARE 38643,A000000,02100,0000,02100RADIOLOGY 38643,A000000,02200,0000,02200LABORATORY 38643,A000000,02500,0000,02500PHYSICAL THERAPY 38643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38643,A000000,02700,0000,02700SPEECH PATHOLOGY 38643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38643,A000000,03550,0000,03550FQHC 38643,A000000,05000,0000,05000CORF 38643,A000000,05010,0000,05010CMHC 38643,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38643,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38643,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38643,A000000,05300,0000,05300INTEREST EXPENSE 38643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38643,A81000A,00100,0100,Y 38643,A81000B,00100,0300,PROFESSIONAL FEES 38643,A81000B,00200,0300,AMORTIZATION 38643,A81000B,00300,0300,DEPRECIATION-MOVABLE 38643,A81000B,00400,0300,INTEREST-MOVABLE 38643,A81000B,00500,0300,AUTO INSURANCE 38643,A81000C,00100,0100,A 38643,A81000C,00100,0200,A.J. BARTHOLOME 38643,A81000C,00100,0400,ABCOM SERVICES 38643,A81000C,00100,0600,COMPUTER & MGMT 38643,B100000,00000,0100,00000SQUARE FEET 38643,B100000,00000,0200,00000SQUARE FEET 38643,B100000,00000,0300,00000GROSS SALARIES 38643,B100000,00000,0400,00000ACCUM COST 38643,B100000,00000,0500,00000SQUARE FEET 38643,B100000,00000,0600,00000POUNDS OF LAUNDRY 38643,B100000,00000,0700,00000HOURS OF SERVICE 38643,B100000,00000,0800,00000MEALS SERVED 38643,B100000,00000,0900,00000DIRECT NRSG HRS 38643,B100000,00000,1000,00000COSTED REQUIS 38643,B100000,00000,1100,00000COSTED REQUIS 38643,B100000,00000,1200,00000TIME SPENT 38643,B100000,00000,1300,00000TIME SPENT 38643,B100000,00000,1400,00000ASSIGNED TIME 38643,E10A180,00301,0100,05/09/2000 38643,E10A180,00350,0100,09/03/1999 38643,S000000,00100,0200,06/02/2000 38643,S200000,00100,0100,10 MUNSON STREET 38643,S200000,00100,0300,160 38643,S200000,00200,0100,LEROY 38643,S200000,00200,0200,NY 38643,S200000,00200,0300,14482 38643,S200000,00300,0100,GENESEE 38643,S200000,00400,0100,LEROY VILLAGE GREEN NURSING HOME 38643,S200000,00400,0200,335635 38643,S200000,00400,0300,09/01/1979 38643,S200000,00400,0500,P 38643,S200000,01500,0100,Y 38652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38652,A000000,00300,0000,00300EMPLOYEE BENEFITS 38652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38652,A000000,00700,0000,00700HOUSEKEEPING 38652,A000000,00800,0000,00800DIETARY 38652,A000000,00900,0000,00900NURSING ADMINISTRATION 38652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38652,A000000,01100,0000,01100PHARMACY 38652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38652,A000000,01300,0000,01300SOCIAL SERVICE 38652,A000000,01350,0000,01500ACTIVITIES 38652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38652,A000000,01600,0000,01600SKILLED NURSING FACILITY 38652,A000000,01810,0000,01810ICF/MR 38652,A000000,02500,0000,02500PHYSICAL THERAPY 38652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38652,A000000,02700,0000,02700SPEECH PATHOLOGY 38652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38652,A000000,03550,0000,03550FQHC 38652,A000000,05000,0000,05000CORF 38652,A000000,05010,0000,05010CMHC 38652,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38652,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38652,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38652,A000000,06200,0000,06200PATIENTS LAUNDRY 38652,A81000A,00100,0100,Y 38652,A81000B,00100,0300,ADMINISTRATIVE EXPEN 38652,A81000C,00100,0100,G 38652,A81000C,00100,0200,GOOD SAMARITAN 38652,A81000C,00100,0400,GOOD SAMARITAN 38652,A81000C,00100,0600,HEALTH CARE 38652,B100000,00000,0100,00000SQUARE FEET 38652,B100000,00000,0200,00000SQUARE FEET 38652,B100000,00000,0300,00000GROSS SALARIES 38652,B100000,00000,0400,00000ACCUM COST 38652,B100000,00000,0500,00000SQUARE FEET 38652,B100000,00000,0600,00000POUNDS OF LAUNDRY 38652,B100000,00000,0700,00000HOURS OF SERVICE 38652,B100000,00000,0800,00000MEALS SERVED 38652,B100000,00000,0900,00000DIRECT NRSG HRS 38652,B100000,00000,1000,00000COSTED REQUIS 38652,B100000,00000,1100,00000COSTED REQUIS 38652,B100000,00000,1200,00000TIME SPENT 38652,B100000,00000,1300,00000TIME SPENT 38652,B100000,00000,1350,00000TIME SPENT 38652,B100000,00000,1400,00000ASSIGNED TIME 38652,S000000,00100,0200,06/06/2000 38652,S200000,00100,0100,101 ELM STREET 38652,S200000,00200,0100,SAYVILLE 38652,S200000,00200,0200,NY 38652,S200000,00200,0300,11782 38652,S200000,00300,0100,SUFFOLK 38652,S200000,00400,0100,GOOD SAMARITAN NURSING HOME 38652,S200000,00400,0200,335636 38652,S200000,00400,0300,01/17/1980 38652,S200000,00400,0500,P 38652,S200000,01500,0100,Y 38659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38659,A000000,00300,0000,00300EMPLOYEE BENEFITS 38659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38659,A000000,00700,0000,00700HOUSEKEEPING 38659,A000000,00800,0000,00800DIETARY 38659,A000000,00900,0000,00900NURSING ADMINISTRATION 38659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38659,A000000,01100,0000,01100PHARMACY 38659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38659,A000000,01300,0000,01300SOCIAL SERVICE 38659,A000000,01350,0000,01500ACTIVITIES 38659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38659,A000000,01600,0000,01600SKILLED NURSING FACILITY 38659,A000000,01810,0000,01810ICF/MR 38659,A000000,02500,0000,02500PHYSICAL THERAPY 38659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38659,A000000,02700,0000,02700SPEECH PATHOLOGY 38659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38659,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38659,A000000,03550,0000,03550FQHC 38659,A000000,05000,0000,05000CORF 38659,A000000,05010,0000,05010CMHC 38659,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38659,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38659,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38659,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38659,A000000,06201,0000,06201DENTAL 38659,A81000A,00100,0100,Y 38659,A81000B,00100,0300,RENT - BUILDINGS 38659,A81000B,00200,0300,DEPRECIATION 38659,A81000B,00300,0300,MORTGAGE INTEREST 38659,A81000C,00100,0100,A 38659,A81000C,00100,0200,L BERKOWITZ 38659,A81000C,00100,0400,SKYVIEW REALTY 38659,A81000C,00100,0600,REALTY 38659,A81000C,00200,0100,A 38659,A81000C,00200,0200,I BERKOWITZ 38659,A81000C,00200,0400,SKYVIEW REALTY 38659,A81000C,00200,0600,REALTY 38659,B100000,00000,0100,00000SQUARE FEET 38659,B100000,00000,0200,00000SQUARE FEET 38659,B100000,00000,0300,00000GROSS SALARIES 38659,B100000,00000,0400,00000ACCUM COST 38659,B100000,00000,0500,00000SQUARE FEET 38659,B100000,00000,0600,00000POUNDS OF LAUNDRY 38659,B100000,00000,0700,00000HOURS OF SERVICE 38659,B100000,00000,0800,00000MEALS SERVED 38659,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38659,B100000,00000,1000,00000COSTED REQUISITIO 38659,B100000,00000,1100,00000COSTED REQUISITIO 38659,B100000,00000,1200,00000TIME SPENT 38659,B100000,00000,1300,00000TIME SPENT 38659,B100000,00000,1350,00000PATIENT DAYS 38659,B100000,00000,1400,00000ASSIGNED TIME 38659,E10A180,00550,0100,07/29/1999 38659,E10A180,00551,0100,04/30/2001 38659,S000000,00100,0200,04/26/2001 38659,S200000,00100,0100,2749 LINDEN BOULEVARD 38659,S200000,00200,0100,BROOKLYN 38659,S200000,00200,0200,NY 38659,S200000,00200,0300,11208 38659,S200000,00300,0100,K 38659,S200000,00400,0100,BROOKLYN QUEENS NURSING HOME INC. 38659,S200000,00400,0200,335637 38659,S200000,00400,0300,10/01/1998 38659,S200000,00400,0500,P 38659,S200000,01500,0100,Y 38661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38661,A000000,00300,0000,00300EMPLOYEE BENEFITS 38661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38661,A000000,00700,0000,00700HOUSEKEEPING 38661,A000000,00800,0000,00800DIETARY 38661,A000000,00900,0000,00900NURSING ADMINISTRATION 38661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38661,A000000,01100,0000,01100PHARMACY 38661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38661,A000000,01300,0000,01300SOCIAL SERVICE 38661,A000000,01350,0000,01500ACTIVITIES 38661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38661,A000000,01600,0000,01600SKILLED NURSING FACILITY 38661,A000000,01810,0000,01810ICF/MR 38661,A000000,02100,0000,02100RADIOLOGY 38661,A000000,02200,0000,02200LABORATORY 38661,A000000,02500,0000,02500PHYSICAL THERAPY 38661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38661,A000000,02700,0000,02700SPEECH PATHOLOGY 38661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38661,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38661,A000000,03550,0000,03550FQHC 38661,A000000,05000,0000,05000CORF 38661,A000000,05010,0000,05010CMHC 38661,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38661,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38661,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38661,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38661,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38661,A81000A,00100,0100,Y 38661,A81000B,00100,0300,RENT - BUILDINGS 38661,A81000B,00200,0300,DEPRECIATION 38661,A81000B,00300,0300,MORTGAGE INTEREST 38661,A81000C,00100,0100,A 38661,A81000C,00100,0200,L BERKOWITZ 38661,A81000C,00100,0400,SKYVIEW REALTY 38661,A81000C,00100,0600,REALTY 38661,A81000C,00200,0100,A 38661,A81000C,00200,0200,I BERKOWITZ 38661,A81000C,00200,0400,SKYVIEW REALTY 38661,A81000C,00200,0600,REALTY 38661,B100000,00000,0100,00000SQUARE FEET 38661,B100000,00000,0200,00000SQUARE FEET 38661,B100000,00000,0300,00000GROSS SALARIES 38661,B100000,00000,0400,00000ACCUM COST 38661,B100000,00000,0500,00000SQUARE FEET 38661,B100000,00000,0600,00000POUNDS OF LAUNDRY 38661,B100000,00000,0700,00000HOURS OF SERVICE 38661,B100000,00000,0800,00000MEALS SERVED 38661,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38661,B100000,00000,1000,00000COSTED REQUISITIO 38661,B100000,00000,1100,00000COSTED REQUISITIO 38661,B100000,00000,1200,00000TIME SPENT 38661,B100000,00000,1300,00000TIME SPENT 38661,B100000,00000,1350,00000# OF PARTICIPAN 38661,B100000,00000,1400,00000ASSIGNED TIME 38661,E10A180,00301,0100,05/10/2000 38661,E10A180,00350,0100,09/17/1999 38661,E10A180,00550,0100,06/26/2000 38661,S000000,00100,0200,06/01/2000 38661,S200000,00100,0100,2749 LINDEN BOULEVARD 38661,S200000,00200,0100,BROOKLYN 38661,S200000,00200,0200,NY 38661,S200000,00200,0300,11208 38661,S200000,00300,0100,KINGS 38661,S200000,00400,0100,BROOKLYN QUEENS NURSING HOME 38661,S200000,00400,0200,335637 38661,S200000,00400,0300,10/01/1998 38661,S200000,00400,0500,P 38661,S200000,01500,0100,Y 38669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38669,A000000,00300,0000,00300EMPLOYEE BENEFITS 38669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38669,A000000,00700,0000,00700HOUSEKEEPING 38669,A000000,00800,0000,00800DIETARY 38669,A000000,00900,0000,00900NURSING ADMINISTRATION 38669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38669,A000000,01100,0000,01100PHARMACY 38669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38669,A000000,01300,0000,01300SOCIAL SERVICE 38669,A000000,01350,0000,01500ACTIVITIES 38669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38669,A000000,01600,0000,01600SKILLED NURSING FACILITY 38669,A000000,01810,0000,01810ICF/MR 38669,A000000,02100,0000,02100RADIOLOGY 38669,A000000,02200,0000,02200LABORATORY 38669,A000000,02500,0000,02500PHYSICAL THERAPY 38669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38669,A000000,02700,0000,02700SPEECH PATHOLOGY 38669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38669,A000000,03550,0000,03550FQHC 38669,A000000,05000,0000,05000CORF 38669,A000000,05010,0000,05010CMHC 38669,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38669,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38669,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38669,A000000,06150,0000,06300DENTAL 38669,B100000,00000,0100,00000SQUARE FEET 38669,B100000,00000,0200,00000SQUARE FEET 38669,B100000,00000,0300,00000GROSS SALARIES 38669,B100000,00000,0400,00000ACCUM COST 38669,B100000,00000,0500,00000SQUARE FEET 38669,B100000,00000,0600,00000POUNDS OF LAUNDRY 38669,B100000,00000,0700,00000HOURS OF SERVICE 38669,B100000,00000,0800,00000MEALS SERVED 38669,B100000,00000,0900,00000DIRECT NRSG HRS 38669,B100000,00000,1000,00000COSTED REQUIS 38669,B100000,00000,1100,00000COSTED REQUIS 38669,B100000,00000,1200,00000TIME SPENT 38669,B100000,00000,1300,00000TIME SPENT 38669,B100000,00000,1350,00000PARTICIPAN 38669,B100000,00000,1400,00000ASSIGNED TIME 38669,E10A180,00301,0100,05/10/2000 38669,E10A180,00351,0100,09/02/1999 38669,S000000,00100,0200,06/05/2000 38669,S200000,00100,0100,1014 DELAWARE AVENUE 38669,S200000,00200,0100,BUFFALO 38669,S200000,00200,0200,NY 38669,S200000,00200,0300,14209 38669,S200000,00300,0100,ERIE 38669,S200000,00400,0100,DELAWARE HEIGHTS HEALTH CARE CENTER 38669,S200000,00400,0200,335638 38669,S200000,00400,0300,11/19/1995 38669,S200000,00400,0500,P 38669,S200000,00400,0600,O 38669,S200000,01500,0100,Y 38669,S200000,04300,0100,Y 38677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38677,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 38677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38677,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 38677,A000000,00300,0000,00300EMPLOYEE BENEFITS 38677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38677,A000000,00700,0000,00700HOUSEKEEPING 38677,A000000,00800,0000,00800DIETARY 38677,A000000,00801,0000,00801CAFETERIA 38677,A000000,00900,0000,00900NURSING ADMINISTRATION 38677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38677,A000000,01100,0000,01100PHARMACY 38677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38677,A000000,01300,0000,01300SOCIAL SERVICE 38677,A000000,01350,0000,01500ACTIVITIES 38677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38677,A000000,01600,0000,01600SKILLED NURSING FACILITY 38677,A000000,01810,0000,01810ICF/MR 38677,A000000,02100,0000,02100RADIOLOGY 38677,A000000,02200,0000,02200LABORATORY 38677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38677,A000000,02500,0000,02500PHYSICAL THERAPY 38677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38677,A000000,02700,0000,02700SPEECH PATHOLOGY 38677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38677,A000000,03050,0000,03300OTHER ANCILLARY 38677,A000000,03051,0000,03301OTHER ANCILLARY II 38677,A000000,03052,0000,03302OTHER ANCILLARY III 38677,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 38677,A000000,03550,0000,03550FQHC 38677,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38677,A000000,05000,0000,05000CORF I 38677,A000000,05010,0000,05010CMHC I 38677,A000000,05020,0000,05020OPT I 38677,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38677,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38677,A000000,05300,0000,05300INTEREST EXPENSE 38677,A000000,05350,0000,05600HOME OFFICE COST 38677,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 38677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38677,A81000A,00100,0100,Y 38677,A81000B,00100,0300,HOME OFFICE-BLDG 38677,A81000B,00200,0300,HOME OFFICE-MOVEABLE 38677,A81000B,00300,0300,HOME OFFICE-BENEFITS 38677,A81000B,00400,0300,HOME OFFICE-A&G 38677,A81000C,00100,0100,B 38677,A81000C,00100,0400,PRESBYTERIAN 38677,A81000C,00100,0600,HOME OFFICE 38677,A81000C,00200,0400,HOMES OF WNY. 38677,B100000,00000,0100,00000(SQUARE FEET) 38677,B100000,00000,0101,00000(SQUARE FEET) 38677,B100000,00000,0200,00000(SQUARE FEET) 38677,B100000,00000,0201,00000(SQUARE FEET) 38677,B100000,00000,0300,00000(GROSS SALARIES) 38677,B100000,00000,0400,00000(ACCUM. COST) 38677,B100000,00000,0500,00000(SQUARE FEET) 38677,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 38677,B100000,00000,0700,00000(HOURS OF SERVICE) 38677,B100000,00000,0800,00000(MEALS SERVED) 38677,B100000,00000,0801,00000(MEALS SERVED) 38677,B100000,00000,0900,00000(DIRECT NRSING HRS 38677,B100000,00000,1000,00000(COSTED REQUIS.) 38677,B100000,00000,1100,00000(COSTED REQUIS.) 38677,B100000,00000,1200,00000(TIME SPENT) 38677,B100000,00000,1300,00000(TIME SPENT) 38677,B100000,00000,1350,00000TIME SPENT 38677,B100000,00000,1400,00000(ASSIGNED TIME) 38677,E10A180,00301,0100,01/19/2000 38677,E10A180,00302,0100,05/10/2000 38677,E10A180,00501,0100,02/27/2001 38677,E10A180,00501,0300,06/29/2000 38677,E10A180,00550,0100,06/29/2000 38677,E10A180,00550,0300,02/27/2001 38677,S000000,00100,0200,05/30/2000 38677,S200000,00100,0100,1205 DELAWARE AVENUE 38677,S200000,00200,0100,BUFFALO 38677,S200000,00200,0200,NY 38677,S200000,00200,0300,14209 38677,S200000,00300,0100,ERIE 38677,S200000,00400,0100,ST. ANDREWS PREBYTERIAN MANOR 38677,S200000,00400,0200,335640 38677,S200000,00400,0300,04/21/1980 38677,S200000,00400,0500,P 38677,S200000,01500,0100,Y 38677,S200000,02200,0100,Y 38677,S200000,02800,0100,Y 38677,S200000,04300,0100,Y 38693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38693,A000000,00300,0000,00300EMPLOYEE BENEFITS 38693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38693,A000000,00700,0000,00700HOUSEKEEPING 38693,A000000,00800,0000,00800DIETARY 38693,A000000,00900,0000,00900NURSING ADMINISTRATION 38693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38693,A000000,01100,0000,01100PHARMACY 38693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38693,A000000,01300,0000,01300SOCIAL SERVICE 38693,A000000,01350,0000,01500ACTIVITIES 38693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38693,A000000,01600,0000,01600SKILLED NURSING FACILITY 38693,A000000,01810,0000,01810ICF/MR 38693,A000000,02100,0000,02100RADIOLOGY 38693,A000000,02200,0000,02200LABORATORY 38693,A000000,02500,0000,02500PHYSICAL THERAPY 38693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38693,A000000,02700,0000,02700SPEECH PATHOLOGY 38693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38693,A000000,03550,0000,03550FQHC 38693,A000000,05000,0000,05000CORF 38693,A000000,05010,0000,05010CMHC 38693,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38693,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38693,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38693,A000000,06201,0000,06201DENTAL 38693,B100000,00000,0100,00001SQUARE FEET 38693,B100000,00000,0200,00001SQUARE FEET 38693,B100000,00000,0300,00001GROSS SAL 38693,B100000,00000,0400,00001ACCUM. COST 38693,B100000,00000,0500,00001SQUARE FEET 38693,B100000,00000,0600,00001LBS OF LAUNDRY 38693,B100000,00000,0700,00001SQUARE FEET 38693,B100000,00000,0800,00001MEALS SERVED 38693,B100000,00000,0900,00001NURSING HOURS 38693,B100000,00000,1000,00001COSTED REQS 38693,B100000,00000,1100,00001COSTED REQS 38693,B100000,00000,1200,00001MEDICAL RECORDS TI 38693,B100000,00000,1300,00001SS TIME SPENT 38693,B100000,00000,1350,00001PARTICIPAN 38693,B100000,00000,1400,00001BLANK 38693,E10A180,00301,0100,05/10/2000 38693,E10A180,00550,0100,06/15/2000 38693,E10A180,00550,0300,06/15/2000 38693,S000000,00100,0200,06/01/2000 38693,S200000,00100,0100,100 MILLER STREET 38693,S200000,00200,0100,GOWANDA 38693,S200000,00200,0200,NY 38693,S200000,00200,0300,14070 38693,S200000,00300,0100,CATTARAUGUS 38693,S200000,00400,0100,ALLEGANY ASSOC./DBA GOWANDA N.H. 38693,S200000,00400,0200,335642 38693,S200000,00400,0300,12/16/1980 38693,S200000,00400,0500,P 38693,S200000,01500,0100,Y 38693,S200000,02200,0100,Y 38693,S200000,02800,0100,Y 38693,S200000,04300,0100,Y 38698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38698,A000000,00300,0000,00300EMPLOYEE BENEFITS 38698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38698,A000000,00700,0000,00700HOUSEKEEPING 38698,A000000,00800,0000,00800DIETARY 38698,A000000,00900,0000,00900NURSING ADMINISTRATION 38698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38698,A000000,01100,0000,01100PHARMACY 38698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38698,A000000,01300,0000,01300SOCIAL SERVICE 38698,A000000,01350,0000,01500OTHER GENERAL SERVICES 38698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38698,A000000,01600,0000,01600SKILLED NURSING FACILITY 38698,A000000,01810,0000,01810ICF/MR 38698,A000000,02100,0000,02100RADIOLOGY 38698,A000000,02200,0000,02200LABORATORY 38698,A000000,02300,0000,02300INTRAVENOUS THERAPY 38698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38698,A000000,02500,0000,02500PHYSICAL THERAPY 38698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38698,A000000,02700,0000,02700SPEECH PATHOLOGY 38698,A000000,02800,0000,02800ELECTROCARDIOLOGY 38698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38698,A000000,03201,0000,03201CLINITRN THERAPY 38698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38698,A000000,03550,0000,03550FQHC 38698,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38698,A000000,04800,0000,04800AMBULANCE 38698,A000000,05000,0000,05000CORF 38698,A000000,05010,0000,05010CMHC 38698,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38698,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38698,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38698,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38698,A81000A,00100,0100,Y 38698,A81000B,00100,0300,SOCIAL SERVICE 38698,A81000B,00200,0300,FISCAL P/S 38698,A81000B,00300,0300,MAINTENANCE 38698,A81000B,00400,0300,RENT 38698,A81000B,00500,0300,DEPRECIATION 38698,A81000B,00600,0300,MORTGAGE INTEREST 38698,A81000C,00100,0100,A 38698,A81000C,00100,0200,M. TENENBAUM 38698,A81000C,00100,0400,EXCELSIOR HEALTH MGMNT. 38698,A81000C,00100,0600,ADMINSTRATIVE 38698,A81000C,00200,0100,A 38698,A81000C,00200,0200,M. TENENBAUM 38698,A81000C,00200,0400,M&P TENENBAUM TRUST 38698,A81000C,00200,0600,REALTY 38698,A81000C,00300,0100,A 38698,A81000C,00300,0200,M. TENENBAUM 38698,A81000C,00300,0400,MJT MNGMNT 38698,A81000C,00300,0600,OFFICE 38698,B100000,00000,0100,00000SQUARE FEET 38698,B100000,00000,0200,00000DOLLAR VALUE 38698,B100000,00000,0300,00000GROSS SALARIES 38698,B100000,00000,0400,00000ACCUM. COST 38698,B100000,00000,0500,00000SQUARE FEET 38698,B100000,00000,0600,00000POUNDS OF LAUNDRY 38698,B100000,00000,0700,00000HOURS OF SERVICE 38698,B100000,00000,0800,00000MEALS SERVED 38698,B100000,00000,0900,00000HOURS OF SERVICE 38698,B100000,00000,1000,00000COSTED REQUIS. 38698,B100000,00000,1100,00000COSTED REQUIS. 38698,B100000,00000,1200,00000TIME SPENT 38698,B100000,00000,1300,00000TIME SPENT 38698,B100000,00000,1350,00000NO STATISTICS 38698,B100000,00000,1400,00000TIME SPENT 38698,E10A180,00301,0100,05/10/2000 38698,S000000,00100,0200,06/05/2000 38698,S200000,00100,0100,2000 EAST GUN HILL ROAD 38698,S200000,00200,0100,BRONX 38698,S200000,00200,0200,NY 38698,S200000,00200,0300,10469 38698,S200000,00300,0100,BRONX 38698,S200000,00400,0100,BRONX HARBOR HEALTH CARE COMPLEX IN 38698,S200000,00400,0200,335644 38698,S200000,00400,0300,03/01/1981 38698,S200000,00400,0500,P 38698,S200000,01500,0100,Y 38706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38706,A000000,00300,0000,00300EMPLOYEE BENEFITS 38706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38706,A000000,00700,0000,00700HOUSEKEEPING 38706,A000000,00800,0000,00800DIETARY 38706,A000000,00900,0000,00900NURSING ADMINISTRATION 38706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38706,A000000,01100,0000,01100PHARMACY 38706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38706,A000000,01300,0000,01300SOCIAL SERVICE 38706,A000000,01350,0000,01500ACTIVITIES 38706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38706,A000000,01600,0000,01600SKILLED NURSING FACILITY 38706,A000000,01810,0000,01810ICF/MR 38706,A000000,01900,0000,01900OTHER LONG TERM CARE 38706,A000000,02100,0000,02100RADIOLOGY 38706,A000000,02200,0000,02200LABORATORY 38706,A000000,02500,0000,02500PHYSICAL THERAPY 38706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38706,A000000,02700,0000,02700SPEECH PATHOLOGY 38706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38706,A000000,03550,0000,03550FQHC 38706,A000000,05000,0000,05000CORF 38706,A000000,05010,0000,05010CMHC 38706,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38706,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38706,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38706,A000000,05300,0000,05300INTEREST EXPENSE 38706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38706,A000000,05801,0000,05810DENTAL 38706,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38706,A81000A,00100,0100,Y 38706,A81000B,00100,0300,PASTORIAL CARE 38706,A81000B,00200,0300,FISCAL SERVICES 38706,A81000B,00300,0300,DATA PROCESSING 38706,A81000B,00400,0300,DEVELOPMENT 38706,A81000B,00500,0300,EXECUTIVE OFFICE 38706,A81000B,00600,0300,COMMUNICATIONS CENTE 38706,A81000B,00700,0300,HUMAN RESOURCES 38706,A81000B,00800,0300,MATERIALS MANAGEMENT 38706,A81000B,00900,0300,PLANT MAINTENANCE 38706,A81000B,01000,0300,LAUNDRY 38706,A81000B,01100,0300,DEPREC EXP 38706,A81000B,01200,0300,ALL COSTS ADJ PRIOR 38706,A81000C,00100,0100,B 38706,A81000C,00100,0200,BETHANY NURSING 38706,A81000C,00100,0400,BETHANY RETIREM 38706,A81000C,00100,0600,ADULT CARE FACI 38706,A81000C,00200,0100,E 38706,A81000C,00200,0200,JOHN BOUILLE - 38706,A81000C,00200,0400,BETHANY RETIREM 38706,A81000C,00200,0600,ADULT CARE FACI 38706,A81000C,00300,0100,E 38706,A81000C,00300,0200,RICHARD BESSEY 38706,A81000C,00300,0400,BETHANY RETIREM 38706,A81000C,00300,0600,ADULT CARE FACI 38706,A81000C,00400,0100,E 38706,A81000C,00400,0200,DONALD QUICK 38706,A81000C,00400,0400,BETHANY RETIREM 38706,A81000C,00400,0600,ADULT CARE FACI 38706,A81000C,00500,0100,E 38706,A81000C,00500,0200,TIMOTHY OCONNO 38706,A81000C,00500,0400,BETHANY RETIREM 38706,A81000C,00500,0600,ADULT CARE FACI 38706,B100000,00000,0100,00000SQUARE FEET 38706,B100000,00000,0200,00000DOLLAR VALUE 38706,B100000,00000,0300,00000GROSS SALARIES 38706,B100000,00000,0400,00000ACCUM COST 38706,B100000,00000,0500,00000SQUARE FEET 38706,B100000,00000,0600,00000POUNDS OF LAUNDRY 38706,B100000,00000,0700,00000HOURS OF SERVICE 38706,B100000,00000,0800,00000MEALS SERVED 38706,B100000,00000,0900,00000DIRECT NRSG HRS 38706,B100000,00000,1000,00000COSTED REQUIS 38706,B100000,00000,1100,00000COSTED REQUIS 38706,B100000,00000,1200,00000TIME SPENT 38706,B100000,00000,1300,00000TIME SPENT 38706,B100000,00000,1350,00000TIME SPENT 38706,B100000,00000,1400,00000ASSIGNED TIME 38706,E10A180,00301,0100,05/10/2000 38706,E10A180,00350,0100,01/18/2000 38706,S000000,00100,0200,05/30/2000 38706,S200000,00100,0100,3005 WATKINS ROAD 38706,S200000,00200,0100,HORSEHEADS 38706,S200000,00200,0200,NY 38706,S200000,00200,0300,14845 38706,S200000,00300,0100,CHEMUNG 38706,S200000,00400,0100,BETHANY NURSING HOME 38706,S200000,00400,0200,335645 38706,S200000,00400,0300,06/08/1981 38706,S200000,00400,0500,P 38706,S200000,01500,0100,Y 38706,S200000,01900,0100,OTHER 38706,S200000,04300,0100,Y 38715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38715,A000000,00300,0000,00300EMPLOYEE BENEFITS 38715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38715,A000000,00700,0000,00700HOUSEKEEPING 38715,A000000,00800,0000,00800DIETARY 38715,A000000,00900,0000,00900NURSING ADMINISTRATION 38715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38715,A000000,01100,0000,01100PHARMACY 38715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38715,A000000,01300,0000,01300SOCIAL SERVICE 38715,A000000,01350,0000,01500ACTIVITIES 38715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38715,A000000,01600,0000,01600SKILLED NURSING FACILITY 38715,A000000,01810,0000,01810ICF/MR 38715,A000000,02100,0000,02100RADIOLOGY 38715,A000000,02200,0000,02200LABORATORY 38715,A000000,02500,0000,02500PHYSICAL THERAPY 38715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38715,A000000,02700,0000,02700SPEECH PATHOLOGY 38715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38715,A000000,03550,0000,03550FQHC 38715,A000000,05000,0000,05000CORF 38715,A000000,05010,0000,05010CMHC 38715,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38715,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38715,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38715,A000000,06150,0000,06300DENTAL 38715,B100000,00000,0100,00000SQUARE FEET 38715,B100000,00000,0200,00000SQUARE FEET 38715,B100000,00000,0300,00000GROSS SAL 38715,B100000,00000,0400,00000ACCUM. COST 38715,B100000,00000,0500,00000SQUARE FEET 38715,B100000,00000,0600,00000LAUNDRY LBS 38715,B100000,00000,0700,00000HOUSEKKEPI TIME 38715,B100000,00000,0800,00000DIETARY MEALS 38715,B100000,00000,0900,00000NURSE ADMIN TIME 38715,B100000,00000,1000,00000BLANK 38715,B100000,00000,1100,00000PHAR CONSULT TI 38715,B100000,00000,1200,00000MED REC TIME 38715,B100000,00000,1300,00000SOC SERVICE TI 38715,B100000,00000,1350,00000ACTIVITIES PARTIC 38715,B100000,00000,1400,00000BLANK 38715,E10A180,00301,0100,05/10/2000 38715,E10A180,00350,0100,01/18/2000 38715,S000000,00100,0200,06/06/2000 38715,S200000,00100,0100,193 SOUTH UNION ROAD 38715,S200000,00200,0100,WILLIAMSVILLE 38715,S200000,00200,0200,NY 38715,S200000,00200,0300,14221 38715,S200000,00300,0100,ERIE 38715,S200000,00400,0100,WILLIAMSVILLE SUBURBAN NURSING HOME 38715,S200000,00400,0200,335647 38715,S200000,00400,0300,11/04/1981 38715,S200000,00400,0500,P 38715,S200000,01500,0100,Y 38715,S200000,01900,0100,NON PROFIT 38715,S200000,02200,0100,Y 38720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38720,A000000,00300,0000,00300EMPLOYEE BENEFITS 38720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38720,A000000,00700,0000,00700HOUSEKEEPING 38720,A000000,00800,0000,00800DIETARY 38720,A000000,00900,0000,00900NURSING ADMINISTRATION 38720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38720,A000000,01100,0000,01100PHARMACY 38720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38720,A000000,01300,0000,01300SOCIAL SERVICE 38720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38720,A000000,01600,0000,01600SKILLED NURSING FACILITY 38720,A000000,01810,0000,01810ICF/MR 38720,A000000,02100,0000,02100RADIOLOGY 38720,A000000,02200,0000,02200LABORATORY 38720,A000000,02500,0000,02500PHYSICAL THERAPY 38720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38720,A000000,02700,0000,02700SPEECH PATHOLOGY 38720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38720,A000000,03550,0000,03550FQHC 38720,A000000,04800,0000,04800AMBULANCE 38720,A000000,05000,0000,05000CORF 38720,A000000,05010,0000,05010CMHC 38720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38720,A000000,06150,0000,06300ADULT DAY CARE 38720,A000000,06151,0000,06301DENTAL 38720,A81000A,00100,0100,Y 38720,A81000B,00100,0300,RENT 38720,A81000B,00200,0300,MORTG INT 38720,A81000B,00300,0300,DEPRECIATION 38720,A81000B,00400,0300,MISC 38720,A81000B,00500,0300,AMORT MGT EXP 38720,A81000B,00600,0300,ADMIN PURCH SVC 38720,A81000B,00700,0300,FISCAL PURCH SVC 38720,A81000B,00800,0300,PLANT PURCH SVC 38720,A81000B,00900,0300,DIETARY PURCH SVC 38720,A81000B,01000,0300,NURS ADMIN 38720,A81000B,01100,0300,SOC SVC PURCH SVC 38720,A81000B,01200,0300,PT PURCH SVC 38720,A81000B,01300,0300,SKILLED NURSING 38720,A81000B,01400,0300,ADMIN SALARY 38720,A81000B,01500,0300,FISCAL SALARY 38720,A81000B,01600,0300,PLANT SALARY 38720,A81000B,01700,0300,DIETARY SALARY 38720,A81000B,01800,0300,SOC SVC SALARY 38720,A81000B,01900,0300,NA SALARY 38720,A81000B,02000,0300,PT SALARY 38720,A81000B,02100,0300,NURSING SALARY 38720,A81000B,02200,0300,EMPLOYEE BENEFITS 38720,A81000B,02300,0300,CAP REL COSTS BLDG & FIXTURES 38720,A81000B,02400,0300,MISC 38720,A81000C,00100,0100,A 38720,A81000C,00100,0200,S. OBERLANDER 38720,A81000C,00100,0400,FAIR MANAGEMENT 38720,A81000C,00100,0600,PAYROLL 38720,A81000C,00200,0100,A 38720,A81000C,00200,0200,S. OBERLANDER 38720,A81000C,00200,0400,DITHOLD 38720,A81000C,00200,0600,REALTY 38720,B100000,00000,0100,00001SQUARE FEET 38720,B100000,00000,0200,00001SQUARE FEET 38720,B100000,00000,0300,00001GROSS SALARIES 38720,B100000,00000,0400,00001ACCUM COST 38720,B100000,00000,0500,00001SQUARE FEET 38720,B100000,00000,0600,00001POUNDS OF LAUNDRY 38720,B100000,00000,0700,00001HOURS OF SERVICE 38720,B100000,00000,0800,00001MEALS SERVED 38720,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38720,B100000,00000,1000,00001COSTED REQUISITIO 38720,B100000,00000,1100,00001COSTED REQUISITIO 38720,B100000,00000,1200,00001TIME SPENT 38720,B100000,00000,1300,00001TIME SPENT 38720,B100000,00000,1400,00001ASSIGNED TIME 38720,E10A180,00301,0100,05/10/2000 38720,E10A180,00550,0100,06/07/2000 38720,S000000,00100,0200,05/31/2000 38720,S200000,00100,0100,2107 DITMAS AVENUE 38720,S200000,00200,0100,BROOKLYN 38720,S200000,00200,0200,NEW YORK 38720,S200000,00200,0300,11226 38720,S200000,00300,0100,NYC 38720,S200000,00400,0100,DITMAS PARK CARE CENTER 38720,S200000,00400,0200,335648 38720,S200000,00400,0300,11/23/1981 38720,S200000,00400,0500,P 38720,S200000,01500,0100,Y 38720,S200000,04200,0100,Y 38720,S200000,04300,0100,Y 38728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38728,A000000,00300,0000,00300EMPLOYEE BENEFITS 38728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38728,A000000,00700,0000,00700HOUSEKEEPING 38728,A000000,00800,0000,00800DIETARY 38728,A000000,00900,0000,00900NURSING ADMINISTRATION 38728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38728,A000000,01100,0000,01100PHARMACY 38728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38728,A000000,01300,0000,01300SOCIAL SERVICE 38728,A000000,01350,0000,01500ACTIVITIES 38728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38728,A000000,01600,0000,01600SKILLED NURSING FACILITY 38728,A000000,01810,0000,01810ICF/MR 38728,A000000,01900,0000,01900OTHER LONG TERM CARE 38728,A000000,02100,0000,02100RADIOLOGY 38728,A000000,02200,0000,02200LABORATORY 38728,A000000,02500,0000,02500PHYSICAL THERAPY 38728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38728,A000000,02700,0000,02700SPEECH PATHOLOGY 38728,A000000,02800,0000,02800ELECTROCARDIOLOGY 38728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38728,A000000,03550,0000,03550FQHC 38728,A000000,05000,0000,05000CORF 38728,A000000,05010,0000,05010CMHC 38728,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38728,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38728,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38728,A81000A,00100,0100,Y 38728,A81000B,00100,0300,RENT 38728,A81000B,00200,0300,INTEREST 38728,A81000B,00300,0300,AMORTIZATION 38728,A81000B,00400,0300,DEPRECIATION - BLDG. 38728,A81000B,00500,0300,DEPRECIATION - MOV. EQUIP. 38728,A81000B,00600,0300,ACCOUNTING 38728,A81000B,00700,0300,ADMINISTRATIVE 38728,A81000B,00800,0300,LEGAL FEES 38728,A81000C,00100,0100,A 38728,A81000C,00100,0200,FRANK MCGUIRE 38728,A81000C,00100,0400,NGM PARTNERSHIP 38728,A81000C,00100,0600,BLDG. RENTAL 38728,A81000C,00200,0100,F 38728,A81000C,00200,0200,DONALD SMITH 38728,A81000C,00200,0400,NGM PARTNERSHIP 38728,A81000C,00200,0600,BLDG. RENTAL 38728,B100000,00000,0100,00000SQUARE FEET 38728,B100000,00000,0200,00000SQUARE FEET 38728,B100000,00000,0300,00000GROSS SAL 38728,B100000,00000,0400,00000ACCUM. COST 38728,B100000,00000,0500,00000SQUARE FEET 38728,B100000,00000,0600,00000LBS. OF LAUNDRY 38728,B100000,00000,0700,00000HOUSEKEEPI HOURS 38728,B100000,00000,0800,00000DIETARY MEALS 38728,B100000,00000,0900,00000NURSING ADMIN. HOU 38728,B100000,00000,1000,00000COSTED REQUIS 38728,B100000,00000,1100,00000COSTED REQUIS 38728,B100000,00000,1200,00000MED. RECORDS TI 38728,B100000,00000,1300,00000SOCIAL SERVICE TI 38728,B100000,00000,1350,00000ACTIVITIES PARTIC 38728,B100000,00000,1400,00000ASSIGNED TIME 38728,E10A180,00301,0100,05/10/2000 38728,E10A180,00350,0100,01/18/2000 38728,S000000,00100,0200,05/30/2000 38728,S200000,00100,0100,7264 NASH ROAD 38728,S200000,00200,0100,NORTH TONAWANDA 38728,S200000,00200,0200,NY 38728,S200000,00200,0300,14120 38728,S200000,00300,0100,NIAGARA 38728,S200000,00400,0100,NORTH GATE MANOR 38728,S200000,00400,0200,335649 38728,S200000,00400,0300,01/01/1982 38728,S200000,00400,0500,P 38728,S200000,01500,0100,Y 38728,S200000,04100,0100,Y 38728,S200000,04200,0100,Y 38728,S200000,04300,0100,Y 38736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38736,A000000,00300,0000,00300EMPLOYEE BENEFITS 38736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38736,A000000,00700,0000,00700HOUSEKEEPING 38736,A000000,00800,0000,00800DIETARY 38736,A000000,00900,0000,00900NURSING ADMINISTRATION 38736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38736,A000000,01100,0000,01100PHARMACY 38736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38736,A000000,01300,0000,01300SOCIAL SERVICE 38736,A000000,01350,0000,01500ACTIVITIES 38736,A000000,01351,0000,01501TRANSPORTATION 38736,A000000,01352,0000,01502BLANK 38736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38736,A000000,01600,0000,01600SKILLED NURSING FACILITY 38736,A000000,01810,0000,01810ICF/MR 38736,A000000,02100,0000,02100RADIOLOGY 38736,A000000,02200,0000,02200LABORATORY 38736,A000000,02500,0000,02500PHYSICAL THERAPY 38736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38736,A000000,02700,0000,02700SPEECH PATHOLOGY 38736,A000000,02800,0000,02800ELECTROCARDIOLOGY 38736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38736,A000000,03050,0000,03300PHYSICIANS 38736,A000000,03550,0000,03550FQHC 38736,A000000,05000,0000,05000CORF 38736,A000000,05010,0000,05010CMHC 38736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38736,A000000,06150,0000,06300ADULT DAY CARE 38736,A000000,06151,0000,06301SOLD SERVICES 38736,A000000,06152,0000,06302PHYSICIANS/DENTAL 38736,A000000,06153,0000,06303MARKETING 38736,A81000A,00100,0100,Y 38736,A81000B,00100,0300,SHARED NURSING STAFFING 38736,A81000B,00200,0300,PHYSICAL THERAPIST SERVICES 38736,A81000B,00300,0300,OCCUPATIONAL THERAPIST SERVICE 38736,A81000B,00400,0300,SHARED MAINTENANCE SUPERVISOR 38736,A81000B,00500,0300,COUNTY COST ALLOCATIONS 38736,A81000B,00600,0300,INSURANCE PAID BY COUNTY 38736,A81000C,00100,0100,G 38736,A81000C,00100,0200,LIVINGSTON CNTY 38736,A81000C,00100,0600,CNTY GOVERNMENT 38736,A81000C,00200,0100,G 38736,A81000C,00200,0200,LIV CNTY SNF 38736,A81000C,00200,0600,NURSING HOME 38736,B100000,00000,0100,00003SQUARE FOOTAGE 38736,B100000,00000,0200,00003SQUARE FOOTAGE 38736,B100000,00000,0300,00003BLANK 38736,B100000,00000,0400,00003ACCUM. COST 38736,B100000,00000,0500,00003SQUARE FOOTAGE 38736,B100000,00000,0600,00003LBS. OF LAUNDRY 38736,B100000,00000,0700,00003HSKG HRS SPENT 38736,B100000,00000,0800,00003MEALS SERVED 38736,B100000,00000,0900,00003NURSING HOURS 38736,B100000,00000,1000,00003COSTS OF SUPPLYS 38736,B100000,00000,1100,00003COSTS OF DRUGS 38736,B100000,00000,1200,00003MED REC HOURS 38736,B100000,00000,1300,00003SOC SERV HOURS 38736,B100000,00000,1350,00003NO. OF PARTICI 38736,B100000,00000,1351,00003#TRANS- PORTED 38736,B100000,00000,1352,00003BLANK 38736,B100000,00000,1400,00003BLANK 38736,E10A180,00301,0100,05/10/2000 38736,E10A180,00350,0100,09/16/1999 38736,S000000,00100,0200,06/30/2000 38736,S200000,00100,0100,1 MURRAY HILL DRIVE 38736,S200000,00200,0100,MT MORRIS 38736,S200000,00200,0200,NY 38736,S200000,00200,0300,14510 38736,S200000,00300,0100,LIVINGSTON 38736,S200000,00400,0100,LIVINGSTON COUNTY CAMPUS SNF 38736,S200000,00400,0200,335651 38736,S200000,00400,0300,04/23/1982 38736,S200000,00400,0500,P 38736,S200000,01500,0100,Y 38736,S200000,02800,0100,Y 38745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38745,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 38745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38745,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 38745,A000000,00300,0000,00300EMPLOYEE BENEFITS 38745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38745,A000000,00700,0000,00700HOUSEKEEPING 38745,A000000,00800,0000,00800DIETARY 38745,A000000,00801,0000,00801CAFETERIA 38745,A000000,00900,0000,00900NURSING ADMINISTRATION 38745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38745,A000000,01100,0000,01100PHARMACY 38745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38745,A000000,01300,0000,01300SOCIAL SERVICE 38745,A000000,01350,0000,01500ACTIVITIES 38745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38745,A000000,01600,0000,01600SKILLED NURSING FACILITY 38745,A000000,01810,0000,01810ICF/MR 38745,A000000,02100,0000,02100RADIOLOGY 38745,A000000,02200,0000,02200LABORATORY 38745,A000000,02300,0000,02300INTRAVENOUS THERAPY 38745,A000000,02500,0000,02500PHYSICAL THERAPY 38745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38745,A000000,02700,0000,02700SPEECH PATHOLOGY 38745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38745,A000000,03050,0000,03300PHYSICIANS 38745,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 38745,A000000,03052,0000,03302OTHER ANCILLARY III 38745,A000000,03450,0000,03600OUTPATIENT P.T. 38745,A000000,03451,0000,03601OUTPATIENT O.T. 38745,A000000,03452,0000,03602OUTPATIENT S.T. 38745,A000000,03550,0000,03550FQHC 38745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38745,A000000,05000,0000,05000CORF I 38745,A000000,05010,0000,05010CMHC I 38745,A000000,05020,0000,05020OPT I 38745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 38745,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 38745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38745,A81000A,00100,0100,Y 38745,A81000B,00100,0300,DEPREC/INTEREST/INS 38745,A81000B,00200,0300,ADMIN/FISCAL SERV 38745,A81000B,00300,0300,UTILITIES/MAINT EXP 38745,A81000C,00100,0100,A 38745,A81000C,00100,0200,NEIL M. CHUR 38745,A81000C,00100,0400,THE PARK ASSOC. 38745,A81000C,00100,0600,ADMIN FIN QA 38745,A81000C,00200,0100,F 38745,A81000C,00200,0200,BARBARA B. CHUR 38745,A81000C,00200,0400,PARK COLLECTION 38745,A81000C,00200,0600,WHOLESALE PURCH 38745,A81000C,00300,0100,A 38745,A81000C,00300,0200,NEIL M. CHUR 38745,A81000C,00300,0400,CREEKSIDE DRIVE 38745,A81000C,00300,0600,REAL PROPERTY 38745,A81000C,00400,0100,F 38745,A81000C,00400,0200,BARBARA B. CHUR 38745,A81000C,00400,0400,CREEKSIDE DRIVE 38745,A81000C,00400,0600,REAL PROPERTY 38745,A81000C,00500,0100,F 38745,A81000C,00500,0200,ELISABETH TEHAN 38745,A81000C,00500,0400,CREEKSIDE DRIVE 38745,A81000C,00500,0600,REAL PROPERTY 38745,A81000C,00600,0100,F 38745,A81000C,00600,0200,NEIL M CHUR JR 38745,A81000C,00600,0400,CREEKSIDE DRIVE 38745,A81000C,00600,0600,REAL PROPERTY 38745,B100000,00000,0100,00000(SQUARE FEET) 38745,B100000,00000,0101,00000(SQUARE FEET) 38745,B100000,00000,0200,00000(SQUARE FEET) 38745,B100000,00000,0201,00000(SQUARE FEET) 38745,B100000,00000,0300,00000(GROSS SALARIES) 38745,B100000,00000,0400,00000(ACCUM. COST) 38745,B100000,00000,0500,00000(SQUARE FEET) 38745,B100000,00000,0600,00000(PATIENT DAYS) 38745,B100000,00000,0700,00000(HOURS OF SERVICE) 38745,B100000,00000,0800,00000(MEALS SERVED) 38745,B100000,00000,0801,00000(MEALS SERVED) 38745,B100000,00000,0900,00000(GROSS CHARGES) 38745,B100000,00000,1000,00000(COSTED REQUIS.) 38745,B100000,00000,1100,00000(COSTED REQUIS.) 38745,B100000,00000,1200,00000(TIME SPENT) 38745,B100000,00000,1300,00000(PATIENT DAYS) 38745,B100000,00000,1350,00000(PATIENT DAYS) 38745,B100000,00000,1400,00000(ASSIGNED TIME) 38745,E10A180,00301,0100,05/10/2000 38745,E10A180,00350,0100,01/18/2000 38745,S000000,00100,0200,06/05/2000 38745,S200000,00100,0100,101 CREEKSIDE DRIVE 38745,S200000,00200,0100,PAINTED POST 38745,S200000,00200,0200,NY 38745,S200000,00200,0300,14870 38745,S200000,00300,0100,STEUBEN 38745,S200000,00400,0100,THREE RIVERS HEALTH CARE CENTER 38745,S200000,00400,0200,335652 38745,S200000,00400,0300,04/20/1982 38745,S200000,00400,0500,P 38745,S200000,01500,0100,Y 38745,S200000,04300,0100,Y 38753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38753,A000000,00300,0000,00300EMPLOYEE BENEFITS 38753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38753,A000000,00700,0000,00700HOUSEKEEPING 38753,A000000,00800,0000,00800DIETARY 38753,A000000,00900,0000,00900NURSING ADMINISTRATION 38753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38753,A000000,01100,0000,01100PHARMACY 38753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38753,A000000,01300,0000,01300SOCIAL SERVICE 38753,A000000,01350,0000,01500ACTIVITIES 38753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38753,A000000,01600,0000,01600SKILLED NURSING FACILITY 38753,A000000,01810,0000,01810ICF/MR 38753,A000000,02200,0000,02200LABORATORY 38753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38753,A000000,02500,0000,02500PHYSICAL THERAPY 38753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38753,A000000,02700,0000,02700SPEECH PATHOLOGY 38753,A000000,02800,0000,02800ELECTROCARDIOLOGY 38753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38753,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38753,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38753,A000000,03550,0000,03550FQHC 38753,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 38753,A000000,05000,0000,05000CORF 38753,A000000,05010,0000,05010CMHC 38753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38753,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38753,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38753,A000000,06201,0000,06201DENTAL 38753,B100000,00000,0100,00000SQUARE FEET 38753,B100000,00000,0200,00000SQUARE FEET 38753,B100000,00000,0300,00000GROSS SALARIES 38753,B100000,00000,0400,00000ACCUM COST 38753,B100000,00000,0500,00000SQUARE FEET 38753,B100000,00000,0600,00000POUNDS OF LAUNDRY 38753,B100000,00000,0700,00000HOURS OF SERVICE 38753,B100000,00000,0800,00000MEALS SERVED 38753,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38753,B100000,00000,1000,00000COSTED REQUISITIO 38753,B100000,00000,1100,00000COSTED REQUISITIO 38753,B100000,00000,1200,00000TIME SPENT 38753,B100000,00000,1300,00000TIME SPENT 38753,B100000,00000,1350,00000TIME SPENT 38753,B100000,00000,1400,00000ASSIGNED TIME 38753,E10A180,00301,0100,05/10/2000 38753,E10A180,00302,0100,01/18/2000 38753,S000000,00100,0200,07/11/2000 38753,S200000,00100,0100,1516 ORIENTAL BLVD. 38753,S200000,00200,0100,BROOKLYN 38753,S200000,00200,0200,NY 38753,S200000,00200,0300,11235 38753,S200000,00300,0100,KINGS 38753,S200000,00400,0100,MENORAH NURSING HOME 38753,S200000,00400,0200,335653 38753,S200000,00400,0300,06/28/1982 38753,S200000,00400,0500,P 38753,S200000,01500,0100,Y 38757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38757,A000000,00300,0000,00300EMPLOYEE BENEFITS 38757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38757,A000000,00700,0000,00700HOUSEKEEPING 38757,A000000,00800,0000,00800DIETARY 38757,A000000,00900,0000,00900NURSING ADMINISTRATION 38757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38757,A000000,01100,0000,01100PHARMACY 38757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38757,A000000,01300,0000,01300SOCIAL SERVICE 38757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38757,A000000,01600,0000,01600SKILLED NURSING FACILITY 38757,A000000,01810,0000,01810ICF/MR 38757,A000000,02100,0000,02100RADIOLOGY 38757,A000000,02200,0000,02200LABORATORY 38757,A000000,02300,0000,02300INTRAVENOUS THERAPY 38757,A000000,02500,0000,02500PHYSICAL THERAPY 38757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38757,A000000,02700,0000,02700SPEECH PATHOLOGY 38757,A000000,02800,0000,02800ELECTROCARDIOLOGY 38757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38757,A000000,03550,0000,03550FQHC 38757,A000000,04800,0000,04800AMBULANCE 38757,A000000,05000,0000,05000CORF 38757,A000000,05010,0000,05010CMHC 38757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38757,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38757,A000000,06150,0000,06300ADULT DAY CARE 38757,A000000,06151,0000,06301DENTAL 38757,B100000,00000,0100,00001SQUARE FEET 38757,B100000,00000,0200,00001SQUARE FEET 38757,B100000,00000,0300,00001GROSS SALARIES 38757,B100000,00000,0400,00001ACCUM COST 38757,B100000,00000,0500,00001SQUARE FEET 38757,B100000,00000,0600,00001POUNDS OF LAUNDRY 38757,B100000,00000,0700,00001HOURS OF SERVICE 38757,B100000,00000,0800,00001MEALS SERVED 38757,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38757,B100000,00000,1000,00001COSTED REQUISITIO 38757,B100000,00000,1100,00001COSTED REQUISITIO 38757,B100000,00000,1200,00001TIME SPENT 38757,B100000,00000,1300,00001TIME SPENT 38757,B100000,00000,1400,00001ASSIGNED TIME 38757,E10A180,00301,0100,05/10/2000 38757,S000000,00100,0200,05/26/2000 38757,S200000,00100,0100,105 DUNNING ROAD 38757,S200000,00200,0100,MIDDLETOWN 38757,S200000,00200,0200,NY 38757,S200000,00200,0300,10940 38757,S200000,00300,0100,ORANGE 38757,S200000,00400,0100,MIDDLETOWN PARK MANOR 38757,S200000,00400,0200,335655 38757,S200000,00400,0300,06/28/1982 38757,S200000,00400,0500,P 38757,S200000,01500,0100,Y 38757,S200000,04200,0100,Y 38757,S200000,04300,0100,Y 38762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38762,A000000,00300,0000,00300EMPLOYEE BENEFITS 38762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38762,A000000,00700,0000,00700HOUSEKEEPING 38762,A000000,00800,0000,00800DIETARY 38762,A000000,00900,0000,00900NURSING ADMINISTRATION 38762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38762,A000000,01100,0000,01100PHARMACY 38762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38762,A000000,01300,0000,01300SOCIAL SERVICE 38762,A000000,01350,0000,01500OTHER GENERAL SERVICES 38762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38762,A000000,01600,0000,01600SKILLED NURSING FACILITY 38762,A000000,01810,0000,01810ICF/MR 38762,A000000,02100,0000,02100RADIOLOGY 38762,A000000,02200,0000,02200LABORATORY 38762,A000000,02300,0000,02300INTRAVENOUS THERAPY 38762,A000000,02500,0000,02500PHYSICAL THERAPY 38762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38762,A000000,02700,0000,02700SPEECH PATHOLOGY 38762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38762,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38762,A000000,03051,0000,03301CLINITRON THERAPY 38762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38762,A000000,03550,0000,03550FQHC 38762,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38762,A000000,05000,0000,05000CORF 38762,A000000,05010,0000,05010CMHC 38762,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38762,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38762,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38762,A000000,06151,0000,06301ADULT DAYCARE 38762,B100000,00000,0100,00001SQUARE FEET 38762,B100000,00000,0200,00001DOLLAR VALUE 38762,B100000,00000,0300,00001GROSS SALARIES 38762,B100000,00000,0400,00001ACCUM. COST 38762,B100000,00000,0500,00001SQUARE FEET 38762,B100000,00000,0600,00001POUNDS OF LAUNDRY 38762,B100000,00000,0700,00001HOURS OF SERVICE 38762,B100000,00000,0800,00001MEALS SERVED 38762,B100000,00000,0900,00001DIRECT NRSING HRS 38762,B100000,00000,1000,00001COSTED REQUIS. 38762,B100000,00000,1100,00001COSTED REQUIS. 38762,B100000,00000,1200,00001TIME SPENT 38762,B100000,00000,1300,00001TIME SPENT 38762,B100000,00000,1350,00001NO STATISTICS 38762,B100000,00000,1400,00001ASSIGNED TIME 38762,E10A180,00301,0100,05/10/2000 38762,S000000,00100,0200,06/28/2000 38762,S200000,00100,0100,3800 CROPSEY AVENUE 38762,S200000,00200,0100,BROOKLYN 38762,S200000,00200,0200,NY 38762,S200000,00200,0300,11214 38762,S200000,00300,0100,KINGS 38762,S200000,00400,0100,HAYM SALOMON NURSING HOME 38762,S200000,00400,0200,335656 38762,S200000,00400,0300,06/01/1982 38762,S200000,00400,0500,P 38762,S200000,01500,0100,Y 38765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38765,A000000,00300,0000,00300EMPLOYEE BENEFITS 38765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38765,A000000,00700,0000,00700HOUSEKEEPING 38765,A000000,00800,0000,00800DIETARY 38765,A000000,00900,0000,00900NURSING ADMINISTRATION 38765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38765,A000000,01100,0000,01100PHARMACY 38765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38765,A000000,01300,0000,01300SOCIAL SERVICE 38765,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 38765,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38765,A000000,01600,0000,01600SKILLED NURSING FACILITY 38765,A000000,01810,0000,01810ICF/MR 38765,A000000,02100,0000,02100RADIOLOGY 38765,A000000,02200,0000,02200LABORATORY 38765,A000000,02500,0000,02500PHYSICAL THERAPY 38765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38765,A000000,02700,0000,02700SPEECH PATHOLOGY 38765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38765,A000000,03550,0000,03550FQHC 38765,A000000,05000,0000,05000CORF 38765,A000000,05010,0000,05010CMHC 38765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38765,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38765,A000000,06201,0000,06201DENTAL 38765,B100000,00000,0100,00000SQUARE FEET 38765,B100000,00000,0200,00000SQUARE FEET 38765,B100000,00000,0300,00000GROSS SALARIES 38765,B100000,00000,0400,00000ACCUM COST 38765,B100000,00000,0500,00000SQUARE FEET 38765,B100000,00000,0600,00000POUNDS OF LAUNDRY 38765,B100000,00000,0700,00000HOURS OF SERVICE 38765,B100000,00000,0800,00000MEALS SERVED 38765,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38765,B100000,00000,1000,00000COSTED REQUISITIO 38765,B100000,00000,1100,00000COSTED REQUISITIO 38765,B100000,00000,1200,00000TIME SPENT 38765,B100000,00000,1300,00000TIME SPENT 38765,B100000,00000,1301,00000PARTICIPAN 38765,B100000,00000,1350,00000 38765,B100000,00000,1400,00000ASSIGNED TIME 38765,E10A180,00301,0100,05/10/2000 38765,S000000,00100,0200,06/22/2000 38765,S200000,00100,0100,23 KIERNAN ROAD 38765,S200000,00200,0100,CAMPBELL HALL 38765,S200000,00200,0200,NEW YORK 38765,S200000,00200,0300,10916 38765,S200000,00300,0100,ORANGE 38765,S200000,00400,0100,CAMPBELL HALL HLTH CARE CTR 38765,S200000,00400,0200,335657 38765,S200000,00400,0300,09/01/1982 38765,S200000,00400,0500,P 38773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38773,A000000,00300,0000,00300EMPLOYEE BENEFITS 38773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38773,A000000,00700,0000,00700HOUSEKEEPING 38773,A000000,00800,0000,00800DIETARY 38773,A000000,00900,0000,00900NURSING ADMINISTRATION 38773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38773,A000000,01100,0000,01100PHARMACY 38773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38773,A000000,01300,0000,01300SOCIAL SERVICE 38773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38773,A000000,01600,0000,01600SKILLED NURSING FACILITY 38773,A000000,01810,0000,01810ICF/MR 38773,A000000,02500,0000,02500PHYSICAL THERAPY 38773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38773,A000000,02700,0000,02700SPEECH PATHOLOGY 38773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38773,A000000,03550,0000,03550FQHC 38773,A000000,05000,0000,05000CORF 38773,A000000,05010,0000,05010CMHC 38773,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38773,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38773,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38773,A000000,06100,0000,06100NONPAID WORKERS 38773,B100000,00000,0100,00000SQUARE FEET 38773,B100000,00000,0200,00000SQUARE FEET 38773,B100000,00000,0300,00000GROSS SALARIES 38773,B100000,00000,0400,00000ACCUM COST 38773,B100000,00000,0500,00000SQUARE FEET 38773,B100000,00000,0600,00000POUNDS OF LAUNDRY 38773,B100000,00000,0700,00000HOURS OF SERVICE 38773,B100000,00000,0800,00000MEALS SERVED 38773,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38773,B100000,00000,1000,00000COSTED REQUIS 38773,B100000,00000,1100,00000COSTED REQUIS 38773,B100000,00000,1200,00000TIME SPENT 38773,B100000,00000,1300,00000TIME SPENT 38773,B100000,00000,1400,00000ASSIGNED TIME 38773,E10A180,00301,0100,05/10/2000 38773,S000000,00100,0200,06/05/2000 38773,S200000,00100,0100,120 SYKES 38773,S200000,00200,0100,GROTON 38773,S200000,00200,0200,NY 38773,S200000,00200,0300,13071 38773,S200000,00300,0100,THOMPKINS 38773,S200000,00400,0100,GROTON NURSING FACILITY 38773,S200000,00400,0200,335658 38773,S200000,00400,0300,11/10/1982 38773,S200000,00400,0500,P 38773,S200000,01500,0100,Y 38778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38778,A000000,00300,0000,00300EMPLOYEE BENEFITS 38778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38778,A000000,00700,0000,00700HOUSEKEEPING 38778,A000000,00800,0000,00800DIETARY 38778,A000000,00900,0000,00900NURSING ADMINISTRATION 38778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38778,A000000,01100,0000,01100PHARMACY 38778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38778,A000000,01300,0000,01300SOCIAL SERVICE 38778,A000000,01350,0000,01500ACTIVITIES PROGRAM 38778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38778,A000000,01600,0000,01600SKILLED NURSING FACILITY 38778,A000000,01810,0000,01810ICF/MR 38778,A000000,02100,0000,02100RADIOLOGY 38778,A000000,02200,0000,02200LABORATORY 38778,A000000,02500,0000,02500PHYSICAL THERAPY 38778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38778,A000000,02700,0000,02700SPEECH PATHOLOGY 38778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38778,A000000,03550,0000,03550FQHC 38778,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 38778,A000000,05000,0000,05000CORF 38778,A000000,05010,0000,05010CMHC 38778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38778,A000000,06150,0000,06300DENTAL 38778,A81000A,00100,0100,Y 38778,A81000B,00100,0300,RENT 38778,A81000B,00200,0300,REAL ESTATE TAXES 38778,A81000B,00300,0300,MORTGAGE INTEREST 38778,A81000B,00400,0300,DEPRECIATION 38778,A81000B,00500,0300,AUDIT & LEGAL FEES 38778,A81000B,00600,0300,FILING & INSPECTION 38778,A81000C,00100,0100,A 38778,A81000C,00100,0200,LOWELL FELDMAN 38778,A81000C,00100,0400,TERRACE LAND CO 38778,A81000C,00100,0600,REALTY 38778,A81000C,00200,0100,A 38778,A81000C,00200,0200,ANTHONY SALERNO 38778,A81000C,00200,0400,TERRACE LAND CO 38778,A81000C,00200,0600,REALTY 38778,B100000,00000,0100,00000SQUARE FEET 38778,B100000,00000,0200,00000SQUARE FEET 38778,B100000,00000,0300,00000GROSS SALARIES 38778,B100000,00000,0400,00000ACCUM COST 38778,B100000,00000,0500,00000SQUARE FEET 38778,B100000,00000,0600,00000POUNDS OF LAUNDRY 38778,B100000,00000,0700,00000HOURS OF SERVICE 38778,B100000,00000,0800,00000MEALS SERVED 38778,B100000,00000,0900,00000DIRECT NRSG HRS 38778,B100000,00000,1000,00000COSTED REQUIS 38778,B100000,00000,1100,00000COSTED REQUIS 38778,B100000,00000,1200,00000TIME SPENT 38778,B100000,00000,1300,00000TIME SPENT 38778,B100000,00000,1350,00000NUMBER OF PARTCPANTS 38778,B100000,00000,1400,00000ASSIGNED TIME 38778,E10A180,00301,0100,05/10/2000 38778,S000000,00100,0200,06/02/2000 38778,S200000,00100,0100,2678 KINGSBRIDGE TERRACE 38778,S200000,00200,0100,BRONX 38778,S200000,00200,0200,NY 38778,S200000,00200,0300,10463 38778,S200000,00300,0100,BRONX 38778,S200000,00400,0100,TERRACE HEALTHCARE CENTER 38778,S200000,00400,0200,335659 38778,S200000,00400,0300,10/29/1982 38778,S200000,00400,0500,P 38778,S200000,00400,0600,O 38778,S200000,01500,0100,Y 38778,S200000,04300,0100,Y 38786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38786,A000000,00300,0000,00300EMPLOYEE BENEFITS 38786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38786,A000000,00700,0000,00700HOUSEKEEPING 38786,A000000,00800,0000,00800DIETARY 38786,A000000,00900,0000,00900NURSING ADMINISTRATION 38786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38786,A000000,01100,0000,01100PHARMACY 38786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38786,A000000,01300,0000,01300SOCIAL SERVICE 38786,A000000,01350,0000,01500ACTIVITIES 38786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38786,A000000,01600,0000,01600SKILLED NURSING FACILITY 38786,A000000,01810,0000,01810ICF/MR 38786,A000000,02200,0000,02200LABORATORY 38786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38786,A000000,02500,0000,02500PHYSICAL THERAPY 38786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38786,A000000,02700,0000,02700SPEECH PATHOLOGY 38786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38786,A000000,03550,0000,03550FQHC 38786,A000000,05000,0000,05000CORF 38786,A000000,05010,0000,05010CMHC 38786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38786,A000000,06201,0000,06201DENTAL 38786,B100000,00000,0100,00001SQUARE FEET 38786,B100000,00000,0200,00001SQUARE FEET 38786,B100000,00000,0300,00001GROSS SAL 38786,B100000,00000,0400,00001ACCUM. COST 38786,B100000,00000,0500,00001SQUARE FEET 38786,B100000,00000,0600,00001LAUNDRY POUNDS 38786,B100000,00000,0700,00001HOURS OF SERVICE 38786,B100000,00000,0800,00001MEALS SERVED 38786,B100000,00000,0900,00001NURSING HOURS 38786,B100000,00000,1000,00001COSTED REQUISITIO 38786,B100000,00000,1100,00001BLANK 38786,B100000,00000,1200,00001BLANK 38786,B100000,00000,1300,00001TIME SPENT 38786,B100000,00000,1350,00001# OF PARTICIPAN 38786,B100000,00000,1400,00001BLANK 38786,E10A180,00301,0100,01/18/2000 38786,E10A180,00302,0100,05/10/2000 38786,S000000,00100,0200,06/01/2000 38786,S200000,00100,0100,4100 BOLIVER ROAD 38786,S200000,00200,0100,WELLSVILLE 38786,S200000,00200,0200,NY 38786,S200000,00200,0300,14895 38786,S200000,00300,0100,ALLEGANY 38786,S200000,00400,0100,WELLSVILLE MANOR 38786,S200000,00400,0200,335661 38786,S200000,00400,0300,02/01/1983 38786,S200000,00400,0500,P 38786,S200000,01500,0100,Y 38786,S200000,04300,0100,Y 38795,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38795,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38795,A000000,00300,0000,00300EMPLOYEE BENEFITS 38795,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38795,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38795,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38795,A000000,00700,0000,00700HOUSEKEEPING 38795,A000000,00800,0000,00800DIETARY 38795,A000000,00900,0000,00900NURSING ADMINISTRATION 38795,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38795,A000000,01100,0000,01100PHARMACY 38795,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38795,A000000,01300,0000,01300SOCIAL SERVICE 38795,A000000,01350,0000,01500ACTIVITIES 38795,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38795,A000000,01600,0000,01600SKILLED NURSING FACILITY 38795,A000000,01810,0000,01810ICF/MR 38795,A000000,01900,0000,01900OTHER LONG TERM CARE 38795,A000000,02100,0000,02100RADIOLOGY 38795,A000000,02200,0000,02200LABORATORY 38795,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38795,A000000,02500,0000,02500PHYSICAL THERAPY 38795,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38795,A000000,02700,0000,02700SPEECH PATHOLOGY 38795,A000000,02800,0000,02800ELECTROCARDIOLOGY 38795,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38795,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38795,A000000,03550,0000,03550FQHC 38795,A000000,05000,0000,05000CORF 38795,A000000,05010,0000,05010CMHC 38795,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38795,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38795,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38795,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38795,A81000A,00100,0100,Y 38795,A81000B,00100,0300,RENT 38795,A81000B,00200,0300,INTEREST 38795,A81000B,00300,0300,AMORTIZATION 38795,A81000B,00400,0300,DEPRECIATION - BLDG. 38795,A81000B,00500,0300,DEPRECIATION - MOV. EQUIP. 38795,A81000B,00600,0300,ACCOUNTING FEES 38795,A81000B,00700,0300,ADMINISTRATIVE 38795,A81000B,00800,0300,LEGAL FEES 38795,A81000C,00100,0100,A 38795,A81000C,00100,0200,FRANK MCGUIRE 38795,A81000C,00100,0400,AVM-PARTNERSHIP 38795,A81000C,00100,0600,BLDG. RENTAL 38795,A81000C,00200,0100,F 38795,A81000C,00200,0200,DONALD SMITH 38795,A81000C,00200,0400,AVM-PARTNERSHIP 38795,A81000C,00200,0600,BLDG. RENTAL 38795,B100000,00000,0100,00000SQUARE FEET 38795,B100000,00000,0200,00000SQUARE FEET 38795,B100000,00000,0300,00000GROSS SAL 38795,B100000,00000,0400,00000ACCUM. COST 38795,B100000,00000,0500,00000SQUARE FEET 38795,B100000,00000,0600,00000LBS. OF LAUNDRY 38795,B100000,00000,0700,00000HOUSEKEEPI HOURS 38795,B100000,00000,0800,00000DIETARY MEALS 38795,B100000,00000,0900,00000NURSING ADMIN. HOU 38795,B100000,00000,1000,00000COSTED REQUIS 38795,B100000,00000,1100,00000COSTED REQUIS 38795,B100000,00000,1200,00000MED. RECORDS TI 38795,B100000,00000,1300,00000SOCIAL SERVICE TI 38795,B100000,00000,1350,00000 38795,B100000,00000,1400,00000ASSIGNED TIME 38795,E10A180,00301,0100,05/10/2000 38795,E10A180,00350,0100,01/18/2000 38795,S000000,00100,0200,05/30/2000 38795,S200000,00100,0100,4650 SOUTHWESTERN BLVD. 38795,S200000,00200,0100,HAMBURG 38795,S200000,00200,0200,NY 38795,S200000,00200,0300,14075 38795,S200000,00300,0100,ERIE 38795,S200000,00400,0100,AUTUMN VIEW MANOR 38795,S200000,00400,0200,335662 38795,S200000,00400,0300,03/22/1983 38795,S200000,00400,0500,P 38795,S200000,01500,0100,Y 38795,S200000,04100,0100,Y 38795,S200000,04200,0100,Y 38795,S200000,04300,0100,Y 38803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38803,A000000,00300,0000,00300EMPLOYEE BENEFITS 38803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38803,A000000,00700,0000,00700HOUSEKEEPING 38803,A000000,00800,0000,00800DIETARY 38803,A000000,00900,0000,00900NURSING ADMINISTRATION 38803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38803,A000000,01100,0000,01100PHARMACY 38803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38803,A000000,01300,0000,01300SOCIAL SERVICE 38803,A000000,01350,0000,01500ACTIVITIES 38803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38803,A000000,01600,0000,01600SKILLED NURSING FACILITY 38803,A000000,01810,0000,01810ICF/MR 38803,A000000,02100,0000,02100RADIOLOGY 38803,A000000,02200,0000,02200LABORATORY 38803,A000000,02500,0000,02500PHYSICAL THERAPY 38803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38803,A000000,02700,0000,02700SPEECH PATHOLOGY 38803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38803,A000000,03550,0000,03550FQHC 38803,A000000,05000,0000,05000CORF 38803,A000000,05010,0000,05010CMHC 38803,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38803,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38803,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38803,A000000,06150,0000,06300DENTAL 38803,B100000,00000,0100,00000SQUARE FEET 38803,B100000,00000,0200,00000SQUARE FEET 38803,B100000,00000,0300,00000GROSS SAL 38803,B100000,00000,0400,00000ACCUM. COST 38803,B100000,00000,0500,00000SQUARE FEET 38803,B100000,00000,0600,00000LAUNDRY LBS 38803,B100000,00000,0700,00000HOUSEKEEPI TIME 38803,B100000,00000,0800,00000DIETARY MEALS 38803,B100000,00000,0900,00000NURSE ADMIN TIME 38803,B100000,00000,1000,00000BLANK 38803,B100000,00000,1100,00000PHARM CONSULT TI 38803,B100000,00000,1200,00000MED REC TIME 38803,B100000,00000,1300,00000SOCIAL SERV TIME 38803,B100000,00000,1350,00000SQUARE FEET 38803,B100000,00000,1400,00000BLANK 38803,E10A180,00301,0100,05/10/2000 38803,E10A180,00350,0100,01/18/2000 38803,S000000,00100,0200,06/06/2000 38803,S200000,00100,0100,300 DORRANCE AVENUE 38803,S200000,00200,0100,BUFFALO 38803,S200000,00200,0200,NY 38803,S200000,00200,0300,14220 38803,S200000,00300,0100,ERIE 38803,S200000,00400,0100,RIDGEVIEW MANOR NURSING HOME 38803,S200000,00400,0200,335663 38803,S200000,00400,0300,08/01/1983 38803,S200000,00400,0500,P 38803,S200000,01500,0100,Y 38803,S200000,02200,0100,Y 38806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38806,A000000,00300,0000,00300EMPLOYEE BENEFITS 38806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38806,A000000,00700,0000,00700HOUSEKEEPING 38806,A000000,00800,0000,00800DIETARY 38806,A000000,00900,0000,00900NURSING ADMINISTRATION 38806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38806,A000000,01100,0000,01100PHARMACY 38806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38806,A000000,01300,0000,01300SOCIAL SERVICE 38806,A000000,01350,0000,01500OTHER GENERAL SERVICES 38806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38806,A000000,01600,0000,01600SKILLED NURSING FACILITY 38806,A000000,01810,0000,01810ICF/MR 38806,A000000,02100,0000,02100RADIOLOGY 38806,A000000,02200,0000,02200LABORATORY 38806,A000000,02500,0000,02500PHYSICAL THERAPY 38806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38806,A000000,02700,0000,02700SPEECH PATHOLOGY 38806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38806,A000000,03550,0000,03550FQHC 38806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38806,A000000,05000,0000,05000CORF 38806,A000000,05010,0000,05010CMHC 38806,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38806,B100000,00000,0100,00000SQUARE FEET 38806,B100000,00000,0200,00000DOLLAR VALUE 38806,B100000,00000,0300,00000GROSS SALARIES 38806,B100000,00000,0400,00000ACCUM. COST 38806,B100000,00000,0500,00000SQUARE FEET 38806,B100000,00000,0600,00000POUNDS OF LAUNDRY 38806,B100000,00000,0700,00000HOURS OF SERVICE 38806,B100000,00000,0800,00000MEALS SERVED 38806,B100000,00000,0900,00000HOURS OF SERVICE 38806,B100000,00000,1000,00000COSTED REQUIS. 38806,B100000,00000,1100,00000COSTED REQUIS. 38806,B100000,00000,1200,00000TIME SPENT 38806,B100000,00000,1300,00000TIME SPENT 38806,B100000,00000,1350,00000NO STATISTICS 38806,B100000,00000,1400,00000TIME SPENT 38806,E10A180,00301,0100,05/10/2000 38806,E10A180,00550,0300,06/14/2000 38806,S000000,00100,0200,06/12/2000 38806,S200000,00100,0100,29-38 FAR ROCKAWAY BLVD. 38806,S200000,00200,0100,FAR ROCKAWAY 38806,S200000,00200,0200,NY 38806,S200000,00200,0300,11691 38806,S200000,00300,0100,QUEENS 38806,S200000,00400,0100,BEZALEL NURSING HOME 38806,S200000,00400,0200,335666 38806,S200000,00400,0300,10/01/1983 38806,S200000,00400,0500,P 38806,S200000,01500,0100,Y 38818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38818,A000000,00300,0000,00300EMPLOYEE BENEFITS 38818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38818,A000000,00700,0000,00700HOUSEKEEPING 38818,A000000,00800,0000,00800DIETARY 38818,A000000,00900,0000,00900NURSING ADMINISTRATION 38818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38818,A000000,01100,0000,01100PHARMACY 38818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38818,A000000,01300,0000,01300SOCIAL SERVICE 38818,A000000,01350,0000,01500OTHER GENERAL SERVICE COSTS 38818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38818,A000000,01600,0000,01600SKILLED NURSING FACILITY 38818,A000000,01810,0000,01810ICF/MR 38818,A000000,02100,0000,02100RADIOLOGY 38818,A000000,02200,0000,02200LABORATORY 38818,A000000,02500,0000,02500PHYSICAL THERAPY 38818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38818,A000000,02700,0000,02700SPEECH PATHOLOGY 38818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38818,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CT 38818,A000000,03550,0000,03550FQHC 38818,A000000,04800,0000,04800AMBULANCE 38818,A000000,05000,0000,05000CORF 38818,A000000,05010,0000,05010CMHC 38818,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38818,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38818,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38818,A000000,05300,0000,05300INTEREST EXPENSE 38818,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38818,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 38818,B100000,00000,0100,00000SQUARE FEET 38818,B100000,00000,0200,00000SQUARE FEET 38818,B100000,00000,0300,00000GROSS SALARIES 38818,B100000,00000,0400,00000ACCUM COST 38818,B100000,00000,0500,00000SQUARE FEET 38818,B100000,00000,0600,00000POUNDS OF LAUNDRY 38818,B100000,00000,0700,00000HOURS OF SERVICE 38818,B100000,00000,0800,00000MEALS SERVED 38818,B100000,00000,0900,00000DIRECT NRSG HRS 38818,B100000,00000,1000,00000COSTED REQUIS 38818,B100000,00000,1100,00000COSTED REQUIS 38818,B100000,00000,1200,00000TIME SPENT 38818,B100000,00000,1300,00000TIME SPENT 38818,B100000,00000,1350,00000 38818,B100000,00000,1400,00000ASSIGNED TIME 38818,E10A180,00301,0100,05/10/2000 38818,S000000,00100,0200,06/09/2000 38818,S200000,00100,0100,254 ALEXANDER ST. 38818,S200000,00200,0100,ROCHESTER 38818,S200000,00200,0200,NY 38818,S200000,00200,0300,14607 38818,S200000,00300,0100,MONROE 38818,S200000,00400,0100,KIRKHAVEN 38818,S200000,00400,0200,335668 38818,S200000,00400,0300,02/20/1984 38818,S200000,00400,0500,P 38818,S200000,01500,0100,Y 38818,S200000,04700,0100,Y 38826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38826,A000000,00300,0000,00300EMPLOYEE BENEFITS 38826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38826,A000000,00700,0000,00700HOUSEKEEPING 38826,A000000,00800,0000,00800DIETARY 38826,A000000,00900,0000,00900NURSING ADMINISTRATION 38826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38826,A000000,01100,0000,01100PHARMACY 38826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38826,A000000,01300,0000,01300SOCIAL SERVICE 38826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38826,A000000,01600,0000,01600SKILLED NURSING FACILITY 38826,A000000,01810,0000,01810ICF/MR 38826,A000000,02500,0000,02500PHYSICAL THERAPY 38826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38826,A000000,02700,0000,02700SPEECH PATHOLOGY 38826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38826,A000000,03550,0000,03550FQHC 38826,A000000,05000,0000,05000CORF 38826,A000000,05010,0000,05010CMHC 38826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38826,A000000,05300,0000,05300INTEREST EXPENSE 38826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38826,A000000,06150,0000,06300DENTAL 38826,A81000A,00100,0100,Y 38826,A81000B,00100,0300,INDIRECT COUNTY COST 38826,A81000C,00100,0100,G 38826,A81000C,00100,0200,COUNTY OF CAYUGA 38826,A81000C,00100,0400,COUNTY OF CAYUGA 38826,A81000C,00100,0600,COUNTY GOVERNMENT 38826,B100000,00000,0100,00000SQUARE FEET 38826,B100000,00000,0200,00000SQUARE FEET 38826,B100000,00000,0300,00000GROSS SALARIES 38826,B100000,00000,0400,00000ACCUM COST 38826,B100000,00000,0500,00000SQUARE FEET 38826,B100000,00000,0600,00000POUNDS OF LAUNDRY 38826,B100000,00000,0700,00000HOURS OF SERVICE 38826,B100000,00000,0800,00000MEALS SERVED 38826,B100000,00000,0900,00000DIRECT NRSG HRS 38826,B100000,00000,1000,00000COSTED REQUIS 38826,B100000,00000,1100,00000COSTED REQUIS 38826,B100000,00000,1200,00000TIME SPENT 38826,B100000,00000,1300,00000TIME SPENT 38826,B100000,00000,1400,00000ASSIGNED TIME 38826,S000000,00100,0200,05/30/2000 38826,S200000,00100,0100,COUNTY HOUSE ROAD 38826,S200000,00200,0100,AUBURN 38826,S200000,00200,0200,NY 38826,S200000,00200,0300,13021 38826,S200000,00300,0100,CAYUGA 38826,S200000,00400,0100,CAYUGA COUNTY NURSING HOME 38826,S200000,00400,0200,335670 38826,S200000,00400,0300,04/16/1984 38826,S200000,00400,0500,P 38826,S200000,01500,0100,Y 38834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38834,A000000,00300,0000,00300EMPLOYEE BENEFITS 38834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38834,A000000,00700,0000,00700HOUSEKEEPING 38834,A000000,00800,0000,00800DIETARY 38834,A000000,00900,0000,00900NURSING ADMINISTRATION 38834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38834,A000000,01100,0000,01100PHARMACY 38834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38834,A000000,01300,0000,01300SOCIAL SERVICE 38834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38834,A000000,01600,0000,01600SKILLED NURSING FACILITY 38834,A000000,01810,0000,01810ICF/MR 38834,A000000,02500,0000,02500PHYSICAL THERAPY 38834,A000000,02700,0000,02700SPEECH PATHOLOGY 38834,A000000,03550,0000,03550FQHC 38834,A000000,05000,0000,05000CORF 38834,A000000,05010,0000,05010CMHC 38834,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38834,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38834,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38834,A000000,06150,0000,06300OTHER NON-REIMBURSEABLE COST 38834,A81000A,00100,0100,Y 38834,A81000B,00100,0300,FACILITY RENTAL 38834,A81000C,00100,0100,G 38834,A81000C,00100,0200,CEDAR HEDGE 38834,A81000C,00100,0400,ROUSES POINT PTRS 38834,A81000C,00100,0600,FACILITY RENTAL 38834,B100000,00000,0100,00000(SQUARE FEET) 38834,B100000,00000,0200,00000(SQUARE FEET) 38834,B100000,00000,0300,00000(GROSS SALARIES) 38834,B100000,00000,0400,00000ACCUM COST 38834,B100000,00000,0500,00000(SQUARE FEET) 38834,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 38834,B100000,00000,0700,00000(HOURS OF SERVICE) 38834,B100000,00000,0800,00000(MEALS SERVED) 38834,B100000,00000,0900,00000(DIR NRSG HOURS) 38834,B100000,00000,1000,00000COSTED REQUIS 38834,B100000,00000,1100,00000(COSTED REQUIS) 38834,B100000,00000,1200,00000(TIME SPENT) 38834,B100000,00000,1300,00000(TIME SPENT) 38834,B100000,00000,1400,00000ASSIGNED TIME 38834,S000000,00100,0200,06/08/2001 38834,S200000,00100,0100,260 LAKE STREET 38834,S200000,00200,0100,ROUSES POINT 38834,S200000,00200,0200,NEW YORK 38834,S200000,00200,0300,12979 38834,S200000,00300,0100,C 38834,S200000,00400,0100,CEDAR HEDGE NURSING HOME 38834,S200000,00400,0200,335671 38834,S200000,00400,0300,05/10/1984 38834,S200000,00400,0500,P 38834,S200000,01500,0100,Y 38843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38843,A000000,00101,0000,00101CAP REL BLDG & FIXT 1993 NEW 38843,A000000,00102,0000,00102CAP REL BLDG & FIXT 1987 RENO 38843,A000000,00103,0000,00103CAP REL BLDG & FIXT 1987 NEW 38843,A000000,00104,0000,00104CAP REL BLDG & FIXT 1991 NEW 38843,A000000,00105,0000,00105CAP REL BLDG & FIXT 1997 NEW 38843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38843,A000000,00300,0000,00300EMPLOYEE BENEFITS 38843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38843,A000000,00700,0000,00700HOUSEKEEPING 38843,A000000,00800,0000,00800DIETARY 38843,A000000,00801,0000,00801CAFETERIA 38843,A000000,00900,0000,00900NURSING ADMINISTRATION 38843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38843,A000000,01100,0000,01100PHARMACY 38843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38843,A000000,01201,0000,01201TRANSPORTATION 38843,A000000,01300,0000,01300SOCIAL SERVICE 38843,A000000,01301,0000,01301MEDICAL DIRECTOR 38843,A000000,01302,0000,01302MEDICAL SERVICES STAFF 38843,A000000,01350,0000,01500ACTIVITIES 38843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38843,A000000,01600,0000,01600SKILLED NURSING FACILITY 38843,A000000,01810,0000,01810ICF/MR 38843,A000000,02100,0000,02100RADIOLOGY 38843,A000000,02200,0000,02200LABORATORY 38843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38843,A000000,02500,0000,02500PHYSICAL THERAPY 38843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38843,A000000,02700,0000,02700SPEECH PATHOLOGY 38843,A000000,02800,0000,02800ELECTROCARDIOLOGY 38843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38843,A000000,03200,0000,03200SUPPORT SURFACES 38843,A000000,03550,0000,03550FQHC 38843,A000000,05000,0000,05000CORF 38843,A000000,05010,0000,05010CMHC 38843,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38843,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38843,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38843,A000000,05300,0000,05300INTEREST EXPENSE 38843,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38843,A000000,06150,0000,06300NON OPERATING EXPENSES 38843,A000000,06151,0000,06301ADULT DAY CARE 38843,A000000,06152,0000,06302DENTAL SERVICES 38843,A000000,06153,0000,06303FUND RASING 38843,A81000A,00100,0100,Y 38843,A81000B,00100,0300,RADIOLOGY SERVICES 38843,A81000B,00200,0300,LABORATORY SERVICES 38843,A81000B,00300,0300,EKG 38843,A81000C,00100,0100,B 38843,A81000C,00100,0400,MARY IMOGENE BA 38843,A81000C,00100,0600,HOSPITAL 38843,B100000,00000,0100,00003(SQUARE FEET) 38843,B100000,00000,0101,00003SQUARE FEET 38843,B100000,00000,0102,00003SQUARE FEET 38843,B100000,00000,0103,00003SQUARE FEET 38843,B100000,00000,0104,00003SQUARE FEET 38843,B100000,00000,0105,00003SQUARE FEET 38843,B100000,00000,0200,00003SQ FT LESS PHYS OFFIC 38843,B100000,00000,0300,00003(GROSS SALARIES) 38843,B100000,00000,0400,00003(ACCUM COST) 38843,B100000,00000,0500,00003(SQUARE FEET) 38843,B100000,00000,0600,00003(POUNDS OF LAUNDRY) 38843,B100000,00000,0700,00003(HOURS OF SERVICE) 38843,B100000,00000,0800,00003(MEALS SERVED) 38843,B100000,00000,0801,00003 38843,B100000,00000,0900,00003(DIRECT NRSG HRS) 38843,B100000,00000,1000,00003(COSTED REQUIS) 38843,B100000,00000,1100,00003(COSTED REQUIS) 38843,B100000,00000,1200,00003(TIME SPENT) 38843,B100000,00000,1201,00003ENGINE RUN TIME 38843,B100000,00000,1300,00003(TIME SPENT) 38843,B100000,00000,1301,00003 38843,B100000,00000,1302,00003 38843,B100000,00000,1350,00003 38843,B100000,00000,1400,00003(ASSIGNED TIME) 38843,E10A180,00301,0100,09/03/1999 38843,E10A180,00302,0100,05/10/2000 38843,E10A180,00550,0100,06/07/2000 38843,E10A180,00550,0300,06/07/2000 38843,S000000,00100,0200,06/01/2000 38843,S200000,00100,0100,690 W. GERMAN ST. 38843,S200000,00200,0100,HERKIMER 38843,S200000,00200,0200,NY 38843,S200000,00200,0300,13350 38843,S200000,00300,0100,USA 38843,S200000,00400,0100,VALLEY HEALTH SERVICES INC. 38843,S200000,00400,0200,335672 38843,S200000,00400,0300,04/01/1984 38843,S200000,00400,0500,P 38843,S200000,00400,0600,O 38843,S200000,01500,0100,Y 38843,S200000,01900,0100,VOLUNTARY BOARD 38843,S200000,04300,0100,Y 38848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38848,A000000,00300,0000,00300EMPLOYEE BENEFITS 38848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38848,A000000,00700,0000,00700HOUSEKEEPING 38848,A000000,00800,0000,00800DIETARY 38848,A000000,00900,0000,00900NURSING ADMINISTRATION 38848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38848,A000000,01100,0000,01100PHARMACY 38848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38848,A000000,01300,0000,01300SOCIAL SERVICE 38848,A000000,01301,0000,01301RECREATION SEVICES 38848,A000000,01350,0000,01500MAINTENANCE OF PERSONAL 38848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38848,A000000,01600,0000,01600SKILLED NURSING FACILITY 38848,A000000,01810,0000,01810ICF/MR 38848,A000000,02100,0000,02100RADIOLOGY 38848,A000000,02200,0000,02200LABORATORY 38848,A000000,02500,0000,02500PHYSICAL THERAPY 38848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38848,A000000,02700,0000,02700SPEECH PATHOLOGY 38848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38848,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38848,A000000,03101,0000,03101CLINITRON THERAPY 38848,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38848,A000000,03550,0000,03550FQHC 38848,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38848,A000000,05000,0000,05000CORF 38848,A000000,05010,0000,05010CMHC 38848,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38848,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38848,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38848,A000000,05350,0000,05600DAYCARE 38848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38848,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38848,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38848,A81000A,00100,0100,Y 38848,A81000B,00100,0300,RENT 38848,A81000B,00200,0300,MORTGAGE INTEREST 38848,A81000B,00300,0300,DEPRECIATION 38848,A81000B,00400,0300,LEGAL 38848,A81000B,00600,0300,R.E.T. 38848,A81000B,00700,0300,B/C 38848,A81000C,00100,0100,A 38848,A81000C,00100,0200,L. FRIEDMAN 38848,A81000C,00100,0400,LHF ASSOCIATES 38848,A81000C,00100,0600,REALTY 38848,B100000,00000,0100,00000SQUARE FEET 38848,B100000,00000,0200,00000DOLLAR VALUE 38848,B100000,00000,0300,00000GROSS SALARIES 38848,B100000,00000,0400,00000ACCUM. COST 38848,B100000,00000,0500,00000SQUARE FEET 38848,B100000,00000,0600,00000POUNDS OF LAUNDRY 38848,B100000,00000,0700,00000HOURS OF SERVICE 38848,B100000,00000,0800,00000MEALS SERVED 38848,B100000,00000,0900,00000HOURS OF SERVICE 38848,B100000,00000,1000,00000COSTED REQUIS. 38848,B100000,00000,1100,00000COSTED REQUIS. 38848,B100000,00000,1200,00000TIME SPENT 38848,B100000,00000,1300,00000TIME SPENT 38848,B100000,00000,1301,00000# OF PARTICIPAN 38848,B100000,00000,1350,00000NO STATISTICS 38848,B100000,00000,1400,00000TIME SPENT 38848,E10A180,00301,0100,05/10/2000 38848,S000000,00100,0200,07/27/2000 38848,S200000,00100,0100,1555 ROCKAWAY PARKWAY 38848,S200000,00200,0100,BROOKLYN 38848,S200000,00200,0200,NY 38848,S200000,00200,0300,11236 38848,S200000,00300,0100,KINGS 38848,S200000,00400,0100,PARKSHORE RENAISSANCE CARE CENTER 38848,S200000,00400,0200,335673 38848,S200000,00400,0300,06/01/1984 38848,S200000,00400,0500,P 38848,S200000,01500,0100,Y 38848,S200000,04100,0100,Y 38851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38851,A000000,00300,0000,00300EMPLOYEE BENEFITS 38851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38851,A000000,00700,0000,00700HOUSEKEEPING 38851,A000000,00800,0000,00800DIETARY 38851,A000000,00900,0000,00900NURSING ADMINISTRATION 38851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38851,A000000,01100,0000,01100PHARMACY 38851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38851,A000000,01300,0000,01300SOCIAL SERVICE 38851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38851,A000000,01600,0000,01600SKILLED NURSING FACILITY 38851,A000000,01810,0000,01810ICF/MR 38851,A000000,02100,0000,02100RADIOLOGY 38851,A000000,02200,0000,02200LABORATORY 38851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38851,A000000,02500,0000,02500PHYSICAL THERAPY 38851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38851,A000000,02700,0000,02700SPEECH PATHOLOGY 38851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38851,A000000,03550,0000,03550FQHC 38851,A000000,04800,0000,04800AMBULANCE 38851,A000000,05000,0000,05000CORF 38851,A000000,05010,0000,05010CMHC 38851,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38851,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38851,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38851,A000000,06150,0000,06300ADULT DAY CARE 38851,A000000,06151,0000,06301DENTAL 38851,A81000A,00100,0100,Y 38851,A81000B,00100,0300,RENT 38851,A81000B,00200,0300,MORTG INT 38851,A81000B,00300,0300,RE TAXES 38851,A81000B,00400,0300,DEPRECIATION 38851,A81000B,00500,0300,AMORT MGT EXP 38851,A81000B,00600,0300,INSURANCE 38851,A81000B,00700,0300,UTILITIES 38851,A81000B,00800,0300,LEGAL 38851,A81000B,00900,0300,PAYROLL 38851,A81000B,01000,0300,AUTO 38851,A81000B,01100,0300,PAYROLL TAXES 38851,A81000B,01200,0300,MISC 38851,A81000C,00100,0100,A 38851,A81000C,00100,0200,PASQUALE J BAGN 38851,A81000C,00100,0400,BARAN DEVELOPME 38851,A81000C,00100,0600,REAL ESTATE 38851,A81000C,00200,0100,B 38851,A81000C,00200,0200,RANIERI MANAGEM 38851,A81000C,00200,0400,BARAN DEVELOPME 38851,A81000C,00200,0600,REAL ESTATE 38851,B100000,00000,0100,00001SQUARE FEET 38851,B100000,00000,0200,00001SQUARE FEET 38851,B100000,00000,0300,00001GROSS SALARIES 38851,B100000,00000,0400,00001ACCUM COST 38851,B100000,00000,0500,00001SQUARE FEET 38851,B100000,00000,0600,00001POUNDS OF LAUNDRY 38851,B100000,00000,0700,00001HOURS OF SERVICE 38851,B100000,00000,0800,00001MEALS SERVED 38851,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38851,B100000,00000,1000,00001COSTED REQUISITIO 38851,B100000,00000,1100,00001COSTED REQUISITIO 38851,B100000,00000,1200,00001TIME SPENT 38851,B100000,00000,1300,00001TIME SPENT 38851,B100000,00000,1400,00001ASSIGNED TIME 38851,E10A180,00301,0100,05/10/2000 38851,E10A180,00501,0300,06/07/2000 38851,E10A180,00550,0100,06/07/2000 38851,E10A180,00550,0300,06/07/2000 38851,S000000,00100,0200,05/24/2000 38851,S200000,00100,0100,100 SOUTHERN BLVD 38851,S200000,00200,0100,NESCONSET 38851,S200000,00200,0300,11767 38851,S200000,00300,0100,SUFFOLK 38851,S200000,00400,0100,NESCONSET NURSING CENTER 38851,S200000,00400,0200,335674 38851,S200000,00400,0300,08/06/1984 38851,S200000,00400,0500,P 38851,S200000,01500,0100,Y 38851,S200000,04200,0100,Y 38851,S200000,04300,0100,Y 38859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38859,A000000,00300,0000,00300EMPLOYEE BENEFITS 38859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38859,A000000,00700,0000,00700HOUSEKEEPING 38859,A000000,00800,0000,00800DIETARY 38859,A000000,00900,0000,00900NURSING ADMINISTRATION 38859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38859,A000000,01100,0000,01100PHARMACY 38859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38859,A000000,01300,0000,01300SOCIAL SERVICE 38859,A000000,01350,0000,01500RECREATION THERAPY 38859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38859,A000000,01600,0000,01600SKILLED NURSING FACILITY 38859,A000000,01810,0000,01810ICF/MR 38859,A000000,02100,0000,02100RADIOLOGY 38859,A000000,02200,0000,02200LABORATORY 38859,A000000,02500,0000,02500PHYSICAL THERAPY 38859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38859,A000000,02700,0000,02700SPEECH PATHOLOGY 38859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38859,A000000,03550,0000,03550FQHC 38859,A000000,05000,0000,05000CORF 38859,A000000,05010,0000,05010CMHC 38859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38859,A000000,05300,0000,05300INTEREST EXPENSE 38859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38859,A000000,06150,0000,06300CHAPLAIN 38859,A81000A,00100,0100,Y 38859,A81000B,00100,0300,HOME OFFICE COSTS 38859,A81000B,00200,0300,PURCHASED DIETARY SERVICES 38859,A81000C,00100,0100,B 38859,A81000C,00100,0200,JAMES G. JOHN- 38859,A81000C,00100,0400,METHODIST HOMES 38859,A81000C,00100,0600,HOME OFFICE 38859,A81000C,00200,0200,STON NURSING 38859,A81000C,00200,0400,ODIST HOMES 38859,A81000C,00300,0200,HOME 38859,A81000C,00400,0100,G 38859,A81000C,00400,0200,HILLTOP RETIRE. 38859,A81000C,00400,0400,HILLTOP RETIRE. 38859,A81000C,00400,0600,RETIRE. COMM. 38859,B100000,00000,0100,00000SQUARE FEET 38859,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 38859,B100000,00000,0300,00000GROSS SALARIES 38859,B100000,00000,0400,00000ACCUMULA- TED COST 38859,B100000,00000,0500,00000SQUARE FEET 38859,B100000,00000,0600,00000POUNDS OF LAUNDRY 38859,B100000,00000,0700,00000HOURS OF SERVICE 38859,B100000,00000,0800,00000MEALS SERVED 38859,B100000,00000,0900,00000DIRECT HOU OF SERVICE 38859,B100000,00000,1000,00000COSTED REQUIS 38859,B100000,00000,1100,00000COSTED REQUIS 38859,B100000,00000,1200,00000TIME SPENT 38859,B100000,00000,1300,00000TIME SPENT 38859,B100000,00000,1350,00000OTHER 38859,B100000,00000,1400,00000ASSIGNED TIME 38859,E10A180,00301,0100,05/10/2000 38859,E10A180,00350,0100,09/20/1999 38859,E10A180,00501,0100,08/24/2001 38859,E10A180,00501,0300,08/24/2001 38859,S000000,00100,0200,05/31/2000 38859,S200000,00100,0100,285 DEYO HILL ROAD 38859,S200000,00200,0100,JOHNSON CITY 38859,S200000,00200,0200,NY 38859,S200000,00200,0300,13790 38859,S200000,00300,0100,BROOME 38859,S200000,00400,0100,JAMES G. JOHNSTON MEM. NURSING HOME 38859,S200000,00400,0200,335675 38859,S200000,00400,0300,10/01/1984 38859,S200000,00400,0500,P 38859,S200000,01500,0100,Y 38859,S200000,01900,0100,CORPORATION 38859,S200000,02200,0100,Y 38859,S200000,02800,0100,Y 38863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38863,A000000,00300,0000,00300EMPLOYEE BENEFITS 38863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38863,A000000,00700,0000,00700HOUSEKEEPING 38863,A000000,00800,0000,00800DIETARY 38863,A000000,00900,0000,00900NURSING ADMINISTRATION 38863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38863,A000000,01100,0000,01100PHARMACY 38863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38863,A000000,01300,0000,01300SOCIAL SERVICE 38863,A000000,01350,0000,01500OTHER GENERAL SERVICES 38863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38863,A000000,01600,0000,01600SKILLED NURSING FACILITY 38863,A000000,01810,0000,01810ICF/MR 38863,A000000,02100,0000,02100RADIOLOGY 38863,A000000,02200,0000,02200LABORATORY 38863,A000000,02500,0000,02500PHYSICAL THERAPY 38863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38863,A000000,02700,0000,02700SPEECH PATHOLOGY 38863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38863,A000000,03051,0000,03301CLINITRON THERAPY 38863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38863,A000000,03550,0000,03550FQHC 38863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38863,A000000,05000,0000,05000CORF 38863,A000000,05010,0000,05010CMHC 38863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38863,A81000A,00100,0100,Y 38863,A81000B,00100,0300,RENT 38863,A81000C,00100,0100,A 38863,A81000C,00100,0200,A.CYTRYN 38863,A81000C,00100,0400,HAVEN MANOR ASSOCIATES 38863,A81000C,00100,0600,REAL ESTATE 38863,B100000,00000,0100,00000SQUARE FEET 38863,B100000,00000,0200,00000DOLLAR VALUE 38863,B100000,00000,0300,00000GROSS SALARIES 38863,B100000,00000,0400,00000ACCUM. COST 38863,B100000,00000,0500,00000SQUARE FEET 38863,B100000,00000,0600,00000POUNDS OF LAUNDRY 38863,B100000,00000,0700,00000HOURS OF SERVICE 38863,B100000,00000,0800,00000MEALS SERVED 38863,B100000,00000,0900,00000HOURS OF SERVICE 38863,B100000,00000,1000,00000COSTED REQUIS. 38863,B100000,00000,1100,00000COSTED REQUIS. 38863,B100000,00000,1200,00000TIME SPENT 38863,B100000,00000,1300,00000TIME SPENT 38863,B100000,00000,1350,00000NO STATISTICS 38863,B100000,00000,1400,00000TIME SPENT 38863,E10A180,00301,0100,05/10/2000 38863,S000000,00100,0200,06/01/2000 38863,S200000,00100,0100,1441 GATEWAY BLVD. 38863,S200000,00200,0100,FAR ROCKAWAY 38863,S200000,00200,0200,NY 38863,S200000,00200,0300,11691 38863,S200000,00300,0100,QUEENS 38863,S200000,00400,0100,HAVEN MANOR HEALTH CARE CENTER 38863,S200000,00400,0200,335676 38863,S200000,00400,0300,10/01/1984 38863,S200000,00400,0500,P 38863,S200000,01500,0100,Y 38867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38867,A000000,00300,0000,00300EMPLOYEE BENEFITS 38867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38867,A000000,00700,0000,00700HOUSEKEEPING 38867,A000000,00800,0000,00800DIETARY 38867,A000000,00900,0000,00900NURSING ADMINISTRATION 38867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38867,A000000,01100,0000,01100PHARMACY 38867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38867,A000000,01300,0000,01300SOCIAL SERVICE 38867,A000000,01350,0000,01500OTHER GENERAL SERVICES 38867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38867,A000000,01600,0000,01600SKILLED NURSING FACILITY 38867,A000000,01810,0000,01810ICF/MR 38867,A000000,02100,0000,02100RADIOLOGY 38867,A000000,02200,0000,02200LABORATORY 38867,A000000,02300,0000,02300INTRAVENOUS THERAPY 38867,A000000,02500,0000,02500PHYSICAL THERAPY 38867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38867,A000000,02700,0000,02700SPEECH PATHOLOGY 38867,A000000,02800,0000,02800ELECTROCARDIOLOGY 38867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38867,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38867,A000000,03201,0000,03201CLINITRN THERAPY 38867,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38867,A000000,03550,0000,03550FQHC 38867,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38867,A000000,05000,0000,05000CORF 38867,A000000,05010,0000,05010CMHC 38867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38867,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38867,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 38867,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38867,B100000,00000,0100,00000SQUARE FEET 38867,B100000,00000,0200,00000DOLLAR VALUE 38867,B100000,00000,0300,00000GROSS SALARIES 38867,B100000,00000,0400,00000ACCUM. COST 38867,B100000,00000,0500,00000SQUARE FEET 38867,B100000,00000,0600,00000POUNDS OF LAUNDRY 38867,B100000,00000,0700,00000HOURS OF SERVICE 38867,B100000,00000,0800,00000MEALS SERVED 38867,B100000,00000,0900,00000DIRECT NRSING HRS 38867,B100000,00000,1000,00000COSTED REQUIS. 38867,B100000,00000,1100,00000COSTED REQUIS. 38867,B100000,00000,1200,00000TIME SPENT 38867,B100000,00000,1300,00000TIME SPENT 38867,B100000,00000,1350,00000NO STATISTICS 38867,B100000,00000,1400,00000ASSIGNED TIME 38867,E10A180,00301,0100,05/12/2000 38867,S000000,00100,0200,05/23/2000 38867,S200000,00100,0100,2840 KNAPP STREET 38867,S200000,00200,0100,BROOKLYN 38867,S200000,00200,0200,NY 38867,S200000,00200,0300,11234 38867,S200000,00300,0100,KINGS 38867,S200000,00400,0100,HARBORSITE PARTNERSHIP 38867,S200000,00400,0200,335677 38867,S200000,00400,0300,11/19/1984 38867,S200000,00400,0500,P 38867,S200000,01500,0100,Y 38875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38875,A000000,00300,0000,00300EMPLOYEE BENEFITS 38875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38875,A000000,00700,0000,00700HOUSEKEEPING 38875,A000000,00800,0000,00800DIETARY 38875,A000000,00801,0000,00801CAFETERIA 38875,A000000,00900,0000,00900NURSING ADMINISTRATION 38875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38875,A000000,01100,0000,01100PHARMACY 38875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38875,A000000,01300,0000,01300SOCIAL SERVICE 38875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38875,A000000,01600,0000,01600SKILLED NURSING FACILITY 38875,A000000,01810,0000,01810ICF/MR 38875,A000000,02100,0000,02100RADIOLOGY 38875,A000000,02200,0000,02200LABORATORY 38875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38875,A000000,02500,0000,02500PHYSICAL THERAPY 38875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38875,A000000,02700,0000,02700SPEECH PATHOLOGY 38875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38875,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38875,A000000,03550,0000,03550FQHC 38875,A000000,05000,0000,05000CORF 38875,A000000,05010,0000,05010CMHC 38875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38875,A000000,05300,0000,05300INTEREST EXPENSE 38875,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38875,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38875,A000000,06151,0000,06301GUEST MEALS 38875,A81000A,00100,0100,Y 38875,A81000B,00100,0300,DRUG COST WOODMARK 38875,A81000C,00100,0100,A 38875,A81000C,00100,0200,ROBERT M. CHUR 38875,A81000C,00100,0400,ELDERWOOD AFFIL 38875,A81000C,00100,0600,FINANCIAL & PUR 38875,A81000C,00200,0100,A 38875,A81000C,00200,0200,ROBERT M. CHUR 38875,A81000C,00200,0400,WOODMARK PHARMA 38875,A81000C,00200,0600,PHARMACY FOR FA 38875,B100000,00000,0100,00001SQUARE FEET 38875,B100000,00000,0200,00001SQUARE FEET 38875,B100000,00000,0300,00001GROSS SALARIES 38875,B100000,00000,0400,00001ACCUM COST 38875,B100000,00000,0500,00001SQUARE FEET 38875,B100000,00000,0600,00001POUNDS OF LAUNDRY 38875,B100000,00000,0700,00001HOURS OF SERVICE 38875,B100000,00000,0800,00001MEALS SERVED 38875,B100000,00000,0801,00001NO. OF EMP 38875,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38875,B100000,00000,1000,00001COSTED REQUIS 38875,B100000,00000,1100,00001COSTED REQUIS 38875,B100000,00000,1200,00001TIME SPENT 38875,B100000,00000,1300,00001TIME SPENT 38875,B100000,00000,1400,00001ASSIGNED TIME 38875,E10A180,00301,0100,05/10/2000 38875,E10A180,00350,0100,01/18/2000 38875,S000000,00100,0200,05/22/2000 38875,S200000,00100,0100,4800 BEAR RD. 38875,S200000,00200,0100,LIVERPOOL 38875,S200000,00200,0200,NEW YORK 38875,S200000,00200,0300,13088 38875,S200000,00300,0100,ONONDAGA 38875,S200000,00400,0100,BIRCHWOOD HEALTH CARE CENTER INC. 38875,S200000,00400,0200,335678 38875,S200000,00400,0300,12/31/1984 38875,S200000,00400,0500,P 38875,S200000,01500,0100,Y 38875,S200000,03300,0100,Y 38883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38883,A000000,00300,0000,00300EMPLOYEE BENEFITS 38883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38883,A000000,00700,0000,00700HOUSEKEEPING 38883,A000000,00800,0000,00800DIETARY 38883,A000000,00801,0000,00801CAFETERIA 38883,A000000,00900,0000,00900NURSING ADMINISTRATION 38883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38883,A000000,01100,0000,01100PHARMACY 38883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38883,A000000,01300,0000,01300SOCIAL SERVICE 38883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38883,A000000,01600,0000,01600SKILLED NURSING FACILITY 38883,A000000,01810,0000,01810ICF/MR 38883,A000000,02100,0000,02100RADIOLOGY 38883,A000000,02200,0000,02200LABORATORY 38883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38883,A000000,02500,0000,02500PHYSICAL THERAPY 38883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38883,A000000,02700,0000,02700SPEECH PATHOLOGY 38883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38883,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38883,A000000,03550,0000,03550FQHC 38883,A000000,05000,0000,05000CORF 38883,A000000,05010,0000,05010CMHC 38883,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38883,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38883,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38883,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38883,A000000,06151,0000,06301GUEST MEALS 38883,A000000,06152,0000,06302MEALS ON WHEELS 38883,A81000A,00100,0100,Y 38883,A81000B,00100,0300,RENT 38883,A81000B,00200,0300,PREPAY PENALTY 38883,A81000B,00300,0300,MTG. INT. 38883,A81000B,00400,0300,DEPREC. - BLDG. 38883,A81000B,00500,0300,AMORT. - MTG. ACQ. 38883,A81000B,00600,0300,ACCTG. FEES 38883,A81000B,00700,0300,DRUG COMPANIES 38883,A81000B,00800,0300,DEPREC. - MAJOR MOV. 38883,A81000C,00100,0100,A 38883,A81000C,00100,0200,ROBERT M. CHUR 38883,A81000C,00100,0400,ELDERWOOD AFFIL 38883,A81000C,00100,0600,PROP. CO. 38883,A81000C,00200,0100,A 38883,A81000C,00200,0200,ROBERT M. CHUR 38883,A81000C,00200,0400,ELDERWOOD AFFIL 38883,A81000C,00200,0600,MMGT. CO. 38883,A81000C,00300,0100,A 38883,A81000C,00300,0200,ROBERT M. CHUR 38883,A81000C,00300,0400,WOODMARK PHARMA 38883,A81000C,00300,0600,PHARMACY 38883,B100000,00000,0100,00002SQUARE FEET 38883,B100000,00000,0200,00002SQUARE FEET 38883,B100000,00000,0300,00002GROSS SALARIES 38883,B100000,00000,0400,00002ACCUM COST 38883,B100000,00000,0500,00002SQUARE FEET 38883,B100000,00000,0600,00002POUNDS OF LAUNDRY 38883,B100000,00000,0700,00002HOURS OF SERVICE 38883,B100000,00000,0800,00002MEALS SERVED 38883,B100000,00000,0801,00002NO. OF EMPLOYEES 38883,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 38883,B100000,00000,1000,00002COSTED REQUIS 38883,B100000,00000,1100,00002COSTED REQUIS 38883,B100000,00000,1200,00002TIME SPENT 38883,B100000,00000,1300,00002TIME SPENT 38883,B100000,00000,1400,00002ASSIGNED TIME 38883,E10A180,00301,0100,05/10/2000 38883,E10A180,00350,0100,08/30/1999 38883,E10A180,00501,0100,04/07/2001 38883,E10A180,00501,0300,05/26/2000 38883,E10A180,00550,0100,05/26/2000 38883,E10A180,00550,0300,04/27/2001 38883,S000000,00100,0200,05/22/2000 38883,S200000,00100,0100,5775 MAELOU DR. 38883,S200000,00200,0100,HAMBURG 38883,S200000,00200,0200,NEW YORK 38883,S200000,00200,0300,14075 38883,S200000,00300,0100,ERIE 38883,S200000,00400,0100,LAKEWOOD HEALTH CARE CENTER INC. 38883,S200000,00400,0200,335679 38883,S200000,00400,0300,01/21/1985 38883,S200000,00400,0500,P 38883,S200000,01500,0100,Y 38883,S200000,03300,0100,Y 38894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38894,A000000,00300,0000,00300EMPLOYEE BENEFITS 38894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38894,A000000,00700,0000,00700HOUSEKEEPING 38894,A000000,00800,0000,00800DIETARY 38894,A000000,00900,0000,00900NURSING ADMINISTRATION 38894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38894,A000000,01100,0000,01100PHARMACY 38894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38894,A000000,01300,0000,01300SOCIAL SERVICE 38894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38894,A000000,01600,0000,01600SKILLED NURSING FACILITY 38894,A000000,01810,0000,01810ICF/MR 38894,A000000,02100,0000,02100RADIOLOGY 38894,A000000,02200,0000,02200LABORATORY 38894,A000000,02300,0000,02300INTRAVENOUS THERAPY 38894,A000000,02500,0000,02500PHYSICAL THERAPY 38894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38894,A000000,02700,0000,02700SPEECH PATHOLOGY 38894,A000000,02800,0000,02800ELECTROCARDIOLOGY 38894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38894,A000000,03550,0000,03550FQHC 38894,A000000,04800,0000,04800AMBULANCE 38894,A000000,05000,0000,05000CORF 38894,A000000,05010,0000,05010CMHC 38894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38894,A000000,06150,0000,06300ADULT DAY CARE 38894,A000000,06151,0000,06301DENTAL 38894,A81000A,00100,0100,Y 38894,A81000B,00100,0300,RENT 38894,A81000B,00200,0300,MORTG INT 38894,A81000B,00300,0300,DEPRECIATION 38894,A81000B,00400,0300,ACCOUNTING FEES 38894,A81000C,00100,0100,A 38894,A81000C,00100,0200,BERKSHIRE REALT 38894,A81000C,00100,0600,PARTNERSHIP 38894,B100000,00000,0100,00001SQUARE FEET 38894,B100000,00000,0200,00001SQUARE FEET 38894,B100000,00000,0300,00001GROSS SALARIES 38894,B100000,00000,0400,00001ACCUM COST 38894,B100000,00000,0500,00001SQUARE FEET 38894,B100000,00000,0600,00001POUNDS OF LAUNDRY 38894,B100000,00000,0700,00001HOURS OF SERVICE 38894,B100000,00000,0800,00001MEALS SERVED 38894,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38894,B100000,00000,1000,00001COSTED REQUISITIO 38894,B100000,00000,1100,00001COSTED REQUISITIO 38894,B100000,00000,1200,00001TIME SPENT 38894,B100000,00000,1300,00001TIME SPENT 38894,B100000,00000,1400,00001ASSIGNED TIME 38894,E10A180,00301,0100,05/10/2000 38894,S000000,00100,0200,05/26/2000 38894,S200000,00100,0100,134 GREAT NECK ROAD 38894,S200000,00200,0100,WEST BABYLON NY 11707 38894,S200000,00300,0100,SUFFOLK 38894,S200000,00400,0100,EAST NECK NURSING & REHAB CENTER 38894,S200000,00400,0200,335681 38894,S200000,00400,0300,02/15/1985 38894,S200000,00400,0500,P 38894,S200000,01500,0100,Y 38894,S200000,04200,0100,Y 38894,S200000,04300,0100,Y 38903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38903,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 38903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38903,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 38903,A000000,00300,0000,00300EMPLOYEE BENEFITS 38903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38903,A000000,00700,0000,00700HOUSEKEEPING 38903,A000000,00800,0000,00800DIETARY 38903,A000000,00801,0000,00801CAFETERIA 38903,A000000,00900,0000,00900NURSING ADMINISTRATION 38903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38903,A000000,01100,0000,01100PHARMACY 38903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38903,A000000,01300,0000,01300SOCIAL SERVICE 38903,A000000,01350,0000,01500ACTIVITIES 38903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38903,A000000,01600,0000,01600SKILLED NURSING FACILITY 38903,A000000,01810,0000,01810ICF/MR 38903,A000000,02100,0000,02100RADIOLOGY 38903,A000000,02200,0000,02200LABORATORY 38903,A000000,02300,0000,02300INTRAVENOUS THERAPY 38903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38903,A000000,02500,0000,02500PHYSICAL THERAPY 38903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38903,A000000,02700,0000,02700SPEECH PATHOLOGY 38903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38903,A000000,03050,0000,03300PHYSICIANS 38903,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 38903,A000000,03052,0000,03302OTHER ANCILLARY III 38903,A000000,03200,0000,03200SUPPORT SURFACES 38903,A000000,03450,0000,03600OUTPATIENT P.T. 38903,A000000,03451,0000,03601OUTPATIENT O.T. 38903,A000000,03452,0000,03602OUTPATIENT S.T. 38903,A000000,03550,0000,03550FQHC 38903,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38903,A000000,04800,0000,04800AMBULANCE 38903,A000000,05000,0000,05000CORF I 38903,A000000,05010,0000,05010CMHC I 38903,A000000,05020,0000,05020OPT I 38903,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38903,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38903,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 38903,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 38903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38903,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38903,A81000A,00100,0100,Y 38903,A81000B,00100,0300,DEPREC/INTEREST/INS 38903,A81000B,00200,0300,ADMIN/FISCAL SVC 38903,A81000B,00300,0300,PLANT/MAINT 38903,A81000B,00400,0300,LAUNDRY SVC 38903,A81000B,00500,0300,LAUNDRY SVC 38903,A81000C,00100,0100,A 38903,A81000C,00100,0200,NEIL M. CHUR 38903,A81000C,00100,0400,THE PARK ASSOC. 38903,A81000C,00100,0600,ADMIN FIN QA 38903,A81000C,00200,0100,F 38903,A81000C,00200,0200,BARBARA B. CHUR 38903,A81000C,00200,0400,PARK COLLECTION 38903,A81000C,00200,0600,WHOLESALE PURCH 38903,B100000,00000,0100,00000(SQUARE FEET) 38903,B100000,00000,0101,00000(SQUARE FEET) 38903,B100000,00000,0200,00000(SQUARE FEET) 38903,B100000,00000,0201,00000(SQUARE FEET) 38903,B100000,00000,0300,00000(GROSS SALARIES) 38903,B100000,00000,0400,00000(ACCUM. COST) 38903,B100000,00000,0500,00000(SQUARE FEET) 38903,B100000,00000,0600,00000(PATIENT DAYS) 38903,B100000,00000,0700,00000(SQUARE FEET) 38903,B100000,00000,0800,00000(MEALS SERVED) 38903,B100000,00000,0801,00000(MEALS SERVED) 38903,B100000,00000,0900,00000(GROSS CHARGES) 38903,B100000,00000,1000,00000(COSTED REQUIS.) 38903,B100000,00000,1100,00000(COSTED REQUIS.) 38903,B100000,00000,1200,00000(TIME SPENT) 38903,B100000,00000,1300,00000(PATIENT DAYS) 38903,B100000,00000,1350,00000(PATIENT DAYS) 38903,B100000,00000,1400,00000(ASSIGNED TIME) 38903,E10A180,00301,0100,05/10/2000 38903,E10A180,00350,0100,09/17/1999 38903,S000000,00100,0200,06/05/2000 38903,S200000,00100,0100,26 CASS STREET 38903,S200000,00200,0100,WESTFIELD 38903,S200000,00200,0200,NY 38903,S200000,00200,0300,14787 38903,S200000,00300,0100,CHAUTAUQUA 38903,S200000,00400,0100,WESTFIELD HEALTH CARE CENTER 38903,S200000,00400,0200,335683 38903,S200000,00400,0300,06/24/1985 38903,S200000,00400,0500,P 38903,S200000,01500,0100,Y 38903,S200000,04300,0100,Y 38906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38906,A000000,00300,0000,00300EMPLOYEE BENEFITS 38906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38906,A000000,00700,0000,00700HOUSEKEEPING 38906,A000000,00800,0000,00800DIETARY 38906,A000000,00900,0000,00900NURSING ADMINISTRATION 38906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38906,A000000,01100,0000,01100PHARMACY 38906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38906,A000000,01300,0000,01300SOCIAL SERVICE 38906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38906,A000000,01600,0000,01600SKILLED NURSING FACILITY 38906,A000000,01810,0000,01810ICF/MR 38906,A000000,02500,0000,02500PHYSICAL THERAPY 38906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38906,A000000,02700,0000,02700SPEECH PATHOLOGY 38906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38906,A000000,03550,0000,03550FQHC 38906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38906,A000000,05000,0000,05000CORF 38906,A000000,05010,0000,05010CMHC 38906,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38906,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38906,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38906,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38906,A000000,06151,0000,06301FRIENDS OF SENIORS 38906,A000000,06152,0000,06302ADULT HOME 38906,A000000,06153,0000,06303ADULT DAY HEALTH 38906,A000000,06154,0000,06304CHILD DAY CARE/CAMP 38906,A000000,06155,0000,06305LICENSED HOMECARE 38906,A000000,06156,0000,06306DENTAL 38906,A81000A,00100,0100,Y 38906,A81000B,00100,0300,SNF-LTHHP 38906,A81000C,00100,0100,G 38906,A81000C,00100,0400,HEALTH ADVANTAG 38906,A81000C,00100,0600,NON PROFIT 38906,B100000,00000,0100,00006SQUARE FEET 38906,B100000,00000,0200,00006DOLLAR VALUE 38906,B100000,00000,0300,00006GROSS SALARIES 38906,B100000,00000,0400,00006ACCUM COST 38906,B100000,00000,0500,00006SQUARE FEET 38906,B100000,00000,0600,00006POUNDS OF LAUNDRY 38906,B100000,00000,0700,00006HOURS OF SERVICE 38906,B100000,00000,0800,00006MEALS SERVED 38906,B100000,00000,0900,00006DIR NURSIN HRS OF SVC 38906,B100000,00000,1000,00006COSTED REQUISITIO 38906,B100000,00000,1100,00006COSTED REQUISITIO 38906,B100000,00000,1200,00006TIME SPENT 38906,B100000,00000,1300,00006TIME SPENT 38906,B100000,00000,1400,00006ASSIGNED TIME 38906,E10A180,00550,0100,06/07/2000 38906,H510100,00000,0000,5380 38906,H510100,02400,0000,5380 38906,S000000,00100,0200,06/23/2000 38906,S200000,00100,0100,6 HARRIMAN DRIVE 38906,S200000,00200,0100,GOSHEN 38906,S200000,00200,0200,NY 38906,S200000,00200,0300,10924 38906,S200000,00300,0100,ORANGE 38906,S200000,00400,0100,ARDEN HILL LIFECARE CENTER 38906,S200000,00400,0200,335684 38906,S200000,00400,0300,09/18/1985 38906,S200000,00400,0500,P 38906,S200000,00800,0200,337417 38906,S200000,00800,0300,09/13/1999 38906,S200000,00800,0500,P 38906,S200000,01500,0100,Y 38906,S200000,02900,0100,Y 38906,S200000,03000,0100,Y 38912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38912,A000000,00300,0000,00300EMPLOYEE BENEFITS 38912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38912,A000000,00700,0000,00700HOUSEKEEPING 38912,A000000,00800,0000,00800DIETARY 38912,A000000,00900,0000,00900NURSING ADMINISTRATION 38912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38912,A000000,01100,0000,01100PHARMACY 38912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38912,A000000,01300,0000,01300SOCIAL SERVICE 38912,A000000,01350,0000,01500ACTIVITIES 38912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38912,A000000,01600,0000,01600SKILLED NURSING FACILITY 38912,A000000,01810,0000,01810ICF/MR 38912,A000000,02500,0000,02500PHYSICAL THERAPY 38912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38912,A000000,02700,0000,02700SPEECH PATHOLOGY 38912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38912,A000000,03550,0000,03550FQHC 38912,A000000,05000,0000,05000CORF 38912,A000000,05010,0000,05010CMHC 38912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38912,A000000,05300,0000,05300INTEREST EXPENSE 38912,A000000,06105,0000,06150DENTAL 38912,A81000A,00100,0100,Y 38912,A81000B,00100,0300,PURCHASED SERVICES 38912,A81000C,00100,0100,A 38912,A81000C,00100,0200,CHARLES A. GLES 38912,A81000C,00100,0400,MEDICAL LINEN S 38912,A81000C,00100,0600,LINEN SERVICE 38912,B100000,00000,0100,00050SQUARE FEET 38912,B100000,00000,0200,00050SQUARE FEET 38912,B100000,00000,0300,00050GROSS SALARIES 38912,B100000,00000,0400,00050ACCUM COST 38912,B100000,00000,0500,00050SQUARE FEET 38912,B100000,00000,0600,00050POUNDS OF LAUNDRY 38912,B100000,00000,0700,00050HOURS OF SERVICE 38912,B100000,00000,0800,00050MEALS SERVED 38912,B100000,00000,0900,00050DIRECT NRSG HRS 38912,B100000,00000,1000,00050COSTED REQUIS 38912,B100000,00000,1100,00050COSTED REQUIS 38912,B100000,00000,1200,00050TIME SPENT 38912,B100000,00000,1300,00050TIME SPENT 38912,B100000,00000,1350,00050TIME SPENT 38912,B100000,00000,1400,00050ASSIGNED TIME 38912,E10A180,00301,0100,01/18/2000 38912,E10A180,00302,0100,05/10/2000 38912,S000000,00100,0200,05/31/2001 38912,S200000,00100,0100,154 LAFAYETTE STREET 38912,S200000,00100,0300,425 38912,S200000,00200,0100,PALATINE BRIDGE 38912,S200000,00200,0200,NY 38912,S200000,00200,0300,13428 38912,S200000,00300,0100,MONTGOMERY COUNTY 38912,S200000,00400,0100,PALATINE NURSING HOME 38912,S200000,00400,0200,335685 38912,S200000,00400,0300,10/01/1985 38912,S200000,00400,0500,P 38912,S200000,01500,0100,Y 38916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38916,A000000,00300,0000,00300EMPLOYEE BENEFITS 38916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38916,A000000,00700,0000,00700HOUSEKEEPING 38916,A000000,00800,0000,00800DIETARY 38916,A000000,00900,0000,00900NURSING ADMINISTRATION 38916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38916,A000000,01100,0000,01100PHARMACY 38916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38916,A000000,01300,0000,01300SOCIAL SERVICE 38916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38916,A000000,01600,0000,01600SKILLED NURSING FACILITY 38916,A000000,01810,0000,01810ICF/MR 38916,A000000,02500,0000,02500PHYSICAL THERAPY 38916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38916,A000000,02700,0000,02700SPEECH PATHOLOGY 38916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38916,A000000,03550,0000,03550FQHC 38916,A000000,05000,0000,05000CORF 38916,A000000,05010,0000,05010CMHC 38916,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38916,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38916,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38916,A000000,06150,0000,06300ADULT DAY CARE 38916,A000000,06151,0000,06301DENTAL 38916,A81000A,00100,0100,Y 38916,A81000B,00100,0300,RENT 38916,A81000B,00200,0300,MORTG INT 38916,A81000B,00300,0300,RE TAXES 38916,A81000B,00400,0300,MIP 38916,A81000B,00500,0300,AMORT MGT EXP 38916,B100000,00000,0100,00001SQUARE FEET 38916,B100000,00000,0200,00001SQUARE FEET 38916,B100000,00000,0300,00001GROSS SALARIES 38916,B100000,00000,0400,00001ACCUM COST 38916,B100000,00000,0500,00001SQUARE FEET 38916,B100000,00000,0600,00001POUNDS OF LAUNDRY 38916,B100000,00000,0700,00001HOURS OF SERVICE 38916,B100000,00000,0800,00001MEALS SERVED 38916,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38916,B100000,00000,1000,00001COSTED REQUISITIO 38916,B100000,00000,1100,00001COSTED REQUISITIO 38916,B100000,00000,1200,00001TIME SPENT 38916,B100000,00000,1300,00001TIME SPENT 38916,B100000,00000,1400,00001ASSIGNED TIME 38916,E10A180,00301,0100,05/10/2000 38916,S000000,00100,0200,05/26/2000 38916,S200000,00100,0100,539 ROUTE 22 38916,S200000,00200,0100,PURDYS 38916,S200000,00200,0200,NY 38916,S200000,00200,0300,10578 38916,S200000,00300,0100,WESTCHESTER 38916,S200000,00400,0100,SALEM HILLS HEALTH CARE CENER 38916,S200000,00400,0200,335687 38916,S200000,00400,0300,07/23/1987 38916,S200000,00400,0500,P 38916,S200000,01500,0100,Y 38916,S200000,04200,0100,Y 38916,S200000,04300,0100,Y 38919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38919,A000000,00300,0000,00300EMPLOYEE BENEFITS 38919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38919,A000000,00700,0000,00700HOUSEKEEPING 38919,A000000,00800,0000,00800DIETARY 38919,A000000,00900,0000,00900NURSING ADMINISTRATION 38919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38919,A000000,01100,0000,01100PHARMACY 38919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38919,A000000,01300,0000,01300SOCIAL SERVICE 38919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38919,A000000,01600,0000,01600SKILLED NURSING FACILITY 38919,A000000,01810,0000,01810ICF/MR 38919,A000000,02100,0000,02100RADIOLOGY 38919,A000000,02200,0000,02200LABORATORY 38919,A000000,02500,0000,02500PHYSICAL THERAPY 38919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38919,A000000,02700,0000,02700SPEECH PATHOLOGY 38919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38919,A000000,03550,0000,03550FQHC 38919,A000000,05000,0000,05000CORF 38919,A000000,05010,0000,05010CMHC 38919,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38919,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38919,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38919,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38919,A000000,06150,0000,06300ADULT DAY CARE 38919,A000000,06151,0000,06301DENTAL 38919,A81000A,00100,0100,Y 38919,A81000B,00100,0300,RENT 38919,A81000B,00200,0300,RE TAXES 38919,A81000B,00300,0300,DEPRECIATION 38919,A81000B,00400,0300,MISC 38919,A81000B,00500,0300,ACCOUNTING FEES 38919,A81000C,00100,0100,A 38919,A81000C,00100,0200,ELEANOR WHITE 38919,A81000C,00100,0400,WOODBURY REALTY 38919,A81000C,00200,0100,A 38919,A81000C,00200,0200,CLARA SIEGEL 38919,A81000C,00200,0400,WOODBURY REALTY 38919,A81000C,00300,0100,A 38919,A81000C,00300,0200,BARBARA GODT 38919,A81000C,00300,0400,WOODBURY REALTY 38919,A81000C,00400,0100,A 38919,A81000C,00400,0200,ELEANOR WHITE 38919,A81000C,00500,0100,A 38919,A81000C,00500,0200,JEFFERY WHITE 38919,B100000,00000,0100,00001SQUARE FEET 38919,B100000,00000,0200,00001SQUARE FEET 38919,B100000,00000,0300,00001GROSS SALARIES 38919,B100000,00000,0400,00001ACCUM COST 38919,B100000,00000,0500,00001SQUARE FEET 38919,B100000,00000,0600,00001POUNDS OF LAUNDRY 38919,B100000,00000,0700,00001HOURS OF SERVICE 38919,B100000,00000,0800,00001MEALS SERVED 38919,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38919,B100000,00000,1000,00001COSTED REQUISITIO 38919,B100000,00000,1100,00001COSTED REQUISITIO 38919,B100000,00000,1200,00001TIME SPENT 38919,B100000,00000,1300,00001TIME SPENT 38919,B100000,00000,1400,00001ASSIGNED TIME 38919,E10A180,00301,0100,05/10/2000 38919,E10A180,00550,0100,06/07/2000 38919,S000000,00100,0200,05/25/2000 38919,S200000,00100,0100,8565 JERICHO TPKE 38919,S200000,00200,0100,WOODBURY 38919,S200000,00200,0200,NY 38919,S200000,00200,0300,11797 38919,S200000,00300,0100,NASSAU 38919,S200000,00400,0100,WHITE OAKS NURSING HOME 38919,S200000,00400,0200,335690 38919,S200000,00400,0300,10/30/1987 38919,S200000,00400,0500,P 38919,S200000,01500,0100,Y 38919,S200000,04300,0100,Y 38927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38927,A000000,00300,0000,00300EMPLOYEE BENEFITS 38927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38927,A000000,00700,0000,00700HOUSEKEEPING 38927,A000000,00800,0000,00800DIETARY 38927,A000000,00801,0000,00801CAFETERIA 38927,A000000,00900,0000,00900NURSING ADMINISTRATION 38927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38927,A000000,01100,0000,01100PHARMACY 38927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38927,A000000,01300,0000,01300SOCIAL SERVICE 38927,A000000,01350,0000,01500ACTIVITIES 38927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38927,A000000,01600,0000,01600SKILLED NURSING FACILITY 38927,A000000,01810,0000,01810ICF/MR 38927,A000000,02100,0000,02100RADIOLOGY 38927,A000000,02200,0000,02200LABORATORY 38927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38927,A000000,02500,0000,02500PHYSICAL THERAPY 38927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38927,A000000,02700,0000,02700SPEECH PATHOLOGY 38927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38927,A000000,03550,0000,03550FQHC 38927,A000000,05000,0000,05000CORF 38927,A000000,05010,0000,05010CMHC 38927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38927,A000000,05300,0000,05300INTEREST EXPENSE 38927,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 38927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38927,A000000,06150,0000,06300GUEST MEALS 38927,A000000,06151,0000,06301DENTAL 38927,A81000A,00100,0100,Y 38927,A81000B,00100,0300,RECEIVER FEES 38927,A81000B,00200,0300,ADMIN / CONSULTING 38927,A81000B,00300,0300,ADMIN / CONSULTING 38927,A81000B,00400,0300,ADMIN / CONSULTING 38927,A81000B,00500,0300,ADMIN / CONSULTING 38927,A81000B,00600,0300,ADMIN / CONSULTING 38927,A81000C,00100,0100,G 38927,A81000C,00100,0200,LORETTO PROPERT 38927,A81000C,00100,0400,LORETTO PROPERT 38927,A81000C,00100,0600,RECEIVER 38927,A81000C,00200,0100,A 38927,A81000C,00200,0200,HILLTOP MANOR 38927,A81000C,00200,0400,HILLTOP MANOR 38927,A81000C,00200,0600,SNF 38927,A81000C,00300,0100,A 38927,A81000C,00300,0200,HILLTOP MANOR 38927,A81000C,00300,0400,HILLTOP MANOR 38927,A81000C,00300,0600,SNF 38927,A81000C,00400,0100,A 38927,A81000C,00400,0200,HILLTOP MANOR 38927,A81000C,00400,0400,HILLTOP MANOR 38927,A81000C,00400,0600,SNF 38927,A81000C,00500,0100,A 38927,A81000C,00500,0200,HILLTOP MANOR 38927,A81000C,00500,0400,HILLTOP MANOR 38927,A81000C,00500,0600,SNF 38927,A81000C,00600,0100,A 38927,A81000C,00600,0200,HILLTOP MANOR 38927,A81000C,00600,0400,HILLTOP MANOR 38927,A81000C,00600,0600,SNF 38927,B100000,00000,0100,00001SQUARE FEET 38927,B100000,00000,0200,00001SQUARE FEET 38927,B100000,00000,0300,00001GROSS SALARIES 38927,B100000,00000,0400,00001ACCUM COST 38927,B100000,00000,0500,00001SQUARE FEET 38927,B100000,00000,0600,00001POUNDS OF LAUNDRY 38927,B100000,00000,0700,00001HOURS OF SERVICE 38927,B100000,00000,0800,00001MEALS SERVED 38927,B100000,00000,0801,00001NUMBER OF EMPLOYEES 38927,B100000,00000,0900,00001DIRECT NRSG HRS 38927,B100000,00000,1000,00001COSTED REQUIS 38927,B100000,00000,1100,00001COSTED REQUIS 38927,B100000,00000,1200,00001TIME SPENT 38927,B100000,00000,1300,00001TIME SPENT 38927,B100000,00000,1350,00001NUMBER OF PARTICIPAN 38927,B100000,00000,1400,00001ASSIGNED TIME 38927,S000000,00100,0200,12/01/2000 38927,S200000,00100,0100,284 TROY ROAD 38927,S200000,00200,0100,RENSSELAER 38927,S200000,00200,0200,NY 38927,S200000,00200,0300,12144 38927,S200000,00300,0100,RENSSELAER 38927,S200000,00400,0100,ROSEWOOD GARDENS CONVALESCENT CTR 38927,S200000,00400,0200,335693 38927,S200000,00400,0300,05/24/1988 38927,S200000,00400,0500,P 38927,S200000,01500,0100,Y 38927,S200000,02800,0100,Y 38935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38935,A000000,00300,0000,00300EMPLOYEE BENEFITS 38935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38935,A000000,00700,0000,00700HOUSEKEEPING 38935,A000000,00800,0000,00800DIETARY 38935,A000000,00900,0000,00900NURSING ADMINISTRATION 38935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38935,A000000,01100,0000,01100PHARMACY 38935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38935,A000000,01300,0000,01300SOCIAL SERVICE 38935,A000000,01350,0000,01500ACTIVITIES 38935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38935,A000000,01600,0000,01600SKILLED NURSING FACILITY 38935,A000000,01810,0000,01810ICF/MR 38935,A000000,01900,0000,01900OTHER LONG TERM CARE 38935,A000000,02100,0000,02100RADIOLOGY 38935,A000000,02200,0000,02200LABORATORY 38935,A000000,02500,0000,02500PHYSICAL THERAPY 38935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38935,A000000,02700,0000,02700SPEECH PATHOLOGY 38935,A000000,02800,0000,02800ELECTROCARDIOLOGY 38935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38935,A000000,03200,0000,03200SUPPORT SURFACES 38935,A000000,03550,0000,03550FQHC 38935,A000000,05000,0000,05000CORF 38935,A000000,05010,0000,05010CMHC 38935,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38935,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38935,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38935,A81000A,00100,0100,Y 38935,A81000B,00100,0300,RENT 38935,A81000B,00200,0300,INTEREST 38935,A81000B,00300,0300,AMORTIZATION 38935,A81000B,00400,0300,DEPRECIATION - BUILDING 38935,A81000B,00500,0300,DEPRECIATION - MOVABLE EQUIPME 38935,A81000B,00600,0300,ACCOUNTING 38935,A81000B,00700,0300,LEGAL & OFFICE 38935,A81000B,00800,0300,MORTGAGE INSURANCE 38935,A81000C,00100,0100,A 38935,A81000C,00100,0200,FRANK MCGUIRE 38935,A81000C,00100,0400,BHCF-PARTNERSHP 38935,A81000C,00100,0600,RENTAL 38935,A81000C,00200,0100,A 38935,A81000C,00200,0200,DONALD SMITH 38935,A81000C,00200,0400,BHCF-PARTNERSHP 38935,A81000C,00200,0600,RENTAL 38935,B100000,00000,0100,00000SQUARE FEET 38935,B100000,00000,0200,00000SQUARE FEET 38935,B100000,00000,0300,00000GROSS SAL 38935,B100000,00000,0400,00000ACCUM. COST 38935,B100000,00000,0500,00000SQUARE FEET 38935,B100000,00000,0600,00000LBS. OF LAUNDRY 38935,B100000,00000,0700,00000HOUSEKEEPI HOURS 38935,B100000,00000,0800,00000DIETARY MEALS 38935,B100000,00000,0900,00000NURSING ADMIN. HOU 38935,B100000,00000,1000,00000COSTED REQUIS 38935,B100000,00000,1100,00000COSTED REQUIS 38935,B100000,00000,1200,00000MED. RECORDS TI 38935,B100000,00000,1300,00000SOCIAL SERVICE TI 38935,B100000,00000,1350,00000ACTIVITIES PARTIC. 38935,B100000,00000,1400,00000ASSIGNED TIME 38935,E10A180,00301,0100,09/21/1999 38935,E10A180,00302,0100,05/10/2000 38935,S000000,00100,0200,05/30/2000 38935,S200000,00100,0100,801 GAZZOLA BOULEVARD 38935,S200000,00200,0100,EAST PATCHOGUE 38935,S200000,00200,0200,NY 38935,S200000,00200,0300,11772 38935,S200000,00300,0100,SUFFOLK 38935,S200000,00400,0100,BROOKHAVEN HEALTH CARE FACILITY 38935,S200000,00400,0200,335694 38935,S200000,00400,0300,04/27/1988 38935,S200000,00400,0500,P 38935,S200000,01500,0100,Y 38935,S200000,04100,0100,Y 38935,S200000,04200,0100,Y 38935,S200000,04300,0100,Y 38939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38939,A000000,00300,0000,00300EMPLOYEE BENEFITS 38939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38939,A000000,00700,0000,00700HOUSEKEEPING 38939,A000000,00800,0000,00800DIETARY 38939,A000000,00900,0000,00900NURSING ADMINISTRATION 38939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38939,A000000,01100,0000,01100PHARMACY 38939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38939,A000000,01300,0000,01300SOCIAL SERVICE 38939,A000000,01350,0000,01500ACTIVITIES 38939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38939,A000000,01600,0000,01600SKILLED NURSING FACILITY 38939,A000000,01810,0000,01810ICF/MR 38939,A000000,02100,0000,02100RADIOLOGY 38939,A000000,02200,0000,02200LABORATORY 38939,A000000,02500,0000,02500PHYSICAL THERAPY 38939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38939,A000000,02700,0000,02700SPEECH PATHOLOGY 38939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38939,A000000,03200,0000,03200SUPPORT SURFACES 38939,A000000,03550,0000,03550FQHC 38939,A000000,05000,0000,05000CORF 38939,A000000,05010,0000,05010CMHC 38939,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38939,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38939,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38939,A000000,06150,0000,06300DENTAL 38939,A81000A,00100,0100,Y 38939,A81000B,00100,0300,MORTGAGE INTEREST 38939,A81000B,00200,0300,MORTGAGE INSURANCE 38939,A81000B,00300,0300,REAL ESTATE TAXES 38939,A81000B,00400,0300,DEPRECIATION-BUILDING 38939,A81000B,00500,0300,WATER & SEWER 38939,A81000B,00600,0300,RENT 38939,A81000B,00700,0300,COMPUTER SERVICE FEES 38939,A81000B,00800,0300,SALARIES 38939,A81000B,00900,0300,EMPLOYEE BENEFITS 38939,A81000B,01000,0300,NONLABOR 38939,A81000B,01100,0300,DEPRECIATION 38939,A81000B,01200,0300,LABOR 38939,A81000B,01300,0300,EMPLOYEE BENEFITS 38939,A81000B,01400,0300,LABOR 38939,A81000B,01500,0300,LABOR 38939,A81000B,01600,0300,NONLABOR 38939,A81000C,00100,0100,A 38939,A81000C,00100,0200,E BENESON 38939,A81000C,00100,0600,REALTY 38939,A81000C,00200,0100,A 38939,A81000C,00200,0200,E DICKER 38939,A81000C,00200,0600,REALTY 38939,A81000C,00300,0100,A 38939,A81000C,00300,0200,FILASKI GROUP 38939,A81000C,00300,0600,REALTY 38939,A81000C,00400,0100,A 38939,A81000C,00400,0200,E DICKER 38939,A81000C,00400,0600,FISCAL SERVICE 38939,A81000C,00500,0100,A 38939,A81000C,00500,0200,J DICKER 38939,A81000C,00500,0600,FISCAL SERVICES 38939,A81000C,00600,0100,A 38939,A81000C,00600,0200,SEACREST 38939,A81000C,00600,0600,FISCAL SERVICES 38939,B100000,00000,0100,00000SQUARE FEET 38939,B100000,00000,0200,00000SQUARE FEET 38939,B100000,00000,0300,00000GROSS SALARIES 38939,B100000,00000,0400,00000ACCUM COST 38939,B100000,00000,0500,00000SQUARE FEET 38939,B100000,00000,0600,00000POUNDS OF LAUNDRY 38939,B100000,00000,0700,00000HOURS OF SERVICE 38939,B100000,00000,0800,00000MEALS SERVED 38939,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38939,B100000,00000,1000,00000COSTED REQUISITIO 38939,B100000,00000,1100,00000COSTED REQUISITIO 38939,B100000,00000,1200,00000TIME SPENT 38939,B100000,00000,1300,00000TIME SPENT 38939,B100000,00000,1350,00000TIME SPENT 38939,B100000,00000,1400,00000ASSIGNED TIME 38939,E10A180,00301,0100,05/10/2000 38939,E10A180,00550,0100,06/07/2000 38939,S000000,00100,0200,05/31/2000 38939,S200000,00100,0100,311 WEST 231ST STREET 38939,S200000,00200,0100,BRONX 38939,S200000,00200,0200,NY 38939,S200000,00200,0300,10463 38939,S200000,00300,0100,BRONX 38939,S200000,00400,0100,MANHATTANVILLE HEALTH CARE CTR. INC. 38939,S200000,00400,0200,335695 38939,S200000,00400,0300,11/10/1988 38939,S200000,00400,0500,P 38939,S200000,01500,0100,Y 38943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38943,A000000,00300,0000,00300EMPLOYEE BENEFITS 38943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38943,A000000,00700,0000,00700HOUSEKEEPING 38943,A000000,00800,0000,00800DIETARY 38943,A000000,00900,0000,00900NURSING ADMINISTRATION 38943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38943,A000000,01100,0000,01100PHARMACY 38943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38943,A000000,01300,0000,01300SOCIAL SERVICE 38943,A000000,01350,0000,01500ACTIVITIES 38943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38943,A000000,01600,0000,01600SKILLED NURSING FACILITY 38943,A000000,01810,0000,01810ICF/MR 38943,A000000,02100,0000,02100RADIOLOGY 38943,A000000,02200,0000,02200LABORATORY 38943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 38943,A000000,02500,0000,02500PHYSICAL THERAPY 38943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38943,A000000,02700,0000,02700SPEECH PATHOLOGY 38943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38943,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38943,A000000,03550,0000,03550FQHC 38943,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 38943,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 38943,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38943,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38943,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 38943,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 38943,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 38943,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 38943,A000000,05000,0000,05000CORF 38943,A000000,05010,0000,05010CMHC 38943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 38943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38943,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 38943,A000000,06151,0000,06301AUDIOLOGY 38943,A000000,06201,0000,06201FUND RAISING 38943,A000000,06202,0000,06202ADULT DAY CARE 38943,A000000,06203,0000,06203DENTAL 38943,B100000,00000,0100,00001SQUARE FEET 38943,B100000,00000,0200,00001SQUARE FEET 38943,B100000,00000,0300,00001GROSS SALARIES 38943,B100000,00000,0400,00001ACCUM COST 38943,B100000,00000,0500,00001SQUARE FEET 38943,B100000,00000,0600,00001POUNDS OF LAUNDRY 38943,B100000,00000,0700,00001HOURS OF SERVICE 38943,B100000,00000,0800,00001MEALS SERVED 38943,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 38943,B100000,00000,1000,00001COSTED REQUISITIO 38943,B100000,00000,1100,00001COSTED REQUISITIO 38943,B100000,00000,1200,00001TIME SPENT 38943,B100000,00000,1300,00001TIME SPENT 38943,B100000,00000,1350,00001ASSIGNED TIME 38943,B100000,00000,1400,00001ASSIGNED TIME 38943,E10A180,00301,0100,05/10/2000 38943,H510100,00000,0000,5380 38943,H510100,02400,0000,5380 38943,H710000,00501,0100,03/20/2001 38943,H710000,00501,0300,03/20/2001 38943,S000000,00100,0200,06/24/2000 38943,S200000,00100,0100,68 HAUPPAUGE ROAD 38943,S200000,00200,0100,COMMACK 38943,S200000,00200,0200,NEW YORK 38943,S200000,00200,0300,11725 38943,S200000,00300,0100,SUFFOLK 38943,S200000,00400,0100,GURWIN JEWISH GERIATRIC CENTER 38943,S200000,00400,0200,335696 38943,S200000,00400,0300,10/17/1988 38943,S200000,00400,0500,P 38943,S200000,00800,0200,337413 38943,S200000,00800,0300,03/13/1997 38943,S200000,00800,0500,P 38943,S200000,01500,0100,Y 38943,S410002,01300,0000,OTHER 38957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38957,A000000,00300,0000,00300EMPLOYEE BENEFITS 38957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38957,A000000,00700,0000,00700HOUSEKEEPING 38957,A000000,00800,0000,00800DIETARY 38957,A000000,00900,0000,00900NURSING ADMINISTRATION 38957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38957,A000000,01100,0000,01100PHARMACY 38957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38957,A000000,01300,0000,01300SOCIAL SERVICE 38957,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 38957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38957,A000000,01600,0000,01600SKILLED NURSING FACILITY 38957,A000000,01810,0000,01810ICF/MR 38957,A000000,02100,0000,02100RADIOLOGY 38957,A000000,02200,0000,02200LABORATORY 38957,A000000,02300,0000,02300INTRAVENOUS THERAPY 38957,A000000,02500,0000,02500PHYSICAL THERAPY 38957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38957,A000000,02700,0000,02700SPEECH PATHOLOGY 38957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38957,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 38957,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38957,A000000,03200,0000,03200SUPPORT SURFACES 38957,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 38957,A000000,03550,0000,03550FQHC 38957,A000000,05000,0000,05000CORF 38957,A000000,05010,0000,05010CMHC 38957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38957,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38957,A000000,06100,0000,06100NONPAID WORKERS 38957,A000000,06150,0000,063002OTHER NON REIMBURSABLE COST 38957,A000000,06201,0000,06201ADULT DAY CARE-BROOKLYN 38957,A000000,06202,0000,06202ADULT DAY CARE-QUEENS SITE 38957,B100000,00000,0100,00000SQUARE FEET 38957,B100000,00000,0200,00000SQUARE FEET 38957,B100000,00000,0300,00000GROSS SALARIES 38957,B100000,00000,0400,00000ACCUM COST 38957,B100000,00000,0500,00000SQUARE FEET 38957,B100000,00000,0600,00000POUNDS OF LAUNDRY 38957,B100000,00000,0700,00000HOURS OF SERVICE 38957,B100000,00000,0800,00000MEALS SERVED 38957,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 38957,B100000,00000,1000,00000COSTED REQUISITIO 38957,B100000,00000,1100,00000COSTED REQUISITIO 38957,B100000,00000,1200,00000TIME SPENT 38957,B100000,00000,1300,00000TIME SPENT 38957,B100000,00000,1350,00000ASSIGNED TIME 38957,B100000,00000,1400,00000ASSIGNED TIME 38957,E10A180,00301,0100,09/17/1999 38957,E10A180,00302,0100,05/10/2000 38957,S000000,00100,0200,07/07/2000 38957,S200000,00100,0100,50 SHEFFIELD AVENUE 38957,S200000,00200,0100,BROOKLYN 38957,S200000,00200,0200,NEW YORK 38957,S200000,00200,0300,12207 38957,S200000,00300,0100,KINGS 38957,S200000,00400,0100,WARTBURG LUTHERAN HOME FOR THE AGING 38957,S200000,00400,0200,335703 38957,S200000,00400,0300,01/01/1989 38957,S200000,00400,0500,P 38957,S200000,01500,0100,Y 38977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38977,A000000,00300,0000,00300EMPLOYEE BENEFITS 38977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38977,A000000,00700,0000,00700HOUSEKEEPING 38977,A000000,00800,0000,00800DIETARY 38977,A000000,00900,0000,00900NURSING ADMINISTRATION 38977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38977,A000000,01100,0000,01100PHARMACY 38977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38977,A000000,01300,0000,01300SOCIAL SERVICE 38977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38977,A000000,01600,0000,01600SKILLED NURSING FACILITY 38977,A000000,01810,0000,01810ICF/MR 38977,A000000,02500,0000,02500PHYSICAL THERAPY 38977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38977,A000000,02700,0000,02700SPEECH PATHOLOGY 38977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38977,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38977,A000000,03550,0000,03550FQHC 38977,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 38977,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 38977,A000000,05000,0000,05000CORF 38977,A000000,05001,0000,05001CORF II 38977,A000000,05010,0000,05010CMHC 38977,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38977,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38977,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38977,A000000,05901,0000,05901ADHC 38977,A81000A,00100,0100,Y 38977,A81000B,00100,0300,ADMIN. SALARIES 38977,A81000B,00200,0300,CHAPLIN SALARIES 38977,A81000C,00100,0100,B 38977,A81000C,00100,0400,DAUGHTERS OF CH 38977,B100000,00000,0100,00001SQUARE FEET 38977,B100000,00000,0200,00001SQUARE FEET 38977,B100000,00000,0300,00001GROSS SALARIES 38977,B100000,00000,0400,00001ACCUM COST 38977,B100000,00000,0500,00001SQUARE FEET 38977,B100000,00000,0600,00001POUNDS OF LAUNDRY 38977,B100000,00000,0700,00001HOURS OF SERVICE 38977,B100000,00000,0800,00001MEALS SERVED 38977,B100000,00000,0900,00001DIRECT NRSG HRS 38977,B100000,00000,1000,00001COSTED REQUIS 38977,B100000,00000,1100,00001COSTED REQUIS 38977,B100000,00000,1200,00001TIME SPENT 38977,B100000,00000,1300,00001TIME SPENT 38977,B100000,00000,1400,00001ASSIGNED TIME 38977,E10A180,00301,0100,09/24/1999 38977,E10A180,00302,0100,05/10/2000 38977,S000000,00100,0200,06/07/2000 38977,S200000,00100,0100,2787 MAIN STREET 38977,S200000,00200,0100,BUFFALO 38977,S200000,00200,0200,NY 38977,S200000,00200,0300,14214 38977,S200000,00300,0100,ERIE 38977,S200000,00400,0100,SAINT FRANCES GERIATRIC 38977,S200000,00400,0200,335707 38977,S200000,00400,0300,01/16/1990 38977,S200000,00400,0500,P 38977,S200000,01500,0100,Y 38985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38985,A000000,00300,0000,00300EMPLOYEE BENEFITS 38985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38985,A000000,00700,0000,00700HOUSEKEEPING 38985,A000000,00800,0000,00800DIETARY 38985,A000000,00900,0000,00900NURSING ADMINISTRATION 38985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38985,A000000,01100,0000,01100PHARMACY 38985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38985,A000000,01300,0000,01300SOCIAL SERVICE 38985,A000000,01350,0000,01500OTHER GENERAL SERVICES 38985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38985,A000000,01600,0000,01600SKILLED NURSING FACILITY 38985,A000000,01810,0000,01810ICF/MR 38985,A000000,02500,0000,02500PHYSICAL THERAPY 38985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38985,A000000,02700,0000,02700SPEECH PATHOLOGY 38985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 38985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38985,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 38985,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 38985,A000000,03200,0000,03200SUPPORT SURFACES 38985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 38985,A000000,03550,0000,03550FQHC 38985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 38985,A000000,05000,0000,05000CORF 38985,A000000,05010,0000,05010CMHC 38985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 38985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 38985,B100000,00000,0100,00000SQUARE FEET 38985,B100000,00000,0200,00000SQUARE FEET 38985,B100000,00000,0300,00000GROSS SALARIES 38985,B100000,00000,0400,00000ACCUM. COST 38985,B100000,00000,0500,00000SQUARE FEET 38985,B100000,00000,0600,00000POUNDS OF LAUNDRY 38985,B100000,00000,0700,00000HOURS OF SERVICE 38985,B100000,00000,0800,00000MEALS SERVED 38985,B100000,00000,0900,00000HOURS OF SERVICE 38985,B100000,00000,1000,00000COSTSREQUS SITIONED 38985,B100000,00000,1100,00000COSTSREQUI ISITIONE 38985,B100000,00000,1200,00000TIME SPENT 38985,B100000,00000,1300,00000TIME SPENT 38985,B100000,00000,1350,00000 38985,B100000,00000,1400,00000ASSIGNED TIME 38985,E10A180,00301,0100,05/10/2000 38985,E10A180,00350,0100,09/13/1999 38985,S000000,00100,0200,06/21/2000 38985,S200000,00100,0100,RD # 1 38985,S200000,00200,0100,GRANVILLE 38985,S200000,00200,0200,NY 38985,S200000,00200,0300,12832 38985,S200000,00300,0100,WASHINGTON 38985,S200000,00400,0100,HALLMARK NURSING CENTRE - GRANVILLE 38985,S200000,00400,0200,335711 38985,S200000,00400,0300,02/12/1990 38985,S200000,00400,0500,P 38985,S200000,01500,0100,Y 38993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 38993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 38993,A000000,00300,0000,00300EMPLOYEE BENEFITS 38993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 38993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 38993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 38993,A000000,00700,0000,00700HOUSEKEEPING 38993,A000000,00800,0000,00800DIETARY 38993,A000000,00900,0000,00900NURSING ADMINISTRATION 38993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 38993,A000000,01100,0000,01100PHARMACY 38993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 38993,A000000,01300,0000,01300SOCIAL SERVICE 38993,A000000,01350,0000,01500ACTIVITIES 38993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 38993,A000000,01600,0000,01600SKILLED NURSING FACILITY 38993,A000000,01810,0000,01810ICF/MR 38993,A000000,02500,0000,02500PHYSICAL THERAPY 38993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 38993,A000000,02700,0000,02700SPEECH PATHOLOGY 38993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 38993,A000000,03550,0000,03550FQHC 38993,A000000,05000,0000,05000CORF 38993,A000000,05010,0000,05010CMHC 38993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 38993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 38993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 38993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 38993,A000000,06150,0000,06300DENTAL 38993,B100000,00000,0100,00000SQUARE FEET 38993,B100000,00000,0200,00000DEPRECIATI MME 38993,B100000,00000,0300,00000GROSS SAL 38993,B100000,00000,0400,00000ACC COST 38993,B100000,00000,0500,00000SQUARE FEET 38993,B100000,00000,0600,00000POUNDS OF LNDRY 38993,B100000,00000,0700,00000HOURS OF SERVICE 38993,B100000,00000,0800,00000MEALS SERVED 38993,B100000,00000,0900,00000DIRECT NRSG HRS 38993,B100000,00000,1000,00000RESIDENT DAYS 38993,B100000,00000,1100,00000RESIDENT DAYS 38993,B100000,00000,1200,00000RESIDENT DAYS 38993,B100000,00000,1300,00000RESIDENT DAYS 38993,B100000,00000,1350,00000NUMBER OF PRTPNT 38993,B100000,00000,1400,00000ASSIGNED TIME 38993,E10A180,00301,0100,05/10/2000 38993,E10A180,00351,0100,09/22/1999 38993,E10A180,00501,0300,06/15/2000 38993,E10A180,00550,0100,06/15/2000 38993,S000000,00100,0200,06/02/2000 38993,S200000,00100,0100,7740 MEIGS ROAD 38993,S200000,00200,0100,BALDWINSVILLE 38993,S200000,00200,0200,NY 38993,S200000,00200,0300,13027 38993,S200000,00300,0100,ONONDAGA 38993,S200000,00400,0100,SYRACUSE HOME ASSOCIATION 38993,S200000,00400,0200,335713 38993,S200000,00400,0300,10/01/1990 38993,S200000,00400,0500,P 38993,S200000,01500,0100,Y 38993,S200000,01900,0100,VOLUNTARY OTHER 38993,S200000,02200,0100,Y 38993,S200000,02800,0100,Y 38993,S200000,02900,0100,Y 38993,S200000,03000,0100,Y 38997,S000000,00100,0200,06/02/2000 39001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39001,A000000,00300,0000,00300EMPLOYEE BENEFITS 39001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39001,A000000,00700,0000,00700HOUSEKEEPING 39001,A000000,00800,0000,00800DIETARY 39001,A000000,00900,0000,00900NURSING ADMINISTRATION 39001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39001,A000000,01100,0000,01100PHARMACY 39001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39001,A000000,01300,0000,01300SOCIAL SERVICE 39001,A000000,01350,0000,01500OTHER GENERAL SERVICES 39001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39001,A000000,01600,0000,01600SKILLED NURSING FACILITY 39001,A000000,01810,0000,01810ICF/MR 39001,A000000,02100,0000,02100RADIOLOGY 39001,A000000,02200,0000,02200LABORATORY 39001,A000000,02300,0000,02300INTRAVENOUS THERAPY 39001,A000000,02500,0000,02500PHYSICAL THERAPY 39001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39001,A000000,02700,0000,02700SPEECH PATHOLOGY 39001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39001,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39001,A000000,03052,0000,03302CLINITRON 39001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39001,A000000,03550,0000,03550FQHC 39001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39001,A000000,04800,0000,04800AMBULANCE 39001,A000000,05000,0000,05000CORF 39001,A000000,05010,0000,05010CMHC 39001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39001,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39001,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39001,B100000,00000,0100,00000SQUARE FEET 39001,B100000,00000,0200,00000DOLLAR VALUE 39001,B100000,00000,0300,00000GROSS SALARIES 39001,B100000,00000,0400,00000ACCUM. COST 39001,B100000,00000,0500,00000SQUARE FEET 39001,B100000,00000,0600,00000POUNDS OF LAUNDRY 39001,B100000,00000,0700,00000HOURS OF SERVICE 39001,B100000,00000,0800,00000MEALS SERVED 39001,B100000,00000,0900,00000DIRECT NRSING HRS 39001,B100000,00000,1000,00000COSTED REQUIS. 39001,B100000,00000,1100,00000COSTED REQUIS. 39001,B100000,00000,1200,00000TIME SPENT 39001,B100000,00000,1300,00000TIME SPENT 39001,B100000,00000,1350,00000NO STATISTICS 39001,B100000,00000,1400,00000ASSIGNED TIME 39001,E10A180,00301,0100,05/10/2000 39001,S000000,00100,0200,05/31/2000 39001,S200000,00100,0100,6 MEDICAL PLAZA 39001,S200000,00200,0100,GLEN COVE 39001,S200000,00200,0200,NY 39001,S200000,00300,0100,NASSAU 39001,S200000,00400,0100,FOREST MANOR CARE CENTER INC. 39001,S200000,00400,0200,335716 39001,S200000,00400,0300,10/01/1990 39001,S200000,00400,0500,P 39001,S200000,01500,0100,Y 39005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39005,A000000,00300,0000,00300EMPLOYEE BENEFITS 39005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39005,A000000,00700,0000,00700HOUSEKEEPING 39005,A000000,00800,0000,00800DIETARY 39005,A000000,00900,0000,00900NURSING ADMINISTRATION 39005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39005,A000000,01100,0000,01100PHARMACY 39005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39005,A000000,01300,0000,01300SOCIAL SERVICE 39005,A000000,01350,0000,01500ACTIVTIES 39005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39005,A000000,01600,0000,01600SKILLED NURSING FACILITY 39005,A000000,01810,0000,01810ICF/MR 39005,A000000,02200,0000,02200LABORATORY 39005,A000000,02500,0000,02500PHYSICAL THERAPY 39005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39005,A000000,02700,0000,02700SPEECH PATHOLOGY 39005,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39005,A000000,03550,0000,03550FQHC 39005,A000000,05000,0000,05000CORF 39005,A000000,05010,0000,05010CMHC 39005,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39005,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39005,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39005,A000000,06150,0000,06300DENTAL 39005,A000000,06151,0000,06301AUDIOLOGY 39005,B100000,00000,0100,00001SQUARE FEET 39005,B100000,00000,0200,00001SQUARE FEET 39005,B100000,00000,0300,00001GROSS SALARIES 39005,B100000,00000,0400,00001ACCUM COST 39005,B100000,00000,0500,00001SQUARE FEET 39005,B100000,00000,0600,00001POUNDS OF LAUNDRY 39005,B100000,00000,0700,00001HOURS OF SERVICE 39005,B100000,00000,0800,00001MEALS SERVED 39005,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39005,B100000,00000,1000,00001COSTED REQUISITIO 39005,B100000,00000,1100,00001COSTED REQUISITIO 39005,B100000,00000,1200,00001TIME SPENT 39005,B100000,00000,1300,00001TIME SPENT 39005,B100000,00000,1350,00001TIME SPENT 39005,B100000,00000,1400,00001ASSIGNED TIME 39005,E10A180,00301,0100,05/10/2000 39005,S000000,00100,0200,07/27/2000 39005,S200000,00100,0100,3260 HENRY HUDSON PARKWAY 39005,S200000,00200,0100,BRONX 39005,S200000,00200,0200,NY 39005,S200000,00200,0300,10463 39005,S200000,00300,0100,BRONX 39005,S200000,00400,0100,BAPTIST HOME FOR THE AGING 39005,S200000,00400,0200,335717 39005,S200000,00400,0300,10/01/1990 39005,S200000,00400,0500,P 39008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39008,A000000,00300,0000,00300EMPLOYEE BENEFITS 39008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39008,A000000,00700,0000,00700HOUSEKEEPING 39008,A000000,00800,0000,00800DIETARY 39008,A000000,00900,0000,00900NURSING ADMINISTRATION 39008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39008,A000000,01100,0000,01100PHARMACY 39008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39008,A000000,01300,0000,01300SOCIAL SERVICE 39008,A000000,01350,0000,01500OTHER GENERAL SERVICES 39008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39008,A000000,01600,0000,01600SKILLED NURSING FACILITY 39008,A000000,01810,0000,01810ICF/MR 39008,A000000,02100,0000,02100RADIOLOGY 39008,A000000,02200,0000,02200LABORATORY 39008,A000000,02300,0000,02300INTRAVENOUS THERAPY 39008,A000000,02500,0000,02500PHYSICAL THERAPY 39008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39008,A000000,02700,0000,02700SPEECH PATHOLOGY 39008,A000000,02800,0000,02800ELECTROCARDIOLOGY 39008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39008,A000000,03051,0000,03301CLINITRON 39008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39008,A000000,03550,0000,03550FQHC 39008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39008,A000000,05000,0000,05000CORF 39008,A000000,05010,0000,05010CMHC 39008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39008,B100000,00000,0100,00000SQUARE FEET 39008,B100000,00000,0200,00000DOLLAR VALUE 39008,B100000,00000,0300,00000GROSS SALARIES 39008,B100000,00000,0400,00000ACCUM. COST 39008,B100000,00000,0500,00000SQUARE FEET 39008,B100000,00000,0600,00000POUNDS OF LAUNDRY 39008,B100000,00000,0700,00000HOURS OF SERVICE 39008,B100000,00000,0800,00000MEALS SERVED 39008,B100000,00000,0900,00000HOURS OF SERVICE 39008,B100000,00000,1000,00000COSTED REQUIS. 39008,B100000,00000,1100,00000COSTED REQUIS. 39008,B100000,00000,1200,00000TIME SPENT 39008,B100000,00000,1300,00000TIME SPENT 39008,B100000,00000,1350,00000NO STATISTICS 39008,B100000,00000,1400,00000TIME SPENT 39008,E10A180,00301,0100,05/10/2000 39008,S000000,00100,0200,06/01/2000 39008,S200000,00100,0100,130 IRVING PLACE 39008,S200000,00200,0100,WOODMERE 39008,S200000,00200,0200,NY 39008,S200000,00200,0300,11598 39008,S200000,00300,0100,NASSAU 39008,S200000,00400,0100,WOODMERE REHABILITATION H.C.C. INC. 39008,S200000,00400,0200,335718 39008,S200000,00400,0300,10/01/1990 39008,S200000,00400,0500,P 39008,S200000,01500,0100,Y 39011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39011,A000000,00300,0000,00300EMPLOYEE BENEFITS 39011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39011,A000000,00700,0000,00700HOUSEKEEPING 39011,A000000,00800,0000,00800DIETARY 39011,A000000,00900,0000,00900NURSING ADMINISTRATION 39011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39011,A000000,01100,0000,01100PHARMACY 39011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39011,A000000,01300,0000,01300SOCIAL SERVICE 39011,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 39011,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39011,A000000,01600,0000,01600SKILLED NURSING FACILITY 39011,A000000,01810,0000,01810ICF/MR 39011,A000000,02200,0000,02200LABORATORY 39011,A000000,02500,0000,02500PHYSICAL THERAPY 39011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39011,A000000,02700,0000,02700SPEECH PATHOLOGY 39011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39011,A000000,03550,0000,03550FQHC 39011,A000000,05000,0000,05000CORF 39011,A000000,05010,0000,05010CMHC 39011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39011,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39011,A000000,06201,0000,06201DENTAL 39011,B100000,00000,0100,00000SQUARE FEET 39011,B100000,00000,0200,00000SQUARE FEET 39011,B100000,00000,0300,00000GROSS SALARIES 39011,B100000,00000,0400,00000ACCUM COST 39011,B100000,00000,0500,00000SQUARE FEET 39011,B100000,00000,0600,00000POUNDS OF LAUNDRY 39011,B100000,00000,0700,00000HOURS OF SERVICE 39011,B100000,00000,0800,00000MEALS SERVED 39011,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39011,B100000,00000,1000,00000COSTED REQUISITIO 39011,B100000,00000,1100,00000COSTED REQUISITIO 39011,B100000,00000,1200,00000TIME SPENT 39011,B100000,00000,1300,00000TIME SPENT 39011,B100000,00000,1301,00000PARTICIPAN 39011,B100000,00000,1350,00000 39011,B100000,00000,1400,00000ASSIGNED TIME 39011,E10A180,00301,0100,05/10/2000 39011,S000000,00100,0200,06/21/2000 39011,S200000,00100,0100,63 OAKCREST AVENUE 39011,S200000,00200,0100,MIDDLE ISLAND 39011,S200000,00200,0200,NEW YORK 39011,S200000,00200,0300,11953 39011,S200000,00300,0100,SUFFOLK 39011,S200000,00400,0100,CREST HALL CORP 39011,S200000,00400,0200,335719 39011,S200000,00400,0300,10/01/1990 39011,S200000,00400,0500,P 39011,S200000,01500,0100,Y 39016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39016,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39016,A000000,00300,0000,00300EMPLOYEE BENEFITS 39016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39016,A000000,00700,0000,00700HOUSEKEEPING 39016,A000000,00800,0000,00800DIETARY 39016,A000000,00900,0000,00900NURSING ADMINISTRATION 39016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39016,A000000,01100,0000,01100PHARMACY 39016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39016,A000000,01300,0000,01300SOCIAL SERVICE 39016,A000000,01350,0000,01500OTHER GENERAL SERVICES 39016,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39016,A000000,01600,0000,01600SKILLED NURSING FACILITY 39016,A000000,01810,0000,01810ICF/MR 39016,A000000,02100,0000,02100RADIOLOGY 39016,A000000,02200,0000,02200LABORATORY 39016,A000000,02300,0000,02300INTRAVENOUS THERAPY 39016,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39016,A000000,02500,0000,02500PHYSICAL THERAPY 39016,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39016,A000000,02700,0000,02700SPEECH PATHOLOGY 39016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39016,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39016,A000000,03051,0000,03301VENTS 39016,A000000,03101,0000,03101CLINITRN THERAPY 39016,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39016,A000000,03550,0000,03550FQHC 39016,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39016,A000000,05000,0000,05000CORF 39016,A000000,05010,0000,05010CMHC 39016,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39016,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39016,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39016,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39016,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39016,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39016,A81000A,00100,0100,Y 39016,A81000B,00100,0300,OFFICE 39016,A81000C,00100,0100,A 39016,A81000C,00100,0200,M. OSTREICHER 39016,A81000C,00100,0400,103 REALTY 39016,A81000C,00100,0600,OFFICE 39016,B100000,00000,0100,00000SQUARE FEET 39016,B100000,00000,0200,00000DOLLAR VALUE 39016,B100000,00000,0300,00000GROSS SALARIES 39016,B100000,00000,0400,00000ACCUM. COST 39016,B100000,00000,0500,00000SQUARE FEET 39016,B100000,00000,0600,00000POUNDS OF LAUNDRY 39016,B100000,00000,0700,00000HOURS OF SERVICE 39016,B100000,00000,0800,00000MEALS SERVED 39016,B100000,00000,0900,00000HOURS OF SERVICE 39016,B100000,00000,1000,00000COSTED REQUIS. 39016,B100000,00000,1100,00000COSTED REQUIS. 39016,B100000,00000,1200,00000TIME SPENT 39016,B100000,00000,1300,00000TIME SPENT 39016,B100000,00000,1350,00000NO STATISTICS 39016,B100000,00000,1400,00000TIME SPENT 39016,E10A180,00301,0100,05/10/2000 39016,S000000,00100,0200,05/31/2000 39016,S200000,00100,0100,630 EAST 104TH STREET 39016,S200000,00200,0100,BROOKLYN 39016,S200000,00200,0200,NY 39016,S200000,00200,0300,11236 39016,S200000,00300,0100,KINGS 39016,S200000,00400,0100,RIVER MANOR CORP. 39016,S200000,00400,0200,335720 39016,S200000,00400,0300,10/01/1990 39016,S200000,00400,0500,P 39016,S200000,01500,0100,Y 39024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39024,A000000,00300,0000,00300EMPLOYEE BENEFITS 39024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39024,A000000,00700,0000,00700HOUSEKEEPING 39024,A000000,00800,0000,00800DIETARY 39024,A000000,00900,0000,00900NURSING ADMINISTRATION 39024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39024,A000000,01100,0000,01100PHARMACY 39024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39024,A000000,01300,0000,01300SOCIAL SERVICE 39024,A000000,01350,0000,01500MEDICAL DIRECTOR 39024,A000000,01351,0000,01501ACTIVITIES 39024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39024,A000000,01600,0000,01600SKILLED NURSING FACILITY 39024,A000000,01810,0000,01810ICF/MR 39024,A000000,02100,0000,02100RADIOLOGY 39024,A000000,02101,0000,02101PSYCHIATRIC 39024,A000000,02200,0000,02200LABORATORY 39024,A000000,02500,0000,02500PHYSICAL THERAPY 39024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39024,A000000,02700,0000,02700SPEECH PATHOLOGY 39024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39024,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39024,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39024,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39024,A000000,03550,0000,03550FQHC 39024,A000000,05000,0000,05000CORF 39024,A000000,05010,0000,05010CMHC 39024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39024,A000000,05300,0000,05300INTEREST EXPENSE 39024,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39024,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39024,B100000,00000,0100,00000SQUARE FEET 39024,B100000,00000,0200,00000SQUARE FEET 39024,B100000,00000,0300,00000GROSS SALARIES 39024,B100000,00000,0400,00000ACCUM COST 39024,B100000,00000,0500,00000SQUARE FEET 39024,B100000,00000,0600,00000POUNDS OF LAUNDRY 39024,B100000,00000,0700,00000SQUARE FEET 39024,B100000,00000,0800,00000MEALS SERVED 39024,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39024,B100000,00000,1000,00000COSTED REQUISITIO 39024,B100000,00000,1100,00000COSTED REQUISITIO 39024,B100000,00000,1200,00000TIME SPENT 39024,B100000,00000,1300,00000TIME SPENT 39024,B100000,00000,1350,00000TIME SPENT 39024,B100000,00000,1351,00000ASSIGNED TIME 39024,B100000,00000,1400,00000ASSIGNED TIME 39024,E10A180,00301,0100,01/19/2000 39024,E10A180,00302,0100,05/10/2000 39024,S000000,00100,0200,06/02/2000 39024,S200000,00100,0100,ROUTE 430 39024,S200000,00100,0300,400 39024,S200000,00200,0100,GREENHURST 39024,S200000,00200,0200,NY 39024,S200000,00200,0300,14741 39024,S200000,00300,0100,CHAUTAUQUA 39024,S200000,00400,0100,HERITAGE GREEN HEALTH CARE CENTER 39024,S200000,00400,0200,335721 39024,S200000,00400,0300,10/01/1990 39024,S200000,00400,0500,P 39024,S200000,01500,0100,Y 39027,S000000,00100,0200,05/31/2000 39030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39030,A000000,00300,0000,00300EMPLOYEE BENEFITS 39030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39030,A000000,00700,0000,00700HOUSEKEEPING 39030,A000000,00800,0000,00800DIETARY 39030,A000000,00900,0000,00900NURSING ADMINISTRATION 39030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39030,A000000,01100,0000,01100PHARMACY 39030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39030,A000000,01300,0000,01300SOCIAL SERVICE 39030,A000000,01350,0000,01500ACTIVITIES 39030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39030,A000000,01600,0000,01600SKILLED NURSING FACILITY 39030,A000000,01810,0000,01810ICF/MR 39030,A000000,02100,0000,02100RADIOLOGY 39030,A000000,02200,0000,02200LABORATORY 39030,A000000,02500,0000,02500PHYSICAL THERAPY 39030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39030,A000000,02700,0000,02700SPEECH PATHOLOGY 39030,A000000,02800,0000,02800ELECTROCARDIOLOGY 39030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39030,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39030,A000000,03200,0000,03200SUPPORT SURFACES 39030,A000000,03550,0000,03550FQHC 39030,A000000,04800,0000,04800AMBULANCE 39030,A000000,05000,0000,05000CORF 39030,A000000,05010,0000,05010CMHC 39030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39030,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39030,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39030,A81000A,00100,0100,Y 39030,A81000B,00100,0300,RENT EXPENSE 39030,A81000B,00200,0300,REAL ESTATE TAXES 39030,A81000B,00300,0300,MORTGAGE INTEREST 39030,A81000B,00400,0300,DEPRECIATION 39030,A81000B,00500,0300,AMORTIZATION 39030,A81000B,00600,0300,BANK CHARGES 39030,A81000C,00100,0100,A 39030,A81000C,00100,0200,A. HARTMAN 39030,A81000C,00100,0400,GUN HILL ASSOCI 39030,A81000C,00100,0600,REAL ESTATE 39030,B100000,00000,0100,00000SQUARE FEET 39030,B100000,00000,0200,00000SQUARE FEET 39030,B100000,00000,0300,00000GROSS SALARIES 39030,B100000,00000,0400,00000ACCUM COST 39030,B100000,00000,0500,00000SQUARE FEET 39030,B100000,00000,0600,00000POUNDS OF LAUNDRY 39030,B100000,00000,0700,00000SQUARE FEET 39030,B100000,00000,0800,00000MEALS SERVED 39030,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39030,B100000,00000,1000,00000COSTED REQUISITIO 39030,B100000,00000,1100,00000COSTED REQUISITIO 39030,B100000,00000,1200,00000TIME SPENT 39030,B100000,00000,1300,00000TIME SPENT 39030,B100000,00000,1350,00000# OF PARTICIPAN 39030,B100000,00000,1400,00000ASSIGNED TIME 39030,E10A180,00301,0100,05/10/2000 39030,E10A180,00550,0100,06/07/2000 39030,S000000,00100,0200,05/31/2000 39030,S200000,00100,0100,2323 EASTCHESTER ROAD 39030,S200000,00200,0100,BRONX 39030,S200000,00200,0200,NY 39030,S200000,00200,0300,10469 39030,S200000,00300,0100,BRONX 39030,S200000,00400,0100,EAST HAVEN NURSING HOME 39030,S200000,00400,0200,335723 39030,S200000,00400,0300,10/01/1990 39030,S200000,00400,0500,P 39030,S200000,01500,0100,Y 39030,S200000,04700,0100,Y 39030,S200000,04700,0200,Y 39033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39033,A000000,00300,0000,00300EMPLOYEE BENEFITS 39033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39033,A000000,00700,0000,00700HOUSEKEEPING 39033,A000000,00800,0000,00800DIETARY 39033,A000000,00900,0000,00900NURSING ADMINISTRATION 39033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39033,A000000,01100,0000,01100PHARMACY 39033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39033,A000000,01300,0000,01300SOCIAL SERVICE 39033,A000000,01301,0000,01301ACTIVITIES 39033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39033,A000000,01600,0000,01600SKILLED NURSING FACILITY 39033,A000000,01810,0000,01810ICF/MR 39033,A000000,02100,0000,02100RADIOLOGY 39033,A000000,02200,0000,02200LABORATORY 39033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39033,A000000,02500,0000,02500PHYSICAL THERAPY 39033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39033,A000000,02700,0000,02700SPEECH PATHOLOGY 39033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39033,A000000,03005,0000,03005PHYSICIAN SERVICES 39033,A000000,03550,0000,03550FQHC 39033,A000000,04800,0000,04800AMBULANCE 39033,A000000,05000,0000,05000CORF 39033,A000000,05010,0000,05010CMHC 39033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39033,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 39033,A000000,05300,0000,05300INTEREST EXPENSE 39033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39033,A000000,06101,0000,06149DENTAL 39033,A000000,06200,0000,06200PATIENTS LAUNDRY 39033,A81000A,00100,0100,Y 39033,A81000B,00100,0300,LIBRARY SERVICES 39033,A81000B,00200,0300,CDL LAB FEES 39033,A81000B,00300,0300,PHARMACY 39033,A81000B,00400,0300,PHYSICIAN 39033,A81000B,00500,0300,GERIATRIC RESIDENT 39033,A81000B,00600,0300,LAUNDRY & LINEN 39033,A81000B,00700,0300,NYH NETWORK FEE 39033,A81000B,00800,0300,NYHMCQ MANAGE FEE 39033,A81000B,00900,0300,NYHMCQ MESSENGER SVC 39033,A81000B,01000,0300,NYHMCQ EHS FEES 39033,A81000B,01100,0300,OFFICERS LIAB INS 39033,A81000C,00100,0100,B 39033,A81000C,00100,0200,NEW YORK HOSPIT 39033,A81000C,00100,0400,NEW YORK HOSPIT 39033,A81000C,00100,0600,HOSPITAL 39033,A81000C,00200,0100,G 39033,A81000C,00200,0200,NEW YORK HOSP Q 39033,A81000C,00200,0400,NEW YORK HOSP Q 39033,A81000C,00200,0600,HOSPITAL 39033,B100000,00000,0100,00000SQUARE FEET 39033,B100000,00000,0200,00000DOLLAR VALUE 39033,B100000,00000,0300,00000GROSS SALARIES 39033,B100000,00000,0400,00000ACCUM COST 39033,B100000,00000,0500,00000SQUARE FEET 39033,B100000,00000,0600,00000POUNDS OF LAUNDRY 39033,B100000,00000,0700,00000HOURS OF SERVICE 39033,B100000,00000,0800,00000MEALS SERVED 39033,B100000,00000,0900,00000DIRECT NRSG HRS 39033,B100000,00000,1000,00000COSTED REQUIS 39033,B100000,00000,1100,00000COSTED REQUIS 39033,B100000,00000,1200,00000TIME SPENT 39033,B100000,00000,1300,00000TIME SPENT 39033,B100000,00000,1301,00000NUMBER OF PARTICIPAN 39033,B100000,00000,1400,00000ASSIGNED TIME 39033,E10A180,00301,0100,05/10/2000 39033,E10A180,00501,0300,06/14/2000 39033,E10A180,00550,0100,06/14/2000 39033,S000000,00100,0200,05/30/2000 39033,S200000,00100,0100,144-45 87TH AVENUE 39033,S200000,00200,0100,BRIARWOOD 39033,S200000,00200,0200,NY 39033,S200000,00200,0300,11435 39033,S200000,00300,0100,QUEENS 39033,S200000,00400,0100,SILVERCREST EXTENDED CARE FACILITY 39033,S200000,00400,0200,335724 39033,S200000,00400,0300,12/26/1990 39033,S200000,00400,0500,P 39033,S200000,01500,0100,Y 39033,S200000,01900,0100,FREESTANDING SKILLED NURSING FACILITY 39033,S200000,02200,0100,Y 39033,S200000,04300,0100,Y 39033,S200000,04700,0100,Y 39033,S200000,04700,0200,Y 39042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39042,A000000,00300,0000,00300EMPLOYEE BENEFITS 39042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39042,A000000,00700,0000,00700HOUSEKEEPING 39042,A000000,00800,0000,00800DIETARY 39042,A000000,00900,0000,00900NURSING ADMINISTRATION 39042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39042,A000000,01100,0000,01100PHARMACY 39042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39042,A000000,01300,0000,01300SOCIAL SERVICE 39042,A000000,01350,0000,01500ACTIVITIES 39042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39042,A000000,01600,0000,01600SKILLED NURSING FACILITY 39042,A000000,01810,0000,01810ICF/MR 39042,A000000,02500,0000,02500PHYSICAL THERAPY 39042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39042,A000000,02700,0000,02700SPEECH PATHOLOGY 39042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39042,A000000,03550,0000,03550FQHC 39042,A000000,05000,0000,05000CORF 39042,A000000,05010,0000,05010CMHC 39042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39042,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 39042,A000000,05300,0000,05300INTEREST EXPENSE 39042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39042,A000000,06150,0000,06300DENTAL 39042,A81000A,00100,0100,Y 39042,A81000B,00100,0300,SNF MANAGEMENT FEES 39042,A81000B,00200,0300,SALARY & RELATED WAG 39042,A81000B,00400,0300,MANAGEMENT FEES 39042,A81000B,00500,0300,AUTO LEASING 39042,A81000B,00600,0300,AUTO INSURANCE 39042,A81000B,00700,0300,DEPRECIATION 39042,A81000B,00800,0300,ACCOUNTING & LEGAL F 39042,A81000B,00900,0300,MISC. OTHER EXPENSES 39042,A81000C,00100,0100,A 39042,A81000C,00100,0200,ARNOLD PUTTERMA 39042,A81000C,00100,0400,SNF MGMT COMPA 39042,A81000C,00200,0100,A 39042,A81000C,00200,0200,DAVID PUTTERMAN 39042,A81000C,00200,0400,SNF MGMT COMPAN 39042,A81000C,00300,0100,D 39042,A81000C,00300,0200,MICHAEL PUTTERM 39042,A81000C,00400,0100,D 39042,A81000C,00400,0200,DANIEL PUTTERMA 39042,A81000C,00500,0100,D 39042,A81000C,00500,0200,JUDITH LEWIS 39042,A81000C,00600,0100,D 39042,A81000C,00600,0200,JONATHAN LEWIS 39042,A81000C,00700,0100,D 39042,A81000C,00700,0200,JORDAN LEWIS 39042,A81000C,00800,0100,D 39042,A81000C,00800,0200,TOBI PUTTERMAN 39042,A81000C,00900,0100,D 39042,A81000C,00900,0200,ERIC PUTTERMAN 39042,B100000,00000,0100,00000SQUARE FEET 39042,B100000,00000,0200,00000SQUARE FEET 39042,B100000,00000,0300,00000GROSS SALARIES 39042,B100000,00000,0400,00000ACCUM COST 39042,B100000,00000,0500,00000SQUARE FEET 39042,B100000,00000,0600,00000POUNDS OF LAUNDRY 39042,B100000,00000,0700,00000HOURS OF SERVICE 39042,B100000,00000,0800,00000MEALS SERVED 39042,B100000,00000,0900,00000DIRECT NRSG HRS 39042,B100000,00000,1000,00000COSTED REQUIS 39042,B100000,00000,1100,00000COSTED REQUIS 39042,B100000,00000,1200,00000TIME SPENT 39042,B100000,00000,1300,00000TIME SPENT 39042,B100000,00000,1350,00000NO. OF PARTICIPAN 39042,B100000,00000,1400,00000ASSIGNED TIME 39042,E10A180,00301,0100,05/10/2000 39042,E10A180,00350,0100,09/03/1999 39042,S000000,00100,0200,06/05/2000 39042,S200000,00100,0100,140 ROCKAWAY PARK 39042,S200000,00200,0100,ROCKAWAY 39042,S200000,00200,0200,NY 39042,S200000,00200,0300,11694 39042,S200000,00300,0100,QUEENS 39042,S200000,00400,0100,OCEAN PROMENADE NURSING HOME 39042,S200000,00400,0200,335726 39042,S200000,00400,0300,01/01/1991 39042,S200000,00400,0500,P 39042,S200000,01500,0100,Y 39042,S200000,02200,0100,Y 39058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39058,A000000,00300,0000,00300EMPLOYEE BENEFITS 39058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39058,A000000,00700,0000,00700HOUSEKEEPING 39058,A000000,00800,0000,00800DIETARY 39058,A000000,00900,0000,00900NURSING ADMINISTRATION 39058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39058,A000000,01100,0000,01100PHARMACY 39058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39058,A000000,01300,0000,01300SOCIAL SERVICE 39058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39058,A000000,01600,0000,01600SKILLED NURSING FACILITY 39058,A000000,01810,0000,01810ICF/MR 39058,A000000,02200,0000,02200LABORATORY 39058,A000000,02500,0000,02500PHYSICAL THERAPY 39058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39058,A000000,02700,0000,02700SPEECH PATHOLOGY 39058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39058,A000000,03550,0000,03550FQHC 39058,A000000,05000,0000,05000CORF 39058,A000000,05010,0000,05010CMHC 39058,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39058,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39058,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39058,B100000,00000,0100,00000SQUARE FEET 39058,B100000,00000,0200,00000SQUARE FEET 39058,B100000,00000,0300,00000GROSS SALARIES 39058,B100000,00000,0400,00000ACCUM COST 39058,B100000,00000,0500,00000SQUARE FEET 39058,B100000,00000,0600,00000POUNDS OF LAUNDRY 39058,B100000,00000,0700,00000HOURS OF SERVICE 39058,B100000,00000,0800,00000MEALS SERVED 39058,B100000,00000,0900,00000DIRECT NRSG HRS 39058,B100000,00000,1000,00000COSTED REQUIS 39058,B100000,00000,1100,00000COSTED REQUIS 39058,B100000,00000,1200,00000TIME SPENT 39058,B100000,00000,1300,00000TIME SPENT 39058,B100000,00000,1400,00000ASSIGNED TIME 39058,S000000,00100,0200,06/02/2000 39058,S200000,00100,0100,630 EAST AVENUE 39058,S200000,00200,0100,ROCHESTER 39058,S200000,00200,0200,NY 39058,S200000,00200,0300,14607 39058,S200000,00300,0100,MONROE 39058,S200000,00400,0100,WESLEY ON EAST LTD 39058,S200000,00400,0200,335728 39058,S200000,00400,0300,01/01/1991 39058,S200000,00400,0500,P 39058,S200000,01500,0100,Y 39058,S200000,01900,0100,NON PROFIT 39058,S200000,02800,0100,Y 39067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39067,A000000,00300,0000,00300EMPLOYEE BENEFITS 39067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39067,A000000,00700,0000,00700HOUSEKEEPING 39067,A000000,00800,0000,00800DIETARY 39067,A000000,00900,0000,00900NURSING ADMINISTRATION 39067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39067,A000000,01100,0000,01100PHARMACY 39067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39067,A000000,01300,0000,01300SOCIAL SERVICE 39067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39067,A000000,01600,0000,01600SKILLED NURSING FACILITY 39067,A000000,01810,0000,01810ICF/MR 39067,A000000,02500,0000,02500PHYSICAL THERAPY 39067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39067,A000000,02700,0000,02700SPEECH PATHOLOGY 39067,A000000,03550,0000,03550FQHC 39067,A000000,05000,0000,05000CORF 39067,A000000,05010,0000,05010CMHC 39067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39067,A000000,06200,0000,06200PATIENTS LAUNDRY 39067,B100000,00000,0100,00000SQUARE FEET 39067,B100000,00000,0200,00000SQUARE FEET 39067,B100000,00000,0300,00000GROSS SALARIES 39067,B100000,00000,0400,00000ACCUM COST 39067,B100000,00000,0500,00000SQUARE FEET 39067,B100000,00000,0600,00000POUNDS OF LAUNDRY 39067,B100000,00000,0700,00000HOURS OF SERVICE 39067,B100000,00000,0800,00000MEALS SERVED 39067,B100000,00000,0900,00000DIRECT NRSG HRS 39067,B100000,00000,1000,00000COSTED REQUIS 39067,B100000,00000,1100,00000COSTED REQUIS 39067,B100000,00000,1200,00000TIME SPENT 39067,B100000,00000,1300,00000TIME SPENT 39067,B100000,00000,1400,00000ASSIGNED TIME 39067,S000000,00100,0200,06/20/2000 39067,S200000,00100,0100,1450 PORTLAND AVENUE 39067,S200000,00200,0100,ROCHESTER 39067,S200000,00200,0200,NY 39067,S200000,00200,0300,14621 39067,S200000,00300,0100,MONROE 39067,S200000,00400,0100,ST. ANNS HM. CO. INC.-THE HERITAG 39067,S200000,00400,0200,335730 39067,S200000,00400,0300,01/01/1991 39067,S200000,00400,0500,P 39067,S200000,01500,0100,Y 39075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39075,A000000,00300,0000,00300EMPLOYEE BENEFITS 39075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39075,A000000,00700,0000,00700HOUSEKEEPING 39075,A000000,00800,0000,00800DIETARY 39075,A000000,00900,0000,00900NURSING ADMINISTRATION 39075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39075,A000000,01100,0000,01100PHARMACY 39075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39075,A000000,01300,0000,01300SOCIAL SERVICE 39075,A000000,01301,0000,01301ACTIVITIES 39075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39075,A000000,01600,0000,01600SKILLED NURSING FACILITY 39075,A000000,01810,0000,01810ICF/MR 39075,A000000,02500,0000,02500PHYSICAL THERAPY 39075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39075,A000000,02700,0000,02700SPEECH PATHOLOGY 39075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39075,A000000,03550,0000,03550FQHC 39075,A000000,05000,0000,05000CORF 39075,A000000,05010,0000,05010CMHC 39075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39075,A000000,05300,0000,05300INTEREST EXPENSE 39075,A000000,06201,0000,06201DENTAL 39075,B100000,00000,0100,00001SQUARE FEET 39075,B100000,00000,0200,00001SQUARE FEET 39075,B100000,00000,0300,00001GROSS SAL 39075,B100000,00000,0400,00001ACCUM. COST 39075,B100000,00000,0500,00001SQUARE FEET 39075,B100000,00000,0600,00001LAUNDRY POUNDS 39075,B100000,00000,0700,00001HSKP HOURS 39075,B100000,00000,0800,00001MEALS SERVED 39075,B100000,00000,0900,00001NURSING HOURS 39075,B100000,00000,1000,00001CSTD REQ 39075,B100000,00000,1100,00001CSTD REQ 39075,B100000,00000,1200,00001TIME SPENT 39075,B100000,00000,1300,00001TIME SPENT 39075,B100000,00000,1301,00001TIME SPENT 39075,B100000,00000,1400,00001BLANK 39075,S000000,00100,0200,06/20/2000 39075,S200000,00100,0100,800 W. CHESTNUT ST. 39075,S200000,00200,0100,ROME 39075,S200000,00200,0200,NY 39075,S200000,00200,0300,13440 39075,S200000,00300,0100,ONEIDA 39075,S200000,00400,0100,H.R.F. & N.H. CO. OF ROME INC. 39075,S200000,00400,0200,335732 39075,S200000,00400,0300,01/01/1991 39075,S200000,00400,0500,P 39075,S200000,00400,0600,O 39075,S200000,01500,0100,Y 39075,S200000,01900,0100,*ART 28A COMMUNITY BASED 39075,S200000,02200,0100,Y 39084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39084,A000000,00300,0000,00300EMPLOYEE BENEFITS 39084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39084,A000000,00700,0000,00700HOUSEKEEPING 39084,A000000,00800,0000,00800DIETARY 39084,A000000,00900,0000,00900NURSING ADMINISTRATION 39084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39084,A000000,01100,0000,01100PHARMACY 39084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39084,A000000,01300,0000,01300SOCIAL SERVICE 39084,A000000,01350,0000,01500ACTIVITIES 39084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39084,A000000,01600,0000,01600SKILLED NURSING FACILITY 39084,A000000,01810,0000,01810ICF/MR 39084,A000000,02100,0000,02100RADIOLOGY 39084,A000000,02200,0000,02200LABORATORY 39084,A000000,02500,0000,02500PHYSICAL THERAPY 39084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39084,A000000,02700,0000,02700SPEECH PATHOLOGY 39084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39084,A000000,03550,0000,03550FQHC 39084,A000000,05000,0000,05000CORF 39084,A000000,05010,0000,05010CMHC 39084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39084,A000000,06150,0000,06300DENTAL 39084,B100000,00000,0100,00000SQUARE FEET 39084,B100000,00000,0200,00000SQUARE FEET 39084,B100000,00000,0300,00000GROSS SAL 39084,B100000,00000,0400,00000ACCUM. COST 39084,B100000,00000,0500,00000SQUARE FEET 39084,B100000,00000,0600,00000LAUNDRY 39084,B100000,00000,0700,00000HOUSEKEEPI TIME 39084,B100000,00000,0800,00000MEALS 39084,B100000,00000,0900,00000NUR ADMIN TIME 39084,B100000,00000,1000,00000BLANK 39084,B100000,00000,1100,00000PHARMACY CONSUT TIM 39084,B100000,00000,1200,00000MED REC TIME 39084,B100000,00000,1300,00000SOC SERV TIME 39084,B100000,00000,1350,00000ACT PARTICPANT 39084,B100000,00000,1400,00000BLANK 39084,E10A180,00301,0100,01/18/2000 39084,E10A180,00302,0100,05/10/2000 39084,S000000,00100,0200,06/06/2000 39084,S200000,00100,0100,165 SOUTH UNION ROAD 39084,S200000,00200,0100,WILLIAMSVILLE 39084,S200000,00200,0200,NY 39084,S200000,00200,0300,14209 39084,S200000,00300,0100,ERIE 39084,S200000,00400,0100,WILLIAMSVILLE VIEW MANOR 39084,S200000,00400,0200,335733 39084,S200000,00400,0300,01/01/1991 39084,S200000,00400,0500,P 39084,S200000,01500,0100,Y 39084,S200000,02200,0100,Y 39091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39091,A000000,00300,0000,00300EMPLOYEE BENEFITS 39091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39091,A000000,00700,0000,00700HOUSEKEEPING 39091,A000000,00800,0000,00800DIETARY 39091,A000000,00900,0000,00900NURSING ADMINISTRATION 39091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39091,A000000,01100,0000,01100PHARMACY 39091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39091,A000000,01300,0000,01300SOCIAL SERVICE 39091,A000000,01350,0000,01500ACTIVITIES 39091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39091,A000000,01600,0000,01600SKILLED NURSING FACILITY 39091,A000000,01810,0000,01810ICF/MR 39091,A000000,02200,0000,02200LABORATORY 39091,A000000,02500,0000,02500PHYSICAL THERAPY 39091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39091,A000000,02700,0000,02700SPEECH PATHOLOGY 39091,A000000,02800,0000,02800ELECTROCARDIOLOGY 39091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39091,A000000,03200,0000,03200SUPPORT SURFACES 39091,A000000,03550,0000,03550FQHC 39091,A000000,04800,0000,04800AMBULANCE 39091,A000000,05000,0000,05000CORF 39091,A000000,05010,0000,05010CMHC 39091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39091,A000000,06150,0000,06300DENTAL 39091,A000000,06151,0000,06301ADULT DAY CARE 39091,A81000A,00100,0100,Y 39091,A81000B,00100,0300,PAYROLL SERVICE 39091,A81000B,00200,0300,EMPLOYEE BENEFITS 39091,A81000B,00300,0300,A&G EXPENSES 39091,A81000B,00400,0300,POM EXPENSES 39091,A81000B,00500,0300,DIETARY EXPENSES 39091,A81000B,00600,0300,NURSING ADMINISTRATION 39091,A81000B,00700,0300,SOCIAL SERVICE 39091,A81000B,00800,0300,ACTIVITIES 39091,A81000B,00900,0300,PHYSICAL THERAPY 39091,A81000B,01000,0300,OCCUPATIONAL THERAPY 39091,A81000B,01100,0300,SPEECH THERAPY 39091,A81000B,01200,0300,DAY CARE 39091,A81000C,00100,0100,D 39091,A81000C,00100,0200,FRIEDMAN 39091,A81000C,00100,0400,WALD MANAGMENT 39091,A81000C,00100,0600,PAYROLL SERVICE 39091,B100000,00000,0100,00001SQUARE FEET 39091,B100000,00000,0200,00001SQUARE FEET 39091,B100000,00000,0300,00001GROSS SALARIES 39091,B100000,00000,0400,00001ACCUM COST 39091,B100000,00000,0500,00001SQUARE FEET 39091,B100000,00000,0600,00001POUNDS OF LAUNDRY 39091,B100000,00000,0700,00001HOURS OF SERVICE 39091,B100000,00000,0800,00001MEALS SERVED 39091,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39091,B100000,00000,1000,00001COSTED REQUISITIO 39091,B100000,00000,1100,00001COSTED REQUISITIO 39091,B100000,00000,1200,00001TIME SPENT 39091,B100000,00000,1300,00001TIME SPENT 39091,B100000,00000,1350,00001TIME SPENT 39091,B100000,00000,1400,00001ASSIGNED TIME 39091,E10A180,00301,0100,09/15/1999 39091,E10A180,00302,0100,05/10/2000 39091,S000000,00100,0200,06/01/2000 39091,S200000,00100,0100,475 NEW HEMPSTEAD RD 39091,S200000,00200,0100,NEW CITY 39091,S200000,00200,0200,NY 39091,S200000,00200,0300,10956 39091,S200000,00300,0100,ROCKLAND 39091,S200000,00400,0100,FRIEDWALD HOUSE HRF 39091,S200000,00400,0200,335734 39091,S200000,00400,0300,01/01/1991 39091,S200000,00400,0500,P 39091,S200000,01500,0100,Y 39098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39098,A000000,00300,0000,00300EMPLOYEE BENEFITS 39098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39098,A000000,00700,0000,00700HOUSEKEEPING 39098,A000000,00800,0000,00800DIETARY 39098,A000000,00900,0000,00900NURSING ADMINISTRATION 39098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39098,A000000,01100,0000,01100PHARMACY 39098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39098,A000000,01300,0000,01300SOCIAL SERVICE 39098,A000000,01350,0000,01500ACTIVITIES 39098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39098,A000000,01600,0000,01600SKILLED NURSING FACILITY 39098,A000000,01810,0000,01810ICF/MR 39098,A000000,02100,0000,02100RADIOLOGY 39098,A000000,02200,0000,02200LABORATORY 39098,A000000,02500,0000,02500PHYSICAL THERAPY 39098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39098,A000000,02700,0000,02700SPEECH PATHOLOGY 39098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39098,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39098,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39098,A000000,03550,0000,03550FQHC 39098,A000000,05000,0000,05000CORF 39098,A000000,05010,0000,05010CMHC 39098,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39098,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39098,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39098,A000000,05300,0000,05300INTEREST EXPENSE 39098,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39098,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39098,A000000,06151,0000,06301DENTAL 39098,B100000,00000,0100,00001SQUARE FEET 39098,B100000,00000,0200,00001SQUARE FEET 39098,B100000,00000,0300,00001GROSS SALARIES 39098,B100000,00000,0400,00001ACCUM COST 39098,B100000,00000,0500,00001SQUARE FEET 39098,B100000,00000,0600,00001POUNDS OF LAUNDRY 39098,B100000,00000,0700,00001HOURS OF SERVICE 39098,B100000,00000,0800,00001MEALS SERVED 39098,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39098,B100000,00000,1000,00001COSTED REQUISITIO 39098,B100000,00000,1100,00001COSTED REQUISITIO 39098,B100000,00000,1200,00001TIME SPENT 39098,B100000,00000,1300,00001TIME SPENT 39098,B100000,00000,1350,00001NUMBER OF PARTICIPAN 39098,B100000,00000,1400,00001ASSIGNED TIME 39098,S000000,00100,0200,06/01/2000 39098,S200000,00100,0100,125 ROCKEFELLER ROAD 39098,S200000,00200,0100,DELMAR 39098,S200000,00200,0200,NY 39098,S200000,00200,0300,12054 39098,S200000,00300,0100,ALBANY 39098,S200000,00400,0100,GOOD SAM LUTHERAN HLTH CARE CTR 39098,S200000,00400,0200,335735 39098,S200000,00400,0300,01/01/1991 39098,S200000,00400,0500,P 39098,S200000,01500,0100,Y 39105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39105,A000000,00300,0000,00300EMPLOYEE BENEFITS 39105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39105,A000000,00700,0000,00700HOUSEKEEPING 39105,A000000,00800,0000,00800DIETARY 39105,A000000,00900,0000,00900NURSING ADMINISTRATION 39105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39105,A000000,01100,0000,01100PHARMACY 39105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39105,A000000,01300,0000,01300SOCIAL SERVICE 39105,A000000,01350,0000,01500OTHER GENERAL SERVICES 39105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39105,A000000,01600,0000,01600SKILLED NURSING FACILITY 39105,A000000,01810,0000,01810ICF/MR 39105,A000000,02100,0000,02100RADIOLOGY 39105,A000000,02200,0000,02200LABORATORY 39105,A000000,02500,0000,02500PHYSICAL THERAPY 39105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39105,A000000,02700,0000,02700SPEECH PATHOLOGY 39105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39105,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39105,A000000,03051,0000,03301CLINITRON THERAPY 39105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39105,A000000,03550,0000,03550FQHC 39105,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39105,A000000,05000,0000,05000CORF 39105,A000000,05010,0000,05010CMHC 39105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39105,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39105,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39105,A81000A,00100,0100,Y 39105,A81000B,00100,0300,RENT 39105,A81000B,00200,0300,MIP INSURANCE 39105,A81000B,00300,0300,MORTGAGE INTEREST 39105,A81000B,00400,0300,DEPRECIATION 39105,A81000B,00500,0300,INSURANCE 39105,A81000B,00600,0300,PERMITS 39105,A81000B,00700,0300,REAL ESTATE TAXES 39105,A81000B,00800,0300,PRO FEES 39105,A81000C,00100,0100,D 39105,A81000C,00100,0200,D. ZIMMERMAN 39105,A81000C,00100,0400,SEAGIRT BUILDING ASSOC. 39105,A81000C,00100,0600,REAL ESTATE 39105,B100000,00000,0100,00000SQUARE FEET 39105,B100000,00000,0200,00000DOLLAR VALUE 39105,B100000,00000,0300,00000GROSS SALARIES 39105,B100000,00000,0400,00000ACCUM. COST 39105,B100000,00000,0500,00000SQUARE FEET 39105,B100000,00000,0600,00000POUNDS OF LAUNDRY 39105,B100000,00000,0700,00000HOURS OF SERVICE 39105,B100000,00000,0800,00000MEALS SERVED 39105,B100000,00000,0900,00000HOURS OF SERVICE 39105,B100000,00000,1000,00000COSTED REQUIS. 39105,B100000,00000,1100,00000COSTED REQUIS. 39105,B100000,00000,1200,00000TIME SPENT 39105,B100000,00000,1300,00000TIME SPENT 39105,B100000,00000,1350,00000NO STATISTICS 39105,B100000,00000,1400,00000TIME SPENT 39105,E10A180,00301,0100,05/10/2000 39105,E10A180,00350,0100,01/20/2000 39105,S000000,00100,0200,06/05/2000 39105,S200000,00100,0100,1410 SEAGIRT BLVD. 39105,S200000,00200,0100,WEST LAWRENCE 39105,S200000,00200,0200,NY 39105,S200000,00200,0300,11691 39105,S200000,00300,0100,QUEENS 39105,S200000,00400,0100,WEST LAWRENCE CARE CENTER INC. 39105,S200000,00400,0200,335737 39105,S200000,00400,0300,01/01/1991 39105,S200000,00400,0500,P 39105,S200000,01500,0100,Y 39114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39114,A000000,00300,0000,00300EMPLOYEE BENEFITS 39114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39114,A000000,00700,0000,00700HOUSEKEEPING 39114,A000000,00800,0000,00800DIETARY 39114,A000000,00900,0000,00900NURSING ADMINISTRATION 39114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39114,A000000,01100,0000,01100PHARMACY 39114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39114,A000000,01300,0000,01300SOCIAL SERVICE 39114,A000000,01350,0000,01500OTHER GENERAL SERVICES 39114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39114,A000000,01600,0000,01600SKILLED NURSING FACILITY 39114,A000000,01810,0000,01810ICF/MR 39114,A000000,02100,0000,02100RADIOLOGY 39114,A000000,02200,0000,02200LABORATORY 39114,A000000,02300,0000,02300INTRAVENOUS THERAPY 39114,A000000,02500,0000,02500PHYSICAL THERAPY 39114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39114,A000000,02700,0000,02700SPEECH PATHOLOGY 39114,A000000,02800,0000,02800ELECTROCARDIOLOGY 39114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39114,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39114,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39114,A000000,03550,0000,03550FQHC 39114,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39114,A000000,05000,0000,05000CORF 39114,A000000,05010,0000,05010CMHC 39114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39114,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39114,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39114,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39114,A81000A,00100,0100,Y 39114,A81000B,00100,0300,ADMIN CONS. 39114,A81000B,00200,0300,OFFICE 39114,A81000C,00100,0100,A 39114,A81000C,00100,0200,M. TENENBAUM 39114,A81000C,00100,0400,EXCELSIOR HEALTH MGMT. 39114,A81000C,00200,0100,A 39114,A81000C,00200,0200,M. TENENBAUM 39114,A81000C,00200,0400,MJT MGMNT. 39114,B100000,00000,0100,00000SQUARE FEET 39114,B100000,00000,0200,00000DOLLAR VALUE 39114,B100000,00000,0300,00000GROSS SALARIES 39114,B100000,00000,0400,00000ACCUM. COST 39114,B100000,00000,0500,00000SQUARE FEET 39114,B100000,00000,0600,00000POUNDS OF LAUNDRY 39114,B100000,00000,0700,00000HOURS OF SERVICE 39114,B100000,00000,0800,00000MEALS SERVED 39114,B100000,00000,0900,00000HOURS OF SERVICE 39114,B100000,00000,1000,00000COSTED REQUIS. 39114,B100000,00000,1100,00000COSTED REQUIS. 39114,B100000,00000,1200,00000TIME SPENT 39114,B100000,00000,1300,00000TIME SPENT 39114,B100000,00000,1350,00000NO STATISTICS 39114,B100000,00000,1400,00000TIME SPENT 39114,E10A180,00301,0100,05/10/2000 39114,E10A180,00302,0100,09/15/1999 39114,E10A180,00350,0100,01/03/2000 39114,E10A180,00550,0100,06/07/2000 39114,S000000,00100,0200,06/02/2000 39114,S200000,00100,0100,64-11 BEACH CHANNEL DRIVE 39114,S200000,00200,0100,ARVERNE 39114,S200000,00200,0200,NY 39114,S200000,00200,0300,11690 39114,S200000,00300,0100,QUEENS 39114,S200000,00400,0100,HORIZON CARE CENTER 39114,S200000,00400,0200,335738 39114,S200000,00400,0300,01/01/1991 39114,S200000,00400,0500,P 39114,S200000,01500,0100,Y 39123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39123,A000000,00300,0000,00300EMPLOYEE BENEFITS 39123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39123,A000000,00700,0000,00700HOUSEKEEPING 39123,A000000,00800,0000,00800DIETARY 39123,A000000,00900,0000,00900NURSING ADMINISTRATION 39123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39123,A000000,01100,0000,01100PHARMACY 39123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39123,A000000,01300,0000,01300SOCIAL SERVICE 39123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39123,A000000,01600,0000,01600SKILLED NURSING FACILITY 39123,A000000,01810,0000,01810ICF/MR 39123,A000000,02100,0000,02100RADIOLOGY 39123,A000000,02200,0000,02200LABORATORY 39123,A000000,02500,0000,02500PHYSICAL THERAPY 39123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39123,A000000,02700,0000,02700SPEECH PATHOLOGY 39123,A000000,02800,0000,02800ELECTROCARDIOLOGY 39123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39123,A000000,03550,0000,03550FQHC 39123,A000000,05000,0000,05000CORF 39123,A000000,05010,0000,05010CMHC 39123,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39123,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39123,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39123,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39123,A000000,06150,0000,06300ADULT DAY CARE 39123,A000000,06151,0000,06301DENTAL 39123,A000000,06200,0000,06200PATIENTS LAUNDRY 39123,A81000A,00100,0100,Y 39123,A81000B,00100,0300,RENT 39123,A81000B,00200,0300,MORTG INT 39123,A81000B,00300,0300,RE TAXES 39123,A81000B,00400,0300,DEPRECIATION 39123,A81000B,00500,0300,AMORT MGT EXP 39123,A81000B,00600,0300,INSURANCE 39123,A81000B,00700,0300,UTILITIES 39123,A81000B,00800,0300,ACCOUNTING FEES 39123,A81000B,00900,0300,INSURANCE-PROPERTY 39123,A81000B,01000,0300,DEPRECIATION-MOVABLE 39123,A81000C,00100,0100,A 39123,A81000C,00100,0200,SHRF 39123,A81000C,00100,0400,SHRF REALTY 39123,B100000,00000,0100,00001SQUARE FEET 39123,B100000,00000,0200,00001SQUARE FEET 39123,B100000,00000,0300,00001GROSS SALARIES 39123,B100000,00000,0400,00001ACCUM COST 39123,B100000,00000,0500,00001SQUARE FEET 39123,B100000,00000,0600,00001POUNDS OF LAUNDRY 39123,B100000,00000,0700,00001HOURS OF SERVICE 39123,B100000,00000,0800,00001MEALS SERVED 39123,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39123,B100000,00000,1000,00001COSTED REQUISITIO 39123,B100000,00000,1100,00001COSTED REQUISITIO 39123,B100000,00000,1200,00001TIME SPENT 39123,B100000,00000,1300,00001TIME SPENT 39123,B100000,00000,1400,00001ASSIGNED TIME 39123,E10A180,00301,0100,01/18/2000 39123,E10A180,00302,0100,05/10/2000 39123,S000000,00100,0200,06/02/2000 39123,S200000,00100,0100,273 MORICHES ROAD 39123,S200000,00200,0100,ST. JAMES 39123,S200000,00200,0200,NY 39123,S200000,00200,0300,11780 39123,S200000,00300,0100,SUFFOLK 39123,S200000,00400,0100,ST. JAMES PLAZA 39123,S200000,00400,0200,335739 39123,S200000,00400,0300,05/01/1991 39123,S200000,00400,0500,P 39123,S200000,01500,0100,Y 39123,S200000,04200,0100,Y 39123,S200000,04300,0100,Y 39132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39132,A000000,00300,0000,00300EMPLOYEE BENEFITS 39132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39132,A000000,00700,0000,00700HOUSEKEEPING 39132,A000000,00800,0000,00800DIETARY 39132,A000000,00900,0000,00900NURSING ADMINISTRATION 39132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39132,A000000,01100,0000,01100PHARMACY 39132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39132,A000000,01300,0000,01300SOCIAL SERVICE 39132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39132,A000000,01600,0000,01600SKILLED NURSING FACILITY 39132,A000000,01810,0000,01810ICF/MR 39132,A000000,02100,0000,02100RADIOLOGY 39132,A000000,02200,0000,02200LABORATORY 39132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39132,A000000,02500,0000,02500PHYSICAL THERAPY 39132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39132,A000000,02700,0000,02700SPEECH PATHOLOGY 39132,A000000,03550,0000,03550FQHC 39132,A000000,05000,0000,05000CORF 39132,A000000,05010,0000,05010CMHC 39132,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39132,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39132,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39132,A000000,05300,0000,05300INTEREST EXPENSE 39132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39132,A000000,06150,0000,06300OPTOMETRY 39132,A000000,06151,0000,06310DENTAL 39132,A81000A,00100,0100,Y 39132,A81000B,00100,0300,INTRA-COUNTY CHARGES 39132,A81000B,00200,0300,EQUIPMENT USE CHARGE 39132,A81000B,00300,0300,PROPERTY USE CHARGE 39132,A81000B,00400,0300,EDP CHARGES 39132,A81000B,00500,0300,SOFTWAREAMORTIZATION 39132,A81000C,00100,0100,G 39132,A81000C,00100,0200,ALBANY COUNTY 39132,A81000C,00200,0100,G 39132,A81000C,00200,0200,ALBANY COUNTY 39132,A81000C,00300,0100,G 39132,A81000C,00300,0200,ALBANY COUNTY 39132,A81000C,00400,0100,G 39132,A81000C,00400,0200,ALBANY COUNTY 39132,A81000C,00500,0100,G 39132,A81000C,00500,0200,ALBANY COUNTY 39132,B100000,00000,0100,00010SQUARE FEET 39132,B100000,00000,0200,00010SQUARE FEET 39132,B100000,00000,0300,00010GROSS SALARIES 39132,B100000,00000,0400,00010ACCUM COST 39132,B100000,00000,0500,00010SQUARE FEET 39132,B100000,00000,0600,00010POUNDS OF LAUNDRY 39132,B100000,00000,0700,00010HOURS OF SERVICE 39132,B100000,00000,0800,00010MEALS SERVED 39132,B100000,00000,0900,00010DIRECT NRSG HRS 39132,B100000,00000,1000,00010COSTED REQUIS 39132,B100000,00000,1100,00010COSTED REQUIS 39132,B100000,00000,1200,00010TIME SPENT 39132,B100000,00000,1300,00010TIME SPENT 39132,B100000,00000,1400,00010ASSIGNED TIME 39132,E10A180,00301,0100,05/10/2000 39132,S000000,00100,0200,06/05/2000 39132,S200000,00100,0100,875 WATERVLIET SHAKER ROAD 39132,S200000,00200,0100,ALBANY 39132,S200000,00200,0200,NY 39132,S200000,00200,0300,12211 39132,S200000,00300,0100,ALBANY 39132,S200000,00400,0100,ANN LEE HOME 39132,S200000,00400,0200,335741 39132,S200000,00400,0300,01/01/1991 39132,S200000,00400,0500,P 39132,S200000,01500,0100,Y 39132,S200000,03300,0100,Y 39132,S200000,03300,0200,Y 39132,S200000,04300,0100,Y 39140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39140,A000000,00300,0000,00300EMPLOYEE BENEFITS 39140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39140,A000000,00700,0000,00700HOUSEKEEPING 39140,A000000,00800,0000,00800DIETARY 39140,A000000,00900,0000,00900NURSING ADMINISTRATION 39140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39140,A000000,01100,0000,01100PHARMACY 39140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39140,A000000,01300,0000,01300SOCIAL SERVICE 39140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39140,A000000,01600,0000,01600SKILLED NURSING FACILITY 39140,A000000,01810,0000,01810ICF/MR 39140,A000000,02100,0000,02100RADIOLOGY 39140,A000000,02200,0000,02200LABORATORY 39140,A000000,02500,0000,02500PHYSICAL THERAPY 39140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39140,A000000,02700,0000,02700SPEECH PATHOLOGY 39140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39140,A000000,03550,0000,03550FQHC 39140,A000000,05000,0000,05000CORF 39140,A000000,05010,0000,05010CMHC 39140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39140,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39140,A000000,06151,0000,06301DENTAL 39140,B100000,00000,0100,00001SQUARE FEET 39140,B100000,00000,0200,00001SQUARE FEET 39140,B100000,00000,0300,00001GROSS SALARIES 39140,B100000,00000,0400,00001ACCUM COST 39140,B100000,00000,0500,00001SQUARE FEET 39140,B100000,00000,0600,00001POUNDS OF LAUNDRY 39140,B100000,00000,0700,00001HOURS OF SERVICE 39140,B100000,00000,0800,00001MEALS SERVED 39140,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39140,B100000,00000,1000,00001COSTED REQUISITIO 39140,B100000,00000,1100,00001COSTED REQUISITIO 39140,B100000,00000,1200,00001TIME SPENT 39140,B100000,00000,1300,00001TIME SPENT 39140,B100000,00000,1400,00001ASSIGNED TIME 39140,E10A180,00301,0100,05/10/2000 39140,E10A180,00350,0100,01/18/2000 39140,E10A180,00550,0100,06/12/2000 39140,S000000,00100,0200,06/02/2000 39140,S200000,00100,0100,822 CEDAR AVE. 39140,S200000,00200,0100,NIAGARA FALLS 39140,S200000,00200,0200,14301 39140,S200000,00300,0100,NIAGARA 39140,S200000,00400,0100,NIAGARA GERIATRIC CENTER 39140,S200000,00400,0200,335742 39140,S200000,00400,0300,01/01/1991 39140,S200000,00400,0500,P 39149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39149,A000000,00300,0000,00300EMPLOYEE BENEFITS 39149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39149,A000000,00700,0000,00700HOUSEKEEPING 39149,A000000,00800,0000,00800DIETARY 39149,A000000,00801,0000,00801CAFETERIA 39149,A000000,00900,0000,00900NURSING ADMINISTRATION 39149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39149,A000000,01100,0000,01100PHARMACY 39149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39149,A000000,01300,0000,01300SOCIAL SERVICE 39149,A000000,01350,0000,01500ACTIVITIES 39149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39149,A000000,01600,0000,01600SKILLED NURSING FACILITY 39149,A000000,01810,0000,01810ICF/MR 39149,A000000,02100,0000,02100RADIOLOGY 39149,A000000,02200,0000,02200LABORATORY 39149,A000000,02500,0000,02500PHYSICAL THERAPY 39149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39149,A000000,02700,0000,02700SPEECH PATHOLOGY 39149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39149,A000000,03550,0000,03550FQHC 39149,A000000,05000,0000,05000CORF 39149,A000000,05010,0000,05010CMHC 39149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39149,A000000,06201,0000,06201DENTAL 39149,B100000,00000,0100,00001SQUARE FEET 39149,B100000,00000,0200,00001SQUARE FEET 39149,B100000,00000,0300,00001GROSS SAL 39149,B100000,00000,0400,00001ACCUM. COST 39149,B100000,00000,0500,00001SQUARE FEET 39149,B100000,00000,0600,00001LBS OF LAUNDRY 39149,B100000,00000,0700,00001HOUSEKEEPI TIME 39149,B100000,00000,0800,00001MEALS SERVED 39149,B100000,00000,0801,00001FTES 39149,B100000,00000,0900,00001NURSING HOURS 39149,B100000,00000,1000,00001BLANK 39149,B100000,00000,1100,00001PHARMACY 39149,B100000,00000,1200,00001MEDICAL RECORDS TI 39149,B100000,00000,1300,00001SOC SERV TIME 39149,B100000,00000,1350,00001#OF PARTICIPAN 39149,B100000,00000,1400,00001BLANK 39149,E10A180,00301,0100,01/18/2000 39149,E10A180,00302,0100,05/10/2000 39149,S000000,00100,0200,05/31/2000 39149,S200000,00100,0100,2235 MILLERSPORT HIGHWAY 39149,S200000,00200,0100,GETZVILLE 39149,S200000,00200,0200,NY 39149,S200000,00200,0300,14068 39149,S200000,00300,0100,ERIE 39149,S200000,00400,0100,BEECHWOOD RESIDENCE 39149,S200000,00400,0200,335743 39149,S200000,00400,0300,01/01/1991 39149,S200000,00400,0500,P 39149,S200000,01500,0100,Y 39149,S200000,01900,0100,VOLUNTARY 39149,S200000,02200,0100,Y 39149,S200000,02800,0100,Y 39149,S200000,04300,0100,Y 39159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39159,A000000,00300,0000,00300EMPLOYEE BENEFITS 39159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39159,A000000,00700,0000,00700HOUSEKEEPING 39159,A000000,00800,0000,00800DIETARY 39159,A000000,00900,0000,00900NURSING ADMINISTRATION 39159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39159,A000000,01100,0000,01100PHARMACY 39159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39159,A000000,01300,0000,01300SOCIAL SERVICE 39159,A000000,01350,0000,01500ACTIVITIES 39159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39159,A000000,01600,0000,01600SKILLED NURSING FACILITY 39159,A000000,01810,0000,01810ICF/MR 39159,A000000,02500,0000,02500PHYSICAL THERAPY 39159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39159,A000000,02700,0000,02700SPEECH PATHOLOGY 39159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39159,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39159,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39159,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39159,A000000,03550,0000,03550FQHC 39159,A000000,05000,0000,05000CORF 39159,A000000,05010,0000,05010CMHC 39159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39159,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39159,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39159,B100000,00000,0100,00000SQUARE FEET 39159,B100000,00000,0200,00000SQUARE FEET 39159,B100000,00000,0300,00000GROSS SALARIES 39159,B100000,00000,0400,00000ACCUM COST 39159,B100000,00000,0500,00000SQUARE FEET 39159,B100000,00000,0600,00000POUNDS OF LAUNDRY 39159,B100000,00000,0700,00000HOURS OF SERVICE 39159,B100000,00000,0800,00000MEALS SERVED 39159,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39159,B100000,00000,1000,00000COSTED REQUISITIO 39159,B100000,00000,1100,00000COSTED REQUISITIO 39159,B100000,00000,1200,00000TIME SPENT 39159,B100000,00000,1300,00000TIME SPENT 39159,B100000,00000,1350,00000ASSIGNED TIME 39159,B100000,00000,1400,00000ASSIGNED TIME 39159,E10A180,00301,0100,11/04/1999 39159,E10A180,00302,0100,05/10/2000 39159,S000000,00100,0200,07/06/2000 39159,S200000,00100,0100,700 WHITE PLAINS ROAD 39159,S200000,00200,0100,BRONX NY 10473 39159,S200000,00300,0100,BRONX 39159,S200000,00400,0100,GRAND MANOR NURSING & REHAB CTR 39159,S200000,00400,0200,335744 39159,S200000,00400,0300,01/01/1991 39159,S200000,00400,0500,P 39159,S200000,01500,0100,Y 39159,S200000,04600,0100,Y 39168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39168,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39168,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39168,A000000,00300,0000,00300EMPLOYEE BENEFITS 39168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39168,A000000,00700,0000,00700HOUSEKEEPING 39168,A000000,00800,0000,00800DIETARY 39168,A000000,00801,0000,00801CAFETERIA 39168,A000000,00900,0000,00900NURSING ADMINISTRATION 39168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39168,A000000,01100,0000,01100PHARMACY 39168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39168,A000000,01300,0000,01300SOCIAL SERVICE 39168,A000000,01350,0000,01500ACTIVITIES 39168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39168,A000000,01600,0000,01600SKILLED NURSING FACILITY 39168,A000000,01810,0000,01810ICF/MR 39168,A000000,02100,0000,02100RADIOLOGY 39168,A000000,02200,0000,02200LABORATORY 39168,A000000,02500,0000,02500PHYSICAL THERAPY 39168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39168,A000000,02700,0000,02700SPEECH PATHOLOGY 39168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39168,A000000,03050,0000,03300ORTHO PROSTH & OTHER 39168,A000000,03051,0000,03301OTHER ANCILLARY II 39168,A000000,03052,0000,03302OTHER ANCILLARY III 39168,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39168,A000000,03450,0000,03600ADULT DAY CARE 39168,A000000,03550,0000,03550FQHC 39168,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39168,A000000,05000,0000,05000CORF I 39168,A000000,05010,0000,05010CMHC I 39168,A000000,05020,0000,05020OPT I 39168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39168,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39168,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39168,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39168,A000000,06150,0000,06300RENTAL PROPERTY 39168,B100000,00000,0100,00000(SQUARE FEET) 39168,B100000,00000,0101,00000(SQUARE FEET) 39168,B100000,00000,0200,00000(SQUARE FEET) 39168,B100000,00000,0201,00000(SQUARE FEET) 39168,B100000,00000,0300,00000(GROSS SALARIES) 39168,B100000,00000,0400,00000(ACCUM. COST) 39168,B100000,00000,0500,00000(SQUARE FEET) 39168,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 39168,B100000,00000,0700,00000(HOURS OF SERVICE) 39168,B100000,00000,0800,00000(MEALS SERVED) 39168,B100000,00000,0801,00000(MEALS SERVED) 39168,B100000,00000,0900,00000(DIRECT NRSING HRS 39168,B100000,00000,1000,00000(COSTED REQUIS.) 39168,B100000,00000,1100,00000(COSTED REQUIS.) 39168,B100000,00000,1200,00000(TIME SPENT) 39168,B100000,00000,1300,00000(TIME SPENT) 39168,B100000,00000,1350,00000# OF PART- ICIPANTS 39168,B100000,00000,1400,00000(ASSIGNED TIME) 39168,E10A180,00301,0100,05/10/2000 39168,S000000,00100,0200,06/02/2000 39168,S200000,00100,0100,299 EAST RIVER RD. 39168,S200000,00200,0100,OSWEGO 39168,S200000,00200,0200,NY 39168,S200000,00200,0300,13126 39168,S200000,00300,0100,OSWEGO 39168,S200000,00400,0100,ST. LUKE HEALTH SERVICES 39168,S200000,00400,0200,335746 39168,S200000,00400,0300,01/01/1991 39168,S200000,00400,0500,P 39168,S200000,01500,0100,Y 39168,S200000,02800,0100,Y 39173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39173,A000000,00300,0000,00300EMPLOYEE BENEFITS 39173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39173,A000000,00700,0000,00700HOUSEKEEPING 39173,A000000,00800,0000,00800DIETARY 39173,A000000,00900,0000,00900NURSING ADMINISTRATION 39173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39173,A000000,01100,0000,01100PHARMACY 39173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39173,A000000,01300,0000,01300SOCIAL SERVICE 39173,A000000,01350,0000,01500OTHER GENERAL SERVICES 39173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39173,A000000,01600,0000,01600SKILLED NURSING FACILITY 39173,A000000,01810,0000,01810ICF/MR 39173,A000000,02100,0000,02100RADIOLOGY 39173,A000000,02200,0000,02200LABORATORY 39173,A000000,02500,0000,02500PHYSICAL THERAPY 39173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39173,A000000,02700,0000,02700SPEECH PATHOLOGY 39173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39173,A000000,03550,0000,03550FQHC 39173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39173,A000000,05000,0000,05000CORF 39173,A000000,05010,0000,05010CMHC 39173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39173,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39173,B100000,00000,0100,00000S 39173,B100000,00000,0200,00000NO STATISTICS 39173,B100000,00000,0300,00000GROSS SALARIES 39173,B100000,00000,0400,00000ACCUM. COST 39173,B100000,00000,0500,00000S 39173,B100000,00000,0600,00000POUNDS OF LAUNDRY 39173,B100000,00000,0700,00000HOURS OF SERVICE 39173,B100000,00000,0800,00000MEALS SERVED 39173,B100000,00000,0900,00000NO STATISTICS 39173,B100000,00000,1000,00000NO STATISTICS 39173,B100000,00000,1100,00000NO STATISTICS 39173,B100000,00000,1200,00000NO STATISTICS 39173,B100000,00000,1300,00000NO STATISTICS 39173,B100000,00000,1350,00000NO STATISTICS 39173,B100000,00000,1400,00000NO STATISTICS 39173,S000000,00100,0200,06/07/2000 39173,S200000,00100,0100,50 MAINE AVENUE 39173,S200000,00200,0100,ROCKVILLE CENTER 39173,S200000,00200,0200,NY 39173,S200000,00200,0300,11570 39173,S200000,00300,0100,NASSAU 39173,S200000,00400,0100,ROCKVILLE RESIDENCE MANOR LLC 39173,S200000,00400,0200,335747 39173,S200000,00400,0300,01/01/1991 39173,S200000,00400,0500,P 39173,S200000,01500,0100,Y 39176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39176,A000000,00300,0000,00300EMPLOYEE BENEFITS 39176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39176,A000000,00700,0000,00700HOUSEKEEPING 39176,A000000,00800,0000,00800DIETARY 39176,A000000,00900,0000,00900NURSING ADMINISTRATION 39176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39176,A000000,01100,0000,01100PHARMACY 39176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39176,A000000,01300,0000,01300SOCIAL SERVICE 39176,A000000,01350,0000,01500ACTIVITIES 39176,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39176,A000000,01600,0000,01600SKILLED NURSING FACILITY 39176,A000000,01810,0000,01810ICF/MR 39176,A000000,02100,0000,02100RADIOLOGY 39176,A000000,02200,0000,02200LABORATORY 39176,A000000,02500,0000,02500PHYSICAL THERAPY 39176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39176,A000000,02700,0000,02700SPEECH PATHOLOGY 39176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39176,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39176,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39176,A000000,03550,0000,03550FQHC 39176,A000000,05000,0000,05000CORF 39176,A000000,05010,0000,05010CMHC 39176,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39176,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39176,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39176,A000000,05300,0000,05300INTEREST EXPENSE 39176,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39176,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39176,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39176,A000000,06201,0000,06201DENTAL 39176,A000000,06202,0000,06202PODIATRY 39176,B100000,00000,0100,00000SQUARE FEET 39176,B100000,00000,0200,00000SQUARE FEET 39176,B100000,00000,0300,00000GROSS SALARIES 39176,B100000,00000,0400,00000ACCUM COST 39176,B100000,00000,0500,00000SQUARE FEET 39176,B100000,00000,0600,00000POUNDS OF LAUNDRY 39176,B100000,00000,0700,00000HOURS OF SERVICE 39176,B100000,00000,0800,00000MEALS SERVED 39176,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39176,B100000,00000,1000,00000COSTED REQUISITIO 39176,B100000,00000,1100,00000COSTED REQUISITIO 39176,B100000,00000,1200,00000TIME SPENT 39176,B100000,00000,1300,00000TIME SPENT 39176,B100000,00000,1350,00000NUMBER OF PARTICIPAN 39176,B100000,00000,1400,00000ASSIGNED TIME 39176,E10A180,00301,0100,05/10/2000 39176,S000000,00100,0200,06/15/2000 39176,S200000,00100,0100,2720 SURF AVENUE 39176,S200000,00200,0100,BROOKLYN 39176,S200000,00200,0200,NY 39176,S200000,00200,0300,11224 39176,S200000,00300,0100,KINGS 39176,S200000,00400,0100,SS JOACHIM & ANNE RESIDENCE 39176,S200000,00400,0200,335748 39176,S200000,00400,0300,02/04/1991 39176,S200000,00400,0500,P 39176,S200000,01500,0100,Y 39186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39186,A000000,00300,0000,00300EMPLOYEE BENEFITS 39186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39186,A000000,00700,0000,00700HOUSEKEEPING 39186,A000000,00800,0000,00800DIETARY 39186,A000000,00900,0000,00900NURSING ADMINISTRATION 39186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39186,A000000,01100,0000,01100PHARMACY 39186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39186,A000000,01300,0000,01300SOCIAL SERVICE 39186,A000000,01350,0000,01500ACTIVITIES 39186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39186,A000000,01600,0000,01600SKILLED NURSING FACILITY 39186,A000000,01810,0000,01810ICF/MR 39186,A000000,02500,0000,02500PHYSICAL THERAPY 39186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39186,A000000,02700,0000,02700SPEECH PATHOLOGY 39186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39186,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39186,A000000,03550,0000,03550FQHC 39186,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 39186,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 39186,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 39186,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 39186,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 39186,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 39186,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 39186,A000000,04301,0000,04301HOME HEALTH AIDE - HHA 2 39186,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 39186,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39186,A000000,05000,0000,05000CORF 39186,A000000,05010,0000,05010CMHC 39186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39186,A000000,05300,0000,05300INTEREST EXPENSE 39186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39186,A000000,06151,0000,06301DENTAL 39186,A000000,06152,0000,06302FOSTER FAMILY CARE 39186,A81000A,00100,0100,Y 39186,A81000B,00100,0300,CAP REL COSTS - BLDG & FIX REN 39186,A81000B,00200,0300,CAP REL COSTS-BLDG & FIX DEPR 39186,A81000B,00300,0300,CAP REL COSTS-BLDG & FIX AMORT 39186,A81000B,00400,0300,CAP REL COSTS-BLDG & FIX R/E T 39186,A81000B,00500,0300,CAP REL COSTS-INTEREST 39186,A81000C,00100,0100,A 39186,A81000C,00100,0200,LYNN R. KASIN 39186,A81000C,00100,0400,R.R. KASIN GROUP INC 39186,A81000C,00100,0600,REALTY 39186,B100000,00000,0100,00002SQUARE FEET 39186,B100000,00000,0200,00002DOLLAR VALUE 39186,B100000,00000,0300,00002GROSS SALARIES 39186,B100000,00000,0400,00002ACCUM. COST 39186,B100000,00000,0500,00002SQUARE FEET 39186,B100000,00000,0600,00002POUNDS OF LAUNDRY 39186,B100000,00000,0700,00002HOURS OF SERVICE 39186,B100000,00000,0800,00002MEALS SERVED 39186,B100000,00000,0900,00002DIRECT NRSING HRS 39186,B100000,00000,1000,00002COSTED REQUIS. 39186,B100000,00000,1100,00002COSTED REQUIS. 39186,B100000,00000,1200,00002TIME SPENT 39186,B100000,00000,1300,00002TIME SPENT 39186,B100000,00000,1350,00002NUMBER OFPARTICIP 39186,B100000,00000,1400,00002ASSIGNED TIME 39186,H510100,00000,0000,2281 39186,H510100,02400,0000,2281 39186,H710000,00301,0100,12/10/1999 39186,H710000,00550,0100,07/21/2000 39186,S000000,00100,0200,06/01/2000 39186,S200000,00100,0100,130 NORTH ROAD 39186,S200000,00200,0100,BEACON 39186,S200000,00200,0200,NY 39186,S200000,00200,0300,12508 39186,S200000,00300,0100,DUTCHESS 39186,S200000,00400,0100,FISHKILL HEALTH RELATED CENTER INC 39186,S200000,00400,0200,335750 39186,S200000,00400,0300,05/20/1991 39186,S200000,00400,0500,P 39186,S200000,00800,0200,337218 39186,S200000,00800,0300,01/01/1991 39186,S200000,00800,0500,P 39186,S200000,01500,0100,Y 39186,S200000,02200,0100,Y 39189,S000000,00100,0200,04/28/2000 39197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39197,A000000,00101,0000,00101CAP REL COSTS - BLDG & FIX - AL 39197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39197,A000000,00300,0000,00300EMPLOYEE BENEFITS 39197,A000000,00401,0000,00401PERSONNEL 39197,A000000,00402,0000,00402ADMIN & GENERAL - SNF 39197,A000000,00403,0000,00403PURCHASING 39197,A000000,00404,0000,00404BUSINESS OFFICE 39197,A000000,00405,0000,00405ADMIN & GENERAL 39197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39197,A000000,00501,0000,00501GROUNDS 39197,A000000,00502,0000,00502PLANT - SNF 39197,A000000,00503,0000,00503PLANT - ALP 39197,A000000,00504,0000,00504UTILITIES - SNF 39197,A000000,00505,0000,00505UTILITIES - ALP 39197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39197,A000000,00700,0000,00700HOUSEKEEPING 39197,A000000,00800,0000,00800DIETARY 39197,A000000,00801,0000,00801DIETARY - ALP 39197,A000000,00802,0000,00802DIETARY - OVERHEAD 39197,A000000,00803,0000,00803CAFETERIA 39197,A000000,00900,0000,00900NURSING ADMINISTRATION 39197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39197,A000000,01100,0000,01100PHARMACY 39197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39197,A000000,01300,0000,01300SOCIAL SERVICE 39197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39197,A000000,01600,0000,01600SKILLED NURSING FACILITY 39197,A000000,01810,0000,01810ICF/MR 39197,A000000,02100,0000,02100RADIOLOGY 39197,A000000,02200,0000,02200LABORATORY 39197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39197,A000000,02500,0000,02500PHYSICAL THERAPY 39197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39197,A000000,02700,0000,02700SPEECH PATHOLOGY 39197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39197,A000000,03550,0000,03550FQHC 39197,A000000,05000,0000,05000CORF 39197,A000000,05010,0000,05010CMHC 39197,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39197,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39197,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39197,A000000,06150,0000,06300ASSISTED LIVING PROGRAM 39197,A000000,06151,0000,06301GUEST MEALS 39197,A81000A,00100,0100,Y 39197,A81000B,00100,0300,DRUG COST - WOODMARK 39197,A81000B,00200,0300,RENT - HCC 39197,A81000B,00300,0300,INT. EXP. MTG. - LP 39197,A81000B,00400,0300,DEP. - LP 39197,A81000B,00500,0300,AMORT. - LP 39197,A81000B,00600,0300,ACCTG. FEES - LP 39197,A81000B,00700,0300,BANK S. C. - LP 39197,A81000C,00100,0100,A 39197,A81000C,00100,0200,ROBERT M. CHUR 39197,A81000C,00100,0400,EAI - MGMT. 39197,A81000C,00100,0600,FINANCIAL & PUR 39197,A81000C,00200,0100,A 39197,A81000C,00200,0200,ROBERT M. CHUR 39197,A81000C,00200,0400,MAPLEWOOD PROP. 39197,A81000C,00200,0600,R.E. - 100% OF 39197,A81000C,00300,0100,A 39197,A81000C,00300,0200,ROBERT M. CHUR 39197,A81000C,00300,0400,WOODMARK PHARMA 39197,A81000C,00300,0600,FACILITY POHARM 39197,A81000C,00400,0100,A 39197,A81000C,00400,0200,CAROL L CHUR 39197,A81000C,00400,0400,EAI - MGMT. 39197,A81000C,00400,0600,FINANCIAL & PUR 39197,A81000C,00500,0100,A 39197,A81000C,00500,0200,CAROL L. CHUR 39197,A81000C,00500,0400,MAPLEWOOD PROP. 39197,A81000C,00500,0600,REAS ESTATE 100 39197,A81000C,00600,0100,A 39197,A81000C,00600,0200,CAROL L. CHUR 39197,A81000C,00600,0400,WOODMARK PHARMA 39197,A81000C,00600,0600,FAC. PHARM. 39197,B100000,00000,0100,00001SQUARE FEET 39197,B100000,00000,0101,00001SQUARE FEET-ALP 39197,B100000,00000,0200,00001SQUARE FEET 39197,B100000,00000,0300,00001GROSS SALARIES 39197,B100000,00000,0401,00001# OF EMPLOYEES 39197,B100000,00000,0402,00001ALLOCATED COSTS 39197,B100000,00000,0403,00001ASSIGNED TIME 39197,B100000,00000,0404,00001GROSS REVENUES 39197,B100000,00000,0405,00001ALLOCATED COSTS 39197,B100000,00000,0500,00001SQUARE FEET 39197,B100000,00000,0501,00001SQUARE FEET 39197,B100000,00000,0502,00001SQUARE FEET-SNF 39197,B100000,00000,0503,00001SQUARE FEET-ALP 39197,B100000,00000,0504,00001SQUARE FEET-SNF 39197,B100000,00000,0505,00001SQUARE FEET-ALP 39197,B100000,00000,0600,00001POUNDS OF LAUNDRY 39197,B100000,00000,0700,00001HOURS OF SERVICE 39197,B100000,00000,0800,00001MEALS SERVED 39197,B100000,00000,0801,00001MEALS SERVED-ALP 39197,B100000,00000,0802,00001MEALS SERVED 39197,B100000,00000,0803,00001AVG # OF EMPLOYEES 39197,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39197,B100000,00000,1000,00001COSTED REQUIS 39197,B100000,00000,1100,00001COSTED REQUIS 39197,B100000,00000,1200,00001TIME SPENT 39197,B100000,00000,1300,00001TIME SPENT 39197,B100000,00000,1400,00001ASSIGNED TIME 39197,E10A180,00301,0100,05/10/2000 39197,E10A180,00501,0100,05/26/2000 39197,E10A180,00501,0300,05/26/2000 39197,E10A180,00502,0300,02/27/2001 39197,E10A180,00550,0100,02/27/2001 39197,S000000,00100,0200,05/22/2000 39197,S200000,00100,0100,225 BENNETT RD. 39197,S200000,00200,0100,CHEEKTOWAGA 39197,S200000,00200,0200,NEW YORK 39197,S200000,00200,0300,14227 39197,S200000,00300,0100,ERIE 39197,S200000,00400,0100,MAPLEWOOD HEALTH CARE CENTER INC. 39197,S200000,00400,0200,335752 39197,S200000,00400,0300,06/17/1991 39197,S200000,00400,0500,P 39197,S200000,01500,0100,Y 39197,S200000,03300,0100,Y 39204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39204,A000000,00300,0000,00300EMPLOYEE BENEFITS 39204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39204,A000000,00700,0000,00700HOUSEKEEPING 39204,A000000,00800,0000,00800DIETARY 39204,A000000,00900,0000,00900NURSING ADMINISTRATION 39204,A000000,00901,0000,00901ACTIVITIES PROGRAM 39204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39204,A000000,01100,0000,01100PHARMACY 39204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39204,A000000,01300,0000,01300SOCIAL SERVICE 39204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39204,A000000,01600,0000,01600SKILLED NURSING FACILITY 39204,A000000,01810,0000,01810ICF/MR 39204,A000000,02100,0000,02100RADIOLOGY 39204,A000000,02200,0000,02200LABORATORY 39204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39204,A000000,02500,0000,02500PHYSICAL THERAPY 39204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39204,A000000,02700,0000,02700SPEECH PATHOLOGY 39204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39204,A000000,03050,0000,03300SUSTANCE ABUSE THERAPY 39204,A000000,03051,0000,03301PHYSICIANS 39204,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39204,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39204,A000000,03550,0000,03550FQHC 39204,A000000,05000,0000,05000CORF 39204,A000000,05010,0000,05010CMHC 39204,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39204,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39204,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39204,A000000,05300,0000,05300INTEREST EXPENSE 39204,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39204,A000000,05351,0000,05601DENTAL 39204,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39204,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39204,B100000,00000,0100,00000SQUARE FEET 39204,B100000,00000,0200,00000SQUARE FEET 39204,B100000,00000,0300,00000GROSS SALARIES 39204,B100000,00000,0400,00000ACCUM COST 39204,B100000,00000,0500,00000SQUARE FEET 39204,B100000,00000,0600,00000POUNDS OF LAUNDRY 39204,B100000,00000,0700,00000HOURS OF SERVICE 39204,B100000,00000,0800,00000MEALS SERVED 39204,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39204,B100000,00000,0901,00000# OF PARTICIPAT 39204,B100000,00000,1000,00000COSTED REQUISITIO 39204,B100000,00000,1100,00000COSTED REQUISITIO 39204,B100000,00000,1200,00000TIME SPENT 39204,B100000,00000,1300,00000TIME SPENT 39204,B100000,00000,1400,00000ASSIGNED TIME 39204,S000000,00100,0200,08/09/2000 39204,S200000,00100,0100,1265 FULTON AVENUE 39204,S200000,00200,0100,BRONX 39204,S200000,00200,0200,NY 39204,S200000,00200,0300,10456 39204,S200000,00300,0100,BRONX 39204,S200000,00400,0100,BRONX LEBANON SPECIAL CARE CTR. 39204,S200000,00400,0200,335753 39204,S200000,00400,0300,09/13/1991 39204,S200000,00400,0500,P 39204,S200000,01500,0100,Y 39204,S200000,01900,0100,OTHER (SPECIFY) VOLUNTARY NONPROFIT 39204,S200000,02200,0100,Y 39207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39207,A000000,00300,0000,00300EMPLOYEE BENEFITS 39207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39207,A000000,00700,0000,00700HOUSEKEEPING 39207,A000000,00800,0000,00800DIETARY 39207,A000000,00900,0000,00900NURSING ADMINISTRATION 39207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39207,A000000,01100,0000,01100PHARMACY 39207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39207,A000000,01300,0000,01300SOCIAL SERVICE 39207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39207,A000000,01600,0000,01600SKILLED NURSING FACILITY 39207,A000000,01810,0000,01810ICF/MR 39207,A000000,02100,0000,02100RADIOLOGY 39207,A000000,02200,0000,02200LABORATORY 39207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39207,A000000,02500,0000,02500PHYSICAL THERAPY 39207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39207,A000000,02700,0000,02700SPEECH PATHOLOGY 39207,A000000,02800,0000,02800ELECTROCARDIOLOGY 39207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39207,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39207,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39207,A000000,03550,0000,03550FQHC 39207,A000000,04800,0000,04800AMBULANCE 39207,A000000,05000,0000,05000CORF 39207,A000000,05010,0000,05010CMHC 39207,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39207,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39207,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39207,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39207,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39207,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39207,A000000,06100,0000,06100NONPAID WORKERS 39207,A000000,06150,0000,06300ADULT DAY CARE 39207,A81000A,00100,0100,Y 39207,A81000B,00100,0300,RENT 39207,A81000B,00200,0300,MORTG INT 39207,A81000B,00300,0300,RE TAXES 39207,A81000B,00400,0300,MIP 39207,A81000B,00500,0300,AMORT MGT EXP 39207,A81000B,00600,0300,UTILITIES 39207,A81000C,00100,0100,A 39207,A81000C,00100,0200,CLARA DAVIS 39207,A81000C,00100,0400,BELLHAVEN 39207,A81000C,00100,0600,REALTY 39207,A81000C,00200,0100,B 39207,A81000C,00200,0200,AGNES BRILEY 39207,A81000C,00200,0400,BELLHAVEN 39207,A81000C,00200,0600,REALTY 39207,A81000C,00300,0100,C 39207,A81000C,00300,0200,JOSEPH DAVIS 39207,A81000C,00300,0400,BELLHAVEN 39207,A81000C,00300,0600,REALTY 39207,A81000C,00400,0100,D 39207,A81000C,00400,0200,LORNA DAVIS 39207,A81000C,00400,0400,BELLHAVEN 39207,A81000C,00400,0600,REALTY 39207,B100000,00000,0100,00000SQUARE FEET 39207,B100000,00000,0200,00000SQUARE FEET 39207,B100000,00000,0300,00000GROSS SALARIES 39207,B100000,00000,0400,00000ACCUM COST 39207,B100000,00000,0500,00000SQUARE FEET 39207,B100000,00000,0600,00000POUNDS OF LAUNDRY 39207,B100000,00000,0700,00000HOURS OF SERVICE 39207,B100000,00000,0800,00000MEALS SERVED 39207,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39207,B100000,00000,1000,00000COSTED REQUISITIO 39207,B100000,00000,1100,00000COSTED REQUISITIO 39207,B100000,00000,1200,00000TIME SPENT 39207,B100000,00000,1300,00000TIME SPENT 39207,B100000,00000,1400,00000ASSIGNED TIME 39207,E10A180,00301,0100,05/10/2000 39207,S000000,00100,0200,05/26/2000 39207,S200000,00100,0100,110 BEAVER DAM RD. 39207,S200000,00200,0100,BROOKHAVEN 39207,S200000,00200,0200,NY 39207,S200000,00200,0300,11719 39207,S200000,00300,0100,SUFFOLK 39207,S200000,00400,0100,BELLHAVEN NURSING CENTER 39207,S200000,00400,0200,335755 39207,S200000,00400,0300,11/15/1991 39207,S200000,00400,0500,P 39207,S200000,01500,0100,Y 39207,S200000,01900,0100,FREESTANDING SKILLED NURSING FACILITY 39207,S200000,04300,0100,Y 39214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39214,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39214,A000000,00300,0000,00300EMPLOYEE BENEFITS 39214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39214,A000000,00700,0000,00700HOUSEKEEPING 39214,A000000,00800,0000,00800DIETARY 39214,A000000,00900,0000,00900NURSING ADMINISTRATION 39214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39214,A000000,01100,0000,01100PHARMACY 39214,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39214,A000000,01300,0000,01300SOCIAL SERVICE 39214,A000000,01350,0000,01500ACTIVITIES 39214,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39214,A000000,01600,0000,01600SKILLED NURSING FACILITY 39214,A000000,01810,0000,01810ICF/MR 39214,A000000,01900,0000,01900OTHER LONG TERM CARE 39214,A000000,02100,0000,02100RADIOLOGY 39214,A000000,02200,0000,02200LABORATORY 39214,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39214,A000000,02500,0000,02500PHYSICAL THERAPY 39214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39214,A000000,02700,0000,02700SPEECH PATHOLOGY 39214,A000000,02800,0000,02800ELECTROCARDIOLOGY 39214,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39214,A000000,03200,0000,03200SUPPORT SURFACES 39214,A000000,03550,0000,03550FQHC 39214,A000000,05000,0000,05000CORF 39214,A000000,05010,0000,05010CMHC 39214,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39214,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39214,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39214,B100000,00000,0100,00000SQUARE FEET 39214,B100000,00000,0200,00000SQUARE FEET 39214,B100000,00000,0300,00000GROSS SAL 39214,B100000,00000,0400,00000ACCUM. COST 39214,B100000,00000,0500,00000SQUARE FEET 39214,B100000,00000,0600,00000LBS. OF LAUNDRY 39214,B100000,00000,0700,00000HOUSEKEEPI HOURS 39214,B100000,00000,0800,00000DIETARY MEALS 39214,B100000,00000,0900,00000NURSING ADMIN. HOU 39214,B100000,00000,1000,00000COSTED REQUIS 39214,B100000,00000,1100,00000COSTED REQUIS 39214,B100000,00000,1200,00000MED. RECORDS TI 39214,B100000,00000,1300,00000SOCIAL SERVICE TI 39214,B100000,00000,1350,00000ACTIVITIES PARTIC 39214,B100000,00000,1400,00000ASSIGNED TIME 39214,E10A180,00301,0100,09/20/1999 39214,E10A180,00302,0100,05/10/2000 39214,S000000,00100,0200,05/30/2000 39214,S200000,00100,0100,391 NORTH COUNTRY ROAD 39214,S200000,00200,0100,SMITHTOWN 39214,S200000,00200,0200,NY 39214,S200000,00200,0300,11787 39214,S200000,00300,0100,SUFFOLK 39214,S200000,00400,0100,SMITHTOWN HEALTH CARE FACILITY 39214,S200000,00400,0200,335756 39214,S200000,00400,0300,02/26/1992 39214,S200000,00400,0500,P 39214,S200000,01500,0100,Y 39214,S200000,04300,0100,Y 39222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39222,A000000,00300,0000,00300EMPLOYEE BENEFITS 39222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39222,A000000,00700,0000,00700HOUSEKEEPING 39222,A000000,00800,0000,00800DIETARY 39222,A000000,00900,0000,00900NURSING ADMINISTRATION 39222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39222,A000000,01100,0000,01100PHARMACY 39222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39222,A000000,01300,0000,01300SOCIAL SERVICE 39222,A000000,01350,0000,01500ACTIVITIES 39222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39222,A000000,01600,0000,01600SKILLED NURSING FACILITY 39222,A000000,01810,0000,01810ICF/MR 39222,A000000,01900,0000,01900OTHER LONG TERM CARE 39222,A000000,02100,0000,02100RADIOLOGY 39222,A000000,02200,0000,02200LABORATORY 39222,A000000,02500,0000,02500PHYSICAL THERAPY 39222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39222,A000000,02700,0000,02700SPEECH PATHOLOGY 39222,A000000,02800,0000,02800ELECTROCARDIOLOGY 39222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39222,A000000,03200,0000,03200SUPPORT SURFACES 39222,A000000,03550,0000,03550FQHC 39222,A000000,05000,0000,05000CORF 39222,A000000,05010,0000,05010CMHC 39222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39222,B100000,00000,0100,00000SQUARE FEET 39222,B100000,00000,0200,00000SQUARE FEET 39222,B100000,00000,0300,00000GROSS SAL 39222,B100000,00000,0400,00000ACCUM. COST 39222,B100000,00000,0500,00000SQUARE FEET 39222,B100000,00000,0600,00000LBS. OF LAUNDRY 39222,B100000,00000,0700,00000HOUSEKEEPI HOURS 39222,B100000,00000,0800,00000DIETARY MEALS 39222,B100000,00000,0900,00000NURSING ADMIN. HOU 39222,B100000,00000,1000,00000COSTED REQUIS 39222,B100000,00000,1100,00000COSTED REQUIS 39222,B100000,00000,1200,00000MED. RECORDS TI 39222,B100000,00000,1300,00000SOCIAL SERVICE TI 39222,B100000,00000,1350,00000ACTIVITIES PARTIC. 39222,B100000,00000,1400,00000ASSIGNED TIME 39222,E10A180,00301,0100,05/10/2000 39222,E10A180,00350,0100,01/18/2000 39222,S000000,00100,0200,05/30/2000 39222,S200000,00100,0100,2699 WEHRLE DRIVE 39222,S200000,00200,0100,WILLIAMSVILLE 39222,S200000,00200,0200,NY 39222,S200000,00200,0300,14221 39222,S200000,00300,0100,ERIE 39222,S200000,00400,0100,HARRIS HILL NURSING FACILITY 39222,S200000,00400,0200,335757 39222,S200000,00400,0300,04/08/1992 39222,S200000,00400,0500,P 39222,S200000,01500,0100,Y 39222,S200000,01900,0100,CORPORATION 39222,S200000,04100,0100,Y 39222,S200000,04200,0100,Y 39222,S200000,04300,0100,Y 39225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39225,A000000,00300,0000,00300EMPLOYEE BENEFITS 39225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39225,A000000,00700,0000,00700HOUSEKEEPING 39225,A000000,00800,0000,00800DIETARY 39225,A000000,00900,0000,00900NURSING ADMINISTRATION 39225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39225,A000000,01100,0000,01100PHARMACY 39225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39225,A000000,01300,0000,01300SOCIAL SERVICE 39225,A000000,01350,0000,01500ACTIVITIES 39225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39225,A000000,01600,0000,01600SKILLED NURSING FACILITY 39225,A000000,01810,0000,01810ICF/MR 39225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39225,A000000,02500,0000,02500PHYSICAL THERAPY 39225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39225,A000000,02700,0000,02700SPEECH PATHOLOGY 39225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39225,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39225,A000000,03201,0000,03201ADD BACK AMORTIZATION 39225,A000000,03202,0000,03202OPTHOMOLOGY 39225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39225,A000000,03550,0000,03550FQHC 39225,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 39225,A000000,05000,0000,05000CORF 39225,A000000,05010,0000,05010CMHC 39225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39225,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39225,A000000,06101,0000,06101ADULT DAY CARE 39225,A000000,06150,0000,06300DENTAL SERVICES 39225,A000000,06151,0000,06301COMMUNITY RELATIONS 39225,A000000,06152,0000,06302AUDIOLOGY 39225,B100000,00000,0100,00002SQUARE FEET 39225,B100000,00000,0200,00002SQUARE FEET 39225,B100000,00000,0300,00002GROSS SALARIES 39225,B100000,00000,0400,00002ACCUM COST 39225,B100000,00000,0500,00002SQUARE FEET 39225,B100000,00000,0600,00002POUNDS OF LAUNDRY 39225,B100000,00000,0700,00002HOURS OF SERVICE 39225,B100000,00000,0800,00002MEALS SERVED 39225,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 39225,B100000,00000,1000,00002COSTED REQUISITIO 39225,B100000,00000,1100,00002COSTED REQUISITIO 39225,B100000,00000,1200,00002TIME SPENT 39225,B100000,00000,1300,00002TIME SPENT 39225,B100000,00000,1350,00002TIME SPENT 39225,B100000,00000,1400,00002ASSIGNED TIME 39225,E10A180,00301,0100,05/10/2000 39225,S000000,00100,0200,07/24/2000 39225,S200000,00100,0100,100 PATRIOTS ROAD 39225,S200000,00200,0100,STONY BROOK NY 11790 39225,S200000,00300,0100,SUFFLOK 39225,S200000,00400,0100,LONG ISLAND STATE VETERANS HOME 39225,S200000,00400,0200,335758 39225,S200000,00400,0300,04/23/1992 39225,S200000,00400,0500,P 39225,S200000,01900,0100,COMMUNITY BASED 39235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39235,A000000,00300,0000,00300EMPLOYEE BENEFITS 39235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39235,A000000,00700,0000,00700HOUSEKEEPING 39235,A000000,00800,0000,00800DIETARY 39235,A000000,00900,0000,00900NURSING ADMINISTRATION 39235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39235,A000000,01100,0000,01100PHARMACY 39235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39235,A000000,01300,0000,01300SOCIAL SERVICE 39235,A000000,01350,0000,01500ACTIVITIES 39235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39235,A000000,01600,0000,01600SKILLED NURSING FACILITY 39235,A000000,01810,0000,01810ICF/MR 39235,A000000,02100,0000,02100RADIOLOGY 39235,A000000,02200,0000,02200LABORATORY 39235,A000000,02500,0000,02500PHYSICAL THERAPY 39235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39235,A000000,02700,0000,02700SPEECH PATHOLOGY 39235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39235,A000000,03550,0000,03550FQHC 39235,A000000,05000,0000,05000CORF 39235,A000000,05010,0000,05010CMHC 39235,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39235,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39235,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39235,A000000,05300,0000,05300INTEREST EXPENSE 39235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39235,A000000,06150,0000,06300GRACEVIEW HOUSING 39235,A81000A,00100,0100,Y 39235,A81000B,00100,0300,HOME OFFICE COSTS 39235,A81000C,00100,0100,B 39235,A81000C,00100,0200,GRACE VIEW 39235,A81000C,00100,0400,UNITED METH- 39235,A81000C,00100,0600,HOME OFFICE 39235,A81000C,00200,0200,NURSING HOME 39235,A81000C,00200,0400,ODIST HOMES 39235,B100000,00000,0100,00000SQUARE FEET 39235,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 39235,B100000,00000,0300,00000GROSS SALARIES 39235,B100000,00000,0400,00000ACCUMULA- TED COST 39235,B100000,00000,0500,00000SQUARE FEET 39235,B100000,00000,0600,00000POUNDS OF LAUNDRY 39235,B100000,00000,0700,00000HOURS OF SERVICE 39235,B100000,00000,0800,00000MEALS SERVED 39235,B100000,00000,0900,00000DIRECT HOU OF SERVICE 39235,B100000,00000,1000,00000COSTED REQUIS 39235,B100000,00000,1100,00000COSTED REQUIS 39235,B100000,00000,1200,00000TIME SPENT 39235,B100000,00000,1300,00000TIME SPENT 39235,B100000,00000,1350,00000OTHER 39235,B100000,00000,1400,00000ASSIGNED TIME 39235,S000000,00100,0200,06/01/2000 39235,S200000,00100,0100,88 CALVARY DRIVE 39235,S200000,00200,0100,NORWICH 39235,S200000,00200,0200,NY 39235,S200000,00200,0300,13815 39235,S200000,00300,0100,CHENANGO 39235,S200000,00400,0100,GRACEVIEW NURSING HOME 39235,S200000,00400,0200,335759 39235,S200000,00400,0300,06/16/1992 39235,S200000,00400,0500,P 39235,S200000,01500,0100,Y 39235,S200000,01900,0100,CORPORATION 39235,S200000,02200,0100,Y 39235,S200000,02800,0100,Y 39244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39244,A000000,00300,0000,00300EMPLOYEE BENEFITS 39244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39244,A000000,00700,0000,00700HOUSEKEEPING 39244,A000000,00800,0000,00800DIETARY 39244,A000000,00900,0000,00900NURSING ADMINISTRATION 39244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39244,A000000,01100,0000,01100PHARMACY 39244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39244,A000000,01300,0000,01300SOCIAL SERVICE 39244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39244,A000000,01600,0000,01600SKILLED NURSING FACILITY 39244,A000000,01810,0000,01810ICF/MR 39244,A000000,02100,0000,02100RADIOLOGY 39244,A000000,02200,0000,02200LABORATORY 39244,A000000,02500,0000,02500PHYSICAL THERAPY 39244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39244,A000000,02700,0000,02700SPEECH PATHOLOGY 39244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39244,A000000,03550,0000,03550FQHC 39244,A000000,05000,0000,05000CORF 39244,A000000,05010,0000,05010CMHC 39244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39244,A000000,06150,0000,06300ADULT DAY CARE 39244,A000000,06151,0000,06301DENTAL 39244,B100000,00000,0100,00001SQUARE FEET 39244,B100000,00000,0200,00001SQUARE FEET 39244,B100000,00000,0300,00001GROSS SALARIES 39244,B100000,00000,0400,00001ACCUM COST 39244,B100000,00000,0500,00001SQUARE FEET 39244,B100000,00000,0600,00001POUNDS OF LAUNDRY 39244,B100000,00000,0700,00001HOURS OF SERVICE 39244,B100000,00000,0800,00001MEALS SERVED 39244,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39244,B100000,00000,1000,00001COSTED REQUISITIO 39244,B100000,00000,1100,00001COSTED REQUISITIO 39244,B100000,00000,1200,00001TIME SPENT 39244,B100000,00000,1300,00001TIME SPENT 39244,B100000,00000,1400,00001ASSIGNED TIME 39244,E10A180,00301,0100,05/10/2000 39244,E10A180,00501,0300,06/07/2000 39244,E10A180,00550,0100,06/07/2000 39244,S000000,00100,0200,05/26/2000 39244,S200000,00100,0100,300 BROADWAY AVE 39244,S200000,00200,0100,SAYVILLE 39244,S200000,00200,0200,NY 39244,S200000,00200,0300,11782 39244,S200000,00300,0100,SUFFOLK 39244,S200000,00400,0100,PETITE FLEUR NURSING HOME 39244,S200000,00400,0200,335761 39244,S200000,00400,0300,10/22/1992 39244,S200000,00400,0500,P 39244,S200000,01500,0100,Y 39244,S200000,01900,0100,OTHER (SPECIFY) 39244,S200000,04200,0100,Y 39244,S200000,04300,0100,Y 39252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39252,A000000,00300,0000,00300EMPLOYEE BENEFITS 39252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39252,A000000,00700,0000,00700HOUSEKEEPING 39252,A000000,00800,0000,00800DIETARY 39252,A000000,00900,0000,00900NURSING ADMINISTRATION 39252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39252,A000000,01100,0000,01100PHARMACY 39252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39252,A000000,01300,0000,01300SOCIAL SERVICE 39252,A000000,01350,0000,01500ACTIVITIES 39252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39252,A000000,01600,0000,01600SKILLED NURSING FACILITY 39252,A000000,01810,0000,01810ICF/MR 39252,A000000,02100,0000,02100RADIOLOGY 39252,A000000,02200,0000,02200LABORATORY 39252,A000000,02500,0000,02500PHYSICAL THERAPY 39252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39252,A000000,02700,0000,02700SPEECH PATHOLOGY 39252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39252,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39252,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39252,A000000,03550,0000,03550FQHC 39252,A000000,05000,0000,05000CORF 39252,A000000,05010,0000,05010CMHC 39252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39252,A000000,05300,0000,05300INTEREST EXPENSE 39252,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39252,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39252,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39252,A000000,06201,0000,06201DENTAL 39252,A000000,06202,0000,06202ADULT DAY CARE 39252,B100000,00000,0100,00000SQUARE FEET 39252,B100000,00000,0200,00000SQUARE FEET 39252,B100000,00000,0300,00000GROSS SALARIES 39252,B100000,00000,0400,00000ACCUM COST 39252,B100000,00000,0500,00000SQUARE FEET 39252,B100000,00000,0600,00000POUNDS OF LAUNDRY 39252,B100000,00000,0700,00000HOURS OF SERVICE 39252,B100000,00000,0800,00000MEALS SERVED 39252,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39252,B100000,00000,1000,00000COSTED REQUISITIO 39252,B100000,00000,1100,00000COSTED REQUISITIO 39252,B100000,00000,1200,00000TIME SPENT 39252,B100000,00000,1300,00000TIME SPENT 39252,B100000,00000,1350,00000NUMBER OF PARTICIPAN 39252,B100000,00000,1400,00000ASSIGNED TIME 39252,E10A180,00301,0100,05/10/2000 39252,S000000,00100,0200,06/01/2000 39252,S200000,00100,0100,900 INTERVALE AVENUE 39252,S200000,00200,0100,BRONX 39252,S200000,00200,0200,NY 39252,S200000,00200,0300,10459 39252,S200000,00300,0100,NEW YORK 39252,S200000,00400,0100,ST. VINCENT DE PAUL RESIDENCE 39252,S200000,00400,0200,335763 39252,S200000,00400,0300,10/29/1992 39252,S200000,00400,0500,P 39252,S200000,01500,0100,Y 39252,S200000,01900,0100,OTHER (SPECIFY) 39259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39259,A000000,00300,0000,00300EMPLOYEE BENEFITS 39259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39259,A000000,00700,0000,00700HOUSEKEEPING 39259,A000000,00800,0000,00800DIETARY 39259,A000000,00900,0000,00900NURSING ADMINISTRATION 39259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39259,A000000,01100,0000,01100PHARMACY 39259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39259,A000000,01300,0000,01300SOCIAL SERVICE 39259,A000000,01350,0000,01500ACTIVITIES 39259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39259,A000000,01600,0000,01600SKILLED NURSING FACILITY 39259,A000000,01810,0000,01810ICF/MR 39259,A000000,02100,0000,02100RADIOLOGY 39259,A000000,02200,0000,02200LABORATORY 39259,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39259,A000000,02500,0000,02500PHYSICAL THERAPY 39259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39259,A000000,02700,0000,02700SPEECH PATHOLOGY 39259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39259,A000000,03550,0000,03550FQHC 39259,A000000,04800,0000,04800AMBULANCE 39259,A000000,05000,0000,05000CORF 39259,A000000,05010,0000,05010CMHC 39259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39259,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39259,A000000,06150,0000,06300DENTAL 39259,B100000,00000,0100,00000SQUARE FEET 39259,B100000,00000,0200,00000SQUARE FEET 39259,B100000,00000,0300,00000GROSS SALARIES 39259,B100000,00000,0400,00000ACCUM COST 39259,B100000,00000,0500,00000SQUARE FEET 39259,B100000,00000,0600,00000POUNDS OF LAUNDRY 39259,B100000,00000,0700,00000HOURS OF SERVICE 39259,B100000,00000,0800,00000MEALS SERVED 39259,B100000,00000,0900,00000DIRECT NRSG HRS 39259,B100000,00000,1000,00000COSTED REQUIS 39259,B100000,00000,1100,00000COSTED REQUIS 39259,B100000,00000,1200,00000TIME SPENT 39259,B100000,00000,1300,00000TIME SPENT 39259,B100000,00000,1350,00000 39259,B100000,00000,1400,00000ASSIGNED TIME 39259,E10A180,00301,0100,01/18/2000 39259,E10A180,00302,0100,05/10/2000 39259,S000000,00100,0200,05/19/2000 39259,S200000,00100,0100,4600 SOUTHWOOD HEIGHTS DRIVE 39259,S200000,00200,0100,JAMESVILLE 39259,S200000,00200,0200,NY 39259,S200000,00300,0100,ONONDAGA 39259,S200000,00400,0100,IROQUOIS NURSING HOME 39259,S200000,00400,0200,335764 39259,S200000,00400,0300,11/04/1992 39259,S200000,00400,0500,P 39259,S200000,01500,0100,Y 39259,S200000,01900,0100,NOT FOR PROFIT 39259,S200000,04300,0100,Y 39269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39269,A000000,00300,0000,00300EMPLOYEE BENEFITS 39269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39269,A000000,00700,0000,00700HOUSEKEEPING 39269,A000000,00800,0000,00800DIETARY 39269,A000000,00900,0000,00900NURSING ADMINISTRATION 39269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39269,A000000,01100,0000,01100PHARMACY 39269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39269,A000000,01300,0000,01300SOCIAL SERVICE 39269,A000000,01350,0000,01500OTHER GENERAL SERVICES 39269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39269,A000000,01600,0000,01600SKILLED NURSING FACILITY 39269,A000000,01810,0000,01810ICF/MR 39269,A000000,02500,0000,02500PHYSICAL THERAPY 39269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39269,A000000,02700,0000,02700SPEECH PATHOLOGY 39269,A000000,02800,0000,02800ELECTROCARDIOLOGY 39269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39269,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39269,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39269,A000000,03550,0000,03550FQHC 39269,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39269,A000000,05000,0000,05000CORF 39269,A000000,05010,0000,05010CMHC 39269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39269,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39269,A81000A,00100,0100,Y 39269,A81000B,00100,0300,NYMED DEVELOPMENT MANAGEMENT 39269,A81000C,00100,0100,A 39269,A81000C,00100,0200,LEWIS TITTERTON 39269,A81000C,00100,0400,NYMED DEVELOPMNT COR 39269,A81000C,00100,0600,MANAGEMENT SERVICES 39269,A81000C,00200,0100,B 39269,A81000C,00200,0200,WILLIAM MCLAUGHLIN 39269,A81000C,00200,0400,NYMED DEVELOPMNT COR 39269,A81000C,00200,0600,MANAGEMENT SERVICES 39269,B100000,00000,0100,00000NO STATISTICS 39269,B100000,00000,0200,00000NO STATISTICS 39269,B100000,00000,0300,00000NO STATISTICS 39269,B100000,00000,0400,00000ACCUM. COST 39269,B100000,00000,0500,00000NO STATISTICS 39269,B100000,00000,0600,00000NO STATISTICS 39269,B100000,00000,0700,00000NO STATISTICS 39269,B100000,00000,0800,00000NO STATISTICS 39269,B100000,00000,0900,00000NO STATISTICS 39269,B100000,00000,1000,00000NO STATISTICS 39269,B100000,00000,1100,00000NO STATISTICS 39269,B100000,00000,1200,00000NO STATISTICS 39269,B100000,00000,1300,00000NO STATISTICS 39269,B100000,00000,1350,00000NO STATISTICS 39269,B100000,00000,1400,00000NO STATISTICS 39269,E10A180,00301,0100,05/10/2000 39269,E10A180,00302,0100,01/18/2000 39269,E10A180,00501,0100,03/30/2001 39269,E10A180,00550,0300,03/30/2001 39269,S000000,00100,0200,06/01/2000 39269,S200000,00100,0100,ONE COMMONS DRIVE 39269,S200000,00200,0100,LAKE KATRINE 39269,S200000,00200,0200,NY 39269,S200000,00300,0100,ULSTER 39269,S200000,00400,0100,TEN BROECK COMMONS 39269,S200000,00400,0200,335765 39269,S200000,00400,0300,03/26/1993 39269,S200000,00400,0500,P 39269,S200000,01500,0100,Y 39269,S200000,02100,0100,A 39269,S200000,04100,0100,Y 39273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39273,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 39273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39273,A000000,00300,0000,00300EMPLOYEE BENEFITS 39273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39273,A000000,00700,0000,00700HOUSEKEEPING 39273,A000000,00800,0000,00800DIETARY 39273,A000000,00900,0000,00900NURSING ADMINISTRATION 39273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39273,A000000,01100,0000,01100PHARMACY 39273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39273,A000000,01300,0000,01300SOCIAL SERVICE 39273,A000000,01350,0000,01500OTHER GENERAL SERVICES 39273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39273,A000000,01600,0000,01600SKILLED NURSING FACILITY 39273,A000000,01810,0000,01810ICF/MR 39273,A000000,02500,0000,02500PHYSICAL THERAPY 39273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39273,A000000,02700,0000,02700SPEECH PATHOLOGY 39273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39273,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39273,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39273,A000000,03200,0000,03200SUPPORT SURFACES 39273,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39273,A000000,03550,0000,03550FQHC 39273,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39273,A000000,05000,0000,05000CORF 39273,A000000,05010,0000,05010CMHC 39273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39273,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39273,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39273,A000000,06200,0000,06200PATIENTS LAUNDRY 39273,A81000A,00100,0100,Y 39273,A81000B,00100,0300,MANAGEMENT FEE 39273,A81000C,00100,0100,A 39273,A81000C,00100,0200,GREEN MANOR ASSOCIATION 39273,A81000C,00100,0400,MEDICAL REAL ESTATE 39273,B100000,00000,0100,00000SQUARE FEET 39273,B100000,00000,0101,00000SQUARE FEET 39273,B100000,00000,0200,00000SQUARE FEET 39273,B100000,00000,0300,00000GROSS SALARIES 39273,B100000,00000,0400,00000ACCUM. COST 39273,B100000,00000,0500,00000SQUARE FEET 39273,B100000,00000,0600,00000POUNDS OF LAUNDRY 39273,B100000,00000,0700,00000HOURS OF SERVICE 39273,B100000,00000,0800,00000MEALS SERVED 39273,B100000,00000,0900,00000DIRECT NRSING HRS 39273,B100000,00000,1000,00000PATIENT DAYS 39273,B100000,00000,1100,00000PATIENT DAYS 39273,B100000,00000,1200,00000PATIENT DAYS 39273,B100000,00000,1300,00000TIME SPENT 39273,B100000,00000,1350,00000PATIENT DAYS 39273,B100000,00000,1400,00000ASSIGNED TIME 39273,E10A180,00301,0100,05/10/2000 39273,E10A180,00501,0300,06/14/2000 39273,E10A180,00550,0100,06/14/2000 39273,S000000,00100,0200,06/02/2000 39273,S200000,00100,0100,1 GREEN MANOR AVENUE 39273,S200000,00200,0100,GHENT 39273,S200000,00200,0200,NY 39273,S200000,00200,0300,12075 39273,S200000,00300,0100,COLUMBIA 39273,S200000,00400,0100,GREEN MANOR NURSING HOME 39273,S200000,00400,0200,335766 39273,S200000,00400,0300,11/16/1992 39273,S200000,00400,0500,P 39273,S200000,01500,0100,Y 39280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39280,A000000,00300,0000,00300EMPLOYEE BENEFITS 39280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39280,A000000,00700,0000,00700HOUSEKEEPING 39280,A000000,00800,0000,00800DIETARY 39280,A000000,00900,0000,00900NURSING ADMINISTRATION 39280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39280,A000000,01100,0000,01100PHARMACY 39280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39280,A000000,01300,0000,01300SOCIAL SERVICE 39280,A000000,01350,0000,01500OTHER GENERAL SERVICES 39280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39280,A000000,01600,0000,01600SKILLED NURSING FACILITY 39280,A000000,01810,0000,01810ICF/MR 39280,A000000,02100,0000,02100RADIOLOGY 39280,A000000,02200,0000,02200LABORATORY 39280,A000000,02500,0000,02500PHYSICAL THERAPY 39280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39280,A000000,02700,0000,02700SPEECH PATHOLOGY 39280,A000000,02800,0000,02800ELECTROCARDIOLOGY 39280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39280,A000000,03550,0000,03550FQHC 39280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39280,A000000,05000,0000,05000CORF 39280,A000000,05010,0000,05010CMHC 39280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39280,A000000,05300,0000,05300INTEREST EXPENSE 39280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39280,A81000A,00100,0100,Y 39280,A81000B,00100,0300,ADMIN - DUES 39280,A81000B,00200,0300,BLDGS & CAPITAL RELATED 39280,A81000C,00100,0100,B 39280,A81000C,00100,0200,MERCYCARE CORPORATION 39280,A81000C,00100,0600,RELIGIOUS NON PROFIT 39280,B100000,00000,0100,00000SQUARE FEET 39280,B100000,00000,0200,00000SQUARE FEET 39280,B100000,00000,0300,00000GROSS SALARIES 39280,B100000,00000,0400,00000ACCUM. COST 39280,B100000,00000,0500,00000SQUARE FEET 39280,B100000,00000,0600,00000POUNDS 39280,B100000,00000,0700,00000TIME SPENT 39280,B100000,00000,0800,00000MEALS SERVED 39280,B100000,00000,0900,00000TIME SPENT 39280,B100000,00000,1000,00000COSTED REQUIS. 39280,B100000,00000,1100,00000COSTED REQUIS. 39280,B100000,00000,1200,00000TIME SPENT 39280,B100000,00000,1300,00000TIME SPENT 39280,B100000,00000,1350,00000NUMBER PARTICIPAN 39280,B100000,00000,1400,00000NO STATISTICS 39280,E10A180,00301,0100,01/18/2000 39280,E10A180,00302,0100,05/10/2000 39280,S000000,00100,0200,06/21/2000 39280,S200000,00100,0100,2 MERCYCARE LANE 39280,S200000,00200,0100,GUILDERLAND 39280,S200000,00200,0200,NY 39280,S200000,00300,0100,ALBANY 39280,S200000,00400,0100,OUR LADY OF MERCY LIFE CENTER 39280,S200000,00400,0200,335767 39280,S200000,00400,0300,07/01/1993 39280,S200000,00400,0500,P 39280,S200000,01500,0100,Y 39288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39288,A000000,00300,0000,00300EMPLOYEE BENEFITS 39288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39288,A000000,00501,0000,00501SECURITY 39288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39288,A000000,00700,0000,00700HOUSEKEEPING 39288,A000000,00800,0000,00800DIETARY 39288,A000000,00900,0000,00900NURSING ADMINISTRATION 39288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39288,A000000,01100,0000,01100PHARMACY 39288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39288,A000000,01300,0000,01300SOCIAL SERVICE 39288,A000000,01310,0000,01301ACTIVITIES 39288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39288,A000000,01600,0000,01600SKILLED NURSING FACILITY 39288,A000000,01810,0000,01810ICF/MR 39288,A000000,02100,0000,02100RADIOLOGY 39288,A000000,02200,0000,02200LABORATORY 39288,A000000,02500,0000,02500PHYSICAL THERAPY 39288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39288,A000000,02700,0000,02700SPEECH PATHOLOGY 39288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39288,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39288,A000000,03410,0000,03401ADULT DAY CARE 39288,A000000,03550,0000,03550FQHC 39288,A000000,05000,0000,05000CORF 39288,A000000,05010,0000,05010CMHC 39288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39288,A000000,05300,0000,05300INTEREST EXPENSE 39288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39288,B100000,00000,0100,00000SQUARE FEET 39288,B100000,00000,0200,00000SQUARE FEET 39288,B100000,00000,0300,00000GROSS SALARIES 39288,B100000,00000,0400,00000ACCUM COST 39288,B100000,00000,0500,00000SQUARE FEET 39288,B100000,00000,0501,00000TIME SPENT 39288,B100000,00000,0600,00000POUNDS OF LAUNDRY 39288,B100000,00000,0700,00000HOURS OF SERVICE 39288,B100000,00000,0800,00000MEALS SERVED 39288,B100000,00000,0900,00000DIRECT NRSG HRS 39288,B100000,00000,1000,00000COSTED REQUIS 39288,B100000,00000,1100,00000COSTED REQUIS 39288,B100000,00000,1200,00000TIME SPENT 39288,B100000,00000,1300,00000TIME SPENT 39288,B100000,00000,1301,00000TIME SPENT 39288,B100000,00000,1400,00000ASSIGNED TIME 39288,S000000,00100,0200,06/07/2000 39288,S200000,00100,0100,700 ISLAND COTTAGE ROAD 39288,S200000,00200,0100,ROCHESTER 39288,S200000,00200,0200,NY 39288,S200000,00200,0300,14612 39288,S200000,00300,0100,MONROE 39288,S200000,00400,0100,EDNA TINA WILSON LIVING CENTER 39288,S200000,00400,0200,335769 39288,S200000,00400,0300,12/07/1993 39288,S200000,00400,0500,P 39288,S200000,01500,0100,Y 39288,S200000,01900,0100,HEALTH SYSTEM 39295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39295,A000000,00300,0000,00300EMPLOYEE BENEFITS 39295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39295,A000000,00700,0000,00700HOUSEKEEPING 39295,A000000,00800,0000,00800DIETARY 39295,A000000,00900,0000,00900NURSING ADMINISTRATION 39295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39295,A000000,01100,0000,01100PHARMACY 39295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39295,A000000,01300,0000,01300SOCIAL SERVICE 39295,A000000,01350,0000,01500MEDICAL OFFICE STAFF 39295,A000000,01351,0000,01501RECREATION 39295,A000000,01352,0000,01502VOLUNTEERS 39295,A000000,01353,0000,01503MEDICAL DEVICES 39295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39295,A000000,01600,0000,01600SKILLED NURSING FACILITY 39295,A000000,01810,0000,01810ICF/MR 39295,A000000,02100,0000,02100RADIOLOGY 39295,A000000,02200,0000,02200LABORATORY 39295,A000000,02500,0000,02500PHYSICAL THERAPY 39295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39295,A000000,02700,0000,02700SPEECH PATHOLOGY 39295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39295,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39295,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39295,A000000,03550,0000,03550FQHC 39295,A000000,05000,0000,05000CORF 39295,A000000,05010,0000,05010CMHC 39295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39295,A000000,05300,0000,05300INTEREST EXPENSE 39295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39295,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39295,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39295,A000000,06200,0000,06200PATIENTS LAUNDRY 39295,B100000,00000,0100,00000SQUARE FEET 39295,B100000,00000,0200,00000SQUARE FEET 39295,B100000,00000,0300,00000GROSS SALARIES 39295,B100000,00000,0400,00000ACCUM COST 39295,B100000,00000,0500,00000SQUARE FEET 39295,B100000,00000,0600,00000POUNDS OF LAUNDRY 39295,B100000,00000,0700,00000HOURS OF SERVICE 39295,B100000,00000,0800,00000MEALS SERVED 39295,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39295,B100000,00000,1000,00000COSTED REQUISITIO 39295,B100000,00000,1100,00000COSTED REQUISITIO 39295,B100000,00000,1200,00000TIME SPENT 39295,B100000,00000,1300,00000TIME SPENT 39295,B100000,00000,1350,00000TIME SPENT 39295,B100000,00000,1351,00000TIME SPENT 39295,B100000,00000,1352,00000TIME SPENT 39295,B100000,00000,1353,00000COSTED REQUISITIO 39295,B100000,00000,1400,00000ASSIGNED TIME 39295,S000000,00100,0200,02/23/2001 39295,S200000,00100,0100,178-50 LINDEN BLVD 39295,S200000,00200,0100,JAMAICA 39295,S200000,00200,0200,NEW YORK 39295,S200000,00200,0300,11434 39295,S200000,00300,0100,Q 39295,S200000,00400,0100,NYS VETERANS HOME AT ST. ALBANS 39295,S200000,00400,0200,335770 39295,S200000,00400,0300,01/13/1994 39295,S200000,00400,0500,P 39298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39298,A000000,00300,0000,00300EMPLOYEE BENEFITS 39298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39298,A000000,00700,0000,00700HOUSEKEEPING 39298,A000000,00800,0000,00800DIETARY 39298,A000000,00900,0000,00900NURSING ADMINISTRATION 39298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39298,A000000,01100,0000,01100PHARMACY 39298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39298,A000000,01300,0000,01300SOCIAL SERVICE 39298,A000000,01301,0000,01301ACTIVITIES 39298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39298,A000000,01600,0000,01600SKILLED NURSING FACILITY 39298,A000000,01810,0000,01810ICF/MR 39298,A000000,02100,0000,02100RADIOLOGY 39298,A000000,02200,0000,02200LABORATORY 39298,A000000,02500,0000,02500PHYSICAL THERAPY 39298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39298,A000000,02700,0000,02700SPEECH PATHOLOGY 39298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39298,A000000,03550,0000,03550FQHC 39298,A000000,05000,0000,05000CORF 39298,A000000,05010,0000,05010CMHC 39298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39298,A000000,06150,0000,06300DENTAL 39298,A81000A,00100,0100,Y 39298,A81000B,00100,0300,RENT 39298,A81000B,00200,0300,R/E TAXES 39298,A81000B,00300,0300,MORTGAGE INTEREST 39298,A81000B,00400,0300,MIP 39298,A81000B,00500,0300,BUILDING DEPREC 39298,A81000B,00600,0300,R/E TAXES 39298,A81000B,00700,0300,INSURANCE 39298,A81000B,00800,0300,ACCOUNTING 39298,A81000B,00900,0300,MME DEPREC 39298,A81000B,01000,0300,HOME OFFICE COST 39298,A81000B,01100,0300,HOME OFFICE B&F COST 39298,A81000B,01200,0300,HOME OFFICE MME COST 39298,A81000C,00100,0100,A 39298,A81000C,00100,0200,ALVIN BENJAMIN 39298,A81000C,00100,0400,THROGS NECK EXP 39298,A81000C,00100,0600,REALTY 39298,A81000C,00200,0100,A 39298,A81000C,00200,0200,ALVIN BENJAMIN 39298,A81000C,00200,0400,WEN EXTENDED CA 39298,A81000C,00200,0600,HOME OFFICE 39298,B100000,00000,0100,00000SQUARE FEET 39298,B100000,00000,0200,00000SQUARE FEET 39298,B100000,00000,0300,00000GROSS SALARIES 39298,B100000,00000,0400,00000ACCUM COST 39298,B100000,00000,0500,00000SQUARE FEET 39298,B100000,00000,0600,00000POUNDS OF LAUNDRY 39298,B100000,00000,0700,00000HOURS OF SERVICE 39298,B100000,00000,0800,00000MEALS SERVED 39298,B100000,00000,0900,00000DIRECT NRSG HRS 39298,B100000,00000,1000,00000COSTED REQUIS 39298,B100000,00000,1100,00000COSTED REQUIS 39298,B100000,00000,1200,00000TIME SPENT 39298,B100000,00000,1300,00000TIME SPENT 39298,B100000,00000,1301,00000NO OF PART 39298,B100000,00000,1400,00000ASSIGNED TIME 39298,E10A180,00301,0100,05/10/2000 39298,S000000,00100,0200,05/30/2000 39298,S200000,00100,0100,C/O WEN 377 OAK STREET 39298,S200000,00200,0100,GARDEN CITY 39298,S200000,00200,0200,NY 39298,S200000,00200,0300,11530 39298,S200000,00300,0100,BRONX 39298,S200000,00400,0100,THROGS NECK EXTENDED CARE CENTER 39298,S200000,00400,0200,335771 39298,S200000,00400,0300,12/31/1993 39298,S200000,00400,0500,P 39298,S200000,01500,0100,Y 39306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39306,A000000,00300,0000,00300EMPLOYEE BENEFITS 39306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39306,A000000,00700,0000,00700HOUSEKEEPING 39306,A000000,00800,0000,00800DIETARY 39306,A000000,00900,0000,00900NURSING ADMINISTRATION 39306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39306,A000000,01100,0000,01100PHARMACY 39306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39306,A000000,01300,0000,01300SOCIAL SERVICE 39306,A000000,01350,0000,01500ACTIVITIES 39306,A000000,01351,0000,01510MEDICAL OFFICE 39306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39306,A000000,01600,0000,01600SKILLED NURSING FACILITY 39306,A000000,01810,0000,01810ICF/MR 39306,A000000,01900,0000,01900OTHER LONG TERM CARE 39306,A000000,02100,0000,02100RADIOLOGY 39306,A000000,02200,0000,02200LABORATORY 39306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39306,A000000,02500,0000,02500PHYSICAL THERAPY 39306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39306,A000000,02700,0000,02700SPEECH PATHOLOGY 39306,A000000,03550,0000,03550FQHC 39306,A000000,05000,0000,05000CORF 39306,A000000,05010,0000,05010CMHC 39306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39306,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39306,A000000,06100,0000,06100NONPAID WORKERS 39306,A000000,06150,0000,06300DENTAL 39306,A000000,06151,0000,06301ADULT DAY CARE CENTER 39306,B100000,00000,0100,00001SQUARE FEET 39306,B100000,00000,0200,00001SQUARE FEET 39306,B100000,00000,0300,00001GROSS SALARIES 39306,B100000,00000,0400,00001ACCUM COST 39306,B100000,00000,0500,00001SQUARE FEET 39306,B100000,00000,0600,00001POUNDS OF LAUNDRY 39306,B100000,00000,0700,00001HOURS OF SERVICE 39306,B100000,00000,0800,00001MEALS SERVED 39306,B100000,00000,0900,00001DIRECT NRSG HRS 39306,B100000,00000,1000,00001COSTED REQUIS 39306,B100000,00000,1100,00001COSTED REQUIS 39306,B100000,00000,1200,00001TIME SPENT 39306,B100000,00000,1300,00001TIME SPENT 39306,B100000,00000,1350,00001PARTICIPAN 39306,B100000,00000,1360,00001PERCENT 39306,B100000,00000,1400,00001ASSIGNED TIME 39306,E10A180,00301,0100,05/10/2000 39306,S000000,00100,0200,06/13/2000 39306,S200000,00100,0100,91 TOMPKINS AVE. 39306,S200000,00200,0100,STATEN ISLAND 39306,S200000,00200,0200,NY 39306,S200000,00200,0300,10304 39306,S200000,00300,0100,RICHMOND 39306,S200000,00400,0100,ST.ELIZABETH ANNS HLTHCARE & REHAB 39306,S200000,00400,0200,335772 39306,S200000,00400,0300,01/10/1994 39306,S200000,00400,0500,P 39306,S200000,01500,0100,Y 39306,S200000,01900,0100,501 C (3) 39306,S200000,02200,0100,Y 39313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39313,A000000,00300,0000,00300EMPLOYEE BENEFITS 39313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39313,A000000,00700,0000,00700HOUSEKEEPING 39313,A000000,00800,0000,00800DIETARY 39313,A000000,00900,0000,00900NURSING ADMINISTRATION 39313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39313,A000000,01100,0000,01100PHARMACY 39313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39313,A000000,01300,0000,01300SOCIAL SERVICE 39313,A000000,01350,0000,01500CAFETERIA 39313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39313,A000000,01600,0000,01600SKILLED NURSING FACILITY 39313,A000000,01810,0000,01810ICF/MR 39313,A000000,02100,0000,02100RADIOLOGY 39313,A000000,02200,0000,02200LABORATORY 39313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39313,A000000,02500,0000,02500PHYSICAL THERAPY 39313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39313,A000000,02700,0000,02700SPEECH PATHOLOGY 39313,A000000,02800,0000,02800ELECTROCARDIOLOGY 39313,A000000,03050,0000,03300SUBSTANCE ABUSE 39313,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39313,A000000,03200,0000,03200SUPPORT SURFACES 39313,A000000,03550,0000,03550FQHC 39313,A000000,05000,0000,05000CORF 39313,A000000,05010,0000,05010CMHC 39313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39313,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 39313,B100000,00000,0100,00000SQ FEET 39313,B100000,00000,0200,00000SQ FEET 39313,B100000,00000,0300,00000GROSS SAL 39313,B100000,00000,0400,00000ACCUM. COST 39313,B100000,00000,0500,00000SQ FEET 39313,B100000,00000,0600,00000LBS OF LAUNDRY 39313,B100000,00000,0700,00000HOURS OF SERVICE 39313,B100000,00000,0800,00000MEALS SERVED 39313,B100000,00000,0900,00000HOURS OF SERVICE 39313,B100000,00000,1000,00000COST REQUISITIO 39313,B100000,00000,1100,00000COST REQUISITIO 39313,B100000,00000,1200,00000TIME SPENT 39313,B100000,00000,1300,00000TIME SPENT 39313,B100000,00000,1350,00000AVG # EMPLOYEES 39313,B100000,00000,1400,00000ASSIGNED TIME 39313,S000000,00100,0200,08/02/2000 39313,S200000,00100,0100,650 AMBOY STREET 39313,S200000,00200,0100,BROOKLYN 39313,S200000,00200,0200,NY 39313,S200000,00200,0300,11212 39313,S200000,00300,0100,KINGS 39313,S200000,00400,0100,DOROTHY AND DAVID I. SCHACHNE INST. 39313,S200000,00400,0200,335773 39313,S200000,00400,0300,03/02/1994 39313,S200000,00400,0500,P 39313,S200000,01500,0100,Y 39313,S200000,01900,0100,VOLUNTARY 28A 39313,S200000,02100,0100,A 39313,S200000,02200,0100,Y 39321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39321,A000000,00300,0000,00300EMPLOYEE BENEFITS 39321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39321,A000000,00700,0000,00700HOUSEKEEPING 39321,A000000,00800,0000,00800DIETARY 39321,A000000,00801,0000,00801CAFETERIA 39321,A000000,00900,0000,00900NURSING ADMINISTRATION 39321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39321,A000000,01100,0000,01100PHARMACY 39321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39321,A000000,01300,0000,01300SOCIAL SERVICE 39321,A000000,01350,0000,01500THERAPEUTIC RECREATION 39321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39321,A000000,01600,0000,01600SKILLED NURSING FACILITY 39321,A000000,01810,0000,01810ICF/MR 39321,A000000,02100,0000,02100RADIOLOGY 39321,A000000,02200,0000,02200LABORATORY 39321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39321,A000000,02500,0000,02500PHYSICAL THERAPY 39321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39321,A000000,02700,0000,02700SPEECH PATHOLOGY 39321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39321,A000000,03550,0000,03550FQHC 39321,A000000,05000,0000,05000CORF 39321,A000000,05010,0000,05010CMHC 39321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39321,A000000,05300,0000,05300INTEREST EXPENSE 39321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39321,A000000,06150,0000,06300DENTAL 39321,A000000,06152,0000,06301ADULT DAY HEALTH CARE 39321,A81000A,00100,0100,Y 39321,A81000B,00100,0300,MED DIR CONTRACT 39321,A81000B,00200,0300,INTERNAL AUDIT 39321,A81000B,00300,0300,ADMIN MGMT 39321,A81000B,00400,0300,FINANCE/ACCTG 39321,A81000B,00500,0300,CENTRAL PURCHASING 39321,A81000B,00600,0300,SPIRITUAL CARE 39321,A81000B,00700,0300,FOOD SVC MGMT 39321,A81000B,00800,0300,DENTAL CARE 39321,A81000B,00900,0300,LAB SERVICES 39321,A81000C,00100,0100,B 39321,A81000C,00100,0400,SETON HEALTH SY 39321,A81000C,00100,0600,HEALTH CARE SYS 39321,B100000,00000,0100,00001SQUARE FEET 39321,B100000,00000,0200,00001SQUARE FEET 39321,B100000,00000,0300,00001GROSS SALARIES 39321,B100000,00000,0400,00001ACCUM COST 39321,B100000,00000,0500,00001SQUARE FEET 39321,B100000,00000,0600,00001POUNDS OF LAUNDRY 39321,B100000,00000,0700,00001HOURS OF SERVICE 39321,B100000,00000,0800,00001MEALS SERVED 39321,B100000,00000,0801,00001DEPARTMENT EMPLOYEES 39321,B100000,00000,0900,00001DIRECT NRSG HRS 39321,B100000,00000,1000,00001COSTED REQUIS 39321,B100000,00000,1100,00001COSTED REQUIS 39321,B100000,00000,1200,00001TIME SPENT 39321,B100000,00000,1300,00001TIME SPENT 39321,B100000,00000,1350,00001PARTICIPAN 39321,B100000,00000,1400,00001ASSIGNED TIME 39321,E10A180,00301,0100,05/10/2000 39321,E10A180,00350,0100,01/18/2000 39321,S000000,00100,0200,10/03/2000 39321,S200000,00100,0100,ONE ABELE BLVD 39321,S200000,00200,0100,CLIFTON PARK 39321,S200000,00200,0200,NY 39321,S200000,00200,0300,12065 39321,S200000,00300,0100,SARATOGA 39321,S200000,00400,0100,SCHUYLER RIDGE RHC 39321,S200000,00400,0200,335774 39321,S200000,00400,0300,02/15/1994 39321,S200000,00400,0500,P 39321,S200000,01500,0100,Y 39321,S200000,01900,0100,HEALTH CARE SYSTEM 39325,S000000,00100,0200,03/19/2001 39332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39332,A000000,00300,0000,00300EMPLOYEE BENEFITS 39332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39332,A000000,00700,0000,00700HOUSEKEEPING 39332,A000000,00800,0000,00800DIETARY 39332,A000000,00900,0000,00900NURSING ADMINISTRATION 39332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39332,A000000,01100,0000,01100PHARMACY 39332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39332,A000000,01300,0000,01300SOCIAL SERVICE 39332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39332,A000000,01600,0000,01600SKILLED NURSING FACILITY 39332,A000000,01810,0000,01810ICF/MR 39332,A000000,02500,0000,02500PHYSICAL THERAPY 39332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39332,A000000,02700,0000,02700SPEECH PATHOLOGY 39332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39332,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39332,A000000,03550,0000,03550FQHC 39332,A000000,05000,0000,05000CORF 39332,A000000,05010,0000,05010CMHC 39332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39332,A81000A,00100,0100,Y 39332,A81000B,00100,0300,MANAGEMENT FEE 39332,A81000C,00100,0100,B 39332,A81000C,00100,0200,CATHOLIC HEALTH 39332,A81000C,00100,0400,SPONSOR 39332,B100000,00000,0100,00000SQUARE FEET 39332,B100000,00000,0200,00000SQUARE FEET 39332,B100000,00000,0300,00000GROSS SALARIES 39332,B100000,00000,0400,00000ACCUM COST 39332,B100000,00000,0500,00000SQUARE FEET 39332,B100000,00000,0600,00000POUNDS OF LAUNDRY 39332,B100000,00000,0700,00000HOURS OF SERVICE 39332,B100000,00000,0800,00000MEALS SERVED 39332,B100000,00000,0900,00000DIRECT NRSG HRS 39332,B100000,00000,1000,00000COSTED REQUIS 39332,B100000,00000,1100,00000COSTED REQUIS 39332,B100000,00000,1200,00000TIME SPENT 39332,B100000,00000,1300,00000TIME SPENT 39332,B100000,00000,1400,00000ASSIGNED TIME 39332,E10A180,00301,0100,05/10/2000 39332,S000000,00100,0200,12/07/2000 39332,S200000,00100,0100,6400 POWERS ROAD 39332,S200000,00200,0100,ORCHARD PARK 39332,S200000,00200,0200,NY 39332,S200000,00200,0300,14127 39332,S200000,00300,0100,ERIE 39332,S200000,00400,0100,FATHER BAKER MANOR 39332,S200000,00400,0200,335777 39332,S200000,00400,0300,06/02/1994 39332,S200000,00400,0500,P 39332,S200000,01500,0100,Y 39342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39342,A000000,00300,0000,00300EMPLOYEE BENEFITS 39342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39342,A000000,00700,0000,00700HOUSEKEEPING 39342,A000000,00800,0000,00800DIETARY 39342,A000000,00900,0000,00900NURSING ADMINISTRATION 39342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39342,A000000,01100,0000,01100PHARMACY 39342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39342,A000000,01300,0000,01300SOCIAL SERVICE 39342,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39342,A000000,01600,0000,01600SKILLED NURSING FACILITY 39342,A000000,01810,0000,01810ICF/MR 39342,A000000,02100,0000,02100RADIOLOGY 39342,A000000,02200,0000,02200LABORATORY 39342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39342,A000000,02500,0000,02500PHYSICAL THERAPY 39342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39342,A000000,02700,0000,02700SPEECH PATHOLOGY 39342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39342,A000000,03550,0000,03550FQHC 39342,A000000,05000,0000,05000CORF 39342,A000000,05010,0000,05010CMHC 39342,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39342,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39342,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39342,A000000,05300,0000,05300INTEREST EXPENSE 39342,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39342,A81000A,00100,0100,Y 39342,A81000B,00100,0300,INTEREST 39342,A81000B,00200,0300,PULMONOLOGISTS 39342,A81000B,00300,0300,STAFF PHYSICIAN 39342,A81000C,00100,0100,C 39342,A81000C,00100,0200,U OF R 39342,A81000C,00100,0400,U OF R 39342,A81000C,00100,0600,UNIVERSITY 39342,B100000,00000,0100,00000SQUARE FEET 39342,B100000,00000,0200,00000SQUARE FEET 39342,B100000,00000,0300,00000GROSS SALARIES 39342,B100000,00000,0400,00000ACCUM COST 39342,B100000,00000,0500,00000SQUARE FEET 39342,B100000,00000,0600,00000POUNDS OF LAUNDRY 39342,B100000,00000,0700,00000HOURS OF SERVICE 39342,B100000,00000,0800,00000MEALS SERVED 39342,B100000,00000,0900,00000DIRECT NRSG HRS 39342,B100000,00000,1000,00000COSTED REQUIS 39342,B100000,00000,1100,00000COSTED REQUIS 39342,B100000,00000,1200,00000TIME SPENT 39342,B100000,00000,1300,00000TIME SPENT 39342,B100000,00000,1400,00000ASSIGNED TIME 39342,S000000,00100,0200,06/02/2000 39342,S200000,00100,0100,5901 LAC DE VILLE BOULEVARD 39342,S200000,00200,0100,ROCHESTER 39342,S200000,00200,0200,NY 39342,S200000,00200,0300,14618 39342,S200000,00300,0100,MONROE 39342,S200000,00400,0100,THE MEADOWS AT WESTFALL INC. 39342,S200000,00400,0200,335778 39342,S200000,00400,0300,06/01/1996 39342,S200000,00400,0500,P 39342,S200000,01500,0100,Y 39342,S200000,01900,0100,CORPORATION 39347,S000000,00100,0200,06/18/2001 39356,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39356,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39356,A000000,00300,0000,00300EMPLOYEE BENEFITS 39356,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39356,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39356,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39356,A000000,00700,0000,00700HOUSEKEEPING 39356,A000000,00800,0000,00800DIETARY 39356,A000000,00900,0000,00900NURSING ADMINISTRATION 39356,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39356,A000000,01100,0000,01100PHARMACY 39356,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39356,A000000,01300,0000,01300SOCIAL SERVICE 39356,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39356,A000000,01600,0000,01600SKILLED NURSING FACILITY 39356,A000000,01810,0000,01810ICF/MR 39356,A000000,02100,0000,02100RADIOLOGY 39356,A000000,02200,0000,02200LABORATORY 39356,A000000,02300,0000,02300INTRAVENOUS THERAPY 39356,A000000,02500,0000,02500PHYSICAL THERAPY 39356,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39356,A000000,02700,0000,02700SPEECH PATHOLOGY 39356,A000000,02800,0000,02800ELECTROCARDIOLOGY 39356,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39356,A000000,03550,0000,03550FQHC 39356,A000000,05000,0000,05000CORF 39356,A000000,05010,0000,05010CMHC 39356,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39356,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39356,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39356,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39356,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39356,A000000,06150,0000,06300ADULT DAY CARE 39356,A000000,06151,0000,06301DENTAL 39356,A81000A,00100,0100,Y 39356,A81000B,00100,0300,RENT 39356,A81000B,00200,0300,MORTG INT 39356,A81000B,00300,0300,RE TAXES 39356,A81000B,00400,0300,DEPRECIATION 39356,A81000B,00500,0300,AMORT MGT EXP 39356,A81000B,00600,0300,INSURANCE 39356,A81000B,00700,0300,LEGAL FEES 39356,A81000B,00800,0300,ACCOUNTING FEES 39356,A81000B,00900,0300,MISCELLANEOUS 39356,A81000C,00100,0100,A 39356,A81000C,00100,0200,STEVE CREEKMORE 39356,A81000C,00200,0100,A 39356,A81000C,00200,0200,TOM TWOMEY 39356,B100000,00000,0100,00001SQUARE FEET 39356,B100000,00000,0200,00001SQUARE FEET 39356,B100000,00000,0300,00001GROSS SALARIES 39356,B100000,00000,0400,00001ACCUM COST 39356,B100000,00000,0500,00001SQUARE FEET 39356,B100000,00000,0600,00001POUNDS OF LAUNDRY 39356,B100000,00000,0700,00001HOURS OF SERVICE 39356,B100000,00000,0800,00001MEALS SERVED 39356,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39356,B100000,00000,1000,00001COSTED REQUISITIO 39356,B100000,00000,1100,00001COSTED REQUISITIO 39356,B100000,00000,1200,00001TIME SPENT 39356,B100000,00000,1300,00001TIME SPENT 39356,B100000,00000,1400,00001ASSIGNED TIME 39356,E10A180,00301,0100,05/10/2000 39356,E10A180,00350,0100,01/18/2000 39356,E10A180,00550,0100,06/12/2000 39356,S000000,00100,0200,05/31/2000 39356,S200000,00100,0100,70 OLD COUNTRY ROAD 39356,S200000,00200,0100,WESTHAMPTON 39356,S200000,00200,0200,NY 39356,S200000,00200,0300,11977 39356,S200000,00300,0100,SUFFOLK 39356,S200000,00400,0100,WESTHAMPTON CARE CENTER 39356,S200000,00400,0200,335782 39356,S200000,00400,0300,03/23/1995 39356,S200000,00400,0500,P 39356,S200000,01500,0100,Y 39356,S200000,04300,0100,Y 39364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39364,A000000,00300,0000,00300EMPLOYEE BENEFITS 39364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39364,A000000,00700,0000,00700HOUSEKEEPING 39364,A000000,00800,0000,00800DIETARY 39364,A000000,00900,0000,00900NURSING ADMINISTRATION 39364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39364,A000000,01100,0000,01100PHARMACY 39364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39364,A000000,01300,0000,01300SOCIAL SERVICE 39364,A000000,01301,0000,01301ACTIVITIES 39364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39364,A000000,01600,0000,01600SKILLED NURSING FACILITY 39364,A000000,01810,0000,01810ICF/MR 39364,A000000,02200,0000,02200LABORATORY 39364,A000000,02300,0000,02300INTRAVENOUS THERAPY 39364,A000000,02500,0000,02500PHYSICAL THERAPY 39364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39364,A000000,02700,0000,02700SPEECH PATHOLOGY 39364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39364,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39364,A000000,03550,0000,03550FQHC 39364,A000000,05000,0000,05000CORF 39364,A000000,05010,0000,05010CMHC 39364,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39364,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39364,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39364,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39364,A81000A,00100,0100,Y 39364,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 39364,A81000B,00200,0300,CAP REL COSTS - BLDG & FIXTURE 39364,A81000B,00300,0300,CAP REL COSTS - MOVEABLE EQUIP 39364,A81000B,00400,0300,PLANT OPERATION MAINT & REPAI 39364,A81000B,00500,0300,LAUNDRY & LINEN 39364,A81000B,00600,0300,HOUSEKEEPING 39364,A81000B,00700,0300,DIETARY 39364,A81000C,00100,0100,B 39364,A81000C,00100,0200,CTR FOR HOSPICE 39364,B100000,00000,0100,00000SQUARE FEET 39364,B100000,00000,0200,00000SQUARE FEET 39364,B100000,00000,0300,00000GROSS SALARIES 39364,B100000,00000,0400,00000ACCUM COST 39364,B100000,00000,0500,00000SQUARE FEET 39364,B100000,00000,0600,00000POUNDS OF LAUNDRY 39364,B100000,00000,0700,00000HOURS OF SERVICE 39364,B100000,00000,0800,00000MEALS SERVED 39364,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39364,B100000,00000,1000,00000COSTED REQUISITIO 39364,B100000,00000,1100,00000COSTED REQUISITIO 39364,B100000,00000,1200,00000TIME SPENT 39364,B100000,00000,1300,00000TIME SPENT 39364,B100000,00000,1301,00000PATIENT DAYS 39364,B100000,00000,1400,00000ASSIGNED TIME 39364,S000000,00100,0200,06/01/2000 39364,S200000,00100,0100,225 COMO PARK BLVD 39364,S200000,00200,0100,CHEEKTOWAGA 39364,S200000,00200,0200,NY 39364,S200000,00200,0300,14227 39364,S200000,00300,0100,ERIE 39364,S200000,00400,0100,KRESGE RESIDENCE INC. 39364,S200000,00400,0200,335783 39364,S200000,00400,0300,04/11/1995 39364,S200000,00400,0500,P 39364,S200000,01500,0100,Y 39364,S200000,02100,0100,A 39364,S200000,02200,0100,Y 39364,S200000,02800,0100,Y 39364,S200000,04300,0100,Y 39371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39371,A000000,00300,0000,00300EMPLOYEE BENEFITS 39371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39371,A000000,00700,0000,00700HOUSEKEEPING 39371,A000000,00800,0000,00800DIETARY 39371,A000000,00900,0000,00900NURSING ADMINISTRATION 39371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39371,A000000,01100,0000,01100PHARMACY 39371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39371,A000000,01300,0000,01300SOCIAL SERVICE 39371,A000000,01350,0000,01500ACTIVITIES 39371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39371,A000000,01600,0000,01600SKILLED NURSING FACILITY 39371,A000000,01810,0000,01810ICF/MR 39371,A000000,02200,0000,02200LABORATORY 39371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39371,A000000,02500,0000,02500PHYSICAL THERAPY 39371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39371,A000000,02700,0000,02700SPEECH PATHOLOGY 39371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39371,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39371,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39371,A000000,03550,0000,03550FQHC 39371,A000000,05000,0000,05000CORF 39371,A000000,05010,0000,05010CMHC 39371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39371,A000000,05300,0000,05300INTEREST EXPENSE 39371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39371,A000000,06150,0000,06300ADULT DAY CARE 39371,A000000,06151,0000,06301ADULT DAY HOME 39371,A000000,06152,0000,06302DENTAL 39371,A000000,06153,0000,06303AUDIO SUPPLIES & HEARING AIDS 39371,B100000,00000,0100,00003SQUARE FEET 39371,B100000,00000,0200,00003SQUARE FEET 39371,B100000,00000,0300,00003GROSS SALARIES 39371,B100000,00000,0400,00003ACCUM COST 39371,B100000,00000,0500,00003SQUARE FEET 39371,B100000,00000,0600,00003POUNDS OF LAUNDRY 39371,B100000,00000,0700,00003HOURS OF SERVICE 39371,B100000,00000,0800,00003MEALS SERVED 39371,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 39371,B100000,00000,1000,00003COSTED REQUISITIO 39371,B100000,00000,1100,00003COSTED REQUISITIO 39371,B100000,00000,1200,00003TIME SPENT 39371,B100000,00000,1300,00003TIME SPENT 39371,B100000,00000,1350,00003# OF PARTPN 39371,B100000,00000,1400,00003ASSIGNED TIME 39371,S000000,00100,0200,09/18/2000 39371,S200000,00100,0100,22 VAN DUZER PLACE 39371,S200000,00200,0100,WARWICK 39371,S200000,00200,0200,NY 39371,S200000,00200,0300,10990 39371,S200000,00300,0100,ORANGE 39371,S200000,00400,0100,SCHERVIER PAVILION 39371,S200000,00400,0200,335784 39371,S200000,00400,0300,05/17/1995 39371,S200000,00400,0500,P 39371,S200000,02100,0100,A 39380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39380,A000000,00300,0000,00300EMPLOYEE BENEFITS 39380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39380,A000000,00700,0000,00700HOUSEKEEPING 39380,A000000,00800,0000,00800DIETARY 39380,A000000,00900,0000,00900NURSING ADMINISTRATION 39380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39380,A000000,01100,0000,01100PHARMACY 39380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39380,A000000,01300,0000,01300SOCIAL SERVICE 39380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39380,A000000,01600,0000,01600SKILLED NURSING FACILITY 39380,A000000,01810,0000,01810ICF/MR 39380,A000000,02100,0000,02100RADIOLOGY 39380,A000000,02200,0000,02200LABORATORY 39380,A000000,02500,0000,02500PHYSICAL THERAPY 39380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39380,A000000,02700,0000,02700SPEECH PATHOLOGY 39380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39380,A000000,03450,0000,03600ADULT DAY CARE 39380,A000000,03451,0000,03601ADULT DAY CARE 39380,A000000,03550,0000,03550FQHC 39380,A000000,05000,0000,05000CORF 39380,A000000,05010,0000,05010CMHC 39380,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39380,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39380,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39380,A000000,06150,0000,06300DIALYSIS 39380,A81000A,00100,0100,Y 39380,A81000B,00100,0300,PHARMACY FEES 39380,A81000B,00200,0300,ADMIN FEES 39380,A81000B,00300,0300,ADMIN FEES 39380,A81000B,00400,0300,HUMAN RESOURCES FEES 39380,A81000C,00100,0100,G 39380,A81000C,00100,0400,STRONG PARTNERS 39380,A81000C,00100,0600,HOLDING COMPANY 39380,B100000,00000,0100,00000SQUARE FEET 39380,B100000,00000,0200,00000SQUARE FEET 39380,B100000,00000,0300,00000GROSS SALARIES 39380,B100000,00000,0400,00000ACCUM COST 39380,B100000,00000,0500,00000SQUARE FEET 39380,B100000,00000,0600,00000POUNDS OF LAUNDRY 39380,B100000,00000,0700,00000HOURS OF SERVICE 39380,B100000,00000,0800,00000MEALS SERVED 39380,B100000,00000,0900,00000DIRECT NRSG HRS 39380,B100000,00000,1000,00000COSTED REQUIS 39380,B100000,00000,1100,00000COSTED REQUIS 39380,B100000,00000,1200,00000TIME SPENT 39380,B100000,00000,1300,00000TIME SPENT 39380,B100000,00000,1400,00000ASSIGNED TIME 39380,S000000,00100,0200,06/01/2000 39380,S200000,00100,0100,500 HAHNEMAN TRAIL 39380,S200000,00200,0100,PITTSFORD 39380,S200000,00200,0200,NY 39380,S200000,00200,0300,14534 39380,S200000,00300,0100,MONROE 39380,S200000,00400,0100,HIGHLANDS @ PITTSFORD 39380,S200000,00400,0200,335786 39380,S200000,00400,0300,07/10/1995 39380,S200000,00400,0500,P 39380,S200000,01500,0100,Y 39383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39383,A000000,00300,0000,00300EMPLOYEE BENEFITS 39383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39383,A000000,00700,0000,00700HOUSEKEEPING 39383,A000000,00800,0000,00800DIETARY 39383,A000000,00900,0000,00900NURSING ADMINISTRATION 39383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39383,A000000,01100,0000,01100PHARMACY 39383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39383,A000000,01300,0000,01300SOCIAL SERVICE 39383,A000000,01301,0000,01301ACTIVITIES 39383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39383,A000000,01600,0000,01600SKILLED NURSING FACILITY 39383,A000000,01810,0000,01810ICF/MR 39383,A000000,02100,0000,02100RADIOLOGY 39383,A000000,02200,0000,02200LABORATORY 39383,A000000,02500,0000,02500PHYSICAL THERAPY 39383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39383,A000000,02700,0000,02700SPEECH PATHOLOGY 39383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39383,A000000,03550,0000,03550FQHC 39383,A000000,05000,0000,05000CORF 39383,A000000,05010,0000,05010CMHC 39383,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39383,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39383,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39383,A000000,06150,0000,06300ADULT DAY CARE 39383,A000000,06151,0000,06301DENTAL 39383,A81000A,00100,0100,Y 39383,A81000B,00100,0300,BUILDING RENT 39383,A81000B,00200,0300,R/E TAXES 39383,A81000B,00300,0300,B&F DEPRECIATION 39383,A81000B,00400,0300,MORTGAGE INTEREST 39383,A81000B,00500,0300,MIP 39383,A81000B,00600,0300,PROPERTY INSURANCE 39383,A81000B,00700,0300,R/E TAXES 39383,A81000B,00800,0300,AUDIT FEES 39383,A81000B,00900,0300,MME DEPRECIATION 39383,A81000B,01000,0300,HOME OFFICE COSTS 39383,A81000B,01100,0300,HO B&F COSTS 39383,A81000B,01200,0300,HO MME COSTS 39383,A81000C,00100,0100,A 39383,A81000C,00100,0200,ALVIN BENJAMIN 39383,A81000C,00100,0400,GREENWICH NH AS 39383,A81000C,00100,0600,REALTY 39383,A81000C,00200,0100,A 39383,A81000C,00200,0200,ALVIN BENJAMIN 39383,A81000C,00200,0400,WEN EXTENDED CA 39383,A81000C,00200,0600,HOME OFFICE 39383,B100000,00000,0100,00001SQUARE FEET 39383,B100000,00000,0200,00001SQUARE FEET 39383,B100000,00000,0300,00001GROSS SALARIES 39383,B100000,00000,0400,00001ACCUM COST 39383,B100000,00000,0500,00001SQUARE FEET 39383,B100000,00000,0600,00001POUNDS OF LAUNDRY 39383,B100000,00000,0700,00001HOURS OF SERVICE 39383,B100000,00000,0800,00001MEALS SERVED 39383,B100000,00000,0900,00001DIRECT NRSG HRS 39383,B100000,00000,1000,00001COSTED REQUIS 39383,B100000,00000,1100,00001COSTED REQUIS 39383,B100000,00000,1200,00001TIME SPENT 39383,B100000,00000,1300,00001TIME SPENT 39383,B100000,00000,1301,00001NO OF PART 39383,B100000,00000,1400,00001ASSIGNED TIME 39383,E10A180,00301,0100,05/10/2000 39383,S000000,00100,0200,05/30/2000 39383,S200000,00100,0100,C/O WEN 177 OAK STREET 39383,S200000,00200,0100,GAREN CITY 39383,S200000,00200,0200,NY 39383,S200000,00200,0300,11530 39383,S200000,00300,0100,NASSAU 39383,S200000,00400,0100,NASSAU EXTENDED CARE FACILITY 39383,S200000,00400,0200,335787 39383,S200000,00400,0300,08/02/1995 39383,S200000,00400,0500,P 39383,S200000,01500,0100,Y 39396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39396,A000000,00300,0000,00300EMPLOYEE BENEFITS 39396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39396,A000000,00700,0000,00700HOUSEKEEPING 39396,A000000,00800,0000,00800DIETARY 39396,A000000,00801,0000,00801DIETARY 39396,A000000,00900,0000,00900NURSING ADMINISTRATION 39396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39396,A000000,01100,0000,01100PHARMACY 39396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39396,A000000,01300,0000,01300SOCIAL SERVICE 39396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39396,A000000,01600,0000,01600SKILLED NURSING FACILITY 39396,A000000,01810,0000,01810ICF/MR 39396,A000000,02100,0000,02100RADIOLOGY 39396,A000000,02200,0000,02200LABORATORY 39396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39396,A000000,02500,0000,02500PHYSICAL THERAPY 39396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39396,A000000,02700,0000,02700SPEECH PATHOLOGY 39396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39396,A000000,03550,0000,03550FQHC 39396,A000000,05000,0000,05000CORF 39396,A000000,05010,0000,05010CMHC 39396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39396,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39396,A000000,06151,0000,06301GUEST MEALS 39396,A81000A,00100,0100,Y 39396,A81000B,00100,0300,DRUG COST TO WOODMARK 39396,A81000B,00200,0300,INT. EXP. - LLC 39396,A81000B,00300,0300,DEPREC. - LLC 39396,A81000B,00400,0300,AMORT. - LLC 39396,A81000B,00500,0300,OTHER SUPPL. - ETC 39396,A81000B,00600,0300,DEPREC. - LLC 39396,A81000B,00700,0300,AMORT. - START-UP 39396,A81000B,00800,0300,OTHER START-UP - LLC 39396,A81000B,00900,0300,RENT 39396,A81000C,00100,0100,A 39396,A81000C,00100,0200,ROBERT M. CHUR 39396,A81000C,00100,0400,ELDERWOOD AFFIL 39396,A81000C,00100,0600,FINANCIAL & PUR 39396,A81000C,00200,0100,A 39396,A81000C,00200,0200,ROBERT M. CHUR 39396,A81000C,00200,0400,CRESTWOOD DEVEL 39396,A81000C,00200,0600,R.E. 100% OF FA 39396,A81000C,00300,0100,A 39396,A81000C,00300,0200,ROBERT M. CHUR 39396,A81000C,00300,0400,WOODMARK PHARMA 39396,A81000C,00300,0600,PHARMACY FOR FA 39396,A81000C,00400,0100,A 39396,A81000C,00400,0200,CAROL L. CHUR 39396,A81000C,00400,0400,ELDERWOOD AFFIL 39396,A81000C,00400,0600,FINANCIAL & PUR 39396,A81000C,00500,0100,A 39396,A81000C,00500,0200,CAROL L. CHUR 39396,A81000C,00500,0400,CRESTWOOD DEVEL 39396,A81000C,00500,0600,R. E. 100% OF F 39396,A81000C,00600,0100,A 39396,A81000C,00600,0200,CAROL L. CHUR 39396,A81000C,00600,0400,WOODMARK PHARMA 39396,A81000C,00600,0600,PHARMACY FOR FA 39396,B100000,00000,0100,00001SQUARE FEET 39396,B100000,00000,0200,00001SQUARE FEET 39396,B100000,00000,0300,00001GROSS SALARIES 39396,B100000,00000,0400,00001ACCUM COST 39396,B100000,00000,0500,00001SQUARE FEET 39396,B100000,00000,0600,00001POUNDS OF LAUNDRY 39396,B100000,00000,0700,00001HOURS OF SERVICE 39396,B100000,00000,0800,00001MEALS SERVED 39396,B100000,00000,0801,00001NO. OF EMP 39396,B100000,00000,0900,00001DIRECT NRSG HRS 39396,B100000,00000,1000,00001COSTED REQUIS 39396,B100000,00000,1100,00001COSTED REQUIS 39396,B100000,00000,1200,00001TIME SPENT 39396,B100000,00000,1300,00001TIME SPENT 39396,B100000,00000,1400,00001ASSIGNED TIME 39396,E10A180,00301,0100,01/18/2000 39396,E10A180,00302,0100,05/10/2000 39396,E10A180,00550,0100,05/26/2000 39396,E10A180,00550,0300,05/26/2000 39396,S000000,00100,0200,05/22/2000 39396,S200000,00100,0100,2600 NIAGARA FALLS BLVD. 39396,S200000,00200,0100,NIAGARA FALLS 39396,S200000,00200,0200,NEW YORK 39396,S200000,00200,0300,14304 39396,S200000,00300,0100,NIAGARA 39396,S200000,00400,0100,CRESTWOOD HEALTH CARE CENTER INC. 39396,S200000,00400,0200,335790 39396,S200000,00400,0300,10/18/1995 39396,S200000,00400,0500,P 39396,S200000,01500,0100,Y 39396,S200000,03300,0100,Y 39399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39399,A000000,00300,0000,00300EMPLOYEE BENEFITS 39399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39399,A000000,00700,0000,00700HOUSEKEEPING 39399,A000000,00800,0000,00800DIETARY 39399,A000000,00900,0000,00900NURSING ADMINISTRATION 39399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39399,A000000,01100,0000,01100PHARMACY 39399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39399,A000000,01300,0000,01300SOCIAL SERVICE 39399,A000000,01350,0000,01500ACTIVITIES 39399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39399,A000000,01600,0000,01600SKILLED NURSING FACILITY 39399,A000000,01810,0000,01810ICF/MR 39399,A000000,02100,0000,02100RADIOLOGY 39399,A000000,02200,0000,02200LABORATORY 39399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39399,A000000,02500,0000,02500PHYSICAL THERAPY 39399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39399,A000000,02700,0000,02700SPEECH PATHOLOGY 39399,A000000,02800,0000,02800ELECTROCARDIOLOGY 39399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39399,A000000,03550,0000,03550FQHC 39399,A000000,05000,0000,05000CORF 39399,A000000,05010,0000,05010CMHC 39399,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39399,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39399,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39399,A000000,05300,0000,05300INTEREST EXPENSE 39399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39399,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39399,A000000,06150,0000,06300DAYCARE 39399,A000000,06151,0000,06310DENTAL-NONREIMBURSABLE 39399,A000000,06152,0000,06320N/R- HEALTH CONCEPTS 39399,B100000,00000,0100,00020SQUARE FEET 39399,B100000,00000,0200,00020SQUARE FEET 39399,B100000,00000,0300,00020GROSS SALARIES 39399,B100000,00000,0400,00020ACCUM COST 39399,B100000,00000,0500,00020SQUARE FEET 39399,B100000,00000,0600,00020POUNDS OF LAUNDRY 39399,B100000,00000,0700,00020HOURS OF SERVICE 39399,B100000,00000,0800,00020MEALS SERVED 39399,B100000,00000,0900,00020DIRECT NRSG HRS 39399,B100000,00000,1000,00020COSTED REQUIS 39399,B100000,00000,1100,00020COSTED REQUIS 39399,B100000,00000,1200,00020TIME SPENT 39399,B100000,00000,1300,00020TIME SPENT 39399,B100000,00000,1350,00020NO.OF PART 39399,B100000,00000,1400,00020ASSIGNED TIME 39399,S000000,00100,0200,05/24/2000 39399,S200000,00100,0100,61-11 QUEENS BLVD 39399,S200000,00200,0100,WOODSIDE 39399,S200000,00200,0200,NY 39399,S200000,00200,0300,11377 39399,S200000,00300,0100,QUEENS 39399,S200000,00400,0100,QUEENS BLVD. EXTEND CARE FACILITY 39399,S200000,00400,0200,335791 39399,S200000,00400,0300,12/29/1995 39399,S200000,00400,0500,P 39399,S200000,01500,0100,Y 39406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39406,A000000,00300,0000,00300EMPLOYEE BENEFITS 39406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39406,A000000,00700,0000,00700HOUSEKEEPING 39406,A000000,00800,0000,00800DIETARY 39406,A000000,00900,0000,00900NURSING ADMINISTRATION 39406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39406,A000000,01100,0000,01100PHARMACY 39406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39406,A000000,01300,0000,01300SOCIAL SERVICE 39406,A000000,01350,0000,01500OTHER GENERAL SERVICES 39406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39406,A000000,01600,0000,01600SKILLED NURSING FACILITY 39406,A000000,01810,0000,01810ICF/MR 39406,A000000,02100,0000,02100RADIOLOGY 39406,A000000,02200,0000,02200LABORATORY 39406,A000000,02500,0000,02500PHYSICAL THERAPY 39406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39406,A000000,02700,0000,02700SPEECH PATHOLOGY 39406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39406,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39406,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39406,A000000,03550,0000,03550FQHC 39406,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39406,A000000,04800,0000,04800AMBULANCE 39406,A000000,05000,0000,05000CORF 39406,A000000,05010,0000,05010CMHC 39406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39406,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39406,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39406,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39406,A81000A,00100,0100,Y 39406,A81000B,00100,0300,RENT 39406,A81000B,00200,0300,DEPRECIATION 39406,A81000B,00300,0300,AMORTIZATION 39406,A81000B,00400,0300,MORTGAGE INTEREST 39406,A81000B,00500,0300,REAL ESTATE TAX 39406,A81000B,00600,0300,MORTGAGE INSURANCE 39406,A81000B,00700,0300,INTEREST 39406,A81000B,00800,0300,LEGAL 39406,A81000C,00100,0100,A 39406,A81000C,00100,0200,A. KLEIN 39406,A81000C,00100,0400,MANHATTAN NNH. REALTY 39406,A81000C,00100,0600,REAL ESTATE 39406,B100000,00000,0100,00000SQUARE FEET 39406,B100000,00000,0200,00000SQUARE FEET 39406,B100000,00000,0300,00000GROSS SALARIES 39406,B100000,00000,0400,00000ACCUM. COST 39406,B100000,00000,0500,00000SQUARE FEET 39406,B100000,00000,0600,00000POUNDS OF LAUNDRY 39406,B100000,00000,0700,00000HOURS OF SERVICE 39406,B100000,00000,0800,00000MEALS SERVED 39406,B100000,00000,0900,00000HOURS OF SERVICE 39406,B100000,00000,1000,00000COSTED REQUIS. 39406,B100000,00000,1100,00000COSTED REQUIS. 39406,B100000,00000,1200,00000TIME SPENT 39406,B100000,00000,1300,00000TIME SPENT 39406,B100000,00000,1350,00000NO STATISTICS 39406,B100000,00000,1400,00000TIME SPENT 39406,S000000,00100,0200,06/05/2000 39406,S200000,00100,0100,116 EAST 125TH 39406,S200000,00200,0100,NEW YORK 39406,S200000,00200,0200,NY 39406,S200000,00200,0300,10035 39406,S200000,00300,0100,N.Y.C. 39406,S200000,00400,0100,NORTHERN MANHATTAN NURSING HOME 39406,S200000,00400,0200,335792 39406,S200000,00400,0300,01/04/1996 39406,S200000,00400,0500,P 39406,S200000,01500,0100,Y 39414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39414,A000000,00300,0000,00300EMPLOYEE BENEFITS 39414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39414,A000000,00700,0000,00700HOUSEKEEPING 39414,A000000,00800,0000,00800DIETARY 39414,A000000,00900,0000,00900NURSING ADMINISTRATION 39414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39414,A000000,01100,0000,01100PHARMACY 39414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39414,A000000,01300,0000,01300SOCIAL SERVICE 39414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39414,A000000,01600,0000,01600SKILLED NURSING FACILITY 39414,A000000,01800,0000,01800NURSING FACILITY 39414,A000000,01810,0000,01810ICF/MR 39414,A000000,01900,0000,01900OTHER LONG TERM CARE 39414,A000000,02100,0000,02100RADIOLOGY 39414,A000000,02200,0000,02200LABORATORY 39414,A000000,02500,0000,02500PHYSICAL THERAPY 39414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39414,A000000,02700,0000,02700SPEECH PATHOLOGY 39414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39414,A000000,03550,0000,03550FQHC 39414,A000000,05000,0000,05000CORF 39414,A000000,05010,0000,05010CMHC 39414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39414,A000000,05300,0000,05300INTEREST EXPENSE 39414,A000000,06150,0000,06300NONREIMBURSABLE 39414,A81000A,00100,0100,Y 39414,A81000B,00100,0300,MANAGEMENT FEE 39414,A81000B,00200,0300,MANAGEMENT FEE 39414,A81000C,00100,0100,A 39414,A81000C,00100,0400,KENDAL CORPORATION 39414,A81000C,00100,0600,MANAGEMENT SERVICES 39414,B100000,00000,0100,00000SQUARE FEET 39414,B100000,00000,0200,00000SQUARE FEET 39414,B100000,00000,0300,00000GROSS SALARIES 39414,B100000,00000,0400,00000ACCUM COST 39414,B100000,00000,0500,00000SQUARE FEET 39414,B100000,00000,0600,00000POUNDS OF LAUNDRY 39414,B100000,00000,0700,00000HOURS OF SERVICE 39414,B100000,00000,0800,00000MEALS SERVED 39414,B100000,00000,0900,00000DIRECT NRSG HRS 39414,B100000,00000,1000,00000COSTED REQUIS 39414,B100000,00000,1100,00000COSTED REQUIS 39414,B100000,00000,1200,00000TIME SPENT 39414,B100000,00000,1300,00000TIME SPENT 39414,B100000,00000,1400,00000ASSIGNED TIME 39414,S000000,00100,0200,06/26/2000 39414,S200000,00100,0100,2230 N. TRIPHAMMER ROAD 39414,S200000,00200,0100,ITHACA 39414,S200000,00200,0200,NY 39414,S200000,00200,0300,14850 39414,S200000,00300,0100,TOMPKINS 39414,S200000,00400,0100,KENDAL AT ITHACA INC 39414,S200000,00400,0200,335793 39414,S200000,00400,0300,02/23/1996 39414,S200000,00400,0500,P 39414,S200000,01500,0100,Y 39422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39422,A000000,00300,0000,00300EMPLOYEE BENEFITS 39422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39422,A000000,00700,0000,00700HOUSEKEEPING 39422,A000000,00800,0000,00800DIETARY 39422,A000000,00900,0000,00900NURSING ADMINISTRATION 39422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39422,A000000,01100,0000,01100PHARMACY 39422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39422,A000000,01300,0000,01300SOCIAL SERVICE 39422,A000000,01350,0000,01500OTHER GENERAL SERVICES 39422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39422,A000000,01600,0000,01600SKILLED NURSING FACILITY 39422,A000000,01810,0000,01810ICF/MR 39422,A000000,02500,0000,02500PHYSICAL THERAPY 39422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39422,A000000,02700,0000,02700SPEECH PATHOLOGY 39422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39422,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39422,A000000,03450,0000,03600ADULT DAY CARENT SERVICE COST C 39422,A000000,03550,0000,03550FQHC 39422,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39422,A000000,05000,0000,05000CORF 39422,A000000,05010,0000,05010CMHC 39422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39422,A000000,05300,0000,05300INTEREST EXPENSE 39422,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39422,A000000,06150,0000,06300DENTAL 39422,A81000A,00100,0100,Y 39422,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 39422,A81000C,00100,0100,B 39422,A81000C,00100,0200,LORETTO MANAGEMENT CORP 39422,A81000C,00100,0400,LORETTO UTICA RHCF 39422,A81000C,00100,0600,NURSING HOME 39422,B100000,00000,0100,00000SQUARE FEET 39422,B100000,00000,0200,00000SQUARE FEET 39422,B100000,00000,0300,00000GROSS SALARIES 39422,B100000,00000,0400,00000ACCUM. COST 39422,B100000,00000,0500,00000SQUARE FEET 39422,B100000,00000,0600,00000POUNDS OF LAUNDRY 39422,B100000,00000,0700,00000SQUARE FEET 39422,B100000,00000,0800,00000MEALS SERVED 39422,B100000,00000,0900,00000DIRECT NRSING HRS 39422,B100000,00000,1000,00000COSTED REQUIS. 39422,B100000,00000,1100,00000COSTED REQUIS. 39422,B100000,00000,1200,00000TIME SPENT 39422,B100000,00000,1300,00000TIME SPENT 39422,B100000,00000,1350,00000NO STATISTICS 39422,B100000,00000,1400,00000ASSIGNED TIME 39422,S000000,00100,0200,06/21/2000 39422,S200000,00100,0100,1445 KEMBLE STREET 39422,S200000,00200,0100,UTICA 39422,S200000,00200,0200,NY 39422,S200000,00200,0300,13501 39422,S200000,00300,0100,ONEIDA 39422,S200000,00400,0100,LORETTO UTICA NURSING HOME 39422,S200000,00400,0200,335794 39422,S200000,00400,0300,02/29/1996 39422,S200000,00400,0500,P 39422,S200000,01500,0100,Y 39422,S200000,02200,0100,Y 39422,S200000,04100,0100,Y 39422,S200000,04300,0100,Y 39429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39429,A000000,00300,0000,00300EMPLOYEE BENEFITS 39429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39429,A000000,00700,0000,00700HOUSEKEEPING 39429,A000000,00800,0000,00800DIETARY 39429,A000000,00900,0000,00900NURSING ADMINISTRATION 39429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39429,A000000,01100,0000,01100PHARMACY 39429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39429,A000000,01300,0000,01300SOCIAL SERVICE 39429,A000000,01350,0000,01500ACTIVITIES 39429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39429,A000000,01600,0000,01600SKILLED NURSING FACILITY 39429,A000000,01810,0000,01810ICF/MR 39429,A000000,02500,0000,02500PHYSICAL THERAPY 39429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39429,A000000,02700,0000,02700SPEECH PATHOLOGY 39429,A000000,03550,0000,03550FQHC 39429,A000000,05000,0000,05000CORF 39429,A000000,05010,0000,05010CMHC 39429,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39429,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39429,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39429,A000000,06150,0000,06300AMBULANCE FEES 39429,A000000,06151,0000,06301RESIDENT SERVICE/STAFF HOUSE 39429,A000000,06152,0000,06302AUDIOLOGY 39429,A000000,06153,0000,06303DENTAL 39429,A000000,06154,0000,06304OPTHOMOLOGY 39429,A000000,06155,0000,06305OPTOMETRY 39429,A000000,06156,0000,06306BETH ABRAHAM HEALTH SERVICES 39429,B100000,00000,0100,00006SQUARE FEET 39429,B100000,00000,0200,00006SQUARE FEET 39429,B100000,00000,0300,00006GROSS SALARIES 39429,B100000,00000,0400,00006ACCUM COST 39429,B100000,00000,0500,00006SQUARE FEET 39429,B100000,00000,0600,00006POUNDS OF LAUNDRY 39429,B100000,00000,0700,00006HOURS OF SERVICE 39429,B100000,00000,0800,00006MEALS SERVED 39429,B100000,00000,0900,00006DIR NURSIN HRS OF SVC 39429,B100000,00000,1000,00006COSTED REQUISITIO 39429,B100000,00000,1100,00006COSTED REQUISITIO 39429,B100000,00000,1200,00006TIME SPENT 39429,B100000,00000,1300,00006TIME SPENT 39429,B100000,00000,1350,00006TIME SPENT 39429,B100000,00000,1400,00006ASSIGNED TIME 39429,S000000,00100,0200,06/28/2000 39429,S200000,00100,0100,185 OLD BROADWAY 39429,S200000,00200,0100,HASTINGS ON HUDSON 39429,S200000,00200,0200,NY 39429,S200000,00200,0300,10706 39429,S200000,00300,0100,WESTCHESTER 39429,S200000,00400,0100,JOHN E. ANDRUS MEMORIAL INC. 39429,S200000,00400,0200,335795 39429,S200000,00400,0300,01/31/1996 39429,S200000,00400,0500,P 39429,S200000,01500,0100,Y 39438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39438,A000000,00300,0000,00300EMPLOYEE BENEFITS 39438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39438,A000000,00700,0000,00700HOUSEKEEPING 39438,A000000,00800,0000,00800DIETARY 39438,A000000,00900,0000,00900NURSING ADMINISTRATION 39438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39438,A000000,01100,0000,01100PHARMACY 39438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39438,A000000,01300,0000,01300SOCIAL SERVICE 39438,A000000,01350,0000,01500ACTIVITIES 39438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39438,A000000,01600,0000,01600SKILLED NURSING FACILITY 39438,A000000,01810,0000,01810ICF/MR 39438,A000000,02100,0000,02100RADIOLOGY 39438,A000000,02200,0000,02200LABORATORY 39438,A000000,02300,0000,02300INTRAVENOUS THERAPY 39438,A000000,02500,0000,02500PHYSICAL THERAPY 39438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39438,A000000,02700,0000,02700SPEECH PATHOLOGY 39438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39438,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39438,A000000,03550,0000,03550FQHC 39438,A000000,04800,0000,04800AMBULANCE 39438,A000000,05000,0000,05000CORF 39438,A000000,05010,0000,05010CMHC 39438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39438,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39438,B100000,00000,0100,00000SQUARE FEET 39438,B100000,00000,0200,00000SQUARE FEET 39438,B100000,00000,0300,00000GROSS SALARIES 39438,B100000,00000,0400,00000ACCUM COST 39438,B100000,00000,0500,00000SQUARE FEET 39438,B100000,00000,0600,00000POUNDS OF LAUNDRY 39438,B100000,00000,0700,00000HOURS OF SERVICE 39438,B100000,00000,0800,00000MEALS SERVED 39438,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39438,B100000,00000,1000,00000COSTED REQUISITIO 39438,B100000,00000,1100,00000COSTED REQUISITIO 39438,B100000,00000,1200,00000TIME SPENT 39438,B100000,00000,1300,00000TIME SPENT 39438,B100000,00000,1350,00000PATIENT DAYS 39438,B100000,00000,1400,00000ASSIGNED TIME 39438,S000000,00100,0200,06/01/2000 39438,S200000,00100,0100,320 WEST MERRICK RD 39438,S200000,00200,0100,FREEPORT 39438,S200000,00200,0200,NY 39438,S200000,00200,0300,11520 39438,S200000,00300,0100,NASSAU 39438,S200000,00400,0100,MEADOWBROOK CARE CENTER INC. 39438,S200000,00400,0200,335796 39438,S200000,00400,0300,07/02/1996 39438,S200000,00400,0500,P 39438,S200000,01500,0100,Y 39443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39443,A000000,00300,0000,00300EMPLOYEE BENEFITS 39443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39443,A000000,00700,0000,00700HOUSEKEEPING 39443,A000000,00800,0000,00800DIETARY 39443,A000000,00900,0000,00900NURSING ADMINISTRATION 39443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39443,A000000,01100,0000,01100PHARMACY 39443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39443,A000000,01300,0000,01300SOCIAL SERVICE 39443,A000000,01350,0000,01500ACTIVITIES 39443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39443,A000000,01600,0000,01600SKILLED NURSING FACILITY 39443,A000000,01810,0000,01810ICF/MR 39443,A000000,02500,0000,02500PHYSICAL THERAPY 39443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39443,A000000,02700,0000,02700SPEECH PATHOLOGY 39443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39443,A000000,03550,0000,03550FQHC 39443,A000000,05000,0000,05000CORF 39443,A000000,05010,0000,05010CMHC 39443,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39443,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39443,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39443,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39443,A000000,06151,0000,06301STERLING HOME CARE 39443,A000000,06152,0000,06302OSBORN RENTALS 39443,A000000,06153,0000,06303DENTAL 39443,A000000,06154,0000,06304MARKETING 39443,B100000,00000,0100,00004SQUARE FEET 39443,B100000,00000,0200,00004SQUARE FEET 39443,B100000,00000,0300,00004GROSS SALARIES 39443,B100000,00000,0400,00004ACCUM COST 39443,B100000,00000,0500,00004SQUARE FEET 39443,B100000,00000,0600,00004POUNDS OF LAUNDRY 39443,B100000,00000,0700,00004HOURS OF SERVICE 39443,B100000,00000,0800,00004MEALS SERVED 39443,B100000,00000,0900,00004DIR NURSIN HRS OF SVC 39443,B100000,00000,1000,00004COSTED REQUISITIO 39443,B100000,00000,1100,00004COSTED REQUISITIO 39443,B100000,00000,1200,00004TIME SPENT 39443,B100000,00000,1300,00004TIME SPENT 39443,B100000,00000,1350,00004TIME SPENT 39443,B100000,00000,1400,00004ASSIGNED TIME 39443,S000000,00100,0200,05/30/2000 39443,S200000,00100,0100,101 THEALL ROAD 39443,S200000,00200,0100,RYE 39443,S200000,00200,0200,N.Y. 39443,S200000,00200,0300,10580 39443,S200000,00300,0100,WESTCHESTER 39443,S200000,00400,0100,THE OSBORN 39443,S200000,00400,0200,335797 39443,S200000,00400,0300,08/30/1996 39443,S200000,00400,0500,P 39443,S200000,01500,0100,Y 39443,S200000,01900,0100,OTHER (SPECIFY) 39446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39446,A000000,00300,0000,00300EMPLOYEE BENEFITS 39446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39446,A000000,00700,0000,00700HOUSEKEEPING 39446,A000000,00800,0000,00800DIETARY 39446,A000000,00900,0000,00900NURSING ADMINISTRATION 39446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39446,A000000,01100,0000,01100PHARMACY 39446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39446,A000000,01300,0000,01300SOCIAL SERVICE 39446,A000000,01301,0000,01301ACTIVITIES 39446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39446,A000000,01600,0000,01600SKILLED NURSING FACILITY 39446,A000000,01810,0000,01810ICF/MR 39446,A000000,02100,0000,02100RADIOLOGY 39446,A000000,02200,0000,02200LABORATORY 39446,A000000,02500,0000,02500PHYSICAL THERAPY 39446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39446,A000000,02700,0000,02700SPEECH PATHOLOGY 39446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39446,A000000,03550,0000,03550FQHC 39446,A000000,05000,0000,05000CORF 39446,A000000,05010,0000,05010CMHC 39446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39446,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39446,A000000,06150,0000,06300DENTAL 39446,A000000,06151,0000,06301PODIATRY 39446,A81000A,00100,0100,Y 39446,A81000B,00100,0300,RENT 39446,A81000B,00200,0300,MORTGAGE INTEREST 39446,A81000B,00300,0300,MIP 39446,A81000B,00400,0300,ACCOUNTING FEES 39446,A81000B,00500,0300,BUILDING DEPREC 39446,A81000B,00600,0300,MME DEPREC 39446,A81000B,00700,0300,PROPERTY INSURANCE 39446,A81000B,00800,0300,HOME OFFICE COST 39446,A81000B,00900,0300,HO B&F COSTS 39446,A81000B,01000,0300,HO MME COSTS 39446,A81000C,00100,0100,A 39446,A81000C,00100,0200,ALVIN BENJAMIN 39446,A81000C,00100,0400,FULTON NH ASSOC 39446,A81000C,00100,0600,REALTY 39446,A81000C,00200,0100,A 39446,A81000C,00200,0200,ALVIN BENJAMIN 39446,A81000C,00200,0400,WEN EXTENDED CA 39446,A81000C,00200,0600,HOME OFFICE 39446,B100000,00000,0100,00001SQUARE FEET 39446,B100000,00000,0200,00001SQUARE FEET 39446,B100000,00000,0300,00001GROSS SALARIES 39446,B100000,00000,0400,00001ACCUM COST 39446,B100000,00000,0500,00001SQUARE FEET 39446,B100000,00000,0600,00001POUNDS OF LAUNDRY 39446,B100000,00000,0700,00001HOURS OF SERVICE 39446,B100000,00000,0800,00001MEALS SERVED 39446,B100000,00000,0900,00001DIRECT NRSG HRS 39446,B100000,00000,1000,00001COSTED REQUIS 39446,B100000,00000,1100,00001COSTED REQUIS 39446,B100000,00000,1200,00001TIME SPENT 39446,B100000,00000,1300,00001TIME SPENT 39446,B100000,00000,1301,00001NO OF PART 39446,B100000,00000,1400,00001ASSIGNED TIME 39446,S000000,00100,0200,05/30/2000 39446,S200000,00100,0100,C/O WEN 377 OAK STREET 39446,S200000,00200,0100,GARDEN CITY 39446,S200000,00200,0200,NY 39446,S200000,00200,0300,11530 39446,S200000,00300,0100,NASSAU 39446,S200000,00400,0100,TOWNHOUSE EXTENDED CARE CENTER 39446,S200000,00400,0200,335798 39446,S200000,00400,0300,10/03/1996 39446,S200000,00400,0500,P 39446,S200000,01500,0100,Y 39446,S200000,01900,0100,OTHER (SPECIFY) 39454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39454,A000000,00300,0000,00300EMPLOYEE BENEFITS 39454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39454,A000000,00700,0000,00700HOUSEKEEPING 39454,A000000,00800,0000,00800DIETARY 39454,A000000,00900,0000,00900NURSING ADMINISTRATION 39454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39454,A000000,01100,0000,01100PHARMACY 39454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39454,A000000,01300,0000,01300SOCIAL SERVICE 39454,A000000,01350,0000,01500ACTIVITIES 39454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39454,A000000,01600,0000,01600SKILLED NURSING FACILITY 39454,A000000,01810,0000,01810ICF/MR 39454,A000000,02100,0000,02100RADIOLOGY 39454,A000000,02200,0000,02200LABORATORY 39454,A000000,02500,0000,02500PHYSICAL THERAPY 39454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39454,A000000,02700,0000,02700SPEECH PATHOLOGY 39454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39454,A000000,03550,0000,03550FQHC 39454,A000000,05000,0000,05000CORF 39454,A000000,05010,0000,05010CMHC 39454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39454,A000000,06150,0000,06300DENTAL 39454,B100000,00000,0100,00000SQUARE FEET 39454,B100000,00000,0200,00000SQUARE FEET 39454,B100000,00000,0300,00000GROSS SALARIES 39454,B100000,00000,0400,00000ACCUM COST 39454,B100000,00000,0500,00000SQUARE FEET 39454,B100000,00000,0600,00000POUNDS OF LAUNDRY 39454,B100000,00000,0700,00000HOURS OF SERVICE 39454,B100000,00000,0800,00000MEALS SERVED 39454,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39454,B100000,00000,1000,00000COSTED REQUISITIO 39454,B100000,00000,1100,00000COSTED REQUISITIO 39454,B100000,00000,1200,00000TIME SPENT 39454,B100000,00000,1300,00000TIME SPENT 39454,B100000,00000,1350,00000PATIENT DAYS 39454,B100000,00000,1400,00000ASSIGNED TIME 39454,E10A180,00501,0100,06/15/2000 39454,E10A180,00550,0300,06/15/2000 39454,S000000,00100,0200,06/01/2000 39454,S200000,00100,0100,33-23 UNION ST 39454,S200000,00200,0100,FLUSHING 39454,S200000,00200,0200,NY 39454,S200000,00200,0300,11354 39454,S200000,00300,0100,QUEENS 39454,S200000,00400,0100,UNION PLAZA NURSING HOME 39454,S200000,00400,0200,335799 39454,S200000,00400,0300,08/28/1996 39454,S200000,00400,0500,P 39454,S200000,01500,0100,Y 39465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39465,A000000,00300,0000,00300EMPLOYEE BENEFITS 39465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39465,A000000,00700,0000,00700HOUSEKEEPING 39465,A000000,00800,0000,00800DIETARY 39465,A000000,00900,0000,00900NURSING ADMINISTRATION 39465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39465,A000000,01100,0000,01100PHARMACY 39465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39465,A000000,01300,0000,01300SOCIAL SERVICE 39465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39465,A000000,01600,0000,01600SKILLED NURSING FACILITY 39465,A000000,01810,0000,01810ICF/MR 39465,A000000,02100,0000,02100RADIOLOGY 39465,A000000,02500,0000,02500PHYSICAL THERAPY 39465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39465,A000000,02700,0000,02700SPEECH PATHOLOGY 39465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39465,A000000,03550,0000,03550FQHC 39465,A000000,05000,0000,05000CORF 39465,A000000,05010,0000,05010CMHC 39465,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39465,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39465,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39465,A000000,05300,0000,05300INTEREST EXPENSE 39465,A000000,06150,0000,06300DENTAL 39465,A81000A,00100,0100,Y 39465,A81000B,00100,0300,CAPITAL LEASE DEPREC. 39465,A81000B,00200,0300,CAPITAL LEASE INTEREST 39465,A81000C,00100,0100,A 39465,A81000C,00100,0200,NOTTINGHAM RETIREMENT 39465,A81000C,00100,0400,RETIREMENT COMMUNITY 39465,B100000,00000,0100,00000SQUARE FEET 39465,B100000,00000,0200,00000SQUARE FEET 39465,B100000,00000,0300,00000GROSS SALARIES 39465,B100000,00000,0400,00000ACCUM. COST 39465,B100000,00000,0500,00000SQUARE FEET 39465,B100000,00000,0600,00000POUNDS OF LAUNDRY 39465,B100000,00000,0700,00000SQUARE FEET 39465,B100000,00000,0800,00000MEALS SERVED 39465,B100000,00000,0900,00000HOURS OF SERVICE 39465,B100000,00000,1000,00000COSTED REQUIS. 39465,B100000,00000,1100,00000COSTED REQUIS. 39465,B100000,00000,1200,00000TIME SPENT 39465,B100000,00000,1300,00000TIME SPENT 39465,B100000,00000,1400,00000ASSIGNED TIME 39465,S000000,00100,0200,05/30/2000 39465,S200000,00100,0100,1305 NOTTINGHAM ROAD 39465,S200000,00200,0100,JAMESVILLE 39465,S200000,00200,0200,NY 39465,S200000,00200,0300,13078 39465,S200000,00300,0100,ONONDAGA 39465,S200000,00400,0100,NOTTINGHAM RHCF 39465,S200000,00400,0200,335800 39465,S200000,00400,0300,10/29/1996 39465,S200000,00400,0500,P 39465,S200000,01500,0100,Y 39465,S200000,01900,0100,NOT FOR PROFIT 39465,S200000,02200,0100,Y 39465,S200000,04100,0100,Y 39473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39473,A000000,00300,0000,00300EMPLOYEE BENEFITS 39473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39473,A000000,00700,0000,00700HOUSEKEEPING 39473,A000000,00800,0000,00800DIETARY 39473,A000000,00900,0000,00900NURSING ADMINISTRATION 39473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39473,A000000,01100,0000,01100PHARMACY 39473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39473,A000000,01300,0000,01300SOCIAL SERVICE 39473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39473,A000000,01600,0000,01600SKILLED NURSING FACILITY 39473,A000000,01810,0000,01810ICF/MR 39473,A000000,02100,0000,02100RADIOLOGY 39473,A000000,02200,0000,02200LABORATORY 39473,A000000,02500,0000,02500PHYSICAL THERAPY 39473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39473,A000000,02700,0000,02700SPEECH PATHOLOGY 39473,A000000,02800,0000,02800ELECTROCARDIOLOGY 39473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39473,A000000,03550,0000,03550FQHC 39473,A000000,05000,0000,05000CORF 39473,A000000,05010,0000,05010CMHC 39473,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39473,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39473,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39473,A000000,05300,0000,05300INTEREST EXPENSE 39473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39473,A81000A,00100,0100,Y 39473,A81000B,00100,0300,HUMAN RESOURCES 39473,A81000B,00200,0300,COMPUTER PROCESSING 39473,A81000B,00300,0300,PURCHASING SERVICES 39473,A81000B,00400,0300,ADMIN SERVICES 39473,A81000B,00500,0300,PAYROLL SERVICES 39473,A81000B,00600,0300,PATIENT ACCOUNTING 39473,A81000B,00700,0300,ACCOUNTS PAYABLE 39473,A81000B,00800,0300,MAINTENANCE 39473,A81000B,00900,0300,GROUNDS 39473,A81000B,01000,0300,SECURITY 39473,A81000B,01100,0300,DENTAL 39473,A81000B,01200,0300,PHYSICAL THERAPY 39473,A81000B,01300,0300,OCCUPATIONAL THERAPY 39473,A81000C,00100,0100,E 39473,A81000C,00100,0400,ST. LUKES HOSP 39473,A81000C,00100,0600,HOSPITAL 39473,A81000C,00200,0100,E 39473,A81000C,00200,0400,NETWORK DATA SY 39473,A81000C,00200,0600,COMPUTER PROCES 39473,A81000C,00300,0100,E 39473,A81000C,00300,0400,MVN SHARED SERV 39473,A81000C,00300,0600,PURCHASING 39473,A81000C,00400,0100,E 39473,A81000C,00400,0400,ST. LUKES HOSP 39473,A81000C,00400,0600,HOSPITAL 39473,A81000C,00500,0100,E 39473,A81000C,00500,0400,ST. LUKES HOSP 39473,A81000C,00500,0600,HOSPITAL 39473,A81000C,00600,0100,E 39473,A81000C,00600,0400,ST. LUKES HOSP 39473,A81000C,00600,0600,HOSPITAL 39473,A81000C,00700,0100,E 39473,A81000C,00700,0400,ST. LUKES HOSP 39473,A81000C,00700,0600,HOSPITAL 39473,A81000C,00800,0100,E 39473,A81000C,00800,0400,ST. LUKES HOSP 39473,A81000C,00800,0600,HOSPITAL 39473,A81000C,00900,0100,E 39473,A81000C,00900,0400,ST. LUKES HOSP 39473,A81000C,00900,0600,HOSPITAL 39473,A81000C,01000,0100,E 39473,A81000C,01000,0400,ST. LUKES HOSP 39473,A81000C,01000,0600,HOSPITAL 39473,A81000C,01100,0100,E 39473,A81000C,01100,0400,ST. LUKES HOSP 39473,A81000C,01100,0600,HOSPITAL 39473,A81000C,01200,0100,E 39473,A81000C,01200,0400,ST. LUKES HOSP 39473,A81000C,01200,0600,HOSPITAL 39473,A81000C,01300,0100,E 39473,A81000C,01300,0400,ST. LUKES HOSP 39473,A81000C,01300,0600,HOSPITAL 39473,B100000,00000,0100,00000SQUARE FEET 39473,B100000,00000,0200,00000SQUARE FEET 39473,B100000,00000,0300,00000GROSS SALARIES 39473,B100000,00000,0400,00000ACCUM COST 39473,B100000,00000,0500,00000SQUARE FEET 39473,B100000,00000,0600,00000POUNDS OF LAUNDRY 39473,B100000,00000,0700,00000HOURS OF SERVICE 39473,B100000,00000,0800,00000MEALS SERVED 39473,B100000,00000,0900,00000DIRECT NRSG HRS 39473,B100000,00000,1000,00000COSTED REQUIS 39473,B100000,00000,1100,00000COSTED REQUIS 39473,B100000,00000,1200,00000TIME SPENT 39473,B100000,00000,1300,00000TIME SPENT 39473,B100000,00000,1400,00000ASSIGNED TIME 39473,S000000,00100,0200,07/28/2000 39473,S200000,00100,0100,1650 CHAMPLIN AVE 39473,S200000,00100,0300,6505 39473,S200000,00200,0100,UTICA 39473,S200000,00200,0200,NY 39473,S200000,00200,0300,13504 39473,S200000,00300,0100,ONEIDA 39473,S200000,00400,0100,ST. LUKES HOME 39473,S200000,00400,0200,335801 39473,S200000,00400,0300,09/04/1996 39473,S200000,00400,0500,P 39473,S200000,01500,0100,Y 39473,S200000,01900,0100,501 C 3 39473,S200000,04300,0100,Y 39477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39477,A000000,00300,0000,00300EMPLOYEE BENEFITS 39477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39477,A000000,00700,0000,00700HOUSEKEEPING 39477,A000000,00800,0000,00800DIETARY 39477,A000000,00900,0000,00900NURSING ADMINISTRATION 39477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39477,A000000,01100,0000,01100PHARMACY 39477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39477,A000000,01300,0000,01300SOCIAL SERVICE 39477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39477,A000000,01600,0000,01600SKILLED NURSING FACILITY 39477,A000000,01810,0000,01810ICF/MR 39477,A000000,02500,0000,02500PHYSICAL THERAPY 39477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39477,A000000,02700,0000,02700SPEECH PATHOLOGY 39477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39477,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39477,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39477,A000000,03550,0000,03550FQHC 39477,A000000,05000,0000,05000CORF 39477,A000000,05010,0000,05010CMHC 39477,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39477,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39477,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39477,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39477,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39477,A000000,06151,0000,06301ILU 39477,A000000,06152,0000,06302DENTAL 39477,B100000,00000,0100,00002SQUARE FEET 39477,B100000,00000,0200,00002DOLLAR VALUE 39477,B100000,00000,0300,00002GROSS SALARIES 39477,B100000,00000,0400,00002ACCUM COST 39477,B100000,00000,0500,00002SQUARE FEET 39477,B100000,00000,0600,00002POUNDS OF LAUNDRY 39477,B100000,00000,0700,00002HOURS OF SERVICE 39477,B100000,00000,0800,00002MEALS SERVED 39477,B100000,00000,0900,00002DIR NURSIN HRS OF SVC 39477,B100000,00000,1000,00002COSTED REQUISITIO 39477,B100000,00000,1100,00002COSTED REQUISITIO 39477,B100000,00000,1200,00002TIME SPENT 39477,B100000,00000,1300,00002TIME SPENT 39477,B100000,00000,1400,00002ASSIGNED TIME 39477,S000000,00100,0200,05/26/2000 39477,S200000,00100,0100,6 HARRIMAN DRIVE 39477,S200000,00200,0100,GOSHEN 39477,S200000,00200,0200,NEW YORK 39477,S200000,00200,0300,10924 39477,S200000,00300,0100,ORANGE 39477,S200000,00400,0100,GLEN ARDEN INC. 39477,S200000,00400,0200,335802 39477,S200000,00400,0300,11/26/1996 39477,S200000,00400,0500,P 39477,S200000,01900,0100,OTHER (SPECIFY) 39477,S200000,02800,0100,Y 39479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39479,A000000,00300,0000,00300EMPLOYEE BENEFITS 39479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39479,A000000,00700,0000,00700HOUSEKEEPING 39479,A000000,00800,0000,00800DIETARY 39479,A000000,00900,0000,00900NURSING ADMINISTRATION 39479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39479,A000000,01100,0000,01100PHARMACY 39479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39479,A000000,01300,0000,01300SOCIAL SERVICE 39479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39479,A000000,01600,0000,01600SKILLED NURSING FACILITY 39479,A000000,01810,0000,01810ICF/MR 39479,A000000,02100,0000,02100RADIOLOGY 39479,A000000,02200,0000,02200LABORATORY 39479,A000000,02500,0000,02500PHYSICAL THERAPY 39479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39479,A000000,02700,0000,02700SPEECH PATHOLOGY 39479,A000000,02800,0000,02800ELECTROCARDIOLOGY 39479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39479,A000000,03550,0000,03550FQHC 39479,A000000,05000,0000,05000CORF 39479,A000000,05010,0000,05010CMHC 39479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39479,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39479,A81000A,00100,0100,Y 39479,A81000B,00100,0300,RENT 39479,A81000B,00200,0300,MORTGAGE INTEREST 39479,A81000B,00300,0300,DEPRECIATION 39479,A81000B,00400,0300,BUILDING INSURANCE 39479,A81000B,00500,0300,MISCELLANEOUS 39479,A81000B,00600,0300,R/E TAXES 39479,A81000B,00700,0300,NURSING CONSULTING 39479,A81000C,00100,0100,A 39479,A81000C,00100,0200,BENENSONS 39479,A81000C,00100,0400,FLSHNG MNR GRTR 39479,A81000C,00100,0600,REALTY 39479,A81000C,00200,0100,A 39479,A81000C,00200,0200,BENENSONS 39479,A81000C,00200,0400,SUBACUTE NETWOR 39479,A81000C,00200,0600,NURSING CONSULT 39479,B100000,00000,0100,00000SQUARE FEET 39479,B100000,00000,0200,00000SQUARE FEET 39479,B100000,00000,0300,00000GROSS SALARIES 39479,B100000,00000,0400,00000ACCUM COST 39479,B100000,00000,0500,00000SQUARE FEET 39479,B100000,00000,0600,00000POUNDS OF LAUNDRY 39479,B100000,00000,0700,00000HOURS OF SERVICE 39479,B100000,00000,0800,00000MEALS SERVED 39479,B100000,00000,0900,00000DIRECT NRSG HRS 39479,B100000,00000,1000,00000COSTED REQUIS 39479,B100000,00000,1100,00000COSTED REQUIS 39479,B100000,00000,1200,00000TIME SPENT 39479,B100000,00000,1300,00000TIME SPENT 39479,B100000,00000,1400,00000ASSIGNED TIME 39479,S000000,00100,0200,05/30/2000 39479,S200000,00100,0100,36-17 PARSONS BLVD 39479,S200000,00200,0100,FLUSHING 39479,S200000,00200,0200,NY 39479,S200000,00200,0300,11354 39479,S200000,00300,0100,QUEENS 39479,S200000,00400,0100,FLUSHING MANOR GERIATRIC CENTER 39479,S200000,00400,0200,335804 39479,S200000,00400,0300,12/29/1997 39479,S200000,00400,0500,P 39479,S200000,01500,0100,Y 39487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39487,A000000,00300,0000,00300EMPLOYEE BENEFITS 39487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39487,A000000,00700,0000,00700HOUSEKEEPING 39487,A000000,00800,0000,00800DIETARY 39487,A000000,00900,0000,00900NURSING ADMINISTRATION 39487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39487,A000000,01100,0000,01100PHARMACY 39487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39487,A000000,01300,0000,01300SOCIAL SERVICE 39487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39487,A000000,01600,0000,01600SKILLED NURSING FACILITY 39487,A000000,01810,0000,01810ICF/MR 39487,A000000,02100,0000,02100RADIOLOGY 39487,A000000,02200,0000,02200LABORATORY 39487,A000000,02500,0000,02500PHYSICAL THERAPY 39487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39487,A000000,02700,0000,02700SPEECH PATHOLOGY 39487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39487,A000000,03550,0000,03550FQHC 39487,A000000,05000,0000,05000CORF 39487,A000000,05010,0000,05010CMHC 39487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39487,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39487,A000000,06151,0000,06301DENTAL 39487,B100000,00000,0100,00001SQUARE FEET 39487,B100000,00000,0200,00001SQUARE FEET 39487,B100000,00000,0300,00001GROSS SALARIES 39487,B100000,00000,0400,00001ACCUM COST 39487,B100000,00000,0500,00001SQUARE FEET 39487,B100000,00000,0600,00001POUNDS OF LAUNDRY 39487,B100000,00000,0700,00001HOURS OF SERVICE 39487,B100000,00000,0800,00001MEALS SERVED 39487,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39487,B100000,00000,1000,00001COSTED REQUISITIO 39487,B100000,00000,1100,00001COSTED REQUISITIO 39487,B100000,00000,1200,00001TIME SPENT 39487,B100000,00000,1300,00001TIME SPENT 39487,B100000,00000,1400,00001ASSIGNED TIME 39487,S000000,00100,0200,05/30/2000 39487,S200000,00100,0100,67 SPRINGVALE ROAD 39487,S200000,00200,0100,CROTON ON HUDSON 39487,S200000,00200,0200,NY 39487,S200000,00200,0300,10520 39487,S200000,00300,0100,WESTCHESTER 39487,S200000,00400,0100,BETHEL NURSING & REHAB CENTER 39487,S200000,00400,0200,335806 39487,S200000,00400,0300,12/09/1997 39487,S200000,00400,0500,P 39487,S200000,01500,0100,Y 39492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39492,A000000,00300,0000,00300EMPLOYEE BENEFITS 39492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39492,A000000,00700,0000,00700HOUSEKEEPING 39492,A000000,00800,0000,00800DIETARY 39492,A000000,00900,0000,00900NURSING ADMINISTRATION 39492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39492,A000000,01100,0000,01100PHARMACY 39492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39492,A000000,01300,0000,01300SOCIAL SERVICE 39492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39492,A000000,01600,0000,01600SKILLED NURSING FACILITY 39492,A000000,01810,0000,01810ICF/MR 39492,A000000,02500,0000,02500PHYSICAL THERAPY 39492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39492,A000000,02700,0000,02700SPEECH PATHOLOGY 39492,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39492,A000000,03550,0000,03550FQHC 39492,A000000,05000,0000,05000CORF 39492,A000000,05010,0000,05010CMHC 39492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39492,B100000,00000,0100,00040SQUARE FEET 39492,B100000,00000,0200,00040SQUARE FEET 39492,B100000,00000,0300,00040GROSS SALARIES 39492,B100000,00000,0400,00040ACCUM COST 39492,B100000,00000,0500,00040SQUARE FEET 39492,B100000,00000,0600,00040POUNDS OF LAUNDRY 39492,B100000,00000,0700,00040HOURS OF SERVICE 39492,B100000,00000,0800,00040MEALS SERVED 39492,B100000,00000,0900,00040DIRECT NRSG HRS 39492,B100000,00000,1000,00040COSTED REQUIS 39492,B100000,00000,1100,00040COSTED REQUIS 39492,B100000,00000,1200,00040TIME SPENT 39492,B100000,00000,1300,00040TIME SPENT 39492,B100000,00000,1400,00040ASSIGNED TIME 39492,S000000,00100,0200,09/25/2000 39492,S200000,00100,0100,10 SYMPHONY CIRCLE 39492,S200000,00200,0100,BUFFALO 39492,S200000,00200,0200,NY 39492,S200000,00200,0300,14201 39492,S200000,00300,0100,ERIE 39492,S200000,00400,0100,GRACE MANOR HEALTH CARE FACILITY IN 39492,S200000,00400,0200,335807 39492,S200000,00400,0300,01/21/1998 39492,S200000,00400,0500,P 39492,S200000,01500,0100,Y 39492,S200000,01700,0100,Y 39492,S200000,01900,0100,NON PROFIT 39492,S200000,02200,0100,Y 39496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39496,A000000,00300,0000,00300EMPLOYEE BENEFITS 39496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39496,A000000,00700,0000,00700HOUSEKEEPING 39496,A000000,00800,0000,00800DIETARY 39496,A000000,00900,0000,00900NURSING ADMINISTRATION 39496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39496,A000000,01100,0000,01100PHARMACY 39496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39496,A000000,01300,0000,01300SOCIAL SERVICE 39496,A000000,01350,0000,01500OTHER GENERAL SERVICES 39496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39496,A000000,01600,0000,01600SKILLED NURSING FACILITY 39496,A000000,01810,0000,01810ICF/MR 39496,A000000,02100,0000,02100RADIOLOGY 39496,A000000,02200,0000,02200LABORATORY 39496,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39496,A000000,02500,0000,02500PHYSICAL THERAPY 39496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39496,A000000,02700,0000,02700SPEECH PATHOLOGY 39496,A000000,02800,0000,02800ELECTROCARDIOLOGY 39496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39496,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39496,A000000,03051,0000,03301CLINITRON THERAPY 39496,A000000,03052,0000,03302CAT SCANS 39496,A000000,03053,0000,03303NUCLEAR MEDICINE 39496,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39496,A000000,03550,0000,03550FQHC 39496,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39496,A000000,05000,0000,05000CORF 39496,A000000,05010,0000,05010CMHC 39496,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39496,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39496,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39496,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39496,A81000A,00100,0100,Y 39496,A81000B,00100,0300,RENT 39496,A81000B,00200,0300,MORTGAGE INTEREST 39496,A81000B,00300,0300,DEPRECIATION & AMORTIZATION 39496,A81000B,00400,0300,B/C 39496,A81000C,00100,0100,A 39496,A81000C,00100,0200,M. MELNICKE 39496,A81000C,00100,0400,BAFCK SREET REALTY 39496,A81000C,00100,0600,REAL ESTATE 39496,B100000,00000,0100,00000SQUARE FEET 39496,B100000,00000,0200,00000NO STATISTICS 39496,B100000,00000,0300,00000GROSS SALARIES 39496,B100000,00000,0400,00000ACCUM. COST 39496,B100000,00000,0500,00000SQUARE FEET 39496,B100000,00000,0600,00000POUNDS DISTIBUTED 39496,B100000,00000,0700,00000HOURS WORKED 39496,B100000,00000,0800,00000MEALS SERVED 39496,B100000,00000,0900,00000NO STATISTICS 39496,B100000,00000,1000,00000NO STATISTICS 39496,B100000,00000,1100,00000NO STATISTICS 39496,B100000,00000,1200,00000NO STATISTICS 39496,B100000,00000,1300,00000NO STATISTICS 39496,B100000,00000,1350,00000NO STATISTICS 39496,B100000,00000,1400,00000NO STATISTICS 39496,S000000,00100,0200,07/21/2000 39496,S200000,00100,0100,8OO FRONT STREET 39496,S200000,00200,0100,HEMPSTEAD 39496,S200000,00200,0200,NY 39496,S200000,00200,0300,11550 39496,S200000,00300,0100,NASSAU 39496,S200000,00400,0100,SUNSHINE CARE CORP. 39496,S200000,00400,0200,335808 39496,S200000,00400,0300,06/10/1998 39496,S200000,00400,0500,P 39496,S200000,01500,0100,Y 39499,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39499,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39499,A000000,00300,0000,00300EMPLOYEE BENEFITS 39499,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39499,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39499,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39499,A000000,00700,0000,00700HOUSEKEEPING 39499,A000000,00800,0000,00800DIETARY 39499,A000000,00900,0000,00900NURSING ADMINISTRATION 39499,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39499,A000000,01100,0000,01100PHARMACY 39499,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39499,A000000,01300,0000,01300SOCIAL SERVICE 39499,A000000,01301,0000,01301ACTIVITIES 39499,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39499,A000000,01600,0000,01600SKILLED NURSING FACILITY 39499,A000000,01810,0000,01810ICF/MR 39499,A000000,02100,0000,02100RADIOLOGY 39499,A000000,02200,0000,02200LABORATORY 39499,A000000,02500,0000,02500PHYSICAL THERAPY 39499,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39499,A000000,02700,0000,02700SPEECH PATHOLOGY 39499,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39499,A000000,03550,0000,03550FQHC 39499,A000000,05000,0000,05000CORF 39499,A000000,05010,0000,05010CMHC 39499,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39499,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39499,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39499,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39499,A000000,06101,0000,06150DENTAL 39499,A81000A,00100,0100,Y 39499,A81000B,00100,0300,QUALITY ASSURANCE 39499,A81000B,00200,0300,CENTRAL SUPPLY 39499,A81000B,00300,0300,MEDICAL DIRECTOR 39499,A81000B,00400,0300,PLANT MAINTENANCE 39499,A81000B,00500,0300,FISCAL CORP SERVICE 39499,A81000B,00600,0300,MIS CORP SERVICE 39499,A81000B,00700,0300,ADMISSION CORP SVC 39499,A81000B,00800,0300,ADMIN CORP SERVICE 39499,A81000B,00900,0300,VOLUNTEER CORP SVC 39499,A81000B,01000,0300,PERSONNEL CORP SVC 39499,A81000C,00100,0100,B 39499,A81000C,00100,0200,HHH OF WESTCHES 39499,A81000C,00100,0400,HHCS 39499,A81000C,00100,0600,PARENT CORP / A 39499,B100000,00000,0100,00050SQUARE FEET 39499,B100000,00000,0200,00050SQUARE FEET 39499,B100000,00000,0300,00050GROSS SALARIES 39499,B100000,00000,0400,00050ACCUM COST 39499,B100000,00000,0500,00050SQUARE FEET 39499,B100000,00000,0600,00050POUNDS OF LAUNDRY 39499,B100000,00000,0700,00050HOURS OF SERVICE 39499,B100000,00000,0800,00050MEALS SERVED 39499,B100000,00000,0900,00050DIRECT NRSG HRS 39499,B100000,00000,1000,00050COSTED REQUIS 39499,B100000,00000,1100,00050COSTED REQUIS 39499,B100000,00000,1200,00050TIME SPENT 39499,B100000,00000,1300,00050TIME SPENT 39499,B100000,00000,1301,00050NO OF PART 39499,B100000,00000,1400,00050ASSIGNED TIME 39499,S000000,00100,0200,05/31/2000 39499,S200000,00100,0100,61 GRASSLANDS ROAD 39499,S200000,00200,0100,VALHALLA 39499,S200000,00200,0200,NY 39499,S200000,00200,0300,10595 39499,S200000,00300,0100,WESTCHESTER 39499,S200000,00400,0100,HEBREW HOSPT. HM. OF WESTCHESTER 39499,S200000,00400,0200,335809 39499,S200000,00400,0300,06/19/1998 39499,S200000,00400,0500,P 39499,S200000,01500,0100,Y 39499,S200000,01900,0100,COMMUNITY BASED 39504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39504,A000000,00300,0000,00300EMPLOYEE BENEFITS 39504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39504,A000000,00700,0000,00700HOUSEKEEPING 39504,A000000,00800,0000,00800DIETARY 39504,A000000,00900,0000,00900NURSING ADMINISTRATION 39504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39504,A000000,01100,0000,01100PHARMACY 39504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39504,A000000,01300,0000,01300SOCIAL SERVICE 39504,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39504,A000000,01600,0000,01600SKILLED NURSING FACILITY 39504,A000000,01810,0000,01810ICF/MR 39504,A000000,02100,0000,02100RADIOLOGY 39504,A000000,02200,0000,02200LABORATORY 39504,A000000,02500,0000,02500PHYSICAL THERAPY 39504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39504,A000000,02700,0000,02700SPEECH PATHOLOGY 39504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39504,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39504,A000000,03550,0000,03550FQHC 39504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 39504,A000000,05000,0000,05000CORF 39504,A000000,05010,0000,05010CMHC 39504,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39504,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39504,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39504,A000000,06150,0000,06300DENTAL 39504,A000000,06151,0000,06301AUDIOLOGY 39504,A000000,06152,0000,06302PUBLIC RELATIONS 39504,A000000,06153,0000,06303ADULT DAY CARE 39504,A81000A,00100,0100,Y 39504,A81000B,00100,0300,MANAGEMENT FEES 39504,A81000C,00100,0100,B 39504,A81000C,00100,0200,LUTHERAN CTR & 39504,A81000C,00100,0400,WARTBURG LUTHER 39504,A81000C,00100,0600,HEALTHCARE 39504,B100000,00000,0100,00003SQUARE FEET 39504,B100000,00000,0200,00003SQUARE FEET 39504,B100000,00000,0300,00003GROSS SALARIES 39504,B100000,00000,0400,00003ACCUM COST 39504,B100000,00000,0500,00003SQUARE FEET 39504,B100000,00000,0600,00003POUNDS OF LAUNDRY 39504,B100000,00000,0700,00003HOURS OF SERVICE 39504,B100000,00000,0800,00003MEALS SERVED 39504,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 39504,B100000,00000,1000,00003COSTED REQUISITIO 39504,B100000,00000,1100,00003COSTED REQUISITIO 39504,B100000,00000,1200,00003TIME SPENT 39504,B100000,00000,1300,00003TIME SPENT 39504,B100000,00000,1350,00003ASSIGNED TIME 39504,B100000,00000,1400,00003ASSIGNED TIME 39504,E10A180,00301,0100,11/03/1999 39504,S000000,00100,0200,06/27/2000 39504,S200000,00100,0100,411 DUTCHESS TURNPIKE 39504,S200000,00100,0300,ROUTE 44 39504,S200000,00200,0100,POUGHKEEPSIE 39504,S200000,00200,0200,NY 39504,S200000,00300,0100,DUTCHESS 39504,S200000,00400,0100,LUTHERAN CTR @ POUGHKEEPSIE INC. 39504,S200000,00400,0200,335810 39504,S200000,00400,0300,09/02/1998 39504,S200000,00400,0500,P 39504,S200000,01500,0100,Y 39504,S200000,03300,0100,Y 39504,S200000,03300,0200,Y 39508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39508,A000000,00300,0000,00300EMPLOYEE BENEFITS 39508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39508,A000000,00700,0000,00700HOUSEKEEPING 39508,A000000,00800,0000,00800DIETARY 39508,A000000,00900,0000,00900NURSING ADMINISTRATION 39508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39508,A000000,01100,0000,01100PHARMACY 39508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39508,A000000,01300,0000,01300SOCIAL SERVICE 39508,A000000,01350,0000,01500ACTIVITIES 39508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39508,A000000,01600,0000,01600SKILLED NURSING FACILITY 39508,A000000,01810,0000,01810ICF/MR 39508,A000000,02200,0000,02200LABORATORY 39508,A000000,02500,0000,02500PHYSICAL THERAPY 39508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39508,A000000,02700,0000,02700SPEECH PATHOLOGY 39508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39508,A000000,03550,0000,03550FQHC 39508,A000000,05000,0000,05000CORF 39508,A000000,05010,0000,05010CMHC 39508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39508,A000000,06101,0000,06140DENTAL 39508,B100000,00000,0100,00040SQUARE FEET 39508,B100000,00000,0200,00040SQUARE FEET 39508,B100000,00000,0300,00040GROSS SALARIES 39508,B100000,00000,0400,00040ACCUM COST 39508,B100000,00000,0500,00040SQUARE FEET 39508,B100000,00000,0600,00040POUNDS OF LAUNDRY 39508,B100000,00000,0700,00040HOURS OF SERVICE 39508,B100000,00000,0800,00040MEALS SERVED 39508,B100000,00000,0900,00040DIRECT NRSG HRS 39508,B100000,00000,1000,00040COSTED REQUIS 39508,B100000,00000,1100,00040COSTED REQUIS 39508,B100000,00000,1200,00040TIME SPENT 39508,B100000,00000,1300,00040TIME SPENT 39508,B100000,00000,1350,00040NO OF PART 39508,B100000,00000,1400,00040ASSIGNED TIME 39508,S000000,00100,0200,09/29/2000 39508,S200000,00100,0100,2237 LINDEN BLVD 39508,S200000,00200,0100,BROOKLYN 39508,S200000,00200,0200,NY 39508,S200000,00200,0300,11207 39508,S200000,00300,0100,BROOKLYN 39508,S200000,00400,0100,RUBY WESTON MANOR 39508,S200000,00400,0200,335811 39508,S200000,00400,0300,09/08/1998 39508,S200000,00400,0500,P 39508,S200000,01500,0100,Y 39508,S200000,01900,0100,COMMUNITY BASED 39512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39512,A000000,00300,0000,00300EMPLOYEE BENEFITS 39512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39512,A000000,00700,0000,00700HOUSEKEEPING 39512,A000000,00800,0000,00800DIETARY 39512,A000000,00900,0000,00900NURSING ADMINISTRATION 39512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39512,A000000,01100,0000,01100PHARMACY 39512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39512,A000000,01300,0000,01300SOCIAL SERVICE 39512,A000000,01350,0000,01500ACTIVITIES PROGRAM 39512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39512,A000000,01600,0000,01600SKILLED NURSING FACILITY 39512,A000000,01810,0000,01810ICF/MR 39512,A000000,02100,0000,02100RADIOLOGY 39512,A000000,02200,0000,02200LABORATORY 39512,A000000,02500,0000,02500PHYSICAL THERAPY 39512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39512,A000000,02700,0000,02700SPEECH PATHOLOGY 39512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39512,A000000,03550,0000,03550FQHC 39512,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 39512,A000000,05000,0000,05000CORF 39512,A000000,05010,0000,05010CMHC 39512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39512,A000000,06150,0000,06300DENTAL 39512,A81000A,00100,0100,Y 39512,A81000B,00100,0300,RENT 39512,A81000B,00200,0300,DEPRECIATION 39512,A81000B,00300,0300,REAL ESTATE TAXES 39512,A81000B,00400,0300,PROPERTY INSURANCE 39512,A81000B,00500,0300,INTEREST EXPENSE 39512,A81000B,00600,0300,WATER & SEWER TAXES 39512,A81000B,00700,0300,DEPRECIATION 39512,A81000B,00800,0300,FINANCING COST AMORT 39512,A81000B,00900,0300,AUDIT FEES 39512,A81000C,00100,0100,A 39512,A81000C,00100,0200,ANTHONY SALERNO 39512,A81000C,00100,0400,AHNH INC 39512,A81000C,00100,0600,REALTY 39512,A81000C,00200,0100,A 39512,A81000C,00200,0200,HARRY SATIN 39512,A81000C,00200,0400,AHNH INC 39512,A81000C,00200,0600,REALTY 39512,A81000C,00300,0100,A 39512,A81000C,00300,0200,JEFFREY SUNSHIN 39512,A81000C,00300,0400,AHNH INC 39512,A81000C,00300,0600,REALTY 39512,A81000C,00400,0100,A 39512,A81000C,00400,0200,PATRICK DONNELL 39512,A81000C,00400,0400,AHNH INC 39512,A81000C,00400,0600,REALTY 39512,A81000C,00500,0100,A 39512,A81000C,00500,0200,LOWELL FELDMAN 39512,A81000C,00500,0400,AHNH INC 39512,A81000C,00500,0600,REALTY 39512,A81000C,00600,0100,A 39512,A81000C,00600,0200,JOEL MORRIS 39512,A81000C,00600,0400,AHNH INC 39512,A81000C,00600,0600,REALTY 39512,A81000C,00700,0100,A 39512,A81000C,00700,0200,LORRAINE SALMON 39512,A81000C,00700,0400,AHNH INC 39512,A81000C,00700,0600,REALTY 39512,A81000C,00800,0100,A 39512,A81000C,00800,0200,MARY JANE BLANE 39512,A81000C,00800,0400,AHNH INC 39512,A81000C,00800,0600,REALTY 39512,B100000,00000,0100,00000SQUARE FEET 39512,B100000,00000,0200,00000SQUARE FEET 39512,B100000,00000,0300,00000GROSS SALARIES 39512,B100000,00000,0400,00000ACCUM COST 39512,B100000,00000,0500,00000SQUARE FEET 39512,B100000,00000,0600,00000POUNDS OF LAUNDRY 39512,B100000,00000,0700,00000HOURS OF SERVICE 39512,B100000,00000,0800,00000MEALS SERVED 39512,B100000,00000,0900,00000DIRECT NRSG HRS 39512,B100000,00000,1000,00000COSTED REQUIS 39512,B100000,00000,1100,00000COSTED REQUIS 39512,B100000,00000,1200,00000TIME SPENT 39512,B100000,00000,1300,00000TIME SPENT 39512,B100000,00000,1350,00000NUMBER OF PARTCPANTS 39512,B100000,00000,1400,00000ASSIGNED TIME 39512,E10A180,00301,0100,10/25/1999 39512,S000000,00100,0200,06/09/2000 39512,S200000,00100,0100,325 NORTHERN BOULEVARD 39512,S200000,00200,0100,ALBANY 39512,S200000,00200,0200,NY 39512,S200000,00200,0300,12204 39512,S200000,00300,0100,ALBANY 39512,S200000,00400,0100,JULIE BLAIR NURSING & REHABILITATION 39512,S200000,00400,0200,335812 39512,S200000,00400,0300,01/30/1999 39512,S200000,00400,0500,P 39512,S200000,00400,0600,O 39512,S200000,01500,0100,Y 39512,S200000,01900,0100,LIMITED LIABILITY COMPANY 39512,S200000,04300,0100,Y 39514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39514,A000000,00300,0000,00300EMPLOYEE BENEFITS 39514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39514,A000000,00700,0000,00700HOUSEKEEPING 39514,A000000,00800,0000,00800DIETARY 39514,A000000,00900,0000,00900NURSING ADMINISTRATION 39514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39514,A000000,01100,0000,01100PHARMACY 39514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39514,A000000,01300,0000,01300SOCIAL SERVICE 39514,A000000,01350,0000,01500ACTIVITIES PROGRAM 39514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39514,A000000,01600,0000,01600SKILLED NURSING FACILITY 39514,A000000,01810,0000,01810ICF/MR 39514,A000000,02100,0000,02100RADIOLOGY 39514,A000000,02200,0000,02200LABORATORY 39514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39514,A000000,02500,0000,02500PHYSICAL THERAPY 39514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39514,A000000,02700,0000,02700SPEECH PATHOLOGY 39514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39514,A000000,03550,0000,03550FQHC 39514,A000000,04800,0000,04800AMBULANCE 39514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 39514,A000000,05000,0000,05000CORF 39514,A000000,05010,0000,05010CMHC 39514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39514,A000000,06150,0000,06300DENTAL 39514,A81000A,00100,0100,Y 39514,A81000B,00100,0300,RENT 39514,A81000B,00200,0300,INTEREST EXPENSE 39514,A81000B,00300,0300,DEPRECIATION/AMORTIZ 39514,A81000B,00400,0300,REAL ESTATE TAXES 39514,A81000B,00500,0300,MORT INS PREMIUM 39514,A81000B,00600,0300,MORT SERVICE FEE 39514,A81000C,00100,0100,A 39514,A81000C,00100,0200,ANTHONY SALERNO 39514,A81000C,00100,0400,HRV LLC 39514,A81000C,00100,0600,REALTY 39514,A81000C,00200,0100,A 39514,A81000C,00200,0200,HARRY SATIN 39514,A81000C,00200,0400,HRV LLC 39514,A81000C,00200,0600,REALTY 39514,A81000C,00300,0100,A 39514,A81000C,00300,0200,JEFFREY SUNSHIN 39514,A81000C,00300,0400,HRV LLC 39514,A81000C,00300,0600,REALTY 39514,A81000C,00400,0100,A 39514,A81000C,00400,0200,PATRICK DONNELL 39514,A81000C,00400,0400,HRV LLC 39514,A81000C,00400,0600,REALTY 39514,B100000,00000,0100,00000SQUARE FEET 39514,B100000,00000,0200,00000SQUARE FEET 39514,B100000,00000,0300,00000GROSS SALARIES 39514,B100000,00000,0400,00000ACCUM COST 39514,B100000,00000,0500,00000SQUARE FEET 39514,B100000,00000,0600,00000POUNDS OF LAUNDRY 39514,B100000,00000,0700,00000HOURS OF SERVICE 39514,B100000,00000,0800,00000MEALS SERVED 39514,B100000,00000,0900,00000DIRECT NRSG HRS 39514,B100000,00000,1000,00000COSTED REQUIS 39514,B100000,00000,1100,00000COSTED REQUIS 39514,B100000,00000,1200,00000TIME SPENT 39514,B100000,00000,1300,00000TIME SPENT 39514,B100000,00000,1350,00000NUMBER OF PARTCPNTS 39514,B100000,00000,1400,00000ASSIGNED TIME 39514,S000000,00100,0200,08/16/2000 39514,S200000,00100,0100,300 GRANT AVENUE 39514,S200000,00200,0100,LAKE KATRINE 39514,S200000,00200,0200,NY 39514,S200000,00200,0300,12449 39514,S200000,00300,0100,ULSTER 39514,S200000,00400,0100,NORTHEAST CENTER FOR SPECIAL CARE 39514,S200000,00400,0200,335813 39514,S200000,00400,0300,04/15/1999 39514,S200000,00400,0500,P 39514,S200000,00400,0600,O 39514,S200000,01500,0100,Y 39514,S200000,04300,0100,Y 39514,S200000,04700,0100,Y 39514,S200000,04700,0200,Y 39516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39516,A000000,00300,0000,00300EMPLOYEE BENEFITS 39516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39516,A000000,00700,0000,00700HOUSEKEEPING 39516,A000000,00800,0000,00800DIETARY 39516,A000000,00900,0000,00900NURSING ADMINISTRATION 39516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39516,A000000,01100,0000,01100PHARMACY 39516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39516,A000000,01300,0000,01300SOCIAL SERVICE 39516,A000000,01350,0000,01500OTHER GENERAL SERVICES 39516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39516,A000000,01600,0000,01600SKILLED NURSING FACILITY 39516,A000000,01810,0000,01810ICF/MR 39516,A000000,02100,0000,02100RADIOLOGY 39516,A000000,02200,0000,02200LABORATORY 39516,A000000,02500,0000,02500PHYSICAL THERAPY 39516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39516,A000000,02700,0000,02700SPEECH PATHOLOGY 39516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39516,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39516,A000000,03550,0000,03550FQHC 39516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39516,A000000,05000,0000,05000CORF 39516,A000000,05010,0000,05010CMHC 39516,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39516,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39516,A81000A,00100,0100,Y 39516,A81000B,00100,0300,RENT 39516,A81000B,00200,0300,REAL ESTATE TAXES 39516,A81000B,00300,0300,INTEREST 39516,A81000B,00400,0300,ACCOUNTING 39516,A81000B,00500,0300,DEPRECIATION 39516,A81000C,00100,0100,A 39516,A81000C,00100,0200,KLIEN 39516,A81000C,00100,0400,YORKSHIRE REALTY 39516,A81000C,00100,0600,REAL ESTATE 39516,B100000,00000,0100,00000SQUARE FEET 39516,B100000,00000,0200,00000SQUARE FEET 39516,B100000,00000,0300,00000GROSS SALARIES 39516,B100000,00000,0400,00000ACCUM. COST 39516,B100000,00000,0500,00000SQUARE FEET 39516,B100000,00000,0600,00000POUNDS OF LAUNDRY 39516,B100000,00000,0700,00000HOURS OF SERVICE 39516,B100000,00000,0800,00000MEALS SERVED 39516,B100000,00000,0900,00000DIRECT NRSING HRS 39516,B100000,00000,1000,00000COSTED REQUIS. 39516,B100000,00000,1100,00000COSTED REQUIS. 39516,B100000,00000,1200,00000TIME SPENT 39516,B100000,00000,1300,00000TIME SPENT 39516,B100000,00000,1350,00000NO STATISTICS 39516,B100000,00000,1400,00000ASSIGNED TIME 39516,S000000,00100,0200,08/25/2000 39516,S200000,00100,0100,100-30 DITMARS BOULEVARD 39516,S200000,00200,0100,EAST ELMHURST 39516,S200000,00200,0200,NY 39516,S200000,00200,0300,11369 39516,S200000,00300,0100,QUEENS 39516,S200000,00400,0100,ELMHURST CARE CENTER INC. 39516,S200000,00400,0200,335814 39516,S200000,00400,0300,04/20/1999 39516,S200000,00400,0500,P 39516,S200000,01500,0100,Y 39518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39518,A000000,00300,0000,00300EMPLOYEE BENEFITS 39518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39518,A000000,00700,0000,00700HOUSEKEEPING 39518,A000000,00800,0000,00800DIETARY 39518,A000000,00900,0000,00900NURSING ADMINISTRATION 39518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39518,A000000,01100,0000,01100PHARMACY 39518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39518,A000000,01300,0000,01300SOCIAL SERVICE 39518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39518,A000000,01600,0000,01600SKILLED NURSING FACILITY 39518,A000000,01810,0000,01810ICF/MR 39518,A000000,02200,0000,02200LABORATORY 39518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39518,A000000,02500,0000,02500PHYSICAL THERAPY 39518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39518,A000000,02700,0000,02700SPEECH PATHOLOGY 39518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39518,A000000,03550,0000,03550FQHC 39518,A000000,05000,0000,05000CORF 39518,A000000,05010,0000,05010CMHC 39518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39518,A000000,05300,0000,05300INTEREST EXPENSE 39518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39518,A000000,06150,0000,06300ADULT DAY CARE 39518,A81000A,00100,0100,Y 39518,A81000B,00100,0300,SUPPORT SERVICES 39518,A81000B,00200,0300,SUPPORT SERVICES 39518,A81000B,00300,0300,SUPPORT SERVICES 39518,A81000B,00400,0300,SUPPORT SERVICES 39518,A81000B,00500,0300,SUPPORT SERVICES 39518,A81000B,00600,0300,SUPPORT SERVICES 39518,A81000B,00700,0300,SUPPORT SERVICES 39518,A81000B,00800,0300,SUPPORT SERVICES 39518,A81000B,00900,0300,SUPPORT SERVICES 39518,A81000B,01000,0300,SUPPORT SERVICES 39518,A81000B,01100,0300,SUPPORT SERVICES 39518,A81000B,01200,0300,SUPPORT SERVICES 39518,A81000B,01300,0300,PHARMACY CHARGES 39518,A81000B,01400,0300,OFFICE SUPPLIES 39518,A81000B,01500,0300,MEDICAL SUPPLIES 39518,A81000B,01600,0300,HOUSEKEEPING SUPPLIE 39518,A81000B,01700,0300,OFFICE SUPPLIES 39518,A81000B,01800,0300,OFFICE SUPPLIES 39518,A81000B,01900,0300,OFFICE SUPPLIES 39518,A81000B,02000,0300,OFFICE SUPPLIES 39518,A81000B,02100,0300,OFFICE SUPPLIES 39518,A81000B,02200,0300,OFFICE SUPPLIES 39518,A81000C,00100,0100,B 39518,A81000C,00100,0200,OSWEGO HOSPITAL 39518,A81000C,00100,0400,OSWEGO HOSPITAL 39518,A81000C,00100,0600,HOSPITAL/ACUTE 39518,B100000,00000,0100,00000SQUARE FEET 39518,B100000,00000,0200,00000SQUARE FEET 39518,B100000,00000,0300,00000GROSS SALARIES 39518,B100000,00000,0400,00000ACCUM COST 39518,B100000,00000,0500,00000SQUARE FEET 39518,B100000,00000,0600,00000POUNDS OF LAUNDRY 39518,B100000,00000,0700,00000SQUARE FEET 39518,B100000,00000,0800,00000MEALS SERVED 39518,B100000,00000,0900,00000DIRECT NRSG HRS 39518,B100000,00000,1000,00000COSTED REQUIS 39518,B100000,00000,1100,00000COSTED REQUIS 39518,B100000,00000,1200,00000TIME SPENT 39518,B100000,00000,1300,00000TIME SPENT 39518,B100000,00000,1400,00000ASSIGNED TIME 39518,S000000,00100,0200,11/02/2000 39518,S200000,00100,0100,20 MANOR DRIVE 39518,S200000,00200,0100,OSWEGO 39518,S200000,00200,0200,NY 39518,S200000,00200,0300,13126 39518,S200000,00300,0100,OSWEGO 39518,S200000,00400,0100,SENECA HILL MANOR 39518,S200000,00400,0200,335815 39518,S200000,00400,0300,03/04/1999 39518,S200000,00400,0500,P 39518,S200000,00400,0600,O 39518,S200000,01500,0100,Y 39518,S200000,01900,0100,CORPORATION 39518,S200000,04300,0100,Y 39520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39520,A000000,00300,0000,00300EMPLOYEE BENEFITS 39520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39520,A000000,00700,0000,00700HOUSEKEEPING 39520,A000000,00800,0000,00800DIETARY 39520,A000000,00900,0000,00900NURSING ADMINISTRATION 39520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39520,A000000,01100,0000,01100PHARMACY 39520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39520,A000000,01300,0000,01300SOCIAL SERVICE 39520,A000000,01350,0000,01500OTHER GEN. SERV- ACTIVITY 39520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39520,A000000,01600,0000,01600SKILLED NURSING FACILITY 39520,A000000,01810,0000,01810ICF/MR 39520,A000000,02500,0000,02500PHYSICAL THERAPY 39520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39520,A000000,02700,0000,02700SPEECH PATHOLOGY 39520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39520,A000000,03201,0000,03201OTHER ANCILLARY - DENTAL 39520,A000000,03202,0000,03202OTHER ANCILLARY SERVICE 1 39520,A000000,03550,0000,03550FQHC 39520,A000000,05000,0000,05000CORF 39520,A000000,05010,0000,05010CMHC 39520,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39520,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39520,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39520,A000000,05350,0000,05600OTHER SPECIAL PURPOSE 1 39520,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39520,A000000,06200,0000,06200PATIENTS LAUNDRY 39520,A000000,06201,0000,06201OTHER NON-REIMBSABLE PROG 39520,A81000A,00100,0100,Y 39520,A81000B,00100,0300,PREOPEN/MNGT/OVERSIGHT 39520,A81000B,01000,0300,PREOPEN MNGT OVERSIGHT SERVICE 39520,A81000C,00100,0100,B 39520,A81000C,00100,0400,ECH INC. 39520,A81000C,00100,0600,FINANCIAL MNGT 39520,B100000,00000,0100,00001SQUARE FEET 39520,B100000,00000,0200,00001DOLLAR VALUE 39520,B100000,00000,0300,00001GROSS SALARIES 39520,B100000,00000,0400,00001ACCUM. COST 39520,B100000,00000,0500,00001SQUARE FEET 39520,B100000,00000,0600,00001POUNDS OF LAUNDRY 39520,B100000,00000,0700,00001HOURS OF SERVICE 39520,B100000,00000,0800,00001MEALS SERVED 39520,B100000,00000,0900,00001DIRECT NRSING HRS 39520,B100000,00000,1000,00001COSTED REQUIS. 39520,B100000,00000,1100,00001COSTED REQUIS. 39520,B100000,00000,1200,00001TIME SPENT 39520,B100000,00000,1300,00001TIME SPENT 39520,B100000,00000,1350,00001 39520,B100000,00000,1400,00001ASSIGNED TIME 39520,S000000,00100,0200,09/22/2000 39520,S200000,00100,0100,705 RENAISSANCE DRIVE 39520,S200000,00200,0100,WILLIAMSVILLE 39520,S200000,00200,0200,NY 39520,S200000,00200,0300,14221 39520,S200000,00300,0100,ERIE 39520,S200000,00400,0100,CANTERBURY WOODS 39520,S200000,00400,0200,335816 39520,S200000,00400,0300,08/02/1999 39520,S200000,00400,0500,P 39520,S200000,01500,0100,Y 39520,S200000,01900,0100,501 (C) (3) 509 (A) (2) 39522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39522,A000000,00300,0000,00300EMPLOYEE BENEFITS 39522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39522,A000000,00700,0000,00700HOUSEKEEPING 39522,A000000,00800,0000,00800DIETARY 39522,A000000,00900,0000,00900NURSING ADMINISTRATION 39522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39522,A000000,01100,0000,01100PHARMACY 39522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39522,A000000,01300,0000,01300SOCIAL SERVICE 39522,A000000,01350,0000,01500OTHER GENERAL SERVICES 39522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39522,A000000,01600,0000,01600SKILLED NURSING FACILITY 39522,A000000,01810,0000,01810ICF/MR 39522,A000000,02100,0000,02100RADIOLOGY 39522,A000000,02200,0000,02200LABORATORY 39522,A000000,02500,0000,02500PHYSICAL THERAPY 39522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39522,A000000,02700,0000,02700SPEECH PATHOLOGY 39522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39522,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39522,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39522,A000000,03550,0000,03550FQHC 39522,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39522,A000000,04800,0000,04800AMBULANCE 39522,A000000,05000,0000,05000CORF 39522,A000000,05010,0000,05010CMHC 39522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39522,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39522,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39522,A81000A,00100,0100,Y 39522,A81000B,00100,0300,RENT 39522,A81000B,00200,0300,MORTGAGE INTEREST 39522,A81000B,00300,0300,INTEREST 39522,A81000B,00400,0300,AMORTIZATION 39522,A81000B,00500,0300,MISC 39522,A81000C,00100,0100,A 39522,A81000C,00100,0200,B. LANDA 39522,A81000C,00100,0400,FRANKLIN REALTY LLC 39522,A81000C,00100,0600,REAL ESTATE 39522,B100000,00000,0100,00000SQUARE FEET 39522,B100000,00000,0200,00000SQUARE FEET 39522,B100000,00000,0300,00000GROSS SALARIES 39522,B100000,00000,0400,00000ACCUM. COST 39522,B100000,00000,0500,00000SQUARE FEET 39522,B100000,00000,0600,00000POUNDS OF LAUNDRY 39522,B100000,00000,0700,00000HOURS OF SERVICE 39522,B100000,00000,0800,00000MEALS SERVED 39522,B100000,00000,0900,00000DIRECT NRSING HRS 39522,B100000,00000,1000,00000COSTED REQUIS. 39522,B100000,00000,1100,00000COSTED REQUIS. 39522,B100000,00000,1200,00000TIME SPENT 39522,B100000,00000,1300,00000TIME SPENT 39522,B100000,00000,1350,00000NO STATISTICS 39522,B100000,00000,1400,00000ASSIGNED TIME 39522,S000000,00100,0200,08/17/2000 39522,S200000,00100,0100,135 FRANKLIN AVENUE 39522,S200000,00200,0100,FRANKLIN SQUARE 39522,S200000,00200,0200,NY 39522,S200000,00200,0300,11010 39522,S200000,00300,0100,NASSAU 39522,S200000,00400,0100,GARDEN CARE CENTER INC. 39522,S200000,00400,0200,335817 39522,S200000,00400,0300,08/12/1999 39522,S200000,00400,0500,P 39522,S200000,01500,0100,Y 39524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39524,A000000,00300,0000,00300EMPLOYEE BENEFITS 39524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39524,A000000,00700,0000,00700HOUSEKEEPING 39524,A000000,00800,0000,00800DIETARY 39524,A000000,00900,0000,00900NURSING ADMINISTRATION 39524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39524,A000000,01100,0000,01100PHARMACY 39524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39524,A000000,01300,0000,01300SOCIAL SERVICE 39524,A000000,01350,0000,01500ACTIVITIES 39524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39524,A000000,01600,0000,01600SKILLED NURSING FACILITY 39524,A000000,01810,0000,01810ICF/MR 39524,A000000,02100,0000,02100RADIOLOGY 39524,A000000,02200,0000,02200LABORATORY 39524,A000000,02500,0000,02500PHYSICAL THERAPY 39524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39524,A000000,02700,0000,02700SPEECH PATHOLOGY 39524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39524,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39524,A000000,03550,0000,03550FQHC 39524,A000000,05000,0000,05000CORF 39524,A000000,05010,0000,05010CMHC 39524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39524,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39524,A000000,06150,0000,06300DENTAL 39524,A000000,06151,0000,06301ADULT DAY CARE 39524,B100000,00000,0100,00001SQUARE FEET 39524,B100000,00000,0200,00001SQUARE FEET 39524,B100000,00000,0300,00001GROSS SALARIES 39524,B100000,00000,0400,00001ACCUM COST 39524,B100000,00000,0500,00001SQUARE FEET 39524,B100000,00000,0600,00001POUNDS OF LAUNDRY 39524,B100000,00000,0700,00001HOURS OF SERVICE 39524,B100000,00000,0800,00001MEALS SERVED 39524,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39524,B100000,00000,1000,00001COSTED REQUISITIO 39524,B100000,00000,1100,00001COSTED REQUISITIO 39524,B100000,00000,1200,00001TIME SPENT 39524,B100000,00000,1300,00001TIME SPENT 39524,B100000,00000,1350,00001ASSIGNED TIME 39524,B100000,00000,1400,00001ASSIGNED TIME 39524,S000000,00100,0200,06/29/2000 39524,S200000,00100,0100,400 SOUTH SERVICE ROAD 39524,S200000,00200,0100,MELVILLE NEW YORK 11747 39524,S200000,00300,0100,SUFFOLK 39524,S200000,00400,0100,HUNTINGTON HILLS CARE CENTER 39524,S200000,00400,0200,335818 39524,S200000,00400,0300,08/20/1999 39524,S200000,00400,0500,P 39524,S200000,01500,0100,Y 39530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39530,A000000,00300,0000,00300EMPLOYEE BENEFITS 39530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39530,A000000,00700,0000,00700HOUSEKEEPING 39530,A000000,00800,0000,00800DIETARY 39530,A000000,00900,0000,00900NURSING ADMINISTRATION 39530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39530,A000000,01100,0000,01100PHARMACY 39530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39530,A000000,01300,0000,01300SOCIAL SERVICE 39530,A000000,01301,0000,01301ACTIVITIES 39530,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39530,A000000,01600,0000,01600SKILLED NURSING FACILITY 39530,A000000,01800,0000,01800NURSING FACILITY 39530,A000000,01810,0000,01810ICF/MR 39530,A000000,02100,0000,02100RADIOLOGY 39530,A000000,02200,0000,02200LABORATORY 39530,A000000,02300,0000,02300INTRAVENOUS THERAPY 39530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39530,A000000,02500,0000,02500PHYSICAL THERAPY 39530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39530,A000000,02700,0000,02700SPEECH PATHOLOGY 39530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39530,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39530,A000000,03051,0000,03301PEN THERAPY 39530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39530,A000000,03550,0000,03550FQHC 39530,A000000,05000,0000,05000CORF 39530,A000000,05010,0000,05010CMHC 39530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39530,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39530,A81000A,00100,0100,Y 39530,A81000B,00100,0300,COST OF SUPPLIES SOLD 39530,A81000B,00200,0300,ANCILLARY EQUIPMT RNTL 39530,A81000B,00300,0300,PT SUPPLIES 39530,A81000B,00400,0300,PT 39530,A81000B,00500,0300,OT 39530,A81000B,00600,0300,ST 39530,A81000B,00700,0300,HOME OFFICE INTEREST 39530,A81000B,00800,0300,HOME OFFICE COST 39530,A81000C,00100,0100,B 39530,A81000C,00100,0200,MARINER HEALTH 39530,A81000C,00100,0400,MARINER POST-AC 39530,A81000C,00100,0600,NURSING HOMES 39530,A81000C,00200,0100,G 39530,A81000C,00200,0200,MARINER POST-AC 39530,A81000C,00200,0400,PRISM (ARS ATS 39530,A81000C,00200,0600,THERAPIES 39530,A81000C,00300,0100,G 39530,A81000C,00300,0200,MARINER POST-AC 39530,A81000C,00300,0400,AMERICAN PHARMA 39530,A81000C,00300,0600,PHARMACEUTICALS 39530,B100000,00000,0100,00000SQUARE FEET 39530,B100000,00000,0200,00000SQUARE FEET 39530,B100000,00000,0300,00000GROSS SALARIES 39530,B100000,00000,0400,00000ACCUM COST 39530,B100000,00000,0500,00000SQUARE FEET 39530,B100000,00000,0600,00000PATIENT DAYS 39530,B100000,00000,0700,00000SQUARE FEET 39530,B100000,00000,0800,00000MEALS SERVED 39530,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39530,B100000,00000,1000,00000COSTED REQUISITIO 39530,B100000,00000,1100,00000COSTED REQUIS 39530,B100000,00000,1200,00000PATIENT DAYS 39530,B100000,00000,1300,00000PATIENT DAYS 39530,B100000,00000,1301,00000PATIENT DAYS 39530,B100000,00000,1350,00000 39530,B100000,00000,1400,00000ASSIGNED TIME 39530,S000000,00100,0200,06/13/2001 39530,S200000,00100,0100,820 WELLNGTON AVE 39530,S200000,00200,0100,WILMINGTON 39530,S200000,00200,0200,NC 39530,S200000,00200,0300,28401 39530,S200000,00300,0100,NEW HANOVER 39530,S200000,00400,0100,MARINER HEALTH OF WILMINGTON 39530,S200000,00400,0200,345236 39530,S200000,00400,0300,01/01/1983 39530,S200000,00400,0500,P 39530,S200000,01600,0100,Y 39545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39545,A000000,00300,0000,00300EMPLOYEE BENEFITS 39545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39545,A000000,00700,0000,00700HOUSEKEEPING 39545,A000000,00800,0000,00800DIETARY 39545,A000000,00900,0000,00900NURSING ADMINISTRATION 39545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39545,A000000,01100,0000,01100PHARMACY 39545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39545,A000000,01300,0000,01300SOCIAL SERVICE 39545,A000000,01301,0000,01301ACTIVITIES 39545,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39545,A000000,01600,0000,01600SKILLED NURSING FACILITY 39545,A000000,01800,0000,01800NURSING FACILITY 39545,A000000,01810,0000,01810ICF/MR 39545,A000000,02100,0000,02100RADIOLOGY 39545,A000000,02200,0000,02200LABORATORY 39545,A000000,02300,0000,02300INTRAVENOUS THERAPY 39545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39545,A000000,02500,0000,02500PHYSICAL THERAPY 39545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39545,A000000,02700,0000,02700SPEECH PATHOLOGY 39545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39545,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39545,A000000,03051,0000,03301PEN THERAPY 39545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39545,A000000,03550,0000,03550FQHC 39545,A000000,05000,0000,05000CORF 39545,A000000,05010,0000,05010CMHC 39545,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39545,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39545,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39545,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39545,A81000A,00100,0100,Y 39545,A81000B,00100,0300,HOME OFFICE INTEREST 39545,A81000B,00200,0300,HOME OFFICE COST 39545,A81000B,00300,0300,NURSING SUPPLIES 39545,A81000B,00400,0300,COST OF OXYGEN 39545,A81000B,00500,0300,PRESCRIPTION DRUGS 39545,A81000B,00600,0300,PT 39545,A81000B,00700,0300,OT 39545,A81000B,00800,0300,ST 39545,A81000C,00100,0100,B 39545,A81000C,00100,0200,MARINER HEALTH 39545,A81000C,00100,0400,MARINER PAN 39545,A81000C,00100,0600,NURSING HOMES 39545,A81000C,00200,0100,G 39545,A81000C,00200,0200,MARINER PAN 39545,A81000C,00200,0400,PRISM (ARS ATS 39545,A81000C,00200,0600,THERAPIES 39545,A81000C,00300,0100,G 39545,A81000C,00300,0200,MARINER PAN 39545,A81000C,00300,0400,AMERICAN PHARMA 39545,A81000C,00300,0600,PHARMACEUTICALS 39545,B100000,00000,0100,00000SQUARE FEET 39545,B100000,00000,0200,00000SQUARE FEET 39545,B100000,00000,0300,00000GROSS SALARIES 39545,B100000,00000,0400,00000ACCUM COST 39545,B100000,00000,0500,00000SQUARE FEET 39545,B100000,00000,0600,00000PATIENT DAYS 39545,B100000,00000,0700,00000SQUARE FEET 39545,B100000,00000,0800,00000MEALS SERVED 39545,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39545,B100000,00000,1000,00000COSTED REQUISITIO 39545,B100000,00000,1100,00000COSTED REQUIS 39545,B100000,00000,1200,00000PATIENT DAYS 39545,B100000,00000,1300,00000PATIENT DAYS 39545,B100000,00000,1301,00000PATIENT DAYS 39545,B100000,00000,1350,00000UNITS OF SERVICE 39545,B100000,00000,1400,00000ASSIGNED TIME 39545,S000000,00100,0200,03/06/2000 39545,S200000,00100,0100,140 TOKEENA ROAD 39545,S200000,00200,0100,SENECA 39545,S200000,00200,0200,SC 39545,S200000,00200,0300,29678 39545,S200000,00300,0100,OCONEE 39545,S200000,00400,0100,MARINER HEALTH OF SENECA 39545,S200000,00400,0200,425139 39545,S200000,00400,0300,02/25/1981 39545,S200000,00400,0500,P 39545,S200000,01600,0100,Y 39545,S200000,01900,0100,VOLUNTARY 39551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39551,A000000,00300,0000,00300EMPLOYEE BENEFITS 39551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39551,A000000,00700,0000,00700HOUSEKEEPING 39551,A000000,00800,0000,00800DIETARY 39551,A000000,00900,0000,00900NURSING ADMINISTRATION 39551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39551,A000000,01100,0000,01100PHARMACY 39551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39551,A000000,01300,0000,01300SOCIAL SERVICE 39551,A000000,01301,0000,01301ACTIVITES 39551,A000000,01350,0000,01500REHABILITATION 39551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39551,A000000,01600,0000,01600SKILLED NURSING FACILITY 39551,A000000,01800,0000,01800NURSING FACILITY 39551,A000000,01810,0000,01810ICF/MR 39551,A000000,02100,0000,02100RADIOLOGY 39551,A000000,02200,0000,02200LABORATORY 39551,A000000,02300,0000,02300INTRAVENOUS THERAPY 39551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39551,A000000,02500,0000,02500PHYSICAL THERAPY 39551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39551,A000000,02700,0000,02700SPEECH PATHOLOGY 39551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39551,A000000,03050,0000,03300EQUIPMENT RENTAL 39551,A000000,03051,0000,03301PEN THERAPY 39551,A000000,03550,0000,03550FQHC 39551,A000000,05000,0000,05000CORF 39551,A000000,05010,0000,05010CMHC 39551,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39551,A000000,06150,0000,06300VENDING 39551,A000000,06151,0000,06301STAND-BY 39551,A81000A,00100,0100,Y 39551,A81000B,00100,0300,HOME OFFICE COST 39551,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39551,A81000B,00400,0300,PRESCRIPTION DRUGS 39551,A81000B,00500,0300,MEDICAL SUPPLIES 39551,A81000B,00700,0300,HOME OFFICE CAPITAL 39551,A81000B,00900,0300,IV THERAPY 39551,A81000B,01000,0300,THERAPY CONSULTING 39551,A81000B,01100,0300,PHYSICAL THERAPY 39551,A81000B,01200,0300,OCCUPATIONAL THERAPY 39551,A81000B,01300,0300,SPEECH THERAPY 39551,A81000B,01400,0300,ANC EQUIP RENTAL 39551,A81000B,01500,0300,NURSING ADMIN 39551,A81000C,00100,0100,B 39551,A81000C,00100,0200,LEBANON PS#1369 39551,A81000C,00100,0400,MARINER PAN 39551,A81000C,00100,0600,NURSING HOMES 39551,A81000C,00200,0100,G 39551,A81000C,00200,0200,MARINER PAN 39551,A81000C,00200,0400,AMER PHARM SVCS 39551,A81000C,00200,0600,PHARMACEUTICALS 39551,A81000C,00300,0100,G 39551,A81000C,00300,0200,MARINER PAN 39551,A81000C,00300,0400,PRISM-ATS-ARS-T 39551,A81000C,00300,0600,THERAPIES 39551,A81000C,00400,0100,G 39551,A81000C,00400,0200,MARINER PAN 39551,A81000C,00400,0400,MARINER REHAB 39551,A81000C,00400,0600,THERAPIES 39551,B100000,00000,0100,00001SQUARE FEET 39551,B100000,00000,0200,00001SQUARE FEET 39551,B100000,00000,0300,00001GROSS SALARIES 39551,B100000,00000,0400,00001ACCUM COST 39551,B100000,00000,0500,00001SQUARE FEET 39551,B100000,00000,0600,00001PATIENT DAYS 39551,B100000,00000,0700,00001SQUARE FEET 39551,B100000,00000,0800,00001MEALS SERVED 39551,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39551,B100000,00000,1000,00001COSTED REQUISITIO 39551,B100000,00000,1100,00001COSTED REQUIS 39551,B100000,00000,1200,00001PATIENT DAYS 39551,B100000,00000,1300,00001PATIENT DAYS 39551,B100000,00000,1301,00001PATIENT DAYS 39551,B100000,00000,1350,00001UNITS OF SERVICE 39551,B100000,00000,1400,00001ASSIGNED TIME 39551,S000000,00100,0200,06/14/2000 39551,S200000,00100,0100,731 CASTLE HEIGHTS COURT 39551,S200000,00200,0100,LEBANON 39551,S200000,00200,0200,TN 39551,S200000,00200,0300,37087 39551,S200000,00300,0100,WILSON 39551,S200000,00400,0100,MARINER HEALTH OF LEBANON 39551,S200000,00400,0200,445268 39551,S200000,00400,0300,05/01/1991 39551,S200000,00400,0500,P 39551,S200000,01600,0100,Y 39551,S200000,02200,0100,Y 39556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39556,A000000,00300,0000,00300EMPLOYEE BENEFITS 39556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39556,A000000,00700,0000,00700HOUSEKEEPING 39556,A000000,00800,0000,00800DIETARY 39556,A000000,00900,0000,00900NURSING ADMINISTRATION 39556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39556,A000000,01100,0000,01100PHARMACY 39556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39556,A000000,01300,0000,01300SOCIAL SERVICE 39556,A000000,01301,0000,01301ACTIVITES 39556,A000000,01350,0000,01500REHABILITATION 39556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39556,A000000,01600,0000,01600SKILLED NURSING FACILITY 39556,A000000,01800,0000,01800NURSING FACILITY 39556,A000000,01810,0000,01810ICF/MR 39556,A000000,02100,0000,02100RADIOLOGY 39556,A000000,02200,0000,02200LABORATORY 39556,A000000,02300,0000,02300INTRAVENOUS THERAPY 39556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39556,A000000,02500,0000,02500PHYSICAL THERAPY 39556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39556,A000000,02700,0000,02700SPEECH PATHOLOGY 39556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39556,A000000,03050,0000,03300EQUIPMENT RENTAL 39556,A000000,03051,0000,03301PEN THERAPY 39556,A000000,03550,0000,03550FQHC 39556,A000000,05000,0000,05000CORF 39556,A000000,05010,0000,05010CMHC 39556,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39556,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39556,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39556,A000000,06150,0000,06300VENDING 39556,A000000,06151,0000,06301REHAB HOSPITAL 39556,A81000A,00100,0100,Y 39556,A81000B,00100,0300,HOME OFFICE COST 39556,A81000B,00200,0300,PRESCRIPTION DRUGS 39556,A81000B,00300,0300,MEDICAL SUPPLIES 39556,A81000B,00400,0300,RENT EXPENSE 39556,A81000B,00500,0300,HOME OFFICE INTEREST 39556,A81000B,00600,0300,PHYSICAL THERAPY 39556,A81000B,00700,0300,OCCUPATIONAL THERAPY 39556,A81000B,00800,0300,SPEECH THERAPY 39556,A81000B,00900,0300,ANC EQUIP RENTAL 39556,A81000C,00100,0100,B 39556,A81000C,00100,0200,MH OF NORTH DAL 39556,A81000C,00100,0400,MARINER PAN 39556,A81000C,00100,0600,NURSING HOMES 39556,A81000C,00200,0100,G 39556,A81000C,00200,0200,MARINER PAN 39556,A81000C,00200,0400,AMER PHARM SVCS 39556,A81000C,00200,0600,PHARMACEUTICALS 39556,A81000C,00300,0100,G 39556,A81000C,00300,0200,MARINER PAN 39556,A81000C,00300,0400,PRISM-ATS-ARS-T 39556,A81000C,00300,0600,THERAPIES 39556,A81000C,00400,0100,B 39556,A81000C,00400,0200,MARINER PAN 39556,A81000C,00400,0400,MARINER MEDICAL 39556,A81000C,00400,0600,PHARMACY 39556,A81000C,00500,0100,A 39556,A81000C,00500,0400,DALLAS MEDICAL 39556,A81000C,00500,0600,RE LESSOR 39556,B100000,00000,0100,00001SQUARE FEET 39556,B100000,00000,0200,00001SQUARE FEET 39556,B100000,00000,0300,00001GROSS SALARIES 39556,B100000,00000,0400,00001ACCUM COST 39556,B100000,00000,0500,00001SQUARE FEET 39556,B100000,00000,0600,00001PATIENT DAYS 39556,B100000,00000,0700,00001SQUARE FEET 39556,B100000,00000,0800,00001MEALS SERVED 39556,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39556,B100000,00000,1000,00001PATIENT DAYS 39556,B100000,00000,1100,00001COSTED REQUIS 39556,B100000,00000,1200,00001PATIENT DAYS 39556,B100000,00000,1300,00001PATIENT DAYS 39556,B100000,00000,1301,00001PATIENT DAYS 39556,B100000,00000,1350,00001UNITS OF SERVICE 39556,B100000,00000,1400,00001ASSIGNED TIME 39556,S000000,00100,0200,06/02/2000 39556,S200000,00100,0100,8383 MEADOW ROAD 39556,S200000,00200,0100,DALLAS 39556,S200000,00200,0200,TX 39556,S200000,00200,0300,75231 39556,S200000,00300,0100,DALLAS 39556,S200000,00400,0100,MARINER HEALTH OF NORTH DALLAS 39556,S200000,00400,0200,455463 39556,S200000,00400,0300,09/01/1994 39556,S200000,00400,0500,P 39556,S200000,01600,0100,Y 39556,S200000,02200,0100,Y 39556,S200000,04300,0100,Y 39560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39560,A000000,00300,0000,00300EMPLOYEE BENEFITS 39560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39560,A000000,00700,0000,00700HOUSEKEEPING 39560,A000000,00800,0000,00800DIETARY 39560,A000000,00900,0000,00900NURSING ADMINISTRATION 39560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39560,A000000,01100,0000,01100PHARMACY 39560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39560,A000000,01300,0000,01300SOCIAL SERVICE 39560,A000000,01301,0000,01301ACTIVITES 39560,A000000,01350,0000,01500REHABILITATION 39560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39560,A000000,01600,0000,01600SKILLED NURSING FACILITY 39560,A000000,01800,0000,01800NURSING FACILITY 39560,A000000,01810,0000,01810ICF/MR 39560,A000000,02100,0000,02100RADIOLOGY 39560,A000000,02200,0000,02200LABORATORY 39560,A000000,02300,0000,02300INTRAVENOUS THERAPY 39560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39560,A000000,02500,0000,02500PHYSICAL THERAPY 39560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39560,A000000,02700,0000,02700SPEECH PATHOLOGY 39560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39560,A000000,03050,0000,03300EQUIPMENT RENTAL 39560,A000000,03051,0000,03301PEN THERAPY 39560,A000000,03550,0000,03550FQHC 39560,A000000,04800,0000,04800AMBULANCE 39560,A000000,05000,0000,05000CORF 39560,A000000,05010,0000,05010CMHC 39560,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39560,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39560,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39560,A000000,05300,0000,05300INTEREST EXPENSE 39560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39560,A000000,06150,0000,06300VENDING 39560,A000000,06151,0000,06301STAND-BY 39560,A81000A,00100,0100,Y 39560,A81000B,00100,0300,HOME OFFICE COST 39560,A81000B,00200,0300,DIETARY SUPPLEMENTS 39560,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39560,A81000B,00400,0300,PRESCRIPTION DRUGS 39560,A81000B,00500,0300,MEDICAL SUPPLIES 39560,A81000B,00600,0300,ADMIN COSTS 39560,A81000B,00700,0300,HOME OFFICE INTEREST 39560,A81000B,00800,0300,DME 39560,A81000B,00900,0300,IV THERAPY 39560,A81000B,01000,0300,PHYSICAL THERAPY 39560,A81000B,01100,0300,OCCUPATIONAL THERAPY 39560,A81000B,01200,0300,SPEECH THERAPY 39560,A81000C,00100,0100,B 39560,A81000C,00100,0200,MARINER SAN ANT 39560,A81000C,00100,0400,MARINER PAN 39560,A81000C,00100,0600,NURSING HOMES 39560,A81000C,00200,0100,G 39560,A81000C,00200,0200,MARINER PAN 39560,A81000C,00200,0400,AMER PHARM SVCS 39560,A81000C,00200,0600,PHARMACEUTICALS 39560,A81000C,00300,0100,G 39560,A81000C,00300,0200,MARINER PAN 39560,A81000C,00300,0400,PRISM-ATS-ARS-T 39560,A81000C,00300,0600,THERAPIES 39560,A81000C,00400,0100,B 39560,A81000C,00400,0200,MARINER PAN 39560,A81000C,00400,0600,HOME OFFICE 39560,A81000C,00500,0100,B 39560,A81000C,00500,0200,MARINER PAN 39560,A81000C,00500,0400,MARINER MEDICAL 39560,A81000C,00500,0600,PHARMACY 39560,B100000,00000,0100,00001SQUARE FEET 39560,B100000,00000,0200,00001SQUARE FEET 39560,B100000,00000,0300,00001GROSS SALARIES 39560,B100000,00000,0400,00001ACCUM COST 39560,B100000,00000,0500,00001SQUARE FEET 39560,B100000,00000,0600,00001PATIENT DAYS 39560,B100000,00000,0700,00001SQUARE FEET 39560,B100000,00000,0800,00001MEALS SERVED 39560,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39560,B100000,00000,1000,00001PATIENT DAYS 39560,B100000,00000,1100,00001COSTED REQUIS 39560,B100000,00000,1200,00001PATIENT DAYS 39560,B100000,00000,1300,00001PATIENT DAYS 39560,B100000,00000,1301,00001PATIENT DAYS 39560,B100000,00000,1350,00001UNITS OF SERVICE 39560,B100000,00000,1400,00001ASSIGNED TIME 39560,S000000,00100,0200,06/02/2000 39560,S200000,00100,0100,5757 NORTH KNOLL 39560,S200000,00200,0100,SAN ANTONIO 39560,S200000,00200,0200,TX 39560,S200000,00200,0300,78240 39560,S200000,00300,0100,BEXAR 39560,S200000,00400,0100,MARINER HEALTH OF SAN ANTONIO 39560,S200000,00400,0200,455804 39560,S200000,00400,0300,03/01/1996 39560,S200000,00400,0500,P 39560,S200000,01600,0100,Y 39560,S200000,02200,0100,Y 39560,S200000,04300,0100,Y 39562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39562,A000000,00300,0000,00300EMPLOYEE BENEFITS 39562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39562,A000000,00700,0000,00700HOUSEKEEPING 39562,A000000,00800,0000,00800DIETARY 39562,A000000,00900,0000,00900NURSING ADMINISTRATION 39562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39562,A000000,01100,0000,01100PHARMACY 39562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39562,A000000,01300,0000,01300SOCIAL SERVICE 39562,A000000,01301,0000,01301ACTIVITES 39562,A000000,01350,0000,01500REHABILITATION 39562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39562,A000000,01600,0000,01600SKILLED NURSING FACILITY 39562,A000000,01800,0000,01800NURSING FACILITY 39562,A000000,01810,0000,01810ICF/MR 39562,A000000,02100,0000,02100RADIOLOGY 39562,A000000,02200,0000,02200LABORATORY 39562,A000000,02300,0000,02300INTRAVENOUS THERAPY 39562,A000000,02500,0000,02500PHYSICAL THERAPY 39562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39562,A000000,02700,0000,02700SPEECH PATHOLOGY 39562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39562,A000000,03050,0000,03300EQUIPMENT RENTAL 39562,A000000,03051,0000,03301PEN THERAPY 39562,A000000,03550,0000,03550FQHC 39562,A000000,04800,0000,04800AMBULANCE 39562,A000000,05000,0000,05000CORF 39562,A000000,05010,0000,05010CMHC 39562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39562,A000000,05300,0000,05300INTEREST EXPENSE 39562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39562,A000000,06150,0000,06300VENDING 39562,A000000,06151,0000,06301STAND-BY 39562,A81000A,00100,0100,Y 39562,A81000B,00100,0300,HOME OFFICE COST 39562,A81000B,00200,0300,HOME OFFICE LEASE 39562,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39562,A81000B,00400,0300,PRESCRIPTION DRUGS 39562,A81000B,00500,0300,MEDICAL SUPPLIES 39562,A81000B,00600,0300,DME 39562,A81000B,00700,0300,HOME OFFICE INTEREST 39562,A81000B,01100,0300,PHYSICAL THERAPY 39562,A81000B,01200,0300,OCCUPATIONAL THERAPY 39562,A81000B,01300,0300,SPEECH THERAPY 39562,A81000C,00100,0100,B 39562,A81000C,00100,0200,MARINER HEALTH 39562,A81000C,00100,0400,MARINER PAN 39562,A81000C,00100,0600,NURSING HOMES 39562,A81000C,00200,0100,G 39562,A81000C,00200,0200,MARINER PAN 39562,A81000C,00200,0400,AMER PHARM SVCS 39562,A81000C,00200,0600,PHARMACEUTICALS 39562,A81000C,00300,0100,G 39562,A81000C,00300,0200,MARINER PAN 39562,A81000C,00300,0400,PRISM-ATS-ARS-T 39562,A81000C,00300,0600,THERAPIES 39562,A81000C,00400,0100,B 39562,A81000C,00400,0200,MARINER PAN 39562,A81000C,00400,0600,HOME OFFICE 39562,A81000C,00500,0100,B 39562,A81000C,00500,0200,MARINER PAN 39562,A81000C,00500,0400,MARINER MEDICAL 39562,A81000C,00500,0600,PHARMACY 39562,A81000C,00600,0100,B 39562,A81000C,00600,0200,MARINER PAN 39562,A81000C,00600,0400,FORT BEND MEDIC 39562,A81000C,00600,0600,REAL ESTATE LES 39562,B100000,00000,0100,00001SQUARE FEET 39562,B100000,00000,0200,00001SQUARE FEET 39562,B100000,00000,0300,00001GROSS SALARIES 39562,B100000,00000,0400,00001ACCUM COST 39562,B100000,00000,0500,00001SQUARE FEET 39562,B100000,00000,0600,00001PATIENT DAYS 39562,B100000,00000,0700,00001SQUARE FEET 39562,B100000,00000,0800,00001MEALS SERVED 39562,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39562,B100000,00000,1000,00001PATIENT DAYS 39562,B100000,00000,1100,00001COSTED REQUIS 39562,B100000,00000,1200,00001PATIENT DAYS 39562,B100000,00000,1300,00001PATIENT DAYS 39562,B100000,00000,1301,00001PATIENT DAYS 39562,B100000,00000,1350,00001UNITS OF SERVICE 39562,B100000,00000,1400,00001ASSIGNED TIME 39562,S000000,00100,0200,06/02/2000 39562,S200000,00100,0100,4710 LEXINGTON BLVD 39562,S200000,00200,0100,MISSOURI CITY 39562,S200000,00200,0200,TX 39562,S200000,00200,0300,77459 39562,S200000,00300,0100,FORT BEND 39562,S200000,00400,0100,MARINER HEALTH OF FIRST COLONY 39562,S200000,00400,0200,455812 39562,S200000,00400,0300,03/01/1996 39562,S200000,00400,0500,P 39562,S200000,01600,0100,Y 39562,S200000,02200,0100,Y 39562,S200000,04300,0100,Y 39563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39563,A000000,00300,0000,00300EMPLOYEE BENEFITS 39563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39563,A000000,00700,0000,00700HOUSEKEEPING 39563,A000000,00800,0000,00800DIETARY 39563,A000000,00900,0000,00900NURSING ADMINISTRATION 39563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39563,A000000,01100,0000,01100PHARMACY 39563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39563,A000000,01300,0000,01300SOCIAL SERVICE 39563,A000000,01301,0000,01301ACTIVITES 39563,A000000,01350,0000,01500REHABILITATION 39563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39563,A000000,01600,0000,01600SKILLED NURSING FACILITY 39563,A000000,01800,0000,01800NURSING FACILITY 39563,A000000,01810,0000,01810ICF/MR 39563,A000000,02100,0000,02100RADIOLOGY 39563,A000000,02200,0000,02200LABORATORY 39563,A000000,02300,0000,02300INTRAVENOUS THERAPY 39563,A000000,02500,0000,02500PHYSICAL THERAPY 39563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39563,A000000,02700,0000,02700SPEECH PATHOLOGY 39563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39563,A000000,03050,0000,03300EQUIPMENT RENTAL 39563,A000000,03051,0000,03301PEN THERAPY 39563,A000000,03550,0000,03550FQHC 39563,A000000,04800,0000,04800AMBULANCE 39563,A000000,05000,0000,05000CORF 39563,A000000,05010,0000,05010CMHC 39563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39563,A000000,06150,0000,06300VENDING 39563,A000000,06151,0000,06301STAND-BY 39563,A81000A,00100,0100,Y 39563,A81000B,00100,0300,HOME OFFICE COST 39563,A81000B,00200,0300,DIETARY SUPPLEMENTS 39563,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39563,A81000B,00400,0300,PRESCRIPTION DRUGS 39563,A81000B,00500,0300,MEDICAL SUPPLIES 39563,A81000B,00600,0300,DME 39563,A81000B,00700,0300,HOME OFFICE INTEREST 39563,A81000B,01100,0300,PHYSICAL THERAPY 39563,A81000B,01200,0300,OCCUPATIONAL THERAPY 39563,A81000B,01300,0300,SPEECH THERAPY 39563,A81000C,00100,0100,B 39563,A81000C,00100,0200,MH CYPRESS WOOD 39563,A81000C,00100,0400,MARINER PAN 39563,A81000C,00100,0600,NURSING HOMES 39563,A81000C,00200,0100,G 39563,A81000C,00200,0200,MARINER PAN 39563,A81000C,00200,0400,AMER PHARM SVCS 39563,A81000C,00200,0600,PHARMACEUTICALS 39563,A81000C,00300,0100,G 39563,A81000C,00300,0200,MARINER PAN 39563,A81000C,00300,0400,PRISM-ATS-ARS-T 39563,A81000C,00300,0600,THERAPIES 39563,A81000C,00400,0100,B 39563,A81000C,00400,0200,MARINER PAN 39563,A81000C,00400,0400,MARINER MEDICAL 39563,A81000C,00400,0600,PHARMACY 39563,A81000C,00500,0100,B 39563,A81000C,00500,0200,MARINER PAN 39563,A81000C,00500,0600,HOME OFFICE 39563,B100000,00000,0100,00001SQUARE FEET 39563,B100000,00000,0200,00001SQUARE FEET 39563,B100000,00000,0300,00001GROSS SALARIES 39563,B100000,00000,0400,00001ACCUM COST 39563,B100000,00000,0500,00001SQUARE FEET 39563,B100000,00000,0600,00001PATIENT DAYS 39563,B100000,00000,0700,00001SQUARE FEET 39563,B100000,00000,0800,00001MEALS SERVED 39563,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39563,B100000,00000,1000,00001PATIENT DAYS 39563,B100000,00000,1100,00001COSTED REQUIS 39563,B100000,00000,1200,00001PATIENT DAYS 39563,B100000,00000,1300,00001PATIENT DAYS 39563,B100000,00000,1301,00001PATIENT DAYS 39563,B100000,00000,1350,00001UNITS OF SERVICE 39563,B100000,00000,1400,00001ASSIGNED TIME 39563,S000000,00100,0200,06/02/2000 39563,S200000,00100,0100,10851 CRESCENT MOON DRIVE 39563,S200000,00200,0100,HOUSTON 39563,S200000,00200,0200,TX 39563,S200000,00200,0300,77064 39563,S200000,00300,0100,HARRIS 39563,S200000,00400,0100,MARINER HEALTH OF CYPRESSWOOD 39563,S200000,00400,0200,455815 39563,S200000,00400,0300,03/01/1996 39563,S200000,00400,0500,P 39563,S200000,01600,0100,Y 39563,S200000,02200,0100,Y 39563,S200000,04300,0100,Y 39566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39566,A000000,00300,0000,00300EMPLOYEE BENEFITS 39566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39566,A000000,00700,0000,00700HOUSEKEEPING 39566,A000000,00800,0000,00800DIETARY 39566,A000000,00900,0000,00900NURSING ADMINISTRATION 39566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39566,A000000,01100,0000,01100PHARMACY 39566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39566,A000000,01300,0000,01300SOCIAL SERVICE 39566,A000000,01301,0000,01301ACTIVITES 39566,A000000,01350,0000,01500REHABILITATION 39566,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39566,A000000,01600,0000,01600SKILLED NURSING FACILITY 39566,A000000,01800,0000,01800NURSING FACILITY 39566,A000000,01810,0000,01810ICF/MR 39566,A000000,02100,0000,02100RADIOLOGY 39566,A000000,02200,0000,02200LABORATORY 39566,A000000,02300,0000,02300INTRAVENOUS THERAPY 39566,A000000,02500,0000,02500PHYSICAL THERAPY 39566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39566,A000000,02700,0000,02700SPEECH PATHOLOGY 39566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39566,A000000,03050,0000,03300EQUIPMENT RENTAL 39566,A000000,03051,0000,03301PEN THERAPY 39566,A000000,03550,0000,03550FQHC 39566,A000000,05000,0000,05000CORF 39566,A000000,05010,0000,05010CMHC 39566,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39566,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39566,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39566,A000000,06150,0000,06300VENDING 39566,A000000,06151,0000,06301STAND-BY 39566,A000000,06200,0000,06200PATIENTS LAUNDRY 39566,A81000A,00100,0100,Y 39566,A81000B,00100,0300,HOME OFFICE COST 39566,A81000B,00200,0300,NSG SUPPL/OSHA SUPP 39566,A81000B,00300,0300,PRESCRIPTION DRUGS 39566,A81000B,00400,0300,MEDICAL SUPPLIES 39566,A81000B,00500,0300,HOME OFFICE INTEREST 39566,A81000B,00600,0300,EQUIPMENT RENTAL 39566,A81000B,00700,0300,IV THERAPY 39566,A81000B,00800,0300,PHYSICAL THERAPY 39566,A81000B,00900,0300,OCCUPATIONAL THERAPY 39566,A81000B,01000,0300,SPEECH THERAPY 39566,A81000C,00100,0100,B 39566,A81000C,00100,0200,MARINER-FT WORT 39566,A81000C,00100,0400,MARINER PAN 39566,A81000C,00100,0600,NURSING HOMES 39566,A81000C,00200,0100,G 39566,A81000C,00200,0200,MARINER PAN 39566,A81000C,00200,0400,AMER PHARM SVCS 39566,A81000C,00200,0600,PHARMACEUTICALS 39566,A81000C,00300,0100,G 39566,A81000C,00300,0200,MARINER PAN 39566,A81000C,00300,0400,PRISM-ATS-ARS-T 39566,A81000C,00300,0600,THERAPIES 39566,A81000C,00400,0100,B 39566,A81000C,00400,0200,MARINER PAN 39566,A81000C,00400,0600,HOME OFFICE 39566,A81000C,00500,0100,B 39566,A81000C,00500,0200,MARINER PAN 39566,A81000C,00500,0400,MARINER MEDICAL 39566,A81000C,00500,0600,RX 39566,B100000,00000,0100,00001SQUARE FEET 39566,B100000,00000,0200,00001SQUARE FEET 39566,B100000,00000,0300,00001GROSS SALARIES 39566,B100000,00000,0400,00001ACCUM COST 39566,B100000,00000,0500,00001SQUARE FEET 39566,B100000,00000,0600,00001PATIENT DAYS 39566,B100000,00000,0700,00001SQUARE FEET 39566,B100000,00000,0800,00001MEALS SERVED 39566,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39566,B100000,00000,1000,00001PATIENT DAYS 39566,B100000,00000,1100,00001COSTED REQUIS 39566,B100000,00000,1200,00001PATIENT DAYS 39566,B100000,00000,1300,00001PATIENT DAYS 39566,B100000,00000,1301,00001PATIENT DAYS 39566,B100000,00000,1350,00001UNITS OF SERVICE 39566,B100000,00000,1400,00001ASSIGNED TIME 39566,S000000,00100,0200,06/02/2000 39566,S200000,00100,0100,4825 WELLESLEY STREET 39566,S200000,00200,0100,FORT WORTH 39566,S200000,00200,0200,TX 39566,S200000,00200,0300,76107 39566,S200000,00300,0100,TARRANT 39566,S200000,00400,0100,MARINER HEALTH OF FORT WORTH 39566,S200000,00400,0200,455819 39566,S200000,00400,0300,06/01/1989 39566,S200000,00400,0500,P 39566,S200000,01600,0100,Y 39566,S200000,02200,0100,Y 39566,S200000,04300,0100,Y 39568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39568,A000000,00300,0000,00300EMPLOYEE BENEFITS 39568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39568,A000000,00700,0000,00700HOUSEKEEPING 39568,A000000,00800,0000,00800DIETARY 39568,A000000,00900,0000,00900NURSING ADMINISTRATION 39568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39568,A000000,01100,0000,01100PHARMACY 39568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39568,A000000,01300,0000,01300SOCIAL SERVICE 39568,A000000,01301,0000,01301ACTIVITES 39568,A000000,01350,0000,01500REHABILITATION 39568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39568,A000000,01600,0000,01600SKILLED NURSING FACILITY 39568,A000000,01800,0000,01800NURSING FACILITY 39568,A000000,01810,0000,01810ICF/MR 39568,A000000,02100,0000,02100RADIOLOGY 39568,A000000,02200,0000,02200LABORATORY 39568,A000000,02300,0000,02300INTRAVENOUS THERAPY 39568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39568,A000000,02500,0000,02500PHYSICAL THERAPY 39568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39568,A000000,02700,0000,02700SPEECH PATHOLOGY 39568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39568,A000000,03050,0000,03300EQUIPMENT RENTAL 39568,A000000,03051,0000,03301PEN THERAPY 39568,A000000,03550,0000,03550FQHC 39568,A000000,05000,0000,05000CORF 39568,A000000,05010,0000,05010CMHC 39568,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39568,A000000,06150,0000,06300VENDING 39568,A000000,06151,0000,06301STAND-BY 39568,A81000A,00100,0100,Y 39568,A81000B,00100,0300,HOME OFFICE COST 39568,A81000B,00200,0300,DIETARY SUPPLEMENTS 39568,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39568,A81000B,00400,0300,PRESCRIPTION DRUGS 39568,A81000B,00500,0300,MEDICAL SUPPLIES 39568,A81000B,00600,0300,DME 39568,A81000B,00700,0300,HOME OFFICE INTEREST 39568,A81000B,00800,0300,IV THERAPY 39568,A81000B,00900,0300,PHYSICAL THERAPY 39568,A81000B,01000,0300,OCCUPATIONAL THERAPY 39568,A81000B,01100,0300,SPEECH THERAPY 39568,A81000C,00100,0100,B 39568,A81000C,00100,0200,MH-ARLINGTON 39568,A81000C,00100,0400,MARINER PAN 39568,A81000C,00100,0600,NURSING HOMES 39568,A81000C,00200,0100,G 39568,A81000C,00200,0200,MARINER PAN 39568,A81000C,00200,0400,AMER PHARM SVCS 39568,A81000C,00200,0600,PHARMACEUTICALS 39568,A81000C,00300,0100,G 39568,A81000C,00300,0200,MARINER PAN 39568,A81000C,00300,0400,PRISM-ATS-ARS-T 39568,A81000C,00300,0600,THERAPIES 39568,A81000C,00400,0100,B 39568,A81000C,00400,0200,MARINER PAN 39568,A81000C,00400,0400,MARINER MED SER 39568,A81000C,00400,0600,PHARMACY 39568,A81000C,00500,0100,B 39568,A81000C,00500,0200,MARINER PAN 39568,A81000C,00500,0600,HOME OFFICE 39568,B100000,00000,0100,00001SQUARE FEET 39568,B100000,00000,0200,00001SQUARE FEET 39568,B100000,00000,0300,00001GROSS SALARIES 39568,B100000,00000,0400,00001ACCUM COST 39568,B100000,00000,0500,00001SQUARE FEET 39568,B100000,00000,0600,00001PATIENT DAYS 39568,B100000,00000,0700,00001SQUARE FEET 39568,B100000,00000,0800,00001MEALS SERVED 39568,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39568,B100000,00000,1000,00001PATIENT DAYS 39568,B100000,00000,1100,00001COSTED REQUIS 39568,B100000,00000,1200,00001PATIENT DAYS 39568,B100000,00000,1300,00001PATIENT DAYS 39568,B100000,00000,1301,00001PATIENT DAYS 39568,B100000,00000,1350,00001UNITS OF SERVICE 39568,B100000,00000,1400,00001ASSIGNED TIME 39568,S000000,00100,0200,06/02/2000 39568,S200000,00100,0100,2645 W. RANDOL MILL RD 39568,S200000,00200,0100,ARLINGTON 39568,S200000,00200,0200,TX 39568,S200000,00200,0300,76012 39568,S200000,00300,0100,TARRANT 39568,S200000,00400,0100,MARINER HEALTH OF ARLINGTON 39568,S200000,00400,0200,455835 39568,S200000,00400,0300,03/01/1996 39568,S200000,00400,0500,P 39568,S200000,01600,0100,Y 39568,S200000,02200,0100,Y 39568,S200000,04300,0100,Y 39591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39591,A000000,00300,0000,00300EMPLOYEE BENEFITS 39591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39591,A000000,00700,0000,00700HOUSEKEEPING 39591,A000000,00800,0000,00800DIETARY 39591,A000000,00900,0000,00900NURSING ADMINISTRATION 39591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39591,A000000,01100,0000,01100PHARMACY 39591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39591,A000000,01300,0000,01300SOCIAL SERVICE 39591,A000000,01301,0000,01301ACTIVITES 39591,A000000,01350,0000,01500REHABILITATION 39591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39591,A000000,01600,0000,01600SKILLED NURSING FACILITY 39591,A000000,01800,0000,01800NURSING FACILITY 39591,A000000,01810,0000,01810ICF/MR 39591,A000000,02100,0000,02100RADIOLOGY 39591,A000000,02200,0000,02200LABORATORY 39591,A000000,02300,0000,02300INTRAVENOUS THERAPY 39591,A000000,02500,0000,02500PHYSICAL THERAPY 39591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39591,A000000,02700,0000,02700SPEECH PATHOLOGY 39591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39591,A000000,03050,0000,03300EQUIPMENT RENTAL 39591,A000000,03051,0000,03301PEN THERAPY 39591,A000000,03550,0000,03550FQHC 39591,A000000,04800,0000,04800AMBULANCE 39591,A000000,05000,0000,05000CORF 39591,A000000,05010,0000,05010CMHC 39591,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39591,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39591,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39591,A000000,06150,0000,06300VENDING 39591,A000000,06151,0000,06301STAND-BY 39591,A81000A,00100,0100,Y 39591,A81000B,00100,0300,HOME OFFICE COST 39591,A81000B,00200,0300,DIETARY SUPPLEMENTS 39591,A81000B,00400,0300,PRESCRIPTION DRUGS 39591,A81000B,00500,0300,MEDICAL SUPPLIES 39591,A81000B,00700,0300,HOME OFFICE CAPITAL 39591,A81000B,00900,0300,IV THERAPY 39591,A81000B,01000,0300,THERAPY CONSULTING 39591,A81000B,01100,0300,PHYSICAL THERAPY 39591,A81000B,01200,0300,OCCUPATIONAL THERAPY 39591,A81000B,01300,0300,SPEECH THERAPY 39591,A81000B,01500,0300,CENTRAL SUPPLIES 39591,A81000B,01600,0300,PEN 39591,A81000C,00100,0100,B 39591,A81000C,00100,0200,BRIAN CTR HLTH 39591,A81000C,00100,0400,MARINER PAN 39591,A81000C,00100,0600,NURSING HOMES 39591,A81000C,00200,0100,G 39591,A81000C,00200,0200,MARINER PAN 39591,A81000C,00200,0400,AMER PHARM SVCS 39591,A81000C,00200,0600,PHARMACEUTICALS 39591,A81000C,00300,0100,G 39591,A81000C,00300,0200,MARINER PAN 39591,A81000C,00300,0400,PRISM-ATS-ARS-T 39591,A81000C,00300,0600,THERAPIES 39591,B100000,00000,0100,00001SQUARE FEET 39591,B100000,00000,0200,00001SQUARE FEET 39591,B100000,00000,0300,00001GROSS SALARIES 39591,B100000,00000,0400,00001ACCUM COST 39591,B100000,00000,0500,00001SQUARE FEET 39591,B100000,00000,0600,00001PATIENT DAYS 39591,B100000,00000,0700,00001SQUARE FEET 39591,B100000,00000,0800,00001MEALS SERVED 39591,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39591,B100000,00000,1000,00001PATIENT DAYS 39591,B100000,00000,1100,00001COSTED REQUIS 39591,B100000,00000,1200,00001PATIENT DAYS 39591,B100000,00000,1300,00001PATIENT DAYS 39591,B100000,00000,1301,00001PATIENT DAYS 39591,B100000,00000,1350,00001UNITS OF SERVICE 39591,B100000,00000,1400,00001ASSIGNED TIME 39591,E10A180,00301,0100,07/19/1999 39591,E10A180,00550,0100,08/30/2000 39591,S000000,00100,0200,08/30/2000 39591,S200000,00100,0100,2111 WEST POINT RD 39591,S200000,00200,0100,LAGRANGE 39591,S200000,00200,0200,GEORGIA 39591,S200000,00200,0300,30240 39591,S200000,00300,0100,TROUP 39591,S200000,00400,0100,BRIAN CTR HLTH & REHAB/LAGRANGE 39591,S200000,00400,0200,115354 39591,S200000,00400,0300,06/01/1989 39591,S200000,00400,0500,P 39591,S200000,01600,0100,Y 39591,S200000,02200,0100,Y 39599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39599,A000000,00300,0000,00300EMPLOYEE BENEFITS 39599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39599,A000000,00700,0000,00700HOUSEKEEPING 39599,A000000,00800,0000,00800DIETARY 39599,A000000,00900,0000,00900NURSING ADMINISTRATION 39599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39599,A000000,01100,0000,01100PHARMACY 39599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39599,A000000,01300,0000,01300SOCIAL SERVICE 39599,A000000,01301,0000,01301ACTIVITES 39599,A000000,01350,0000,01500REHABILITATION 39599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39599,A000000,01600,0000,01600SKILLED NURSING FACILITY 39599,A000000,01800,0000,01800NURSING FACILITY 39599,A000000,01810,0000,01810ICF/MR 39599,A000000,02200,0000,02200LABORATORY 39599,A000000,02300,0000,02300INTRAVENOUS THERAPY 39599,A000000,02500,0000,02500PHYSICAL THERAPY 39599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39599,A000000,02700,0000,02700SPEECH PATHOLOGY 39599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39599,A000000,03050,0000,03300EQUIPMENT RENTAL 39599,A000000,03051,0000,03301PEN THERAPY 39599,A000000,03550,0000,03550FQHC 39599,A000000,05000,0000,05000CORF 39599,A000000,05010,0000,05010CMHC 39599,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39599,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39599,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39599,A000000,05300,0000,05300INTEREST EXPENSE 39599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39599,A000000,06150,0000,06300VENDING 39599,A000000,06151,0000,06301STAND-BY 39599,A81000A,00100,0100,Y 39599,A81000B,00100,0300,HOME OFFICE COST 39599,A81000B,00200,0300,DIETARY SUPPLEMENTS 39599,A81000B,00400,0300,PRESCRIPTION DRUGS 39599,A81000B,00500,0300,MEDICAL SUPPLIES 39599,A81000B,00700,0300,HOME OFFICE CAPITAL 39599,A81000B,00900,0300,IV THERAPY 39599,A81000B,01000,0300,THERAPY CONSULTING 39599,A81000B,01100,0300,PHYSICAL THERAPY 39599,A81000B,01200,0300,OCCUPATIONAL THERAPY 39599,A81000B,01300,0300,SPEECH THERAPY 39599,A81000B,01400,0300,ANC EQUIP RENTAL 39599,A81000B,01500,0300,CENTRAL SUPPLY 39599,A81000C,00100,0100,B 39599,A81000C,00100,0200,B/C LUMBER CITY 39599,A81000C,00100,0400,MARINER PAN 39599,A81000C,00100,0600,NURSING HOMES 39599,A81000C,00200,0100,G 39599,A81000C,00200,0200,MARINER PAN 39599,A81000C,00200,0400,AMER PHARM SVCS 39599,A81000C,00200,0600,PHARMACEUTICALS 39599,A81000C,00300,0100,G 39599,A81000C,00300,0200,MARINER PAN 39599,A81000C,00300,0400,PRISM-ATS-ARS-T 39599,A81000C,00300,0600,THERAPIES 39599,B100000,00000,0100,00001SQUARE FEET 39599,B100000,00000,0200,00001SQUARE FEET 39599,B100000,00000,0300,00001GROSS SALARIES 39599,B100000,00000,0400,00001ACCUM COST 39599,B100000,00000,0500,00001SQUARE FEET 39599,B100000,00000,0600,00001PATIENT DAYS 39599,B100000,00000,0700,00001SQUARE FEET 39599,B100000,00000,0800,00001MEALS SERVED 39599,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39599,B100000,00000,1000,00001PATIENT DAYS 39599,B100000,00000,1100,00001COSTED REQUIS 39599,B100000,00000,1200,00001PATIENT DAYS 39599,B100000,00000,1300,00001PATIENT DAYS 39599,B100000,00000,1301,00001PATIENT DAYS 39599,B100000,00000,1350,00001UNITS OF SERVICE 39599,B100000,00000,1400,00001ASSIGNED TIME 39599,E10A180,00301,0100,07/19/1999 39599,E10A180,00302,0100,07/19/1999 39599,E10A180,00550,0100,08/30/2000 39599,S000000,00100,0200,08/30/2000 39599,S200000,00100,0100,HWY 19/ PO BOX 188 39599,S200000,00200,0100,LUMBER CITY 39599,S200000,00200,0200,GEORGIA 39599,S200000,00200,0300,31549 39599,S200000,00300,0100,TELFAIR 39599,S200000,00400,0100,BRIAN CTR NURSING CARE/LUMBER CTY 39599,S200000,00400,0200,115404 39599,S200000,00400,0300,10/01/1989 39599,S200000,00400,0500,P 39599,S200000,01600,0100,Y 39599,S200000,02200,0100,Y 39605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39605,A000000,00300,0000,00300EMPLOYEE BENEFITS 39605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39605,A000000,00700,0000,00700HOUSEKEEPING 39605,A000000,00800,0000,00800DIETARY 39605,A000000,00900,0000,00900NURSING ADMINISTRATION 39605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39605,A000000,01100,0000,01100PHARMACY 39605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39605,A000000,01300,0000,01300SOCIAL SERVICE 39605,A000000,01301,0000,01301ACTIVITES 39605,A000000,01350,0000,01500REHABILITATION 39605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39605,A000000,01600,0000,01600SKILLED NURSING FACILITY 39605,A000000,01800,0000,01800NURSING FACILITY 39605,A000000,01810,0000,01810ICF/MR 39605,A000000,02100,0000,02100RADIOLOGY 39605,A000000,02200,0000,02200LABORATORY 39605,A000000,02300,0000,02300INTRAVENOUS THERAPY 39605,A000000,02500,0000,02500PHYSICAL THERAPY 39605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39605,A000000,02700,0000,02700SPEECH PATHOLOGY 39605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39605,A000000,03050,0000,03300EQUIPMENT RENTAL 39605,A000000,03051,0000,03301PEN THERAPY 39605,A000000,03550,0000,03550FQHC 39605,A000000,05000,0000,05000CORF 39605,A000000,05010,0000,05010CMHC 39605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39605,A000000,05300,0000,05300INTEREST EXPENSE 39605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39605,A000000,06150,0000,06300VENDING 39605,A000000,06151,0000,06301STAND-BY 39605,A81000A,00100,0100,Y 39605,A81000B,00100,0300,HOME OFFICE COST 39605,A81000B,00200,0300,DIETARY SUPPLEMENTS 39605,A81000B,00400,0300,PRESCRIPTION DRUGS 39605,A81000B,00500,0300,MEDICAL SUPPLIES 39605,A81000B,00700,0300,HOME OFFICE CAPITAL 39605,A81000B,00900,0300,IV THERAPY 39605,A81000B,01000,0300,THERAPY CONSULTING 39605,A81000B,01100,0300,PHYSICAL THERAPY 39605,A81000B,01200,0300,OCCUPATIONAL THERAPY 39605,A81000B,01300,0300,SPEECH THERAPY 39605,A81000B,01500,0300,CENTRAL SUPPY 39605,A81000C,00100,0100,B 39605,A81000C,00100,0200,B/C JEFFERSONVI 39605,A81000C,00100,0400,MARINER PAN 39605,A81000C,00100,0600,NURSING HOMES 39605,A81000C,00200,0100,G 39605,A81000C,00200,0200,MARINER PAN 39605,A81000C,00200,0400,AMER PHARM SVCS 39605,A81000C,00200,0600,PHARMACEUTICALS 39605,A81000C,00300,0100,G 39605,A81000C,00300,0200,MARINER PAN 39605,A81000C,00300,0400,PRISM-ATS-ARS-T 39605,A81000C,00300,0600,THERAPIES 39605,B100000,00000,0100,00001SQUARE FEET 39605,B100000,00000,0200,00001SQUARE FEET 39605,B100000,00000,0300,00001GROSS SALARIES 39605,B100000,00000,0400,00001ACCUM COST 39605,B100000,00000,0500,00001SQUARE FEET 39605,B100000,00000,0600,00001PATIENT DAYS 39605,B100000,00000,0700,00001SQUARE FEET 39605,B100000,00000,0800,00001MEALS SERVED 39605,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39605,B100000,00000,1000,00001PATIENT DAYS 39605,B100000,00000,1100,00001COSTED REQUIS 39605,B100000,00000,1200,00001PATIENT DAYS 39605,B100000,00000,1300,00001PATIENT DAYS 39605,B100000,00000,1301,00001PATIENT DAYS 39605,B100000,00000,1350,00001UNITS OF SERVICE 39605,B100000,00000,1400,00001ASSIGNED TIME 39605,E10A180,00301,0100,07/19/1999 39605,E10A180,00550,0100,08/30/2000 39605,S000000,00100,0200,08/30/2000 39605,S200000,00100,0100,113 SPRING VALLEY DR. 39605,S200000,00200,0100,JEFFERSONVILLE 39605,S200000,00200,0200,GEORGIA 39605,S200000,00200,0300,31044 39605,S200000,00300,0100,TWIGGS 39605,S200000,00400,0100,BRIAN CENTER NURSING CARE/JEFFERSON. 39605,S200000,00400,0200,115413 39605,S200000,00400,0300,09/01/1989 39605,S200000,00400,0500,P 39605,S200000,01600,0100,Y 39605,S200000,02200,0100,Y 39612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39612,A000000,00300,0000,00300EMPLOYEE BENEFITS 39612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39612,A000000,00700,0000,00700HOUSEKEEPING 39612,A000000,00800,0000,00800DIETARY 39612,A000000,00900,0000,00900NURSING ADMINISTRATION 39612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39612,A000000,01100,0000,01100PHARMACY 39612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39612,A000000,01300,0000,01300SOCIAL SERVICE 39612,A000000,01301,0000,01301ACTIVITES 39612,A000000,01350,0000,01500REHABILITATION 39612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39612,A000000,01600,0000,01600SKILLED NURSING FACILITY 39612,A000000,01800,0000,01800NURSING FACILITY 39612,A000000,01810,0000,01810ICF/MR 39612,A000000,02100,0000,02100RADIOLOGY 39612,A000000,02200,0000,02200LABORATORY 39612,A000000,02300,0000,02300INTRAVENOUS THERAPY 39612,A000000,02500,0000,02500PHYSICAL THERAPY 39612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39612,A000000,02700,0000,02700SPEECH PATHOLOGY 39612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39612,A000000,03050,0000,03300EQUIPMENT RENTAL 39612,A000000,03051,0000,03301PEN THERAPY 39612,A000000,03550,0000,03550FQHC 39612,A000000,05000,0000,05000CORF 39612,A000000,05010,0000,05010CMHC 39612,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39612,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39612,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39612,A000000,06150,0000,06300VENDING 39612,A000000,06151,0000,06301STAND-BY 39612,A81000A,00100,0100,Y 39612,A81000B,00100,0300,HOME OFFICE COST 39612,A81000B,00200,0300,DIETARY SUPPLEMENTS 39612,A81000B,00400,0300,PRESCRIPTION DRUGS 39612,A81000B,00500,0300,MEDICAL SUPPLIES 39612,A81000B,00700,0300,HOME OFFICE CAPTIAL 39612,A81000B,00800,0300,EQUIPMENT REPLACEMENT 39612,A81000B,00900,0300,IV THERAPY 39612,A81000B,01100,0300,PHYSICAL THERAPY 39612,A81000B,01200,0300,OCCUPATIONAL THERAPY 39612,A81000B,01300,0300,SPEECH THERAPY 39612,A81000B,01500,0300,CENTRAL SUPPLY 39612,A81000C,00100,0100,B 39612,A81000C,00100,0200,B/C THOMASVILLE 39612,A81000C,00100,0400,MARINER PAN 39612,A81000C,00100,0600,NURSING HOMES 39612,A81000C,00200,0100,G 39612,A81000C,00200,0200,MARINER PAN 39612,A81000C,00200,0400,AMER PHARM SVCS 39612,A81000C,00200,0600,PHARMACEUTICALS 39612,A81000C,00300,0100,G 39612,A81000C,00300,0200,MARINER PAN 39612,A81000C,00300,0400,PRISM-ATS-ARS-T 39612,A81000C,00300,0600,THERAPIES 39612,B100000,00000,0100,00001SQUARE FEET 39612,B100000,00000,0200,00001SQUARE FEET 39612,B100000,00000,0300,00001GROSS SALARIES 39612,B100000,00000,0400,00001ACCUM COST 39612,B100000,00000,0500,00001SQUARE FEET 39612,B100000,00000,0600,00001PATIENT DAYS 39612,B100000,00000,0700,00001SQUARE FEET 39612,B100000,00000,0800,00001MEALS SERVED 39612,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39612,B100000,00000,1000,00001PATIENT DAYS 39612,B100000,00000,1100,00001COSTED REQUIS 39612,B100000,00000,1200,00001PATIENT DAYS 39612,B100000,00000,1300,00001PATIENT DAYS 39612,B100000,00000,1301,00001PATIENT DAYS 39612,B100000,00000,1350,00001UNITS OF SERVICE 39612,B100000,00000,1400,00001ASSIGNED TIME 39612,E10A180,00301,0100,07/19/1999 39612,S000000,00100,0200,08/30/2000 39612,S200000,00100,0100,120 SKYLINE DRIVE 39612,S200000,00200,0100,THOMASVILLE 39612,S200000,00200,0200,GEORGIA 39612,S200000,00200,0300,21792 39612,S200000,00300,0100,THOMAS 39612,S200000,00400,0100,BRIAN CTR OF THOMASVILLE 39612,S200000,00400,0200,115427 39612,S200000,00400,0300,09/01/1989 39612,S200000,00400,0500,P 39612,S200000,01600,0100,Y 39612,S200000,02200,0100,Y 39617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39617,A000000,00300,0000,00300EMPLOYEE BENEFITS 39617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39617,A000000,00700,0000,00700HOUSEKEEPING 39617,A000000,00800,0000,00800DIETARY 39617,A000000,00900,0000,00900NURSING ADMINISTRATION 39617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39617,A000000,01100,0000,01100PHARMACY 39617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39617,A000000,01300,0000,01300SOCIAL SERVICE 39617,A000000,01301,0000,01301ACTIVITES 39617,A000000,01350,0000,01500REHABILITATION 39617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39617,A000000,01600,0000,01600SKILLED NURSING FACILITY 39617,A000000,01800,0000,01800NURSING FACILITY 39617,A000000,01810,0000,01810ICF/MR 39617,A000000,02100,0000,02100RADIOLOGY 39617,A000000,02200,0000,02200LABORATORY 39617,A000000,02300,0000,02300INTRAVENOUS THERAPY 39617,A000000,02500,0000,02500PHYSICAL THERAPY 39617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39617,A000000,02700,0000,02700SPEECH PATHOLOGY 39617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39617,A000000,03050,0000,03300EQUIPMENT RENTAL 39617,A000000,03051,0000,03301PEN THERAPY 39617,A000000,03550,0000,03550FQHC 39617,A000000,04800,0000,04800AMBULANCE 39617,A000000,05000,0000,05000CORF 39617,A000000,05010,0000,05010CMHC 39617,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39617,A000000,06150,0000,06300VENDING 39617,A000000,06151,0000,06301STAND-BY 39617,A81000A,00100,0100,Y 39617,A81000B,00100,0300,HOME OFFICE COST 39617,A81000B,00200,0300,DIETARY SUPPLEMENTS 39617,A81000B,00400,0300,PRESCRIPTION DRUGS 39617,A81000B,00500,0300,MEDICAL SUPPLIES 39617,A81000B,00700,0300,HOME OFFICE CAPITAL 39617,A81000B,00900,0300,IV THERAPY 39617,A81000B,01000,0300,THERAPY CONSULTING 39617,A81000B,01100,0300,PHYSICAL THERAPY 39617,A81000B,01200,0300,OCCUPATIONAL THERAPY 39617,A81000B,01300,0300,SPEECH THERAPY 39617,A81000B,01500,0300,CENTRAL SUPPLIES 39617,A81000C,00100,0100,B 39617,A81000C,00100,0200,BRIAN CTR HLTH 39617,A81000C,00100,0400,MARINER PAN 39617,A81000C,00100,0600,NURSING HOMES 39617,A81000C,00200,0100,G 39617,A81000C,00200,0200,MARINER PAN 39617,A81000C,00200,0400,AMER PHARM SVCS 39617,A81000C,00200,0600,PHARMACEUTICALS 39617,A81000C,00300,0100,G 39617,A81000C,00300,0200,MARINER PAN 39617,A81000C,00300,0400,PRISM-ATS-ARS-T 39617,A81000C,00300,0600,THERAPIES 39617,B100000,00000,0100,00001SQUARE FEET 39617,B100000,00000,0200,00001SQUARE FEET 39617,B100000,00000,0300,00001GROSS SALARIES 39617,B100000,00000,0400,00001ACCUM COST 39617,B100000,00000,0500,00001SQUARE FEET 39617,B100000,00000,0600,00001PATIENT DAYS 39617,B100000,00000,0700,00001SQUARE FEET 39617,B100000,00000,0800,00001MEALS SERVED 39617,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39617,B100000,00000,1000,00001PATIENT DAYS 39617,B100000,00000,1100,00001COSTED REQUIS 39617,B100000,00000,1200,00001PATIENT DAYS 39617,B100000,00000,1300,00001PATIENT DAYS 39617,B100000,00000,1301,00001PATIENT DAYS 39617,B100000,00000,1350,00001UNITS OF SERVICE 39617,B100000,00000,1400,00001ASSIGNED TIME 39617,E10A180,00301,0100,07/19/1999 39617,E10A180,00550,0100,09/04/2001 39617,E10A180,00550,0300,09/04/2001 39617,S000000,00100,0200,08/30/2000 39617,S200000,00100,0100,150 HOSPITAL CIRCLE 39617,S200000,00200,0100,CANTON 39617,S200000,00200,0200,GA 39617,S200000,00200,0300,30114 39617,S200000,00300,0100,CHEROKEE 39617,S200000,00400,0100,BRIAN CENTER HLTH & REHAB/CANTON 39617,S200000,00400,0200,115508 39617,S200000,00400,0300,08/15/1990 39617,S200000,00400,0500,P 39617,S200000,01600,0100,Y 39617,S200000,02200,0100,Y 39625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39625,A000000,00300,0000,00300EMPLOYEE BENEFITS 39625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39625,A000000,00700,0000,00700HOUSEKEEPING 39625,A000000,00800,0000,00800DIETARY 39625,A000000,00900,0000,00900NURSING ADMINISTRATION 39625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39625,A000000,01100,0000,01100PHARMACY 39625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39625,A000000,01300,0000,01300SOCIAL SERVICE 39625,A000000,01301,0000,01301ACTIVITES 39625,A000000,01350,0000,01500REHABILITATION 39625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39625,A000000,01600,0000,01600SKILLED NURSING FACILITY 39625,A000000,01800,0000,01800NURSING FACILITY 39625,A000000,01810,0000,01810ICF/MR 39625,A000000,02100,0000,02100RADIOLOGY 39625,A000000,02200,0000,02200LABORATORY 39625,A000000,02300,0000,02300INTRAVENOUS THERAPY 39625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39625,A000000,02500,0000,02500PHYSICAL THERAPY 39625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39625,A000000,02700,0000,02700SPEECH PATHOLOGY 39625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39625,A000000,03050,0000,03300EQUIPMENT RENTAL 39625,A000000,03051,0000,03301PEN THERAPY 39625,A000000,03550,0000,03550FQHC 39625,A000000,04800,0000,04800AMBULANCE 39625,A000000,05000,0000,05000CORF 39625,A000000,05010,0000,05010CMHC 39625,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39625,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39625,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39625,A000000,06150,0000,06300VENDING 39625,A000000,06151,0000,06301STAND-BY 39625,A81000A,00100,0100,Y 39625,A81000B,00100,0300,HOME OFFICE COST 39625,A81000B,00200,0300,DIETARY SUPPLEMENTS 39625,A81000B,00400,0300,PRESCRIPTION DRUGS 39625,A81000B,00500,0300,MEDICAL SUPPLIES 39625,A81000B,00600,0300,ADMIN COSTS 39625,A81000B,00700,0300,HOME OFFICE CAPITAL 39625,A81000B,00800,0300,EQUIPMENT REPLACEMENT 39625,A81000B,00900,0300,IV THERAPY 39625,A81000B,01000,0300,THERAPY CONSULTING 39625,A81000B,01100,0300,PHYSICAL THERAPY 39625,A81000B,01200,0300,OCCUPATIONAL THERAPY 39625,A81000B,01300,0300,SPEECH THERAPY 39625,A81000B,01500,0300,CENTRAL SUPPIES 39625,A81000B,01600,0300,PEN 39625,A81000C,00100,0100,B 39625,A81000C,00100,0200,BRIAN CTR NRING 39625,A81000C,00100,0400,MARINER PAN 39625,A81000C,00100,0600,NURSING HOMES 39625,A81000C,00200,0100,G 39625,A81000C,00200,0200,MARINER PAN 39625,A81000C,00200,0400,AMER PHARM SVCS 39625,A81000C,00200,0600,PHARMACEUTICALS 39625,A81000C,00300,0100,G 39625,A81000C,00300,0200,MARINER PAN 39625,A81000C,00300,0400,PRISM-ATS-ARS-T 39625,A81000C,00300,0600,THERAPIES 39625,B100000,00000,0100,00001SQUARE FEET 39625,B100000,00000,0200,00001SQUARE FEET 39625,B100000,00000,0300,00001GROSS SALARIES 39625,B100000,00000,0400,00001ACCUM COST 39625,B100000,00000,0500,00001SQUARE FEET 39625,B100000,00000,0600,00001PATIENT DAYS 39625,B100000,00000,0700,00001SQUARE FEET 39625,B100000,00000,0800,00001MEALS SERVED 39625,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39625,B100000,00000,1000,00001PATIENT DAYS 39625,B100000,00000,1100,00001COSTED REQUIS 39625,B100000,00000,1200,00001PATIENT DAYS 39625,B100000,00000,1300,00001PATIENT DAYS 39625,B100000,00000,1301,00001PATIENT DAYS 39625,B100000,00000,1350,00001UNITS OF SERVICE 39625,B100000,00000,1400,00001ASSIGNED TIME 39625,E10A180,00301,0100,07/19/1999 39625,E10A180,00550,0100,08/30/2000 39625,E10A180,00550,0300,08/30/2000 39625,S000000,00100,0200,08/30/2000 39625,S200000,00100,0100,3460 POWDER SPRING ROAD 39625,S200000,00200,0100,POWDER SPRING 39625,S200000,00200,0200,GEORGIA 39625,S200000,00200,0300,30073 39625,S200000,00300,0100,COBB 39625,S200000,00400,0100,BRIAN CENTER NURSING CARE/P.S. 39625,S200000,00400,0200,115538 39625,S200000,00400,0300,02/25/1993 39625,S200000,00400,0500,P 39625,S200000,01600,0100,Y 39625,S200000,02200,0100,Y 39634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39634,A000000,00300,0000,00300EMPLOYEE BENEFITS 39634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39634,A000000,00700,0000,00700HOUSEKEEPING 39634,A000000,00800,0000,00800DIETARY 39634,A000000,00900,0000,00900NURSING ADMINISTRATION 39634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39634,A000000,01100,0000,01100PHARMACY 39634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39634,A000000,01300,0000,01300SOCIAL SERVICE 39634,A000000,01301,0000,01301ACTIVITES 39634,A000000,01350,0000,01500REHABILITATION 39634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39634,A000000,01600,0000,01600SKILLED NURSING FACILITY 39634,A000000,01800,0000,01800NURSING FACILITY 39634,A000000,01810,0000,01810ICF/MR 39634,A000000,02300,0000,02300INTRAVENOUS THERAPY 39634,A000000,02500,0000,02500PHYSICAL THERAPY 39634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39634,A000000,02700,0000,02700SPEECH PATHOLOGY 39634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39634,A000000,03050,0000,03300EQUIPMENT RENTAL 39634,A000000,03051,0000,03301PEN THERAPY 39634,A000000,03550,0000,03550FQHC 39634,A000000,05000,0000,05000CORF 39634,A000000,05010,0000,05010CMHC 39634,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39634,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39634,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39634,A000000,06150,0000,06300VENDING 39634,A000000,06151,0000,06301STAND-BY 39634,A81000A,00100,0100,Y 39634,A81000B,00100,0300,HOME OFFICE COST 39634,A81000B,00200,0300,DIETARY SUPPLEMENTS 39634,A81000B,00400,0300,PRESCRIPTION DRUGS 39634,A81000B,00500,0300,MEDICAL SUPPLIES 39634,A81000B,00700,0300,HOME OFFICE CAPITAL 39634,A81000B,00800,0300,EQUIPMENT REPLACEMENT 39634,A81000B,00900,0300,IV THERAPY 39634,A81000B,01000,0300,THERAPY CONSULTING 39634,A81000B,01100,0300,PHYSICAL THERAPY 39634,A81000B,01200,0300,OCCUPATIONAL THERAPY 39634,A81000B,01300,0300,SPEECH THERAPY 39634,A81000B,01500,0300,CENTRAL SUPPLY 39634,A81000B,01600,0300,PEN 39634,A81000B,01700,0300,NURSING ADMIN 39634,A81000B,01800,0300,CAPITAL 39634,A81000C,00100,0100,B 39634,A81000C,00100,0200,BRIAN CARE INN 39634,A81000C,00100,0400,MARINER PAN 39634,A81000C,00100,0600,NURSING HOMES 39634,A81000C,00200,0100,G 39634,A81000C,00200,0200,MARINER PAN 39634,A81000C,00200,0400,AMER PHARM SVCS 39634,A81000C,00200,0600,PHARMACEUTICALS 39634,A81000C,00300,0100,G 39634,A81000C,00300,0200,MARINER PAN 39634,A81000C,00300,0400,PRISM-ATS-ARS-T 39634,A81000C,00300,0600,THERAPIES 39634,B100000,00000,0100,00001SQUARE FEET 39634,B100000,00000,0200,00001SQUARE FEET 39634,B100000,00000,0300,00001GROSS SALARIES 39634,B100000,00000,0400,00001ACCUM COST 39634,B100000,00000,0500,00001SQUARE FEET 39634,B100000,00000,0600,00001PATIENT DAYS 39634,B100000,00000,0700,00001SQUARE FEET 39634,B100000,00000,0800,00001MEALS SERVED 39634,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39634,B100000,00000,1000,00001PATIENT DAYS 39634,B100000,00000,1100,00001COSTED REQUIS 39634,B100000,00000,1200,00001PATIENT DAYS 39634,B100000,00000,1300,00001PATIENT DAYS 39634,B100000,00000,1301,00001PATIENT DAYS 39634,B100000,00000,1350,00001UNITS OF SERVICE 39634,B100000,00000,1400,00001ASSIGNED TIME 39634,E10A180,00301,0100,07/19/1999 39634,E10A180,00501,0300,08/30/2000 39634,E10A180,00551,0100,08/30/2000 39634,S000000,00100,0200,08/30/2000 39634,S200000,00100,0100,2255 FREDRICKA ROAD 39634,S200000,00200,0100,ST SIMON ISLAND 39634,S200000,00200,0200,GA 39634,S200000,00200,0300,31522 39634,S200000,00300,0100,GLYNN 39634,S200000,00400,0100,BRIAN CENTER INN 39634,S200000,00400,0200,115582 39634,S200000,00400,0300,05/01/1995 39634,S200000,00400,0500,P 39634,S200000,01600,0100,Y 39634,S200000,02200,0100,Y 39643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39643,A000000,00300,0000,00300EMPLOYEE BENEFITS 39643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39643,A000000,00700,0000,00700HOUSEKEEPING 39643,A000000,00800,0000,00800DIETARY 39643,A000000,00900,0000,00900NURSING ADMINISTRATION 39643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39643,A000000,01100,0000,01100PHARMACY 39643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39643,A000000,01300,0000,01300SOCIAL SERVICE 39643,A000000,01350,0000,01500PATIENT ACTIVITIES 39643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39643,A000000,01600,0000,01600SKILLED NURSING FACILITY 39643,A000000,01800,0000,01800NURSING FACILITY 39643,A000000,01810,0000,01810ICF/MR 39643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39643,A000000,02500,0000,02500PHYSICAL THERAPY 39643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39643,A000000,02700,0000,02700SPEECH PATHOLOGY 39643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39643,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39643,A000000,03200,0000,03200SUPPORT SURFACES 39643,A000000,03550,0000,03550FQHC 39643,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39643,A000000,05000,0000,05000CORF 39643,A000000,05010,0000,05010CMHC 39643,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39643,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39643,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39643,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39643,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39643,A81000A,00100,0100,Y 39643,A81000B,00100,0300,CENTRAL OFFICE OVHD 39643,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 39643,A81000C,00100,0100,B 39643,A81000C,00100,0200,AUTUMN CORPORATION 39643,A81000C,00100,0400,AUTUMN CORPORATION 39643,A81000C,00100,0600,HOME OFFICE 39643,B100000,00000,0100,00000SQUARE FEET 39643,B100000,00000,0200,00000SQUARE FEET 39643,B100000,00000,0300,00000GROSS SALARIES 39643,B100000,00000,0400,00000ACCUM. COST 39643,B100000,00000,0500,00000SQUARE FEET 39643,B100000,00000,0600,00000POUNDS OF LAUNDRY 39643,B100000,00000,0700,00000SQ FT W/O DIETARY 39643,B100000,00000,0800,00000PATIENT DAYS 39643,B100000,00000,0900,00000HOURS OF SERVICE 39643,B100000,00000,1000,00000PATIENT DAYS 39643,B100000,00000,1100,00000PATIENT DAYS 39643,B100000,00000,1200,00000PATIENT DAYS 39643,B100000,00000,1300,00000PATIENT DAYS 39643,B100000,00000,1350,00000PATIENT DAYS 39643,B100000,00000,1400,00000ASSIGNED TIME 39643,E10A180,00301,0100,03/15/1999 39643,E10A180,00501,0100,06/05/2000 39643,E10A180,00550,0300,06/05/2000 39643,S000000,00100,0200,04/28/2000 39643,S200000,00100,0100,401 LAMBERT ROAD 39643,S200000,00100,0300,708 39643,S200000,00200,0100,BISCOE 39643,S200000,00200,0200,NC 39643,S200000,00200,0300,27209 39643,S200000,00300,0100,MONTGOMERY 39643,S200000,00400,0100,AUTUMN CARE OF BISCOE 39643,S200000,00400,0200,345000 39643,S200000,00400,0300,01/01/1982 39643,S200000,00400,0500,P 39643,S200000,00600,0200,345000 39643,S200000,00600,0300,01/01/1982 39643,S200000,00600,0600,P 39643,S200000,01600,0100,Y 39652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39652,A000000,00300,0000,00300EMPLOYEE BENEFITS 39652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39652,A000000,00700,0000,00700HOUSEKEEPING 39652,A000000,00800,0000,00800DIETARY 39652,A000000,00900,0000,00900NURSING ADMINISTRATION 39652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39652,A000000,01100,0000,01100PHARMACY 39652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39652,A000000,01300,0000,01300SOCIAL SERVICE 39652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39652,A000000,01600,0000,01600SKILLED NURSING FACILITY 39652,A000000,01810,0000,01810ICF/MR 39652,A000000,01900,0000,01900OTHER LONG TERM CARE 39652,A000000,02100,0000,02100RADIOLOGY 39652,A000000,02200,0000,02200LABORATORY 39652,A000000,02300,0000,02300INTRAVENOUS THERAPY 39652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39652,A000000,02500,0000,02500PHYSICAL THERAPY 39652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39652,A000000,02700,0000,02700SPEECH PATHOLOGY 39652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39652,A000000,03050,0000,03300OTHER 39652,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 39652,A000000,05000,0000,05000CORF 39652,A000000,05010,0000,05010CMHC 39652,A000000,05020,0000,05020OPT 39652,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39652,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39652,A000000,05300,0000,05300INTEREST EXPENSE 39652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39652,B100000,00000,0100,00000(SQUARE FEET) 39652,B100000,00000,0200,00000(SQUARE FEET) 39652,B100000,00000,0300,00000(GROSS SALARIES) 39652,B100000,00000,0400,00000(ACCUM COST) 39652,B100000,00000,0500,00000(SQUARE FEET) 39652,B100000,00000,0600,00000PATIENT DAYS 39652,B100000,00000,0700,00000(HOURS OF SERVICE) 39652,B100000,00000,0800,00000PATIENT DAYS 39652,B100000,00000,0900,00000(DIR NRSG HOURS) 39652,B100000,00000,1000,00000(COSTED REQUIS) 39652,B100000,00000,1100,00000(COSTED REQUIS) 39652,B100000,00000,1200,00000(TIME SPENT) 39652,B100000,00000,1300,00000(TIME SPENT) 39652,B100000,00000,1400,00000(ASSIGNED TIME) 39652,S000000,00100,0200,03/09/2000 39652,S200000,00100,0100,1417 WEST PETTIGREW STREET 39652,S200000,00200,0100,DURHAM 39652,S200000,00200,0200,NC 39652,S200000,00200,0300,27705 39652,S200000,00300,0100,DURHAM 39652,S200000,00400,0100,HILLCREST CONVALESCENT CENTER 39652,S200000,00400,0200,345001 39652,S200000,00400,0300,01/01/1967 39652,S200000,00400,0500,P 39652,S200000,01600,0100,Y 39652,S200000,02800,0100,Y 39660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39660,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39660,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39660,A000000,00300,0000,00300EMPLOYEE BENEFITS 39660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39660,A000000,00700,0000,00700HOUSEKEEPING 39660,A000000,00800,0000,00800DIETARY 39660,A000000,00801,0000,00801CAFETERIA 39660,A000000,00900,0000,00900NURSING ADMINISTRATION 39660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39660,A000000,01100,0000,01100PHARMACY 39660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39660,A000000,01300,0000,01300SOCIAL SERVICE 39660,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39660,A000000,01600,0000,01600SKILLED NURSING FACILITY 39660,A000000,01810,0000,01810ICF/MR 39660,A000000,01900,0000,01900OTHER LONG TERM CARE 39660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39660,A000000,02500,0000,02500PHYSICAL THERAPY 39660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39660,A000000,03050,0000,03300OTHER ANCILLARY 39660,A000000,03051,0000,03301OTHER ANCILLARY II 39660,A000000,03052,0000,03302OTHER ANCILLARY III 39660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39660,A000000,03550,0000,03550FQHC 39660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39660,A000000,05000,0000,05000CORF I 39660,A000000,05010,0000,05010CMHC I 39660,A000000,05020,0000,05020OPT I 39660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39660,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39660,B100000,00000,0100,00000(SQUARE FEET) 39660,B100000,00000,0101,00000(SQUARE FEET) 39660,B100000,00000,0200,00000(SQUARE FEET) 39660,B100000,00000,0201,00000(SQUARE FEET) 39660,B100000,00000,0300,00000(GROSS SALARIES) 39660,B100000,00000,0400,00000(ACCUM. COST) 39660,B100000,00000,0500,00000(SQUARE FEET) 39660,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 39660,B100000,00000,0700,00000SQUARE FEET 39660,B100000,00000,0800,00000(MEALS SERVED) 39660,B100000,00000,0801,00000(MEALS SERVED) 39660,B100000,00000,0900,00000(DIRECT NRSING HRS 39660,B100000,00000,1000,00000(COSTED REQUIS.) 39660,B100000,00000,1100,00000(COSTED REQUIS.) 39660,B100000,00000,1200,00000(TIME SPENT) 39660,B100000,00000,1300,00000(TIME SPENT) 39660,B100000,00000,1350,00000 39660,B100000,00000,1400,00000(ASSIGNED TIME) 39660,E10A180,00501,0100,06/29/2000 39660,S000000,00100,0200,06/01/2000 39660,S200000,00100,0100,7870 FAIR OAKS DRIVE 39660,S200000,00200,0100,CLEMMONS 39660,S200000,00200,0200,NC 39660,S200000,00200,0300,27012 39660,S200000,00300,0100,FORSYTH 39660,S200000,00400,0100,BLUMENTHAL JEWISH HOME FOR THE AGED 39660,S200000,00400,0200,345006 39660,S200000,00400,0300,01/01/1967 39660,S200000,00400,0500,P 39660,S200000,01600,0100,Y 39660,S200000,01700,0100,Y 39660,S200000,01800,0100,Y 39660,S200000,01900,0100,OTHER (SPECIFY) 39669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39669,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39669,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39669,A000000,00300,0000,00300EMPLOYEE BENEFITS 39669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39669,A000000,00700,0000,00700HOUSEKEEPING 39669,A000000,00800,0000,00800DIETARY 39669,A000000,00801,0000,00801CAFETERIA 39669,A000000,00900,0000,00900NURSING ADMINISTRATION 39669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39669,A000000,01100,0000,01100PHARMACY 39669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39669,A000000,01300,0000,01300SOCIAL SERVICE 39669,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39669,A000000,01600,0000,01600SKILLED NURSING FACILITY 39669,A000000,01800,0000,01800NURSING FACILITY 39669,A000000,01810,0000,01810ICF/MR 39669,A000000,02100,0000,02100RADIOLOGY 39669,A000000,02200,0000,02200LABORATORY 39669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39669,A000000,02500,0000,02500PHYSICAL THERAPY 39669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39669,A000000,02700,0000,02700SPEECH PATHOLOGY 39669,A000000,02800,0000,02800ELECTROCARDIOLOGY 39669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39669,A000000,03050,0000,03300OTHER ANCILLARY 39669,A000000,03051,0000,03301OTHER ANCILLARY II 39669,A000000,03052,0000,03302OTHER ANCILLARY III 39669,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39669,A000000,03550,0000,03550FQHC 39669,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39669,A000000,05000,0000,05000CORF I 39669,A000000,05010,0000,05010CMHC I 39669,A000000,05020,0000,05020OPT I 39669,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39669,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39669,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39669,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39669,A81000A,00100,0100,Y 39669,A81000B,00100,0300,RENT 39669,A81000B,00200,0300,DEPRECIATION 39669,A81000C,00100,0100,A 39669,A81000C,00100,0200,TOMLINSON INVES 39669,A81000C,00100,0400,LAND & BLDG 39669,A81000C,00100,0600,REAL ESTATE 39669,A81000C,00200,0100,A 39669,A81000C,00200,0200,TOMLINSON INVES 39669,A81000C,00200,0400,LAND & BLDG 39669,A81000C,00200,0600,REAL ESTATE 39669,B100000,00000,0100,00000(SQUARE FEET) 39669,B100000,00000,0101,00000(SQUARE FEET) 39669,B100000,00000,0200,00000(SQUARE FEET) 39669,B100000,00000,0201,00000(SQUARE FEET) 39669,B100000,00000,0300,00000(GROSS SALARIES) 39669,B100000,00000,0400,00000(ACCUM. COST) 39669,B100000,00000,0500,00000(SQUARE FEET) 39669,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 39669,B100000,00000,0700,00000(HOURS OF SERVICE) 39669,B100000,00000,0800,00000(MEALS SERVED) 39669,B100000,00000,0801,00000(MEALS SERVED) 39669,B100000,00000,0900,00000(DIRECT NRSING HRS 39669,B100000,00000,1000,00000(COSTED REQUIS.) 39669,B100000,00000,1100,00000(COSTED REQUIS.) 39669,B100000,00000,1200,00000(TIME SPENT) 39669,B100000,00000,1300,00000(TIME SPENT) 39669,B100000,00000,1350,00000 39669,B100000,00000,1400,00000(ASSIGNED TIME) 39669,E10A180,00501,0100,08/30/2000 39669,E10A180,00550,0100,07/13/2000 39669,E10A180,00550,0300,07/13/2000 39669,S000000,00100,0200,05/17/2000 39669,S200000,00100,0100,513 EAST WHITAKER MILL ROAD 39669,S200000,00200,0100,RALEIGH 39669,S200000,00200,0200,NC 39669,S200000,00200,0300,27608 39669,S200000,00300,0100,WAKE 39669,S200000,00400,0100,MAYVIEW CONVALESCENT HOME 39669,S200000,00400,0200,345009 39669,S200000,00400,0300,01/01/1967 39669,S200000,00400,0500,P 39669,S200000,00600,0200,345009 39669,S200000,00600,0300,01/01/1967 39669,S200000,00600,0600,P 39669,S200000,01600,0100,Y 39669,S200000,02800,0100,Y 39669,S200000,02900,0100,Y 39677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39677,A000000,00300,0000,00300EMPLOYEE BENEFITS 39677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39677,A000000,00700,0000,00700HOUSEKEEPING 39677,A000000,00800,0000,00800DIETARY 39677,A000000,00900,0000,00900NURSING ADMINISTRATION 39677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39677,A000000,01100,0000,01100PHARMACY 39677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39677,A000000,01300,0000,01300SOCIAL SERVICE 39677,A000000,01301,0000,01301ACTIVITES 39677,A000000,01350,0000,01500REHABILITATION 39677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39677,A000000,01600,0000,01600SKILLED NURSING FACILITY 39677,A000000,01800,0000,01800NURSING FACILITY 39677,A000000,01810,0000,01810ICF/MR 39677,A000000,02100,0000,02100RADIOLOGY 39677,A000000,02200,0000,02200LABORATORY 39677,A000000,02300,0000,02300INTRAVENOUS THERAPY 39677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39677,A000000,02500,0000,02500PHYSICAL THERAPY 39677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39677,A000000,02700,0000,02700SPEECH PATHOLOGY 39677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39677,A000000,03050,0000,03300EQUIPMENT RENTAL 39677,A000000,03051,0000,03301PEN THERAPY 39677,A000000,03550,0000,03550FQHC 39677,A000000,05000,0000,05000CORF 39677,A000000,05010,0000,05010CMHC 39677,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39677,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39677,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39677,A000000,06150,0000,06300VENDING 39677,A000000,06151,0000,06301STAND-BY 39677,A81000A,00100,0100,Y 39677,A81000B,00100,0300,DIETARY SUPPLEMENTS 39677,A81000B,00200,0300,PRESCRIPTION DRUGS 39677,A81000B,00300,0300,MEDICAL SUPPLIES 39677,A81000B,00400,0300,ADMIN & GENERAL 39677,A81000B,00500,0300,BLDG CAPITAL 39677,A81000B,00600,0300,EQUIPMENT REPLACEMENT 39677,A81000B,00700,0300,IV THERAPY 39677,A81000B,00800,0300,PHYSICAL THERAPY 39677,A81000B,00900,0300,OCCUPATIONAL THERAPY 39677,A81000B,01000,0300,CENTRAL SUPPLY 39677,A81000C,00100,0100,B 39677,A81000C,00100,0200,BCNC / LEXINGTO 39677,A81000C,00100,0400,MARINER PAN 39677,A81000C,00100,0600,NURSING HOMES 39677,A81000C,00200,0100,G 39677,A81000C,00200,0200,MARINER PAN 39677,A81000C,00200,0400,AMER PHARM SVCS 39677,A81000C,00200,0600,PHARMACEUTICALS 39677,A81000C,00300,0100,G 39677,A81000C,00300,0200,MARINER PAN 39677,A81000C,00300,0400,PRISM-ATS-ARS-T 39677,A81000C,00300,0600,THERAPIES 39677,B100000,00000,0100,00001SQUARE FEET 39677,B100000,00000,0200,00001SQUARE FEET 39677,B100000,00000,0300,00001GROSS SALARIES 39677,B100000,00000,0400,00001ACCUM COST 39677,B100000,00000,0500,00001SQUARE FEET 39677,B100000,00000,0600,00001PATIENT DAYS 39677,B100000,00000,0700,00001SQUARE FEET 39677,B100000,00000,0800,00001MEALS SERVED 39677,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39677,B100000,00000,1000,00001PATIENT DAYS 39677,B100000,00000,1100,00001COSTED REQUIS 39677,B100000,00000,1200,00001PATIENT DAYS 39677,B100000,00000,1300,00001PATIENT DAYS 39677,B100000,00000,1301,00001PATIENT DAYS 39677,B100000,00000,1350,00001UNITS OF SERVICE 39677,B100000,00000,1400,00001ASSIGNED TIME 39677,E10A180,00301,0100,07/19/1999 39677,E10A180,00302,0100,07/19/1999 39677,E10A180,00501,0100,10/24/2000 39677,E10A180,00550,0300,10/24/2000 39677,S000000,00100,0200,08/30/2000 39677,S200000,00100,0100,200 BRIAN LANE 39677,S200000,00200,0100,LEXINGTON 39677,S200000,00200,0200,NC 39677,S200000,00300,0100,DAVIDSON 39677,S200000,00400,0100,BRIAN CTR NURSING CARE/LEXINGTON 39677,S200000,00400,0200,345011 39677,S200000,00400,0300,01/19/1967 39677,S200000,00400,0500,P 39677,S200000,00600,0200,345011 39677,S200000,00600,0300,01/19/1967 39677,S200000,00600,0600,P 39677,S200000,01600,0100,Y 39677,S200000,02200,0100,Y 39684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39684,A000000,00300,0000,00300EMPLOYEE BENEFITS 39684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39684,A000000,00700,0000,00700HOUSEKEEPING 39684,A000000,00800,0000,00800DIETARY 39684,A000000,00900,0000,00900NURSING ADMINISTRATION 39684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39684,A000000,01100,0000,01100PHARMACY 39684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39684,A000000,01300,0000,01300SOCIAL SERVICE 39684,A000000,01350,0000,01500OTHER GENERAL SERVICES 39684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39684,A000000,01600,0000,01600SKILLED NURSING FACILITY 39684,A000000,01810,0000,01810ICF/MR 39684,A000000,01900,0000,01900OTHER LONG TERM CARE 39684,A000000,02100,0000,02100RADIOLOGY 39684,A000000,02200,0000,02200LABORATORY 39684,A000000,02500,0000,02500PHYSICAL THERAPY 39684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39684,A000000,02700,0000,02700SPEECH PATHOLOGY 39684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39684,A000000,03550,0000,03550FQHC 39684,A000000,05000,0000,05000CORF 39684,A000000,05010,0000,05010CMHC 39684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39684,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39684,A000000,06150,0000,06300GOLF COURSE 39684,A81000A,00100,0100,Y 39684,A81000B,00100,0300,HOME OFFICE OPERATING 39684,A81000B,00200,0300,HOME OFFICE CAPITAL BLDG 39684,A81000B,00300,0300,HOME OFFICE CAPITAL EQUIP 39684,A81000C,00100,0100,B 39684,A81000C,00100,0200,PRESBYTERIAN HOMES INC. 39684,A81000C,00100,0400,PRESBYTERIAN HOMES INC. 39684,A81000C,00100,0600,HOME OFFICE 39684,A81000C,00200,0100,B 39684,A81000C,00200,0200,SCOTIA VILLAGE 39684,B100000,00000,0100,00000SQUARE FEET 39684,B100000,00000,0200,00000SQUARE FEET 39684,B100000,00000,0300,00000GROSS SALARIES 39684,B100000,00000,0400,00000ACCUM. COST 39684,B100000,00000,0500,00000SQUARE FEET 39684,B100000,00000,0600,00000POUNDS OF LAUNDRY 39684,B100000,00000,0700,00000HOURS OF SERVICE 39684,B100000,00000,0800,00000MEALS SERVED 39684,B100000,00000,0900,00000HOURS OF SERVICE 39684,B100000,00000,1000,00000COSTED REQUIS 39684,B100000,00000,1100,00000COSTED REQUIS 39684,B100000,00000,1200,00000TIME SPENT 39684,B100000,00000,1300,00000TIME SPENT 39684,B100000,00000,1350,00000NO STATISTICS 39684,B100000,00000,1400,00000ASSIGNED TIME 39684,E10A180,00501,0300,05/31/2000 39684,E10A180,00550,0100,05/31/2000 39684,S000000,00100,0200,05/31/2000 39684,S200000,00100,0100,201 GREENSBORO ROAD 39684,S200000,00100,0300,500 39684,S200000,00200,0100,HIGH POINT 39684,S200000,00200,0200,NC 39684,S200000,00200,0300,27260 39684,S200000,00300,0100,GUILFORD 39684,S200000,00400,0100,THE PRESBYTERIAN HOME OF HIGH POINT 39684,S200000,00400,0200,345012 39684,S200000,00400,0300,01/01/1967 39684,S200000,00400,0500,P 39684,S200000,00600,0200,346183 39684,S200000,00600,0300,01/01/1979 39684,S200000,00600,0600,P 39684,S200000,01500,0100,Y 39684,S200000,02800,0100,Y 39689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39689,A000000,00300,0000,00300EMPLOYEE BENEFITS 39689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39689,A000000,00700,0000,00700HOUSEKEEPING 39689,A000000,00800,0000,00800DIETARY 39689,A000000,00900,0000,00900NURSING ADMINISTRATION 39689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39689,A000000,01100,0000,01100PHARMACY 39689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39689,A000000,01300,0000,01300SOCIAL SERVICE 39689,A000000,01350,0000,01500PATIENT ACTIVITIES 39689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39689,A000000,01600,0000,01600SKILLED NURSING FACILITY 39689,A000000,02500,0000,02500PHYSICAL THERAPY 39689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39689,A000000,02700,0000,02700SPEECH PATHOLOGY 39689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39689,A000000,03550,0000,03550FQHC 39689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39689,A000000,04800,0000,04800AMBULANCE 39689,A000000,05000,0000,05000CORF 39689,A000000,05010,0000,05010CMHC 39689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39689,A81000A,00100,0100,Y 39689,A81000B,00100,0300,RENT 39689,A81000B,00200,0300,INTEREST 39689,A81000B,00300,0300,DEPRECIATION 39689,A81000C,00100,0100,A 39689,A81000C,00100,0200,DONALD CLAPP 39689,A81000C,00100,0600,RELATED - LEASE 39689,A81000C,00200,0100,A 39689,A81000C,00200,0200,DONALD CLAPP 39689,A81000C,00200,0600,RELATED - LEASE 39689,A81000C,00300,0100,A 39689,A81000C,00300,0200,DONALD CLAPP 39689,A81000C,00300,0600,RELATED - LEASE 39689,B100000,00000,0100,00000SQUARE FEET 39689,B100000,00000,0200,00000SQUARE FEET 39689,B100000,00000,0300,00000GROSS SALARIES 39689,B100000,00000,0400,00000ACCUM. COST 39689,B100000,00000,0500,00000SQUARE FEET 39689,B100000,00000,0600,00000POUNDS OF LAUNDRY 39689,B100000,00000,0700,00000SQ FOOTAGE E 39689,B100000,00000,0800,00000PATIENT DAYS 39689,B100000,00000,0900,00000DIRECT NRS 39689,B100000,00000,1000,00000NO STATISTICS 39689,B100000,00000,1100,00000NO STATISTICS 39689,B100000,00000,1200,00000PATIENT DAYS 39689,B100000,00000,1300,00000PATIENT DAYS 39689,B100000,00000,1350,00000PATIENT DAYS 39689,B100000,00000,1400,00000ASSIGNED TIME 39689,E10A180,00301,0100,03/15/1999 39689,S000000,00100,0200,05/30/2000 39689,S200000,00100,0100,1383 MARTIN LUTHER KING JR DRIVE 39689,S200000,00200,0100,ASHEBORO 39689,S200000,00200,0200,NC 39689,S200000,00300,0100,RANDOLPH 39689,S200000,00400,0100,CLAPPS CONVALESCENT NURSING HOME I 39689,S200000,00400,0200,345015 39689,S200000,00400,0300,01/01/1967 39689,S200000,00400,0500,P 39689,S200000,01500,0100,Y 39689,S200000,04700,0100,Y 39689,S200000,04700,0200,Y 39696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39696,A000000,00300,0000,00300EMPLOYEE BENEFITS 39696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39696,A000000,00700,0000,00700HOUSEKEEPING 39696,A000000,00800,0000,00800DIETARY 39696,A000000,00900,0000,00900NURSING ADMINISTRATION 39696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39696,A000000,01100,0000,01100PHARMACY 39696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39696,A000000,01300,0000,01300SOCIAL SERVICE 39696,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39696,A000000,01600,0000,01600SKILLED NURSING FACILITY 39696,A000000,01800,0000,01800NURSING FACILITY 39696,A000000,01810,0000,01810ICF/MR 39696,A000000,01900,0000,01900OTHER LONG TERM CARE 39696,A000000,02100,0000,02100RADIOLOGY 39696,A000000,02200,0000,02200LABORATORY 39696,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39696,A000000,02500,0000,02500PHYSICAL THERAPY 39696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39696,A000000,02700,0000,02700SPEECH PATHOLOGY 39696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39696,A000000,03050,0000,03300ENTERAL 39696,A000000,03550,0000,03550FQHC 39696,A000000,05000,0000,05000CORF 39696,A000000,05010,0000,05010CMHC 39696,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39696,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39696,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39696,B100000,00000,0100,00040SQUARE FEET 39696,B100000,00000,0200,00040SQUARE FEET 39696,B100000,00000,0300,00040GROSS SALARIES 39696,B100000,00000,0400,00040ACCUM COST 39696,B100000,00000,0500,00040SQUARE FEET 39696,B100000,00000,0600,00040POUNDS OF LAUNDRY 39696,B100000,00000,0700,00040SQUARE FEET 39696,B100000,00000,0800,00040MEALS SERVED 39696,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 39696,B100000,00000,1000,00040COSTED REQUIS 39696,B100000,00000,1100,00040COSTED REQUIS 39696,B100000,00000,1200,00040TIME SPENT 39696,B100000,00000,1300,00040TIME SPENT 39696,B100000,00000,1400,00040ASSIGNED TIME 39696,E10A180,00301,0100,04/12/1999 39696,E10A180,00550,0100,05/30/2000 39696,E10A180,00550,0300,05/30/2000 39696,E10A180,00551,0100,07/25/2000 39696,E10A180,00551,0300,07/25/2000 39696,E10A180,00552,0100,09/18/2001 39696,E10A180,00552,0300,09/18/2001 39696,S000000,00100,0200,05/30/2000 39696,S200000,00100,0100,4007 W. WENDOVER AVE. 39696,S200000,00200,0100,GREENSBORO 39696,S200000,00200,0200,NC 39696,S200000,00200,0300,27407 39696,S200000,00300,0100,GUILFORD 39696,S200000,00400,0100,THE EVERGREENS - GREENSBORO 39696,S200000,00400,0200,345016 39696,S200000,00400,0300,01/01/1967 39696,S200000,00400,0500,P 39696,S200000,00600,0200,345016 39696,S200000,00600,0300,01/01/1967 39696,S200000,00600,0600,P 39696,S200000,01600,0100,Y 39696,S200000,04300,0100,Y 39705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39705,A000000,00300,0000,00300EMPLOYEE BENEFITS 39705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39705,A000000,00700,0000,00700HOUSEKEEPING 39705,A000000,00800,0000,00800DIETARY 39705,A000000,00900,0000,00900NURSING ADMINISTRATION 39705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39705,A000000,01100,0000,01100PHARMACY 39705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39705,A000000,01300,0000,01300SOCIAL SERVICE 39705,A000000,01350,0000,01500PATIENT ACTIVITIES 39705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39705,A000000,01600,0000,01600SKILLED NURSING FACILITY 39705,A000000,01810,0000,01810ICF/MR 39705,A000000,01900,0000,01900OTHER LONG TERM CARE 39705,A000000,02500,0000,02500PHYSICAL THERAPY 39705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39705,A000000,02700,0000,02700SPEECH PATHOLOGY 39705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39705,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39705,A000000,03550,0000,03550FQHC 39705,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39705,A000000,04800,0000,04800AMBULANCE 39705,A000000,05000,0000,05000CORF 39705,A000000,05010,0000,05010CMHC 39705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39705,B100000,00000,0100,00000SQUARE FEET 39705,B100000,00000,0200,00000SQUARE FEET 39705,B100000,00000,0300,00000GROSS SALARIES 39705,B100000,00000,0400,00000ACCUM. COST 39705,B100000,00000,0500,00000SQUARE FEET 39705,B100000,00000,0600,00000PATIENT DAYS 39705,B100000,00000,0700,00000SQR FTG EXC DIET 39705,B100000,00000,0800,00000PATIENT DAYS 39705,B100000,00000,0900,00000DIRECT NRSING HRS 39705,B100000,00000,1000,00000PATIENT DAYS 39705,B100000,00000,1100,00000PATIENT DAYS 39705,B100000,00000,1200,00000PATIENT DAYS 39705,B100000,00000,1300,00000PATIENT DAYS 39705,B100000,00000,1350,00000PATIENT DAYS 39705,B100000,00000,1400,00000ASSIGNED TIME 39705,E10A180,00550,0300,05/26/2000 39705,S000000,00100,0200,05/26/2000 39705,S200000,00100,0100,4558 PLEASANT GARDEN 39705,S200000,00100,0300,249 39705,S200000,00200,0100,PLEASANT GARDEN 39705,S200000,00200,0200,NC 39705,S200000,00200,0300,27313 39705,S200000,00300,0100,GUILFORD 39705,S200000,00400,0100,CLAPPS NURSING CENTER 39705,S200000,00400,0200,345024 39705,S200000,00400,0300,10/01/1975 39705,S200000,00400,0500,P 39705,S200000,01600,0100,Y 39705,S200000,04700,0100,Y 39705,S200000,04700,0200,Y 39715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39715,A000000,00300,0000,00300EMPLOYEE BENEFITS 39715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39715,A000000,00700,0000,00700HOUSEKEEPING 39715,A000000,00800,0000,00800DIETARY 39715,A000000,00900,0000,00900NURSING ADMINISTRATION 39715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39715,A000000,01100,0000,01100PHARMACY 39715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39715,A000000,01300,0000,01300SOCIAL SERVICE 39715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39715,A000000,01600,0000,01600SKILLED NURSING FACILITY 39715,A000000,01810,0000,01810ICF/MR 39715,A000000,02100,0000,02100RADIOLOGY 39715,A000000,02200,0000,02200LABORATORY 39715,A000000,02300,0000,02300INTRAVENOUS THERAPY 39715,A000000,02500,0000,02500PHYSICAL THERAPY 39715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39715,A000000,02700,0000,02700SPEECH PATHOLOGY 39715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39715,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39715,A000000,03200,0000,03200SUPPORT SURFACES 39715,A000000,03550,0000,03550FQHC 39715,A000000,05000,0000,05000CORF 39715,A000000,05010,0000,05010CMHC 39715,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39715,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39715,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39715,A81000A,00100,0100,Y 39715,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 39715,A81000B,00200,0300,HOME OFFICE POOLED COSTS 39715,A81000C,00100,0100,B 39715,A81000C,00100,0400,NOVANT HEALTH 39715,A81000C,00100,0600,HOSPITAL 39715,A81000C,00200,0100,B 39715,A81000C,00200,0400,NOVANT HEALTH 39715,A81000C,00200,0600,HOSPITAL 39715,B100000,00000,0100,00000SQUARE FEET 39715,B100000,00000,0200,00000SQUARE FEET 39715,B100000,00000,0300,00000GROSS SALARIES 39715,B100000,00000,0400,00000ACCUM COST 39715,B100000,00000,0500,00000SQUARE FEET 39715,B100000,00000,0600,00000POUNDS OF LAUNDRY 39715,B100000,00000,0700,00000 SQUARE FEET 39715,B100000,00000,0800,00000MEALS SERVED 39715,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39715,B100000,00000,1000,00000COSTED REQUISITIO 39715,B100000,00000,1100,00000COSTED REQUISITIO 39715,B100000,00000,1200,00000TIME SPENT 39715,B100000,00000,1300,00000TIME SPENT 39715,B100000,00000,1400,00000ASSIGNED TIME 39715,E10A180,00550,0100,08/17/2000 39715,S000000,00100,0200,06/26/2000 39715,S200000,00100,0100,3700 SHAMROCK DRIVE 39715,S200000,00100,0300,34517 39715,S200000,00200,0100,CHARLOTTE 39715,S200000,00200,0200,NC 39715,S200000,00200,0300,28234 39715,S200000,00300,0100,MECKLENBURG 39715,S200000,00400,0100,PRESBYTERIAN WESLEY CARE CTR 39715,S200000,00400,0200,345026 39715,S200000,00400,0300,01/04/1967 39715,S200000,00400,0500,P 39715,S200000,01500,0100,Y 39723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39723,A000000,00300,0000,00300EMPLOYEE BENEFITS 39723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39723,A000000,00700,0000,00700HOUSEKEEPING 39723,A000000,00800,0000,00800DIETARY 39723,A000000,00900,0000,00900NURSING ADMINISTRATION 39723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39723,A000000,01100,0000,01100PHARMACY 39723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39723,A000000,01300,0000,01300SOCIAL SERVICE 39723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39723,A000000,01600,0000,01600SKILLED NURSING FACILITY 39723,A000000,01810,0000,01810ICF/MR 39723,A000000,02100,0000,02100RADIOLOGY 39723,A000000,02200,0000,02200LABORATORY 39723,A000000,02500,0000,02500PHYSICAL THERAPY 39723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39723,A000000,02700,0000,02700SPEECH PATHOLOGY 39723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39723,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39723,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39723,A000000,03550,0000,03550FQHC 39723,A000000,05000,0000,05000CORF 39723,A000000,05010,0000,05010CMHC 39723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39723,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39723,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39723,A81000A,00100,0100,Y 39723,A81000B,00100,0300,LEASE 39723,A81000C,00100,0100,G 39723,A81000C,00100,0200,WINSLOW 39723,A81000C,00100,0400,CAROLINA CONF O 39723,A81000C,00100,0600,CHURCH HQ 39723,B100000,00000,0100,00000SQUARE FEET 39723,B100000,00000,0200,00000SQUARE FEET 39723,B100000,00000,0300,00000GROSS SALARIES 39723,B100000,00000,0400,00000ACCUM COST 39723,B100000,00000,0500,00000SQUARE FEET 39723,B100000,00000,0600,00000POUNDS OF LAUNDRY 39723,B100000,00000,0700,00000SQUARE FEET 39723,B100000,00000,0800,00000MEALS SERVED 39723,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39723,B100000,00000,1000,00000COSTED REQUISITIO 39723,B100000,00000,1100,00000COSTED REQUISITIO 39723,B100000,00000,1200,00000TIME SPENT 39723,B100000,00000,1300,00000TIME SPENT 39723,B100000,00000,1400,00000ASSIGNED TIME 39723,E10A180,00301,0100,03/29/1999 39723,E10A180,00550,0100,02/23/2000 39723,E10A180,00550,0300,02/23/2000 39723,E10A180,00551,0100,05/23/2000 39723,S000000,00100,0200,03/30/2000 39723,S200000,00100,0100,1700 W. EHRINGHAUS STREET 39723,S200000,00200,0100,ELIZABETH CITY 39723,S200000,00200,0200,NORTH CAROLINA 39723,S200000,00200,0300,27907 39723,S200000,00300,0100,PASQUOTANK 39723,S200000,00400,0100,W. R. WINSLOW MEMORIAL HOME INC. 39723,S200000,00400,0200,345036 39723,S200000,00400,0300,02/13/1967 39723,S200000,00400,0500,P 39723,S200000,01500,0100,Y 39723,S200000,01900,0100,HOSPITAL AUTHORITY 39723,S200000,02800,0100,Y 39733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39733,A000000,00300,0000,00300EMPLOYEE BENEFITS 39733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39733,A000000,00700,0000,00700HOUSEKEEPING 39733,A000000,00800,0000,00800DIETARY 39733,A000000,00900,0000,00900NURSING ADMINISTRATION 39733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39733,A000000,01100,0000,01100PHARMACY 39733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39733,A000000,01300,0000,01300SOCIAL SERVICE 39733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39733,A000000,01600,0000,01600SKILLED NURSING FACILITY 39733,A000000,01800,0000,01800NURSING FACILITY 39733,A000000,01810,0000,01810ICF/MR 39733,A000000,02100,0000,02100RADIOLOGY 39733,A000000,02200,0000,02200LABORATORY 39733,A000000,02300,0000,02300INTRAVENOUS THERAPY 39733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39733,A000000,02500,0000,02500PHYSICAL THERAPY 39733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39733,A000000,02700,0000,02700SPEECH PATHOLOGY 39733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39733,A000000,03200,0000,03200SUPPORT SURFACES 39733,A000000,03550,0000,03550FQHC 39733,A000000,05000,0000,05000CORF 39733,A000000,05010,0000,05010CMHC 39733,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39733,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39733,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39733,A81000A,00100,0100,Y 39733,A81000B,00100,0300,HOME OFF. CAPITAL COSTS 39733,A81000B,00200,0300,HOME OFF. POOLED COSTS 39733,A81000B,00300,0300,INTERCO ADMIN 39733,A81000B,00400,0300,INTERCO MAINTENANCE 39733,A81000B,00500,0300,INTERCO HOUSEKEEPING 39733,A81000B,00600,0300,INTERCO DIETARY 39733,A81000B,00700,0300,INTERCO NURSING 39733,A81000B,00800,0300,INTERCO P.T. 39733,A81000B,00900,0300,INTERCO O.T. 39733,A81000B,01000,0300,INTERCO S.T. 39733,A81000B,01100,0300,INTERCO CHILD CARE 39733,A81000C,00100,0100,B 39733,A81000C,00100,0400,NOVANT HEALTH 39733,A81000C,00100,0600,HOSPITAL 39733,A81000C,00200,0100,B 39733,A81000C,00200,0400,NOVANT HEALTH 39733,A81000C,00200,0600,HOSPITAL 39733,A81000C,00300,0100,B 39733,A81000C,00300,0400,NOVANT HEALTH 39733,A81000C,00300,0600,HOSPITAL 39733,A81000C,00400,0100,B 39733,A81000C,00400,0400,NOVANT HEALTH 39733,A81000C,00400,0600,HOSPITAL 39733,A81000C,00500,0100,B 39733,A81000C,00500,0400,NOVANT HEALTH 39733,A81000C,00500,0600,HOSPITAL 39733,A81000C,00600,0100,B 39733,A81000C,00600,0400,NOVANT HEALTH 39733,A81000C,00600,0600,HOSPITAL 39733,A81000C,00700,0100,B 39733,A81000C,00700,0400,NOVANT HEALTH 39733,A81000C,00700,0600,HOSPITAL 39733,A81000C,00800,0100,B 39733,A81000C,00800,0400,NOVANT HEALTH 39733,A81000C,00800,0600,HOSPITAL 39733,A81000C,00900,0100,B 39733,A81000C,00900,0400,NOVANT HEALTH 39733,A81000C,00900,0600,HOSPITAL 39733,A81000C,01000,0100,B 39733,A81000C,01000,0400,NOVANT HEALTH 39733,A81000C,01000,0600,HOSPITAL 39733,B100000,00000,0100,00000SQUARE FEET 39733,B100000,00000,0200,00000SQUARE FEET 39733,B100000,00000,0300,00000GROSS SALARIES 39733,B100000,00000,0400,00000ACCUM COST 39733,B100000,00000,0500,00000SQUARE FEET 39733,B100000,00000,0600,00000POUNDS OF LAUNDRY 39733,B100000,00000,0700,00000SQUARE FEET 39733,B100000,00000,0800,00000MEALS SERVED 39733,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39733,B100000,00000,1000,00000COSTED REQUISITIO 39733,B100000,00000,1100,00000COSTED REQUISITIO 39733,B100000,00000,1200,00000DIR NURSIN HRS OF SVC 39733,B100000,00000,1300,00000PATIENT DAYS 39733,B100000,00000,1400,00000ASSIGNED TIME 39733,E10A180,00501,0100,08/15/2000 39733,E10A180,00550,0300,08/15/2000 39733,S000000,00100,0200,06/21/2000 39733,S200000,00100,0100,5775 SHATTALON DRIVE 39733,S200000,00200,0100,WINSTON-SALEM 39733,S200000,00200,0200,NC 39733,S200000,00200,0300,27105 39733,S200000,00300,0100,FORSYTH 39733,S200000,00400,0100,SPRINGWOOD CARE CTR OF FORSYTH 39733,S200000,00400,0200,345039 39733,S200000,00400,0300,01/01/1988 39733,S200000,00400,0500,P 39733,S200000,01600,0100,Y 39741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39741,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39741,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39741,A000000,00300,0000,00300EMPLOYEE BENEFITS 39741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39741,A000000,00700,0000,00700HOUSEKEEPING 39741,A000000,00800,0000,00800DIETARY 39741,A000000,00801,0000,00801CAFETERIA 39741,A000000,00900,0000,00900NURSING ADMINISTRATION 39741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39741,A000000,01100,0000,01100PHARMACY 39741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39741,A000000,01300,0000,01300SOCIAL SERVICE 39741,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39741,A000000,01600,0000,01600SKILLED NURSING FACILITY 39741,A000000,01800,0000,01800NURSING FACILITY 39741,A000000,01810,0000,01810ICF/MR 39741,A000000,01900,0000,01900OTHER LONG TERM CARE 39741,A000000,02100,0000,02100RADIOLOGY 39741,A000000,02200,0000,02200LABORATORY 39741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39741,A000000,02500,0000,02500PHYSICAL THERAPY 39741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39741,A000000,02700,0000,02700SPEECH PATHOLOGY 39741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39741,A000000,03050,0000,03300OTHER ANCILLARY 39741,A000000,03051,0000,03301OTHER ANCILLARY II 39741,A000000,03052,0000,03302OTHER ANCILLARY III 39741,A000000,03200,0000,03200SUPPORT SURFACES 39741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39741,A000000,03550,0000,03550FQHC 39741,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39741,A000000,05000,0000,05000CORF I 39741,A000000,05010,0000,05010CMHC I 39741,A000000,05020,0000,05020OPT I 39741,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39741,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39741,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39741,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39741,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39741,B100000,00000,0100,00000(SQUARE FEET) 39741,B100000,00000,0101,00000(SQUARE FEET) 39741,B100000,00000,0200,00000(SQUARE FEET) 39741,B100000,00000,0201,00000(SQUARE FEET) 39741,B100000,00000,0300,00000(GROSS SALARIES) 39741,B100000,00000,0400,00000(ACCUM. COST) 39741,B100000,00000,0500,00000(SQUARE FEET) 39741,B100000,00000,0600,00000PATIENT DA 39741,B100000,00000,0700,00000(SQUARE FEET) 39741,B100000,00000,0800,00000PATIENT DA 39741,B100000,00000,0801,00000(MEALS SERVED) 39741,B100000,00000,0900,00000PATIENT DA 39741,B100000,00000,1000,00000PATIENT DA 39741,B100000,00000,1100,00000PATIENT DA 39741,B100000,00000,1200,00000PATIENT DA 39741,B100000,00000,1300,00000PATIENT DA 39741,B100000,00000,1350,00000 39741,B100000,00000,1400,00000(ASSIGNED TIME) 39741,E10A180,00302,0100,03/29/1999 39741,S000000,00100,0200,06/02/2000 39741,S200000,00100,0100,315 OLD US HIGHWAY 70E 39741,S200000,00200,0100,BLACK MOUNTAIN 39741,S200000,00200,0200,NC 39741,S200000,00200,0300,28711 39741,S200000,00300,0100,BUNCOMBE 39741,S200000,00400,0100,MOUNTAIN RIDGE WELLNESS CENTER 39741,S200000,00400,0200,345048 39741,S200000,00400,0300,03/01/1978 39741,S200000,00400,0500,P 39741,S200000,00600,0200,345048 39741,S200000,00600,0300,03/01/1978 39741,S200000,00600,0600,P 39741,S200000,01600,0100,Y 39752,S000000,00100,0200,06/01/2000 39768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39768,A000000,00300,0000,00300EMPLOYEE BENEFITS 39768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39768,A000000,00700,0000,00700HOUSEKEEPING 39768,A000000,00800,0000,00800DIETARY 39768,A000000,00900,0000,00900NURSING ADMINISTRATION 39768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39768,A000000,01100,0000,01100PHARMACY 39768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39768,A000000,01300,0000,01300SOCIAL SERVICE 39768,A000000,01350,0000,01500PATIENT ACTIVITIES 39768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39768,A000000,01600,0000,01600SKILLED NURSING FACILITY 39768,A000000,01810,0000,01810ICF/MR 39768,A000000,02500,0000,02500PHYSICAL THERAPY 39768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39768,A000000,02700,0000,02700SPEECH PATHOLOGY 39768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39768,A000000,03550,0000,03550FQHC 39768,A000000,05000,0000,05000CORF 39768,A000000,05010,0000,05010CMHC 39768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39768,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39768,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39768,B100000,00000,0100,00000SQUARE FEET 39768,B100000,00000,0200,00000SQUARE FEET 39768,B100000,00000,0300,00000GROSS SALARIES 39768,B100000,00000,0400,00000ACCUM. COST 39768,B100000,00000,0500,00000SQUARE FEET 39768,B100000,00000,0600,00000PATIENT DAYS 39768,B100000,00000,0700,00000SQ FTG EXC 39768,B100000,00000,0800,00000PATIENT DAYS 39768,B100000,00000,0900,00000PATIENT DAYS 39768,B100000,00000,1000,00000PATIENT DAYS 39768,B100000,00000,1100,00000PATIENT DAYS 39768,B100000,00000,1200,00000PATIENT DAYS 39768,B100000,00000,1300,00000PATIENT DAYS 39768,B100000,00000,1350,00000PATIENT DAYS 39768,B100000,00000,1400,00000ASSIGNED TIME 39768,S000000,00100,0200,06/21/2000 39768,S200000,00100,0100,200 TABERNACLE ROAD 39768,S200000,00200,0100,BLACK MOUNTAIN 39768,S200000,00200,0200,NC 39768,S200000,00200,0300,28711 39768,S200000,00300,0100,BUNCOMBE 39768,S200000,00400,0100,HIGHLAND FARMS 39768,S200000,00400,0200,345078 39768,S200000,00400,0300,09/30/1980 39768,S200000,00400,0500,P 39768,S200000,01500,0100,Y 39768,S200000,01700,0100,Y 39778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39778,A000000,00300,0000,00300EMPLOYEE BENEFITS 39778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39778,A000000,00700,0000,00700HOUSEKEEPING 39778,A000000,00800,0000,00800DIETARY 39778,A000000,00900,0000,00900NURSING ADMINISTRATION 39778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39778,A000000,01100,0000,01100PHARMACY 39778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39778,A000000,01300,0000,01300SOCIAL SERVICE 39778,A000000,01301,0000,01301ACTIVITES 39778,A000000,01350,0000,01500REHABILITATION 39778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39778,A000000,01600,0000,01600SKILLED NURSING FACILITY 39778,A000000,01800,0000,01800NURSING FACILITY 39778,A000000,01810,0000,01810ICF/MR 39778,A000000,02100,0000,02100RADIOLOGY 39778,A000000,02200,0000,02200LABORATORY 39778,A000000,02300,0000,02300INTRAVENOUS THERAPY 39778,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39778,A000000,02500,0000,02500PHYSICAL THERAPY 39778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39778,A000000,02700,0000,02700SPEECH PATHOLOGY 39778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39778,A000000,03050,0000,03300EQUIPMENT RENTAL 39778,A000000,03051,0000,03301PEN THERAPY 39778,A000000,03550,0000,03550FQHC 39778,A000000,05000,0000,05000CORF 39778,A000000,05010,0000,05010CMHC 39778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39778,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39778,A000000,06150,0000,06300VENDING 39778,A000000,06151,0000,06301STAND-BY 39778,A81000A,00100,0100,Y 39778,A81000B,00100,0300,HOME OFFICE COSTS 39778,A81000B,00200,0300,DIETARY SUPPLEMENTS 39778,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39778,A81000B,00400,0300,PRESCRIPTION DRUGS 39778,A81000B,00500,0300,MEDICAL SUPPLIES 39778,A81000B,00700,0300,HOME OFFICE INTEREST 39778,A81000B,00800,0300,EQUIPMENT REPLACEMENT 39778,A81000B,00900,0300,IV THERAPY 39778,A81000B,01000,0300,THERAPY CONSULTING 39778,A81000B,01100,0300,PHYSICAL THERAPY 39778,A81000B,01200,0300,OCCUPATIONAL THERAPY 39778,A81000B,01300,0300,SPEECH THERAPY 39778,A81000C,00100,0100,B 39778,A81000C,00100,0200,BCC HICKORY VIE 39778,A81000C,00100,0400,MARINER PAN 39778,A81000C,00100,0600,NURSING HOMES 39778,A81000C,00200,0100,G 39778,A81000C,00200,0200,MARINER PAN 39778,A81000C,00200,0400,AMER PHARM SVCS 39778,A81000C,00200,0600,PHARMACEUTICALS 39778,A81000C,00300,0100,G 39778,A81000C,00300,0200,MARINER PAN 39778,A81000C,00300,0400,PRISM-ATS-ARS-T 39778,A81000C,00300,0600,THERAPIES 39778,B100000,00000,0100,00001SQUARE FEET 39778,B100000,00000,0200,00001SQUARE FEET 39778,B100000,00000,0300,00001GROSS SALARIES 39778,B100000,00000,0400,00001ACCUM COST 39778,B100000,00000,0500,00001SQUARE FEET 39778,B100000,00000,0600,00001PATIENT DAYS 39778,B100000,00000,0700,00001SQUARE FEET 39778,B100000,00000,0800,00001MEALS SERVED 39778,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39778,B100000,00000,1000,00001PATIENT DAYS 39778,B100000,00000,1100,00001COSTED REQUIS 39778,B100000,00000,1200,00001PATIENT DAYS 39778,B100000,00000,1300,00001PATIENT DAYS 39778,B100000,00000,1301,00001PATIENT DAYS 39778,B100000,00000,1350,00001UNITS OF SERVICE 39778,B100000,00000,1400,00001ASSIGNED TIME 39778,E10A180,00501,0100,03/22/2001 39778,E10A180,00501,0300,08/29/2000 39778,E10A180,00550,0100,08/29/2000 39778,E10A180,00550,0300,03/22/2001 39778,S000000,00100,0200,07/03/2000 39778,S200000,00100,0100,220 13TH AVENUE PLACE 39778,S200000,00200,0100,HICKORY 39778,S200000,00200,0200,NC 39778,S200000,00200,0300,28601 39778,S200000,00300,0100,CATAWBA 39778,S200000,00400,0100,BRIAN CENTER OF HICKORY 39778,S200000,00400,0200,345080 39778,S200000,00400,0300,01/01/1977 39778,S200000,00400,0500,P 39778,S200000,00600,0200,345080 39778,S200000,00600,0300,01/01/1977 39778,S200000,00600,0600,P 39778,S200000,01600,0100,Y 39778,S200000,02200,0100,Y 39786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39786,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39786,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39786,A000000,00300,0000,00300EMPLOYEE BENEFITS 39786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39786,A000000,00700,0000,00700HOUSEKEEPING 39786,A000000,00800,0000,00800DIETARY 39786,A000000,00801,0000,00801CAFETERIA 39786,A000000,00900,0000,00900NURSING ADMINISTRATION 39786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39786,A000000,01100,0000,01100PHARMACY 39786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39786,A000000,01300,0000,01300SOCIAL SERVICE 39786,A000000,01350,0000,01500ACTIVITIES 39786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39786,A000000,01600,0000,01600SKILLED NURSING FACILITY 39786,A000000,01800,0000,01800NURSING FACILITY 39786,A000000,01810,0000,01810ICF/MR 39786,A000000,01900,0000,01900OTHER LONG TERM CARE 39786,A000000,02100,0000,02100RADIOLOGY 39786,A000000,02200,0000,02200LABORATORY 39786,A000000,02500,0000,02500PHYSICAL THERAPY 39786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39786,A000000,02700,0000,02700SPEECH PATHOLOGY 39786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39786,A000000,03050,0000,03300PEN THERAPY 39786,A000000,03051,0000,03301PROSTHETICS 39786,A000000,03052,0000,03302WOUND CARE 39786,A000000,03200,0000,03200SUPPORT SURFACES 39786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39786,A000000,03550,0000,03550FQHC 39786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39786,A000000,05000,0000,05000CORF I 39786,A000000,05010,0000,05010CMHC I 39786,A000000,05020,0000,05020OPT I 39786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39786,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39786,A81000A,00100,0100,Y 39786,A81000B,00100,0300,MANAGEMENT FEES 39786,A81000B,00200,0300,NURSING SUPPLIES 39786,A81000B,00300,0300,LEGEND DRUGS 39786,A81000B,00400,0300,OTC 39786,A81000B,00500,0300,MEDICAL SUPPLIES 39786,A81000B,00600,0300,PHARMACY CONSULTANT 39786,A81000C,00100,0100,B 39786,A81000C,00100,0400,WHITE OAK MANOR 39786,A81000C,00100,0600,NSG HOME CHAIN 39786,A81000C,00200,0100,B 39786,A81000C,00200,0400,WHITE OAK MANOR 39786,A81000C,00200,0600,PHARMACY 39786,B100000,00000,0100,00000(SQUARE FEET) 39786,B100000,00000,0101,00000(SQUARE FEET) 39786,B100000,00000,0200,00000(SQUARE FEET) 39786,B100000,00000,0201,00000(SQUARE FEET) 39786,B100000,00000,0300,00000(GROSS SALARIES) 39786,B100000,00000,0400,00000(ACCUM. COST) 39786,B100000,00000,0500,00000(SQUARE FEET) 39786,B100000,00000,0600,00000(PATIENT DAYS) 39786,B100000,00000,0700,00000(SQUARE FEET) 39786,B100000,00000,0800,00000(MEALS SERVED) 39786,B100000,00000,0801,00000(MEALS SERVED) 39786,B100000,00000,0900,00000(PATIENT DAYS) 39786,B100000,00000,1000,00000(PATIENT DAYS) 39786,B100000,00000,1100,00000(PATIENT DAYS) 39786,B100000,00000,1200,00000(PATIENT DAYS) 39786,B100000,00000,1300,00000(PATIENT DAYS) 39786,B100000,00000,1350,00000(PATIENT DAYS) 39786,B100000,00000,1400,00000(ASSIGNED TIME) 39786,E10A180,00301,0100,03/29/1999 39786,E10A180,00501,0100,04/25/2000 39786,E10A180,00501,0300,04/25/2000 39786,S000000,00100,0200,02/25/2000 39786,S200000,00100,0100,188 OSCAR JUSTICE ROAD 39786,S200000,00200,0100,RUTHERFORDTON 39786,S200000,00200,0200,NC 39786,S200000,00200,0300,28139-9407 39786,S200000,00300,0100,RUTHERFORD 39786,S200000,00400,0100,WHITE OAK MANOR-RUTHERFORDTON 39786,S200000,00400,0200,345083 39786,S200000,00400,0300,12/13/1972 39786,S200000,00400,0500,P 39786,S200000,01500,0100,Y 39786,S200000,02200,0100,Y 39788,S000000,00100,0200,06/01/2000 39796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39796,A000000,00300,0000,00300EMPLOYEE BENEFITS 39796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39796,A000000,00700,0000,00700HOUSEKEEPING 39796,A000000,00800,0000,00800DIETARY 39796,A000000,00900,0000,00900NURSING ADMINISTRATION 39796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39796,A000000,01100,0000,01100PHARMACY 39796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39796,A000000,01300,0000,01300SOCIAL SERVICE 39796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39796,A000000,01600,0000,01600SKILLED NURSING FACILITY 39796,A000000,01800,0000,01800NURSING FACILITY 39796,A000000,01810,0000,01810ICF/MR 39796,A000000,01900,0000,01900OTHER LONG TERM CARE 39796,A000000,02500,0000,02500PHYSICAL THERAPY 39796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39796,A000000,02700,0000,02700SPEECH PATHOLOGY 39796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39796,A000000,03550,0000,03550FQHC 39796,A000000,05000,0000,05000CORF 39796,A000000,05010,0000,05010CMHC 39796,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39796,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39796,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39796,A000000,05300,0000,05300INTEREST EXPENSE 39796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39796,A000000,05901,0000,05901APARTMENTS 39796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39796,A81000A,00100,0100,Y 39796,A81000B,00100,0300,MANAGEMENT SERVICES 39796,A81000B,00200,0300,MANAGEMENT SERVICES 39796,A81000B,00300,0300,TRANSPORTATION 39796,A81000C,00100,0100,B 39796,A81000C,00100,0400,WESLEYEAN HOMES 39796,A81000C,00100,0600,PROPERTY 39796,A81000C,00200,0100,B 39796,A81000C,00200,0400,FIRST WESLEYAN 39796,A81000C,00200,0600,CHURCH 39796,B100000,00000,0100,00000SQUARE FEET 39796,B100000,00000,0200,00000SQUARE FEET 39796,B100000,00000,0300,00000GROSS SALARIES 39796,B100000,00000,0400,00000ACCUM. COST 39796,B100000,00000,0500,00000SQUARE FEET 39796,B100000,00000,0600,00000POUNDS OF LAUNDRY 39796,B100000,00000,0700,00000SQUARE FEET 39796,B100000,00000,0800,00000MEALS SERVED 39796,B100000,00000,0900,00000DIRECT NRSING HRS 39796,B100000,00000,1000,00000COSTED REQUIS 39796,B100000,00000,1100,00000COSTED REQUIS. 39796,B100000,00000,1200,00000PATIENT DAYS 39796,B100000,00000,1300,00000PATIENT DAYS 39796,B100000,00000,1400,00000ASSIGNED TIME 39796,E10A180,00301,0100,04/12/1999 39796,E10A180,00550,0100,05/31/2000 39796,E10A180,00550,0300,05/31/2000 39796,S000000,00100,0200,05/31/2000 39796,S200000,00100,0100,1901 CENTENNIAL STREET 39796,S200000,00200,0100,HIGH POINT 39796,S200000,00200,0200,NC 39796,S200000,00200,0300,27262 39796,S200000,00300,0100,GUILFORD 39796,S200000,00400,0100,WESLEYAN ARMS 39796,S200000,00400,0200,345090 39796,S200000,00400,0300,05/01/1973 39796,S200000,00400,0500,P 39796,S200000,01600,0100,Y 39804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39804,A000000,00300,0000,00300EMPLOYEE BENEFITS 39804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39804,A000000,00700,0000,00700HOUSEKEEPING 39804,A000000,00800,0000,00800DIETARY 39804,A000000,00900,0000,00900NURSING ADMINISTRATION 39804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39804,A000000,01100,0000,01100PHARMACY 39804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39804,A000000,01300,0000,01300SOCIAL SERVICE 39804,A000000,01350,0000,01500ACTIVITIES 39804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39804,A000000,01600,0000,01600SKILLED NURSING FACILITY 39804,A000000,01810,0000,01810ICF/MR 39804,A000000,01900,0000,01900OTHER LONG TERM CARE 39804,A000000,02100,0000,02100RADIOLOGY 39804,A000000,02200,0000,02200LABORATORY 39804,A000000,02500,0000,02500PHYSICAL THERAPY 39804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39804,A000000,02700,0000,02700SPEECH PATHOLOGY 39804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39804,A000000,03550,0000,03550FQHC 39804,A000000,05000,0000,05000CORF 39804,A000000,05010,0000,05010CMHC 39804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39804,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39804,B100000,00000,0100,00000SQUARE FEET 39804,B100000,00000,0200,00000SQUARE FEET 39804,B100000,00000,0300,00000GROSS SALARIES 39804,B100000,00000,0400,00000ACCUM. COST 39804,B100000,00000,0500,00000SQUARE FEET 39804,B100000,00000,0600,00000POUNDS OF LAUNDRY 39804,B100000,00000,0700,00000SQUARE FEET 39804,B100000,00000,0800,00000MEALS SERVED 39804,B100000,00000,0900,00000DIRECT NRSG HRS 39804,B100000,00000,1000,00000COSTED REQUIS 39804,B100000,00000,1100,00000COSTED REQUIS 39804,B100000,00000,1200,00000PERCENT OF TIME S 39804,B100000,00000,1300,00000PERCENT OF TIME S 39804,B100000,00000,1350,00000PERCENT OF TIME S 39804,B100000,00000,1400,00000ASSIGNED TIME 39804,E10A180,00501,0300,04/27/2000 39804,S000000,00100,0200,02/29/2000 39804,S200000,00100,0100,1315 GREENSBORO ROAD 39804,S200000,00200,0100,HIGH POINT 39804,S200000,00200,0200,NC 39804,S200000,00200,0300,27260 39804,S200000,00300,0100,GUILFORD 39804,S200000,00400,0100,MARYFIELD NURSING HOME 39804,S200000,00400,0200,345093 39804,S200000,00400,0300,07/01/1973 39804,S200000,00400,0500,P 39804,S200000,00600,0200,346173 39804,S200000,00600,0300,07/01/1973 39804,S200000,00600,0600,P 39804,S200000,01600,0100,Y 39804,S200000,01900,0100,HOSPITAL AUTHORITY 39819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39819,A000000,00300,0000,00300EMPLOYEE BENEFITS 39819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39819,A000000,00700,0000,00700HOUSEKEEPING 39819,A000000,00800,0000,00800DIETARY 39819,A000000,00900,0000,00900NURSING ADMINISTRATION 39819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39819,A000000,01100,0000,01100PHARMACY 39819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39819,A000000,01300,0000,01300SOCIAL SERVICE 39819,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39819,A000000,01600,0000,01600SKILLED NURSING FACILITY 39819,A000000,01800,0000,01800NURSING FACILITY 39819,A000000,01810,0000,01810ICF/MR 39819,A000000,02100,0000,02100RADIOLOGY 39819,A000000,02200,0000,02200LABORATORY 39819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39819,A000000,02500,0000,02500PHYSICAL THERAPY 39819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39819,A000000,02700,0000,02700SPEECH PATHOLOGY 39819,A000000,02800,0000,02800ELECTROCARDIOLOGY 39819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39819,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39819,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39819,A000000,03550,0000,03550FQHC 39819,A000000,05000,0000,05000CORF 39819,A000000,05010,0000,05010CMHC 39819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39819,A000000,05300,0000,05300INTEREST EXPENSE 39819,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39819,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39819,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39819,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39819,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39819,A81000A,00100,0100,Y 39819,A81000B,00100,0300,CONSULTANTS 39819,A81000B,00200,0300,CONSULTANTS 39819,A81000B,00300,0300,CONSULTANTS 39819,A81000B,00400,0300,CONSULTANTS 39819,A81000B,00500,0300,CONSULTANTS 39819,A81000B,00600,0300,HOME OFFICE 39819,A81000C,00100,0100,B 39819,A81000C,00100,0400,BRITTHAVEN INC 39819,A81000C,00100,0600,MGMT SVS 39819,A81000C,00200,0100,B 39819,A81000C,00200,0400,BRITTHAVEN INC 39819,A81000C,00200,0600,MGMT SVS 39819,A81000C,00300,0100,B 39819,A81000C,00300,0400,BRITTHAVEN INC 39819,A81000C,00300,0600,MGMT SVS 39819,A81000C,00400,0100,B 39819,A81000C,00400,0400,BRITTHAVEN INC 39819,A81000C,00400,0600,MGMT SVS 39819,A81000C,00500,0100,B 39819,A81000C,00500,0400,BRITTHAVEN INC 39819,A81000C,00500,0600,MGMT SVS 39819,A81000C,00600,0100,B 39819,A81000C,00600,0400,BRITTHAVEN INC 39819,A81000C,00600,0600,MGMT SVS 39819,A81000C,00700,0100,B 39819,A81000C,00700,0400,BRITTHAVEN INC 39819,A81000C,00700,0600,MGMT SVS 39819,A81000C,00800,0100,B 39819,A81000C,00800,0400,BRITTHAVEN INC 39819,A81000C,00800,0600,MGMT SVS 39819,A81000C,00900,0100,B 39819,A81000C,00900,0400,KARE MEDICAL 39819,A81000C,00900,0600,WHOLESALE SUPPL 39819,A81000C,01000,0100,B 39819,A81000C,01000,0400,PHARMSAVE 39819,A81000C,01000,0600,RX SUPPLY 39819,B100000,00000,0100,00000SQUARE FEET 39819,B100000,00000,0200,00000SQUARE FEET 39819,B100000,00000,0300,00000GROSS SALARIES 39819,B100000,00000,0400,00000ACCUM COST 39819,B100000,00000,0500,00000SQUARE FEET 39819,B100000,00000,0600,00000POUNDS OF LAUNDRY 39819,B100000,00000,0700,00000SQUARE FEET 39819,B100000,00000,0800,00000MEALS SERVED 39819,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39819,B100000,00000,1000,00000COSTED REQUISITIO 39819,B100000,00000,1100,00000COSTED REQUISITIO 39819,B100000,00000,1200,00000TIME SPENT 39819,B100000,00000,1300,00000TIME SPENT 39819,B100000,00000,1350,00000SQUARE FEET 39819,B100000,00000,1400,00000ASSIGNED TIME 39819,E10A180,00501,0100,05/18/2000 39819,E10A180,00501,0300,05/18/2000 39819,S000000,00100,0200,03/21/2000 39819,S200000,00100,0100,208 CARY STREET 39819,S200000,00200,0100,ENFIELD 39819,S200000,00200,0200,NC 39819,S200000,00200,0300,27823 39819,S200000,00300,0100,HALIFAX 39819,S200000,00400,0100,ENFIELD CARE INC. 39819,S200000,00400,0200,345101 39819,S200000,00400,0300,08/01/1979 39819,S200000,00400,0500,P 39819,S200000,01600,0100,Y 39826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39826,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39826,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39826,A000000,00300,0000,00300EMPLOYEE BENEFITS 39826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39826,A000000,00700,0000,00700HOUSEKEEPING 39826,A000000,00800,0000,00800DIETARY 39826,A000000,00801,0000,00801CAFETERIA 39826,A000000,00900,0000,00900NURSING ADMINISTRATION 39826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39826,A000000,01100,0000,01100PHARMACY 39826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39826,A000000,01300,0000,01300SOCIAL SERVICE 39826,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39826,A000000,01600,0000,01600SKILLED NURSING FACILITY 39826,A000000,01800,0000,01800NURSING FACILITY 39826,A000000,01810,0000,01810ICF/MR 39826,A000000,02300,0000,02300INTRAVENOUS THERAPY 39826,A000000,02500,0000,02500PHYSICAL THERAPY 39826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39826,A000000,02700,0000,02700SPEECH PATHOLOGY 39826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39826,A000000,03050,0000,03300OTHER ANCILLARY 39826,A000000,03051,0000,03301OTHER ANCILLARY II 39826,A000000,03052,0000,03302OTHER ANCILLARY III 39826,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39826,A000000,03550,0000,03550FQHC 39826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39826,A000000,05000,0000,05000CORF I 39826,A000000,05010,0000,05010CMHC I 39826,A000000,05020,0000,05020OPT I 39826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39826,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39826,B100000,00000,0100,00000(SQUARE FEET) 39826,B100000,00000,0101,00000(SQUARE FEET) 39826,B100000,00000,0200,00000(SQUARE FEET) 39826,B100000,00000,0201,00000(SQUARE FEET) 39826,B100000,00000,0300,00000(GROSS SALARIES) 39826,B100000,00000,0400,00000(ACCUM. COST) 39826,B100000,00000,0500,00000(SQUARE FEET) 39826,B100000,00000,0600,00000PATIENT DA 39826,B100000,00000,0700,00000(SQUARE FEET) 39826,B100000,00000,0800,00000(MEALS SERVED) 39826,B100000,00000,0801,00000(MEALS SERVED) 39826,B100000,00000,0900,00000(DIRECT NRSING HRS 39826,B100000,00000,1000,00000PATIENT DA 39826,B100000,00000,1100,00000PATIENT DA 39826,B100000,00000,1200,00000PATIENT DA 39826,B100000,00000,1300,00000PATIENT DA 39826,B100000,00000,1350,00000PATIENT DA 39826,B100000,00000,1400,00000(ASSIGNED TIME) 39826,E10A180,00301,0100,03/29/1999 39826,E10A180,00501,0100,07/19/2000 39826,E10A180,00501,0300,07/19/2000 39826,S000000,00100,0200,06/01/2000 39826,S200000,00100,0100,27 N. MAIN STREET 39826,S200000,00200,0100,CANTON 39826,S200000,00200,0200,NC 39826,S200000,00200,0300,28716 39826,S200000,00300,0100,HAYWOOD 39826,S200000,00400,0100,CANTON HEALTH INVESTORS LLC 39826,S200000,00400,0200,345102 39826,S200000,00400,0300,11/23/1973 39826,S200000,00400,0500,P 39826,S200000,00600,0200,345102 39826,S200000,00600,0300,11/23/1973 39826,S200000,00600,0600,P 39826,S200000,01600,0100,Y 39826,S200000,01900,0100,HOSPITAL AUTHORITY 39835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39835,A000000,00300,0000,00300EMPLOYEE BENEFITS 39835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39835,A000000,00700,0000,00700HOUSEKEEPING 39835,A000000,00800,0000,00800DIETARY 39835,A000000,00900,0000,00900NURSING ADMINISTRATION 39835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39835,A000000,01100,0000,01100PHARMACY 39835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39835,A000000,01300,0000,01300SOCIAL SERVICE 39835,A000000,01350,0000,01500OTHER GENERAL SERVICES 39835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39835,A000000,01600,0000,01600SKILLED NURSING FACILITY 39835,A000000,01800,0000,01800NURSING FACILITY 39835,A000000,01810,0000,01810ICF/MR 39835,A000000,01900,0000,01900OTHER LONG TERM CARE 39835,A000000,02100,0000,02100RADIOLOGY 39835,A000000,02200,0000,02200LABORATORY 39835,A000000,02300,0000,02300INTRAVENOUS THERAPY 39835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39835,A000000,02500,0000,02500PHYSICAL THERAPY 39835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39835,A000000,02700,0000,02700SPEECH PATHOLOGY 39835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39835,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 39835,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39835,A000000,03550,0000,03550FQHC 39835,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39835,A000000,05000,0000,05000CORF 39835,A000000,05010,0000,05010CMHC 39835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39835,B100000,00000,0100,00000SQUARE FEET 39835,B100000,00000,0200,00000NO STATISTICS 39835,B100000,00000,0300,00000SALARIES 39835,B100000,00000,0400,00000ACCUM. COST 39835,B100000,00000,0500,00000SQUARE FEET 39835,B100000,00000,0600,00000POUNDS 39835,B100000,00000,0700,00000HOURS 39835,B100000,00000,0800,00000MEALS 39835,B100000,00000,0900,00000NURSING HOURS 39835,B100000,00000,1000,00000NO STATISTICS 39835,B100000,00000,1100,00000NO STATISTICS 39835,B100000,00000,1200,00000HOURS 39835,B100000,00000,1300,00000HOURS 39835,B100000,00000,1350,00000NO STATISTICS 39835,B100000,00000,1400,00000NO STATISTICS 39835,E10A180,00301,0100,03/29/1999 39835,E10A180,00501,0300,06/01/2000 39835,E10A180,00550,0100,06/01/2000 39835,E10A180,00551,0100,07/17/2000 39835,S000000,00100,0200,06/01/2000 39835,S200000,00100,0100,600 FULLWOOD LANE 39835,S200000,00200,0100,MATTHEWS 39835,S200000,00200,0200,NC 39835,S200000,00300,0100,MECKLENBURG 39835,S200000,00400,0100,CARRINGTON PLACE 39835,S200000,00400,0200,345103 39835,S200000,00400,0300,01/25/1974 39835,S200000,00400,0500,P 39835,S200000,01600,0100,Y 39842,S000000,00100,0200,06/01/2000 39850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39850,A000000,00300,0000,00300EMPLOYEE BENEFITS 39850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39850,A000000,00700,0000,00700HOUSEKEEPING 39850,A000000,00800,0000,00800DIETARY 39850,A000000,00900,0000,00900NURSING ADMINISTRATION 39850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39850,A000000,01100,0000,01100PHARMACY 39850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39850,A000000,01300,0000,01300SOCIAL SERVICE 39850,A000000,01350,0000,01500OTHER GENERAL SERVICES 39850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39850,A000000,01600,0000,01600SKILLED NURSING FACILITY 39850,A000000,01800,0000,01800NURSING FACILITY 39850,A000000,01810,0000,01810ICF/MR 39850,A000000,02200,0000,02200LABORATORY 39850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39850,A000000,02500,0000,02500PHYSICAL THERAPY 39850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39850,A000000,02700,0000,02700SPEECH PATHOLOGY 39850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39850,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39850,A000000,03550,0000,03550FQHC 39850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39850,A000000,05000,0000,05000CORF 39850,A000000,05010,0000,05010CMHC 39850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39850,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39850,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39850,B100000,00000,0100,00000SQUARE FEET 39850,B100000,00000,0200,00000DOLLAR VALUE 39850,B100000,00000,0300,00000GROSS SALARIES 39850,B100000,00000,0400,00000ACCUM. COST 39850,B100000,00000,0500,00000SQUARE FEET 39850,B100000,00000,0600,00000POUNDS OF LAUNDRY 39850,B100000,00000,0700,00000HOURS OF SERVICE 39850,B100000,00000,0800,00000MEALS SERVED 39850,B100000,00000,0900,00000DIRECT NRSING HRS 39850,B100000,00000,1000,00000COSTED REQUIS. 39850,B100000,00000,1100,00000COSTED REQUIS. 39850,B100000,00000,1200,00000TIME SPENT 39850,B100000,00000,1300,00000TIME SPENT 39850,B100000,00000,1350,00000NO STATISTICS 39850,B100000,00000,1400,00000ASSIGNED TIME 39850,E10A180,00301,0100,03/29/1999 39850,E10A180,00501,0300,06/01/2000 39850,E10A180,00550,0100,06/01/2000 39850,E10A180,00551,0100,07/17/2000 39850,S000000,00100,0200,06/01/2000 39850,S200000,00100,0100,1125 10TH ST BLVD. NW 39850,S200000,00200,0100,HICKORY 39850,S200000,00200,0200,NC 39850,S200000,00300,0100,CATAWBA 39850,S200000,00400,0100,PELLCARE OF HICKORY 39850,S200000,00400,0200,345106 39850,S200000,00400,0300,12/10/1973 39850,S200000,00400,0500,P 39850,S200000,00600,0200,345106 39850,S200000,00600,0300,12/10/1973 39850,S200000,00600,0600,P 39850,S200000,01600,0100,Y 39850,S200000,01900,0100,HOSPITAL AUTHORITY 39859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39859,A000000,00300,0000,00300EMPLOYEE BENEFITS 39859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39859,A000000,00700,0000,00700HOUSEKEEPING 39859,A000000,00800,0000,00800DIETARY 39859,A000000,00900,0000,00900NURSING ADMINISTRATION 39859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39859,A000000,01100,0000,01100PHARMACY 39859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39859,A000000,01300,0000,01300SOCIAL SERVICE 39859,A000000,01350,0000,01500OTHER GENERAL SERVICES 39859,A000000,01351,0000,01501PATIENT ACTIVITIES 39859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39859,A000000,01600,0000,01600SKILLED NURSING FACILITY 39859,A000000,01800,0000,01800NURSING FACILITY 39859,A000000,01810,0000,01810ICF/MR 39859,A000000,01900,0000,01900OTHER LONG TERM CARE 39859,A000000,02100,0000,02100RADIOLOGY 39859,A000000,02200,0000,02200LABORATORY 39859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39859,A000000,02500,0000,02500PHYSICAL THERAPY 39859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39859,A000000,02700,0000,02700SPEECH PATHOLOGY 39859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39859,A000000,03550,0000,03550FQHC 39859,A000000,05000,0000,05000CORF 39859,A000000,05010,0000,05010CMHC 39859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39859,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39859,A81000A,00100,0100,Y 39859,A81000B,00100,0300,DEPRECIATION 39859,A81000B,00200,0300,BENEFITS FROM HOME OFFICE 39859,A81000B,00300,0300,MANAGEMENT FEES 39859,A81000B,00400,0300,STOCK DRUGS 39859,A81000B,00500,0300,MINISTERIAL ASSISTANCE 39859,A81000B,00600,0300,PHARMACY 39859,A81000B,00700,0300,PHARMACY CONSULTING 39859,A81000C,00100,0100,B 39859,A81000C,00100,0200,LUTHERAN NURSING HOME ALB 39859,A81000C,00100,0400,LUTHERAN SVCS F/T AGING 39859,A81000C,00100,0600,LONG TERM CARE 39859,B100000,00000,0100,00000SQUARE FEET 39859,B100000,00000,0200,00000SQUARE FEET 39859,B100000,00000,0300,00000GROSS SALARIES 39859,B100000,00000,0400,00000ACCUM. COST 39859,B100000,00000,0500,00000SQUARE FEET 39859,B100000,00000,0600,00000POUNDS OF LAUNDRY 39859,B100000,00000,0700,00000SQUARE FEET 39859,B100000,00000,0800,00000RESIDENT DAYS 39859,B100000,00000,0900,00000DIRECT NRSING HRS 39859,B100000,00000,1000,00000COSTED REQUIS 39859,B100000,00000,1100,00000COSTED REQUIS 39859,B100000,00000,1200,00000TIME SPENT 39859,B100000,00000,1300,00000RESIDENT DAYS 39859,B100000,00000,1350,00000RESIDENT DAYS 39859,B100000,00000,1351,00000RESIDENT DAYS 39859,B100000,00000,1400,00000ASSIGNED TIME 39859,E10A180,00301,0100,04/12/1999 39859,E10A180,00550,0100,06/02/2000 39859,E10A180,00550,0300,06/02/2000 39859,S000000,00100,0200,06/02/2000 39859,S200000,00100,0100,24724 HIGHWAY 52 SOUTH 39859,S200000,00100,0300,308 39859,S200000,00200,0100,ALBEMARLE 39859,S200000,00200,0200,NC 39859,S200000,00300,0100,STANLY 39859,S200000,00400,0100,LUTHERAN NURSING HOMES - ALBEMARLE 39859,S200000,00400,0200,345109 39859,S200000,00400,0300,10/04/1973 39859,S200000,00400,0500,P 39859,S200000,00600,0200,346192 39859,S200000,00600,0300,10/04/1973 39859,S200000,00600,0600,P 39859,S200000,01700,0100,Y 39867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39867,A000000,00300,0000,00300EMPLOYEE BENEFITS 39867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39867,A000000,00700,0000,00700HOUSEKEEPING 39867,A000000,00800,0000,00800DIETARY 39867,A000000,00900,0000,00900NURSING ADMINISTRATION 39867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39867,A000000,01100,0000,01100PHARMACY 39867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39867,A000000,01300,0000,01300SOCIAL SERVICE 39867,A000000,01350,0000,01500PATIENT ACTIVITIES 39867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39867,A000000,01600,0000,01600SKILLED NURSING FACILITY 39867,A000000,01810,0000,01810ICF/MR 39867,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39867,A000000,02500,0000,02500PHYSICAL THERAPY 39867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39867,A000000,02700,0000,02700SPEECH PATHOLOGY 39867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39867,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39867,A000000,03550,0000,03550FQHC 39867,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39867,A000000,05000,0000,05000CORF 39867,A000000,05010,0000,05010CMHC 39867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39867,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39867,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39867,A81000A,00100,0100,Y 39867,A81000B,00100,0300,CENTRAL OFFICE OVHD 39867,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 39867,A81000C,00100,0100,B 39867,A81000C,00100,0200,AUTUMN CORPORATION 39867,A81000C,00100,0400,HOME OFFICE 39867,B100000,00000,0100,00000SQUARE FEET 39867,B100000,00000,0200,00000SQUARE FEET 39867,B100000,00000,0300,00000GROSS SALARIES 39867,B100000,00000,0400,00000ACCUM. COST 39867,B100000,00000,0500,00000SQUARE FEET 39867,B100000,00000,0600,00000POUNDS OF LAUNDRY 39867,B100000,00000,0700,00000SQ FT W/O DIETARY 39867,B100000,00000,0800,00000PATIENT DAYS 39867,B100000,00000,0900,00000HOURS OF SERVICE 39867,B100000,00000,1000,00000PATIENT DAYS 39867,B100000,00000,1100,00000PATIENT DAYS 39867,B100000,00000,1200,00000PATIENT DAYS 39867,B100000,00000,1300,00000PATIENT DAYS 39867,B100000,00000,1350,00000PATIENT DAYS 39867,B100000,00000,1400,00000ASSIGNED TIME 39867,E10A180,00301,0100,03/15/1999 39867,S000000,00100,0200,05/09/2000 39867,S200000,00100,0100,TIMBERLANE ROAD 39867,S200000,00100,0300,330 39867,S200000,00200,0100,WAYNESVILLE 39867,S200000,00200,0200,NC 39867,S200000,00300,0100,HAYWOOD 39867,S200000,00400,0100,AUTUMN CARE OF WAYNESVILLE 39867,S200000,00400,0200,345110 39867,S200000,00400,0300,06/28/1984 39867,S200000,00400,0500,P 39867,S200000,01500,0100,Y 39870,S000000,00100,0200,03/15/2000 39886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39886,A000000,00300,0000,00300EMPLOYEE BENEFITS 39886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39886,A000000,00700,0000,00700HOUSEKEEPING 39886,A000000,00800,0000,00800DIETARY 39886,A000000,00900,0000,00900NURSING ADMINISTRATION 39886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39886,A000000,01100,0000,01100PHARMACY 39886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39886,A000000,01300,0000,01300SOCIAL SERVICE 39886,A000000,01301,0000,01301ACTIVITES 39886,A000000,01350,0000,01500REHABILITATION 39886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39886,A000000,01600,0000,01600SKILLED NURSING FACILITY 39886,A000000,01800,0000,01800NURSING FACILITY 39886,A000000,01810,0000,01810ICF/MR 39886,A000000,02100,0000,02100RADIOLOGY 39886,A000000,02200,0000,02200LABORATORY 39886,A000000,02300,0000,02300INTRAVENOUS THERAPY 39886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39886,A000000,02500,0000,02500PHYSICAL THERAPY 39886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39886,A000000,02700,0000,02700SPEECH PATHOLOGY 39886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39886,A000000,03050,0000,03300EQUIPMENT RENTAL 39886,A000000,03051,0000,03301PEN THERAPY 39886,A000000,03550,0000,03550FQHC 39886,A000000,05000,0000,05000CORF 39886,A000000,05010,0000,05010CMHC 39886,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39886,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39886,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39886,A000000,06150,0000,06300VENDING 39886,A000000,06151,0000,06301STAND-BY 39886,A81000A,00100,0100,Y 39886,A81000B,00100,0300,CENTRAL SUPPLY 39886,A81000B,00200,0300,DIETARY SUPPLEMENTS 39886,A81000B,00300,0300,RADIOLOGY 39886,A81000B,00400,0300,PRESCRIPTION DRUGS 39886,A81000B,00500,0300,MEDICAL SUPPLIES 39886,A81000B,00600,0300,ADMIN COSTS 39886,A81000B,00700,0300,BLDG CAPITAL 39886,A81000B,00800,0300,IV THERAPY 39886,A81000B,00900,0300,PHYSICAL THERAPY 39886,A81000B,01000,0300,OCCUPATIONAL THERAPY 39886,A81000B,01100,0300,SPEECH THERAPY 39886,A81000C,00100,0100,B 39886,A81000C,00100,0200,BCHR SALISBURY 39886,A81000C,00100,0400,MARINER PAN 39886,A81000C,00100,0600,NURSING HOMES 39886,A81000C,00200,0100,G 39886,A81000C,00200,0200,MARINER PAN 39886,A81000C,00200,0400,AMER PHARM SVCS 39886,A81000C,00200,0600,PHARMACEUTICALS 39886,A81000C,00300,0100,G 39886,A81000C,00300,0200,MARINER PAN 39886,A81000C,00300,0400,PRISM-ATS-ARS-T 39886,A81000C,00300,0600,THERAPIES 39886,B100000,00000,0100,00001SQUARE FEET 39886,B100000,00000,0200,00001SQUARE FEET 39886,B100000,00000,0300,00001GROSS SALARIES 39886,B100000,00000,0400,00001ACCUM COST 39886,B100000,00000,0500,00001SQUARE FEET 39886,B100000,00000,0600,00001PATIENT DAYS 39886,B100000,00000,0700,00001SQUARE FEET 39886,B100000,00000,0800,00001MEALS SERVED 39886,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39886,B100000,00000,1000,00001PATIENT DAYS 39886,B100000,00000,1100,00001COSTED REQUIS 39886,B100000,00000,1200,00001PATIENT DAYS 39886,B100000,00000,1300,00001PATIENT DAYS 39886,B100000,00000,1301,00001PATIENT DAYS 39886,B100000,00000,1350,00001UNITS OF SERVICE 39886,B100000,00000,1400,00001ASSIGNED TIME 39886,E10A180,00301,0100,07/19/1999 39886,E10A180,00302,0100,07/19/1999 39886,E10A180,00550,0100,08/30/2000 39886,E10A180,00550,0300,08/30/2000 39886,S000000,00100,0200,08/30/2000 39886,S200000,00100,0100,635 STATESVILLE BLVD 39886,S200000,00200,0100,SALISBURY 39886,S200000,00200,0200,NC 39886,S200000,00200,0300,28144 39886,S200000,00300,0100,ROMAN 39886,S200000,00400,0100,BRIAN CTR HLTH & REHAB/SALISBURY 39886,S200000,00400,0200,345115 39886,S200000,00400,0300,10/01/1974 39886,S200000,00400,0500,P 39886,S200000,01600,0100,Y 39886,S200000,02200,0100,Y 39901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39901,A000000,00300,0000,00300EMPLOYEE BENEFITS 39901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39901,A000000,00700,0000,00700HOUSEKEEPING 39901,A000000,00800,0000,00800DIETARY 39901,A000000,00900,0000,00900NURSING ADMINISTRATION 39901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39901,A000000,01100,0000,01100PHARMACY 39901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39901,A000000,01300,0000,01300SOCIAL SERVICE 39901,A000000,01350,0000,01500PATIENT ACTIVITIES 39901,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39901,A000000,01600,0000,01600SKILLED NURSING FACILITY 39901,A000000,01810,0000,01810ICF/MR 39901,A000000,01900,0000,01900OTHER LONG TERM CARE 39901,A000000,02500,0000,02500PHYSICAL THERAPY 39901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39901,A000000,02700,0000,02700SPEECH PATHOLOGY 39901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39901,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39901,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39901,A000000,03550,0000,03550FQHC 39901,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39901,A000000,05000,0000,05000CORF 39901,A000000,05010,0000,05010CMHC 39901,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39901,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39901,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39901,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39901,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 39901,A000000,06150,0000,06300INDEPENDENT LIVING 39901,A81000A,00100,0100,Y 39901,A81000B,00100,0300,HOME OFFICE CAPITAL 39901,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 39901,A81000B,00300,0300,LEGEND DRUGS 39901,A81000B,00400,0300,NON-LEGEND DRUGS 39901,A81000B,00500,0300,PHARMACY EMPLOYEE BENEFITS 39901,A81000B,00600,0300,MANAGEMENT FEES 39901,A81000C,00100,0100,B 39901,A81000C,00100,0200,COBLE HEALTH CARE CENTER 39901,A81000C,00100,0400,UNITED METHODIST RET. HOM 39901,A81000C,00100,0600,HOME OFFICE 39901,B100000,00000,0100,00000SQUARE FEET 39901,B100000,00000,0200,00000SQUARE FEET 39901,B100000,00000,0300,00000GROSS SALARIES 39901,B100000,00000,0400,00000ACCUM. COST 39901,B100000,00000,0500,00000SQUARE FEET 39901,B100000,00000,0600,00000POUNDS OF LAUNDRY 39901,B100000,00000,0700,00000PRO-RATED SQUARE FEE 39901,B100000,00000,0800,00000MEALS SERVED 39901,B100000,00000,0900,00000DIRECT NRSING HRS 39901,B100000,00000,1000,00000PATIENT DAYS 39901,B100000,00000,1100,00000PATIENT DAYS 39901,B100000,00000,1200,00000PATIENT DAYS 39901,B100000,00000,1300,00000PATIENT DAYS 39901,B100000,00000,1350,00000PATIENT DAYS 39901,B100000,00000,1400,00000ASSIGNED TIME 39901,E10A180,00501,0100,07/19/2000 39901,E10A180,00501,0300,07/19/2000 39901,S000000,00100,0200,05/31/2000 39901,S200000,00100,0100,2616 ERWIN ROAD 39901,S200000,00200,0100,DURHAM 39901,S200000,00200,0200,NC 39901,S200000,00200,0300,27705 39901,S200000,00300,0100,DURHAM 39901,S200000,00400,0100,COBLE HEALTH CARE CENTER 39901,S200000,00400,0200,345120 39901,S200000,00400,0300,01/01/1970 39901,S200000,00400,0500,P 39901,S200000,01600,0100,Y 39909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39909,A000000,00300,0000,00300EMPLOYEE BENEFITS 39909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39909,A000000,00700,0000,00700HOUSEKEEPING 39909,A000000,00800,0000,00800DIETARY 39909,A000000,00900,0000,00900NURSING ADMINISTRATION 39909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39909,A000000,01100,0000,01100PHARMACY 39909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39909,A000000,01300,0000,01300SOCIAL SERVICE 39909,A000000,01350,0000,01500OTHER GENERAL SERVICES 39909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39909,A000000,01600,0000,01600SKILLED NURSING FACILITY 39909,A000000,01810,0000,01810ICF/MR 39909,A000000,02100,0000,02100RADIOLOGY 39909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39909,A000000,02500,0000,02500PHYSICAL THERAPY 39909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39909,A000000,02700,0000,02700SPEECH PATHOLOGY 39909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39909,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39909,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 39909,A000000,03550,0000,03550FQHC 39909,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39909,A000000,04800,0000,04800AMBULANCE 39909,A000000,05000,0000,05000CORF 39909,A000000,05010,0000,05010CMHC 39909,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39909,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39909,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39909,A000000,05300,0000,05300INTEREST EXPENSE 39909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39909,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39909,B100000,00000,0100,00000SQUARE FEET 39909,B100000,00000,0200,00000SQUARE FEET 39909,B100000,00000,0300,00000GROSS SALARIES 39909,B100000,00000,0400,00000ACCUM. COST 39909,B100000,00000,0500,00000SQUARE FEET 39909,B100000,00000,0600,00000POUNDS OF LAUNDRY 39909,B100000,00000,0700,00000SQUARE FEET 39909,B100000,00000,0800,00000MEALS SERVED 39909,B100000,00000,0900,00000HOURS OF SERVICE 39909,B100000,00000,1000,00000COSTEDREQU UISITIONS 39909,B100000,00000,1100,00000NO STATISTICS 39909,B100000,00000,1200,00000NO STATISTICS 39909,B100000,00000,1300,00000NO STATISTICS 39909,B100000,00000,1350,00000NO STATISTICS 39909,B100000,00000,1400,00000NO STATISTICS 39909,E10A180,00501,0300,10/30/2000 39909,S000000,00100,0200,09/19/2000 39909,S200000,00100,0100,600 CAROLINA VILLAGE ROAD 39909,S200000,00200,0100,HENDERSONVILLE 39909,S200000,00200,0200,NC 39909,S200000,00200,0300,28792 39909,S200000,00300,0100,HENDERSON 39909,S200000,00400,0100,CAROLINA VILLAGE INC 39909,S200000,00400,0200,345123 39909,S200000,00400,0300,10/01/1974 39909,S200000,00400,0500,P 39909,S200000,01500,0100,Y 39909,S200000,01700,0100,Y 39909,S200000,02800,0100,Y 39922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39922,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39922,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39922,A000000,00300,0000,00300EMPLOYEE BENEFITS 39922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39922,A000000,00700,0000,00700HOUSEKEEPING 39922,A000000,00800,0000,00800DIETARY 39922,A000000,00801,0000,00801CAFETERIA 39922,A000000,00900,0000,00900NURSING ADMINISTRATION 39922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39922,A000000,01100,0000,01100PHARMACY 39922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39922,A000000,01300,0000,01300SOCIAL SERVICE 39922,A000000,01350,0000,01500ACTIVITIES 39922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39922,A000000,01600,0000,01600SKILLED NURSING FACILITY 39922,A000000,01810,0000,01810ICF/MR 39922,A000000,02100,0000,02100RADIOLOGY 39922,A000000,02200,0000,02200LABORATORY 39922,A000000,02500,0000,02500PHYSICAL THERAPY 39922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39922,A000000,02700,0000,02700SPEECH PATHOLOGY 39922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39922,A000000,03050,0000,03300PEN THERAPY 39922,A000000,03051,0000,03301PROSTHETICS 39922,A000000,03052,0000,03302WOUND CARE 39922,A000000,03200,0000,03200SUPPORT SURFACES 39922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39922,A000000,03550,0000,03550FQHC 39922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39922,A000000,04800,0000,04800AMBULANCE 39922,A000000,05000,0000,05000CORF I 39922,A000000,05010,0000,05010CMHC I 39922,A000000,05020,0000,05020OPT I 39922,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39922,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39922,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39922,A81000A,00100,0100,Y 39922,A81000B,00100,0300,MANAGEMENT FEES 39922,A81000B,00200,0300,NURSING SUPPLIES 39922,A81000B,00300,0300,LEGEND DRUGS 39922,A81000B,00400,0300,OTC 39922,A81000B,00500,0300,MEDICAL SUPPLIES 39922,A81000B,00600,0300,PHARMACY CONSULTANT 39922,A81000C,00100,0100,B 39922,A81000C,00100,0400,WHITE OAK MANOR 39922,A81000C,00100,0600,NSG HOME CHAIN 39922,A81000C,00200,0100,B 39922,A81000C,00200,0400,WHITE OAK MANOR 39922,A81000C,00200,0600,PHARMACY 39922,B100000,00000,0100,00000(SQUARE FEET) 39922,B100000,00000,0101,00000(SQUARE FEET) 39922,B100000,00000,0200,00000(SQUARE FEET) 39922,B100000,00000,0201,00000(SQUARE FEET) 39922,B100000,00000,0300,00000(GROSS SALARIES) 39922,B100000,00000,0400,00000(ACCUM. COST) 39922,B100000,00000,0500,00000(SQUARE FEET) 39922,B100000,00000,0600,00000(PATIENT DAYS) 39922,B100000,00000,0700,00000(SQUARE FEET) 39922,B100000,00000,0800,00000(MEALS SERVED) 39922,B100000,00000,0801,00000(MEALS SERVED) 39922,B100000,00000,0900,00000(PATIENT DAYS) 39922,B100000,00000,1000,00000(PATIENT DAYS) 39922,B100000,00000,1100,00000(PATIENT DAYS) 39922,B100000,00000,1200,00000(PATIENT DAYS) 39922,B100000,00000,1300,00000(PATIENT DAYS) 39922,B100000,00000,1350,00000(PATIENT DAYS) 39922,B100000,00000,1400,00000(ASSIGNED TIME) 39922,E10A180,00301,0100,03/29/1999 39922,E10A180,00501,0100,04/25/2000 39922,E10A180,00501,0300,04/25/2000 39922,S000000,00100,0200,02/25/2000 39922,S200000,00100,0100,200 OAK STREET 39922,S200000,00100,0300,1535 39922,S200000,00200,0100,TRYON 39922,S200000,00200,0200,NC 39922,S200000,00200,0300,28782 39922,S200000,00300,0100,POLK 39922,S200000,00400,0100,WHITE OAK MANOR-TRYON 39922,S200000,00400,0200,345127 39922,S200000,00400,0300,12/19/1974 39922,S200000,00400,0500,P 39922,S200000,01500,0100,Y 39922,S200000,01900,0100,HOSPITAL AUTHORITY 39922,S200000,02200,0100,Y 39922,S200000,04700,0100,Y 39930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39930,A000000,00300,0000,00300EMPLOYEE BENEFITS 39930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39930,A000000,00700,0000,00700HOUSEKEEPING 39930,A000000,00800,0000,00800DIETARY 39930,A000000,00900,0000,00900NURSING ADMINISTRATION 39930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39930,A000000,01100,0000,01100PHARMACY 39930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39930,A000000,01300,0000,01300SOCIAL SERVICE 39930,A000000,01301,0000,01301ACTIVITES 39930,A000000,01350,0000,01500REHABILITATION 39930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39930,A000000,01600,0000,01600SKILLED NURSING FACILITY 39930,A000000,01800,0000,01800NURSING FACILITY 39930,A000000,01810,0000,01810ICF/MR 39930,A000000,01900,0000,01900OTHER LONG TERM CARE 39930,A000000,02100,0000,02100RADIOLOGY 39930,A000000,02200,0000,02200LABORATORY 39930,A000000,02300,0000,02300INTRAVENOUS THERAPY 39930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39930,A000000,02500,0000,02500PHYSICAL THERAPY 39930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39930,A000000,02700,0000,02700SPEECH PATHOLOGY 39930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39930,A000000,03050,0000,03300EQUIPMENT RENTAL 39930,A000000,03051,0000,03301PEN THERAPY 39930,A000000,03550,0000,03550FQHC 39930,A000000,05000,0000,05000CORF 39930,A000000,05010,0000,05010CMHC 39930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39930,A000000,06150,0000,06300VENDING 39930,A000000,06151,0000,06301STAND-BY 39930,A81000A,00100,0100,Y 39930,A81000B,00100,0300,HOME OFFICE COST 39930,A81000B,00200,0300,DIETARY SUPPLEMENTS 39930,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 39930,A81000B,00400,0300,PRESCRIPTION DRUGS 39930,A81000B,00500,0300,MEDICAL SUPPLIES 39930,A81000B,00600,0300,ADMIN COSTS 39930,A81000B,00700,0300,HOME OFFICE INTEREST 39930,A81000B,00800,0300,EQUIPMENT REPLACEMENT 39930,A81000B,00900,0300,IV THERAPY 39930,A81000B,01000,0300,PHYSICAL THERAPY 39930,A81000B,01100,0300,OCCUPATIONAL THERAPY 39930,A81000B,01200,0300,SPEECH THERAPY 39930,A81000C,00100,0100,B 39930,A81000C,00100,0200,BC STATESVILLE 39930,A81000C,00100,0400,MARINER PAN 39930,A81000C,00100,0600,NURSING HOMES 39930,A81000C,00200,0100,G 39930,A81000C,00200,0200,MARINER PAN 39930,A81000C,00200,0400,AMER PHARM SVCS 39930,A81000C,00200,0600,PHARMACEUTICALS 39930,A81000C,00300,0100,G 39930,A81000C,00300,0200,MARINER PAN 39930,A81000C,00300,0400,PRISM-ATS-ARS-T 39930,A81000C,00300,0600,THERAPIES 39930,B100000,00000,0100,00001SQUARE FEET 39930,B100000,00000,0200,00001SQUARE FEET 39930,B100000,00000,0300,00001GROSS SALARIES 39930,B100000,00000,0400,00001ACCUM COST 39930,B100000,00000,0500,00001SQUARE FEET 39930,B100000,00000,0600,00001PATIENT DAYS 39930,B100000,00000,0700,00001SQUARE FEET 39930,B100000,00000,0800,00001MEALS SERVED 39930,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 39930,B100000,00000,1000,00001PATIENT DAYS 39930,B100000,00000,1100,00001COSTED REQUIS 39930,B100000,00000,1200,00001PATIENT DAYS 39930,B100000,00000,1300,00001PATIENT DAYS 39930,B100000,00000,1301,00001PATIENT DAYS 39930,B100000,00000,1350,00001UNITS OF SERVICE 39930,B100000,00000,1400,00001ASSIGNED TIME 39930,E10A180,00501,0100,10/24/2000 39930,S000000,00100,0200,08/30/2000 39930,S200000,00100,0100,520 VALLEY STREET 39930,S200000,00200,0100,STATESVILLE 39930,S200000,00200,0200,NC 39930,S200000,00200,0300,28677 39930,S200000,00300,0100,IREDELL 39930,S200000,00400,0100,BRIAN CTR HLTH & REHAB/STATESVILLE 39930,S200000,00400,0200,345128 39930,S200000,00400,0300,11/08/1974 39930,S200000,00400,0500,P 39930,S200000,01600,0100,Y 39930,S200000,02200,0100,Y 39938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39938,A000000,00300,0000,00300EMPLOYEE BENEFITS 39938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39938,A000000,00700,0000,00700HOUSEKEEPING 39938,A000000,00800,0000,00800DIETARY 39938,A000000,00900,0000,00900NURSING ADMINISTRATION 39938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39938,A000000,01100,0000,01100PHARMACY 39938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39938,A000000,01300,0000,01300SOCIAL SERVICE 39938,A000000,01350,0000,01500PATIENT ACTIVITIES 39938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39938,A000000,01600,0000,01600SKILLED NURSING FACILITY 39938,A000000,01800,0000,01800NURSING FACILITY 39938,A000000,01810,0000,01810ICF/MR 39938,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39938,A000000,02500,0000,02500PHYSICAL THERAPY 39938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39938,A000000,02700,0000,02700SPEECH PATHOLOGY 39938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39938,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 39938,A000000,03200,0000,03200SUPPORT SURFACES 39938,A000000,03550,0000,03550FQHC 39938,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39938,A000000,05000,0000,05000CORF 39938,A000000,05010,0000,05010CMHC 39938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39938,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39938,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39938,A81000A,00100,0100,Y 39938,A81000B,00100,0300,CENTRAL OFFICE OVHD 39938,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 39938,A81000B,00300,0300,AUTUMN CARE OF MOCKSVILLE 39938,A81000C,00100,0100,A 39938,A81000C,00100,0200,AUTUMN CORPORATION 39938,A81000C,00100,0400,HOME OFFICE 39938,A81000C,00200,0100,A 39938,A81000C,00200,0200,AUTUMN CORPORATION 39938,A81000C,00200,0400,HOME OFFICE 39938,A81000C,00300,0100,B 39938,A81000C,00300,0200,AUTUMN CARE OF MOCKSVILLE 39938,A81000C,00300,0400,BUILDING RENTAL 39938,B100000,00000,0100,00000SQUARE FEET 39938,B100000,00000,0200,00000SQUARE FEET 39938,B100000,00000,0300,00000GROSS SALARIES 39938,B100000,00000,0400,00000ACCUM. COST 39938,B100000,00000,0500,00000SQUARE FEET 39938,B100000,00000,0600,00000POUNDS OF LAUNDRY 39938,B100000,00000,0700,00000SQ FEET W/O DI 39938,B100000,00000,0800,00000PATIENT DAYS 39938,B100000,00000,0900,00000HOURS OF SERVICE 39938,B100000,00000,1000,00000PATIENT DAYS 39938,B100000,00000,1100,00000PATIENT DAYS 39938,B100000,00000,1200,00000PATIENT DAYS 39938,B100000,00000,1300,00000PATIENT DAYS 39938,B100000,00000,1350,00000PATIENT DAYS 39938,B100000,00000,1400,00000ASSIGNED TIME 39938,E10A180,00301,0100,03/15/1999 39938,E10A180,00501,0300,06/27/2000 39938,E10A180,00550,0100,06/27/2000 39938,S000000,00100,0200,05/09/2000 39938,S200000,00100,0100,1007 HOWARD STREET 39938,S200000,00200,0100,MOCKSVILLE 39938,S200000,00200,0200,NC 39938,S200000,00300,0100,DAVIE 39938,S200000,00400,0100,AUTUMN CARE OF MOCKSVILLE 39938,S200000,00400,0200,345129 39938,S200000,00400,0300,10/10/1974 39938,S200000,00400,0500,P 39938,S200000,00600,0200,346212 39938,S200000,00600,0300,10/10/1974 39938,S200000,00600,0600,P 39938,S200000,01600,0100,Y 39955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39955,A000000,00300,0000,00300EMPLOYEE BENEFITS 39955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39955,A000000,00700,0000,00700HOUSEKEEPING 39955,A000000,00800,0000,00800DIETARY 39955,A000000,00900,0000,00900NURSING ADMINISTRATION 39955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39955,A000000,01100,0000,01100PHARMACY 39955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39955,A000000,01300,0000,01300SOCIAL SERVICE 39955,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39955,A000000,01600,0000,01600SKILLED NURSING FACILITY 39955,A000000,01800,0000,01800NURSING FACILITY 39955,A000000,01810,0000,01810ICF/MR 39955,A000000,02100,0000,02100RADIOLOGY 39955,A000000,02200,0000,02200LABORATORY 39955,A000000,02500,0000,02500PHYSICAL THERAPY 39955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39955,A000000,02700,0000,02700SPEECH PATHOLOGY 39955,A000000,02800,0000,02800ELECTROCARDIOLOGY 39955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39955,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39955,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39955,A000000,03550,0000,03550FQHC 39955,A000000,05000,0000,05000CORF 39955,A000000,05010,0000,05010CMHC 39955,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39955,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39955,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39955,A000000,05300,0000,05300INTEREST EXPENSE 39955,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39955,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39955,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39955,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39955,B100000,00000,0100,00000SQUARE FEET 39955,B100000,00000,0200,00000SQUARE FEET 39955,B100000,00000,0300,00000GROSS SALARIES 39955,B100000,00000,0400,00000ACCUM COST 39955,B100000,00000,0500,00000SQUARE FEET 39955,B100000,00000,0600,00000POUNDS OF LAUNDRY 39955,B100000,00000,0700,00000HOURS OF SERVICE 39955,B100000,00000,0800,00000MEALS SERVED 39955,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39955,B100000,00000,1000,00000COSTED REQUISITIO 39955,B100000,00000,1100,00000COSTED REQUISITIO 39955,B100000,00000,1200,00000TIME SPENT 39955,B100000,00000,1300,00000TIME SPENT 39955,B100000,00000,1350,00000 39955,B100000,00000,1400,00000ASSIGNED TIME 39955,E10A180,00501,0100,05/16/2000 39955,E10A180,00550,0300,05/16/2000 39955,S000000,00100,0200,05/16/2000 39955,S200000,00100,0100,801 GREENHAVEN DRIVE 39955,S200000,00200,0100,GREENSBORO 39955,S200000,00200,0200,NC 39955,S200000,00200,0300,27406 39955,S200000,00300,0100,GUILFORD 39955,S200000,00400,0100,HEALTHHAVEN NURSING CENTER INC. 39955,S200000,00400,0200,345132 39955,S200000,00400,0300,08/01/1984 39955,S200000,00400,0500,P 39955,S200000,00600,0200,345132 39955,S200000,00600,0300,08/01/1984 39955,S200000,00600,0600,P 39955,S200000,01600,0100,Y 39955,S200000,03100,0100,Y 39957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39957,A000000,00300,0000,00300EMPLOYEE BENEFITS 39957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39957,A000000,00700,0000,00700HOUSEKEEPING 39957,A000000,00800,0000,00800DIETARY 39957,A000000,00900,0000,00900NURSING ADMINISTRATION 39957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39957,A000000,01100,0000,01100PHARMACY 39957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39957,A000000,01300,0000,01300SOCIAL SERVICE 39957,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39957,A000000,01600,0000,01600SKILLED NURSING FACILITY 39957,A000000,01800,0000,01800NURSING FACILITY 39957,A000000,01810,0000,01810ICF/MR 39957,A000000,02100,0000,02100RADIOLOGY 39957,A000000,02200,0000,02200LABORATORY 39957,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39957,A000000,02500,0000,02500PHYSICAL THERAPY 39957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39957,A000000,02700,0000,02700SPEECH PATHOLOGY 39957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39957,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39957,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39957,A000000,03550,0000,03550FQHC 39957,A000000,05000,0000,05000CORF 39957,A000000,05010,0000,05010CMHC 39957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39957,A000000,05300,0000,05300INTEREST EXPENSE 39957,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39957,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39957,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 39957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39957,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39957,A81000A,00100,0100,Y 39957,A81000B,00100,0300,CONSULTING 39957,A81000B,00200,0300,CONSULTING 39957,A81000B,00300,0300,CONSULTING 39957,A81000B,00400,0300,CONSULTING 39957,A81000B,00500,0300,HOME OFFICE 39957,A81000B,00600,0300,CONSULTING 39957,A81000C,00100,0100,B 39957,A81000C,00100,0400,BRITTHAVEN INC 39957,A81000C,00100,0600,MGMT SVS 39957,A81000C,00200,0100,B 39957,A81000C,00200,0400,BRITTHAVEN INC 39957,A81000C,00200,0600,MGMT SVS 39957,A81000C,00300,0100,B 39957,A81000C,00300,0400,BRITTHAVEN INC 39957,A81000C,00300,0600,MGMT SVS 39957,A81000C,00400,0100,B 39957,A81000C,00400,0400,BRITTHAVEN INC 39957,A81000C,00400,0600,MGMT SVS 39957,A81000C,00500,0100,B 39957,A81000C,00500,0400,BRITTHAVEN INC 39957,A81000C,00500,0600,MGMT SVS 39957,A81000C,00600,0100,B 39957,A81000C,00600,0400,BRITTHAVEN INC 39957,A81000C,00600,0600,MGMT SVS 39957,A81000C,00700,0100,B 39957,A81000C,00700,0400,BRITTHAVEN INC 39957,A81000C,00700,0600,MGMT SVS 39957,A81000C,00800,0100,B 39957,A81000C,00800,0400,BRITTHAVEN INC 39957,A81000C,00800,0600,MGMT SVS 39957,A81000C,00900,0100,B 39957,A81000C,00900,0400,BRITTHAVEN INC 39957,A81000C,00900,0600,MGMT SVS 39957,A81000C,01000,0100,B 39957,A81000C,01000,0400,R. HILL CONS. C 39957,A81000C,01000,0600,CONSTRUCTION 39957,B100000,00000,0100,00000SQUARE FEET 39957,B100000,00000,0200,00000SQUARE FEET 39957,B100000,00000,0300,00000GROSS SALARIES 39957,B100000,00000,0400,00000ACCUM COST 39957,B100000,00000,0500,00000SQUARE FEET 39957,B100000,00000,0600,00000POUNDS OF LAUNDRY 39957,B100000,00000,0700,00000HOURS OF SERVICE 39957,B100000,00000,0800,00000MEALS SERVED 39957,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39957,B100000,00000,1000,00000COSTED REQUISITIO 39957,B100000,00000,1100,00000COSTED REQUISITIO 39957,B100000,00000,1200,00000TIME SPENT 39957,B100000,00000,1300,00000TIME SPENT 39957,B100000,00000,1350,00000SQUARE FEET 39957,B100000,00000,1400,00000ASSIGNED TIME 39957,E10A180,00301,0100,09/22/1999 39957,E10A180,00550,0100,05/16/2000 39957,S000000,00100,0200,04/27/2000 39957,S200000,00100,0100,801 GREENHAVEN DRIVE 39957,S200000,00200,0100,GREENSBORO 39957,S200000,00200,0200,NC 39957,S200000,00200,0300,27406 39957,S200000,00300,0100,GUILFORD 39957,S200000,00400,0100,BRITTHAVEN OF GUILFORD 39957,S200000,00400,0200,345132 39957,S200000,00400,0300,08/01/1984 39957,S200000,00400,0500,P 39957,S200000,00600,0200,345132 39957,S200000,00600,0300,08/01/1984 39957,S200000,00600,0600,P 39957,S200000,01600,0100,Y 39964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39964,A000000,00300,0000,00300EMPLOYEE BENEFITS 39964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39964,A000000,00700,0000,00700HOUSEKEEPING 39964,A000000,00800,0000,00800DIETARY 39964,A000000,00900,0000,00900NURSING ADMINISTRATION 39964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39964,A000000,01100,0000,01100PHARMACY 39964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39964,A000000,01300,0000,01300SOCIAL SERVICE 39964,A000000,01350,0000,01500PATIENT ACTIVITIES 39964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39964,A000000,01600,0000,01600SKILLED NURSING FACILITY 39964,A000000,01800,0000,01800NURSING FACILITY 39964,A000000,01810,0000,01810ICF/MR 39964,A000000,02200,0000,02200LABORATORY 39964,A000000,02300,0000,02300INTRAVENOUS THERAPY 39964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39964,A000000,02500,0000,02500PHYSICAL THERAPY 39964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39964,A000000,02700,0000,02700SPEECH PATHOLOGY 39964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39964,A000000,03550,0000,03550FQHC 39964,A000000,05000,0000,05000CORF 39964,A000000,05010,0000,05010CMHC 39964,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39964,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39964,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39964,A81000A,00100,0100,Y 39964,A81000B,00100,0300,HOME OFFICE COSTS 39964,A81000B,00200,0300,SNF 39964,A81000B,00300,0300,NF 39964,A81000B,00400,0300,DIETARY 39964,A81000B,00500,0300,HOUSEKEEPING 39964,A81000B,00600,0300,LAUNDRY 39964,A81000B,00700,0300,POM 39964,A81000B,00800,0300,PHYSICAL THERAPY 39964,A81000B,00900,0300,BMS 39964,A81000C,00100,0100,A 39964,A81000C,00100,0200,DOYLE COX 39964,A81000C,00100,0400,CONV. CTR. INC. 39964,A81000C,00100,0600,HOME OFFICE 39964,A81000C,00200,0100,A 39964,A81000C,00200,0200,DOYLE COX 39964,A81000C,00200,0400,TRINITY MEDICAL 39964,A81000C,00200,0600,MEDICAL SUPPLY 39964,A81000C,00300,0100,A 39964,A81000C,00300,0200,DOYLE COX 39964,A81000C,00300,0400,TRINITY MEDICAL 39964,A81000C,00300,0600,MEDICAL SUPPLY 39964,A81000C,00400,0100,A 39964,A81000C,00400,0200,DOYLE COX 39964,A81000C,00400,0400,TRINITY MEDICAL 39964,A81000C,00400,0600,MEDICAL SUPPLY 39964,A81000C,00500,0100,A 39964,A81000C,00500,0200,DOYLE COX 39964,A81000C,00500,0400,TRINITY MEDICAL 39964,A81000C,00500,0600,MEDICAL SUPPLY 39964,A81000C,00600,0100,A 39964,A81000C,00600,0200,DOYLE COX 39964,A81000C,00600,0400,TRINITY MEDICAL 39964,A81000C,00600,0600,MEDICAL SUPPLY 39964,A81000C,00700,0100,A 39964,A81000C,00700,0200,DOYLE COX 39964,A81000C,00700,0400,TRINITY MEDICAL 39964,A81000C,00700,0600,MEDICAL SUPPLY 39964,A81000C,00800,0100,A 39964,A81000C,00800,0200,DOYLE COX 39964,A81000C,00800,0400,TRINITY MEDICAL 39964,A81000C,00800,0600,MEDICAL SUPPLY 39964,A81000C,00900,0100,A 39964,A81000C,00900,0200,DOYLE COX 39964,A81000C,00900,0400,TRINITY MEDICAL 39964,A81000C,00900,0600,MEDICAL SUPPLY 39964,B100000,00000,0100,00000SQUARE FEET 39964,B100000,00000,0200,00000SQUARE FEET 39964,B100000,00000,0300,00000GROSS SALARIES 39964,B100000,00000,0400,00000ACCUM COST 39964,B100000,00000,0500,00000SQUARE FEET 39964,B100000,00000,0600,00000POUNDS OF LAUNDRY 39964,B100000,00000,0700,00000SQUARE FEET 39964,B100000,00000,0800,00000MEALS SERVED 39964,B100000,00000,0900,00000DIRECT NRSG HRS 39964,B100000,00000,1000,00000COSTED REQUIS 39964,B100000,00000,1100,00000COSTED REQUIS 39964,B100000,00000,1200,00000PATIENT DAYS 39964,B100000,00000,1300,00000PATIENT DAYS 39964,B100000,00000,1350,00000PATIENT DAYS 39964,B100000,00000,1400,00000ASSIGNED TIME 39964,E10A180,00301,0100,03/29/1999 39964,E10A180,00550,0100,06/06/2000 39964,E10A180,00550,0300,06/06/2000 39964,S000000,00100,0200,06/16/2000 39964,S200000,00100,0100,4000 FARRELL ROAD 39964,S200000,00200,0100,SANFORD 39964,S200000,00200,0200,NC 39964,S200000,00200,0300,27330 39964,S200000,00300,0100,LEE 39964,S200000,00400,0100,CONVALESCENT CENTER OF SANFORD 39964,S200000,00400,0200,345136 39964,S200000,00400,0300,12/01/1974 39964,S200000,00400,0500,P 39964,S200000,00600,0200,346013 39964,S200000,00600,0300,12/01/1974 39964,S200000,00600,0600,P 39964,S200000,01600,0100,Y 39974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39974,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39974,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39974,A000000,00300,0000,00300EMPLOYEE BENEFITS 39974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39974,A000000,00700,0000,00700HOUSEKEEPING 39974,A000000,00800,0000,00800DIETARY 39974,A000000,00801,0000,00801CAFETERIA 39974,A000000,00900,0000,00900NURSING ADMINISTRATION 39974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39974,A000000,01100,0000,01100PHARMACY 39974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39974,A000000,01300,0000,01300SOCIAL SERVICE 39974,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39974,A000000,01600,0000,01600SKILLED NURSING FACILITY 39974,A000000,01800,0000,01800NURSING FACILITY 39974,A000000,01810,0000,01810ICF/MR 39974,A000000,01900,0000,01900OTHER LONG TERM CARE 39974,A000000,02100,0000,02100RADIOLOGY 39974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39974,A000000,02500,0000,02500PHYSICAL THERAPY 39974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39974,A000000,02700,0000,02700SPEECH PATHOLOGY 39974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39974,A000000,03050,0000,03300OTHER ANCILLARY 39974,A000000,03051,0000,03301OTHER ANCILLARY II 39974,A000000,03052,0000,03302OTHER ANCILLARY III 39974,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39974,A000000,03550,0000,03550FQHC 39974,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39974,A000000,05000,0000,05000CORF I 39974,A000000,05010,0000,05010CMHC I 39974,A000000,05020,0000,05020OPT I 39974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39974,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39974,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39974,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39974,B100000,00000,0100,00000(SQUARE FEET) 39974,B100000,00000,0101,00000(SQUARE FEET) 39974,B100000,00000,0200,00000(SQUARE FEET) 39974,B100000,00000,0201,00000(SQUARE FEET) 39974,B100000,00000,0300,00000(GROSS SALARIES) 39974,B100000,00000,0400,00000(ACCUM. COST) 39974,B100000,00000,0500,00000(SQUARE FEET) 39974,B100000,00000,0600,00000PATIENT DA 39974,B100000,00000,0700,00000(SQUARE FEET) 39974,B100000,00000,0800,00000(MEALS SERVED) 39974,B100000,00000,0801,00000(MEALS SERVED) 39974,B100000,00000,0900,00000(DIRECT NRSING HRS 39974,B100000,00000,1000,00000PATIENT DA 39974,B100000,00000,1100,00000PATIENT DA 39974,B100000,00000,1200,00000PATIENT DA 39974,B100000,00000,1300,00000PATIENT DA 39974,B100000,00000,1350,00000PATIENT DA 39974,B100000,00000,1400,00000(ASSIGNED TIME) 39974,S000000,00100,0200,07/17/2000 39974,S200000,00100,0100,2221 RALEIGH ROAD 39974,S200000,00200,0100,ROCKY MOUNT 39974,S200000,00200,0200,NC 39974,S200000,00200,0300,27804 39974,S200000,00300,0100,NASH 39974,S200000,00400,0100,SOUTH VILLAGE 39974,S200000,00400,0200,345137 39974,S200000,00400,0300,06/01/1975 39974,S200000,00400,0500,P 39974,S200000,01600,0100,Y 39974,S200000,01900,0100,HOSPITAL AUTHORITY 39982,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39982,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 39982,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39982,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 39982,A000000,00300,0000,00300EMPLOYEE BENEFITS 39982,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39982,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39982,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39982,A000000,00700,0000,00700HOUSEKEEPING 39982,A000000,00800,0000,00800DIETARY 39982,A000000,00801,0000,00801CAFETERIA 39982,A000000,00900,0000,00900NURSING ADMINISTRATION 39982,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39982,A000000,01100,0000,01100PHARMACY 39982,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39982,A000000,01300,0000,01300SOCIAL SERVICE 39982,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39982,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39982,A000000,01600,0000,01600SKILLED NURSING FACILITY 39982,A000000,01800,0000,01800NURSING FACILITY 39982,A000000,01810,0000,01810ICF/MR 39982,A000000,02500,0000,02500PHYSICAL THERAPY 39982,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39982,A000000,02700,0000,02700SPEECH PATHOLOGY 39982,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39982,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39982,A000000,03050,0000,03300OTHER ANCILLARY 39982,A000000,03051,0000,03301OTHER ANCILLARY II 39982,A000000,03052,0000,03302OTHER ANCILLARY III 39982,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 39982,A000000,03550,0000,03550FQHC 39982,A000000,04750,0000,05100OTHER REIMBURSABLE COST 39982,A000000,05000,0000,05000CORF I 39982,A000000,05010,0000,05010CMHC I 39982,A000000,05020,0000,05020OPT I 39982,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39982,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39982,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 39982,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 39982,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39982,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 39982,A81000A,00100,0100,Y 39982,A81000B,00100,0300,MANAGEMENT FEE 39982,A81000C,00100,0100,A 39982,A81000C,00100,0200,DOROTHY DURAND 39982,A81000C,00100,0600,BUS. CONSULTING 39982,B100000,00000,0100,00000(SQUARE FEET) 39982,B100000,00000,0101,00000(SQUARE FEET) 39982,B100000,00000,0200,00000(SQUARE FEET) 39982,B100000,00000,0201,00000(SQUARE FEET) 39982,B100000,00000,0300,00000(GROSS SALARIES) 39982,B100000,00000,0400,00000(ACCUM. COST) 39982,B100000,00000,0500,00000(SQUARE FEET) 39982,B100000,00000,0600,00000PATIENT DA 39982,B100000,00000,0700,00000(SQUARE FEET) 39982,B100000,00000,0800,00000PATIENT DA 39982,B100000,00000,0801,00000(MEALS SERVED) 39982,B100000,00000,0900,00000HOURS 39982,B100000,00000,1000,00000PATIENT DA 39982,B100000,00000,1100,00000PATIENT DA 39982,B100000,00000,1200,00000PATIENT DA 39982,B100000,00000,1300,00000PATIENT DA 39982,B100000,00000,1350,00000 39982,B100000,00000,1400,00000(ASSIGNED TIME) 39982,E10A180,00501,0100,04/03/2001 39982,E10A180,00550,0300,04/03/2001 39982,S000000,00100,0200,02/13/2001 39982,S200000,00100,0100,322 NUWAY CIRCLE 39982,S200000,00200,0100,LENOIR 39982,S200000,00200,0200,NC 39982,S200000,00200,0300,28645 39982,S200000,00300,0100,CALDWELL 39982,S200000,00400,0100,LENOIR LIVING CENTER 39982,S200000,00400,0200,345138 39982,S200000,00400,0300,02/01/1985 39982,S200000,00400,0500,P 39982,S200000,00600,0200,345138 39982,S200000,00600,0300,02/01/1985 39982,S200000,00600,0600,P 39982,S200000,01600,0100,Y 39982,S200000,02800,0100,Y 39988,S000000,00100,0200,06/01/2000 39995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 39995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 39995,A000000,00300,0000,00300EMPLOYEE BENEFITS 39995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 39995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 39995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 39995,A000000,00700,0000,00700HOUSEKEEPING 39995,A000000,00800,0000,00800DIETARY 39995,A000000,00900,0000,00900NURSING ADMINISTRATION 39995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 39995,A000000,01100,0000,01100PHARMACY 39995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 39995,A000000,01300,0000,01300SOCIAL SERVICE 39995,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 39995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 39995,A000000,01600,0000,01600SKILLED NURSING FACILITY 39995,A000000,01800,0000,01800NURSING FACILITY 39995,A000000,01810,0000,01810ICF/MR 39995,A000000,01900,0000,01900OTHER LONG TERM CARE 39995,A000000,02100,0000,02100RADIOLOGY 39995,A000000,02200,0000,02200LABORATORY 39995,A000000,02300,0000,02300INTRAVENOUS THERAPY 39995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 39995,A000000,02500,0000,02500PHYSICAL THERAPY 39995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 39995,A000000,02700,0000,02700SPEECH PATHOLOGY 39995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 39995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 39995,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 39995,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 39995,A000000,03550,0000,03550FQHC 39995,A000000,05000,0000,05000CORF 39995,A000000,05010,0000,05010CMHC 39995,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 39995,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 39995,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 39995,A000000,05300,0000,05300INTEREST EXPENSE 39995,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 39995,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 39995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 39995,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 39995,A81000A,00100,0100,Y 39995,A81000B,00100,0300,CONSULTANTS 39995,A81000B,00200,0300,CONSULTANTS 39995,A81000B,00300,0300,CONSULTANTS 39995,A81000B,00400,0300,CONSULTANTS 39995,A81000B,00500,0300,CONSULTANTS 39995,A81000B,00600,0300,HOME OFFICE 39995,A81000B,00800,0300,GAS 39995,A81000B,01100,0300,INSURANCE 39995,A81000C,00100,0100,B 39995,A81000C,00100,0400,BRITTHAVEN INC. 39995,A81000C,00100,0600,MGMT SERV 39995,A81000C,00200,0100,B 39995,A81000C,00200,0400,BRITTHAVEN INC 39995,A81000C,00200,0600,MGMT SERV 39995,A81000C,00300,0100,B 39995,A81000C,00300,0400,BRITTHAVEN INC 39995,A81000C,00300,0600,MGMT SERV 39995,A81000C,00400,0100,B 39995,A81000C,00400,0400,BRITTHAVEN INC 39995,A81000C,00400,0600,MGMT SERV 39995,A81000C,00500,0100,B 39995,A81000C,00500,0400,BRITTHAVEN INC 39995,A81000C,00500,0600,MGMT SERV 39995,A81000C,00600,0100,B 39995,A81000C,00600,0400,BRITTHAVEN INC 39995,A81000C,00600,0600,MGMT SERV 39995,A81000C,00700,0100,B 39995,A81000C,00700,0400,BRITTHAVEN INC 39995,A81000C,00700,0600,MGMT SERV 39995,A81000C,00800,0100,B 39995,A81000C,00800,0400,BRITTHAVEN INC 39995,A81000C,00800,0600,MGMT SERV 39995,A81000C,00900,0100,B 39995,A81000C,00900,0400,KARE MEDICAL 39995,A81000C,00900,0600,WHOLESALE SPLY 39995,A81000C,01000,0100,B 39995,A81000C,01000,0400,PHARM SAVE 39995,A81000C,01000,0600,RX SUPPLY 39995,B100000,00000,0100,00000SQUARE FEET 39995,B100000,00000,0200,00000SQUARE FEET 39995,B100000,00000,0300,00000GROSS SALARIES 39995,B100000,00000,0400,00000ACCUM COST 39995,B100000,00000,0500,00000SQUARE FEET 39995,B100000,00000,0600,00000POUNDS OF LAUNDRY 39995,B100000,00000,0700,00000SQUARE FEET 39995,B100000,00000,0800,00000MEALS SERVED 39995,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 39995,B100000,00000,1000,00000COSTED REQUISITIO 39995,B100000,00000,1100,00000COSTED REQUISITIO 39995,B100000,00000,1200,00000TIME SPENT 39995,B100000,00000,1300,00000TIME SPENT 39995,B100000,00000,1350,00000SQUARE FEET 39995,B100000,00000,1400,00000ASSIGNED TIME 39995,E10A180,00301,0100,03/15/1999 39995,E10A180,00303,0100,03/15/1999 39995,E10A180,00501,0100,05/17/2000 39995,E10A180,00550,0300,05/17/2000 39995,S000000,00100,0200,03/21/2000 39995,S200000,00100,0100,9200 GLENWATER DRIVE 39995,S200000,00100,0300,561869 39995,S200000,00200,0100,CHARLOTTE 39995,S200000,00200,0200,NC 39995,S200000,00200,0300,28262 39995,S200000,00300,0100,MECKLENBURG 39995,S200000,00400,0100,BRITTHAVEN OF CHARLOTTE 39995,S200000,00400,0200,345142 39995,S200000,00400,0300,07/01/1974 39995,S200000,00400,0500,P 39995,S200000,01600,0100,Y 39995,S200000,04700,0100,Y 40008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40008,A000000,00300,0000,00300EMPLOYEE BENEFITS 40008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40008,A000000,00700,0000,00700HOUSEKEEPING 40008,A000000,00800,0000,00800DIETARY 40008,A000000,00900,0000,00900NURSING ADMINISTRATION 40008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40008,A000000,01100,0000,01100PHARMACY 40008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40008,A000000,01300,0000,01300SOCIAL SERVICE 40008,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40008,A000000,01600,0000,01600SKILLED NURSING FACILITY 40008,A000000,01800,0000,01800NURSING FACILITY 40008,A000000,01810,0000,01810ICF/MR 40008,A000000,01900,0000,01900OTHER LONG TERM CARE 40008,A000000,02100,0000,02100RADIOLOGY 40008,A000000,02200,0000,02200LABORATORY 40008,A000000,02500,0000,02500PHYSICAL THERAPY 40008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40008,A000000,02700,0000,02700SPEECH PATHOLOGY 40008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40008,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40008,A000000,03051,0000,03301AIR-FLUIDZED THERAPY 40008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40008,A000000,03550,0000,03550FQHC 40008,A000000,05000,0000,05000CORF 40008,A000000,05010,0000,05010CMHC 40008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40008,A000000,05300,0000,05300INTEREST EXPENSE 40008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40008,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40008,A81000A,00100,0100,Y 40008,A81000B,00100,0300,CONSULTING 40008,A81000B,00200,0300,CONSULTING 40008,A81000B,00300,0300,CONSULTING 40008,A81000B,00400,0300,CONSULTING 40008,A81000B,00500,0300,HOME OFFICE 40008,A81000B,00600,0300,CONSULTING 40008,A81000B,00700,0300,INSURANCE 40008,A81000B,00800,0300,EQUIPMENT RENTAL 40008,A81000B,00900,0300,GAS 40008,A81000C,00100,0100,B 40008,A81000C,00100,0400,BRITTHAVEN INC 40008,A81000C,00100,0600,MGMT SVS 40008,A81000C,00200,0100,B 40008,A81000C,00200,0400,BRITTHAVEN INC 40008,A81000C,00200,0600,MGMT SVS 40008,A81000C,00300,0100,B 40008,A81000C,00300,0400,BRITTHAVEN INC 40008,A81000C,00300,0600,MGMT SVS 40008,A81000C,00400,0100,B 40008,A81000C,00400,0400,BRITTHAVEN INC 40008,A81000C,00400,0600,MGMT SVS 40008,A81000C,00500,0100,B 40008,A81000C,00500,0400,BRITTHAVEN INC 40008,A81000C,00500,0600,MGMT SVS 40008,A81000C,00600,0100,B 40008,A81000C,00600,0400,BRITTHAVEN INC 40008,A81000C,00600,0600,MGMT SVS 40008,A81000C,00700,0100,B 40008,A81000C,00700,0400,BRITTHAVEN INC 40008,A81000C,00700,0600,MGMT SVS 40008,A81000C,00800,0100,B 40008,A81000C,00800,0400,BRITTHAVEN INC 40008,A81000C,00800,0600,MGMT SVS 40008,A81000C,00900,0100,B 40008,A81000C,00900,0400,BRITTHAVEN INC 40008,A81000C,00900,0600,MGMT SVS 40008,A81000C,01000,0100,B 40008,A81000C,01000,0400,R. HILL CONTRUC 40008,A81000C,01000,0600,CONSTRUCTION 40008,B100000,00000,0100,00000SQUARE FEET 40008,B100000,00000,0200,00000SQUARE FEET 40008,B100000,00000,0300,00000GROSS SALARIES 40008,B100000,00000,0400,00000ACCUM COST 40008,B100000,00000,0500,00000SQUARE FEET 40008,B100000,00000,0600,00000POUNDS OF LAUNDRY 40008,B100000,00000,0700,00000SQUARE FEET 40008,B100000,00000,0800,00000MEALS SERVED 40008,B100000,00000,0900,00000PATIENT DAYS 40008,B100000,00000,1000,00000COSTED REQUISITIO 40008,B100000,00000,1100,00000COSTED REQUISITIO 40008,B100000,00000,1200,00000TIME SPENT 40008,B100000,00000,1300,00000TIME SPENT 40008,B100000,00000,1350,00000SQUARE FEET 40008,B100000,00000,1400,00000ASSIGNED TIME 40008,E10A180,00301,0100,03/29/1999 40008,E10A180,00501,0300,04/03/2000 40008,E10A180,00551,0100,04/03/2000 40008,S000000,00100,0200,03/21/2000 40008,S200000,00100,0100,706 PINEY WOOD RD 40008,S200000,00200,0100,THOMASVILLE 40008,S200000,00200,0200,NC 40008,S200000,00200,0300,27360 40008,S200000,00300,0100,DAVIDSON 40008,S200000,00400,0100,BRITTHAVEN OF DAVIDSON 40008,S200000,00400,0200,345144 40008,S200000,00400,0300,04/21/1975 40008,S200000,00400,0500,P 40008,S200000,01600,0100,Y 40032,S000000,00100,0200,02/08/2000 40042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40042,A000000,00300,0000,00300EMPLOYEE BENEFITS 40042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40042,A000000,00700,0000,00700HOUSEKEEPING 40042,A000000,00800,0000,00800DIETARY 40042,A000000,00900,0000,00900NURSING ADMINISTRATION 40042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40042,A000000,01100,0000,01100PHARMACY 40042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40042,A000000,01300,0000,01300SOCIAL SERVICE 40042,A000000,01301,0000,01301ACTIVITES 40042,A000000,01350,0000,01500REHABILITATION 40042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40042,A000000,01600,0000,01600SKILLED NURSING FACILITY 40042,A000000,01800,0000,01800NURSING FACILITY 40042,A000000,01810,0000,01810ICF/MR 40042,A000000,02100,0000,02100RADIOLOGY 40042,A000000,02200,0000,02200LABORATORY 40042,A000000,02300,0000,02300INTRAVENOUS THERAPY 40042,A000000,02500,0000,02500PHYSICAL THERAPY 40042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40042,A000000,02700,0000,02700SPEECH PATHOLOGY 40042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40042,A000000,03050,0000,03300EQUIPMENT RENTAL 40042,A000000,03051,0000,03301PEN THERAPY 40042,A000000,03550,0000,03550FQHC 40042,A000000,05000,0000,05000CORF 40042,A000000,05010,0000,05010CMHC 40042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40042,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40042,A000000,06150,0000,06300VENDING 40042,A000000,06151,0000,06301STAND-BY 40042,A81000A,00100,0100,Y 40042,A81000B,00100,0300,OCCUPATIONAL THERAPY 40042,A81000B,00200,0300,DIETARY SUPPLEMENTS 40042,A81000B,00300,0300,NURSING ADMINISTRATION 40042,A81000B,00400,0300,PRESCRIPTION DRUGS 40042,A81000B,00500,0300,MEDICAL SUPPLIES 40042,A81000B,00600,0300,ADMIN COSTS 40042,A81000B,00700,0300,BLDG CAPITAL 40042,A81000B,00800,0300,IV THERAPY 40042,A81000B,00900,0300,PHYSICAL THERAPY 40042,A81000B,01000,0300,OCCUPATIONAL THERAPY 40042,A81000B,01100,0300,SPEECH THERAPY 40042,A81000B,01200,0300,CENTRAL SUPPLY 40042,A81000C,00100,0100,B 40042,A81000C,00100,0200,BCHR WINSTON-SA 40042,A81000C,00100,0400,MARINER PAN 40042,A81000C,00100,0600,NURSING HOMES 40042,A81000C,00200,0100,G 40042,A81000C,00200,0200,MARINER PAN 40042,A81000C,00200,0400,AMER PHARM SVCS 40042,A81000C,00200,0600,PHARMACEUTICALS 40042,A81000C,00300,0100,G 40042,A81000C,00300,0200,MARINER PAN 40042,A81000C,00300,0400,PRISM-ATS-ARS-T 40042,A81000C,00300,0600,THERAPIES 40042,B100000,00000,0100,00001SQUARE FEET 40042,B100000,00000,0200,00001SQUARE FEET 40042,B100000,00000,0300,00001GROSS SALARIES 40042,B100000,00000,0400,00001ACCUM COST 40042,B100000,00000,0500,00001SQUARE FEET 40042,B100000,00000,0600,00001PATIENT DAYS 40042,B100000,00000,0700,00001SQUARE FEET 40042,B100000,00000,0800,00001MEALS SERVED 40042,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40042,B100000,00000,1000,00001PATIENT DAYS 40042,B100000,00000,1100,00001COSTED REQUIS 40042,B100000,00000,1200,00001PATIENT DAYS 40042,B100000,00000,1300,00001PATIENT DAYS 40042,B100000,00000,1301,00001PATIENT DAYS 40042,B100000,00000,1350,00001UNITS OF SERVICE 40042,B100000,00000,1400,00001ASSIGNED TIME 40042,E10A180,00501,0100,08/30/2000 40042,E10A180,00550,0300,08/30/2000 40042,S000000,00100,0200,08/30/2000 40042,S200000,00100,0100,4911 BRIAN CENTER LANE 40042,S200000,00200,0100,WINSTON-SALEM 40042,S200000,00200,0200,NC 40042,S200000,00200,0300,27106-6423 40042,S200000,00300,0100,FORSYTH 40042,S200000,00400,0100,BRIAN CTR HLTH & RET WINST SALEM 40042,S200000,00400,0200,345149 40042,S200000,00400,0300,10/01/1980 40042,S200000,00400,0500,P 40042,S200000,01600,0100,Y 40042,S200000,02200,0100,Y 40050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40050,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40050,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40050,A000000,00300,0000,00300EMPLOYEE BENEFITS 40050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40050,A000000,00700,0000,00700HOUSEKEEPING 40050,A000000,00800,0000,00800DIETARY 40050,A000000,00801,0000,00801CAFETERIA 40050,A000000,00900,0000,00900NURSING ADMINISTRATION 40050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40050,A000000,01100,0000,01100PHARMACY 40050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40050,A000000,01300,0000,01300SOCIAL SERVICE 40050,A000000,01350,0000,01500ACTIVITIES 40050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40050,A000000,01600,0000,01600SKILLED NURSING FACILITY 40050,A000000,01800,0000,01800NURSING FACILITY 40050,A000000,01810,0000,01810ICF/MR 40050,A000000,02100,0000,02100RADIOLOGY 40050,A000000,02200,0000,02200LABORATORY 40050,A000000,02500,0000,02500PHYSICAL THERAPY 40050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40050,A000000,02700,0000,02700SPEECH PATHOLOGY 40050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40050,A000000,03050,0000,03300PEN THERAPY 40050,A000000,03051,0000,03301PROSTHETICS 40050,A000000,03052,0000,03302WOUND CARE 40050,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40050,A000000,03550,0000,03550FQHC 40050,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40050,A000000,04800,0000,04800AMBULANCE 40050,A000000,05000,0000,05000CORF I 40050,A000000,05010,0000,05010CMHC I 40050,A000000,05020,0000,05020OPT I 40050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40050,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40050,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40050,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40050,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40050,A81000A,00100,0100,Y 40050,A81000B,00100,0300,MANAGEMENT FEES 40050,A81000B,00200,0300,NURSING SUPPLIES 40050,A81000B,00300,0300,LEGEND DRUGS 40050,A81000B,00400,0300,OTC 40050,A81000B,00500,0300,MEDICAL SUPPLIES 40050,A81000B,00600,0300,PHARMACY CONSULTANT 40050,A81000C,00100,0100,B 40050,A81000C,00100,0400,WHITE OAK MANOR 40050,A81000C,00100,0600,NSG HOME CHAIN 40050,A81000C,00200,0100,B 40050,A81000C,00200,0400,WHITE OAK MANOR 40050,A81000C,00200,0600,PHARMACY 40050,B100000,00000,0100,00000(SQUARE FEET) 40050,B100000,00000,0101,00000(SQUARE FEET) 40050,B100000,00000,0200,00000(SQUARE FEET) 40050,B100000,00000,0201,00000(SQUARE FEET) 40050,B100000,00000,0300,00000(GROSS SALARIES) 40050,B100000,00000,0400,00000(ACCUM. COST) 40050,B100000,00000,0500,00000(SQUARE FEET) 40050,B100000,00000,0600,00000(PATIENT DAYS) 40050,B100000,00000,0700,00000(SQUARE FEET) 40050,B100000,00000,0800,00000(MEALS SERVED) 40050,B100000,00000,0801,00000(MEALS SERVED) 40050,B100000,00000,0900,00000(PATIENT DAYS) 40050,B100000,00000,1000,00000(PATIENT DAYS) 40050,B100000,00000,1100,00000(PATIENT DAYS) 40050,B100000,00000,1200,00000(PATIENT DAYS) 40050,B100000,00000,1300,00000(PATIENT DAYS) 40050,B100000,00000,1350,00000(PATIENT DAYS) 40050,B100000,00000,1400,00000(ASSIGNED TIME) 40050,E10A180,00301,0100,03/29/1999 40050,E10A180,00501,0100,04/25/2000 40050,E10A180,00501,0300,04/25/2000 40050,S000000,00100,0200,02/25/2000 40050,S200000,00100,0100,716 SIPES STREET 40050,S200000,00100,0300,578 40050,S200000,00200,0100,KINGS MOUNTAIN 40050,S200000,00200,0200,NC 40050,S200000,00200,0300,28086 40050,S200000,00300,0100,CLEVELAND 40050,S200000,00400,0100,WHITE OAK MANOR-KINGS MT. 40050,S200000,00400,0200,345151 40050,S200000,00400,0300,02/27/1976 40050,S200000,00400,0500,P 40050,S200000,01500,0100,Y 40050,S200000,02200,0100,Y 40050,S200000,04700,0100,Y 40060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40060,A000000,00300,0000,00300EMPLOYEE BENEFITS 40060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40060,A000000,00700,0000,00700HOUSEKEEPING 40060,A000000,00800,0000,00800DIETARY 40060,A000000,00900,0000,00900NURSING ADMINISTRATION 40060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40060,A000000,01100,0000,01100PHARMACY 40060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40060,A000000,01300,0000,01300SOCIAL SERVICE 40060,A000000,01350,0000,01500OTHER GENERAL SERVICES 40060,A000000,01351,0000,01501PATIENT ACTIVITIES 40060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40060,A000000,01600,0000,01600SKILLED NURSING FACILITY 40060,A000000,01800,0000,01800NURSING FACILITY 40060,A000000,01810,0000,01810ICF/MR 40060,A000000,01900,0000,01900OTHER LONG TERM CARE 40060,A000000,02100,0000,02100RADIOLOGY 40060,A000000,02200,0000,02200LABORATORY 40060,A000000,02300,0000,02300INTRAVENOUS THERAPY 40060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40060,A000000,02500,0000,02500PHYSICAL THERAPY 40060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40060,A000000,02700,0000,02700SPEECH PATHOLOGY 40060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40060,A000000,03001,0000,03001OTHER ANCILLARY SERVICE COST CE 40060,A000000,03550,0000,03550FQHC 40060,A000000,05000,0000,05000CORF 40060,A000000,05010,0000,05010CMHC 40060,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40060,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40060,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40060,A000000,05300,0000,05300INTEREST EXPENSE 40060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40060,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40060,A81000A,00100,0100,Y 40060,A81000B,00100,0300,DEPRECIATION 40060,A81000B,00200,0300,BENEFITS FROM HOME OFFICE 40060,A81000B,00300,0300,MANAGEMENT FEES 40060,A81000B,00400,0300,STOCK DRUGS 40060,A81000B,00500,0300,MINISTERIAL ASSISTANCE 40060,A81000B,00600,0300,PHARMACY 40060,A81000B,00700,0300,PHARMACY CONSULTING 40060,A81000C,00100,0100,B 40060,A81000C,00100,0200,LUTHERAN NURSING HOME-HKY 40060,A81000C,00100,0400,LUTHERAN SVCS F/T AGING 40060,A81000C,00100,0600,LONG TERM CARE 40060,B100000,00000,0100,00000SQUARE FEET 40060,B100000,00000,0200,00000SQUARE FEET 40060,B100000,00000,0300,00000GROSS SALARIES 40060,B100000,00000,0400,00000ACCUM. COST 40060,B100000,00000,0500,00000SQUARE FEET 40060,B100000,00000,0600,00000POUNDS OF LAUNDRY 40060,B100000,00000,0700,00000SQUARE FEET 40060,B100000,00000,0800,00000RESIDENT DAYS 40060,B100000,00000,0900,00000DIRECT NRSING HRS 40060,B100000,00000,1000,00000COSTED REQUIS 40060,B100000,00000,1100,00000NO STATISTICS 40060,B100000,00000,1200,00000TIME SPENT 40060,B100000,00000,1300,00000RESIDENT DAYS 40060,B100000,00000,1350,00000RESIDENT DAYS 40060,B100000,00000,1351,00000RESIDENT DAYS 40060,B100000,00000,1400,00000ASSIGNED TIME 40060,E10A180,00301,0100,04/12/1999 40060,E10A180,00501,0100,06/02/2000 40060,E10A180,00550,0300,06/02/2000 40060,S000000,00100,0200,06/02/2000 40060,S200000,00100,0100,1265 21ST STREET NORTHEAST 40060,S200000,00100,0300,110679 40060,S200000,00200,0100,HICKORY 40060,S200000,00200,0200,NC 40060,S200000,00300,0100,CATAWBA 40060,S200000,00400,0100,LUTHERAN NURSING HOMES - HICKORY 40060,S200000,00400,0200,345152 40060,S200000,00400,0300,07/01/1976 40060,S200000,00400,0500,P 40060,S200000,00600,0200,346095 40060,S200000,00600,0300,07/01/1976 40060,S200000,00600,0600,P 40060,S200000,01700,0100,Y 40069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40069,A000000,00300,0000,00300EMPLOYEE BENEFITS 40069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40069,A000000,00700,0000,00700HOUSEKEEPING 40069,A000000,00800,0000,00800DIETARY 40069,A000000,00900,0000,00900NURSING ADMINISTRATION 40069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40069,A000000,01100,0000,01100PHARMACY 40069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40069,A000000,01300,0000,01300SOCIAL SERVICE 40069,A000000,01350,0000,01500PATIENT ACTIVITES 40069,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40069,A000000,01600,0000,01600SKILLED NURSING FACILITY 40069,A000000,01800,0000,01800NURSING FACILITY 40069,A000000,01810,0000,01810ICF/MR 40069,A000000,01900,0000,01900OTHER LONG TERM CARE 40069,A000000,02100,0000,02100RADIOLOGY 40069,A000000,02200,0000,02200LABORATORY 40069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40069,A000000,02500,0000,02500PHYSICAL THERAPY 40069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40069,A000000,02700,0000,02700SPEECH PATHOLOGY 40069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40069,A000000,03001,0000,03001OTHER ANCILLARY SERVICE COST CE 40069,A000000,03550,0000,03550FQHC 40069,A000000,05000,0000,05000CORF 40069,A000000,05010,0000,05010CMHC 40069,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40069,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40069,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40069,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40069,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40069,A81000A,00100,0100,Y 40069,A81000B,00100,0300,DEPRECIATION 40069,A81000B,00200,0300,BENEFITS FROM HOME OFFICE 40069,A81000B,00300,0300,MANAGEMENT FEES 40069,A81000B,00400,0300,STOCK DRUGS 40069,A81000B,00500,0300,MINISTERIAL ASSISTANCE 40069,A81000B,00600,0300,DRUGS CHARGED TO PATIENTS 40069,A81000B,00700,0300,PHARMACY CONSULTING 40069,A81000C,00100,0100,B 40069,A81000C,00100,0200,LUTHERAN NURSING HOME-SAL 40069,A81000C,00100,0400,LUTHERAN SVCS F/T AGING 40069,A81000C,00100,0600,LONG TERM CARE FACILITY 40069,B100000,00000,0100,00000SQUARE FEET 40069,B100000,00000,0200,00000SQUARE FEET 40069,B100000,00000,0300,00000GROSS SALARIES 40069,B100000,00000,0400,00000ACCUM. COST 40069,B100000,00000,0500,00000SQUARE FEET 40069,B100000,00000,0600,00000POUNDS OF LAUNDRY 40069,B100000,00000,0700,00000SQUARE FEET 40069,B100000,00000,0800,00000RESIDENT DAYS 40069,B100000,00000,0900,00000DIRECT NRSING HRS 40069,B100000,00000,1000,00000COSTED REQUIS 40069,B100000,00000,1100,00000COSTED REQUIS 40069,B100000,00000,1200,00000TIME SPENT 40069,B100000,00000,1300,00000RESIDENT DAYS 40069,B100000,00000,1350,00000RESIDENT DAYS 40069,B100000,00000,1400,00000ASSIGNED TIME 40069,E10A180,00301,0100,04/12/1999 40069,E10A180,00501,0100,07/31/2000 40069,E10A180,00501,0300,07/31/2000 40069,S000000,00100,0200,06/05/2000 40069,S200000,00100,0100,820 KLUMAC ROAD 40069,S200000,00100,0300,1310 40069,S200000,00200,0100,SALISBURY 40069,S200000,00200,0200,NC 40069,S200000,00300,0100,ROWAN 40069,S200000,00400,0100,LUTHERAN NURSING HOMES-SALISBURY 40069,S200000,00400,0200,345153 40069,S200000,00400,0300,04/01/1976 40069,S200000,00400,0500,P 40069,S200000,00400,0600,O 40069,S200000,00600,0200,346124 40069,S200000,00600,0300,04/01/1976 40069,S200000,00600,0600,P 40069,S200000,01700,0100,Y 40076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40076,A000000,00300,0000,00300EMPLOYEE BENEFITS 40076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40076,A000000,00700,0000,00700HOUSEKEEPING 40076,A000000,00800,0000,00800DIETARY 40076,A000000,00900,0000,00900NURSING ADMINISTRATION 40076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40076,A000000,01100,0000,01100PHARMACY 40076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40076,A000000,01300,0000,01300SOCIAL SERVICE 40076,A000000,01301,0000,01301ACTIVITES 40076,A000000,01350,0000,01500REHABILITATION 40076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40076,A000000,01600,0000,01600SKILLED NURSING FACILITY 40076,A000000,01800,0000,01800NURSING FACILITY 40076,A000000,01810,0000,01810ICF/MR 40076,A000000,02100,0000,02100RADIOLOGY 40076,A000000,02200,0000,02200LABORATORY 40076,A000000,02300,0000,02300INTRAVENOUS THERAPY 40076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40076,A000000,02500,0000,02500PHYSICAL THERAPY 40076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40076,A000000,02700,0000,02700SPEECH PATHOLOGY 40076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40076,A000000,03050,0000,03300EQUIPMENT RENTAL 40076,A000000,03051,0000,03301PEN THERAPY 40076,A000000,03550,0000,03550FQHC 40076,A000000,04800,0000,04800AMBULANCE 40076,A000000,05000,0000,05000CORF 40076,A000000,05010,0000,05010CMHC 40076,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40076,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40076,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40076,A000000,06150,0000,06300VENDING 40076,A000000,06151,0000,06301STAND-BY 40076,A81000A,00100,0100,Y 40076,A81000B,00100,0300,CENTRAL SUPPLY 40076,A81000B,00200,0300,DIETARY SUPPLEMENTS 40076,A81000B,00300,0300,OT 40076,A81000B,00400,0300,PRESCRIPTION DRUGS 40076,A81000B,00500,0300,MEDICAL SUPPLIES 40076,A81000B,00600,0300,ADMIN & GENERAL 40076,A81000B,00700,0300,BLDG. CAPITAL 40076,A81000B,00800,0300,PT 40076,A81000B,00900,0300,IV THERAPY 40076,A81000B,01000,0300,THERAPY CONSULTING 40076,A81000B,01100,0300,PHYSICAL THERAPY 40076,A81000B,01200,0300,OCCUPATIONAL THERAPY 40076,A81000B,01300,0300,SPEECH THERAPY 40076,A81000B,01400,0300,PEN 40076,A81000B,01500,0300,NURSING ADMIN 40076,A81000C,00100,0100,B 40076,A81000C,00100,0200,ASHEBORO H/REHA 40076,A81000C,00100,0400,MARINER PAN 40076,A81000C,00100,0600,NURSING HOMES 40076,A81000C,00200,0100,G 40076,A81000C,00200,0200,MARINER PAN 40076,A81000C,00200,0400,AMER PHARM SVCS 40076,A81000C,00200,0600,PHARMACEUTICALS 40076,A81000C,00300,0100,G 40076,A81000C,00300,0200,MARINER PAN 40076,A81000C,00300,0400,PRISM-ATS-ARS-T 40076,A81000C,00300,0600,THERAPIES 40076,B100000,00000,0100,00001SQUARE FEET 40076,B100000,00000,0200,00001SQUARE FEET 40076,B100000,00000,0300,00001GROSS SALARIES 40076,B100000,00000,0400,00001ACCUM COST 40076,B100000,00000,0500,00001SQUARE FEET 40076,B100000,00000,0600,00001PATIENT DAYS 40076,B100000,00000,0700,00001SQUARE FEET 40076,B100000,00000,0800,00001MEALS SERVED 40076,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40076,B100000,00000,1000,00001PATIENT DAYS 40076,B100000,00000,1100,00001COSTED REQUIS 40076,B100000,00000,1200,00001PATIENT DAYS 40076,B100000,00000,1300,00001PATIENT DAYS 40076,B100000,00000,1301,00001PATIENT DAYS 40076,B100000,00000,1350,00001UNITS OF SERVICE 40076,B100000,00000,1400,00001ASSIGNED TIME 40076,E10A180,00301,0100,07/19/1999 40076,E10A180,00302,0100,07/19/1999 40076,E10A180,00501,0100,10/25/2000 40076,E10A180,00550,0300,10/25/2000 40076,S000000,00100,0200,08/30/2000 40076,S200000,00100,0100,230 EAST PRESNELL 40076,S200000,00100,0300,4218 40076,S200000,00200,0100,ASHEBORO 40076,S200000,00200,0200,NC 40076,S200000,00200,0300,27204 40076,S200000,00300,0100,RANDOLPH 40076,S200000,00400,0100,ASHEBORO HLTH & REHAB CTR 40076,S200000,00400,0200,345155 40076,S200000,00400,0300,11/01/1982 40076,S200000,00400,0500,P 40076,S200000,00600,0200,345155 40076,S200000,00600,0300,11/01/1982 40076,S200000,00600,0600,P 40076,S200000,01600,0100,Y 40076,S200000,02200,0100,Y 40092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40092,A000000,00300,0000,00300EMPLOYEE BENEFITS 40092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40092,A000000,00700,0000,00700HOUSEKEEPING 40092,A000000,00800,0000,00800DIETARY 40092,A000000,00900,0000,00900NURSING ADMINISTRATION 40092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40092,A000000,01100,0000,01100PHARMACY 40092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40092,A000000,01300,0000,01300SOCIAL SERVICE 40092,A000000,01301,0000,01301ACTIVITIES 40092,A000000,01350,0000,01500OTHER GENERAL SERVICES 40092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40092,A000000,01600,0000,01600SKILLED NURSING FACILITY 40092,A000000,01810,0000,01810ICF/MR 40092,A000000,02100,0000,02100RADIOLOGY 40092,A000000,02200,0000,02200LABORATORY 40092,A000000,02300,0000,02300INTRAVENOUS THERAPY 40092,A000000,02500,0000,02500PHYSICAL THERAPY 40092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40092,A000000,02700,0000,02700SPEECH PATHOLOGY 40092,A000000,02701,0000,02701ENTERAL 40092,A000000,02800,0000,02800ELECTROCARDIOLOGY 40092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40092,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40092,A000000,03200,0000,03200SUPPORT SURFACES 40092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40092,A000000,03550,0000,03550FQHC 40092,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40092,A000000,05000,0000,05000CORF 40092,A000000,05010,0000,05010CMHC 40092,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40092,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40092,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40092,A000000,05300,0000,05300INTEREST EXPENSE 40092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40092,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 40092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40092,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40092,A81000A,00100,0100,Y 40092,A81000B,00100,0300,PROPERTY INSURANCE 40092,A81000B,00200,0300,GENERAL INSURANCE 40092,A81000C,00100,0100,D 40092,A81000C,00100,0200,WALKER TAYLOR 40092,A81000C,00100,0400,WALKER TAYLOR INSURANCE 40092,A81000C,00100,0600,INSURANCE AGENCY 40092,B100000,00000,0100,00000SQUARE FEET 40092,B100000,00000,0200,00000DOLLAR VALUE 40092,B100000,00000,0300,00000GROSS SALARIES 40092,B100000,00000,0400,00000ACCUM. COST 40092,B100000,00000,0500,00000SQUARE FEET 40092,B100000,00000,0600,00000PATIENT DAYS 40092,B100000,00000,0700,00000SQUARE FEET 40092,B100000,00000,0800,00000MEALS 40092,B100000,00000,0900,00000PATIENT DAYS 40092,B100000,00000,1000,00000PATIENT DAYS 40092,B100000,00000,1100,00000PATIENT DAYS 40092,B100000,00000,1200,00000PATIENT DAYS 40092,B100000,00000,1300,00000PATIENT DAYS 40092,B100000,00000,1301,00000PATIENT DAYS 40092,B100000,00000,1350,00000PATIENT DAYS 40092,B100000,00000,1400,00000PATIENT DAYS 40092,E10A180,00501,0100,06/28/2000 40092,E10A180,00550,0300,06/28/2000 40092,S000000,00100,0200,05/26/2000 40092,S200000,00100,0100,1011 PORTERS NECK ROAD 40092,S200000,00200,0100,WILMINGTON 40092,S200000,00200,0200,NC 40092,S200000,00200,0300,28405 40092,S200000,00300,0100,NEW HANOVER 40092,S200000,00400,0100,CORNELIA NIXON DAVIS 40092,S200000,00400,0200,345160 40092,S200000,00400,0300,07/01/1977 40092,S200000,00400,0500,P 40092,S200000,01500,0100,Y 40092,S200000,01900,0100,NONE 40092,S200000,02200,0100,Y 40092,S200000,02800,0100,Y 40096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40096,A000000,00300,0000,00300EMPLOYEE BENEFITS 40096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40096,A000000,00700,0000,00700HOUSEKEEPING 40096,A000000,00800,0000,00800DIETARY 40096,A000000,00900,0000,00900NURSING ADMINISTRATION 40096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40096,A000000,01100,0000,01100PHARMACY 40096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40096,A000000,01300,0000,01300SOCIAL SERVICE 40096,A000000,01350,0000,01500PATIENT ACTIVITIES 40096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40096,A000000,01600,0000,01600SKILLED NURSING FACILITY 40096,A000000,01810,0000,01810ICF/MR 40096,A000000,01900,0000,01900OTHER LONG TERM CARE 40096,A000000,02500,0000,02500PHYSICAL THERAPY 40096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40096,A000000,02700,0000,02700SPEECH PATHOLOGY 40096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40096,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40096,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40096,A000000,03550,0000,03550FQHC 40096,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40096,A000000,05000,0000,05000CORF 40096,A000000,05010,0000,05010CMHC 40096,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40096,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40096,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40096,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40096,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40096,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40096,A81000A,00100,0100,Y 40096,A81000B,00100,0300,HOME OFFICE CAPITAL 40096,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 40096,A81000C,00100,0100,B 40096,A81000C,00100,0200,ABERNETHY CENTER 40096,A81000C,00100,0400,UCRH INC. 40096,A81000C,00100,0600,HOME OFFICE 40096,B100000,00000,0100,00000DIRECT COSTS 40096,B100000,00000,0200,00000SQUARE FEET 40096,B100000,00000,0300,00000GROSS SALARIES 40096,B100000,00000,0400,00000ACCUM. COST 40096,B100000,00000,0500,00000SQUARE FEET 40096,B100000,00000,0600,00000POUNDS OF LAUNDRY 40096,B100000,00000,0700,00000HOURS OF SERVICE 40096,B100000,00000,0800,00000MEALS SERVED 40096,B100000,00000,0900,00000DIRECT NRSING HRS 40096,B100000,00000,1000,00000PATIENT DAYS 40096,B100000,00000,1100,00000PATIENT DAYS 40096,B100000,00000,1200,00000TIME SPENT 40096,B100000,00000,1300,00000TIME SPENT 40096,B100000,00000,1350,00000TIME SPENT 40096,B100000,00000,1400,00000ASSIGNED TIME 40096,E10A180,00501,0100,07/18/2000 40096,S000000,00100,0200,06/02/2000 40096,S200000,00100,0100,102 LEONARD AVENUE 40096,S200000,00200,0100,NEWTON 40096,S200000,00200,0200,NC 40096,S200000,00300,0100,CATAWBA 40096,S200000,00400,0100,UCRH-ABERNETHY CENTER 40096,S200000,00400,0200,345161 40096,S200000,00400,0300,01/17/1977 40096,S200000,00400,0500,P 40096,S200000,01600,0100,Y 40105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40105,A000000,00300,0000,00300EMPLOYEE BENEFITS 40105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40105,A000000,00700,0000,00700HOUSEKEEPING 40105,A000000,00800,0000,00800DIETARY 40105,A000000,00900,0000,00900NURSING ADMINISTRATION 40105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40105,A000000,01100,0000,01100PHARMACY 40105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40105,A000000,01300,0000,01300SOCIAL SERVICE 40105,A000000,01350,0000,01500PATIENT ACTIVITIES 40105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40105,A000000,01600,0000,01600SKILLED NURSING FACILITY 40105,A000000,01800,0000,01800NURSING FACILITY 40105,A000000,01810,0000,01810ICF/MR 40105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40105,A000000,02500,0000,02500PHYSICAL THERAPY 40105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40105,A000000,02700,0000,02700SPEECH PATHOLOGY 40105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40105,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40105,A000000,03200,0000,03200SUPPORT SURFACES 40105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40105,A000000,03550,0000,03550FQHC 40105,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40105,A000000,04800,0000,04800AMBULANCE 40105,A000000,05000,0000,05000CORF 40105,A000000,05010,0000,05010CMHC 40105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40105,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40105,A81000A,00100,0100,Y 40105,A81000B,00100,0300,HOME OFFICE NON CAPITAL 40105,A81000B,00200,0300,HOME OFFICE CAPITAL 40105,A81000C,00100,0100,B 40105,A81000C,00100,0200,KENNETH AND LYNN HUBBARD 40105,A81000C,00100,0400,HUBBARD HEALTH CARE MGT 40105,A81000C,00100,0600,HOME OFFICE 40105,B100000,00000,0100,00000SQUARE FEET 40105,B100000,00000,0200,00000DOLLAR VALUE 40105,B100000,00000,0300,00000GROSS SALARIES 40105,B100000,00000,0400,00000ACCUM. COST 40105,B100000,00000,0500,00000SQUARE FEET 40105,B100000,00000,0600,00000POUNDS OF LAUNDRY 40105,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40105,B100000,00000,0800,00000PATIENT DAYS 40105,B100000,00000,0900,00000PATIENT DAYS 40105,B100000,00000,1000,00000PATIENT DAYS 40105,B100000,00000,1100,00000PATIENT DAYS 40105,B100000,00000,1200,00000TIME SPENT 40105,B100000,00000,1300,00000TIME SPENT 40105,B100000,00000,1350,00000TIME SPENT 40105,B100000,00000,1400,00000ASSIGNED TIME 40105,E10A180,00501,0100,07/17/2000 40105,S000000,00100,0200,06/14/2000 40105,S200000,00100,0100,241 ELIZABETH DRIVE 40105,S200000,00100,0300,2150 40105,S200000,00200,0100,BOONE 40105,S200000,00200,0200,NC 40105,S200000,00300,0100,WATAUGA 40105,S200000,00400,0100,GLENSTONE HEALTH CARE 40105,S200000,00400,0200,345163 40105,S200000,00400,0300,05/04/1977 40105,S200000,00400,0500,P 40105,S200000,01600,0100,Y 40114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40114,A000000,00300,0000,00300EMPLOYEE BENEFITS 40114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40114,A000000,00700,0000,00700HOUSEKEEPING 40114,A000000,00800,0000,00800DIETARY 40114,A000000,00900,0000,00900NURSING ADMINISTRATION 40114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40114,A000000,01100,0000,01100PHARMACY 40114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40114,A000000,01300,0000,01300SOCIAL SERVICE 40114,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40114,A000000,01600,0000,01600SKILLED NURSING FACILITY 40114,A000000,01800,0000,01800NURSING FACILITY 40114,A000000,01810,0000,01810ICF/MR 40114,A000000,01900,0000,01900OTHER LONG TERM CARE 40114,A000000,02100,0000,02100RADIOLOGY 40114,A000000,02200,0000,02200LABORATORY 40114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40114,A000000,02500,0000,02500PHYSICAL THERAPY 40114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40114,A000000,02700,0000,02700SPEECH PATHOLOGY 40114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40114,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40114,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40114,A000000,03550,0000,03550FQHC 40114,A000000,05000,0000,05000CORF 40114,A000000,05010,0000,05010CMHC 40114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40114,A000000,05300,0000,05300INTEREST EXPENSE 40114,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40114,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40114,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40114,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40114,A81000A,00100,0100,Y 40114,A81000B,00100,0300,CONSULTANTS 40114,A81000B,00200,0300,CONSULTANTS 40114,A81000B,00300,0300,CONSULTANTS 40114,A81000B,00400,0300,CONSULTANTS 40114,A81000B,00500,0300,CONSULTANTS 40114,A81000B,00600,0300,HOME OFFICE 40114,A81000B,00700,0300,RENTAL 40114,A81000B,00800,0300,GAS 40114,A81000B,01400,0300,INSURANCE 40114,A81000C,00100,0100,B 40114,A81000C,00100,0400,BRITTHAVEN INC 40114,A81000C,00100,0600,MGMT SVS 40114,A81000C,00200,0100,B 40114,A81000C,00200,0400,BRITTHAVEN INC 40114,A81000C,00200,0600,MGMT SVS 40114,A81000C,00300,0100,B 40114,A81000C,00300,0400,BRITTHAVEN INC 40114,A81000C,00300,0600,MGMT SVS 40114,A81000C,00400,0100,B 40114,A81000C,00400,0400,BRITTHAVEN INC 40114,A81000C,00400,0600,MGMT SVS 40114,A81000C,00500,0100,B 40114,A81000C,00500,0400,BRITTHAVEN INC 40114,A81000C,00500,0600,MGMT SVS 40114,A81000C,00600,0100,B 40114,A81000C,00600,0400,BRITTHAVEN INC 40114,A81000C,00600,0600,MGMT SVS 40114,A81000C,00700,0100,B 40114,A81000C,00700,0400,BRITTHAVEN INC 40114,A81000C,00700,0600,MGMT SVS 40114,A81000C,00800,0100,B 40114,A81000C,00800,0400,BRITTHAVEN INC 40114,A81000C,00800,0600,MGMT SVS 40114,A81000C,00900,0100,B 40114,A81000C,00900,0400,KARE MEDICAL 40114,A81000C,00900,0600,WHOLESALE SUPPL 40114,A81000C,01000,0100,B 40114,A81000C,01000,0400,PHARMSAVE 40114,A81000C,01000,0600,RX SUPPLY 40114,B100000,00000,0100,00000SQUARE FEET 40114,B100000,00000,0200,00000SQUARE FEET 40114,B100000,00000,0300,00000GROSS SALARIES 40114,B100000,00000,0400,00000ACCUM COST 40114,B100000,00000,0500,00000SQUARE FEET 40114,B100000,00000,0600,00000POUNDS OF LAUNDRY 40114,B100000,00000,0700,00000HOURS OF SERVICE 40114,B100000,00000,0800,00000MEALS SERVED 40114,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40114,B100000,00000,1000,00000COSTED REQUISITIO 40114,B100000,00000,1100,00000COSTED REQUISITIO 40114,B100000,00000,1200,00000TIME SPENT 40114,B100000,00000,1300,00000TIME SPENT 40114,B100000,00000,1350,00000SQUARE FEET 40114,B100000,00000,1400,00000ASSIGNED TIME 40114,E10A180,00301,0100,03/29/1999 40114,E10A180,00501,0300,03/21/2000 40114,E10A180,00550,0100,03/21/2000 40114,S000000,00100,0200,03/21/2000 40114,S200000,00100,0100,PARADISE ROAD 40114,S200000,00100,0300,566 40114,S200000,00200,0100,EDENTON 40114,S200000,00200,0200,NC 40114,S200000,00200,0300,28932 40114,S200000,00300,0100,CHOWAN 40114,S200000,00400,0100,BRITTHAVEN OF EDENTON 40114,S200000,00400,0200,345164 40114,S200000,00400,0300,10/01/1984 40114,S200000,00400,0500,P 40114,S200000,01600,0100,Y 40121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40121,A000000,00300,0000,00300EMPLOYEE BENEFITS 40121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40121,A000000,00700,0000,00700HOUSEKEEPING 40121,A000000,00800,0000,00800DIETARY 40121,A000000,00900,0000,00900NURSING ADMINISTRATION 40121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40121,A000000,01100,0000,01100PHARMACY 40121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40121,A000000,01300,0000,01300SOCIAL SERVICE 40121,A000000,01350,0000,01500PATIENT ACTIVITIES 40121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40121,A000000,01600,0000,01600SKILLED NURSING FACILITY 40121,A000000,01800,0000,01800NURSING FACILITY 40121,A000000,01810,0000,01810ICF/MR 40121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40121,A000000,02500,0000,02500PHYSICAL THERAPY 40121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40121,A000000,02700,0000,02700SPEECH PATHOLOGY 40121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40121,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40121,A000000,03550,0000,03550FQHC 40121,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40121,A000000,05000,0000,05000CORF 40121,A000000,05010,0000,05010CMHC 40121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40121,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40121,A81000A,00100,0100,Y 40121,A81000B,00100,0300,CENTRAL OFFICE COST 40121,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40121,A81000C,00100,0100,B 40121,A81000C,00100,0200,AUTUMN CORPORATION 40121,A81000C,00100,0400,AUTUMN CORPORATION 40121,A81000C,00100,0600,HOME OFFICE 40121,B100000,00000,0100,00000SQUARE FEET 40121,B100000,00000,0200,00000SQUARE FEET 40121,B100000,00000,0300,00000GROSS SALARIES 40121,B100000,00000,0400,00000ACCUM. COST 40121,B100000,00000,0500,00000SQUARE FEET 40121,B100000,00000,0600,00000POUNDS OF LAUNDRY 40121,B100000,00000,0700,00000SQ FT W/O DIETARY 40121,B100000,00000,0800,00000PATIENT DAYS 40121,B100000,00000,0900,00000HOURS OF SERVICE 40121,B100000,00000,1000,00000PATIENT DAYS 40121,B100000,00000,1100,00000PATIENT DAYS 40121,B100000,00000,1200,00000PATIENT DAYS 40121,B100000,00000,1300,00000PATIENT DAYS 40121,B100000,00000,1350,00000PATIENT DAYS 40121,B100000,00000,1400,00000ASSIGNED TIME 40121,E10A180,00301,0100,03/15/1999 40121,E10A180,00501,0100,06/27/2000 40121,E10A180,00501,0300,06/27/2000 40121,S000000,00100,0200,05/09/2000 40121,S200000,00100,0100,610 AIRPORT ROAD 40121,S200000,00100,0300,339 40121,S200000,00200,0100,MARION 40121,S200000,00200,0200,NC 40121,S200000,00300,0100,MCDOWELL 40121,S200000,00400,0100,AUTUMN CARE OF MARION 40121,S200000,00400,0200,345165 40121,S200000,00400,0300,04/29/1983 40121,S200000,00400,0500,P 40121,S200000,00600,0200,345165 40121,S200000,00600,0300,04/29/1983 40121,S200000,00600,0600,P 40121,S200000,01600,0100,Y 40137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40137,A000000,00300,0000,00300EMPLOYEE BENEFITS 40137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40137,A000000,00700,0000,00700HOUSEKEEPING 40137,A000000,00800,0000,00800DIETARY 40137,A000000,00900,0000,00900NURSING ADMINISTRATION 40137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40137,A000000,01100,0000,01100PHARMACY 40137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40137,A000000,01300,0000,01300SOCIAL SERVICE 40137,A000000,01301,0000,01301ACTIVITES 40137,A000000,01350,0000,01500REHABILITATION 40137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40137,A000000,01600,0000,01600SKILLED NURSING FACILITY 40137,A000000,01800,0000,01800NURSING FACILITY 40137,A000000,01810,0000,01810ICF/MR 40137,A000000,02100,0000,02100RADIOLOGY 40137,A000000,02300,0000,02300INTRAVENOUS THERAPY 40137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40137,A000000,02500,0000,02500PHYSICAL THERAPY 40137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40137,A000000,02700,0000,02700SPEECH PATHOLOGY 40137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40137,A000000,03050,0000,03300EQUIPMENT RENTAL 40137,A000000,03051,0000,03301PEN THERAPY 40137,A000000,03550,0000,03550FQHC 40137,A000000,05000,0000,05000CORF 40137,A000000,05010,0000,05010CMHC 40137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40137,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40137,A000000,06150,0000,06300VENDING 40137,A000000,06151,0000,06301STAND-BY 40137,A81000A,00100,0100,Y 40137,A81000B,00100,0300,PRESCRIPTION DRUGS 40137,A81000B,00200,0300,MEDICAL SUPPLIES 40137,A81000B,00300,0300,ADMIN & GENERAL 40137,A81000B,00400,0300,BLDG & CAPITAL 40137,A81000B,00500,0300,IV THERAPY 40137,A81000B,00600,0300,PHYSICAL THERAPY 40137,A81000B,00700,0300,OCCUPATIONAL THERAPY 40137,A81000B,00800,0300,SPEECH THERAPY 40137,A81000B,00900,0300,CENTRAL SUPPLY 40137,A81000B,01000,0300,DIETARY 40137,A81000B,01100,0300,PHYSICAL THERAPY 40137,A81000C,00100,0100,B 40137,A81000C,00100,0200,BCHR GASTONIA 1 40137,A81000C,00100,0400,MARINER PAN 40137,A81000C,00100,0600,NURSING HOMES 40137,A81000C,00200,0100,G 40137,A81000C,00200,0200,MARINER PAN 40137,A81000C,00200,0400,AMER PHARM SVCS 40137,A81000C,00200,0600,PHARMACEUTICALS 40137,A81000C,00300,0100,G 40137,A81000C,00300,0200,MARINER PAN 40137,A81000C,00300,0400,PRISM-ATS-ARS-T 40137,A81000C,00300,0600,THERAPIES 40137,B100000,00000,0100,00001SQUARE FEET 40137,B100000,00000,0200,00001SQUARE FEET 40137,B100000,00000,0300,00001GROSS SALARIES 40137,B100000,00000,0400,00001ACCUM COST 40137,B100000,00000,0500,00001SQUARE FEET 40137,B100000,00000,0600,00001PATIENT DAYS 40137,B100000,00000,0700,00001SQUARE FEET 40137,B100000,00000,0800,00001MEALS SERVED 40137,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40137,B100000,00000,1000,00001PATIENT DAYS 40137,B100000,00000,1100,00001COSTED REQUIS 40137,B100000,00000,1200,00001PATIENT DAYS 40137,B100000,00000,1300,00001PATIENT DAYS 40137,B100000,00000,1301,00001PATIENT DAYS 40137,B100000,00000,1350,00001UNITS OF SERVICE 40137,B100000,00000,1400,00001ASSIGNED TIME 40137,E10A180,00301,0100,07/19/1999 40137,E10A180,00302,0100,07/19/1999 40137,E10A180,00501,0300,08/30/2000 40137,E10A180,00550,0100,08/30/2000 40137,S000000,00100,0200,08/30/2000 40137,S200000,00100,0100,969 COX ROAD 40137,S200000,00200,0100,GASTONIA 40137,S200000,00200,0200,NC 40137,S200000,00200,0300,28054 40137,S200000,00300,0100,GASTON 40137,S200000,00400,0100,BRIAN CTR HLTH & REHAB/GASTONIA 40137,S200000,00400,0200,345169 40137,S200000,00400,0300,09/01/1977 40137,S200000,00400,0500,P 40137,S200000,01600,0100,Y 40137,S200000,02200,0100,Y 40150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40150,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40150,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40150,A000000,00300,0000,00300EMPLOYEE BENEFITS 40150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40150,A000000,00700,0000,00700HOUSEKEEPING 40150,A000000,00800,0000,00800DIETARY 40150,A000000,00801,0000,00801CAFETERIA 40150,A000000,00900,0000,00900NURSING ADMINISTRATION 40150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40150,A000000,01100,0000,01100PHARMACY 40150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40150,A000000,01300,0000,01300SOCIAL SERVICE 40150,A000000,01350,0000,01500ACTIVITIES 40150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40150,A000000,01600,0000,01600SKILLED NURSING FACILITY 40150,A000000,01800,0000,01800NURSING FACILITY 40150,A000000,01810,0000,01810ICF/MR 40150,A000000,02100,0000,02100RADIOLOGY 40150,A000000,02200,0000,02200LABORATORY 40150,A000000,02500,0000,02500PHYSICAL THERAPY 40150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40150,A000000,02700,0000,02700SPEECH PATHOLOGY 40150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40150,A000000,03050,0000,03300PEN THERAPY 40150,A000000,03051,0000,03301PROSTHETICS 40150,A000000,03052,0000,03302WOUND CARE 40150,A000000,03200,0000,03200SUPPORT SURFACES 40150,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40150,A000000,03550,0000,03550FQHC 40150,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40150,A000000,04800,0000,04800AMBULANCE 40150,A000000,05000,0000,05000CORF I 40150,A000000,05010,0000,05010CMHC I 40150,A000000,05020,0000,05020OPT I 40150,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40150,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40150,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40150,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40150,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40150,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40150,A81000A,00100,0100,Y 40150,A81000B,00100,0300,MANAGEMENT FEES 40150,A81000B,00200,0300,NURSING SUPPLIES 40150,A81000B,00300,0300,LEGEND DRUGS 40150,A81000B,00400,0300,OTC 40150,A81000B,00500,0300,MEDICAL SUPPLIES 40150,A81000B,00600,0300,PHARMACY CONSULTANT 40150,A81000C,00100,0100,B 40150,A81000C,00100,0400,WHITE OAK MANOR 40150,A81000C,00100,0600,NSG HOME CHAIN 40150,A81000C,00200,0100,B 40150,A81000C,00200,0400,WHITE OAK MANOR 40150,A81000C,00200,0600,PHARMACY 40150,B100000,00000,0100,00000(SQUARE FEET) 40150,B100000,00000,0101,00000(SQUARE FEET) 40150,B100000,00000,0200,00000(SQUARE FEET) 40150,B100000,00000,0201,00000(SQUARE FEET) 40150,B100000,00000,0300,00000(GROSS SALARIES) 40150,B100000,00000,0400,00000(ACCUM. COST) 40150,B100000,00000,0500,00000(SQUARE FEET) 40150,B100000,00000,0600,00000(PATIENT DAYS) 40150,B100000,00000,0700,00000(SQUARE FEET) 40150,B100000,00000,0800,00000(MEALS SERVED) 40150,B100000,00000,0801,00000(MEALS SERVED) 40150,B100000,00000,0900,00000(PATIENT DAYS) 40150,B100000,00000,1000,00000(PATIENT DAYS) 40150,B100000,00000,1100,00000(PATIENT DAYS) 40150,B100000,00000,1200,00000(PATIENT DAYS) 40150,B100000,00000,1300,00000(PATIENT DAYS) 40150,B100000,00000,1350,00000(PATIENT DAYS) 40150,B100000,00000,1400,00000(ASSIGNED TIME) 40150,E10A180,00301,0100,03/29/1999 40150,S000000,00100,0200,02/25/2000 40150,S200000,00100,0100,401 NORTH MORGAN STREET 40150,S200000,00100,0300,790 40150,S200000,00200,0100,SHELBY 40150,S200000,00200,0200,NC 40150,S200000,00200,0300,28151 40150,S200000,00300,0100,CLEVELAND 40150,S200000,00400,0100,WHITE OAK MANOR-SHELBY 40150,S200000,00400,0200,345171 40150,S200000,00400,0300,10/26/1977 40150,S200000,00400,0500,P 40150,S200000,00600,0200,345171 40150,S200000,00600,0300,10/26/1977 40150,S200000,00600,0600,P 40150,S200000,01600,0100,Y 40150,S200000,02200,0100,Y 40150,S200000,04700,0100,Y 40162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40162,A000000,00300,0000,00300EMPLOYEE BENEFITS 40162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40162,A000000,00700,0000,00700HOUSEKEEPING 40162,A000000,00800,0000,00800DIETARY 40162,A000000,00900,0000,00900NURSING ADMINISTRATION 40162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40162,A000000,01100,0000,01100PHARMACY 40162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40162,A000000,01300,0000,01300SOCIAL SERVICE 40162,A000000,01350,0000,01500ACTIVITIES 40162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40162,A000000,01600,0000,01600SKILLED NURSING FACILITY 40162,A000000,01810,0000,01810ICF/MR 40162,A000000,02200,0000,02200LABORATORY 40162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40162,A000000,02500,0000,02500PHYSICAL THERAPY 40162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40162,A000000,02700,0000,02700SPEECH PATHOLOGY 40162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40162,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 40162,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40162,A000000,03550,0000,03550FQHC 40162,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40162,A000000,04800,0000,04800AMBULANCE 40162,A000000,05000,0000,05000CORF 40162,A000000,05010,0000,05010CMHC 40162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40162,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40162,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40162,A81000A,00100,0100,Y 40162,A81000B,00100,0300,MANAGEMENT FEES 40162,A81000B,00200,0300,MANAGEMENT FEES 40162,A81000B,00300,0300,MANAGEMENT FEES 40162,A81000B,00400,0300,MANAGEMENT FEES 40162,A81000B,01200,0300,PHYSICAL THERAPY 40162,A81000B,01300,0300,OCCUPATIONAL THERAPY 40162,A81000B,01400,0300,SPEECH THERAPY 40162,A81000B,01500,0300,SHAREHOLDER INTEREST 40162,A81000B,01600,0300,DEPR-DEFRA ADJUSTMENT 40162,A81000B,01700,0300,AMORT-DEFRA ADJUSTMENT 40162,A81000B,01800,0300,INTEREST-DEFRA ADJUSTMENT 40162,A81000B,01900,0300,GOODWILL AMORTIZATION 40162,A81000C,00100,0100,A 40162,A81000C,00100,0200,MICHAEL H. MCBRIDE 40162,A81000C,00100,0400,HLTH MGMT RESOURCES INC 40162,A81000C,00100,0600,HOME OFFICE 40162,A81000C,00200,0100,A 40162,A81000C,00200,0200,T. EDWARD CHILDRESS 40162,A81000C,00200,0400,HLTH MGMT RESOURCES INC 40162,A81000C,00200,0600,HOME OFFICE 40162,A81000C,00300,0100,A 40162,A81000C,00300,0200,JOHN P. OBRIEN 40162,A81000C,00300,0400,HLTH MGMT RESOURCES INC 40162,A81000C,00300,0600,HOME OFFICE 40162,A81000C,00700,0100,A 40162,A81000C,00700,0200,T. EDWARD CHILDRESS 40162,A81000C,00700,0400,ADVANTAGE REHAB INC. 40162,A81000C,00700,0600,THERAPY 40162,A81000C,00800,0100,A 40162,A81000C,00800,0200,JOHN P. OBRIEN 40162,A81000C,00800,0400,ADVANTAGE REHAB INC. 40162,A81000C,00800,0600,THERAPY 40162,A81000C,00900,0100,A 40162,A81000C,00900,0200,MICHAEL H. MCBRIDE 40162,A81000C,00900,0400,ADVANTAGE REHAB INC. 40162,A81000C,00900,0600,THERAPY 40162,A81000C,01000,0100,A 40162,A81000C,01000,0200,T. EDWARD CHILDRESS 40162,A81000C,01000,0400,PARRISH LLC 40162,A81000C,01000,0600,RENTAL LEASING 40162,A81000C,01100,0100,A 40162,A81000C,01100,0200,JOHN P. OBRIEN 40162,A81000C,01100,0400,PARRISH LLC 40162,A81000C,01100,0600,RENTAL LEASING 40162,A81000C,01200,0100,A 40162,A81000C,01200,0200,MICHAEL H. MCBRIDE 40162,A81000C,01200,0400,PARRISH LLC 40162,A81000C,01200,0600,RENTAL LEASING 40162,B100000,00000,0100,00000SQUARE FEET 40162,B100000,00000,0200,00000SQUARE FEET 40162,B100000,00000,0300,00000GROSS SALARIES 40162,B100000,00000,0400,00000ACCUM. COST 40162,B100000,00000,0500,00000SQUARE FEET 40162,B100000,00000,0600,00000POUNDS OF LAUNDRY 40162,B100000,00000,0700,00000SQUARE FEET 40162,B100000,00000,0800,00000MEALS SERVED 40162,B100000,00000,0900,00000NSG LABOR HOURS 40162,B100000,00000,1000,00000GROSS REVENUE 40162,B100000,00000,1100,00000GROSS REVENUE 40162,B100000,00000,1200,00000PATIENT DAYS 40162,B100000,00000,1300,00000PATIENT DAYS 40162,B100000,00000,1350,00000PATIENT DAYS 40162,B100000,00000,1400,00000ASSIGNED TIME 40162,E10A180,00301,0100,03/29/1999 40162,E10A180,00501,0300,07/17/2000 40162,E10A180,00550,0100,07/17/2000 40162,S000000,00100,0200,05/31/2000 40162,S200000,00100,0100,201 NORTH ELLIS AVENUE 40162,S200000,00200,0100,DUNN 40162,S200000,00200,0200,NC 40162,S200000,00200,0300,28335 40162,S200000,00300,0100,HARNETT 40162,S200000,00400,0100,PARRISH NURSING CENTER INC. 40162,S200000,00400,0200,345173 40162,S200000,00400,0300,03/01/1977 40162,S200000,00400,0500,P 40162,S200000,01500,0100,Y 40162,S200000,01900,0100,503C 40170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40170,A000000,00300,0000,00300EMPLOYEE BENEFITS 40170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40170,A000000,00700,0000,00700HOUSEKEEPING 40170,A000000,00800,0000,00800DIETARY 40170,A000000,00900,0000,00900NURSING ADMINISTRATION 40170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40170,A000000,01100,0000,01100PHARMACY 40170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40170,A000000,01300,0000,01300SOCIAL SERVICE 40170,A000000,01301,0000,01301ACTIVITIES 40170,A000000,01350,0000,01500OTHER GENERAL SERVICES 40170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40170,A000000,01600,0000,01600SKILLED NURSING FACILITY 40170,A000000,01800,0000,01800NURSING FACILITY 40170,A000000,01810,0000,01810ICF/MR 40170,A000000,01900,0000,01900OTHER LONG TERM CARE 40170,A000000,02200,0000,02200LABORATORY 40170,A000000,02500,0000,02500PHYSICAL THERAPY 40170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40170,A000000,02700,0000,02700SPEECH PATHOLOGY 40170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40170,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40170,A000000,03101,0000,03101DENTAL CARE - TITLE XIX ONLY 40170,A000000,03550,0000,03550FQHC 40170,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40170,A000000,04800,0000,04800AMBULANCE 40170,A000000,05000,0000,05000CORF 40170,A000000,05010,0000,05010CMHC 40170,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40170,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40170,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40170,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40170,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40170,A81000A,00100,0100,Y 40170,A81000B,00100,0300,DATA PROC/ACCT 40170,A81000B,00200,0300,HOME OFFICE 40170,A81000C,00100,0100,A 40170,A81000C,00100,0200,LINN WILFONG 40170,A81000C,00100,0400,DPL INC. 40170,A81000C,00100,0600,DATA PROCESSING/ACCT 40170,B100000,00000,0100,00000SQUARE FEET 40170,B100000,00000,0200,00000SQUARE FEET 40170,B100000,00000,0300,00000GROSS SALARIES 40170,B100000,00000,0400,00000ACCUM. COST 40170,B100000,00000,0500,00000SQUARE FEET 40170,B100000,00000,0600,00000POUNDS OF LAUNDRY 40170,B100000,00000,0700,00000HOURS OF SERVICE 40170,B100000,00000,0800,00000MEALS SERVED 40170,B100000,00000,0900,00000DIRECT NRSING HRS 40170,B100000,00000,1000,00000COSTED REQUIS 40170,B100000,00000,1100,00000COSTED REQUIS. 40170,B100000,00000,1200,00000TIME SPENT 40170,B100000,00000,1300,00000TIME SPENT 40170,B100000,00000,1301,00000TIME SPENT 40170,B100000,00000,1350,00000NO STATISTICS 40170,B100000,00000,1400,00000ASSIGNED TIME 40170,E10A180,00301,0100,04/12/1999 40170,E10A180,00501,0300,07/24/2000 40170,E10A180,00550,0100,07/24/2000 40170,S000000,00100,0200,06/01/2000 40170,S200000,00100,0100,P O BOX 1940 40170,S200000,00100,0300,P O BOX 1940 40170,S200000,00200,0100,SMITHFIELD 40170,S200000,00200,0200,NC 40170,S200000,00300,0100,JOHNSTON 40170,S200000,00400,0100,SMITHFIELD MANOR 40170,S200000,00400,0200,345175 40170,S200000,00400,0300,12/01/1977 40170,S200000,00400,0500,P 40170,S200000,01600,0100,Y 40194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40194,A000000,00300,0000,00300EMPLOYEE BENEFITS 40194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40194,A000000,00700,0000,00700HOUSEKEEPING 40194,A000000,00800,0000,00800DIETARY 40194,A000000,00900,0000,00900NURSING ADMINISTRATION 40194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40194,A000000,01100,0000,01100PHARMACY 40194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40194,A000000,01300,0000,01300SOCIAL SERVICE 40194,A000000,01350,0000,01500PATIENT ACTIVITIES 40194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40194,A000000,01600,0000,01600SKILLED NURSING FACILITY 40194,A000000,01810,0000,01810ICF/MR 40194,A000000,01900,0000,01900OTHER LONG TERM CARE 40194,A000000,02500,0000,02500PHYSICAL THERAPY 40194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40194,A000000,02700,0000,02700SPEECH PATHOLOGY 40194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40194,A000000,03550,0000,03550FQHC 40194,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40194,A000000,05000,0000,05000CORF 40194,A000000,05010,0000,05010CMHC 40194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40194,A000000,06150,0000,06300INDEPENDENT LIVING 40194,A81000A,00100,0100,Y 40194,A81000B,00100,0300,CAPITAL HOME OFFICE 40194,A81000B,00200,0300,HOME OFFICE POOLED 40194,A81000B,00300,0300,MANAGEMENT FEES 40194,A81000B,00400,0300,LEGEND DRUGS 40194,A81000B,00500,0300,NON LEGEND DRUGS 40194,A81000B,00600,0300,EMPLOYEE BENEFITS 40194,A81000C,00100,0100,B 40194,A81000C,00100,0200,WESLEY PINES 40194,A81000C,00100,0400,METHODIST RETIREMENT HOME 40194,A81000C,00100,0600,HOME OFFICE 40194,B100000,00000,0100,00000SQUARE FEET 40194,B100000,00000,0200,00000SQUARE FEET 40194,B100000,00000,0300,00000GROSS SALARIES 40194,B100000,00000,0400,00000ACCUM. COST 40194,B100000,00000,0500,00000SQUARE FEET 40194,B100000,00000,0600,00000POUNDS OF LAUNDRY 40194,B100000,00000,0700,00000PRO RATED SQUARE FEE 40194,B100000,00000,0800,00000MEALS SERVED 40194,B100000,00000,0900,00000DIRECT NRSING HRS 40194,B100000,00000,1000,00000COSTED REQUIS 40194,B100000,00000,1100,00000PATIENT DAYS 40194,B100000,00000,1200,00000PATIENT DAYS 40194,B100000,00000,1300,00000PATIENT DAYS 40194,B100000,00000,1350,00000PATIENT DAYS 40194,B100000,00000,1400,00000ASSIGNED TIME 40194,E10A180,00501,0300,07/18/2000 40194,S000000,00100,0200,05/31/2000 40194,S200000,00100,0100,100 WESLEY PINES ROAD 40194,S200000,00200,0100,LUMBERTON 40194,S200000,00200,0200,NC 40194,S200000,00200,0300,28358 40194,S200000,00300,0100,ROBESON 40194,S200000,00400,0100,WESLEY PINES RETIREMENT HOME 40194,S200000,00400,0200,345180 40194,S200000,00400,0300,06/01/1978 40194,S200000,00400,0500,P 40194,S200000,01600,0100,Y 40202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40202,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40202,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40202,A000000,00300,0000,00300EMPLOYEE BENEFITS 40202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40202,A000000,00700,0000,00700HOUSEKEEPING 40202,A000000,00800,0000,00800DIETARY 40202,A000000,00801,0000,00801CAFETERIA 40202,A000000,00900,0000,00900NURSING ADMINISTRATION 40202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40202,A000000,01100,0000,01100PHARMACY 40202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40202,A000000,01300,0000,01300SOCIAL SERVICE 40202,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40202,A000000,01600,0000,01600SKILLED NURSING FACILITY 40202,A000000,01800,0000,01800NURSING FACILITY 40202,A000000,01810,0000,01810ICF/MR 40202,A000000,02300,0000,02300INTRAVENOUS THERAPY 40202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40202,A000000,02500,0000,02500PHYSICAL THERAPY 40202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40202,A000000,02700,0000,02700SPEECH PATHOLOGY 40202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40202,A000000,03050,0000,03300OTHER ANCILLARY 40202,A000000,03051,0000,03301OTHER ANCILLARY II 40202,A000000,03052,0000,03302OTHER ANCILLARY III 40202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40202,A000000,03550,0000,03550FQHC 40202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40202,A000000,05000,0000,05000CORF I 40202,A000000,05010,0000,05010CMHC I 40202,A000000,05020,0000,05020OPT I 40202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40202,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40202,B100000,00000,0100,00000(SQUARE FEET) 40202,B100000,00000,0101,00000(SQUARE FEET) 40202,B100000,00000,0200,00000(SQUARE FEET) 40202,B100000,00000,0201,00000(SQUARE FEET) 40202,B100000,00000,0300,00000(GROSS SALARIES) 40202,B100000,00000,0400,00000(ACCUM. COST) 40202,B100000,00000,0500,00000(SQUARE FEET) 40202,B100000,00000,0600,00000PATIENT DA 40202,B100000,00000,0700,00000(SQUARE FEET) 40202,B100000,00000,0800,00000(MEALS SERVED) 40202,B100000,00000,0801,00000(MEALS SERVED) 40202,B100000,00000,0900,00000(DIRECT NRSING HRS 40202,B100000,00000,1000,00000PATIENT DA 40202,B100000,00000,1100,00000PATIENT DA 40202,B100000,00000,1200,00000PATIENT DA 40202,B100000,00000,1300,00000PATIENT DA 40202,B100000,00000,1350,00000PATIENT DA 40202,B100000,00000,1400,00000(ASSIGNED TIME) 40202,S000000,00100,0200,07/17/2000 40202,S200000,00100,0100,2578 W. 5TH STREET 40202,S200000,00200,0100,GREENVILLE 40202,S200000,00200,0200,NC 40202,S200000,00200,0300,27834 40202,S200000,00300,0100,PITT 40202,S200000,00400,0100,TAR RIVER MANOR 40202,S200000,00400,0200,345181 40202,S200000,00400,0300,09/15/1988 40202,S200000,00400,0500,P 40202,S200000,00600,0200,345181 40202,S200000,00600,0300,09/15/1988 40202,S200000,00600,0600,P 40202,S200000,01600,0100,Y 40212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40212,A000000,00300,0000,00300EMPLOYEE BENEFITS 40212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40212,A000000,00700,0000,00700HOUSEKEEPING 40212,A000000,00800,0000,00800DIETARY 40212,A000000,00900,0000,00900NURSING ADMINISTRATION 40212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40212,A000000,01100,0000,01100PHARMACY 40212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40212,A000000,01300,0000,01300SOCIAL SERVICE 40212,A000000,01350,0000,01500OTHER GENERAL SERVICES 40212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40212,A000000,01600,0000,01600SKILLED NURSING FACILITY 40212,A000000,01800,0000,01800NURSING FACILITY 40212,A000000,01810,0000,01810ICF/MR 40212,A000000,02100,0000,02100RADIOLOGY 40212,A000000,02200,0000,02200LABORATORY 40212,A000000,02500,0000,02500PHYSICAL THERAPY 40212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40212,A000000,02700,0000,02700SPEECH PATHOLOGY 40212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40212,A000000,03051,0000,03301CLINITRON BED 40212,A000000,03052,0000,03302ENTERAL FEEDING COSTS 40212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40212,A000000,03550,0000,03550FQHC 40212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40212,A000000,04800,0000,04800AMBULANCE 40212,A000000,05000,0000,05000CORF 40212,A000000,05010,0000,05010CMHC 40212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40212,A000000,06200,0000,06200PATIENTS LAUNDRY 40212,B100000,00000,0100,00000SQUARE FEET 40212,B100000,00000,0200,00000DOLLAR VALUE 40212,B100000,00000,0300,00000GROSS SALARIES 40212,B100000,00000,0400,00000ACCUM. COST 40212,B100000,00000,0500,00000SQUARE FEET 40212,B100000,00000,0600,00000POUNDS OF LAUNDRY 40212,B100000,00000,0700,00000SQUARE FEET 40212,B100000,00000,0800,00000MEALS SERVED 40212,B100000,00000,0900,00000DIRECT NRSING HRS 40212,B100000,00000,1000,00000COSTED REQUIS. 40212,B100000,00000,1100,00000COSTED REQUIS. 40212,B100000,00000,1200,00000TIME SPENT 40212,B100000,00000,1300,00000TIME SPENT 40212,B100000,00000,1350,00000NO STATISTICS 40212,B100000,00000,1400,00000ASSIGNED TIME 40212,E10A180,00301,0100,04/12/1999 40212,E10A180,00501,0100,08/02/2000 40212,E10A180,00550,0300,08/02/2000 40212,S000000,00100,0200,06/08/2000 40212,S200000,00100,0100,430 BROOKWOOD AVE. N.E. 40212,S200000,00100,0300,748 40212,S200000,00200,0100,CONCORD 40212,S200000,00200,0200,NC 40212,S200000,00300,0100,CABARRUS 40212,S200000,00400,0100,CONCORD NURSING CENTER 40212,S200000,00400,0200,345183 40212,S200000,00400,0300,10/06/1978 40212,S200000,00400,0500,P 40212,S200000,00600,0200,346026 40212,S200000,00600,0300,10/06/1978 40212,S200000,00600,0600,P 40212,S200000,01600,0100,Y 40222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40222,A000000,00300,0000,00300EMPLOYEE BENEFITS 40222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40222,A000000,00700,0000,00700HOUSEKEEPING 40222,A000000,00800,0000,00800DIETARY 40222,A000000,00900,0000,00900NURSING ADMINISTRATION 40222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40222,A000000,01100,0000,01100PHARMACY 40222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40222,A000000,01300,0000,01300SOCIAL SERVICE 40222,A000000,01301,0000,01301ACTIVITES 40222,A000000,01350,0000,01500REHABILITATION 40222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40222,A000000,01600,0000,01600SKILLED NURSING FACILITY 40222,A000000,01800,0000,01800NURSING FACILITY 40222,A000000,01810,0000,01810ICF/MR 40222,A000000,02100,0000,02100RADIOLOGY 40222,A000000,02200,0000,02200LABORATORY 40222,A000000,02300,0000,02300INTRAVENOUS THERAPY 40222,A000000,02500,0000,02500PHYSICAL THERAPY 40222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40222,A000000,02700,0000,02700SPEECH PATHOLOGY 40222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40222,A000000,03050,0000,03300EQUIPMENT RENTAL 40222,A000000,03051,0000,03301PEN THERAPY 40222,A000000,03550,0000,03550FQHC 40222,A000000,05000,0000,05000CORF 40222,A000000,05010,0000,05010CMHC 40222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40222,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40222,A000000,06150,0000,06300VENDING 40222,A000000,06151,0000,06301STAND-BY 40222,A81000A,00100,0100,Y 40222,A81000B,00100,0300,HOME OFFICE COST 40222,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 40222,A81000B,00500,0300,MEDICAL SUPPLIES 40222,A81000B,00700,0300,HOME OFFICE INTEREST 40222,A81000B,01000,0300,THERAPY CONSULTING 40222,A81000B,01100,0300,PHYSICAL THERAPY 40222,A81000B,01200,0300,OCCUPATIONAL THERAPY 40222,A81000B,01300,0300,SPEECH THERAPY 40222,A81000C,00100,0100,B 40222,A81000C,00100,0200,PREMIER LIVING 40222,A81000C,00100,0400,MARINER PAN 40222,A81000C,00100,0600,NURSING HOMES 40222,A81000C,00200,0100,G 40222,A81000C,00200,0200,MARINER PAN 40222,A81000C,00200,0400,AMER PHARM SVCS 40222,A81000C,00200,0600,PHARMACEUTICALS 40222,A81000C,00300,0100,G 40222,A81000C,00300,0200,MARINER PAN 40222,A81000C,00300,0400,PRISM-ATS-ARS-T 40222,A81000C,00300,0600,THERAPIES 40222,B100000,00000,0100,00001SQUARE FEET 40222,B100000,00000,0200,00001SQUARE FEET 40222,B100000,00000,0300,00001GROSS SALARIES 40222,B100000,00000,0400,00001ACCUM COST 40222,B100000,00000,0500,00001SQUARE FEET 40222,B100000,00000,0600,00001PATIENT DAYS 40222,B100000,00000,0700,00001SQUARE FEET 40222,B100000,00000,0800,00001MEALS SERVED 40222,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40222,B100000,00000,1000,00001PATIENT DAYS 40222,B100000,00000,1100,00001COSTED REQUIS 40222,B100000,00000,1200,00001PATIENT DAYS 40222,B100000,00000,1300,00001PATIENT DAYS 40222,B100000,00000,1301,00001PATIENT DAYS 40222,B100000,00000,1350,00001UNITS OF SERVICE 40222,B100000,00000,1400,00001ASSIGNED TIME 40222,E10A180,00501,0100,07/31/2000 40222,E10A180,00550,0300,07/31/2000 40222,S000000,00100,0200,06/02/2000 40222,S200000,00100,0100,106 CAMERON STREET 40222,S200000,00200,0100,LAKE WACCAMAW 40222,S200000,00200,0200,NC 40222,S200000,00200,0300,28450 40222,S200000,00300,0100,COLUMBUS 40222,S200000,00400,0100,PREMIER LIVING HEALTHCARE CENTER 40222,S200000,00400,0200,345185 40222,S200000,00400,0300,09/29/1978 40222,S200000,00400,0500,P 40222,S200000,00600,0200,345185 40222,S200000,00600,0300,09/29/1978 40222,S200000,00600,0600,P 40222,S200000,01600,0100,Y 40222,S200000,01900,0100,OTHER 40222,S200000,02200,0100,Y 40230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40230,A000000,00300,0000,00300EMPLOYEE BENEFITS 40230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40230,A000000,00700,0000,00700HOUSEKEEPING 40230,A000000,00800,0000,00800DIETARY 40230,A000000,00900,0000,00900NURSING ADMINISTRATION 40230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40230,A000000,01100,0000,01100PHARMACY 40230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40230,A000000,01300,0000,01300SOCIAL SERVICE 40230,A000000,01350,0000,01500OTHER GENERAL SERVICES 40230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40230,A000000,01600,0000,01600SKILLED NURSING FACILITY 40230,A000000,01800,0000,01800NURSING FACILITY 40230,A000000,01810,0000,01810ICF/MR 40230,A000000,01900,0000,01900OTHER LONG TERM CARE 40230,A000000,02100,0000,02100RADIOLOGY 40230,A000000,02200,0000,02200LABORATORY 40230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40230,A000000,02500,0000,02500PHYSICAL THERAPY 40230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40230,A000000,02700,0000,02700SPEECH PATHOLOGY 40230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40230,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40230,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40230,A000000,03550,0000,03550FQHC 40230,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40230,A000000,05000,0000,05000CORF 40230,A000000,05010,0000,05010CMHC 40230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40230,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40230,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40230,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40230,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40230,B100000,00000,0100,00000SQUARE FEET 40230,B100000,00000,0200,00000DOLLAR VALUE 40230,B100000,00000,0300,00000GROSS SALARIES 40230,B100000,00000,0400,00000ACCUM. COST 40230,B100000,00000,0500,00000SQUARE FEET 40230,B100000,00000,0600,00000POUNDS OF LAUNDRY 40230,B100000,00000,0700,00000SQUARE FEET 40230,B100000,00000,0800,00000MEALS SERVED 40230,B100000,00000,0900,00000DIRECT NRSING HRS 40230,B100000,00000,1000,00000COSTED REQUIS. 40230,B100000,00000,1100,00000COSTED REQUIS. 40230,B100000,00000,1200,00000TIME SPENT 40230,B100000,00000,1300,00000TIME SPENT 40230,B100000,00000,1350,00000NO STATISTICS 40230,B100000,00000,1400,00000ASSIGNED TIME 40230,E10A180,00301,0100,04/12/1999 40230,E10A180,00550,0100,06/01/2000 40230,E10A180,00550,0300,06/01/2000 40230,E10A180,00551,0100,07/17/2000 40230,S000000,00100,0200,06/01/2000 40230,S200000,00100,0100,PO BOX 384 40230,S200000,00200,0100,CONCORD 40230,S200000,00200,0200,NC 40230,S200000,00300,0100,CABBARUS 40230,S200000,00400,0100,FIVE OAKS NURSING CENTER INC 40230,S200000,00400,0200,345186 40230,S200000,00400,0300,12/01/1978 40230,S200000,00400,0500,P 40230,S200000,01600,0100,Y 40248,S000000,00100,0200,05/03/2000 40256,S000000,00100,0200,05/18/2000 40262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40262,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40262,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40262,A000000,00300,0000,00300EMPLOYEE BENEFITS 40262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40262,A000000,00700,0000,00700HOUSEKEEPING 40262,A000000,00800,0000,00800DIETARY 40262,A000000,00801,0000,00801CAFETERIA 40262,A000000,00900,0000,00900NURSING ADMINISTRATION 40262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40262,A000000,01100,0000,01100PHARMACY 40262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40262,A000000,01300,0000,01300SOCIAL SERVICE 40262,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40262,A000000,01600,0000,01600SKILLED NURSING FACILITY 40262,A000000,01810,0000,01810ICF/MR 40262,A000000,01900,0000,01900OTHER LONG TERM CARE 40262,A000000,02200,0000,02200LABORATORY 40262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40262,A000000,02500,0000,02500PHYSICAL THERAPY 40262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40262,A000000,02700,0000,02700SPEECH PATHOLOGY 40262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40262,A000000,03050,0000,03300OTHER ANCILLARY 40262,A000000,03051,0000,03301OTHER ANCILLARY II 40262,A000000,03052,0000,03302OTHER ANCILLARY III 40262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40262,A000000,03550,0000,03550FQHC 40262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40262,A000000,04800,0000,04800AMBULANCE 40262,A000000,05000,0000,05000CORF I 40262,A000000,05010,0000,05010CMHC I 40262,A000000,05020,0000,05020OPT I 40262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40262,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40262,B100000,00000,0100,00000(SQUARE FEET) 40262,B100000,00000,0101,00000(SQUARE FEET) 40262,B100000,00000,0200,00000(SQUARE FEET) 40262,B100000,00000,0201,00000(SQUARE FEET) 40262,B100000,00000,0300,00000(GROSS SALARIES) 40262,B100000,00000,0400,00000(ACCUM. COST) 40262,B100000,00000,0500,00000(SQUARE FEET) 40262,B100000,00000,0600,00000POUNDS 40262,B100000,00000,0700,00000(SQUARE FEET) 40262,B100000,00000,0800,00000(SQUARE FEET) 40262,B100000,00000,0801,00000(MEALS SERVED) 40262,B100000,00000,0900,00000HOURS 40262,B100000,00000,1000,00000PATIENT DA 40262,B100000,00000,1100,00000(COSTED REQUIS.) 40262,B100000,00000,1200,00000TIME SPENT 40262,B100000,00000,1300,00000PATIENT DA 40262,B100000,00000,1350,00000 40262,B100000,00000,1400,00000(ASSIGNED TIME) 40262,S000000,00100,0200,05/31/2000 40262,S200000,00100,0100,106 MOUNTAIN VISTA ROAD 40262,S200000,00100,0300,1547 40262,S200000,00200,0100,DENTON 40262,S200000,00200,0200,NC 40262,S200000,00200,0300,27239 40262,S200000,00300,0100,DAVIDSON 40262,S200000,00400,0100,MOUNTAIN VISTA HEALTH PARK 40262,S200000,00400,0200,345196 40262,S200000,00400,0300,02/04/1980 40262,S200000,00400,0500,P 40262,S200000,01600,0100,Y 40272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40272,A000000,00300,0000,00300EMPLOYEE BENEFITS 40272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40272,A000000,00700,0000,00700HOUSEKEEPING 40272,A000000,00800,0000,00800DIETARY 40272,A000000,00900,0000,00900NURSING ADMINISTRATION 40272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40272,A000000,01100,0000,01100PHARMACY 40272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40272,A000000,01300,0000,01300SOCIAL SERVICE 40272,A000000,01350,0000,01500PATIENT ACTIVITIES 40272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40272,A000000,01600,0000,01600SKILLED NURSING FACILITY 40272,A000000,01800,0000,01800NURSING FACILITY 40272,A000000,01900,0000,01900OTHER LONG TERM CARE 40272,A000000,02500,0000,02500PHYSICAL THERAPY 40272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40272,A000000,02700,0000,02700SPEECH PATHOLOGY 40272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40272,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40272,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40272,A000000,03550,0000,03550FQHC 40272,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40272,A000000,05000,0000,05000CORF 40272,A000000,05010,0000,05010CMHC 40272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40272,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40272,B100000,00000,0100,00000SQUARE FEET 40272,B100000,00000,0200,00000SQUARE FEET 40272,B100000,00000,0300,00000GROSS SALARIES 40272,B100000,00000,0400,00000ACCUM. COST 40272,B100000,00000,0500,00000SQUARE FEET 40272,B100000,00000,0600,00000POUNDS OF LAUNDRY 40272,B100000,00000,0700,00000SQ. FTG. EXC. DIET. 40272,B100000,00000,0800,00000PATIENT DAYS 40272,B100000,00000,0900,00000DIRECT NRSING HRS 40272,B100000,00000,1000,00000COSTED REQUIS. 40272,B100000,00000,1100,00000COSTED REQUIS. 40272,B100000,00000,1200,00000PATIENT DAYS 40272,B100000,00000,1300,00000PATIENT DAYS 40272,B100000,00000,1350,00000PATIENT DAYS 40272,B100000,00000,1400,00000ASSIGNED TIME 40272,E10A180,00301,0100,04/12/1999 40272,E10A180,00501,0300,05/16/2000 40272,E10A180,00550,0100,05/16/2000 40272,S000000,00100,0200,05/16/2000 40272,S200000,00100,0100,380 BREVARD ROAD 40272,S200000,00200,0100,ASHEVILLE 40272,S200000,00200,0200,NC 40272,S200000,00300,0100,BUNCOMBE 40272,S200000,00400,0100,ASTON PARK HEALTH CARE CENTER INC. 40272,S200000,00400,0200,345198 40272,S200000,00400,0300,06/03/1980 40272,S200000,00400,0500,P 40272,S200000,01600,0100,Y 40272,S200000,01900,0100,503C 40280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40280,A000000,00101,0000,00101INTEREST EXPENSE 40280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40280,A000000,00300,0000,00300EMPLOYEE BENEFITS 40280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40280,A000000,00700,0000,00700HOUSEKEEPING 40280,A000000,00800,0000,00800DIETARY 40280,A000000,00900,0000,00900NURSING ADMINISTRATION 40280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40280,A000000,01100,0000,01100PHARMACY 40280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40280,A000000,01300,0000,01300SOCIAL SERVICE 40280,A000000,01350,0000,01500OTHER GENERAL SERVICES 40280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40280,A000000,01600,0000,01600SKILLED NURSING FACILITY 40280,A000000,01810,0000,01810ICF/MR 40280,A000000,01900,0000,01900OTHER LONG TERM CARE 40280,A000000,02200,0000,02200LABORATORY 40280,A000000,02500,0000,02500PHYSICAL THERAPY 40280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40280,A000000,02700,0000,02700SPEECH PATHOLOGY 40280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40280,A000000,03550,0000,03550FQHC 40280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40280,A000000,04800,0000,04800AMBULANCE 40280,A000000,05000,0000,05000CORF 40280,A000000,05010,0000,05010CMHC 40280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40280,A000000,06150,0000,06300RETIREMENT HOME COST 40280,B100000,00000,0100,00000SQUARE FEET 40280,B100000,00000,0101,00000NO STATISTICS 40280,B100000,00000,0200,00000NO STATISTICS 40280,B100000,00000,0300,00000GROSS SALARIES 40280,B100000,00000,0400,00000ACCUM. COST 40280,B100000,00000,0500,00000SQUARE FEET 40280,B100000,00000,0600,00000HOURS OF SERVICE 40280,B100000,00000,0700,0000099 40280,B100000,00000,0800,00000MEALS SERVED 40280,B100000,00000,0900,00000GROSS SALARIES 40280,B100000,00000,1000,00000NO STATISTICS 40280,B100000,00000,1100,00000NO STATISTICS 40280,B100000,00000,1200,00000TIME SPENT 40280,B100000,00000,1300,00000NO STATISTICS 40280,B100000,00000,1350,00000NO STATISTICS 40280,B100000,00000,1400,00000NO STATISTICS 40280,E10A180,00501,0100,08/17/2000 40280,E10A180,00501,0300,08/17/2000 40280,S000000,00100,0200,06/21/2000 40280,S200000,00100,0100,750 WEAVER DAIRY ROAD 40280,S200000,00100,0300,2121 40280,S200000,00200,0100,CHAPEL HILL 40280,S200000,00200,0200,NC 40280,S200000,00200,0300,27514 40280,S200000,00300,0100,ORANGE 40280,S200000,00400,0100,CAROL WOODS HEALTH CARE 40280,S200000,00400,0200,345199 40280,S200000,00400,0300,01/13/1980 40280,S200000,00400,0500,P 40280,S200000,01600,0100,Y 40280,S200000,01700,0100,Y 40280,S200000,02800,0100,Y 40280,S200000,04700,0100,Y 40280,S200000,04700,0200,Y 40289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40289,A000000,00300,0000,00300EMPLOYEE BENEFITS 40289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40289,A000000,00700,0000,00700HOUSEKEEPING 40289,A000000,00800,0000,00800DIETARY 40289,A000000,00900,0000,00900NURSING ADMINISTRATION 40289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40289,A000000,01100,0000,01100PHARMACY 40289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40289,A000000,01300,0000,01300SOCIAL SERVICE 40289,A000000,01301,0000,01301ACTIVITIES 40289,A000000,01350,0000,01500REHABILITATION 40289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40289,A000000,01600,0000,01600SKILLED NURSING FACILITY 40289,A000000,01800,0000,01800NURSING FACILITY 40289,A000000,01810,0000,01810ICF/MR 40289,A000000,02100,0000,02100RADIOLOGY 40289,A000000,02200,0000,02200LABORATORY 40289,A000000,02300,0000,02300INTRAVENOUS THERAPY 40289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40289,A000000,02500,0000,02500PHYSICAL THERAPY 40289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40289,A000000,02700,0000,02700SPEECH PATHOLOGY 40289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40289,A000000,03050,0000,03300EQUIPMENT RENTAL 40289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40289,A000000,03550,0000,03550FQHC 40289,A000000,05000,0000,05000CORF 40289,A000000,05010,0000,05010CMHC 40289,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40289,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40289,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40289,A000000,06150,0000,06300VENDING 40289,A000000,06151,0000,06301STAND-BY 40289,A81000A,00100,0100,Y 40289,A81000B,00100,0300,CENTRAL SUPPLY 40289,A81000B,00200,0300,MEDICAL SUPPLIES 40289,A81000B,00300,0300,DIETARY 40289,A81000B,00400,0300,DRUGS 40289,A81000B,00500,0300,IV 40289,A81000B,00600,0300,REHAB 40289,A81000B,00700,0300,PT 40289,A81000B,00800,0300,OT 40289,A81000B,00900,0300,ST 40289,A81000B,01000,0300,BLDG CAPITAL 40289,A81000B,01100,0300,ADMIN & GENERAL 40289,A81000C,00100,0100,B 40289,A81000C,00100,0200,BRIAN CENTER RA 40289,A81000C,00100,0400,MARINER PAN 40289,A81000C,00100,0600,NURSING HOMES 40289,A81000C,00200,0100,G 40289,A81000C,00200,0200,MARINER PAN 40289,A81000C,00200,0400,AMERICAN PHARMA 40289,A81000C,00200,0600,PHARMACEUTICALS 40289,A81000C,00300,0100,G 40289,A81000C,00300,0200,MARINER PAN 40289,A81000C,00300,0400,PRISM (ATS ARS/ 40289,A81000C,00300,0600,THERAPIES 40289,B100000,00000,0100,00001SQUARE FEET 40289,B100000,00000,0200,00001SQUARE FEET 40289,B100000,00000,0300,00001GROSS SALARIES 40289,B100000,00000,0400,00001ACCUM COST 40289,B100000,00000,0500,00001SQUARE FEET 40289,B100000,00000,0600,00001PATIENT DAYS 40289,B100000,00000,0700,00001SQUARE FEET 40289,B100000,00000,0800,00001MEALS SERVED 40289,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40289,B100000,00000,1000,00001PATIENT DAYS 40289,B100000,00000,1100,00001COSTED REQUIS 40289,B100000,00000,1200,00001PATIENT DAYS 40289,B100000,00000,1300,00001PATIENT DAYS 40289,B100000,00000,1301,00001PATIENT DAYS 40289,B100000,00000,1350,00001UNITS OF SERVICE 40289,B100000,00000,1400,00001ASSIGNED TIME 40289,E10A180,00301,0100,07/19/1999 40289,E10A180,00302,0100,07/19/1999 40289,E10A180,00550,0100,08/31/2000 40289,E10A180,00550,0300,08/31/2000 40289,S000000,00100,0200,08/31/2000 40289,S200000,00100,0100,3000 HOLSTON LANE 40289,S200000,00200,0100,RALEIGH 40289,S200000,00200,0200,NC 40289,S200000,00200,0300,27610 40289,S200000,00300,0100,WAKE 40289,S200000,00400,0100,BRIAN CTR HLTH & REHAB/RALEIGH 40289,S200000,00400,0200,345202 40289,S200000,00400,0300,10/01/1980 40289,S200000,00400,0500,P 40289,S200000,01600,0100,Y 40289,S200000,02200,0100,Y 40298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40298,A000000,00300,0000,00300EMPLOYEE BENEFITS 40298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40298,A000000,00700,0000,00700HOUSEKEEPING 40298,A000000,00800,0000,00800DIETARY 40298,A000000,00900,0000,00900NURSING ADMINISTRATION 40298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40298,A000000,01100,0000,01100PHARMACY 40298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40298,A000000,01300,0000,01300SOCIAL SERVICE 40298,A000000,01350,0000,01500PATIENT ACTIVITIES 40298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40298,A000000,01600,0000,01600SKILLED NURSING FACILITY 40298,A000000,01800,0000,01800NURSING FACILITY 40298,A000000,01810,0000,01810ICF/MR 40298,A000000,02100,0000,02100RADIOLOGY 40298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40298,A000000,02500,0000,02500PHYSICAL THERAPY 40298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40298,A000000,02700,0000,02700SPEECH PATHOLOGY 40298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40298,A000000,03200,0000,03200SUPPORT SURFACES 40298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40298,A000000,03550,0000,03550FQHC 40298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40298,A000000,05000,0000,05000CORF 40298,A000000,05010,0000,05010CMHC 40298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40298,A81000A,00100,0100,Y 40298,A81000B,00100,0300,PARKING LEASE 40298,A81000B,00200,0300,OFFICE EXPENSES 40298,A81000C,00100,0100,A 40298,A81000C,00100,0200,VICTORIA HEALTH CARE CENT 40298,A81000C,00100,0400,BROOKWOOD INVESTMENTS 40298,A81000C,00100,0600,HOME OFFICE 40298,A81000C,00200,0100,A 40298,A81000C,00200,0200,VICTORIA HEALTH CARE CENT 40298,A81000C,00200,0400,DR. JOHN HOLT 40298,A81000C,00200,0600,INVSTMENT 40298,B100000,00000,0100,00000SQUARE FEET 40298,B100000,00000,0200,00000DOLLAR VALUE 40298,B100000,00000,0300,00000GROSS SALARIES 40298,B100000,00000,0400,00000ACCUM. COST 40298,B100000,00000,0500,00000SQUARE FEET 40298,B100000,00000,0600,00000PATIENT DAYS 40298,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40298,B100000,00000,0800,00000PATIENT DAYS 40298,B100000,00000,0900,00000DIRECT NRSING HRS 40298,B100000,00000,1000,00000PATIENT DAYS 40298,B100000,00000,1100,00000PATIENT DAYS 40298,B100000,00000,1200,00000PATIENT DAYS 40298,B100000,00000,1300,00000PATIENT DAYS 40298,B100000,00000,1350,00000PATIENT DAYS 40298,B100000,00000,1400,00000ASSIGNED TIME 40298,E10A180,00301,0100,03/15/1999 40298,E10A180,00550,0100,06/01/2000 40298,E10A180,00550,0300,06/01/2000 40298,S000000,00100,0200,06/01/2000 40298,S200000,00100,0100,455 VICTORIA ROAD 40298,S200000,00200,0100,ASHEVILLE 40298,S200000,00200,0200,NC 40298,S200000,00300,0100,BUNCOMBE 40298,S200000,00400,0100,VICTORIA HEALTH CARE CENTER 40298,S200000,00400,0200,345204 40298,S200000,00400,0300,06/17/1981 40298,S200000,00400,0500,P 40298,S200000,00600,0200,345204 40298,S200000,00600,0300,06/17/1981 40298,S200000,00600,0600,P 40298,S200000,01600,0100,Y 40306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40306,A000000,00300,0000,00300EMPLOYEE BENEFITS 40306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40306,A000000,00700,0000,00700HOUSEKEEPING 40306,A000000,00800,0000,00800DIETARY 40306,A000000,00900,0000,00900NURSING ADMINISTRATION 40306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40306,A000000,01100,0000,01100PHARMACY 40306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40306,A000000,01300,0000,01300SOCIAL SERVICE 40306,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40306,A000000,01600,0000,01600SKILLED NURSING FACILITY 40306,A000000,01800,0000,01800NURSING FACILITY 40306,A000000,01810,0000,01810ICF/MR 40306,A000000,02100,0000,02100RADIOLOGY 40306,A000000,02200,0000,02200LABORATORY 40306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40306,A000000,02500,0000,02500PHYSICAL THERAPY 40306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40306,A000000,02700,0000,02700SPEECH PATHOLOGY 40306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40306,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40306,A000000,03051,0000,03301PEN THERAPY 40306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40306,A000000,03550,0000,03550FQHC 40306,A000000,05000,0000,05000CORF 40306,A000000,05010,0000,05010CMHC 40306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40306,A000000,05300,0000,05300INTEREST EXPENSE 40306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40306,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40306,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40306,A81000A,00100,0100,Y 40306,A81000B,00100,0300,CONSULTING 40306,A81000B,00200,0300,CONSULTING 40306,A81000B,00300,0300,CONSULTING 40306,A81000B,00400,0300,CONSULTING 40306,A81000B,00500,0300,HOME OFFICE 40306,A81000B,00600,0300,CONSULTING 40306,A81000B,00700,0300,INSURANCE 40306,A81000B,00800,0300,GAS 40306,A81000B,00900,0300,EQUIPMENT RENTAL 40306,A81000C,00100,0100,B 40306,A81000C,00100,0400,BRITTHAVEN INC 40306,A81000C,00100,0600,MGMT SVS 40306,A81000C,00200,0100,B 40306,A81000C,00200,0400,BRITTHAVEN INC 40306,A81000C,00200,0600,MGMT SVS 40306,A81000C,00300,0100,B 40306,A81000C,00300,0400,BRITTHAVEN INC 40306,A81000C,00300,0600,MGMT SVS 40306,A81000C,00400,0100,B 40306,A81000C,00400,0400,BRITTHAVEN INC 40306,A81000C,00400,0600,MGMT SVS 40306,A81000C,00500,0100,B 40306,A81000C,00500,0400,BRITTHAVEN INC 40306,A81000C,00500,0600,MGMT SVS 40306,A81000C,00600,0100,B 40306,A81000C,00600,0400,BRITTHAVEN INC 40306,A81000C,00600,0600,MGMT SVS 40306,A81000C,00700,0100,B 40306,A81000C,00700,0400,BRITTHAVEN INC 40306,A81000C,00700,0600,MGMT SVS 40306,A81000C,00800,0100,B 40306,A81000C,00800,0400,BRITTHAVEN INC 40306,A81000C,00800,0600,MGMT SVS 40306,A81000C,00900,0100,B 40306,A81000C,00900,0400,BRITTHAVEN INC 40306,A81000C,00900,0600,MGMT SVS 40306,A81000C,01000,0100,B 40306,A81000C,01000,0400,R. HILL CONS. C 40306,A81000C,01000,0600,CONSTRUCTION 40306,B100000,00000,0100,00000SQUARE FEET 40306,B100000,00000,0200,00000SQUARE FEET 40306,B100000,00000,0300,00000GROSS SALARIES 40306,B100000,00000,0400,00000ACCUM COST 40306,B100000,00000,0500,00000SQUARE FEET 40306,B100000,00000,0600,00000POUNDS OF LAUNDRY 40306,B100000,00000,0700,00000SQUARE FEET 40306,B100000,00000,0800,00000MEALS SERVED 40306,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40306,B100000,00000,1000,00000COSTED REQUISITIO 40306,B100000,00000,1100,00000COSTED REQUISITIO 40306,B100000,00000,1200,00000TIME SPENT 40306,B100000,00000,1300,00000TIME SPENT 40306,B100000,00000,1350,00000SQUARE FEET 40306,B100000,00000,1400,00000ASSIGNED TIME 40306,E10A180,00301,0100,04/12/1999 40306,E10A180,00303,0100,04/12/1999 40306,E10A180,00550,0100,03/21/2000 40306,E10A180,00550,0300,03/21/2000 40306,E10A180,00551,0300,05/17/2000 40306,S000000,00100,0200,03/21/2000 40306,S200000,00100,0100,1016 FLETCHER STREET 40306,S200000,00200,0100,WILKESBORO 40306,S200000,00200,0200,NC 40306,S200000,00200,0300,28697 40306,S200000,00300,0100,WILKES 40306,S200000,00400,0100,BRITTHAVEN OF WILKESBORO 40306,S200000,00400,0200,345205 40306,S200000,00400,0300,07/30/1981 40306,S200000,00400,0500,P 40306,S200000,01600,0100,Y 40314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40314,A000000,00300,0000,00300EMPLOYEE BENEFITS 40314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40314,A000000,00700,0000,00700HOUSEKEEPING 40314,A000000,00800,0000,00800DIETARY 40314,A000000,00900,0000,00900NURSING ADMINISTRATION 40314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40314,A000000,01100,0000,01100PHARMACY 40314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40314,A000000,01300,0000,01300SOCIAL SERVICE 40314,A000000,01350,0000,01500PATIENT ACTIVITIES 40314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40314,A000000,01600,0000,01600SKILLED NURSING FACILITY 40314,A000000,01800,0000,01800NURSING FACILITY 40314,A000000,01810,0000,01810ICF/MR 40314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40314,A000000,02500,0000,02500PHYSICAL THERAPY 40314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40314,A000000,02700,0000,02700SPEECH PATHOLOGY 40314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40314,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40314,A000000,03200,0000,03200SUPPORT SURFACES 40314,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40314,A000000,03550,0000,03550FQHC 40314,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40314,A000000,05000,0000,05000CORF 40314,A000000,05010,0000,05010CMHC 40314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40314,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40314,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40314,B100000,00000,0100,00000SQUARE FEET 40314,B100000,00000,0200,00000DOLLAR VALUE 40314,B100000,00000,0300,00000GROSS SALARIES 40314,B100000,00000,0400,00000ACCUM. COST 40314,B100000,00000,0500,00000SQUARE FEET 40314,B100000,00000,0600,00000PATIENT DAYS 40314,B100000,00000,0700,00000SQ.FTG. EXC. DIET 40314,B100000,00000,0800,00000PATIENT DAYS 40314,B100000,00000,0900,00000DIRECT NRSING HRS 40314,B100000,00000,1000,00000PATIENT DAYS 40314,B100000,00000,1100,00000PATIENT DAYS 40314,B100000,00000,1200,00000PATIENT DAYS 40314,B100000,00000,1300,00000PATIENT DAYS 40314,B100000,00000,1350,00000PATIENT DAYS 40314,B100000,00000,1400,00000ASSIGNED TIME 40314,E10A180,00301,0100,03/29/1999 40314,E10A180,00501,0100,08/16/2000 40314,S000000,00100,0200,06/21/2000 40314,S200000,00100,0100,50 MANOR ROAD 40314,S200000,00200,0100,MARS HILL 40314,S200000,00200,0200,NC 40314,S200000,00300,0100,MADISON 40314,S200000,00400,0100,MADISON MANOR NURSING CENTER 40314,S200000,00400,0200,345206 40314,S200000,00400,0300,05/25/1981 40314,S200000,00400,0500,P 40314,S200000,01600,0100,Y 40314,S200000,01900,0100,OWNED BY WMH HOLDING 40323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40323,A000000,00300,0000,00300EMPLOYEE BENEFITS 40323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40323,A000000,00700,0000,00700HOUSEKEEPING 40323,A000000,00800,0000,00800DIETARY 40323,A000000,00900,0000,00900NURSING ADMINISTRATION 40323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40323,A000000,01100,0000,01100PHARMACY 40323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40323,A000000,01300,0000,01300SOCIAL SERVICE 40323,A000000,01350,0000,01500PATIENT ACTIVITIES 40323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40323,A000000,01600,0000,01600SKILLED NURSING FACILITY 40323,A000000,01800,0000,01800NURSING FACILITY 40323,A000000,01810,0000,01810ICF/MR 40323,A000000,02100,0000,02100RADIOLOGY 40323,A000000,02200,0000,02200LABORATORY 40323,A000000,02300,0000,02300INTRAVENOUS THERAPY 40323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40323,A000000,02500,0000,02500PHYSICAL THERAPY 40323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40323,A000000,02700,0000,02700SPEECH PATHOLOGY 40323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40323,A000000,03050,0000,03300PARENTERAL/ENTERAL THERAPY 40323,A000000,03200,0000,03200SUPPORT SURFACES 40323,A000000,03550,0000,03550FQHC 40323,A000000,04800,0000,04800AMBULANCE 40323,A000000,05000,0000,05000CORF 40323,A000000,05010,0000,05010CMHC 40323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40323,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 40323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40323,A81000A,00100,0100,Y 40323,A81000B,00100,0300,SNF 40323,A81000B,00200,0300,SNF 40323,A81000B,00300,0300,NF 40323,A81000B,00400,0300,NF 40323,A81000B,00500,0300,DRUGS 40323,A81000B,00600,0300,DRUGS 40323,A81000B,00700,0300,PHYSICAL THERAPY 40323,A81000B,00800,0300,PHYSICAL THERAPY 40323,A81000B,00900,0300,OCCUPATIONAL THERAPY 40323,A81000B,01000,0300,OCCUPATIONAL THERAPY 40323,A81000B,01100,0300,SPEECH THERAPY 40323,A81000B,01200,0300,SPEECH THERAPY 40323,A81000B,01300,0300,BLDG RENT 40323,A81000B,01400,0300,BLDG RENT 40323,A81000B,01500,0300,EQUIP RENT 40323,A81000B,01600,0300,EQUIP RENT 40323,A81000B,01700,0300,MGMT SERVICES 40323,A81000B,01800,0300,MGMT SERVICES 40323,A81000B,01900,0300,RENT/LEASE 40323,A81000B,02000,0300,MORTGAGE INTEREST 40323,A81000B,02100,0300,DEPRECIATION 40323,A81000C,00100,0100,A 40323,A81000C,00100,0200,JOHN A. MCNEILL 40323,A81000C,00100,0400,LIBERTY MEDICAL 40323,A81000C,00100,0600,MEDICAL SUPPLY 40323,A81000C,00200,0100,A 40323,A81000C,00200,0200,RONALD MCNEILL 40323,A81000C,00200,0400,LIBERTY MEDICAL 40323,A81000C,00200,0600,MEDICAL SUPPLY 40323,A81000C,00300,0100,A 40323,A81000C,00300,0200,JOHN A. MCNEILL 40323,A81000C,00300,0400,MCNEILL PHARMAC 40323,A81000C,00300,0600,PHARMACY 40323,A81000C,00400,0100,A 40323,A81000C,00400,0200,RONALD MCNEILL 40323,A81000C,00400,0400,MCNEILL PHARMAC 40323,A81000C,00400,0600,PHARMACY 40323,A81000C,00500,0100,A 40323,A81000C,00500,0200,JOHN A. MCNEILL 40323,A81000C,00500,0400,BALLARD THERAPY 40323,A81000C,00500,0600,THERAPY COMPANY 40323,A81000C,00600,0100,A 40323,A81000C,00600,0200,RONALD MCNEILL 40323,A81000C,00600,0400,BALLARD THERAPY 40323,A81000C,00600,0600,THERAPY COMPANY 40323,A81000C,00700,0100,A 40323,A81000C,00700,0200,JOHN A. MCNEILL 40323,A81000C,00700,0400,BALLARD THERAPY 40323,A81000C,00700,0600,THERAPY COMPANY 40323,A81000C,00800,0100,A 40323,A81000C,00800,0200,RONALD MCNEILL 40323,A81000C,00800,0400,BALLARD THERAPY 40323,A81000C,00800,0600,THERAPY COMPANY 40323,A81000C,00900,0100,A 40323,A81000C,00900,0200,JOHN A. MCNEILL 40323,A81000C,00900,0400,BALLARD THERAPY 40323,A81000C,00900,0600,THERAPY COMPANY 40323,A81000C,01000,0100,A 40323,A81000C,01000,0200,RONALD MCNEILL 40323,A81000C,01000,0400,BALLARD THERAPY 40323,A81000C,01000,0600,THERAPY COMPANY 40323,A81000C,01100,0100,A 40323,A81000C,01100,0200,JOHN A. MCNEILL 40323,A81000C,01100,0400,LIBERTY MGMT CO 40323,A81000C,01100,0600,MANAGEMENT CO. 40323,A81000C,01200,0100,A 40323,A81000C,01200,0200,RONALD MCNEILL 40323,A81000C,01200,0400,LIBERTY MGMT CO 40323,A81000C,01200,0600,MANAGEMENT CO. 40323,A81000C,01300,0100,A 40323,A81000C,01300,0200,JOHN A. MCNEILL 40323,A81000C,01300,0400,LIBERTY MGMT CO 40323,A81000C,01300,0600,MANAGEMENT CO. 40323,A81000C,01400,0100,A 40323,A81000C,01400,0200,RONALD MCNEILL 40323,A81000C,01400,0400,LIBERTY MGMT CO 40323,A81000C,01400,0600,MANAGEMENT CO. 40323,A81000C,01500,0100,A 40323,A81000C,01500,0200,JOHN A. MCNEILL 40323,A81000C,01500,0400,LIBERTY MGMT CO 40323,A81000C,01500,0600,MANAGEMENT CO. 40323,A81000C,01600,0100,A 40323,A81000C,01600,0200,RONALD MCNEILL 40323,A81000C,01600,0400,LIBERTY MGMT CO 40323,A81000C,01600,0600,MANAGEMENT CO. 40323,A81000C,01700,0100,F 40323,A81000C,01700,0200,O. WADE AVANT 40323,A81000C,01700,0400,O. WADE AVANT 40323,A81000C,01700,0600,INDIVIDUAL 40323,A81000C,01800,0100,F 40323,A81000C,01800,0200,O. WADE AVANT 40323,A81000C,01800,0400,O. WADE AVANT 40323,A81000C,01800,0600,INDIVIDUAL 40323,A81000C,01900,0100,F 40323,A81000C,01900,0200,O. WADE AVANT 40323,A81000C,01900,0400,O. WADE AVANT 40323,A81000C,01900,0600,INDIVIDUAL 40323,B100000,00000,0100,00000SQUARE FEET 40323,B100000,00000,0200,00000SQUARE FEET 40323,B100000,00000,0300,00000GROSS SALARIES 40323,B100000,00000,0400,00000ACCUM COST 40323,B100000,00000,0500,00000SQUARE FEET 40323,B100000,00000,0600,00000POUNDS OF LAUNDRY 40323,B100000,00000,0700,00000SQUARE FEET 40323,B100000,00000,0800,00000MEALS SERVED 40323,B100000,00000,0900,00000DIRECT NRSG HRS 40323,B100000,00000,1000,00000COSTED REQUIS 40323,B100000,00000,1100,00000COSTED REQUIS 40323,B100000,00000,1200,00000PATIENT DAYS 40323,B100000,00000,1300,00000PATIENT DAYS 40323,B100000,00000,1350,00000PATIENT DAYS 40323,B100000,00000,1400,00000ASSIGNED TIME 40323,E10A180,00301,0100,04/12/1999 40323,E10A180,00550,0100,08/09/2000 40323,E10A180,00550,0300,08/09/2000 40323,S000000,00100,0200,06/20/2000 40323,S200000,00100,0100,316 WEST BURKHEAD STREET 40323,S200000,00200,0100,WHITEVILLE 40323,S200000,00200,0200,NC 40323,S200000,00200,0300,28472 40323,S200000,00300,0100,COLUMBUS 40323,S200000,00400,0100,CENTURY CARE CENTER INC. 40323,S200000,00400,0200,345207 40323,S200000,00400,0300,10/01/1981 40323,S200000,00400,0500,P 40323,S200000,00600,0200,346217 40323,S200000,00600,0300,10/01/1981 40323,S200000,00600,0600,P 40323,S200000,01600,0100,Y 40330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40330,A000000,00300,0000,00300EMPLOYEE BENEFITS 40330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40330,A000000,00700,0000,00700HOUSEKEEPING 40330,A000000,00800,0000,00800DIETARY 40330,A000000,00900,0000,00900NURSING ADMINISTRATION 40330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40330,A000000,01100,0000,01100PHARMACY 40330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40330,A000000,01300,0000,01300SOCIAL SERVICE 40330,A000000,01301,0000,01301ACTIVITIES 40330,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40330,A000000,01600,0000,01600SKILLED NURSING FACILITY 40330,A000000,01800,0000,01800NURSING FACILITY 40330,A000000,01810,0000,01810ICF/MR 40330,A000000,01900,0000,01900OTHER LONG TERM CARE 40330,A000000,02100,0000,02100RADIOLOGY 40330,A000000,02200,0000,02200LABORATORY 40330,A000000,02300,0000,02300INTRAVENOUS THERAPY 40330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40330,A000000,02500,0000,02500PHYSICAL THERAPY 40330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40330,A000000,02700,0000,02700SPEECH PATHOLOGY 40330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40330,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40330,A000000,03550,0000,03550FQHC 40330,A000000,05000,0000,05000CORF 40330,A000000,05010,0000,05010CMHC 40330,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40330,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40330,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40330,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40330,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40330,A81000A,00100,0100,Y 40330,A81000B,00100,0300,NURSING AND OSHA SUPPLIES NON 40330,A81000B,00200,0300,COST OF SUPPLIES SOLD - RT OX 40330,A81000B,00300,0300,COMPUTER SERVICES ADMIN 40330,A81000B,00400,0300,REPAIR AND MAINTENANCE EQPT ME 40330,A81000B,00500,0300,DIETARY SUPPLEMENTS AND SUPPLI 40330,A81000B,00600,0300,PRESCRIPTION DRUGS CONTRACT P 40330,A81000B,00700,0300,IV THERAPY AND SUPPLIES 40330,A81000B,00800,0300,PHYSICAL THERAPY 40330,A81000B,00900,0300,OCCUPATION THERAPY 40330,A81000B,01000,0300,SPEECH THERAPY 40330,A81000B,01100,0300,HOME OFFICE INTEREST 40330,A81000B,01200,0300,HOME OFFICE COST ALL 40330,A81000C,00100,0100,B 40330,A81000C,00100,0200,BRIAN CENTER BR 40330,A81000C,00100,0400,MARINER POST-AC 40330,A81000C,00100,0600,NURSING HOMES 40330,A81000C,00200,0100,G 40330,A81000C,00200,0200,MARINER POST-AC 40330,A81000C,00200,0400,AMERICAN PHARMA 40330,A81000C,00200,0600,PHARMACEUTICALS 40330,A81000C,00300,0100,G 40330,A81000C,00300,0200,MARINER POST-AC 40330,A81000C,00300,0400,PRISM (ATS ARS 40330,A81000C,00300,0600,THERAPIES 40330,B100000,00000,0100,00000SQUARE FEET 40330,B100000,00000,0200,00000SQUARE FEET 40330,B100000,00000,0300,00000GROSS SALARIES 40330,B100000,00000,0400,00000ACCUM COST 40330,B100000,00000,0500,00000SQUARE FEET 40330,B100000,00000,0600,00000POUNDS OF LAUNDRY 40330,B100000,00000,0700,00000HOURS OF SERVICE 40330,B100000,00000,0800,00000MEALS SERVED 40330,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40330,B100000,00000,1000,00000COSTED REQUISITIO 40330,B100000,00000,1100,00000COSTED REQUIS 40330,B100000,00000,1200,00000TIME SPENT 40330,B100000,00000,1300,00000TIME SPENT 40330,B100000,00000,1301,00000TIME SPENT 40330,B100000,00000,1350,00000UNITS OF SERVICE 40330,B100000,00000,1400,00000ASSIGNED TIME 40330,E10A180,00301,0100,07/19/1999 40330,E10A180,00302,0100,07/19/1999 40330,E10A180,00550,0100,08/30/2000 40330,E10A180,00550,0300,08/30/2000 40330,S000000,00100,0200,08/30/2000 40330,S200000,00100,0100,531 COUNTRY CLUB ROAD 40330,S200000,00100,0300,1096 40330,S200000,00200,0100,BREVARD 40330,S200000,00200,0200,NC 40330,S200000,00200,0300,28712 40330,S200000,00300,0100,TRANSYLVANIA 40330,S200000,00400,0100,BRIAN CTR HLTH & REHAB/BREVARD 40330,S200000,00400,0200,345208 40330,S200000,00400,0300,07/17/1981 40330,S200000,00400,0500,P 40330,S200000,00600,0200,345208 40330,S200000,00600,0300,07/17/1981 40330,S200000,00600,0600,P 40330,S200000,01600,0100,Y 40337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40337,A000000,00300,0000,00300EMPLOYEE BENEFITS 40337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40337,A000000,00700,0000,00700HOUSEKEEPING 40337,A000000,00800,0000,00800DIETARY 40337,A000000,00900,0000,00900NURSING ADMINISTRATION 40337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40337,A000000,01100,0000,01100PHARMACY 40337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40337,A000000,01300,0000,01300SOCIAL SERVICE 40337,A000000,01350,0000,01500ACTIVITIES 40337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40337,A000000,01600,0000,01600SKILLED NURSING FACILITY 40337,A000000,01800,0000,01800NURSING FACILITY 40337,A000000,01810,0000,01810ICF/MR 40337,A000000,02300,0000,02300INTRAVENOUS THERAPY 40337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40337,A000000,02500,0000,02500PHYSICAL THERAPY 40337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40337,A000000,02700,0000,02700SPEECH PATHOLOGY 40337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40337,A000000,03550,0000,03550FQHC 40337,A000000,05000,0000,05000CORF 40337,A000000,05010,0000,05010CMHC 40337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40337,A000000,06150,0000,06300ASSISTED LIVING/ILU 40337,A81000A,00100,0100,Y 40337,A81000B,00100,0300,DEPRECIATION - HOME OFFICE 40337,A81000B,00200,0300,ADMIN SALARY 40337,A81000B,00300,0300,ADMINISTRATIVE EXPENSE - HOME 40337,A81000C,00100,0100,B 40337,A81000C,00100,0400,BAPT RET HOMES 40337,A81000C,00100,0600,HOME OFFICE 40337,B100000,00000,0100,00000SQUARE FEET 40337,B100000,00000,0200,00000SQUARE FEET 40337,B100000,00000,0300,00000GROSS SAL 40337,B100000,00000,0400,00000ACCUM. COST 40337,B100000,00000,0500,00000SQUARE FEET 40337,B100000,00000,0600,00000POUNDS LAUNDRY 40337,B100000,00000,0700,00000SQUARE FEET 40337,B100000,00000,0800,00000MEALS SERVED 40337,B100000,00000,0900,00000NURSING HOURS 40337,B100000,00000,1000,00000PAT DAYS 40337,B100000,00000,1100,00000COSTED REQUIS 40337,B100000,00000,1200,00000TIME SPENT -MR 40337,B100000,00000,1300,00000TIME SPENT -SS 40337,B100000,00000,1350,00000TIME SPENT -ACT 40337,B100000,00000,1400,00000ASSIGNED TIME 40337,E10A180,00301,0100,03/29/1999 40337,E10A180,00550,0100,08/08/2000 40337,E10A180,00550,0300,06/19/2000 40337,S000000,00100,0200,06/19/2000 40337,S200000,00100,0100,1199 HAYES FOREST DRIVE 40337,S200000,00200,0100,WINSTON-SALEM 40337,S200000,00200,0200,NC 40337,S200000,00200,0300,27106 40337,S200000,00300,0100,FORSYTH 40337,S200000,00400,0100,BAPTIST RETIREMENT HOMES OF NC INC. 40337,S200000,00400,0200,345209 40337,S200000,00400,0300,06/01/1981 40337,S200000,00400,0500,P 40337,S200000,01600,0100,Y 40337,S200000,01900,0100,OWNED BY WMH HOLDING 40337,S200000,02800,0100,Y 40337,S200000,04300,0100,Y 40342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40342,A000000,00300,0000,00300EMPLOYEE BENEFITS 40342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40342,A000000,00700,0000,00700HOUSEKEEPING 40342,A000000,00800,0000,00800DIETARY 40342,A000000,00900,0000,00900NURSING ADMINISTRATION 40342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40342,A000000,01100,0000,01100PHARMACY 40342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40342,A000000,01300,0000,01300SOCIAL SERVICE 40342,A000000,01350,0000,01500ACTIVITIES 40342,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40342,A000000,01600,0000,01600SKILLED NURSING FACILITY 40342,A000000,01800,0000,01800NURSING FACILITY 40342,A000000,01810,0000,01810ICF/MR 40342,A000000,02200,0000,02200LABORATORY 40342,A000000,02500,0000,02500PHYSICAL THERAPY 40342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40342,A000000,02700,0000,02700SPEECH PATHOLOGY 40342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40342,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40342,A000000,03550,0000,03550FQHC 40342,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40342,A000000,05000,0000,05000CORF 40342,A000000,05010,0000,05010CMHC 40342,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40342,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40342,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40342,A81000A,00100,0100,Y 40342,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 40342,A81000B,00200,0300,HOME OFFICE OPERATING 40342,A81000B,00400,0300,HOME OFFICE CAPITAL-EQUIP. 40342,A81000B,00500,0300,HOME OFFICE NURSING 40342,A81000B,00600,0300,HOME OFFICE ACTIVITIES 40342,A81000B,00700,0300,VEHICLE RENTAL SERVICES 40342,A81000B,00901,0300,PRINTING 40342,A81000B,00902,0300,PRINTING 40342,A81000B,00903,0300,PRINTING 40342,A81000B,00906,0300,PRINTING 40342,A81000B,01100,0300,MAINTENANCE & REPAIRS 40342,A81000B,01200,0300,EQUIPMENT RENTALS 40342,A81000B,01300,0300,OFFICE EXPENSE 40342,A81000B,01400,0300,MAINTENANCE SUPPLIES 40342,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 40342,A81000B,01600,0300,HSKPING SUPPLIES 40342,A81000B,01700,0300,FOOD SUPPLIES 40342,A81000B,01800,0300,NURSING SUPPLIES 40342,A81000B,01900,0300,NONBILLABLE SUPPLIES 40342,A81000B,02000,0300,NONBILLABLE SUPPLIES 40342,A81000B,02100,0300,ACTIVITIES SUPPLIES 40342,A81000B,02200,0300,MEDICAL SUPPLIES 40342,A81000B,02300,0300,TUBE FEEDING SUPPLIES 40342,A81000B,02400,0300,NONBILLABLE SUPPLIES 40342,A81000B,02500,0300,NONBILLABLE SUPPLIES 40342,A81000B,02800,0300,DRUGS SOLD 40342,A81000B,02900,0300,PRINTING 40342,A81000C,00100,0100,A 40342,A81000C,00100,0200,TRIAD MEDICAL SERVICES 40342,A81000C,00100,0400,NOLAN G. BROWN 40342,A81000C,00100,0600,MGMT SERVICES 40342,A81000C,00200,0100,A 40342,A81000C,00200,0200,TRIAD PROPERTIES- 40342,A81000C,00200,0400,NOLAN G. BROWN 40342,A81000C,00200,0600,REAL ESTATE 40342,A81000C,00300,0100,A 40342,A81000C,00300,0200,TRIAD DATA PROCESSING 40342,A81000C,00300,0400,NOLAN G. BROWN 40342,A81000C,00300,0600,DATA PROCESSING SERVICE 40342,A81000C,00400,0100,A 40342,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 40342,A81000C,00400,0400,NOLAN G. BROWN 40342,A81000C,00400,0600,PRINTING 40342,A81000C,00500,0100,A 40342,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 40342,A81000C,00500,0400,NOLAN G. BROWN 40342,A81000C,00500,0600,PHARMACY 40342,A81000C,00600,0100,A 40342,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 40342,A81000C,00600,0400,NOLAN G. BROWN 40342,A81000C,00600,0600,MEDICAL SUPPLIES 40342,A81000C,00700,0100,A 40342,A81000C,00700,0200,TMS CONSTRUCTION INC 40342,A81000C,00700,0400,NOLAN G. BROWN 40342,A81000C,00700,0600,CONSTRUCTION 40342,A81000C,00800,0100,A 40342,A81000C,00800,0200,NGB ENTERPRISES 40342,A81000C,00800,0400,NOLAN G. BROWN 40342,A81000C,00800,0600,LESSOR 40342,A81000C,00900,0100,A 40342,A81000C,00900,0200,CRYSTAL STORAGE 40342,A81000C,00900,0400,NOLAN G. BROWN 40342,A81000C,00900,0600,STORAGE UNITS 40342,B100000,00000,0100,00000SQUARE FEET 40342,B100000,00000,0200,00000SQUARE FEET 40342,B100000,00000,0300,00000GROSS SALARIES 40342,B100000,00000,0400,00000ACCUM. COST 40342,B100000,00000,0500,00000SQUARE FEET 40342,B100000,00000,0600,00000PATIENT DAYS 40342,B100000,00000,0700,00000SQUARE FEET 40342,B100000,00000,0800,00000MEALS 40342,B100000,00000,0900,00000HOURS OF SERVICE 40342,B100000,00000,1000,00000COSTED REQUIS 40342,B100000,00000,1100,00000COSTED REQUIS 40342,B100000,00000,1200,00000TIME SPENT 40342,B100000,00000,1300,00000TIME SPENT 40342,B100000,00000,1350,00000PATIENT DAYS 40342,B100000,00000,1400,00000ASSIGNED TIME 40342,E10A180,00501,0100,07/11/2000 40342,E10A180,00501,0300,07/11/2000 40342,S000000,00100,0200,05/26/2000 40342,S200000,00100,0100,208 MERCER ROAD 40342,S200000,00100,0300,1449 40342,S200000,00200,0100,ELIZABETHTOWN 40342,S200000,00200,0200,NC 40342,S200000,00200,0300,28337 40342,S200000,00300,0100,BLADEN 40342,S200000,00400,0100,ELIZABETHTOWN NURSING CENTER INC 40342,S200000,00400,0200,345210 40342,S200000,00400,0300,07/02/1982 40342,S200000,00400,0500,P 40342,S200000,00600,0200,346260 40342,S200000,00600,0300,07/02/1982 40342,S200000,00600,0600,P 40342,S200000,01600,0100,Y 40357,S000000,00100,0200,06/01/2000 40363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40363,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40363,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40363,A000000,00300,0000,00300EMPLOYEE BENEFITS 40363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40363,A000000,00700,0000,00700HOUSEKEEPING 40363,A000000,00800,0000,00800DIETARY 40363,A000000,00801,0000,00801CAFETERIA 40363,A000000,00900,0000,00900NURSING ADMINISTRATION 40363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40363,A000000,01100,0000,01100PHARMACY 40363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40363,A000000,01300,0000,01300SOCIAL SERVICE 40363,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40363,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40363,A000000,01600,0000,01600SKILLED NURSING FACILITY 40363,A000000,01800,0000,01800NURSING FACILITY 40363,A000000,01810,0000,01810ICF/MR 40363,A000000,01900,0000,01900OTHER LONG TERM CARE 40363,A000000,02100,0000,02100RADIOLOGY 40363,A000000,02200,0000,02200LABORATORY 40363,A000000,02500,0000,02500PHYSICAL THERAPY 40363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40363,A000000,02700,0000,02700SPEECH PATHOLOGY 40363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40363,A000000,03050,0000,03300OTHER ANCILLARY 40363,A000000,03051,0000,03301OTHER ANCILLARY II 40363,A000000,03052,0000,03302OTHER ANCILLARY III 40363,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40363,A000000,03550,0000,03550FQHC 40363,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40363,A000000,05000,0000,05000CORF I 40363,A000000,05010,0000,05010CMHC I 40363,A000000,05020,0000,05020OPT I 40363,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40363,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40363,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40363,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40363,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40363,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40363,B100000,00000,0100,00000(SQUARE FEET) 40363,B100000,00000,0101,00000(SQUARE FEET) 40363,B100000,00000,0200,00000(SQUARE FEET) 40363,B100000,00000,0201,00000(SQUARE FEET) 40363,B100000,00000,0300,00000(GROSS SALARIES) 40363,B100000,00000,0400,00000(ACCUM. COST) 40363,B100000,00000,0500,00000(SQUARE FEET) 40363,B100000,00000,0600,00000PATIENT DA 40363,B100000,00000,0700,00000(SQUARE FEET) 40363,B100000,00000,0800,00000(MEALS SERVED) 40363,B100000,00000,0801,00000(MEALS SERVED) 40363,B100000,00000,0900,00000(DIRECT NRSING HRS 40363,B100000,00000,1000,00000PATIENT DA 40363,B100000,00000,1100,00000PATIENT DA 40363,B100000,00000,1200,00000PATIENT DA 40363,B100000,00000,1300,00000PATIENT DA 40363,B100000,00000,1350,00000PATIENT DA 40363,B100000,00000,1400,00000(ASSIGNED TIME) 40363,S000000,00100,0200,07/17/2000 40363,S200000,00100,0100,1995 CORNELIUS HARNETT BLVD 40363,S200000,00200,0100,LILLINGTON 40363,S200000,00200,0200,NC 40363,S200000,00200,0300,27546 40363,S200000,00300,0100,HARNETT 40363,S200000,00400,0100,HARNETT MANOR 40363,S200000,00400,0200,345213 40363,S200000,00400,0300,10/01/1981 40363,S200000,00400,0500,P 40363,S200000,00600,0200,345213 40363,S200000,00600,0300,10/01/1981 40363,S200000,01600,0100,Y 40370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40370,A000000,00300,0000,00300EMPLOYEE BENEFITS 40370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40370,A000000,00700,0000,00700HOUSEKEEPING 40370,A000000,00800,0000,00800DIETARY 40370,A000000,00900,0000,00900NURSING ADMINISTRATION 40370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40370,A000000,01100,0000,01100PHARMACY 40370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40370,A000000,01300,0000,01300SOCIAL SERVICE 40370,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40370,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40370,A000000,01600,0000,01600SKILLED NURSING FACILITY 40370,A000000,01800,0000,01800NURSING FACILITY 40370,A000000,01810,0000,01810ICF/MR 40370,A000000,01900,0000,01900OTHER LONG TERM CARE 40370,A000000,02100,0000,02100RADIOLOGY 40370,A000000,02200,0000,02200LABORATORY 40370,A000000,02500,0000,02500PHYSICAL THERAPY 40370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40370,A000000,02700,0000,02700SPEECH PATHOLOGY 40370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40370,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40370,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40370,A000000,03550,0000,03550FQHC 40370,A000000,05000,0000,05000CORF 40370,A000000,05010,0000,05010CMHC 40370,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40370,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40370,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40370,A000000,05300,0000,05300INTEREST EXPENSE 40370,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40370,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40370,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40370,A81000A,00100,0100,Y 40370,A81000B,00100,0300,CONSULTING 40370,A81000B,00200,0300,CONSULTING 40370,A81000B,00300,0300,CONSULTING 40370,A81000B,00400,0300,CONSULTING 40370,A81000B,00500,0300,HOME OFFICE 40370,A81000B,00600,0300,CONSULTING 40370,A81000B,00700,0300,INSUARNCE 40370,A81000B,00800,0300,EQUIPMENTAL RENTAL 40370,A81000B,00900,0300,GAS 40370,A81000C,00100,0100,B 40370,A81000C,00100,0400,BRITTHAVEN INC 40370,A81000C,00100,0600,MGMT SERV 40370,A81000C,00200,0100,B 40370,A81000C,00200,0400,BRITTHAVEN INC 40370,A81000C,00200,0600,MGMT SERV 40370,A81000C,00300,0100,B 40370,A81000C,00300,0400,BRITTHAVEN INC 40370,A81000C,00300,0600,MGMT SERV 40370,A81000C,00400,0100,B 40370,A81000C,00400,0400,BRITTHAVEN INC 40370,A81000C,00400,0600,MGMT SERV 40370,A81000C,00500,0100,B 40370,A81000C,00500,0400,BRITTHAVEN INC 40370,A81000C,00500,0600,MGMT SERV 40370,A81000C,00600,0100,B 40370,A81000C,00600,0400,BRITTHAVEN INC 40370,A81000C,00600,0600,MGMT SERV 40370,A81000C,00700,0100,B 40370,A81000C,00700,0400,BRITTHAVEN INC 40370,A81000C,00700,0600,MGMT SERV 40370,A81000C,00800,0100,B 40370,A81000C,00800,0400,BRITTHAVEN INC 40370,A81000C,00800,0600,MGMT SERV 40370,A81000C,00900,0100,B 40370,A81000C,00900,0400,BRITTHAVEN INC 40370,A81000C,00900,0600,MGMT SERV 40370,A81000C,01000,0100,B 40370,A81000C,01000,0400,R. HILL CONSTRU 40370,A81000C,01000,0600,CONSTRUCTION 40370,B100000,00000,0100,00000SQUARE FEET 40370,B100000,00000,0200,00000SQUARE FEET 40370,B100000,00000,0300,00000GROSS SALARIES 40370,B100000,00000,0400,00000ACCUM COST 40370,B100000,00000,0500,00000SQUARE FEET 40370,B100000,00000,0600,00000POUNDS OF LAUNDRY 40370,B100000,00000,0700,00000SQUARE FEET 40370,B100000,00000,0800,00000MEALS SERVED 40370,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40370,B100000,00000,1000,00000COSTED REQUISITIO 40370,B100000,00000,1100,00000COSTED REQUISITIO 40370,B100000,00000,1200,00000TIME SPENT 40370,B100000,00000,1300,00000TIME SPENT 40370,B100000,00000,1350,00000SQUARE FEET 40370,B100000,00000,1400,00000ASSIGNED TIME 40370,E10A180,00301,0100,03/29/1999 40370,E10A180,00501,0100,05/17/2000 40370,E10A180,00501,0300,03/21/2000 40370,E10A180,00550,0100,03/21/2000 40370,E10A180,00550,0300,05/17/2000 40370,S000000,00100,0200,03/21/2000 40370,S200000,00100,0100,120 LOVERS LANE 40370,S200000,00100,0300,398 40370,S200000,00200,0100,WASHINGTON 40370,S200000,00200,0200,NC 40370,S200000,00200,0300,27012 40370,S200000,00300,0100,BEAUFORT 40370,S200000,00400,0100,BRITTHAVEN OF WASHINGTON 40370,S200000,00400,0200,345215 40370,S200000,00400,0300,04/01/1983 40370,S200000,00400,0500,P 40370,S200000,01600,0100,Y 40377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40377,A000000,00300,0000,00300EMPLOYEE BENEFITS 40377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40377,A000000,00700,0000,00700HOUSEKEEPING 40377,A000000,00800,0000,00800DIETARY 40377,A000000,00900,0000,00900NURSING ADMINISTRATION 40377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40377,A000000,01100,0000,01100PHARMACY 40377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40377,A000000,01300,0000,01300SOCIAL SERVICE 40377,A000000,01350,0000,01500PATIENT ACTIVITIES 40377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40377,A000000,01600,0000,01600SKILLED NURSING FACILITY 40377,A000000,01800,0000,01800NURSING FACILITY 40377,A000000,01810,0000,01810ICF/MR 40377,A000000,02200,0000,02200LABORATORY 40377,A000000,02300,0000,02300INTRAVENOUS THERAPY 40377,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40377,A000000,02500,0000,02500PHYSICAL THERAPY 40377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40377,A000000,02700,0000,02700SPEECH PATHOLOGY 40377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40377,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 40377,A000000,03550,0000,03550FQHC 40377,A000000,05000,0000,05000CORF 40377,A000000,05010,0000,05010CMHC 40377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40377,A81000A,00100,0100,Y 40377,A81000B,00100,0300,HOME OFFICE 40377,A81000B,00200,0300,SNF 40377,A81000B,00300,0300,NF 40377,A81000B,00400,0300,DIETARY 40377,A81000B,00500,0300,HOUSEKEEPING 40377,A81000B,00600,0300,LAUNDRY 40377,A81000B,00700,0300,POM 40377,A81000B,00800,0300,PHYSICAL THERAPY 40377,A81000B,00900,0300,BMS 40377,A81000B,01000,0300,DEPR BLDG-REL PARTY 40377,A81000B,01100,0300,DEPR EQUIP-REL PARTY 40377,A81000B,01200,0300,RENT EXPENSE 40377,A81000B,01300,0300,INTEREST EXP-REL PAR 40377,A81000C,00100,0100,A 40377,A81000C,00100,0200,DOYLE COX 40377,A81000C,00100,0400,CONV. CENTER I 40377,A81000C,00100,0600,HOME OFFICE 40377,A81000C,00200,0100,A 40377,A81000C,00200,0200,DOYLE COX 40377,A81000C,00200,0400,TRINITY MEDICAL 40377,A81000C,00200,0600,MEDICAL SUPPLIE 40377,A81000C,00300,0100,A 40377,A81000C,00300,0200,DOYLE COX 40377,A81000C,00300,0400,CC LANDHOLDING 40377,A81000C,00300,0600,RENTAL 40377,B100000,00000,0100,00000SQUARE FEET 40377,B100000,00000,0200,00000SQUARE FEET 40377,B100000,00000,0300,00000GROSS SALARIES 40377,B100000,00000,0400,00000ACCUM COST 40377,B100000,00000,0500,00000SQUARE FEET 40377,B100000,00000,0600,00000POUNDS OF LAUNDRY 40377,B100000,00000,0700,00000SQUARE FEET 40377,B100000,00000,0800,00000MEALS SERVED 40377,B100000,00000,0900,00000DIRECT NRSG HRS 40377,B100000,00000,1000,00000COSTED REQUIS 40377,B100000,00000,1100,00000COSTED REQUIS 40377,B100000,00000,1200,00000PATIENT DAYS 40377,B100000,00000,1300,00000PATIENT DAYS 40377,B100000,00000,1350,00000PATIENT DAYS 40377,B100000,00000,1400,00000ASSIGNED TIME 40377,E10A180,00301,0100,03/29/1999 40377,E10A180,00550,0100,06/06/2000 40377,E10A180,00550,0300,06/06/2000 40377,S000000,00100,0200,06/16/2000 40377,S200000,00100,0100,714 WESTOVER DRIVE 40377,S200000,00100,0300,1436 40377,S200000,00200,0100,SANFORD 40377,S200000,00200,0200,NC 40377,S200000,00200,0300,27331 40377,S200000,00300,0100,LEE 40377,S200000,00400,0100,CONVALESCENT CENTER OF LEE COUNTY 40377,S200000,00400,0200,345216 40377,S200000,00400,0300,10/01/1981 40377,S200000,00400,0500,P 40377,S200000,00600,0200,346076 40377,S200000,00600,0300,10/01/1981 40377,S200000,00600,0600,P 40377,S200000,01600,0100,Y 40417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40417,A000000,00300,0000,00300EMPLOYEE BENEFITS 40417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40417,A000000,00700,0000,00700HOUSEKEEPING 40417,A000000,00800,0000,00800DIETARY 40417,A000000,00900,0000,00900NURSING ADMINISTRATION 40417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40417,A000000,01100,0000,01100PHARMACY 40417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40417,A000000,01300,0000,01300SOCIAL SERVICE 40417,A000000,01350,0000,01500PATIENT ACTIVITIES 40417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40417,A000000,01600,0000,01600SKILLED NURSING FACILITY 40417,A000000,01800,0000,01800NURSING FACILITY 40417,A000000,01810,0000,01810ICF/MR 40417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40417,A000000,02500,0000,02500PHYSICAL THERAPY 40417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40417,A000000,02700,0000,02700SPEECH PATHOLOGY 40417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40417,A000000,03200,0000,03200SUPPORT SURFACES 40417,A000000,03550,0000,03550FQHC 40417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40417,A000000,05000,0000,05000CORF 40417,A000000,05010,0000,05010CMHC 40417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40417,A81000A,00100,0100,Y 40417,A81000B,00100,0300,CENTRL OFFICE OVHD 40417,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40417,A81000C,00100,0100,A 40417,A81000C,00100,0200,AUTUMN CORPORATION 40417,A81000C,00100,0400,AUTUMN CORPORATION 40417,A81000C,00100,0600,HOME OFFICE 40417,A81000C,00200,0100,A 40417,A81000C,00200,0200,AUTUMN CORPORATION 40417,A81000C,00200,0400,AUTUMN CORPORATION 40417,A81000C,00200,0600,HOME OFFICE 40417,B100000,00000,0100,00000SQUARE FEET 40417,B100000,00000,0200,00000SQUARE FEET 40417,B100000,00000,0300,00000GROSS SALARIES 40417,B100000,00000,0400,00000ACCUM. COST 40417,B100000,00000,0500,00000SQUARE FEET 40417,B100000,00000,0600,00000POUNDS OF LAUNDRY 40417,B100000,00000,0700,00000SQ FT W/O DIETARY 40417,B100000,00000,0800,00000PATIENT DAYS 40417,B100000,00000,0900,00000HOURS OF SERVICE 40417,B100000,00000,1000,00000PATIENT DAYS 40417,B100000,00000,1100,00000PATIENT DAYS 40417,B100000,00000,1200,00000PATIENT DAYS 40417,B100000,00000,1300,00000PATIENT DAYS 40417,B100000,00000,1350,00000PATIENT DAYS 40417,B100000,00000,1400,00000ASSIGNED TIME 40417,E10A180,00301,0100,03/15/1999 40417,E10A180,00501,0100,06/27/2000 40417,E10A180,00501,0300,06/27/2000 40417,S000000,00100,0200,05/09/2000 40417,S200000,00100,0100,309 OAKLAND DRIVE 40417,S200000,00100,0300,1278 40417,S200000,00200,0100,DREXEL 40417,S200000,00200,0200,NC 40417,S200000,00300,0100,BURKE 40417,S200000,00400,0100,AUTUMN CARE OF DREXEL 40417,S200000,00400,0200,345222 40417,S200000,00400,0300,04/29/1983 40417,S200000,00400,0500,P 40417,S200000,00600,0200,345222 40417,S200000,00600,0300,04/29/1983 40417,S200000,00600,0600,P 40417,S200000,01600,0100,Y 40426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40426,A000000,00300,0000,00300EMPLOYEE BENEFITS 40426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40426,A000000,00700,0000,00700HOUSEKEEPING 40426,A000000,00800,0000,00800DIETARY 40426,A000000,00900,0000,00900NURSING ADMINISTRATION 40426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40426,A000000,01100,0000,01100PHARMACY 40426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40426,A000000,01300,0000,01300SOCIAL SERVICE 40426,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40426,A000000,01600,0000,01600SKILLED NURSING FACILITY 40426,A000000,01800,0000,01800NURSING FACILITY 40426,A000000,01810,0000,01810ICF/MR 40426,A000000,01900,0000,01900OTHER LONG TERM CARE 40426,A000000,02200,0000,02200LABORATORY 40426,A000000,02500,0000,02500PHYSICAL THERAPY 40426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40426,A000000,02700,0000,02700SPEECH PATHOLOGY 40426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40426,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40426,A000000,03550,0000,03550FQHC 40426,A000000,05000,0000,05000CORF 40426,A000000,05010,0000,05010CMHC 40426,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40426,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40426,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40426,A000000,05300,0000,05300INTEREST EXPENSE 40426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40426,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40426,A81000A,00100,0100,Y 40426,A81000B,00100,0300,CONSULTANTS 40426,A81000B,00200,0300,CONSULTANTS 40426,A81000B,00300,0300,CONSULTANTS 40426,A81000B,00400,0300,CONSULTANTS 40426,A81000B,00500,0300,CONSULTANTS 40426,A81000B,00600,0300,HOME OFFICE 40426,A81000B,00700,0300,EQUIPMENT RENTAL 40426,A81000B,00800,0300,INSURANCE 40426,A81000B,00900,0300,GAS 40426,A81000C,00100,0100,B 40426,A81000C,00100,0400,BRITTHAVEN INC 40426,A81000C,00100,0600,MGMT SVS 40426,A81000C,00200,0100,B 40426,A81000C,00200,0400,BRITTHAVEN INC 40426,A81000C,00200,0600,MGMT SVS 40426,A81000C,00300,0100,B 40426,A81000C,00300,0400,BRITTHAVEN INC 40426,A81000C,00300,0600,MGMT SVS 40426,A81000C,00400,0100,B 40426,A81000C,00400,0400,BRITTHAVEN INC 40426,A81000C,00400,0600,MGMT SVS 40426,A81000C,00500,0100,B 40426,A81000C,00500,0400,BRITTHAVEN INC 40426,A81000C,00500,0600,MGMT SVS 40426,A81000C,00600,0100,B 40426,A81000C,00600,0400,BRITTHAVEN INC 40426,A81000C,00600,0600,MGMT SVS 40426,A81000C,00700,0100,B 40426,A81000C,00700,0400,BRITTHAVEN INC 40426,A81000C,00700,0600,MGMT SVS 40426,A81000C,00800,0100,B 40426,A81000C,00800,0400,BRITTHAVEN INC 40426,A81000C,00800,0600,MGMT SVS 40426,A81000C,00900,0100,B 40426,A81000C,00900,0400,BRITTHAVEN INC 40426,A81000C,00900,0600,MGMT SVS 40426,A81000C,01000,0100,B 40426,A81000C,01000,0400,KARE MEDICAL 40426,A81000C,01000,0600,WHOLESALE SUPPL 40426,B100000,00000,0100,00000SQUARE FEET 40426,B100000,00000,0200,00000SQUARE FEET 40426,B100000,00000,0300,00000GROSS SALARIES 40426,B100000,00000,0400,00000ACCUM COST 40426,B100000,00000,0500,00000SQUARE FEET 40426,B100000,00000,0600,00000POUNDS OF LAUNDRY 40426,B100000,00000,0700,00000SQUARE FEET 40426,B100000,00000,0800,00000MEALS SERVED 40426,B100000,00000,0900,00000PATIENT DAYS 40426,B100000,00000,1000,00000COSTED REQUISITIO 40426,B100000,00000,1100,00000COSTED REQUISITIO 40426,B100000,00000,1200,00000TIME SPENT 40426,B100000,00000,1300,00000TIME SPENT 40426,B100000,00000,1350,00000SQUARE FEET 40426,B100000,00000,1400,00000ASSIGNED TIME 40426,E10A180,00301,0100,03/29/1999 40426,E10A180,00501,0100,05/18/2000 40426,E10A180,00550,0300,05/18/2000 40426,S000000,00100,0200,03/21/2000 40426,S200000,00100,0100,430 WEST HEALTH CEN DRIVE 40426,S200000,00200,0100,NAGS HEAD 40426,S200000,00200,0200,NC 40426,S200000,00200,0300,27959 40426,S200000,00300,0100,DARE 40426,S200000,00400,0100,BRITTHAVEN OF OUTERBANKS 40426,S200000,00400,0200,345226 40426,S200000,00400,0300,10/01/1984 40426,S200000,00400,0500,P 40426,S200000,01600,0100,Y 40433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40433,A000000,00300,0000,00300EMPLOYEE BENEFITS 40433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40433,A000000,00700,0000,00700HOUSEKEEPING 40433,A000000,00800,0000,00800DIETARY 40433,A000000,00900,0000,00900NURSING ADMINISTRATION 40433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40433,A000000,01100,0000,01100PHARMACY 40433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40433,A000000,01300,0000,01300SOCIAL SERVICE 40433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40433,A000000,01600,0000,01600SKILLED NURSING FACILITY 40433,A000000,01810,0000,01810ICF/MR 40433,A000000,02200,0000,02200LABORATORY 40433,A000000,02500,0000,02500PHYSICAL THERAPY 40433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40433,A000000,02700,0000,02700SPEECH PATHOLOGY 40433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40433,A000000,03550,0000,03550FQHC 40433,A000000,04800,0000,04800AMBULANCE 40433,A000000,05000,0000,05000CORF 40433,A000000,05010,0000,05010CMHC 40433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40433,B100000,00000,0100,00040SQUARE FEET 40433,B100000,00000,0200,00040DOLLAR VALUE 40433,B100000,00000,0300,00040GROSS SALARIES 40433,B100000,00000,0400,00040ACCUM. COST 40433,B100000,00000,0500,00040SQUARE FEET 40433,B100000,00000,0600,00040POUNDS OF LAUNDRY 40433,B100000,00000,0700,00040HOURS OF SERVICE 40433,B100000,00000,0800,00040MEALS SERVED 40433,B100000,00000,0900,00040DIRECT NRSING HRS 40433,B100000,00000,1000,00040COSTED REQUIS 40433,B100000,00000,1100,00040COSTED REQUIS 40433,B100000,00000,1200,00040TIME SPENT 40433,B100000,00000,1300,00040TIME SPENT 40433,B100000,00000,1400,00040ASSIGNED TIME 40433,E10A180,00301,0100,08/27/1999 40433,E10A180,00501,0100,07/17/2000 40433,E10A180,00501,0300,07/17/2000 40433,S000000,00100,0200,05/26/2000 40433,S200000,00100,0300,1868 40433,S200000,00200,0100,WASHINGTON 40433,S200000,00200,0200,NC 40433,S200000,00300,0100,BEAUFORT 40433,S200000,00400,0100,RIDGEWOOD MANOR NURSING HOME 40433,S200000,00400,0200,345228 40433,S200000,00400,0300,11/23/1982 40433,S200000,00400,0500,P 40433,S200000,01500,0100,Y 40449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40449,A000000,00300,0000,00300EMPLOYEE BENEFITS 40449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40449,A000000,00700,0000,00700HOUSEKEEPING 40449,A000000,00800,0000,00800DIETARY 40449,A000000,00900,0000,00900NURSING ADMINISTRATION 40449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40449,A000000,01100,0000,01100PHARMACY 40449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40449,A000000,01300,0000,01300SOCIAL SERVICE 40449,A000000,01301,0000,01301ACTIVITES 40449,A000000,01350,0000,01500REHABILITATION 40449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40449,A000000,01600,0000,01600SKILLED NURSING FACILITY 40449,A000000,01800,0000,01800NURSING FACILITY 40449,A000000,01810,0000,01810ICF/MR 40449,A000000,02100,0000,02100RADIOLOGY 40449,A000000,02200,0000,02200LABORATORY 40449,A000000,02300,0000,02300INTRAVENOUS THERAPY 40449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40449,A000000,02500,0000,02500PHYSICAL THERAPY 40449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40449,A000000,02700,0000,02700SPEECH PATHOLOGY 40449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40449,A000000,03050,0000,03300EQUIPMENT RENTAL 40449,A000000,03051,0000,03301PEN THERAPY 40449,A000000,03550,0000,03550FQHC 40449,A000000,05000,0000,05000CORF 40449,A000000,05010,0000,05010CMHC 40449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40449,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40449,A000000,06150,0000,06300VENDING 40449,A000000,06151,0000,06301STAND-BY 40449,A81000A,00100,0100,Y 40449,A81000B,00100,0300,CENTRAL SUPPLY 40449,A81000B,00200,0300,DIETARY SUPPLEMENTS 40449,A81000B,00300,0300,CAPITAL 40449,A81000B,00400,0300,PRESCRIPTION DRUGS 40449,A81000B,00500,0300,MEDICAL SUPPLIES 40449,A81000B,00600,0300,ADMIN & GENERAL 40449,A81000B,00700,0300,BLDG CAPITAL 40449,A81000B,00800,0300,PLANT 40449,A81000B,00900,0300,IV THERAPY 40449,A81000B,01000,0300,PT OTHER 40449,A81000B,01100,0300,PHYSICAL THERAPY 40449,A81000B,01200,0300,OCCUPATIONAL THERAPY 40449,A81000B,01300,0300,SPEECH THERAPY 40449,A81000C,00100,0100,B 40449,A81000C,00100,0200,BCHR HICKORY E. 40449,A81000C,00100,0400,MARINER PAN 40449,A81000C,00100,0600,NURSING HOMES 40449,A81000C,00200,0100,G 40449,A81000C,00200,0200,MARINER PAN 40449,A81000C,00200,0400,AMER PHARM SVCS 40449,A81000C,00200,0600,PHARMACEUTICALS 40449,A81000C,00300,0100,G 40449,A81000C,00300,0200,MARINER PAN 40449,A81000C,00300,0400,PRISM-ATS-ARS-T 40449,A81000C,00300,0600,THERAPIES 40449,B100000,00000,0100,00001SQUARE FEET 40449,B100000,00000,0200,00001SQUARE FEET 40449,B100000,00000,0300,00001GROSS SALARIES 40449,B100000,00000,0400,00001ACCUM COST 40449,B100000,00000,0500,00001SQUARE FEET 40449,B100000,00000,0600,00001PATIENT DAYS 40449,B100000,00000,0700,00001SQUARE FEET 40449,B100000,00000,0800,00001MEALS SERVED 40449,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40449,B100000,00000,1000,00001PATIENT DAYS 40449,B100000,00000,1100,00001COSTED REQUIS 40449,B100000,00000,1200,00001PATIENT DAYS 40449,B100000,00000,1300,00001PATIENT DAYS 40449,B100000,00000,1301,00001PATIENT DAYS 40449,B100000,00000,1350,00001UNITS OF SERVICE 40449,B100000,00000,1400,00001ASSIGNED TIME 40449,E10A180,00301,0100,07/19/1999 40449,E10A180,00550,0100,08/30/2000 40449,E10A180,00550,0300,08/30/2000 40449,S000000,00100,0200,08/30/2000 40449,S200000,00100,0100,3031 TATE BLVD. SE 40449,S200000,00200,0100,HICKORY 40449,S200000,00200,0200,NC 40449,S200000,00200,0300,28602 40449,S200000,00300,0100,CATAWBA 40449,S200000,00400,0100,BRIAN CTR HLTH & REHAB/HICKORY EAST 40449,S200000,00400,0200,345232 40449,S200000,00400,0300,12/01/1982 40449,S200000,00400,0500,P 40449,S200000,00600,0200,345232 40449,S200000,00600,0300,12/01/1982 40449,S200000,00600,0600,P 40449,S200000,01600,0100,Y 40449,S200000,02200,0100,Y 40455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40455,A000000,00300,0000,00300EMPLOYEE BENEFITS 40455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40455,A000000,00700,0000,00700HOUSEKEEPING 40455,A000000,00800,0000,00800DIETARY 40455,A000000,00900,0000,00900NURSING ADMINISTRATION 40455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40455,A000000,01100,0000,01100PHARMACY 40455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40455,A000000,01300,0000,01300SOCIAL SERVICE 40455,A000000,01350,0000,01500PATIENT ACTIVITIES 40455,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40455,A000000,01600,0000,01600SKILLED NURSING FACILITY 40455,A000000,01800,0000,01800NURSING FACILITY 40455,A000000,01810,0000,01810ICF/MR 40455,A000000,02100,0000,02100RADIOLOGY 40455,A000000,02200,0000,02200LABORATORY 40455,A000000,02500,0000,02500PHYSICAL THERAPY 40455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40455,A000000,02700,0000,02700SPEECH PATHOLOGY 40455,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40455,A000000,03050,0000,03300AMBULANCE & ER SERVICES 40455,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40455,A000000,03550,0000,03550FQHC 40455,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40455,A000000,05000,0000,05000CORF 40455,A000000,05010,0000,05010CMHC 40455,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40455,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40455,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40455,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40455,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40455,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40455,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40455,A81000A,00100,0100,Y 40455,A81000B,00100,0300,RELATED PARTY LEASE 40455,A81000B,00200,0300,REL PARTY LEASE - DEPREC. 40455,A81000B,00300,0300,REL PARTY LEASE - INT. 40455,A81000B,00400,0300,HOME OFFICE NON-CAP COST 40455,A81000B,00500,0300,HOME OFFICE NON-CAP COST 40455,A81000B,00600,0300,HOME OFFICE NON-CAP COST 40455,A81000B,00700,0300,HOME OFFICE DIRECT ALLOC 40455,A81000B,00800,0300,HOME OFFICE NON-CAP COST 40455,A81000B,00900,0300,HOME OFFICE CAPITAL COST 40455,A81000C,00100,0100,A 40455,A81000C,00100,0200,ROBERT E TAYLOR 40455,A81000C,00100,0400,MCDOWELL NURSING CENTER 40455,A81000C,00100,0600,LTC 40455,A81000C,00400,0100,A 40455,A81000C,00400,0200,ROBERT E TAYLOR 40455,A81000C,00400,0400,RETCARE INC. 40455,A81000C,00400,0600,HOME OFFICE 40455,B100000,00000,0100,00000SQUARE FEET 40455,B100000,00000,0200,00000NO STATISTICS 40455,B100000,00000,0300,00000GROSS SALARIES 40455,B100000,00000,0400,00000ACCUM. COST 40455,B100000,00000,0500,00000SQUARE FEET 40455,B100000,00000,0600,00000POUNDS OF LAUNDRY 40455,B100000,00000,0700,00000SQ. FTG. EXCL. DIET 40455,B100000,00000,0800,00000MEALS SERVED 40455,B100000,00000,0900,00000DIRECT NURSING HR 40455,B100000,00000,1000,00000NO STATISTICS 40455,B100000,00000,1100,00000PATIENT DAYS 40455,B100000,00000,1200,00000PATIENT DAYS 40455,B100000,00000,1300,00000PATIENT DAYS 40455,B100000,00000,1350,00000PATIENT DAYS 40455,B100000,00000,1400,00000NO STATISTICS 40455,E10A180,00301,0100,03/29/1999 40455,E10A180,00501,0300,02/29/2000 40455,E10A180,00550,0100,02/29/2000 40455,E10A180,00551,0100,04/27/2000 40455,S000000,00100,0200,02/29/2000 40455,S200000,00100,0100,ROUTE 3 BOX 270 40455,S200000,00100,0300,P.O. BOX 460 40455,S200000,00200,0100,NEBO 40455,S200000,00200,0200,NC 40455,S200000,00300,0100,MCDOWELL 40455,S200000,00400,0100,MCDOWELL NURSING CENTER 40455,S200000,00400,0200,345233 40455,S200000,00400,0300,03/03/1983 40455,S200000,00400,0500,P 40455,S200000,00600,0200,345233 40455,S200000,00600,0300,03/03/1983 40455,S200000,00600,0600,P 40455,S200000,01600,0100,Y 40455,S200000,01900,0100,HOSPITAL AUTHORITY 40455,S200000,02800,0100,Y 40472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40472,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40472,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40472,A000000,00300,0000,00300EMPLOYEE BENEFITS 40472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40472,A000000,00700,0000,00700HOUSEKEEPING 40472,A000000,00800,0000,00800DIETARY 40472,A000000,00801,0000,00801CAFETERIA 40472,A000000,00900,0000,00900NURSING ADMINISTRATION 40472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40472,A000000,01100,0000,01100PHARMACY 40472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40472,A000000,01300,0000,01300SOCIAL SERVICE 40472,A000000,01350,0000,01500ACTIVITIES 40472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40472,A000000,01600,0000,01600SKILLED NURSING FACILITY 40472,A000000,01800,0000,01800NURSING FACILITY 40472,A000000,01810,0000,01810ICF/MR 40472,A000000,02100,0000,02100RADIOLOGY 40472,A000000,02200,0000,02200LABORATORY 40472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40472,A000000,02500,0000,02500PHYSICAL THERAPY 40472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40472,A000000,02700,0000,02700SPEECH PATHOLOGY 40472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40472,A000000,03050,0000,03300PEN THERAPY 40472,A000000,03051,0000,03301PROSTHETICS 40472,A000000,03052,0000,03302WOUND CARE 40472,A000000,03200,0000,03200SUPPORT SURFACES 40472,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40472,A000000,03550,0000,03550FQHC 40472,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40472,A000000,05000,0000,05000CORF I 40472,A000000,05010,0000,05010CMHC I 40472,A000000,05020,0000,05020OPT I 40472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40472,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40472,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40472,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40472,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40472,A81000A,00100,0100,Y 40472,A81000B,00100,0300,MANAGEMENT FEES 40472,A81000B,00200,0300,NURSING SUPPLIES 40472,A81000B,00300,0300,LEGEND DRUGS 40472,A81000B,00400,0300,OTC 40472,A81000B,00500,0300,MEDICAL SUPPLIES 40472,A81000B,00600,0300,PHARMACY CONSULTANT 40472,A81000C,00100,0100,B 40472,A81000C,00100,0400,WHITE OAK MANOR 40472,A81000C,00100,0600,NSG HOME CHAIN 40472,A81000C,00200,0100,B 40472,A81000C,00200,0400,WHITE OAK MANOR 40472,A81000C,00200,0600,PHARMACY 40472,B100000,00000,0100,00000(SQUARE FEET) 40472,B100000,00000,0101,00000(SQUARE FEET) 40472,B100000,00000,0200,00000(SQUARE FEET) 40472,B100000,00000,0201,00000(SQUARE FEET) 40472,B100000,00000,0300,00000(GROSS SALARIES) 40472,B100000,00000,0400,00000(ACCUM. COST) 40472,B100000,00000,0500,00000(SQUARE FEET) 40472,B100000,00000,0600,00000(PATIENT DAYS) 40472,B100000,00000,0700,00000(SQUARE FEET) 40472,B100000,00000,0800,00000(MEALS SERVED) 40472,B100000,00000,0801,00000(MEALS SERVED) 40472,B100000,00000,0900,00000(PATIENT DAYS) 40472,B100000,00000,1000,00000(PATIENT DAYS) 40472,B100000,00000,1100,00000(PATIENT DAYS) 40472,B100000,00000,1200,00000(PATIENT DAYS) 40472,B100000,00000,1300,00000(PATIENT DAYS) 40472,B100000,00000,1350,00000(PATIENT DAYS) 40472,B100000,00000,1400,00000(ASSIGNED TIME) 40472,E10A180,00301,0100,03/29/1999 40472,E10A180,00501,0100,04/25/2000 40472,E10A180,00501,0300,04/25/2000 40472,E10A180,00502,0100,07/24/2000 40472,S000000,00100,0200,02/25/2000 40472,S200000,00100,0100,4009 CRAIG AVENUE 40472,S200000,00100,0300,220130 40472,S200000,00200,0100,CHARLOTTE 40472,S200000,00200,0200,NC 40472,S200000,00200,0300,28222-0130 40472,S200000,00300,0100,MECKLENBURG 40472,S200000,00400,0100,WHITE OAK MANOR-CHARLOTTE 40472,S200000,00400,0200,345238 40472,S200000,00400,0300,11/15/1983 40472,S200000,00400,0500,P 40472,S200000,00600,0200,345238 40472,S200000,00600,0300,11/15/1983 40472,S200000,00600,0600,P 40472,S200000,01600,0100,Y 40472,S200000,02200,0100,Y 40479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40479,A000000,00300,0000,00300EMPLOYEE BENEFITS 40479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40479,A000000,00700,0000,00700HOUSEKEEPING 40479,A000000,00800,0000,00800DIETARY 40479,A000000,00900,0000,00900NURSING ADMINISTRATION 40479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40479,A000000,01100,0000,01100PHARMACY 40479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40479,A000000,01300,0000,01300SOCIAL SERVICE 40479,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40479,A000000,01600,0000,01600SKILLED NURSING FACILITY 40479,A000000,01800,0000,01800NURSING FACILITY 40479,A000000,01810,0000,01810ICF/MR 40479,A000000,01900,0000,01900OTHER LONG TERM CARE 40479,A000000,02100,0000,02100RADIOLOGY 40479,A000000,02200,0000,02200LABORATORY 40479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40479,A000000,02500,0000,02500PHYSICAL THERAPY 40479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40479,A000000,02700,0000,02700SPEECH PATHOLOGY 40479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40479,A000000,03050,0000,03300AIR-FLUIDIZED THERAPY 40479,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40479,A000000,03550,0000,03550FQHC 40479,A000000,05000,0000,05000CORF 40479,A000000,05010,0000,05010CMHC 40479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40479,A000000,05300,0000,05300INTEREST EXPENSE 40479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40479,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40479,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40479,A81000A,00100,0100,Y 40479,A81000B,00100,0300,CONSULTANTS 40479,A81000B,00200,0300,CONSULTANTS 40479,A81000B,00300,0300,CONSULTANTS 40479,A81000B,00400,0300,CONSULTANTS 40479,A81000B,00500,0300,CONSULTANTS 40479,A81000B,00600,0300,HOME OFFICE 40479,A81000C,00100,0100,B 40479,A81000C,00100,0400,BRITTHAVEN INC 40479,A81000C,00100,0600,MGMT SVS 40479,A81000C,00200,0100,B 40479,A81000C,00200,0400,BRITTHAVEN INC 40479,A81000C,00200,0600,MGMT SVS 40479,A81000C,00300,0100,B 40479,A81000C,00300,0400,BRITTHAVEN INC 40479,A81000C,00300,0600,MGMT SVS 40479,A81000C,00400,0100,B 40479,A81000C,00400,0400,BRITTHAVEN INC 40479,A81000C,00400,0600,MGMT SVS 40479,A81000C,00500,0100,B 40479,A81000C,00500,0400,BRITTHAVEN INC 40479,A81000C,00500,0600,MGMT SVS 40479,A81000C,00600,0100,B 40479,A81000C,00600,0400,BRITTHAVEN INC 40479,A81000C,00600,0600,MGMT SVS 40479,A81000C,00700,0100,B 40479,A81000C,00700,0400,BRITTHAVEN INC 40479,A81000C,00700,0600,MGMT SVS 40479,A81000C,00800,0100,B 40479,A81000C,00800,0400,BRITTHAVEN INC 40479,A81000C,00800,0600,MGMT SVS 40479,A81000C,00900,0100,B 40479,A81000C,00900,0400,KARE MEDICAL 40479,A81000C,00900,0600,WHOLESALE SUPPL 40479,A81000C,01000,0100,B 40479,A81000C,01000,0400,PHARMSAVE 40479,A81000C,01000,0600,RX SUPPLY 40479,B100000,00000,0100,00000SQUARE FEET 40479,B100000,00000,0200,00000SQUARE FEET 40479,B100000,00000,0300,00000GROSS SALARIES 40479,B100000,00000,0400,00000ACCUM COST 40479,B100000,00000,0500,00000SQUARE FEET 40479,B100000,00000,0600,00000POUNDS OF LAUNDRY 40479,B100000,00000,0700,00000HOURS OF SERVICE 40479,B100000,00000,0800,00000MEALS SERVED 40479,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40479,B100000,00000,1000,00000COSTED REQUISITIO 40479,B100000,00000,1100,00000COSTED REQUISITIO 40479,B100000,00000,1200,00000TIME SPENT 40479,B100000,00000,1300,00000TIME SPENT 40479,B100000,00000,1350,00000SQUARE FEET 40479,B100000,00000,1400,00000ASSIGNED TIME 40479,E10A180,00301,0100,04/12/1999 40479,E10A180,00302,0100,04/12/1999 40479,S000000,00100,0200,03/21/2000 40479,S200000,00100,0100,3609 BOND STREET 40479,S200000,00200,0100,RALEIGH 40479,S200000,00200,0200,NC 40479,S200000,00200,0300,27604 40479,S200000,00300,0100,WAKE 40479,S200000,00400,0100,BRITTHAVEN OF RALEIGH 40479,S200000,00400,0200,345239 40479,S200000,00400,0300,09/29/1983 40479,S200000,00400,0500,P 40479,S200000,01600,0100,Y 40487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40487,A000000,00300,0000,00300EMPLOYEE BENEFITS 40487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40487,A000000,00700,0000,00700HOUSEKEEPING 40487,A000000,00800,0000,00800DIETARY 40487,A000000,00900,0000,00900NURSING ADMINISTRATION 40487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40487,A000000,01100,0000,01100PHARMACY 40487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40487,A000000,01300,0000,01300SOCIAL SERVICE 40487,A000000,01350,0000,01500PATIENT ACTIVITIES 40487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40487,A000000,01600,0000,01600SKILLED NURSING FACILITY 40487,A000000,01800,0000,01800NURSING FACILITY 40487,A000000,01810,0000,01810ICF/MR 40487,A000000,01900,0000,01900OTHER LONG TERM CARE 40487,A000000,02500,0000,02500PHYSICAL THERAPY 40487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40487,A000000,02700,0000,02700SPEECH PATHOLOGY 40487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40487,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40487,A000000,03550,0000,03550FQHC 40487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40487,A000000,04800,0000,04800AMBULANCE 40487,A000000,05000,0000,05000CORF 40487,A000000,05010,0000,05010CMHC 40487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40487,B100000,00000,0100,00000SQUARE FEET 40487,B100000,00000,0200,00000SQUARE FEET 40487,B100000,00000,0300,00000GROSS SALARIES 40487,B100000,00000,0400,00000ACCUM. COST 40487,B100000,00000,0500,00000SQUARE FEET 40487,B100000,00000,0600,00000POUNDS OF LAUNRDY 40487,B100000,00000,0700,00000SQ. FTG. EXC 40487,B100000,00000,0800,00000PATIENT DAYS 40487,B100000,00000,0900,00000DIRECT NRSING HRS 40487,B100000,00000,1000,00000PT. DAYS EXC. RH 40487,B100000,00000,1100,00000PATIENT DAYS 40487,B100000,00000,1200,00000PATIENT DAYS 40487,B100000,00000,1300,00000TIME SPENT 40487,B100000,00000,1350,00000TIME SPENT 40487,B100000,00000,1400,00000ASSIGNED TIME 40487,E10A180,00301,0100,09/27/1999 40487,E10A180,00501,0100,06/28/2000 40487,E10A180,00501,0300,06/28/2000 40487,S000000,00100,0200,05/26/2000 40487,S200000,00100,0100,US HWY 158 BUSINESS 40487,S200000,00100,0300,618 40487,S200000,00200,0100,WARRENTON 40487,S200000,00200,0200,NC 40487,S200000,00200,0300,27589-0618 40487,S200000,00300,0100,WARREN 40487,S200000,00400,0100,WARREN HILLS NURSING CENTER 40487,S200000,00400,0200,345240 40487,S200000,00400,0300,12/01/1983 40487,S200000,00400,0500,P 40487,S200000,01600,0100,Y 40487,S200000,04700,0100,Y 40487,S200000,04700,0200,Y 40496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40496,A000000,00300,0000,00300EMPLOYEE BENEFITS 40496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40496,A000000,00700,0000,00700HOUSEKEEPING 40496,A000000,00800,0000,00800DIETARY 40496,A000000,00900,0000,00900NURSING ADMINISTRATION 40496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40496,A000000,01100,0000,01100PHARMACY 40496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40496,A000000,01300,0000,01300SOCIAL SERVICE 40496,A000000,01301,0000,01301ACTIVITES 40496,A000000,01350,0000,01500REHABILITATION 40496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40496,A000000,01600,0000,01600SKILLED NURSING FACILITY 40496,A000000,01800,0000,01800NURSING FACILITY 40496,A000000,01810,0000,01810ICF/MR 40496,A000000,02100,0000,02100RADIOLOGY 40496,A000000,02200,0000,02200LABORATORY 40496,A000000,02300,0000,02300INTRAVENOUS THERAPY 40496,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40496,A000000,02500,0000,02500PHYSICAL THERAPY 40496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40496,A000000,02700,0000,02700SPEECH PATHOLOGY 40496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40496,A000000,03050,0000,03300EQUIPMENT RENTAL 40496,A000000,03051,0000,03301PEN THERAPY 40496,A000000,03550,0000,03550FQHC 40496,A000000,04800,0000,04800AMBULANCE 40496,A000000,05000,0000,05000CORF 40496,A000000,05010,0000,05010CMHC 40496,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40496,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40496,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40496,A000000,06150,0000,06300VENDING 40496,A000000,06151,0000,06301STAND-BY 40496,A81000A,00100,0100,Y 40496,A81000B,00100,0300,DIETARY SUPPLEMENTS 40496,A81000B,00200,0300,PRESCRIPTION DRUGS 40496,A81000B,00300,0300,MEDICAL SUPPLIES 40496,A81000B,00400,0300,ADMIN & GENERAL 40496,A81000B,00500,0300,BLDG CAPITAL 40496,A81000B,00600,0300,IV THERAPY 40496,A81000B,00700,0300,REHAB 40496,A81000B,00800,0300,PHYSICAL THERAPY 40496,A81000B,00900,0300,OCCUPATIONAL THERAPY 40496,A81000B,01000,0300,SPEECH THERAPY 40496,A81000B,01100,0300,CENTRAL SUPPLY 40496,A81000C,00100,0100,B 40496,A81000C,00100,0200,BCHR EDEN (NC) 40496,A81000C,00100,0400,MARINER PAN 40496,A81000C,00100,0600,NURSING HOMES 40496,A81000C,00200,0100,G 40496,A81000C,00200,0200,MARINER PAN 40496,A81000C,00200,0400,AMER PHARM SVCS 40496,A81000C,00200,0600,PHARMACEUTICALS 40496,A81000C,00300,0100,G 40496,A81000C,00300,0200,MARINER PAN 40496,A81000C,00300,0400,PRISM-ATS-ARS-T 40496,A81000C,00300,0600,THERAPIES 40496,B100000,00000,0100,00001SQUARE FEET 40496,B100000,00000,0200,00001SQUARE FEET 40496,B100000,00000,0300,00001GROSS SALARIES 40496,B100000,00000,0400,00001ACCUM COST 40496,B100000,00000,0500,00001SQUARE FEET 40496,B100000,00000,0600,00001PATIENT DAYS 40496,B100000,00000,0700,00001SQUARE FEET 40496,B100000,00000,0800,00001MEALS SERVED 40496,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40496,B100000,00000,1000,00001PATIENT DAYS 40496,B100000,00000,1100,00001COSTED REQUIS 40496,B100000,00000,1200,00001PATIENT DAYS 40496,B100000,00000,1300,00001PATIENT DAYS 40496,B100000,00000,1301,00001PATIENT DAYS 40496,B100000,00000,1350,00001UNITS OF SERVICE 40496,B100000,00000,1400,00001ASSIGNED TIME 40496,E10A180,00302,0100,07/19/2000 40496,E10A180,00303,0100,07/19/2000 40496,E10A180,00501,0100,10/24/2000 40496,E10A180,00550,0300,10/24/2000 40496,S000000,00100,0200,08/30/2000 40496,S200000,00100,0100,226 NORTH OAKLAND AVE 40496,S200000,00200,0100,EDEN 40496,S200000,00200,0200,NC 40496,S200000,00200,0300,27288 40496,S200000,00300,0100,ROCKINGHAM 40496,S200000,00400,0100,BRIAN CTR HLTH & REHAB/EDEN 40496,S200000,00400,0200,345241 40496,S200000,00400,0300,01/04/1984 40496,S200000,00400,0500,P 40496,S200000,00600,0200,345241 40496,S200000,00600,0300,01/04/1984 40496,S200000,00600,0600,P 40496,S200000,01600,0100,Y 40496,S200000,02200,0100,Y 40502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40502,A000000,00300,0000,00300EMPLOYEE BENEFITS 40502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40502,A000000,00700,0000,00700HOUSEKEEPING 40502,A000000,00800,0000,00800DIETARY 40502,A000000,00900,0000,00900NURSING ADMINISTRATION 40502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40502,A000000,01100,0000,01100PHARMACY 40502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40502,A000000,01300,0000,01300SOCIAL SERVICE 40502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40502,A000000,01600,0000,01600SKILLED NURSING FACILITY 40502,A000000,01810,0000,01810ICF/MR 40502,A000000,02100,0000,02100RADIOLOGY 40502,A000000,02200,0000,02200LABORATORY 40502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40502,A000000,02500,0000,02500PHYSICAL THERAPY 40502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40502,A000000,02700,0000,02700SPEECH PATHOLOGY 40502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40502,A000000,03550,0000,03550FQHC 40502,A000000,05000,0000,05000CORF 40502,A000000,05010,0000,05010CMHC 40502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40502,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40502,A81000A,00100,0100,Y 40502,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 40502,A81000C,00100,0100,B 40502,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 40502,B100000,00000,0100,00000SQUARE FEET 40502,B100000,00000,0200,00000SQUARE FEET 40502,B100000,00000,0300,00000GROSS SALARIES 40502,B100000,00000,0400,00000ACCUM. COST 40502,B100000,00000,0500,00000SQUARE FEET 40502,B100000,00000,0600,00000PATIENT DAYS 40502,B100000,00000,0700,00000PATIENT DAYS 40502,B100000,00000,0800,00000MEALS SERVED 40502,B100000,00000,0900,00000DIRECT NRSING $$ 40502,B100000,00000,1000,00000PATIENT DAYS 40502,B100000,00000,1100,00000PATIENT DAYS 40502,B100000,00000,1200,00000PATIENT DAYS 40502,B100000,00000,1300,00000PATIENT DAYS 40502,B100000,00000,1400,00000ASSIGNED TIME 40502,E10A180,00501,0100,07/17/2000 40502,E10A180,00501,0300,07/17/2000 40502,S000000,00100,0200,06/13/2000 40502,S200000,00100,0100,200 TRADE STREET 40502,S200000,00200,0100,TARBORO 40502,S200000,00200,0200,NC 40502,S200000,00200,0300,27886 40502,S200000,00300,0100,EDGECOMBE 40502,S200000,00400,0100,THE FOUNTAINS AT THE ALBEMARLE 40502,S200000,00400,0200,345242 40502,S200000,00400,0300,02/28/1984 40502,S200000,00400,0500,P 40502,S200000,01500,0100,Y 40509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40509,A000000,00300,0000,00300EMPLOYEE BENEFITS 40509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40509,A000000,00700,0000,00700HOUSEKEEPING 40509,A000000,00800,0000,00800DIETARY 40509,A000000,00900,0000,00900NURSING ADMINISTRATION 40509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40509,A000000,01100,0000,01100PHARMACY 40509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40509,A000000,01300,0000,01300SOCIAL SERVICE 40509,A000000,01301,0000,01301ACTIVITES 40509,A000000,01350,0000,01500REHABILITATION 40509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40509,A000000,01600,0000,01600SKILLED NURSING FACILITY 40509,A000000,01800,0000,01800NURSING FACILITY 40509,A000000,01810,0000,01810ICF/MR 40509,A000000,02100,0000,02100RADIOLOGY 40509,A000000,02200,0000,02200LABORATORY 40509,A000000,02300,0000,02300INTRAVENOUS THERAPY 40509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40509,A000000,02500,0000,02500PHYSICAL THERAPY 40509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40509,A000000,02700,0000,02700SPEECH PATHOLOGY 40509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40509,A000000,03050,0000,03300EQUIPMENT RENTAL 40509,A000000,03051,0000,03301PEN THERAPY 40509,A000000,03550,0000,03550FQHC 40509,A000000,05000,0000,05000CORF 40509,A000000,05010,0000,05010CMHC 40509,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40509,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40509,A000000,06150,0000,06300VENDING 40509,A000000,06151,0000,06301STAND-BY 40509,A81000A,00100,0100,Y 40509,A81000B,00100,0300,CENTRAL SUPPLY 40509,A81000B,00200,0300,DIETARY SUPPLEMENTS 40509,A81000B,00300,0300,ST 40509,A81000B,00400,0300,PRESCRIPTION DRUGS 40509,A81000B,00500,0300,MEDICAL SUPPLIES 40509,A81000B,00600,0300,ADMIN & GENERAL 40509,A81000B,00700,0300,BLDG. CAPITAL 40509,A81000B,00800,0300,PLANT 40509,A81000B,00900,0300,IV THERAPY 40509,A81000B,01000,0300,PHYSICAL THERAPY 40509,A81000B,01100,0300,OCCUPATIONAL THERAPY 40509,A81000B,01200,0300,SPEECH THERAPY 40509,A81000B,01300,0300,OT 40509,A81000C,00100,0100,B 40509,A81000C,00100,0200,BCHR CHARLOTTE 40509,A81000C,00100,0400,MARINER PAN 40509,A81000C,00100,0600,NURSING HOMES 40509,A81000C,00200,0100,G 40509,A81000C,00200,0200,MARINER PAN 40509,A81000C,00200,0400,AMER PHARM SVCS 40509,A81000C,00200,0600,PHARMACEUTICALS 40509,A81000C,00300,0100,G 40509,A81000C,00300,0200,MARINER PAN 40509,A81000C,00300,0400,PRISM-ATS-ARS-T 40509,A81000C,00300,0600,THERAPIES 40509,B100000,00000,0100,00001SQUARE FEET 40509,B100000,00000,0200,00001SQUARE FEET 40509,B100000,00000,0300,00001GROSS SALARIES 40509,B100000,00000,0400,00001ACCUM COST 40509,B100000,00000,0500,00001SQUARE FEET 40509,B100000,00000,0600,00001PATIENT DAYS 40509,B100000,00000,0700,00001SQUARE FEET 40509,B100000,00000,0800,00001MEALS SERVED 40509,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40509,B100000,00000,1000,00001PATIENT DAYS 40509,B100000,00000,1100,00001COSTED REQUIS 40509,B100000,00000,1200,00001PATIENT DAYS 40509,B100000,00000,1300,00001PATIENT DAYS 40509,B100000,00000,1301,00001PATIENT DAYS 40509,B100000,00000,1350,00001UNITS OF SERVICE 40509,B100000,00000,1400,00001ASSIGNED TIME 40509,E10A180,00301,0100,07/19/1999 40509,E10A180,00302,0100,07/19/1999 40509,E10A180,00550,0100,10/24/2000 40509,E10A180,00550,0300,10/24/2000 40509,S000000,00100,0200,08/30/2000 40509,S200000,00100,0100,5939 REDDMANN ROAD 40509,S200000,00200,0100,CHARLOTTE 40509,S200000,00200,0200,NC 40509,S200000,00200,0300,28212 40509,S200000,00300,0100,MECKLENBURG 40509,S200000,00400,0100,BRIAN CTR HLTH & REHAB/CHARLOTTE 40509,S200000,00400,0200,345243 40509,S200000,00400,0300,02/02/1984 40509,S200000,00400,0500,P 40509,S200000,01600,0100,Y 40509,S200000,02200,0100,Y 40516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40516,A000000,00300,0000,00300EMPLOYEE BENEFITS 40516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40516,A000000,00700,0000,00700HOUSEKEEPING 40516,A000000,00800,0000,00800DIETARY 40516,A000000,00900,0000,00900NURSING ADMINISTRATION 40516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40516,A000000,01100,0000,01100PHARMACY 40516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40516,A000000,01300,0000,01300SOCIAL SERVICE 40516,A000000,01350,0000,01500OTHER GENERAL SERVICES 40516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40516,A000000,01600,0000,01600SKILLED NURSING FACILITY 40516,A000000,01810,0000,01810ICF/MR 40516,A000000,01900,0000,01900OTHER LONG TERM CARE 40516,A000000,02100,0000,02100RADIOLOGY 40516,A000000,02200,0000,02200LABORATORY 40516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40516,A000000,02500,0000,02500PHYSICAL THERAPY 40516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40516,A000000,02700,0000,02700SPEECH PATHOLOGY 40516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40516,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40516,A000000,03550,0000,03550FQHC 40516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40516,A000000,05000,0000,05000CORF 40516,A000000,05010,0000,05010CMHC 40516,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40516,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40516,A81000A,00100,0100,Y 40516,A81000B,00100,0300,INTEREST EXPENSE 40516,A81000B,00200,0300,INTEREST EXPENSE 40516,A81000B,00300,0300,RENT EXPENSE 40516,A81000B,00400,0300,RENT EXPENSE 40516,A81000B,00500,0300,REPAIRS & OTHER 40516,A81000C,00100,0100,A 40516,A81000C,00100,0200,DORIS J. STAMPER 40516,A81000C,00100,0400,DORIS J. STAMPER 40516,A81000C,00100,0600,INDIVIDUAL 40516,A81000C,00200,0100,A 40516,A81000C,00200,0200,DORIS J. STAMPER 40516,A81000C,00200,0400,HARBORVIEW ENTERPRISES 40516,A81000C,00200,0600,CORPORATION 40516,A81000C,00300,0100,A 40516,A81000C,00300,0200,DORIS J. STAMPER 40516,A81000C,00300,0400,HARBORVIEW TOWERS 40516,A81000C,00300,0600,CORPORATION 40516,A81000C,00400,0100,A 40516,A81000C,00400,0200,DORIS J. STAMPER 40516,A81000C,00400,0400,DORIS J. STAMPER 40516,A81000C,00400,0600,INDIVIDUAL 40516,A81000C,00500,0100,A 40516,A81000C,00500,0200,DORIS J. STAMPER 40516,A81000C,00500,0400,HARBORVIEW TOWERS 40516,A81000C,00500,0600,CORPORATION 40516,B100000,00000,0100,00000SQUARE FEET 40516,B100000,00000,0200,00000SQUARE FEET 40516,B100000,00000,0300,00000GROSS SALARIES 40516,B100000,00000,0400,00000ACCUM. COST 40516,B100000,00000,0500,00000SQUARE FEET 40516,B100000,00000,0600,00000POUNDS OF LAUNDRY 40516,B100000,00000,0700,00000HOURS OF SERVICE 40516,B100000,00000,0800,00000MEALS SERVED 40516,B100000,00000,0900,00000HOURS OF SERVICE 40516,B100000,00000,1000,00000COSTED REQUIS. 40516,B100000,00000,1100,00000COSTED REQUIS. 40516,B100000,00000,1200,00000TIME SPENT 40516,B100000,00000,1300,00000TIME SPENT 40516,B100000,00000,1350,00000NO STATISTICS 40516,B100000,00000,1400,00000ASSIGNED TIME 40516,E10A180,00301,0100,03/29/1999 40516,S000000,00100,0200,07/17/2000 40516,S200000,00100,0100,812 SHEPARD STREET 40516,S200000,00200,0100,MOREHEAD CITY 40516,S200000,00200,0200,NC 40516,S200000,00300,0100,CARTERET 40516,S200000,00400,0100,HARBORVIEW HEALTH CARE CENTER 40516,S200000,00400,0200,345244 40516,S200000,00400,0300,12/11/1984 40516,S200000,00400,0500,P 40516,S200000,01600,0100,Y 40524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40524,A000000,00300,0000,00300EMPLOYEE BENEFITS 40524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40524,A000000,00700,0000,00700HOUSEKEEPING 40524,A000000,00800,0000,00800DIETARY 40524,A000000,00900,0000,00900NURSING ADMINISTRATION 40524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40524,A000000,01100,0000,01100PHARMACY 40524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40524,A000000,01300,0000,01300SOCIAL SERVICE 40524,A000000,01350,0000,01500PATIENT ACTIVITIES 40524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40524,A000000,01600,0000,01600SKILLED NURSING FACILITY 40524,A000000,01800,0000,01800NURSING FACILITY 40524,A000000,01810,0000,01810ICF/MR 40524,A000000,02500,0000,02500PHYSICAL THERAPY 40524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40524,A000000,02700,0000,02700SPEECH PATHOLOGY 40524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40524,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40524,A000000,03200,0000,03200SUPPORT SURFACES 40524,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40524,A000000,03550,0000,03550FQHC 40524,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40524,A000000,05000,0000,05000CORF 40524,A000000,05010,0000,05010CMHC 40524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40524,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40524,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40524,A81000A,00100,0100,Y 40524,A81000B,00100,0300,NON LEGEND DRUGS 40524,A81000B,00200,0300,LEGEND DRUGS 40524,A81000C,00100,0100,B 40524,A81000C,00100,0200,JUDITH BARLOW 40524,A81000C,00100,0400,ROYAL APOTHECARY 40524,A81000C,00100,0600,PHARMACY 40524,B100000,00000,0100,00000SQUARE FEET 40524,B100000,00000,0200,00000DOLLAR VALUE 40524,B100000,00000,0300,00000GROSS SALARIES 40524,B100000,00000,0400,00000ACCUM. COST 40524,B100000,00000,0500,00000SQUARE FEET 40524,B100000,00000,0600,00000POUNDS OF LAUNDRY 40524,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40524,B100000,00000,0800,00000PATIENT DAYS 40524,B100000,00000,0900,00000DIRECT NRSING HRS 40524,B100000,00000,1000,00000PATIENT DAYS 40524,B100000,00000,1100,00000PATIENT DAYS 40524,B100000,00000,1200,00000PATIENT DAYS 40524,B100000,00000,1300,00000TIME SPENT 40524,B100000,00000,1350,00000TIME SPENT 40524,B100000,00000,1400,00000ASSIGNED TIME 40524,E10A180,00301,0100,03/29/1999 40524,E10A180,00501,0100,05/31/2000 40524,E10A180,00550,0300,05/31/2000 40524,S000000,00100,0200,05/31/2000 40524,S200000,00100,0100,100 SUNSET STREET 40524,S200000,00100,0300,448 40524,S200000,00200,0100,GRANITE FALLS 40524,S200000,00200,0200,NC 40524,S200000,00200,0300,28630 40524,S200000,00300,0100,CALDWELL 40524,S200000,00400,0100,CAMELOT MANOR NURSING CARE 40524,S200000,00400,0200,345246 40524,S200000,00400,0300,12/03/1985 40524,S200000,00400,0500,P 40524,S200000,01600,0100,Y 40533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40533,A000000,00300,0000,00300EMPLOYEE BENEFITS 40533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40533,A000000,00700,0000,00700HOUSEKEEPING 40533,A000000,00800,0000,00800DIETARY 40533,A000000,00900,0000,00900NURSING ADMINISTRATION 40533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40533,A000000,01100,0000,01100PHARMACY 40533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40533,A000000,01300,0000,01300SOCIAL SERVICE 40533,A000000,01350,0000,01500OTHER GENERAL SERVICES 40533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40533,A000000,01600,0000,01600SKILLED NURSING FACILITY 40533,A000000,01810,0000,01810ICF/MR 40533,A000000,02100,0000,02100RADIOLOGY 40533,A000000,02200,0000,02200LABORATORY 40533,A000000,02300,0000,02300INTRAVENOUS THERAPY 40533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40533,A000000,02500,0000,02500PHYSICAL THERAPY 40533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40533,A000000,02700,0000,02700SPEECH PATHOLOGY 40533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40533,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40533,A000000,03200,0000,03200SUPPORT SURFACES 40533,A000000,03550,0000,03550FQHC 40533,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40533,A000000,04800,0000,04800AMBULANCE 40533,A000000,05000,0000,05000CORF 40533,A000000,05010,0000,05010CMHC 40533,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40533,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40533,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40533,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40533,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40533,A81000A,00100,0100,Y 40533,A81000B,00100,0300,ACCOUNTING FEES 40533,A81000B,00200,0300,HOME OFFICE REPORT 40533,A81000C,00100,0100,A 40533,A81000C,00100,0200,DPL INC. 40533,A81000C,00100,0400,HOME OFFICE 40533,A81000C,00100,0600,BUSINESS 40533,B100000,00000,0100,00000SQUARE FEET 40533,B100000,00000,0200,00000DOLLAR VALUE 40533,B100000,00000,0300,00000GROSS SALARIES 40533,B100000,00000,0400,00000ACCUM. COST 40533,B100000,00000,0500,00000SQUARE FEET 40533,B100000,00000,0600,00000POUNDS OF LAUNDRY 40533,B100000,00000,0700,00000SQUARE FEET 40533,B100000,00000,0800,00000MEALS SERVED 40533,B100000,00000,0900,00000DIRECT NRSING HRS 40533,B100000,00000,1000,00000COSTED REQUIS 40533,B100000,00000,1100,00000COSTED REQUIS. 40533,B100000,00000,1200,00000TIME SPENT 40533,B100000,00000,1300,00000TIME SPENT 40533,B100000,00000,1350,00000NO STATISTICS 40533,B100000,00000,1400,00000ASSIGNED TIME 40533,E10A180,00301,0100,04/12/1999 40533,E10A180,00550,0100,07/27/2000 40533,E10A180,00550,0300,07/27/2000 40533,S000000,00100,0200,06/01/2000 40533,S200000,00100,0100,VALLEY NURSING CENTER 40533,S200000,00100,0300,539 3RD ST. 40533,S200000,00200,0100,TAYLORSVILLE 40533,S200000,00200,0200,NC 40533,S200000,00300,0100,ALEXANDER 40533,S200000,00400,0100,VALLEY NURSING CENTER 40533,S200000,00400,0200,345247 40533,S200000,00400,0300,06/01/1986 40533,S200000,00400,0500,P 40533,S200000,01600,0100,Y 40542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40542,A000000,00300,0000,00300EMPLOYEE BENEFITS 40542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40542,A000000,00700,0000,00700HOUSEKEEPING 40542,A000000,00800,0000,00800DIETARY 40542,A000000,00900,0000,00900NURSING ADMINISTRATION 40542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40542,A000000,01100,0000,01100PHARMACY 40542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40542,A000000,01300,0000,01300SOCIAL SERVICE 40542,A000000,01301,0000,01301ACTIVITIES 40542,A000000,01350,0000,01500REHABILITATION 40542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40542,A000000,01600,0000,01600SKILLED NURSING FACILITY 40542,A000000,01800,0000,01800NURSING FACILITY 40542,A000000,01810,0000,01810ICF/MR 40542,A000000,02100,0000,02100RADIOLOGY 40542,A000000,02300,0000,02300INTRAVENOUS THERAPY 40542,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40542,A000000,02500,0000,02500PHYSICAL THERAPY 40542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40542,A000000,02700,0000,02700SPEECH PATHOLOGY 40542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40542,A000000,03050,0000,03300EQUIPMENT 40542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40542,A000000,03550,0000,03550FQHC 40542,A000000,05000,0000,05000CORF 40542,A000000,05010,0000,05010CMHC 40542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40542,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40542,A000000,06150,0000,06300VENDING 40542,A000000,06151,0000,06301STAND_BY 40542,A81000A,00100,0100,Y 40542,A81000B,00100,0300,CENTRAL SUPPLY 40542,A81000B,00200,0300,MEDICAL SUPPLIES 40542,A81000B,00300,0300,DIETARY 40542,A81000B,00400,0300,DRUGS 40542,A81000B,00500,0300,IV 40542,A81000B,00600,0300,PT 40542,A81000B,00700,0300,OT 40542,A81000B,00800,0300,ST 40542,A81000B,00900,0300,BLDG CAPITAL 40542,A81000B,01000,0300,ADMIN & GENERAL 40542,A81000C,00100,0100,B 40542,A81000C,00100,0200,BCHR LINCOLNTON 40542,A81000C,00100,0400,MARINER PAN 40542,A81000C,00100,0600,NURSING HOMES 40542,A81000C,00200,0100,G 40542,A81000C,00200,0200,MARINER POST AC 40542,A81000C,00200,0400,AMERICAN PHARMA 40542,A81000C,00200,0600,PHARMACEUTICALS 40542,A81000C,00300,0100,G 40542,A81000C,00300,0200,MARINER POST AC 40542,A81000C,00300,0400,PRISM (ATS ARS 40542,A81000C,00300,0600,THERAPIES 40542,B100000,00000,0100,00001SQUARE FEET 40542,B100000,00000,0200,00001SQUARE FEET 40542,B100000,00000,0300,00001GROSS SALARIES 40542,B100000,00000,0400,00001ACCUM COST 40542,B100000,00000,0500,00001SQUARE FEET 40542,B100000,00000,0600,00001PATIENT DAYS 40542,B100000,00000,0700,00001SQUARE FEET 40542,B100000,00000,0800,00001MEALS SERVED 40542,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40542,B100000,00000,1000,00001PATIENT DAYS 40542,B100000,00000,1100,00001COSTED REQUIS 40542,B100000,00000,1200,00001PATIENT DAYS 40542,B100000,00000,1300,00001PATIENT DAYS 40542,B100000,00000,1301,00001PATIENT DAYS 40542,B100000,00000,1350,00001UNITS OF SERVICE 40542,B100000,00000,1400,00001ASSIGNED TIME 40542,E10A180,00301,0100,07/19/1999 40542,E10A180,00302,0100,07/19/1999 40542,E10A180,00550,0100,08/30/2000 40542,S000000,00100,0200,08/30/2000 40542,S200000,00100,0100,816 SOUTH ASPEN ST. 40542,S200000,00200,0100,LINCOLNTON 40542,S200000,00200,0200,NC 40542,S200000,00200,0300,27983 40542,S200000,00300,0100,LINCOLN 40542,S200000,00400,0100,BRIAN CTR HLTH & RETIRE./LINCOLNTON 40542,S200000,00400,0200,345250 40542,S200000,00400,0300,05/27/1986 40542,S200000,00400,0500,P 40542,S200000,00600,0200,345250 40542,S200000,00600,0300,05/27/1986 40542,S200000,00600,0600,P 40542,S200000,01600,0100,Y 40542,S200000,02200,0100,Y 40553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40553,A000000,00300,0000,00300EMPLOYEE BENEFITS 40553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40553,A000000,00700,0000,00700HOUSEKEEPING 40553,A000000,00800,0000,00800DIETARY 40553,A000000,00900,0000,00900NURSING ADMINISTRATION 40553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40553,A000000,01100,0000,01100PHARMACY 40553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40553,A000000,01300,0000,01300SOCIAL SERVICE 40553,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40553,A000000,01600,0000,01600SKILLED NURSING FACILITY 40553,A000000,01810,0000,01810ICF/MR 40553,A000000,02100,0000,02100RADIOLOGY 40553,A000000,02200,0000,02200LABORATORY 40553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40553,A000000,02500,0000,02500PHYSICAL THERAPY 40553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40553,A000000,02700,0000,02700SPEECH PATHOLOGY 40553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40553,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40553,A000000,03200,0000,03200SUPPORT SURFACES 40553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40553,A000000,03550,0000,03550FQHC 40553,A000000,05000,0000,05000CORF 40553,A000000,05010,0000,05010CMHC 40553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40553,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40553,A81000A,00100,0100,Y 40553,A81000B,00100,0300,HOME OFFICE EXPENSE 40553,A81000B,00200,0300,HOME OFFICE EXPENSE 40553,A81000B,00300,0300,HOUSEKEEPING SUPPLIES 40553,A81000B,00400,0300,BRIEFS & NSG SUPPLIES 40553,A81000B,00500,0300,RT SUPPLIES 40553,A81000B,00600,0300,MEDICAL SUPPLIES 40553,A81000C,00100,0100,B 40553,A81000C,00100,0200,PARK RIDGE LIVI 40553,A81000C,00100,0400,ADVENTIST CARE 40553,A81000C,00100,0600,NURSING HOME CO 40553,A81000C,00200,0100,G 40553,A81000C,00200,0200,PARK RIDGE LIVI 40553,A81000C,00200,0400,Q-CARE 40553,A81000C,00200,0600,MEDICAL SUPPLY 40553,B100000,00000,0100,00000SQUARE FEET 40553,B100000,00000,0200,00000SQUARE FEET 40553,B100000,00000,0300,00000GROSS SALARIES 40553,B100000,00000,0400,00000ACCUM COST 40553,B100000,00000,0500,00000SQUARE FEET 40553,B100000,00000,0600,00000PATIENT DAYS 40553,B100000,00000,0700,00000SQUARE FEET 40553,B100000,00000,0800,00000MEALS SERVED 40553,B100000,00000,0900,00000PATIENT DAYS 40553,B100000,00000,1000,00000COSTED REQUISITIO 40553,B100000,00000,1100,00000COSTED REQUISITIO 40553,B100000,00000,1200,00000PATIENT DAYS 40553,B100000,00000,1300,00000PATIENT DAYS 40553,B100000,00000,1350,00000 40553,B100000,00000,1400,00000ASSIGNED TIME 40553,E10A180,00301,0100,03/29/1999 40553,E10A180,00501,0300,06/02/2000 40553,E10A180,00550,0100,06/02/2000 40553,E10A180,00550,0300,08/10/2000 40553,E10A180,00551,0100,07/20/2000 40553,E10A180,00551,0300,07/20/2000 40553,S000000,00100,0200,06/02/2000 40553,S200000,00100,0100,HOWARD GAP ROAD 40553,S200000,00100,0300,5339 40553,S200000,00200,0100,FLETCHER 40553,S200000,00200,0200,NC 40553,S200000,00200,0300,28732 40553,S200000,00300,0100,HENDERSON 40553,S200000,00400,0100,PARK RIDGE LIVING CENTER 40553,S200000,00400,0200,345253 40553,S200000,00400,0300,12/19/1986 40553,S200000,00400,0500,P 40553,S200000,01500,0100,Y 40562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40562,A000000,00300,0000,00300EMPLOYEE BENEFITS 40562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40562,A000000,00700,0000,00700HOUSEKEEPING 40562,A000000,00800,0000,00800DIETARY 40562,A000000,00900,0000,00900NURSING ADMINISTRATION 40562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40562,A000000,01100,0000,01100PHARMACY 40562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40562,A000000,01300,0000,01300SOCIAL SERVICE 40562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40562,A000000,01600,0000,01600SKILLED NURSING FACILITY 40562,A000000,01800,0000,01800NURSING FACILITY 40562,A000000,01810,0000,01810ICF/MR 40562,A000000,01900,0000,01900OTHER LONG TERM CARE 40562,A000000,02100,0000,02100RADIOLOGY 40562,A000000,02200,0000,02200LABORATORY 40562,A000000,02300,0000,02300INTRAVENOUS THERAPY 40562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40562,A000000,02500,0000,02500PHYSICAL THERAPY 40562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40562,A000000,02700,0000,02700SPEECH PATHOLOGY 40562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40562,A000000,03550,0000,03550FQHC 40562,A000000,05000,0000,05000CORF 40562,A000000,05010,0000,05010CMHC 40562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40562,A000000,05300,0000,05300INTEREST EXPENSE 40562,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40562,B100000,00000,0100,00000SQUARE FEET 40562,B100000,00000,0200,00000SQUARE FEET 40562,B100000,00000,0300,00000GROSS SALARIES 40562,B100000,00000,0400,00000ACCUM COST 40562,B100000,00000,0500,00000SQUARE FEET 40562,B100000,00000,0600,00000POUNDS OF LAUNDRY 40562,B100000,00000,0700,00000DIRECT NSG SERVICE 40562,B100000,00000,0800,00000MEALS SERVED 40562,B100000,00000,0900,00000HOURS OF SERVICE 40562,B100000,00000,1000,00000COSTED REQUISITIO 40562,B100000,00000,1100,00000COSTED REQUISITIO 40562,B100000,00000,1200,00000TIME SPENT 40562,B100000,00000,1300,00000TIME SPENT 40562,B100000,00000,1400,00000ASSIGNED TIME 40562,E10A180,00301,0100,03/29/1999 40562,E10A180,00550,0100,06/02/2000 40562,E10A180,00550,0300,06/02/2000 40562,S000000,00100,0200,06/02/2000 40562,S200000,00100,0100,111 HARRILSON STREET 40562,S200000,00200,0100,CHERRYVILLE 40562,S200000,00200,0200,NC 40562,S200000,00200,0300,28021 40562,S200000,00300,0100,GASTON 40562,S200000,00400,0100,CAROLINA CARE CTR OF CHERRYVILLE 40562,S200000,00400,0200,345255 40562,S200000,00400,0300,08/19/1986 40562,S200000,00400,0500,P 40562,S200000,01600,0100,Y 40562,S200000,01900,0100,503C 40574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40574,A000000,00300,0000,00300EMPLOYEE BENEFITS 40574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40574,A000000,00700,0000,00700HOUSEKEEPING 40574,A000000,00800,0000,00800DIETARY 40574,A000000,00900,0000,00900NURSING ADMINISTRATION 40574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40574,A000000,01100,0000,01100PHARMACY 40574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40574,A000000,01300,0000,01300SOCIAL SERVICE 40574,A000000,01301,0000,01301ACTIVITIES 40574,A000000,01350,0000,01500REHAB. 40574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40574,A000000,01600,0000,01600SKILLED NURSING FACILITY 40574,A000000,01800,0000,01800NURSING FACILITY 40574,A000000,01810,0000,01810ICF/MR 40574,A000000,02100,0000,02100RADIOLOGY 40574,A000000,02200,0000,02200LABORATORY 40574,A000000,02300,0000,02300INTRAVENOUS THERAPY 40574,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40574,A000000,02500,0000,02500PHYSICAL THERAPY 40574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40574,A000000,02700,0000,02700SPEECH PATHOLOGY 40574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40574,A000000,03050,0000,03300EQUIPMENT RENTAL 40574,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40574,A000000,03550,0000,03550FQHC 40574,A000000,04800,0000,04800AMBULANCE 40574,A000000,05000,0000,05000CORF 40574,A000000,05010,0000,05010CMHC 40574,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40574,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40574,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40574,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40574,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40574,A81000A,00100,0100,Y 40574,A81000B,00100,0300,HOME OFFICE COST ALL 40574,A81000B,00200,0300,HOME OFFICE CAPITAL 40574,A81000B,00300,0300,CENTRAL SUPPLY 40574,A81000B,00400,0300,MEDICAL SUPPLY 40574,A81000B,00500,0300,DIETARY 40574,A81000B,00600,0300,DRUGS 40574,A81000B,00700,0300,IV 40574,A81000B,00800,0300,REHAB. 40574,A81000B,00900,0300,PT 40574,A81000B,01000,0300,OT 40574,A81000B,01100,0300,ST 40574,A81000C,00100,0100,B 40574,A81000C,00100,0200,B/C HERTFORD PS 40574,A81000C,00100,0400,MARINER PAN 40574,A81000C,00100,0600,NURSING HOMES 40574,A81000C,00200,0100,G 40574,A81000C,00200,0200,MARINER PAN 40574,A81000C,00200,0400,AMERICAN PHARM. 40574,A81000C,00200,0600,PHARMACEUTICALS 40574,A81000C,00300,0100,G 40574,A81000C,00300,0200,MARINER PAN 40574,A81000C,00300,0400,PRISM (ATS ARS 40574,A81000C,00300,0600,THERAPIES 40574,B100000,00000,0100,00000SQUARE FEET 40574,B100000,00000,0200,00000SQUARE FEET 40574,B100000,00000,0300,00000GROSS SALARIES 40574,B100000,00000,0400,00000ACCUM COST 40574,B100000,00000,0500,00000SQUARE FEET 40574,B100000,00000,0600,00000POUNDS OF LAUNDRY 40574,B100000,00000,0700,00000HOURS OF SERVICE 40574,B100000,00000,0800,00000MEALS SERVED 40574,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40574,B100000,00000,1000,00000COSTED REQUISITIO 40574,B100000,00000,1100,00000COSTED REQUIS 40574,B100000,00000,1200,00000TIME SPENT 40574,B100000,00000,1300,00000TIME SPENT 40574,B100000,00000,1301,00000TIME SPENT 40574,B100000,00000,1350,00000TIME SPENT 40574,B100000,00000,1400,00000ASSIGNED TIME 40574,E10A180,00301,0100,07/19/1999 40574,E10A180,00302,0100,07/19/1999 40574,E10A180,00550,0100,08/31/2000 40574,S000000,00100,0200,08/30/2000 40574,S200000,00100,0100,ROUTE 2 BOX 2 40574,S200000,00200,0100,HERTFORD 40574,S200000,00200,0200,NC 40574,S200000,00200,0300,27944 40574,S200000,00300,0100,PERQUIMANS 40574,S200000,00400,0100,BRIAN CTR HLTH & REHAB./HERTFORD 40574,S200000,00400,0200,345262 40574,S200000,00400,0300,07/24/1987 40574,S200000,00400,0500,P 40574,S200000,00600,0200,345262 40574,S200000,00600,0300,07/24/1987 40574,S200000,00600,0600,P 40574,S200000,01600,0100,Y 40590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40590,A000000,00300,0000,00300EMPLOYEE BENEFITS 40590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40590,A000000,00700,0000,00700HOUSEKEEPING 40590,A000000,00800,0000,00800DIETARY 40590,A000000,00900,0000,00900NURSING ADMINISTRATION 40590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40590,A000000,01100,0000,01100PHARMACY 40590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40590,A000000,01300,0000,01300SOCIAL SERVICE 40590,A000000,01350,0000,01500OTHER GENERAL SERVICES 40590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40590,A000000,01600,0000,01600SKILLED NURSING FACILITY 40590,A000000,01800,0000,01800NURSING FACILITY 40590,A000000,01810,0000,01810ICF/MR 40590,A000000,01900,0000,01900OTHER LONG TERM CARE 40590,A000000,02200,0000,02200LABORATORY 40590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40590,A000000,02500,0000,02500PHYSICAL THERAPY 40590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40590,A000000,02700,0000,02700SPEECH PATHOLOGY 40590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40590,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40590,A000000,03550,0000,03550FQHC 40590,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40590,A000000,05000,0000,05000CORF 40590,A000000,05010,0000,05010CMHC 40590,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40590,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40590,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40590,B100000,00000,0100,00000SQUARE FT 40590,B100000,00000,0200,00000NO STATISTICS 40590,B100000,00000,0300,00000SALARIES 40590,B100000,00000,0400,00000ACCUM. COST 40590,B100000,00000,0500,00000SQUARE FT 40590,B100000,00000,0600,00000POUNDS 40590,B100000,00000,0700,00000HOURS 40590,B100000,00000,0800,00000MEALS 40590,B100000,00000,0900,00000HOURS 40590,B100000,00000,1000,00000NO STATISTICS 40590,B100000,00000,1100,00000NO STATISTICS 40590,B100000,00000,1200,00000NO STATISTICS 40590,B100000,00000,1300,00000HOURS 40590,B100000,00000,1350,00000NO STATISTICS 40590,B100000,00000,1400,00000NO STATISTICS 40590,E10A180,00301,0100,03/29/1999 40590,E10A180,00550,0100,06/01/2000 40590,E10A180,00550,0300,06/01/2000 40590,S000000,00100,0200,06/01/2000 40590,S200000,00100,0100,514 OLD MT HOLLY ROAD 40590,S200000,00200,0100,STANLEY 40590,S200000,00200,0200,NC 40590,S200000,00200,0300,28164 40590,S200000,00300,0100,GASTON 40590,S200000,00400,0100,STANLEY TOTAL LIVING CENTER 40590,S200000,00400,0200,345264 40590,S200000,00400,0300,07/23/1987 40590,S200000,00400,0500,P 40590,S200000,01600,0100,Y 40597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40597,A000000,00300,0000,00300EMPLOYEE BENEFITS 40597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40597,A000000,00700,0000,00700HOUSEKEEPING 40597,A000000,00800,0000,00800DIETARY 40597,A000000,00900,0000,00900NURSING ADMINISTRATION 40597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40597,A000000,01100,0000,01100PHARMACY 40597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40597,A000000,01300,0000,01300SOCIAL SERVICE 40597,A000000,01301,0000,01301ACTIVITES 40597,A000000,01350,0000,01500REHAB 40597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40597,A000000,01600,0000,01600SKILLED NURSING FACILITY 40597,A000000,01800,0000,01800NURSING FACILITY 40597,A000000,01810,0000,01810ICF/MR 40597,A000000,02100,0000,02100RADIOLOGY 40597,A000000,02200,0000,02200LABORATORY 40597,A000000,02300,0000,02300INTRAVENOUS THERAPY 40597,A000000,02500,0000,02500PHYSICAL THERAPY 40597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40597,A000000,02700,0000,02700SPEECH PATHOLOGY 40597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40597,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40597,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40597,A000000,03550,0000,03550FQHC 40597,A000000,05000,0000,05000CORF 40597,A000000,05010,0000,05010CMHC 40597,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40597,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40597,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40597,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40597,A81000A,00100,0100,Y 40597,A81000B,00100,0300,HOME OFFICE COST ALL 40597,A81000B,00200,0300,HOME OFFICE CAPITAL 40597,A81000B,00300,0300,CENTRAL SUPPLY 40597,A81000B,00400,0300,MEDICAL SUPPLIES 40597,A81000B,00500,0300,PLANT 40597,A81000B,00600,0300,DIETARY 40597,A81000B,00700,0300,DRUG 40597,A81000B,00800,0300,NURSING ADMIN 40597,A81000B,00900,0300,IV 40597,A81000B,01000,0300,PT 40597,A81000B,01100,0300,OT 40597,A81000B,01200,0300,ST 40597,A81000C,00100,0100,B 40597,A81000C,00100,0200,B/C YANCEYVILLE 40597,A81000C,00100,0400,MARINER POST-AC 40597,A81000C,00100,0600,NURSING HOMES 40597,A81000C,00200,0100,G 40597,A81000C,00200,0200,MARINER PAN 40597,A81000C,00200,0400,AMERICAN PHARM. 40597,A81000C,00200,0600,PHARMACEUTICALS 40597,A81000C,00300,0100,G 40597,A81000C,00300,0200,MARINER PAN 40597,A81000C,00300,0400,PRISM (ATS ARS 40597,A81000C,00300,0600,THERAPIES 40597,B100000,00000,0100,00000SQUARE FEET 40597,B100000,00000,0200,00000SQUARE FEET 40597,B100000,00000,0300,00000GROSS SALARIES 40597,B100000,00000,0400,00000ACCUM COST 40597,B100000,00000,0500,00000SQUARE FEET 40597,B100000,00000,0600,00000POUNDS OF LAUNDRY 40597,B100000,00000,0700,00000HOURS OF SERVICE 40597,B100000,00000,0800,00000MEALS SERVED 40597,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40597,B100000,00000,1000,00000COSTED REQUISITIO 40597,B100000,00000,1100,00000COSTED REQUIS 40597,B100000,00000,1200,00000TIME SPENT 40597,B100000,00000,1300,00000TIME SPENT 40597,B100000,00000,1301,00000TIME SPENT 40597,B100000,00000,1350,00000TIME SPENT 40597,B100000,00000,1400,00000ASSIGNED TIME 40597,E10A180,00301,0100,07/19/1999 40597,E10A180,00302,0100,07/19/1999 40597,E10A180,00550,0100,08/30/2000 40597,S000000,00100,0200,08/30/2000 40597,S200000,00100,0100,1086 MAIN ST NORTH 40597,S200000,00100,0300,P.O. BOX M 40597,S200000,00200,0100,YANCEYVILLE 40597,S200000,00200,0200,NC 40597,S200000,00200,0300,27379 40597,S200000,00300,0100,CASWELL 40597,S200000,00400,0100,BRIAN CTR NURSING CARE/YANCEYVILLE 40597,S200000,00400,0200,345265 40597,S200000,00400,0300,07/13/1987 40597,S200000,00400,0500,P 40597,S200000,01600,0100,Y 40613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40613,A000000,00300,0000,00300EMPLOYEE BENEFITS 40613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40613,A000000,00700,0000,00700HOUSEKEEPING 40613,A000000,00800,0000,00800DIETARY 40613,A000000,00900,0000,00900NURSING ADMINISTRATION 40613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40613,A000000,01100,0000,01100PHARMACY 40613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40613,A000000,01300,0000,01300SOCIAL SERVICE 40613,A000000,01350,0000,01500PATIENT ACTIVITIES 40613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40613,A000000,01600,0000,01600SKILLED NURSING FACILITY 40613,A000000,01800,0000,01800NURSING FACILITY 40613,A000000,01810,0000,01810ICF/MR 40613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40613,A000000,02500,0000,02500PHYSICAL THERAPY 40613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40613,A000000,02700,0000,02700SPEECH PATHOLOGY 40613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40613,A000000,03200,0000,03200SUPPORT SURFACES 40613,A000000,03550,0000,03550FQHC 40613,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40613,A000000,05000,0000,05000CORF 40613,A000000,05010,0000,05010CMHC 40613,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40613,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40613,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40613,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40613,A81000A,00100,0100,Y 40613,A81000B,00100,0300,CENTRAL OFC DVHD 40613,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40613,A81000B,00300,0300,RENT-LAND & BLDG 40613,A81000C,00100,0100,B 40613,A81000C,00100,0200,AUTUMN CORPORATION 40613,A81000C,00100,0400,AUTUMN CORPORATION 40613,A81000C,00100,0600,HOME OFFICE 40613,A81000C,00200,0100,B 40613,A81000C,00200,0200,AUTUMN CORPORATION 40613,A81000C,00200,0400,AUTUMN CORPORATION 40613,A81000C,00200,0600,HOME OFFICE 40613,A81000C,00300,0100,B 40613,A81000C,00300,0200,C&G 40613,A81000C,00300,0400,AUTUMN CORPORATION 40613,A81000C,00300,0600,RENTAL OF NURSING HOME 40613,B100000,00000,0100,00000SQUARE FEET 40613,B100000,00000,0200,00000SQUARE FEET 40613,B100000,00000,0300,00000GROSS SALARIES 40613,B100000,00000,0400,00000ACCUM. COST 40613,B100000,00000,0500,00000SQUARE FEET 40613,B100000,00000,0600,00000POUNDS OF LAUNDRY 40613,B100000,00000,0700,00000SQ FT W/O DIETARY 40613,B100000,00000,0800,00000PATIENT DAYS 40613,B100000,00000,0900,00000HOURS OF SERVICE 40613,B100000,00000,1000,00000PATIENT DAYS 40613,B100000,00000,1100,00000PATIENT DAYS 40613,B100000,00000,1200,00000PATIENT DAYS 40613,B100000,00000,1300,00000PATIENT DAYS 40613,B100000,00000,1350,00000PATIENT DAYS 40613,B100000,00000,1400,00000ASSIGNED TIME 40613,E10A180,00301,0100,03/15/1999 40613,E10A180,00501,0100,06/27/2000 40613,E10A180,00550,0300,06/27/2000 40613,S000000,00100,0200,05/09/2000 40613,S200000,00100,0100,311 W. PHIFER 40613,S200000,00100,0300,608 40613,S200000,00200,0100,MARSHVILLE 40613,S200000,00200,0200,NC 40613,S200000,00300,0100,UNION 40613,S200000,00400,0100,AUTUMN CARE OF MARSHVILLE 40613,S200000,00400,0200,345268 40613,S200000,00400,0300,12/01/1987 40613,S200000,00400,0500,P 40613,S200000,00600,0200,345268 40613,S200000,00600,0300,12/01/1987 40613,S200000,00600,0600,P 40613,S200000,01600,0100,Y 40621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40621,A000000,00300,0000,00300EMPLOYEE BENEFITS 40621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40621,A000000,00700,0000,00700HOUSEKEEPING 40621,A000000,00800,0000,00800DIETARY 40621,A000000,00900,0000,00900NURSING ADMINISTRATION 40621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40621,A000000,01100,0000,01100PHARMACY 40621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40621,A000000,01300,0000,01300SOCIAL SERVICE 40621,A000000,01350,0000,01500PATIENT ACTIVITIES 40621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40621,A000000,01600,0000,01600SKILLED NURSING FACILITY 40621,A000000,01800,0000,01800NURSING FACILITY 40621,A000000,01810,0000,01810ICF/MR 40621,A000000,02200,0000,02200LABORATORY 40621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40621,A000000,02500,0000,02500PHYSICAL THERAPY 40621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40621,A000000,02700,0000,02700SPEECH PATHOLOGY 40621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40621,A000000,03550,0000,03550FQHC 40621,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40621,A000000,05000,0000,05000CORF 40621,A000000,05010,0000,05010CMHC 40621,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40621,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40621,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40621,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40621,A81000A,00100,0100,Y 40621,A81000B,00100,0300,CENTRAL OFFICE OVHD 40621,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40621,A81000B,00300,0300,RENT-LAND&BLDG 40621,A81000C,00100,0100,B 40621,A81000C,00100,0200,AUTUMN CORPORATION 40621,A81000C,00100,0400,HOME OFFICE 40621,A81000C,00200,0100,B 40621,A81000C,00200,0200,C&G 40621,A81000C,00200,0400,RENTAL OF NURSING FACLTY 40621,B100000,00000,0100,00000SQUARE FEET 40621,B100000,00000,0200,00000SQUARE FEET 40621,B100000,00000,0300,00000GROSS SALARIES 40621,B100000,00000,0400,00000ACCUM. COST 40621,B100000,00000,0500,00000SQUARE FEET 40621,B100000,00000,0600,00000POUNDS OF LAUNDRY 40621,B100000,00000,0700,00000SQ FT W/O DIETARY 40621,B100000,00000,0800,00000PATIENT DAYS 40621,B100000,00000,0900,00000HOURS OF SERVICE 40621,B100000,00000,1000,00000PATIENT DAYS 40621,B100000,00000,1100,00000PATIENT DAYS 40621,B100000,00000,1200,00000PATIENT DAYS 40621,B100000,00000,1300,00000PATIENT DAYS 40621,B100000,00000,1350,00000PATIENT DAYS 40621,B100000,00000,1400,00000ASSIGNED TIME 40621,E10A180,00301,0100,03/15/1999 40621,E10A180,00501,0100,06/27/2000 40621,E10A180,00550,0300,06/27/2000 40621,S000000,00100,0200,05/09/2000 40621,S200000,00100,0100,1505 BRINGLE FERRY ROAD 40621,S200000,00100,0300,1789 40621,S200000,00200,0100,SALISBURY 40621,S200000,00200,0200,NC 40621,S200000,00300,0100,ROWAN 40621,S200000,00400,0100,AUTUMN CARE OF SALISBURY 40621,S200000,00400,0200,345269 40621,S200000,00400,0300,01/06/1988 40621,S200000,00400,0500,P 40621,S200000,01600,0100,Y 40629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40629,A000000,00300,0000,00300EMPLOYEE BENEFITS 40629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40629,A000000,00700,0000,00700HOUSEKEEPING 40629,A000000,00800,0000,00800DIETARY 40629,A000000,00900,0000,00900NURSING ADMINISTRATION 40629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40629,A000000,01100,0000,01100PHARMACY 40629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40629,A000000,01300,0000,01300SOCIAL SERVICE 40629,A000000,01301,0000,01301ACTIVITIES 40629,A000000,01350,0000,01500REHABILITATION 40629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40629,A000000,01600,0000,01600SKILLED NURSING FACILITY 40629,A000000,01800,0000,01800NURSING FACILITY 40629,A000000,01810,0000,01810ICF/MR 40629,A000000,02100,0000,02100RADIOLOGY 40629,A000000,02200,0000,02200LABORATORY 40629,A000000,02300,0000,02300INTRAVENOUS THERAPY 40629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40629,A000000,02500,0000,02500PHYSICAL THERAPY 40629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40629,A000000,02700,0000,02700SPEECH PATHOLOGY 40629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40629,A000000,03050,0000,03300EQUIPMENT RENTAL 40629,A000000,03550,0000,03550FQHC 40629,A000000,05000,0000,05000CORF 40629,A000000,05010,0000,05010CMHC 40629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40629,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40629,A000000,06150,0000,06300VENDING 40629,A000000,06151,0000,06301STAND-BY 40629,A81000A,00100,0100,Y 40629,A81000B,00100,0300,CENTRAL SUPPLY 40629,A81000B,00200,0300,MEDICAL SUPPLIES 40629,A81000B,00300,0300,DIETARY 40629,A81000B,00400,0300,DRUGS 40629,A81000B,00500,0300,IV 40629,A81000B,00600,0300,PT 40629,A81000B,00700,0300,PT 40629,A81000B,00800,0300,OT 40629,A81000B,00900,0300,ST 40629,A81000B,01000,0300,BLDG CAPITAL 40629,A81000B,01100,0300,ADMIN & GENERAL 40629,A81000C,00100,0100,B 40629,A81000C,00100,0200,BCHR SPRUCE PIN 40629,A81000C,00100,0400,MARINER PAN 40629,A81000C,00100,0600,NURSING HOMES 40629,A81000C,00200,0100,G 40629,A81000C,00200,0200,MARINER PAN 40629,A81000C,00200,0400,AMERICAN PHARMA 40629,A81000C,00200,0600,PHARMACEUTICALS 40629,A81000C,00300,0100,G 40629,A81000C,00300,0200,MARINER PAN 40629,A81000C,00300,0400,PRISM(ATS ARS T 40629,A81000C,00300,0600,THERAPIES 40629,B100000,00000,0100,00001SQUARE FEET 40629,B100000,00000,0200,00001SQUARE FEET 40629,B100000,00000,0300,00001GROSS SALARIES 40629,B100000,00000,0400,00001ACCUM COST 40629,B100000,00000,0500,00001SQUARE FEET 40629,B100000,00000,0600,00001PATIENT DAYS 40629,B100000,00000,0700,00001SQUARE FEET 40629,B100000,00000,0800,00001MEALS SERVED 40629,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40629,B100000,00000,1000,00001PATIENT DAYS 40629,B100000,00000,1100,00001COSTED REQUIS 40629,B100000,00000,1200,00001PATIENT DAYS 40629,B100000,00000,1300,00001PATIENT DAYS 40629,B100000,00000,1301,00001PATIENT DAYS 40629,B100000,00000,1350,00001UNITS OF SERVICE 40629,B100000,00000,1400,00001ASSIGNED TIME 40629,E10A180,00301,0100,07/19/1999 40629,E10A180,00302,0100,07/19/1999 40629,E10A180,00550,0100,08/30/2000 40629,E10A180,00550,0300,08/30/2000 40629,S000000,00100,0200,08/30/2000 40629,S200000,00100,0100,218 LAUREL CREEK COURT 40629,S200000,00200,0100,SPRUCE PINE 40629,S200000,00200,0200,NC 40629,S200000,00200,0300,28777 40629,S200000,00300,0100,MITCHELL 40629,S200000,00400,0100,BRIAN CTR HLTH & REHAB/SPRUCE PINE 40629,S200000,00400,0200,345270 40629,S200000,00400,0300,12/18/1987 40629,S200000,00400,0500,P 40629,S200000,00600,0200,345270 40629,S200000,00600,0300,12/18/1987 40629,S200000,00600,0600,P 40629,S200000,01600,0100,Y 40629,S200000,02200,0100,Y 40647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40647,A000000,00300,0000,00300EMPLOYEE BENEFITS 40647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40647,A000000,00700,0000,00700HOUSEKEEPING 40647,A000000,00800,0000,00800DIETARY 40647,A000000,00900,0000,00900NURSING ADMINISTRATION 40647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40647,A000000,01100,0000,01100PHARMACY 40647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40647,A000000,01300,0000,01300SOCIAL SERVICE 40647,A000000,01350,0000,01500PATIENT ACTIVITIES 40647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40647,A000000,01600,0000,01600SKILLED NURSING FACILITY 40647,A000000,01800,0000,01800NURSING FACILITY 40647,A000000,01810,0000,01810ICF/MR 40647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40647,A000000,02500,0000,02500PHYSICAL THERAPY 40647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40647,A000000,02700,0000,02700SPEECH PATHOLOGY 40647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40647,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40647,A000000,03200,0000,03200SUPPORT SURFACES 40647,A000000,03550,0000,03550FQHC 40647,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40647,A000000,05000,0000,05000CORF 40647,A000000,05010,0000,05010CMHC 40647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40647,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40647,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40647,A81000A,00100,0100,Y 40647,A81000B,00100,0300,CENTRAL OFFICE OVHD 40647,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40647,A81000C,00100,0100,B 40647,A81000C,00100,0200,AUTUMN CORPORATION 40647,A81000C,00100,0400,AUTUMN CORPORATION 40647,A81000C,00100,0600,HOME OFFICE 40647,A81000C,00200,0100,B 40647,A81000C,00200,0200,AUTUMN CORPORATION 40647,A81000C,00200,0400,AUTUMN CORPORATION 40647,A81000C,00200,0600,HOME OFFICE 40647,B100000,00000,0100,00000SQUARE FEET 40647,B100000,00000,0200,00000SQUARE FEET 40647,B100000,00000,0300,00000GROSS SALARIES 40647,B100000,00000,0400,00000ACCUM. COST 40647,B100000,00000,0500,00000SQUARE FEET 40647,B100000,00000,0600,00000POUNDS OF LAUNDRY 40647,B100000,00000,0700,00000SQ FT W/O DIETARY 40647,B100000,00000,0800,00000PATIENT DAYS 40647,B100000,00000,0900,00000HOURS OF SERVICE 40647,B100000,00000,1000,00000PATIENT DAYS 40647,B100000,00000,1100,00000PATIENT DAYS 40647,B100000,00000,1200,00000PATIENT DAYS 40647,B100000,00000,1300,00000PATIENT DAYS 40647,B100000,00000,1350,00000PATIENT DAYS 40647,B100000,00000,1400,00000ASSIGNED TIME 40647,E10A180,00301,0100,03/15/1999 40647,E10A180,00550,0100,05/09/2000 40647,E10A180,00550,0300,05/09/2000 40647,S000000,00100,0200,05/09/2000 40647,S200000,00100,0100,1206 N. FULTON ST 40647,S200000,00100,0300,10 40647,S200000,00200,0100,RAEFORD 40647,S200000,00200,0200,NC 40647,S200000,00200,0300,28376 40647,S200000,00300,0100,HOKE 40647,S200000,00400,0100,AUTUMN CARE OF RAEFORD 40647,S200000,00400,0200,345280 40647,S200000,00400,0300,06/16/1988 40647,S200000,00400,0500,P 40647,S200000,01600,0100,Y 40656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40656,A000000,00300,0000,00300EMPLOYEE BENEFITS 40656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40656,A000000,00700,0000,00700HOUSEKEEPING 40656,A000000,00800,0000,00800DIETARY 40656,A000000,00900,0000,00900NURSING ADMINISTRATION 40656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40656,A000000,01100,0000,01100PHARMACY 40656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40656,A000000,01300,0000,01300SOCIAL SERVICE 40656,A000000,01350,0000,01500PATIENT ACTIVITIES 40656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40656,A000000,01600,0000,01600SKILLED NURSING FACILITY 40656,A000000,01800,0000,01800NURSING FACILITY 40656,A000000,01810,0000,01810ICF/MR 40656,A000000,01900,0000,01900OTHER LONG TERM CARE 40656,A000000,02500,0000,02500PHYSICAL THERAPY 40656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40656,A000000,02700,0000,02700SPEECH PATHOLOGY 40656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40656,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40656,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40656,A000000,03550,0000,03550FQHC 40656,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40656,A000000,05000,0000,05000CORF 40656,A000000,05010,0000,05010CMHC 40656,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40656,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40656,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40656,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40656,A000000,06150,0000,06300ADULT DAY CARE 40656,A81000A,00100,0100,Y 40656,A81000B,00100,0300,PHYSICAL THERAPY 40656,A81000B,00200,0300,OCCUPATIONAL THERAPY 40656,A81000B,00300,0300,SPEECH THERAPY 40656,A81000B,00400,0300,OXYGEN 40656,A81000C,00100,0100,B 40656,A81000C,00100,0200,STANLY MEMORIAL HOSPITAL 40656,A81000C,00100,0400,ALLIANCE MEDICAL 40656,A81000C,00100,0600,THERAPY 40656,B100000,00000,0100,00000SQUARE FEET 40656,B100000,00000,0200,00000SQUARE FEET 40656,B100000,00000,0300,00000GROSS SALARIES 40656,B100000,00000,0400,00000ACCUM. COST 40656,B100000,00000,0500,00000SQUARE FEET 40656,B100000,00000,0600,00000PATIENT DAYS 40656,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40656,B100000,00000,0800,00000PATIENT DAYS 40656,B100000,00000,0900,00000NURSING HOURS 40656,B100000,00000,1000,00000PATIENT DAYS 40656,B100000,00000,1100,00000PATIENT DAYS 40656,B100000,00000,1200,00000PATIENT DAYS 40656,B100000,00000,1300,00000PATIENT DAYS 40656,B100000,00000,1350,00000PATIENT DAYS 40656,B100000,00000,1400,00000ASSIGNED TIME 40656,E10A180,00301,0100,03/29/1999 40656,E10A180,00501,0100,06/05/2000 40656,E10A180,00501,0300,06/05/2000 40656,S000000,00100,0200,05/16/2000 40656,S200000,00100,0100,625 BETHANY ROAD 40656,S200000,00200,0100,ALBEMARLE 40656,S200000,00200,0200,NC 40656,S200000,00200,0300,28001 40656,S200000,00300,0100,STANLY 40656,S200000,00400,0100,STANLY MANOR 40656,S200000,00400,0200,345281 40656,S200000,00400,0300,06/23/1988 40656,S200000,00400,0500,P 40656,S200000,01600,0100,Y 40673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40673,A000000,00300,0000,00300EMPLOYEE BENEFITS 40673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40673,A000000,00700,0000,00700HOUSEKEEPING 40673,A000000,00800,0000,00800DIETARY 40673,A000000,00900,0000,00900NURSING ADMINISTRATION 40673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40673,A000000,01100,0000,01100PHARMACY 40673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40673,A000000,01300,0000,01300SOCIAL SERVICE 40673,A000000,01350,0000,01500PATIENT ACTIVITIES 40673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40673,A000000,01600,0000,01600SKILLED NURSING FACILITY 40673,A000000,01800,0000,01800NURSING FACILITY 40673,A000000,01810,0000,01810ICF/MR 40673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40673,A000000,02500,0000,02500PHYSICAL THERAPY 40673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40673,A000000,02700,0000,02700SPEECH PATHOLOGY 40673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40673,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40673,A000000,03200,0000,03200SUPPORT SURFACES 40673,A000000,03550,0000,03550FQHC 40673,A000000,05000,0000,05000CORF 40673,A000000,05010,0000,05010CMHC 40673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40673,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40673,B100000,00000,0100,00000SQUARE FEET 40673,B100000,00000,0200,00000DOLLAR VALUE 40673,B100000,00000,0300,00000GROSS SALARIES 40673,B100000,00000,0400,00000ACCUM. COST 40673,B100000,00000,0500,00000SQUARE FEET 40673,B100000,00000,0600,00000PATIENT DAYS 40673,B100000,00000,0700,00000SQUARE FEET 40673,B100000,00000,0800,00000PATIENT DAYS 40673,B100000,00000,0900,00000PATIENT DAYS 40673,B100000,00000,1000,00000PATIENT DAYS 40673,B100000,00000,1100,00000PATIENT DAYS 40673,B100000,00000,1200,00000PATIENT DAYS 40673,B100000,00000,1300,00000PATIENT DAYS 40673,B100000,00000,1350,00000PATIENT DAYS 40673,B100000,00000,1400,00000ASSIGNED TIME 40673,E10A180,00501,0100,08/01/2000 40673,E10A180,00501,0300,08/01/2000 40673,S000000,00100,0200,06/09/2000 40673,S200000,00100,0100,200 HERITAGE WAY 40673,S200000,00200,0100,HENDERSONVILLE 40673,S200000,00200,0200,NC 40673,S200000,00300,0100,HENDERSON 40673,S200000,00400,0100,HERITAGE HEALTH CENTER 40673,S200000,00400,0200,345285 40673,S200000,00400,0300,06/30/1988 40673,S200000,00400,0500,P 40673,S200000,00600,0200,345285 40673,S200000,00600,0300,06/30/1988 40673,S200000,00600,0600,P 40673,S200000,01600,0100,Y 40677,S000000,00100,0200,02/29/2000 40685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40685,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40685,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40685,A000000,00300,0000,00300EMPLOYEE BENEFITS 40685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40685,A000000,00700,0000,00700HOUSEKEEPING 40685,A000000,00800,0000,00800DIETARY 40685,A000000,00801,0000,00801CAFETERIA 40685,A000000,00900,0000,00900NURSING ADMINISTRATION 40685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40685,A000000,01100,0000,01100PHARMACY 40685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40685,A000000,01300,0000,01300SOCIAL SERVICE 40685,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40685,A000000,01600,0000,01600SKILLED NURSING FACILITY 40685,A000000,01800,0000,01800NURSING FACILITY 40685,A000000,01810,0000,01810ICF/MR 40685,A000000,01900,0000,01900OTHER LONG TERM CARE 40685,A000000,02100,0000,02100RADIOLOGY 40685,A000000,02300,0000,02300INTRAVENOUS THERAPY 40685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40685,A000000,02500,0000,02500PHYSICAL THERAPY 40685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40685,A000000,02700,0000,02700SPEECH PATHOLOGY 40685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40685,A000000,03050,0000,03300OTHER ANCILLARY 40685,A000000,03051,0000,03301OTHER ANCILLARY II 40685,A000000,03052,0000,03302OTHER ANCILLARY III 40685,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40685,A000000,03550,0000,03550FQHC 40685,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40685,A000000,05000,0000,05000CORF I 40685,A000000,05010,0000,05010CMHC I 40685,A000000,05020,0000,05020OPT I 40685,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40685,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40685,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40685,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40685,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40685,B100000,00000,0100,00000(SQUARE FEET) 40685,B100000,00000,0101,00000(SQUARE FEET) 40685,B100000,00000,0200,00000(SQUARE FEET) 40685,B100000,00000,0201,00000(SQUARE FEET) 40685,B100000,00000,0300,00000(GROSS SALARIES) 40685,B100000,00000,0400,00000(ACCUM. COST) 40685,B100000,00000,0500,00000(SQUARE FEET) 40685,B100000,00000,0600,00000PATIENT DA 40685,B100000,00000,0700,00000(SQUARE FEET) 40685,B100000,00000,0800,00000(MEALS SERVED) 40685,B100000,00000,0801,00000(MEALS SERVED) 40685,B100000,00000,0900,00000(DIRECT NRSING HRS 40685,B100000,00000,1000,00000PATIENT DA 40685,B100000,00000,1100,00000PATIENT DA 40685,B100000,00000,1200,00000PATIENT DA 40685,B100000,00000,1300,00000PATIENT DA 40685,B100000,00000,1350,00000PATIENT DA 40685,B100000,00000,1400,00000(ASSIGNED TIME) 40685,S000000,00100,0200,07/17/2000 40685,S200000,00100,0100,500 PROSPECT AVENUE 40685,S200000,00200,0100,OXFORD 40685,S200000,00200,0200,NC 40685,S200000,00200,0300,27565 40685,S200000,00300,0100,GRANVILLE 40685,S200000,00400,0100,OXFORD MANOR 40685,S200000,00400,0200,345291 40685,S200000,00400,0300,12/15/1988 40685,S200000,00400,0500,P 40685,S200000,01600,0100,Y 40691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40691,A000000,00300,0000,00300EMPLOYEE BENEFITS 40691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40691,A000000,00700,0000,00700HOUSEKEEPING 40691,A000000,00800,0000,00800DIETARY 40691,A000000,00900,0000,00900NURSING ADMINISTRATION 40691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40691,A000000,01100,0000,01100PHARMACY 40691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40691,A000000,01300,0000,01300SOCIAL SERVICE 40691,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40691,A000000,01600,0000,01600SKILLED NURSING FACILITY 40691,A000000,01800,0000,01800NURSING FACILITY 40691,A000000,01810,0000,01810ICF/MR 40691,A000000,01900,0000,01900OTHER LONG TERM CARE 40691,A000000,02200,0000,02200LABORATORY 40691,A000000,02500,0000,02500PHYSICAL THERAPY 40691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40691,A000000,02700,0000,02700SPEECH PATHOLOGY 40691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40691,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40691,A000000,03550,0000,03550FQHC 40691,A000000,05000,0000,05000CORF 40691,A000000,05010,0000,05010CMHC 40691,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40691,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40691,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40691,A000000,05300,0000,05300INTEREST EXPENSE 40691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40691,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40691,A81000A,00100,0100,Y 40691,A81000B,00100,0300,CONSULTANTS 40691,A81000B,00200,0300,CONSULTANTS 40691,A81000B,00300,0300,CONSULTANTS 40691,A81000B,00400,0300,CONSULTANTS 40691,A81000B,00500,0300,CONSULTANTS 40691,A81000B,00600,0300,HOME OFFICE 40691,A81000B,00700,0300,EQUIPMENT RENTAL 40691,A81000B,00800,0300,GAS 40691,A81000B,01400,0300,INSURANCE 40691,A81000C,00100,0100,B 40691,A81000C,00100,0400,BRITTHAVEN INC 40691,A81000C,00100,0600,MGMT SERV 40691,A81000C,00200,0100,B 40691,A81000C,00200,0400,BRITTHAVEN INC 40691,A81000C,00200,0600,MGMT SERV 40691,A81000C,00300,0100,B 40691,A81000C,00300,0400,BRITTHAVEN INC 40691,A81000C,00300,0600,MGMT SERV 40691,A81000C,00400,0100,B 40691,A81000C,00400,0400,BRITTHAVEN INC 40691,A81000C,00400,0600,MGMT SERV 40691,A81000C,00500,0100,B 40691,A81000C,00500,0400,BRITTHAVEN INC 40691,A81000C,00500,0600,MGMT SERV 40691,A81000C,00600,0100,B 40691,A81000C,00600,0400,BRITTHAVEN INC 40691,A81000C,00600,0600,MGMT SERV 40691,A81000C,00700,0100,B 40691,A81000C,00700,0400,BRITTHAVEN INC 40691,A81000C,00700,0600,MGMT SERV 40691,A81000C,00800,0100,B 40691,A81000C,00800,0400,BRITTHAVEN INC 40691,A81000C,00800,0600,MGMT SERV 40691,A81000C,00900,0100,B 40691,A81000C,00900,0400,KARE MEDICAL 40691,A81000C,00900,0600,WHOLESALE SUPPL 40691,A81000C,01000,0100,B 40691,A81000C,01000,0400,PHARMSAVE 40691,A81000C,01000,0600,RX SUPPLY 40691,B100000,00000,0100,00000SQUARE FEET 40691,B100000,00000,0200,00000SQUARE FEET 40691,B100000,00000,0300,00000GROSS SALARIES 40691,B100000,00000,0400,00000ACCUM COST 40691,B100000,00000,0500,00000SQUARE FEET 40691,B100000,00000,0600,00000POUNDS OF LAUNDRY 40691,B100000,00000,0700,00000HOURS OF SERVICE 40691,B100000,00000,0800,00000MEALS SERVED 40691,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40691,B100000,00000,1000,00000COSTED REQUISITIO 40691,B100000,00000,1100,00000COSTED REQUISITIO 40691,B100000,00000,1200,00000TIME SPENT 40691,B100000,00000,1300,00000TIME SPENT 40691,B100000,00000,1350,00000SQUARE FEET 40691,B100000,00000,1400,00000ASSIGNED TIME 40691,E10A180,00301,0100,04/12/1999 40691,E10A180,00501,0100,05/15/2000 40691,E10A180,00501,0300,05/15/2000 40691,S000000,00100,0200,03/21/2000 40691,S200000,00100,0100,290 KEEL ROAD 40691,S200000,00200,0100,GRANTSBORO 40691,S200000,00200,0200,NC 40691,S200000,00200,0300,28529 40691,S200000,00300,0100,PAMLICO 40691,S200000,00400,0100,BRITTHAVEN OF PAMLICO 40691,S200000,00400,0200,345292 40691,S200000,00400,0300,10/13/1988 40691,S200000,00400,0500,P 40691,S200000,01600,0100,Y 40705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40705,A000000,00300,0000,00300EMPLOYEE BENEFITS 40705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40705,A000000,00700,0000,00700HOUSEKEEPING 40705,A000000,00800,0000,00800DIETARY 40705,A000000,00900,0000,00900NURSING ADMINISTRATION 40705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40705,A000000,01100,0000,01100PHARMACY 40705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40705,A000000,01300,0000,01300SOCIAL SERVICE 40705,A000000,01350,0000,01500PATIENT ACTIVITIES 40705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40705,A000000,01600,0000,01600SKILLED NURSING FACILITY 40705,A000000,01800,0000,01800NURSING FACILITY 40705,A000000,01810,0000,01810ICF/MR 40705,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40705,A000000,02500,0000,02500PHYSICAL THERAPY 40705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40705,A000000,02700,0000,02700SPEECH PATHOLOGY 40705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40705,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40705,A000000,03550,0000,03550FQHC 40705,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40705,A000000,05000,0000,05000CORF 40705,A000000,05010,0000,05010CMHC 40705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40705,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40705,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40705,A81000A,00100,0100,Y 40705,A81000B,00100,0300,CENTRAL OFC OVHD 40705,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 40705,A81000C,00100,0100,B 40705,A81000C,00100,0200,AUTUMN CORPORATION 40705,A81000C,00100,0400,AUTUMN CORPORATION 40705,A81000C,00100,0600,HOME OFFICE 40705,B100000,00000,0100,00000SQUARE FEET 40705,B100000,00000,0200,00000SQUARE FEET 40705,B100000,00000,0300,00000GROSS SALARIES 40705,B100000,00000,0400,00000ACCUM. COST 40705,B100000,00000,0500,00000SQUARE FEET 40705,B100000,00000,0600,00000POUNDS OF LAUNDRY 40705,B100000,00000,0700,00000SQ FT W/O DIETARY 40705,B100000,00000,0800,00000PATIENT DAYS 40705,B100000,00000,0900,00000HOURS OF SERVICE 40705,B100000,00000,1000,00000PATIENT DAYS 40705,B100000,00000,1100,00000PATIENT DAYS 40705,B100000,00000,1200,00000PATIENT DAYS 40705,B100000,00000,1300,00000PATIENT DAYS 40705,B100000,00000,1350,00000PATIENT DAYS 40705,B100000,00000,1400,00000ASSIGNED TIME 40705,E10A180,00301,0100,03/15/1999 40705,E10A180,00501,0100,06/27/2000 40705,E10A180,00550,0300,06/27/2000 40705,S000000,00100,0200,05/09/2000 40705,S200000,00100,0100,237 MULBERRY ST 40705,S200000,00100,0300,2307 40705,S200000,00200,0100,SHALLOTTE 40705,S200000,00200,0200,NC 40705,S200000,00200,0300,28459 40705,S200000,00300,0100,BRUNSWICK 40705,S200000,00400,0100,AUTUMN CARE OF SHALLOTTE 40705,S200000,00400,0200,345294 40705,S200000,00400,0300,01/24/1989 40705,S200000,00400,0500,P 40705,S200000,01600,0100,Y 40711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40711,A000000,00300,0000,00300EMPLOYEE BENEFITS 40711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40711,A000000,00700,0000,00700HOUSEKEEPING 40711,A000000,00800,0000,00800DIETARY 40711,A000000,00900,0000,00900NURSING ADMINISTRATION 40711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40711,A000000,01100,0000,01100PHARMACY 40711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40711,A000000,01300,0000,01300SOCIAL SERVICE 40711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40711,A000000,01600,0000,01600SKILLED NURSING FACILITY 40711,A000000,01810,0000,01810ICF/MR 40711,A000000,01900,0000,01900OTHER LONG TERM CARE 40711,A000000,02200,0000,02200LABORATORY 40711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40711,A000000,02500,0000,02500PHYSICAL THERAPY 40711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40711,A000000,02700,0000,02700SPEECH PATHOLOGY 40711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40711,A000000,03051,0000,03301TRANSPORATION SERVICE 40711,A000000,03550,0000,03550FQHC 40711,A000000,05000,0000,05000CORF 40711,A000000,05010,0000,05010CMHC 40711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40711,A000000,06001,0000,06001CONTRIBUTIONS 40711,A000000,06002,0000,06002BAD DEBTS 40711,A000000,06003,0000,06003PHYSICIANS PRIVATE OFFICES 40711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40711,A000000,06201,0000,06201VENDING MACHINE 40711,A81000A,00100,0100,Y 40711,A81000B,00100,0300,DATA PROCESSING 40711,A81000B,00200,0300,HOME OFFICE COST 40711,A81000C,00100,0100,A 40711,A81000C,00100,0200,LINN WILFONG 40711,A81000C,00100,0400,DPL INC. 40711,A81000C,00100,0600,DATA PROCESSING 40711,B100000,00000,0100,00000SQUARE FEET 40711,B100000,00000,0200,00000DOLLAR VALUE 40711,B100000,00000,0300,00000GROSS SALARIES 40711,B100000,00000,0400,00000ACCUM. COST 40711,B100000,00000,0500,00000SQUARE FEET 40711,B100000,00000,0600,00000POUNDS OF LAUNDRY 40711,B100000,00000,0700,00000HOURS OF SERVICE 40711,B100000,00000,0800,00000MEALS SERVED 40711,B100000,00000,0900,00000DIRECT NRSING HRS 40711,B100000,00000,1000,00000COSTED REQUIS 40711,B100000,00000,1100,00000COSTED REQUIS 40711,B100000,00000,1200,00000TIME SPENT 40711,B100000,00000,1300,00000TIME SPENT 40711,B100000,00000,1400,00000ASSIGNED TIME 40711,E10A180,00301,0100,04/12/1999 40711,E10A180,00501,0100,07/13/2000 40711,E10A180,00501,0300,07/13/2000 40711,S000000,00100,0200,05/16/2000 40711,S200000,00100,0100,540 WAUGH STREET 40711,S200000,00100,0300,130 40711,S200000,00200,0100,JEFFERSON 40711,S200000,00200,0200,NC 40711,S200000,00300,0100,ASHE 40711,S200000,00400,0100,ASHE LIVING CENTER 40711,S200000,00400,0200,345296 40711,S200000,00400,0300,03/02/1989 40711,S200000,00400,0500,P 40711,S200000,01600,0100,Y 40719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40719,A000000,00300,0000,00300EMPLOYEE BENEFITS 40719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40719,A000000,00700,0000,00700HOUSEKEEPING 40719,A000000,00800,0000,00800DIETARY 40719,A000000,00900,0000,00900NURSING ADMINISTRATION 40719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40719,A000000,01100,0000,01100PHARMACY 40719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40719,A000000,01300,0000,01300SOCIAL SERVICE 40719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40719,A000000,01600,0000,01600SKILLED NURSING FACILITY 40719,A000000,01810,0000,01810ICF/MR 40719,A000000,01900,0000,01900OTHER LONG TERM CARE 40719,A000000,02500,0000,02500PHYSICAL THERAPY 40719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40719,A000000,02700,0000,02700SPEECH PATHOLOGY 40719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40719,A000000,03050,0000,03300PEN THERAPY 40719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40719,A000000,03550,0000,03550FQHC 40719,A000000,05000,0000,05000CORF 40719,A000000,05010,0000,05010CMHC 40719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40719,A000000,05300,0000,05300INTEREST EXPENSE 40719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40719,A81000A,00100,0100,Y 40719,A81000B,00100,0300,HOME OFFICE CAPITAL 40719,A81000B,00200,0300,HOME OFFICE CAPITAL 40719,A81000B,00300,0300,HOME OFFICE NON-CAPITAL 40719,A81000B,00400,0300,INTEREST 40719,A81000C,00100,0100,B 40719,A81000C,00100,0200,PRESBYTERIAN HOMES INC. 40719,A81000C,00100,0400,PRESBYTERIAN HOMES INC. 40719,A81000C,00100,0600,HOME OFFICE 40719,A81000C,00200,0100,B 40719,A81000C,00200,0200,PRES HOME - HIGH POINT 40719,B100000,00000,0100,00000SQUARE FEET 40719,B100000,00000,0200,00000SQUARE FEET 40719,B100000,00000,0300,00000GROSS SALARIES 40719,B100000,00000,0400,00000ACCUM. COST 40719,B100000,00000,0500,00000SQUARE FEET 40719,B100000,00000,0600,00000POUNDS OF LAUNDRY 40719,B100000,00000,0700,00000HOURS OF SERVICE 40719,B100000,00000,0800,00000MEALS SERVED 40719,B100000,00000,0900,00000HOURS OF SERVICE 40719,B100000,00000,1000,00000COSTED REQUIS 40719,B100000,00000,1100,00000COSTED REQUIS 40719,B100000,00000,1200,00000TIME SPENT 40719,B100000,00000,1300,00000TIME SPENT 40719,B100000,00000,1400,00000ASSIGNED TIME 40719,S000000,00100,0200,05/31/2000 40719,S200000,00100,0100,2200 ELM AVENUE 40719,S200000,00200,0100,LAURINBURG 40719,S200000,00200,0200,NC 40719,S200000,00300,0100,SCOTLAND 40719,S200000,00400,0100,SCOTIA VILLAGE 40719,S200000,00400,0200,345297 40719,S200000,00400,0300,02/27/1989 40719,S200000,00400,0500,P 40719,S200000,00600,0200,346031 40719,S200000,00600,0300,10/09/1992 40719,S200000,01500,0100,Y 40727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40727,A000000,00300,0000,00300EMPLOYEE BENEFITS 40727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40727,A000000,00700,0000,00700HOUSEKEEPING 40727,A000000,00800,0000,00800DIETARY 40727,A000000,00900,0000,00900NURSING ADMINISTRATION 40727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40727,A000000,01100,0000,01100PHARMACY 40727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40727,A000000,01300,0000,01300SOCIAL SERVICE 40727,A000000,01350,0000,01500PATIENT ACTIVITIES 40727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40727,A000000,01600,0000,01600SKILLED NURSING FACILITY 40727,A000000,01800,0000,01800NURSING FACILITY 40727,A000000,01810,0000,01810ICF/MR 40727,A000000,01900,0000,01900OTHER LONG TERM CARE 40727,A000000,02100,0000,02100RADIOLOGY 40727,A000000,02200,0000,02200LABORATORY 40727,A000000,02300,0000,02300INTRAVENOUS THERAPY 40727,A000000,02500,0000,02500PHYSICAL THERAPY 40727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40727,A000000,02700,0000,02700SPEECH PATHOLOGY 40727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40727,A000000,03050,0000,03300EMERGENCY ROOM 40727,A000000,03400,0000,03400CLINIC 40727,A000000,03450,0000,03600PARENTERAL/ENTERAL THERAPY 40727,A000000,03550,0000,03550FQHC 40727,A000000,05000,0000,05000CORF 40727,A000000,05010,0000,05010CMHC 40727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40727,B100000,00000,0100,00000SQUARE FEET 40727,B100000,00000,0200,00000SQUARE FEET 40727,B100000,00000,0300,00000GROSS SALARIES 40727,B100000,00000,0400,00000ACCUM COST 40727,B100000,00000,0500,00000SQUARE FEET 40727,B100000,00000,0600,00000POUNDS OF LAUNDRY 40727,B100000,00000,0700,00000SQUARE FEET 40727,B100000,00000,0800,00000MEALS SERVED 40727,B100000,00000,0900,00000DIRECT NRSG HRS 40727,B100000,00000,1000,00000COSTED REQUIS 40727,B100000,00000,1100,00000COSTED REQUIS 40727,B100000,00000,1200,00000PATIENT DAYS 40727,B100000,00000,1300,00000PATIENT DAYS 40727,B100000,00000,1350,00000PATIENT DAYS 40727,B100000,00000,1400,00000ASSIGNED TIME 40727,E10A180,00301,0100,03/29/1999 40727,E10A180,00501,0100,08/01/2000 40727,E10A180,00550,0300,08/01/2000 40727,S000000,00100,0200,06/09/2000 40727,S200000,00100,0100,311 S. CAMPBELL STREET 40727,S200000,00200,0100,BURGAW 40727,S200000,00200,0200,NC 40727,S200000,00200,0300,28425 40727,S200000,00300,0100,PENDER 40727,S200000,00400,0100,HUNTINGTON HLTH CARE & RTMT CENTER 40727,S200000,00400,0200,345298 40727,S200000,00400,0300,03/06/1989 40727,S200000,00400,0500,P 40727,S200000,00600,0200,346470 40727,S200000,00600,0300,03/06/1989 40727,S200000,00600,0600,P 40727,S200000,01600,0100,Y 40737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40737,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40737,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40737,A000000,00300,0000,00300EMPLOYEE BENEFITS 40737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40737,A000000,00700,0000,00700HOUSEKEEPING 40737,A000000,00800,0000,00800DIETARY 40737,A000000,00801,0000,00801CAFETERIA 40737,A000000,00900,0000,00900NURSING ADMINISTRATION 40737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40737,A000000,01100,0000,01100PHARMACY 40737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40737,A000000,01300,0000,01300SOCIAL SERVICE 40737,A000000,01350,0000,01500ACTIVITIES 40737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40737,A000000,01600,0000,01600SKILLED NURSING FACILITY 40737,A000000,01800,0000,01800NURSING FACILITY 40737,A000000,01810,0000,01810ICF/MR 40737,A000000,02100,0000,02100RADIOLOGY 40737,A000000,02200,0000,02200LABORATORY 40737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40737,A000000,02500,0000,02500PHYSICAL THERAPY 40737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40737,A000000,02700,0000,02700SPEECH PATHOLOGY 40737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40737,A000000,03050,0000,03300PEN THERAPY 40737,A000000,03051,0000,03301PROSTHETICS 40737,A000000,03052,0000,03302WOUND CARE 40737,A000000,03200,0000,03200SUPPORT SURFACES 40737,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40737,A000000,03550,0000,03550FQHC 40737,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40737,A000000,04800,0000,04800AMBULANCE 40737,A000000,05000,0000,05000CORF I 40737,A000000,05010,0000,05010CMHC I 40737,A000000,05020,0000,05020OPT I 40737,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40737,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40737,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40737,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40737,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40737,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40737,A81000A,00100,0100,Y 40737,A81000B,00100,0300,MANAGEMENT FEES 40737,A81000B,00200,0300,NURSING SUPPLIES 40737,A81000B,00300,0300,LEGEND DRUGS 40737,A81000B,00400,0300,OTC 40737,A81000B,00500,0300,MEDICAL SUPPLIES 40737,A81000B,00600,0300,PHARMACY CONSULTANT 40737,A81000C,00100,0100,B 40737,A81000C,00100,0400,WHITE OAK MANOR 40737,A81000C,00100,0600,NSG HOME CHAIN 40737,A81000C,00200,0100,B 40737,A81000C,00200,0400,WHITE OAK MANOR 40737,A81000C,00200,0600,PHARMACY 40737,B100000,00000,0100,00000(SQUARE FEET) 40737,B100000,00000,0101,00000(SQUARE FEET) 40737,B100000,00000,0200,00000(SQUARE FEET) 40737,B100000,00000,0201,00000(SQUARE FEET) 40737,B100000,00000,0300,00000(GROSS SALARIES) 40737,B100000,00000,0400,00000(ACCUM. COST) 40737,B100000,00000,0500,00000(SQUARE FEET) 40737,B100000,00000,0600,00000(PATIENT DAYS) 40737,B100000,00000,0700,00000(SQUARE FEET) 40737,B100000,00000,0800,00000(MEALS SERVED) 40737,B100000,00000,0801,00000(MEALS SERVED) 40737,B100000,00000,0900,00000(PATIENT DAYS) 40737,B100000,00000,1000,00000(PATIENT DAYS) 40737,B100000,00000,1100,00000(PATIENT DAYS) 40737,B100000,00000,1200,00000(PATIENT DAYS) 40737,B100000,00000,1300,00000(PATIENT DAYS) 40737,B100000,00000,1350,00000(PATIENT DAYS) 40737,B100000,00000,1400,00000(ASSIGNED TIME) 40737,E10A180,00301,0100,03/29/1999 40737,E10A180,00501,0100,04/25/2000 40737,E10A180,00501,0300,04/25/2000 40737,S000000,00100,0200,02/25/2000 40737,S200000,00100,0100,323 BALDWIN ROAD 40737,S200000,00100,0300,3427 40737,S200000,00200,0100,BURLINGTON 40737,S200000,00200,0200,NC 40737,S200000,00200,0300,27215-3427 40737,S200000,00300,0100,ALAMANCE 40737,S200000,00400,0100,WHITE OAK MANOR-BURLINGTON 40737,S200000,00400,0200,345301 40737,S200000,00400,0300,04/27/1989 40737,S200000,00400,0500,P 40737,S200000,00600,0200,345301 40737,S200000,00600,0300,04/27/1989 40737,S200000,00600,0600,P 40737,S200000,01600,0100,Y 40737,S200000,02200,0100,Y 40737,S200000,04700,0100,Y 40745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40745,A000000,00300,0000,00300EMPLOYEE BENEFITS 40745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40745,A000000,00700,0000,00700HOUSEKEEPING 40745,A000000,00800,0000,00800DIETARY 40745,A000000,00900,0000,00900NURSING ADMINISTRATION 40745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40745,A000000,01100,0000,01100PHARMACY 40745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40745,A000000,01300,0000,01300SOCIAL SERVICE 40745,A000000,01350,0000,01500PATIENT ACTIVITIES 40745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40745,A000000,01600,0000,01600SKILLED NURSING FACILITY 40745,A000000,01800,0000,01800NURSING FACILITY 40745,A000000,01810,0000,01810ICF/MR 40745,A000000,01900,0000,01900OTHER LONG TERM CARE 40745,A000000,02100,0000,02100RADIOLOGY 40745,A000000,02500,0000,02500PHYSICAL THERAPY 40745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40745,A000000,02700,0000,02700SPEECH PATHOLOGY 40745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40745,A000000,03200,0000,03200SUPPORT SURFACES 40745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40745,A000000,03550,0000,03550FQHC 40745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40745,A000000,05000,0000,05000CORF 40745,A000000,05010,0000,05010CMHC 40745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40745,A81000A,00100,0100,Y 40745,A81000B,00100,0300,SALARIES 40745,A81000B,00200,0300,CONTRACT LABOR 40745,A81000B,00300,0300,SALARIES 40745,A81000B,00400,0300,SALARIES 40745,A81000B,00500,0300,SALARIES 40745,A81000B,00600,0300,SALARIES 40745,A81000B,00700,0300,SALARIES 40745,A81000B,00800,0300,MEDICAL DIRECTOR 40745,A81000B,00900,0300,CONTRACT LABOR 40745,A81000B,01000,0300,SALARIES 40745,A81000B,01100,0300,CONTRACT LABOR 40745,A81000B,01200,0300,SALARIES 40745,A81000B,01300,0300,SALARIES 40745,A81000B,01400,0300,SECURITY 40745,A81000B,01500,0300,CONSULTING 40745,A81000B,01600,0300,BENEFITS 40745,A81000B,01700,0300,CONTRACT LABOR 40745,A81000B,01900,0300,HOME OFFICE PLANT COST 40745,A81000B,02000,0300,HOME OFFICE BENEFITS 40745,A81000B,02100,0300,HOME OFFICE BENEFITS 40745,A81000B,02200,0300,HOME OFFICE COST-INF SYS 40745,A81000B,02300,0300,HOME OFFICE POOLED COST 40745,A81000B,02400,0300,BENEFITS 40745,A81000B,02500,0300,BENEFITS 40745,A81000B,02600,0300,BENEFITS 40745,A81000C,00100,0100,B 40745,A81000C,00100,0200,GREENTREE RIDGE 40745,A81000C,00100,0400,VISITING HEALTH PROFESSIO 40745,A81000C,00100,0600,HEALTH CARE 40745,A81000C,00200,0100,B 40745,A81000C,00300,0100,B 40745,A81000C,00300,0400,THOMS 40745,A81000C,00300,0600,HOSPITAL 40745,A81000C,00400,0100,B 40745,A81000C,00500,0100,B 40745,A81000C,00600,0100,B 40745,A81000C,00700,0100,B 40745,A81000C,00800,0100,B 40745,A81000C,00900,0100,B 40745,A81000C,01000,0100,B 40745,A81000C,01100,0100,B 40745,A81000C,01200,0100,B 40745,A81000C,01200,0400,HOSPICE 40745,A81000C,01200,0600,HOSPICE 40745,A81000C,01300,0100,B 40745,A81000C,01300,0400,CCP 40745,A81000C,01300,0600,HOME OFFICE 40745,A81000C,01400,0100,B 40745,A81000C,01400,0400,THOMS 40745,A81000C,01400,0600,HOSPITAL 40745,A81000C,01500,0100,B 40745,A81000C,01500,0400,MISSION ST. JOE 40745,A81000C,01500,0600,HOSPITAL 40745,A81000C,01600,0100,B 40745,A81000C,01600,0400,THOMS 40745,A81000C,01600,0600,HOSPITAL 40745,A81000C,01700,0100,B 40745,A81000C,01800,0100,B 40745,A81000C,01800,0400,CCP 40745,A81000C,01800,0600,HOME OFFICE 40745,A81000C,01900,0100,B 40745,A81000C,02000,0100,B 40745,A81000C,02100,0100,B 40745,A81000C,02200,0100,B 40745,A81000C,02300,0100,B 40745,A81000C,02300,0400,HOSPICE 40745,A81000C,02300,0600,HOSPICE 40745,A81000C,02400,0100,B 40745,A81000C,02400,0400,SUMMIT 40745,A81000C,02400,0600,NURSING HOME 40745,A81000C,02500,0100,B 40745,A81000C,02500,0400,VHP 40745,A81000C,02500,0600,HEALTH CARE 40745,B100000,00000,0100,00000SQUARE FEET 40745,B100000,00000,0200,00000SQUARE FEET 40745,B100000,00000,0300,00000GROSS SALARIES 40745,B100000,00000,0400,00000ACCUM. COST 40745,B100000,00000,0500,00000SQUARE FEET 40745,B100000,00000,0600,00000PATIENT DAYS 40745,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40745,B100000,00000,0800,00000PATIENT DAYS 40745,B100000,00000,0900,00000NURSING HOURS 40745,B100000,00000,1000,00000PATIENT DAYS 40745,B100000,00000,1100,00000PATIENT DAYS 40745,B100000,00000,1200,00000PATIENT DAYS 40745,B100000,00000,1300,00000PATIENT DAYS 40745,B100000,00000,1350,00000PATIENT DAYS 40745,B100000,00000,1400,00000ASSIGNED TIME 40745,E10A180,00301,0100,04/12/1999 40745,E10A180,00550,0100,05/31/2000 40745,E10A180,00550,0300,05/31/2000 40745,S000000,00100,0200,05/31/2000 40745,S200000,00100,0100,70 SWEETEN CREEK ROAD 40745,S200000,00200,0100,ASHEVILLE 40745,S200000,00200,0200,NC 40745,S200000,00200,0300,28803 40745,S200000,00300,0100,BUNCOMBE 40745,S200000,00400,0100,GREENTREE RIDGE 40745,S200000,00400,0200,345303 40745,S200000,00400,0300,05/17/1989 40745,S200000,00400,0500,P 40745,S200000,01600,0100,Y 40753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40753,A000000,00300,0000,00300EMPLOYEE BENEFITS 40753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40753,A000000,00700,0000,00700HOUSEKEEPING 40753,A000000,00800,0000,00800DIETARY 40753,A000000,00900,0000,00900NURSING ADMINISTRATION 40753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40753,A000000,01100,0000,01100PHARMACY 40753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40753,A000000,01300,0000,01300SOCIAL SERVICE 40753,A000000,01301,0000,01301ACTIVITES 40753,A000000,01350,0000,01500REHABILITATION 40753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40753,A000000,01600,0000,01600SKILLED NURSING FACILITY 40753,A000000,01800,0000,01800NURSING FACILITY 40753,A000000,01810,0000,01810ICF/MR 40753,A000000,02100,0000,02100RADIOLOGY 40753,A000000,02200,0000,02200LABORATORY 40753,A000000,02300,0000,02300INTRAVENOUS THERAPY 40753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40753,A000000,02500,0000,02500PHYSICAL THERAPY 40753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40753,A000000,02700,0000,02700SPEECH PATHOLOGY 40753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40753,A000000,03050,0000,03300EQUIPMENT RENTAL 40753,A000000,03051,0000,03301PEN THERAPY 40753,A000000,03550,0000,03550FQHC 40753,A000000,05000,0000,05000CORF 40753,A000000,05010,0000,05010CMHC 40753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40753,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40753,A000000,06150,0000,06300VENDING 40753,A000000,06151,0000,06301STAND-BY 40753,A81000A,00100,0100,Y 40753,A81000B,00100,0300,CENTRAL SUPPLY 40753,A81000B,00200,0300,DIETARY SUPPLEMENTS 40753,A81000B,00300,0300,PRESCRIPTION DRUGS 40753,A81000B,00400,0300,MEDICAL SUPPLIES 40753,A81000B,00500,0300,ADMIN COSTS 40753,A81000B,00600,0300,BLDG CAPITAL 40753,A81000B,00700,0300,IV THERAPY 40753,A81000B,00800,0300,PHYSICAL THERAPY 40753,A81000B,00900,0300,OCCUPATIONAL THERAPY 40753,A81000B,01000,0300,SPEECH THERAPY 40753,A81000C,00100,0100,B 40753,A81000C,00100,0200,BCNC SHAMROCK ( 40753,A81000C,00100,0400,MARINER PAN 40753,A81000C,00100,0600,NURSING HOMES 40753,A81000C,00200,0100,G 40753,A81000C,00200,0200,MARINER PAN 40753,A81000C,00200,0400,AMER PHARM SVCS 40753,A81000C,00200,0600,PHARMACEUTICALS 40753,A81000C,00300,0100,G 40753,A81000C,00300,0200,MARINER PAN 40753,A81000C,00300,0400,PRISM-ATS-ARS-T 40753,A81000C,00300,0600,THERAPIES 40753,B100000,00000,0100,00001SQUARE FEET 40753,B100000,00000,0200,00001SQUARE FEET 40753,B100000,00000,0300,00001GROSS SALARIES 40753,B100000,00000,0400,00001ACCUM COST 40753,B100000,00000,0500,00001SQUARE FEET 40753,B100000,00000,0600,00001PATIENT DAYS 40753,B100000,00000,0700,00001SQUARE FEET 40753,B100000,00000,0800,00001MEALS SERVED 40753,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40753,B100000,00000,1000,00001PATIENT DAYS 40753,B100000,00000,1100,00001COSTED REQUIS 40753,B100000,00000,1200,00001PATIENT DAYS 40753,B100000,00000,1300,00001PATIENT DAYS 40753,B100000,00000,1301,00001PATIENT DAYS 40753,B100000,00000,1350,00001UNITS OF SERVICE 40753,B100000,00000,1400,00001ASSIGNED TIME 40753,E10A180,00301,0100,07/19/1999 40753,E10A180,00302,0100,07/19/1999 40753,E10A180,00550,0100,08/30/2000 40753,E10A180,00550,0300,08/30/2000 40753,S000000,00100,0200,08/30/2000 40753,S200000,00100,0100,2727 SHAMROCK DRIVE 40753,S200000,00200,0100,CHARLOTTE 40753,S200000,00200,0200,NC 40753,S200000,00200,0300,28205 40753,S200000,00300,0100,MECKLENBURG 40753,S200000,00400,0100,THE BRIAN CTR NURSING CARE/SHAMROCK 40753,S200000,00400,0200,345304 40753,S200000,00400,0300,06/09/1989 40753,S200000,00400,0500,P 40753,S200000,01600,0100,Y 40753,S200000,02200,0100,Y 40760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40760,A000000,00300,0000,00300EMPLOYEE BENEFITS 40760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40760,A000000,00700,0000,00700HOUSEKEEPING 40760,A000000,00800,0000,00800DIETARY 40760,A000000,00900,0000,00900NURSING ADMINISTRATION 40760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40760,A000000,01100,0000,01100PHARMACY 40760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40760,A000000,01300,0000,01300SOCIAL SERVICE 40760,A000000,01350,0000,01500PATIENT ACTIVITIES 40760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40760,A000000,01600,0000,01600SKILLED NURSING FACILITY 40760,A000000,01800,0000,01800NURSING FACILITY 40760,A000000,01810,0000,01810ICF/MR 40760,A000000,02100,0000,02100RADIOLOGY 40760,A000000,02200,0000,02200LABORATORY 40760,A000000,02500,0000,02500PHYSICAL THERAPY 40760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40760,A000000,02700,0000,02700SPEECH PATHOLOGY 40760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40760,A000000,03050,0000,03300AMBULANCE & ER SERVICES 40760,A000000,03200,0000,03200SUPPORT SURFACES 40760,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40760,A000000,03550,0000,03550FQHC 40760,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40760,A000000,05000,0000,05000CORF 40760,A000000,05010,0000,05010CMHC 40760,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40760,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40760,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40760,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40760,A81000A,00100,0100,Y 40760,A81000B,00100,0300,HOME OFFICE - CAPITAL COST 40760,A81000B,00200,0300,HOME OFFICE NON-CAP COST 40760,A81000B,00300,0300,HOME OFFICE DIRECT ALLOC 40760,A81000B,00400,0300,HOME OFFICE NON-CAP COST 40760,A81000B,00500,0300,HOME OFFICE NON-CAP COST 40760,A81000B,00600,0300,HOME OFFICE NON-CAP COST 40760,A81000C,00100,0100,A 40760,A81000C,00100,0200,ROBERT E TAYLOR 40760,A81000C,00100,0400,MCDOWELL NURSING CENTER 40760,A81000C,00100,0600,LTC 40760,A81000C,00400,0100,A 40760,A81000C,00400,0200,ROBERT E TAYLOR 40760,A81000C,00400,0400,RETCARE INC. 40760,A81000C,00400,0600,HOME OFFICE 40760,B100000,00000,0100,00000SQUARE FEET 40760,B100000,00000,0200,00000NO STATISTICS 40760,B100000,00000,0300,00000GROSS SALARIES 40760,B100000,00000,0400,00000ACCUM. COST 40760,B100000,00000,0500,00000SQUARE FEET 40760,B100000,00000,0600,00000POUNDS OF LAUNDRY 40760,B100000,00000,0700,00000SQ. FTG. EXCL. DIET 40760,B100000,00000,0800,00000MEALS SERVED 40760,B100000,00000,0900,00000DIRECT NURSING HR 40760,B100000,00000,1000,00000NO STATISTICS 40760,B100000,00000,1100,00000PATIENT DAYS 40760,B100000,00000,1200,00000PATIENT DAYS 40760,B100000,00000,1300,00000PATIENT DAYS 40760,B100000,00000,1350,00000PATIENT DAYS 40760,B100000,00000,1400,00000NO STATISTICS 40760,E10A180,00301,0100,03/15/1999 40760,E10A180,00501,0100,04/27/2000 40760,E10A180,00501,0300,04/27/2000 40760,E10A180,00550,0100,04/27/2000 40760,S000000,00100,0200,02/29/2000 40760,S200000,00100,0100,310 PENSACOLA ROAD 40760,S200000,00100,0300,P. O. BOX 248 40760,S200000,00200,0100,BURNSVILLE 40760,S200000,00200,0200,NC 40760,S200000,00300,0100,YANCEY 40760,S200000,00400,0100,YANCEY NURSING CENTER 40760,S200000,00400,0200,345305 40760,S200000,00400,0300,06/29/1989 40760,S200000,00400,0500,P 40760,S200000,00600,0200,345305 40760,S200000,00600,0300,06/29/1989 40760,S200000,00600,0600,P 40760,S200000,01600,0100,Y 40760,S200000,02800,0100,Y 40766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40766,A000000,00300,0000,00300EMPLOYEE BENEFITS 40766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40766,A000000,00700,0000,00700HOUSEKEEPING 40766,A000000,00800,0000,00800DIETARY 40766,A000000,00900,0000,00900NURSING ADMINISTRATION 40766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40766,A000000,01100,0000,01100PHARMACY 40766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40766,A000000,01300,0000,01300SOCIAL SERVICE 40766,A000000,01350,0000,01500PATIENT ACTIVITIES 40766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40766,A000000,01600,0000,01600SKILLED NURSING FACILITY 40766,A000000,01800,0000,01800NURSING FACILITY 40766,A000000,01810,0000,01810ICF/MR 40766,A000000,01900,0000,01900OTHER LONG TERM CARE 40766,A000000,02200,0000,02200LABORATORY 40766,A000000,02300,0000,02300INTRAVENOUS THERAPY 40766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40766,A000000,02500,0000,02500PHYSICAL THERAPY 40766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40766,A000000,02700,0000,02700SPEECH PATHOLOGY 40766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40766,A000000,03550,0000,03550FQHC 40766,A000000,04800,0000,04800AMBULANCE 40766,A000000,05000,0000,05000CORF 40766,A000000,05010,0000,05010CMHC 40766,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40766,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40766,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40766,A81000A,00100,0100,Y 40766,A81000B,00100,0300,HOME OFFICE COSTS 40766,A81000B,00200,0300,SNF 40766,A81000B,00300,0300,NF 40766,A81000B,00400,0300,DIETARY 40766,A81000B,00500,0300,HOUSEKEEPING 40766,A81000B,00600,0300,LAUNDRY 40766,A81000B,00700,0300,POM 40766,A81000B,00800,0300,BMS 40766,A81000B,00900,0300,PHYSICAL THERAPY 40766,A81000C,00100,0100,A 40766,A81000C,00100,0200,DOYLE COX 40766,A81000C,00100,0400,CONV. CENTER I 40766,A81000C,00100,0600,HOME OFFICE 40766,A81000C,00200,0100,A 40766,A81000C,00200,0200,DOYLE COX 40766,A81000C,00200,0400,TRINITY MEDICAL 40766,A81000C,00200,0600,MEDICAL SUPPLY 40766,A81000C,00300,0100,A 40766,A81000C,00300,0200,DOYLE COX 40766,A81000C,00300,0400,TRINITY MEDICAL 40766,A81000C,00300,0600,MEDICAL SUPPLY 40766,A81000C,00400,0100,A 40766,A81000C,00400,0200,DOYLE COX 40766,A81000C,00400,0400,TRINITY MEDICAL 40766,A81000C,00400,0600,MEDICAL SUPPLY 40766,A81000C,00500,0100,A 40766,A81000C,00500,0200,DOYLE COX 40766,A81000C,00500,0400,TRINITY MEDICAL 40766,A81000C,00500,0600,MEDICAL SUPPLY 40766,A81000C,00600,0100,A 40766,A81000C,00600,0200,DOYLE COX 40766,A81000C,00600,0400,TRINITY MEDICAL 40766,A81000C,00600,0600,MEDICAL SUPPLY 40766,A81000C,00700,0100,A 40766,A81000C,00700,0200,DOYLE COX 40766,A81000C,00700,0400,TRINITY MEDICAL 40766,A81000C,00700,0600,MEDICAL SUPPLY 40766,A81000C,00800,0100,A 40766,A81000C,00800,0200,DOYLE COX 40766,A81000C,00800,0400,TRINITY MEDICAL 40766,A81000C,00800,0600,MEDICAL SUPPLY 40766,B100000,00000,0100,00000SQUARE FEET 40766,B100000,00000,0200,00000SQUARE FEET 40766,B100000,00000,0300,00000GROSS SALARIES 40766,B100000,00000,0400,00000ACCUM COST 40766,B100000,00000,0500,00000SQUARE FEET 40766,B100000,00000,0600,00000POUNDS OF LAUNDRY 40766,B100000,00000,0700,00000HOURS OF SERVICE 40766,B100000,00000,0800,00000MEALS SERVED 40766,B100000,00000,0900,00000DIRECT NRSG HRS 40766,B100000,00000,1000,00000COSTED REQUIS 40766,B100000,00000,1100,00000COSTED REQUIS 40766,B100000,00000,1200,00000PATIENT DAYS 40766,B100000,00000,1300,00000PATIENT DAYS 40766,B100000,00000,1350,00000PATIENT DAYS 40766,B100000,00000,1400,00000ASSIGNED TIME 40766,E10A180,00301,0100,03/29/1999 40766,E10A180,00550,0100,06/06/2000 40766,E10A180,00550,0300,06/06/2000 40766,S000000,00100,0200,06/16/2000 40766,S200000,00100,0100,101 CAROLINE AVENUE 40766,S200000,00200,0100,WELDON 40766,S200000,00200,0200,NC 40766,S200000,00200,0300,27890 40766,S200000,00300,0100,HALIFAX 40766,S200000,00400,0100,CONVALESCENT CENTER OF HALIFAX 40766,S200000,00400,0200,345309 40766,S200000,00400,0300,09/25/1989 40766,S200000,00400,0500,P 40766,S200000,00600,0200,346501 40766,S200000,00600,0300,09/25/1989 40766,S200000,00600,0600,P 40766,S200000,01600,0100,Y 40770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40770,A000000,00300,0000,00300EMPLOYEE BENEFITS 40770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40770,A000000,00700,0000,00700HOUSEKEEPING 40770,A000000,00800,0000,00800DIETARY 40770,A000000,00900,0000,00900NURSING ADMINISTRATION 40770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40770,A000000,01100,0000,01100PHARMACY 40770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40770,A000000,01300,0000,01300SOCIAL SERVICE 40770,A000000,01350,0000,01500PATIENT ACTIVITIES 40770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40770,A000000,01600,0000,01600SKILLED NURSING FACILITY 40770,A000000,01810,0000,01810ICF/MR 40770,A000000,01900,0000,01900OTHER LONG TERM CARE 40770,A000000,02500,0000,02500PHYSICAL THERAPY 40770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40770,A000000,02700,0000,02700SPEECH PATHOLOGY 40770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40770,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40770,A000000,03550,0000,03550FQHC 40770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40770,A000000,05000,0000,05000CORF 40770,A000000,05010,0000,05010CMHC 40770,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40770,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40770,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40770,A81000A,00100,0100,Y 40770,A81000B,00100,0300,HOME OFFICE CAPITAL 40770,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 40770,A81000C,00100,0100,B 40770,A81000C,00100,0200,ABERNETHY CENTER 40770,A81000C,00100,0400,UCRH INC. 40770,A81000C,00100,0600,HOME OFFICE 40770,B100000,00000,0100,00000DIRECT COSTS 40770,B100000,00000,0200,00000SQUARE FEET 40770,B100000,00000,0300,00000GROSS SALARIES 40770,B100000,00000,0400,00000ACCUM. COST 40770,B100000,00000,0500,00000SQUARE FEET 40770,B100000,00000,0600,00000POUNDS OF LAUNDRY 40770,B100000,00000,0700,00000HOURS OF SERVICE 40770,B100000,00000,0800,00000MEALS SERVED 40770,B100000,00000,0900,00000DIRECT NRSING HRS 40770,B100000,00000,1000,00000PATIENT DAYS 40770,B100000,00000,1100,00000PATIENT DAYS 40770,B100000,00000,1200,00000TIME SPENT 40770,B100000,00000,1300,00000TIME SPENT 40770,B100000,00000,1350,00000TIME SPENT 40770,B100000,00000,1400,00000ASSIGNED TIME 40770,E10A180,00501,0100,07/24/2000 40770,E10A180,00550,0300,07/24/2000 40770,S000000,00100,0200,06/02/2000 40770,S200000,00100,0100,100 HEDRICK DRIVE 40770,S200000,00200,0100,THOMASVILLE 40770,S200000,00200,0200,NC 40770,S200000,00300,0100,DAVIDSON 40770,S200000,00400,0100,UCRH-PIEDMONT CENTER 40770,S200000,00400,0200,345310 40770,S200000,00400,0300,11/01/1989 40770,S200000,00400,0500,P 40770,S200000,01600,0100,Y 40770,S200000,02800,0100,Y 40774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40774,A000000,00300,0000,00300EMPLOYEE BENEFITS 40774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40774,A000000,00700,0000,00700HOUSEKEEPING 40774,A000000,00800,0000,00800DIETARY 40774,A000000,00900,0000,00900NURSING ADMINISTRATION 40774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40774,A000000,01100,0000,01100PHARMACY 40774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40774,A000000,01300,0000,01300SOCIAL SERVICE 40774,A000000,01350,0000,01500ACTIVITIES 40774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40774,A000000,01600,0000,01600SKILLED NURSING FACILITY 40774,A000000,01800,0000,01800NURSING FACILITY 40774,A000000,01810,0000,01810ICF/MR 40774,A000000,01900,0000,01900OTHER LONG TERM CARE 40774,A000000,02100,0000,02100RADIOLOGY 40774,A000000,02200,0000,02200LABORATORY 40774,A000000,02500,0000,02500PHYSICAL THERAPY 40774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40774,A000000,02700,0000,02700SPEECH PATHOLOGY 40774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40774,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40774,A000000,03200,0000,03200SUPPORT SURFACES 40774,A000000,03550,0000,03550FQHC 40774,A000000,05000,0000,05000CORF 40774,A000000,05010,0000,05010CMHC 40774,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40774,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40774,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40774,A81000A,00100,0100,Y 40774,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 40774,A81000B,00200,0300,HOME OFFICE OPERATING 40774,A81000B,00400,0300,HOME OFFICE CAPITAL-EQUIP. 40774,A81000B,00500,0300,HOME OFFICE NURSING 40774,A81000B,00600,0300,HOME OFFICE ACTIVITIES 40774,A81000B,00700,0300,VEHICLE RENTAL SERVICES 40774,A81000B,00901,0300,PRINTING 40774,A81000B,00902,0300,PRINTING 40774,A81000B,00903,0300,PRINTING 40774,A81000B,00904,0300,PRINTING 40774,A81000B,00906,0300,PRINTING 40774,A81000B,01000,0300,MAINTENANCE & REPAIRS 40774,A81000B,01100,0300,MAINTENANCE & REPAIRS 40774,A81000B,01300,0300,OFFICE EXPENSE 40774,A81000B,01400,0300,MAINTENANCE SUPPLIES 40774,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 40774,A81000B,01600,0300,HSKPING SUPPLIES 40774,A81000B,01700,0300,FOOD SUPPLIES 40774,A81000B,01800,0300,NURSING SUPPLIES 40774,A81000B,01900,0300,NONBILLABLE SUPPLIES 40774,A81000B,02000,0300,NONBILLABLE SUPPLIES 40774,A81000B,02100,0300,NONBILLABLE SUPPLIES 40774,A81000B,02200,0300,MEDICAL SUPPLIES 40774,A81000B,02300,0300,NONBILLABLE SUPPLIES 40774,A81000B,02400,0300,NONBILLABLE SUPPLIES 40774,A81000B,02700,0300,NONBILLABLE SUPPLIES 40774,A81000B,02800,0300,DRUGS SOLD 40774,A81000B,02900,0300,PRINTING 40774,A81000C,00100,0100,A 40774,A81000C,00100,0200,TRIAD MEDICAL SERVICES 40774,A81000C,00100,0400,NOLAN G. BROWN 40774,A81000C,00100,0600,MGMT SERVICES 40774,A81000C,00300,0100,A 40774,A81000C,00300,0200,TRIAD DATA PROCESSING 40774,A81000C,00300,0400,NOLAN G. BROWN 40774,A81000C,00300,0600,DATA PROCESSING SERVICE 40774,A81000C,00400,0100,A 40774,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 40774,A81000C,00400,0400,NOLAN G. BROWN 40774,A81000C,00400,0600,PRINTING 40774,A81000C,00500,0100,A 40774,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 40774,A81000C,00500,0400,NOLAN G. BROWN 40774,A81000C,00500,0600,PHARMACY 40774,A81000C,00600,0100,A 40774,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 40774,A81000C,00600,0400,NOLAN G. BROWN 40774,A81000C,00600,0600,MEDICAL SUPPLIES 40774,A81000C,00700,0100,A 40774,A81000C,00700,0200,TMS CONSTRUCTION INC 40774,A81000C,00700,0400,NOLAN G. BROWN 40774,A81000C,00700,0600,CONSTRUCTION 40774,A81000C,00800,0100,A 40774,A81000C,00800,0200,NGB ENTERPRISES 40774,A81000C,00800,0400,NOLAN G. BROWN 40774,A81000C,00800,0600,LESSOR 40774,A81000C,00900,0100,A 40774,B100000,00000,0100,00040SQUARE FEET 40774,B100000,00000,0200,00040SQUARE FEET 40774,B100000,00000,0300,00040GROSS SALARIES 40774,B100000,00000,0400,00040ACCUM. COST 40774,B100000,00000,0500,00040SQUARE FEET 40774,B100000,00000,0600,00040LBS. OF LAUNDRY 40774,B100000,00000,0700,00040SQUARE FEET 40774,B100000,00000,0800,00040MEALS 40774,B100000,00000,0900,00040HOURS OF SERVICE 40774,B100000,00000,1000,00040COSTED REQUIS 40774,B100000,00000,1100,00040COSTED REQUIS 40774,B100000,00000,1200,00040TIME SPENT 40774,B100000,00000,1300,00040TIME SPENT 40774,B100000,00000,1350,00040TIME SPENT 40774,B100000,00000,1400,00040ASSIGNED TIME 40774,E10A180,00501,0100,07/03/2000 40774,E10A180,00550,0300,07/03/2000 40774,S000000,00100,0200,05/26/2000 40774,S200000,00100,0100,901 RIDGE ROAD 40774,S200000,00100,0300,3070 40774,S200000,00200,0100,ROXBORO 40774,S200000,00200,0200,NC 40774,S200000,00300,0100,PERSON 40774,S200000,00400,0100,ROXBORO NURSING CENTER 40774,S200000,00400,0200,345311 40774,S200000,00400,0300,10/18/1989 40774,S200000,00400,0500,P 40774,S200000,00600,0200,345311 40774,S200000,00600,0300,10/18/1989 40774,S200000,00600,0600,P 40774,S200000,01600,0100,Y 40782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40782,A000000,00300,0000,00300EMPLOYEE BENEFITS 40782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40782,A000000,00700,0000,00700HOUSEKEEPING 40782,A000000,00800,0000,00800DIETARY 40782,A000000,00900,0000,00900NURSING ADMINISTRATION 40782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40782,A000000,01100,0000,01100PHARMACY 40782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40782,A000000,01300,0000,01300SOCIAL SERVICE 40782,A000000,01301,0000,01301ACTIVITIES 40782,A000000,01350,0000,01500REHABILITATION 40782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40782,A000000,01600,0000,01600SKILLED NURSING FACILITY 40782,A000000,01800,0000,01800NURSING FACILITY 40782,A000000,01810,0000,01810ICF/MR 40782,A000000,02100,0000,02100RADIOLOGY 40782,A000000,02200,0000,02200LABORATORY 40782,A000000,02300,0000,02300INTRAVENOUS THERAPY 40782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40782,A000000,02500,0000,02500PHYSICAL THERAPY 40782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40782,A000000,02700,0000,02700SPEECH PATHOLOGY 40782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40782,A000000,03050,0000,03300EQUIPMENT RENTAL 40782,A000000,03550,0000,03550FQHC 40782,A000000,05000,0000,05000CORF 40782,A000000,05010,0000,05010CMHC 40782,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40782,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40782,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40782,A000000,06150,0000,06300VENDING 40782,A000000,06151,0000,06301STAND_BY 40782,A81000A,00100,0100,Y 40782,A81000B,00100,0300,CENTRAL SUPPLY 40782,A81000B,00200,0300,MEDICAL SUPPLIES 40782,A81000B,00300,0300,ADMINISTRATION 40782,A81000B,00400,0300,PLANT 40782,A81000B,00500,0300,ACTIVITIES 40782,A81000B,00600,0300,DIETARY 40782,A81000B,00700,0300,DRUGS 40782,A81000B,00800,0300,MEDICAL RECORDS 40782,A81000B,00900,0300,NURSING ADMIN 40782,A81000B,01000,0300,IV 40782,A81000B,01100,0300,PT 40782,A81000B,01200,0300,OT 40782,A81000B,01300,0300,ST 40782,A81000B,01400,0300,BLDG CAPITAL 40782,A81000B,01500,0300,ADMIN & GENERAL 40782,A81000C,00100,0100,B 40782,A81000C,00100,0200,BCHR HENDERSONV 40782,A81000C,00100,0400,MARINER PAN 40782,A81000C,00100,0600,NURSING HOMES 40782,A81000C,00200,0100,G 40782,A81000C,00200,0200,MARINER PAN 40782,A81000C,00200,0400,AMERICAN PHARMA 40782,A81000C,00200,0600,PHARMACEUTICALS 40782,A81000C,00300,0100,G 40782,A81000C,00300,0200,MARINER PAN 40782,A81000C,00300,0400,PRISM (ATS ARS 40782,A81000C,00300,0600,THERAPIES 40782,B100000,00000,0100,00001SQUARE FEET 40782,B100000,00000,0200,00001SQUARE FEET 40782,B100000,00000,0300,00001GROSS SALARIES 40782,B100000,00000,0400,00001ACCUM COST 40782,B100000,00000,0500,00001SQUARE FEET 40782,B100000,00000,0600,00001PATIENT DAYS 40782,B100000,00000,0700,00001SQUARE FEET 40782,B100000,00000,0800,00001MEALS SERVED 40782,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40782,B100000,00000,1000,00001PATIENT DAYS 40782,B100000,00000,1100,00001COSTED REQUIS 40782,B100000,00000,1200,00001PATIENT DAYS 40782,B100000,00000,1300,00001PATIENT DAYS 40782,B100000,00000,1301,00001PATIENT DAYS 40782,B100000,00000,1350,00001UNITS OF SERVICE 40782,B100000,00000,1400,00001ASSIGNED TIME 40782,E10A180,00301,0100,07/19/1999 40782,E10A180,00302,0100,07/19/1999 40782,E10A180,00351,0300,08/30/2000 40782,E10A180,00550,0100,08/30/2000 40782,E10A180,00550,0300,08/30/2000 40782,S000000,00100,0200,08/30/2000 40782,S200000,00100,0100,1870 PISGAH DRIVE 40782,S200000,00200,0100,HENDERSONVILLE 40782,S200000,00200,0200,NC 40782,S200000,00200,0300,28739 40782,S200000,00300,0100,HENDERSON 40782,S200000,00400,0100,BRIAN CTR HLTH REHAB/HENDERSONVILLE 40782,S200000,00400,0200,345312 40782,S200000,00400,0300,11/17/1989 40782,S200000,00400,0500,P 40782,S200000,01600,0100,Y 40782,S200000,02200,0100,Y 40787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40787,A000000,00300,0000,00300EMPLOYEE BENEFITS 40787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40787,A000000,00700,0000,00700HOUSEKEEPING 40787,A000000,00800,0000,00800DIETARY 40787,A000000,00900,0000,00900NURSING ADMINISTRATION 40787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40787,A000000,01100,0000,01100PHARMACY 40787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40787,A000000,01300,0000,01300SOCIAL SERVICE 40787,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40787,A000000,01600,0000,01600SKILLED NURSING FACILITY 40787,A000000,01800,0000,01800NURSING FACILITY 40787,A000000,01810,0000,01810ICF/MR 40787,A000000,02300,0000,02300INTRAVENOUS THERAPY 40787,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40787,A000000,02500,0000,02500PHYSICAL THERAPY 40787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40787,A000000,02700,0000,02700SPEECH PATHOLOGY 40787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40787,A000000,03550,0000,03550FQHC 40787,A000000,05000,0000,05000CORF 40787,A000000,05010,0000,05010CMHC 40787,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40787,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40787,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40787,A000000,05300,0000,05300INTEREST EXPENSE 40787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40787,A81000A,00100,0100,Y 40787,A81000B,00100,0300,MGMT FEES 40787,A81000B,00200,0300,MEDICAL DIRECTOR 40787,A81000C,00100,0100,B 40787,A81000C,00100,0200,RURAL HEALTH GR 40787,A81000C,00100,0600,RELATED PARTY 40787,A81000C,00200,0100,B 40787,A81000C,00200,0200,RURAL HEALTH GR 40787,A81000C,00200,0600,RELATED PARTY 40787,B100000,00000,0100,00000SQUARE FEET 40787,B100000,00000,0200,00000SQUARE FEET 40787,B100000,00000,0300,00000GROSS SALARIES 40787,B100000,00000,0400,00000ACCUM COST 40787,B100000,00000,0500,00000SQUARE FEET 40787,B100000,00000,0600,00000PATIENT DAYS 40787,B100000,00000,0700,00000SQUARE FEET 40787,B100000,00000,0800,00000MEALS SERVED 40787,B100000,00000,0900,00000DIRECT NUR HOURS OF S 40787,B100000,00000,1000,00000COSTED REQUISITIO 40787,B100000,00000,1100,00000COSTED REQUISITIO 40787,B100000,00000,1200,00000TIME SPENT 40787,B100000,00000,1300,00000PATIENT DAYS 40787,B100000,00000,1400,00000ASSIGNED TIME 40787,E10A180,00501,0100,07/11/2000 40787,E10A180,00550,0300,07/11/2000 40787,E10A180,00551,0300,11/07/2000 40787,S000000,00100,0200,06/01/2000 40787,S200000,00100,0100,200 HAMPTON WOODS COMPLEX 40787,S200000,00200,0100,JACKSON 40787,S200000,00200,0200,NC 40787,S200000,00200,0300,27845 40787,S200000,00300,0100,NORTHHAMPTON 40787,S200000,00400,0100,HAMPTON WOODS HEALTH & REHAB CTR 40787,S200000,00400,0200,345313 40787,S200000,00400,0300,02/27/1990 40787,S200000,00400,0500,P 40787,S200000,00600,0200,345313 40787,S200000,00600,0300,02/27/1990 40787,S200000,00600,0600,P 40787,S200000,01600,0100,Y 40806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40806,A000000,00300,0000,00300EMPLOYEE BENEFITS 40806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40806,A000000,00700,0000,00700HOUSEKEEPING 40806,A000000,00800,0000,00800DIETARY 40806,A000000,00900,0000,00900NURSING ADMINISTRATION 40806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40806,A000000,01100,0000,01100PHARMACY 40806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40806,A000000,01300,0000,01300SOCIAL SERVICE 40806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40806,A000000,01600,0000,01600SKILLED NURSING FACILITY 40806,A000000,01810,0000,01810ICF/MR 40806,A000000,01900,0000,01900OTHER LONG TERM CARE 40806,A000000,02100,0000,02100RADIOLOGY 40806,A000000,02200,0000,02200LABORATORY 40806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40806,A000000,02500,0000,02500PHYSICAL THERAPY 40806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40806,A000000,02700,0000,02700SPEECH PATHOLOGY 40806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40806,A000000,03550,0000,03550FQHC 40806,A000000,05000,0000,05000CORF 40806,A000000,05010,0000,05010CMHC 40806,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40806,A000000,05300,0000,05300INTEREST EXPENSE 40806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40806,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40806,A81000A,00100,0100,Y 40806,A81000B,00100,0300,BUILDING RENT 40806,A81000B,00200,0300,MEDICAL SUPPLIES 40806,A81000C,00100,0100,A 40806,A81000C,00100,0200,H.A. DAVIS JR. 40806,A81000C,00100,0400,H.A. DAVIS JR. 40806,A81000C,00100,0600,RENTAL 40806,A81000C,00200,0100,A 40806,A81000C,00200,0200,H.A. DAVIS JR. 40806,A81000C,00200,0400,SENIOR CITIZENS 40806,A81000C,00200,0600,MED SUPPLY 40806,B100000,00000,0100,00000SQUARE FEET 40806,B100000,00000,0200,00000SQUARE FEET 40806,B100000,00000,0300,00000GROSS SALARIES 40806,B100000,00000,0400,00000ACCUM COST 40806,B100000,00000,0500,00000SQUARE FEET 40806,B100000,00000,0600,00000PATIENT DAYS 40806,B100000,00000,0700,00000SQUARE FEET 40806,B100000,00000,0800,00000MEALS SERVED 40806,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40806,B100000,00000,1000,00000COSTED REQUISITIO 40806,B100000,00000,1100,00000COSTED REQUISITIO 40806,B100000,00000,1200,00000DIR NURSIN HRS OF SVC 40806,B100000,00000,1300,00000PATIENT DAYS 40806,B100000,00000,1400,00000ASSIGNED TIME 40806,E10A180,00301,0100,03/29/1999 40806,E10A180,00501,0100,06/28/2000 40806,E10A180,00550,0300,06/28/2000 40806,S000000,00100,0200,05/26/2000 40806,S200000,00100,0100,2275 RUIN CREEK ROAD 40806,S200000,00200,0100,HENDERSON 40806,S200000,00200,0200,NC 40806,S200000,00200,0300,27536 40806,S200000,00300,0100,VANCE 40806,S200000,00400,0100,SENIOR CITIZENS HOME INC. 40806,S200000,00400,0200,345316 40806,S200000,00400,0300,05/03/1990 40806,S200000,00400,0500,P 40806,S200000,01600,0100,Y 40812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40812,A000000,00300,0000,00300EMPLOYEE BENEFITS 40812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40812,A000000,00700,0000,00700HOUSEKEEPING 40812,A000000,00800,0000,00800DIETARY 40812,A000000,00900,0000,00900NURSING ADMINISTRATION 40812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40812,A000000,01100,0000,01100PHARMACY 40812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40812,A000000,01300,0000,01300SOCIAL SERVICE 40812,A000000,01301,0000,01301ACTIVITIES 40812,A000000,01350,0000,01500REHABILITATION 40812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40812,A000000,01600,0000,01600SKILLED NURSING FACILITY 40812,A000000,01800,0000,01800NURSING FACILITY 40812,A000000,01810,0000,01810ICF/MR 40812,A000000,02200,0000,02200LABORATORY 40812,A000000,02300,0000,02300INTRAVENOUS THERAPY 40812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40812,A000000,02500,0000,02500PHYSICAL THERAPY 40812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40812,A000000,02700,0000,02700SPEECH PATHOLOGY 40812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40812,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40812,A000000,03550,0000,03550FQHC 40812,A000000,05000,0000,05000CORF 40812,A000000,05010,0000,05010CMHC 40812,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40812,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40812,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40812,A000000,06150,0000,06300VENDING 40812,A000000,06151,0000,06301STAND-BY 40812,A81000A,00100,0100,Y 40812,A81000B,00100,0300,CENTRAL SUPPLY 40812,A81000B,00200,0300,MEDICAL SUPPLIES 40812,A81000B,00300,0300,PLANT 40812,A81000B,00400,0300,BENEFITS 40812,A81000B,00500,0300,DIETARY 40812,A81000B,00600,0300,CAPITAL 40812,A81000B,00700,0300,DRUGS 40812,A81000B,00800,0300,IV 40812,A81000B,00900,0300,PT 40812,A81000B,01000,0300,OT 40812,A81000B,01100,0300,ST 40812,A81000B,01200,0300,BLDG CAPITAL 40812,A81000B,01300,0300,ADMIN & GENERAL 40812,A81000C,00100,0100,B 40812,A81000C,00100,0200,BCHR CLAYTON (N 40812,A81000C,00100,0400,MARINER PAN 40812,A81000C,00100,0600,NURSING HOMES 40812,A81000C,00200,0100,G 40812,A81000C,00200,0200,MARINER PAN 40812,A81000C,00200,0400,AMERICAN PHARMA 40812,A81000C,00200,0600,PHARMACEUTICALS 40812,A81000C,00300,0100,G 40812,A81000C,00300,0200,MARINER PAN 40812,A81000C,00300,0400,PRISM (ATS ARS 40812,A81000C,00300,0600,THERAPIES 40812,B100000,00000,0100,00001SQUARE FEET 40812,B100000,00000,0200,00001SQUARE FEET 40812,B100000,00000,0300,00001GROSS SALARIES 40812,B100000,00000,0400,00001ACCUM COST 40812,B100000,00000,0500,00001SQUARE FEET 40812,B100000,00000,0600,00001PATIENT DAYS 40812,B100000,00000,0700,00001SQUARE FEET 40812,B100000,00000,0800,00001MEALS SERVED 40812,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40812,B100000,00000,1000,00001PATIENT DAYS 40812,B100000,00000,1100,00001COSTED REQUIS 40812,B100000,00000,1200,00001PATIENT DAYS 40812,B100000,00000,1300,00001PATIENT DAYS 40812,B100000,00000,1301,00001PATIENT DAYS 40812,B100000,00000,1350,00001UNITS OF SERVICE 40812,B100000,00000,1400,00001ASSIGNED TIME 40812,E10A180,00301,0100,07/19/1999 40812,E10A180,00302,0100,07/19/1999 40812,E10A180,00550,0100,08/30/2001 40812,S000000,00100,0200,08/30/2000 40812,S200000,00100,0100,204 DAIRY ROAD 40812,S200000,00200,0100,CLAYTON 40812,S200000,00200,0200,NC 40812,S200000,00200,0300,27520 40812,S200000,00300,0100,JOHNSTON 40812,S200000,00400,0100,BRIAN CTR HLTH & RETIRE./CLAYTON 40812,S200000,00400,0200,345317 40812,S200000,00400,0300,04/16/1990 40812,S200000,00400,0500,P 40812,S200000,01600,0100,Y 40812,S200000,02200,0100,Y 40820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40820,A000000,00300,0000,00300EMPLOYEE BENEFITS 40820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40820,A000000,00700,0000,00700HOUSEKEEPING 40820,A000000,00800,0000,00800DIETARY 40820,A000000,00900,0000,00900NURSING ADMINISTRATION 40820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40820,A000000,01100,0000,01100PHARMACY 40820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40820,A000000,01300,0000,01300SOCIAL SERVICE 40820,A000000,01350,0000,01500PATIENT ACTIVITIES 40820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40820,A000000,01600,0000,01600SKILLED NURSING FACILITY 40820,A000000,01800,0000,01800NURSING FACILITY 40820,A000000,01810,0000,01810ICF/MR 40820,A000000,01900,0000,01900OTHER LONG TERM CARE 40820,A000000,02100,0000,02100RADIOLOGY 40820,A000000,02200,0000,02200LABORATORY 40820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40820,A000000,02500,0000,02500PHYSICAL THERAPY 40820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40820,A000000,02700,0000,02700SPEECH PATHOLOGY 40820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40820,A000000,03550,0000,03550FQHC 40820,A000000,04750,0000,05100TRANSPORTATION 40820,A000000,04800,0000,04800AMBULANCE 40820,A000000,05000,0000,05000CORF 40820,A000000,05010,0000,05010CMHC 40820,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40820,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40820,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40820,A000000,05801,0000,05801VENDING 40820,A000000,05802,0000,05802PATIENT PERSONAL ITEMS 40820,B100000,00000,0100,00002SQUARE FEET 40820,B100000,00000,0200,00002SQUARE FEET 40820,B100000,00000,0300,00002GROSS SALARIES 40820,B100000,00000,0400,00002ACCUM COST 40820,B100000,00000,0500,00002SQUARE FEET 40820,B100000,00000,0600,00002POUNDS OF LAUNDRY 40820,B100000,00000,0700,00002SQUARE FEET 40820,B100000,00000,0800,00002MEALS SERVED 40820,B100000,00000,0900,00002DIRECT NRSG HRS 40820,B100000,00000,1000,00002COSTED REQUIS 40820,B100000,00000,1100,00002COSTED REQUIS 40820,B100000,00000,1200,00002PATIENT DAYS 40820,B100000,00000,1300,00002PATIENT DAYS 40820,B100000,00000,1350,00002PATIENT DAYS 40820,B100000,00000,1400,00002ASSIGNED TIME 40820,E10A180,00301,0100,04/12/1999 40820,E10A180,00501,0100,07/12/2000 40820,E10A180,00501,0300,07/12/2000 40820,S000000,00100,0200,06/22/2000 40820,S200000,00100,0100,HIGHWAY 133 SOUTH 40820,S200000,00100,0300,916 40820,S200000,00200,0100,LELAND 40820,S200000,00200,0200,NC 40820,S200000,00200,0300,28451 40820,S200000,00300,0100,BRUNSWICK 40820,S200000,00400,0100,BRUNSWICK COVE INC. 40820,S200000,00400,0200,345318 40820,S200000,00400,0300,05/10/1990 40820,S200000,00400,0500,P 40820,S200000,00600,0200,346575 40820,S200000,00600,0300,05/10/1990 40820,S200000,00600,0600,P 40820,S200000,01600,0100,Y 40829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40829,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 40829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40829,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 40829,A000000,00300,0000,00300EMPLOYEE BENEFITS 40829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40829,A000000,00700,0000,00700HOUSEKEEPING 40829,A000000,00800,0000,00800DIETARY 40829,A000000,00801,0000,00801CAFETERIA 40829,A000000,00900,0000,00900NURSING ADMINISTRATION 40829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40829,A000000,01100,0000,01100PHARMACY 40829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40829,A000000,01300,0000,01300SOCIAL SERVICE 40829,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40829,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40829,A000000,01600,0000,01600SKILLED NURSING FACILITY 40829,A000000,01800,0000,01800NURSING FACILITY 40829,A000000,01810,0000,01810ICF/MR 40829,A000000,01900,0000,01900OTHER LONG TERM CARE 40829,A000000,02100,0000,02100RADIOLOGY 40829,A000000,02200,0000,02200LABORATORY 40829,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40829,A000000,02500,0000,02500PHYSICAL THERAPY 40829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40829,A000000,02700,0000,02700SPEECH PATHOLOGY 40829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40829,A000000,03050,0000,03300OTHER ANCILLARY 40829,A000000,03051,0000,03301OTHER ANCILLARY II 40829,A000000,03052,0000,03302OTHER ANCILLARY III 40829,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 40829,A000000,03550,0000,03550FQHC 40829,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 40829,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40829,A000000,05000,0000,05000CORF I 40829,A000000,05010,0000,05010CMHC I 40829,A000000,05020,0000,05020OPT I 40829,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40829,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40829,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 40829,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 40829,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40829,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 40829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40829,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 40829,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40829,A81000A,00100,0100,Y 40829,A81000B,00100,0300,MANAGEMENT FEES 40829,A81000C,00100,0100,B 40829,A81000C,00100,0200,TULLOCK MGMT 40829,A81000C,00100,0400,TULLOCK MGMT 40829,A81000C,00100,0600,MGMT CO. 40829,B100000,00000,0100,00000(SQUARE FEET) 40829,B100000,00000,0101,00000(SQUARE FEET) 40829,B100000,00000,0200,00000(SQUARE FEET) 40829,B100000,00000,0201,00000(SQUARE FEET) 40829,B100000,00000,0300,00000(GROSS SALARIES) 40829,B100000,00000,0400,00000(ACCUM. COST) 40829,B100000,00000,0500,00000(SQUARE FEET) 40829,B100000,00000,0600,00000(POUNDS) 40829,B100000,00000,0700,00000(SQUARE FEET) 40829,B100000,00000,0800,00000(MEALS) 40829,B100000,00000,0801,00000(MEALS SERVED) 40829,B100000,00000,0900,00000(HOURS) 40829,B100000,00000,1000,00000(PAT DAYS) 40829,B100000,00000,1100,00000(COSTED REQUIS.) 40829,B100000,00000,1200,00000(PAT DAYS) 40829,B100000,00000,1300,00000(TIME SPENT) 40829,B100000,00000,1350,00000 40829,B100000,00000,1400,00000(ASSIGNED TIME) 40829,S000000,00100,0200,06/01/2000 40829,S200000,00100,0100,415 ELDERBERRY LANE 40829,S200000,00200,0100,MARSHALL 40829,S200000,00200,0200,NC 40829,S200000,00200,0300,28753 40829,S200000,00300,0100,MADISON 40829,S200000,00400,0100,ELDERBERRY NURSING CENTER MADISON COUNTY 40829,S200000,00400,0200,345319 40829,S200000,00400,0300,05/14/1990 40829,S200000,00400,0500,P 40829,S200000,00600,0200,345319 40829,S200000,00600,0300,05/14/1990 40829,S200000,00600,0600,P 40829,S200000,01600,0100,Y 40836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40836,A000000,00300,0000,00300EMPLOYEE BENEFITS 40836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40836,A000000,00700,0000,00700HOUSEKEEPING 40836,A000000,00800,0000,00800DIETARY 40836,A000000,00900,0000,00900NURSING ADMINISTRATION 40836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40836,A000000,01100,0000,01100PHARMACY 40836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40836,A000000,01300,0000,01300SOCIAL SERVICE 40836,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40836,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40836,A000000,01600,0000,01600SKILLED NURSING FACILITY 40836,A000000,01800,0000,01800NURSING FACILITY 40836,A000000,01810,0000,01810ICF/MR 40836,A000000,01900,0000,01900OTHER LONG TERM CARE 40836,A000000,02100,0000,02100RADIOLOGY 40836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40836,A000000,02500,0000,02500PHYSICAL THERAPY 40836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40836,A000000,02700,0000,02700SPEECH PATHOLOGY 40836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40836,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40836,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40836,A000000,03550,0000,03550FQHC 40836,A000000,05000,0000,05000CORF 40836,A000000,05010,0000,05010CMHC 40836,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40836,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40836,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40836,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40836,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40836,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40836,B100000,00000,0100,00000SQUARE FEET 40836,B100000,00000,0200,00000SQUARE FEET 40836,B100000,00000,0300,00000GROSS SALARIES 40836,B100000,00000,0400,00000ACCUM COST 40836,B100000,00000,0500,00000SQUARE FEET 40836,B100000,00000,0600,00000POUNDS OF LAUNDRY 40836,B100000,00000,0700,00000SQUARE FEET 40836,B100000,00000,0800,00000MEALS SERVED 40836,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40836,B100000,00000,1000,00000COSTED REQUISITIO 40836,B100000,00000,1100,00000COSTED REQUISITIO 40836,B100000,00000,1200,00000TIME SPENT 40836,B100000,00000,1300,00000TIME SPENT 40836,B100000,00000,1350,00000 40836,B100000,00000,1400,00000ASSIGNED TIME 40836,S000000,00100,0200,12/20/1999 40836,S200000,00100,0100,1245 PARK AVENUE 40836,S200000,00200,0100,HENDERSON 40836,S200000,00200,0200,NC 40836,S200000,00200,0300,27536 40836,S200000,00300,0100,VANCE 40836,S200000,00400,0100,PINEHAVEN CONVALESCENT CENTER 40836,S200000,00400,0200,345321 40836,S200000,00400,0300,07/13/1990 40836,S200000,00400,0500,P 40836,S200000,01600,0100,Y 40836,S200000,01900,0100,NONE 40836,S200000,03100,0100,Y 40838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40838,A000000,00300,0000,00300EMPLOYEE BENEFITS 40838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40838,A000000,00700,0000,00700HOUSEKEEPING 40838,A000000,00800,0000,00800DIETARY 40838,A000000,00900,0000,00900NURSING ADMINISTRATION 40838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40838,A000000,01100,0000,01100PHARMACY 40838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40838,A000000,01300,0000,01300SOCIAL SERVICE 40838,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40838,A000000,01600,0000,01600SKILLED NURSING FACILITY 40838,A000000,01800,0000,01800NURSING FACILITY 40838,A000000,01810,0000,01810ICF/MR 40838,A000000,01900,0000,01900OTHER LONG TERM CARE 40838,A000000,02100,0000,02100RADIOLOGY 40838,A000000,02200,0000,02200LABORATORY 40838,A000000,02300,0000,02300INTRAVENOUS THERAPY 40838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40838,A000000,02500,0000,02500PHYSICAL THERAPY 40838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40838,A000000,02700,0000,02700SPEECH PATHOLOGY 40838,A000000,02800,0000,02800ELECTROCARDIOLOGY 40838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40838,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40838,A000000,03550,0000,03550FQHC 40838,A000000,05000,0000,05000CORF 40838,A000000,05010,0000,05010CMHC 40838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40838,A000000,05300,0000,05300INTEREST EXPENSE 40838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40838,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40838,A81000A,00100,0100,Y 40838,A81000B,00100,0300,CONSULTING 40838,A81000B,00200,0300,CONSULTING 40838,A81000B,00300,0300,CONSULTING 40838,A81000B,00400,0300,CONSULTING 40838,A81000B,00500,0300,HOME OFFICE 40838,A81000B,00600,0300,CONSULTING 40838,A81000C,00100,0100,B 40838,A81000C,00100,0400,BRITTHAVEN INC 40838,A81000C,00100,0600,MGMT SVS 40838,A81000C,00200,0100,B 40838,A81000C,00200,0400,BRITTHAVEN INC 40838,A81000C,00200,0600,MGMT SVS 40838,A81000C,00300,0100,B 40838,A81000C,00300,0400,BRITTHAVEN INC 40838,A81000C,00300,0600,MGMT SVS 40838,A81000C,00400,0100,B 40838,A81000C,00400,0400,BRITTHAVEN INC 40838,A81000C,00400,0600,MGMT SVS 40838,A81000C,00500,0100,B 40838,A81000C,00500,0400,BRITTHAVEN INC 40838,A81000C,00500,0600,MGMT SVS 40838,A81000C,00600,0100,B 40838,A81000C,00600,0400,BRITTHAVEN INC 40838,A81000C,00600,0600,MGMT SVS 40838,A81000C,00700,0100,B 40838,A81000C,00700,0400,BRITTHAVEN INC 40838,A81000C,00700,0600,MGMT SVS 40838,A81000C,00800,0100,B 40838,A81000C,00800,0400,BRITTHAVEN INC 40838,A81000C,00800,0600,MGMT SVS 40838,A81000C,00900,0100,B 40838,A81000C,00900,0400,BRITTHAVEN INC 40838,A81000C,00900,0600,MGMT SVS 40838,A81000C,01000,0100,B 40838,A81000C,01000,0400,R. HILL CONS. C 40838,A81000C,01000,0600,CONSTRUCTION 40838,B100000,00000,0100,00000SQUARE FEET 40838,B100000,00000,0200,00000SQUARE FEET 40838,B100000,00000,0300,00000GROSS SALARIES 40838,B100000,00000,0400,00000ACCUM COST 40838,B100000,00000,0500,00000SQUARE FEET 40838,B100000,00000,0600,00000POUNDS OF LAUNDRY 40838,B100000,00000,0700,00000SQUARE FEET 40838,B100000,00000,0800,00000MEALS SERVED 40838,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40838,B100000,00000,1000,00000COSTED REQUISITIO 40838,B100000,00000,1100,00000COSTED REQUISITIO 40838,B100000,00000,1200,00000TIME SPENT 40838,B100000,00000,1300,00000TIME SPENT 40838,B100000,00000,1350,00000SQUARE FEET 40838,B100000,00000,1400,00000ASSIGNED TIME 40838,E10A180,00301,0100,03/29/1999 40838,E10A180,00501,0100,05/19/2000 40838,E10A180,00550,0300,05/19/2000 40838,S000000,00100,0200,03/21/2000 40838,S200000,00100,0100,1245 PARK AVENUE 40838,S200000,00100,0300,1098 40838,S200000,00200,0100,HENDERSON 40838,S200000,00200,0200,NC 40838,S200000,00200,0300,27536 40838,S200000,00300,0100,VANCE 40838,S200000,00400,0100,BRITTHAVEN OF HENDERSON 40838,S200000,00400,0200,345321 40838,S200000,00400,0300,07/13/1990 40838,S200000,00400,0500,P 40838,S200000,01600,0100,Y 40838,S200000,01900,0100,HOSPITAL AUTHORITY 40838,S200000,04700,0100,Y 40847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40847,A000000,00300,0000,00300EMPLOYEE BENEFITS 40847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40847,A000000,00700,0000,00700HOUSEKEEPING 40847,A000000,00800,0000,00800DIETARY 40847,A000000,00900,0000,00900NURSING ADMINISTRATION 40847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40847,A000000,01100,0000,01100PHARMACY 40847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40847,A000000,01300,0000,01300SOCIAL SERVICE 40847,A000000,01350,0000,01500ACTIVITIES 40847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40847,A000000,01600,0000,01600SKILLED NURSING FACILITY 40847,A000000,01800,0000,01800NURSING FACILITY 40847,A000000,01810,0000,01810ICF/MR 40847,A000000,01900,0000,01900OTHER LONG TERM CARE 40847,A000000,02100,0000,02100RADIOLOGY 40847,A000000,02200,0000,02200LABORATORY 40847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40847,A000000,02500,0000,02500PHYSICAL THERAPY 40847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40847,A000000,02700,0000,02700SPEECH PATHOLOGY 40847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40847,A000000,03550,0000,03550FQHC 40847,A000000,05000,0000,05000CORF 40847,A000000,05010,0000,05010CMHC 40847,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40847,A81000A,00100,0100,Y 40847,A81000B,00100,0300,MANAGEMENT FEE 40847,A81000B,00200,0300,HOME OFFICE - OTHER 40847,A81000B,00300,0300,HOME OFFICE - QUALITY ASSURANC 40847,A81000B,00400,0300,HOME OFFICE CAPITAL 40847,A81000C,00100,0100,B 40847,A81000C,00100,0400,LAUREL HEALTH 40847,A81000C,00100,0600,MANAGEMENT CO. 40847,B100000,00000,0100,00000SQUARE FEET 40847,B100000,00000,0200,00000SQUARE FEET 40847,B100000,00000,0300,00000GROSS SAL 40847,B100000,00000,0400,00000ACCUM. COST 40847,B100000,00000,0500,00000SQUARE FEET 40847,B100000,00000,0600,00000PAT DAYS 40847,B100000,00000,0700,00000SQUARE FEET 40847,B100000,00000,0800,00000PAT DAYS 40847,B100000,00000,0900,00000BLANK 40847,B100000,00000,1000,00000PAT DAYS 40847,B100000,00000,1100,00000BLANK 40847,B100000,00000,1200,00000BLANK 40847,B100000,00000,1300,00000PATIENT DAYS 40847,B100000,00000,1350,00000PAT DAYS 40847,B100000,00000,1400,00000BLANK 40847,E10A180,00301,0100,04/12/1999 40847,E10A180,00501,0100,04/27/2000 40847,S000000,00100,0200,02/29/2000 40847,S200000,00100,0100,2220 NORTH MAIN STREET 40847,S200000,00200,0100,HENDERSONVILLE 40847,S200000,00200,0200,NC 40847,S200000,00200,0300,28792 40847,S200000,00300,0100,HENDERSON 40847,S200000,00400,0100,THE LAURELS OF HENDERSONVILLE 40847,S200000,00400,0200,345322 40847,S200000,00400,0300,06/27/1990 40847,S200000,00400,0500,P 40847,S200000,00600,0200,345322 40847,S200000,00600,0300,06/27/1990 40847,S200000,00600,0600,P 40847,S200000,01600,0100,Y 40847,S200000,02200,0100,Y 40854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40854,A000000,00300,0000,00300EMPLOYEE BENEFITS 40854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40854,A000000,00700,0000,00700HOUSEKEEPING 40854,A000000,00800,0000,00800DIETARY 40854,A000000,00900,0000,00900NURSING ADMINISTRATION 40854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40854,A000000,01100,0000,01100PHARMACY 40854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40854,A000000,01300,0000,01300SOCIAL SERVICE 40854,A000000,01301,0000,01301ACTIVITIES 40854,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40854,A000000,01600,0000,01600SKILLED NURSING FACILITY 40854,A000000,01800,0000,01800NURSING FACILITY 40854,A000000,01810,0000,01810ICF/MR 40854,A000000,02100,0000,02100RADIOLOGY 40854,A000000,02200,0000,02200LABORATORY 40854,A000000,02300,0000,02300INTRAVENOUS THERAPY 40854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40854,A000000,02500,0000,02500PHYSICAL THERAPY 40854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40854,A000000,02700,0000,02700SPEECH PATHOLOGY 40854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40854,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40854,A000000,03550,0000,03550FQHC 40854,A000000,05000,0000,05000CORF 40854,A000000,05010,0000,05010CMHC 40854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40854,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40854,A81000A,00100,0100,Y 40854,A81000B,00100,0300,HOME OFFICE INTEREST 40854,A81000B,00200,0300,HOME OFFICE COST ALL 40854,A81000B,00300,0300,NURSING & OSHA SUPPLIES COST 40854,A81000B,00400,0300,COST OF SUPPLIES SOLD OXYGEN 40854,A81000B,00500,0300,DIETARY SUPPLEMENTS 40854,A81000B,00600,0300,PRESCRIPTION DRUGS AND PHARMAC 40854,A81000B,00700,0300,CONTRACT CONSULTANT-IV AND IV 40854,A81000B,00800,0300,PT AND RT CONSULTANT 40854,A81000B,00900,0300,PHYSICAL THERAPY 40854,A81000B,01000,0300,OCCUPATIONAL THERAPY 40854,A81000B,01100,0300,SPEECH THERAPY 40854,A81000C,00100,0100,B 40854,A81000C,00100,0200,BRIAN CENTER WA 40854,A81000C,00100,0400,MARINER POST-AC 40854,A81000C,00100,0600,NURSING HOMES 40854,A81000C,00200,0100,G 40854,A81000C,00200,0200,MARINER POST-AC 40854,A81000C,00200,0400,AMERICAN PHARMA 40854,A81000C,00200,0600,PHARAMACEUTICAL 40854,A81000C,00300,0100,G 40854,A81000C,00300,0200,MARINER POST-AC 40854,A81000C,00300,0400,PRISM (ARS ATS 40854,A81000C,00300,0600,THERAPIES 40854,B100000,00000,0100,00000SQUARE FEET 40854,B100000,00000,0200,00000SQUARE FEET 40854,B100000,00000,0300,00000GROSS SALARIES 40854,B100000,00000,0400,00000ACCUM COST 40854,B100000,00000,0500,00000SQUARE FEET 40854,B100000,00000,0600,00000POUNDS OF LAUNDRY 40854,B100000,00000,0700,00000HOURS OF SERVICE 40854,B100000,00000,0800,00000MEALS SERVED 40854,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40854,B100000,00000,1000,00000COSTED REQUISITIO 40854,B100000,00000,1100,00000COSTED REQUIS 40854,B100000,00000,1200,00000TIME SPENT 40854,B100000,00000,1300,00000TIME SPENT 40854,B100000,00000,1301,00000TIME SPENT 40854,B100000,00000,1350,00000UNITS OF SERVICE 40854,B100000,00000,1400,00000ASSIGNED TIME 40854,E10A180,00301,0100,07/19/1999 40854,E10A180,00302,0100,07/19/1999 40854,E10A180,00550,0100,08/30/2000 40854,S000000,00100,0200,09/25/2000 40854,S200000,00100,0100,647 SOUTH RAILROAD STREET 40854,S200000,00200,0100,WALLACE 40854,S200000,00200,0200,NC 40854,S200000,00200,0300,28466 40854,S200000,00300,0100,DUPLIN 40854,S200000,00400,0100,BRIAN CTR HLTH & REHAB/WALLACE 40854,S200000,00400,0200,345323 40854,S200000,00400,0300,08/16/1990 40854,S200000,00400,0500,P 40854,S200000,01600,0100,Y 40866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40866,A000000,00300,0000,00300EMPLOYEE BENEFITS 40866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40866,A000000,00700,0000,00700HOUSEKEEPING 40866,A000000,00800,0000,00800DIETARY 40866,A000000,00900,0000,00900NURSING ADMINISTRATION 40866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40866,A000000,01100,0000,01100PHARMACY 40866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40866,A000000,01300,0000,01300SOCIAL SERVICE 40866,A000000,01350,0000,01500PATIENT ACTIVITIES 40866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40866,A000000,01600,0000,01600SKILLED NURSING FACILITY 40866,A000000,01800,0000,01800NURSING FACILITY 40866,A000000,01810,0000,01810ICF/MR 40866,A000000,02100,0000,02100RADIOLOGY 40866,A000000,02200,0000,02200LABORATORY 40866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40866,A000000,02500,0000,02500PHYSICAL THERAPY 40866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40866,A000000,02700,0000,02700SPEECH PATHOLOGY 40866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40866,A000000,03550,0000,03550FQHC 40866,A000000,05000,0000,05000CORF 40866,A000000,05010,0000,05010CMHC 40866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40866,A000000,06150,0000,06300NONREIMBURSABLE 40866,A81000A,00100,0100,Y 40866,A81000B,00100,0300,HOME OFFICE 40866,A81000B,00200,0300,HOME OFFICE CAP RELA 40866,A81000C,00100,0100,A 40866,A81000C,00100,0200,ACTS RETIREMENT 40866,A81000C,00100,0600,HOME OFFICE 40866,A81000C,00200,0100,B 40866,A81000C,00200,0200,ACTS RETIREMENT 40866,A81000C,00200,0600,HOME OFFICE 40866,B100000,00000,0100,00000SQUARE FEET 40866,B100000,00000,0200,00000SQUARE FEET 40866,B100000,00000,0300,00000GROSS SALARIES 40866,B100000,00000,0400,00000ACCUM COST 40866,B100000,00000,0500,00000SQUARE FEET 40866,B100000,00000,0600,00000POUNDS OF LAUNDRY 40866,B100000,00000,0700,00000HOURS OF SERVICE 40866,B100000,00000,0800,00000MEALS SERVED 40866,B100000,00000,0900,00000DIRECT NRSG HRS 40866,B100000,00000,1000,00000COSTED REQUIS 40866,B100000,00000,1100,00000COSTED REQUIS 40866,B100000,00000,1200,00000TIME SPENT 40866,B100000,00000,1300,00000TIME SPENT 40866,B100000,00000,1350,00000PATIENT DAYS 40866,B100000,00000,1400,00000ASSIGNED TIME 40866,E10A180,00501,0100,07/27/2000 40866,S000000,00100,0200,06/02/2000 40866,S200000,00100,0100,701 PLANTATION ESTATES DRIVE 40866,S200000,00200,0100,MATTHEWS 40866,S200000,00200,0200,NC 40866,S200000,00200,0300,28105 40866,S200000,00300,0100,MECKLENBURG 40866,S200000,00400,0100,PLANTATION ESTATES 40866,S200000,00400,0200,345326 40866,S200000,00400,0300,09/06/1990 40866,S200000,00400,0500,P 40866,S200000,01500,0100,Y 40866,S200000,01900,0100,503C 40875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40875,A000000,00300,0000,00300EMPLOYEE BENEFITS 40875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40875,A000000,00700,0000,00700HOUSEKEEPING 40875,A000000,00800,0000,00800DIETARY 40875,A000000,00900,0000,00900NURSING ADMINISTRATION 40875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40875,A000000,01100,0000,01100PHARMACY 40875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40875,A000000,01300,0000,01300SOCIAL SERVICE 40875,A000000,01350,0000,01500PATIENT ACTIVITIES 40875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40875,A000000,01600,0000,01600SKILLED NURSING FACILITY 40875,A000000,01800,0000,01800NURSING FACILITY 40875,A000000,01810,0000,01810ICF/MR 40875,A000000,01900,0000,01900OTHER LONG TERM CARE 40875,A000000,02500,0000,02500PHYSICAL THERAPY 40875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40875,A000000,02700,0000,02700SPEECH PATHOLOGY 40875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40875,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40875,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40875,A000000,03550,0000,03550FQHC 40875,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40875,A000000,05000,0000,05000CORF 40875,A000000,05010,0000,05010CMHC 40875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40875,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40875,A000000,06150,0000,06300OTHER CCRC COST 40875,B100000,00000,0100,00000SQUARE FEET 40875,B100000,00000,0200,00000SQUARE FEET 40875,B100000,00000,0300,00000GROSS SALARIES 40875,B100000,00000,0400,00000ACCUM. COST 40875,B100000,00000,0500,00000SQUARE FEET 40875,B100000,00000,0600,00000POUNDS OF LAUNDRY 40875,B100000,00000,0700,00000SQ FTG EXC DIETAR 40875,B100000,00000,0800,00000PATIENT DAYS 40875,B100000,00000,0900,00000DIRECT NRSING HRS 40875,B100000,00000,1000,00000COSTED REQUIS 40875,B100000,00000,1100,00000PATIENT DAYS 40875,B100000,00000,1200,00000DIRECT NRSING HRS 40875,B100000,00000,1300,00000PATIENT DAYS 40875,B100000,00000,1350,00000PATIENT DAYS 40875,B100000,00000,1400,00000ASSIGNED TIME 40875,E10A180,00501,0100,08/16/2000 40875,S000000,00100,0200,09/01/2000 40875,S200000,00100,0100,2360 SWEETEN CREEK ROAD 40875,S200000,00200,0100,ASHEVILLE 40875,S200000,00200,0200,NC 40875,S200000,00300,0100,BUNCOMBE 40875,S200000,00400,0100,THE GIVENS ESTATES INC. 40875,S200000,00400,0200,345328 40875,S200000,00400,0300,12/01/1990 40875,S200000,00400,0500,P 40875,S200000,00600,0200,345328 40875,S200000,00600,0300,12/01/1990 40875,S200000,00600,0600,P 40875,S200000,01600,0100,Y 40883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40883,A000000,00300,0000,00300EMPLOYEE BENEFITS 40883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40883,A000000,00700,0000,00700HOUSEKEEPING 40883,A000000,00800,0000,00800DIETARY 40883,A000000,00900,0000,00900NURSING ADMINISTRATION 40883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40883,A000000,01100,0000,01100PHARMACY 40883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40883,A000000,01300,0000,01300SOCIAL SERVICE 40883,A000000,01350,0000,01500PATIENT ACTIVITIES 40883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40883,A000000,01600,0000,01600SKILLED NURSING FACILITY 40883,A000000,01810,0000,01810ICF/MR 40883,A000000,01900,0000,01900OTHER LONG TERM CARE 40883,A000000,02500,0000,02500PHYSICAL THERAPY 40883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40883,A000000,02700,0000,02700SPEECH PATHOLOGY 40883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40883,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40883,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40883,A000000,03550,0000,03550FQHC 40883,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40883,A000000,05000,0000,05000CORF 40883,A000000,05010,0000,05010CMHC 40883,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40883,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40883,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40883,A81000A,00100,0100,Y 40883,A81000B,00100,0300,HOME OFFICE CAPITAL 40883,A81000B,00200,0300,MANAGEMENT SERVICES 40883,A81000C,00100,0100,A 40883,A81000C,00100,0200,RICHARD BENNETT 40883,A81000C,00100,0400,RICHARD BENNET AND ASSOC. 40883,A81000C,00100,0600,HOME OFFICE 40883,B100000,00000,0100,00000SQUARE FEET 40883,B100000,00000,0200,00000SQUARE FEET 40883,B100000,00000,0300,00000GROSS SALARIES 40883,B100000,00000,0400,00000ACCUM. COST 40883,B100000,00000,0500,00000SQUARE FEET 40883,B100000,00000,0600,00000POUNDS OF LAUNDRY 40883,B100000,00000,0700,00000SQ. FTG. EXC. DIET 40883,B100000,00000,0800,00000PATIENT DAYS 40883,B100000,00000,0900,00000NURSING HOURS 40883,B100000,00000,1000,00000SUPPLY CHARGES 40883,B100000,00000,1100,00000PATIENT DAYS 40883,B100000,00000,1200,00000PATIENT DAYS 40883,B100000,00000,1300,00000PATIENT DAYS 40883,B100000,00000,1350,00000PATIENT DAYS 40883,B100000,00000,1400,00000ASSIGNED TIME 40883,E10A180,00301,0100,03/29/1999 40883,E10A180,00501,0100,06/29/2000 40883,E10A180,00550,0300,06/29/2000 40883,S000000,00100,0200,05/19/2000 40883,S200000,00100,0100,116 LANE DRIVE 40883,S200000,00200,0100,TRINITY 40883,S200000,00200,0200,NC 40883,S200000,00300,0100,RANDOLPH 40883,S200000,00400,0100,THE GRAYBRIER NURSING AND RET. CTR. 40883,S200000,00400,0200,345330 40883,S200000,00400,0300,11/08/1990 40883,S200000,00400,0500,P 40883,S200000,01600,0100,Y 40901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40901,A000000,00300,0000,00300EMPLOYEE BENEFITS 40901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40901,A000000,00700,0000,00700HOUSEKEEPING 40901,A000000,00800,0000,00800DIETARY 40901,A000000,00900,0000,00900NURSING ADMINISTRATION 40901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40901,A000000,01100,0000,01100PHARMACY 40901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40901,A000000,01300,0000,01300SOCIAL SERVICE 40901,A000000,01301,0000,01301ACTIVITES 40901,A000000,01350,0000,01500REHABILITATION 40901,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40901,A000000,01600,0000,01600SKILLED NURSING FACILITY 40901,A000000,01800,0000,01800NURSING FACILITY 40901,A000000,01810,0000,01810ICF/MR 40901,A000000,02100,0000,02100RADIOLOGY 40901,A000000,02200,0000,02200LABORATORY 40901,A000000,02300,0000,02300INTRAVENOUS THERAPY 40901,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40901,A000000,02500,0000,02500PHYSICAL THERAPY 40901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40901,A000000,02700,0000,02700SPEECH PATHOLOGY 40901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40901,A000000,03050,0000,03300EQUIPMENT RENTAL 40901,A000000,03051,0000,03301PEN THERAPY 40901,A000000,03550,0000,03550FQHC 40901,A000000,04800,0000,04800AMBULANCE 40901,A000000,05000,0000,05000CORF 40901,A000000,05010,0000,05010CMHC 40901,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40901,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40901,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40901,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40901,A000000,06150,0000,06300VENDING 40901,A000000,06151,0000,06301STAND-BY 40901,A81000A,00100,0100,Y 40901,A81000B,00100,0300,CENTRAL SUPPLY 40901,A81000B,00200,0300,DIETARY SUPPLEMENTS 40901,A81000B,00300,0300,PRESCRIPTION DRUGS 40901,A81000B,00400,0300,MEDICAL SUPPLIES 40901,A81000B,00500,0300,ADMIN COSTS 40901,A81000B,00600,0300,BLDG CAPITAL 40901,A81000B,00700,0300,IV THERAPY 40901,A81000B,00800,0300,PHYSICAL THERAPY 40901,A81000B,00900,0300,OCCUPATIONAL THERAPY 40901,A81000B,01000,0300,SPEECH THERAPY 40901,A81000C,00100,0100,B 40901,A81000C,00100,0200,BCHR WILSON (NC 40901,A81000C,00100,0400,MARINER PAN 40901,A81000C,00100,0600,NURSING HOMES 40901,A81000C,00200,0100,G 40901,A81000C,00200,0200,MARINER PAN 40901,A81000C,00200,0400,AMER PHARM SVCS 40901,A81000C,00200,0600,PHARMACEUTICALS 40901,A81000C,00300,0100,G 40901,A81000C,00300,0200,MARINER PAN 40901,A81000C,00300,0400,PRISM-ATS-ARS-T 40901,A81000C,00300,0600,THERAPIES 40901,B100000,00000,0100,00001SQUARE FEET 40901,B100000,00000,0200,00001SQUARE FEET 40901,B100000,00000,0300,00001GROSS SALARIES 40901,B100000,00000,0400,00001ACCUM COST 40901,B100000,00000,0500,00001SQUARE FEET 40901,B100000,00000,0600,00001PATIENT DAYS 40901,B100000,00000,0700,00001SQUARE FEET 40901,B100000,00000,0800,00001MEALS SERVED 40901,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40901,B100000,00000,1000,00001PATIENT DAYS 40901,B100000,00000,1100,00001COSTED REQUIS 40901,B100000,00000,1200,00001PATIENT DAYS 40901,B100000,00000,1300,00001PATIENT DAYS 40901,B100000,00000,1301,00001PATIENT DAYS 40901,B100000,00000,1350,00001UNITS OF SERVICE 40901,B100000,00000,1400,00001ASSIGNED TIME 40901,E10A180,00301,0100,07/19/1999 40901,E10A180,00302,0100,07/19/1999 40901,E10A180,00550,0100,08/30/2000 40901,S000000,00100,0200,08/30/2000 40901,S200000,00100,0100,2501 DOWNING ST. 40901,S200000,00100,0300,3566 40901,S200000,00200,0100,WILSON 40901,S200000,00200,0200,NC 40901,S200000,00200,0300,27895 40901,S200000,00300,0100,WILSON 40901,S200000,00400,0100,BRIAN CTR HLTH & REHAB /WILSON 40901,S200000,00400,0200,345332 40901,S200000,00400,0300,11/09/1990 40901,S200000,00400,0500,P 40901,S200000,01600,0100,Y 40901,S200000,02200,0100,Y 40919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40919,A000000,00300,0000,00300EMPLOYEE BENEFITS 40919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40919,A000000,00700,0000,00700HOUSEKEEPING 40919,A000000,00800,0000,00800DIETARY 40919,A000000,00900,0000,00900NURSING ADMINISTRATION 40919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40919,A000000,01100,0000,01100PHARMACY 40919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40919,A000000,01300,0000,01300SOCIAL SERVICE 40919,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40919,A000000,01600,0000,01600SKILLED NURSING FACILITY 40919,A000000,01800,0000,01800NURSING FACILITY 40919,A000000,01810,0000,01810ICF/MR 40919,A000000,01900,0000,01900OTHER LONG TERM CARE 40919,A000000,02100,0000,02100RADIOLOGY 40919,A000000,02200,0000,02200LABORATORY 40919,A000000,02300,0000,02300INTRAVENOUS THERAPY 40919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40919,A000000,02500,0000,02500PHYSICAL THERAPY 40919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40919,A000000,02700,0000,02700SPEECH PATHOLOGY 40919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40919,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40919,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40919,A000000,03550,0000,03550FQHC 40919,A000000,05000,0000,05000CORF 40919,A000000,05010,0000,05010CMHC 40919,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40919,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40919,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40919,A000000,05300,0000,05300INTEREST EXPENSE 40919,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40919,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40919,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40919,A81000A,00100,0100,Y 40919,A81000B,00100,0300,CONSULTING 40919,A81000B,00200,0300,CONSULTING 40919,A81000B,00300,0300,CONSULTING 40919,A81000B,00400,0300,CONSULTING 40919,A81000B,00500,0300,HOME OFFICE 40919,A81000B,00600,0300,CONSULTING 40919,A81000B,00700,0300,INSURANCE 40919,A81000B,00800,0300,GAS 40919,A81000C,00100,0100,B 40919,A81000C,00100,0400,BRITTHAVEN INC 40919,A81000C,00100,0600,MGMT SVS 40919,A81000C,00200,0100,B 40919,A81000C,00200,0400,BRITTHAVEN INC 40919,A81000C,00200,0600,MGMT SVS 40919,A81000C,00300,0100,B 40919,A81000C,00300,0400,BRITTHAVEN INC 40919,A81000C,00300,0600,MGMT SVS 40919,A81000C,00400,0100,B 40919,A81000C,00400,0400,BRITTHAVEN INC 40919,A81000C,00400,0600,MGMT SVS 40919,A81000C,00500,0100,B 40919,A81000C,00500,0400,BRITTHAVEN INC 40919,A81000C,00500,0600,MGMT SVS 40919,A81000C,00600,0100,B 40919,A81000C,00600,0400,BRITTHAVEN INC 40919,A81000C,00600,0600,MGMT SVS 40919,A81000C,00700,0100,B 40919,A81000C,00700,0400,BRITTHAVEN INC 40919,A81000C,00700,0600,MGMT SVS 40919,A81000C,00800,0100,B 40919,A81000C,00800,0400,BRITTHAVEN INC 40919,A81000C,00800,0600,MGMT SVS 40919,A81000C,00900,0100,B 40919,A81000C,00900,0400,BRITTHAVEN INC 40919,A81000C,00900,0600,MGMT SVS 40919,A81000C,01000,0100,B 40919,A81000C,01000,0400,R.HILL NONS. CO 40919,A81000C,01000,0600,CONSTRUCTION 40919,B100000,00000,0100,00000SQUARE FEET 40919,B100000,00000,0200,00000SQUARE FEET 40919,B100000,00000,0300,00000GROSS SALARIES 40919,B100000,00000,0400,00000ACCUM COST 40919,B100000,00000,0500,00000SQUARE FEET 40919,B100000,00000,0600,00000POUNDS OF LAUNDRY 40919,B100000,00000,0700,00000SQUARE FEET 40919,B100000,00000,0800,00000MEALS SERVED 40919,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40919,B100000,00000,1000,00000COSTED REQUISITIO 40919,B100000,00000,1100,00000COSTED REQUISITIO 40919,B100000,00000,1200,00000TIME SPENT 40919,B100000,00000,1300,00000TIME SPENT 40919,B100000,00000,1350,00000SQUARE FEET 40919,B100000,00000,1400,00000ASSIGNED TIME 40919,E10A180,00301,0100,03/29/1999 40919,S000000,00100,0200,03/21/2000 40919,S200000,00100,0100,1704 NC HIGHWAY 39 NORTH 40919,S200000,00100,0300,N/A 40919,S200000,00200,0100,LOUISBURG 40919,S200000,00200,0200,NC 40919,S200000,00200,0300,27549 40919,S200000,00300,0100,FRANKLIN 40919,S200000,00400,0100,BRITTHAVEN OF LOUISBURG 40919,S200000,00400,0200,345335 40919,S200000,00400,0300,11/02/1990 40919,S200000,00400,0500,P 40919,S200000,01600,0100,Y 40925,S000000,00100,0200,04/04/2000 40933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40933,A000000,00300,0000,00300EMPLOYEE BENEFITS 40933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40933,A000000,00700,0000,00700HOUSEKEEPING 40933,A000000,00800,0000,00800DIETARY 40933,A000000,00900,0000,00900NURSING ADMINISTRATION 40933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40933,A000000,01100,0000,01100PHARMACY 40933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40933,A000000,01300,0000,01300SOCIAL SERVICE 40933,A000000,01301,0000,01301ACTIVITES 40933,A000000,01350,0000,01500REHABILITATION 40933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40933,A000000,01600,0000,01600SKILLED NURSING FACILITY 40933,A000000,01800,0000,01800NURSING FACILITY 40933,A000000,01810,0000,01810ICF/MR 40933,A000000,02100,0000,02100RADIOLOGY 40933,A000000,02200,0000,02200LABORATORY 40933,A000000,02300,0000,02300INTRAVENOUS THERAPY 40933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40933,A000000,02500,0000,02500PHYSICAL THERAPY 40933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40933,A000000,02700,0000,02700SPEECH PATHOLOGY 40933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40933,A000000,03050,0000,03300EQUIPMENT RENTAL 40933,A000000,03051,0000,03301PEN THERAPY 40933,A000000,03550,0000,03550FQHC 40933,A000000,04800,0000,04800AMBULANCE 40933,A000000,05000,0000,05000CORF 40933,A000000,05010,0000,05010CMHC 40933,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40933,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40933,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40933,A000000,06150,0000,06300VENDING 40933,A000000,06151,0000,06301STAND-BY 40933,A81000A,00100,0100,Y 40933,A81000B,00100,0300,CENTRAL SUPPLY 40933,A81000B,00200,0300,DIETARY SUPPLEMENTS 40933,A81000B,00300,0300,RT- OTHER 40933,A81000B,00400,0300,PRESCRIPTION DRUGS 40933,A81000B,00500,0300,MEDICAL SUPPLIES 40933,A81000B,00600,0300,ADMIN COSTS 40933,A81000B,00700,0300,BLDG CAPITAL 40933,A81000B,00800,0300,NURSING ADMINISTRATION 40933,A81000B,00900,0300,IV THERAPY 40933,A81000B,01000,0300,PHYSICAL THERAPY 40933,A81000B,01100,0300,OCCUPATIONAL THERAPY 40933,A81000B,01200,0300,SPEECH THERAPY 40933,A81000C,00100,0100,B 40933,A81000C,00100,0200,WINSOR (NC) 126 40933,A81000C,00100,0400,MARINER PAN 40933,A81000C,00100,0600,NURSING HOMES 40933,A81000C,00200,0100,G 40933,A81000C,00200,0200,MARINER PAN 40933,A81000C,00200,0400,AMER PHARM SVCS 40933,A81000C,00200,0600,PHARMACEUTICALS 40933,A81000C,00300,0100,G 40933,A81000C,00300,0200,MARINER PAN 40933,A81000C,00300,0400,PRISM-ATS-ARS-T 40933,A81000C,00300,0600,THERAPIES 40933,B100000,00000,0100,00001SQUARE FEET 40933,B100000,00000,0200,00001SQUARE FEET 40933,B100000,00000,0300,00001GROSS SALARIES 40933,B100000,00000,0400,00001ACCUM COST 40933,B100000,00000,0500,00001SQUARE FEET 40933,B100000,00000,0600,00001PATIENT DAYS 40933,B100000,00000,0700,00001SQUARE FEET 40933,B100000,00000,0800,00001MEALS SERVED 40933,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40933,B100000,00000,1000,00001PATIENT DAYS 40933,B100000,00000,1100,00001COSTED REQUIS 40933,B100000,00000,1200,00001PATIENT DAYS 40933,B100000,00000,1300,00001PATIENT DAYS 40933,B100000,00000,1301,00001PATIENT DAYS 40933,B100000,00000,1350,00001UNITS OF SERVICE 40933,B100000,00000,1400,00001ASSIGNED TIME 40933,E10A180,00301,0100,07/19/1999 40933,E10A180,00302,0100,07/19/1999 40933,E10A180,00550,0100,08/30/2000 40933,E10A180,00550,0300,08/30/2000 40933,S000000,00100,0200,08/30/2000 40933,S200000,00100,0100,1302 SOUTH KING STREET 40933,S200000,00200,0100,WINDSOR 40933,S200000,00200,0200,NC 40933,S200000,00200,0300,27983 40933,S200000,00300,0100,BERTIE 40933,S200000,00400,0100,BRIAN CTR HLTH & REHAB/WINDSOR 40933,S200000,00400,0200,345339 40933,S200000,00400,0300,12/18/1990 40933,S200000,00400,0500,P 40933,S200000,01600,0100,Y 40933,S200000,02200,0100,Y 40940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40940,A000000,00300,0000,00300EMPLOYEE BENEFITS 40940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40940,A000000,00700,0000,00700HOUSEKEEPING 40940,A000000,00800,0000,00800DIETARY 40940,A000000,00900,0000,00900NURSING ADMINISTRATION 40940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40940,A000000,01100,0000,01100PHARMACY 40940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40940,A000000,01300,0000,01300SOCIAL SERVICE 40940,A000000,01301,0000,01301ACTIVITIES 40940,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 40940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40940,A000000,01600,0000,01600SKILLED NURSING FACILITY 40940,A000000,01800,0000,01800NURSING FACILITY 40940,A000000,01810,0000,01810ICF/MR 40940,A000000,02100,0000,02100RADIOLOGY 40940,A000000,02200,0000,02200LABORATORY 40940,A000000,02300,0000,02300INTRAVENOUS THERAPY 40940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40940,A000000,02500,0000,02500PHYSICAL THERAPY 40940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40940,A000000,02700,0000,02700SPEECH PATHOLOGY 40940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40940,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 40940,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40940,A000000,03550,0000,03550FQHC 40940,A000000,05000,0000,05000CORF 40940,A000000,05010,0000,05010CMHC 40940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40940,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40940,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40940,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 40940,A81000A,00100,0100,Y 40940,A81000B,00100,0300,HOME OFFICE COSTS 40940,A81000B,00200,0300,NURSING SUPPLIES 40940,A81000B,00300,0300,COST OF SUPPLIES SOLD/ OXYGEN 40940,A81000B,00400,0300,DIETARY SUPPLEMENTS 40940,A81000B,00500,0300,DRUGS PHARM. CONTRACT 40940,A81000B,00600,0300,IV SUPPLIES 40940,A81000B,00700,0300,THERAPIES 40940,A81000B,00800,0300,THERAPIES 40940,A81000B,00900,0300,THERAPIES 40940,A81000B,01000,0300,HOME OFFICE INTEREST 40940,A81000C,00100,0100,B 40940,A81000C,00100,0200,MAPLE LEAF HEAL 40940,A81000C,00100,0400,MARINER PAN 40940,A81000C,00100,0600,NURSING HOMES 40940,A81000C,00200,0100,G 40940,A81000C,00200,0200,MARINER POST-AC 40940,A81000C,00200,0400,AMERICAN PHARMA 40940,A81000C,00200,0600,PHARMACEUTICAL 40940,A81000C,00300,0100,G 40940,A81000C,00300,0200,MARINER POST-AC 40940,A81000C,00300,0400,PRISM (ATS ARS 40940,A81000C,00300,0600,THERAPIES 40940,B100000,00000,0100,00000SQUARE FEET 40940,B100000,00000,0200,00000SQUARE FEET 40940,B100000,00000,0300,00000GROSS SALARIES 40940,B100000,00000,0400,00000ACCUM COST 40940,B100000,00000,0500,00000SQUARE FEET 40940,B100000,00000,0600,00000POUNDS OF LAUNDRY 40940,B100000,00000,0700,00000HOURS OF SERVICE 40940,B100000,00000,0800,00000MEALS SERVED 40940,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 40940,B100000,00000,1000,00000COSTED REQUISITIO 40940,B100000,00000,1100,00000COSTED REQUISITIO 40940,B100000,00000,1200,00000TIME SPENT 40940,B100000,00000,1300,00000TIME SPENT 40940,B100000,00000,1301,00000TIME SPENT 40940,B100000,00000,1350,00000UNITS OF SERVICE 40940,B100000,00000,1400,00000ASSIGNED TIME 40940,E10A180,00301,0100,07/19/1999 40940,E10A180,00302,0100,07/19/1999 40940,E10A180,00501,0300,08/30/2000 40940,E10A180,00550,0100,08/30/2000 40940,S000000,00100,0200,08/30/2000 40940,S200000,00100,0100,2640 DAVIE AVENUE 40940,S200000,00200,0100,STATESVILLE 40940,S200000,00200,0200,NC 40940,S200000,00200,0300,28677 40940,S200000,00300,0100,IREDELL 40940,S200000,00400,0100,MAPLE LEAF HEALTH CARE 40940,S200000,00400,0200,345340 40940,S200000,00400,0300,11/13/1990 40940,S200000,00400,0500,P 40940,S200000,01600,0100,Y 40948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40948,A000000,00300,0000,00300EMPLOYEE BENEFITS 40948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40948,A000000,00700,0000,00700HOUSEKEEPING 40948,A000000,00800,0000,00800DIETARY 40948,A000000,00900,0000,00900NURSING ADMINISTRATION 40948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40948,A000000,01100,0000,01100PHARMACY 40948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40948,A000000,01300,0000,01300SOCIAL SERVICE 40948,A000000,01350,0000,01500OTHER GENERAL SERVICES 40948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40948,A000000,01600,0000,01600SKILLED NURSING FACILITY 40948,A000000,01800,0000,01800NURSING FACILITY 40948,A000000,01810,0000,01810ICF/MR 40948,A000000,01900,0000,01900OTHER LONG TERM CARE 40948,A000000,02200,0000,02200LABORATORY 40948,A000000,02500,0000,02500PHYSICAL THERAPY 40948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40948,A000000,02700,0000,02700SPEECH PATHOLOGY 40948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40948,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40948,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40948,A000000,03550,0000,03550FQHC 40948,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40948,A000000,05000,0000,05000CORF 40948,A000000,05010,0000,05010CMHC 40948,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40948,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40948,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40948,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40948,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40948,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40948,A81000A,00100,0100,Y 40948,A81000B,00100,0300,RENTAL OF FACILITY 40948,A81000C,00100,0100,B 40948,A81000C,00100,0200,MAX & JEAN LONGLEY 40948,A81000C,00100,0400,PIGEON VALLEY NSG. FAC. 40948,A81000C,00100,0600,MANAGEMENT 40948,B100000,00000,0100,00000SQUARE FEET 40948,B100000,00000,0200,00000SQUARE FEET 40948,B100000,00000,0300,00000GROSS SALARIES 40948,B100000,00000,0400,00000ACCUM. COST 40948,B100000,00000,0500,00000SQUARE FEET 40948,B100000,00000,0600,00000PATIENT DAYS 40948,B100000,00000,0700,00000SQUARE FEET 40948,B100000,00000,0800,00000PATIENT DAYS 40948,B100000,00000,0900,00000NURSING HOURS 40948,B100000,00000,1000,00000PATIENT DAYS 40948,B100000,00000,1100,00000NO STATISTICS 40948,B100000,00000,1200,00000PATIENT DAYS 40948,B100000,00000,1300,00000NO STATISTICS 40948,B100000,00000,1350,00000NO STATISTICS 40948,B100000,00000,1400,00000NO STATISTICS 40948,E10A180,00301,0100,03/15/1999 40948,S000000,00100,0200,06/16/2000 40948,S200000,00100,0100,100 SILVER BLUFF DRIVE 40948,S200000,00200,0100,CANTON 40948,S200000,00200,0200,NC 40948,S200000,00300,0100,HAYWOOD 40948,S200000,00400,0100,SILVER BLUFF INC. 40948,S200000,00400,0200,345341 40948,S200000,00400,0300,09/24/1990 40948,S200000,00400,0500,P 40948,S200000,00600,0200,346458 40948,S200000,00600,0300,09/24/1990 40948,S200000,01600,0100,Y 40955,S000000,00100,0200,03/30/2000 40961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40961,A000000,00300,0000,00300EMPLOYEE BENEFITS 40961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40961,A000000,00700,0000,00700HOUSEKEEPING 40961,A000000,00800,0000,00800DIETARY 40961,A000000,00900,0000,00900NURSING ADMINISTRATION 40961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40961,A000000,01100,0000,01100PHARMACY 40961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40961,A000000,01300,0000,01300SOCIAL SERVICE 40961,A000000,01301,0000,01301ACTIVITIES 40961,A000000,01350,0000,01500REHABILITATION 40961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40961,A000000,01600,0000,01600SKILLED NURSING FACILITY 40961,A000000,01800,0000,01800NURSING FACILITY 40961,A000000,01810,0000,01810ICF/MR 40961,A000000,02100,0000,02100RADIOLOGY 40961,A000000,02200,0000,02200LABORATORY 40961,A000000,02300,0000,02300INTRAVENOUS THERAPY 40961,A000000,02500,0000,02500PHYSICAL THERAPY 40961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40961,A000000,02700,0000,02700SPEECH PATHOLOGY 40961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40961,A000000,03050,0000,03300EQUIPMENT RENTAL 40961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 40961,A000000,03550,0000,03550FQHC 40961,A000000,05000,0000,05000CORF 40961,A000000,05010,0000,05010CMHC 40961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40961,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 40961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40961,A000000,06150,0000,06300VENDING 40961,A000000,06151,0000,06301STAND-BY 40961,A81000A,00100,0100,Y 40961,A81000B,00100,0300,CENTRAL SUPPLY 40961,A81000B,00200,0300,MEDICAL SUPPLIES 40961,A81000B,00300,0300,BENEFITS 40961,A81000B,00400,0300,DIETARY 40961,A81000B,00500,0300,DRUGS 40961,A81000B,00600,0300,EQUIPMENT RENTAL 40961,A81000B,00700,0300,IV 40961,A81000B,00800,0300,PT 40961,A81000B,00900,0300,OT 40961,A81000B,01000,0300,ST 40961,A81000B,01100,0300,BLDG CAPITAL 40961,A81000B,01200,0300,ADMIN & GENERAL 40961,A81000C,00100,0100,B 40961,A81000C,00100,0200,BCHR GOLDSBORO 40961,A81000C,00100,0400,MARINER PAN 40961,A81000C,00100,0600,NURSING HOMES 40961,A81000C,00200,0100,G 40961,A81000C,00200,0200,MARINER PAN 40961,A81000C,00200,0400,AMERICAN PHARMA 40961,A81000C,00200,0600,PHARMACEUTICALS 40961,A81000C,00300,0100,G 40961,A81000C,00300,0200,MARINER PAN 40961,A81000C,00300,0400,PRISM (ATS ARS 40961,A81000C,00300,0600,THERAPIES 40961,B100000,00000,0100,00001SQUARE FEET 40961,B100000,00000,0200,00001SQUARE FEET 40961,B100000,00000,0300,00001GROSS SALARIES 40961,B100000,00000,0400,00001ACCUM COST 40961,B100000,00000,0500,00001SQUARE FEET 40961,B100000,00000,0600,00001PATIENT DAYS 40961,B100000,00000,0700,00001SQUARE FEET 40961,B100000,00000,0800,00001MEALS SERVED 40961,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40961,B100000,00000,1000,00001PATIENT DAYS 40961,B100000,00000,1100,00001COSTED REQUIS 40961,B100000,00000,1200,00001PATIENT DAYS 40961,B100000,00000,1300,00001PATIENT DAYS 40961,B100000,00000,1301,00001PATIENT DAYS 40961,B100000,00000,1350,00001UNITS OF SERVICE 40961,B100000,00000,1400,00001ASSIGNED TIME 40961,E10A180,00501,0100,10/25/2000 40961,S000000,00100,0200,08/30/2000 40961,S200000,00100,0100,1700 WAYNE MEMORIAL DR. 40961,S200000,00200,0100,GOLDSBORO 40961,S200000,00200,0200,NC 40961,S200000,00200,0300,27534 40961,S200000,00300,0100,WAYNE 40961,S200000,00400,0100,BRIAN CTR HLTH & REHAB/GOLDSBORO 40961,S200000,00400,0200,345343 40961,S200000,00400,0300,01/03/1991 40961,S200000,00400,0500,P 40961,S200000,01600,0100,Y 40961,S200000,02200,0100,Y 40966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40966,A000000,00300,0000,00300EMPLOYEE BENEFITS 40966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40966,A000000,00700,0000,00700HOUSEKEEPING 40966,A000000,00800,0000,00800DIETARY 40966,A000000,00900,0000,00900NURSING ADMINISTRATION 40966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40966,A000000,01100,0000,01100PHARMACY 40966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40966,A000000,01300,0000,01300SOCIAL SERVICE 40966,A000000,01301,0000,01301ACTIVITES 40966,A000000,01350,0000,01500REHABILITATION 40966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40966,A000000,01600,0000,01600SKILLED NURSING FACILITY 40966,A000000,01800,0000,01800NURSING FACILITY 40966,A000000,01810,0000,01810ICF/MR 40966,A000000,02100,0000,02100RADIOLOGY 40966,A000000,02200,0000,02200LABORATORY 40966,A000000,02300,0000,02300INTRAVENOUS THERAPY 40966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 40966,A000000,02500,0000,02500PHYSICAL THERAPY 40966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40966,A000000,02700,0000,02700SPEECH PATHOLOGY 40966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40966,A000000,03050,0000,03300EQUIPMENT RENTAL 40966,A000000,03051,0000,03301PEN THERAPY 40966,A000000,03550,0000,03550FQHC 40966,A000000,05000,0000,05000CORF 40966,A000000,05010,0000,05010CMHC 40966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40966,A000000,06150,0000,06300VENDING 40966,A000000,06151,0000,06301STAND-BY 40966,A81000A,00100,0100,Y 40966,A81000B,00100,0300,HOME OFFICE COST 40966,A81000B,00200,0300,DIETARY SUPPLEMENTS 40966,A81000B,00400,0300,PRESCRIPTION DRUGS 40966,A81000B,00500,0300,MEDICAL SUPPLIES 40966,A81000B,00600,0300,ADMIN COSTS 40966,A81000B,00700,0300,HOME OFFICE CAPITAL 40966,A81000B,00900,0300,IV THERAPY 40966,A81000B,01100,0300,PHYSICAL THERAPY 40966,A81000B,01200,0300,OCCUPATIONAL THERAPY 40966,A81000B,01300,0300,SPEECH THERAPY 40966,A81000B,01500,0300,RT 40966,A81000B,01600,0300,CENTRAL SUPPY 40966,A81000B,01700,0300,NURSING ADMIN 40966,A81000C,00100,0100,B 40966,A81000C,00100,0200,B/C MONROE PS#1 40966,A81000C,00100,0400,MARINER PAN 40966,A81000C,00100,0600,NURSING HOMES 40966,A81000C,00200,0100,G 40966,A81000C,00200,0200,MARINER PAN 40966,A81000C,00200,0400,AMER PHARM SVCS 40966,A81000C,00200,0600,PHARMACEUTICALS 40966,A81000C,00300,0100,G 40966,A81000C,00300,0200,MARINER PAN 40966,A81000C,00300,0400,PRISM-ATS-ARS-T 40966,A81000C,00300,0600,THERAPIES 40966,B100000,00000,0100,00001SQUARE FEET 40966,B100000,00000,0200,00001SQUARE FEET 40966,B100000,00000,0300,00001GROSS SALARIES 40966,B100000,00000,0400,00001ACCUM COST 40966,B100000,00000,0500,00001SQUARE FEET 40966,B100000,00000,0600,00001PATIENT DAYS 40966,B100000,00000,0700,00001SQUARE FEET 40966,B100000,00000,0800,00001MEALS SERVED 40966,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 40966,B100000,00000,1000,00001PATIENT DAYS 40966,B100000,00000,1100,00001COSTED REQUIS 40966,B100000,00000,1200,00001PATIENT DAYS 40966,B100000,00000,1300,00001PATIENT DAYS 40966,B100000,00000,1301,00001PATIENT DAYS 40966,B100000,00000,1350,00001UNITS OF SERVICE 40966,B100000,00000,1400,00001ASSIGNED TIME 40966,E10A180,00301,0100,07/19/1999 40966,E10A180,00550,0100,08/30/2000 40966,E10A180,00550,0300,08/30/2000 40966,S000000,00100,0200,08/30/2000 40966,S200000,00100,0100,204 OLD HWY. 74 EAST 40966,S200000,00200,0100,MONROE 40966,S200000,00200,0200,NC 40966,S200000,00200,0300,28112 40966,S200000,00300,0100,UNION 40966,S200000,00400,0100,BRIAN CTR HLTH & REHAB/MONROE 40966,S200000,00400,0200,345345 40966,S200000,00400,0300,01/30/1991 40966,S200000,00400,0500,P 40966,S200000,01600,0100,Y 40966,S200000,02200,0100,Y 40973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40973,A000000,00300,0000,00300EMPLOYEE BENEFITS 40973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40973,A000000,00700,0000,00700HOUSEKEEPING 40973,A000000,00800,0000,00800DIETARY 40973,A000000,00900,0000,00900NURSING ADMINISTRATION 40973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40973,A000000,01100,0000,01100PHARMACY 40973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40973,A000000,01300,0000,01300SOCIAL SERVICE 40973,A000000,01350,0000,01500PATIENT ACTIVITIES 40973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40973,A000000,01600,0000,01600SKILLED NURSING FACILITY 40973,A000000,01800,0000,01800NURSING FACILITY 40973,A000000,01810,0000,01810ICF/MR 40973,A000000,01900,0000,01900OTHER LONG TERM CARE 40973,A000000,02500,0000,02500PHYSICAL THERAPY 40973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40973,A000000,02700,0000,02700SPEECH PATHOLOGY 40973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 40973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 40973,A000000,03550,0000,03550FQHC 40973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 40973,A000000,05000,0000,05000CORF 40973,A000000,05010,0000,05010CMHC 40973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 40973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 40973,A81000A,00100,0100,Y 40973,A81000B,00100,0300,HOME OFFICE 40973,A81000B,00200,0300,HOME OFFICE 40973,A81000B,00300,0300,MGMT FEES 40973,A81000B,00400,0300,CENTRAL OFFICE 40973,A81000B,00500,0300,ACCOUNTING 40973,A81000B,00600,0300,NON-LEGEND 40973,A81000B,00700,0300,NON-LEGEND 40973,A81000B,00800,0300,NON-LEGEND 40973,A81000B,00900,0300,NON-LEGEND 40973,A81000B,01000,0300,PHARMACY CONSULTANT 40973,A81000B,01100,0300,LEGEND DRUGS 40973,A81000C,00100,0100,B 40973,A81000C,00100,0200,MEADOWBROOK OF DURHAM 40973,A81000C,00100,0400,MEADOWBROOK HEALTHCARE 40973,A81000C,00100,0600,HOME OFFICE 40973,A81000C,00200,0100,B 40973,A81000C,00200,0400,MEADOWBROOK HEALTHCARE 40973,A81000C,00200,0600,HOME OFFICE 40973,A81000C,00300,0100,B 40973,A81000C,00300,0400,MEADOWBROOK HEALTHCARE 40973,A81000C,00300,0600,HOME OFFICE 40973,A81000C,00400,0100,B 40973,A81000C,00400,0400,MEADOWBROOK HEALTHCARE 40973,A81000C,00400,0600,HOME OFFICE 40973,A81000C,00500,0100,B 40973,A81000C,00500,0400,MEADOWBROOK HEALTHCARE 40973,A81000C,00500,0600,HOME OFFICE 40973,A81000C,00600,0100,B 40973,A81000C,00600,0400,BRROKCARE PHARMACY 40973,A81000C,00600,0600,PHARMACY 40973,A81000C,00700,0100,B 40973,A81000C,00700,0400,BROOKCARE PHARMACY 40973,A81000C,00700,0600,PHARMACY 40973,A81000C,00800,0100,B 40973,A81000C,00800,0400,BROOKCARE PHARMACY 40973,A81000C,00800,0600,PHARMACY 40973,A81000C,00900,0100,B 40973,A81000C,00900,0400,BROOKCARE PHARMACY 40973,A81000C,00900,0600,PHARMACY 40973,B100000,00000,0100,00000SQUARE FEET 40973,B100000,00000,0200,00000SQUARE FEET 40973,B100000,00000,0300,00000GROSS SALARIES 40973,B100000,00000,0400,00000ACCUM. COST 40973,B100000,00000,0500,00000SQUARE FEET 40973,B100000,00000,0600,00000POUNDS OF LAUNDRY 40973,B100000,00000,0700,00000SQ FTG EXCL DIET 40973,B100000,00000,0800,00000PATIENT DAYS 40973,B100000,00000,0900,00000NURSING HRS 40973,B100000,00000,1000,00000COST 40973,B100000,00000,1100,00000COST 40973,B100000,00000,1200,00000PATIENT DAYS 40973,B100000,00000,1300,00000PATIENT DAYS 40973,B100000,00000,1350,00000PATIENT DAYS 40973,B100000,00000,1400,00000ASSIGNED TIME 40973,E10A180,00301,0100,03/29/1999 40973,E10A180,00501,0300,06/01/2000 40973,E10A180,00550,0100,06/01/2000 40973,S000000,00100,0200,06/01/2000 40973,S200000,00100,0100,5935 MT. SINAI 40973,S200000,00200,0100,DURHAM 40973,S200000,00200,0200,NC 40973,S200000,00300,0100,ORANGE 40973,S200000,00400,0100,MEADOWBROOK MANOR OF DURHAM 40973,S200000,00400,0200,345346 40973,S200000,00400,0300,01/08/1991 40973,S200000,00400,0500,P 40973,S200000,01600,0100,Y 40973,S200000,02800,0100,Y 40984,S000000,00100,0200,06/01/2000 40992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40992,A000000,00300,0000,00300EMPLOYEE BENEFITS 40992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40992,A000000,00700,0000,00700HOUSEKEEPING 40992,A000000,00800,0000,00800DIETARY 40992,A000000,00900,0000,00900NURSING ADMINISTRATION 40992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40992,A000000,01100,0000,01100PHARMACY 40992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40992,A000000,01300,0000,01300SOCIAL SERVICE 40992,A000000,01350,0000,01500PATIENT ACTIVITIES 40992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40992,A000000,01600,0000,01600SKILLED NURSING FACILITY 40992,A000000,01800,0000,01800NURSING FACILITY 40992,A000000,01810,0000,01810ICF/MR 40992,A000000,01900,0000,01900OTHER LONG TERM CARE 40992,A000000,02100,0000,02100RADIOLOGY 40992,A000000,02200,0000,02200LABORATORY 40992,A000000,02500,0000,02500PHYSICAL THERAPY 40992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40992,A000000,02700,0000,02700SPEECH PATHOLOGY 40992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40992,A000000,03050,0000,03300PARENTERAL/ENTERAL THERAPY 40992,A000000,03550,0000,03550FQHC 40992,A000000,05000,0000,05000CORF 40992,A000000,05010,0000,05010CMHC 40992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 40992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40992,A81000A,00100,0100,Y 40992,A81000B,00100,0300,CONTRACT SERVICES PT 40992,A81000B,00200,0300,CONTRACT SERVICES OT 40992,A81000B,00300,0300,CONTRACT SERVICES ST 40992,A81000B,00400,0300,CONTRACT SERVICES 40992,A81000B,00500,0300,CONTRACT SERVICES 40992,A81000C,00100,0100,A 40992,A81000C,00100,0200,NOAH K. DUNCAN 40992,A81000C,00100,0400,CC REHAB INC. 40992,A81000C,00100,0600,THERAPY COMPANY 40992,A81000C,00200,0100,A 40992,A81000C,00200,0200,NOAH K. DUNCAN 40992,A81000C,00200,0400,CC REHAB INC. 40992,A81000C,00200,0600,THERAPY COMPANY 40992,A81000C,00300,0100,A 40992,A81000C,00300,0200,NOAH K. DUNCAN 40992,A81000C,00300,0400,CC REHAB INC. 40992,A81000C,00300,0600,THERAPY COMPANY 40992,A81000C,00400,0100,A 40992,A81000C,00400,0200,NOAH K. DUNCAN 40992,A81000C,00400,0400,CC REHAB INC. 40992,A81000C,00400,0600,THERAPY COMPANY 40992,B100000,00000,0100,00000SQUARE FEET 40992,B100000,00000,0200,00000SQUARE FEET 40992,B100000,00000,0300,00000GROSS SALARIES 40992,B100000,00000,0400,00000ACCUM COST 40992,B100000,00000,0500,00000SQUARE FEET 40992,B100000,00000,0600,00000POUNDS OF LAUNDRY 40992,B100000,00000,0700,00000HOURS OF SERVICE 40992,B100000,00000,0800,00000MEALS SERVED 40992,B100000,00000,0900,00000DIRECT NRSG HRS 40992,B100000,00000,1000,00000COSTED REQUIS 40992,B100000,00000,1100,00000COSTED REQUIS 40992,B100000,00000,1200,00000TIME SPENT 40992,B100000,00000,1300,00000TIME SPENT 40992,B100000,00000,1350,00000PATIENT DAYS 40992,B100000,00000,1400,00000ASSIGNED TIME 40992,E10A180,00550,0100,06/06/2000 40992,E10A180,00550,0300,06/06/2000 40992,S000000,00100,0200,06/30/2000 40992,S200000,00100,0100,523 COUNTRY CLUB DRIVE 40992,S200000,00200,0100,FAYETTEVILLE 40992,S200000,00200,0200,NC 40992,S200000,00200,0300,28301 40992,S200000,00300,0100,CUMBERLAND 40992,S200000,00400,0100,WHISPERING PINES NURSING HOME 40992,S200000,00400,0200,345348 40992,S200000,00400,0300,01/22/1991 40992,S200000,00400,0500,P 40992,S200000,00600,0200,346021 40992,S200000,00600,0300,01/22/1991 40992,S200000,00600,0600,P 40992,S200000,01600,0100,Y 40997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 40997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 40997,A000000,00300,0000,00300EMPLOYEE BENEFITS 40997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 40997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 40997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 40997,A000000,00700,0000,00700HOUSEKEEPING 40997,A000000,00800,0000,00800DIETARY 40997,A000000,00900,0000,00900NURSING ADMINISTRATION 40997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 40997,A000000,01100,0000,01100PHARMACY 40997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 40997,A000000,01300,0000,01300SOCIAL SERVICE 40997,A000000,01350,0000,01500PATIENT ACTIVITIES 40997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 40997,A000000,01600,0000,01600SKILLED NURSING FACILITY 40997,A000000,01800,0000,01800NURSING FACILITY 40997,A000000,01810,0000,01810ICF/MR 40997,A000000,02100,0000,02100RADIOLOGY 40997,A000000,02200,0000,02200LABORATORY 40997,A000000,02201,0000,02205EMERGENCY ROOM 40997,A000000,02500,0000,02500PHYSICAL THERAPY 40997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 40997,A000000,02700,0000,02700SPEECH PATHOLOGY 40997,A000000,02800,0000,02800ELECTROCARDIOLOGY 40997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 40997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 40997,A000000,03050,0000,03300PARENTERAL / ENTERAL THERAPY 40997,A000000,03101,0000,03105DRUGS / DETAIL CODE 40997,A000000,03550,0000,03550FQHC 40997,A000000,05000,0000,05000CORF 40997,A000000,05010,0000,05010CMHC 40997,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 40997,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 40997,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 40997,A000000,05900,0000,05900BARBER & BEAUTY SHOP 40997,A81000A,00100,0100,Y 40997,A81000B,00100,0300,RENT 40997,A81000B,00200,0300,MORTGAGE INTEREST 40997,A81000B,00300,0300,BLDG DEPRECIATION 40997,A81000B,00400,0300,LOAN COST AMORT 40997,A81000B,00500,0300,EQUIP DEPRECIATION 40997,A81000C,00100,0100,A 40997,A81000C,00100,0200,AVANT & NUNN 40997,A81000C,00100,0400,AVANT NUNN LLC 40997,A81000C,00100,0600,RENTAL 40997,A81000C,00200,0100,A 40997,A81000C,00200,0200,AVANT & NUNN 40997,A81000C,00200,0400,AVANT NUNN LLC 40997,A81000C,00200,0600,RENTAL 40997,A81000C,00300,0100,A 40997,A81000C,00300,0200,AVANT & NUNN 40997,A81000C,00300,0400,AVANT NUNN LLC 40997,A81000C,00300,0600,RENTAL 40997,A81000C,00400,0100,A 40997,A81000C,00400,0200,AVANT & NUNN 40997,A81000C,00400,0400,AVANT NUNN LLC 40997,A81000C,00400,0600,RENTAL 40997,A81000C,00500,0100,A 40997,A81000C,00500,0200,AVANT & NUNN 40997,A81000C,00500,0400,AVANT NUNN LLC 40997,A81000C,00500,0600,RENTAL 40997,B100000,00000,0100,00000SQUARE FEET 40997,B100000,00000,0200,00000SQUARE FEET 40997,B100000,00000,0300,00000GROSS SALARIES 40997,B100000,00000,0400,00000ACCUM COST 40997,B100000,00000,0500,00000SQUARE FEET 40997,B100000,00000,0600,00000POUNDS OF LAUNDRY 40997,B100000,00000,0700,00000SQUARE FEET 40997,B100000,00000,0800,00000MEALS SERVED 40997,B100000,00000,0900,00000DIRECT NRSG HRS 40997,B100000,00000,1000,00000COSTED REQUIS 40997,B100000,00000,1100,00000COSTED REQUIS 40997,B100000,00000,1200,00000PATIENT DAYS 40997,B100000,00000,1300,00000PATIENT DAYS 40997,B100000,00000,1350,00000PATIENT DAYS 40997,B100000,00000,1400,00000ASSIGNED TIME 40997,E10A180,00301,0100,04/12/1999 40997,S000000,00100,0200,06/09/2000 40997,S200000,00100,0100,810 SOUTH WALKER STREET 40997,S200000,00200,0100,BURGAW 40997,S200000,00200,0200,NC 40997,S200000,00200,0300,28425 40997,S200000,00300,0100,PENDER 40997,S200000,00400,0100,WOODBURY WELLINESS CENTER INC. 40997,S200000,00400,0200,345349 40997,S200000,00400,0300,11/07/1990 40997,S200000,00400,0500,P 40997,S200000,00600,0200,346235 40997,S200000,00600,0300,11/07/1990 40997,S200000,00600,0600,P 40997,S200000,01600,0100,Y 41012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41012,A000000,00300,0000,00300EMPLOYEE BENEFITS 41012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41012,A000000,00700,0000,00700HOUSEKEEPING 41012,A000000,00800,0000,00800DIETARY 41012,A000000,00900,0000,00900NURSING ADMINISTRATION 41012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41012,A000000,01100,0000,01100PHARMACY 41012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41012,A000000,01300,0000,01300SOCIAL SERVICE 41012,A000000,01350,0000,01500PATIENT ACTIVITIES 41012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41012,A000000,01600,0000,01600SKILLED NURSING FACILITY 41012,A000000,01800,0000,01800NURSING FACILITY 41012,A000000,01810,0000,01810ICF/MR 41012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41012,A000000,02500,0000,02500PHYSICAL THERAPY 41012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41012,A000000,02700,0000,02700SPEECH PATHOLOGY 41012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41012,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41012,A000000,03200,0000,03200SUPPORT SURFACES 41012,A000000,03550,0000,03550FQHC 41012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41012,A000000,05000,0000,05000CORF 41012,A000000,05010,0000,05010CMHC 41012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41012,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41012,A81000A,00100,0100,Y 41012,A81000B,00100,0300,CENTRAL OFFICE OVHD 41012,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 41012,A81000C,00100,0100,B 41012,A81000C,00100,0200,AUTUMN CORPORATION 41012,A81000C,00100,0400,AUTUMN CORPORATION 41012,A81000C,00100,0600,HOME OFFICE 41012,A81000C,00200,0100,B 41012,A81000C,00200,0200,AUTUMN CORPORATION 41012,A81000C,00200,0400,AUTUMN CORPORATION 41012,A81000C,00200,0600,HOME OFFICE 41012,B100000,00000,0100,00000SQUARE FEET 41012,B100000,00000,0200,00000SQUARE FEET 41012,B100000,00000,0300,00000GROSS SALARIES 41012,B100000,00000,0400,00000ACCUM. COST 41012,B100000,00000,0500,00000SQUARE FEET 41012,B100000,00000,0600,00000POUNDS OF LAUNDRY 41012,B100000,00000,0700,00000SQ FT W/O DIETARY 41012,B100000,00000,0800,00000PATIENT DAYS 41012,B100000,00000,0900,00000HOURS OF SERVICE 41012,B100000,00000,1000,00000PATIENT DAYS 41012,B100000,00000,1100,00000PATIENT DAYS 41012,B100000,00000,1200,00000PATIENT DAYS 41012,B100000,00000,1300,00000PATIENT DAYS 41012,B100000,00000,1350,00000PATIENT DAYS 41012,B100000,00000,1400,00000ASSIGNED TIME 41012,E10A180,00301,0100,03/15/1999 41012,E10A180,00501,0300,05/09/2000 41012,E10A180,00550,0100,05/05/2000 41012,S000000,00100,0200,05/09/2000 41012,S200000,00100,0100,ESSEOLA DRIVE 41012,S200000,00100,0300,488 41012,S200000,00200,0100,SALUDA 41012,S200000,00200,0200,NC 41012,S200000,00200,0300,28773 41012,S200000,00300,0100,POLK 41012,S200000,00400,0100,AUTUMN CARE OF SALUDA 41012,S200000,00400,0200,345351 41012,S200000,00400,0300,03/01/1991 41012,S200000,00400,0500,P 41012,S200000,01600,0100,Y 41020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41020,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 41020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41020,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 41020,A000000,00300,0000,00300EMPLOYEE BENEFITS 41020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41020,A000000,00700,0000,00700HOUSEKEEPING 41020,A000000,00800,0000,00800DIETARY 41020,A000000,00801,0000,00801CAFETERIA 41020,A000000,00900,0000,00900NURSING ADMINISTRATION 41020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41020,A000000,01100,0000,01100PHARMACY 41020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41020,A000000,01300,0000,01300SOCIAL SERVICE 41020,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41020,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41020,A000000,01600,0000,01600SKILLED NURSING FACILITY 41020,A000000,01800,0000,01800NURSING FACILITY 41020,A000000,01810,0000,01810ICF/MR 41020,A000000,02200,0000,02200LABORATORY 41020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41020,A000000,02500,0000,02500PHYSICAL THERAPY 41020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41020,A000000,02700,0000,02700SPEECH PATHOLOGY 41020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41020,A000000,03050,0000,03300AIR FLUIZED THERAPY 41020,A000000,03051,0000,03301OTHER ANCILLARY II 41020,A000000,03052,0000,03302OTHER ANCILLARY III 41020,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41020,A000000,03550,0000,03550FQHC 41020,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41020,A000000,05000,0000,05000CORF I 41020,A000000,05010,0000,05010CMHC I 41020,A000000,05020,0000,05020OPT I 41020,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41020,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41020,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41020,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41020,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41020,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41020,A81000A,00100,0100,Y 41020,A81000B,00100,0300,LEASE EXPENSE 41020,A81000B,00200,0300,DEPRECIATION EXP. 41020,A81000C,00100,0100,D 41020,A81000C,00100,0200,RICHARD ALLEN 41020,A81000C,00100,0400,RICHARD ALLEN 41020,A81000C,00100,0600,INDIVIDUAL 41020,A81000C,00200,0100,D 41020,A81000C,00200,0200,RICHARD ALLEN 41020,A81000C,00200,0400,RICHARD ALLEN 41020,A81000C,00200,0600,INDIVIDUAL 41020,B100000,00000,0100,00000(SQUARE FEET) 41020,B100000,00000,0101,00000(SQUARE FEET) 41020,B100000,00000,0200,00000(SQUARE FEET) 41020,B100000,00000,0201,00000(SQUARE FEET) 41020,B100000,00000,0300,00000(GROSS SALARIES) 41020,B100000,00000,0400,00000(ACCUM. COST) 41020,B100000,00000,0500,00000(SQUARE FEET) 41020,B100000,00000,0600,00000PATIENT DA 41020,B100000,00000,0700,00000(SQUARE FEET) 41020,B100000,00000,0800,00000PATIENT DA 41020,B100000,00000,0801,00000(MEALS SERVED) 41020,B100000,00000,0900,00000NURSING SA 41020,B100000,00000,1000,00000PATIENT DA 41020,B100000,00000,1100,00000(COSTED REQUIS.) 41020,B100000,00000,1200,00000PATIENT DA 41020,B100000,00000,1300,00000TIME SPENT 41020,B100000,00000,1350,00000 41020,B100000,00000,1400,00000(ASSIGNED TIME) 41020,E10A180,00501,0100,07/17/2000 41020,E10A180,00501,0300,07/17/2000 41020,S000000,00100,0200,06/02/2000 41020,S200000,00100,0100,1700 PAMALEE ROAD 41020,S200000,00200,0100,FAYETTEVILLE 41020,S200000,00200,0200,NC 41020,S200000,00200,0300,28301 41020,S200000,00300,0100,CUMBERLAND 41020,S200000,00400,0100,HIGHLAND HOUSE OF FAYETTEVILLE 41020,S200000,00400,0200,345353 41020,S200000,00400,0300,03/05/1991 41020,S200000,00400,0500,P 41020,S200000,00600,0200,345353 41020,S200000,00600,0300,03/05/1991 41020,S200000,00600,0600,P 41020,S200000,01600,0100,Y 41020,S200000,02200,0100,Y 41033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41033,A000000,00300,0000,00300EMPLOYEE BENEFITS 41033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41033,A000000,00700,0000,00700HOUSEKEEPING 41033,A000000,00800,0000,00800DIETARY 41033,A000000,00900,0000,00900NURSING ADMINISTRATION 41033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41033,A000000,01100,0000,01100PHARMACY 41033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41033,A000000,01300,0000,01300SOCIAL SERVICE 41033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41033,A000000,01600,0000,01600SKILLED NURSING FACILITY 41033,A000000,01810,0000,01810ICF/MR 41033,A000000,01900,0000,01900OTHER LONG TERM CARE 41033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41033,A000000,02500,0000,02500PHYSICAL THERAPY 41033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41033,A000000,02700,0000,02700SPEECH PATHOLOGY 41033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41033,A000000,03050,0000,03300AIR-FLUIDIZED THERAPY 41033,A000000,03550,0000,03550FQHC 41033,A000000,05000,0000,05000CORF 41033,A000000,05010,0000,05010CMHC 41033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41033,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41033,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41033,A000000,06150,0000,06300UTILIZATION REVIEW 41033,B100000,00000,0100,00000SQUARE FEET 41033,B100000,00000,0200,00000DOLLAR VALUE 41033,B100000,00000,0300,00000GROSS SALARIES 41033,B100000,00000,0400,00000ACCUM. COST 41033,B100000,00000,0500,00000SQUARE FEET 41033,B100000,00000,0600,00000POUNDS OF LAUNDRY 41033,B100000,00000,0700,00000SQUARE FEET 41033,B100000,00000,0800,00000MEALS SERVED 41033,B100000,00000,0900,00000DIRECT NRSING HRS 41033,B100000,00000,1000,00000DAYS 41033,B100000,00000,1100,00000DAYS 41033,B100000,00000,1200,00000TIME SPENT 41033,B100000,00000,1300,00000TIME SPENT 41033,B100000,00000,1400,00000ASSIGNED TIME 41033,E10A180,00550,0100,10/12/1999 41033,E10A180,00550,0300,10/12/1999 41033,S000000,00100,0200,10/12/1999 41033,S200000,00100,0100,222 MILLTOWN ROAD 41033,S200000,00200,0100,ROBBINSVILLE 41033,S200000,00200,0200,NC 41033,S200000,00200,0300,28771 41033,S200000,00300,0100,GRAHAM 41033,S200000,00400,0100,GRAHAM CARE CENTER 41033,S200000,00400,0200,345355 41033,S200000,00400,0300,02/05/1991 41033,S200000,00400,0500,P 41033,S200000,01500,0100,Y 41033,S200000,03100,0100,Y 41033,S200000,04100,0100,Y 41034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41034,A000000,00300,0000,00300EMPLOYEE BENEFITS 41034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41034,A000000,00700,0000,00700HOUSEKEEPING 41034,A000000,00800,0000,00800DIETARY 41034,A000000,00900,0000,00900NURSING ADMINISTRATION 41034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41034,A000000,01100,0000,01100PHARMACY 41034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41034,A000000,01300,0000,01300SOCIAL SERVICE 41034,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41034,A000000,01600,0000,01600SKILLED NURSING FACILITY 41034,A000000,01810,0000,01810ICF/MR 41034,A000000,01900,0000,01900OTHER LONG TERM CARE 41034,A000000,02100,0000,02100RADIOLOGY 41034,A000000,02200,0000,02200LABORATORY 41034,A000000,02300,0000,02300INTRAVENOUS THERAPY 41034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41034,A000000,02500,0000,02500PHYSICAL THERAPY 41034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41034,A000000,02700,0000,02700SPEECH PATHOLOGY 41034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41034,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41034,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41034,A000000,03550,0000,03550FQHC 41034,A000000,05000,0000,05000CORF 41034,A000000,05010,0000,05010CMHC 41034,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41034,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41034,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41034,A000000,05300,0000,05300INTEREST EXPENSE 41034,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41034,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41034,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41034,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41034,A81000A,00100,0100,Y 41034,A81000B,00100,0300,CONSULTANTS 41034,A81000B,00200,0300,CONSULTANTS 41034,A81000B,00300,0300,CONSULTANTS 41034,A81000B,00400,0300,CONSULTANTS 41034,A81000B,00500,0300,HOME OFFICE 41034,A81000B,00600,0300,CONSULTANTS 41034,A81000C,00100,0100,B 41034,A81000C,00100,0400,BRITTHAVEN INC 41034,A81000C,00100,0600,MGMT SVS 41034,A81000C,00200,0100,B 41034,A81000C,00200,0400,BRITTHAVEN INC 41034,A81000C,00200,0600,MGMT SVS 41034,A81000C,00300,0100,B 41034,A81000C,00300,0400,BRITTHAVEN INC 41034,A81000C,00300,0600,MGMT SVS 41034,A81000C,00400,0100,B 41034,A81000C,00400,0400,BRITTHAVEN INC 41034,A81000C,00400,0600,MGMT SVS 41034,A81000C,00500,0100,B 41034,A81000C,00500,0400,BRITTHAVEN INC 41034,A81000C,00500,0600,MGMT SVS 41034,A81000C,00600,0100,B 41034,A81000C,00600,0400,BRITTHAVEN INC 41034,A81000C,00600,0600,MGMT SVS 41034,A81000C,00700,0100,B 41034,A81000C,00700,0400,BRITTHAVEN INC 41034,A81000C,00700,0600,MGMT SVS 41034,A81000C,00800,0100,B 41034,A81000C,00800,0400,BRITTHAVEN INC 41034,A81000C,00800,0600,MGMT SVS 41034,A81000C,00900,0100,B 41034,A81000C,00900,0400,BRITTHAVEN INC 41034,A81000C,00900,0600,MGMT SVS 41034,A81000C,01000,0100,B 41034,A81000C,01000,0400,R. HILL CONS. C 41034,A81000C,01000,0600,CONSTRUCTION 41034,B100000,00000,0100,00000SQUARE FEET 41034,B100000,00000,0200,00000SQUARE FEET 41034,B100000,00000,0300,00000GROSS SALARIES 41034,B100000,00000,0400,00000ACCUM COST 41034,B100000,00000,0500,00000SQUARE FEET 41034,B100000,00000,0600,00000POUNDS OF LAUNDRY 41034,B100000,00000,0700,00000SQUARE FEET 41034,B100000,00000,0800,00000MEALS SERVED 41034,B100000,00000,0900,00000PATIENT DAYS 41034,B100000,00000,1000,00000COSTED REQUISITIO 41034,B100000,00000,1100,00000COSTED REQUISITIO 41034,B100000,00000,1200,00000TIME SPENT 41034,B100000,00000,1300,00000TIME SPENT 41034,B100000,00000,1350,00000SQUARE FEET 41034,B100000,00000,1400,00000ASSIGNED TIME 41034,E10A180,00501,0100,05/19/2000 41034,E10A180,00550,0300,05/19/2000 41034,S000000,00100,0200,03/21/2000 41034,S200000,00100,0100,222 MILLTOWN ROAD 41034,S200000,00200,0100,ROBBINSVILLE 41034,S200000,00200,0200,NC 41034,S200000,00200,0300,28771 41034,S200000,00300,0100,GRAHAM 41034,S200000,00400,0100,BRITTHAVEN OF GRAHAM 41034,S200000,00400,0200,345355 41034,S200000,00400,0300,02/05/1991 41034,S200000,00400,0500,P 41034,S200000,01600,0100,Y 41034,S200000,04700,0100,Y 41041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41041,A000000,00300,0000,00300EMPLOYEE BENEFITS 41041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41041,A000000,00700,0000,00700HOUSEKEEPING 41041,A000000,00800,0000,00800DIETARY 41041,A000000,00900,0000,00900NURSING ADMINISTRATION 41041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41041,A000000,01100,0000,01100PHARMACY 41041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41041,A000000,01300,0000,01300SOCIAL SERVICE 41041,A000000,01350,0000,01500PATIENT ACTIVITIES 41041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41041,A000000,01600,0000,01600SKILLED NURSING FACILITY 41041,A000000,01810,0000,01810ICF/MR 41041,A000000,01900,0000,01900OTHER LONG TERM CARE 41041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41041,A000000,02500,0000,02500PHYSICAL THERAPY 41041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41041,A000000,02700,0000,02700SPEECH PATHOLOGY 41041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41041,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41041,A000000,03550,0000,03550FQHC 41041,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41041,A000000,05000,0000,05000CORF 41041,A000000,05010,0000,05010CMHC 41041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41041,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41041,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41041,A81000A,00100,0100,Y 41041,A81000B,00100,0300,CENTRAL OFFICE OVHD 41041,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 41041,A81000C,00100,0100,A 41041,A81000C,00100,0200,AUTUMN CORPORATION 41041,A81000C,00100,0400,AUTUMN CORPORATION 41041,A81000C,00100,0600,HOME OFFICE 41041,A81000C,00200,0100,A 41041,A81000C,00200,0200,AUTUMN CORPORATION 41041,A81000C,00200,0400,AUTUMN CORPORATION 41041,A81000C,00200,0600,HOME OFFICE 41041,B100000,00000,0100,00000SQUARE FEET 41041,B100000,00000,0200,00000SQUARE FEET 41041,B100000,00000,0300,00000GROSS SALARIES 41041,B100000,00000,0400,00000ACCUM. COST 41041,B100000,00000,0500,00000SQUARE FEET 41041,B100000,00000,0600,00000POUNDS OF LAUNDRY 41041,B100000,00000,0700,00000SQ FT W/O DIETARY 41041,B100000,00000,0800,00000PATIENT DAYS 41041,B100000,00000,0900,00000HOURS OF SERVICE 41041,B100000,00000,1000,00000PATIENT DAYS 41041,B100000,00000,1100,00000PATIENT DAYS 41041,B100000,00000,1200,00000PATIENT DAYS 41041,B100000,00000,1300,00000PATIENT DAYS 41041,B100000,00000,1350,00000CERTIFIEDP PATIENT DA 41041,B100000,00000,1400,00000ASSIGNED TIME 41041,E10A180,00301,0100,03/15/2000 41041,E10A180,00501,0300,05/09/2000 41041,E10A180,00550,0100,05/09/2000 41041,E10A180,00551,0100,06/27/2000 41041,S000000,00100,0200,05/09/2000 41041,S200000,00100,0100,115 N. MAIN ST 41041,S200000,00100,0300,560 41041,S200000,00200,0100,RICH SQUARE 41041,S200000,00200,0200,NC 41041,S200000,00200,0300,27869 41041,S200000,00300,0100,NORTHHAMPTON 41041,S200000,00400,0100,AUTUMN CARE OF ROANOKE VALLEY 41041,S200000,00400,0200,345356 41041,S200000,00400,0300,02/19/1991 41041,S200000,00400,0500,P 41041,S200000,01500,0100,Y 41051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41051,A000000,00300,0000,00300EMPLOYEE BENEFITS 41051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41051,A000000,00700,0000,00700HOUSEKEEPING 41051,A000000,00800,0000,00800DIETARY 41051,A000000,00900,0000,00900NURSING ADMINISTRATION 41051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41051,A000000,01100,0000,01100PHARMACY 41051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41051,A000000,01300,0000,01300SOCIAL SERVICE 41051,A000000,01350,0000,01500OTHER GENERAL SERVICES 41051,A000000,01351,0000,01501ACTIVITIES 41051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41051,A000000,01600,0000,01600SKILLED NURSING FACILITY 41051,A000000,01810,0000,01810ICF/MR 41051,A000000,02100,0000,02100RADIOLOGY 41051,A000000,02200,0000,02200LABORATORY 41051,A000000,02500,0000,02500PHYSICAL THERAPY 41051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41051,A000000,02700,0000,02700SPEECH PATHOLOGY 41051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41051,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41051,A000000,03200,0000,03200SUPPORT SURFACES 41051,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41051,A000000,03550,0000,03550FQHC 41051,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41051,A000000,05000,0000,05000CORF 41051,A000000,05010,0000,05010CMHC 41051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41051,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41051,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41051,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41051,A81000A,00100,0100,Y 41051,A81000B,00100,0300,MANAGEMENT FEES 41051,A81000C,00100,0100,B 41051,A81000C,00100,0200,CRAVEN REGIONAL AUTHORITY 41051,B100000,00000,0100,00000SQUARE FEET 41051,B100000,00000,0200,00000DOLLAR VALUE 41051,B100000,00000,0300,00000GROSS SALARIES 41051,B100000,00000,0400,00000ACCUM. COST 41051,B100000,00000,0500,00000SQUARE FEET 41051,B100000,00000,0600,00000POUNDS OF LAUNDRY 41051,B100000,00000,0700,00000SQUARE FEET 41051,B100000,00000,0800,00000MEALS SERVED 41051,B100000,00000,0900,00000DIRECT NRSING HRS 41051,B100000,00000,1000,00000COSTED REQUIS. 41051,B100000,00000,1100,00000COSTED REQUIS. 41051,B100000,00000,1200,00000TIME SPENT 41051,B100000,00000,1300,00000TIME SPENT 41051,B100000,00000,1350,00000NO STATISTICS 41051,B100000,00000,1351,00000TIME SPENT 41051,B100000,00000,1400,00000ASSIGNED TIME 41051,E10A180,00301,0100,08/27/1999 41051,E10A180,00501,0100,03/17/2000 41051,E10A180,00501,0300,03/17/2000 41051,S000000,00100,0200,01/13/2000 41051,S200000,00100,0100,1303 HEALTH DRIVE 41051,S200000,00100,0300,PO BOX 1024 41051,S200000,00200,0100,NEW BERN 41051,S200000,00200,0200,NC 41051,S200000,00300,0100,CRAVEN 41051,S200000,00400,0100,TWIN RIVERS NURSING CENTER INC. 41051,S200000,00400,0200,345357 41051,S200000,00400,0300,02/15/1991 41051,S200000,00400,0500,P 41051,S200000,01500,0100,Y 41051,S200000,01900,0100,HOSPITAL AUTHORITY 41051,S200000,02800,0100,Y 41051,S200000,04300,0100,Y 41058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41058,A000000,00300,0000,00300EMPLOYEE BENEFITS 41058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41058,A000000,00700,0000,00700HOUSEKEEPING 41058,A000000,00800,0000,00800DIETARY 41058,A000000,00900,0000,00900NURSING ADMINISTRATION 41058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41058,A000000,01100,0000,01100PHARMACY 41058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41058,A000000,01300,0000,01300SOCIAL SERVICE 41058,A000000,01350,0000,01500ACTIVITIES 41058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41058,A000000,01600,0000,01600SKILLED NURSING FACILITY 41058,A000000,01800,0000,01800NURSING FACILITY 41058,A000000,01810,0000,01810ICF/MR 41058,A000000,02100,0000,02100RADIOLOGY 41058,A000000,02200,0000,02200LABORATORY 41058,A000000,02500,0000,02500PHYSICAL THERAPY 41058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41058,A000000,02700,0000,02700SPEECH PATHOLOGY 41058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41058,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41058,A000000,03200,0000,03200SUPPORT SURFACES 41058,A000000,03550,0000,03550FQHC 41058,A000000,05000,0000,05000CORF 41058,A000000,05010,0000,05010CMHC 41058,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41058,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41058,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41058,A81000A,00100,0100,Y 41058,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 41058,A81000B,00200,0300,HOME OFFICE OPERATING 41058,A81000B,00400,0300,HOME OFFICE CAPITAL- 41058,A81000B,00500,0300,HOME OFFICE NURSING 41058,A81000B,00600,0300,HOME OFFICE ACTIVITIES 41058,A81000B,00700,0300,VEHICLE RENTAL SERVICES 41058,A81000B,00901,0300,PRINTING 41058,A81000B,00902,0300,PRINTING 41058,A81000B,00903,0300,PRINTING 41058,A81000B,00906,0300,PRINTING 41058,A81000B,01000,0300,MAINTENANCE & REPAIRS 41058,A81000B,01100,0300,MAINTENANCE & REPAIRS 41058,A81000B,01200,0300,EQUIPMENT RENTALS 41058,A81000B,01300,0300,OFFICE EXPENSE 41058,A81000B,01400,0300,MAINTENANCE SUPPLIES 41058,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 41058,A81000B,01600,0300,HSKPING SUPPLIES 41058,A81000B,01700,0300,FOOD SUPPLIES 41058,A81000B,01800,0300,NURSING SUPPLIES 41058,A81000B,01900,0300,ACTIVITIES SUPPLIES 41058,A81000B,02200,0300,MEDICAL SUPPLIES 41058,A81000B,02300,0300,SUPPLIES 41058,A81000B,02400,0300,NONBILLABLE SUPPLIES 41058,A81000B,02700,0300,BILLABLE SUPPLIES 41058,A81000B,02800,0300,DRUGS SOLD 41058,A81000B,02900,0300,PRINTING 41058,A81000C,00100,0100,A 41058,A81000C,00100,0200,TRIAD MEDICAL SERVICES 41058,A81000C,00100,0400,NOLAN G. BROWN 41058,A81000C,00100,0600,MGMT SERVICES 41058,A81000C,00200,0100,A 41058,A81000C,00300,0100,A 41058,A81000C,00300,0200,TRIAD DATA PROCESSING 41058,A81000C,00300,0400,NOLAN G. BROWN 41058,A81000C,00300,0600,DATA PROCESSING SERVICE 41058,A81000C,00400,0100,A 41058,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 41058,A81000C,00400,0400,NOLAN G. BROWN 41058,A81000C,00400,0600,PRINTING 41058,A81000C,00500,0100,A 41058,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 41058,A81000C,00500,0400,NOLAN G. BROWN 41058,A81000C,00500,0600,PHARMACY 41058,A81000C,00600,0100,A 41058,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 41058,A81000C,00600,0400,NOLAN G. BROWN 41058,A81000C,00600,0600,MEDICAL SUPPLIES 41058,A81000C,00700,0100,A 41058,A81000C,00700,0200,TMS CONSTRUCTION INC 41058,A81000C,00700,0400,NOLAN G. BROWN 41058,A81000C,00700,0600,CONSTRUCTION 41058,A81000C,00800,0100,A 41058,A81000C,00800,0200,NGB ENTERPRISES 41058,A81000C,00800,0400,NOLAN G. BROWN 41058,A81000C,00800,0600,LESSOR 41058,A81000C,00900,0100,A 41058,B100000,00000,0100,00040SQUARE FEET 41058,B100000,00000,0200,00040SQUARE FEET 41058,B100000,00000,0300,00040GROSS SALARIES 41058,B100000,00000,0400,00040ACCUM. COST 41058,B100000,00000,0500,00040SQUARE FEET 41058,B100000,00000,0600,00040PATIENT DAYS 41058,B100000,00000,0700,00040SQUARE FEET 41058,B100000,00000,0800,00040MEALS 41058,B100000,00000,0900,00040HOURS OF SERVICE 41058,B100000,00000,1000,00040COSTED REQUIS 41058,B100000,00000,1100,00040COSTED REQUIS 41058,B100000,00000,1200,00040TIME SPENT 41058,B100000,00000,1300,00040TIME SPENT 41058,B100000,00000,1350,00040TIME SPENT 41058,B100000,00000,1400,00040ASSIGNED TIME 41058,E10A180,00301,0100,04/12/1999 41058,E10A180,00501,0100,07/17/2000 41058,E10A180,00501,0300,07/17/2000 41058,S000000,00100,0200,05/26/2000 41058,S200000,00100,0100,202 SMOKETREE WAY 41058,S200000,00200,0100,LOUISBURG 41058,S200000,00200,0200,NC 41058,S200000,00300,0100,FRANKLIN 41058,S200000,00400,0100,LOUISBURG NURSING CENTER 41058,S200000,00400,0200,345358 41058,S200000,00400,0300,03/22/1991 41058,S200000,00400,0500,P 41058,S200000,00600,0200,345358 41058,S200000,00600,0300,03/22/1991 41058,S200000,00600,0600,P 41058,S200000,01500,0100,Y 41066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41066,A000000,00300,0000,00300EMPLOYEE BENEFITS 41066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41066,A000000,00700,0000,00700HOUSEKEEPING 41066,A000000,00800,0000,00800DIETARY 41066,A000000,00900,0000,00900NURSING ADMINISTRATION 41066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41066,A000000,01100,0000,01100PHARMACY 41066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41066,A000000,01300,0000,01300SOCIAL SERVICE 41066,A000000,01350,0000,01500PATIENT ACTIVITIES 41066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41066,A000000,01600,0000,01600SKILLED NURSING FACILITY 41066,A000000,01810,0000,01810ICF/MR 41066,A000000,01900,0000,01900OTHER LONG TERM CARE 41066,A000000,02500,0000,02500PHYSICAL THERAPY 41066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41066,A000000,02700,0000,02700SPEECH PATHOLOGY 41066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41066,A000000,03200,0000,03200SUPPORT SURFACES 41066,A000000,03550,0000,03550FQHC 41066,A000000,05000,0000,05000CORF 41066,A000000,05010,0000,05010CMHC 41066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41066,A81000A,00100,0100,Y 41066,A81000B,00100,0300,ACCTG SERVICES 41066,A81000C,00100,0100,A 41066,A81000C,00100,0200,LINN WILFONG 41066,A81000C,00100,0400,DPL 41066,A81000C,00100,0600,ACCTG 41066,B100000,00000,0100,00000SQUARE FEET 41066,B100000,00000,0200,00000SQUARE FEET 41066,B100000,00000,0300,00000SALARIES 41066,B100000,00000,0400,00000ACCUM. COST 41066,B100000,00000,0500,00000SQUARE FEET 41066,B100000,00000,0600,00000PATIENT DAYS 41066,B100000,00000,0700,00000SQ FTG EXC DIETAR 41066,B100000,00000,0800,00000PATIENT DAYS 41066,B100000,00000,0900,00000DIRECT NRSING HRS 41066,B100000,00000,1000,00000PATIENT DAYS 41066,B100000,00000,1100,00000PATIENT DAYS 41066,B100000,00000,1200,00000SNF DAYS 41066,B100000,00000,1300,00000SNF DAYS 41066,B100000,00000,1350,00000PATIENT DAYS 41066,B100000,00000,1400,00000ASSIGNED TIME 41066,E10A180,00301,0100,04/12/1999 41066,E10A180,00501,0100,07/12/2000 41066,E10A180,00501,0300,07/12/2000 41066,S000000,00100,0200,06/02/2000 41066,S200000,00100,0100,303 EAST CARVER STREET 41066,S200000,00100,0300,15370 41066,S200000,00200,0100,DURHAM 41066,S200000,00200,0200,NC 41066,S200000,00300,0100,DURHAM 41066,S200000,00400,0100,NORTHWOOD MANOR 41066,S200000,00400,0200,345360 41066,S200000,00400,0300,04/11/1991 41066,S200000,00400,0500,P 41066,S200000,01600,0100,Y 41078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41078,A000000,00300,0000,00300EMPLOYEE BENEFITS 41078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41078,A000000,00700,0000,00700HOUSEKEEPING 41078,A000000,00800,0000,00800DIETARY 41078,A000000,00900,0000,00900NURSING ADMINISTRATION 41078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41078,A000000,01100,0000,01100PHARMACY 41078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41078,A000000,01300,0000,01300SOCIAL SERVICE 41078,A000000,01301,0000,01301ACTIVITES 41078,A000000,01350,0000,01500REHABILITATION 41078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41078,A000000,01600,0000,01600SKILLED NURSING FACILITY 41078,A000000,01800,0000,01800NURSING FACILITY 41078,A000000,01810,0000,01810ICF/MR 41078,A000000,02100,0000,02100RADIOLOGY 41078,A000000,02200,0000,02200LABORATORY 41078,A000000,02300,0000,02300INTRAVENOUS THERAPY 41078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41078,A000000,02500,0000,02500PHYSICAL THERAPY 41078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41078,A000000,02700,0000,02700SPEECH PATHOLOGY 41078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41078,A000000,03050,0000,03300EQUIPMENT RENTAL 41078,A000000,03051,0000,03301PEN THERAPY 41078,A000000,03550,0000,03550FQHC 41078,A000000,05000,0000,05000CORF 41078,A000000,05010,0000,05010CMHC 41078,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41078,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41078,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41078,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41078,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41078,A000000,06150,0000,06300VENDING 41078,A000000,06151,0000,06301STAND-BY 41078,A81000A,00100,0100,Y 41078,A81000B,00100,0300,SPEECH THERAPY 41078,A81000B,00200,0300,DIETARY SUPPLEMENTS 41078,A81000B,00300,0300,PHYSICAL THERAPY 41078,A81000B,00400,0300,PRESCRIPTION DRUGS 41078,A81000B,00500,0300,MEDICAL SUPPLIES 41078,A81000B,00600,0300,BLDG CAPITAL 41078,A81000B,00700,0300,ADMIN & GENERAL 41078,A81000B,00800,0300,IV THERAPY 41078,A81000B,00900,0300,PHYSICAL THERAPY 41078,A81000B,01000,0300,OCCUPATIONAL THERAPY 41078,A81000B,01100,0300,SPEECH THERAPY 41078,A81000B,01200,0300,CENTRAL SUPPLY 41078,A81000C,00100,0100,B 41078,A81000C,00100,0200,BCHR CABARRUS ( 41078,A81000C,00100,0400,MARINER PAN 41078,A81000C,00100,0600,NURSING HOMES 41078,A81000C,00200,0100,G 41078,A81000C,00200,0200,MARINER PAN 41078,A81000C,00200,0400,AMER PHARM SVCS 41078,A81000C,00200,0600,PHARMACEUTICALS 41078,A81000C,00300,0100,G 41078,A81000C,00300,0200,MARINER PAN 41078,A81000C,00300,0400,PRISM-ATS-ARS-T 41078,A81000C,00300,0600,THERAPIES 41078,B100000,00000,0100,00001SQUARE FEET 41078,B100000,00000,0200,00001SQUARE FEET 41078,B100000,00000,0300,00001GROSS SALARIES 41078,B100000,00000,0400,00001ACCUM COST 41078,B100000,00000,0500,00001SQUARE FEET 41078,B100000,00000,0600,00001PATIENT DAYS 41078,B100000,00000,0700,00001SQUARE FEET 41078,B100000,00000,0800,00001MEALS SERVED 41078,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41078,B100000,00000,1000,00001PATIENT DAYS 41078,B100000,00000,1100,00001COSTED REQUIS 41078,B100000,00000,1200,00001PATIENT DAYS 41078,B100000,00000,1300,00001PATIENT DAYS 41078,B100000,00000,1301,00001PATIENT DAYS 41078,B100000,00000,1350,00001UNITS OF SERVICE 41078,B100000,00000,1400,00001ASSIGNED TIME 41078,E10A180,00301,0100,07/19/1999 41078,E10A180,00302,0100,07/19/1999 41078,E10A180,00501,0100,10/24/2000 41078,E10A180,00550,0300,10/24/2000 41078,S000000,00100,0200,08/30/2000 41078,S200000,00100,0100,250 BISHOP LANE 41078,S200000,00200,0100,CONCORD 41078,S200000,00200,0200,NC 41078,S200000,00200,0300,28025 41078,S200000,00300,0100,CABARRUS 41078,S200000,00400,0100,BRIAN CTR HLTH & RETIRE./CABARRUS 41078,S200000,00400,0200,345362 41078,S200000,00400,0300,04/30/1991 41078,S200000,00400,0500,P 41078,S200000,01600,0100,Y 41078,S200000,02200,0100,Y 41084,S000000,00100,0200,02/25/2000 41090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41090,A000000,00300,0000,00300EMPLOYEE BENEFITS 41090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41090,A000000,00700,0000,00700HOUSEKEEPING 41090,A000000,00800,0000,00800DIETARY 41090,A000000,00900,0000,00900NURSING ADMINISTRATION 41090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41090,A000000,01100,0000,01100PHARMACY 41090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41090,A000000,01300,0000,01300SOCIAL SERVICE 41090,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41090,A000000,01600,0000,01600SKILLED NURSING FACILITY 41090,A000000,01800,0000,01800NURSING FACILITY 41090,A000000,01810,0000,01810ICF/MR 41090,A000000,01900,0000,01900OTHER LONG TERM CARE 41090,A000000,02100,0000,02100RADIOLOGY 41090,A000000,02200,0000,02200LABORATORY 41090,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41090,A000000,02500,0000,02500PHYSICAL THERAPY 41090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41090,A000000,02700,0000,02700SPEECH PATHOLOGY 41090,A000000,02800,0000,02800ELECTROCARDIOLOGY 41090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41090,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41090,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41090,A000000,03550,0000,03550FQHC 41090,A000000,05000,0000,05000CORF 41090,A000000,05010,0000,05010CMHC 41090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41090,A000000,05300,0000,05300INTEREST EXPENSE 41090,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41090,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41090,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41090,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41090,A81000A,00100,0100,Y 41090,A81000B,00100,0300,CONSULTING 41090,A81000B,00200,0300,CONSULTING 41090,A81000B,00300,0300,CONSULTING 41090,A81000B,00400,0300,CONSULTING 41090,A81000B,00500,0300,HOME OFFICE 41090,A81000B,00600,0300,CONSULTING 41090,A81000C,00100,0100,B 41090,A81000C,00100,0400,BRITTHAVEN INC 41090,A81000C,00100,0600,MGMT SVS 41090,A81000C,00200,0100,B 41090,A81000C,00200,0400,BRITTHAVEN INC 41090,A81000C,00200,0600,MGMT SVS 41090,A81000C,00300,0100,B 41090,A81000C,00300,0400,BRITTHAVEN INC 41090,A81000C,00300,0600,MGMT SVS 41090,A81000C,00400,0100,B 41090,A81000C,00400,0400,BRITTHAVEN INC 41090,A81000C,00400,0600,MGMT SVS 41090,A81000C,00500,0100,B 41090,A81000C,00500,0400,BRITTHAVEN INC 41090,A81000C,00500,0600,MGMT SVS 41090,A81000C,00600,0100,B 41090,A81000C,00600,0400,BRITTHAVEN INC 41090,A81000C,00600,0600,MGMT SVS 41090,A81000C,00700,0100,B 41090,A81000C,00700,0400,BRITTHAVEN INC 41090,A81000C,00700,0600,MGMT SVS 41090,A81000C,00800,0100,B 41090,A81000C,00800,0400,BRITTHAVEN INC 41090,A81000C,00800,0600,MGMT SVS 41090,A81000C,00900,0100,B 41090,A81000C,00900,0400,BRITTHAVEN INC 41090,A81000C,00900,0600,MGMT SVS 41090,A81000C,01000,0100,B 41090,A81000C,01000,0400,R. HILL CONS. C 41090,A81000C,01000,0600,CONSTRUCTION 41090,B100000,00000,0100,00000SQUARE FEET 41090,B100000,00000,0200,00000SQUARE FEET 41090,B100000,00000,0300,00000GROSS SALARIES 41090,B100000,00000,0400,00000ACCUM COST 41090,B100000,00000,0500,00000SQUARE FEET 41090,B100000,00000,0600,00000POUNDS OF LAUNDRY 41090,B100000,00000,0700,00000SQUARE FEET 41090,B100000,00000,0800,00000MEALS SERVED 41090,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41090,B100000,00000,1000,00000COSTED REQUISITIO 41090,B100000,00000,1100,00000COSTED REQUISITIO 41090,B100000,00000,1200,00000TIME SPENT 41090,B100000,00000,1300,00000TIME SPENT 41090,B100000,00000,1350,00000SQUARE FEET 41090,B100000,00000,1400,00000ASSIGNED TIME 41090,E10A180,00301,0100,03/29/1999 41090,S000000,00100,0200,03/21/2000 41090,S200000,00100,0100,1304 SE SECOND STREET 41090,S200000,00200,0100,SNOW HILL 41090,S200000,00200,0200,NC 41090,S200000,00200,0300,28580 41090,S200000,00300,0100,GREENE 41090,S200000,00400,0100,BRITTHAVEN OF SNOW HILL 41090,S200000,00400,0200,345366 41090,S200000,00400,0300,05/13/1991 41090,S200000,00400,0500,P 41090,S200000,01600,0100,Y 41106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41106,A000000,00300,0000,00300EMPLOYEE BENEFITS 41106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41106,A000000,00700,0000,00700HOUSEKEEPING 41106,A000000,00800,0000,00800DIETARY 41106,A000000,00900,0000,00900NURSING ADMINISTRATION 41106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41106,A000000,01100,0000,01100PHARMACY 41106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41106,A000000,01300,0000,01300SOCIAL SERVICE 41106,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41106,A000000,01600,0000,01600SKILLED NURSING FACILITY 41106,A000000,01800,0000,01800NURSING FACILITY 41106,A000000,01810,0000,01810ICF/MR 41106,A000000,02100,0000,02100RADIOLOGY 41106,A000000,02200,0000,02200LABORATORY 41106,A000000,02500,0000,02500PHYSICAL THERAPY 41106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41106,A000000,02700,0000,02700SPEECH PATHOLOGY 41106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41106,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41106,A000000,03550,0000,03550FQHC 41106,A000000,05000,0000,05000CORF 41106,A000000,05010,0000,05010CMHC 41106,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41106,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41106,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41106,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41106,A81000A,00100,0100,Y 41106,A81000B,00100,0300,CONSULTING 41106,A81000B,00200,0300,CONSULTING 41106,A81000B,00300,0300,CONSULTING 41106,A81000B,00400,0300,CONSULTING 41106,A81000B,00500,0300,HOME OFFICE 41106,A81000B,00600,0300,CONSULTING 41106,A81000B,00700,0300,INSURANCE 41106,A81000B,00800,0300,EQUIPMENT RENTAL 41106,A81000C,00100,0100,B 41106,A81000C,00100,0400,BRITTHAVEN INC 41106,A81000C,00100,0600,MGMT SVS 41106,A81000C,00200,0100,B 41106,A81000C,00200,0400,BRITTHAVEN INC 41106,A81000C,00200,0600,MGMT SVS 41106,A81000C,00300,0100,B 41106,A81000C,00300,0400,BRITTHAVEN INC 41106,A81000C,00300,0600,MGMT SVS 41106,A81000C,00400,0100,B 41106,A81000C,00400,0400,BRITTHAVEN INC 41106,A81000C,00400,0600,MGMT SVS 41106,A81000C,00500,0100,B 41106,A81000C,00500,0400,BRITTHAVEN INC 41106,A81000C,00500,0600,MGMT SVS 41106,A81000C,00600,0100,B 41106,A81000C,00600,0400,BRITTHAVEN INC 41106,A81000C,00600,0600,MGMT SVS 41106,A81000C,00700,0100,B 41106,A81000C,00700,0400,BRITTHAVEN INC 41106,A81000C,00700,0600,MGMT SVS 41106,A81000C,00800,0100,B 41106,A81000C,00800,0400,BRITTHAVEN INC 41106,A81000C,00800,0600,MGMT SVS 41106,A81000C,00900,0100,B 41106,A81000C,00900,0400,BRITTHAVEN INC 41106,A81000C,00900,0600,MGMT SVS 41106,A81000C,01000,0100,B 41106,A81000C,01000,0400,R. HILL CONS. C 41106,A81000C,01000,0600,CONSTRUCTION 41106,B100000,00000,0100,00000SQUARE FEET 41106,B100000,00000,0200,00000SQUARE FEET 41106,B100000,00000,0300,00000GROSS SALARIES 41106,B100000,00000,0400,00000ACCUM COST 41106,B100000,00000,0500,00000SQUARE FEET 41106,B100000,00000,0600,00000POUNDS OF LAUNDRY 41106,B100000,00000,0700,00000HOURS OF SERVICE 41106,B100000,00000,0800,00000MEALS SERVED 41106,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41106,B100000,00000,1000,00000COSTED REQUISITIO 41106,B100000,00000,1100,00000COSTED REQUISITIO 41106,B100000,00000,1200,00000TIME SPENT 41106,B100000,00000,1300,00000TIME SPENT 41106,B100000,00000,1350,00000SQUARE FEET 41106,B100000,00000,1400,00000ASSIGNED TIME 41106,E10A180,00301,0100,04/12/1999 41106,E10A180,00501,0300,04/03/2000 41106,E10A180,00550,0100,04/03/2000 41106,E10A180,00551,0300,05/16/2000 41106,S000000,00100,0200,03/21/2000 41106,S200000,00100,0100,221 SUMMER REST ROAD 41106,S200000,00200,0100,WILMINGTON 41106,S200000,00200,0200,NC 41106,S200000,00200,0300,28405 41106,S200000,00300,0100,NEW HANOVER 41106,S200000,00400,0100,BRITTHAVEN OF WRIGHTSVILLE 41106,S200000,00400,0200,345368 41106,S200000,00400,0300,04/23/1991 41106,S200000,00400,0500,P 41106,S200000,01600,0100,Y 41111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41111,A000000,00300,0000,00300EMPLOYEE BENEFITS 41111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41111,A000000,00700,0000,00700HOUSEKEEPING 41111,A000000,00800,0000,00800DIETARY 41111,A000000,00900,0000,00900NURSING ADMINISTRATION 41111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41111,A000000,01100,0000,01100PHARMACY 41111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41111,A000000,01300,0000,01300SOCIAL SERVICE 41111,A000000,01350,0000,01500ACTIVITIES 41111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41111,A000000,01600,0000,01600SKILLED NURSING FACILITY 41111,A000000,01800,0000,01800NURSING FACILITY 41111,A000000,01810,0000,01810ICF/MR 41111,A000000,01900,0000,01900OTHER LONG TERM CARE 41111,A000000,02100,0000,02100RADIOLOGY 41111,A000000,02200,0000,02200LABORATORY 41111,A000000,02500,0000,02500PHYSICAL THERAPY 41111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41111,A000000,02700,0000,02700SPEECH PATHOLOGY 41111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41111,A000000,03550,0000,03550FQHC 41111,A000000,05000,0000,05000CORF 41111,A000000,05010,0000,05010CMHC 41111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41111,A81000A,00100,0100,Y 41111,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 41111,A81000B,00200,0300,HOME OFFICE OPERATING 41111,A81000B,00400,0300,HOME OFFICE CAPITAL-EQUIP. 41111,A81000B,00500,0300,HOME OFFICE NURSING 41111,A81000B,00600,0300,HOME OFFICE ACTIVITIES 41111,A81000B,00700,0300,VEHICLE RENTAL SERVICES 41111,A81000B,00900,0300,NURSING SUPPLIES 41111,A81000B,00901,0300,PRINTING 41111,A81000B,00902,0300,PRINTING 41111,A81000B,00903,0300,PRINTING 41111,A81000B,00904,0300,PRINTING 41111,A81000B,00906,0300,PRINTING 41111,A81000B,01000,0300,MAINTENANCE & REPAIRS 41111,A81000B,01100,0300,MAINTENANCE & REPAIRS 41111,A81000B,01300,0300,OFFICE EXPENSE 41111,A81000B,01400,0300,MAINTENANCE SUPPLIES 41111,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 41111,A81000B,01600,0300,HSKPING SUPPLIES 41111,A81000B,01700,0300,FOOD SUPPLIES 41111,A81000B,01800,0300,NURSING SUPPLIES 41111,A81000B,02200,0300,MEDICAL SUPPLIES 41111,A81000B,02400,0300,NONBILLABLE SUPPLIES 41111,A81000B,02700,0300,MEDICAL SUPPLIES 41111,A81000B,02800,0300,DRUGS SOLD 41111,A81000B,02900,0300,PRINTING 41111,A81000C,00100,0100,A 41111,A81000C,00100,0200,TRIAD MEDICAL SERVICES 41111,A81000C,00100,0400,NOLAN G. BROWN 41111,A81000C,00100,0600,MGMT SERVICES 41111,A81000C,00200,0100,A 41111,A81000C,00300,0100,A 41111,A81000C,00300,0200,TRIAD DATA PROCESSING 41111,A81000C,00300,0400,NOLAN G. BROWN 41111,A81000C,00300,0600,DATA PROCESSING SERVICE 41111,A81000C,00400,0100,A 41111,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 41111,A81000C,00400,0400,NOLAN G. BROWN 41111,A81000C,00400,0600,PRINTING 41111,A81000C,00500,0100,A 41111,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 41111,A81000C,00500,0400,NOLAN G. BROWN 41111,A81000C,00500,0600,PHARMACY 41111,A81000C,00600,0100,A 41111,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 41111,A81000C,00600,0400,NOLAN G. BROWN 41111,A81000C,00600,0600,MEDICAL SUPPLIES 41111,A81000C,00700,0100,A 41111,A81000C,00700,0200,TMS CONSTRUCTION INC 41111,A81000C,00700,0400,NOLAN G. BROWN 41111,A81000C,00700,0600,CONSTRUCTION 41111,A81000C,00800,0100,A 41111,A81000C,00800,0200,NGB ENTERPRISES 41111,A81000C,00800,0400,NOLAN G. BROWN 41111,A81000C,00800,0600,LESSOR 41111,A81000C,00900,0100,A 41111,B100000,00000,0100,00000SQUARE FEET 41111,B100000,00000,0200,00000SQUARE FEET 41111,B100000,00000,0300,00000GROSS SALARIES 41111,B100000,00000,0400,00000ACCUM. COST 41111,B100000,00000,0500,00000SQUARE FEET 41111,B100000,00000,0600,00000LBS. LAUNDRY 41111,B100000,00000,0700,00000SQUARE FEET 41111,B100000,00000,0800,00000MEALS 41111,B100000,00000,0900,00000HOURS OF SERVICE 41111,B100000,00000,1000,00000COSTED REQUIS 41111,B100000,00000,1100,00000COSTED REQUIS 41111,B100000,00000,1200,00000TIME SPENT 41111,B100000,00000,1300,00000TIME SPENT 41111,B100000,00000,1350,00000TIME SPENT 41111,B100000,00000,1400,00000ASSIGNED TIME 41111,E10A180,00301,0100,04/12/1999 41111,E10A180,00501,0300,07/17/2000 41111,E10A180,00550,0100,07/17/2000 41111,S000000,00100,0200,05/26/2000 41111,S200000,00100,0100,2092 BLAKE BOULEVARD 41111,S200000,00100,0300,5309 41111,S200000,00200,0100,PINEHURST 41111,S200000,00200,0200,NC 41111,S200000,00200,0300,28374 41111,S200000,00300,0100,MOORE 41111,S200000,00400,0100,PINEHURST NURSING CENTER 41111,S200000,00400,0200,345370 41111,S200000,00400,0300,05/01/1991 41111,S200000,00400,0500,P 41111,S200000,00600,0200,345370 41111,S200000,00600,0300,05/01/1991 41111,S200000,00600,0600,P 41111,S200000,01600,0100,Y 41111,S200000,01900,0100,HOSPITAL AUTHORITY 41121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41121,A000000,00300,0000,00300EMPLOYEE BENEFITS 41121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41121,A000000,00700,0000,00700HOUSEKEEPING 41121,A000000,00800,0000,00800DIETARY 41121,A000000,00900,0000,00900NURSING ADMINISTRATION 41121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41121,A000000,01100,0000,01100PHARMACY 41121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41121,A000000,01300,0000,01300SOCIAL SERVICE 41121,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41121,A000000,01600,0000,01600SKILLED NURSING FACILITY 41121,A000000,01800,0000,01800NURSING FACILITY 41121,A000000,01810,0000,01810ICF/MR 41121,A000000,01900,0000,01900OTHER LONG TERM CARE 41121,A000000,02200,0000,02200LABORATORY 41121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41121,A000000,02500,0000,02500PHYSICAL THERAPY 41121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41121,A000000,02700,0000,02700SPEECH PATHOLOGY 41121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41121,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41121,A000000,03550,0000,03550FQHC 41121,A000000,05000,0000,05000CORF 41121,A000000,05010,0000,05010CMHC 41121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41121,A000000,05300,0000,05300INTEREST EXPENSE 41121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41121,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41121,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41121,A81000A,00100,0100,Y 41121,A81000B,00100,0300,CONSULTING 41121,A81000B,00200,0300,CONSULTING 41121,A81000B,00300,0300,CONSULTING 41121,A81000B,00400,0300,CONSULTING 41121,A81000B,00500,0300,HOME OFFICE 41121,A81000B,00600,0300,CONSULTING 41121,A81000B,00700,0300,INSURANCE 41121,A81000B,00800,0300,GAS 41121,A81000B,00900,0300,EQUIPMENT RENTAL 41121,A81000C,00100,0100,B 41121,A81000C,00100,0400,BRITTHAVEN INC 41121,A81000C,00100,0600,MGMT SVS 41121,A81000C,00200,0100,B 41121,A81000C,00200,0400,BRITTHAVEN INC 41121,A81000C,00200,0600,MGMT SVS 41121,A81000C,00300,0100,B 41121,A81000C,00300,0400,BRITTHAVEN INC 41121,A81000C,00300,0600,MGMT SVS 41121,A81000C,00400,0100,B 41121,A81000C,00400,0400,BRITTHAVEN INC 41121,A81000C,00400,0600,MGMT SVS 41121,A81000C,00500,0100,B 41121,A81000C,00500,0400,BRITTHAVEN INC 41121,A81000C,00500,0600,MGMT SVS 41121,A81000C,00600,0100,B 41121,A81000C,00600,0400,BRITTHAVEN INC 41121,A81000C,00600,0600,MGMT SVS 41121,A81000C,00700,0100,B 41121,A81000C,00700,0400,BRITTHAVEN INC 41121,A81000C,00700,0600,MGMT SVS 41121,A81000C,00800,0100,B 41121,A81000C,00800,0400,BRITTHAVEN INC 41121,A81000C,00800,0600,MGMT SVS 41121,A81000C,00900,0100,B 41121,A81000C,00900,0400,BRITTHAVEN INC 41121,A81000C,00900,0600,MGMT SVS 41121,A81000C,01000,0100,B 41121,A81000C,01000,0400,R. HILL CONS. C 41121,A81000C,01000,0600,CONSTRUCTION 41121,B100000,00000,0100,00000SQUARE FEET 41121,B100000,00000,0200,00000SQUARE FEET 41121,B100000,00000,0300,00000GROSS SALARIES 41121,B100000,00000,0400,00000ACCUM COST 41121,B100000,00000,0500,00000SQUARE FEET 41121,B100000,00000,0600,00000POUNDS OF LAUNDRY 41121,B100000,00000,0700,00000HOURS OF SERVICE 41121,B100000,00000,0800,00000MEALS SERVED 41121,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41121,B100000,00000,1000,00000COSTED REQUISITIO 41121,B100000,00000,1100,00000COSTED REQUISITIO 41121,B100000,00000,1200,00000TIME SPENT 41121,B100000,00000,1300,00000TIME SPENT 41121,B100000,00000,1350,00000SQUARE FEET 41121,B100000,00000,1400,00000ASSIGNED TIME 41121,E10A180,00301,0100,03/29/1999 41121,E10A180,00501,0300,03/21/2000 41121,E10A180,00550,0100,03/21/2000 41121,E10A180,00550,0300,05/15/2000 41121,S000000,00100,0200,03/21/2000 41121,S200000,00100,0100,403 CRESTVIEW AVENUE 41121,S200000,00200,0100,WILSON 41121,S200000,00200,0200,NC 41121,S200000,00200,0300,27893 41121,S200000,00300,0100,WILSON 41121,S200000,00400,0100,BRITTHAVEN OF WILSON 41121,S200000,00400,0200,345372 41121,S200000,00400,0300,05/23/1991 41121,S200000,00400,0500,P 41121,S200000,01600,0100,Y 41124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41124,A000000,00300,0000,00300EMPLOYEE BENEFITS 41124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41124,A000000,00700,0000,00700HOUSEKEEPING 41124,A000000,00800,0000,00800DIETARY 41124,A000000,00900,0000,00900NURSING ADMINISTRATION 41124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41124,A000000,01100,0000,01100PHARMACY 41124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41124,A000000,01300,0000,01300SOCIAL SERVICE 41124,A000000,01350,0000,01500ACTIVITIES 41124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41124,A000000,01600,0000,01600SKILLED NURSING FACILITY 41124,A000000,01810,0000,01810ICF/MR 41124,A000000,01900,0000,01900OTHER LONG TERM CARE 41124,A000000,02100,0000,02100RADIOLOGY 41124,A000000,02200,0000,02200LABORATORY 41124,A000000,02500,0000,02500PHYSICAL THERAPY 41124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41124,A000000,02700,0000,02700SPEECH PATHOLOGY 41124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41124,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41124,A000000,03550,0000,03550FQHC 41124,A000000,05000,0000,05000CORF 41124,A000000,05010,0000,05010CMHC 41124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41124,A81000A,00100,0100,Y 41124,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 41124,A81000B,00200,0300,HOME OFFICE OPERATING 41124,A81000B,00300,0300,HOME OFFICE CAPITAL-BLDG. 41124,A81000B,00400,0300,HOME OFFICE CAPITAL-EQUIP. 41124,A81000B,00500,0300,HOME OFFICE NURSING 41124,A81000B,00600,0300,HOME OFFICE ACTIVITIES 41124,A81000B,00700,0300,VEHICLE RENTAL SERVICES 41124,A81000B,00901,0300,PRINTING 41124,A81000B,00902,0300,PRINTING 41124,A81000B,00903,0300,PRINTING 41124,A81000B,00906,0300,PRINTING 41124,A81000B,01000,0300,MAINTENANCE & REPAIRS 41124,A81000B,01100,0300,MAINTENANCE & REPAIRS 41124,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 41124,A81000B,01600,0300,HSKPING SUPPLIES 41124,A81000B,01700,0300,FOOD SUPPLIES 41124,A81000B,01800,0300,NURSING SUPPLIES 41124,A81000B,01900,0300,NONBILLABLE SUPPLIES 41124,A81000B,02100,0300,NONBILLABLE SUPPLIES 41124,A81000B,02200,0300,MEDICAL SUPPLIES 41124,A81000B,02300,0300,NONBILLABLE SUPPLIES 41124,A81000B,02400,0300,NONBILLABLE SUPPLIES 41124,A81000B,02700,0300,NONBILLABLE SUPPLIES 41124,A81000B,02800,0300,DRUGS SOLD 41124,A81000B,02900,0300,PRINTING 41124,A81000C,00100,0100,A 41124,A81000C,00100,0200,TRIAD MEDICAL SERVICES 41124,A81000C,00100,0400,NOLAN G. BROWN 41124,A81000C,00100,0600,MGMT SERVICES 41124,A81000C,00200,0100,A 41124,A81000C,00300,0100,A 41124,A81000C,00300,0200,TRIAD DATA PROCESSING 41124,A81000C,00300,0400,NOLAN G. BROWN 41124,A81000C,00300,0600,DATA PROCESSING SERVICE 41124,A81000C,00400,0100,A 41124,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 41124,A81000C,00400,0400,NOLAN G. BROWN 41124,A81000C,00400,0600,PRINTING 41124,A81000C,00500,0100,A 41124,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 41124,A81000C,00500,0400,NOLAN G. BROWN 41124,A81000C,00500,0600,PHARMACY 41124,A81000C,00600,0100,A 41124,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 41124,A81000C,00600,0400,NOLAN G. BROWN 41124,A81000C,00600,0600,MEDICAL SUPPLIES 41124,A81000C,00700,0100,A 41124,A81000C,00700,0200,TMS CONSTRUCTION INC 41124,A81000C,00700,0400,NOLAN G. BROWN 41124,A81000C,00700,0600,CONSTRUCTION 41124,A81000C,00800,0100,A 41124,A81000C,00800,0200,NGB ENTERPRISES 41124,A81000C,00800,0400,NOLAN G. BROWN 41124,A81000C,00800,0600,LESSOR 41124,A81000C,00900,0100,A 41124,B100000,00000,0100,00040SQUARE FEET 41124,B100000,00000,0200,00040SQUARE FEET 41124,B100000,00000,0300,00040GROSS SALARIES 41124,B100000,00000,0400,00040ACCUM. COST 41124,B100000,00000,0500,00040SQUARE FEET 41124,B100000,00000,0600,00040LBS.OF LAUNDRY 41124,B100000,00000,0700,00040SQUARE FEET 41124,B100000,00000,0800,00040MEALS 41124,B100000,00000,0900,00040HOURS OF SERVICE 41124,B100000,00000,1000,00040COSTED REQUIS 41124,B100000,00000,1100,00040COSTED REQUIS 41124,B100000,00000,1200,00040TIME SPENT 41124,B100000,00000,1300,00040TIME SPENT 41124,B100000,00000,1350,00040TIME SPENT 41124,B100000,00000,1400,00040ASSIGNED TIME 41124,S000000,00100,0200,05/26/2000 41124,S200000,00100,0100,430 FODALE AVE 41124,S200000,00100,0300,10249 41124,S200000,00200,0100,SOUTHPORT 41124,S200000,00200,0200,NC 41124,S200000,00300,0100,BRUNSWICK 41124,S200000,00400,0100,OCEAN TRAIL CONVALESCENT CTR 41124,S200000,00400,0200,345373 41124,S200000,00400,0300,05/31/1991 41124,S200000,00400,0500,P 41124,S200000,00400,0600,O 41124,S200000,01500,0100,Y 41131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41131,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 41131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41131,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 41131,A000000,00300,0000,00300EMPLOYEE BENEFITS 41131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41131,A000000,00700,0000,00700HOUSEKEEPING 41131,A000000,00800,0000,00800DIETARY 41131,A000000,00801,0000,00801CAFETERIA 41131,A000000,00900,0000,00900NURSING ADMINISTRATION 41131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41131,A000000,01100,0000,01100PHARMACY 41131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41131,A000000,01300,0000,01300SOCIAL SERVICE 41131,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41131,A000000,01600,0000,01600SKILLED NURSING FACILITY 41131,A000000,01800,0000,01800NURSING FACILITY 41131,A000000,01810,0000,01810ICF/MR 41131,A000000,01900,0000,01900OTHER LONG TERM CARE 41131,A000000,02100,0000,02100RADIOLOGY 41131,A000000,02200,0000,02200LABORATORY 41131,A000000,02300,0000,02300INTRAVENOUS THERAPY 41131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41131,A000000,02500,0000,02500PHYSICAL THERAPY 41131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41131,A000000,02700,0000,02700SPEECH PATHOLOGY 41131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41131,A000000,03050,0000,03300OTHER ANCILLARY 41131,A000000,03051,0000,03301OTHER ANCILLARY II 41131,A000000,03052,0000,03302OTHER ANCILLARY III 41131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41131,A000000,03550,0000,03550FQHC 41131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41131,A000000,05000,0000,05000CORF I 41131,A000000,05010,0000,05010CMHC I 41131,A000000,05020,0000,05020OPT I 41131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41131,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41131,B100000,00000,0100,00000(SQUARE FEET) 41131,B100000,00000,0101,00000(SQUARE FEET) 41131,B100000,00000,0200,00000(SQUARE FEET) 41131,B100000,00000,0201,00000(SQUARE FEET) 41131,B100000,00000,0300,00000(GROSS SALARIES) 41131,B100000,00000,0400,00000(ACCUM. COST) 41131,B100000,00000,0500,00000(SQUARE FEET) 41131,B100000,00000,0600,00000PATIENT DA 41131,B100000,00000,0700,00000(SQUARE FEET) 41131,B100000,00000,0800,00000(MEALS SERVED) 41131,B100000,00000,0801,00000(MEALS SERVED) 41131,B100000,00000,0900,00000(DIRECT NRSING HRS 41131,B100000,00000,1000,00000PATIENT DA 41131,B100000,00000,1100,00000PATIENT DA 41131,B100000,00000,1200,00000PATIENT DA 41131,B100000,00000,1300,00000PATIENT DA 41131,B100000,00000,1350,00000PATIENT DA 41131,B100000,00000,1400,00000(ASSIGNED TIME) 41131,S000000,00100,0200,07/17/2000 41131,S200000,00100,0100,1022 EASTON AVENUE 41131,S200000,00200,0100,NASHVILLE 41131,S200000,00200,0200,NC 41131,S200000,00200,0300,27856 41131,S200000,00300,0100,NASH 41131,S200000,00400,0100,NASH GROVE MANOR 41131,S200000,00400,0200,345374 41131,S200000,00400,0300,06/12/1991 41131,S200000,00400,0500,P 41131,S200000,00600,0200,345374 41131,S200000,00600,0300,06/12/1991 41131,S200000,00600,0600,O 41131,S200000,01600,0100,Y 41145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41145,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 41145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41145,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 41145,A000000,00300,0000,00300EMPLOYEE BENEFITS 41145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41145,A000000,00700,0000,00700HOUSEKEEPING 41145,A000000,00800,0000,00800DIETARY 41145,A000000,00801,0000,00801CAFETERIA 41145,A000000,00900,0000,00900NURSING ADMINISTRATION 41145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41145,A000000,01100,0000,01100PHARMACY 41145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41145,A000000,01300,0000,01300SOCIAL SERVICE 41145,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41145,A000000,01600,0000,01600SKILLED NURSING FACILITY 41145,A000000,01800,0000,01800NURSING FACILITY 41145,A000000,01810,0000,01810ICF/MR 41145,A000000,02100,0000,02100RADIOLOGY 41145,A000000,02200,0000,02200LABORATORY 41145,A000000,02300,0000,02300INTRAVENOUS THERAPY 41145,A000000,02500,0000,02500PHYSICAL THERAPY 41145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41145,A000000,02700,0000,02700SPEECH PATHOLOGY 41145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41145,A000000,03050,0000,03300OTHER ANCILLARY 41145,A000000,03051,0000,03301OTHER ANCILLARY II 41145,A000000,03052,0000,03302OTHER ANCILLARY III 41145,A000000,03200,0000,03200SUPPORT SURFACES 41145,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41145,A000000,03550,0000,03550FQHC 41145,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41145,A000000,05000,0000,05000CORF I 41145,A000000,05010,0000,05010CMHC I 41145,A000000,05020,0000,05020OPT I 41145,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41145,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41145,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41145,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41145,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41145,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41145,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41145,B100000,00000,0100,00000(SQUARE FEET) 41145,B100000,00000,0101,00000(SQUARE FEET) 41145,B100000,00000,0200,00000(SQUARE FEET) 41145,B100000,00000,0201,00000(SQUARE FEET) 41145,B100000,00000,0300,00000(GROSS SALARIES) 41145,B100000,00000,0400,00000(ACCUM. COST) 41145,B100000,00000,0500,00000(SQUARE FEET) 41145,B100000,00000,0600,00000PATIENT DA 41145,B100000,00000,0700,00000(SQUARE FEET) 41145,B100000,00000,0800,00000PATIENT DA 41145,B100000,00000,0801,00000(MEALS SERVED) 41145,B100000,00000,0900,00000PATIENT DA 41145,B100000,00000,1000,00000(COSTED REQUIS.) 41145,B100000,00000,1100,00000(COSTED REQUIS.) 41145,B100000,00000,1200,00000PATIENT DA 41145,B100000,00000,1300,00000PATIENT DA 41145,B100000,00000,1350,00000 41145,B100000,00000,1400,00000(ASSIGNED TIME) 41145,E10A180,00301,0100,03/29/1999 41145,E10A180,00501,0100,08/16/2000 41145,E10A180,00501,0300,08/16/2000 41145,S000000,00100,0200,06/30/2000 41145,S200000,00100,0100,804 LONG DRIVE 41145,S200000,00200,0100,ROCKINGHAM 41145,S200000,00200,0200,NC 41145,S200000,00300,0100,RICHMOND 41145,S200000,00400,0100,WINDSOR HOUSE OF ROCKINGHAM 41145,S200000,00400,0200,345378 41145,S200000,00400,0300,07/01/1992 41145,S200000,00400,0500,P 41145,S200000,00600,0200,345378 41145,S200000,00600,0300,07/01/1992 41145,S200000,00600,0600,P 41145,S200000,01600,0100,Y 41155,S000000,00100,0200,02/18/2000 41162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41162,A000000,00300,0000,00300EMPLOYEE BENEFITS 41162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41162,A000000,00700,0000,00700HOUSEKEEPING 41162,A000000,00800,0000,00800DIETARY 41162,A000000,00900,0000,00900NURSING ADMINISTRATION 41162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41162,A000000,01100,0000,01100PHARMACY 41162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41162,A000000,01300,0000,01300SOCIAL SERVICE 41162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41162,A000000,01600,0000,01600SKILLED NURSING FACILITY 41162,A000000,01800,0000,01800NURSING FACILITY 41162,A000000,01810,0000,01810ICF/MR 41162,A000000,02100,0000,02100RADIOLOGY 41162,A000000,02200,0000,02200LABORATORY 41162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41162,A000000,02500,0000,02500PHYSICAL THERAPY 41162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41162,A000000,02700,0000,02700SPEECH PATHOLOGY 41162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41162,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 41162,A000000,05000,0000,05000CORF 41162,A000000,05010,0000,05010CMHC 41162,A000000,05020,0000,05020OPT 41162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41162,A81000A,00100,0100,Y 41162,A81000B,00100,0300,ADMINISTRATIVE MGMT FEE 41162,A81000C,00100,0100,A 41162,A81000C,00100,0200,FRANKLIN S. CLARK 41162,A81000C,00100,0400,VILL. GREEN RELAT 41162,A81000C,00100,0600,MGMT COMPANY 41162,A81000C,00200,0400,COMPANIES 41162,B100000,00000,0100,00000(SQUARE FEET) 41162,B100000,00000,0200,00000(SQUARE FEET) 41162,B100000,00000,0300,00000(GROSS SALARIES) 41162,B100000,00000,0400,00000(ACCUM COST) 41162,B100000,00000,0500,00000(SQUARE FEET) 41162,B100000,00000,0600,00000(DAYS) LAUNDRY) 41162,B100000,00000,0700,00000(SQUARE FEET) 41162,B100000,00000,0800,00000(MEALS SERVED) 41162,B100000,00000,0900,00000(DIR NRSG HOURS) 41162,B100000,00000,1000,00000(COSTED REQUIS) 41162,B100000,00000,1100,00000(COSTED REQUIS) 41162,B100000,00000,1200,00000(TIME SPENT) 41162,B100000,00000,1300,00000(TIME SPENT) 41162,B100000,00000,1400,00000(ASSIGNED TIME) 41162,E10A180,00301,0100,04/12/1999 41162,E10A180,00550,0100,06/23/2000 41162,S000000,00100,0200,07/11/2000 41162,S200000,00100,0100,1601 PURDUE DRIVE 41162,S200000,00200,0100,FAYETTEVILLE 41162,S200000,00200,0200,NC 41162,S200000,00200,0300,28304 41162,S200000,00300,0100,CUMBERLAND 41162,S200000,00400,0100,THE REHAB & HEALTH CARE CENTER 41162,S200000,00400,0200,345380 41162,S200000,00400,0300,07/10/1991 41162,S200000,00400,0500,P 41162,S200000,00400,0600,O 41162,S200000,00600,0200,346071 41162,S200000,00600,0300,07/10/1991 41162,S200000,00600,0600,P 41162,S200000,01600,0100,Y 41171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41171,A000000,00300,0000,00300EMPLOYEE BENEFITS 41171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41171,A000000,00700,0000,00700HOUSEKEEPING 41171,A000000,00800,0000,00800DIETARY 41171,A000000,00900,0000,00900NURSING ADMINISTRATION 41171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41171,A000000,01100,0000,01100PHARMACY 41171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41171,A000000,01300,0000,01300SOCIAL SERVICE 41171,A000000,01350,0000,01500PATIENT ACTIVITIES 41171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41171,A000000,01600,0000,01600SKILLED NURSING FACILITY 41171,A000000,01800,0000,01800NURSING FACILITY 41171,A000000,01810,0000,01810ICF/MR 41171,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41171,A000000,02500,0000,02500PHYSICAL THERAPY 41171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41171,A000000,02700,0000,02700SPEECH PATHOLOGY 41171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41171,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41171,A000000,03200,0000,03200SUPPORT SURFACES 41171,A000000,03550,0000,03550FQHC 41171,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41171,A000000,05000,0000,05000CORF 41171,A000000,05010,0000,05010CMHC 41171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41171,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41171,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41171,A81000A,00100,0100,Y 41171,A81000B,00100,0300,CENTRAL OFFICE OVHD 41171,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 41171,A81000C,00100,0100,B 41171,A81000C,00100,0200,AUTUMN CORPORATION 41171,A81000C,00100,0400,AUTUMN CORPORATION 41171,A81000C,00100,0600,HOME OFFICE 41171,A81000C,00200,0100,B 41171,A81000C,00200,0200,AUTUMN CORPORATION 41171,A81000C,00200,0400,AUTUMN CORPORATION 41171,A81000C,00200,0600,HOME OFFICE 41171,B100000,00000,0100,00000SQUARE FEET 41171,B100000,00000,0200,00000SQUARE FEET 41171,B100000,00000,0300,00000GROSS SALARIES 41171,B100000,00000,0400,00000ACCUM. COST 41171,B100000,00000,0500,00000SQUARE FEET 41171,B100000,00000,0600,00000POUNDS OF LAUNDRY 41171,B100000,00000,0700,00000SQ FT W/O DIETARY 41171,B100000,00000,0800,00000PATIENT DAYS 41171,B100000,00000,0900,00000HOURS OF SERVICE 41171,B100000,00000,1000,00000PATIENT DAYS 41171,B100000,00000,1100,00000PATIENT DAYS 41171,B100000,00000,1200,00000PATIENT DAYS 41171,B100000,00000,1300,00000PATIENT DAYS 41171,B100000,00000,1350,00000PATIENT DAYS 41171,B100000,00000,1400,00000ASSIGNED TIME 41171,E10A180,00301,0100,03/15/1999 41171,E10A180,00501,0300,06/27/2000 41171,E10A180,00550,0100,06/27/2000 41171,S000000,00100,0200,05/09/2000 41171,S200000,00100,0100,440 INGRAM ROAD EXT 41171,S200000,00100,0300,1750 41171,S200000,00200,0100,KING 41171,S200000,00200,0200,NC 41171,S200000,00300,0100,STOKES 41171,S200000,00400,0100,VILLAGE CARE OF KING 41171,S200000,00400,0200,345381 41171,S200000,00400,0300,06/11/1991 41171,S200000,00400,0500,P 41171,S200000,01600,0100,Y 41180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41180,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 41180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41180,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 41180,A000000,00300,0000,00300EMPLOYEE BENEFITS 41180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41180,A000000,00700,0000,00700HOUSEKEEPING 41180,A000000,00800,0000,00800DIETARY 41180,A000000,00801,0000,00801CAFETERIA 41180,A000000,00900,0000,00900NURSING ADMINISTRATION 41180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41180,A000000,01100,0000,01100PHARMACY 41180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41180,A000000,01300,0000,01300SOCIAL SERVICE 41180,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41180,A000000,01600,0000,01600SKILLED NURSING FACILITY 41180,A000000,01800,0000,01800NURSING FACILITY 41180,A000000,01810,0000,01810ICF/MR 41180,A000000,01900,0000,01900OTHER LONG TERM CARE 41180,A000000,02100,0000,02100RADIOLOGY 41180,A000000,02200,0000,02200LABORATORY 41180,A000000,02500,0000,02500PHYSICAL THERAPY 41180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41180,A000000,02700,0000,02700SPEECH PATHOLOGY 41180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41180,A000000,03050,0000,03300OTHER ANCILLARY 41180,A000000,03051,0000,03301OTHER ANCILLARY II 41180,A000000,03052,0000,03302OTHER ANCILLARY III 41180,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41180,A000000,03550,0000,03550FQHC 41180,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41180,A000000,05000,0000,05000CORF I 41180,A000000,05010,0000,05010CMHC I 41180,A000000,05020,0000,05020OPT I 41180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41180,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41180,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41180,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41180,B100000,00000,0100,00000(SQUARE FEET) 41180,B100000,00000,0101,00000(SQUARE FEET) 41180,B100000,00000,0200,00000(SQUARE FEET) 41180,B100000,00000,0201,00000(SQUARE FEET) 41180,B100000,00000,0300,00000(GROSS SALARIES) 41180,B100000,00000,0400,00000(ACCUM. COST) 41180,B100000,00000,0500,00000(SQUARE FEET) 41180,B100000,00000,0600,00000PATIENT DA 41180,B100000,00000,0700,00000(SQUARE FEET) 41180,B100000,00000,0800,00000(MEALS SERVED) 41180,B100000,00000,0801,00000(MEALS SERVED) 41180,B100000,00000,0900,00000(DIRECT NRSING HRS 41180,B100000,00000,1000,00000PATIENT DA 41180,B100000,00000,1100,00000PATIENT DA 41180,B100000,00000,1200,00000PATIENT DA 41180,B100000,00000,1300,00000PATIENT DA 41180,B100000,00000,1350,00000PATIENT DA 41180,B100000,00000,1400,00000(ASSIGNED TIME) 41180,S000000,00100,0200,07/17/2000 41180,S200000,00100,0100,415 SUNSET DRIVE 41180,S200000,00200,0100,FUQUAY-VARINA 41180,S200000,00200,0200,NC 41180,S200000,00200,0300,27526 41180,S200000,00300,0100,WAKE 41180,S200000,00400,0100,BRIGHTON MANOR 41180,S200000,00400,0200,345382 41180,S200000,00400,0300,06/19/1991 41180,S200000,00400,0500,P 41180,S200000,00600,0200,345382 41180,S200000,00600,0300,06/19/1991 41180,S200000,00600,0600,O 41180,S200000,01600,0100,Y 41189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41189,A000000,00300,0000,00300EMPLOYEE BENEFITS 41189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41189,A000000,00700,0000,00700HOUSEKEEPING 41189,A000000,00800,0000,00800DIETARY 41189,A000000,00900,0000,00900NURSING ADMINISTRATION 41189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41189,A000000,01100,0000,01100PHARMACY 41189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41189,A000000,01300,0000,01300SOCIAL SERVICE 41189,A000000,01350,0000,01500PATIENT ACTIVITIES 41189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41189,A000000,01600,0000,01600SKILLED NURSING FACILITY 41189,A000000,01800,0000,01800NURSING FACILITY 41189,A000000,01810,0000,01810ICF/MR 41189,A000000,02200,0000,02200LABORATORY 41189,A000000,02500,0000,02500PHYSICAL THERAPY 41189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41189,A000000,02700,0000,02700SPEECH PATHOLOGY 41189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41189,A000000,03450,0000,03600PEN THERAPY 41189,A000000,03550,0000,03550FQHC 41189,A000000,05000,0000,05000CORF 41189,A000000,05010,0000,05010CMHC 41189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41189,A81000A,00100,0100,Y 41189,A81000B,00100,0300,PHYSICAL THERAPY 41189,A81000B,00200,0300,OCCUPATIONAL THERAPY 41189,A81000B,00300,0300,SPEECH THERAPY 41189,A81000B,00400,0300,RENT 41189,A81000B,00500,0300,MANAGEMENT 41189,A81000B,00600,0300,MANAGEMENT 41189,A81000C,00100,0100,B 41189,B100000,00000,0100,00000SQUARE FEET 41189,B100000,00000,0200,00000SQUARE FEET 41189,B100000,00000,0300,00000GROSS SALARIES 41189,B100000,00000,0400,00000ACCUM COST 41189,B100000,00000,0500,00000SQUARE FEET 41189,B100000,00000,0600,00000POUNDS OF LAUNDRY 41189,B100000,00000,0700,00000SQUARE FEET 41189,B100000,00000,0800,00000MEALS SERVED 41189,B100000,00000,0900,00000DIRECT NRSG HRS 41189,B100000,00000,1000,00000COSTED REQUIS 41189,B100000,00000,1100,00000COSTED REQUIS 41189,B100000,00000,1200,00000TIME SPENT 41189,B100000,00000,1300,00000PATIENT DAYS 41189,B100000,00000,1350,00000PATIENT DAYS 41189,B100000,00000,1400,00000ASSIGNED TIME 41189,E10A180,00301,0100,04/12/1999 41189,E10A180,00501,0100,08/10/2000 41189,E10A180,00550,0300,08/10/2000 41189,S000000,00100,0200,08/07/2000 41189,S200000,00100,0100,RT 3 BOX 8900 HASTY ROAD 41189,S200000,00200,0100,LAURINBURG 41189,S200000,00200,0200,NC 41189,S200000,00200,0300,28352 41189,S200000,00300,0100,SCOTLAND 41189,S200000,00400,0100,CENTURY CARE OF LAURINBURG 41189,S200000,00400,0200,345383 41189,S200000,00400,0300,07/03/1991 41189,S200000,00400,0500,P 41189,S200000,00600,0200,346269 41189,S200000,00600,0300,07/03/1991 41189,S200000,00600,0600,P 41189,S200000,01600,0100,Y 41203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41203,A000000,00300,0000,00300EMPLOYEE BENEFITS 41203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41203,A000000,00700,0000,00700HOUSEKEEPING 41203,A000000,00800,0000,00800DIETARY 41203,A000000,00900,0000,00900NURSING ADMINISTRATION 41203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41203,A000000,01100,0000,01100PHARMACY 41203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41203,A000000,01300,0000,01300SOCIAL SERVICE 41203,A000000,01350,0000,01500ACTIVITIES 41203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41203,A000000,01600,0000,01600SKILLED NURSING FACILITY 41203,A000000,01800,0000,01800NURSING FACILITY 41203,A000000,01810,0000,01810ICF/MR 41203,A000000,02100,0000,02100RADIOLOGY 41203,A000000,02200,0000,02200LABORATORY 41203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41203,A000000,02500,0000,02500PHYSICAL THERAPY 41203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41203,A000000,02700,0000,02700SPEECH PATHOLOGY 41203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41203,A000000,03550,0000,03550FQHC 41203,A000000,05000,0000,05000CORF 41203,A000000,05010,0000,05010CMHC 41203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41203,A81000A,00100,0100,Y 41203,A81000B,00100,0300,MANAGEMENT FEES 41203,A81000B,00200,0300,HOME OFFICE - OTHER 41203,A81000B,00300,0300,HOME OFFICE - QUALITY ASSURANC 41203,A81000B,00400,0300,HOME OFFICE - CAPITAL ITEMS 41203,A81000C,00100,0100,B 41203,A81000C,00100,0400,LAUREL HEALTH 41203,A81000C,00100,0600,MANAGEMENT CO. 41203,B100000,00000,0100,00000SQUARE FEET 41203,B100000,00000,0200,00000SQUARE FEET 41203,B100000,00000,0300,00000GROSS SAL 41203,B100000,00000,0400,00000ACCUM. COST 41203,B100000,00000,0500,00000SQUARE FEET 41203,B100000,00000,0600,00000PAT DAYS 41203,B100000,00000,0700,00000SQUARE FEET 41203,B100000,00000,0800,00000PAT DAYS 41203,B100000,00000,0900,00000BLANK 41203,B100000,00000,1000,00000PAT DAYS 41203,B100000,00000,1100,00000BLANK 41203,B100000,00000,1200,00000BLANK 41203,B100000,00000,1300,00000BLANK 41203,B100000,00000,1350,00000PAT DAYS 41203,B100000,00000,1400,00000BLANK 41203,E10A180,00301,0100,03/29/1999 41203,E10A180,00501,0100,04/24/2000 41203,S000000,00100,0200,02/29/2000 41203,S200000,00100,0100,1101 HARTWELL STREET 41203,S200000,00200,0100,GARNER 41203,S200000,00200,0200,NC 41203,S200000,00200,0300,27529 41203,S200000,00300,0100,WAKE 41203,S200000,00400,0100,THE LAURELS OF FOREST GLENN 41203,S200000,00400,0200,345389 41203,S200000,00400,0300,06/28/1991 41203,S200000,00400,0500,P 41203,S200000,00600,0200,345389 41203,S200000,00600,0300,06/28/1991 41203,S200000,00600,0600,P 41203,S200000,01600,0100,Y 41210,S000000,00100,0200,06/01/2000 41217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41217,A000000,00300,0000,00300EMPLOYEE BENEFITS 41217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41217,A000000,00700,0000,00700HOUSEKEEPING 41217,A000000,00800,0000,00800DIETARY 41217,A000000,00900,0000,00900NURSING ADMINISTRATION 41217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41217,A000000,01100,0000,01100PHARMACY 41217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41217,A000000,01300,0000,01300SOCIAL SERVICE 41217,A000000,01350,0000,01500ACTIVITIES 41217,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41217,A000000,01600,0000,01600SKILLED NURSING FACILITY 41217,A000000,01810,0000,01810ICF/MR 41217,A000000,01900,0000,01900OTHER LONG TERM CARE 41217,A000000,02100,0000,02100RADIOLOGY 41217,A000000,02200,0000,02200LABORATORY 41217,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41217,A000000,02500,0000,02500PHYSICAL THERAPY 41217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41217,A000000,02700,0000,02700SPEECH PATHOLOGY 41217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41217,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 41217,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41217,A000000,03550,0000,03550FQHC 41217,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41217,A000000,04800,0000,04800AMBULANCE 41217,A000000,05000,0000,05000CORF 41217,A000000,05010,0000,05010CMHC 41217,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41217,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41217,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41217,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41217,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41217,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41217,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41217,A81000A,00100,0100,Y 41217,A81000B,00100,0300,MANAGEMENT FEES 41217,A81000B,00200,0300,MANAGEMENT FEES 41217,A81000B,00300,0300,MANAGEMENT FEES 41217,A81000B,00400,0300,MANAGEMENT FEES 41217,A81000B,00700,0300,DEPR - HISTORICAL COST 41217,A81000B,00800,0300,AMORT - HISTORICAL COST 41217,A81000B,00900,0300,INTEREST - HISTORICAL COST 41217,A81000B,01000,0300,GOODWILL AMORT 41217,A81000B,01200,0300,PHYSICAL THERAPY 41217,A81000B,01300,0300,OCCUPATIONAL THERAPY 41217,A81000B,01400,0300,SPEECH THERAPY 41217,A81000B,01500,0300,SHAREHOLDER INTEREST 41217,A81000C,00100,0100,A 41217,A81000C,00100,0200,MICHAEL H. MCBRIDE 41217,A81000C,00100,0400,HLTH MGMT RESOURCES INC 41217,A81000C,00100,0600,HOME OFFICE 41217,A81000C,00200,0100,A 41217,A81000C,00200,0200,T. EDWARD CHILDRESS 41217,A81000C,00200,0400,HLTH MGMT RESOURCES INC 41217,A81000C,00200,0600,HOME OFFICE 41217,A81000C,00300,0100,A 41217,A81000C,00300,0200,JOHN P. OBRIEN 41217,A81000C,00300,0400,HLTH MGMT RESOURCES INC 41217,A81000C,00300,0600,HOME OFFICE 41217,A81000C,00400,0100,A 41217,A81000C,00500,0100,A 41217,A81000C,00600,0100,A 41217,A81000C,00700,0100,A 41217,A81000C,00700,0200,T. EDWARD CHILDRESS 41217,A81000C,00700,0400,ADVANTAGE REHAB INC. 41217,A81000C,00700,0600,THERAPY 41217,A81000C,00800,0100,A 41217,A81000C,00800,0200,JOHN P. OBRIEN 41217,A81000C,00800,0400,ADVANTAGE REHAB INC. 41217,A81000C,00800,0600,THERAPY 41217,A81000C,00900,0100,A 41217,A81000C,00900,0200,MICHAEL H. MCBRIDE 41217,A81000C,00900,0400,ADVANTAGE REHAB INC. 41217,A81000C,00900,0600,THERAPY 41217,A81000C,01000,0100,A 41217,A81000C,01000,0200,T. EDWARD CHILDRESS 41217,A81000C,01000,0400,HERITAGE HILLS LLC 41217,A81000C,01000,0600,RENTAL LEASING 41217,A81000C,01100,0100,A 41217,A81000C,01100,0200,JOHN P. OBRIEN 41217,A81000C,01100,0400,HERITAGE HILLS LLC 41217,A81000C,01100,0600,RENTAL LEASING 41217,A81000C,01200,0100,A 41217,A81000C,01200,0200,MICHAEL H. MCBRIDE 41217,A81000C,01200,0400,HERITAGE HILLS LLC 41217,A81000C,01200,0600,RENTAL LEASING 41217,B100000,00000,0100,00000SQUARE FEET 41217,B100000,00000,0200,00000SQUARE FEET 41217,B100000,00000,0300,00000GROSS SALARIES 41217,B100000,00000,0400,00000ACCUM. COST 41217,B100000,00000,0500,00000SQUARE FEET 41217,B100000,00000,0600,00000PATIENT DAYS 41217,B100000,00000,0700,00000SQUARE FEET 41217,B100000,00000,0800,00000MEALS SERVED 41217,B100000,00000,0900,00000NSG LABOR HOURS 41217,B100000,00000,1000,00000GROSS REVENUE 41217,B100000,00000,1100,00000GROSS REVENUE 41217,B100000,00000,1200,00000PATIENT DAYS 41217,B100000,00000,1300,00000PATIENT DAYS 41217,B100000,00000,1350,00000PATIENT DAYS 41217,B100000,00000,1400,00000ASSIGNED TIME 41217,E10A180,00301,0100,04/12/1999 41217,E10A180,00550,0100,05/31/2000 41217,E10A180,00550,0300,05/31/2000 41217,S000000,00100,0200,05/31/2000 41217,S200000,00100,0100,2000 COUNTRY CLUB ROAD 41217,S200000,00200,0100,WADESBORO 41217,S200000,00200,0200,NC 41217,S200000,00200,0300,28170 41217,S200000,00300,0100,ANSON 41217,S200000,00400,0100,HERITAGE HILLS INC. 41217,S200000,00400,0200,345392 41217,S200000,00400,0300,07/12/1991 41217,S200000,00400,0500,P 41217,S200000,01500,0100,Y 41225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41225,A000000,00300,0000,00300EMPLOYEE BENEFITS 41225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41225,A000000,00700,0000,00700HOUSEKEEPING 41225,A000000,00800,0000,00800DIETARY 41225,A000000,00900,0000,00900NURSING ADMINISTRATION 41225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41225,A000000,01100,0000,01100PHARMACY 41225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41225,A000000,01300,0000,01300SOCIAL SERVICE 41225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41225,A000000,01600,0000,01600SKILLED NURSING FACILITY 41225,A000000,01810,0000,01810ICF/MR 41225,A000000,02100,0000,02100RADIOLOGY 41225,A000000,02200,0000,02200LABORATORY 41225,A000000,02500,0000,02500PHYSICAL THERAPY 41225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41225,A000000,02700,0000,02700SPEECH PATHOLOGY 41225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41225,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41225,A000000,03550,0000,03550FQHC 41225,A000000,05000,0000,05000CORF 41225,A000000,05010,0000,05010CMHC 41225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41225,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41225,A81000A,00100,0100,Y 41225,A81000B,00100,0300,LEASE 41225,A81000C,00100,0100,G 41225,A81000C,00100,0200,PISGAH MANOR I 41225,A81000C,00100,0400,ASSN SDAS BOARD 41225,A81000C,00100,0600,CONTROL/CID 41225,B100000,00000,0100,00000SQUARE FEET 41225,B100000,00000,0200,00000SQUARE FEET 41225,B100000,00000,0300,00000GROSS SALARIES 41225,B100000,00000,0400,00000ACCUM COST 41225,B100000,00000,0500,00000SQUARE FEET 41225,B100000,00000,0600,00000PATIENT DAYS 41225,B100000,00000,0700,00000SQUARE FEET 41225,B100000,00000,0800,00000MEALS SERVED 41225,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41225,B100000,00000,1000,00000COSTED REQUISITIO 41225,B100000,00000,1100,00000COSTED REQUISITIO 41225,B100000,00000,1200,00000TIME SPENT 41225,B100000,00000,1300,00000PATIENT DAYS 41225,B100000,00000,1400,00000ASSIGNED TIME 41225,E10A180,00301,0100,03/29/1999 41225,E10A180,00501,0100,05/02/2000 41225,S000000,00100,0200,03/06/2000 41225,S200000,00100,0100,HOLCOMBE COVE ROAD 41225,S200000,00200,0100,CANDLER 41225,S200000,00200,0200,NORTH CAROLINA 41225,S200000,00200,0300,28715 41225,S200000,00300,0100,BUNCOMBE 41225,S200000,00400,0100,PISGAH MANOR INC. 41225,S200000,00400,0200,345393 41225,S200000,00400,0300,07/16/1991 41225,S200000,00400,0500,P 41225,S200000,01500,0100,Y 41225,S200000,01900,0100,HOSPITAL AUTHORITY 41225,S200000,02800,0100,Y 41233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41233,A000000,00300,0000,00300EMPLOYEE BENEFITS 41233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41233,A000000,00700,0000,00700HOUSEKEEPING 41233,A000000,00800,0000,00800DIETARY 41233,A000000,00900,0000,00900NURSING ADMINISTRATION 41233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41233,A000000,01100,0000,01100PHARMACY 41233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41233,A000000,01300,0000,01300SOCIAL SERVICE 41233,A000000,01350,0000,01500PATIENT ACTIVITIES 41233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41233,A000000,01600,0000,01600SKILLED NURSING FACILITY 41233,A000000,01800,0000,01800NURSING FACILITY 41233,A000000,01810,0000,01810ICF/MR 41233,A000000,01900,0000,01900OTHER LONG TERM CARE 41233,A000000,02100,0000,02100RADIOLOGY 41233,A000000,02200,0000,02200LABORATORY 41233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41233,A000000,02500,0000,02500PHYSICAL THERAPY 41233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41233,A000000,02700,0000,02700SPEECH PATHOLOGY 41233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41233,A000000,03401,0000,03401EMERGENCY ROOM PART A 41233,A000000,03550,0000,03550FQHC 41233,A000000,04800,0000,04800AMBULANCE 41233,A000000,05000,0000,05000CORF 41233,A000000,05010,0000,05010CMHC 41233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41233,A000000,05801,0000,05802PATIENT PERSONAL ITEMS 41233,A81000A,00100,0100,Y 41233,A81000B,00100,0300,RENT 41233,A81000B,00200,0300,DEPR L/IMPROVEMENT 41233,A81000B,00300,0300,DEPR BUILDING 41233,A81000B,00400,0300,DEPR EQUIPMENT 41233,A81000B,00500,0300,MTG INTEREST 41233,A81000B,00600,0300,DEPR L/IMP 41233,A81000B,00700,0300,DEPR BUILDING 41233,A81000B,00800,0300,MTG INTEREST 41233,A81000B,00900,0300,DEPR EQUIP 41233,A81000B,01000,0300,DEPR EQUIP 41233,A81000B,01100,0300,DEPR. EQUIP 41233,A81000C,00100,0100,A 41233,A81000C,00100,0200,DEBBIE SHERRILL 41233,A81000C,00100,0400,DEBBIE SHERRILL 41233,A81000C,00100,0600,INDIVIDUAL 41233,A81000C,00200,0100,A 41233,A81000C,00200,0200,WILLIAM MILLER 41233,A81000C,00200,0400,WILLIAM MILLER 41233,A81000C,00200,0600,INDIVIDUAL 41233,A81000C,00300,0100,A 41233,A81000C,00300,0200,ROSEMARY MILLER 41233,A81000C,00300,0400,ROSEMARY MILLER 41233,A81000C,00300,0600,INDIVIDUAL 41233,A81000C,00400,0100,A 41233,A81000C,00400,0200,SHERRILL/MILLER 41233,A81000C,00400,0400,SHERRILL/MILLER 41233,A81000C,00400,0600,INDIVIDUAL 41233,A81000C,00500,0100,A 41233,B100000,00000,0100,00002SQUARE FEET 41233,B100000,00000,0200,00002SQUARE FEET 41233,B100000,00000,0300,00002GROSS SALARIES 41233,B100000,00000,0400,00002ACCUM COST 41233,B100000,00000,0500,00002SQUARE FEET 41233,B100000,00000,0600,00002POUNDS OF LAUNDRY 41233,B100000,00000,0700,00002SQUARE FEET 41233,B100000,00000,0800,00002MEALS SERVED 41233,B100000,00000,0900,00002DIRECT NRSG HRS 41233,B100000,00000,1000,00002COSTED REQUIS 41233,B100000,00000,1100,00002COSTED REQUIS 41233,B100000,00000,1200,00002PATIENT DAYS 41233,B100000,00000,1300,00002PATIENT DAYS 41233,B100000,00000,1350,00002PATIENT DAYS 41233,B100000,00000,1400,00002ASSIGNED TIME 41233,E10A180,00301,0100,03/29/1999 41233,E10A180,00550,0100,08/29/2000 41233,E10A180,00550,0300,08/29/2000 41233,S000000,00100,0200,07/05/2000 41233,S200000,00100,0100,HIGHWAY 17 SOUTH 41233,S200000,00100,0300,369 41233,S200000,00200,0100,POLLOCKSVILLE 41233,S200000,00200,0200,NC 41233,S200000,00200,0300,28573 41233,S200000,00300,0100,JONES 41233,S200000,00400,0100,TRENT VILLAGE NURSING HOME INC. 41233,S200000,00400,0200,345394 41233,S200000,00400,0300,08/02/1991 41233,S200000,00400,0500,P 41233,S200000,00600,0200,346376 41233,S200000,00600,0300,08/02/1991 41233,S200000,00600,0600,P 41233,S200000,01600,0100,Y 41244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41244,A000000,00300,0000,00300EMPLOYEE BENEFITS 41244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41244,A000000,00700,0000,00700HOUSEKEEPING 41244,A000000,00800,0000,00800DIETARY 41244,A000000,00900,0000,00900NURSING ADMINISTRATION 41244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41244,A000000,01100,0000,01100PHARMACY 41244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41244,A000000,01300,0000,01300SOCIAL SERVICE 41244,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41244,A000000,01600,0000,01600SKILLED NURSING FACILITY 41244,A000000,01810,0000,01810ICF/MR 41244,A000000,02100,0000,02100RADIOLOGY 41244,A000000,02200,0000,02200LABORATORY 41244,A000000,02300,0000,02300INTRAVENOUS THERAPY 41244,A000000,02500,0000,02500PHYSICAL THERAPY 41244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41244,A000000,02700,0000,02700SPEECH PATHOLOGY 41244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41244,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41244,A000000,03550,0000,03550FQHC 41244,A000000,05000,0000,05000CORF 41244,A000000,05010,0000,05010CMHC 41244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41244,A000000,05300,0000,05300INTEREST EXPENSE 41244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41244,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41244,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41244,A81000A,00100,0100,Y 41244,A81000B,00100,0300,CONSULTING 41244,A81000B,00200,0300,CONSULTING 41244,A81000B,00300,0300,CONSULTING 41244,A81000B,00400,0300,CONSULTING 41244,A81000B,00500,0300,HOME OFFICE 41244,A81000B,00600,0300,CONSULTING 41244,A81000C,00100,0100,B 41244,A81000C,00100,0400,BRITTHAVEN INC 41244,A81000C,00100,0600,MGMT SVS 41244,A81000C,00200,0100,B 41244,A81000C,00200,0400,BRITTHAVEN INC 41244,A81000C,00200,0600,MGMT SVS 41244,A81000C,00300,0100,B 41244,A81000C,00300,0400,BRITTHAVEN INC 41244,A81000C,00300,0600,MGMT SVS 41244,A81000C,00400,0100,B 41244,A81000C,00400,0400,BRITTHAVEN INC 41244,A81000C,00400,0600,MGMT SVS 41244,A81000C,00500,0100,B 41244,A81000C,00500,0400,BRITTHAVEN INC 41244,A81000C,00500,0600,MGMT SVS 41244,A81000C,00600,0100,B 41244,A81000C,00600,0400,BRITTHAVEN INC 41244,A81000C,00600,0600,MGMT SVS 41244,A81000C,00700,0100,B 41244,A81000C,00700,0400,BRITTHAVEN INC 41244,A81000C,00700,0600,MGMT SVS 41244,A81000C,00800,0100,B 41244,A81000C,00800,0400,BRITTHAVEN INC 41244,A81000C,00800,0600,MGMT SVS 41244,A81000C,00900,0100,B 41244,A81000C,00900,0400,BRITTHAVEN INC 41244,A81000C,00900,0600,MGMT SVS 41244,A81000C,01000,0100,B 41244,A81000C,01000,0400,R. HILL CONS. C 41244,A81000C,01000,0600,CONSTRUCTION 41244,B100000,00000,0100,00000SQUARE FEET 41244,B100000,00000,0200,00000SQUARE FEET 41244,B100000,00000,0300,00000GROSS SALARIES 41244,B100000,00000,0400,00000ACCUM COST 41244,B100000,00000,0500,00000SQUARE FEET 41244,B100000,00000,0600,00000POUNDS OF LAUNDRY 41244,B100000,00000,0700,00000SQUARE FEET 41244,B100000,00000,0800,00000MEALS SERVED 41244,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41244,B100000,00000,1000,00000COSTED REQUISITIO 41244,B100000,00000,1100,00000COSTED REQUISITIO 41244,B100000,00000,1200,00000TIME SPENT 41244,B100000,00000,1300,00000TIME SPENT 41244,B100000,00000,1350,00000SQUARE FEET 41244,B100000,00000,1400,00000ASSIGNED TIME 41244,E10A180,00301,0100,03/29/1999 41244,E10A180,00550,0100,03/21/2000 41244,E10A180,00550,0300,03/21/2000 41244,E10A180,00551,0300,05/18/2000 41244,S000000,00100,0200,03/21/2000 41244,S200000,00100,0100,30 MORGAN STREET 41244,S200000,00100,0300,459 41244,S200000,00200,0100,CLYDE 41244,S200000,00200,0200,NC 41244,S200000,00200,0300,28721 41244,S200000,00300,0100,HAYWOOD 41244,S200000,00400,0100,BRITTHAVEN OF CLYDE 41244,S200000,00400,0200,345396 41244,S200000,00400,0300,08/26/1991 41244,S200000,00400,0500,P 41244,S200000,01500,0100,Y 41252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41252,A000000,00300,0000,00300EMPLOYEE BENEFITS 41252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41252,A000000,00700,0000,00700HOUSEKEEPING 41252,A000000,00800,0000,00800DIETARY 41252,A000000,00900,0000,00900NURSING ADMINISTRATION 41252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41252,A000000,01100,0000,01100PHARMACY 41252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41252,A000000,01300,0000,01300SOCIAL SERVICE 41252,A000000,01350,0000,01500PATIENT ACTIVITIES 41252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41252,A000000,01600,0000,01600SKILLED NURSING FACILITY 41252,A000000,01800,0000,01800NURSING FACILITY 41252,A000000,01810,0000,01810ICF/MR 41252,A000000,01900,0000,01900OTHER LONG TERM CARE 41252,A000000,02100,0000,02100RADIOLOGY 41252,A000000,02200,0000,02200LABORATORY 41252,A000000,02300,0000,02300INTRAVENOUS THERAPY 41252,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41252,A000000,02500,0000,02500PHYSICAL THERAPY 41252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41252,A000000,02700,0000,02700SPEECH PATHOLOGY 41252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41252,A000000,03050,0000,03300PARENTERAL/ENTERAL THERAPY 41252,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41252,A000000,03200,0000,03200SUPPORT SURFACES 41252,A000000,03550,0000,03550FQHC 41252,A000000,04800,0000,04800AMBULANCE 41252,A000000,05000,0000,05000CORF 41252,A000000,05010,0000,05010CMHC 41252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41252,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41252,A81000A,00100,0100,Y 41252,A81000B,00100,0300,MEDICAL SUPPLIES 41252,A81000B,00200,0300,MEDICAL SUPPLIES 41252,A81000B,00300,0300,DRUGS 41252,A81000B,00400,0300,PHYSICAL THERAPY 41252,A81000B,00500,0300,OCC THERAPY 41252,A81000B,00600,0300,SPEECH THERAPY 41252,A81000B,00700,0300,MGMT SERVICES 41252,A81000B,00800,0300,BLDG RENT 41252,A81000B,00900,0300,EQUIP RENT 41252,A81000C,00100,0100,A 41252,A81000C,00100,0200,JOHN A. MCNEILL 41252,A81000C,00100,0400,LIBERTY MEDICAL 41252,A81000C,00100,0600,MED SUPPLY 41252,A81000C,00200,0100,A 41252,A81000C,00200,0200,RONALD MCNEILL 41252,A81000C,00200,0400,LIBERTY MEDICAL 41252,A81000C,00200,0600,MED SUPPLY 41252,A81000C,00300,0100,A 41252,A81000C,00300,0200,JOHN A. MCNEILL 41252,A81000C,00300,0400,MCNEILL PHARMAC 41252,A81000C,00300,0600,PHARMACY 41252,A81000C,00400,0100,A 41252,A81000C,00400,0200,RONALD MCNEILL 41252,A81000C,00400,0400,MCNEILL PHARMAC 41252,A81000C,00400,0600,PHARMACY 41252,A81000C,00500,0100,A 41252,A81000C,00500,0200,JOHN A. MCNEILL 41252,A81000C,00500,0400,BALLARD THERAPY 41252,A81000C,00500,0600,THEARPY COMPANY 41252,A81000C,00600,0100,A 41252,A81000C,00600,0200,RONALD MCNEILL 41252,A81000C,00600,0400,BALLARD THERAPY 41252,A81000C,00600,0600,THERAPY COMPANY 41252,A81000C,00700,0100,A 41252,A81000C,00700,0200,JOHN A. MCNEILL 41252,A81000C,00700,0400,LIBERTY MGMT CO 41252,A81000C,00700,0600,MANAGEMENT CO. 41252,A81000C,00800,0100,A 41252,A81000C,00800,0200,RONALD MCNEILL 41252,A81000C,00800,0400,LIBERTY MGMT CO 41252,A81000C,00800,0600,MANAGEMENT CO. 41252,B100000,00000,0100,00000SQUARE FEET 41252,B100000,00000,0200,00000SQUARE FEET 41252,B100000,00000,0300,00000GROSS SALARIES 41252,B100000,00000,0400,00000ACCUM COST 41252,B100000,00000,0500,00000SQUARE FEET 41252,B100000,00000,0600,00000POUNDS OF LAUNDRY 41252,B100000,00000,0700,00000SQ FT EXCL OLTC 41252,B100000,00000,0800,00000MEALS SERVED 41252,B100000,00000,0900,00000DIRECT NRSG HRS 41252,B100000,00000,1000,00000COSTED REQUIS 41252,B100000,00000,1100,00000COSTED REQUIS 41252,B100000,00000,1200,00000TIME SPENT 41252,B100000,00000,1300,00000TIME SPENT 41252,B100000,00000,1350,00000PATIENT DAYS 41252,B100000,00000,1400,00000ASSIGNED TIME 41252,E10A180,00301,0100,04/12/1999 41252,E10A180,00550,0100,06/06/2000 41252,E10A180,00550,0300,06/06/2000 41252,S000000,00100,0200,06/20/2000 41252,S200000,00100,0100,200 FLOWERS-PRIDGEN DRIVE 41252,S200000,00200,0100,WHITEVIILLE 41252,S200000,00200,0200,NC 41252,S200000,00200,0300,28472 41252,S200000,00300,0100,COLUMBUS 41252,S200000,00400,0100,SHORELAND HLTH CARE & RTMT CENTER 41252,S200000,00400,0200,345397 41252,S200000,00400,0300,09/10/1991 41252,S200000,00400,0500,P 41252,S200000,00600,0200,346388 41252,S200000,00600,0300,09/10/1991 41252,S200000,00600,0600,P 41252,S200000,01600,0100,Y 41252,S200000,01900,0100,LIMITED LIABILITY COMPANY 41252,S200000,04700,0100,Y 41256,S000000,00100,0200,06/01/2000 41264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41264,A000000,00300,0000,00300EMPLOYEE BENEFITS 41264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41264,A000000,00700,0000,00700HOUSEKEEPING 41264,A000000,00800,0000,00800DIETARY 41264,A000000,00900,0000,00900NURSING ADMINISTRATION 41264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41264,A000000,01100,0000,01100PHARMACY 41264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41264,A000000,01300,0000,01300SOCIAL SERVICE 41264,A000000,01350,0000,01500PATIENT ACTIVITIES 41264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41264,A000000,01600,0000,01600SKILLED NURSING FACILITY 41264,A000000,01810,0000,01810ICF/MR 41264,A000000,01900,0000,01900OTHER LONG TERM CARE 41264,A000000,02500,0000,02500PHYSICAL THERAPY 41264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41264,A000000,02700,0000,02700SPEECH PATHOLOGY 41264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41264,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41264,A000000,03550,0000,03550FQHC 41264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41264,A000000,05000,0000,05000CORF 41264,A000000,05010,0000,05010CMHC 41264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41264,A81000A,00100,0100,Y 41264,A81000B,00100,0300,RENT 41264,A81000B,00200,0300,DEPRECIATION 41264,A81000C,00100,0100,B 41264,A81000C,00100,0200,WILKES SENIOR VILLAGE 41264,A81000C,00100,0400,J. RICHARDSON 41264,A81000C,00100,0600,BUILDING 41264,A81000C,00200,0100,B 41264,A81000C,00200,0200,WILKES SENIOR VILLAGE 41264,A81000C,00200,0400,J. RICHARDSON 41264,A81000C,00200,0600,BUILDING 41264,B100000,00000,0100,00000SQUARE FEET 41264,B100000,00000,0200,00000SQUARE FEET 41264,B100000,00000,0300,00000GROSS SALARIES 41264,B100000,00000,0400,00000ACCUM. COST 41264,B100000,00000,0500,00000SQUARE FEET 41264,B100000,00000,0600,00000POUNDS OF LAUNDRY 41264,B100000,00000,0700,00000SQ. FTG. EXC. DIET 41264,B100000,00000,0800,00000PATIENT DAYS 41264,B100000,00000,0900,00000NURSING HOURS 41264,B100000,00000,1000,00000PATIENT DAYS 41264,B100000,00000,1100,00000PATIENT DAYS 41264,B100000,00000,1200,00000PATIENT DAYS 41264,B100000,00000,1300,00000PATIENT DAYS 41264,B100000,00000,1350,00000PATIENT DAYS 41264,B100000,00000,1400,00000ASSIGNED TIME 41264,E10A180,00301,0100,09/14/1999 41264,E10A180,00350,0100,09/14/1999 41264,E10A180,00501,0100,07/12/2000 41264,E10A180,00550,0300,07/12/2000 41264,S000000,00100,0200,05/24/2000 41264,S200000,00100,0100,OLD BRICKYARD ROAD 41264,S200000,00100,0300,PO BOX 1247 41264,S200000,00200,0100,NORTH WILKESBORO 41264,S200000,00200,0200,NC 41264,S200000,00200,0300,28659 41264,S200000,00300,0100,WILKES 41264,S200000,00400,0100,WILKES SENIOR VILLAGE 41264,S200000,00400,0200,345401 41264,S200000,00400,0300,09/12/1991 41264,S200000,00400,0500,P 41264,S200000,01600,0100,Y 41264,S200000,01900,0100,HOSPITAL AUTHORITY 41273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41273,A000000,00300,0000,00300EMPLOYEE BENEFITS 41273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41273,A000000,00700,0000,00700HOUSEKEEPING 41273,A000000,00800,0000,00800DIETARY 41273,A000000,00900,0000,00900NURSING ADMINISTRATION 41273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41273,A000000,01100,0000,01100PHARMACY 41273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41273,A000000,01300,0000,01300SOCIAL SERVICE 41273,A000000,01350,0000,01500PATIENT ACTIVITIES 41273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41273,A000000,01600,0000,01600SKILLED NURSING FACILITY 41273,A000000,01800,0000,01800NURSING FACILITY 41273,A000000,01810,0000,01810ICF/MR 41273,A000000,02100,0000,02100RADIOLOGY 41273,A000000,02200,0000,02200LABORATORY 41273,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41273,A000000,02500,0000,02500PHYSICAL THERAPY 41273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41273,A000000,02700,0000,02700SPEECH PATHOLOGY 41273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41273,A000000,03550,0000,03550FQHC 41273,A000000,05000,0000,05000CORF 41273,A000000,05010,0000,05010CMHC 41273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41273,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41273,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41273,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41273,A81000A,00100,0100,Y 41273,A81000B,00100,0300,H.O. COSTS - OPERATING 41273,A81000B,00200,0300,H.O. COSTS - CAPITAL 41273,A81000C,00100,0100,D 41273,A81000C,00100,0200,VARIOUS 41273,A81000C,00100,0400,MFNC INC. 41273,A81000C,00100,0600,MGMT COMPANY 41273,A81000C,00200,0100,D 41273,A81000C,00200,0200,VARIOUS 41273,A81000C,00200,0400,MFNC INC. 41273,A81000C,00200,0600,MGMT COMPANY 41273,B100000,00000,0100,00000SQUARE FEET 41273,B100000,00000,0200,00000SQUARE FEET 41273,B100000,00000,0300,00000GROSS SALARIES 41273,B100000,00000,0400,00000ACCUM. COST 41273,B100000,00000,0500,00000SQUARE FEET 41273,B100000,00000,0600,00000POUNDS OF LAUNDRY 41273,B100000,00000,0700,00000SQFT EXCL DIETARY 41273,B100000,00000,0800,00000PATIENT DAYS 41273,B100000,00000,0900,00000HOURS OF SERVICE 41273,B100000,00000,1000,00000COSTED REQUIS. 41273,B100000,00000,1100,00000COSTED REQUIS. 41273,B100000,00000,1200,00000PATIENT DAYS 41273,B100000,00000,1300,00000PATIENT DAYS 41273,B100000,00000,1350,00000PATIENT DAYS 41273,B100000,00000,1400,00000ASSIGNED TIME 41273,E10A180,00301,0100,04/12/1999 41273,E10A180,00550,0100,02/29/2000 41273,E10A180,00550,0300,02/29/2000 41273,S000000,00100,0200,02/29/2000 41273,S200000,00100,0100,1735 TODDVILLE ROAD 41273,S200000,00200,0100,CHARLOTTE 41273,S200000,00200,0200,NC 41273,S200000,00300,0100,MECKLENBURG 41273,S200000,00400,0100,CHARLOTTE HEALTH CARE CENTER 41273,S200000,00400,0200,345405 41273,S200000,00400,0300,10/10/1991 41273,S200000,00400,0500,P 41273,S200000,01600,0100,Y 41273,S200000,04300,0100,Y 41273,S200000,04700,0100,Y 41280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41280,A000000,00300,0000,00300EMPLOYEE BENEFITS 41280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41280,A000000,00700,0000,00700HOUSEKEEPING 41280,A000000,00800,0000,00800DIETARY 41280,A000000,00900,0000,00900NURSING ADMINISTRATION 41280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41280,A000000,01100,0000,01100PHARMACY 41280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41280,A000000,01300,0000,01300SOCIAL SERVICE 41280,A000000,01301,0000,01301ACTIVITES 41280,A000000,01350,0000,01500REHABILITATION 41280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41280,A000000,01600,0000,01600SKILLED NURSING FACILITY 41280,A000000,01800,0000,01800NURSING FACILITY 41280,A000000,01810,0000,01810ICF/MR 41280,A000000,02100,0000,02100RADIOLOGY 41280,A000000,02200,0000,02200LABORATORY 41280,A000000,02300,0000,02300INTRAVENOUS THERAPY 41280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41280,A000000,02500,0000,02500PHYSICAL THERAPY 41280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41280,A000000,02700,0000,02700SPEECH PATHOLOGY 41280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41280,A000000,03050,0000,03300EQUIPMENT RENTAL 41280,A000000,03051,0000,03301PEN THERAPY 41280,A000000,03550,0000,03550FQHC 41280,A000000,05000,0000,05000CORF 41280,A000000,05010,0000,05010CMHC 41280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41280,A000000,06150,0000,06300VENDING 41280,A000000,06151,0000,06301STAND-BY 41280,A81000A,00100,0100,Y 41280,A81000B,00100,0300,HOME OFFICE COST 41280,A81000B,00200,0300,DIETARY SUPPLEMENTS 41280,A81000B,00400,0300,PRESCRIPTION DRUGS 41280,A81000B,00500,0300,MEDICAL SUPPLIES 41280,A81000B,00700,0300,HOME OFFICE CAPITAL 41280,A81000B,00900,0300,IV THERAPY 41280,A81000B,01000,0300,THERAPY CONSULTING 41280,A81000B,01100,0300,PHYSICAL THERAPY 41280,A81000B,01200,0300,OCCUPATIONAL THERAPY 41280,A81000B,01300,0300,SPEECH THERAPY 41280,A81000B,01500,0300,CENTRAL SUPPLY 41280,A81000B,01600,0300,NURSING ADMIN 41280,A81000C,00100,0100,B 41280,A81000C,00100,0200,B/C DURHAM PS#1 41280,A81000C,00100,0400,MARINER PAN 41280,A81000C,00100,0600,NURSING HOMES 41280,A81000C,00200,0100,G 41280,A81000C,00200,0200,MARINER PAN 41280,A81000C,00200,0400,AMER PHARM SVCS 41280,A81000C,00200,0600,PHARMACEUTICALS 41280,A81000C,00300,0100,G 41280,A81000C,00300,0200,MARINER PAN 41280,A81000C,00300,0400,PRISM-ATS-ARS-T 41280,A81000C,00300,0600,THERAPIES 41280,B100000,00000,0100,00001SQUARE FEET 41280,B100000,00000,0200,00001SQUARE FEET 41280,B100000,00000,0300,00001GROSS SALARIES 41280,B100000,00000,0400,00001ACCUM COST 41280,B100000,00000,0500,00001SQUARE FEET 41280,B100000,00000,0600,00001PATIENT DAYS 41280,B100000,00000,0700,00001SQUARE FEET 41280,B100000,00000,0800,00001MEALS SERVED 41280,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41280,B100000,00000,1000,00001PATIENT DAYS 41280,B100000,00000,1100,00001COSTED REQUIS 41280,B100000,00000,1200,00001PATIENT DAYS 41280,B100000,00000,1300,00001PATIENT DAYS 41280,B100000,00000,1301,00001PATIENT DAYS 41280,B100000,00000,1350,00001UNITS OF SERVICE 41280,B100000,00000,1400,00001ASSIGNED TIME 41280,E10A180,00501,0100,10/24/2000 41280,E10A180,00550,0300,10/24/2000 41280,S000000,00100,0200,08/30/2000 41280,S200000,00100,0100,6000 FAYETTEVILLE ROAD 41280,S200000,00200,0100,DURHAM 41280,S200000,00200,0200,NC 41280,S200000,00200,0300,27713 41280,S200000,00300,0100,DURHAM 41280,S200000,00400,0100,BRIAN CTR HLTH & REHAB/DURHAM 41280,S200000,00400,0200,345408 41280,S200000,00400,0300,11/06/1991 41280,S200000,00400,0500,P 41280,S200000,01600,0100,Y 41280,S200000,02200,0100,Y 41290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41290,A000000,00300,0000,00300EMPLOYEE BENEFITS 41290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41290,A000000,00700,0000,00700HOUSEKEEPING 41290,A000000,00800,0000,00800DIETARY 41290,A000000,00900,0000,00900NURSING ADMINISTRATION 41290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41290,A000000,01100,0000,01100PHARMACY 41290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41290,A000000,01300,0000,01300SOCIAL SERVICE 41290,A000000,01350,0000,01500PATIENT ACTIVITIES 41290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41290,A000000,01600,0000,01600SKILLED NURSING FACILITY 41290,A000000,01800,0000,01800NURSING FACILITY 41290,A000000,02500,0000,02500PHYSICAL THERAPY 41290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41290,A000000,02700,0000,02700SPEECH PATHOLOGY 41290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41290,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41290,A000000,03550,0000,03550FQHC 41290,A000000,05000,0000,05000CORF 41290,A000000,05010,0000,05010CMHC 41290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41290,A81000A,00100,0100,Y 41290,A81000B,00100,0300,RELATED PARTY RENT 41290,A81000B,00200,0300,MORTGAGE INTEREST 41290,A81000B,00300,0300,BLDG DEPREC 41290,A81000B,00400,0300,EQUIP DEPREC 41290,A81000C,00100,0100,B 41290,A81000C,00100,0400,CCC ASSOC 41290,A81000C,00200,0100,B 41290,A81000C,00200,0400,CCC ASSOC 41290,A81000C,00300,0100,B 41290,A81000C,00300,0400,CCC ASSOC 41290,A81000C,00400,0100,B 41290,A81000C,00400,0400,CCC ASSOC 41290,B100000,00000,0100,00000SQUARE FEET 41290,B100000,00000,0200,00000SQUARE FEET 41290,B100000,00000,0300,00000GROSS SALARIES 41290,B100000,00000,0400,00000ACCUM. COST 41290,B100000,00000,0500,00000SQUARE FEET 41290,B100000,00000,0600,00000PATIENT DAYS 41290,B100000,00000,0700,00000SQUARE FEETEXCL D 41290,B100000,00000,0800,00000PATIENT DAYS 41290,B100000,00000,0900,00000DIRECT NRSING HRS 41290,B100000,00000,1000,00000PATIENT DAYS 41290,B100000,00000,1100,00000PATIENT DAYS 41290,B100000,00000,1200,00000PATIENT DAYS 41290,B100000,00000,1300,00000PATIENT DAYS 41290,B100000,00000,1350,00000PATIENT DAYS 41290,B100000,00000,1400,00000ASSIGNED TIME 41290,E10A180,00301,0100,03/29/1999 41290,E10A180,00501,0100,07/13/2000 41290,E10A180,00501,0300,07/13/2000 41290,S000000,00100,0200,05/17/2000 41290,S200000,00100,0100,1287 NEWSOME STREET 41290,S200000,00200,0100,MOUNT AIRY 41290,S200000,00200,0200,NC 41290,S200000,00300,0100,SURRY 41290,S200000,00400,0100,CENTRAL CONTINUING CARE 41290,S200000,00400,0200,345410 41290,S200000,00400,0300,12/19/1991 41290,S200000,00400,0500,P 41290,S200000,01600,0100,Y 41301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41301,A000000,00300,0000,00300EMPLOYEE BENEFITS 41301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41301,A000000,00700,0000,00700HOUSEKEEPING 41301,A000000,00800,0000,00800DIETARY 41301,A000000,00900,0000,00900NURSING ADMINISTRATION 41301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41301,A000000,01100,0000,01100PHARMACY 41301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41301,A000000,01300,0000,01300SOCIAL SERVICE 41301,A000000,01301,0000,01301ACTIVITES 41301,A000000,01350,0000,01500REHABILITATION 41301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41301,A000000,01600,0000,01600SKILLED NURSING FACILITY 41301,A000000,01800,0000,01800NURSING FACILITY 41301,A000000,01810,0000,01810ICF/MR 41301,A000000,02200,0000,02200LABORATORY 41301,A000000,02300,0000,02300INTRAVENOUS THERAPY 41301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41301,A000000,02500,0000,02500PHYSICAL THERAPY 41301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41301,A000000,02700,0000,02700SPEECH PATHOLOGY 41301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41301,A000000,03050,0000,03300EQUIPMENT RENTAL 41301,A000000,03051,0000,03301PEN THERAPY 41301,A000000,03550,0000,03550FQHC 41301,A000000,05000,0000,05000CORF 41301,A000000,05010,0000,05010CMHC 41301,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41301,A000000,06150,0000,06300VENDING 41301,A000000,06151,0000,06301STAND-BY 41301,A81000A,00100,0100,Y 41301,A81000B,00100,0300,HOME OFFICE COST 41301,A81000B,00200,0300,DIETARY SUPPLEMENTS 41301,A81000B,00400,0300,PRESCRIPTION DRUGS 41301,A81000B,00500,0300,MEDICAL SUPPLIES 41301,A81000B,00700,0300,HOME OFFICE CAPITAL 41301,A81000B,00900,0300,IV THERAPY 41301,A81000B,01100,0300,PHYSICAL THERAPY 41301,A81000B,01200,0300,OCCUPATIONAL THERAPY 41301,A81000B,01300,0300,SPEECH THERAPY 41301,A81000B,01500,0300,CENTRAL SUPPLY 41301,A81000B,01600,0300,NURSING ADMIN 41301,A81000C,00100,0100,B 41301,A81000C,00100,0200,B/C WAYNESVILLE 41301,A81000C,00100,0400,MARINER PAN 41301,A81000C,00100,0600,NURSING HOMES 41301,A81000C,00200,0100,G 41301,A81000C,00200,0200,MARINER PAN 41301,A81000C,00200,0400,AMER PHARM SVCS 41301,A81000C,00200,0600,PHARMACEUTICALS 41301,A81000C,00300,0100,G 41301,A81000C,00300,0200,MARINER PAN 41301,A81000C,00300,0400,PRISM-ATS-ARS-T 41301,A81000C,00300,0600,THERAPIES 41301,B100000,00000,0100,00001SQUARE FEET 41301,B100000,00000,0200,00001SQUARE FEET 41301,B100000,00000,0300,00001GROSS SALARIES 41301,B100000,00000,0400,00001ACCUM COST 41301,B100000,00000,0500,00001SQUARE FEET 41301,B100000,00000,0600,00001PATIENT DAYS 41301,B100000,00000,0700,00001SQUARE FEET 41301,B100000,00000,0800,00001MEALS SERVED 41301,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41301,B100000,00000,1000,00001PATIENT DAYS 41301,B100000,00000,1100,00001COSTED REQUIS 41301,B100000,00000,1200,00001PATIENT DAYS 41301,B100000,00000,1300,00001PATIENT DAYS 41301,B100000,00000,1301,00001PATIENT DAYS 41301,B100000,00000,1350,00001UNITS OF SERVICE 41301,B100000,00000,1400,00001ASSIGNED TIME 41301,E10A180,00301,0100,07/19/1999 41301,E10A180,00302,0100,07/19/1999 41301,E10A180,00550,0100,08/30/2000 41301,S000000,00100,0200,08/30/2000 41301,S200000,00100,0100,700 N. WALL STREET 41301,S200000,00200,0100,WAYNESVILLE 41301,S200000,00200,0200,NC 41301,S200000,00200,0300,28786 41301,S200000,00300,0100,HAYWOOD 41301,S200000,00400,0100,BRIAN CTR HTLH & REHAB/WAYNESVILLE 41301,S200000,00400,0200,345411 41301,S200000,00400,0300,01/24/1992 41301,S200000,00400,0500,P 41301,S200000,01600,0100,Y 41301,S200000,02200,0100,Y 41307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41307,A000000,00300,0000,00300EMPLOYEE BENEFITS 41307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41307,A000000,00700,0000,00700HOUSEKEEPING 41307,A000000,00800,0000,00800DIETARY 41307,A000000,00900,0000,00900NURSING ADMINISTRATION 41307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41307,A000000,01100,0000,01100PHARMACY 41307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41307,A000000,01300,0000,01300SOCIAL SERVICE 41307,A000000,01350,0000,01500PATIENT ACTIVITIES 41307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41307,A000000,01600,0000,01600SKILLED NURSING FACILITY 41307,A000000,01800,0000,01800NURSING FACILITY 41307,A000000,01810,0000,01810ICF/MR 41307,A000000,01900,0000,01900OTHER LONG TERM CARE 41307,A000000,02500,0000,02500PHYSICAL THERAPY 41307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41307,A000000,02700,0000,02700SPEECH PATHOLOGY 41307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41307,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41307,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41307,A000000,03550,0000,03550FQHC 41307,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41307,A000000,05000,0000,05000CORF 41307,A000000,05010,0000,05010CMHC 41307,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41307,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41307,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41307,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41307,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41307,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41307,A81000A,00100,0100,Y 41307,A81000B,00100,0300,RENT 41307,A81000B,00200,0300,INTEREST 41307,A81000B,00300,0300,DEPRECIATION 41307,A81000B,00400,0300,ACCOUNTING/DP 41307,A81000B,00500,0300,ACCOUNTING-CAPITAL 41307,A81000B,00600,0300,PHARMACY 41307,A81000B,00700,0300,DRUGS CHARGED TO PATIENTS 41307,A81000B,00800,0300,PHARMACY CONSULTANT 41307,A81000B,00900,0300,PHYS. ORDERS 41307,A81000B,01000,0300,HOUSE STOCK 41307,A81000C,00100,0100,A 41307,A81000C,00100,0200,MR./MRS. FLOREN 41307,A81000C,00100,0400,BUILDING COST 41307,A81000C,00100,0600,BUILDING 41307,A81000C,00400,0100,A 41307,A81000C,00400,0200,ROGER FLOREN II 41307,A81000C,00400,0400,CAROLINA DATA 41307,A81000C,00400,0600,ACCOUNTING/DP 41307,A81000C,00600,0100,A 41307,A81000C,00600,0200,ROGER FLOREN II 41307,A81000C,00600,0400,CANE CREEK PHARMACY 41307,A81000C,00600,0600,PHARMACY 41307,B100000,00000,0100,00000SQUARE FEET 41307,B100000,00000,0200,00000SQUARE FEET 41307,B100000,00000,0300,00000GROSS SALARIES 41307,B100000,00000,0400,00000ACCUM. COST 41307,B100000,00000,0500,00000SQUARE FEET 41307,B100000,00000,0600,00000POUNDS OF LAUNDRY 41307,B100000,00000,0700,00000SQ. FTG. EXC. DIET 41307,B100000,00000,0800,00000PATIENT DAYS 41307,B100000,00000,0900,00000NURSING HOURS 41307,B100000,00000,1000,00000PATIENT DAYS 41307,B100000,00000,1100,00000PATIENT DAYS 41307,B100000,00000,1200,00000TIME SPENT 41307,B100000,00000,1300,00000TIME SPENT 41307,B100000,00000,1350,00000TIME SPENT 41307,B100000,00000,1400,00000ASSIGNED TIME 41307,E10A180,00301,0100,03/15/1999 41307,E10A180,00501,0300,05/30/2000 41307,E10A180,00550,0100,05/30/2000 41307,S000000,00100,0200,05/12/2000 41307,S200000,00100,0100,CANE CREEK ROAD 41307,S200000,00100,0300,1160 41307,S200000,00200,0100,FAIRVIEW 41307,S200000,00200,0200,NC 41307,S200000,00300,0100,BUNCOMBE 41307,S200000,00400,0100,FLESHERS FAIRVIEW HEALTH CARE CTR 41307,S200000,00400,0200,345413 41307,S200000,00400,0300,01/30/1992 41307,S200000,00400,0500,P 41307,S200000,01600,0100,Y 41322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41322,A000000,00300,0000,00300EMPLOYEE BENEFITS 41322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41322,A000000,00700,0000,00700HOUSEKEEPING 41322,A000000,00800,0000,00800DIETARY 41322,A000000,00900,0000,00900NURSING ADMINISTRATION 41322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41322,A000000,01100,0000,01100PHARMACY 41322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41322,A000000,01300,0000,01300SOCIAL SERVICE 41322,A000000,01350,0000,01500OTHER GENERAL SERVICES 41322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41322,A000000,01600,0000,01600SKILLED NURSING FACILITY 41322,A000000,01810,0000,01810ICF/MR 41322,A000000,01900,0000,01900OTHER LONG TERM CARE 41322,A000000,02100,0000,02100RADIOLOGY 41322,A000000,02200,0000,02200LABORATORY 41322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41322,A000000,02500,0000,02500PHYSICAL THERAPY 41322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41322,A000000,02700,0000,02700SPEECH PATHOLOGY 41322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41322,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41322,A000000,03550,0000,03550FQHC 41322,A000000,05000,0000,05000CORF 41322,A000000,05010,0000,05010CMHC 41322,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41322,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41322,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41322,B100000,00000,0100,00000SQUARE FEET 41322,B100000,00000,0200,00000SQUARE FEET 41322,B100000,00000,0300,00000GROSS SALARIES 41322,B100000,00000,0400,00000ACCUM. COST 41322,B100000,00000,0500,00000SQUARE FEET 41322,B100000,00000,0600,00000POUNDS OF LAUNDRY 41322,B100000,00000,0700,00000SQUARE FEET 41322,B100000,00000,0800,00000MEALS SERVED 41322,B100000,00000,0900,00000DIRECT NRSING HRS 41322,B100000,00000,1000,00000COSTED REQUIS 41322,B100000,00000,1100,00000COSTED REQUIS. 41322,B100000,00000,1200,00000TIME SPENT 41322,B100000,00000,1300,00000TIME SPENT 41322,B100000,00000,1350,00000NO STATISTICS 41322,B100000,00000,1400,00000ASSIGNED TIME 41322,E10A180,00301,0100,04/12/1999 41322,E10A180,00501,0100,08/16/2000 41322,E10A180,00501,0300,08/16/2000 41322,S000000,00100,0200,06/21/2000 41322,S200000,00100,0100,1010 LAKEVIEW DRIVE 41322,S200000,00200,0100,PINEVILLE 41322,S200000,00200,0200,NC 41322,S200000,00300,0100,MECKLENBURG 41322,S200000,00400,0100,LAKEVIEW LIVING CENTER 41322,S200000,00400,0200,345415 41322,S200000,00400,0300,03/02/1992 41322,S200000,00400,0500,P 41322,S200000,01600,0100,Y 41322,S200000,01900,0100,HOSPITAL AUTHORITY 41330,S000000,00100,0200,06/09/2000 41346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41346,A000000,00300,0000,00300EMPLOYEE BENEFITS 41346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41346,A000000,00700,0000,00700HOUSEKEEPING 41346,A000000,00800,0000,00800DIETARY 41346,A000000,00900,0000,00900NURSING ADMINISTRATION 41346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41346,A000000,01100,0000,01100PHARMACY 41346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41346,A000000,01300,0000,01300SOCIAL SERVICE 41346,A000000,01350,0000,01500PATIENT ACTIVITIES 41346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41346,A000000,01600,0000,01600SKILLED NURSING FACILITY 41346,A000000,01800,0000,01800NURSING FACILITY 41346,A000000,01810,0000,01810ICF/MR 41346,A000000,01900,0000,01900OTHER LONG TERM CARE 41346,A000000,02100,0000,02100RADIOLOGY 41346,A000000,02200,0000,02200LABORATORY 41346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41346,A000000,02500,0000,02500PHYSICAL THERAPY 41346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41346,A000000,02700,0000,02700SPEECH PATHOLOGY 41346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41346,A000000,03550,0000,03550FQHC 41346,A000000,05000,0000,05000CORF 41346,A000000,05010,0000,05010CMHC 41346,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41346,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41346,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41346,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41346,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41346,A81000A,00100,0100,Y 41346,A81000B,00100,0300,H.O. COSTS - OPERATING 41346,A81000B,00200,0300,H.O. COSTS - CAPITAL 41346,A81000C,00100,0100,D 41346,A81000C,00100,0200,VARIOUS 41346,A81000C,00100,0400,MFNC INC. 41346,A81000C,00100,0600,MGMT COMPANY 41346,A81000C,00200,0100,D 41346,A81000C,00200,0200,VARIOUS 41346,A81000C,00200,0400,MFNC INC 41346,A81000C,00200,0600,MGMT COMPANY 41346,B100000,00000,0100,00000SQUARE FEET 41346,B100000,00000,0200,00000SQUARE FEET 41346,B100000,00000,0300,00000GROSS SALARIES 41346,B100000,00000,0400,00000ACCUM. COST 41346,B100000,00000,0500,00000SQUARE FEET 41346,B100000,00000,0600,00000POUNDS OF LAUNDRY 41346,B100000,00000,0700,00000SQFT EXCL. DIE 41346,B100000,00000,0800,00000PATIENT DAYS 41346,B100000,00000,0900,00000HOURS OF SERVICE 41346,B100000,00000,1000,00000COSTED REQUIS. 41346,B100000,00000,1100,00000COSTED REQUIS. 41346,B100000,00000,1200,00000PATIENT DAYS 41346,B100000,00000,1300,00000TIME SPENT 41346,B100000,00000,1350,00000PATIENT DAYS 41346,B100000,00000,1400,00000ASSIGNED TIME 41346,E10A180,00301,0100,04/12/1999 41346,E10A180,00302,0100,04/12/1999 41346,E10A180,00501,0300,02/29/2000 41346,E10A180,00550,0100,02/29/2000 41346,S000000,00100,0200,02/29/2000 41346,S200000,00100,0100,1270 HIGHWAY 70 41346,S200000,00200,0100,SWANNANOA 41346,S200000,00200,0200,NC 41346,S200000,00300,0100,ASHEVILLE 41346,S200000,00400,0100,ASHEVILLE HEALTH CARE CENTER 41346,S200000,00400,0200,345418 41346,S200000,00400,0300,04/23/1992 41346,S200000,00400,0500,P 41346,S200000,01600,0100,Y 41346,S200000,01900,0100,HOSPITAL AUTHORITY 41346,S200000,04300,0100,Y 41354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41354,A000000,00300,0000,00300EMPLOYEE BENEFITS 41354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41354,A000000,00700,0000,00700HOUSEKEEPING 41354,A000000,00800,0000,00800DIETARY 41354,A000000,00900,0000,00900NURSING ADMINISTRATION 41354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41354,A000000,01100,0000,01100PHARMACY 41354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41354,A000000,01300,0000,01300SOCIAL SERVICE 41354,A000000,01350,0000,01500PATIENT ACTIVITIES 41354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41354,A000000,01600,0000,01600SKILLED NURSING FACILITY 41354,A000000,01800,0000,01800NURSING FACILITY 41354,A000000,01810,0000,01810ICF/MR 41354,A000000,01900,0000,01900OTHER LONG TERM CARE 41354,A000000,02100,0000,02100RADIOLOGY 41354,A000000,02200,0000,02200LABORATORY 41354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41354,A000000,02500,0000,02500PHYSICAL THERAPY 41354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41354,A000000,02700,0000,02700SPEECH PATHOLOGY 41354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41354,A000000,03550,0000,03550FQHC 41354,A000000,05000,0000,05000CORF 41354,A000000,05010,0000,05010CMHC 41354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41354,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41354,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41354,A81000A,00100,0100,Y 41354,A81000B,00100,0300,H.O. COSTS - OPERATING 41354,A81000B,00200,0300,H.O. COSTS- CAPITAL 41354,A81000C,00100,0100,D 41354,A81000C,00100,0200,VARIOUS 41354,A81000C,00100,0400,MFNC INC. 41354,A81000C,00100,0600,MGMT COMPANY 41354,A81000C,00200,0100,D 41354,A81000C,00200,0200,VARIOUS 41354,A81000C,00200,0400,MFNC INC. 41354,A81000C,00200,0600,MGMT COMPANY 41354,B100000,00000,0100,00000SQUARE FEET 41354,B100000,00000,0200,00000SQUARE FEET 41354,B100000,00000,0300,00000GROSS SALARIES 41354,B100000,00000,0400,00000ACCUM. COST 41354,B100000,00000,0500,00000SQUARE FEET 41354,B100000,00000,0600,00000POUNDS OF LAUNDRY 41354,B100000,00000,0700,00000SQFT EXCL DIETARY 41354,B100000,00000,0800,00000PATIENT DAYS 41354,B100000,00000,0900,00000HOURS OF SERVICE 41354,B100000,00000,1000,00000COSTED REQUIS. 41354,B100000,00000,1100,00000COSTED REQUIS. 41354,B100000,00000,1200,00000PATIENT DAYS 41354,B100000,00000,1300,00000PATIENT DAYS 41354,B100000,00000,1350,00000PATIENT DAYS 41354,B100000,00000,1400,00000ASSIGNED TIME 41354,E10A180,00301,0100,04/12/1999 41354,E10A180,00501,0300,02/29/2000 41354,E10A180,00550,0100,02/29/2000 41354,S000000,00100,0200,02/29/2000 41354,S200000,00100,0100,17 CORNELIA STREET 41354,S200000,00200,0100,LEXINGTON 41354,S200000,00200,0200,NC 41354,S200000,00300,0100,DAVIDSON 41354,S200000,00400,0100,LEXINGTON HEALTH CARE CENTER 41354,S200000,00400,0200,345419 41354,S200000,00400,0300,04/21/1992 41354,S200000,00400,0500,P 41354,S200000,01600,0100,Y 41354,S200000,01900,0100,HOSPITAL AUTHORITY 41354,S200000,04300,0100,Y 41362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41362,A000000,00101,0000,00101CAP REL COSTS - ORIGINAL BLDG 41362,A000000,00102,0000,00102CAP REL COSTS - EXPANSION 41362,A000000,00103,0000,00103CAP REL COSTS - COMBINED 41362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41362,A000000,00300,0000,00300EMPLOYEE BENEFITS 41362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41362,A000000,00700,0000,00700HOUSEKEEPING 41362,A000000,00800,0000,00800DIETARY 41362,A000000,00900,0000,00900NURSING ADMINISTRATION 41362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41362,A000000,01100,0000,01100PHARMACY 41362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41362,A000000,01300,0000,01300SOCIAL SERVICE 41362,A000000,01350,0000,01500PATIENT ACTIVITIES 41362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41362,A000000,01600,0000,01600SKILLED NURSING FACILITY 41362,A000000,01800,0000,01800NURSING FACILITY 41362,A000000,01810,0000,01810ICF/MR 41362,A000000,02100,0000,02100RADIOLOGY 41362,A000000,02200,0000,02200LABORATORY 41362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41362,A000000,02500,0000,02500PHYSICAL THERAPY 41362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41362,A000000,02700,0000,02700SPEECH PATHOLOGY 41362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41362,A000000,02901,0000,02901CLINITRON THERAPY 41362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41362,A000000,03550,0000,03550FQHC 41362,A000000,05000,0000,05000CORF 41362,A000000,05010,0000,05010CMHC 41362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41362,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41362,A81000A,00100,0100,Y 41362,A81000B,00100,0300,H.O. COSTS - OPERATING 41362,A81000B,00200,0300,H.O. COSTS - CAPITAL 41362,A81000C,00100,0100,D 41362,A81000C,00100,0200,VARIOUS 41362,A81000C,00100,0400,MFNC INC. 41362,A81000C,00100,0600,MGMT COMPANY 41362,A81000C,00200,0100,D 41362,A81000C,00200,0200,VARIOUS 41362,A81000C,00200,0400,MFNC INC. 41362,A81000C,00200,0600,MGMT COMPANY 41362,B100000,00000,0100,00000SQ. FT. COMBINED 41362,B100000,00000,0101,00000SQ. FT ORIG BLDG 41362,B100000,00000,0102,00000SQ. FT. EXPANSION 41362,B100000,00000,0103,00000SQ. FT. COMBINED 41362,B100000,00000,0200,00000SQ. FT. COMBINED 41362,B100000,00000,0300,00000GROSS SALARIES 41362,B100000,00000,0400,00000ACCUM. COST 41362,B100000,00000,0500,00000SQ. FT. COMBINED 41362,B100000,00000,0600,00000POUNDS OF LAUNDRY 41362,B100000,00000,0700,00000SQ. FT EXCL DIET 41362,B100000,00000,0800,00000PATIENT DAYS 41362,B100000,00000,0900,00000NURSING SALARIES 41362,B100000,00000,1000,00000COSTED REQUIS. 41362,B100000,00000,1100,00000COSTED REQUIS. 41362,B100000,00000,1200,00000PATIENT DAYS 41362,B100000,00000,1300,00000PATIENT DAYS 41362,B100000,00000,1350,00000PATIENT DAYS 41362,B100000,00000,1400,00000ASSIGNED TIME 41362,E10A180,00301,0100,04/12/1999 41362,E10A180,00302,0100,04/12/1999 41362,E10A180,00501,0100,11/07/2000 41362,E10A180,00550,0100,02/29/2000 41362,E10A180,00550,0300,02/29/2000 41362,S000000,00100,0200,02/29/2000 41362,S200000,00100,0100,1987 HILTON ROAD 41362,S200000,00200,0100,BURLINGTON 41362,S200000,00200,0200,NC 41362,S200000,00300,0100,ALAMANCE 41362,S200000,00400,0100,ALAMANCE HEALTH CARE CENTER 41362,S200000,00400,0200,345420 41362,S200000,00400,0300,04/23/1992 41362,S200000,00400,0500,P 41362,S200000,01600,0100,Y 41362,S200000,01900,0100,HOSPITAL AUTHORITY 41362,S200000,04300,0100,Y 41362,S200000,04700,0100,Y 41373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41373,A000000,00300,0000,00300EMPLOYEE BENEFITS 41373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41373,A000000,00700,0000,00700HOUSEKEEPING 41373,A000000,00800,0000,00800DIETARY 41373,A000000,00900,0000,00900NURSING ADMINISTRATION 41373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41373,A000000,01100,0000,01100PHARMACY 41373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41373,A000000,01300,0000,01300SOCIAL SERVICE 41373,A000000,01350,0000,01500ACTIVITIES 41373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41373,A000000,01600,0000,01600SKILLED NURSING FACILITY 41373,A000000,01800,0000,01800NURSING FACILITY 41373,A000000,01810,0000,01810ICF/MR 41373,A000000,01900,0000,01900OTHER LONG TERM CARE 41373,A000000,02100,0000,02100RADIOLOGY 41373,A000000,02200,0000,02200LABORATORY 41373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41373,A000000,02500,0000,02500PHYSICAL THERAPY 41373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41373,A000000,02700,0000,02700SPEECH PATHOLOGY 41373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41373,A000000,03550,0000,03550FQHC 41373,A000000,05000,0000,05000CORF 41373,A000000,05010,0000,05010CMHC 41373,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41373,A81000A,00100,0100,Y 41373,A81000B,00100,0300,MANAGEMENT FEE 41373,A81000B,00200,0300,HOME OFFICE - OTHER 41373,A81000B,00300,0300,HOME OFFICE - QUALITY ASSURANC 41373,A81000B,00400,0300,HOME OFFICE - CAPITAL ITEMS 41373,A81000C,00100,0100,B 41373,A81000C,00100,0400,LAUREL HEALTH 41373,A81000C,00100,0600,MANAGEMENT CO. 41373,B100000,00000,0100,00000SQUARE FEET 41373,B100000,00000,0200,00000SQUARE FEET 41373,B100000,00000,0300,00000GROSS SAL 41373,B100000,00000,0400,00000ACCUM. COST 41373,B100000,00000,0500,00000SQUARE FEET 41373,B100000,00000,0600,00000PAT DAYS 41373,B100000,00000,0700,00000SQUARE FEET 41373,B100000,00000,0800,00000PAT DAYS 41373,B100000,00000,0900,00000BLANK 41373,B100000,00000,1000,00000PAT DAYS 41373,B100000,00000,1100,00000BLANK 41373,B100000,00000,1200,00000BLANK 41373,B100000,00000,1300,00000BLANK 41373,B100000,00000,1350,00000PAT DAYS 41373,B100000,00000,1400,00000BLANK 41373,E10A180,00301,0100,04/12/1999 41373,E10A180,00350,0100,08/24/1999 41373,E10A180,00501,0100,04/27/2000 41373,S000000,00100,0200,02/29/2000 41373,S200000,00100,0100,72 CHATHAM BUSINESS PARK 41373,S200000,00200,0100,PITTSBORO 41373,S200000,00200,0200,NC 41373,S200000,00200,0300,27312 41373,S200000,00300,0100,CHATHAM 41373,S200000,00400,0100,THE LAURELS OF CHATHAM 41373,S200000,00400,0200,345421 41373,S200000,00400,0300,04/28/1992 41373,S200000,00400,0500,P 41373,S200000,00600,0200,345421 41373,S200000,00600,0300,04/28/1992 41373,S200000,00600,0600,P 41373,S200000,01600,0100,Y 41373,S200000,02200,0100,Y 41381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41381,A000000,00300,0000,00300EMPLOYEE BENEFITS 41381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41381,A000000,00700,0000,00700HOUSEKEEPING 41381,A000000,00800,0000,00800DIETARY 41381,A000000,00900,0000,00900NURSING ADMINISTRATION 41381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41381,A000000,01100,0000,01100PHARMACY 41381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41381,A000000,01300,0000,01300SOCIAL SERVICE 41381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41381,A000000,01600,0000,01600SKILLED NURSING FACILITY 41381,A000000,01800,0000,01800NURSING FACILITY 41381,A000000,01810,0000,01810ICF/MR 41381,A000000,01900,0000,01900OTHER LONG TERM CARE 41381,A000000,02200,0000,02200LABORATORY 41381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41381,A000000,02500,0000,02500PHYSICAL THERAPY 41381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41381,A000000,02700,0000,02700SPEECH PATHOLOGY 41381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41381,A000000,03200,0000,03200SUPPORT SURFACES 41381,A000000,03550,0000,03550FQHC 41381,A000000,05000,0000,05000CORF 41381,A000000,05010,0000,05010CMHC 41381,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41381,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41381,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41381,A81000A,00100,0100,Y 41381,A81000B,00100,0300,ACCOUNTING 41381,A81000B,00200,0300,ADMIN MANAGEMENT 41381,A81000B,00300,0300,INFO SYSTEMS 41381,A81000B,00400,0300,PURCHASING 41381,A81000B,00500,0300,INSERV 41381,A81000B,00600,0300,VOLUNTEER 41381,A81000B,00700,0300,PLANT OP REPAIRS 41381,A81000B,00800,0300,LAUNDRY SVS 41381,A81000B,00900,0300,NURSE EDUCATOR 41381,A81000B,01000,0300,PERSONNEL 41381,A81000B,01100,0300,CAP B&G 41381,A81000B,01200,0300,CAP MME 41381,A81000C,00100,0100,A 41381,A81000C,00100,0200,WMH HOLDING 41381,A81000C,00100,0400,WILSON MEM HOLD 41381,A81000C,00100,0600,HEALTHCARE 41381,A81000C,00200,0100,A 41381,A81000C,00200,0200,WMH HOLDING 41381,A81000C,00200,0400,WILSON MEM HOLD 41381,A81000C,00200,0600,HEALTHCARE 41381,A81000C,00300,0100,A 41381,A81000C,00300,0200,WMH HOLDING 41381,A81000C,00300,0400,WILSON MEM HOLD 41381,A81000C,00300,0600,HEALTHCARE 41381,A81000C,00400,0100,A 41381,A81000C,00400,0200,WMH HOLDING 41381,A81000C,00400,0400,WILSON MEM HOLD 41381,A81000C,00400,0600,HEALTHCARE 41381,A81000C,00500,0100,A 41381,A81000C,00500,0200,WMH HOLDING 41381,A81000C,00500,0400,WILSON MEM HOLD 41381,A81000C,00500,0600,HEALTHCARE 41381,A81000C,00600,0100,A 41381,A81000C,00600,0200,WMH HOLDING 41381,A81000C,00600,0400,WILSON MEM HOLD 41381,A81000C,00600,0600,HEALTHCARE 41381,A81000C,00700,0100,A 41381,A81000C,00700,0200,WMH HOLDING 41381,A81000C,00700,0400,WILSON MEM HOLD 41381,A81000C,00700,0600,HEALTHCARE 41381,B100000,00000,0100,00000(SQUARE FEET) 41381,B100000,00000,0200,00000(SQUARE FEET) 41381,B100000,00000,0300,00000(GROSS SALARIES) 41381,B100000,00000,0400,00000(ACCUM COST) 41381,B100000,00000,0500,00000(SQUARE FEET) 41381,B100000,00000,0600,00000POUNDS SKLEV 41381,B100000,00000,0700,00000SQUARE FEET 41381,B100000,00000,0800,00000PAT DAYS SKLEV 41381,B100000,00000,0900,00000(DIRECT NRSG HRS) 41381,B100000,00000,1000,00000COSTED REQUIS 41381,B100000,00000,1100,00000COSTED REQUIS 41381,B100000,00000,1200,00000TIME SPENT 41381,B100000,00000,1300,00000(TIME SPENT) 41381,B100000,00000,1400,00000ASSIGNED TIME 41381,E10A180,00301,0100,04/12/1999 41381,E10A180,00501,0300,07/18/2000 41381,E10A180,00550,0100,07/18/2000 41381,S000000,00100,0200,06/01/2000 41381,S200000,00100,0100,1705 S. TARBORO STREET 41381,S200000,00200,0100,WILSON 41381,S200000,00200,0200,NC 41381,S200000,00200,0300,27893 41381,S200000,00300,0100,WILSON 41381,S200000,00400,0100,TRIANGLE EAST NRSG CARE CENTER 41381,S200000,00400,0200,345423 41381,S200000,00400,0300,05/07/1992 41381,S200000,00400,0500,P 41381,S200000,00600,0200,345423 41381,S200000,00600,0300,05/07/1992 41381,S200000,00600,0600,P 41381,S200000,01600,0100,Y 41381,S200000,01900,0100,OWNED BY WMH HOLDING 41381,S200000,02200,0100,Y 41389,S000000,00100,0200,02/25/2000 41409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41409,A000000,00300,0000,00300EMPLOYEE BENEFITS 41409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41409,A000000,00700,0000,00700HOUSEKEEPING 41409,A000000,00800,0000,00800DIETARY 41409,A000000,00900,0000,00900NURSING ADMINISTRATION 41409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41409,A000000,01100,0000,01100PHARMACY 41409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41409,A000000,01300,0000,01300SOCIAL SERVICE 41409,A000000,01350,0000,01500ACTIVITIES 41409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41409,A000000,01600,0000,01600SKILLED NURSING FACILITY 41409,A000000,01800,0000,01800NURSING FACILITY 41409,A000000,01810,0000,01810ICF/MR 41409,A000000,02300,0000,02300INTRAVENOUS THERAPY 41409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41409,A000000,02500,0000,02500PHYSICAL THERAPY 41409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41409,A000000,02700,0000,02700SPEECH PATHOLOGY 41409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41409,A000000,03550,0000,03550FQHC 41409,A000000,05000,0000,05000CORF 41409,A000000,05010,0000,05010CMHC 41409,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41409,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41409,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41409,A000000,06150,0000,06300ASSISTED LIVING 41409,A81000A,00100,0100,Y 41409,A81000B,00100,0300,ADMINISTRAVTIVE EXPENSES 41409,A81000B,00200,0300,DEPRECIATION 41409,A81000B,00300,0300,ADMINISTRATIVE SALARY 41409,A81000C,00100,0100,B 41409,A81000C,00100,0400,BAPT RET HOMES 41409,A81000C,00100,0600,HOME OFFICE 41409,B100000,00000,0100,00000SQUARE FEET 41409,B100000,00000,0200,00000SQUARE FEET 41409,B100000,00000,0300,00000GROSS SAL 41409,B100000,00000,0400,00000ACCUM. COST 41409,B100000,00000,0500,00000SQUARE FEET 41409,B100000,00000,0600,00000POUNDS LAUNDRY 41409,B100000,00000,0700,00000SQUARE FEET 41409,B100000,00000,0800,00000MEALS SERVED 41409,B100000,00000,0900,00000NURSING HOURS 41409,B100000,00000,1000,00000PAT DAYS 41409,B100000,00000,1100,00000COSTED REQUIS 41409,B100000,00000,1200,00000TIME SPENT- MR 41409,B100000,00000,1300,00000TIME SPENT- SS 41409,B100000,00000,1350,00000TIME SPENT- ACT 41409,B100000,00000,1400,00000ASSIGNED TIME 41409,E10A180,00301,0100,03/29/1999 41409,E10A180,00501,0300,08/08/2000 41409,E10A180,00550,0100,08/08/2000 41409,S000000,00100,0200,06/19/2000 41409,S200000,00100,0100,213 RICHMOND HILL DRIVE 41409,S200000,00200,0100,ASHEVILLE 41409,S200000,00200,0200,NC 41409,S200000,00200,0300,28806 41409,S200000,00300,0100,BUNCOMBE 41409,S200000,00400,0100,RICKMAN NURSING CARE CENTER 41409,S200000,00400,0200,345432 41409,S200000,00400,0300,02/24/1993 41409,S200000,00400,0500,P 41409,S200000,01600,0100,Y 41409,S200000,01900,0100,OWNED BY WMH HOLDING 41409,S200000,02800,0100,Y 41409,S200000,04300,0100,Y 41418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41418,A000000,00300,0000,00300EMPLOYEE BENEFITS 41418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41418,A000000,00700,0000,00700HOUSEKEEPING 41418,A000000,00800,0000,00800DIETARY 41418,A000000,00900,0000,00900NURSING ADMINISTRATION 41418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41418,A000000,01100,0000,01100PHARMACY 41418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41418,A000000,01300,0000,01300SOCIAL SERVICE 41418,A000000,01350,0000,01500PATIENT ACTIVITIES 41418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41418,A000000,01600,0000,01600SKILLED NURSING FACILITY 41418,A000000,01800,0000,01800NURSING FACILITY 41418,A000000,01810,0000,01810ICF/MR 41418,A000000,01900,0000,01900OTHER LONG TERM CARE 41418,A000000,02500,0000,02500PHYSICAL THERAPY 41418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41418,A000000,02700,0000,02700SPEECH PATHOLOGY 41418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41418,A000000,03550,0000,03550FQHC 41418,A000000,05000,0000,05000CORF 41418,A000000,05010,0000,05010CMHC 41418,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41418,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41418,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41418,A81000A,00100,0100,Y 41418,A81000B,00100,0300,RELATED PARTY LEASE 41418,A81000B,00200,0300,RELATED LEASE - DEPRECIATION 41418,A81000C,00100,0100,B 41418,A81000C,00100,0400,DURHAM LTD III 41418,A81000C,00100,0600,RENTAL 41418,B100000,00000,0100,00000SQUARE FEET 41418,B100000,00000,0200,00000SQUARE FEET 41418,B100000,00000,0300,00000GROSS SALARIES 41418,B100000,00000,0400,00000ACCUM. COST 41418,B100000,00000,0500,00000SQUARE FEET 41418,B100000,00000,0600,00000PATIENT DAYS 41418,B100000,00000,0700,00000SQR FTG EXC DIET 41418,B100000,00000,0800,00000PATIENT DAYS 41418,B100000,00000,0900,00000DIRECT NRSING HRS 41418,B100000,00000,1000,00000PATIENT DAYS 41418,B100000,00000,1100,00000PATIENT DAYS 41418,B100000,00000,1200,00000PATIENT DAYS 41418,B100000,00000,1300,00000PATIENT DAYS 41418,B100000,00000,1350,00000PATIENT DAYS 41418,B100000,00000,1400,00000ASSIGNED TIME 41418,E10A180,00301,0100,03/29/1999 41418,E10A180,00350,0100,09/07/1999 41418,E10A180,00501,0300,06/02/2000 41418,E10A180,00550,0100,06/02/2000 41418,S000000,00100,0200,06/02/2000 41418,S200000,00100,0100,321 E. CARVER STREET 41418,S200000,00100,0300,15729 41418,S200000,00200,0100,DURHAM 41418,S200000,00200,0200,NC 41418,S200000,00200,0300,27704 41418,S200000,00300,0100,DURHAM 41418,S200000,00400,0100,CARVER LIVING CENTER 41418,S200000,00400,0200,345434 41418,S200000,00400,0300,04/12/1993 41418,S200000,00400,0500,P 41418,S200000,01600,0100,Y 41418,S200000,01900,0100,OTHER (SPECIFY) 41425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41425,A000000,00300,0000,00300EMPLOYEE BENEFITS 41425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41425,A000000,00700,0000,00700HOUSEKEEPING 41425,A000000,00800,0000,00800DIETARY 41425,A000000,00900,0000,00900NURSING ADMINISTRATION 41425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41425,A000000,01100,0000,01100PHARMACY 41425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41425,A000000,01300,0000,01300SOCIAL SERVICE 41425,A000000,01350,0000,01500PATIENT ACTIVITIES 41425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41425,A000000,01600,0000,01600SKILLED NURSING FACILITY 41425,A000000,01800,0000,01800NURSING FACILITY 41425,A000000,01810,0000,01810ICF/MR 41425,A000000,01900,0000,01900OTHER LONG TERM CARE 41425,A000000,02500,0000,02500PHYSICAL THERAPY 41425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41425,A000000,02700,0000,02700SPEECH PATHOLOGY 41425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41425,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41425,A000000,03200,0000,03200SUPPORT SURFACES 41425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41425,A000000,03550,0000,03550FQHC 41425,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41425,A000000,05000,0000,05000CORF 41425,A000000,05010,0000,05010CMHC 41425,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41425,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41425,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41425,A81000A,00100,0100,Y 41425,A81000B,00100,0300,SALARIES 41425,A81000B,00200,0300,BENEFITS 41425,A81000B,00300,0300,SALARIES 41425,A81000B,00400,0300,BENEFITS 41425,A81000B,00500,0300,SALARIES 41425,A81000B,00600,0300,BENEFITS 41425,A81000B,00700,0300,SALARIES 41425,A81000B,00800,0300,BENEFITS 41425,A81000B,00900,0300,SALARIES 41425,A81000B,01000,0300,BENEFITS 41425,A81000B,01100,0300,SALARIES 41425,A81000B,01200,0300,BENEFITS 41425,A81000B,01300,0300,SALARIES 41425,A81000B,01400,0300,BENEFITS 41425,A81000B,01500,0300,SALARIES 41425,A81000B,01600,0300,BENEFITS 41425,A81000B,01700,0300,LAB 41425,A81000B,01800,0300,BENEFITS 41425,A81000B,01900,0300,POOLED HOME OFFICE COST 41425,A81000B,02000,0300,FUNCTIONAL HOME OFFICE COST 41425,A81000B,02100,0300,FUNCTIONAL HOME OFFICE COST 41425,A81000C,00100,0100,B 41425,A81000C,00100,0200,THE SUMMIT 41425,A81000C,00100,0400,THOMS REHAB HOSPITAL 41425,A81000C,00100,0600,HOSPITAL 41425,A81000C,00300,0400,GREENTREE RIDGE 41425,A81000C,00300,0600,NURSING FACILITY 41425,A81000C,00500,0400,THOMS REHAB HOSPITAL 41425,A81000C,00500,0600,HOSPITAL 41425,A81000C,00700,0400,GREENTREE RIDGE 41425,A81000C,00700,0600,NURSING FACILITY 41425,A81000C,00900,0400,COMMUNITY CARE PARTNERS 41425,A81000C,00900,0600,HOME OFFICE 41425,A81000C,01100,0400,THOMS REHAB HOSPITAL 41425,A81000C,01100,0600,HOSPITAL 41425,A81000C,01600,0400,MISSION ST. JOSEPHS 41425,A81000C,01600,0600,HOSPITAL 41425,A81000C,01700,0400,COMMUNITY CARE PARTNERS 41425,A81000C,01700,0600,HOME OFFICE 41425,B100000,00000,0100,00000SQUARE FEET 41425,B100000,00000,0200,00000SQUARE FEET 41425,B100000,00000,0300,00000GROSS SALARIES 41425,B100000,00000,0400,00000ACCUM. COST 41425,B100000,00000,0500,00000SQUARE FEET 41425,B100000,00000,0600,00000PATIENT DAYS 41425,B100000,00000,0700,00000SQ.FTG. EXC. DIET 41425,B100000,00000,0800,00000PATIENT DAYS 41425,B100000,00000,0900,00000NURSING HOURS 41425,B100000,00000,1000,00000PATIENT DAYS 41425,B100000,00000,1100,00000PATIENT DAYS 41425,B100000,00000,1200,00000PATIENT DAYS 41425,B100000,00000,1300,00000PATIENT DAYS 41425,B100000,00000,1350,00000PATIENT DAYS 41425,B100000,00000,1400,00000ASSIGNED TIME 41425,E10A180,00301,0100,04/12/1999 41425,E10A180,00550,0100,05/31/2000 41425,E10A180,00550,0300,05/31/2000 41425,S000000,00100,0200,05/31/2000 41425,S200000,00100,0100,100 RICEVILLE ROAD 41425,S200000,00200,0100,ASHEVILLE 41425,S200000,00200,0200,NC 41425,S200000,00200,0300,28805 41425,S200000,00300,0100,BUNCOMBE 41425,S200000,00400,0100,THE SUMMIT INN AT THE RIDGE 41425,S200000,00400,0200,345438 41425,S200000,00400,0300,06/23/1993 41425,S200000,00400,0500,P 41425,S200000,01600,0100,Y 41437,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41437,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41437,A000000,00300,0000,00300EMPLOYEE BENEFITS 41437,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41437,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41437,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41437,A000000,00700,0000,00700HOUSEKEEPING 41437,A000000,00800,0000,00800DIETARY 41437,A000000,00900,0000,00900NURSING ADMINISTRATION 41437,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41437,A000000,01100,0000,01100PHARMACY 41437,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41437,A000000,01300,0000,01300SOCIAL SERVICE 41437,A000000,01350,0000,01500OTHER GENERAL SERVICES 41437,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41437,A000000,01600,0000,01600SKILLED NURSING FACILITY 41437,A000000,01800,0000,01800NURSING FACILITY 41437,A000000,01810,0000,01810ICF/MR 41437,A000000,01900,0000,01900OTHER LONG TERM CARE 41437,A000000,02200,0000,02200LABORATORY 41437,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41437,A000000,02500,0000,02500PHYSICAL THERAPY 41437,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41437,A000000,02700,0000,02700SPEECH PATHOLOGY 41437,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41437,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41437,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41437,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41437,A000000,03550,0000,03550FQHC 41437,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41437,A000000,05000,0000,05000CORF 41437,A000000,05010,0000,05010CMHC 41437,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41437,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41437,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41437,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41437,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41437,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41437,B100000,00000,0100,00000SQUARE FEET 41437,B100000,00000,0200,00000NO STATISTICS 41437,B100000,00000,0300,00000SALARIES 41437,B100000,00000,0400,00000ACCUM. COST 41437,B100000,00000,0500,00000SQUARE FEET 41437,B100000,00000,0600,00000POUNDS 41437,B100000,00000,0700,00000HOURS 41437,B100000,00000,0800,00000MEALS 41437,B100000,00000,0900,00000NURSING HOURS 41437,B100000,00000,1000,00000NO STATISTICS 41437,B100000,00000,1100,00000NO STATISTICS 41437,B100000,00000,1200,00000NO STATISTICS 41437,B100000,00000,1300,00000HOURS 41437,B100000,00000,1350,00000NO STATISTICS 41437,B100000,00000,1400,00000NO STATISTICS 41437,E10A180,00301,0100,03/29/1999 41437,E10A180,00501,0100,07/19/2000 41437,E10A180,00550,0300,07/19/2000 41437,S000000,00100,0200,06/01/2000 41437,S200000,00100,0100,1770 OAK HOLLOW RD 41437,S200000,00200,0100,GASTONIA 41437,S200000,00200,0200,NC 41437,S200000,00200,0300,28054 41437,S200000,00300,0100,GASTON 41437,S200000,00400,0100,ALEXANDRIA PLACE 41437,S200000,00400,0200,345441 41437,S200000,00400,0300,07/07/1993 41437,S200000,00400,0500,P 41437,S200000,01600,0100,Y 41437,S200000,01900,0100,503C 41446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41446,A000000,00300,0000,00300EMPLOYEE BENEFITS 41446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41446,A000000,00700,0000,00700HOUSEKEEPING 41446,A000000,00800,0000,00800DIETARY 41446,A000000,00900,0000,00900NURSING ADMINISTRATION 41446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41446,A000000,01100,0000,01100PHARMACY 41446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41446,A000000,01300,0000,01300SOCIAL SERVICE 41446,A000000,01350,0000,01500PATIENT ACTIVITIES 41446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41446,A000000,01600,0000,01600SKILLED NURSING FACILITY 41446,A000000,01800,0000,01800NURSING FACILITY 41446,A000000,01810,0000,01810ICF/MR 41446,A000000,02200,0000,02200LABORATORY 41446,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41446,A000000,02500,0000,02500PHYSICAL THERAPY 41446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41446,A000000,02700,0000,02700SPEECH PATHOLOGY 41446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41446,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41446,A000000,03200,0000,03200SUPPORT SURFACES 41446,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41446,A000000,03550,0000,03550FQHC 41446,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41446,A000000,04800,0000,04800AMBULANCE 41446,A000000,05000,0000,05000CORF 41446,A000000,05010,0000,05010CMHC 41446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41446,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41446,A81000A,00100,0100,Y 41446,A81000B,00100,0300,LAB 41446,A81000B,00200,0300,MEDICAL SUPPLIES 41446,A81000B,00300,0300,PHYSICAL THERAPY 41446,A81000B,00400,0300,PHYSICAL THERAPY 41446,A81000B,00500,0300,SPEECH THERAPY 41446,A81000B,00600,0300,OCCUPATIONAL THERAPY 41446,A81000B,00700,0300,OCCUPATIONAL THERAPY 41446,A81000B,00800,0300,STAFF DEVELOPMENT 41446,A81000B,00900,0300,MEDICAL ADMIN 41446,A81000B,01000,0300,RESPIRATORY THERAPY 41446,A81000B,01100,0300,HSKP CONTRACT 41446,A81000B,01200,0300,ADMIN 41446,A81000B,01300,0300,CONSULTANT 41446,A81000B,01400,0300,PENSION EXPENSE 41446,A81000B,01500,0300,WORKERS COMP 41446,A81000B,01600,0300,MORTGAGE INTEREST 41446,A81000C,00100,0100,B 41446,A81000C,00100,0400,NC BAPTIST HOSPITAL 41446,A81000C,00100,0600,ENDOWMENT 41446,A81000C,00200,0100,B 41446,A81000C,00200,0400,NC BAPTIST HOSPITAL 41446,A81000C,00300,0100,B 41446,A81000C,00300,0400,NC BAPTIST HOSPITAL 41446,A81000C,00400,0100,B 41446,A81000C,00400,0400,NC BAPTIST HOSPITAL 41446,A81000C,00500,0100,B 41446,A81000C,00500,0400,NC BAPTIST HOSPITAL 41446,A81000C,00600,0100,B 41446,A81000C,00600,0400,NC BAPTIST HOSPITAL 41446,A81000C,00700,0100,B 41446,A81000C,00700,0400,NC BAPTIST HOSPITAL 41446,A81000C,00800,0100,B 41446,A81000C,00800,0400,NC BAPTIST HOSPITAL 41446,A81000C,00900,0100,B 41446,A81000C,00900,0400,NC BAPTIST HOSPITAL 41446,A81000C,01000,0100,B 41446,A81000C,01000,0400,NC BAPTIST HOSPITAL 41446,A81000C,01100,0100,B 41446,A81000C,01100,0400,NC BAPTIST HOSPITAL 41446,A81000C,01200,0100,B 41446,A81000C,01200,0400,NC BAPTIST HOSPITAL 41446,A81000C,01300,0100,B 41446,A81000C,01300,0400,NC BAPTIST HOSPITAL 41446,A81000C,01400,0100,B 41446,A81000C,01400,0400,NC BAPTIST HOSPITAL 41446,A81000C,01500,0100,B 41446,A81000C,01500,0400,NC BAPTIST HOSPITAL 41446,A81000C,01600,0100,B 41446,A81000C,01600,0400,NC BAPTIST HOSPITAL 41446,B100000,00000,0100,00000SQ FTG 41446,B100000,00000,0200,00000SQUARE FEET 41446,B100000,00000,0300,00000SALARIES 41446,B100000,00000,0400,00000ACCUM. COST 41446,B100000,00000,0500,00000SQ FTG 41446,B100000,00000,0600,00000POUNDS 41446,B100000,00000,0700,00000SQ FTGLESS DI 41446,B100000,00000,0800,00000MEALS SERVED 41446,B100000,00000,0900,00000TIME SPENT 41446,B100000,00000,1000,00000CHARGES 41446,B100000,00000,1100,00000CHARGES 41446,B100000,00000,1200,00000TIME SPENT 41446,B100000,00000,1300,00000TIME SPENT 41446,B100000,00000,1350,00000TIME SPENT 41446,B100000,00000,1400,00000ASSIGNED TIME 41446,E10A180,00501,0100,04/11/2001 41446,E10A180,00550,0300,04/11/2001 41446,S000000,00100,0200,03/26/2001 41446,S200000,00100,0100,5680 WINDY HILL DRIVE 41446,S200000,00200,0100,WINSTON SALEM 41446,S200000,00200,0200,NC 41446,S200000,00200,0300,27105 41446,S200000,00300,0100,FORSYTH 41446,S200000,00400,0100,NURSING CENTER AT OAK SUMMIT 41446,S200000,00400,0200,345443 41446,S200000,00400,0300,07/28/1993 41446,S200000,00400,0500,P 41446,S200000,00600,0200,345443 41446,S200000,00600,0300,07/28/1993 41446,S200000,00600,0600,P 41446,S200000,01600,0100,Y 41446,S200000,01900,0100,NONE 41446,S200000,04300,0100,Y 41454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41454,A000000,00300,0000,00300EMPLOYEE BENEFITS 41454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41454,A000000,00700,0000,00700HOUSEKEEPING 41454,A000000,00800,0000,00800DIETARY 41454,A000000,00900,0000,00900NURSING ADMINISTRATION 41454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41454,A000000,01100,0000,01100PHARMACY 41454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41454,A000000,01300,0000,01300SOCIAL SERVICE 41454,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41454,A000000,01600,0000,01600SKILLED NURSING FACILITY 41454,A000000,01810,0000,01810ICF/MR 41454,A000000,02100,0000,02100RADIOLOGY 41454,A000000,02200,0000,02200LABORATORY 41454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41454,A000000,02500,0000,02500PHYSICAL THERAPY 41454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41454,A000000,02700,0000,02700SPEECH PATHOLOGY 41454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41454,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41454,A000000,03550,0000,03550FQHC 41454,A000000,05000,0000,05000CORF 41454,A000000,05010,0000,05010CMHC 41454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41454,A000000,05300,0000,05300INTEREST EXPENSE 41454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41454,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41454,A81000A,00100,0100,Y 41454,A81000B,00100,0300,CONSULTING 41454,A81000B,00200,0300,CONSULTING 41454,A81000B,00300,0300,CONSULTING 41454,A81000B,00400,0300,CONSULTING 41454,A81000B,00500,0300,HOME OFFICE 41454,A81000B,00600,0300,CONSULTING 41454,A81000B,00900,0300,GAS 41454,A81000C,00100,0100,B 41454,A81000C,00100,0400,BRITTHAVEN INC 41454,A81000C,00100,0600,MGMT SVS 41454,A81000C,00200,0100,B 41454,A81000C,00200,0400,BRITTHAVEN INC 41454,A81000C,00200,0600,MGMT SVS 41454,A81000C,00300,0100,B 41454,A81000C,00300,0400,BRITTHAVEN INC 41454,A81000C,00300,0600,MGMT SVS 41454,A81000C,00400,0100,B 41454,A81000C,00400,0400,BRITTHAVEN INC 41454,A81000C,00400,0600,MGMT SVS 41454,A81000C,00500,0100,B 41454,A81000C,00500,0400,BRITTHAVEN INC 41454,A81000C,00500,0600,MGMT SVS 41454,A81000C,00600,0100,B 41454,A81000C,00600,0400,BRITTHAVEN INC 41454,A81000C,00600,0600,MGMT SVS 41454,A81000C,00700,0100,B 41454,A81000C,00700,0400,BRITTHAVEN INC 41454,A81000C,00700,0600,MGMT SVS 41454,A81000C,00800,0100,B 41454,A81000C,00800,0400,BRITTHAVEN INC 41454,A81000C,00800,0600,MGMT SVS 41454,A81000C,00900,0100,B 41454,A81000C,00900,0400,BRITTHAVEN INC 41454,A81000C,00900,0600,MGMT SVS 41454,A81000C,01000,0100,B 41454,A81000C,01000,0400,R. HILL CONS. C 41454,A81000C,01000,0600,CONSTRUCTION 41454,B100000,00000,0100,00000SQUARE FEET 41454,B100000,00000,0200,00000SQUARE FEET 41454,B100000,00000,0300,00000GROSS SALARIES 41454,B100000,00000,0400,00000ACCUM COST 41454,B100000,00000,0500,00000SQUARE FEET 41454,B100000,00000,0600,00000POUNDS OF LAUNDRY 41454,B100000,00000,0700,00000HOURS OF SERVICE 41454,B100000,00000,0800,00000MEALS SERVED 41454,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41454,B100000,00000,1000,00000COSTED REQUISITIO 41454,B100000,00000,1100,00000COSTED REQUISITIO 41454,B100000,00000,1200,00000TIME SPENT 41454,B100000,00000,1300,00000TIME SPENT 41454,B100000,00000,1350,00000SQUARE FEET 41454,B100000,00000,1400,00000ASSIGNED TIME 41454,E10A180,00301,0100,04/05/1999 41454,E10A180,00302,0100,09/27/1999 41454,S000000,00100,0200,03/21/2000 41454,S200000,00100,0100,2680 HIGHWAY 66 SOUTH 41454,S200000,00200,0100,KERNERSVILLE 41454,S200000,00200,0200,NC 41454,S200000,00200,0300,27284 41454,S200000,00300,0100,FORSYTH 41454,S200000,00400,0100,BRITTHAVEN OF FORSYTH 41454,S200000,00400,0200,345444 41454,S200000,00400,0300,09/17/1993 41454,S200000,00400,0500,P 41454,S200000,01500,0100,Y 41461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41461,A000000,00300,0000,00300EMPLOYEE BENEFITS 41461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41461,A000000,00700,0000,00700HOUSEKEEPING 41461,A000000,00800,0000,00800DIETARY 41461,A000000,00900,0000,00900NURSING ADMINISTRATION 41461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41461,A000000,01100,0000,01100PHARMACY 41461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41461,A000000,01300,0000,01300SOCIAL SERVICE 41461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41461,A000000,01600,0000,01600SKILLED NURSING FACILITY 41461,A000000,01810,0000,01810ICF/MR 41461,A000000,01900,0000,01900OTHER LONG TERM CARE 41461,A000000,02500,0000,02500PHYSICAL THERAPY 41461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41461,A000000,02700,0000,02700SPEECH PATHOLOGY 41461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41461,A000000,03550,0000,03550FQHC 41461,A000000,05000,0000,05000CORF 41461,A000000,05010,0000,05010CMHC 41461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41461,A000000,05300,0000,05300INTEREST EXPENSE 41461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41461,A81000A,00100,0100,Y 41461,A81000B,00100,0300,HOME OFFICE OPERATING 41461,A81000B,00200,0300,HOME OFFICE CAP-REL BLDG 41461,A81000B,00300,0300,HOME OFFICE CAP-REL EQUIP 41461,A81000C,00100,0100,B 41461,A81000C,00100,0200,PRESBYTERIAN HOMES INC. 41461,A81000C,00100,0400,PRESBYTERIAN HOMES INC. 41461,A81000C,00100,0600,HOME OFFICE 41461,B100000,00000,0100,00000SQUARE FEET 41461,B100000,00000,0200,00000SQUARE FEET 41461,B100000,00000,0300,00000GROSS SALARIES 41461,B100000,00000,0400,00000ACCUM. COST 41461,B100000,00000,0500,00000SQUARE FEET 41461,B100000,00000,0600,00000POUNDS OF LAUNDRY 41461,B100000,00000,0700,00000HOURS OF SERVICE 41461,B100000,00000,0800,00000MEALS SERVED 41461,B100000,00000,0900,00000HOURS OF SERVICE 41461,B100000,00000,1000,00000COSTED REQUIS 41461,B100000,00000,1100,00000COSTED REQUIS 41461,B100000,00000,1200,00000TIME SPENT 41461,B100000,00000,1300,00000TIME SPENT 41461,B100000,00000,1400,00000ASSIGNED TIME 41461,E10A180,00550,0100,06/01/2000 41461,E10A180,00550,0300,06/01/2000 41461,S000000,00100,0200,06/01/2000 41461,S200000,00100,0100,200 WEST CORNWALL ROAD 41461,S200000,00200,0100,CARY 41461,S200000,00200,0200,NC 41461,S200000,00200,0300,27511-3802 41461,S200000,00300,0100,WAKE 41461,S200000,00400,0100,GLENAIRE INC. 41461,S200000,00400,0200,345445 41461,S200000,00400,0300,09/24/1993 41461,S200000,00400,0500,P 41461,S200000,01500,0100,Y 41471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41471,A000000,00300,0000,00300EMPLOYEE BENEFITS 41471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41471,A000000,00700,0000,00700HOUSEKEEPING 41471,A000000,00800,0000,00800DIETARY 41471,A000000,00900,0000,00900NURSING ADMINISTRATION 41471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41471,A000000,01100,0000,01100PHARMACY 41471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41471,A000000,01300,0000,01300SOCIAL SERVICE 41471,A000000,01350,0000,01500ACTIVITIES 41471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41471,A000000,01600,0000,01600SKILLED NURSING FACILITY 41471,A000000,01800,0000,01800NURSING FACILITY 41471,A000000,01810,0000,01810ICF/MR 41471,A000000,01900,0000,01900OTHER LONG TERM CARE 41471,A000000,02100,0000,02100RADIOLOGY 41471,A000000,02200,0000,02200LABORATORY 41471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41471,A000000,02500,0000,02500PHYSICAL THERAPY 41471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41471,A000000,02700,0000,02700SPEECH PATHOLOGY 41471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41471,A000000,03550,0000,03550FQHC 41471,A000000,05000,0000,05000CORF 41471,A000000,05010,0000,05010CMHC 41471,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41471,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41471,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 41471,A000000,05300,0000,05300INTEREST EXPENSE 41471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41471,A81000A,00100,0100,Y 41471,A81000B,00100,0300,DRUGS CONSULTING 41471,A81000B,00200,0300,MANAGEMENT FEE 41471,A81000C,00100,0100,B 41471,A81000C,00100,0200,VALDESE GEN HOS 41471,A81000C,00100,0600,HOSPITAL 41471,B100000,00000,0100,00000SQUARE FEET 41471,B100000,00000,0200,00000SQUARE FEET 41471,B100000,00000,0300,00000GROSS SALARIES 41471,B100000,00000,0400,00000ACCUM COST 41471,B100000,00000,0500,00000SQUARE FEET 41471,B100000,00000,0600,00000POUNDS OF LAUNDRY 41471,B100000,00000,0700,00000SQUARE FEET 41471,B100000,00000,0800,00000MEALS SERVED 41471,B100000,00000,0900,00000DIRECT NRSG HRS 41471,B100000,00000,1000,00000COSTED REQUIS 41471,B100000,00000,1100,00000COSTED REQUIS 41471,B100000,00000,1200,00000TIME SPENT 41471,B100000,00000,1300,00000TIME SPENT 41471,B100000,00000,1350,00000TIME SPENT 41471,B100000,00000,1400,00000ASSIGNED TIME 41471,E10A180,00501,0100,08/15/2000 41471,E10A180,00550,0300,08/15/2000 41471,S000000,00100,0200,06/22/2000 41471,S200000,00100,0100,95 LOCUST STREET 41471,S200000,00100,0300,250 41471,S200000,00200,0100,VALDESE 41471,S200000,00200,0200,NC 41471,S200000,00300,0100,BURKE 41471,S200000,00400,0100,COLLEGE PINES NURSING CENTER 41471,S200000,00400,0200,345446 41471,S200000,00400,0300,10/13/1993 41471,S200000,00400,0500,P 41471,S200000,00600,0200,345446 41471,S200000,00600,0300,10/13/1993 41471,S200000,00600,0600,P 41471,S200000,01500,0100,Y 41471,S200000,02200,0100,Y 41501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41501,A000000,00300,0000,00300EMPLOYEE BENEFITS 41501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41501,A000000,00700,0000,00700HOUSEKEEPING 41501,A000000,00800,0000,00800DIETARY 41501,A000000,00900,0000,00900NURSING ADMINISTRATION 41501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41501,A000000,01100,0000,01100PHARMACY 41501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41501,A000000,01300,0000,01300SOCIAL SERVICE 41501,A000000,01350,0000,01500PATIENT ACTIVITIES 41501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41501,A000000,01600,0000,01600SKILLED NURSING FACILITY 41501,A000000,01800,0000,01800NURSING FACILITY 41501,A000000,01810,0000,01810ICF/MR 41501,A000000,02100,0000,02100RADIOLOGY 41501,A000000,02200,0000,02200LABORATORY 41501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41501,A000000,02500,0000,02500PHYSICAL THERAPY 41501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41501,A000000,02700,0000,02700SPEECH PATHOLOGY 41501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41501,A000000,03550,0000,03550FQHC 41501,A000000,05000,0000,05000CORF 41501,A000000,05010,0000,05010CMHC 41501,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41501,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41501,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41501,A000000,06150,0000,06300NONREIMBURSABLE 41501,A81000A,00100,0100,Y 41501,A81000B,00100,0300,HOME OFFICE 41501,A81000B,00200,0300,HOME OFFICE CAP RELA 41501,A81000C,00100,0100,A 41501,A81000C,00100,0200,ACTS RETIREMENT 41501,A81000C,00100,0600,HOME OFFICE 41501,A81000C,00200,0100,B 41501,A81000C,00200,0200,ACTS RETIREMENT 41501,A81000C,00200,0600,HOME OFFICE 41501,B100000,00000,0100,00000SQUARE FEET 41501,B100000,00000,0200,00000SQUARE FEET 41501,B100000,00000,0300,00000GROSS SALARIES 41501,B100000,00000,0400,00000ACCUM COST 41501,B100000,00000,0500,00000SQUARE FEET 41501,B100000,00000,0600,00000POUNDS OF LAUNDRY 41501,B100000,00000,0700,00000SQUARE FEET 41501,B100000,00000,0800,00000MEALS SERVED 41501,B100000,00000,0900,00000DIRECT NRSG HRS 41501,B100000,00000,1000,00000PATIENT DAYS 41501,B100000,00000,1100,00000COSTED REQUIS 41501,B100000,00000,1200,00000TIME SPENT 41501,B100000,00000,1300,00000TIME SPENT 41501,B100000,00000,1350,00000PATIENT DAYS 41501,B100000,00000,1400,00000ASSIGNED TIME 41501,S000000,00100,0200,06/02/2000 41501,S200000,00100,0100,619 LAUREL LAKE DRIVE 41501,S200000,00200,0100,COLUMBUS 41501,S200000,00200,0200,NC 41501,S200000,00200,0300,28722 41501,S200000,00300,0100,POLK 41501,S200000,00400,0100,TRYON ESTATES 41501,S200000,00400,0200,345459 41501,S200000,00400,0300,03/06/1994 41501,S200000,00400,0500,P 41501,S200000,01500,0100,Y 41501,S200000,01900,0100,503C 41508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41508,A000000,00300,0000,00300EMPLOYEE BENEFITS 41508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41508,A000000,00700,0000,00700HOUSEKEEPING 41508,A000000,00800,0000,00800DIETARY 41508,A000000,00900,0000,00900NURSING ADMINISTRATION 41508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41508,A000000,01100,0000,01100PHARMACY 41508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41508,A000000,01300,0000,01300SOCIAL SERVICE 41508,A000000,01350,0000,01500PATIENT ACTIVITIES 41508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41508,A000000,01600,0000,01600SKILLED NURSING FACILITY 41508,A000000,01800,0000,01800NURSING FACILITY 41508,A000000,01810,0000,01810ICF/MR 41508,A000000,01900,0000,01900OTHER LONG TERM CARE 41508,A000000,02100,0000,02100RADIOLOGY 41508,A000000,02200,0000,02200LABORATORY 41508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41508,A000000,02500,0000,02500PHYSICAL THERAPY 41508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41508,A000000,02700,0000,02700SPEECH PATHOLOGY 41508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41508,A000000,03550,0000,03550FQHC 41508,A000000,05000,0000,05000CORF 41508,A000000,05010,0000,05010CMHC 41508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41508,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41508,A81000A,00100,0100,Y 41508,A81000B,00100,0300,H.O. COSTS - OPERATING 41508,A81000B,00200,0300,H.O. COSTS - CAPITAL 41508,A81000C,00100,0100,D 41508,A81000C,00100,0200,VARIOUS 41508,A81000C,00100,0400,MFNC INC. 41508,A81000C,00200,0100,D 41508,A81000C,00200,0200,VARIOUS 41508,A81000C,00200,0400,MFNC INC. 41508,B100000,00000,0100,00000SQUARE FEET 41508,B100000,00000,0200,00000SQUARE FEET 41508,B100000,00000,0300,00000GROSS SALARIES 41508,B100000,00000,0400,00000ACCUM. COST 41508,B100000,00000,0500,00000SQUARE FEET 41508,B100000,00000,0600,00000PATIENT DAYS 41508,B100000,00000,0700,00000SQFT EXCL DIETA 41508,B100000,00000,0800,00000PATIENT DAYS 41508,B100000,00000,0900,00000NURSING SALARIES 41508,B100000,00000,1000,00000COSTED REQUIS. 41508,B100000,00000,1100,00000COSTED REQUIS. 41508,B100000,00000,1200,00000PATIENT DAYS 41508,B100000,00000,1300,00000PATIENT DAYS 41508,B100000,00000,1350,00000PATIENT DAYS 41508,B100000,00000,1400,00000ASSIGNED TIME 41508,E10A180,00301,0100,04/26/1999 41508,E10A180,00550,0100,02/29/2000 41508,E10A180,00550,0300,02/29/2000 41508,S000000,00100,0200,02/29/2000 41508,S200000,00100,0100,2041 WILLOW ROAD 41508,S200000,00200,0100,GREENSBORO 41508,S200000,00200,0200,NC 41508,S200000,00300,0100,GUILFORD 41508,S200000,00400,0100,GUILFORD HEALTH CARE CENTER 41508,S200000,00400,0200,345460 41508,S200000,00400,0300,06/24/1994 41508,S200000,00400,0500,P 41508,S200000,01600,0100,Y 41508,S200000,01900,0100,HOSPITAL AUTHORITY 41508,S200000,04300,0100,Y 41508,S200000,04700,0100,Y 41516,S000000,00100,0200,02/29/2000 41522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41522,A000000,00300,0000,00300EMPLOYEE BENEFITS 41522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41522,A000000,00700,0000,00700HOUSEKEEPING 41522,A000000,00800,0000,00800DIETARY 41522,A000000,00900,0000,00900NURSING ADMINISTRATION 41522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41522,A000000,01100,0000,01100PHARMACY 41522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41522,A000000,01300,0000,01300SOCIAL SERVICE 41522,A000000,01350,0000,01500PATIENT ACTIVITIES 41522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41522,A000000,01600,0000,01600SKILLED NURSING FACILITY 41522,A000000,01800,0000,01800NURSING FACILITY 41522,A000000,01810,0000,01810ICF/MR 41522,A000000,02100,0000,02100RADIOLOGY 41522,A000000,02200,0000,02200LABORATORY 41522,A000000,02300,0000,02300INTRAVENOUS THERAPY 41522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41522,A000000,02500,0000,02500PHYSICAL THERAPY 41522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41522,A000000,02700,0000,02700SPEECH PATHOLOGY 41522,A000000,02800,0000,02800ELECTROCARDIOLOGY 41522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41522,A000000,03401,0000,03401EMERGENCY ROOM 41522,A000000,03402,0000,03402BLOOD & BLOOD ADMINISTRATION 41522,A000000,03550,0000,03550FQHC 41522,A000000,04800,0000,04800AMBULANCE 41522,A000000,05000,0000,05000CORF 41522,A000000,05010,0000,05010CMHC 41522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41522,A000000,06201,0000,06201ADULT DAY CARE 41522,A81000B,00100,0300,RENT - BLDG 41522,A81000B,00200,0300,RENT - BLDG 41522,A81000B,00300,0300,EQUIP 41522,A81000B,00400,0300,MEDICAL SUPPLIES 41522,A81000B,00500,0300,MEDICAL SUPPLIES 41522,A81000B,00600,0300,MEDICAL SUPPLIES 41522,A81000B,00700,0300,MEDICAL SUPPLIES 41522,A81000B,00800,0300,LEGEND DRUGS 41522,A81000B,00900,0300,LEGEND DRUGS 41522,A81000B,01000,0300,PHYSICAL THERAPY 41522,A81000B,01100,0300,OCCUPATIONAL THERAPY 41522,A81000B,01200,0300,SPEECH PATHOLOGY 41522,A81000B,01300,0300,MANAGEMENT SERVICES 41522,A81000B,01400,0300,RENT - EQUIP 41522,A81000B,01500,0300,SUPP FEEDING 41522,A81000B,01600,0300,MEDICAL SUPPLIES 41522,A81000B,01700,0300,MEDICAL SUPPLIES 41522,A81000C,00100,0100,A 41522,A81000C,00100,0200,R & S MCNEIL 41522,A81000C,00100,0400,LIBERTY HC SERVICES 41522,A81000C,00100,0600,REAL EST HOLDIN 41522,A81000C,00200,0100,A 41522,A81000C,00200,0200,R & S MCNEIL 41522,A81000C,00200,0400,LIBERTY HC MANAGEMEN 41522,A81000C,00200,0600,HOME OFFICE 41522,A81000C,00300,0100,A 41522,A81000C,00300,0200,R & S MCNEIL 41522,A81000C,00300,0400,LIBERTY HC MANAGEMEN 41522,A81000C,00300,0600,HOME OFFICE 41522,A81000C,00400,0100,A 41522,A81000C,00400,0200,R & S MCNEIL 41522,A81000C,00400,0400,LIBERTY MEDICAL SPEC 41522,A81000C,00400,0600,MEDICAL SUPPLY 41522,A81000C,00500,0100,A 41522,A81000C,00500,0200,R & S MCNEIL 41522,A81000C,00500,0400,MCNEIL PHARMACY 41522,A81000C,00500,0600,PHARMACY 41522,A81000C,00600,0100,A 41522,A81000C,00600,0200,R & S MCNEIL 41522,A81000C,00600,0400,LIBERTY MEDICAL SPEC 41522,A81000C,00600,0600,MEDICAL SUPPLY 41522,A81000C,00700,0100,A 41522,A81000C,00700,0200,R & S MCNEIL 41522,A81000C,00700,0400,MCNEIL PHARMACY 41522,A81000C,00700,0600,PHARMACY 41522,A81000C,00800,0100,A 41522,A81000C,00800,0200,R & S MCNEIL 41522,A81000C,00800,0400,LIBERTY MEDICAL SPEC 41522,A81000C,00800,0600,MEDICAL SUPPLY 41522,A81000C,00900,0100,A 41522,A81000C,00900,0200,R & S MCNEIL 41522,A81000C,00900,0400,MCNEIL PHARMACY 41522,A81000C,00900,0600,PHARMACY 41522,A81000C,01000,0100,A 41522,A81000C,01000,0200,R & S MCNEIL 41522,A81000C,01000,0400,BALLARD THERAPY 41522,A81000C,01000,0600,THERAPY CO 41522,A81000C,01100,0100,A 41522,A81000C,01100,0200,R & S MCNEIL 41522,A81000C,01100,0400,BALLARD THERAPY 41522,A81000C,01100,0600,THERAPY CO 41522,A81000C,01200,0100,A 41522,A81000C,01200,0200,R & S MCNEIL 41522,A81000C,01200,0400,BALLARD THERAPY 41522,A81000C,01200,0600,THERAPY CO 41522,A81000C,01300,0100,A 41522,A81000C,01300,0200,R & S MCNEIL 41522,A81000C,01300,0400,LIBERTY HC MANAGEMEN 41522,A81000C,01300,0600,HOME OFFICE 41522,A81000C,01400,0100,A 41522,A81000C,01400,0200,R & S MCNEIL 41522,A81000C,01400,0400,LIBERTY MEDICAL SPEC 41522,A81000C,01400,0600,MEDICAL SUPPLY 41522,A81000C,01500,0100,A 41522,A81000C,01500,0200,R & S MCNEIL 41522,A81000C,01500,0400,LIBERTY MEDICAL SPEC 41522,A81000C,01500,0600,MEDICAL SUPPLY 41522,A81000C,01600,0100,A 41522,A81000C,01600,0200,R & S MCNEIL 41522,A81000C,01600,0400,LIBERTY MEDICAL SPEC 41522,A81000C,01600,0600,MEDICAL SUPPLY 41522,A81000C,01700,0100,A 41522,A81000C,01700,0200,R & S MCNEIL 41522,A81000C,01700,0400,LIBERTY MEDICAL SPEC 41522,A81000C,01700,0600,MEDICAL SUPPLY 41522,B100000,00000,0100,00001SQUARE FEET 41522,B100000,00000,0200,00001SQUARE FEET 41522,B100000,00000,0300,00001GROSS SALARIES 41522,B100000,00000,0400,00001ACCUM COST 41522,B100000,00000,0500,00001SQUARE FEET 41522,B100000,00000,0600,00001POUNDS OF LAUNDRY 41522,B100000,00000,0700,00001SQUARE FEET 41522,B100000,00000,0800,00001MEALS SERVED 41522,B100000,00000,0900,00001DIRECT NRSG HRS 41522,B100000,00000,1000,00001COSTED REQUIS 41522,B100000,00000,1100,00001COSTED REQUIS 41522,B100000,00000,1200,00001PATIENT DAYS 41522,B100000,00000,1300,00001PATIENT DAYS 41522,B100000,00000,1350,00001PATIENT DAYS 41522,B100000,00000,1400,00001ASSIGNED TIME 41522,E10A180,00301,0100,04/12/1999 41522,E10A180,00501,0100,06/21/2000 41522,E10A180,00550,0300,06/21/2000 41522,S000000,00100,0200,06/21/2000 41522,S200000,00100,0100,121 RACINE DRIVE 41522,S200000,00200,0100,WILMINGTON 41522,S200000,00200,0200,NC 41522,S200000,00200,0300,28403 41522,S200000,00300,0100,NEW HANOVER 41522,S200000,00400,0100,LIBERTY COMMONS NRSG CENTER INC. 41522,S200000,00400,0200,345468 41522,S200000,00400,0300,11/18/1994 41522,S200000,00400,0500,P 41522,S200000,00600,0200,34609F 41522,S200000,00600,0300,11/18/1994 41522,S200000,00600,0600,P 41522,S200000,01600,0100,Y 41528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41528,A000000,00300,0000,00300EMPLOYEE BENEFITS 41528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41528,A000000,00700,0000,00700HOUSEKEEPING 41528,A000000,00800,0000,00800DIETARY 41528,A000000,00900,0000,00900NURSING ADMINISTRATION 41528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41528,A000000,01100,0000,01100PHARMACY 41528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41528,A000000,01300,0000,01300SOCIAL SERVICE 41528,A000000,01350,0000,01500PATIENT ACTIVITIES 41528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41528,A000000,01600,0000,01600SKILLED NURSING FACILITY 41528,A000000,01800,0000,01800NURSING FACILITY 41528,A000000,01810,0000,01810ICF/MR 41528,A000000,02100,0000,02100RADIOLOGY 41528,A000000,02200,0000,02200LABORATORY 41528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41528,A000000,02500,0000,02500PHYSICAL THERAPY 41528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41528,A000000,02700,0000,02700SPEECH PATHOLOGY 41528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41528,A000000,02901,0000,02901CLINITRON BEDS 41528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41528,A000000,03550,0000,03550FQHC 41528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41528,A000000,05000,0000,05000CORF 41528,A000000,05010,0000,05010CMHC 41528,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41528,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41528,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41528,A81000A,00100,0100,Y 41528,A81000B,00100,0300,H.O. COSTS - OPERATING 41528,A81000B,00200,0300,H.O. COSTS - CAPITAL 41528,A81000C,00100,0100,D 41528,A81000C,00100,0200,VARIOUS 41528,A81000C,00100,0400,MFNC INC. 41528,A81000C,00200,0100,D 41528,A81000C,00200,0200,VARIOUS 41528,A81000C,00200,0400,MFNC INC. 41528,B100000,00000,0100,00000SQUARE FEET 41528,B100000,00000,0200,00000SQUARE FEET 41528,B100000,00000,0300,00000GROSS SALARIES 41528,B100000,00000,0400,00000ACCUM. COST 41528,B100000,00000,0500,00000SQUARE FEET 41528,B100000,00000,0600,00000PATIENT DAYS 41528,B100000,00000,0700,00000SQUARE FEET EXCL 41528,B100000,00000,0800,00000PATIENT DAYS 41528,B100000,00000,0900,00000DIRECT NRSING HRS 41528,B100000,00000,1000,00000COSTED REQUIS. 41528,B100000,00000,1100,00000COSTED REQUIS. 41528,B100000,00000,1200,00000PATIENT DAYS 41528,B100000,00000,1300,00000TIME SPENT 41528,B100000,00000,1350,00000PATIENT DAYS 41528,B100000,00000,1400,00000ASSIGNED TIME 41528,E10A180,00301,0100,04/12/1999 41528,E10A180,00501,0100,08/29/2000 41528,S000000,00100,0200,07/25/2000 41528,S200000,00100,0100,2415 SANDY PORTER ROAD 41528,S200000,00200,0100,CHARLOTTE 41528,S200000,00200,0200,NC 41528,S200000,00200,0300,28273 41528,S200000,00300,0100,MECKLENBURG 41528,S200000,00400,0100,MECKLENBURG HEALTH CARE CENTER 41528,S200000,00400,0200,345471 41528,S200000,00400,0300,03/21/1995 41528,S200000,00400,0500,P 41528,S200000,01600,0100,Y 41543,S000000,00100,0200,02/08/2000 41553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41553,A000000,00300,0000,00300EMPLOYEE BENEFITS 41553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41553,A000000,00700,0000,00700HOUSEKEEPING 41553,A000000,00800,0000,00800DIETARY 41553,A000000,00900,0000,00900NURSING ADMINISTRATION 41553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41553,A000000,01100,0000,01100PHARMACY 41553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41553,A000000,01300,0000,01300SOCIAL SERVICE 41553,A000000,01350,0000,01500PATIENT ACTIVITIES 41553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41553,A000000,01600,0000,01600SKILLED NURSING FACILITY 41553,A000000,01800,0000,01800NURSING FACILITY 41553,A000000,01810,0000,01810ICF/MR 41553,A000000,02300,0000,02300INTRAVENOUS THERAPY 41553,A000000,02500,0000,02500PHYSICAL THERAPY 41553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41553,A000000,02700,0000,02700SPEECH PATHOLOGY 41553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41553,A000000,03550,0000,03550FQHC 41553,A000000,05000,0000,05000CORF 41553,A000000,05010,0000,05010CMHC 41553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41553,B100000,00000,0100,00000SQUARE FEET 41553,B100000,00000,0200,00000SQUARE FEET 41553,B100000,00000,0300,00000GROSS SALARIES 41553,B100000,00000,0400,00000ACCUM COST 41553,B100000,00000,0500,00000SQUARE FEET 41553,B100000,00000,0600,00000POUNDS OF LAUNDRY 41553,B100000,00000,0700,00000SQUARE FEET 41553,B100000,00000,0800,00000MEALS SERVED 41553,B100000,00000,0900,00000DIRECT NRSG HRS 41553,B100000,00000,1000,00000COSTED REQUIS 41553,B100000,00000,1100,00000COSTED REQUIS 41553,B100000,00000,1200,00000PATIENT DAYS 41553,B100000,00000,1300,00000PATIENT DAYS 41553,B100000,00000,1350,00000PATIENT DAYS 41553,B100000,00000,1400,00000ASSIGNED TIME 41553,E10A180,00501,0100,08/29/2000 41553,S000000,00100,0200,07/25/2000 41553,S200000,00100,0100,10 ECHOTA CHURCH ROAD 41553,S200000,00200,0100,CHEROKEE 41553,S200000,00200,0200,NC 41553,S200000,00200,0300,28719 41553,S200000,00300,0100,SWAIN 41553,S200000,00400,0100,TSALI CARE CENTER 41553,S200000,00400,0200,345475 41553,S200000,00400,0300,04/18/1996 41553,S200000,00400,0500,P 41553,S200000,00600,0200,34611H 41553,S200000,00600,0300,04/18/1996 41553,S200000,00600,0600,P 41553,S200000,01600,0100,Y 41553,S200000,01900,0100,NURSING HOME 41559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41559,A000000,00300,0000,00300EMPLOYEE BENEFITS 41559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41559,A000000,00700,0000,00700HOUSEKEEPING 41559,A000000,00800,0000,00800DIETARY 41559,A000000,00900,0000,00900NURSING ADMINISTRATION 41559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41559,A000000,01100,0000,01100PHARMACY 41559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41559,A000000,01300,0000,01300SOCIAL SERVICE 41559,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41559,A000000,01600,0000,01600SKILLED NURSING FACILITY 41559,A000000,01800,0000,01800NURSING FACILITY 41559,A000000,01810,0000,01810ICF/MR 41559,A000000,02100,0000,02100RADIOLOGY 41559,A000000,02200,0000,02200LABORATORY 41559,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41559,A000000,02500,0000,02500PHYSICAL THERAPY 41559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41559,A000000,02700,0000,02700SPEECH PATHOLOGY 41559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41559,A000000,03050,0000,03300OTHER ANCILLARY-AMBULANCE 41559,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41559,A000000,03550,0000,03550FQHC 41559,A000000,05000,0000,05000CORF 41559,A000000,05010,0000,05010CMHC 41559,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41559,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41559,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41559,A000000,05300,0000,05300INTEREST EXPENSE 41559,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41559,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41559,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41559,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41559,A81000A,00100,0100,Y 41559,A81000B,00100,0300,CONSULTING 41559,A81000B,00200,0300,CONSULTING 41559,A81000B,00300,0300,CONSULTING 41559,A81000B,00400,0300,CONSULTING 41559,A81000B,00500,0300,HOME OFFICE 41559,A81000B,00600,0300,CONSULTING 41559,A81000C,00100,0100,B 41559,A81000C,00100,0400,BRITTHAVEN INC 41559,A81000C,00100,0600,MGMT SVS 41559,A81000C,00200,0100,B 41559,A81000C,00200,0400,BRITTHAVEN INC 41559,A81000C,00200,0600,MGMT SVS 41559,A81000C,00300,0100,B 41559,A81000C,00300,0400,BRITTHAVEN INC 41559,A81000C,00300,0600,MGMT SVS 41559,A81000C,00400,0100,B 41559,A81000C,00400,0400,BRITTHAVEN INC 41559,A81000C,00400,0600,MGMT SVS 41559,A81000C,00500,0100,B 41559,A81000C,00500,0400,BRITTHAVEN INC 41559,A81000C,00500,0600,MGMT SVS 41559,A81000C,00600,0100,B 41559,A81000C,00600,0400,BRITTHAVEN INC 41559,A81000C,00600,0600,MGMT SVS 41559,A81000C,00700,0100,B 41559,A81000C,00700,0400,BRITTHAVEN INC 41559,A81000C,00700,0600,MGMT SVS 41559,A81000C,00800,0100,B 41559,A81000C,00800,0400,BRITTHAVEN INC 41559,A81000C,00800,0600,MGMT SVS 41559,A81000C,00900,0100,B 41559,A81000C,00900,0400,BRITTHAVEN INC 41559,A81000C,00900,0600,MGMT SVS 41559,A81000C,01000,0100,B 41559,A81000C,01000,0400,R. HILL CONS. C 41559,A81000C,01000,0600,CONSTRUCTION 41559,B100000,00000,0100,00000SQUARE FEET 41559,B100000,00000,0200,00000SQUARE FEET 41559,B100000,00000,0300,00000GROSS SALARIES 41559,B100000,00000,0400,00000ACCUM COST 41559,B100000,00000,0500,00000SQUARE FEET 41559,B100000,00000,0600,00000POUNDS OF LAUNDRY 41559,B100000,00000,0700,00000HOURS OF SERVICE 41559,B100000,00000,0800,00000MEALS SERVED 41559,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41559,B100000,00000,1000,00000COSTED REQUISITIO 41559,B100000,00000,1100,00000COSTED REQUISITIO 41559,B100000,00000,1200,00000TIME SPENT 41559,B100000,00000,1300,00000TIME SPENT 41559,B100000,00000,1350,00000SQUARE FEET 41559,B100000,00000,1400,00000ASSIGNED TIME 41559,E10A180,00301,0100,03/29/1999 41559,E10A180,00501,0100,05/17/2000 41559,E10A180,00550,0100,03/21/2000 41559,E10A180,00550,0300,03/21/2000 41559,E10A180,00551,0300,05/17/2000 41559,S000000,00100,0200,03/21/2000 41559,S200000,00100,0100,604 LUCAS ROAD 41559,S200000,00100,0300,1597 41559,S200000,00200,0100,DUNN 41559,S200000,00200,0200,NC 41559,S200000,00200,0300,28335 41559,S200000,00300,0100,HARNETT 41559,S200000,00400,0100,BRITTHAVEN OF HARNETT 41559,S200000,00400,0200,345478 41559,S200000,00400,0300,09/26/1996 41559,S200000,00400,0500,P 41559,S200000,01600,0100,Y 41568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41568,A000000,00300,0000,00300EMPLOYEE BENEFITS 41568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41568,A000000,00700,0000,00700HOUSEKEEPING 41568,A000000,00800,0000,00800DIETARY 41568,A000000,00900,0000,00900NURSING ADMINISTRATION 41568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41568,A000000,01100,0000,01100PHARMACY 41568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41568,A000000,01300,0000,01300SOCIAL SERVICE 41568,A000000,01350,0000,01500PATIENT ACTIVITIES 41568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41568,A000000,01600,0000,01600SKILLED NURSING FACILITY 41568,A000000,01800,0000,01800NURSING FACILITY 41568,A000000,01810,0000,01810ICF/MR 41568,A000000,02500,0000,02500PHYSICAL THERAPY 41568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41568,A000000,02700,0000,02700SPEECH PATHOLOGY 41568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41568,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41568,A000000,03550,0000,03550FQHC 41568,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41568,A000000,05000,0000,05000CORF 41568,A000000,05010,0000,05010CMHC 41568,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41568,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41568,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41568,A000000,06150,0000,06300RESIDENTIAL SERVICES 41568,B100000,00000,0100,00000SQUARE FEET 41568,B100000,00000,0200,00000SQUARE FEET 41568,B100000,00000,0300,00000GROSS SALARIES 41568,B100000,00000,0400,00000ACCUM. COST 41568,B100000,00000,0500,00000SQUARE FEET 41568,B100000,00000,0600,00000PATIENT DAYS 41568,B100000,00000,0700,00000SQR FTG EXC 41568,B100000,00000,0800,00000MEALS SERVED 41568,B100000,00000,0900,00000DIRECT NRSING HRS 41568,B100000,00000,1000,00000HCC PATIENT 41568,B100000,00000,1100,00000HCC PATIENT 41568,B100000,00000,1200,00000HCC PATIENT 41568,B100000,00000,1300,00000PATIENT DAYS 41568,B100000,00000,1350,00000PATIENT DAYS 41568,B100000,00000,1400,00000ASSIGNED TIME 41568,E10A180,00501,0300,10/24/2000 41568,S000000,00100,0200,08/30/2000 41568,S200000,00100,0100,5401 INDIANA AVENUE 41568,S200000,00200,0100,WINSTON-SALEM 41568,S200000,00200,0200,NC 41568,S200000,00200,0300,27106 41568,S200000,00300,0100,FORSYTH 41568,S200000,00400,0100,SALEMTOWNE 41568,S200000,00400,0200,345479 41568,S200000,00400,0300,10/15/1996 41568,S200000,00400,0500,P 41568,S200000,00600,0200,345479 41568,S200000,00600,0300,10/15/1996 41568,S200000,00600,0600,P 41568,S200000,01600,0100,Y 41568,S200000,02800,0100,Y 41575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41575,A000000,00300,0000,00300EMPLOYEE BENEFITS 41575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41575,A000000,00700,0000,00700HOUSEKEEPING 41575,A000000,00800,0000,00800DIETARY 41575,A000000,00900,0000,00900NURSING ADMINISTRATION 41575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41575,A000000,01100,0000,01100PHARMACY 41575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41575,A000000,01300,0000,01300SOCIAL SERVICE 41575,A000000,01350,0000,01500ACTIVITIES 41575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41575,A000000,01600,0000,01600SKILLED NURSING FACILITY 41575,A000000,01800,0000,01800NURSING FACILITY 41575,A000000,01810,0000,01810ICF/MR 41575,A000000,01900,0000,01900OTHER LONG TERM CARE 41575,A000000,02100,0000,02100RADIOLOGY 41575,A000000,02200,0000,02200LABORATORY 41575,A000000,02500,0000,02500PHYSICAL THERAPY 41575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41575,A000000,02700,0000,02700SPEECH PATHOLOGY 41575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41575,A000000,03550,0000,03550FQHC 41575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41575,A000000,05000,0000,05000CORF 41575,A000000,05010,0000,05010CMHC 41575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41575,A000000,06101,0000,06101HOME HEALTH 41575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41575,A81000A,00100,0100,Y 41575,A81000B,00100,0300,HOME OFFICE CAPITAL 41575,A81000B,00200,0300,MANAGEMENT FEE 41575,A81000B,00300,0300,MANAGED CARE SERVICES 41575,A81000C,00100,0100,B 41575,A81000C,00100,0400,AMERICAN RETIREMENT CORP. 41575,A81000C,00100,0600,HOME OFFICE 41575,A81000C,00200,0100,B 41575,A81000C,00200,0400,AMERICAN RETIREMENT CORP. 41575,A81000C,00200,0600,HOME OFFICE 41575,A81000C,00300,0100,B 41575,A81000C,00300,0400,AMERICAN RETIREMENT CORP. 41575,A81000C,00300,0600,HOME OFFICE 41575,B100000,00000,0100,00000SQUARE FEET 41575,B100000,00000,0200,00000NO STATISTICS 41575,B100000,00000,0300,00000GROSS SALARIES 41575,B100000,00000,0400,00000ACCUM. COST 41575,B100000,00000,0500,00000SQUARE FEET 41575,B100000,00000,0600,00000PATIENT DAYS 41575,B100000,00000,0700,00000MOD SQ. FT. 41575,B100000,00000,0800,00000PATIENT DAYS 41575,B100000,00000,0900,00000NURSING SALARIES 41575,B100000,00000,1000,00000PATIENT DAYS 41575,B100000,00000,1100,00000NO STATISTICS 41575,B100000,00000,1200,00000PATIENT DAYS 41575,B100000,00000,1300,00000PATIENT DAYS 41575,B100000,00000,1350,00000PATIENT DAYS 41575,B100000,00000,1400,00000NO STATISTICS 41575,E10A180,00501,0300,08/01/2000 41575,S000000,00100,0200,06/05/2000 41575,S200000,00100,0100,5800 OLD PROVIDENCE ROAD 41575,S200000,00200,0100,CHARLOTTE 41575,S200000,00200,0200,NC 41575,S200000,00200,0300,28226 41575,S200000,00300,0100,MECKLENBERG 41575,S200000,00400,0100,CARRIAGE CLUB OF CHARLOTTE 41575,S200000,00400,0200,345482 41575,S200000,00400,0300,04/03/1997 41575,S200000,00400,0500,P 41575,S200000,00600,0200,345482 41575,S200000,00600,0300,04/03/1997 41575,S200000,00600,0600,P 41575,S200000,01600,0100,Y 41582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41582,A000000,00300,0000,00300EMPLOYEE BENEFITS 41582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41582,A000000,00700,0000,00700HOUSEKEEPING 41582,A000000,00800,0000,00800DIETARY 41582,A000000,00900,0000,00900NURSING ADMINISTRATION 41582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41582,A000000,01100,0000,01100PHARMACY 41582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41582,A000000,01300,0000,01300SOCIAL SERVICE 41582,A000000,01350,0000,01500PATIENT ACTIVITIES 41582,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41582,A000000,01600,0000,01600SKILLED NURSING FACILITY 41582,A000000,01810,0000,01810ICF/MR 41582,A000000,02100,0000,02100RADIOLOGY 41582,A000000,02500,0000,02500PHYSICAL THERAPY 41582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41582,A000000,02700,0000,02700SPEECH PATHOLOGY 41582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41582,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41582,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41582,A000000,03550,0000,03550FQHC 41582,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41582,A000000,05000,0000,05000CORF 41582,A000000,05010,0000,05010CMHC 41582,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41582,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41582,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41582,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41582,B100000,00000,0100,00000SQUARE FEET 41582,B100000,00000,0200,00000DOLLAR VALUE 41582,B100000,00000,0300,00000GROSS SALARIES 41582,B100000,00000,0400,00000ACCUM. COST 41582,B100000,00000,0500,00000SQUARE FEET 41582,B100000,00000,0600,00000POUNDS OF LAUNDRY 41582,B100000,00000,0700,00000SQ. FTG. EXC. DIET 41582,B100000,00000,0800,00000MEALS SERVED 41582,B100000,00000,0900,00000DIRECT NRSING HRS 41582,B100000,00000,1000,00000COSTED REQUIS 41582,B100000,00000,1100,00000PATIENT DAYS 41582,B100000,00000,1200,00000TIME SPENT 41582,B100000,00000,1300,00000TIME SPENT 41582,B100000,00000,1350,00000HOURS OF SERVICE 41582,B100000,00000,1400,00000ASSIGNED TIME 41582,E10A180,00301,0100,03/29/1999 41582,S000000,00100,0200,06/27/2000 41582,S200000,00100,0100,1450 SHAIRE CENTER DRIVE 41582,S200000,00200,0100,LENOIR 41582,S200000,00200,0200,NC 41582,S200000,00300,0100,CALDWELL 41582,S200000,00400,0100,SHAIRE NURSING CENTER 41582,S200000,00400,0200,345483 41582,S200000,00400,0300,06/16/1997 41582,S200000,00400,0500,P 41582,S200000,01500,0100,Y 41588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41588,A000000,00300,0000,00300EMPLOYEE BENEFITS 41588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41588,A000000,00700,0000,00700HOUSEKEEPING 41588,A000000,00800,0000,00800DIETARY 41588,A000000,00900,0000,00900NURSING ADMINISTRATION 41588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41588,A000000,01100,0000,01100PHARMACY 41588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41588,A000000,01300,0000,01300SOCIAL SERVICE 41588,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41588,A000000,01600,0000,01600SKILLED NURSING FACILITY 41588,A000000,01800,0000,01800NURSING FACILITY 41588,A000000,01810,0000,01810ICF/MR 41588,A000000,02100,0000,02100RADIOLOGY 41588,A000000,02200,0000,02200LABORATORY 41588,A000000,02300,0000,02300INTRAVENOUS THERAPY 41588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41588,A000000,02500,0000,02500PHYSICAL THERAPY 41588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41588,A000000,02700,0000,02700SPEECH PATHOLOGY 41588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41588,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41588,A000000,03200,0000,03200SUPPORT SURFACES 41588,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41588,A000000,03550,0000,03550FQHC 41588,A000000,05000,0000,05000CORF 41588,A000000,05010,0000,05010CMHC 41588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41588,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41588,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41588,B100000,00000,0100,00000SQUARE FEET 41588,B100000,00000,0200,00000SQUARE FEET 41588,B100000,00000,0300,00000GROSS SALARIES 41588,B100000,00000,0400,00000ACCUM COST 41588,B100000,00000,0500,00000SQUARE FEET 41588,B100000,00000,0600,00000PATIENT DAYS 41588,B100000,00000,0700,00000SQUARE FEET 41588,B100000,00000,0800,00000PATIENT DAYS 41588,B100000,00000,0900,00000PATIENT DAYS 41588,B100000,00000,1000,00000COSTED REQUISITIO 41588,B100000,00000,1100,00000COSTED REQUISITIO 41588,B100000,00000,1200,00000PATIENT DAYS 41588,B100000,00000,1300,00000PATIENT DAYS 41588,B100000,00000,1350,00000PATIENT DAYS 41588,B100000,00000,1400,00000ASSIGNED TIME 41588,E10A180,00501,0100,07/31/2000 41588,E10A180,00550,0300,07/31/2000 41588,S000000,00100,0200,06/05/2000 41588,S200000,00100,0100,1930 WEST SUGAR CREEK ROAD 41588,S200000,00200,0100,CHARLOTTE 41588,S200000,00200,0200,NC 41588,S200000,00200,0300,28262 41588,S200000,00300,0100,MECKLENBURG 41588,S200000,00400,0100,SATURN NURSING AND REHABILITATION 41588,S200000,00400,0200,345489 41588,S200000,00400,0300,10/27/1998 41588,S200000,00400,0500,P 41588,S200000,01600,0100,Y 41590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41590,A000000,00300,0000,00300EMPLOYEE BENEFITS 41590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41590,A000000,00700,0000,00700HOUSEKEEPING 41590,A000000,00800,0000,00800DIETARY 41590,A000000,00900,0000,00900NURSING ADMINISTRATION 41590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41590,A000000,01100,0000,01100PHARMACY 41590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41590,A000000,01300,0000,01300SOCIAL SERVICE 41590,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41590,A000000,01600,0000,01600SKILLED NURSING FACILITY 41590,A000000,01810,0000,01810ICF/MR 41590,A000000,02200,0000,02200LABORATORY 41590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41590,A000000,02500,0000,02500PHYSICAL THERAPY 41590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41590,A000000,02700,0000,02700SPEECH PATHOLOGY 41590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41590,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41590,A000000,03550,0000,03550FQHC 41590,A000000,05000,0000,05000CORF 41590,A000000,05010,0000,05010CMHC 41590,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41590,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41590,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41590,A000000,05300,0000,05300INTEREST EXPENSE 41590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41590,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41590,A81000A,00100,0100,Y 41590,A81000B,00100,0300,CONSULTING 41590,A81000B,00200,0300,CONSULTING 41590,A81000B,00300,0300,CONSULTING 41590,A81000B,00400,0300,CONSULTING 41590,A81000B,00500,0300,HOME OFFICE 41590,A81000B,00600,0300,CONSULTING 41590,A81000C,00100,0100,B 41590,A81000C,00100,0400,BRITTHAVEN INC 41590,A81000C,00100,0600,MGMT SVS 41590,A81000C,00200,0100,B 41590,A81000C,00200,0400,BRITTHAVEN INC 41590,A81000C,00200,0600,MGMT SVS 41590,A81000C,00300,0100,B 41590,A81000C,00300,0400,BRITTHAVEN INC 41590,A81000C,00300,0600,MGMT SVS 41590,A81000C,00400,0100,B 41590,A81000C,00400,0400,BRITTHAVEN INC 41590,A81000C,00400,0600,MGMT SVS 41590,A81000C,00500,0100,B 41590,A81000C,00500,0400,BRITTHAVEN INC 41590,A81000C,00500,0600,MGMT SVS 41590,A81000C,00600,0100,B 41590,A81000C,00600,0400,BRITTHAVEN INC 41590,A81000C,00600,0600,MGMT SVS 41590,A81000C,00700,0100,B 41590,A81000C,00700,0400,BRITTHAVEN INC 41590,A81000C,00700,0600,MGMT SVS 41590,A81000C,00800,0100,B 41590,A81000C,00800,0400,BRITTHAVEN INC 41590,A81000C,00800,0600,MGMT SVS 41590,A81000C,00900,0100,B 41590,A81000C,00900,0400,BRITTHAVEN INC 41590,A81000C,00900,0600,MGMT SVS 41590,A81000C,01000,0100,B 41590,A81000C,01000,0400,KARE MEDICAL 41590,A81000C,01000,0600,WHOLESALE SUPPL 41590,B100000,00000,0100,00000SQUARE FEET 41590,B100000,00000,0200,00000SQUARE FEET 41590,B100000,00000,0300,00000GROSS SALARIES 41590,B100000,00000,0400,00000ACCUM COST 41590,B100000,00000,0500,00000SQUARE FEET 41590,B100000,00000,0600,00000POUNDS OF LAUNDRY 41590,B100000,00000,0700,00000HOURS OF SERVICE 41590,B100000,00000,0800,00000MEALS SERVED 41590,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41590,B100000,00000,1000,00000COSTED REQUISITIO 41590,B100000,00000,1100,00000COSTED REQUISITIO 41590,B100000,00000,1200,00000TIME SPENT 41590,B100000,00000,1300,00000TIME SPENT 41590,B100000,00000,1350,00000SQUARE FEET 41590,B100000,00000,1400,00000ASSIGNED TIME 41590,E10A180,00501,0100,05/18/2000 41590,S000000,00100,0200,03/21/2000 41590,S200000,00100,0100,128 SNOW HILL ROAD 41590,S200000,00200,0100,AYDEN 41590,S200000,00200,0200,NC 41590,S200000,00200,0300,28513 41590,S200000,00300,0100,PITT 41590,S200000,00400,0100,BRITTHAVEN OF AYDEN 41590,S200000,00400,0200,345490 41590,S200000,00400,0300,02/05/1999 41590,S200000,00400,0500,P 41590,S200000,01500,0100,Y 41592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41592,A000000,00300,0000,00300EMPLOYEE BENEFITS 41592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41592,A000000,00700,0000,00700HOUSEKEEPING 41592,A000000,00800,0000,00800DIETARY 41592,A000000,00900,0000,00900NURSING ADMINISTRATION 41592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41592,A000000,01100,0000,01100PHARMACY 41592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41592,A000000,01300,0000,01300SOCIAL SERVICE 41592,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41592,A000000,01600,0000,01600SKILLED NURSING FACILITY 41592,A000000,01810,0000,01810ICF/MR 41592,A000000,02100,0000,02100RADIOLOGY 41592,A000000,02200,0000,02200LABORATORY 41592,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41592,A000000,02500,0000,02500PHYSICAL THERAPY 41592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41592,A000000,02700,0000,02700SPEECH PATHOLOGY 41592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41592,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41592,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41592,A000000,03550,0000,03550FQHC 41592,A000000,05000,0000,05000CORF 41592,A000000,05010,0000,05010CMHC 41592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41592,A000000,05300,0000,05300INTEREST EXPENSE 41592,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41592,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41592,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41592,A81000A,00100,0100,Y 41592,A81000B,00100,0300,CONSULTING 41592,A81000B,00200,0300,CONSULTING 41592,A81000B,00300,0300,CONSULTING 41592,A81000B,00400,0300,CONSULTING 41592,A81000B,00500,0300,HOME OFFICE 41592,A81000B,00600,0300,CONSULTING 41592,A81000C,00100,0100,B 41592,A81000C,00100,0400,BRITTHAVEN INC 41592,A81000C,00100,0600,MGMT SVS 41592,A81000C,00200,0100,B 41592,A81000C,00200,0400,BRITTHAVEN INC 41592,A81000C,00200,0600,MGMT SVS 41592,A81000C,00300,0100,B 41592,A81000C,00300,0400,BRITTHAVEN INC 41592,A81000C,00300,0600,MGMT SVS 41592,A81000C,00400,0100,B 41592,A81000C,00400,0400,BRITTHAVEN INC 41592,A81000C,00400,0600,MGMT SVS 41592,A81000C,00500,0100,B 41592,A81000C,00500,0400,BRITTHAVEN INC 41592,A81000C,00500,0600,MGMT SVS 41592,A81000C,00600,0100,B 41592,A81000C,00600,0400,BRITTHAVEN INC 41592,A81000C,00600,0600,MGMT SVS 41592,A81000C,00700,0100,B 41592,A81000C,00700,0400,BRITTHAVEN INC 41592,A81000C,00700,0600,MGMT SVS 41592,A81000C,00800,0100,B 41592,A81000C,00800,0400,BRITTHAVEN INC 41592,A81000C,00800,0600,MGMT SVS 41592,A81000C,00900,0100,B 41592,A81000C,00900,0400,BRITTHAVEN INC 41592,A81000C,00900,0600,MGMT SVS 41592,A81000C,01000,0100,B 41592,A81000C,01000,0400,R. HILL CONS. C 41592,A81000C,01000,0600,CONSTRUCTION 41592,B100000,00000,0100,00000SQUARE FEET 41592,B100000,00000,0200,00000SQUARE FEET 41592,B100000,00000,0300,00000GROSS SALARIES 41592,B100000,00000,0400,00000ACCUM COST 41592,B100000,00000,0500,00000SQUARE FEET 41592,B100000,00000,0600,00000POUNDS OF LAUNDRY 41592,B100000,00000,0700,00000HOURS OF SERVICE 41592,B100000,00000,0800,00000MEALS SERVED 41592,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41592,B100000,00000,1000,00000COSTED REQUISITIO 41592,B100000,00000,1100,00000COSTED REQUISITIO 41592,B100000,00000,1200,00000TIME SPENT 41592,B100000,00000,1300,00000TIME SPENT 41592,B100000,00000,1350,00000SQUARE FEET 41592,B100000,00000,1400,00000ASSIGNED TIME 41592,E10A180,00501,0100,05/18/2000 41592,S000000,00100,0200,03/21/2000 41592,S200000,00100,0100,210 FOXHALL ROAD 41592,S200000,00200,0100,NEWPORT 41592,S200000,00200,0200,NC 41592,S200000,00200,0300,28570 41592,S200000,00300,0100,CARTERET 41592,S200000,00400,0100,BRITTHAVEN OF NEWPORT 41592,S200000,00400,0200,345491 41592,S200000,00400,0300,02/04/1999 41592,S200000,00400,0500,P 41592,S200000,01600,0100,Y 41594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41594,A000000,00300,0000,00300EMPLOYEE BENEFITS 41594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41594,A000000,00700,0000,00700HOUSEKEEPING 41594,A000000,00800,0000,00800DIETARY 41594,A000000,00900,0000,00900NURSING ADMINISTRATION 41594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41594,A000000,01100,0000,01100PHARMACY 41594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41594,A000000,01300,0000,01300SOCIAL SERVICE 41594,A000000,01350,0000,01500ACTIVITIES 41594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41594,A000000,01600,0000,01600SKILLED NURSING FACILITY 41594,A000000,01800,0000,01800NURSING FACILITY 41594,A000000,01810,0000,01810ICF/MR 41594,A000000,01900,0000,01900OTHER LONG TERM CARE 41594,A000000,02200,0000,02200LABORATORY 41594,A000000,02500,0000,02500PHYSICAL THERAPY 41594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41594,A000000,02700,0000,02700SPEECH PATHOLOGY 41594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41594,A000000,03550,0000,03550FQHC 41594,A000000,05000,0000,05000CORF 41594,A000000,05010,0000,05010CMHC 41594,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41594,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41594,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41594,A81000A,00100,0100,Y 41594,A81000B,00100,0300,MEDICAL DIRECTOR SAL 41594,A81000B,00200,0300,PROPERTY INSURANCE 41594,A81000B,00300,0300,GENERAL INSURANCE 41594,A81000B,00400,0300,BUILDING DEPRECIATION 41594,A81000B,00500,0300,EQUIPMENT DEPRECIATION 41594,A81000B,00600,0300,PROFESSIONAL SERVICE COSTS 41594,A81000B,00700,0300,MAINTENANCE CONTRACTS 41594,A81000B,00800,0300,LAB SERVICES 41594,A81000B,00900,0300,AMORTIZATION OF START-UP 41594,A81000B,01000,0300,HOME OFFICE EMPLOYEE BENEFITS 41594,A81000B,01100,0300,HOME OFFICE POOLED COSTS 41594,A81000B,01900,0300,MEAL COSTS 41594,A81000C,00100,0100,C 41594,A81000C,00100,0400,MARGARET R PARDEE MEM HOS 41594,A81000C,00100,0600,HEALTHCARE 41594,A81000C,00200,0100,C 41594,A81000C,00200,0400,MARGARET R. PARDEE M 41594,A81000C,00200,0600,HEALTHCARE 41594,A81000C,00300,0100,C 41594,A81000C,00300,0400,MARGARET R. PARDEE M 41594,A81000C,00300,0600,HEALTHCARE 41594,A81000C,00400,0100,C 41594,A81000C,00400,0400,MARGARET R. PARDEE 41594,A81000C,00400,0600,HEALTHCARE 41594,A81000C,00500,0100,C 41594,A81000C,00500,0400,MARGARET R. PARDEE 41594,A81000C,00500,0600,HEALTHCARE 41594,A81000C,00600,0100,C 41594,A81000C,00600,0400,MARGARET R. PARDEE 41594,A81000C,00600,0600,HEALTHCARE 41594,A81000C,00700,0100,C 41594,A81000C,00700,0400,MARGARET R. PARDEE 41594,A81000C,00700,0600,HEALTHCARE 41594,A81000C,00800,0100,C 41594,A81000C,00800,0400,MARGARET R. PARDEE 41594,A81000C,00800,0600,HEALTHCARE 41594,A81000C,00900,0100,C 41594,A81000C,00900,0400,MARGARET R. PARDEE 41594,A81000C,00900,0600,HEALTHCARE 41594,A81000C,01000,0100,B 41594,A81000C,01000,0400,HENDERSON CTY HOSP C 41594,A81000C,01000,0600,MGMT 41594,A81000C,01100,0100,B 41594,A81000C,01100,0400,HENDERSON CTY HOSP C 41594,A81000C,01100,0600,MGMT. 41594,A81000C,01200,0100,B 41594,A81000C,01200,0400,MARGARET R. PARDEE M 41594,A81000C,01200,0600,HEALTHCARE 41594,B100000,00000,0100,00000SQUARE FEET 41594,B100000,00000,0200,00000SQUARE FEET 41594,B100000,00000,0300,00000GROSS SALARIES 41594,B100000,00000,0400,00000ACCUM. COST 41594,B100000,00000,0500,00000SQUARE FEET 41594,B100000,00000,0600,00000POUNDS OF LAUNDRY 41594,B100000,00000,0700,00000SQUARE FEET 41594,B100000,00000,0800,00000MEALS SERVED 41594,B100000,00000,0900,00000DIRECT NRSING HRS 41594,B100000,00000,1000,00000PATIENT DAYS 41594,B100000,00000,1100,00000COSTED REQUIS 41594,B100000,00000,1200,00000GROSS REVENUE 41594,B100000,00000,1300,00000PATIENT DAYS 41594,B100000,00000,1350,00000PATIENT DAYS 41594,B100000,00000,1400,00000ASSIGNED TIME 41594,S000000,00100,0200,04/07/2000 41594,S200000,00100,0100,104 COLLEGE DRIVE 41594,S200000,00200,0100,FLAT ROCK 41594,S200000,00200,0200,NC 41594,S200000,00300,0100,HENDERSON 41594,S200000,00400,0100,PARDEE CARE CENTER 41594,S200000,00400,0200,345493 41594,S200000,00400,0300,06/03/1999 41594,S200000,00400,0500,P 41594,S200000,00600,0200,340612 41594,S200000,00600,0300,06/03/1999 41594,S200000,00600,0600,P 41594,S200000,01600,0100,Y 41596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41596,A000000,00300,0000,00300EMPLOYEE BENEFITS 41596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41596,A000000,00700,0000,00700HOUSEKEEPING 41596,A000000,00800,0000,00800DIETARY 41596,A000000,00900,0000,00900NURSING ADMINISTRATION 41596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41596,A000000,01100,0000,01100PHARMACY 41596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41596,A000000,01300,0000,01300SOCIAL SERVICE 41596,A000000,01350,0000,01500PATIENT ACTIVITIES 41596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41596,A000000,01600,0000,01600SKILLED NURSING FACILITY 41596,A000000,01800,0000,01800NURSING FACILITY 41596,A000000,01810,0000,01810ICF/MR 41596,A000000,02100,0000,02100RADIOLOGY 41596,A000000,02200,0000,02200LABORATORY 41596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41596,A000000,02500,0000,02500PHYSICAL THERAPY 41596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41596,A000000,02700,0000,02700SPEECH PATHOLOGY 41596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41596,A000000,03050,0000,03300PARENTAL/ENTERAL THERAPY 41596,A000000,03550,0000,03550FQHC 41596,A000000,04800,0000,04800AMBULANCE 41596,A000000,05000,0000,05000CORF 41596,A000000,05010,0000,05010CMHC 41596,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41596,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41596,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41596,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 41596,A81000A,00100,0100,Y 41596,A81000B,00100,0300,PHYSICAL THERAPY 41596,A81000B,00200,0300,THERAPY 41596,A81000B,00300,0300,THERAPY 41596,A81000B,00400,0300,RESTORATIVE THERAPY 41596,A81000C,00100,0100,A 41596,A81000C,00100,0200,NOAH DUNCAN 41596,A81000C,00100,0400,CENTURY CARE RE 41596,A81000C,00100,0600,THERAPY 41596,A81000C,00200,0100,A 41596,A81000C,00200,0200,HAROLD NUNN 41596,A81000C,00200,0400,CENTURY CARE RE 41596,A81000C,00200,0600,THERAPY 41596,B100000,00000,0100,00000SQUARE FEET 41596,B100000,00000,0200,00000SQUARE FEET 41596,B100000,00000,0300,00000GROSS SALARIES 41596,B100000,00000,0400,00000ACCUM COST 41596,B100000,00000,0500,00000SQUARE FEET 41596,B100000,00000,0600,00000POUNDS OF LAUNDRY 41596,B100000,00000,0700,00000SQUARE FEET 41596,B100000,00000,0800,00000MEALS SERVED 41596,B100000,00000,0900,00000DIRECT NRSG HRS 41596,B100000,00000,1000,00000COSTED REQUIS 41596,B100000,00000,1100,00000COSTED REQUIS 41596,B100000,00000,1200,00000PATIENT DAYS 41596,B100000,00000,1300,00000PATIENT DAYS 41596,B100000,00000,1350,00000PATIENT DAYS 41596,B100000,00000,1400,00000ASSIGNED TIME 41596,E10A180,00501,0100,08/28/2000 41596,S000000,00100,0200,07/03/2000 41596,S200000,00100,0100,2780 X-RAY DRIVE 41596,S200000,00200,0100,GASTONIA 41596,S200000,00200,0200,NC 41596,S200000,00200,0300,28054 41596,S200000,00300,0100,GASTON 41596,S200000,00400,0100,CENTURY CARE OF GASTONIA 41596,S200000,00400,0200,345494 41596,S200000,00400,0300,06/30/1999 41596,S200000,00400,0500,P 41596,S200000,00600,0200,34612N 41596,S200000,00600,0300,06/30/1999 41596,S200000,00600,0600,P 41596,S200000,01600,0100,Y 41596,S200000,04700,0100,Y 41596,S200000,04700,0200,Y 41609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41609,A000000,00300,0000,00300EMPLOYEE BENEFITS 41609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41609,A000000,00700,0000,00700HOUSEKEEPING 41609,A000000,00800,0000,00800DIETARY 41609,A000000,00900,0000,00900NURSING ADMINISTRATION 41609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41609,A000000,01100,0000,01100PHARMACY 41609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41609,A000000,01300,0000,01300SOCIAL SERVICE 41609,A000000,01301,0000,01301ACTIVITES 41609,A000000,01350,0000,01500REHABILITATION 41609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41609,A000000,01600,0000,01600SKILLED NURSING FACILITY 41609,A000000,01800,0000,01800NURSING FACILITY 41609,A000000,01810,0000,01810ICF/MR 41609,A000000,02100,0000,02100RADIOLOGY 41609,A000000,02200,0000,02200LABORATORY 41609,A000000,02300,0000,02300INTRAVENOUS THERAPY 41609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41609,A000000,02500,0000,02500PHYSICAL THERAPY 41609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41609,A000000,02700,0000,02700SPEECH PATHOLOGY 41609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41609,A000000,03050,0000,03300EQUIPMENT RENTAL 41609,A000000,03051,0000,03301PEN THERAPY 41609,A000000,03550,0000,03550FQHC 41609,A000000,04800,0000,04800AMBULANCE 41609,A000000,05000,0000,05000CORF 41609,A000000,05010,0000,05010CMHC 41609,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41609,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41609,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41609,A000000,06150,0000,06300VENDING 41609,A000000,06151,0000,06301STAND-BY 41609,A81000A,00100,0100,Y 41609,A81000B,00100,0300,HOME OFFICE COST 41609,A81000B,00200,0300,DIETARY SUPPLEMENTS 41609,A81000B,00400,0300,PRESCRIPTION DRUGS 41609,A81000B,00500,0300,MEDICAL SUPPLIES 41609,A81000B,00700,0300,HOME OFFICE CAPTIAL 41609,A81000B,00900,0300,IV THERAPY 41609,A81000B,01100,0300,PHYSICAL THERAPY 41609,A81000B,01200,0300,OCCUPATIONAL THERAPY 41609,A81000B,01300,0300,SPEECH THERAPY 41609,A81000B,01500,0300,CEMTRAL SUPPLY 41609,A81000C,00100,0100,B 41609,A81000C,00100,0200,B/C C. CAROLINA 41609,A81000C,00100,0400,MARINER PAN 41609,A81000C,00100,0600,NURSING HOMES 41609,A81000C,00200,0100,G 41609,A81000C,00200,0200,MARINER PAN 41609,A81000C,00200,0400,AMER PHARM SVCS 41609,A81000C,00200,0600,PHARMACEUTICALS 41609,A81000C,00300,0100,G 41609,A81000C,00300,0200,MARINER PAN 41609,A81000C,00300,0400,PRISM-ATS-ARS-T 41609,A81000C,00300,0600,THERAPIES 41609,B100000,00000,0100,00001SQUARE FEET 41609,B100000,00000,0200,00001SQUARE FEET 41609,B100000,00000,0300,00001GROSS SALARIES 41609,B100000,00000,0400,00001ACCUM COST 41609,B100000,00000,0500,00001SQUARE FEET 41609,B100000,00000,0600,00001PATIENT DAYS 41609,B100000,00000,0700,00001SQUARE FEET 41609,B100000,00000,0800,00001MEALS SERVED 41609,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41609,B100000,00000,1000,00001PATIENT DAYS 41609,B100000,00000,1100,00001COSTED REQUIS 41609,B100000,00000,1200,00001PATIENT DAYS 41609,B100000,00000,1300,00001PATIENT DAYS 41609,B100000,00000,1301,00001PATIENT DAYS 41609,B100000,00000,1350,00001UNITS OF SERVICE 41609,B100000,00000,1400,00001ASSIGNED TIME 41609,E10A180,00301,0100,07/19/1999 41609,E10A180,00501,0300,08/30/2000 41609,E10A180,00550,0100,08/30/2000 41609,S000000,00100,0200,08/30/2000 41609,S200000,00100,0100,2451 FOREST DRIVE 41609,S200000,00200,0100,COUMBIA 41609,S200000,00200,0200,S.C. 41609,S200000,00200,0300,29204 41609,S200000,00300,0100,RICHLAND 41609,S200000,00400,0100,CENTRAL CAROLINA HLTH & REHAB CTR 41609,S200000,00400,0200,425013 41609,S200000,00400,0300,02/01/1984 41609,S200000,00400,0500,P 41609,S200000,01600,0100,Y 41609,S200000,02200,0100,Y 41616,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41616,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41616,A000000,00300,0000,00300EMPLOYEE BENEFITS 41616,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41616,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41616,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41616,A000000,00700,0000,00700HOUSEKEEPING 41616,A000000,00800,0000,00800DIETARY 41616,A000000,00900,0000,00900NURSING ADMINISTRATION 41616,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41616,A000000,01100,0000,01100PHARMACY 41616,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41616,A000000,01300,0000,01300SOCIAL SERVICE 41616,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 41616,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41616,A000000,01600,0000,01600SKILLED NURSING FACILITY 41616,A000000,01800,0000,01800NURSING FACILITY 41616,A000000,01810,0000,01810ICF/MR 41616,A000000,02100,0000,02100RADIOLOGY 41616,A000000,02200,0000,02200LABORATORY 41616,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41616,A000000,02500,0000,02500PHYSICAL THERAPY 41616,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41616,A000000,02700,0000,02700SPEECH PATHOLOGY 41616,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41616,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41616,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 41616,A000000,03200,0000,03200SUPPORT SURFACES 41616,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 41616,A000000,03550,0000,03550FQHC 41616,A000000,05000,0000,05000CORF 41616,A000000,05010,0000,05010CMHC 41616,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41616,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41616,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41616,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41616,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41616,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 41616,A000000,06200,0000,06200PATIENTS LAUNDRY 41616,A81000A,00100,0100,Y 41616,A81000B,00100,0300,MANAGEMENT FEES 41616,A81000C,00100,0100,A 41616,A81000C,00100,0200,DONALD C. BEAVE 41616,A81000C,00100,0400,BEAVER SPORT PR 41616,A81000C,00100,0600,MGMT. 41616,B100000,00000,0100,00000SQUARE FEET 41616,B100000,00000,0200,00000SQUARE FEET 41616,B100000,00000,0300,00000GROSS SALARIES 41616,B100000,00000,0400,00000ACCUM COST 41616,B100000,00000,0500,00000SQUARE FEET 41616,B100000,00000,0600,00000POUNDS OF LAUNDRY 41616,B100000,00000,0700,00000SQUARE FEET 41616,B100000,00000,0800,00000PATIENT DAYS 41616,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 41616,B100000,00000,1000,00000COSTED REQUISITIO 41616,B100000,00000,1100,00000COSTED REQUISITIO 41616,B100000,00000,1200,00000TIME SPENT 41616,B100000,00000,1300,00000TIME SPENT 41616,B100000,00000,1350,00000TIME SPENT 41616,B100000,00000,1400,00000ASSIGNED TIME 41616,E10A180,00301,0100,04/12/1999 41616,E10A180,00501,0100,07/27/2000 41616,E10A180,00501,0300,07/27/2000 41616,S000000,00100,0200,06/02/2000 41616,S200000,00100,0100,3514 SIDNEY ROAD 41616,S200000,00200,0100,COLUMBIA 41616,S200000,00200,0200,SC 41616,S200000,00200,0300,29210 41616,S200000,00300,0100,RICHLAND 41616,S200000,00400,0100,BRIAN CTR NURSING CARE/ST. ANDREWS 41616,S200000,00400,0200,425129 41616,S200000,00400,0300,05/23/1979 41616,S200000,00400,0500,P 41616,S200000,00600,0200,425129 41616,S200000,00600,0300,05/23/1979 41616,S200000,00600,0600,P 41616,S200000,01600,0100,Y 41616,S200000,01900,0100,HOSPITAL AUTHORITY 41655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41655,A000000,00300,0000,00300EMPLOYEE BENEFITS 41655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41655,A000000,00700,0000,00700HOUSEKEEPING 41655,A000000,00800,0000,00800DIETARY 41655,A000000,00900,0000,00900NURSING ADMINISTRATION 41655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41655,A000000,01100,0000,01100PHARMACY 41655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41655,A000000,01300,0000,01300SOCIAL SERVICE 41655,A000000,01301,0000,01301ACTIVITES 41655,A000000,01350,0000,01500REHABILITATION 41655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41655,A000000,01600,0000,01600SKILLED NURSING FACILITY 41655,A000000,01800,0000,01800NURSING FACILITY 41655,A000000,01810,0000,01810ICF/MR 41655,A000000,02300,0000,02300INTRAVENOUS THERAPY 41655,A000000,02500,0000,02500PHYSICAL THERAPY 41655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41655,A000000,02700,0000,02700SPEECH PATHOLOGY 41655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41655,A000000,03050,0000,03300EQUIPMENT RENTAL 41655,A000000,03051,0000,03301PEN THERAPY 41655,A000000,03550,0000,03550FQHC 41655,A000000,05000,0000,05000CORF 41655,A000000,05010,0000,05010CMHC 41655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41655,A000000,06150,0000,06300VENDING 41655,A000000,06151,0000,06301STAND-BY 41655,A81000A,00100,0100,Y 41655,A81000B,00100,0300,HOME OFFICE COST 41655,A81000B,00200,0300,DIETARY SUPPLEMENTS 41655,A81000B,00300,0300,PRESCRIPTION DRUGS 41655,A81000B,00400,0300,MEDICAL SUPPLIES 41655,A81000B,00500,0300,HOME OFFICE INTEREST 41655,A81000B,00600,0300,IV THERAPY 41655,A81000B,00700,0300,PHYSICAL THERAPY 41655,A81000B,00800,0300,OCCUPATIONAL THERAPY 41655,A81000B,00900,0300,SPEECH THERAPY 41655,A81000B,01000,0300,CENTRAL SUPPLY 41655,A81000C,00100,0100,B 41655,A81000C,00100,0200,BCHR/ LAWRENCEV 41655,A81000C,00100,0400,MARINER PAN 41655,A81000C,00100,0600,NURSING HOMES 41655,A81000C,00200,0100,G 41655,A81000C,00200,0200,MARINER PAN 41655,A81000C,00200,0400,AMER PHARM SVCS 41655,A81000C,00200,0600,PHARMACEUTICALS 41655,A81000C,00300,0100,G 41655,A81000C,00300,0200,MARINER PAN 41655,A81000C,00300,0400,PRISM-ATS-ARS-T 41655,A81000C,00300,0600,THERAPIES 41655,B100000,00000,0100,00001SQUARE FEET 41655,B100000,00000,0200,00001SQUARE FEET 41655,B100000,00000,0300,00001GROSS SALARIES 41655,B100000,00000,0400,00001ACCUM COST 41655,B100000,00000,0500,00001SQUARE FEET 41655,B100000,00000,0600,00001PATIENT DAYS 41655,B100000,00000,0700,00001SQUARE FEET 41655,B100000,00000,0800,00001MEALS SERVED 41655,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41655,B100000,00000,1000,00001PATIENT DAYS 41655,B100000,00000,1100,00001COSTED REQUIS 41655,B100000,00000,1200,00001PATIENT DAYS 41655,B100000,00000,1300,00001PATIENT DAYS 41655,B100000,00000,1301,00001PATIENT DAYS 41655,B100000,00000,1350,00001UNITS OF SERVICE 41655,B100000,00000,1400,00001ASSIGNED TIME 41655,E10A180,00301,0100,07/19/1999 41655,E10A180,00550,0100,08/30/2000 41655,S000000,00100,0200,08/30/2000 41655,S200000,00100,0100,BUS HWY. 58 EAST 41655,S200000,00100,0300,105 41655,S200000,00200,0100,LAWRENCEVILLE 41655,S200000,00200,0200,VA 41655,S200000,00200,0300,23868 41655,S200000,00300,0100,BRUNSWICK 41655,S200000,00400,0100,BRIAN CTR HLTH & REHAB/LAWRENCEVILLE 41655,S200000,00400,0200,495192 41655,S200000,00400,0300,06/02/1989 41655,S200000,00400,0500,P 41655,S200000,00600,0200,495192 41655,S200000,00600,0300,06/02/1989 41655,S200000,00600,0600,P 41655,S200000,01600,0100,Y 41655,S200000,02200,0100,Y 41663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 41663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 41663,A000000,00300,0000,00300EMPLOYEE BENEFITS 41663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 41663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41663,A000000,00700,0000,00700HOUSEKEEPING 41663,A000000,00800,0000,00800DIETARY 41663,A000000,00900,0000,00900NURSING ADMINISTRATION 41663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41663,A000000,01100,0000,01100PHARMACY 41663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41663,A000000,01300,0000,01300SOCIAL SERVICE 41663,A000000,01301,0000,01301ACTIVITES 41663,A000000,01350,0000,01500REHABILITATION 41663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 41663,A000000,01600,0000,01600SKILLED NURSING FACILITY 41663,A000000,01800,0000,01800NURSING FACILITY 41663,A000000,01810,0000,01810ICF/MR 41663,A000000,02100,0000,02100RADIOLOGY 41663,A000000,02200,0000,02200LABORATORY 41663,A000000,02300,0000,02300INTRAVENOUS THERAPY 41663,A000000,02500,0000,02500PHYSICAL THERAPY 41663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41663,A000000,02700,0000,02700SPEECH PATHOLOGY 41663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 41663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41663,A000000,03050,0000,03300EQUIPMENT RENTAL 41663,A000000,03051,0000,03301PEN THERAPY 41663,A000000,03550,0000,03550FQHC 41663,A000000,05000,0000,05000CORF 41663,A000000,05010,0000,05010CMHC 41663,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 41663,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41663,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41663,A000000,06150,0000,06300VENDING 41663,A000000,06151,0000,06301STAND-BY 41663,A81000A,00100,0100,Y 41663,A81000B,00100,0300,CENTRAL SUPPLY 41663,A81000B,00200,0300,DIETARY SUPPLEMENTS 41663,A81000B,00300,0300,OT 41663,A81000B,00400,0300,PRESCRIPTION DRUGS 41663,A81000B,00500,0300,MEDICAL SUPPLIES 41663,A81000B,00600,0300,ADMIN COSTS 41663,A81000B,00700,0300,PLANT 41663,A81000B,00800,0300,PHYSICAL THERAPY 41663,A81000B,00900,0300,OCCUPATIONAL THERAPY 41663,A81000B,01000,0300,SPEECH THERAPY 41663,A81000B,01100,0300,BLDG CAPITAL 41663,A81000B,01200,0300,ADMIN & GENERAL 41663,A81000B,01300,0300,PEN 41663,A81000C,00100,0100,B 41663,A81000C,00100,0200,BCHR SCOTT COUN 41663,A81000C,00100,0400,MARINER PAN 41663,A81000C,00100,0600,NURSING HOMES 41663,A81000C,00200,0100,G 41663,A81000C,00200,0200,MARINER PAN 41663,A81000C,00200,0400,AMER PHARM SVCS 41663,A81000C,00200,0600,PHARMACEUTICALS 41663,A81000C,00300,0100,G 41663,A81000C,00300,0200,MARINER PAN 41663,A81000C,00300,0400,PRISM-ATS-ARS-T 41663,A81000C,00300,0600,THERAPIES 41663,B100000,00000,0100,00001SQUARE FEET 41663,B100000,00000,0200,00001SQUARE FEET 41663,B100000,00000,0300,00001GROSS SALARIES 41663,B100000,00000,0400,00001ACCUM COST 41663,B100000,00000,0500,00001SQUARE FEET 41663,B100000,00000,0600,00001PATIENT DAYS 41663,B100000,00000,0700,00001SQUARE FEET 41663,B100000,00000,0800,00001MEALS SERVED 41663,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 41663,B100000,00000,1000,00001PATIENT DAYS 41663,B100000,00000,1100,00001COSTED REQUIS 41663,B100000,00000,1200,00001PATIENT DAYS 41663,B100000,00000,1300,00001PATIENT DAYS 41663,B100000,00000,1301,00001PATIENT DAYS 41663,B100000,00000,1350,00001UNITS OF SERVICE 41663,B100000,00000,1400,00001ASSIGNED TIME 41663,E10A180,00301,0100,07/19/1999 41663,E10A180,00550,0100,08/30/2000 41663,S000000,00100,0200,08/30/2000 41663,S200000,00100,0100,105 CLONCE STREET 41663,S200000,00200,0100,WEBER CITY 41663,S200000,00200,0200,VA 41663,S200000,00200,0300,24290 41663,S200000,00300,0100,SCOTT 41663,S200000,00400,0100,BRIAN CTR HLTH & REHAB/SCOTT COUNTY 41663,S200000,00400,0200,495208 41663,S200000,00400,0300,03/01/1990 41663,S200000,00400,0500,P 41663,S200000,00600,0200,495208 41663,S200000,00600,0300,03/01/1990 41663,S200000,00600,0600,P 41663,S200000,01600,0100,Y 41663,S200000,02200,0100,Y 41681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41681,A000000,00300,0000,00300EMPLOYEE BENEFITS 41681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41681,A000000,00700,0000,00700HOUSEKEEPING 41681,A000000,00800,0000,00800DIETARY 41681,A000000,00900,0000,00900NURSING ADMINISTRATION 41681,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41681,A000000,01100,0000,01100PHARMACY 41681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41681,A000000,01300,0000,01300SOCIAL SERVICE 41681,A000000,01350,0000,01500ACTIVITIES 41681,A000000,01600,0000,01600SKILLED NURSING FACILITY 41681,A000000,01800,0000,01800NURSING FACILITY 41681,A000000,01900,0000,01900OTHER LONG TERM CARE 41681,A000000,02100,0000,02100RADIOLOGY 41681,A000000,02200,0000,02200LABORATORY 41681,A000000,02300,0000,02300INTRAVENOUS THERAPY 41681,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41681,A000000,02500,0000,02500PHYSICAL THERAPY 41681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41681,A000000,02700,0000,02700SPEECH PATHOLOGY 41681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41681,A000000,03050,0000,03300PEN & UROLOGICALS 41681,A000000,03200,0000,03200SUPPORT SURFACES 41681,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41681,A81000A,00100,0100,Y 41681,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 41681,A81000B,00200,0300,CAPITAL COSTS - BUILDING 41681,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 41681,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 41681,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 41681,A81000B,00600,0300,PT MANAGEMENT 41681,A81000B,00700,0300,OT MANAGEMENT 41681,A81000B,00800,0300,ST MANAGEMENT 41681,A81000C,00100,0100,B 41681,A81000C,00100,0200,VOA NATIONAL SE 41681,A81000C,00100,0400,VOA 41681,A81000C,00100,0600,MANAGEMENT 41681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41681,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41681,B100000,00000,0800,00000MEALS SERVED :DIETARY 41681,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 41681,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41681,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41681,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41681,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41681,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41681,E10A180,00301,0100,09/29/2000 41681,E10A180,00501,0100,03/02/2001 41681,E10A180,00501,0300,03/02/2001 41681,S000000,00100,0200,01/26/2001 41681,S200000,00100,0100,6100 SOUTH RURAL 41681,S200000,00200,0100,TEMPE 41681,S200000,00200,0200,AZ 41681,S200000,00200,0300,85283- 41681,S200000,00300,0100,MARICOPA 41681,S200000,00300,0200,6200 41681,S200000,00300,0300,U 41681,S200000,00400,0100,WESTCHESTER CARE CENTER 41681,S200000,00400,0200,035106 41681,S200000,00400,0300,07/29/1985 41681,S200000,00400,0500,P 41681,S200000,01500,0100,Y 41681,S200000,04300,0100,Y 41690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41690,A000000,00300,0000,00300EMPLOYEE BENEFITS 41690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41690,A000000,00700,0000,00700HOUSEKEEPING 41690,A000000,00800,0000,00800DIETARY 41690,A000000,00900,0000,00900NURSING ADMINISTRATION 41690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41690,A000000,01100,0000,01100PHARMACY 41690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41690,A000000,01300,0000,01300SOCIAL SERVICE 41690,A000000,01350,0000,01500ACTIVITIES 41690,A000000,01600,0000,01600SKILLED NURSING FACILITY 41690,A000000,01800,0000,01800NURSING FACILITY 41690,A000000,01900,0000,01900OTHER LONG TERM CARE 41690,A000000,02100,0000,02100RADIOLOGY 41690,A000000,02200,0000,02200LABORATORY 41690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41690,A000000,02500,0000,02500PHYSICAL THERAPY 41690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41690,A000000,02700,0000,02700SPEECH PATHOLOGY 41690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41690,A000000,03050,0000,03300PEN & UROLOGICALS 41690,A000000,03200,0000,03200SUPPORT SURFACES 41690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41690,A81000A,00100,0100,Y 41690,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 41690,A81000B,00200,0300,CAPITAL COSTS - BUILDING 41690,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 41690,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 41690,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 41690,A81000B,00600,0300,PT MANAGEMENT 41690,A81000B,00700,0300,OT MANAGEMENT 41690,A81000B,00800,0300,ST MANAGEMENT 41690,A81000C,00100,0100,B 41690,A81000C,00100,0200,VOA NATIONAL SE 41690,A81000C,00100,0400,VOA 41690,A81000C,00100,0600,MANAGEMENT 41690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41690,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41690,B100000,00000,0800,00000MEALS SERVED :DIETARY 41690,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 41690,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41690,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41690,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41690,E10A180,00301,0100,09/29/2000 41690,E10A180,00501,0100,03/02/2001 41690,E10A180,00550,0300,03/02/2001 41690,S000000,00100,0200,01/19/2001 41690,S200000,00100,0100,1401 S CASCADE 41690,S200000,00200,0100,MONTROSE 41690,S200000,00200,0200,CO 41690,S200000,00200,0300,81401- 41690,S200000,00300,0100,MONTROSE 41690,S200000,00300,0200,0006 41690,S200000,00300,0300,R 41690,S200000,00400,0100,VALLEY MANOR CARE CENTER 41690,S200000,00400,0200,065119 41690,S200000,00400,0300,08/26/1981 41690,S200000,00400,0500,P 41690,S200000,01500,0100,Y 41697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41697,A000000,00300,0000,00300EMPLOYEE BENEFITS 41697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41697,A000000,00700,0000,00700HOUSEKEEPING 41697,A000000,00800,0000,00800DIETARY 41697,A000000,00900,0000,00900NURSING ADMINISTRATION 41697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41697,A000000,01100,0000,01100PHARMACY 41697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41697,A000000,01300,0000,01300SOCIAL SERVICE 41697,A000000,01350,0000,01500ACTIVITIES 41697,A000000,01600,0000,01600SKILLED NURSING FACILITY 41697,A000000,01800,0000,01800NURSING FACILITY 41697,A000000,01900,0000,01900OTHER LONG TERM CARE 41697,A000000,02100,0000,02100RADIOLOGY 41697,A000000,02200,0000,02200LABORATORY 41697,A000000,02300,0000,02300INTRAVENOUS THERAPY 41697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41697,A000000,02500,0000,02500PHYSICAL THERAPY 41697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41697,A000000,02700,0000,02700SPEECH PATHOLOGY 41697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41697,A000000,03050,0000,03300PEN & UROLOGICALS 41697,A000000,03200,0000,03200SUPPORT SURFACES 41697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41697,A81000A,00100,0100,Y 41697,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 41697,A81000B,00200,0300,CAPITAL COSTS - BUILDING 41697,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 41697,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 41697,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 41697,A81000B,00600,0300,PT MANAGEMENT 41697,A81000B,00700,0300,OT MANAGEMENT 41697,A81000B,00800,0300,ST MANAGEMENT 41697,A81000C,00100,0100,B 41697,A81000C,00100,0200,VOA NATIONAL SE 41697,A81000C,00100,0400,VOA 41697,A81000C,00100,0600,MANAGEMENT 41697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41697,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41697,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41697,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41697,B100000,00000,0800,00000MEALS SERVED :DIETARY 41697,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 41697,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41697,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41697,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41697,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 41697,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41697,E10A180,00501,0100,02/09/2001 41697,E10A180,00501,0300,02/09/2001 41697,S000000,00100,0200,01/12/2001 41697,S200000,00100,0100,920 S CHELTON ROAD 41697,S200000,00200,0100,COLORADO SPRINGS 41697,S200000,00200,0200,CO 41697,S200000,00200,0300,80910- 41697,S200000,00300,0100,EL PASO 41697,S200000,00300,0200,1720 41697,S200000,00300,0300,U 41697,S200000,00400,0100,LAUREL MANOR CARE CENTER 41697,S200000,00400,0200,065246 41697,S200000,00400,0300,03/01/1989 41697,S200000,00400,0500,P 41697,S200000,01500,0100,Y 41703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41703,A000000,00300,0000,00300EMPLOYEE BENEFITS 41703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41703,A000000,00700,0000,00700HOUSEKEEPING 41703,A000000,00800,0000,00800DIETARY 41703,A000000,00900,0000,00900NURSING ADMINISTRATION 41703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41703,A000000,01100,0000,01100PHARMACY 41703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41703,A000000,01300,0000,01300SOCIAL SERVICE 41703,A000000,01350,0000,01500ACTIVITIES 41703,A000000,01600,0000,01600SKILLED NURSING FACILITY 41703,A000000,01800,0000,01800NURSING FACILITY 41703,A000000,01900,0000,01900OTHER LONG TERM CARE 41703,A000000,02100,0000,02100RADIOLOGY 41703,A000000,02200,0000,02200LABORATORY 41703,A000000,02300,0000,02300INTRAVENOUS THERAPY 41703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41703,A000000,02500,0000,02500PHYSICAL THERAPY 41703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41703,A000000,02700,0000,02700SPEECH PATHOLOGY 41703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41703,A000000,03050,0000,03300PEN & UROLOGICALS 41703,A000000,03200,0000,03200SUPPORT SURFACES 41703,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41703,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41703,A000000,06100,0000,06100NONPAID WORKERS 41703,A81000A,00100,0100,Y 41703,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 41703,A81000B,00200,0300,CAPITAL COSTS - BUILDING 41703,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 41703,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 41703,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 41703,A81000B,00600,0300,PT MANAGEMENT 41703,A81000B,00700,0300,OT MANAGEMENT 41703,A81000B,00800,0300,ST MANAGEMENT 41703,A81000C,00100,0100,B 41703,A81000C,00100,0200,VOA NATIONAL SE 41703,A81000C,00100,0400,VOA 41703,A81000C,00100,0600,MANAGEMENT 41703,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41703,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41703,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41703,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41703,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41703,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41703,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41703,B100000,00000,0800,00000MEALS SERVED :DIETARY 41703,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 41703,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41703,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41703,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41703,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41703,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41703,E10A180,00501,0100,02/09/2001 41703,E10A180,00550,0300,02/09/2001 41703,S000000,00100,0200,01/16/2001 41703,S200000,00100,0100,1141 HIGHWAY 65 41703,S200000,00200,0100,ECKERT 41703,S200000,00200,0200,CO 41703,S200000,00200,0300,81418- 41703,S200000,00300,0100,DELTA 41703,S200000,00300,0200,0006 41703,S200000,00300,0300,R 41703,S200000,00400,0100,HORIZONS CARE CENTER 41703,S200000,00400,0200,065258 41703,S200000,00400,0300,09/01/1989 41703,S200000,00400,0500,P 41703,S200000,01500,0100,Y 41728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41728,A000000,00300,0000,00300EMPLOYEE BENEFITS 41728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41728,A000000,00700,0000,00700HOUSEKEEPING 41728,A000000,00800,0000,00800DIETARY 41728,A000000,00900,0000,00900NURSING ADMINISTRATION 41728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41728,A000000,01100,0000,01100PHARMACY 41728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41728,A000000,01300,0000,01300SOCIAL SERVICE 41728,A000000,01350,0000,01500OTHER GENERAL SERVICES 41728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41728,A000000,01600,0000,01600SKILLED NURSING FACILITY 41728,A000000,01800,0000,01800NURSING FACILITY 41728,A000000,01810,0000,01810ICF/MR 41728,A000000,01900,0000,01900OTHER LONG TERM CARE 41728,A000000,02100,0000,02100RADIOLOGY 41728,A000000,02200,0000,02200LABORATORY 41728,A000000,02300,0000,02300INTRAVENOUS THERAPY 41728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41728,A000000,02500,0000,02500PHYSICAL THERAPY 41728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41728,A000000,02700,0000,02700SPEECH PATHOLOGY 41728,A000000,02800,0000,02800ELECTROCARDIOLOGY 41728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41728,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41728,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41728,A000000,03200,0000,03200SUPPORT SURFACES 41728,A000000,03400,0000,03400CLINIC 41728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41728,A000000,03500,0000,03500RURAL HEALTH CLINIC 41728,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41728,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41728,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41728,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41728,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41728,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41728,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41728,A000000,04400,0000,04400DME RENTED - HHA 41728,A000000,04500,0000,04500DME SOLD - HHA 41728,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41728,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41728,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41728,A000000,04800,0000,04800AMBULANCE 41728,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41728,A000000,05000,0000,05000CORF 41728,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41728,A000000,05300,0000,05300INTEREST EXPENSE 41728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41728,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41728,A000000,05500,0000,05500HOSPICE 41728,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41728,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41728,A000000,06100,0000,06100NONPAID WORKERS 41728,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41728,A000000,06200,0000,06200PATIENTS LAUNDRY 41728,A81000A,00100,0100,Y 41728,A81000B,00100,0300,MANAGEMENT FEES 41728,A81000B,00200,0300,CAPITAL COSTS 41728,A81000B,00300,0300,PT COSTS 41728,A81000B,00400,0300,OT COSTS 41728,A81000B,00500,0300,ST COSTS 41728,A81000C,00100,0100,E 41728,A81000C,00100,0400,EBENEZER RIDGES 41728,A81000C,00100,0600,NURSING HOME 41728,A81000C,00200,0100,E 41728,A81000C,00200,0400,EBENEZER TOWERS 41728,A81000C,00200,0600,ELDERLY APARTMENTS 41728,A81000C,00300,0100,E 41728,A81000C,00300,0400,EBENEZER PARK APARTMENTS 41728,A81000C,00300,0600,ELDERLY APARTMENTS 41728,A81000C,00400,0100,E 41728,A81000C,00400,0400,RIDGEPOINTE APARTMENTS 41728,A81000C,00400,0600,ELDERLY APARTMENTS 41728,A81000C,00500,0100,E 41728,A81000C,00500,0400,EBENEZER REALTY SERVICES 41728,A81000C,00500,0600,ELDERLY HOUSING MANAGEMEN 41728,A81000C,00600,0100,B 41728,A81000C,00600,0400,FAIRVIEW HOSP & HEALTH CA 41728,A81000C,00600,0600,HEALTH CARE 41728,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41728,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41728,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41728,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41728,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41728,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41728,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41728,B100000,00000,0800,00000MEALS SERVED :DIETARY 41728,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41728,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 41728,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41728,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41728,E10A180,00550,0300,06/20/2000 41728,S000000,00100,0200,06/05/2000 41728,S200000,00100,0100,2636 PARK AVENUE SOUTH 41728,S200000,00200,0100,MINNEAPOLIS 41728,S200000,00200,0200,MN 41728,S200000,00200,0300,55407- 41728,S200000,00300,0100,HENNEPIN 41728,S200000,00300,0200,5120 41728,S200000,00300,0300,U 41728,S200000,00400,0100,EB LUTHER FIELD HALL 41728,S200000,00400,0200,245009 41728,S200000,00400,0300,01/01/1967 41728,S200000,00400,0500,P 41728,S200000,01600,0100,Y 41732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41732,A000000,00300,0000,00300EMPLOYEE BENEFITS 41732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41732,A000000,00700,0000,00700HOUSEKEEPING 41732,A000000,00800,0000,00800DIETARY 41732,A000000,00900,0000,00900NURSING ADMINISTRATION 41732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41732,A000000,01300,0000,01300SOCIAL SERVICE 41732,A000000,01301,0000,01301ACTIVITIES 41732,A000000,01600,0000,01600SKILLED NURSING FACILITY 41732,A000000,02100,0000,02100RADIOLOGY 41732,A000000,02200,0000,02200LABORATORY 41732,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41732,A000000,02500,0000,02500PHYSICAL THERAPY 41732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41732,A000000,02700,0000,02700SPEECH PATHOLOGY 41732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41732,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41732,A000000,05500,0000,05500HOSPICE 41732,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41732,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41732,A000000,06150,0000,06300CHILD CARE 41732,A81000A,00100,0100,Y 41732,A81000B,00100,0300,CENTRAL OFFICE COSTS 41732,A81000C,00100,0100,G 41732,A81000C,00100,0400,GAER INC 41732,A81000C,00100,0600,NURSING HOME 41732,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41732,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41732,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41732,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41732,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41732,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41732,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41732,B100000,00000,0800,00000MEALS SERVED :DIETARY 41732,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 41732,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41732,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41732,B100000,00000,1331,00000RESIDENT DAYS :ACTIVITIES 41732,S000000,00100,0200,03/30/2000 41732,S200000,00100,0100,400 EVANS AVENUE 41732,S200000,00200,0100,ELK RIVER 41732,S200000,00200,0200,MN 41732,S200000,00200,0300,55330- 41732,S200000,00300,0100,SHERBURNE 41732,S200000,00400,0100,GUARDIAN ANGELS CARE CENTER OF ELK 41732,S200000,00400,0200,245012 41732,S200000,00400,0300,01/01/1967 41732,S200000,00400,0500,P 41732,S200000,01500,0100,Y 41738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41738,A000000,00300,0000,00300EMPLOYEE BENEFITS 41738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41738,A000000,00700,0000,00700HOUSEKEEPING 41738,A000000,00800,0000,00800DIETARY 41738,A000000,00900,0000,00900NURSING ADMINISTRATION 41738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41738,A000000,01100,0000,01100PHARMACY 41738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41738,A000000,01300,0000,01300SOCIAL SERVICE 41738,A000000,01350,0000,01500OTHER GENERAL SERVICES 41738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41738,A000000,01600,0000,01600SKILLED NURSING FACILITY 41738,A000000,01800,0000,01800NURSING FACILITY 41738,A000000,01810,0000,01801ICF/MR 41738,A000000,01900,0000,01900OTHER LONG TERM CARE 41738,A000000,02100,0000,02100RADIOLOGY 41738,A000000,02200,0000,02200LABORATORY 41738,A000000,02300,0000,02300INTRAVENOUS THERAPY 41738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41738,A000000,02500,0000,02500PHYSICAL THERAPY 41738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41738,A000000,02700,0000,02700SPEECH PATHOLOGY 41738,A000000,02800,0000,02800ELECTROCARDIOLOGY 41738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41738,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41738,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41738,A000000,03200,0000,03200SUPPORT SURFACES 41738,A000000,03400,0000,03400CLINIC 41738,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41738,A000000,03500,0000,03500RURAL HEALTH CLINIC 41738,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41738,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41738,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41738,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41738,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41738,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41738,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41738,A000000,04400,0000,04400DME RENTED - HHA 41738,A000000,04500,0000,04500DME SOLD - HHA 41738,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41738,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41738,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41738,A000000,04800,0000,04800AMBULANCE 41738,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41738,A000000,05000,0000,05000CORF 41738,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41738,A000000,05300,0000,05300INTEREST EXPENSE 41738,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41738,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41738,A000000,05500,0000,05500HOSPICE 41738,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41738,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41738,A000000,06100,0000,06100NONPAID WORKERS 41738,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41738,A000000,06200,0000,06200PATIENTS LAUNDRY 41738,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41738,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41738,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41738,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41738,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41738,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41738,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41738,B100000,00000,0800,00000MEALS SERVED :DIETARY 41738,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41738,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 41738,B100000,00000,1150,00000NO STATISTICS :PHARMACY 41738,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41738,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41738,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41738,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 41738,E10A180,00501,0300,04/07/2000 41738,H510100,00000,0000,5120 41738,H510100,02400,0000,5120 41738,H710000,00550,0100,04/07/2000 41738,H710000,00550,0300,04/07/2000 41738,S000000,00100,0200,02/26/2000 41738,S200000,00100,0100,CREST VIEW LUTHERAN HOME 41738,S200000,00200,0100,COLUMBIA HEIGHTS 41738,S200000,00200,0200,MN 41738,S200000,00200,0300,55421- 41738,S200000,00300,0100,ANOKA 41738,S200000,00400,0100,CREST VIEW LUTHERAN HOME 41738,S200000,00400,0200,245018 41738,S200000,00400,0300,12/01/1966 41738,S200000,00400,0500,P 41738,S200000,00800,0200,248046 41738,S200000,00800,0300,07/23/1996 41738,S200000,00800,0500,P 41738,S200000,01500,0100,Y 41743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41743,A000000,00300,0000,00300EMPLOYEE BENEFITS 41743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41743,A000000,00700,0000,00700HOUSEKEEPING 41743,A000000,00800,0000,00800DIETARY 41743,A000000,00900,0000,00900NURSING ADMINISTRATION 41743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41743,A000000,01100,0000,01100PHARMACY 41743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41743,A000000,01300,0000,01300SOCIAL SERVICE 41743,A000000,01350,0000,01500OTHER GENERAL SERVICES 41743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41743,A000000,01600,0000,01600SKILLED NURSING FACILITY 41743,A000000,01800,0000,01800NURSING FACILITY 41743,A000000,01810,0000,01810ICF/MR 41743,A000000,01900,0000,01900OTHER LONG TERM CARE 41743,A000000,02100,0000,02100RADIOLOGY 41743,A000000,02200,0000,02200LABORATORY 41743,A000000,02300,0000,02300INTRAVENOUS THERAPY 41743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41743,A000000,02500,0000,02500PHYSICAL THERAPY 41743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41743,A000000,02700,0000,02700SPEECH PATHOLOGY 41743,A000000,02800,0000,02800ELECTROCARDIOLOGY 41743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41743,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41743,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41743,A000000,03200,0000,03200SUPPORT SURFACES 41743,A000000,03400,0000,03400CLINIC 41743,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41743,A000000,03500,0000,03500RURAL HEALTH CLINIC 41743,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41743,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41743,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41743,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41743,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41743,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41743,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41743,A000000,04400,0000,04400DME RENTED - HHA 41743,A000000,04500,0000,04500DME SOLD - HHA 41743,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41743,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41743,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41743,A000000,04800,0000,04800AMBULANCE 41743,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41743,A000000,05000,0000,05000CORF 41743,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41743,A000000,05300,0000,05300INTEREST EXPENSE 41743,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41743,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41743,A000000,05500,0000,05500HOSPICE 41743,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41743,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41743,A000000,06100,0000,06100NONPAID WORKERS 41743,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41743,A000000,06200,0000,06200PATIENTS LAUNDRY 41743,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41743,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41743,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41743,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41743,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41743,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41743,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41743,B100000,00000,0800,00000MEALS SERVED :DIETARY 41743,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41743,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41743,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41743,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41743,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41743,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 41743,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 41743,E10A180,00550,0300,04/11/2000 41743,S000000,00100,0200,02/28/2000 41743,S200000,00100,0100,810 THIRD STREET 41743,S200000,00200,0100,CARLTON 41743,S200000,00200,0200,MN 41743,S200000,00200,0300,55718- 41743,S200000,00300,0100,CARLTON 41743,S200000,00400,0100,INTER-FAITH SOCIAL SERVICES INC. 41743,S200000,00400,0200,245024 41743,S200000,00400,0300,01/01/1969 41743,S200000,00400,0500,P 41743,S200000,00400,0600,O 41743,S200000,01500,0100,Y 41750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41750,A000000,00300,0000,00300EMPLOYEE BENEFITS 41750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41750,A000000,00700,0000,00700HOUSEKEEPING 41750,A000000,00800,0000,00800DIETARY 41750,A000000,00900,0000,00900NURSING ADMINISTRATION 41750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41750,A000000,01100,0000,01100PHARMACY 41750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41750,A000000,01300,0000,01300SOCIAL SERVICE 41750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41750,A000000,01600,0000,01600SKILLED NURSING FACILITY 41750,A000000,01800,0000,01800NURSING FACILITY 41750,A000000,01810,0000,01810ICF/MR 41750,A000000,01900,0000,01900OTHER LONG TERM CARE 41750,A000000,02100,0000,02100RADIOLOGY 41750,A000000,02200,0000,02200LABORATORY 41750,A000000,02300,0000,02300INTRAVENOUS THERAPY 41750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41750,A000000,02500,0000,02500PHYSICAL THERAPY 41750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41750,A000000,02700,0000,02700SPEECH PATHOLOGY 41750,A000000,02800,0000,02800ELECTROCARDIOLOGY 41750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41750,A000000,03200,0000,03200SUPPORT SURFACES 41750,A000000,03400,0000,03400CLINIC 41750,A000000,03500,0000,03500RURAL HEALTH CLINIC 41750,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 41750,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41750,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41750,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41750,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41750,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41750,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41750,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41750,A000000,04400,0000,04400DME RENTED - HHA 41750,A000000,04500,0000,04500DME SOLD - HHA 41750,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41750,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41750,A000000,04800,0000,04800AMBULANCE 41750,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41750,A000000,05000,0000,05000CORF 41750,A000000,05010,0000,05010CMHC 41750,A000000,05020,0000,05020OPT 41750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41750,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41750,A000000,05300,0000,05300INTEREST EXPENSE 41750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41750,A000000,05500,0000,05500HOSPICE 41750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41750,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41750,A000000,06100,0000,06100NONPAID WORKERS 41750,A000000,06200,0000,06200PATIENTS LAUNDRY 41750,A81000B,00100,0300,MED SUP 41750,A81000B,00200,0300,DRUGS 41750,A81000B,00300,0300,ADMIN 41750,A81000B,00400,0300,NURSING ADM 41750,A81000C,00100,0100,A 41750,A81000C,00100,0200,SANSBY 41750,A81000C,00100,0400,J. SANSBY 41750,A81000C,00200,0400,SANSBY DRUG 41750,A81000C,00200,0600,DRUG STORE 41750,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 41750,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 41750,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 41750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41750,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 41750,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 41750,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 41750,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 41750,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 41750,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 41750,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 41750,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 41750,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 41750,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 41750,S000000,00100,0200,03/03/2000 41750,S200000,00100,0100,2319 W. 7TH STREET 41750,S200000,00200,0100,ST. PAUL 41750,S200000,00200,0200,MN 41750,S200000,00200,0300,55116- 41750,S200000,00300,0100,RAMSEY 41750,S200000,00400,0100,HIGHLAND CHATEAU 41750,S200000,00400,0200,245028 41750,S200000,00400,0300,01/01/1967 41750,S200000,00400,0500,P 41750,S200000,01004,0500,O 41750,S200000,01500,0100,Y 41756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41756,A000000,00300,0000,00300EMPLOYEE BENEFITS 41756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41756,A000000,00700,0000,00700HOUSEKEEPING 41756,A000000,00800,0000,00800DIETARY 41756,A000000,00900,0000,00900NURSING ADMINISTRATION 41756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41756,A000000,01100,0000,01100PHARMACY 41756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41756,A000000,01300,0000,01300SOCIAL SERVICE 41756,A000000,01350,0000,01500OTHER GENERAL SERVICES 41756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41756,A000000,01600,0000,01600SKILLED NURSING FACILITY 41756,A000000,01800,0000,01800NURSING FACILITY 41756,A000000,01810,0000,01810ICF/MR 41756,A000000,01900,0000,01900OTHER LONG TERM CARE 41756,A000000,02100,0000,02100RADIOLOGY 41756,A000000,02200,0000,02200LABORATORY 41756,A000000,02300,0000,02300INTRAVENOUS THERAPY 41756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41756,A000000,02500,0000,02500PHYSICAL THERAPY 41756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41756,A000000,02700,0000,02700SPEECH PATHOLOGY 41756,A000000,02800,0000,02800ELECTROCARDIOLOGY 41756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41756,A000000,03200,0000,03200SUPPORT SURFACES 41756,A000000,03400,0000,03400CLINIC 41756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41756,A000000,03500,0000,03500RURAL HEALTH CLINIC 41756,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41756,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41756,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41756,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41756,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41756,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41756,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41756,A000000,04400,0000,04400DME RENTED - HHA 41756,A000000,04500,0000,04500DME SOLD - HHA 41756,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41756,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41756,A000000,04800,0000,04800AMBULANCE 41756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41756,A000000,05000,0000,05000CORF 41756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41756,A000000,05300,0000,05300INTEREST EXPENSE 41756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41756,A000000,05500,0000,05500HOSPICE 41756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41756,A000000,06100,0000,06100NONPAID WORKERS 41756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41756,A000000,06151,0000,06301COMMUNITY SERVICES 41756,A000000,06200,0000,06200PATIENTS LAUNDRY 41756,A81000A,00100,0100,Y 41756,A81000B,00100,0300,MANAGEMENT FEES 41756,A81000C,00100,0100,B 41756,A81000C,00100,0200,WALKER METH HEALTH CENTER 41756,A81000C,00100,0400,WALKER SENIOR SERVICES 41756,A81000C,00100,0600,MANAGEMENT SERVICES 41756,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41756,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41756,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41756,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41756,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41756,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 41756,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41756,B100000,00000,0800,00001MEALS SERVED :DIETARY 41756,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 41756,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 41756,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 41756,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41756,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41756,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41756,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 41756,E10A180,00501,0300,07/06/2000 41756,S000000,00100,0200,06/05/2000 41756,S200000,00100,0100,3737 BRYANT AVENUE 41756,S200000,00200,0100,MINNEAPOLIS 41756,S200000,00200,0200,MN 41756,S200000,00200,0300,55409- 41756,S200000,00300,0100,HENNEPIN 41756,S200000,00400,0100,WALKER METHODIST HEALTH CENTER INC. 41756,S200000,00400,0200,245055 41756,S200000,00400,0300,02/28/1967 41756,S200000,00400,0500,P 41756,S200000,01600,0100,Y 41760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41760,A000000,00300,0000,00300EMPLOYEE BENEFITS 41760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41760,A000000,00700,0000,00700HOUSEKEEPING 41760,A000000,00800,0000,00800DIETARY 41760,A000000,00900,0000,00900NURSING ADMINISTRATION 41760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41760,A000000,01100,0000,01100PHARMACY 41760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41760,A000000,01300,0000,01300SOCIAL SERVICE 41760,A000000,01350,0000,01500OTHER GENERAL SERVICES 41760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41760,A000000,01600,0000,01600SKILLED NURSING FACILITY 41760,A000000,01800,0000,01800NURSING FACILITY 41760,A000000,01900,0000,01900OTHER LONG TERM CARE 41760,A000000,02100,0000,02100RADIOLOGY 41760,A000000,02200,0000,02200LABORATORY 41760,A000000,02300,0000,02300INTRAVENOUS THERAPY 41760,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41760,A000000,02500,0000,02500PHYSICAL THERAPY 41760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41760,A000000,02700,0000,02700SPEECH PATHOLOGY 41760,A000000,02800,0000,02800ELECTROCARDIOLOGY 41760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41760,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41760,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41760,A000000,03200,0000,03200SUPPORT SURFACES 41760,A000000,03400,0000,03400CLINIC 41760,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41760,A000000,03500,0000,03500RURAL HEALTH CLINIC 41760,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41760,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41760,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41760,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41760,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41760,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41760,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41760,A000000,04400,0000,04400DME RENTED - HHA 41760,A000000,04500,0000,04500DME SOLD - HHA 41760,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41760,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41760,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41760,A000000,04800,0000,04800AMBULANCE 41760,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41760,A000000,05000,0000,05000CORF 41760,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41760,A000000,05300,0000,05300INTEREST EXPENSE 41760,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41760,A000000,05500,0000,05500HOSPICE 41760,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41760,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41760,A000000,06100,0000,06100NONPAID WORKERS 41760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41760,A000000,06200,0000,06200PATIENTS LAUNDRY 41760,A81000A,00100,0100,Y 41760,A81000B,00100,0300,HOME OFFICE COSTS 41760,A81000C,00100,0100,A 41760,A81000C,00100,0200,ALL SAME SHAREHOLDERS 41760,A81000C,00100,0400,AMERICARE INC. 41760,A81000C,00100,0600,MANAGEMENT SERVICES 41760,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41760,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41760,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41760,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41760,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41760,B100000,00000,0650,00000REDIDENT DAYS :LAUNDRY & LINEN SER 41760,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41760,B100000,00000,0800,00000MEALS SERVED :DIETARY 41760,B100000,00000,0950,00000REDIDENT DAYS :NURSING ADMINISTRAT 41760,B100000,00000,1250,00000REDIDENT DAYS :MEDICAL RECORDS & L 41760,B100000,00000,1330,00000REDIDENT DAYS :SOCIAL SERVICE 41760,S000000,00100,0200,02/28/2000 41760,S200000,00100,0100,500 SE 1ST STREET 41760,S200000,00200,0100,FARIBAULT 41760,S200000,00200,0200,MN 41760,S200000,00200,0300,55021- 41760,S200000,00300,0100,FARIBAULT 41760,S200000,00300,0200,24 41760,S200000,00300,0300,R 41760,S200000,00400,0100,AMERICARE OF FARIBAULT INC. 41760,S200000,00400,0200,245067 41760,S200000,00400,0300,01/01/1967 41760,S200000,00400,0500,P 41760,S200000,01004,0500,O 41760,S200000,01500,0100,Y 41766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41766,A000000,00300,0000,00300EMPLOYEE BENEFITS 41766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41766,A000000,00700,0000,00700HOUSEKEEPING 41766,A000000,00800,0000,00800DIETARY 41766,A000000,00900,0000,00900NURSING ADMINISTRATION 41766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41766,A000000,01100,0000,01100PHARMACY 41766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41766,A000000,01300,0000,01300SOCIAL SERVICE 41766,A000000,01350,0000,01500OTHER GENERAL SERVICES 41766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41766,A000000,01600,0000,01600SKILLED NURSING FACILITY 41766,A000000,01800,0000,01800NURSING FACILITY 41766,A000000,01810,0000,01801ICF/MR 41766,A000000,01900,0000,01900OTHER LONG TERM CARE 41766,A000000,02100,0000,02100RADIOLOGY 41766,A000000,02200,0000,02200LABORATORY 41766,A000000,02300,0000,02300INTRAVENOUS THERAPY 41766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41766,A000000,02500,0000,02500PHYSICAL THERAPY 41766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41766,A000000,02700,0000,02700SPEECH PATHOLOGY 41766,A000000,02800,0000,02800ELECTROCARDIOLOGY 41766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41766,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41766,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41766,A000000,03200,0000,03200SUPPORT SURFACES 41766,A000000,03400,0000,03400CLINIC 41766,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41766,A000000,03500,0000,03500RURAL HEALTH CLINIC 41766,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41766,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41766,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41766,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41766,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41766,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41766,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41766,A000000,04400,0000,04400DME RENTED - HHA 41766,A000000,04500,0000,04500DME SOLD - HHA 41766,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41766,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41766,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41766,A000000,04800,0000,04800AMBULANCE 41766,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41766,A000000,05000,0000,05000CORF 41766,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41766,A000000,05300,0000,05300INTEREST EXPENSE 41766,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41766,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41766,A000000,05500,0000,05500HOSPICE 41766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41766,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41766,A000000,06100,0000,06100NONPAID WORKERS 41766,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41766,A000000,06200,0000,06200PATIENTS LAUNDRY 41766,A81000A,00100,0100,Y 41766,A81000B,00100,0300,ADMINISTRATIVE FEES 41766,A81000B,00200,0300,CHAPLAIN & RELIGIOUS ED 41766,A81000B,00300,0300,TELEPHONE 41766,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 41766,A81000B,00500,0300,DIETARY 41766,A81000B,00600,0300,WASTE REMOVAL 41766,A81000C,00100,0100,E 41766,A81000C,00100,0200,MT OLIVET LUTHERAN CHURCH 41766,A81000C,00100,0400,MT OLIVET LUTHERAN CHURCH 41766,A81000C,00100,0600,CHURCH 41766,A81000C,00200,0100,E 41766,A81000C,00200,0200,MT OLIVET LUTHERAN CHURCH 41766,A81000C,00200,0400,MT OLIVET LUTHERAN CHURCH 41766,A81000C,00200,0600,CHURCH 41766,A81000C,00300,0100,E 41766,A81000C,00300,0200,MOUNT OLIVET HOME 41766,A81000C,00300,0400,MOUNT OLIVET HOME 41766,A81000C,00300,0600,NURSING HOME 41766,A81000C,00400,0100,E 41766,A81000C,00400,0200,MOUNT OLIVET HOME 41766,A81000C,00400,0400,MOUNT OLIVET HOME 41766,A81000C,00400,0600,NURSING HOME 41766,A81000C,00500,0100,E 41766,A81000C,00500,0200,MOUNT OLIVET HOME 41766,A81000C,00500,0400,MOUNT OLIVET HOME 41766,A81000C,00500,0600,NURSING HOME 41766,A81000C,00600,0100,E 41766,A81000C,00600,0200,MOUNT OLIVET HOME 41766,A81000C,00600,0400,MOUNT OLIVET HOME 41766,A81000C,00600,0600,NURSING HOME 41766,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41766,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41766,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41766,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41766,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41766,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41766,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41766,B100000,00000,0800,00000MEALS SERVED :DIETARY 41766,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41766,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 41766,B100000,00000,1150,00000NO STATISTICS :PHARMACY 41766,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41766,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41766,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41766,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 41766,E10A180,00501,0300,04/24/2000 41766,S000000,00100,0200,02/28/2000 41766,S200000,00100,0100,5517 LYNDALE AVENUE SOUTH 41766,S200000,00200,0100,MINNEAPOLIS 41766,S200000,00200,0200,MN 41766,S200000,00200,0300,55419- 41766,S200000,00300,0100,HENNEPIN 41766,S200000,00400,0100,MOUNT OLIVET CAREVIEW HOME 41766,S200000,00400,0200,245071 41766,S200000,00400,0300,07/07/1981 41766,S200000,00400,0500,P 41766,S200000,01500,0100,Y 41766,S700003,00000,0100,1 41772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41772,A000000,00300,0000,00300EMPLOYEE BENEFITS 41772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41772,A000000,00700,0000,00700HOUSEKEEPING 41772,A000000,00800,0000,00800DIETARY 41772,A000000,00900,0000,00900NURSING ADMINISTRATION 41772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41772,A000000,01100,0000,01100PHARMACY 41772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41772,A000000,01300,0000,01300SOCIAL SERVICE 41772,A000000,01350,0000,01500OTHER GENERAL SERVICES 41772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41772,A000000,01600,0000,01600SKILLED NURSING FACILITY 41772,A000000,01800,0000,01800NURSING FACILITY 41772,A000000,01810,0000,01810ICF/MR 41772,A000000,01900,0000,01900OTHER LONG TERM CARE 41772,A000000,02100,0000,02100RADIOLOGY 41772,A000000,02200,0000,02200LABORATORY 41772,A000000,02300,0000,02300INTRAVENOUS THERAPY 41772,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41772,A000000,02500,0000,02500PHYSICAL THERAPY 41772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41772,A000000,02700,0000,02700SPEECH PATHOLOGY 41772,A000000,02800,0000,02800ELECTROCARDIOLOGY 41772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41772,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41772,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41772,A000000,03200,0000,03200SUPPORT SURFACES 41772,A000000,03400,0000,03400CLINIC 41772,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41772,A000000,03500,0000,03500RURAL HEALTH CLINIC 41772,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41772,A000000,04800,0000,04800AMBULANCE 41772,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41772,A000000,05000,0000,05000CORF 41772,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41772,A000000,05300,0000,05300INTEREST EXPENSE 41772,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41772,A000000,05500,0000,05500HOSPICE 41772,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41772,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41772,A000000,06100,0000,06100NONPAID WORKERS 41772,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41772,A000000,06200,0000,06200PATIENTS LAUNDRY 41772,A81000A,00100,0100,Y 41772,A81000B,00100,0300,COUNTY ALLOCATION 41772,A81000B,00200,0300,LAUNDRY SERVICES 41772,A81000C,00100,0100,B 41772,A81000C,00100,0200,ST LOUIS COUNTY 41772,A81000C,00200,0100,B 41772,A81000C,00200,0200,ST LOUIS COUNTY 41772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41772,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41772,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41772,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41772,B100000,00000,0800,00000MEALS SERVED :DIETARY 41772,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41772,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41772,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41772,E10A180,00301,0100,03/28/2000 41772,E10A180,00501,0100,07/06/2000 41772,S000000,00100,0200,06/06/2000 41772,S200000,00100,0100,NOPEMING ROAD 41772,S200000,00200,0100,DULUTH 41772,S200000,00200,0200,MN 41772,S200000,00200,0300,55810- 41772,S200000,00300,0100,ST LOUIS 41772,S200000,00300,0200,2240 41772,S200000,00300,0300,U 41772,S200000,00400,0100,NOPEMING NURSING HOME 41772,S200000,00400,0200,245077 41772,S200000,00400,0300,07/01/1966 41772,S200000,00400,0500,P 41772,S200000,01500,0100,Y 41776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41776,A000000,00300,0000,00300EMPLOYEE BENEFITS 41776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41776,A000000,00700,0000,00700HOUSEKEEPING 41776,A000000,00800,0000,00800DIETARY 41776,A000000,00900,0000,00900NURSING ADMINISTRATION 41776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41776,A000000,01100,0000,01100PHARMACY 41776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41776,A000000,01300,0000,01300SOCIAL SERVICE 41776,A000000,01350,0000,01500OTHER GENERAL SERVICES 41776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41776,A000000,01600,0000,01600SKILLED NURSING FACILITY 41776,A000000,01800,0000,01800NURSING FACILITY 41776,A000000,01900,0000,01900OTHER LONG TERM CARE 41776,A000000,02100,0000,02100RADIOLOGY 41776,A000000,02200,0000,02200LABORATORY 41776,A000000,02300,0000,02300INTRAVENOUS THERAPY 41776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41776,A000000,02500,0000,02500PHYSICAL THERAPY 41776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41776,A000000,02700,0000,02700SPEECH PATHOLOGY 41776,A000000,02800,0000,02800ELECTROCARDIOLOGY 41776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41776,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41776,A000000,03051,0000,033013RD PARTY ANCILLARY 41776,A000000,03052,0000,03302X-RAY MED A 41776,A000000,03053,0000,03303IV THERAPY 41776,A000000,03054,0000,03304FLU SHOTS-MEDICARE 41776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41776,A000000,03200,0000,03200SUPPORT SURFACES 41776,A000000,03400,0000,03400CLINIC 41776,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41776,A000000,03500,0000,03500RURAL HEALTH CLINIC 41776,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41776,A000000,04800,0000,04800AMBULANCE 41776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41776,A000000,05000,0000,05000CORF 41776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41776,A000000,05300,0000,05300INTEREST EXPENSE 41776,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41776,A000000,05500,0000,05500HOSPICE 41776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41776,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41776,A000000,06100,0000,06100NONPAID WORKERS 41776,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41776,A000000,06200,0000,06200PATIENTS LAUNDRY 41776,A000000,06201,0000,06201APARTMENTS 41776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41776,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41776,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 41776,B100000,00000,0800,00000MEALS SERVED :DIETARY 41776,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 41776,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41776,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 41776,S000000,00100,0200,02/28/2000 41776,S200000,00100,0100,27 BRAND AVE 41776,S200000,00100,0300,446 41776,S200000,00200,0100,FARIBAULT 41776,S200000,00200,0200,MN 41776,S200000,00200,0300,55021-0446 41776,S200000,00300,0100,RICE 41776,S200000,00300,0200,24 41776,S200000,00300,0300,R 41776,S200000,00400,0100,PLEASANT MANOR INC. 41776,S200000,00400,0200,245090 41776,S200000,00400,0300,01/21/1967 41776,S200000,00400,0500,P 41776,S200000,01600,0100,Y 41783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41783,A000000,00300,0000,00300EMPLOYEE BENEFITS 41783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41783,A000000,00700,0000,00700HOUSEKEEPING 41783,A000000,00800,0000,00800DIETARY 41783,A000000,00900,0000,00900NURSING ADMINISTRATION 41783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41783,A000000,01300,0000,01300SOCIAL SERVICE 41783,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 41783,A000000,01600,0000,01600SKILLED NURSING FACILITY 41783,A000000,02100,0000,02100RADIOLOGY 41783,A000000,02200,0000,02200LABORATORY 41783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41783,A000000,02500,0000,02500PHYSICAL THERAPY 41783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41783,A000000,02700,0000,02700SPEECH PATHOLOGY 41783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41783,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41783,A000000,05300,0000,05300INTEREST EXPENSE 41783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41783,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41783,A000000,06151,0000,06301LAMBERTON APARTMENTS 41783,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41783,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41783,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41783,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41783,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41783,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 41783,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41783,B100000,00000,0800,00001MEALS SERVED :DIETARY 41783,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 41783,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41783,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41783,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 41783,S000000,00100,0200,02/03/2000 41783,S200000,00100,0100,1635 SERVICE DRIVE 41783,S200000,00200,0100,WINONA 41783,S200000,00200,0200,MN 41783,S200000,00200,0300,55987- 41783,S200000,00300,0100,WINONA 41783,S200000,00400,0100,SAUER MEMORIAL HOME 41783,S200000,00400,0200,245102 41783,S200000,00400,0300,07/01/1967 41783,S200000,00400,0500,P 41783,S200000,01500,0100,Y 41783,S200000,02800,0100,Y 41790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41790,A000000,00300,0000,00300EMPLOYEE BENEFITS 41790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41790,A000000,00700,0000,00700HOUSEKEEPING 41790,A000000,00800,0000,00800DIETARY 41790,A000000,00900,0000,00900NURSING ADMINISTRATION 41790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41790,A000000,01100,0000,01100PHARMACY 41790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41790,A000000,01300,0000,01300SOCIAL SERVICE 41790,A000000,01350,0000,01500OTHER GENERAL SERVICES 41790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41790,A000000,01600,0000,01600SKILLED NURSING FACILITY 41790,A000000,01800,0000,01800NURSING FACILITY 41790,A000000,01810,0000,01810ICF/MR 41790,A000000,01900,0000,01900OTHER LONG TERM CARE 41790,A000000,02100,0000,02100RADIOLOGY 41790,A000000,02200,0000,02200LABORATORY 41790,A000000,02300,0000,02300INTRAVENOUS THERAPY 41790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41790,A000000,02500,0000,02500PHYSICAL THERAPY 41790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41790,A000000,02700,0000,02700SPEECH PATHOLOGY 41790,A000000,02800,0000,02800ELECTROCARDIOLOGY 41790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41790,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41790,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41790,A000000,03200,0000,03200SUPPORT SURFACES 41790,A000000,03400,0000,03400CLINIC 41790,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41790,A000000,03500,0000,03500RURAL HEALTH CLINIC 41790,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41790,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41790,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41790,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41790,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41790,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41790,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41790,A000000,04400,0000,04400DME RENTED - HHA 41790,A000000,04500,0000,04500DME SOLD - HHA 41790,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41790,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41790,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41790,A000000,04800,0000,04800AMBULANCE 41790,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41790,A000000,05000,0000,05000CORF 41790,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41790,A000000,05300,0000,05300INTEREST EXPENSE 41790,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41790,A000000,05500,0000,05500HOSPICE 41790,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41790,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41790,A000000,06100,0000,06100NONPAID WORKERS 41790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41790,A000000,06200,0000,06200PATIENTS LAUNDRY 41790,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41790,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41790,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41790,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41790,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41790,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41790,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41790,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 41790,B100000,00000,0950,00000TIME STUDIES :NURSING ADMINISTRATI 41790,B100000,00000,1200,00000TIME STUDIES :MEDICAL RECORDS & LI 41790,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 41790,E10A180,00550,0300,04/13/2000 41790,S000000,00100,0200,02/28/2000 41790,S200000,00100,0100,548 WEST 1ST AVENUE 41790,S200000,00200,0100,CAMBRIDGE 41790,S200000,00200,0200,MN 41790,S200000,00200,0300,55008- 41790,S200000,00300,0100,ISANTI 41790,S200000,00300,0200,5120 41790,S200000,00300,0300,U 41790,S200000,00400,0100,CAMBRIDGE HEALTH CARE CENTER 41790,S200000,00400,0200,245120 41790,S200000,00400,0300,02/01/1969 41790,S200000,00400,0500,P 41790,S200000,01600,0100,Y 41793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41793,A000000,00300,0000,00300EMPLOYEE BENEFITS 41793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41793,A000000,00700,0000,00700HOUSEKEEPING 41793,A000000,00800,0000,00800DIETARY 41793,A000000,00900,0000,00900NURSING ADMINISTRATION 41793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41793,A000000,01100,0000,01100PHARMACY 41793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41793,A000000,01300,0000,01300SOCIAL SERVICE 41793,A000000,01350,0000,01500ACTIVITIES 41793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41793,A000000,01600,0000,01600SKILLED NURSING FACILITY 41793,A000000,01800,0000,01800NURSING FACILITY 41793,A000000,01810,0000,01810ICF/MR 41793,A000000,01900,0000,01900OTHER LONG TERM CARE 41793,A000000,02100,0000,02100RADIOLOGY 41793,A000000,02200,0000,02200LABORATORY 41793,A000000,02300,0000,02300INTRAVENOUS THERAPY 41793,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41793,A000000,02500,0000,02500PHYSICAL THERAPY 41793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41793,A000000,02700,0000,02700SPEECH PATHOLOGY 41793,A000000,02800,0000,02800ELECTROCARDIOLOGY 41793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41793,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41793,A000000,03200,0000,03200SUPPORT SURFACES 41793,A000000,03400,0000,03400CLINIC 41793,A000000,03500,0000,03500RURAL HEALTH CLINIC 41793,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 41793,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41793,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41793,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41793,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41793,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41793,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41793,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41793,A000000,04400,0000,04400DME RENTED - HHA 41793,A000000,04500,0000,04500DME SOLD - HHA 41793,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41793,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41793,A000000,04800,0000,04800AMBULANCE 41793,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41793,A000000,05000,0000,05000CORF 41793,A000000,05010,0000,05010CMHC 41793,A000000,05020,0000,05020OPT 41793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 41793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 41793,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41793,A000000,05300,0000,05300INTEREST EXPENSE 41793,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41793,A000000,05500,0000,05500HOSPICE 41793,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41793,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41793,A000000,06100,0000,06100NONPAID WORKERS 41793,A000000,06200,0000,06200PATIENTS LAUNDRY 41793,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 41793,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 41793,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 41793,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41793,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 41793,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 41793,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 41793,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 41793,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 41793,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 41793,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 41793,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 41793,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 41793,B100000,00000,1350,00000ACTUAL ALLOCATION :ACTIVITIES 41793,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 41793,S000000,00100,0200,01/31/2000 41793,S200000,00100,0100,227 MCKINLEY AVENUE 41793,S200000,00200,0100,EVELETH 41793,S200000,00200,0200,MN 41793,S200000,00200,0300,55734- 41793,S200000,00300,0100,ST LOUIS 41793,S200000,00400,0100,EVELETH HOSPITAL CORPORATION 41793,S200000,00400,0200,245125 41793,S200000,00400,0300,12/31/1970 41793,S200000,00400,0500,P 41793,S200000,01500,0100,Y 41793,S200000,02800,0100,Y 41800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41800,A000000,00300,0000,00300EMPLOYEE BENEFITS 41800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41800,A000000,00700,0000,00700HOUSEKEEPING 41800,A000000,00800,0000,00800DIETARY 41800,A000000,00900,0000,00900NURSING ADMINISTRATION 41800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41800,A000000,01300,0000,01300SOCIAL SERVICE 41800,A000000,01350,0000,01500ACTIVITIES 41800,A000000,01600,0000,01600SKILLED NURSING FACILITY 41800,A000000,01800,0000,01800NURSING FACILITY 41800,A000000,02500,0000,02500PHYSICAL THERAPY 41800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41800,A000000,02700,0000,02700SPEECH PATHOLOGY 41800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41800,A81000A,00100,0100,Y 41800,A81000B,00100,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00200,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00300,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00400,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00500,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00600,0300,SEE ACCOMPANYING SCHEDULE 41800,A81000B,00700,0300,BUILDING RENTAL-SEE SCHEDULE 41800,A81000B,00800,0300,COMPUTER LEASE-SEE SCHEDULE 41800,A81000C,00100,0100,B 41800,A81000C,00100,0400,AVIV HEALTH CARE INC 41800,A81000C,00100,0600,HOME OFFICE 41800,A81000C,00200,0100,B 41800,A81000C,00200,0400,AVIV HEALTH CARE INC 41800,A81000C,00200,0600,HOME OFFICE 41800,A81000C,00300,0100,B 41800,A81000C,00300,0400,AVIV HEALTH CARE INC 41800,A81000C,00300,0600,HOME OFFICE 41800,A81000C,00400,0100,B 41800,A81000C,00400,0400,AVIV HEALTH CARE INC 41800,A81000C,00400,0600,HOME OFFICE 41800,A81000C,00500,0100,B 41800,A81000C,00500,0400,AVIV HEALTH CARE INC 41800,A81000C,00500,0600,HOME OFFICE 41800,A81000C,00600,0100,B 41800,A81000C,00600,0400,AVIV HEALTH CARE INC 41800,A81000C,00600,0600,HOME OFFICE 41800,A81000C,00700,0100,A 41800,A81000C,00700,0200,SEE ATTACHED SCHEDULE 41800,A81000C,00700,0400,AVIV HOMES COMPANY 41800,A81000C,00800,0100,A 41800,A81000C,00800,0200,SEE ATTACHED SCHEDULE 41800,A81000C,00800,0400,ALEF COMPANY 41800,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41800,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41800,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41800,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41800,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41800,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 41800,B100000,00000,0800,00000MEALS SERVED :DIETARY 41800,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 41800,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41800,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 41800,B100000,00000,1350,00000ASSIGNED TIME :ACTIVITIES 41800,S000000,00100,0200,06/28/2000 41800,S200000,00100,0100,7500 W 22ND STREET 41800,S200000,00200,0100,ST. LOUIS PARK 41800,S200000,00200,0200,MN 41800,S200000,00200,0300,55426- 41800,S200000,00300,0100,HENNEPIN 41800,S200000,00400,0100,WESTWOOD HEALTH CARE CENTER 41800,S200000,00400,0200,245182 41800,S200000,00400,0300,10/01/1993 41800,S200000,00400,0500,P 41800,S200000,01600,0100,Y 41805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41805,A000000,00300,0000,00300EMPLOYEE BENEFITS 41805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41805,A000000,00700,0000,00700HOUSEKEEPING 41805,A000000,00800,0000,00800DIETARY 41805,A000000,00900,0000,00900NURSING ADMINISTRATION 41805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41805,A000000,01100,0000,01100PHARMACY 41805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41805,A000000,01300,0000,01300SOCIAL SERVICE 41805,A000000,01350,0000,01500OTHER GENERAL SERVICES 41805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41805,A000000,01600,0000,01600SKILLED NURSING FACILITY 41805,A000000,01800,0000,01800NURSING FACILITY 41805,A000000,01900,0000,01900OTHER LONG TERM CARE 41805,A000000,02100,0000,02100RADIOLOGY 41805,A000000,02200,0000,02200LABORATORY 41805,A000000,02300,0000,02300INTRAVENOUS THERAPY 41805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41805,A000000,02500,0000,02500PHYSICAL THERAPY 41805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41805,A000000,02700,0000,02700SPEECH PATHOLOGY 41805,A000000,02800,0000,02800ELECTROCARDIOLOGY 41805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41805,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41805,A000000,03200,0000,03200SUPPORT SURFACES 41805,A000000,03400,0000,03400CLINIC 41805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41805,A000000,03500,0000,03500RURAL HEALTH CLINIC 41805,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41805,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41805,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41805,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41805,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41805,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41805,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41805,A000000,04400,0000,04400DME RENTED - HHA 41805,A000000,04500,0000,04500DME SOLD - HHA 41805,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41805,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41805,A000000,04800,0000,04800AMBULANCE 41805,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41805,A000000,05000,0000,05000CORF 41805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41805,A000000,05300,0000,05300INTEREST EXPENSE 41805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41805,A000000,05500,0000,05500HOSPICE 41805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41805,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41805,A000000,06100,0000,06100NONPAID WORKERS 41805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41805,A000000,06151,0000,06301DENTAL AND BANK 41805,A000000,06200,0000,06200PATIENTS LAUNDRY 41805,A81000A,00100,0100,Y 41805,A81000B,00100,0300,DRUGS CHARGED TO PATIENTS 41805,A81000C,00100,0100,D 41805,A81000C,00100,0200,DONALD THOMPSON 41805,A81000C,00100,0400,NORTH RIDGE PHARMACY INC 41805,A81000C,00100,0600,PHARMACY COMPANY 41805,A81000C,00200,0100,D 41805,A81000C,00200,0200,NEAL THOMPSON 41805,A81000C,00200,0400,NORTH RIDGE PHARMACY INC 41805,A81000C,00200,0600,PHARMACY COMPANY 41805,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41805,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41805,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41805,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41805,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41805,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 41805,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41805,B100000,00000,0800,00001MEALS SERVED :DIETARY 41805,B100000,00000,0950,00001PRODUCTIVE E HO :NURSING ADMINISTRA 41805,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 41805,B100000,00000,1150,00001RESIDENT DAYS :PHARMACY 41805,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41805,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41805,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41805,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 41805,S000000,00100,0200,08/13/1999 41805,S200000,00100,0100,5430 BOONE AVE N. 41805,S200000,00200,0100,NEW HOPE 41805,S200000,00200,0200,MN 41805,S200000,00200,0300,55428- 41805,S200000,00300,0100,HENNEPIN 41805,S200000,00400,0100,NORTH RIDGE CARE CENTER 41805,S200000,00400,0200,245183 41805,S200000,00400,0300,04/01/1984 41805,S200000,00400,0500,P 41805,S200000,01005,0500,O 41805,S200000,01600,0100,Y 41805,S700003,00000,0100,1 41807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41807,A000000,00300,0000,00300EMPLOYEE BENEFITS 41807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41807,A000000,00700,0000,00700HOUSEKEEPING 41807,A000000,00800,0000,00800DIETARY 41807,A000000,00900,0000,00900NURSING ADMINISTRATION 41807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41807,A000000,01100,0000,01100PHARMACY 41807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41807,A000000,01300,0000,01300SOCIAL SERVICE 41807,A000000,01350,0000,01500OTHER GENERAL SERVICES 41807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41807,A000000,01600,0000,01600SKILLED NURSING FACILITY 41807,A000000,01800,0000,01800NURSING FACILITY 41807,A000000,01810,0000,01810ICF/MR 41807,A000000,01900,0000,01900OTHER LONG TERM CARE 41807,A000000,02100,0000,02100RADIOLOGY 41807,A000000,02200,0000,02200LABORATORY 41807,A000000,02300,0000,02300INTRAVENOUS THERAPY 41807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41807,A000000,02500,0000,02500PHYSICAL THERAPY 41807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41807,A000000,02700,0000,02700SPEECH PATHOLOGY 41807,A000000,02800,0000,02800ELECTROCARDIOLOGY 41807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41807,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41807,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41807,A000000,03200,0000,03200SUPPORT SURFACES 41807,A000000,03400,0000,03400CLINIC 41807,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41807,A000000,03500,0000,03500RURAL HEALTH CLINIC 41807,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41807,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41807,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41807,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41807,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41807,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41807,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41807,A000000,04400,0000,04400DME RENTED - HHA 41807,A000000,04500,0000,04500DME SOLD - HHA 41807,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41807,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41807,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41807,A000000,04800,0000,04800AMBULANCE 41807,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41807,A000000,05000,0000,05000CORF 41807,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41807,A000000,05300,0000,05300INTEREST EXPENSE 41807,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41807,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41807,A000000,05500,0000,05500HOSPICE 41807,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41807,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41807,A000000,06100,0000,06100NONPAID WORKERS 41807,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41807,A000000,06151,0000,06301DENTAL AND BANK 41807,A000000,06200,0000,06200PATIENTS LAUNDRY 41807,A81000A,00100,0100,Y 41807,A81000B,00100,0300,CENTRAL OFFICE COSTS 41807,A81000C,00100,0100,B 41807,A81000C,00100,0200,MN MASONIC HOME MGMT SERV 41807,A81000C,00100,0400,MN MASONIC HOME MGMT SERV 41807,A81000C,00100,0600,MANAGEMENT COMPANY 41807,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41807,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41807,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41807,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41807,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41807,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 41807,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41807,B100000,00000,0800,00001MEALS SERVED :DIETARY 41807,B100000,00000,0950,00001PRODUCTIVE E HO :NURSING ADMINISTRA 41807,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 41807,B100000,00000,1150,00001RESIDENT DAYS :PHARMACY 41807,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41807,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41807,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41807,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 41807,S000000,00100,0200,06/29/2000 41807,S200000,00100,0100,5430 BOONE AVENUE NORTH 41807,S200000,00200,0100,NEW HOPE 41807,S200000,00200,0200,MN 41807,S200000,00200,0300,55428- 41807,S200000,00300,0100,HENNEPIN 41807,S200000,00400,0100,MN MASONIC HOME NORTH RIDGE 41807,S200000,00400,0200,245183 41807,S200000,00400,0300,04/01/1984 41807,S200000,00400,0500,P 41807,S200000,01600,0100,Y 41812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41812,A000000,00300,0000,00300EMPLOYEE BENEFITS 41812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41812,A000000,00700,0000,00700HOUSEKEEPING 41812,A000000,00800,0000,00800DIETARY 41812,A000000,00900,0000,00900NURSING ADMINISTRATION 41812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41812,A000000,01100,0000,01100PHARMACY 41812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41812,A000000,01300,0000,01300SOCIAL SERVICE 41812,A000000,01350,0000,01500ACTIVITIES 41812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41812,A000000,01600,0000,01600SKILLED NURSING FACILITY 41812,A000000,01800,0000,01800NURSING FACILITY 41812,A000000,01810,0000,01801ICF/MR 41812,A000000,01900,0000,01900OTHER LONG TERM CARE 41812,A000000,02100,0000,02100RADIOLOGY 41812,A000000,02200,0000,02200LABORATORY 41812,A000000,02300,0000,02300INTRAVENOUS THERAPY 41812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41812,A000000,02500,0000,02500PHYSICAL THERAPY 41812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41812,A000000,02700,0000,02700SPEECH PATHOLOGY 41812,A000000,02800,0000,02800ELECTROCARDIOLOGY 41812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41812,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41812,A000000,03200,0000,03200SUPPORT SURFACES 41812,A000000,03400,0000,03400CLINIC 41812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41812,A000000,03500,0000,03500RURAL HEALTH CLINIC 41812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41812,A000000,04400,0000,04400DME RENTED - HHA 41812,A000000,04500,0000,04500DME SOLD - HHA 41812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41812,A000000,04800,0000,04800AMBULANCE 41812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41812,A000000,05000,0000,05000CORF 41812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41812,A000000,05300,0000,05300INTEREST EXPENSE 41812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41812,A000000,05500,0000,05500HOSPICE 41812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41812,A000000,06100,0000,06100NONPAID WORKERS 41812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41812,A000000,06200,0000,06200PATIENTS LAUNDRY 41812,A81000A,00100,0100,Y 41812,A81000B,00100,0300,CENTRAL OFFICE COSTS 41812,A81000C,00100,0100,B 41812,A81000C,00100,0200,HOME QUALITY MANAGEMENT 41812,A81000C,00100,0400,HEALTHCARE ACQUISITIONS 41812,A81000C,00100,0600,MANAGEMENT COMPANY 41812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41812,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41812,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41812,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 41812,B100000,00000,0950,00000DIRECT SALARIES :NURSING ADMINISTR 41812,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41812,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41812,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41812,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41812,B100000,00000,1350,00000RESIDENT DAYS :ACTIVITIES 41812,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41812,E10A180,00501,0300,04/16/2000 41812,E10A180,00550,0100,04/16/2000 41812,S000000,00100,0200,02/28/2000 41812,S200000,00100,0100,501 8TH AVENUE SE 41812,S200000,00200,0100,ROCHESTER 41812,S200000,00200,0200,MN 41812,S200000,00200,0300,55904- 41812,S200000,00300,0100,OLMSTEAD 41812,S200000,00400,0100,BEAR CREEK CARE & REHAB CENTER 41812,S200000,00400,0200,245184 41812,S200000,00400,0300,09/01/1982 41812,S200000,00400,0500,P 41812,S200000,00400,0600,O 41812,S200000,01600,0100,Y 41819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41819,A000000,00300,0000,00300EMPLOYEE BENEFITS 41819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41819,A000000,00700,0000,00700HOUSEKEEPING 41819,A000000,00800,0000,00800DIETARY 41819,A000000,00900,0000,00900NURSING ADMINISTRATION 41819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41819,A000000,01100,0000,01100PHARMACY 41819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41819,A000000,01300,0000,01300SOCIAL SERVICE 41819,A000000,01350,0000,01500OTHER GENERAL SERVICES 41819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41819,A000000,01600,0000,01600SKILLED NURSING FACILITY 41819,A000000,01800,0000,01800NURSING FACILITY 41819,A000000,01810,0000,01810ICF/MR 41819,A000000,01900,0000,01900OTHER LONG TERM CARE 41819,A000000,02100,0000,02100RADIOLOGY 41819,A000000,02200,0000,02200LABORATORY 41819,A000000,02300,0000,02300INTRAVENOUS THERAPY 41819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41819,A000000,02500,0000,02500PHYSICAL THERAPY 41819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41819,A000000,02700,0000,02700SPEECH PATHOLOGY 41819,A000000,02800,0000,02800ELECTROCARDIOLOGY 41819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41819,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41819,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41819,A000000,03200,0000,03200SUPPORT SURFACES 41819,A000000,03400,0000,03400CLINIC 41819,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41819,A000000,03500,0000,03500RURAL HEALTH CLINIC 41819,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41819,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41819,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41819,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41819,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41819,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41819,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41819,A000000,04400,0000,04400DME RENTED - HHA 41819,A000000,04500,0000,04500DME SOLD - HHA 41819,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41819,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41819,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41819,A000000,04800,0000,04800AMBULANCE 41819,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41819,A000000,05000,0000,05000CORF 41819,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41819,A000000,05300,0000,05300INTEREST EXPENSE 41819,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41819,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41819,A000000,05500,0000,05500HOSPICE 41819,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41819,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41819,A000000,06100,0000,06100NONPAID WORKERS 41819,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41819,A000000,06200,0000,06200PATIENTS LAUNDRY 41819,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41819,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41819,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41819,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41819,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41819,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41819,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41819,B100000,00000,0800,00000MEALS SERVED :DIETARY 41819,B100000,00000,0950,00000PRODUCTIVE E NRSING :NURSING ADMINI 41819,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41819,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41819,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41819,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41819,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41819,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41819,S000000,00100,0200,06/05/2000 41819,S200000,00100,0100,2000 OAKDALE AVENUE 41819,S200000,00200,0100,WEST ST. PAUL 41819,S200000,00200,0200,MN 41819,S200000,00200,0300,55118- 41819,S200000,00300,0100,DAKOTA 41819,S200000,00400,0100,SOUTHVIEW ACRES HEALTH CARE CENTER 41819,S200000,00400,0200,245189 41819,S200000,00400,0300,01/01/1974 41819,S200000,00400,0500,P 41819,S200000,01004,0500,O 41819,S200000,01600,0100,Y 41823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41823,A000000,00300,0000,00300EMPLOYEE BENEFITS 41823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41823,A000000,00700,0000,00700HOUSEKEEPING 41823,A000000,00800,0000,00800DIETARY 41823,A000000,00900,0000,00900NURSING ADMINISTRATION 41823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41823,A000000,01100,0000,01100PHARMACY 41823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41823,A000000,01300,0000,01300SOCIAL SERVICE 41823,A000000,01350,0000,01500OTHER GENERAL SERVICES 41823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41823,A000000,01600,0000,01600SKILLED NURSING FACILITY 41823,A000000,01800,0000,01800NURSING FACILITY 41823,A000000,01810,0000,01810ICF/MR 41823,A000000,01900,0000,01900OTHER LONG TERM CARE 41823,A000000,02100,0000,02100RADIOLOGY 41823,A000000,02200,0000,02200LABORATORY 41823,A000000,02300,0000,02300INTRAVENOUS THERAPY 41823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41823,A000000,02500,0000,02500PHYSICAL THERAPY 41823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41823,A000000,02700,0000,02700SPEECH PATHOLOGY 41823,A000000,02800,0000,02800ELECTROCARDIOLOGY 41823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41823,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41823,A000000,03200,0000,03200SUPPORT SURFACES 41823,A000000,03400,0000,03400CLINIC 41823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41823,A000000,03500,0000,03500RURAL HEALTH CLINIC 41823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41823,A000000,04400,0000,04400DME RENTED - HHA 41823,A000000,04500,0000,04500DME SOLD - HHA 41823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41823,A000000,04800,0000,04800AMBULANCE 41823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41823,A000000,05000,0000,05000CORF 41823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41823,A000000,05300,0000,05300INTEREST EXPENSE 41823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41823,A000000,05500,0000,05500HOSPICE 41823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41823,A000000,06100,0000,06100NONPAID WORKERS 41823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41823,A000000,06200,0000,06200PATIENTS LAUNDRY 41823,A81000A,00100,0100,Y 41823,A81000B,00100,0300,HOME OFFICE COSTS 41823,A81000B,00200,0300,HOME OFFICE COSTS 41823,A81000B,00300,0300,HOME OFFICE COSTS 41823,A81000C,00100,0100,B 41823,A81000C,00100,0200,BIRCHWOOD COMPANIES INC. 41823,A81000C,00100,0400,EDGEWOOD MANAGEMENT INC. 41823,A81000C,00100,0600,MANAGEMENT SERVICES 41823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41823,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41823,B100000,00000,0800,00000MEALS SERVED :DIETARY 41823,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41823,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41823,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41823,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41823,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41823,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41823,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41823,S000000,00100,0200,06/05/2000 41823,S200000,00100,0100,604 NORTHEAST FIRST STREET 41823,S200000,00200,0100,FOREST LAKE 41823,S200000,00200,0200,MN 41823,S200000,00200,0300,55025- 41823,S200000,00300,0100,WASHINGTON 41823,S200000,00400,0100,BIRCHWOOD HEALTH CARE CENTER INC. 41823,S200000,00400,0200,245200 41823,S200000,00400,0300,12/01/1974 41823,S200000,00400,0500,P 41823,S200000,01600,0100,Y 41829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41829,A000000,00300,0000,00300EMPLOYEE BENEFITS 41829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41829,A000000,00700,0000,00700HOUSEKEEPING 41829,A000000,00800,0000,00800DIETARY 41829,A000000,00900,0000,00900NURSING ADMINISTRATION 41829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41829,A000000,01300,0000,01300SOCIAL SERVICE 41829,A000000,01350,0000,01500ACTIVITIES 41829,A000000,01600,0000,01600SKILLED NURSING FACILITY 41829,A000000,01800,0000,01800NURSING FACILITY 41829,A000000,02500,0000,02500PHYSICAL THERAPY 41829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41829,A000000,02700,0000,02700SPEECH PATHOLOGY 41829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41829,A81000A,00100,0100,Y 41829,A81000B,00100,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00200,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00300,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00400,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00500,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00600,0300,SEE ACCOMPANYING HOME OFF SCHED 41829,A81000B,00700,0300,BLDG RENTAL-SEE SCHEDULE 41829,A81000B,00800,0300,COMPUTER LEASE-SEE SCHEDULE 41829,A81000C,00100,0100,B 41829,A81000C,00100,0400,AVIV HEALTH CARE INC 41829,A81000C,00100,0600,HOME OFFICE 41829,A81000C,00200,0100,B 41829,A81000C,00200,0400,AVIV HEALTH CARE INC 41829,A81000C,00200,0600,HOME OFFICE 41829,A81000C,00300,0100,B 41829,A81000C,00300,0400,AVIV HEALTH CARE INC 41829,A81000C,00300,0600,HOME OFFICE 41829,A81000C,00400,0100,B 41829,A81000C,00400,0400,AVIV HEALTH CARE INC 41829,A81000C,00400,0600,HOME OFFICE 41829,A81000C,00500,0100,B 41829,A81000C,00500,0400,AVIV HEALTH CARE INC 41829,A81000C,00500,0600,HOME OFFICE 41829,A81000C,00600,0100,B 41829,A81000C,00600,0400,AVIV HEALTH CARE INC 41829,A81000C,00600,0600,HOME OFFICE 41829,A81000C,00700,0100,A 41829,A81000C,00700,0200,SEE ATTACHED SCHEDULE 41829,A81000C,00700,0400,AVIV HOMES COMPANY 41829,A81000C,00800,0100,A 41829,A81000C,00800,0200,SEE ATTACHED SCHEDULE 41829,A81000C,00800,0400,ALEF COMPANY 41829,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41829,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41829,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41829,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41829,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41829,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41829,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 41829,B100000,00000,0800,00000MEALS SERVED :DIETARY 41829,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 41829,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41829,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 41829,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 41829,S000000,00100,0200,06/28/2000 41829,S200000,00100,0100,275 PENN AVENUE N. 41829,S200000,00200,0100,MINNEAPOLIS 41829,S200000,00200,0200,MN 41829,S200000,00200,0300,55405- 41829,S200000,00300,0100,HENNEPIN 41829,S200000,00400,0100,BRYN MAWR CARE CENTER 41829,S200000,00400,0200,245203 41829,S200000,00400,0300,10/01/1975 41829,S200000,00400,0500,P 41829,S200000,01600,0100,Y 41834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41834,A000000,00300,0000,00300EMPLOYEE BENEFITS 41834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41834,A000000,00700,0000,00700HOUSEKEEPING 41834,A000000,00800,0000,00800DIETARY 41834,A000000,00900,0000,00900NURSING ADMINISTRATION 41834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41834,A000000,01100,0000,01100PHARMACY 41834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41834,A000000,01300,0000,01300SOCIAL SERVICE 41834,A000000,01350,0000,01500OTHER GENERAL SERVICES 41834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41834,A000000,01600,0000,01600SKILLED NURSING FACILITY 41834,A000000,01800,0000,01800NURSING FACILITY 41834,A000000,01810,0000,01810ICF/MR 41834,A000000,01900,0000,01900OTHER LONG TERM CARE 41834,A000000,02100,0000,02100RADIOLOGY 41834,A000000,02200,0000,02200LABORATORY 41834,A000000,02300,0000,02300INTRAVENOUS THERAPY 41834,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41834,A000000,02500,0000,02500PHYSICAL THERAPY 41834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41834,A000000,02700,0000,02700SPEECH PATHOLOGY 41834,A000000,02800,0000,02800ELECTROCARDIOLOGY 41834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41834,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41834,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41834,A000000,03200,0000,03200SUPPORT SURFACES 41834,A000000,03400,0000,03400CLINIC 41834,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41834,A000000,03500,0000,03500RURAL HEALTH CLINIC 41834,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41834,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41834,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41834,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41834,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41834,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41834,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41834,A000000,04400,0000,04400DME RENTED - HHA 41834,A000000,04500,0000,04500DME SOLD - HHA 41834,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41834,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41834,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41834,A000000,04800,0000,04800AMBULANCE 41834,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41834,A000000,05000,0000,05000CORF 41834,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41834,A000000,05300,0000,05300INTEREST EXPENSE 41834,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41834,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41834,A000000,05500,0000,05500HOSPICE 41834,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41834,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41834,A000000,06100,0000,06100NONPAID WORKERS 41834,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41834,A000000,06200,0000,06200PATIENTS LAUNDRY 41834,A81000A,00100,0100,Y 41834,A81000B,00100,0300,CENTRAL OFFICE FEES 41834,A81000C,00100,0100,B 41834,A81000C,00100,0200,PRESBYTERIAN HOMES OF MN 41834,A81000C,00100,0400,PRESBYT. HMS ON LK MTKA 41834,A81000C,00100,0600,CENTRAL OFFICE 41834,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41834,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41834,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41834,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41834,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41834,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41834,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41834,B100000,00000,0800,00000MEALS SERVED :DIETARY 41834,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41834,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41834,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41834,E10A180,00501,0300,04/25/2000 41834,S000000,00100,0200,03/02/2000 41834,S200000,00100,0100,3220 LAKE JOHANNA BOULEVARD 41834,S200000,00200,0100,ARDEN HILLS 41834,S200000,00200,0200,MN 41834,S200000,00200,0300,55112-7997 41834,S200000,00300,0100,HENNEPIN 41834,S200000,00300,0200,5120 41834,S200000,00300,0300,U 41834,S200000,00400,0100,PRESBYTERIAN HOMES LAKE MINNETONKA 41834,S200000,00400,0200,245210 41834,S200000,00400,0300,01/01/1977 41834,S200000,00400,0500,P 41834,S200000,01500,0100,Y 41840,A000000,00100,0000,00100CAP REL COSTS - 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COST :ADMINISTRATIVE & GENE 41840,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41840,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41840,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41840,B100000,00000,0800,00000MEALS SERVED :DIETARY 41840,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41840,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41840,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41840,S000000,00100,0200,06/05/2000 41840,S200000,00100,0100,13820 COMMUNITY DRIVE 41840,S200000,00200,0100,BURSVILLE 41840,S200000,00200,0200,MN 41840,S200000,00200,0300,55337- 41840,S200000,00300,0100,DAKOTA 41840,S200000,00300,0200,5120 41840,S200000,00300,0300,U 41840,S200000,00400,0100,EBENEZER RIDGES 41840,S200000,00400,0200,245213 41840,S200000,00400,0300,12/01/1976 41840,S200000,00400,0500,P 41840,S200000,01004,0500,O 41840,S200000,01500,0100,Y 41843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41843,A000000,00300,0000,00300EMPLOYEE BENEFITS 41843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41843,A000000,00700,0000,00700HOUSEKEEPING 41843,A000000,00800,0000,00800DIETARY 41843,A000000,00900,0000,00900NURSING ADMINISTRATION 41843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41843,A000000,01100,0000,01100PHARMACY 41843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41843,A000000,01300,0000,01300SOCIAL SERVICE 41843,A000000,01350,0000,01500OTHER GENERAL SERVICES 41843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41843,A000000,01600,0000,01600SKILLED NURSING FACILITY 41843,A000000,01800,0000,01800NURSING FACILITY 41843,A000000,01810,0000,01810ICF/MR 41843,A000000,01900,0000,01900OTHER LONG TERM CARE 41843,A000000,02100,0000,02100RADIOLOGY 41843,A000000,02200,0000,02200LABORATORY 41843,A000000,02300,0000,02300INTRAVENOUS THERAPY 41843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41843,A000000,02500,0000,02500PHYSICAL THERAPY 41843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41843,A000000,02700,0000,02700SPEECH PATHOLOGY 41843,A000000,02800,0000,02800ELECTROCARDIOLOGY 41843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41843,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41843,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41843,A000000,03200,0000,03200SUPPORT SURFACES 41843,A000000,03400,0000,03400CLINIC 41843,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41843,A000000,03500,0000,03500RURAL HEALTH CLINIC 41843,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41843,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41843,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41843,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41843,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41843,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41843,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41843,A000000,04400,0000,04400DME RENTED - HHA 41843,A000000,04500,0000,04500DME SOLD - HHA 41843,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41843,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41843,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41843,A000000,04800,0000,04800AMBULANCE 41843,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41843,A000000,05000,0000,05000CORF 41843,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41843,A000000,05300,0000,05300INTEREST EXPENSE 41843,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41843,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41843,A000000,05500,0000,05500HOSPICE 41843,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41843,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41843,A000000,06100,0000,06100NONPAID WORKERS 41843,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41843,A000000,06200,0000,06200PATIENTS LAUNDRY 41843,A81000A,00100,0100,Y 41843,A81000B,00100,0300,PHYSICAL THERAPY 41843,A81000B,00200,0300,OCCUPATIONAL THERAPY 41843,A81000B,00300,0300,SPEECH THERAPY 41843,A81000B,00400,0300,HOME OFFICE - G&A 41843,A81000B,00500,0300,HOME OFFICE - CAPITAL RELATED 41843,A81000C,00100,0100,E 41843,A81000C,00100,0200,JOHN KORZENDORFER 41843,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 41843,A81000C,00100,0600,OWNS & MANAGES NURSING HO 41843,A81000C,00200,0100,G 41843,A81000C,00200,0200,LAKESHORE LUTHERAN HOME 41843,A81000C,00200,0400,BRIDGE REHABILITATION 41843,A81000C,00200,0600,THERAPY COMPANY 41843,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41843,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41843,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41843,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41843,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41843,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41843,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41843,B100000,00000,0800,00000MEALS SERVED :DIETARY 41843,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 41843,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41843,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41843,S000000,00100,0200,06/05/2000 41843,S200000,00100,0100,4002 LONDON ROAD 41843,S200000,00200,0100,DULUTH 41843,S200000,00200,0200,MN 41843,S200000,00200,0300,55804- 41843,S200000,00300,0100,ST. LOUIS 41843,S200000,00300,0200,2240 41843,S200000,00300,0300,U 41843,S200000,00400,0100,LAKESHORE LUTHERAN HOME 41843,S200000,00400,0200,245215 41843,S200000,00400,0300,04/01/1979 41843,S200000,00400,0500,P 41843,S200000,01600,0100,Y 41846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41846,A000000,00300,0000,00300EMPLOYEE BENEFITS 41846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41846,A000000,00700,0000,00700HOUSEKEEPING 41846,A000000,00800,0000,00800DIETARY 41846,A000000,00900,0000,00900NURSING ADMINISTRATION 41846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41846,A000000,01100,0000,01100PHARMACY 41846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41846,A000000,01300,0000,01300SOCIAL SERVICE 41846,A000000,01350,0000,01500OTHER GENERAL SERVICES 41846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41846,A000000,01600,0000,01600SKILLED NURSING FACILITY 41846,A000000,01800,0000,01800NURSING FACILITY 41846,A000000,01810,0000,01810ICF/MR 41846,A000000,01900,0000,01900OTHER LONG TERM CARE 41846,A000000,02100,0000,02100RADIOLOGY 41846,A000000,02200,0000,02200LABORATORY 41846,A000000,02300,0000,02300INTRAVENOUS THERAPY 41846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41846,A000000,02500,0000,02500PHYSICAL THERAPY 41846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41846,A000000,02700,0000,02700SPEECH PATHOLOGY 41846,A000000,02800,0000,02800ELECTROCARDIOLOGY 41846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41846,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41846,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41846,A000000,03200,0000,03200SUPPORT SURFACES 41846,A000000,03400,0000,03400CLINIC 41846,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41846,A000000,03500,0000,03500RURAL HEALTH CLINIC 41846,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41846,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41846,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41846,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41846,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41846,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41846,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41846,A000000,04400,0000,04400DME RENTED - HHA 41846,A000000,04500,0000,04500DME SOLD - HHA 41846,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41846,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41846,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41846,A000000,04800,0000,04800AMBULANCE 41846,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41846,A000000,05000,0000,05000CORF 41846,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41846,A000000,05300,0000,05300INTEREST EXPENSE 41846,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41846,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41846,A000000,05500,0000,05500HOSPICE 41846,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41846,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41846,A000000,06100,0000,06100NONPAID WORKERS 41846,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41846,A000000,06200,0000,06200PATIENTS LAUNDRY 41846,A81000A,00100,0100,Y 41846,A81000B,00100,0300,HOME OFFICE COSTS 41846,A81000C,00100,0100,A 41846,A81000C,00100,0200,ALL SAME STOCKHOLDERS 41846,A81000C,00100,0400,AMERICARE INC. 41846,A81000C,00100,0600,MANAGEMENT COMPANY 41846,A81000C,00200,0100,A 41846,A81000C,00200,0200,ALL SAME STOCKHOLDERS 41846,A81000C,00200,0400,HOME HEALTH INC. 41846,A81000C,00200,0600,HOME HEALTH INC. 41846,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41846,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41846,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41846,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41846,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41846,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41846,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41846,B100000,00000,0800,00000MEALS SERVED :DIETARY 41846,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41846,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41846,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41846,S000000,00100,0200,02/22/2000 41846,S200000,00100,0100,1400 WEST 4TH STREET 41846,S200000,00200,0100,RED WING 41846,S200000,00200,0200,MN 41846,S200000,00200,0300,55066- 41846,S200000,00300,0100,GOODHUE 41846,S200000,00300,0300,U 41846,S200000,00400,0100,AMERICARE OF RED WING INC. 41846,S200000,00400,0200,245223 41846,S200000,00400,0300,11/17/1978 41846,S200000,00400,0500,P 41846,S200000,01600,0100,Y 41848,S000000,00100,0200,04/27/2000 41852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41852,A000000,00300,0000,00300EMPLOYEE BENEFITS 41852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41852,A000000,00700,0000,00700HOUSEKEEPING 41852,A000000,00800,0000,00800DIETARY 41852,A000000,00900,0000,00900NURSING ADMINISTRATION 41852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41852,A000000,01100,0000,01100PHARMACY 41852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41852,A000000,01300,0000,01300SOCIAL SERVICE 41852,A000000,01350,0000,01500OTHER GENERAL SERVICES 41852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41852,A000000,01600,0000,01600SKILLED NURSING FACILITY 41852,A000000,01800,0000,01800NURSING FACILITY 41852,A000000,01900,0000,01900OTHER LONG TERM CARE 41852,A000000,02100,0000,02100RADIOLOGY 41852,A000000,02200,0000,02200LABORATORY 41852,A000000,02300,0000,02300INTRAVENOUS THERAPY 41852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41852,A000000,02500,0000,02500PHYSICAL THERAPY 41852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41852,A000000,02700,0000,02700SPEECH PATHOLOGY 41852,A000000,02800,0000,02800ELECTROCARDIOLOGY 41852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41852,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41852,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41852,A000000,03200,0000,03200SUPPORT SURFACES 41852,A000000,03400,0000,03400CLINIC 41852,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41852,A000000,03500,0000,03500RURAL HEALTH CLINIC 41852,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41852,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41852,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41852,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41852,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41852,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41852,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41852,A000000,04400,0000,04400DME RENTED - HHA 41852,A000000,04500,0000,04500DME SOLD - HHA 41852,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41852,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41852,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41852,A000000,04800,0000,04800AMBULANCE 41852,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41852,A000000,05000,0000,05000CORF 41852,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41852,A000000,05300,0000,05300INTEREST EXPENSE 41852,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41852,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41852,A000000,05500,0000,05500HOSPICE 41852,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41852,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41852,A000000,06100,0000,06100NONPAID WORKERS 41852,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41852,A000000,06200,0000,06200PATIENTS LAUNDRY 41852,A81000A,00100,0100,Y 41852,A81000B,00100,0300,SHARED COST ALLOCATION 41852,A81000C,00100,0100,B 41852,A81000C,00100,0200,AUGUSTANA CARE SERVICES 41852,A81000C,00100,0400,AUGUSTANA CARE SERVICES 41852,A81000C,00100,0600,MANAGEMENT COMPANY 41852,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41852,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41852,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41852,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41852,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41852,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41852,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41852,B100000,00000,0800,00000MEALS SERVED :DIETARY 41852,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41852,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41852,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41852,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41852,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41852,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41852,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41852,E10A180,00501,0300,09/28/2000 41852,E10A180,00550,0100,09/28/2000 41852,S000000,00100,0200,06/01/1999 41852,S200000,00100,0100,930 WEST 16TH STREET 41852,S200000,00200,0100,HASTINGS 41852,S200000,00200,0200,MN 41852,S200000,00200,0300,55033- 41852,S200000,00300,0100,DAKOTA 41852,S200000,00400,0100,AUGUSTANA HOME OF HASTINGS 41852,S200000,00400,0200,245224 41852,S200000,00400,0300,11/06/1978 41852,S200000,00400,0500,P 41852,S200000,01600,0100,Y 41854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41854,A000000,00300,0000,00300EMPLOYEE BENEFITS 41854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41854,A000000,00700,0000,00700HOUSEKEEPING 41854,A000000,00800,0000,00800DIETARY 41854,A000000,00900,0000,00900NURSING ADMINISTRATION 41854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41854,A000000,01100,0000,01100PHARMACY 41854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41854,A000000,01300,0000,01300SOCIAL SERVICE 41854,A000000,01350,0000,01500OTHER GENERAL SERVICES 41854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41854,A000000,01600,0000,01600SKILLED NURSING FACILITY 41854,A000000,01800,0000,01800NURSING FACILITY 41854,A000000,01810,0000,01801ICF/MR 41854,A000000,01900,0000,01900OTHER LONG TERM CARE 41854,A000000,02100,0000,02100RADIOLOGY 41854,A000000,02200,0000,02200LABORATORY 41854,A000000,02300,0000,02300INTRAVENOUS THERAPY 41854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41854,A000000,02500,0000,02500PHYSICAL THERAPY 41854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41854,A000000,02700,0000,02700SPEECH PATHOLOGY 41854,A000000,02800,0000,02800ELECTROCARDIOLOGY 41854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41854,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41854,A000000,03200,0000,03200SUPPORT SURFACES 41854,A000000,03400,0000,03400CLINIC 41854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41854,A000000,03500,0000,03500RURAL HEALTH CLINIC 41854,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41854,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41854,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41854,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41854,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41854,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41854,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41854,A000000,04400,0000,04400DME RENTED - HHA 41854,A000000,04500,0000,04500DME SOLD - HHA 41854,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41854,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41854,A000000,04800,0000,04800AMBULANCE 41854,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41854,A000000,05000,0000,05000CORF 41854,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41854,A000000,05300,0000,05300INTEREST EXPENSE 41854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41854,A000000,05500,0000,05500HOSPICE 41854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41854,A000000,06100,0000,06100NONPAID WORKERS 41854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41854,A000000,06200,0000,06200PATIENTS LAUNDRY 41854,A81000A,00100,0100,Y 41854,A81000B,00100,0300,CENTRAL OFFICE FEES 41854,A81000C,00100,0100,B 41854,A81000C,00100,0200,AUGUSTANA CARE SERVICES 41854,A81000C,00100,0400,AUGUSTANA CARE SERVICES 41854,A81000C,00100,0600,MANAGEMENT COMPANY 41854,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41854,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41854,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41854,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41854,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41854,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41854,B100000,00000,0800,00000MEALS SERVED :DIETARY 41854,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41854,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41854,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41854,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41854,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41854,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41854,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41854,E10A180,00501,0100,04/26/2000 41854,E10A180,00550,0300,04/26/2000 41854,S000000,00100,0200,02/29/2000 41854,S200000,00100,0100,930 WEST 16TH STREET 41854,S200000,00200,0100,HASTINGS 41854,S200000,00200,0200,MN 41854,S200000,00200,0300,55033- 41854,S200000,00300,0100,DAKOTA 41854,S200000,00400,0100,AUGUSTANA HOME OF HASTINGS 41854,S200000,00400,0200,245224 41854,S200000,00400,0300,11/06/1978 41854,S200000,00400,0500,P 41854,S200000,01500,0100,Y 41862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41862,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 41862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41862,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 41862,A000000,00300,0000,00300EMPLOYEE BENEFITS 41862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41862,A000000,00700,0000,00700HOUSEKEEPING 41862,A000000,00800,0000,00800DIETARY 41862,A000000,00801,0000,00801CAFETERIA 41862,A000000,00900,0000,00900NURSING ADMINISTRATION 41862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41862,A000000,01100,0000,01100PHARMACY 41862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41862,A000000,01300,0000,01300SOCIAL SERVICE 41862,A000000,01350,0000,01500ACTIVITIES 41862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41862,A000000,01600,0000,01600SKILLED NURSING FACILITY 41862,A000000,01800,0000,01800NURSING FACILITY 41862,A000000,01900,0000,01900OTHER LONG TERM CARE 41862,A000000,02100,0000,02100RADIOLOGY 41862,A000000,02200,0000,02200LABORATORY 41862,A000000,02300,0000,02300INTRAVENOUS THERAPY 41862,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41862,A000000,02500,0000,02500PHYSICAL THERAPY 41862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41862,A000000,02700,0000,02700SPEECH PATHOLOGY 41862,A000000,02800,0000,02800ELECTROCARDIOLOGY 41862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41862,A000000,03050,0000,03300OTHER ANCILLARY 41862,A000000,03051,0000,03301OTHER ANCILLARY II 41862,A000000,03052,0000,03302OTHER ANCILLARY III 41862,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41862,A000000,03200,0000,03200SUPPORT SURFACES 41862,A000000,03400,0000,03400CLINIC 41862,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41862,A000000,03500,0000,03500RURAL HEALTH CLINIC 41862,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41862,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41862,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41862,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41862,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41862,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41862,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41862,A000000,04400,0000,04400DME RENTED - HHA 41862,A000000,04500,0000,04500DME SOLD - HHA 41862,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41862,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41862,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41862,A000000,04800,0000,04800AMBULANCE 41862,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41862,A000000,05000,0000,05000CORF 41862,A000000,05010,0000,05010CMHC I 41862,A000000,05020,0000,05020OPT I 41862,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41862,A000000,05300,0000,05300INTEREST EXPENSE 41862,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41862,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41862,A000000,05400,0000,05400UTILIZATION REVIEW - 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BLD 41862,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 41862,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 41862,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 41865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41865,B100000,00000,0650,00000RESIDENT DAY :LAUNDRY & LINEN SERV 41865,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41865,B100000,00000,0800,00000MEALS SERVED :DIETARY 41865,B100000,00000,0950,00000DIRECT NURS :NURSING ADMINISTRATIO 41865,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 41865,B100000,00000,1150,00000NO STATISTICS :PHARMACY 41865,B100000,00000,1250,00000RESIDENT DAY :MEDICAL RECORDS & LI 41865,B100000,00000,1330,00000RESIDENT DAY :SOCIAL SERVICE 41865,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41865,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41865,S000000,00100,0200,03/14/2000 41865,S200000,00100,0100,1601 ST. 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COST :ADMINISTRATIVE & GENE 41867,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41867,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41867,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41867,B100000,00000,0800,00000MEALS SERVED :DIETARY 41867,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 41867,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41867,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41867,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41867,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41867,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41867,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41867,E10A180,00501,0300,05/29/2001 41867,E10A180,00550,0100,05/29/2001 41867,S000000,00100,0200,03/27/2001 41867,S200000,00100,0100,1601 ST. LOUIS AVENUE NORTH 41867,S200000,00200,0100,DULUTH 41867,S200000,00200,0200,MN 41867,S200000,00200,0300,55802- 41867,S200000,00300,0100,ST. 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BLDGS & FIXTURES 41888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41888,A000000,00300,0000,00300EMPLOYEE BENEFITS 41888,A000000,00401,0000,00401NONPATIENT TELEPHONES 41888,A000000,00402,0000,00402PURCHASING AND RECEIVING 41888,A000000,00403,0000,00403ADMITTING 41888,A000000,00404,0000,00404OTHER ADMIN & GENERAL 41888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41888,A000000,00700,0000,00700HOUSEKEEPING 41888,A000000,00800,0000,00800DIETARY 41888,A000000,00900,0000,00900NURSING ADMINISTRATION 41888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41888,A000000,01300,0000,01300SOCIAL SERVICE 41888,A000000,01600,0000,01600SKILLED NURSING FACILITY 41888,A000000,01800,0000,01800NURSING FACILITY 41888,A000000,01810,0000,01801ICF/MR 41888,A000000,01900,0000,01900OTHER LONG TERM CARE 41888,A000000,02100,0000,02100RADIOLOGY 41888,A000000,02200,0000,02200LABORATORY 41888,A000000,02300,0000,02300INTRAVENOUS THERAPY 41888,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41888,A000000,02500,0000,02500PHYSICAL THERAPY 41888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41888,A000000,02700,0000,02700SPEECH PATHOLOGY 41888,A000000,02800,0000,02800ELECTROCARDIOLOGY 41888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41888,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41888,A000000,03100,0000,03100DENTAL CARE - 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BLDGS 41888,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 41888,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41888,B100000,00000,0404,00000ACCUM. COST :OTHER ADMIN & GENERAL 41888,B100000,00000,0451,00000NON-PATIEN NT PH :NONPATIENT TELEPH 41888,B100000,00000,0452,00000SUPPLIES EXPENSE :PURCHASING AND R 41888,B100000,00000,0453,00000ADMITS :ADMITTING 41888,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41888,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41888,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 41888,B100000,00000,0800,00000MEALS SERVED :DIETARY 41888,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 41888,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 41888,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 41888,E10A180,00501,0100,07/21/2000 41888,E10A180,00550,0300,07/21/2000 41888,S000000,00100,0200,06/16/2000 41888,S200000,00100,0100,855 MANKATO AVE 41888,S200000,00100,0300,5600 41888,S200000,00200,0100,WINONA 41888,S200000,00200,0200,MN 41888,S200000,00200,0300,55987-0600 41888,S200000,00300,0100,WINONA 41888,S200000,00400,0100,WINONA SENIOR SERVICE C&R 41888,S200000,00400,0200,245240 41888,S200000,00400,0300,07/01/1999 41888,S200000,00400,0500,P 41888,S200000,01600,0100,Y 41894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41894,A000000,00300,0000,00300EMPLOYEE BENEFITS 41894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41894,A000000,00700,0000,00700HOUSEKEEPING 41894,A000000,00800,0000,00800DIETARY 41894,A000000,00900,0000,00900NURSING ADMINISTRATION 41894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41894,A000000,01100,0000,01100PHARMACY 41894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41894,A000000,01300,0000,01300SOCIAL SERVICE 41894,A000000,01350,0000,01500OTHER GENERAL SERVICES 41894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41894,A000000,01600,0000,01600SKILLED NURSING FACILITY 41894,A000000,01800,0000,01800NURSING FACILITY 41894,A000000,01810,0000,01801ICF/MR 41894,A000000,01900,0000,01900OTHER LONG TERM CARE 41894,A000000,02100,0000,02100RADIOLOGY 41894,A000000,02200,0000,02200LABORATORY 41894,A000000,02300,0000,02300INTRAVENOUS THERAPY 41894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41894,A000000,02500,0000,02500PHYSICAL THERAPY 41894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41894,A000000,02700,0000,02700SPEECH PATHOLOGY 41894,A000000,02800,0000,02800ELECTROCARDIOLOGY 41894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41894,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41894,A000000,03200,0000,03200SUPPORT SURFACES 41894,A000000,03400,0000,03400CLINIC 41894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41894,A000000,03500,0000,03500RURAL HEALTH CLINIC 41894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41894,A000000,04400,0000,04400DME RENTED - HHA 41894,A000000,04500,0000,04500DME SOLD - HHA 41894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41894,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41894,A000000,04800,0000,04800AMBULANCE 41894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41894,A000000,05000,0000,05000CORF 41894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41894,A000000,05300,0000,05300INTEREST EXPENSE 41894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41894,A000000,05500,0000,05500HOSPICE 41894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41894,A000000,06100,0000,06100NONPAID WORKERS 41894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41894,A000000,06200,0000,06200PATIENTS LAUNDRY 41894,A81000A,00100,0100,Y 41894,A81000B,00100,0300,SHARED PROPERTY RENT 41894,A81000B,00200,0300,CENTRAL OFFICE 41894,A81000C,00100,0100,B 41894,A81000C,00100,0200,AUGUSTANA HOME OF MPLS 41894,A81000C,00100,0400,PARK CENTER NORTH APTS 41894,A81000C,00100,0600,SENIOR HOUSING 41894,A81000C,00200,0100,B 41894,A81000C,00200,0200,AUGUSTANA CARE SERVICES 41894,A81000C,00200,0400,AUGUSTANA CARE SERVICES 41894,A81000C,00200,0600,MANAGEMENT COMPANY 41894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41894,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41894,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41894,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41894,B100000,00000,0800,00000MEALS SERVED :DIETARY 41894,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41894,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41894,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41894,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41894,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41894,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41894,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41894,E10A180,00550,0300,04/04/2000 41894,S000000,00100,0200,02/29/2000 41894,S200000,00100,0100,1007 EAST 14TH STREET 41894,S200000,00200,0100,MINNEAPOLIS 41894,S200000,00200,0200,MN 41894,S200000,00200,0300,55404- 41894,S200000,00300,0100,HENNEPIN 41894,S200000,00400,0100,AUGUSTANA HOME OF MINNEAPOLIS 41894,S200000,00400,0200,245242 41894,S200000,00400,0300,07/10/1981 41894,S200000,00400,0500,P 41894,S200000,01500,0100,Y 41900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41900,A000000,00300,0000,00300EMPLOYEE BENEFITS 41900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41900,A000000,00700,0000,00700HOUSEKEEPING 41900,A000000,00800,0000,00800DIETARY 41900,A000000,00900,0000,00900NURSING ADMINISTRATION 41900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41900,A000000,01100,0000,01100PHARMACY 41900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41900,A000000,01300,0000,01300SOCIAL SERVICE 41900,A000000,01350,0000,01500OTHER GENERAL SERVICES 41900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41900,A000000,01600,0000,01600SKILLED NURSING FACILITY 41900,A000000,01800,0000,01800NURSING FACILITY 41900,A000000,01900,0000,01900OTHER LONG TERM CARE 41900,A000000,02100,0000,02100RADIOLOGY 41900,A000000,02200,0000,02200LABORATORY 41900,A000000,02300,0000,02300INTRAVENOUS THERAPY 41900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41900,A000000,02500,0000,02500PHYSICAL THERAPY 41900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41900,A000000,02700,0000,02700SPEECH PATHOLOGY 41900,A000000,02800,0000,02800ELECTROCARDIOLOGY 41900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41900,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41900,A000000,03200,0000,03200SUPPORT SURFACES 41900,A000000,03400,0000,03400CLINIC 41900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41900,A000000,03500,0000,03500RURAL HEALTH CLINIC 41900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41900,A000000,04800,0000,04800AMBULANCE 41900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41900,A000000,05000,0000,05000CORF 41900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41900,A000000,05300,0000,05300INTEREST EXPENSE 41900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41900,A000000,05500,0000,05500HOSPICE 41900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41900,A000000,06100,0000,06100NONPAID WORKERS 41900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41900,A000000,06200,0000,06200PATIENTS LAUNDRY 41900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41900,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41900,B100000,00000,0800,00000MEALS SERVED :DIETARY 41900,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 41900,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41900,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41900,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41900,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41900,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41900,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41900,S000000,00100,0200,06/02/2000 41900,S200000,00100,0100,110 E 18TH STREET 41900,S200000,00200,0100,MINNEAPOLIS 41900,S200000,00200,0200,MN 41900,S200000,00200,0300,55403- 41900,S200000,00300,0100,HENNEPIN 41900,S200000,00400,0100,CITY OF LAKES TRANSITIONAL CARE CNTR 41900,S200000,00400,0200,245266 41900,S200000,00400,0300,02/24/1984 41900,S200000,00400,0500,P 41900,S200000,01500,0100,Y 41900,S700003,00000,0100,1 41908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41908,A000000,00300,0000,00300EMPLOYEE BENEFITS 41908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41908,A000000,00700,0000,00700HOUSEKEEPING 41908,A000000,00800,0000,00800DIETARY 41908,A000000,00900,0000,00900NURSING ADMINISTRATION 41908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41908,A000000,01100,0000,01100PHARMACY 41908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41908,A000000,01300,0000,01300SOCIAL SERVICE 41908,A000000,01350,0000,01500OTHER GENERAL SERVICES 41908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41908,A000000,01600,0000,01600SKILLED NURSING FACILITY 41908,A000000,01800,0000,01800NURSING FACILITY 41908,A000000,01810,0000,01810ICF/MR 41908,A000000,01900,0000,01900OTHER LONG TERM CARE 41908,A000000,02100,0000,02100RADIOLOGY 41908,A000000,02200,0000,02200LABORATORY 41908,A000000,02300,0000,02300INTRAVENOUS THERAPY 41908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41908,A000000,02500,0000,02500PHYSICAL THERAPY 41908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41908,A000000,02700,0000,02700SPEECH PATHOLOGY 41908,A000000,02800,0000,02800ELECTROCARDIOLOGY 41908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41908,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41908,A000000,03200,0000,03200SUPPORT SURFACES 41908,A000000,03400,0000,03400CLINIC 41908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41908,A000000,03500,0000,03500RURAL HEALTH CLINIC 41908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41908,A000000,04400,0000,04400DME RENTED - HHA 41908,A000000,04500,0000,04500DME SOLD - HHA 41908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41908,A000000,04800,0000,04800AMBULANCE 41908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41908,A000000,05000,0000,05000CORF 41908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41908,A000000,05300,0000,05300INTEREST EXPENSE 41908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41908,A000000,05500,0000,05500HOSPICE 41908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41908,A000000,06100,0000,06100NONPAID WORKERS 41908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41908,A000000,06200,0000,06200PATIENTS LAUNDRY 41908,A81000A,00100,0100,Y 41908,A81000B,00100,0300,EMPLOYEE BENEFITS 41908,A81000B,00200,0300,EMPLOYEE BENEFITS 41908,A81000B,00300,0300,NRSG SUPPLIES/EQUIPMENT 41908,A81000B,00400,0300,MAINTENANCE 41908,A81000B,00500,0300,MANGEMENT SERVICES 41908,A81000B,00600,0300,HEALTH AND DENTAL INSURANCE 41908,A81000C,00100,0100,G 41908,A81000C,00100,0200,ST JOSEPHS HOSPITAL 41908,A81000C,00100,0400,HEALTHEAST 41908,A81000C,00100,0600,EMPLOYEE BENEFITS 41908,A81000C,00200,0100,G 41908,A81000C,00200,0200,ST JOSEPHS HOSPITAL 41908,A81000C,00200,0400,HEALTHEAST 41908,A81000C,00200,0600,LABORATORY SERVICES 41908,A81000C,00300,0100,G 41908,A81000C,00300,0200,MEDHOME 41908,A81000C,00300,0400,HEALTHEAST 41908,A81000C,00300,0600,NRSG SUPPLIES/EQUIP 41908,A81000C,00400,0100,G 41908,A81000C,00400,0200,ST JOSEPHS HOSPITAL 41908,A81000C,00400,0400,HEALTHEAST 41908,A81000C,00400,0600,MAINTENANCE 41908,A81000C,00500,0100,G 41908,A81000C,00500,0200,HEALTHEAST 41908,A81000C,00500,0400,HEALTHEAST 41908,A81000C,00500,0600,MANAGEMENT SERVICES 41908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41908,B100000,00000,0800,00000MEALS SERVED :DIETARY 41908,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 41908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41908,S000000,00100,0200,02/24/2000 41908,S200000,00100,0100,512 HUMBOLT AVENUE 41908,S200000,00200,0100,ST PAUL 41908,S200000,00200,0200,MN 41908,S200000,00200,0300,55107-4013 41908,S200000,00300,0100,RAMSEY 41908,S200000,00300,0200,5120 41908,S200000,00300,0300,U 41908,S200000,00400,0100,HEALTHEAST CARE CENTER ON HUMBOLT 41908,S200000,00400,0200,245255 41908,S200000,00400,0300,09/01/1982 41908,S200000,00400,0500,P 41908,S200000,01500,0100,Y 41910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41910,A000000,00300,0000,00300EMPLOYEE BENEFITS 41910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41910,A000000,00700,0000,00700HOUSEKEEPING 41910,A000000,00800,0000,00800DIETARY 41910,A000000,00900,0000,00900NURSING ADMINISTRATION 41910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41910,A000000,01100,0000,01100PHARMACY 41910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41910,A000000,01300,0000,01300SOCIAL SERVICE 41910,A000000,01350,0000,01500OTHER GENERAL SERVICES 41910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41910,A000000,01600,0000,01600SKILLED NURSING FACILITY 41910,A000000,01800,0000,01800NURSING FACILITY 41910,A000000,01810,0000,01810ICF/MR 41910,A000000,01900,0000,01900OTHER LONG TERM CARE 41910,A000000,02100,0000,02100RADIOLOGY 41910,A000000,02200,0000,02200LABORATORY 41910,A000000,02300,0000,02300INTRAVENOUS THERAPY 41910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41910,A000000,02500,0000,02500PHYSICAL THERAPY 41910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41910,A000000,02700,0000,02700SPEECH PATHOLOGY 41910,A000000,02800,0000,02800ELECTROCARDIOLOGY 41910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41910,A000000,03200,0000,03200SUPPORT SURFACES 41910,A000000,03400,0000,03400CLINIC 41910,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41910,A000000,03500,0000,03500RURAL HEALTH CLINIC 41910,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41910,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41910,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41910,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41910,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41910,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41910,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41910,A000000,04400,0000,04400DME RENTED - HHA 41910,A000000,04500,0000,04500DME SOLD - HHA 41910,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41910,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41910,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41910,A000000,04800,0000,04800AMBULANCE 41910,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41910,A000000,05000,0000,05000CORF 41910,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41910,A000000,05300,0000,05300INTEREST EXPENSE 41910,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41910,A000000,05500,0000,05500HOSPICE 41910,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41910,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41910,A000000,06100,0000,06100NONPAID WORKERS 41910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41910,A000000,06200,0000,06200PATIENTS LAUNDRY 41910,A81000A,00100,0100,Y 41910,A81000B,00100,0300,HEALTH AND DENTAL 41910,A81000B,00200,0300,PATIENT ACCOUNTING 41910,A81000B,00300,0300,MGMT FEE 41910,A81000B,00400,0300,GL/PL 41910,A81000B,00500,0300,MED SUPPLIES 41910,A81000B,00600,0300,TRANSPORTATION 41910,A81000B,00700,0300,MISC 41910,A81000B,00800,0300,MISC 41910,A81000C,00100,0100,B 41910,A81000C,00100,0200,HEALTHEAST 41910,A81000C,00100,0400,HEALTHEAST 41910,A81000C,00100,0600,CORPORATE OFFICES 41910,A81000C,00200,0100,B 41910,A81000C,00200,0200,HE MEDICAL LAB (HML) 41910,A81000C,00200,0400,HEALTHEAST 41910,A81000C,00200,0600,LAB 41910,A81000C,00300,0100,B 41910,A81000C,00300,0200,HE TRANSPORTATION (HET) 41910,A81000C,00300,0400,HEALTHEAST 41910,A81000C,00300,0600,TRANSPORTATION 41910,A81000C,00400,0100,B 41910,A81000C,00400,0200,ST JOSEPHS HOSPITAL 41910,A81000C,00400,0400,HEALTHEAST 41910,A81000C,00400,0600,HOSPITAL 41910,A81000C,00500,0100,B 41910,A81000C,00500,0200,HEALTHEAST HOME CARE 41910,A81000C,00500,0400,HEALTHEAST 41910,A81000C,00500,0600,HOME CARE 41910,A81000C,00600,0100,B 41910,A81000C,00600,0200,MED HOME 41910,A81000C,00600,0400,HEALTHEAST 41910,A81000C,00600,0600,MEDICAL EQUIPMENT 41910,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41910,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41910,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41910,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41910,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41910,B100000,00000,0800,00000MEALS SERVED :DIETARY 41910,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41910,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41910,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41910,S000000,00100,0200,01/26/2001 41910,S200000,00100,0100,512 HUMBOLT AVENUE 41910,S200000,00200,0100,ST. PAUL 41910,S200000,00200,0200,MN 41910,S200000,00200,0300,55107- 41910,S200000,00300,0100,RAMSEY 41910,S200000,00300,0200,5120 41910,S200000,00300,0300,U 41910,S200000,00400,0100,HEALTHEAST CARE CENTER ON HUMBOLT 41910,S200000,00400,0200,245255 41910,S200000,00400,0300,09/01/1982 41910,S200000,00400,0500,P 41910,S200000,01500,0100,Y 41915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41915,A000000,00300,0000,00300EMPLOYEE BENEFITS 41915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41915,A000000,00700,0000,00700HOUSEKEEPING 41915,A000000,00800,0000,00800DIETARY 41915,A000000,00900,0000,00900NURSING ADMINISTRATION 41915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41915,A000000,01300,0000,01300SOCIAL SERVICE 41915,A000000,01600,0000,01600SKILLED NURSING FACILITY 41915,A000000,02100,0000,02100RADIOLOGY 41915,A000000,02200,0000,02200LABORATORY 41915,A000000,02500,0000,02500PHYSICAL THERAPY 41915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41915,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41915,A000000,05801,0000,05801LATCH KEY SERVICES 41915,A000000,05802,0000,05802HHA CONTRACT SERVICES 41915,A000000,05803,0000,05803CLINIC 41915,A81000A,00100,0100,Y 41915,A81000B,00100,0300,MGMT FEES 41915,A81000B,00200,0300,PHYS THERAPY 41915,A81000B,00300,0300,INT INCOME 41915,A81000B,00400,0300,RESTORATIVE REHAB 41915,A81000C,00100,0100,B 41915,A81000C,00100,0200,ST FRANCIS HEATLH SVS 41915,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 41915,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 41915,B100000,00000,0300,00003GROSS SALARY :EMPLOYEE BENEFITS 41915,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 41915,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 41915,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 41915,B100000,00000,0700,00003HOURS OF SERVICE :HOUSEKEEPING 41915,B100000,00000,0800,00003MEALS SERVED :DIETARY 41915,B100000,00000,0900,00003HOURS OF SERVICE :NURSING ADMINISTR 41915,B100000,00000,1200,00003TIME SPENT :MEDICAL RECORDS & LIBR 41915,B100000,00000,1300,00003TIME SPENT :SOCIAL SERVICE 41915,S000000,00100,0200,11/06/2000 41915,S200000,00100,0100,3910 MINNESOTA AVENUE 41915,S200000,00200,0100,DULUTH 41915,S200000,00200,0200,MN 41915,S200000,00200,0300,55802-2598 41915,S200000,00300,0100,ST. LOUIS 41915,S200000,00300,0200,2240 41915,S200000,00300,0300,U 41915,S200000,00400,0100,FRANCISCAN HEALTH CENTER 41915,S200000,00400,0200,245258 41915,S200000,00400,0300,08/03/1991 41915,S200000,00400,0500,P 41915,S200000,01500,0100,Y 41918,S000000,00100,0200,05/12/2000 41922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41922,A000000,00300,0000,00300EMPLOYEE BENEFITS 41922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41922,A000000,00700,0000,00700HOUSEKEEPING 41922,A000000,00800,0000,00800DIETARY 41922,A000000,00900,0000,00900NURSING ADMINISTRATION 41922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41922,A000000,01100,0000,01100PHARMACY 41922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41922,A000000,01300,0000,01300SOCIAL SERVICE 41922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41922,A000000,01600,0000,01600SKILLED NURSING FACILITY 41922,A000000,01800,0000,01800NURSING FACILITY 41922,A000000,01900,0000,01900OTHER LONG TERM CARE 41922,A000000,02100,0000,02100RADIOLOGY 41922,A000000,02200,0000,02200LABORATORY 41922,A000000,02300,0000,02300INTRAVENOUS THERAPY 41922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41922,A000000,02500,0000,02500PHYSICAL THERAPY 41922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41922,A000000,02700,0000,02700SPEECH PATHOLOGY 41922,A000000,02800,0000,02800ELECTROCARDIOLOGY 41922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41922,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41922,A000000,03200,0000,03200SUPPORT SURFACES 41922,A000000,03400,0000,03400CLINIC 41922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41922,A000000,03500,0000,03500RURAL HEALTH CLINIC 41922,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41922,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41922,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41922,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41922,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41922,A000000,04400,0000,04400DME RENTED - HHA 41922,A000000,04500,0000,04500DME SOLD - HHA 41922,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41922,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41922,A000000,04800,0000,04800AMBULANCE 41922,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41922,A000000,05000,0000,05000CORF 41922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41922,A000000,05300,0000,05300INTEREST EXPENSE 41922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41922,A000000,05500,0000,05500HOSPICE 41922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41922,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41922,A000000,06100,0000,06100NONPAID WORKERS 41922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41922,A000000,06200,0000,06200PATIENTS LAUNDRY 41922,A81000A,00100,0100,Y 41922,A81000B,00100,0300,MANAGEMENT FEES 41922,A81000C,00100,0100,B 41922,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 41922,A81000C,00100,0400,BENEDICTINE HEALTH DIMENS 41922,A81000C,00100,0600,MANAGEMENT COMPANY 41922,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41922,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41922,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41922,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41922,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41922,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41922,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41922,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 41922,B100000,00000,0950,00000TIME STUDIES :NURSING ADMINISTRATI 41922,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41922,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41922,B100000,00000,1200,00000TIME STUDIES :MEDICAL RECORDS & LI 41922,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 41922,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41922,S000000,00100,0200,08/06/1999 41922,S200000,00100,0100,324 JOHNSON PARKWAY 41922,S200000,00200,0100,ST. PAUL 41922,S200000,00200,0200,MN 41922,S200000,00200,0300,55106- 41922,S200000,00300,0100,RAMSEY 41922,S200000,00400,0100,DAYTONS BLUFF COMMUNITY CARE CENTER 41922,S200000,00400,0200,245260 41922,S200000,00400,0300,03/01/1983 41922,S200000,00400,0500,P 41922,S200000,01600,0100,Y 41922,S700003,00000,0100,1 41923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41923,A000000,00300,0000,00300EMPLOYEE BENEFITS 41923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41923,A000000,00700,0000,00700HOUSEKEEPING 41923,A000000,00800,0000,00800DIETARY 41923,A000000,00900,0000,00900NURSING ADMINISTRATION 41923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41923,A000000,01100,0000,01100PHARMACY 41923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41923,A000000,01300,0000,01300SOCIAL SERVICE 41923,A000000,01350,0000,01500OTHER GENERAL SERVICES 41923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41923,A000000,01600,0000,01600SKILLED NURSING FACILITY 41923,A000000,01800,0000,01800NURSING FACILITY 41923,A000000,01900,0000,01900OTHER LONG TERM CARE 41923,A000000,02100,0000,02100RADIOLOGY 41923,A000000,02200,0000,02200LABORATORY 41923,A000000,02300,0000,02300INTRAVENOUS THERAPY 41923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41923,A000000,02500,0000,02500PHYSICAL THERAPY 41923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41923,A000000,02700,0000,02700SPEECH PATHOLOGY 41923,A000000,02800,0000,02800ELECTROCARDIOLOGY 41923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41923,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41923,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41923,A000000,03200,0000,03200SUPPORT SURFACES 41923,A000000,03400,0000,03400CLINIC 41923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41923,A000000,03500,0000,03500RURAL HEALTH CLINIC 41923,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41923,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41923,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41923,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41923,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41923,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41923,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41923,A000000,04400,0000,04400DME RENTED - HHA 41923,A000000,04500,0000,04500DME SOLD - HHA 41923,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41923,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41923,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41923,A000000,04800,0000,04800AMBULANCE 41923,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41923,A000000,05000,0000,05000CORF 41923,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41923,A000000,05300,0000,05300INTEREST EXPENSE 41923,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41923,A000000,05500,0000,05500HOSPICE 41923,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41923,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41923,A000000,06100,0000,06100NONPAID WORKERS 41923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41923,A000000,06200,0000,06200PATIENTS LAUNDRY 41923,A81000A,00100,0100,Y 41923,A81000B,00100,0300,CENTRAL OFFICE-BHD-MGMT FEES 41923,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 41923,A81000B,00300,0300,NURSE CONSULTING 41923,A81000B,00400,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 41923,A81000B,00500,0300,COMPUTER USER FEES 41923,A81000B,00600,0300,CENTRAL OFFICE-BHS-MGMT FEES 41923,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 41923,A81000C,00100,0100,G 41923,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 41923,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 41923,A81000C,00100,0600,MANAGEMENT SERVICES 41923,A81000C,00200,0100,G 41923,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 41923,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 41923,A81000C,00200,0600,MANAGEMENT SERVICES 41923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41923,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41923,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41923,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 41923,B100000,00000,0950,00000TIME STUDIES :NURSING ADMINISTRATI 41923,B100000,00000,1200,00000TIME STUDIES :MEDICAL RECORDS & LI 41923,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 41923,S000000,00100,0200,12/30/1999 41923,S200000,00100,0100,324 JOHNSON PARKWAY 41923,S200000,00200,0100,ST PAUL 41923,S200000,00200,0200,MN 41923,S200000,00200,0300,55106- 41923,S200000,00300,0100,RAMSEY 41923,S200000,00300,0200,5120 41923,S200000,00300,0300,U 41923,S200000,00400,0100,PARKWAY MANOR OF DAYTONS BLUFF HEAL 41923,S200000,00400,0200,245260 41923,S200000,00400,0300,03/01/1983 41923,S200000,00400,0500,P 41923,S200000,01004,0500,O 41923,S200000,01600,0100,Y 41926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41926,A000000,00300,0000,00300EMPLOYEE BENEFITS 41926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41926,A000000,00700,0000,00700HOUSEKEEPING 41926,A000000,00800,0000,00800DIETARY 41926,A000000,00900,0000,00900NURSING ADMINISTRATION 41926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41926,A000000,01100,0000,01100PHARMACY 41926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41926,A000000,01300,0000,01300SOCIAL SERVICE 41926,A000000,01350,0000,01500OTHER GENERAL SERVICES 41926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41926,A000000,01600,0000,01600SKILLED NURSING FACILITY 41926,A000000,01800,0000,01800NURSING FACILITY 41926,A000000,01900,0000,01900OTHER LONG TERM CARE 41926,A000000,02100,0000,02100RADIOLOGY 41926,A000000,02200,0000,02200LABORATORY 41926,A000000,02300,0000,02300INTRAVENOUS THERAPY 41926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41926,A000000,02500,0000,02500PHYSICAL THERAPY 41926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41926,A000000,02700,0000,02700SPEECH PATHOLOGY 41926,A000000,02800,0000,02800ELECTROCARDIOLOGY 41926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41926,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41926,A000000,03200,0000,03200SUPPORT SURFACES 41926,A000000,03400,0000,03400CLINIC 41926,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41926,A000000,03500,0000,03500RURAL HEALTH CLINIC 41926,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41926,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41926,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41926,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41926,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41926,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41926,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41926,A000000,04400,0000,04400DME RENTED - HHA 41926,A000000,04500,0000,04500DME SOLD - HHA 41926,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41926,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41926,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41926,A000000,04800,0000,04800AMBULANCE 41926,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41926,A000000,05000,0000,05000CORF 41926,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41926,A000000,05300,0000,05300INTEREST EXPENSE 41926,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41926,A000000,05500,0000,05500HOSPICE 41926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41926,A000000,06100,0000,06100NONPAID WORKERS 41926,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41926,A000000,06200,0000,06200PATIENTS LAUNDRY 41926,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41926,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41926,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41926,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41926,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 41926,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41926,B100000,00000,0800,00000MEALS SERVED :DIETARY 41926,B100000,00000,0950,00000CENSUS DAYS :NURSING ADMINISTRATIO 41926,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41926,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41926,B100000,00000,1250,00000CENSUS DAYS :MEDICAL RECORDS & LIB 41926,B100000,00000,1330,00000CENSUS DAYS :SOCIAL SERVICE 41926,B100000,00000,1350,00000CENSUS DAYS :OTHER GENERAL SERVICE 41926,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 41926,E10A180,00501,0300,08/31/1999 41926,S000000,00100,0200,06/30/1999 41926,S200000,00100,0100,600 SUNRISE BOULEVARD 41926,S200000,00200,0100,REDWOOD FALLS 41926,S200000,00200,0200,MN 41926,S200000,00200,0300,56283- 41926,S200000,00300,0100,REDWOOD 41926,S200000,00400,0100,WOOD DALE HOME INC. 41926,S200000,00400,0200,245261 41926,S200000,00400,0300,05/03/1985 41926,S200000,00400,0500,P 41926,S200000,01500,0100,Y 41926,S700003,00000,0100,1 41927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41927,A000000,00300,0000,00300EMPLOYEE BENEFITS 41927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41927,A000000,00700,0000,00700HOUSEKEEPING 41927,A000000,00800,0000,00800DIETARY 41927,A000000,00900,0000,00900NURSING ADMINISTRATION 41927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41927,A000000,01100,0000,01100PHARMACY 41927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41927,A000000,01300,0000,01300SOCIAL SERVICE 41927,A000000,01350,0000,01500OTHER GENERAL SERVICES 41927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41927,A000000,01600,0000,01600SKILLED NURSING FACILITY 41927,A000000,01800,0000,01800NURSING FACILITY 41927,A000000,01810,0000,01801ICF/MR 41927,A000000,01900,0000,01900OTHER LONG TERM CARE 41927,A000000,02100,0000,02100RADIOLOGY 41927,A000000,02200,0000,02200LABORATORY 41927,A000000,02300,0000,02300INTRAVENOUS THERAPY 41927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41927,A000000,02500,0000,02500PHYSICAL THERAPY 41927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41927,A000000,02700,0000,02700SPEECH PATHOLOGY 41927,A000000,02800,0000,02800ELECTROCARDIOLOGY 41927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41927,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41927,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41927,A000000,03200,0000,03200SUPPORT SURFACES 41927,A000000,03400,0000,03400CLINIC 41927,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41927,A000000,03500,0000,03500RURAL HEALTH CLINIC 41927,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41927,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41927,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41927,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41927,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41927,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41927,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41927,A000000,04400,0000,04400DME RENTED - HHA 41927,A000000,04500,0000,04500DME SOLD - HHA 41927,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41927,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41927,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41927,A000000,04800,0000,04800AMBULANCE 41927,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41927,A000000,05000,0000,05000CORF 41927,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41927,A000000,05300,0000,05300INTEREST EXPENSE 41927,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41927,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41927,A000000,05500,0000,05500HOSPICE 41927,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41927,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41927,A000000,06100,0000,06100NONPAID WORKERS 41927,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41927,A000000,06200,0000,06200PATIENTS LAUNDRY 41927,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41927,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41927,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41927,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41927,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41927,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41927,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41927,B100000,00000,0800,00000MEALS SERVED :DIETARY 41927,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41927,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41927,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41927,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41927,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41927,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41927,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41927,S000000,00100,0200,06/10/2000 41927,S200000,00100,0100,600 SUNRISE BOULEVARD 41927,S200000,00200,0100,REDWOOD FALLS 41927,S200000,00200,0200,MN 41927,S200000,00200,0300,56283- 41927,S200000,00300,0100,REDWOOD 41927,S200000,00400,0100,WOOD DALE HOME INC. 41927,S200000,00400,0200,245261 41927,S200000,00400,0300,05/03/1985 41927,S200000,00400,0500,P 41927,S200000,01500,0100,Y 41927,S700003,00000,0200,2 41932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41932,A000000,00300,0000,00300EMPLOYEE BENEFITS 41932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41932,A000000,00700,0000,00700HOUSEKEEPING 41932,A000000,00800,0000,00800DIETARY 41932,A000000,00900,0000,00900NURSING ADMINISTRATION 41932,A000000,01600,0000,01600SKILLED NURSING FACILITY 41932,A000000,02100,0000,02100RADIOLOGY 41932,A000000,02200,0000,02200LABORATORY 41932,A000000,02500,0000,02500PHYSICAL THERAPY 41932,A000000,02600,0000,02601OCCUPATIONAL THERAPY 41932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41932,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41932,A000000,03101,0000,03101EMERGENCY ROOM - MED A 41932,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41932,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41932,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41932,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41932,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41932,A000000,04701,0000,04701OTHER HOME HEALTH SERVICES - HHA 41932,A000000,05300,0000,05300INTEREST EXPENSE 41932,A000000,05350,0000,05600TRANSPORTATION 41932,A000000,05500,0000,05500HOSPICE 41932,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41932,A000000,05801,0000,05801DAYCARE 41932,A000000,05802,0000,05802PRAIRIE PINES 41932,A000000,06150,0000,06300OUTSIDE LAUNDRY 41932,A81000A,00100,0100,Y 41932,A81000B,00100,0300,MANAGEMENT FEE 41932,A81000B,00200,0300,HOUSEKEEP 41932,A81000B,00300,0300,LAUNDRY 41932,A81000B,00400,0300,DIETARY 41932,A81000B,00500,0300,PHYS THER 41932,A81000B,00600,0300,RESTORATIVE REHAB 41932,A81000B,00700,0300,OCCUP THER 41932,A81000B,00900,0300,INT INC 41932,A81000B,01000,0300,HHA ADMIN 41932,A81000B,01100,0300,HHA SKILLED NURSING 41932,A81000B,01200,0300,HHA PT 41932,A81000B,01300,0300,HHA AIDE 41932,A81000B,01400,0300,HHA OTHER 41932,A81000B,01500,0300,ACG/ GROUP HOME 41932,A81000C,00100,0100,G 41932,A81000C,00100,0200,ST FRANCIS HEALTH SERVICE 41932,A81000C,00100,0400,ACCTG/DATAPROCE/THERAPY 41932,A81000C,00200,0100,G 41932,A81000C,00200,0200,PIONEER WEST OF MORRIST 41932,A81000C,00200,0400,HSKP/LAUNDRY/DIET 41932,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41932,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41932,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 41932,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41932,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41932,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41932,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41932,B100000,00000,0800,00000MEALS SERVED :DIETARY 41932,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 41932,H510100,00000,0000,24 41932,H510100,02400,0000,24 41932,S000000,00100,0200,11/06/2000 41932,S200000,00100,0100,1001 SCOTT AVENUE 41932,S200000,00200,0100,MORRIS 41932,S200000,00200,0200,MN 41932,S200000,00200,0300,56267- 41932,S200000,00300,0100,STEVENS 41932,S200000,00300,0200,0024 41932,S200000,00300,0300,R 41932,S200000,00400,0100,VILLA OF ST FRANCIS 41932,S200000,00400,0200,245262 41932,S200000,00400,0300,09/01/1983 41932,S200000,00400,0500,P 41932,S200000,00800,0200,247257 41932,S200000,00800,0300,08/04/1990 41932,S200000,00800,0500,P 41932,S200000,01500,0100,Y 41932,S200000,02800,0100,Y 41932,S410002,01700,0100,24 41936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41936,A000000,00300,0000,00300EMPLOYEE BENEFITS 41936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41936,A000000,00700,0000,00700HOUSEKEEPING 41936,A000000,00800,0000,00800DIETARY 41936,A000000,00900,0000,00900NURSING ADMINISTRATION 41936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41936,A000000,01100,0000,01100PHARMACY 41936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41936,A000000,01300,0000,01300SOCIAL SERVICE 41936,A000000,01350,0000,01500OTHER GENERAL SERVICES 41936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41936,A000000,01600,0000,01600SKILLED NURSING FACILITY 41936,A000000,01800,0000,01800NURSING FACILITY 41936,A000000,01810,0000,01810ICF/MR 41936,A000000,01900,0000,01900OTHER LONG TERM CARE 41936,A000000,02100,0000,02100RADIOLOGY 41936,A000000,02200,0000,02200LABORATORY 41936,A000000,02300,0000,02300INTRAVENOUS THERAPY 41936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41936,A000000,02500,0000,02500PHYSICAL THERAPY 41936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41936,A000000,02700,0000,02700SPEECH PATHOLOGY 41936,A000000,02800,0000,02800ELECTROCARDIOLOGY 41936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41936,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41936,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41936,A000000,03200,0000,03200SUPPORT SURFACES 41936,A000000,03400,0000,03400CLINIC 41936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41936,A000000,03500,0000,03500RURAL HEALTH CLINIC 41936,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41936,A000000,04800,0000,04800AMBULANCE 41936,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41936,A000000,05000,0000,05000CORF 41936,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41936,A000000,05300,0000,05300INTEREST EXPENSE 41936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41936,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41936,A000000,05500,0000,05500HOSPICE 41936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41936,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41936,A000000,06100,0000,06100NONPAID WORKERS 41936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41936,A000000,06151,0000,06301VILLA 41936,A000000,06200,0000,06200PATIENTS LAUNDRY 41936,A81000A,00100,0100,Y 41936,A81000B,00100,0300,PHYSICAL THERAPIST 41936,A81000C,00100,0100,B 41936,A81000C,00100,0200,APPLE VALLEY HEALTH CARE 41936,A81000C,00100,0400,SOUTHVIEW 41936,A81000C,00100,0600,NURSING FACILITY 41936,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41936,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41936,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41936,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41936,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41936,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 41936,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41936,B100000,00000,0800,00001MEALS SERVED :DIETARY 41936,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 41936,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 41936,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 41936,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41936,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41936,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41936,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 41936,S000000,00100,0200,06/02/2000 41936,S200000,00100,0100,14650 GARRET AVENUE 41936,S200000,00200,0100,APPLE VALLEY 41936,S200000,00200,0200,MN 41936,S200000,00200,0300,55124-8499 41936,S200000,00300,0100,DAKOTA 41936,S200000,00400,0100,APPLE VALLEY HEALTH CARE CENTER 41936,S200000,00400,0200,245264 41936,S200000,00400,0300,07/01/1983 41936,S200000,00400,0500,P 41936,S200000,01004,0500,O 41936,S200000,01600,0100,Y 41946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41946,A000000,00300,0000,00300EMPLOYEE BENEFITS 41946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41946,A000000,00700,0000,00700HOUSEKEEPING 41946,A000000,00800,0000,00800DIETARY 41946,A000000,00900,0000,00900NURSING ADMINISTRATION 41946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41946,A000000,01100,0000,01100PHARMACY 41946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41946,A000000,01300,0000,01300SOCIAL SERVICE 41946,A000000,01350,0000,01500OTHER GENERAL SERVICES 41946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41946,A000000,01600,0000,01600SKILLED NURSING FACILITY 41946,A000000,01800,0000,01800NURSING FACILITY 41946,A000000,01900,0000,01900OTHER LONG TERM CARE 41946,A000000,02100,0000,02100RADIOLOGY 41946,A000000,02200,0000,02200LABORATORY 41946,A000000,02300,0000,02300INTRAVENOUS THERAPY 41946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41946,A000000,02500,0000,02500PHYSICAL THERAPY 41946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41946,A000000,02700,0000,02700SPEECH PATHOLOGY 41946,A000000,02800,0000,02800ELECTROCARDIOLOGY 41946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41946,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41946,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41946,A000000,03200,0000,03200SUPPORT SURFACES 41946,A000000,03400,0000,03400CLINIC 41946,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41946,A000000,03500,0000,03500RURAL HEALTH CLINIC 41946,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41946,A000000,04800,0000,04800AMBULANCE 41946,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41946,A000000,05000,0000,05000CORF 41946,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41946,A000000,05300,0000,05300INTEREST EXPENSE 41946,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41946,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41946,A000000,05500,0000,05500HOSPICE 41946,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41946,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41946,A000000,06100,0000,06100NONPAID WORKERS 41946,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41946,A000000,06200,0000,06200PATIENTS LAUNDRY 41946,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41946,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41946,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41946,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41946,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41946,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41946,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41946,B100000,00000,0800,00000MEALS SERVED :DIETARY 41946,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 41946,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41946,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41946,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41946,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41946,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41946,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41946,S000000,00100,0200,05/31/2000 41946,S200000,00100,0100,110 E 18TH STREET 41946,S200000,00200,0100,MINNEAPOLIS 41946,S200000,00200,0200,MN 41946,S200000,00200,0300,55403- 41946,S200000,00300,0100,HENNEPIN 41946,S200000,00400,0100,CITY OF LAKES TRANSITIONAL CARE CNTR 41946,S200000,00400,0200,245266 41946,S200000,00400,0300,02/24/1984 41946,S200000,00400,0500,P 41946,S200000,01500,0100,Y 41946,S700003,00000,0100,1 41947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41947,A000000,00300,0000,00300EMPLOYEE BENEFITS 41947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41947,A000000,00700,0000,00700HOUSEKEEPING 41947,A000000,00800,0000,00800DIETARY 41947,A000000,00900,0000,00900NURSING ADMINISTRATION 41947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41947,A000000,01100,0000,01100PHARMACY 41947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41947,A000000,01300,0000,01300SOCIAL SERVICE 41947,A000000,01350,0000,01500OTHER GENERAL SERVICES 41947,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41947,A000000,01600,0000,01600SKILLED NURSING FACILITY 41947,A000000,01800,0000,01800NURSING FACILITY 41947,A000000,01900,0000,01900OTHER LONG TERM CARE 41947,A000000,02100,0000,02100RADIOLOGY 41947,A000000,02200,0000,02200LABORATORY 41947,A000000,02300,0000,02300INTRAVENOUS THERAPY 41947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41947,A000000,02500,0000,02500PHYSICAL THERAPY 41947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41947,A000000,02700,0000,02700SPEECH PATHOLOGY 41947,A000000,02800,0000,02800ELECTROCARDIOLOGY 41947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41947,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41947,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41947,A000000,03200,0000,03200SUPPORT SURFACES 41947,A000000,03400,0000,03400CLINIC 41947,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41947,A000000,03500,0000,03500RURAL HEALTH CLINIC 41947,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41947,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41947,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41947,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41947,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41947,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41947,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41947,A000000,04400,0000,04400DME RENTED - HHA 41947,A000000,04500,0000,04500DME SOLD - HHA 41947,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41947,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41947,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41947,A000000,04800,0000,04800AMBULANCE 41947,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41947,A000000,05000,0000,05000CORF 41947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41947,A000000,05300,0000,05300INTEREST EXPENSE 41947,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41947,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41947,A000000,05500,0000,05500HOSPICE 41947,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41947,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41947,A000000,06100,0000,06100NONPAID WORKERS 41947,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41947,A000000,06200,0000,06200PATIENTS LAUNDRY 41947,A81000A,00100,0100,Y 41947,A81000B,00100,0300,CENTRAL OFFICE-BHD-MGMT FEES 41947,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 41947,A81000B,00300,0300,NURSE CONSULTING 41947,A81000B,00400,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 41947,A81000B,00500,0300,COMPUTER USER FEES 41947,A81000B,00600,0300,CENTRAL OFFICE-BHS-MGMT FEES 41947,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 41947,A81000C,00100,0100,G 41947,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 41947,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 41947,A81000C,00100,0600,MANAGEMENT SERVICES 41947,A81000C,00200,0100,G 41947,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 41947,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 41947,A81000C,00200,0600,MANAGEMENT SERVICES 41947,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41947,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41947,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41947,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41947,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41947,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41947,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41947,B100000,00000,0800,00000MEALS SERVED :DIETARY 41947,B100000,00000,0950,00000PRODUCTIVE E :NURSING ADMINISTRATI 41947,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41947,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41947,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41947,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41947,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41947,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41947,E10A180,00550,0100,08/01/2000 41947,S000000,00100,0200,07/25/2000 41947,S200000,00100,0100,110 E 18TH STREET 41947,S200000,00200,0100,MINNEAPOLIS 41947,S200000,00200,0200,MN 41947,S200000,00200,0300,55403- 41947,S200000,00300,0100,HENNEPIN 41947,S200000,00400,0100,ST GERTRUDES HLTH CTR INC DBA CITY 41947,S200000,00400,0200,245266 41947,S200000,00400,0300,02/24/1984 41947,S200000,00400,0500,P 41947,S200000,01500,0100,Y 41953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41953,A000000,00300,0000,00300EMPLOYEE BENEFITS 41953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41953,A000000,00700,0000,00700HOUSEKEEPING 41953,A000000,00800,0000,00800DIETARY 41953,A000000,00900,0000,00900NURSING ADMINISTRATION 41953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41953,A000000,01100,0000,01100PHARMACY 41953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41953,A000000,01300,0000,01300SOCIAL SERVICE 41953,A000000,01350,0000,01500OTHER GENERAL SERVICES 41953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41953,A000000,01600,0000,01600SKILLED NURSING FACILITY 41953,A000000,01800,0000,01800NURSING FACILITY 41953,A000000,01900,0000,01900OTHER LONG TERM CARE 41953,A000000,02100,0000,02100RADIOLOGY 41953,A000000,02200,0000,02200LABORATORY 41953,A000000,02300,0000,02300INTRAVENOUS THERAPY 41953,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41953,A000000,02500,0000,02500PHYSICAL THERAPY 41953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41953,A000000,02700,0000,02700SPEECH PATHOLOGY 41953,A000000,02800,0000,02800ELECTROCARDIOLOGY 41953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41953,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41953,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41953,A000000,03200,0000,03200SUPPORT SURFACES 41953,A000000,03400,0000,03400CLINIC 41953,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41953,A000000,03500,0000,03500RURAL HEALTH CLINIC 41953,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41953,A000000,04800,0000,04800AMBULANCE 41953,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41953,A000000,05000,0000,05000CORF 41953,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41953,A000000,05300,0000,05300INTEREST EXPENSE 41953,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41953,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41953,A000000,05500,0000,05500HOSPICE 41953,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41953,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41953,A000000,06100,0000,06100NONPAID WORKERS 41953,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41953,A000000,06151,0000,06301CHANDLER PLACE 41953,A000000,06200,0000,06200PATIENTS LAUNDRY 41953,A81000A,00100,0100,Y 41953,A81000B,00100,0300,MGMT & ACCTG FEES 41953,A81000B,00200,0300,CAP REL COSTS 41953,A81000C,00100,0100,A 41953,A81000C,00100,0200,JOHN B GOODMAN 41953,A81000C,00100,0400,SAGE COMPANY 41953,A81000C,00100,0600,MANAGEMENT COMPANY 41953,A81000C,00200,0100,B 41953,A81000C,00200,0200,SIDNEY A GOODMAN 41953,A81000C,00200,0400,SAGE COMPANY 41953,A81000C,00200,0600,MANAGEMENT COMPANY 41953,B100000,00000,0100,00001SQUARE FOOTAGE :CAP REL COSTS - BL 41953,B100000,00000,0250,00001NO STATISTICS :CAP REL COSTS - MOV 41953,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41953,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41953,B100000,00000,0500,00001SQUARE FOOTAGE :PLANT OPERATION M 41953,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 41953,B100000,00000,0750,00001SQUARE FOOTAGE :HOUSEKEEPING 41953,B100000,00000,0800,00001MEALS SERVED :DIETARY 41953,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 41953,B100000,00000,1050,00001NO STATISTICS :CENTRAL SERVICES & 41953,B100000,00000,1150,00001NO STATISTICS :PHARMACY 41953,B100000,00000,1250,00001BILLED CHARGES :MEDICAL RECORDS & 41953,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 41953,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41953,B100000,00000,1450,00001NO STATISTICS :INTERNS & RESIDENTS 41953,S000000,00100,0200,04/13/2000 41953,S200000,00100,0100,3700 FOSS ROAD N.E. 41953,S200000,00200,0100,MINNEAPOLIS 41953,S200000,00200,0200,MN 41953,S200000,00200,0300,55421- 41953,S200000,00300,0100,RAMSEY 41953,S200000,00400,0100,ST. ANTHONY HEALTH CARE CENTER 41953,S200000,00400,0200,245267 41953,S200000,00400,0300,06/26/1967 41953,S200000,00400,0500,P 41953,S200000,01600,0100,Y 41953,S200000,02800,0100,Y 41959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41959,A000000,00300,0000,00300EMPLOYEE BENEFITS 41959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41959,A000000,00700,0000,00700HOUSEKEEPING 41959,A000000,00800,0000,00800DIETARY 41959,A000000,00900,0000,00900NURSING ADMINISTRATION 41959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41959,A000000,01100,0000,01100PHARMACY 41959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41959,A000000,01300,0000,01300SOCIAL SERVICE 41959,A000000,01350,0000,01500OTHER GENERAL SERVICES 41959,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41959,A000000,01600,0000,01600SKILLED NURSING FACILITY 41959,A000000,01800,0000,01800NURSING FACILITY 41959,A000000,01810,0000,01810ICF/MR 41959,A000000,01900,0000,01900OTHER LONG TERM CARE 41959,A000000,02100,0000,02100RADIOLOGY 41959,A000000,02200,0000,02200LABORATORY 41959,A000000,02300,0000,02300INTRAVENOUS THERAPY 41959,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41959,A000000,02500,0000,02500PHYSICAL THERAPY 41959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41959,A000000,02700,0000,02700SPEECH PATHOLOGY 41959,A000000,02800,0000,02800ELECTROCARDIOLOGY 41959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41959,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41959,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41959,A000000,03200,0000,03200SUPPORT SURFACES 41959,A000000,03400,0000,03400CLINIC 41959,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41959,A000000,03500,0000,03500RURAL HEALTH CLINIC 41959,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41959,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41959,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41959,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41959,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41959,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41959,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41959,A000000,04400,0000,04400DME RENTED - HHA 41959,A000000,04500,0000,04500DME SOLD - HHA 41959,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41959,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41959,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41959,A000000,04800,0000,04800AMBULANCE 41959,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41959,A000000,05000,0000,05000CORF 41959,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41959,A000000,05300,0000,05300INTEREST EXPENSE 41959,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41959,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41959,A000000,05500,0000,05500HOSPICE 41959,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41959,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41959,A000000,06100,0000,06100NONPAID WORKERS 41959,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41959,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 41959,A000000,06200,0000,06200PATIENTS LAUNDRY 41959,A81000A,00100,0100,Y 41959,A81000B,00100,0300,HHA - OCCUPANCY COSTS 41959,A81000B,00200,0300,SNF HOME OFFICE COSTS 41959,A81000B,00300,0300,APARTMENT HOME OFFICE COST 41959,A81000C,00100,0100,G 41959,A81000C,00100,0200,HOME OFFICE 41959,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 41959,A81000C,00100,0600,HOME OFFICE 41959,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41959,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41959,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41959,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41959,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41959,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 41959,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41959,B100000,00000,0800,00001MEALS SERVED :DIETARY 41959,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 41959,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 41959,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 41959,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41959,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41959,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 41959,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 41959,H510100,00000,0000,6980 41959,H510100,02400,0000,6980 41959,H710000,00550,0100,07/11/2000 41959,S000000,00100,0200,06/05/2000 41959,S200000,00100,0100,1115 4 AVE N 41959,S200000,00200,0100,SAUK RAPIDS 41959,S200000,00200,0200,MN 41959,S200000,00200,0300,56379- 41959,S200000,00300,0100,BENTON 41959,S200000,00400,0100,GOOD SHEPHERD LUTHERAN HOME 41959,S200000,00400,0200,245269 41959,S200000,00400,0300,07/01/1984 41959,S200000,00400,0500,P 41959,S200000,00800,0200,247230 41959,S200000,00800,0300,01/23/1987 41959,S200000,00800,0500,P 41959,S200000,01500,0100,Y 41962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41962,A000000,00300,0000,00300EMPLOYEE BENEFITS 41962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41962,A000000,00700,0000,00700HOUSEKEEPING 41962,A000000,00800,0000,00800DIETARY 41962,A000000,00900,0000,00900NURSING ADMINISTRATION 41962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41962,A000000,01100,0000,01100PHARMACY 41962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41962,A000000,01300,0000,01300SOCIAL SERVICE 41962,A000000,01350,0000,01500OTHER GENERAL SERVICES 41962,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41962,A000000,01600,0000,01600SKILLED NURSING FACILITY 41962,A000000,01800,0000,01800NURSING FACILITY 41962,A000000,01900,0000,01900OTHER LONG TERM CARE 41962,A000000,02100,0000,02100RADIOLOGY 41962,A000000,02200,0000,02200LABORATORY 41962,A000000,02300,0000,02300INTRAVENOUS THERAPY 41962,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41962,A000000,02500,0000,02500PHYSICAL THERAPY 41962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41962,A000000,02700,0000,02700SPEECH PATHOLOGY 41962,A000000,02800,0000,02800ELECTROCARDIOLOGY 41962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41962,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41962,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41962,A000000,03200,0000,03200SUPPORT SURFACES 41962,A000000,03400,0000,03400CLINIC 41962,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41962,A000000,03500,0000,03500RURAL HEALTH CLINIC 41962,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41962,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41962,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41962,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41962,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41962,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41962,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41962,A000000,04400,0000,04400DME RENTED - HHA 41962,A000000,04500,0000,04500DME SOLD - HHA 41962,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41962,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41962,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41962,A000000,04800,0000,04800AMBULANCE 41962,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41962,A000000,05000,0000,05000CORF 41962,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41962,A000000,05300,0000,05300INTEREST EXPENSE 41962,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41962,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41962,A000000,05500,0000,05500HOSPICE 41962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41962,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41962,A000000,06100,0000,06100NONPAID WORKERS 41962,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41962,A000000,06200,0000,06200PATIENTS LAUNDRY 41962,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41962,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41962,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41962,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41962,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41962,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41962,B100000,00000,0800,00000MEALS SERVED :DIETARY 41962,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41962,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 41962,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41962,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41962,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41962,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41962,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41962,S000000,00100,0200,03/01/2000 41962,S200000,00100,0100,3720 23RD AVENUE SOUTH 41962,S200000,00200,0100,MINNEAPOLIS 41962,S200000,00200,0200,MN 41962,S200000,00200,0300,55407- 41962,S200000,00300,0100,HENNEPIN 41962,S200000,00400,0100,NILE HEALTH CARE CENTER 41962,S200000,00400,0200,245271 41962,S200000,00400,0300,05/29/1984 41962,S200000,00400,0500,P 41962,S200000,01500,0100,Y 41962,S200000,03100,0100,Y 41962,S700003,00000,0100,1 41963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41963,A000000,00300,0000,00300EMPLOYEE BENEFITS 41963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41963,A000000,00700,0000,00700HOUSEKEEPING 41963,A000000,00800,0000,00800DIETARY 41963,A000000,00900,0000,00900NURSING ADMINISTRATION 41963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41963,A000000,01100,0000,01100PHARMACY 41963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41963,A000000,01300,0000,01300SOCIAL SERVICE 41963,A000000,01350,0000,01500OTHER GENERAL SERVICES 41963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41963,A000000,01600,0000,01600SKILLED NURSING FACILITY 41963,A000000,01800,0000,01800NURSING FACILITY 41963,A000000,01900,0000,01900OTHER LONG TERM CARE 41963,A000000,02100,0000,02100RADIOLOGY 41963,A000000,02200,0000,02200LABORATORY 41963,A000000,02300,0000,02300INTRAVENOUS THERAPY 41963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41963,A000000,02500,0000,02500PHYSICAL THERAPY 41963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41963,A000000,02700,0000,02700SPEECH PATHOLOGY 41963,A000000,02800,0000,02800ELECTROCARDIOLOGY 41963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41963,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41963,A000000,03200,0000,03200SUPPORT SURFACES 41963,A000000,03400,0000,03400CLINIC 41963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41963,A000000,03500,0000,03500RURAL HEALTH CLINIC 41963,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41963,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41963,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41963,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41963,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41963,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41963,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41963,A000000,04400,0000,04400DME RENTED - HHA 41963,A000000,04500,0000,04500DME SOLD - HHA 41963,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41963,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41963,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41963,A000000,04800,0000,04800AMBULANCE 41963,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41963,A000000,05000,0000,05000CORF 41963,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41963,A000000,05300,0000,05300INTEREST EXPENSE 41963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41963,A000000,05500,0000,05500HOSPICE 41963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41963,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41963,A000000,06100,0000,06100NONPAID WORKERS 41963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41963,A000000,06200,0000,06200PATIENTS LAUNDRY 41963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41963,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 41963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41963,B100000,00000,0850,00000PATIENT DAYS :DIETARY 41963,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 41963,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41963,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 41963,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41963,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41963,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41963,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 41963,S000000,00100,0200,05/30/2000 41963,S200000,00100,0100,3720 23 AVE SO 41963,S200000,00200,0100,MINNEAPOLIS 41963,S200000,00200,0200,MN 41963,S200000,00200,0300,55407- 41963,S200000,00300,0100,HENNEPIN 41963,S200000,00400,0100,NILE HEALTHCARE CENTER 41963,S200000,00400,0200,245271 41963,S200000,00400,0300,05/29/1984 41963,S200000,00400,0500,P 41963,S200000,01004,0500,O 41963,S200000,01500,0100,Y 41968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41968,A000000,00300,0000,00300EMPLOYEE BENEFITS 41968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41968,A000000,00700,0000,00700HOUSEKEEPING 41968,A000000,00800,0000,00800DIETARY 41968,A000000,00900,0000,00900NURSING ADMINISTRATION 41968,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41968,A000000,01100,0000,01100PHARMACY 41968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41968,A000000,01300,0000,01300SOCIAL SERVICE 41968,A000000,01350,0000,01500OTHER GENERAL SERVICES 41968,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41968,A000000,01600,0000,01600SKILLED NURSING FACILITY 41968,A000000,01800,0000,01800NURSING FACILITY 41968,A000000,01810,0000,01810ICF/MR 41968,A000000,01900,0000,01900OTHER LONG TERM CARE 41968,A000000,02100,0000,02100RADIOLOGY 41968,A000000,02200,0000,02200LABORATORY 41968,A000000,02300,0000,02300INTRAVENOUS THERAPY 41968,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41968,A000000,02500,0000,02500PHYSICAL THERAPY 41968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41968,A000000,02700,0000,02700SPEECH PATHOLOGY 41968,A000000,02800,0000,02800ELECTROCARDIOLOGY 41968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41968,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41968,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41968,A000000,03200,0000,03200SUPPORT SURFACES 41968,A000000,03400,0000,03400CLINIC 41968,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41968,A000000,03500,0000,03500RURAL HEALTH CLINIC 41968,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41968,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41968,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41968,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41968,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41968,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41968,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41968,A000000,04400,0000,04400DME RENTED - HHA 41968,A000000,04500,0000,04500DME SOLD - HHA 41968,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41968,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41968,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41968,A000000,04800,0000,04800AMBULANCE 41968,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41968,A000000,05000,0000,05000CORF 41968,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41968,A000000,05300,0000,05300INTEREST EXPENSE 41968,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41968,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41968,A000000,05500,0000,05500HOSPICE 41968,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41968,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41968,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41968,A000000,06100,0000,06100NONPAID WORKERS 41968,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41968,A000000,06200,0000,06200PATIENTS LAUNDRY 41968,A81000A,00100,0100,Y 41968,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 41968,A81000B,00200,0300,CAPITAL RELATED 41968,A81000B,00300,0300,PHYSICAL THERAPY 41968,A81000B,00400,0300,OCCUPATIONAL THERAPY 41968,A81000B,00500,0300,SPEECH THERAPY 41968,A81000C,00100,0100,E 41968,A81000C,00100,0200,DOUGLAS M. OLSON 41968,A81000C,00100,0400,BOARD OF SOCIAL MINISTRY 41968,A81000C,00100,0600,OWNS AND MANAGES NH 41968,A81000C,00200,0100,G 41968,A81000C,00200,0200,MARTIN LUTHER MANOR 41968,A81000C,00200,0400,BRIDGE REHABILITATION 41968,A81000C,00200,0600,THERAPY COMPANY 41968,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41968,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41968,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41968,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41968,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41968,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 41968,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 41968,B100000,00000,0800,00000MEALS SERVED :DIETARY 41968,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41968,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41968,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41968,S000000,00100,0200,06/05/2000 41968,S200000,00100,0100,1401 EAST 100TH STREET 41968,S200000,00200,0100,BLOOMINGTON 41968,S200000,00200,0200,MN 41968,S200000,00200,0300,55425- 41968,S200000,00300,0100,HENNEPIN 41968,S200000,00300,0200,5120 41968,S200000,00300,0300,U 41968,S200000,00400,0100,MARTIN LUTHER MANOR 41968,S200000,00400,0200,245272 41968,S200000,00400,0300,01/01/1986 41968,S200000,00400,0500,P 41968,S200000,01004,0500,O 41968,S200000,01600,0100,Y 41975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41975,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 41975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41975,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 41975,A000000,00300,0000,00300EMPLOYEE BENEFITS 41975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41975,A000000,00700,0000,00700HOUSEKEEPING 41975,A000000,00800,0000,00800DIETARY 41975,A000000,00801,0000,00801CAFETERIA 41975,A000000,00900,0000,00900NURSING ADMINISTRATION 41975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41975,A000000,01100,0000,01100PHARMACY 41975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41975,A000000,01300,0000,01300SOCIAL SERVICE 41975,A000000,01350,0000,01500ACTIVITIES 41975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41975,A000000,01600,0000,01600SKILLED NURSING FACILITY 41975,A000000,01800,0000,01800NURSING FACILITY 41975,A000000,01900,0000,01900OTHER LONG TERM CARE 41975,A000000,02100,0000,02100RADIOLOGY 41975,A000000,02200,0000,02200LABORATORY 41975,A000000,02300,0000,02300INTRAVENOUS THERAPY 41975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41975,A000000,02500,0000,02500PHYSICAL THERAPY 41975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41975,A000000,02700,0000,02700SPEECH PATHOLOGY 41975,A000000,02800,0000,02800ELECTROCARDIOLOGY 41975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41975,A000000,03050,0000,03300AMBULANCE 41975,A000000,03051,0000,03301OTHER ANCILLARY II 41975,A000000,03052,0000,03302OTHER ANCILLARY III 41975,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41975,A000000,03200,0000,03200SUPPORT SURFACES 41975,A000000,03400,0000,03400CLINIC 41975,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41975,A000000,03500,0000,03500RURAL HEALTH CLINIC 41975,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41975,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41975,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41975,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41975,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41975,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41975,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41975,A000000,04400,0000,04400DME RENTED - HHA 41975,A000000,04500,0000,04500DME SOLD - HHA 41975,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41975,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41975,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41975,A000000,04800,0000,04800AMBULANCE 41975,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41975,A000000,05000,0000,05000CORF 41975,A000000,05010,0000,05010CMHC I 41975,A000000,05020,0000,05020OPT I 41975,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41975,A000000,05300,0000,05300INTEREST EXPENSE 41975,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41975,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41975,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41975,A000000,05500,0000,05500HOSPICE 41975,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41975,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41975,A000000,06100,0000,06100NONPAID WORKERS 41975,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41975,A000000,06200,0000,06200PATIENTS LAUNDRY 41975,A81000A,00100,0100,Y 41975,A81000B,00100,0300,HOME OFFICE-CAPITAL 41975,A81000B,00200,0300,HOME OFFICE-ADMIN 41975,A81000B,00300,0300,PT MGMT 41975,A81000B,00400,0300,OT MGMT 41975,A81000B,00500,0300,ST MGMT 41975,A81000B,00600,0300,HOME OFFICE-INV INC 41975,A81000B,00700,0300,REG OFF/HC MGMT 41975,A81000C,00100,0100,B 41975,A81000C,00100,0200,VOA NATL SERV 41975,A81000C,00100,0600,MGMT-CAPITAL 41975,A81000C,00200,0100,B 41975,A81000C,00200,0200,VOA NATL SERV 41975,A81000C,00200,0600,MGMT-ADMIN 41975,A81000C,00300,0100,B 41975,A81000C,00300,0200,VOA NATL SERV 41975,A81000C,00300,0600,PT MGMT 41975,A81000C,00400,0100,B 41975,A81000C,00400,0200,VOA NATL SERV 41975,A81000C,00400,0600,OT MGMT 41975,A81000C,00500,0100,B 41975,A81000C,00500,0200,VOA NATL SERV 41975,A81000C,00500,0600,ST MGMT 41975,A81000C,00600,0100,B 41975,A81000C,00600,0200,VOA NATL SERV 41975,A81000C,00600,0600,MGMT-CAPITAL 41975,A81000C,00700,0100,B 41975,A81000C,00700,0200,VOA NATL SERV 41975,A81000C,00700,0600,REG OFF/ADMIN 41975,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 41975,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 41975,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 41975,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41975,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 41975,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 41975,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 41975,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 41975,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 41975,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41975,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41975,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41975,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41975,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41975,E10A180,00501,0100,02/27/2001 41975,S000000,00100,0200,01/16/2001 41975,S200000,00100,0100,6200 XERXES AVENUE 41975,S200000,00200,0100,EDINA 41975,S200000,00200,0200,MN 41975,S200000,00200,0300,55423- 41975,S200000,00300,0100,HENNEPIN 41975,S200000,00300,0200,5120 41975,S200000,00300,0300,U 41975,S200000,00400,0100,EDINA CARE CENTER 41975,S200000,00400,0200,245275 41975,S200000,00400,0300,05/01/1985 41975,S200000,00400,0500,P 41975,S200000,01500,0100,Y 41975,S200000,02200,0100,Y 41975,S200000,04300,0100,Y 41980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41980,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 41980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41980,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 41980,A000000,00300,0000,00300EMPLOYEE BENEFITS 41980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41980,A000000,00700,0000,00700HOUSEKEEPING 41980,A000000,00800,0000,00800DIETARY 41980,A000000,00801,0000,00801CAFETERIA 41980,A000000,00900,0000,00900NURSING ADMINISTRATION 41980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41980,A000000,01100,0000,01100PHARMACY 41980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41980,A000000,01300,0000,01300SOCIAL SERVICE 41980,A000000,01350,0000,01500ACTIVITIES 41980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41980,A000000,01600,0000,01600SKILLED NURSING FACILITY 41980,A000000,01800,0000,01800NURSING FACILITY 41980,A000000,01900,0000,01900OTHER LONG TERM CARE 41980,A000000,02100,0000,02100RADIOLOGY 41980,A000000,02200,0000,02200LABORATORY 41980,A000000,02300,0000,02300INTRAVENOUS THERAPY 41980,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41980,A000000,02500,0000,02500PHYSICAL THERAPY 41980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41980,A000000,02700,0000,02700SPEECH PATHOLOGY 41980,A000000,02800,0000,02800ELECTROCARDIOLOGY 41980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41980,A000000,03050,0000,03300PEN THERAPY 41980,A000000,03051,0000,03301OTHER ANCILLARY II 41980,A000000,03052,0000,03302OTHER ANCILLARY III 41980,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41980,A000000,03200,0000,03200SUPPORT SURFACES 41980,A000000,03400,0000,03400CLINIC 41980,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 41980,A000000,03500,0000,03500RURAL HEALTH CLINIC 41980,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41980,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41980,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41980,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41980,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41980,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41980,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41980,A000000,04400,0000,04400DME RENTED - HHA 41980,A000000,04500,0000,04500DME SOLD - HHA 41980,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41980,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41980,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41980,A000000,04800,0000,04800AMBULANCE 41980,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41980,A000000,05000,0000,05000CORF 41980,A000000,05010,0000,05010CMHC I 41980,A000000,05020,0000,05020OPT I 41980,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41980,A000000,05300,0000,05300INTEREST EXPENSE 41980,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 41980,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 41980,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41980,A000000,05500,0000,05500HOSPICE 41980,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41980,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41980,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41980,A000000,06100,0000,06100NONPAID WORKERS 41980,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41980,A000000,06200,0000,06200PATIENTS LAUNDRY 41980,A81000A,00100,0100,Y 41980,A81000B,00100,0300,HO - CAPITAL 41980,A81000B,00200,0300,HO - ADMINISTRATION 41980,A81000B,00300,0300,REG OFF/HC MGMT 41980,A81000B,00400,0300,PT MGMT 41980,A81000B,00500,0300,OT MGMT 41980,A81000B,00600,0300,ST MGMT 41980,A81000B,00700,0300,HO - INV INC 41980,A81000C,00100,0100,B 41980,A81000C,00100,0200,VOA NATL SERV 41980,A81000C,00100,0600,MGMT-CAPITAL 41980,A81000C,00200,0100,B 41980,A81000C,00200,0200,VOA NATL SERV 41980,A81000C,00200,0600,MGMT-ADMIN 41980,A81000C,00300,0100,B 41980,A81000C,00300,0200,VOA NATL SERV 41980,A81000C,00300,0600,REG OFF/ADMIN 41980,A81000C,00400,0100,B 41980,A81000C,00400,0200,VOA NATL SERV 41980,A81000C,00400,0600,PT MGMT 41980,A81000C,00500,0100,B 41980,A81000C,00500,0200,VOA NATL SERV 41980,A81000C,00500,0600,OT MGMT 41980,A81000C,00600,0100,B 41980,A81000C,00600,0200,VOA NATL SERV 41980,A81000C,00600,0600,ST MGMT 41980,A81000C,00700,0100,B 41980,A81000C,00700,0200,VOA NATL SERV 41980,A81000C,00700,0600,MGMT CAPITAL 41980,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 41980,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 41980,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 41980,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41980,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 41980,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 41980,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 41980,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 41980,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 41980,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 41980,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 41980,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 41980,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 41980,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 41980,S000000,00100,0200,01/16/2001 41980,S200000,00100,0100,1900 SHERREN AVENUE 41980,S200000,00200,0100,ST. PAUL 41980,S200000,00200,0200,MN 41980,S200000,00200,0300,55109- 41980,S200000,00300,0100,RAMSEY 41980,S200000,00300,0200,5120 41980,S200000,00300,0300,U 41980,S200000,00400,0100,MAPLEWOOD CARE CENTER 41980,S200000,00400,0200,245276 41980,S200000,00400,0300,05/01/1985 41980,S200000,00400,0500,P 41980,S200000,01500,0100,Y 41980,S200000,02200,0100,Y 41980,S200000,04300,0100,Y 41983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41983,A000000,00300,0000,00300EMPLOYEE BENEFITS 41983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41983,A000000,00700,0000,00700HOUSEKEEPING 41983,A000000,00800,0000,00800DIETARY 41983,A000000,00900,0000,00900NURSING ADMINISTRATION 41983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41983,A000000,01100,0000,01100PHARMACY 41983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41983,A000000,01300,0000,01300SOCIAL SERVICE 41983,A000000,01350,0000,01500OTHER GENERAL SERVICES 41983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41983,A000000,01600,0000,01600SKILLED NURSING FACILITY 41983,A000000,01800,0000,01800NURSING FACILITY 41983,A000000,01900,0000,01900OTHER LONG TERM CARE 41983,A000000,02100,0000,02100RADIOLOGY 41983,A000000,02200,0000,02200LABORATORY 41983,A000000,02300,0000,02300INTRAVENOUS THERAPY 41983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41983,A000000,02500,0000,02500PHYSICAL THERAPY 41983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41983,A000000,02700,0000,02700SPEECH PATHOLOGY 41983,A000000,02800,0000,02800ELECTROCARDIOLOGY 41983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41983,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41983,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41983,A000000,03200,0000,03200SUPPORT SURFACES 41983,A000000,03400,0000,03400CLINIC 41983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41983,A000000,03500,0000,03500RURAL HEALTH CLINIC 41983,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41983,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41983,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41983,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41983,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41983,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41983,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41983,A000000,04400,0000,04400DME RENTED - HHA 41983,A000000,04500,0000,04500DME SOLD - HHA 41983,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41983,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41983,A000000,04800,0000,04800AMBULANCE 41983,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41983,A000000,05000,0000,05000CORF 41983,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41983,A000000,05300,0000,05300INTEREST EXPENSE 41983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41983,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41983,A000000,05500,0000,05500HOSPICE 41983,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41983,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41983,A000000,06100,0000,06100NONPAID WORKERS 41983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41983,A000000,06200,0000,06200PATIENTS LAUNDRY 41983,A81000A,00100,0100,Y 41983,A81000B,00100,0300,LAUNDRY SERVICES 41983,A81000B,00200,0300,LAUNDRY SERVICES 41983,A81000B,00300,0300,LAUNDRY SERVICES 41983,A81000B,00400,0300,LAUNDRY SERVICES 41983,A81000C,00100,0100,G 41983,A81000C,00100,0400,AHCC- VIRGINIA 41983,A81000C,00100,0600,NURSING HOME 41983,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41983,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41983,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41983,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41983,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41983,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41983,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 41983,B100000,00000,0800,00000MEALS SERVED :DIETARY 41983,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 41983,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41983,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41983,E10A180,00550,0300,05/04/2000 41983,S000000,00100,0200,04/18/2000 41983,S200000,00100,0100,601 GRANT AVENUE 41983,S200000,00200,0100,EVELETH 41983,S200000,00200,0200,MN 41983,S200000,00200,0300,55734-1395 41983,S200000,00300,0100,ST. LOUIS 41983,S200000,00300,0200,2240 41983,S200000,00300,0300,U 41983,S200000,00400,0100,ARROWHEAD HEALTH CARE CTR -EVELETH 41983,S200000,00400,0200,245277 41983,S200000,00400,0300,04/01/1985 41983,S200000,00400,0500,P 41983,S200000,00400,0600,O 41983,S200000,01500,0100,Y 41988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41988,A000000,00300,0000,00300EMPLOYEE BENEFITS 41988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41988,A000000,00700,0000,00700HOUSEKEEPING 41988,A000000,00800,0000,00800DIETARY 41988,A000000,00900,0000,00900NURSING ADMINISTRATION 41988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41988,A000000,01300,0000,01300SOCIAL SERVICE 41988,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 41988,A000000,01600,0000,01600SKILLED NURSING FACILITY 41988,A000000,02100,0000,02100RADIOLOGY 41988,A000000,02200,0000,02200LABORATORY 41988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41988,A000000,02500,0000,02500PHYSICAL THERAPY 41988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41988,A000000,02700,0000,02700SPEECH PATHOLOGY 41988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41988,A000000,06150,0000,06300MAPLEWOOD APARTMENTS 41988,A000000,06151,0000,06301FOUNDATION 41988,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 41988,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 41988,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 41988,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 41988,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 41988,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 41988,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 41988,B100000,00000,0800,00001MEALS SERVED :DIETARY 41988,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 41988,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 41988,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 41988,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 41988,S000000,00100,0200,02/17/2000 41988,S200000,00100,0100,610 SUMMIT DRIVE 41988,S200000,00200,0100,FAIRMONT 41988,S200000,00200,0200,MN 41988,S200000,00200,0300,56031- 41988,S200000,00300,0100,MARTIN 41988,S200000,00400,0100,LAKEVIEW METHODIST HEALTH CARE CTR 41988,S200000,00400,0200,245280 41988,S200000,00400,0300,06/01/1985 41988,S200000,00400,0500,P 41988,S200000,01500,0100,Y 41988,S200000,02800,0100,Y 41988,S700003,00000,0100,1 41993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41993,A000000,00300,0000,00300EMPLOYEE BENEFITS 41993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41993,A000000,00800,0000,00800DIETARY 41993,A000000,01600,0000,01600SKILLED NURSING FACILITY 41993,A000000,01800,0000,01800NURSING FACILITY 41993,A000000,01900,0000,01900OTHER LONG TERM CARE 41993,A000000,02100,0000,02100RADIOLOGY 41993,A000000,02200,0000,02200LABORATORY 41993,A000000,02300,0000,02300INTRAVENOUS THERAPY 41993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41993,A000000,02500,0000,02500PHYSICAL THERAPY 41993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41993,A000000,02700,0000,02700SPEECH PATHOLOGY 41993,A000000,02800,0000,02800ELECTROCARDIOLOGY 41993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41993,A000000,03050,0000,03300AMBULANCE 41993,A000000,03051,0000,03301TREATMENT ROOM 41993,A000000,03052,0000,03302OTHER DIAGNOSTIC SERVICES 41993,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41993,A000000,03200,0000,03200SUPPORT SURFACES 41993,A000000,03400,0000,03400CLINIC 41993,A000000,03500,0000,03500RURAL HEALTH CLINIC 41993,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41993,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41993,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41993,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41993,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41993,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41993,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41993,A000000,04400,0000,04400DME RENTED - HHA 41993,A000000,04500,0000,04500DME SOLD - HHA 41993,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41993,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41993,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41993,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41993,A000000,05300,0000,05300INTEREST EXPENSE 41993,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41993,A000000,05500,0000,05500HOSPICE 41993,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41993,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41993,A000000,06100,0000,06100NONPAID WORKERS 41993,A000000,06101,0000,06101ASSISTED LIVING 41993,A000000,06102,0000,06102RESIDENTIAL TOWER 41993,A000000,06200,0000,06200PATIENTS LAUNDRY 41993,A81000A,00100,0100,Y 41993,A81000B,00100,0300,CAPITAL RELATED - HO 41993,A81000B,00200,0300,PERSONNEL 41993,A81000B,00300,0300,MANAGEMENT SERVICES 41993,A81000B,00400,0300,MEDICAL SUPPLIES 41993,A81000B,00500,0300,RADIOLOGY 41993,A81000B,00600,0300,LABORATORY 41993,A81000B,00700,0300,PHYSICAL THERAPY 41993,A81000B,00800,0300,OCCUP. THERAPY 41993,A81000B,00900,0300,SPEECH THERAPY 41993,A81000B,01000,0300,EKG/ECG 41993,A81000B,01100,0300,MED SUPPLIES 41993,A81000B,01200,0300,PHARMACY 41993,A81000B,01300,0300,AMBULANCE 41993,A81000B,01400,0300,TREATMENT ROOM 41993,A81000B,01500,0300,OTHER DIAGNOSTIC 41993,A81000B,01600,0300,MED SUPPLIES & PHARM 41993,A81000B,01700,0300,PHYSICAL THERAPY 41993,A81000B,01800,0300,OCCUP THERAPY 41993,A81000C,00100,0100,B 41993,A81000C,00100,0200,MAYO FOUNDATION 41993,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41993,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 41993,B100000,00000,0300,00000GROSS SALRIES :EMPLOYEE BENEFITS 41993,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41993,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41993,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41993,B100000,00000,0800,00000MEALS SERVED :DIETARY 41993,E10A180,00501,0100,10/23/2000 41993,E10A180,00501,0300,10/23/2000 41993,H710000,00501,0100,10/23/2000 41993,H710000,00550,0300,10/23/2000 41993,S000000,00100,0200,08/30/2000 41993,S200000,00100,0100,211 NW SECOND STREET 41993,S200000,00200,0100,ROCHESTER 41993,S200000,00200,0200,MN 41993,S200000,00200,0300,55901- 41993,S200000,00300,0100,OLMSTED 41993,S200000,00400,0100,CHARTER HOUSE SKILLED NURSING FACIL 41993,S200000,00400,0200,245282 41993,S200000,00400,0300,07/01/1985 41993,S200000,00400,0500,P 41993,S200000,00800,0200,247195 41993,S200000,00800,0300,04/19/1985 41993,S200000,00800,0500,P 41993,S200000,01500,0100,Y 41993,S200000,02800,0100,Y 41996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 41996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 41996,A000000,00300,0000,00300EMPLOYEE BENEFITS 41996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 41996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 41996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 41996,A000000,00700,0000,00700HOUSEKEEPING 41996,A000000,00800,0000,00800DIETARY 41996,A000000,00900,0000,00900NURSING ADMINISTRATION 41996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 41996,A000000,01100,0000,01100PHARMACY 41996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 41996,A000000,01300,0000,01300SOCIAL SERVICE 41996,A000000,01350,0000,01500OTHER GENERAL SERVICES 41996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 41996,A000000,01600,0000,01600SKILLED NURSING FACILITY 41996,A000000,01800,0000,01800NURSING FACILITY 41996,A000000,01810,0000,01810ICF/MR 41996,A000000,01900,0000,01900OTHER LONG TERM CARE 41996,A000000,02100,0000,02100RADIOLOGY 41996,A000000,02200,0000,02200LABORATORY 41996,A000000,02300,0000,02300INTRAVENOUS THERAPY 41996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 41996,A000000,02500,0000,02500PHYSICAL THERAPY 41996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 41996,A000000,02700,0000,02700SPEECH PATHOLOGY 41996,A000000,02800,0000,02800ELECTROCARDIOLOGY 41996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 41996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 41996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 41996,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 41996,A000000,03200,0000,03200SUPPORT SURFACES 41996,A000000,03400,0000,03400CLINIC 41996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 41996,A000000,03500,0000,03500RURAL HEALTH CLINIC 41996,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 41996,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 41996,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 41996,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 41996,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 41996,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 41996,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 41996,A000000,04400,0000,04400DME RENTED - HHA 41996,A000000,04500,0000,04500DME SOLD - HHA 41996,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 41996,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 41996,A000000,04750,0000,05100OTHER REIMBURSABLE COST 41996,A000000,04800,0000,04800AMBULANCE 41996,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 41996,A000000,05000,0000,05000CORF 41996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 41996,A000000,05300,0000,05300INTEREST EXPENSE 41996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 41996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 41996,A000000,05500,0000,05500HOSPICE 41996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 41996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 41996,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 41996,A000000,06100,0000,06100NONPAID WORKERS 41996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 41996,A000000,06200,0000,06200PATIENTS LAUNDRY 41996,A81000A,00100,0100,Y 41996,A81000B,00100,0300,LAUNDRY SERVICES 41996,A81000B,00500,0300,AMIN. SALARY 41996,A81000C,00100,0100,G 41996,A81000C,00100,0400,AHCC - EVELETH 41996,A81000C,00100,0600,NURSING HOME 41996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 41996,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 41996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 41996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 41996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 41996,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 41996,B100000,00000,0700,00000HOURS OF SERVICES :HOUSEKEEPING 41996,B100000,00000,0800,00000MEALS SERVED :DIETARY 41996,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 41996,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 41996,B100000,00000,1150,00000NO STATISTICS :PHARMACY 41996,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 41996,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 41996,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 41996,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 41996,E10A180,00550,0300,05/04/2000 41996,S000000,00100,0200,04/13/2000 41996,S200000,00100,0300,971 41996,S200000,00200,0100,VIRGINIA 41996,S200000,00200,0200,MN 41996,S200000,00200,0300,55792- 41996,S200000,00300,0100,ST LOUIS 41996,S200000,00400,0100,ARROWHEAD HEALTH CARE CTR-VIRGINIA 41996,S200000,00400,0200,245283 41996,S200000,00400,0300,08/01/1985 41996,S200000,00400,0500,P 41996,S200000,01600,0100,Y 42001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42001,A000000,00300,0000,00300EMPLOYEE BENEFITS 42001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42001,A000000,00501,0000,00501UTILITIES 42001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42001,A000000,00700,0000,00700HOUSEKEEPING 42001,A000000,00800,0000,00800DIETARY 42001,A000000,00900,0000,00900NURSING ADMINISTRATION 42001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42001,A000000,01100,0000,01100PHARMACY 42001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42001,A000000,01300,0000,01300SOCIAL SERVICE 42001,A000000,01350,0000,01500OTHER GENERAL SERVICES 42001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42001,A000000,01600,0000,01600SKILLED NURSING FACILITY 42001,A000000,01800,0000,01800NURSING FACILITY 42001,A000000,01810,0000,01810ICF/MR 42001,A000000,01900,0000,01900OTHER LONG TERM CARE 42001,A000000,02100,0000,02100RADIOLOGY 42001,A000000,02200,0000,02200LABORATORY 42001,A000000,02300,0000,02300INTRAVENOUS THERAPY 42001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42001,A000000,02500,0000,02500PHYSICAL THERAPY 42001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42001,A000000,02700,0000,02700SPEECH PATHOLOGY 42001,A000000,02800,0000,02800ELECTROCARDIOLOGY 42001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42001,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42001,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42001,A000000,03200,0000,03200SUPPORT SURFACES 42001,A000000,03400,0000,03400CLINIC 42001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42001,A000000,03500,0000,03500RURAL HEALTH CLINIC 42001,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42001,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42001,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42001,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42001,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42001,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42001,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42001,A000000,04400,0000,04400DME RENTED - HHA 42001,A000000,04500,0000,04500DME SOLD - HHA 42001,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42001,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42001,A000000,04800,0000,04800AMBULANCE 42001,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42001,A000000,05000,0000,05000CORF 42001,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42001,A000000,05300,0000,05300INTEREST EXPENSE 42001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42001,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42001,A000000,05500,0000,05500HOSPICE 42001,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42001,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42001,A000000,06100,0000,06100NONPAID WORKERS 42001,A000000,06150,0000,06300CLINIC 42001,A000000,06151,0000,06301VILLAGE VAN 42001,A000000,06152,0000,06302ROSECOURT T 42001,A000000,06153,0000,06303OTHER NONREIMBURSABLE COST 42001,A000000,06200,0000,06200PATIENTS LAUNDRY 42001,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42001,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42001,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42001,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42001,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42001,B100000,00000,0501,00003SQUARE FEET :UTILITIES 42001,B100000,00000,0650,00003RESIDENT DAYS :LAUNDRY & LINEN SER 42001,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42001,B100000,00000,0800,00003MEALS :DIETARY 42001,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42001,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42001,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42001,E10A180,00501,0300,05/01/2000 42001,S000000,00100,0200,03/31/2000 42001,S200000,00100,0100,119 FAUST STREET SE 42001,S200000,00200,0100,PIERZ 42001,S200000,00200,0200,MN 42001,S200000,00200,0300,56364- 42001,S200000,00300,0100,MORRISON 42001,S200000,00300,0200,24 42001,S200000,00300,0300,R 42001,S200000,00400,0100,ST MARYS VILLA INC. 42001,S200000,00400,0200,245286 42001,S200000,00400,0300,08/01/1985 42001,S200000,00400,0500,P 42001,S200000,01500,0100,Y 42007,S000000,00100,0200,12/31/2000 42014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42014,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 42014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42014,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 42014,A000000,00300,0000,00300EMPLOYEE BENEFITS 42014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42014,A000000,00700,0000,00700HOUSEKEEPING 42014,A000000,00800,0000,00800DIETARY 42014,A000000,00801,0000,00801CAFETERIA 42014,A000000,00900,0000,00900NURSING ADMINISTRATION 42014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42014,A000000,01100,0000,01100PHARMACY 42014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42014,A000000,01300,0000,01300SOCIAL SERVICE 42014,A000000,01350,0000,01500ACTIVITIES 42014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42014,A000000,01600,0000,01600SKILLED NURSING FACILITY 42014,A000000,01800,0000,01800NURSING FACILITY 42014,A000000,01900,0000,01900OTHER LONG TERM CARE 42014,A000000,02100,0000,02100RADIOLOGY 42014,A000000,02200,0000,02200LABORATORY 42014,A000000,02300,0000,02300INTRAVENOUS THERAPY 42014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42014,A000000,02500,0000,02500PHYSICAL THERAPY 42014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42014,A000000,02700,0000,02700SPEECH PATHOLOGY 42014,A000000,02800,0000,02800ELECTROCARDIOLOGY 42014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42014,A000000,03050,0000,03300OTHER ANCILLARY 42014,A000000,03051,0000,03301OTHER ANCILLARY II 42014,A000000,03052,0000,03302OTHER ANCILLARY III 42014,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42014,A000000,03200,0000,03200SUPPORT SURFACES 42014,A000000,03400,0000,03400CLINIC 42014,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 42014,A000000,03500,0000,03500RURAL HEALTH CLINIC 42014,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42014,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42014,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42014,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42014,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42014,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42014,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42014,A000000,04400,0000,04400DME RENTED - HHA 42014,A000000,04500,0000,04500DME SOLD - HHA 42014,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42014,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42014,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42014,A000000,04800,0000,04800AMBULANCE 42014,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42014,A000000,05000,0000,05000CORF 42014,A000000,05010,0000,05010CMHC I 42014,A000000,05020,0000,05020OPT I 42014,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42014,A000000,05300,0000,05300INTEREST EXPENSE 42014,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 42014,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 42014,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42014,A000000,05500,0000,05500HOSPICE 42014,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42014,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42014,A000000,06100,0000,06100NONPAID WORKERS 42014,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42014,A000000,06200,0000,06200PATIENTS LAUNDRY 42014,A81000A,00100,0100,Y 42014,A81000B,00100,0300,HOME OFFICE-CAPITAL 42014,A81000B,00200,0300,HOME OFFICE-ADMIN 42014,A81000B,00300,0300,REG OFF/HC MGMT 42014,A81000B,00400,0300,PT MGMT 42014,A81000B,00500,0300,OT MGMT 42014,A81000B,00600,0300,ST MGMT 42014,A81000B,00700,0300,HOME OFFICE-INV INC 42014,A81000C,00100,0100,B 42014,A81000C,00100,0200,VOA NATL SERV 42014,A81000C,00100,0600,MGMT-CAPITAL 42014,A81000C,00200,0100,B 42014,A81000C,00200,0200,VOA NATL SERV 42014,A81000C,00200,0600,MGMT-ADMIN 42014,A81000C,00300,0100,B 42014,A81000C,00300,0200,VOA NATL SERV 42014,A81000C,00300,0600,REG OFF/ADMIN 42014,A81000C,00400,0100,B 42014,A81000C,00400,0200,VOA NATL SERV 42014,A81000C,00400,0600,PT MGMT 42014,A81000C,00500,0100,B 42014,A81000C,00500,0200,VOA NATL SERV 42014,A81000C,00500,0600,OT MGMT 42014,A81000C,00600,0100,B 42014,A81000C,00600,0200,VOA NATL SERV 42014,A81000C,00600,0600,ST MGMT 42014,A81000C,00700,0100,B 42014,A81000C,00700,0200,VOA NATL SERV 42014,A81000C,00700,0600,MGMT-CAPITAL 42014,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42014,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42014,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42014,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42014,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42014,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42014,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 42014,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42014,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 42014,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 42014,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 42014,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42014,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42014,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 42014,E10A180,00550,0100,02/13/2001 42014,S000000,00100,0200,01/17/2001 42014,S200000,00100,0100,3245 VERA CRUZ 42014,S200000,00200,0100,MINNEAPOLIS 42014,S200000,00200,0200,MN 42014,S200000,00200,0300,55422- 42014,S200000,00300,0100,HENNEPIN 42014,S200000,00300,0200,5120 42014,S200000,00300,0300,U 42014,S200000,00400,0100,CRYSTAL CARE CENTER 42014,S200000,00400,0200,245289 42014,S200000,00400,0300,11/01/1984 42014,S200000,00400,0500,P 42014,S200000,01500,0100,Y 42014,S200000,02200,0100,Y 42014,S200000,04300,0100,Y 42018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42018,A000000,00300,0000,00300EMPLOYEE BENEFITS 42018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42018,A000000,00700,0000,00700HOUSEKEEPING 42018,A000000,00800,0000,00800DIETARY 42018,A000000,00900,0000,00900NURSING ADMINISTRATION 42018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42018,A000000,01100,0000,01100PHARMACY 42018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42018,A000000,01300,0000,01300SOCIAL SERVICE 42018,A000000,01350,0000,01500OTHER GENERAL SERVICES 42018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42018,A000000,01600,0000,01600SKILLED NURSING FACILITY 42018,A000000,01800,0000,01800NURSING FACILITY 42018,A000000,01900,0000,01900OTHER LONG TERM CARE 42018,A000000,02100,0000,02100RADIOLOGY 42018,A000000,02200,0000,02200LABORATORY 42018,A000000,02300,0000,02300INTRAVENOUS THERAPY 42018,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42018,A000000,02500,0000,02500PHYSICAL THERAPY 42018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42018,A000000,02700,0000,02700SPEECH PATHOLOGY 42018,A000000,02800,0000,02800ELECTROCARDIOLOGY 42018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42018,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42018,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42018,A000000,03200,0000,03200SUPPORT SURFACES 42018,A000000,03400,0000,03400CLINIC 42018,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42018,A000000,03500,0000,03500RURAL HEALTH CLINIC 42018,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42018,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42018,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42018,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42018,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42018,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42018,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42018,A000000,04400,0000,04400DME RENTED - HHA 42018,A000000,04500,0000,04500DME SOLD - HHA 42018,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42018,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42018,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42018,A000000,04800,0000,04800AMBULANCE 42018,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42018,A000000,05000,0000,05000CORF 42018,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42018,A000000,05300,0000,05300INTEREST EXPENSE 42018,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42018,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42018,A000000,05500,0000,05500HOSPICE 42018,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42018,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42018,A000000,06100,0000,06100NONPAID WORKERS 42018,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42018,A000000,06200,0000,06200PATIENTS LAUNDRY 42018,A81000A,00100,0100,Y 42018,A81000B,00100,0300,SPACE RENTAL EXPENSE 42018,A81000C,00100,0100,A 42018,A81000C,00100,0200,DALE THOMPSON 42018,A81000C,00100,0400,HOUSING ALTERNATIVE PARTN 42018,A81000C,00100,0600,APARTMENT COMPLEX 42018,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42018,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42018,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42018,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42018,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42018,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42018,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42018,B100000,00000,0800,00000MEALS SERVED :DIETARY 42018,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42018,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42018,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42018,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42018,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42018,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 42018,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42018,E10A180,00501,0300,04/07/2000 42018,S000000,00100,0200,02/18/2000 42018,S200000,00100,0100,110 7TH STREET 42018,S200000,00200,0100,MORA 42018,S200000,00200,0200,MN 42018,S200000,00200,0300,55051- 42018,S200000,00300,0100,KANABEC 42018,S200000,00400,0100,VILLA HEALTH CARE CENTER 42018,S200000,00400,0200,245291 42018,S200000,00400,0300,09/01/1985 42018,S200000,00400,0500,P 42018,S200000,01500,0100,Y 42022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42022,A000000,00300,0000,00300EMPLOYEE BENEFITS 42022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42022,A000000,00700,0000,00700HOUSEKEEPING 42022,A000000,00800,0000,00800DIETARY 42022,A000000,00900,0000,00900NURSING ADMINISTRATION 42022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42022,A000000,01100,0000,01100PHARMACY 42022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42022,A000000,01300,0000,01300SOCIAL SERVICE 42022,A000000,01350,0000,01500OTHER GENERAL SERVICES 42022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42022,A000000,01600,0000,01600SKILLED NURSING FACILITY 42022,A000000,01800,0000,01800NURSING FACILITY 42022,A000000,01900,0000,01900OTHER LONG TERM CARE 42022,A000000,02100,0000,02100RADIOLOGY 42022,A000000,02200,0000,02200LABORATORY 42022,A000000,02300,0000,02300INTRAVENOUS THERAPY 42022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42022,A000000,02500,0000,02500PHYSICAL THERAPY 42022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42022,A000000,02700,0000,02700SPEECH PATHOLOGY 42022,A000000,02800,0000,02800ELECTROCARDIOLOGY 42022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42022,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42022,A000000,03200,0000,03200SUPPORT SURFACES 42022,A000000,03400,0000,03400CLINIC 42022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42022,A000000,03500,0000,03500RURAL HEALTH CLINIC 42022,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42022,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42022,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42022,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42022,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42022,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42022,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42022,A000000,04400,0000,04400DME RENTED - HHA 42022,A000000,04500,0000,04500DME SOLD - HHA 42022,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42022,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42022,A000000,04800,0000,04800AMBULANCE 42022,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42022,A000000,05000,0000,05000CORF 42022,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42022,A000000,05300,0000,05300INTEREST EXPENSE 42022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42022,A000000,05500,0000,05500HOSPICE 42022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42022,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42022,A000000,06100,0000,06100NONPAID WORKERS 42022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42022,A000000,06200,0000,06200PATIENTS LAUNDRY 42022,A81000A,00100,0100,Y 42022,A81000B,00100,0300,MANAGEMENT FEES 42022,A81000C,00100,0100,B 42022,A81000C,00100,0200,LONG TERM CARE FOUNDATION 42022,A81000C,00100,0400,LONG TERM CARE FOUNDATION 42022,A81000C,00100,0600,CORPORATE OFFICE 42022,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42022,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42022,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42022,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42022,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42022,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42022,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42022,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42022,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 42022,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42022,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42022,E10A180,00501,0300,04/11/2000 42022,S000000,00100,0200,02/25/2000 42022,S200000,00100,0100,725 2ND AVENUE SOUTH 42022,S200000,00200,0100,HOPKINS 42022,S200000,00200,0200,MN 42022,S200000,00200,0300,55343- 42022,S200000,00300,0100,HENNEPIN 42022,S200000,00300,0200,5120 42022,S200000,00300,0300,U 42022,S200000,00400,0100,HOPKINS CARE CENTER 42022,S200000,00400,0200,245293 42022,S200000,00400,0300,10/01/1985 42022,S200000,00400,0500,P 42022,S200000,01500,0100,Y 42027,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42027,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42027,A000000,00300,0000,00300EMPLOYEE BENEFITS 42027,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42027,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42027,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42027,A000000,00700,0000,00700HOUSEKEEPING 42027,A000000,00800,0000,00800DIETARY 42027,A000000,00900,0000,00900NURSING ADMINISTRATION 42027,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42027,A000000,01100,0000,01100PHARMACY 42027,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42027,A000000,01300,0000,01300SOCIAL SERVICE 42027,A000000,01350,0000,01500OTHER GENERAL SERVICES 42027,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42027,A000000,01600,0000,01600SKILLED NURSING FACILITY 42027,A000000,01800,0000,01800NURSING FACILITY 42027,A000000,01900,0000,01900OTHER LONG TERM CARE 42027,A000000,02100,0000,02100RADIOLOGY 42027,A000000,02200,0000,02200LABORATORY 42027,A000000,02300,0000,02300INTRAVENOUS THERAPY 42027,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42027,A000000,02500,0000,02500PHYSICAL THERAPY 42027,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42027,A000000,02700,0000,02700SPEECH PATHOLOGY 42027,A000000,02800,0000,02800ELECTROCARDIOLOGY 42027,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42027,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42027,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42027,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42027,A000000,03200,0000,03200SUPPORT SURFACES 42027,A000000,03400,0000,03400CLINIC 42027,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42027,A000000,03500,0000,03500RURAL HEALTH CLINIC 42027,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42027,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42027,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42027,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42027,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42027,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42027,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42027,A000000,04400,0000,04400DME RENTED - HHA 42027,A000000,04500,0000,04500DME SOLD - HHA 42027,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42027,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42027,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42027,A000000,04800,0000,04800AMBULANCE 42027,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42027,A000000,05000,0000,05000CORF 42027,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42027,A000000,05300,0000,05300INTEREST EXPENSE 42027,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42027,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42027,A000000,05500,0000,05500HOSPICE 42027,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42027,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42027,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42027,A000000,06100,0000,06100NONPAID WORKERS 42027,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42027,A000000,06200,0000,06200PATIENTS LAUNDRY 42027,A81000A,00100,0100,Y 42027,A81000B,00100,0300,MANAGEMENT FEE 42027,A81000C,00100,0100,A 42027,A81000C,00100,0200,PAUL CONTRIS 42027,A81000C,00100,0400,MISSION HEALTHCARE CORP 42027,A81000C,00100,0600,MANAGEMENT COMPANY 42027,A81000C,00200,0100,A 42027,A81000C,00200,0200,STEVEN BUTALA 42027,A81000C,00200,0400,MISSION HEALTHCARE CORP 42027,A81000C,00200,0600,MANAGEMENT COMPANY 42027,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42027,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42027,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42027,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42027,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42027,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42027,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42027,B100000,00000,0800,00000MEALS SERVED :DIETARY 42027,B100000,00000,0950,00000PRODUCTIVE E NRSNG :NURSING ADMINIS 42027,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42027,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42027,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42027,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42027,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 42027,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42027,S000000,00100,0200,07/30/1999 42027,S200000,00100,0100,240 MARSHALL AVENUE 42027,S200000,00200,0100,ST PAUL 42027,S200000,00200,0200,MN 42027,S200000,00200,0300,55102- 42027,S200000,00300,0100,RAMSEY 42027,S200000,00400,0100,BETHEL CARE CENTER 42027,S200000,00400,0200,245295 42027,S200000,00400,0300,12/01/1995 42027,S200000,00400,0500,P 42027,S200000,01004,0500,O 42027,S200000,01600,0100,Y 42027,S700003,00000,0200,2 42028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42028,A000000,00300,0000,00300EMPLOYEE BENEFITS 42028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42028,A000000,00700,0000,00700HOUSEKEEPING 42028,A000000,00800,0000,00800DIETARY 42028,A000000,00900,0000,00900NURSING ADMINISTRATION 42028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42028,A000000,01100,0000,01100PHARMACY 42028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42028,A000000,01300,0000,01300SOCIAL SERVICE 42028,A000000,01350,0000,01500OTHER GENERAL SERVICES 42028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42028,A000000,01600,0000,01600SKILLED NURSING FACILITY 42028,A000000,01800,0000,01800NURSING FACILITY 42028,A000000,01810,0000,01810ICF/MR 42028,A000000,01900,0000,01900OTHER LONG TERM CARE 42028,A000000,02100,0000,02100RADIOLOGY 42028,A000000,02200,0000,02200LABORATORY 42028,A000000,02300,0000,02300INTRAVENOUS THERAPY 42028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42028,A000000,02500,0000,02500PHYSICAL THERAPY 42028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42028,A000000,02700,0000,02700SPEECH PATHOLOGY 42028,A000000,02800,0000,02800ELECTROCARDIOLOGY 42028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42028,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42028,A000000,03200,0000,03200SUPPORT SURFACES 42028,A000000,03400,0000,03400CLINIC 42028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42028,A000000,03500,0000,03500RURAL HEALTH CLINIC 42028,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42028,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42028,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42028,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42028,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42028,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42028,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42028,A000000,04400,0000,04400DME RENTED - HHA 42028,A000000,04500,0000,04500DME SOLD - HHA 42028,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42028,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42028,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42028,A000000,04800,0000,04800AMBULANCE 42028,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42028,A000000,05000,0000,05000CORF 42028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42028,A000000,05300,0000,05300INTEREST EXPENSE 42028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42028,A000000,05500,0000,05500HOSPICE 42028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42028,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42028,A000000,06100,0000,06100NONPAID WORKERS 42028,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42028,A000000,06200,0000,06200PATIENTS LAUNDRY 42028,A81000A,00100,0100,Y 42028,A81000B,00100,0300,MANAGEMENT FEES 42028,A81000C,00100,0100,B 42028,A81000C,00100,0200,MISSION HEALTHCARE CORP 42028,A81000C,00100,0400,MISSION HEALTH CARE CORP 42028,A81000C,00100,0600,MANAGEMENT COMPANY 42028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42028,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42028,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42028,B100000,00000,0800,00000MEALS SERVED :DIETARY 42028,B100000,00000,0950,00000PRODUCTINE E NRSING :NURSING ADMINI 42028,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42028,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42028,S000000,00100,0200,06/23/2000 42028,S200000,00100,0100,240 MARSHALL AVENUE 42028,S200000,00200,0100,ST PAUL 42028,S200000,00200,0200,MN 42028,S200000,00200,0300,55102- 42028,S200000,00300,0100,RAMSEY 42028,S200000,00300,0200,5120 42028,S200000,00300,0300,U 42028,S200000,00400,0100,MISSION HEALTHCARE CORP.DBA BETHEL C 42028,S200000,00400,0200,245295 42028,S200000,00400,0300,12/01/1995 42028,S200000,00400,0500,P 42028,S200000,01600,0100,Y 42034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42034,A000000,00300,0000,00300EMPLOYEE BENEFITS 42034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42034,A000000,00700,0000,00700HOUSEKEEPING 42034,A000000,00800,0000,00800DIETARY 42034,A000000,00900,0000,00900NURSING ADMINISTRATION 42034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42034,A000000,01100,0000,01100PHARMACY 42034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42034,A000000,01300,0000,01300SOCIAL SERVICE 42034,A000000,01350,0000,01500OTHER GENERAL SERVICES 42034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42034,A000000,01600,0000,01600SKILLED NURSING FACILITY 42034,A000000,01800,0000,01800NURSING FACILITY 42034,A000000,01810,0000,01810ICF/MR 42034,A000000,01900,0000,01900OTHER LONG TERM CARE 42034,A000000,02100,0000,02100RADIOLOGY 42034,A000000,02200,0000,02200LABORATORY 42034,A000000,02300,0000,02300INTRAVENOUS THERAPY 42034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42034,A000000,02500,0000,02500PHYSICAL THERAPY 42034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42034,A000000,02700,0000,02700SPEECH PATHOLOGY 42034,A000000,02800,0000,02800ELECTROCARDIOLOGY 42034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42034,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42034,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42034,A000000,03200,0000,03200SUPPORT SURFACES 42034,A000000,03400,0000,03400CLINIC 42034,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42034,A000000,03500,0000,03500RURAL HEALTH CLINIC 42034,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42034,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42034,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42034,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42034,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42034,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42034,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42034,A000000,04400,0000,04400DME RENTED - HHA 42034,A000000,04500,0000,04500DME SOLD - HHA 42034,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42034,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42034,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42034,A000000,04800,0000,04800AMBULANCE 42034,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42034,A000000,05000,0000,05000CORF 42034,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42034,A000000,05300,0000,05300INTEREST EXPENSE 42034,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42034,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42034,A000000,05500,0000,05500HOSPICE 42034,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42034,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42034,A000000,06100,0000,06100NONPAID WORKERS 42034,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42034,A000000,06200,0000,06200PATIENTS LAUNDRY 42034,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42034,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42034,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42034,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42034,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42034,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42034,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42034,B100000,00000,0800,00000MEALS SERVED :DIETARY 42034,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42034,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42034,E10A180,00501,0300,04/28/2000 42034,S000000,00100,0200,03/27/2000 42034,S200000,00100,0100,311 WEST MAPLE AVE 42034,S200000,00100,0300,96 42034,S200000,00200,0100,FRAZEE 42034,S200000,00200,0200,MN 42034,S200000,00200,0300,56544-4309 42034,S200000,00300,0100,BECKER 42034,S200000,00300,0200,24 42034,S200000,00300,0300,R 42034,S200000,00400,0100,FRAZEE CARE CENTER 42034,S200000,00400,0200,245299 42034,S200000,00400,0300,11/01/1985 42034,S200000,00400,0500,P 42034,S200000,01500,0100,Y 42043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42043,A000000,00300,0000,00300EMPLOYEE BENEFITS 42043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42043,A000000,00700,0000,00700HOUSEKEEPING 42043,A000000,00800,0000,00800DIETARY 42043,A000000,00900,0000,00900NURSING ADMINISTRATION 42043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42043,A000000,01300,0000,01300SOCIAL SERVICE 42043,A000000,01600,0000,01600SKILLED NURSING FACILITY 42043,A000000,02200,0000,02200LABORATORY 42043,A000000,02500,0000,02500PHYSICAL THERAPY 42043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42043,A000000,02700,0000,02700SPEECH PATHOLOGY 42043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42043,A000000,06150,0000,06300ASSISTED LIVING 42043,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 42043,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42043,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42043,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42043,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42043,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42043,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42043,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42043,B100000,00000,0800,00001MEALS SERVED :DIETARY 42043,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42043,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42043,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42043,S000000,00100,0200,02/22/2000 42043,S200000,00100,0100,RR 2 42043,S200000,00100,0300,148 42043,S200000,00200,0100,ERSKINE 42043,S200000,00200,0200,MN 42043,S200000,00200,0300,56535- 42043,S200000,00300,0100,POLK 42043,S200000,00400,0100,PIONEER MEMORIAL CARE CENTER 42043,S200000,00400,0200,245301 42043,S200000,00400,0300,12/01/1985 42043,S200000,00400,0500,P 42043,S200000,01500,0100,Y 42046,S000000,00100,0200,09/18/2000 42053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42053,A000000,00300,0000,00300EMPLOYEE BENEFITS 42053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42053,A000000,00700,0000,00700HOUSEKEEPING 42053,A000000,00800,0000,00800DIETARY 42053,A000000,00900,0000,00900NURSING ADMINISTRATION 42053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42053,A000000,01100,0000,01100PHARMACY 42053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42053,A000000,01300,0000,01300SOCIAL SERVICE 42053,A000000,01350,0000,01500OTHER GENERAL SERVICES 42053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42053,A000000,01600,0000,01600SKILLED NURSING FACILITY 42053,A000000,01800,0000,01800NURSING FACILITY 42053,A000000,01900,0000,01900OTHER LONG TERM CARE 42053,A000000,02100,0000,02100RADIOLOGY 42053,A000000,02200,0000,02200LABORATORY 42053,A000000,02300,0000,02300INTRAVENOUS THERAPY 42053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42053,A000000,02500,0000,02500PHYSICAL THERAPY 42053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42053,A000000,02700,0000,02700SPEECH PATHOLOGY 42053,A000000,02800,0000,02800ELECTROCARDIOLOGY 42053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42053,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42053,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42053,A000000,03200,0000,03200SUPPORT SURFACES 42053,A000000,03400,0000,03400CLINIC 42053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42053,A000000,03500,0000,03500RURAL HEALTH CLINIC 42053,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42053,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42053,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42053,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42053,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42053,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42053,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42053,A000000,04400,0000,04400DME RENTED - HHA 42053,A000000,04500,0000,04500DME SOLD - HHA 42053,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42053,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42053,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42053,A000000,04800,0000,04800AMBULANCE 42053,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42053,A000000,05000,0000,05000CORF 42053,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42053,A000000,05300,0000,05300INTEREST EXPENSE 42053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42053,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42053,A000000,05500,0000,05500HOSPICE 42053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42053,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42053,A000000,06100,0000,06100NONPAID WORKERS 42053,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42053,A000000,06200,0000,06200PATIENTS LAUNDRY 42053,A81000A,00100,0100,Y 42053,A81000B,00100,0300,HOME OFFICE COSTS 42053,A81000C,00100,0100,E 42053,A81000C,00100,0200,LONG TERM CARE FOUNDATION 42053,A81000C,00100,0400,LONG TERM CARE FOUNDATION 42053,A81000C,00100,0600,CORPORATE OFFICE 42053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42053,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42053,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42053,B100000,00000,0800,00000MEALS SERVED :DIETARY 42053,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42053,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42053,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42053,S000000,00100,0200,02/03/2000 42053,S200000,00100,0100,525 SECOND STREET SOUTHEAST 42053,S200000,00200,0100,OSSEO 42053,S200000,00200,0200,MN 42053,S200000,00200,0300,55369- 42053,S200000,00300,0100,HENNEPIN 42053,S200000,00300,0200,5120 42053,S200000,00300,0300,U 42053,S200000,00400,0100,OSSEO HEALTH CARE CENTER 42053,S200000,00400,0200,245308 42053,S200000,00400,0300,01/01/1986 42053,S200000,00400,0500,P 42053,S200000,01500,0100,Y 42058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42058,A000000,00300,0000,00300EMPLOYEE BENEFITS 42058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42058,A000000,00700,0000,00700HOUSEKEEPING 42058,A000000,00800,0000,00800DIETARY 42058,A000000,00900,0000,00900NURSING ADMINISTRATION 42058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42058,A000000,01100,0000,01100PHARMACY 42058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42058,A000000,01300,0000,01300SOCIAL SERVICE 42058,A000000,01350,0000,01500OTHER GENERAL SERVICES 42058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42058,A000000,01600,0000,01600SKILLED NURSING FACILITY 42058,A000000,01800,0000,01800NURSING FACILITY 42058,A000000,01900,0000,01900OTHER LONG TERM CARE 42058,A000000,02100,0000,02100RADIOLOGY 42058,A000000,02200,0000,02200LABORATORY 42058,A000000,02300,0000,02300INTRAVENOUS THERAPY 42058,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42058,A000000,02500,0000,02500PHYSICAL THERAPY 42058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42058,A000000,02700,0000,02700SPEECH PATHOLOGY 42058,A000000,02800,0000,02800ELECTROCARDIOLOGY 42058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42058,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42058,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42058,A000000,03200,0000,03200SUPPORT SURFACES 42058,A000000,03400,0000,03400CLINIC 42058,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42058,A000000,03500,0000,03500RURAL HEALTH CLINIC 42058,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42058,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42058,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42058,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42058,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42058,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42058,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42058,A000000,04400,0000,04400DME RENTED - HHA 42058,A000000,04500,0000,04500DME SOLD - HHA 42058,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42058,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42058,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42058,A000000,04800,0000,04800AMBULANCE 42058,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42058,A000000,05000,0000,05000CORF 42058,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42058,A000000,05300,0000,05300INTEREST EXPENSE 42058,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42058,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42058,A000000,05500,0000,05500HOSPICE 42058,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42058,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42058,A000000,06100,0000,06100NONPAID WORKERS 42058,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42058,A000000,06200,0000,06200PATIENTS LAUNDRY 42058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42058,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42058,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42058,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42058,B100000,00000,0800,00000MEALS SERVED :DIETARY 42058,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42058,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42058,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42058,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42058,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42058,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42058,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42058,S000000,00100,0200,08/12/1999 42058,S200000,00100,0100,2800 HIGHWAY 694 42058,S200000,00200,0100,NEW BRIGHTON 42058,S200000,00200,0200,MN 42058,S200000,00200,0300,55112- 42058,S200000,00300,0100,RAMSEY 42058,S200000,00400,0100,INNSBRUCK HEALTH CARE CENTER INC. 42058,S200000,00400,0200,245310 42058,S200000,00400,0300,07/01/1986 42058,S200000,00400,0500,P 42058,S200000,01500,0100,Y 42058,S700003,00000,0100,1 42059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42059,A000000,00300,0000,00300EMPLOYEE BENEFITS 42059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42059,A000000,00700,0000,00700HOUSEKEEPING 42059,A000000,00800,0000,00800DIETARY 42059,A000000,00900,0000,00900NURSING ADMINISTRATION 42059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42059,A000000,01100,0000,01100PHARMACY 42059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42059,A000000,01300,0000,01300SOCIAL SERVICE 42059,A000000,01350,0000,01500OTHER GENERAL SERVICES 42059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42059,A000000,01600,0000,01600SKILLED NURSING FACILITY 42059,A000000,01800,0000,01800NURSING FACILITY 42059,A000000,01900,0000,01900OTHER LONG TERM CARE 42059,A000000,02100,0000,02100RADIOLOGY 42059,A000000,02200,0000,02200LABORATORY 42059,A000000,02300,0000,02300INTRAVENOUS THERAPY 42059,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42059,A000000,02500,0000,02500PHYSICAL THERAPY 42059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42059,A000000,02700,0000,02700SPEECH PATHOLOGY 42059,A000000,02800,0000,02800ELECTROCARDIOLOGY 42059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42059,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42059,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42059,A000000,03200,0000,03200SUPPORT SURFACES 42059,A000000,03400,0000,03400CLINIC 42059,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42059,A000000,03500,0000,03500RURAL HEALTH CLINIC 42059,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42059,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42059,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42059,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42059,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42059,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42059,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42059,A000000,04400,0000,04400DME RENTED - HHA 42059,A000000,04500,0000,04500DME SOLD - HHA 42059,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42059,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42059,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42059,A000000,04800,0000,04800AMBULANCE 42059,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42059,A000000,05000,0000,05000CORF 42059,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42059,A000000,05300,0000,05300INTEREST EXPENSE 42059,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42059,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42059,A000000,05500,0000,05500HOSPICE 42059,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42059,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42059,A000000,06100,0000,06100NONPAID WORKERS 42059,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42059,A000000,06200,0000,06200PATIENTS LAUNDRY 42059,A81000A,00100,0100,Y 42059,A81000B,00100,0300,CENTRAL OFFICE-BHD MGMT FEES 42059,A81000B,00200,0300,CENTRAL OFFICE -BHD MGMT FEES 42059,A81000B,00300,0300,NURSE CONSULTING 42059,A81000B,00400,0300,ADMIN SALARIES/TAXES/BENEFITS 42059,A81000B,00500,0300,COMPUTER USER FEES 42059,A81000B,00600,0300,CENTRAL OFFICE-BHS MGMT FEES 42059,A81000B,00700,0300,CENTRAL OFFICE-BHS MGMT FEES 42059,A81000C,00100,0100,G 42059,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42059,A81000C,00100,0400,BENEDICTINE HEALTH DIMENS 42059,A81000C,00100,0600,MANAGEMENT SERVICES 42059,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42059,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42059,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42059,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42059,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42059,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42059,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42059,B100000,00000,0800,00000MEALS SERVED :DIETARY 42059,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42059,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42059,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42059,S000000,00100,0200,12/29/1999 42059,S200000,00100,0100,2800 HIGHWAY 694 42059,S200000,00200,0100,NEW BRIGHTON 42059,S200000,00200,0200,MN 42059,S200000,00200,0300,55112- 42059,S200000,00300,0100,RAMSEY 42059,S200000,00300,0300,U 42059,S200000,00400,0100,INNSBRUCK HEALTH CARE CENTER 42059,S200000,00400,0200,245310 42059,S200000,00400,0300,07/01/1986 42059,S200000,00400,0500,P 42059,S200000,01004,0500,O 42059,S200000,01500,0100,Y 42064,S000000,00100,0200,04/26/2000 42068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42068,A000000,00300,0000,00300EMPLOYEE BENEFITS 42068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42068,A000000,00700,0000,00700HOUSEKEEPING 42068,A000000,00800,0000,00800DIETARY 42068,A000000,00900,0000,00900NURSING ADMINISTRATION 42068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42068,A000000,01100,0000,01100PHARMACY 42068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42068,A000000,01300,0000,01300SOCIAL SERVICE 42068,A000000,01350,0000,01500OTHER GENERAL SERVICES 42068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42068,A000000,01600,0000,01600SKILLED NURSING FACILITY 42068,A000000,01800,0000,01800NURSING FACILITY 42068,A000000,01810,0000,01801ICF/MR 42068,A000000,01900,0000,01900OTHER LONG TERM CARE 42068,A000000,02100,0000,02100RADIOLOGY 42068,A000000,02200,0000,02200LABORATORY 42068,A000000,02300,0000,02300INTRAVENOUS THERAPY 42068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42068,A000000,02500,0000,02500PHYSICAL THERAPY 42068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42068,A000000,02700,0000,02700SPEECH PATHOLOGY 42068,A000000,02800,0000,02800ELECTROCARDIOLOGY 42068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42068,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42068,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42068,A000000,03200,0000,03200SUPPORT SURFACES 42068,A000000,03400,0000,03400CLINIC 42068,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42068,A000000,03500,0000,03500RURAL HEALTH CLINIC 42068,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42068,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42068,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42068,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42068,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42068,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42068,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42068,A000000,04400,0000,04400DME RENTED - HHA 42068,A000000,04500,0000,04500DME SOLD - HHA 42068,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42068,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42068,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42068,A000000,04800,0000,04800AMBULANCE 42068,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42068,A000000,05000,0000,05000CORF 42068,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42068,A000000,05300,0000,05300INTEREST EXPENSE 42068,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42068,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42068,A000000,05500,0000,05500HOSPICE 42068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42068,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42068,A000000,06100,0000,06100NONPAID WORKERS 42068,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42068,A000000,06200,0000,06200PATIENTS LAUNDRY 42068,A81000A,00100,0100,Y 42068,A81000B,00100,0300,MANAGEMENT FEES 42068,A81000B,00200,0300,G & A EXPENSE 42068,A81000C,00100,0100,E 42068,A81000C,00100,0200,CASTLE RIDGE CARE CENTER 42068,A81000C,00100,0400,TWIN CITY CHRISTIAN HOME 42068,A81000C,00100,0600,MANAGEMENT 42068,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42068,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42068,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42068,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42068,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42068,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42068,B100000,00000,0800,00000MEALS SERVED :DIETARY 42068,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42068,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 42068,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 42068,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42068,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42068,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42068,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42068,E10A180,00550,0300,04/12/2000 42068,S000000,00100,0200,02/28/2000 42068,S200000,00100,0100,625 PRAIRIE CENTER DRIVE 42068,S200000,00200,0100,EDEN PRAIRIE 42068,S200000,00200,0200,MN 42068,S200000,00200,0300,55344- 42068,S200000,00300,0100,HENNEPIN 42068,S200000,00400,0100,CASTLE RIDGE CARE CENTER 42068,S200000,00400,0200,245312 42068,S200000,00400,0300,05/01/1986 42068,S200000,00400,0500,P 42068,S200000,01500,0100,Y 42068,S200000,02800,0100,Y 42074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42074,A000000,00300,0000,00300EMPLOYEE BENEFITS 42074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42074,A000000,00700,0000,00700HOUSEKEEPING 42074,A000000,00800,0000,00800DIETARY 42074,A000000,00900,0000,00900NURSING ADMINISTRATION 42074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42074,A000000,01300,0000,01300SOCIAL SERVICE 42074,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42074,A000000,01600,0000,01600SKILLED NURSING FACILITY 42074,A000000,02100,0000,02100RADIOLOGY 42074,A000000,02200,0000,02200LABORATORY 42074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42074,A000000,02500,0000,02500PHYSICAL THERAPY 42074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42074,A000000,02700,0000,02700SPEECH PATHOLOGY 42074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42074,A000000,06151,0000,06301MEALS ON WHEELS 42074,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42074,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42074,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42074,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42074,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42074,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42074,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42074,B100000,00000,0800,00001MEALS SERVED :DIETARY 42074,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42074,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42074,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42074,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 42074,E10A180,00501,0100,04/14/2000 42074,S000000,00100,0200,02/29/2000 42074,S200000,00100,0100,303 BROADWAY SOUTH 42074,S200000,00200,0100,TRIMONT 42074,S200000,00200,0200,MN 42074,S200000,00200,0300,56176- 42074,S200000,00300,0100,MARTIN 42074,S200000,00400,0100,TRIMONT HEALTH CARE CENTER 42074,S200000,00400,0200,245315 42074,S200000,00400,0300,06/01/1987 42074,S200000,00400,0500,P 42074,S200000,01500,0100,Y 42077,S000000,00100,0200,05/22/2000 42082,S000000,00100,0200,04/11/2000 42084,S000000,00100,0200,05/18/2000 42087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42087,A000000,00300,0000,00300EMPLOYEE BENEFITS 42087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42087,A000000,00700,0000,00700HOUSEKEEPING 42087,A000000,00800,0000,00800DIETARY 42087,A000000,00900,0000,00900NURSING ADMINISTRATION 42087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42087,A000000,01100,0000,01100PHARMACY 42087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42087,A000000,01300,0000,01300SOCIAL SERVICE 42087,A000000,01350,0000,01500OTHER GENERAL SERVICES 42087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42087,A000000,01600,0000,01600SKILLED NURSING FACILITY 42087,A000000,01800,0000,01800NURSING FACILITY 42087,A000000,01810,0000,01810ICF/MR 42087,A000000,01900,0000,01900OTHER LONG TERM CARE 42087,A000000,02100,0000,02100RADIOLOGY 42087,A000000,02200,0000,02200LABORATORY 42087,A000000,02300,0000,02300INTRAVENOUS THERAPY 42087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42087,A000000,02500,0000,02500PHYSICAL THERAPY 42087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42087,A000000,02700,0000,02700SPEECH PATHOLOGY 42087,A000000,02800,0000,02800ELECTROCARDIOLOGY 42087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42087,A000000,03200,0000,03200SUPPORT SURFACES 42087,A000000,03400,0000,03400CLINIC 42087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42087,A000000,03500,0000,03500RURAL HEALTH CLINIC 42087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42087,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42087,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42087,A000000,04400,0000,04400DME RENTED - HHA 42087,A000000,04500,0000,04500DME SOLD - HHA 42087,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42087,A000000,04800,0000,04800AMBULANCE 42087,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42087,A000000,05000,0000,05000CORF 42087,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42087,A000000,05300,0000,05300INTEREST EXPENSE 42087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42087,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42087,A000000,05500,0000,05500HOSPICE 42087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42087,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42087,A000000,06100,0000,06100NONPAID WORKERS 42087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42087,A000000,06200,0000,06200PATIENTS LAUNDRY 42087,A81000A,00100,0100,Y 42087,A81000B,00100,0300,CORPORATE COSTS 42087,A81000C,00100,0100,E 42087,A81000C,00100,0200,LONG TERM CARE FOUNDATION 42087,A81000C,00100,0400,LONG TERM CARE FOUNDATION 42087,A81000C,00100,0600,CORPORATE OFFICE 42087,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42087,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42087,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42087,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42087,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42087,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42087,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42087,B100000,00000,0800,00000MEALS SERVED :DIETARY 42087,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42087,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42087,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42087,E10A180,00501,0300,04/03/2000 42087,S000000,00100,0200,02/11/2000 42087,S200000,00200,0100,MINNEAPOLIS 42087,S200000,00200,0200,MN 42087,S200000,00200,0300,55418- 42087,S200000,00300,0100,HENNEPIN 42087,S200000,00300,0200,5120 42087,S200000,00300,0300,U 42087,S200000,00400,0100,CENTRAL CARE CENTER 42087,S200000,00400,0200,245321 42087,S200000,00400,0300,07/01/1986 42087,S200000,00400,0500,P 42087,S200000,01500,0100,Y 42092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42092,A000000,00300,0000,00300EMPLOYEE BENEFITS 42092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42092,A000000,00700,0000,00700HOUSEKEEPING 42092,A000000,00800,0000,00800DIETARY 42092,A000000,00900,0000,00900NURSING ADMINISTRATION 42092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42092,A000000,01100,0000,01100PHARMACY 42092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42092,A000000,01300,0000,01300SOCIAL SERVICE 42092,A000000,01350,0000,01500OTHER GENERAL SERVICES 42092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42092,A000000,01600,0000,01600SKILLED NURSING FACILITY 42092,A000000,01800,0000,01800NURSING FACILITY 42092,A000000,01810,0000,01810ICF/MR 42092,A000000,01900,0000,01900OTHER LONG TERM CARE 42092,A000000,02100,0000,02100RADIOLOGY 42092,A000000,02200,0000,02200LABORATORY 42092,A000000,02300,0000,02300INTRAVENOUS THERAPY 42092,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42092,A000000,02500,0000,02500PHYSICAL THERAPY 42092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42092,A000000,02700,0000,02700SPEECH PATHOLOGY 42092,A000000,02800,0000,02800ELECTROCARDIOLOGY 42092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42092,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42092,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42092,A000000,03200,0000,03200SUPPORT SURFACES 42092,A000000,03400,0000,03400CLINIC 42092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42092,A000000,03500,0000,03500RURAL HEALTH CLINIC 42092,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42092,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42092,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42092,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42092,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42092,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42092,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42092,A000000,04400,0000,04400DME RENTED - HHA 42092,A000000,04500,0000,04500DME SOLD - HHA 42092,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42092,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42092,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42092,A000000,04800,0000,04800AMBULANCE 42092,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42092,A000000,05000,0000,05000CORF 42092,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42092,A000000,05300,0000,05300INTEREST EXPENSE 42092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42092,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42092,A000000,05500,0000,05500HOSPICE 42092,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42092,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42092,A000000,06100,0000,06100NONPAID WORKERS 42092,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42092,A000000,06200,0000,06200PATIENTS LAUNDRY 42092,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42092,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42092,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42092,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42092,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42092,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42092,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42092,B100000,00000,0800,00000MEALS SERVED :DIETARY 42092,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 42092,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42092,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42092,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42092,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42092,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42092,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42092,E10A180,00501,0300,04/16/2000 42092,H510100,00000,0000,6980 42092,H510100,02400,0000,6980 42092,H510100,02401,0000,5120 42092,H510100,02402,0000,9924 42092,H510200,00000,0000,5120 42092,H510300,00000,0000,9924 42092,H710000,00301,0100,06/08/1999 42092,H710000,00301,0300,06/08/1999 42092,H710000,00501,0100,04/16/2000 42092,H710000,00501,0300,04/16/2000 42092,S000000,00100,0200,02/25/2000 42092,S200000,00100,0100,253 PINE STREET 42092,S200000,00200,0100,FOLEY 42092,S200000,00200,0200,MN 42092,S200000,00200,0300,56329- 42092,S200000,00300,0100,BENTON 42092,S200000,00400,0100,FOLEY NURSING CENTER 42092,S200000,00400,0200,245325 42092,S200000,00400,0300,07/01/1986 42092,S200000,00400,0500,P 42092,S200000,00800,0200,247200 42092,S200000,00800,0300,05/31/1997 42092,S200000,00800,0500,P 42092,S200000,01600,0100,Y 42095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42095,A000000,00300,0000,00300EMPLOYEE BENEFITS 42095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42095,A000000,00700,0000,00700HOUSEKEEPING 42095,A000000,00800,0000,00800DIETARY 42095,A000000,00900,0000,00900NURSING ADMINISTRATION 42095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42095,A000000,01100,0000,01100PHARMACY 42095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42095,A000000,01300,0000,01300SOCIAL SERVICE 42095,A000000,01350,0000,01500OTHER GENERAL SERVICES 42095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42095,A000000,01600,0000,01600SKILLED NURSING FACILITY 42095,A000000,01800,0000,01800NURSING FACILITY 42095,A000000,01810,0000,01810ICF/MR 42095,A000000,01900,0000,01900OTHER LONG TERM CARE 42095,A000000,02100,0000,02100RADIOLOGY 42095,A000000,02200,0000,02200LABORATORY 42095,A000000,02300,0000,02300INTRAVENOUS THERAPY 42095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42095,A000000,02500,0000,02500PHYSICAL THERAPY 42095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42095,A000000,02700,0000,02700SPEECH PATHOLOGY 42095,A000000,02800,0000,02800ELECTROCARDIOLOGY 42095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42095,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42095,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42095,A000000,03200,0000,03200SUPPORT SURFACES 42095,A000000,03400,0000,03400CLINIC 42095,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42095,A000000,03500,0000,03500RURAL HEALTH CLINIC 42095,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42095,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42095,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42095,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42095,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42095,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42095,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42095,A000000,04400,0000,04400DME RENTED - HHA 42095,A000000,04500,0000,04500DME SOLD - HHA 42095,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42095,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42095,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42095,A000000,04800,0000,04800AMBULANCE 42095,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42095,A000000,05000,0000,05000CORF 42095,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42095,A000000,05300,0000,05300INTEREST EXPENSE 42095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42095,A000000,05500,0000,05500HOSPICE 42095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42095,A000000,06100,0000,06100NONPAID WORKERS 42095,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42095,A000000,06200,0000,06200PATIENTS LAUNDRY 42095,A81000A,00100,0100,Y 42095,A81000B,00100,0300,CENTRAL OFFICE 42095,A81000B,00200,0300,CAPITAL RELATED COSTS 42095,A81000B,00300,0300,PHYSICAL THERAPY 42095,A81000B,00400,0300,OCCUPATIONAL THERAPY 42095,A81000B,00500,0300,SPEECH THERAPY 42095,A81000C,00100,0100,E 42095,A81000C,00100,0200,MARY CORDTSL 42095,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42095,A81000C,00100,0600,OWNS/MANAGES NURSING HOME 42095,A81000C,00200,0100,G 42095,A81000C,00200,0200,MARGARET S PARMLY RESIDEN 42095,A81000C,00200,0400,BRIDGE REHABILITATION 42095,A81000C,00200,0600,THERAPY COMPANY 42095,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42095,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42095,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42095,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42095,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42095,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42095,B100000,00000,0800,00000MEALS SERVED :DIETARY 42095,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42095,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42095,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42095,E10A180,00550,0300,06/16/2000 42095,S000000,00100,0200,06/05/2000 42095,S200000,00100,0100,28210 OLD TOWNE ROAD 42095,S200000,00200,0100,CHISAGO CITY 42095,S200000,00200,0200,MN 42095,S200000,00200,0300,55013- 42095,S200000,00300,0100,CHISAGO 42095,S200000,00300,0200,5120 42095,S200000,00300,0300,U 42095,S200000,00400,0100,MARGARET S. PARMLY RESIDENCE 42095,S200000,00400,0200,245328 42095,S200000,00400,0300,07/01/1986 42095,S200000,00400,0500,P 42095,S200000,01500,0100,Y 42099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42099,A000000,00300,0000,00300EMPLOYEE BENEFITS 42099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42099,A000000,00700,0000,00700HOUSEKEEPING 42099,A000000,00800,0000,00800DIETARY 42099,A000000,00900,0000,00900NURSING ADMINISTRATION 42099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42099,A000000,01100,0000,01100PHARMACY 42099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42099,A000000,01300,0000,01300SOCIAL SERVICE 42099,A000000,01350,0000,01500OTHER GENERAL SERVICES 42099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42099,A000000,01600,0000,01600SKILLED NURSING FACILITY 42099,A000000,01800,0000,01800NURSING FACILITY 42099,A000000,01900,0000,01900OTHER LONG TERM CARE 42099,A000000,02100,0000,02100RADIOLOGY 42099,A000000,02200,0000,02200LABORATORY 42099,A000000,02300,0000,02300INTRAVENOUS THERAPY 42099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42099,A000000,02500,0000,02500PHYSICAL THERAPY 42099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42099,A000000,02700,0000,02700SPEECH PATHOLOGY 42099,A000000,02800,0000,02800ELECTROCARDIOLOGY 42099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42099,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42099,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42099,A000000,03200,0000,03200SUPPORT SURFACES 42099,A000000,03400,0000,03400CLINIC 42099,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42099,A000000,03500,0000,03500RURAL HEALTH CLINIC 42099,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42099,A000000,04800,0000,04800AMBULANCE 42099,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42099,A000000,05000,0000,05000CORF 42099,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42099,A000000,05300,0000,05300INTEREST EXPENSE 42099,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42099,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42099,A000000,05500,0000,05500HOSPICE 42099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42099,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42099,A000000,06100,0000,06100NONPAID WORKERS 42099,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42099,A000000,06200,0000,06200PATIENTS LAUNDRY 42099,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42099,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42099,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42099,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42099,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42099,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42099,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42099,B100000,00000,0800,00000RESIDENT MEALS :DIETARY 42099,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42099,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42099,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42099,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42099,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42099,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42099,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42099,E10A180,00501,0100,04/03/2000 42099,E10A180,00550,0300,04/03/2000 42099,S000000,00100,0200,02/23/2000 42099,S200000,00100,0100,611 LAKE STREET NE 42099,S200000,00200,0100,WARROAD 42099,S200000,00200,0200,MN 42099,S200000,00200,0300,56763- 42099,S200000,00300,0100,ROSEAU 42099,S200000,00400,0100,WARROAD CARE CENTER INC. 42099,S200000,00400,0200,245329 42099,S200000,00400,0300,08/01/1986 42099,S200000,00400,0500,P 42099,S200000,01500,0100,Y 42099,S200000,02800,0100,Y 42104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42104,A000000,00300,0000,00300EMPLOYEE BENEFITS 42104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42104,A000000,00700,0000,00700HOUSEKEEPING 42104,A000000,00800,0000,00800DIETARY 42104,A000000,00900,0000,00900NURSING ADMINISTRATION 42104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42104,A000000,01100,0000,01100PHARMACY 42104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42104,A000000,01300,0000,01300SOCIAL SERVICE 42104,A000000,01350,0000,01500OTHER GENERAL SERVICES 42104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42104,A000000,01600,0000,01600SKILLED NURSING FACILITY 42104,A000000,01800,0000,01800NURSING FACILITY 42104,A000000,01810,0000,01810ICF/MR 42104,A000000,01900,0000,01900OTHER LONG TERM CARE 42104,A000000,02100,0000,02100RADIOLOGY 42104,A000000,02200,0000,02200LABORATORY 42104,A000000,02300,0000,02300INTRAVENOUS THERAPY 42104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42104,A000000,02500,0000,02500PHYSICAL THERAPY 42104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42104,A000000,02700,0000,02700SPEECH PATHOLOGY 42104,A000000,02800,0000,02800ELECTROCARDIOLOGY 42104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42104,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42104,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42104,A000000,03200,0000,03200SUPPORT SURFACES 42104,A000000,03400,0000,03400CLINIC 42104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42104,A000000,03500,0000,03500RURAL HEALTH CLINIC 42104,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42104,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42104,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42104,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42104,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42104,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42104,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42104,A000000,04400,0000,04400DME RENTED - HHA 42104,A000000,04500,0000,04500DME SOLD - HHA 42104,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42104,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42104,A000000,04800,0000,04800AMBULANCE 42104,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42104,A000000,05000,0000,05000CORF 42104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42104,A000000,05300,0000,05300INTEREST EXPENSE 42104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42104,A000000,05500,0000,05500HOSPICE 42104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42104,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42104,A000000,06100,0000,06100NONPAID WORKERS 42104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42104,A000000,06200,0000,06200PATIENTS LAUNDRY 42104,A81000A,00100,0100,Y 42104,A81000B,00100,0300,PHYSICAL THERAPY 42104,A81000B,00200,0300,OCCUPATIONAL THERAPY 42104,A81000B,00300,0300,HHA ADMIN OFFICE RENT 42104,A81000B,00400,0300,NH OFFICE RENT 42104,A81000B,00500,0300,DRUGS AND SUPPLIES 42104,A81000B,00600,0300,DRUGS AND SUPPLIES 42104,A81000C,00100,0100,B 42104,A81000C,00100,0200,HOLLIS HELGESON 42104,A81000C,00100,0400,COUNTRY MANOR HEALTH MART 42104,A81000C,00100,0600,PHARMACY/DRUG STORE 42104,A81000C,00200,0100,B 42104,A81000C,00200,0200,HOLLIS HELGESON 42104,A81000C,00200,0400,PRESCRIPTION CENTER 42104,A81000C,00200,0600,PHARMACY/DRUG STORE 42104,A81000C,00300,0100,B 42104,A81000C,00300,0200,HOLLIS HELGESON 42104,A81000C,00300,0400,COUNTRY MANOR APARTMENTS 42104,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42104,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42104,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42104,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42104,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42104,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42104,B100000,00000,0800,00000MEALS SERVED :DIETARY 42104,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42104,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 42104,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42104,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42104,H510100,00000,0000,6980 42104,H510100,02400,0000,6980 42104,S000000,00100,0200,10/19/2000 42104,S200000,00100,0100,520 NE FIRST STREET 42104,S200000,00200,0100,SARTELL 42104,S200000,00200,0200,MN 42104,S200000,00200,0300,56377- 42104,S200000,00300,0100,BENTON 42104,S200000,00300,0200,6980 42104,S200000,00300,0300,U 42104,S200000,00400,0100,COUNTRY MANOR HEALTH CARE CENTER 42104,S200000,00400,0200,245330 42104,S200000,00400,0300,07/01/1986 42104,S200000,00400,0500,P 42104,S200000,00800,0200,247137 42104,S200000,00800,0300,05/03/1983 42104,S200000,00800,0500,P 42104,S200000,01500,0100,Y 42105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42105,A000000,00300,0000,00300EMPLOYEE BENEFITS 42105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42105,A000000,00700,0000,00700HOUSEKEEPING 42105,A000000,00800,0000,00800DIETARY 42105,A000000,00900,0000,00900NURSING ADMINISTRATION 42105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42105,A000000,01100,0000,01100PHARMACY 42105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42105,A000000,01300,0000,01300SOCIAL SERVICE 42105,A000000,01350,0000,01500OTHER GENERAL SERVICES 42105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42105,A000000,01600,0000,01600SKILLED NURSING FACILITY 42105,A000000,01800,0000,01800NURSING FACILITY 42105,A000000,01810,0000,01810ICF/MR 42105,A000000,01900,0000,01900OTHER LONG TERM CARE 42105,A000000,02100,0000,02100RADIOLOGY 42105,A000000,02200,0000,02200LABORATORY 42105,A000000,02300,0000,02300INTRAVENOUS THERAPY 42105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42105,A000000,02500,0000,02500PHYSICAL THERAPY 42105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42105,A000000,02700,0000,02700SPEECH PATHOLOGY 42105,A000000,02800,0000,02800ELECTROCARDIOLOGY 42105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42105,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42105,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42105,A000000,03200,0000,03200SUPPORT SURFACES 42105,A000000,03400,0000,03400CLINIC 42105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42105,A000000,03500,0000,03500RURAL HEALTH CLINIC 42105,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42105,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42105,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42105,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42105,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42105,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42105,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42105,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42105,A000000,04800,0000,04800AMBULANCE 42105,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42105,A000000,05000,0000,05000CORF 42105,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42105,A000000,05300,0000,05300INTEREST EXPENSE 42105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42105,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42105,A000000,05500,0000,05500HOSPICE 42105,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42105,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42105,A000000,06100,0000,06100NONPAID WORKERS 42105,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42105,A000000,06200,0000,06200PATIENTS LAUNDRY 42105,A81000A,00100,0100,Y 42105,A81000B,00100,0300,PHYSICAL THERAPY 42105,A81000B,00200,0300,OCCUPATIONAL THERAPY 42105,A81000B,00300,0300,HHA ADMIN OFFICE RENT 42105,A81000B,00400,0300,NH OFFICE RENT 42105,A81000B,00500,0300,DRUGS AND SUPPLIES 42105,A81000B,00600,0300,LTCF CORPORATE OFFICE 42105,A81000C,00100,0100,B 42105,A81000C,00100,0200,FOUNDATION FOR HEALTH CAR 42105,A81000C,00100,0400,COUNTRY MANOR HEALTH MART 42105,A81000C,00100,0600,PHARMACY/DRUG STORE 42105,A81000C,00200,0100,B 42105,A81000C,00200,0200,FOUNDATION FOR HEALTH CAR 42105,A81000C,00200,0400,PRESCRIPTION CENTER 42105,A81000C,00200,0600,PHARMACY/DRUG STORE 42105,A81000C,00300,0100,B 42105,A81000C,00300,0200,FOUNDATION FOR HEALTH CAR 42105,A81000C,00300,0400,COUNTRY MANOR APARTMENTS 42105,A81000C,00300,0600,APARTMENTS 42105,A81000C,00400,0100,B 42105,A81000C,00400,0200,LONG TERM CARE FOUNDATION 42105,A81000C,00400,0400,FOUNDATION FOR HEALTH CAR 42105,A81000C,00400,0600,CORPORATE OFFICE 42105,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42105,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42105,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42105,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42105,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42105,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42105,B100000,00000,0800,00000MEALS SERVED :DIETARY 42105,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42105,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 42105,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42105,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42105,E10A180,00501,0100,12/19/2000 42105,H510100,00000,0000,6980 42105,H510100,02400,0000,6980 42105,H710000,00550,0100,12/19/2000 42105,H710000,00550,0300,12/19/2000 42105,S000000,00100,0200,11/01/2000 42105,S200000,00100,0100,520 1ST ST NE 42105,S200000,00200,0100,SARTELL 42105,S200000,00200,0200,MN 42105,S200000,00200,0300,56377- 42105,S200000,00300,0100,BENTON 42105,S200000,00300,0200,6980 42105,S200000,00300,0300,U 42105,S200000,00400,0100,COUNTRY MANOR HEALTH CARE CENTER 42105,S200000,00400,0200,245330 42105,S200000,00400,0300,06/01/1989 42105,S200000,00400,0500,P 42105,S200000,00800,0200,247137 42105,S200000,00800,0300,05/03/1983 42105,S200000,00800,0500,P 42105,S200000,01500,0100,Y 42108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42108,A000000,00300,0000,00300EMPLOYEE BENEFITS 42108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42108,A000000,00700,0000,00700HOUSEKEEPING 42108,A000000,00800,0000,00800DIETARY 42108,A000000,00900,0000,00900NURSING ADMINISTRATION 42108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42108,A000000,01100,0000,01100PHARMACY 42108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42108,A000000,01300,0000,01300SOCIAL SERVICE 42108,A000000,01350,0000,01500OTHER GENERAL SERVICES 42108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42108,A000000,01600,0000,01600SKILLED NURSING FACILITY 42108,A000000,01800,0000,01800NURSING FACILITY 42108,A000000,01900,0000,01900OTHER LONG TERM CARE 42108,A000000,02100,0000,02100RADIOLOGY 42108,A000000,02200,0000,02200LABORATORY 42108,A000000,02300,0000,02300INTRAVENOUS THERAPY 42108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42108,A000000,02500,0000,02500PHYSICAL THERAPY 42108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42108,A000000,02700,0000,02700SPEECH PATHOLOGY 42108,A000000,02800,0000,02800ELECTROCARDIOLOGY 42108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42108,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42108,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42108,A000000,03200,0000,03200SUPPORT SURFACES 42108,A000000,03400,0000,03400CLINIC 42108,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42108,A000000,03500,0000,03500RURAL HEALTH CLINIC 42108,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42108,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42108,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42108,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42108,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42108,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42108,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42108,A000000,04400,0000,04400DME RENTED - HHA 42108,A000000,04500,0000,04500DME SOLD - HHA 42108,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42108,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42108,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42108,A000000,04800,0000,04800AMBULANCE 42108,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42108,A000000,05000,0000,05000CORF 42108,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42108,A000000,05300,0000,05300INTEREST EXPENSE 42108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42108,A000000,05500,0000,05500HOSPICE 42108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42108,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42108,A000000,06100,0000,06100NONPAID WORKERS 42108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42108,A000000,06200,0000,06200PATIENTS LAUNDRY 42108,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42108,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42108,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42108,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 42108,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42108,B100000,00000,0800,00000MEALS SERVED :DIETARY 42108,B100000,00000,0950,00000CENSUS DAYS :NURSING ADMINISTRATIO 42108,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42108,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42108,B100000,00000,1250,00000CENSUS DAYS :MEDICAL RECORDS & LIB 42108,B100000,00000,1330,00000CENSUS DAYS :SOCIAL SERVICE 42108,B100000,00000,1350,00000CENSUS DAYS :OTHER GENERAL SERVICE 42108,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 42108,S000000,00100,0200,06/29/1999 42108,S200000,00100,0100,200 SOUTH TENTH STREET 42108,S200000,00200,0100,FAIRFAX 42108,S200000,00200,0200,MN 42108,S200000,00200,0300,55332- 42108,S200000,00300,0100,RENVILLE 42108,S200000,00400,0100,FAIRFAX COMMUNITY HOME INC. 42108,S200000,00400,0200,245333 42108,S200000,00400,0300,05/03/1985 42108,S200000,00400,0500,P 42108,S200000,01500,0100,Y 42108,S700003,00000,0100,1 42109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42109,A000000,00300,0000,00300EMPLOYEE BENEFITS 42109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42109,A000000,00700,0000,00700HOUSEKEEPING 42109,A000000,00800,0000,00800DIETARY 42109,A000000,00900,0000,00900NURSING ADMINISTRATION 42109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42109,A000000,01100,0000,01100PHARMACY 42109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42109,A000000,01300,0000,01300SOCIAL SERVICE 42109,A000000,01350,0000,01500OTHER GENERAL SERVICES 42109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42109,A000000,01600,0000,01600SKILLED NURSING FACILITY 42109,A000000,01800,0000,01800NURSING FACILITY 42109,A000000,01810,0000,01810ICF/MR 42109,A000000,01900,0000,01900OTHER LONG TERM CARE 42109,A000000,02100,0000,02100RADIOLOGY 42109,A000000,02200,0000,02200LABORATORY 42109,A000000,02300,0000,02300INTRAVENOUS THERAPY 42109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42109,A000000,02500,0000,02500PHYSICAL THERAPY 42109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42109,A000000,02700,0000,02700SPEECH PATHOLOGY 42109,A000000,02800,0000,02800ELECTROCARDIOLOGY 42109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42109,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42109,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42109,A000000,03200,0000,03200SUPPORT SURFACES 42109,A000000,03400,0000,03400CLINIC 42109,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42109,A000000,03500,0000,03500RURAL HEALTH CLINIC 42109,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42109,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42109,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42109,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42109,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42109,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42109,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42109,A000000,04400,0000,04400DME RENTED - HHA 42109,A000000,04500,0000,04500DME SOLD - HHA 42109,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42109,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42109,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42109,A000000,04800,0000,04800AMBULANCE 42109,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42109,A000000,05000,0000,05000CORF 42109,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42109,A000000,05300,0000,05300INTEREST EXPENSE 42109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42109,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42109,A000000,05500,0000,05500HOSPICE 42109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42109,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42109,A000000,06100,0000,06100NONPAID WORKERS 42109,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42109,A000000,06200,0000,06200PATIENTS LAUNDRY 42109,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42109,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42109,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42109,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42109,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42109,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42109,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42109,B100000,00000,0800,00000MEALS SERVED :DIETARY 42109,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42109,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42109,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42109,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42109,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42109,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42109,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42109,S000000,00100,0200,06/10/2000 42109,S200000,00100,0100,200 SOUTH TENTH STREET 42109,S200000,00200,0100,FAIRFAX 42109,S200000,00200,0200,MN 42109,S200000,00200,0300,55332- 42109,S200000,00300,0100,RENVILLE 42109,S200000,00400,0100,FAIRFAX COMMUNITY HOME INC. 42109,S200000,00400,0200,245333 42109,S200000,00400,0300,05/03/1985 42109,S200000,00400,0500,P 42109,S200000,01004,0500,O 42109,S200000,01500,0100,Y 42114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42114,A000000,00101,0000,00101CAP REL COSTS - KNUTSON PLACE 42114,A000000,00102,0000,00102CAP REL COSTS - COMMON AREAS 42114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42114,A000000,00300,0000,00300EMPLOYEE BENEFITS 42114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42114,A000000,00700,0000,00700HOUSEKEEPING 42114,A000000,00800,0000,00800DIETARY 42114,A000000,00900,0000,00900NURSING ADMINISTRATION 42114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42114,A000000,01300,0000,01300SOCIAL SERVICE 42114,A000000,01301,0000,01301ACTIVITIES 42114,A000000,01600,0000,01600SKILLED NURSING FACILITY 42114,A000000,02100,0000,02100RADIOLOGY 42114,A000000,02200,0000,02200LABORATORY 42114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42114,A000000,02500,0000,02500PHYSICAL THERAPY 42114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42114,A000000,02700,0000,02700SPEECH PATHOLOGY 42114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42114,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42114,A000000,05300,0000,05300INTEREST EXPENSE 42114,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42114,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42114,A000000,06151,0000,06301KNUTSON PLACE 42114,A000000,06152,0000,06302DAY CARE 42114,A000000,06153,0000,06303CONDO MANAGER 42114,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42114,B100000,00000,0101,00003SQUARE FEET :CAP REL COSTS - KNUTS 42114,B100000,00000,0102,00003SQUARE FEET :CAP REL COSTS - COMMO 42114,B100000,00000,0200,00003DOLLAR VALUE :CAP REL COSTS - MOVA 42114,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42114,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42114,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42114,B100000,00000,0650,00003RESIDENT DAYS :LAUNDRY & LINEN SER 42114,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42114,B100000,00000,0800,00003MEALS SERVED :DIETARY 42114,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42114,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42114,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42114,B100000,00000,1331,00003RESIDENT DAYS :ACTIVITIES 42114,E10A180,00501,0300,04/10/2000 42114,E10A180,00550,0100,04/10/2000 42114,S000000,00100,0200,02/23/2000 42114,S200000,00100,0100,901 LUTHER PLACE 42114,S200000,00200,0100,ALBERT LEA 42114,S200000,00200,0200,MN 42114,S200000,00200,0300,56007- 42114,S200000,00300,0100,FREEBORN 42114,S200000,00400,0100,ST. JOHNS LUTHERAN HOME 42114,S200000,00400,0200,245338 42114,S200000,00400,0300,08/01/1986 42114,S200000,00400,0500,P 42114,S200000,01500,0100,Y 42120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42120,A000000,00300,0000,00300EMPLOYEE BENEFITS 42120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42120,A000000,00700,0000,00700HOUSEKEEPING 42120,A000000,00800,0000,00800DIETARY 42120,A000000,00900,0000,00900NURSING ADMINISTRATION 42120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42120,A000000,01100,0000,01100PHARMACY 42120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42120,A000000,01300,0000,01300SOCIAL SERVICE 42120,A000000,01350,0000,01500OTHER GENERAL SERVICES 42120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42120,A000000,01600,0000,01600SKILLED NURSING FACILITY 42120,A000000,01800,0000,01800NURSING FACILITY 42120,A000000,01810,0000,01801ICF/MR 42120,A000000,01900,0000,01900OTHER LONG TERM CARE 42120,A000000,02100,0000,02100RADIOLOGY 42120,A000000,02200,0000,02200LABORATORY 42120,A000000,02300,0000,02300INTRAVENOUS THERAPY 42120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42120,A000000,02500,0000,02500PHYSICAL THERAPY 42120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42120,A000000,02700,0000,02700SPEECH PATHOLOGY 42120,A000000,02800,0000,02800ELECTROCARDIOLOGY 42120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42120,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42120,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42120,A000000,03200,0000,03200SUPPORT SURFACES 42120,A000000,03400,0000,03400CLINIC 42120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42120,A000000,03500,0000,03500RURAL HEALTH CLINIC 42120,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42120,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42120,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42120,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42120,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42120,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42120,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42120,A000000,04400,0000,04400DME RENTED - HHA 42120,A000000,04500,0000,04500DME SOLD - HHA 42120,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42120,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42120,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42120,A000000,04800,0000,04800AMBULANCE 42120,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42120,A000000,05000,0000,05000CORF 42120,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42120,A000000,05300,0000,05300INTEREST EXPENSE 42120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42120,A000000,05500,0000,05500HOSPICE 42120,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42120,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42120,A000000,06100,0000,06100NONPAID WORKERS 42120,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42120,A000000,06200,0000,06200PATIENTS LAUNDRY 42120,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42120,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42120,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42120,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42120,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42120,B100000,00000,0750,00000RESIDENT DAYS :HOUSEKEEPING 42120,B100000,00000,0800,00000MEALS SERVED :DIETARY 42120,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42120,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42120,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42120,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42120,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42120,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42120,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42120,E10A180,00550,0300,04/04/2000 42120,S000000,00100,0200,02/28/2000 42120,S200000,00100,0100,320 CHURCH STREET 42120,S200000,00200,0100,ALBANY 42120,S200000,00200,0200,MN 42120,S200000,00200,0300,56307- 42120,S200000,00300,0100,STEARNS 42120,S200000,00400,0100,MOTHER OF MERCY NURSING HOME 42120,S200000,00400,0200,245339 42120,S200000,00400,0300,07/01/1986 42120,S200000,00400,0500,P 42120,S200000,01500,0100,Y 42129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42129,A000000,00300,0000,00300EMPLOYEE BENEFITS 42129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42129,A000000,00700,0000,00700HOUSEKEEPING 42129,A000000,00800,0000,00800DIETARY 42129,A000000,00900,0000,00900NURSING ADMINISTRATION 42129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42129,A000000,01100,0000,01100PHARMACY 42129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42129,A000000,01300,0000,01300SOCIAL SERVICE 42129,A000000,01350,0000,01500OTHER GENERAL SERVICES 42129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42129,A000000,01600,0000,01600SKILLED NURSING FACILITY 42129,A000000,01800,0000,01800NURSING FACILITY 42129,A000000,01810,0000,01810ICF/MR 42129,A000000,01900,0000,01900OTHER LONG TERM CARE 42129,A000000,02100,0000,02100RADIOLOGY 42129,A000000,02200,0000,02200LABORATORY 42129,A000000,02300,0000,02300INTRAVENOUS THERAPY 42129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42129,A000000,02500,0000,02500PHYSICAL THERAPY 42129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42129,A000000,02700,0000,02700SPEECH PATHOLOGY 42129,A000000,02800,0000,02800ELECTROCARDIOLOGY 42129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42129,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42129,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42129,A000000,03200,0000,03200SUPPORT SURFACES 42129,A000000,03400,0000,03400CLINIC 42129,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42129,A000000,03500,0000,03500RURAL HEALTH CLINIC 42129,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42129,A000000,04800,0000,04800AMBULANCE 42129,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42129,A000000,05000,0000,05000CORF 42129,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42129,A000000,05300,0000,05300INTEREST EXPENSE 42129,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42129,A000000,05500,0000,05500HOSPICE 42129,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42129,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42129,A000000,06100,0000,06100NONPAID WORKERS 42129,A000000,06150,0000,06300ASSISTED LIVING FACILITY 42129,A000000,06151,0000,06301GIFT SHOP EXPENSE 42129,A000000,06200,0000,06200PATIENTS LAUNDRY 42129,A81000A,00100,0100,Y 42129,A81000B,00100,0300,MANAGEMENT SERVICES 42129,A81000C,00100,0100,E 42129,A81000C,00100,0400,MN MASONIC MGMT SERVICES 42129,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42129,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42129,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42129,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42129,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42129,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42129,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42129,B100000,00000,0800,00001MEALS SERVED :DIETARY 42129,B100000,00000,0950,00001PRODUCTIVE E HO :NURSING ADMINISTRA 42129,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42129,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42129,E10A180,00550,0300,06/21/2000 42129,S000000,00100,0200,06/05/2000 42129,S200000,00100,0100,1140 NORMANDALE BOULEVARD 42129,S200000,00200,0100,BLOOMINGTON 42129,S200000,00200,0200,MN 42129,S200000,00200,0300,55437-3699 42129,S200000,00300,0100,HENNEPIN 42129,S200000,00300,0200,5120 42129,S200000,00300,0300,U 42129,S200000,00400,0100,MINNESOTA MASONIC HOME CARE CENTER 42129,S200000,00400,0200,245343 42129,S200000,00400,0300,09/01/1986 42129,S200000,00400,0500,P 42129,S200000,01600,0100,Y 42129,S200000,02800,0100,Y 42133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42133,A000000,00300,0000,00300EMPLOYEE BENEFITS 42133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42133,A000000,00700,0000,00700HOUSEKEEPING 42133,A000000,00800,0000,00800DIETARY 42133,A000000,00900,0000,00900NURSING ADMINISTRATION 42133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42133,A000000,01100,0000,01100PHARMACY 42133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42133,A000000,01300,0000,01300SOCIAL SERVICE 42133,A000000,01350,0000,01500OTHER GENERAL SERVICES 42133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42133,A000000,01600,0000,01600SKILLED NURSING FACILITY 42133,A000000,01800,0000,01800NURSING FACILITY 42133,A000000,01810,0000,01810ICF/MR 42133,A000000,01900,0000,01900OTHER LONG TERM CARE 42133,A000000,02100,0000,02100RADIOLOGY 42133,A000000,02200,0000,02200LABORATORY 42133,A000000,02300,0000,02300INTRAVENOUS THERAPY 42133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42133,A000000,02500,0000,02500PHYSICAL THERAPY 42133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42133,A000000,02700,0000,02700SPEECH PATHOLOGY 42133,A000000,02800,0000,02800ELECTROCARDIOLOGY 42133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42133,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42133,A000000,03200,0000,03200SUPPORT SURFACES 42133,A000000,03400,0000,03400CLINIC 42133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42133,A000000,03500,0000,03500RURAL HEALTH CLINIC 42133,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42133,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42133,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42133,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42133,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42133,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42133,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42133,A000000,04400,0000,04400DME RENTED - HHA 42133,A000000,04500,0000,04500DME SOLD - HHA 42133,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42133,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42133,A000000,04800,0000,04800AMBULANCE 42133,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42133,A000000,05000,0000,05000CORF 42133,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42133,A000000,05300,0000,05300INTEREST EXPENSE 42133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42133,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42133,A000000,05500,0000,05500HOSPICE 42133,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42133,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42133,A000000,06100,0000,06100NONPAID WORKERS 42133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42133,A000000,06200,0000,06200PATIENTS LAUNDRY 42133,A81000A,00100,0100,Y 42133,A81000B,00100,0300,COUNTY ALLOCATION/MGMT FEE 42133,A81000C,00100,0100,B 42133,A81000C,00100,0400,DODGE COUNTY 42133,A81000C,00100,0600,GOVERNMENTAL UNIT 42133,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42133,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42133,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42133,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42133,B100000,00000,0550,00000RESIDENT DAYS :PLANT OPERATION MA 42133,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42133,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42133,B100000,00000,0800,00000MEALS SERVED :DIETARY 42133,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42133,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42133,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42133,E10A180,00550,0300,06/16/2000 42133,S000000,00100,0200,06/02/2000 42133,S200000,00100,0100,HIGHWAY 14 WEST 42133,S200000,00100,0300,10 42133,S200000,00200,0100,DODGE CENTER 42133,S200000,00200,0200,MN 42133,S200000,00200,0300,55927- 42133,S200000,00300,0100,DODGE 42133,S200000,00300,0200,24 42133,S200000,00300,0300,R 42133,S200000,00400,0100,FAIRVIEW NURSING HOME 42133,S200000,00400,0200,245344 42133,S200000,00400,0300,10/01/1986 42133,S200000,00400,0500,P 42133,S200000,01500,0100,Y 42139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42139,A000000,00300,0000,00300EMPLOYEE BENEFITS 42139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42139,A000000,00700,0000,00700HOUSEKEEPING 42139,A000000,00800,0000,00800DIETARY 42139,A000000,00900,0000,00900NURSING ADMINISTRATION 42139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42139,A000000,01100,0000,01100PHARMACY 42139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42139,A000000,01300,0000,01300SOCIAL SERVICE 42139,A000000,01350,0000,01500OTHER GENERAL SERVICES 42139,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42139,A000000,01600,0000,01600SKILLED NURSING FACILITY 42139,A000000,01800,0000,01800NURSING FACILITY 42139,A000000,01900,0000,01900OTHER LONG TERM CARE 42139,A000000,02100,0000,02100RADIOLOGY 42139,A000000,02200,0000,02200LABORATORY 42139,A000000,02300,0000,02300INTRAVENOUS THERAPY 42139,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42139,A000000,02500,0000,02500PHYSICAL THERAPY 42139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42139,A000000,02700,0000,02700SPEECH PATHOLOGY 42139,A000000,02800,0000,02800ELECTROCARDIOLOGY 42139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42139,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42139,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42139,A000000,03200,0000,03200SUPPORT SURFACES 42139,A000000,03400,0000,03400CLINIC 42139,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42139,A000000,03500,0000,03500RURAL HEALTH CLINIC 42139,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42139,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42139,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42139,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42139,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42139,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42139,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42139,A000000,04400,0000,04400DME RENTED - HHA 42139,A000000,04500,0000,04500DME SOLD - HHA 42139,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42139,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42139,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42139,A000000,04800,0000,04800AMBULANCE 42139,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42139,A000000,05000,0000,05000CORF 42139,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42139,A000000,05300,0000,05300INTEREST EXPENSE 42139,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42139,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42139,A000000,05500,0000,05500HOSPICE 42139,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42139,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42139,A000000,06100,0000,06100NONPAID WORKERS 42139,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42139,A000000,06200,0000,06200PATIENTS LAUNDRY 42139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42139,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42139,B100000,00000,0800,00000MEALS SERVED :DIETARY 42139,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42139,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42139,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42139,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42139,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42139,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42139,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42139,S000000,00100,0200,06/02/2000 42139,S200000,00100,0100,800 2ND AVENUE NW 42139,S200000,00200,0100,PLAINVIEW 42139,S200000,00200,0200,MN 42139,S200000,00200,0300,55964- 42139,S200000,00300,0100,WABASHA 42139,S200000,00400,0100,HILLCREST COMMUNITY CARE CENTER 42139,S200000,00400,0200,245345 42139,S200000,00400,0300,09/01/1986 42139,S200000,00400,0500,P 42139,S200000,01500,0100,Y 42139,S700003,00000,0100,1 42141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42141,A000000,00300,0000,00300EMPLOYEE BENEFITS 42141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42141,A000000,00700,0000,00700HOUSEKEEPING 42141,A000000,00800,0000,00800DIETARY 42141,A000000,00900,0000,00900NURSING ADMINISTRATION 42141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42141,A000000,01100,0000,01100PHARMACY 42141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42141,A000000,01300,0000,01300SOCIAL SERVICE 42141,A000000,01350,0000,01500OTHER GENERAL SERVICES 42141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42141,A000000,01600,0000,01600SKILLED NURSING FACILITY 42141,A000000,01800,0000,01800NURSING FACILITY 42141,A000000,01900,0000,01900OTHER LONG TERM CARE 42141,A000000,02100,0000,02100RADIOLOGY 42141,A000000,02200,0000,02200LABORATORY 42141,A000000,02300,0000,02300INTRAVENOUS THERAPY 42141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42141,A000000,02500,0000,02500PHYSICAL THERAPY 42141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42141,A000000,02700,0000,02700SPEECH PATHOLOGY 42141,A000000,02800,0000,02800ELECTROCARDIOLOGY 42141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42141,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42141,A000000,03200,0000,03200SUPPORT SURFACES 42141,A000000,03400,0000,03400CLINIC 42141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42141,A000000,03500,0000,03500RURAL HEALTH CLINIC 42141,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42141,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42141,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42141,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42141,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42141,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42141,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42141,A000000,04400,0000,04400DME RENTED - HHA 42141,A000000,04500,0000,04500DME SOLD - HHA 42141,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42141,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42141,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42141,A000000,04800,0000,04800AMBULANCE 42141,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42141,A000000,05000,0000,05000CORF 42141,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42141,A000000,05300,0000,05300INTEREST EXPENSE 42141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42141,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42141,A000000,05500,0000,05500HOSPICE 42141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42141,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42141,A000000,06100,0000,06100NONPAID WORKERS 42141,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42141,A000000,06200,0000,06200PATIENTS LAUNDRY 42141,A81000A,00100,0100,Y 42141,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 42141,A81000B,00300,0300,CENTRAL OFFICE-BHD-MGMT FEES 42141,A81000B,00400,0300,NURSE CONSULTING 42141,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 42141,A81000B,00600,0300,COMPUTER USER FEES 42141,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 42141,A81000B,00800,0300,CENTRAL OFFICE-BHS-MGMT FEES 42141,A81000C,00100,0100,G 42141,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42141,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 42141,A81000C,00100,0600,MANAGEMENT SERVICES 42141,A81000C,00200,0100,G 42141,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 42141,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 42141,A81000C,00200,0600,MANAGEMENT SERVICES 42141,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42141,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42141,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42141,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42141,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42141,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42141,B100000,00000,0800,00000MEALS SERVED :DIETARY 42141,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42141,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42141,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42141,S000000,00100,0200,07/21/2000 42141,S200000,00100,0100,800 2ND AVE N.W. 42141,S200000,00200,0100,PLAINVIEW 42141,S200000,00200,0200,MN 42141,S200000,00200,0300,55964-1097 42141,S200000,00300,0100,WABASHA 42141,S200000,00300,0200,24 42141,S200000,00300,0300,R 42141,S200000,00400,0100,HILLCREST COMMUNITY CARE CENTER 42141,S200000,00400,0200,245345 42141,S200000,00400,0300,09/01/1986 42141,S200000,00400,0500,P 42141,S200000,01004,0500,O 42141,S200000,01500,0100,Y 42144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42144,A000000,00300,0000,00300EMPLOYEE BENEFITS 42144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42144,A000000,00700,0000,00700HOUSEKEEPING 42144,A000000,00800,0000,00800DIETARY 42144,A000000,00900,0000,00900NURSING ADMINISTRATION 42144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42144,A000000,01300,0000,01300SOCIAL SERVICE 42144,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42144,A000000,01600,0000,01600SKILLED NURSING FACILITY 42144,A000000,02100,0000,02100RADIOLOGY 42144,A000000,02200,0000,02200LABORATORY 42144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42144,A000000,02500,0000,02500PHYSICAL THERAPY 42144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42144,A000000,02700,0000,02700SPEECH PATHOLOGY 42144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42144,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42144,A000000,06151,0000,06301APARTMENTS 42144,A000000,06152,0000,06302FOUNDATION 42144,A81000A,00100,0100,Y 42144,A81000B,00100,0300,APARTMENT EXPENSES 42144,A81000B,00200,0300,FOUNDATION EXPENSES 42144,A81000C,00100,0100,G 42144,A81000C,00100,0400,LUTHERAN MANOR 42144,A81000C,00100,0600,SENIOR APARTMENTS 42144,A81000C,00200,0100,G 42144,A81000C,00200,0400,LUTH RET HM DONATORY CORP 42144,A81000C,00200,0600,FUNDRAISING 42144,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42144,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42144,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42144,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42144,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42144,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 42144,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42144,B100000,00000,0800,00002MEALS SERVED :DIETARY 42144,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42144,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42144,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42144,B100000,00000,1331,00002RESIDENT DAYS :ACTIVITIES AND CHAP 42144,S000000,00100,0200,02/02/2000 42144,S200000,00100,0100,400 NORTH FOURTH AVENUE EAST 42144,S200000,00200,0100,TRUMAN 42144,S200000,00200,0200,MN 42144,S200000,00200,0300,56088- 42144,S200000,00300,0100,MARTIN 42144,S200000,00400,0100,LUTHERAN RETIREMENT HOME OF SO. MN 42144,S200000,00400,0200,245346 42144,S200000,00400,0300,10/01/1986 42144,S200000,00400,0500,P 42144,S200000,01500,0100,Y 42148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42148,A000000,00300,0000,00300EMPLOYEE BENEFITS 42148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42148,A000000,00700,0000,00700HOUSEKEEPING 42148,A000000,00800,0000,00800DIETARY 42148,A000000,00900,0000,00900NURSING ADMINISTRATION 42148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42148,A000000,01100,0000,01100PHARMACY 42148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42148,A000000,01300,0000,01300SOCIAL SERVICE 42148,A000000,01350,0000,01500OTHER GENERAL SERVICES 42148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42148,A000000,01600,0000,01600SKILLED NURSING FACILITY 42148,A000000,01800,0000,01800NURSING FACILITY 42148,A000000,01900,0000,01900OTHER LONG TERM CARE 42148,A000000,02100,0000,02100RADIOLOGY 42148,A000000,02200,0000,02200LABORATORY 42148,A000000,02300,0000,02300INTRAVENOUS THERAPY 42148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42148,A000000,02500,0000,02500PHYSICAL THERAPY 42148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42148,A000000,02700,0000,02700SPEECH PATHOLOGY 42148,A000000,02800,0000,02800ELECTROCARDIOLOGY 42148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42148,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42148,A000000,03200,0000,03200SUPPORT SURFACES 42148,A000000,03400,0000,03400CLINIC 42148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42148,A000000,03500,0000,03500RURAL HEALTH CLINIC 42148,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42148,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42148,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42148,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42148,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42148,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42148,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42148,A000000,04400,0000,04400DME RENTED - HHA 42148,A000000,04500,0000,04500DME SOLD - HHA 42148,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42148,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42148,A000000,04800,0000,04800AMBULANCE 42148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42148,A000000,05000,0000,05000CORF 42148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42148,A000000,05300,0000,05300INTEREST EXPENSE 42148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42148,A000000,05500,0000,05500HOSPICE 42148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42148,A000000,06100,0000,06100NONPAID WORKERS 42148,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42148,A000000,06200,0000,06200PATIENTS LAUNDRY 42148,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42148,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42148,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42148,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42148,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42148,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42148,B100000,00000,0800,00000MEALS SERVED :DIETARY 42148,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42148,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 42148,B100000,00000,1150,00000RESIDENT DAYS :PHARMACY 42148,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42148,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42148,S000000,00100,0200,06/03/2000 42148,S200000,00100,0100,1415 ALMOND AVENUE 42148,S200000,00200,0100,ST. PAUL 42148,S200000,00200,0200,MN 42148,S200000,00200,0300,55108-2595 42148,S200000,00300,0100,RAMSEY 42148,S200000,00300,0200,5120 42148,S200000,00300,0300,U 42148,S200000,00400,0100,LYNGBLOMSTEN CARE CENTER 42148,S200000,00400,0200,245347 42148,S200000,00400,0300,09/01/1986 42148,S200000,00400,0500,P 42148,S200000,01004,0500,O 42148,S200000,01500,0100,Y 42153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42153,A000000,00300,0000,00300EMPLOYEE BENEFITS 42153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42153,A000000,00700,0000,00700HOUSEKEEPING 42153,A000000,00800,0000,00800DIETARY 42153,A000000,00900,0000,00900NURSING ADMINISTRATION 42153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42153,A000000,01300,0000,01300SOCIAL SERVICE 42153,A000000,01301,0000,01301ACTIVITIES 42153,A000000,01600,0000,01600SKILLED NURSING FACILITY 42153,A000000,02100,0000,02100RADIOLOGY 42153,A000000,02200,0000,02200LABORATORY 42153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42153,A000000,02500,0000,02500PHYSICAL THERAPY 42153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42153,A000000,02700,0000,02700SPEECH PATHOLOGY 42153,A000000,02800,0000,02800ELECTROCARDIOLOGY 42153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42153,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42153,A000000,06150,0000,06300UNREMIBURSABLE COST CENTER 42153,A000000,06151,0000,06301MEALS ON WHEELS 42153,A000000,06152,0000,06302ROOT RIVER ESTATES ALU 42153,A000000,06153,0000,06303STEWARTVILLA SENIOR HOUSING 42153,A000000,06154,0000,06304HOME CARE SERVICES 42153,A000000,06155,0000,06305IDLE SPACE 42153,A81000A,00100,0100,Y 42153,A81000B,00100,0300,OPERATING EXPENSES 42153,A81000B,00200,0300,SENIOR HOUSING BENEFITS 42153,A81000B,00300,0300,SENIOR HOUSING ADMIN COSTS 42153,A81000B,00400,0300,OPERATING EXPENSES 42153,A81000B,00500,0300,RRE ADMIN COSTS 42153,A81000B,00600,0300,RRE DIETARY COSTS 42153,A81000B,00700,0300,RRE BENEFITS 42153,A81000B,00800,0300,HOME CARE OPERATING COSTS 42153,A81000B,00900,0300,HOME CARE ADMIN COSTS 42153,A81000C,00100,0100,C 42153,A81000C,00100,0400,ROOT RIVER ESTATES 42153,A81000C,00100,0600,ASSISSTED LIVING UNITS 42153,A81000C,00200,0100,C 42153,A81000C,00200,0400,STEWARTVILLA SENIOR HOUSI 42153,A81000C,00200,0600,SENIOR HOUSING 42153,A81000C,00300,0100,C 42153,A81000C,00300,0400,STEWARTVILLE HOME CARE 42153,A81000C,00300,0600,HOME SERVICES 42153,B100000,00000,0100,00005SQUARE FEET :CAP REL COSTS - BLDGS 42153,B100000,00000,0250,00005SQUARE FEET :CAP REL COSTS - MOVAB 42153,B100000,00000,0300,00005GROSS SALARIES :EMPLOYEE BENEFITS 42153,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 42153,B100000,00000,0500,00005SQUARE FEET :PLANT OPERATION MAIN 42153,B100000,00000,0650,00005RESIDENT DAYS :LAUNDRY & LINEN SER 42153,B100000,00000,0750,00005SQUARE FEET :HOUSEKEEPING 42153,B100000,00000,0800,00005MEALS SERVED :DIETARY 42153,B100000,00000,0950,00005RESIDENT DAYS :NURSING ADMINISTRAT 42153,B100000,00000,1250,00005RESIDENT DAYS :MEDICAL RECORDS & L 42153,B100000,00000,1300,00005TIME SPENT :SOCIAL SERVICE 42153,B100000,00000,1331,00005RESIDENT DAYS :ACTIVITIES 42153,S000000,00100,0200,11/29/1999 42153,S200000,00100,0100,120 4TH STREET SE 42153,S200000,00200,0100,STEWARTVILLE 42153,S200000,00200,0200,MN 42153,S200000,00200,0300,55976- 42153,S200000,00300,0100,OLMSTEAD 42153,S200000,00400,0100,STEWARTVILLE CARE CENTER 42153,S200000,00400,0200,245349 42153,S200000,00400,0300,09/01/1986 42153,S200000,00400,0500,P 42153,S200000,01500,0100,Y 42153,S700003,00000,0100,1 42155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42155,A000000,00300,0000,00300EMPLOYEE BENEFITS 42155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42155,A000000,00700,0000,00700HOUSEKEEPING 42155,A000000,00800,0000,00800DIETARY 42155,A000000,00900,0000,00900NURSING ADMINISTRATION 42155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42155,A000000,01300,0000,01300SOCIAL SERVICE 42155,A000000,01301,0000,01301ACTIVITIES 42155,A000000,01600,0000,01600SKILLED NURSING FACILITY 42155,A000000,02100,0000,02100RADIOLOGY 42155,A000000,02200,0000,02200LABORATORY 42155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42155,A000000,02500,0000,02500PHYSICAL THERAPY 42155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42155,A000000,02700,0000,02700SPEECH PATHOLOGY 42155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42155,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42155,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42155,A000000,06150,0000,06300IDLE SPACE 42155,A000000,06151,0000,06301MEALS ON WHEELS 42155,A000000,06152,0000,06302ROOT RIVER ESTATES ALU 42155,A000000,06153,0000,06303STEWARTVILLA SENIOR HOUSING 42155,A000000,06154,0000,06304HOME CARE SERVICES 42155,A81000A,00100,0100,Y 42155,A81000B,00100,0300,OPERATING EXPENSES 42155,A81000B,00200,0300,SENIOR HOUSING BENEFITS 42155,A81000B,00300,0300,SENIOR HOUSING ADMIN COSTS 42155,A81000B,00400,0300,OPERATING EXPENSES 42155,A81000B,00500,0300,RRE ADMIN COSTS 42155,A81000B,00600,0300,RRE DIETARY COSTS 42155,A81000B,00700,0300,RRE BENEFITS 42155,A81000B,00800,0300,OPERATING EXPENSES 42155,A81000B,00900,0300,HOME CARE ADMIN COSTS 42155,A81000C,00100,0100,C 42155,A81000C,00100,0400,ROOT RIVER ESTATES 42155,A81000C,00100,0600,ASSISTED LIVING UNITS 42155,A81000C,00200,0100,C 42155,A81000C,00200,0400,STEWARTVILLA SENIOR HOUSI 42155,A81000C,00200,0600,SENIOR HOUSING 42155,A81000C,00300,0100,C 42155,A81000C,00300,0400,STEWARTVILLE HOME CARE 42155,A81000C,00300,0600,HOME SERVICES 42155,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42155,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 42155,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42155,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42155,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42155,B100000,00000,0650,00004RESIDENT DAYS :LAUNDRY & LINEN SER 42155,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42155,B100000,00000,0800,00004MEALS SERVED :DIETARY 42155,B100000,00000,0950,00004RESIDENT DAYS :NURSING ADMINISTRAT 42155,B100000,00000,1250,00004RESIDENT DAYS :MEDICAL RECORDS & L 42155,B100000,00000,1300,00004TIME SPENT :SOCIAL SERVICE 42155,B100000,00000,1331,00004RESIDENT DAYS :ACTIVITIES 42155,S000000,00100,0200,09/28/2000 42155,S200000,00100,0100,120 4TH STREET SE 42155,S200000,00200,0100,STEWARTVILLE 42155,S200000,00200,0200,MN 42155,S200000,00200,0300,55976- 42155,S200000,00300,0100,OLMSTEAD 42155,S200000,00300,0200,6820 42155,S200000,00300,0300,U 42155,S200000,00400,0100,STEWARTVILLE CARE CENTER 42155,S200000,00400,0200,245349 42155,S200000,00400,0300,09/01/1986 42155,S200000,00400,0500,P 42155,S200000,01500,0100,Y 42160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42160,A000000,00300,0000,00300EMPLOYEE BENEFITS 42160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42160,A000000,00700,0000,00700HOUSEKEEPING 42160,A000000,00800,0000,00800DIETARY 42160,A000000,00900,0000,00900NURSING ADMINISTRATION 42160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42160,A000000,01100,0000,01100PHARMACY 42160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42160,A000000,01300,0000,01300SOCIAL SERVICE 42160,A000000,01350,0000,01500OTHER GENERAL SERVICES 42160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42160,A000000,01600,0000,01600SKILLED NURSING FACILITY 42160,A000000,01800,0000,01800NURSING FACILITY 42160,A000000,01810,0000,01801ICF/MR 42160,A000000,01900,0000,01900OTHER LONG TERM CARE 42160,A000000,02100,0000,02100RADIOLOGY 42160,A000000,02200,0000,02200LABORATORY 42160,A000000,02300,0000,02300INTRAVENOUS THERAPY 42160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42160,A000000,02500,0000,02500PHYSICAL THERAPY 42160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42160,A000000,02700,0000,02700SPEECH PATHOLOGY 42160,A000000,02800,0000,02800ELECTROCARDIOLOGY 42160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42160,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42160,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42160,A000000,03200,0000,03200SUPPORT SURFACES 42160,A000000,03400,0000,03400CLINIC 42160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42160,A000000,03500,0000,03500RURAL HEALTH CLINIC 42160,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42160,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42160,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42160,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42160,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42160,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42160,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42160,A000000,04400,0000,04400DME RENTED - HHA 42160,A000000,04500,0000,04500DME SOLD - HHA 42160,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42160,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42160,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42160,A000000,04800,0000,04800AMBULANCE 42160,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42160,A000000,05000,0000,05000CORF 42160,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42160,A000000,05300,0000,05300INTEREST EXPENSE 42160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42160,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42160,A000000,05500,0000,05500HOSPICE 42160,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42160,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42160,A000000,06100,0000,06100NONPAID WORKERS 42160,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42160,A000000,06200,0000,06200PATIENTS LAUNDRY 42160,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42160,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42160,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42160,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42160,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42160,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42160,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42160,B100000,00000,0800,00000MEALS SERVED :DIETARY 42160,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42160,B100000,00000,1000,00000COST REQ :CENTRAL SERVICES & SUPPL 42160,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42160,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42160,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42160,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42160,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42160,E10A180,00550,0300,06/16/2000 42160,S000000,00100,0200,06/05/2000 42160,S200000,00100,0100,2000 WHITE BEAR AVENUE 42160,S200000,00200,0100,MAPLEWOOD 42160,S200000,00200,0200,MN 42160,S200000,00200,0300,55109- 42160,S200000,00300,0100,RANSEY 42160,S200000,00400,0100,RAMSEY NURSING HOME 42160,S200000,00400,0200,245352 42160,S200000,00400,0300,10/01/1986 42160,S200000,00400,0500,P 42160,S200000,01500,0100,Y 42164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42164,A000000,00300,0000,00300EMPLOYEE BENEFITS 42164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42164,A000000,00700,0000,00700HOUSEKEEPING 42164,A000000,00800,0000,00800DIETARY 42164,A000000,00900,0000,00900NURSING ADMINISTRATION 42164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42164,A000000,01100,0000,01100PHARMACY 42164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42164,A000000,01300,0000,01300SOCIAL SERVICE 42164,A000000,01350,0000,01500OTHER GENERAL SERVICES 42164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42164,A000000,01600,0000,01600SKILLED NURSING FACILITY 42164,A000000,01800,0000,01800NURSING FACILITY 42164,A000000,01810,0000,01810ICF/MR 42164,A000000,01900,0000,01900OTHER LONG TERM CARE 42164,A000000,02100,0000,02100RADIOLOGY 42164,A000000,02200,0000,02200LABORATORY 42164,A000000,02300,0000,02300INTRAVENOUS THERAPY 42164,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42164,A000000,02500,0000,02500PHYSICAL THERAPY 42164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42164,A000000,02700,0000,02700SPEECH PATHOLOGY 42164,A000000,02800,0000,02800ELECTROCARDIOLOGY 42164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42164,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42164,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42164,A000000,03200,0000,03200SUPPORT SURFACES 42164,A000000,03400,0000,03400CLINIC 42164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42164,A000000,03500,0000,03500RURAL HEALTH CLINIC 42164,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42164,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42164,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42164,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42164,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42164,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42164,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42164,A000000,04400,0000,04400DME RENTED - HHA 42164,A000000,04500,0000,04500DME SOLD - HHA 42164,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42164,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42164,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42164,A000000,04800,0000,04800AMBULANCE 42164,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42164,A000000,05000,0000,05000CORF 42164,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42164,A000000,05300,0000,05300INTEREST EXPENSE 42164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42164,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42164,A000000,05500,0000,05500HOSPICE 42164,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42164,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42164,A000000,06100,0000,06100NONPAID WORKERS 42164,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42164,A000000,06200,0000,06200PATIENTS LAUNDRY 42164,A81000A,00100,0100,Y 42164,A81000B,00100,0300,LEASE EXPENSE 42164,A81000B,00200,0300,INTEREST EXPENSE 42164,A81000B,00300,0300,LOAN COST AMORTIZATION 42164,A81000B,00400,0300,DEPRECIATION EXP CHANGE 42164,A81000B,00500,0300,REAL ESTATE TAXES 42164,A81000B,00600,0300,PACKAGE INSURANCE 42164,A81000B,00700,0300,VEHICLE INSURANCE 42164,A81000B,00800,0300,OTHER INSURANCE 42164,A81000C,00100,0100,A 42164,A81000C,00100,0200,CAMILIA ROSE REAL ESTATE 42164,A81000C,00100,0400,CAMILIA ROSE COMPANY INC 42164,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42164,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42164,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42164,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42164,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42164,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42164,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42164,B100000,00000,0800,00000MEALS SERVED :DIETARY 42164,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42164,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42164,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42164,E10A180,00501,0300,04/16/2000 42164,S000000,00100,0200,02/28/2000 42164,S200000,00100,0100,11800 XEON BLVD 42164,S200000,00200,0100,COON RAPIDS 42164,S200000,00200,0200,MN 42164,S200000,00200,0300,55448- 42164,S200000,00300,0100,ANOKA 42164,S200000,00300,0200,5120 42164,S200000,00300,0300,U 42164,S200000,00400,0100,CAMILIA ROSE COMPANY INC. 42164,S200000,00400,0200,245353 42164,S200000,00400,0300,10/13/1986 42164,S200000,00400,0500,P 42164,S200000,01500,0100,Y 42164,S200000,02900,0100,Y 42168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42168,A000000,00300,0000,00300EMPLOYEE BENEFITS 42168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42168,A000000,00700,0000,00700HOUSEKEEPING 42168,A000000,00800,0000,00800DIETARY 42168,A000000,00900,0000,00900NURSING ADMINISTRATION 42168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42168,A000000,01100,0000,01100PHARMACY 42168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42168,A000000,01300,0000,01300SOCIAL SERVICE 42168,A000000,01350,0000,01500OTHER GENERAL SERVICES 42168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42168,A000000,01600,0000,01600SKILLED NURSING FACILITY 42168,A000000,01800,0000,01800NURSING FACILITY 42168,A000000,01900,0000,01900OTHER LONG TERM CARE 42168,A000000,02100,0000,02100RADIOLOGY 42168,A000000,02200,0000,02200LABORATORY 42168,A000000,02300,0000,02300INTRAVENOUS THERAPY 42168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42168,A000000,02500,0000,02500PHYSICAL THERAPY 42168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42168,A000000,02700,0000,02700SPEECH PATHOLOGY 42168,A000000,02800,0000,02800ELECTROCARDIOLOGY 42168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42168,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42168,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42168,A000000,03200,0000,03200SUPPORT SURFACES 42168,A000000,03400,0000,03400CLINIC 42168,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42168,A000000,03500,0000,03500RURAL HEALTH CLINIC 42168,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42168,A000000,04800,0000,04800AMBULANCE 42168,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42168,A000000,05000,0000,05000CORF 42168,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42168,A000000,05300,0000,05300INTEREST EXPENSE 42168,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42168,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42168,A000000,05500,0000,05500HOSPICE 42168,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42168,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42168,A000000,06100,0000,06100NONPAID WORKERS 42168,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42168,A000000,06200,0000,06200PATIENTS LAUNDRY 42168,A81000A,00100,0100,Y 42168,A81000B,00100,0300,HOME OFFICE ALLOCATION 42168,A81000B,00200,0300,PROPERTY INSURANCE 42168,A81000B,00300,0300,EMPLOYEE BENEFITS 42168,A81000C,00100,0100,A 42168,A81000C,00100,0200,ALLINA HEALTH SYSTEM 42168,A81000C,00100,0600,HOME OFFICE 42168,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42168,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42168,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42168,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42168,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42168,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 42168,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42168,B100000,00000,0800,00000MEAL COUNT :DIETARY 42168,B100000,00000,0950,00000PERCENT :NURSING ADMINISTRATION 42168,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42168,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42168,B100000,00000,1250,00000PERCENT :MEDICAL RECORDS & LIBRAR 42168,B100000,00000,1330,00000PERCENT :SOCIAL SERVICE 42168,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42168,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42168,E10A180,00550,0100,07/23/1999 42168,S000000,00100,0200,06/30/1999 42168,S200000,00100,0100,7590 LYRIC LANE NORTHEAST 42168,S200000,00200,0100,FRIDLEY 42168,S200000,00200,0200,MN 42168,S200000,00200,0300,55432- 42168,S200000,00300,0100,ANOKA 42168,S200000,00400,0100,FRIDLEY CONVALESCENT HOME 42168,S200000,00400,0200,245354 42168,S200000,00400,0300,05/01/1987 42168,S200000,00400,0500,P 42168,S200000,00400,0600,O 42168,S200000,01500,0100,Y 42168,S200000,02800,0100,Y 42168,S700003,00000,0100,1 42169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42169,A000000,00300,0000,00300EMPLOYEE BENEFITS 42169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42169,A000000,00700,0000,00700HOUSEKEEPING 42169,A000000,00800,0000,00800DIETARY 42169,A000000,00900,0000,00900NURSING ADMINISTRATION 42169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42169,A000000,01100,0000,01100PHARMACY 42169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42169,A000000,01300,0000,01300SOCIAL SERVICE 42169,A000000,01350,0000,01500OTHER GENERAL SERVICES 42169,A000000,01600,0000,01600SKILLED NURSING FACILITY 42169,A000000,01900,0000,01900OTHER LONG TERM CARE 42169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42169,A000000,02500,0000,02500PHYSICAL THERAPY 42169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42169,A000000,02700,0000,02700SPEECH PATHOLOGY 42169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42169,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42169,A000000,03400,0000,03400CLINIC 42169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42169,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42169,A000000,04800,0000,04800AMBULANCE 42169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42169,A000000,05000,0000,05000CORF 42169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42169,A000000,05300,0000,05300INTEREST EXPENSE 42169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42169,A000000,05500,0000,05500HOSPICE 42169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42169,A000000,06100,0000,06100NONPAID WORKERS 42169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42169,A000000,06200,0000,06200PATIENTS LAUNDRY 42169,A81000A,00100,0100,Y 42169,A81000B,00100,0300,PURCHASED SERVICE AFFILIATE 42169,A81000B,00200,0300,PURCHASED SERVICE AFFILIATE 42169,A81000B,00300,0300,PURCHASED SERVICE AFFILIATE 42169,A81000B,00400,0300,PURCHASED SERVICE AFFILIATE 42169,A81000B,00500,0300,OCCUPATIONAL THERAPY 42169,A81000B,00600,0300,ADMIN 42169,A81000B,00700,0300,FINANCING ALLOCATION 42169,A81000B,00800,0300,BENEFITS 42169,A81000B,00900,0300,LAB EXPENSES 42169,A81000C,00100,0100,A 42169,A81000C,00100,0200,ALLINA HEALTH SYSTEM 42169,A81000C,00100,0600,HOME OFFICE 42169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42169,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42169,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42169,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 42169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42169,B100000,00000,0800,00000MEAL COUNT :DIETARY 42169,B100000,00000,0950,00000PERCENT :NURSING ADMINISTRATION 42169,B100000,00000,1250,00000PERCENT :MEDICAL RECORDS & LIBRAR 42169,B100000,00000,1330,00000PERCENT :SOCIAL SERVICE 42169,B100000,00000,1350,00000PERCENT :OTHER GENERAL SERVICES 42169,E10A180,00501,0100,08/04/2000 42169,S000000,00100,0200,06/29/2000 42169,S200000,00100,0100,7590 LYRIC LANE NORTHEAST 42169,S200000,00200,0100,FRIDLEY 42169,S200000,00200,0200,MN 42169,S200000,00200,0300,55432- 42169,S200000,00300,0100,ANOKA 42169,S200000,00300,0200,5120 42169,S200000,00300,0300,U 42169,S200000,00400,0100,FRIDLEY CONVALESCENT HOME 42169,S200000,00400,0200,245354 42169,S200000,00400,0300,05/01/1987 42169,S200000,00400,0500,P 42169,S200000,00400,0600,O 42169,S200000,01500,0100,Y 42173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42173,A000000,00300,0000,00300EMPLOYEE BENEFITS 42173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42173,A000000,00700,0000,00700HOUSEKEEPING 42173,A000000,00800,0000,00800DIETARY 42173,A000000,00900,0000,00900NURSING ADMINISTRATION 42173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42173,A000000,01100,0000,01100PHARMACY 42173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42173,A000000,01300,0000,01300SOCIAL SERVICE 42173,A000000,01350,0000,01500OTHER GENERAL SERVICES 42173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42173,A000000,01600,0000,01600SKILLED NURSING FACILITY 42173,A000000,01800,0000,01800NURSING FACILITY 42173,A000000,01900,0000,01900OTHER LONG TERM CARE 42173,A000000,02100,0000,02100RADIOLOGY 42173,A000000,02200,0000,02200LABORATORY 42173,A000000,02300,0000,02300INTRAVENOUS THERAPY 42173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42173,A000000,02500,0000,02500PHYSICAL THERAPY 42173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42173,A000000,02700,0000,02700SPEECH PATHOLOGY 42173,A000000,02800,0000,02800ELECTROCARDIOLOGY 42173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42173,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42173,A000000,03200,0000,03200SUPPORT SURFACES 42173,A000000,03400,0000,03400CLINIC 42173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42173,A000000,03500,0000,03500RURAL HEALTH CLINIC 42173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42173,A000000,04800,0000,04800AMBULANCE 42173,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42173,A000000,05000,0000,05000CORF 42173,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42173,A000000,05300,0000,05300INTEREST EXPENSE 42173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42173,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42173,A000000,05500,0000,05500HOSPICE 42173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42173,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42173,A000000,06100,0000,06100NONPAID WORKERS 42173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42173,A000000,06200,0000,06200PATIENTS LAUNDRY 42173,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42173,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42173,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42173,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42173,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42173,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42173,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42173,B100000,00000,0800,00000MEALS SERVED :DIETARY 42173,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42173,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42173,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42173,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42173,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42173,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42173,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42173,E10A180,00550,0300,07/23/1999 42173,S000000,00100,0200,06/30/1999 42173,S200000,00100,0100,213 PIONEER ROAD 42173,S200000,00200,0100,RED WING 42173,S200000,00200,0200,MN 42173,S200000,00200,0300,55066- 42173,S200000,00300,0100,GOODHUE 42173,S200000,00400,0100,HI-PARK CARE CENTER 42173,S200000,00400,0200,245355 42173,S200000,00400,0300,07/01/1986 42173,S200000,00400,0500,P 42173,S200000,01500,0100,Y 42173,S700003,00000,0100,1 42174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42174,A000000,00300,0000,00300EMPLOYEE BENEFITS 42174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42174,A000000,00700,0000,00700HOUSEKEEPING 42174,A000000,00800,0000,00800DIETARY 42174,A000000,00900,0000,00900NURSING ADMINISTRATION 42174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42174,A000000,01100,0000,01100PHARMACY 42174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42174,A000000,01300,0000,01300SOCIAL SERVICE 42174,A000000,01350,0000,01500OTHER GENERAL SERVICES 42174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42174,A000000,01600,0000,01600SKILLED NURSING FACILITY 42174,A000000,01800,0000,01800NURSING FACILITY 42174,A000000,01900,0000,01900OTHER LONG TERM CARE 42174,A000000,02100,0000,02100RADIOLOGY 42174,A000000,02200,0000,02200LABORATORY 42174,A000000,02300,0000,02300INTRAVENOUS THERAPY 42174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42174,A000000,02500,0000,02500PHYSICAL THERAPY 42174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42174,A000000,02700,0000,02700SPEECH PATHOLOGY 42174,A000000,02800,0000,02800ELECTROCARDIOLOGY 42174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42174,A000000,03200,0000,03200SUPPORT SURFACES 42174,A000000,03400,0000,03400CLINIC 42174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42174,A000000,03500,0000,03500RURAL HEALTH CLINIC 42174,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42174,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42174,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42174,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42174,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42174,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42174,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42174,A000000,04400,0000,04400DME RENTED - HHA 42174,A000000,04500,0000,04500DME SOLD - HHA 42174,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42174,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42174,A000000,04800,0000,04800AMBULANCE 42174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42174,A000000,05000,0000,05000CORF 42174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42174,A000000,05300,0000,05300INTEREST EXPENSE 42174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42174,A000000,05500,0000,05500HOSPICE 42174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42174,A000000,06100,0000,06100NONPAID WORKERS 42174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42174,A000000,06200,0000,06200PATIENTS LAUNDRY 42174,A81000A,00100,0100,Y 42174,A81000B,00100,0300,CENTRAL OFFICE -BHD-MGMT FEES 42174,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 42174,A81000B,00300,0300,NURSE CONSULTING 42174,A81000B,00400,0300,ADMINISTRATOR 42174,A81000B,00500,0300,COMPUTER USER FEE 42174,A81000B,00600,0300,CENTRAL OFFICE-BHS-MGMT FEES 42174,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 42174,A81000C,00100,0100,G 42174,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42174,A81000C,00100,0400,BENEDICITINE HEALTH SYSTM 42174,A81000C,00100,0600,MANAGEMENT SERVICES 42174,A81000C,00200,0100,G 42174,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 42174,A81000C,00200,0400,BENEDICITINE HEALTH SYSTM 42174,A81000C,00200,0600,MANAGEMENT SERVICES 42174,A81000C,03100,0000,SEE SCHEDULE 1 42174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42174,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42174,B100000,00000,0800,00000MEALS SERVED :DIETARY 42174,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42174,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42174,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42174,S000000,00100,0200,02/14/2000 42174,S200000,00100,0100,213 PIONEER ROAD 42174,S200000,00200,0100,RED WING 42174,S200000,00200,0200,MN 42174,S200000,00200,0300,55066- 42174,S200000,00300,0100,GOODHUE 42174,S200000,00300,0200,24 42174,S200000,00300,0300,R 42174,S200000,00400,0100,HI-PARK CARE CENTER 42174,S200000,00400,0200,245355 42174,S200000,00400,0300,07/01/1986 42174,S200000,00400,0500,P 42174,S200000,01004,0500,O 42174,S200000,01500,0100,Y 42178,S000000,00100,0200,06/05/2000 42179,S000000,00100,0200,06/08/2000 42185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42185,A000000,00300,0000,00300EMPLOYEE BENEFITS 42185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42185,A000000,00700,0000,00700HOUSEKEEPING 42185,A000000,00800,0000,00800DIETARY 42185,A000000,00900,0000,00900NURSING ADMINISTRATION 42185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42185,A000000,01300,0000,01300SOCIAL SERVICE 42185,A000000,01301,0000,01301ACTIVITIES 42185,A000000,01600,0000,01600SKILLED NURSING FACILITY 42185,A000000,02100,0000,02100RADIOLOGY 42185,A000000,02200,0000,02200LABORATORY 42185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42185,A000000,02500,0000,02500PHYSICAL THERAPY 42185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42185,A000000,02700,0000,02700SPEECH PATHOLOGY 42185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42185,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42185,A000000,06150,0000,06300FOUNDATION 42185,A000000,06151,0000,06301EVERGREEN PLACE APARTMENTS 42185,A000000,06152,0000,06302MEALS ON WHEELS 42185,A000000,06153,0000,06303KIDS KORNER 42185,A81000A,00100,0100,Y 42185,A81000B,00100,0300,H/O - NON-CAPITAL COSTS 42185,A81000B,00200,0300,H/O - CAPITAL-BLDG & FXT 42185,A81000B,00300,0300,H/O - CAPITAL-MVBL EQUIP 42185,A81000C,00100,0100,G 42185,A81000C,00100,0200,PINE HAVEN FOUNDATION INC 42185,A81000C,00100,0600,FUNDRAISING 42185,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42185,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42185,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42185,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42185,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42185,B100000,00000,0650,00003RESIDENT DAYS :LAUNDRY & LINEN SER 42185,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42185,B100000,00000,0800,00003MEALS SERVED :DIETARY 42185,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42185,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42185,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42185,B100000,00000,1331,00003RESIDENT DAYS :ACTIVITIES 42185,S000000,00100,0200,03/28/2000 42185,S200000,00100,0100,210 THIRD STREET NW 42185,S200000,00100,0300,768 42185,S200000,00200,0100,PINE ISLAND 42185,S200000,00200,0200,MN 42185,S200000,00200,0300,55963- 42185,S200000,00300,0100,GOODHUE 42185,S200000,00300,0200,24 42185,S200000,00300,0300,R 42185,S200000,00400,0100,PINE HAVEN INC. 42185,S200000,00400,0200,245359 42185,S200000,00400,0300,11/01/1986 42185,S200000,00400,0500,P 42185,S200000,01500,0100,Y 42191,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42191,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42191,A000000,00300,0000,00300EMPLOYEE BENEFITS 42191,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42191,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42191,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42191,A000000,00700,0000,00700HOUSEKEEPING 42191,A000000,00800,0000,00800DIETARY 42191,A000000,00900,0000,00900NURSING ADMINISTRATION 42191,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42191,A000000,01100,0000,01100PHARMACY 42191,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42191,A000000,01300,0000,01300SOCIAL SERVICE 42191,A000000,01350,0000,01500OTHER GENERAL SERVICES 42191,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42191,A000000,01600,0000,01600SKILLED NURSING FACILITY 42191,A000000,01800,0000,01800NURSING FACILITY 42191,A000000,01900,0000,01900OTHER LONG TERM CARE 42191,A000000,02100,0000,02100RADIOLOGY 42191,A000000,02200,0000,02200LABORATORY 42191,A000000,02300,0000,02300INTRAVENOUS THERAPY 42191,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42191,A000000,02500,0000,02500PHYSICAL THERAPY 42191,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42191,A000000,02700,0000,02700SPEECH PATHOLOGY 42191,A000000,02800,0000,02800ELECTROCARDIOLOGY 42191,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42191,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42191,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42191,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42191,A000000,03200,0000,03200SUPPORT SURFACES 42191,A000000,03400,0000,03400CLINIC 42191,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42191,A000000,03500,0000,03500RURAL HEALTH CLINIC 42191,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42191,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42191,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42191,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42191,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42191,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42191,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42191,A000000,04400,0000,04400DME RENTED - HHA 42191,A000000,04500,0000,04500DME SOLD - HHA 42191,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42191,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42191,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42191,A000000,04800,0000,04800AMBULANCE 42191,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42191,A000000,05000,0000,05000CORF 42191,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42191,A000000,05300,0000,05300INTEREST EXPENSE 42191,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42191,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42191,A000000,05500,0000,05500HOSPICE 42191,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42191,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42191,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42191,A000000,06100,0000,06100NONPAID WORKERS 42191,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42191,A000000,06200,0000,06200PATIENTS LAUNDRY 42191,A81000A,00100,0100,Y 42191,A81000B,00100,0300,RENT EXPENSE 42191,A81000C,00100,0100,B 42191,A81000C,00100,0200,JUHL REAL ESTATE INVESTME 42191,A81000C,00100,0600,OWNS PROPERTY 42191,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42191,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42191,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42191,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42191,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42191,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42191,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42191,B100000,00000,0800,00000MEALS SERVED :DIETARY 42191,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42191,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42191,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42191,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42191,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42191,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42191,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42191,H510100,00000,0000,9924 42191,H510100,02400,0000,9924 42191,S000000,00100,0200,06/30/1999 42191,S200000,00100,0100,100 GLEN OAKS DRIVE 42191,S200000,00100,0300,ROUTE 3 BOX B 42191,S200000,00200,0100,NEW LONDON 42191,S200000,00200,0200,MN 42191,S200000,00200,0300,56273- 42191,S200000,00300,0100,KANDIYOHI 42191,S200000,00400,0100,JUHL ENT. INC. DBA: GLEN OAKS C.C. 42191,S200000,00400,0200,245360 42191,S200000,00400,0300,11/18/1986 42191,S200000,00400,0500,P 42191,S200000,00800,0200,247133 42191,S200000,00800,0300,06/30/1983 42191,S200000,00800,0500,P 42191,S200000,01500,0100,Y 42191,S700003,00000,0100,1 42194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42194,A000000,00300,0000,00300EMPLOYEE BENEFITS 42194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42194,A000000,00700,0000,00700HOUSEKEEPING 42194,A000000,00800,0000,00800DIETARY 42194,A000000,00900,0000,00900NURSING ADMINISTRATION 42194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42194,A000000,01100,0000,01100PHARMACY 42194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42194,A000000,01300,0000,01300SOCIAL SERVICE 42194,A000000,01350,0000,01500OTHER GENERAL SERVICES 42194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42194,A000000,01600,0000,01600SKILLED NURSING FACILITY 42194,A000000,01800,0000,01800NURSING FACILITY 42194,A000000,01810,0000,01810ICF/MR 42194,A000000,01900,0000,01900OTHER LONG TERM CARE 42194,A000000,02100,0000,02100RADIOLOGY 42194,A000000,02200,0000,02200LABORATORY 42194,A000000,02300,0000,02300INTRAVENOUS THERAPY 42194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42194,A000000,02500,0000,02500PHYSICAL THERAPY 42194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42194,A000000,02700,0000,02700SPEECH PATHOLOGY 42194,A000000,02800,0000,02800ELECTROCARDIOLOGY 42194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42194,A000000,03200,0000,03200SUPPORT SURFACES 42194,A000000,03400,0000,03400CLINIC 42194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42194,A000000,03500,0000,03500RURAL HEALTH CLINIC 42194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42194,A000000,04400,0000,04400DME RENTED - HHA 42194,A000000,04500,0000,04500DME SOLD - HHA 42194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42194,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42194,A000000,04800,0000,04800AMBULANCE 42194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42194,A000000,05000,0000,05000CORF 42194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42194,A000000,05300,0000,05300INTEREST EXPENSE 42194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42194,A000000,05500,0000,05500HOSPICE 42194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42194,A000000,06100,0000,06100NONPAID WORKERS 42194,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42194,A000000,06200,0000,06200PATIENTS LAUNDRY 42194,A81000A,00100,0100,Y 42194,A81000B,00100,0300,CENTRAL OFFICE 42194,A81000B,00300,0300,PHYSICAL THERAPY 42194,A81000B,00400,0300,OCCUPATIONAL THERAPY 42194,A81000B,00500,0300,SPEECH THERAPY 42194,A81000C,00100,0100,E 42194,A81000C,00100,0200,MICHAEL BOYLE 42194,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42194,A81000C,00100,0600,OWNS/MANAGES NURSING HOME 42194,A81000C,00200,0100,G 42194,A81000C,00200,0200,MARTIN LUTHER MANOR 42194,A81000C,00200,0400,BRIDGE REHABILITATION 42194,A81000C,00200,0600,THERAPY COMPANY 42194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42194,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42194,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42194,B100000,00000,0800,00000MEALS SERVED :DIETARY 42194,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42194,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42194,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42194,S000000,00100,0200,06/05/2000 42194,S200000,00100,0100,600 SOUTH DAVIS AVENUE 42194,S200000,00200,0100,LITCHFIELD 42194,S200000,00200,0200,MN 42194,S200000,00200,0300,55355- 42194,S200000,00300,0100,MEEKER 42194,S200000,00300,0200,24 42194,S200000,00300,0300,R 42194,S200000,00400,0100,EMMANUEL HOME - LITCHFIELD 42194,S200000,00400,0200,245361 42194,S200000,00400,0300,10/07/1986 42194,S200000,00400,0500,P 42194,S200000,01004,0500,O 42194,S200000,01600,0100,Y 42198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42198,A000000,00300,0000,00300EMPLOYEE BENEFITS 42198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42198,A000000,00700,0000,00700HOUSEKEEPING 42198,A000000,00800,0000,00800DIETARY 42198,A000000,00900,0000,00900NURSING ADMINISTRATION 42198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42198,A000000,01300,0000,01300SOCIAL SERVICE 42198,A000000,01301,0000,01301ACTIVITIES 42198,A000000,01600,0000,01600SKILLED NURSING FACILITY 42198,A000000,02100,0000,02100RADIOLOGY 42198,A000000,02200,0000,02200LABORATORY 42198,A000000,02500,0000,02500PHYSICAL THERAPY 42198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42198,A000000,02700,0000,02700SPEECH PATHOLOGY 42198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42198,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42198,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42198,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42198,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42198,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42198,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42198,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42198,B100000,00000,0800,00000MEALS SERVED :DIETARY 42198,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42198,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42198,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42198,B100000,00000,1331,00000RESIDENT DAYS :ACTIVITIES 42198,S000000,00100,0200,02/24/2000 42198,S200000,00100,0300,337 42198,S200000,00200,0100,MAPLETON 42198,S200000,00200,0200,MN 42198,S200000,00200,0300,56065- 42198,S200000,00300,0100,BLUE EARTH 42198,S200000,00400,0100,MAPLETON COMMUNITY HOME 42198,S200000,00400,0200,245362 42198,S200000,00400,0300,12/01/1986 42198,S200000,00400,0500,P 42198,S200000,01500,0100,Y 42201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42201,A000000,00300,0000,00300EMPLOYEE BENEFITS 42201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42201,A000000,00700,0000,00700HOUSEKEEPING 42201,A000000,00800,0000,00800DIETARY 42201,A000000,00900,0000,00900NURSING ADMINISTRATION 42201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42201,A000000,01300,0000,01300SOCIAL SERVICE 42201,A000000,01350,0000,01500OTHER GENERAL SERVICES 42201,A000000,01600,0000,01600SKILLED NURSING FACILITY 42201,A000000,01800,0000,01800NURSING FACILITY 42201,A000000,01900,0000,01900OTHER LONG TERM CARE 42201,A000000,02100,0000,02100RADIOLOGY 42201,A000000,02200,0000,02200LABORATORY 42201,A000000,02500,0000,02500PHYSICAL THERAPY 42201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42201,A000000,02700,0000,02700SPEECH PATHOLOGY 42201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42201,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42201,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42201,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42201,A000000,04800,0000,04800AMBULANCE 42201,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42201,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42201,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42201,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42201,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42201,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 42201,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42201,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42201,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42201,B100000,00000,0800,00000MEALS SERVED :DIETARY 42201,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42201,B100000,00000,1250,00000CHARGES :MEDICAL RECORDS & LIBRAR 42201,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42201,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42201,E10A180,00350,0100,01/04/2000 42201,E10A180,00350,0300,11/24/1998 42201,S000000,00100,0200,02/22/2000 42201,S200000,00100,0100,850 2ND STREET N.W. 42201,S200000,00200,0100,AITKIN 42201,S200000,00200,0200,MN 42201,S200000,00200,0300,56431- 42201,S200000,00300,0100,AITKIN 42201,S200000,00400,0100,AICOTA HEALTH CARE CENTER INC. 42201,S200000,00400,0200,245363 42201,S200000,00400,0300,11/17/1986 42201,S200000,00400,0500,P 42201,S200000,01500,0100,Y 42201,S200000,02200,0100,Y 42206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42206,A000000,00300,0000,00300EMPLOYEE BENEFITS 42206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42206,A000000,00700,0000,00700HOUSEKEEPING 42206,A000000,00800,0000,00800DIETARY 42206,A000000,01300,0000,01300SOCIAL SERVICE 42206,A000000,01600,0000,01600SKILLED NURSING FACILITY 42206,A000000,02500,0000,02500PHYSICAL THERAPY 42206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42206,A000000,02700,0000,02700SPEECH PATHOLOGY 42206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42206,A000000,05300,0000,05300INTEREST EXPENSE 42206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42206,A000000,05901,0000,05901CV APARTMENTS 42206,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42206,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42206,B100000,00000,0300,00001GROSS SALARY :EMPLOYEE BENEFITS 42206,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42206,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42206,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42206,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42206,B100000,00000,0800,00001MEALS SERVED :DIETARY 42206,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 42206,S000000,00100,0200,02/09/2000 42206,S200000,00100,0100,500 PARK STREET EAST 42206,S200000,00200,0100,ANNANDALE 42206,S200000,00200,0200,MN 42206,S200000,00200,0300,55302- 42206,S200000,00300,0100,WRIGHT 42206,S200000,00400,0100,ANNANDALE CARE CENTER 42206,S200000,00400,0200,245364 42206,S200000,00400,0300,11/01/1986 42206,S200000,00400,0500,P 42206,S200000,01500,0100,Y 42211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42211,A000000,00300,0000,00300EMPLOYEE BENEFITS 42211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42211,A000000,00700,0000,00700HOUSEKEEPING 42211,A000000,00800,0000,00800DIETARY 42211,A000000,00900,0000,00900NURSING ADMINISTRATION 42211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42211,A000000,01100,0000,01100PHARMACY 42211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42211,A000000,01300,0000,01300SOCIAL SERVICE 42211,A000000,01350,0000,01500OTHER GENERAL SERVICES 42211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42211,A000000,01600,0000,01600SKILLED NURSING FACILITY 42211,A000000,01800,0000,01800NURSING FACILITY 42211,A000000,01900,0000,01900OTHER LONG TERM CARE 42211,A000000,02100,0000,02100RADIOLOGY 42211,A000000,02200,0000,02200LABORATORY 42211,A000000,02300,0000,02300INTRAVENOUS THERAPY 42211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42211,A000000,02500,0000,02500PHYSICAL THERAPY 42211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42211,A000000,02700,0000,02700SPEECH PATHOLOGY 42211,A000000,02800,0000,02800ELECTROCARDIOLOGY 42211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42211,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42211,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42211,A000000,03200,0000,03200SUPPORT SURFACES 42211,A000000,03400,0000,03400CLINIC 42211,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42211,A000000,03500,0000,03500RURAL HEALTH CLINIC 42211,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42211,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42211,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42211,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42211,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42211,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42211,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42211,A000000,04400,0000,04400DME RENTED - HHA 42211,A000000,04500,0000,04500DME SOLD - HHA 42211,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42211,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42211,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42211,A000000,04800,0000,04800AMBULANCE 42211,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42211,A000000,05000,0000,05000CORF 42211,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42211,A000000,05300,0000,05300INTEREST EXPENSE 42211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42211,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42211,A000000,05500,0000,05500HOSPICE 42211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42211,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42211,A000000,06100,0000,06100NONPAID WORKERS 42211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42211,A000000,06151,0000,06301BOARD AND CARE 42211,A000000,06152,0000,06302DAY AWAY 42211,A000000,06153,0000,06303ASSISTED LIVING 42211,A000000,06154,0000,06304FOUNDATION 42211,A000000,06155,0000,06305SKILLS LAB 42211,A000000,06156,0000,06306IDLE SPACE 42211,A000000,06200,0000,06200PATIENTS LAUNDRY 42211,B100000,00000,0100,00006SQUARE FEET :CAP REL COSTS - BLDGS 42211,B100000,00000,0250,00006SQUARE FEET :CAP REL COSTS - MOVAB 42211,B100000,00000,0300,00006GROSS SALARIES :EMPLOYEE BENEFITS 42211,B100000,00000,0400,00006 ACCUM. COST :ADMINISTRATIVE & GENE 42211,B100000,00000,0500,00006SQUARE FEET :PLANT OPERATION MAIN 42211,B100000,00000,0650,00006RESIDENT DAYS :LAUNDRY & LINEN SER 42211,B100000,00000,0750,00006SQUARE FEET :HOUSEKEEPING 42211,B100000,00000,0800,00006MEALS SERVED :DIETARY 42211,B100000,00000,0950,00006RESIDENT DAYS :NURSING ADMINISTRAT 42211,B100000,00000,1000,00006COSTED REQUIS. :CENTRAL SERVICES & 42211,B100000,00000,1100,00006COSTED REQUIS. :PHARMACY 42211,B100000,00000,1250,00006RESIDENT DAYS :MEDICAL RECORDS & L 42211,B100000,00000,1330,00006RESIDENT DAYS :SOCIAL SERVICE 42211,B100000,00000,1350,00006NO STATISTICS :OTHER GENERAL SERVI 42211,B100000,00000,1400,00006ASSIGNED TIME :INTERNS & RESIDENTS 42211,S000000,00100,0200,06/29/1999 42211,S200000,00100,0100,200 EARL STREET 42211,S200000,00200,0100,ST. PAUL 42211,S200000,00200,0200,MN 42211,S200000,00200,0300,55106- 42211,S200000,00300,0100,RAMSEY 42211,S200000,00400,0100,MARIAN CENTER OF SAINT PAUL 42211,S200000,00400,0200,245365 42211,S200000,00400,0300,11/01/1986 42211,S200000,00400,0500,P 42211,S200000,00400,0600,P 42211,S200000,01500,0100,Y 42211,S700003,00000,0100,1 42212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42212,A000000,00300,0000,00300EMPLOYEE BENEFITS 42212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42212,A000000,00700,0000,00700HOUSEKEEPING 42212,A000000,00800,0000,00800DIETARY 42212,A000000,00900,0000,00900NURSING ADMINISTRATION 42212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42212,A000000,01100,0000,01100PHARMACY 42212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42212,A000000,01300,0000,01300SOCIAL SERVICE 42212,A000000,01350,0000,01500OTHER GENERAL SERVICES 42212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42212,A000000,01600,0000,01600SKILLED NURSING FACILITY 42212,A000000,01800,0000,01800NURSING FACILITY 42212,A000000,01810,0000,01810ICF/MR 42212,A000000,01900,0000,01900OTHER LONG TERM CARE 42212,A000000,02100,0000,02100RADIOLOGY 42212,A000000,02200,0000,02200LABORATORY 42212,A000000,02300,0000,02300INTRAVENOUS THERAPY 42212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42212,A000000,02500,0000,02500PHYSICAL THERAPY 42212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42212,A000000,02700,0000,02700SPEECH PATHOLOGY 42212,A000000,02800,0000,02800ELECTROCARDIOLOGY 42212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42212,A000000,03200,0000,03200SUPPORT SURFACES 42212,A000000,03400,0000,03400CLINIC 42212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42212,A000000,03500,0000,03500RURAL HEALTH CLINIC 42212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42212,A000000,04800,0000,04800AMBULANCE 42212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42212,A000000,05000,0000,05000CORF 42212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42212,A000000,05300,0000,05300INTEREST EXPENSE 42212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42212,A000000,05500,0000,05500HOSPICE 42212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42212,A000000,06100,0000,06100NONPAID WORKERS 42212,A000000,06150,0000,06300DAY AWAY 42212,A000000,06151,0000,06301BOARD AND CARE 42212,A000000,06152,0000,06302ASSISTED LIVING 42212,A000000,06153,0000,06303FOUNDATION 42212,A000000,06154,0000,06304SKILLS LAB 42212,A000000,06155,0000,06305IDLE SPACE 42212,A000000,06200,0000,06200PATIENTS LAUNDRY 42212,A81000A,00100,0100,Y 42212,A81000B,00100,0300,RECREATION THERAPY MAINTENANCE 42212,A81000B,00200,0300,EMPLOYEE BENEFITS 42212,A81000B,00300,0300,LABORATORY SERVICES 42212,A81000B,00400,0300,MANAGEMENT FEES 42212,A81000B,00500,0300,PLANT MAINTENANCE 42212,A81000B,00600,0300,NURSING SUPPLIES AND EQUIPMENT 42212,A81000C,00100,0100,G 42212,A81000C,00100,0200,ST JOSEPHS HOSPITAL 42212,A81000C,00100,0400,HEALTHEAST 42212,A81000C,00100,0600,MAINTENANCE 42212,A81000C,00200,0100,G 42212,A81000C,00200,0200,ST JOSEPHS HOSPITAL 42212,A81000C,00200,0400,HEALTHEAST 42212,A81000C,00200,0600,EMPLOYEE BENEFITS 42212,A81000C,00300,0100,G 42212,A81000C,00300,0200,ST JOSEPHS HOSPITAL 42212,A81000C,00300,0400,HEALTHEAST 42212,A81000C,00300,0600,LABORATORY SERVICES 42212,A81000C,00400,0100,G 42212,A81000C,00400,0200,HEALTHEAST 42212,A81000C,00400,0400,HEALTHEAST 42212,A81000C,00400,0600,MANAGEMENT SERVICES 42212,A81000C,00500,0100,G 42212,A81000C,00500,0200,ST JOSEPHS HOSPITAL 42212,A81000C,00500,0400,HEALTHEAST 42212,A81000C,00500,0600,MAINTENANCE 42212,A81000C,00600,0100,G 42212,A81000C,00600,0200,MED HOME 42212,A81000C,00600,0400,HEALTHEAST 42212,A81000C,00600,0600,NRSG SUPPLIES/EQUIPMENT 42212,B100000,00000,0150,00005NO STATISTICS :CAP REL COSTS - BLD 42212,B100000,00000,0250,00005NO STATISTICS :CAP REL COSTS - MOV 42212,B100000,00000,0300,00005GROSS SALARIES :EMPLOYEE BENEFITS 42212,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 42212,B100000,00000,0550,00005NO STATISTICS :PLANT OPERATION MA 42212,B100000,00000,0650,00005RESIDENT DAYS :LAUNDRY & LINEN SER 42212,B100000,00000,0750,00005SQUARE FOOTAGE :HOUSEKEEPING 42212,B100000,00000,0800,00005MEALS SERVED :DIETARY 42212,B100000,00000,0950,00005RESIDENT DAYS :NURSING ADMINISTRAT 42212,B100000,00000,1250,00005RESIDENT DAYS :MEDICAL RECORDS & L 42212,B100000,00000,1330,00005RESIDENT DAYS :SOCIAL SERVICE 42212,S000000,00100,0200,02/24/2000 42212,S200000,00100,0100,200 EARL STREET 42212,S200000,00200,0100,ST PAUL 42212,S200000,00200,0200,MN 42212,S200000,00200,0300,55106- 42212,S200000,00300,0100,RAMSEY 42212,S200000,00300,0200,5120 42212,S200000,00300,0300,U 42212,S200000,00400,0100,HEALTHEAST CC MARIAN OF ST. PAUL 42212,S200000,00400,0200,245365 42212,S200000,00400,0300,11/01/1986 42212,S200000,00400,0500,P 42212,S200000,00400,0600,O 42212,S200000,01004,0500,O 42212,S200000,01500,0100,Y 42217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42217,A000000,00300,0000,00300EMPLOYEE BENEFITS 42217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42217,A000000,00700,0000,00700HOUSEKEEPING 42217,A000000,00800,0000,00800DIETARY 42217,A000000,00900,0000,00900NURSING ADMINISTRATION 42217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42217,A000000,01100,0000,01100PHARMACY 42217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42217,A000000,01300,0000,01300SOCIAL SERVICE 42217,A000000,01350,0000,01500OTHER GENERAL SERVICES 42217,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42217,A000000,01600,0000,01600SKILLED NURSING FACILITY 42217,A000000,01800,0000,01800NURSING FACILITY 42217,A000000,01810,0000,01810ICF/MR 42217,A000000,01900,0000,01900OTHER LONG TERM CARE 42217,A000000,02100,0000,02100RADIOLOGY 42217,A000000,02200,0000,02200LABORATORY 42217,A000000,02300,0000,02300INTRAVENOUS THERAPY 42217,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42217,A000000,02500,0000,02500PHYSICAL THERAPY 42217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42217,A000000,02700,0000,02700SPEECH PATHOLOGY 42217,A000000,02800,0000,02800ELECTROCARDIOLOGY 42217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42217,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42217,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42217,A000000,03200,0000,03200SUPPORT SURFACES 42217,A000000,03400,0000,03400CLINIC 42217,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42217,A000000,03500,0000,03500RURAL HEALTH CLINIC 42217,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42217,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42217,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42217,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42217,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42217,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42217,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42217,A000000,04400,0000,04400DME RENTED - HHA 42217,A000000,04500,0000,04500DME SOLD - HHA 42217,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42217,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42217,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42217,A000000,04800,0000,04800AMBULANCE 42217,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42217,A000000,05000,0000,05000CORF 42217,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42217,A000000,05300,0000,05300INTEREST EXPENSE 42217,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42217,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42217,A000000,05500,0000,05500HOSPICE 42217,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42217,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42217,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42217,A000000,06100,0000,06100NONPAID WORKERS 42217,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42217,A000000,06200,0000,06200PATIENTS LAUNDRY 42217,A81000A,00100,0100,Y 42217,A81000B,00100,0300,COUNTY ALLOCATION 42217,A81000B,00200,0300,LAUNDRY SERVICES 42217,A81000C,00100,0100,B 42217,A81000C,00100,0200,ST. LOUIS COUNTY 42217,A81000C,00200,0100,B 42217,A81000C,00200,0200,ST. LOUIS COUNTY 42217,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42217,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42217,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42217,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42217,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42217,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42217,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42217,B100000,00000,0800,00000MEALS SERVED :DIETARY 42217,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42217,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42217,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42217,E10A180,00501,0100,07/11/2000 42217,S000000,00100,0200,06/06/2000 42217,S200000,00100,0100,2501 RICE LAKE ROAD 42217,S200000,00200,0100,DULUTH 42217,S200000,00200,0200,MN 42217,S200000,00200,0300,55811- 42217,S200000,00300,0100,ST LOUIS 42217,S200000,00300,0200,2240 42217,S200000,00300,0300,U 42217,S200000,00400,0100,CHRIS JENSEN HEALTH AND REHAB CENTER 42217,S200000,00400,0200,245366 42217,S200000,00400,0300,08/01/1966 42217,S200000,00400,0500,P 42217,S200000,01500,0100,Y 42221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42221,A000000,00300,0000,00300EMPLOYEE BENEFITS 42221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42221,A000000,00700,0000,00700HOUSEKEEPING 42221,A000000,00800,0000,00800DIETARY 42221,A000000,00900,0000,00900NURSING ADMINISTRATION 42221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42221,A000000,01100,0000,01100PHARMACY 42221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42221,A000000,01300,0000,01300SOCIAL SERVICE 42221,A000000,01350,0000,01500OTHER GENERAL SERVICES 42221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42221,A000000,01600,0000,01600SKILLED NURSING FACILITY 42221,A000000,01800,0000,01800NURSING FACILITY 42221,A000000,01900,0000,01900OTHER LONG TERM CARE 42221,A000000,02100,0000,02100RADIOLOGY 42221,A000000,02200,0000,02200LABORATORY 42221,A000000,02300,0000,02300INTRAVENOUS THERAPY 42221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42221,A000000,02500,0000,02500PHYSICAL THERAPY 42221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42221,A000000,02700,0000,02700SPEECH PATHOLOGY 42221,A000000,02800,0000,02800ELECTROCARDIOLOGY 42221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42221,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42221,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42221,A000000,03200,0000,03200SUPPORT SURFACES 42221,A000000,03400,0000,03400CLINIC 42221,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42221,A000000,03500,0000,03500RURAL HEALTH CLINIC 42221,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42221,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42221,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42221,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42221,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42221,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42221,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42221,A000000,04400,0000,04400DME RENTED - HHA 42221,A000000,04500,0000,04500DME SOLD - HHA 42221,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42221,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42221,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42221,A000000,04800,0000,04800AMBULANCE 42221,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42221,A000000,05000,0000,05000CORF 42221,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42221,A000000,05300,0000,05300INTEREST EXPENSE 42221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42221,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42221,A000000,05500,0000,05500HOSPICE 42221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42221,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42221,A000000,06100,0000,06100NONPAID WORKERS 42221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42221,A000000,06200,0000,06200PATIENTS LAUNDRY 42221,A81000A,00100,0100,Y 42221,A81000B,00100,0300,HOME OFFICE COSTS 42221,A81000B,00200,0300,NURSING COSTS 42221,A81000B,00300,0300,CAP COST RENT 42221,A81000B,00400,0300,CAP COST BLDG DEP 42221,A81000B,00500,0300,CAP COST EQUIP DEP 42221,A81000B,00600,0300,CAP COST INTEREST 42221,A81000B,00700,0300,CAP COST AMMORTIZATION 42221,A81000C,00100,0100,B 42221,A81000C,00100,0400,TEALWOOD CARE CENTER 42221,A81000C,00100,0600,NF MANAGEMENT 42221,A81000C,00300,0100,A 42221,A81000C,00300,0200,SAM KAPLAN 42221,A81000C,00300,0400,LEONARD LOUIS 42221,A81000C,00300,0600,NF OWNER 42221,A81000C,00400,0100,A 42221,A81000C,00400,0200,RALPH STRANGIS 42221,A81000C,00400,0400,LEONARD LOUIS 42221,A81000C,00400,0600,NF OWNER 42221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42221,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42221,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42221,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42221,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42221,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42221,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42221,S000000,00100,0200,05/18/2000 42221,S200000,00100,0100,210 E. GRAND 42221,S200000,00100,0300,365 42221,S200000,00200,0100,GRAND MEADOW 42221,S200000,00200,0200,MN 42221,S200000,00200,0300,55936- 42221,S200000,00300,0100,MOWER 42221,S200000,00300,0200,24 42221,S200000,00300,0300,R 42221,S200000,00400,0100,MEADOW MANOR 42221,S200000,00400,0200,245367 42221,S200000,00400,0300,11/01/1996 42221,S200000,00400,0500,P 42221,S200000,01004,0500,O 42221,S200000,01600,0100,Y 42224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42224,A000000,00300,0000,00300EMPLOYEE BENEFITS 42224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42224,A000000,00700,0000,00700HOUSEKEEPING 42224,A000000,00800,0000,00800DIETARY 42224,A000000,00900,0000,00900NURSING ADMINISTRATION 42224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42224,A000000,01100,0000,01100PHARMACY 42224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42224,A000000,01300,0000,01300SOCIAL SERVICE 42224,A000000,01350,0000,01500OTHER GENERAL SERVICES 42224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42224,A000000,01600,0000,01600SKILLED NURSING FACILITY 42224,A000000,01800,0000,01800NURSING FACILITY 42224,A000000,01810,0000,01801ICF/MR 42224,A000000,01900,0000,01900OTHER LONG TERM CARE 42224,A000000,02100,0000,02100RADIOLOGY 42224,A000000,02200,0000,02200LABORATORY 42224,A000000,02300,0000,02300INTRAVENOUS THERAPY 42224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42224,A000000,02500,0000,02500PHYSICAL THERAPY 42224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42224,A000000,02700,0000,02700SPEECH PATHOLOGY 42224,A000000,02800,0000,02800ELECTROCARDIOLOGY 42224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42224,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42224,A000000,03200,0000,03200SUPPORT SURFACES 42224,A000000,03400,0000,03400CLINIC 42224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42224,A000000,03500,0000,03500RURAL HEALTH CLINIC 42224,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42224,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42224,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42224,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42224,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42224,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42224,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42224,A000000,04400,0000,04400DME RENTED - HHA 42224,A000000,04500,0000,04500DME SOLD - HHA 42224,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42224,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42224,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42224,A000000,04800,0000,04800AMBULANCE 42224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42224,A000000,05000,0000,05000CORF 42224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42224,A000000,05300,0000,05300INTEREST EXPENSE 42224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42224,A000000,05500,0000,05500HOSPICE 42224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42224,A000000,06100,0000,06100NONPAID WORKERS 42224,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42224,A000000,06200,0000,06200PATIENTS LAUNDRY 42224,A81000A,00100,0100,Y 42224,A81000B,00100,0300,MANAGEMENT FEES 42224,A81000C,00100,0100,E 42224,A81000C,00100,0200,JOHN ZWIERS 42224,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42224,A81000C,00100,0600,OWNES & OPERATES N.H. 42224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42224,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42224,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42224,B100000,00000,0800,00000MEALS SERVED :DIETARY 42224,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42224,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42224,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42224,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42224,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42224,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42224,E10A180,00550,0300,04/07/2000 42224,S000000,00100,0200,02/29/2000 42224,S200000,00100,0100,923 COUNTY HOME ROAD 42224,S200000,00200,0100,GRAND RAPIDS 42224,S200000,00200,0200,MN 42224,S200000,00200,0300,55744- 42224,S200000,00300,0100,ITASCA 42224,S200000,00400,0100,ITASCA NURSING HOME 42224,S200000,00400,0200,245368 42224,S200000,00400,0300,11/01/1986 42224,S200000,00400,0500,P 42224,S200000,01500,0100,Y 42230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42230,A000000,00300,0000,00300EMPLOYEE BENEFITS 42230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42230,A000000,00700,0000,00700HOUSEKEEPING 42230,A000000,00800,0000,00800DIETARY 42230,A000000,00900,0000,00900NURSING ADMINISTRATION 42230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42230,A000000,01300,0000,01300SOCIAL SERVICE 42230,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42230,A000000,01600,0000,01600SKILLED NURSING FACILITY 42230,A000000,02200,0000,02200LABORATORY 42230,A000000,02500,0000,02500PHYSICAL THERAPY 42230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42230,A000000,02700,0000,02700SPEECH PATHOLOGY 42230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42230,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42230,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42230,A000000,06151,0000,06301APARTMENTS 42230,A000000,06152,0000,06302OAKS EXPENSES 42230,A000000,06153,0000,06303DAY CARE EXPENSES 42230,A000000,06154,0000,06304FOUNDATION 42230,A81000A,00100,0100,Y 42230,A81000B,00100,0300,APARTMENT BENEFITS 42230,A81000B,00200,0300,APARTMENTS A&G 42230,A81000B,00300,0300,APARTMENTS OPERATING EXP 42230,A81000B,00400,0300,FOUNDATION OPERATING EXP 42230,A81000C,00100,0100,G 42230,A81000C,00100,0400,ST. MARKS APARTMENTS 42230,A81000C,00100,0600,SENIOR APARTMENTS 42230,A81000C,00200,0100,G 42230,A81000C,00200,0400,ST. MARKS BENEVOLENCE FN 42230,A81000C,00200,0600,FUNDRAISING 42230,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42230,B100000,00000,0200,00004DOLLAR VALUE :CAP REL COSTS - MOVA 42230,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42230,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42230,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42230,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 42230,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42230,B100000,00000,0800,00004MEALS SERVED :DIETARY 42230,B100000,00000,0950,00004RESIDENT DAYS :NURSING ADMINISTRAT 42230,B100000,00000,1250,00004RESIDENT DAYS :MEDICAL RECORDS & L 42230,B100000,00000,1330,00004RESIDENT DAYS :SOCIAL SERVICE 42230,B100000,00000,1331,00004RESIDENT DAYS :ACTIVITIES AND CHAP 42230,E10A180,00501,0100,04/27/2000 42230,E10A180,00550,0300,04/27/2000 42230,S000000,00100,0200,03/30/2000 42230,S200000,00100,0100,400 15TH AVENUE 42230,S200000,00200,0100,AUSTIN 42230,S200000,00200,0200,MN 42230,S200000,00200,0300,55912- 42230,S200000,00300,0100,MOWER 42230,S200000,00400,0100,ST. MARKS LUTHERAN HOME 42230,S200000,00400,0200,245369 42230,S200000,00400,0300,12/01/1986 42230,S200000,00400,0500,P 42230,S200000,01500,0100,Y 42235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42235,A000000,00300,0000,00300EMPLOYEE BENEFITS 42235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42235,A000000,00700,0000,00700HOUSEKEEPING 42235,A000000,00800,0000,00800DIETARY 42235,A000000,00900,0000,00900NURSING ADMINISTRATION 42235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42235,A000000,01100,0000,01100PHARMACY 42235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42235,A000000,01300,0000,01300SOCIAL SERVICE 42235,A000000,01350,0000,01500OTHER GENERAL SERVICES 42235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42235,A000000,01600,0000,01600SKILLED NURSING FACILITY 42235,A000000,01800,0000,01800NURSING FACILITY 42235,A000000,01810,0000,01810ICF/MR 42235,A000000,01900,0000,01900OTHER LONG TERM CARE 42235,A000000,02100,0000,02100RADIOLOGY 42235,A000000,02200,0000,02200LABORATORY 42235,A000000,02300,0000,02300INTRAVENOUS THERAPY 42235,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42235,A000000,02500,0000,02500PHYSICAL THERAPY 42235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42235,A000000,02700,0000,02700SPEECH PATHOLOGY 42235,A000000,02800,0000,02800ELECTROCARDIOLOGY 42235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42235,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42235,A000000,03200,0000,03200SUPPORT SURFACES 42235,A000000,03400,0000,03400CLINIC 42235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42235,A000000,03500,0000,03500RURAL HEALTH CLINIC 42235,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42235,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42235,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42235,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42235,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42235,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42235,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42235,A000000,04400,0000,04400DME RENTED - HHA 42235,A000000,04500,0000,04500DME SOLD - HHA 42235,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42235,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42235,A000000,04800,0000,04800AMBULANCE 42235,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42235,A000000,05000,0000,05000CORF 42235,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42235,A000000,05300,0000,05300INTEREST EXPENSE 42235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42235,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42235,A000000,05500,0000,05500HOSPICE 42235,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42235,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42235,A000000,06100,0000,06100NONPAID WORKERS 42235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42235,A000000,06200,0000,06200PATIENTS LAUNDRY 42235,A81000A,00100,0100,Y 42235,A81000B,00100,0300,CENTRAL OFFICE 42235,A81000B,00200,0300,CENTRAL OFFICE 42235,A81000C,00100,0100,E 42235,A81000C,00100,0200,STEVEN MORK 42235,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42235,A81000C,00100,0600,OWN & OPERATE NURSING HOM 42235,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42235,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42235,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42235,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42235,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42235,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42235,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42235,B100000,00000,0800,00000MEALS SERVED :DIETARY 42235,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42235,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42235,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42235,S000000,00100,0200,06/05/2000 42235,S200000,00100,0100,38315 HARDER AVE. 42235,S200000,00200,0100,NORTH BRANCH 42235,S200000,00200,0200,MN 42235,S200000,00200,0300,55056- 42235,S200000,00300,0100,CHISAGO 42235,S200000,00300,0200,5120 42235,S200000,00300,0300,U 42235,S200000,00400,0100,GREEN ACRES COUNTRY CARE CENTER 42235,S200000,00400,0200,245370 42235,S200000,00400,0300,08/01/1988 42235,S200000,00400,0500,P 42235,S200000,01004,0500,O 42235,S200000,01500,0100,Y 42240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42240,A000000,00300,0000,00300EMPLOYEE BENEFITS 42240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42240,A000000,00700,0000,00700HOUSEKEEPING 42240,A000000,00800,0000,00800DIETARY 42240,A000000,00900,0000,00900NURSING ADMINISTRATION 42240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42240,A000000,01100,0000,01100PHARMACY 42240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42240,A000000,01300,0000,01300SOCIAL SERVICE 42240,A000000,01600,0000,01600SKILLED NURSING FACILITY 42240,A000000,01800,0000,01800NURSING FACILITY 42240,A000000,01900,0000,01900OTHER LONG TERM CARE 42240,A000000,02100,0000,02100RADIOLOGY 42240,A000000,02200,0000,02200LABORATORY 42240,A000000,02300,0000,02300INTRAVENOUS THERAPY 42240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42240,A000000,02500,0000,02500PHYSICAL THERAPY 42240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42240,A000000,02700,0000,02700SPEECH PATHOLOGY 42240,A000000,02800,0000,02800ELECTROCARDIOLOGY 42240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42240,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42240,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42240,A000000,03200,0000,03200SUPPORT SURFACES 42240,A000000,03400,0000,03400CLINIC 42240,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42240,A000000,03500,0000,03500RURAL HEALTH CLINIC 42240,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42240,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42240,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42240,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42240,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42240,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42240,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42240,A000000,04400,0000,04400DME RENTED - HHA 42240,A000000,04500,0000,04500DME SOLD - HHA 42240,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42240,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42240,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42240,A000000,04800,0000,04800AMBULANCE 42240,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42240,A000000,05000,0000,05000CORF 42240,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42240,A000000,05300,0000,05300INTEREST EXPENSE 42240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42240,A000000,05500,0000,05500HOSPICE 42240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42240,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42240,A000000,06100,0000,06100NONPAID WORKERS 42240,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42240,A000000,06200,0000,06200PATIENTS LAUNDRY 42240,A81000A,00100,0100,Y 42240,A81000B,00100,0300,HOME OFFICE COSTS 42240,A81000B,00200,0300,NURSING COSTS 42240,A81000C,00100,0100,B 42240,A81000C,00100,0400,TEALWOOD CARE CENTERS 42240,A81000C,00100,0600,NF MANAGEMENT 42240,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42240,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42240,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42240,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42240,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42240,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42240,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42240,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42240,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42240,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42240,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42240,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42240,E10A180,00350,0100,06/28/1999 42240,E10A180,00350,0300,06/28/1999 42240,S000000,00100,0200,05/18/2000 42240,S200000,00100,0100,250 5 ST EAST 42240,S200000,00200,0100,TRACY 42240,S200000,00200,0200,MN 42240,S200000,00200,0300,56175- 42240,S200000,00300,0100,LYON 42240,S200000,00400,0100,PRAIRIVIEW HEALTHCARE CENTER 42240,S200000,00400,0200,245371 42240,S200000,00400,0300,12/01/1996 42240,S200000,00400,0500,P 42240,S200000,01600,0100,Y 42244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42244,A000000,00300,0000,00300EMPLOYEE BENEFITS 42244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42244,A000000,00700,0000,00700HOUSEKEEPING 42244,A000000,00800,0000,00800DIETARY 42244,A000000,00900,0000,00900NURSING ADMINISTRATION 42244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42244,A000000,01300,0000,01300SOCIAL SERVICE 42244,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42244,A000000,01600,0000,01600SKILLED NURSING FACILITY 42244,A000000,02100,0000,02100RADIOLOGY 42244,A000000,02200,0000,02200LABORATORY 42244,A000000,02300,0000,02300INTRAVENOUS THERAPY 42244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42244,A000000,02500,0000,02500PHYSICAL THERAPY 42244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42244,A000000,02700,0000,02700SPEECH PATHOLOGY 42244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42244,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42244,A000000,06151,0000,06301DAY CARE 42244,A000000,06152,0000,06302BOARD AND LODGING 42244,A000000,06153,0000,06303NEW LIFE MANOR APARTMENTS 42244,A000000,06154,0000,06304SOUTHVIEW ESTATES APTS 42244,A81000A,00100,0100,Y 42244,A81000B,00100,0300,SOUTHVIEW ESTATES BENEFITS 42244,A81000B,00200,0300,SOUTHVIEW ESTATES ADMIN COSTS 42244,A81000B,00300,0300,SOUTHVIEW ESTATESS OPERATING 42244,A81000B,00400,0300,NEW LIFE MANOR ADMIN COSTS 42244,A81000B,00500,0300,NEW LIFE MANOR OPERATING 42244,A81000C,00100,0100,G 42244,A81000C,00100,0400,NEW LIFE MANOR 42244,A81000C,00100,0600,APARTMENTS 42244,A81000C,00200,0100,G 42244,A81000C,00200,0400,SOUTHVIEW ESTATES 42244,A81000C,00200,0600,APARTMENTS 42244,A81000C,00300,0100,G 42244,A81000C,00300,0400,ST LUKESS NH FOUNDATION 42244,A81000C,00300,0600,FUNDRAISING 42244,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42244,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 42244,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42244,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42244,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42244,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 42244,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42244,B100000,00000,0800,00004MEALS SERVED :DIETARY 42244,B100000,00000,0950,00004RESIDENT DAYS :NURSING ADMINISTRAT 42244,B100000,00000,1250,00004RESIDENT DAYS :MEDICAL RECORDS & L 42244,B100000,00000,1330,00004RESIDENT DAYS :SOCIAL SERVICE 42244,B100000,00000,1331,00004RESIDENT DAYS :ACTIVITIES AND CHAP 42244,S000000,00100,0200,03/02/2000 42244,S200000,00100,0100,1219 SOUTH RAMSEY 42244,S200000,00200,0100,BLUE EARTH 42244,S200000,00200,0200,MN 42244,S200000,00200,0300,56013-2227 42244,S200000,00300,0100,FARIBAULT 42244,S200000,00400,0100,ST. LUKES LUTHERAN CARE CENTER 42244,S200000,00400,0200,245372 42244,S200000,00400,0300,12/01/1995 42244,S200000,00400,0500,P 42244,S200000,01500,0100,Y 42244,S700003,00000,0100,1 42249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42249,A000000,00300,0000,00300EMPLOYEE BENEFITS 42249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42249,A000000,00700,0000,00700HOUSEKEEPING 42249,A000000,00800,0000,00800DIETARY 42249,A000000,00900,0000,00900NURSING ADMINISTRATION 42249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42249,A000000,01100,0000,01100PHARMACY 42249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42249,A000000,01300,0000,01300SOCIAL SERVICE 42249,A000000,01350,0000,01500OTHER GENERAL SERVICES 42249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42249,A000000,01600,0000,01600SKILLED NURSING FACILITY 42249,A000000,01800,0000,01800NURSING FACILITY 42249,A000000,01810,0000,01810ICF/MR 42249,A000000,01900,0000,01900OTHER LONG TERM CARE 42249,A000000,02100,0000,02100RADIOLOGY 42249,A000000,02200,0000,02200LABORATORY 42249,A000000,02300,0000,02300INTRAVENOUS THERAPY 42249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42249,A000000,02500,0000,02500PHYSICAL THERAPY 42249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42249,A000000,02700,0000,02700SPEECH PATHOLOGY 42249,A000000,02800,0000,02800ELECTROCARDIOLOGY 42249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42249,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42249,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42249,A000000,03200,0000,03200SUPPORT SURFACES 42249,A000000,03400,0000,03400CLINIC 42249,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42249,A000000,03500,0000,03500RURAL HEALTH CLINIC 42249,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42249,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42249,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42249,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42249,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42249,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42249,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42249,A000000,04400,0000,04400DME RENTED - HHA 42249,A000000,04500,0000,04500DME SOLD - HHA 42249,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42249,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42249,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42249,A000000,04800,0000,04800AMBULANCE 42249,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42249,A000000,05000,0000,05000CORF 42249,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42249,A000000,05300,0000,05300INTEREST EXPENSE 42249,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42249,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42249,A000000,05500,0000,05500HOSPICE 42249,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42249,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42249,A000000,06100,0000,06100NONPAID WORKERS 42249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42249,A000000,06200,0000,06200PATIENTS LAUNDRY 42249,A81000A,00100,0100,Y 42249,A81000B,00100,0300,MANAGEMENT FEES 42249,A81000C,00100,0100,A 42249,A81000C,00100,0200,DAVID SHAW-ADMINISTRATOR 42249,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42249,A81000C,00100,0600,MANAGE NURSING HOME 42249,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42249,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42249,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42249,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42249,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42249,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42249,B100000,00000,0800,00000MEALS SERVED :DIETARY 42249,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42249,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42249,S000000,00100,0200,02/29/2000 42249,S200000,00100,0100,211 EAST MILL STREET 42249,S200000,00100,0300,645 42249,S200000,00200,0100,PELICAN RAPIDS 42249,S200000,00200,0200,MN 42249,S200000,00200,0300,56572-4233 42249,S200000,00300,0100,OTTERTAIL 42249,S200000,00300,0300,U 42249,S200000,00400,0100,PELICAN VALLEY HEALTH CENTER 42249,S200000,00400,0200,245373 42249,S200000,00400,0300,12/01/1986 42249,S200000,00400,0500,P 42249,S200000,01500,0100,Y 42254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42254,A000000,00300,0000,00300EMPLOYEE BENEFITS 42254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42254,A000000,00700,0000,00700HOUSEKEEPING 42254,A000000,00800,0000,00800DIETARY 42254,A000000,00900,0000,00900NURSING ADMINISTRATION 42254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42254,A000000,01100,0000,01100PHARMACY 42254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42254,A000000,01300,0000,01300SOCIAL SERVICE 42254,A000000,01350,0000,01500OTHER GENERAL SERVICES 42254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42254,A000000,01600,0000,01600SKILLED NURSING FACILITY 42254,A000000,01800,0000,01800NURSING FACILITY 42254,A000000,01900,0000,01900OTHER LONG TERM CARE 42254,A000000,02100,0000,02100RADIOLOGY 42254,A000000,02200,0000,02200LABORATORY 42254,A000000,02300,0000,02300INTRAVENOUS THERAPY 42254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42254,A000000,02500,0000,02500PHYSICAL THERAPY 42254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42254,A000000,02700,0000,02700SPEECH PATHOLOGY 42254,A000000,02800,0000,02800ELECTROCARDIOLOGY 42254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42254,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42254,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42254,A000000,03200,0000,03200SUPPORT SURFACES 42254,A000000,03400,0000,03400CLINIC 42254,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42254,A000000,03500,0000,03500RURAL HEALTH CLINIC 42254,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42254,A000000,04800,0000,04800AMBULANCE 42254,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42254,A000000,05000,0000,05000CORF 42254,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42254,A000000,05300,0000,05300INTEREST EXPENSE 42254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42254,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42254,A000000,05500,0000,05500HOSPICE 42254,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42254,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42254,A000000,06100,0000,06100NONPAID WORKERS 42254,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42254,A000000,06200,0000,06200PATIENTS LAUNDRY 42254,A81000A,00100,0100,Y 42254,A81000B,00100,0300,HOME OFFICE COSTS 42254,A81000C,00100,0100,A 42254,A81000C,00100,0200,ALL SAME STOCKHOLDERS 42254,A81000C,00100,0400,AMERICARE INC. 42254,A81000C,00100,0600,MANAGEMENT COMPANY 42254,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42254,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42254,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42254,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42254,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42254,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42254,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42254,B100000,00000,0800,00000MEALS SERVED :DIETARY 42254,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42254,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42254,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42254,E10A180,00501,0100,04/25/2000 42254,E10A180,00550,0300,04/25/2000 42254,S000000,00100,0200,02/28/2000 42254,S200000,00100,0100,142 NW 1ST STREET 42254,S200000,00200,0100,WAITE PARK 42254,S200000,00200,0200,MN 42254,S200000,00200,0300,56387- 42254,S200000,00300,0100,STEARNS 42254,S200000,00300,0200,6980 42254,S200000,00300,0300,U 42254,S200000,00400,0100,AMERICARE OF WAITE PARK INC. 42254,S200000,00400,0200,245375 42254,S200000,00400,0300,12/01/1986 42254,S200000,00400,0500,P 42254,S200000,01500,0100,Y 42260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42260,A000000,00300,0000,00300EMPLOYEE BENEFITS 42260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42260,A000000,00700,0000,00700HOUSEKEEPING 42260,A000000,00800,0000,00800DIETARY 42260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42260,A000000,01300,0000,01300SOCIAL SERVICE 42260,A000000,01600,0000,01600SKILLED NURSING FACILITY 42260,A000000,02500,0000,02500PHYSICAL THERAPY 42260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42260,A000000,02700,0000,02700SPEECH PATHOLOGY 42260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42260,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42260,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42260,A000000,05300,0000,05300INTEREST EXPENSE 42260,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42260,A81000A,00100,0100,Y 42260,A81000B,00100,0300,ADMIN RELATED COSTS 42260,A81000B,00200,0300,WORKERS COMP 42260,A81000B,00300,0300,DON 42260,A81000C,00100,0100,B 42260,A81000C,00100,0200,FOUNDATION FOR RURAL HEAL 42260,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42260,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42260,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42260,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42260,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42260,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42260,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42260,B100000,00000,0800,00000MEALS SERVED :DIETARY 42260,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42260,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42260,S000000,00100,0200,06/08/2000 42260,S200000,00100,0100,305 MELBY STREET 42260,S200000,00200,0100,ASHBY 42260,S200000,00200,0200,MN 42260,S200000,00200,0300,56309- 42260,S200000,00300,0100,GRANT 42260,S200000,00400,0100,PELICAN LAKE HEALTH CARE CENTER 42260,S200000,00400,0200,245377 42260,S200000,00400,0300,12/01/1986 42260,S200000,00400,0500,P 42260,S200000,01500,0100,Y 42265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42265,A000000,00300,0000,00300EMPLOYEE BENEFITS 42265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42265,A000000,00700,0000,00700HOUSEKEEPING 42265,A000000,00800,0000,00800DIETARY 42265,A000000,00900,0000,00900NURSING ADMINISTRATION 42265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42265,A000000,01100,0000,01100PHARMACY 42265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42265,A000000,01300,0000,01300SOCIAL SERVICE 42265,A000000,01350,0000,01500OTHER GENERAL SERVICES 42265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42265,A000000,01600,0000,01600SKILLED NURSING FACILITY 42265,A000000,01800,0000,01800NURSING FACILITY 42265,A000000,01810,0000,01810ICF/MR 42265,A000000,01900,0000,01900OTHER LONG TERM CARE 42265,A000000,02100,0000,02100RADIOLOGY 42265,A000000,02200,0000,02200LABORATORY 42265,A000000,02300,0000,02300INTRAVENOUS THERAPY 42265,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42265,A000000,02500,0000,02500PHYSICAL THERAPY 42265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42265,A000000,02700,0000,02700SPEECH PATHOLOGY 42265,A000000,02800,0000,02800ELECTROCARDIOLOGY 42265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42265,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42265,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42265,A000000,03200,0000,03200SUPPORT SURFACES 42265,A000000,03400,0000,03400CLINIC 42265,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42265,A000000,03500,0000,03500RURAL HEALTH CLINIC 42265,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42265,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42265,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42265,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42265,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42265,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42265,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42265,A000000,04400,0000,04400DME RENTED - HHA 42265,A000000,04500,0000,04500DME SOLD - HHA 42265,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42265,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42265,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42265,A000000,04800,0000,04800AMBULANCE 42265,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42265,A000000,05000,0000,05000CORF 42265,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42265,A000000,05300,0000,05300INTEREST EXPENSE 42265,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42265,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42265,A000000,05500,0000,05500HOSPICE 42265,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42265,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42265,A000000,06100,0000,06100NONPAID WORKERS 42265,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42265,A000000,06200,0000,06200PATIENTS LAUNDRY 42265,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 42265,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 42265,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 42265,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42265,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 42265,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 42265,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 42265,B100000,00000,0800,00000MEALS SERVED :DIETARY 42265,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 42265,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42265,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42265,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42265,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42265,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42265,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42265,E10A180,00501,0100,04/14/2000 42265,E10A180,00501,0300,04/14/2000 42265,S000000,00100,0200,02/28/2000 42265,S200000,00100,0100,200 E. 9TH AVE 42265,S200000,00200,0100,LAMBERTON 42265,S200000,00200,0200,MN 42265,S200000,00200,0300,56152- 42265,S200000,00300,0100,REDWOOD 42265,S200000,00400,0100,VALLEY VIEW MANOR 42265,S200000,00400,0200,245378 42265,S200000,00400,0300,01/01/1987 42265,S200000,00400,0500,P 42265,S200000,00400,0600,O 42265,S200000,01500,0100,Y 42265,S200000,02200,0100,Y 42265,S200000,02800,0100,Y 42265,S200000,04300,0100,Y 42268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42268,A000000,00300,0000,00300EMPLOYEE BENEFITS 42268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42268,A000000,00700,0000,00700HOUSEKEEPING 42268,A000000,00800,0000,00800DIETARY 42268,A000000,00900,0000,00900NURSING ADMINISTRATION 42268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42268,A000000,01300,0000,01300SOCIAL SERVICE 42268,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42268,A000000,01600,0000,01600SKILLED NURSING FACILITY 42268,A000000,02100,0000,02100RADIOLOGY 42268,A000000,02200,0000,02200LABORATORY 42268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42268,A000000,02500,0000,02500PHYSICAL THERAPY 42268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42268,A000000,02700,0000,02700SPEECH PATHOLOGY 42268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42268,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42268,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42268,A000000,06151,0000,06301DAY CARE 42268,A000000,06152,0000,06302FOUNDATION 42268,A000000,06153,0000,06303MEALS ON WHEELS 42268,A81000A,00100,0100,Y 42268,A81000B,00100,0300,FOUNDATION OPERATING EXPENSE 42268,A81000C,00100,0100,G 42268,A81000C,00100,0200,KENYON SUNSET HOME FND 42268,A81000C,00100,0600,FUNDRAISING 42268,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42268,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42268,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42268,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42268,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42268,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 42268,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42268,B100000,00000,0800,00003MEALS SERVED :DIETARY 42268,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42268,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42268,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42268,B100000,00000,1331,00003RESIDENT DAYS :ACTIVITIES AND CHAP 42268,S000000,00100,0200,02/29/2000 42268,S200000,00100,0100,KENYON SUNSET HOME 42268,S200000,00200,0100,127 GUNDERSON BLVD 42268,S200000,00200,0200,MN 42268,S200000,00200,0300,55946- 42268,S200000,00300,0100,GOODHUE 42268,S200000,00400,0100,KENYON SUNSET HOME 42268,S200000,00400,0200,245379 42268,S200000,00400,0300,12/01/1986 42268,S200000,00400,0500,P 42268,S200000,01500,0100,Y 42272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42272,A000000,00300,0000,00300EMPLOYEE BENEFITS 42272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42272,A000000,00700,0000,00700HOUSEKEEPING 42272,A000000,00800,0000,00800DIETARY 42272,A000000,00900,0000,00900NURSING ADMINISTRATION 42272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42272,A000000,01100,0000,01100PHARMACY 42272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42272,A000000,01300,0000,01300SOCIAL SERVICE 42272,A000000,01350,0000,01500OTHER GENERAL SERVICES 42272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42272,A000000,01600,0000,01600SKILLED NURSING FACILITY 42272,A000000,01800,0000,01800NURSING FACILITY 42272,A000000,01810,0000,01801ICF/MR 42272,A000000,01900,0000,01900OTHER LONG TERM CARE 42272,A000000,02100,0000,02100RADIOLOGY 42272,A000000,02200,0000,02200LABORATORY 42272,A000000,02300,0000,02300INTRAVENOUS THERAPY 42272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42272,A000000,02500,0000,02500PHYSICAL THERAPY 42272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42272,A000000,02700,0000,02700SPEECH PATHOLOGY 42272,A000000,02800,0000,02800ELECTROCARDIOLOGY 42272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42272,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42272,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42272,A000000,03200,0000,03200SUPPORT SURFACES 42272,A000000,03400,0000,03400CLINIC 42272,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42272,A000000,03500,0000,03500RURAL HEALTH CLINIC 42272,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42272,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42272,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42272,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42272,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42272,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42272,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42272,A000000,04400,0000,04400DME RENTED - HHA 42272,A000000,04500,0000,04500DME SOLD - HHA 42272,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42272,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42272,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42272,A000000,04800,0000,04800AMBULANCE 42272,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42272,A000000,05000,0000,05000CORF 42272,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42272,A000000,05300,0000,05300INTEREST EXPENSE 42272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42272,A000000,05500,0000,05500HOSPICE 42272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42272,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42272,A000000,06100,0000,06100NONPAID WORKERS 42272,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42272,A000000,06200,0000,06200PATIENTS LAUNDRY 42272,A81000A,00100,0100,Y 42272,A81000B,00100,0300,MANAGEMENT FEE TCCH 42272,A81000B,00200,0300,MANAGEMENT FEE ELIM 42272,A81000B,00300,0300,NURSING SUPPLIES 42272,A81000B,00400,0300,MEDICARE SUPPLIES 42272,A81000C,00100,0100,B 42272,A81000C,00100,0200,TWIN CITY CHRISTIAN HOMES 42272,A81000C,00100,0400,TWIN CITY CHRISTIAN HOMES 42272,A81000C,00100,0600,MANAGEMENT SERVICES 42272,A81000C,00200,0100,B 42272,A81000C,00200,0200,ELIM CARE INC. 42272,A81000C,00200,0400,ELIM CARE INC. 42272,A81000C,00200,0600,MANAGEMENT SERVICES 42272,A81000C,00300,0100,B 42272,A81000C,00300,0200,NEW HARMONY CARE CENTER 42272,A81000C,00300,0400,ELIM PREFERRED SERVICES 42272,A81000C,00300,0600,NURSING SUPPLIES 42272,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42272,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42272,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42272,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42272,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42272,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42272,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42272,B100000,00000,0800,00000MEALS SERVED :DIETARY 42272,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42272,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42272,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42272,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42272,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42272,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42272,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42272,E10A180,00550,0300,04/27/2000 42272,S000000,00100,0200,02/29/2000 42272,S200000,00100,0100,135 GERANIUM AVENUE 42272,S200000,00200,0100,ST. PAUL 42272,S200000,00200,0200,MN 42272,S200000,00200,0300,55117- 42272,S200000,00300,0100,RAMSEY 42272,S200000,00400,0100,NEW HARMONY CARE CENTER 42272,S200000,00400,0200,245381 42272,S200000,00400,0300,12/01/1986 42272,S200000,00400,0500,P 42272,S200000,01500,0100,Y 42272,S700003,00000,0100,1 42281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42281,A000000,00300,0000,00300EMPLOYEE BENEFITS 42281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42281,A000000,00700,0000,00700HOUSEKEEPING 42281,A000000,00800,0000,00800DIETARY 42281,A000000,00900,0000,00900NURSING ADMINISTRATION 42281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42281,A000000,01100,0000,01100PHARMACY 42281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42281,A000000,01300,0000,01300SOCIAL SERVICE 42281,A000000,01350,0000,01500OTHER GENERAL SERVICES 42281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42281,A000000,01600,0000,01600SKILLED NURSING FACILITY 42281,A000000,01800,0000,01800NURSING FACILITY 42281,A000000,01810,0000,01801ICF/MR 42281,A000000,01900,0000,01900OTHER LONG TERM CARE 42281,A000000,02100,0000,02100RADIOLOGY 42281,A000000,02200,0000,02200LABORATORY 42281,A000000,02300,0000,02300INTRAVENOUS THERAPY 42281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42281,A000000,02500,0000,02500PHYSICAL THERAPY 42281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42281,A000000,02700,0000,02700SPEECH PATHOLOGY 42281,A000000,02800,0000,02800ELECTROCARDIOLOGY 42281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42281,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42281,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42281,A000000,03200,0000,03200SUPPORT SURFACES 42281,A000000,03400,0000,03400CLINIC 42281,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42281,A000000,03500,0000,03500RURAL HEALTH CLINIC 42281,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42281,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42281,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42281,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42281,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42281,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42281,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42281,A000000,04400,0000,04400DME RENTED - HHA 42281,A000000,04500,0000,04500DME SOLD - HHA 42281,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42281,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42281,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42281,A000000,04800,0000,04800AMBULANCE 42281,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42281,A000000,05000,0000,05000CORF 42281,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42281,A000000,05300,0000,05300INTEREST EXPENSE 42281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42281,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42281,A000000,05500,0000,05500HOSPICE 42281,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42281,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42281,A000000,06100,0000,06100NONPAID WORKERS 42281,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42281,A000000,06200,0000,06200PATIENTS LAUNDRY 42281,A81000A,00100,0100,Y 42281,A81000B,00100,0300,MANAGEMENT FEES 42281,A81000C,00100,0100,B 42281,A81000C,00100,0200,WALKER CITYVIEW 42281,A81000C,00100,0400,WALKER SENIOR SERVICES 42281,A81000C,00100,0600,MANAGEMENT SERVICES 42281,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42281,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42281,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42281,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42281,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42281,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42281,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42281,B100000,00000,0800,00000MEALS SERVED :DIETARY 42281,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42281,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42281,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42281,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42281,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42281,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42281,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42281,E10A180,00550,0300,07/18/2000 42281,S000000,00100,0200,06/05/2000 42281,S200000,00100,0100,618 EAST 17TH STREET 42281,S200000,00200,0100,MINNEAPOLIS 42281,S200000,00200,0200,MN 42281,S200000,00200,0300,55404- 42281,S200000,00300,0100,HENNEPIN 42281,S200000,00400,0100,WALKER CITYVIEW 42281,S200000,00400,0200,245385 42281,S200000,00400,0300,12/01/1986 42281,S200000,00400,0500,P 42281,S200000,01600,0100,Y 42285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42285,A000000,00300,0000,00300EMPLOYEE BENEFITS 42285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42285,A000000,00700,0000,00700HOUSEKEEPING 42285,A000000,00800,0000,00800DIETARY 42285,A000000,00900,0000,00900NURSING ADMINISTRATION 42285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42285,A000000,01100,0000,01100PHARMACY 42285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42285,A000000,01300,0000,01300SOCIAL SERVICE 42285,A000000,01350,0000,01500OTHER GENERAL SERVICES 42285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42285,A000000,01600,0000,01600SKILLED NURSING FACILITY 42285,A000000,01800,0000,01800NURSING FACILITY 42285,A000000,01810,0000,01801ICF/MR 42285,A000000,01900,0000,01900OTHER LONG TERM CARE 42285,A000000,02100,0000,02100RADIOLOGY 42285,A000000,02200,0000,02200LABORATORY 42285,A000000,02300,0000,02300INTRAVENOUS THERAPY 42285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42285,A000000,02500,0000,02500PHYSICAL THERAPY 42285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42285,A000000,02700,0000,02700SPEECH PATHOLOGY 42285,A000000,02800,0000,02800ELECTROCARDIOLOGY 42285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42285,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42285,A000000,03101,0000,03101DENTAL CARE - TITLE XIX ONLY 42285,A000000,03200,0000,03200SUPPORT SURFACES 42285,A000000,03400,0000,03400CLINIC 42285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42285,A000000,03500,0000,03500RURAL HEALTH CLINIC 42285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42285,A000000,04800,0000,04800AMBULANCE 42285,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42285,A000000,05000,0000,05000CORF 42285,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42285,A000000,05300,0000,05300INTEREST EXPENSE 42285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42285,A000000,05500,0000,05500HOSPICE 42285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42285,A000000,06100,0000,06100NONPAID WORKERS 42285,A000000,06150,0000,06300CONTRACTED MEALS 42285,A000000,06151,0000,06301ADULT DAY CARE 42285,A000000,06152,0000,06302APARTMENTS 42285,A000000,06200,0000,06200PATIENTS LAUNDRY 42285,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42285,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42285,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42285,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42285,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42285,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 42285,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42285,B100000,00000,0800,00002MEALS :DIETARY 42285,B100000,00000,0950,00002NURSING SALARIES :NURSING ADMINIST 42285,B100000,00000,1050,00002NO STATISTICS :CENTRAL SERVICES & 42285,B100000,00000,1150,00002NO STATISTICS :PHARMACY 42285,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42285,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42285,B100000,00000,1350,00002NO STATISTICS :OTHER GENERAL SERVI 42285,B100000,00000,1450,00002NO STATISTICS :INTERNS & RESIDENTS 42285,S000000,00100,0200,02/24/2000 42285,S200000,00100,0100,2912 FREMONT AVENUE NORTH 42285,S200000,00200,0100,MINNEAPOLIS 42285,S200000,00200,0200,MN 42285,S200000,00200,0300,55411- 42285,S200000,00300,0100,HENNEPIN 42285,S200000,00400,0100,ST. OLAF RESIDENCE INC. 42285,S200000,00400,0200,245387 42285,S200000,00400,0300,12/01/1986 42285,S200000,00400,0500,P 42285,S200000,01600,0100,Y 42292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42292,A000000,00300,0000,00300EMPLOYEE BENEFITS 42292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42292,A000000,00700,0000,00700HOUSEKEEPING 42292,A000000,00800,0000,00800DIETARY 42292,A000000,00900,0000,00900NURSING ADMINISTRATION 42292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42292,A000000,01100,0000,01100PHARMACY 42292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42292,A000000,01300,0000,01300SOCIAL SERVICE 42292,A000000,01350,0000,01500OTHER GENERAL SERVICES 42292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42292,A000000,01600,0000,01600SKILLED NURSING FACILITY 42292,A000000,01800,0000,01800NURSING FACILITY 42292,A000000,01810,0000,01810ICF/MR 42292,A000000,01900,0000,01900OTHER LONG TERM CARE 42292,A000000,02100,0000,02100RADIOLOGY 42292,A000000,02200,0000,02200LABORATORY 42292,A000000,02300,0000,02300INTRAVENOUS THERAPY 42292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42292,A000000,02500,0000,02500PHYSICAL THERAPY 42292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42292,A000000,02700,0000,02700SPEECH PATHOLOGY 42292,A000000,02800,0000,02800ELECTROCARDIOLOGY 42292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42292,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42292,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42292,A000000,03200,0000,03200SUPPORT SURFACES 42292,A000000,03400,0000,03400CLINIC 42292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42292,A000000,03500,0000,03500RURAL HEALTH CLINIC 42292,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42292,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42292,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42292,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42292,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42292,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42292,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42292,A000000,04400,0000,04400DME RENTED - HHA 42292,A000000,04500,0000,04500DME SOLD - HHA 42292,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42292,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42292,A000000,04800,0000,04800AMBULANCE 42292,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42292,A000000,05000,0000,05000CORF 42292,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42292,A000000,05300,0000,05300INTEREST EXPENSE 42292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42292,A000000,05500,0000,05500HOSPICE 42292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42292,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42292,A000000,06100,0000,06100NONPAID WORKERS 42292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42292,A000000,06200,0000,06200PATIENTS LAUNDRY 42292,A81000A,00100,0100,Y 42292,A81000B,00100,0300,RENTAL INCOME 42292,A81000B,00200,0300,DEPRECIATION 42292,A81000B,00300,0300,INTEREST 42292,A81000C,00100,0100,A 42292,A81000C,00100,0200,R.P. MADEL RENTAL ACCOUNT 42292,A81000C,00200,0100,A 42292,A81000C,00200,0200,R.P. MADEL PERSONAL 42292,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42292,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42292,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42292,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42292,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42292,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42292,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42292,B100000,00000,0800,00000MEALS SERVED :DIETARY 42292,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42292,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42292,S000000,00100,0200,06/14/2000 42292,S200000,00100,0100,108 EIGHTH STREET NW 42292,S200000,00200,0100,WASECA 42292,S200000,00200,0200,MN 42292,S200000,00200,0300,56093- 42292,S200000,00300,0100,WASECA 42292,S200000,00300,0200,24 42292,S200000,00300,0300,R 42292,S200000,00400,0100,LAKE SHORE INN NURSING HOME 42292,S200000,00400,0200,245388 42292,S200000,00400,0300,12/01/1986 42292,S200000,00400,0500,P 42292,S200000,01500,0100,Y 42299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42299,A000000,00300,0000,00300EMPLOYEE BENEFITS 42299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42299,A000000,00700,0000,00700HOUSEKEEPING 42299,A000000,00800,0000,00800DIETARY 42299,A000000,00900,0000,00900NURSING ADMINISTRATION 42299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42299,A000000,01100,0000,01100PHARMACY 42299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42299,A000000,01300,0000,01300SOCIAL SERVICE 42299,A000000,01350,0000,01500OTHER GENERAL SERVICES 42299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42299,A000000,01600,0000,01600SKILLED NURSING FACILITY 42299,A000000,01800,0000,01800NURSING FACILITY 42299,A000000,01810,0000,01801ICF/MR 42299,A000000,01900,0000,01900OTHER LONG TERM CARE 42299,A000000,02100,0000,02100RADIOLOGY 42299,A000000,02200,0000,02200LABORATORY 42299,A000000,02300,0000,02300INTRAVENOUS THERAPY 42299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42299,A000000,02500,0000,02500PHYSICAL THERAPY 42299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42299,A000000,02700,0000,02700SPEECH PATHOLOGY 42299,A000000,02800,0000,02800ELECTROCARDIOLOGY 42299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42299,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42299,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42299,A000000,03200,0000,03200SUPPORT SURFACES 42299,A000000,03400,0000,03400CLINIC 42299,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42299,A000000,03500,0000,03500RURAL HEALTH CLINIC 42299,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42299,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42299,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42299,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42299,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42299,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42299,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42299,A000000,04400,0000,04400DME RENTED - HHA 42299,A000000,04500,0000,04500DME SOLD - HHA 42299,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42299,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42299,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42299,A000000,04800,0000,04800AMBULANCE 42299,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42299,A000000,05000,0000,05000CORF 42299,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42299,A000000,05300,0000,05300INTEREST EXPENSE 42299,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42299,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42299,A000000,05500,0000,05500HOSPICE 42299,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42299,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42299,A000000,06100,0000,06100NONPAID WORKERS 42299,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42299,A000000,06200,0000,06200PATIENTS LAUNDRY 42299,A81000A,00100,0100,Y 42299,A81000B,00100,0300,MANAGEMENT FEES 42299,A81000B,00200,0300,MANAGEMENT FEES - HHA 42299,A81000B,00300,0300,CAPITAL COSTS 42299,A81000C,00100,0100,B 42299,A81000C,00100,0200,PHM ROSEVILLE 42299,A81000C,00100,0400,PRESBYTERIAN HOMES INC 42299,A81000C,00100,0600,MANAGEMENT COMPANY 42299,A81000C,00200,0100,B 42299,A81000C,00200,0200,COMMUNITY SERVICES 42299,A81000C,00200,0400,PRESBYTERIAN HOMES INC 42299,A81000C,00200,0600,MANAGEMENT COMPANY 42299,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42299,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42299,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42299,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42299,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42299,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42299,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42299,B100000,00000,0800,00000MEALS SERVED :DIETARY 42299,B100000,00000,0900,00000PRODUCTIV HOURS :NURSING ADMINISTR 42299,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42299,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42299,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42299,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42299,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42299,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42299,H510100,00000,0000,5120 42299,H510100,02400,0000,5120 42299,S000000,00100,0200,03/02/2000 42299,S200000,00100,0100,1910 WEST COUNTY ROAD D 42299,S200000,00200,0100,ROSEVILLE 42299,S200000,00200,0200,MN 42299,S200000,00200,0300,55112- 42299,S200000,00300,0100,RAMSEY 42299,S200000,00400,0100,PRESBYTERIAN HOMES OF ROSEVILLE 42299,S200000,00400,0200,245389 42299,S200000,00400,0300,12/01/1986 42299,S200000,00400,0500,P 42299,S200000,00804,0200,247087 42299,S200000,00804,0300,12/01/86 42299,S200000,00804,0500,O 42299,S200000,01600,0100,Y 42299,S700003,00000,0100,1 42302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42302,A000000,00300,0000,00300EMPLOYEE BENEFITS 42302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42302,A000000,00700,0000,00700HOUSEKEEPING 42302,A000000,00800,0000,00800DIETARY 42302,A000000,00900,0000,00900NURSING ADMINISTRATION 42302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42302,A000000,01100,0000,01100PHARMACY 42302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42302,A000000,01300,0000,01300SOCIAL SERVICE 42302,A000000,01350,0000,01500OTHER GENERAL SERVICES 42302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42302,A000000,01600,0000,01600SKILLED NURSING FACILITY 42302,A000000,01800,0000,01800NURSING FACILITY 42302,A000000,01810,0000,01810ICF/MR 42302,A000000,01900,0000,01900OTHER LONG TERM CARE 42302,A000000,02100,0000,02100RADIOLOGY 42302,A000000,02200,0000,02200LABORATORY 42302,A000000,02300,0000,02300INTRAVENOUS THERAPY 42302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42302,A000000,02500,0000,02500PHYSICAL THERAPY 42302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42302,A000000,02700,0000,02700SPEECH PATHOLOGY 42302,A000000,02800,0000,02800ELECTROCARDIOLOGY 42302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42302,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42302,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42302,A000000,03200,0000,03200SUPPORT SURFACES 42302,A000000,03400,0000,03400CLINIC 42302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42302,A000000,03500,0000,03500RURAL HEALTH CLINIC 42302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42302,A000000,04800,0000,04800AMBULANCE 42302,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42302,A000000,05000,0000,05000CORF 42302,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42302,A000000,05300,0000,05300INTEREST EXPENSE 42302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42302,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42302,A000000,05500,0000,05500HOSPICE 42302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42302,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42302,A000000,06100,0000,06100NONPAID WORKERS 42302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42302,A000000,06200,0000,06200PATIENTS LAUNDRY 42302,A81000A,00100,0100,Y 42302,A81000B,00100,0300,CENTRAL OFFICE EXPENSE 42302,A81000B,00200,0300,CAPITAL COSTS 42302,A81000C,00100,0100,E 42302,A81000C,00100,0200,KEVIN ANDERSON 42302,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42302,A81000C,00100,0600,OWNS AND MANAGES NURSING 42302,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42302,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42302,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42302,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42302,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42302,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42302,B100000,00000,0800,00000MEALS SERVED :DIETARY 42302,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42302,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42302,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42302,E10A180,00550,0100,07/25/2000 42302,E10A180,00550,0300,07/25/2000 42302,S000000,00100,0200,06/19/2000 42302,S200000,00100,0100,718 MOUND AVENUE 42302,S200000,00200,0100,MANKATO 42302,S200000,00200,0200,MN 42302,S200000,00200,0300,56001- 42302,S200000,00300,0100,BLUE EARTH 42302,S200000,00300,0200,24 42302,S200000,00300,0300,R 42302,S200000,00400,0100,MANKATO LUTHERAN HOME 42302,S200000,00400,0200,245390 42302,S200000,00400,0300,12/01/1986 42302,S200000,00400,0500,P 42302,S200000,01500,0100,Y 42307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42307,A000000,00300,0000,00300EMPLOYEE BENEFITS 42307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42307,A000000,00700,0000,00700HOUSEKEEPING 42307,A000000,00800,0000,00800DIETARY 42307,A000000,00900,0000,00900NURSING ADMINISTRATION 42307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42307,A000000,01300,0000,01300SOCIAL SERVICE 42307,A000000,01301,0000,01301ACTIVITIES 42307,A000000,01600,0000,01600SKILLED NURSING FACILITY 42307,A000000,02200,0000,02200LABORATORY 42307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42307,A000000,02500,0000,02500PHYSICAL THERAPY 42307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42307,A000000,02700,0000,02700SPEECH PATHOLOGY 42307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42307,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42307,A000000,06151,0000,06301APARTMENTS 42307,A000000,06152,0000,06302DAY CARE 42307,A000000,06153,0000,06303ASSISTED LIVING UNIT 42307,A000000,06154,0000,06304CONGREGATE CARE 42307,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42307,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 42307,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42307,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42307,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42307,B100000,00000,0650,00004RESIDENT DAYS :LAUNDRY & LINEN SER 42307,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42307,B100000,00000,0800,00004MEALS SERVED :DIETARY 42307,B100000,00000,0950,00004RESIDENT DAYS :NURSING ADMINISTRAT 42307,B100000,00000,1250,00004RESIDENT DAYS :MEDICAL RECORDS & L 42307,B100000,00000,1330,00004RESIDENT DAYS :SOCIAL SERVICE 42307,B100000,00000,1331,00004RESIDENT DAYS :ACTIVITIES 42307,E10A180,00501,0100,04/13/2000 42307,E10A180,00550,0300,04/13/2000 42307,S000000,00100,0200,03/30/2000 42307,S200000,00100,0300,747 42307,S200000,00200,0100,RUSHFORD 42307,S200000,00200,0200,MN 42307,S200000,00200,0300,55971- 42307,S200000,00300,0100,FILLMORE 42307,S200000,00400,0100,GOOD SHEPHERD LUTHERAN HOME 42307,S200000,00400,0200,245393 42307,S200000,00400,0300,12/01/1986 42307,S200000,00400,0500,P 42307,S200000,01500,0100,Y 42307,S200000,02800,0100,Y 42312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42312,A000000,00300,0000,00300EMPLOYEE BENEFITS 42312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42312,A000000,00700,0000,00700HOUSEKEEPING 42312,A000000,00800,0000,00800DIETARY 42312,A000000,00900,0000,00900NURSING ADMINISTRATION 42312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42312,A000000,01100,0000,01100PHARMACY 42312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42312,A000000,01300,0000,01300SOCIAL SERVICE 42312,A000000,01350,0000,01500OTHER GENERAL SERVICES 42312,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42312,A000000,01600,0000,01600SKILLED NURSING FACILITY 42312,A000000,01800,0000,01800NURSING FACILITY 42312,A000000,01810,0000,01810ICF/MR 42312,A000000,01900,0000,01900OTHER LONG TERM CARE 42312,A000000,02100,0000,02100RADIOLOGY 42312,A000000,02200,0000,02200LABORATORY 42312,A000000,02300,0000,02300INTRAVENOUS THERAPY 42312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42312,A000000,02500,0000,02500PHYSICAL THERAPY 42312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42312,A000000,02700,0000,02700SPEECH PATHOLOGY 42312,A000000,02800,0000,02800ELECTROCARDIOLOGY 42312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42312,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42312,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42312,A000000,03200,0000,03200SUPPORT SURFACES 42312,A000000,03400,0000,03400CLINIC 42312,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42312,A000000,03500,0000,03500RURAL HEALTH CLINIC 42312,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42312,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42312,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42312,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42312,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42312,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42312,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42312,A000000,04400,0000,04400DME RENTED - HHA 42312,A000000,04500,0000,04500DME SOLD - HHA 42312,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42312,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42312,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42312,A000000,04800,0000,04800AMBULANCE 42312,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42312,A000000,05000,0000,05000CORF 42312,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42312,A000000,05300,0000,05300INTEREST EXPENSE 42312,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42312,A000000,05500,0000,05500HOSPICE 42312,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42312,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42312,A000000,06100,0000,06100NONPAID WORKERS 42312,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42312,A000000,06200,0000,06200PATIENTS LAUNDRY 42312,A81000A,00100,0100,Y 42312,A81000B,00100,0300,RELATED PARTY INTEREST EXPENSE 42312,A81000C,00100,0100,F 42312,A81000C,00100,0200,BARB & RICHARD ATCHISON 42312,A81000C,00100,0400,BETTY ATCHISON 42312,A81000C,00100,0600,RELATIVE 42312,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42312,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42312,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42312,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42312,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42312,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42312,B100000,00000,0750,00000SQ FEET HSKEEPNG :HOUSEKEEPING 42312,B100000,00000,0800,00000MEALS SERVED :DIETARY 42312,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42312,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42312,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42312,S000000,00100,0200,02/28/2000 42312,S200000,00100,0100,965 MCMILLAN STREET 42312,S200000,00200,0100,WORTHINGTON 42312,S200000,00200,0200,MN 42312,S200000,00200,0300,56187- 42312,S200000,00300,0100,WORTHINGTON 42312,S200000,00300,0300,R 42312,S200000,00400,0100,CROSSROADS CARE CENTER 42312,S200000,00400,0200,245395 42312,S200000,00400,0300,03/18/1994 42312,S200000,00400,0500,P 42312,S200000,01500,0100,Y 42317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42317,A000000,00300,0000,00300EMPLOYEE BENEFITS 42317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42317,A000000,00700,0000,00700HOUSEKEEPING 42317,A000000,00800,0000,00800DIETARY 42317,A000000,00900,0000,00900NURSING ADMINISTRATION 42317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42317,A000000,01100,0000,01100PHARMACY 42317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42317,A000000,01300,0000,01300SOCIAL SERVICE 42317,A000000,01350,0000,01500ACTIVITIES 42317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42317,A000000,01600,0000,01600SKILLED NURSING FACILITY 42317,A000000,02100,0000,02100RADIOLOGY 42317,A000000,02200,0000,02200LABORATORY 42317,A000000,02500,0000,02500PHYSICAL THERAPY 42317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42317,A000000,02700,0000,02700SPEECH PATHOLOGY 42317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42317,A000000,03550,0000,03550FQHC 42317,A000000,05000,0000,05000CORF 42317,A000000,05010,0000,05010CMHC 42317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 42317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42317,A81000A,00100,0100,Y 42317,A81000B,00100,0300,MANAGEMENT SERVICES 42317,A81000C,00100,0100,F 42317,A81000C,00100,0200,JAMES B. BIRCHE 42317,A81000C,00100,0400,HORIZON HEALTH 42317,A81000C,00100,0600,MANAGEMENT ACC 42317,A81000C,00200,0100,F 42317,A81000C,00200,0200,JEROME E KAPSNE 42317,A81000C,00200,0400,HORIZON HEALTH 42317,A81000C,00200,0600,ING HOME CARE 42317,A81000C,00300,0600,CONSULTING BUSI 42317,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 42317,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 42317,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 42317,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 42317,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 42317,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 42317,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 42317,B100000,00000,0800,00040MEALS SERVED :DIETARY 42317,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 42317,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 42317,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 42317,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 42317,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 42317,B100000,00000,1350,00040CENSUS :ACTIVITIES 42317,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 42317,E10A180,00550,0100,08/15/2000 42317,E10A180,00550,0300,08/15/2000 42317,S000000,00100,0200,06/25/2000 42317,S200000,00100,0100,1633 DELTON AVENUE 42317,S200000,00200,0100,BEMIDJI\ 42317,S200000,00200,0200,MN 42317,S200000,00200,0300,56601- 42317,S200000,00300,0100,BELTRAMI 42317,S200000,00400,0100,HAVENWOOD CARE CENTER 42317,S200000,00400,0200,245397 42317,S200000,00400,0300,12/01/1986 42317,S200000,00400,0500,P 42317,S200000,01500,0100,Y 42317,S200000,02800,0100,Y 42324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42324,A000000,00300,0000,00300EMPLOYEE BENEFITS 42324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42324,A000000,00700,0000,00700HOUSEKEEPING 42324,A000000,00800,0000,00800DIETARY 42324,A000000,00900,0000,00900NURSING ADMINISTRATION 42324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42324,A000000,01100,0000,01100PHARMACY 42324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42324,A000000,01300,0000,01300SOCIAL SERVICE 42324,A000000,01350,0000,01500OTHER GENERAL SERVICES 42324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42324,A000000,01600,0000,01600SKILLED NURSING FACILITY 42324,A000000,01800,0000,01800NURSING FACILITY 42324,A000000,01810,0000,01810ICF/MR 42324,A000000,01900,0000,01900OTHER LONG TERM CARE 42324,A000000,02100,0000,02100RADIOLOGY 42324,A000000,02200,0000,02200LABORATORY 42324,A000000,02300,0000,02300INTRAVENOUS THERAPY 42324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42324,A000000,02500,0000,02500PHYSICAL THERAPY 42324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42324,A000000,02700,0000,02700SPEECH PATHOLOGY 42324,A000000,02800,0000,02800ELECTROCARDIOLOGY 42324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42324,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42324,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42324,A000000,03200,0000,03200SUPPORT SURFACES 42324,A000000,03400,0000,03400CLINIC 42324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42324,A000000,03500,0000,03500RURAL HEALTH CLINIC 42324,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42324,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42324,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42324,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42324,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42324,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42324,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42324,A000000,04400,0000,04400DME RENTED - HHA 42324,A000000,04500,0000,04500DME SOLD - HHA 42324,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42324,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42324,A000000,04800,0000,04800AMBULANCE 42324,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42324,A000000,05000,0000,05000CORF 42324,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42324,A000000,05300,0000,05300INTEREST EXPENSE 42324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42324,A000000,05500,0000,05500HOSPICE 42324,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42324,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42324,A000000,06100,0000,06100NONPAID WORKERS 42324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42324,A000000,06200,0000,06200PATIENTS LAUNDRY 42324,A81000A,00100,0100,Y 42324,A81000B,00100,0300,CENTRAL OFFICE EXPENSE 42324,A81000C,00100,0100,B 42324,A81000C,00100,0200,AMERICAN BAPTIST 42324,A81000C,00100,0600,CENTRAL OFFICE 42324,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42324,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42324,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42324,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42324,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42324,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42324,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42324,B100000,00000,0800,00000MEALS SERVED :DIETARY 42324,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42324,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42324,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42324,E10A180,00501,0100,02/28/2001 42324,E10A180,00550,0300,02/28/2001 42324,S000000,00100,0200,01/29/2001 42324,S200000,00100,0100,211 SIXTH STREET 42324,S200000,00200,0100,WINNEBAGO 42324,S200000,00200,0200,MN 42324,S200000,00200,0300,56098- 42324,S200000,00300,0100,FARIBAULT 42324,S200000,00300,0200,0024 42324,S200000,00300,0300,R 42324,S200000,00400,0100,PARKER OAKS 42324,S200000,00400,0200,245398 42324,S200000,00400,0300,12/01/1986 42324,S200000,00400,0500,P 42324,S200000,01500,0100,Y 42327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42327,A000000,00300,0000,00300EMPLOYEE BENEFITS 42327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42327,A000000,00700,0000,00700HOUSEKEEPING 42327,A000000,00800,0000,00800DIETARY 42327,A000000,00900,0000,00900NURSING ADMINISTRATION 42327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42327,A000000,01100,0000,01100PHARMACY 42327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42327,A000000,01300,0000,01300SOCIAL SERVICE 42327,A000000,01350,0000,01500OTHER GENERAL SERVICES 42327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42327,A000000,01600,0000,01600SKILLED NURSING FACILITY 42327,A000000,01800,0000,01800NURSING FACILITY 42327,A000000,01810,0000,01801ICF/MR 42327,A000000,01900,0000,01900OTHER LONG TERM CARE 42327,A000000,02100,0000,02100RADIOLOGY 42327,A000000,02200,0000,02200LABORATORY 42327,A000000,02300,0000,02300INTRAVENOUS THERAPY 42327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42327,A000000,02500,0000,02500PHYSICAL THERAPY 42327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42327,A000000,02700,0000,02700SPEECH PATHOLOGY 42327,A000000,02800,0000,02800ELECTROCARDIOLOGY 42327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42327,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42327,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42327,A000000,03200,0000,03200SUPPORT SURFACES 42327,A000000,03400,0000,03400CLINIC 42327,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42327,A000000,03500,0000,03500RURAL HEALTH CLINIC 42327,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42327,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42327,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42327,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42327,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42327,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42327,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42327,A000000,04400,0000,04400DME RENTED - HHA 42327,A000000,04500,0000,04500DME SOLD - HHA 42327,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42327,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42327,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42327,A000000,04800,0000,04800AMBULANCE 42327,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42327,A000000,05000,0000,05000CORF 42327,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42327,A000000,05300,0000,05300INTEREST EXPENSE 42327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42327,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42327,A000000,05500,0000,05500HOSPICE 42327,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42327,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42327,A000000,06100,0000,06100NONPAID WORKERS 42327,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42327,A000000,06200,0000,06200PATIENTS LAUNDRY 42327,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42327,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42327,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42327,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42327,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42327,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42327,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42327,B100000,00000,0800,00000MEALS SERVED :DIETARY 42327,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42327,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42327,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42327,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42327,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42327,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42327,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42327,E10A180,00550,0300,04/16/2000 42327,S000000,00100,0200,02/28/2000 42327,S200000,00100,0100,1200 NE FIRST AVENUE 42327,S200000,00100,0300,248 42327,S200000,00200,0100,LITTLE FALLS 42327,S200000,00200,0200,MN 42327,S200000,00200,0300,56345-0248 42327,S200000,00300,0100,MORRISON 42327,S200000,00400,0100,LUTHERAN CARE CENTER 42327,S200000,00400,0200,245399 42327,S200000,00400,0300,12/01/1986 42327,S200000,00400,0500,P 42327,S200000,01500,0100,Y 42331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42331,A000000,00300,0000,00300EMPLOYEE BENEFITS 42331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42331,A000000,00700,0000,00700HOUSEKEEPING 42331,A000000,00800,0000,00800DIETARY 42331,A000000,00900,0000,00900NURSING ADMINISTRATION 42331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42331,A000000,01100,0000,01100PHARMACY 42331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42331,A000000,01300,0000,01300SOCIAL SERVICE 42331,A000000,01350,0000,01500OTHER GENERAL SERVICES 42331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42331,A000000,01600,0000,01600SKILLED NURSING FACILITY 42331,A000000,01800,0000,01800NURSING FACILITY 42331,A000000,01810,0000,01810ICF/MR 42331,A000000,01900,0000,01900OTHER LONG TERM CARE 42331,A000000,02100,0000,02100RADIOLOGY 42331,A000000,02200,0000,02200LABORATORY 42331,A000000,02300,0000,02300INTRAVENOUS THERAPY 42331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42331,A000000,02500,0000,02500PHYSICAL THERAPY 42331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42331,A000000,02700,0000,02700SPEECH PATHOLOGY 42331,A000000,02800,0000,02800ELECTROCARDIOLOGY 42331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42331,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42331,A000000,03200,0000,03200SUPPORT SURFACES 42331,A000000,03400,0000,03400CLINIC 42331,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42331,A000000,03500,0000,03500RURAL HEALTH CLINIC 42331,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42331,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42331,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42331,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42331,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42331,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42331,A000000,04400,0000,04400DME RENTED - HHA 42331,A000000,04500,0000,04500DME SOLD - HHA 42331,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42331,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42331,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42331,A000000,04800,0000,04800AMBULANCE 42331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42331,A000000,05000,0000,05000CORF 42331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42331,A000000,05300,0000,05300INTEREST EXPENSE 42331,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42331,A000000,05500,0000,05500HOSPICE 42331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42331,A000000,06100,0000,06100NONPAID WORKERS 42331,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42331,A000000,06200,0000,06200PATIENTS LAUNDRY 42331,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42331,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42331,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42331,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42331,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42331,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42331,B100000,00000,0750,00000SQ. FT HSKPG :HOUSEKEEPING 42331,B100000,00000,0800,00000MEALS SERVED :DIETARY 42331,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 42331,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42331,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42331,E10A180,00550,0300,04/11/2000 42331,S000000,00100,0200,02/25/2000 42331,S200000,00100,0100,444 N. CORDOVA 42331,S200000,00200,0100,LECENTER 42331,S200000,00200,0200,MN 42331,S200000,00200,0300,56057- 42331,S200000,00300,0100,LESEUR 42331,S200000,00300,0200,24 42331,S200000,00300,0300,R 42331,S200000,00400,0100,CENTRAL HEALTHCARE OF LECENTER 42331,S200000,00400,0200,245401 42331,S200000,00400,0300,12/01/1986 42331,S200000,00400,0500,P 42331,S200000,01600,0100,Y 42336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42336,A000000,00201,0000,00201CAPITAL INTEREST 42336,A000000,00300,0000,00300EMPLOYEE BENEFITS 42336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42336,A000000,00700,0000,00700HOUSEKEEPING 42336,A000000,00800,0000,00800DIETARY 42336,A000000,00900,0000,00900NURSING ADMINISTRATION 42336,A000000,01600,0000,01600SKILLED NURSING FACILITY 42336,A000000,02100,0000,02100RADIOLOGY 42336,A000000,02200,0000,02200LABORATORY 42336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42336,A000000,02500,0000,02500PHYSICAL THERAPY 42336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42336,A000000,02700,0000,02700SPEECH PATHOLOGY 42336,A000000,02800,0000,02800ELECTROCARDIOLOGY 42336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 42336,A000000,05300,0000,05300INTEREST EXPENSE 42336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42336,A000000,06150,0000,06300PARKVIEW COURT 42336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42336,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 42336,B100000,00000,0251,00000SQUARE FEET :CAPITAL INTEREST 42336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42336,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42336,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42336,B100000,00000,0800,00000MEALS SERVED :DIETARY 42336,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42336,S000000,00100,0200,02/28/2000 42336,S200000,00100,0100,719 S.E. SECOND STREET 42336,S200000,00200,0100,GLENWOOD 42336,S200000,00200,0200,MN 42336,S200000,00200,0300,56334-1899 42336,S200000,00300,0100,POPE 42336,S200000,00400,0100,GLENWOOD NURSING HOME 42336,S200000,00400,0200,245402 42336,S200000,00400,0300,12/01/1986 42336,S200000,00400,0500,P 42336,S200000,01500,0100,Y 42336,S200000,02800,0100,Y 42341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42341,A000000,00300,0000,00300EMPLOYEE BENEFITS 42341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42341,A000000,00700,0000,00700HOUSEKEEPING 42341,A000000,00800,0000,00800DIETARY 42341,A000000,00900,0000,00900NURSING ADMINISTRATION 42341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42341,A000000,01300,0000,01300SOCIAL SERVICE 42341,A000000,01301,0000,01301ACTIVITIES 42341,A000000,01600,0000,01600SKILLED NURSING FACILITY 42341,A000000,01800,0000,01800NURSING FACILITY 42341,A000000,01900,0000,01900OTHER LONG TERM CARE 42341,A000000,02100,0000,02100RADIOLOGY 42341,A000000,02200,0000,02200LABORATORY 42341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42341,A000000,02500,0000,02500PHYSICAL THERAPY 42341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42341,A000000,02700,0000,02700SPEECH PATHOLOGY 42341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42341,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42341,A000000,06151,0000,06301DEVELOPMENT 42341,A000000,06152,0000,06302BOARD AND LODGING 42341,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42341,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42341,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42341,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42341,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42341,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 42341,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42341,B100000,00000,0800,00002MEALS SERVED :DIETARY 42341,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42341,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42341,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42341,B100000,00000,1331,00002RESIDENT DAYS :ACTIVITIES 42341,S000000,00100,0200,12/17/1999 42341,S200000,00100,0100,175 E WABASHA 42341,S200000,00200,0100,WINONA 42341,S200000,00200,0200,MN 42341,S200000,00200,0300,55987- 42341,S200000,00300,0100,WINONA 42341,S200000,00400,0100,WATKINS HOME 42341,S200000,00400,0200,245404 42341,S200000,00400,0300,12/01/1986 42341,S200000,00400,0500,P 42341,S200000,00600,0200,245404 42341,S200000,00600,0300,12/01/1986 42341,S200000,00600,0600,P 42341,S200000,01600,0100,Y 42343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42343,A000000,00300,0000,00300EMPLOYEE BENEFITS 42343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42343,A000000,00700,0000,00700HOUSEKEEPING 42343,A000000,00800,0000,00800DIETARY 42343,A000000,01600,0000,01600SKILLED NURSING FACILITY 42343,A000000,01800,0000,01800NURSING FACILITY 42343,A000000,01900,0000,01900OTHER LONG TERM CARE 42343,A000000,02100,0000,02100RADIOLOGY 42343,A000000,02200,0000,02200LABORATORY 42343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42343,A000000,02500,0000,02500PHYSICAL THERAPY 42343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42343,A000000,02700,0000,02700SPEECH PATHOLOGY 42343,A000000,02800,0000,02800ELECTROCARDIOLOGY 42343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42343,A000000,06200,0000,06200PATIENTS LAUNDRY 42343,A81000A,00100,0100,Y 42343,A81000B,00100,0300,RADIOLOGY 42343,A81000B,00200,0300,PHYSICAL THERAPY 42343,A81000B,00300,0300,OCCUPATIONAL THERAPY 42343,A81000B,00400,0300,SPEECH 42343,A81000C,00100,0100,G 42343,A81000C,00100,0400,WINONA HEALTH 42343,A81000C,00100,0600,HOSPITAL 42343,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42343,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42343,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42343,B100000,00000,0650,00000RESIDENT DAY LA :LAUNDRY & LINEN SE 42343,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42343,B100000,00000,0800,00000MEALS SERVED :DIETARY 42343,S000000,00100,0200,06/16/2000 42343,S200000,00100,0100,855 MANKATO AVE 42343,S200000,00100,0300,5600 42343,S200000,00200,0100,WINONA 42343,S200000,00200,0200,MN 42343,S200000,00200,0300,55987-0600 42343,S200000,00300,0100,WINONA 42343,S200000,00300,0200,24 42343,S200000,00300,0300,R 42343,S200000,00400,0100,WINONA SENIOR SERVICES-WATKINS 42343,S200000,00400,0200,245404 42343,S200000,00400,0300,07/01/1999 42343,S200000,00400,0500,P 42343,S200000,00600,0200,245404 42343,S200000,00600,0300,07/01/1999 42343,S200000,00600,0600,P 42343,S200000,01600,0100,Y 42348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42348,A000000,00300,0000,00300EMPLOYEE BENEFITS 42348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42348,A000000,00700,0000,00700HOUSEKEEPING 42348,A000000,00800,0000,00800DIETARY 42348,A000000,00900,0000,00900NURSING ADMINISTRATION 42348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42348,A000000,01100,0000,01100PHARMACY 42348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42348,A000000,01300,0000,01300SOCIAL SERVICE 42348,A000000,01350,0000,01500OTHER GENERAL SERVICES 42348,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42348,A000000,01600,0000,01600SKILLED NURSING FACILITY 42348,A000000,01800,0000,01800NURSING FACILITY 42348,A000000,01810,0000,01801ICF/MR 42348,A000000,01900,0000,01900OTHER LONG TERM CARE 42348,A000000,02100,0000,02100RADIOLOGY 42348,A000000,02200,0000,02200LABORATORY 42348,A000000,02300,0000,02300INTRAVENOUS THERAPY 42348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42348,A000000,02500,0000,02500PHYSICAL THERAPY 42348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42348,A000000,02700,0000,02700SPEECH PATHOLOGY 42348,A000000,02800,0000,02800ELECTROCARDIOLOGY 42348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42348,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42348,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42348,A000000,03200,0000,03200SUPPORT SURFACES 42348,A000000,03400,0000,03400CLINIC 42348,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42348,A000000,03500,0000,03500RURAL HEALTH CLINIC 42348,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42348,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42348,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42348,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42348,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42348,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42348,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42348,A000000,04400,0000,04400DME RENTED - HHA 42348,A000000,04500,0000,04500DME SOLD - HHA 42348,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42348,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42348,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42348,A000000,04800,0000,04800AMBULANCE 42348,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42348,A000000,05000,0000,05000CORF 42348,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42348,A000000,05300,0000,05300INTEREST EXPENSE 42348,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42348,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42348,A000000,05500,0000,05500HOSPICE 42348,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42348,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42348,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42348,A000000,06100,0000,06100NONPAID WORKERS 42348,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42348,A000000,06200,0000,06200PATIENTS LAUNDRY 42348,A81000A,00100,0100,Y 42348,A81000B,00100,0300,MANAGEMENT FEES 42348,A81000C,00100,0100,E 42348,A81000C,00100,0200,KURT HANSEN 42348,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42348,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42348,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42348,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42348,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42348,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42348,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42348,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42348,B100000,00000,0800,00000MEALS SERVED :DIETARY 42348,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42348,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42348,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42348,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42348,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42348,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42348,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42348,S000000,00100,0200,02/29/2000 42348,S200000,00100,0100,619 WEST 6TH STREET 42348,S200000,00200,0100,PARK RAPIDS 42348,S200000,00200,0200,MN 42348,S200000,00200,0300,56470- 42348,S200000,00300,0100,HUBBARD 42348,S200000,00400,0100,HERITAGE LIVING CENTER 42348,S200000,00400,0200,245405 42348,S200000,00400,0300,01/01/1987 42348,S200000,00400,0500,P 42348,S200000,00400,0600,O 42348,S200000,01500,0100,Y 42351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42351,A000000,00300,0000,00300EMPLOYEE BENEFITS 42351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42351,A000000,00700,0000,00700HOUSEKEEPING 42351,A000000,00800,0000,00800DIETARY 42351,A000000,00900,0000,00900NURSING ADMINISTRATION 42351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42351,A000000,01300,0000,01300SOCIAL SERVICE 42351,A000000,01600,0000,01600SKILLED NURSING FACILITY 42351,A000000,02200,0000,02200LABORATORY 42351,A000000,02500,0000,02500PHYSICAL THERAPY 42351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42351,A000000,02700,0000,02700SPEECH PATHOLOGY 42351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42351,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42351,A000000,05901,0000,05901DAYCARE 42351,A000000,05902,0000,05902ASSISTED LIVING/VISTA RIDGE 42351,A000000,05903,0000,05903HOSPITAL MEALS 42351,A000000,05904,0000,05904CONGREGATE MEALS 42351,A000000,05905,0000,05905HOMESTEAD HOUSING/HUD APART 42351,B100000,00000,0100,00005SQUARE FEET :CAP REL COSTS - BLDGS 42351,B100000,00000,0250,00005SQUARE FEET :CAP REL COSTS - MOVAB 42351,B100000,00000,0300,00005GROSS SALARY :EMPLOYEE BENEFITS 42351,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 42351,B100000,00000,0500,00005SQUARE FEET :PLANT OPERATION MAIN 42351,B100000,00000,0600,00005POUNDS OF LAUNDRY :LAUNDRY & LINEN 42351,B100000,00000,0750,00005SQUARE FEET :HOUSEKEEPING 42351,B100000,00000,0800,00005MEALS SERVED :DIETARY 42351,B100000,00000,0900,00005HOURS OF SERVICE :NURSING ADMINISTR 42351,B100000,00000,1250,00005CENSUS DAYS :MEDICAL RECORDS & LIB 42351,B100000,00000,1330,00005CENSUS DAYS :SOCIAL SERVICE 42351,E10A180,00501,0100,03/28/2000 42351,E10A180,00501,0300,03/28/2000 42351,S000000,00100,0200,02/10/2000 42351,S200000,00100,0100,710 EAST WALNUT 42351,S200000,00100,0300,RR2 BOX 1167 42351,S200000,00200,0100,SPRINGFIELD 42351,S200000,00200,0200,MN 42351,S200000,00200,0300,56087-1167 42351,S200000,00300,0100,BROWN 42351,S200000,00300,0200,24 42351,S200000,00300,0300,R 42351,S200000,00400,0100,ST. JOHN LUTHERAN HOME 42351,S200000,00400,0200,245407 42351,S200000,00400,0300,01/01/1987 42351,S200000,00400,0500,P 42351,S200000,01500,0100,Y 42351,S200000,02800,0100,Y 42355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42355,A000000,00300,0000,00300EMPLOYEE BENEFITS 42355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42355,A000000,00700,0000,00700HOUSEKEEPING 42355,A000000,00800,0000,00800DIETARY 42355,A000000,00900,0000,00900NURSING ADMINISTRATION 42355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42355,A000000,01300,0000,01300SOCIAL SERVICE 42355,A000000,01600,0000,01600SKILLED NURSING FACILITY 42355,A000000,01800,0000,01800NURSING FACILITY 42355,A000000,02100,0000,02100RADIOLOGY 42355,A000000,02200,0000,02200LABORATORY 42355,A000000,02500,0000,02500PHYSICAL THERAPY 42355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42355,A000000,02700,0000,02700SPEECH PATHOLOGY 42355,A000000,02800,0000,02800ELECTROCARDIOLOGY 42355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42355,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42355,A000000,03200,0000,03200SUPPORT SURFACES 42355,A000000,04800,0000,04800AMBULANCE 42355,A000000,06150,0000,06300NON ALLOWABLE FEDERAL INCOME TAX 42355,A000000,06200,0000,06200PATIENTS LAUNDRY 42355,A000000,06201,0000,06201MAPLES SENIOR HOUSING 42355,A81000A,00100,0100,Y 42355,A81000B,00100,0300,OFFICE SPACE RENTAL 42355,A81000B,00200,0300,CONTRACTED NURSING 42355,A81000B,00300,0300,CONTRACTED HOUSEKEEPING 42355,A81000B,00400,0300,CONSULTING SERVICES 42355,A81000C,00100,0100,D 42355,A81000C,00100,0200,PAT BLUM 42355,A81000C,00100,0400,COMFORT HOME HEALTH CARE 42355,A81000C,00100,0600,HOME HEALTH CARE 42355,B100000,00000,0100,00000SQUARE FT :CAP REL COSTS - BLDGS & 42355,B100000,00000,0250,00000SQUARE FT :CAP REL COSTS - MOVABLE 42355,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42355,B100000,00000,0500,00000SQUARE FT :PLANT OPERATION MAINT. 42355,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 42355,B100000,00000,0750,00000SQUARE FT :HOUSEKEEPING 42355,B100000,00000,0800,00000MEALS :DIETARY 42355,B100000,00000,0900,00000HOURS OF SERV :NURSING ADMINISTRATI 42355,B100000,00000,1250,00000HOURS OF SERV :MEDICAL RECORDS & LI 42355,B100000,00000,1330,00000HOURS OF SERV :SOCIAL SERVICE 42355,E10A180,00550,0300,03/28/2000 42355,S000000,00100,0200,02/04/2000 42355,S200000,00100,0100,1875 19TH STREET NW 42355,S200000,00200,0100,ROCHESTER 42355,S200000,00200,0200,MN 42355,S200000,00200,0300,55901-1699 42355,S200000,00300,0100,OLMSTED 42355,S200000,00400,0100,MAPLE MANOR ENTERPRISES OF ROCHESTER 42355,S200000,00400,0200,245409 42355,S200000,00400,0300,01/01/1987 42355,S200000,00400,0500,P 42355,S200000,01600,0100,Y 42355,S200000,02200,0100,Y 42355,S200000,02800,0100,Y 42360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42360,A000000,00300,0000,00300EMPLOYEE BENEFITS 42360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42360,A000000,00700,0000,00700HOUSEKEEPING 42360,A000000,00800,0000,00800DIETARY 42360,A000000,00900,0000,00900NURSING ADMINISTRATION 42360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42360,A000000,01300,0000,01300SOCIAL SERVICE 42360,A000000,01350,0000,01500OTHER GENERAL SERVICES 42360,A000000,01600,0000,01600SKILLED NURSING FACILITY 42360,A000000,02100,0000,02100RADIOLOGY 42360,A000000,02200,0000,02200LABORATORY 42360,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42360,A000000,02500,0000,02500PHYSICAL THERAPY 42360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42360,A000000,02700,0000,02700SPEECH PATHOLOGY 42360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42360,A000000,04800,0000,04800AMBULANCE 42360,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42360,A000000,06150,0000,06300MOBILE MEALS 42360,A81000A,00100,0100,Y 42360,A81000B,00100,0300,CORPORATE MANAGEMENT FEE 42360,A81000B,00200,0300,CORPORATE MANAGEMENT FEE 42360,A81000C,00100,0100,G 42360,A81000C,00100,0200,CORPORATE OFFICE 42360,A81000C,00100,0400,SHOLOM INC. 42360,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42360,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42360,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42360,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42360,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42360,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42360,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42360,B100000,00000,0800,00000MEALS SERVED :DIETARY 42360,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42360,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42360,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42360,B100000,00000,1350,00000RESIDENT DAYS :OTHER GENERAL SERVI 42360,E10A180,00301,0100,11/17/1998 42360,E10A180,00350,0300,11/17/1998 42360,S000000,00100,0200,02/29/2000 42360,S200000,00100,0100,1554 MIDWAY PKWY 42360,S200000,00200,0100,ST. PAUL 42360,S200000,00200,0200,MN 42360,S200000,00200,0300,55108- 42360,S200000,00300,0100,RAMSEY 42360,S200000,00400,0100,SHOLOM HOME EAST INC.-ST. PAUL 42360,S200000,00400,0200,245411 42360,S200000,00400,0300,02/01/1987 42360,S200000,00400,0500,P 42360,S200000,01500,0100,Y 42360,S200000,02200,0100,Y 42365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42365,A000000,00300,0000,00300EMPLOYEE BENEFITS 42365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42365,A000000,00700,0000,00700HOUSEKEEPING 42365,A000000,00800,0000,00800DIETARY 42365,A000000,00900,0000,00900NURSING ADMINISTRATION 42365,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42365,A000000,01100,0000,01100PHARMACY 42365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42365,A000000,01300,0000,01300SOCIAL SERVICE 42365,A000000,01350,0000,01500OTHER GENERAL SERVICES 42365,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42365,A000000,01600,0000,01600SKILLED NURSING FACILITY 42365,A000000,01800,0000,01800NURSING FACILITY 42365,A000000,01810,0000,01801ICF/MR 42365,A000000,01900,0000,01900OTHER LONG TERM CARE 42365,A000000,02100,0000,02100RADIOLOGY 42365,A000000,02200,0000,02200LABORATORY 42365,A000000,02300,0000,02300INTRAVENOUS THERAPY 42365,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42365,A000000,02500,0000,02500PHYSICAL THERAPY 42365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42365,A000000,02700,0000,02700SPEECH PATHOLOGY 42365,A000000,02800,0000,02800ELECTROCARDIOLOGY 42365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42365,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42365,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42365,A000000,03200,0000,03200SUPPORT SURFACES 42365,A000000,03400,0000,03400CLINIC 42365,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42365,A000000,03500,0000,03500RURAL HEALTH CLINIC 42365,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42365,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42365,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42365,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42365,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42365,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42365,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42365,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42365,A000000,04800,0000,04800AMBULANCE 42365,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42365,A000000,05000,0000,05000CORF 42365,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42365,A000000,05300,0000,05300INTEREST EXPENSE 42365,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42365,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42365,A000000,05500,0000,05500HOSPICE 42365,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42365,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42365,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42365,A000000,06100,0000,06100NONPAID WORKERS 42365,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42365,A000000,06151,0000,06301OTHER MEALS 42365,A000000,06200,0000,06200PATIENTS LAUNDRY 42365,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42365,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42365,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42365,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42365,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42365,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42365,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42365,B100000,00000,0800,00001MEALS SERVED :DIETARY 42365,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42365,B100000,00000,1050,00001NO STATISTICS :CENTRAL SERVICES & 42365,B100000,00000,1150,00001NO STATISTICS :PHARMACY 42365,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42365,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42365,B100000,00000,1350,00001ASSIGNED TIME :OTHER GENERAL SERVI 42365,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 42365,E10A180,00501,0300,04/25/2000 42365,E10A180,00550,0100,04/25/2000 42365,H510100,00000,0000,24 42365,H510100,02400,0000,24 42365,H710000,00501,0100,04/25/2000 42365,H710000,00501,0300,04/25/2000 42365,S000000,00100,0200,02/28/2000 42365,S200000,00100,0100,182 SUNSET AVENUE 42365,S200000,00200,0100,COKATO 42365,S200000,00200,0200,MN 42365,S200000,00200,0300,55321- 42365,S200000,00300,0100,WRIGHT 42365,S200000,00400,0100,COKATO MANOR 42365,S200000,00400,0200,245412 42365,S200000,00400,0300,01/01/1987 42365,S200000,00400,0500,P 42365,S200000,00800,0200,248058 42365,S200000,00800,0300,09/08/1997 42365,S200000,00800,0500,P 42365,S200000,01500,0100,Y 42373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42373,A000000,00300,0000,00300EMPLOYEE BENEFITS 42373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42373,A000000,00700,0000,00700HOUSEKEEPING 42373,A000000,00800,0000,00800DIETARY 42373,A000000,00900,0000,00900NURSING ADMINISTRATION 42373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42373,A000000,01300,0000,01300SOCIAL SERVICE 42373,A000000,01600,0000,01600SKILLED NURSING FACILITY 42373,A000000,02200,0000,02200LABORATORY 42373,A000000,02500,0000,02500PHYSICAL THERAPY 42373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42373,A000000,02700,0000,02700SPEECH PATHOLOGY 42373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42373,A000000,06150,0000,06300APARTMENTS 42373,A81000A,00100,0100,Y 42373,A81000B,00100,0300,WATER & SEWER PMTS 42373,A81000B,00200,0300,BLDG DEPR-SEE SCHEDULE 42373,A81000B,00300,0300,EQUIP DEPR-SEE SCHEDULE 42373,A81000C,00100,0100,B 42373,A81000C,00100,0400,CITY OF BELGRADE 42373,A81000C,00100,0600,CITY 42373,A81000C,00200,0100,B 42373,A81000C,00200,0400,CITY OF BELGRADE 42373,A81000C,00200,0600,CITY 42373,A81000C,00300,0100,B 42373,A81000C,00300,0400,CITY OF BELGRADE 42373,A81000C,00300,0600,CITY 42373,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42373,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 42373,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42373,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42373,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42373,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42373,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42373,B100000,00000,0800,00000MEALS SERVED :DIETARY 42373,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42373,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42373,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42373,E10A180,00501,0100,05/08/2000 42373,E10A180,00501,0300,05/08/2000 42373,S000000,00100,0200,02/28/2000 42373,S200000,00100,0100,P.O. BOX 340 42373,S200000,00100,0300,340 42373,S200000,00200,0100,BELGRADE 42373,S200000,00200,0200,MN 42373,S200000,00200,0300,56312-0340 42373,S200000,00300,0100,STEARNS 42373,S200000,00400,0100,BELGRADE NURSING HOME 42373,S200000,00400,0200,245418 42373,S200000,00400,0300,02/01/1987 42373,S200000,00400,0500,P 42373,S200000,01500,0100,Y 42378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42378,A000000,00300,0000,00300EMPLOYEE BENEFITS 42378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42378,A000000,00700,0000,00700HOUSEKEEPING 42378,A000000,00800,0000,00800DIETARY 42378,A000000,00900,0000,00900NURSING ADMINISTRATION 42378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42378,A000000,01100,0000,01100PHARMACY 42378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42378,A000000,01300,0000,01300SOCIAL SERVICE 42378,A000000,01350,0000,01500ACTIVITIES/CHAPLAIN 42378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42378,A000000,01600,0000,01600SKILLED NURSING FACILITY 42378,A000000,01800,0000,01800NURSING FACILITY 42378,A000000,01810,0000,01810ICF/MR 42378,A000000,01900,0000,01900OTHER LONG TERM CARE 42378,A000000,02100,0000,02100RADIOLOGY 42378,A000000,02200,0000,02200LABORATORY 42378,A000000,02300,0000,02300INTRAVENOUS THERAPY 42378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42378,A000000,02500,0000,02500PHYSICAL THERAPY 42378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42378,A000000,02700,0000,02700SPEECH PATHOLOGY 42378,A000000,02800,0000,02800ELECTROCARDIOLOGY 42378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42378,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42378,A000000,03200,0000,03200SUPPORT SURFACES 42378,A000000,03400,0000,03400CLINIC 42378,A000000,03500,0000,03500RURAL HEALTH CLINIC 42378,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42378,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42378,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42378,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42378,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42378,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42378,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42378,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42378,A000000,04400,0000,04400DME RENTED - HHA 42378,A000000,04500,0000,04500DME SOLD - HHA 42378,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42378,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42378,A000000,04800,0000,04800AMBULANCE 42378,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42378,A000000,05000,0000,05000CORF 42378,A000000,05010,0000,05010CMHC 42378,A000000,05020,0000,05020OPT 42378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42378,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42378,A000000,05300,0000,05300INTEREST EXPENSE 42378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42378,A000000,05500,0000,05500HOSPICE 42378,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42378,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42378,A000000,06100,0000,06100NONPAID WORKERS 42378,A000000,06200,0000,06200PATIENTS LAUNDRY 42378,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42378,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42378,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42378,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42378,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42378,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42378,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42378,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42378,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42378,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42378,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42378,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42378,B100000,00000,1350,00000RES. DAYS :ACTIVITIES/CHAPLAIN 42378,S000000,00100,0200,03/08/2000 42378,S200000,00100,0100,HWY 32 NORTH 42378,S200000,00100,0300,480 42378,S200000,00200,0100,TWIN VALLEY 42378,S200000,00200,0200,MI 42378,S200000,00200,0300,56584-0480 42378,S200000,00300,0100,NORMAN 42378,S200000,00300,0300,R 42378,S200000,00400,0100,LUTHERAN MEMORIAL NURSING HOME 42378,S200000,00400,0200,245419 42378,S200000,00400,0300,10/01/1989 42378,S200000,00400,0500,P 42378,S200000,01500,0100,Y 42378,S200000,02200,0100,Y 42378,S200000,02800,0100,Y 42384,S000000,00100,0200,06/05/2000 42389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42389,A000000,00300,0000,00300EMPLOYEE BENEFITS 42389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42389,A000000,00700,0000,00700HOUSEKEEPING 42389,A000000,00800,0000,00800DIETARY 42389,A000000,00900,0000,00900NURSING ADMINISTRATION 42389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42389,A000000,01100,0000,01100PHARMACY 42389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42389,A000000,01300,0000,01300SOCIAL SERVICE 42389,A000000,01350,0000,01500OTHER GENERAL SERVICES 42389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42389,A000000,01600,0000,01600SKILLED NURSING FACILITY 42389,A000000,01800,0000,01800NURSING FACILITY 42389,A000000,01900,0000,01900OTHER LONG TERM CARE 42389,A000000,02100,0000,02100RADIOLOGY 42389,A000000,02200,0000,02200LABORATORY 42389,A000000,02300,0000,02300INTRAVENOUS THERAPY 42389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42389,A000000,02500,0000,02500PHYSICAL THERAPY 42389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42389,A000000,02700,0000,02700SPEECH PATHOLOGY 42389,A000000,02800,0000,02800ELECTROCARDIOLOGY 42389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42389,A000000,03200,0000,03200SUPPORT SURFACES 42389,A000000,03400,0000,03400CLINIC 42389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42389,A000000,03500,0000,03500RURAL HEALTH CLINIC 42389,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42389,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42389,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42389,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42389,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42389,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42389,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42389,A000000,04400,0000,04400DME RENTED - HHA 42389,A000000,04500,0000,04500DME SOLD - HHA 42389,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42389,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42389,A000000,04800,0000,04800AMBULANCE 42389,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42389,A000000,05000,0000,05000CORF 42389,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42389,A000000,05300,0000,05300INTEREST EXPENSE 42389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42389,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42389,A000000,05500,0000,05500HOSPICE 42389,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42389,A000000,05901,0000,05901CAPITAL CAMPAIGN 42389,A000000,05902,0000,05902MEALS ON WHEELS 42389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42389,A000000,06100,0000,06100NONPAID WORKERS 42389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42389,A000000,06200,0000,06200PATIENTS LAUNDRY 42389,A81000A,00100,0100,Y 42389,A81000B,00100,0300,MANAGEMENT FEES 42389,A81000B,00200,0300,MEDICAL SUPPLIES & OTHER 42389,A81000C,00100,0100,B 42389,A81000C,00100,0200,ELIM HOMES INC 42389,A81000C,00100,0400,ELIM - ADMINISTRATION 42389,A81000C,00100,0600,MANAGEMENT SERVICES 42389,A81000C,00200,0100,G 42389,A81000C,00200,0200,ELIM HOMES INC. 42389,A81000C,00200,0400,ELIM PREFERRED SERVICES 42389,A81000C,00200,0600,MEDICAL SUPPLIES/CAPITAL 42389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42389,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42389,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42389,B100000,00000,0800,00000MEALS SERVED :DIETARY 42389,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42389,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42389,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42389,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42389,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42389,B100000,00000,1350,00000POUNDS OF LAUNDRY :OTHER GENERAL SE 42389,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42389,E10A180,00550,0300,04/11/2000 42389,S000000,00100,0200,02/29/2000 42389,S200000,00100,0100,730 SECOND STREET SE 42389,S200000,00200,0100,MILACA 42389,S200000,00200,0200,MN 42389,S200000,00200,0300,56353-1398 42389,S200000,00300,0100,MILLE LACS 42389,S200000,00400,0100,ELIM HOME - MILACA 42389,S200000,00400,0200,245422 42389,S200000,00400,0300,01/01/1987 42389,S200000,00400,0500,P 42389,S200000,01500,0100,Y 42389,S700003,00000,0100,1 42395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42395,A000000,00300,0000,00300EMPLOYEE BENEFITS 42395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42395,A000000,00700,0000,00700HOUSEKEEPING 42395,A000000,00800,0000,00800DIETARY 42395,A000000,00900,0000,00900NURSING ADMINISTRATION 42395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42395,A000000,01300,0000,01300SOCIAL SERVICE 42395,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42395,A000000,01600,0000,01600SKILLED NURSING FACILITY 42395,A000000,02100,0000,02100RADIOLOGY 42395,A000000,02200,0000,02200LABORATORY 42395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42395,A000000,02500,0000,02500PHYSICAL THERAPY 42395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42395,A000000,02700,0000,02700SPEECH PATHOLOGY 42395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42395,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42395,A000000,06151,0000,06301APARTMENTS 42395,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42395,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42395,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42395,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42395,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42395,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42395,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 42395,B100000,00000,0800,00001MEALS SERVED :DIETARY 42395,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42395,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42395,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42395,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 42395,E10A180,00501,0100,03/28/2000 42395,E10A180,00550,0300,03/28/2000 42395,S000000,00100,0200,02/11/2000 42395,S200000,00100,0100,1102 LIBERTY STREET SE 42395,S200000,00200,0100,CHATFIELD 42395,S200000,00200,0200,MN 42395,S200000,00200,0300,55923- 42395,S200000,00300,0100,FILLMORE 42395,S200000,00400,0100,CHOSEN VALLEY CARE CENTER 42395,S200000,00400,0200,245423 42395,S200000,00400,0300,02/01/1987 42395,S200000,00400,0500,P 42395,S200000,01500,0100,Y 42401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42401,A000000,00300,0000,00300EMPLOYEE BENEFITS 42401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42401,A000000,00700,0000,00700HOUSEKEEPING 42401,A000000,00800,0000,00800DIETARY 42401,A000000,00900,0000,00900NURSING ADMINISTRATION 42401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42401,A000000,01100,0000,01100PHARMACY 42401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42401,A000000,01300,0000,01300SOCIAL SERVICE 42401,A000000,01350,0000,01500OTHER GENERAL SERVICES 42401,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42401,A000000,01600,0000,01600SKILLED NURSING FACILITY 42401,A000000,01800,0000,01800NURSING FACILITY 42401,A000000,01810,0000,01810ICF/MR 42401,A000000,01900,0000,01900OTHER LONG TERM CARE 42401,A000000,02100,0000,02100RADIOLOGY 42401,A000000,02200,0000,02200LABORATORY 42401,A000000,02300,0000,02300INTRAVENOUS THERAPY 42401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42401,A000000,02500,0000,02500PHYSICAL THERAPY 42401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42401,A000000,02700,0000,02700SPEECH PATHOLOGY 42401,A000000,02800,0000,02800ELECTROCARDIOLOGY 42401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42401,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42401,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42401,A000000,03200,0000,03200SUPPORT SURFACES 42401,A000000,03400,0000,03400CLINIC 42401,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42401,A000000,03500,0000,03500RURAL HEALTH CLINIC 42401,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42401,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42401,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42401,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42401,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42401,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42401,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42401,A000000,04400,0000,04400DME RENTED - HHA 42401,A000000,04500,0000,04500DME SOLD - HHA 42401,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42401,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42401,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42401,A000000,04800,0000,04800AMBULANCE 42401,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42401,A000000,05000,0000,05000CORF 42401,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42401,A000000,05300,0000,05300INTEREST EXPENSE 42401,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42401,A000000,05500,0000,05500HOSPICE 42401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42401,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42401,A000000,06100,0000,06100NONPAID WORKERS 42401,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42401,A000000,06200,0000,06200PATIENTS LAUNDRY 42401,A81000A,00100,0100,Y 42401,A81000B,00100,0300,MANAGEMENT FEES 42401,A81000B,00200,0300,CAPITAL COSTS 42401,A81000C,00100,0100,B 42401,A81000C,00100,0200,PRESBYTERIAN HOME ARDEN H 42401,A81000C,00100,0400,PRESBYTERIAN HOMES OF MN 42401,A81000C,00100,0600,MANAGEMENT COMPANY 42401,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42401,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42401,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42401,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42401,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42401,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42401,B100000,00000,0800,00000MEALS SERVED :DIETARY 42401,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42401,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42401,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42401,S000000,00100,0200,03/02/2000 42401,S200000,00100,0100,3220 JOHANNA BLVD 42401,S200000,00200,0100,ST PAUL 42401,S200000,00200,0200,MN 42401,S200000,00200,0300,55112- 42401,S200000,00300,0100,RAMSEY 42401,S200000,00300,0200,5120 42401,S200000,00300,0300,U 42401,S200000,00400,0100,PRESBYTERIAN HOMES OF ARDEN HILLS 42401,S200000,00400,0200,245424 42401,S200000,00400,0300,02/01/1987 42401,S200000,00400,0500,P 42401,S200000,01500,0100,Y 42409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42409,A000000,00300,0000,00300EMPLOYEE BENEFITS 42409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42409,A000000,00700,0000,00700HOUSEKEEPING 42409,A000000,00800,0000,00800DIETARY 42409,A000000,00900,0000,00900NURSING ADMINISTRATION 42409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42409,A000000,01100,0000,01100PHARMACY 42409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42409,A000000,01300,0000,01300SOCIAL SERVICE 42409,A000000,01350,0000,01500OTHER GENERAL SERVICES 42409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42409,A000000,01600,0000,01600SKILLED NURSING FACILITY 42409,A000000,01800,0000,01800NURSING FACILITY 42409,A000000,01810,0000,01810ICF/MR 42409,A000000,01900,0000,01900OTHER LONG TERM CARE 42409,A000000,02100,0000,02100RADIOLOGY 42409,A000000,02200,0000,02200LABORATORY 42409,A000000,02300,0000,02300INTRAVENOUS THERAPY 42409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42409,A000000,02500,0000,02500PHYSICAL THERAPY 42409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42409,A000000,02700,0000,02700SPEECH PATHOLOGY 42409,A000000,02800,0000,02800ELECTROCARDIOLOGY 42409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42409,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42409,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42409,A000000,03200,0000,03200SUPPORT SURFACES 42409,A000000,03400,0000,03400CLINIC 42409,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42409,A000000,03500,0000,03500RURAL HEALTH CLINIC 42409,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42409,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42409,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42409,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42409,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42409,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42409,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42409,A000000,04400,0000,04400DME RENTED - HHA 42409,A000000,04500,0000,04500DME SOLD - HHA 42409,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42409,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42409,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42409,A000000,04800,0000,04800AMBULANCE 42409,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42409,A000000,05000,0000,05000CORF 42409,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42409,A000000,05300,0000,05300INTEREST EXPENSE 42409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42409,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42409,A000000,05500,0000,05500HOSPICE 42409,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42409,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42409,A000000,06100,0000,06100NONPAID WORKERS 42409,A000000,06150,0000,06300APARTMENTS/ASSISTED LIVING 42409,A000000,06200,0000,06200PATIENTS LAUNDRY 42409,A81000A,00100,0100,Y 42409,A81000B,00100,0300,CENTRAL OFFICE EXPENSE 42409,A81000C,00100,0100,B 42409,A81000C,00100,0200,AMERICAN BAPTIST HOMES 42409,A81000C,00100,0600,CENTRAL OFFICE 42409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42409,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42409,B100000,00000,0800,00000MEALS SERVED :DIETARY 42409,B100000,00000,0950,00000PRODUCTIVE E SALA :NURSING ADMINIST 42409,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42409,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42409,E10A180,00550,0300,02/12/2001 42409,S000000,00100,0200,01/29/2001 42409,S200000,00100,0100,1201 GARFIELD AVENUE 42409,S200000,00200,0100,ALBERT LEA 42409,S200000,00200,0200,MN 42409,S200000,00200,0300,56007-3638 42409,S200000,00300,0100,FREEBORN 42409,S200000,00300,0200,0024 42409,S200000,00300,0300,R 42409,S200000,00400,0100,THORNE CREST RETIREMENT CENTER 42409,S200000,00400,0200,245425 42409,S200000,00400,0300,12/01/1986 42409,S200000,00400,0500,P 42409,S200000,01500,0100,Y 42412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42412,A000000,00300,0000,00300EMPLOYEE BENEFITS 42412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42412,A000000,00700,0000,00700HOUSEKEEPING 42412,A000000,00800,0000,00800DIETARY 42412,A000000,00900,0000,00900NURSING ADMINISTRATION 42412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42412,A000000,01100,0000,01100PHARMACY 42412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42412,A000000,01300,0000,01300SOCIAL SERVICE 42412,A000000,01350,0000,01500OTHER GENERAL SERVICES 42412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42412,A000000,01600,0000,01600SKILLED NURSING FACILITY 42412,A000000,01800,0000,01800NURSING FACILITY 42412,A000000,01810,0000,01810ICF/MR 42412,A000000,01900,0000,01900OTHER LONG TERM CARE 42412,A000000,02100,0000,02100RADIOLOGY 42412,A000000,02200,0000,02200LABORATORY 42412,A000000,02300,0000,02300INTRAVENOUS THERAPY 42412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42412,A000000,02500,0000,02500PHYSICAL THERAPY 42412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42412,A000000,02700,0000,02700SPEECH PATHOLOGY 42412,A000000,02800,0000,02800ELECTROCARDIOLOGY 42412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42412,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42412,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42412,A000000,03200,0000,03200SUPPORT SURFACES 42412,A000000,03400,0000,03400CLINIC 42412,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42412,A000000,03500,0000,03500RURAL HEALTH CLINIC 42412,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42412,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42412,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42412,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42412,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42412,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42412,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42412,A000000,04400,0000,04400DME RENTED - HHA 42412,A000000,04500,0000,04500DME SOLD - HHA 42412,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42412,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42412,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42412,A000000,04800,0000,04800AMBULANCE 42412,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42412,A000000,05000,0000,05000CORF 42412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42412,A000000,05300,0000,05300INTEREST EXPENSE 42412,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42412,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42412,A000000,05500,0000,05500HOSPICE 42412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42412,A000000,06100,0000,06100NONPAID WORKERS 42412,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42412,A000000,06200,0000,06200PATIENTS LAUNDRY 42412,A81000A,00100,0100,Y 42412,A81000B,00100,0300,COUNTY ALLOCATION 42412,A81000C,00100,0100,B 42412,A81000C,00100,0400,STEELE COUNTY 42412,A81000C,00100,0600,GOVERNMENTAL UNIT 42412,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42412,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42412,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42412,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42412,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42412,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42412,B100000,00000,0800,00000MEALS SERVED :DIETARY 42412,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42412,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42412,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42412,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42412,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42412,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42412,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42412,S000000,00100,0200,06/05/2000 42412,S200000,00100,0100,1409 SOUTH CEDAR STREET 42412,S200000,00200,0100,OWATONNA 42412,S200000,00200,0200,MN 42412,S200000,00200,0300,55060-3920 42412,S200000,00300,0100,STEELE 42412,S200000,00400,0100,CEDARVIEW NURSING HOME 42412,S200000,00400,0200,245426 42412,S200000,00400,0300,02/01/1987 42412,S200000,00400,0500,P 42412,S200000,01004,0500,O 42412,S200000,01500,0100,Y 42416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42416,A000000,00300,0000,00300EMPLOYEE BENEFITS 42416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42416,A000000,00700,0000,00700HOUSEKEEPING 42416,A000000,00800,0000,00800DIETARY 42416,A000000,00900,0000,00900NURSING ADMINISTRATION 42416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42416,A000000,01300,0000,01300SOCIAL SERVICE 42416,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42416,A000000,01600,0000,01600SKILLED NURSING FACILITY 42416,A000000,02100,0000,02100RADIOLOGY 42416,A000000,02200,0000,02200LABORATORY 42416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42416,A000000,02500,0000,02500PHYSICAL THERAPY 42416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42416,A000000,02700,0000,02700SPEECH PATHOLOGY 42416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42416,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42416,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42416,A000000,06150,0000,06300SUNRISE APARTMENT MEALS 42416,A000000,06151,0000,06301ADULT DAY CARE CENTER 42416,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42416,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42416,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42416,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42416,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42416,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42416,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42416,B100000,00000,0800,00001MEALS SERVED :DIETARY 42416,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42416,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42416,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42416,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 42416,S000000,00100,0200,02/28/2000 42416,S200000,00100,0100,901 SOUTHEAST WILMAR AVE 42416,S200000,00200,0100,WILLMAR 42416,S200000,00200,0200,MN 42416,S200000,00200,0300,56201- 42416,S200000,00300,0100,KANDIYOHI 42416,S200000,00400,0100,BETHESDA HOMES-PLEASANT VIEW 42416,S200000,00400,0200,245427 42416,S200000,00400,0300,02/01/1987 42416,S200000,00400,0500,P 42416,S200000,01500,0100,Y 42416,S700003,00000,0100,1 42420,S000000,00100,0200,05/03/2000 42425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42425,A000000,00300,0000,00300EMPLOYEE BENEFITS 42425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42425,A000000,00700,0000,00700HOUSEKEEPING 42425,A000000,00800,0000,00800DIETARY 42425,A000000,00900,0000,00900NURSING ADMINISTRATION 42425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42425,A000000,01300,0000,01300SOCIAL SERVICE 42425,A000000,01301,0000,01301ACTIVITIES 42425,A000000,01600,0000,01600SKILLED NURSING FACILITY 42425,A000000,02100,0000,02100RADIOLOGY 42425,A000000,02200,0000,02200LABORATORY 42425,A000000,02500,0000,02500PHYSICAL THERAPY 42425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42425,A000000,02700,0000,02700SPEECH PATHOLOGY 42425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42425,A000000,06151,0000,06301DAY CARE 42425,A000000,06152,0000,06302MEALS ON WHEELS 42425,A81000A,00100,0100,Y 42425,A81000B,00100,0300,HOME OFFICE NON-CAPITAL 42425,A81000B,00200,0300,HOME OFFICE CAPITAL-BLD & FXT 42425,A81000B,00300,0300,HOME OFFICE CAPITAL-MVB EQP 42425,A81000C,00100,0100,G 42425,A81000C,00100,0400,SAMARITAN BETHANY INC. 42425,A81000C,00100,0600,CENTRAL OFFICE 42425,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42425,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 42425,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42425,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42425,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42425,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 42425,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42425,B100000,00000,0800,00002MEALS SERVED :DIETARY 42425,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42425,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42425,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42425,B100000,00000,1331,00002RESIDENT DAYS :ACTIVITIES 42425,S000000,00100,0200,02/04/2000 42425,S200000,00100,0100,ROUTE C BOX 64 42425,S200000,00200,0100,HAYFIELD 42425,S200000,00200,0200,MN 42425,S200000,00200,0300,55940- 42425,S200000,00300,0100,DODGE 42425,S200000,00400,0100,FIELD CREST CARE CENTER 42425,S200000,00400,0200,245431 42425,S200000,00400,0300,02/01/1987 42425,S200000,00400,0500,P 42425,S200000,01500,0100,Y 42425,S200000,02800,0100,Y 42430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42430,A000000,00300,0000,00300EMPLOYEE BENEFITS 42430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42430,A000000,00700,0000,00700HOUSEKEEPING 42430,A000000,00800,0000,00800DIETARY 42430,A000000,00900,0000,00900NURSING ADMINISTRATION 42430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42430,A000000,01100,0000,01100PHARMACY 42430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42430,A000000,01300,0000,01300SOCIAL SERVICE 42430,A000000,01350,0000,01500OTHER GENERAL SERVICES 42430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42430,A000000,01600,0000,01600SKILLED NURSING FACILITY 42430,A000000,01800,0000,01800NURSING FACILITY 42430,A000000,01810,0000,01801ICF/MR 42430,A000000,01900,0000,01900OTHER LONG TERM CARE 42430,A000000,02100,0000,02100RADIOLOGY 42430,A000000,02200,0000,02200LABORATORY 42430,A000000,02300,0000,02300INTRAVENOUS THERAPY 42430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42430,A000000,02500,0000,02500PHYSICAL THERAPY 42430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42430,A000000,02700,0000,02700SPEECH PATHOLOGY 42430,A000000,02800,0000,02800ELECTROCARDIOLOGY 42430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42430,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42430,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42430,A000000,03200,0000,03200SUPPORT SURFACES 42430,A000000,03400,0000,03400CLINIC 42430,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42430,A000000,03500,0000,03500RURAL HEALTH CLINIC 42430,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42430,A000000,04800,0000,04800AMBULANCE 42430,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42430,A000000,05000,0000,05000CORF 42430,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42430,A000000,05300,0000,05300INTEREST EXPENSE 42430,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42430,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42430,A000000,05500,0000,05500HOSPICE 42430,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42430,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42430,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42430,A000000,06100,0000,06100NONPAID WORKERS 42430,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42430,A000000,06151,0000,06301MILL RIDGE COMMONS 42430,A000000,06200,0000,06200PATIENTS LAUNDRY 42430,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42430,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42430,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42430,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42430,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42430,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42430,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42430,B100000,00000,0800,00001MEALS SERVED :DIETARY 42430,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42430,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 42430,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 42430,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42430,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42430,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 42430,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 42430,E10A180,00550,0300,03/28/2000 42430,S000000,00100,0200,02/16/2000 42430,S200000,00100,0100,800 SECOND AVENUE WEST 42430,S200000,00200,0100,CAMBRIDGE 42430,S200000,00200,0200,MN 42430,S200000,00200,0300,55008- 42430,S200000,00300,0100,ISANTI 42430,S200000,00400,0100,GRANDVIEW CHRISTIAN HOME 42430,S200000,00400,0200,245432 42430,S200000,00400,0300,03/01/1987 42430,S200000,00400,0500,P 42430,S200000,01500,0100,Y 42436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42436,A000000,00300,0000,00300EMPLOYEE BENEFITS 42436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42436,A000000,00700,0000,00700HOUSEKEEPING 42436,A000000,00800,0000,00800DIETARY 42436,A000000,00900,0000,00900NURSING ADMINISTRATION 42436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42436,A000000,01100,0000,01100PHARMACY 42436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42436,A000000,01300,0000,01300SOCIAL SERVICE 42436,A000000,01350,0000,01500OTHER GENERAL SERVICES 42436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42436,A000000,01600,0000,01600SKILLED NURSING FACILITY 42436,A000000,01800,0000,01800NURSING FACILITY 42436,A000000,01810,0000,01810ICF/MR 42436,A000000,01900,0000,01900OTHER LONG TERM CARE 42436,A000000,02100,0000,02100RADIOLOGY 42436,A000000,02200,0000,02200LABORATORY 42436,A000000,02300,0000,02300INTRAVENOUS THERAPY 42436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42436,A000000,02500,0000,02500PHYSICAL THERAPY 42436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42436,A000000,02700,0000,02700SPEECH PATHOLOGY 42436,A000000,02800,0000,02800ELECTROCARDIOLOGY 42436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42436,A000000,03200,0000,03200SUPPORT SURFACES 42436,A000000,03400,0000,03400CLINIC 42436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42436,A000000,03500,0000,03500RURAL HEALTH CLINIC 42436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42436,A000000,04400,0000,04400DME RENTED - HHA 42436,A000000,04500,0000,04500DME SOLD - HHA 42436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42436,A000000,04800,0000,04800AMBULANCE 42436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42436,A000000,05000,0000,05000CORF 42436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42436,A000000,05300,0000,05300INTEREST EXPENSE 42436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42436,A000000,05500,0000,05500HOSPICE 42436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42436,A000000,06100,0000,06100NONPAID WORKERS 42436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42436,A000000,06200,0000,06200PATIENTS LAUNDRY 42436,A81000A,00100,0100,Y 42436,A81000B,00100,0300,CENTRAL OFFICE EXPENSE 42436,A81000B,00200,0300,PHYSICAL THERAPY 42436,A81000B,00300,0300,OCCUPATIONAL THERAPY 42436,A81000B,00400,0300,SPEECH THERAPY 42436,A81000B,00500,0300,CENTRAL OFFICE EXPENSE 42436,A81000C,00100,0100,E 42436,A81000C,00100,0200,DARRYL SCHWARTZ 42436,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42436,A81000C,00100,0600,ADMINISTRATOR 42436,A81000C,00200,0100,B 42436,A81000C,00200,0200,BRIDGE REHAB 42436,A81000C,00200,0400,EBENEZER SOCIAL MINISTRIE 42436,A81000C,00200,0600,REHAB PROVIDER 42436,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42436,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42436,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42436,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42436,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42436,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42436,B100000,00000,0800,00000MEALS SERVED :DIETARY 42436,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42436,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42436,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42436,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42436,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42436,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42436,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42436,E10A180,00501,0100,07/06/2000 42436,S000000,00100,0200,12/31/2000 42436,S200000,00100,0100,1020 LARK STREET 42436,S200000,00200,0100,ALEXANDRIA 42436,S200000,00200,0200,MN 42436,S200000,00200,0300,56308- 42436,S200000,00300,0100,DOUGLAS 42436,S200000,00400,0100,BETHANY HOME - ALEXANDRIA 42436,S200000,00400,0200,245434 42436,S200000,00400,0300,04/01/1987 42436,S200000,00400,0500,P 42436,S200000,01600,0100,Y 42440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42440,A000000,00300,0000,00300EMPLOYEE BENEFITS 42440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42440,A000000,00700,0000,00700HOUSEKEEPING 42440,A000000,00800,0000,00800DIETARY 42440,A000000,00900,0000,00900NURSING ADMINISTRATION 42440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42440,A000000,01100,0000,01100PHARMACY 42440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42440,A000000,01300,0000,01300SOCIAL SERVICE 42440,A000000,01350,0000,01500OTHER GENERAL SERVICES 42440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42440,A000000,01600,0000,01600SKILLED NURSING FACILITY 42440,A000000,01800,0000,01800NURSING FACILITY 42440,A000000,01810,0000,01801ICF/MR 42440,A000000,01900,0000,01900OTHER LONG TERM CARE 42440,A000000,02100,0000,02100RADIOLOGY 42440,A000000,02200,0000,02200LABORATORY 42440,A000000,02300,0000,02300INTRAVENOUS THERAPY 42440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42440,A000000,02500,0000,02500PHYSICAL THERAPY 42440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42440,A000000,02700,0000,02700SPEECH PATHOLOGY 42440,A000000,02800,0000,02800ELECTROCARDIOLOGY 42440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42440,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42440,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42440,A000000,03200,0000,03200SUPPORT SURFACES 42440,A000000,03400,0000,03400CLINIC 42440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42440,A000000,03500,0000,03500RURAL HEALTH CLINIC 42440,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42440,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42440,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42440,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42440,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42440,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42440,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42440,A000000,04400,0000,04400DME RENTED - HHA 42440,A000000,04500,0000,04500DME SOLD - HHA 42440,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42440,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42440,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42440,A000000,04800,0000,04800AMBULANCE 42440,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42440,A000000,05000,0000,05000CORF 42440,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42440,A000000,05300,0000,05300INTEREST EXPENSE 42440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42440,A000000,05500,0000,05500HOSPICE 42440,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42440,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42440,A000000,06100,0000,06100NONPAID WORKERS 42440,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42440,A000000,06151,0000,06301NELSON GABLES 42440,A000000,06152,0000,06302HHA 42440,A000000,06200,0000,06200PATIENTS LAUNDRY 42440,A81000A,00100,0100,Y 42440,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 42440,A81000C,00100,0100,E 42440,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42440,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42440,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42440,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42440,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42440,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42440,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 42440,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42440,B100000,00000,0800,00002MEALS SERVED :DIETARY 42440,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42440,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 42440,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 42440,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42440,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42440,B100000,00000,1350,00002NO STATISTICS :OTHER GENERAL SERVI 42440,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 42440,S000000,00100,0200,02/29/2000 42440,S200000,00100,0100,420 12TH AVE EAST 42440,S200000,00200,0100,ALEXANDRIA 42440,S200000,00200,0200,MN 42440,S200000,00200,0300,56308- 42440,S200000,00300,0100,DOUGLAS 42440,S200000,00400,0100,KNUTE NELSON MEMORIAL HOME 42440,S200000,00400,0200,245435 42440,S200000,00400,0300,02/01/1987 42440,S200000,00400,0500,P 42440,S200000,01500,0100,Y 42445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42445,A000000,00300,0000,00300EMPLOYEE BENEFITS 42445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42445,A000000,00700,0000,00700HOUSEKEEPING 42445,A000000,00800,0000,00800DIETARY 42445,A000000,00900,0000,00900NURSING ADMINISTRATION 42445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42445,A000000,01100,0000,01100PHARMACY 42445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42445,A000000,01300,0000,01300SOCIAL SERVICE 42445,A000000,01350,0000,01500OTHER GENERAL SERVICES 42445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42445,A000000,01600,0000,01600SKILLED NURSING FACILITY 42445,A000000,01800,0000,01800NURSING FACILITY 42445,A000000,01810,0000,01801ICF/MR 42445,A000000,01900,0000,01900OTHER LONG TERM CARE 42445,A000000,02100,0000,02100RADIOLOGY 42445,A000000,02200,0000,02200LABORATORY 42445,A000000,02300,0000,02300INTRAVENOUS THERAPY 42445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42445,A000000,02500,0000,02500PHYSICAL THERAPY 42445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42445,A000000,02700,0000,02700SPEECH PATHOLOGY 42445,A000000,02800,0000,02800ELECTROCARDIOLOGY 42445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42445,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42445,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42445,A000000,03200,0000,03200SUPPORT SURFACES 42445,A000000,03400,0000,03400CLINIC 42445,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42445,A000000,03500,0000,03500RURAL HEALTH CLINIC 42445,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42445,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42445,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42445,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42445,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42445,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42445,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42445,A000000,04400,0000,04400DME RENTED - HHA 42445,A000000,04500,0000,04500DME SOLD - HHA 42445,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42445,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42445,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42445,A000000,04800,0000,04800AMBULANCE 42445,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42445,A000000,05000,0000,05000CORF 42445,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42445,A000000,05300,0000,05300INTEREST EXPENSE 42445,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42445,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42445,A000000,05500,0000,05500HOSPICE 42445,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42445,A000000,05901,0000,05901MEALS ON WHEELS 42445,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42445,A000000,06100,0000,06100NONPAID WORKERS 42445,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42445,A000000,06200,0000,06200PATIENTS LAUNDRY 42445,A81000A,00100,0100,Y 42445,A81000B,00100,0300,MANAGEMENT FEE AND GENERAL 42445,A81000B,00200,0300,VARIOUS MEDICAL SUPPLIES 42445,A81000C,00100,0100,B 42445,A81000C,00100,0200,ELIM HOMES INC. 42445,A81000C,00100,0400,ELIM HOMES - ADMINISTRATI 42445,A81000C,00100,0600,MANAGEMENT SERVICES 42445,A81000C,00200,0100,G 42445,A81000C,00200,0200,ELIM HOMES INC. 42445,A81000C,00200,0400,ELIM PREFERRED SERVICES 42445,A81000C,00200,0600,MEDICAL SUPPLIES/CAPITAL 42445,A81000C,03100,0000,SUBSIDIARY OF ELIM PARENT CORPORATIO 42445,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42445,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42445,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42445,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42445,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42445,B100000,00000,0650,00000CENSUS DAYS :LAUNDRY & LINEN SERVI 42445,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42445,B100000,00000,0800,00000MEALS SERVED :DIETARY 42445,B100000,00000,0950,00000CENSUS DAYS :NURSING ADMINISTRATIO 42445,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42445,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42445,B100000,00000,1250,00000CENSUS DAYS :MEDICAL RECORDS & LIB 42445,B100000,00000,1330,00000CENSUS DAYS :SOCIAL SERVICE 42445,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42445,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42445,S000000,00100,0200,02/29/2000 42445,S200000,00100,0100,409 JEFFERSON AVENUE SW 42445,S200000,00200,0100,WATERTOWN 42445,S200000,00200,0200,MN 42445,S200000,00200,0300,55388-0638 42445,S200000,00300,0100,CARVER 42445,S200000,00400,0100,ELIM HOME - WATERTOWN 42445,S200000,00400,0200,245437 42445,S200000,00400,0300,03/01/1987 42445,S200000,00400,0500,P 42445,S200000,01004,0500,O 42445,S200000,01500,0100,Y 42451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42451,A000000,00300,0000,00300EMPLOYEE BENEFITS 42451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42451,A000000,00700,0000,00700HOUSEKEEPING 42451,A000000,00800,0000,00800DIETARY 42451,A000000,00900,0000,00900NURSING ADMINISTRATION 42451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42451,A000000,01100,0000,01100PHARMACY 42451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42451,A000000,01300,0000,01300SOCIAL SERVICE 42451,A000000,01350,0000,01500OTHER GENERAL SERVICES 42451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42451,A000000,01600,0000,01600SKILLED NURSING FACILITY 42451,A000000,01800,0000,01800NURSING FACILITY 42451,A000000,01810,0000,01810ICF/MR 42451,A000000,01900,0000,01900OTHER LONG TERM CARE 42451,A000000,02100,0000,02100RADIOLOGY 42451,A000000,02200,0000,02200LABORATORY 42451,A000000,02300,0000,02300INTRAVENOUS THERAPY 42451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42451,A000000,02500,0000,02500PHYSICAL THERAPY 42451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42451,A000000,02700,0000,02700SPEECH PATHOLOGY 42451,A000000,02800,0000,02800ELECTROCARDIOLOGY 42451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42451,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42451,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42451,A000000,03200,0000,03200SUPPORT SURFACES 42451,A000000,03400,0000,03400CLINIC 42451,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42451,A000000,03500,0000,03500RURAL HEALTH CLINIC 42451,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42451,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42451,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42451,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42451,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42451,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42451,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42451,A000000,04400,0000,04400DME RENTED - HHA 42451,A000000,04500,0000,04500DME SOLD - HHA 42451,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42451,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42451,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42451,A000000,04800,0000,04800AMBULANCE 42451,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42451,A000000,05000,0000,05000CORF 42451,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42451,A000000,05300,0000,05300INTEREST EXPENSE 42451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42451,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42451,A000000,05500,0000,05500HOSPICE 42451,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42451,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42451,A000000,06100,0000,06100NONPAID WORKERS 42451,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42451,A000000,06200,0000,06200PATIENTS LAUNDRY 42451,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42451,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42451,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42451,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42451,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42451,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42451,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42451,B100000,00000,0800,00000MEALS SERVED :DIETARY 42451,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42451,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42451,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42451,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42451,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42451,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42451,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42451,S000000,00100,0200,06/19/2000 42451,S200000,00100,0100,1717 MICHIGAN AVENUE SE 42451,S200000,00200,0100,ST CLOUD 42451,S200000,00200,0200,MN 42451,S200000,00200,0300,56301- 42451,S200000,00300,0100,SHERBURNE 42451,S200000,00400,0100,NORTHWEST HEALTH CARE INC 42451,S200000,00400,0200,245438 42451,S200000,00400,0300,02/01/1987 42451,S200000,00400,0500,P 42451,S200000,00800,0200,248050 42451,S200000,00800,0300,11/09/1996 42451,S200000,00800,0500,P 42451,S200000,01500,0100,Y 42455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42455,A000000,00300,0000,00300EMPLOYEE BENEFITS 42455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42455,A000000,00700,0000,00700HOUSEKEEPING 42455,A000000,00800,0000,00800DIETARY 42455,A000000,00900,0000,00900NURSING ADMINISTRATION 42455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42455,A000000,01100,0000,01100PHARMACY 42455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42455,A000000,01300,0000,01300SOCIAL SERVICE 42455,A000000,01301,0000,01301VOLUNTEERS 42455,A000000,01302,0000,01302PASTORAL CARE 42455,A000000,01303,0000,01303ACTIVITIES 42455,A000000,01350,0000,01500OTHER GENERAL SERVICES 42455,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42455,A000000,01600,0000,01600SKILLED NURSING FACILITY 42455,A000000,01800,0000,01800NURSING FACILITY 42455,A000000,01810,0000,01810ICF/MR 42455,A000000,01900,0000,01900OTHER LONG TERM CARE 42455,A000000,02100,0000,02100RADIOLOGY 42455,A000000,02200,0000,02200LABORATORY 42455,A000000,02300,0000,02300INTRAVENOUS THERAPY 42455,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42455,A000000,02500,0000,02500PHYSICAL THERAPY 42455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42455,A000000,02700,0000,02700SPEECH PATHOLOGY 42455,A000000,02800,0000,02800ELECTROCARDIOLOGY 42455,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42455,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42455,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42455,A000000,03200,0000,03200SUPPORT SURFACES 42455,A000000,03400,0000,03400CLINIC 42455,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42455,A000000,03500,0000,03500RURAL HEALTH CLINIC 42455,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42455,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42455,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42455,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42455,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42455,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42455,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42455,A000000,04400,0000,04400DME RENTED - HHA 42455,A000000,04500,0000,04500DME SOLD - HHA 42455,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42455,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42455,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42455,A000000,04800,0000,04800AMBULANCE 42455,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42455,A000000,05000,0000,05000CORF 42455,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42455,A000000,05300,0000,05300INTEREST EXPENSE 42455,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42455,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42455,A000000,05500,0000,05500HOSPICE 42455,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42455,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42455,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42455,A000000,06100,0000,06100NONPAID WORKERS 42455,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42455,A000000,06200,0000,06200PATIENTS LAUNDRY 42455,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42455,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42455,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42455,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42455,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42455,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42455,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42455,B100000,00000,0800,00000MEALS SERVED :DIETARY 42455,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42455,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 42455,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42455,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42455,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42455,B100000,00000,1331,00000PATIENT DAYS :VOLUNTEERS 42455,B100000,00000,1332,00000PATIENT DAYS :PASTORAL CARE 42455,B100000,00000,1333,00000PATIENT DAYS :ACTIVITIES 42455,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 42455,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42455,H510100,00000,0000,5120 42455,H510100,02400,0000,5120 42455,S000000,00100,0200,02/29/2000 42455,S200000,00100,0100,817 MAIN STREET N.E. 42455,S200000,00200,0100,MINNEAPOLIS 42455,S200000,00200,0200,MN 42455,S200000,00200,0300,55413- 42455,S200000,00300,0100,HENNEPIN 42455,S200000,00400,0100,CATHOLIC ELDERCARE ON MAIN 42455,S200000,00400,0200,245439 42455,S200000,00400,0300,03/01/1987 42455,S200000,00400,0500,P 42455,S200000,00800,0200,248043 42455,S200000,00800,0300,09/16/1996 42455,S200000,00800,0500,P 42455,S200000,01500,0100,Y 42455,S200000,01900,0100,COMMUNITY BASED 42455,S200000,02200,0100,Y 42461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42461,A000000,00300,0000,00300EMPLOYEE BENEFITS 42461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42461,A000000,00700,0000,00700HOUSEKEEPING 42461,A000000,00800,0000,00800DIETARY 42461,A000000,00900,0000,00900NURSING ADMINISTRATION 42461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42461,A000000,01300,0000,01300SOCIAL SERVICE 42461,A000000,01301,0000,01301ACTIVITIES 42461,A000000,01600,0000,01600SKILLED NURSING FACILITY 42461,A000000,02100,0000,02100RADIOLOGY 42461,A000000,02200,0000,02200LABORATORY 42461,A000000,02500,0000,02500PHYSICAL THERAPY 42461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42461,A000000,02700,0000,02700SPEECH PATHOLOGY 42461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42461,A000000,06151,0000,06301MEALS ON WHEELS 42461,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42461,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42461,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42461,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42461,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42461,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42461,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42461,B100000,00000,0800,00001MEALS SERVED :DIETARY 42461,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42461,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42461,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42461,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42461,S000000,00100,0200,02/25/2000 42461,S200000,00100,0100,102 E NORTH STREET 42461,S200000,00200,0100,JANESVILLE 42461,S200000,00200,0200,MN 42461,S200000,00200,0300,56048- 42461,S200000,00300,0100,WASECA 42461,S200000,00400,0100,JANESVILLE NURSING HOME 42461,S200000,00400,0200,245440 42461,S200000,00400,0300,02/01/1987 42461,S200000,00400,0500,P 42461,S200000,01500,0100,Y 42461,S200000,02800,0100,Y 42466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42466,A000000,00300,0000,00300EMPLOYEE BENEFITS 42466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42466,A000000,00700,0000,00700HOUSEKEEPING 42466,A000000,00800,0000,00800DIETARY 42466,A000000,00900,0000,00900NURSING ADMINISTRATION 42466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42466,A000000,01300,0000,01300SOCIAL SERVICE 42466,A000000,01301,0000,01301ACTIVITIES 42466,A000000,01600,0000,01600SKILLED NURSING FACILITY 42466,A000000,02200,0000,02200LABORATORY 42466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42466,A000000,02500,0000,02500PHYSICAL THERAPY 42466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42466,A000000,02700,0000,02700SPEECH PATHOLOGY 42466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42466,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42466,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42466,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42466,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42466,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42466,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42466,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42466,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42466,A000000,06151,0000,06301APARTMENTS 42466,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42466,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42466,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42466,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42466,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42466,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42466,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42466,B100000,00000,0800,00001MEALS SERVED :DIETARY 42466,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42466,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42466,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42466,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42466,E10A180,00501,0100,04/04/2000 42466,E10A180,00550,0300,04/04/2000 42466,H510100,00000,0000,24 42466,H510100,02400,0000,24 42466,H710000,00301,0100,01/27/2000 42466,H710000,00301,0300,01/27/2000 42466,H710000,00501,0100,04/04/2000 42466,H710000,00550,0300,04/04/2000 42466,S000000,00100,0200,03/13/2000 42466,S200000,00100,0100,800 MEMORIAL DRIVE 42466,S200000,00200,0100,SPRING VALLEY 42466,S200000,00200,0200,MN 42466,S200000,00200,0300,55975- 42466,S200000,00300,0100,FILLMORE 42466,S200000,00400,0100,SPRING VALLEY CARE CENTER 42466,S200000,00400,0200,245442 42466,S200000,00400,0300,03/01/1987 42466,S200000,00400,0500,P 42466,S200000,00800,0200,247226 42466,S200000,00800,0300,12/18/1986 42466,S200000,00800,0500,P 42466,S200000,01500,0100,Y 42469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42469,A000000,00300,0000,00300EMPLOYEE BENEFITS 42469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42469,A000000,00700,0000,00700HOUSEKEEPING 42469,A000000,00800,0000,00800DIETARY 42469,A000000,00900,0000,00900NURSING ADMINISTRATION 42469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42469,A000000,01100,0000,01100PHARMACY 42469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42469,A000000,01300,0000,01300SOCIAL SERVICE 42469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42469,A000000,01600,0000,01600SKILLED NURSING FACILITY 42469,A000000,01800,0000,01800NURSING FACILITY 42469,A000000,01810,0000,01810ICF/MR 42469,A000000,01900,0000,01900OTHER LONG TERM CARE 42469,A000000,02100,0000,02100RADIOLOGY 42469,A000000,02200,0000,02200LABORATORY 42469,A000000,02300,0000,02300INTRAVENOUS THERAPY 42469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42469,A000000,02500,0000,02500PHYSICAL THERAPY 42469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42469,A000000,02700,0000,02700SPEECH PATHOLOGY 42469,A000000,02800,0000,02800ELECTROCARDIOLOGY 42469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42469,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42469,A000000,03200,0000,03200SUPPORT SURFACES 42469,A000000,03400,0000,03400CLINIC 42469,A000000,03500,0000,03500RURAL HEALTH CLINIC 42469,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42469,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42469,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42469,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42469,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42469,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42469,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42469,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42469,A000000,04400,0000,04400DME RENTED - HHA 42469,A000000,04500,0000,04500DME SOLD - HHA 42469,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42469,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42469,A000000,04800,0000,04800AMBULANCE 42469,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42469,A000000,05000,0000,05000CORF 42469,A000000,05010,0000,05010CMHC 42469,A000000,05020,0000,05020OPT 42469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42469,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42469,A000000,05300,0000,05300INTEREST EXPENSE 42469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42469,A000000,05500,0000,05500HOSPICE 42469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42469,A000000,06100,0000,06100NONPAID WORKERS 42469,A000000,06200,0000,06200PATIENTS LAUNDRY 42469,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42469,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42469,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42469,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42469,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42469,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42469,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42469,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42469,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42469,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42469,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42469,S000000,00100,0200,05/26/2000 42469,S200000,00100,0100,1340 WEST THIRD AVENUE 42469,S200000,00200,0100,SHAKOPEE 42469,S200000,00200,0200,MN 42469,S200000,00200,0300,55379- 42469,S200000,00300,0100,SCOTT 42469,S200000,00300,0200,5120 42469,S200000,00300,0300,U 42469,S200000,00400,0100,SHAKOPEE FRIENDSHIP MANOR 42469,S200000,00400,0200,245445 42469,S200000,00400,0300,03/01/1987 42469,S200000,00400,0500,P 42469,S200000,01004,0500,O 42469,S200000,01500,0100,Y 42473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42473,A000000,00300,0000,00300EMPLOYEE BENEFITS 42473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42473,A000000,00700,0000,00700HOUSEKEEPING 42473,A000000,00800,0000,00800DIETARY 42473,A000000,00900,0000,00900NURSING ADMINISTRATION 42473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42473,A000000,01100,0000,01100PHARMACY 42473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42473,A000000,01300,0000,01300SOCIAL SERVICE 42473,A000000,01350,0000,01500OTHER GENERAL SERVICES 42473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42473,A000000,01600,0000,01600SKILLED NURSING FACILITY 42473,A000000,01800,0000,01800NURSING FACILITY 42473,A000000,01810,0000,01810ICF/MR 42473,A000000,01900,0000,01900OTHER LONG TERM CARE 42473,A000000,02100,0000,02100RADIOLOGY 42473,A000000,02200,0000,02200LABORATORY 42473,A000000,02300,0000,02300INTRAVENOUS THERAPY 42473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42473,A000000,02500,0000,02500PHYSICAL THERAPY 42473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42473,A000000,02700,0000,02700SPEECH PATHOLOGY 42473,A000000,02800,0000,02800ELECTROCARDIOLOGY 42473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42473,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42473,A000000,03200,0000,03200SUPPORT SURFACES 42473,A000000,03400,0000,03400CLINIC 42473,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42473,A000000,03500,0000,03500RURAL HEALTH CLINIC 42473,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42473,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42473,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42473,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42473,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42473,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42473,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42473,A000000,04400,0000,04400DME RENTED - HHA 42473,A000000,04500,0000,04500DME SOLD - HHA 42473,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42473,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42473,A000000,04800,0000,04800AMBULANCE 42473,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42473,A000000,05000,0000,05000CORF 42473,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42473,A000000,05300,0000,05300INTEREST EXPENSE 42473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42473,A000000,05500,0000,05500HOSPICE 42473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42473,A000000,06100,0000,06100NONPAID WORKERS 42473,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42473,A000000,06200,0000,06200PATIENTS LAUNDRY 42473,A000000,06201,0000,06201JOHN PAUL APARTMENT 42473,A000000,06202,0000,06202ASSUMPTION COURT 42473,A000000,06203,0000,06203ADULT DAY CARE 42473,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42473,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42473,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42473,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42473,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42473,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42473,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42473,B100000,00000,0800,00000MEALS SERVED :DIETARY 42473,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42473,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42473,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42473,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42473,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42473,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 42473,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42473,S000000,00100,0200,06/05/2000 42473,S200000,00100,0100,715 NORTH FIRST STREET 42473,S200000,00200,0100,COLD SPRING 42473,S200000,00200,0200,MN 42473,S200000,00200,0300,56320- 42473,S200000,00300,0100,STEARNS 42473,S200000,00400,0100,ASSUMPTION HOME 42473,S200000,00400,0200,245446 42473,S200000,00400,0300,03/01/1987 42473,S200000,00400,0500,P 42473,S200000,01004,0500,O 42473,S200000,01500,0100,Y 42476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42476,A000000,00300,0000,00300EMPLOYEE BENEFITS 42476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42476,A000000,00700,0000,00700HOUSEKEEPING 42476,A000000,00800,0000,00800DIETARY 42476,A000000,00900,0000,00900NURSING ADMINISTRATION 42476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42476,A000000,01300,0000,01300SOCIAL SERVICE 42476,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42476,A000000,01600,0000,01600SKILLED NURSING FACILITY 42476,A000000,02100,0000,02100RADIOLOGY 42476,A000000,02200,0000,02200LABORATORY 42476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42476,A000000,02500,0000,02500PHYSICAL THERAPY 42476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42476,A000000,02700,0000,02700SPEECH PATHOLOGY 42476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42476,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42476,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42476,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42476,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42476,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42476,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42476,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42476,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42476,A000000,06150,0000,06300DAY CARE 42476,A000000,06151,0000,06301MEALS ON WHEELS 42476,A000000,06152,0000,06302ALZHEIMERS DAY CARE 42476,A000000,06153,0000,06303ASSISTED LIVING UNIT 42476,A000000,06154,0000,06304DONATORY CORPORATION 42476,A81000A,00100,0100,Y 42476,A81000B,00100,0300,ADMINISTRATIVE COSTS 42476,A81000B,00200,0300,DONATORY OPERATING EXPENSES 42476,A81000C,00100,0100,G 42476,A81000C,00100,0400,SACRED HEART DONAT. CORP. 42476,A81000C,00100,0600,FUNDRAISING 42476,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42476,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 42476,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42476,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42476,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42476,B100000,00000,0650,00004RESIDENT DAYS :LAUNDRY & LINEN SER 42476,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42476,B100000,00000,0800,00004MEALS SERVED :DIETARY 42476,B100000,00000,0950,00004RESIDENT DAYS :NURSING ADMINISTRAT 42476,B100000,00000,1250,00004RESIDENT DAYS :MEDICAL RECORDS & L 42476,B100000,00000,1330,00004RESIDENT DAYS :SOCIAL SERVICE 42476,B100000,00000,1331,00004RESIDENT DAYS :ACTIVITIES AND CHAP 42476,H510100,00000,0000,9924 42476,H510100,02400,0000,9924 42476,S000000,00100,0200,02/29/2000 42476,S200000,00100,0100,1200 12TH STREET SW 42476,S200000,00200,0100,AUSTIN 42476,S200000,00200,0200,MN 42476,S200000,00200,0300,55912- 42476,S200000,00300,0100,MOWER 42476,S200000,00400,0100,SACRED HEART CARE CENTER INC 42476,S200000,00400,0200,245447 42476,S200000,00400,0300,03/01/1987 42476,S200000,00400,0500,P 42476,S200000,00800,0200,247156 42476,S200000,00800,0300,04/10/1984 42476,S200000,00800,0500,P 42476,S200000,01500,0100,Y 42480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42480,A000000,00300,0000,00300EMPLOYEE BENEFITS 42480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42480,A000000,00700,0000,00700HOUSEKEEPING 42480,A000000,00800,0000,00800DIETARY 42480,A000000,00900,0000,00900NURSING ADMINISTRATION 42480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42480,A000000,01100,0000,01100PHARMACY 42480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42480,A000000,01300,0000,01300SOCIAL SERVICE 42480,A000000,01350,0000,01500OTHER GENERAL SERVICES 42480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42480,A000000,01600,0000,01600SKILLED NURSING FACILITY 42480,A000000,01800,0000,01800NURSING FACILITY 42480,A000000,01900,0000,01900OTHER LONG TERM CARE 42480,A000000,02100,0000,02100RADIOLOGY 42480,A000000,02200,0000,02200LABORATORY 42480,A000000,02300,0000,02300INTRAVENOUS THERAPY 42480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42480,A000000,02500,0000,02500PHYSICAL THERAPY 42480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42480,A000000,02700,0000,02700SPEECH PATHOLOGY 42480,A000000,02800,0000,02800ELECTROCARDIOLOGY 42480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42480,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42480,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42480,A000000,03200,0000,03200SUPPORT SURFACES 42480,A000000,03400,0000,03400CLINIC 42480,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42480,A000000,03500,0000,03500RURAL HEALTH CLINIC 42480,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42480,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42480,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42480,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42480,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42480,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42480,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42480,A000000,04400,0000,04400DME RENTED - HHA 42480,A000000,04500,0000,04500DME SOLD - HHA 42480,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42480,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42480,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42480,A000000,04800,0000,04800AMBULANCE 42480,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42480,A000000,05000,0000,05000CORF 42480,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42480,A000000,05300,0000,05300INTEREST EXPENSE 42480,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42480,A000000,05500,0000,05500HOSPICE 42480,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42480,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42480,A000000,06100,0000,06100NONPAID WORKERS 42480,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42480,A000000,06200,0000,06200PATIENTS LAUNDRY 42480,A81000A,00100,0100,Y 42480,A81000B,00100,0300,SPACE RENTAL 42480,A81000C,00100,0100,A 42480,A81000C,00100,0200,ALL OWNERS 42480,A81000C,00100,0400,ALL OWNERS 42480,A81000C,00100,0600,PROPERTY MANAGEMENT 42480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42480,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42480,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42480,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 42480,B100000,00000,0800,00000MEALS SERVED :DIETARY 42480,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42480,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42480,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42480,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42480,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42480,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42480,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42480,S000000,00100,0200,07/01/1999 42480,S200000,00100,0100,9899 AVOCET STREET NW 42480,S200000,00200,0100,COON RAPIDS 42480,S200000,00200,0200,MN 42480,S200000,00200,0300,55433- 42480,S200000,00300,0100,ANOKA 42480,S200000,00400,0100,PARK RIVER ESTATES CARE CENTER 42480,S200000,00400,0200,245448 42480,S200000,00400,0300,03/01/1987 42480,S200000,00400,0500,P 42480,S200000,00400,0600,O 42480,S200000,01004,0500,O 42480,S200000,01500,0100,Y 42480,S700003,00000,0100,1 42481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42481,A000000,00300,0000,00300EMPLOYEE BENEFITS 42481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42481,A000000,00700,0000,00700HOUSEKEEPING 42481,A000000,00800,0000,00800DIETARY 42481,A000000,00900,0000,00900NURSING ADMINISTRATION 42481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42481,A000000,01100,0000,01100PHARMACY 42481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42481,A000000,01300,0000,01300SOCIAL SERVICE 42481,A000000,01350,0000,01500OTHER GENERAL SERVICES 42481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42481,A000000,01600,0000,01600SKILLED NURSING FACILITY 42481,A000000,01800,0000,01800NURSING FACILITY 42481,A000000,01810,0000,01801ICF/MR 42481,A000000,01900,0000,01900OTHER LONG TERM CARE 42481,A000000,02100,0000,02100RADIOLOGY 42481,A000000,02200,0000,02200LABORATORY 42481,A000000,02300,0000,02300INTRAVENOUS THERAPY 42481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42481,A000000,02500,0000,02500PHYSICAL THERAPY 42481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42481,A000000,02700,0000,02700SPEECH PATHOLOGY 42481,A000000,02800,0000,02800ELECTROCARDIOLOGY 42481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42481,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42481,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42481,A000000,03200,0000,03200SUPPORT SURFACES 42481,A000000,03400,0000,03400CLINIC 42481,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42481,A000000,03500,0000,03500RURAL HEALTH CLINIC 42481,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42481,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42481,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42481,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42481,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42481,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42481,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42481,A000000,04400,0000,04400DME RENTED - HHA 42481,A000000,04500,0000,04500DME SOLD - HHA 42481,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42481,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42481,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42481,A000000,04800,0000,04800AMBULANCE 42481,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42481,A000000,05000,0000,05000CORF 42481,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42481,A000000,05300,0000,05300INTEREST EXPENSE 42481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42481,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42481,A000000,05500,0000,05500HOSPICE 42481,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42481,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42481,A000000,06100,0000,06100NONPAID WORKERS 42481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42481,A000000,06200,0000,06200PATIENTS LAUNDRY 42481,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42481,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42481,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42481,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42481,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42481,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42481,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 42481,B100000,00000,0800,00000MEALS SERVED :DIETARY 42481,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42481,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42481,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42481,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42481,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42481,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 42481,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42481,S000000,00100,0200,06/06/2000 42481,S200000,00100,0100,9899 AVOCET STREET NW 42481,S200000,00200,0100,COON RAPIDS 42481,S200000,00200,0200,MN 42481,S200000,00200,0300,55433- 42481,S200000,00300,0100,ANOKA 42481,S200000,00400,0100,PARK RIVER ESTATES CARE CENTER 42481,S200000,00400,0200,245448 42481,S200000,00400,0300,03/01/1987 42481,S200000,00400,0500,P 42481,S200000,01004,0500,O 42481,S200000,01500,0100,Y 42486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42486,A000000,00300,0000,00300EMPLOYEE BENEFITS 42486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42486,A000000,00700,0000,00700HOUSEKEEPING 42486,A000000,00800,0000,00800DIETARY 42486,A000000,00900,0000,00900NURSING ADMINISTRATION 42486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42486,A000000,01300,0000,01300SOCIAL SERVICE 42486,A000000,01301,0000,01301ACTIVITIES 42486,A000000,01600,0000,01600SKILLED NURSING FACILITY 42486,A000000,02100,0000,02100RADIOLOGY 42486,A000000,02200,0000,02200LABORATORY 42486,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42486,A000000,02500,0000,02500PHYSICAL THERAPY 42486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42486,A000000,02700,0000,02700SPEECH PATHOLOGY 42486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42486,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42486,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42486,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42486,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42486,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42486,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42486,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42486,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42486,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42486,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42486,A000000,06151,0000,06301FRIENDSHIP APARTMENTS 42486,A000000,06152,0000,06302THREE LINKS APARTMENTS (MOHFE) 42486,A000000,06153,0000,06303BOARD AND LODGING 42486,A000000,06154,0000,06304DAY CARE 42486,A000000,06155,0000,06305FRIENDSHIP MANOR 42486,A000000,06156,0000,06306COTTAGE APARTMENTS 42486,A000000,06157,0000,06307FOUNDATION 42486,A000000,06158,0000,06308PARK RIDGE APARTMENTS 42486,A81000A,00100,0100,Y 42486,A81000B,00100,0300,MOHFE OPERATING EXPENSE 42486,A81000B,00200,0300,MOHFE ADMIN EXPENSE 42486,A81000B,00300,0300,FOUNDATION OPERATING EXP 42486,A81000B,00400,0300,FOUNDATION ADMIN EXPENSE 42486,A81000B,00500,0300,PARK RIDGE OPERATING EXPENSE 42486,A81000B,00600,0300,PARK RIDGE ADMIN EXPENSE 42486,A81000C,00100,0100,G 42486,A81000C,00100,0400,MN ODDFELLOWS HSG ELDERLY 42486,A81000C,00100,0600,ELDERLY APARTMENTS 42486,A81000C,00200,0100,G 42486,A81000C,00200,0400,MN ODDFELLOWS FOUNDATION 42486,A81000C,00200,0600,FUNDRAISING 42486,A81000C,00300,0100,G 42486,A81000C,00300,0400,PARK RIDGE HOUSING 42486,A81000C,00300,0600,ELDERLY APARTMENTS 42486,B100000,00000,0100,00008SQUARE FEET :CAP REL COSTS - BLDGS 42486,B100000,00000,0250,00008SQUARE FEET :CAP REL COSTS - MOVAB 42486,B100000,00000,0300,00008GROSS SALARIES :EMPLOYEE BENEFITS 42486,B100000,00000,0400,00008 ACCUM. COST :ADMINISTRATIVE & GENE 42486,B100000,00000,0500,00008SQUARE FEET :PLANT OPERATION MAIN 42486,B100000,00000,0650,00008RESIDENT DAYS :LAUNDRY & LINEN SER 42486,B100000,00000,0750,00008SQUARE FEET :HOUSEKEEPING 42486,B100000,00000,0800,00008MEALS SERVED :DIETARY 42486,B100000,00000,0950,00008RESIDENT DAYS :NURSING ADMINISTRAT 42486,B100000,00000,1250,00008RESIDENT DAYS :MEDICAL RECORDS & L 42486,B100000,00000,1330,00008RESIDENT DAYS :SOCIAL SERVICE 42486,B100000,00000,1331,00008RESIDENT DAYS :ACTIVITIES 42486,E10A180,00501,0100,06/27/2000 42486,H510100,00000,0000,9924 42486,H510100,02400,0000,9924 42486,H710000,00550,0100,06/27/2000 42486,H710000,00550,0300,06/27/2000 42486,S000000,00100,0200,06/02/2000 42486,S200000,00100,0100,815 FOREST AVENUE 42486,S200000,00200,0100,NORTHFIELD 42486,S200000,00200,0200,MN 42486,S200000,00200,0300,55057- 42486,S200000,00300,0100,GOODHUE 42486,S200000,00300,0200,24 42486,S200000,00300,0300,R 42486,S200000,00400,0100,THREE LINKS CARE CENTER 42486,S200000,00400,0200,245450 42486,S200000,00400,0300,09/01/1988 42486,S200000,00400,0500,P 42486,S200000,00800,0200,247021 42486,S200000,00800,0300,03/24/1994 42486,S200000,00800,0500,P 42486,S200000,01500,0100,Y 42489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42489,A000000,00300,0000,00300EMPLOYEE BENEFITS 42489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42489,A000000,00700,0000,00700HOUSEKEEPING 42489,A000000,00800,0000,00800DIETARY 42489,A000000,00900,0000,00900NURSING ADMINISTRATION 42489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42489,A000000,01100,0000,01100PHARMACY 42489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42489,A000000,01300,0000,01300SOCIAL SERVICE 42489,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 42489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42489,A000000,01600,0000,01600SKILLED NURSING FACILITY 42489,A000000,01800,0000,01800NURSING FACILITY 42489,A000000,01900,0000,01900OTHER LONG TERM CARE 42489,A000000,02100,0000,02100RADIOLOGY 42489,A000000,02200,0000,02200LABORATORY 42489,A000000,02300,0000,02300INTRAVENOUS THERAPY 42489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42489,A000000,02500,0000,02500PHYSICAL THERAPY 42489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42489,A000000,02700,0000,02700SPEECH PATHOLOGY 42489,A000000,02800,0000,02800ELECTROCARDIOLOGY 42489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42489,A000000,03200,0000,03200SUPPORT SURFACES 42489,A000000,03400,0000,03400CLINIC 42489,A000000,03500,0000,03500RURAL HEALTH CLINIC 42489,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42489,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42489,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42489,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42489,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42489,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42489,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42489,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42489,A000000,04400,0000,04400DME RENTED - HHA 42489,A000000,04500,0000,04500DME SOLD - HHA 42489,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42489,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42489,A000000,04800,0000,04800AMBULANCE 42489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42489,A000000,05000,0000,05000CORF 42489,A000000,05010,0000,05010CMHC 42489,A000000,05020,0000,05020OPT 42489,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42489,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42489,A000000,05300,0000,05300INTEREST EXPENSE 42489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42489,A000000,05500,0000,05500HOSPICE 42489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42489,A000000,06100,0000,06100NONPAID WORKERS 42489,A000000,06200,0000,06200PATIENTS LAUNDRY 42489,A81000B,00100,0300,COPAL CHURCH 42489,A81000C,00100,0100,B 42489,A81000C,00100,0200,EPISCOPAL CHURCH 42489,A81000C,00100,0400,EHHS MANAGEMENT 42489,B100000,00000,0100,00000SQUARE FET FEET) :CAP REL COSTS - B 42489,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42489,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42489,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42489,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42489,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42489,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42489,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42489,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 42489,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42489,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42489,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42489,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST CENT 42489,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 42489,S000000,00100,0200,06/12/2000 42489,S200000,00100,0100,1879 FERONIA AVENUE 42489,S200000,00200,0100,ST. PAUL 42489,S200000,00200,0200,MN 42489,S200000,00200,0300,55104- 42489,S200000,00300,0100,RAMSEY 42489,S200000,00400,0100,EPISCOPAL CHURCH HOME 42489,S200000,00400,0200,245452 42489,S200000,00400,0300,04/01/1987 42489,S200000,00400,0500,P 42489,S200000,00400,0600,P 42489,S200000,01500,0100,Y 42495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42495,A000000,00300,0000,00300EMPLOYEE BENEFITS 42495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42495,A000000,00700,0000,00700HOUSEKEEPING 42495,A000000,00800,0000,00800DIETARY 42495,A000000,00900,0000,00900NURSING ADMINISTRATION 42495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42495,A000000,01100,0000,01100PHARMACY 42495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42495,A000000,01300,0000,01300SOCIAL SERVICE 42495,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42495,A000000,01600,0000,01600SKILLED NURSING FACILITY 42495,A000000,01800,0000,01800NURSING FACILITY 42495,A000000,01900,0000,01900OTHER LONG TERM CARE 42495,A000000,02100,0000,02100RADIOLOGY 42495,A000000,02200,0000,02200LABORATORY 42495,A000000,02300,0000,02300INTRAVENOUS THERAPY 42495,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42495,A000000,02500,0000,02500PHYSICAL THERAPY 42495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42495,A000000,02700,0000,02700SPEECH PATHOLOGY 42495,A000000,02800,0000,02800ELECTROCARDIOLOGY 42495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42495,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42495,A000000,03200,0000,03200SUPPORT SURFACES 42495,A000000,03400,0000,03400CLINIC 42495,A000000,03500,0000,03500RURAL HEALTH CLINIC 42495,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42495,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42495,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42495,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42495,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42495,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42495,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42495,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42495,A000000,04400,0000,04400DME RENTED - HHA 42495,A000000,04500,0000,04500DME SOLD - HHA 42495,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42495,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42495,A000000,04800,0000,04800AMBULANCE 42495,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42495,A000000,05000,0000,05000CORF 42495,A000000,05010,0000,05010CMHC 42495,A000000,05020,0000,05020OPT 42495,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42495,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42495,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42495,A000000,05300,0000,05300INTEREST EXPENSE 42495,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42495,A000000,05500,0000,05500HOSPICE 42495,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42495,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42495,A000000,06100,0000,06100NONPAID WORKERS 42495,A000000,06150,0000,06300NON-REIMBURSABLE NORTHWESTERN MANOR 42495,A000000,06200,0000,06200PATIENTS LAUNDRY 42495,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42495,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42495,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42495,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42495,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42495,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42495,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42495,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42495,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42495,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 42495,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42495,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42495,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42495,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 42495,S000000,00100,0200,10/04/2000 42495,S200000,00100,0100,824 SOUTH SHERIDAN 42495,S200000,00200,0100,FERGUS FALLS 42495,S200000,00200,0200,MI 42495,S200000,00200,0300,56537- 42495,S200000,00300,0100,OTTERTAIL 42495,S200000,00400,0100,BROEN MEMORIAL HOME 42495,S200000,00400,0200,245453 42495,S200000,00400,0300,04/01/1987 42495,S200000,00400,0500,P 42495,S200000,01500,0100,Y 42502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42502,A000000,00300,0000,00300EMPLOYEE BENEFITS 42502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42502,A000000,00700,0000,00700HOUSEKEEPING 42502,A000000,00800,0000,00800DIETARY 42502,A000000,00900,0000,00900NURSING ADMINISTRATION 42502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42502,A000000,01100,0000,01100PHARMACY 42502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42502,A000000,01300,0000,01300SOCIAL SERVICE 42502,A000000,01350,0000,01500OTHER GENERAL SERVICES 42502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42502,A000000,01600,0000,01600SKILLED NURSING FACILITY 42502,A000000,01800,0000,01800NURSING FACILITY 42502,A000000,01900,0000,01900OTHER LONG TERM CARE 42502,A000000,02100,0000,02100RADIOLOGY 42502,A000000,02200,0000,02200LABORATORY 42502,A000000,02300,0000,02300INTRAVENOUS THERAPY 42502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42502,A000000,02500,0000,02500PHYSICAL THERAPY 42502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42502,A000000,02700,0000,02700SPEECH PATHOLOGY 42502,A000000,02800,0000,02800ELECTROCARDIOLOGY 42502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42502,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42502,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42502,A000000,03200,0000,03200SUPPORT SURFACES 42502,A000000,03400,0000,03400CLINIC 42502,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42502,A000000,03500,0000,03500RURAL HEALTH CLINIC 42502,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42502,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42502,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42502,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42502,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42502,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42502,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42502,A000000,04400,0000,04400DME RENTED - HHA 42502,A000000,04500,0000,04500DME SOLD - HHA 42502,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42502,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42502,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42502,A000000,04800,0000,04800AMBULANCE 42502,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42502,A000000,05000,0000,05000CORF 42502,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42502,A000000,05300,0000,05300INTEREST EXPENSE 42502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42502,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42502,A000000,05500,0000,05500HOSPICE 42502,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42502,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42502,A000000,06100,0000,06100NONPAID WORKERS 42502,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42502,A000000,06200,0000,06200PATIENTS LAUNDRY 42502,A81000A,00100,0100,Y 42502,A81000B,00100,0300,INTEREST EXPENSECES 42502,A81000B,00200,0300,CAPITAL 42502,A81000B,00300,0300,INTEREST EXPENSE 42502,A81000B,00400,0300,PHARMACY EXPENSE 42502,A81000C,00100,0100,A 42502,A81000C,00100,0200,DAVID BRISCOE 42502,A81000C,00100,0400,HEALTH DIMENSIONS INC. 42502,A81000C,00100,0600,MANAGEMENT SERVICES 42502,A81000C,00200,0100,A 42502,A81000C,00200,0200,ROBERT SUNDBERG 42502,A81000C,00200,0400,HEALTH DIMENSIONS INC. 42502,A81000C,00200,0600,MANAGEMENT SERVICES 42502,A81000C,00300,0100,A 42502,A81000C,00300,0200,DALE THOMPSON 42502,A81000C,00300,0400,HEALTH DIMENSIONS INC. 42502,A81000C,00300,0600,MANAGEMENT SERVICES 42502,A81000C,00400,0100,A 42502,A81000C,00400,0200,HEALTH DIMENSIONS INC. 42502,A81000C,00400,0400,SENIOR DIMENSIONS PHARMAC 42502,A81000C,00400,0600,PHARMACY SERVICES 42502,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42502,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42502,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42502,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42502,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42502,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42502,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42502,B100000,00000,0800,00000MEALS SERVED :DIETARY 42502,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42502,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42502,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42502,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42502,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42502,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42502,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42502,S000000,00100,0200,06/30/1999 42502,S200000,00100,0100,400 TENTH AVENUE NW 42502,S200000,00200,0100,AUSTIN 42502,S200000,00200,0200,MN 42502,S200000,00200,0300,55912- 42502,S200000,00300,0100,MOWER 42502,S200000,00400,0100,HD-AUSTIN LTD PTN DBA: BURR OAK MANO 42502,S200000,00400,0200,245456 42502,S200000,00400,0300,04/01/1987 42502,S200000,00400,0500,P 42502,S200000,01004,0500,O 42502,S200000,01500,0100,Y 42502,S700003,00000,0100,1 42503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42503,A000000,00300,0000,00300EMPLOYEE BENEFITS 42503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42503,A000000,00700,0000,00700HOUSEKEEPING 42503,A000000,00800,0000,00800DIETARY 42503,A000000,00900,0000,00900NURSING ADMINISTRATION 42503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42503,A000000,01100,0000,01100PHARMACY 42503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42503,A000000,01300,0000,01300SOCIAL SERVICE 42503,A000000,01350,0000,01500OTHER GENERAL SERVICES 42503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42503,A000000,01600,0000,01600SKILLED NURSING FACILITY 42503,A000000,01800,0000,01800NURSING FACILITY 42503,A000000,01900,0000,01900OTHER LONG TERM CARE 42503,A000000,02100,0000,02100RADIOLOGY 42503,A000000,02200,0000,02200LABORATORY 42503,A000000,02300,0000,02300INTRAVENOUS THERAPY 42503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42503,A000000,02500,0000,02500PHYSICAL THERAPY 42503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42503,A000000,02700,0000,02700SPEECH PATHOLOGY 42503,A000000,02800,0000,02800ELECTROCARDIOLOGY 42503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42503,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42503,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42503,A000000,03200,0000,03200SUPPORT SURFACES 42503,A000000,03400,0000,03400CLINIC 42503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42503,A000000,03500,0000,03500RURAL HEALTH CLINIC 42503,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42503,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42503,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42503,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42503,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42503,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42503,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42503,A000000,04400,0000,04400DME RENTED - HHA 42503,A000000,04500,0000,04500DME SOLD - HHA 42503,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42503,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42503,A000000,04800,0000,04800AMBULANCE 42503,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42503,A000000,05000,0000,05000CORF 42503,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42503,A000000,05300,0000,05300INTEREST EXPENSE 42503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42503,A000000,05500,0000,05500HOSPICE 42503,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42503,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42503,A000000,06100,0000,06100NONPAID WORKERS 42503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42503,A000000,06200,0000,06200PATIENTS LAUNDRY 42503,A81000A,00100,0100,Y 42503,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 42503,A81000B,00300,0300,CENTRAL OFFICE-BHD-MGMT FEES 42503,A81000B,00400,0300,NURSE CONSULTING 42503,A81000B,00500,0300,ADMINISTRATOR SAL/TAX/BENEFITS 42503,A81000B,00600,0300,COMPUTER USER FEES 42503,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 42503,A81000B,00800,0300,CENTRAL OFFICE-BHS-MGMT FEES 42503,A81000C,00100,0100,G 42503,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42503,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 42503,A81000C,00100,0600,MANAGEMENT SERVICES 42503,A81000C,00200,0100,G 42503,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 42503,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 42503,A81000C,00200,0600,MANAGEMENT SERVICES 42503,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42503,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42503,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42503,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42503,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42503,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42503,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42503,B100000,00000,0800,00000MEALS SERVED :DIETARY 42503,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42503,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42503,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42503,S000000,00100,0200,02/29/2000 42503,S200000,00100,0100,400 TENTH AVENUE NW 42503,S200000,00200,0100,AUSTIN 42503,S200000,00200,0200,MN 42503,S200000,00200,0300,55912- 42503,S200000,00300,0100,MOWER 42503,S200000,00300,0200,24 42503,S200000,00300,0300,R 42503,S200000,00400,0100,ST GERTRUDES H C DBA BURR OAK MANOR 42503,S200000,00400,0200,245456 42503,S200000,00400,0300,04/01/1987 42503,S200000,00400,0500,P 42503,S200000,01004,0500,O 42503,S200000,01500,0100,Y 42509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42509,A000000,00300,0000,00300EMPLOYEE BENEFITS 42509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42509,A000000,00700,0000,00700HOUSEKEEPING 42509,A000000,00800,0000,00800DIETARY 42509,A000000,00900,0000,00900NURSING ADMINISTRATION 42509,A000000,01600,0000,01600SKILLED NURSING FACILITY 42509,A000000,02200,0000,02200LABORATORY 42509,A000000,02500,0000,02500PHYSICAL THERAPY 42509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42509,A000000,02700,0000,02700SPEECH PATHOLOGY 42509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42509,A000000,04800,0000,04800AMBULANCE 42509,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42509,A000000,05801,0000,05801ADULT DAY CARE 42509,A000000,05802,0000,05802HIGHLAND BLOCK NURSING PROG 42509,A000000,05803,0000,05803ASSISTED LIVING 42509,A000000,05804,0000,05804RHA 42509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42509,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42509,A000000,06151,0000,06301MEALS ON WHEELS 42509,A000000,06152,0000,06302OUR LADY OF ANGELS ADMN 42509,A000000,06153,0000,06303SW AREA MEALS 42509,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42509,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42509,B100000,00000,0300,00003GROSS SALARY :EMPLOYEE BENEFITS 42509,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42509,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42509,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 42509,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42509,B100000,00000,0800,00003MEALS SERVED :DIETARY 42509,B100000,00000,0950,00003PATIENT DAYS :NURSING ADMINISTRATI 42509,S000000,00100,0200,01/08/2001 42509,S200000,00100,0100,1925 NORFOLK AVENUE 42509,S200000,00200,0100,ST PAUL 42509,S200000,00200,0200,MN 42509,S200000,00200,0300,55116- 42509,S200000,00300,0100,RAMSEY 42509,S200000,00300,0200,5120 42509,S200000,00300,0300,U 42509,S200000,00400,0100,FRANCISCAN HEALTH COMMUNITY 42509,S200000,00400,0200,245457 42509,S200000,00400,0300,04/01/1987 42509,S200000,00400,0500,P 42509,S200000,01500,0100,Y 42512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42512,A000000,00300,0000,00300EMPLOYEE BENEFITS 42512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42512,A000000,00700,0000,00700HOUSEKEEPING 42512,A000000,00800,0000,00800DIETARY 42512,A000000,00900,0000,00900NURSING ADMINISTRATION 42512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42512,A000000,01100,0000,01100PHARMACY 42512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42512,A000000,01300,0000,01300SOCIAL SERVICE 42512,A000000,01350,0000,01500OTHER GENERAL SERVICES 42512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42512,A000000,01600,0000,01600SKILLED NURSING FACILITY 42512,A000000,01800,0000,01800NURSING FACILITY 42512,A000000,01900,0000,01900OTHER LONG TERM CARE 42512,A000000,02100,0000,02100RADIOLOGY 42512,A000000,02200,0000,02200LABORATORY 42512,A000000,02300,0000,02300INTRAVENOUS THERAPY 42512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42512,A000000,02500,0000,02500PHYSICAL THERAPY 42512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42512,A000000,02700,0000,02700SPEECH PATHOLOGY 42512,A000000,02800,0000,02800ELECTROCARDIOLOGY 42512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42512,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42512,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42512,A000000,03200,0000,03200SUPPORT SURFACES 42512,A000000,03400,0000,03400CLINIC 42512,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42512,A000000,03500,0000,03500RURAL HEALTH CLINIC 42512,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42512,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42512,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42512,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42512,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42512,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42512,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42512,A000000,04400,0000,04400DME RENTED - HHA 42512,A000000,04500,0000,04500DME SOLD - HHA 42512,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42512,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42512,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42512,A000000,04800,0000,04800AMBULANCE 42512,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42512,A000000,05000,0000,05000CORF 42512,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42512,A000000,05300,0000,05300INTEREST EXPENSE 42512,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42512,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42512,A000000,05500,0000,05500HOSPICE 42512,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42512,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42512,A000000,06100,0000,06100NONPAID WORKERS 42512,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42512,A000000,06200,0000,06200PATIENTS LAUNDRY 42512,A81000A,00100,0100,Y 42512,A81000B,00100,0300,BEST INC. 42512,A81000C,00100,0100,B 42512,A81000C,00100,0200,BEST INC. 42512,A81000C,00100,0400,H.D. HOLDINGS LLC. 42512,A81000C,00100,0600,OPERATION OF LTC FACILITI 42512,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42512,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42512,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42512,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42512,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42512,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42512,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42512,B100000,00000,0800,00000MEALS SERVED :DIETARY 42512,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42512,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42512,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42512,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42512,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42512,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 42512,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42512,E10A180,00550,0300,02/22/2000 42512,S000000,00100,0200,02/03/2000 42512,S200000,00100,0100,551 FOURTH STREET NORTH 42512,S200000,00200,0100,WINSTED 42512,S200000,00200,0200,MN 42512,S200000,00200,0300,55395- 42512,S200000,00300,0100,MCLEOD 42512,S200000,00400,0100,ST. MARYS CARE CENTER INC.-WINSTED 42512,S200000,00400,0200,245459 42512,S200000,00400,0300,07/01/1976 42512,S200000,00400,0500,P 42512,S200000,01500,0100,Y 42512,S700003,00000,0100,1 42514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42514,A000000,00300,0000,00300EMPLOYEE BENEFITS 42514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42514,A000000,00700,0000,00700HOUSEKEEPING 42514,A000000,00800,0000,00800DIETARY 42514,A000000,00900,0000,00900NURSING ADMINISTRATION 42514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42514,A000000,01100,0000,01100PHARMACY 42514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42514,A000000,01300,0000,01300SOCIAL SERVICE 42514,A000000,01350,0000,01500OTHER GENERAL SERVICES 42514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42514,A000000,01600,0000,01600SKILLED NURSING FACILITY 42514,A000000,01800,0000,01800NURSING FACILITY 42514,A000000,01900,0000,01900OTHER LONG TERM CARE 42514,A000000,02100,0000,02100RADIOLOGY 42514,A000000,02200,0000,02200LABORATORY 42514,A000000,02300,0000,02300INTRAVENOUS THERAPY 42514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42514,A000000,02500,0000,02500PHYSICAL THERAPY 42514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42514,A000000,02700,0000,02700SPEECH PATHOLOGY 42514,A000000,02800,0000,02800ELECTROCARDIOLOGY 42514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42514,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42514,A000000,03200,0000,03200SUPPORT SURFACES 42514,A000000,03400,0000,03400CLINIC 42514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42514,A000000,03500,0000,03500RURAL HEALTH CLINIC 42514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42514,A000000,04400,0000,04400DME RENTED - HHA 42514,A000000,04500,0000,04500DME SOLD - HHA 42514,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42514,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42514,A000000,04800,0000,04800AMBULANCE 42514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42514,A000000,05000,0000,05000CORF 42514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42514,A000000,05300,0000,05300INTEREST EXPENSE 42514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42514,A000000,05500,0000,05500HOSPICE 42514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42514,A000000,06100,0000,06100NONPAID WORKERS 42514,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42514,A000000,06200,0000,06200PATIENTS LAUNDRY 42514,A81000A,00100,0100,Y 42514,A81000B,00100,0300,BHD-MGMT FEES 42514,A81000B,00200,0300,BHD-MGMT FEES 42514,A81000B,00300,0300,NURSE CONSULTING 42514,A81000B,00400,0300,ADMINISTRATOR SAL/TAX/BENEFITS 42514,A81000B,00500,0300,COMPUTER USER FEE 42514,A81000B,00600,0300,BHS-MGMT FEES 42514,A81000B,00700,0300,BHS-MGMT FEES 42514,A81000C,00100,0100,G 42514,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42514,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 42514,A81000C,00100,0600,MANAGEMENT SERVICES 42514,A81000C,00200,0100,G 42514,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 42514,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 42514,A81000C,00200,0600,MANAGEMENT SERVICES 42514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42514,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42514,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42514,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42514,B100000,00000,0800,00000MEALS SERVED :DIETARY 42514,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42514,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42514,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42514,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42514,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42514,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42514,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42514,E10A180,00550,0300,09/25/2000 42514,S000000,00100,0200,08/25/2000 42514,S200000,00100,0100,551 FOURTH STREET NORTH 42514,S200000,00200,0100,WINSTED 42514,S200000,00200,0200,MN 42514,S200000,00200,0300,55395- 42514,S200000,00300,0100,MCLEOD 42514,S200000,00400,0100,ST. MARYS SENIOR LIVING CENTER OF 42514,S200000,00400,0200,245459 42514,S200000,00400,0300,07/01/1976 42514,S200000,00400,0500,P 42514,S200000,01500,0100,Y 42517,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42517,A000000,00101,0000,00101CAPITAL RELATED COSTS - DYCKMAN BLD 42517,A000000,00102,0000,00102CAPITAL RELATED COSTS - LAKESIDE BL 42517,A000000,00103,0000,00103CAPITAL RELATED COSTS - WEST BLDG 42517,A000000,00104,0000,00104CAPITAL RELATED COSTS - INTEREST EX 42517,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42517,A000000,00300,0000,00300EMPLOYEE BENEFITS 42517,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42517,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42517,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42517,A000000,00700,0000,00700HOUSEKEEPING 42517,A000000,00800,0000,00800DIETARY 42517,A000000,00900,0000,00900NURSING ADMINISTRATION 42517,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42517,A000000,01100,0000,01100PHARMACY 42517,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42517,A000000,01300,0000,01300SOCIAL SERVICE 42517,A000000,01350,0000,01500OTHER GENERAL SERVICES 42517,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42517,A000000,01600,0000,01600SKILLED NURSING FACILITY 42517,A000000,01800,0000,01800NURSING FACILITY 42517,A000000,01810,0000,01801ICF/MR 42517,A000000,01900,0000,01900OTHER LONG TERM CARE 42517,A000000,02100,0000,02100RADIOLOGY 42517,A000000,02200,0000,02200LABORATORY 42517,A000000,02300,0000,02300INTRAVENOUS THERAPY 42517,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42517,A000000,02500,0000,02500PHYSICAL THERAPY 42517,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42517,A000000,02700,0000,02700SPEECH PATHOLOGY 42517,A000000,02800,0000,02800ELECTROCARDIOLOGY 42517,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42517,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42517,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42517,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42517,A000000,03200,0000,03200SUPPORT SURFACES 42517,A000000,03400,0000,03400CLINIC 42517,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42517,A000000,03500,0000,03500RURAL HEALTH CLINIC 42517,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42517,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42517,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42517,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42517,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42517,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42517,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42517,A000000,04400,0000,04400DME RENTED - HHA 42517,A000000,04500,0000,04500DME SOLD - HHA 42517,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42517,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42517,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42517,A000000,04800,0000,04800AMBULANCE 42517,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42517,A000000,05000,0000,05000CORF 42517,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42517,A000000,05300,0000,05300INTEREST EXPENSE 42517,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42517,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42517,A000000,05500,0000,05500HOSPICE 42517,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42517,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42517,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42517,A000000,06100,0000,06100NONPAID WORKERS 42517,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42517,A000000,06200,0000,06200PATIENTS LAUNDRY 42517,A000000,06201,0000,06201DEVELOPMENT 42517,A000000,06202,0000,06202ASSISTED LIVING 42517,A000000,06203,0000,06203FUNDRAISING 42517,A000000,06204,0000,06204JHR CLUB 42517,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42517,B100000,00000,0101,00000SQUARE FEET D :CAPITAL RELATED COST 42517,B100000,00000,0102,00000SQUARE FEET LA :CAPITAL RELATED COS 42517,B100000,00000,0103,00000SQUARE FEET :CAPITAL RELATED COSTS 42517,B100000,00000,0104,00000SQUARE FEET :CAPITAL RELATED COSTS 42517,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42517,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42517,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42517,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42517,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42517,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42517,B100000,00000,0800,00000MEALS SERVED :DIETARY 42517,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42517,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42517,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42517,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42517,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42517,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 42517,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42517,S000000,00100,0200,02/26/2000 42517,S200000,00100,0100,3700 CEDAR LAKE AVENUE 42517,S200000,00200,0100,ST. LOUIS PARK 42517,S200000,00200,0200,MN 42517,S200000,00200,0300,55416- 42517,S200000,00300,0100,HENNEPIN 42517,S200000,00400,0100,JONES-HARRISON RESIDENCE 42517,S200000,00400,0200,245460 42517,S200000,00400,0300,04/01/1987 42517,S200000,00400,0500,P 42517,S200000,01500,0100,Y 42523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42523,A000000,00300,0000,00300EMPLOYEE BENEFITS 42523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42523,A000000,00700,0000,00700HOUSEKEEPING 42523,A000000,00800,0000,00800DIETARY 42523,A000000,00900,0000,00900NURSING ADMINISTRATION 42523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42523,A000000,01100,0000,01100PHARMACY 42523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42523,A000000,01300,0000,01300SOCIAL SERVICE 42523,A000000,01350,0000,01500ACTIVITIES 42523,A000000,01600,0000,01600SKILLED NURSING FACILITY 42523,A000000,01800,0000,01800NURSING FACILITY 42523,A000000,01900,0000,01900OTHER LONG TERM CARE 42523,A000000,02100,0000,02100RADIOLOGY 42523,A000000,02200,0000,02200LABORATORY 42523,A000000,02500,0000,02500PHYSICAL THERAPY 42523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42523,A000000,02700,0000,02700SPEECH PATHOLOGY 42523,A000000,02800,0000,02800ELECTROCARDIOLOGY 42523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42523,A000000,03050,0000,03300INSERVICE 42523,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42523,A000000,03200,0000,03200SUPPORT SURFACES 42523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42523,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42523,A000000,04800,0000,04800AMBULANCE 42523,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42523,A000000,05000,0000,05000CORF 42523,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42523,A000000,05300,0000,05300INTEREST EXPENSE 42523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42523,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42523,A000000,05500,0000,05500HOSPICE 42523,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42523,A000000,06100,0000,06100NONPAID WORKERS 42523,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42523,A000000,06200,0000,06200PATIENTS LAUNDRY 42523,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42523,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42523,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42523,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42523,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42523,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42523,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42523,B100000,00000,0800,00000MEALS SERVED :DIETARY 42523,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42523,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42523,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42523,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42523,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42523,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 42523,S000000,00100,0200,02/28/2000 42523,S200000,00100,0100,EVENTIDE LUTHERAN HOME 42523,S200000,00100,0300,1405 7TH STREET S. 42523,S200000,00200,0100,MOORHEAD 42523,S200000,00200,0200,MN 42523,S200000,00200,0300,56560- 42523,S200000,00300,0100,CLAY 42523,S200000,00400,0100,EVENTIDE LUTHERAN HOME 42523,S200000,00400,0200,245461 42523,S200000,00400,0300,04/01/1987 42523,S200000,00400,0500,P 42523,S200000,01500,0100,Y 42523,S200000,02100,0100,A 42523,S200000,02200,0100,Y 42523,S200000,04300,0100,Y 42528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42528,A000000,00300,0000,00300EMPLOYEE BENEFITS 42528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42528,A000000,00700,0000,00700HOUSEKEEPING 42528,A000000,00800,0000,00800DIETARY 42528,A000000,00900,0000,00900NURSING ADMINISTRATION 42528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42528,A000000,01100,0000,01100PHARMACY 42528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42528,A000000,01300,0000,01300SOCIAL SERVICE 42528,A000000,01350,0000,01500OTHER GENERAL SERVICES 42528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42528,A000000,01600,0000,01600SKILLED NURSING FACILITY 42528,A000000,01800,0000,01800NURSING FACILITY 42528,A000000,01810,0000,01801ICF/MR 42528,A000000,01900,0000,01900OTHER LONG TERM CARE 42528,A000000,02100,0000,02100RADIOLOGY 42528,A000000,02200,0000,02200LABORATORY 42528,A000000,02300,0000,02300INTRAVENOUS THERAPY 42528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42528,A000000,02500,0000,02500PHYSICAL THERAPY 42528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42528,A000000,02700,0000,02700SPEECH PATHOLOGY 42528,A000000,02800,0000,02800ELECTROCARDIOLOGY 42528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42528,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42528,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42528,A000000,03200,0000,03200SUPPORT SURFACES 42528,A000000,03400,0000,03400CLINIC 42528,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42528,A000000,03500,0000,03500RURAL HEALTH CLINIC 42528,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42528,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42528,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42528,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42528,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42528,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42528,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42528,A000000,04400,0000,04400DME RENTED - HHA 42528,A000000,04500,0000,04500DME SOLD - HHA 42528,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42528,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42528,A000000,04800,0000,04800AMBULANCE 42528,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42528,A000000,05000,0000,05000CORF 42528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42528,A000000,05300,0000,05300INTEREST EXPENSE 42528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42528,A000000,05500,0000,05500HOSPICE 42528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42528,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42528,A000000,06100,0000,06100NONPAID WORKERS 42528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42528,A000000,06200,0000,06200PATIENTS LAUNDRY 42528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42528,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42528,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42528,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42528,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42528,B100000,00000,0800,00000MEALS SERVED :DIETARY 42528,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42528,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42528,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42528,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42528,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42528,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42528,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42528,E10A180,00501,0100,07/18/2000 42528,S000000,00100,0200,05/30/2000 42528,S200000,00100,0100,5401 69TH AVE NORTH 42528,S200000,00200,0100,BROOKLYN CENTER 42528,S200000,00200,0200,MN 42528,S200000,00200,0300,55429-1599 42528,S200000,00300,0100,HENNEPIN 42528,S200000,00400,0100,MARANATHA CONSERVATIVE BAPTIST HOME 42528,S200000,00400,0200,245462 42528,S200000,00400,0300,04/01/1997 42528,S200000,00400,0500,P 42528,S200000,01500,0100,Y 42534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42534,A000000,00300,0000,00300EMPLOYEE BENEFITS 42534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42534,A000000,00700,0000,00700HOUSEKEEPING 42534,A000000,00800,0000,00800DIETARY 42534,A000000,00900,0000,00900NURSING ADMINISTRATION 42534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42534,A000000,01100,0000,01100PHARMACY 42534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42534,A000000,01300,0000,01300SOCIAL SERVICE 42534,A000000,01350,0000,01500OTHER GENERAL SERVICES 42534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42534,A000000,01600,0000,01600SKILLED NURSING FACILITY 42534,A000000,01800,0000,01800NURSING FACILITY 42534,A000000,01810,0000,01801ICF/MR 42534,A000000,01900,0000,01900OTHER LONG TERM CARE 42534,A000000,02100,0000,02100RADIOLOGY 42534,A000000,02200,0000,02200LABORATORY 42534,A000000,02300,0000,02300INTRAVENOUS THERAPY 42534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42534,A000000,02500,0000,02500PHYSICAL THERAPY 42534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42534,A000000,02700,0000,02700SPEECH PATHOLOGY 42534,A000000,02800,0000,02800ELECTROCARDIOLOGY 42534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42534,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42534,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42534,A000000,03200,0000,03200SUPPORT SURFACES 42534,A000000,03400,0000,03400CLINIC 42534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42534,A000000,03500,0000,03500RURAL HEALTH CLINIC 42534,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42534,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42534,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42534,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42534,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42534,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42534,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42534,A000000,04400,0000,04400DME RENTED - HHA 42534,A000000,04500,0000,04500DME SOLD - HHA 42534,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42534,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42534,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42534,A000000,04800,0000,04800AMBULANCE 42534,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42534,A000000,05000,0000,05000CORF 42534,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42534,A000000,05300,0000,05300INTEREST EXPENSE 42534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42534,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42534,A000000,05500,0000,05500HOSPICE 42534,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42534,A000000,05901,0000,05901APARTMENTS 42534,A000000,05902,0000,05902DAY CARE 42534,A000000,05903,0000,05903FOUNDATION 42534,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42534,A000000,06100,0000,06100NONPAID WORKERS 42534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42534,A000000,06200,0000,06200PATIENTS LAUNDRY 42534,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42534,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42534,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42534,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42534,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42534,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42534,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42534,B100000,00000,0800,00000MEALS SERVED :DIETARY 42534,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42534,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42534,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42534,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42534,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42534,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42534,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42534,S000000,00100,0200,03/01/2000 42534,S200000,00100,0100,1006 SHERIDAN STREET SOUTH 42534,S200000,00200,0100,FERGUS FALLS 42534,S200000,00200,0200,MN 42534,S200000,00200,0300,56537- 42534,S200000,00300,0100,OTTERTAIL 42534,S200000,00400,0100,PIONEER RETIREMENT COMMUNITY 42534,S200000,00400,0200,245463 42534,S200000,00400,0300,04/01/1987 42534,S200000,00400,0500,P 42534,S200000,01500,0100,Y 42536,S000000,00100,0200,05/25/2000 42541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42541,A000000,00300,0000,00300EMPLOYEE BENEFITS 42541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42541,A000000,00700,0000,00700HOUSEKEEPING 42541,A000000,00800,0000,00800DIETARY 42541,A000000,00900,0000,00900NURSING ADMINISTRATION 42541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42541,A000000,01100,0000,01100PHARMACY 42541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42541,A000000,01300,0000,01300SOCIAL SERVICE 42541,A000000,01350,0000,01500OTHER GENERAL SERVICES 42541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42541,A000000,01600,0000,01600SKILLED NURSING FACILITY 42541,A000000,01800,0000,01800NURSING FACILITY 42541,A000000,01810,0000,01810ICF/MR 42541,A000000,01900,0000,01900OTHER LONG TERM CARE 42541,A000000,02100,0000,02100RADIOLOGY 42541,A000000,02200,0000,02200LABORATORY 42541,A000000,02300,0000,02300INTRAVENOUS THERAPY 42541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42541,A000000,02500,0000,02500PHYSICAL THERAPY 42541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42541,A000000,02700,0000,02700SPEECH PATHOLOGY 42541,A000000,02800,0000,02800ELECTROCARDIOLOGY 42541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42541,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42541,A000000,03200,0000,03200SUPPORT SURFACES 42541,A000000,03400,0000,03400CLINIC 42541,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42541,A000000,03500,0000,03500RURAL HEALTH CLINIC 42541,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42541,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42541,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42541,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42541,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42541,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42541,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42541,A000000,04400,0000,04400DME RENTED - HHA 42541,A000000,04500,0000,04500DME SOLD - HHA 42541,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42541,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42541,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42541,A000000,04800,0000,04800AMBULANCE 42541,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42541,A000000,05000,0000,05000CORF 42541,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42541,A000000,05300,0000,05300INTEREST EXPENSE 42541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42541,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42541,A000000,05500,0000,05500HOSPICE 42541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42541,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42541,A000000,06100,0000,06100NONPAID WORKERS 42541,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42541,A000000,06200,0000,06200PATIENTS LAUNDRY 42541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42541,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42541,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42541,B100000,00000,0750,00000SQUARE FEET 2 :HOUSEKEEPING 42541,B100000,00000,0800,00000MEALS SERVED :DIETARY 42541,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42541,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42541,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42541,S000000,00100,0200,01/08/2001 42541,S200000,00100,0100,410 WEST MAIN RT 1 BOX 29 42541,S200000,00200,0100,OSAKIS 42541,S200000,00200,0200,MN 42541,S200000,00200,0300,56360- 42541,S200000,00300,0100,DOUGLAS 42541,S200000,00300,0200,0024 42541,S200000,00300,0300,R 42541,S200000,00400,0100,COMMUNITY MEMORIAL HOME AT OSAKIS 42541,S200000,00400,0200,245465 42541,S200000,00400,0300,04/01/1986 42541,S200000,00400,0500,P 42541,S200000,01004,0500,O 42541,S200000,01500,0100,Y 42545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42545,A000000,00300,0000,00300EMPLOYEE BENEFITS 42545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42545,A000000,00700,0000,00700HOUSEKEEPING 42545,A000000,00800,0000,00800DIETARY 42545,A000000,00900,0000,00900NURSING ADMINISTRATION 42545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42545,A000000,01100,0000,01100PHARMACY 42545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42545,A000000,01300,0000,01300SOCIAL SERVICE 42545,A000000,01350,0000,01500OTHER GENERAL SERVICES 42545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42545,A000000,01600,0000,01600SKILLED NURSING FACILITY 42545,A000000,01800,0000,01800NURSING FACILITY 42545,A000000,01810,0000,01810ICF/MR 42545,A000000,01900,0000,01900OTHER LONG TERM CARE 42545,A000000,02100,0000,02100RADIOLOGY 42545,A000000,02200,0000,02200LABORATORY 42545,A000000,02300,0000,02300INTRAVENOUS THERAPY 42545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42545,A000000,02500,0000,02500PHYSICAL THERAPY 42545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42545,A000000,02700,0000,02700SPEECH PATHOLOGY 42545,A000000,02800,0000,02800ELECTROCARDIOLOGY 42545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42545,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42545,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42545,A000000,03200,0000,03200SUPPORT SURFACES 42545,A000000,03400,0000,03400CLINIC 42545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42545,A000000,03500,0000,03500RURAL HEALTH CLINIC 42545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42545,A000000,04400,0000,04400DME RENTED - HHA 42545,A000000,04500,0000,04500DME SOLD - HHA 42545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42545,A000000,04800,0000,04800AMBULANCE 42545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42545,A000000,05000,0000,05000CORF 42545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42545,A000000,05300,0000,05300INTEREST EXPENSE 42545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42545,A000000,05500,0000,05500HOSPICE 42545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42545,A000000,06100,0000,06100NONPAID WORKERS 42545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42545,A000000,06200,0000,06200PATIENTS LAUNDRY 42545,A81000A,00100,0100,Y 42545,A81000B,00100,0300,HOME OFFICE COSTS 42545,A81000B,00200,0300,CAP REL COSTS - BLDGS & RENT 42545,A81000B,00300,0300,CAP COST - BLDG DEPRECIATION 42545,A81000B,00400,0300,CAP COST - EQUIP DEPRECIATION 42545,A81000B,00500,0300,CAP COST - BLDG INTEREST 42545,A81000B,00600,0300,CAP COST - AMORTIZATION 42545,A81000C,00100,0100,B 42545,A81000C,00100,0400,TEALWOOD CARE CENTER INC 42545,A81000C,00100,0600,NURSING HOME MANAGEMENT 42545,A81000C,00300,0100,A 42545,A81000C,00300,0200,SAM KAPLAN 42545,A81000C,00300,0400,LEONARD LOUIS 42545,A81000C,00300,0600,NURSING HOME OWNER 42545,A81000C,00400,0100,A 42545,A81000C,00400,0200,RALPH STRANGIS 42545,A81000C,00400,0400,LEONARD LOUIS 42545,A81000C,00400,0600,NURSING HOME OWNER 42545,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42545,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42545,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42545,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42545,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42545,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42545,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42545,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42545,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42545,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42545,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42545,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42545,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42545,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42545,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42545,S000000,00100,0200,05/18/2000 42545,S200000,00100,0100,304 WASHINGTON AVENUE 42545,S200000,00100,0300,B 42545,S200000,00200,0100,KARLSTAD 42545,S200000,00200,0200,MN 42545,S200000,00200,0300,56732- 42545,S200000,00300,0100,KITTSON 42545,S200000,00400,0100,KARLSTAD HEALTHCARE CENTER 42545,S200000,00400,0200,245468 42545,S200000,00400,0300,10/01/1995 42545,S200000,00400,0500,P 42545,S200000,01004,0500,O 42545,S200000,01600,0100,Y 42547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42547,A000000,00300,0000,00300EMPLOYEE BENEFITS 42547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42547,A000000,00700,0000,00700HOUSEKEEPING 42547,A000000,00800,0000,00800DIETARY 42547,A000000,00900,0000,00900NURSING ADMINISTRATION 42547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42547,A000000,01100,0000,01100PHARMACY 42547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42547,A000000,01300,0000,01300SOCIAL SERVICE 42547,A000000,01350,0000,01500OTHER GENERAL SERVICES 42547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42547,A000000,01600,0000,01600SKILLED NURSING FACILITY 42547,A000000,01800,0000,01800NURSING FACILITY 42547,A000000,01810,0000,01801ICF/MR 42547,A000000,01900,0000,01900OTHER LONG TERM CARE 42547,A000000,02100,0000,02100RADIOLOGY 42547,A000000,02200,0000,02200LABORATORY 42547,A000000,02300,0000,02300INTRAVENOUS THERAPY 42547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42547,A000000,02500,0000,02500PHYSICAL THERAPY 42547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42547,A000000,02700,0000,02700SPEECH PATHOLOGY 42547,A000000,02800,0000,02800ELECTROCARDIOLOGY 42547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42547,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42547,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42547,A000000,03200,0000,03200SUPPORT SURFACES 42547,A000000,03400,0000,03400CLINIC 42547,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42547,A000000,03500,0000,03500RURAL HEALTH CLINIC 42547,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42547,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42547,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42547,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42547,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42547,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42547,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42547,A000000,04400,0000,04400DME RENTED - HHA 42547,A000000,04500,0000,04500DME SOLD - HHA 42547,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42547,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42547,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42547,A000000,04800,0000,04800AMBULANCE 42547,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42547,A000000,05000,0000,05000CORF 42547,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42547,A000000,05300,0000,05300INTEREST EXPENSE 42547,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42547,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42547,A000000,05500,0000,05500HOSPICE 42547,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42547,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42547,A000000,06100,0000,06100NONPAID WORKERS 42547,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42547,A000000,06200,0000,06200PATIENTS LAUNDRY 42547,A81000A,00100,0100,Y 42547,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 42547,A81000C,00100,0100,E 42547,A81000C,00100,0200,NATILIE R ZELEZNIKAR 42547,A81000C,00100,0400,EBENZER SOCIAL MINISTRY 42547,A81000C,00100,0600,MANAGES NURSING HOME 42547,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42547,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42547,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42547,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42547,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42547,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42547,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42547,B100000,00000,0800,00000MEALS SERVED :DIETARY 42547,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42547,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42547,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42547,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42547,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42547,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42547,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42547,S000000,00100,0200,02/29/2000 42547,S200000,00100,0100,402 13TH AVENUE 42547,S200000,00200,0100,TWO HARBORS 42547,S200000,00200,0200,MN 42547,S200000,00200,0300,55616- 42547,S200000,00300,0100,LAKE 42547,S200000,00400,0100,SUNRISE HOME 42547,S200000,00400,0200,245471 42547,S200000,00400,0300,05/01/1987 42547,S200000,00400,0500,P 42547,S200000,01004,0500,O 42547,S200000,01500,0100,Y 42551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42551,A000000,00300,0000,00300EMPLOYEE BENEFITS 42551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42551,A000000,00700,0000,00700HOUSEKEEPING 42551,A000000,00800,0000,00800DIETARY 42551,A000000,00900,0000,00900NURSING ADMINISTRATION 42551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42551,A000000,01100,0000,01100PHARMACY 42551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42551,A000000,01300,0000,01300SOCIAL SERVICE 42551,A000000,01350,0000,01500ACTIVITIES 42551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42551,A000000,01600,0000,01600SKILLED NURSING FACILITY 42551,A000000,01800,0000,01800NURSING FACILITY 42551,A000000,01900,0000,01900OTHER LONG TERM CARE 42551,A000000,02100,0000,02100RADIOLOGY 42551,A000000,02200,0000,02200LABORATORY 42551,A000000,02300,0000,02300INTRAVENOUS THERAPY 42551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42551,A000000,02500,0000,02500PHYSICAL THERAPY 42551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42551,A000000,02700,0000,02700SPEECH PATHOLOGY 42551,A000000,02800,0000,02800ELECTROCARDIOLOGY 42551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42551,A000000,03200,0000,03200SUPPORT SURFACES 42551,A000000,03400,0000,03400CLINIC 42551,A000000,03500,0000,03500RURAL HEALTH CLINIC 42551,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42551,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42551,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42551,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42551,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42551,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42551,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42551,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42551,A000000,04400,0000,04400DME RENTED - HHA 42551,A000000,04500,0000,04500DME SOLD - HHA 42551,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42551,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42551,A000000,04800,0000,04800AMBULANCE 42551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42551,A000000,05000,0000,05000CORF 42551,A000000,05010,0000,05010CMHC 42551,A000000,05020,0000,05020OPT 42551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42551,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42551,A000000,05300,0000,05300INTEREST EXPENSE 42551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42551,A000000,05500,0000,05500HOSPICE 42551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42551,A000000,06100,0000,06100NONPAID WORKERS 42551,A000000,06150,0000,06300NON-REIMBURSABLE DIETARY 42551,A000000,06200,0000,06200PATIENTS LAUNDRY 42551,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42551,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42551,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42551,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42551,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42551,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42551,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42551,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42551,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42551,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 42551,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42551,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42551,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42551,B100000,00000,1350,00000CENSUS :ACTIVITIES 42551,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 42551,S000000,00100,0200,09/12/2000 42551,S200000,00100,0100,640 3RD STREET 42551,S200000,00100,0300,386 42551,S200000,00200,0100,GAYLORD 42551,S200000,00200,0200,MI 42551,S200000,00200,0300,55334-0386 42551,S200000,00300,0100,SIBLEY 42551,S200000,00400,0100,GAYLORD LAKEVIEW HOME 42551,S200000,00400,0200,245473 42551,S200000,00400,0300,05/01/1987 42551,S200000,00400,0500,P 42551,S200000,01500,0100,Y 42555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42555,A000000,00300,0000,00300EMPLOYEE BENEFITS 42555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42555,A000000,00700,0000,00700HOUSEKEEPING 42555,A000000,00800,0000,00800DIETARY 42555,A000000,00900,0000,00900NURSING ADMINISTRATION 42555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42555,A000000,01100,0000,01100PHARMACY 42555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42555,A000000,01300,0000,01300SOCIAL SERVICE 42555,A000000,01350,0000,01500OTHER GENERAL SERVICES 42555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42555,A000000,01600,0000,01600SKILLED NURSING FACILITY 42555,A000000,01800,0000,01800NURSING FACILITY 42555,A000000,01810,0000,01801ICF/MR 42555,A000000,01900,0000,01900OTHER LONG TERM CARE 42555,A000000,02100,0000,02100RADIOLOGY 42555,A000000,02200,0000,02200LABORATORY 42555,A000000,02300,0000,02300INTRAVENOUS THERAPY 42555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42555,A000000,02500,0000,02500PHYSICAL THERAPY 42555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42555,A000000,02700,0000,02700SPEECH PATHOLOGY 42555,A000000,02800,0000,02800ELECTROCARDIOLOGY 42555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42555,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42555,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42555,A000000,03200,0000,03200SUPPORT SURFACES 42555,A000000,03400,0000,03400CLINIC 42555,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42555,A000000,03500,0000,03500RURAL HEALTH CLINIC 42555,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42555,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42555,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42555,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42555,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42555,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42555,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42555,A000000,04400,0000,04400DME RENTED - HHA 42555,A000000,04500,0000,04500DME SOLD - HHA 42555,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42555,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42555,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42555,A000000,04800,0000,04800AMBULANCE 42555,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42555,A000000,05000,0000,05000CORF 42555,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42555,A000000,05300,0000,05300INTEREST EXPENSE 42555,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42555,A000000,05500,0000,05500HOSPICE 42555,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42555,A000000,06100,0000,06100NONPAID WORKERS 42555,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42555,A000000,06200,0000,06200PATIENTS LAUNDRY 42555,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42555,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42555,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42555,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42555,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42555,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42555,B100000,00000,0800,00000MEALS SERVED :DIETARY 42555,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42555,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42555,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42555,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42555,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42555,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42555,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42555,E10A180,00550,0300,04/12/2000 42555,S000000,00100,0200,02/29/2000 42555,S200000,00100,0100,200 PARK LANE 42555,S200000,00200,0100,BUFFALO 42555,S200000,00200,0200,MN 42555,S200000,00200,0300,55313-1398 42555,S200000,00300,0100,WRIGHT 42555,S200000,00400,0100,PARK VIEW CARE CENTER 42555,S200000,00400,0200,245474 42555,S200000,00400,0300,05/01/1987 42555,S200000,00400,0500,P 42555,S200000,01500,0100,Y 42561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42561,A000000,00300,0000,00300EMPLOYEE BENEFITS 42561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42561,A000000,00700,0000,00700HOUSEKEEPING 42561,A000000,00800,0000,00800DIETARY 42561,A000000,00900,0000,00900NURSING ADMINISTRATION 42561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42561,A000000,01300,0000,01300SOCIAL SERVICE 42561,A000000,01600,0000,01600SKILLED NURSING FACILITY 42561,A000000,02200,0000,02200LABORATORY 42561,A000000,02500,0000,02500PHYSICAL THERAPY 42561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42561,A000000,02700,0000,02700SPEECH PATHOLOGY 42561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42561,A000000,05801,0000,05801PARKWOOD APARTMENTS 42561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42561,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42561,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42561,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42561,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42561,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42561,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42561,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42561,B100000,00000,0800,00000MEALS SERVED :DIETARY 42561,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42561,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42561,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42561,E10A180,00501,0100,04/07/2000 42561,E10A180,00550,0300,04/07/2000 42561,S000000,00100,0200,03/01/2000 42561,S200000,00100,0100,102 COUNTY ST AID HIGHWAY 9 42561,S200000,00200,0100,BELVIEW 42561,S200000,00200,0200,MN 42561,S200000,00200,0300,56214- 42561,S200000,00300,0100,REDWOOD 42561,S200000,00300,0300,R 42561,S200000,00400,0100,PARKVIEW HOME 42561,S200000,00400,0200,245475 42561,S200000,00400,0300,04/16/1987 42561,S200000,00400,0500,P 42561,S200000,01500,0100,Y 42566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42566,A000000,00300,0000,00300EMPLOYEE BENEFITS 42566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42566,A000000,00700,0000,00700HOUSEKEEPING 42566,A000000,00800,0000,00800DIETARY 42566,A000000,00900,0000,00900NURSING ADMINISTRATION 42566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42566,A000000,01100,0000,01100PHARMACY 42566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42566,A000000,01300,0000,01300SOCIAL SERVICE 42566,A000000,01350,0000,01500OTHER GENERAL SERVICES 42566,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42566,A000000,01600,0000,01600SKILLED NURSING FACILITY 42566,A000000,01800,0000,01800NURSING FACILITY 42566,A000000,01810,0000,01801ICF/MR 42566,A000000,01900,0000,01900OTHER LONG TERM CARE 42566,A000000,02100,0000,02100RADIOLOGY 42566,A000000,02200,0000,02200LABORATORY 42566,A000000,02300,0000,02300INTRAVENOUS THERAPY 42566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42566,A000000,02500,0000,02500PHYSICAL THERAPY 42566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42566,A000000,02700,0000,02700SPEECH PATHOLOGY 42566,A000000,02800,0000,02800ELECTROCARDIOLOGY 42566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42566,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42566,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42566,A000000,03200,0000,03200SUPPORT SURFACES 42566,A000000,03400,0000,03400CLINIC 42566,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42566,A000000,03500,0000,03500RURAL HEALTH CLINIC 42566,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42566,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42566,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42566,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42566,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42566,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42566,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42566,A000000,04400,0000,04400DME RENTED - HHA 42566,A000000,04500,0000,04500DME SOLD - HHA 42566,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42566,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42566,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42566,A000000,04800,0000,04800AMBULANCE 42566,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42566,A000000,05000,0000,05000CORF 42566,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42566,A000000,05300,0000,05300INTEREST EXPENSE 42566,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42566,A000000,05500,0000,05500HOSPICE 42566,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42566,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42566,A000000,06100,0000,06100NONPAID WORKERS 42566,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42566,A000000,06200,0000,06200PATIENTS LAUNDRY 42566,A81000A,00100,0100,Y 42566,A81000B,00100,0300,MANAGEMENT FEES 42566,A81000C,00100,0100,B 42566,A81000C,00100,0200,WALKER SOUTHVIEW 42566,A81000C,00100,0400,WALKER SENIOR SERVICES 42566,A81000C,00100,0600,MANAGEMENT SERVICES 42566,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42566,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42566,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42566,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42566,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42566,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42566,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42566,B100000,00000,0800,00000MEALS SERVED :DIETARY 42566,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42566,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42566,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42566,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42566,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42566,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42566,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42566,E10A180,00550,0300,07/18/2000 42566,S000000,00100,0200,06/05/2000 42566,S200000,00100,0100,6130 LYNDALE AVENUE 42566,S200000,00200,0100,MINNEAPOLIS 42566,S200000,00200,0200,MN 42566,S200000,00200,0300,55419- 42566,S200000,00300,0100,HENNEPIN 42566,S200000,00400,0100,WALKER SOUTHVIEW 42566,S200000,00400,0200,245477 42566,S200000,00400,0300,05/01/1987 42566,S200000,00400,0500,P 42566,S200000,00400,0600,O 42566,S200000,01500,0100,Y 42570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42570,A000000,00300,0000,00300EMPLOYEE BENEFITS 42570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42570,A000000,00700,0000,00700HOUSEKEEPING 42570,A000000,00800,0000,00800DIETARY 42570,A000000,00900,0000,00900NURSING ADMINISTRATION 42570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42570,A000000,01100,0000,01100PHARMACY 42570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42570,A000000,01300,0000,01300SOCIAL SERVICE 42570,A000000,01350,0000,01500OTHER GENERAL SERVICES 42570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42570,A000000,01600,0000,01600SKILLED NURSING FACILITY 42570,A000000,01800,0000,01800NURSING FACILITY 42570,A000000,01810,0000,01810ICF/MR 42570,A000000,01900,0000,01900OTHER LONG TERM CARE 42570,A000000,02100,0000,02100RADIOLOGY 42570,A000000,02200,0000,02200LABORATORY 42570,A000000,02300,0000,02300INTRAVENOUS THERAPY 42570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42570,A000000,02500,0000,02500PHYSICAL THERAPY 42570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42570,A000000,02700,0000,02700SPEECH PATHOLOGY 42570,A000000,02800,0000,02800ELECTROCARDIOLOGY 42570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42570,A000000,03200,0000,03200SUPPORT SURFACES 42570,A000000,03400,0000,03400CLINIC 42570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42570,A000000,03500,0000,03500RURAL HEALTH CLINIC 42570,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42570,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42570,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42570,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42570,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42570,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42570,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42570,A000000,04400,0000,04400DME RENTED - HHA 42570,A000000,04500,0000,04500DME SOLD - HHA 42570,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42570,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42570,A000000,04800,0000,04800AMBULANCE 42570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42570,A000000,05000,0000,05000CORF 42570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42570,A000000,05300,0000,05300INTEREST EXPENSE 42570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42570,A000000,05500,0000,05500HOSPICE 42570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42570,A000000,06100,0000,06100NONPAID WORKERS 42570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42570,A000000,06200,0000,06200PATIENTS LAUNDRY 42570,A81000A,00100,0100,Y 42570,A81000B,00100,0300,MAINTENANCE EXPENSE 42570,A81000B,00200,0300,LABORATORY SERVICES 42570,A81000B,00300,0300,EMPLOYEE BENEFITS 42570,A81000B,00400,0300,PURCHASED SERVICES 42570,A81000B,00500,0300,MAINTENANCE 42570,A81000B,00600,0300,MAINTENANCE 42570,A81000B,00700,0300,MANAGEMENT FEES 42570,A81000B,00800,0300,HEALTH AND DENTAL INSURANCE 42570,A81000C,00100,0100,G 42570,A81000C,00100,0200,ST JOSEPHS HOSPITAL 42570,A81000C,00100,0400,HEALTHEAST 42570,A81000C,00100,0600,LABORATORY 42570,A81000C,00200,0100,G 42570,A81000C,00200,0200,ST JOSEPHS HOSPITAL 42570,A81000C,00200,0400,HEALTHEAST 42570,A81000C,00200,0600,EMPLOYEE BENEFITS 42570,A81000C,00300,0100,B 42570,A81000C,00300,0200,HEALTHEAST 42570,A81000C,00300,0600,INSURANCE & MAMT 42570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42570,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42570,B100000,00000,0800,00000MEALS SERVED :DIETARY 42570,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42570,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42570,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42570,S000000,00100,0200,02/24/2000 42570,S200000,00100,0100,753 EAST 7TH STREET 42570,S200000,00200,0100,ST PAUL 42570,S200000,00200,0200,MN 42570,S200000,00200,0300,55106- 42570,S200000,00300,0100,RAMSEY 42570,S200000,00300,0200,5120 42570,S200000,00300,0300,U 42570,S200000,00400,0100,HEALTHEAST CARE CTR ON DELLWOOD PLAC 42570,S200000,00400,0200,245478 42570,S200000,00400,0300,05/01/1987 42570,S200000,00400,0500,P 42570,S200000,01004,0500,O 42570,S200000,01600,0100,Y 42572,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42572,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42572,A000000,00300,0000,00300EMPLOYEE BENEFITS 42572,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42572,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42572,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42572,A000000,00700,0000,00700HOUSEKEEPING 42572,A000000,00800,0000,00800DIETARY 42572,A000000,00900,0000,00900NURSING ADMINISTRATION 42572,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42572,A000000,01100,0000,01100PHARMACY 42572,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42572,A000000,01300,0000,01300SOCIAL SERVICE 42572,A000000,01350,0000,01500OTHER GENERAL SERVICES 42572,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42572,A000000,01600,0000,01600SKILLED NURSING FACILITY 42572,A000000,01800,0000,01800NURSING FACILITY 42572,A000000,01810,0000,01810ICF/MR 42572,A000000,01900,0000,01900OTHER LONG TERM CARE 42572,A000000,02100,0000,02100RADIOLOGY 42572,A000000,02200,0000,02200LABORATORY 42572,A000000,02300,0000,02300INTRAVENOUS THERAPY 42572,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42572,A000000,02500,0000,02500PHYSICAL THERAPY 42572,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42572,A000000,02700,0000,02700SPEECH PATHOLOGY 42572,A000000,02800,0000,02800ELECTROCARDIOLOGY 42572,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42572,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42572,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42572,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42572,A000000,03200,0000,03200SUPPORT SURFACES 42572,A000000,03400,0000,03400CLINIC 42572,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42572,A000000,03500,0000,03500RURAL HEALTH CLINIC 42572,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42572,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42572,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42572,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42572,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42572,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42572,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42572,A000000,04400,0000,04400DME RENTED - HHA 42572,A000000,04500,0000,04500DME SOLD - HHA 42572,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42572,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42572,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42572,A000000,04800,0000,04800AMBULANCE 42572,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42572,A000000,05000,0000,05000CORF 42572,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42572,A000000,05300,0000,05300INTEREST EXPENSE 42572,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42572,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42572,A000000,05500,0000,05500HOSPICE 42572,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42572,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42572,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42572,A000000,06100,0000,06100NONPAID WORKERS 42572,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42572,A000000,06200,0000,06200PATIENTS LAUNDRY 42572,A81000A,00100,0100,Y 42572,A81000B,00100,0300,HEALTH AND DENTAL 42572,A81000B,00200,0300,PATIENT ACCOUNTING 42572,A81000B,00300,0300,MGMT FEES 42572,A81000B,00400,0300,GL/PL 42572,A81000B,00500,0300,MED SUPPLIES 42572,A81000B,00600,0300,TRANSPORTATION 42572,A81000B,00700,0300,MISC 42572,A81000B,00800,0300,MISC 42572,A81000B,00900,0300,MISC 42572,A81000C,00100,0100,B 42572,A81000C,00100,0200,HEALTHEAST 42572,A81000C,00100,0400,HEALTHEAST 42572,A81000C,00100,0600,CORPORATE OFFICES 42572,A81000C,00200,0100,B 42572,A81000C,00200,0200,HE MEDICAL LAB (HML) 42572,A81000C,00200,0600,LAB 42572,A81000C,00300,0100,B 42572,A81000C,00300,0200,HE TRANSPORTATION 42572,A81000C,00300,0600,TRANSPORTATION 42572,A81000C,00400,0100,B 42572,A81000C,00400,0200,ST JOSEPHS HOSPITAL 42572,A81000C,00400,0600,HOSPITAL 42572,A81000C,00500,0100,B 42572,A81000C,00500,0200,ST JOHNS HOSPITAL 42572,A81000C,00500,0600,HOSPITAL 42572,A81000C,00600,0100,B 42572,A81000C,00600,0200,HEALTHEAST HOME CARE 42572,A81000C,00600,0600,HOME CARE 42572,A81000C,00700,0100,B 42572,A81000C,00700,0200,MED HOME 42572,A81000C,00700,0600,MIDICAL EQUIPMENT 42572,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42572,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42572,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42572,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42572,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42572,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42572,B100000,00000,0800,00000MEALS SERVED :DIETARY 42572,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42572,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42572,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42572,S000000,00100,0200,01/26/2001 42572,S200000,00100,0100,753 EAST 7TH STREET 42572,S200000,00200,0100,ST. PAUL 42572,S200000,00200,0200,MN 42572,S200000,00200,0300,55106- 42572,S200000,00300,0100,RAMSEY 42572,S200000,00300,0200,5120 42572,S200000,00300,0300,U 42572,S200000,00400,0100,HEALTHEAST CARE CTR ON DELWOOD PLACE 42572,S200000,00400,0200,245478 42572,S200000,00400,0300,05/01/1987 42572,S200000,00400,0500,P 42572,S200000,01600,0100,Y 42575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42575,A000000,00300,0000,00300EMPLOYEE BENEFITS 42575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42575,A000000,00700,0000,00700HOUSEKEEPING 42575,A000000,00800,0000,00800DIETARY 42575,A000000,00900,0000,00900NURSING ADMINISTRATION 42575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42575,A000000,01100,0000,01100PHARMACY 42575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42575,A000000,01300,0000,01300SOCIAL SERVICE 42575,A000000,01350,0000,01500OTHER GENERAL SERVICES 42575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42575,A000000,01600,0000,01600SKILLED NURSING FACILITY 42575,A000000,01800,0000,01800NURSING FACILITY 42575,A000000,01810,0000,01810ICF/MR 42575,A000000,01900,0000,01900OTHER LONG TERM CARE 42575,A000000,02100,0000,02100RADIOLOGY 42575,A000000,02200,0000,02200LABORATORY 42575,A000000,02300,0000,02300INTRAVENOUS THERAPY 42575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42575,A000000,02500,0000,02500PHYSICAL THERAPY 42575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42575,A000000,02700,0000,02700SPEECH PATHOLOGY 42575,A000000,02800,0000,02800ELECTROCARDIOLOGY 42575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42575,A000000,03200,0000,03200SUPPORT SURFACES 42575,A000000,03400,0000,03400CLINIC 42575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42575,A000000,03500,0000,03500RURAL HEALTH CLINIC 42575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42575,A000000,04400,0000,04400DME RENTED - HHA 42575,A000000,04500,0000,04500DME SOLD - HHA 42575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42575,A000000,04800,0000,04800AMBULANCE 42575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42575,A000000,05000,0000,05000CORF 42575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42575,A000000,05300,0000,05300INTEREST EXPENSE 42575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42575,A000000,05500,0000,05500HOSPICE 42575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42575,A000000,06100,0000,06100NONPAID WORKERS 42575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42575,A000000,06200,0000,06200PATIENTS LAUNDRY 42575,A81000A,00100,0100,Y 42575,A81000B,00100,0300,LABORATORY SERVICES 42575,A81000B,00200,0300,EMPLOYEE BENEFITS 42575,A81000B,00300,0300,NURSING SUPPLIES 42575,A81000B,00400,0300,MANAGEMENT FEES 42575,A81000B,00500,0300,HEALTH/DENTAL INSURANCE 42575,A81000C,00100,0100,G 42575,A81000C,00100,0200,ST JOSEPHS HOSPITAL 42575,A81000C,00100,0400,HEALTHEAST 42575,A81000C,00100,0600,LABORATORY SERVICES 42575,A81000C,00200,0100,G 42575,A81000C,00200,0200,ST JOSEPHS HOSPITAL 42575,A81000C,00200,0400,HEALTHEAST 42575,A81000C,00200,0600,EMPLOYEE BENEFITS 42575,A81000C,00300,0100,G 42575,A81000C,00300,0200,MED HOME 42575,A81000C,00300,0400,HEALTHEAST 42575,A81000C,00300,0600,NURSING SUPPLIES/EQUIPMEN 42575,A81000C,00400,0100,G 42575,A81000C,00400,0200,HEALTHEAST 42575,A81000C,00400,0400,HEALTHEAST 42575,A81000C,00400,0600,MANAGEMENT SERVICES 42575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42575,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42575,B100000,00000,0800,00000MEALS SERVED :DIETARY 42575,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42575,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42575,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42575,S000000,00100,0200,02/24/2000 42575,S200000,00100,0100,514 HUMBOLT AVE 42575,S200000,00200,0100,ST PAUL 42575,S200000,00200,0200,MN 42575,S200000,00200,0300,55107- 42575,S200000,00300,0100,RAMSEY 42575,S200000,00300,0200,5120 42575,S200000,00300,0300,U 42575,S200000,00400,0100,HEALTHEAST RESIDENCE ON HUMBOLT 42575,S200000,00400,0200,245479 42575,S200000,00400,0300,05/01/1987 42575,S200000,00400,0500,P 42575,S200000,01004,0500,O 42575,S200000,01600,0100,Y 42577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42577,A000000,00300,0000,00300EMPLOYEE BENEFITS 42577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42577,A000000,00700,0000,00700HOUSEKEEPING 42577,A000000,00800,0000,00800DIETARY 42577,A000000,00900,0000,00900NURSING ADMINISTRATION 42577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42577,A000000,01100,0000,01100PHARMACY 42577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42577,A000000,01300,0000,01300SOCIAL SERVICE 42577,A000000,01350,0000,01500OTHER GENERAL SERVICES 42577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42577,A000000,01600,0000,01600SKILLED NURSING FACILITY 42577,A000000,01800,0000,01800NURSING FACILITY 42577,A000000,01810,0000,01810ICF/MR 42577,A000000,01900,0000,01900OTHER LONG TERM CARE 42577,A000000,02100,0000,02100RADIOLOGY 42577,A000000,02200,0000,02200LABORATORY 42577,A000000,02300,0000,02300INTRAVENOUS THERAPY 42577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42577,A000000,02500,0000,02500PHYSICAL THERAPY 42577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42577,A000000,02700,0000,02700SPEECH PATHOLOGY 42577,A000000,02800,0000,02800ELECTROCARDIOLOGY 42577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42577,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42577,A000000,03200,0000,03200SUPPORT SURFACES 42577,A000000,03400,0000,03400CLINIC 42577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42577,A000000,03500,0000,03500RURAL HEALTH CLINIC 42577,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42577,A000000,04800,0000,04800AMBULANCE 42577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42577,A000000,05000,0000,05000CORF 42577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42577,A000000,05300,0000,05300INTEREST EXPENSE 42577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42577,A000000,05500,0000,05500HOSPICE 42577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42577,A000000,06100,0000,06100NONPAID WORKERS 42577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42577,A000000,06151,0000,06301BED AND LODGING 42577,A000000,06152,0000,06302ASSISTED LIVING 42577,A000000,06153,0000,06303WILDER CONGREGATE HOUSING 42577,A000000,06200,0000,06200PATIENTS LAUNDRY 42577,A81000A,00100,0100,Y 42577,A81000B,00100,0300,HEALTH AND DENTAL 42577,A81000B,00200,0300,PATIENT ACCOUNTING 42577,A81000B,00300,0300,MGMT FEE 42577,A81000B,00400,0300,GL/PL 42577,A81000B,00500,0300,MED SUPPLIES 42577,A81000B,00600,0300,TRANSPORTATION 42577,A81000B,00700,0300,MISC 42577,A81000B,00800,0300,MISC 42577,A81000C,00100,0100,B 42577,A81000C,00100,0200,HEALTHEAST 42577,A81000C,00100,0400,HEALTHEAST 42577,A81000C,00100,0600,CORPORATE OFFICES 42577,A81000C,00200,0100,B 42577,A81000C,00200,0200,HE MEDICAL LAB (HML) 42577,A81000C,00200,0400,HEALTHEAST 42577,A81000C,00200,0600,LAB 42577,A81000C,00300,0100,B 42577,A81000C,00300,0200,HE TRANSPORTATION 42577,A81000C,00300,0400,HEALTHEAST 42577,A81000C,00300,0600,TRANSPORTATION 42577,A81000C,00400,0100,B 42577,A81000C,00400,0200,ST JOSEPHS HOSPITAL 42577,A81000C,00400,0400,HEALTHEAST 42577,A81000C,00400,0600,HOSPITAL 42577,A81000C,00500,0100,B 42577,A81000C,00500,0200,HEALTHEAST HOME CARE 42577,A81000C,00500,0400,HEALTHEAST 42577,A81000C,00500,0600,HOME CARE 42577,A81000C,00600,0100,B 42577,A81000C,00600,0200,MED HOME 42577,A81000C,00600,0400,HEALTHEAST 42577,A81000C,00600,0600,MEDICAL EQUIPMENT 42577,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42577,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42577,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42577,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42577,B100000,00000,0650,00003RESIDENT DAYS :LAUNDRY & LINEN SER 42577,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42577,B100000,00000,0800,00003MEALS SERVED :DIETARY 42577,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42577,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42577,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42577,S000000,00100,0200,01/26/2001 42577,S200000,00100,0100,514 HUMBOLT AVE 42577,S200000,00200,0100,ST. PAUL 42577,S200000,00200,0200,MN 42577,S200000,00200,0300,55107- 42577,S200000,00300,0100,RAMSEY 42577,S200000,00300,0200,5120 42577,S200000,00300,0300,U 42577,S200000,00400,0100,HEALTHEAST RESIDENCE ON HUMBOLT 42577,S200000,00400,0200,245479 42577,S200000,00400,0300,05/01/1987 42577,S200000,00400,0500,P 42577,S200000,01004,0500,O 42577,S200000,01600,0100,Y 42580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42580,A000000,00300,0000,00300EMPLOYEE BENEFITS 42580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42580,A000000,00700,0000,00700HOUSEKEEPING 42580,A000000,00800,0000,00800DIETARY 42580,A000000,00900,0000,00900NURSING ADMINISTRATION 42580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42580,A000000,01300,0000,01300SOCIAL SERVICE 42580,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42580,A000000,01600,0000,01600SKILLED NURSING FACILITY 42580,A000000,02100,0000,02100RADIOLOGY 42580,A000000,02200,0000,02200LABORATORY 42580,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42580,A000000,02500,0000,02500PHYSICAL THERAPY 42580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42580,A000000,02700,0000,02700SPEECH PATHOLOGY 42580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42580,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42580,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42580,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42580,A000000,06151,0000,06301APARTMENTS - HEATHER HAUS 42580,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42580,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42580,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42580,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42580,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42580,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42580,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42580,B100000,00000,0800,00001MEALS SERVED :DIETARY 42580,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42580,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42580,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42580,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 42580,S000000,00100,0200,02/17/2000 42580,S200000,00100,0300,341 42580,S200000,00200,0100,BLOOMING PRAIRIE 42580,S200000,00200,0200,MN 42580,S200000,00200,0300,55917- 42580,S200000,00300,0100,STEELE 42580,S200000,00400,0100,PRAIRIE MANOR INC 42580,S200000,00400,0200,245482 42580,S200000,00400,0300,05/01/1987 42580,S200000,00400,0500,P 42580,S200000,01500,0100,Y 42580,S200000,02800,0100,Y 42580,S700003,00000,0100,1 42585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42585,A000000,00300,0000,00300EMPLOYEE BENEFITS 42585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42585,A000000,00700,0000,00700HOUSEKEEPING 42585,A000000,00800,0000,00800DIETARY 42585,A000000,00900,0000,00900NURSING ADMINISTRATION 42585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42585,A000000,01100,0000,01100PHARMACY 42585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42585,A000000,01300,0000,01300SOCIAL SERVICE 42585,A000000,01350,0000,01500OTHER GENERAL SERVICES 42585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42585,A000000,01600,0000,01600SKILLED NURSING FACILITY 42585,A000000,01800,0000,01800NURSING FACILITY 42585,A000000,01900,0000,01900OTHER LONG TERM CARE 42585,A000000,02100,0000,02100RADIOLOGY 42585,A000000,02200,0000,02200LABORATORY 42585,A000000,02300,0000,02300INTRAVENOUS THERAPY 42585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42585,A000000,02500,0000,02500PHYSICAL THERAPY 42585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42585,A000000,02700,0000,02700SPEECH PATHOLOGY 42585,A000000,02800,0000,02800ELECTROCARDIOLOGY 42585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42585,A000000,03200,0000,03200SUPPORT SURFACES 42585,A000000,03400,0000,03400CLINIC 42585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42585,A000000,03500,0000,03500RURAL HEALTH CLINIC 42585,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42585,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42585,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42585,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42585,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42585,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42585,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42585,A000000,04400,0000,04400DME RENTED - HHA 42585,A000000,04500,0000,04500DME SOLD - HHA 42585,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42585,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42585,A000000,04800,0000,04800AMBULANCE 42585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42585,A000000,05000,0000,05000CORF 42585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42585,A000000,05300,0000,05300INTEREST EXPENSE 42585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42585,A000000,05500,0000,05500HOSPICE 42585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42585,A000000,06100,0000,06100NONPAID WORKERS 42585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42585,A000000,06200,0000,06200PATIENTS LAUNDRY 42585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42585,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42585,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42585,B100000,00000,0800,00000MEALS SERVED :DIETARY 42585,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42585,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42585,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42585,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42585,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42585,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42585,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42585,S000000,00100,0200,06/30/1999 42585,S200000,00100,0100,7700 GRAND AVENUE 42585,S200000,00200,0100,DULUTH 42585,S200000,00200,0200,MN 42585,S200000,00200,0300,55807- 42585,S200000,00300,0100,ST. LOUIS 42585,S200000,00400,0100,ARI INC. DBA: LAKE HAVEN MANOR 42585,S200000,00400,0200,245483 42585,S200000,00400,0300,05/01/1987 42585,S200000,00400,0500,P 42585,S200000,01500,0100,Y 42585,S700003,00000,0100,1 42586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42586,A000000,00300,0000,00300EMPLOYEE BENEFITS 42586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42586,A000000,00700,0000,00700HOUSEKEEPING 42586,A000000,00800,0000,00800DIETARY 42586,A000000,00900,0000,00900NURSING ADMINISTRATION 42586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42586,A000000,01100,0000,01100PHARMACY 42586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42586,A000000,01300,0000,01300SOCIAL SERVICE 42586,A000000,01350,0000,01500OTHER GENERAL SERVICES 42586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42586,A000000,01600,0000,01600SKILLED NURSING FACILITY 42586,A000000,01800,0000,01800NURSING FACILITY 42586,A000000,01900,0000,01900OTHER LONG TERM CARE 42586,A000000,02100,0000,02100RADIOLOGY 42586,A000000,02200,0000,02200LABORATORY 42586,A000000,02300,0000,02300INTRAVENOUS THERAPY 42586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42586,A000000,02500,0000,02500PHYSICAL THERAPY 42586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42586,A000000,02700,0000,02700SPEECH PATHOLOGY 42586,A000000,02800,0000,02800ELECTROCARDIOLOGY 42586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42586,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42586,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42586,A000000,03200,0000,03200SUPPORT SURFACES 42586,A000000,03400,0000,03400CLINIC 42586,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42586,A000000,03500,0000,03500RURAL HEALTH CLINIC 42586,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42586,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42586,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42586,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42586,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42586,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42586,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42586,A000000,04400,0000,04400DME RENTED - HHA 42586,A000000,04500,0000,04500DME SOLD - HHA 42586,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42586,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42586,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42586,A000000,04800,0000,04800AMBULANCE 42586,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42586,A000000,05000,0000,05000CORF 42586,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42586,A000000,05300,0000,05300INTEREST EXPENSE 42586,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42586,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42586,A000000,05500,0000,05500HOSPICE 42586,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42586,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42586,A000000,06100,0000,06100NONPAID WORKERS 42586,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42586,A000000,06200,0000,06200PATIENTS LAUNDRY 42586,A81000A,00100,0100,Y 42586,A81000B,00100,0300,CENTRAL OFFICE-BHD-MGMT FEES 42586,A81000B,00200,0300,CENTRAL OFFICE-BHD-MGMT FEES 42586,A81000B,00300,0300,MOVABLE EQUIPMENT 42586,A81000B,00400,0300,NURSE CONSULTING 42586,A81000B,00500,0300,AMINISTRATOR SAL/TAXES/BENEFITS 42586,A81000B,00600,0300,COMPUTER USER FEES 42586,A81000B,00700,0300,CENTRAL OFFICE-BHS-MGMT FEES 42586,A81000B,00800,0300,CENTRAL OFFICE-BHS-MGMT FEES 42586,A81000C,00100,0100,G 42586,A81000C,00100,0200,BENEDICTINE HEALTH DIMENS 42586,A81000C,00100,0400,BENEDICTINE HEALTH SYSTMS 42586,A81000C,00100,0600,MANAGEMENT SERVICES 42586,A81000C,00200,0100,G 42586,A81000C,00200,0200,BENEDICTINE HEALTH SYSTMS 42586,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 42586,A81000C,00200,0600,MANAGEMENT SERVICES 42586,A81000C,03100,0000,SEE SCHEDULE 1 42586,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42586,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42586,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42586,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42586,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42586,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42586,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42586,B100000,00000,0800,00000MEALS SERVED :DIETARY 42586,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42586,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42586,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42586,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42586,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42586,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42586,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42586,S000000,00100,0200,12/30/1999 42586,S200000,00100,0100,7700 GRAND AVENUE 42586,S200000,00200,0100,DULUTH 42586,S200000,00200,0200,MN 42586,S200000,00200,0300,55807- 42586,S200000,00300,0100,ST. LOUIS 42586,S200000,00400,0100,BCC DBA: LAKE HAVEN MANOR 42586,S200000,00400,0200,245483 42586,S200000,00400,0300,05/01/1987 42586,S200000,00400,0500,P 42586,S200000,01004,0500,O 42586,S200000,01500,0100,Y 42590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42590,A000000,00101,0000,00101CAP REL CSTS-#1 SNF 42590,A000000,00102,0000,00102CAP REL CSTS-#2 SCU 42590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42590,A000000,00300,0000,00300EMPLOYEE BENEFITS 42590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42590,A000000,00700,0000,00700HOUSEKEEPING 42590,A000000,00800,0000,00800DIETARY 42590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42590,A000000,01300,0000,01300SOCIAL SERVICE 42590,A000000,01600,0000,01600SKILLED NURSING FACILITY 42590,A000000,01800,0000,01800NURSING FACILITY 42590,A000000,02200,0000,02200LABORATORY 42590,A000000,02500,0000,02500PHYSICAL THERAPY 42590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42590,A000000,05300,0000,05300INTEREST EXPENSE 42590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42590,A000000,05901,0000,05901GUEST MEALS 42590,A000000,05902,0000,05902ASSISTED LIVING 42590,A000000,06200,0000,06200PATIENTS LAUNDRY 42590,A81000A,00100,0100,Y 42590,A81000B,00100,0300,EMPLOYEE BENEFITS 42590,A81000B,00200,0300,PAST. CARE SR SALARIES 42590,A81000B,00300,0300,MAINTENANCE 42590,A81000C,00100,0100,G 42590,A81000C,00100,0200,SISTERS OF ST BENEDICT 42590,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42590,B100000,00000,0101,00000SQUARE FEET :CAP REL CSTS-#1 SNF 42590,B100000,00000,0102,00000SQUARE FEET :CAP REL CSTS-#2 SCU 42590,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 42590,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42590,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42590,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42590,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42590,B100000,00000,0800,00000MEALS SERVED :DIETARY 42590,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42590,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42590,E10A180,00501,0100,05/02/2000 42590,S000000,00100,0200,11/12/1999 42590,S200000,00100,0100,516 WALSH STREET 42590,S200000,00200,0100,CROOKSTON 42590,S200000,00200,0200,MN 42590,S200000,00200,0300,56716-2750 42590,S200000,00300,0100,POLK 42590,S200000,00300,0200,2985 42590,S200000,00300,0300,U 42590,S200000,00400,0100,VILLA ST. VINCENT 42590,S200000,00400,0200,245484 42590,S200000,00400,0300,06/01/1987 42590,S200000,00400,0500,P 42590,S200000,01600,0100,Y 42590,S200000,02800,0100,Y 42592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42592,A000000,00101,0000,00101CAP REL CSTS-#1 SNF 42592,A000000,00102,0000,00102CAP REL CSTS-#2 SCU 42592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42592,A000000,00300,0000,00300EMPLOYEE BENEFITS 42592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42592,A000000,00700,0000,00700HOUSEKEEPING 42592,A000000,00800,0000,00800DIETARY 42592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42592,A000000,01300,0000,01300SOCIAL SERVICE 42592,A000000,01600,0000,01600SKILLED NURSING FACILITY 42592,A000000,01800,0000,01800NURSING FACILITY 42592,A000000,02200,0000,02200LABORATORY 42592,A000000,02500,0000,02500PHYSICAL THERAPY 42592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42592,A000000,05300,0000,05300INTEREST EXPENSE 42592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42592,A000000,05901,0000,05901GUEST MEALS 42592,A000000,05902,0000,05902ASSISTED LIVING 42592,A000000,06200,0000,06200PATIENTS LAUNDRY 42592,A81000A,00100,0100,Y 42592,A81000B,00100,0300,EMPLOYEE BENEFITS 42592,A81000B,00200,0300,PAST. CARE SR SALARIES 42592,A81000B,00300,0300,MAINTENANCE 42592,A81000C,00100,0100,G 42592,A81000C,00100,0200,SISTERS OF ST BENEDICT 42592,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42592,B100000,00000,0101,00000SQUARE FEET :CAP REL CSTS-#1 SNF 42592,B100000,00000,0102,00000SQUARE FEET :CAP REL CSTS-#2 SCU 42592,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 42592,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42592,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42592,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42592,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42592,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42592,B100000,00000,0800,00000MEALS SERVED :DIETARY 42592,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42592,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42592,S000000,00100,0200,11/15/2000 42592,S200000,00100,0100,516 WALSH STREET 42592,S200000,00200,0100,CROOKSTON 42592,S200000,00200,0200,MN 42592,S200000,00200,0300,56716-2750 42592,S200000,00300,0100,POLK 42592,S200000,00300,0200,2985 42592,S200000,00300,0300,U 42592,S200000,00400,0100,VILLA ST. VINCENT 42592,S200000,00400,0200,245484 42592,S200000,00400,0300,06/01/1987 42592,S200000,00400,0500,P 42592,S200000,01600,0100,Y 42592,S200000,02800,0100,Y 42595,S000000,00100,0200,06/05/2000 42601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42601,A000000,00300,0000,00300EMPLOYEE BENEFITS 42601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42601,A000000,00700,0000,00700HOUSEKEEPING 42601,A000000,00800,0000,00800DIETARY 42601,A000000,00900,0000,00900NURSING ADMINISTRATION 42601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42601,A000000,01100,0000,01100PHARMACY 42601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42601,A000000,01300,0000,01300SOCIAL SERVICE 42601,A000000,01350,0000,01500OTHER GENERAL SERVICES 42601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42601,A000000,01600,0000,01600SKILLED NURSING FACILITY 42601,A000000,01800,0000,01800NURSING FACILITY 42601,A000000,01810,0000,01810ICF/MR 42601,A000000,01900,0000,01900OTHER LONG TERM CARE 42601,A000000,02100,0000,02100RADIOLOGY 42601,A000000,02200,0000,02200LABORATORY 42601,A000000,02300,0000,02300INTRAVENOUS THERAPY 42601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42601,A000000,02500,0000,02500PHYSICAL THERAPY 42601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42601,A000000,02700,0000,02700SPEECH PATHOLOGY 42601,A000000,02800,0000,02800ELECTROCARDIOLOGY 42601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42601,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42601,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42601,A000000,03200,0000,03200SUPPORT SURFACES 42601,A000000,03400,0000,03400CLINIC 42601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42601,A000000,03500,0000,03500RURAL HEALTH CLINIC 42601,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42601,A000000,04800,0000,04800AMBULANCE 42601,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42601,A000000,05000,0000,05000CORF 42601,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42601,A000000,05300,0000,05300INTEREST EXPENSE 42601,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42601,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42601,A000000,05500,0000,05500HOSPICE 42601,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42601,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42601,A000000,06100,0000,06100NONPAID WORKERS 42601,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42601,A000000,06200,0000,06200PATIENTS LAUNDRY 42601,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42601,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42601,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42601,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42601,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42601,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42601,B100000,00000,0750,00000SQ FEET HSKPING :HOUSEKEEPING 42601,B100000,00000,0800,00000MEALS SERVED :DIETARY 42601,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42601,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 42601,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42601,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42601,E10A180,00501,0300,04/27/2000 42601,E10A180,00550,0100,08/07/2001 42601,E10A180,00550,0300,08/07/2001 42601,S000000,00100,0200,02/28/2000 42601,S200000,00100,0100,1314 EIGHTH NORTH STREET 42601,S200000,00200,0100,NEW ULM 42601,S200000,00200,0200,MN 42601,S200000,00200,0300,56073- 42601,S200000,00300,0100,BROWN 42601,S200000,00300,0200,24 42601,S200000,00300,0300,R 42601,S200000,00400,0100,HIGHLAND MANOR INC. 42601,S200000,00400,0200,245490 42601,S200000,00400,0300,08/01/1987 42601,S200000,00400,0500,P 42601,S200000,01500,0100,Y 42607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42607,A000000,00300,0000,00300EMPLOYEE BENEFITS 42607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42607,A000000,00700,0000,00700HOUSEKEEPING 42607,A000000,00800,0000,00800DIETARY 42607,A000000,00900,0000,00900NURSING ADMINISTRATION 42607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42607,A000000,01100,0000,01100PHARMACY 42607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42607,A000000,01300,0000,01300SOCIAL SERVICE 42607,A000000,01350,0000,01500OTHER GENERAL SERVICES 42607,A000000,01351,0000,01301OTHER GENERAL SERVICE COST CENTERS 42607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42607,A000000,01600,0000,01600SKILLED NURSING FACILITY 42607,A000000,01800,0000,01800NURSING FACILITY 42607,A000000,01900,0000,01900OTHER LONG TERM CARE 42607,A000000,02100,0000,02100RADIOLOGY 42607,A000000,02200,0000,02200LABORATORY 42607,A000000,02300,0000,02300INTRAVENOUS THERAPY 42607,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42607,A000000,02500,0000,02500PHYSICAL THERAPY 42607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42607,A000000,02700,0000,02700SPEECH PATHOLOGY 42607,A000000,02800,0000,02800ELECTROCARDIOLOGY 42607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42607,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42607,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42607,A000000,03200,0000,03200SUPPORT SURFACES 42607,A000000,03400,0000,03400CLINIC 42607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42607,A000000,03500,0000,03500RURAL HEALTH CLINIC 42607,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42607,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42607,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42607,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42607,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42607,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42607,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42607,A000000,04400,0000,04400DME RENTED - HHA 42607,A000000,04500,0000,04500DME SOLD - HHA 42607,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42607,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42607,A000000,04800,0000,04800AMBULANCE 42607,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42607,A000000,05000,0000,05000CORF 42607,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42607,A000000,05300,0000,05300INTEREST EXPENSE 42607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42607,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42607,A000000,05500,0000,05500HOSPICE 42607,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42607,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42607,A000000,06100,0000,06100NONPAID WORKERS 42607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42607,A000000,06200,0000,06200PATIENTS LAUNDRY 42607,A81000A,00100,0100,Y 42607,A81000B,00100,0300,CENTRAL OFFICE FEE 42607,A81000C,00100,0100,A 42607,A81000C,00100,0200,AUGUSTANA CARE SERVICES 42607,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42607,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42607,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42607,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42607,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42607,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42607,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42607,B100000,00000,0800,00000MEALS SERVED :DIETARY 42607,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42607,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42607,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42607,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42607,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42607,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 42607,B100000,00000,1351,00000TIME SPENT :OTHER GENERAL SERVICE 42607,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42607,E10A180,00550,0300,04/04/2000 42607,S000000,00100,0200,02/29/2000 42607,S200000,00100,0100,615 MINNETONKA MILLS ROAD 42607,S200000,00200,0100,HOPKINS 42607,S200000,00200,0200,MN 42607,S200000,00200,0300,55343- 42607,S200000,00300,0100,HENNEPIN 42607,S200000,00400,0100,CHAPEL VIEW CARE CENTER 42607,S200000,00400,0200,245493 42607,S200000,00400,0300,03/01/1975 42607,S200000,00400,0500,P 42607,S200000,01600,0100,Y 42613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42613,A000000,00300,0000,00300EMPLOYEE BENEFITS 42613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42613,A000000,00700,0000,00700HOUSEKEEPING 42613,A000000,00800,0000,00800DIETARY 42613,A000000,00900,0000,00900NURSING ADMINISTRATION 42613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42613,A000000,01100,0000,01100PHARMACY 42613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42613,A000000,01300,0000,01300SOCIAL SERVICE 42613,A000000,01350,0000,01500OTHER GENERAL SERVICES 42613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42613,A000000,01600,0000,01600SKILLED NURSING FACILITY 42613,A000000,01800,0000,01800NURSING FACILITY 42613,A000000,01810,0000,01801ICF/MR 42613,A000000,01900,0000,01900OTHER LONG TERM CARE 42613,A000000,02100,0000,02100RADIOLOGY 42613,A000000,02200,0000,02200LABORATORY 42613,A000000,02300,0000,02300INTRAVENOUS THERAPY 42613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42613,A000000,02500,0000,02500PHYSICAL THERAPY 42613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42613,A000000,02700,0000,02700SPEECH PATHOLOGY 42613,A000000,02800,0000,02800ELECTROCARDIOLOGY 42613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42613,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42613,A000000,03200,0000,03200SUPPORT SURFACES 42613,A000000,03400,0000,03400CLINIC 42613,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42613,A000000,03500,0000,03500RURAL HEALTH CLINIC 42613,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42613,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42613,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42613,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42613,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42613,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42613,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42613,A000000,04400,0000,04400DME RENTED - HHA 42613,A000000,04500,0000,04500DME SOLD - HHA 42613,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42613,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42613,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42613,A000000,04800,0000,04800AMBULANCE 42613,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42613,A000000,05000,0000,05000CORF 42613,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42613,A000000,05300,0000,05300INTEREST EXPENSE 42613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42613,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42613,A000000,05500,0000,05500HOSPICE 42613,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42613,A000000,05901,0000,05901CAPITAL CAMPAIGN 42613,A000000,05902,0000,05902MEALS ON WHEELS 42613,A000000,05903,0000,05903CALEY HOUSE 42613,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42613,A000000,06100,0000,06100NONPAID WORKERS 42613,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42613,A000000,06200,0000,06200PATIENTS LAUNDRY 42613,A81000A,00100,0100,Y 42613,A81000B,00100,0300,MANAGEMENT FEE 42613,A81000B,00200,0300,NURSING SUPPLIES AND OTHER 42613,A81000C,00100,0100,B 42613,A81000C,00100,0200,ELIM HOMES INC. 42613,A81000C,00100,0400,ELIM HOME - ADMIN 42613,A81000C,00100,0600,MANAGEMENT SERVICES 42613,A81000C,00200,0100,G 42613,A81000C,00200,0200,ELIM HOMES INC. 42613,A81000C,00200,0400,ELIM PREFERRED SERVICES 42613,A81000C,00200,0600,MEDICAL SUPPLIES 42613,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42613,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42613,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42613,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42613,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42613,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42613,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42613,B100000,00000,0800,00000MEALS SERVED :DIETARY 42613,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42613,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42613,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42613,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42613,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42613,B100000,00000,1350,00000RESIDENT DAYS :OTHER GENERAL SERVI 42613,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42613,E10A180,00550,0300,04/12/2000 42613,S000000,00100,0200,02/29/2000 42613,S200000,00100,0100,101 SOUTH 7TH AVENUE 42613,S200000,00200,0100,PRINCETON 42613,S200000,00200,0200,MN 42613,S200000,00200,0300,55371-1799 42613,S200000,00300,0100,MILLE LACS 42613,S200000,00400,0100,ELIM HOME - PRINCETON 42613,S200000,00400,0200,245494 42613,S200000,00400,0300,08/01/1987 42613,S200000,00400,0500,P 42613,S200000,01500,0100,Y 42621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42621,A000000,00300,0000,00300EMPLOYEE BENEFITS 42621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42621,A000000,00700,0000,00700HOUSEKEEPING 42621,A000000,00800,0000,00800DIETARY 42621,A000000,00900,0000,00900NURSING ADMINISTRATION 42621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42621,A000000,01100,0000,01100PHARMACY 42621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42621,A000000,01300,0000,01300SOCIAL SERVICE 42621,A000000,01350,0000,01500OTHER GENERAL SERVICES 42621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42621,A000000,01600,0000,01600SKILLED NURSING FACILITY 42621,A000000,01800,0000,01800NURSING FACILITY 42621,A000000,01900,0000,01900OTHER LONG TERM CARE 42621,A000000,02100,0000,02100RADIOLOGY 42621,A000000,02200,0000,02200LABORATORY 42621,A000000,02300,0000,02300INTRAVENOUS THERAPY 42621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42621,A000000,02500,0000,02500PHYSICAL THERAPY 42621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42621,A000000,02700,0000,02700SPEECH PATHOLOGY 42621,A000000,02800,0000,02800ELECTROCARDIOLOGY 42621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42621,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42621,A000000,03200,0000,03200SUPPORT SURFACES 42621,A000000,03400,0000,03400CLINIC 42621,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42621,A000000,03500,0000,03500RURAL HEALTH CLINIC 42621,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42621,A000000,04800,0000,04800AMBULANCE 42621,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42621,A000000,05000,0000,05000CORF 42621,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42621,A000000,05300,0000,05300INTEREST EXPENSE 42621,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42621,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42621,A000000,05500,0000,05500HOSPICE 42621,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42621,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42621,A000000,06100,0000,06100NONPAID WORKERS 42621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42621,A000000,06200,0000,06200PATIENTS LAUNDRY 42621,A81000A,00100,0100,Y 42621,A81000B,00100,0300,MANAGEMENT FEES - N.H. 42621,A81000C,00100,0100,A 42621,A81000C,00100,0200,STEVEN BUTALA 42621,A81000C,00100,0400,MISSION HEALTHCARE CORP. 42621,A81000C,00100,0600,MANAGEMENT COMPANY 42621,A81000C,00200,0100,A 42621,A81000C,00200,0200,PAUL CONTRIS 42621,A81000C,00200,0400,MISSION HEALTHCARE CORP. 42621,A81000C,00200,0600,MANAGEMENT COMPANY 42621,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42621,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42621,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42621,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42621,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42621,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42621,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42621,B100000,00000,0800,00000MEALS SERVED :DIETARY 42621,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42621,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42621,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42621,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42621,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42621,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 42621,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 42621,S000000,00100,0200,08/11/1999 42621,S200000,00100,0100,2801 POKEGAMA AVENUE NORTH 42621,S200000,00200,0100,GRAND RAPIDS 42621,S200000,00200,0200,MN 42621,S200000,00200,0300,55744- 42621,S200000,00300,0100,ITASCA 42621,S200000,00400,0100,LEISURE HILLS CARE CENTER 42621,S200000,00400,0200,245495 42621,S200000,00400,0300,08/01/1987 42621,S200000,00400,0500,P 42621,S200000,01005,0500,O 42621,S200000,01500,0100,Y 42621,S700003,00000,0100,1 42623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42623,A000000,00300,0000,00300EMPLOYEE BENEFITS 42623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42623,A000000,00700,0000,00700HOUSEKEEPING 42623,A000000,00800,0000,00800DIETARY 42623,A000000,00900,0000,00900NURSING ADMINISTRATION 42623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42623,A000000,01100,0000,01100PHARMACY 42623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42623,A000000,01300,0000,01300SOCIAL SERVICE 42623,A000000,01350,0000,01500OTHER GENERAL SERVICES 42623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42623,A000000,01600,0000,01600SKILLED NURSING FACILITY 42623,A000000,01800,0000,01800NURSING FACILITY 42623,A000000,01810,0000,01810ICF/MR 42623,A000000,01900,0000,01900OTHER LONG TERM CARE 42623,A000000,02100,0000,02100RADIOLOGY 42623,A000000,02200,0000,02200LABORATORY 42623,A000000,02300,0000,02300INTRAVENOUS THERAPY 42623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42623,A000000,02500,0000,02500PHYSICAL THERAPY 42623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42623,A000000,02700,0000,02700SPEECH PATHOLOGY 42623,A000000,02800,0000,02800ELECTROCARDIOLOGY 42623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42623,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42623,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42623,A000000,03200,0000,03200SUPPORT SURFACES 42623,A000000,03400,0000,03400CLINIC 42623,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42623,A000000,03500,0000,03500RURAL HEALTH CLINIC 42623,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42623,A000000,04800,0000,04800AMBULANCE 42623,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42623,A000000,05000,0000,05000CORF 42623,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42623,A000000,05300,0000,05300INTEREST EXPENSE 42623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42623,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42623,A000000,05500,0000,05500HOSPICE 42623,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42623,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42623,A000000,06100,0000,06100NONPAID WORKERS 42623,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42623,A000000,06200,0000,06200PATIENTS LAUNDRY 42623,A81000A,00100,0100,Y 42623,A81000B,00100,0300,MANAGEMENT FEES - H.O.H. 42623,A81000C,00100,0100,A 42623,A81000C,00100,0200,PAUL CONTRIS 42623,A81000C,00100,0400,MISSION HEALTHCARE CORP. 42623,A81000C,00100,0600,MANAGEMENT COMPANY 42623,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42623,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42623,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42623,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42623,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42623,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42623,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42623,B100000,00000,0800,00000MEALS SERVED :DIETARY 42623,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42623,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42623,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42623,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42623,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42623,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 42623,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42623,S000000,00100,0200,07/05/2000 42623,S200000,00100,0100,2801 HIGHWAY 169 SOUTH 42623,S200000,00200,0100,GRAND RAPIDS 42623,S200000,00200,0200,MN 42623,S200000,00200,0300,55744- 42623,S200000,00300,0100,ITASCA 42623,S200000,00400,0100,LEISURE HILLS CARE CENTER 42623,S200000,00400,0200,245495 42623,S200000,00400,0300,04/01/1998 42623,S200000,00400,0500,P 42623,S200000,01500,0100,Y 42628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42628,A000000,00300,0000,00300EMPLOYEE BENEFITS 42628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42628,A000000,00700,0000,00700HOUSEKEEPING 42628,A000000,00800,0000,00800DIETARY 42628,A000000,00900,0000,00900NURSING ADMINISTRATION 42628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42628,A000000,01100,0000,01100PHARMACY 42628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42628,A000000,01300,0000,01300SOCIAL SERVICE 42628,A000000,01350,0000,01500OTHER GENERAL SERVICES 42628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42628,A000000,01600,0000,01600SKILLED NURSING FACILITY 42628,A000000,01800,0000,01800NURSING FACILITY 42628,A000000,01810,0000,01810ICF/MR 42628,A000000,01900,0000,01900OTHER LONG TERM CARE 42628,A000000,02100,0000,02100RADIOLOGY 42628,A000000,02200,0000,02200LABORATORY 42628,A000000,02300,0000,02300INTRAVENOUS THERAPY 42628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42628,A000000,02500,0000,02500PHYSICAL THERAPY 42628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42628,A000000,02700,0000,02700SPEECH PATHOLOGY 42628,A000000,02800,0000,02800ELECTROCARDIOLOGY 42628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42628,A000000,03200,0000,03200SUPPORT SURFACES 42628,A000000,03400,0000,03400CLINIC 42628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42628,A000000,03500,0000,03500RURAL HEALTH CLINIC 42628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42628,A000000,04400,0000,04400DME RENTED - HHA 42628,A000000,04500,0000,04500DME SOLD - HHA 42628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42628,A000000,04800,0000,04800AMBULANCE 42628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42628,A000000,05000,0000,05000CORF 42628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42628,A000000,05300,0000,05300INTEREST EXPENSE 42628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42628,A000000,05500,0000,05500HOSPICE 42628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42628,A000000,06100,0000,06100NONPAID WORKERS 42628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42628,A000000,06151,0000,06301MADISON AVENUE APARTMENTS 42628,A000000,06152,0000,06302MEALS ON WHEELS 42628,A000000,06200,0000,06200PATIENTS LAUNDRY 42628,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42628,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42628,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42628,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42628,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42628,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 42628,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42628,B100000,00000,0800,00002MEALS SERVED :DIETARY 42628,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42628,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42628,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42628,H510100,00000,0000,9924 42628,H510100,02400,0000,9924 42628,H710000,00501,0100,07/06/2000 42628,H710000,00501,0300,07/06/2000 42628,S000000,00100,0200,06/05/2000 42628,S200000,00100,0100,700 NORTH MONROE STREET 42628,S200000,00100,0300,117 42628,S200000,00200,0100,MINNEOTA 42628,S200000,00200,0200,MN 42628,S200000,00200,0300,56264- 42628,S200000,00300,0100,LYON 42628,S200000,00300,0200,9924 42628,S200000,00300,0300,R 42628,S200000,00400,0100,MINNEOTA MANOR HEALTH CARE CENTER 42628,S200000,00400,0200,245496 42628,S200000,00400,0300,09/01/1987 42628,S200000,00400,0500,P 42628,S200000,00800,0200,247236 42628,S200000,00800,0300,09/03/1986 42628,S200000,00800,0500,P 42628,S200000,01500,0100,Y 42630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42630,A000000,00300,0000,00300EMPLOYEE BENEFITS 42630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42630,A000000,00700,0000,00700HOUSEKEEPING 42630,A000000,00800,0000,00800DIETARY 42630,A000000,00900,0000,00900NURSING ADMINISTRATION 42630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42630,A000000,01100,0000,01100PHARMACY 42630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42630,A000000,01300,0000,01300SOCIAL SERVICE 42630,A000000,01350,0000,01500OTHER GENERAL SERVICES 42630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42630,A000000,01600,0000,01600SKILLED NURSING FACILITY 42630,A000000,01800,0000,01800NURSING FACILITY 42630,A000000,01810,0000,01801ICF/MR 42630,A000000,01900,0000,01900OTHER LONG TERM CARE 42630,A000000,02100,0000,02100RADIOLOGY 42630,A000000,02200,0000,02200LABORATORY 42630,A000000,02300,0000,02300INTRAVENOUS THERAPY 42630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42630,A000000,02500,0000,02500PHYSICAL THERAPY 42630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42630,A000000,02700,0000,02700SPEECH PATHOLOGY 42630,A000000,02800,0000,02800ELECTROCARDIOLOGY 42630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42630,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42630,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42630,A000000,03200,0000,03200SUPPORT SURFACES 42630,A000000,03400,0000,03400CLINIC 42630,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42630,A000000,03500,0000,03500RURAL HEALTH CLINIC 42630,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42630,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42630,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42630,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42630,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42630,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42630,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42630,A000000,04400,0000,04400DME RENTED - HHA 42630,A000000,04500,0000,04500DME SOLD - HHA 42630,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42630,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42630,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42630,A000000,04800,0000,04800AMBULANCE 42630,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42630,A000000,05000,0000,05000CORF 42630,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42630,A000000,05300,0000,05300INTEREST EXPENSE 42630,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42630,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42630,A000000,05500,0000,05500HOSPICE 42630,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42630,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42630,A000000,06100,0000,06100NONPAID WORKERS 42630,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42630,A000000,06200,0000,06200PATIENTS LAUNDRY 42630,A81000A,00100,0100,Y 42630,A81000B,00100,0300,OFFICE SPACE RENT 42630,A81000C,00100,0100,G 42630,A81000C,00100,0200,BRYANT HOUSE-RENT OFFICE 42630,A81000C,00100,0400,HAVEN HOMES INC. 42630,A81000C,00100,0600,ASST. LIVING 42630,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42630,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42630,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42630,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42630,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42630,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42630,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42630,B100000,00000,0800,00000MEALS SERVED :DIETARY 42630,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42630,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42630,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42630,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42630,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42630,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42630,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42630,S000000,00100,0200,02/21/2000 42630,S200000,00100,0100,1520 WYMAN AVENUE 42630,S200000,00200,0100,MAPLE PLAIN 42630,S200000,00200,0200,MN 42630,S200000,00200,0300,55359- 42630,S200000,00300,0100,HENNEPIN 42630,S200000,00400,0100,HAVEN HOMES OF MAPLE PLAIN 42630,S200000,00400,0200,245497 42630,S200000,00400,0300,10/01/1997 42630,S200000,00400,0500,P 42630,S200000,01004,0500,O 42630,S200000,01500,0100,Y 42637,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42637,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42637,A000000,00300,0000,00300EMPLOYEE BENEFITS 42637,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42637,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42637,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42637,A000000,00700,0000,00700HOUSEKEEPING 42637,A000000,00800,0000,00800DIETARY 42637,A000000,00900,0000,00900NURSING ADMINISTRATION 42637,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42637,A000000,01100,0000,01100PHARMACY 42637,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42637,A000000,01300,0000,01300SOCIAL SERVICE 42637,A000000,01301,0000,01301CHAPLAIN 42637,A000000,01302,0000,01302ACTIVITIES 42637,A000000,01303,0000,01303SOCIAL SERVICE 42637,A000000,01350,0000,01500OTHER GENERAL SERVICES 42637,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42637,A000000,01600,0000,01600SKILLED NURSING FACILITY 42637,A000000,01800,0000,01800NURSING FACILITY 42637,A000000,01810,0000,01801ICF/MR 42637,A000000,01900,0000,01900OTHER LONG TERM CARE 42637,A000000,02100,0000,02100RADIOLOGY 42637,A000000,02200,0000,02200LABORATORY 42637,A000000,02300,0000,02300INTRAVENOUS THERAPY 42637,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42637,A000000,02500,0000,02500PHYSICAL THERAPY 42637,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42637,A000000,02700,0000,02700SPEECH PATHOLOGY 42637,A000000,02800,0000,02800ELECTROCARDIOLOGY 42637,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42637,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42637,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42637,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42637,A000000,03200,0000,03200SUPPORT SURFACES 42637,A000000,03400,0000,03400CLINIC 42637,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42637,A000000,03500,0000,03500RURAL HEALTH CLINIC 42637,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42637,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42637,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42637,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42637,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42637,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42637,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42637,A000000,04400,0000,04400DME RENTED - HHA 42637,A000000,04500,0000,04500DME SOLD - HHA 42637,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42637,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42637,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42637,A000000,04800,0000,04800AMBULANCE 42637,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42637,A000000,05000,0000,05000CORF 42637,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42637,A000000,05300,0000,05300INTEREST EXPENSE 42637,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42637,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42637,A000000,05500,0000,05500HOSPICE 42637,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42637,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42637,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42637,A000000,06100,0000,06100NONPAID WORKERS 42637,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42637,A000000,06151,0000,06301ADULT DAY CARE 42637,A000000,06152,0000,06302LIFELINE 42637,A000000,06153,0000,06303APARTMENTS 42637,A000000,06154,0000,06304BOARD AND LODGING 42637,A000000,06200,0000,06200PATIENTS LAUNDRY 42637,A81000A,00100,0100,Y 42637,A81000B,00100,0300,HOME OFFICE COSTS 42637,A81000C,00100,0100,B 42637,A81000C,00100,0200,LUTHERAN HOME ASSOCIATION 42637,A81000C,00100,0400,HEALTH CARE SERVICES 42637,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 42637,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 42637,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 42637,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 42637,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 42637,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 42637,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 42637,B100000,00000,0800,00004MEALS SERVED :DIETARY 42637,B100000,00000,0950,00004PATIENT DAYS :NURSING ADMINISTRATI 42637,B100000,00000,1000,00004COSTED REQUIS. :CENTRAL SERVICES & 42637,B100000,00000,1100,00004COSTED REQUIS. :PHARMACY 42637,B100000,00000,1250,00004PATIENT DAYS :MEDICAL RECORDS & LI 42637,B100000,00000,1330,00004PATIENT DAYS :SOCIAL SERVICE 42637,B100000,00000,1331,00004PATIENT DAYS :CHAPLAIN 42637,B100000,00000,1332,00004PATIENT DAYS :ACTIVITIES 42637,B100000,00000,1333,00004PATIENT DAYS :SOCIAL SERVICE 42637,B100000,00000,1350,00004NO STATISTICS :OTHER GENERAL SERVI 42637,B100000,00000,1400,00004ASSIGNED TIME :INTERNS & RESIDENTS 42637,E10A180,00550,0300,04/26/2000 42637,H510100,00000,0000,3870 42637,H510100,02400,0000,3870 42637,H710000,00301,0100,01/18/2000 42637,H710000,00301,0300,01/18/2000 42637,H710000,00501,0100,04/26/2000 42637,H710000,00501,0300,04/26/2000 42637,S000000,00100,0200,02/29/2000 42637,S200000,00100,0100,425 NORTH BADGER STREET 42637,S200000,00200,0100,CALEDONIA 42637,S200000,00200,0200,WI 42637,S200000,00200,0300,55921- 42637,S200000,00300,0100,HOUSTON 42637,S200000,00400,0100,THE LUTHERAN HOME-CALEDONIA 42637,S200000,00400,0200,245499 42637,S200000,00400,0300,10/01/1987 42637,S200000,00400,0500,P 42637,S200000,00800,0200,247295 42637,S200000,00800,0300,11/22/1993 42637,S200000,00800,0500,P 42637,S200000,01500,0100,Y 42637,S200000,02800,0100,Y 42643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42643,A000000,00300,0000,00300EMPLOYEE BENEFITS 42643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42643,A000000,00700,0000,00700HOUSEKEEPING 42643,A000000,00800,0000,00800DIETARY 42643,A000000,00900,0000,00900NURSING ADMINISTRATION 42643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42643,A000000,01100,0000,01100PHARMACY 42643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42643,A000000,01300,0000,01300SOCIAL SERVICE 42643,A000000,01350,0000,01500OTHER GENERAL SERVICES 42643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42643,A000000,01600,0000,01600SKILLED NURSING FACILITY 42643,A000000,01800,0000,01800NURSING FACILITY 42643,A000000,01900,0000,01900OTHER LONG TERM CARE 42643,A000000,02100,0000,02100RADIOLOGY 42643,A000000,02200,0000,02200LABORATORY 42643,A000000,02300,0000,02300INTRAVENOUS THERAPY 42643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42643,A000000,02500,0000,02500PHYSICAL THERAPY 42643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42643,A000000,02700,0000,02700SPEECH PATHOLOGY 42643,A000000,02800,0000,02800ELECTROCARDIOLOGY 42643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42643,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42643,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42643,A000000,03200,0000,03200SUPPORT SURFACES 42643,A000000,03400,0000,03400CLINIC 42643,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42643,A000000,03500,0000,03500RURAL HEALTH CLINIC 42643,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42643,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42643,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42643,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42643,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42643,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42643,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42643,A000000,04400,0000,04400DME RENTED - HHA 42643,A000000,04500,0000,04500DME SOLD - HHA 42643,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42643,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42643,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42643,A000000,04800,0000,04800AMBULANCE 42643,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42643,A000000,05000,0000,05000CORF 42643,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42643,A000000,05300,0000,05300INTEREST EXPENSE 42643,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42643,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42643,A000000,05500,0000,05500HOSPICE 42643,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42643,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42643,A000000,06100,0000,06100NONPAID WORKERS 42643,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42643,A000000,06200,0000,06200PATIENTS LAUNDRY 42643,A81000A,00100,0100,Y 42643,A81000B,00100,0300,CORPORATE COSTS 42643,A81000C,00100,0100,E 42643,A81000C,00100,0200,LONG TERM CARE FOUNDATION 42643,A81000C,00100,0400,LONG TERM CARE FOUNDATION 42643,A81000C,00100,0600,CORPORATE OFFICE 42643,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42643,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42643,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42643,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42643,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42643,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42643,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42643,B100000,00000,0800,00000MEALS SERVED :DIETARY 42643,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42643,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42643,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42643,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42643,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42643,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42643,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42643,E10A180,00501,0300,04/07/2000 42643,S000000,00100,0200,02/18/2000 42643,S200000,00100,0100,1920 LASALLE AVENUE 42643,S200000,00200,0100,MINNEAPOLIS 42643,S200000,00200,0200,MN 42643,S200000,00200,0300,55403- 42643,S200000,00300,0100,HENNEPIN 42643,S200000,00400,0100,LASALLE CONVALESCENT HOME 42643,S200000,00400,0200,245504 42643,S200000,00400,0300,12/01/1987 42643,S200000,00400,0500,P 42643,S200000,01500,0100,Y 42649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42649,A000000,00300,0000,00300EMPLOYEE BENEFITS 42649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42649,A000000,00700,0000,00700HOUSEKEEPING 42649,A000000,00800,0000,00800DIETARY 42649,A000000,00900,0000,00900NURSING ADMINISTRATION 42649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42649,A000000,01100,0000,01100PHARMACY 42649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42649,A000000,01300,0000,01300SOCIAL SERVICE 42649,A000000,01350,0000,01500OTHER GENERAL SERVICES 42649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42649,A000000,01600,0000,01600SKILLED NURSING FACILITY 42649,A000000,01800,0000,01800NURSING FACILITY 42649,A000000,01900,0000,01900OTHER LONG TERM CARE 42649,A000000,02100,0000,02100RADIOLOGY 42649,A000000,02200,0000,02200LABORATORY 42649,A000000,02300,0000,02300INTRAVENOUS THERAPY 42649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42649,A000000,02500,0000,02500PHYSICAL THERAPY 42649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42649,A000000,02700,0000,02700SPEECH PATHOLOGY 42649,A000000,02800,0000,02800ELECTROCARDIOLOGY 42649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42649,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42649,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42649,A000000,03200,0000,03200SUPPORT SURFACES 42649,A000000,03400,0000,03400CLINIC 42649,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42649,A000000,03500,0000,03500RURAL HEALTH CLINIC 42649,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42649,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42649,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42649,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42649,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42649,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42649,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42649,A000000,04400,0000,04400DME RENTED - HHA 42649,A000000,04500,0000,04500DME SOLD - HHA 42649,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42649,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42649,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42649,A000000,04800,0000,04800AMBULANCE 42649,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42649,A000000,05000,0000,05000CORF 42649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42649,A000000,05300,0000,05300INTEREST EXPENSE 42649,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42649,A000000,05500,0000,05500HOSPICE 42649,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42649,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42649,A000000,06100,0000,06100NONPAID WORKERS 42649,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42649,A000000,06200,0000,06200PATIENTS LAUNDRY 42649,A81000A,00100,0100,Y 42649,A81000B,00100,0300,CENTRAL OFFICE COSTS 42649,A81000B,00200,0300,CENTRAL OFFICE COSTS 42649,A81000B,00300,0300,CENTRAL OFFICE COSTS 42649,A81000B,00400,0300,CENTRAL OFFICE COSTS 42649,A81000B,00500,0300,CENTRAL OFFICE COSTS 42649,A81000B,00600,0300,CENTRAL OFFICE COSTS 42649,A81000B,00700,0300,CENTRAL OFFICE COSTS 42649,A81000C,00100,0100,G 42649,A81000C,00100,0200,THE THRO COMPANY 42649,A81000C,00100,0400,THE THRO COMPANY 42649,A81000C,00100,0600,CENTRAL OFFICE 42649,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42649,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42649,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42649,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42649,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42649,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42649,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42649,B100000,00000,0800,00000MEALS SERVED :DIETARY 42649,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 42649,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42649,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42649,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42649,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42649,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42649,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42649,E10A180,00501,0300,09/14/1998 42649,S000000,00100,0200,06/30/1999 42649,S200000,00100,0100,202 LACLAIRE STREET 42649,S200000,00200,0100,LAKE CRYSTAL 42649,S200000,00200,0200,MN 42649,S200000,00200,0300,56055- 42649,S200000,00300,0100,BLUE EARTH 42649,S200000,00400,0100,LAKE CRYSTAL HEALTH CARE CENTER 42649,S200000,00400,0200,245505 42649,S200000,00400,0300,12/01/1987 42649,S200000,00400,0500,P 42649,S200000,01500,0100,Y 42649,S700003,00000,0100,1 42650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42650,A000000,00300,0000,00300EMPLOYEE BENEFITS 42650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42650,A000000,00700,0000,00700HOUSEKEEPING 42650,A000000,00800,0000,00800DIETARY 42650,A000000,00900,0000,00900NURSING ADMINISTRATION 42650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42650,A000000,01100,0000,01100PHARMACY 42650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42650,A000000,01300,0000,01300SOCIAL SERVICE 42650,A000000,01350,0000,01500OTHER GENERAL SERVICES 42650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42650,A000000,01600,0000,01600SKILLED NURSING FACILITY 42650,A000000,01800,0000,01800NURSING FACILITY 42650,A000000,01810,0000,01810ICF/MR 42650,A000000,01900,0000,01900OTHER LONG TERM CARE 42650,A000000,02100,0000,02100RADIOLOGY 42650,A000000,02200,0000,02200LABORATORY 42650,A000000,02300,0000,02300INTRAVENOUS THERAPY 42650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42650,A000000,02500,0000,02500PHYSICAL THERAPY 42650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42650,A000000,02700,0000,02700SPEECH PATHOLOGY 42650,A000000,02800,0000,02800ELECTROCARDIOLOGY 42650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42650,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42650,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42650,A000000,03200,0000,03200SUPPORT SURFACES 42650,A000000,03400,0000,03400CLINIC 42650,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42650,A000000,03500,0000,03500RURAL HEALTH CLINIC 42650,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42650,A000000,04800,0000,04800AMBULANCE 42650,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42650,A000000,05000,0000,05000CORF 42650,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42650,A000000,05300,0000,05300INTEREST EXPENSE 42650,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42650,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42650,A000000,05500,0000,05500HOSPICE 42650,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42650,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42650,A000000,06100,0000,06100NONPAID WORKERS 42650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42650,A000000,06200,0000,06200PATIENTS LAUNDRY 42650,A81000A,00100,0100,Y 42650,A81000B,00100,0300,CENTRAL OFFICE COSTS 42650,A81000B,00200,0300,CENTRAL OFFICE COSTS 42650,A81000B,00300,0300,CENTRAL OFFICE COSTS 42650,A81000B,00400,0300,CENTRAL OFFICE COSTS 42650,A81000B,00500,0300,CENTRAL OFFICE COSTS 42650,A81000B,00600,0300,CENTRAL OFFICE COSTS 42650,A81000B,00700,0300,CENTRAL OFFICE COSTS 42650,A81000C,00100,0100,G 42650,A81000C,00100,0200,THE THRO COMPANY 42650,A81000C,00100,0400,THE THRO COMPANY 42650,A81000C,00100,0600,CENTRAL OFFICE COSTS 42650,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42650,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42650,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42650,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42650,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42650,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42650,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42650,B100000,00000,0800,00000MEALS SERVED :DIETARY 42650,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 42650,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42650,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42650,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42650,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42650,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42650,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42650,S000000,00100,0200,06/02/2000 42650,S200000,00100,0100,202 LACLARIE STREET 42650,S200000,00200,0100,LAKE CRYSTAL 42650,S200000,00200,0200,MN 42650,S200000,00200,0300,56055- 42650,S200000,00300,0100,BLUE EARTH 42650,S200000,00400,0100,LAKE CRYSTAL HEALTH CARE CENTER 42650,S200000,00400,0200,245505 42650,S200000,00400,0300,12/01/1987 42650,S200000,00400,0500,P 42650,S200000,01500,0100,Y 42654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42654,A000000,00300,0000,00300EMPLOYEE BENEFITS 42654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42654,A000000,00700,0000,00700HOUSEKEEPING 42654,A000000,00800,0000,00800DIETARY 42654,A000000,00900,0000,00900NURSING ADMINISTRATION 42654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42654,A000000,01300,0000,01300SOCIAL SERVICE 42654,A000000,01301,0000,01301ACTIVITIES 42654,A000000,01600,0000,01600SKILLED NURSING FACILITY 42654,A000000,02100,0000,02100RADIOLOGY 42654,A000000,02200,0000,02200LABORATORY 42654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42654,A000000,02500,0000,02500PHYSICAL THERAPY 42654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42654,A000000,02700,0000,02700SPEECH PATHOLOGY 42654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42654,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42654,A000000,06151,0000,06301CARE CONNECTION MEALS 42654,A81000A,00100,0100,Y 42654,A81000B,00100,0300,CENTRAL OFFICE COSTS 42654,A81000C,00100,0100,G 42654,A81000C,00100,0400,SAMARITAN BETHANY INC 42654,A81000C,00100,0600,CENTRAL OFFICE 42654,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42654,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42654,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42654,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42654,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42654,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42654,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42654,B100000,00000,0800,00001MEALS SERVED :DIETARY 42654,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42654,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42654,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42654,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42654,S000000,00100,0200,03/29/2000 42654,S200000,00100,0300,5947 42654,S200000,00200,0100,ROCHESTER 42654,S200000,00200,0200,MN 42654,S200000,00200,0300,55903- 42654,S200000,00300,0100,OLMSTEAD 42654,S200000,00400,0100,SAMARITAN BETHANY INC HEIGHTS 42654,S200000,00400,0200,245506 42654,S200000,00400,0300,01/01/1988 42654,S200000,00400,0500,P 42654,S200000,01500,0100,Y 42660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42660,A000000,00300,0000,00300EMPLOYEE BENEFITS 42660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42660,A000000,00700,0000,00700HOUSEKEEPING 42660,A000000,00800,0000,00800DIETARY 42660,A000000,00900,0000,00900NURSING ADMINISTRATION 42660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42660,A000000,01100,0000,01100PHARMACY 42660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42660,A000000,01300,0000,01300SOCIAL SERVICE 42660,A000000,01350,0000,01500OTHER GENERAL SERVICES 42660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42660,A000000,01600,0000,01600SKILLED NURSING FACILITY 42660,A000000,01800,0000,01800NURSING FACILITY 42660,A000000,01900,0000,01900OTHER LONG TERM CARE 42660,A000000,02100,0000,02100RADIOLOGY 42660,A000000,02200,0000,02200LABORATORY 42660,A000000,02300,0000,02300INTRAVENOUS THERAPY 42660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42660,A000000,02500,0000,02500PHYSICAL THERAPY 42660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42660,A000000,02700,0000,02700SPEECH PATHOLOGY 42660,A000000,02800,0000,02800ELECTROCARDIOLOGY 42660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42660,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42660,A000000,03200,0000,03200SUPPORT SURFACES 42660,A000000,03400,0000,03400CLINIC 42660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42660,A000000,03500,0000,03500RURAL HEALTH CLINIC 42660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42660,A000000,04800,0000,04800AMBULANCE 42660,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42660,A000000,05000,0000,05000CORF 42660,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42660,A000000,05300,0000,05300INTEREST EXPENSE 42660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42660,A000000,05500,0000,05500HOSPICE 42660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42660,A000000,06100,0000,06100NONPAID WORKERS 42660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42660,A000000,06200,0000,06200PATIENTS LAUNDRY 42660,A81000A,00100,0100,Y 42660,A81000B,00100,0300,CENTRAL OFFICE COSTS 42660,A81000B,00200,0300,CENTRAL OFFICE COSTS 42660,A81000B,00300,0300,CENTRAL OFFICE COSTS 42660,A81000B,00400,0300,CENTRAL OFFICE COSTS 42660,A81000B,00500,0300,CENTRAL OFFICE COSTS 42660,A81000B,00600,0300,CENTRAL OFFICE COSTS 42660,A81000B,00700,0300,CENTRAL OFFICE COSTS 42660,A81000C,00100,0100,G 42660,A81000C,00100,0200,THE THRO COMPANY 42660,A81000C,00100,0400,THE THRO COMPANY 42660,A81000C,00100,0600,CENTRAL OFFICE 42660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42660,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42660,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42660,B100000,00000,0800,00000MEALS SERVED :DIETARY 42660,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 42660,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42660,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42660,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42660,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42660,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42660,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42660,E10A180,00501,0300,09/07/1999 42660,S000000,00100,0200,06/30/1999 42660,S200000,00100,0100,HIGHWAY 169 SOUTH 42660,S200000,00200,0100,MANKATO 42660,S200000,00200,0200,MN 42660,S200000,00200,0300,56001- 42660,S200000,00300,0100,BLUE EARTH 42660,S200000,00400,0100,HILLCREST HEALTH CARE CENTER 42660,S200000,00400,0200,245507 42660,S200000,00400,0300,01/01/1988 42660,S200000,00400,0500,P 42660,S200000,01600,0100,Y 42660,S700003,00000,0100,1 42661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42661,A000000,00300,0000,00300EMPLOYEE BENEFITS 42661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42661,A000000,00700,0000,00700HOUSEKEEPING 42661,A000000,00800,0000,00800DIETARY 42661,A000000,00900,0000,00900NURSING ADMINISTRATION 42661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42661,A000000,01100,0000,01100PHARMACY 42661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42661,A000000,01300,0000,01300SOCIAL SERVICE 42661,A000000,01350,0000,01500OTHER GENERAL SERVICES 42661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42661,A000000,01600,0000,01600SKILLED NURSING FACILITY 42661,A000000,01800,0000,01800NURSING FACILITY 42661,A000000,01810,0000,01801ICF/MR 42661,A000000,01900,0000,01900OTHER LONG TERM CARE 42661,A000000,02100,0000,02100RADIOLOGY 42661,A000000,02200,0000,02200LABORATORY 42661,A000000,02300,0000,02300INTRAVENOUS THERAPY 42661,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42661,A000000,02500,0000,02500PHYSICAL THERAPY 42661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42661,A000000,02700,0000,02700SPEECH PATHOLOGY 42661,A000000,02800,0000,02800ELECTROCARDIOLOGY 42661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42661,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42661,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42661,A000000,03200,0000,03200SUPPORT SURFACES 42661,A000000,03400,0000,03400CLINIC 42661,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42661,A000000,03500,0000,03500RURAL HEALTH CLINIC 42661,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42661,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42661,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42661,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42661,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42661,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42661,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42661,A000000,04400,0000,04400DME RENTED - HHA 42661,A000000,04500,0000,04500DME SOLD - HHA 42661,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42661,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42661,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42661,A000000,04800,0000,04800AMBULANCE 42661,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42661,A000000,05000,0000,05000CORF 42661,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42661,A000000,05300,0000,05300INTEREST EXPENSE 42661,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42661,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42661,A000000,05500,0000,05500HOSPICE 42661,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42661,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42661,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42661,A000000,06100,0000,06100NONPAID WORKERS 42661,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42661,A000000,06200,0000,06200PATIENTS LAUNDRY 42661,A81000A,00100,0100,Y 42661,A81000B,00100,0300,CENTRAL OFFICE COSTS 42661,A81000B,00200,0300,CENTRAL OFFICE COSTS 42661,A81000B,00300,0300,CENTRAL OFFICE COSTS 42661,A81000B,00400,0300,CENTRAL OFFICE COSTS 42661,A81000B,00500,0300,CENTRAL OFFICE COSTS 42661,A81000B,00600,0300,CENTRAL OFFICE COSTS 42661,A81000B,00700,0300,CENTRAL OFFICE COSTS 42661,A81000C,00100,0100,G 42661,A81000C,00100,0200,THE THRO COMPANY 42661,A81000C,00100,0400,THE THRO COMPANY 42661,A81000C,00100,0600,CENTRAL OFFICE 42661,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42661,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42661,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42661,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42661,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42661,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42661,B100000,00000,0700,00000SQUARE FEET HOUSE :HOUSEKEEPING 42661,B100000,00000,0800,00000MEALS SERVED :DIETARY 42661,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 42661,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42661,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42661,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42661,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42661,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42661,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42661,S000000,00100,0200,06/02/2000 42661,S200000,00100,0100,HIGHWAY 169 SOUTH 42661,S200000,00200,0100,MANKATO 42661,S200000,00200,0200,MN 42661,S200000,00200,0300,56001- 42661,S200000,00300,0100,BLUE EARTH 42661,S200000,00400,0100,HILLCREST HEALTH CARE CENTER 42661,S200000,00400,0200,245507 42661,S200000,00400,0300,01/01/1988 42661,S200000,00400,0500,P 42661,S200000,01600,0100,Y 42666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42666,A000000,00300,0000,00300EMPLOYEE BENEFITS 42666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42666,A000000,00700,0000,00700HOUSEKEEPING 42666,A000000,00800,0000,00800DIETARY 42666,A000000,00900,0000,00900NURSING ADMINISTRATION 42666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42666,A000000,01100,0000,01100PHARMACY 42666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42666,A000000,01300,0000,01300SOCIAL SERVICE 42666,A000000,01350,0000,01500OTHER GENERAL SERVICES 42666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42666,A000000,01600,0000,01600SKILLED NURSING FACILITY 42666,A000000,01800,0000,01800NURSING FACILITY 42666,A000000,01900,0000,01900OTHER LONG TERM CARE 42666,A000000,02100,0000,02100RADIOLOGY 42666,A000000,02200,0000,02200LABORATORY 42666,A000000,02300,0000,02300INTRAVENOUS THERAPY 42666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42666,A000000,02500,0000,02500PHYSICAL THERAPY 42666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42666,A000000,02700,0000,02700SPEECH PATHOLOGY 42666,A000000,02800,0000,02800ELECTROCARDIOLOGY 42666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42666,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42666,A000000,03200,0000,03200SUPPORT SURFACES 42666,A000000,03400,0000,03400CLINIC 42666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42666,A000000,03500,0000,03500RURAL HEALTH CLINIC 42666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42666,A000000,04400,0000,04400DME RENTED - HHA 42666,A000000,04500,0000,04500DME SOLD - HHA 42666,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42666,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42666,A000000,04800,0000,04800AMBULANCE 42666,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42666,A000000,05000,0000,05000CORF 42666,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42666,A000000,05300,0000,05300INTEREST EXPENSE 42666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42666,A000000,05500,0000,05500HOSPICE 42666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42666,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42666,A000000,06100,0000,06100NONPAID WORKERS 42666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42666,A000000,06200,0000,06200PATIENTS LAUNDRY 42666,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42666,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42666,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42666,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42666,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42666,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42666,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42666,B100000,00000,0800,00000MEALS SERVED :DIETARY 42666,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42666,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42666,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42666,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42666,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42666,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42666,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42666,E10A180,00501,0300,04/26/2000 42666,S000000,00100,0200,02/29/2000 42666,S200000,00100,0100,484 ASHLAND AVENUE 42666,S200000,00200,0100,ST. PAUL 42666,S200000,00200,0200,MN 42666,S200000,00200,0300,55102- 42666,S200000,00300,0100,RAMSEY 42666,S200000,00400,0100,ST. PAULS CHURCH HOME INC. 42666,S200000,00400,0200,245508 42666,S200000,00400,0300,01/01/1988 42666,S200000,00400,0500,P 42666,S200000,01600,0100,Y 42666,S200000,02200,0100,Y 42671,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42671,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42671,A000000,00300,0000,00300EMPLOYEE BENEFITS 42671,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42671,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42671,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42671,A000000,00700,0000,00700HOUSEKEEPING 42671,A000000,00800,0000,00800DIETARY 42671,A000000,00900,0000,00900NURSING ADMINISTRATION 42671,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42671,A000000,01300,0000,01300SOCIAL SERVICE 42671,A000000,01301,0000,01301ACTIVITIES 42671,A000000,01600,0000,01600SKILLED NURSING FACILITY 42671,A000000,02100,0000,02100RADIOLOGY 42671,A000000,02200,0000,02200LABORATORY 42671,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42671,A000000,02500,0000,02500PHYSICAL THERAPY 42671,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42671,A000000,02700,0000,02700SPEECH PATHOLOGY 42671,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42671,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42671,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42671,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42671,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42671,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42671,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42671,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42671,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42671,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42671,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42671,A000000,06151,0000,06301APARTMENTS 42671,A000000,06152,0000,06302MEALS ON WHEELS 42671,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42671,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42671,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42671,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42671,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42671,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 42671,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42671,B100000,00000,0800,00002MEALS SERVED :DIETARY 42671,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42671,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42671,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42671,B100000,00000,1331,00002RESIDENT DAYS :ACTIVITIES 42671,E10A180,00501,0100,04/11/2000 42671,H510100,00000,0000,9924 42671,H510100,02400,0000,9924 42671,H710000,00501,0100,04/11/2000 42671,H710000,00501,0300,04/11/2000 42671,S000000,00100,0200,02/17/2000 42671,S200000,00100,0100,ROUTE 2 42671,S200000,00100,0300,300 42671,S200000,00200,0100,ADAMS 42671,S200000,00200,0200,MN 42671,S200000,00200,0300,55909- 42671,S200000,00300,0100,MOWER 42671,S200000,00400,0100,ADAMS HEALTH CARE CENTER 42671,S200000,00400,0200,245509 42671,S200000,00400,0300,11/01/1988 42671,S200000,00400,0500,P 42671,S200000,00800,0200,247277 42671,S200000,00800,0300,02/25/1993 42671,S200000,00800,0500,P 42671,S200000,01500,0100,Y 42671,S200000,02800,0100,Y 42676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42676,A000000,00300,0000,00300EMPLOYEE BENEFITS 42676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42676,A000000,00700,0000,00700HOUSEKEEPING 42676,A000000,00800,0000,00800DIETARY 42676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42676,A000000,01300,0000,01300SOCIAL SERVICE 42676,A000000,01600,0000,01600SKILLED NURSING FACILITY 42676,A000000,02500,0000,02500PHYSICAL THERAPY 42676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42676,A000000,02700,0000,02700SPEECH PATHOLOGY 42676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42676,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42676,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42676,A000000,05300,0000,05300INTEREST EXPENSE 42676,A000000,05350,0000,05600MEALS ON WHEELS 42676,A000000,05351,0000,05601APARTMENTS 42676,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42676,A81000A,00100,0100,Y 42676,A81000B,00100,0300,ADMIN RELATED COSTS 42676,A81000B,00200,0300,EMPLOYEE BENEFITS 42676,A81000B,00300,0300,DON 42676,A81000C,00100,0100,B 42676,A81000C,00100,0200,FOUNDATION FOR RURAL HEAL 42676,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42676,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42676,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42676,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42676,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42676,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42676,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42676,B100000,00000,0800,00001MEALS SERVED :DIETARY 42676,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 42676,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 42676,S000000,00100,0200,06/08/2000 42676,S200000,00100,0100,649 STATE STREET 42676,S200000,00200,0100,EVANSVILLE 42676,S200000,00200,0200,MN 42676,S200000,00200,0300,56326- 42676,S200000,00300,0100,DOUGLAS 42676,S200000,00400,0100,CRESTVIEW MANOR 42676,S200000,00400,0200,245510 42676,S200000,00400,0300,01/01/1988 42676,S200000,00400,0500,P 42676,S200000,01500,0100,Y 42682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42682,A000000,00300,0000,00300EMPLOYEE BENEFITS 42682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42682,A000000,00700,0000,00700HOUSEKEEPING 42682,A000000,00800,0000,00800DIETARY 42682,A000000,00900,0000,00900NURSING ADMINISTRATION 42682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42682,A000000,01100,0000,01100PHARMACY 42682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42682,A000000,01300,0000,01300SOCIAL SERVICE 42682,A000000,01350,0000,01500OTHER GENERAL SERVICES 42682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42682,A000000,01600,0000,01600SKILLED NURSING FACILITY 42682,A000000,01800,0000,01800NURSING FACILITY 42682,A000000,01900,0000,01900OTHER LONG TERM CARE 42682,A000000,02100,0000,02100RADIOLOGY 42682,A000000,02200,0000,02200LABORATORY 42682,A000000,02300,0000,02300INTRAVENOUS THERAPY 42682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42682,A000000,02500,0000,02500PHYSICAL THERAPY 42682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42682,A000000,02700,0000,02700SPEECH PATHOLOGY 42682,A000000,02800,0000,02800ELECTROCARDIOLOGY 42682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42682,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42682,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42682,A000000,03200,0000,03200SUPPORT SURFACES 42682,A000000,03400,0000,03400CLINIC 42682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42682,A000000,03500,0000,03500RURAL HEALTH CLINIC 42682,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42682,A000000,04800,0000,04800AMBULANCE 42682,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42682,A000000,05000,0000,05000CORF 42682,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42682,A000000,05300,0000,05300INTEREST EXPENSE 42682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42682,A000000,05500,0000,05500HOSPICE 42682,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42682,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42682,A000000,06100,0000,06100NONPAID WORKERS 42682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42682,A000000,06200,0000,06200PATIENTS LAUNDRY 42682,A81000A,00100,0100,Y 42682,A81000B,00100,0300,CENTRAL OFFICE COSTS 42682,A81000B,00200,0300,CENTRAL OFFICE COSTS 42682,A81000B,00300,0300,CENTRAL OFFICE COSTS 42682,A81000B,00400,0300,CENTRAL OFFICE COSTS 42682,A81000B,00500,0300,CENTRAL OFFICE COSTS 42682,A81000C,00100,0100,G 42682,A81000C,00100,0200,THE THRO COMPANY 42682,A81000C,00100,0400,THE THRO COMPANY 42682,A81000C,00100,0600,CENTRAL OFFICE 42682,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42682,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42682,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42682,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42682,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42682,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42682,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42682,B100000,00000,0800,00000MEALS SERVED :DIETARY 42682,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 42682,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42682,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42682,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42682,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42682,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42682,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42682,E10A180,00501,0300,09/07/1999 42682,S000000,00100,0200,06/30/1999 42682,S200000,00100,0100,1011 COLUMBUS AVENUE NORTH 42682,S200000,00200,0100,NEW PRAGUE 42682,S200000,00200,0200,MN 42682,S200000,00200,0300,56071- 42682,S200000,00300,0100,SCOTT 42682,S200000,00400,0100,MALA STRANA HEALTH CARE CENTER 42682,S200000,00400,0200,245514 42682,S200000,00400,0300,02/01/1988 42682,S200000,00400,0500,P 42682,S200000,01600,0100,Y 42682,S700003,00000,0100,1 42683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42683,A000000,00300,0000,00300EMPLOYEE BENEFITS 42683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42683,A000000,00700,0000,00700HOUSEKEEPING 42683,A000000,00800,0000,00800DIETARY 42683,A000000,00900,0000,00900NURSING ADMINISTRATION 42683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42683,A000000,01100,0000,01100PHARMACY 42683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42683,A000000,01300,0000,01300SOCIAL SERVICE 42683,A000000,01350,0000,01500OTHER GENERAL SERVICES 42683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42683,A000000,01600,0000,01600SKILLED NURSING FACILITY 42683,A000000,01800,0000,01800NURSING FACILITY 42683,A000000,01810,0000,01810ICF/MR 42683,A000000,01900,0000,01900OTHER LONG TERM CARE 42683,A000000,02100,0000,02100RADIOLOGY 42683,A000000,02200,0000,02200LABORATORY 42683,A000000,02300,0000,02300INTRAVENOUS THERAPY 42683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42683,A000000,02500,0000,02500PHYSICAL THERAPY 42683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42683,A000000,02700,0000,02700SPEECH PATHOLOGY 42683,A000000,02800,0000,02800ELECTROCARDIOLOGY 42683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42683,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42683,A000000,03200,0000,03200SUPPORT SURFACES 42683,A000000,03400,0000,03400CLINIC 42683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42683,A000000,03500,0000,03500RURAL HEALTH CLINIC 42683,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42683,A000000,04800,0000,04800AMBULANCE 42683,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42683,A000000,05000,0000,05000CORF 42683,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42683,A000000,05300,0000,05300INTEREST EXPENSE 42683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42683,A000000,05500,0000,05500HOSPICE 42683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42683,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42683,A000000,06100,0000,06100NONPAID WORKERS 42683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42683,A000000,06200,0000,06200PATIENTS LAUNDRY 42683,A81000A,00100,0100,Y 42683,A81000B,00100,0300,CENTRAL OFFICE COSTS 42683,A81000B,00200,0300,CENTRAL OFFICE COSTS 42683,A81000B,00300,0300,CENTRAL OFFICE COSTS 42683,A81000B,00400,0300,CENTRAL OFFICE COSTS 42683,A81000B,00500,0300,CENTRAL OFFICE COSTS 42683,A81000C,00100,0100,G 42683,A81000C,00100,0200,THE THRO COMPANY 42683,A81000C,00100,0400,THE THRO COMPANY 42683,A81000C,00100,0600,CENTRAL OFFICE 42683,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42683,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42683,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42683,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42683,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42683,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42683,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42683,B100000,00000,0800,00000MEALS SERVED :DIETARY 42683,B100000,00000,0900,00000PRODUCTIV HOURS :NURSING ADMINISTR 42683,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42683,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42683,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42683,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42683,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42683,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42683,E10A180,00550,0300,06/20/2000 42683,S000000,00100,0200,06/02/2000 42683,S200000,00100,0100,1011 COLUMBUS AVENUE NORTH 42683,S200000,00200,0100,NEW PRAGUE 42683,S200000,00200,0200,MN 42683,S200000,00200,0300,56071- 42683,S200000,00300,0100,SCOTT 42683,S200000,00400,0100,MALA STRANA HEALTH CARE CENTER 42683,S200000,00400,0200,245514 42683,S200000,00400,0300,02/01/1988 42683,S200000,00400,0500,P 42683,S200000,01600,0100,Y 42689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42689,A000000,00300,0000,00300EMPLOYEE BENEFITS 42689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42689,A000000,00700,0000,00700HOUSEKEEPING 42689,A000000,00800,0000,00800DIETARY 42689,A000000,00900,0000,00900NURSING ADMINISTRATION 42689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42689,A000000,01100,0000,01100PHARMACY 42689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42689,A000000,01300,0000,01300SOCIAL SERVICE 42689,A000000,01350,0000,01500OTHER GENERAL SERVICES 42689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42689,A000000,01600,0000,01600SKILLED NURSING FACILITY 42689,A000000,01800,0000,01800NURSING FACILITY 42689,A000000,01900,0000,01900OTHER LONG TERM CARE 42689,A000000,02100,0000,02100RADIOLOGY 42689,A000000,02200,0000,02200LABORATORY 42689,A000000,02300,0000,02300INTRAVENOUS THERAPY 42689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42689,A000000,02500,0000,02500PHYSICAL THERAPY 42689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42689,A000000,02700,0000,02700SPEECH PATHOLOGY 42689,A000000,02800,0000,02800ELECTROCARDIOLOGY 42689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42689,A000000,03200,0000,03200SUPPORT SURFACES 42689,A000000,03400,0000,03400CLINIC 42689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42689,A000000,03500,0000,03500RURAL HEALTH CLINIC 42689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42689,A000000,04400,0000,04400DME RENTED - HHA 42689,A000000,04500,0000,04500DME SOLD - HHA 42689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42689,A000000,04800,0000,04800AMBULANCE 42689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42689,A000000,05000,0000,05000CORF 42689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42689,A000000,05300,0000,05300INTEREST EXPENSE 42689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42689,A000000,05500,0000,05500HOSPICE 42689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42689,A000000,06100,0000,06100NONPAID WORKERS 42689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42689,A000000,06200,0000,06200PATIENTS LAUNDRY 42689,A81000A,00100,0100,Y 42689,A81000B,00100,0300,CENTRAL OFFICE COSTS 42689,A81000B,00200,0300,CENTRAL OFFICE COSTS 42689,A81000B,00300,0300,CENTRAL OFFICE COSTS 42689,A81000B,00400,0300,CENTRAL OFFICE COSTS 42689,A81000B,00500,0300,CENTRAL OFFICE COSTS 42689,A81000C,00100,0100,G 42689,A81000C,00100,0200,THE THRO COMPANY 42689,A81000C,00100,0400,THE THRO COMPANY 42689,A81000C,00100,0600,CENTRAL OFFICE 42689,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42689,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42689,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42689,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42689,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42689,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42689,B100000,00000,0800,00000MEALS SERVED :DIETARY 42689,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 42689,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42689,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42689,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42689,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42689,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42689,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42689,E10A180,00501,0300,10/19/1999 42689,S000000,00100,0200,06/30/1999 42689,S200000,00100,0100,80 WESTERN AVENUE NORTH 42689,S200000,00200,0100,ST. PAUL 42689,S200000,00200,0200,MN 42689,S200000,00200,0300,55102- 42689,S200000,00300,0100,RAMSEY 42689,S200000,00400,0100,SUMMIT MANOR HEALTH CARE CENTER 42689,S200000,00400,0200,245515 42689,S200000,00400,0300,02/01/1988 42689,S200000,00400,0500,P 42689,S200000,01600,0100,Y 42689,S700003,00000,0100,1 42690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42690,A000000,00300,0000,00300EMPLOYEE BENEFITS 42690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42690,A000000,00700,0000,00700HOUSEKEEPING 42690,A000000,00800,0000,00800DIETARY 42690,A000000,00900,0000,00900NURSING ADMINISTRATION 42690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42690,A000000,01100,0000,01100PHARMACY 42690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42690,A000000,01300,0000,01300SOCIAL SERVICE 42690,A000000,01350,0000,01500OTHER GENERAL SERVICES 42690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42690,A000000,01600,0000,01600SKILLED NURSING FACILITY 42690,A000000,01800,0000,01800NURSING FACILITY 42690,A000000,01810,0000,01810ICF/MR 42690,A000000,01900,0000,01900OTHER LONG TERM CARE 42690,A000000,02100,0000,02100RADIOLOGY 42690,A000000,02200,0000,02200LABORATORY 42690,A000000,02300,0000,02300INTRAVENOUS THERAPY 42690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42690,A000000,02500,0000,02500PHYSICAL THERAPY 42690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42690,A000000,02700,0000,02700SPEECH PATHOLOGY 42690,A000000,02800,0000,02800ELECTROCARDIOLOGY 42690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42690,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42690,A000000,03200,0000,03200SUPPORT SURFACES 42690,A000000,03400,0000,03400CLINIC 42690,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42690,A000000,03500,0000,03500RURAL HEALTH CLINIC 42690,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42690,A000000,04800,0000,04800AMBULANCE 42690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42690,A000000,05000,0000,05000CORF 42690,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42690,A000000,05300,0000,05300INTEREST EXPENSE 42690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42690,A000000,05500,0000,05500HOSPICE 42690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42690,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42690,A000000,06100,0000,06100NONPAID WORKERS 42690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42690,A000000,06200,0000,06200PATIENTS LAUNDRY 42690,A81000A,00100,0100,Y 42690,A81000B,00100,0300,CENTRAL OFFICE COSTS 42690,A81000B,00200,0300,CENTRAL OFFICE COSTS 42690,A81000B,00300,0300,CENTRAL OFFICE COSTS 42690,A81000B,00400,0300,CENTRAL OFFICE COSTS 42690,A81000B,00500,0300,CENTRAL OFFICE COSTS 42690,A81000C,00100,0100,G 42690,A81000C,00100,0200,THE THRO COMPANY 42690,A81000C,00100,0400,THE THRO COMPANY 42690,A81000C,00100,0600,CENTRAL OFFICE 42690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42690,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42690,B100000,00000,0800,00000MEALS SERVED :DIETARY 42690,B100000,00000,0950,00000PRODUCTIVE E :NURSING ADMINISTRATI 42690,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42690,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42690,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42690,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42690,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42690,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42690,S000000,00100,0200,06/02/2000 42690,S200000,00100,0100,80 WESTERN AVENUE NORTH 42690,S200000,00200,0100,ST. PAUL 42690,S200000,00200,0200,MN 42690,S200000,00200,0300,55102- 42690,S200000,00300,0100,RAMSEY 42690,S200000,00400,0100,SUMMIT MANOR HEALTH CARE CENTER 42690,S200000,00400,0200,245515 42690,S200000,00400,0300,02/01/1988 42690,S200000,00400,0500,P 42690,S200000,01600,0100,Y 42694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42694,A000000,00300,0000,00300EMPLOYEE BENEFITS 42694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42694,A000000,00700,0000,00700HOUSEKEEPING 42694,A000000,00800,0000,00800DIETARY 42694,A000000,00900,0000,00900NURSING ADMINISTRATION 42694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42694,A000000,01100,0000,01100PHARMACY 42694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42694,A000000,01300,0000,01300SOCIAL SERVICE 42694,A000000,01350,0000,01500OTHER GENERAL SERVICES 42694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42694,A000000,01600,0000,01600SKILLED NURSING FACILITY 42694,A000000,01800,0000,01800NURSING FACILITY 42694,A000000,01900,0000,01900OTHER LONG TERM CARE 42694,A000000,02100,0000,02100RADIOLOGY 42694,A000000,02200,0000,02200LABORATORY 42694,A000000,02300,0000,02300INTRAVENOUS THERAPY 42694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42694,A000000,02500,0000,02500PHYSICAL THERAPY 42694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42694,A000000,02700,0000,02700SPEECH PATHOLOGY 42694,A000000,02800,0000,02800ELECTROCARDIOLOGY 42694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42694,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42694,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42694,A000000,03200,0000,03200SUPPORT SURFACES 42694,A000000,03400,0000,03400CLINIC 42694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42694,A000000,03500,0000,03500RURAL HEALTH CLINIC 42694,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42694,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42694,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42694,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42694,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42694,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42694,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42694,A000000,04400,0000,04400DME RENTED - HHA 42694,A000000,04500,0000,04500DME SOLD - HHA 42694,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42694,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42694,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42694,A000000,04800,0000,04800AMBULANCE 42694,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42694,A000000,05000,0000,05000CORF 42694,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42694,A000000,05300,0000,05300INTEREST EXPENSE 42694,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42694,A000000,05500,0000,05500HOSPICE 42694,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42694,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42694,A000000,06100,0000,06100NONPAID WORKERS 42694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42694,A000000,06200,0000,06200PATIENTS LAUNDRY 42694,A81000A,00100,0100,Y 42694,A81000B,00100,0300,CENTRAL OFFICE COSTS 42694,A81000B,00200,0300,CENTRAL OFFICE COSTS 42694,A81000B,00300,0300,CENTRAL OFFICE COSTS 42694,A81000B,00400,0300,CENTRAL OFFICE COSTS 42694,A81000B,00500,0300,CENTRAL OFFICE COSTS 42694,A81000B,00600,0300,CENTRAL OFFICE COSTS 42694,A81000B,00700,0300,CENTRAL OFFICE COSTS 42694,A81000C,00100,0100,G 42694,A81000C,00100,0200,THE THRO COMPANY 42694,A81000C,00100,0400,THE THRO COMPANY 42694,A81000C,00100,0600,CENTRAL OFFICE 42694,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42694,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42694,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42694,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42694,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42694,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42694,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42694,B100000,00000,0800,00000MEALS SERVED :DIETARY 42694,B100000,00000,0950,00000PRODUCTIVE E HO :NURSING ADMINISTRA 42694,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42694,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42694,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42694,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42694,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42694,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42694,E10A180,00501,0300,10/19/1999 42694,S000000,00100,0200,06/30/1999 42694,S200000,00100,0100,100 JAMES AVENUE 42694,S200000,00200,0100,MANKATO 42694,S200000,00200,0200,MN 42694,S200000,00200,0300,56001- 42694,S200000,00300,0100,BLUE EARTH 42694,S200000,00400,0100,MANKATO HOUSE HEALTH CARE CENTER 42694,S200000,00400,0200,245516 42694,S200000,00400,0300,02/01/1988 42694,S200000,00400,0500,P 42694,S200000,01600,0100,Y 42694,S700003,00000,0100,1 42695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42695,A000000,00300,0000,00300EMPLOYEE BENEFITS 42695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42695,A000000,00700,0000,00700HOUSEKEEPING 42695,A000000,00800,0000,00800DIETARY 42695,A000000,00900,0000,00900NURSING ADMINISTRATION 42695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42695,A000000,01100,0000,01100PHARMACY 42695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42695,A000000,01300,0000,01300SOCIAL SERVICE 42695,A000000,01350,0000,01500OTHER GENERAL SERVICES 42695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42695,A000000,01600,0000,01600SKILLED NURSING FACILITY 42695,A000000,01800,0000,01800NURSING FACILITY 42695,A000000,01810,0000,01801ICF/MR 42695,A000000,01900,0000,01900OTHER LONG TERM CARE 42695,A000000,02100,0000,02100RADIOLOGY 42695,A000000,02200,0000,02200LABORATORY 42695,A000000,02300,0000,02300INTRAVENOUS THERAPY 42695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42695,A000000,02500,0000,02500PHYSICAL THERAPY 42695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42695,A000000,02700,0000,02700SPEECH PATHOLOGY 42695,A000000,02800,0000,02800ELECTROCARDIOLOGY 42695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42695,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42695,A000000,03200,0000,03200SUPPORT SURFACES 42695,A000000,03400,0000,03400CLINIC 42695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42695,A000000,03500,0000,03500RURAL HEALTH CLINIC 42695,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42695,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42695,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42695,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42695,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42695,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42695,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42695,A000000,04400,0000,04400DME RENTED - HHA 42695,A000000,04500,0000,04500DME SOLD - HHA 42695,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42695,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42695,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42695,A000000,04800,0000,04800AMBULANCE 42695,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42695,A000000,05000,0000,05000CORF 42695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42695,A000000,05300,0000,05300INTEREST EXPENSE 42695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42695,A000000,05500,0000,05500HOSPICE 42695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42695,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42695,A000000,06100,0000,06100NONPAID WORKERS 42695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42695,A000000,06200,0000,06200PATIENTS LAUNDRY 42695,A81000A,00100,0100,Y 42695,A81000B,00100,0300,CENTRAL OFFICE COSTS 42695,A81000B,00200,0300,CENTRAL OFFICE COSTS 42695,A81000B,00300,0300,CENTRAL OFFICE COSTS 42695,A81000B,00400,0300,CENTRAL OFFICE COSTS 42695,A81000B,00500,0300,CENTRAL OFFICE COSTS 42695,A81000B,00600,0300,CENTRAL OFFICE COSTS 42695,A81000B,00700,0300,CENTRAL OFFICE COSTS 42695,A81000C,00100,0100,G 42695,A81000C,00100,0200,THE THRO COMPANY 42695,A81000C,00100,0400,THE THRO COMPANY 42695,A81000C,00100,0600,CENTRAL OFFICE 42695,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42695,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42695,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42695,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42695,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42695,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42695,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42695,B100000,00000,0800,00000MEALS SERVED :DIETARY 42695,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 42695,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42695,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42695,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42695,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42695,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42695,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42695,S000000,00100,0200,06/02/2000 42695,S200000,00100,0100,100 JAMES AVENUE 42695,S200000,00200,0100,MANKATO 42695,S200000,00200,0200,MN 42695,S200000,00200,0300,56001- 42695,S200000,00300,0100,BLUE EARTH 42695,S200000,00400,0100,MANKATO HOUSE HEALTH CARE CENTER 42695,S200000,00400,0200,245516 42695,S200000,00400,0300,02/01/1988 42695,S200000,00400,0500,P 42695,S200000,01600,0100,Y 42700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42700,A000000,00300,0000,00300EMPLOYEE BENEFITS 42700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42700,A000000,00700,0000,00700HOUSEKEEPING 42700,A000000,00800,0000,00800DIETARY 42700,A000000,00900,0000,00900NURSING ADMINISTRATION 42700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42700,A000000,01100,0000,01100PHARMACY 42700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42700,A000000,01300,0000,01300SOCIAL SERVICE 42700,A000000,01350,0000,01500OTHER GENERAL SERVICES 42700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42700,A000000,01600,0000,01600SKILLED NURSING FACILITY 42700,A000000,01800,0000,01800NURSING FACILITY 42700,A000000,01900,0000,01900OTHER LONG TERM CARE 42700,A000000,02100,0000,02100RADIOLOGY 42700,A000000,02200,0000,02200LABORATORY 42700,A000000,02300,0000,02300INTRAVENOUS THERAPY 42700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42700,A000000,02500,0000,02500PHYSICAL THERAPY 42700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42700,A000000,02700,0000,02700SPEECH PATHOLOGY 42700,A000000,02800,0000,02800ELECTROCARDIOLOGY 42700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42700,A000000,03200,0000,03200SUPPORT SURFACES 42700,A000000,03400,0000,03400CLINIC 42700,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42700,A000000,03500,0000,03500RURAL HEALTH CLINIC 42700,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42700,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42700,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42700,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42700,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42700,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42700,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42700,A000000,04400,0000,04400DME RENTED - HHA 42700,A000000,04500,0000,04500DME SOLD - HHA 42700,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42700,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42700,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42700,A000000,04800,0000,04800AMBULANCE 42700,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42700,A000000,05000,0000,05000CORF 42700,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42700,A000000,05300,0000,05300INTEREST EXPENSE 42700,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42700,A000000,05500,0000,05500HOSPICE 42700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42700,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42700,A000000,06100,0000,06100NONPAID WORKERS 42700,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42700,A000000,06200,0000,06200PATIENTS LAUNDRY 42700,A81000A,00100,0100,Y 42700,A81000B,00100,0300,CENTRAL OFFICE COSTS 42700,A81000B,00200,0300,CENTRAL OFFICE COSTS 42700,A81000B,00300,0300,CENTRAL OFFICE COSTS 42700,A81000B,00400,0300,CENTRAL OFFICE COSTS 42700,A81000B,00500,0300,CENTRAL OFFICE COSTS 42700,A81000B,00600,0300,CENTRAL OFFICE COSTS 42700,A81000B,00700,0300,CENTRAL OFFICE COSTS 42700,A81000C,00100,0100,G 42700,A81000C,00100,0200,THE THRO COMPANY 42700,A81000C,00100,0400,THE THRO COMPANY 42700,A81000C,00100,0600,CENTRAL OFFICE 42700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42700,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42700,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42700,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42700,B100000,00000,0800,00000MEALS SERVED :DIETARY 42700,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 42700,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42700,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42700,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42700,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42700,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42700,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42700,E10A180,00550,0300,10/19/1999 42700,S000000,00100,0200,06/30/1999 42700,S200000,00100,0100,1112 MULBERRY STREET 42700,S200000,00200,0100,MANKATO 42700,S200000,00200,0200,MN 42700,S200000,00200,0300,56001- 42700,S200000,00300,0100,BLUE EARTH 42700,S200000,00400,0100,OAKLAWN HEALTH CARE CENTER 42700,S200000,00400,0200,245517 42700,S200000,00400,0300,02/01/1988 42700,S200000,00400,0500,P 42700,S200000,01500,0100,Y 42700,S700003,00000,0100,1 42701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42701,A000000,00300,0000,00300EMPLOYEE BENEFITS 42701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42701,A000000,00700,0000,00700HOUSEKEEPING 42701,A000000,00800,0000,00800DIETARY 42701,A000000,00900,0000,00900NURSING ADMINISTRATION 42701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42701,A000000,01100,0000,01100PHARMACY 42701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42701,A000000,01300,0000,01300SOCIAL SERVICE 42701,A000000,01350,0000,01500OTHER GENERAL SERVICES 42701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42701,A000000,01600,0000,01600SKILLED NURSING FACILITY 42701,A000000,01800,0000,01800NURSING FACILITY 42701,A000000,01810,0000,01810ICF/MR 42701,A000000,01900,0000,01900OTHER LONG TERM CARE 42701,A000000,02100,0000,02100RADIOLOGY 42701,A000000,02200,0000,02200LABORATORY 42701,A000000,02300,0000,02300INTRAVENOUS THERAPY 42701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42701,A000000,02500,0000,02500PHYSICAL THERAPY 42701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42701,A000000,02700,0000,02700SPEECH PATHOLOGY 42701,A000000,02800,0000,02800ELECTROCARDIOLOGY 42701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42701,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42701,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42701,A000000,03200,0000,03200SUPPORT SURFACES 42701,A000000,03400,0000,03400CLINIC 42701,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42701,A000000,03500,0000,03500RURAL HEALTH CLINIC 42701,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42701,A000000,04800,0000,04800AMBULANCE 42701,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42701,A000000,05000,0000,05000CORF 42701,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42701,A000000,05300,0000,05300INTEREST EXPENSE 42701,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42701,A000000,05500,0000,05500HOSPICE 42701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42701,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42701,A000000,06100,0000,06100NONPAID WORKERS 42701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42701,A000000,06200,0000,06200PATIENTS LAUNDRY 42701,A81000A,00100,0100,Y 42701,A81000B,00100,0300,CENTRAL OFFICE COSTS 42701,A81000B,00200,0300,CENTRAL OFFICE COSTS 42701,A81000B,00300,0300,CENTRAL OFFICE COSTS 42701,A81000B,00400,0300,CENTRAL OFFICE COSTS 42701,A81000B,00500,0300,CENTRAL OFFICE COSTS 42701,A81000B,00600,0300,CENTRAL OFFICE COSTS 42701,A81000B,00700,0300,CENTRAL OFFICE COSTS 42701,A81000C,00100,0100,G 42701,A81000C,00100,0200,THE THRO COMPANY 42701,A81000C,00100,0400,THE THRO COMPANY 42701,A81000C,00100,0600,CENTRAL OFFICE 42701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42701,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42701,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42701,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42701,B100000,00000,0800,00000MEALS SERVED :DIETARY 42701,B100000,00000,0950,00000SALARIES :NURSING ADMINISTRATION 42701,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42701,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42701,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42701,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42701,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42701,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42701,S000000,00100,0200,06/02/2000 42701,S200000,00100,0100,1112 MULBERRY STREET 42701,S200000,00200,0100,MANKATO 42701,S200000,00200,0200,MN 42701,S200000,00200,0300,56001- 42701,S200000,00300,0100,BLUE EARTH 42701,S200000,00400,0100,OAKLAWN HEALTH CARE CENTER 42701,S200000,00400,0200,245517 42701,S200000,00400,0300,02/01/1988 42701,S200000,00400,0500,P 42701,S200000,01500,0100,Y 42708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42708,A000000,00300,0000,00300EMPLOYEE BENEFITS 42708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42708,A000000,00700,0000,00700HOUSEKEEPING 42708,A000000,00800,0000,00800DIETARY 42708,A000000,00900,0000,00900NURSING ADMINISTRATION 42708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42708,A000000,01100,0000,01100PHARMACY 42708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42708,A000000,01300,0000,01300SOCIAL SERVICE 42708,A000000,01350,0000,01500OTHER GENERAL SERVICES 42708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42708,A000000,01600,0000,01600SKILLED NURSING FACILITY 42708,A000000,01800,0000,01800NURSING FACILITY 42708,A000000,01810,0000,01810ICF/MR 42708,A000000,01900,0000,01900OTHER LONG TERM CARE 42708,A000000,02100,0000,02100RADIOLOGY 42708,A000000,02200,0000,02200LABORATORY 42708,A000000,02300,0000,02300INTRAVENOUS THERAPY 42708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42708,A000000,02500,0000,02500PHYSICAL THERAPY 42708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42708,A000000,02700,0000,02700SPEECH PATHOLOGY 42708,A000000,02800,0000,02800ELECTROCARDIOLOGY 42708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42708,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42708,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42708,A000000,03200,0000,03200SUPPORT SURFACES 42708,A000000,03400,0000,03400CLINIC 42708,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42708,A000000,03500,0000,03500RURAL HEALTH CLINIC 42708,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42708,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42708,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42708,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42708,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42708,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42708,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42708,A000000,04400,0000,04400DME RENTED - HHA 42708,A000000,04500,0000,04500DME SOLD - HHA 42708,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42708,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42708,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42708,A000000,04800,0000,04800AMBULANCE 42708,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42708,A000000,05000,0000,05000CORF 42708,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42708,A000000,05300,0000,05300INTEREST EXPENSE 42708,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42708,A000000,05500,0000,05500HOSPICE 42708,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42708,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42708,A000000,06100,0000,06100NONPAID WORKERS 42708,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42708,A000000,06200,0000,06200PATIENTS LAUNDRY 42708,A81000A,00100,0100,Y 42708,A81000B,00100,0300,DEPRECIATION & INTEREST 42708,A81000B,00200,0300,PHYSICAL THERAPY 42708,A81000B,00300,0300,OCCUPATIONAL THERAPY 42708,A81000B,00400,0300,SPEECH THERAPY 42708,A81000B,00500,0300,CONSULTING 42708,A81000C,00100,0100,G 42708,A81000C,00100,0200,ST. THERESE AGENCY 42708,A81000C,00100,0400,ST. THERESE AGENCY 42708,A81000C,00100,0600,THERAPY AGENCY 42708,A81000C,00200,0100,G 42708,A81000C,00200,0200,ST. THERESE HOME 42708,A81000C,00200,0400,ST. THERESE HOME 42708,A81000C,00200,0600,USAGE OF LAUNDRY SPACE 42708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42708,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42708,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42708,B100000,00000,0800,00000MEALS SERVED :DIETARY 42708,B100000,00000,0950,00000PRODUCTIVE E NRSING :NURSING ADMINI 42708,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 42708,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42708,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42708,S000000,00100,0200,01/08/2001 42708,S200000,00100,0100,8000 BASS LAKE ROAD 42708,S200000,00200,0100,NEW HOPE 42708,S200000,00200,0200,MN 42708,S200000,00200,0300,55428- 42708,S200000,00300,0100,HENNEPIN 42708,S200000,00300,0200,5120 42708,S200000,00300,0300,U 42708,S200000,00400,0100,ST. THERESE HOME INC. 42708,S200000,00400,0200,245518 42708,S200000,00400,0300,02/18/1988 42708,S200000,00400,0500,P 42708,S200000,00400,0600,O 42708,S200000,01004,0500,O 42708,S200000,01600,0100,Y 42711,S000000,00100,0200,05/31/2000 42718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42718,A000000,00300,0000,00300EMPLOYEE BENEFITS 42718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42718,A000000,00700,0000,00700HOUSEKEEPING 42718,A000000,00800,0000,00800DIETARY 42718,A000000,00900,0000,00900NURSING ADMINISTRATION 42718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42718,A000000,01100,0000,01100PHARMACY 42718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42718,A000000,01300,0000,01300SOCIAL SERVICE 42718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42718,A000000,01600,0000,01600SKILLED NURSING FACILITY 42718,A000000,01800,0000,01800NURSING FACILITY 42718,A000000,01900,0000,01900OTHER LONG TERM CARE 42718,A000000,02100,0000,02100RADIOLOGY 42718,A000000,02200,0000,02200LABORATORY 42718,A000000,02300,0000,02300INTRAVENOUS THERAPY 42718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42718,A000000,02500,0000,02500PHYSICAL THERAPY 42718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42718,A000000,02700,0000,02700SPEECH PATHOLOGY 42718,A000000,02800,0000,02800ELECTROCARDIOLOGY 42718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42718,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42718,A000000,03200,0000,03200SUPPORT SURFACES 42718,A000000,03400,0000,03400CLINIC 42718,A000000,03500,0000,03500RURAL HEALTH CLINIC 42718,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42718,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42718,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42718,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42718,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42718,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42718,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42718,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42718,A000000,04400,0000,04400DME RENTED - HHA 42718,A000000,04500,0000,04500DME SOLD - HHA 42718,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42718,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42718,A000000,04800,0000,04800AMBULANCE 42718,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42718,A000000,05000,0000,05000CORF 42718,A000000,05010,0000,05010CMHC 42718,A000000,05020,0000,05020OPT 42718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42718,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42718,A000000,05300,0000,05300INTEREST EXPENSE 42718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42718,A000000,05500,0000,05500HOSPICE 42718,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42718,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42718,A000000,06100,0000,06100NONPAID WORKERS 42718,A000000,06200,0000,06200PATIENTS LAUNDRY 42718,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42718,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42718,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42718,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42718,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42718,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42718,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42718,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42718,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42718,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 42718,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42718,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42718,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42718,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 42718,E10A180,00501,0100,08/01/2000 42718,E10A180,00550,0300,08/01/2000 42718,S000000,00100,0200,02/29/2000 42718,S200000,00100,0100,468 EAST HWY 71 SOUTH 42718,S200000,00100,0300,38 42718,S200000,00200,0100,CLARISSA 42718,S200000,00200,0200,MI 42718,S200000,00200,0300,56440- 42718,S200000,00300,0100,TODD 42718,S200000,00400,0100,CENTRAL TODD COUNTY CARE CENTR 42718,S200000,00400,0200,245521 42718,S200000,00400,0300,02/01/1988 42718,S200000,00400,0500,P 42718,S200000,01500,0100,Y 42722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42722,A000000,00300,0000,00300EMPLOYEE BENEFITS 42722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42722,A000000,00700,0000,00700HOUSEKEEPING 42722,A000000,00800,0000,00800DIETARY 42722,A000000,00900,0000,00900NURSING ADMINISTRATION 42722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42722,A000000,01300,0000,01300SOCIAL SERVICE 42722,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42722,A000000,01600,0000,01600SKILLED NURSING FACILITY 42722,A000000,02100,0000,02100RADIOLOGY 42722,A000000,02200,0000,02200LABORATORY 42722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42722,A000000,02500,0000,02500PHYSICAL THERAPY 42722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42722,A000000,02700,0000,02700SPEECH PATHOLOGY 42722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42722,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42722,A000000,06150,0000,06300FOUNDATION 42722,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42722,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42722,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42722,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42722,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42722,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42722,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42722,B100000,00000,0800,00000MEALS SERVED :DIETARY 42722,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42722,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42722,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42722,B100000,00000,1331,00000RESIDENT DAYS :ACTIVITIES AND CHAP 42722,E10A180,00501,0100,04/10/2000 42722,E10A180,00550,0300,04/10/2000 42722,S000000,00100,0200,02/18/2000 42722,S200000,00100,0100,221 6TH STREET SW 42722,S200000,00200,0100,MADELIA 42722,S200000,00200,0200,MN 42722,S200000,00200,0300,56062- 42722,S200000,00300,0100,WATONWAN 42722,S200000,00400,0100,LUTHER MEMORIAL HOME 42722,S200000,00400,0200,245522 42722,S200000,00400,0300,11/01/1987 42722,S200000,00400,0500,P 42722,S200000,01500,0100,Y 42722,S200000,02800,0100,Y 42726,S000000,00100,0200,04/25/2000 42732,S000000,00100,0200,01/29/2001 42737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42737,A000000,00300,0000,00300EMPLOYEE BENEFITS 42737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42737,A000000,00700,0000,00700HOUSEKEEPING 42737,A000000,00800,0000,00800DIETARY 42737,A000000,00900,0000,00900NURSING ADMINISTRATION 42737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42737,A000000,01300,0000,01300SOCIAL SERVICE 42737,A000000,01301,0000,01301ACTIVITIES 42737,A000000,01600,0000,01600SKILLED NURSING FACILITY 42737,A000000,02100,0000,02100RADIOLOGY 42737,A000000,02200,0000,02200LABORATORY 42737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42737,A000000,02500,0000,02500PHYSICAL THERAPY 42737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42737,A000000,02700,0000,02700SPEECH PATHOLOGY 42737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42737,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42737,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42737,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42737,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42737,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42737,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42737,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42737,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42737,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42737,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42737,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42737,A000000,06151,0000,06301ARBOR TERREACE MEALS 42737,A81000A,00100,0100,Y 42737,A81000B,00100,0300,HOME OFFICE COSTS 42737,A81000B,00200,0300,HOME OFFICE COSTS 42737,A81000B,00300,0300,RENT 42737,A81000C,00100,0100,G 42737,A81000C,00100,0200,SAMARITAN BETHANY INC 42737,A81000C,00100,0600,HOME OFFICE 42737,A81000C,00200,0100,G 42737,A81000C,00200,0200,SAMARITAN BETHANY HEIGHTS 42737,A81000C,00200,0600,NURSING HOME 42737,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42737,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42737,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42737,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42737,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42737,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42737,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42737,B100000,00000,0800,00001MEALS SERVED :DIETARY 42737,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42737,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42737,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42737,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42737,E10A180,00501,0100,05/01/2000 42737,E10A180,00550,0300,05/01/2000 42737,H510100,00000,0000,6820 42737,H510100,02400,0000,6820 42737,H510100,02401,0000,9924 42737,H510200,00000,0000,9924 42737,H710000,00301,0100,01/18/2000 42737,H710000,00301,0300,01/18/2000 42737,H710000,00501,0100,05/01/2000 42737,H710000,00501,0300,05/01/2000 42737,S000000,00100,0200,03/29/2000 42737,S200000,00100,0300,5947 42737,S200000,00200,0100,ROCHESTER 42737,S200000,00200,0200,MN 42737,S200000,00200,0300,55903- 42737,S200000,00300,0100,OLMSTEAD 42737,S200000,00400,0100,SAMARITAN BETHANY INC - HOME 42737,S200000,00400,0200,245530 42737,S200000,00400,0300,05/01/1988 42737,S200000,00400,0500,P 42737,S200000,00800,0200,247232 42737,S200000,00800,0300,12/19/1986 42737,S200000,00800,0500,P 42737,S200000,01500,0100,Y 42742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42742,A000000,00300,0000,00300EMPLOYEE BENEFITS 42742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42742,A000000,00700,0000,00700HOUSEKEEPING 42742,A000000,00800,0000,00800DIETARY 42742,A000000,00900,0000,00900NURSING ADMINISTRATION 42742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42742,A000000,01300,0000,01300SOCIAL SERVICE 42742,A000000,01350,0000,01500ACTIVITIES 42742,A000000,01600,0000,01600SKILLED NURSING FACILITY 42742,A000000,01800,0000,01800NURSING FACILITY 42742,A000000,02500,0000,02500PHYSICAL THERAPY 42742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42742,A000000,02700,0000,02700SPEECH PATHOLOGY 42742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42742,A81000A,00100,0100,Y 42742,A81000B,00100,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00200,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00300,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00400,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00500,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00600,0300,SEE ACCOMPANYING SCHEDULE 42742,A81000B,00700,0300,BUILDING RENTAL-SEE SCHEDULE 42742,A81000B,00800,0300,COMPUTER LEASE-SEE SCHEDULE 42742,A81000C,00100,0100,B 42742,A81000C,00100,0400,AVIV HEALTH CARE INC 42742,A81000C,00100,0600,HOME OFFICE 42742,A81000C,00200,0100,B 42742,A81000C,00200,0400,AVIV HEALTH CARE INC 42742,A81000C,00200,0600,HOME OFFICE 42742,A81000C,00300,0100,B 42742,A81000C,00300,0400,AVIV HEALTH CARE INC 42742,A81000C,00300,0600,HOME OFFICE 42742,A81000C,00400,0100,B 42742,A81000C,00400,0400,AVIV HEALTH CARE INC 42742,A81000C,00400,0600,HOME OFFICE 42742,A81000C,00500,0100,B 42742,A81000C,00500,0400,AVIV HEALTH CARE INC 42742,A81000C,00500,0600,HOME OFFICE 42742,A81000C,00600,0100,B 42742,A81000C,00600,0400,AVIV HEALTH CARE INC 42742,A81000C,00600,0600,HOME OFFICE 42742,A81000C,00700,0100,A 42742,A81000C,00700,0200,SEE ATTACHED SCHEDULE 42742,A81000C,00700,0400,ALEF COMPANY 42742,A81000C,00800,0100,A 42742,A81000C,00800,0200,SEE ATTACHED SCHEDULE 42742,A81000C,00800,0400,ALEF COMAPNY 42742,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42742,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42742,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42742,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42742,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42742,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42742,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42742,B100000,00000,0800,00000MEALS SERVED :DIETARY 42742,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 42742,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42742,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42742,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 42742,S000000,00100,0200,06/28/2000 42742,S200000,00100,0100,2401 CHICAGO AVE 42742,S200000,00200,0100,MINNEAPOLIS 42742,S200000,00200,0200,MN 42742,S200000,00200,0300,55404- 42742,S200000,00300,0100,HENNEPIN 42742,S200000,00300,0200,5120 42742,S200000,00300,0300,U 42742,S200000,00400,0100,COLONIAL PLACE 42742,S200000,00400,0200,245531 42742,S200000,00400,0300,02/01/1995 42742,S200000,00400,0500,P 42742,S200000,01500,0100,Y 42745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42745,A000000,00300,0000,00300EMPLOYEE BENEFITS 42745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42745,A000000,00700,0000,00700HOUSEKEEPING 42745,A000000,00800,0000,00800DIETARY 42745,A000000,00900,0000,00900NURSING ADMINISTRATION 42745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42745,A000000,01300,0000,01300SOCIAL SERVICE 42745,A000000,01301,0000,01301ACTIVITIES 42745,A000000,01600,0000,01600SKILLED NURSING FACILITY 42745,A000000,02100,0000,02100RADIOLOGY 42745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42745,A000000,02500,0000,02500PHYSICAL THERAPY 42745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42745,A000000,02700,0000,02700SPEECH PATHOLOGY 42745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42745,A81000A,00100,0100,Y 42745,A81000B,00100,0300,REMOVE LEVEL 1 ERROR 42745,A81000C,00100,0100,G 42745,A81000C,00100,0400,BETHESDA TERRACE 42745,A81000C,00100,0600,ELDERLY HOUSING 42745,A81000C,00200,0100,G 42745,A81000C,00200,0400,SUNRISE VILLAGE 42745,A81000C,00200,0600,ELDERLY HOUSING 42745,A81000C,00300,0100,G 42745,A81000C,00300,0400,CENTENNIAL SQUARE 42745,A81000C,00300,0600,ELDERLY/HANDICAP HOUSING 42745,A81000C,00400,0100,G 42745,A81000C,00400,0400,BETHESDA HOME FOUNDATION 42745,A81000C,00400,0600,FUNDRAISING 42745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42745,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42745,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42745,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42745,B100000,00000,0800,00000MEALS SERVED :DIETARY 42745,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42745,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42745,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42745,B100000,00000,1331,00000RESIDENT DAYS :ACTIVITIES 42745,E10A180,00501,0100,04/11/2000 42745,E10A180,00550,0300,04/11/2000 42745,S000000,00100,0200,02/28/2000 42745,S200000,00100,0100,1012 EAST THIRD STREET 42745,S200000,00200,0100,WILLMAR 42745,S200000,00200,0200,MN 42745,S200000,00200,0300,56201- 42745,S200000,00300,0100,KANDIYOHI 42745,S200000,00400,0100,BETHESDA HOMES-HERITAGE CENTER 42745,S200000,00400,0200,245532 42745,S200000,00400,0300,01/10/1989 42745,S200000,00400,0500,P 42745,S200000,01500,0100,Y 42749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42749,A000000,00300,0000,00300EMPLOYEE BENEFITS 42749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42749,A000000,00700,0000,00700HOUSEKEEPING 42749,A000000,00800,0000,00800DIETARY 42749,A000000,00900,0000,00900NURSING ADMINISTRATION 42749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42749,A000000,01100,0000,01100PHARMACY 42749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42749,A000000,01300,0000,01300SOCIAL SERVICE 42749,A000000,01350,0000,01500OTHER GENERAL SERVICES 42749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42749,A000000,01600,0000,01600SKILLED NURSING FACILITY 42749,A000000,01800,0000,01800NURSING FACILITY 42749,A000000,01900,0000,01900OTHER LONG TERM CARE 42749,A000000,02100,0000,02100RADIOLOGY 42749,A000000,02200,0000,02200LABORATORY 42749,A000000,02300,0000,02300INTRAVENOUS THERAPY 42749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42749,A000000,02500,0000,02500PHYSICAL THERAPY 42749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42749,A000000,02700,0000,02700SPEECH PATHOLOGY 42749,A000000,02800,0000,02800ELECTROCARDIOLOGY 42749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42749,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42749,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42749,A000000,03200,0000,03200SUPPORT SURFACES 42749,A000000,03400,0000,03400CLINIC 42749,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42749,A000000,03500,0000,03500RURAL HEALTH CLINIC 42749,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42749,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42749,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42749,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42749,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42749,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42749,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42749,A000000,04400,0000,04400DME RENTED - HHA 42749,A000000,04500,0000,04500DME SOLD - HHA 42749,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42749,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42749,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42749,A000000,04800,0000,04800AMBULANCE 42749,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42749,A000000,05000,0000,05000CORF 42749,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42749,A000000,05300,0000,05300INTEREST EXPENSE 42749,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42749,A000000,05500,0000,05500HOSPICE 42749,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42749,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42749,A000000,06100,0000,06100NONPAID WORKERS 42749,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42749,A000000,06200,0000,06200PATIENTS LAUNDRY 42749,A81000A,00100,0100,Y 42749,A81000B,00100,0300,OFFICE RENT 42749,A81000B,00200,0300,SPECIAL ASSESSMENT 42749,A81000C,00100,0100,B 42749,A81000C,00100,0200,DASSEL LAKESIDE COMM HOME 42749,A81000C,00100,0400,CITY OF DASSEL 42749,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42749,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42749,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42749,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42749,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42749,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42749,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42749,B100000,00000,0800,00000MEALS SERVED :DIETARY 42749,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42749,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42749,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42749,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42749,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42749,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42749,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42749,E10A180,00501,0300,04/26/2000 42749,S000000,00100,0200,02/29/2000 42749,S200000,00100,0100,439 WILLIAM AVENUE 42749,S200000,00100,0300,383 42749,S200000,00200,0100,DASSEL 42749,S200000,00200,0200,MN 42749,S200000,00200,0300,55325- 42749,S200000,00300,0100,MEEKER 42749,S200000,00400,0100,DASSEL LAKESIDE COMMUNITY HOME 42749,S200000,00400,0200,245533 42749,S200000,00400,0300,01/11/1989 42749,S200000,00400,0500,P 42749,S200000,00400,0600,O 42749,S200000,01500,0100,Y 42756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42756,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 42756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42756,A000000,00300,0000,00300EMPLOYEE BENEFITS 42756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42756,A000000,00700,0000,00700HOUSEKEEPING 42756,A000000,00800,0000,00800DIETARY 42756,A000000,00900,0000,00900NURSING ADMINISTRATION 42756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42756,A000000,01100,0000,01100PHARMACY 42756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42756,A000000,01300,0000,01300SOCIAL SERVICE 42756,A000000,01350,0000,01500OTHER GENERAL SERVICES 42756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42756,A000000,01600,0000,01600SKILLED NURSING FACILITY 42756,A000000,01800,0000,01800NURSING FACILITY 42756,A000000,01810,0000,01810ICF/MR 42756,A000000,01900,0000,01900OTHER LONG TERM CARE 42756,A000000,02100,0000,02100RADIOLOGY 42756,A000000,02200,0000,02200LABORATORY 42756,A000000,02300,0000,02300INTRAVENOUS THERAPY 42756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42756,A000000,02500,0000,02500PHYSICAL THERAPY 42756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42756,A000000,02700,0000,02700SPEECH PATHOLOGY 42756,A000000,02800,0000,02800ELECTROCARDIOLOGY 42756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42756,A000000,03200,0000,03200SUPPORT SURFACES 42756,A000000,03400,0000,03400CLINIC 42756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42756,A000000,03500,0000,03500RURAL HEALTH CLINIC 42756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42756,A000000,04800,0000,04800AMBULANCE 42756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42756,A000000,05000,0000,05000CORF 42756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42756,A000000,05300,0000,05300INTEREST EXPENSE 42756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42756,A000000,05500,0000,05500HOSPICE 42756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42756,A000000,06100,0000,06100NONPAID WORKERS 42756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42756,A000000,06200,0000,06200PATIENTS LAUNDRY 42756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42756,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 42756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42756,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42756,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42756,B100000,00000,0800,00000MEALS SERVED :DIETARY 42756,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42756,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42756,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42756,S000000,00100,0200,06/24/2000 42756,S200000,00100,0100,2375 SKILLMAN AVENUE EAST 42756,S200000,00200,0100,NORTH ST. PAUL 42756,S200000,00200,0200,MN 42756,S200000,00200,0300,55109- 42756,S200000,00300,0100,RAMSEY 42756,S200000,00300,0200,5120 42756,S200000,00300,0300,U 42756,S200000,00400,0100,N. ST. PAUL 42756,S200000,00400,0200,245534 42756,S200000,00400,0300,04/01/1989 42756,S200000,00400,0500,P 42756,S200000,01004,0500,O 42756,S200000,01500,0100,Y 42761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42761,A000000,00300,0000,00300EMPLOYEE BENEFITS 42761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42761,A000000,00700,0000,00700HOUSEKEEPING 42761,A000000,00800,0000,00800DIETARY 42761,A000000,00900,0000,00900NURSING ADMINISTRATION 42761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42761,A000000,01100,0000,01100PHARMACY 42761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42761,A000000,01300,0000,01300SOCIAL SERVICE 42761,A000000,01350,0000,01500OTHER GENERAL SERVICES 42761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42761,A000000,01600,0000,01600SKILLED NURSING FACILITY 42761,A000000,01800,0000,01800NURSING FACILITY 42761,A000000,01810,0000,01810ICF/MR 42761,A000000,01900,0000,01900OTHER LONG TERM CARE 42761,A000000,02100,0000,02100RADIOLOGY 42761,A000000,02200,0000,02200LABORATORY 42761,A000000,02300,0000,02300INTRAVENOUS THERAPY 42761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42761,A000000,02500,0000,02500PHYSICAL THERAPY 42761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42761,A000000,02700,0000,02700SPEECH PATHOLOGY 42761,A000000,02800,0000,02800ELECTROCARDIOLOGY 42761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42761,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42761,A000000,03200,0000,03200SUPPORT SURFACES 42761,A000000,03400,0000,03400CLINIC 42761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42761,A000000,03500,0000,03500RURAL HEALTH CLINIC 42761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42761,A000000,04800,0000,04800AMBULANCE 42761,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42761,A000000,05000,0000,05000CORF 42761,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42761,A000000,05300,0000,05300INTEREST EXPENSE 42761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42761,A000000,05500,0000,05500HOSPICE 42761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42761,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42761,A000000,06100,0000,06100NONPAID WORKERS 42761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42761,A000000,06200,0000,06200PATIENTS LAUNDRY 42761,A81000A,00100,0100,Y 42761,A81000B,00100,0300,HOME OFFICE COSTS 42761,A81000B,00200,0300,NURSING COSTS 42761,A81000B,00300,0300,CAP COST - RENT 42761,A81000B,00400,0300,CAP COST - BLDG DEPRECIATION 42761,A81000B,00500,0300,CAP COST - EQUIP IDEPRECIATION 42761,A81000B,00600,0300,CAP COST - INTEREST 42761,A81000B,00700,0300,CAP COST - AMORTIZATION 42761,A81000C,00100,0100,B 42761,A81000C,00100,0400,TEALWOOD CARE CENTER INC 42761,A81000C,00100,0600,NURSING HOME MANAGEMENT 42761,A81000C,00300,0100,A 42761,A81000C,00300,0200,SAM KAPLAN 42761,A81000C,00300,0400,LEANORD LOUIS 42761,A81000C,00300,0600,NURSING HOME OWNER 42761,A81000C,00400,0100,A 42761,A81000C,00400,0200,RALPH STRANGIS 42761,A81000C,00400,0400,LEONARD LOUIS 42761,A81000C,00400,0600,NURSING HOME OWNER 42761,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42761,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42761,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42761,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42761,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42761,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42761,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42761,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42761,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42761,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42761,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42761,E10A180,00350,0100,06/29/1999 42761,E10A180,00350,0300,06/29/1999 42761,S000000,00100,0200,05/18/2000 42761,S200000,00100,0100,115 N. LYNDALE 42761,S200000,00100,0300,306 42761,S200000,00200,0100,MABEL 42761,S200000,00200,0200,MN 42761,S200000,00200,0300,55954- 42761,S200000,00300,0100,FILLMORE 42761,S200000,00300,0200,24 42761,S200000,00300,0300,R 42761,S200000,00400,0100,GREEN LEA MANOR 42761,S200000,00400,0200,245536 42761,S200000,00400,0300,10/01/1995 42761,S200000,00400,0500,P 42761,S200000,01004,0500,O 42761,S200000,01600,0100,Y 42765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42765,A000000,00300,0000,00300EMPLOYEE BENEFITS 42765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42765,A000000,00700,0000,00700HOUSEKEEPING 42765,A000000,00800,0000,00800DIETARY 42765,A000000,00900,0000,00900NURSING ADMINISTRATION 42765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42765,A000000,01300,0000,01300SOCIAL SERVICE 42765,A000000,01600,0000,01600SKILLED NURSING FACILITY 42765,A000000,02200,0000,02200LABORATORY 42765,A000000,02500,0000,02500PHYSICAL THERAPY 42765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42765,A000000,02700,0000,02700SPEECH PATHOLOGY 42765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42765,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42765,A000000,05300,0000,05300INTEREST EXPENSE 42765,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42765,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42765,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42765,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42765,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42765,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42765,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42765,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42765,B100000,00000,0800,00000MEALS SERVED :DIETARY 42765,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42765,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42765,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42765,E10A180,00501,0300,04/25/2000 42765,E10A180,00550,0100,04/25/2000 42765,S000000,00100,0200,02/28/2000 42765,S200000,00100,0100,605 MAIN STREET 42765,S200000,00200,0100,STARBUCK 42765,S200000,00200,0200,MN 42765,S200000,00200,0300,56381- 42765,S200000,00300,0100,POPE 42765,S200000,00400,0100,MINNEWASKA LUTHERAN HOME 42765,S200000,00400,0200,245537 42765,S200000,00400,0300,07/27/1989 42765,S200000,00400,0500,P 42765,S200000,01500,0100,Y 42770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42770,A000000,00300,0000,00300EMPLOYEE BENEFITS 42770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42770,A000000,00700,0000,00700HOUSEKEEPING 42770,A000000,00800,0000,00800DIETARY 42770,A000000,00900,0000,00900NURSING ADMINISTRATION 42770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42770,A000000,01100,0000,01100PHARMACY 42770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42770,A000000,01300,0000,01300SOCIAL SERVICE 42770,A000000,01350,0000,01500OTHER GENERAL SERVICES 42770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42770,A000000,01600,0000,01600SKILLED NURSING FACILITY 42770,A000000,01800,0000,01800NURSING FACILITY 42770,A000000,01810,0000,01801ICF/MR 42770,A000000,01900,0000,01900OTHER LONG TERM CARE 42770,A000000,02100,0000,02100RADIOLOGY 42770,A000000,02200,0000,02200LABORATORY 42770,A000000,02300,0000,02300INTRAVENOUS THERAPY 42770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42770,A000000,02500,0000,02500PHYSICAL THERAPY 42770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42770,A000000,02700,0000,02700SPEECH PATHOLOGY 42770,A000000,02800,0000,02800ELECTROCARDIOLOGY 42770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42770,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42770,A000000,03200,0000,03200SUPPORT SURFACES 42770,A000000,03400,0000,03400CLINIC 42770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42770,A000000,03500,0000,03500RURAL HEALTH CLINIC 42770,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42770,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42770,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42770,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42770,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42770,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42770,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42770,A000000,04400,0000,04400DME RENTED - HHA 42770,A000000,04500,0000,04500DME SOLD - HHA 42770,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42770,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42770,A000000,04800,0000,04800AMBULANCE 42770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42770,A000000,05000,0000,05000CORF 42770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42770,A000000,05300,0000,05300INTEREST EXPENSE 42770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42770,A000000,05500,0000,05500HOSPICE 42770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42770,A000000,06100,0000,06100NONPAID WORKERS 42770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42770,A000000,06200,0000,06200PATIENTS LAUNDRY 42770,A81000A,00100,0100,Y 42770,A81000B,00100,0300,MANAGEMENT FEES 42770,A81000C,00100,0100,E 42770,A81000C,00100,0200,STEVE TJELTVEIT 42770,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42770,A81000C,00100,0600,OWNS & OPERATES N.H. 42770,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42770,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42770,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42770,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42770,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42770,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42770,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42770,B100000,00000,0800,00000MEALS SERVED :DIETARY 42770,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42770,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42770,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42770,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42770,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42770,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42770,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42770,S000000,00100,0200,02/29/2000 42770,S200000,00100,0100,2300 STEVENS AVENUE SOUTH 42770,S200000,00200,0100,MINNEAPOLIS 42770,S200000,00200,0200,MN 42770,S200000,00200,0300,55404- 42770,S200000,00300,0100,HENNEPIN 42770,S200000,00400,0100,FIRST CHRISTIAN CHURCH RESIDENCE 42770,S200000,00400,0200,245538 42770,S200000,00400,0300,11/01/1989 42770,S200000,00400,0500,P 42770,S200000,00400,0600,O 42770,S200000,01004,0500,O 42770,S200000,01600,0100,Y 42774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42774,A000000,00300,0000,00300EMPLOYEE BENEFITS 42774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42774,A000000,00700,0000,00700HOUSEKEEPING 42774,A000000,00800,0000,00800DIETARY 42774,A000000,00900,0000,00900NURSING ADMINISTRATION 42774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42774,A000000,01100,0000,01100PHARMACY 42774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42774,A000000,01300,0000,01300SOCIAL SERVICE 42774,A000000,01350,0000,01500OTHER GENERAL SERVICES 42774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42774,A000000,01600,0000,01600SKILLED NURSING FACILITY 42774,A000000,01800,0000,01800NURSING FACILITY 42774,A000000,01810,0000,01810ICF/MR 42774,A000000,01900,0000,01900OTHER LONG TERM CARE 42774,A000000,02100,0000,02100RADIOLOGY 42774,A000000,02200,0000,02200LABORATORY 42774,A000000,02300,0000,02300INTRAVENOUS THERAPY 42774,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42774,A000000,02500,0000,02500PHYSICAL THERAPY 42774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42774,A000000,02700,0000,02700SPEECH PATHOLOGY 42774,A000000,02800,0000,02800ELECTROCARDIOLOGY 42774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42774,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42774,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42774,A000000,03200,0000,03200SUPPORT SURFACES 42774,A000000,03400,0000,03400CLINIC 42774,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42774,A000000,03500,0000,03500RURAL HEALTH CLINIC 42774,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42774,A000000,04800,0000,04800AMBULANCE 42774,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42774,A000000,05000,0000,05000CORF 42774,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42774,A000000,05300,0000,05300INTEREST EXPENSE 42774,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42774,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42774,A000000,05500,0000,05500HOSPICE 42774,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42774,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42774,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42774,A000000,06100,0000,06100NONPAID WORKERS 42774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42774,A000000,06200,0000,06200PATIENTS LAUNDRY 42774,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42774,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42774,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42774,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42774,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42774,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42774,B100000,00000,0800,00000MEALS SERVED :DIETARY 42774,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 42774,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42774,E10A180,00501,0100,07/21/2000 42774,E10A180,00550,0300,07/21/2000 42774,I51R180,00501,0100,07/21/2000 42774,S000000,00100,0200,06/14/2000 42774,S200000,00100,0100,900 MAIN STREET 42774,S200000,00200,0100,LITTLEFORK 42774,S200000,00200,0200,MN 42774,S200000,00200,0300,55514- 42774,S200000,00300,0100,KOOCHING 42774,S200000,00300,0200,24 42774,S200000,00300,0300,R 42774,S200000,00400,0100,LITTLEFORK MEDICAL CENTER 42774,S200000,00400,0200,245542 42774,S200000,00400,0300,01/01/1980 42774,S200000,00400,0500,P 42774,S200000,01100,0200,243987 42774,S200000,01100,0300,01/12/1995 42774,S200000,01100,0500,P 42774,S200000,01500,0100,Y 42774,S51R000,00100,0100,900 MAIN STREET 42774,S51R000,00100,0200,KOOCHICHING 42774,S51R000,00200,0100,LITTLEFORK 42774,S51R000,00200,0200,MN 42774,S51R000,00200,0300,56653 42774,S51R000,01000,0100,BURTON HELLELOID MN 42774,S51R000,01000,0200,D48636 42779,S000000,00100,0200,06/01/2000 42784,S000000,00100,0200,01/29/2001 42788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42788,A000000,00300,0000,00300EMPLOYEE BENEFITS 42788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42788,A000000,00700,0000,00700HOUSEKEEPING 42788,A000000,00800,0000,00800DIETARY 42788,A000000,00900,0000,00900NURSING ADMINISTRATION 42788,A000000,01600,0000,01600SKILLED NURSING FACILITY 42788,A000000,02200,0000,02200LABORATORY 42788,A000000,02500,0000,02500PHYSICAL THERAPY 42788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42788,A000000,02700,0000,02700SPEECH PATHOLOGY 42788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42788,A000000,05300,0000,05300INTEREST EXPENSE 42788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42788,A000000,06151,0000,06301GUEST MEALS 42788,A000000,06152,0000,06302MEALS ON WHEELS 42788,A000000,06153,0000,06303DAY CARE 42788,A000000,06200,0000,06200PATIENTS LAUNDRY 42788,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42788,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42788,B100000,00000,0300,00003GROSS SALARY :EMPLOYEE BENEFITS 42788,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42788,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42788,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 42788,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42788,B100000,00000,0800,00003MEALS SERVED :DIETARY 42788,B100000,00000,0900,00003HOURS OF SERVICE :NURSING ADMINISTR 42788,S000000,00100,0200,01/31/2000 42788,S200000,00100,0100,300 GARFIELD AVE SE 42788,S200000,00200,0100,FERTILE 42788,S200000,00200,0200,MN 42788,S200000,00200,0300,56540- 42788,S200000,00300,0100,POLK 42788,S200000,00400,0100,FAIR MEADOWS NURSING HOME 42788,S200000,00400,0200,245545 42788,S200000,00400,0300,02/01/1991 42788,S200000,00400,0500,P 42788,S200000,01500,0100,Y 42788,S700003,00000,0100,1 42793,S000000,00100,0200,05/31/2000 42796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42796,A000000,00300,0000,00300EMPLOYEE BENEFITS 42796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42796,A000000,00700,0000,00700HOUSEKEEPING 42796,A000000,00800,0000,00800DIETARY 42796,A000000,00900,0000,00900NURSING ADMINISTRATION 42796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42796,A000000,01100,0000,01100PHARMACY 42796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42796,A000000,01300,0000,01300SOCIAL SERVICE 42796,A000000,01350,0000,01500OTHER GENERAL SERVICES 42796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42796,A000000,01600,0000,01600SKILLED NURSING FACILITY 42796,A000000,01800,0000,01800NURSING FACILITY 42796,A000000,01810,0000,01801ICF/MR 42796,A000000,01900,0000,01900OTHER LONG TERM CARE 42796,A000000,02100,0000,02100RADIOLOGY 42796,A000000,02200,0000,02200LABORATORY 42796,A000000,02300,0000,02300INTRAVENOUS THERAPY 42796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42796,A000000,02500,0000,02500PHYSICAL THERAPY 42796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42796,A000000,02700,0000,02700SPEECH PATHOLOGY 42796,A000000,02800,0000,02800ELECTROCARDIOLOGY 42796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42796,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42796,A000000,03200,0000,03200SUPPORT SURFACES 42796,A000000,03400,0000,03400CLINIC 42796,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42796,A000000,03500,0000,03500RURAL HEALTH CLINIC 42796,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42796,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42796,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42796,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42796,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42796,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42796,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42796,A000000,04400,0000,04400DME RENTED - HHA 42796,A000000,04500,0000,04500DME SOLD - HHA 42796,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42796,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42796,A000000,04800,0000,04800AMBULANCE 42796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42796,A000000,05000,0000,05000CORF 42796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42796,A000000,05300,0000,05300INTEREST EXPENSE 42796,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42796,A000000,05500,0000,05500HOSPICE 42796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42796,A000000,06100,0000,06100NONPAID WORKERS 42796,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42796,A000000,06200,0000,06200PATIENTS LAUNDRY 42796,A81000A,00100,0100,Y 42796,A81000B,00100,0300,MANAGEMENT FEES 42796,A81000C,00100,0100,E 42796,A81000C,00100,0200,JACOB GOERING-ADMINISTRAT 42796,A81000C,00100,0400,EBENEZER SOCIAL MINISTRIE 42796,A81000C,00100,0600,MANAGE NURSING HOME 42796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42796,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42796,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42796,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42796,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42796,B100000,00000,0800,00000MEALS SERVED :DIETARY 42796,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42796,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42796,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42796,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42796,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42796,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42796,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42796,E10A180,00550,0300,04/26/2000 42796,H510100,00000,0000,9924 42796,H510100,02400,0000,9924 42796,H710000,00501,0100,04/26/2000 42796,H710000,00501,0300,04/26/2000 42796,S000000,00100,0200,03/02/2000 42796,S200000,00100,0100,805 FIFTH STREET 42796,S200000,00200,0100,CLARKFIELD 42796,S200000,00200,0200,MN 42796,S200000,00200,0300,56223-0458 42796,S200000,00300,0100,YELLOW MEDICINE 42796,S200000,00400,0100,CLARKFIELD CARE CENTER 42796,S200000,00400,0200,245551 42796,S200000,00400,0300,01/01/1991 42796,S200000,00400,0500,P 42796,S200000,00800,0200,247152 42796,S200000,00800,0300,02/07/1984 42796,S200000,00800,0500,P 42796,S200000,01500,0100,Y 42800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42800,A000000,00300,0000,00300EMPLOYEE BENEFITS 42800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42800,A000000,00700,0000,00700HOUSEKEEPING 42800,A000000,00800,0000,00800DIETARY 42800,A000000,00900,0000,00900NURSING ADMINISTRATION 42800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42800,A000000,01100,0000,01100PHARMACY 42800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42800,A000000,01300,0000,01300SOCIAL SERVICE 42800,A000000,01350,0000,01500OTHER GENERAL SERVICES 42800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42800,A000000,01600,0000,01600SKILLED NURSING FACILITY 42800,A000000,01800,0000,01800NURSING FACILITY 42800,A000000,01810,0000,01810ICF/MR 42800,A000000,01900,0000,01900OTHER LONG TERM CARE 42800,A000000,02100,0000,02100RADIOLOGY 42800,A000000,02200,0000,02200LABORATORY 42800,A000000,02300,0000,02300INTRAVENOUS THERAPY 42800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42800,A000000,02500,0000,02500PHYSICAL THERAPY 42800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42800,A000000,02700,0000,02700SPEECH PATHOLOGY 42800,A000000,02800,0000,02800ELECTROCARDIOLOGY 42800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42800,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42800,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42800,A000000,03200,0000,03200SUPPORT SURFACES 42800,A000000,03400,0000,03400CLINIC 42800,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42800,A000000,03500,0000,03500RURAL HEALTH CLINIC 42800,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42800,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42800,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42800,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42800,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42800,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42800,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42800,A000000,04400,0000,04400DME RENTED - HHA 42800,A000000,04500,0000,04500DME SOLD - HHA 42800,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42800,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42800,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42800,A000000,04800,0000,04800AMBULANCE 42800,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42800,A000000,05000,0000,05000CORF 42800,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42800,A000000,05300,0000,05300INTEREST EXPENSE 42800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42800,A000000,05500,0000,05500HOSPICE 42800,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42800,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42800,A000000,06100,0000,06100NONPAID WORKERS 42800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42800,A000000,06200,0000,06200PATIENTS LAUNDRY 42800,A81000C,00100,0100,0 42800,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42800,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42800,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42800,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42800,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42800,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42800,B100000,00000,0800,00000MEALS SERVED :DIETARY 42800,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 42800,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42800,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42800,E10A180,00550,0100,07/28/2000 42800,E10A180,00550,0300,07/28/2000 42800,E10A180,00551,0100,07/24/2001 42800,E10A180,00551,0300,07/24/2001 42800,S000000,00100,0200,06/19/2000 42800,S200000,00100,0100,HIGHWAY 14 EAST 42800,S200000,00100,0300,219 42800,S200000,00200,0100,BALATON 42800,S200000,00200,0200,MN 42800,S200000,00200,0300,56115- 42800,S200000,00300,0100,LYON 42800,S200000,00300,0200,9924 42800,S200000,00300,0300,R 42800,S200000,00400,0100,COLONIAL MANOR OF BALATON 42800,S200000,00400,0200,245552 42800,S200000,00400,0300,04/01/1991 42800,S200000,00400,0500,P 42800,S200000,01600,0100,Y 42807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42807,A000000,00300,0000,00300EMPLOYEE BENEFITS 42807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42807,A000000,00700,0000,00700HOUSEKEEPING 42807,A000000,00800,0000,00800DIETARY 42807,A000000,00900,0000,00900NURSING ADMINISTRATION 42807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42807,A000000,01300,0000,01300SOCIAL SERVICE 42807,A000000,01301,0000,01301ACTIVITIES 42807,A000000,01600,0000,01600SKILLED NURSING FACILITY 42807,A000000,02200,0000,02200LABORATORY 42807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42807,A000000,02500,0000,02500PHYSICAL THERAPY 42807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42807,A000000,02700,0000,02700SPEECH PATHOLOGY 42807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42807,A000000,05300,0000,05300INTEREST EXPENSE 42807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42807,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42807,A000000,06151,0000,06301APARTMENTS 42807,A000000,06153,0000,06303MEALS ON WHEELS 42807,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42807,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42807,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42807,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42807,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42807,B100000,00000,0650,00003SQUARE FEET :LAUNDRY & LINEN SERVI 42807,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42807,B100000,00000,0800,00003MEALS SERVED :DIETARY 42807,B100000,00000,0950,00003RESIDENT DAYS :NURSING ADMINISTRAT 42807,B100000,00000,1250,00003RESIDENT DAYS :MEDICAL RECORDS & L 42807,B100000,00000,1330,00003RESIDENT DAYS :SOCIAL SERVICE 42807,B100000,00000,1331,00003RESIDENT DAYS :ACTIVITIES 42807,S000000,00100,0200,02/09/2000 42807,S200000,00100,0100,205 SE ELM STREET 42807,S200000,00100,0300,280 42807,S200000,00200,0100,RENVILLE 42807,S200000,00200,0200,MN 42807,S200000,00200,0300,56284- 42807,S200000,00300,0100,RENVILLE 42807,S200000,00300,0200,24 42807,S200000,00300,0300,R 42807,S200000,00400,0100,RENVILLA NURSING HOME 42807,S200000,00400,0200,245554 42807,S200000,00400,0300,04/01/1991 42807,S200000,00400,0500,P 42807,S200000,01500,0100,Y 42813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42813,A000000,00300,0000,00300EMPLOYEE BENEFITS 42813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42813,A000000,00700,0000,00700HOUSEKEEPING 42813,A000000,00800,0000,00800DIETARY 42813,A000000,00900,0000,00900NURSING ADMINISTRATION 42813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42813,A000000,01100,0000,01100PHARMACY 42813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42813,A000000,01300,0000,01300SOCIAL SERVICE 42813,A000000,01350,0000,01500OTHER GENERAL SERVICES 42813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42813,A000000,01600,0000,01600SKILLED NURSING FACILITY 42813,A000000,01800,0000,01800NURSING FACILITY 42813,A000000,01810,0000,01810ICF/MR 42813,A000000,01900,0000,01900OTHER LONG TERM CARE 42813,A000000,02100,0000,02100RADIOLOGY 42813,A000000,02200,0000,02200LABORATORY 42813,A000000,02300,0000,02300INTRAVENOUS THERAPY 42813,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42813,A000000,02500,0000,02500PHYSICAL THERAPY 42813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42813,A000000,02700,0000,02700SPEECH PATHOLOGY 42813,A000000,02800,0000,02800ELECTROCARDIOLOGY 42813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42813,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42813,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42813,A000000,03200,0000,03200SUPPORT SURFACES 42813,A000000,03400,0000,03400CLINIC 42813,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42813,A000000,03500,0000,03500RURAL HEALTH CLINIC 42813,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42813,A000000,04800,0000,04800AMBULANCE 42813,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42813,A000000,05000,0000,05000CORF 42813,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42813,A000000,05300,0000,05300INTEREST EXPENSE 42813,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42813,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42813,A000000,05500,0000,05500HOSPICE 42813,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42813,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42813,A000000,06100,0000,06100NONPAID WORKERS 42813,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42813,A000000,06200,0000,06200PATIENTS LAUNDRY 42813,A81000A,00100,0100,Y 42813,A81000B,00100,0300,MANAGEMENT FEES 42813,A81000B,00200,0300,CAPITAL COSTS 42813,A81000C,00100,0100,B 42813,A81000C,00100,0200,PRESBYTERIAN HOMES OF BLO 42813,A81000C,00100,0400,PRESBYTERIAN HOMES OF MN 42813,A81000C,00100,0600,MANAGEMENT COMPANY 42813,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42813,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42813,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42813,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42813,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42813,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42813,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42813,B100000,00000,0800,00000MEALS SERVED :DIETARY 42813,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42813,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42813,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42813,E10A180,00501,0300,04/27/2000 42813,S000000,00100,0200,03/02/2000 42813,S200000,00100,0100,401 WEST 95TH STREET 42813,S200000,00200,0100,BLOOMINGTON 42813,S200000,00200,0200,MN 42813,S200000,00200,0300,55420- 42813,S200000,00300,0100,HENNEPIN 42813,S200000,00300,0200,5120 42813,S200000,00300,0300,U 42813,S200000,00400,0100,PRESBYTERIAN HOMES OF BLOOMINGTON 42813,S200000,00400,0200,245556 42813,S200000,00400,0300,04/01/1991 42813,S200000,00400,0500,P 42813,S200000,01500,0100,Y 42817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42817,A000000,00300,0000,00300EMPLOYEE BENEFITS 42817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42817,A000000,00700,0000,00700HOUSEKEEPING 42817,A000000,00800,0000,00800DIETARY 42817,A000000,00900,0000,00900NURSING ADMINISTRATION 42817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42817,A000000,01100,0000,01100PHARMACY 42817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42817,A000000,01300,0000,01300SOCIAL SERVICE 42817,A000000,01600,0000,01600SKILLED NURSING FACILITY 42817,A000000,01800,0000,01800NURSING FACILITY 42817,A000000,01810,0000,01810ICF/MR 42817,A000000,01900,0000,01900OTHER LONG TERM CARE 42817,A000000,02100,0000,02100RADIOLOGY 42817,A000000,02200,0000,02200LABORATORY 42817,A000000,02300,0000,02300INTRAVENOUS THERAPY 42817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42817,A000000,02500,0000,02500PHYSICAL THERAPY 42817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42817,A000000,02700,0000,02700SPEECH PATHOLOGY 42817,A000000,02800,0000,02800ELECTROCARDIOLOGY 42817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42817,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42817,A000000,03200,0000,03200SUPPORT SURFACES 42817,A000000,03400,0000,03400CLINIC 42817,A000000,03500,0000,03500RURAL HEALTH CLINIC 42817,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42817,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42817,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42817,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42817,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42817,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42817,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42817,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42817,A000000,04400,0000,04400DME RENTED - HHA 42817,A000000,04500,0000,04500DME SOLD - HHA 42817,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42817,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42817,A000000,04800,0000,04800AMBULANCE 42817,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42817,A000000,05000,0000,05000CORF 42817,A000000,05010,0000,05010CMHC 42817,A000000,05020,0000,05020OPT 42817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42817,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42817,A000000,05300,0000,05300INTEREST EXPENSE 42817,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42817,A000000,05500,0000,05500HOSPICE 42817,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42817,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42817,A000000,06100,0000,06100NONPAID WORKERS 42817,A000000,06200,0000,06200PATIENTS LAUNDRY 42817,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42817,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42817,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42817,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42817,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42817,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42817,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42817,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42817,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42817,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42817,S000000,00100,0200,02/28/2000 42817,S200000,00100,0100,487 2ND STREET 42817,S200000,00200,0100,TRACY 42817,S200000,00200,0200,MN 42817,S200000,00200,0300,56175- 42817,S200000,00300,0100,LYON 42817,S200000,00300,0300,R 42817,S200000,00400,0100,TRACY NURSING HOME INC 42817,S200000,00400,0200,245557 42817,S200000,00400,0300,05/01/1991 42817,S200000,00400,0500,P 42817,S200000,01500,0100,Y 42817,S200000,02800,0100,Y 42823,S000000,00100,0200,02/08/2000 42826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42826,A000000,00300,0000,00300EMPLOYEE BENEFITS 42826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42826,A000000,00700,0000,00700HOUSEKEEPING 42826,A000000,00800,0000,00800DIETARY 42826,A000000,00900,0000,00900NURSING ADMINISTRATION 42826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42826,A000000,01100,0000,01100PHARMACY 42826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42826,A000000,01300,0000,01300SOCIAL SERVICE 42826,A000000,01350,0000,01500OTHER GENERAL SERVICES 42826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42826,A000000,01600,0000,01600SKILLED NURSING FACILITY 42826,A000000,01800,0000,01800NURSING FACILITY 42826,A000000,01900,0000,01900OTHER LONG TERM CARE 42826,A000000,02100,0000,02100RADIOLOGY 42826,A000000,02200,0000,02200LABORATORY 42826,A000000,02300,0000,02300INTRAVENOUS THERAPY 42826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42826,A000000,02500,0000,02500PHYSICAL THERAPY 42826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42826,A000000,02700,0000,02700SPEECH PATHOLOGY 42826,A000000,02800,0000,02800ELECTROCARDIOLOGY 42826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42826,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42826,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42826,A000000,03200,0000,03200SUPPORT SURFACES 42826,A000000,03400,0000,03400CLINIC 42826,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42826,A000000,03500,0000,03500RURAL HEALTH CLINIC 42826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42826,A000000,04800,0000,04800AMBULANCE 42826,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42826,A000000,05000,0000,05000CORF 42826,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42826,A000000,05300,0000,05300INTEREST EXPENSE 42826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42826,A000000,05500,0000,05500HOSPICE 42826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42826,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42826,A000000,06100,0000,06100NONPAID WORKERS 42826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42826,A000000,06200,0000,06200PATIENTS LAUNDRY 42826,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42826,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42826,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42826,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42826,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42826,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42826,B100000,00000,0800,00000MEALS SERVED :DIETARY 42826,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42826,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42826,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42826,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42826,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42826,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42826,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42826,E10A180,00550,0300,04/04/2000 42826,S000000,00100,0200,02/28/2000 42826,S200000,00100,0300,188 42826,S200000,00200,0100,NEW YORK MILLS 42826,S200000,00200,0200,MN 42826,S200000,00200,0300,56567- 42826,S200000,00300,0100,WADENA 42826,S200000,00400,0100,ELDERS HOME INC. 42826,S200000,00400,0200,245562 42826,S200000,00400,0300,10/01/1990 42826,S200000,00400,0500,P 42826,S200000,01500,0100,Y 42830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42830,A000000,00300,0000,00300EMPLOYEE BENEFITS 42830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42830,A000000,00700,0000,00700HOUSEKEEPING 42830,A000000,00800,0000,00800DIETARY 42830,A000000,00900,0000,00900NURSING ADMINISTRATION 42830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42830,A000000,01100,0000,01100PHARMACY 42830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42830,A000000,01300,0000,01300SOCIAL SERVICE 42830,A000000,01350,0000,01500OTHER GENERAL SERVICES 42830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42830,A000000,01600,0000,01600SKILLED NURSING FACILITY 42830,A000000,01800,0000,01800NURSING FACILITY 42830,A000000,01900,0000,01900OTHER LONG TERM CARE 42830,A000000,02100,0000,02100RADIOLOGY 42830,A000000,02200,0000,02200LABORATORY 42830,A000000,02300,0000,02300INTRAVENOUS THERAPY 42830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42830,A000000,02500,0000,02500PHYSICAL THERAPY 42830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42830,A000000,02700,0000,02700SPEECH PATHOLOGY 42830,A000000,02800,0000,02800ELECTROCARDIOLOGY 42830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42830,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42830,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42830,A000000,03200,0000,03200SUPPORT SURFACES 42830,A000000,03400,0000,03400CLINIC 42830,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42830,A000000,03500,0000,03500RURAL HEALTH CLINIC 42830,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42830,A000000,04800,0000,04800AMBULANCE 42830,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42830,A000000,05000,0000,05000CORF 42830,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42830,A000000,05300,0000,05300INTEREST EXPENSE 42830,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42830,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42830,A000000,05500,0000,05500HOSPICE 42830,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42830,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42830,A000000,06100,0000,06100NONPAID WORKERS 42830,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42830,A000000,06200,0000,06200PATIENTS LAUNDRY 42830,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42830,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42830,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42830,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42830,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42830,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42830,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42830,B100000,00000,0800,00000MEALS SERVED :DIETARY 42830,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42830,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42830,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42830,S000000,00100,0200,02/14/2000 42830,S200000,00100,0300,130 42830,S200000,00200,0100,MENAHGA 42830,S200000,00200,0200,MN 42830,S200000,00200,0300,56464-0130 42830,S200000,00300,0100,WADENA 42830,S200000,00300,0300,R 42830,S200000,00400,0100,GREEN PINE ACRES NURSING HOME 42830,S200000,00400,0200,245563 42830,S200000,00400,0300,06/01/1991 42830,S200000,00400,0500,P 42830,S200000,01004,0500,O 42830,S200000,01500,0100,Y 42830,S200000,02200,0100,Y 42836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42836,A000000,00300,0000,00300EMPLOYEE BENEFITS 42836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42836,A000000,00700,0000,00700HOUSEKEEPING 42836,A000000,00800,0000,00800DIETARY 42836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42836,A000000,01600,0000,01600SKILLED NURSING FACILITY 42836,A000000,02100,0000,02100RADIOLOGY 42836,A000000,02200,0000,02200LABORATORY 42836,A000000,02500,0000,02500PHYSICAL THERAPY 42836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42836,A000000,04751,0000,05101INTEREST EXPENSE 42836,A81000A,00100,0100,Y 42836,A81000B,00100,0300,ADMINISTRATIVE 42836,A81000B,00200,0300,SNF THERAPY 42836,A81000B,00300,0300,HYSICAL THER 42836,A81000B,00400,0300,OCCUP 42836,A81000B,00500,0300,INT INC 42836,A81000C,00100,0100,G 42836,A81000C,00100,0200,ST FRANCIS HEALTH SERVICE 42836,A81000C,00100,0400,HEALTHCARE SERVICES 42836,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42836,B100000,00000,0250,00001PATIENT DAYS :CAP REL COSTS - MOVA 42836,B100000,00000,0300,00001GROSS SALARY :EMPLOYEE BENEFITS 42836,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42836,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42836,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 42836,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42836,B100000,00000,0850,00001PATIENT DAYS :DIETARY 42836,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 42836,S000000,00100,0200,10/30/2000 42836,S200000,00100,0100,114 JEFFERSON STREET SO 42836,S200000,00100,0300,1820 42836,S200000,00200,0100,BROWNS VALLEY 42836,S200000,00200,0200,MN 42836,S200000,00200,0300,56219- 42836,S200000,00300,0100,TRAVERSE 42836,S200000,00300,0200,0024 42836,S200000,00300,0300,R 42836,S200000,00400,0100,BROWNS VALLEY HEALTH CENTER 42836,S200000,00400,0200,245564 42836,S200000,00400,0300,06/01/1991 42836,S200000,00400,0500,P 42836,S200000,01500,0100,Y 42839,S000000,00100,0200,04/26/2000 42843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42843,A000000,00300,0000,00300EMPLOYEE BENEFITS 42843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42843,A000000,00700,0000,00700HOUSEKEEPING 42843,A000000,00800,0000,00800DIETARY 42843,A000000,00900,0000,00900NURSING ADMINISTRATION 42843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42843,A000000,01300,0000,01300SOCIAL SERVICE 42843,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42843,A000000,01600,0000,01600SKILLED NURSING FACILITY 42843,A000000,02100,0000,02100RADIOLOGY 42843,A000000,02200,0000,02200LABORATORY 42843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42843,A000000,02500,0000,02500PHYSICAL THERAPY 42843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42843,A000000,02700,0000,02700SPEECH PATHOLOGY 42843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42843,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42843,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42843,A000000,06150,0000,06300HERITAGE COURT/MEDICAL CLINIC 42843,A000000,06152,0000,06302DAY CARE 42843,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 42843,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 42843,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 42843,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 42843,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 42843,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 42843,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 42843,B100000,00000,0800,00002MEALS SERVED :DIETARY 42843,B100000,00000,0950,00002RESIDENT DAYS :NURSING ADMINISTRAT 42843,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 42843,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 42843,B100000,00000,1331,00002RESIDENT DAYS :ACTIVITIES AND CHAP 42843,E10A180,00501,0100,04/04/2000 42843,E10A180,00550,0300,04/04/2000 42843,S000000,00100,0200,02/18/2000 42843,S200000,00100,0100,EAST CEDAR STREET 42843,S200000,00200,0100,HOUSTON 42843,S200000,00200,0200,MN 42843,S200000,00200,0300,55943- 42843,S200000,00300,0100,HOUSTON 42843,S200000,00400,0100,VALLEY VIEW NURSING HOME 42843,S200000,00400,0200,245566 42843,S200000,00400,0300,07/01/1991 42843,S200000,00400,0500,P 42843,S200000,01500,0100,Y 42843,S200000,02800,0100,Y 42847,S000000,00100,0200,06/01/2000 42853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42853,A000000,00300,0000,00300EMPLOYEE BENEFITS 42853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42853,A000000,00700,0000,00700HOUSEKEEPING 42853,A000000,00800,0000,00800DIETARY 42853,A000000,00900,0000,00900NURSING ADMINISTRATION 42853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42853,A000000,01100,0000,01100PHARMACY 42853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42853,A000000,01300,0000,01300SOCIAL SERVICE 42853,A000000,01350,0000,01500OTHER GENERAL SERVICES 42853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42853,A000000,01600,0000,01600SKILLED NURSING FACILITY 42853,A000000,01800,0000,01800NURSING FACILITY 42853,A000000,01810,0000,01801ICF/MR 42853,A000000,01900,0000,01900OTHER LONG TERM CARE 42853,A000000,02100,0000,02100RADIOLOGY 42853,A000000,02200,0000,02200LABORATORY 42853,A000000,02300,0000,02300INTRAVENOUS THERAPY 42853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42853,A000000,02500,0000,02500PHYSICAL THERAPY 42853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42853,A000000,02700,0000,02700SPEECH PATHOLOGY 42853,A000000,02800,0000,02800ELECTROCARDIOLOGY 42853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42853,A000000,03200,0000,03200SUPPORT SURFACES 42853,A000000,03400,0000,03400CLINIC 42853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42853,A000000,03500,0000,03500RURAL HEALTH CLINIC 42853,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42853,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42853,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42853,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42853,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42853,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42853,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42853,A000000,04400,0000,04400DME RENTED - HHA 42853,A000000,04500,0000,04500DME SOLD - HHA 42853,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42853,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42853,A000000,04800,0000,04800AMBULANCE 42853,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42853,A000000,05000,0000,05000CORF 42853,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42853,A000000,05300,0000,05300INTEREST EXPENSE 42853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42853,A000000,05500,0000,05500HOSPICE 42853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42853,A000000,06100,0000,06100NONPAID WORKERS 42853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42853,A000000,06200,0000,06200PATIENTS LAUNDRY 42853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42853,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42853,B100000,00000,0800,00000MEALS SERVED :DIETARY 42853,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42853,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42853,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42853,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42853,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42853,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42853,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42853,S000000,00100,0200,02/28/2000 42853,S200000,00100,0100,400 SEVENTH STREET 42853,S200000,00200,0100,FULDA 42853,S200000,00200,0200,MN 42853,S200000,00200,0300,56131- 42853,S200000,00300,0100,MURRAY 42853,S200000,00400,0100,MAPLE LAWN NURSING HOME 42853,S200000,00400,0200,245570 42853,S200000,00400,0300,08/01/1991 42853,S200000,00400,0500,P 42853,S200000,01500,0100,Y 42853,S700003,00000,0100,1 42857,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42857,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42857,A000000,00300,0000,00300EMPLOYEE BENEFITS 42857,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42857,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42857,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42857,A000000,00700,0000,00700HOUSEKEEPING 42857,A000000,00800,0000,00800DIETARY 42857,A000000,00900,0000,00900NURSING ADMINISTRATION 42857,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42857,A000000,01100,0000,01100PHARMACY 42857,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42857,A000000,01300,0000,01300SOCIAL SERVICE 42857,A000000,01350,0000,01500OTHER GENERAL SERVICES 42857,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42857,A000000,01600,0000,01600SKILLED NURSING FACILITY 42857,A000000,01800,0000,01800NURSING FACILITY 42857,A000000,01810,0000,01801ICF/MR 42857,A000000,01900,0000,01900OTHER LONG TERM CARE 42857,A000000,02100,0000,02100RADIOLOGY 42857,A000000,02200,0000,02200LABORATORY 42857,A000000,02300,0000,02300INTRAVENOUS THERAPY 42857,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42857,A000000,02500,0000,02500PHYSICAL THERAPY 42857,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42857,A000000,02700,0000,02700SPEECH PATHOLOGY 42857,A000000,02800,0000,02800ELECTROCARDIOLOGY 42857,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42857,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42857,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42857,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42857,A000000,03200,0000,03200SUPPORT SURFACES 42857,A000000,03400,0000,03400CLINIC 42857,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42857,A000000,03500,0000,03500RURAL HEALTH CLINIC 42857,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42857,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42857,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42857,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42857,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42857,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42857,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42857,A000000,04400,0000,04400DME RENTED - HHA 42857,A000000,04500,0000,04500DME SOLD - HHA 42857,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42857,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42857,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42857,A000000,04800,0000,04800AMBULANCE 42857,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42857,A000000,05000,0000,05000CORF 42857,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42857,A000000,05300,0000,05300INTEREST EXPENSE 42857,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42857,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42857,A000000,05500,0000,05500HOSPICE 42857,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42857,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42857,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42857,A000000,06100,0000,06100NONPAID WORKERS 42857,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42857,A000000,06200,0000,06200PATIENTS LAUNDRY 42857,A81000A,00100,0100,Y 42857,A81000B,00100,0300,MANAGEMENT FEES 42857,A81000C,00100,0100,E 42857,A81000C,00100,0200,TERRY CHURCHILL 42857,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42857,A81000C,00100,0600,OWNS AND OPERATES N.H. 42857,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42857,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42857,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42857,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42857,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42857,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42857,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42857,B100000,00000,0800,00000MEALS SERVED :DIETARY 42857,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42857,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42857,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42857,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42857,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42857,B100000,00000,1350,00000COSTED REQUIS. :OTHER GENERAL SERV 42857,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 42857,S000000,00100,0200,02/29/2000 42857,S200000,00100,0100,714 MANOR DRIVE 42857,S200000,00200,0100,LAKEFIELD 42857,S200000,00200,0200,MN 42857,S200000,00200,0300,56150- 42857,S200000,00300,0100,JACKSON 42857,S200000,00400,0100,COLONIAL MANOR NURSING HOME 42857,S200000,00400,0200,245572 42857,S200000,00400,0300,05/01/1991 42857,S200000,00400,0500,P 42857,S200000,01500,0100,Y 42861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42861,A000000,00300,0000,00300EMPLOYEE BENEFITS 42861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42861,A000000,00700,0000,00700HOUSEKEEPING 42861,A000000,00800,0000,00800DIETARY 42861,A000000,00900,0000,00900NURSING ADMINISTRATION 42861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42861,A000000,01100,0000,01100PHARMACY 42861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42861,A000000,01300,0000,01300SOCIAL SERVICE 42861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42861,A000000,01600,0000,01600SKILLED NURSING FACILITY 42861,A000000,01810,0000,01810ICF/MR 42861,A000000,02100,0000,02100RADIOLOGY 42861,A000000,02200,0000,02200LABORATORY 42861,A000000,02300,0000,02300INTRAVENOUS THERAPY 42861,A000000,02500,0000,02500PHYSICAL THERAPY 42861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42861,A000000,02700,0000,02700SPEECH PATHOLOGY 42861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42861,A000000,03550,0000,03550FQHC 42861,A000000,05000,0000,05000CORF 42861,A000000,05010,0000,05010CMHC 42861,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 42861,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42861,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42861,A000000,06150,0000,06300NON-REIMBURSABLE COSTS 42861,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42861,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42861,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42861,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42861,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42861,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42861,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 42861,B100000,00000,0800,00000MEALS SERVED :DIETARY 42861,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 42861,S000000,00100,0200,02/29/2000 42861,S200000,00100,0100,1012 NORTH DIVISION STREET 42861,S200000,00100,0300,797 42861,S200000,00200,0100,CLARA CITY 42861,S200000,00200,0200,MN 42861,S200000,00200,0300,56222- 42861,S200000,00300,0100,CHIPPEWA 42861,S200000,00300,0300,R 42861,S200000,00400,0100,CLARA CITY CARE CENTER 42861,S200000,00400,0200,245573 42861,S200000,00400,0300,10/01/1991 42861,S200000,00400,0500,P 42861,S200000,01500,0100,Y 42861,S200000,02800,0100,Y 42865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42865,A000000,00300,0000,00300EMPLOYEE BENEFITS 42865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42865,A000000,00700,0000,00700HOUSEKEEPING 42865,A000000,00800,0000,00800DIETARY 42865,A000000,00900,0000,00900NURSING ADMINISTRATION 42865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42865,A000000,01300,0000,01300SOCIAL SERVICE 42865,A000000,01350,0000,01500OTHER GENERAL SERVICES 42865,A000000,01600,0000,01600SKILLED NURSING FACILITY 42865,A000000,02100,0000,02100RADIOLOGY 42865,A000000,02200,0000,02200LABORATORY 42865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42865,A000000,02500,0000,02500PHYSICAL THERAPY 42865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42865,A000000,02700,0000,02700SPEECH PATHOLOGY 42865,A000000,02800,0000,02800ELECTROCARDIOLOGY 42865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42865,A000000,04800,0000,04800AMBULANCE 42865,A000000,05300,0000,05300INTEREST EXPENSE 42865,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42865,A000000,06150,0000,06300MOBILE MEALS 42865,A81000A,00100,0100,Y 42865,A81000B,00100,0300,CORPORATE MANAGEMENT FEE 42865,A81000B,00200,0300,CORPORATE MANAGEMENT FEE 42865,A81000C,00100,0100,C 42865,A81000C,00100,0200,CORPORATE OFFICE 42865,A81000C,00100,0400,SHOLOM HOMES INC. 42865,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42865,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42865,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42865,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42865,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42865,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42865,B100000,00000,0800,00000MEALS SERVED :DIETARY 42865,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 42865,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42865,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42865,B100000,00000,1350,00000RESIDENT DAYS :OTHER GENERAL SERVI 42865,E10A180,00301,0100,11/24/1998 42865,E10A180,00350,0300,11/24/1998 42865,E10A180,00501,0100,04/04/2000 42865,E10A180,00550,0300,04/04/2000 42865,S000000,00100,0200,02/29/2000 42865,S200000,00100,0100,3620 PHILLIPS PKWY SOUTH 42865,S200000,00200,0100,ST. LOUIS PARK 42865,S200000,00200,0200,MN 42865,S200000,00200,0300,55426- 42865,S200000,00300,0100,HENNEPIN 42865,S200000,00400,0100,SHOLOM HOME WEST INC. 42865,S200000,00400,0200,245574 42865,S200000,00400,0300,07/16/1991 42865,S200000,00400,0500,P 42865,S200000,01500,0100,Y 42869,S000000,00100,0200,06/01/2000 42873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42873,A000000,00300,0000,00300EMPLOYEE BENEFITS 42873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42873,A000000,00700,0000,00700HOUSEKEEPING 42873,A000000,00800,0000,00800DIETARY 42873,A000000,00900,0000,00900NURSING ADMINISTRATION 42873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42873,A000000,01100,0000,01100PHARMACY 42873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42873,A000000,01300,0000,01300SOCIAL SERVICE 42873,A000000,01350,0000,01500OTHER GENERAL SERVICES 42873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42873,A000000,01600,0000,01600SKILLED NURSING FACILITY 42873,A000000,01800,0000,01800NURSING FACILITY 42873,A000000,01810,0000,01810ICF/MR 42873,A000000,01900,0000,01900OTHER LONG TERM CARE 42873,A000000,02100,0000,02100RADIOLOGY 42873,A000000,02101,0000,02101ASSISTED LIVING REVENUE OFFSET 42873,A000000,02200,0000,02200LABORATORY 42873,A000000,02300,0000,02300INTRAVENOUS THERAPY 42873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42873,A000000,02500,0000,02500PHYSICAL THERAPY 42873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42873,A000000,02700,0000,02700SPEECH PATHOLOGY 42873,A000000,02800,0000,02800ELECTROCARDIOLOGY 42873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42873,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42873,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42873,A000000,03200,0000,03200SUPPORT SURFACES 42873,A000000,03400,0000,03400CLINIC 42873,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42873,A000000,03500,0000,03500RURAL HEALTH CLINIC 42873,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42873,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42873,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42873,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42873,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42873,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42873,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42873,A000000,04400,0000,04400DME RENTED - HHA 42873,A000000,04500,0000,04500DME SOLD - HHA 42873,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42873,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42873,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42873,A000000,04800,0000,04800AMBULANCE 42873,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42873,A000000,05000,0000,05000CORF 42873,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42873,A000000,05300,0000,05300INTEREST EXPENSE 42873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42873,A000000,05500,0000,05500HOSPICE 42873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42873,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42873,A000000,06100,0000,06100NONPAID WORKERS 42873,A000000,06150,0000,06300ASSISTED LIVING FACILITY 42873,A000000,06200,0000,06200PATIENTS LAUNDRY 42873,A81000A,00100,0100,Y 42873,A81000B,00100,0300,ADMINISTRATION AND GENERAL 42873,A81000C,00100,0100,G 42873,A81000C,00100,0200,WADENA COUNTY 42873,A81000C,00100,0600,LOCAL GOVERNMENT 42873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42873,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 42873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42873,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 42873,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42873,B100000,00000,0800,00000MEALS SERVED :DIETARY 42873,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 42873,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 42873,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 42873,E10A180,00501,0100,04/11/2000 42873,E10A180,00502,0300,07/21/2000 42873,E10A180,00550,0300,04/11/2000 42873,E10A180,00551,0100,07/21/2000 42873,S000000,00100,0200,02/25/2000 42873,S200000,00100,0100,ROUTE 2 42873,S200000,00100,0300,12BB 42873,S200000,00200,0100,WADENA 42873,S200000,00200,0200,MN 42873,S200000,00200,0300,56482- 42873,S200000,00300,0100,WADENA 42873,S200000,00300,0200,24 42873,S200000,00300,0300,R 42873,S200000,00400,0100,SHADY LANE NURSING HOME 42873,S200000,00400,0200,245581 42873,S200000,00400,0300,11/01/1991 42873,S200000,00400,0500,P 42873,S200000,01500,0100,Y 42878,S000000,00100,0200,06/14/2000 42882,S000000,00100,0200,03/02/2000 42888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42888,A000000,00300,0000,00300EMPLOYEE BENEFITS 42888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42888,A000000,00700,0000,00700HOUSEKEEPING 42888,A000000,00800,0000,00800DIETARY 42888,A000000,00900,0000,00900NURSING ADMINISTRATION 42888,A000000,01300,0000,01300SOCIAL SERVICE 42888,A000000,01301,0000,01301ACTIVITIES 42888,A000000,01600,0000,01600SKILLED NURSING FACILITY 42888,A000000,02100,0000,02100RADIOLOGY 42888,A000000,02200,0000,02200LABORATORY 42888,A000000,02500,0000,02500PHYSICAL THERAPY 42888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42888,A000000,02700,0000,02700SPEECH PATHOLOGY 42888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42888,A000000,06150,0000,06300PRAIRIEVIEW PLACE 42888,A000000,06151,0000,06301CONGREGATE HOUSING MEALS 42888,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42888,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42888,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42888,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42888,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42888,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42888,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42888,B100000,00000,0800,00001MEALS SERVED :DIETARY 42888,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42888,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42888,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42888,S000000,00100,0200,06/05/2000 42888,S200000,00100,0100,303 7TH STREET SOUTH 42888,S200000,00200,0100,WHEATON 42888,S200000,00200,0200,MN 42888,S200000,00200,0300,56296- 42888,S200000,00300,0100,TRAVERSE 42888,S200000,00400,0100,TRAVERSE CARE CENTER 42888,S200000,00400,0200,245585 42888,S200000,00400,0300,10/01/1991 42888,S200000,00400,0500,P 42888,S200000,01500,0100,Y 42888,S200000,02800,0100,Y 42890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42890,A000000,00300,0000,00300EMPLOYEE BENEFITS 42890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42890,A000000,00700,0000,00700HOUSEKEEPING 42890,A000000,00800,0000,00800DIETARY 42890,A000000,00900,0000,00900NURSING ADMINISTRATION 42890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42890,A000000,01100,0000,01100PHARMACY 42890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42890,A000000,01300,0000,01300SOCIAL SERVICE 42890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42890,A000000,01600,0000,01600SKILLED NURSING FACILITY 42890,A000000,01800,0000,01800NURSING FACILITY 42890,A000000,01900,0000,01900OTHER LONG TERM CARE 42890,A000000,02100,0000,02100RADIOLOGY 42890,A000000,02200,0000,02200LABORATORY 42890,A000000,02300,0000,02300INTRAVENOUS THERAPY 42890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42890,A000000,02500,0000,02500PHYSICAL THERAPY 42890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42890,A000000,02700,0000,02700SPEECH PATHOLOGY 42890,A000000,02800,0000,02800ELECTROCARDIOLOGY 42890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42890,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42890,A000000,03200,0000,03200SUPPORT SURFACES 42890,A000000,03400,0000,03400CLINIC 42890,A000000,03500,0000,03500RURAL HEALTH CLINIC 42890,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42890,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42890,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42890,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42890,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42890,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42890,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42890,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42890,A000000,04400,0000,04400DME RENTED - HHA 42890,A000000,04500,0000,04500DME SOLD - HHA 42890,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42890,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42890,A000000,04800,0000,04800AMBULANCE 42890,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42890,A000000,05000,0000,05000CORF 42890,A000000,05010,0000,05010CMHC 42890,A000000,05020,0000,05020OPT 42890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42890,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42890,A000000,05300,0000,05300INTEREST EXPENSE 42890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42890,A000000,05500,0000,05500HOSPICE 42890,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42890,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42890,A000000,06100,0000,06100NONPAID WORKERS 42890,A000000,06200,0000,06200PATIENTS LAUNDRY 42890,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 42890,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42890,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42890,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42890,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42890,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42890,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42890,S000000,00100,0200,02/17/2000 42890,S200000,00100,0100,501 JONES AVENUE 42890,S200000,00100,0300,703 42890,S200000,00200,0100,BUHL 42890,S200000,00200,0200,MI 42890,S200000,00200,0300,55713- 42890,S200000,00300,0100,ST LOUIS 42890,S200000,00300,0200,2240 42890,S200000,00300,0300,U 42890,S200000,00400,0100,MESABI HOME 42890,S200000,00400,0200,245586 42890,S200000,00400,0300,09/01/1991 42890,S200000,00400,0500,P 42890,S200000,01004,0500,O 42890,S200000,01500,0100,Y 42896,S000000,00100,0200,06/05/2000 42902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42902,A000000,00300,0000,00300EMPLOYEE BENEFITS 42902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42902,A000000,00700,0000,00700HOUSEKEEPING 42902,A000000,00800,0000,00800DIETARY 42902,A000000,00900,0000,00900NURSING ADMINISTRATION 42902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42902,A000000,01100,0000,01100PHARMACY 42902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42902,A000000,01300,0000,01300SOCIAL SERVICE 42902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42902,A000000,01600,0000,01600SKILLED NURSING FACILITY 42902,A000000,01800,0000,01800NURSING FACILITY 42902,A000000,01810,0000,01810ICF/MR 42902,A000000,01900,0000,01900OTHER LONG TERM CARE 42902,A000000,02100,0000,02100RADIOLOGY 42902,A000000,02200,0000,02200LABORATORY 42902,A000000,02300,0000,02300INTRAVENOUS THERAPY 42902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42902,A000000,02500,0000,02500PHYSICAL THERAPY 42902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42902,A000000,02700,0000,02700SPEECH PATHOLOGY 42902,A000000,02800,0000,02800ELECTROCARDIOLOGY 42902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42902,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42902,A000000,03200,0000,03200SUPPORT SURFACES 42902,A000000,03400,0000,03400CLINIC 42902,A000000,03500,0000,03500RURAL HEALTH CLINIC 42902,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42902,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42902,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42902,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42902,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42902,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42902,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42902,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42902,A000000,04400,0000,04400DME RENTED - HHA 42902,A000000,04500,0000,04500DME SOLD - HHA 42902,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42902,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42902,A000000,04800,0000,04800AMBULANCE 42902,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42902,A000000,05000,0000,05000CORF 42902,A000000,05010,0000,05010CMHC 42902,A000000,05020,0000,05020OPT 42902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42902,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42902,A000000,05300,0000,05300INTEREST EXPENSE 42902,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42902,A000000,05500,0000,05500HOSPICE 42902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42902,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42902,A000000,06100,0000,06100NONPAID WORKERS 42902,A000000,06151,0000,06300OTHER NONREIMBURSABLE COST 42902,A000000,06200,0000,06200PATIENTS LAUNDRY 42902,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42902,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42902,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42902,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42902,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42902,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42902,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42902,E10A180,00501,0100,01/29/2001 42902,S000000,00100,0200,11/30/2000 42902,S200000,00100,0100,200 WEST SOO STREET 42902,S200000,00200,0100,PARKERS PRAIRIE 42902,S200000,00200,0200,MN 42902,S200000,00200,0300,56361- 42902,S200000,00300,0100,OTTERTAIL 42902,S200000,00300,0200,0024 42902,S200000,00300,0300,R 42902,S200000,00400,0100,ST WILLIAMS LIVING CENTER 42902,S200000,00400,0200,245588 42902,S200000,00400,0300,12/01/1991 42902,S200000,00400,0500,P 42902,S200000,01500,0100,Y 42904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42904,A000000,00300,0000,00300EMPLOYEE BENEFITS 42904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42904,A000000,00700,0000,00700HOUSEKEEPING 42904,A000000,00800,0000,00800DIETARY 42904,A000000,00900,0000,00900NURSING ADMINISTRATION 42904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42904,A000000,01300,0000,01300SOCIAL SERVICE 42904,A000000,01301,0000,01301ACTIVITIES 42904,A000000,01600,0000,01600SKILLED NURSING FACILITY 42904,A000000,02100,0000,02100RADIOLOGY 42904,A000000,02200,0000,02200LABORATORY 42904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42904,A000000,02500,0000,02500PHYSICAL THERAPY 42904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42904,A000000,02700,0000,02700SPEECH PATHOLOGY 42904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42904,A000000,06150,0000,06300WSETVIEW APARTMENTS 42904,A000000,06151,0000,06301ADULT DAY SERVICES 42904,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42904,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42904,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42904,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42904,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42904,B100000,00000,0650,00001RESIDENT DAYS :LAUNDRY & LINEN SER 42904,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42904,B100000,00000,0800,00001MEALS SERVED :DIETARY 42904,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42904,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42904,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42904,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES 42904,S000000,00100,0200,03/28/2000 42904,S200000,00100,0300,368 42904,S200000,00200,0100,BUFFALO LAKE 42904,S200000,00200,0200,MN 42904,S200000,00200,0300,55314- 42904,S200000,00300,0100,RENVILLE 42904,S200000,00400,0100,BUFFALO LAKE HEALTHCARE CENTER 42904,S200000,00400,0200,245589 42904,S200000,00400,0300,11/01/1986 42904,S200000,00400,0500,P 42904,S200000,01500,0100,Y 42911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42911,A000000,00300,0000,00300EMPLOYEE BENEFITS 42911,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL 42911,A000000,00402,0000,00402HOME OFFICE COSTS 42911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42911,A000000,00700,0000,00700HOUSEKEEPING 42911,A000000,00800,0000,00800DIETARY 42911,A000000,00900,0000,00900NURSING ADMINISTRATION 42911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42911,A000000,01100,0000,01100PHARMACY 42911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42911,A000000,01300,0000,01300SOCIAL SERVICE 42911,A000000,01301,0000,01301RELIGIOUS SERVICES 42911,A000000,01302,0000,01302ACTIVITIES 42911,A000000,01350,0000,01500OTHER GENERAL SERVICES 42911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42911,A000000,01600,0000,01600SKILLED NURSING FACILITY 42911,A000000,01800,0000,01800NURSING FACILITY 42911,A000000,01810,0000,01810ICF/MR 42911,A000000,01900,0000,01900OTHER LONG TERM CARE 42911,A000000,02100,0000,02100RADIOLOGY 42911,A000000,02200,0000,02200LABORATORY 42911,A000000,02300,0000,02300INTRAVENOUS THERAPY 42911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42911,A000000,02500,0000,02500PHYSICAL THERAPY 42911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42911,A000000,02700,0000,02700SPEECH PATHOLOGY 42911,A000000,02800,0000,02800ELECTROCARDIOLOGY 42911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42911,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42911,A000000,03200,0000,03200SUPPORT SURFACES 42911,A000000,03400,0000,03400CLINIC 42911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42911,A000000,03500,0000,03500RURAL HEALTH CLINIC 42911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42911,A000000,04400,0000,04400DME RENTED - HHA 42911,A000000,04500,0000,04500DME SOLD - HHA 42911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42911,A000000,04800,0000,04800AMBULANCE 42911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42911,A000000,05000,0000,05000CORF 42911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42911,A000000,05300,0000,05300INTEREST EXPENSE 42911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42911,A000000,05500,0000,05500HOSPICE 42911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42911,A000000,06100,0000,06100NONPAID WORKERS 42911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42911,A000000,06200,0000,06200PATIENTS LAUNDRY 42911,A81000A,00100,0100,Y 42911,A81000B,00100,0300,HOME OFFICE COSTS 42911,A81000B,00200,0300,CRC-BLDG 42911,A81000B,00300,0300,CRC-MME 42911,A81000C,00100,0100,B 42911,A81000C,00100,0200,LUTHERAN HOME ASSOCIATION 42911,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42911,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42911,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42911,B100000,00000,0401,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42911,B100000,00000,0402,00000 ACCUM. COST :HOME OFFICE COSTS 42911,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42911,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42911,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42911,B100000,00000,0800,00000MEALS SERVED :DIETARY 42911,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42911,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42911,B100000,00000,1331,00000PATIENT DAYS :RELIGIOUS SERVICES 42911,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 42911,E10A180,00501,0300,04/26/2000 42911,S000000,00100,0200,02/29/2000 42911,S200000,00100,0100,611 WEST MAIN STREET 42911,S200000,00200,0100,BELLE PLAINE 42911,S200000,00200,0200,WI 42911,S200000,00200,0300,56011- 42911,S200000,00300,0100,SCOTT 42911,S200000,00300,0200,5120 42911,S200000,00300,0300,U 42911,S200000,00400,0100,THE LUTHERAN HOME-BELLE PLAINE 42911,S200000,00400,0200,245590 42911,S200000,00400,0300,01/01/1992 42911,S200000,00400,0500,P 42911,S200000,01600,0100,Y 42911,S200000,02800,0100,Y 42914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42914,A000000,00300,0000,00300EMPLOYEE BENEFITS 42914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42914,A000000,00700,0000,00700HOUSEKEEPING 42914,A000000,00800,0000,00800DIETARY 42914,A000000,00900,0000,00900NURSING ADMINISTRATION 42914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42914,A000000,01100,0000,01100PHARMACY 42914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42914,A000000,01300,0000,01300SOCIAL SERVICE 42914,A000000,01350,0000,01500OTHER GENERAL SERVICES 42914,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42914,A000000,01600,0000,01600SKILLED NURSING FACILITY 42914,A000000,01800,0000,01800NURSING FACILITY 42914,A000000,01810,0000,01810ICF/MR 42914,A000000,01900,0000,01900OTHER LONG TERM CARE 42914,A000000,02100,0000,02100RADIOLOGY 42914,A000000,02200,0000,02200LABORATORY 42914,A000000,02300,0000,02300INTRAVENOUS THERAPY 42914,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42914,A000000,02500,0000,02500PHYSICAL THERAPY 42914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42914,A000000,02700,0000,02700SPEECH PATHOLOGY 42914,A000000,02800,0000,02800ELECTROCARDIOLOGY 42914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42914,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42914,A000000,03051,0000,03301MENTAL HEALTH 42914,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42914,A000000,03200,0000,03200SUPPORT SURFACES 42914,A000000,03400,0000,03400CLINIC 42914,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42914,A000000,03500,0000,03500RURAL HEALTH CLINIC 42914,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42914,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42914,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42914,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42914,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42914,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42914,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42914,A000000,04400,0000,04400DME RENTED - HHA 42914,A000000,04500,0000,04500DME SOLD - HHA 42914,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42914,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42914,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42914,A000000,04800,0000,04800AMBULANCE 42914,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42914,A000000,05000,0000,05000CORF 42914,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42914,A000000,05300,0000,05300INTEREST EXPENSE 42914,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42914,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42914,A000000,05500,0000,05500HOSPICE 42914,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42914,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42914,A000000,06100,0000,06100NONPAID WORKERS 42914,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42914,A000000,06151,0000,06301MARKETING EXPENSES 42914,A000000,06152,0000,06302MEMORIALS & GIFTS 42914,A000000,06153,0000,06303BAD DEBTS 42914,A000000,06200,0000,06200PATIENTS LAUNDRY 42914,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 42914,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 42914,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 42914,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 42914,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 42914,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 42914,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 42914,B100000,00000,0800,00003MEALS SERVED :DIETARY 42914,B100000,00000,0950,00003PRODUCT FTES :NURSING ADMINISTRAT 42914,B100000,00000,1000,00003COSTED REQUIS. :CENTRAL SERVICES & 42914,B100000,00000,1100,00003COSTED REQUIS. :PHARMACY 42914,B100000,00000,1250,00003SQUARE FEET :MEDICAL RECORDS & LIB 42914,B100000,00000,1330,00003SQUARE FEET :SOCIAL SERVICE 42914,B100000,00000,1350,00003NO STATISTICS :OTHER GENERAL SERVI 42914,B100000,00000,1400,00003ASSIGNED TIME :INTERNS & RESIDENTS 42914,E10A180,00550,0100,04/17/2001 42914,E10A180,00550,0300,04/17/2001 42914,S000000,00100,0200,02/26/2001 42914,S200000,00100,0100,123 BAKEN STREET 42914,S200000,00200,0100,THIEF RIVER FALLS 42914,S200000,00200,0200,MN 42914,S200000,00200,0300,56701- 42914,S200000,00300,0100,PENNINGTON 42914,S200000,00400,0100,OAKLAND PARK NURSING HOME 42914,S200000,00400,0200,245592 42914,S200000,00400,0300,12/01/1991 42914,S200000,00400,0500,P 42914,S200000,01500,0100,Y 42918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42918,A000000,00300,0000,00300EMPLOYEE BENEFITS 42918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42918,A000000,00700,0000,00700HOUSEKEEPING 42918,A000000,00800,0000,00800DIETARY 42918,A000000,00900,0000,00900NURSING ADMINISTRATION 42918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42918,A000000,01300,0000,01300SOCIAL SERVICE 42918,A000000,01301,0000,01301ACTIVITIES AND CHAPLAIN 42918,A000000,01600,0000,01600SKILLED NURSING FACILITY 42918,A000000,02100,0000,02100RADIOLOGY 42918,A000000,02200,0000,02200LABORATORY 42918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42918,A000000,02500,0000,02500PHYSICAL THERAPY 42918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42918,A000000,02700,0000,02700SPEECH PATHOLOGY 42918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42918,A000000,06151,0000,06301MEALS ON WHEELS 42918,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 42918,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 42918,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 42918,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 42918,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 42918,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 42918,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 42918,B100000,00000,0800,00001MEALS SERVED :DIETARY 42918,B100000,00000,0950,00001RESIDENT DAYS :NURSING ADMINISTRAT 42918,B100000,00000,1250,00001RESIDENT DAYS :MEDICAL RECORDS & L 42918,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 42918,B100000,00000,1331,00001RESIDENT DAYS :ACTIVITIES AND CHAP 42918,E10A180,00501,0100,04/07/2000 42918,E10A180,00501,0300,04/07/2000 42918,S000000,00100,0200,02/22/2000 42918,S200000,00100,0100,96 THIRD STREET 42918,S200000,00200,0100,MORGAN 42918,S200000,00200,0200,MN 42918,S200000,00200,0300,56266- 42918,S200000,00300,0100,REDWOOD 42918,S200000,00400,0100,GIL-MOR MANOR 42918,S200000,00400,0200,245594 42918,S200000,00400,0300,11/01/1991 42918,S200000,00400,0500,P 42918,S200000,01500,0100,Y 42918,S200000,02800,0100,Y 42924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42924,A000000,00300,0000,00300EMPLOYEE BENEFITS 42924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42924,A000000,00700,0000,00700HOUSEKEEPING 42924,A000000,00800,0000,00800DIETARY 42924,A000000,00900,0000,00900NURSING ADMINISTRATION 42924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42924,A000000,01100,0000,01100PHARMACY 42924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42924,A000000,01300,0000,01300SOCIAL SERVICE 42924,A000000,01350,0000,01500OTHER GENERAL SERVICES 42924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42924,A000000,01600,0000,01600SKILLED NURSING FACILITY 42924,A000000,01800,0000,01800NURSING FACILITY 42924,A000000,01810,0000,01801ICF/MR 42924,A000000,01900,0000,01900OTHER LONG TERM CARE 42924,A000000,02100,0000,02100RADIOLOGY 42924,A000000,02200,0000,02200LABORATORY 42924,A000000,02300,0000,02300INTRAVENOUS THERAPY 42924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42924,A000000,02500,0000,02500PHYSICAL THERAPY 42924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42924,A000000,02700,0000,02700SPEECH PATHOLOGY 42924,A000000,02800,0000,02800ELECTROCARDIOLOGY 42924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42924,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42924,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42924,A000000,03200,0000,03200SUPPORT SURFACES 42924,A000000,03400,0000,03400CLINIC 42924,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42924,A000000,03500,0000,03500RURAL HEALTH CLINIC 42924,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42924,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42924,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42924,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42924,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42924,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42924,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42924,A000000,04400,0000,04400DME RENTED - HHA 42924,A000000,04500,0000,04500DME SOLD - HHA 42924,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42924,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42924,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42924,A000000,04800,0000,04800AMBULANCE 42924,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42924,A000000,05000,0000,05000CORF 42924,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42924,A000000,05300,0000,05300INTEREST EXPENSE 42924,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42924,A000000,05500,0000,05500HOSPICE 42924,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42924,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42924,A000000,06100,0000,06100NONPAID WORKERS 42924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42924,A000000,06200,0000,06200PATIENTS LAUNDRY 42924,A81000A,00100,0100,Y 42924,A81000B,00100,0300,RELATED PARTY INTEREST EXPENSE 42924,A81000C,00100,0100,F 42924,A81000C,00100,0200,BARB & RICHARD ATCHISON 42924,A81000C,00100,0400,BETTY ATCHISON 42924,A81000C,00100,0600,RELATIVE 42924,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42924,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42924,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42924,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42924,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42924,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42924,B100000,00000,0700,00000SQUARE FEETHOUSEK :HOUSEKEEPING 42924,B100000,00000,0800,00000MEALS SERVED :DIETARY 42924,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42924,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 42924,B100000,00000,1150,00000NO STATISTICS :PHARMACY 42924,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42924,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42924,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42924,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 42924,E10A180,00550,0300,04/11/2000 42924,S000000,00100,0200,02/28/2000 42924,S200000,00100,0100,1307 SOUTH SHORE DRIVE 42924,S200000,00100,0300,69 42924,S200000,00200,0100,WORTHINGTON 42924,S200000,00200,0200,MN 42924,S200000,00200,0300,55187- 42924,S200000,00300,0100,WORTHINGTON 42924,S200000,00400,0100,SOUTH SHORE CARE CENTER 42924,S200000,00400,0200,245596 42924,S200000,00400,0300,01/01/1992 42924,S200000,00400,0500,P 42924,S200000,01500,0100,Y 42929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42929,A000000,00300,0000,00300EMPLOYEE BENEFITS 42929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42929,A000000,00700,0000,00700HOUSEKEEPING 42929,A000000,00800,0000,00800DIETARY 42929,A000000,00900,0000,00900NURSING ADMINISTRATION 42929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42929,A000000,01100,0000,01100PHARMACY 42929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42929,A000000,01300,0000,01300SOCIAL SERVICE 42929,A000000,01350,0000,01500OTHER GENERAL SERVICES 42929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42929,A000000,01600,0000,01600SKILLED NURSING FACILITY 42929,A000000,01800,0000,01800NURSING FACILITY 42929,A000000,01810,0000,01801ICF/MR 42929,A000000,01900,0000,01900OTHER LONG TERM CARE 42929,A000000,02100,0000,02100RADIOLOGY 42929,A000000,02200,0000,02200LABORATORY 42929,A000000,02300,0000,02300INTRAVENOUS THERAPY 42929,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42929,A000000,02500,0000,02500PHYSICAL THERAPY 42929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42929,A000000,02700,0000,02700SPEECH PATHOLOGY 42929,A000000,02800,0000,02800ELECTROCARDIOLOGY 42929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42929,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 42929,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42929,A000000,03200,0000,03200SUPPORT SURFACES 42929,A000000,03400,0000,03400CLINIC 42929,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 42929,A000000,03500,0000,03500RURAL HEALTH CLINIC 42929,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42929,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42929,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42929,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42929,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42929,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42929,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42929,A000000,04400,0000,04400DME RENTED - HHA 42929,A000000,04500,0000,04500DME SOLD - HHA 42929,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42929,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42929,A000000,04750,0000,05100OTHER REIMBURSABLE COST 42929,A000000,04800,0000,04800AMBULANCE 42929,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42929,A000000,05000,0000,05000CORF 42929,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42929,A000000,05300,0000,05300INTEREST EXPENSE 42929,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42929,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42929,A000000,05500,0000,05500HOSPICE 42929,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42929,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42929,A000000,06100,0000,06100NONPAID WORKERS 42929,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 42929,A000000,06200,0000,06200PATIENTS LAUNDRY 42929,A81000A,00100,0100,Y 42929,A81000B,00100,0300,MANAGEMENT FEES 42929,A81000C,00100,0100,E 42929,A81000C,00100,0200,JAC MCTAGGART 42929,A81000C,00100,0400,EBENEZER SOCIAL MINISTRY 42929,A81000C,00100,0600,OWNES AND MANAGES N.H. 42929,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42929,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42929,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42929,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42929,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42929,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 42929,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42929,B100000,00000,0800,00000MEALS SERVED :DIETARY 42929,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 42929,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 42929,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 42929,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 42929,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 42929,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 42929,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 42929,S000000,00100,0200,03/02/2000 42929,S200000,00100,0100,ROUTE 2 42929,S200000,00100,0300,4 42929,S200000,00200,0100,LAKE PARK 42929,S200000,00200,0200,MN 42929,S200000,00200,0300,56554- 42929,S200000,00300,0100,BECKER 42929,S200000,00400,0100,SUNNYSIDE CARE CENTER 42929,S200000,00400,0200,245597 42929,S200000,00400,0300,02/01/1992 42929,S200000,00400,0500,P 42929,S200000,01500,0100,Y 42929,S700003,00000,0100,1 42934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42934,A000000,00300,0000,00300EMPLOYEE BENEFITS 42934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42934,A000000,00700,0000,00700HOUSEKEEPING 42934,A000000,00800,0000,00800DIETARY 42934,A000000,00900,0000,00900NURSING ADMINISTRATION 42934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42934,A000000,01100,0000,01100PHARMACY 42934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42934,A000000,01300,0000,01300SOCIAL SERVICE 42934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42934,A000000,01600,0000,01600SKILLED NURSING FACILITY 42934,A000000,01800,0000,01800NURSING FACILITY 42934,A000000,01810,0000,01810ICF/MR 42934,A000000,01900,0000,01900OTHER LONG TERM CARE 42934,A000000,02100,0000,02100RADIOLOGY 42934,A000000,02200,0000,02200LABORATORY 42934,A000000,02300,0000,02300INTRAVENOUS THERAPY 42934,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42934,A000000,02500,0000,02500PHYSICAL THERAPY 42934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42934,A000000,02700,0000,02700SPEECH PATHOLOGY 42934,A000000,02800,0000,02800ELECTROCARDIOLOGY 42934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42934,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42934,A000000,03200,0000,03200SUPPORT SURFACES 42934,A000000,03400,0000,03400CLINIC 42934,A000000,03500,0000,03500RURAL HEALTH CLINIC 42934,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 42934,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42934,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42934,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42934,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42934,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42934,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42934,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42934,A000000,04400,0000,04400DME RENTED - HHA 42934,A000000,04500,0000,04500DME SOLD - HHA 42934,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42934,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42934,A000000,04800,0000,04800AMBULANCE 42934,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42934,A000000,05000,0000,05000CORF 42934,A000000,05010,0000,05010CMHC 42934,A000000,05020,0000,05020OPT 42934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 42934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 42934,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42934,A000000,05300,0000,05300INTEREST EXPENSE 42934,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42934,A000000,05500,0000,05500HOSPICE 42934,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42934,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42934,A000000,06100,0000,06100NONPAID WORKERS 42934,A000000,06150,0000,06300SENIOR APARTMENTS 42934,A000000,06200,0000,06200PATIENTS LAUNDRY 42934,A81000A,00100,0100,Y 42934,A81000B,00100,0300,PROVIDENCE LEASE 42934,A81000B,00200,0300,PROVIDENCE LEASE 42934,A81000C,00100,0100,B 42934,A81000C,00100,0200,ST MARY OF PROVIDENCE 42934,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 42934,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 42934,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42934,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 42934,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 42934,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 42934,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 42934,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 42934,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 42934,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 42934,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 42934,E10A180,00501,0300,02/09/2001 42934,E10A180,00550,0100,02/09/2001 42934,S000000,00100,0200,01/25/2001 42934,S200000,00100,0100,700 3RD AVENUE NW 42934,S200000,00200,0100,SLEEPY EYE 42934,S200000,00200,0200,MN 42934,S200000,00200,0300,56085- 42934,S200000,00300,0100,BROWN 42934,S200000,00300,0200,0024 42934,S200000,00300,0300,R 42934,S200000,00400,0100,DIVINE PROVIDENCE C/H 42934,S200000,00400,0200,245599 42934,S200000,00400,0300,10/01/1991 42934,S200000,00400,0500,P 42934,S200000,01500,0100,Y 42934,S200000,02800,0100,Y 42936,S000000,00100,0200,10/10/2000 42937,S000000,00100,0200,11/29/1999 42938,S000000,00100,0200,12/06/2000 42940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42940,A000000,00300,0000,00300EMPLOYEE BENEFITS 42940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42940,A000000,00700,0000,00700HOUSEKEEPING 42940,A000000,00800,0000,00800DIETARY 42940,A000000,00900,0000,00900NURSING ADMINISTRATION 42940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42940,A000000,01100,0000,01100PHARMACY 42940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42940,A000000,01300,0000,01300SOCIAL SERVICE 42940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42940,A000000,01600,0000,01600SKILLED NURSING FACILITY 42940,A000000,01800,0000,01800NURSING FACILITY 42940,A000000,01900,0000,01900OTHER LONG TERM CARE 42940,A000000,02100,0000,02100RADIOLOGY 42940,A000000,02200,0000,02200LABORATORY 42940,A000000,02300,0000,02300INTRAVENOUS THERAPY 42940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42940,A000000,02500,0000,02500PHYSICAL THERAPY 42940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42940,A000000,02700,0000,02700SPEECH PATHOLOGY 42940,A000000,02800,0000,02800ELECTROCARDIOLOGY 42940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42940,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42940,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42940,A000000,03200,0000,03200SUPPORT SURFACES 42940,A000000,03400,0000,03400CLINIC 42940,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 42940,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42940,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42940,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42940,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42940,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42940,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42940,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42940,A000000,04400,0000,04400DME RENTED - HHA 42940,A000000,04500,0000,04500DME SOLD - HHA 42940,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42940,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42940,A000000,04800,0000,04800AMBULANCE 42940,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42940,A000000,05000,0000,05000CORF 42940,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42940,A000000,05300,0000,05300INTEREST EXPENSE 42940,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42940,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42940,A000000,05500,0000,05500HOSPICE 42940,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42940,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42940,A000000,06100,0000,06100NONPAID WORKERS 42940,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 42940,A000000,06200,0000,06200PATIENTS LAUNDRY 42940,A81000A,00100,0100,Y 42940,A81000B,00100,0300,HOME OFFICE CAPITAL COST 42940,A81000B,00200,0300,HOME OFFICE EMPLOYEE BENEFITS 42940,A81000B,00300,0300,HOME OFFICE ADMIN SALARIES 42940,A81000B,00400,0300,HOME OFFICE ADMIN NON-SALARY 42940,A81000B,00500,0300,HOME OFFICE PLANT OPS 42940,A81000B,00600,0300,HOME OFFICE 42940,A81000C,00100,0100,B 42940,A81000C,00100,0200,BENCHMARK HEALTHCARE INC 42940,A81000C,00100,0400,BENCHMARK HEALTHCARE INC 42940,A81000C,00100,0600,MANAGEMENT SERVICE 42940,A81000C,00200,0100,C 42940,A81000C,00200,0200,BENCHMARK HEALTHCARE VILL 42940,A81000C,00200,0400,BENCHMARK HEALTHCARE VILL 42940,A81000C,00200,0600,NURSING HOME 42940,A81000C,00300,0100,D 42940,A81000C,00300,0200,BENCHMARK HEALTHCARE DARE 42940,A81000C,00300,0400,BENCHMARK HEALTHCARE DARE 42940,A81000C,00300,0600,NURSING 42940,A81000C,00400,0100,E 42940,A81000C,00400,0200,BENCHMARK HEALTHCARE WISC 42940,A81000C,00400,0400,BENCHMARK HEALTHCARE WISC 42940,A81000C,00400,0600,ICF/MR 42940,A81000C,00500,0100,F 42940,A81000C,00500,0200,BENCHMARK HEALTHCARE GREE 42940,A81000C,00500,0400,BENCHMARK HEALTHARE GREE 42940,A81000C,00500,0600,ICF/MR 42940,A81000C,00600,0100,G 42940,A81000C,00600,0200,BENCHMARK HEALTHCARE COMM 42940,A81000C,00600,0400,BENCHMARK HEALTHCARE COMM 42940,A81000C,00600,0600,CBRF PROGRAM 42940,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42940,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 42940,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42940,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42940,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42940,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 42940,B100000,00000,0850,00000PATIENT DAYS :DIETARY 42940,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42940,S000000,00100,0200,05/31/2000 42940,S200000,00100,0100,1620 OAK PARK NORTH 42940,S200000,00200,0100,MINNEAPOLIS 42940,S200000,00200,0200,MN 42940,S200000,00200,0300,55411- 42940,S200000,00300,0100,HENNEPIN 42940,S200000,00300,0200,5120 42940,S200000,00300,0300,U 42940,S200000,00400,0100,CONCORDIA CARE CENTER 42940,S200000,00400,0200,245603 42940,S200000,00400,0300,12/29/1998 42940,S200000,00400,0500,P 42940,S200000,01004,0500,O 42940,S200000,01500,0100,Y 42942,S000000,00100,0200,02/29/2000 42948,S000000,00100,0200,08/29/2000 42950,S000000,00100,0200,04/23/2001 42953,S000000,00100,0200,05/18/2000 42954,S000000,00100,0200,05/31/2000 42976,S000000,00100,0200,10/30/2000 42979,S000000,00100,0200,05/30/2000 42986,S000000,00100,0200,10/31/2000 42993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 42993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 42993,A000000,00300,0000,00300EMPLOYEE BENEFITS 42993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 42993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 42993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 42993,A000000,00700,0000,00700HOUSEKEEPING 42993,A000000,00800,0000,00800DIETARY 42993,A000000,00900,0000,00900NURSING ADMINISTRATION 42993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 42993,A000000,01100,0000,01100PHARMACY 42993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 42993,A000000,01300,0000,01300SOCIAL SERVICE 42993,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 42993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 42993,A000000,01600,0000,01600SKILLED NURSING FACILITY 42993,A000000,01800,0000,01800NURSING FACILITY 42993,A000000,01900,0000,01900OTHER LONG TERM CARE 42993,A000000,02100,0000,02100RADIOLOGY 42993,A000000,02200,0000,02200LABORATORY 42993,A000000,02300,0000,02300INTRAVENOUS THERAPY 42993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 42993,A000000,02500,0000,02500PHYSICAL THERAPY 42993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 42993,A000000,02700,0000,02700SPEECH PATHOLOGY 42993,A000000,02800,0000,02800ELECTROCARDIOLOGY 42993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 42993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 42993,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 42993,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 42993,A000000,03200,0000,03200SUPPORT SURFACES 42993,A000000,03400,0000,03400CLINIC 42993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 42993,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 42993,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 42993,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 42993,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 42993,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 42993,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 42993,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 42993,A000000,04400,0000,04400DME RENTED - HHA 42993,A000000,04500,0000,04500DME SOLD - HHA 42993,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 42993,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 42993,A000000,04800,0000,04800AMBULANCE 42993,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 42993,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 42993,A000000,05300,0000,05300INTEREST EXPENSE 42993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 42993,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 42993,A000000,05500,0000,05500HOSPICE 42993,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 42993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 42993,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 42993,A000000,06100,0000,06100NONPAID WORKERS 42993,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 42993,A000000,06200,0000,06200PATIENTS LAUNDRY 42993,A81000A,00100,0100,Y 42993,A81000B,00100,0300,MANAGEMENT FEE 42993,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 42993,A81000B,00300,0300,CAP RLTD MOVE EQUIP 42993,A81000C,00100,0100,B 42993,A81000C,00100,0200,HILLCREST CARE 42993,A81000C,00100,0400,LANTIS ENTERPRI 42993,A81000C,00100,0600,HEALTH CARE 42993,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 42993,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 42993,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 42993,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 42993,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 42993,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 42993,B100000,00000,0800,00000MEALS SERVED :DIETARY 42993,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 42993,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 42993,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 42993,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 42993,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 42993,E10A180,00501,0100,06/26/2000 42993,E10A180,00501,0300,06/26/2000 42993,S000000,00100,0200,05/31/2000 42993,S200000,00100,0100,RR 2 42993,S200000,00200,0100,HETTINGER 42993,S200000,00200,0200,ND 42993,S200000,00200,0300,58639-9504 42993,S200000,00300,0100,ADAMS 42993,S200000,00300,0200,0035 42993,S200000,00300,0300,R 42993,S200000,00400,0100,HILLCREST CARE CENTER 42993,S200000,00400,0200,355042 42993,S200000,00400,0300,05/01/1978 42993,S200000,00400,0500,P 42993,S200000,01500,0100,Y 43002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43002,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 43002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43002,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 43002,A000000,00300,0000,00300EMPLOYEE BENEFITS 43002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43002,A000000,00700,0000,00700HOUSEKEEPING 43002,A000000,00800,0000,00800DIETARY 43002,A000000,00801,0000,00801CAFETERIA 43002,A000000,00900,0000,00900NURSING ADMINISTRATION 43002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43002,A000000,01100,0000,01100PHARMACY 43002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43002,A000000,01300,0000,01300SOCIAL SERVICE 43002,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 43002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43002,A000000,01600,0000,01600SKILLED NURSING FACILITY 43002,A000000,01800,0000,01800NURSING FACILITY 43002,A000000,01900,0000,01900OTHER LONG TERM CARE 43002,A000000,02100,0000,02100RADIOLOGY 43002,A000000,02200,0000,02200LABORATORY 43002,A000000,02300,0000,02300INTRAVENOUS THERAPY 43002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43002,A000000,02500,0000,02500PHYSICAL THERAPY 43002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43002,A000000,02700,0000,02700SPEECH PATHOLOGY 43002,A000000,02800,0000,02800ELECTROCARDIOLOGY 43002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43002,A000000,03050,0000,03300OTHER ANCILLARY 43002,A000000,03051,0000,03301OTHER ANCILLARY II 43002,A000000,03052,0000,03302OTHER ANCILLARY III 43002,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43002,A000000,03200,0000,03200SUPPORT SURFACES 43002,A000000,03400,0000,03400CLINIC 43002,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 43002,A000000,03500,0000,03500RURAL HEALTH CLINIC 43002,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43002,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43002,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43002,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43002,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43002,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43002,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43002,A000000,04400,0000,04400DME RENTED - HHA 43002,A000000,04500,0000,04500DME SOLD - HHA 43002,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43002,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43002,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43002,A000000,04800,0000,04800AMBULANCE 43002,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43002,A000000,05000,0000,05000CORF 43002,A000000,05010,0000,05010CMHC I 43002,A000000,05020,0000,05020OPT I 43002,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43002,A000000,05300,0000,05300INTEREST EXPENSE 43002,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 43002,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 43002,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43002,A000000,05500,0000,05500HOSPICE 43002,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43002,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43002,A000000,06100,0000,06100NONPAID WORKERS 43002,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43002,A000000,06200,0000,06200PATIENTS LAUNDRY 43002,A81000A,00100,0100,Y 43002,A81000B,00100,0300,ADMIN FEES 43002,A81000B,00200,0300,CAPITAL/BLDGS 43002,A81000C,00100,0100,B 43002,A81000C,00100,0200,ROSEWOOD 43002,A81000C,00100,0400,BANNER HEALTH 43002,A81000C,00100,0600,HEALTHCARE 43002,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43002,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 43002,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43002,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 43002,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43002,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43002,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43002,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 43002,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 43002,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43002,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 43002,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 43002,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 43002,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 43002,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 43002,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 43002,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 43002,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 43002,S000000,00100,0200,05/25/2000 43002,S200000,00100,0100,1351 BROADWAY 43002,S200000,00200,0100,FARGO 43002,S200000,00200,0200,ND 43002,S200000,00200,0300,58102- 43002,S200000,00300,0100,CASS 43002,S200000,00400,0100,ROSEWOOD ON BROADWAY 43002,S200000,00400,0200,355047 43002,S200000,00400,0300,06/01/1978 43002,S200000,00400,0500,P 43002,S200000,01004,0500,O 43002,S200000,01500,0100,Y 43002,S200000,02100,0100,E 43002,S200000,02800,0100,Y 43018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43018,A000000,00300,0000,00300EMPLOYEE BENEFITS 43018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43018,A000000,00700,0000,00700HOUSEKEEPING 43018,A000000,00800,0000,00800DIETARY 43018,A000000,00900,0000,00900NURSING ADMINISTRATION 43018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43018,A000000,01100,0000,01100PHARMACY 43018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43018,A000000,01300,0000,01300SOCIAL SERVICE 43018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43018,A000000,01600,0000,01600SKILLED NURSING FACILITY 43018,A000000,01800,0000,01800NURSING FACILITY 43018,A000000,01810,0000,01810ICF/MR 43018,A000000,01900,0000,01900OTHER LONG TERM CARE 43018,A000000,02100,0000,02100RADIOLOGY 43018,A000000,02200,0000,02200LABORATORY 43018,A000000,02300,0000,02300INTRAVENOUS THERAPY 43018,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43018,A000000,02500,0000,02500PHYSICAL THERAPY 43018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43018,A000000,02700,0000,02700SPEECH PATHOLOGY 43018,A000000,02800,0000,02800ELECTROCARDIOLOGY 43018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43018,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43018,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43018,A000000,03200,0000,03200SUPPORT SURFACES 43018,A000000,03400,0000,03400CLINIC 43018,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 43018,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43018,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43018,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43018,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43018,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43018,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43018,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43018,A000000,04400,0000,04400DME RENTED - HHA 43018,A000000,04500,0000,04500DME SOLD - HHA 43018,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43018,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43018,A000000,04800,0000,04800AMBULANCE 43018,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43018,A000000,05000,0000,05000CORF 43018,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43018,A000000,05300,0000,05300INTEREST EXPENSE 43018,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 43018,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43018,A000000,05500,0000,05500HOSPICE 43018,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43018,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43018,A000000,06100,0000,06100NONPAID WORKERS 43018,A000000,06150,0000,06300BASIC CARE 43018,A000000,06151,0000,06301APARTMENTS 43018,A000000,06152,0000,06302HOSPITAL 43018,A000000,06200,0000,06200PATIENTS LAUNDRY 43018,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 43018,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 43018,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 43018,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 43018,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 43018,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 43018,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 43018,B100000,00000,0800,00002MEALS SERVED :DIETARY 43018,B100000,00000,0950,00002DIR NURSIN HRS OF:NURSING ADMINISTR 43018,B100000,00000,1000,00002COSTED REQUISITIO :CENTRAL SERVICE 43018,B100000,00000,1100,00002COSTED REQUISITIO :PHARMACY 43018,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 43018,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 43018,E10A180,00501,0100,06/26/1999 43018,E10A180,00550,0300,06/26/1999 43018,H510100,00000,0000,43 43018,H510100,02400,0000,43 43018,H710000,00501,0100,06/26/1999 43018,H710000,00501,0300,06/26/1999 43018,S000000,00100,0200,06/02/2000 43018,S200000,00100,0100,802 SECOND STREET NW 43018,S200000,00200,0100,BOWMAN 43018,S200000,00200,0200,NO 43018,S200000,00200,0300,58623- 43018,S200000,00300,0100,BOWMAN 43018,S200000,00300,0200,0035 43018,S200000,00300,0300,R 43018,S200000,00400,0100,SUNSET CARE CORPORATION 43018,S200000,00400,0200,355054 43018,S200000,00400,0300,01/01/1981 43018,S200000,00400,0500,P 43018,S200000,00800,0200,357036 43018,S200000,00800,0300,07/09/1985 43018,S200000,00800,0500,P 43018,S200000,01500,0100,Y 43022,S000000,00100,0200,05/18/2000 43032,A000000,00101,0000,00101SNF REL COSTS - BLDGS & FIXTURES 43032,A000000,00102,0000,00102BASIC CARE CAP REL COSTS 43032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43032,A000000,00700,0000,00700HOUSEKEEPING 43032,A000000,00800,0000,00800DIETARY 43032,A000000,01300,0000,01300SOCIAL SERVICE 43032,A000000,01301,0000,01301ACTIVITIES 43032,A000000,01600,0000,01600SKILLED NURSING FACILITY 43032,A000000,01800,0000,01800NURSING FACILITY 43032,A000000,02700,0000,02700SPEECH PATHOLOGY 43032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43032,A000000,05902,0000,05902CONDOS/HOUSES 43032,B100000,00000,0151,00002PERCENT :SNF REL COSTS - BLDGS & 43032,B100000,00000,0152,00002PERCENT :BASIC CARE CAP REL COSTS 43032,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 43032,B100000,00000,0550,00002PERCENT :PLANT OPERATION MAINT. 43032,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 43032,B100000,00000,0750,00002PERCENT :HOUSEKEEPING 43032,B100000,00000,0800,00002MEALS SERVED :DIETARY 43032,B100000,00000,1330,00002PERCENT :SOCIAL SERVICE 43032,B100000,00000,1331,00002PERCENT :ACTIVITIES 43032,S000000,00100,0200,11/30/2000 43032,S200000,00100,0100,1100 EAST BLVD 43032,S200000,00200,0100,BISMARCK 43032,S200000,00200,0200,ND 43032,S200000,00200,0300,58501- 43032,S200000,00300,0100,BURLEIGH 43032,S200000,00300,0200,1010 43032,S200000,00300,0300,U 43032,S200000,00400,0100,BAPTIST HOME 43032,S200000,00400,0200,355058 43032,S200000,00400,0300,07/01/1978 43032,S200000,00400,0500,P 43032,S200000,01600,0100,Y 43040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43040,A000000,00700,0000,00700HOUSEKEEPING 43040,A000000,00800,0000,00800DIETARY 43040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43040,A000000,01300,0000,01300SOCIAL SERVICE 43040,A000000,01351,0000,01301OTHER GENERAL SERVICE COST CENTERS 43040,A000000,01352,0000,01302OTHER GENERAL SERVICE COST CENTERS 43040,A000000,01600,0000,01600SKILLED NURSING FACILITY 43040,A000000,02100,0000,02100RADIOLOGY 43040,A000000,02200,0000,02200LABORATORY 43040,A000000,02500,0000,02500PHYSICAL THERAPY 43040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43040,A000000,04800,0000,04800AMBULANCE 43040,A000000,05300,0000,05300INTEREST EXPENSE 43040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43040,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43040,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43040,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 43040,B100000,00000,0800,00000MEALS SERVED :DIETARY 43040,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43040,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43040,B100000,00000,1351,00000TIME SPENT :OTHER GENERAL SERVICE 43040,B100000,00000,1352,00000TIME SPENT :OTHER GENERAL SERVICE 43040,E10A180,00501,0100,01/12/2001 43040,E10A180,00550,0300,01/12/2001 43040,S000000,00100,0200,11/24/2000 43040,S200000,00100,0100,4425 HILLVIEW AVENUE 43040,S200000,00200,0100,BISMARCK 43040,S200000,00200,0200,ND 43040,S200000,00200,0300,58501- 43040,S200000,00300,0100,BURKE 43040,S200000,00300,0200,1010 43040,S200000,00300,0300,U 43040,S200000,00400,0100,MISSOURI SLOPE LUTHERAN CARE CENTER 43040,S200000,00400,0200,355059 43040,S200000,00400,0300,07/01/1978 43040,S200000,00400,0500,P 43040,S200000,01500,0100,Y 43040,S200000,02800,0100,Y 43051,S000000,00100,0200,03/29/2000 43055,S000000,00100,0200,11/30/2000 43058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43058,A000000,00300,0000,00300EMPLOYEE BENEFITS 43058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43058,A000000,00700,0000,00700HOUSEKEEPING 43058,A000000,00800,0000,00800DIETARY 43058,A000000,00900,0000,00900NURSING ADMINISTRATION 43058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43058,A000000,01300,0000,01300SOCIAL SERVICE 43058,A000000,01301,0000,01301SNF-ACTIVITIES 43058,A000000,01600,0000,01600SKILLED NURSING FACILITY 43058,A000000,02100,0000,02100RADIOLOGY 43058,A000000,02200,0000,02200LABORATORY 43058,A000000,02500,0000,02500PHYSICAL THERAPY 43058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43058,A000000,02700,0000,02700SPEECH PATHOLOGY 43058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43058,A000000,03050,0000,03300AMBULANCE 43058,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43058,A81000A,00100,0100,Y 43058,A81000B,00100,0300,PURCH SALARY 43058,A81000B,00200,0300,PURCH SALARY 43058,A81000B,00300,0300,PURCH SALARY 43058,A81000B,00400,0300,PURCH SALARY 43058,A81000B,00500,0300,PURCH SALARY 43058,A81000B,00600,0300,PURCH SALARY 43058,A81000B,00700,0300,PURCH SALARY 43058,A81000C,00100,0100,B 43058,A81000C,00100,0400,MCO HEALTH SYS (PARENT) 43058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43058,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43058,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43058,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 43058,B100000,00000,0800,00000MEALS SERVED :DIETARY 43058,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 43058,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43058,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43058,B100000,00000,1301,00000TIME SPENT :SNF-ACTIVITIES 43058,E10A180,00501,0100,06/26/2000 43058,S000000,00100,0200,05/31/2000 43058,S200000,00100,0100,201 14TH STREET NW 43058,S200000,00200,0100,MANDAN 43058,S200000,00200,0200,ND 43058,S200000,00200,0300,58554- 43058,S200000,00300,0100,MORTON 43058,S200000,00400,0100,MEDCENTER ONE CARE CENTER 43058,S200000,00400,0200,355065 43058,S200000,00400,0300,03/01/1991 43058,S200000,00400,0500,P 43058,S200000,01500,0100,Y 43061,S000000,00100,0200,11/29/2000 43069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43069,A000000,00300,0000,00300EMPLOYEE BENEFITS 43069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43069,A000000,00700,0000,00700HOUSEKEEPING 43069,A000000,00800,0000,00800DIETARY 43069,A000000,00900,0000,00900NURSING ADMINISTRATION 43069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43069,A000000,01100,0000,01100PHARMACY 43069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43069,A000000,01300,0000,01300SOCIAL SERVICE 43069,A000000,01350,0000,01301ACTIVITIES & CHAPLAINCY 43069,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43069,A000000,01600,0000,01600SKILLED NURSING FACILITY 43069,A000000,01800,0000,01800NURSING FACILITY 43069,A000000,01810,0000,01810ICF/MR 43069,A000000,01900,0000,01900OTHER LONG TERM CARE 43069,A000000,02100,0000,02100RADIOLOGY 43069,A000000,02200,0000,02200LABORATORY 43069,A000000,02300,0000,02300INTRAVENOUS THERAPY 43069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43069,A000000,02500,0000,02500PHYSICAL THERAPY 43069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43069,A000000,02700,0000,02700SPEECH PATHOLOGY 43069,A000000,02800,0000,02800ELECTROCARDIOLOGY 43069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43069,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 43069,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43069,A000000,03200,0000,03200SUPPORT SURFACES 43069,A000000,03400,0000,03400CLINIC 43069,A000000,03500,0000,03500RURAL HEALTH CLINIC 43069,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 43069,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43069,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43069,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43069,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43069,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43069,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43069,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43069,A000000,04400,0000,04400DME RENTED - HHA 43069,A000000,04500,0000,04500DME SOLD - HHA 43069,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43069,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43069,A000000,04800,0000,04800AMBULANCE 43069,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43069,A000000,05000,0000,05000CORF 43069,A000000,05010,0000,05010CMHC 43069,A000000,05020,0000,05020OPT 43069,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 43069,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 43069,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43069,A000000,05300,0000,05300INTEREST EXPENSE 43069,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43069,A000000,05500,0000,05500HOSPICE 43069,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43069,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43069,A000000,06100,0000,06100NONPAID WORKERS 43069,A000000,06200,0000,06200PATIENTS LAUNDRY 43069,A81000A,00100,0100,Y 43069,A81000B,00100,0300,ACCOUNTING BILLING & ADMIN. 43069,A81000B,00200,0300,MEDICAL RECORDS PURCHASED SERVICE 43069,A81000B,00300,0300,SOCIAL SERVICE PURCHASED SERVICE 43069,A81000B,00400,0300,CHAPLAINCY PURCHASED SERVICE 43069,A81000B,00500,0300,ACTIVITIES PURCHASED SERVICE 43069,A81000B,00600,0300,NURSING PURCHASED SERVICE 43069,A81000C,00100,0100,B 43069,A81000C,00100,0400,VALLEY MEM. HOMES 43069,A81000C,00100,0600,MANAGEMENT 43069,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43069,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43069,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43069,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43069,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43069,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 43069,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 43069,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43069,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 43069,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 43069,B100000,00000,1350,00000TIME SPENT :ACTIVITIES & CHAPLAINC 43069,E10A180,00501,0100,04/26/2001 43069,E10A180,00550,0300,04/26/2001 43069,S000000,00100,0200,04/20/2001 43069,S200000,00100,0100,2900 14TH AVENUE SOUTH 43069,S200000,00200,0100,GRAND FORKS 43069,S200000,00200,0200,CA 43069,S200000,00200,0300,58201- 43069,S200000,00300,0100,GRAND FORKS 43069,S200000,00300,0200,2985 43069,S200000,00300,0300,U 43069,S200000,00400,0100,VALLEY ELDER CARE 43069,S200000,00400,0200,355067 43069,S200000,00400,0300,07/01/1978 43069,S200000,00400,0500,P 43069,S200000,01500,0100,Y 43083,S000000,00100,0200,11/09/2000 43088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43088,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 43088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43088,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 43088,A000000,00300,0000,00300EMPLOYEE BENEFITS 43088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43088,A000000,00700,0000,00700HOUSEKEEPING 43088,A000000,00800,0000,00800DIETARY 43088,A000000,00801,0000,00801CAFETERIA 43088,A000000,00900,0000,00900NURSING ADMINISTRATION 43088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43088,A000000,01100,0000,01100PHARMACY 43088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43088,A000000,01300,0000,01300SOCIAL SERVICE 43088,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 43088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43088,A000000,01600,0000,01600SKILLED NURSING FACILITY 43088,A000000,01800,0000,01800NURSING FACILITY 43088,A000000,01900,0000,01900OTHER LONG TERM CARE 43088,A000000,02100,0000,02100RADIOLOGY 43088,A000000,02200,0000,02200LABORATORY 43088,A000000,02300,0000,02300INTRAVENOUS THERAPY 43088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43088,A000000,02500,0000,02500PHYSICAL THERAPY 43088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43088,A000000,02700,0000,02700SPEECH PATHOLOGY 43088,A000000,02800,0000,02800ELECTROCARDIOLOGY 43088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43088,A000000,03050,0000,03300OTHER ANCILLARY 43088,A000000,03051,0000,03301OTHER ANCILLARY II 43088,A000000,03052,0000,03302OTHER ANCILLARY III 43088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43088,A000000,03200,0000,03200SUPPORT SURFACES 43088,A000000,03400,0000,03400CLINIC 43088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 43088,A000000,03500,0000,03500RURAL HEALTH CLINIC 43088,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43088,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43088,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43088,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43088,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43088,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43088,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43088,A000000,04400,0000,04400DME RENTED - HHA 43088,A000000,04500,0000,04500DME SOLD - HHA 43088,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43088,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43088,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43088,A000000,04800,0000,04800AMBULANCE 43088,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43088,A000000,05000,0000,05000CORF 43088,A000000,05010,0000,05010CMHC I 43088,A000000,05020,0000,05020OPT I 43088,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43088,A000000,05300,0000,05300INTEREST EXPENSE 43088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 43088,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 43088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43088,A000000,05500,0000,05500HOSPICE 43088,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43088,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43088,A000000,06100,0000,06100NONPAID WORKERS 43088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43088,A000000,06200,0000,06200PATIENTS LAUNDRY 43088,A81000A,00100,0100,Y 43088,A81000B,00100,0300,ADMIN FEES 43088,A81000B,00200,0300,CAPITAL BLDGS 43088,A81000C,00100,0100,B 43088,A81000C,00100,0200,SHEYENNE CARE C 43088,A81000C,00100,0400,BANNER HEALTH S 43088,A81000C,00100,0600,HEALTHCARE 43088,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43088,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43088,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43088,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43088,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 43088,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 43088,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43088,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 43088,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 43088,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 43088,S000000,00100,0200,05/30/2000 43088,S200000,00100,0100,979 NORTH CENTRAL AVE 43088,S200000,00200,0100,VALLEY CITY 43088,S200000,00200,0200,ND 43088,S200000,00200,0300,58072- 43088,S200000,00300,0100,BARNES 43088,S200000,00300,0200,9935 43088,S200000,00300,0300,R 43088,S200000,00400,0100,SHEYENNE CARE CENTER 43088,S200000,00400,0200,355077 43088,S200000,00400,0300,10/01/1978 43088,S200000,00400,0500,P 43088,S200000,01500,0100,Y 43088,S200000,02100,0100,E 43088,S200000,02800,0100,Y 43088,S200000,04300,0100,Y 43094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43094,A000000,00300,0000,00300EMPLOYEE BENEFITS 43094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43094,A000000,00700,0000,00700HOUSEKEEPING 43094,A000000,00800,0000,00800DIETARY 43094,A000000,00900,0000,00900NURSING ADMINISTRATION 43094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43094,A000000,01100,0000,01100PHARMACY 43094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43094,A000000,01300,0000,01300SOCIAL SERVICE 43094,A000000,01350,0000,01500OTHER GENERAL SERVICES 43094,A000000,01351,0000,01501ACTIVITY 43094,A000000,01352,0000,01502CHAPLAINCY 43094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43094,A000000,01600,0000,01600SKILLED NURSING FACILITY 43094,A000000,01800,0000,01800NURSING FACILITY 43094,A000000,01810,0000,01801ICF/MR 43094,A000000,01900,0000,01900OTHER LONG TERM CARE 43094,A000000,02100,0000,02100RADIOLOGY 43094,A000000,02200,0000,02200LABORATORY 43094,A000000,02300,0000,02300INTRAVENOUS THERAPY 43094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43094,A000000,02500,0000,02500PHYSICAL THERAPY 43094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43094,A000000,02700,0000,02700SPEECH PATHOLOGY 43094,A000000,02800,0000,02800ELECTROCARDIOLOGY 43094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43094,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43094,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43094,A000000,03200,0000,03200SUPPORT SURFACES 43094,A000000,03400,0000,03400CLINIC 43094,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 43094,A000000,03500,0000,03500RURAL HEALTH CLINIC 43094,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43094,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43094,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43094,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43094,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43094,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43094,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43094,A000000,04400,0000,04400DME RENTED - HHA 43094,A000000,04500,0000,04500DME SOLD - HHA 43094,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43094,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43094,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43094,A000000,04800,0000,04800AMBULANCE 43094,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43094,A000000,05000,0000,05000CORF 43094,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43094,A000000,05300,0000,05300INTEREST EXPENSE 43094,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 43094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43094,A000000,05500,0000,05500HOSPICE 43094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43094,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43094,A000000,06100,0000,06100NONPAID WORKERS 43094,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43094,A000000,06200,0000,06200PATIENTS LAUNDRY 43094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43094,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43094,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 43094,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43094,B100000,00000,0800,00000MEALS SERVED :DIETARY 43094,B100000,00000,0950,00000SQUARE FEET :NURSING ADMINISTRATIO 43094,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 43094,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 43094,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43094,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43094,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 43094,B100000,00000,1351,00000TIME SPENT :ACTIVITY 43094,B100000,00000,1352,00000TIME SPENT :CHAPLAINCY 43094,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 43094,E10A180,00501,0100,08/01/2000 43094,E10A180,00501,0300,08/01/2000 43094,S000000,00100,0200,05/31/2000 43094,S200000,00100,0100,1300 2ND PLACE NE 43094,S200000,00200,0100,JAMESTOWN 43094,S200000,00200,0200,ND 43094,S200000,00200,0300,58401- 43094,S200000,00300,0100,STUTSMAN 43094,S200000,00400,0100,HI-ACRES MANOR NURSING CENTER 43094,S200000,00400,0200,355078 43094,S200000,00400,0300,10/01/1978 43094,S200000,00400,0500,P 43094,S200000,00400,0600,P 43094,S200000,01004,0500,O 43094,S200000,01500,0100,Y 43099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43099,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 43099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43099,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 43099,A000000,00300,0000,00300EMPLOYEE BENEFITS 43099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43099,A000000,00700,0000,00700HOUSEKEEPING 43099,A000000,00800,0000,00800DIETARY 43099,A000000,00801,0000,00801CAFETERIA 43099,A000000,00900,0000,00900NURSING ADMINISTRATION 43099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43099,A000000,01100,0000,01100PHARMACY 43099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43099,A000000,01300,0000,01300SOCIAL SERVICE 43099,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 43099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43099,A000000,01600,0000,01600SKILLED NURSING FACILITY 43099,A000000,01800,0000,01800NURSING FACILITY 43099,A000000,01900,0000,01900OTHER LONG TERM CARE 43099,A000000,02100,0000,02100RADIOLOGY 43099,A000000,02200,0000,02200LABORATORY 43099,A000000,02300,0000,02300INTRAVENOUS THERAPY 43099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43099,A000000,02500,0000,02500PHYSICAL THERAPY 43099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43099,A000000,02700,0000,02700SPEECH PATHOLOGY 43099,A000000,02800,0000,02800ELECTROCARDIOLOGY 43099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43099,A000000,03050,0000,03300OTHER ANCILLARY 43099,A000000,03051,0000,03301OTHER ANCILLARY II 43099,A000000,03052,0000,03302OTHER ANCILLARY III 43099,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43099,A000000,03200,0000,03200SUPPORT SURFACES 43099,A000000,03400,0000,03400CLINIC 43099,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 43099,A000000,03500,0000,03500RURAL HEALTH CLINIC 43099,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43099,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43099,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43099,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43099,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43099,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43099,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43099,A000000,04400,0000,04400DME RENTED - HHA 43099,A000000,04500,0000,04500DME SOLD - HHA 43099,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43099,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43099,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43099,A000000,04800,0000,04800AMBULANCE 43099,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43099,A000000,05000,0000,05000CORF 43099,A000000,05010,0000,05010CMHC I 43099,A000000,05020,0000,05020OPT I 43099,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43099,A000000,05300,0000,05300INTEREST EXPENSE 43099,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 43099,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 43099,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43099,A000000,05500,0000,05500HOSPICE 43099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43099,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43099,A000000,06100,0000,06100NONPAID WORKERS 43099,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43099,A000000,06200,0000,06200PATIENTS LAUNDRY 43099,A81000A,00100,0100,Y 43099,A81000B,00100,0300,ADMIN FEES 43099,A81000B,00200,0300,CAPITAL BLDGS 43099,A81000C,00100,0100,B 43099,A81000C,00100,0200,VILLA MARIA 43099,A81000C,00100,0400,BANNER HEALTH 43099,A81000C,00100,0600,N/P HEALTHCARE 43099,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43099,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 43099,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43099,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 43099,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43099,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43099,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43099,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 43099,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 43099,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43099,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 43099,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 43099,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 43099,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 43099,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 43099,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 43099,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 43099,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 43099,S000000,00100,0200,06/10/2000 43099,S200000,00100,0100,3102 S UNIV DR 43099,S200000,00200,0100,FARGO 43099,S200000,00200,0200,ND 43099,S200000,00200,0300,58103- 43099,S200000,00300,0100,CASS 43099,S200000,00400,0100,VILLA MARIA HEALTHCARE 43099,S200000,00400,0200,355079 43099,S200000,00400,0300,12/31/1980 43099,S200000,00400,0500,P 43099,S200000,01004,0500,O 43099,S200000,01500,0100,Y 43099,S200000,02100,0100,E 43099,S200000,02200,0100,Y 43099,S200000,04300,0100,Y 43103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43103,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 43103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43103,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 43103,A000000,00300,0000,00300EMPLOYEE BENEFITS 43103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43103,A000000,00700,0000,00700HOUSEKEEPING 43103,A000000,00800,0000,00800DIETARY 43103,A000000,00801,0000,00801CAFETERIA 43103,A000000,00900,0000,00900NURSING ADMINISTRATION 43103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43103,A000000,01100,0000,01100PHARMACY 43103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43103,A000000,01300,0000,01300SOCIAL SERVICE 43103,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 43103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43103,A000000,01600,0000,01600SKILLED NURSING FACILITY 43103,A000000,01800,0000,01800NURSING FACILITY 43103,A000000,01900,0000,01900OTHER LONG TERM CARE 43103,A000000,02100,0000,02100RADIOLOGY 43103,A000000,02200,0000,02200LABORATORY 43103,A000000,02300,0000,02300INTRAVENOUS THERAPY 43103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43103,A000000,02500,0000,02500PHYSICAL THERAPY 43103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43103,A000000,02700,0000,02700SPEECH PATHOLOGY 43103,A000000,02800,0000,02800ELECTROCARDIOLOGY 43103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43103,A000000,03050,0000,03300OTHER ANCILLARY 43103,A000000,03051,0000,03301OTHER ANCILLARY II 43103,A000000,03052,0000,03302OTHER ANCILLARY III 43103,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43103,A000000,03200,0000,03200SUPPORT SURFACES 43103,A000000,03400,0000,03400CLINIC 43103,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 43103,A000000,03500,0000,03500RURAL HEALTH CLINIC 43103,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43103,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43103,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43103,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43103,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43103,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43103,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43103,A000000,04400,0000,04400DME RENTED - HHA 43103,A000000,04500,0000,04500DME SOLD - HHA 43103,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43103,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43103,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43103,A000000,04800,0000,04800AMBULANCE 43103,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43103,A000000,05000,0000,05000CORF 43103,A000000,05010,0000,05010CMHC I 43103,A000000,05020,0000,05020OPT I 43103,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43103,A000000,05300,0000,05300INTEREST EXPENSE 43103,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 43103,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 43103,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43103,A000000,05500,0000,05500HOSPICE 43103,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43103,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43103,A000000,06100,0000,06100NONPAID WORKERS 43103,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43103,A000000,06200,0000,06200PATIENTS LAUNDRY 43103,A81000A,00100,0100,Y 43103,A81000B,00100,0300,ADMIN FEES 43103,A81000B,00200,0300,CAPITAL 43103,A81000C,00100,0100,B 43103,A81000C,00100,0200,CENTRAL DAKOTA 43103,A81000C,00100,0400,BANNER HEALTH S 43103,A81000C,00100,0600,NONPROFIT 43103,A81000C,00200,0600,HEALTHCARE 43103,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43103,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 43103,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43103,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 43103,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43103,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43103,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43103,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 43103,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 43103,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43103,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 43103,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 43103,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 43103,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 43103,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 43103,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 43103,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 43103,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 43103,S000000,00100,0200,05/31/2000 43103,S200000,00100,0100,501 19TH ST NE 43103,S200000,00200,0100,JAMESTOWN 43103,S200000,00200,0200,ND 43103,S200000,00300,0100,STUTSMAN 43103,S200000,00400,0100,CENTRAL DAKOTA VILLAGE 43103,S200000,00400,0200,355082 43103,S200000,00400,0300,10/01/1978 43103,S200000,00400,0500,P 43103,S200000,01004,0500,O 43103,S200000,01500,0100,Y 43103,S200000,02100,0100,E 43103,S200000,02200,0100,Y 43103,S200000,04300,0100,Y 43103,S700003,00000,0100,1 43105,S000000,00100,0200,06/02/2000 43113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43113,A000000,00300,0000,00300EMPLOYEE BENEFITS 43113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43113,A000000,00700,0000,00700HOUSEKEEPING 43113,A000000,00800,0000,00800DIETARY 43113,A000000,00900,0000,00900NURSING ADMINISTRATION 43113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43113,A000000,01100,0000,01100PHARMACY 43113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43113,A000000,01300,0000,01300SOCIAL SERVICE 43113,A000000,01350,0000,01500OTHER GENERAL SERVICES 43113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43113,A000000,01600,0000,01600SKILLED NURSING FACILITY 43113,A000000,01800,0000,01800NURSING FACILITY 43113,A000000,01810,0000,01810ICF/MR 43113,A000000,01900,0000,01900OTHER LONG TERM CARE 43113,A000000,02100,0000,02100RADIOLOGY 43113,A000000,02200,0000,02200LABORATORY 43113,A000000,02300,0000,02300INTRAVENOUS THERAPY 43113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43113,A000000,02500,0000,02500PHYSICAL THERAPY 43113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43113,A000000,02700,0000,02700SPEECH PATHOLOGY 43113,A000000,02800,0000,02800ELECTROCARDIOLOGY 43113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43113,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43113,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43113,A000000,03200,0000,03200SUPPORT SURFACES 43113,A000000,03400,0000,03400CLINIC 43113,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 43113,A000000,03500,0000,03500RURAL HEALTH CLINIC 43113,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43113,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43113,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43113,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43113,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43113,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43113,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43113,A000000,04400,0000,04400DME RENTED - HHA 43113,A000000,04500,0000,04500DME SOLD - HHA 43113,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43113,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43113,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43113,A000000,04800,0000,04800AMBULANCE 43113,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43113,A000000,05000,0000,05000CORF 43113,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43113,A000000,05300,0000,05300INTEREST EXPENSE 43113,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 43113,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43113,A000000,05500,0000,05500HOSPICE 43113,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43113,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43113,A000000,06100,0000,06100NONPAID WORKERS 43113,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43113,A000000,06200,0000,06200PATIENTS LAUNDRY 43113,A81000A,00100,0100,Y 43113,A81000B,00100,0300,MANAGEMENT FEE 43113,A81000B,00200,0300,VARIOUS SUPPLIES 43113,A81000C,00100,0100,B 43113,A81000C,00100,0200,ELIM HOMES INC. 43113,A81000C,00100,0400,ELIM HOME - ADMINISTRATIO 43113,A81000C,00100,0600,MANAGEMENT SERVICES 43113,A81000C,00200,0100,G 43113,A81000C,00200,0200,ELIM PREFERRED SERVICES 43113,A81000C,00200,0600,MEDICAL & OTHER SUPPLIES 43113,A81000C,03100,0000,ELIM CARE INC. IS THE PARENT OF ALL 43113,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43113,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43113,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43113,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43113,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43113,B100000,00000,0650,00000RESIDENT DAY :LAUNDRY & LINEN SERV 43113,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43113,B100000,00000,0800,00000MEALS SERVED :DIETARY 43113,B100000,00000,0950,00000RESIDENT DAY :NURSING ADMINISTRATI 43113,B100000,00000,1250,00000RESIDENT DAY :MEDICAL RECORDS & LI 43113,B100000,00000,1330,00000RESIDENT DAY :SOCIAL SERVICE 43113,E10A180,00550,0300,04/20/2000 43113,S000000,00100,0200,02/29/2000 43113,S200000,00100,0100,3534 UNIVERSITY DRIVE S. 43113,S200000,00200,0100,FARGO 43113,S200000,00200,0200,ND 43113,S200000,00200,0300,58104-6295 43113,S200000,00300,0100,CASS 43113,S200000,00300,0200,2520 43113,S200000,00300,0300,U 43113,S200000,00400,0100,ELIM HOME - FARGO 43113,S200000,00400,0200,355085 43113,S200000,00400,0300,05/15/1984 43113,S200000,00400,0500,P 43113,S200000,01500,0100,Y 43122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43122,A000000,00300,0000,00300EMPLOYEE BENEFITS 43122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43122,A000000,00700,0000,00700HOUSEKEEPING 43122,A000000,00800,0000,00800DIETARY 43122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43122,A000000,01300,0000,01300SOCIAL SERVICE 43122,A000000,01350,0000,01500OTHER GENERAL SERVICES 43122,A000000,01600,0000,01600SKILLED NURSING FACILITY 43122,A000000,02100,0000,02100RADIOLOGY 43122,A000000,02200,0000,02200LABORATORY 43122,A000000,02500,0000,02500PHYSICAL THERAPY 43122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43122,A000000,06150,0000,06300OASIS 43122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43122,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43122,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43122,B100000,00000,0800,00000MEALS SERVED :DIETARY 43122,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43122,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43122,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 43122,E10A180,00501,0100,06/29/2000 43122,E10A180,00550,0300,06/29/2000 43122,S000000,00100,0200,05/31/2000 43122,S200000,00100,0100,201 S. UNIVERSITY 43122,S200000,00200,0100,FARGO 43122,S200000,00200,0200,ND 43122,S200000,00200,0300,58103- 43122,S200000,00300,0100,CASS 43122,S200000,00300,0200,2560 43122,S200000,00300,0300,U 43122,S200000,00400,0100,BETHANY CARE FACILITIES 43122,S200000,00400,0200,355086 43122,S200000,00400,0300,12/01/1978 43122,S200000,00400,0500,P 43122,S200000,01500,0100,Y 43131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43131,A000000,00300,0000,00300EMPLOYEE BENEFITS 43131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43131,A000000,00700,0000,00700HOUSEKEEPING 43131,A000000,00800,0000,00800DIETARY 43131,A000000,00900,0000,00900NURSING ADMINISTRATION 43131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43131,A000000,01100,0000,01100PHARMACY 43131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43131,A000000,01300,0000,01300SOCIAL SERVICE 43131,A000000,01350,0000,01500OTHER GENERAL SERVICES 43131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43131,A000000,01600,0000,01600SKILLED NURSING FACILITY 43131,A000000,01800,0000,01800NURSING FACILITY 43131,A000000,01810,0000,01810ICF/MR 43131,A000000,01900,0000,01900OTHER LONG TERM CARE 43131,A000000,02100,0000,02100RADIOLOGY 43131,A000000,02200,0000,02200LABORATORY 43131,A000000,02300,0000,02300INTRAVENOUS THERAPY 43131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43131,A000000,02500,0000,02500PHYSICAL THERAPY 43131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43131,A000000,02700,0000,02700SPEECH PATHOLOGY 43131,A000000,02800,0000,02800ELECTROCARDIOLOGY 43131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43131,A000000,03200,0000,03200SUPPORT SURFACES 43131,A000000,03400,0000,03400CLINIC 43131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 43131,A000000,03500,0000,03500RURAL HEALTH CLINIC 43131,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43131,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43131,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43131,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43131,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43131,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43131,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43131,A000000,04400,0000,04400DME RENTED - HHA 43131,A000000,04500,0000,04500DME SOLD - HHA 43131,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43131,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43131,A000000,04800,0000,04800AMBULANCE 43131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43131,A000000,05000,0000,05000CORF 43131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43131,A000000,05300,0000,05300INTEREST EXPENSE 43131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 43131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43131,A000000,05500,0000,05500HOSPICE 43131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43131,A000000,06100,0000,06100NONPAID WORKERS 43131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43131,A000000,06200,0000,06200PATIENTS LAUNDRY 43131,A81000A,00100,0100,Y 43131,A81000B,00100,0300,MANAGEMENT FEES 43131,A81000C,00100,0100,B 43131,A81000C,00100,0200,ST BENEDICTS HEALTH CENT 43131,A81000C,00100,0400,BENEDICTINE LIVING COMM 43131,A81000C,00100,0600,MANAGEMENT CONSULTING 43131,A81000C,00200,0100,B 43131,A81000C,00200,0200,ST BENEDICTS HEALTH CENT 43131,A81000C,00200,0400,BENEDICTINE HEALTH DIMENS 43131,A81000C,00200,0600,MANAGEMENT CONSULTING 43131,A81000C,00300,0100,B 43131,A81000C,00300,0200,ST BENEDICTS HEALTH CENT 43131,A81000C,00300,0400,BENEDICTINE HEALTH SYSTEM 43131,A81000C,00300,0600,MANAGEMENT CONSULTING 43131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43131,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 43131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43131,B100000,00000,0800,00000MEALS SERVED :DIETARY 43131,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 43131,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 43131,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 43131,E10A180,00501,0300,01/12/2001 43131,S000000,00100,0200,11/30/2000 43131,S200000,00100,0100,851 FOURTH AVENUE EAST 43131,S200000,00200,0100,DICKINSON 43131,S200000,00200,0200,ND 43131,S200000,00200,0300,58601- 43131,S200000,00300,0100,STARK 43131,S200000,00300,0200,0035 43131,S200000,00300,0300,R 43131,S200000,00400,0100,ST. BENEDICTS HEALTH CENTER 43131,S200000,00400,0200,355090 43131,S200000,00400,0300,04/01/1978 43131,S200000,00400,0500,P 43131,S200000,00400,0600,O 43131,S200000,01500,0100,Y 43139,S000000,00100,0200,01/19/2001 43145,S000000,00100,0200,05/16/2000 43152,S000000,00100,0200,05/25/2000 43162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43162,A000000,00300,0000,00300EMPLOYEE BENEFITS 43162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43162,A000000,00700,0000,00700HOUSEKEEPING 43162,A000000,00800,0000,00800DIETARY 43162,A000000,00900,0000,00900NURSING ADMINISTRATION 43162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43162,A000000,01100,0000,01100PHARMACY 43162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43162,A000000,01300,0000,01300SOCIAL SERVICE 43162,A000000,01301,0000,01301ACTIVITIES 43162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43162,A000000,01600,0000,01600SKILLED NURSING FACILITY 43162,A000000,01800,0000,01800NURSING FACILITY 43162,A000000,01810,0000,01810ICF/MR 43162,A000000,01900,0000,01900OTHER LONG TERM CARE 43162,A000000,02100,0000,02100RADIOLOGY 43162,A000000,02200,0000,02200LABORATORY 43162,A000000,02300,0000,02300INTRAVENOUS THERAPY 43162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43162,A000000,02500,0000,02500PHYSICAL THERAPY 43162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43162,A000000,02700,0000,02700SPEECH PATHOLOGY 43162,A000000,02800,0000,02800ELECTROCARDIOLOGY 43162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43162,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43162,A000000,03200,0000,03200SUPPORT SURFACES 43162,A000000,03400,0000,03400CLINIC 43162,A000000,03500,0000,03500RURAL HEALTH CLINIC 43162,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 43162,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43162,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43162,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43162,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43162,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43162,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43162,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43162,A000000,04400,0000,04400DME RENTED - HHA 43162,A000000,04500,0000,04500DME SOLD - HHA 43162,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43162,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43162,A000000,04800,0000,04800AMBULANCE 43162,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43162,A000000,05000,0000,05000CORF 43162,A000000,05010,0000,05010CMHC 43162,A000000,05020,0000,05020OPT 43162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 43162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 43162,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43162,A000000,05300,0000,05300INTEREST EXPENSE 43162,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43162,A000000,05500,0000,05500HOSPICE 43162,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43162,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43162,A000000,06100,0000,06100NONPAID WORKERS 43162,A000000,06200,0000,06200PATIENTS LAUNDRY 43162,A81000A,00100,0100,Y 43162,A81000B,00100,0300,ACCOUNTING BILLING & ADMIN. 43162,A81000B,00200,0300,MEDICAL RECORDS CONSULTING 43162,A81000B,00300,0300,SOCIAL SERVICES CONSULTING 43162,A81000B,00400,0300,CHAPLAINCY SERVICE CONTRACT 43162,A81000B,00500,0300,ACTIVITES CONSULTING 43162,A81000B,00600,0300,NURSING CONSULTING 43162,A81000C,00100,0100,B 43162,A81000C,00100,0400,VALLEY MEM. HOME 43162,A81000C,00100,0600,MANAGEMENT 43162,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43162,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43162,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43162,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 43162,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 43162,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43162,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 43162,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 43162,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 43162,E10A180,00501,0100,07/09/2001 43162,E10A180,00501,0300,07/09/2001 43162,S000000,00100,0200,07/02/2001 43162,S200000,00100,0100,4004 27TH AVENUE SOUTH 43162,S200000,00200,0100,GRAND FORKS 43162,S200000,00200,0200,ND 43162,S200000,00200,0300,58201- 43162,S200000,00300,0100,GRAND FORKS 43162,S200000,00300,0200,2985 43162,S200000,00300,0300,U 43162,S200000,00400,0100,WOODSIDE VILLAGE 43162,S200000,00400,0200,355112 43162,S200000,00400,0300,12/01/1991 43162,S200000,00400,0500,P 43162,S200000,01500,0100,Y 43162,S200000,02200,0100,Y 43167,S000000,00100,0200,11/10/2000 43189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43189,A000000,00300,0000,00300EMPLOYEE BENEFITS 43189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43189,A000000,00700,0000,00700HOUSEKEEPING 43189,A000000,00800,0000,00800DIETARY 43189,A000000,00900,0000,00900NURSING ADMINISTRATION 43189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43189,A000000,01100,0000,01100PHARMACY 43189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43189,A000000,01300,0000,01300SOCIAL SERVICE 43189,A000000,01350,0000,01500ACTIVITIES 43189,A000000,01600,0000,01600SKILLED NURSING FACILITY 43189,A000000,01800,0000,01800NURSING FACILITY 43189,A000000,01900,0000,01900OTHER LONG TERM CARE 43189,A000000,02100,0000,02100RADIOLOGY 43189,A000000,02200,0000,02200LABORATORY 43189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43189,A000000,02500,0000,02500PHYSICAL THERAPY 43189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43189,A000000,02700,0000,02700SPEECH PATHOLOGY 43189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43189,A000000,03050,0000,03300PEN & UROLOGICALS 43189,A000000,03200,0000,03200SUPPORT SURFACES 43189,A000000,04800,0000,04800AMBULANCE 43189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43189,A81000A,00100,0100,Y 43189,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 43189,A81000B,00200,0300,CAPITAL COSTS - BUILDING 43189,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 43189,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 43189,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 43189,A81000B,00600,0300,PT MANAGEMENT 43189,A81000B,00700,0300,OT MANAGEMENT 43189,A81000B,00800,0300,ST MANAGEMENT 43189,A81000C,00100,0100,B 43189,A81000C,00100,0200,VOA NATIONAL SE 43189,A81000C,00100,0400,VOA 43189,A81000C,00100,0600,MANAGEMENT 43189,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43189,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43189,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43189,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43189,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43189,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43189,B100000,00000,0800,00000MEALS SERVED :DIETARY 43189,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 43189,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43189,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43189,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43189,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43189,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43189,E10A180,00301,0100,09/29/2000 43189,E10A180,00501,0100,02/09/2001 43189,S000000,00100,0200,01/12/2001 43189,S200000,00100,0100,670 EAST SR18 43189,S200000,00200,0100,TIFFIN 43189,S200000,00200,0200,OH 43189,S200000,00200,0300,44883- 43189,S200000,00300,0100,SENECA 43189,S200000,00300,0200,0036 43189,S200000,00300,0300,R 43189,S200000,00400,0100,AUTUMNWOOD CARE CENTER 43189,S200000,00400,0200,365380 43189,S200000,00400,0300,05/09/1978 43189,S200000,00400,0500,P 43189,S200000,01500,0100,Y 43189,S200000,04300,0100,Y 43189,S200000,04700,0100,Y 43189,S200000,04700,0200,Y 43203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43203,A000000,00300,0000,00300EMPLOYEE BENEFITS 43203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43203,A000000,00700,0000,00700HOUSEKEEPING 43203,A000000,00800,0000,00800DIETARY 43203,A000000,00900,0000,00900NURSING ADMINISTRATION 43203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43203,A000000,01100,0000,01100PHARMACY 43203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43203,A000000,01300,0000,01300SOCIAL SERVICE 43203,A000000,01350,0000,01500ACTIVITIES 43203,A000000,01600,0000,01600SKILLED NURSING FACILITY 43203,A000000,01800,0000,01800NURSING FACILITY 43203,A000000,01900,0000,01900OTHER LONG TERM CARE 43203,A000000,02100,0000,02100RADIOLOGY 43203,A000000,02200,0000,02200LABORATORY 43203,A000000,02300,0000,02300INTRAVENOUS THERAPY 43203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43203,A000000,02500,0000,02500PHYSICAL THERAPY 43203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43203,A000000,02700,0000,02700SPEECH PATHOLOGY 43203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43203,A000000,03050,0000,03300PEN & UROLOGICALS 43203,A000000,03051,0000,03301EQUIPMENT RENTAL 43203,A000000,03200,0000,03200SUPPORT SURFACES 43203,A000000,04800,0000,04800AMBULANCE 43203,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43203,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43203,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43203,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43203,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 43203,A81000A,00100,0100,Y 43203,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 43203,A81000B,00200,0300,CAPITAL COSTS - BUILDING 43203,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 43203,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 43203,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 43203,A81000B,00600,0300,PT MANAGEMENT 43203,A81000B,00700,0300,OT MANAGEMENT 43203,A81000B,00800,0300,ST MANAGEMENT 43203,A81000C,00100,0100,B 43203,A81000C,00100,0200,VOA NATIONAL SE 43203,A81000C,00100,0400,VOA 43203,A81000C,00100,0600,MANAGEMENT 43203,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43203,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43203,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43203,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43203,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43203,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43203,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43203,B100000,00000,0800,00000MEALS SERVED :DIETARY 43203,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 43203,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43203,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43203,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43203,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43203,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43203,E10A180,00301,0100,09/29/2000 43203,E10A180,00501,0100,02/27/2001 43203,E10A180,00501,0300,02/27/2001 43203,S000000,00100,0200,01/16/2001 43203,S200000,00100,0100,600 NORTH BUSH S 43203,S200000,00200,0100,FREMONT 43203,S200000,00200,0200,OH 43203,S200000,00200,0300,44883- 43203,S200000,00300,0100,SANDUSKY 43203,S200000,00300,0200,0036 43203,S200000,00300,0300,R 43203,S200000,00400,0100,BETHESDA CARE CENTER 43203,S200000,00400,0200,365510 43203,S200000,00400,0300,07/01/1980 43203,S200000,00400,0500,P 43203,S200000,01500,0100,Y 43211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43211,A000000,00300,0000,00300EMPLOYEE BENEFITS 43211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43211,A000000,00700,0000,00700HOUSEKEEPING 43211,A000000,00800,0000,00800DIETARY 43211,A000000,00900,0000,00900NURSING ADMINISTRATION 43211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43211,A000000,01100,0000,01100PHARMACY 43211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43211,A000000,01300,0000,01300SOCIAL SERVICE 43211,A000000,01350,0000,01500ACTIVITIES 43211,A000000,01600,0000,01600SKILLED NURSING FACILITY 43211,A000000,01800,0000,01800NURSING FACILITY 43211,A000000,01900,0000,01900OTHER LONG TERM CARE 43211,A000000,02100,0000,02100RADIOLOGY 43211,A000000,02200,0000,02200LABORATORY 43211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43211,A000000,02500,0000,02500PHYSICAL THERAPY 43211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43211,A000000,02700,0000,02700SPEECH PATHOLOGY 43211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43211,A000000,03050,0000,03300PEN & UROLOGICALS 43211,A000000,03051,0000,03301EQUIPMENT RENTAL 43211,A000000,03200,0000,03200SUPPORT SURFACES 43211,A000000,04800,0000,04800AMBULANCE 43211,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43211,A81000A,00100,0100,Y 43211,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 43211,A81000B,00200,0300,CAPITAL COSTS - BUILDING 43211,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 43211,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 43211,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 43211,A81000B,00600,0300,PT MANAGEMENT 43211,A81000B,00700,0300,OT MANAGEMENT 43211,A81000B,00800,0300,ST MANAGEMENT 43211,A81000B,00900,0300,DIRECT COST 43211,A81000C,00100,0100,B 43211,A81000C,00100,0200,VOA NATIONAL SE 43211,A81000C,00100,0400,VOA 43211,A81000C,00100,0600,MANAGEMENT 43211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43211,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43211,B100000,00000,0800,00000MEALS SERVED :DIETARY 43211,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 43211,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43211,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43211,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43211,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43211,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43211,E10A180,00501,0100,03/01/2001 43211,E10A180,00550,0300,03/01/2001 43211,S000000,00100,0200,01/16/2001 43211,S200000,00100,0100,2425 KIMBERLY PIKE 43211,S200000,00200,0100,COLUMBUS 43211,S200000,00200,0200,OH 43211,S200000,00200,0300,43232- 43211,S200000,00300,0100,FRANKLIN 43211,S200000,00300,0200,1840 43211,S200000,00300,0300,U 43211,S200000,00400,0100,EASTLAND CARE CENTER 43211,S200000,00400,0200,365572 43211,S200000,00400,0300,01/12/1982 43211,S200000,00400,0500,P 43211,S200000,01500,0100,Y 43211,S200000,04300,0100,Y 43211,S200000,04700,0100,Y 43211,S200000,04700,0200,Y 43221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43221,A000000,00300,0000,00300EMPLOYEE BENEFITS 43221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43221,A000000,00700,0000,00700HOUSEKEEPING 43221,A000000,00800,0000,00800DIETARY 43221,A000000,00900,0000,00900NURSING ADMINISTRATION 43221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43221,A000000,01100,0000,01100PHARMACY 43221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43221,A000000,01300,0000,01300SOCIAL SERVICE 43221,A000000,01350,0000,01500ACTIVITIES 43221,A000000,01600,0000,01600SKILLED NURSING FACILITY 43221,A000000,01800,0000,01800NURSING FACILITY 43221,A000000,01900,0000,01900OTHER LONG TERM CARE 43221,A000000,02100,0000,02100RADIOLOGY 43221,A000000,02200,0000,02200LABORATORY 43221,A000000,02300,0000,02300INTRAVENOUS THERAPY 43221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43221,A000000,02500,0000,02500PHYSICAL THERAPY 43221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43221,A000000,02700,0000,02700SPEECH PATHOLOGY 43221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43221,A000000,03050,0000,03300PEN & UROLOGICALS 43221,A000000,03051,0000,03301EQUIPMENT RENTAL 43221,A000000,03200,0000,03200SUPPORT SURFACES 43221,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43221,A81000A,00100,0100,Y 43221,A81000B,00100,0300,HOME OFFICE - ADMINISTRATIVE 43221,A81000B,00200,0300,CAPITAL COSTS - BUILDING 43221,A81000B,00300,0300,CAPITAL COSTS - MOVABLE EQUIPMENT 43221,A81000B,00400,0300,HOME OFFICE INVESTMENT INCOME 43221,A81000B,00500,0300,REGIONAL & HEALTHCARE MANAGEMENT 43221,A81000B,00600,0300,PT MANAGEMENT 43221,A81000B,00700,0300,OT MANAGEMENT 43221,A81000B,00800,0300,ST MANAGEMENT 43221,A81000C,00100,0100,B 43221,A81000C,00100,0200,VOA NATIONAL SE 43221,A81000C,00100,0400,VOA 43221,A81000C,00100,0600,MANAGEMENT 43221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43221,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43221,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43221,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43221,B100000,00000,0800,00000MEALS SERVED :DIETARY 43221,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 43221,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43221,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43221,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43221,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43221,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 43221,S000000,00100,0200,01/16/2001 43221,S200000,00100,0100,804 S MAUMAU 43221,S200000,00200,0100,LIMA 43221,S200000,00200,0200,OH 43221,S200000,00200,0300,45804- 43221,S200000,00300,0100,ALLEN 43221,S200000,00300,0200,4320 43221,S200000,00300,0300,U 43221,S200000,00400,0100,LOST CREEK CARE CENTER 43221,S200000,00400,0200,365600 43221,S200000,00400,0300,07/01/1983 43221,S200000,00400,0500,P 43221,S200000,01500,0100,Y 43251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43251,A000000,00300,0000,00300EMPLOYEE BENEFITS 43251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43251,A000000,00700,0000,00700HOUSEKEEPING 43251,A000000,00800,0000,00800DIETARY 43251,A000000,00900,0000,00900NURSING ADMINISTRATION 43251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43251,A000000,01100,0000,01100PHARMACY 43251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43251,A000000,01300,0000,01300SOCIAL SERVICE 43251,A000000,01350,0000,01500ACTIVITIES 43251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43251,A000000,01600,0000,01600SKILLED NURSING FACILITY 43251,A000000,01800,0000,01800NURSING FACILITY 43251,A000000,01810,0000,01801ICF/MR 43251,A000000,01900,0000,01900OTHER LONG TERM CARE 43251,A000000,02100,0000,02100RADIOLOGY 43251,A000000,02200,0000,02200LABORATORY 43251,A000000,02300,0000,02300INTRAVENOUS THERAPY 43251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43251,A000000,02500,0000,02500PHYSICAL THERAPY 43251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43251,A000000,02700,0000,02700SPEECH PATHOLOGY 43251,A000000,02800,0000,02800ELECTROCARDIOLOGY 43251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43251,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43251,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43251,A000000,03200,0000,03200SUPPORT SURFACES 43251,A000000,03400,0000,03400CLINIC 43251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 43251,A000000,03500,0000,03500RURAL HEALTH CLINIC 43251,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43251,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43251,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43251,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43251,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43251,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43251,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43251,A000000,04400,0000,04400DME RENTED - HHA 43251,A000000,04500,0000,04500DME SOLD - HHA 43251,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43251,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43251,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43251,A000000,04800,0000,04800AMBULANCE 43251,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43251,A000000,05000,0000,05000CORF 43251,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43251,A000000,05300,0000,05300INTEREST EXPENSE 43251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 43251,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43251,A000000,05500,0000,05500HOSPICE 43251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43251,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43251,A000000,06100,0000,06100NONPAID WORKERS 43251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43251,A000000,06200,0000,06200PATIENTS LAUNDRY 43251,A81000A,00100,0100,Y 43251,A81000B,00100,0300,HOME OFFICE COST 43251,A81000C,00100,0100,A 43251,A81000C,00100,0200,RALPH HAZELBAKER 43251,A81000C,00100,0400,AEGIS INC. 43251,A81000C,00100,0600,MANAGEMENT 43251,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43251,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43251,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43251,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43251,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43251,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43251,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43251,B100000,00000,0800,00000MEALS SERVED :DIETARY 43251,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43251,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43251,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 43251,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43251,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43251,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43251,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 43251,S000000,00100,0200,05/30/2000 43251,S200000,00100,0100,1980 WEST PECOS 43251,S200000,00200,0100,CHANDLER 43251,S200000,00200,0200,AZ 43251,S200000,00200,0300,85224- 43251,S200000,00300,0100,MARICOPA 43251,S200000,00400,0100,PECOS NURSING CENTER 43251,S200000,00400,0200,035130 43251,S200000,00400,0300,06/16/1986 43251,S200000,00400,0500,P 43251,S200000,01004,0500,O 43251,S200000,01600,0100,Y 43251,S200000,04300,0100,Y 43262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43262,A000000,00700,0000,00700HOUSEKEEPING 43262,A000000,00800,0000,00800DIETARY 43262,A000000,00900,0000,00900NURSING ADMINISTRATION 43262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43262,A000000,01300,0000,01300SOCIAL SERVICE 43262,A000000,01600,0000,01600SKILLED NURSING FACILITY 43262,A000000,01800,0000,01800NURSING FACILITY 43262,A000000,02100,0000,02100RADIOLOGY 43262,A000000,02200,0000,02200LABORATORY 43262,A000000,02300,0000,02300INTRAVENOUS THERAPY 43262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43262,A000000,02500,0000,02500PHYSICAL THERAPY 43262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43262,A000000,02700,0000,02700SPEECH PATHOLOGY 43262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43262,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43262,A000000,03052,0000,03302MEDICAL EQUIPMENT 43262,A000000,04800,0000,04800AMBULANCE 43262,A000000,05300,0000,05300INTEREST EXPENSE 43262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43262,A000000,06200,0000,06200PATIENTS LAUNDRY 43262,A81000A,00100,0100,Y 43262,A81000B,00100,0300,HOME OFFICE A&G 43262,A81000B,00200,0300,HOME OFFICE CAPITAL 43262,A81000B,00300,0300,DIVISION OFFICE A&G 43262,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43262,A81000B,00500,0300,INSURANCE 43262,A81000C,00100,0100,B 43262,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43262,A81000C,00200,0100,G 43262,A81000C,00200,0200,LAURIER INC. 43262,A81000C,00200,0400,EXTENDICARE INC. 43262,A81000C,00200,0600,INSURANCE 43262,A81000C,00300,0100,G 43262,A81000C,00300,0200,UPC 43262,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43262,A81000C,00300,0600,PHARMACY & THERAPY 43262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43262,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43262,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43262,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43262,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43262,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43262,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43262,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43262,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43262,E10A180,00301,0100,06/22/1998 43262,E10A180,00301,0300,06/22/1998 43262,E10A180,00350,0100,06/22/1998 43262,E10A180,00350,0300,06/22/1998 43262,S000000,00100,0200,06/02/2000 43262,S200000,00100,0100,32 BUENA VISTA DRIVE 43262,S200000,00200,0100,NEW CASTLE 43262,S200000,00200,0200,DE 43262,S200000,00200,0300,19720- 43262,S200000,00300,0100,NEW CASTLE 43262,S200000,00400,0100,ARBORS AT NEW CASTLE 43262,S200000,00400,0200,085039 43262,S200000,00400,0300,02/15/1991 43262,S200000,00400,0500,P 43262,S200000,01600,0100,Y 43271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43271,A000000,00300,0000,00300EMPLOYEE BENEFITS 43271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43271,A000000,00700,0000,00700HOUSEKEEPING 43271,A000000,00800,0000,00800DIETARY 43271,A000000,00900,0000,00900NURSING ADMINISTRATION 43271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43271,A000000,01100,0000,01100PHARMACY 43271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43271,A000000,01300,0000,01300SOCIAL SERVICE 43271,A000000,01350,0000,01500ACTIVITIES 43271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43271,A000000,01600,0000,01600SKILLED NURSING FACILITY 43271,A000000,01800,0000,01800NURSING FACILITY 43271,A000000,01900,0000,01900OTHER LONG TERM CARE 43271,A000000,02100,0000,02100RADIOLOGY 43271,A000000,02200,0000,02200LABORATORY 43271,A000000,02300,0000,02300INTRAVENOUS THERAPY 43271,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43271,A000000,02500,0000,02500PHYSICAL THERAPY 43271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43271,A000000,02700,0000,02700SPEECH PATHOLOGY 43271,A000000,02800,0000,02800ELECTROCARDIOLOGY 43271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43271,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43271,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43271,A000000,03200,0000,03200SUPPORT SURFACES 43271,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43271,A000000,04800,0000,04800AMBULANCE 43271,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43271,A000000,05300,0000,05300INTEREST EXPENSE 43271,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43271,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43271,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43271,A000000,06100,0000,06100NONPAID WORKERS 43271,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43271,A000000,06200,0000,06200PATIENTS LAUNDRY 43271,A81000A,00100,0100,Y 43271,A81000B,00100,0300,HOME OFFICE COST 43271,A81000B,00200,0300,PURCH. SERV. PHARMACIST 43271,A81000B,00300,0300,IV SUPPLIES & DRUGS 43271,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 43271,A81000B,00500,0300,PT ADMIN. FEES 43271,A81000B,00600,0300,OT ADMIN. FEES 43271,A81000B,00700,0300,ST ADMIN. FEES 43271,A81000B,00800,0300,PT SERVICES 43271,A81000B,00900,0300,OT SERVICES 43271,A81000B,01000,0300,ST SERVICES 43271,A81000B,01100,0300,RT SERVICES 43271,A81000C,00100,0100,B 43271,A81000C,00100,0200,COMMUNITY CONV. CENTER 43271,A81000C,00100,0400,HCR MANORCARE INC. 43271,A81000C,00100,0600,LONG TERM CARE FACILITIES 43271,A81000C,00200,0100,B 43271,A81000C,00200,0200,COMMUNITY CONV. CENTER 43271,A81000C,00200,0400,HRTLND HEALTHCARE SVCS 43271,A81000C,00200,0600,PHARMACY 43271,A81000C,00300,0100,B 43271,A81000C,00300,0200,COMMUNITY CONV. CENTER 43271,A81000C,00300,0400,HRTLND HEALTHCARE SVCS 43271,A81000C,00300,0600,PHARMACY 43271,A81000C,00400,0100,B 43271,A81000C,00400,0200,COMMUNITY CONV. CENTER 43271,A81000C,00400,0400,HRTLND HEALTHCARE SVCS 43271,A81000C,00400,0600,PHARMACY 43271,A81000C,00500,0100,B 43271,A81000C,00500,0200,COMMUNITY CONV. CENTER 43271,A81000C,00500,0400,HRTLND MANAGEMENT SVCS. 43271,A81000C,00500,0600,THERAPY MGMT. 43271,A81000C,00600,0100,B 43271,A81000C,00600,0200,COMMUNITY CONV. CENTER 43271,A81000C,00600,0400,HRTLND MANAGEMENT SVCS. 43271,A81000C,00600,0600,THERAPY MGMT. 43271,A81000C,00700,0100,B 43271,A81000C,00700,0200,COMMUNITY CONV. CENTER 43271,A81000C,00700,0400,HRTLND MANAGEMENT SVCS. 43271,A81000C,00700,0600,THERAPY MGMT. 43271,A81000C,00800,0100,B 43271,A81000C,00800,0200,COMMUNITY CONV. CENTER 43271,A81000C,00800,0400,MILESTONE THERAPY SVCS. 43271,A81000C,00800,0600,THERAPY SERVICES 43271,A81000C,00900,0100,B 43271,A81000C,00900,0200,COMMUNITY CONV. CENTER 43271,A81000C,00900,0400,MILESTONE THERAPY SVCS. 43271,A81000C,00900,0600,THERAPY SERVICES 43271,A81000C,01000,0100,B 43271,A81000C,01000,0200,COMMUNITY CONV. CENTER 43271,A81000C,01000,0400,MILESTONE THERAPY SVCS. 43271,A81000C,01000,0600,THERAPY SERVICES 43271,A81000C,01001,0100,B 43271,A81000C,01001,0200,COMMUNITY CONV. CENTER 43271,A81000C,01001,0400,MILESTONE THERAPY SVCS. 43271,A81000C,01001,0600,THERAPY SERVICES 43271,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43271,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43271,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43271,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43271,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43271,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43271,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43271,B100000,00000,0800,00000MEALS SERVED :DIETARY 43271,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43271,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43271,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43271,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43271,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43271,E10A180,00501,0100,11/02/2000 43271,S000000,00100,0200,09/21/2000 43271,S200000,00100,0100,2202 WEST OAK AVENUE 43271,S200000,00200,0100,PLANT CITY 43271,S200000,00200,0200,FL 43271,S200000,00200,0300,33566- 43271,S200000,00300,0100,HILLSBOROUGH 43271,S200000,00300,0200,8280 43271,S200000,00300,0300,U 43271,S200000,00400,0100,COMMUNITY CONV. CENTER 43271,S200000,00400,0200,105029 43271,S200000,00400,0300,12/21/1966 43271,S200000,00400,0500,P 43271,S200000,00400,0600,P 43271,S200000,01600,0100,Y 43271,S200000,02200,0100,Y 43282,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43282,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43282,A000000,00300,0000,00300EMPLOYEE BENEFITS 43282,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43282,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43282,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43282,A000000,00700,0000,00700HOUSEKEEPING 43282,A000000,00800,0000,00800DIETARY 43282,A000000,00900,0000,00900NURSING ADMINISTRATION 43282,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43282,A000000,01100,0000,01100PHARMACY 43282,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43282,A000000,01300,0000,01300SOCIAL SERVICE 43282,A000000,01350,0000,01500ACTIVITIES 43282,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43282,A000000,01600,0000,01600SKILLED NURSING FACILITY 43282,A000000,01800,0000,01800NURSING FACILITY 43282,A000000,01900,0000,01900OTHER LONG TERM CARE 43282,A000000,02100,0000,02100RADIOLOGY 43282,A000000,02200,0000,02200LABORATORY 43282,A000000,02300,0000,02300INTRAVENOUS THERAPY 43282,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43282,A000000,02500,0000,02500PHYSICAL THERAPY 43282,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43282,A000000,02700,0000,02700SPEECH PATHOLOGY 43282,A000000,02800,0000,02800ELECTROCARDIOLOGY 43282,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43282,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43282,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43282,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43282,A000000,03200,0000,03200SUPPORT SURFACES 43282,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43282,A000000,04800,0000,04800AMBULANCE 43282,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43282,A000000,05300,0000,05300INTEREST EXPENSE 43282,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43282,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43282,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43282,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43282,A000000,06100,0000,06100NONPAID WORKERS 43282,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43282,A000000,06200,0000,06200PATIENTS LAUNDRY 43282,A81000A,00100,0100,Y 43282,A81000B,00100,0300,HOME OFFICE COST 43282,A81000B,00200,0300,PURCH. SERV PHARMACIST 43282,A81000B,00300,0300,IV THERAPY 43282,A81000B,00400,0300,DRUGS CHRG TO PATIENTS 43282,A81000B,00500,0300,PT ADMIN. FEES 43282,A81000B,00600,0300,OT ADMIN. FEES 43282,A81000B,00700,0300,ST ADMIN. FEES 43282,A81000C,00100,0100,B 43282,A81000C,00100,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00100,0400,HCR MANORCARE INC. 43282,A81000C,00100,0600,LONG TERM CARE FACILITIES 43282,A81000C,00200,0100,B 43282,A81000C,00200,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00200,0400,HRTLAND HLTHCARE SVCS 43282,A81000C,00200,0600,PHARMACY 43282,A81000C,00300,0100,B 43282,A81000C,00300,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00300,0400,HRTLAND HLTHCARE SVCS 43282,A81000C,00300,0600,PHARMACY 43282,A81000C,00400,0100,B 43282,A81000C,00400,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00400,0400,HRTLAND HLTHCARE SVCS 43282,A81000C,00400,0600,PHARMACY 43282,A81000C,00500,0100,B 43282,A81000C,00500,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00500,0400,HRTLAND MANAGEMENT SVCS 43282,A81000C,00500,0600,THERAPY MANAGEMENT 43282,A81000C,00600,0100,B 43282,A81000C,00600,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00600,0400,HRTLAND MANAGEMENT SVCS 43282,A81000C,00600,0600,THERAPY MANAGEMENT 43282,A81000C,00700,0100,B 43282,A81000C,00700,0200,HRTLAND OF ST. PETERSBURG 43282,A81000C,00700,0400,HRTLAND MANAGEMENT SVCS 43282,A81000C,00700,0600,THERAPY MANAGEMENT 43282,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43282,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43282,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43282,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43282,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43282,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43282,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43282,B100000,00000,0800,00000MEALS SERVED :DIETARY 43282,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43282,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43282,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43282,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43282,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43282,E10A180,00501,0100,04/18/2000 43282,S000000,00100,0200,04/12/2000 43282,S200000,00100,0100,101 9TH STREET NORTH 43282,S200000,00200,0100,ST. PETERSBURG 43282,S200000,00200,0200,FL 43282,S200000,00200,0300,33701- 43282,S200000,00300,0100,PINALLAS 43282,S200000,00300,0200,8280 43282,S200000,00300,0300,U 43282,S200000,00400,0100,HEARTLAND OF ST. PETERSBURG 43282,S200000,00400,0200,105049 43282,S200000,00400,0300,07/01/1984 43282,S200000,00400,0500,P 43282,S200000,00400,0600,P 43282,S200000,01600,0100,Y 43291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43291,A000000,00300,0000,00300EMPLOYEE BENEFITS 43291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43291,A000000,00700,0000,00700HOUSEKEEPING 43291,A000000,00800,0000,00800DIETARY 43291,A000000,00900,0000,00900NURSING ADMINISTRATION 43291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43291,A000000,01100,0000,01100PHARMACY 43291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43291,A000000,01300,0000,01300SOCIAL SERVICE 43291,A000000,01350,0000,01500ACTIVITIES 43291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43291,A000000,01600,0000,01600SKILLED NURSING FACILITY 43291,A000000,01800,0000,01800NURSING FACILITY 43291,A000000,01900,0000,01900OTHER LONG TERM CARE 43291,A000000,02100,0000,02100RADIOLOGY 43291,A000000,02200,0000,02200LABORATORY 43291,A000000,02300,0000,02300INTRAVENOUS THERAPY 43291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43291,A000000,02500,0000,02500PHYSICAL THERAPY 43291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43291,A000000,02700,0000,02700SPEECH PATHOLOGY 43291,A000000,02800,0000,02800ELECTROCARDIOLOGY 43291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43291,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43291,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43291,A000000,03200,0000,03200SUPPORT SURFACES 43291,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43291,A000000,04800,0000,04800AMBULANCE 43291,A000000,05300,0000,05300INTEREST EXPENSE 43291,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43291,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43291,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43291,A000000,06100,0000,06100NONPAID WORKERS 43291,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43291,A000000,06200,0000,06200PATIENTS LAUNDRY 43291,A81000A,00100,0100,Y 43291,A81000B,00100,0300,HOME OFFICE COST 43291,A81000B,00200,0300,PURCH SERV. PHARMACIST 43291,A81000B,00300,0300,IV SUPP. & DRUGS 43291,A81000B,00400,0300,DRUGS 43291,A81000B,00500,0300,PT ADMIN FEES 43291,A81000B,00600,0300,OT ADMIN FEES 43291,A81000B,00700,0300,ST ADMIN FEES 43291,A81000C,00100,0100,B 43291,A81000C,00100,0200,HHCC - PASADENA MANOR 43291,A81000C,00100,0400,HCR MANORCARE INC. 43291,A81000C,00100,0600,LONG TERM CARE FACILITIES 43291,A81000C,00200,0100,B 43291,A81000C,00200,0200,HHCC - PASADENA MANOR 43291,A81000C,00200,0400,HRTLND HLTHCARE SVCS. 43291,A81000C,00200,0600,PHARMACY 43291,A81000C,00300,0100,B 43291,A81000C,00300,0200,HHCC - PASADENA MANOR 43291,A81000C,00300,0400,HRTLND HLTHCARE SVCS. 43291,A81000C,00300,0600,PHARMACY 43291,A81000C,00400,0100,B 43291,A81000C,00400,0200,HHCC - PASADENA MANOR 43291,A81000C,00400,0400,HRTLND HLTHCARE SVCS. 43291,A81000C,00400,0600,PHARMACY 43291,A81000C,00500,0100,B 43291,A81000C,00500,0200,HHCC - PASADENA MANOR 43291,A81000C,00500,0400,MANAGEMENT SVCS. 43291,A81000C,00500,0600,THERAPY MGMT. 43291,A81000C,00600,0100,B 43291,A81000C,00600,0200,HHCC - PASADENA MANOR 43291,A81000C,00600,0400,MANAGEMENT SVCS. 43291,A81000C,00600,0600,THERAPY MGMT. 43291,A81000C,00700,0100,B 43291,A81000C,00700,0200,HHCC - PASADENA MANOR 43291,A81000C,00700,0400,MANAGEMENT SVCS. 43291,A81000C,00700,0600,THERAPY MGMT. 43291,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43291,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43291,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43291,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43291,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43291,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43291,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43291,B100000,00000,0800,00000MEALS SERVED :DIETARY 43291,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43291,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43291,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43291,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43291,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43291,E10A180,00501,0100,10/06/2000 43291,S000000,00100,0200,09/21/2000 43291,S200000,00100,0100,1430 PASADENA AVENUE 43291,S200000,00200,0100,SOUTH PASADENA 43291,S200000,00200,0200,FL 43291,S200000,00200,0300,33707- 43291,S200000,00300,0100,PINELLAS 43291,S200000,00300,0200,8280 43291,S200000,00300,0300,U 43291,S200000,00400,0100,PASADENA MANOR 43291,S200000,00400,0200,105213 43291,S200000,00400,0300,01/01/1969 43291,S200000,00400,0500,P 43291,S200000,00400,0600,P 43291,S200000,01600,0100,Y 43302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43302,A000000,00300,0000,00300EMPLOYEE BENEFITS 43302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43302,A000000,00700,0000,00700HOUSEKEEPING 43302,A000000,00800,0000,00800DIETARY 43302,A000000,00900,0000,00900NURSING ADMINISTRATION 43302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43302,A000000,01100,0000,01100PHARMACY 43302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43302,A000000,01300,0000,01300SOCIAL SERVICE 43302,A000000,01350,0000,01500ACTIVITIES 43302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43302,A000000,01600,0000,01600SKILLED NURSING FACILITY 43302,A000000,01800,0000,01800NURSING FACILITY 43302,A000000,01900,0000,01900OTHER LONG TERM CARE 43302,A000000,02100,0000,02100RADIOLOGY 43302,A000000,02200,0000,02200LABORATORY 43302,A000000,02300,0000,02300INTRAVENOUS THERAPY 43302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43302,A000000,02500,0000,02500PHYSICAL THERAPY 43302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43302,A000000,02700,0000,02700SPEECH PATHOLOGY 43302,A000000,02800,0000,02800ELECTROCARDIOLOGY 43302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43302,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43302,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43302,A000000,03200,0000,03200SUPPORT SURFACES 43302,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43302,A000000,04800,0000,04800AMBULANCE 43302,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43302,A000000,05300,0000,05300INTEREST EXPENSE 43302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43302,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43302,A000000,06100,0000,06100NONPAID WORKERS 43302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43302,A000000,06200,0000,06200PATIENTS LAUNDRY 43302,A81000A,00100,0100,Y 43302,A81000B,00100,0300,HOME OFFICE COST 43302,A81000B,00200,0300,PT ADMIN FEES 43302,A81000B,00300,0300,OT ADMIN FEES 43302,A81000B,00400,0300,ST ADMIN FEES 43302,A81000B,00500,0300,THPY DRUGS IV THERAPY 43302,A81000B,00600,0300,PURCH SERV PHARMACY 43302,A81000B,00700,0300,SUPPLIES IV THERAPY 43302,A81000B,00800,0300,LEG DRUGS PHARMACY 43302,A81000B,00900,0300,NL DRUGS PHARMACY 43302,A81000C,00100,0100,B 43302,A81000C,00100,0200,HCR ROSEDALE 43302,A81000C,00100,0400,HCR MANORCARE INC. 43302,A81000C,00100,0600,LONG TERM CARE FACILITIES 43302,A81000C,00200,0100,B 43302,A81000C,00200,0200,HCR ROSEDALE 43302,A81000C,00200,0400,HEARTLAND MGMT SERV 43302,A81000C,00200,0600,THERAPY MANAGEMENT 43302,A81000C,00300,0100,B 43302,A81000C,00300,0200,HCR ROSEDALE 43302,A81000C,00300,0400,HEARTLAND MGMT SERV 43302,A81000C,00300,0600,THERAPY MANAGEMENT 43302,A81000C,00400,0100,B 43302,A81000C,00400,0200,HCR ROSEDALE 43302,A81000C,00400,0400,HEARTLAND MGMT SERV 43302,A81000C,00400,0600,THERAPY MANAGEMENT 43302,A81000C,00500,0100,B 43302,A81000C,00500,0200,HCR ROSEDALE 43302,A81000C,00500,0400,HEARTLAND MGMT SERV 43302,A81000C,00500,0600,THERAPY MANAGEMENT 43302,A81000C,00600,0100,B 43302,A81000C,00600,0200,HCR ROSEDALE 43302,A81000C,00600,0400,HEARTLAND HEALTH CARE 43302,A81000C,00600,0600,PHARMACY 43302,A81000C,00700,0100,B 43302,A81000C,00700,0200,HCR ROSEDALE 43302,A81000C,00700,0400,HEARTLAND HEALTH CARE 43302,A81000C,00700,0600,PHARMACY 43302,A81000C,00800,0100,B 43302,A81000C,00800,0200,HCR ROSEDALE 43302,A81000C,00800,0400,HEARTLAND HEALTH CARE 43302,A81000C,00800,0600,PHARMACY 43302,A81000C,00900,0100,B 43302,A81000C,00900,0200,HCR ROSEDALE 43302,A81000C,00900,0400,HEARTLAND HEALTH CARE 43302,A81000C,00900,0600,PHARMACY 43302,A81000C,01000,0100,B 43302,A81000C,01000,0200,HCR ROSEDALE 43302,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43302,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43302,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43302,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43302,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43302,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43302,B100000,00000,0800,00000MEALS SERVED :DIETARY 43302,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43302,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43302,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43302,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43302,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43302,S000000,00100,0200,01/24/2001 43302,S200000,00100,0100,3479 54TH AVENUE NORTH 43302,S200000,00200,0100,ST. PETERSBURG 43302,S200000,00200,0200,FL 43302,S200000,00200,0300,33714- 43302,S200000,00300,0100,PINELLAS 43302,S200000,00300,0200,8280 43302,S200000,00300,0300,U 43302,S200000,00400,0100,ROSEDALE MANOR 43302,S200000,00400,0200,105388 43302,S200000,00400,0300,01/01/1980 43302,S200000,00400,0500,P 43302,S200000,00400,0600,P 43302,S200000,01004,0500,O 43302,S200000,01600,0100,Y 43302,S200000,02200,0100,Y 43321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43321,A000000,00300,0000,00300EMPLOYEE BENEFITS 43321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43321,A000000,00700,0000,00700HOUSEKEEPING 43321,A000000,00800,0000,00800DIETARY 43321,A000000,00900,0000,00900NURSING ADMINISTRATION 43321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43321,A000000,01100,0000,01100PHARMACY 43321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43321,A000000,01300,0000,01300SOCIAL SERVICE 43321,A000000,01350,0000,01500ACTIVITIES 43321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43321,A000000,01600,0000,01600SKILLED NURSING FACILITY 43321,A000000,01800,0000,01800NURSING FACILITY 43321,A000000,01900,0000,01900OTHER LONG TERM CARE 43321,A000000,02100,0000,02100RADIOLOGY 43321,A000000,02200,0000,02200LABORATORY 43321,A000000,02300,0000,02300INTRAVENOUS THERAPY 43321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43321,A000000,02500,0000,02500PHYSICAL THERAPY 43321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43321,A000000,02700,0000,02700SPEECH PATHOLOGY 43321,A000000,02800,0000,02800ELECTROCARDIOLOGY 43321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43321,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43321,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43321,A000000,03200,0000,03200SUPPORT SURFACES 43321,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43321,A000000,04800,0000,04800AMBULANCE 43321,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43321,A000000,05300,0000,05300INTEREST EXPENSE 43321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43321,A000000,06100,0000,06100NONPAID WORKERS 43321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43321,A000000,06200,0000,06200PATIENTS LAUNDRY 43321,A81000A,00100,0100,Y 43321,A81000B,00100,0300,HOME OFFICE COST 43321,A81000B,00200,0300,PT ADMIN FEES 43321,A81000B,00300,0300,OT ADMIN FEES 43321,A81000B,00400,0300,ST ADMIN FEES 43321,A81000B,00500,0300,PURCHASE SERV PHARMACY 43321,A81000B,00600,0300,LEG DRUGS PHARMACY 43321,A81000B,00700,0300,NLDRUGSNB PHARMACY 43321,A81000B,00800,0300,IV THERAPY SUPPLIES 43321,A81000C,00100,0100,B 43321,A81000C,00100,0200,JACARANDA MANOR 43321,A81000C,00100,0400,HCR MANORCARE INC. 43321,A81000C,00100,0600,LONG TERM CARE FACILITIES 43321,A81000C,00200,0100,B 43321,A81000C,00200,0200,JACARANDA MANOR 43321,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43321,A81000C,00200,0600,THERAPY MANAGEMENT 43321,A81000C,00300,0100,B 43321,A81000C,00300,0200,JACARANDA MANOR 43321,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43321,A81000C,00300,0600,THERAPY MANAGEMENT 43321,A81000C,00400,0100,B 43321,A81000C,00400,0200,JACARANDA MANOR 43321,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43321,A81000C,00400,0600,THERAPY MANAGEMENT 43321,A81000C,00500,0100,B 43321,A81000C,00500,0200,JACARANDA MANOR 43321,A81000C,00500,0400,HEARTLAND HEALTH CARE 43321,A81000C,00500,0600,PHARMACY 43321,A81000C,00600,0100,B 43321,A81000C,00600,0200,JACARANDA MANOR 43321,A81000C,00600,0400,HEARTLAND HEALTH CARE 43321,A81000C,00600,0600,PHARMACY 43321,A81000C,00700,0100,B 43321,A81000C,00700,0200,JACARANDA MANOR 43321,A81000C,00700,0400,HEARTLAND HEALTH CARE 43321,A81000C,00700,0600,PHARMACY 43321,A81000C,00800,0100,B 43321,A81000C,00800,0200,JACARANDA MANOR 43321,A81000C,00800,0400,HEARTLAND HEALTH CARE 43321,A81000C,00800,0600,PHARMACY 43321,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43321,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43321,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43321,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43321,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43321,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43321,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43321,B100000,00000,0800,00000MEALS SERVED :DIETARY 43321,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43321,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43321,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43321,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43321,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43321,S000000,00100,0200,01/24/2001 43321,S200000,00100,0100,4250 66TH STREET 43321,S200000,00200,0100,ST. PETERSBURG 43321,S200000,00200,0200,FL 43321,S200000,00200,0300,33709- 43321,S200000,00300,0100,PINELLAS 43321,S200000,00300,0200,8280 43321,S200000,00300,0300,U 43321,S200000,00400,0100,JACARANDA MANOR 43321,S200000,00400,0200,105390 43321,S200000,00400,0300,01/01/1980 43321,S200000,00400,0500,P 43321,S200000,00400,0600,P 43321,S200000,01004,0500,O 43321,S200000,01600,0100,Y 43339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43339,A000000,00300,0000,00300EMPLOYEE BENEFITS 43339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43339,A000000,00700,0000,00700HOUSEKEEPING 43339,A000000,00800,0000,00800DIETARY 43339,A000000,00900,0000,00900NURSING ADMINISTRATION 43339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43339,A000000,01100,0000,01100PHARMACY 43339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43339,A000000,01300,0000,01300SOCIAL SERVICE 43339,A000000,01350,0000,01500ACTIVITIES 43339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43339,A000000,01600,0000,01600SKILLED NURSING FACILITY 43339,A000000,01800,0000,01800NURSING FACILITY 43339,A000000,01900,0000,01900OTHER LONG TERM CARE 43339,A000000,02100,0000,02100RADIOLOGY 43339,A000000,02200,0000,02200LABORATORY 43339,A000000,02300,0000,02300INTRAVENOUS THERAPY 43339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43339,A000000,02500,0000,02500PHYSICAL THERAPY 43339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43339,A000000,02700,0000,02700SPEECH PATHOLOGY 43339,A000000,02800,0000,02800ELECTROCARDIOLOGY 43339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43339,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43339,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43339,A000000,03200,0000,03200SUPPORT SURFACES 43339,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43339,A000000,04800,0000,04800AMBULANCE 43339,A000000,05300,0000,05300INTEREST EXPENSE 43339,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43339,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43339,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43339,A000000,05801,0000,05801GIFT FLOWER COFFEE SHOPS & CANTEE 43339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43339,A000000,06100,0000,06100NONPAID WORKERS 43339,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43339,A000000,06200,0000,06200PATIENTS LAUNDRY 43339,A81000A,00100,0100,Y 43339,A81000B,00100,0300,HOME OFFICE COST 43339,A81000B,00200,0300,PT ADMIN FEE 43339,A81000B,00300,0300,OT ADMIN FEE 43339,A81000B,00400,0300,ST ADMIN FEE 43339,A81000B,00500,0300,IV DRUG AND SUPPLIES 43339,A81000B,00600,0300,PHARMACIST 43339,A81000B,00700,0300,DRUGS 43339,A81000C,00100,0100,B 43339,A81000C,00100,0200,R.P. OF JACKSONVILLE 43339,A81000C,00100,0400,HCR MANORCARE INC. 43339,A81000C,00100,0600,LONG TERM CARE FACILITIES 43339,A81000C,00200,0100,B 43339,A81000C,00200,0200,R.P. OF JACKSONVILLE 43339,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43339,A81000C,00200,0600,THERAPY 43339,A81000C,00300,0100,B 43339,A81000C,00300,0200,R.P. OF JACKSONVILLE 43339,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43339,A81000C,00300,0600,THERAPY 43339,A81000C,00400,0100,B 43339,A81000C,00400,0200,R.P. OF JACKSONVILLE 43339,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43339,A81000C,00400,0600,THERAPY 43339,A81000C,00500,0100,B 43339,A81000C,00500,0200,R.P. OF JACKSONVILLE 43339,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43339,A81000C,00500,0600,PHARMACY 43339,A81000C,00600,0100,B 43339,A81000C,00600,0200,R.P. OF JACKSONVILLE 43339,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43339,A81000C,00600,0600,PHARMACY 43339,A81000C,00700,0100,B 43339,A81000C,00700,0200,R.P. OF JACKSONVILLE 43339,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43339,A81000C,00700,0600,PHARMACY 43339,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43339,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43339,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43339,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43339,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43339,B100000,00000,0650,00000LBS. OF LAUNDRY :LAUNDRY & LINEN SE 43339,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43339,B100000,00000,0800,00000MEALS SERVED :DIETARY 43339,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43339,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43339,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43339,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43339,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43339,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43339,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43339,S000000,00100,0200,06/01/2000 43339,S200000,00100,0100,7130 SOUTHSIDE BLVD. 43339,S200000,00200,0100,JACKSONVILLE 43339,S200000,00200,0200,FL 43339,S200000,00200,0300,32256- 43339,S200000,00300,0100,DUVAL 43339,S200000,00400,0100,REGENTS PARK OF JACKSONVILLE 43339,S200000,00400,0200,105533 43339,S200000,00400,0300,02/10/1996 43339,S200000,00400,0500,P 43339,S200000,00400,0600,P 43339,S200000,01600,0100,Y 43339,S200000,02200,0100,Y 43339,S700003,00000,0100,1 43349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43349,A000000,00700,0000,00700HOUSEKEEPING 43349,A000000,00800,0000,00800DIETARY 43349,A000000,00900,0000,00900NURSING ADMINISTRATION 43349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43349,A000000,01300,0000,01300SOCIAL SERVICE 43349,A000000,01600,0000,01600SKILLED NURSING FACILITY 43349,A000000,01800,0000,01800NURSING FACILITY 43349,A000000,02100,0000,02100RADIOLOGY 43349,A000000,02200,0000,02200LABORATORY 43349,A000000,02300,0000,02300INTRAVENOUS THERAPY 43349,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43349,A000000,02500,0000,02500PHYSICAL THERAPY 43349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43349,A000000,02700,0000,02700SPEECH PATHOLOGY 43349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43349,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43349,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43349,A000000,03052,0000,03302MEDICAL EQUIPMENT 43349,A000000,04800,0000,04800AMBULANCE 43349,A000000,05300,0000,05300INTEREST EXPENSE 43349,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43349,A000000,06200,0000,06200PATIENTS LAUNDRY 43349,A81000A,00100,0100,Y 43349,A81000B,00100,0300,HOME OFFICE A&G 43349,A81000B,00200,0300,HOME OFFICE CAPITAL 43349,A81000B,00300,0300,DIVISION OFFICE A&G 43349,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43349,A81000B,00500,0300,INSURANCE 43349,A81000B,00600,0300,PHYSICAL THERAPY 43349,A81000B,00700,0300,OCCUPATIONAL THERAPY 43349,A81000B,00800,0300,SPEECH THERAPY 43349,A81000B,00900,0300,AIR FLUIDIZED THERAPY 43349,A81000C,00100,0100,B 43349,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43349,A81000C,00200,0100,G 43349,A81000C,00200,0200,LAURIER INC. 43349,A81000C,00200,0400,EXTENDICARE INC. 43349,A81000C,00200,0600,INSURANCE 43349,A81000C,00300,0100,G 43349,A81000C,00300,0200,UNITED REHABILITATION SVS 43349,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43349,A81000C,00300,0600,THERAPY SERVICE 43349,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43349,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43349,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43349,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43349,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43349,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43349,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43349,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43349,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43349,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43349,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43349,E10A180,00301,0100,06/22/1998 43349,E10A180,00301,0300,06/22/1998 43349,E10A180,00350,0100,06/22/1998 43349,E10A180,00350,0300,06/22/1998 43349,S000000,00100,0200,06/02/2000 43349,S200000,00100,0100,1410 FOURTH STREET 43349,S200000,00200,0100,SAFETY HARBOR 43349,S200000,00200,0200,FL 43349,S200000,00200,0300,34695- 43349,S200000,00300,0100,PINELLAS 43349,S200000,00400,0100,ARBORS AT SAFETY HARBOR 43349,S200000,00400,0200,105549 43349,S200000,00400,0300,03/01/1987 43349,S200000,00400,0500,P 43349,S200000,01600,0100,Y 43359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43359,A000000,00300,0000,00300EMPLOYEE BENEFITS 43359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43359,A000000,00700,0000,00700HOUSEKEEPING 43359,A000000,00800,0000,00800DIETARY 43359,A000000,00900,0000,00900NURSING ADMINISTRATION 43359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43359,A000000,01100,0000,01100PHARMACY 43359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43359,A000000,01300,0000,01300SOCIAL SERVICE 43359,A000000,01350,0000,01500ACTIVITIES 43359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43359,A000000,01600,0000,01600SKILLED NURSING FACILITY 43359,A000000,01800,0000,01800NURSING FACILITY 43359,A000000,01900,0000,01900OTHER LONG TERM CARE 43359,A000000,02100,0000,02100RADIOLOGY 43359,A000000,02200,0000,02200LABORATORY 43359,A000000,02300,0000,02300INTRAVENOUS THERAPY 43359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43359,A000000,02500,0000,02500PHYSICAL THERAPY 43359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43359,A000000,02700,0000,02700SPEECH PATHOLOGY 43359,A000000,02800,0000,02800ELECTROCARDIOLOGY 43359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43359,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43359,A000000,03200,0000,03200SUPPORT SURFACES 43359,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43359,A000000,04800,0000,04800AMBULANCE 43359,A000000,05300,0000,05300INTEREST EXPENSE 43359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43359,A000000,06100,0000,06100NONPAID WORKERS 43359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43359,A000000,06200,0000,06200PATIENTS LAUNDRY 43359,A81000A,00100,0100,Y 43359,A81000B,00100,0300,HOME OFFICE COST 43359,A81000B,00200,0300,PURCH SERV PHARMACIST 43359,A81000B,00300,0300,IV THERAPY 43359,A81000B,00400,0300,DRUGS CRGED TO PATIENTS 43359,A81000B,00500,0300,PT ADMIN. FEES 43359,A81000B,00600,0300,OT ADMIN. FEES 43359,A81000B,00700,0300,ST ADMIN. FEES 43359,A81000C,00100,0100,B 43359,A81000C,00100,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00100,0400,HCR MANORCARE INC. 43359,A81000C,00100,0600,LONG TERM CARE FACILITIES 43359,A81000C,00200,0100,B 43359,A81000C,00200,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00200,0400,HRTLND HLTHCARE SVCS 43359,A81000C,00200,0600,PHARMACY 43359,A81000C,00300,0100,B 43359,A81000C,00300,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00300,0400,HRTLND HLTHCARE SVCS 43359,A81000C,00300,0600,PHARMACY 43359,A81000C,00400,0100,B 43359,A81000C,00400,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00400,0400,HRTLND HLTHCARE SVCS 43359,A81000C,00400,0600,PHARMACY 43359,A81000C,00500,0100,B 43359,A81000C,00500,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00500,0400,HRTLND MGMT SVCS 43359,A81000C,00500,0600,THERAPY MGMT 43359,A81000C,00600,0100,B 43359,A81000C,00600,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00600,0400,HRTLND MGMT SVCS 43359,A81000C,00600,0600,THERAPY MGMT 43359,A81000C,00700,0100,B 43359,A81000C,00700,0200,HEARTLAND OF ZEPHYRHILLS 43359,A81000C,00700,0400,HRTLND MGMT SVCS 43359,A81000C,00700,0600,THERAPY MGMT 43359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43359,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43359,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43359,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43359,B100000,00000,0800,00000MEALS SERVED :DIETARY 43359,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43359,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43359,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43359,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43359,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43359,E10A180,00501,0100,04/21/2000 43359,S000000,00100,0200,04/12/2000 43359,S200000,00100,0100,38220 HENRY DRIVE 43359,S200000,00200,0100,ZEPHYRHILLS 43359,S200000,00200,0200,FL 43359,S200000,00200,0300,33540- 43359,S200000,00300,0100,PASCO 43359,S200000,00300,0200,8280 43359,S200000,00300,0300,U 43359,S200000,00400,0100,HEARTLAND OF ZEPHYRHILLS 43359,S200000,00400,0200,105599 43359,S200000,00400,0300,02/04/1988 43359,S200000,00400,0500,P 43359,S200000,00400,0600,P 43359,S200000,01600,0100,Y 43369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43369,A000000,00300,0000,00300EMPLOYEE BENEFITS 43369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43369,A000000,00700,0000,00700HOUSEKEEPING 43369,A000000,00800,0000,00800DIETARY 43369,A000000,00900,0000,00900NURSING ADMINISTRATION 43369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43369,A000000,01100,0000,01100PHARMACY 43369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43369,A000000,01300,0000,01300SOCIAL SERVICE 43369,A000000,01350,0000,01500ACTIVITIES 43369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43369,A000000,01600,0000,01600SKILLED NURSING FACILITY 43369,A000000,01800,0000,01800NURSING FACILITY 43369,A000000,01900,0000,01900OTHER LONG TERM CARE 43369,A000000,02100,0000,02100RADIOLOGY 43369,A000000,02200,0000,02200LABORATORY 43369,A000000,02300,0000,02300INTRAVENOUS THERAPY 43369,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43369,A000000,02500,0000,02500PHYSICAL THERAPY 43369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43369,A000000,02700,0000,02700SPEECH PATHOLOGY 43369,A000000,02800,0000,02800ELECTROCARDIOLOGY 43369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43369,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43369,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43369,A000000,03200,0000,03200SUPPORT SURFACES 43369,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43369,A000000,04800,0000,04800AMBULANCE 43369,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43369,A000000,05300,0000,05300INTEREST EXPENSE 43369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43369,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43369,A000000,06100,0000,06100NONPAID WORKERS 43369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43369,A000000,06200,0000,06200PATIENTS LAUNDRY 43369,A81000A,00100,0100,Y 43369,A81000B,00100,0300,HOME OFFICE COST 43369,A81000B,00200,0300,PT ADMIN FEES 43369,A81000B,00300,0300,OT ADMIN FEES 43369,A81000B,00400,0300,ST ADMIN FEES 43369,A81000B,00500,0300,THPY DRUGS IV THERAPY 43369,A81000B,00600,0300,LEG DRUGS PHARMACY 43369,A81000B,00700,0300,NL LEGEND DRUGS PHARMACY 43369,A81000B,00800,0300,SUPPLIES IV THERAPY 43369,A81000B,00900,0300,PURCHASE SERVICE PHARMACY 43369,A81000C,00100,0100,B 43369,A81000C,00100,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00100,0400,HCR MANORCARE INC. 43369,A81000C,00100,0600,LONG TERM CARE FACILITIES 43369,A81000C,00200,0100,B 43369,A81000C,00200,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00200,0400,HEARTLAND MGMT SERV 43369,A81000C,00200,0600,THERAPY MANAGEMENT 43369,A81000C,00300,0100,B 43369,A81000C,00300,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00300,0400,HEARTLAND MGMT SERV 43369,A81000C,00300,0600,THERAPY MANAGEMENT 43369,A81000C,00400,0100,B 43369,A81000C,00400,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00400,0400,HEARTLAND MGMT SERV 43369,A81000C,00400,0600,THERAPY MANAGEMENT 43369,A81000C,00500,0100,B 43369,A81000C,00500,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00500,0400,HEARTLAND HEALTH CARE 43369,A81000C,00500,0600,PHARMACY 43369,A81000C,00600,0100,B 43369,A81000C,00600,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00600,0400,HEARTLAND HEALTH CARE 43369,A81000C,00600,0600,PHARMACY 43369,A81000C,00700,0100,B 43369,A81000C,00700,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00700,0400,HEARTLAND HEALTH CARE 43369,A81000C,00700,0600,PHARMACY 43369,A81000C,00800,0100,B 43369,A81000C,00800,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00800,0400,HEARTLAND HEALTH CARE 43369,A81000C,00800,0600,PHARMACY 43369,A81000C,00900,0100,B 43369,A81000C,00900,0200,HEARTLAND OF BROOKSVILLE 43369,A81000C,00900,0400,HEARTLAND HEALTH CARE 43369,A81000C,00900,0600,PHARMACY 43369,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43369,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43369,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43369,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43369,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43369,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43369,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43369,B100000,00000,0800,00000MEALS SERVED :DIETARY 43369,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43369,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43369,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43369,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43369,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43369,E10A180,00501,0100,02/01/2001 43369,S000000,00100,0200,01/24/2001 43369,S200000,00100,0100,575 LAMAR AVENUE 43369,S200000,00200,0100,BROOKSVILLE 43369,S200000,00200,0200,FL 43369,S200000,00200,0300,34601- 43369,S200000,00300,0100,HERNANDO 43369,S200000,00300,0200,8280 43369,S200000,00300,0300,U 43369,S200000,00400,0100,HEARTLAND OF BROOKSVILLE 43369,S200000,00400,0200,105606 43369,S200000,00400,0300,03/06/1988 43369,S200000,00400,0500,P 43369,S200000,00400,0600,P 43369,S200000,01600,0100,Y 43380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43380,A000000,00300,0000,00300EMPLOYEE BENEFITS 43380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43380,A000000,00700,0000,00700HOUSEKEEPING 43380,A000000,00800,0000,00800DIETARY 43380,A000000,00900,0000,00900NURSING ADMINISTRATION 43380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43380,A000000,01100,0000,01100PHARMACY 43380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43380,A000000,01300,0000,01300SOCIAL SERVICE 43380,A000000,01350,0000,01500ACTIVITIES 43380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43380,A000000,01600,0000,01600SKILLED NURSING FACILITY 43380,A000000,01800,0000,01800NURSING FACILITY 43380,A000000,01900,0000,01900OTHER LONG TERM CARE 43380,A000000,02100,0000,02100RADIOLOGY 43380,A000000,02200,0000,02200LABORATORY 43380,A000000,02300,0000,02300INTRAVENOUS THERAPY 43380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43380,A000000,02500,0000,02500PHYSICAL THERAPY 43380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43380,A000000,02700,0000,02700SPEECH PATHOLOGY 43380,A000000,02800,0000,02800ELECTROCARDIOLOGY 43380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43380,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43380,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43380,A000000,03200,0000,03200SUPPORT SURFACES 43380,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43380,A000000,04800,0000,04800AMBULANCE 43380,A000000,05300,0000,05300INTEREST EXPENSE 43380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43380,A000000,06100,0000,06100NONPAID WORKERS 43380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43380,A000000,06200,0000,06200PATIENTS LAUNDRY 43380,A81000A,00100,0100,Y 43380,A81000B,00100,0300,HOME OFFICE COST 43380,A81000B,00200,0300,PT ADMIN FEE 43380,A81000B,00300,0300,OT ADMIN FEE 43380,A81000B,00400,0300,ST ADMIN FEE 43380,A81000B,00500,0300,PHARMACIST 43380,A81000B,00600,0300,IV DRUGS & SUPPLIES 43380,A81000B,00700,0300,DRUGS 43380,A81000C,00100,0100,B 43380,A81000C,00100,0200,HEARTLAND OF TAMARAC 43380,A81000C,00100,0400,HCR MANORCARE INC. 43380,A81000C,00100,0600,LONG TERM CARE FACILITIES 43380,A81000C,00200,0100,B 43380,A81000C,00200,0200,HEARTLAND OF TAMARAC 43380,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43380,A81000C,00200,0600,THERAPY 43380,A81000C,00300,0100,B 43380,A81000C,00300,0200,HEARTLAND OF TAMARAC 43380,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43380,A81000C,00300,0600,THERAPY 43380,A81000C,00400,0100,B 43380,A81000C,00400,0200,HEARTLAND OF TAMARAC 43380,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43380,A81000C,00400,0600,THERAPY 43380,A81000C,00500,0100,B 43380,A81000C,00500,0200,HEARTLAND OF TAMARAC 43380,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43380,A81000C,00500,0600,PHARMACY 43380,A81000C,00600,0100,B 43380,A81000C,00600,0200,HEARTLAND OF TAMARAC 43380,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43380,A81000C,00600,0600,PHARMACY 43380,A81000C,00700,0100,B 43380,A81000C,00700,0200,HEARTLAND OF TAMARAC 43380,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43380,A81000C,00700,0600,PHARMACY 43380,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43380,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43380,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43380,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43380,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43380,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43380,B100000,00000,0800,00000MEALS SERVED :DIETARY 43380,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43380,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43380,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43380,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43380,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43380,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43380,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43380,E10A180,00501,0100,07/24/2000 43380,S000000,00100,0200,06/01/2000 43380,S200000,00100,0100,5901 N.W. 79TH AVE 43380,S200000,00200,0100,TAMARAC 43380,S200000,00200,0200,FL 43380,S200000,00200,0300,33321- 43380,S200000,00300,0100,BROWARD 43380,S200000,00400,0100,HEARTLAND OF TAMARAC 43380,S200000,00400,0200,105609 43380,S200000,00400,0300,01/01/1980 43380,S200000,00400,0500,P 43380,S200000,01600,0100,Y 43380,S200000,02200,0100,Y 43391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43391,A000000,00300,0000,00300EMPLOYEE BENEFITS 43391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43391,A000000,00700,0000,00700HOUSEKEEPING 43391,A000000,00800,0000,00800DIETARY 43391,A000000,00900,0000,00900NURSING ADMINISTRATION 43391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43391,A000000,01100,0000,01100PHARMACY 43391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43391,A000000,01300,0000,01300SOCIAL SERVICE 43391,A000000,01350,0000,01500ACTIVITIES 43391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43391,A000000,01600,0000,01600SKILLED NURSING FACILITY 43391,A000000,01800,0000,01800NURSING FACILITY 43391,A000000,01900,0000,01900OTHER LONG TERM CARE 43391,A000000,02100,0000,02100RADIOLOGY 43391,A000000,02200,0000,02200LABORATORY 43391,A000000,02300,0000,02300INTRAVENOUS THERAPY 43391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43391,A000000,02500,0000,02500PHYSICAL THERAPY 43391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43391,A000000,02700,0000,02700SPEECH PATHOLOGY 43391,A000000,02800,0000,02800ELECTROCARDIOLOGY 43391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43391,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43391,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43391,A000000,03200,0000,03200SUPPORT SURFACES 43391,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43391,A000000,04800,0000,04800AMBULANCE 43391,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43391,A000000,05300,0000,05300INTEREST EXPENSE 43391,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43391,A000000,06100,0000,06100NONPAID WORKERS 43391,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43391,A000000,06200,0000,06200PATIENTS LAUNDRY 43391,A81000A,00100,0100,Y 43391,A81000B,00100,0300,HOME OFFICE COST 43391,A81000B,00200,0300,PT ADMIN FEE 43391,A81000B,00300,0300,OT ADMIN FEE 43391,A81000B,00400,0300,ST ADMIN FEE 43391,A81000B,00500,0300,PHYSICAL THERAPY 43391,A81000B,00600,0300,OCCUPATIONAL THERAPY 43391,A81000B,00700,0300,SPEECH THERAPY 43391,A81000B,00800,0300,PHARMACIST 43391,A81000B,00900,0300,DRUGS & IV DRUGS & SUPPLIES 43391,A81000C,00100,0100,B 43391,A81000C,00100,0200,R. P. OF WINTER PARK 43391,A81000C,00100,0400,HCR MANORCARE INC. 43391,A81000C,00100,0600,LONG TERM CARE FACILITIES 43391,A81000C,00200,0100,B 43391,A81000C,00200,0200,R. P. OF WINTER PARK 43391,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43391,A81000C,00200,0600,THERAPY 43391,A81000C,00300,0100,B 43391,A81000C,00300,0200,R. P. OF WINTER PARK 43391,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43391,A81000C,00300,0600,THERAPY 43391,A81000C,00400,0100,B 43391,A81000C,00400,0200,R. P. OF WINTER PARK 43391,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43391,A81000C,00400,0600,THERAPY 43391,A81000C,00500,0100,B 43391,A81000C,00500,0200,R. P. OF WINTER PARK 43391,A81000C,00500,0400,MILESTONE THERAPY 43391,A81000C,00500,0600,THERAPY 43391,A81000C,00600,0100,B 43391,A81000C,00600,0200,R. P. OF WINTER PARK 43391,A81000C,00600,0400,MILESTONE THERAPY 43391,A81000C,00600,0600,THERAPY 43391,A81000C,00700,0100,B 43391,A81000C,00700,0200,R. P. OF WINTER PARK 43391,A81000C,00700,0400,MILESTONE THERAPY 43391,A81000C,00700,0600,THERAPY 43391,A81000C,00800,0100,B 43391,A81000C,00800,0200,R. P. OF WINTER PARK 43391,A81000C,00800,0400,HEARTLAND HEALTHCARE SERV 43391,A81000C,00800,0600,PHARMACY 43391,A81000C,00900,0100,B 43391,A81000C,00900,0200,R. P. OF WINTER PARK 43391,A81000C,00900,0400,HEARTLAND HEALTHCARE SERV 43391,A81000C,00900,0600,PHARMACY 43391,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43391,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43391,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43391,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43391,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43391,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43391,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43391,B100000,00000,0800,00000MEALS SERVED :DIETARY 43391,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43391,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43391,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43391,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43391,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43391,E10A180,00501,0100,06/08/2000 43391,S000000,00100,0200,06/01/2000 43391,S200000,00100,0100,558 N. SEMORIAN BLVD 43391,S200000,00200,0100,WINTER PARK 43391,S200000,00200,0200,FL 43391,S200000,00200,0300,32792- 43391,S200000,00300,0100,ORANGE 43391,S200000,00300,0200,5960 43391,S200000,00300,0300,U 43391,S200000,00400,0100,REGENTS PARK OF WINTER PARK 43391,S200000,00400,0200,105618 43391,S200000,00400,0300,11/23/1988 43391,S200000,00400,0500,P 43391,S200000,01600,0100,Y 43391,S200000,02200,0100,Y 43401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43401,A000000,00300,0000,00300EMPLOYEE BENEFITS 43401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43401,A000000,00700,0000,00700HOUSEKEEPING 43401,A000000,00800,0000,00800DIETARY 43401,A000000,00900,0000,00900NURSING ADMINISTRATION 43401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43401,A000000,01100,0000,01100PHARMACY 43401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43401,A000000,01300,0000,01300SOCIAL SERVICE 43401,A000000,01350,0000,01500ACTIVITIES 43401,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43401,A000000,01600,0000,01600SKILLED NURSING FACILITY 43401,A000000,01800,0000,01800NURSING FACILITY 43401,A000000,01900,0000,01900OTHER LONG TERM CARE 43401,A000000,02100,0000,02100RADIOLOGY 43401,A000000,02200,0000,02200LABORATORY 43401,A000000,02300,0000,02300INTRAVENOUS THERAPY 43401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43401,A000000,02500,0000,02500PHYSICAL THERAPY 43401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43401,A000000,02700,0000,02700SPEECH PATHOLOGY 43401,A000000,02800,0000,02800ELECTROCARDIOLOGY 43401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43401,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43401,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43401,A000000,03200,0000,03200SUPPORT SURFACES 43401,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43401,A000000,04800,0000,04800AMBULANCE 43401,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43401,A000000,05300,0000,05300INTEREST EXPENSE 43401,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43401,A000000,06100,0000,06100NONPAID WORKERS 43401,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43401,A000000,06200,0000,06200PATIENTS LAUNDRY 43401,A81000A,00100,0100,Y 43401,A81000B,00100,0300,HOME OFFICE COST 43401,A81000B,00200,0300,PT ADMIN FEE 43401,A81000B,00300,0300,OT ADMIN FEE 43401,A81000B,00400,0300,ST ADMIN FEE 43401,A81000B,00500,0300,PHARMACIST 43401,A81000B,00600,0300,DRUGS 43401,A81000B,00700,0300,IV DRUGS & SUPPLIES 43401,A81000C,00100,0100,B 43401,A81000C,00100,0200,HEARTLAND OF KENDALL 43401,A81000C,00100,0400,HCR MANORCARE INC. 43401,A81000C,00100,0600,LONG TERM CARE FACILITIES 43401,A81000C,00200,0100,B 43401,A81000C,00200,0200,HEARTLAND OF KENDALL 43401,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43401,A81000C,00200,0600,THERAPY 43401,A81000C,00300,0100,B 43401,A81000C,00300,0200,HEARTLAND OF KENDALL 43401,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43401,A81000C,00300,0600,THERAPY 43401,A81000C,00400,0100,B 43401,A81000C,00400,0200,HEARTLAND OF KENDALL 43401,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43401,A81000C,00400,0600,THERAPY 43401,A81000C,00500,0100,B 43401,A81000C,00500,0200,HEARTLAND OF KENDALL 43401,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43401,A81000C,00500,0600,PHARMACY 43401,A81000C,00600,0100,B 43401,A81000C,00600,0200,HEARTLAND OF KENDALL 43401,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43401,A81000C,00600,0600,PHARMACY 43401,A81000C,00700,0100,B 43401,A81000C,00700,0200,HEARTLAND OF KENDALL 43401,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43401,A81000C,00700,0600,PHARMACY 43401,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43401,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43401,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43401,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43401,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43401,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43401,B100000,00000,0800,00000MEALS SERVED :DIETARY 43401,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43401,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43401,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43401,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43401,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43401,E10A180,00501,0100,07/07/2000 43401,S000000,00100,0200,05/31/2000 43401,S200000,00100,0100,9400 W. 137TH AVE. 43401,S200000,00200,0100,KENDALL 43401,S200000,00200,0200,FL 43401,S200000,00200,0300,33186- 43401,S200000,00300,0100,DADE 43401,S200000,00300,0200,5000 43401,S200000,00300,0300,U 43401,S200000,00400,0100,HEARTLAND OF KENDALL 43401,S200000,00400,0200,105641 43401,S200000,00400,0300,08/31/1989 43401,S200000,00400,0500,P 43401,S200000,00400,0600,P 43401,S200000,01600,0100,Y 43401,S200000,02200,0100,Y 43411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43411,A000000,00700,0000,00700HOUSEKEEPING 43411,A000000,00800,0000,00800DIETARY 43411,A000000,00900,0000,00900NURSING ADMINISTRATION 43411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43411,A000000,01300,0000,01300SOCIAL SERVICE 43411,A000000,01600,0000,01600SKILLED NURSING FACILITY 43411,A000000,01800,0000,01800NURSING FACILITY 43411,A000000,02100,0000,02100RADIOLOGY 43411,A000000,02200,0000,02200LABORATORY 43411,A000000,02300,0000,02300INTRAVENOUS THERAPY 43411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43411,A000000,02500,0000,02500PHYSICAL THERAPY 43411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43411,A000000,02700,0000,02700SPEECH PATHOLOGY 43411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43411,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43411,A000000,03052,0000,03302MEDICAL EQUIPMENT 43411,A000000,04800,0000,04800AMBULANCE 43411,A000000,05300,0000,05300INTEREST EXPENSE 43411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43411,A000000,06200,0000,06200PATIENTS LAUNDRY 43411,A81000A,00100,0100,Y 43411,A81000B,00100,0300,HOME OFFICE A&G 43411,A81000B,00200,0300,HOME OFFICE CAPITAL 43411,A81000B,00300,0300,DIVISION OFFICE A&G 43411,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43411,A81000B,00500,0300,INSURANCE 43411,A81000C,00100,0100,B 43411,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43411,A81000C,00200,0100,G 43411,A81000C,00200,0200,LAURIER INC. 43411,A81000C,00200,0400,EXTENDICARE INC. 43411,A81000C,00200,0600,INSURANCE 43411,A81000C,00300,0100,G 43411,A81000C,00300,0200,UNITED REHABILITATION SVS 43411,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43411,A81000C,00300,0600,THERAPY SERVICE 43411,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43411,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43411,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43411,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43411,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43411,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43411,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43411,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43411,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43411,E10A180,00301,0100,06/22/1998 43411,E10A180,00301,0300,06/22/1998 43411,E10A180,00350,0100,06/22/1998 43411,E10A180,00350,0300,06/22/1998 43411,S000000,00100,0200,06/02/2000 43411,S200000,00100,0100,1215 KINGSLEY AVENUE 43411,S200000,00200,0100,ORANGE PARK 43411,S200000,00200,0200,FL 43411,S200000,00200,0300,32073- 43411,S200000,00300,0100,CLAY 43411,S200000,00300,0200,3600 43411,S200000,00300,0300,U 43411,S200000,00400,0100,ARBORS AT ORANGE PARK 43411,S200000,00400,0200,105653 43411,S200000,00400,0300,10/09/1990 43411,S200000,00400,0500,P 43411,S200000,01600,0100,Y 43424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43424,A000000,00300,0000,00300EMPLOYEE BENEFITS 43424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43424,A000000,00700,0000,00700HOUSEKEEPING 43424,A000000,00800,0000,00800DIETARY 43424,A000000,00900,0000,00900NURSING ADMINISTRATION 43424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43424,A000000,01100,0000,01100PHARMACY 43424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43424,A000000,01300,0000,01300SOCIAL SERVICE 43424,A000000,01350,0000,01500ACTIVITIES 43424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43424,A000000,01600,0000,01600SKILLED NURSING FACILITY 43424,A000000,01800,0000,01800NURSING FACILITY 43424,A000000,01900,0000,01900OTHER LONG TERM CARE 43424,A000000,02100,0000,02100RADIOLOGY 43424,A000000,02200,0000,02200LABORATORY 43424,A000000,02300,0000,02300INTRAVENOUS THERAPY 43424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43424,A000000,02500,0000,02500PHYSICAL THERAPY 43424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43424,A000000,02700,0000,02700SPEECH PATHOLOGY 43424,A000000,02800,0000,02800ELECTROCARDIOLOGY 43424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43424,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43424,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43424,A000000,03200,0000,03200SUPPORT SURFACES 43424,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43424,A000000,04800,0000,04800AMBULANCE 43424,A000000,05300,0000,05300INTEREST EXPENSE 43424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43424,A000000,06100,0000,06100NONPAID WORKERS 43424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43424,A000000,06200,0000,06200PATIENTS LAUNDRY 43424,A81000A,00100,0100,Y 43424,A81000B,00100,0300,HOME OFFICE COST 43424,A81000B,00200,0300,PT ADMIN FEES 43424,A81000B,00300,0300,OT ADMIN FEES 43424,A81000B,00400,0300,ST ADMIN FEES 43424,A81000B,00500,0300,DRUGS 43424,A81000B,00600,0300,PHARMACIST 43424,A81000B,00700,0300,IV DRUGS & SUPPLIES 43424,A81000C,00100,0100,B 43424,A81000C,00100,0200,HEARTLAND OF SUNRISE 43424,A81000C,00100,0400,HCR MANORCARE INC. 43424,A81000C,00100,0600,LONG TERM CARE FACILITIES 43424,A81000C,00200,0100,B 43424,A81000C,00200,0200,HEARTLAND OF SUNRISE 43424,A81000C,00200,0400,HEARTLAND MGMT SERVICES 43424,A81000C,00200,0600,THERAPY MANAGEMENT 43424,A81000C,00300,0100,B 43424,A81000C,00300,0200,HEARTLAND OF SUNRISE 43424,A81000C,00300,0400,HEARTLAND MGMT SERVICES 43424,A81000C,00300,0600,THERAPY MANAGEMENT 43424,A81000C,00400,0100,B 43424,A81000C,00400,0200,HEARTLAND OF SUNRISE 43424,A81000C,00400,0400,HEARTLAND MGMT SERVICES 43424,A81000C,00400,0600,THERAPY MANAGEMENT 43424,A81000C,00500,0100,B 43424,A81000C,00500,0200,HEARTLAND OF SUNRISE 43424,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43424,A81000C,00500,0600,PHARMACY 43424,A81000C,00600,0100,B 43424,A81000C,00600,0200,HEARTLAND OF SUNRISE 43424,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43424,A81000C,00600,0600,PHARMACY 43424,A81000C,00700,0100,B 43424,A81000C,00700,0200,HEARTLAND OF SUNRISE 43424,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43424,A81000C,00700,0600,PHARMACY 43424,A81000C,00800,0100,B 43424,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43424,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43424,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43424,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43424,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43424,B100000,00000,0650,00000LBS. OF LAUNDRY :LAUNDRY & LINEN SE 43424,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43424,B100000,00000,0800,00000MEALS SERVED :DIETARY 43424,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43424,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43424,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43424,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43424,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43424,E10A180,00301,0100,11/02/1999 43424,E10A180,00501,0100,07/03/2000 43424,S000000,00100,0200,05/31/2000 43424,S200000,00100,0100,971 W. OAKLAND PARK BLVD. 43424,S200000,00200,0100,SUNRISE 43424,S200000,00200,0200,FL 43424,S200000,00200,0300,33351- 43424,S200000,00300,0100,BROWARD 43424,S200000,00300,0200,2680 43424,S200000,00300,0300,U 43424,S200000,00400,0100,HEARTLAND OF SUNRISE 43424,S200000,00400,0200,105679 43424,S200000,00400,0300,11/17/1989 43424,S200000,00400,0500,P 43424,S200000,00400,0600,P 43424,S200000,01600,0100,Y 43424,S200000,02200,0100,Y 43433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43433,A000000,00300,0000,00300EMPLOYEE BENEFITS 43433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43433,A000000,00700,0000,00700HOUSEKEEPING 43433,A000000,00800,0000,00800DIETARY 43433,A000000,00900,0000,00900NURSING ADMINISTRATION 43433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43433,A000000,01100,0000,01100PHARMACY 43433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43433,A000000,01300,0000,01300SOCIAL SERVICE 43433,A000000,01350,0000,01500ACTIVITIES 43433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43433,A000000,01600,0000,01600SKILLED NURSING FACILITY 43433,A000000,01800,0000,01800NURSING FACILITY 43433,A000000,01900,0000,01900OTHER LONG TERM CARE 43433,A000000,02100,0000,02100RADIOLOGY 43433,A000000,02200,0000,02200LABORATORY 43433,A000000,02300,0000,02300INTRAVENOUS THERAPY 43433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43433,A000000,02500,0000,02500PHYSICAL THERAPY 43433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43433,A000000,02700,0000,02700SPEECH PATHOLOGY 43433,A000000,02800,0000,02800ELECTROCARDIOLOGY 43433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43433,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43433,A000000,03200,0000,03200SUPPORT SURFACES 43433,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43433,A000000,04800,0000,04800AMBULANCE 43433,A000000,05300,0000,05300INTEREST EXPENSE 43433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43433,A000000,06100,0000,06100NONPAID WORKERS 43433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43433,A000000,06200,0000,06200PATIENTS LAUNDRY 43433,A81000A,00100,0100,Y 43433,A81000B,00100,0300,HOME OFFICE COST 43433,A81000B,00200,0300,PT ADMIN FEES 43433,A81000B,00300,0300,OT ADMIN FEES 43433,A81000B,00400,0300,ST ADMIN FEES 43433,A81000B,00500,0300,DRUGS TO PATIENTS 43433,A81000B,00600,0300,PHARMACIST 43433,A81000C,00100,0100,B 43433,A81000C,00100,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00100,0400,HCR MANORCARE INC. 43433,A81000C,00100,0600,LONG TERM CARE FACILITIES 43433,A81000C,00200,0100,B 43433,A81000C,00200,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43433,A81000C,00200,0600,THERAPY MANAGEMENT 43433,A81000C,00300,0100,B 43433,A81000C,00300,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43433,A81000C,00300,0600,THERAPY MANAGEMENT 43433,A81000C,00400,0100,B 43433,A81000C,00400,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43433,A81000C,00400,0600,THERAPY MANAGEMENT 43433,A81000C,00500,0100,B 43433,A81000C,00500,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43433,A81000C,00500,0600,PHARMACY 43433,A81000C,00600,0100,B 43433,A81000C,00600,0200,HEARTLAND OF LAUDERHILL 43433,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43433,A81000C,00600,0600,PHARMACY 43433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43433,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43433,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43433,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43433,B100000,00000,0800,00000MEALS SERVED :DIETARY 43433,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43433,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43433,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43433,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43433,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43433,E10A180,00501,0100,07/03/2000 43433,S000000,00100,0200,05/19/2000 43433,S200000,00100,0100,2599 N.W. 55TH AVENUE 43433,S200000,00200,0100,LAUDERHILL 43433,S200000,00200,0200,FL 43433,S200000,00200,0300,33313- 43433,S200000,00300,0100,BROWARD 43433,S200000,00300,0200,2680 43433,S200000,00300,0300,U 43433,S200000,00400,0100,HEARTLAND OF LAUDERHILL 43433,S200000,00400,0200,105680 43433,S200000,00400,0300,12/27/1989 43433,S200000,00400,0500,P 43433,S200000,00400,0600,P 43433,S200000,01600,0100,Y 43433,S200000,02200,0100,Y 43447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43447,A000000,00300,0000,00300EMPLOYEE BENEFITS 43447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43447,A000000,00700,0000,00700HOUSEKEEPING 43447,A000000,00800,0000,00800DIETARY 43447,A000000,00900,0000,00900NURSING ADMINISTRATION 43447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43447,A000000,01100,0000,01100PHARMACY 43447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43447,A000000,01300,0000,01300SOCIAL SERVICE 43447,A000000,01350,0000,01500ACTIVITIES 43447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43447,A000000,01600,0000,01600SKILLED NURSING FACILITY 43447,A000000,01800,0000,01800NURSING FACILITY 43447,A000000,01900,0000,01900OTHER LONG TERM CARE 43447,A000000,02100,0000,02100RADIOLOGY 43447,A000000,02200,0000,02200LABORATORY 43447,A000000,02300,0000,02300INTRAVENOUS THERAPY 43447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43447,A000000,02500,0000,02500PHYSICAL THERAPY 43447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43447,A000000,02700,0000,02700SPEECH PATHOLOGY 43447,A000000,02800,0000,02800ELECTROCARDIOLOGY 43447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43447,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43447,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43447,A000000,03200,0000,03200SUPPORT SURFACES 43447,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43447,A000000,04800,0000,04800AMBULANCE 43447,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43447,A000000,05300,0000,05300INTEREST EXPENSE 43447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43447,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43447,A000000,06100,0000,06100NONPAID WORKERS 43447,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43447,A000000,06200,0000,06200PATIENTS LAUNDRY 43447,A81000A,00100,0100,Y 43447,A81000B,00100,0300,HOME OFFICE COST 43447,A81000B,00200,0300,PT ADMIN FEE 43447,A81000B,00300,0300,OT ADMIN FEE 43447,A81000B,00400,0300,ST ADMIN FEE 43447,A81000B,00500,0300,PHARMACIST 43447,A81000B,00600,0300,IV DRUGS AND SUPPLIES 43447,A81000B,00700,0300,DRUGS 43447,A81000C,00100,0100,B 43447,A81000C,00100,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00100,0400,HCR MANORCARE INC. 43447,A81000C,00100,0600,LONG TERM CARE FACILITIES 43447,A81000C,00200,0100,B 43447,A81000C,00200,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43447,A81000C,00200,0600,THERAPY 43447,A81000C,00300,0100,B 43447,A81000C,00300,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43447,A81000C,00300,0600,THERAPY 43447,A81000C,00400,0100,B 43447,A81000C,00400,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43447,A81000C,00400,0600,THERAPY 43447,A81000C,00500,0100,B 43447,A81000C,00500,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43447,A81000C,00500,0600,PHARMACY 43447,A81000C,00600,0100,B 43447,A81000C,00600,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43447,A81000C,00600,0600,PHARMACY 43447,A81000C,00700,0100,B 43447,A81000C,00700,0200,HEARTLAND OF JACKSONVILLE 43447,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43447,A81000C,00700,0600,PHARMACY 43447,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43447,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43447,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43447,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43447,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43447,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43447,B100000,00000,0800,00000MEALS SERVED :DIETARY 43447,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43447,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43447,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43447,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43447,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43447,E10A180,00501,0100,06/26/2000 43447,S000000,00100,0200,06/01/2000 43447,S200000,00100,0100,8495 NORMANDY BLVD 43447,S200000,00200,0100,JACKSONVILLE 43447,S200000,00200,0200,FL 43447,S200000,00200,0300,32221- 43447,S200000,00300,0100,DUVAL 43447,S200000,00300,0200,3600 43447,S200000,00300,0300,U 43447,S200000,00400,0100,HEARTLAND OF JACKSONVILLE 43447,S200000,00400,0200,105684 43447,S200000,00400,0300,01/12/1990 43447,S200000,00400,0500,P 43447,S200000,01600,0100,Y 43447,S200000,02200,0100,Y 43458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43458,A000000,00300,0000,00300EMPLOYEE BENEFITS 43458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43458,A000000,00700,0000,00700HOUSEKEEPING 43458,A000000,00800,0000,00800DIETARY 43458,A000000,00900,0000,00900NURSING ADMINISTRATION 43458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43458,A000000,01100,0000,01100PHARMACY 43458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43458,A000000,01300,0000,01300SOCIAL SERVICE 43458,A000000,01350,0000,01500ACTIVITIES 43458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43458,A000000,01600,0000,01600SKILLED NURSING FACILITY 43458,A000000,01800,0000,01800NURSING FACILITY 43458,A000000,01900,0000,01900OTHER LONG TERM CARE 43458,A000000,02100,0000,02100RADIOLOGY 43458,A000000,02200,0000,02200LABORATORY 43458,A000000,02300,0000,02300INTRAVENOUS THERAPY 43458,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43458,A000000,02500,0000,02500PHYSICAL THERAPY 43458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43458,A000000,02700,0000,02700SPEECH PATHOLOGY 43458,A000000,02800,0000,02800ELECTROCARDIOLOGY 43458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43458,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43458,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43458,A000000,03200,0000,03200SUPPORT SURFACES 43458,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43458,A000000,04800,0000,04800AMBULANCE 43458,A000000,05300,0000,05300INTEREST EXPENSE 43458,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43458,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43458,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43458,A000000,06100,0000,06100NONPAID WORKERS 43458,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43458,A000000,06200,0000,06200PATIENTS LAUNDRY 43458,A81000A,00100,0100,Y 43458,A81000B,00100,0300,HOME OFFICE COST 43458,A81000B,00200,0300,PT ADMIN FEES 43458,A81000B,00300,0300,OT ADMIN FEES 43458,A81000B,00400,0300,ST ADMIN FEES 43458,A81000B,00500,0300,DRUGS 43458,A81000B,00600,0300,PHARMACIST 43458,A81000C,00100,0100,B 43458,A81000C,00100,0200,HHCC - ORANGE PARK 43458,A81000C,00100,0400,HCR MANORCARE INC. 43458,A81000C,00100,0600,LONG TERM CARE FACILITIES 43458,A81000C,00200,0100,B 43458,A81000C,00200,0200,HHCC - ORANGE PARK 43458,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43458,A81000C,00200,0600,THERAPY MANAGMENT 43458,A81000C,00300,0100,B 43458,A81000C,00300,0200,HHCC - ORANGE PARK 43458,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43458,A81000C,00300,0600,THERAPY MANAGMENT 43458,A81000C,00400,0100,B 43458,A81000C,00400,0200,HHCC - ORANGE PARK 43458,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43458,A81000C,00400,0600,THERAPY MANAGMENT 43458,A81000C,00500,0100,B 43458,A81000C,00500,0200,HHCC - ORANGE PARK 43458,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43458,A81000C,00500,0600,PHARMACY 43458,A81000C,00600,0100,B 43458,A81000C,00600,0200,HHCC - ORANGE PARK 43458,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43458,A81000C,00600,0600,PHARMACY 43458,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43458,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43458,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43458,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43458,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43458,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43458,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43458,B100000,00000,0800,00000MEALS SERVED :DIETARY 43458,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43458,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43458,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43458,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43458,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43458,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43458,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43458,S000000,00100,0200,05/19/2000 43458,S200000,00100,0100,570 WELLS RD 43458,S200000,00200,0100,ORANGE PARK 43458,S200000,00200,0200,FL 43458,S200000,00200,0300,32073- 43458,S200000,00300,0100,CLAY 43458,S200000,00400,0100,HHCC - ORANGE PARK 43458,S200000,00400,0200,105692 43458,S200000,00400,0300,04/26/1990 43458,S200000,00400,0500,P 43458,S200000,00400,0600,P 43458,S200000,01004,0500,O 43458,S200000,01600,0100,Y 43458,S200000,02200,0100,Y 43458,S700003,00000,0100,1 43479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43479,A000000,00300,0000,00300EMPLOYEE BENEFITS 43479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43479,A000000,00700,0000,00700HOUSEKEEPING 43479,A000000,00800,0000,00800DIETARY 43479,A000000,00900,0000,00900NURSING ADMINISTRATION 43479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43479,A000000,01100,0000,01100PHARMACY 43479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43479,A000000,01300,0000,01300SOCIAL SERVICE 43479,A000000,01350,0000,01500ACTIVITIES 43479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43479,A000000,01600,0000,01600SKILLED NURSING FACILITY 43479,A000000,01800,0000,01800NURSING FACILITY 43479,A000000,01900,0000,01900OTHER LONG TERM CARE 43479,A000000,02100,0000,02100RADIOLOGY 43479,A000000,02200,0000,02200LABORATORY 43479,A000000,02300,0000,02300INTRAVENOUS THERAPY 43479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43479,A000000,02500,0000,02500PHYSICAL THERAPY 43479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43479,A000000,02700,0000,02700SPEECH PATHOLOGY 43479,A000000,02800,0000,02800ELECTROCARDIOLOGY 43479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43479,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43479,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43479,A000000,03200,0000,03200SUPPORT SURFACES 43479,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43479,A000000,04800,0000,04800AMBULANCE 43479,A000000,05300,0000,05300INTEREST EXPENSE 43479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43479,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43479,A000000,06100,0000,06100NONPAID WORKERS 43479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43479,A000000,06200,0000,06200PATIENTS LAUNDRY 43479,A81000A,00100,0100,Y 43479,A81000B,00100,0300,HOME OFFICE COST 43479,A81000B,00200,0300,PT ADMIN FEE 43479,A81000B,00300,0300,OT ADMIN FEE 43479,A81000B,00400,0300,ST ADMIN FEE 43479,A81000B,00500,0300,DRUGS 43479,A81000B,00600,0300,PHARMACIST 43479,A81000B,00700,0300,IV DRUGS & SUPPLIES 43479,A81000C,00100,0100,B 43479,A81000C,00100,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00100,0400,HCR MANORCARE INC. 43479,A81000C,00100,0600,LONG TERM CARE FACILITIES 43479,A81000C,00200,0100,B 43479,A81000C,00200,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43479,A81000C,00200,0600,THERAPY MANAGEMENT 43479,A81000C,00300,0100,B 43479,A81000C,00300,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43479,A81000C,00300,0600,THERAPY MANAGEMENT 43479,A81000C,00400,0100,B 43479,A81000C,00400,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43479,A81000C,00400,0600,THERAPY MANAGEMENT 43479,A81000C,00500,0100,B 43479,A81000C,00500,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43479,A81000C,00500,0600,PHARMACY 43479,A81000C,00600,0100,B 43479,A81000C,00600,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43479,A81000C,00600,0600,PHARMACY 43479,A81000C,00700,0100,B 43479,A81000C,00700,0200,HEARTLAND OF MIAMI LAKES 43479,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43479,A81000C,00700,0600,PHARMACY 43479,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43479,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43479,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43479,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43479,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43479,B100000,00000,0650,00000LBS. OF LAUNDRY :LAUNDRY & LINEN SE 43479,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43479,B100000,00000,0800,00000MEALS SERVED :DIETARY 43479,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43479,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43479,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43479,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43479,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43479,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43479,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43479,S000000,00100,0200,05/31/2000 43479,S200000,00100,0100,5725 N.W. 186TH STREET 43479,S200000,00200,0100,HIALEAH 43479,S200000,00200,0200,FL 43479,S200000,00200,0300,33015- 43479,S200000,00300,0100,DADE 43479,S200000,00400,0100,HEARTLAND OF MIAMI LAKES 43479,S200000,00400,0200,105709 43479,S200000,00400,0300,09/14/1990 43479,S200000,00400,0500,P 43479,S200000,00400,0600,P 43479,S200000,01600,0100,Y 43479,S200000,02200,0100,Y 43489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43489,A000000,00300,0000,00300EMPLOYEE BENEFITS 43489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43489,A000000,00700,0000,00700HOUSEKEEPING 43489,A000000,00800,0000,00800DIETARY 43489,A000000,00900,0000,00900NURSING ADMINISTRATION 43489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43489,A000000,01100,0000,01100PHARMACY 43489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43489,A000000,01300,0000,01300SOCIAL SERVICE 43489,A000000,01350,0000,01500ACTIVITIES 43489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43489,A000000,01600,0000,01600SKILLED NURSING FACILITY 43489,A000000,01800,0000,01800NURSING FACILITY 43489,A000000,01900,0000,01900OTHER LONG TERM CARE 43489,A000000,02100,0000,02100RADIOLOGY 43489,A000000,02200,0000,02200LABORATORY 43489,A000000,02300,0000,02300INTRAVENOUS THERAPY 43489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43489,A000000,02500,0000,02500PHYSICAL THERAPY 43489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43489,A000000,02700,0000,02700SPEECH PATHOLOGY 43489,A000000,02800,0000,02800ELECTROCARDIOLOGY 43489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43489,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43489,A000000,03200,0000,03200SUPPORT SURFACES 43489,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43489,A000000,04800,0000,04800AMBULANCE 43489,A000000,05300,0000,05300INTEREST EXPENSE 43489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43489,A000000,06100,0000,06100NONPAID WORKERS 43489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43489,A000000,06200,0000,06200PATIENTS LAUNDRY 43489,A81000A,00100,0100,Y 43489,A81000B,00100,0300,HOME OFFICE COST 43489,A81000B,00200,0300,PURCHASE SERV. PHARMACIST 43489,A81000B,00300,0300,IV THERAPY 43489,A81000B,00400,0300,DRUGS CHRGED TO PATIENTS 43489,A81000B,00500,0300,PT ADMIN. FEES 43489,A81000B,00600,0300,OT ADMIN. FEES 43489,A81000B,00700,0300,ST ADMIN FEES 43489,A81000C,00100,0100,B 43489,A81000C,00100,0200,HRTLAND OF FT. MYERS 43489,A81000C,00100,0400,HCR MANORCARE INC. 43489,A81000C,00100,0600,LONG TERM CARE FACILITIES 43489,A81000C,00200,0100,B 43489,A81000C,00200,0200,HRTLAND OF FT. MYERS 43489,A81000C,00200,0400,HCR MANOR CARE 43489,A81000C,00200,0600,PHARMACY 43489,A81000C,00300,0100,B 43489,A81000C,00300,0200,HRTLAND OF FT. MYERS 43489,A81000C,00300,0400,HCR MANOR CARE 43489,A81000C,00300,0600,PHARMACY 43489,A81000C,00400,0100,B 43489,A81000C,00400,0200,HRTLAND OF FT. MYERS 43489,A81000C,00400,0400,HCR MANOR CARE 43489,A81000C,00400,0600,PHARMACY 43489,A81000C,00500,0100,B 43489,A81000C,00500,0200,HRTLAND OF FT. MYERS 43489,A81000C,00500,0400,HCR MANOR CARE 43489,A81000C,00500,0600,THERAPY MGMT 43489,A81000C,00600,0100,B 43489,A81000C,00600,0200,HRTLAND OF FT. MYERS 43489,A81000C,00600,0400,HCR MANOR CARE 43489,A81000C,00600,0600,THERAPY MGMT 43489,A81000C,00700,0100,B 43489,A81000C,00700,0200,HRTLAND OF FT. MYERS 43489,A81000C,00700,0400,HCR MANOR CARE 43489,A81000C,00700,0600,THERAPY MGMT 43489,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43489,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43489,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43489,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43489,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43489,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43489,B100000,00000,0800,00000MEALS SERVED :DIETARY 43489,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43489,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43489,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43489,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43489,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43489,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43489,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43489,S000000,00100,0200,04/12/2000 43489,S200000,00100,0100,1600 MATHEW DRIVE 43489,S200000,00200,0100,FT. MYERS 43489,S200000,00200,0200,FL 43489,S200000,00200,0300,33907- 43489,S200000,00300,0100,LEE 43489,S200000,00400,0100,HEARTLAND OF FT. MYERS 43489,S200000,00400,0200,105723 43489,S200000,00400,0300,04/25/1991 43489,S200000,00400,0500,P 43489,S200000,00400,0600,P 43489,S200000,01004,0500,O 43489,S200000,01600,0100,Y 43498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43498,A000000,00300,0000,00300EMPLOYEE BENEFITS 43498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43498,A000000,00700,0000,00700HOUSEKEEPING 43498,A000000,00800,0000,00800DIETARY 43498,A000000,00900,0000,00900NURSING ADMINISTRATION 43498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43498,A000000,01100,0000,01100PHARMACY 43498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43498,A000000,01300,0000,01300SOCIAL SERVICE 43498,A000000,01350,0000,01500ACTIVITIES 43498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43498,A000000,01600,0000,01600SKILLED NURSING FACILITY 43498,A000000,01800,0000,01800NURSING FACILITY 43498,A000000,01900,0000,01900OTHER LONG TERM CARE 43498,A000000,02100,0000,02100RADIOLOGY 43498,A000000,02200,0000,02200LABORATORY 43498,A000000,02300,0000,02300INTRAVENOUS THERAPY 43498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43498,A000000,02500,0000,02500PHYSICAL THERAPY 43498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43498,A000000,02700,0000,02700SPEECH PATHOLOGY 43498,A000000,02800,0000,02800ELECTROCARDIOLOGY 43498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43498,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43498,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43498,A000000,03200,0000,03200SUPPORT SURFACES 43498,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43498,A000000,04800,0000,04800AMBULANCE 43498,A000000,05300,0000,05300INTEREST EXPENSE 43498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43498,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43498,A000000,06100,0000,06100NONPAID WORKERS 43498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43498,A000000,06200,0000,06200PATIENTS LAUNDRY 43498,A81000A,00100,0100,Y 43498,A81000B,00100,0300,HOME OFFICE COST 43498,A81000B,00200,0300,PURCH. SERV. PHARMACIST 43498,A81000B,00300,0300,DRUGS 43498,A81000B,00400,0300,PT ADMIN. FEES 43498,A81000B,00500,0300,OT ADMIN FEES 43498,A81000B,00600,0300,PT ADMIN FEES 43498,A81000C,00100,0100,B 43498,A81000C,00100,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00100,0400,HCR MANORCARE INC. 43498,A81000C,00100,0600,LONG TERM CARE FACILITIES 43498,A81000C,00200,0100,B 43498,A81000C,00200,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00200,0400,HCR MANOR CARE 43498,A81000C,00200,0600,PHARMACY 43498,A81000C,00300,0100,B 43498,A81000C,00300,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00300,0400,HCR MANOR CARE 43498,A81000C,00300,0600,PHARMACY 43498,A81000C,00400,0100,B 43498,A81000C,00400,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00400,0400,HCR MANOR CARE 43498,A81000C,00400,0600,THERAPY MGMT 43498,A81000C,00500,0100,B 43498,A81000C,00500,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00500,0400,HCR MANOR CARE 43498,A81000C,00500,0600,THERAPY MGMT 43498,A81000C,00600,0100,B 43498,A81000C,00600,0200,HRTLAND OF BOYNTON BEACH 43498,A81000C,00600,0400,HCR MANOR CARE 43498,A81000C,00600,0600,THERAPY MGMT 43498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43498,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43498,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43498,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43498,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43498,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43498,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43498,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43498,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43498,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43498,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43498,S000000,00100,0200,04/12/2000 43498,S200000,00100,0100,3600 OLD BOYNTON BEACH ROAD 43498,S200000,00200,0100,BOYNTON BEACH 43498,S200000,00200,0200,FL 43498,S200000,00200,0300,33436- 43498,S200000,00300,0100,PALM BEACH 43498,S200000,00400,0100,HEARTLAND OF BOYNTON BEACH 43498,S200000,00400,0200,105755 43498,S200000,00400,0300,01/15/1992 43498,S200000,00400,0500,P 43498,S200000,00400,0600,P 43498,S200000,01004,0500,O 43498,S200000,01500,0100,Y 43498,S200000,02200,0100,Y 43498,S700003,00000,0100,1 43509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43509,A000000,00300,0000,00300EMPLOYEE BENEFITS 43509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43509,A000000,00700,0000,00700HOUSEKEEPING 43509,A000000,00800,0000,00800DIETARY 43509,A000000,00900,0000,00900NURSING ADMINISTRATION 43509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43509,A000000,01100,0000,01100PHARMACY 43509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43509,A000000,01300,0000,01300SOCIAL SERVICE 43509,A000000,01350,0000,01500ACTIVITIES 43509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43509,A000000,01600,0000,01600SKILLED NURSING FACILITY 43509,A000000,01800,0000,01800NURSING FACILITY 43509,A000000,01900,0000,01900OTHER LONG TERM CARE 43509,A000000,02100,0000,02100RADIOLOGY 43509,A000000,02200,0000,02200LABORATORY 43509,A000000,02300,0000,02300INTRAVENOUS THERAPY 43509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43509,A000000,02500,0000,02500PHYSICAL THERAPY 43509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43509,A000000,02700,0000,02700SPEECH PATHOLOGY 43509,A000000,02800,0000,02800ELECTROCARDIOLOGY 43509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43509,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43509,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43509,A000000,03200,0000,03200SUPPORT SURFACES 43509,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43509,A000000,04800,0000,04800AMBULANCE 43509,A000000,05300,0000,05300INTEREST EXPENSE 43509,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43509,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43509,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43509,A000000,06100,0000,06100NONPAID WORKERS 43509,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43509,A000000,06200,0000,06200PATIENTS LAUNDRY 43509,A81000A,00100,0100,Y 43509,A81000B,00100,0300,HOME OFFICE COST 43509,A81000B,00200,0300,PURCH. SERV. PHARMACIST 43509,A81000B,00300,0300,IV DRUGS & SUPPLIES 43509,A81000B,00400,0300,DRUGS 43509,A81000B,00500,0300,PT ADMIN FEES 43509,A81000B,00600,0300,OT ADMIN FEES 43509,A81000B,00700,0300,ST ADMIN FEES 43509,A81000C,00100,0100,B 43509,A81000C,00100,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00100,0400,HCR MANORCARE INC. 43509,A81000C,00100,0600,LONG TERM CARE FACILITIES 43509,A81000C,00200,0100,B 43509,A81000C,00200,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00200,0400,HRTLAND HLTHCARE SERV. 43509,A81000C,00200,0600,PHARMACY 43509,A81000C,00300,0100,B 43509,A81000C,00300,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00300,0400,HRTLAND HLTHCARE SERV. 43509,A81000C,00300,0600,PHARMACY 43509,A81000C,00400,0100,B 43509,A81000C,00400,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00400,0400,HRTLAND HLTHCARE SERV. 43509,A81000C,00400,0600,PHARMACY 43509,A81000C,00500,0100,B 43509,A81000C,00500,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00500,0400,HRTLAND MANAGEMENT SERV. 43509,A81000C,00500,0600,THERAPY MGMT 43509,A81000C,00600,0100,B 43509,A81000C,00600,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00600,0400,HRTLAND MANAGEMENT SERV. 43509,A81000C,00600,0600,THERAPY MGMT 43509,A81000C,00700,0100,B 43509,A81000C,00700,0200,HRTLAND PROSPERITY OAKS 43509,A81000C,00700,0400,HRTLAND MANAGEMENT SERV. 43509,A81000C,00700,0600,THERAPY MGMT 43509,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43509,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43509,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43509,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43509,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43509,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43509,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43509,B100000,00000,0800,00000MEALS SERVED :DIETARY 43509,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43509,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43509,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43509,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43509,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43509,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43509,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43509,S000000,00100,0200,04/12/2000 43509,S200000,00100,0100,11375 PROSPERITY FARMS ROAD 43509,S200000,00200,0100,PALM BEACH GARDENS 43509,S200000,00200,0200,FL 43509,S200000,00200,0300,33410- 43509,S200000,00300,0100,PALM BEACH 43509,S200000,00400,0100,HRTLAND OF PROSPERITY OAKS 43509,S200000,00400,0200,105762 43509,S200000,00400,0300,03/07/1992 43509,S200000,00400,0500,P 43509,S200000,00400,0600,P 43509,S200000,01600,0100,Y 43509,S200000,02200,0100,Y 43509,S700003,00000,0100,1 43521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43521,A000000,00700,0000,00700HOUSEKEEPING 43521,A000000,00800,0000,00800DIETARY 43521,A000000,00900,0000,00900NURSING ADMINISTRATION 43521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43521,A000000,01300,0000,01300SOCIAL SERVICE 43521,A000000,01600,0000,01600SKILLED NURSING FACILITY 43521,A000000,01800,0000,01800NURSING FACILITY 43521,A000000,02100,0000,02100RADIOLOGY 43521,A000000,02200,0000,02200LABORATORY 43521,A000000,02300,0000,02300INTRAVENOUS THERAPY 43521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43521,A000000,02500,0000,02500PHYSICAL THERAPY 43521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43521,A000000,02700,0000,02700SPEECH PATHOLOGY 43521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43521,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43521,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43521,A000000,03052,0000,03302MEDICAL EQUIPMENT 43521,A000000,04800,0000,04800AMBULANCE 43521,A000000,05300,0000,05300INTEREST EXPENSE 43521,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43521,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43521,A000000,06200,0000,06200PATIENTS LAUNDRY 43521,A81000A,00100,0100,Y 43521,A81000B,00100,0300,HOME OFFICE A&G 43521,A81000B,00200,0300,HOME OFFICE CAPITAL 43521,A81000B,00300,0300,DIVISION OFFICE A&G 43521,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43521,A81000B,00500,0300,INSURANCE 43521,A81000C,00100,0100,B 43521,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43521,A81000C,00200,0100,G 43521,A81000C,00200,0200,LAURIER INC. 43521,A81000C,00200,0400,EXTENDICARE INC. 43521,A81000C,00200,0600,INSURANCE 43521,A81000C,00300,0100,G 43521,A81000C,00300,0200,UPC 43521,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43521,A81000C,00300,0600,PHARMACY AND THERAPY 43521,A81000C,00400,0100,G 43521,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43521,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43521,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43521,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43521,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43521,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43521,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43521,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43521,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43521,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43521,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43521,E10A180,00301,0100,06/22/1998 43521,E10A180,00301,0300,06/22/1998 43521,E10A180,00350,0100,06/22/1998 43521,E10A180,00350,0300,06/22/1998 43521,S000000,00100,0200,06/02/2000 43521,S200000,00100,0100,1650 PHILLIPS ROAD 43521,S200000,00200,0100,TALLAHASSEE 43521,S200000,00200,0200,FL 43521,S200000,00200,0300,32308- 43521,S200000,00300,0100,LEON 43521,S200000,00300,0200,8240 43521,S200000,00300,0300,U 43521,S200000,00400,0100,ARBORS AT TALLAHASSEE 43521,S200000,00400,0200,105764 43521,S200000,00400,0300,04/01/1992 43521,S200000,00400,0500,P 43521,S200000,01600,0100,Y 43528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43528,A000000,00700,0000,00700HOUSEKEEPING 43528,A000000,00800,0000,00800DIETARY 43528,A000000,00900,0000,00900NURSING ADMINISTRATION 43528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43528,A000000,01300,0000,01300SOCIAL SERVICE 43528,A000000,01600,0000,01600SKILLED NURSING FACILITY 43528,A000000,01800,0000,01800NURSING FACILITY 43528,A000000,02100,0000,02100RADIOLOGY 43528,A000000,02200,0000,02200LABORATORY 43528,A000000,02300,0000,02300INTRAVENOUS THERAPY 43528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43528,A000000,02500,0000,02500PHYSICAL THERAPY 43528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43528,A000000,02700,0000,02700SPEECH PATHOLOGY 43528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43528,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43528,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43528,A000000,03052,0000,03302MEDICAL EQUIPMENT 43528,A000000,04800,0000,04800AMBULANCE 43528,A000000,05300,0000,05300INTEREST EXPENSE 43528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43528,A000000,06200,0000,06200PATIENTS LAUNDRY 43528,A81000A,00100,0100,Y 43528,A81000B,00100,0300,HOME OFFICE A&G 43528,A81000B,00200,0300,HOME OFFICE CAPITAL 43528,A81000B,00300,0300,DIVISION OFFICE A&G 43528,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43528,A81000B,00500,0300,INSURANCE 43528,A81000C,00100,0100,B 43528,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43528,A81000C,00200,0100,G 43528,A81000C,00200,0200,LAURIER INC. 43528,A81000C,00200,0400,EXTENDICARE INC. 43528,A81000C,00200,0600,INSURANCE 43528,A81000C,00300,0100,G 43528,A81000C,00300,0200,UNITED REHABILITATION SVS 43528,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43528,A81000C,00300,0600,THERAPY SERVICE 43528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43528,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43528,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43528,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43528,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43528,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43528,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43528,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43528,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43528,E10A180,00301,0100,06/22/1998 43528,E10A180,00301,0300,06/22/1998 43528,E10A180,00350,0100,06/22/1998 43528,E10A180,00350,0300,06/22/1998 43528,S000000,00100,0200,07/02/2000 43528,S200000,00100,0100,8132 HUDSON AVENUE 43528,S200000,00200,0100,HUDSON 43528,S200000,00200,0200,FL 43528,S200000,00200,0300,34667- 43528,S200000,00300,0100,PASCO 43528,S200000,00400,0100,ARBORS AT BAYONET POINT 43528,S200000,00400,0200,105786 43528,S200000,00400,0300,02/22/1993 43528,S200000,00400,0500,P 43528,S200000,01600,0100,Y 43540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43540,A000000,00300,0000,00300EMPLOYEE BENEFITS 43540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43540,A000000,00700,0000,00700HOUSEKEEPING 43540,A000000,00800,0000,00800DIETARY 43540,A000000,00900,0000,00900NURSING ADMINISTRATION 43540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43540,A000000,01100,0000,01100PHARMACY 43540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43540,A000000,01300,0000,01300SOCIAL SERVICE 43540,A000000,01350,0000,01500ACTIVITIES 43540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43540,A000000,01600,0000,01600SKILLED NURSING FACILITY 43540,A000000,01800,0000,01800NURSING FACILITY 43540,A000000,01900,0000,01900OTHER LONG TERM CARE 43540,A000000,02100,0000,02100RADIOLOGY 43540,A000000,02200,0000,02200LABORATORY 43540,A000000,02300,0000,02300INTRAVENOUS THERAPY 43540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43540,A000000,02500,0000,02500PHYSICAL THERAPY 43540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43540,A000000,02700,0000,02700SPEECH PATHOLOGY 43540,A000000,02800,0000,02800ELECTROCARDIOLOGY 43540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43540,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43540,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43540,A000000,03200,0000,03200SUPPORT SURFACES 43540,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43540,A000000,04800,0000,04800AMBULANCE 43540,A000000,05300,0000,05300INTEREST EXPENSE 43540,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43540,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43540,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43540,A000000,06100,0000,06100NONPAID WORKERS 43540,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43540,A000000,06200,0000,06200PATIENTS LAUNDRY 43540,A81000A,00100,0100,Y 43540,A81000B,00100,0300,HOME OFFICE COST 43540,A81000B,00200,0300,PURCH. SERV. PHARMACIST 43540,A81000B,00300,0300,IV DRUGS & SUPPLIES 43540,A81000B,00400,0300,DRUGS 43540,A81000B,00500,0300,PT ADMIN. FEES 43540,A81000B,00600,0300,OT ADMIN FEES 43540,A81000B,00700,0300,ST ADMIN FEES 43540,A81000C,00100,0100,B 43540,A81000C,00100,0200,HRTLAND OF SARASOTA 43540,A81000C,00100,0400,HCR MANORCARE INC. 43540,A81000C,00100,0600,LONG TERM CARE FACILITIES 43540,A81000C,00200,0100,B 43540,A81000C,00200,0200,HRTLAND OF SARASOTA 43540,A81000C,00200,0400,HCR MANORCARE INC. 43540,A81000C,00200,0600,PHARMACY 43540,A81000C,00300,0100,B 43540,A81000C,00300,0200,HRTLAND OF SARASOTA 43540,A81000C,00300,0400,HCR MANORCARE INC. 43540,A81000C,00300,0600,PHARMACY 43540,A81000C,00400,0100,B 43540,A81000C,00400,0200,HRTLAND OF SARASOTA 43540,A81000C,00400,0400,HCR MANORCARE INC. 43540,A81000C,00400,0600,PHARMACY 43540,A81000C,00500,0100,B 43540,A81000C,00500,0200,HRTLAND OF SARASOTA 43540,A81000C,00500,0400,HCR MANORCARE INC. 43540,A81000C,00500,0600,THERAPY MGMT 43540,A81000C,00600,0100,B 43540,A81000C,00600,0200,HRTLAND OF SARASOTA 43540,A81000C,00600,0400,HCR MANORCARE INC. 43540,A81000C,00600,0600,THERAPY MGMT 43540,A81000C,00700,0100,B 43540,A81000C,00700,0200,HRTLAND OF SARASOTA 43540,A81000C,00700,0400,HCR MANORCARE INC. 43540,A81000C,00700,0600,THERAPY MGMT 43540,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43540,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43540,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43540,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43540,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43540,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43540,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43540,B100000,00000,0800,00000MEALS SERVED :DIETARY 43540,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43540,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43540,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43540,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43540,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43540,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43540,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43540,S000000,00100,0200,04/12/2000 43540,S200000,00100,0100,5401 SAWYER ROAD 43540,S200000,00200,0100,SARASOTA 43540,S200000,00200,0200,FL 43540,S200000,00200,0300,34233- 43540,S200000,00300,0100,SARASOTA 43540,S200000,00400,0100,HEARTLAND OF SARASOTA 43540,S200000,00400,0200,105842 43540,S200000,00400,0300,11/23/1993 43540,S200000,00400,0500,P 43540,S200000,00400,0600,P 43540,S200000,01600,0100,Y 43540,S200000,02200,0100,Y 43540,S700003,00000,0100,1 43559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43559,A000000,00300,0000,00300EMPLOYEE BENEFITS 43559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43559,A000000,00700,0000,00700HOUSEKEEPING 43559,A000000,00800,0000,00800DIETARY 43559,A000000,00900,0000,00900NURSING ADMINISTRATION 43559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43559,A000000,01100,0000,01100PHARMACY 43559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43559,A000000,01300,0000,01300SOCIAL SERVICE 43559,A000000,01350,0000,01500ACTIVITIES 43559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43559,A000000,01600,0000,01600SKILLED NURSING FACILITY 43559,A000000,01800,0000,01800NURSING FACILITY 43559,A000000,01900,0000,01900OTHER LONG TERM CARE 43559,A000000,02100,0000,02100RADIOLOGY 43559,A000000,02200,0000,02200LABORATORY 43559,A000000,02300,0000,02300INTRAVENOUS THERAPY 43559,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43559,A000000,02500,0000,02500PHYSICAL THERAPY 43559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43559,A000000,02700,0000,02700SPEECH PATHOLOGY 43559,A000000,02800,0000,02800ELECTROCARDIOLOGY 43559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43559,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43559,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43559,A000000,03200,0000,03200SUPPORT SURFACES 43559,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43559,A000000,04800,0000,04800AMBULANCE 43559,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43559,A000000,05300,0000,05300INTEREST EXPENSE 43559,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43559,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43559,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43559,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43559,A000000,06100,0000,06100NONPAID WORKERS 43559,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43559,A000000,06200,0000,06200PATIENTS LAUNDRY 43559,A81000A,00100,0100,Y 43559,A81000B,00100,0300,HOME OFFICE COST 43559,A81000B,00200,0300,PT ADMIN FEE 43559,A81000B,00300,0300,OT ADMIN FEE 43559,A81000B,00400,0300,ST ADMIN FEE 43559,A81000B,00500,0300,DRUGS 43559,A81000B,00600,0300,PHARMACIST 43559,A81000B,00700,0300,IV DRUGS AND SUPPLIES 43559,A81000C,00100,0100,B 43559,A81000C,00100,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00100,0400,HCR MANORCARE INC. 43559,A81000C,00100,0600,LONG TERM CARE FACILITIES 43559,A81000C,00200,0100,B 43559,A81000C,00200,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43559,A81000C,00200,0600,THERAPY 43559,A81000C,00300,0100,B 43559,A81000C,00300,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43559,A81000C,00300,0600,THERAPY 43559,A81000C,00400,0100,B 43559,A81000C,00400,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43559,A81000C,00400,0600,THERAPY 43559,A81000C,00500,0100,B 43559,A81000C,00500,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43559,A81000C,00500,0600,PHARMACY 43559,A81000C,00600,0100,B 43559,A81000C,00600,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43559,A81000C,00600,0600,PHARMACY 43559,A81000C,00700,0100,B 43559,A81000C,00700,0200,HEARTLAND OF BOCA RATON 43559,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43559,A81000C,00700,0600,PHARMACY 43559,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43559,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43559,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43559,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43559,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43559,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43559,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43559,B100000,00000,0800,00000MEALS SERVED :DIETARY 43559,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43559,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43559,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43559,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43559,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43559,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43559,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43559,E10A180,00501,0100,07/14/2000 43559,E10A180,00501,0300,07/14/2000 43559,S000000,00100,0200,06/01/2000 43559,S200000,00100,0100,7225 BOCA DEL MAR DRIVE 43559,S200000,00200,0100,BOCA RATON 43559,S200000,00200,0200,FL 43559,S200000,00200,0300,33433- 43559,S200000,00300,0100,PALM BEACH 43559,S200000,00400,0100,HEARTLAND OF BOCA RATON 43559,S200000,00400,0200,105852 43559,S200000,00400,0300,01/12/1995 43559,S200000,00400,0500,P 43559,S200000,01600,0100,Y 43559,S200000,02200,0100,Y 43576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43576,A000000,00700,0000,00700HOUSEKEEPING 43576,A000000,00800,0000,00800DIETARY 43576,A000000,00900,0000,00900NURSING ADMINISTRATION 43576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43576,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 43576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43576,A000000,01300,0000,01300SOCIAL SERVICE 43576,A000000,01600,0000,01600SKILLED NURSING FACILITY 43576,A000000,01800,0000,01800NURSING FACILITY 43576,A000000,02100,0000,02100RADIOLOGY 43576,A000000,02200,0000,02200LABORATORY 43576,A000000,02300,0000,02300INTRAVENOUS THERAPY 43576,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43576,A000000,02500,0000,02500PHYSICAL THERAPY 43576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43576,A000000,02700,0000,02700SPEECH PATHOLOGY 43576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43576,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43576,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43576,A000000,03052,0000,03302MEDICAL EQUIPMENT 43576,A000000,04800,0000,04800AMBULANCE 43576,A000000,05300,0000,05300INTEREST EXPENSE 43576,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43576,A000000,06200,0000,06200PATIENTS LAUNDRY 43576,A81000A,00100,0100,Y 43576,A81000B,00100,0300,HOME OFFICE A&G 43576,A81000B,00200,0300,HOME OFFICE CAPITAL 43576,A81000B,00300,0300,DIVISION OFFICE A&G 43576,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43576,A81000B,00500,0300,INSURANCE 43576,A81000B,00600,0300,PHYSICAL THERAPY 43576,A81000B,00700,0300,OCCUPATIONAL THERAPY 43576,A81000B,00800,0300,SPEECH THERAPY 43576,A81000B,00900,0300,AIR FLUIDIZED THERAPY 43576,A81000C,00100,0100,B 43576,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43576,A81000C,00200,0100,G 43576,A81000C,00200,0200,LAURIER INC. 43576,A81000C,00200,0400,EXTENDICARE INC. 43576,A81000C,00200,0600,INSURANCE 43576,A81000C,00300,0100,G 43576,A81000C,00300,0200,UNITED REHABILITATION SVS 43576,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43576,A81000C,00300,0600,THERAPY SERVICE 43576,A81000C,00400,0100,G 43576,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43576,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43576,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43576,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43576,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43576,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43576,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43576,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43576,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43576,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 43576,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43576,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43576,E10A180,00301,0100,06/22/1998 43576,E10A180,00301,0300,06/22/1998 43576,E10A180,00350,0100,06/22/1998 43576,E10A180,00350,0300,06/22/1998 43576,S000000,00100,0200,06/02/2000 43576,S200000,00100,0100,2811 CAMPUS HILL DRIVE 43576,S200000,00200,0100,TAMPA 43576,S200000,00200,0200,FL 43576,S200000,00200,0300,33612- 43576,S200000,00300,0100,HILLSBOROUGH 43576,S200000,00400,0100,ARBORS AT TAMPA 43576,S200000,00400,0200,105884 43576,S200000,00400,0300,05/15/1995 43576,S200000,00400,0500,P 43576,S200000,01600,0100,Y 43591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43591,A000000,00700,0000,00700HOUSEKEEPING 43591,A000000,00800,0000,00800DIETARY 43591,A000000,00900,0000,00900NURSING ADMINISTRATION 43591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43591,A000000,01300,0000,01300SOCIAL SERVICE 43591,A000000,01600,0000,01600SKILLED NURSING FACILITY 43591,A000000,01800,0000,01800NURSING FACILITY 43591,A000000,02100,0000,02100RADIOLOGY 43591,A000000,02200,0000,02200LABORATORY 43591,A000000,02300,0000,02300INTRAVENOUS THERAPY 43591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43591,A000000,02500,0000,02500PHYSICAL THERAPY 43591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43591,A000000,02700,0000,02700SPEECH PATHOLOGY 43591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43591,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43591,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43591,A000000,03052,0000,03302MEDICAL EQUIPMENT 43591,A000000,04800,0000,04800AMBULANCE 43591,A000000,05300,0000,05300INTEREST EXPENSE 43591,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43591,A000000,06200,0000,06200PATIENTS LAUNDRY 43591,A81000A,00100,0100,Y 43591,A81000B,00100,0300,HOME OFFICE A&G 43591,A81000B,00200,0300,HOME OFFICE CAPITAL 43591,A81000B,00300,0300,DIVISION OFFICE A&G 43591,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43591,A81000B,00500,0300,INSURANCE 43591,A81000C,00100,0100,B 43591,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43591,A81000C,00200,0100,G 43591,A81000C,00200,0200,LAURIER INC. 43591,A81000C,00200,0400,EXTENDICARE INC. 43591,A81000C,00200,0600,INSURANCE 43591,A81000C,00300,0100,G 43591,A81000C,00300,0200,UNITED REHABILITATION SVS 43591,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43591,A81000C,00300,0600,THERAPY SERVICE 43591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43591,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43591,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43591,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43591,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43591,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43591,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43591,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43591,E10A180,00301,0100,06/22/1998 43591,E10A180,00301,0300,06/22/1998 43591,E10A180,00350,0100,06/22/1998 43591,E10A180,00350,0300,06/22/1998 43591,S000000,00100,0200,06/02/2000 43591,S200000,00100,0100,4101 SOUTHPOINT DRIVE 43591,S200000,00200,0100,JACKSONVILLE 43591,S200000,00200,0200,FL 43591,S200000,00200,0300,32216- 43591,S200000,00300,0100,DUVAL 43591,S200000,00300,0200,3600 43591,S200000,00300,0300,U 43591,S200000,00400,0100,ARBORS AT JACKSONVILLE 43591,S200000,00400,0200,105917 43591,S200000,00400,0300,08/09/1996 43591,S200000,00400,0500,P 43591,S200000,01600,0100,Y 43603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43603,A000000,00700,0000,00700HOUSEKEEPING 43603,A000000,00800,0000,00800DIETARY 43603,A000000,00900,0000,00900NURSING ADMINISTRATION 43603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43603,A000000,01300,0000,01300SOCIAL SERVICE 43603,A000000,01600,0000,01600SKILLED NURSING FACILITY 43603,A000000,01800,0000,01800NURSING FACILITY 43603,A000000,02100,0000,02100RADIOLOGY 43603,A000000,02200,0000,02200LABORATORY 43603,A000000,02300,0000,02300INTRAVENOUS THERAPY 43603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43603,A000000,02500,0000,02500PHYSICAL THERAPY 43603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43603,A000000,02700,0000,02700SPEECH PATHOLOGY 43603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43603,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43603,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43603,A000000,03052,0000,03302MEDICAL EQUIPMENT 43603,A000000,04800,0000,04800AMBULANCE 43603,A000000,05300,0000,05300INTEREST EXPENSE 43603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43603,A000000,06200,0000,06200PATIENTS LAUNDRY 43603,A81000A,00100,0100,Y 43603,A81000B,00100,0300,HOME OFFICE A&G 43603,A81000B,00200,0300,HOME OFFICE CAPITAL 43603,A81000B,00300,0300,DIVISION OFFICE A&G 43603,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43603,A81000B,00500,0300,INSURANCE 43603,A81000C,00100,0100,B 43603,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43603,A81000C,00200,0100,G 43603,A81000C,00200,0200,LAURIER INC. 43603,A81000C,00200,0400,EXTENDICARE INC. 43603,A81000C,00200,0600,INSURANCE 43603,A81000C,00300,0100,G 43603,A81000C,00300,0200,UNITED REHABILITATION SVS 43603,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43603,A81000C,00300,0600,THERAPY SERVICE 43603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43603,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43603,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43603,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43603,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43603,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43603,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43603,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43603,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43603,E10A180,00301,0100,06/22/1998 43603,E10A180,00301,0300,06/22/1998 43603,E10A180,00350,0100,06/22/1998 43603,E10A180,00350,0300,06/22/1998 43603,S000000,00100,0200,06/02/2000 43603,S200000,00100,0100,18480 TOLEDO BLADE BLVD 43603,S200000,00200,0100,PORT CHARLOTTE 43603,S200000,00200,0200,FL 43603,S200000,00200,0300,33948- 43603,S200000,00300,0100,CHARLOTTE 43603,S200000,00400,0100,ARBORS AT PORT CHARLOTTE 43603,S200000,00400,0200,105982 43603,S200000,00400,0300,03/12/1998 43603,S200000,00400,0500,P 43603,S200000,01600,0100,Y 43603,S700003,00000,0400,4 43609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43609,A000000,00700,0000,00700HOUSEKEEPING 43609,A000000,00800,0000,00800DIETARY 43609,A000000,00900,0000,00900NURSING ADMINISTRATION 43609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43609,A000000,01300,0000,01300SOCIAL SERVICE 43609,A000000,01600,0000,01600SKILLED NURSING FACILITY 43609,A000000,01800,0000,01800NURSING FACILITY 43609,A000000,02100,0000,02100RADIOLOGY 43609,A000000,02200,0000,02200LABORATORY 43609,A000000,02300,0000,02300INTRAVENOUS THERAPY 43609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43609,A000000,02500,0000,02500PHYSICAL THERAPY 43609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43609,A000000,02700,0000,02700SPEECH PATHOLOGY 43609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43609,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43609,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43609,A000000,03052,0000,03302MEDICAL EQUIPMENT 43609,A000000,04800,0000,04800AMBULANCE 43609,A000000,05300,0000,05300INTEREST EXPENSE 43609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43609,A000000,06200,0000,06200PATIENTS LAUNDRY 43609,A81000A,00100,0100,Y 43609,A81000B,00100,0300,HOME OFFICE A&G 43609,A81000B,00200,0300,HOME OFFICE CAPITAL 43609,A81000B,00300,0300,DIVISION OFFICE A&G 43609,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43609,A81000B,00500,0300,INSURANCE 43609,A81000C,00100,0100,B 43609,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43609,A81000C,00200,0100,G 43609,A81000C,00200,0200,LAURIER INC. 43609,A81000C,00200,0400,EXTENDICARE INC. 43609,A81000C,00200,0600,INSURANCE 43609,A81000C,00300,0100,G 43609,A81000C,00300,0200,UNITED REHABILITATION SVS 43609,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43609,A81000C,00300,0600,THERAPY SERVICE 43609,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43609,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43609,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43609,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43609,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43609,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43609,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43609,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43609,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43609,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43609,E10A180,00301,0100,06/22/1998 43609,E10A180,00301,0300,06/22/1998 43609,E10A180,00350,0100,06/22/1998 43609,E10A180,00350,0300,06/22/1998 43609,S000000,00100,0200,06/02/2000 43609,S200000,00100,0100,4783 FRUITVILLE ROAD 43609,S200000,00200,0100,SARASOTA 43609,S200000,00200,0200,FL 43609,S200000,00200,0300,34232- 43609,S200000,00300,0100,SARASOTA 43609,S200000,00400,0100,ARBORS AT SARASOTA 43609,S200000,00400,0200,105983 43609,S200000,00400,0300,02/18/1998 43609,S200000,00400,0500,P 43609,S200000,01600,0100,Y 43613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43613,A000000,00300,0000,00300EMPLOYEE BENEFITS 43613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43613,A000000,00700,0000,00700HOUSEKEEPING 43613,A000000,00800,0000,00800DIETARY 43613,A000000,00900,0000,00900NURSING ADMINISTRATION 43613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43613,A000000,01100,0000,01100PHARMACY 43613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43613,A000000,01300,0000,01300SOCIAL SERVICE 43613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43613,A000000,01600,0000,01600SKILLED NURSING FACILITY 43613,A000000,01800,0000,01800NURSING FACILITY 43613,A000000,01810,0000,01810ICF/MR 43613,A000000,02100,0000,02100RADIOLOGY 43613,A000000,02200,0000,02200LABORATORY 43613,A000000,02300,0000,02300INTRAVENOUS THERAPY 43613,A000000,02500,0000,02500PHYSICAL THERAPY 43613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43613,A000000,02700,0000,02700SPEECH PATHOLOGY 43613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43613,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43613,A000000,03052,0000,03302MEDICAL EQUIPMENT 43613,A000000,03550,0000,03550FQHC 43613,A000000,05000,0000,05000CORF 43613,A000000,05010,0000,05010CMHC 43613,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 43613,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 43613,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 43613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTER 43613,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST CENTER 43613,A81000A,00100,0100,Y 43613,A81000B,00100,0300,HOME OFFICE A&G 43613,A81000B,00200,0300,HOME OFFICE CAPITAL 43613,A81000B,00300,0300,DIVISION OFFICE A&G 43613,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43613,A81000B,00500,0300,INSURANCE 43613,A81000B,00600,0300,CONSULTING 43613,A81000C,00100,0100,B 43613,A81000C,00100,0200,EXTENDICARE HEA 43613,A81000C,00200,0100,G 43613,A81000C,00200,0200,LAURIER INC. 43613,A81000C,00200,0400,EXTENDICARE IN 43613,A81000C,00200,0600,INSURANCE 43613,A81000C,00300,0100,G 43613,A81000C,00300,0200,UNITED PROFESSI 43613,A81000C,00300,0400,EXTENDICARE HEA 43613,A81000C,00300,0600,CONSULTING 43613,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 43613,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 43613,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 43613,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 43613,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 43613,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 43613,B100000,00000,0750,00001ALTERNATE SQUARE FEE :HOUSEKEEPING 43613,B100000,00000,0850,00001PATIENT DAYS :DIETARY 43613,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 43613,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 43613,B100000,00000,1100,00001COSTED REQUIS :PHARMACY 43613,B100000,00000,1250,00001GROSS REVENUE :MEDICAL RECORDS & L 43613,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 43613,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 43613,S000000,00100,0200,07/03/1999 43613,S200000,00100,0100,2701 LAKE ALFRED RD 43613,S200000,00200,0100,WINTER HAVEN 43613,S200000,00200,0200,FL 43613,S200000,00200,0300,33881- 43613,S200000,00300,0100,POLK 43613,S200000,00400,0100,ARBORS AT WINTER HAVEN 43613,S200000,00400,0200,105998 43613,S200000,00400,0300,10/02/1998 43613,S200000,00400,0500,P 43613,S200000,01600,0100,Y 43613,S700003,00000,0400,4 43615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43615,A000000,00700,0000,00700HOUSEKEEPING 43615,A000000,00800,0000,00800DIETARY 43615,A000000,00900,0000,00900NURSING ADMINISTRATION 43615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43615,A000000,01300,0000,01300SOCIAL SERVICE 43615,A000000,01600,0000,01600SKILLED NURSING FACILITY 43615,A000000,01800,0000,01800NURSING FACILITY 43615,A000000,02100,0000,02100RADIOLOGY 43615,A000000,02200,0000,02200LABORATORY 43615,A000000,02300,0000,02300INTRAVENOUS THERAPY 43615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43615,A000000,02500,0000,02500PHYSICAL THERAPY 43615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43615,A000000,02700,0000,02700SPEECH PATHOLOGY 43615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43615,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43615,A000000,03052,0000,03302MEDICAL EQUIPMENT 43615,A000000,04800,0000,04800AMBULANCE 43615,A000000,05300,0000,05300INTEREST EXPENSE 43615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43615,A000000,06200,0000,06200PATIENTS LAUNDRY 43615,A81000A,00100,0100,Y 43615,A81000B,00100,0300,HOME OFFICE A&G 43615,A81000B,00200,0300,HOME OFFICE CAPITAL 43615,A81000B,00300,0300,DIVISION OFFICE A&G 43615,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43615,A81000B,00500,0300,INSURANCE 43615,A81000C,00100,0100,B 43615,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43615,A81000C,00200,0100,G 43615,A81000C,00200,0200,LAURIER INC. 43615,A81000C,00200,0400,EXTENDICARE INC. 43615,A81000C,00200,0600,INSURANCE 43615,A81000C,00300,0100,G 43615,A81000C,00300,0200,UNITED REHABILITATION SVS 43615,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 43615,A81000C,00300,0600,THERAPY SERVICE 43615,A81000C,00400,0100,G 43615,A81000C,00400,0200,UPC 43615,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 43615,A81000C,00400,0600,THERAPY PHARMACY 43615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43615,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43615,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43615,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43615,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43615,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43615,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43615,E10A180,00301,0100,06/22/1998 43615,E10A180,00301,0300,06/22/1998 43615,E10A180,00350,0100,06/22/1998 43615,E10A180,00350,0300,06/22/1998 43615,S000000,00100,0200,06/02/2000 43615,S200000,00100,0100,2701 LAKE ALFRED RD 43615,S200000,00200,0100,WINTER HAVEN 43615,S200000,00200,0200,FL 43615,S200000,00200,0300,33881- 43615,S200000,00300,0100,POLK 43615,S200000,00400,0100,ARBORS AT WINTER HAVEN 43615,S200000,00400,0200,105998 43615,S200000,00400,0300,10/02/1998 43615,S200000,00400,0500,P 43615,S200000,01600,0100,Y 43647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43647,A000000,00300,0000,00300EMPLOYEE BENEFITS 43647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43647,A000000,00700,0000,00700HOUSEKEEPING 43647,A000000,00800,0000,00800DIETARY 43647,A000000,00900,0000,00900NURSING ADMINISTRATION 43647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43647,A000000,01100,0000,01100PHARMACY 43647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43647,A000000,01300,0000,01300SOCIAL SERVICE 43647,A000000,01350,0000,01500ACTIVITIES 43647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43647,A000000,01600,0000,01600SKILLED NURSING FACILITY 43647,A000000,01800,0000,01800NURSING FACILITY 43647,A000000,01900,0000,01900OTHER LONG TERM CARE 43647,A000000,02100,0000,02100RADIOLOGY 43647,A000000,02200,0000,02200LABORATORY 43647,A000000,02300,0000,02300INTRAVENOUS THERAPY 43647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43647,A000000,02500,0000,02500PHYSICAL THERAPY 43647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43647,A000000,02700,0000,02700SPEECH PATHOLOGY 43647,A000000,02800,0000,02800ELECTROCARDIOLOGY 43647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43647,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43647,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43647,A000000,03200,0000,03200SUPPORT SURFACES 43647,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43647,A000000,04800,0000,04800AMBULANCE 43647,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43647,A000000,05300,0000,05300INTEREST EXPENSE 43647,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43647,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43647,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43647,A000000,06100,0000,06100NONPAID WORKERS 43647,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43647,A000000,06200,0000,06200PATIENTS LAUNDRY 43647,A81000A,00100,0100,Y 43647,A81000B,00100,0300,HOME OFFICE COST 43647,A81000B,00200,0300,IV COSTS 43647,A81000B,00300,0300,DRUGS 43647,A81000B,00400,0300,PHYSICAL THERAPY 43647,A81000B,00500,0300,OCCUPATIONAL THERAPY 43647,A81000B,00600,0300,SPEECH THERAPY 43647,A81000C,00100,0100,B 43647,A81000C,00100,0200,HHCC - MACOMB 43647,A81000C,00100,0400,HCR MANORCARE INC. 43647,A81000C,00100,0600,LONG TERM CARE FACILITIES 43647,A81000C,00200,0100,B 43647,A81000C,00200,0200,HHCC - MACOMB 43647,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43647,A81000C,00200,0600,PHARMACY 43647,A81000C,00300,0100,B 43647,A81000C,00300,0200,HHCC - MACOMB 43647,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43647,A81000C,00300,0600,PHARMACY 43647,A81000C,00400,0100,B 43647,A81000C,00400,0200,HHCC - MACOMB 43647,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43647,A81000C,00400,0600,THERAPY MANAGEMENT 43647,A81000C,00500,0100,B 43647,A81000C,00500,0200,HHCC - MACOMB 43647,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43647,A81000C,00500,0600,THERAPY MANAGEMENT 43647,A81000C,00600,0100,B 43647,A81000C,00600,0200,HHCC - MACOMB 43647,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43647,A81000C,00600,0600,THERAPY MANAGEMENT 43647,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43647,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43647,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43647,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43647,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43647,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43647,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43647,B100000,00000,0800,00000MEALS SERVED :DIETARY 43647,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43647,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43647,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43647,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43647,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43647,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43647,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43647,S000000,00100,0200,04/12/2000 43647,S200000,00100,0100,8 DOCTORS LANE 43647,S200000,00200,0100,MACOMB 43647,S200000,00200,0200,IL 43647,S200000,00200,0300,61455- 43647,S200000,00300,0100,MCDONOUGH 43647,S200000,00400,0100,HHCC - MACOMB 43647,S200000,00400,0200,145021 43647,S200000,00400,0300,01/01/1967 43647,S200000,00400,0500,P 43647,S200000,00400,0600,P 43647,S200000,01004,0500,O 43647,S200000,01600,0100,Y 43660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43660,A000000,00300,0000,00300EMPLOYEE BENEFITS 43660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43660,A000000,00700,0000,00700HOUSEKEEPING 43660,A000000,00800,0000,00800DIETARY 43660,A000000,00900,0000,00900NURSING ADMINISTRATION 43660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43660,A000000,01100,0000,01100PHARMACY 43660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43660,A000000,01300,0000,01300SOCIAL SERVICE 43660,A000000,01350,0000,01500ACTIVITIES 43660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43660,A000000,01600,0000,01600SKILLED NURSING FACILITY 43660,A000000,01800,0000,01800NURSING FACILITY 43660,A000000,01900,0000,01900OTHER LONG TERM CARE 43660,A000000,02100,0000,02100RADIOLOGY 43660,A000000,02200,0000,02200LABORATORY 43660,A000000,02300,0000,02300INTRAVENOUS THERAPY 43660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43660,A000000,02500,0000,02500PHYSICAL THERAPY 43660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43660,A000000,02700,0000,02700SPEECH PATHOLOGY 43660,A000000,02800,0000,02800ELECTROCARDIOLOGY 43660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43660,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43660,A000000,03200,0000,03200SUPPORT SURFACES 43660,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43660,A000000,04800,0000,04800AMBULANCE 43660,A000000,05300,0000,05300INTEREST EXPENSE 43660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43660,A000000,06100,0000,06100NONPAID WORKERS 43660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43660,A000000,06200,0000,06200PATIENTS LAUNDRY 43660,A81000A,00100,0100,Y 43660,A81000B,00100,0300,HOME OFFICE COST 43660,A81000B,00200,0300,IV THERAPY 43660,A81000B,00300,0300,DRUGS 43660,A81000B,00400,0300,PHYSICAL THERAPY 43660,A81000B,00500,0300,OCCUPATIONAL THERAPY 43660,A81000B,00600,0300,SPEECH THERAPY 43660,A81000C,00100,0100,B 43660,A81000C,00100,0200,MOLINE NURSING & REHAB 43660,A81000C,00100,0400,HCR MANORCARE INC. 43660,A81000C,00100,0600,LONG TERM CARE FACILITIES 43660,A81000C,00200,0100,B 43660,A81000C,00200,0200,MOLINE NURSING & REHAB 43660,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43660,A81000C,00200,0600,PHARMACY 43660,A81000C,00300,0100,B 43660,A81000C,00300,0200,MOLINE NURSING & REHAB 43660,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43660,A81000C,00300,0600,PHARMACY 43660,A81000C,00400,0100,B 43660,A81000C,00400,0200,MOLINE NURSING & REHAB 43660,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43660,A81000C,00400,0600,THERAPY MANAGEMENT 43660,A81000C,00500,0100,B 43660,A81000C,00500,0200,MOLINE NURSING & REHAB 43660,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43660,A81000C,00500,0600,THERAPY MANAGEMENT 43660,A81000C,00600,0100,B 43660,A81000C,00600,0200,MOLINE NURSING & REHAB 43660,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43660,A81000C,00600,0600,THERAPY MANAGEMENT 43660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43660,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43660,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43660,B100000,00000,0800,00000MEALS SERVED :DIETARY 43660,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43660,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43660,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43660,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43660,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43660,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43660,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43660,S000000,00100,0200,05/15/2000 43660,S200000,00100,0100,833 SIXTEENTH AVE 43660,S200000,00200,0100,MOLINE 43660,S200000,00200,0200,IL 43660,S200000,00300,0100,HENRY 43660,S200000,00400,0100,MOLINE NURSING & REHAB CENTER 43660,S200000,00400,0200,145027 43660,S200000,00400,0300,08/01/1985 43660,S200000,00400,0500,P 43660,S200000,00400,0600,P 43660,S200000,01600,0100,Y 43669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43669,A000000,00300,0000,00300EMPLOYEE BENEFITS 43669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43669,A000000,00700,0000,00700HOUSEKEEPING 43669,A000000,00800,0000,00800DIETARY 43669,A000000,00900,0000,00900NURSING ADMINISTRATION 43669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43669,A000000,01100,0000,01100PHARMACY 43669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43669,A000000,01300,0000,01300SOCIAL SERVICE 43669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43669,A000000,01600,0000,01600SKILLED NURSING FACILITY 43669,A000000,01800,0000,01800NURSING FACILITY 43669,A000000,01810,0000,01810ICF/MR 43669,A000000,02200,0000,02200LABORATORY 43669,A000000,02300,0000,02300INTRAVENOUS THERAPY 43669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43669,A000000,02500,0000,02500PHYSICAL THERAPY 43669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43669,A000000,02700,0000,02700SPEECH PATHOLOGY 43669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43669,A000000,03200,0000,03200SUPPORT SURFACES 43669,A000000,03550,0000,03550FQHC 43669,A000000,05000,0000,05000CORF 43669,A000000,05010,0000,05010CMHC 43669,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 43669,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 43669,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 43669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43669,A81000A,00100,0100,Y 43669,A81000B,00200,0300,HOME OFFICE 43669,A81000C,00200,0100,B 43669,A81000C,00200,0200,ASTA HEALTHCARE 43669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43669,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43669,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43669,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43669,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43669,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43669,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43669,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43669,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 43669,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43669,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43669,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 43669,S000000,00100,0200,05/03/2000 43669,S200000,00100,0100,1509 N. CALHOUN STREET 43669,S200000,00200,0100,BLOOMINGTON 43669,S200000,00200,0200,IL 43669,S200000,00200,0300,61701- 43669,S200000,00300,0100,MCLEAN 43669,S200000,00400,0100,ASTA CARE OF BLOOMINGTON 43669,S200000,00400,0200,145371 43669,S200000,00400,0300,01/01/1985 43669,S200000,00400,0500,P 43669,S200000,01004,0500,O 43669,S200000,01600,0100,Y 43669,S700003,00000,0100,1 43680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43680,A000000,00300,0000,00300EMPLOYEE BENEFITS 43680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43680,A000000,00700,0000,00700HOUSEKEEPING 43680,A000000,00800,0000,00800DIETARY 43680,A000000,00900,0000,00900NURSING ADMINISTRATION 43680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43680,A000000,01100,0000,01100PHARMACY 43680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43680,A000000,01300,0000,01300SOCIAL SERVICE 43680,A000000,01350,0000,01500ACTIVITIES 43680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43680,A000000,01600,0000,01600SKILLED NURSING FACILITY 43680,A000000,01800,0000,01800NURSING FACILITY 43680,A000000,01900,0000,01900OTHER LONG TERM CARE 43680,A000000,02100,0000,02100RADIOLOGY 43680,A000000,02200,0000,02200LABORATORY 43680,A000000,02300,0000,02300INTRAVENOUS THERAPY 43680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43680,A000000,02500,0000,02500PHYSICAL THERAPY 43680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43680,A000000,02700,0000,02700SPEECH PATHOLOGY 43680,A000000,02800,0000,02800ELECTROCARDIOLOGY 43680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43680,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43680,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43680,A000000,03200,0000,03200SUPPORT SURFACES 43680,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43680,A000000,04800,0000,04800AMBULANCE 43680,A000000,05300,0000,05300INTEREST EXPENSE 43680,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43680,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43680,A000000,06100,0000,06100NONPAID WORKERS 43680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43680,A000000,06200,0000,06200PATIENTS LAUNDRY 43680,A81000A,00100,0100,Y 43680,A81000B,00100,0300,HOME OFFICE COST 43680,A81000B,00200,0300,IV COSTS 43680,A81000B,00300,0300,DRUGS 43680,A81000B,00400,0300,PHYSICAL THERAPY 43680,A81000B,00500,0300,OCCUPATIONAL THERAPY 43680,A81000B,00600,0300,SPEECH THERAPY 43680,A81000C,00100,0100,B 43680,A81000C,00100,0200,HHCC - CANTON 43680,A81000C,00100,0400,HCR MANORCARE INC. 43680,A81000C,00100,0600,LONG TERM CARE FACILITIES 43680,A81000C,00200,0100,B 43680,A81000C,00200,0200,HHCC - CANTON 43680,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43680,A81000C,00200,0600,PHARMACY 43680,A81000C,00300,0100,B 43680,A81000C,00300,0200,HHCC - CANTON 43680,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43680,A81000C,00300,0600,PHARMACY 43680,A81000C,00400,0100,B 43680,A81000C,00400,0200,HHCC - CANTON 43680,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43680,A81000C,00400,0600,THERAPY MANAGEMENT 43680,A81000C,00500,0100,B 43680,A81000C,00500,0200,HHCC - CANTON 43680,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43680,A81000C,00500,0600,THERAPY MANAGEMENT 43680,A81000C,00600,0100,B 43680,A81000C,00600,0200,HHCC - CANTON 43680,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43680,A81000C,00600,0600,THERAPY MANAGMENT 43680,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43680,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43680,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43680,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43680,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43680,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43680,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43680,B100000,00000,0800,00000MEALS SERVED :DIETARY 43680,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43680,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43680,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43680,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43680,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43680,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43680,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43680,E10A180,00501,0100,04/25/2001 43680,E10A180,00550,0300,04/25/2001 43680,S000000,00100,0200,04/12/2000 43680,S200000,00100,0100,2081 N. MAIN STREET 43680,S200000,00200,0100,CANTON 43680,S200000,00200,0200,IL 43680,S200000,00200,0300,61520- 43680,S200000,00300,0100,FULTON 43680,S200000,00400,0100,HHCC - CANTON 43680,S200000,00400,0200,145600 43680,S200000,00400,0300,11/18/1988 43680,S200000,00400,0500,P 43680,S200000,00400,0600,P 43680,S200000,01004,0500,O 43680,S200000,01600,0100,Y 43680,S200000,02200,0100,Y 43690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43690,A000000,00300,0000,00300EMPLOYEE BENEFITS 43690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43690,A000000,00700,0000,00700HOUSEKEEPING 43690,A000000,00800,0000,00800DIETARY 43690,A000000,00900,0000,00900NURSING ADMINISTRATION 43690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43690,A000000,01100,0000,01100PHARMACY 43690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43690,A000000,01300,0000,01300SOCIAL SERVICE 43690,A000000,01350,0000,01500ACTIVITIES 43690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43690,A000000,01600,0000,01600SKILLED NURSING FACILITY 43690,A000000,01800,0000,01800NURSING FACILITY 43690,A000000,01900,0000,01900OTHER LONG TERM CARE 43690,A000000,02100,0000,02100RADIOLOGY 43690,A000000,02200,0000,02200LABORATORY 43690,A000000,02300,0000,02300INTRAVENOUS THERAPY 43690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43690,A000000,02500,0000,02500PHYSICAL THERAPY 43690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43690,A000000,02700,0000,02700SPEECH PATHOLOGY 43690,A000000,02800,0000,02800ELECTROCARDIOLOGY 43690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43690,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43690,A000000,03200,0000,03200SUPPORT SURFACES 43690,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43690,A000000,04800,0000,04800AMBULANCE 43690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43690,A000000,05300,0000,05300INTEREST EXPENSE 43690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43690,A000000,06100,0000,06100NONPAID WORKERS 43690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43690,A000000,06200,0000,06200PATIENTS LAUNDRY 43690,A81000A,00100,0100,Y 43690,A81000B,00100,0300,HOME OFFICE COST 43690,A81000B,00200,0300,IV COSTS 43690,A81000B,00300,0300,DRUGS 43690,A81000B,00400,0300,PHYSICAL THERAPY 43690,A81000B,00500,0300,OCCUPATIONAL THERAPY 43690,A81000B,00600,0300,SPEECH THERAPY 43690,A81000C,00100,0100,B 43690,A81000C,00100,0200,HHCC- PAXTON 43690,A81000C,00100,0400,HCR MANORCARE INC. 43690,A81000C,00100,0600,LONG TERM CARE FACILITIES 43690,A81000C,00200,0100,B 43690,A81000C,00200,0200,HHCC- PAXTON 43690,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43690,A81000C,00200,0600,PHARMACY 43690,A81000C,00300,0100,B 43690,A81000C,00300,0200,HHCC- PAXTON 43690,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43690,A81000C,00300,0600,PHARMACY 43690,A81000C,00400,0100,B 43690,A81000C,00400,0200,HHCC- PAXTON 43690,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43690,A81000C,00400,0600,THERAPY MANAGEMENT 43690,A81000C,00500,0100,B 43690,A81000C,00500,0200,HHCC- PAXTON 43690,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43690,A81000C,00500,0600,THERAPY MANAGEMENT 43690,A81000C,00600,0100,B 43690,A81000C,00600,0200,HHCC- PAXTON 43690,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43690,A81000C,00600,0600,THERAPY MANAGEMENT 43690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43690,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43690,B100000,00000,0800,00000MEALS SERVED :DIETARY 43690,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43690,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43690,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43690,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43690,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43690,S000000,00100,0200,05/15/2000 43690,S200000,00100,0100,1001 EAST PELLS STREET 43690,S200000,00200,0100,PAXTON 43690,S200000,00200,0200,IL 43690,S200000,00200,0300,60957- 43690,S200000,00300,0100,FORD 43690,S200000,00400,0100,HHCC - PAXTON 43690,S200000,00400,0200,145603 43690,S200000,00400,0300,12/28/1988 43690,S200000,00400,0500,P 43690,S200000,00400,0600,P 43690,S200000,01004,0500,O 43690,S200000,01600,0100,Y 43690,S200000,02200,0100,Y 43702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43702,A000000,00300,0000,00300EMPLOYEE BENEFITS 43702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43702,A000000,00700,0000,00700HOUSEKEEPING 43702,A000000,00800,0000,00800DIETARY 43702,A000000,00900,0000,00900NURSING ADMINISTRATION 43702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43702,A000000,01100,0000,01100PHARMACY 43702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43702,A000000,01300,0000,01300SOCIAL SERVICE 43702,A000000,01350,0000,01500ACTIVITIES 43702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43702,A000000,01600,0000,01600SKILLED NURSING FACILITY 43702,A000000,01800,0000,01800NURSING FACILITY 43702,A000000,01900,0000,01900OTHER LONG TERM CARE 43702,A000000,02100,0000,02100RADIOLOGY 43702,A000000,02200,0000,02200LABORATORY 43702,A000000,02300,0000,02300INTRAVENOUS THERAPY 43702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43702,A000000,02500,0000,02500PHYSICAL THERAPY 43702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43702,A000000,02700,0000,02700SPEECH PATHOLOGY 43702,A000000,02800,0000,02800ELECTROCARDIOLOGY 43702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43702,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43702,A000000,03200,0000,03200SUPPORT SURFACES 43702,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43702,A000000,04800,0000,04800AMBULANCE 43702,A000000,05300,0000,05300INTEREST EXPENSE 43702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43702,A000000,06100,0000,06100NONPAID WORKERS 43702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43702,A000000,06200,0000,06200PATIENTS LAUNDRY 43702,A81000A,00100,0100,Y 43702,A81000B,00100,0300,HOME OFFICE COST 43702,A81000B,00200,0300,IV COSTS 43702,A81000B,00300,0300,DRUGS 43702,A81000B,00400,0300,PHYSICAL THERAPY 43702,A81000B,00500,0300,OCCUPATIONAL THERAPY 43702,A81000B,00600,0300,SPEECH THERAPY 43702,A81000C,00100,0100,B 43702,A81000C,00100,0200,HHCC - HENRY 43702,A81000C,00100,0400,HCR MANORCARE INC. 43702,A81000C,00100,0600,LONG TERM CARE FACILITIES 43702,A81000C,00200,0100,B 43702,A81000C,00200,0200,HHCC - HENRY 43702,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43702,A81000C,00200,0600,PHARMACY 43702,A81000C,00300,0100,B 43702,A81000C,00300,0200,HHCC - HENRY 43702,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43702,A81000C,00300,0600,PHARMACY 43702,A81000C,00400,0100,B 43702,A81000C,00400,0200,HHCC - HENRY 43702,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43702,A81000C,00400,0600,THERAPY MANAGEMENT 43702,A81000C,00500,0100,B 43702,A81000C,00500,0200,HHCC - HENRY 43702,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43702,A81000C,00500,0600,THERAPY MANAGEMENT 43702,A81000C,00600,0100,B 43702,A81000C,00600,0200,HHCC - HENRY 43702,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43702,A81000C,00600,0600,THERAPY MANAGEMENT 43702,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43702,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43702,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43702,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43702,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43702,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43702,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43702,B100000,00000,0800,00000MEALS SERVED :DIETARY 43702,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43702,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43702,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43702,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43702,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43702,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43702,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43702,E10A180,00501,0100,11/13/2000 43702,E10A180,00550,0300,11/13/2000 43702,S000000,00100,0200,04/12/2000 43702,S200000,00100,0100,1650 INDIAN TOWN ROAD 43702,S200000,00200,0100,HENRY 43702,S200000,00200,0200,IL 43702,S200000,00200,0300,61537- 43702,S200000,00300,0100,MARSHALL 43702,S200000,00400,0100,HHCC - HENRY 43702,S200000,00400,0200,145604 43702,S200000,00400,0300,01/01/1989 43702,S200000,00400,0500,P 43702,S200000,00400,0600,P 43702,S200000,01600,0100,Y 43711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43711,A000000,00300,0000,00300EMPLOYEE BENEFITS 43711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43711,A000000,00700,0000,00700HOUSEKEEPING 43711,A000000,00800,0000,00800DIETARY 43711,A000000,00900,0000,00900NURSING ADMINISTRATION 43711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43711,A000000,01100,0000,01100PHARMACY 43711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43711,A000000,01300,0000,01300SOCIAL SERVICE 43711,A000000,01350,0000,01500ACTIVITIES 43711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43711,A000000,01600,0000,01600SKILLED NURSING FACILITY 43711,A000000,01800,0000,01800NURSING FACILITY 43711,A000000,01900,0000,01900OTHER LONG TERM CARE 43711,A000000,02100,0000,02100RADIOLOGY 43711,A000000,02200,0000,02200LABORATORY 43711,A000000,02300,0000,02300INTRAVENOUS THERAPY 43711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43711,A000000,02500,0000,02500PHYSICAL THERAPY 43711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43711,A000000,02700,0000,02700SPEECH PATHOLOGY 43711,A000000,02800,0000,02800ELECTROCARDIOLOGY 43711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43711,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43711,A000000,03200,0000,03200SUPPORT SURFACES 43711,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43711,A000000,04800,0000,04800AMBULANCE 43711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43711,A000000,05300,0000,05300INTEREST EXPENSE 43711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43711,A000000,06100,0000,06100NONPAID WORKERS 43711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43711,A000000,06200,0000,06200PATIENTS LAUNDRY 43711,A81000A,00100,0100,Y 43711,A81000B,00100,0300,HOME OFFICE COST 43711,A81000B,00200,0300,IV COSTS 43711,A81000B,00300,0300,DRUGS 43711,A81000B,00400,0300,PHYSICAL THERAPY 43711,A81000B,00500,0300,OCCUPATIONAL THERAPY 43711,A81000B,00600,0300,SPEECH THERAPY 43711,A81000C,00100,0100,B 43711,A81000C,00100,0200,HHCC - HOMEWOOD 43711,A81000C,00100,0400,HCR MANORCARE INC. 43711,A81000C,00100,0600,LONG TERM CARE FACILITIES 43711,A81000C,00200,0100,B 43711,A81000C,00200,0200,HHCC - HOMEWOOD 43711,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43711,A81000C,00200,0600,PHARMACY 43711,A81000C,00300,0100,B 43711,A81000C,00300,0200,HHCC - HOMEWOOD 43711,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43711,A81000C,00300,0600,PHARMACY 43711,A81000C,00400,0100,B 43711,A81000C,00400,0200,HHCC - HOMEWOOD 43711,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43711,A81000C,00400,0600,THERAPY MANAGEMENT 43711,A81000C,00500,0100,B 43711,A81000C,00500,0200,HHCC - HOMEWOOD 43711,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43711,A81000C,00500,0600,THERAPY MANAGEMENT 43711,A81000C,00600,0100,B 43711,A81000C,00600,0200,HHCC - HOMEWOOD 43711,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43711,A81000C,00600,0600,THERAPY MANAGEMENT 43711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43711,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43711,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43711,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43711,B100000,00000,0800,00000MEALS SERVED :DIETARY 43711,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43711,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43711,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43711,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43711,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43711,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43711,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43711,S000000,00100,0200,05/25/2000 43711,S200000,00100,0100,990 MAPLE AVE 43711,S200000,00200,0100,HOMEWOOD 43711,S200000,00200,0200,IL 43711,S200000,00200,0300,60430- 43711,S200000,00300,0100,COOK 43711,S200000,00400,0100,HHCC - HOMEWOOD 43711,S200000,00400,0200,145684 43711,S200000,00400,0300,07/24/1990 43711,S200000,00400,0500,P 43711,S200000,01600,0100,Y 43711,S200000,02200,0100,Y 43720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43720,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 43720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43720,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 43720,A000000,00300,0000,00300EMPLOYEE BENEFITS 43720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43720,A000000,00700,0000,00700HOUSEKEEPING 43720,A000000,00800,0000,00800DIETARY 43720,A000000,00801,0000,00801CAFETERIA 43720,A000000,00900,0000,00900NURSING ADMINISTRATION 43720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43720,A000000,01100,0000,01100PHARMACY 43720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43720,A000000,01300,0000,01300SOCIAL SERVICE 43720,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 43720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43720,A000000,01600,0000,01600SKILLED NURSING FACILITY 43720,A000000,01800,0000,01800NURSING FACILITY 43720,A000000,01900,0000,01900OTHER LONG TERM CARE 43720,A000000,02100,0000,02100RADIOLOGY 43720,A000000,02200,0000,02200LABORATORY 43720,A000000,02300,0000,02300INTRAVENOUS THERAPY 43720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43720,A000000,02500,0000,02500PHYSICAL THERAPY 43720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43720,A000000,02700,0000,02700SPEECH PATHOLOGY 43720,A000000,02800,0000,02800ELECTROCARDIOLOGY 43720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43720,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 43720,A000000,03051,0000,03301OTHER ANCILLARY II 43720,A000000,03052,0000,03302OTHER ANCILLARY III 43720,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43720,A000000,03200,0000,03200SUPPORT SURFACES 43720,A000000,03400,0000,03400CLINIC 43720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 43720,A000000,03500,0000,03500RURAL HEALTH CLINIC 43720,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 43720,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 43720,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 43720,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 43720,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 43720,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 43720,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 43720,A000000,04400,0000,04400DME RENTED - HHA 43720,A000000,04500,0000,04500DME SOLD - HHA 43720,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 43720,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 43720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 43720,A000000,04800,0000,04800AMBULANCE 43720,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43720,A000000,05000,0000,05000CORF 43720,A000000,05010,0000,05010CMHC I 43720,A000000,05020,0000,05020OPT I 43720,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 43720,A000000,05300,0000,05300INTEREST EXPENSE 43720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 43720,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 43720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43720,A000000,05500,0000,05500HOSPICE 43720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43720,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 43720,A000000,06100,0000,06100NONPAID WORKERS 43720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43720,A000000,06200,0000,06200PATIENTS LAUNDRY 43720,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 43720,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 43720,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 43720,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 43720,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 43720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43720,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 43720,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 43720,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 43720,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 43720,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 43720,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 43720,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 43720,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 43720,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 43720,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 43720,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 43720,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 43720,S000000,00100,0200,05/22/2000 43720,S200000,00100,0100,3525 EAST HANNA AVENUE 43720,S200000,00200,0100,INDIANAPOLIS 43720,S200000,00200,0200,IN 43720,S200000,00200,0300,46237- 43720,S200000,00300,0100,MARION 43720,S200000,00400,0100,ALTENHEIM COMMUNITY 43720,S200000,00400,0200,155196 43720,S200000,00400,0300,01/01/1972 43720,S200000,00400,0500,P 43720,S200000,01500,0100,Y 43720,S200000,02200,0100,Y 43720,S200000,02800,0100,Y 43720,S200000,04700,0100,Y 43720,S700003,00000,0100,1 43731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43731,A000000,00300,0000,00300EMPLOYEE BENEFITS 43731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43731,A000000,00700,0000,00700HOUSEKEEPING 43731,A000000,00800,0000,00800DIETARY 43731,A000000,00900,0000,00900NURSING ADMINISTRATION 43731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43731,A000000,01100,0000,01100PHARMACY 43731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43731,A000000,01300,0000,01300SOCIAL SERVICE 43731,A000000,01350,0000,01500ACTIVITIES 43731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43731,A000000,01600,0000,01600SKILLED NURSING FACILITY 43731,A000000,01800,0000,01800NURSING FACILITY 43731,A000000,01900,0000,01900OTHER LONG TERM CARE 43731,A000000,02100,0000,02100RADIOLOGY 43731,A000000,02200,0000,02200LABORATORY 43731,A000000,02300,0000,02300INTRAVENOUS THERAPY 43731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43731,A000000,02500,0000,02500PHYSICAL THERAPY 43731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43731,A000000,02700,0000,02700SPEECH PATHOLOGY 43731,A000000,02800,0000,02800ELECTROCARDIOLOGY 43731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43731,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43731,A000000,03200,0000,03200SUPPORT SURFACES 43731,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43731,A000000,04800,0000,04800AMBULANCE 43731,A000000,05300,0000,05300INTEREST EXPENSE 43731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43731,A000000,06100,0000,06100NONPAID WORKERS 43731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43731,A000000,06200,0000,06200PATIENTS LAUNDRY 43731,A81000A,00100,0100,Y 43731,A81000B,00100,0300,HOME OFFICE COST 43731,A81000B,00200,0300,IV COSTS 43731,A81000B,00300,0300,DRUGS 43731,A81000B,00400,0300,PHYSICAL THERAPY 43731,A81000B,00500,0300,OCCUPATIONAL THERAPY 43731,A81000B,00600,0300,SPEECH THERAPY 43731,A81000C,00100,0100,B 43731,A81000C,00100,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00100,0400,HCR MANORCARE INC. 43731,A81000C,00100,0600,LONG TERM CARE FACILITIES 43731,A81000C,00200,0100,B 43731,A81000C,00200,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00200,0400,HEARTLAND HEALTHCARE SVC 43731,A81000C,00200,0600,PHARMACY 43731,A81000C,00300,0100,B 43731,A81000C,00300,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00300,0400,HEARTLAND HEALTHCARE SVC 43731,A81000C,00300,0600,PHARMACY 43731,A81000C,00400,0100,B 43731,A81000C,00400,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00400,0400,HEARTLAND MGMT SERVICE 43731,A81000C,00400,0600,THERAPY MANAGEMENT 43731,A81000C,00500,0100,B 43731,A81000C,00500,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00500,0400,HEARTLAND MGMT SERVICE 43731,A81000C,00500,0600,THERAPY MANAGEMENT 43731,A81000C,00600,0100,B 43731,A81000C,00600,0200,HEARTLAND HCC PRESTWICK 43731,A81000C,00600,0400,HEARTLAND MGMT SERVICE 43731,A81000C,00600,0600,THERAPY MANAGEMENT 43731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43731,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43731,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43731,B100000,00000,0800,00000MEALS SERVED :DIETARY 43731,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43731,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43731,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43731,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43731,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43731,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43731,S000000,00100,0200,03/29/2000 43731,S200000,00100,0100,445 SOUTH COUNTRY RD 525E 43731,S200000,00200,0100,PLAINFIELD 43731,S200000,00200,0200,IN 43731,S200000,00200,0300,46168- 43731,S200000,00300,0100,HENDRICKS 43731,S200000,00400,0100,HEARTLAND HCC PRESTWICK 43731,S200000,00400,0200,155338 43731,S200000,00400,0300,08/07/1989 43731,S200000,00400,0500,P 43731,S200000,00400,0600,P 43731,S200000,01004,0500,O 43731,S200000,01600,0100,Y 43731,S200000,02200,0100,Y 43731,S700003,00000,0100,1 43743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43743,A000000,00700,0000,00700HOUSEKEEPING 43743,A000000,00800,0000,00800DIETARY 43743,A000000,00900,0000,00900NURSING ADMINISTRATION 43743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43743,A000000,01300,0000,01300SOCIAL SERVICE 43743,A000000,01600,0000,01600SKILLED NURSING FACILITY 43743,A000000,01800,0000,01800NURSING FACILITY 43743,A000000,02100,0000,02100RADIOLOGY 43743,A000000,02200,0000,02200LABORATORY 43743,A000000,02300,0000,02300INTRAVENOUS THERAPY 43743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43743,A000000,02500,0000,02500PHYSICAL THERAPY 43743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43743,A000000,02700,0000,02700SPEECH PATHOLOGY 43743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43743,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 43743,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 43743,A000000,03052,0000,03302MEDICAL EQUIPMENT 43743,A000000,04800,0000,04800AMBULANCE 43743,A000000,05300,0000,05300INTEREST EXPENSE 43743,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43743,A000000,06200,0000,06200PATIENTS LAUNDRY 43743,A81000A,00100,0100,Y 43743,A81000B,00100,0300,HOME OFFICE A&G 43743,A81000B,00200,0300,HOME OFFICE CAPITAL 43743,A81000B,00300,0300,DIVISION OFFICE A&G 43743,A81000B,00400,0300,DIVISION OFFICE CAPITAL 43743,A81000B,00500,0300,INSURANCE 43743,A81000C,00100,0100,B 43743,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 43743,A81000C,00200,0100,G 43743,A81000C,00200,0200,LAURIER INC. 43743,A81000C,00200,0400,EXTENDICARE INC. 43743,A81000C,00200,0600,INSURANCE 43743,A81000C,00300,0100,G 43743,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43743,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43743,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43743,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43743,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43743,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 43743,B100000,00000,0850,00000PATIENT DAYS :DIETARY 43743,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 43743,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 43743,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43743,E10A180,00301,0100,06/22/1998 43743,E10A180,00301,0300,06/22/1998 43743,E10A180,00350,0100,06/22/1998 43743,E10A180,00350,0300,06/22/1998 43743,S000000,00100,0200,06/02/2000 43743,S200000,00100,0100,2827 NORTHGATE BLVD 43743,S200000,00200,0100,FORT WAYNE 43743,S200000,00200,0200,IN 43743,S200000,00200,0300,46835- 43743,S200000,00300,0100,ALLEN 43743,S200000,00400,0100,ARBORS AT FORT WAYNE 43743,S200000,00400,0200,155656 43743,S200000,00400,0300,08/27/1998 43743,S200000,00400,0500,P 43743,S200000,01600,0100,Y 43743,S700003,00000,0400,4 43759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43759,A000000,00300,0000,00300EMPLOYEE BENEFITS 43759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43759,A000000,00700,0000,00700HOUSEKEEPING 43759,A000000,00800,0000,00800DIETARY 43759,A000000,00900,0000,00900NURSING ADMINISTRATION 43759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43759,A000000,01100,0000,01100PHARMACY 43759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43759,A000000,01300,0000,01300SOCIAL SERVICE 43759,A000000,01350,0000,01500ACTIVITIES 43759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43759,A000000,01600,0000,01600SKILLED NURSING FACILITY 43759,A000000,01800,0000,01800NURSING FACILITY 43759,A000000,01900,0000,01900OTHER LONG TERM CARE 43759,A000000,02100,0000,02100RADIOLOGY 43759,A000000,02200,0000,02200LABORATORY 43759,A000000,02300,0000,02300INTRAVENOUS THERAPY 43759,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43759,A000000,02500,0000,02500PHYSICAL THERAPY 43759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43759,A000000,02700,0000,02700SPEECH PATHOLOGY 43759,A000000,02800,0000,02800ELECTROCARDIOLOGY 43759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43759,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43759,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43759,A000000,03200,0000,03200SUPPORT SURFACES 43759,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43759,A000000,04800,0000,04800AMBULANCE 43759,A000000,05300,0000,05300INTEREST EXPENSE 43759,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43759,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43759,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43759,A000000,06100,0000,06100NONPAID WORKERS 43759,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43759,A000000,06200,0000,06200PATIENTS LAUNDRY 43759,A81000A,00100,0100,Y 43759,A81000B,00100,0300,HOME OFFICE COST 43759,A81000B,00200,0300,IV DRUGS 43759,A81000B,00300,0300,DRUGS 43759,A81000B,00400,0300,PT ADMINISTRATION FEE 43759,A81000B,00500,0300,OT ADMINISTRATION FEE 43759,A81000B,00600,0300,ST ADMINISTRATION FEE 43759,A81000C,00100,0100,B 43759,A81000C,00100,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00100,0400,HCR MANORCARE INC. 43759,A81000C,00100,0600,LONG TERM CARE FACILITIES 43759,A81000C,00200,0100,B 43759,A81000C,00200,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43759,A81000C,00200,0600,PHARMACY ADMIN. SERVICES 43759,A81000C,00300,0100,B 43759,A81000C,00300,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43759,A81000C,00300,0600,PHARMACY ADMIN. SERVICES 43759,A81000C,00400,0100,B 43759,A81000C,00400,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43759,A81000C,00400,0600,THERAPY MANAGEMENT 43759,A81000C,00500,0100,B 43759,A81000C,00500,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43759,A81000C,00500,0600,THERAPY MANAGEMENT 43759,A81000C,00600,0100,B 43759,A81000C,00600,0200,CHRISTOPHER EAST HEALTH 43759,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43759,A81000C,00600,0600,THERAPY MANAGEMENT 43759,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43759,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43759,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43759,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43759,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43759,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43759,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43759,B100000,00000,0800,00000MEALS SERVED :DIETARY 43759,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43759,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43759,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43759,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43759,B100000,00000,1300,00000TIME SPENT SO :SOCIAL SERVICE 43759,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43759,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43759,S000000,00100,0200,05/30/2000 43759,S200000,00100,0100,4200 BROWN LANE 43759,S200000,00200,0100,LOUISVILLE 43759,S200000,00200,0200,KY 43759,S200000,00200,0300,40220- 43759,S200000,00300,0100,JEFFERSON 43759,S200000,00400,0100,CHRISTOPHER EAST HEALTH CARE CENTER 43759,S200000,00400,0200,185178 43759,S200000,00400,0300,12/31/1985 43759,S200000,00400,0500,P 43759,S200000,01600,0100,Y 43759,S200000,02200,0100,Y 43770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43770,A000000,00300,0000,00300EMPLOYEE BENEFITS 43770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43770,A000000,00700,0000,00700HOUSEKEEPING 43770,A000000,00800,0000,00800DIETARY 43770,A000000,00900,0000,00900NURSING ADMINISTRATION 43770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43770,A000000,01100,0000,01100PHARMACY 43770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43770,A000000,01300,0000,01300SOCIAL SERVICE 43770,A000000,01350,0000,01500ACTIVITIES 43770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43770,A000000,01600,0000,01600SKILLED NURSING FACILITY 43770,A000000,01800,0000,01800NURSING FACILITY 43770,A000000,01900,0000,01900OTHER LONG TERM CARE 43770,A000000,02100,0000,02100RADIOLOGY 43770,A000000,02200,0000,02200LABORATORY 43770,A000000,02300,0000,02300INTRAVENOUS THERAPY 43770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43770,A000000,02500,0000,02500PHYSICAL THERAPY 43770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43770,A000000,02700,0000,02700SPEECH PATHOLOGY 43770,A000000,02800,0000,02800ELECTROCARDIOLOGY 43770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43770,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43770,A000000,03200,0000,03200SUPPORT SURFACES 43770,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43770,A000000,04800,0000,04800AMBULANCE 43770,A000000,05300,0000,05300INTEREST EXPENSE 43770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43770,A000000,06100,0000,06100NONPAID WORKERS 43770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43770,A000000,06200,0000,06200PATIENTS LAUNDRY 43770,A81000A,00100,0100,Y 43770,A81000B,00100,0300,HOME OFFICE COST 43770,A81000B,00200,0300,PT ADMINISTRATIVE FEES 43770,A81000B,00300,0300,OT ADMINISTRATIVE FEES 43770,A81000B,00400,0300,ST ADMINISTRATIVE FEES 43770,A81000C,00100,0100,B 43770,A81000C,00100,0200,HHCC - HYATTSVILLE 43770,A81000C,00100,0400,HCR MANORCARE INC. 43770,A81000C,00100,0600,LONG TERM CARE FACILITIES 43770,A81000C,00200,0100,B 43770,A81000C,00200,0200,HHCC - HYATTSVILLE 43770,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 43770,A81000C,00200,0600,THERAPY MANAGEMENT 43770,A81000C,00300,0100,B 43770,A81000C,00300,0200,HHCC - HYATTSVILLE 43770,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 43770,A81000C,00300,0600,THERAPY MANAGEMENT 43770,A81000C,00400,0100,B 43770,A81000C,00400,0200,HHCC - HYATTSVILLE 43770,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 43770,A81000C,00400,0600,THERAPY MANAGEMENT 43770,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43770,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43770,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43770,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43770,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43770,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43770,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43770,B100000,00000,0800,00000MEALS SERVED :DIETARY 43770,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43770,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43770,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43770,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43770,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43770,S000000,00100,0200,12/01/2000 43770,S200000,00100,0100,6500 RIGGS ROAD 43770,S200000,00200,0100,HYATTSVILLE 43770,S200000,00200,0200,MD 43770,S200000,00200,0300,20783- 43770,S200000,00300,0100,PRINCE GEORGES 43770,S200000,00300,0200,8840 43770,S200000,00300,0300,U 43770,S200000,00400,0100,HHCC - HYATTSVILLE 43770,S200000,00400,0200,215024 43770,S200000,00400,0300,01/01/1975 43770,S200000,00400,0500,P 43770,S200000,00400,0600,P 43770,S200000,01004,0500,O 43770,S200000,01600,0100,Y 43770,S200000,02200,0100,Y 43781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43781,A000000,00300,0000,00300EMPLOYEE BENEFITS 43781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43781,A000000,00700,0000,00700HOUSEKEEPING 43781,A000000,00800,0000,00800DIETARY 43781,A000000,00900,0000,00900NURSING ADMINISTRATION 43781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43781,A000000,01100,0000,01100PHARMACY 43781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43781,A000000,01300,0000,01300SOCIAL SERVICE 43781,A000000,01350,0000,01500ACTIVITIES 43781,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43781,A000000,01600,0000,01600SKILLED NURSING FACILITY 43781,A000000,01800,0000,01800NURSING FACILITY 43781,A000000,01900,0000,01900OTHER LONG TERM CARE 43781,A000000,02100,0000,02100RADIOLOGY 43781,A000000,02200,0000,02200LABORATORY 43781,A000000,02300,0000,02300INTRAVENOUS THERAPY 43781,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43781,A000000,02500,0000,02500PHYSICAL THERAPY 43781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43781,A000000,02700,0000,02700SPEECH PATHOLOGY 43781,A000000,02800,0000,02800ELECTROCARDIOLOGY 43781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43781,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43781,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43781,A000000,03200,0000,03200SUPPORT SURFACES 43781,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43781,A000000,04800,0000,04800AMBULANCE 43781,A000000,05300,0000,05300INTEREST EXPENSE 43781,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43781,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43781,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43781,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43781,A000000,06100,0000,06100NONPAID WORKERS 43781,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43781,A000000,06200,0000,06200PATIENTS LAUNDRY 43781,A81000A,00100,0100,Y 43781,A81000B,00100,0300,HOME OFFICE COST 43781,A81000B,00200,0300,PT ADMINISTRATION FEE 43781,A81000B,00300,0300,OT ADMINISTRATION FEE 43781,A81000B,00400,0300,ST ADMINISTRATION FEE 43781,A81000C,00100,0100,B 43781,A81000C,00100,0200,HHCC - ADELPHI 43781,A81000C,00100,0400,HCR MANORCARE INC. 43781,A81000C,00100,0600,LONG TERM CARE FACILITIES 43781,A81000C,00200,0100,B 43781,A81000C,00200,0200,HHCC - ADELPHI 43781,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43781,A81000C,00200,0600,THERAPY MANAGEMENT 43781,A81000C,00300,0100,B 43781,A81000C,00300,0200,HHCC - ADELPHI 43781,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43781,A81000C,00300,0600,THERAPY MANAGEMENT 43781,A81000C,00400,0100,B 43781,A81000C,00400,0200,HHCC - ADELPHI 43781,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43781,A81000C,00400,0600,THERAPY MANAGEMENT 43781,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43781,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43781,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43781,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43781,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43781,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43781,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43781,B100000,00000,0800,00000MEALS SERVED :DIETARY 43781,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43781,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43781,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43781,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43781,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43781,S000000,00100,0200,11/29/2000 43781,S200000,00100,0100,1801 METZEROFF ROAD 43781,S200000,00200,0100,ADELPHI 43781,S200000,00200,0200,MD 43781,S200000,00200,0300,20783- 43781,S200000,00300,0100,PRINCE GEORGE 43781,S200000,00300,0200,8840 43781,S200000,00300,0300,U 43781,S200000,00400,0100,HHCC - ADELPHI 43781,S200000,00400,0200,215064 43781,S200000,00400,0300,07/01/1986 43781,S200000,00400,0500,P 43781,S200000,01600,0100,Y 43781,S200000,02200,0100,Y 43791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43791,A000000,00300,0000,00300EMPLOYEE BENEFITS 43791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43791,A000000,00700,0000,00700HOUSEKEEPING 43791,A000000,00800,0000,00800DIETARY 43791,A000000,00900,0000,00900NURSING ADMINISTRATION 43791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43791,A000000,01100,0000,01100PHARMACY 43791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43791,A000000,01300,0000,01300SOCIAL SERVICE 43791,A000000,01350,0000,01500ACTIVITIES 43791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43791,A000000,01600,0000,01600SKILLED NURSING FACILITY 43791,A000000,01800,0000,01800NURSING FACILITY 43791,A000000,01900,0000,01900OTHER LONG TERM CARE 43791,A000000,02100,0000,02100RADIOLOGY 43791,A000000,02200,0000,02200LABORATORY 43791,A000000,02300,0000,02300INTRAVENOUS THERAPY 43791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43791,A000000,02500,0000,02500PHYSICAL THERAPY 43791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43791,A000000,02700,0000,02700SPEECH PATHOLOGY 43791,A000000,02800,0000,02800ELECTROCARDIOLOGY 43791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43791,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43791,A000000,03200,0000,03200SUPPORT SURFACES 43791,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43791,A000000,04800,0000,04800AMBULANCE 43791,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43791,A000000,05300,0000,05300INTEREST EXPENSE 43791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43791,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43791,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43791,A000000,06100,0000,06100NONPAID WORKERS 43791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43791,A000000,06200,0000,06200PATIENTS LAUNDRY 43791,A81000A,00100,0100,Y 43791,A81000B,00100,0300,HOME OFFICE COST 43791,A81000B,00200,0300,PHYSICAL THERAPY 43791,A81000B,00300,0300,OCCUPATIONAL THERAPY 43791,A81000B,00400,0300,SPEECH THERAPY 43791,A81000C,00100,0100,B 43791,A81000C,00100,0200,DULANEY TOWSON 43791,A81000C,00100,0400,HCR MANORCARE INC. 43791,A81000C,00100,0600,LONG TERM CARE FACILITIES 43791,A81000C,00200,0100,B 43791,A81000C,00200,0200,DULANEY TOWSON 43791,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 43791,A81000C,00200,0600,THERAPY MANAGEMENT 43791,A81000C,00300,0100,B 43791,A81000C,00300,0200,DULANEY TOWSON 43791,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 43791,A81000C,00300,0600,THERAPY MANAGEMENT 43791,A81000C,00400,0100,B 43791,A81000C,00400,0200,DULANEY TOWSON 43791,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 43791,A81000C,00400,0600,THERAPY MANAGEMENT 43791,A81000C,00500,0100,B 43791,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43791,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43791,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43791,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43791,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43791,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43791,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43791,B100000,00000,0800,00000MEALS SERVED :DIETARY 43791,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43791,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43791,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43791,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43791,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43791,S000000,00100,0200,12/01/2000 43791,S200000,00100,0100,111 WEST ROAD 43791,S200000,00200,0100,TOWSON 43791,S200000,00200,0200,MD 43791,S200000,00200,0300,21204- 43791,S200000,00300,0100,BALTIMORE 43791,S200000,00300,0200,0720 43791,S200000,00300,0300,U 43791,S200000,00400,0100,DULANEY TOWSON 43791,S200000,00400,0200,215069 43791,S200000,00400,0300,07/01/1975 43791,S200000,00400,0500,P 43791,S200000,00400,0600,P 43791,S200000,01004,0500,O 43791,S200000,01600,0100,Y 43791,S200000,02200,0100,Y 43803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43803,A000000,00300,0000,00300EMPLOYEE BENEFITS 43803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43803,A000000,00700,0000,00700HOUSEKEEPING 43803,A000000,00800,0000,00800DIETARY 43803,A000000,00900,0000,00900NURSING ADMINISTRATION 43803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43803,A000000,01100,0000,01100PHARMACY 43803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43803,A000000,01300,0000,01300SOCIAL SERVICE 43803,A000000,01350,0000,01500ACTIVITIES 43803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43803,A000000,01600,0000,01600SKILLED NURSING FACILITY 43803,A000000,01800,0000,01800NURSING FACILITY 43803,A000000,01900,0000,01900OTHER LONG TERM CARE 43803,A000000,02100,0000,02100RADIOLOGY 43803,A000000,02200,0000,02200LABORATORY 43803,A000000,02300,0000,02300INTRAVENOUS THERAPY 43803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43803,A000000,02500,0000,02500PHYSICAL THERAPY 43803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43803,A000000,02700,0000,02700SPEECH PATHOLOGY 43803,A000000,02800,0000,02800ELECTROCARDIOLOGY 43803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43803,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43803,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43803,A000000,03200,0000,03200SUPPORT SURFACES 43803,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43803,A000000,04800,0000,04800AMBULANCE 43803,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43803,A000000,05300,0000,05300INTEREST EXPENSE 43803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43803,A000000,06100,0000,06100NONPAID WORKERS 43803,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43803,A000000,06200,0000,06200PATIENTS LAUNDRY 43803,A81000A,00100,0100,Y 43803,A81000B,00100,0300,HOME OFFICE COST 43803,A81000B,00200,0300,IV COST 43803,A81000B,00300,0300,DRUGS 43803,A81000B,00400,0300,PHARMACIST 43803,A81000B,00500,0300,PHYSICAL THERAPY 43803,A81000B,00600,0300,OCCUPATIONAL THERAPY 43803,A81000B,00700,0300,SPEECH THERAPY 43803,A81000C,00100,0100,B 43803,A81000C,00100,0200,HHCC-KNOLLVIEW 43803,A81000C,00100,0400,HCR MANORCARE INC. 43803,A81000C,00100,0600,LONG TERM CARE FACILITIES 43803,A81000C,00200,0100,B 43803,A81000C,00200,0200,HHCC-KNOLLVIEW 43803,A81000C,00200,0400,HEARTLAND HEALTHCARE SVS 43803,A81000C,00200,0600,PHARMACY 43803,A81000C,00300,0100,B 43803,A81000C,00300,0200,HHCC-KNOLLVIEW 43803,A81000C,00300,0400,HEARTLAND HEALTHCARE SVS 43803,A81000C,00300,0600,PHARMACY 43803,A81000C,00400,0100,B 43803,A81000C,00400,0200,HHCC-KNOLLVIEW 43803,A81000C,00400,0400,HEARTLAND HEALTHCARE SVS 43803,A81000C,00400,0600,PHARMACY 43803,A81000C,00500,0100,B 43803,A81000C,00500,0200,HHCC-KNOLLVIEW 43803,A81000C,00500,0400,HEARTLAND MANAGEMENT SVS 43803,A81000C,00500,0600,THERAPY MANAGEMENT SVS 43803,A81000C,00600,0100,B 43803,A81000C,00600,0200,HHCC-KNOLLVIEW 43803,A81000C,00600,0400,HEARTLAND MANAGEMENT SVS 43803,A81000C,00600,0600,THERAPY MANAGEMENT SVS 43803,A81000C,00700,0100,B 43803,A81000C,00700,0200,HHCC-KNOLLVIEW 43803,A81000C,00700,0400,HEARTLAND MANAGEMENT SVS 43803,A81000C,00700,0600,THERAPY MANAGEMENT SVS 43803,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43803,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43803,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43803,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43803,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43803,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43803,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43803,B100000,00000,0800,00000MEALS SERVED :DIETARY 43803,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43803,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43803,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43803,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43803,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43803,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43803,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43803,S000000,00100,0200,09/29/2000 43803,S200000,00100,0100,1061 WEST HACKLEY AVENUE 43803,S200000,00200,0100,MUSKEGON 43803,S200000,00200,0200,MI 43803,S200000,00200,0300,49441- 43803,S200000,00300,0100,MUSKEGON 43803,S200000,00400,0100,HHCC - KNOLLVIEW 43803,S200000,00400,0200,235004 43803,S200000,00400,0300,01/01/1967 43803,S200000,00400,0500,P 43803,S200000,00400,0600,P 43803,S200000,01600,0100,Y 43803,S200000,02200,0100,Y 43803,S700003,00000,0100,1 43810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43810,A000000,00300,0000,00300EMPLOYEE BENEFITS 43810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43810,A000000,00700,0000,00700HOUSEKEEPING 43810,A000000,00800,0000,00800DIETARY 43810,A000000,00900,0000,00900NURSING ADMINISTRATION 43810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43810,A000000,01100,0000,01100PHARMACY 43810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43810,A000000,01300,0000,01300SOCIAL SERVICE 43810,A000000,01350,0000,01500ACTIVITIES 43810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43810,A000000,01600,0000,01600SKILLED NURSING FACILITY 43810,A000000,01800,0000,01800NURSING FACILITY 43810,A000000,01900,0000,01900OTHER LONG TERM CARE 43810,A000000,02100,0000,02100RADIOLOGY 43810,A000000,02200,0000,02200LABORATORY 43810,A000000,02300,0000,02300INTRAVENOUS THERAPY 43810,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43810,A000000,02500,0000,02500PHYSICAL THERAPY 43810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43810,A000000,02700,0000,02700SPEECH PATHOLOGY 43810,A000000,02800,0000,02800ELECTROCARDIOLOGY 43810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43810,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43810,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43810,A000000,03200,0000,03200SUPPORT SURFACES 43810,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43810,A000000,04800,0000,04800AMBULANCE 43810,A000000,05300,0000,05300INTEREST EXPENSE 43810,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43810,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43810,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43810,A000000,06100,0000,06100NONPAID WORKERS 43810,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43810,A000000,06200,0000,06200PATIENTS LAUNDRY 43810,A81000A,00100,0100,Y 43810,A81000B,00100,0300,HOME OFFICE COST 43810,A81000B,00200,0300,PHARMACIST 43810,A81000B,00300,0300,IV COST 43810,A81000B,00400,0300,DRUGS 43810,A81000B,00500,0300,PT ADMIN 43810,A81000B,00600,0300,OT ADMIN 43810,A81000B,00700,0300,ST ADMIN 43810,A81000C,00100,0100,B 43810,A81000C,00100,0200,MARLIN MANOR 43810,A81000C,00100,0400,HCR MANORCARE INC. 43810,A81000C,00100,0600,LONG TERM CARE FACILITIES 43810,A81000C,00200,0100,B 43810,A81000C,00200,0200,MARLIN MANOR 43810,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43810,A81000C,00200,0600,PHARMACY 43810,A81000C,00300,0100,B 43810,A81000C,00300,0200,MARLIN MANOR 43810,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43810,A81000C,00300,0600,PHARMACY 43810,A81000C,00400,0100,B 43810,A81000C,00400,0200,MARLIN MANOR 43810,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43810,A81000C,00400,0600,PHARMACY 43810,A81000C,00500,0100,B 43810,A81000C,00500,0200,MARLIN MANOR 43810,A81000C,00500,0400,HEARTLAND MGMT SERVICES 43810,A81000C,00500,0600,THERAPY MANAGEMENT 43810,A81000C,00600,0100,B 43810,A81000C,00600,0200,MARLIN MANOR 43810,A81000C,00600,0400,HEARTLAND MGMT SERVICES 43810,A81000C,00600,0600,THERAPY MANAGEMENT 43810,A81000C,00700,0100,B 43810,A81000C,00700,0200,MARLIN MANOR 43810,A81000C,00700,0400,HEARTLAND MGMT SERVICES 43810,A81000C,00700,0600,THERAPY MANAGEMENT 43810,A81000C,00800,0100,B 43810,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43810,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43810,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43810,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43810,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43810,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43810,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43810,B100000,00000,0800,00000MEALS SERVED :DIETARY 43810,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43810,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43810,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43810,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43810,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43810,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43810,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43810,S000000,00100,0200,10/03/2000 43810,S200000,00100,0100,434 W. NORTH STREET 43810,S200000,00200,0100,JACKSON 43810,S200000,00200,0200,MI 43810,S200000,00200,0300,49202- 43810,S200000,00300,0100,JACKSON 43810,S200000,00400,0100,MARLIN MANOR 43810,S200000,00400,0200,235016 43810,S200000,00400,0300,07/01/1970 43810,S200000,00400,0500,P 43810,S200000,00400,0600,P 43810,S200000,01004,0500,O 43810,S200000,01600,0100,Y 43810,S200000,02200,0100,Y 43817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43817,A000000,00700,0000,00700HOUSEKEEPING 43817,A000000,00800,0000,00800DIETARY 43817,A000000,00900,0000,00900NURSING ADMINISTRATION 43817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43817,A000000,01300,0000,01300SOCIAL SERVICE 43817,A000000,01600,0000,01600SKILLED NURSING FACILITY 43817,A000000,01800,0000,01800NURSING FACILITY 43817,A000000,02100,0000,02100RADIOLOGY 43817,A000000,02200,0000,02200LABORATORY 43817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43817,A000000,02500,0000,02500PHYSICAL THERAPY 43817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43817,A000000,02700,0000,02700SPEECH PATHOLOGY 43817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43817,A81000A,00100,0100,Y 43817,A81000B,00100,0300,CENTRAL OFFICE COSTS 43817,A81000B,00200,0300,CENTRAL OFFICE COSTS 43817,A81000B,00300,0300,CENTRAL OFFICE COSTS 43817,A81000B,00400,0300,CENTRAL OFFICE COSTS 43817,A81000B,00500,0300,CENTRAL OFFICE COSTS 43817,A81000B,00600,0300,CENTRAL OFFICE COSTS 43817,A81000B,00700,0300,CENTRAL OFFICE COSTS 43817,A81000B,00900,0300,TENDERCARE HOLDINGS 43817,A81000B,01000,0300,LIMITED PARTNERSHIP 43817,A81000C,00100,0100,A 43817,A81000C,00100,0200,VARIOUS STOCKHO 43817,A81000C,00100,0400,TENDERCARE (MI) 43817,A81000C,00100,0600,HOME OFFICE 43817,A81000C,00300,0100,B 43817,A81000C,00300,0200,VARIOUS STOCKHO 43817,A81000C,00300,0400,TENDERCARE HOLD 43817,A81000C,00300,0600,LESSOR 43817,A81000C,00400,0400,LIMITED PARTNER 43817,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43817,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43817,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43817,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43817,B100000,00000,0800,00000MEALS SERVED :DIETARY 43817,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43817,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43817,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43817,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43817,E10A180,00550,0100,06/05/2000 43817,E10A180,00550,0300,06/05/2000 43817,S000000,00100,0200,06/01/2000 43817,S200000,00100,0100,600 SOUTH EAST FOURTH 43817,S200000,00200,0100,CLARE 43817,S200000,00200,0200,MI 43817,S200000,00200,0300,48617- 43817,S200000,00300,0100,CLARE 43817,S200000,00400,0100,TENDERCARE CLARE 43817,S200000,00400,0200,235022 43817,S200000,00400,0300,10/01/1965 43817,S200000,00400,0500,P 43817,S200000,00600,0200,235022 43817,S200000,00600,0300,10/01/1965 43817,S200000,00600,0600,P 43817,S200000,01600,0100,Y 43825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43825,A000000,00300,0000,00300EMPLOYEE BENEFITS 43825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43825,A000000,00700,0000,00700HOUSEKEEPING 43825,A000000,00800,0000,00800DIETARY 43825,A000000,00900,0000,00900NURSING ADMINISTRATION 43825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43825,A000000,01100,0000,01100PHARMACY 43825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43825,A000000,01300,0000,01300SOCIAL SERVICE 43825,A000000,01350,0000,01500ACTIVITIES 43825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43825,A000000,01600,0000,01600SKILLED NURSING FACILITY 43825,A000000,01800,0000,01800NURSING FACILITY 43825,A000000,01900,0000,01900OTHER LONG TERM CARE 43825,A000000,02100,0000,02100RADIOLOGY 43825,A000000,02200,0000,02200LABORATORY 43825,A000000,02300,0000,02300INTRAVENOUS THERAPY 43825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43825,A000000,02500,0000,02500PHYSICAL THERAPY 43825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43825,A000000,02700,0000,02700SPEECH PATHOLOGY 43825,A000000,02800,0000,02800ELECTROCARDIOLOGY 43825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43825,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43825,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43825,A000000,03200,0000,03200SUPPORT SURFACES 43825,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43825,A000000,04800,0000,04800AMBULANCE 43825,A000000,05300,0000,05300INTEREST EXPENSE 43825,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43825,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43825,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43825,A000000,06100,0000,06100NONPAID WORKERS 43825,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43825,A000000,06200,0000,06200PATIENTS LAUNDRY 43825,A81000A,00100,0100,Y 43825,A81000B,00100,0300,HOME OFFICE COST 43825,A81000B,00200,0300,PURCH SERV PHARMACIST 43825,A81000B,00300,0300,IV SUPPLIES & DRUGS 43825,A81000B,00400,0300,DRUGS 43825,A81000B,00500,0300,PT ADMINISTRATION FEE 43825,A81000B,00600,0300,OT ADMINISTRATION FEE 43825,A81000B,00700,0300,ST ADMINISTRATION FEE 43825,A81000C,00100,0100,B 43825,A81000C,00100,0200,HHCC - BATTLE CREEK 43825,A81000C,00100,0400,HCR MANORCARE INC. 43825,A81000C,00100,0600,LONG TERM CARE FACILITIES 43825,A81000C,00200,0100,B 43825,A81000C,00200,0200,HHCC - BATTLE CREEK 43825,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43825,A81000C,00200,0600,PHARMACY 43825,A81000C,00300,0100,B 43825,A81000C,00300,0200,HHCC - BATTLE CREEK 43825,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43825,A81000C,00300,0600,PHARMACY 43825,A81000C,00400,0100,B 43825,A81000C,00400,0200,HHCC - BATTLE CREEK 43825,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43825,A81000C,00400,0600,PHARMACY 43825,A81000C,00500,0100,B 43825,A81000C,00500,0200,HHCC - BATTLE CREEK 43825,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43825,A81000C,00500,0600,THERAPY MANAGEMENT 43825,A81000C,00600,0100,B 43825,A81000C,00600,0200,HHCC - BATTLE CREEK 43825,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43825,A81000C,00600,0600,THERAPY MANAGEMENT 43825,A81000C,00700,0100,B 43825,A81000C,00700,0200,HHCC - BATTLE CREEK 43825,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 43825,A81000C,00700,0600,THERAPY MANAGEMENT 43825,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43825,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43825,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43825,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43825,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43825,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43825,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43825,B100000,00000,0800,00000MEALS SERVED :DIETARY 43825,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43825,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43825,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43825,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43825,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43825,S000000,00100,0200,09/29/2000 43825,S200000,00100,0100,200 ROOSEVELT AVENUE EAST 43825,S200000,00200,0100,BATTLE CREEK 43825,S200000,00200,0200,MI 43825,S200000,00200,0300,49017- 43825,S200000,00300,0100,CALHOUN 43825,S200000,00300,0200,3720 43825,S200000,00300,0300,U 43825,S200000,00400,0100,HHCC - BATTLE CREEK 43825,S200000,00400,0200,235023 43825,S200000,00400,0300,01/01/1968 43825,S200000,00400,0500,P 43825,S200000,00400,0600,P 43825,S200000,01004,0500,O 43825,S200000,01600,0100,Y 43825,S200000,02200,0100,Y 43835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43835,A000000,00300,0000,00300EMPLOYEE BENEFITS 43835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43835,A000000,00700,0000,00700HOUSEKEEPING 43835,A000000,00800,0000,00800DIETARY 43835,A000000,00900,0000,00900NURSING ADMINISTRATION 43835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43835,A000000,01100,0000,01100PHARMACY 43835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43835,A000000,01300,0000,01300SOCIAL SERVICE 43835,A000000,01350,0000,01500ACTIVITIES 43835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43835,A000000,01600,0000,01600SKILLED NURSING FACILITY 43835,A000000,01800,0000,01800NURSING FACILITY 43835,A000000,01900,0000,01900OTHER LONG TERM CARE 43835,A000000,02100,0000,02100RADIOLOGY 43835,A000000,02200,0000,02200LABORATORY 43835,A000000,02300,0000,02300INTRAVENOUS THERAPY 43835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43835,A000000,02500,0000,02500PHYSICAL THERAPY 43835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43835,A000000,02700,0000,02700SPEECH PATHOLOGY 43835,A000000,02800,0000,02800ELECTROCARDIOLOGY 43835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43835,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43835,A000000,03200,0000,03200SUPPORT SURFACES 43835,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43835,A000000,04800,0000,04800AMBULANCE 43835,A000000,05300,0000,05300INTEREST EXPENSE 43835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43835,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43835,A000000,06100,0000,06100NONPAID WORKERS 43835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43835,A000000,06200,0000,06200PATIENTS LAUNDRY 43835,A81000A,00100,0100,Y 43835,A81000B,00100,0300,HOME OFFICE COST 43835,A81000B,00200,0300,PURCH SERV PHARMACIST 43835,A81000B,00300,0300,IV SUPPLIES & DRUGS 43835,A81000B,00400,0300,DRUGS 43835,A81000B,00500,0300,PT ADMINISTRATION FEE 43835,A81000B,00600,0300,OT ADMINISTRATION FEE 43835,A81000B,00700,0300,ST ADMINISTRATION FEE 43835,A81000C,00100,0100,B 43835,A81000C,00100,0200,HHCC - IONIA 43835,A81000C,00100,0400,HCR MANORCARE INC. 43835,A81000C,00100,0600,LONG TERM CARE FACILITIES 43835,A81000C,00200,0100,B 43835,A81000C,00200,0200,HHCC - IONIA 43835,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43835,A81000C,00200,0600,PHARMACY 43835,A81000C,00300,0100,B 43835,A81000C,00300,0200,HHCC - IONIA 43835,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43835,A81000C,00300,0600,PHARMACY 43835,A81000C,00400,0100,B 43835,A81000C,00400,0200,HHCC - IONIA 43835,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43835,A81000C,00400,0600,PHARMACY 43835,A81000C,00500,0100,B 43835,A81000C,00500,0200,HHCC - IONIA 43835,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43835,A81000C,00500,0600,THERAPY MANAGEMENT 43835,A81000C,00600,0100,B 43835,A81000C,00600,0200,HHCC - IONIA 43835,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43835,A81000C,00600,0600,THERAPY MANAGEMENT 43835,A81000C,00700,0100,B 43835,A81000C,00700,0200,HHCC - IONIA 43835,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 43835,A81000C,00700,0600,THERAPY MANAGEMENT 43835,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43835,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43835,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43835,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43835,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43835,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43835,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43835,B100000,00000,0800,00000MEALS SERVED :DIETARY 43835,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43835,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43835,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43835,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43835,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43835,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43835,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43835,S000000,00100,0200,09/29/2000 43835,S200000,00100,0100,814 EAST LINCOLN AVE 43835,S200000,00200,0100,IONIA 43835,S200000,00200,0200,MI 43835,S200000,00200,0300,48846- 43835,S200000,00300,0100,IONIA 43835,S200000,00400,0100,HHCC - IONIA 43835,S200000,00400,0200,235032 43835,S200000,00400,0300,01/01/1967 43835,S200000,00400,0500,P 43835,S200000,00400,0600,P 43835,S200000,01600,0100,Y 43835,S200000,02200,0100,Y 43845,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43845,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43845,A000000,00300,0000,00300EMPLOYEE BENEFITS 43845,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43845,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43845,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43845,A000000,00700,0000,00700HOUSEKEEPING 43845,A000000,00800,0000,00800DIETARY 43845,A000000,00900,0000,00900NURSING ADMINISTRATION 43845,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43845,A000000,01100,0000,01100PHARMACY 43845,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43845,A000000,01300,0000,01300SOCIAL SERVICE 43845,A000000,01350,0000,01500ACTIVITIES 43845,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43845,A000000,01600,0000,01600SKILLED NURSING FACILITY 43845,A000000,01800,0000,01800NURSING FACILITY 43845,A000000,01900,0000,01900OTHER LONG TERM CARE 43845,A000000,02100,0000,02100RADIOLOGY 43845,A000000,02200,0000,02200LABORATORY 43845,A000000,02300,0000,02300INTRAVENOUS THERAPY 43845,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43845,A000000,02500,0000,02500PHYSICAL THERAPY 43845,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43845,A000000,02700,0000,02700SPEECH PATHOLOGY 43845,A000000,02800,0000,02800ELECTROCARDIOLOGY 43845,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43845,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43845,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43845,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43845,A000000,03200,0000,03200SUPPORT SURFACES 43845,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43845,A000000,04800,0000,04800AMBULANCE 43845,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 43845,A000000,05300,0000,05300INTEREST EXPENSE 43845,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43845,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43845,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43845,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43845,A000000,06100,0000,06100NONPAID WORKERS 43845,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43845,A000000,06200,0000,06200PATIENTS LAUNDRY 43845,A81000A,00100,0100,Y 43845,A81000B,00100,0300,HOME OFFICE COST 43845,A81000B,00200,0300,P/S PHARMACIST 43845,A81000B,00300,0300,IV THERAPY 43845,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 43845,A81000B,00500,0300,PURCHASE SERVICES PT 43845,A81000B,00600,0300,PURCHASE SERVICES OT 43845,A81000B,00700,0300,PURCHASE SERVICES ST 43845,A81000C,00100,0100,B 43845,A81000C,00100,0200,UNIVERSITY HCC 43845,A81000C,00100,0400,HCR MANORCARE INC. 43845,A81000C,00100,0600,LONG TERM CARE FACILITIES 43845,A81000C,00200,0100,B 43845,A81000C,00200,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00200,0400,HTLD HEALTH CARE SERVICE 43845,A81000C,00200,0600,PHARMACY 43845,A81000C,00300,0100,B 43845,A81000C,00300,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00300,0400,HTLD HEALTH CARE SERVICE 43845,A81000C,00300,0600,PHARMACY 43845,A81000C,00400,0100,B 43845,A81000C,00400,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00400,0400,HTLD HEALTH CARE SERVICE 43845,A81000C,00400,0600,PHARMACY 43845,A81000C,00500,0100,B 43845,A81000C,00500,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00500,0400,HEARTLAND REHAB 43845,A81000C,00500,0600,PURCHASE SERVICE PT 43845,A81000C,00600,0100,B 43845,A81000C,00600,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00600,0400,HEARTLAND REHAB 43845,A81000C,00600,0600,PURCHASE SERVICE OT 43845,A81000C,00700,0100,B 43845,A81000C,00700,0200,HEALTH CARE & RETIREMENT 43845,A81000C,00700,0400,HEARTLAND REHAB 43845,A81000C,00700,0600,PURCHASE SERVICE ST 43845,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43845,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43845,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43845,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43845,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43845,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43845,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43845,B100000,00000,0800,00000MEALS SERVED :DIETARY 43845,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43845,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43845,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43845,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43845,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43845,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43845,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43845,S000000,00100,0200,05/30/2000 43845,S200000,00100,0100,28550 FIVE MILE ROAD 43845,S200000,00200,0100,LIVONIA 43845,S200000,00200,0200,MI 43845,S200000,00200,0300,48154- 43845,S200000,00300,0100,WAYNE 43845,S200000,00400,0100,UNIVERSITY HEALTH CARE CENTER 43845,S200000,00400,0200,235057 43845,S200000,00400,0300,05/01/1986 43845,S200000,00400,0500,P 43845,S200000,00400,0600,P 43845,S200000,01004,0500,O 43845,S200000,01600,0100,Y 43845,S200000,02200,0100,Y 43853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43853,A000000,00300,0000,00300EMPLOYEE BENEFITS 43853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43853,A000000,00700,0000,00700HOUSEKEEPING 43853,A000000,00800,0000,00800DIETARY 43853,A000000,00900,0000,00900NURSING ADMINISTRATION 43853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43853,A000000,01100,0000,01100PHARMACY 43853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43853,A000000,01300,0000,01300SOCIAL SERVICE 43853,A000000,01350,0000,01500ACTIVITIES 43853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43853,A000000,01600,0000,01600SKILLED NURSING FACILITY 43853,A000000,01800,0000,01800NURSING FACILITY 43853,A000000,01900,0000,01900OTHER LONG TERM CARE 43853,A000000,02100,0000,02100RADIOLOGY 43853,A000000,02200,0000,02200LABORATORY 43853,A000000,02300,0000,02300INTRAVENOUS THERAPY 43853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43853,A000000,02500,0000,02500PHYSICAL THERAPY 43853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43853,A000000,02700,0000,02700SPEECH PATHOLOGY 43853,A000000,02800,0000,02800ELECTROCARDIOLOGY 43853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43853,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43853,A000000,03200,0000,03200SUPPORT SURFACES 43853,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43853,A000000,04800,0000,04800AMBULANCE 43853,A000000,05300,0000,05300INTEREST EXPENSE 43853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43853,A000000,06100,0000,06100NONPAID WORKERS 43853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43853,A000000,06200,0000,06200PATIENTS LAUNDRY 43853,A81000A,00100,0100,Y 43853,A81000B,00100,0300,HOME OFFICE COST 43853,A81000B,00200,0300,PURCH SERV PHARMACIST 43853,A81000B,00300,0300,IV DRUGS & SUPPLIES 43853,A81000B,00400,0300,DRUGS 43853,A81000B,00500,0300,PT ADMINISTRATION FEE 43853,A81000B,00600,0300,OT ADMINISTRATION FEE 43853,A81000B,00700,0300,ST ADMINISTRATION FEE 43853,A81000C,00100,0100,B 43853,A81000C,00100,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00100,0400,HCR MANORCARE INC. 43853,A81000C,00100,0600,LONG TERM CARE FACILITIES 43853,A81000C,00200,0100,B 43853,A81000C,00200,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43853,A81000C,00200,0600,PHARMACY 43853,A81000C,00300,0100,B 43853,A81000C,00300,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43853,A81000C,00300,0600,PHARMACY 43853,A81000C,00400,0100,B 43853,A81000C,00400,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43853,A81000C,00400,0600,PHARMACY 43853,A81000C,00500,0100,B 43853,A81000C,00500,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43853,A81000C,00500,0600,THERAPY MANAGEMENT SERV 43853,A81000C,00600,0100,B 43853,A81000C,00600,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43853,A81000C,00600,0600,THERAPY MANAGEMENT SERV 43853,A81000C,00700,0100,B 43853,A81000C,00700,0200,HOLLAND HEALTH CARE CENTE 43853,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 43853,A81000C,00700,0600,THERAPY MANAGEMENT SERV 43853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43853,B100000,00000,0800,00000MEALS SERVED :DIETARY 43853,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43853,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43853,S000000,00100,0200,09/29/2000 43853,S200000,00100,0100,493 WEST 32ND STREET 43853,S200000,00200,0100,HOLLAND 43853,S200000,00200,0200,MI 43853,S200000,00200,0300,49423- 43853,S200000,00300,0100,OTTAWA 43853,S200000,00300,0200,3000 43853,S200000,00300,0300,U 43853,S200000,00400,0100,HOLLAND HEALTH CARE CENTER 43853,S200000,00400,0200,235077 43853,S200000,00400,0300,01/01/1970 43853,S200000,00400,0500,P 43853,S200000,00400,0600,P 43853,S200000,01600,0100,Y 43853,S200000,02200,0100,Y 43853,S200000,04700,0100,Y 43853,S200000,04700,0200,Y 43862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43862,A000000,00300,0000,00300EMPLOYEE BENEFITS 43862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43862,A000000,00700,0000,00700HOUSEKEEPING 43862,A000000,00800,0000,00800DIETARY 43862,A000000,00900,0000,00900NURSING ADMINISTRATION 43862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43862,A000000,01100,0000,01100PHARMACY 43862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43862,A000000,01300,0000,01300SOCIAL SERVICE 43862,A000000,01350,0000,01500ACTIVITIES 43862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43862,A000000,01600,0000,01600SKILLED NURSING FACILITY 43862,A000000,01800,0000,01800NURSING FACILITY 43862,A000000,01900,0000,01900OTHER LONG TERM CARE 43862,A000000,02100,0000,02100RADIOLOGY 43862,A000000,02200,0000,02200LABORATORY 43862,A000000,02300,0000,02300INTRAVENOUS THERAPY 43862,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43862,A000000,02500,0000,02500PHYSICAL THERAPY 43862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43862,A000000,02700,0000,02700SPEECH PATHOLOGY 43862,A000000,02800,0000,02800ELECTROCARDIOLOGY 43862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43862,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43862,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43862,A000000,03200,0000,03200SUPPORT SURFACES 43862,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43862,A000000,04800,0000,04800AMBULANCE 43862,A000000,05300,0000,05300INTEREST EXPENSE 43862,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43862,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43862,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43862,A000000,06100,0000,06100NONPAID WORKERS 43862,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43862,A000000,06200,0000,06200PATIENTS LAUNDRY 43862,A81000A,00100,0100,Y 43862,A81000B,00100,0300,HOME OFFICE COST 43862,A81000B,00200,0300,IV COSTS 43862,A81000B,00300,0300,DRUGS 43862,A81000B,00400,0300,PHARMACIST 43862,A81000B,00500,0300,PT ADMINISTRATIVE FEE 43862,A81000B,00600,0300,OT ADMINISTRATIVE FEE 43862,A81000B,00700,0300,ST ADMINISTRATIVE FEE 43862,A81000C,00100,0100,B 43862,A81000C,00100,0200,HHCC - GRAND RAPIDS 43862,A81000C,00100,0400,HCR MANORCARE INC. 43862,A81000C,00100,0600,LONG TERM CARE FACILITIES 43862,A81000C,00200,0100,B 43862,A81000C,00200,0200,HHCC - GRAND RAPIDS 43862,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43862,A81000C,00200,0600,PHARMACY 43862,A81000C,00300,0100,B 43862,A81000C,00300,0200,HHCC - GRAND RAPIDS 43862,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43862,A81000C,00300,0600,PHARMACY 43862,A81000C,00400,0100,B 43862,A81000C,00400,0200,HHCC - GRAND RAPIDS 43862,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43862,A81000C,00400,0600,PHARMACY 43862,A81000C,00500,0100,B 43862,A81000C,00500,0200,HHCC - GRAND RAPIDS 43862,A81000C,00500,0400,HEARTLAND MGMT SERVICES 43862,A81000C,00500,0600,THERAPY MANAGEMENT 43862,A81000C,00600,0100,B 43862,A81000C,00600,0200,HHCC - GRAND RAPIDS 43862,A81000C,00600,0400,HEARTLAND MGMT SERVICES 43862,A81000C,00600,0600,THERAPY MANAGEMENT 43862,A81000C,00700,0100,B 43862,A81000C,00700,0200,HHCC - GRAND RAPIDS 43862,A81000C,00700,0400,HEARTLAND MGMT SERVICES 43862,A81000C,00700,0600,THERAPY MANAGEMENT 43862,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43862,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43862,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43862,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43862,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43862,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43862,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43862,B100000,00000,0800,00000MEALS SERVED :DIETARY 43862,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43862,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43862,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43862,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43862,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43862,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43862,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43862,S000000,00100,0200,10/03/2000 43862,S200000,00100,0100,2320 EAST BELTLINE 43862,S200000,00200,0100,GRAND RAPIDS 43862,S200000,00200,0200,MI 43862,S200000,00200,0300,49546- 43862,S200000,00300,0100,KENT 43862,S200000,00400,0100,HHCC - GRAND RAPIDS 43862,S200000,00400,0200,235103 43862,S200000,00400,0300,01/01/1967 43862,S200000,00400,0500,P 43862,S200000,00400,0600,P 43862,S200000,01004,0500,O 43862,S200000,01600,0100,Y 43862,S200000,02200,0100,Y 43873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43873,A000000,00300,0000,00300EMPLOYEE BENEFITS 43873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43873,A000000,00700,0000,00700HOUSEKEEPING 43873,A000000,00800,0000,00800DIETARY 43873,A000000,00900,0000,00900NURSING ADMINISTRATION 43873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43873,A000000,01100,0000,01100PHARMACY 43873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43873,A000000,01300,0000,01300SOCIAL SERVICE 43873,A000000,01350,0000,01500ACTIVITIES 43873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43873,A000000,01600,0000,01600SKILLED NURSING FACILITY 43873,A000000,01800,0000,01800NURSING FACILITY 43873,A000000,01900,0000,01900OTHER LONG TERM CARE 43873,A000000,02100,0000,02100RADIOLOGY 43873,A000000,02200,0000,02200LABORATORY 43873,A000000,02300,0000,02300INTRAVENOUS THERAPY 43873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43873,A000000,02500,0000,02500PHYSICAL THERAPY 43873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43873,A000000,02700,0000,02700SPEECH PATHOLOGY 43873,A000000,02800,0000,02800ELECTROCARDIOLOGY 43873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43873,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43873,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43873,A000000,03200,0000,03200SUPPORT SURFACES 43873,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43873,A000000,04800,0000,04800AMBULANCE 43873,A000000,05300,0000,05300INTEREST EXPENSE 43873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43873,A000000,06100,0000,06100NONPAID WORKERS 43873,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43873,A000000,06200,0000,06200PATIENTS LAUNDRY 43873,A81000A,00100,0100,Y 43873,A81000B,00100,0300,HOME OFFICE COST 43873,A81000B,00200,0300,P/S PHARMACIST 43873,A81000B,00300,0300,INTRAVENOUS THERAPY 43873,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 43873,A81000B,00500,0300,PHYSICAL THERAPY 43873,A81000B,00600,0300,OCCUPATIONAL THERAPY 43873,A81000B,00700,0300,SPEECH PATHOLOGY 43873,A81000C,00100,0100,B 43873,A81000C,00100,0200,GEORGIAN EAST 43873,A81000C,00100,0400,HCR MANORCARE INC. 43873,A81000C,00100,0600,LONG TERM CARE FACILITIES 43873,A81000C,00200,0100,B 43873,A81000C,00200,0200,HCR MANORCARE INC 43873,A81000C,00200,0400,HTLD HEALTH CARE SVCS 43873,A81000C,00200,0600,PHARMACY 43873,A81000C,00300,0100,B 43873,A81000C,00300,0200,HCR MANORCARE INC 43873,A81000C,00300,0400,HTLD HEALTH CARE SVCS 43873,A81000C,00300,0600,PHARMACY 43873,A81000C,00400,0100,B 43873,A81000C,00400,0200,HCR MANORCARE INC 43873,A81000C,00400,0400,HTLD HEALTH CARE SVCS 43873,A81000C,00400,0600,PHARMACY 43873,A81000C,00500,0100,B 43873,A81000C,00500,0200,HCR MANORCARE INC 43873,A81000C,00500,0400,HL REHAB 43873,A81000C,00500,0600,PURCHASE SERVICE PT 43873,A81000C,00600,0100,B 43873,A81000C,00600,0200,HCR MANORCARE INC 43873,A81000C,00600,0400,HL REHAB 43873,A81000C,00600,0600,PURCHASE SERVICE OT 43873,A81000C,00700,0100,B 43873,A81000C,00700,0200,HCR MANORCARE INC 43873,A81000C,00700,0400,HL REHAB 43873,A81000C,00700,0600,PURCHASE SERVICE ST 43873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43873,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43873,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43873,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43873,B100000,00000,0800,00000MEALS SERVED :DIETARY 43873,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43873,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43873,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43873,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43873,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 43873,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43873,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43873,S000000,00100,0200,05/31/2000 43873,S200000,00100,0100,21401 MACK AVE 43873,S200000,00200,0100,GROSS POINT 43873,S200000,00200,0200,MI 43873,S200000,00200,0300,48236- 43873,S200000,00300,0100,WAYNE 43873,S200000,00400,0100,GEORGIAN EAST 43873,S200000,00400,0200,235109 43873,S200000,00400,0300,11/10/1975 43873,S200000,00400,0500,P 43873,S200000,00400,0600,P 43873,S200000,01004,0500,O 43873,S200000,01600,0100,Y 43873,S200000,02200,0100,Y 43873,S700003,00000,0100,1 43883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43883,A000000,00300,0000,00300EMPLOYEE BENEFITS 43883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43883,A000000,00700,0000,00700HOUSEKEEPING 43883,A000000,00800,0000,00800DIETARY 43883,A000000,00900,0000,00900NURSING ADMINISTRATION 43883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43883,A000000,01100,0000,01100PHARMACY 43883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43883,A000000,01300,0000,01300SOCIAL SERVICE 43883,A000000,01350,0000,01500ACTIVITIES 43883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43883,A000000,01600,0000,01600SKILLED NURSING FACILITY 43883,A000000,01800,0000,01800NURSING FACILITY 43883,A000000,01900,0000,01900OTHER LONG TERM CARE 43883,A000000,02100,0000,02100RADIOLOGY 43883,A000000,02200,0000,02200LABORATORY 43883,A000000,02300,0000,02300INTRAVENOUS THERAPY 43883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43883,A000000,02500,0000,02500PHYSICAL THERAPY 43883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43883,A000000,02700,0000,02700SPEECH PATHOLOGY 43883,A000000,02800,0000,02800ELECTROCARDIOLOGY 43883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43883,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43883,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43883,A000000,03200,0000,03200SUPPORT SURFACES 43883,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43883,A000000,04800,0000,04800AMBULANCE 43883,A000000,05300,0000,05300INTEREST EXPENSE 43883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43883,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43883,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43883,A000000,06100,0000,06100NONPAID WORKERS 43883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43883,A000000,06200,0000,06200PATIENTS LAUNDRY 43883,A81000A,00100,0100,Y 43883,A81000B,00100,0300,HOME OFFICE COST 43883,A81000B,00200,0300,IV COSTS 43883,A81000B,00300,0300,DRUGS 43883,A81000B,00400,0300,DRUGS 43883,A81000C,00100,0100,B 43883,A81000C,00100,0200,KALAMAZOO 43883,A81000C,00100,0400,HCR MANORCARE INC. 43883,A81000C,00100,0600,LONG TERM CARE FACILITIES 43883,A81000C,00200,0100,B 43883,A81000C,00200,0200,KALAMAZOO 43883,A81000C,00200,0400,HEARTLAND HEALTHCARE 43883,A81000C,00200,0600,PHARMACY 43883,A81000C,00300,0100,B 43883,A81000C,00300,0200,KALAMAZOO 43883,A81000C,00300,0400,HEARTLAND HEALTHCARE 43883,A81000C,00300,0600,PHARMACY 43883,A81000C,00400,0100,B 43883,A81000C,00400,0200,KALAMAZOO 43883,A81000C,00400,0400,HEARTLAND HEALTHCARE 43883,A81000C,00400,0600,PHARMACY 43883,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43883,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43883,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43883,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43883,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43883,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43883,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43883,B100000,00000,0800,00000MEALS SERVED :DIETARY 43883,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43883,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43883,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43883,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43883,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43883,S000000,00100,0200,09/29/2000 43883,S200000,00100,0100,3625 W. MICHIGAN AVE. 43883,S200000,00200,0100,KALAMAZOO 43883,S200000,00200,0200,MI 43883,S200000,00200,0300,49006- 43883,S200000,00300,0100,KALAMAZOO 43883,S200000,00300,0200,3720 43883,S200000,00300,0300,U 43883,S200000,00400,0100,HHCC KALAMAZOO 43883,S200000,00400,0200,235114 43883,S200000,00400,0300,03/22/1967 43883,S200000,00400,0500,P 43883,S200000,00400,0600,P 43883,S200000,01004,0500,O 43883,S200000,01600,0100,Y 43883,S200000,02200,0100,Y 43891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43891,A000000,00300,0000,00300EMPLOYEE BENEFITS 43891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43891,A000000,00700,0000,00700HOUSEKEEPING 43891,A000000,00800,0000,00800DIETARY 43891,A000000,00900,0000,00900NURSING ADMINISTRATION 43891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43891,A000000,01100,0000,01100PHARMACY 43891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43891,A000000,01300,0000,01300SOCIAL SERVICE 43891,A000000,01350,0000,01500ACTIVITIES 43891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43891,A000000,01600,0000,01600SKILLED NURSING FACILITY 43891,A000000,01800,0000,01800NURSING FACILITY 43891,A000000,01900,0000,01900OTHER LONG TERM CARE 43891,A000000,02100,0000,02100RADIOLOGY 43891,A000000,02200,0000,02200LABORATORY 43891,A000000,02300,0000,02300INTRAVENOUS THERAPY 43891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43891,A000000,02500,0000,02500PHYSICAL THERAPY 43891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43891,A000000,02700,0000,02700SPEECH PATHOLOGY 43891,A000000,02800,0000,02800ELECTROCARDIOLOGY 43891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43891,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43891,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43891,A000000,03200,0000,03200SUPPORT SURFACES 43891,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43891,A000000,04800,0000,04800AMBULANCE 43891,A000000,05300,0000,05300INTEREST EXPENSE 43891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43891,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43891,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43891,A000000,06100,0000,06100NONPAID WORKERS 43891,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43891,A000000,06200,0000,06200PATIENTS LAUNDRY 43891,A81000A,00100,0100,Y 43891,A81000B,00100,0300,HOME OFFICE COST 43891,A81000B,00200,0300,IV COSTS 43891,A81000B,00300,0300,DRUG COSTS 43891,A81000B,00400,0300,PT THERAPY MANAGEMENT 43891,A81000B,00500,0300,OT THERAPY MANAGEMENT 43891,A81000B,00600,0300,ST THERAPY MANAGEMENT 43891,A81000C,00100,0100,B 43891,A81000C,00100,0200,FOSTRIAN MANOR 43891,A81000C,00100,0400,HCR MANORCARE INC. 43891,A81000C,00100,0600,LONG TERM CARE FACILITIES 43891,A81000C,00200,0100,B 43891,A81000C,00200,0200,HCR MANORCARE INC. 43891,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 43891,A81000C,00200,0600,PHARMACY 43891,A81000C,00300,0100,B 43891,A81000C,00300,0200,HCR MANORCARE INC. 43891,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 43891,A81000C,00300,0600,PHARMACY 43891,A81000C,00400,0100,B 43891,A81000C,00400,0200,HCR MANORCARE INC. 43891,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 43891,A81000C,00400,0600,THERAPY MANAGEMENT 43891,A81000C,00500,0100,B 43891,A81000C,00500,0200,HCR MANORCARE INC. 43891,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 43891,A81000C,00500,0600,THERAPY MANAGEMENT 43891,A81000C,00600,0100,B 43891,A81000C,00600,0200,HCR MANORCARE INC. 43891,A81000C,00600,0400,HEARTLAND MANAGMENT SVCS 43891,A81000C,00600,0600,THERAPY MANAGEMENT 43891,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43891,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43891,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43891,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43891,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43891,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43891,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43891,B100000,00000,0800,00000MEALS SERVED :DIETARY 43891,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43891,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43891,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43891,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43891,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43891,S000000,00100,0200,09/29/2000 43891,S200000,00100,0100,540 SUNNYSIDE DRIVE 43891,S200000,00200,0100,FLUSHING 43891,S200000,00200,0200,MI 43891,S200000,00200,0300,48433- 43891,S200000,00300,0100,GENESEE 43891,S200000,00300,0200,2640 43891,S200000,00300,0300,U 43891,S200000,00400,0100,FOSTRIAN MANOR 43891,S200000,00400,0200,235132 43891,S200000,00400,0300,09/01/1969 43891,S200000,00400,0500,P 43891,S200000,01600,0100,Y 43891,S200000,02200,0100,Y 43900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43900,A000000,00300,0000,00300EMPLOYEE BENEFITS 43900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43900,A000000,00700,0000,00700HOUSEKEEPING 43900,A000000,00800,0000,00800DIETARY 43900,A000000,00900,0000,00900NURSING ADMINISTRATION 43900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43900,A000000,01100,0000,01100PHARMACY 43900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43900,A000000,01300,0000,01300SOCIAL SERVICE 43900,A000000,01350,0000,01500ACTIVITIES 43900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43900,A000000,01600,0000,01600SKILLED NURSING FACILITY 43900,A000000,01800,0000,01800NURSING FACILITY 43900,A000000,01900,0000,01900OTHER LONG TERM CARE 43900,A000000,02100,0000,02100RADIOLOGY 43900,A000000,02200,0000,02200LABORATORY 43900,A000000,02300,0000,02300INTRAVENOUS THERAPY 43900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43900,A000000,02500,0000,02500PHYSICAL THERAPY 43900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43900,A000000,02700,0000,02700SPEECH PATHOLOGY 43900,A000000,02800,0000,02800ELECTROCARDIOLOGY 43900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43900,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43900,A000000,03200,0000,03200SUPPORT SURFACES 43900,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43900,A000000,04800,0000,04800AMBULANCE 43900,A000000,05300,0000,05300INTEREST EXPENSE 43900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43900,A000000,06100,0000,06100NONPAID WORKERS 43900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43900,A000000,06200,0000,06200PATIENTS LAUNDRY 43900,A81000A,00100,0100,Y 43900,A81000B,00100,0300,HOME OFFICE COST 43900,A81000B,00200,0300,IV COST 43900,A81000B,00300,0300,PHARMACIST 43900,A81000B,00400,0300,DRUGS 43900,A81000B,00500,0300,PT ADMINISTRATION FEE 43900,A81000B,00600,0300,OT ADMINISTRATION FEE 43900,A81000B,00700,0300,ST ADMINISTRATION FEE 43900,A81000C,00100,0100,B 43900,A81000C,00100,0200,HHCC - SAGINAW 43900,A81000C,00100,0400,HCR MANORCARE INC. 43900,A81000C,00100,0600,LONG TERM CARE FACILITIES 43900,A81000C,00200,0100,B 43900,A81000C,00200,0200,HHCC - SAGINAW 43900,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 43900,A81000C,00200,0600,PHARMACY 43900,A81000C,00300,0100,B 43900,A81000C,00300,0200,HHCC - SAGINAW 43900,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 43900,A81000C,00300,0600,PHARMACY 43900,A81000C,00400,0100,B 43900,A81000C,00400,0200,HHCC - SAGINAW 43900,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 43900,A81000C,00400,0600,PHARMACY 43900,A81000C,00500,0100,B 43900,A81000C,00500,0200,HHCC - SAGINAW 43900,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 43900,A81000C,00500,0600,THERAPY MANAGEMENT 43900,A81000C,00600,0100,B 43900,A81000C,00600,0200,HHCC - SAGINAW 43900,A81000C,00600,0400,HEARTLAND MANAGEMENT SVCS 43900,A81000C,00600,0600,THERAPY MANAGEMENT 43900,A81000C,00700,0100,B 43900,A81000C,00700,0200,HHCC - SAGINAW 43900,A81000C,00700,0400,HEARTLAND MANAGEMENT SVCS 43900,A81000C,00700,0600,THERAPY MANAGEMENT 43900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43900,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43900,B100000,00000,0800,00000MEALS SERVED :DIETARY 43900,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43900,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43900,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 43900,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43900,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43900,S000000,00100,0200,09/29/2000 43900,S200000,00100,0100,2901 GALAXY DRIVE 43900,S200000,00200,0100,SAGINAW 43900,S200000,00200,0200,MI 43900,S200000,00200,0300,48601- 43900,S200000,00300,0100,SAGINAW 43900,S200000,00300,0200,6960 43900,S200000,00300,0300,U 43900,S200000,00400,0100,HHCC - SAGINAW 43900,S200000,00400,0200,235139 43900,S200000,00400,0300,01/01/1970 43900,S200000,00400,0500,P 43900,S200000,00400,0600,P 43900,S200000,01600,0100,Y 43900,S200000,02200,0100,Y 43909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43909,A000000,00300,0000,00300EMPLOYEE BENEFITS 43909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43909,A000000,00700,0000,00700HOUSEKEEPING 43909,A000000,00800,0000,00800DIETARY 43909,A000000,00900,0000,00900NURSING ADMINISTRATION 43909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43909,A000000,01100,0000,01100PHARMACY 43909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43909,A000000,01300,0000,01300SOCIAL SERVICE 43909,A000000,01350,0000,01500ACTIVITIES 43909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43909,A000000,01600,0000,01600SKILLED NURSING FACILITY 43909,A000000,01800,0000,01800NURSING FACILITY 43909,A000000,01900,0000,01900OTHER LONG TERM CARE 43909,A000000,02100,0000,02100RADIOLOGY 43909,A000000,02200,0000,02200LABORATORY 43909,A000000,02300,0000,02300INTRAVENOUS THERAPY 43909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43909,A000000,02500,0000,02500PHYSICAL THERAPY 43909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43909,A000000,02700,0000,02700SPEECH PATHOLOGY 43909,A000000,02800,0000,02800ELECTROCARDIOLOGY 43909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43909,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43909,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43909,A000000,03200,0000,03200SUPPORT SURFACES 43909,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43909,A000000,04800,0000,04800AMBULANCE 43909,A000000,05300,0000,05300INTEREST EXPENSE 43909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43909,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43909,A000000,06100,0000,06100NONPAID WORKERS 43909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43909,A000000,06200,0000,06200PATIENTS LAUNDRY 43909,A81000A,00100,0100,Y 43909,A81000B,00100,0300,HOME OFFICE COST 43909,A81000B,00200,0300,PURCH. SERV. PHARMACIST 43909,A81000B,00300,0300,IV DRUGS & SUPPLIES 43909,A81000B,00400,0300,DRUGS 43909,A81000B,00500,0300,PT ADMINISTRATION FEE 43909,A81000B,00600,0300,OT ADMINISTRATION FEE 43909,A81000B,00700,0300,ST ADMINISTRATION FEE 43909,A81000C,00100,0100,B 43909,A81000C,00100,0200,HHCC - BRIARWOOD 43909,A81000C,00100,0400,HCR MANORCARE INC. 43909,A81000C,00100,0600,LONG TERM CARE FACILITIES 43909,A81000C,00200,0100,B 43909,A81000C,00200,0200,HHCC - BRIARWOOD 43909,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43909,A81000C,00200,0600,PHARMACY 43909,A81000C,00300,0100,B 43909,A81000C,00300,0200,HHCC - BRIARWOOD 43909,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43909,A81000C,00300,0600,PHARMACY 43909,A81000C,00400,0100,B 43909,A81000C,00400,0200,HHCC - BRIARWOOD 43909,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43909,A81000C,00400,0600,PHARMACY 43909,A81000C,00500,0100,B 43909,A81000C,00500,0200,HHCC - BRIARWOOD 43909,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 43909,A81000C,00500,0600,THERAPY MANAGEMENT 43909,A81000C,00600,0100,B 43909,A81000C,00600,0200,HHCC - BRIARWOOD 43909,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 43909,A81000C,00600,0600,THERAPY MANAGEMENT 43909,A81000C,00700,0100,B 43909,A81000C,00700,0200,HHCC - BRIARWOOD 43909,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 43909,A81000C,00700,0600,THERAPY MANAGEMENT 43909,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43909,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43909,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43909,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43909,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43909,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43909,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43909,B100000,00000,0800,00000MEALS SERVED :DIETARY 43909,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43909,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43909,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43909,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43909,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43909,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43909,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43909,S000000,00100,0200,09/29/2000 43909,S200000,00100,0100,3011 NORTH CENTER ROAD 43909,S200000,00200,0100,FLINT 43909,S200000,00200,0200,MI 43909,S200000,00200,0300,48506- 43909,S200000,00300,0100,GENESSEE 43909,S200000,00400,0100,HEARTLAND HHCC - BRIARWOOD 43909,S200000,00400,0200,235184 43909,S200000,00400,0300,08/01/1969 43909,S200000,00400,0500,P 43909,S200000,00400,0600,P 43909,S200000,01600,0100,Y 43909,S200000,02200,0100,Y 43909,S200000,04700,0100,Y 43918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43918,A000000,00300,0000,00300EMPLOYEE BENEFITS 43918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43918,A000000,00700,0000,00700HOUSEKEEPING 43918,A000000,00800,0000,00800DIETARY 43918,A000000,00900,0000,00900NURSING ADMINISTRATION 43918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43918,A000000,01100,0000,01100PHARMACY 43918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43918,A000000,01300,0000,01300SOCIAL SERVICE 43918,A000000,01350,0000,01500ACTIVITIES 43918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43918,A000000,01600,0000,01600SKILLED NURSING FACILITY 43918,A000000,01800,0000,01800NURSING FACILITY 43918,A000000,01900,0000,01900OTHER LONG TERM CARE 43918,A000000,02100,0000,02100RADIOLOGY 43918,A000000,02200,0000,02200LABORATORY 43918,A000000,02300,0000,02300INTRAVENOUS THERAPY 43918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43918,A000000,02500,0000,02500PHYSICAL THERAPY 43918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43918,A000000,02700,0000,02700SPEECH PATHOLOGY 43918,A000000,02800,0000,02800ELECTROCARDIOLOGY 43918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43918,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43918,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43918,A000000,03200,0000,03200SUPPORT SURFACES 43918,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43918,A000000,04800,0000,04800AMBULANCE 43918,A000000,05300,0000,05300INTEREST EXPENSE 43918,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43918,A000000,06100,0000,06100NONPAID WORKERS 43918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43918,A000000,06200,0000,06200PATIENTS LAUNDRY 43918,A81000A,00100,0100,Y 43918,A81000B,00100,0300,HOME OFFICE COST 43918,A81000B,00200,0300,PURCH SERV PHARMACIST 43918,A81000B,00300,0300,IV COSTS 43918,A81000B,00400,0300,DRUGS 43918,A81000C,00100,0100,B 43918,A81000C,00100,0200,WHITEHALL MANOR 43918,A81000C,00100,0400,HCR MANORCARE INC. 43918,A81000C,00100,0600,LONG TERM CARE FACILITIES 43918,A81000C,00200,0100,B 43918,A81000C,00200,0200,WHITEHALL MANOR 43918,A81000C,00200,0400,HEARTLAND HEALTHCARE 43918,A81000C,00200,0600,PHARMACY 43918,A81000C,00300,0100,B 43918,A81000C,00300,0200,WHITEHALL MANOR 43918,A81000C,00300,0400,HEARTLAND HEALTHCARE 43918,A81000C,00300,0600,PHARMACY 43918,A81000C,00400,0100,B 43918,A81000C,00400,0200,WHITEHALL MANOR 43918,A81000C,00400,0400,HEARTLAND HEALTHCARE 43918,A81000C,00400,0600,PHARMACY 43918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43918,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43918,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43918,B100000,00000,0800,00000MEALS SERVED :DIETARY 43918,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43918,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43918,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43918,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43918,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43918,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43918,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43918,S000000,00100,0200,09/29/2000 43918,S200000,00100,0100,916 LEWIS ST 43918,S200000,00200,0100,WHITEHALL 43918,S200000,00200,0200,MI 43918,S200000,00200,0300,49461- 43918,S200000,00300,0100,MUSKEGON 43918,S200000,00400,0100,WHITEHALL MANOR 43918,S200000,00400,0200,235206 43918,S200000,00400,0300,10/01/1986 43918,S200000,00400,0500,P 43918,S200000,01600,0100,Y 43918,S200000,02200,0100,Y 43928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43928,A000000,00300,0000,00300EMPLOYEE BENEFITS 43928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43928,A000000,00700,0000,00700HOUSEKEEPING 43928,A000000,00800,0000,00800DIETARY 43928,A000000,00900,0000,00900NURSING ADMINISTRATION 43928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43928,A000000,01100,0000,01100PHARMACY 43928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43928,A000000,01300,0000,01300SOCIAL SERVICE 43928,A000000,01301,0000,01301SOCIAL SERVICE 43928,A000000,01350,0000,01500ACTIVITIES 43928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43928,A000000,01600,0000,01600SKILLED NURSING FACILITY 43928,A000000,01800,0000,01800NURSING FACILITY 43928,A000000,01900,0000,01900OTHER LONG TERM CARE 43928,A000000,02100,0000,02100RADIOLOGY 43928,A000000,02200,0000,02200LABORATORY 43928,A000000,02300,0000,02300INTRAVENOUS THERAPY 43928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43928,A000000,02500,0000,02500PHYSICAL THERAPY 43928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43928,A000000,02700,0000,02700SPEECH PATHOLOGY 43928,A000000,02800,0000,02800ELECTROCARDIOLOGY 43928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43928,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43928,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43928,A000000,03200,0000,03200SUPPORT SURFACES 43928,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43928,A000000,04800,0000,04800AMBULANCE 43928,A000000,05300,0000,05300INTEREST EXPENSE 43928,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43928,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43928,A000000,06100,0000,06100NONPAID WORKERS 43928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43928,A000000,06200,0000,06200PATIENTS LAUNDRY 43928,A81000A,00100,0100,Y 43928,A81000B,00100,0300,HOME OFFICE COST 43928,A81000B,00200,0300,PHYSICAL THERAPY 43928,A81000B,00300,0300,OCCUPATIONAL THERAPY 43928,A81000B,00400,0300,SPEECH THERAPY 43928,A81000B,00500,0300,IV THERAPY 43928,A81000B,00600,0300,DRUGS 43928,A81000B,00700,0300,P/S PHARMACIST 43928,A81000C,00100,0100,B 43928,A81000C,00100,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00100,0400,HCR MANORCARE INC. 43928,A81000C,00100,0600,LONG TERM CARE FACILITIES 43928,A81000C,00200,0100,B 43928,A81000C,00200,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00200,0400,HEARTLAND REHAB SVCS INC 43928,A81000C,00200,0600,THERAPY SERVICE PROVIDER 43928,A81000C,00300,0100,B 43928,A81000C,00300,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00300,0400,HEARTLAND REHAB SVCS INC 43928,A81000C,00300,0600,THERAPY SERVICE PROVIDER 43928,A81000C,00400,0100,B 43928,A81000C,00400,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00400,0400,HEARTLAND REHAB SVCS INC 43928,A81000C,00400,0600,THERAPY SERVICE PROVIDER 43928,A81000C,00500,0100,B 43928,A81000C,00500,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 43928,A81000C,00500,0600,PHARMACY 43928,A81000C,00600,0100,B 43928,A81000C,00600,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 43928,A81000C,00600,0600,PHARMACY 43928,A81000C,00700,0100,B 43928,A81000C,00700,0200,HHCC-GEORGIAN BLOOMFIELD 43928,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 43928,A81000C,00700,0600,PHARMACY 43928,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43928,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43928,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43928,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43928,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43928,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 43928,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43928,B100000,00000,0800,00000MEALS SERVED :DIETARY 43928,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43928,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43928,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43928,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43928,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43928,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICE 43928,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43928,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43928,S000000,00100,0200,05/31/2000 43928,S200000,00100,0100,2945 NORTH ADAMS RD. 43928,S200000,00200,0100,BLOOMFIELD HILLS 43928,S200000,00200,0200,MI 43928,S200000,00200,0300,48304- 43928,S200000,00300,0100,OAKLAND 43928,S200000,00400,0100,H.H.C.C.-GEORGIAN BLOOMFIELD 43928,S200000,00400,0200,235217 43928,S200000,00400,0300,01/01/1970 43928,S200000,00400,0500,P 43928,S200000,01600,0100,Y 43928,S200000,02200,0100,Y 43937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43937,A000000,00700,0000,00700HOUSEKEEPING 43937,A000000,00800,0000,00800DIETARY 43937,A000000,00900,0000,00900NURSING ADMINISTRATION 43937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43937,A000000,01300,0000,01300SOCIAL SERVICE 43937,A000000,01600,0000,01600SKILLED NURSING FACILITY 43937,A000000,01800,0000,01800NURSING FACILITY 43937,A000000,02100,0000,02100RADIOLOGY 43937,A000000,02200,0000,02200LABORATORY 43937,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43937,A000000,02500,0000,02500PHYSICAL THERAPY 43937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43937,A000000,02700,0000,02700SPEECH PATHOLOGY 43937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43937,A000000,03200,0000,03200SUPPORT SURFACES 43937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43937,A81000A,00100,0100,Y 43937,A81000B,00100,0300,CENTRAL OFFICE COSTS 43937,A81000B,00200,0300,CENTRAL OFFICE COSTS 43937,A81000B,00300,0300,CENTRAL OFFICE COSTS 43937,A81000B,00400,0300,CENTRAL OFFICE COSTS 43937,A81000B,00500,0300,CENTRAL OFFICE COSTS 43937,A81000B,00600,0300,CENTRAL OFFICE COSTS 43937,A81000B,00700,0300,CENTRAL OFFICE COSTS 43937,A81000B,00900,0300,OWLS DEPRECIATION 43937,A81000C,00100,0100,B 43937,A81000C,00100,0200,VARIOUS STOCKHO 43937,A81000C,00100,0400,TENDERCARE (MI) 43937,A81000C,00100,0600,HOME OFFICE 43937,A81000C,00300,0100,A 43937,A81000C,00300,0200,LOUIS B. LUKEND 43937,A81000C,00300,0400,OWLS ENTERPRISE 43937,A81000C,00300,0600,CONTRACTOR 43937,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43937,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43937,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43937,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43937,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43937,B100000,00000,0800,00000MEALS SERVED :DIETARY 43937,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43937,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43937,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43937,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43937,E10A180,00501,0300,06/05/2000 43937,E10A180,00550,0100,06/05/2000 43937,S000000,00100,0200,06/01/2000 43937,S200000,00100,0100,1215 N. TELEGRAPH ROAD 43937,S200000,00200,0100,MONROE 43937,S200000,00200,0200,MI 43937,S200000,00200,0300,48162- 43937,S200000,00300,0100,MONROE 43937,S200000,00400,0100,BEACH NURSING HOME 43937,S200000,00400,0200,235232 43937,S200000,00400,0300,01/01/1971 43937,S200000,00400,0500,P 43937,S200000,00600,0200,235232 43937,S200000,00600,0300,01/01/1971 43937,S200000,01600,0100,Y 43945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43945,A000000,00700,0000,00700HOUSEKEEPING 43945,A000000,00800,0000,00800DIETARY 43945,A000000,00900,0000,00900NURSING ADMINISTRATION 43945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43945,A000000,01300,0000,01300SOCIAL SERVICE 43945,A000000,01600,0000,01600SKILLED NURSING FACILITY 43945,A000000,01800,0000,01800NURSING FACILITY 43945,A000000,01900,0000,01900OTHER LONG TERM CARE 43945,A000000,02100,0000,02100RADIOLOGY 43945,A000000,02200,0000,02200LABORATORY 43945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43945,A000000,02500,0000,02500PHYSICAL THERAPY 43945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43945,A000000,02700,0000,02700SPEECH PATHOLOGY 43945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43945,A000000,03200,0000,03200SUPPORT SURFACES 43945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43945,A81000A,00100,0100,Y 43945,A81000B,00100,0300,CENTRAL OFFICE COSTS 43945,A81000B,00200,0300,CENTRAL OFFICE COSTS 43945,A81000B,00300,0300,CENTRAL OFFICE COSTS 43945,A81000B,00400,0300,CENTRAL OFFICE COST 43945,A81000B,00500,0300,CENTRAL OFFICE COST 43945,A81000B,00600,0300,CENTRAL OFFICE COST 43945,A81000B,00700,0300,CENTRAL OFFICE COST 43945,A81000C,00100,0100,B 43945,A81000C,00100,0200,VARIOUS STOCKHO 43945,A81000C,00100,0400,TENDERCARE (MI) 43945,A81000C,00100,0600,HOME OFFICE 43945,A81000C,00200,0100,A 43945,A81000C,00200,0200,LOUIS B LUKENDA 43945,A81000C,00200,0400,OWLS ENTERPRISE 43945,A81000C,00200,0600,CONTRACTOR 43945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43945,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43945,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43945,B100000,00000,0800,00000MEALS SERVED :DIETARY 43945,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43945,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43945,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43945,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43945,S000000,00100,0200,06/01/2000 43945,S200000,00100,0100,2950 LAFRANIER ROAD 43945,S200000,00200,0100,TRAVERSE CITY 43945,S200000,00200,0200,MI 43945,S200000,00200,0300,49684- 43945,S200000,00300,0100,GARFIELD 43945,S200000,00400,0100,BIRCHWOOD NURSING CENTER 43945,S200000,00400,0200,235243 43945,S200000,00400,0300,01/01/1982 43945,S200000,00400,0500,P 43945,S200000,00600,0200,235243 43945,S200000,00600,0300,01/01/1982 43945,S200000,01600,0100,Y 43945,S200000,04900,0100,Y 43945,S700003,00000,0100,1 43953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 43953,A000000,00300,0000,00300EMPLOYEE BENEFITS 43953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43953,A000000,00700,0000,00700HOUSEKEEPING 43953,A000000,00800,0000,00800DIETARY 43953,A000000,00900,0000,00900NURSING ADMINISTRATION 43953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43953,A000000,01100,0000,01100PHARMACY 43953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43953,A000000,01300,0000,01300SOCIAL SERVICE 43953,A000000,01350,0000,01500ACTIVITIES 43953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 43953,A000000,01600,0000,01600SKILLED NURSING FACILITY 43953,A000000,01800,0000,01800NURSING FACILITY 43953,A000000,01900,0000,01900OTHER LONG TERM CARE 43953,A000000,02100,0000,02100RADIOLOGY 43953,A000000,02200,0000,02200LABORATORY 43953,A000000,02300,0000,02300INTRAVENOUS THERAPY 43953,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43953,A000000,02500,0000,02500PHYSICAL THERAPY 43953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43953,A000000,02700,0000,02700SPEECH PATHOLOGY 43953,A000000,02800,0000,02800ELECTROCARDIOLOGY 43953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43953,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 43953,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 43953,A000000,03200,0000,03200SUPPORT SURFACES 43953,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 43953,A000000,04800,0000,04800AMBULANCE 43953,A000000,05300,0000,05300INTEREST EXPENSE 43953,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 43953,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 43953,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 43953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43953,A000000,06100,0000,06100NONPAID WORKERS 43953,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 43953,A000000,06200,0000,06200PATIENTS LAUNDRY 43953,A81000A,00100,0100,Y 43953,A81000B,00100,0300,HOME OFFICE COST 43953,A81000B,00200,0300,P/S PHARMACY 43953,A81000B,00300,0300,IV DRUGS/SUPPLIES 43953,A81000B,00400,0300,DRUGS 43953,A81000B,00500,0300,MANAGEMENT FEES 43953,A81000B,00600,0300,MANAGEMENT FEES 43953,A81000B,00700,0300,MANAGEMENT FEES 43953,A81000C,00100,0100,B 43953,A81000C,00100,0200,GREENVIEW MANOR 43953,A81000C,00100,0400,HCR MANORCARE INC. 43953,A81000C,00100,0600,LONG TERM CARE FACILITIES 43953,A81000C,00200,0100,B 43953,A81000C,00200,0200,GREENVIEW MANOR 43953,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 43953,A81000C,00200,0600,PHARMACY 43953,A81000C,00300,0100,B 43953,A81000C,00300,0200,GREENVIEW MANOR 43953,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 43953,A81000C,00300,0600,PHARMACY 43953,A81000C,00400,0100,B 43953,A81000C,00400,0200,GREENVIEW MANOR 43953,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 43953,A81000C,00400,0600,PHARMACY 43953,A81000C,00500,0100,B 43953,A81000C,00500,0200,GREENVIEW MANOR 43953,A81000C,00500,0400,HEARTLAND MGMT SERVICES 43953,A81000C,00500,0600,THERAPY MANAGEMENT 43953,A81000C,00600,0100,B 43953,A81000C,00600,0200,GREENVIEW MANOR 43953,A81000C,00600,0400,HEARTLAND MGMT SERVICES 43953,A81000C,00600,0600,THERAPY MANAGEMENT 43953,A81000C,00700,0100,B 43953,A81000C,00700,0200,GREENVIEW MANOR 43953,A81000C,00700,0400,HEARTLAND MGMT SERVICES 43953,A81000C,00700,0600,THERAPY MANAGEMENT 43953,A81000C,00800,0100,B 43953,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43953,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 43953,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 43953,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43953,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43953,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43953,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43953,B100000,00000,0800,00000MEALS SERVED :DIETARY 43953,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 43953,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 43953,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 43953,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43953,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43953,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 43953,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 43953,S000000,00100,0200,10/03/2000 43953,S200000,00100,0100,1708 LEONARD STREET NE 43953,S200000,00200,0100,GRAND RAPIDS 43953,S200000,00200,0200,MI 43953,S200000,00200,0300,49505- 43953,S200000,00300,0100,KENT 43953,S200000,00400,0100,GREENVIEW MANOR 43953,S200000,00400,0200,235261 43953,S200000,00400,0300,10/01/1975 43953,S200000,00400,0500,P 43953,S200000,00400,0600,P 43953,S200000,01004,0500,O 43953,S200000,01600,0100,Y 43953,S200000,02200,0100,Y 43953,S700003,00000,0100,1 43960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43960,A000000,00700,0000,00700HOUSEKEEPING 43960,A000000,00800,0000,00800DIETARY 43960,A000000,00900,0000,00900NURSING ADMINISTRATION 43960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43960,A000000,01300,0000,01300SOCIAL SERVICE 43960,A000000,01600,0000,01600SKILLED NURSING FACILITY 43960,A000000,01800,0000,01800NURSING FACILITY 43960,A000000,02100,0000,02100RADIOLOGY 43960,A000000,02200,0000,02200LABORATORY 43960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43960,A000000,02500,0000,02500PHYSICAL THERAPY 43960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43960,A000000,02700,0000,02700SPEECH PATHOLOGY 43960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43960,A81000A,00100,0100,Y 43960,A81000B,00100,0300,CENTRAL OFFICE COSTS 43960,A81000B,00200,0300,CENTRAL OFFICE COSTS 43960,A81000B,00300,0300,CENTRAL OFFICE COSTS 43960,A81000B,00400,0300,CENTRAL OFFICE COSTS 43960,A81000B,00500,0300,CENTRAL OFFICE COSTS 43960,A81000B,00600,0300,CENTRAL OFFICE COSTS 43960,A81000B,00700,0300,CENTRAL OFFICE COSTS 43960,A81000B,00800,0300,RELATED PARTY - DEPR 43960,A81000B,00900,0300,AGENCY NURSES 43960,A81000B,01000,0300,AGENCY NURSES 43960,A81000C,00100,0100,B 43960,A81000C,00100,0200,VAR. STOCKHOLDE 43960,A81000C,00100,0400,TENDERCARE (MI) 43960,A81000C,00100,0600,HOME OFFICE 43960,A81000C,00200,0100,A 43960,A81000C,00200,0200,LOUIS B LUKENDA 43960,A81000C,00200,0400,OWLS ENTERPRISE 43960,A81000C,00200,0600,CONTRACTOR 43960,A81000C,00300,0100,B 43960,A81000C,00300,0200,VAR STOCKHOLDER 43960,A81000C,00300,0400,TLC STAFFING 43960,A81000C,00300,0600,AGENCY NURSES 43960,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43960,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43960,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43960,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43960,B100000,00000,0800,00000MEALS SERVED :DIETARY 43960,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43960,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43960,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43960,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43960,E10A180,00550,0100,06/05/2000 43960,E10A180,00550,0300,06/05/2000 43960,S000000,00100,0200,06/01/2000 43960,S200000,00100,0100,15400 TRENTON ROAD 43960,S200000,00200,0100,SOUTHGATE 43960,S200000,00200,0200,MI 43960,S200000,00200,0300,48195- 43960,S200000,00300,0100,WAYNE 43960,S200000,00400,0100,TENDERCARE MANOR SOUTHGATE 43960,S200000,00400,0200,235266 43960,S200000,00400,0300,01/01/1967 43960,S200000,00400,0500,P 43960,S200000,00600,0200,235266 43960,S200000,00600,0300,01/01/1967 43960,S200000,00600,0600,P 43960,S200000,01600,0100,Y 43960,S700003,00000,0100,1 43969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43969,A000000,00700,0000,00700HOUSEKEEPING 43969,A000000,00800,0000,00800DIETARY 43969,A000000,00900,0000,00900NURSING ADMINISTRATION 43969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43969,A000000,01300,0000,01300SOCIAL SERVICE 43969,A000000,01600,0000,01600SKILLED NURSING FACILITY 43969,A000000,01800,0000,01800NURSING FACILITY 43969,A000000,02100,0000,02100RADIOLOGY 43969,A000000,02200,0000,02200LABORATORY 43969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43969,A000000,02500,0000,02500PHYSICAL THERAPY 43969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43969,A000000,02700,0000,02700SPEECH PATHOLOGY 43969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43969,A81000A,00100,0100,Y 43969,A81000B,00100,0300,CENTRAL OFFICE COSTS 43969,A81000B,00200,0300,CENTRAL OFFICE COSTS 43969,A81000B,00300,0300,CENTRAL OFFICE COSTS 43969,A81000B,00400,0300,CENTRAL OFFICE COSTS 43969,A81000B,00500,0300,CENTRAL OFFICE COSTS 43969,A81000B,00600,0300,CENTRAL OFFICE COSTS 43969,A81000B,00700,0300,CENTRAL OFFICE COSTS 43969,A81000C,00100,0100,A 43969,A81000C,00100,0200,VARIOUS STOCKHO 43969,A81000C,00100,0400,TENDERCARE (MI) 43969,A81000C,00100,0600,HOME OFFICE 43969,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43969,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43969,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43969,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43969,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43969,B100000,00000,0800,00000MEALS SERVED :DIETARY 43969,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43969,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43969,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43969,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43969,S000000,00100,0200,06/01/2000 43969,S200000,00100,0100,301 LONG RAPIDS ROAD 43969,S200000,00200,0100,ALPENA 43969,S200000,00200,0200,MI 43969,S200000,00200,0300,49707- 43969,S200000,00300,0100,ALPENA 43969,S200000,00400,0100,TENDERCARE ALPENA 43969,S200000,00400,0200,235280 43969,S200000,00400,0300,01/01/1982 43969,S200000,00400,0500,P 43969,S200000,00600,0200,235280 43969,S200000,00600,0300,01/01/1982 43969,S200000,00600,0600,P 43969,S200000,01600,0100,Y 43969,S700003,00000,0100,1 43979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43979,A000000,00700,0000,00700HOUSEKEEPING 43979,A000000,00800,0000,00800DIETARY 43979,A000000,00900,0000,00900NURSING ADMINISTRATION 43979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43979,A000000,01300,0000,01300SOCIAL SERVICE 43979,A000000,01600,0000,01600SKILLED NURSING FACILITY 43979,A000000,01800,0000,01800NURSING FACILITY 43979,A000000,02100,0000,02100RADIOLOGY 43979,A000000,02200,0000,02200LABORATORY 43979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43979,A000000,02500,0000,02500PHYSICAL THERAPY 43979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43979,A000000,02700,0000,02700SPEECH PATHOLOGY 43979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43979,A000000,03200,0000,03200SUPPORT SURFACES 43979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43979,A81000A,00100,0100,Y 43979,A81000B,00100,0300,CENTRAL OFFICE COSTS 43979,A81000B,00200,0300,CENTRAL OFFICE COSTS 43979,A81000B,00300,0300,CENTRAL OFFICE COSTS 43979,A81000B,00400,0300,CENTRAL OFFICE COSTS 43979,A81000B,00500,0300,CENTRAL OFFICE COSTS 43979,A81000B,00600,0300,CENTRAL OFFICE COSTS 43979,A81000B,00700,0300,CENTRAL OFFICE COSTS 43979,A81000C,00100,0100,B 43979,A81000C,00100,0200,VAR. STOCKHOLDE 43979,A81000C,00100,0400,TENDERCARE (MI) 43979,A81000C,00100,0600,HOME OFFICE 43979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43979,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43979,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43979,B100000,00000,0800,00000MEALS SERVED :DIETARY 43979,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43979,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43979,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43979,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43979,S000000,00100,0200,06/01/2000 43979,S200000,00100,0100,240 EAST NORTH STREET 43979,S200000,00200,0100,HASTINGS 43979,S200000,00200,0200,MI 43979,S200000,00200,0300,49058- 43979,S200000,00300,0100,BARRY 43979,S200000,00400,0100,TENDERCARE HASTINGS 43979,S200000,00400,0200,235281 43979,S200000,00400,0300,01/01/1982 43979,S200000,00400,0500,P 43979,S200000,00600,0200,235281 43979,S200000,00600,0300,01/01/1982 43979,S200000,01600,0100,Y 43979,S700003,00000,0100,1 43986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43986,A000000,00700,0000,00700HOUSEKEEPING 43986,A000000,00800,0000,00800DIETARY 43986,A000000,00900,0000,00900NURSING ADMINISTRATION 43986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43986,A000000,01300,0000,01300SOCIAL SERVICE 43986,A000000,01600,0000,01600SKILLED NURSING FACILITY 43986,A000000,01800,0000,01800NURSING FACILITY 43986,A000000,02100,0000,02100RADIOLOGY 43986,A000000,02200,0000,02200LABORATORY 43986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43986,A000000,02500,0000,02500PHYSICAL THERAPY 43986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43986,A000000,02700,0000,02700SPEECH PATHOLOGY 43986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43986,A81000A,00100,0100,Y 43986,A81000B,00100,0300,CENTRAL OFFICE COSTS 43986,A81000B,00200,0300,CENTRAL OFFICE COSTS 43986,A81000B,00300,0300,CENTRAL OFFICE COSTS 43986,A81000B,00400,0300,CENTRAL OFFICE COSTS 43986,A81000B,00500,0300,CENTRAL OFFICE COSTS 43986,A81000B,00600,0300,CENTRAL OFFICE COSTS 43986,A81000B,00700,0300,CENTRAL OFFICE COSTS 43986,A81000B,00900,0300,REL PARTY DEP-OWLS 43986,A81000C,00100,0100,B 43986,A81000C,00100,0200,VARIOUS STOCKHO 43986,A81000C,00100,0400,TENDERCARE (MI) 43986,A81000C,00100,0600,HOME OFFICE 43986,A81000C,00200,0100,A 43986,A81000C,00200,0200,LOUIS B LUKENDA 43986,A81000C,00200,0400,OWLS ENTERPRISE 43986,A81000C,00200,0600,CONTRACTOR 43986,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43986,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43986,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43986,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43986,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43986,B100000,00000,0800,00000MEALS SERVED :DIETARY 43986,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43986,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43986,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43986,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43986,E10A180,00501,0300,06/05/2000 43986,E10A180,00550,0100,06/05/2000 43986,S000000,00100,0200,06/01/2000 43986,S200000,00100,0100,1701 SOUTH ELEVENTH STREET 43986,S200000,00200,0100,KALAMAZOO 43986,S200000,00200,0200,MI 43986,S200000,00200,0300,49009- 43986,S200000,00300,0100,KALAMAZOO 43986,S200000,00300,0200,3720 43986,S200000,00300,0300,U 43986,S200000,00400,0100,TENDERCARE KALAMAZOO 43986,S200000,00400,0200,235282 43986,S200000,00400,0300,01/01/1982 43986,S200000,00400,0500,P 43986,S200000,00600,0200,235282 43986,S200000,00600,0300,01/01/1982 43986,S200000,00600,0600,P 43986,S200000,01600,0100,Y 43995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 43995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 43995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 43995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 43995,A000000,00700,0000,00700HOUSEKEEPING 43995,A000000,00800,0000,00800DIETARY 43995,A000000,00900,0000,00900NURSING ADMINISTRATION 43995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 43995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 43995,A000000,01300,0000,01300SOCIAL SERVICE 43995,A000000,01600,0000,01600SKILLED NURSING FACILITY 43995,A000000,01800,0000,01800NURSING FACILITY 43995,A000000,02100,0000,02100RADIOLOGY 43995,A000000,02200,0000,02200LABORATORY 43995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 43995,A000000,02500,0000,02500PHYSICAL THERAPY 43995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 43995,A000000,02700,0000,02700SPEECH PATHOLOGY 43995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 43995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 43995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 43995,A81000A,00100,0100,Y 43995,A81000B,00100,0300,CENTRAL OFFICE COSTS 43995,A81000B,00200,0300,CENTRAL OFFICE COSTS 43995,A81000B,00300,0300,CENTRAL OFFICE COSTS 43995,A81000B,00400,0300,CENTRAL OFFICE COSTS 43995,A81000B,00500,0300,CENTRAL OFFICE COSTS 43995,A81000B,00600,0300,CENTRAL OFFICE COSTS 43995,A81000B,00700,0300,CENTRAL OFFICE COSTS 43995,A81000B,00900,0300,REL PARTY DEP - OWLS 43995,A81000C,00100,0100,B 43995,A81000C,00100,0200,VARIOUS STOCKHO 43995,A81000C,00100,0400,TENDERCARE (MI) 43995,A81000C,00100,0600,HOME OFFICE 43995,A81000C,00200,0100,A 43995,A81000C,00200,0200,LOUIS B LUKENDA 43995,A81000C,00200,0400,OWLS ENTERPRISE 43995,A81000C,00200,0600,CONTRACTOR 43995,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 43995,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 43995,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 43995,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 43995,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 43995,B100000,00000,0800,00000MEALS SERVED :DIETARY 43995,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 43995,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 43995,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 43995,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 43995,E10A180,00550,0100,06/06/2000 43995,E10A180,00550,0300,06/06/2000 43995,S000000,00100,0200,06/01/2000 43995,S200000,00100,0100,4900 HEDGEWOOD DRIVE 43995,S200000,00200,0100,MIDLAND 43995,S200000,00200,0200,MI 43995,S200000,00200,0300,48640- 43995,S200000,00300,0100,MIDLAND 43995,S200000,00400,0100,TENDERCARE MIDLAND 43995,S200000,00400,0200,235284 43995,S200000,00400,0300,01/01/1982 43995,S200000,00400,0500,P 43995,S200000,00600,0200,235284 43995,S200000,00600,0300,01/01/1982 43995,S200000,00600,0600,P 43995,S200000,01600,0100,Y 44003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44003,A000000,00700,0000,00700HOUSEKEEPING 44003,A000000,00800,0000,00800DIETARY 44003,A000000,00900,0000,00900NURSING ADMINISTRATION 44003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44003,A000000,01300,0000,01300SOCIAL SERVICE 44003,A000000,01600,0000,01600SKILLED NURSING FACILITY 44003,A000000,01800,0000,01800NURSING FACILITY 44003,A000000,02100,0000,02100RADIOLOGY 44003,A000000,02200,0000,02200LABORATORY 44003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44003,A000000,02500,0000,02500PHYSICAL THERAPY 44003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44003,A000000,02700,0000,02700SPEECH PATHOLOGY 44003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44003,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44003,A81000A,00100,0100,Y 44003,A81000B,00100,0300,CENTRAL OFFICE COSTS 44003,A81000B,00200,0300,CENTRAL OFFICE COSTS 44003,A81000B,00300,0300,CENTRAL OFFICE COSTS 44003,A81000B,00400,0300,CENTRAL OFFICE COSTS 44003,A81000B,00500,0300,CENTRAL OFFICE COSTS 44003,A81000B,00600,0300,CENTRAL OFFICE COSTS 44003,A81000B,00700,0300,CENTRAL OFFICE COSTS 44003,A81000C,00100,0100,B 44003,A81000C,00100,0200,VARIOUS STOCKHO 44003,A81000C,00100,0400,TENDERCARE (MI) 44003,A81000C,00100,0600,HOME OFFICE 44003,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44003,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44003,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44003,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44003,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44003,B100000,00000,0800,00000MEALS SERVED :DIETARY 44003,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44003,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44003,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44003,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44003,E10A180,00550,0100,06/05/2000 44003,E10A180,00550,0300,06/05/2000 44003,S000000,00100,0200,06/01/2000 44003,S200000,00100,0100,731 STARKWEATHER DRIVE 44003,S200000,00200,0100,LANSING 44003,S200000,00200,0200,MI 44003,S200000,00200,0300,48917- 44003,S200000,00300,0100,EATON 44003,S200000,00400,0100,TENDERCARE WEST 44003,S200000,00400,0200,235285 44003,S200000,00400,0300,01/01/1982 44003,S200000,00400,0500,P 44003,S200000,00600,0200,235285 44003,S200000,00600,0300,01/01/1982 44003,S200000,00600,0600,P 44003,S200000,01600,0100,Y 44012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44012,A000000,00700,0000,00700HOUSEKEEPING 44012,A000000,00800,0000,00800DIETARY 44012,A000000,00900,0000,00900NURSING ADMINISTRATION 44012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44012,A000000,01300,0000,01300SOCIAL SERVICE 44012,A000000,01600,0000,01600SKILLED NURSING FACILITY 44012,A000000,01800,0000,01800NURSING FACILITY 44012,A000000,02100,0000,02100RADIOLOGY 44012,A000000,02200,0000,02200LABORATORY 44012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44012,A000000,02500,0000,02500PHYSICAL THERAPY 44012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44012,A000000,02700,0000,02700SPEECH PATHOLOGY 44012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44012,A81000A,00100,0100,Y 44012,A81000B,00100,0300,CENTRAL OFFICE COSTS 44012,A81000B,00200,0300,CENTRAL OFFICE COSTS 44012,A81000B,00300,0300,CENTRAL OFFICE COSTS 44012,A81000B,00400,0300,CENTRAL OFFICE COSTS 44012,A81000B,00500,0300,CENTRAL OFFICE COSTS 44012,A81000B,00600,0300,CENTRAL OFFICE COSTS 44012,A81000B,00700,0300,CENTRAL OFFICE COSTS 44012,A81000C,00100,0100,A 44012,A81000C,00100,0200,VARIOUS STOCKHO 44012,A81000C,00100,0400,TENDERCARE (MI) 44012,A81000C,00100,0600,HOME OFFICE 44012,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44012,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44012,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44012,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44012,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44012,B100000,00000,0800,00000MEALS SERVED :DIETARY 44012,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44012,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44012,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44012,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44012,E10A180,00550,0100,06/05/2000 44012,E10A180,00550,0300,06/05/2000 44012,S000000,00100,0200,06/01/2000 44012,S200000,00100,0100,4782 HOSPITAL DRIVE 44012,S200000,00200,0100,CASS CITY 44012,S200000,00200,0200,MI 44012,S200000,00200,0300,48726- 44012,S200000,00300,0100,TUSCOLA 44012,S200000,00400,0100,TENDERCARE CASS CITY 44012,S200000,00400,0200,235286 44012,S200000,00400,0300,01/01/1982 44012,S200000,00400,0500,P 44012,S200000,00600,0200,235286 44012,S200000,00600,0300,01/01/1982 44012,S200000,00600,0600,P 44012,S200000,01600,0100,Y 44020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44020,A000000,00300,0000,00300EMPLOYEE BENEFITS 44020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44020,A000000,00700,0000,00700HOUSEKEEPING 44020,A000000,00800,0000,00800DIETARY 44020,A000000,00900,0000,00900NURSING ADMINISTRATION 44020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44020,A000000,01100,0000,01100PHARMACY 44020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44020,A000000,01300,0000,01300SOCIAL SERVICE 44020,A000000,01350,0000,01500ACTIVITIES 44020,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44020,A000000,01600,0000,01600SKILLED NURSING FACILITY 44020,A000000,01800,0000,01800NURSING FACILITY 44020,A000000,01900,0000,01900OTHER LONG TERM CARE 44020,A000000,02100,0000,02100RADIOLOGY 44020,A000000,02200,0000,02200LABORATORY 44020,A000000,02300,0000,02300INTRAVENOUS THERAPY 44020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44020,A000000,02500,0000,02500PHYSICAL THERAPY 44020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44020,A000000,02700,0000,02700SPEECH PATHOLOGY 44020,A000000,02800,0000,02800ELECTROCARDIOLOGY 44020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44020,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44020,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44020,A000000,03200,0000,03200SUPPORT SURFACES 44020,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44020,A000000,04800,0000,04800AMBULANCE 44020,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44020,A000000,05300,0000,05300INTEREST EXPENSE 44020,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44020,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44020,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44020,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44020,A000000,06100,0000,06100NONPAID WORKERS 44020,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44020,A000000,06200,0000,06200PATIENTS LAUNDRY 44020,A81000A,00100,0100,Y 44020,A81000B,00100,0300,HOME OFFICE COST 44020,A81000B,00200,0300,PHYSICAL THERAPY 44020,A81000B,00300,0300,OCCUPATIONAL THERAPY 44020,A81000B,00400,0300,SPEECH THERAPY 44020,A81000B,00500,0300,PT MANAGEMENT FEES 44020,A81000B,00600,0300,OT MANAGEMENT FEES 44020,A81000B,00700,0300,ST MANAGEMENT FEES 44020,A81000B,00800,0300,IV THERAPY 44020,A81000B,00900,0300,DRUGS CHARGED TO PATIENTS 44020,A81000C,00100,0100,B 44020,A81000C,00100,0200,M&B DANTO HC CENTER 44020,A81000C,00100,0400,HCR MANORCARE INC. 44020,A81000C,00100,0600,LONG TERM CARE FACILITIES 44020,A81000C,00200,0100,B 44020,A81000C,00200,0200,HEARTLAND REHABILITATION 44020,A81000C,00200,0400,DIVERSIFIED REHAB 44020,A81000C,00200,0600,CONTRACT THERAPY SVCS 44020,A81000C,00300,0100,B 44020,A81000C,00300,0200,HEARTLAND REHABILITATION 44020,A81000C,00300,0400,HEARTLAND MGMT SERVICES 44020,A81000C,00300,0600,THERAPY MGMT SERVICES 44020,A81000C,00400,0100,B 44020,A81000C,00400,0200,HEALTH CARE & RETIREMENT 44020,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 44020,A81000C,00400,0600,PHARMACY PROVIDER 44020,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44020,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44020,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44020,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44020,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44020,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44020,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44020,B100000,00000,0800,00000MEALS SERVED :DIETARY 44020,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44020,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44020,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44020,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44020,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44020,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44020,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44020,S000000,00100,0200,05/31/2000 44020,S200000,00100,0100,6800 WEST MAPLE 44020,S200000,00200,0100,WEST BLOOMFIELD 44020,S200000,00200,0200,MI 44020,S200000,00200,0300,48322- 44020,S200000,00300,0100,WAYNE 44020,S200000,00400,0100,MARVIN & BETTY DANTO HC CENTER 44020,S200000,00400,0200,235288 44020,S200000,00400,0300,12/16/1996 44020,S200000,00400,0500,P 44020,S200000,00400,0600,P 44020,S200000,01004,0500,O 44020,S200000,01600,0100,Y 44020,S200000,02200,0100,Y 44029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44029,A000000,00700,0000,00700HOUSEKEEPING 44029,A000000,00800,0000,00800DIETARY 44029,A000000,00900,0000,00900NURSING ADMINISTRATION 44029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44029,A000000,01300,0000,01300SOCIAL SERVICE 44029,A000000,01600,0000,01600SKILLED NURSING FACILITY 44029,A000000,01800,0000,01800NURSING FACILITY 44029,A000000,02200,0000,02200LABORATORY 44029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44029,A000000,02500,0000,02500PHYSICAL THERAPY 44029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44029,A000000,02700,0000,02700SPEECH PATHOLOGY 44029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44029,A81000A,00100,0100,Y 44029,A81000B,00100,0300,CENTRAL OFFICE COSTS 44029,A81000B,00200,0300,CENTRAL OFFICE COSTS 44029,A81000B,00300,0300,CENTRAL OFFICE COSTS 44029,A81000B,00400,0300,CENTRAL OFFICE COSTS 44029,A81000B,00500,0300,CENTRAL OFFICE COSTS 44029,A81000B,00600,0300,CENTRAL OFFICE COSTS 44029,A81000B,00700,0300,CENTRAL OFFICE COSTS 44029,A81000B,00900,0300,REL PARTY DEP - OWLS 44029,A81000C,00100,0100,B 44029,A81000C,00100,0200,VARIOUS STOCKHO 44029,A81000C,00100,0400,TENDERCARE (MI) 44029,A81000C,00100,0600,HOME OFFICE 44029,A81000C,00200,0100,A 44029,A81000C,00200,0200,LOUIS B LUKENDA 44029,A81000C,00200,0400,OWLS ENTERPRISE 44029,A81000C,00200,0600,CONTRACTOR 44029,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44029,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44029,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44029,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44029,B100000,00000,0800,00000MEALS SERVED :DIETARY 44029,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44029,B100000,00000,1050,00000STATISTICS :CENTRAL SERVICES & SU 44029,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44029,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44029,E10A180,00550,0100,06/05/2000 44029,E10A180,00550,0300,06/05/2000 44029,S000000,00100,0200,06/01/2000 44029,S200000,00100,0100,1011 MERIDIAN AVENUE 44029,S200000,00200,0100,SAULT STE MARIE 44029,S200000,00200,0200,MI 44029,S200000,00200,0300,49783- 44029,S200000,00300,0100,CHIPPEWA 44029,S200000,00400,0100,TENDERCARE SAULT STE. MARIE 44029,S200000,00400,0200,235292 44029,S200000,00400,0300,01/01/1982 44029,S200000,00400,0500,P 44029,S200000,00600,0200,235292 44029,S200000,00600,0300,01/01/1982 44029,S200000,00600,0600,P 44029,S200000,01600,0100,Y 44038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44038,A000000,00700,0000,00700HOUSEKEEPING 44038,A000000,00800,0000,00800DIETARY 44038,A000000,00900,0000,00900NURSING ADMINISTRATION 44038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44038,A000000,01300,0000,01300SOCIAL SERVICE 44038,A000000,01600,0000,01600SKILLED NURSING FACILITY 44038,A000000,01800,0000,01800NURSING FACILITY 44038,A000000,02100,0000,02100RADIOLOGY 44038,A000000,02200,0000,02200LABORATORY 44038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44038,A000000,02500,0000,02500PHYSICAL THERAPY 44038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44038,A000000,02700,0000,02700SPEECH PATHOLOGY 44038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44038,A000000,03200,0000,03200SUPPORT SURFACES 44038,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44038,A81000A,00100,0100,Y 44038,A81000B,00100,0300,CENTRAL OFFICE COSTS 44038,A81000B,00200,0300,CENTRAL OFFICE COSTS 44038,A81000B,00300,0300,CENTRAL OFFICE COSTS 44038,A81000B,00400,0300,CENTRAL OFFICE COSTS 44038,A81000B,00500,0300,CENTRAL OFFICE COSTS 44038,A81000B,00600,0300,CENTRAL OFFICE COSTS 44038,A81000B,00700,0300,CENTRAL OFFICE COSTS 44038,A81000B,00900,0300,RELATED PARTY LESSOR 44038,A81000B,01000,0300,RELATED PARTY LESSOR 44038,A81000C,00100,0100,A 44038,A81000C,00100,0200,VARIOUS STOCKHO 44038,A81000C,00100,0400,TENDERCARE (MI) 44038,A81000C,00100,0600,HOME OFFICE 44038,A81000C,00200,0100,B 44038,A81000C,00200,0200,VARIOUS STOCKHO 44038,A81000C,00200,0400,TENDERCARE HOLD 44038,A81000C,00200,0600,LESSOR 44038,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44038,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44038,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44038,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44038,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44038,B100000,00000,0800,00000MEALS SERVED :DIETARY 44038,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44038,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44038,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44038,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44038,E10A180,00501,0300,06/06/2000 44038,E10A180,00550,0100,06/06/2000 44038,S000000,00100,0200,06/01/2000 44038,S200000,00100,0100,2106 NORTH CENTER ROAD 44038,S200000,00200,0100,SAGINAW 44038,S200000,00200,0200,MI 44038,S200000,00200,0300,48603- 44038,S200000,00300,0100,SAGINAW 44038,S200000,00400,0100,TENDERCARE SAGINAW 44038,S200000,00400,0200,235329 44038,S200000,00400,0300,01/01/1969 44038,S200000,00400,0500,P 44038,S200000,00600,0200,235329 44038,S200000,00600,0300,01/01/1969 44038,S200000,00600,0600,P 44038,S200000,01600,0100,Y 44046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44046,A000000,00700,0000,00700HOUSEKEEPING 44046,A000000,00800,0000,00800DIETARY 44046,A000000,00900,0000,00900NURSING ADMINISTRATION 44046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44046,A000000,01300,0000,01300SOCIAL SERVICE 44046,A000000,01600,0000,01600SKILLED NURSING FACILITY 44046,A000000,01800,0000,01800NURSING FACILITY 44046,A000000,02100,0000,02100RADIOLOGY 44046,A000000,02200,0000,02200LABORATORY 44046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44046,A000000,02500,0000,02500PHYSICAL THERAPY 44046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44046,A000000,02700,0000,02700SPEECH PATHOLOGY 44046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44046,A000000,03200,0000,03200SUPPORT SURFACES 44046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44046,A81000A,00100,0100,Y 44046,A81000B,00100,0300,CENTRAL OFFICE COSTS 44046,A81000B,00200,0300,CENTRAL OFFICE COSTS 44046,A81000B,00300,0300,CENTRAL OFFICE COSTS 44046,A81000B,00400,0300,CENTRAL OFFICE COSTS 44046,A81000B,00500,0300,CENTRAL OFFICE COSTS 44046,A81000B,00600,0300,CENTRAL OFFICE COSTS 44046,A81000B,00700,0300,CENTRAL OFFICE COSTS 44046,A81000B,00900,0300,REL PARTY DEP - OWLS 44046,A81000C,00100,0100,B 44046,A81000C,00100,0200,VARIOUS STOCKHO 44046,A81000C,00100,0400,TENDERCARE (MI) 44046,A81000C,00100,0600,HOME OFFICE 44046,A81000C,00200,0100,A 44046,A81000C,00200,0200,LOUIS B LUKENDA 44046,A81000C,00200,0400,OWLS ENTERPRISE 44046,A81000C,00200,0600,CONTRACTOR 44046,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44046,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44046,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44046,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44046,B100000,00000,0800,00000MEALS SERVED :DIETARY 44046,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44046,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44046,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44046,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44046,E10A180,00501,0300,06/06/2000 44046,E10A180,00550,0100,06/06/2000 44046,S000000,00100,0200,06/01/2000 44046,S200000,00100,0100,2585 LAFRANIER ROAD 44046,S200000,00200,0100,TRAVERSE CITY 44046,S200000,00200,0200,MI 44046,S200000,00200,0300,49686- 44046,S200000,00300,0100,GRAND TRAVERSE 44046,S200000,00400,0100,TENDERCARE TRAVERSE CITY 44046,S200000,00400,0200,235336 44046,S200000,00400,0300,01/01/1982 44046,S200000,00400,0500,P 44046,S200000,00600,0200,235336 44046,S200000,00600,0300,01/01/1982 44046,S200000,00600,0600,P 44046,S200000,01600,0100,Y 44046,S700003,00000,0100,1 44056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44056,A000000,00700,0000,00700HOUSEKEEPING 44056,A000000,00800,0000,00800DIETARY 44056,A000000,00900,0000,00900NURSING ADMINISTRATION 44056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44056,A000000,01300,0000,01300SOCIAL SERVICE 44056,A000000,01600,0000,01600SKILLED NURSING FACILITY 44056,A000000,01800,0000,01800NURSING FACILITY 44056,A000000,02100,0000,02100RADIOLOGY 44056,A000000,02200,0000,02200LABORATORY 44056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44056,A000000,02500,0000,02500PHYSICAL THERAPY 44056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44056,A000000,02700,0000,02700SPEECH PATHOLOGY 44056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44056,A000000,03200,0000,03200SUPPORT SURFACES 44056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44056,A81000A,00100,0100,Y 44056,A81000B,00100,0300,CENTRAL OFFICE COSTS 44056,A81000B,00200,0300,CENTRAL OFFICE COSTS 44056,A81000B,00300,0300,CENTRAL OFFICE COSTS 44056,A81000B,00400,0300,CENTRAL OFFICE COSTS 44056,A81000B,00500,0300,CENTRAL OFFICE COSTS 44056,A81000B,00600,0300,CENTRAL OFFICE COSTS 44056,A81000B,00700,0300,CENTRAL OFFICE COSTS 44056,A81000C,00100,0100,A 44056,A81000C,00100,0200,VARIOUS STOCKHO 44056,A81000C,00100,0400,TENDERCARE (MI) 44056,A81000C,00100,0600,HOME OFFICE 44056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44056,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44056,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44056,B100000,00000,0800,00000MEALS SERVED :DIETARY 44056,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44056,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44056,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44056,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44056,S000000,00100,0200,06/01/2000 44056,S200000,00100,0100,2100 EAST PROVINCIAL HOUSE DRIVE 44056,S200000,00200,0100,LANSING 44056,S200000,00200,0200,MI 44056,S200000,00200,0300,48910- 44056,S200000,00300,0100,INGHAM 44056,S200000,00400,0100,TENDERCARE SOUTH 44056,S200000,00400,0200,235342 44056,S200000,00400,0300,01/01/1982 44056,S200000,00400,0500,P 44056,S200000,00600,0200,235342 44056,S200000,00600,0300,01/01/1982 44056,S200000,00600,0600,P 44056,S200000,01600,0100,Y 44056,S700003,00000,0100,1 44063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44063,A000000,00700,0000,00700HOUSEKEEPING 44063,A000000,00800,0000,00800DIETARY 44063,A000000,00900,0000,00900NURSING ADMINISTRATION 44063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44063,A000000,01300,0000,01300SOCIAL SERVICE 44063,A000000,01600,0000,01600SKILLED NURSING FACILITY 44063,A000000,01800,0000,01800NURSING FACILITY 44063,A000000,02100,0000,02100RADIOLOGY 44063,A000000,02200,0000,02200LABORATORY 44063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44063,A000000,02500,0000,02500PHYSICAL THERAPY 44063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44063,A000000,02700,0000,02700SPEECH PATHOLOGY 44063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44063,A81000A,00100,0100,Y 44063,A81000B,00100,0300,CENTRAL OFFICE COSTS 44063,A81000B,00200,0300,CENTRAL OFFICE COSTS 44063,A81000B,00300,0300,CENTRAL OFFICE COSTS 44063,A81000B,00400,0300,CENTRAL OFFICE COSTS 44063,A81000B,00500,0300,CENTRAL OFFICE COSTS 44063,A81000B,00600,0300,CENTRAL OFFICE COSTS 44063,A81000B,00700,0300,CENTRAL OFFICE COSTS 44063,A81000C,00100,0100,B 44063,A81000C,00100,0200,VARIOUS STOCKHO 44063,A81000C,00100,0400,TENDERCARE (MI) 44063,A81000C,00100,0600,HOME OFFICE 44063,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44063,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44063,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44063,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44063,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44063,B100000,00000,0800,00000MEALS SERVED :DIETARY 44063,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44063,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44063,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44063,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44063,E10A180,00550,0100,06/05/2000 44063,E10A180,00550,0300,06/05/2000 44063,S000000,00100,0200,06/01/2000 44063,S200000,00100,0100,508 RANDOM LANE ROUTE 4 44063,S200000,00200,0100,GAYLORD 44063,S200000,00200,0200,MI 44063,S200000,00200,0300,49735- 44063,S200000,00300,0100,OTSEGO 44063,S200000,00400,0100,TENDERCARE GAYLORD 44063,S200000,00400,0200,235350 44063,S200000,00400,0300,01/01/1982 44063,S200000,00400,0500,P 44063,S200000,00600,0200,235350 44063,S200000,00600,0300,01/01/1982 44063,S200000,00600,0600,P 44063,S200000,01600,0100,Y 44072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44072,A000000,00300,0000,00300EMPLOYEE BENEFITS 44072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44072,A000000,00700,0000,00700HOUSEKEEPING 44072,A000000,00800,0000,00800DIETARY 44072,A000000,00900,0000,00900NURSING ADMINISTRATION 44072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44072,A000000,01100,0000,01100PHARMACY 44072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44072,A000000,01300,0000,01300SOCIAL SERVICE 44072,A000000,01350,0000,01500ACTIVITIES 44072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44072,A000000,01600,0000,01600SKILLED NURSING FACILITY 44072,A000000,01800,0000,01800NURSING FACILITY 44072,A000000,01900,0000,01900OTHER LONG TERM CARE 44072,A000000,02100,0000,02100RADIOLOGY 44072,A000000,02200,0000,02200LABORATORY 44072,A000000,02300,0000,02300INTRAVENOUS THERAPY 44072,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44072,A000000,02500,0000,02500PHYSICAL THERAPY 44072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44072,A000000,02700,0000,02700SPEECH PATHOLOGY 44072,A000000,02800,0000,02800ELECTROCARDIOLOGY 44072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44072,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44072,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44072,A000000,03200,0000,03200SUPPORT SURFACES 44072,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44072,A000000,04800,0000,04800AMBULANCE 44072,A000000,05300,0000,05300INTEREST EXPENSE 44072,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44072,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44072,A000000,06100,0000,06100NONPAID WORKERS 44072,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44072,A000000,06200,0000,06200PATIENTS LAUNDRY 44072,A81000A,00100,0100,Y 44072,A81000B,00100,0300,HOME OFFICE COST 44072,A81000B,00200,0300,PURCH SERV PHARMACIST 44072,A81000B,00300,0300,IV THERAPY 44072,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 44072,A81000B,00500,0300,PURCHASE SERVICE PT 44072,A81000B,00600,0300,PURCHASE SERVICE OT 44072,A81000B,00700,0300,PURCHASE SERVICE ST 44072,A81000C,00100,0100,B 44072,A81000C,00100,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00100,0400,HCR MANORCARE INC. 44072,A81000C,00100,0600,LONG TERM CARE FACILITIES 44072,A81000C,00200,0100,B 44072,A81000C,00200,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00200,0400,HEARTLAND HEALTHCARE SVC 44072,A81000C,00200,0600,PHARMACY 44072,A81000C,00300,0100,B 44072,A81000C,00300,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00300,0400,HEARTLAND HEALTHCARE SVC 44072,A81000C,00300,0600,PHARMACY 44072,A81000C,00400,0100,B 44072,A81000C,00400,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00400,0400,HEARTLAND HEALTHCARE SVC 44072,A81000C,00400,0600,PHARMACY 44072,A81000C,00500,0100,B 44072,A81000C,00500,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00500,0400,HEARTLAND REHAB 44072,A81000C,00500,0600,PURCHASE SERVICE PT 44072,A81000C,00600,0100,B 44072,A81000C,00600,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00600,0400,HEARTLAND REHAB 44072,A81000C,00600,0600,PURCHASE SERVICE OT 44072,A81000C,00700,0100,B 44072,A81000C,00700,0200,HEARTLAND OF PLYMOUTH CT 44072,A81000C,00700,0400,HEARTLAND REHAB 44072,A81000C,00700,0600,PURCHASE SERVICE ST 44072,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44072,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44072,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44072,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44072,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44072,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44072,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44072,B100000,00000,0800,00000MEALS SERVED :DIETARY 44072,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44072,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44072,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44072,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44072,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44072,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44072,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44072,S000000,00100,0200,05/31/2000 44072,S200000,00100,0100,105 HAGGERTY ROAD 44072,S200000,00200,0100,PLYMOUTH 44072,S200000,00200,0200,MI 44072,S200000,00200,0300,48170- 44072,S200000,00300,0100,WAYNE 44072,S200000,00400,0100,HEARTLAND OF PLYMOUTH COURT 44072,S200000,00400,0200,235351 44072,S200000,00400,0300,05/01/1986 44072,S200000,00400,0500,P 44072,S200000,00400,0600,P 44072,S200000,01004,0500,O 44072,S200000,01600,0100,Y 44072,S200000,02200,0100,Y 44080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44080,A000000,00700,0000,00700HOUSEKEEPING 44080,A000000,00800,0000,00800DIETARY 44080,A000000,00900,0000,00900NURSING ADMINISTRATION 44080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44080,A000000,01300,0000,01300SOCIAL SERVICE 44080,A000000,01600,0000,01600SKILLED NURSING FACILITY 44080,A000000,01800,0000,01800NURSING FACILITY 44080,A000000,02100,0000,02100RADIOLOGY 44080,A000000,02200,0000,02200LABORATORY 44080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44080,A000000,02500,0000,02500PHYSICAL THERAPY 44080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44080,A000000,02700,0000,02700SPEECH PATHOLOGY 44080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44080,A81000A,00100,0100,Y 44080,A81000B,00100,0300,CENTRAL OFFICE COSTS 44080,A81000B,00200,0300,CENTRAL OFFICE COSTS 44080,A81000B,00300,0300,CENTRAL OFFICE COSTS 44080,A81000B,00400,0300,CENTRAL OFFICE COSTS 44080,A81000B,00500,0300,CENTRAL OFFICE COSTS 44080,A81000B,00600,0300,CENTRAL OFFICE COSTS 44080,A81000B,00700,0300,CENTRAL OFFICE COSTS 44080,A81000C,00100,0100,B 44080,A81000C,00100,0200,VAR. STOCKHOLDE 44080,A81000C,00100,0400,TENDERCARE (MI) 44080,A81000C,00100,0600,HOME OFFICE 44080,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44080,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44080,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44080,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44080,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44080,B100000,00000,0800,00000MEALS SERVED :DIETARY 44080,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44080,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44080,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44080,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44080,E10A180,00550,0100,06/05/2000 44080,E10A180,00550,0300,06/05/2000 44080,S000000,00100,0200,06/01/2000 44080,S200000,00100,0100,1000 EAST TINKHAM AVENUE 44080,S200000,00200,0100,LUDINGTON 44080,S200000,00200,0200,MI 44080,S200000,00200,0300,49431- 44080,S200000,00300,0100,MASON 44080,S200000,00300,0200,23 44080,S200000,00300,0300,R 44080,S200000,00400,0100,BAYWOOD NURSING HOME 44080,S200000,00400,0200,235358 44080,S200000,00400,0300,01/01/1969 44080,S200000,00400,0500,P 44080,S200000,00600,0200,235358 44080,S200000,00600,0300,01/01/1969 44080,S200000,00600,0600,P 44080,S200000,01600,0100,Y 44088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44088,A000000,00300,0000,00300EMPLOYEE BENEFITS 44088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44088,A000000,00700,0000,00700HOUSEKEEPING 44088,A000000,00800,0000,00800DIETARY 44088,A000000,00900,0000,00900NURSING ADMINISTRATION 44088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44088,A000000,01100,0000,01100PHARMACY 44088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44088,A000000,01300,0000,01300SOCIAL SERVICE 44088,A000000,01350,0000,01500ACTIVITIES 44088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44088,A000000,01600,0000,01600SKILLED NURSING FACILITY 44088,A000000,01800,0000,01800NURSING FACILITY 44088,A000000,01900,0000,01900OTHER LONG TERM CARE 44088,A000000,02100,0000,02100RADIOLOGY 44088,A000000,02200,0000,02200LABORATORY 44088,A000000,02300,0000,02300INTRAVENOUS THERAPY 44088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44088,A000000,02500,0000,02500PHYSICAL THERAPY 44088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44088,A000000,02700,0000,02700SPEECH PATHOLOGY 44088,A000000,02800,0000,02800ELECTROCARDIOLOGY 44088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44088,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44088,A000000,03200,0000,03200SUPPORT SURFACES 44088,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44088,A000000,04800,0000,04800AMBULANCE 44088,A000000,05300,0000,05300INTEREST EXPENSE 44088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44088,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44088,A000000,06100,0000,06100NONPAID WORKERS 44088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44088,A000000,06200,0000,06200PATIENTS LAUNDRY 44088,A81000A,00100,0100,Y 44088,A81000B,00100,0300,HOME OFFICE COST 44088,A81000B,00200,0300,THERAPY PT 44088,A81000B,00300,0300,THERAPY OT 44088,A81000B,00400,0300,THERAPY ST 44088,A81000B,00500,0300,THERAPY IV 44088,A81000B,00600,0300,DRUGS 44088,A81000B,00700,0300,THERAPY MGT SERV PT 44088,A81000B,00800,0300,THERAPY MGT SERV OT 44088,A81000B,00900,0300,THERAPY MGT SERV ST 44088,A81000C,00100,0100,B 44088,A81000C,00100,0200,HHCC DORVIN 44088,A81000C,00100,0400,HCR MANORCARE INC. 44088,A81000C,00100,0600,LONG TERM CARE FACILITIES 44088,A81000C,00200,0100,B 44088,A81000C,00200,0200,HHCC DORVIN 44088,A81000C,00200,0400,HEARTLAND REHAB SERVICES 44088,A81000C,00200,0600,THERAPY SERVICES 44088,A81000C,00300,0100,B 44088,A81000C,00300,0200,HHCC DORVIN 44088,A81000C,00300,0400,HEARTLAND REHAB SERVICES 44088,A81000C,00300,0600,THERAPY SERVICES 44088,A81000C,00400,0100,B 44088,A81000C,00400,0200,HHCC DORVIN 44088,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 44088,A81000C,00400,0600,PHARMACY 44088,A81000C,00500,0100,B 44088,A81000C,00500,0200,HHCC DORVIN 44088,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 44088,A81000C,00500,0600,PHARMACY 44088,A81000C,00600,0100,B 44088,A81000C,00600,0200,HHCC DORVIN 44088,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 44088,A81000C,00600,0600,THERAPY MGT. SERV 44088,A81000C,00700,0100,B 44088,A81000C,00700,0200,HHCC DORVIN 44088,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 44088,A81000C,00700,0600,THERAPY MGT SERV 44088,A81000C,00800,0100,B 44088,A81000C,00800,0200,HHCC DORVIN 44088,A81000C,00800,0400,HEARTLAND MANAGEMENT SERV 44088,A81000C,00800,0600,THERAPY MGT SERV 44088,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44088,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44088,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44088,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44088,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44088,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44088,B100000,00000,0800,00000MEALS SERVED :DIETARY 44088,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44088,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44088,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44088,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44088,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44088,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44088,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44088,S000000,00100,0200,05/31/2000 44088,S200000,00100,0100,29270 MORLOCK STREET 44088,S200000,00200,0100,LIVONIA 44088,S200000,00200,0200,MI 44088,S200000,00200,0300,48152- 44088,S200000,00300,0100,WAYNE 44088,S200000,00400,0100,HHCC DORVIN 44088,S200000,00400,0200,235365 44088,S200000,00400,0300,01/01/1980 44088,S200000,00400,0500,P 44088,S200000,00400,0600,P 44088,S200000,01004,0500,O 44088,S200000,01600,0100,Y 44088,S200000,02200,0100,Y 44097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44097,A000000,00700,0000,00700HOUSEKEEPING 44097,A000000,00800,0000,00800DIETARY 44097,A000000,00900,0000,00900NURSING ADMINISTRATION 44097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44097,A000000,01300,0000,01300SOCIAL SERVICE 44097,A000000,01600,0000,01600SKILLED NURSING FACILITY 44097,A000000,01800,0000,01800NURSING FACILITY 44097,A000000,02100,0000,02100RADIOLOGY 44097,A000000,02200,0000,02200LABORATORY 44097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44097,A000000,02500,0000,02500PHYSICAL THERAPY 44097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44097,A000000,02700,0000,02700SPEECH PATHOLOGY 44097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44097,A81000A,00100,0100,Y 44097,A81000B,00100,0300,CENTRAL OFFICE COSTS 44097,A81000B,00200,0300,CENTRAL OFFICE COSTS 44097,A81000B,00300,0300,CENTRAL OFFICE COSTS 44097,A81000B,00400,0300,CENTRAL OFFICE COSTS 44097,A81000B,00500,0300,CENTRAL OFFICE COSTS 44097,A81000B,00600,0300,CENTRAL OFFICE COSTS 44097,A81000B,00700,0300,CENTRAL OFFICE COSTS 44097,A81000B,00900,0300,REL PARTY DEP - OWLS 44097,A81000C,00100,0100,B 44097,A81000C,00100,0200,VARIOUS STOCKHO 44097,A81000C,00100,0400,TENDERCARE (MI) 44097,A81000C,00100,0600,HOME OFFICE 44097,A81000C,00200,0100,A 44097,A81000C,00200,0200,LOUIS B LUKENDA 44097,A81000C,00200,0400,OWLS ENTERPRISE 44097,A81000C,00200,0600,CONTRACTOR 44097,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44097,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44097,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44097,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44097,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44097,B100000,00000,0800,00000MEALS SERVED :DIETARY 44097,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44097,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44097,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44097,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44097,S000000,00100,0200,06/01/2000 44097,S200000,00100,0100,400 WEST NORTH STREET 44097,S200000,00200,0100,TAWAS CITY 44097,S200000,00200,0200,MI 44097,S200000,00200,0300,48763- 44097,S200000,00300,0100,IOSCO 44097,S200000,00400,0100,TENDERCARE TAWAS CITY 44097,S200000,00400,0200,235379 44097,S200000,00400,0300,01/01/1982 44097,S200000,00400,0500,P 44097,S200000,00600,0200,235379 44097,S200000,00600,0300,01/01/1982 44097,S200000,00600,0600,P 44097,S200000,01600,0100,Y 44097,S700003,00000,0100,1 44106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44106,A000000,00300,0000,00300EMPLOYEE BENEFITS 44106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44106,A000000,00700,0000,00700HOUSEKEEPING 44106,A000000,00800,0000,00800DIETARY 44106,A000000,00900,0000,00900NURSING ADMINISTRATION 44106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44106,A000000,01100,0000,01100PHARMACY 44106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44106,A000000,01300,0000,01300SOCIAL SERVICE 44106,A000000,01350,0000,01500ACTIVITIES 44106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44106,A000000,01600,0000,01600SKILLED NURSING FACILITY 44106,A000000,01800,0000,01800NURSING FACILITY 44106,A000000,01900,0000,01900OTHER LONG TERM CARE 44106,A000000,02100,0000,02100RADIOLOGY 44106,A000000,02200,0000,02200LABORATORY 44106,A000000,02300,0000,02300INTRAVENOUS THERAPY 44106,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44106,A000000,02500,0000,02500PHYSICAL THERAPY 44106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44106,A000000,02700,0000,02700SPEECH PATHOLOGY 44106,A000000,02800,0000,02800ELECTROCARDIOLOGY 44106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44106,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44106,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44106,A000000,03200,0000,03200SUPPORT SURFACES 44106,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44106,A000000,04800,0000,04800AMBULANCE 44106,A000000,05300,0000,05300INTEREST EXPENSE 44106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44106,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44106,A000000,06100,0000,06100NONPAID WORKERS 44106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44106,A000000,06200,0000,06200PATIENTS LAUNDRY 44106,A81000A,00100,0100,Y 44106,A81000B,00100,0300,HOME OFFICE COST 44106,A81000B,00200,0300,IV COSTS 44106,A81000B,00300,0300,DRUG COSTS 44106,A81000B,00400,0300,PURCH SERV PHARMACIST 44106,A81000B,00500,0300,PHYSICAL THERAPY 44106,A81000B,00600,0300,OCCUPATIONAL THERAPY 44106,A81000B,00700,0300,SPEECH THERAPY 44106,A81000C,00100,0100,B 44106,A81000C,00100,0200,THREE RIVERS MANOR 44106,A81000C,00100,0400,HCR MANORCARE INC. 44106,A81000C,00100,0600,LONG TERM CARE FACILITIES 44106,A81000C,00200,0100,B 44106,A81000C,00200,0200,HEALTH CARE & RETIREMENT 44106,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00200,0600,PHARMACY 44106,A81000C,00300,0100,B 44106,A81000C,00300,0200,HEALTH CARE & RETIREMENT 44106,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00300,0600,PHARMACY 44106,A81000C,00400,0100,B 44106,A81000C,00400,0200,HEALTH CARE & RETIREMENT 44106,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00400,0600,PHARMACY 44106,A81000C,00500,0100,B 44106,A81000C,00500,0200,HEALTH CARE & REIREMENT 44106,A81000C,00500,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00500,0600,THERAPY MANAGEMENT 44106,A81000C,00600,0100,B 44106,A81000C,00600,0200,HEALTHCARE & RETIREMENT 44106,A81000C,00600,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00600,0600,THERAPY MANAGEMENT 44106,A81000C,00700,0100,B 44106,A81000C,00700,0200,HEALTHCARE & RETIREMENT 44106,A81000C,00700,0400,HEARTLAND HEALTHCARE SVCS 44106,A81000C,00700,0600,THERAPY MANAGEMENT 44106,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44106,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44106,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44106,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44106,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44106,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44106,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44106,B100000,00000,0800,00000MEALS SERVED :DIETARY 44106,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44106,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44106,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44106,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44106,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44106,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44106,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44106,S000000,00100,0200,10/03/2000 44106,S200000,00100,0100,517 ERIE STREET 44106,S200000,00200,0100,THREE RIVERS 44106,S200000,00200,0200,MI 44106,S200000,00200,0300,49093- 44106,S200000,00300,0100,ST. JOSEPH 44106,S200000,00400,0100,THREE RIVERS MANOR 44106,S200000,00400,0200,235395 44106,S200000,00400,0300,01/21/1979 44106,S200000,00400,0500,P 44106,S200000,00400,0600,P 44106,S200000,01004,0500,O 44106,S200000,01600,0100,Y 44114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44114,A000000,00700,0000,00700HOUSEKEEPING 44114,A000000,00800,0000,00800DIETARY 44114,A000000,00900,0000,00900NURSING ADMINISTRATION 44114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44114,A000000,01300,0000,01300SOCIAL SERVICE 44114,A000000,01600,0000,01600SKILLED NURSING FACILITY 44114,A000000,01800,0000,01800NURSING FACILITY 44114,A000000,02100,0000,02100RADIOLOGY 44114,A000000,02200,0000,02200LABORATORY 44114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44114,A000000,02500,0000,02500PHYSICAL THERAPY 44114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44114,A000000,02700,0000,02700SPEECH PATHOLOGY 44114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44114,A000000,03200,0000,03200SUPPORT SURFACES 44114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44114,A81000A,00100,0100,Y 44114,A81000B,00100,0300,CENTRAL OFFICE COSTS 44114,A81000B,00200,0300,CENTRAL OFFICE COSTS 44114,A81000B,00300,0300,CENTRAL OFFICE COSTS 44114,A81000B,00400,0300,CENTRAL OFFICE COSTS 44114,A81000B,00500,0300,CENTRAL OFFICE COSTS 44114,A81000B,00600,0300,CENTRAL OFFICE COSTS 44114,A81000B,00700,0300,CENTRAL OFFICE COSTS 44114,A81000C,00100,0100,A 44114,A81000C,00100,0200,VAR STOCKHOLDER 44114,A81000C,00100,0400,TENDERCARE (MI) 44114,A81000C,00100,0600,HOME OFFICE 44114,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44114,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44114,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44114,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44114,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44114,B100000,00000,0800,00000MEALS SERVED :DIETARY 44114,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44114,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44114,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44114,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44114,S000000,00100,0200,06/01/2000 44114,S200000,00100,0100,7855 CURRIER DRIVE 44114,S200000,00200,0100,PORTAGE 44114,S200000,00200,0200,MI 44114,S200000,00200,0300,49002- 44114,S200000,00300,0100,KALAMAZOO 44114,S200000,00400,0100,TENDERCARE PORTAGE 44114,S200000,00400,0200,235399 44114,S200000,00400,0300,01/01/1982 44114,S200000,00400,0500,P 44114,S200000,00600,0200,235399 44114,S200000,00600,0300,01/01/1982 44114,S200000,01600,0100,Y 44114,S700003,00000,0100,1 44121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44121,A000000,00700,0000,00700HOUSEKEEPING 44121,A000000,00800,0000,00800DIETARY 44121,A000000,00900,0000,00900NURSING ADMINISTRATION 44121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44121,A000000,01300,0000,01300SOCIAL SERVICE 44121,A000000,01600,0000,01600SKILLED NURSING FACILITY 44121,A000000,01800,0000,01800NURSING FACILITY 44121,A000000,02100,0000,02100RADIOLOGY 44121,A000000,02200,0000,02200LABORATORY 44121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44121,A000000,02500,0000,02500PHYSICAL THERAPY 44121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44121,A000000,02700,0000,02700SPEECH PATHOLOGY 44121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44121,A81000A,00100,0100,Y 44121,A81000B,00100,0300,CENTRAL OFFICE COSTS 44121,A81000B,00200,0300,CENTRAL OFFICE COSTS 44121,A81000B,00300,0300,CENTRAL OFFICE COSTS 44121,A81000B,00400,0300,CENTRAL OFFICE COSTS 44121,A81000B,00500,0300,CENTRAL OFFICE COSTS 44121,A81000B,00600,0300,CENTRAL OFFICE COSTS 44121,A81000B,00700,0300,CENTRAL OFFICE COSTS 44121,A81000B,00900,0300,TENDERCARE HOLDINGS 44121,A81000B,01000,0300,LIMITED PARTNERSHIP 44121,A81000C,00100,0100,A 44121,A81000C,00100,0200,VARIOUS STOCKHO 44121,A81000C,00100,0400,TENDERCARE (MI) 44121,A81000C,00100,0600,HOME OFFICE 44121,A81000C,00300,0100,B 44121,A81000C,00300,0200,VARIOUS STOCKHO 44121,A81000C,00300,0400,TENDERCARE HOLD 44121,A81000C,00300,0600,LESSOR 44121,A81000C,00400,0400,LIMITED PARTNER 44121,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44121,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44121,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44121,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44121,B100000,00000,0800,00000MEALS SERVED :DIETARY 44121,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44121,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44121,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44121,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44121,E10A180,00550,0100,06/05/2000 44121,E10A180,00550,0300,06/05/2000 44121,S000000,00100,0200,06/01/2000 44121,S200000,00100,0100,300 WEST CITY PARK AVENUE 44121,S200000,00200,0100,MUNISING 44121,S200000,00200,0200,MI 44121,S200000,00200,0300,49862- 44121,S200000,00300,0100,ALGER 44121,S200000,00400,0100,TENDERCARE HEALTH CARE CTR MUNISING 44121,S200000,00400,0200,235410 44121,S200000,00400,0300,11/15/1996 44121,S200000,00400,0500,P 44121,S200000,00600,0200,235410 44121,S200000,00600,0300,11/15/1996 44121,S200000,00600,0600,P 44121,S200000,01600,0100,Y 44131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44131,A000000,00300,0000,00300EMPLOYEE BENEFITS 44131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44131,A000000,00700,0000,00700HOUSEKEEPING 44131,A000000,00800,0000,00800DIETARY 44131,A000000,00900,0000,00900NURSING ADMINISTRATION 44131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44131,A000000,01100,0000,01100PHARMACY 44131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44131,A000000,01300,0000,01300SOCIAL SERVICE 44131,A000000,01350,0000,01500ACTIVITIES 44131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44131,A000000,01600,0000,01600SKILLED NURSING FACILITY 44131,A000000,01800,0000,01800NURSING FACILITY 44131,A000000,01900,0000,01900OTHER LONG TERM CARE 44131,A000000,02100,0000,02100RADIOLOGY 44131,A000000,02200,0000,02200LABORATORY 44131,A000000,02300,0000,02300INTRAVENOUS THERAPY 44131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44131,A000000,02500,0000,02500PHYSICAL THERAPY 44131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44131,A000000,02700,0000,02700SPEECH PATHOLOGY 44131,A000000,02800,0000,02800ELECTROCARDIOLOGY 44131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44131,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44131,A000000,03200,0000,03200SUPPORT SURFACES 44131,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44131,A000000,04800,0000,04800AMBULANCE 44131,A000000,05300,0000,05300INTEREST EXPENSE 44131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44131,A000000,06100,0000,06100NONPAID WORKERS 44131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44131,A000000,06200,0000,06200PATIENTS LAUNDRY 44131,A81000A,00100,0100,Y 44131,A81000B,00100,0300,HOME OFFICE COST 44131,A81000B,00200,0300,IV COSTS 44131,A81000B,00300,0300,DRUGS 44131,A81000B,00400,0300,PT ADMIN FEES 44131,A81000B,00500,0300,OT ADMIN FEES 44131,A81000B,00600,0300,ST ADMIN FEES 44131,A81000C,00100,0100,B 44131,A81000C,00100,0200,HAMPTON MANOR 44131,A81000C,00100,0400,HCR MANORCARE INC. 44131,A81000C,00100,0600,LONG TERM CARE FACILITIES 44131,A81000C,00200,0100,B 44131,A81000C,00200,0200,HAMPTON MANOR 44131,A81000C,00200,0400,HEARTLAND HEALTHCARE 44131,A81000C,00200,0600,PHARMACY 44131,A81000C,00300,0100,B 44131,A81000C,00300,0200,HAMPTON MANOR 44131,A81000C,00300,0400,HEARTLAND HEALTHCARE 44131,A81000C,00300,0600,PHARMACY 44131,A81000C,00400,0100,B 44131,A81000C,00400,0200,HAMPTON MANOR 44131,A81000C,00400,0400,HEARTLAND MANAGEMENT SVC 44131,A81000C,00400,0600,THERAPY MANAGEMENT 44131,A81000C,00500,0100,B 44131,A81000C,00500,0200,HAMPTON MANOR 44131,A81000C,00500,0400,HEARTLAND MANAGEMENT SVC 44131,A81000C,00500,0600,THERAPY MANAGEMENT 44131,A81000C,00600,0100,B 44131,A81000C,00600,0200,HAMPTON MANOR 44131,A81000C,00600,0400,HEARTLAND MANAGEMENT SVC 44131,A81000C,00600,0600,THERAPY MANAGEMENT 44131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44131,B100000,00000,0800,00000MEALS SERVED :DIETARY 44131,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44131,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44131,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44131,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44131,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44131,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44131,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44131,S000000,00100,0200,09/29/2000 44131,S200000,00100,0100,800 MULLHOLLAND STREET 44131,S200000,00200,0100,BAY CITY 44131,S200000,00200,0200,MI 44131,S200000,00200,0300,48708- 44131,S200000,00300,0100,BAY 44131,S200000,00400,0100,HAMPTON MANOR 44131,S200000,00400,0200,235411 44131,S200000,00400,0300,07/01/1981 44131,S200000,00400,0500,P 44131,S200000,01500,0100,Y 44131,S200000,02200,0100,Y 44140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44140,A000000,00300,0000,00300EMPLOYEE BENEFITS 44140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44140,A000000,00700,0000,00700HOUSEKEEPING 44140,A000000,00800,0000,00800DIETARY 44140,A000000,00900,0000,00900NURSING ADMINISTRATION 44140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44140,A000000,01100,0000,01100PHARMACY 44140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44140,A000000,01300,0000,01300SOCIAL SERVICE 44140,A000000,01350,0000,01500ACTIVITIES 44140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44140,A000000,01600,0000,01600SKILLED NURSING FACILITY 44140,A000000,01800,0000,01800NURSING FACILITY 44140,A000000,01900,0000,01900OTHER LONG TERM CARE 44140,A000000,02100,0000,02100RADIOLOGY 44140,A000000,02200,0000,02200LABORATORY 44140,A000000,02300,0000,02300INTRAVENOUS THERAPY 44140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44140,A000000,02500,0000,02500PHYSICAL THERAPY 44140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44140,A000000,02700,0000,02700SPEECH PATHOLOGY 44140,A000000,02800,0000,02800ELECTROCARDIOLOGY 44140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44140,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44140,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44140,A000000,03200,0000,03200SUPPORT SURFACES 44140,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44140,A000000,04800,0000,04800AMBULANCE 44140,A000000,05300,0000,05300INTEREST EXPENSE 44140,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44140,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44140,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44140,A000000,06100,0000,06100NONPAID WORKERS 44140,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44140,A000000,06200,0000,06200PATIENTS LAUNDRY 44140,A81000A,00100,0100,Y 44140,A81000B,00100,0300,HOME OFFICE COST 44140,A81000B,00200,0300,PURCH SERVICE PHARMACY 44140,A81000B,00300,0300,INTRAVENOUS THERAPY 44140,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 44140,A81000B,00500,0300,PT THERAPY 44140,A81000B,00600,0300,OT THERAPY 44140,A81000B,00700,0300,ST THERAPY 44140,A81000B,00800,0300,PT ADMIN 44140,A81000B,00900,0300,OT ADMIN 44140,A81000B,01000,0300,ST ADMIN 44140,A81000C,00100,0100,B 44140,A81000C,00100,0200,HHCC DEARBORN HEIGHTS 44140,A81000C,00100,0400,HCR MANORCARE INC. 44140,A81000C,00100,0600,LONG TERM CARE FACILITIES 44140,A81000C,00200,0100,B 44140,A81000C,00200,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 44140,A81000C,00200,0600,PHARMACY 44140,A81000C,00300,0100,B 44140,A81000C,00300,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 44140,A81000C,00300,0600,PHARMACY 44140,A81000C,00400,0100,B 44140,A81000C,00400,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 44140,A81000C,00400,0600,PHARMACY 44140,A81000C,00500,0100,B 44140,A81000C,00500,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00500,0400,HEARTLAND REHAB 44140,A81000C,00500,0600,THERAPY 44140,A81000C,00600,0100,B 44140,A81000C,00600,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00600,0400,HEARTLAND REHAB 44140,A81000C,00600,0600,THERAPY 44140,A81000C,00700,0100,B 44140,A81000C,00700,0200,HEALTH CARE & RETIREMENT 44140,A81000C,00700,0400,HEARTLAND REHAB 44140,A81000C,00700,0600,THERAPY 44140,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44140,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44140,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44140,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44140,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44140,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44140,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44140,B100000,00000,0800,00000MEALS SERVED :DIETARY 44140,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44140,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44140,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44140,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44140,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44140,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44140,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44140,S000000,00100,0200,05/31/2000 44140,S200000,00100,0100,26001 FORD ST 44140,S200000,00200,0100,DEARBORN HEIGHTS 44140,S200000,00200,0200,OH 44140,S200000,00200,0300,48127- 44140,S200000,00300,0100,WAYNE 44140,S200000,00400,0100,HHCC DEARBORN HEIGHTS 44140,S200000,00400,0200,235428 44140,S200000,00400,0300,01/01/1998 44140,S200000,00400,0500,P 44140,S200000,01600,0100,Y 44140,S200000,02200,0100,Y 44140,S700003,00000,0100,1 44150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44150,A000000,00300,0000,00300EMPLOYEE BENEFITS 44150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44150,A000000,00601,0000,00601LAUNDRY & LINEN SERVICE 44150,A000000,00700,0000,00700HOUSEKEEPING 44150,A000000,00800,0000,00800DIETARY 44150,A000000,00900,0000,00900NURSING ADMINISTRATION 44150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44150,A000000,01100,0000,01100PHARMACY 44150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44150,A000000,01300,0000,01300SOCIAL SERVICE 44150,A000000,01350,0000,01500ACTIVITIES 44150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44150,A000000,01600,0000,01600SKILLED NURSING FACILITY 44150,A000000,01800,0000,01800NURSING FACILITY 44150,A000000,01900,0000,01900OTHER LONG TERM CARE 44150,A000000,02100,0000,02100RADIOLOGY 44150,A000000,02200,0000,02200LABORATORY 44150,A000000,02300,0000,02300INTRAVENOUS THERAPY 44150,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44150,A000000,02500,0000,02500PHYSICAL THERAPY 44150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44150,A000000,02700,0000,02700SPEECH PATHOLOGY 44150,A000000,02800,0000,02800ELECTROCARDIOLOGY 44150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44150,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44150,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44150,A000000,03200,0000,03200SUPPORT SURFACES 44150,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44150,A000000,04800,0000,04800AMBULANCE 44150,A000000,05300,0000,05300INTEREST EXPENSE 44150,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44150,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44150,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44150,A000000,06100,0000,06100NONPAID WORKERS 44150,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44150,A000000,06200,0000,06200PATIENTS LAUNDRY 44150,A81000A,00100,0100,Y 44150,A81000B,00100,0300,HOME OFFICE COST 44150,A81000B,00200,0300,THERAPY SERVICES 44150,A81000B,00300,0300,THERAPY SERVICES 44150,A81000B,00400,0300,THERAPY SERVICES 44150,A81000B,00500,0300,IV THERAPY 44150,A81000B,00600,0300,DRUGS 44150,A81000B,00700,0300,P/S PHARMACIST 44150,A81000C,00100,0100,B 44150,A81000C,00100,0200,HHCC - ALLEN PARK 44150,A81000C,00100,0400,HCR MANORCARE INC. 44150,A81000C,00100,0600,LONG TERM CARE FACILITIES 44150,A81000C,00200,0100,B 44150,A81000C,00200,0200,HHCC - ALLEN PARK 44150,A81000C,00200,0400,HCR MANORCARE INC. 44150,A81000C,00200,0600,THERAPY SERVICES 44150,A81000C,00300,0100,B 44150,A81000C,00300,0200,HHCC - ALLEN PARK 44150,A81000C,00300,0400,HCR MANORCARE INC. 44150,A81000C,00300,0600,THERAPY SERVICES 44150,A81000C,00400,0100,B 44150,A81000C,00400,0200,HHCC - ALLEN PARK 44150,A81000C,00400,0400,HCR MANORCARE INC. 44150,A81000C,00400,0600,THERAPY SERVICES 44150,A81000C,00500,0100,B 44150,A81000C,00500,0200,HHCC - ALLEN PARK 44150,A81000C,00500,0400,HCR MANORCARE INC. 44150,A81000C,00500,0600,PHARMACY 44150,A81000C,00600,0100,B 44150,A81000C,00600,0200,HHCC - ALLEN PARK 44150,A81000C,00600,0400,HCR MANORCARE INC. 44150,A81000C,00600,0600,PHARMACY 44150,A81000C,00700,0100,B 44150,A81000C,00700,0200,HHCC - ALLEN PARK` 44150,A81000C,00700,0400,HCR MANORCARE INC. 44150,A81000C,00700,0600,PHARMACY 44150,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44150,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44150,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44150,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44150,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44150,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44150,B100000,00000,0651,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44150,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44150,B100000,00000,0800,00000MEALS SERVED :DIETARY 44150,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44150,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44150,B100000,00000,1150,00000SQUARE FEET :PHARMACY 44150,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44150,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44150,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44150,B100000,00000,1450,00000SQUARE FEET :INTERNS & RESIDENTS ( 44150,S000000,00100,0200,05/31/2000 44150,S200000,00100,0100,9150 ALLEN ROAD 44150,S200000,00200,0100,ALLEN PARK 44150,S200000,00200,0200,MI 44150,S200000,00200,0300,48104- 44150,S200000,00300,0100,WAYNE 44150,S200000,00400,0100,HHCC - ALLEN PARK 44150,S200000,00400,0200,235439 44150,S200000,00400,0300,05/01/1986 44150,S200000,00400,0500,P 44150,S200000,00400,0600,P 44150,S200000,01004,0500,O 44150,S200000,01600,0100,Y 44150,S200000,02200,0100,Y 44150,S700003,00000,0100,1 44159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44159,A000000,00300,0000,00300EMPLOYEE BENEFITS 44159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44159,A000000,00700,0000,00700HOUSEKEEPING 44159,A000000,00800,0000,00800DIETARY 44159,A000000,00900,0000,00900NURSING ADMINISTRATION 44159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44159,A000000,01100,0000,01100PHARMACY 44159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44159,A000000,01300,0000,01300SOCIAL SERVICE 44159,A000000,01350,0000,01500ACTIVITIES 44159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44159,A000000,01600,0000,01600SKILLED NURSING FACILITY 44159,A000000,01800,0000,01800NURSING FACILITY 44159,A000000,01900,0000,01900OTHER LONG TERM CARE 44159,A000000,02100,0000,02100RADIOLOGY 44159,A000000,02200,0000,02200LABORATORY 44159,A000000,02300,0000,02300INTRAVENOUS THERAPY 44159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44159,A000000,02500,0000,02500PHYSICAL THERAPY 44159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44159,A000000,02700,0000,02700SPEECH PATHOLOGY 44159,A000000,02800,0000,02800ELECTROCARDIOLOGY 44159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44159,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44159,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44159,A000000,03200,0000,03200SUPPORT SURFACES 44159,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44159,A000000,04800,0000,04800AMBULANCE 44159,A000000,05300,0000,05300INTEREST EXPENSE 44159,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44159,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44159,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44159,A000000,06100,0000,06100NONPAID WORKERS 44159,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44159,A000000,06200,0000,06200PATIENTS LAUNDRY 44159,A81000A,00100,0100,Y 44159,A81000B,00100,0300,HOME OFFICE COST 44159,A81000B,00200,0300,PHARMACIST 44159,A81000B,00300,0300,IV COST 44159,A81000B,00400,0300,DRUGS 44159,A81000B,00500,0300,PT ADMIN FEE 44159,A81000B,00600,0300,OT ADMIN FEE 44159,A81000B,00700,0300,ST ADMIN FEE 44159,A81000C,00100,0100,B 44159,A81000C,00100,0200,CRESTVIEW MANOR 44159,A81000C,00100,0400,HEALTH CARE & RETIREMENT 44159,A81000C,00100,0600,LONG TERM CARE FACILITIES 44159,A81000C,00200,0100,B 44159,A81000C,00200,0200,CRESTVIEW MANOR 44159,A81000C,00200,0400,HEARTLAND HEALTHCARE SVS 44159,A81000C,00200,0600,PHARMACY 44159,A81000C,00300,0100,B 44159,A81000C,00300,0200,CRESTVIEW MANOR 44159,A81000C,00300,0400,HEARTLAND HEALTHCARE SVS 44159,A81000C,00300,0600,PHARMACY 44159,A81000C,00400,0100,B 44159,A81000C,00400,0200,CRESTVIEW MANOR 44159,A81000C,00400,0400,HEARTLAND HEALTHCARE SVS 44159,A81000C,00400,0600,PHARMACY 44159,A81000C,00500,0100,B 44159,A81000C,00500,0200,CRESTVIEW MANOR 44159,A81000C,00500,0400,HEARTLAND MGMT SERV 44159,A81000C,00500,0600,THERAPY MGMT SERV 44159,A81000C,00600,0100,B 44159,A81000C,00600,0200,CRESTVIEW MANOR 44159,A81000C,00600,0400,HEARTLAND MGMT SERV 44159,A81000C,00600,0600,THERAPY MGMT SERV 44159,A81000C,00700,0100,B 44159,A81000C,00700,0200,CRESTVIEW MANOR 44159,A81000C,00700,0400,HEARTLAND MGMT SERV 44159,A81000C,00700,0600,THERAPY MGMT SERV 44159,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44159,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44159,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44159,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44159,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44159,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44159,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44159,B100000,00000,0800,00000MEALS SERVED :DIETARY 44159,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44159,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44159,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44159,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44159,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44159,S000000,00100,0200,10/03/2000 44159,S200000,00100,0100,625 36TH STREET 44159,S200000,00200,0100,WYOMING 44159,S200000,00200,0200,MI 44159,S200000,00200,0300,49509- 44159,S200000,00300,0100,KENT 44159,S200000,00300,0200,3000 44159,S200000,00300,0300,U 44159,S200000,00400,0100,CRESTVIEW MANOR 44159,S200000,00400,0200,235441 44159,S200000,00400,0300,01/01/1990 44159,S200000,00400,0500,P 44159,S200000,00400,0600,P 44159,S200000,01600,0100,Y 44159,S200000,02200,0100,Y 44168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44168,A000000,00700,0000,00700HOUSEKEEPING 44168,A000000,00800,0000,00800DIETARY 44168,A000000,00900,0000,00900NURSING ADMINISTRATION 44168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44168,A000000,01300,0000,01300SOCIAL SERVICE 44168,A000000,01600,0000,01600SKILLED NURSING FACILITY 44168,A000000,01800,0000,01800NURSING FACILITY 44168,A000000,02100,0000,02100RADIOLOGY 44168,A000000,02200,0000,02200LABORATORY 44168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44168,A000000,02500,0000,02500PHYSICAL THERAPY 44168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44168,A000000,02700,0000,02700SPEECH PATHOLOGY 44168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44168,A81000A,00100,0100,Y 44168,A81000B,00100,0300,CENTRAL OFFICE COSTS 44168,A81000B,00200,0300,CENTRAL OFFICE COSTS 44168,A81000B,00300,0300,CENTRAL OFFICE COSTS 44168,A81000B,00400,0300,CENTRAL OFFICE COSTS 44168,A81000B,00500,0300,CENTRAL OFFICE COSTS 44168,A81000B,00600,0300,CENTRAL OFFICE COSTS 44168,A81000B,00700,0300,CENTRAL OFFICE COSTS 44168,A81000B,00800,0300,RELATED PARTY-DEPR 44168,A81000C,00100,0100,B 44168,A81000C,00100,0400,TENDERCARE (MI) 44168,A81000C,00100,0600,HOME OFFICE 44168,A81000C,00200,0100,A 44168,A81000C,00200,0200,LOUIS B LUKENDA 44168,A81000C,00200,0400,OWLS ENTERPRISE 44168,A81000C,00200,0600,CONTRACTOR 44168,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44168,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44168,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44168,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44168,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44168,B100000,00000,0800,00000MEALS SERVED :DIETARY 44168,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44168,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44168,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44168,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44168,E10A180,00501,0300,06/06/2000 44168,E10A180,00550,0100,06/06/2000 44168,S000000,00100,0200,06/01/2000 44168,S200000,00100,0100,300 CARE CENTER DRIVE 44168,S200000,00200,0100,MANISTEE 44168,S200000,00200,0200,MI 44168,S200000,00200,0300,49660- 44168,S200000,00300,0100,MANISTEE 44168,S200000,00400,0100,MANISTEE HEIGHTS CARE CENTER 44168,S200000,00400,0200,235469 44168,S200000,00400,0300,05/06/1988 44168,S200000,00400,0500,P 44168,S200000,00600,0200,235469 44168,S200000,00600,0300,05/06/1988 44168,S200000,00600,0600,P 44168,S200000,01600,0100,Y 44179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44179,A000000,00700,0000,00700HOUSEKEEPING 44179,A000000,00800,0000,00800DIETARY 44179,A000000,00900,0000,00900NURSING ADMINISTRATION 44179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44179,A000000,01300,0000,01300SOCIAL SERVICE 44179,A000000,01600,0000,01600SKILLED NURSING FACILITY 44179,A000000,01800,0000,01800NURSING FACILITY 44179,A000000,02100,0000,02100RADIOLOGY 44179,A000000,02200,0000,02200LABORATORY 44179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44179,A000000,02500,0000,02500PHYSICAL THERAPY 44179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44179,A000000,02700,0000,02700SPEECH PATHOLOGY 44179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44179,A81000A,00100,0100,Y 44179,A81000B,00100,0300,CENTRAL OFFICE COSTS 44179,A81000B,00200,0300,CENTRAL OFFICE COSTS 44179,A81000B,00300,0300,CENTRAL OFFICE COSTS 44179,A81000B,00400,0300,CENTRAL OFFICE COSTS 44179,A81000B,00500,0300,CENTRAL OFFICE COSTS 44179,A81000B,00600,0300,CENTRAL OFFICE COSTS 44179,A81000B,00700,0300,CENTRAL OFFICE COSTS 44179,A81000C,00100,0100,B 44179,A81000C,00100,0200,VAR. STOCKHOLDE 44179,A81000C,00100,0400,TENDERCARE (MI) 44179,A81000C,00100,0600,HOME OFFICE 44179,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44179,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44179,B100000,00000,0800,00000MEALS SERVED :DIETARY 44179,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44179,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44179,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44179,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44179,E10A180,00550,0100,06/05/2000 44179,E10A180,00550,0300,06/05/2000 44179,S000000,00100,0200,06/01/2000 44179,S200000,00100,0100,1524 PORTABELLA ROAD 44179,S200000,00200,0100,MOUNT PLEASANT 44179,S200000,00200,0200,MI 44179,S200000,00200,0300,48858- 44179,S200000,00300,0100,ISABELLA 44179,S200000,00300,0200,23 44179,S200000,00300,0300,R 44179,S200000,00400,0100,TENDERCARE MOUNT PLEASANT 44179,S200000,00400,0200,235490 44179,S200000,00400,0300,02/01/1990 44179,S200000,00400,0500,P 44179,S200000,00600,0200,235490 44179,S200000,00600,0300,02/01/1990 44179,S200000,01600,0100,Y 44188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44188,A000000,00700,0000,00700HOUSEKEEPING 44188,A000000,00800,0000,00800DIETARY 44188,A000000,00900,0000,00900NURSING ADMINISTRATION 44188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44188,A000000,01300,0000,01300SOCIAL SERVICE 44188,A000000,01600,0000,01600SKILLED NURSING FACILITY 44188,A000000,01800,0000,01800NURSING FACILITY 44188,A000000,02100,0000,02100RADIOLOGY 44188,A000000,02200,0000,02200LABORATORY 44188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44188,A000000,02500,0000,02500PHYSICAL THERAPY 44188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44188,A000000,02700,0000,02700SPEECH PATHOLOGY 44188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44188,A000000,03200,0000,03200SUPPORT SURFACES 44188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44188,A81000A,00100,0100,Y 44188,A81000B,00100,0300,CENTRAL OFFICE COSTS 44188,A81000B,00200,0300,CENTRAL OFFICE COSTS 44188,A81000B,00300,0300,CENTRAL OFFICE COSTS 44188,A81000B,00400,0300,CENTRAL OFFICE COSTS 44188,A81000B,00500,0300,CENTRAL OFFICE COSTS 44188,A81000B,00600,0300,CENTRAL OFFICE COSTS 44188,A81000B,00700,0300,CENTRAL OFFICE COSTS 44188,A81000C,00100,0100,B 44188,A81000C,00100,0200,VAR. STOCKHOLDE 44188,A81000C,00100,0400,TENDERCARE (MI) 44188,A81000C,00100,0600,HOME OFFICE 44188,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44188,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44188,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44188,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44188,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44188,B100000,00000,0800,00000MEALS SERVED :DIETARY 44188,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44188,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44188,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44188,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44188,E10A180,00501,0300,06/05/2000 44188,E10A180,00550,0100,06/05/2000 44188,S000000,00100,0200,06/01/2000 44188,S200000,00100,0100,879 EAST MICHIGAN STREET 44188,S200000,00200,0100,MARSHALL 44188,S200000,00200,0200,MI 44188,S200000,00200,0300,49068- 44188,S200000,00300,0100,CALHOUN 44188,S200000,00400,0100,TENDERCARE MARSHALL 44188,S200000,00400,0200,235495 44188,S200000,00400,0300,05/01/1990 44188,S200000,00400,0500,P 44188,S200000,00600,0200,235495 44188,S200000,00600,0300,05/01/1990 44188,S200000,00600,0600,P 44188,S200000,01600,0100,Y 44197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44197,A000000,00700,0000,00700HOUSEKEEPING 44197,A000000,00800,0000,00800DIETARY 44197,A000000,00900,0000,00900NURSING ADMINISTRATION 44197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44197,A000000,01300,0000,01300SOCIAL SERVICE 44197,A000000,01600,0000,01600SKILLED NURSING FACILITY 44197,A000000,01800,0000,01800NURSING FACILITY 44197,A000000,02100,0000,02100RADIOLOGY 44197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44197,A000000,02500,0000,02500PHYSICAL THERAPY 44197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44197,A000000,02700,0000,02700SPEECH PATHOLOGY 44197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44197,A81000A,00100,0100,Y 44197,A81000B,00100,0300,CENTRAL OFFICE COSTS 44197,A81000B,00200,0300,CENTRAL OFFICE COSTS 44197,A81000B,00300,0300,CENTRAL OFFICE COSTS 44197,A81000B,00400,0300,CENTRAL OFFICE COSTS 44197,A81000B,00500,0300,CENTRAL OFFICE COSTS 44197,A81000B,00600,0300,CENTRAL OFFICE COSTS 44197,A81000B,00700,0300,CENTRAL OFFICE COSTS 44197,A81000C,00100,0100,A 44197,A81000C,00100,0200,VAR STOCKHOLDER 44197,A81000C,00100,0400,TENDERCARE (MI) 44197,A81000C,00100,0600,HOME OFFICE 44197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44197,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44197,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44197,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44197,B100000,00000,0800,00000MEALS SERVED :DIETARY 44197,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44197,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44197,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44197,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44197,E10A180,00550,0100,06/05/2000 44197,E10A180,00550,0300,06/05/2000 44197,S000000,00100,0200,06/01/2000 44197,S200000,00100,0100,130 SAND CREEK HIGHWAY 44197,S200000,00200,0100,ADRIAN 44197,S200000,00200,0200,MI 44197,S200000,00200,0300,49221- 44197,S200000,00300,0100,LENAWEE 44197,S200000,00400,0100,ADRIAN HEALTHCARE 44197,S200000,00400,0200,235504 44197,S200000,00400,0300,05/06/1981 44197,S200000,00400,0500,P 44197,S200000,00600,0200,235504 44197,S200000,00600,0300,05/06/1981 44197,S200000,00600,0600,P 44197,S200000,01600,0100,Y 44206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44206,A000000,00700,0000,00700HOUSEKEEPING 44206,A000000,00800,0000,00800DIETARY 44206,A000000,00900,0000,00900NURSING ADMINISTRATION 44206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44206,A000000,01300,0000,01300SOCIAL SERVICE 44206,A000000,01600,0000,01600SKILLED NURSING FACILITY 44206,A000000,01800,0000,01800NURSING FACILITY 44206,A000000,02100,0000,02100RADIOLOGY 44206,A000000,02200,0000,02200LABORATORY 44206,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44206,A000000,02500,0000,02500PHYSICAL THERAPY 44206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44206,A000000,02700,0000,02700SPEECH PATHOLOGY 44206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44206,A000000,03200,0000,03200SUPPORT SURFACES 44206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44206,A81000A,00100,0100,Y 44206,A81000B,00100,0300,CENTRAL OFFICE COSTS 44206,A81000B,00200,0300,CENTRAL OFFICE COSTS 44206,A81000B,00300,0300,CENTRAL OFFICE COSTS 44206,A81000B,00400,0300,CENTRAL OFFICE COSTS 44206,A81000B,00500,0300,CENTRAL OFFICE COSTS 44206,A81000B,00600,0300,CENTRAL OFFICE COSTS 44206,A81000B,00700,0300,CENTRAL OFFICE COSTS 44206,A81000B,00800,0300,AGENCY NURSES 44206,A81000B,00900,0300,AGENCY NURSES 44206,A81000C,00100,0100,A 44206,A81000C,00100,0200,VAR STOCKHOLDER 44206,A81000C,00100,0400,TENDERCARE (MI) 44206,A81000C,00100,0600,HOME OFFICE 44206,A81000C,00200,0100,B 44206,A81000C,00200,0200,VAR STOCKHOLDER 44206,A81000C,00200,0400,TLC STAFFING 44206,A81000C,00200,0600,AGENCY NURSES 44206,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44206,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44206,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44206,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44206,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44206,B100000,00000,0800,00000MEALS SERVED :DIETARY 44206,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44206,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44206,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44206,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44206,E10A180,00501,0300,06/05/2000 44206,E10A180,00550,0100,06/05/2000 44206,S000000,00100,0200,06/01/2000 44206,S200000,00100,0100,4427 VENOY ROAD 44206,S200000,00200,0100,WAYNE 44206,S200000,00200,0200,MI 44206,S200000,00200,0300,48184- 44206,S200000,00300,0100,WAYNE 44206,S200000,00400,0100,WAYNE TOTAL LIVING CENTER 44206,S200000,00400,0200,235521 44206,S200000,00400,0300,05/08/1992 44206,S200000,00400,0500,P 44206,S200000,00600,0200,235521 44206,S200000,00600,0300,05/08/1992 44206,S200000,00600,0600,P 44206,S200000,01600,0100,Y 44216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44216,A000000,00700,0000,00700HOUSEKEEPING 44216,A000000,00800,0000,00800DIETARY 44216,A000000,00900,0000,00900NURSING ADMINISTRATION 44216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44216,A000000,01300,0000,01300SOCIAL SERVICE 44216,A000000,01600,0000,01600SKILLED NURSING FACILITY 44216,A000000,01800,0000,01800NURSING FACILITY 44216,A000000,01900,0000,01900OTHER LONG TERM CARE 44216,A000000,02100,0000,02100RADIOLOGY 44216,A000000,02200,0000,02200LABORATORY 44216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44216,A000000,02500,0000,02500PHYSICAL THERAPY 44216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44216,A000000,02700,0000,02700SPEECH PATHOLOGY 44216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44216,A81000A,00100,0100,Y 44216,A81000B,00100,0300,CENTRAL OFFICE COSTS 44216,A81000B,00200,0300,CENTRAL OFFICE COSTS 44216,A81000B,00300,0300,CENTRAL OFFICE COSTS 44216,A81000B,00400,0300,CENTRAL OFFICE COSTS 44216,A81000B,00500,0300,CENTRAL OFFICE COSTS 44216,A81000B,00600,0300,CENTRAL OFFICE COSTS 44216,A81000B,00700,0300,CENTRAL OFFICE COSTS 44216,A81000B,00900,0300,TENDERCARE RIVERSIDE 44216,A81000B,01000,0300,BATTLE CREEK LLC 44216,A81000C,00100,0100,A 44216,A81000C,00100,0200,VARIOUS STOCKHO 44216,A81000C,00100,0400,TENDERCARE (MI) 44216,A81000C,00100,0600,HOME OFFICE 44216,A81000C,00300,0100,B 44216,A81000C,00300,0200,VARIOUS STOCKHO 44216,A81000C,00300,0400,TENDERCARE RIVE 44216,A81000C,00300,0600,LESSOR 44216,A81000C,00400,0400,BATTLE CREEK LL 44216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44216,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44216,B100000,00000,0800,00000MEALS SERVED :DIETARY 44216,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44216,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44216,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44216,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44216,E10A180,00550,0100,06/06/2000 44216,E10A180,00550,0300,06/06/2000 44216,S000000,00100,0200,06/01/2000 44216,S200000,00100,0100,675 WAGNER 44216,S200000,00200,0100,BATTLE CREEK 44216,S200000,00200,0200,MI 44216,S200000,00200,0300,49017- 44216,S200000,00300,0100,CALHOUN 44216,S200000,00400,0100,TENDERCARE RIVERSIDE-BATTLE CREEK 44216,S200000,00400,0200,235536 44216,S200000,00400,0300,06/01/1993 44216,S200000,00400,0500,P 44216,S200000,00600,0200,235536 44216,S200000,00600,0300,06/01/1993 44216,S200000,00600,0600,P 44216,S200000,01600,0100,Y 44225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44225,A000000,00700,0000,00700HOUSEKEEPING 44225,A000000,00800,0000,00800DIETARY 44225,A000000,00900,0000,00900NURSING ADMINISTRATION 44225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44225,A000000,01300,0000,01300SOCIAL SERVICE 44225,A000000,01600,0000,01600SKILLED NURSING FACILITY 44225,A000000,01800,0000,01800NURSING FACILITY 44225,A000000,02100,0000,02100RADIOLOGY 44225,A000000,02200,0000,02200LABORATORY 44225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44225,A000000,02500,0000,02500PHYSICAL THERAPY 44225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44225,A000000,02700,0000,02700SPEECH PATHOLOGY 44225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44225,A000000,03200,0000,03200SUPPORT SURFACES 44225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44225,A81000A,00100,0100,Y 44225,A81000B,00100,0300,CENTRAL OFFICE COSTS 44225,A81000B,00200,0300,CENTRAL OFFICE COSTS 44225,A81000B,00300,0300,CENTRAL OFFICE COSTS 44225,A81000B,00400,0300,CENTRAL OFFICE COSTS 44225,A81000B,00500,0300,CENTRAL OFFICE COSTS 44225,A81000B,00600,0300,CENTRAL OFFICE COSTS 44225,A81000B,00700,0300,CENTRAL OFFICE COSTS 44225,A81000B,00900,0300,OWLS DEPRECIATION 44225,A81000C,00100,0100,B 44225,A81000C,00100,0200,VARIOUS STOCKHO 44225,A81000C,00100,0400,TENDERCARE (MI) 44225,A81000C,00100,0600,HOME OFFICE 44225,A81000C,00300,0100,A 44225,A81000C,00300,0200,LOUIS B. LUKEND 44225,A81000C,00300,0400,OWLS ENTERPRISE 44225,A81000C,00300,0600,CONTRACTOR 44225,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44225,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44225,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44225,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44225,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44225,B100000,00000,0800,00000MEALS SERVED :DIETARY 44225,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44225,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44225,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44225,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44225,E10A180,00301,0100,12/20/1999 44225,E10A180,00302,0100,03/08/2000 44225,E10A180,00550,0100,06/05/2000 44225,E10A180,00550,0300,06/05/2000 44225,S000000,00100,0200,06/01/2000 44225,S200000,00100,0100,16181 HUBBEL STREET 44225,S200000,00200,0100,DETROIT 44225,S200000,00200,0200,MI 44225,S200000,00200,0300,48235- 44225,S200000,00300,0100,WAYNE 44225,S200000,00400,0100,NORTHWEST CONTINUING CARE CENTER 44225,S200000,00400,0200,235539 44225,S200000,00400,0300,09/02/1993 44225,S200000,00400,0500,P 44225,S200000,00600,0200,235539 44225,S200000,00600,0300,09/02/1993 44225,S200000,00600,0600,P 44225,S200000,01600,0100,Y 44234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44234,A000000,00700,0000,00700HOUSEKEEPING 44234,A000000,00800,0000,00800DIETARY 44234,A000000,00900,0000,00900NURSING ADMINISTRATION 44234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44234,A000000,01300,0000,01300SOCIAL SERVICE 44234,A000000,01600,0000,01600SKILLED NURSING FACILITY 44234,A000000,01800,0000,01800NURSING FACILITY 44234,A000000,02100,0000,02100RADIOLOGY 44234,A000000,02200,0000,02200LABORATORY 44234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44234,A000000,02500,0000,02500PHYSICAL THERAPY 44234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44234,A000000,02700,0000,02700SPEECH PATHOLOGY 44234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44234,A81000A,00100,0100,Y 44234,A81000B,00100,0300,CENTRAL OFFICE COSTS 44234,A81000B,00200,0300,CENTRAL OFFICE COSTS 44234,A81000B,00300,0300,CENTRAL OFFICE COSTS 44234,A81000B,00400,0300,CENTRAL OFFICE COSTS 44234,A81000B,00500,0300,CENTRAL OFFICE COSTS 44234,A81000B,00600,0300,CENTRAL OFFICE COSTS 44234,A81000B,00700,0300,CENTRAL OFFICE COSTS 44234,A81000B,00800,0300,AGENCY NURSES 44234,A81000B,00900,0300,AGENCY NURSES 44234,A81000C,00100,0100,B 44234,A81000C,00100,0200,VAR. STOCKHOLDE 44234,A81000C,00100,0400,TENDERCARE (MI) 44234,A81000C,00100,0600,HOME OFFICE 44234,A81000C,00200,0100,B 44234,A81000C,00200,0200,VAR. STOCKHOLDE 44234,A81000C,00200,0400,TLC STAFFING 44234,A81000C,00200,0600,AGENCY NURSES 44234,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44234,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44234,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44234,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44234,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44234,B100000,00000,0800,00000MEALS SERVED :DIETARY 44234,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44234,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44234,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44234,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44234,E10A180,00501,0300,06/05/2000 44234,E10A180,00550,0100,06/05/2000 44234,S000000,00100,0200,06/01/2000 44234,S200000,00100,0100,22950 NORTHLINE ROAD 44234,S200000,00200,0100,TAYLOR 44234,S200000,00200,0200,MI 44234,S200000,00200,0300,48180- 44234,S200000,00300,0100,WAYNE 44234,S200000,00400,0100,TAYLOR TOTAL LIVING CENTER 44234,S200000,00400,0200,235541 44234,S200000,00400,0300,08/10/1993 44234,S200000,00400,0500,P 44234,S200000,00600,0200,235541 44234,S200000,00600,0300,08/10/1993 44234,S200000,00600,0600,P 44234,S200000,01600,0100,Y 44243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44243,A000000,00700,0000,00700HOUSEKEEPING 44243,A000000,00800,0000,00800DIETARY 44243,A000000,00900,0000,00900NURSING ADMINISTRATION 44243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44243,A000000,01300,0000,01300SOCIAL SERVICE 44243,A000000,01600,0000,01600SKILLED NURSING FACILITY 44243,A000000,01800,0000,01800NURSING FACILITY 44243,A000000,02100,0000,02100RADIOLOGY 44243,A000000,02200,0000,02200LABORATORY 44243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44243,A000000,02500,0000,02500PHYSICAL THERAPY 44243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44243,A000000,02700,0000,02700SPEECH PATHOLOGY 44243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44243,A000000,03200,0000,03200SUPPORT SURFACES 44243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44243,A81000A,00100,0100,Y 44243,A81000B,00100,0300,CENTRAL OFFICE COSTS 44243,A81000B,00200,0300,CENTRAL OFFICE COSTS 44243,A81000B,00300,0300,CENTRAL OFFICE COSTS 44243,A81000B,00400,0300,CENTRAL OFFICE COSTS 44243,A81000B,00500,0300,CENTRAL OFFICE COSTS 44243,A81000B,00600,0300,CENTRAL OFFICE COSTS 44243,A81000B,00700,0300,CENTRAL OFFICE COSTS 44243,A81000C,00100,0100,B 44243,A81000C,00100,0200,VAR. STOCKHOLDE 44243,A81000C,00100,0400,TENDERCARE (MI) 44243,A81000C,00100,0600,HOME OFFICE 44243,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44243,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44243,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44243,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44243,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44243,B100000,00000,0800,00000MEALS SERVED :DIETARY 44243,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44243,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44243,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44243,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44243,E10A180,00501,0300,06/05/2000 44243,E10A180,00550,0100,06/05/2000 44243,S000000,00100,0200,06/01/2000 44243,S200000,00100,0100,2575 NORTH DRAKE ROAD 44243,S200000,00200,0100,KALAMAZOO 44243,S200000,00200,0200,MI 44243,S200000,00200,0300,49007- 44243,S200000,00300,0100,KALAMAZOO 44243,S200000,00400,0100,KALAMAZOO TOTAL LIVING CENTER 44243,S200000,00400,0200,235542 44243,S200000,00400,0300,09/29/1993 44243,S200000,00400,0500,P 44243,S200000,00600,0200,235542 44243,S200000,00600,0300,09/29/1993 44243,S200000,00600,0600,P 44243,S200000,01600,0100,Y 44243,S700003,00000,0100,1 44253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44253,A000000,00300,0000,00300EMPLOYEE BENEFITS 44253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44253,A000000,00700,0000,00700HOUSEKEEPING 44253,A000000,00800,0000,00800DIETARY 44253,A000000,00900,0000,00900NURSING ADMINISTRATION 44253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44253,A000000,01300,0000,01300SOCIAL SERVICE 44253,A000000,01600,0000,01600SKILLED NURSING FACILITY 44253,A000000,01800,0000,01800NURSING FACILITY 44253,A000000,02100,0000,02100RADIOLOGY 44253,A000000,02200,0000,02200LABORATORY 44253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44253,A000000,02500,0000,02500PHYSICAL THERAPY 44253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44253,A000000,02700,0000,02700SPEECH PATHOLOGY 44253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44253,A000000,05901,0000,05901SHARED SERVICES 44253,A81000A,00100,0100,Y 44253,A81000B,00100,0300,HOME OFFICE COSTS 44253,A81000B,00200,0300,HOME OFFICE COSTS 44253,A81000B,00300,0300,HOME OFFICE COSTS 44253,A81000B,00400,0300,HOME OFFICE COSTS 44253,A81000B,00500,0300,HOME OFFICE COSTS 44253,A81000B,00600,0300,HOME OFFICE COSTS 44253,A81000B,00700,0300,HOME OFFICE COSTS 44253,A81000B,00800,0300,HOME OFFICE COSTS 44253,A81000B,00900,0300,RENT 44253,A81000B,01000,0300,ADMINISTRATIVE COSTS 44253,A81000C,00100,0100,B 44253,A81000C,00100,0400,TENDERCARE (MI) 44253,A81000C,00100,0600,HOME OFFICE 44253,A81000C,00200,0100,A 44253,A81000C,00200,0200,TENDERCARE (MI) 44253,A81000C,00200,0400,TENDERCARE HOLD 44253,A81000C,00200,0600,LESSOR 44253,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 44253,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 44253,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 44253,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 44253,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 44253,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 44253,B100000,00000,0850,000013XPATIENT DAYS :DIETARY 44253,B100000,00000,0950,00001NURSING SALARIES :NURSING ADMINIST 44253,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 44253,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 44253,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 44253,S000000,00100,0200,12/29/2000 44253,S200000,00100,0100,555 N. BRADLEY HIGHWAY 44253,S200000,00200,0100,ROGERS CITY 44253,S200000,00200,0200,MI 44253,S200000,00200,0300,49779- 44253,S200000,00300,0100,PRESQUE ISLE 44253,S200000,00300,0200,0023 44253,S200000,00300,0300,R 44253,S200000,00400,0100,TENDERCARE-ROGERS CITY 44253,S200000,00400,0200,235553 44253,S200000,00400,0300,07/26/1994 44253,S200000,00400,0500,P 44253,S200000,00600,0200,235553 44253,S200000,00600,0300,07/26/1994 44253,S200000,01600,0100,Y 44253,S200000,04300,0100,Y 44267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44267,A000000,00700,0000,00700HOUSEKEEPING 44267,A000000,00800,0000,00800DIETARY 44267,A000000,00900,0000,00900NURSING ADMINISTRATION 44267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44267,A000000,01300,0000,01300SOCIAL SERVICE 44267,A000000,01600,0000,01600SKILLED NURSING FACILITY 44267,A000000,01800,0000,01800NURSING FACILITY 44267,A000000,02100,0000,02100RADIOLOGY 44267,A000000,02200,0000,02200LABORATORY 44267,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44267,A000000,02500,0000,02500PHYSICAL THERAPY 44267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44267,A000000,02700,0000,02700SPEECH PATHOLOGY 44267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44267,A000000,03200,0000,03200SUPPORT SURFACES 44267,A000000,04800,0000,04800AMBULANCE 44267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44267,A81000A,00100,0100,Y 44267,A81000B,00100,0300,CENTRAL OFFICE COSTS 44267,A81000B,00200,0300,CENTRAL OFFICE COSTS 44267,A81000B,00300,0300,CENTRAL OFFICE COSTS 44267,A81000B,00400,0300,CENTRAL OFFICE COSTS 44267,A81000B,00500,0300,CENTRAL OFFICE COSTS 44267,A81000B,00600,0300,CENTRAL OFFICE COSTS 44267,A81000B,00700,0300,CENTRAL OFFICE COSTS 44267,A81000B,00900,0300,OWLS DEPRECIATION 44267,A81000B,01000,0300,AGENCY NURSES 44267,A81000B,01100,0300,AGENCY NURSES 44267,A81000C,00100,0100,B 44267,A81000C,00100,0200,VAR STOCKHOLDER 44267,A81000C,00100,0400,TENDERCARE (MI) 44267,A81000C,00100,0600,HOME OFFICE 44267,A81000C,00300,0100,A 44267,A81000C,00300,0200,LOUIS B LUKENDA 44267,A81000C,00300,0400,OWLS ENTERPRISE 44267,A81000C,00300,0600,CONTRACTOR 44267,A81000C,00400,0100,B 44267,A81000C,00400,0200,VAR STOCKHOLDER 44267,A81000C,00400,0400,TLC STAFFING 44267,A81000C,00400,0600,AGENCY NURSES 44267,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44267,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44267,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44267,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44267,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44267,B100000,00000,0800,00000MEALS SERVED :DIETARY 44267,B100000,00000,0950,00000DIRECT NRSG $ :NURSING ADMINISTRATI 44267,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44267,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44267,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44267,E10A180,00550,0100,06/07/2000 44267,E10A180,00550,0300,06/07/2000 44267,S000000,00100,0200,06/01/2000 44267,S200000,00100,0100,4429 VENOY ROAD 44267,S200000,00200,0100,WAYNE 44267,S200000,00200,0200,MI 44267,S200000,00200,0300,48184- 44267,S200000,00300,0100,WAYNE 44267,S200000,00400,0100,WAYNE LIVING CENTER 44267,S200000,00400,0200,235581 44267,S200000,00400,0300,07/18/1997 44267,S200000,00400,0500,P 44267,S200000,00600,0200,235581 44267,S200000,00600,0300,07/18/1997 44267,S200000,00600,0600,P 44267,S200000,01600,0100,Y 44276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44276,A000000,00700,0000,00700HOUSEKEEPING 44276,A000000,00800,0000,00800DIETARY 44276,A000000,00900,0000,00900NURSING ADMINISTRATION 44276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44276,A000000,01300,0000,01300SOCIAL SERVICE 44276,A000000,01600,0000,01600SKILLED NURSING FACILITY 44276,A000000,01800,0000,01800NURSING FACILITY 44276,A000000,02100,0000,02100RADIOLOGY 44276,A000000,02200,0000,02200LABORATORY 44276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44276,A000000,02500,0000,02500PHYSICAL THERAPY 44276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44276,A000000,02700,0000,02700SPEECH PATHOLOGY 44276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44276,A81000A,00100,0100,Y 44276,A81000B,00100,0300,CENTRAL OFFICE COSTS 44276,A81000B,00200,0300,CENTRAL OFFICE COSTS 44276,A81000B,00300,0300,CENTRAL OFFICE COSTS 44276,A81000B,00400,0300,CENTRAL OFFICE COSTS 44276,A81000B,00500,0300,CENTRAL OFFICE COSTS 44276,A81000B,00600,0300,CENTRAL OFFICE COSTS 44276,A81000B,00700,0300,CENTRAL OFFICE COSTS 44276,A81000B,00900,0300,TENDERCARE HOLDINGS 44276,A81000B,01000,0300,LIMITED PARTNERSHIP 44276,A81000C,00100,0100,A 44276,A81000C,00100,0200,VARIOUS STOCKHO 44276,A81000C,00100,0400,TENDERCARE (MI) 44276,A81000C,00100,0600,HOME OFFICE 44276,A81000C,00300,0100,B 44276,A81000C,00300,0200,VARIOUS STOCKHO 44276,A81000C,00300,0400,TENDERCARE HOLD 44276,A81000C,00300,0600,LESSOR 44276,A81000C,00400,0400,LIMITED PARTNER 44276,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44276,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44276,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44276,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44276,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44276,B100000,00000,0800,00000MEALS SERVED :DIETARY 44276,B100000,00000,0950,00000DIRECT NRSG $S :NURSING ADMINISTRA 44276,B100000,00000,1050,00000STATISTIC :CENTRAL SERVICES & SUP 44276,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44276,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44276,E10A180,00501,0300,06/05/2000 44276,E10A180,00550,0100,06/05/2000 44276,S000000,00100,0200,06/01/2000 44276,S200000,00100,0100,1234 GOLF COURSE ROAD 44276,S200000,00200,0100,ALPENA 44276,S200000,00200,0200,MI 44276,S200000,00200,0300,49707- 44276,S200000,00300,0100,ALPENA 44276,S200000,00300,0200,23 44276,S200000,00300,0300,R 44276,S200000,00400,0100,TENDERCARE GREENVIEW 44276,S200000,00400,0200,235583 44276,S200000,00400,0300,09/02/1997 44276,S200000,00400,0500,P 44276,S200000,00600,0200,235583 44276,S200000,00600,0300,09/02/1997 44276,S200000,01600,0100,Y 44287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44287,A000000,00300,0000,00300EMPLOYEE BENEFITS 44287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44287,A000000,00700,0000,00700HOUSEKEEPING 44287,A000000,00800,0000,00800DIETARY 44287,A000000,00900,0000,00900NURSING ADMINISTRATION 44287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44287,A000000,01100,0000,01100PHARMACY 44287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44287,A000000,01300,0000,01300SOCIAL SERVICE 44287,A000000,01350,0000,01500ACTIVITIES 44287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44287,A000000,01600,0000,01600SKILLED NURSING FACILITY 44287,A000000,01800,0000,01800NURSING FACILITY 44287,A000000,01900,0000,01900OTHER LONG TERM CARE 44287,A000000,02100,0000,02100RADIOLOGY 44287,A000000,02200,0000,02200LABORATORY 44287,A000000,02300,0000,02300INTRAVENOUS THERAPY 44287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44287,A000000,02500,0000,02500PHYSICAL THERAPY 44287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44287,A000000,02700,0000,02700SPEECH PATHOLOGY 44287,A000000,02800,0000,02800ELECTROCARDIOLOGY 44287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44287,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44287,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44287,A000000,03200,0000,03200SUPPORT SURFACES 44287,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44287,A000000,04800,0000,04800AMBULANCE 44287,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44287,A000000,05300,0000,05300INTEREST EXPENSE 44287,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44287,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44287,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44287,A000000,06100,0000,06100NONPAID WORKERS 44287,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44287,A000000,06200,0000,06200PATIENTS LAUNDRY 44287,A81000A,00100,0100,Y 44287,A81000B,00100,0300,HOME OFFICE COST 44287,A81000B,00200,0300,PHYSICAL THERAPY 44287,A81000B,00300,0300,OCCUPATIONAL THERAPY 44287,A81000B,00400,0300,SPEECH PATHOLOGY 44287,A81000C,00100,0100,B 44287,A81000C,00100,0200,HEARTLAND OF WILLOW LANE 44287,A81000C,00100,0400,HCR MANORCARE INC. 44287,A81000C,00100,0600,LONG TERM CARE FACILITIES 44287,A81000C,00200,0100,B 44287,A81000C,00200,0200,HEARTLAND OF WILLOW LANE 44287,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 44287,A81000C,00200,0600,THERAPY MANAGEMENT 44287,A81000C,00300,0100,B 44287,A81000C,00300,0200,HEARTLAND OF WILLOW LANE 44287,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 44287,A81000C,00300,0600,THERAPY MANAGEMENT 44287,A81000C,00400,0100,B 44287,A81000C,00400,0200,HEARTLAND OF WILLOW LANE 44287,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 44287,A81000C,00400,0600,THERAPY MANAGEMENT 44287,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44287,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44287,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44287,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44287,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44287,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44287,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44287,B100000,00000,0800,00000MEALS SERVED :DIETARY 44287,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44287,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44287,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44287,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44287,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44287,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44287,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44287,S000000,00100,0200,05/12/2000 44287,S200000,00100,0100,416 SOUTH HIGH STREET 44287,S200000,00200,0100,BUTLER 44287,S200000,00200,0200,MO 44287,S200000,00200,0300,64730- 44287,S200000,00300,0100,BATES 44287,S200000,00400,0100,HEARTLAND OF WILLOW LANE 44287,S200000,00400,0200,265275 44287,S200000,00400,0300,12/02/1988 44287,S200000,00400,0500,P 44287,S200000,00400,0600,P 44287,S200000,01004,0500,O 44287,S200000,01600,0100,Y 44287,S700003,00000,0100,1 44296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44296,A000000,00300,0000,00300EMPLOYEE BENEFITS 44296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44296,A000000,00700,0000,00700HOUSEKEEPING 44296,A000000,00800,0000,00800DIETARY 44296,A000000,00900,0000,00900NURSING ADMINISTRATION 44296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44296,A000000,01100,0000,01100PHARMACY 44296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44296,A000000,01300,0000,01300SOCIAL SERVICE 44296,A000000,01350,0000,01500ACTIVITIES 44296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44296,A000000,01600,0000,01600SKILLED NURSING FACILITY 44296,A000000,01800,0000,01800NURSING FACILITY 44296,A000000,01900,0000,01900OTHER LONG TERM CARE 44296,A000000,02100,0000,02100RADIOLOGY 44296,A000000,02200,0000,02200LABORATORY 44296,A000000,02300,0000,02300INTRAVENOUS THERAPY 44296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44296,A000000,02500,0000,02500PHYSICAL THERAPY 44296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44296,A000000,02700,0000,02700SPEECH PATHOLOGY 44296,A000000,02800,0000,02800ELECTROCARDIOLOGY 44296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44296,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44296,A000000,03200,0000,03200SUPPORT SURFACES 44296,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44296,A000000,04800,0000,04800AMBULANCE 44296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44296,A000000,05300,0000,05300INTEREST EXPENSE 44296,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44296,A000000,06100,0000,06100NONPAID WORKERS 44296,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44296,A000000,06200,0000,06200PATIENTS LAUNDRY 44296,A81000A,00100,0100,Y 44296,A81000B,00100,0300,HOME OFFICE COST 44296,A81000B,00200,0300,PT ADMINISTRATIVE FEES 44296,A81000B,00300,0300,OT ADMINISTRATIVE FEES 44296,A81000B,00400,0300,ST ADMINISTRATIVE FEES 44296,A81000B,00500,0300,IV COST 44296,A81000B,00600,0300,PHARMACY 44296,A81000C,00100,0100,B 44296,A81000C,00100,0200,GLENSIDE NURSING CENTER 44296,A81000C,00100,0400,HCR MANORCARE INC. 44296,A81000C,00100,0600,LONG TERM CARE FACILITIES 44296,A81000C,00200,0100,B 44296,A81000C,00200,0200,GLENSIDE NURSING CENTER 44296,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 44296,A81000C,00200,0600,THERAPY MANAGEMENT 44296,A81000C,00300,0100,B 44296,A81000C,00300,0200,GLENSIDE NURSING CENTER 44296,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 44296,A81000C,00300,0600,THERAPY MANAGEMENT 44296,A81000C,00400,0100,B 44296,A81000C,00400,0200,GLENSIDE NURSING CENTER 44296,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 44296,A81000C,00400,0600,THERAPY MANAGEMENT 44296,A81000C,00500,0100,B 44296,A81000C,00500,0200,GLENSIDE NURSING CENTER 44296,A81000C,00500,0400,HTLD HEALTH CARE SVS 44296,A81000C,00500,0600,PHARMACY 44296,A81000C,00600,0100,B 44296,A81000C,00600,0200,GLENSIDE NURSING CENTER 44296,A81000C,00600,0400,HTLD HEALTH CARE SVS 44296,A81000C,00600,0600,PHARMACY 44296,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44296,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44296,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44296,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44296,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44296,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44296,B100000,00000,0800,00000MEALS SERVED :DIETARY 44296,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44296,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44296,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44296,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44296,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44296,S000000,00100,0200,11/29/2000 44296,S200000,00100,0100,144 GALES DRIVE 44296,S200000,00200,0100,NEW PROVIDENCE 44296,S200000,00200,0200,NJ 44296,S200000,00200,0300,07974- 44296,S200000,00300,0100,UNION 44296,S200000,00300,0200,5640 44296,S200000,00300,0300,U 44296,S200000,00400,0100,GLENSIDE NURSING CENTER 44296,S200000,00400,0200,315005 44296,S200000,00400,0300,01/01/1967 44296,S200000,00400,0500,P 44296,S200000,00400,0600,P 44296,S200000,01004,0500,O 44296,S200000,01600,0100,Y 44306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44306,A000000,00300,0000,00300EMPLOYEE BENEFITS 44306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44306,A000000,00700,0000,00700HOUSEKEEPING 44306,A000000,00800,0000,00800DIETARY 44306,A000000,00900,0000,00900NURSING ADMINISTRATION 44306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44306,A000000,01100,0000,01100PHARMACY 44306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44306,A000000,01300,0000,01300SOCIAL SERVICE 44306,A000000,01600,0000,01600SKILLED NURSING FACILITY 44306,A000000,01800,0000,01800NURSING FACILITY 44306,A000000,01900,0000,01900OTHER LONG TERM CARE 44306,A000000,02100,0000,02100RADIOLOGY 44306,A000000,02200,0000,02200LABORATORY 44306,A000000,02300,0000,02300INTRAVENOUS THERAPY 44306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44306,A000000,02500,0000,02500PHYSICAL THERAPY 44306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44306,A000000,02700,0000,02700SPEECH PATHOLOGY 44306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44306,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44306,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44306,A000000,03200,0000,03200SUPPORT SURFACES 44306,A000000,04800,0000,04800AMBULANCE 44306,A000000,05300,0000,05300INTEREST EXPENSE 44306,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44306,A000000,05500,0000,05500HOSPICE 44306,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44306,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44306,A000000,06200,0000,06200PATIENTS LAUNDRY 44306,A81000A,00100,0100,Y 44306,A81000B,00100,0300,BRI-SERVICES 44306,A81000B,00200,0300,BRI-SERVICES 44306,A81000B,00300,0300,BRI-SERVICES 44306,A81000B,00400,0300,BRI-SERVICES 44306,A81000C,00100,0100,B 44306,A81000C,00100,0200,KETHLEY HOUSE 44306,A81000C,00100,0400,BENJ. ROSE INST 44306,A81000C,00100,0600,SS-ELDERLY 44306,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44306,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44306,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44306,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44306,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44306,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44306,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44306,B100000,00000,0800,00000MEALS SERVED :DIETARY 44306,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 44306,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44306,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44306,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44306,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44306,S000000,00100,0200,06/02/2000 44306,S200000,00100,0100,11900 FAIRHILL ROAD 44306,S200000,00200,0100,CLEVELAND 44306,S200000,00200,0200,OH 44306,S200000,00200,0300,44120- 44306,S200000,00300,0100,CUYAHOGA 44306,S200000,00400,0100,KETHLEY HOUSE 44306,S200000,00400,0200,365002 44306,S200000,00400,0300,07/01/1966 44306,S200000,00400,0500,P 44306,S200000,01600,0100,Y 44306,S200000,04300,0100,Y 44314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44314,A000000,00300,0000,00300EMPLOYEE BENEFITS 44314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44314,A000000,00700,0000,00700HOUSEKEEPING 44314,A000000,00800,0000,00800DIETARY 44314,A000000,00900,0000,00900NURSING ADMINISTRATION 44314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44314,A000000,01100,0000,01100PHARMACY 44314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44314,A000000,01300,0000,01300SOCIAL SERVICE 44314,A000000,01600,0000,01600SKILLED NURSING FACILITY 44314,A000000,01800,0000,01800NURSING FACILITY 44314,A000000,02200,0000,02200LABORATORY 44314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44314,A000000,02500,0000,02500PHYSICAL THERAPY 44314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44314,A000000,02700,0000,02700SPEECH PATHOLOGY 44314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44314,A000000,03200,0000,03200SUPPORT SURFACES 44314,A000000,04800,0000,04800AMBULANCE 44314,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44314,A000000,05300,0000,05300INTEREST EXPENSE 44314,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 44314,A81000A,00100,0100,Y 44314,A81000B,00100,0300,INCONTINENCE SUPPLIES 44314,A81000C,00100,0100,G 44314,A81000C,00100,0200,B. GELBTUCH & N 44314,A81000C,00100,0400,DAVMAR 44314,A81000C,00100,0600,MEDICAL SUPPLIE 44314,A81000C,03100,0000,B. GELBTUCH & N. ELLMAN 44314,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44314,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44314,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44314,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44314,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44314,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44314,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44314,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 44314,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 44314,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 44314,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44314,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44314,S000000,00100,0200,06/27/2000 44314,S200000,00100,0100,2586 LAFUEILLE AVENUE 44314,S200000,00200,0100,CINCINNATI 44314,S200000,00200,0200,OH 44314,S200000,00200,0300,45211- 44314,S200000,00300,0100,HAMILTON 44314,S200000,00400,0100,SUMMIT NURSING & CONVALESCENT CTR 44314,S200000,00400,0200,365005 44314,S200000,00400,0300,01/01/1967 44314,S200000,00400,0500,P 44314,S200000,01004,0500,O 44314,S200000,01600,0100,Y 44314,S200000,03100,0100,Y 44324,S000000,00100,0200,06/05/2000 44335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44335,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44335,A000000,00300,0000,00300EMPLOYEE BENEFITS 44335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44335,A000000,00700,0000,00700HOUSEKEEPING 44335,A000000,00800,0000,00800DIETARY 44335,A000000,00900,0000,00900NURSING ADMINISTRATION 44335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44335,A000000,01100,0000,01100PHARMACY 44335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44335,A000000,01300,0000,01300SOCIAL SERVICE 44335,A000000,01350,0000,01500OTHER GENERAL SERVICES 44335,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44335,A000000,01600,0000,01600SKILLED NURSING FACILITY 44335,A000000,01800,0000,01800NURSING FACILITY 44335,A000000,01810,0000,01801ICF/MR 44335,A000000,01900,0000,01900OTHER LONG TERM CARE 44335,A000000,02100,0000,02100RADIOLOGY 44335,A000000,02200,0000,02200LABORATORY 44335,A000000,02300,0000,02300INTRAVENOUS THERAPY 44335,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44335,A000000,02500,0000,02500PHYSICAL THERAPY 44335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44335,A000000,02700,0000,02700SPEECH PATHOLOGY 44335,A000000,02800,0000,02800ELECTROCARDIOLOGY 44335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44335,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44335,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44335,A000000,03200,0000,03200SUPPORT SURFACES 44335,A000000,03400,0000,03400CLINIC 44335,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44335,A000000,03500,0000,03500RURAL HEALTH CLINIC 44335,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44335,A000000,04800,0000,04800AMBULANCE 44335,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44335,A000000,05000,0000,05000CORF 44335,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44335,A000000,05300,0000,05300INTEREST EXPENSE 44335,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44335,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44335,A000000,05500,0000,05500HOSPICE 44335,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44335,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44335,A000000,06100,0000,06100NONPAID WORKERS 44335,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44335,A000000,06200,0000,06200PATIENTS LAUNDRY 44335,A81000A,00100,0100,Y 44335,A81000B,00100,0300,REALTY DEPRECIATION 44335,A81000B,00200,0300,REALTY DEPRECIATION 44335,A81000B,00300,0300,REALTY CO INTEREST 44335,A81000B,00400,0300,REALTY CO A&G 44335,A81000B,00500,0300,HOME OFFICE COSTS 44335,A81000B,00600,0300,HOME OFFICE COSTS 44335,A81000B,00700,0300,HOME OFFICE COSTS 44335,A81000B,00800,0300,RELATED PARTY RENT 44335,A81000B,00900,0300,AMORTIZATION FINANCE FEES 44335,A81000C,00100,0100,C 44335,A81000C,00100,0200,MORTON WEISBERG 44335,A81000C,00100,0400,MULTI-CARE MANAGEMENT 44335,A81000C,00100,0600,HOME OFFICE 44335,A81000C,00200,0100,C 44335,A81000C,00200,0200,MORTON WEISBERG 44335,A81000C,00200,0400,MIDDLEBURY REALTY 44335,A81000C,00200,0600,REALTY COMPANY 44335,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44335,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44335,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44335,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44335,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44335,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44335,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44335,B100000,00000,0800,00000MEALS SERVED :DIETARY 44335,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 44335,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 44335,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44335,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44335,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44335,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44335,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 44335,E10A180,00301,0100,09/23/1999 44335,E10A180,00302,0100,07/23/1999 44335,S000000,00100,0200,06/05/2000 44335,S200000,00100,0100,974 EAST MARKET STREET 44335,S200000,00200,0100,AKRON 44335,S200000,00200,0200,OH 44335,S200000,00200,0300,44305- 44335,S200000,00300,0100,SUMMIT 44335,S200000,00400,0100,MIDDLEBURY MANOR 44335,S200000,00400,0200,365011 44335,S200000,00400,0300,01/01/1967 44335,S200000,00400,0500,P 44335,S200000,01600,0100,Y 44335,S200000,04700,0100,Y 44345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44345,A000000,00300,0000,00300EMPLOYEE BENEFITS 44345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44345,A000000,00700,0000,00700HOUSEKEEPING 44345,A000000,00800,0000,00800DIETARY 44345,A000000,00900,0000,00900NURSING ADMINISTRATION 44345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44345,A000000,01100,0000,01100PHARMACY 44345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44345,A000000,01300,0000,01300SOCIAL SERVICE 44345,A000000,01600,0000,01600SKILLED NURSING FACILITY 44345,A000000,01800,0000,01800NURSING FACILITY 44345,A000000,01900,0000,01900OTHER LONG TERM CARE 44345,A000000,02100,0000,02100RADIOLOGY 44345,A000000,02200,0000,02200LABORATORY 44345,A000000,02300,0000,02300INTRAVENOUS THERAPY 44345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44345,A000000,02500,0000,02500PHYSICAL THERAPY 44345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44345,A000000,02700,0000,02700SPEECH PATHOLOGY 44345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44345,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44345,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44345,A000000,03200,0000,03200SUPPORT SURFACES 44345,A000000,04800,0000,04800AMBULANCE 44345,A000000,05300,0000,05300INTEREST EXPENSE 44345,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44345,A000000,05500,0000,05500HOSPICE 44345,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44345,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44345,A000000,06150,0000,06300RETIREMENT CENTER/COTTAGES 44345,A000000,06151,0000,06301SMITH HOUSE RENTAL PROPERTIES 44345,A000000,06152,0000,06302PLANNED GIVING 44345,A000000,06200,0000,06200PATIENTS LAUNDRY 44345,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 44345,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 44345,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 44345,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 44345,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 44345,B100000,00000,0650,00002INPATIENT DAYS :LAUNDRY & LINEN SE 44345,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 44345,B100000,00000,0800,00002MEALS SERVED :DIETARY 44345,B100000,00000,0950,00002DIRECT NURSING HR :NURSING ADMINIST 44345,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 44345,B100000,00000,1150,00002NO STATISTICS :PHARMACY 44345,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 44345,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 44345,S000000,00100,0200,06/02/2000 44345,S200000,00100,0100,750 CHESTNUT STREET 44345,S200000,00200,0100,GREENVILLE 44345,S200000,00200,0200,OH 44345,S200000,00200,0300,45331- 44345,S200000,00300,0100,DARKE 44345,S200000,00400,0100,BRETHREN RETIREMENT COMMUNITY 44345,S200000,00400,0200,365014 44345,S200000,00400,0300,01/01/1967 44345,S200000,00400,0500,P 44345,S200000,01600,0100,Y 44345,S200000,04300,0100,Y 44353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44353,A000000,00300,0000,00300EMPLOYEE BENEFITS 44353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44353,A000000,00700,0000,00700HOUSEKEEPING 44353,A000000,00800,0000,00800DIETARY 44353,A000000,00900,0000,00900NURSING ADMINISTRATION 44353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44353,A000000,01100,0000,01100PHARMACY 44353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44353,A000000,01300,0000,01300SOCIAL SERVICE 44353,A000000,01600,0000,01600SKILLED NURSING FACILITY 44353,A000000,01800,0000,01800NURSING FACILITY 44353,A000000,01900,0000,01900OTHER LONG TERM CARE 44353,A000000,02100,0000,02100RADIOLOGY 44353,A000000,02200,0000,02200LABORATORY 44353,A000000,02300,0000,02300INTRAVENOUS THERAPY 44353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44353,A000000,02500,0000,02500PHYSICAL THERAPY 44353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44353,A000000,02700,0000,02700SPEECH PATHOLOGY 44353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44353,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44353,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44353,A000000,03200,0000,03200SUPPORT SURFACES 44353,A000000,04800,0000,04800AMBULANCE 44353,A000000,05300,0000,05300INTEREST EXPENSE 44353,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44353,A000000,05500,0000,05500HOSPICE 44353,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44353,A000000,06150,0000,06300NON REIMB. COTTAGES/ENTERALS 44353,A000000,06200,0000,06200PATIENTS LAUNDRY 44353,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44353,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44353,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44353,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44353,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44353,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44353,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44353,B100000,00000,0800,00000MEALS SERVED :DIETARY 44353,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 44353,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44353,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 44353,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44353,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44353,E10A180,00501,0100,07/06/2000 44353,S000000,00100,0200,06/05/2000 44353,S200000,00100,0100,2116 DOVER CENTER ROAD 44353,S200000,00200,0100,WESTLAKE 44353,S200000,00200,0200,OH 44353,S200000,00200,0300,44145- 44353,S200000,00300,0100,CUYAHOGA 44353,S200000,00400,0100,LUTHERAN HOME INC. 44353,S200000,00400,0200,365020 44353,S200000,00400,0300,01/01/1967 44353,S200000,00400,0500,P 44353,S200000,01500,0100,Y 44353,S200000,02800,0100,Y 44353,S200000,04300,0100,Y 44353,S200000,04700,0100,Y 44363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44363,A000000,00300,0000,00300EMPLOYEE BENEFITS 44363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44363,A000000,00700,0000,00700HOUSEKEEPING 44363,A000000,00800,0000,00800DIETARY 44363,A000000,00900,0000,00900NURSING ADMINISTRATION 44363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44363,A000000,01100,0000,01100PHARMACY 44363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44363,A000000,01300,0000,01300SOCIAL SERVICE 44363,A000000,01350,0000,01500ACTIVITIES 44363,A000000,01600,0000,01600SKILLED NURSING FACILITY 44363,A000000,01800,0000,01800NURSING FACILITY 44363,A000000,01810,0000,01810ICF/MR 44363,A000000,02100,0000,02100RADIOLOGY 44363,A000000,02200,0000,02200LABORATORY 44363,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44363,A000000,02500,0000,02500PHYSICAL THERAPY 44363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44363,A000000,02700,0000,02700SPEECH PATHOLOGY 44363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44363,A000000,03050,0000,03110CLINITRON BEDS 44363,A000000,05000,0000,05000CORF 44363,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 44363,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 44363,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 44363,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44363,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44363,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44363,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44363,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44363,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44363,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44363,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44363,B100000,00000,0800,00000MEALS SERVED :DIETARY 44363,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 44363,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44363,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44363,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44363,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44363,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44363,E10A180,00550,0100,06/08/2000 44363,E10A180,00550,0300,06/08/2000 44363,S000000,00100,0200,05/31/2000 44363,S200000,00100,0100,1301 MONROE DRIVE 44363,S200000,00200,0100,XENIA 44363,S200000,00200,0200,OH 44363,S200000,00200,0300,45385- 44363,S200000,00300,0100,GREENE 44363,S200000,00400,0100,HOSPITALITY HOME EAST 44363,S200000,00400,0200,365022 44363,S200000,00400,0300,07/01/1984 44363,S200000,00400,0500,P 44363,S200000,01600,0100,Y 44363,S200000,01900,0100,CORPORATION 44363,S700003,00000,0100,1 44379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44379,A000000,00300,0000,00300EMPLOYEE BENEFITS 44379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44379,A000000,00700,0000,00700HOUSEKEEPING 44379,A000000,00800,0000,00800DIETARY 44379,A000000,00900,0000,00900NURSING ADMINISTRATION 44379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44379,A000000,01100,0000,01100PHARMACY 44379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44379,A000000,01300,0000,01300SOCIAL SERVICE 44379,A000000,01350,0000,01500ACTIVITIES 44379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44379,A000000,01600,0000,01600SKILLED NURSING FACILITY 44379,A000000,01800,0000,01800NURSING FACILITY 44379,A000000,01810,0000,01810ICF/MR 44379,A000000,01900,0000,01900OTHER LONG TERM CARE 44379,A000000,02100,0000,02100RADIOLOGY 44379,A000000,02200,0000,02200LABORATORY 44379,A000000,02300,0000,02300INTRAVENOUS THERAPY 44379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44379,A000000,02500,0000,02500PHYSICAL THERAPY 44379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44379,A000000,02700,0000,02700SPEECH PATHOLOGY 44379,A000000,02800,0000,02800ELECTROCARDIOLOGY 44379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44379,A000000,03200,0000,03200SUPPORT SURFACES 44379,A000000,03400,0000,03400CLINIC 44379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44379,A000000,03500,0000,03500RURAL HEALTH CLINIC 44379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44379,A000000,04400,0000,04400DME RENTED - HHA 44379,A000000,04500,0000,04500DME SOLD - HHA 44379,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44379,A000000,04800,0000,04800AMBULANCE 44379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44379,A000000,05000,0000,05000CORF 44379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44379,A000000,05300,0000,05300INTEREST EXPENSE 44379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44379,A000000,05500,0000,05500HOSPICE 44379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44379,A000000,06100,0000,06100NONPAID WORKERS 44379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44379,A000000,06200,0000,06200PATIENTS LAUNDRY 44379,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44379,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44379,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44379,B100000,00000,0800,00000MEALS SERVED :DIETARY 44379,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44379,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44379,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44379,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44379,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44379,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44379,S000000,00100,0200,12/07/2000 44379,S200000,00100,0100,1151 COLLEGE AVENUE 44379,S200000,00200,0100,COLUMBUS 44379,S200000,00200,0200,OH 44379,S200000,00200,0300,43209- 44379,S200000,00300,0100,FRANKLIN 44379,S200000,00300,0200,1840 44379,S200000,00300,0300,U 44379,S200000,00400,0100,WEXNER HERITAGE HOUSE 44379,S200000,00400,0200,365026 44379,S200000,00400,0300,01/01/1967 44379,S200000,00400,0500,P 44379,S200000,01500,0100,Y 44379,S200000,02200,0100,Y 44379,S200000,04300,0100,Y 44385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44385,A000000,00300,0000,00300EMPLOYEE BENEFITS 44385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44385,A000000,00700,0000,00700HOUSEKEEPING 44385,A000000,00800,0000,00800DIETARY 44385,A000000,00900,0000,00900NURSING ADMINISTRATION 44385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44385,A000000,01100,0000,01100PHARMACY 44385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44385,A000000,01300,0000,01300SOCIAL SERVICE 44385,A000000,01350,0000,01500ACTIVITIES 44385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44385,A000000,01600,0000,01600SKILLED NURSING FACILITY 44385,A000000,01800,0000,01800NURSING FACILITY 44385,A000000,01900,0000,01900OTHER LONG TERM CARE 44385,A000000,02100,0000,02100RADIOLOGY 44385,A000000,02200,0000,02200LABORATORY 44385,A000000,02300,0000,02300INTRAVENOUS THERAPY 44385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44385,A000000,02500,0000,02500PHYSICAL THERAPY 44385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44385,A000000,02700,0000,02700SPEECH PATHOLOGY 44385,A000000,02800,0000,02800ELECTROCARDIOLOGY 44385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44385,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44385,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44385,A000000,03200,0000,03200SUPPORT SURFACES 44385,A000000,03400,0000,03400CLINIC 44385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44385,A000000,03500,0000,03500RURAL HEALTH CLINIC 44385,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44385,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44385,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44385,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44385,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44385,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44385,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44385,A000000,04400,0000,04400DME RENTED - HHA 44385,A000000,04500,0000,04500DME SOLD - HHA 44385,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44385,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44385,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44385,A000000,04800,0000,04800AMBULANCE 44385,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44385,A000000,05000,0000,05000CORF 44385,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44385,A000000,05300,0000,05300INTEREST EXPENSE 44385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44385,A000000,05500,0000,05500HOSPICE 44385,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44385,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44385,A000000,06100,0000,06100NONPAID WORKERS 44385,A000000,06150,0000,06300ENTERALS 44385,A000000,06200,0000,06200PATIENTS LAUNDRY 44385,A81000A,00100,0100,Y 44385,A81000B,00100,0300,MANAGEMENT FEES PAID 44385,A81000B,00200,0300,HOME OFFICE A&G 44385,A81000B,00300,0300,HOME OFFICE PLANT 44385,A81000B,00400,0300,HOME OFFICE CAPITAL 44385,A81000C,00100,0100,A 44385,A81000C,00100,0200,JOHN A. DEPIZZO JR. 44385,A81000C,00100,0400,JOHN A. DEPIZZO JR. INC. 44385,A81000C,00100,0600,ACCTG/MGT/DATA PROCESS 44385,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44385,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44385,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44385,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44385,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44385,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44385,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44385,B100000,00000,0800,00000MEALS SERVED :DIETARY 44385,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44385,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44385,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44385,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44385,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44385,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44385,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44385,S000000,00100,0200,10/29/1999 44385,S200000,00100,0100,3121 GLANZMAN ROAD 44385,S200000,00200,0100,TOLEDO 44385,S200000,00200,0200,OH 44385,S200000,00200,0300,43614-3802 44385,S200000,00300,0100,LUCAS 44385,S200000,00400,0100,BRIARFIELD AT GLANZMAN ROAD 44385,S200000,00400,0200,365030 44385,S200000,00400,0300,10/16/1997 44385,S200000,00400,0500,P 44385,S200000,01004,0500,O 44385,S200000,01600,0100,Y 44387,S000000,00100,0200,05/30/2000 44395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44395,A000000,00300,0000,00300EMPLOYEE BENEFITS 44395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44395,A000000,00700,0000,00700HOUSEKEEPING 44395,A000000,00800,0000,00800DIETARY 44395,A000000,00900,0000,00900NURSING ADMINISTRATION 44395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44395,A000000,01100,0000,01100PHARMACY 44395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44395,A000000,01300,0000,01300SOCIAL SERVICE 44395,A000000,01600,0000,01600SKILLED NURSING FACILITY 44395,A000000,01800,0000,01800NURSING FACILITY 44395,A000000,01900,0000,01900OTHER LONG TERM CARE 44395,A000000,02100,0000,02100RADIOLOGY 44395,A000000,02200,0000,02200LABORATORY 44395,A000000,02300,0000,02300INTRAVENOUS THERAPY 44395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44395,A000000,02500,0000,02500PHYSICAL THERAPY 44395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44395,A000000,02700,0000,02700SPEECH PATHOLOGY 44395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44395,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44395,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44395,A000000,03200,0000,03200SUPPORT SURFACES 44395,A000000,04800,0000,04800AMBULANCE 44395,A000000,05300,0000,05300INTEREST EXPENSE 44395,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44395,A000000,05500,0000,05500HOSPICE 44395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44395,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44395,A000000,06200,0000,06200PATIENTS LAUNDRY 44395,A81000A,00100,0100,Y 44395,A81000B,00100,0300,HOME OFFICE COSTS 44395,A81000B,00200,0300,HOME OFFICE COSTS 44395,A81000B,00300,0300,HOME OFFICE COSTS 44395,A81000B,00400,0300,HOME OFFICE THERAPY COSTS 44395,A81000B,00500,0300,HOME OFFICE THERAPY COSTS 44395,A81000B,00600,0300,HOME OFFICE THERAPY COSTS 44395,A81000B,00700,0300,HOME OFFICE BENEFITS 44395,A81000B,00800,0300,CONSTRUCTION COSTS 44395,A81000C,00100,0100,A 44395,A81000C,00100,0200,BRUCE DASKAL 44395,A81000C,00100,0400,DMD MANAGEMENT 44395,A81000C,00100,0600,MANAGEMENT CO 44395,A81000C,00200,0100,A 44395,A81000C,00200,0200,SHARON DASKAL 44395,A81000C,00200,0400,DMD MANAGEMENT 44395,A81000C,00200,0600,MANAGEMENT CO 44395,A81000C,00300,0100,A 44395,A81000C,00300,0200,DAVID FARKAS 44395,A81000C,00300,0400,DMD MANAGEMENT 44395,A81000C,00300,0600,MANAGEMENT CO 44395,A81000C,00400,0100,A 44395,A81000C,00400,0200,VALERIE FARKAS 44395,A81000C,00400,0400,DMD MANAGEMENT 44395,A81000C,00400,0600,MANAGEMENT CO 44395,A81000C,00500,0100,D 44395,A81000C,00500,0200,ALEX DASKAL 44395,A81000C,00500,0400,DMD MANAGEMENT 44395,A81000C,00500,0600,MANAGEMENT CO 44395,A81000C,00600,0100,D 44395,A81000C,00600,0200,ESTHER DASKAL 44395,A81000C,00600,0400,DMD MANAGEMENT 44395,A81000C,00600,0600,MANAGEMENT CO 44395,A81000C,00700,0100,D 44395,A81000C,00700,0200,HAROLD SHACHTER 44395,A81000C,00700,0400,DMD MANAGEMENT 44395,A81000C,00700,0600,MANAGEMENT CO 44395,A81000C,00800,0100,D 44395,A81000C,00800,0200,EDITH SHACHTER 44395,A81000C,00800,0400,DMD MANAGEMENT 44395,A81000C,00800,0600,MANAGEMENT CO 44395,A81000C,00900,0100,D 44395,A81000C,00900,0200,LOUIS SCHONFELD 44395,A81000C,00900,0400,DMD MANAGEMENT 44395,A81000C,00900,0600,MANAGEMENT CO 44395,A81000C,01000,0100,D 44395,A81000C,01000,0200,RITA SCHONFELD 44395,A81000C,01000,0400,DMD MANAGEMENT 44395,A81000C,01000,0600,MANAGEMENT CO 44395,A81000C,01001,0100,D 44395,A81000C,01001,0200,ROSE DANCZIGER 44395,A81000C,01001,0400,DMD MANAGEMENT 44395,A81000C,01001,0600,MANAGEMENT CO 44395,A81000C,01002,0100,D 44395,A81000C,01002,0200,LARRY DANCZIGER 44395,A81000C,01002,0400,DMD MANAGEMENT 44395,A81000C,01002,0600,MANAGEMENT CO 44395,A81000C,01003,0100,D 44395,A81000C,01003,0200,LORETTA DANCZIGER 44395,A81000C,01003,0400,DMD MANAGEMENT 44395,A81000C,01003,0600,MANAGEMENT CO 44395,A81000C,01004,0100,D 44395,A81000C,01004,0200,MIKE FLANK 44395,A81000C,01004,0400,DMD MANAGEMENT 44395,A81000C,01004,0600,MANAGEMENT CO 44395,A81000C,01005,0100,D 44395,A81000C,01005,0200,HELENA FLANK 44395,A81000C,01005,0400,DMD MANAGEMENT 44395,A81000C,01005,0600,MANAGEMENT CO 44395,A81000C,01006,0100,D 44395,A81000C,01006,0200,RUTH FEIG 44395,A81000C,01006,0400,DMD MANAGEMENT 44395,A81000C,01006,0600,MANAGEMENT CO 44395,A81000C,01007,0100,D 44395,A81000C,01007,0200,REGINA KATZ 44395,A81000C,01007,0400,DMD MANAGEMENT 44395,A81000C,01007,0600,MANAGEMENT CO 44395,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44395,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44395,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44395,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44395,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44395,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44395,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44395,B100000,00000,0800,00000MEALS SERVED :DIETARY 44395,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44395,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44395,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44395,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44395,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44395,E10A180,00501,0100,07/10/2000 44395,S000000,00100,0200,06/05/2000 44395,S200000,00100,0100,12504 CEDAR ROAD 44395,S200000,00200,0100,CLEVELAND 44395,S200000,00200,0200,OH 44395,S200000,00200,0300,44106- 44395,S200000,00300,0100,CUYAHOGA 44395,S200000,00400,0100,CEDARWOOD PLAZA 44395,S200000,00400,0200,365033 44395,S200000,00400,0300,01/01/1967 44395,S200000,00400,0500,P 44395,S200000,01600,0100,Y 44395,S200000,04300,0100,Y 44395,S700003,00000,0100,1 44405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44405,A000000,00300,0000,00300EMPLOYEE BENEFITS 44405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44405,A000000,00700,0000,00700HOUSEKEEPING 44405,A000000,00800,0000,00800DIETARY 44405,A000000,00900,0000,00900NURSING ADMINISTRATION 44405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44405,A000000,01100,0000,01100PHARMACY 44405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44405,A000000,01300,0000,01300SOCIAL SERVICE 44405,A000000,01350,0000,01500OTHER GENERAL SERVICES 44405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44405,A000000,01600,0000,01600SKILLED NURSING FACILITY 44405,A000000,01800,0000,01800NURSING FACILITY 44405,A000000,01810,0000,01801ICF/MR 44405,A000000,01900,0000,01900OTHER LONG TERM CARE 44405,A000000,02100,0000,02100RADIOLOGY 44405,A000000,02200,0000,02200LABORATORY 44405,A000000,02300,0000,02300INTRAVENOUS THERAPY 44405,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44405,A000000,02500,0000,02500PHYSICAL THERAPY 44405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44405,A000000,02700,0000,02700SPEECH PATHOLOGY 44405,A000000,02800,0000,02800ELECTROCARDIOLOGY 44405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44405,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44405,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44405,A000000,03200,0000,03200SUPPORT SURFACES 44405,A000000,03400,0000,03400CLINIC 44405,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44405,A000000,03500,0000,03500RURAL HEALTH CLINIC 44405,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44405,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44405,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44405,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44405,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44405,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44405,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44405,A000000,04400,0000,04400DME RENTED - HHA 44405,A000000,04500,0000,04500DME SOLD - HHA 44405,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44405,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44405,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44405,A000000,04800,0000,04800AMBULANCE 44405,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44405,A000000,05000,0000,05000CORF 44405,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44405,A000000,05300,0000,05300INTEREST EXPENSE 44405,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44405,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44405,A000000,05500,0000,05500HOSPICE 44405,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44405,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44405,A000000,06100,0000,06100NONPAID WORKERS 44405,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44405,A000000,06200,0000,06200PATIENTS LAUNDRY 44405,A81000A,00100,0100,Y 44405,A81000B,00100,0300,HOME OFFICE ADJUSTMENT 44405,A81000B,00200,0300,HOME OFFICE ADJUSTMENT 44405,A81000B,00300,0300,HOME OFFICE ADJUSTMENT 44405,A81000C,00100,0100,B 44405,A81000C,00100,0400,EPISCOPAL RETIREMENT HOME 44405,A81000C,00100,0600,HOME OFFICE 44405,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44405,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44405,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44405,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44405,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44405,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44405,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44405,B100000,00000,0800,00000MEALS SERVED :DIETARY 44405,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 44405,B100000,00000,1000,00000COSTED REQUSITION :CENTRAL SERVICE 44405,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44405,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44405,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44405,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44405,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44405,S000000,00100,0200,06/07/2000 44405,S200000,00100,0100,4001 ROSSLYN DRIVE 44405,S200000,00200,0100,CINCINNATI 44405,S200000,00200,0200,OH 44405,S200000,00200,0300,45209- 44405,S200000,00300,0100,HAMILTON 44405,S200000,00400,0100,THE DEUPREE COMMUNITY 44405,S200000,00400,0200,365044 44405,S200000,00400,0300,12/01/1996 44405,S200000,00400,0500,P 44405,S200000,00400,0600,P 44405,S200000,01600,0100,Y 44405,S200000,02800,0100,Y 44405,S200000,04700,0100,Y 44425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44425,A000000,00300,0000,00300EMPLOYEE BENEFITS 44425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44425,A000000,00700,0000,00700HOUSEKEEPING 44425,A000000,00800,0000,00800DIETARY 44425,A000000,00900,0000,00900NURSING ADMINISTRATION 44425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44425,A000000,01100,0000,01100PHARMACY 44425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44425,A000000,01300,0000,01300SOCIAL SERVICE 44425,A000000,01600,0000,01600SKILLED NURSING FACILITY 44425,A000000,01800,0000,01800NURSING FACILITY 44425,A000000,01900,0000,01900OTHER LONG TERM CARE 44425,A000000,02100,0000,02100RADIOLOGY 44425,A000000,02200,0000,02200LABORATORY 44425,A000000,02300,0000,02300INTRAVENOUS THERAPY 44425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44425,A000000,02500,0000,02500PHYSICAL THERAPY 44425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44425,A000000,02700,0000,02700SPEECH PATHOLOGY 44425,A000000,02800,0000,02800ELECTROCARDIOLOGY 44425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44425,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44425,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44425,A000000,03200,0000,03200SUPPORT SURFACES 44425,A000000,03400,0000,03400CLINIC 44425,A000000,03500,0000,03500RURAL HEALTH CLINIC 44425,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44425,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44425,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44425,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44425,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44425,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44425,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44425,A000000,04400,0000,04400DME RENTED - HHA 44425,A000000,04500,0000,04500DME SOLD - HHA 44425,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44425,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44425,A000000,04800,0000,04800AMBULANCE 44425,A000000,05300,0000,05300INTEREST EXPENSE 44425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44425,A000000,05500,0000,05500HOSPICE 44425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44425,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44425,A000000,06151,0000,06301PART B COSTS BILLED TO CARRIER 44425,A000000,06200,0000,06200PATIENTS LAUNDRY 44425,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 44425,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 44425,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 44425,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 44425,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 44425,B100000,00000,0650,00001INPATIENT DAYS :LAUNDRY & LINEN SE 44425,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 44425,B100000,00000,0800,00001MEALS SERVED :DIETARY 44425,B100000,00000,0950,00001INPATIENT DAYS :NURSING ADMINISTRA 44425,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 44425,B100000,00000,1250,00001INPATIENT DAYS :MEDICAL RECORDS & 44425,B100000,00000,1330,00001INPATIENT DAYS :SOCIAL SERVICE 44425,E10A180,00550,0100,01/03/2001 44425,H510100,00000,0000,257 44425,H710000,00301,0100,02/29/2000 44425,H710000,00301,0300,02/29/2000 44425,H710000,00501,0100,01/03/2001 44425,H710000,00550,0300,01/03/2001 44425,S000000,00100,0200,12/04/2000 44425,S200000,00100,0100,ONE DAVID N. MYERS PARKWAY 44425,S200000,00200,0100,BEACHWOOD 44425,S200000,00200,0200,OH 44425,S200000,00200,0300,44122- 44425,S200000,00300,0100,CUYAHOGA 44425,S200000,00300,0200,1680 44425,S200000,00300,0300,U 44425,S200000,00400,0100,THE MONTEFIORE HOME 44425,S200000,00400,0200,365046 44425,S200000,00400,0300,01/01/1967 44425,S200000,00400,0500,P 44425,S200000,00800,0200,367684 44425,S200000,00800,0300,12/21/1996 44425,S200000,00800,0500,P 44425,S200000,01600,0100,Y 44425,S200000,04300,0100,Y 44432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44432,A000000,00300,0000,00300EMPLOYEE BENEFITS 44432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44432,A000000,00700,0000,00700HOUSEKEEPING 44432,A000000,00800,0000,00800DIETARY 44432,A000000,00900,0000,00900NURSING ADMINISTRATION 44432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44432,A000000,01100,0000,01100PHARMACY 44432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44432,A000000,01300,0000,01300SOCIAL SERVICE 44432,A000000,01350,0000,01500ACTIVITIES 44432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44432,A000000,01600,0000,01600SKILLED NURSING FACILITY 44432,A000000,01800,0000,01800NURSING FACILITY 44432,A000000,01810,0000,01810ICF/MR 44432,A000000,01900,0000,01900OTHER LONG TERM CARE 44432,A000000,02100,0000,02100RADIOLOGY 44432,A000000,02200,0000,02200LABORATORY 44432,A000000,02300,0000,02300INTRAVENOUS THERAPY 44432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44432,A000000,02500,0000,02500PHYSICAL THERAPY 44432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44432,A000000,02700,0000,02700SPEECH PATHOLOGY 44432,A000000,02800,0000,02800ELECTROCARDIOLOGY 44432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44432,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44432,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44432,A000000,03200,0000,03200SUPPORT SURFACES 44432,A000000,03400,0000,03400CLINIC 44432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44432,A000000,03500,0000,03500RURAL HEALTH CLINIC 44432,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44432,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44432,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44432,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44432,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44432,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44432,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44432,A000000,04400,0000,04400DME RENTED - HHA 44432,A000000,04500,0000,04500DME SOLD - HHA 44432,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44432,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44432,A000000,04800,0000,04800AMBULANCE 44432,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44432,A000000,05000,0000,05000CORF 44432,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44432,A000000,05300,0000,05300INTEREST EXPENSE 44432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44432,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44432,A000000,05500,0000,05500HOSPICE 44432,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44432,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44432,A000000,06100,0000,06100NONPAID WORKERS 44432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44432,A000000,06200,0000,06200PATIENTS LAUNDRY 44432,A81000A,00100,0100,Y 44432,A81000B,00100,0300,SERVICES PURCHASED ADM & GEN HHA 44432,A81000C,00100,0100,C 44432,A81000C,00100,0200,FCV SERV CORP 44432,A81000C,00100,0600,HHA 44432,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44432,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44432,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44432,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44432,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44432,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44432,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 44432,B100000,00000,0800,00000MEALS SERVED :DIETARY 44432,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44432,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44432,H510100,00000,0000,8625 44432,H710000,00350,0100,03/02/2000 44432,H710000,00350,0300,03/02/2000 44432,H710000,00501,0100,01/09/2001 44432,S000000,00100,0200,12/04/2000 44432,S200000,00100,0100,1800 RIVERSIDE DR 44432,S200000,00200,0100,COLUMBUS 44432,S200000,00200,0200,OH 44432,S200000,00200,0300,43212-1899 44432,S200000,00300,0100,FRANKLIN 44432,S200000,00300,0200,1840 44432,S200000,00300,0300,U 44432,S200000,00400,0100,FIRST COMMUNITY VILLAGE 44432,S200000,00400,0200,365047 44432,S200000,00400,0300,01/01/1967 44432,S200000,00400,0500,P 44432,S200000,00800,0200,367674 44432,S200000,00800,0300,03/14/1996 44432,S200000,00800,0500,P 44432,S200000,01500,0100,Y 44432,S200000,04300,0100,Y 44439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44439,A000000,00300,0000,00300EMPLOYEE BENEFITS 44439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44439,A000000,00700,0000,00700HOUSEKEEPING 44439,A000000,00800,0000,00800DIETARY 44439,A000000,00900,0000,00900NURSING ADMINISTRATION 44439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44439,A000000,01100,0000,01100PHARMACY 44439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44439,A000000,01300,0000,01300SOCIAL SERVICE 44439,A000000,01350,0000,01500OTHER GENERAL SERVICES 44439,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44439,A000000,01600,0000,01600SKILLED NURSING FACILITY 44439,A000000,01800,0000,01800NURSING FACILITY 44439,A000000,01810,0000,01810ICF/MR 44439,A000000,01900,0000,01900OTHER LONG TERM CARE 44439,A000000,02100,0000,02100RADIOLOGY 44439,A000000,02200,0000,02200LABORATORY 44439,A000000,02300,0000,02300INTRAVENOUS THERAPY 44439,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44439,A000000,02500,0000,02500PHYSICAL THERAPY 44439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44439,A000000,02700,0000,02700SPEECH PATHOLOGY 44439,A000000,02800,0000,02800ELECTROCARDIOLOGY 44439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44439,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44439,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44439,A000000,03200,0000,03200SUPPORT SURFACES 44439,A000000,03400,0000,03400CLINIC 44439,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44439,A000000,03500,0000,03500RURAL HEALTH CLINIC 44439,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44439,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44439,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44439,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44439,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44439,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44439,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44439,A000000,04400,0000,04400DME RENTED - HHA 44439,A000000,04500,0000,04500DME SOLD - HHA 44439,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44439,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44439,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44439,A000000,04800,0000,04800AMBULANCE 44439,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44439,A000000,05000,0000,05000CORF 44439,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44439,A000000,05300,0000,05300INTEREST EXPENSE 44439,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44439,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44439,A000000,05500,0000,05500HOSPICE 44439,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44439,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44439,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44439,A000000,06100,0000,06100NONPAID WORKERS 44439,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44439,A000000,06200,0000,06200PATIENTS LAUNDRY 44439,A81000A,00100,0100,Y 44439,A81000B,00100,0300,HOME OFFICE 44439,A81000B,00200,0300,HOME OFFICE 44439,A81000B,00300,0300,HOME OFFICE 44439,A81000B,00400,0300,HOME OFFICE 44439,A81000B,00500,0300,HOME OFFICE 44439,A81000C,00100,0100,B 44439,A81000C,00100,0400,OPRS 44439,A81000C,00100,0600,HOME OFFICE 44439,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44439,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44439,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44439,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44439,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44439,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44439,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44439,B100000,00000,0800,00000MEALS SERVED :DIETARY 44439,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44439,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44439,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44439,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44439,H510100,00000,0000,676 44439,H710000,00350,0100,02/29/2000 44439,H710000,00350,0300,02/29/2000 44439,H710000,00501,0100,01/18/2001 44439,S000000,00100,0200,12/01/2000 44439,S200000,00100,0100,1150 W. MARKET STREET 44439,S200000,00200,0100,AKRON 44439,S200000,00200,0200,OH 44439,S200000,00200,0300,44313- 44439,S200000,00300,0100,SUMMIT 44439,S200000,00300,0200,0080 44439,S200000,00300,0300,U 44439,S200000,00400,0100,ROCKYNOL 44439,S200000,00400,0200,365051 44439,S200000,00400,0300,04/30/1980 44439,S200000,00400,0500,P 44439,S200000,00800,0200,367547 44439,S200000,00800,0300,12/27/1993 44439,S200000,00800,0500,P 44439,S200000,01500,0100,Y 44439,S200000,01900,0100,CCRC 44439,S200000,04300,0100,Y 44446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44446,A000000,00300,0000,00300EMPLOYEE BENEFITS 44446,A000000,00401,0000,00401ADMITTING 44446,A000000,00402,0000,00402CASHIERING/ACC REC 44446,A000000,00403,0000,00403ADMINISTRATIVE & GENERAL 44446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44446,A000000,00501,0000,00501OPERATION OF PLANT 44446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44446,A000000,00700,0000,00700HOUSEKEEPING 44446,A000000,00800,0000,00800DIETARY 44446,A000000,00801,0000,00801CAFETERIA 44446,A000000,00900,0000,00900NURSING ADMINISTRATION 44446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44446,A000000,01100,0000,01100PHARMACY 44446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44446,A000000,01300,0000,01300SOCIAL SERVICE 44446,A000000,01350,0000,01500OTHER GENERAL SERVICES 44446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44446,A000000,01600,0000,01600SKILLED NURSING FACILITY 44446,A000000,01800,0000,01800NURSING FACILITY 44446,A000000,01810,0000,01801ICF/MR 44446,A000000,01900,0000,01900OTHER LONG TERM CARE 44446,A000000,02100,0000,02100RADIOLOGY 44446,A000000,02101,0000,02101OPERATING ROOM 44446,A000000,02102,0000,02102RECOVERY ROOM 44446,A000000,02200,0000,02200LABORATORY 44446,A000000,02300,0000,02300INTRAVENOUS THERAPY 44446,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44446,A000000,02500,0000,02500PHYSICAL THERAPY 44446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44446,A000000,02700,0000,02700SPEECH PATHOLOGY 44446,A000000,02800,0000,02800ELECTROCARDIOLOGY 44446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44446,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44446,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44446,A000000,03200,0000,03200SUPPORT SURFACES 44446,A000000,03400,0000,03400CLINIC 44446,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44446,A000000,03500,0000,03500RURAL HEALTH CLINIC 44446,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44446,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44446,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44446,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44446,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44446,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44446,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44446,A000000,04400,0000,04400DME RENTED - HHA 44446,A000000,04500,0000,04500DME SOLD - HHA 44446,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44446,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44446,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44446,A000000,04751,0000,05101OTHER CAPITAL COSTS 44446,A000000,04800,0000,04800AMBULANCE 44446,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44446,A000000,05000,0000,05000CORF 44446,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44446,A000000,05300,0000,05300INTEREST EXPENSE 44446,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44446,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44446,A000000,05500,0000,05500HOSPICE 44446,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44446,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44446,A000000,06001,0000,06001CORRINNE DOLAN CENTER 44446,A000000,06002,0000,06002RESEARCH 44446,A000000,06003,0000,06003THE LIBERTY 44446,A000000,06004,0000,06004DIALYSIS CENTER 44446,A000000,06100,0000,06100NONPAID WORKERS 44446,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44446,A000000,06200,0000,06200PATIENTS LAUNDRY 44446,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44446,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 44446,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44446,B100000,00000,0403,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44446,B100000,00000,0451,00000GROSS REVENUE :ADMITTING 44446,B100000,00000,0452,00000GROSS REVENUE :CASHIERING/ACC REC 44446,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44446,B100000,00000,0501,00000SQUARE FEET :OPERATION OF PLANT 44446,B100000,00000,0650,00000MEALS SERVED :LAUNDRY & LINEN SERV 44446,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44446,B100000,00000,0800,00000MEALS SERVED :DIETARY 44446,B100000,00000,0801,00000MEALS SERVED :CAFETERIA 44446,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44446,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44446,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44446,B100000,00000,1250,00000HOURS SPENT :MEDICAL RECORDS & LIB 44446,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44446,B100000,00000,1350,00000ACCUM. COST :OTHER GENERAL SERVICE 44446,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44446,S000000,00100,0200,06/01/2000 44446,S200000,00100,0100,12340 BASS LAKE RD 44446,S200000,00200,0100,CHARDON 44446,S200000,00200,0200,OH 44446,S200000,00200,0300,44024-9364 44446,S200000,00300,0100,GEAUGA 44446,S200000,00400,0100,HEATHER HILL INC 44446,S200000,00400,0200,365053 44446,S200000,00400,0300,01/01/1967 44446,S200000,00400,0500,P 44446,S200000,01500,0100,Y 44457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44457,A000000,00300,0000,00300EMPLOYEE BENEFITS 44457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44457,A000000,00700,0000,00700HOUSEKEEPING 44457,A000000,00800,0000,00800DIETARY 44457,A000000,00900,0000,00900NURSING ADMINISTRATION 44457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44457,A000000,01100,0000,01100PHARMACY 44457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44457,A000000,01300,0000,01300SOCIAL SERVICE 44457,A000000,01350,0000,01500OTHER GENERAL SERVICES 44457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44457,A000000,01600,0000,01600SKILLED NURSING FACILITY 44457,A000000,01800,0000,01800NURSING FACILITY 44457,A000000,01900,0000,01900OTHER LONG TERM CARE 44457,A000000,02100,0000,02100RADIOLOGY 44457,A000000,02200,0000,02200LABORATORY 44457,A000000,02300,0000,02300INTRAVENOUS THERAPY 44457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44457,A000000,02500,0000,02500PHYSICAL THERAPY 44457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44457,A000000,02700,0000,02700SPEECH PATHOLOGY 44457,A000000,02800,0000,02800ELECTROCARDIOLOGY 44457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44457,A000000,03200,0000,03200SUPPORT SURFACES 44457,A000000,03400,0000,03400CLINIC 44457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44457,A000000,03500,0000,03500RURAL HEALTH CLINIC 44457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44457,A000000,04800,0000,04800AMBULANCE 44457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44457,A000000,05000,0000,05000CORF 44457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44457,A000000,05300,0000,05300INTEREST EXPENSE 44457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44457,A000000,05500,0000,05500HOSPICE 44457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44457,A000000,06100,0000,06100NONPAID WORKERS 44457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44457,A000000,06200,0000,06200PATIENTS LAUNDRY 44457,A81000A,00100,0100,Y 44457,A81000B,00100,0300,MANAGEMENT SERVICES 44457,A81000C,00100,0100,A 44457,A81000C,00100,0200,THOMAS E. GAULT 44457,A81000C,00100,0400,TRINE TECHNIC INC 44457,A81000C,00100,0600,MANAGEMENT COMPANY 44457,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 44457,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 44457,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 44457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44457,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 44457,B100000,00000,0650,00000 LBS LAUNDRY :LAUNDRY & LINEN SERVI 44457,B100000,00000,0750,00000 HRS SERVICE :HOUSEKEEPING 44457,B100000,00000,0800,00000MEALS SERVED :DIETARY 44457,B100000,00000,0950,00000 HRS SERVICE :NURSING ADMINISTRATIO 44457,B100000,00000,1000,00000 COST REQUIS :CENTRAL SERVICES & SU 44457,B100000,00000,1150,00000 :PHARMACY 44457,B100000,00000,1250,00000 DISCHARGES :MEDICAL RECORDS & LIB 44457,B100000,00000,1330,00000 ADMISSIONS :SOCIAL SERVICE 44457,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 44457,B100000,00000,1450,00000 :INTERNS & RESIDENTS (APPRVD PRO 44457,S000000,00100,0200,06/01/2000 44457,S200000,00100,0100,2171 HARRISON AVENUE 44457,S200000,00100,0300,PO BOX 11327 44457,S200000,00200,0100,CINCINNATI 44457,S200000,00200,0200,OH 44457,S200000,00200,0300,45211- 44457,S200000,00300,0100,HAMILTON 44457,S200000,00400,0100,HARRISON HOUSE INC 44457,S200000,00400,0200,365065 44457,S200000,00400,0300,01/01/1967 44457,S200000,00400,0500,P 44457,S200000,01600,0100,Y 44457,S200000,04700,0100,Y 44467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44467,A000000,00300,0000,00300EMPLOYEE BENEFITS 44467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44467,A000000,00700,0000,00700HOUSEKEEPING 44467,A000000,00800,0000,00800DIETARY 44467,A000000,00900,0000,00900NURSING ADMINISTRATION 44467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44467,A000000,01100,0000,01100PHARMACY 44467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44467,A000000,01300,0000,01300SOCIAL SERVICE 44467,A000000,01600,0000,01600SKILLED NURSING FACILITY 44467,A000000,01800,0000,01800NURSING FACILITY 44467,A000000,01900,0000,01900OTHER LONG TERM CARE 44467,A000000,02100,0000,02100RADIOLOGY 44467,A000000,02200,0000,02200LABORATORY 44467,A000000,02300,0000,02300INTRAVENOUS THERAPY 44467,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44467,A000000,02500,0000,02500PHYSICAL THERAPY 44467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44467,A000000,02700,0000,02700SPEECH PATHOLOGY 44467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44467,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44467,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44467,A000000,03200,0000,03200SUPPORT SURFACES 44467,A000000,04800,0000,04800AMBULANCE 44467,A000000,05300,0000,05300INTEREST EXPENSE 44467,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44467,A000000,05500,0000,05500HOSPICE 44467,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44467,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44467,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44467,A000000,06200,0000,06200PATIENTS LAUNDRY 44467,A81000A,00100,0100,Y 44467,A81000B,00100,0300,REALTY COMPANY EXPENSE 44467,A81000B,00200,0300,REALTY COMPANY EXPENSE 44467,A81000B,00300,0300,REALTY COMPANY EXPENSE 44467,A81000B,00400,0300,ALLOCATED A&G EXPENSE 44467,A81000B,00500,0300,ALLOCATED A&G EXPENSE 44467,A81000B,00600,0300,ALLOCATED A&G EXPENSE 44467,A81000C,00100,0100,A 44467,A81000C,00100,0200,WILL GRUNSPAN 44467,A81000C,00100,0400,BEACHWOOD REALTY 44467,A81000C,00100,0600,REALTY COMPANY 44467,A81000C,00200,0100,A 44467,A81000C,00200,0200,SHARONA GRUNSPAN 44467,A81000C,00200,0400,BEACHWOOD REALTY 44467,A81000C,00200,0600,REALTY COMPANY 44467,A81000C,00300,0100,A 44467,A81000C,00400,0100,A 44467,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44467,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44467,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44467,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44467,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44467,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44467,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44467,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 44467,B100000,00000,0950,00000DIRECT NURSE HRS :NURSING ADMINISTR 44467,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44467,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 44467,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44467,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44467,S000000,00100,0200,07/25/2000 44467,S200000,00100,0100,23900 CHAGRIN BLVD. 44467,S200000,00200,0100,BEACHWOOD 44467,S200000,00200,0200,OH 44467,S200000,00200,0300,44122- 44467,S200000,00300,0100,CUYAHOGA 44467,S200000,00300,0200,1680 44467,S200000,00300,0300,U 44467,S200000,00400,0100,BEACHWOOD NURSING & HEALTH CARE 44467,S200000,00400,0200,365071 44467,S200000,00400,0300,01/06/1967 44467,S200000,00400,0500,P 44467,S200000,01600,0100,Y 44467,S200000,04300,0100,Y 44476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44476,A000000,00300,0000,00300EMPLOYEE BENEFITS 44476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44476,A000000,00700,0000,00700HOUSEKEEPING 44476,A000000,00800,0000,00800DIETARY 44476,A000000,00900,0000,00900NURSING ADMINISTRATION 44476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44476,A000000,01100,0000,01100PHARMACY 44476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44476,A000000,01300,0000,01300SOCIAL SERVICE 44476,A000000,01350,0000,01500OTHER GENERAL SERVICES 44476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44476,A000000,01600,0000,01600SKILLED NURSING FACILITY 44476,A000000,01800,0000,01800NURSING FACILITY 44476,A000000,01810,0000,01810ICF/MR 44476,A000000,01900,0000,01900OTHER LONG TERM CARE 44476,A000000,02100,0000,02100RADIOLOGY 44476,A000000,02200,0000,02200LABORATORY 44476,A000000,02300,0000,02300INTRAVENOUS THERAPY 44476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44476,A000000,02500,0000,02500PHYSICAL THERAPY 44476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44476,A000000,02700,0000,02700SPEECH PATHOLOGY 44476,A000000,02800,0000,02800ELECTROCARDIOLOGY 44476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44476,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44476,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44476,A000000,03200,0000,03200SUPPORT SURFACES 44476,A000000,03400,0000,03400CLINIC 44476,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44476,A000000,03500,0000,03500RURAL HEALTH CLINIC 44476,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44476,A000000,04800,0000,04800AMBULANCE 44476,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44476,A000000,05000,0000,05000CORF 44476,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44476,A000000,05300,0000,05300INTEREST EXPENSE 44476,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44476,A000000,05500,0000,05500HOSPICE 44476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44476,A000000,06100,0000,06100NONPAID WORKERS 44476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44476,A000000,06200,0000,06200PATIENTS LAUNDRY 44476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44476,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44476,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44476,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44476,B100000,00000,0850,00000PATIENT FAYS :DIETARY 44476,B100000,00000,0950,00000PATIENT FAYS :NURSING ADMINISTRATI 44476,B100000,00000,1050,00000PATIENT FAYS :CENTRAL SERVICES & S 44476,B100000,00000,1250,00000PATIENT FAYS :MEDICAL RECORDS & LI 44476,B100000,00000,1330,00000PATIENT FAYS :SOCIAL SERVICE 44476,B100000,00000,1350,00000PATIENT FAYS :OTHER GENERAL SERVIC 44476,E10A180,00301,0100,10/05/1999 44476,E10A180,00350,0100,11/18/1999 44476,E10A180,00351,0100,06/10/1997 44476,E10A180,00550,0100,06/07/2000 44476,S000000,00100,0200,06/05/2000 44476,S200000,00100,0100,889 NORTH AURORA ROAD 44476,S200000,00200,0100,AURORA 44476,S200000,00200,0200,OH 44476,S200000,00200,0300,44202- 44476,S200000,00300,0100,PORTAGE 44476,S200000,00300,0200,0080 44476,S200000,00300,0300,U 44476,S200000,00400,0100,ANNA MARIA OF AURORA 44476,S200000,00400,0200,365072 44476,S200000,00400,0300,01/01/1967 44476,S200000,00400,0500,P 44476,S200000,01600,0100,Y 44476,S200000,04700,0100,Y 44476,S200000,04700,0200,Y 44486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44486,A000000,00300,0000,00300EMPLOYEE BENEFITS 44486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44486,A000000,00700,0000,00700HOUSEKEEPING 44486,A000000,00800,0000,00800DIETARY 44486,A000000,00900,0000,00900NURSING ADMINISTRATION 44486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44486,A000000,01100,0000,01100PHARMACY 44486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44486,A000000,01300,0000,01300SOCIAL SERVICE 44486,A000000,01350,0000,01500ACTIVITIES 44486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44486,A000000,01600,0000,01600SKILLED NURSING FACILITY 44486,A000000,01800,0000,01800NURSING FACILITY 44486,A000000,01810,0000,01801ICF/MR 44486,A000000,01900,0000,01900OTHER LONG TERM CARE 44486,A000000,02100,0000,02100RADIOLOGY 44486,A000000,02200,0000,02200LABORATORY 44486,A000000,02300,0000,02300INTRAVENOUS THERAPY 44486,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44486,A000000,02500,0000,02500PHYSICAL THERAPY 44486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44486,A000000,02700,0000,02700SPEECH PATHOLOGY 44486,A000000,02800,0000,02800ELECTROCARDIOLOGY 44486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44486,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44486,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44486,A000000,03200,0000,03200SUPPORT SURFACES 44486,A000000,03400,0000,03400CLINIC 44486,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44486,A000000,03500,0000,03500RURAL HEALTH CLINIC 44486,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44486,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44486,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44486,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44486,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44486,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44486,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44486,A000000,04400,0000,04400DME RENTED - HHA 44486,A000000,04500,0000,04500DME SOLD - HHA 44486,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44486,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44486,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44486,A000000,04800,0000,04800AMBULANCE 44486,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44486,A000000,05000,0000,05000CORF 44486,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44486,A000000,05300,0000,05300INTEREST EXPENSE 44486,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44486,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44486,A000000,05500,0000,05500HOSPICE 44486,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44486,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44486,A000000,06100,0000,06100NONPAID WORKERS 44486,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44486,A000000,06200,0000,06200PATIENTS LAUNDRY 44486,A81000A,00100,0100,Y 44486,A81000B,00100,0300,HOME OFFICE COSTS 44486,A81000C,00100,0100,A 44486,A81000C,00100,0200,ROBERT MURTHA 44486,A81000C,00100,0400,THE MACINTOSH 44486,A81000C,00100,0600,NURSING HOME MANAGEMENT 44486,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44486,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44486,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44486,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44486,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44486,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44486,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44486,B100000,00000,0800,00000MEALS SERVED :DIETARY 44486,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44486,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44486,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44486,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44486,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44486,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44486,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44486,S000000,00100,0200,05/26/2000 44486,S200000,00100,0100,3929 HOOVER ROAD 44486,S200000,00200,0100,GROVE CITY 44486,S200000,00200,0200,OH 44486,S200000,00200,0300,43123-2853 44486,S200000,00300,0100,FRANKLIN 44486,S200000,00400,0100,MONTEREY CARE CENTER 44486,S200000,00400,0200,365077 44486,S200000,00400,0300,12/01/1990 44486,S200000,00400,0500,P 44486,S200000,01004,0500,O 44486,S200000,01600,0100,Y 44486,S200000,02200,0100,Y 44486,S200000,04300,0100,Y 44495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44495,A000000,00300,0000,00300EMPLOYEE BENEFITS 44495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44495,A000000,00700,0000,00700HOUSEKEEPING 44495,A000000,00800,0000,00800DIETARY 44495,A000000,00900,0000,00900NURSING ADMINISTRATION 44495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44495,A000000,01300,0000,01300SOCIAL SERVICE 44495,A000000,01350,0000,01500ACTIVITIES 44495,A000000,01600,0000,01600SKILLED NURSING FACILITY 44495,A000000,01800,0000,01800NURSING FACILITY 44495,A000000,02500,0000,02500PHYSICAL THERAPY 44495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44495,A000000,02700,0000,02700SPEECH PATHOLOGY 44495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44495,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44495,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44495,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44495,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44495,A81000A,00100,0100,Y 44495,A81000B,00100,0300,RENT EXPENSE 44495,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44495,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44495,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44495,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44495,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44495,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44495,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44495,B100000,00000,0800,00000MEALS SERVED :DIETARY 44495,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44495,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44495,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44495,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44495,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44495,S000000,00100,0200,07/01/1999 44495,S200000,00100,0100,3635 READING ROAD 44495,S200000,00200,0100,CINCINNATI 44495,S200000,00200,0200,OH 44495,S200000,00200,0300,45229- 44495,S200000,00300,0100,HAMILTON 44495,S200000,00400,0100,GOLDEN AGE RETIREMENT 44495,S200000,00400,0200,365080 44495,S200000,00400,0300,11/01/1977 44495,S200000,00400,0500,P 44495,S200000,01500,0100,Y 44495,S700003,00000,0100,1 44497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44497,A000000,00300,0000,00300EMPLOYEE BENEFITS 44497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44497,A000000,00700,0000,00700HOUSEKEEPING 44497,A000000,00800,0000,00800DIETARY 44497,A000000,00900,0000,00900NURSING ADMINISTRATION 44497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44497,A000000,01300,0000,01300SOCIAL SERVICE 44497,A000000,01350,0000,01500ACTIVITIES 44497,A000000,01600,0000,01600SKILLED NURSING FACILITY 44497,A000000,01800,0000,01800NURSING FACILITY 44497,A000000,01810,0000,01810ICF/MR 44497,A000000,01900,0000,01900OTHER LONG TERM CARE 44497,A000000,02100,0000,02100RADIOLOGY 44497,A000000,02200,0000,02200LABORATORY 44497,A000000,02300,0000,02300INTRAVENOUS THERAPY 44497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44497,A000000,02500,0000,02500PHYSICAL THERAPY 44497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44497,A000000,02700,0000,02700SPEECH PATHOLOGY 44497,A000000,02800,0000,02800ELECTROCARDIOLOGY 44497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44497,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44497,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44497,A000000,03200,0000,03200SUPPORT SURFACES 44497,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44497,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44497,A000000,04800,0000,04800AMBULANCE 44497,A000000,05300,0000,05300INTEREST EXPENSE 44497,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44497,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44497,A000000,05500,0000,05500HOSPICE 44497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44497,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44497,A000000,06200,0000,06200PATIENTS LAUNDRY 44497,A81000A,00100,0100,Y 44497,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT EXPEN 44497,A81000C,00100,0100,A 44497,A81000C,00100,0200,HAROLD SOSNA 44497,A81000C,00100,0400,JZB REALTY 44497,A81000C,00100,0600,REAL ESTATE HOLDING CO. 44497,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44497,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44497,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44497,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44497,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44497,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44497,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44497,B100000,00000,0800,00000MEALS SERVED :DIETARY 44497,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44497,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44497,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44497,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44497,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44497,S000000,00100,0200,05/30/2000 44497,S200000,00100,0100,3635 READING ROAD 44497,S200000,00200,0100,CINCINNATI 44497,S200000,00200,0200,OH 44497,S200000,00200,0300,45229- 44497,S200000,00300,0100,HAMILTON 44497,S200000,00400,0100,GOLDEN AGE RETIREMENT 44497,S200000,00400,0200,365080 44497,S200000,00400,0300,11/01/1977 44497,S200000,00400,0500,P 44497,S200000,01500,0100,Y 44510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44510,A000000,00300,0000,00300EMPLOYEE BENEFITS 44510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44510,A000000,00700,0000,00700HOUSEKEEPING 44510,A000000,00800,0000,00800DIETARY 44510,A000000,00900,0000,00900NURSING ADMINISTRATION 44510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44510,A000000,01100,0000,01100PHARMACY 44510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44510,A000000,01300,0000,01300SOCIAL SERVICE 44510,A000000,01350,0000,01500ACTIVITIES 44510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44510,A000000,01600,0000,01600SKILLED NURSING FACILITY 44510,A000000,01800,0000,01800NURSING FACILITY 44510,A000000,01810,0000,01801ICF/MR 44510,A000000,01900,0000,01900OTHER LONG TERM CARE 44510,A000000,02100,0000,02100RADIOLOGY 44510,A000000,02200,0000,02200LABORATORY 44510,A000000,02300,0000,02300INTRAVENOUS THERAPY 44510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44510,A000000,02500,0000,02500PHYSICAL THERAPY 44510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44510,A000000,02700,0000,02700SPEECH PATHOLOGY 44510,A000000,02800,0000,02800ELECTROCARDIOLOGY 44510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44510,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44510,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44510,A000000,03200,0000,03200SUPPORT SURFACES 44510,A000000,03400,0000,03400CLINIC 44510,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44510,A000000,03500,0000,03500RURAL HEALTH CLINIC 44510,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44510,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44510,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44510,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44510,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44510,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44510,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44510,A000000,04400,0000,04400DME RENTED - HHA 44510,A000000,04500,0000,04500DME SOLD - HHA 44510,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44510,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44510,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44510,A000000,04800,0000,04800AMBULANCE 44510,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44510,A000000,05000,0000,05000CORF 44510,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44510,A000000,05300,0000,05300INTEREST EXPENSE 44510,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44510,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44510,A000000,05500,0000,05500HOSPICE 44510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44510,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44510,A000000,06100,0000,06100NONPAID WORKERS 44510,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44510,A000000,06200,0000,06200PATIENTS LAUNDRY 44510,A81000A,00100,0100,Y 44510,A81000B,00100,0300,LEASE/RENT 44510,A81000B,00200,0300,DEPRECIATION 44510,A81000B,00300,0300,DEPRECIATION 44510,A81000B,00400,0300,INTEREST 44510,A81000C,00100,0100,A 44510,A81000C,00100,0200,EDITH OLANOFF 44510,A81000C,00100,0400,RIVERS HC COR 44510,A81000C,00100,0600,REAL ESTATE 44510,A81000C,00200,0100,A 44510,A81000C,00200,0200,ELANA SMITH 44510,A81000C,00200,0400,RIVERS HC COR 44510,A81000C,00200,0600,REAL ESTATE 44510,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44510,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44510,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44510,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44510,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44510,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44510,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44510,B100000,00000,0800,00000MEALS SERVED :DIETARY 44510,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44510,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44510,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44510,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44510,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44510,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44510,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44510,E10A180,00550,0300,05/31/2000 44510,S000000,00100,0200,05/24/2000 44510,S200000,00100,0100,7800 JANDARACRES DRIVE 44510,S200000,00200,0100,CINCINNATI 44510,S200000,00200,0200,OH 44510,S200000,00200,0300,45248- 44510,S200000,00300,0100,HAMILTON 44510,S200000,00400,0100,THREE RIVERS NURSING & REHAB CENTER 44510,S200000,00400,0200,365081 44510,S200000,00400,0300,04/30/1968 44510,S200000,00400,0500,P 44510,S200000,01600,0100,Y 44510,S700003,00000,0100,1 44519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44519,A000000,00300,0000,00300EMPLOYEE BENEFITS 44519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44519,A000000,00700,0000,00700HOUSEKEEPING 44519,A000000,00800,0000,00800DIETARY 44519,A000000,00900,0000,00900NURSING ADMINISTRATION 44519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44519,A000000,01100,0000,01100PHARMACY 44519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44519,A000000,01300,0000,01300SOCIAL SERVICE 44519,A000000,01600,0000,01600SKILLED NURSING FACILITY 44519,A000000,01800,0000,01800NURSING FACILITY 44519,A000000,01900,0000,01900OTHER LONG TERM CARE 44519,A000000,02100,0000,02100RADIOLOGY 44519,A000000,02200,0000,02200LABORATORY 44519,A000000,02300,0000,02300INTRAVENOUS THERAPY 44519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44519,A000000,02500,0000,02500PHYSICAL THERAPY 44519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44519,A000000,02700,0000,02700SPEECH PATHOLOGY 44519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44519,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44519,A000000,03200,0000,03200SUPPORT SURFACES 44519,A000000,04800,0000,04800AMBULANCE 44519,A000000,05300,0000,05300INTEREST EXPENSE 44519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44519,A000000,05500,0000,05500HOSPICE 44519,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44519,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44519,A000000,06200,0000,06200PATIENTS LAUNDRY 44519,A81000A,00100,0100,Y 44519,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 44519,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 44519,A81000B,00300,0300,HOME OFFICE BENEFITS 44519,A81000B,00400,0300,HOME OFFICE COSTS 44519,A81000B,00500,0300,HOME OFFICE THERAPY COSTS 44519,A81000B,00600,0300,HOME OFFICE THERAPY COSTS 44519,A81000C,00100,0100,A 44519,A81000C,00100,0200,ALEX DASKAL 44519,A81000C,00100,0400,DMD MANAGEMENT 44519,A81000C,00100,0600,MANAGEMENT CO. 44519,A81000C,00200,0100,A 44519,A81000C,00200,0200,ESTER DASKAL 44519,A81000C,00200,0400,DMD MANAGEMENT 44519,A81000C,00200,0600,MANAGEMENT CO. 44519,A81000C,00300,0100,A 44519,A81000C,00300,0200,BRUCE DASKAL 44519,A81000C,00300,0400,DMD MANAGEMENT 44519,A81000C,00300,0600,MANAGEMENT CO. 44519,A81000C,00400,0100,A 44519,A81000C,00400,0200,SHARON DASKAL 44519,A81000C,00400,0400,DMD MANAGEMENT 44519,A81000C,00400,0600,MANAGEMENT CO. 44519,A81000C,00500,0100,A 44519,A81000C,00500,0200,DAVID FARKAS 44519,A81000C,00500,0400,DMD MANAGEMENT 44519,A81000C,00500,0600,MANAGEMENT CO. 44519,A81000C,00600,0100,A 44519,A81000C,00600,0200,VALERIE FARKAS 44519,A81000C,00600,0400,DMD MANAGEMENT 44519,A81000C,00600,0600,MANAGEMENT CO. 44519,A81000C,00700,0100,A 44519,A81000C,00700,0200,HAROLD SHACHTER 44519,A81000C,00700,0400,DMD MANAGEMENT 44519,A81000C,00700,0600,MANAGEMENT CO. 44519,A81000C,00800,0100,A 44519,A81000C,00800,0200,EDITH SHACHTER 44519,A81000C,00800,0400,DMD MANAGEMENT 44519,A81000C,00800,0600,MANAGEMENT CO. 44519,A81000C,00900,0100,A 44519,A81000C,00900,0200,LOUIS SCHONFELD 44519,A81000C,00900,0400,DMD MANAGEMENT 44519,A81000C,00900,0600,MANAGEMENT CO. 44519,A81000C,01000,0100,A 44519,A81000C,01000,0200,RITA SCHONFELD 44519,A81000C,01000,0400,DMD MANAGEMENT 44519,A81000C,01000,0600,MANAGEMENT CO. 44519,A81000C,01001,0100,A 44519,A81000C,01001,0200,ROSE DANCZIGER 44519,A81000C,01001,0400,DMD MANAGEMENT 44519,A81000C,01001,0600,MANAGEMENT CO. 44519,A81000C,01002,0100,D 44519,A81000C,01002,0200,LARRY DANCZIGER 44519,A81000C,01002,0400,DMD MANAGEMENT 44519,A81000C,01002,0600,MANAGEMENT CO. 44519,A81000C,01003,0100,D 44519,A81000C,01003,0200,LORETTA DANCZIGER 44519,A81000C,01003,0400,DMD MANAGEMENT 44519,A81000C,01003,0600,MANAGEMENT CO. 44519,A81000C,01004,0100,D 44519,A81000C,01004,0200,MIKE FLANK 44519,A81000C,01004,0400,DMD MANAGEMENT 44519,A81000C,01004,0600,MANAGEMENT CO. 44519,A81000C,01005,0100,D 44519,A81000C,01005,0200,HELENA FLANK 44519,A81000C,01005,0400,DMD MANAGEMENT 44519,A81000C,01005,0600,MANAGEMENT CO. 44519,A81000C,01006,0100,D 44519,A81000C,01006,0200,RUTH FEIG 44519,A81000C,01006,0400,DMD MANAGEMENT 44519,A81000C,01006,0600,MANAGEMENT CO. 44519,A81000C,01007,0100,A 44519,A81000C,01007,0200,REGINA KATZ 44519,A81000C,01007,0400,DMD MANAGEMENT 44519,A81000C,01007,0600,MANAGEMENT CO. 44519,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44519,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44519,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44519,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44519,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44519,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44519,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44519,B100000,00000,0800,00000MEALS SERVED :DIETARY 44519,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 44519,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44519,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 44519,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44519,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44519,E10A180,00501,0100,07/18/2000 44519,S000000,00100,0200,06/05/2000 44519,S200000,00100,0100,7377 RIDGE ROAD 44519,S200000,00200,0100,PARMA 44519,S200000,00200,0200,OH 44519,S200000,00200,0300,44129- 44519,S200000,00300,0100,CUYAHOGA 44519,S200000,00400,0100,PLEASANTVIEW NURSING HOME 44519,S200000,00400,0200,365084 44519,S200000,00400,0300,11/01/1970 44519,S200000,00400,0500,P 44519,S200000,01600,0100,Y 44519,S200000,04300,0100,Y 44519,S700003,00000,0100,1 44528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44528,A000000,00300,0000,00300EMPLOYEE BENEFITS 44528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44528,A000000,00700,0000,00700HOUSEKEEPING 44528,A000000,00800,0000,00800DIETARY 44528,A000000,00900,0000,00900NURSING ADMINISTRATION 44528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44528,A000000,01100,0000,01100PHARMACY 44528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44528,A000000,01300,0000,01300SOCIAL SERVICE 44528,A000000,01350,0000,01500ACTIVITIES 44528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44528,A000000,01600,0000,01600SKILLED NURSING FACILITY 44528,A000000,01800,0000,01800NURSING FACILITY 44528,A000000,01900,0000,01900OTHER LONG TERM CARE 44528,A000000,02100,0000,02100RADIOLOGY 44528,A000000,02200,0000,02200LABORATORY 44528,A000000,02300,0000,02300INTRAVENOUS THERAPY 44528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44528,A000000,02500,0000,02500PHYSICAL THERAPY 44528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44528,A000000,02700,0000,02700SPEECH PATHOLOGY 44528,A000000,02800,0000,02800ELECTROCARDIOLOGY 44528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44528,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44528,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44528,A000000,03200,0000,03200SUPPORT SURFACES 44528,A000000,03400,0000,03400CLINIC 44528,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44528,A000000,03500,0000,03500RURAL HEALTH CLINIC 44528,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44528,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44528,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44528,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44528,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44528,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44528,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44528,A000000,04400,0000,04400DME RENTED - HHA 44528,A000000,04500,0000,04500DME SOLD - HHA 44528,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44528,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44528,A000000,04800,0000,04800AMBULANCE 44528,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44528,A000000,05000,0000,05000CORF 44528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44528,A000000,05300,0000,05300INTEREST EXPENSE 44528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44528,A000000,05500,0000,05500HOSPICE 44528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44528,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44528,A000000,06100,0000,06100NONPAID WORKERS 44528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44528,A000000,06200,0000,06200PATIENTS LAUNDRY 44528,A81000A,00100,0100,Y 44528,A81000B,00100,0300,ADMINISTRATIVE EXPENSES 44528,A81000C,00100,0100,B 44528,A81000C,00100,0200,PARKVIEW MANOR INC. 44528,A81000C,00100,0600,MANAGEMENT COMPANY 44528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44528,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44528,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44528,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44528,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 44528,B100000,00000,0800,00000MEALS SERVED :DIETARY 44528,B100000,00000,0950,00000DIRECT NSG :NURSING ADMINISTRATION 44528,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 44528,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44528,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44528,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44528,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 44528,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44528,S000000,00100,0200,05/22/2000 44528,S200000,00100,0100,425 LAURICELLA CT 44528,S200000,00100,0300,340 44528,S200000,00200,0100,ENGLEWOOD 44528,S200000,00200,0200,OH 44528,S200000,00200,0300,45322-0000 44528,S200000,00300,0100,MONTGOMERY 44528,S200000,00400,0100,ENGLEWOOD MANOR INC. 44528,S200000,00400,0200,365088 44528,S200000,00400,0300,08/01/1994 44528,S200000,00400,0500,P 44528,S200000,01500,0100,Y 44537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44537,A000000,00300,0000,00300EMPLOYEE BENEFITS 44537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44537,A000000,00700,0000,00700HOUSEKEEPING 44537,A000000,00800,0000,00800DIETARY 44537,A000000,00900,0000,00900NURSING ADMINISTRATION 44537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44537,A000000,01100,0000,01100PHARMACY 44537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44537,A000000,01300,0000,01300SOCIAL SERVICE 44537,A000000,01350,0000,01500ACTIVITIES 44537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44537,A000000,01600,0000,01600SKILLED NURSING FACILITY 44537,A000000,01800,0000,01800NURSING FACILITY 44537,A000000,01810,0000,01801ICF/MR 44537,A000000,01900,0000,01900OTHER LONG TERM CARE 44537,A000000,02100,0000,02100RADIOLOGY 44537,A000000,02200,0000,02200LABORATORY 44537,A000000,02300,0000,02300INTRAVENOUS THERAPY 44537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44537,A000000,02500,0000,02500PHYSICAL THERAPY 44537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44537,A000000,02700,0000,02700SPEECH PATHOLOGY 44537,A000000,02800,0000,02800ELECTROCARDIOLOGY 44537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44537,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44537,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44537,A000000,03200,0000,03200SUPPORT SURFACES 44537,A000000,03400,0000,03400CLINIC 44537,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44537,A000000,03500,0000,03500RURAL HEALTH CLINIC 44537,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44537,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44537,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44537,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44537,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44537,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44537,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44537,A000000,04400,0000,04400DME RENTED - HHA 44537,A000000,04500,0000,04500DME SOLD - HHA 44537,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44537,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44537,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44537,A000000,04800,0000,04800AMBULANCE 44537,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44537,A000000,05000,0000,05000CORF 44537,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44537,A000000,05300,0000,05300INTEREST EXPENSE 44537,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44537,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44537,A000000,05500,0000,05500HOSPICE 44537,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44537,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44537,A000000,06100,0000,06100NONPAID WORKERS 44537,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44537,A000000,06200,0000,06200PATIENTS LAUNDRY 44537,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44537,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44537,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44537,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44537,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44537,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44537,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44537,B100000,00000,0800,00000MEALS SERVED :DIETARY 44537,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44537,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44537,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44537,B100000,00000,1250,00000SQUARE FEET :MEDICAL RECORDS & LIB 44537,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44537,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44537,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44537,S000000,00100,0200,05/31/2000 44537,S200000,00100,0100,622 CENTER STREET 44537,S200000,00200,0100,ASHLAND 44537,S200000,00200,0200,OH 44537,S200000,00200,0300,44805- 44537,S200000,00300,0100,ASHLAND 44537,S200000,00400,0100,THE GOOD SHEPHARD HOME 44537,S200000,00400,0200,365093 44537,S200000,00400,0300,01/01/1967 44537,S200000,00400,0500,P 44537,S200000,01500,0100,Y 44537,S200000,04300,0100,Y 44553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44553,A000000,00300,0000,00300EMPLOYEE BENEFITS 44553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44553,A000000,00700,0000,00700HOUSEKEEPING 44553,A000000,00800,0000,00800DIETARY 44553,A000000,00900,0000,00900NURSING ADMINISTRATION 44553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44553,A000000,01100,0000,01100PHARMACY 44553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44553,A000000,01300,0000,01300SOCIAL SERVICE 44553,A000000,01600,0000,01600SKILLED NURSING FACILITY 44553,A000000,01800,0000,01800NURSING FACILITY 44553,A000000,01900,0000,01900OTHER LONG TERM CARE 44553,A000000,02100,0000,02100RADIOLOGY 44553,A000000,02200,0000,02200LABORATORY 44553,A000000,02300,0000,02300INTRAVENOUS THERAPY 44553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44553,A000000,02500,0000,02500PHYSICAL THERAPY 44553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44553,A000000,02700,0000,02700SPEECH PATHOLOGY 44553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44553,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44553,A000000,05300,0000,05300INTEREST EXPENSE 44553,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44553,A000000,05500,0000,05500HOSPICE 44553,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44553,A000000,06100,0000,06100NONPAID WORKERS 44553,A000000,06200,0000,06200PATIENTS LAUNDRY 44553,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44553,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44553,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44553,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44553,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44553,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44553,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44553,B100000,00000,0800,00000MEALS SERVED :DIETARY 44553,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44553,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44553,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44553,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44553,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44553,E10A180,00501,0100,07/07/1999 44553,E10A180,00550,0300,07/27/1999 44553,S000000,00100,0200,06/29/1999 44553,S200000,00100,0100,200 SMOKERISE DRIVE 44553,S200000,00100,0300,690 44553,S200000,00200,0100,WADSWORTH 44553,S200000,00200,0200,OH 44553,S200000,00200,0300,44281- 44553,S200000,00300,0100,MEDINA 44553,S200000,00400,0100,CARE FIRST NURSING & REHAB CENTER 44553,S200000,00400,0200,365108 44553,S200000,00400,0300,10/01/1998 44553,S200000,00400,0500,P 44553,S200000,00600,0200,365108 44553,S200000,00600,0300,10/01/1998 44553,S200000,00600,0600,P 44553,S200000,01005,0500,O 44553,S200000,01600,0100,Y 44553,S700003,00000,0100,1 44555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44555,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44555,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44555,A000000,00300,0000,00300EMPLOYEE BENEFITS 44555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44555,A000000,00700,0000,00700HOUSEKEEPING 44555,A000000,00800,0000,00800DIETARY 44555,A000000,00801,0000,00801CAFETERIA 44555,A000000,00900,0000,00900NURSING ADMINISTRATION 44555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44555,A000000,01100,0000,01100PHARMACY 44555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44555,A000000,01300,0000,01300SOCIAL SERVICE 44555,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 44555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44555,A000000,01600,0000,01600SKILLED NURSING FACILITY 44555,A000000,01800,0000,01800NURSING FACILITY 44555,A000000,01900,0000,01900OTHER LONG TERM CARE 44555,A000000,02100,0000,02100RADIOLOGY 44555,A000000,02200,0000,02200LABORATORY 44555,A000000,02300,0000,02300INTRAVENOUS THERAPY 44555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44555,A000000,02500,0000,02500PHYSICAL THERAPY 44555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44555,A000000,02700,0000,02700SPEECH PATHOLOGY 44555,A000000,02800,0000,02800ELECTROCARDIOLOGY 44555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44555,A000000,03050,0000,03300OTHER ANCILLARY 44555,A000000,03051,0000,03301OTHER ANCILLARY II 44555,A000000,03052,0000,03302OTHER ANCILLARY III 44555,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44555,A000000,03200,0000,03200SUPPORT SURFACES 44555,A000000,03400,0000,03400CLINIC 44555,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44555,A000000,03500,0000,03500RURAL HEALTH CLINIC 44555,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44555,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44555,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44555,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44555,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44555,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44555,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44555,A000000,04400,0000,04400DME RENTED - HHA 44555,A000000,04500,0000,04500DME SOLD - HHA 44555,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44555,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44555,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44555,A000000,04800,0000,04800AMBULANCE 44555,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44555,A000000,05000,0000,05000CORF 44555,A000000,05010,0000,05010CMHC I 44555,A000000,05020,0000,05020OPT I 44555,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44555,A000000,05300,0000,05300INTEREST EXPENSE 44555,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44555,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44555,A000000,05500,0000,05500HOSPICE 44555,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44555,A000000,06100,0000,06100NONPAID WORKERS 44555,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44555,A000000,06200,0000,06200PATIENTS LAUNDRY 44555,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44555,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44555,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44555,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44555,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44555,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44555,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44555,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44555,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44555,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44555,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 44555,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44555,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 44555,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44555,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44555,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 44555,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44555,S000000,00100,0200,05/31/2000 44555,S200000,00100,0100,797 EAST MARKET STREET 44555,S200000,00200,0100,AKRON 44555,S200000,00200,0200,OH 44555,S200000,00200,0300,44305- 44555,S200000,00300,0100,SUMMIT 44555,S200000,00400,0100,CARE FIRST NURSING & REHAB CENTER 44555,S200000,00400,0200,365108 44555,S200000,00400,0300,10/01/1998 44555,S200000,00400,0500,P 44555,S200000,00600,0200,365108 44555,S200000,00600,0300,10/01/1998 44555,S200000,00600,0600,P 44555,S200000,01004,0500,O 44555,S200000,01600,0100,Y 44566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44566,A000000,00300,0000,00300EMPLOYEE BENEFITS 44566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44566,A000000,00700,0000,00700HOUSEKEEPING 44566,A000000,00800,0000,00800DIETARY 44566,A000000,00900,0000,00900NURSING ADMINISTRATION 44566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44566,A000000,01300,0000,01300SOCIAL SERVICE 44566,A000000,01600,0000,01600SKILLED NURSING FACILITY 44566,A000000,02100,0000,02100RADIOLOGY 44566,A000000,02200,0000,02200LABORATORY 44566,A000000,02500,0000,02500PHYSICAL THERAPY 44566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44566,A000000,02700,0000,02700SPEECH PATHOLOGY 44566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44566,A000000,04800,0000,04800AMBULANCE 44566,A000000,05300,0000,05300INTEREST EXPENSE 44566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44566,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44566,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44566,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44566,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44566,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44566,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44566,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44566,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 44566,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44566,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44566,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44566,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44566,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44566,E10A180,00501,0100,07/19/2000 44566,S000000,00100,0200,06/02/2000 44566,S200000,00100,0100,18627 SHURMER ROAD 44566,S200000,00200,0100,STRONGSVILLE 44566,S200000,00200,0200,OH 44566,S200000,00200,0300,44136-6150 44566,S200000,00300,0100,CUYAHOGA 44566,S200000,00400,0100,ALTENHEIM NURSING HOME 44566,S200000,00400,0200,365109 44566,S200000,00400,0300,03/01/1980 44566,S200000,00400,0500,P 44566,S200000,01500,0100,Y 44566,S200000,02800,0100,Y 44566,S200000,04300,0100,Y 44566,S700003,00000,0100,1 44575,S000000,00100,0200,05/17/2000 44583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44583,A000000,00300,0000,00300EMPLOYEE BENEFITS 44583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44583,A000000,00700,0000,00700HOUSEKEEPING 44583,A000000,00800,0000,00800DIETARY 44583,A000000,00900,0000,00900NURSING ADMINISTRATION 44583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44583,A000000,01100,0000,01100PHARMACY 44583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44583,A000000,01300,0000,01300SOCIAL SERVICE 44583,A000000,01600,0000,01600SKILLED NURSING FACILITY 44583,A000000,01800,0000,01800NURSING FACILITY 44583,A000000,01900,0000,01900OTHER LONG TERM CARE 44583,A000000,02100,0000,02100RADIOLOGY 44583,A000000,02200,0000,02200LABORATORY 44583,A000000,02300,0000,02300INTRAVENOUS THERAPY 44583,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44583,A000000,02500,0000,02500PHYSICAL THERAPY 44583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44583,A000000,02700,0000,02700SPEECH PATHOLOGY 44583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44583,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44583,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44583,A000000,03200,0000,03200SUPPORT SURFACES 44583,A000000,04800,0000,04800AMBULANCE 44583,A000000,05300,0000,05300INTEREST EXPENSE 44583,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44583,A000000,05500,0000,05500HOSPICE 44583,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44583,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44583,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44583,A000000,06200,0000,06200PATIENTS LAUNDRY 44583,A81000A,00100,0100,Y 44583,A81000B,00100,0300,CAPITAL COSTS HELD PERSONALLY 44583,A81000B,00200,0300,CAPITAL COSTS HELD PERSONALLY 44583,A81000B,00300,0300,HOME OFFICE COSTS 44583,A81000B,00400,0300,HOME OFFICE COSTS 44583,A81000B,00500,0300,HOME OFFICE COSTS 44583,A81000B,00600,0300,HOME OFFICE COSTS 44583,A81000B,00700,0300,NURSE AIDE TRAINING COSTS 44583,A81000C,00100,0100,D 44583,A81000C,00100,0200,RAY GRIFFITHS 44583,A81000C,00100,0400,RAE-ANN ENTERPRISES 44583,A81000C,00100,0600,MGMT COMPANY 44583,A81000C,00200,0100,D 44583,A81000C,00200,0200,JOHN GRIFFITHS 44583,A81000C,00200,0400,JCS INC. 44583,A81000C,00200,0600,PAYMASTER 44583,A81000C,00300,0100,D 44583,A81000C,00300,0200,CINDY GRIFFITHS 44583,A81000C,00300,0400,JCS INC. 44583,A81000C,00300,0600,PAYMASTER 44583,A81000C,00400,0100,D 44583,A81000C,00400,0200,SUSAN GRIFFITHS 44583,A81000C,00400,0400,JCS INC. 44583,A81000C,00400,0600,PAYMASTER 44583,A81000C,00500,0100,D 44583,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44583,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44583,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44583,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44583,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44583,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44583,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44583,B100000,00000,0800,00000MEALS SERVED :DIETARY 44583,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44583,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44583,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 44583,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44583,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44583,S000000,00100,0200,06/02/2000 44583,S200000,00100,0100,28303 DETROIT ROAD 44583,S200000,00200,0100,WESTLAKE 44583,S200000,00200,0200,OH 44583,S200000,00200,0300,44145- 44583,S200000,00300,0100,CUYAHOGA 44583,S200000,00400,0100,RAE ANN WESTLAKE 44583,S200000,00400,0200,365115 44583,S200000,00400,0300,08/01/1988 44583,S200000,00400,0500,P 44583,S200000,01500,0100,Y 44583,S200000,04300,0100,Y 44583,S700003,00000,0100,1 44591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44591,A000000,00300,0000,00300EMPLOYEE BENEFITS 44591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44591,A000000,00700,0000,00700HOUSEKEEPING 44591,A000000,00800,0000,00800DIETARY 44591,A000000,00900,0000,00900NURSING ADMINISTRATION 44591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44591,A000000,01100,0000,01100PHARMACY 44591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44591,A000000,01300,0000,01300SOCIAL SERVICE 44591,A000000,01350,0000,01500OTHER GENERAL SERVICES 44591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44591,A000000,01600,0000,01600SKILLED NURSING FACILITY 44591,A000000,01800,0000,01800NURSING FACILITY 44591,A000000,01810,0000,01801ICF/MR 44591,A000000,01900,0000,01900OTHER LONG TERM CARE 44591,A000000,02100,0000,02100RADIOLOGY 44591,A000000,02200,0000,02200LABORATORY 44591,A000000,02300,0000,02300INTRAVENOUS THERAPY 44591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44591,A000000,02500,0000,02500PHYSICAL THERAPY 44591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44591,A000000,02700,0000,02700SPEECH PATHOLOGY 44591,A000000,02800,0000,02800ELECTROCARDIOLOGY 44591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44591,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44591,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44591,A000000,03200,0000,03200SUPPORT SURFACES 44591,A000000,03400,0000,03400CLINIC 44591,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44591,A000000,03500,0000,03500RURAL HEALTH CLINIC 44591,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44591,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44591,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44591,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44591,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44591,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44591,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44591,A000000,04400,0000,04400DME RENTED - HHA 44591,A000000,04500,0000,04500DME SOLD - HHA 44591,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44591,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44591,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44591,A000000,04800,0000,04800AMBULANCE 44591,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44591,A000000,05000,0000,05000CORF 44591,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44591,A000000,05300,0000,05300INTEREST EXPENSE 44591,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44591,A000000,05500,0000,05500HOSPICE 44591,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44591,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44591,A000000,06100,0000,06100NONPAID WORKERS 44591,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44591,A000000,06200,0000,06200PATIENTS LAUNDRY 44591,A81000A,00100,0100,Y 44591,A81000B,00100,0300,MEDICAL SUPPLIES 44591,A81000B,00200,0300,DRUGS 44591,A81000C,00100,0100,A 44591,A81000C,00100,0200,ELI COURY 44591,A81000C,00100,0400,PHARMED 44591,A81000C,00100,0600,MEDICAL SUPPLIES 44591,A81000C,00200,0100,A 44591,A81000C,00200,0200,DAVID COURY 44591,A81000C,00200,0400,BAY PHARMACY 44591,A81000C,00200,0600,PHARMACY 44591,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 44591,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 44591,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 44591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44591,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 44591,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 44591,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 44591,B100000,00000,0850,00000NO STATISTICS :DIETARY 44591,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 44591,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 44591,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44591,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 44591,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 44591,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44591,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44591,E10A180,00301,0100,06/08/1999 44591,E10A180,00302,0100,03/03/2000 44591,E10A180,00350,0100,11/30/1999 44591,E10A180,00351,0100,03/03/2000 44591,S000000,00100,0200,06/02/2000 44591,S200000,00100,0100,4387 WEST 150TH 44591,S200000,00200,0100,CLEVELAND 44591,S200000,00200,0200,OH 44591,S200000,00200,0300,44111- 44591,S200000,00300,0100,CUYAHOGA 44591,S200000,00400,0100,ARISTOCRAT WEST 44591,S200000,00400,0200,365117 44591,S200000,00400,0300,01/05/1967 44591,S200000,00400,0500,P 44591,S200000,01500,0100,Y 44591,S200000,04700,0100,Y 44603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44603,A000000,00300,0000,00300EMPLOYEE BENEFITS 44603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44603,A000000,00700,0000,00700HOUSEKEEPING 44603,A000000,00800,0000,00800DIETARY 44603,A000000,00900,0000,00900NURSING ADMINISTRATION 44603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44603,A000000,01100,0000,01100PHARMACY 44603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44603,A000000,01300,0000,01300SOCIAL SERVICE 44603,A000000,01350,0000,01500OTHER GENERAL SERVICES 44603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44603,A000000,01600,0000,01600SKILLED NURSING FACILITY 44603,A000000,01800,0000,01800NURSING FACILITY 44603,A000000,01810,0000,01801ICF/MR 44603,A000000,01900,0000,01900OTHER LONG TERM CARE 44603,A000000,02100,0000,02100RADIOLOGY 44603,A000000,02200,0000,02200LABORATORY 44603,A000000,02300,0000,02300INTRAVENOUS THERAPY 44603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44603,A000000,02500,0000,02500PHYSICAL THERAPY 44603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44603,A000000,02700,0000,02700SPEECH PATHOLOGY 44603,A000000,02800,0000,02800ELECTROCARDIOLOGY 44603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44603,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44603,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44603,A000000,03200,0000,03200SUPPORT SURFACES 44603,A000000,03400,0000,03400CLINIC 44603,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44603,A000000,03500,0000,03500RURAL HEALTH CLINIC 44603,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44603,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44603,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44603,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44603,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44603,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44603,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44603,A000000,04400,0000,04400DME RENTED - HHA 44603,A000000,04500,0000,04500DME SOLD - HHA 44603,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44603,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44603,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44603,A000000,04800,0000,04800AMBULANCE 44603,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44603,A000000,05000,0000,05000CORF 44603,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44603,A000000,05300,0000,05300INTEREST EXPENSE 44603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44603,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44603,A000000,05500,0000,05500HOSPICE 44603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44603,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44603,A000000,06100,0000,06100NONPAID WORKERS 44603,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44603,A000000,06200,0000,06200PATIENTS LAUNDRY 44603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44603,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 44603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44603,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44603,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 44603,B100000,00000,0800,00000MEALS SERVED :DIETARY 44603,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44603,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44603,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44603,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44603,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44603,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44603,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44603,E10A180,00501,0300,07/14/2000 44603,S000000,00100,0200,06/05/2000 44603,S200000,00100,0100,50 BLYMER AVENUE 44603,S200000,00100,0300,PO BOX 966 44603,S200000,00200,0100,MANSFIELD 44603,S200000,00200,0200,OH 44603,S200000,00200,0300,44901- 44603,S200000,00300,0100,RICHLAND 44603,S200000,00400,0100,MANSFIELD MEMORIAL HOMES 44603,S200000,00400,0200,365118 44603,S200000,00400,0300,01/04/1967 44603,S200000,00400,0500,P 44603,S200000,01600,0100,Y 44615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44615,A000000,00700,0000,00700HOUSEKEEPING 44615,A000000,00800,0000,00800DIETARY 44615,A000000,00900,0000,00900NURSING ADMINISTRATION 44615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44615,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 44615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44615,A000000,01300,0000,01300SOCIAL SERVICE 44615,A000000,01600,0000,01600SKILLED NURSING FACILITY 44615,A000000,01800,0000,01800NURSING FACILITY 44615,A000000,02100,0000,02100RADIOLOGY 44615,A000000,02200,0000,02200LABORATORY 44615,A000000,02300,0000,02300INTRAVENOUS THERAPY 44615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44615,A000000,02500,0000,02500PHYSICAL THERAPY 44615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44615,A000000,02700,0000,02700SPEECH PATHOLOGY 44615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44615,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 44615,A000000,03052,0000,03302MEDICAL EQUIPMENT 44615,A000000,04800,0000,04800AMBULANCE 44615,A000000,05300,0000,05300INTEREST EXPENSE 44615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44615,A000000,06200,0000,06200PATIENTS LAUNDRY 44615,A81000A,00100,0100,Y 44615,A81000B,00100,0300,HOME OFFICE A&G 44615,A81000B,00200,0300,HOME OFFICE CAPITAL 44615,A81000B,00300,0300,DIVISION OFFICE A&G 44615,A81000B,00400,0300,DIVISION OFFICE CAPITAL 44615,A81000B,00500,0300,INSURANCE 44615,A81000B,00600,0300,PHYSICAL THERAPY 44615,A81000B,00700,0300,OCCUPATIONAL THERAPY 44615,A81000B,00800,0300,SPEECH THERAPY 44615,A81000B,00900,0300,AIR FLUIDIZED THERAPY 44615,A81000C,00100,0100,B 44615,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 44615,A81000C,00200,0100,G 44615,A81000C,00200,0200,LAURIER INC. 44615,A81000C,00200,0400,EXTENDICARE INC. 44615,A81000C,00200,0600,INSURANCE 44615,A81000C,00300,0100,G 44615,A81000C,00300,0200,UNITED REHABILITATION SVS 44615,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 44615,A81000C,00300,0600,THERAPY SERVICE 44615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44615,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 44615,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44615,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44615,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44615,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 44615,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44615,E10A180,00301,0100,06/22/1998 44615,E10A180,00301,0300,06/22/1998 44615,E10A180,00350,0100,06/22/1998 44615,E10A180,00350,0300,06/22/1998 44615,S000000,00100,0200,06/02/2000 44615,S200000,00100,0100,2900 CHERRY STREET 44615,S200000,00200,0100,TOLEDO 44615,S200000,00200,0200,OH 44615,S200000,00200,0300,43608- 44615,S200000,00300,0100,LUCAS 44615,S200000,00300,0200,8400 44615,S200000,00300,0300,U 44615,S200000,00400,0100,ARBORS AT TOLEDO 44615,S200000,00400,0200,365126 44615,S200000,00400,0300,05/01/1986 44615,S200000,00400,0500,P 44615,S200000,01600,0100,Y 44625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44625,A000000,00300,0000,00300EMPLOYEE BENEFITS 44625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44625,A000000,00700,0000,00700HOUSEKEEPING 44625,A000000,00800,0000,00800DIETARY 44625,A000000,00900,0000,00900NURSING ADMINISTRATION 44625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44625,A000000,01100,0000,01100PHARMACY 44625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44625,A000000,01300,0000,01300SOCIAL SERVICE 44625,A000000,01350,0000,01500OTHER GENERAL SERVICES 44625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44625,A000000,01600,0000,01600SKILLED NURSING FACILITY 44625,A000000,01800,0000,01800NURSING FACILITY 44625,A000000,01810,0000,01801ICF/MR 44625,A000000,01900,0000,01900OTHER LONG TERM CARE 44625,A000000,02100,0000,02100RADIOLOGY 44625,A000000,02200,0000,02200LABORATORY 44625,A000000,02300,0000,02300INTRAVENOUS THERAPY 44625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44625,A000000,02500,0000,02500PHYSICAL THERAPY 44625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44625,A000000,02700,0000,02700SPEECH PATHOLOGY 44625,A000000,02800,0000,02800ELECTROCARDIOLOGY 44625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44625,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44625,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44625,A000000,03200,0000,03200SUPPORT SURFACES 44625,A000000,03400,0000,03400CLINIC 44625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44625,A000000,03500,0000,03500RURAL HEALTH CLINIC 44625,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44625,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44625,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44625,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44625,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44625,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44625,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44625,A000000,04400,0000,04400DME RENTED - HHA 44625,A000000,04500,0000,04500DME SOLD - HHA 44625,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44625,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44625,A000000,04800,0000,04800AMBULANCE 44625,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44625,A000000,05000,0000,05000CORF 44625,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44625,A000000,05300,0000,05300INTEREST EXPENSE 44625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44625,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44625,A000000,05500,0000,05500HOSPICE 44625,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44625,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44625,A000000,06100,0000,06100NONPAID WORKERS 44625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44625,A000000,06200,0000,06200PATIENTS LAUNDRY 44625,A81000A,00100,0100,Y 44625,A81000B,00100,0300,HOME OFFICE ALLOCATION 44625,A81000B,00200,0300,HOME OFFICE ALLOCATION 44625,A81000B,00300,0300,HOME OFFICE ALLOCATION 44625,A81000C,00100,0100,C 44625,A81000C,00100,0200,MORTON WEISBERG 44625,A81000C,00100,0400,MULTI-CARE MGMT 44625,A81000C,00100,0600,HOME OFFICE 44625,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44625,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44625,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44625,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44625,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44625,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44625,B100000,00000,0800,00000MEALS SERVED :DIETARY 44625,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 44625,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44625,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44625,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44625,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44625,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44625,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44625,E10A180,00550,0300,06/14/2000 44625,S000000,00100,0200,06/12/2000 44625,S200000,00100,0100,17322 EUCLID AVENUE 44625,S200000,00200,0100,CLEVELAND 44625,S200000,00200,0200,OH 44625,S200000,00200,0300,44112- 44625,S200000,00300,0100,CUYAHOGA 44625,S200000,00400,0100,RUDWICK MANOR 44625,S200000,00400,0200,365129 44625,S200000,00400,0300,10/01/1995 44625,S200000,00400,0500,P 44625,S200000,01600,0100,Y 44625,S200000,04300,0100,Y 44634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44634,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 44634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44634,A000000,00300,0000,00300EMPLOYEE BENEFITS 44634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44634,A000000,00700,0000,00700HOUSEKEEPING 44634,A000000,00800,0000,00800DIETARY 44634,A000000,00900,0000,00900NURSING ADMINISTRATION 44634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44634,A000000,01100,0000,01100PHARMACY 44634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44634,A000000,01300,0000,01300SOCIAL SERVICE 44634,A000000,01350,0000,01500OTHER GENERAL SERVICES 44634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44634,A000000,01600,0000,01600SKILLED NURSING FACILITY 44634,A000000,01800,0000,01800NURSING FACILITY 44634,A000000,01900,0000,01900OTHER LONG TERM CARE 44634,A000000,02100,0000,02100RADIOLOGY 44634,A000000,02200,0000,02200LABORATORY 44634,A000000,02300,0000,02300INTRAVENOUS THERAPY 44634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44634,A000000,02500,0000,02500PHYSICAL THERAPY 44634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44634,A000000,02700,0000,02700SPEECH PATHOLOGY 44634,A000000,02800,0000,02800ELECTROCARDIOLOGY 44634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44634,A000000,03200,0000,03200SUPPORT SURFACES 44634,A000000,03400,0000,03400CLINIC 44634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44634,A000000,03500,0000,03500RURAL HEALTH CLINIC 44634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44634,A000000,04400,0000,04400DME RENTED - HHA 44634,A000000,04500,0000,04500DME SOLD - HHA 44634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44634,A000000,04800,0000,04800AMBULANCE 44634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44634,A000000,05000,0000,05000CORF 44634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44634,A000000,05300,0000,05300INTEREST EXPENSE 44634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44634,A000000,05500,0000,05500HOSPICE 44634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44634,A000000,06100,0000,06100NONPAID WORKERS 44634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44634,A000000,06200,0000,06200PATIENTS LAUNDRY 44634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44634,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 44634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44634,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44634,B100000,00000,0800,00000MEALS SERVED :DIETARY 44634,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44634,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44634,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44634,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 44634,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44634,E10A180,00601,0100,03/23/2001 44634,E10A180,00601,0300,03/23/2001 44634,S000000,00100,0200,05/31/2000 44634,S200000,00100,0100,ROUTE 1 44634,S200000,00200,0100,MCCONNELSVILLE 44634,S200000,00200,0200,OH 44634,S200000,00200,0300,43756- 44634,S200000,00300,0100,MORGAN 44634,S200000,00400,0100,MARK REST CENTER 44634,S200000,00400,0200,365147 44634,S200000,00400,0300,01/01/1967 44634,S200000,00400,0500,P 44634,S200000,01500,0100,Y 44634,S200000,04300,0100,Y 44644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44644,A000000,00300,0000,00300EMPLOYEE BENEFITS 44644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44644,A000000,00700,0000,00700HOUSEKEEPING 44644,A000000,00800,0000,00800DIETARY 44644,A000000,00900,0000,00900NURSING ADMINISTRATION 44644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44644,A000000,01100,0000,01100PHARMACY 44644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44644,A000000,01300,0000,01300SOCIAL SERVICE 44644,A000000,01350,0000,01500ACTIVITIES 44644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44644,A000000,01600,0000,01600SKILLED NURSING FACILITY 44644,A000000,01800,0000,01800NURSING FACILITY 44644,A000000,01900,0000,01900OTHER LONG TERM CARE 44644,A000000,02100,0000,02100RADIOLOGY 44644,A000000,02200,0000,02200LABORATORY 44644,A000000,02300,0000,02300INTRAVENOUS THERAPY 44644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44644,A000000,02500,0000,02500PHYSICAL THERAPY 44644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44644,A000000,02700,0000,02700SPEECH PATHOLOGY 44644,A000000,02800,0000,02800ELECTROCARDIOLOGY 44644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44644,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44644,A000000,03200,0000,03200SUPPORT SURFACES 44644,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 44644,A000000,04800,0000,04800AMBULANCE 44644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44644,A000000,05300,0000,05300INTEREST EXPENSE 44644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 44644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44644,A000000,06100,0000,06100NONPAID WORKERS 44644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44644,A000000,06200,0000,06200PATIENTS LAUNDRY 44644,A81000A,00100,0100,Y 44644,A81000B,00100,0300,HOME OFFICE COST 44644,A81000B,00200,0300,PURCH. SERV. PHARMACIST 44644,A81000B,00300,0300,IV DRUGS AND SUPPLIES 44644,A81000B,00400,0300,DRUGS 44644,A81000B,00500,0300,PT ADMINISTRATION FEE 44644,A81000B,00600,0300,OT ADMINISTRATION FEE 44644,A81000B,00700,0300,ST ADMINISTRATION FEE 44644,A81000C,00100,0100,B 44644,A81000C,00100,0200,OAK PAVILION NURSING HOME 44644,A81000C,00100,0400,HCR MANORCARE INC. 44644,A81000C,00100,0600,LONG TERM CARE FACILITIES 44644,A81000C,00200,0100,B 44644,A81000C,00200,0200,OAK PAVILION NURSING HOME 44644,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 44644,A81000C,00200,0600,PHARMACY 44644,A81000C,00300,0100,B 44644,A81000C,00300,0200,OAK PAVILION NURSING HOME 44644,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 44644,A81000C,00300,0600,PHARMACY 44644,A81000C,00400,0100,B 44644,A81000C,00400,0200,OAK PAVILION NURSING HOME 44644,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 44644,A81000C,00400,0600,PHARMACY 44644,A81000C,00500,0100,B 44644,A81000C,00500,0200,OAK PAVILION NURSING HOME 44644,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 44644,A81000C,00500,0600,THERAPY MANAGEMENT 44644,A81000C,00600,0100,B 44644,A81000C,00600,0200,OAK PAVILION NURSING HOME 44644,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 44644,A81000C,00600,0600,THERAPY MANAGEMENT 44644,A81000C,00700,0100,B 44644,A81000C,00700,0200,OAK PAVILION NURSING HOME 44644,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 44644,A81000C,00700,0600,THERAPY MANAGEMENT 44644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44644,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44644,B100000,00000,0800,00000MEALS SERVED :DIETARY 44644,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 44644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44644,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44644,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44644,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44644,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44644,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 44644,S000000,00100,0200,05/26/2000 44644,S200000,00100,0100,510 OAK STREET 44644,S200000,00200,0100,CINCINNATI 44644,S200000,00200,0200,OH 44644,S200000,00200,0300,45219- 44644,S200000,00300,0100,HAMILTON 44644,S200000,00400,0100,OAK PAVILION NURSIN HOME 44644,S200000,00400,0200,365148 44644,S200000,00400,0300,09/24/1983 44644,S200000,00400,0500,P 44644,S200000,00400,0600,P 44644,S200000,01004,0500,O 44644,S200000,01600,0100,Y 44644,S200000,02200,0100,Y 44654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44654,A000000,00300,0000,00300EMPLOYEE BENEFITS 44654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44654,A000000,00700,0000,00700HOUSEKEEPING 44654,A000000,00800,0000,00800DIETARY 44654,A000000,00900,0000,00900NURSING ADMINISTRATION 44654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44654,A000000,01100,0000,01100PHARMACY 44654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44654,A000000,01300,0000,01300SOCIAL SERVICE 44654,A000000,01350,0000,01500OTHER GENERAL SERVICES 44654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44654,A000000,01600,0000,01600SKILLED NURSING FACILITY 44654,A000000,01800,0000,01800NURSING FACILITY 44654,A000000,01810,0000,01801ICF/MR 44654,A000000,01900,0000,01900OTHER LONG TERM CARE 44654,A000000,02100,0000,02100RADIOLOGY 44654,A000000,02200,0000,02200LABORATORY 44654,A000000,02300,0000,02300INTRAVENOUS THERAPY 44654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44654,A000000,02500,0000,02500PHYSICAL THERAPY 44654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44654,A000000,02700,0000,02700SPEECH PATHOLOGY 44654,A000000,02800,0000,02800ELECTROCARDIOLOGY 44654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44654,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44654,A000000,03051,0000,03301AIR THERAPY BEDS 44654,A000000,03052,0000,03302VENTILATOR 44654,A000000,03053,0000,03303BILLABLE ENTERAL SUPPLIES 44654,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44654,A000000,03200,0000,03200SUPPORT SURFACES 44654,A000000,03400,0000,03400CLINIC 44654,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44654,A000000,03500,0000,03500RURAL HEALTH CLINIC 44654,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44654,A000000,04800,0000,04800AMBULANCE 44654,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44654,A000000,05000,0000,05000CORF 44654,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44654,A000000,05300,0000,05300INTEREST EXPENSE 44654,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44654,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44654,A000000,05500,0000,05500HOSPICE 44654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44654,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44654,A000000,06100,0000,06100NONPAID WORKERS 44654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44654,A000000,06200,0000,06200PATIENTS LAUNDRY 44654,A81000A,00100,0100,Y 44654,A81000B,00100,0300,RELATED PARTY RENT 44654,A81000B,00200,0300,RELATED PARTY DEPR BLDG 44654,A81000B,00300,0300,RELATED PARTY DEPR RENO 44654,A81000B,00400,0300,RELATED PARTY INTEREST BLDG 44654,A81000B,00500,0300,RELATED PARTY INTEREST RENO 44654,A81000B,00600,0300,DEPRECIATION ADJUSTMENT 44654,A81000C,00100,0100,B 44654,A81000C,00100,0200,VALLEY MANOR LTD PART 44654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44654,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44654,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44654,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44654,B100000,00000,0800,00000MEALS SERVED :DIETARY 44654,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 44654,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 44654,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44654,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44654,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44654,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44654,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44654,S000000,00100,0200,06/22/2000 44654,S200000,00100,0100,2594 EAST HIGH STREET 44654,S200000,00200,0100,NEW PHILADELPHIA 44654,S200000,00200,0200,OH 44654,S200000,00200,0300,44663- 44654,S200000,00300,0100,TUSCARAWAS 44654,S200000,00400,0100,MVCC - NEW PHILADELPHIA 44654,S200000,00400,0200,365152 44654,S200000,00400,0300,01/01/1980 44654,S200000,00400,0500,P 44654,S200000,01600,0100,Y 44654,S200000,02800,0100,Y 44654,S200000,04700,0100,Y 44654,S700003,00000,0100,1 44662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44662,A000000,00300,0000,00300EMPLOYEE BENEFITS 44662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44662,A000000,00700,0000,00700HOUSEKEEPING 44662,A000000,00800,0000,00800DIETARY 44662,A000000,00900,0000,00900NURSING ADMINISTRATION 44662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44662,A000000,01100,0000,01100PHARMACY 44662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44662,A000000,01300,0000,01300SOCIAL SERVICE 44662,A000000,01600,0000,01600SKILLED NURSING FACILITY 44662,A000000,01800,0000,01800NURSING FACILITY 44662,A000000,01900,0000,01900OTHER LONG TERM CARE 44662,A000000,02100,0000,02100RADIOLOGY 44662,A000000,02200,0000,02200LABORATORY 44662,A000000,02300,0000,02300INTRAVENOUS THERAPY 44662,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44662,A000000,02500,0000,02500PHYSICAL THERAPY 44662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44662,A000000,02700,0000,02700SPEECH PATHOLOGY 44662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44662,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44662,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44662,A000000,03200,0000,03200SUPPORT SURFACES 44662,A000000,04800,0000,04800AMBULANCE 44662,A000000,05300,0000,05300INTEREST EXPENSE 44662,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44662,A000000,05500,0000,05500HOSPICE 44662,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44662,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44662,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44662,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44662,A000000,06200,0000,06200PATIENTS LAUNDRY 44662,A81000A,00100,0100,Y 44662,A81000B,00100,0300,A&G OFFICERS SALARY 44662,A81000B,00200,0300,PLANT OFFICERS SALARY 44662,A81000B,00300,0300,CONTRACT PHARMACY CONSULT 44662,A81000B,00400,0300,MEDICAL SUPPLY 44662,A81000B,00500,0300,LEGEND DRUGS 44662,A81000B,00600,0300,DIETARY SUPPLY 44662,A81000B,00700,0300,RENT EXPENSE 44662,A81000C,00100,0100,F 44662,A81000C,00100,0200,D. KIRSCHENBAUM 44662,A81000C,00100,0400,GILBERT DRUGS 44662,A81000C,00100,0600,PHARMACY 44662,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44662,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44662,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44662,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44662,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44662,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44662,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44662,B100000,00000,0850,00000TIME SPENT :DIETARY 44662,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 44662,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44662,B100000,00000,1100,00000COST REQUIS. :PHARMACY 44662,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44662,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44662,E10A180,00501,0100,07/26/2000 44662,E10A180,00501,0300,07/26/2000 44662,S000000,00100,0200,05/30/2000 44662,S200000,00100,0100,32900 DETROIT ROAD 44662,S200000,00200,0100,AVON 44662,S200000,00200,0200,OH 44662,S200000,00200,0300,44011-2096 44662,S200000,00300,0100,LORAIN 44662,S200000,00400,0100,GOOD SAMARITAN NURSING HOME 44662,S200000,00400,0200,365155 44662,S200000,00400,0300,02/28/1967 44662,S200000,00400,0500,P 44662,S200000,01600,0100,Y 44662,S200000,04300,0100,Y 44662,S700003,00000,0100,1 44670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44670,A000000,00300,0000,00300EMPLOYEE BENEFITS 44670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44670,A000000,00700,0000,00700HOUSEKEEPING 44670,A000000,00800,0000,00800DIETARY 44670,A000000,00900,0000,00900NURSING ADMINISTRATION 44670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44670,A000000,01100,0000,01100PHARMACY 44670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44670,A000000,01300,0000,01300SOCIAL SERVICE 44670,A000000,01600,0000,01600SKILLED NURSING FACILITY 44670,A000000,01800,0000,01800NURSING FACILITY 44670,A000000,01900,0000,01900OTHER LONG TERM CARE 44670,A000000,02100,0000,02100RADIOLOGY 44670,A000000,02200,0000,02200LABORATORY 44670,A000000,02300,0000,02300INTRAVENOUS THERAPY 44670,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44670,A000000,02500,0000,02500PHYSICAL THERAPY 44670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44670,A000000,02700,0000,02700SPEECH PATHOLOGY 44670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44670,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44670,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44670,A000000,03200,0000,03200SUPPORT SURFACES 44670,A000000,04800,0000,04800AMBULANCE 44670,A000000,05300,0000,05300INTEREST EXPENSE 44670,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44670,A000000,05500,0000,05500HOSPICE 44670,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44670,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44670,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44670,A000000,06151,0000,06301ASSISTED/INDEPENDENT LIVING 44670,A000000,06200,0000,06200PATIENTS LAUNDRY 44670,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 44670,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 44670,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 44670,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 44670,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 44670,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 44670,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 44670,B100000,00000,0800,00001MEALS SERVED :DIETARY 44670,B100000,00000,0950,00001DIRECT NURSING HR :NURSING ADMINIST 44670,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 44670,B100000,00000,1150,00001INPATIENT DAYS :PHARMACY 44670,B100000,00000,1250,00001INPATIENT DAYS :MEDICAL RECORDS & 44670,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 44670,S000000,00100,0200,06/02/2000 44670,S200000,00100,0100,807 WEST AVE 44670,S200000,00200,0100,ELYRIA 44670,S200000,00200,0200,OH 44670,S200000,00200,0300,44035- 44670,S200000,00300,0100,LORAIN 44670,S200000,00400,0100,ELYRIA UNITED METHODIST VILLAGE 44670,S200000,00400,0200,365162 44670,S200000,00400,0300,05/01/1967 44670,S200000,00400,0500,P 44670,S200000,01004,0500,O 44670,S200000,01600,0100,Y 44670,S200000,04300,0100,Y 44670,S200000,04700,0100,Y 44670,S700003,00000,0100,1 44679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44679,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44679,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44679,A000000,00300,0000,00300EMPLOYEE BENEFITS 44679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44679,A000000,00700,0000,00700HOUSEKEEPING 44679,A000000,00800,0000,00800DIETARY 44679,A000000,00801,0000,00801CAFETERIA 44679,A000000,00900,0000,00900NURSING ADMINISTRATION 44679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44679,A000000,01100,0000,01100PHARMACY 44679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44679,A000000,01300,0000,01300SOCIAL SERVICE 44679,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 44679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44679,A000000,01600,0000,01600SKILLED NURSING FACILITY 44679,A000000,01800,0000,01800NURSING FACILITY 44679,A000000,01900,0000,01900OTHER LONG TERM CARE 44679,A000000,02100,0000,02100RADIOLOGY 44679,A000000,02200,0000,02200LABORATORY 44679,A000000,02300,0000,02300INTRAVENOUS THERAPY 44679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44679,A000000,02500,0000,02500PHYSICAL THERAPY 44679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44679,A000000,02700,0000,02700SPEECH PATHOLOGY 44679,A000000,02800,0000,02800ELECTROCARDIOLOGY 44679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44679,A000000,03050,0000,03300OTHER ANCILLARY 44679,A000000,03051,0000,03301OTHER ANCILLARY II 44679,A000000,03052,0000,03302OTHER ANCILLARY III 44679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44679,A000000,03200,0000,03200SUPPORT SURFACES 44679,A000000,03400,0000,03400CLINIC 44679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44679,A000000,03500,0000,03500RURAL HEALTH CLINIC 44679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44679,A000000,04400,0000,04400DME RENTED - HHA 44679,A000000,04500,0000,04500DME SOLD - HHA 44679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44679,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44679,A000000,04800,0000,04800AMBULANCE 44679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44679,A000000,05000,0000,05000CORF 44679,A000000,05010,0000,05010CMHC I 44679,A000000,05020,0000,05020OPT I 44679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44679,A000000,05300,0000,05300INTEREST EXPENSE 44679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44679,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44679,A000000,05500,0000,05500HOSPICE 44679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44679,A000000,06100,0000,06100NONPAID WORKERS 44679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44679,A000000,06200,0000,06200PATIENTS LAUNDRY 44679,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44679,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44679,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44679,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44679,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44679,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44679,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44679,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44679,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44679,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44679,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 44679,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44679,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44679,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44679,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44679,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 44679,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44679,E10A180,00501,0300,02/28/2001 44679,E10A180,00550,0100,02/28/2001 44679,S000000,00100,0200,05/31/2000 44679,S200000,00100,0100,880 GREENLAWN AVENUE 44679,S200000,00200,0100,COLUMBUS 44679,S200000,00200,0200,OH 44679,S200000,00300,0100,FRANKLIN 44679,S200000,00400,0100,ST RITAS HOME FOR THE AGED 44679,S200000,00400,0200,365167 44679,S200000,00400,0300,01/01/1980 44679,S200000,00400,0500,P 44679,S200000,01500,0100,Y 44690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44690,A000000,00300,0000,00300EMPLOYEE BENEFITS 44690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44690,A000000,00700,0000,00700HOUSEKEEPING 44690,A000000,00800,0000,00800DIETARY 44690,A000000,00900,0000,00900NURSING ADMINISTRATION 44690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44690,A000000,01300,0000,01300SOCIAL SERVICE 44690,A000000,01350,0000,01500ACTIVITIES 44690,A000000,01600,0000,01600SKILLED NURSING FACILITY 44690,A000000,01800,0000,01800NURSING FACILITY 44690,A000000,02500,0000,02500PHYSICAL THERAPY 44690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44690,A000000,02700,0000,02700SPEECH PATHOLOGY 44690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44690,A000000,03200,0000,03200SUPPORT SURFACES 44690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44690,A81000A,00100,0100,Y 44690,A81000B,00100,0300,RENT EXP 44690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44690,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44690,B100000,00000,0800,00000MEALS SERVED :DIETARY 44690,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44690,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44690,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44690,S000000,00100,0200,07/01/1999 44690,S200000,00100,0100,8440 MONTGOMERY ROAD 44690,S200000,00200,0100,CINCINNATI 44690,S200000,00200,0200,OH 44690,S200000,00200,0300,45236- 44690,S200000,00300,0100,HAMILTON 44690,S200000,00400,0100,KENWOOD TERRACE 44690,S200000,00400,0200,365178 44690,S200000,00400,0300,02/23/1971 44690,S200000,00400,0500,P 44690,S200000,01600,0100,Y 44690,S700003,00000,0200,2 44692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44692,A000000,00300,0000,00300EMPLOYEE BENEFITS 44692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44692,A000000,00700,0000,00700HOUSEKEEPING 44692,A000000,00800,0000,00800DIETARY 44692,A000000,00900,0000,00900NURSING ADMINISTRATION 44692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44692,A000000,01300,0000,01300SOCIAL SERVICE 44692,A000000,01350,0000,01500ACTIVITIES 44692,A000000,01600,0000,01600SKILLED NURSING FACILITY 44692,A000000,01800,0000,01800NURSING FACILITY 44692,A000000,01810,0000,01810ICF/MR 44692,A000000,01900,0000,01900OTHER LONG TERM CARE 44692,A000000,02100,0000,02100RADIOLOGY 44692,A000000,02200,0000,02200LABORATORY 44692,A000000,02300,0000,02300INTRAVENOUS THERAPY 44692,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44692,A000000,02500,0000,02500PHYSICAL THERAPY 44692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44692,A000000,02700,0000,02700SPEECH PATHOLOGY 44692,A000000,02800,0000,02800ELECTROCARDIOLOGY 44692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44692,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44692,A000000,03200,0000,03200SUPPORT SURFACES 44692,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44692,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44692,A000000,04800,0000,04800AMBULANCE 44692,A000000,05300,0000,05300INTEREST EXPENSE 44692,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44692,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44692,A000000,06200,0000,06200PATIENTS LAUNDRY 44692,A81000A,00100,0100,Y 44692,A81000B,00100,0300,CAP REL COSTS BLDGS & F RENT EXPENS 44692,A81000C,00100,0100,A 44692,A81000C,00100,0200,HAROLD SOSNA 44692,A81000C,00100,0400,KELLER ROAD REALTY CO LLC 44692,A81000C,00100,0600,REAL ESTATE 44692,A81000C,00200,0100,A 44692,A81000C,00200,0200,RAYMOND SCHNEIDER 44692,A81000C,00200,0400,KELLER ROAD REALTY CO LLC 44692,A81000C,00200,0600,REAL ESTATE 44692,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44692,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44692,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44692,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44692,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44692,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44692,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44692,B100000,00000,0800,00000MEALS SERVED :DIETARY 44692,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44692,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44692,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44692,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44692,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44692,E10A180,00501,0100,12/12/2000 44692,S000000,00100,0200,05/30/2000 44692,S200000,00100,0100,8840 MONTGOMERY ROAD 44692,S200000,00200,0100,CINCINNATI 44692,S200000,00200,0200,OH 44692,S200000,00200,0300,45236- 44692,S200000,00300,0100,HAMILTON 44692,S200000,00300,0200,1640 44692,S200000,00300,0300,U 44692,S200000,00400,0100,KENWOOD TERRACE 44692,S200000,00400,0200,365178 44692,S200000,00400,0300,02/23/1971 44692,S200000,00400,0500,P 44692,S200000,01600,0100,Y 44702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44702,A000000,00300,0000,00300EMPLOYEE BENEFITS 44702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44702,A000000,00700,0000,00700HOUSEKEEPING 44702,A000000,00800,0000,00800DIETARY 44702,A000000,00900,0000,00900NURSING ADMINISTRATION 44702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44702,A000000,01100,0000,01100PHARMACY 44702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44702,A000000,01300,0000,01300SOCIAL SERVICE 44702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44702,A000000,01600,0000,01600SKILLED NURSING FACILITY 44702,A000000,01900,0000,01900OTHER LONG TERM CARE 44702,A000000,02100,0000,02100RADIOLOGY 44702,A000000,02200,0000,02200LABORATORY 44702,A000000,02300,0000,02300INTRAVENOUS THERAPY 44702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44702,A000000,02500,0000,02500PHYSICAL THERAPY 44702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44702,A000000,02700,0000,02700SPEECH PATHOLOGY 44702,A000000,02800,0000,02800ELECTROCARDIOLOGY 44702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44702,A000000,03200,0000,03200SUPPORT SURFACES 44702,A000000,03400,0000,03400CLINIC 44702,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44702,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44702,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44702,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44702,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44702,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44702,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44702,A000000,04400,0000,04400DME RENTED - HHA 44702,A000000,04500,0000,04500DME SOLD - HHA 44702,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44702,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44702,A000000,04800,0000,04800AMBULANCE 44702,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44702,A000000,05300,0000,05300INTEREST EXPENSE 44702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44702,A000000,05500,0000,05500HOSPICE 44702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44702,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44702,A000000,06100,0000,06100NONPAID WORKERS 44702,A000000,06200,0000,06200PATIENTS LAUNDRY 44702,A81000A,00100,0100,Y 44702,A81000B,00100,0300,HQ ADMINISTRATIVE EXPENSE 44702,A81000B,00200,0300,HQ ADMINISTRATIVE EXPENSE 44702,A81000C,00100,0100,G 44702,A81000C,00100,0200,LEVERING MGMT 44702,A81000C,00100,0400,LEVERING MGMT 44702,A81000C,00100,0600,MANAGEMENT 44702,A81000C,03100,0000,MANAGEMENT 44702,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44702,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44702,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44702,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44702,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44702,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44702,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 44702,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44702,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44702,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44702,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44702,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44702,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44702,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 44702,S000000,00100,0200,06/01/2000 44702,S200000,00100,0100,195 EXECUTIVE DRIVE 44702,S200000,00200,0100,MARION 44702,S200000,00200,0200,OH 44702,S200000,00200,0300,43302- 44702,S200000,00300,0100,MARION 44702,S200000,00400,0100,MARION MANOR NURSING HOME 44702,S200000,00400,0200,365181 44702,S200000,00400,0300,10/01/1967 44702,S200000,00400,0500,P 44702,S200000,01500,0100,Y 44702,S200000,02200,0100,Y 44702,S200000,04700,0100,Y 44710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44710,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44710,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44710,A000000,00300,0000,00300EMPLOYEE BENEFITS 44710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44710,A000000,00700,0000,00700HOUSEKEEPING 44710,A000000,00800,0000,00800DIETARY 44710,A000000,00801,0000,00801CAFETERIA 44710,A000000,00900,0000,00900NURSING ADMINISTRATION 44710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44710,A000000,01100,0000,01100PHARMACY 44710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44710,A000000,01300,0000,01300SOCIAL SERVICE 44710,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 44710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44710,A000000,01600,0000,01600SKILLED NURSING FACILITY 44710,A000000,01800,0000,01800NURSING FACILITY 44710,A000000,01900,0000,01900OTHER LONG TERM CARE 44710,A000000,02100,0000,02100RADIOLOGY 44710,A000000,02200,0000,02200LABORATORY 44710,A000000,02300,0000,02300INTRAVENOUS THERAPY 44710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44710,A000000,02500,0000,02500PHYSICAL THERAPY 44710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44710,A000000,02700,0000,02700SPEECH PATHOLOGY 44710,A000000,02800,0000,02800ELECTROCARDIOLOGY 44710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44710,A000000,03050,0000,03300OTHER ANCILLARY 44710,A000000,03051,0000,03301OTHER ANCILLARY II 44710,A000000,03052,0000,03302OTHER ANCILLARY III 44710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44710,A000000,03200,0000,03200SUPPORT SURFACES 44710,A000000,03400,0000,03400CLINIC 44710,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44710,A000000,03500,0000,03500RURAL HEALTH CLINIC 44710,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44710,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44710,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44710,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44710,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44710,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44710,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44710,A000000,04400,0000,04400DME RENTED - HHA 44710,A000000,04500,0000,04500DME SOLD - HHA 44710,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44710,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44710,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44710,A000000,04800,0000,04800AMBULANCE 44710,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44710,A000000,05000,0000,05000CORF 44710,A000000,05010,0000,05010CMHC I 44710,A000000,05020,0000,05020OPT I 44710,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44710,A000000,05300,0000,05300INTEREST EXPENSE 44710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44710,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44710,A000000,05500,0000,05500HOSPICE 44710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44710,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44710,A000000,06100,0000,06100NONPAID WORKERS 44710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44710,A000000,06200,0000,06200PATIENTS LAUNDRY 44710,A81000A,00100,0100,Y 44710,A81000B,00100,0300,RENT 44710,A81000B,00200,0300,DEPRECIATION-BLDG 44710,A81000C,00100,0100,A 44710,A81000C,00100,0200,NICKELL TRUST 44710,A81000C,00100,0400,NICKELL TRUST 44710,A81000C,00100,0600,TRUST 44710,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44710,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44710,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44710,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44710,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44710,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44710,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44710,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44710,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44710,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44710,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 44710,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44710,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44710,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44710,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44710,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 44710,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44710,S000000,00100,0200,05/30/2000 44710,S200000,00100,0100,126 WILSON DRIVE 44710,S200000,00200,0100,XENIA 44710,S200000,00200,0200,OH 44710,S200000,00300,0100,GREENE 44710,S200000,00400,0100,HEATHERGREENE NURSING HOME 44710,S200000,00400,0200,365187 44710,S200000,00400,0300,07/06/1978 44710,S200000,00400,0500,P 44710,S200000,01500,0100,Y 44721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44721,A000000,00300,0000,00300EMPLOYEE BENEFITS 44721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44721,A000000,00700,0000,00700HOUSEKEEPING 44721,A000000,00800,0000,00800DIETARY 44721,A000000,00900,0000,00900NURSING ADMINISTRATION 44721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44721,A000000,01100,0000,01100PHARMACY 44721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44721,A000000,01300,0000,01300SOCIAL SERVICE 44721,A000000,01350,0000,01500PATIENT ACTIVITIES 44721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44721,A000000,01600,0000,01600SKILLED NURSING FACILITY 44721,A000000,01800,0000,01800NURSING FACILITY 44721,A000000,01810,0000,01801ICF/MR 44721,A000000,01900,0000,01900OTHER LONG TERM CARE 44721,A000000,02100,0000,02100RADIOLOGY 44721,A000000,02200,0000,02200LABORATORY 44721,A000000,02300,0000,02300INTRAVENOUS THERAPY 44721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44721,A000000,02500,0000,02500PHYSICAL THERAPY 44721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44721,A000000,02700,0000,02700SPEECH PATHOLOGY 44721,A000000,02800,0000,02800ELECTROCARDIOLOGY 44721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44721,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44721,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44721,A000000,03200,0000,03200SUPPORT SURFACES 44721,A000000,03400,0000,03400CLINIC 44721,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44721,A000000,03500,0000,03500RURAL HEALTH CLINIC 44721,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44721,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44721,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44721,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44721,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44721,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44721,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44721,A000000,04400,0000,04400DME RENTED - HHA 44721,A000000,04500,0000,04500DME SOLD - HHA 44721,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44721,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44721,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44721,A000000,04800,0000,04800AMBULANCE 44721,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44721,A000000,05000,0000,05000CORF 44721,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44721,A000000,05300,0000,05300INTEREST EXPENSE 44721,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44721,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44721,A000000,05500,0000,05500HOSPICE 44721,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44721,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44721,A000000,06100,0000,06100NONPAID WORKERS 44721,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44721,A000000,06200,0000,06200PATIENTS LAUNDRY 44721,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44721,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 44721,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44721,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44721,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44721,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44721,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 44721,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44721,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44721,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44721,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44721,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44721,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44721,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 44721,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44721,E10A180,00301,0100,11/30/1999 44721,E10A180,00350,0100,07/08/1999 44721,E10A180,00351,0100,02/29/2000 44721,E10A180,00501,0100,12/12/2000 44721,S000000,00100,0200,06/01/2000 44721,S200000,00100,0100,6455 PEARL ROAD 44721,S200000,00200,0100,PARMA HEIGHTS 44721,S200000,00200,0200,OH 44721,S200000,00200,0300,44129- 44721,S200000,00300,0100,CUYAHOGA 44721,S200000,00400,0100,ARISTOCRAT SOUTH NURSING HOME CORP 44721,S200000,00400,0200,365192 44721,S200000,00400,0300,01/01/1969 44721,S200000,00400,0500,P 44721,S200000,01600,0100,Y 44721,S200000,02800,0100,Y 44729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44729,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44729,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44729,A000000,00300,0000,00300EMPLOYEE BENEFITS 44729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44729,A000000,00700,0000,00700HOUSEKEEPING 44729,A000000,00800,0000,00800DIETARY 44729,A000000,00801,0000,00801CAFETERIA 44729,A000000,00900,0000,00900NURSING ADMINISTRATION 44729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44729,A000000,01100,0000,01100PHARMACY 44729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44729,A000000,01300,0000,01300SOCIAL SERVICE 44729,A000000,01350,0000,01500ACTIVITIES 44729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44729,A000000,01600,0000,01600SKILLED NURSING FACILITY 44729,A000000,01800,0000,01800NURSING FACILITY 44729,A000000,01900,0000,01900OTHER LONG TERM CARE 44729,A000000,02100,0000,02100RADIOLOGY 44729,A000000,02200,0000,02200LABORATORY 44729,A000000,02300,0000,02300INTRAVENOUS THERAPY 44729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44729,A000000,02500,0000,02500PHYSICAL THERAPY 44729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44729,A000000,02700,0000,02700SPEECH PATHOLOGY 44729,A000000,02800,0000,02800ELECTROCARDIOLOGY 44729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44729,A000000,03050,0000,03300OTHER ANCILLARY 44729,A000000,03051,0000,03301OTHER ANCILLARY II 44729,A000000,03052,0000,03302OTHER ANCILLARY III 44729,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44729,A000000,03200,0000,03200SUPPORT SURFACES 44729,A000000,03400,0000,03400CLINIC 44729,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44729,A000000,03500,0000,03500RURAL HEALTH CLINIC 44729,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44729,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44729,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44729,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44729,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44729,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44729,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44729,A000000,04400,0000,04400DME RENTED - HHA 44729,A000000,04500,0000,04500DME SOLD - HHA 44729,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44729,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44729,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44729,A000000,04800,0000,04800AMBULANCE 44729,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44729,A000000,05000,0000,05000CORF 44729,A000000,05010,0000,05010CMHC I 44729,A000000,05020,0000,05020OPT I 44729,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44729,A000000,05300,0000,05300INTEREST EXPENSE 44729,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44729,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44729,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44729,A000000,05500,0000,05500HOSPICE 44729,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44729,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44729,A000000,06100,0000,06100NONPAID WORKERS 44729,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44729,A000000,06200,0000,06200PATIENTS LAUNDRY 44729,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44729,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44729,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44729,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44729,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44729,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44729,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44729,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 44729,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 44729,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44729,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44729,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 44729,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44729,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44729,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44729,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44729,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44729,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44729,E10A180,00501,0100,08/13/1999 44729,E10A180,00501,0300,08/13/1999 44729,E10A180,00550,0100,06/01/2000 44729,S000000,00100,0200,05/22/2000 44729,S200000,00100,0100,726 RAWLINGS STREET 44729,S200000,00200,0100,WASHINGTON COURTHOUSE 44729,S200000,00200,0200,OH 44729,S200000,00300,0100,FAYETTE 44729,S200000,00400,0100,CARLTON NURSING HOME 44729,S200000,00400,0200,365193 44729,S200000,00400,0300,06/01/1978 44729,S200000,00400,0500,P 44729,S200000,01600,0100,Y 44729,S200000,04300,0100,Y 44729,S700003,00000,0100,1 44730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44730,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44730,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44730,A000000,00300,0000,00300EMPLOYEE BENEFITS 44730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44730,A000000,00700,0000,00700HOUSEKEEPING 44730,A000000,00800,0000,00800DIETARY 44730,A000000,00801,0000,00801CAFETERIA 44730,A000000,00900,0000,00900NURSING ADMINISTRATION 44730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44730,A000000,01100,0000,01100PHARMACY 44730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44730,A000000,01300,0000,01300SOCIAL SERVICE 44730,A000000,01350,0000,01500ACTIVITIES 44730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44730,A000000,01600,0000,01600SKILLED NURSING FACILITY 44730,A000000,01800,0000,01800NURSING FACILITY 44730,A000000,01900,0000,01900OTHER LONG TERM CARE 44730,A000000,02100,0000,02100RADIOLOGY 44730,A000000,02200,0000,02200LABORATORY 44730,A000000,02300,0000,02300INTRAVENOUS THERAPY 44730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44730,A000000,02500,0000,02500PHYSICAL THERAPY 44730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44730,A000000,02700,0000,02700SPEECH PATHOLOGY 44730,A000000,02800,0000,02800ELECTROCARDIOLOGY 44730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44730,A000000,03050,0000,03300OTHER ANCILLARY 44730,A000000,03051,0000,03301OTHER ANCILLARY II 44730,A000000,03052,0000,03302OTHER ANCILLARY III 44730,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44730,A000000,03200,0000,03200SUPPORT SURFACES 44730,A000000,03400,0000,03400CLINIC 44730,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44730,A000000,03500,0000,03500RURAL HEALTH CLINIC 44730,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44730,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44730,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44730,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44730,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44730,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44730,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44730,A000000,04400,0000,04400DME RENTED - HHA 44730,A000000,04500,0000,04500DME SOLD - HHA 44730,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44730,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44730,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44730,A000000,04800,0000,04800AMBULANCE 44730,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44730,A000000,05000,0000,05000CORF 44730,A000000,05010,0000,05010CMHC I 44730,A000000,05020,0000,05020OPT I 44730,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44730,A000000,05300,0000,05300INTEREST EXPENSE 44730,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44730,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44730,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44730,A000000,05500,0000,05500HOSPICE 44730,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44730,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44730,A000000,06100,0000,06100NONPAID WORKERS 44730,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44730,A000000,06200,0000,06200PATIENTS LAUNDRY 44730,A81000A,00100,0100,Y 44730,A81000B,00100,0300,H/O NURSING 44730,A81000B,00200,0300,H/O A & G 44730,A81000B,00300,0300,H/O RENT 44730,A81000B,00400,0300,H/O NON REIMBURSABLE 44730,A81000B,00500,0300,H/O THERAPIES 44730,A81000C,00100,0100,A 44730,A81000C,00100,0200,GLYNDON POWELL 44730,A81000C,00100,0400,CHSHO INC. 44730,A81000C,00100,0600,HOME OFFICE 44730,A81000C,00200,0100,A 44730,A81000C,00200,0200,ED BYINGTON 44730,A81000C,00200,0400,CHSHO INC. 44730,A81000C,00200,0600,HOME OFFICE 44730,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44730,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44730,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44730,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44730,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44730,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44730,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44730,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 44730,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 44730,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44730,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44730,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 44730,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44730,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44730,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44730,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44730,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44730,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44730,S000000,00100,0200,06/01/2000 44730,S200000,00100,0100,726 RAWLINGS STREET 44730,S200000,00200,0100,WASHINGTON COURTHOUSE 44730,S200000,00200,0200,OH 44730,S200000,00300,0100,FAYETTE 44730,S200000,00400,0100,CARLTON MANOR 44730,S200000,00400,0200,365193 44730,S200000,00400,0300,06/01/1978 44730,S200000,00400,0500,P 44730,S200000,01600,0100,Y 44730,S200000,04300,0100,Y 44730,S700003,00000,0200,2 44741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44741,A000000,00300,0000,00300EMPLOYEE BENEFITS 44741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44741,A000000,00700,0000,00700HOUSEKEEPING 44741,A000000,00800,0000,00800DIETARY 44741,A000000,00900,0000,00900NURSING ADMINISTRATION 44741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44741,A000000,01300,0000,01300SOCIAL SERVICE 44741,A000000,01350,0000,01500ACTIVITIES 44741,A000000,01600,0000,01600SKILLED NURSING FACILITY 44741,A000000,01800,0000,01800NURSING FACILITY 44741,A000000,01900,0000,01900OTHER LONG TERM CARE 44741,A000000,02100,0000,02100RADIOLOGY 44741,A000000,02200,0000,02200LABORATORY 44741,A000000,02300,0000,02300INTRAVENOUS THERAPY 44741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44741,A000000,02500,0000,02500PHYSICAL THERAPY 44741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44741,A000000,02700,0000,02700SPEECH PATHOLOGY 44741,A000000,02800,0000,02800ELECTROCARDIOLOGY 44741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44741,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44741,A000000,03200,0000,03200SUPPORT SURFACES 44741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44741,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44741,A000000,04800,0000,04800AMBULANCE 44741,A000000,05300,0000,05300INTEREST EXPENSE 44741,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44741,A000000,05500,0000,05500HOSPICE 44741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44741,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44741,A000000,06200,0000,06200PATIENTS LAUNDRY 44741,A81000A,00100,0100,Y 44741,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT EXPEN 44741,A81000C,00100,0100,A 44741,A81000C,00100,0200,DAVID R. LIPSON 44741,A81000C,00100,0400,DRL REAL ESTATE LTD 44741,A81000C,00100,0600,REAL ESTATE 44741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44741,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44741,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44741,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44741,B100000,00000,0800,00000MEALS SERVED :DIETARY 44741,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 44741,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44741,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44741,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44741,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44741,S000000,00100,0200,05/30/2000 44741,S200000,00100,0100,5501 VERULAM STREET 44741,S200000,00200,0100,CINCINNATI 44741,S200000,00200,0200,OH 44741,S200000,00200,0300,45213- 44741,S200000,00300,0100,HAMILTON 44741,S200000,00400,0100,RIDGE TERRACE 44741,S200000,00400,0200,365196 44741,S200000,00400,0300,04/01/1993 44741,S200000,00400,0500,P 44741,S200000,01600,0100,Y 44741,S700003,00000,0100,1 44751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44751,A000000,00300,0000,00300EMPLOYEE BENEFITS 44751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44751,A000000,00700,0000,00700HOUSEKEEPING 44751,A000000,00800,0000,00800DIETARY 44751,A000000,00900,0000,00900NURSING ADMINISTRATION 44751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44751,A000000,01100,0000,01100PHARMACY 44751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44751,A000000,01300,0000,01300SOCIAL SERVICE 44751,A000000,01350,0000,01500ACTIVITIES 44751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44751,A000000,01600,0000,01600SKILLED NURSING FACILITY 44751,A000000,01800,0000,01800NURSING FACILITY 44751,A000000,01810,0000,01810ICF/MR 44751,A000000,01900,0000,01900OTHER LONG TERM CARE 44751,A000000,02100,0000,02100RADIOLOGY 44751,A000000,02200,0000,02200LABORATORY 44751,A000000,02300,0000,02300INTRAVENOUS THERAPY 44751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44751,A000000,02500,0000,02500PHYSICAL THERAPY 44751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44751,A000000,02700,0000,02700SPEECH PATHOLOGY 44751,A000000,02800,0000,02800ELECTROCARDIOLOGY 44751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44751,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44751,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44751,A000000,03200,0000,03200SUPPORT SURFACES 44751,A000000,03400,0000,03400CLINIC 44751,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44751,A000000,03500,0000,03500RURAL HEALTH CLINIC 44751,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44751,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44751,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44751,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44751,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44751,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44751,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44751,A000000,04400,0000,04400DME RENTED - HHA 44751,A000000,04500,0000,04500DME SOLD - HHA 44751,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44751,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44751,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44751,A000000,04800,0000,04800AMBULANCE 44751,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44751,A000000,05000,0000,05000CORF 44751,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44751,A000000,05300,0000,05300INTEREST EXPENSE 44751,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44751,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44751,A000000,05500,0000,05500HOSPICE 44751,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44751,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44751,A000000,06100,0000,06100NONPAID WORKERS 44751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44751,A000000,06200,0000,06200PATIENTS LAUNDRY 44751,A81000A,00100,0100,Y 44751,A81000B,00100,0300,CAP.RELATED-BLDGS 44751,A81000C,00100,0100,A 44751,A81000C,00100,0200,SAM BOYMEL 44751,A81000C,00100,0400,SAM BOYMEL 44751,A81000C,00100,0600,LANDLORD 44751,A81000C,00200,0100,A 44751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44751,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44751,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44751,B100000,00000,0800,00000MEALS SERVED :DIETARY 44751,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44751,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44751,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44751,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44751,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44751,E10A180,00501,0100,07/19/2000 44751,S000000,00100,0200,05/30/2000 44751,S200000,00100,0100,6898 HAMILTON-MIDDLE 44751,S200000,00200,0100,MIDDLETOWN 44751,S200000,00200,0200,OH 44751,S200000,00200,0300,45042- 44751,S200000,00300,0100,BUTLER 44751,S200000,00300,0200,3200 44751,S200000,00300,0300,U 44751,S200000,00400,0100,GARDEN MANOR EXTENDED 44751,S200000,00400,0200,365209 44751,S200000,00400,0300,10/11/1968 44751,S200000,00400,0500,P 44751,S200000,01600,0100,Y 44751,S200000,04700,0100,Y 44751,S200000,04700,0200,Y 44761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44761,A000000,00101,0000,00101CAP REL COSTS - OLD BUILDING 44761,A000000,00102,0000,00102CAP REL COSTS - NEW BUILDING 44761,A000000,00103,0000,00103CAP REL COSTS - COMBINED BUILDING 44761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44761,A000000,00300,0000,00300EMPLOYEE BENEFITS 44761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44761,A000000,00700,0000,00700HOUSEKEEPING 44761,A000000,00800,0000,00800DIETARY 44761,A000000,00900,0000,00900NURSING ADMINISTRATION 44761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44761,A000000,01100,0000,01100PHARMACY 44761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44761,A000000,01300,0000,01300SOCIAL SERVICE 44761,A000000,01350,0000,01500OTHER GENERAL SERVICES 44761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44761,A000000,01600,0000,01600SKILLED NURSING FACILITY 44761,A000000,01800,0000,01800NURSING FACILITY 44761,A000000,01810,0000,01810ICF/MR 44761,A000000,01900,0000,01900OTHER LONG TERM CARE 44761,A000000,02100,0000,02100RADIOLOGY 44761,A000000,02200,0000,02200LABORATORY 44761,A000000,02300,0000,02300INTRAVENOUS THERAPY 44761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44761,A000000,02500,0000,02500PHYSICAL THERAPY 44761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44761,A000000,02700,0000,02700SPEECH PATHOLOGY 44761,A000000,02800,0000,02800ELECTROCARDIOLOGY 44761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44761,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44761,A000000,03200,0000,03200SUPPORT SURFACES 44761,A000000,03400,0000,03400CLINIC 44761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44761,A000000,03500,0000,03500RURAL HEALTH CLINIC 44761,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44761,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44761,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44761,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44761,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44761,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44761,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44761,A000000,04400,0000,04400DME RENTED - HHA 44761,A000000,04500,0000,04500DME SOLD - HHA 44761,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44761,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44761,A000000,04800,0000,04800AMBULANCE 44761,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44761,A000000,05000,0000,05000CORF 44761,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44761,A000000,05300,0000,05300INTEREST EXPENSE 44761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44761,A000000,05500,0000,05500HOSPICE 44761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44761,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44761,A000000,06100,0000,06100NONPAID WORKERS 44761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44761,A000000,06200,0000,06200PATIENTS LAUNDRY 44761,A81000A,00100,0100,Y 44761,A81000B,00100,0300,MANAGEMENT FEES 44761,A81000C,00100,0100,A 44761,A81000C,00100,0200,EVELYN GARFIELD 44761,A81000C,00100,0400,EMERY MEDICAL MANAGEMENT 44761,A81000C,00100,0600,MANAGEMENT COMPANY 44761,A81000C,00200,0100,A 44761,A81000C,00200,0200,HOLLIS GARFIELD 44761,A81000C,00200,0400,EMERY MEDICAL MANAGEMENT 44761,A81000C,00200,0600,MANAGEMENT COMPANY 44761,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - OLD B 44761,B100000,00000,0102,00000SQUARE FEET :CAP REL COSTS - NEW B 44761,B100000,00000,0103,00000SQUARE FEET :CAP REL COSTS - COMBI 44761,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44761,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44761,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44761,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44761,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44761,B100000,00000,0800,00000MEALS SERVED :DIETARY 44761,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44761,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44761,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44761,E10A180,00501,0100,08/09/2000 44761,E10A180,00501,0300,08/09/2000 44761,S000000,00100,0200,07/31/2000 44761,S200000,00100,0100,20265 EMERY ROAD 44761,S200000,00200,0100,NORTH RANDALL 44761,S200000,00200,0200,OH 44761,S200000,00200,0300,44128- 44761,S200000,00300,0100,CUYAHOGA 44761,S200000,00300,0200,1680 44761,S200000,00300,0300,U 44761,S200000,00400,0100,SUBURBAN PAVILION INC 44761,S200000,00400,0200,365215 44761,S200000,00400,0300,03/12/1969 44761,S200000,00400,0500,P 44761,S200000,01600,0100,Y 44769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44769,A000000,00300,0000,00300EMPLOYEE BENEFITS 44769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44769,A000000,00700,0000,00700HOUSEKEEPING 44769,A000000,00800,0000,00800DIETARY 44769,A000000,00900,0000,00900NURSING ADMINISTRATION 44769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44769,A000000,01300,0000,01300SOCIAL SERVICE 44769,A000000,01350,0000,01500RECREATIONAL SERVICES 44769,A000000,01600,0000,01600SKILLED NURSING FACILITY 44769,A000000,02500,0000,02500PHYSICAL THERAPY 44769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44769,A000000,02700,0000,02700SPEECH PATHOLOGY 44769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44769,A81000A,00100,0100,Y 44769,A81000B,00100,0300,DEPRECIATION - HO 44769,A81000B,00200,0300,DEPRECIATION - MGMT 44769,A81000B,00300,0300,SALARIES 44769,A81000B,00400,0300,ADMINISTRATIVE 44769,A81000B,00500,0300,RENT 44769,A81000B,00600,0300,INTEREST 44769,A81000B,00700,0300,RE TAXES 44769,A81000C,00100,0100,A 44769,A81000C,00100,0200,ERIC ROTHNER 44769,A81000C,00100,0400,CARE CENTERS 44769,A81000C,00100,0600,MGMT CO 44769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44769,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44769,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 44769,B100000,00000,0800,00000MEALS SERVED :DIETARY 44769,B100000,00000,0950,00000DIRECT NRSG COST :NURSING ADMINISTR 44769,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44769,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44769,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44769,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL SERVICE 44769,S000000,00100,0200,06/29/1999 44769,S200000,00100,0100,4900 COOPER 44769,S200000,00200,0100,BLUE ASH 44769,S200000,00200,0200,OH 44769,S200000,00200,0300,45242- 44769,S200000,00300,0100,HAMILTON 44769,S200000,00400,0100,BLUE ASH NRSG. & REHAB. CENTER 44769,S200000,00400,0200,365218 44769,S200000,00400,0300,06/04/1969 44769,S200000,00400,0500,P 44769,S200000,00600,0200,365218 44769,S200000,00600,0300,06/04/1969 44769,S200000,01600,0100,Y 44769,S200000,01900,0100,LLC 44769,S700003,00000,0100,1 44771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44771,A000000,00300,0000,00300EMPLOYEE BENEFITS 44771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44771,A000000,00700,0000,00700HOUSEKEEPING 44771,A000000,00800,0000,00800DIETARY 44771,A000000,00900,0000,00900NURSING ADMINISTRATION 44771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44771,A000000,01100,0000,01100PHARMACY 44771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44771,A000000,01300,0000,01300SOCIAL SERVICE 44771,A000000,01350,0000,01500RECREATIONAL THERAPY 44771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44771,A000000,01600,0000,01600SKILLED NURSING FACILITY 44771,A000000,01810,0000,01810ICF/MR 44771,A000000,03550,0000,03550FQHC 44771,A000000,05000,0000,05000CORF 44771,A000000,05010,0000,05010CMHC 44771,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 44771,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 44771,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 44771,A81000A,00100,0100,Y 44771,A81000B,00100,0300,RENT INCOME 44771,A81000B,00200,0300,RENT EXPENSE 44771,A81000B,00300,0300,HOME OFFICE EXP 44771,A81000C,00100,0100,A 44771,A81000C,00100,0200,ERIC ROTHNER 44771,A81000C,00100,0400,CARE CENTERS 44771,A81000C,00100,0600,MGMT. CO. 44771,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 44771,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 44771,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 44771,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 44771,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 44771,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 44771,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 44771,B100000,00000,0800,00040MEALS SERVED :DIETARY 44771,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 44771,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 44771,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 44771,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 44771,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 44771,B100000,00000,1350,00040PATIENT DAYS :RECREATIONAL THERAPY 44771,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 44771,S000000,00100,0200,06/08/2000 44771,S200000,00100,0100,4900 COOPER ROAD 44771,S200000,00200,0100,BLUE ASH 44771,S200000,00200,0200,OH 44771,S200000,00200,0300,45242- 44771,S200000,00300,0100,HAMILTON 44771,S200000,00400,0100,BLUE ASH NRSG. & REHAB. CENTER 44771,S200000,00400,0200,365218 44771,S200000,00400,0300,06/04/1969 44771,S200000,00400,0500,P 44771,S200000,00600,0200,365218 44771,S200000,00600,0300,06/04/1969 44771,S200000,01500,0100,Y 44771,S200000,02200,0100,Y 44780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44780,A000000,00300,0000,00300EMPLOYEE BENEFITS 44780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44780,A000000,00700,0000,00700HOUSEKEEPING 44780,A000000,00800,0000,00800DIETARY 44780,A000000,00900,0000,00900NURSING ADMINISTRATION 44780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44780,A000000,01100,0000,01100PHARMACY 44780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44780,A000000,01300,0000,01300SOCIAL SERVICE 44780,A000000,01350,0000,01500OTHER GENERAL SERVICES 44780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44780,A000000,01600,0000,01600SKILLED NURSING FACILITY 44780,A000000,01800,0000,01800NURSING FACILITY 44780,A000000,01810,0000,01810ICF/MR 44780,A000000,01900,0000,01900OTHER LONG TERM CARE 44780,A000000,02100,0000,02100RADIOLOGY 44780,A000000,02200,0000,02200LABORATORY 44780,A000000,02300,0000,02300INTRAVENOUS THERAPY 44780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44780,A000000,02500,0000,02500PHYSICAL THERAPY 44780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44780,A000000,02700,0000,02700SPEECH PATHOLOGY 44780,A000000,02800,0000,02800ELECTROCARDIOLOGY 44780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44780,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44780,A000000,03200,0000,03200SUPPORT SURFACES 44780,A000000,03400,0000,03400CLINIC 44780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44780,A000000,03500,0000,03500RURAL HEALTH CLINIC 44780,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44780,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44780,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44780,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44780,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44780,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44780,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44780,A000000,04400,0000,04400DME RENTED - HHA 44780,A000000,04500,0000,04500DME SOLD - HHA 44780,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44780,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44780,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44780,A000000,04800,0000,04800AMBULANCE 44780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44780,A000000,05000,0000,05000CORF 44780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44780,A000000,05300,0000,05300INTEREST EXPENSE 44780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44780,A000000,05500,0000,05500HOSPICE 44780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44780,A000000,06100,0000,06100NONPAID WORKERS 44780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44780,A000000,06200,0000,06200PATIENTS LAUNDRY 44780,A81000A,00100,0100,Y 44780,A81000B,00100,0300,HOME OFFICE COSTS - CAPITAL 44780,A81000B,00200,0300,HOME OFFICE COSTS - ADMIN. 44780,A81000B,00300,0300,HOME OFFICE COSTS - DIETARY 44780,A81000B,00400,0300,HOME OFFICE COSTS - CAPITAL 44780,A81000B,00500,0300,HOME OFFICE COSTS - ADMIN. 44780,A81000C,00100,0100,B 44780,A81000C,00100,0200,LTC MANAGEMENT SERVICES 44780,A81000C,00100,0400,LTC MANAGEMENT SERVICES 44780,A81000C,00100,0600,NRSG. HOME MGMT. 44780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44780,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44780,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44780,B100000,00000,0800,00000MEALS SERVED :DIETARY 44780,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 44780,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44780,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44780,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44780,S000000,00100,0200,06/05/2000 44780,S200000,00100,0100,850 NELLIE STREET 44780,S200000,00200,0100,GREENFIELD 44780,S200000,00200,0200,OH 44780,S200000,00200,0300,45123-0038 44780,S200000,00300,0100,HIGHLAND 44780,S200000,00300,0200,36 44780,S200000,00300,0300,R 44780,S200000,00400,0100,LTC MGMT. OF GREENFIELD INC. 44780,S200000,00400,0200,365221 44780,S200000,00400,0300,01/01/1988 44780,S200000,00400,0500,P 44780,S200000,01600,0100,Y 44780,S200000,04300,0100,Y 44792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44792,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44792,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44792,A000000,00300,0000,00300EMPLOYEE BENEFITS 44792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44792,A000000,00700,0000,00700HOUSEKEEPING 44792,A000000,00800,0000,00800DIETARY 44792,A000000,00801,0000,00801CAFETERIA 44792,A000000,00900,0000,00900NURSING ADMINISTRATION 44792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44792,A000000,01100,0000,01100PHARMACY 44792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44792,A000000,01300,0000,01300SOCIAL SERVICE 44792,A000000,01350,0000,01500ACTIVITIES 44792,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44792,A000000,01600,0000,01600SKILLED NURSING FACILITY 44792,A000000,01800,0000,01800NURSING FACILITY 44792,A000000,01900,0000,01900OTHER LONG TERM CARE 44792,A000000,02100,0000,02100RADIOLOGY 44792,A000000,02200,0000,02200LABORATORY 44792,A000000,02300,0000,02300INTRAVENOUS THERAPY 44792,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44792,A000000,02500,0000,02500PHYSICAL THERAPY 44792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44792,A000000,02700,0000,02700SPEECH PATHOLOGY 44792,A000000,02800,0000,02800ELECTROCARDIOLOGY 44792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44792,A000000,03050,0000,03300OTHER ANCILLARY 44792,A000000,03051,0000,03301OTHER ANCILLARY II 44792,A000000,03052,0000,03302OTHER ANCILLARY III 44792,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44792,A000000,03200,0000,03200SUPPORT SURFACES 44792,A000000,03400,0000,03400CLINIC 44792,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44792,A000000,03500,0000,03500RURAL HEALTH CLINIC 44792,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44792,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44792,A000000,05000,0000,05000CORF 44792,A000000,05010,0000,05010CMHC I 44792,A000000,05020,0000,05020OPT I 44792,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44792,A000000,05300,0000,05300INTEREST EXPENSE 44792,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44792,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44792,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44792,A000000,05500,0000,05500HOSPICE 44792,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44792,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44792,A000000,06100,0000,06100NONPAID WORKERS 44792,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44792,A000000,06200,0000,06200PATIENTS LAUNDRY 44792,A81000A,00100,0100,Y 44792,A81000B,00100,0300,ADMINISTRATOR COMP 44792,A81000C,00100,0100,A 44792,A81000C,00100,0200,DOUG COCHRAN 44792,A81000C,00100,0400,WORTHINGTON NH 44792,A81000C,00100,0600,SNF 44792,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44792,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44792,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44792,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44792,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44792,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44792,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44792,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44792,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44792,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44792,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44792,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 44792,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44792,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44792,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44792,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44792,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44792,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44792,S000000,00100,0200,11/10/1999 44792,S200000,00100,0100,6830 NORTH HIGH STREET 44792,S200000,00200,0100,WORTHINGTON 44792,S200000,00200,0200,OH 44792,S200000,00200,0300,43085- 44792,S200000,00300,0100,FRANKLIN 44792,S200000,00400,0100,NORWORTH CONVALESCENT CENTER 44792,S200000,00400,0200,365222 44792,S200000,00400,0300,06/25/1969 44792,S200000,00400,0500,P 44792,S200000,01600,0100,Y 44792,S200000,03100,0100,Y 44792,S200000,04300,0100,Y 44792,S700003,00000,0100,1 44794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44794,A000000,00300,0000,00300EMPLOYEE BENEFITS 44794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44794,A000000,00700,0000,00700HOUSEKEEPING 44794,A000000,00800,0000,00800DIETARY 44794,A000000,00900,0000,00900NURSING ADMINISTRATION 44794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44794,A000000,01100,0000,01100PHARMACY 44794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44794,A000000,01300,0000,01300SOCIAL SERVICE 44794,A000000,01350,0000,01500ACTIVITIES 44794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44794,A000000,01600,0000,01600SKILLED NURSING FACILITY 44794,A000000,01800,0000,01800NURSING FACILITY 44794,A000000,01900,0000,01900OTHER LONG TERM CARE 44794,A000000,02100,0000,02100RADIOLOGY 44794,A000000,02200,0000,02200LABORATORY 44794,A000000,02300,0000,02300INTRAVENOUS THERAPY 44794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44794,A000000,02500,0000,02500PHYSICAL THERAPY 44794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44794,A000000,02700,0000,02700SPEECH PATHOLOGY 44794,A000000,02800,0000,02800ELECTROCARDIOLOGY 44794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44794,A000000,03200,0000,03200SUPPORT SURFACES 44794,A000000,03400,0000,03400CLINIC 44794,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44794,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44794,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44794,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44794,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44794,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44794,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44794,A000000,04400,0000,04400DME RENTED - HHA 44794,A000000,04500,0000,04500DME SOLD - HHA 44794,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44794,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44794,A000000,04800,0000,04800AMBULANCE 44794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44794,A000000,05300,0000,05300INTEREST EXPENSE 44794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44794,A000000,05500,0000,05500HOSPICE 44794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44794,A000000,06100,0000,06100NONPAID WORKERS 44794,A000000,06200,0000,06200PATIENTS LAUNDRY 44794,A81000A,00100,0100,Y 44794,A81000B,00100,0300,MANAGEMENT FEE 44794,A81000B,00200,0300,HOME OFFICE - CAPITAL 44794,A81000B,00300,0300,QUALITY ASSURANCE - HOME OFFICE 44794,A81000B,00400,0300,OTHER 44794,A81000C,00100,0100,B 44794,A81000C,00100,0400,LAUREL HEALTH 44794,A81000C,00100,0600,MANAGEMENT CO. 44794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44794,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44794,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 44794,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44794,B100000,00000,0850,00000PAT DAYS :DIETARY 44794,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 44794,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 44794,B100000,00000,1150,00000BLANK :PHARMACY 44794,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 44794,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 44794,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 44794,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 44794,S000000,00100,0200,11/24/1999 44794,S200000,00100,0100,6830 NORTH HIGH STREET 44794,S200000,00200,0100,WORTHINGTON 44794,S200000,00200,0200,OH 44794,S200000,00200,0300,43085- 44794,S200000,00300,0100,FRANKLIN 44794,S200000,00400,0100,THE LAURELS OF NORWORTH 44794,S200000,00400,0200,365222 44794,S200000,00400,0300,05/01/1999 44794,S200000,00400,0500,P 44794,S200000,01004,0500,O 44794,S200000,01600,0100,Y 44794,S200000,02200,0100,Y 44796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44796,A000000,00300,0000,00300EMPLOYEE BENEFITS 44796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44796,A000000,00700,0000,00700HOUSEKEEPING 44796,A000000,00800,0000,00800DIETARY 44796,A000000,00900,0000,00900NURSING ADMINISTRATION 44796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44796,A000000,01100,0000,01100PHARMACY 44796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44796,A000000,01300,0000,01300SOCIAL SERVICE 44796,A000000,01350,0000,01500ACTIVITIES 44796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44796,A000000,01600,0000,01600SKILLED NURSING FACILITY 44796,A000000,01800,0000,01800NURSING FACILITY 44796,A000000,01900,0000,01900OTHER LONG TERM CARE 44796,A000000,02100,0000,02100RADIOLOGY 44796,A000000,02200,0000,02200LABORATORY 44796,A000000,02300,0000,02300INTRAVENOUS THERAPY 44796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44796,A000000,02500,0000,02500PHYSICAL THERAPY 44796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44796,A000000,02700,0000,02700SPEECH PATHOLOGY 44796,A000000,02800,0000,02800ELECTROCARDIOLOGY 44796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44796,A000000,03200,0000,03200SUPPORT SURFACES 44796,A000000,03400,0000,03400CLINIC 44796,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44796,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44796,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44796,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44796,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44796,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44796,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44796,A000000,04400,0000,04400DME RENTED - HHA 44796,A000000,04500,0000,04500DME SOLD - HHA 44796,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44796,A000000,04800,0000,04800AMBULANCE 44796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44796,A000000,05300,0000,05300INTEREST EXPENSE 44796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44796,A000000,05500,0000,05500HOSPICE 44796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44796,A000000,06100,0000,06100NONPAID WORKERS 44796,A000000,06200,0000,06200PATIENTS LAUNDRY 44796,A81000A,00100,0100,Y 44796,A81000B,00100,0300,MANAGEMENT FEE 44796,A81000B,00200,0300,QUALITY ASSURANCE 44796,A81000B,00300,0300,CAPITAL 44796,A81000B,00400,0300,HOME OFFICE - OTHER 44796,A81000C,00100,0100,B 44796,A81000C,00100,0400,LAUREL HEALTH 44796,A81000C,00100,0600,MANAGEMENT CO 44796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44796,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44796,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44796,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 44796,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44796,B100000,00000,0850,00000PAT DAYS :DIETARY 44796,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 44796,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 44796,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 44796,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 44796,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 44796,E10A180,00501,0100,01/16/2001 44796,S000000,00100,0200,11/30/2000 44796,S200000,00100,0100,6830 NORTH HIGH STREET 44796,S200000,00200,0100,WORTHINGTON 44796,S200000,00200,0200,OH 44796,S200000,00200,0300,43085- 44796,S200000,00300,0100,FRANKLIN 44796,S200000,00300,0200,1840 44796,S200000,00300,0300,U 44796,S200000,00400,0100,THE LAURELS OF NORWORTH 44796,S200000,00400,0200,365222 44796,S200000,00400,0300,05/01/1999 44796,S200000,00400,0500,P 44796,S200000,01600,0100,Y 44796,S200000,02200,0100,Y 44805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44805,A000000,00300,0000,00300EMPLOYEE BENEFITS 44805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44805,A000000,00700,0000,00700HOUSEKEEPING 44805,A000000,00800,0000,00800DIETARY 44805,A000000,00900,0000,00900NURSING ADMINISTRATION 44805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44805,A000000,01100,0000,01100PHARMACY 44805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44805,A000000,01300,0000,01300SOCIAL SERVICE 44805,A000000,01350,0000,01500OTHER GENERAL SERVICES 44805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44805,A000000,01600,0000,01600SKILLED NURSING FACILITY 44805,A000000,01800,0000,01800NURSING FACILITY 44805,A000000,01900,0000,01900OTHER LONG TERM CARE 44805,A000000,02100,0000,02100RADIOLOGY 44805,A000000,02200,0000,02200LABORATORY 44805,A000000,02300,0000,02300INTRAVENOUS THERAPY 44805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44805,A000000,02500,0000,02500PHYSICAL THERAPY 44805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44805,A000000,02700,0000,02700SPEECH PATHOLOGY 44805,A000000,02800,0000,02800ELECTROCARDIOLOGY 44805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44805,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44805,A000000,03051,0000,03301ROUTINE MEDICAL EQUIPMENT 44805,A000000,03052,0000,03302CONCENTRATORS 44805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44805,A000000,03200,0000,03200SUPPORT SURFACES 44805,A000000,03400,0000,03400CLINIC 44805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44805,A000000,03500,0000,03500RURAL HEALTH CLINIC 44805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44805,A000000,04800,0000,04800AMBULANCE 44805,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44805,A000000,05000,0000,05000CORF 44805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44805,A000000,05300,0000,05300INTEREST EXPENSE 44805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44805,A000000,05500,0000,05500HOSPICE 44805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44805,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44805,A000000,06100,0000,06100NONPAID WORKERS 44805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44805,A000000,06200,0000,06200PATIENTS LAUNDRY 44805,A81000A,00100,0100,Y 44805,A81000B,00100,0300,ASST. ADMIN. SALARY 44805,A81000B,00200,0300,OFFICER SALARY 44805,A81000C,00100,0100,A 44805,A81000C,00100,0200,WILLIAM ERIC ULLUM 44805,A81000C,00100,0400,WILMINGTON HEALTH CARE 44805,A81000C,00100,0600,ASST. ADMINISTRATOR 44805,A81000C,00200,0100,F 44805,A81000C,00200,0200,KELLY WATSON 44805,A81000C,00200,0400,WILMINGTON HEALTH CARE 44805,A81000C,00200,0600,OFFICER 44805,A81000C,00300,0100,A 44805,A81000C,00300,0200,WILLIAM ERIC ULLUM 44805,A81000C,00300,0400,LEBANON HEALTH CARE 44805,A81000C,00300,0600,ADMINISTRATOR 44805,A81000C,00400,0100,F 44805,A81000C,00400,0200,KELLY WATSON 44805,A81000C,00400,0400,LBANON HEALTH CARE 44805,A81000C,00400,0600,OFFICER 44805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44805,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44805,B100000,00000,0800,00000MEALS SERVED :DIETARY 44805,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 44805,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44805,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44805,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44805,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44805,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44805,E10A180,00501,0100,03/01/2000 44805,S000000,00100,0200,02/24/2000 44805,S200000,00100,0100,75 HALE STREET 44805,S200000,00200,0100,WILMINGTON 44805,S200000,00200,0200,OH 44805,S200000,00200,0300,45177- 44805,S200000,00300,0100,CLINTON 44805,S200000,00400,0100,WILMINGTON HEALTH CARE 44805,S200000,00400,0200,365228 44805,S200000,00400,0300,10/01/1979 44805,S200000,00400,0500,P 44805,S200000,01600,0100,Y 44805,S700003,00000,0100,1 44815,S000000,00100,0200,06/01/2000 44824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44824,A000000,00300,0000,00300EMPLOYEE BENEFITS 44824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44824,A000000,00700,0000,00700HOUSEKEEPING 44824,A000000,00800,0000,00800DIETARY 44824,A000000,00900,0000,00900NURSING ADMINISTRATION 44824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44824,A000000,01100,0000,01100PHARMACY 44824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44824,A000000,01300,0000,01300SOCIAL SERVICE 44824,A000000,01600,0000,01600SKILLED NURSING FACILITY 44824,A000000,01800,0000,01800NURSING FACILITY 44824,A000000,01900,0000,01900OTHER LONG TERM CARE 44824,A000000,02100,0000,02100RADIOLOGY 44824,A000000,02200,0000,02200LABORATORY 44824,A000000,02300,0000,02300INTRAVENOUS THERAPY 44824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44824,A000000,02500,0000,02500PHYSICAL THERAPY 44824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44824,A000000,02700,0000,02700SPEECH PATHOLOGY 44824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44824,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44824,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44824,A000000,03200,0000,03200SUPPORT SURFACES 44824,A000000,04800,0000,04800AMBULANCE 44824,A000000,05300,0000,05300INTEREST EXPENSE 44824,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44824,A000000,05500,0000,05500HOSPICE 44824,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44824,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44824,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44824,A000000,06200,0000,06200PATIENTS LAUNDRY 44824,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44824,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44824,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44824,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44824,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44824,B100000,00000,0650,00000IMPATIENT DAYS :LAUNDRY & LINEN SE 44824,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44824,B100000,00000,0800,00000MEALS SERVED :DIETARY 44824,B100000,00000,0950,00000IMPATIENT DAYS :NURSING ADMINISTRA 44824,B100000,00000,1050,00000IMPATIENT DAYS :CENTRAL SERVICES & 44824,B100000,00000,1150,00000IMPATIENT DAYS :PHARMACY 44824,B100000,00000,1250,00000IMPATIENT DAYS :MEDICAL RECORDS & 44824,B100000,00000,1330,00000IMPATIENT DAYS :SOCIAL SERVICE 44824,S000000,00100,0200,05/30/2000 44824,S200000,00100,0100,840 SHERMAN STREET 44824,S200000,00200,0100,GENEVA 44824,S200000,00200,0200,OH 44824,S200000,00200,0300,44041- 44824,S200000,00300,0100,ASHTABULA 44824,S200000,00400,0100,GENEVA HEALTH CARE CENTER 44824,S200000,00400,0200,365233 44824,S200000,00400,0300,02/20/1970 44824,S200000,00400,0500,P 44824,S200000,01004,0500,O 44824,S200000,01600,0100,Y 44824,S200000,04300,0100,Y 44833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44833,A000000,00300,0000,00300EMPLOYEE BENEFITS 44833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44833,A000000,00700,0000,00700HOUSEKEEPING 44833,A000000,00800,0000,00800DIETARY 44833,A000000,00900,0000,00900NURSING ADMINISTRATION 44833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44833,A000000,01100,0000,01100PHARMACY 44833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44833,A000000,01300,0000,01300SOCIAL SERVICE 44833,A000000,01350,0000,01500OTHER GENERAL SERVICES 44833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44833,A000000,01600,0000,01600SKILLED NURSING FACILITY 44833,A000000,01800,0000,01800NURSING FACILITY 44833,A000000,01810,0000,01801ICF/MR 44833,A000000,01900,0000,01900OTHER LONG TERM CARE 44833,A000000,02100,0000,02100RADIOLOGY 44833,A000000,02200,0000,02200LABORATORY 44833,A000000,02300,0000,02300INTRAVENOUS THERAPY 44833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44833,A000000,02500,0000,02500PHYSICAL THERAPY 44833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44833,A000000,02700,0000,02700SPEECH PATHOLOGY 44833,A000000,02800,0000,02800ELECTROCARDIOLOGY 44833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44833,A000000,03200,0000,03200SUPPORT SURFACES 44833,A000000,03400,0000,03400CLINIC 44833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44833,A000000,03500,0000,03500RURAL HEALTH CLINIC 44833,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44833,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44833,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44833,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44833,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44833,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44833,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44833,A000000,04400,0000,04400DME RENTED - HHA 44833,A000000,04500,0000,04500DME SOLD - HHA 44833,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44833,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44833,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44833,A000000,04800,0000,04800AMBULANCE 44833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44833,A000000,05000,0000,05000CORF 44833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44833,A000000,05300,0000,05300INTEREST EXPENSE 44833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44833,A000000,05500,0000,05500HOSPICE 44833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44833,A000000,06100,0000,06100NONPAID WORKERS 44833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44833,A000000,06200,0000,06200PATIENTS LAUNDRY 44833,A81000A,00100,0100,Y 44833,A81000B,00100,0300,HOME OFFICE ALLOCATION 44833,A81000B,00200,0300,HOME OFFICE ALLOCATION 44833,A81000B,00300,0300,HOME OFFICE ALLOCATION 44833,A81000C,00100,0100,C 44833,A81000C,00100,0200,MORTON WEISBERG 44833,A81000C,00100,0400,MULTI-CARE MGMT 44833,A81000C,00100,0600,HOME OFFICE 44833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44833,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44833,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 44833,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44833,B100000,00000,0800,00000MEALS SERVED :DIETARY 44833,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 44833,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44833,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44833,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 44833,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 44833,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44833,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44833,S000000,00100,0200,06/08/2000 44833,S200000,00100,0100,60 WOOD STREET 44833,S200000,00200,0100,PAINESVILLE 44833,S200000,00200,0200,OH 44833,S200000,00200,0300,44077- 44833,S200000,00300,0100,LAKE 44833,S200000,00400,0100,HOMESTEAD II 44833,S200000,00400,0200,365236 44833,S200000,00400,0300,01/21/1970 44833,S200000,00400,0500,P 44833,S200000,01500,0100,Y 44833,S200000,04300,0100,Y 44833,S700003,00000,0100,1 44871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44871,A000000,00300,0000,00300EMPLOYEE BENEFITS 44871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44871,A000000,00700,0000,00700HOUSEKEEPING 44871,A000000,00800,0000,00800DIETARY 44871,A000000,00900,0000,00900NURSING ADMINISTRATION 44871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44871,A000000,01100,0000,01100PHARMACY 44871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44871,A000000,01300,0000,01300SOCIAL SERVICE 44871,A000000,01350,0000,01500ACTIVITIES 44871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44871,A000000,01600,0000,01600SKILLED NURSING FACILITY 44871,A000000,01800,0000,01800NURSING FACILITY 44871,A000000,01810,0000,01801ICF/MR 44871,A000000,01900,0000,01900OTHER LONG TERM CARE 44871,A000000,02100,0000,02100RADIOLOGY 44871,A000000,02200,0000,02200LABORATORY 44871,A000000,02300,0000,02300INTRAVENOUS THERAPY 44871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44871,A000000,02500,0000,02500PHYSICAL THERAPY 44871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44871,A000000,02700,0000,02700SPEECH PATHOLOGY 44871,A000000,02800,0000,02800ELECTROCARDIOLOGY 44871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44871,A000000,03200,0000,03200SUPPORT SURFACES 44871,A000000,03400,0000,03400CLINIC 44871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44871,A000000,03500,0000,03500RURAL HEALTH CLINIC 44871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44871,A000000,04400,0000,04400DME RENTED - HHA 44871,A000000,04500,0000,04500DME SOLD - HHA 44871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44871,A000000,04800,0000,04800AMBULANCE 44871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44871,A000000,05000,0000,05000CORF 44871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44871,A000000,05300,0000,05300INTEREST EXPENSE 44871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44871,A000000,05500,0000,05500HOSPICE 44871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44871,A000000,06100,0000,06100NONPAID WORKERS 44871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44871,A000000,06200,0000,06200PATIENTS LAUNDRY 44871,A81000A,00100,0100,Y 44871,A81000B,00100,0300,REPLACE LEASE EXPENSE 44871,A81000C,00100,0100,A 44871,A81000C,00100,0200,MARK A. WHITE 44871,A81000C,00100,0400,VAN RUE PROPERTY 44871,A81000C,00100,0600,REAL ESTATE LEASE 44871,A81000C,00200,0100,A 44871,A81000C,00200,0200,STEVEN E. WHITE 44871,A81000C,00200,0400,VAN RUE PROPERTY 44871,A81000C,00200,0600,REAL ESTATE LEASE 44871,A81000C,00300,0100,A 44871,A81000C,00300,0200,CAROL WHITE 44871,A81000C,00300,0400,VAN RUE PROPERTY 44871,A81000C,00300,0600,REAL ESTATE LEASE 44871,A81000C,00400,0100,A 44871,A81000C,00400,0200,LINDA WHITE 44871,A81000C,00400,0400,VAN RUE PROPERTY 44871,A81000C,00400,0600,REAL ESTATE LEASE 44871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44871,B100000,00000,0800,00000MEALS SERVED :DIETARY 44871,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44871,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44871,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44871,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44871,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44871,S000000,00100,0200,05/30/2000 44871,S200000,00100,0100,10357 VAN WERT DECATUR 44871,S200000,00100,0300,558 44871,S200000,00200,0100,VAN WERT 44871,S200000,00200,0200,OH 44871,S200000,00200,0300,45981- 44871,S200000,00300,0100,VAN WERT 44871,S200000,00400,0100,VANCREST HEALTH CARE CTR OF VAN WERT 44871,S200000,00400,0200,365254 44871,S200000,00400,0300,01/01/1970 44871,S200000,00400,0500,P 44871,S200000,01004,0500,O 44871,S200000,01500,0100,Y 44871,S200000,04300,0100,Y 44880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44880,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44880,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44880,A000000,00300,0000,00300EMPLOYEE BENEFITS 44880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44880,A000000,00700,0000,00700HOUSEKEEPING 44880,A000000,00800,0000,00800DIETARY 44880,A000000,00801,0000,00801CAFETERIA 44880,A000000,00900,0000,00900NURSING ADMINISTRATION 44880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44880,A000000,01100,0000,01100PHARMACY 44880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44880,A000000,01300,0000,01300SOCIAL SERVICE 44880,A000000,01350,0000,01500ACTIVITIES 44880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44880,A000000,01600,0000,01600SKILLED NURSING FACILITY 44880,A000000,01800,0000,01800NURSING FACILITY 44880,A000000,01900,0000,01900OTHER LONG TERM CARE 44880,A000000,02100,0000,02100RADIOLOGY 44880,A000000,02200,0000,02200LABORATORY 44880,A000000,02300,0000,02300INTRAVENOUS THERAPY 44880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44880,A000000,02500,0000,02500PHYSICAL THERAPY 44880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44880,A000000,02700,0000,02700SPEECH PATHOLOGY 44880,A000000,02800,0000,02800ELECTROCARDIOLOGY 44880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44880,A000000,03050,0000,03300OTHER ANCILLARY 44880,A000000,03051,0000,03301OTHER ANCILLARY II 44880,A000000,03052,0000,03302OTHER ANCILLARY III 44880,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44880,A000000,03200,0000,03200SUPPORT SURFACES 44880,A000000,03400,0000,03400CLINIC 44880,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44880,A000000,03500,0000,03500RURAL HEALTH CLINIC 44880,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44880,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44880,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44880,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44880,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44880,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44880,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44880,A000000,04400,0000,04400DME RENTED - HHA 44880,A000000,04500,0000,04500DME SOLD - HHA 44880,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44880,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44880,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44880,A000000,04800,0000,04800AMBULANCE 44880,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44880,A000000,05000,0000,05000CORF 44880,A000000,05010,0000,05010CMHC I 44880,A000000,05020,0000,05020OPT I 44880,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44880,A000000,05300,0000,05300INTEREST EXPENSE 44880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44880,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44880,A000000,05500,0000,05500HOSPICE 44880,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44880,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44880,A000000,06100,0000,06100NONPAID WORKERS 44880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44880,A000000,06200,0000,06200PATIENTS LAUNDRY 44880,A81000A,00100,0100,Y 44880,A81000B,00100,0300,ADMINISTRATIVE WAGES 44880,A81000C,00100,0100,A 44880,A81000C,00100,0200,DOUG COCHRAN 44880,A81000C,00100,0400,NORWORTH CORP 44880,A81000C,00100,0600,SNF 44880,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44880,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44880,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44880,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44880,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44880,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44880,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44880,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 44880,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44880,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44880,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44880,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44880,S000000,00100,0200,11/10/1999 44880,S200000,00100,0100,1030 NORTH HIGH STREET 44880,S200000,00200,0100,WORTHINGTON 44880,S200000,00200,0200,OH 44880,S200000,00200,0300,43085- 44880,S200000,00300,0100,FRANKLIN 44880,S200000,00300,0200,1840 44880,S200000,00300,0300,U 44880,S200000,00400,0100,WORTHINGTON NURSING HOME 44880,S200000,00400,0200,365256 44880,S200000,00400,0300,03/18/1971 44880,S200000,00400,0500,P 44880,S200000,01500,0100,Y 44880,S200000,02800,0100,Y 44880,S200000,03100,0100,Y 44880,S200000,04300,0100,Y 44880,S200000,04700,0100,Y 44880,S200000,04700,0200,Y 44882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44882,A000000,00300,0000,00300EMPLOYEE BENEFITS 44882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44882,A000000,00700,0000,00700HOUSEKEEPING 44882,A000000,00800,0000,00800DIETARY 44882,A000000,00900,0000,00900NURSING ADMINISTRATION 44882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44882,A000000,01100,0000,01100PHARMACY 44882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44882,A000000,01300,0000,01300SOCIAL SERVICE 44882,A000000,01350,0000,01500ACTIVITIES 44882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44882,A000000,01600,0000,01600SKILLED NURSING FACILITY 44882,A000000,01800,0000,01800NURSING FACILITY 44882,A000000,01900,0000,01900OTHER LONG TERM CARE 44882,A000000,02100,0000,02100RADIOLOGY 44882,A000000,02200,0000,02200LABORATORY 44882,A000000,02300,0000,02300INTRAVENOUS THERAPY 44882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44882,A000000,02500,0000,02500PHYSICAL THERAPY 44882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44882,A000000,02700,0000,02700SPEECH PATHOLOGY 44882,A000000,02800,0000,02800ELECTROCARDIOLOGY 44882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44882,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44882,A000000,03200,0000,03200SUPPORT SURFACES 44882,A000000,03400,0000,03400CLINIC 44882,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44882,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44882,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44882,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44882,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44882,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44882,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44882,A000000,04400,0000,04400DME RENTED - HHA 44882,A000000,04500,0000,04500DME SOLD - HHA 44882,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44882,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44882,A000000,04800,0000,04800AMBULANCE 44882,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44882,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44882,A000000,05300,0000,05300INTEREST EXPENSE 44882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44882,A000000,05500,0000,05500HOSPICE 44882,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44882,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44882,A000000,06100,0000,06100NONPAID WORKERS 44882,A000000,06200,0000,06200PATIENTS LAUNDRY 44882,A81000A,00100,0100,Y 44882,A81000B,00100,0300,MANAGEMENT FEE 44882,A81000B,00200,0300,CAPITAL COSTS 44882,A81000B,00300,0300,QUALITY ASSURANCE 44882,A81000B,00400,0300,OTHER 44882,A81000C,00100,0100,B 44882,A81000C,00100,0400,LAUREL HEALTH 44882,A81000C,00100,0600,MANAGEMENT CO. 44882,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44882,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44882,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44882,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44882,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44882,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 44882,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44882,B100000,00000,0850,00000PAT DAYS :DIETARY 44882,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 44882,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 44882,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 44882,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 44882,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 44882,S000000,00100,0200,11/23/1999 44882,S200000,00100,0100,1030 HIGH STREET 44882,S200000,00200,0100,WORTHINGTON 44882,S200000,00200,0200,OH 44882,S200000,00200,0300,43085- 44882,S200000,00300,0100,FRANKLIN 44882,S200000,00300,0200,1840 44882,S200000,00300,0300,U 44882,S200000,00400,0100,THE LAURELS OF WORTHINGTON 44882,S200000,00400,0200,365256 44882,S200000,00400,0300,03/18/1971 44882,S200000,00400,0500,P 44882,S200000,01500,0100,Y 44882,S200000,02200,0100,Y 44884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44884,A000000,00300,0000,00300EMPLOYEE BENEFITS 44884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44884,A000000,00700,0000,00700HOUSEKEEPING 44884,A000000,00800,0000,00800DIETARY 44884,A000000,00900,0000,00900NURSING ADMINISTRATION 44884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44884,A000000,01100,0000,01100PHARMACY 44884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44884,A000000,01300,0000,01300SOCIAL SERVICE 44884,A000000,01350,0000,01500ACTIVITIES 44884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44884,A000000,01600,0000,01600SKILLED NURSING FACILITY 44884,A000000,01900,0000,01900OTHER LONG TERM CARE 44884,A000000,02100,0000,02100RADIOLOGY 44884,A000000,02200,0000,02200LABORATORY 44884,A000000,02300,0000,02300INTRAVENOUS THERAPY 44884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44884,A000000,02500,0000,02500PHYSICAL THERAPY 44884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44884,A000000,02700,0000,02700SPEECH PATHOLOGY 44884,A000000,02800,0000,02800ELECTROCARDIOLOGY 44884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44884,A000000,03200,0000,03200SUPPORT SURFACES 44884,A000000,03400,0000,03400CLINIC 44884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44884,A000000,04400,0000,04400DME RENTED - HHA 44884,A000000,04500,0000,04500DME SOLD - HHA 44884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44884,A000000,04800,0000,04800AMBULANCE 44884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44884,A000000,05300,0000,05300INTEREST EXPENSE 44884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44884,A000000,05500,0000,05500HOSPICE 44884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44884,A000000,06100,0000,06100NONPAID WORKERS 44884,A000000,06200,0000,06200PATIENTS LAUNDRY 44884,A81000A,00100,0100,Y 44884,A81000B,00100,0300,MANAGEMENT FEE 44884,A81000B,00200,0300,QUALITY ASSURANCE 44884,A81000B,00300,0300,CAPITAL 44884,A81000B,00400,0300,HOME OFFICE - OTHER 44884,A81000C,00100,0100,B 44884,A81000C,00100,0400,LAUREL HEALTH 44884,A81000C,00100,0600,MANAGEMENT CO. 44884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44884,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44884,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 44884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44884,B100000,00000,0850,00000PAT DAYS :DIETARY 44884,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 44884,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 44884,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 44884,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 44884,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 44884,E10A180,00501,0100,08/21/2001 44884,S000000,00100,0200,11/30/2000 44884,S200000,00100,0100,1030 HIGH STREET 44884,S200000,00200,0100,WORTHINGTON 44884,S200000,00200,0200,OH 44884,S200000,00200,0300,43085- 44884,S200000,00300,0100,FRANKLIN 44884,S200000,00300,0200,1840 44884,S200000,00300,0300,U 44884,S200000,00400,0100,THE LAURELS OF WORTHINGTON 44884,S200000,00400,0200,365256 44884,S200000,00400,0300,05/01/1999 44884,S200000,00400,0500,P 44884,S200000,01500,0100,Y 44884,S200000,02200,0100,Y 44893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44893,A000000,00300,0000,00300EMPLOYEE BENEFITS 44893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44893,A000000,00700,0000,00700HOUSEKEEPING 44893,A000000,00800,0000,00800DIETARY 44893,A000000,00900,0000,00900NURSING ADMINISTRATION 44893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44893,A000000,01100,0000,01100PHARMACY 44893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44893,A000000,01300,0000,01300SOCIAL SERVICE 44893,A000000,01350,0000,01500OTHER GENERAL SERVICES 44893,A000000,01600,0000,01600SKILLED NURSING FACILITY 44893,A000000,01800,0000,01800NURSING FACILITY 44893,A000000,01810,0000,01801ICF/MR 44893,A000000,01900,0000,01900OTHER LONG TERM CARE 44893,A000000,02100,0000,02100RADIOLOGY 44893,A000000,02200,0000,02200LABORATORY 44893,A000000,02300,0000,02300INTRAVENOUS THERAPY 44893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44893,A000000,02500,0000,02500PHYSICAL THERAPY 44893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44893,A000000,02700,0000,02700SPEECH PATHOLOGY 44893,A000000,02800,0000,02800ELECTROCARDIOLOGY 44893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44893,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44893,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44893,A000000,03200,0000,03200SUPPORT SURFACES 44893,A000000,03400,0000,03400CLINIC 44893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44893,A000000,03500,0000,03500RURAL HEALTH CLINIC 44893,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44893,A000000,04800,0000,04800AMBULANCE 44893,A000000,05000,0000,05000CORF 44893,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44893,A000000,05300,0000,05300INTEREST EXPENSE 44893,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44893,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44893,A000000,05500,0000,05500HOSPICE 44893,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44893,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44893,A000000,06100,0000,06100NONPAID WORKERS 44893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44893,A000000,06200,0000,06200PATIENTS LAUNDRY 44893,A81000A,00100,0100,Y 44893,A81000B,00100,0300,MANAGEMENT FEES 44893,A81000B,00200,0300,DATA PROCESSING 44893,A81000C,00100,0100,A 44893,A81000C,00100,0200,JAMES FARLEY 44893,A81000C,00100,0400,NURSING CARE MANAGEMENT 44893,A81000C,00100,0600,MANAGEMENT SERVICES 44893,A81000C,00200,0100,A 44893,A81000C,00200,0200,MICHAEL SCHARFENBERGER 44893,A81000C,00200,0400,NURSING CARE MANAGEMENT 44893,A81000C,00200,0600,MANAGEMENT SERVICES 44893,A81000C,00300,0100,A 44893,A81000C,00300,0200,ESTATE OF ROBERT WYNNE 44893,A81000C,00300,0400,NURSING CARE MANAGEMENT 44893,A81000C,00300,0600,MANAGEMENT SERVICES 44893,A81000C,00400,0100,A 44893,A81000C,00400,0200,MICHAEL SCHARFENBERGER 44893,A81000C,00400,0400,PHARMCO INC 44893,A81000C,00400,0600,PHARMACY 44893,A81000C,00500,0100,A 44893,A81000C,00500,0200,JAMES FARLEY 44893,A81000C,00500,0400,PHARMCO INC 44893,A81000C,00500,0600,PHARMACY 44893,A81000C,00600,0100,A 44893,A81000C,00600,0200,ESTATE OF ROBERT WYNNE 44893,A81000C,00600,0400,PHARMCO INC 44893,A81000C,00600,0600,PHARMACY 44893,A81000C,00700,0100,A 44893,A81000C,00700,0200,GARY RABINER 44893,A81000C,00700,0400,PHARMCO INC 44893,A81000C,00700,0600,PHARMACY 44893,A81000C,00800,0100,A 44893,A81000C,00800,0200,DAVID SPITZBERG 44893,A81000C,00800,0400,PHARMCO INC 44893,A81000C,00800,0600,PHARMACY 44893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44893,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44893,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44893,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44893,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44893,B100000,00000,0800,00000MEALS SERVED :DIETARY 44893,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44893,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44893,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44893,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44893,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44893,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 44893,S000000,00100,0200,05/30/2000 44893,S200000,00100,0100,6099 FAIRFIELD ROAD 44893,S200000,00200,0100,OXFORD 44893,S200000,00200,0200,OH 44893,S200000,00200,0300,45056- 44893,S200000,00300,0100,BUTLER 44893,S200000,00400,0100,OXFORD VIEW NURSING CENTER 44893,S200000,00400,0200,365257 44893,S200000,00400,0300,05/01/1980 44893,S200000,00400,0500,P 44893,S200000,00600,0200,365257 44893,S200000,00600,0300,05/01/1980 44893,S200000,01600,0100,Y 44904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44904,A000000,00300,0000,00300EMPLOYEE BENEFITS 44904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44904,A000000,00700,0000,00700HOUSEKEEPING 44904,A000000,00800,0000,00800DIETARY 44904,A000000,00900,0000,00900NURSING ADMINISTRATION 44904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44904,A000000,01100,0000,01100PHARMACY 44904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44904,A000000,01300,0000,01300SOCIAL SERVICE 44904,A000000,01350,0000,01500OTHER GENERAL SERVICES 44904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44904,A000000,01600,0000,01600SKILLED NURSING FACILITY 44904,A000000,01800,0000,01800NURSING FACILITY 44904,A000000,01810,0000,01801ICF/MR 44904,A000000,01900,0000,01900OTHER LONG TERM CARE 44904,A000000,02100,0000,02100RADIOLOGY 44904,A000000,02200,0000,02200LABORATORY 44904,A000000,02300,0000,02300INTRAVENOUS THERAPY 44904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44904,A000000,02500,0000,02500PHYSICAL THERAPY 44904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44904,A000000,02700,0000,02700SPEECH PATHOLOGY 44904,A000000,02800,0000,02800ELECTROCARDIOLOGY 44904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44904,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44904,A000000,03200,0000,03200SUPPORT SURFACES 44904,A000000,03400,0000,03400CLINIC 44904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44904,A000000,03500,0000,03500RURAL HEALTH CLINIC 44904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44904,A000000,04800,0000,04800AMBULANCE 44904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44904,A000000,05000,0000,05000CORF 44904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44904,A000000,05300,0000,05300INTEREST EXPENSE 44904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44904,A000000,05500,0000,05500HOSPICE 44904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44904,A000000,06100,0000,06100NONPAID WORKERS 44904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44904,A000000,06200,0000,06200PATIENTS LAUNDRY 44904,A81000A,00100,0100,Y 44904,A81000B,00100,0300,BUILDING RENT 44904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44904,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 44904,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44904,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44904,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 44904,B100000,00000,0800,00000MEALS SERVED :DIETARY 44904,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44904,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44904,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 44904,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44904,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44904,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44904,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44904,S000000,00100,0200,06/09/2000 44904,S200000,00100,0100,605 BRADLEY ROAD 44904,S200000,00200,0100,BAY VILLAGE 44904,S200000,00200,0200,OH 44904,S200000,00200,0300,44140- 44904,S200000,00300,0100,CUYAHOGA 44904,S200000,00400,0100,BRADLEY BAY HEALTH CENTER 44904,S200000,00400,0200,365264 44904,S200000,00400,0300,01/01/1972 44904,S200000,00400,0500,P 44904,S200000,01600,0100,Y 44904,S700003,00000,0100,1 44921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44921,A000000,00300,0000,00300EMPLOYEE BENEFITS 44921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44921,A000000,00700,0000,00700HOUSEKEEPING 44921,A000000,00800,0000,00800DIETARY 44921,A000000,00900,0000,00900NURSING ADMINISTRATION 44921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44921,A000000,01100,0000,01100PHARMACY 44921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44921,A000000,01300,0000,01300SOCIAL SERVICE 44921,A000000,01350,0000,01500OTHER GENERAL SERVICES 44921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44921,A000000,01600,0000,01600SKILLED NURSING FACILITY 44921,A000000,01800,0000,01800NURSING FACILITY 44921,A000000,01810,0000,01810ICF/MR 44921,A000000,01900,0000,01900OTHER LONG TERM CARE 44921,A000000,02100,0000,02100RADIOLOGY 44921,A000000,02200,0000,02200LABORATORY 44921,A000000,02300,0000,02300INTRAVENOUS THERAPY 44921,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44921,A000000,02500,0000,02500PHYSICAL THERAPY 44921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44921,A000000,02700,0000,02700SPEECH PATHOLOGY 44921,A000000,02800,0000,02800ELECTROCARDIOLOGY 44921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44921,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44921,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44921,A000000,03200,0000,03200SUPPORT SURFACES 44921,A000000,03400,0000,03400CLINIC 44921,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44921,A000000,03500,0000,03500RURAL HEALTH CLINIC 44921,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44921,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44921,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44921,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44921,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44921,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44921,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44921,A000000,04400,0000,04400DME RENTED - HHA 44921,A000000,04500,0000,04500DME SOLD - HHA 44921,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44921,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44921,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44921,A000000,04800,0000,04800AMBULANCE 44921,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44921,A000000,05000,0000,05000CORF 44921,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44921,A000000,05300,0000,05300INTEREST EXPENSE 44921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44921,A000000,05500,0000,05500HOSPICE 44921,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44921,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44921,A000000,06100,0000,06100NONPAID WORKERS 44921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44921,A000000,06200,0000,06200PATIENTS LAUNDRY 44921,A81000A,00100,0100,Y 44921,A81000B,00100,0300,ADIN MGT. CONSULTING 44921,A81000B,00200,0300,MEDICAL SUPPLY 44921,A81000B,00300,0300,PHARMACY 44921,A81000C,00100,0100,A 44921,A81000C,00100,0200,JOHN COURY JR 44921,A81000C,00100,0400,J& R ASSOCIATES INC 44921,A81000C,00100,0600,ADMIN MGT. CONSULTING 44921,A81000C,00200,0100,D 44921,A81000C,00200,0200,ELI COURY 44921,A81000C,00200,0400,PHARMED 44921,A81000C,00200,0600,MEDICAL SUPPLIES 44921,A81000C,00300,0100,D 44921,A81000C,00300,0200,DAVID COURY 44921,A81000C,00300,0400,BAY PHARMACY 44921,A81000C,00300,0600,PHARMACY 44921,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 44921,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 44921,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 44921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44921,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 44921,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 44921,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 44921,B100000,00000,0850,00000NO STATISTICS :DIETARY 44921,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 44921,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 44921,B100000,00000,1150,00000NO STATISTICS :PHARMACY 44921,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 44921,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 44921,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 44921,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 44921,E10A180,00301,0100,06/08/1999 44921,E10A180,00302,0100,03/06/2000 44921,E10A180,00350,0100,11/30/1999 44921,E10A180,00501,0100,03/28/2001 44921,E10A180,00501,0300,07/14/2000 44921,E10A180,00502,0100,04/26/2001 44921,E10A180,00550,0100,06/08/2000 44921,E10A180,00550,0300,06/08/2000 44921,E10A180,00551,0100,02/09/2001 44921,E10A180,00551,0300,07/14/2000 44921,E10A180,00552,0300,02/09/2001 44921,E10A180,00553,0300,04/26/2001 44921,S000000,00100,0200,06/02/2000 44921,S200000,00100,0100,13900 DETROIT RD. 44921,S200000,00200,0100,LAKEWOOD 44921,S200000,00200,0200,OH 44921,S200000,00200,0300,44107- 44921,S200000,00300,0100,CUYAHOGA 44921,S200000,00400,0100,ARISTOCRAT LAKEWOOD NURSING HOME 44921,S200000,00400,0200,365267 44921,S200000,00400,0300,01/01/1969 44921,S200000,00400,0500,P 44921,S200000,01600,0100,Y 44921,S200000,04700,0100,Y 44928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44928,A000000,00300,0000,00300EMPLOYEE BENEFITS 44928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44928,A000000,00700,0000,00700HOUSEKEEPING 44928,A000000,00800,0000,00800DIETARY 44928,A000000,00900,0000,00900NURSING ADMINISTRATION 44928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44928,A000000,01100,0000,01100PHARMACY 44928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44928,A000000,01300,0000,01300SOCIAL SERVICE 44928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44928,A000000,01600,0000,01600SKILLED NURSING FACILITY 44928,A000000,01800,0000,01800NURSING FACILITY 44928,A000000,01900,0000,01900OTHER LONG TERM CARE 44928,A000000,02100,0000,02100RADIOLOGY 44928,A000000,02200,0000,02200LABORATORY 44928,A000000,02300,0000,02300INTRAVENOUS THERAPY 44928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44928,A000000,02500,0000,02500PHYSICAL THERAPY 44928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44928,A000000,02700,0000,02700SPEECH PATHOLOGY 44928,A000000,02800,0000,02800ELECTROCARDIOLOGY 44928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44928,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44928,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44928,A000000,03200,0000,03200SUPPORT SURFACES 44928,A000000,03400,0000,03400CLINIC 44928,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44928,A000000,03500,0000,03500RURAL HEALTH CLINIC 44928,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44928,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44928,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44928,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44928,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44928,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44928,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44928,A000000,04400,0000,04400DME RENTED - HHA 44928,A000000,04500,0000,04500DME SOLD - HHA 44928,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44928,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44928,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44928,A000000,04800,0000,04800AMBULANCE 44928,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44928,A000000,05000,0000,05000CORF 44928,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44928,A000000,05300,0000,05300INTEREST EXPENSE 44928,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44928,A000000,05500,0000,05500HOSPICE 44928,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44928,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44928,A000000,06100,0000,06100NONPAID WORKERS 44928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44928,A000000,06200,0000,06200PATIENTS LAUNDRY 44928,A81000A,00100,0100,Y 44928,A81000B,00100,0300,H.O. COSTS 44928,A81000B,00200,0300,H.O. COSTS 44928,A81000B,00300,0300,H.O. COSTS 44928,A81000B,00400,0300,H.O. COSTS 44928,A81000B,00500,0300,H.O. COSTS 44928,A81000B,00600,0300,H.O. COSTS 44928,A81000B,00700,0300,H.O. COSTS 44928,A81000B,00800,0300,H.O. COSTS 44928,A81000B,00900,0300,H.O. COSTS 44928,A81000B,01000,0300,H.O. COSTS 44928,A81000B,01100,0300,H.O. COSTS 44928,A81000B,01200,0300,H.O. COSTS 44928,A81000B,01300,0300,H.O. COSTS 44928,A81000B,01400,0300,H.O. COSTS 44928,A81000B,01500,0300,H.O. COSTS 44928,A81000B,01600,0300,H.O. COSTS 44928,A81000B,01700,0300,H.O. COSTS 44928,A81000B,01800,0300,H.O. COSTS 44928,A81000B,01900,0300,H.O. COSTS 44928,A81000B,02000,0300,H.O. COSTS 44928,A81000B,02100,0300,H.O. COSTS 44928,A81000C,00100,0100,B 44928,A81000C,00100,0200,CONSOL. HEALTHCARE REL MG 44928,A81000C,00100,0400,ALTERCARE OF WADSWORTH 44928,A81000C,00100,0600,NURSING HOMES 44928,A81000C,00200,0100,B 44928,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 44928,A81000C,00200,0400,CONSOL. HEALTHCARE REL MG 44928,A81000C,00200,0600,THERAPY & SUPPLIES 44928,A81000C,00300,0100,B 44928,A81000C,00300,0200,APOTHECARE 44928,A81000C,00300,0400,CONSOL. HEALTHCARE REL MG 44928,A81000C,00300,0600,PHARMACY & SUPPLIES 44928,A81000C,00400,0100,B 44928,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV 44928,A81000C,00400,0400,CONSOL. HEALTHCARE REL MG 44928,A81000C,00400,0600,MED. SUPPLIES 44928,A81000C,00500,0100,B 44928,A81000C,00500,0200,RENAISSANCE MORTGAGE 44928,A81000C,00500,0400,CONSOL. HEALTHCARE REL MG 44928,A81000C,00500,0600,MORTGAGES 44928,A81000C,00600,0100,B 44928,A81000C,00600,0200,ABSOLUTE LAB 44928,A81000C,00600,0400,CONSOL. HEALTHCARE REL MG 44928,A81000C,00600,0600,LAB 44928,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 44928,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 44928,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44928,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44928,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 44928,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44928,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 44928,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44928,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 44928,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 44928,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44928,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44928,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44928,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 44928,E10A180,00501,0100,07/20/2000 44928,S000000,00100,0200,05/31/2000 44928,S200000,00100,0100,147 GARFIELD STREET 44928,S200000,00200,0100,WADSWORTH 44928,S200000,00200,0200,OH 44928,S200000,00200,0300,44281- 44928,S200000,00300,0100,MEDINA 44928,S200000,00400,0100,ALTERCARE OF WADSWORTH 44928,S200000,00400,0200,365268 44928,S200000,00400,0300,01/01/1970 44928,S200000,00400,0500,P 44928,S200000,01600,0100,Y 44928,S200000,04300,0100,Y 44928,S200000,04700,0100,Y 44937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44937,A000000,00300,0000,00300EMPLOYEE BENEFITS 44937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44937,A000000,00700,0000,00700HOUSEKEEPING 44937,A000000,00800,0000,00800DIETARY 44937,A000000,00900,0000,00900NURSING ADMINISTRATION 44937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44937,A000000,01100,0000,01100PHARMACY 44937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44937,A000000,01300,0000,01300SOCIAL SERVICE 44937,A000000,01600,0000,01600SKILLED NURSING FACILITY 44937,A000000,01900,0000,01900OTHER LONG TERM CARE 44937,A000000,02100,0000,02100RADIOLOGY 44937,A000000,02200,0000,02200LABORATORY 44937,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44937,A000000,02500,0000,02500PHYSICAL THERAPY 44937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44937,A000000,02700,0000,02700SPEECH PATHOLOGY 44937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44937,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44937,A000000,05300,0000,05300INTEREST EXPENSE 44937,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44937,A81000A,00100,0100,Y 44937,A81000B,00100,0300,HQ ADMINISTRATIVE EXPENSE 44937,A81000B,00200,0300,HQ ADMINISTRATIVE EXPENSE 44937,A81000C,00100,0100,G 44937,A81000C,00100,0200,LEVERING MGMT 44937,A81000C,00100,0400,LEVERING MGMT 44937,A81000C,00100,0600,MANAGEMENT 44937,A81000C,03100,0000,MANAGEMENT 44937,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44937,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44937,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 44937,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44937,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44937,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44937,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 44937,B100000,00000,0850,00000PATIENT DAYS :DIETARY 44937,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44937,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44937,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44937,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44937,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44937,S000000,00100,0200,06/01/2000 44937,S200000,00100,0100,COUNTRY COURT 44937,S200000,00200,0100,MT. VERNON 44937,S200000,00200,0200,OH 44937,S200000,00200,0300,43050- 44937,S200000,00300,0100,KNOX 44937,S200000,00400,0100,COUNTRY COURT NURSING HOME 44937,S200000,00400,0200,365269 44937,S200000,00400,0300,10/01/1971 44937,S200000,00400,0500,P 44937,S200000,01500,0100,Y 44937,S200000,02200,0100,Y 44949,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44949,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44949,A000000,00300,0000,00300EMPLOYEE BENEFITS 44949,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44949,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44949,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44949,A000000,00700,0000,00700HOUSEKEEPING 44949,A000000,00800,0000,00800DIETARY 44949,A000000,00900,0000,00900NURSING ADMINISTRATION 44949,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44949,A000000,01100,0000,01100PHARMACY 44949,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44949,A000000,01300,0000,01300SOCIAL SERVICE 44949,A000000,01350,0000,01500ACTIVITIES 44949,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44949,A000000,01600,0000,01600SKILLED NURSING FACILITY 44949,A000000,01800,0000,01800NURSING FACILITY 44949,A000000,01810,0000,01810ICF/MR 44949,A000000,01900,0000,01900OTHER LONG TERM CARE 44949,A000000,02100,0000,02100RADIOLOGY 44949,A000000,02200,0000,02200LABORATORY 44949,A000000,02300,0000,02300INTRAVENOUS THERAPY 44949,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44949,A000000,02500,0000,02500PHYSICAL THERAPY 44949,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44949,A000000,02700,0000,02700SPEECH PATHOLOGY 44949,A000000,02800,0000,02800ELECTROCARDIOLOGY 44949,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44949,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44949,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44949,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44949,A000000,03200,0000,03200SUPPORT SURFACES 44949,A000000,03400,0000,03400CLINIC 44949,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44949,A000000,03500,0000,03500RURAL HEALTH CLINIC 44949,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44949,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44949,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44949,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44949,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44949,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44949,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44949,A000000,04400,0000,04400DME RENTED - HHA 44949,A000000,04500,0000,04500DME SOLD - HHA 44949,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44949,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44949,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44949,A000000,04800,0000,04800AMBULANCE 44949,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44949,A000000,05000,0000,05000CORF 44949,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44949,A000000,05300,0000,05300INTEREST EXPENSE 44949,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44949,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44949,A000000,05500,0000,05500HOSPICE 44949,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44949,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44949,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44949,A000000,06100,0000,06100NONPAID WORKERS 44949,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44949,A000000,06200,0000,06200PATIENTS LAUNDRY 44949,A81000A,00100,0100,Y 44949,A81000B,00100,0300,HOME OFFICE COST 44949,A81000C,00100,0100,B 44949,A81000C,00100,0200,MACINTOSH 44949,A81000C,00100,0400,MACINTOSH 44949,A81000C,00100,0600,MANAGEMENT 44949,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44949,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44949,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44949,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44949,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44949,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44949,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44949,B100000,00000,0800,00000MEALS SERVED :DIETARY 44949,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44949,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44949,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44949,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44949,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44949,E10A180,00501,0100,06/27/2000 44949,S000000,00100,0200,05/26/2000 44949,S200000,00100,0100,3710 OLENTANGY RIVER ROAD 44949,S200000,00200,0100,COLUMBUS 44949,S200000,00200,0200,OH 44949,S200000,00200,0300,43214- 44949,S200000,00300,0100,FRANKLIN 44949,S200000,00300,0200,1840 44949,S200000,00300,0300,U 44949,S200000,00400,0100,WHETSTONE CARE CENTER 44949,S200000,00400,0200,365272 44949,S200000,00400,0300,04/15/1988 44949,S200000,00400,0500,P 44949,S200000,01600,0100,Y 44949,S200000,04300,0100,Y 44949,S200000,04700,0100,Y 44949,S200000,04700,0200,Y 44966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44966,A000000,00300,0000,00300EMPLOYEE BENEFITS 44966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44966,A000000,00700,0000,00700HOUSEKEEPING 44966,A000000,00800,0000,00800DIETARY 44966,A000000,00900,0000,00900NURSING ADMINISTRATION 44966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44966,A000000,01100,0000,01100PHARMACY 44966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44966,A000000,01300,0000,01300SOCIAL SERVICE 44966,A000000,01350,0000,01500OTHER GENERAL SERVICES 44966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44966,A000000,01600,0000,01600SKILLED NURSING FACILITY 44966,A000000,01800,0000,01800NURSING FACILITY 44966,A000000,01810,0000,01810ICF/MR 44966,A000000,01900,0000,01900OTHER LONG TERM CARE 44966,A000000,02100,0000,02100RADIOLOGY 44966,A000000,02200,0000,02200LABORATORY 44966,A000000,02300,0000,02300INTRAVENOUS THERAPY 44966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44966,A000000,02500,0000,02500PHYSICAL THERAPY 44966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44966,A000000,02700,0000,02700SPEECH PATHOLOGY 44966,A000000,02800,0000,02800ELECTROCARDIOLOGY 44966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44966,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44966,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44966,A000000,03200,0000,03200SUPPORT SURFACES 44966,A000000,03400,0000,03400CLINIC 44966,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44966,A000000,03500,0000,03500RURAL HEALTH CLINIC 44966,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44966,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44966,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44966,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44966,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44966,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44966,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44966,A000000,04400,0000,04400DME RENTED - HHA 44966,A000000,04500,0000,04500DME SOLD - HHA 44966,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44966,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44966,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44966,A000000,04800,0000,04800AMBULANCE 44966,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44966,A000000,05000,0000,05000CORF 44966,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44966,A000000,05300,0000,05300INTEREST EXPENSE 44966,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44966,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44966,A000000,05500,0000,05500HOSPICE 44966,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44966,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44966,A000000,06100,0000,06100NONPAID WORKERS 44966,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44966,A000000,06200,0000,06200PATIENTS LAUNDRY 44966,A81000A,00100,0100,Y 44966,A81000B,00100,0300,HOME OFFICE COST 44966,A81000B,00200,0300,HOME OFFICE COST 44966,A81000B,00300,0300,HOME OFFICE COST 44966,A81000B,00400,0300,HOME OFFICE COST 44966,A81000B,00500,0300,HOME OFFICE COST 44966,A81000C,00100,0100,B 44966,A81000C,00100,0400,OPRS 44966,A81000C,00100,0600,HOME OFFICE 44966,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44966,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44966,B100000,00000,0300,00000GROSSSALAR RI :EMPLOYEE BENEFITS 44966,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44966,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44966,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 44966,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44966,B100000,00000,0800,00000MEALS SERVED :DIETARY 44966,B100000,00000,0900,00000DIRECTNURS SING HOUR :NURSING ADMIN 44966,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 44966,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 44966,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 44966,H510100,00000,0000,6281 44966,H710000,00301,0100,02/29/2000 44966,H710000,00301,0300,02/29/2000 44966,H710000,00551,0100,01/05/2001 44966,H710000,00551,0300,01/05/2001 44966,S000000,00100,0200,12/01/2000 44966,S200000,00100,0100,1216 FIFTH AVENUE 44966,S200000,00200,0100,YOUNGSTOWN 44966,S200000,00200,0200,OH 44966,S200000,00200,0300,44504- 44966,S200000,00300,0100,MAHONING 44966,S200000,00300,0200,9320 44966,S200000,00300,0300,U 44966,S200000,00400,0100,PARK VISTA 44966,S200000,00400,0200,365275 44966,S200000,00400,0300,01/24/1972 44966,S200000,00400,0500,P 44966,S200000,00800,0200,367551 44966,S200000,00800,0300,11/22/1993 44966,S200000,00800,0500,P 44966,S200000,01500,0100,Y 44966,S200000,01900,0100,CCRC 44966,S200000,04300,0100,Y 44972,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44972,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44972,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44972,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44972,A000000,00300,0000,00300EMPLOYEE BENEFITS 44972,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44972,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44972,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44972,A000000,00700,0000,00700HOUSEKEEPING 44972,A000000,00800,0000,00800DIETARY 44972,A000000,00801,0000,00801CAFETERIA 44972,A000000,00900,0000,00900NURSING ADMINISTRATION 44972,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44972,A000000,01100,0000,01100PHARMACY 44972,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44972,A000000,01300,0000,01300SOCIAL SERVICE 44972,A000000,01350,0000,01500ACTIVITIES 44972,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44972,A000000,01600,0000,01600SKILLED NURSING FACILITY 44972,A000000,01800,0000,01800NURSING FACILITY 44972,A000000,01900,0000,01900OTHER LONG TERM CARE 44972,A000000,02100,0000,02100RADIOLOGY 44972,A000000,02200,0000,02200LABORATORY 44972,A000000,02300,0000,02300INTRAVENOUS THERAPY 44972,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44972,A000000,02500,0000,02500PHYSICAL THERAPY 44972,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44972,A000000,02700,0000,02700SPEECH PATHOLOGY 44972,A000000,02800,0000,02800ELECTROCARDIOLOGY 44972,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44972,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44972,A000000,03050,0000,03300OTHER ANCILLARY 44972,A000000,03051,0000,03301OTHER ANCILLARY II 44972,A000000,03052,0000,03302OTHER ANCILLARY III 44972,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44972,A000000,03200,0000,03200SUPPORT SURFACES 44972,A000000,03400,0000,03400CLINIC 44972,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44972,A000000,03500,0000,03500RURAL HEALTH CLINIC 44972,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44972,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44972,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44972,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44972,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44972,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44972,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44972,A000000,04400,0000,04400DME RENTED - HHA 44972,A000000,04500,0000,04500DME SOLD - HHA 44972,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44972,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44972,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44972,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44972,A000000,05000,0000,05000CORF 44972,A000000,05010,0000,05010CMHC I 44972,A000000,05020,0000,05020OPT I 44972,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44972,A000000,05300,0000,05300INTEREST EXPENSE 44972,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44972,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44972,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44972,A000000,05500,0000,05500HOSPICE 44972,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44972,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44972,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44972,A000000,06100,0000,06100NONPAID WORKERS 44972,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44972,A000000,06200,0000,06200PATIENTS LAUNDRY 44972,A81000A,00100,0100,Y 44972,A81000B,00100,0300,HOME OFFICE 44972,A81000C,00100,0100,A 44972,A81000C,00100,0200,FRANCISCAN HEAL 44972,A81000C,00100,0400,FRAN SISTERS 44972,A81000C,00100,0600,HOME OFFICE 44972,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44972,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44972,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44972,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44972,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44972,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44972,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44972,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44972,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44972,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44972,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44972,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 44972,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44972,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44972,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44972,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44972,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44972,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44972,S000000,00100,0200,09/30/1999 44972,S200000,00100,0100,1302 MILLVILLE AVENUE 44972,S200000,00200,0100,HAMILTON 44972,S200000,00200,0200,OH 44972,S200000,00200,0300,45013- 44972,S200000,00300,0100,BUTLER 44972,S200000,00400,0100,THE FRANCISCAN AT SCHRODER 44972,S200000,00400,0200,365277 44972,S200000,00400,0300,01/01/1996 44972,S200000,00400,0500,P 44972,S200000,01005,0500,O 44972,S200000,01600,0100,Y 44972,S200000,03100,0100,Y 44972,S200000,04300,0100,Y 44972,S700003,00000,0100,1 44974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44974,A000000,00300,0000,00300EMPLOYEE BENEFITS 44974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44974,A000000,00700,0000,00700HOUSEKEEPING 44974,A000000,00800,0000,00800DIETARY 44974,A000000,00900,0000,00900NURSING ADMINISTRATION 44974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44974,A000000,01100,0000,01100PHARMACY 44974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44974,A000000,01300,0000,01300SOCIAL SERVICE 44974,A000000,01350,0000,01500ACTIVITIES 44974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44974,A000000,01600,0000,01600SKILLED NURSING FACILITY 44974,A000000,01800,0000,01800NURSING FACILITY 44974,A000000,01900,0000,01900OTHER LONG TERM CARE 44974,A000000,02100,0000,02100RADIOLOGY 44974,A000000,02200,0000,02200LABORATORY 44974,A000000,02300,0000,02300INTRAVENOUS THERAPY 44974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44974,A000000,02500,0000,02500PHYSICAL THERAPY 44974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44974,A000000,02700,0000,02700SPEECH PATHOLOGY 44974,A000000,02800,0000,02800ELECTROCARDIOLOGY 44974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44974,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 44974,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44974,A000000,03200,0000,03200SUPPORT SURFACES 44974,A000000,03400,0000,03400CLINIC 44974,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 44974,A000000,03500,0000,03500RURAL HEALTH CLINIC 44974,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44974,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44974,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44974,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44974,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44974,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44974,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44974,A000000,04400,0000,04400DME RENTED - HHA 44974,A000000,04500,0000,04500DME SOLD - HHA 44974,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44974,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44974,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44974,A000000,04800,0000,04800AMBULANCE 44974,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44974,A000000,05000,0000,05000CORF 44974,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44974,A000000,05300,0000,05300INTEREST EXPENSE 44974,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44974,A000000,05500,0000,05500HOSPICE 44974,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44974,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44974,A000000,06100,0000,06100NONPAID WORKERS 44974,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44974,A000000,06200,0000,06200PATIENTS LAUNDRY 44974,A81000A,00100,0100,Y 44974,A81000B,00100,0300,ADMIN & GENERAL 44974,A81000C,00100,0100,A 44974,A81000C,00100,0200,MERCY FRANCISICAN 44974,A81000C,00100,0400,MERCY HEALTH SYSTEMS 44974,A81000C,00100,0600,HOME OFFICE 44974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44974,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44974,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44974,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 44974,B100000,00000,0800,00000MEALS SERVED :DIETARY 44974,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44974,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44974,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44974,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44974,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44974,E10A180,00501,0100,06/19/2000 44974,S000000,00100,0200,05/31/2000 44974,S200000,00100,0100,1302 MILLVILLE AVE 44974,S200000,00200,0100,HAMILTON 44974,S200000,00200,0200,OH 44974,S200000,00200,0300,45013- 44974,S200000,00300,0100,BUTLER 44974,S200000,00300,0200,3200 44974,S200000,00300,0300,U 44974,S200000,00400,0100,MERCY FRANCISCAN AT SCHRODER 44974,S200000,00400,0200,365277 44974,S200000,00400,0300,06/02/1972 44974,S200000,00400,0500,P 44974,S200000,01600,0100,Y 44974,S200000,04300,0100,Y 44985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44985,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 44985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44985,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 44985,A000000,00300,0000,00300EMPLOYEE BENEFITS 44985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44985,A000000,00700,0000,00700HOUSEKEEPING 44985,A000000,00800,0000,00800DIETARY 44985,A000000,00801,0000,00801CAFETERIA 44985,A000000,00900,0000,00900NURSING ADMINISTRATION 44985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44985,A000000,01100,0000,01100PHARMACY 44985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44985,A000000,01300,0000,01300SOCIAL SERVICE 44985,A000000,01350,0000,01500ACTIVITIES 44985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44985,A000000,01600,0000,01600SKILLED NURSING FACILITY 44985,A000000,01800,0000,01800NURSING FACILITY 44985,A000000,01900,0000,01900OTHER LONG TERM CARE 44985,A000000,02100,0000,02100RADIOLOGY 44985,A000000,02200,0000,02200LABORATORY 44985,A000000,02300,0000,02300INTRAVENOUS THERAPY 44985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44985,A000000,02500,0000,02500PHYSICAL THERAPY 44985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44985,A000000,02700,0000,02700SPEECH PATHOLOGY 44985,A000000,02800,0000,02800ELECTROCARDIOLOGY 44985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44985,A000000,03050,0000,03300DME 44985,A000000,03051,0000,03301ORTHOTICS 44985,A000000,03052,0000,03302PYSCH/NON-PHYSICIAN DIAG 44985,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44985,A000000,03200,0000,03200SUPPORT SURFACES 44985,A000000,03400,0000,03400CLINIC 44985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 44985,A000000,03500,0000,03500RURAL HEALTH CLINIC 44985,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44985,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44985,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44985,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44985,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44985,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44985,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44985,A000000,04400,0000,04400DME RENTED - HHA 44985,A000000,04500,0000,04500DME SOLD - HHA 44985,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44985,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 44985,A000000,04800,0000,04800AMBULANCE 44985,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44985,A000000,05000,0000,05000CORF 44985,A000000,05010,0000,05010CMHC I 44985,A000000,05020,0000,05020OPT I 44985,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44985,A000000,05300,0000,05300INTEREST EXPENSE 44985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 44985,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 44985,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44985,A000000,05500,0000,05500HOSPICE 44985,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44985,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44985,A000000,06100,0000,06100NONPAID WORKERS 44985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 44985,A000000,06200,0000,06200PATIENTS LAUNDRY 44985,A81000A,00100,0100,Y 44985,A81000B,00100,0300,HOME OFFICE ALLOCATION 44985,A81000B,00200,0300,THERACOR ACTUAL COSTS 44985,A81000B,00300,0300,THERACOR ACTUAL COSTS 44985,A81000B,00400,0300,THERACOR ACTUAL COSTS 44985,A81000C,00100,0100,B 44985,A81000C,00100,0200,HARBORSIDE 44985,A81000C,00200,0200,HEALTHCARE 44985,A81000C,00300,0200,LIMITED PSHIP 44985,A81000C,00300,0600,MANAGEMENT CO 44985,A81000C,00500,0100,B 44985,A81000C,00500,0200,HARBORSIDE 44985,A81000C,00600,0200,REHABILITITAION 44985,A81000C,00700,0200,LIMITED PSHIP 44985,A81000C,00700,0600,THERAPY 44985,A81000C,00800,0600,SERVICE AND 44985,A81000C,00900,0600,MANAGEMENT CO 44985,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 44985,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 44985,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 44985,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 44985,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 44985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44985,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 44985,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 44985,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 44985,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 44985,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 44985,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 44985,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 44985,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 44985,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 44985,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 44985,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 44985,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 44985,E10A180,00550,0100,05/04/2001 44985,S000000,00100,0200,06/01/2000 44985,S200000,00100,0100,512 CRESCENT DRIVE 44985,S200000,00200,0100,TROY 44985,S200000,00200,0200,OH 44985,S200000,00200,0300,45373- 44985,S200000,00300,0100,MIAMI 44985,S200000,00400,0100,HHC - TROY 44985,S200000,00400,0200,365278 44985,S200000,00400,0300,03/01/1989 44985,S200000,00400,0500,P 44985,S200000,01600,0100,Y 44985,S200000,02200,0100,Y 44985,S200000,04700,0100,Y 44985,S200000,04900,0100,Y 44998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 44998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 44998,A000000,00300,0000,00300EMPLOYEE BENEFITS 44998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 44998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 44998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 44998,A000000,00700,0000,00700HOUSEKEEPING 44998,A000000,00800,0000,00800DIETARY 44998,A000000,00900,0000,00900NURSING ADMINISTRATION 44998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 44998,A000000,01100,0000,01100PHARMACY 44998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 44998,A000000,01300,0000,01300SOCIAL SERVICE 44998,A000000,01350,0000,01500ACTIVITIES 44998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 44998,A000000,01600,0000,01600SKILLED NURSING FACILITY 44998,A000000,01800,0000,01800NURSING FACILITY 44998,A000000,01900,0000,01900OTHER LONG TERM CARE 44998,A000000,02100,0000,02100RADIOLOGY 44998,A000000,02200,0000,02200LABORATORY 44998,A000000,02300,0000,02300INTRAVENOUS THERAPY 44998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 44998,A000000,02500,0000,02500PHYSICAL THERAPY 44998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 44998,A000000,02700,0000,02700SPEECH PATHOLOGY 44998,A000000,02800,0000,02800ELECTROCARDIOLOGY 44998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 44998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 44998,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 44998,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 44998,A000000,03200,0000,03200SUPPORT SURFACES 44998,A000000,03400,0000,03400CLINIC 44998,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 44998,A000000,03500,0000,03500RURAL HEALTH CLINIC 44998,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 44998,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 44998,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 44998,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 44998,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 44998,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 44998,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 44998,A000000,04400,0000,04400DME RENTED - HHA 44998,A000000,04500,0000,04500DME SOLD - HHA 44998,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 44998,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 44998,A000000,04800,0000,04800AMBULANCE 44998,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 44998,A000000,05000,0000,05000CORF 44998,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 44998,A000000,05300,0000,05300INTEREST EXPENSE 44998,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 44998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 44998,A000000,05500,0000,05500HOSPICE 44998,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 44998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 44998,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 44998,A000000,06100,0000,06100NONPAID WORKERS 44998,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 44998,A000000,06200,0000,06200PATIENTS LAUNDRY 44998,A81000A,00100,0100,Y 44998,A81000B,00100,0300,HOME OFFICE ALLOCATION 44998,A81000C,00100,0100,B 44998,A81000C,00100,0200,BENCHMARK HEALT 44998,A81000C,00100,0400,BENCHMARK HEALT 44998,A81000C,00100,0600,LTC 44998,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 44998,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 44998,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 44998,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 44998,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 44998,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 44998,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 44998,B100000,00000,0800,00000MEALS SERVED :DIETARY 44998,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 44998,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 44998,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 44998,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 44998,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 44998,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 44998,S000000,00100,0200,11/30/2000 44998,S200000,00100,0100,4645 LEWIS AVE. 44998,S200000,00200,0100,TOLEDO 44998,S200000,00200,0200,OH 44998,S200000,00200,0300,43612-2398 44998,S200000,00300,0100,LUCAS 44998,S200000,00300,0200,8400 44998,S200000,00300,0300,U 44998,S200000,00400,0100,VILLA NORTH HEALTH CARE & REHAB 44998,S200000,00400,0200,365279 44998,S200000,00400,0300,06/01/1972 44998,S200000,00400,0500,P 44998,S200000,01600,0100,Y 45004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45004,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45004,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45004,A000000,00300,0000,00300EMPLOYEE BENEFITS 45004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45004,A000000,00700,0000,00700HOUSEKEEPING 45004,A000000,00800,0000,00800DIETARY 45004,A000000,00801,0000,00801CAFETERIA 45004,A000000,00900,0000,00900NURSING ADMINISTRATION 45004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45004,A000000,01100,0000,01100PHARMACY 45004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45004,A000000,01300,0000,01300SOCIAL SERVICE 45004,A000000,01350,0000,01500ACTIVITIES 45004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45004,A000000,01600,0000,01600SKILLED NURSING FACILITY 45004,A000000,01800,0000,01800NURSING FACILITY 45004,A000000,01900,0000,01900OTHER LONG TERM CARE 45004,A000000,02100,0000,02100RADIOLOGY 45004,A000000,02200,0000,02200LABORATORY 45004,A000000,02300,0000,02300INTRAVENOUS THERAPY 45004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45004,A000000,02500,0000,02500PHYSICAL THERAPY 45004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45004,A000000,02700,0000,02700SPEECH PATHOLOGY 45004,A000000,02800,0000,02800ELECTROCARDIOLOGY 45004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45004,A000000,03050,0000,03300OTHER ANCILLARY 45004,A000000,03051,0000,03301OTHER ANCILLARY II 45004,A000000,03052,0000,03302OTHER ANCILLARY III 45004,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45004,A000000,03200,0000,03200SUPPORT SURFACES 45004,A000000,03400,0000,03400CLINIC 45004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45004,A000000,03500,0000,03500RURAL HEALTH CLINIC 45004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45004,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45004,A000000,04400,0000,04400DME RENTED - HHA 45004,A000000,04500,0000,04500DME SOLD - HHA 45004,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45004,A000000,04800,0000,04800AMBULANCE 45004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45004,A000000,05000,0000,05000CORF 45004,A000000,05010,0000,05010CMHC I 45004,A000000,05020,0000,05020OPT I 45004,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45004,A000000,05300,0000,05300INTEREST EXPENSE 45004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45004,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45004,A000000,05500,0000,05500HOSPICE 45004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45004,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45004,A000000,06100,0000,06100NONPAID WORKERS 45004,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45004,A000000,06200,0000,06200PATIENTS LAUNDRY 45004,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45004,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45004,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45004,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45004,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45004,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45004,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45004,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 45004,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 45004,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45004,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45004,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 45004,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45004,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45004,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45004,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45004,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 45004,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45004,E10A180,00501,0100,08/04/1999 45004,E10A180,00501,0300,08/04/1999 45004,E10A180,00550,0100,06/01/2000 45004,S000000,00100,0200,05/22/2000 45004,S200000,00100,0100,2217 WEST AVENUE 45004,S200000,00200,0100,ASHTUBLA 45004,S200000,00200,0200,OH 45004,S200000,00300,0100,ASHTUBLA 45004,S200000,00400,0100,CARINGTON PARK NURSING HOME 45004,S200000,00400,0200,365286 45004,S200000,00400,0300,09/16/1989 45004,S200000,00400,0500,P 45004,S200000,01600,0100,Y 45004,S200000,04300,0100,Y 45004,S700003,00000,0100,1 45005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45005,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45005,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45005,A000000,00300,0000,00300EMPLOYEE BENEFITS 45005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45005,A000000,00700,0000,00700HOUSEKEEPING 45005,A000000,00800,0000,00800DIETARY 45005,A000000,00801,0000,00801CAFETERIA 45005,A000000,00900,0000,00900NURSING ADMINISTRATION 45005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45005,A000000,01100,0000,01100PHARMACY 45005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45005,A000000,01300,0000,01300SOCIAL SERVICE 45005,A000000,01350,0000,01500ACTIVITIES 45005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45005,A000000,01600,0000,01600SKILLED NURSING FACILITY 45005,A000000,01800,0000,01800NURSING FACILITY 45005,A000000,01900,0000,01900OTHER LONG TERM CARE 45005,A000000,02100,0000,02100RADIOLOGY 45005,A000000,02200,0000,02200LABORATORY 45005,A000000,02300,0000,02300INTRAVENOUS THERAPY 45005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45005,A000000,02500,0000,02500PHYSICAL THERAPY 45005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45005,A000000,02700,0000,02700SPEECH PATHOLOGY 45005,A000000,02800,0000,02800ELECTROCARDIOLOGY 45005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45005,A000000,03050,0000,03300OTHER ANCILLARY 45005,A000000,03051,0000,03301OTHER ANCILLARY II 45005,A000000,03052,0000,03302OTHER ANCILLARY III 45005,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45005,A000000,03200,0000,03200SUPPORT SURFACES 45005,A000000,03400,0000,03400CLINIC 45005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45005,A000000,03500,0000,03500RURAL HEALTH CLINIC 45005,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45005,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45005,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45005,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45005,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45005,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45005,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45005,A000000,04400,0000,04400DME RENTED - HHA 45005,A000000,04500,0000,04500DME SOLD - HHA 45005,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45005,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45005,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45005,A000000,04800,0000,04800AMBULANCE 45005,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45005,A000000,05000,0000,05000CORF 45005,A000000,05010,0000,05010CMHC I 45005,A000000,05020,0000,05020OPT I 45005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45005,A000000,05300,0000,05300INTEREST EXPENSE 45005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45005,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45005,A000000,05500,0000,05500HOSPICE 45005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45005,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45005,A000000,06100,0000,06100NONPAID WORKERS 45005,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45005,A000000,06200,0000,06200PATIENTS LAUNDRY 45005,A81000A,00100,0100,Y 45005,A81000B,00100,0300,H/O NURSING 45005,A81000B,00200,0300,H/O A&G 45005,A81000B,00300,0300,H/O 45005,A81000B,00400,0300,H/O RENT 45005,A81000B,00500,0300,H/O NON REIMBURSABLE 45005,A81000B,00600,0300,H/O THERAPIES 45005,A81000C,00100,0100,A 45005,A81000C,00100,0200,GLYNDON POWELL 45005,A81000C,00100,0400,CHSHO INC. 45005,A81000C,00100,0600,HOME OFFICE 45005,A81000C,00200,0100,A 45005,A81000C,00200,0200,ED BYINGTON 45005,A81000C,00200,0400,CHSHO INC. 45005,A81000C,00200,0600,HOME OFFICE 45005,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45005,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45005,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45005,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45005,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45005,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45005,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45005,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 45005,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 45005,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45005,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45005,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 45005,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45005,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45005,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45005,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45005,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 45005,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45005,S000000,00100,0200,06/01/2000 45005,S200000,00100,0100,2217 WEST AVENUE 45005,S200000,00200,0100,ASHTUBLA 45005,S200000,00200,0200,OH 45005,S200000,00300,0100,ASHTUBLA 45005,S200000,00400,0100,CARINGTON PARK NURSING HOME 45005,S200000,00400,0200,365286 45005,S200000,00400,0300,09/16/1989 45005,S200000,00400,0500,P 45005,S200000,01600,0100,Y 45005,S200000,04300,0100,Y 45023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45023,A000000,00300,0000,00300EMPLOYEE BENEFITS 45023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45023,A000000,00700,0000,00700HOUSEKEEPING 45023,A000000,00800,0000,00800DIETARY 45023,A000000,00900,0000,00900NURSING ADMINISTRATION 45023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45023,A000000,01100,0000,01100PHARMACY 45023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45023,A000000,01300,0000,01300SOCIAL SERVICE 45023,A000000,01600,0000,01600SKILLED NURSING FACILITY 45023,A000000,01800,0000,01800NURSING FACILITY 45023,A000000,01900,0000,01900OTHER LONG TERM CARE 45023,A000000,02100,0000,02100RADIOLOGY 45023,A000000,02200,0000,02200LABORATORY 45023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45023,A000000,02500,0000,02500PHYSICAL THERAPY 45023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45023,A000000,02700,0000,02700SPEECH PATHOLOGY 45023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45023,A000000,03200,0000,03200SUPPORT SURFACES 45023,A000000,04800,0000,04800AMBULANCE 45023,A000000,05300,0000,05300INTEREST EXPENSE 45023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45023,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45023,A81000A,00100,0100,Y 45023,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 45023,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 45023,A81000B,00300,0300,HOME OFFICE CAPITAL COSTS 45023,A81000C,00100,0100,A 45023,A81000C,00100,0200,SCOT PHILLIPS 45023,A81000C,00100,0400,PHILLIPS HC 45023,A81000C,00100,0600,HEALTH CARE MGT 45023,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45023,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45023,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45023,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45023,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45023,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45023,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45023,B100000,00000,0800,00000MEALS SERVED :DIETARY 45023,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45023,B100000,00000,1050,00000DIRECT NRSING HRS :CENTRAL SERVICES 45023,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45023,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45023,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45023,S000000,00100,0200,06/01/2000 45023,S200000,00100,0100,2728 BALLY ROAD 45023,S200000,00200,0100,CUYAHOGA FALLS 45023,S200000,00200,0200,OH 45023,S200000,00200,0300,45221- 45023,S200000,00300,0100,SUMMIT 45023,S200000,00400,0100,CUYAHOGA FALLS COUNTRY PLACE 45023,S200000,00400,0200,365287 45023,S200000,00400,0300,11/23/1976 45023,S200000,00400,0500,P 45023,S200000,01600,0100,Y 45023,S200000,04300,0100,Y 45023,S200000,04700,0100,Y 45032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45032,A000000,00300,0000,00300EMPLOYEE BENEFITS 45032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45032,A000000,00700,0000,00700HOUSEKEEPING 45032,A000000,00800,0000,00800DIETARY 45032,A000000,00900,0000,00900NURSING ADMINISTRATION 45032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45032,A000000,01300,0000,01300SOCIAL SERVICE 45032,A000000,01600,0000,01600SKILLED NURSING FACILITY 45032,A000000,01800,0000,01800NURSING FACILITY 45032,A000000,01900,0000,01900OTHER LONG TERM CARE 45032,A000000,02100,0000,02100RADIOLOGY 45032,A000000,02200,0000,02200LABORATORY 45032,A000000,02300,0000,02300INTRAVENOUS THERAPY 45032,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45032,A000000,02500,0000,02500PHYSICAL THERAPY 45032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45032,A000000,02700,0000,02700SPEECH PATHOLOGY 45032,A000000,02800,0000,02800ELECTROCARDIOLOGY 45032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45032,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45032,A000000,03200,0000,03200SUPPORT SURFACES 45032,A000000,03400,0000,03400CLINIC 45032,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 45032,A000000,04800,0000,04800AMBULANCE 45032,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45032,A000000,05300,0000,05300INTEREST EXPENSE 45032,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45032,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45032,A000000,05500,0000,05500HOSPICE 45032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45032,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 45032,A000000,06200,0000,06200PATIENTS LAUNDRY 45032,A81000A,00100,0100,Y 45032,A81000B,00100,0300,PHARMACY 45032,A81000B,00200,0300,EMP PHYSICALS 45032,A81000B,00300,0300,HEALTH INSURANCE 45032,A81000B,00400,0300,LAB 45032,A81000B,00500,0300,MEDICAL SUPPLIES 45032,A81000B,00600,0300,MEDICAL SUPPLIES 45032,A81000B,00700,0300,MANAGEMENT FEES 45032,A81000C,00100,0100,C 45032,A81000C,00100,0400,MCH PHARMACY 45032,A81000C,00200,0100,C 45032,A81000C,00200,0400,COMPLET HOME CA 45032,A81000C,00300,0100,C 45032,A81000C,00300,0400,HHHP 45032,A81000C,00400,0100,C 45032,A81000C,00400,0400,MASS COMM HOSP 45032,A81000C,00500,0100,C 45032,A81000C,00500,0400,MCH OCCUPATIONA 45032,A81000C,00600,0100,C 45032,A81000C,00600,0400,PARTNERS FOR PR 45032,A81000C,00700,0100,C 45032,A81000C,00700,0400,THE HEALTH GROU 45032,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45032,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45032,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45032,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45032,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45032,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45032,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45032,B100000,00000,0800,00000MEALS SERVED :DIETARY 45032,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 45032,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45032,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45032,S000000,00100,0200,05/26/2000 45032,S200000,00100,0100,5425 HIGH MILL AVE. NW 45032,S200000,00200,0100,MASSILLON 45032,S200000,00200,0200,OH 45032,S200000,00200,0300,44646- 45032,S200000,00300,0100,STARK 45032,S200000,00400,0100,ROSE LANE INC. 45032,S200000,00400,0200,365289 45032,S200000,00400,0300,04/23/1973 45032,S200000,00400,0500,P 45032,S200000,01004,0500,O 45032,S200000,01600,0100,Y 45032,S200000,04300,0100,Y 45032,S200000,04700,0100,Y 45043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45043,A000000,00700,0000,00700HOUSEKEEPING 45043,A000000,00800,0000,00800DIETARY 45043,A000000,00900,0000,00900NURSING ADMINISTRATION 45043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45043,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 45043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45043,A000000,01300,0000,01300SOCIAL SERVICE 45043,A000000,01600,0000,01600SKILLED NURSING FACILITY 45043,A000000,01800,0000,01800NURSING FACILITY 45043,A000000,02100,0000,02100RADIOLOGY 45043,A000000,02200,0000,02200LABORATORY 45043,A000000,02300,0000,02300INTRAVENOUS THERAPY 45043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45043,A000000,02500,0000,02500PHYSICAL THERAPY 45043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45043,A000000,02700,0000,02700SPEECH PATHOLOGY 45043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45043,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45043,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 45043,A000000,03052,0000,03302MEDICAL EQUIPMENT 45043,A000000,04800,0000,04800AMBULANCE 45043,A000000,05300,0000,05300INTEREST EXPENSE 45043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45043,A000000,06200,0000,06200PATIENTS LAUNDRY 45043,A81000A,00100,0100,Y 45043,A81000B,00100,0300,HOME OFFICE A&G 45043,A81000B,00200,0300,HOME OFFICE CAPITAL 45043,A81000B,00300,0300,DIVISION OFFICE A&G 45043,A81000B,00400,0300,DIVISION OFFICE CAPITAL 45043,A81000B,00500,0300,INSURANCE 45043,A81000B,00600,0300,PHYSICAL THERAPY 45043,A81000B,00700,0300,OCCUPATIONAL THERAPY 45043,A81000B,00800,0300,SPEECH THERAPY 45043,A81000B,00900,0300,AIR FLUIDIZED THERAPY 45043,A81000C,00100,0100,B 45043,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 45043,A81000C,00200,0100,G 45043,A81000C,00200,0200,LAURIER INC. 45043,A81000C,00200,0400,EXTENDICARE INC. 45043,A81000C,00200,0600,INSURANCE 45043,A81000C,00300,0100,G 45043,A81000C,00300,0200,UNITED REHABILITATION SVS 45043,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 45043,A81000C,00300,0600,THERAPY SERVICE 45043,A81000C,00400,0100,G 45043,A81000C,00400,0200,UPC 45043,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 45043,A81000C,00400,0600,PHARMACY THERAPY 45043,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45043,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45043,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45043,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45043,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45043,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 45043,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45043,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45043,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45043,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 45043,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 45043,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45043,E10A180,00301,0100,06/22/1998 45043,E10A180,00301,0300,06/22/1998 45043,E10A180,00350,0100,06/22/1998 45043,E10A180,00350,0300,06/22/1998 45043,S000000,00100,0200,06/02/2000 45043,S200000,00100,0100,2714 13TH STREET NW 45043,S200000,00200,0100,CANTON 45043,S200000,00200,0200,OH 45043,S200000,00200,0300,44708-9970 45043,S200000,00300,0100,STARK 45043,S200000,00400,0100,ARBORS AT CANTON 45043,S200000,00400,0200,365291 45043,S200000,00400,0300,01/01/1998 45043,S200000,00400,0500,P 45043,S200000,01004,0500,O 45043,S200000,01600,0100,Y 45055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45055,A000000,00101,0000,00101CAP REL COSTS - NEW BUILDING 45055,A000000,00102,0000,00102CAP REL COSTS - OLD BUILDING 45055,A000000,00103,0000,00103CAP REL COSTS - COMBINED BUILDING 45055,A000000,00300,0000,00300EMPLOYEE BENEFITS 45055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45055,A000000,00700,0000,00700HOUSEKEEPING 45055,A000000,00800,0000,00800DIETARY 45055,A000000,00900,0000,00900NURSING ADMINISTRATION 45055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45055,A000000,01100,0000,01100PHARMACY 45055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45055,A000000,01300,0000,01300SOCIAL SERVICE 45055,A000000,01350,0000,01500OTHER GENERAL SERVICES 45055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45055,A000000,01600,0000,01600SKILLED NURSING FACILITY 45055,A000000,01800,0000,01800NURSING FACILITY 45055,A000000,01810,0000,01801ICF/MR 45055,A000000,01900,0000,01900OTHER LONG TERM CARE 45055,A000000,02100,0000,02100RADIOLOGY 45055,A000000,02200,0000,02200LABORATORY 45055,A000000,02300,0000,02300INTRAVENOUS THERAPY 45055,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45055,A000000,02500,0000,02500PHYSICAL THERAPY 45055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45055,A000000,02700,0000,02700SPEECH PATHOLOGY 45055,A000000,02800,0000,02800ELECTROCARDIOLOGY 45055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45055,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45055,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45055,A000000,03200,0000,03200SUPPORT SURFACES 45055,A000000,03400,0000,03400CLINIC 45055,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45055,A000000,03500,0000,03500RURAL HEALTH CLINIC 45055,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45055,A000000,04800,0000,04800AMBULANCE 45055,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45055,A000000,05000,0000,05000CORF 45055,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45055,A000000,05300,0000,05300INTEREST EXPENSE 45055,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45055,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45055,A000000,05500,0000,05500HOSPICE 45055,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45055,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45055,A000000,06100,0000,06100NONPAID WORKERS 45055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45055,A000000,06200,0000,06200PATIENTS LAUNDRY 45055,A81000A,00100,0100,Y 45055,A81000B,00100,0300,MANAGEMENT FEE 45055,A81000C,00100,0100,A 45055,A81000C,00100,0200,HOLLIS J GARFIELD 45055,A81000C,00100,0400,EMERY MEDICAL MANAGEMENT 45055,A81000C,00100,0600,MANAGEMENT COMPANY 45055,A81000C,00200,0100,A 45055,A81000C,00200,0200,EVELYN GARFIELD 45055,A81000C,00200,0400,EMERY MEDICAL MANAGEMENT 45055,A81000C,00200,0600,MANAGEMENT COMPANY 45055,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45055,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - NEW B 45055,B100000,00000,0102,00000SQUARE FEET :CAP REL COSTS - OLD B 45055,B100000,00000,0103,00000SQUARE FEET :CAP REL COSTS - COMBI 45055,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45055,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45055,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45055,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45055,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45055,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45055,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45055,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45055,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45055,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45055,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45055,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45055,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45055,S000000,00100,0200,06/09/2000 45055,S200000,00100,0100,435 AVIS AVE. 45055,S200000,00200,0100,MASSILLON 45055,S200000,00200,0200,OH 45055,S200000,00200,0300,44646- 45055,S200000,00300,0100,STARK 45055,S200000,00400,0100,HANOVER HOUSE INC 45055,S200000,00400,0200,365292 45055,S200000,00400,0300,06/11/1973 45055,S200000,00400,0500,P 45055,S200000,01600,0100,Y 45055,S200000,04300,0100,Y 45055,S700003,00000,0100,1 45065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45065,A000000,00300,0000,00300EMPLOYEE BENEFITS 45065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45065,A000000,00700,0000,00700HOUSEKEEPING 45065,A000000,00800,0000,00800DIETARY 45065,A000000,00900,0000,00900NURSING ADMINISTRATION 45065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45065,A000000,01100,0000,01100PHARMACY 45065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45065,A000000,01300,0000,01300SOCIAL SERVICE 45065,A000000,01350,0000,01500OTHER GENERAL SERVICES 45065,A000000,01600,0000,01600SKILLED NURSING FACILITY 45065,A000000,01800,0000,01800NURSING FACILITY 45065,A000000,01810,0000,01810ICF/MR 45065,A000000,01900,0000,01900OTHER LONG TERM CARE 45065,A000000,02100,0000,02100RADIOLOGY 45065,A000000,02200,0000,02200LABORATORY 45065,A000000,02300,0000,02300INTRAVENOUS THERAPY 45065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45065,A000000,02500,0000,02500PHYSICAL THERAPY 45065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45065,A000000,02700,0000,02700SPEECH PATHOLOGY 45065,A000000,02800,0000,02800ELECTROCARDIOLOGY 45065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45065,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45065,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45065,A000000,03200,0000,03200SUPPORT SURFACES 45065,A000000,03400,0000,03400CLINIC 45065,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45065,A000000,03500,0000,03500RURAL HEALTH CLINIC 45065,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45065,A000000,04800,0000,04800AMBULANCE 45065,A000000,05000,0000,05000CORF 45065,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45065,A000000,05300,0000,05300INTEREST EXPENSE 45065,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45065,A000000,05500,0000,05500HOSPICE 45065,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45065,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45065,A000000,06100,0000,06100NONPAID WORKERS 45065,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45065,A000000,06200,0000,06200PATIENTS LAUNDRY 45065,A81000A,00100,0100,Y 45065,A81000B,00100,0300,MANAGEMENT FEE 45065,A81000B,00200,0300,OWNERSHIP COSTS 45065,A81000B,00300,0300,ACCOUNTING FEES 45065,A81000B,00400,0300,DATA SERVICES 45065,A81000C,00100,0100,A 45065,A81000C,00100,0200,JAMES FARLEY 45065,A81000C,00100,0400,NURSING CARE MANAGEMENT 45065,A81000C,00100,0600,MANAGEMENT SERVICES 45065,A81000C,00200,0100,A 45065,A81000C,00200,0200,MICHAEL SCHARFENBERGER 45065,A81000C,00200,0400,NURSING CARE MANAGEMENT 45065,A81000C,00200,0600,MANAGEMENT SERVICES 45065,A81000C,00300,0100,A 45065,A81000C,00300,0200,TIMOTHY WYNNE 45065,A81000C,00300,0400,NURSING CARE MANAGEMENT 45065,A81000C,00300,0600,MANAGEMENT SERVICES 45065,A81000C,00400,0100,A 45065,A81000C,00400,0200,ESTATE OF ROBERT WYNNE SR 45065,A81000C,00400,0400,NURSING CARE MANAGEMENT 45065,A81000C,00400,0600,MANAGEMENT SERVICES 45065,A81000C,00500,0100,A 45065,A81000C,00500,0200,JAMES FARLEY 45065,A81000C,00500,0400,TARLTON REALTY 45065,A81000C,00500,0600,LESSOR 45065,A81000C,00600,0100,A 45065,A81000C,00600,0200,MICHAEL SCHARFENBERGER 45065,A81000C,00600,0400,TARLTON REALTY 45065,A81000C,00600,0600,LESSOR 45065,A81000C,00700,0100,A 45065,A81000C,00700,0200,TIMOTHY WYNNE 45065,A81000C,00700,0400,TARLTON REALTY 45065,A81000C,00700,0600,LESSOR 45065,A81000C,00800,0100,A 45065,A81000C,00800,0200,ESTATE OF ROBERT WYNNE SR 45065,A81000C,00800,0400,TARLTON REALTY 45065,A81000C,00800,0600,LESSOR 45065,A81000C,00900,0100,A 45065,A81000C,00900,0200,JAMES FARLEY 45065,A81000C,00900,0400,PHARMCO 45065,A81000C,00900,0600,PHARMACY 45065,A81000C,01000,0100,A 45065,A81000C,01000,0200,MICHAEL SCHARFENBERGER 45065,A81000C,01000,0400,PHARMCO 45065,A81000C,01000,0600,PHARMACY 45065,A81000C,01001,0100,A 45065,A81000C,01001,0200,TIMOTHY WYNNE 45065,A81000C,01001,0400,PHARMCO 45065,A81000C,01001,0600,PHARMACY 45065,A81000C,01002,0100,A 45065,A81000C,01002,0200,ESTATE OF ROBERT WYNNE SR 45065,A81000C,01002,0400,PHARMCO 45065,A81000C,01002,0600,PHARMACY 45065,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45065,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45065,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45065,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45065,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 45065,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45065,B100000,00000,0800,00000MEALS SERVED :DIETARY 45065,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45065,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 45065,B100000,00000,1150,00000DAYS SPENT :PHARMACY 45065,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 45065,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 45065,B100000,00000,1350,00000DAYS SPENT :OTHER GENERAL SERVICES 45065,E10A180,00501,0100,11/28/2000 45065,E10A180,00550,0300,11/28/2000 45065,S000000,00100,0200,11/22/2000 45065,S200000,00100,0100,370 TARLTON ROAD 45065,S200000,00200,0100,CIRCLEVILLE 45065,S200000,00200,0200,OH 45065,S200000,00200,0300,43113- 45065,S200000,00300,0100,PICKAWAY 45065,S200000,00300,0200,1840 45065,S200000,00300,0300,U 45065,S200000,00400,0100,LOGAN ELM HEALTH CARE CENTER 45065,S200000,00400,0200,365295 45065,S200000,00400,0300,10/01/1987 45065,S200000,00400,0500,P 45065,S200000,00600,0200,365295 45065,S200000,00600,0300,10/01/1987 45065,S200000,00600,0600,P 45065,S200000,01600,0100,Y 45074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45074,A000000,00300,0000,00300EMPLOYEE BENEFITS 45074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45074,A000000,00700,0000,00700HOUSEKEEPING 45074,A000000,00800,0000,00800DIETARY 45074,A000000,00900,0000,00900NURSING ADMINISTRATION 45074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45074,A000000,01300,0000,01300SOCIAL SERVICE 45074,A000000,01350,0000,01500OTHER GENERAL SERVICES 45074,A000000,01600,0000,01600SKILLED NURSING FACILITY 45074,A000000,01800,0000,01800NURSING FACILITY 45074,A000000,02100,0000,02100RADIOLOGY 45074,A000000,02200,0000,02200LABORATORY 45074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45074,A000000,02500,0000,02500PHYSICAL THERAPY 45074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45074,A000000,02700,0000,02700SPEECH PATHOLOGY 45074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45074,A000000,03200,0000,03200SUPPORT SURFACES 45074,A000000,04800,0000,04800AMBULANCE 45074,A000000,05300,0000,05300INTEREST EXPENSE 45074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45074,A000000,05500,0000,05500HOSPICE 45074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45074,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45074,A000000,06100,0000,06100NONPAID WORKERS 45074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45074,A000000,06151,0000,06301SUPPLIES PAID ON FEE SCHEDULE 45074,A000000,06200,0000,06200PATIENTS LAUNDRY 45074,A81000A,00100,0100,Y 45074,A81000B,00100,0300,HOME OFFICE COSTS 45074,A81000B,00200,0300,HOME OFFICE COSTS 45074,A81000B,00300,0300,HOME OFFICE COSTS 45074,A81000C,00100,0100,A 45074,A81000C,00100,0200,DOULA GAITANAROS 45074,A81000C,00100,0400,PEARLVIEW CENTRAL OFFICE 45074,A81000C,00100,0600,HOME OFFICE 45074,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 45074,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 45074,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 45074,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45074,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 45074,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 45074,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 45074,B100000,00000,0800,00001MEALS SERVED :DIETARY 45074,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 45074,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 45074,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 45074,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 45074,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 45074,S000000,00100,0200,06/01/2000 45074,S200000,00100,0100,3558 RIDGEWOOD ROAD 45074,S200000,00200,0100,AKRON 45074,S200000,00200,0200,OH 45074,S200000,00200,0300,44333- 45074,S200000,00300,0100,SUMMIT 45074,S200000,00400,0100,RIDGEWOOD PLACE 45074,S200000,00400,0200,365296 45074,S200000,00400,0300,08/03/1973 45074,S200000,00400,0500,P 45074,S200000,01600,0100,Y 45074,S200000,04300,0100,Y 45074,S700003,00000,0100,1 45084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45084,A000000,00300,0000,00300EMPLOYEE BENEFITS 45084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45084,A000000,00700,0000,00700HOUSEKEEPING 45084,A000000,00800,0000,00800DIETARY 45084,A000000,00900,0000,00900NURSING ADMINISTRATION 45084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45084,A000000,01100,0000,01100PHARMACY 45084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45084,A000000,01300,0000,01300SOCIAL SERVICE 45084,A000000,01350,0000,01500ACTIVITIES 45084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45084,A000000,01600,0000,01600SKILLED NURSING FACILITY 45084,A000000,01800,0000,01800NURSING FACILITY 45084,A000000,01810,0000,01801ICF/MR 45084,A000000,01900,0000,01900OTHER LONG TERM CARE 45084,A000000,02100,0000,02100RADIOLOGY 45084,A000000,02200,0000,02200LABORATORY 45084,A000000,02300,0000,02300INTRAVENOUS THERAPY 45084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45084,A000000,02500,0000,02500PHYSICAL THERAPY 45084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45084,A000000,02700,0000,02700SPEECH PATHOLOGY 45084,A000000,02800,0000,02800ELECTROCARDIOLOGY 45084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45084,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45084,A000000,03200,0000,03200SUPPORT SURFACES 45084,A000000,03400,0000,03400CLINIC 45084,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45084,A000000,03500,0000,03500RURAL HEALTH CLINIC 45084,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45084,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45084,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45084,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45084,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45084,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45084,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45084,A000000,04400,0000,04400DME RENTED - HHA 45084,A000000,04500,0000,04500DME SOLD - HHA 45084,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45084,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45084,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45084,A000000,04800,0000,04800AMBULANCE 45084,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45084,A000000,05000,0000,05000CORF 45084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45084,A000000,05300,0000,05300INTEREST EXPENSE 45084,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45084,A000000,05500,0000,05500HOSPICE 45084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45084,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45084,A000000,06100,0000,06100NONPAID WORKERS 45084,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45084,A000000,06200,0000,06200PATIENTS LAUNDRY 45084,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45084,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 45084,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45084,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45084,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45084,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 45084,B100000,00000,0800,00000MEALS SERVED :DIETARY 45084,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45084,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45084,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45084,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 45084,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45084,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 45084,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45084,S000000,00100,0200,06/01/2000 45084,S200000,00100,0100,705 FULTON STREET 45084,S200000,00200,0100,SIDNEY 45084,S200000,00200,0200,OH 45084,S200000,00200,0300,45365-3203 45084,S200000,00300,0100,SHELBY 45084,S200000,00400,0100,THE PAVILION 45084,S200000,00400,0200,365297 45084,S200000,00400,0300,03/01/1997 45084,S200000,00400,0500,P 45084,S200000,01600,0100,Y 45084,S200000,02200,0100,Y 45084,S700003,00000,0100,1 45094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45094,A000000,00300,0000,00300EMPLOYEE BENEFITS 45094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45094,A000000,00700,0000,00700HOUSEKEEPING 45094,A000000,00800,0000,00800DIETARY 45094,A000000,00900,0000,00900NURSING ADMINISTRATION 45094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45094,A000000,01100,0000,01100PHARMACY 45094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45094,A000000,01300,0000,01300SOCIAL SERVICE 45094,A000000,01350,0000,01500OTHER GENERAL SERVICES 45094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45094,A000000,01600,0000,01600SKILLED NURSING FACILITY 45094,A000000,01800,0000,01800NURSING FACILITY 45094,A000000,01810,0000,01801ICF/MR 45094,A000000,01900,0000,01900OTHER LONG TERM CARE 45094,A000000,02100,0000,02100RADIOLOGY 45094,A000000,02200,0000,02200LABORATORY 45094,A000000,02300,0000,02300INTRAVENOUS THERAPY 45094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45094,A000000,02500,0000,02500PHYSICAL THERAPY 45094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45094,A000000,02700,0000,02700SPEECH PATHOLOGY 45094,A000000,02800,0000,02800ELECTROCARDIOLOGY 45094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45094,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45094,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45094,A000000,03200,0000,03200SUPPORT SURFACES 45094,A000000,03400,0000,03400CLINIC 45094,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45094,A000000,03500,0000,03500RURAL HEALTH CLINIC 45094,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45094,A000000,04800,0000,04800AMBULANCE 45094,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45094,A000000,05000,0000,05000CORF 45094,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45094,A000000,05300,0000,05300INTEREST EXPENSE 45094,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45094,A000000,05500,0000,05500HOSPICE 45094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45094,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45094,A000000,06100,0000,06100NONPAID WORKERS 45094,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45094,A000000,06200,0000,06200PATIENTS LAUNDRY 45094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45094,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45094,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45094,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45094,B100000,00000,0800,00000MEALS SERVED :DIETARY 45094,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45094,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45094,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45094,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45094,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45094,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 45094,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45094,S000000,00100,0200,05/30/2000 45094,S200000,00100,0100,1500 MCKINLEY AVENUE 45094,S200000,00200,0100,NILES 45094,S200000,00200,0200,OH 45094,S200000,00200,0300,44446- 45094,S200000,00300,0100,TRUMBULL 45094,S200000,00400,0100,SHEPHERD OF THE VALLEY - NILES 45094,S200000,00400,0200,365298 45094,S200000,00400,0300,01/01/1973 45094,S200000,00400,0500,P 45094,S200000,01500,0100,Y 45094,S200000,04700,0100,Y 45094,S700003,00000,0100,1 45099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45099,A000000,00300,0000,00300EMPLOYEE BENEFITS 45099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45099,A000000,00700,0000,00700HOUSEKEEPING 45099,A000000,00800,0000,00800DIETARY 45099,A000000,00900,0000,00900NURSING ADMINISTRATION 45099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45099,A000000,01100,0000,01100PHARMACY 45099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45099,A000000,01300,0000,01300SOCIAL SERVICE 45099,A000000,01600,0000,01600SKILLED NURSING FACILITY 45099,A000000,01800,0000,01800NURSING FACILITY 45099,A000000,01900,0000,01900OTHER LONG TERM CARE 45099,A000000,02100,0000,02100RADIOLOGY 45099,A000000,02200,0000,02200LABORATORY 45099,A000000,02300,0000,02300INTRAVENOUS THERAPY 45099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45099,A000000,02500,0000,02500PHYSICAL THERAPY 45099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45099,A000000,02700,0000,02700SPEECH PATHOLOGY 45099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45099,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45099,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45099,A000000,03200,0000,03200SUPPORT SURFACES 45099,A000000,04800,0000,04800AMBULANCE 45099,A000000,05300,0000,05300INTEREST EXPENSE 45099,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45099,A000000,05500,0000,05500HOSPICE 45099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45099,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45099,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45099,A000000,06200,0000,06200PATIENTS LAUNDRY 45099,A81000A,00100,0100,Y 45099,A81000B,00100,0300,H.O. COSTS 45099,A81000B,00200,0300,H.O. COSTS 45099,A81000B,00300,0300,H.O. COSTS 45099,A81000B,00400,0300,H.O. COSTS 45099,A81000B,00500,0300,H.O. COSTS 45099,A81000B,00600,0300,H.O. COSTS 45099,A81000B,00700,0300,H.O. COSTS 45099,A81000B,00800,0300,H.O. COSTS 45099,A81000B,00900,0300,H.O. COSTS 45099,A81000B,01000,0300,H.O. COSTS 45099,A81000B,01100,0300,H.O. COSTS 45099,A81000B,01200,0300,H.O. COSTS 45099,A81000B,01300,0300,H.O. COSTS 45099,A81000B,01400,0300,H.O. COSTS 45099,A81000B,01500,0300,H.O. COSTS 45099,A81000B,01600,0300,H.O. COSTS 45099,A81000B,01700,0300,H.O. COSTS 45099,A81000B,01800,0300,H.O. COSTS 45099,A81000B,01900,0300,H.O. COSTS 45099,A81000B,02000,0300,H.O. COSTS 45099,A81000C,00100,0100,B 45099,A81000C,00100,0200,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00100,0400,ALTERCARE OF RAVENNA 45099,A81000C,00100,0600,NURSING HOMES 45099,A81000C,00200,0100,B 45099,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 45099,A81000C,00200,0400,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00200,0600,THERAPY SERVICES 45099,A81000C,00300,0100,B 45099,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 45099,A81000C,00300,0400,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00300,0600,DRUGS & MED. SUPPLIES 45099,A81000C,00400,0100,B 45099,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 45099,A81000C,00400,0400,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00400,0600,MED. SUPPLIES 45099,A81000C,00500,0100,B 45099,A81000C,00500,0200,RENAISSANCE MORTGAGE 45099,A81000C,00500,0400,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00500,0600,FINANCING 45099,A81000C,00600,0100,B 45099,A81000C,00600,0200,ABSOLUTE LAB 45099,A81000C,00600,0400,CONSOL.HEALTHCARE REL.MGM 45099,A81000C,00600,0600,LAB 45099,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45099,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45099,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45099,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45099,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45099,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45099,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45099,B100000,00000,0800,00000MEALS SERVED :DIETARY 45099,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 45099,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45099,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45099,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45099,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45099,S000000,00100,0200,06/02/2000 45099,S200000,00100,0100,245 NEW MILFORD ROAD 45099,S200000,00200,0100,RAVENNA 45099,S200000,00200,0200,OH 45099,S200000,00200,0300,44266- 45099,S200000,00300,0100,PORTAGE 45099,S200000,00400,0100,ALTERCARE OF RAVENNA 45099,S200000,00400,0200,365300 45099,S200000,00400,0300,01/01/1972 45099,S200000,00400,0500,P 45099,S200000,01600,0100,Y 45099,S200000,04300,0100,Y 45117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45117,A000000,00300,0000,00300EMPLOYEE BENEFITS 45117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45117,A000000,00700,0000,00700HOUSEKEEPING 45117,A000000,00800,0000,00800DIETARY 45117,A000000,00900,0000,00900NURSING ADMINISTRATION 45117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45117,A000000,01100,0000,01100PHARMACY 45117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45117,A000000,01300,0000,01300SOCIAL SERVICE 45117,A000000,01600,0000,01600SKILLED NURSING FACILITY 45117,A000000,01800,0000,01800NURSING FACILITY 45117,A000000,01900,0000,01900OTHER LONG TERM CARE 45117,A000000,02100,0000,02100RADIOLOGY 45117,A000000,02200,0000,02200LABORATORY 45117,A000000,02300,0000,02300INTRAVENOUS THERAPY 45117,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45117,A000000,02500,0000,02500PHYSICAL THERAPY 45117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45117,A000000,02700,0000,02700SPEECH PATHOLOGY 45117,A000000,02800,0000,02800ELECTROCARDIOLOGY 45117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45117,A000000,03050,0000,03300PARENTERAL THERAPY 45117,A000000,03200,0000,03200SUPPORT SURFACES 45117,A000000,04800,0000,04800AMBULANCE 45117,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45117,A000000,05300,0000,05300INTEREST EXPENSE 45117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45117,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 45117,A81000A,00100,0100,Y 45117,A81000B,00100,0300,HOME OFFICE 45117,A81000B,00200,0300,HOME OFFICE 45117,A81000B,00300,0300,HOME OFFICE 45117,A81000B,00400,0300,HOME OFFICE 45117,A81000B,00500,0300,HOME OFFICE 45117,A81000B,00600,0300,HOME OFFICE 45117,A81000B,00700,0300,THERAPY SERVICES 45117,A81000B,00800,0300,THERAPY SERVICES 45117,A81000B,00900,0300,THERAPY SERVICES 45117,A81000C,00100,0100,A 45117,A81000C,00100,0200,STEVE ROSEDALE 45117,A81000C,00100,0400,COMMUNICARE HEA 45117,A81000C,00100,0600,HOME OFFICE 45117,A81000C,00200,0100,A 45117,A81000C,00200,0200,STEVE ROSEDALE 45117,A81000C,00200,0400,COMMUNICARE INC 45117,A81000C,00200,0600,HOME OFFICE 45117,A81000C,00300,0100,A 45117,A81000C,00300,0200,STEVE ROSEDALE 45117,A81000C,00300,0400,HOMEWARD REHAB 45117,A81000C,00300,0600,THERAPY COMPANY 45117,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45117,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45117,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45117,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45117,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45117,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45117,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45117,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45117,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 45117,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 45117,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45117,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45117,S000000,00100,0200,05/31/2000 45117,S200000,00100,0100,625 PROBASCO AVE 45117,S200000,00200,0100,CINCINNATI 45117,S200000,00200,0200,OH 45117,S200000,00200,0300,45202-2798 45117,S200000,00300,0100,HAMILTON 45117,S200000,00300,0200,1640 45117,S200000,00300,0300,U 45117,S200000,00400,0100,COMMUNICARE OF CLIFTON 45117,S200000,00400,0200,365304 45117,S200000,00400,0300,03/16/1974 45117,S200000,00400,0500,P 45117,S200000,01600,0100,Y 45117,S200000,02800,0100,Y 45125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45125,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45125,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45125,A000000,00300,0000,00300EMPLOYEE BENEFITS 45125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45125,A000000,00700,0000,00700HOUSEKEEPING 45125,A000000,00800,0000,00800DIETARY 45125,A000000,00801,0000,00801CAFETERIA 45125,A000000,00900,0000,00900NURSING ADMINISTRATION 45125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45125,A000000,01100,0000,01100PHARMACY 45125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45125,A000000,01300,0000,01300SOCIAL SERVICE 45125,A000000,01350,0000,01500ACTIVITIES 45125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45125,A000000,01600,0000,01600SKILLED NURSING FACILITY 45125,A000000,01800,0000,01800NURSING FACILITY 45125,A000000,01900,0000,01900OTHER LONG TERM CARE 45125,A000000,02100,0000,02100RADIOLOGY 45125,A000000,02200,0000,02200LABORATORY 45125,A000000,02300,0000,02300INTRAVENOUS THERAPY 45125,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45125,A000000,02500,0000,02500PHYSICAL THERAPY 45125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45125,A000000,02700,0000,02700SPEECH PATHOLOGY 45125,A000000,02800,0000,02800ELECTROCARDIOLOGY 45125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45125,A000000,03050,0000,03300OTHER ANCILLARY 45125,A000000,03051,0000,03301OTHER ANCILLARY II 45125,A000000,03052,0000,03302OTHER ANCILLARY III 45125,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45125,A000000,03200,0000,03200SUPPORT SURFACES 45125,A000000,03400,0000,03400CLINIC 45125,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45125,A000000,03500,0000,03500RURAL HEALTH CLINIC 45125,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45125,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45125,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45125,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45125,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45125,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45125,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45125,A000000,04400,0000,04400DME RENTED - HHA 45125,A000000,04500,0000,04500DME SOLD - HHA 45125,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45125,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45125,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45125,A000000,04800,0000,04800AMBULANCE 45125,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45125,A000000,05000,0000,05000CORF 45125,A000000,05010,0000,05010CMHC I 45125,A000000,05020,0000,05020OPT I 45125,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45125,A000000,05300,0000,05300INTEREST EXPENSE 45125,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45125,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45125,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45125,A000000,05500,0000,05500HOSPICE 45125,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45125,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45125,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45125,A000000,06100,0000,06100NONPAID WORKERS 45125,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45125,A000000,06200,0000,06200PATIENTS LAUNDRY 45125,A81000A,00100,0100,Y 45125,A81000B,00100,0300,H/O NURSING 45125,A81000B,00200,0300,H/O A & G 45125,A81000B,00300,0300,H/O RENT 45125,A81000B,00400,0300,H/O NON REIMBURSABLE 45125,A81000B,00500,0300,H/O THERAPIES 45125,A81000C,00100,0100,A 45125,A81000C,00100,0200,GLYNDON POWELL 45125,A81000C,00100,0400,CHSHO INC. 45125,A81000C,00100,0600,HOME OFFICE 45125,A81000C,00200,0100,A 45125,A81000C,00200,0200,ED BYINGTON 45125,A81000C,00200,0400,CHSHO INC. 45125,A81000C,00200,0600,HOME OFFICE 45125,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45125,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45125,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45125,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45125,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45125,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45125,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45125,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45125,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45125,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45125,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45125,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45125,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45125,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45125,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45125,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45125,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 45125,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45125,S000000,00100,0200,06/01/2000 45125,S200000,00100,0100,7600 SOUTH RIDGE ROAD 45125,S200000,00200,0100,MADISON 45125,S200000,00200,0200,OH 45125,S200000,00300,0100,LAKE 45125,S200000,00400,0100,MADISON HEALTH CARE 45125,S200000,00400,0200,365306 45125,S200000,00400,0300,01/01/1994 45125,S200000,00400,0500,P 45125,S200000,01500,0100,Y 45125,S200000,04300,0100,Y 45140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45140,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45140,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45140,A000000,00300,0000,00300EMPLOYEE BENEFITS 45140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45140,A000000,00700,0000,00700HOUSEKEEPING 45140,A000000,00800,0000,00800DIETARY 45140,A000000,00801,0000,00801CAFETERIA 45140,A000000,00900,0000,00900NURSING ADMINISTRATION 45140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45140,A000000,01100,0000,01100PHARMACY 45140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45140,A000000,01300,0000,01300SOCIAL SERVICE 45140,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45140,A000000,01600,0000,01600SKILLED NURSING FACILITY 45140,A000000,01800,0000,01800NURSING FACILITY 45140,A000000,01900,0000,01900OTHER LONG TERM CARE 45140,A000000,02100,0000,02100RADIOLOGY 45140,A000000,02200,0000,02200LABORATORY 45140,A000000,02300,0000,02300INTRAVENOUS THERAPY 45140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45140,A000000,02500,0000,02500PHYSICAL THERAPY 45140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45140,A000000,02700,0000,02700SPEECH PATHOLOGY 45140,A000000,02800,0000,02800ELECTROCARDIOLOGY 45140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45140,A000000,03050,0000,03300OTHER ANCILLARY 45140,A000000,03051,0000,03301OTHER ANCILLARY II 45140,A000000,03052,0000,03302OTHER ANCILLARY III 45140,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45140,A000000,03200,0000,03200SUPPORT SURFACES 45140,A000000,03400,0000,03400CLINIC 45140,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45140,A000000,03500,0000,03500RURAL HEALTH CLINIC 45140,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45140,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45140,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45140,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45140,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45140,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45140,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45140,A000000,04400,0000,04400DME RENTED - HHA 45140,A000000,04500,0000,04500DME SOLD - HHA 45140,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45140,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45140,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45140,A000000,04800,0000,04800AMBULANCE 45140,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45140,A000000,05000,0000,05000CORF 45140,A000000,05010,0000,05010CMHC I 45140,A000000,05020,0000,05020OPT I 45140,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45140,A000000,05300,0000,05300INTEREST EXPENSE 45140,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45140,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45140,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45140,A000000,05500,0000,05500HOSPICE 45140,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45140,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45140,A000000,06100,0000,06100NONPAID WORKERS 45140,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45140,A000000,06200,0000,06200PATIENTS LAUNDRY 45140,A81000A,00100,0100,Y 45140,A81000B,00100,0300,LEASE EXPENSE 45140,A81000B,00200,0300,BUILDING DEPREC 45140,A81000B,00300,0300,HOME OFFICE RENT 45140,A81000B,00400,0300,HOME OFFIC DEPREC 45140,A81000B,00500,0300,HOME OFFICE NON CAP 45140,A81000C,00100,0100,B 45140,A81000C,00100,0200,WINFIELD ECKERT 45140,A81000C,00100,0400,ECKERT ENTERPS 45140,A81000C,00100,0600,REAL ESTATE 45140,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45140,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45140,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45140,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45140,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45140,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45140,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45140,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45140,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45140,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45140,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45140,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45140,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45140,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45140,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45140,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45140,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45140,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45140,S000000,00100,0200,06/01/2000 45140,S200000,00100,0100,925 BECKS KNOB ROAD 45140,S200000,00200,0100,LANCASTER 45140,S200000,00200,0200,OH 45140,S200000,00200,0300,43130- 45140,S200000,00300,0100,FAIRFIELD 45140,S200000,00400,0100,CRESTVIEW MANOR N.H. #1 45140,S200000,00400,0200,365308 45140,S200000,00400,0300,05/13/1974 45140,S200000,00400,0500,P 45140,S200000,01500,0100,Y 45140,S200000,02800,0100,Y 45140,S200000,04700,0100,Y 45140,S700003,00000,0100,1 45149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45149,A000000,00300,0000,00300EMPLOYEE BENEFITS 45149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45149,A000000,00501,0000,00501UTILITIES 45149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45149,A000000,00700,0000,00700HOUSEKEEPING 45149,A000000,00800,0000,00800DIETARY 45149,A000000,00900,0000,00900NURSING ADMINISTRATION 45149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45149,A000000,01100,0000,01100PHARMACY 45149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45149,A000000,01300,0000,01300SOCIAL SERVICE 45149,A000000,01350,0000,01500SNF - PARTICIPATING 45149,A000000,01600,0000,01600SKILLED NURSING FACILITY 45149,A000000,01800,0000,01800NURSING FACILITY 45149,A000000,01900,0000,01900OTHER LONG TERM CARE 45149,A000000,02100,0000,02100RADIOLOGY 45149,A000000,02200,0000,02200LABORATORY 45149,A000000,02300,0000,02300INTRAVENOUS THERAPY 45149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45149,A000000,02500,0000,02500PHYSICAL THERAPY 45149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45149,A000000,02700,0000,02700SPEECH PATHOLOGY 45149,A000000,02800,0000,02800ELECTROCARDIOLOGY 45149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45149,A000000,03400,0000,03400CLINIC 45149,A000000,04750,0000,05100OSP 45149,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45149,A000000,05300,0000,05300INTEREST EXPENSE 45149,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45149,A000000,05500,0000,05500HOSPICE 45149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45149,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45149,A000000,06100,0000,06100NONPAID WORKERS 45149,A000000,06200,0000,06200PATIENTS LAUNDRY 45149,A000000,06201,0000,06201VILLAGE 45149,B100000,00000,0100,00001SQ FT :CAP REL COSTS - BLDGS & FIX 45149,B100000,00000,0250,00001BLANK :CAP REL COSTS - MOVABLE EQ 45149,B100000,00000,0300,00001GROSS SAL :EMPLOYEE BENEFITS 45149,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45149,B100000,00000,0500,00001SQ FT :PLANT OPERATION MAINT. & R 45149,B100000,00000,0501,00001SQ FT :UTILITIES 45149,B100000,00000,0650,00001LBS/LAUNDR :LAUNDRY & LINEN SERVI 45149,B100000,00000,0700,00001HOUSEKEEPI :HOUSEKEEPING 45149,B100000,00000,0800,00001MEALS :DIETARY 45149,B100000,00000,0950,00001NURSING ADM/HRS :NURSING ADMINISTR 45149,B100000,00000,1050,00001 ACCUM. COST :CENTRAL SERVICES & SU 45149,B100000,00000,1150,00001 ACCUM. COST :PHARMACY 45149,B100000,00000,1250,00001MED RECORDS/HR :MEDICAL RECORDS & 45149,B100000,00000,1330,00001SOC SVC/HRS :SOCIAL SERVICE 45149,B100000,00000,1350,00001ACCUM. COST :SNF - PARTICIPATING 45149,S000000,00100,0200,05/31/2000 45149,S200000,00100,0100,5790 DENLINGER RD 45149,S200000,00200,0100,DAYTON 45149,S200000,00200,0200,OH 45149,S200000,00200,0300,45426- 45149,S200000,00300,0100,MONTGOMERY 45149,S200000,00400,0100,FRIENDSHIP VILLAGE 45149,S200000,00400,0200,365309 45149,S200000,00400,0300,09/17/1974 45149,S200000,00400,0500,P 45149,S200000,01500,0100,Y 45149,S200000,02200,0100,Y 45158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45158,A000000,00300,0000,00300EMPLOYEE BENEFITS 45158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45158,A000000,00700,0000,00700HOUSEKEEPING 45158,A000000,00800,0000,00800DIETARY 45158,A000000,00900,0000,00900NURSING ADMINISTRATION 45158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45158,A000000,01100,0000,01100PHARMACY 45158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45158,A000000,01300,0000,01300SOCIAL SERVICE 45158,A000000,01350,0000,01500OTHER GENERAL SERVICES 45158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45158,A000000,01600,0000,01600SKILLED NURSING FACILITY 45158,A000000,01800,0000,01800NURSING FACILITY 45158,A000000,01810,0000,01801ICF/MR 45158,A000000,01900,0000,01900OTHER LONG TERM CARE 45158,A000000,02100,0000,02100RADIOLOGY 45158,A000000,02200,0000,02200LABORATORY 45158,A000000,02300,0000,02300INTRAVENOUS THERAPY 45158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45158,A000000,02500,0000,02500PHYSICAL THERAPY 45158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45158,A000000,02700,0000,02700SPEECH PATHOLOGY 45158,A000000,02800,0000,02800ELECTROCARDIOLOGY 45158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45158,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45158,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45158,A000000,03200,0000,03200SUPPORT SURFACES 45158,A000000,03400,0000,03400CLINIC 45158,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45158,A000000,03500,0000,03500RURAL HEALTH CLINIC 45158,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45158,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45158,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45158,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45158,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45158,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45158,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45158,A000000,04400,0000,04400DME RENTED - HHA 45158,A000000,04500,0000,04500DME SOLD - HHA 45158,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45158,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45158,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45158,A000000,04800,0000,04800AMBULANCE 45158,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45158,A000000,05000,0000,05000CORF 45158,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45158,A000000,05300,0000,05300INTEREST EXPENSE 45158,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45158,A000000,05500,0000,05500HOSPICE 45158,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45158,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45158,A000000,06100,0000,06100NONPAID WORKERS 45158,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45158,A000000,06200,0000,06200PATIENTS LAUNDRY 45158,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45158,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 45158,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45158,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45158,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45158,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45158,B100000,00000,0800,00000MEALS SERVED :DIETARY 45158,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45158,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45158,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45158,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45158,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45158,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45158,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45158,S000000,00100,0200,05/26/2000 45158,S200000,00100,0100,2125 ROYCE 45158,S200000,00200,0100,PORTSMOUTH 45158,S200000,00200,0200,OH 45158,S200000,00200,0300,45662- 45158,S200000,00300,0100,SCIOTO 45158,S200000,00400,0100,GOLDEN YEARS CONVALESCENT CENTER 45158,S200000,00400,0200,365313 45158,S200000,00400,0300,10/21/1974 45158,S200000,00400,0500,P 45158,S200000,01600,0100,Y 45158,S700003,00000,0100,1 45160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45160,A000000,00300,0000,00300EMPLOYEE BENEFITS 45160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45160,A000000,00700,0000,00700HOUSEKEEPING 45160,A000000,00800,0000,00800DIETARY 45160,A000000,00900,0000,00900NURSING ADMINISTRATION 45160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45160,A000000,01100,0000,01100PHARMACY 45160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45160,A000000,01300,0000,01300SOCIAL SERVICE 45160,A000000,01350,0000,01500OTHER GENERAL SERVICES 45160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45160,A000000,01600,0000,01600SKILLED NURSING FACILITY 45160,A000000,01800,0000,01800NURSING FACILITY 45160,A000000,01810,0000,01801ICF/MR 45160,A000000,01900,0000,01900OTHER LONG TERM CARE 45160,A000000,02100,0000,02100RADIOLOGY 45160,A000000,02200,0000,02200LABORATORY 45160,A000000,02300,0000,02300INTRAVENOUS THERAPY 45160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45160,A000000,02500,0000,02500PHYSICAL THERAPY 45160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45160,A000000,02700,0000,02700SPEECH PATHOLOGY 45160,A000000,02800,0000,02800ELECTROCARDIOLOGY 45160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45160,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45160,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45160,A000000,03200,0000,03200SUPPORT SURFACES 45160,A000000,03400,0000,03400CLINIC 45160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45160,A000000,03500,0000,03500RURAL HEALTH CLINIC 45160,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45160,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45160,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45160,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45160,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45160,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45160,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45160,A000000,04400,0000,04400DME RENTED - HHA 45160,A000000,04500,0000,04500DME SOLD - HHA 45160,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45160,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45160,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45160,A000000,04800,0000,04800AMBULANCE 45160,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45160,A000000,05000,0000,05000CORF 45160,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45160,A000000,05300,0000,05300INTEREST EXPENSE 45160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45160,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45160,A000000,05500,0000,05500HOSPICE 45160,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45160,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45160,A000000,06100,0000,06100NONPAID WORKERS 45160,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45160,A000000,06200,0000,06200PATIENTS LAUNDRY 45160,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45160,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 45160,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45160,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45160,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45160,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45160,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45160,B100000,00000,0800,00000MEALS SERVED :DIETARY 45160,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45160,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45160,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45160,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45160,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45160,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45160,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45160,S000000,00100,0200,06/01/2000 45160,S200000,00100,0100,2125 ROYCE STREET 45160,S200000,00200,0100,PORTSMOUTH 45160,S200000,00200,0200,OH 45160,S200000,00200,0300,45662- 45160,S200000,00300,0100,SCIOTO 45160,S200000,00400,0100,GOLDEN YEARS CONVALESCENT CENTER 45160,S200000,00400,0200,365313 45160,S200000,00400,0300,02/16/1999 45160,S200000,00400,0500,P 45160,S200000,01600,0100,Y 45168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45168,A000000,00300,0000,00300EMPLOYEE BENEFITS 45168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45168,A000000,00700,0000,00700HOUSEKEEPING 45168,A000000,00800,0000,00800DIETARY 45168,A000000,00900,0000,00900NURSING ADMINISTRATION 45168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45168,A000000,01100,0000,01100PHARMACY 45168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45168,A000000,01300,0000,01300SOCIAL SERVICE 45168,A000000,01350,0000,01500ACTIVITIES 45168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45168,A000000,01600,0000,01600SKILLED NURSING FACILITY 45168,A000000,01800,0000,01800NURSING FACILITY 45168,A000000,01900,0000,01900OTHER LONG TERM CARE 45168,A000000,02100,0000,02100RADIOLOGY 45168,A000000,02200,0000,02200LABORATORY 45168,A000000,02300,0000,02300INTRAVENOUS THERAPY 45168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45168,A000000,02500,0000,02500PHYSICAL THERAPY 45168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45168,A000000,02700,0000,02700SPEECH PATHOLOGY 45168,A000000,02800,0000,02800ELECTROCARDIOLOGY 45168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45168,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45168,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45168,A000000,03200,0000,03200SUPPORT SURFACES 45168,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 45168,A000000,04800,0000,04800AMBULANCE 45168,A000000,05300,0000,05300INTEREST EXPENSE 45168,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 45168,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45168,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45168,A000000,06100,0000,06100NONPAID WORKERS 45168,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45168,A000000,06200,0000,06200PATIENTS LAUNDRY 45168,A81000A,00100,0100,Y 45168,A81000B,00100,0300,HOME OFFICE COST 45168,A81000B,00200,0300,PURCH SERV PHARMACIST 45168,A81000B,00300,0300,IV COSTS 45168,A81000B,00400,0300,DRUGS 45168,A81000B,00500,0300,PT ADMINISTRATION FEE 45168,A81000B,00600,0300,OT ADMINISTRATION FEE 45168,A81000B,00700,0300,ST ADMINISTRATION FEE 45168,A81000B,00800,0300,PHYSICAL THERAPY 45168,A81000B,00900,0300,OCCUPATIONAL THERAPY 45168,A81000B,01000,0300,SPEECH THERAPY 45168,A81000C,00100,0100,B 45168,A81000C,00100,0200,VICTORIAN VILLAGE 45168,A81000C,00100,0400,HCR MANORCARE INC. 45168,A81000C,00100,0600,LONG TERM CARE FACILITIES 45168,A81000C,00200,0100,B 45168,A81000C,00200,0200,VICTORIAN VILLAGE 45168,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00200,0600,PHARMACY 45168,A81000C,00300,0100,B 45168,A81000C,00300,0200,VICTORIAN VILLAGE 45168,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00300,0600,PHARMACY 45168,A81000C,00400,0100,B 45168,A81000C,00400,0200,VICTORIAN VILLAGE 45168,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00400,0600,PHARMACY 45168,A81000C,00500,0100,B 45168,A81000C,00500,0200,VICTORIAN VILLAGE 45168,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00500,0600,THERAPY MANAGEMENT 45168,A81000C,00600,0100,B 45168,A81000C,00600,0200,VICTORIAN VILLAGE 45168,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00600,0600,THERAPY MANAGEMENT 45168,A81000C,00700,0100,B 45168,A81000C,00700,0200,VICTORIAN VILLAGE 45168,A81000C,00700,0400,HEARTLAND HEALTHCARE SERV 45168,A81000C,00700,0600,THERAPY MANAGEMENT 45168,A81000C,00800,0100,B 45168,A81000C,00800,0200,VICTORIAN VILLAGE 45168,A81000C,00800,0400,SCIOTO VALLEY THERAPY 45168,A81000C,00800,0600,PT THERAPY 45168,A81000C,00900,0100,B 45168,A81000C,00900,0200,VICTORIAN VILLAGE 45168,A81000C,00900,0400,SCIOTO VALLEY THERAPY 45168,A81000C,00900,0600,OT THERAPY 45168,A81000C,01000,0100,B 45168,A81000C,01000,0200,VICTORIAN VILLAGE 45168,A81000C,01000,0400,SCIOTO VALLEY THERAPY 45168,A81000C,01000,0600,ST THERAPY 45168,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45168,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45168,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45168,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45168,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45168,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45168,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45168,B100000,00000,0800,00000MEALS SERVED :DIETARY 45168,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 45168,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45168,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45168,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45168,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45168,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45168,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45168,E10A180,00501,0100,06/16/2000 45168,S000000,00100,0200,05/31/2000 45168,S200000,00100,0100,920 THURBER DRIVE 45168,S200000,00200,0100,COLUMBUS 45168,S200000,00200,0200,OH 45168,S200000,00200,0300,43215- 45168,S200000,00300,0100,FRANKLIN 45168,S200000,00400,0100,VICTORIAN VILLAG E 45168,S200000,00400,0200,365315 45168,S200000,00400,0300,02/01/1975 45168,S200000,00400,0500,P 45168,S200000,00400,0600,P 45168,S200000,01600,0100,Y 45168,S200000,02200,0100,Y 45179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45179,A000000,00300,0000,00300EMPLOYEE BENEFITS 45179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45179,A000000,00700,0000,00700HOUSEKEEPING 45179,A000000,00800,0000,00800DIETARY 45179,A000000,00900,0000,00900NURSING ADMINISTRATION 45179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45179,A000000,01100,0000,01100PHARMACY 45179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45179,A000000,01300,0000,01300SOCIAL SERVICE 45179,A000000,01600,0000,01600SKILLED NURSING FACILITY 45179,A000000,01800,0000,01800NURSING FACILITY 45179,A000000,01900,0000,01900OTHER LONG TERM CARE 45179,A000000,02100,0000,02100RADIOLOGY 45179,A000000,02200,0000,02200LABORATORY 45179,A000000,02300,0000,02300INTRAVENOUS THERAPY 45179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45179,A000000,02500,0000,02500PHYSICAL THERAPY 45179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45179,A000000,02700,0000,02700SPEECH PATHOLOGY 45179,A000000,02800,0000,02800ELECTROCARDIOLOGY 45179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45179,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45179,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45179,A000000,03200,0000,03200SUPPORT SURFACES 45179,A000000,04800,0000,04800AMBULANCE 45179,A000000,05300,0000,05300INTEREST EXPENSE 45179,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45179,A000000,05500,0000,05500HOSPICE 45179,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45179,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45179,A000000,06150,0000,06300MARKETING 45179,A000000,06151,0000,06301ENTERALS & UROLOGICALS 45179,A000000,06200,0000,06200PATIENTS LAUNDRY 45179,A81000A,00100,0100,Y 45179,A81000B,00100,0300,HOME OFFICE BUILDING COST 45179,A81000B,00200,0300,HOME OFFICE MOVEABLE EQUIP 45179,A81000B,00300,0300,HOME OFFICE EMPLOYEE BENEFITS 45179,A81000B,00400,0300,HOME OFFICE ADMIN & GENERAL 45179,A81000B,00500,0300,HOME OFFICE PLANT OPERATIONS 45179,A81000B,00600,0300,HOME OFFICE DIETARY 45179,A81000C,00100,0100,A 45179,A81000C,00100,0200,DONEL SPRENGER 45179,A81000C,00100,0400,SPRENGER ENTERPRISES INC 45179,A81000C,00100,0600,HOME OFFICE 45179,A81000C,00200,0100,A 45179,A81000C,00200,0200,TONY SPRENGER 45179,A81000C,00200,0400,SPRENGER ENTERPRISES INC 45179,A81000C,00200,0600,HOME OFFICE 45179,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 45179,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 45179,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 45179,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45179,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 45179,B100000,00000,0650,00001INPATIENT DAYS :LAUNDRY & LINEN SE 45179,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 45179,B100000,00000,0800,00001MEALS SERVED :DIETARY 45179,B100000,00000,0950,00001INPATIENT DAYS :NURSING ADMINISTRA 45179,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 45179,B100000,00000,1250,00001INPATIENT DAYS :MEDICAL RECORDS & 45179,B100000,00000,1330,00001INPATIENT DAYS :SOCIAL SERVICE 45179,S000000,00100,0200,07/17/2001 45179,S200000,00100,0100,4110 SMITHVILLE WESTERN ROAD 45179,S200000,00200,0100,WOOSTER 45179,S200000,00200,0200,OH 45179,S200000,00200,0300,44691- 45179,S200000,00300,0100,WAYNE 45179,S200000,00300,0200,9936 45179,S200000,00300,0300,R 45179,S200000,00400,0100,SMITHVILLE WESTERN CARE CENTER 45179,S200000,00400,0200,365317 45179,S200000,00400,0300,04/09/1975 45179,S200000,00400,0500,P 45179,S200000,01500,0100,Y 45179,S200000,04300,0100,Y 45197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45197,A000000,00300,0000,00300EMPLOYEE BENEFITS 45197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45197,A000000,00700,0000,00700HOUSEKEEPING 45197,A000000,00800,0000,00800DIETARY 45197,A000000,00900,0000,00900NURSING ADMINISTRATION 45197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45197,A000000,01100,0000,01100PHARMACY 45197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45197,A000000,01300,0000,01300SOCIAL SERVICE 45197,A000000,01600,0000,01600SKILLED NURSING FACILITY 45197,A000000,01800,0000,01800NURSING FACILITY 45197,A000000,01900,0000,01900OTHER LONG TERM CARE 45197,A000000,02100,0000,02100RADIOLOGY 45197,A000000,02200,0000,02200LABORATORY 45197,A000000,02300,0000,02300INTRAVENOUS THERAPY 45197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45197,A000000,02500,0000,02500PHYSICAL THERAPY 45197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45197,A000000,02700,0000,02700SPEECH PATHOLOGY 45197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45197,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45197,A000000,03200,0000,03200SUPPORT SURFACES 45197,A000000,04800,0000,04800AMBULANCE 45197,A000000,05300,0000,05300INTEREST EXPENSE 45197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45197,A000000,05500,0000,05500HOSPICE 45197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45197,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45197,A000000,06150,0000,06300ENTERALS & UROLOGICALS 45197,A000000,06200,0000,06200PATIENTS LAUNDRY 45197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45197,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45197,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45197,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45197,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45197,B100000,00000,0800,00000MEALS SERVED :DIETARY 45197,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 45197,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45197,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45197,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45197,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45197,S000000,00100,0200,05/30/2000 45197,S200000,00100,0100,2631 COPLEY ROAD 45197,S200000,00200,0100,AKRON 45197,S200000,00200,0200,OH 45197,S200000,00200,0300,44321- 45197,S200000,00300,0100,SUMMIT 45197,S200000,00400,0100,LORANTFFY CARE CENTER INC. 45197,S200000,00400,0200,365320 45197,S200000,00400,0300,11/01/1976 45197,S200000,00400,0500,P 45197,S200000,01600,0100,Y 45197,S200000,04300,0100,Y 45197,S700003,00000,0100,1 45209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45209,A000000,00300,0000,00300EMPLOYEE BENEFITS 45209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45209,A000000,00700,0000,00700HOUSEKEEPING 45209,A000000,00800,0000,00800DIETARY 45209,A000000,00900,0000,00900NURSING ADMINISTRATION 45209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45209,A000000,01100,0000,01100PHARMACY 45209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45209,A000000,01300,0000,01300SOCIAL SERVICE 45209,A000000,01350,0000,01500ACTIVITIES 45209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45209,A000000,01600,0000,01600SKILLED NURSING FACILITY 45209,A000000,01800,0000,01800NURSING FACILITY 45209,A000000,01810,0000,01801ICF/MR 45209,A000000,01900,0000,01900OTHER LONG TERM CARE 45209,A000000,02100,0000,02100RADIOLOGY 45209,A000000,02200,0000,02200LABORATORY 45209,A000000,02300,0000,02300INTRAVENOUS THERAPY 45209,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45209,A000000,02500,0000,02500PHYSICAL THERAPY 45209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45209,A000000,02700,0000,02700SPEECH PATHOLOGY 45209,A000000,02800,0000,02800ELECTROCARDIOLOGY 45209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45209,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45209,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45209,A000000,03200,0000,03200SUPPORT SURFACES 45209,A000000,03400,0000,03400CLINIC 45209,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45209,A000000,03500,0000,03500RURAL HEALTH CLINIC 45209,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45209,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45209,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45209,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45209,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45209,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45209,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45209,A000000,04400,0000,04400DME RENTED - HHA 45209,A000000,04500,0000,04500DME SOLD - HHA 45209,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45209,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45209,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45209,A000000,04800,0000,04800AMBULANCE 45209,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45209,A000000,05000,0000,05000CORF 45209,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45209,A000000,05300,0000,05300INTEREST EXPENSE 45209,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45209,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45209,A000000,05500,0000,05500HOSPICE 45209,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45209,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45209,A000000,06100,0000,06100NONPAID WORKERS 45209,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45209,A000000,06200,0000,06200PATIENTS LAUNDRY 45209,A81000A,00100,0100,Y 45209,A81000B,00100,0300,HOME OFFICE COSTS 45209,A81000C,00100,0100,A 45209,A81000C,00100,0200,AEGIS INC. 45209,A81000C,00100,0400,AEGIS INC. 45209,A81000C,00100,0600,NURSING MANAGEMENT 45209,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45209,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45209,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45209,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45209,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45209,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45209,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45209,B100000,00000,0800,00000MEALS SERVED :DIETARY 45209,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45209,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45209,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45209,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45209,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45209,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45209,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45209,S000000,00100,0200,05/30/2000 45209,S200000,00100,0100,1150 DOROTHY LANE 45209,S200000,00200,0100,KETTERING 45209,S200000,00200,0200,OH 45209,S200000,00200,0300,45909- 45209,S200000,00300,0100,MONTGOMERY 45209,S200000,00400,0100,KETTERING CONVALESCENT CENTER 45209,S200000,00400,0200,365321 45209,S200000,00400,0300,05/01/1990 45209,S200000,00400,0500,P 45209,S200000,01500,0100,Y 45209,S200000,04300,0100,Y 45219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45219,A000000,00300,0000,00300EMPLOYEE BENEFITS 45219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45219,A000000,00700,0000,00700HOUSEKEEPING 45219,A000000,00800,0000,00800DIETARY 45219,A000000,00900,0000,00900NURSING ADMINISTRATION 45219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45219,A000000,01100,0000,01100PHARMACY 45219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45219,A000000,01300,0000,01300SOCIAL SERVICE 45219,A000000,01350,0000,01500ACTIVITIES 45219,A000000,01600,0000,01600SKILLED NURSING FACILITY 45219,A000000,01800,0000,01800NURSING FACILITY 45219,A000000,01900,0000,01900OTHER LONG TERM CARE 45219,A000000,02100,0000,02100RADIOLOGY 45219,A000000,02200,0000,02200LABORATORY 45219,A000000,02300,0000,02300INTRAVENOUS THERAPY 45219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45219,A000000,02500,0000,02500PHYSICAL THERAPY 45219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45219,A000000,02700,0000,02700SPEECH PATHOLOGY 45219,A000000,02800,0000,02800ELECTROCARDIOLOGY 45219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45219,A000000,03200,0000,03200SUPPORT SURFACES 45219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 45219,A000000,04800,0000,04800AMBULANCE 45219,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45219,A000000,05300,0000,05300INTEREST EXPENSE 45219,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45219,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45219,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45219,A000000,06100,0000,06100NONPAID WORKERS 45219,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 45219,A000000,06151,0000,06301GOOD SAMARITAN 45219,A000000,06152,0000,06302FATIMA HALL 45219,A000000,06153,0000,06303INDEPENDENT LIVING 45219,A000000,06154,0000,06304MEALS ON WHEELS 45219,A000000,06200,0000,06200PATIENTS LAUNDRY 45219,A81000A,00100,0100,Y 45219,A81000B,00100,0300,MGT FEES & INSURANCE 45219,A81000B,00200,0300,DRUG SCREENS 45219,A81000B,00300,0300,NUTRITIONAL SERVICES 45219,A81000C,00100,0100,B 45219,A81000C,00100,0200,SR OF CHARITY 45219,A81000C,00100,0400,SR OF CHARITY 45219,A81000C,00100,0600,RELIGIOUS ORDER 45219,A81000C,00200,0100,B 45219,A81000C,00200,0200,GSH 45219,A81000C,00200,0400,GHS 45219,A81000C,00200,0600,HOSPITAL 45219,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 45219,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 45219,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 45219,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 45219,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 45219,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 45219,B100000,00000,0700,00004HOURS OF SERVICE :HOUSEKEEPING 45219,B100000,00000,0800,00004MEALS SERVED :DIETARY 45219,B100000,00000,0950,00004DIR NURSIN HRS OF:NURSING ADMINISTR 45219,B100000,00000,1000,00004COSTED REQUISITIO :CENTRAL SERVICE 45219,B100000,00000,1300,00004TIME SPENT :SOCIAL SERVICE 45219,B100000,00000,1350,00004TIME SPENT :ACTIVITIES 45219,E10A180,00501,0100,06/14/2000 45219,S000000,00100,0200,05/31/2000 45219,S200000,00100,0100,4830 SALEM AVENUE 45219,S200000,00200,0100,DAYTON 45219,S200000,00200,0200,OH 45219,S200000,00200,0300,45416- 45219,S200000,00300,0100,MONTGOMERY 45219,S200000,00300,0200,2000 45219,S200000,00300,0300,U 45219,S200000,00400,0100,MARIA JOSEPH LIVING CARE CENTER 45219,S200000,00400,0200,365322 45219,S200000,00400,0300,02/24/1975 45219,S200000,00400,0500,P 45228,S000000,00100,0200,06/01/2000 45240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45240,A000000,00300,0000,00300EMPLOYEE BENEFITS 45240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45240,A000000,00700,0000,00700HOUSEKEEPING 45240,A000000,00800,0000,00800DIETARY 45240,A000000,00900,0000,00900NURSING ADMINISTRATION 45240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45240,A000000,01100,0000,01100PHARMACY 45240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45240,A000000,01300,0000,01300SOCIAL SERVICE 45240,A000000,01350,0000,01500OTHER GENERAL SERVICES 45240,A000000,01600,0000,01600SKILLED NURSING FACILITY 45240,A000000,01800,0000,01800NURSING FACILITY 45240,A000000,01810,0000,01810ICF/MR 45240,A000000,01900,0000,01900OTHER LONG TERM CARE 45240,A000000,02100,0000,02100RADIOLOGY 45240,A000000,02200,0000,02200LABORATORY 45240,A000000,02300,0000,02300INTRAVENOUS THERAPY 45240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45240,A000000,02500,0000,02500PHYSICAL THERAPY 45240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45240,A000000,02700,0000,02700SPEECH PATHOLOGY 45240,A000000,02800,0000,02800ELECTROCARDIOLOGY 45240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45240,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45240,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45240,A000000,03200,0000,03200SUPPORT SURFACES 45240,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45240,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45240,A000000,04800,0000,04800AMBULANCE 45240,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45240,A000000,05000,0000,05000CORF 45240,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45240,A000000,05300,0000,05300INTEREST EXPENSE 45240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45240,A000000,05500,0000,05500HOSPICE 45240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45240,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45240,A000000,06100,0000,06100NONPAID WORKERS 45240,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45240,A000000,06200,0000,06200PATIENTS LAUNDRY 45240,A81000A,00100,0100,Y 45240,A81000B,00100,0300,OWNERSHIP COSTS 45240,A81000B,00200,0300,MANAGEMENT SERVICES 45240,A81000B,00300,0300,DATA SERVICES 45240,A81000B,00400,0300,ACCOUNTING SERVICES 45240,A81000C,00100,0100,A 45240,A81000C,00100,0200,JAMES FARLEY 45240,A81000C,00100,0400,NURSING CARE MANAGEMENT 45240,A81000C,00100,0600,MANAGEMENT SERVICES 45240,A81000C,00200,0100,A 45240,A81000C,00200,0200,MICHAEL SCHARFENBERGER 45240,A81000C,00200,0400,NURSING CARE MANAGEMENT 45240,A81000C,00200,0600,MANAGEMENT SERVICES 45240,A81000C,00300,0100,A 45240,A81000C,00300,0200,TIMOTHY WYNNE 45240,A81000C,00300,0400,NURSING CARE MANAGEMENT 45240,A81000C,00300,0600,MANAGEMENT SERVICES 45240,A81000C,00400,0100,A 45240,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 45240,A81000C,00400,0400,NURSING CARE MANAGEMENT 45240,A81000C,00400,0600,MANAGEMENT SERVICES 45240,A81000C,00500,0100,A 45240,A81000C,00500,0200,JAMES FARLEY 45240,A81000C,00500,0400,COOPER REALTY 45240,A81000C,00500,0600,LESSOR 45240,A81000C,00600,0100,A 45240,A81000C,00600,0200,MICHAEL SCHARFENBERGER 45240,A81000C,00600,0400,COOPER REALTY 45240,A81000C,00600,0600,LESSOR 45240,A81000C,00700,0100,A 45240,A81000C,00700,0200,C. SUSAN SCHARFENBERGER 45240,A81000C,00700,0400,COOPER REALTY 45240,A81000C,00700,0600,LESSOR 45240,A81000C,00800,0100,A 45240,A81000C,00800,0200,TIMOTHY WYNNE 45240,A81000C,00800,0400,COOPER REALTY 45240,A81000C,00800,0600,LESSOR 45240,A81000C,00900,0100,A 45240,A81000C,00900,0200,THE WYNNE FAMILY LLC 45240,A81000C,00900,0400,COOPER REALTY 45240,A81000C,00900,0600,LESSOR 45240,A81000C,01000,0100,A 45240,A81000C,01000,0200,LEONARD CULVER 45240,A81000C,01000,0400,COOPER REALTY 45240,A81000C,01000,0600,LESSOR 45240,A81000C,01001,0100,A 45240,A81000C,01001,0200,JAMES FARLEY 45240,A81000C,01001,0400,PHARMCO 45240,A81000C,01001,0600,PHARMACY 45240,A81000C,01002,0100,A 45240,A81000C,01002,0200,MICHAEL SCHARFENBERGER 45240,A81000C,01002,0400,PHARMCO 45240,A81000C,01002,0600,PHARMACY 45240,A81000C,01003,0100,A 45240,A81000C,01003,0200,TIMOTHY WYNNE 45240,A81000C,01003,0400,PHARMCO 45240,A81000C,01003,0600,PHARMACY 45240,A81000C,01004,0100,A 45240,A81000C,01004,0200,ESTATE OF ROBERT WYNNE 45240,A81000C,01004,0400,PHARMCO 45240,A81000C,01004,0600,PHARMACY 45240,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45240,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45240,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45240,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45240,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 45240,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45240,B100000,00000,0800,00000MEALS SERVED :DIETARY 45240,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45240,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 45240,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 45240,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 45240,B100000,00000,1350,00000DAYS SPENT :OTHER GENERAL SERVICES 45240,E10A180,00501,0100,01/11/2001 45240,E10A180,00501,0300,01/11/2001 45240,S000000,00100,0200,11/28/2000 45240,S200000,00100,0100,7777 COOPER ROAD 45240,S200000,00200,0100,CINCINNATI 45240,S200000,00200,0200,OH 45240,S200000,00200,0300,45242- 45240,S200000,00300,0100,HAMILTON 45240,S200000,00300,0200,1640 45240,S200000,00300,0300,U 45240,S200000,00400,0100,MONTGOMERY CARE CENTER 45240,S200000,00400,0200,365327 45240,S200000,00400,0300,07/25/1975 45240,S200000,00400,0500,P 45240,S200000,00600,0200,365327 45240,S200000,00600,0300,07/25/1975 45240,S200000,00600,0600,P 45240,S200000,01600,0100,Y 45248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45248,A000000,00300,0000,00300EMPLOYEE BENEFITS 45248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45248,A000000,00700,0000,00700HOUSEKEEPING 45248,A000000,00800,0000,00800DIETARY 45248,A000000,00900,0000,00900NURSING ADMINISTRATION 45248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45248,A000000,01100,0000,01100PHARMACY 45248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45248,A000000,01300,0000,01300SOCIAL SERVICE 45248,A000000,01350,0000,01500ACTIVITIES 45248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45248,A000000,01600,0000,01600SKILLED NURSING FACILITY 45248,A000000,01800,0000,01800NURSING FACILITY 45248,A000000,01900,0000,01900OTHER LONG TERM CARE 45248,A000000,02100,0000,02100RADIOLOGY 45248,A000000,02200,0000,02200LABORATORY 45248,A000000,02300,0000,02300INTRAVENOUS THERAPY 45248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45248,A000000,02500,0000,02500PHYSICAL THERAPY 45248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45248,A000000,02700,0000,02700SPEECH PATHOLOGY 45248,A000000,02800,0000,02800ELECTROCARDIOLOGY 45248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45248,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45248,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45248,A000000,03200,0000,03200SUPPORT SURFACES 45248,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 45248,A000000,04800,0000,04800AMBULANCE 45248,A000000,05300,0000,05300INTEREST EXPENSE 45248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 45248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45248,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45248,A000000,06100,0000,06100NONPAID WORKERS 45248,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45248,A000000,06200,0000,06200PATIENTS LAUNDRY 45248,A81000A,00100,0100,Y 45248,A81000B,00100,0300,HOME OFFICE COST 45248,A81000B,00200,0300,PURCH SERV PHARMACIST 45248,A81000B,00300,0300,PHARMACY 45248,A81000B,00400,0300,IV THERAPY 45248,A81000B,00500,0300,PHYSICAL THERAPY 45248,A81000B,00600,0300,OCCUPATIONAL THERAPY 45248,A81000B,00700,0300,SPEECH THERAPY 45248,A81000C,00100,0100,B 45248,A81000C,00100,0200,HEARTLAND OF WAUSEON 45248,A81000C,00100,0400,HCR MANORCARE INC. 45248,A81000C,00100,0600,LONG TERM CARE FACILITIES 45248,A81000C,00200,0100,B 45248,A81000C,00200,0200,HEARTLAND OF WAUSEON 45248,A81000C,00200,0400,HEARTLAND HEALTHCARE SRVS 45248,A81000C,00200,0600,PHARMACY 45248,A81000C,00300,0100,B 45248,A81000C,00300,0200,HEARTLAND OF WAUSEON 45248,A81000C,00300,0400,HEARTLAND HEALTHCARE SRVS 45248,A81000C,00300,0600,PHARMACY 45248,A81000C,00400,0100,B 45248,A81000C,00400,0200,HEARTLAND OF WAUSEON 45248,A81000C,00400,0400,HEARTLAND HEALTHCARE SRVS 45248,A81000C,00400,0600,PHARMACY 45248,A81000C,00500,0100,B 45248,A81000C,00500,0200,HEARTLAND OF WAUSEON 45248,A81000C,00500,0400,H/L REHAB SERVICES 45248,A81000C,00500,0600,THERAPY 45248,A81000C,00600,0100,B 45248,A81000C,00600,0200,HEARTLAND OF WAUSEON 45248,A81000C,00600,0400,H/L REHAB SERVICES 45248,A81000C,00600,0600,THERAPY 45248,A81000C,00700,0100,B 45248,A81000C,00700,0200,HEARTLAND OF WAUSEON 45248,A81000C,00700,0400,H/L REHAB SERVICES 45248,A81000C,00700,0600,THERAPY 45248,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45248,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45248,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45248,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45248,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45248,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45248,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45248,B100000,00000,0800,00000MEALS SERVED :DIETARY 45248,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 45248,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45248,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45248,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45248,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45248,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45248,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45248,S000000,00100,0200,05/31/2000 45248,S200000,00100,0100,303 W. LEGGETT 45248,S200000,00200,0100,WAUSEON 45248,S200000,00200,0200,OH 45248,S200000,00200,0300,43567- 45248,S200000,00300,0100,FULTON 45248,S200000,00400,0100,HEARTLAND OF WAUSEON 45248,S200000,00400,0200,365330 45248,S200000,00400,0300,09/01/1976 45248,S200000,00400,0500,P 45248,S200000,00400,0600,P 45248,S200000,01004,0500,O 45248,S200000,01600,0100,Y 45248,S700003,00000,0100,1 45270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45270,A000000,00300,0000,00300EMPLOYEE BENEFITS 45270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45270,A000000,00700,0000,00700HOUSEKEEPING 45270,A000000,00800,0000,00800DIETARY 45270,A000000,00900,0000,00900NURSING ADMINISTRATION 45270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45270,A000000,01100,0000,01100PHARMACY 45270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45270,A000000,01300,0000,01300SOCIAL SERVICE 45270,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 45270,A000000,01600,0000,01600SKILLED NURSING FACILITY 45270,A000000,01800,0000,01800NURSING FACILITY 45270,A000000,01900,0000,01900OTHER LONG TERM CARE 45270,A000000,02100,0000,02100RADIOLOGY 45270,A000000,02200,0000,02200LABORATORY 45270,A000000,02300,0000,02300INTRAVENOUS THERAPY 45270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45270,A000000,02500,0000,02500PHYSICAL THERAPY 45270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45270,A000000,02700,0000,02700SPEECH PATHOLOGY 45270,A000000,02800,0000,02800ELECTROCARDIOLOGY 45270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45270,A000000,03050,0000,03300AIR FLUIDIZED THERAPY/PSYCH SERVICE 45270,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45270,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45270,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45270,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45270,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45270,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45270,A000000,04400,0000,04400DME RENTED - HHA 45270,A000000,04500,0000,04500DME SOLD - HHA 45270,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45270,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45270,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45270,A000000,05000,0000,05000CORF 45270,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45270,A000000,05300,0000,05300INTEREST EXPENSE 45270,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45270,A000000,05500,0000,05500HOSPICE 45270,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45270,A000000,06150,0000,06300ADULT DAY CARE 45270,A000000,06151,0000,06301CONTRACTED THERAPY 45270,A000000,06152,0000,06302TELEVISION 45270,A000000,06200,0000,06200PATIENTS LAUNDRY 45270,A81000A,00100,0100,Y 45270,A81000B,00100,0300,MWO REGION-OPER. 45270,A81000B,00200,0300,MWO REGION-CAP. BLDG & FIXT. 45270,A81000B,00300,0300,MWO REGION-CAP. MVBLD EQUIP. 45270,A81000B,00400,0300,CHP-INTEREST EXPENSE 45270,A81000B,00500,0300,CHP-OPER COSTS 45270,A81000B,00600,0300,CHP-CAPITAL BLDG 45270,A81000B,00700,0300,CHP-CAPITAL M.E. 45270,A81000C,00100,0100,A 45270,A81000C,00100,0200,HOME OFFICE COS 45270,A81000C,00100,0400,MHS 45270,A81000C,00100,0600,HEALTH CARE 45270,A81000C,00200,0100,A 45270,A81000C,00200,0200,REGIONAL OFFICE 45270,A81000C,00200,0400,MHS 45270,A81000C,00200,0600,HEALTH CARE 45270,B100000,00000,0100,00002SQ. FT. :CAP REL COSTS - BLDGS & F 45270,B100000,00000,0250,00002SQ. FT. :CAP REL COSTS - MOVABLE E 45270,B100000,00000,0300,00002GROSS SAL :EMPLOYEE BENEFITS 45270,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 45270,B100000,00000,0500,00002SQ. FT. :PLANT OPERATION MAINT. & 45270,B100000,00000,0650,00002PAT DAYS :LAUNDRY & LINEN SERVICE 45270,B100000,00000,0750,00002SQ. FT. HSKPNG :HOUSEKEEPING 45270,B100000,00000,0800,00002DIETARY MEALS :DIETARY 45270,B100000,00000,0950,00002NRSNG TIME :NURSING ADMINISTRATION 45270,B100000,00000,1000,00002CSS REQS :CENTRAL SERVICES & SUPPL 45270,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 45270,B100000,00000,1330,00002PAT DAYS :SOCIAL SERVICE 45270,B100000,00000,1350,00002PAT DAYS :RECREATIONAL ACTIVITIES 45270,E10A180,00601,0100,08/31/2001 45270,E10A180,00650,0300,08/31/2001 45270,S000000,00100,0200,06/01/2000 45270,S200000,00100,0100,100 WEST MCCREIGHT AVE 45270,S200000,00200,0100,SPRINGFIELD 45270,S200000,00200,0200,OH 45270,S200000,00200,0300,45504- 45270,S200000,00300,0100,CLARK 45270,S200000,00300,0200,2000 45270,S200000,00300,0300,U 45270,S200000,00400,0100,ST. JOHNS CENTER 45270,S200000,00400,0200,365334 45270,S200000,00400,0300,09/28/1976 45270,S200000,00400,0500,P 45270,S200000,00600,0200,365334 45270,S200000,00600,0300,09/28/1976 45270,S200000,00600,0600,P 45270,S200000,01004,0500,O 45270,S200000,01600,0100,Y 45270,S200000,02200,0100,Y 45270,S200000,02800,0100,Y 45275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45275,A000000,00300,0000,00300EMPLOYEE BENEFITS 45275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45275,A000000,00700,0000,00700HOUSEKEEPING 45275,A000000,00800,0000,00800DIETARY 45275,A000000,00900,0000,00900NURSING ADMINISTRATION 45275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45275,A000000,01100,0000,01100PHARMACY 45275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45275,A000000,01300,0000,01300SOCIAL SERVICE 45275,A000000,01600,0000,01600SKILLED NURSING FACILITY 45275,A000000,01800,0000,01800NURSING FACILITY 45275,A000000,02100,0000,02100RADIOLOGY 45275,A000000,02200,0000,02200LABORATORY 45275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45275,A000000,02500,0000,02500PHYSICAL THERAPY 45275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45275,A000000,02700,0000,02700SPEECH PATHOLOGY 45275,A000000,02800,0000,02800ELECTROCARDIOLOGY 45275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45275,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45275,A000000,03200,0000,03200SUPPORT SURFACES 45275,A000000,04800,0000,04800AMBULANCE 45275,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45275,A000000,05300,0000,05300INTEREST EXPENSE 45275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45275,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 45275,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45275,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45275,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45275,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45275,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45275,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45275,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45275,B100000,00000,0800,00000MEALS SERVED :DIETARY 45275,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 45275,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 45275,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 45275,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45275,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45275,S000000,00100,0200,05/31/2000 45275,S200000,00100,0100,12745 ELM CORNER ROAD 45275,S200000,00200,0100,WILLIAMBURG 45275,S200000,00200,0200,OH 45275,S200000,00200,0300,45176- 45275,S200000,00300,0100,BROWN 45275,S200000,00400,0100,LOCUST RIDGE NURSING HOME 45275,S200000,00400,0200,365336 45275,S200000,00400,0300,03/17/1976 45275,S200000,00400,0500,P 45275,S200000,01600,0100,Y 45275,S700003,00000,0100,1 45295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45295,A000000,00300,0000,00300EMPLOYEE BENEFITS 45295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45295,A000000,00700,0000,00700HOUSEKEEPING 45295,A000000,00800,0000,00800DIETARY 45295,A000000,00900,0000,00900NURSING ADMINISTRATION 45295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45295,A000000,01100,0000,01100PHARMACY 45295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45295,A000000,01300,0000,01300SOCIAL SERVICE 45295,A000000,01600,0000,01600SKILLED NURSING FACILITY 45295,A000000,01800,0000,01800NURSING FACILITY 45295,A000000,01900,0000,01900OTHER LONG TERM CARE 45295,A000000,02100,0000,02100RADIOLOGY 45295,A000000,02200,0000,02200LABORATORY 45295,A000000,02300,0000,02300INTRAVENOUS THERAPY 45295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45295,A000000,02500,0000,02500PHYSICAL THERAPY 45295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45295,A000000,02700,0000,02700SPEECH PATHOLOGY 45295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45295,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45295,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45295,A000000,03200,0000,03200SUPPORT SURFACES 45295,A000000,04800,0000,04800AMBULANCE 45295,A000000,05300,0000,05300INTEREST EXPENSE 45295,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45295,A000000,05500,0000,05500HOSPICE 45295,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45295,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45295,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45295,A000000,06151,0000,06301SENIOR ADULT PROGRAM 45295,A000000,06152,0000,06302DENTAL CLINIC 45295,A000000,06153,0000,06303OTHER NONREIMBURSABLE COST 45295,A000000,06200,0000,06200PATIENTS LAUNDRY 45295,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 45295,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 45295,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 45295,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 45295,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 45295,B100000,00000,0650,00003INPATIENT DAYS :LAUNDRY & LINEN SE 45295,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 45295,B100000,00000,0800,00003MEALS SERVED :DIETARY 45295,B100000,00000,0950,00003DIRECT NRSING HRS :NURSING ADMINIST 45295,B100000,00000,1050,00003INPATIENT DAYS :CENTRAL SERVICES & 45295,B100000,00000,1100,00003COST REQUIS. :PHARMACY 45295,B100000,00000,1250,00003INPATIENT DAYS :MEDICAL RECORDS & 45295,B100000,00000,1330,00003INPATIENT DAYS :SOCIAL SERVICE 45295,S000000,00100,0200,06/02/2000 45295,S200000,00100,0100,2735 DARLINGTON ROAD 45295,S200000,00200,0100,TOLEDO 45295,S200000,00200,0200,OH 45295,S200000,00200,0300,43606-2000 45295,S200000,00300,0100,LUCAS 45295,S200000,00400,0100,DARLINGTON HOUSE 45295,S200000,00400,0200,365339 45295,S200000,00400,0300,11/29/1976 45295,S200000,00400,0500,P 45295,S200000,01500,0100,Y 45295,S200000,02200,0100,Y 45295,S200000,04300,0100,Y 45295,S700003,00000,0100,1 45305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45305,A000000,00300,0000,00300EMPLOYEE BENEFITS 45305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45305,A000000,00700,0000,00700HOUSEKEEPING 45305,A000000,00800,0000,00800DIETARY 45305,A000000,00900,0000,00900NURSING ADMINISTRATION 45305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45305,A000000,01100,0000,01100PHARMACY 45305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45305,A000000,01300,0000,01300SOCIAL SERVICE 45305,A000000,01350,0000,01500PATIENT ACTIVITIES 45305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45305,A000000,01600,0000,01600SKILLED NURSING FACILITY 45305,A000000,01800,0000,01800NURSING FACILITY 45305,A000000,01900,0000,01900OTHER LONG TERM CARE 45305,A000000,02100,0000,02100RADIOLOGY 45305,A000000,02200,0000,02200LABORATORY 45305,A000000,02300,0000,02300INTRAVENOUS THERAPY 45305,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45305,A000000,02500,0000,02500PHYSICAL THERAPY 45305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45305,A000000,02700,0000,02700SPEECH PATHOLOGY 45305,A000000,02800,0000,02800ELECTROCARDIOLOGY 45305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45305,A000000,02901,0000,02901CLINITRON BEDS 45305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45305,A000000,04800,0000,04800AMBULANCE 45305,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45305,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45305,A000000,06100,0000,06100NONPAID WORKERS 45305,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45305,A000000,06200,0000,06200PATIENTS LAUNDRY 45305,A81000A,00100,0100,Y 45305,A81000B,00100,0300,H.O. OFFICE COSTS - OPERATING 45305,A81000B,00200,0300,H.O. OFFICE COSTS - CAPITAL 45305,A81000B,00300,0300,MOVEABLE EQUIPMENT 45305,A81000B,00400,0300,GENERAL & ADMINISTRATIVE 45305,A81000B,00500,0300,HOUSEKEEPING 45305,A81000B,00600,0300,DIETARY 45305,A81000B,00700,0300,CENTRAL SERVICES 45305,A81000B,00800,0300,PHARMACY 45305,A81000B,00900,0300,PHYSICAL THERAPY 45305,A81000B,01000,0300,MEDICAL SUPPLIES 45305,A81000B,01100,0300,COMPLEX MEDICAL EQUIPMENT 45305,A81000C,00100,0100,B 45305,A81000C,00100,0400,HCF INC. 45305,A81000C,00100,0600,HOME OFFICE 45305,A81000C,00200,0100,B 45305,A81000C,00200,0400,HCF INC. 45305,A81000C,00200,0600,HOME OFFICE 45305,A81000C,00300,0100,A 45305,A81000C,00300,0200,UNVERFERTH FAMILY 45305,A81000C,00300,0400,ICP INC. 45305,A81000C,00300,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00400,0100,A 45305,A81000C,00400,0200,UNVERFERTH FAMILY 45305,A81000C,00400,0400,ICP INC. 45305,A81000C,00400,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00500,0100,A 45305,A81000C,00500,0200,UNVERFERTH FAMILY 45305,A81000C,00500,0400,ICP INC. 45305,A81000C,00500,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00600,0100,A 45305,A81000C,00600,0200,UNVERFERTH FAMILY 45305,A81000C,00600,0400,ICP INC. 45305,A81000C,00600,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00700,0100,A 45305,A81000C,00700,0200,UNVERFERTH FAMILY 45305,A81000C,00700,0400,ICP INC. 45305,A81000C,00700,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00800,0100,A 45305,A81000C,00800,0200,UNVERFERTH FAMILY 45305,A81000C,00800,0400,ICP INC. 45305,A81000C,00800,0600,INSTITUTIONAL PHARMACY 45305,A81000C,00900,0100,A 45305,A81000C,00900,0200,UNVERFERTH FAMILY 45305,A81000C,00900,0400,ICP INC. 45305,A81000C,00900,0600,INSTITUTIONAL PHARMACY 45305,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45305,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45305,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45305,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45305,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45305,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45305,B100000,00000,0750,00000SQFT EXCL DIETARY :HOUSEKEEPING 45305,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45305,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 45305,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45305,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45305,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 45305,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45305,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 45305,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 45305,S000000,00100,0200,05/22/2000 45305,S200000,00100,0100,830 WEST MAIN STREET 45305,S200000,00200,0100,COLDWATER 45305,S200000,00200,0200,OH 45305,S200000,00200,0300,45820- 45305,S200000,00300,0100,MERCER 45305,S200000,00400,0100,BRIARWOOD MANOR 45305,S200000,00400,0200,365341 45305,S200000,00400,0300,06/01/1973 45305,S200000,00400,0500,P 45305,S200000,01500,0100,Y 45314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45314,A000000,00300,0000,00300EMPLOYEE BENEFITS 45314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45314,A000000,00700,0000,00700HOUSEKEEPING 45314,A000000,00800,0000,00800DIETARY 45314,A000000,00900,0000,00900NURSING ADMINISTRATION 45314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45314,A000000,01100,0000,01100PHARMACY 45314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45314,A000000,01300,0000,01300SOCIAL SERVICE 45314,A000000,01350,0000,01500ACTIVITIES 45314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45314,A000000,01600,0000,01600SKILLED NURSING FACILITY 45314,A000000,01800,0000,01800NURSING FACILITY 45314,A000000,01810,0000,01801ICF/MR 45314,A000000,01900,0000,01900OTHER LONG TERM CARE 45314,A000000,02100,0000,02100RADIOLOGY 45314,A000000,02200,0000,02200LABORATORY 45314,A000000,02300,0000,02300INTRAVENOUS THERAPY 45314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45314,A000000,02500,0000,02500PHYSICAL THERAPY 45314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45314,A000000,02700,0000,02700SPEECH PATHOLOGY 45314,A000000,02800,0000,02800ELECTROCARDIOLOGY 45314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45314,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45314,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45314,A000000,03200,0000,03200SUPPORT SURFACES 45314,A000000,03400,0000,03400CLINIC 45314,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45314,A000000,03500,0000,03500RURAL HEALTH CLINIC 45314,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45314,A000000,04800,0000,04800AMBULANCE 45314,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45314,A000000,05000,0000,05000CORF 45314,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45314,A000000,05300,0000,05300INTEREST EXPENSE 45314,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45314,A000000,05500,0000,05500HOSPICE 45314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45314,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45314,A000000,06100,0000,06100NONPAID WORKERS 45314,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45314,A000000,06200,0000,06200PATIENTS LAUNDRY 45314,A81000A,00100,0100,Y 45314,A81000B,00100,0300,MANAGEMENT FEES 45314,A81000C,00100,0100,A 45314,A81000C,00100,0200,TOWNSHIP EQUITIES 45314,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45314,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45314,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45314,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45314,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45314,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45314,B100000,00000,0800,00000MEALS SERVED :DIETARY 45314,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45314,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45314,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45314,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45314,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45314,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 45314,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45314,S000000,00100,0200,05/24/2000 45314,S200000,00100,0100,370 E. HOWARD STREET 45314,S200000,00200,0100,WILLARD 45314,S200000,00200,0200,OH 45314,S200000,00200,0300,44890- 45314,S200000,00300,0100,HURON 45314,S200000,00400,0100,HILLSIDE ACRES INC. 45314,S200000,00400,0200,365343 45314,S200000,00400,0300,01/01/1981 45314,S200000,00400,0500,P 45314,S200000,00600,0200,365343 45314,S200000,00600,0300,01/01/1981 45314,S200000,01600,0100,Y 45314,S700003,00000,0100,1 45324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45324,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45324,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45324,A000000,00300,0000,00300EMPLOYEE BENEFITS 45324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45324,A000000,00700,0000,00700HOUSEKEEPING 45324,A000000,00800,0000,00800DIETARY 45324,A000000,00801,0000,00801CAFETERIA 45324,A000000,00900,0000,00900NURSING ADMINISTRATION 45324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45324,A000000,01100,0000,01100PHARMACY 45324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45324,A000000,01300,0000,01300SOCIAL SERVICE 45324,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45324,A000000,01600,0000,01600SKILLED NURSING FACILITY 45324,A000000,01800,0000,01800NURSING FACILITY 45324,A000000,01900,0000,01900OTHER LONG TERM CARE 45324,A000000,02100,0000,02100RADIOLOGY 45324,A000000,02200,0000,02200LABORATORY 45324,A000000,02300,0000,02300INTRAVENOUS THERAPY 45324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45324,A000000,02500,0000,02500PHYSICAL THERAPY 45324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45324,A000000,02700,0000,02700SPEECH PATHOLOGY 45324,A000000,02800,0000,02800ELECTROCARDIOLOGY 45324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45324,A000000,03050,0000,03300OTHER ANCILLARY 45324,A000000,03051,0000,03301OTHER ANCILLARY II 45324,A000000,03052,0000,03302OTHER ANCILLARY III 45324,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45324,A000000,03200,0000,03200SUPPORT SURFACES 45324,A000000,03400,0000,03400CLINIC 45324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45324,A000000,03500,0000,03500RURAL HEALTH CLINIC 45324,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45324,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45324,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45324,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45324,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45324,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45324,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45324,A000000,04400,0000,04400DME RENTED - HHA 45324,A000000,04500,0000,04500DME SOLD - HHA 45324,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45324,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45324,A000000,04800,0000,04800AMBULANCE 45324,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45324,A000000,05000,0000,05000CORF 45324,A000000,05010,0000,05010CMHC I 45324,A000000,05020,0000,05020OPT I 45324,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45324,A000000,05300,0000,05300INTEREST EXPENSE 45324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45324,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45324,A000000,05500,0000,05500HOSPICE 45324,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45324,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45324,A000000,06100,0000,06100NONPAID WORKERS 45324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45324,A000000,06200,0000,06200PATIENTS LAUNDRY 45324,A81000A,00100,0100,Y 45324,A81000B,00100,0300,LEASE EXPENSE 45324,A81000B,00200,0300,BUILDING DEPREC 45324,A81000B,00300,0300,HOME OFFICE RENT 45324,A81000B,00400,0300,HOME OFFICE DEPREC 45324,A81000B,00500,0300,HOME OFFICE NON CAP 45324,A81000C,00100,0100,B 45324,A81000C,00100,0200,WINFIELD ECKERT 45324,A81000C,00100,0400,ECKERT ENTERPRS 45324,A81000C,00100,0600,REAL ESTATE 45324,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45324,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45324,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45324,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45324,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45324,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45324,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45324,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45324,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45324,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45324,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45324,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45324,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45324,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45324,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45324,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45324,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45324,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45324,S000000,00100,0200,06/05/2000 45324,S200000,00100,0100,957 BECKS KNOB ROAD 45324,S200000,00200,0100,LANCASTER 45324,S200000,00200,0200,OH 45324,S200000,00200,0300,43130- 45324,S200000,00300,0100,FAIRFIELD 45324,S200000,00400,0100,CRESTVIEW MANOR N.H. #2 45324,S200000,00400,0200,365344 45324,S200000,00400,0300,06/09/1977 45324,S200000,00400,0500,P 45324,S200000,01500,0100,Y 45324,S200000,02800,0100,Y 45324,S200000,04700,0100,Y 45334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45334,A000000,00300,0000,00300EMPLOYEE BENEFITS 45334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45334,A000000,00700,0000,00700HOUSEKEEPING 45334,A000000,00800,0000,00800DIETARY 45334,A000000,00900,0000,00900NURSING ADMINISTRATION 45334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45334,A000000,01100,0000,01100PHARMACY 45334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45334,A000000,01300,0000,01300SOCIAL SERVICE 45334,A000000,01350,0000,01500ACTIVITIES 45334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45334,A000000,01600,0000,01600SKILLED NURSING FACILITY 45334,A000000,01800,0000,01800NURSING FACILITY 45334,A000000,01810,0000,01801ICF/MR 45334,A000000,01900,0000,01900OTHER LONG TERM CARE 45334,A000000,02100,0000,02100RADIOLOGY 45334,A000000,02200,0000,02200LABORATORY 45334,A000000,02300,0000,02300INTRAVENOUS THERAPY 45334,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45334,A000000,02500,0000,02500PHYSICAL THERAPY 45334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45334,A000000,02700,0000,02700SPEECH PATHOLOGY 45334,A000000,02800,0000,02800ELECTROCARDIOLOGY 45334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45334,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45334,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45334,A000000,03200,0000,03200SUPPORT SURFACES 45334,A000000,03400,0000,03400CLINIC 45334,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45334,A000000,03500,0000,03500RURAL HEALTH CLINIC 45334,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45334,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45334,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45334,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45334,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45334,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45334,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45334,A000000,04400,0000,04400DME RENTED - HHA 45334,A000000,04500,0000,04500DME SOLD - HHA 45334,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45334,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45334,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45334,A000000,04800,0000,04800AMBULANCE 45334,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45334,A000000,05000,0000,05000CORF 45334,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45334,A000000,05300,0000,05300INTEREST EXPENSE 45334,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45334,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45334,A000000,05500,0000,05500HOSPICE 45334,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45334,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45334,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45334,A000000,06100,0000,06100NONPAID WORKERS 45334,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45334,A000000,06200,0000,06200PATIENTS LAUNDRY 45334,A81000A,00100,0100,Y 45334,A81000B,00100,0300,HOME OFFICE DIRECT 45334,A81000B,00200,0300,HOME OFFICE SUPPORTIVE 45334,A81000B,00300,0300,HOME OFFICE UTILITIES 45334,A81000B,00400,0300,HOME OFFICE CAPITAL 45334,A81000B,00500,0300,ADMINISTRATOR 45334,A81000C,00100,0100,B 45334,A81000C,00100,0400,OTTERBEIN HOMES 45334,A81000C,00100,0600,HOME OFFICE 45334,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45334,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45334,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45334,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45334,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45334,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 45334,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45334,B100000,00000,0800,00000MEALS SERVED :DIETARY 45334,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 45334,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45334,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45334,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45334,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45334,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45334,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45334,S000000,00100,0200,06/01/2000 45334,S200000,00100,0100,585 N. STATE ROUTE 741 45334,S200000,00200,0100,LEBANON 45334,S200000,00200,0200,OH 45334,S200000,00200,0300,45036- 45334,S200000,00300,0100,WARREN 45334,S200000,00400,0100,OTTERBEIN-LEBANON 45334,S200000,00400,0200,365346 45334,S200000,00400,0300,03/14/1977 45334,S200000,00400,0500,P 45334,S200000,01600,0100,Y 45334,S200000,01700,0100,Y 45334,S200000,01900,0100,CCRC 45334,S200000,02200,0100,Y 45334,S200000,02800,0100,Y 45334,S200000,04300,0100,Y 45346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45346,A000000,00700,0000,00700HOUSEKEEPING 45346,A000000,00800,0000,00800DIETARY 45346,A000000,00900,0000,00900NURSING ADMINISTRATION 45346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45346,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 45346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45346,A000000,01300,0000,01300SOCIAL SERVICE 45346,A000000,01600,0000,01600SKILLED NURSING FACILITY 45346,A000000,01800,0000,01800NURSING FACILITY 45346,A000000,02100,0000,02100RADIOLOGY 45346,A000000,02200,0000,02200LABORATORY 45346,A000000,02300,0000,02300INTRAVENOUS THERAPY 45346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45346,A000000,02500,0000,02500PHYSICAL THERAPY 45346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45346,A000000,02700,0000,02700SPEECH PATHOLOGY 45346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45346,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45346,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 45346,A000000,03052,0000,03302MEDICAL EQUIPMENT 45346,A000000,04800,0000,04800AMBULANCE 45346,A000000,05300,0000,05300INTEREST EXPENSE 45346,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45346,A000000,06200,0000,06200PATIENTS LAUNDRY 45346,A81000A,00100,0100,Y 45346,A81000B,00100,0300,HOME OFFICE A&G 45346,A81000B,00200,0300,HOME OFFICE CAPITAL 45346,A81000B,00300,0300,DIVISION OFFICE A&G 45346,A81000B,00400,0300,DIVISION OFFICE CAPITAL 45346,A81000B,00500,0300,INSURANCE 45346,A81000B,00600,0300,PHYSICAL THERAPY 45346,A81000B,00700,0300,OCCUPATIONAL THERAPY 45346,A81000B,00800,0300,SPEECH THERAPY 45346,A81000B,00900,0300,AIR FLUIDIZED THERAPY 45346,A81000C,00100,0100,B 45346,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 45346,A81000C,00200,0100,G 45346,A81000C,00200,0200,LAURIER INC. 45346,A81000C,00200,0400,EXTENDICARE INC. 45346,A81000C,00200,0600,INSURANCE 45346,A81000C,00300,0100,G 45346,A81000C,00300,0200,UNITED REHABILITATION SVS 45346,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 45346,A81000C,00300,0600,THERAPY SERVICE 45346,A81000C,00400,0100,G 45346,A81000C,00400,0200,UPC 45346,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 45346,A81000C,00400,0600,PHARMACY THERAPY 45346,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45346,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45346,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45346,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45346,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45346,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 45346,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45346,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45346,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45346,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 45346,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 45346,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45346,E10A180,00301,0100,06/22/1998 45346,E10A180,00301,0300,06/22/1998 45346,E10A180,00350,0100,06/22/1998 45346,E10A180,00350,0300,06/22/1998 45346,S000000,00100,0200,06/02/2000 45346,S200000,00100,0100,170 PINECREST DR. 45346,S200000,00200,0100,GALLIPOLIS 45346,S200000,00200,0200,OH 45346,S200000,00200,0300,45631- 45346,S200000,00300,0100,GALLIA 45346,S200000,00400,0100,ARBORS AT GALLIPOLIS 45346,S200000,00400,0200,365348 45346,S200000,00400,0300,05/23/1977 45346,S200000,00400,0500,P 45346,S200000,01600,0100,Y 45357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45357,A000000,00300,0000,00300EMPLOYEE BENEFITS 45357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45357,A000000,00700,0000,00700HOUSEKEEPING 45357,A000000,00800,0000,00800DIETARY 45357,A000000,00900,0000,00900NURSING ADMINISTRATION 45357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45357,A000000,01100,0000,01100PHARMACY 45357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45357,A000000,01300,0000,01300SOCIAL SERVICE 45357,A000000,01350,0000,01500ACTIVITIES 45357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45357,A000000,01600,0000,01600SKILLED NURSING FACILITY 45357,A000000,01800,0000,01800NURSING FACILITY 45357,A000000,01810,0000,01810ICF/MR 45357,A000000,01900,0000,01900OTHER LONG TERM CARE 45357,A000000,02100,0000,02100RADIOLOGY 45357,A000000,02200,0000,02200LABORATORY 45357,A000000,02300,0000,02300INTRAVENOUS THERAPY 45357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45357,A000000,02500,0000,02500PHYSICAL THERAPY 45357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45357,A000000,02700,0000,02700SPEECH PATHOLOGY 45357,A000000,02800,0000,02800ELECTROCARDIOLOGY 45357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45357,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45357,A000000,03200,0000,03200SUPPORT SURFACES 45357,A000000,03400,0000,03400CLINIC 45357,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45357,A000000,03500,0000,03500RURAL HEALTH CLINIC 45357,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45357,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45357,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45357,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45357,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45357,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45357,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45357,A000000,04400,0000,04400DME RENTED - HHA 45357,A000000,04500,0000,04500DME SOLD - HHA 45357,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45357,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45357,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45357,A000000,04800,0000,04800AMBULANCE 45357,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45357,A000000,05000,0000,05000CORF 45357,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45357,A000000,05300,0000,05300INTEREST EXPENSE 45357,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45357,A000000,05500,0000,05500HOSPICE 45357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45357,A000000,06100,0000,06100NONPAID WORKERS 45357,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45357,A000000,06151,0000,06301HOUSING PROJECTS 45357,A000000,06152,0000,06302ANDERSON AND SYCAMORE SENIOR CENTER 45357,A000000,06153,0000,06303MARKETING AND DEVELOPMENT 45357,A000000,06200,0000,06200PATIENTS LAUNDRY 45357,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 45357,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 45357,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 45357,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 45357,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 45357,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 45357,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 45357,B100000,00000,0800,00003MEALS SERVED :DIETARY 45357,B100000,00000,0950,00003NURSING SALARIES :NURSING ADMINIST 45357,B100000,00000,1050,00003PATIENT DAYS :CENTRAL SERVICES & S 45357,B100000,00000,1250,00003PATIENT DAYS :MEDICAL RECORDS & LI 45357,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 45357,B100000,00000,1350,00003PATIENT DAYS :ACTIVITIES 45357,H510100,00000,0000,8113 45357,H510200,00000,0000,4947 45357,H510300,00000,0000,3875 45357,H710000,00301,0100,10/12/2000 45357,H710000,00301,0300,10/12/2000 45357,H710000,00302,0100,02/29/2000 45357,H710000,00302,0300,02/29/2000 45357,H710000,00501,0300,01/09/2001 45357,H710000,00551,0100,01/09/2001 45357,S000000,00100,0200,11/30/2000 45357,S200000,00100,0100,1110 SPRINGFIELD 45357,S200000,00200,0100,CINCINNATI 45357,S200000,00200,0200,OH 45357,S200000,00200,0300,45246- 45357,S200000,00300,0100,HAMILTON 45357,S200000,00300,0200,1640 45357,S200000,00300,0300,U 45357,S200000,00400,0100,MAPLE KNOLL VILLAGE 45357,S200000,00400,0200,365350 45357,S200000,00400,0300,05/11/1977 45357,S200000,00400,0500,P 45357,S200000,00400,0600,O 45357,S200000,00800,0200,367645 45357,S200000,00800,0300,05/17/1995 45357,S200000,00800,0500,P 45357,S200000,01600,0100,Y 45357,S200000,01900,0100,CCRC 45357,S200000,02200,0100,Y 45357,S200000,04300,0100,Y 45364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45364,A000000,00300,0000,00300EMPLOYEE BENEFITS 45364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45364,A000000,00700,0000,00700HOUSEKEEPING 45364,A000000,00800,0000,00800DIETARY 45364,A000000,00900,0000,00900NURSING ADMINISTRATION 45364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45364,A000000,01100,0000,01100PHARMACY 45364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45364,A000000,01300,0000,01300SOCIAL SERVICE 45364,A000000,01350,0000,01500PATIENT ACTIVITIES 45364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45364,A000000,01600,0000,01600SKILLED NURSING FACILITY 45364,A000000,01800,0000,01800NURSING FACILITY 45364,A000000,01810,0000,01801ICF/MR 45364,A000000,01900,0000,01900OTHER LONG TERM CARE 45364,A000000,02100,0000,02100RADIOLOGY 45364,A000000,02200,0000,02200LABORATORY 45364,A000000,02300,0000,02300INTRAVENOUS THERAPY 45364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45364,A000000,02500,0000,02500PHYSICAL THERAPY 45364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45364,A000000,02700,0000,02700SPEECH PATHOLOGY 45364,A000000,02800,0000,02800ELECTROCARDIOLOGY 45364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45364,A000000,03200,0000,03200SUPPORT SURFACES 45364,A000000,03400,0000,03400CLINIC 45364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45364,A000000,03500,0000,03500RURAL HEALTH CLINIC 45364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45364,A000000,04400,0000,04400DME RENTED - HHA 45364,A000000,04500,0000,04500DME SOLD - HHA 45364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45364,A000000,04800,0000,04800AMBULANCE 45364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45364,A000000,05000,0000,05000CORF 45364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45364,A000000,05300,0000,05300INTEREST EXPENSE 45364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45364,A000000,05500,0000,05500HOSPICE 45364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45364,A000000,06100,0000,06100NONPAID WORKERS 45364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45364,A000000,06200,0000,06200PATIENTS LAUNDRY 45364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45364,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 45364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45364,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45364,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 45364,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45364,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45364,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45364,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45364,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45364,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45364,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 45364,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 45364,E10A180,00550,0300,06/08/2000 45364,S000000,00100,0200,06/01/2000 45364,S200000,00100,0100,1835 BELMORE ROAD 45364,S200000,00200,0100,EAST CLEVELAND 45364,S200000,00200,0200,OH 45364,S200000,00200,0300,44112- 45364,S200000,00300,0100,CUYAHOGA 45364,S200000,00400,0100,CANDLEWOOD PARK HEALTHCARE CENTER 45364,S200000,00400,0200,365353 45364,S200000,00400,0300,02/01/1971 45364,S200000,00400,0500,P 45364,S200000,01600,0100,Y 45374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45374,A000000,00300,0000,00300EMPLOYEE BENEFITS 45374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45374,A000000,00700,0000,00700HOUSEKEEPING 45374,A000000,00800,0000,00800DIETARY 45374,A000000,00900,0000,00900NURSING ADMINISTRATION 45374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45374,A000000,01100,0000,01100PHARMACY 45374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45374,A000000,01300,0000,01300SOCIAL SERVICE 45374,A000000,01350,0000,01500ACTIVITIES 45374,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45374,A000000,01600,0000,01600SKILLED NURSING FACILITY 45374,A000000,01800,0000,01800NURSING FACILITY 45374,A000000,01900,0000,01900OTHER LONG TERM CARE 45374,A000000,02100,0000,02100RADIOLOGY 45374,A000000,02200,0000,02200LABORATORY 45374,A000000,02300,0000,02300INTRAVENOUS THERAPY 45374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45374,A000000,02500,0000,02500PHYSICAL THERAPY 45374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45374,A000000,02700,0000,02700SPEECH PATHOLOGY 45374,A000000,02800,0000,02800ELECTROCARDIOLOGY 45374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45374,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45374,A000000,03200,0000,03200SUPPORT SURFACES 45374,A000000,03400,0000,03400CLINIC 45374,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45374,A000000,03500,0000,03500RURAL HEALTH CLINIC 45374,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45374,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45374,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45374,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45374,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45374,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45374,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45374,A000000,04400,0000,04400DME RENTED - HHA 45374,A000000,04500,0000,04500DME SOLD - HHA 45374,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45374,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45374,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45374,A000000,04800,0000,04800AMBULANCE 45374,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45374,A000000,05000,0000,05000CORF 45374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45374,A000000,05300,0000,05300INTEREST EXPENSE 45374,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45374,A000000,05500,0000,05500HOSPICE 45374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45374,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45374,A000000,06100,0000,06100NONPAID WORKERS 45374,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45374,A000000,06200,0000,06200PATIENTS LAUNDRY 45374,A81000A,00100,0100,Y 45374,A81000B,00100,0300,HOME OFFICE COST 45374,A81000B,00200,0300,IV COST 45374,A81000B,00300,0300,DRUGS 45374,A81000B,00400,0300,PHYSICAL THERAPY 45374,A81000B,00500,0300,OCCUPATIONAL THERAPY 45374,A81000B,00600,0300,SPEECH PATHOLOGY 45374,A81000B,00700,0300,PHYSICAL THERAPY 45374,A81000B,00800,0300,OCCUPATIONAL THERAPY 45374,A81000B,00900,0300,SPEECH THERAPY 45374,A81000C,00100,0100,B 45374,A81000C,00100,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00100,0400,HCR-MANORCARE 45374,A81000C,00100,0600,LONG TERM CARE FACILITIES 45374,A81000C,00200,0100,B 45374,A81000C,00200,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 45374,A81000C,00200,0600,PHARMACY 45374,A81000C,00300,0100,B 45374,A81000C,00300,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 45374,A81000C,00300,0600,PHARMACY 45374,A81000C,00400,0100,B 45374,A81000C,00400,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00400,0400,SCIOTO VALLEY THERAPY 45374,A81000C,00400,0600,THERAPY 45374,A81000C,00500,0100,B 45374,A81000C,00500,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00500,0400,SCIOTO VALLEY THERAPY 45374,A81000C,00500,0600,THERAPY 45374,A81000C,00600,0100,B 45374,A81000C,00600,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00600,0400,SCIOTO VALLEY THERAPY 45374,A81000C,00600,0600,THERAPY 45374,A81000C,00700,0100,B 45374,A81000C,00700,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 45374,A81000C,00700,0600,THERAPY MANAGEMENT 45374,A81000C,00800,0100,B 45374,A81000C,00800,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00800,0400,HEARTLAND MANAGEMENT SERV 45374,A81000C,00800,0600,THERAPY MANAGEMENT 45374,A81000C,00900,0100,B 45374,A81000C,00900,0200,HEARTLAND OF FAIRFIELD 45374,A81000C,00900,0400,HEARTLAND MANAGEMENT SERV 45374,A81000C,00900,0600,THERAPY MANAGEMENT 45374,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45374,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 45374,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45374,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45374,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45374,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 45374,B100000,00000,0800,00000MEALS SERVED :DIETARY 45374,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45374,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45374,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45374,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45374,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45374,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45374,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45374,E10A180,00501,0100,05/04/2001 45374,S000000,00100,0200,02/23/2000 45374,S200000,00100,0300,248 45374,S200000,00200,0100,PLEASANTVILLE 45374,S200000,00200,0200,OH 45374,S200000,00200,0300,43148- 45374,S200000,00300,0100,FAIRFIELD 45374,S200000,00400,0100,HEARTLAND OF FAIRFIELD 45374,S200000,00400,0200,365356 45374,S200000,00400,0300,04/01/1989 45374,S200000,00400,0500,P 45374,S200000,01004,0500,O 45374,S200000,01600,0100,Y 45374,S200000,02200,0100,Y 45383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45383,A000000,00300,0000,00300EMPLOYEE BENEFITS 45383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45383,A000000,00700,0000,00700HOUSEKEEPING 45383,A000000,00800,0000,00800DIETARY 45383,A000000,00900,0000,00900NURSING ADMINISTRATION 45383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45383,A000000,01100,0000,01100PHARMACY 45383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45383,A000000,01300,0000,01300SOCIAL SERVICE 45383,A000000,01350,0000,01500OTHER GENERAL SERVICES 45383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45383,A000000,01600,0000,01600SKILLED NURSING FACILITY 45383,A000000,01800,0000,01800NURSING FACILITY 45383,A000000,01810,0000,01810ICF/MR 45383,A000000,01900,0000,01900OTHER LONG TERM CARE 45383,A000000,02100,0000,02100RADIOLOGY 45383,A000000,02200,0000,02200LABORATORY 45383,A000000,02300,0000,02300INTRAVENOUS THERAPY 45383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45383,A000000,02500,0000,02500PHYSICAL THERAPY 45383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45383,A000000,02700,0000,02700SPEECH PATHOLOGY 45383,A000000,02800,0000,02800ELECTROCARDIOLOGY 45383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45383,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45383,A000000,03200,0000,03200SUPPORT SURFACES 45383,A000000,03400,0000,03400CLINIC 45383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45383,A000000,03500,0000,03500RURAL HEALTH CLINIC 45383,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45383,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45383,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45383,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45383,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45383,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45383,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45383,A000000,04400,0000,04400DME RENTED - HHA 45383,A000000,04500,0000,04500DME SOLD - HHA 45383,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45383,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45383,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45383,A000000,04800,0000,04800AMBULANCE 45383,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45383,A000000,05000,0000,05000CORF 45383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45383,A000000,05300,0000,05300INTEREST EXPENSE 45383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45383,A000000,05500,0000,05500HOSPICE 45383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45383,A000000,06100,0000,06100NONPAID WORKERS 45383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45383,A000000,06200,0000,06200PATIENTS LAUNDRY 45383,A81000A,00100,0100,Y 45383,A81000B,00100,0300,HOME OFFICE COST 45383,A81000B,00200,0300,HOME OFFICE COST 45383,A81000B,00300,0300,HOME OFFICE COST 45383,A81000B,00400,0300,HOME OFFICE COST 45383,A81000C,00100,0100,B 45383,A81000C,00100,0400,OPRS 45383,A81000C,00100,0600,HOME OFFICE 45383,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45383,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45383,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45383,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45383,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45383,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45383,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45383,B100000,00000,0800,00000MEALS SERVED :DIETARY 45383,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45383,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45383,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45383,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45383,S000000,00100,0200,12/01/2000 45383,S200000,00100,0100,225 BRITTON ROAD 45383,S200000,00200,0100,MONROE 45383,S200000,00200,0200,OH 45383,S200000,00200,0300,45050- 45383,S200000,00300,0100,BUTLER 45383,S200000,00300,0200,3200 45383,S200000,00300,0300,U 45383,S200000,00400,0100,MOUNT PLEASANT 45383,S200000,00400,0200,365358 45383,S200000,00400,0300,04/03/1978 45383,S200000,00400,0500,P 45383,S200000,01500,0100,Y 45383,S200000,04300,0100,Y 45400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45400,A000000,00300,0000,00300EMPLOYEE BENEFITS 45400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45400,A000000,00700,0000,00700HOUSEKEEPING 45400,A000000,00800,0000,00800DIETARY 45400,A000000,00900,0000,00900NURSING ADMINISTRATION 45400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45400,A000000,01100,0000,01100PHARMACY 45400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45400,A000000,01300,0000,01300SOCIAL SERVICE 45400,A000000,01600,0000,01600SKILLED NURSING FACILITY 45400,A000000,01800,0000,01800NURSING FACILITY 45400,A000000,01900,0000,01900OTHER LONG TERM CARE 45400,A000000,02100,0000,02100RADIOLOGY 45400,A000000,02200,0000,02200LABORATORY 45400,A000000,02300,0000,02300INTRAVENOUS THERAPY 45400,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45400,A000000,02500,0000,02500PHYSICAL THERAPY 45400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45400,A000000,02700,0000,02700SPEECH PATHOLOGY 45400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45400,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45400,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45400,A000000,03200,0000,03200SUPPORT SURFACES 45400,A000000,04800,0000,04800AMBULANCE 45400,A000000,05300,0000,05300INTEREST EXPENSE 45400,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45400,A000000,05500,0000,05500HOSPICE 45400,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45400,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45400,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45400,A000000,06151,0000,06301ADULT DAY CARE 45400,A000000,06152,0000,06302CHILD CARE 45400,A000000,06153,0000,06303COUNTRY STORE 45400,A000000,06154,0000,06304APARTMENTS 45400,A000000,06155,0000,06305FUND DEVELOPMENT 45400,A000000,06156,0000,06306BARBER AND BEAUTY 45400,A000000,06157,0000,06307MED SUPPLIES PD ON FEE SCHEDULE 45400,A000000,06200,0000,06200PATIENTS LAUNDRY 45400,B100000,00000,0100,00007SQUARE FEET :CAP REL COSTS - BLDGS 45400,B100000,00000,0250,00007SQUARE FEET :CAP REL COSTS - MOVAB 45400,B100000,00000,0300,00007GROSS SALARIES :EMPLOYEE BENEFITS 45400,B100000,00000,0400,00007 ACCUM. COST :ADMINISTRATIVE & GENE 45400,B100000,00000,0500,00007SQUARE FEET :PLANT OPERATION MAIN 45400,B100000,00000,0650,00007INPATIENT DAYS :LAUNDRY & LINEN SE 45400,B100000,00000,0750,00007SQUARE FEET :HOUSEKEEPING 45400,B100000,00000,0800,00007MEALS SERVED :DIETARY 45400,B100000,00000,0950,00007DIRECT NRSING HRS :NURSING ADMINIST 45400,B100000,00000,1050,00007INPATIENT DAYS :CENTRAL SERVICES & 45400,B100000,00000,1150,00007INPATIENT DAYS :PHARMACY 45400,B100000,00000,1250,00007INPATIENT DAYS :MEDICAL RECORDS & 45400,B100000,00000,1330,00007INPATIENT DAYS :SOCIAL SERVICE 45400,S000000,00100,0200,06/02/2000 45400,S200000,00100,0100,6557 U.S. ROUTE 69 SOUTH 45400,S200000,00200,0100,WEST LIBERTY 45400,S200000,00200,0200,OH 45400,S200000,00200,0300,43357- 45400,S200000,00300,0100,LOGAN 45400,S200000,00400,0100,GREEN HILLS CENTER 45400,S200000,00400,0200,365362 45400,S200000,00400,0300,01/01/1977 45400,S200000,00400,0500,P 45400,S200000,01500,0100,Y 45400,S200000,04300,0100,Y 45400,S200000,04700,0100,Y 45413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45413,A000000,00300,0000,00300EMPLOYEE BENEFITS 45413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45413,A000000,00700,0000,00700HOUSEKEEPING 45413,A000000,00800,0000,00800DIETARY 45413,A000000,00900,0000,00900NURSING ADMINISTRATION 45413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45413,A000000,01100,0000,01100PHARMACY 45413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45413,A000000,01300,0000,01300SOCIAL SERVICE 45413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45413,A000000,01600,0000,01600SKILLED NURSING FACILITY 45413,A000000,01800,0000,01800NURSING FACILITY 45413,A000000,02100,0000,02100RADIOLOGY 45413,A000000,02200,0000,02200LABORATORY 45413,A000000,02300,0000,02300INTRAVENOUS THERAPY 45413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45413,A000000,02500,0000,02500PHYSICAL THERAPY 45413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45413,A000000,02700,0000,02700SPEECH PATHOLOGY 45413,A000000,02800,0000,02800ELECTROCARDIOLOGY 45413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45413,A000000,03050,0000,03201VENTS BEDS PUMPS 45413,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45413,A000000,03200,0000,03200SUPPORT SURFACES 45413,A000000,03400,0000,03400CLINIC 45413,A000000,04800,0000,04800AMBULANCE 45413,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45413,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45413,A000000,05300,0000,05300INTEREST EXPENSE 45413,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45413,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45413,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45413,A000000,06100,0000,06100NONPAID WORKERS 45413,A000000,06200,0000,06200PATIENTS LAUNDRY 45413,A000000,06201,0000,06201NON REIMBURSEABLE EXPENSE 45413,A81000A,00100,0100,Y 45413,A81000B,01000,0300,LEGEND DRUGS 45413,A81000B,01100,0300,OXYGEN 45413,A81000C,00100,0100,A 45413,A81000C,00100,0200,AARON HANDLER 45413,A81000C,00100,0400,SYMMES PHARMACY 45413,A81000C,00100,0600,PHARMACY 45413,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 45413,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 45413,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 45413,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45413,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 45413,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 45413,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 45413,B100000,00000,0800,00001MEALS SERVED :DIETARY 45413,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 45413,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 45413,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 45413,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 45413,S000000,00100,0200,07/18/2000 45413,S200000,00100,0100,908 SYMMES ROAD 45413,S200000,00100,0300,P.O. BOX 45413,S200000,00200,0100,FAIRFIELD 45413,S200000,00200,0200,OH 45413,S200000,00200,0300,45014- 45413,S200000,00300,0100,BUTLER 45413,S200000,00300,0200,3200 45413,S200000,00300,0300,U 45413,S200000,00400,0100,COMMUNITY MULTICARE CENTER 45413,S200000,00400,0200,365363 45413,S200000,00400,0300,01/12/1978 45413,S200000,00400,0500,P 45413,S200000,00600,0200,365363 45413,S200000,00600,0300,01/12/1978 45413,S200000,00600,0600,P 45413,S200000,01600,0100,Y 45424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45424,A000000,00300,0000,00300EMPLOYEE BENEFITS 45424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45424,A000000,00700,0000,00700HOUSEKEEPING 45424,A000000,00800,0000,00800DIETARY 45424,A000000,00900,0000,00900NURSING ADMINISTRATION 45424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45424,A000000,01100,0000,01100PHARMACY 45424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45424,A000000,01300,0000,01300SOCIAL SERVICE 45424,A000000,01350,0000,01500ACTIVITIES 45424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45424,A000000,01600,0000,01600SKILLED NURSING FACILITY 45424,A000000,01800,0000,01800NURSING FACILITY 45424,A000000,01810,0000,01801ICF/MR 45424,A000000,01900,0000,01900OTHER LONG TERM CARE 45424,A000000,02100,0000,02100RADIOLOGY 45424,A000000,02200,0000,02200LABORATORY 45424,A000000,02300,0000,02300INTRAVENOUS THERAPY 45424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45424,A000000,02500,0000,02500PHYSICAL THERAPY 45424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45424,A000000,02700,0000,02700SPEECH PATHOLOGY 45424,A000000,02800,0000,02800ELECTROCARDIOLOGY 45424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45424,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45424,A000000,03200,0000,03200SUPPORT SURFACES 45424,A000000,03400,0000,03400CLINIC 45424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45424,A000000,03500,0000,03500RURAL HEALTH CLINIC 45424,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45424,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45424,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45424,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45424,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45424,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45424,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45424,A000000,04400,0000,04400DME RENTED - HHA 45424,A000000,04500,0000,04500DME SOLD - HHA 45424,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45424,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45424,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45424,A000000,04800,0000,04800AMBULANCE 45424,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45424,A000000,05000,0000,05000CORF 45424,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45424,A000000,05300,0000,05300INTEREST EXPENSE 45424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45424,A000000,05500,0000,05500HOSPICE 45424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45424,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45424,A000000,06100,0000,06100NONPAID WORKERS 45424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45424,A000000,06200,0000,06200PATIENTS LAUNDRY 45424,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45424,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45424,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45424,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45424,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45424,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45424,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45424,B100000,00000,0800,00000MEALS SERVED :DIETARY 45424,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45424,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45424,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45424,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45424,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45424,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45424,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45424,S000000,00100,0200,03/28/2000 45424,S200000,00100,0100,4911 COVENANT HOUSE DR 45424,S200000,00200,0100,DAYTON 45424,S200000,00200,0200,OH 45424,S200000,00200,0300,45426- 45424,S200000,00300,0100,MONTGOMERY 45424,S200000,00400,0100,COVENANT HOUSE 45424,S200000,00400,0200,365364 45424,S200000,00400,0300,12/22/1977 45424,S200000,00400,0500,P 45424,S200000,01004,0500,O 45424,S200000,01500,0100,Y 45424,S200000,04300,0100,Y 45434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45434,A000000,00300,0000,00300EMPLOYEE BENEFITS 45434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45434,A000000,00700,0000,00700HOUSEKEEPING 45434,A000000,00800,0000,00800DIETARY 45434,A000000,00900,0000,00900NURSING ADMINISTRATION 45434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45434,A000000,01100,0000,01100PHARMACY 45434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45434,A000000,01300,0000,01300SOCIAL SERVICE 45434,A000000,01350,0000,01500ACTIVITIES 45434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45434,A000000,01600,0000,01600SKILLED NURSING FACILITY 45434,A000000,01800,0000,01800NURSING FACILITY 45434,A000000,01900,0000,01900OTHER LONG TERM CARE 45434,A000000,02100,0000,02100RADIOLOGY 45434,A000000,02200,0000,02200LABORATORY 45434,A000000,02300,0000,02300INTRAVENOUS THERAPY 45434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45434,A000000,02500,0000,02500PHYSICAL THERAPY 45434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45434,A000000,02700,0000,02700SPEECH PATHOLOGY 45434,A000000,02800,0000,02800ELECTROCARDIOLOGY 45434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45434,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45434,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45434,A000000,03200,0000,03200SUPPORT SURFACES 45434,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 45434,A000000,04800,0000,04800AMBULANCE 45434,A000000,05300,0000,05300INTEREST EXPENSE 45434,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 45434,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45434,A000000,06100,0000,06100NONPAID WORKERS 45434,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45434,A000000,06200,0000,06200PATIENTS LAUNDRY 45434,A81000A,00100,0100,Y 45434,A81000B,00100,0300,HOME OFFICE COST 45434,A81000B,00200,0300,PURCH SERV PHARMACIST 45434,A81000B,00300,0300,IV DRUGS & SUPPLIES 45434,A81000B,00400,0300,DRUGS 45434,A81000B,00500,0300,PT ADMINISTRATION FEE 45434,A81000B,00600,0300,OT ADMINISTRATION FEE 45434,A81000B,00700,0300,ST ADMINISTRATION FEE 45434,A81000B,00800,0300,PURCH SERV PT 45434,A81000B,00900,0300,PURCH SERV OT 45434,A81000B,01000,0300,PURCH SERV ST 45434,A81000C,00100,0100,B 45434,A81000C,00100,0200,HEARTLAND OF URBANA 45434,A81000C,00100,0400,HCR MANORCARE INC. 45434,A81000C,00100,0600,LONG TERM CARE FACILITIES 45434,A81000C,00200,0100,B 45434,A81000C,00200,0200,HEARTLAND OF URBANA 45434,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 45434,A81000C,00200,0600,PHARMACY 45434,A81000C,00300,0100,B 45434,A81000C,00300,0200,HEARTLAND OF URBANA 45434,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 45434,A81000C,00300,0600,PHARMACY 45434,A81000C,00400,0100,B 45434,A81000C,00400,0200,HEARTLAND OF URBANA 45434,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 45434,A81000C,00400,0600,PHARMACY 45434,A81000C,00500,0100,B 45434,A81000C,00500,0200,HEARTLAND OF URBANA 45434,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 45434,A81000C,00500,0600,THERAPY MANAGEMENT 45434,A81000C,00600,0100,B 45434,A81000C,00600,0200,HEARTLAND OF URBANA 45434,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 45434,A81000C,00600,0600,THERAPY MANAGEMENT 45434,A81000C,00700,0100,B 45434,A81000C,00700,0200,HEARTLAND OF URBANA 45434,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 45434,A81000C,00700,0600,THERAPY MANAGEMENT 45434,A81000C,00800,0100,B 45434,A81000C,00800,0200,HEARTLAND OF URBANA 45434,A81000C,00800,0400,HEARTLAND REHABILITATION 45434,A81000C,00800,0600,THERAPY 45434,A81000C,00900,0100,B 45434,A81000C,00900,0200,HEARTLAND OF URBANA 45434,A81000C,00900,0400,HEARTLAND REHABILITATION 45434,A81000C,00900,0600,THERAPY 45434,A81000C,01000,0100,B 45434,A81000C,01000,0200,HEARTLAND OF URBANA 45434,A81000C,01000,0400,HEARTLAND REHABILITATION 45434,A81000C,01000,0600,THERAPY 45434,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45434,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45434,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45434,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45434,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45434,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45434,B100000,00000,0800,00000MEALS SERVED :DIETARY 45434,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 45434,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45434,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45434,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45434,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45434,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45434,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45434,S000000,00100,0200,05/26/2000 45434,S200000,00100,0100,741 E. WATER STREET 45434,S200000,00200,0100,URBANA 45434,S200000,00200,0200,OH 45434,S200000,00200,0300,43078- 45434,S200000,00300,0100,CHAMPAIGN 45434,S200000,00400,0100,HEARTLAND OF URBANA 45434,S200000,00400,0200,365365 45434,S200000,00400,0300,02/27/1967 45434,S200000,00400,0500,P 45434,S200000,00400,0600,P 45434,S200000,01004,0500,O 45434,S200000,01600,0100,Y 45434,S200000,02200,0100,Y 45434,S700003,00000,0100,1 45442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45442,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45442,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45442,A000000,00300,0000,00300EMPLOYEE BENEFITS 45442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45442,A000000,00700,0000,00700HOUSEKEEPING 45442,A000000,00800,0000,00800DIETARY 45442,A000000,00801,0000,00801CAFETERIA 45442,A000000,00900,0000,00900NURSING ADMINISTRATION 45442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45442,A000000,01100,0000,01100PHARMACY 45442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45442,A000000,01300,0000,01300SOCIAL SERVICE 45442,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45442,A000000,01600,0000,01600SKILLED NURSING FACILITY 45442,A000000,01800,0000,01800NURSING FACILITY 45442,A000000,01900,0000,01900OTHER LONG TERM CARE 45442,A000000,02100,0000,02100RADIOLOGY 45442,A000000,02200,0000,02200LABORATORY 45442,A000000,02300,0000,02300INTRAVENOUS THERAPY 45442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45442,A000000,02500,0000,02500PHYSICAL THERAPY 45442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45442,A000000,02700,0000,02700SPEECH PATHOLOGY 45442,A000000,02800,0000,02800ELECTROCARDIOLOGY 45442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45442,A000000,03050,0000,03300OTHER ANCILLARY 45442,A000000,03051,0000,03301OTHER ANCILLARY II 45442,A000000,03052,0000,03302OTHER ANCILLARY III 45442,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45442,A000000,03200,0000,03200SUPPORT SURFACES 45442,A000000,03400,0000,03400CLINIC 45442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45442,A000000,03500,0000,03500RURAL HEALTH CLINIC 45442,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45442,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45442,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45442,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45442,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45442,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45442,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45442,A000000,04400,0000,04400DME RENTED - HHA 45442,A000000,04500,0000,04500DME SOLD - HHA 45442,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45442,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45442,A000000,04800,0000,04800AMBULANCE 45442,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45442,A000000,05000,0000,05000CORF 45442,A000000,05010,0000,05010CMHC I 45442,A000000,05020,0000,05020OPT I 45442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45442,A000000,05300,0000,05300INTEREST EXPENSE 45442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45442,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45442,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45442,A000000,05500,0000,05500HOSPICE 45442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45442,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45442,A000000,06100,0000,06100NONPAID WORKERS 45442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45442,A000000,06200,0000,06200PATIENTS LAUNDRY 45442,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45442,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45442,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45442,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45442,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45442,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45442,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45442,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45442,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45442,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45442,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45442,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45442,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45442,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45442,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45442,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45442,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45442,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45442,S000000,00100,0200,05/30/2000 45442,S200000,00100,0100,4960 U.S. ROUTE 35 EAST 45442,S200000,00200,0100,JAMESTOWN 45442,S200000,00200,0200,OH 45442,S200000,00300,0100,GREENE 45442,S200000,00400,0100,HEATHERGREENE N.H. #2 45442,S200000,00400,0200,365368 45442,S200000,00400,0300,11/01/1977 45442,S200000,00400,0500,P 45442,S200000,01500,0100,Y 45453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45453,A000000,00300,0000,00300EMPLOYEE BENEFITS 45453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45453,A000000,00700,0000,00700HOUSEKEEPING 45453,A000000,00800,0000,00800DIETARY 45453,A000000,00900,0000,00900NURSING ADMINISTRATION 45453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45453,A000000,01100,0000,01100PHARMACY 45453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45453,A000000,01300,0000,01300SOCIAL SERVICE 45453,A000000,01350,0000,01500PATIENT ACTIVITIES 45453,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45453,A000000,01600,0000,01600SKILLED NURSING FACILITY 45453,A000000,01800,0000,01800NURSING FACILITY 45453,A000000,01810,0000,01801ICF/MR 45453,A000000,01900,0000,01900OTHER LONG TERM CARE 45453,A000000,02100,0000,02100RADIOLOGY 45453,A000000,02200,0000,02200LABORATORY 45453,A000000,02300,0000,02300INTRAVENOUS THERAPY 45453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45453,A000000,02500,0000,02500PHYSICAL THERAPY 45453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45453,A000000,02700,0000,02700SPEECH PATHOLOGY 45453,A000000,02800,0000,02800ELECTROCARDIOLOGY 45453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45453,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45453,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45453,A000000,03200,0000,03200SUPPORT SURFACES 45453,A000000,03400,0000,03400CLINIC 45453,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45453,A000000,03500,0000,03500RURAL HEALTH CLINIC 45453,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45453,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45453,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45453,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45453,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45453,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45453,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45453,A000000,04400,0000,04400DME RENTED - HHA 45453,A000000,04500,0000,04500DME SOLD - HHA 45453,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45453,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45453,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45453,A000000,04800,0000,04800AMBULANCE 45453,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45453,A000000,05000,0000,05000CORF 45453,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45453,A000000,05300,0000,05300INTEREST EXPENSE 45453,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45453,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45453,A000000,05500,0000,05500HOSPICE 45453,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45453,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45453,A000000,06100,0000,06100NONPAID WORKERS 45453,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45453,A000000,06200,0000,06200PATIENTS LAUNDRY 45453,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45453,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 45453,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45453,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45453,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45453,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45453,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 45453,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45453,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45453,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45453,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45453,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45453,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45453,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 45453,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 45453,E10A180,00550,0300,06/06/2000 45453,S000000,00100,0200,06/01/2000 45453,S200000,00100,0100,4630 BRECKSVILLE ROAD 45453,S200000,00200,0100,RICHFIELD 45453,S200000,00200,0200,OH 45453,S200000,00200,0300,44280- 45453,S200000,00300,0100,SUMMIT 45453,S200000,00400,0100,PINE VALLEY CARE CENTER 45453,S200000,00400,0200,365370 45453,S200000,00400,0300,01/12/1978 45453,S200000,00400,0500,P 45453,S200000,01500,0100,Y 45462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45462,A000000,00300,0000,00300EMPLOYEE BENEFITS 45462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45462,A000000,00700,0000,00700HOUSEKEEPING 45462,A000000,00800,0000,00800DIETARY 45462,A000000,00900,0000,00900NURSING ADMINISTRATION 45462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45462,A000000,01100,0000,01100PHARMACY 45462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45462,A000000,01300,0000,01300SOCIAL SERVICE 45462,A000000,01600,0000,01600SKILLED NURSING FACILITY 45462,A000000,01800,0000,01800NURSING FACILITY 45462,A000000,02200,0000,02200LABORATORY 45462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45462,A000000,02500,0000,02500PHYSICAL THERAPY 45462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45462,A000000,02700,0000,02700SPEECH PATHOLOGY 45462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45462,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45462,A000000,05300,0000,05300INTEREST EXPENSE 45462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45462,A000000,06150,0000,06300REST HOME 45462,A81000A,00100,0100,Y 45462,A81000B,00100,0300,INCONTINENCE SUPPLY 45462,A81000C,00100,0100,G 45462,A81000C,00100,0200,B GELBTUCH & N. 45462,A81000C,00100,0400,DAVMAR 45462,A81000C,00100,0600,MEDICAL SUPPLY 45462,A81000C,03100,0000,B GELBTUCH & N. ELLMAN 45462,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45462,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45462,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45462,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45462,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45462,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45462,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45462,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45462,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 45462,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 45462,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 45462,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45462,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45462,S000000,00100,0200,06/27/2000 45462,S200000,00100,0100,2586 LAFUEILLE AVENUE 45462,S200000,00200,0100,CONCINNATI 45462,S200000,00200,0200,OH 45462,S200000,00200,0300,45211- 45462,S200000,00300,0100,HAMILTON 45462,S200000,00400,0100,HILLTOP NURSING & CONVALESCENT CTR 45462,S200000,00400,0200,365371 45462,S200000,00400,0300,02/15/1978 45462,S200000,00400,0500,P 45462,S200000,01600,0100,Y 45462,S200000,02800,0100,Y 45462,S200000,03100,0100,Y 45471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45471,A000000,00300,0000,00300EMPLOYEE BENEFITS 45471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45471,A000000,00700,0000,00700HOUSEKEEPING 45471,A000000,00800,0000,00800DIETARY 45471,A000000,00900,0000,00900NURSING ADMINISTRATION 45471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45471,A000000,01100,0000,01100PHARMACY 45471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45471,A000000,01300,0000,01300SOCIAL SERVICE 45471,A000000,01350,0000,01500ACTIVITIES 45471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45471,A000000,01600,0000,01600SKILLED NURSING FACILITY 45471,A000000,01800,0000,01800NURSING FACILITY 45471,A000000,01900,0000,01900OTHER LONG TERM CARE 45471,A000000,02100,0000,02100RADIOLOGY 45471,A000000,02200,0000,02200LABORATORY 45471,A000000,02300,0000,02300INTRAVENOUS THERAPY 45471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45471,A000000,02500,0000,02500PHYSICAL THERAPY 45471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45471,A000000,02700,0000,02700SPEECH PATHOLOGY 45471,A000000,02800,0000,02800ELECTROCARDIOLOGY 45471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45471,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45471,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45471,A000000,03200,0000,03200SUPPORT SURFACES 45471,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 45471,A000000,04800,0000,04800AMBULANCE 45471,A000000,05300,0000,05300INTEREST EXPENSE 45471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 45471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45471,A000000,06100,0000,06100NONPAID WORKERS 45471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45471,A000000,06200,0000,06200PATIENTS LAUNDRY 45471,A81000A,00100,0100,Y 45471,A81000B,00100,0300,HOME OFFICE COST 45471,A81000B,00200,0300,PURCH SERV PHARMACIST 45471,A81000B,00300,0300,IV DRUGS & SUPPLIES 45471,A81000B,00400,0300,DRUGS 45471,A81000B,00500,0300,PT ADMINISTRATION FEES 45471,A81000B,00600,0300,OT ADMINISTRATION FEES 45471,A81000B,00700,0300,ST ADMINISTRATION FEES 45471,A81000B,00800,0300,PHYSICAL THERAPY 45471,A81000B,00900,0300,OCCUPATIONAL THERAPY 45471,A81000B,01000,0300,SPEECH THERAPY 45471,A81000C,00100,0100,B 45471,A81000C,00100,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00100,0400,HCR MANORCARE INC. 45471,A81000C,00100,0600,LONG TERM CARE FACILITIES 45471,A81000C,00200,0100,B 45471,A81000C,00200,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 45471,A81000C,00200,0600,PHARMACY 45471,A81000C,00300,0100,B 45471,A81000C,00300,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 45471,A81000C,00300,0600,PHARMACY 45471,A81000C,00400,0100,B 45471,A81000C,00400,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 45471,A81000C,00400,0600,PHARMACY 45471,A81000C,00500,0100,B 45471,A81000C,00500,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 45471,A81000C,00500,0600,THERAPY MANAGEMENT 45471,A81000C,00600,0100,B 45471,A81000C,00600,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 45471,A81000C,00600,0600,THERAPY MANAGEMENT 45471,A81000C,00700,0100,B 45471,A81000C,00700,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 45471,A81000C,00700,0600,THERAPY MANAGEMENT 45471,A81000C,00800,0100,B 45471,A81000C,00800,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00800,0400,HEARTLAND REHABILITATION 45471,A81000C,00800,0600,THERAPY 45471,A81000C,00900,0100,B 45471,A81000C,00900,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,00900,0400,HEARTLAND REHABILITATION 45471,A81000C,00900,0600,THERAPY 45471,A81000C,01000,0100,B 45471,A81000C,01000,0200,HEARTLAND OF BEAVERCREEK 45471,A81000C,01000,0400,HEARTLAND REHABILITATION 45471,A81000C,01000,0600,THERAPY 45471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45471,B100000,00000,0800,00000MEALS SERVED :DIETARY 45471,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 45471,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45471,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45471,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45471,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45471,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45471,S000000,00100,0200,05/31/2000 45471,S200000,00100,0100,1974 N. FAIRFIELD ROAD 45471,S200000,00200,0100,DAYTON 45471,S200000,00200,0200,OH 45471,S200000,00200,0300,45432- 45471,S200000,00300,0100,GREENE 45471,S200000,00400,0100,HEARTLAND OF BEAVERCREEK 45471,S200000,00400,0200,365374 45471,S200000,00400,0300,07/01/1978 45471,S200000,00400,0500,P 45471,S200000,00400,0600,P 45471,S200000,01004,0500,O 45471,S200000,01600,0100,Y 45471,S200000,02200,0100,Y 45483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45483,A000000,00300,0000,00300EMPLOYEE BENEFITS 45483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45483,A000000,00700,0000,00700HOUSEKEEPING 45483,A000000,00800,0000,00800DIETARY 45483,A000000,00900,0000,00900NURSING ADMINISTRATION 45483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45483,A000000,01100,0000,01100PHARMACY 45483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45483,A000000,01300,0000,01300SOCIAL SERVICE 45483,A000000,01350,0000,01500OTHER GENERAL SERVICES 45483,A000000,01351,0000,01501ACTIVITIES 45483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45483,A000000,01600,0000,01600SKILLED NURSING FACILITY 45483,A000000,01800,0000,01800NURSING FACILITY 45483,A000000,01810,0000,01801ICF/MR 45483,A000000,01900,0000,01900OTHER LONG TERM CARE 45483,A000000,02100,0000,02100RADIOLOGY 45483,A000000,02200,0000,02200LABORATORY 45483,A000000,02300,0000,02300INTRAVENOUS THERAPY 45483,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45483,A000000,02500,0000,02500PHYSICAL THERAPY 45483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45483,A000000,02700,0000,02700SPEECH PATHOLOGY 45483,A000000,02800,0000,02800ELECTROCARDIOLOGY 45483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45483,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45483,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45483,A000000,03200,0000,03200SUPPORT SURFACES 45483,A000000,03400,0000,03400CLINIC 45483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45483,A000000,03500,0000,03500RURAL HEALTH CLINIC 45483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45483,A000000,04800,0000,04800AMBULANCE 45483,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45483,A000000,05000,0000,05000CORF 45483,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45483,A000000,05300,0000,05300INTEREST EXPENSE 45483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45483,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45483,A000000,05500,0000,05500HOSPICE 45483,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45483,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45483,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45483,A000000,06100,0000,06100NONPAID WORKERS 45483,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45483,A000000,06200,0000,06200PATIENTS LAUNDRY 45483,A81000A,00100,0100,Y 45483,A81000B,00100,0300,MANAGEMENT FEES 45483,A81000B,00200,0300,CAPITAL COST 45483,A81000B,00300,0300,OWNERS COMPENSATION 45483,A81000B,00400,0300,RELATIVE COMPENSATION 45483,A81000C,00100,0100,B 45483,A81000C,00100,0200,WILLIAM A. FREY 45483,A81000C,00100,0400,TRINITY HEALTHCARE CORP. 45483,A81000C,00100,0600,MANAGEMENT CO. 45483,A81000C,00200,0100,F 45483,A81000C,00200,0200,DAVID FREY 45483,A81000C,00200,0400,WILLIAM A FREY 45483,A81000C,00200,0600,SON 45483,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45483,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45483,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45483,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45483,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45483,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45483,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45483,B100000,00000,0800,00000MEALS SERVED :DIETARY 45483,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45483,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45483,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45483,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45483,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45483,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45483,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 45483,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45483,E10A180,00301,0100,03/13/2000 45483,E10A180,00550,0100,05/25/2000 45483,S000000,00100,0200,05/08/2000 45483,S200000,00100,0100,8211 WELLER RD 45483,S200000,00200,0100,MONTGOMERY 45483,S200000,00200,0200,OH 45483,S200000,00200,0300,45242- 45483,S200000,00300,0100,HAMILTON 45483,S200000,00400,0100,MEADOWBROOK NURSING CENTER 45483,S200000,00400,0200,365375 45483,S200000,00400,0300,10/01/1990 45483,S200000,00400,0500,P 45483,S200000,01600,0100,Y 45483,S700003,00000,0100,1 45513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45513,A000000,00300,0000,00300EMPLOYEE BENEFITS 45513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45513,A000000,00700,0000,00700HOUSEKEEPING 45513,A000000,00800,0000,00800DIETARY 45513,A000000,00900,0000,00900NURSING ADMINISTRATION 45513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45513,A000000,01100,0000,01100PHARMACY 45513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45513,A000000,01300,0000,01300SOCIAL SERVICE 45513,A000000,01600,0000,01600SKILLED NURSING FACILITY 45513,A000000,01800,0000,01800NURSING FACILITY 45513,A000000,01900,0000,01900OTHER LONG TERM CARE 45513,A000000,02100,0000,02100RADIOLOGY 45513,A000000,02200,0000,02200LABORATORY 45513,A000000,02300,0000,02300INTRAVENOUS THERAPY 45513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45513,A000000,02500,0000,02500PHYSICAL THERAPY 45513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45513,A000000,02700,0000,02700SPEECH PATHOLOGY 45513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45513,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45513,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45513,A000000,03200,0000,03200SUPPORT SURFACES 45513,A000000,04800,0000,04800AMBULANCE 45513,A000000,05300,0000,05300INTEREST EXPENSE 45513,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45513,A000000,05500,0000,05500HOSPICE 45513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45513,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45513,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45513,A000000,06200,0000,06200PATIENTS LAUNDRY 45513,A81000A,00100,0100,Y 45513,A81000B,00100,0300,HOME OFFICE COSTS 45513,A81000B,00200,0300,HOME OFFICE COSTS 45513,A81000B,00300,0300,HOME OFFICE COSTS 45513,A81000C,00100,0100,A 45513,A81000C,00100,0200,SCOT PHILLIPS 45513,A81000C,00100,0400,PHILLIPS HC 45513,A81000C,00100,0600,HC MANAGEMENT 45513,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45513,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45513,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45513,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45513,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45513,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 45513,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45513,B100000,00000,0800,00000MEALS SERVED :DIETARY 45513,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45513,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45513,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45513,B100000,00000,1250,00000HOURS :MEDICAL RECORDS & LIBRARY 45513,B100000,00000,1330,00000HOURS :SOCIAL SERVICE 45513,S000000,00100,0200,06/01/2000 45513,S200000,00100,0100,1919 BISHOP ROAD 45513,S200000,00200,0100,WICKLIFFE 45513,S200000,00200,0200,OH 45513,S200000,00200,0300,44092- 45513,S200000,00300,0100,LAKE 45513,S200000,00400,0100,WICKLIFFE COUNTRY PLACE 45513,S200000,00400,0200,365381 45513,S200000,00400,0300,07/13/1978 45513,S200000,00400,0500,P 45513,S200000,01600,0100,Y 45513,S200000,04300,0100,Y 45513,S200000,04700,0100,Y 45513,S700003,00000,0100,1 45522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45522,A000000,00300,0000,00300EMPLOYEE BENEFITS 45522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45522,A000000,00700,0000,00700HOUSEKEEPING 45522,A000000,00800,0000,00800DIETARY 45522,A000000,00900,0000,00900NURSING ADMINISTRATION 45522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45522,A000000,01100,0000,01100PHARMACY 45522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45522,A000000,01300,0000,01300SOCIAL SERVICE 45522,A000000,01350,0000,01500ACTIVITIES 45522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45522,A000000,01600,0000,01600SKILLED NURSING FACILITY 45522,A000000,01800,0000,01800NURSING FACILITY 45522,A000000,01810,0000,01801ICF/MR 45522,A000000,01900,0000,01900OTHER LONG TERM CARE 45522,A000000,02100,0000,02100RADIOLOGY 45522,A000000,02200,0000,02200LABORATORY 45522,A000000,02300,0000,02300INTRAVENOUS THERAPY 45522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45522,A000000,02500,0000,02500PHYSICAL THERAPY 45522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45522,A000000,02700,0000,02700SPEECH PATHOLOGY 45522,A000000,02800,0000,02800ELECTROCARDIOLOGY 45522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45522,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45522,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45522,A000000,03200,0000,03200SUPPORT SURFACES 45522,A000000,03400,0000,03400CLINIC 45522,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45522,A000000,03500,0000,03500RURAL HEALTH CLINIC 45522,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45522,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45522,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45522,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45522,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45522,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45522,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45522,A000000,04400,0000,04400DME RENTED - HHA 45522,A000000,04500,0000,04500DME SOLD - HHA 45522,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45522,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45522,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45522,A000000,04800,0000,04800AMBULANCE 45522,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45522,A000000,05000,0000,05000CORF 45522,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45522,A000000,05300,0000,05300INTEREST EXPENSE 45522,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45522,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45522,A000000,05500,0000,05500HOSPICE 45522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45522,A000000,06100,0000,06100NONPAID WORKERS 45522,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45522,A000000,06200,0000,06200PATIENTS LAUNDRY 45522,A81000A,00100,0100,Y 45522,A81000B,00100,0300,MANAGEMENT FEE 45522,A81000C,00100,0100,B 45522,A81000C,00100,0200,SONS BLAKELY 45522,A81000C,00100,0400,EMERALD MGT LTD 45522,A81000C,00100,0600,MGMT COMPANY 45522,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45522,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45522,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45522,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45522,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45522,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45522,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45522,B100000,00000,0800,00000MEALS SERVED :DIETARY 45522,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 45522,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45522,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45522,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45522,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45522,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45522,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45522,E10A180,00550,0300,06/07/2000 45522,S000000,00100,0200,06/01/2000 45522,S200000,00100,0100,600 STERLING DRIVE 45522,S200000,00200,0100,NORTH BALTIMORE 45522,S200000,00200,0200,OH 45522,S200000,00200,0300,43872- 45522,S200000,00300,0100,WOOD 45522,S200000,00400,0100,BLAKELY CARE CENTER 45522,S200000,00400,0200,365387 45522,S200000,00400,0300,06/01/1978 45522,S200000,00400,0500,P 45522,S200000,00400,0600,P 45522,S200000,01500,0100,Y 45522,S200000,02800,0100,Y 45533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45533,A000000,00300,0000,00300EMPLOYEE BENEFITS 45533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45533,A000000,00700,0000,00700HOUSEKEEPING 45533,A000000,00800,0000,00800DIETARY 45533,A000000,00900,0000,00900NURSING ADMINISTRATION 45533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45533,A000000,01100,0000,01100PHARMACY 45533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45533,A000000,01300,0000,01300SOCIAL SERVICE 45533,A000000,01600,0000,01600SKILLED NURSING FACILITY 45533,A000000,01800,0000,01800NURSING FACILITY 45533,A000000,01900,0000,01900OTHER LONG TERM CARE 45533,A000000,02100,0000,02100RADIOLOGY 45533,A000000,02200,0000,02200LABORATORY 45533,A000000,02300,0000,02300INTRAVENOUS THERAPY 45533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45533,A000000,02500,0000,02500PHYSICAL THERAPY 45533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45533,A000000,02700,0000,02700SPEECH PATHOLOGY 45533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45533,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45533,A000000,03200,0000,03200SUPPORT SURFACES 45533,A000000,04800,0000,04800AMBULANCE 45533,A000000,05300,0000,05300INTEREST EXPENSE 45533,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45533,A000000,05500,0000,05500HOSPICE 45533,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45533,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45533,A000000,06200,0000,06200PATIENTS LAUNDRY 45533,A81000A,00100,0100,Y 45533,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 45533,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 45533,A81000B,00300,0300,HOME OFFICE BENEFITS 45533,A81000B,00400,0300,HOME OFFICE COSTS 45533,A81000B,00500,0300,HOME OFFICE THERAPY COSTS 45533,A81000B,00600,0300,HOME OFFICE THERAPY COSTS 45533,A81000B,00700,0300,HOME OFFICE THERAPY COSTS 45533,A81000B,00800,0300,CONSTRUCTION COSTS 45533,A81000C,00100,0100,D 45533,A81000C,00100,0200,ALEX DASKAL 45533,A81000C,00100,0400,DMD MANAGEMENT 45533,A81000C,00100,0600,MANAGEMENT COMPANY 45533,A81000C,00200,0100,D 45533,A81000C,00200,0200,ESTER DASKAL 45533,A81000C,00200,0400,DMD MANAGEMENT 45533,A81000C,00200,0600,MANAGEMENT COMPANY 45533,A81000C,00300,0100,A 45533,A81000C,00300,0200,BRUCE DASKAL 45533,A81000C,00300,0400,DMD MANAGEMENT 45533,A81000C,00300,0600,MANAGEMENT COMPANY 45533,A81000C,00400,0100,A 45533,A81000C,00400,0200,SHARON DASKAL 45533,A81000C,00400,0400,DMD MANAGEMENT 45533,A81000C,00400,0600,MANAGEMENT COMPANY 45533,A81000C,00500,0100,A 45533,A81000C,00500,0200,DAVID FARKAS 45533,A81000C,00500,0400,DMD MANAGEMENT 45533,A81000C,00500,0600,MANAGEMENT COMPANY 45533,A81000C,00600,0100,A 45533,A81000C,00600,0200,VALERIE FARKAS 45533,A81000C,00600,0400,DMD MANAGEMENT 45533,A81000C,00600,0600,MANAGEMENT COMPANY 45533,A81000C,00700,0100,D 45533,A81000C,00700,0200,HAROLD SHACHTER 45533,A81000C,00700,0400,DMD MANAGEMENT 45533,A81000C,00700,0600,MANAGEMENT COMPANY 45533,A81000C,00800,0100,A 45533,A81000C,00800,0200,EDITH SHACHTER 45533,A81000C,00800,0400,DMD MANAGEMENT 45533,A81000C,00800,0600,MANAGEMENT COMPANY 45533,A81000C,00900,0100,D 45533,A81000C,00900,0200,LOUIS SCHONFELD 45533,A81000C,00900,0400,DMD MANAGEMENT 45533,A81000C,00900,0600,MANAGEMENT COMPANY 45533,A81000C,01000,0100,A 45533,A81000C,01000,0200,RITA SCHONFELD 45533,A81000C,01000,0400,DMD MANAGEMENT 45533,A81000C,01000,0600,MANAGEMENT COMPANY 45533,A81000C,01001,0100,D 45533,A81000C,01001,0200,ROSE DANCZIGER 45533,A81000C,01001,0400,DMD MANAGEMENT 45533,A81000C,01001,0600,MANAGEMENT COMPANY 45533,A81000C,01002,0100,A 45533,A81000C,01002,0200,LARRY DANCZIGER 45533,A81000C,01002,0400,DMD MANAGEMENT 45533,A81000C,01002,0600,MANAGEMENT COMPANY 45533,A81000C,01003,0100,A 45533,A81000C,01003,0200,LORETTA DANCZIGER 45533,A81000C,01003,0400,DMD MANAGEMENT 45533,A81000C,01003,0600,MANAGEMENT COMPANY 45533,A81000C,01004,0100,D 45533,A81000C,01004,0200,MIKE FLANK 45533,A81000C,01004,0400,DMD MANAGEMENT 45533,A81000C,01004,0600,MANAGEMENT COMPANY 45533,A81000C,01005,0100,D 45533,A81000C,01005,0200,HELENA FLANK 45533,A81000C,01005,0400,DMD MANAGEMENT 45533,A81000C,01005,0600,MANAGEMENT COMPANY 45533,A81000C,01006,0100,D 45533,A81000C,01006,0200,RUTH FEIG 45533,A81000C,01006,0400,DMD MANAGEMENT 45533,A81000C,01006,0600,MANAGEMENT COMPANY 45533,A81000C,01007,0100,D 45533,A81000C,01007,0200,REGINA KATZ 45533,A81000C,01007,0400,DMD MANAGEMENT 45533,A81000C,01007,0600,MANAGEMENT COMPANY 45533,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45533,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45533,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45533,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45533,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45533,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45533,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45533,B100000,00000,0800,00000MEALS SERVED :DIETARY 45533,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 45533,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45533,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45533,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45533,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45533,E10A180,00550,0300,06/09/2000 45533,S000000,00100,0200,06/02/2000 45533,S200000,00100,0100,3600 FRANKLIN BOULEVARD 45533,S200000,00200,0100,CLEVELAND 45533,S200000,00200,0200,OH 45533,S200000,00200,0300,44113- 45533,S200000,00300,0100,CUYAHOGA 45533,S200000,00400,0100,FRANKLIN BLVD NURSING HOME 45533,S200000,00400,0200,365388 45533,S200000,00400,0300,09/29/1978 45533,S200000,00400,0500,P 45533,S200000,01600,0100,Y 45533,S200000,04300,0100,Y 45543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45543,A000000,00300,0000,00300EMPLOYEE BENEFITS 45543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45543,A000000,00700,0000,00700HOUSEKEEPING 45543,A000000,00800,0000,00800DIETARY 45543,A000000,00900,0000,00900NURSING ADMINISTRATION 45543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45543,A000000,01100,0000,01100PHARMACY 45543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45543,A000000,01300,0000,01300SOCIAL SERVICE 45543,A000000,01350,0000,01500PATIENT ACTIVITY 45543,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45543,A000000,01600,0000,01600SKILLED NURSING FACILITY 45543,A000000,01800,0000,01800NURSING FACILITY 45543,A000000,01900,0000,01900OTHER LONG TERM CARE 45543,A000000,02100,0000,02100RADIOLOGY 45543,A000000,02200,0000,02200LABORATORY 45543,A000000,02300,0000,02300INTRAVENOUS THERAPY 45543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45543,A000000,02500,0000,02500PHYSICAL THERAPY 45543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45543,A000000,02700,0000,02700SPEECH PATHOLOGY 45543,A000000,02800,0000,02800ELECTROCARDIOLOGY 45543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45543,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45543,A000000,03400,0000,03400CLINIC 45543,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45543,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45543,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45543,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45543,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45543,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45543,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45543,A000000,04400,0000,04400DME RENTED - HHA 45543,A000000,04500,0000,04500DME SOLD - HHA 45543,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45543,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45543,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45543,A000000,05000,0000,05000CORF 45543,A000000,05010,0000,05010CMHC 45543,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45543,A000000,05300,0000,05300INTEREST EXPENSE 45543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45543,A000000,05500,0000,05500HOSPICE 45543,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45543,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45543,A000000,06100,0000,06100NONPAID WORKERS 45543,A000000,06200,0000,06200PATIENTS LAUNDRY 45543,A81000A,00100,0100,Y 45543,A81000B,00100,0300,MANAGEMENT FEES 45543,A81000B,00200,0300,QUALITY ASSURANCE - HOME OFFICE 45543,A81000B,00300,0300,HOME OFFICE - CAPITAL 45543,A81000B,00400,0300,HOME OFFICE - OTHER 45543,A81000C,00100,0100,B 45543,A81000C,00100,0400,LAUREL HEALTH 45543,A81000C,00100,0600,MANAGEMENT CO. 45543,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 45543,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 45543,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 45543,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45543,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 45543,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 45543,B100000,00000,0750,00000SQ FT EXCL DIETA:HOUSEKEEPING 45543,B100000,00000,0850,00000PAT DAYS :DIETARY 45543,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 45543,B100000,00000,1350,00000PAT DAYS :PATIENT ACTIVITY 45543,S000000,00100,0200,05/30/2000 45543,S200000,00100,0100,1701 S. JEFFERSON AVENUE 45543,S200000,00200,0100,DEFIANCE 45543,S200000,00200,0200,OH 45543,S200000,00200,0300,43512- 45543,S200000,00300,0100,DEFIANCE 45543,S200000,00300,0200,36 45543,S200000,00300,0300,R 45543,S200000,00400,0100,THE LAURELS OF DEFIANCE 45543,S200000,00400,0200,365389 45543,S200000,00400,0300,04/01/1995 45543,S200000,00400,0500,P 45543,S200000,01600,0100,Y 45543,S200000,02200,0100,Y 45552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45552,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45552,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45552,A000000,00300,0000,00300EMPLOYEE BENEFITS 45552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45552,A000000,00700,0000,00700HOUSEKEEPING 45552,A000000,00800,0000,00800DIETARY 45552,A000000,00801,0000,00801CAFETERIA 45552,A000000,00900,0000,00900NURSING ADMINISTRATION 45552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45552,A000000,01100,0000,01100PHARMACY 45552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45552,A000000,01300,0000,01300SOCIAL SERVICE 45552,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45552,A000000,01600,0000,01600SKILLED NURSING FACILITY 45552,A000000,01800,0000,01800NURSING FACILITY 45552,A000000,01900,0000,01900OTHER LONG TERM CARE 45552,A000000,02100,0000,02100RADIOLOGY 45552,A000000,02200,0000,02200LABORATORY 45552,A000000,02300,0000,02300INTRAVENOUS THERAPY 45552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45552,A000000,02500,0000,02500PHYSICAL THERAPY 45552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45552,A000000,02700,0000,02700SPEECH PATHOLOGY 45552,A000000,02800,0000,02800ELECTROCARDIOLOGY 45552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45552,A000000,03050,0000,03300OTHER ANCILLARY 45552,A000000,03051,0000,03301OTHER ANCILLARY II 45552,A000000,03052,0000,03302OTHER ANCILLARY III 45552,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45552,A000000,03200,0000,03200SUPPORT SURFACES 45552,A000000,03400,0000,03400CLINIC 45552,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45552,A000000,03500,0000,03500RURAL HEALTH CLINIC 45552,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45552,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45552,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45552,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45552,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45552,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45552,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45552,A000000,04400,0000,04400DME RENTED - HHA 45552,A000000,04500,0000,04500DME SOLD - HHA 45552,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45552,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45552,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45552,A000000,04800,0000,04800AMBULANCE 45552,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45552,A000000,05000,0000,05000CORF 45552,A000000,05010,0000,05010CMHC I 45552,A000000,05020,0000,05020OPT I 45552,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45552,A000000,05300,0000,05300INTEREST EXPENSE 45552,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45552,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45552,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45552,A000000,05500,0000,05500HOSPICE 45552,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45552,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45552,A000000,06100,0000,06100NONPAID WORKERS 45552,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45552,A000000,06200,0000,06200PATIENTS LAUNDRY 45552,A81000A,00100,0100,Y 45552,A81000B,00100,0300,RENT 45552,A81000B,00200,0300,DEPRECIATION 45552,A81000C,00100,0100,A 45552,A81000C,00100,0200,MARJORIE HUSTON 45552,A81000C,00100,0400,MARJORIE HUSTON 45552,A81000C,00100,0600,INDIVIDUAL 45552,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45552,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45552,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45552,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45552,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45552,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45552,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45552,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45552,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45552,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45552,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45552,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45552,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45552,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45552,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45552,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45552,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45552,S000000,00100,0200,06/01/2000 45552,S200000,00100,0100,ROUTE 1 45552,S200000,00200,0100,HAMDEN 45552,S200000,00200,0200,OH 45552,S200000,00300,0100,VINTON 45552,S200000,00400,0100,HUSTON NURSING HOME 45552,S200000,00400,0200,365390 45552,S200000,00400,0300,07/05/1978 45552,S200000,00400,0500,P 45552,S200000,01500,0100,Y 45552,S200000,02800,0100,Y 45561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45561,A000000,00300,0000,00300EMPLOYEE BENEFITS 45561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45561,A000000,00700,0000,00700HOUSEKEEPING 45561,A000000,00800,0000,00800DIETARY 45561,A000000,00900,0000,00900NURSING ADMINISTRATION 45561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45561,A000000,01100,0000,01100PHARMACY 45561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45561,A000000,01300,0000,01300SOCIAL SERVICE 45561,A000000,01350,0000,01500ACTIVITIES 45561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45561,A000000,01600,0000,01600SKILLED NURSING FACILITY 45561,A000000,01800,0000,01800NURSING FACILITY 45561,A000000,01900,0000,01900OTHER LONG TERM CARE 45561,A000000,02100,0000,02100RADIOLOGY 45561,A000000,02200,0000,02200LABORATORY 45561,A000000,02300,0000,02300INTRAVENOUS THERAPY 45561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45561,A000000,02500,0000,02500PHYSICAL THERAPY 45561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45561,A000000,02700,0000,02700SPEECH PATHOLOGY 45561,A000000,02800,0000,02800ELECTROCARDIOLOGY 45561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45561,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 45561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45561,A000000,03200,0000,03200SUPPORT SURFACES 45561,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 45561,A000000,04800,0000,04800AMBULANCE 45561,A000000,05300,0000,05300INTEREST EXPENSE 45561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 45561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45561,A000000,06100,0000,06100NONPAID WORKERS 45561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45561,A000000,06200,0000,06200PATIENTS LAUNDRY 45561,A81000A,00100,0100,Y 45561,A81000B,00100,0300,HOME OFFICE COST 45561,A81000B,00200,0300,IV COSTS 45561,A81000B,00300,0300,DRUGS 45561,A81000B,00400,0300,PHARMACIST 45561,A81000B,00500,0300,PHYSICAL THERAPY 45561,A81000B,00600,0300,OCCUPATIONAL THERAPY 45561,A81000B,00700,0300,SPEECH THERAPY 45561,A81000B,00800,0300,PHYSICAL THERAPY 45561,A81000B,00900,0300,OCCUPATIONAL THERAPY 45561,A81000B,01000,0300,SPEECH THERAPY 45561,A81000C,00100,0100,B 45561,A81000C,00100,0200,HEARTLAND OF JACKSON 45561,A81000C,00100,0400,HCR MANORCARE INC. 45561,A81000C,00100,0600,LONG TERM CARE FACILITIES 45561,A81000C,00200,0100,B 45561,A81000C,00200,0200,HEARTLAND OF JACKSON 45561,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 45561,A81000C,00200,0600,PHARMACY 45561,A81000C,00300,0100,B 45561,A81000C,00300,0200,HEARTLAND OF JACKSON 45561,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 45561,A81000C,00300,0600,PHARMACY 45561,A81000C,00400,0100,B 45561,A81000C,00400,0200,HEARTLAND OF JACKSON 45561,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 45561,A81000C,00400,0600,PHARMACY 45561,A81000C,00500,0100,B 45561,A81000C,00500,0200,HEARTLAND OF JACKSON 45561,A81000C,00500,0400,HEARTLAND REHAB 45561,A81000C,00500,0600,THERAPY 45561,A81000C,00600,0100,B 45561,A81000C,00600,0200,HEARTLAND OF JACKSON 45561,A81000C,00600,0400,HEARTLAND REHAB 45561,A81000C,00600,0600,THERAPY 45561,A81000C,00700,0100,B 45561,A81000C,00700,0200,HEARTLAND OF JACKSON 45561,A81000C,00700,0400,HEARTLAND REHAB 45561,A81000C,00700,0600,THERAPY 45561,A81000C,00800,0100,B 45561,A81000C,00800,0200,HEARTLAND OF JACKSON 45561,A81000C,00800,0400,HEARTLAND MANAGEMENT SVCS 45561,A81000C,00800,0600,THERAPY MANAGEMENT 45561,A81000C,00900,0100,B 45561,A81000C,00900,0200,HEARTLAND OF JACKSON 45561,A81000C,00900,0400,HEARTLAND MANAGEMENT SVCS 45561,A81000C,00900,0600,THERAPY MANAGEMENT 45561,A81000C,01000,0100,B 45561,A81000C,01000,0200,HEARTLAND OF JACKSON 45561,A81000C,01000,0400,HEARTLAND MANAGEMENT SVCS 45561,A81000C,01000,0600,THERAPY MANAGEMENT 45561,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45561,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45561,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45561,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45561,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45561,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45561,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45561,B100000,00000,0800,00000MEALS SERVED :DIETARY 45561,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 45561,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45561,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45561,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45561,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45561,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45561,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 45561,S000000,00100,0200,05/25/2000 45561,S200000,00100,0100,8868 ST RT 193 45561,S200000,00200,0100,JACKSON 45561,S200000,00200,0200,OH 45561,S200000,00200,0300,45640- 45561,S200000,00300,0100,JACKSON 45561,S200000,00400,0100,HEARTLAND OF JACKSON 45561,S200000,00400,0200,365393 45561,S200000,00400,0300,09/01/1981 45561,S200000,00400,0500,P 45561,S200000,00400,0600,P 45561,S200000,01600,0100,Y 45561,S200000,02200,0100,Y 45561,S700003,00000,0100,1 45570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45570,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 45570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45570,A000000,00300,0000,00300EMPLOYEE BENEFITS 45570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45570,A000000,00700,0000,00700HOUSEKEEPING 45570,A000000,00800,0000,00800DIETARY 45570,A000000,00900,0000,00900NURSING ADMINISTRATION 45570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45570,A000000,01100,0000,01100PHARMACY 45570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45570,A000000,01300,0000,01300SOCIAL SERVICE 45570,A000000,01350,0000,01500OTHER GENERAL SERVICES 45570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45570,A000000,01600,0000,01600SKILLED NURSING FACILITY 45570,A000000,01800,0000,01800NURSING FACILITY 45570,A000000,01900,0000,01900OTHER LONG TERM CARE 45570,A000000,02100,0000,02100RADIOLOGY 45570,A000000,02200,0000,02200LABORATORY 45570,A000000,02300,0000,02300INTRAVENOUS THERAPY 45570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45570,A000000,02500,0000,02500PHYSICAL THERAPY 45570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45570,A000000,02700,0000,02700SPEECH PATHOLOGY 45570,A000000,02800,0000,02800ELECTROCARDIOLOGY 45570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45570,A000000,03200,0000,03200SUPPORT SURFACES 45570,A000000,03400,0000,03400CLINIC 45570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45570,A000000,03500,0000,03500RURAL HEALTH CLINIC 45570,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45570,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45570,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45570,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45570,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45570,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45570,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45570,A000000,04400,0000,04400DME RENTED - HHA 45570,A000000,04500,0000,04500DME SOLD - HHA 45570,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45570,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45570,A000000,04800,0000,04800AMBULANCE 45570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45570,A000000,05000,0000,05000CORF 45570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45570,A000000,05300,0000,05300INTEREST EXPENSE 45570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45570,A000000,05500,0000,05500HOSPICE 45570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45570,A000000,06100,0000,06100NONPAID WORKERS 45570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45570,A000000,06200,0000,06200PATIENTS LAUNDRY 45570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45570,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 45570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45570,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45570,B100000,00000,0800,00000MEALS SERVED :DIETARY 45570,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 45570,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45570,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45570,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45570,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 45570,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45570,S000000,00100,0200,06/01/2000 45570,S200000,00100,0100,1856 ADAMS LANE 45570,S200000,00200,0100,ZANESVILLE 45570,S200000,00200,0200,OH 45570,S200000,00200,0300,43701- 45570,S200000,00300,0100,MUSKINGUM 45570,S200000,00400,0100,ADAMS LANE CARE CENTER 45570,S200000,00400,0200,365394 45570,S200000,00400,0300,03/01/1989 45570,S200000,00400,0500,P 45570,S200000,00600,0200,365394 45570,S200000,00600,0300,03/01/1989 45570,S200000,00600,0600,P 45570,S200000,01004,0500,O 45570,S200000,01600,0100,Y 45570,S200000,04300,0100,Y 45581,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45581,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45581,A000000,00300,0000,00300EMPLOYEE BENEFITS 45581,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45581,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45581,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45581,A000000,00700,0000,00700HOUSEKEEPING 45581,A000000,00800,0000,00800DIETARY 45581,A000000,00900,0000,00900NURSING ADMINISTRATION 45581,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45581,A000000,01100,0000,01100PHARMACY 45581,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45581,A000000,01300,0000,01300SOCIAL SERVICE 45581,A000000,01350,0000,01500ACTIVITIES 45581,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45581,A000000,01600,0000,01600SKILLED NURSING FACILITY 45581,A000000,01800,0000,01800NURSING FACILITY 45581,A000000,01810,0000,01810ICF/MR 45581,A000000,01900,0000,01900OTHER LONG TERM CARE 45581,A000000,02100,0000,02100RADIOLOGY 45581,A000000,02200,0000,02200LABORATORY 45581,A000000,02300,0000,02300INTRAVENOUS THERAPY 45581,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45581,A000000,02500,0000,02500PHYSICAL THERAPY 45581,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45581,A000000,02700,0000,02700SPEECH PATHOLOGY 45581,A000000,02800,0000,02800ELECTROCARDIOLOGY 45581,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45581,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45581,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45581,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45581,A000000,03200,0000,03200SUPPORT SURFACES 45581,A000000,03400,0000,03400CLINIC 45581,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45581,A000000,03500,0000,03500RURAL HEALTH CLINIC 45581,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45581,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45581,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45581,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45581,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45581,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45581,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45581,A000000,04400,0000,04400DME RENTED - HHA 45581,A000000,04500,0000,04500DME SOLD - HHA 45581,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45581,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45581,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45581,A000000,04800,0000,04800AMBULANCE 45581,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45581,A000000,05000,0000,05000CORF 45581,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45581,A000000,05300,0000,05300INTEREST EXPENSE 45581,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45581,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45581,A000000,05500,0000,05500HOSPICE 45581,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45581,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45581,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45581,A000000,06100,0000,06100NONPAID WORKERS 45581,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45581,A000000,06200,0000,06200PATIENTS LAUNDRY 45581,A81000A,00100,0100,Y 45581,A81000B,00100,0300,CAP.RELATED-BLDGS 45581,A81000B,00200,0300,PHARMACY CONSULTANT 45581,A81000B,00300,0300,DRUGS 45581,A81000B,00400,0300,MEDICAL SUPPLIES 45581,A81000B,00500,0300,MEDICAL SUPPLIES 45581,A81000B,00600,0300,PT SUPPLIES 45581,A81000C,00100,0100,A 45581,A81000C,00100,0200,SAM BOYMEL 45581,A81000C,00100,0400,SAM BOYMEL 45581,A81000C,00100,0600,LANDLORD 45581,A81000C,00200,0100,A 45581,A81000C,00200,0200,SAM BOYMEL 45581,A81000C,00200,0400,PHARMCO 45581,A81000C,00200,0600,PHARMACY/SUPPLIER 45581,A81000C,00300,0100,A 45581,A81000C,00300,0200,SAM BOYMEL 45581,A81000C,00300,0400,PHARMCO 45581,A81000C,00300,0600,PHARMACY/SUPPLIER 45581,A81000C,00400,0100,A 45581,A81000C,00400,0200,SAM BOYMEL 45581,A81000C,00400,0400,PHARMCO 45581,A81000C,00400,0600,PHARMACY/SUPPLIER 45581,A81000C,00500,0100,A 45581,A81000C,00500,0200,SAM BOYMEL 45581,A81000C,00500,0400,PHARMCO 45581,A81000C,00500,0600,PHARMACY/SUPPLIER 45581,A81000C,00600,0100,A 45581,A81000C,00600,0200,SAM BOYMEL 45581,A81000C,00600,0400,PHARMCO 45581,A81000C,00600,0600,PHARMACY/SUPPLIER 45581,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45581,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45581,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45581,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45581,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45581,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45581,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45581,B100000,00000,0800,00000MEALS SERVED :DIETARY 45581,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 45581,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45581,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45581,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45581,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45581,E10A180,00501,0100,06/30/2000 45581,S000000,00100,0200,05/30/2000 45581,S200000,00100,0100,5200 CAMELOT DRIVE 45581,S200000,00200,0100,FAIRFIELD 45581,S200000,00200,0200,OH 45581,S200000,00200,0300,45014- 45581,S200000,00300,0100,BUTLER 45581,S200000,00300,0200,3200 45581,S200000,00300,0300,U 45581,S200000,00400,0100,TRI COUNTY EXTENDED CARE 45581,S200000,00400,0200,365396 45581,S200000,00400,0300,11/20/1978 45581,S200000,00400,0500,P 45581,S200000,01600,0100,Y 45591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45591,A000000,00300,0000,00300EMPLOYEE BENEFITS 45591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45591,A000000,00700,0000,00700HOUSEKEEPING 45591,A000000,00800,0000,00800DIETARY 45591,A000000,00900,0000,00900NURSING ADMINISTRATION 45591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45591,A000000,01100,0000,01100PHARMACY 45591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45591,A000000,01300,0000,01300SOCIAL SERVICE 45591,A000000,01600,0000,01600SKILLED NURSING FACILITY 45591,A000000,01800,0000,01800NURSING FACILITY 45591,A000000,02100,0000,02100RADIOLOGY 45591,A000000,02200,0000,02200LABORATORY 45591,A000000,02300,0000,02300INTRAVENOUS THERAPY 45591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45591,A000000,02500,0000,02500PHYSICAL THERAPY 45591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45591,A000000,02700,0000,02700SPEECH PATHOLOGY 45591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45591,A000000,03200,0000,03200SUPPORT SURFACES 45591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45591,A81000A,00100,0100,Y 45591,A81000B,00100,0300,MANAGEMENT FEES 45591,A81000B,00200,0300,VARIOUS - SEE ATTACH 45591,A81000B,00300,0300,VARIOUS - SEE ATTACH 45591,A81000C,00100,0100,B 45591,A81000C,00100,0200,DIVERSICARE MGM 45591,A81000C,00100,0400,ADVOCAT INC. 45591,A81000C,00100,0600,HOME OFFICE/ MG 45591,A81000C,00200,0100,B 45591,A81000C,00200,0200,AAS PHARMACY 45591,A81000C,00200,0400,ADVOCAT INC. 45591,A81000C,00200,0600,PHARMACY SVCS 45591,A81000C,00300,0100,B 45591,A81000C,00300,0200,ADVOCAT DISTR. 45591,A81000C,00300,0400,ADVOCAT INC 45591,A81000C,00300,0600,MEDICAL SUPPLIE 45591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45591,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45591,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45591,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45591,B100000,00000,0850,00000PATENT DAYS :DIETARY 45591,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 45591,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45591,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45591,S000000,00100,0200,06/01/2000 45591,S200000,00100,0100,2159 DOGWOOD RIDGE 45591,S200000,00200,0100,WHEELERSBURG 45591,S200000,00200,0200,OH 45591,S200000,00200,0300,45694- 45591,S200000,00300,0100,SCIOTO 45591,S200000,00300,0200,36 45591,S200000,00300,0300,R 45591,S200000,00400,0100,BEST CARE NURSING & REHAB CENTER 45591,S200000,00400,0200,365398 45591,S200000,00400,0300,09/01/1995 45591,S200000,00400,0500,P 45591,S200000,01600,0100,Y 45591,S200000,02200,0100,Y 45599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45599,A000000,00300,0000,00300EMPLOYEE BENEFITS 45599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45599,A000000,00700,0000,00700HOUSEKEEPING 45599,A000000,00800,0000,00800DIETARY 45599,A000000,00900,0000,00900NURSING ADMINISTRATION 45599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45599,A000000,01100,0000,01100PHARMACY 45599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45599,A000000,01300,0000,01300SOCIAL SERVICE 45599,A000000,01350,0000,01500OTHER GENERAL SERVICES 45599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45599,A000000,01600,0000,01600SKILLED NURSING FACILITY 45599,A000000,01800,0000,01800NURSING FACILITY 45599,A000000,01900,0000,01900OTHER LONG TERM CARE 45599,A000000,02100,0000,02100RADIOLOGY 45599,A000000,02200,0000,02200LABORATORY 45599,A000000,02300,0000,02300INTRAVENOUS THERAPY 45599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45599,A000000,02500,0000,02500PHYSICAL THERAPY 45599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45599,A000000,02700,0000,02700SPEECH PATHOLOGY 45599,A000000,02800,0000,02800ELECTROCARDIOLOGY 45599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45599,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45599,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45599,A000000,03200,0000,03200SUPPORT SURFACES 45599,A000000,03400,0000,03400CLINIC 45599,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45599,A000000,03500,0000,03500RURAL HEALTH CLINIC 45599,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45599,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45599,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45599,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45599,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45599,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45599,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45599,A000000,04400,0000,04400DME RENTED - HHA 45599,A000000,04500,0000,04500DME SOLD - HHA 45599,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45599,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45599,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45599,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45599,A000000,05000,0000,05000CORF 45599,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45599,A000000,05300,0000,05300INTEREST EXPENSE 45599,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45599,A000000,05500,0000,05500HOSPICE 45599,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45599,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45599,A000000,06100,0000,06100NONPAID WORKERS 45599,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45599,A000000,06200,0000,06200PATIENTS LAUNDRY 45599,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45599,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45599,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45599,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45599,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45599,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45599,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45599,B100000,00000,0800,00000MEALS SERVED :DIETARY 45599,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 45599,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45599,B100000,00000,1150,00000PATIENT DAYSONS :PHARMACY 45599,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45599,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45599,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 45599,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 45599,S000000,00100,0200,06/02/2000 45599,S200000,00100,0100,24613 BRAODWAY AVENUE 45599,S200000,00200,0100,OAKWOOD VILLAGE 45599,S200000,00200,0200,OH 45599,S200000,00200,0300,44146- 45599,S200000,00300,0100,CUYAHOGA 45599,S200000,00400,0100,OAK PARK HEALTH CARE CENTER 45599,S200000,00400,0200,365401 45599,S200000,00400,0300,12/01/1978 45599,S200000,00400,0500,P 45599,S200000,01600,0100,Y 45608,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45608,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45608,A000000,00300,0000,00300EMPLOYEE BENEFITS 45608,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45608,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45608,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45608,A000000,00700,0000,00700HOUSEKEEPING 45608,A000000,00800,0000,00800DIETARY 45608,A000000,00900,0000,00900NURSING ADMINISTRATION 45608,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45608,A000000,01100,0000,01100PHARMACY 45608,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45608,A000000,01300,0000,01300SOCIAL SERVICE 45608,A000000,01600,0000,01600SKILLED NURSING FACILITY 45608,A000000,01800,0000,01800NURSING FACILITY 45608,A000000,01900,0000,01900OTHER LONG TERM CARE 45608,A000000,02100,0000,02100RADIOLOGY 45608,A000000,02200,0000,02200LABORATORY 45608,A000000,02300,0000,02300INTRAVENOUS THERAPY 45608,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45608,A000000,02500,0000,02500PHYSICAL THERAPY 45608,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45608,A000000,02700,0000,02700SPEECH PATHOLOGY 45608,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45608,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45608,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45608,A000000,03200,0000,03200SUPPORT SURFACES 45608,A000000,04800,0000,04800AMBULANCE 45608,A000000,05300,0000,05300INTEREST EXPENSE 45608,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45608,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45608,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45608,A81000A,00100,0100,Y 45608,A81000B,00100,0300,HOME OFFICE COSTS 45608,A81000B,00200,0300,HOME OFFICE COSTS 45608,A81000B,00300,0300,HOME OFFICE COSTS 45608,A81000B,00400,0300,HOME OFFICE COSTS 45608,A81000B,00500,0300,HOME OFFICE COSTS 45608,A81000B,00600,0300,HOME OFFICE COSTS 45608,A81000B,00700,0300,HOME OFFICE COSTS 45608,A81000B,00800,0300,HOME OFFICE COSTS 45608,A81000B,00900,0300,HOME OFFICE COSTS 45608,A81000B,01000,0300,HOME OFFICE COSTS 45608,A81000B,01100,0300,HOME OFFICE COSTS 45608,A81000B,01200,0300,HOME OFFICE COSTS 45608,A81000B,01300,0300,HOME OFFICE COSTS 45608,A81000B,01400,0300,HOME OFFICE COSTS 45608,A81000B,01500,0300,HOME OFFICE COSTS 45608,A81000B,01600,0300,HOME OFFICE COSTS 45608,A81000B,01700,0300,HOME OFFICE COSTS 45608,A81000B,01800,0300,HOME OFFICE COSTS 45608,A81000B,01900,0300,HOME OFFICE COSTS 45608,A81000B,02000,0300,HOME OFFICE COSTS 45608,A81000B,02100,0300,HOME OFFICE COSTS 45608,A81000B,02200,0300,HOME OFFICE COSTS 45608,A81000C,00100,0100,B 45608,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00100,0400,ALTERCARE OF ALLIANCE 45608,A81000C,00100,0600,NURSING HOMES 45608,A81000C,00200,0100,B 45608,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 45608,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00200,0600,THERAPY & NURSING 45608,A81000C,00300,0100,B 45608,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 45608,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00300,0600,DRUGS & MED. SUPPLIES 45608,A81000C,00400,0100,B 45608,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 45608,A81000C,00400,0400,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00400,0600,MED. SUPPLIES 45608,A81000C,00500,0100,B 45608,A81000C,00500,0200,RENAISSANCE MORTGAGE 45608,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00500,0600,FINANCING 45608,A81000C,00600,0100,B 45608,A81000C,00600,0200,ABSOLUTE LAB 45608,A81000C,00600,0400,CONSOL. HEALTHCARE MGMT. 45608,A81000C,00600,0600,LAB 45608,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45608,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45608,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45608,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45608,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45608,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45608,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45608,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 45608,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 45608,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45608,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45608,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45608,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45608,S000000,00100,0200,06/02/2000 45608,S200000,00100,0100,11750 KLINGER ROAD 45608,S200000,00200,0100,ALLIANCE 45608,S200000,00200,0200,OH 45608,S200000,00200,0300,44601- 45608,S200000,00300,0100,CRAWFORD 45608,S200000,00400,0100,ALTERCARE OF ALLIANCE 45608,S200000,00400,0200,365402 45608,S200000,00400,0300,01/01/1977 45608,S200000,00400,0500,P 45608,S200000,01600,0100,Y 45608,S200000,04300,0100,Y 45608,S700003,00000,0100,1 45618,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45618,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45618,A000000,00300,0000,00300EMPLOYEE BENEFITS 45618,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45618,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45618,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45618,A000000,00700,0000,00700HOUSEKEEPING 45618,A000000,00800,0000,00800DIETARY 45618,A000000,00900,0000,00900NURSING ADMINISTRATION 45618,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45618,A000000,01100,0000,01100PHARMACY 45618,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45618,A000000,01300,0000,01300SOCIAL SERVICE 45618,A000000,01350,0000,01500ACTIVITIES 45618,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45618,A000000,01600,0000,01600SKILLED NURSING FACILITY 45618,A000000,01800,0000,01800NURSING FACILITY 45618,A000000,01900,0000,01900OTHER LONG TERM CARE 45618,A000000,02100,0000,02100RADIOLOGY 45618,A000000,02200,0000,02200LABORATORY 45618,A000000,02300,0000,02300INTRAVENOUS THERAPY 45618,A000000,02500,0000,02500PHYSICAL THERAPY 45618,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45618,A000000,02700,0000,02700SPEECH PATHOLOGY 45618,A000000,02800,0000,02800ELECTROCARDIOLOGY 45618,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45618,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45618,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45618,A000000,03200,0000,03200SUPPORT SURFACES 45618,A000000,03400,0000,03400CLINIC 45618,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45618,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45618,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45618,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45618,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45618,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45618,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45618,A000000,04400,0000,04400DME RENTED - HHA 45618,A000000,04500,0000,04500DME SOLD - HHA 45618,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45618,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45618,A000000,04800,0000,04800AMBULANCE 45618,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45618,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45618,A000000,05300,0000,05300INTEREST EXPENSE 45618,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45618,A000000,05500,0000,05500HOSPICE 45618,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45618,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45618,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45618,A000000,06100,0000,06100NONPAID WORKERS 45618,A000000,06200,0000,06200PATIENTS LAUNDRY 45618,A81000A,00100,0100,Y 45618,A81000B,00100,0300,MANAGEMENT FEES 45618,A81000B,00200,0300,QA 45618,A81000B,00300,0300,CAPITAL 45618,A81000B,00400,0300,HOME OFFICE - OTHER 45618,A81000C,00100,0100,B 45618,A81000C,00100,0400,LAUREL HEALTH 45618,A81000C,00100,0600,MANAGEMENT CO. 45618,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45618,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45618,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 45618,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45618,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45618,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 45618,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45618,B100000,00000,0850,00000PAT DAYS :DIETARY 45618,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 45618,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 45618,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 45618,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 45618,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 45618,S000000,00100,0200,05/30/2000 45618,S200000,00100,0100,13 AVALON ROAD 45618,S200000,00200,0100,MT VERNON 45618,S200000,00200,0200,OH 45618,S200000,00200,0300,43050- 45618,S200000,00300,0100,KNOX 45618,S200000,00300,0200,36 45618,S200000,00300,0300,R 45618,S200000,00400,0100,THE LAURELS OF MT VERNON 45618,S200000,00400,0200,365404 45618,S200000,00400,0300,11/01/1994 45618,S200000,00400,0500,P 45618,S200000,01600,0100,Y 45618,S200000,02200,0100,Y 45627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45627,A000000,00300,0000,00300EMPLOYEE BENEFITS 45627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45627,A000000,00700,0000,00700HOUSEKEEPING 45627,A000000,00800,0000,00800DIETARY 45627,A000000,00900,0000,00900NURSING ADMINISTRATION 45627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45627,A000000,01100,0000,01100PHARMACY 45627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45627,A000000,01300,0000,01300SOCIAL SERVICE 45627,A000000,01350,0000,01500OTHER GENERAL SERVICES 45627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45627,A000000,01600,0000,01600SKILLED NURSING FACILITY 45627,A000000,01800,0000,01800NURSING FACILITY 45627,A000000,01810,0000,01801ICF/MR 45627,A000000,01900,0000,01900OTHER LONG TERM CARE 45627,A000000,02100,0000,02100RADIOLOGY 45627,A000000,02200,0000,02200LABORATORY 45627,A000000,02300,0000,02300INTRAVENOUS THERAPY 45627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45627,A000000,02500,0000,02500PHYSICAL THERAPY 45627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45627,A000000,02700,0000,02700SPEECH PATHOLOGY 45627,A000000,02800,0000,02800ELECTROCARDIOLOGY 45627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45627,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45627,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45627,A000000,03200,0000,03200SUPPORT SURFACES 45627,A000000,03400,0000,03400CLINIC 45627,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45627,A000000,03500,0000,03500RURAL HEALTH CLINIC 45627,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45627,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45627,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45627,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45627,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45627,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45627,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45627,A000000,04400,0000,04400DME RENTED - HHA 45627,A000000,04500,0000,04500DME SOLD - HHA 45627,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45627,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45627,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45627,A000000,04800,0000,04800AMBULANCE 45627,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45627,A000000,05000,0000,05000CORF 45627,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45627,A000000,05300,0000,05300INTEREST EXPENSE 45627,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45627,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45627,A000000,05500,0000,05500HOSPICE 45627,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45627,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45627,A000000,06100,0000,06100NONPAID WORKERS 45627,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45627,A000000,06200,0000,06200PATIENTS LAUNDRY 45627,A81000A,00100,0100,Y 45627,A81000B,00100,0300,RENT EXPENSE 45627,A81000C,00100,0100,A 45627,A81000C,00100,0200,RICHLAND MANOR 45627,A81000C,00100,0400,MANOR HOMES/MCCLELLAN MGM 45627,A81000C,00100,0600,REAL ESTATE 45627,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45627,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45627,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45627,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45627,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45627,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45627,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45627,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45627,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45627,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45627,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45627,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45627,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45627,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45627,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45627,E10A180,00501,0100,06/12/2000 45627,E10A180,00501,0300,08/16/2000 45627,E10A180,00550,0100,08/16/2000 45627,E10A180,00550,0300,06/12/2000 45627,S000000,00100,0200,06/15/2000 45627,S200000,00100,0100,7400 SWANEY ROAD 45627,S200000,00200,0100,BLUFFTON 45627,S200000,00200,0200,OH 45627,S200000,00300,0100,ALLEN 45627,S200000,00400,0100,RICHLAND MANOR 45627,S200000,00400,0200,365405 45627,S200000,00400,0300,01/01/1987 45627,S200000,00400,0500,P 45627,S200000,01600,0100,Y 45636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45636,A000000,00300,0000,00300EMPLOYEE BENEFITS 45636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45636,A000000,00700,0000,00700HOUSEKEEPING 45636,A000000,00800,0000,00800DIETARY 45636,A000000,00900,0000,00900NURSING ADMINISTRATION 45636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45636,A000000,01100,0000,01100PHARMACY 45636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45636,A000000,01300,0000,01300SOCIAL SERVICE 45636,A000000,01350,0000,01500OTHER GENERAL SERVICES 45636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45636,A000000,01600,0000,01600SKILLED NURSING FACILITY 45636,A000000,01800,0000,01800NURSING FACILITY 45636,A000000,01810,0000,01810ICF/MR 45636,A000000,01900,0000,01900OTHER LONG TERM CARE 45636,A000000,02100,0000,02100RADIOLOGY 45636,A000000,02200,0000,02200LABORATORY 45636,A000000,02300,0000,02300INTRAVENOUS THERAPY 45636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45636,A000000,02500,0000,02500PHYSICAL THERAPY 45636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45636,A000000,02700,0000,02700SPEECH PATHOLOGY 45636,A000000,02800,0000,02800ELECTROCARDIOLOGY 45636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45636,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45636,A000000,03051,0000,03301ENTERALS FEEDINGS 45636,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45636,A000000,03200,0000,03200SUPPORT SURFACES 45636,A000000,03400,0000,03400CLINIC 45636,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45636,A000000,03500,0000,03500RURAL HEALTH CLINIC 45636,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45636,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45636,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45636,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45636,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45636,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45636,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45636,A000000,04400,0000,04400DME RENTED - HHA 45636,A000000,04500,0000,04500DME SOLD - HHA 45636,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45636,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45636,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45636,A000000,04800,0000,04800AMBULANCE 45636,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45636,A000000,05000,0000,05000CORF 45636,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45636,A000000,05300,0000,05300INTEREST EXPENSE 45636,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45636,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45636,A000000,05500,0000,05500HOSPICE 45636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45636,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45636,A000000,06100,0000,06100NONPAID WORKERS 45636,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45636,A000000,06200,0000,06200PATIENTS LAUNDRY 45636,A81000A,00100,0100,Y 45636,A81000B,00100,0300,REDUCE RENT TO COST 45636,A81000B,00200,0300,INTEREST EXPENSE 45636,A81000B,00300,0300,DEPREIATION EXPENSE 45636,A81000B,00400,0300,MORRIS PARTNERSHIP DEPRE STR LN 45636,A81000B,00500,0300,AMORTIZATION EXPENSE 45636,A81000B,00600,0300,PROPERTY TAXES 45636,A81000C,00100,0100,B 45636,A81000C,00100,0200,MR. & MRS. KENNETH MORRIS 45636,A81000C,00100,0400,MORRIS FAM LIMITED PART 45636,A81000C,00100,0600,RENTAL PROPERTY 45636,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45636,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45636,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45636,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45636,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45636,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45636,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45636,B100000,00000,0800,00000MEALS SERVED :DIETARY 45636,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45636,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45636,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45636,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45636,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45636,B100000,00000,1350,00000PATIENT DAY :OTHER GENERAL SERVICE 45636,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45636,S000000,00100,0200,06/02/2000 45636,S200000,00100,0100,401 SYNDER ROAD 45636,S200000,00200,0100,BARBERTON 45636,S200000,00200,0200,OH 45636,S200000,00300,0100,SUMMIT 45636,S200000,00400,0100,PLEASANT VIEW HEALTH CARE 45636,S200000,00400,0200,365406 45636,S200000,00400,0300,01/01/1982 45636,S200000,00400,0500,P 45636,S200000,01500,0100,Y 45636,S200000,04700,0100,Y 45648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45648,A000000,00700,0000,00700HOUSEKEEPING 45648,A000000,00800,0000,00800DIETARY 45648,A000000,00900,0000,00900NURSING ADMINISTRATION 45648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45648,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 45648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45648,A000000,01300,0000,01300SOCIAL SERVICE 45648,A000000,01600,0000,01600SKILLED NURSING FACILITY 45648,A000000,01800,0000,01800NURSING FACILITY 45648,A000000,02100,0000,02100RADIOLOGY 45648,A000000,02200,0000,02200LABORATORY 45648,A000000,02300,0000,02300INTRAVENOUS THERAPY 45648,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45648,A000000,02500,0000,02500PHYSICAL THERAPY 45648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45648,A000000,02700,0000,02700SPEECH PATHOLOGY 45648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45648,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45648,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 45648,A000000,03052,0000,03302MEDICAL EQUIPMENT 45648,A000000,04800,0000,04800AMBULANCE 45648,A000000,05300,0000,05300INTEREST EXPENSE 45648,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45648,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45648,A000000,06200,0000,06200PATIENTS LAUNDRY 45648,A81000A,00100,0100,Y 45648,A81000B,00100,0300,HOME OFFICE A&G 45648,A81000B,00200,0300,HOME OFFICE CAPITAL 45648,A81000B,00300,0300,DIVISION OFFICE A&G 45648,A81000B,00400,0300,DIVISION OFFICE CAPITAL 45648,A81000B,00500,0300,INSURANCE 45648,A81000B,00600,0300,PHYSICAL THERAPY 45648,A81000B,00700,0300,OCCUPATIONAL THERAPY 45648,A81000B,00800,0300,SPEECH THERAPY 45648,A81000B,00900,0300,AIR FLUIDIZED THERAPY 45648,A81000C,00100,0100,B 45648,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 45648,A81000C,00200,0100,G 45648,A81000C,00200,0200,LAURIER INC. 45648,A81000C,00200,0400,EXTENDICARE INC. 45648,A81000C,00200,0600,INSURANCE 45648,A81000C,00300,0100,G 45648,A81000C,00300,0200,UNITED REHABILITATION SVS 45648,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 45648,A81000C,00300,0600,THERAPY SERVICE 45648,A81000C,00400,0100,G 45648,A81000C,00400,0200,UPC 45648,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 45648,A81000C,00400,0600,PHARMACY THERAPY 45648,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45648,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45648,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45648,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45648,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45648,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 45648,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45648,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45648,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45648,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 45648,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 45648,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45648,E10A180,00301,0100,06/22/1998 45648,E10A180,00301,0300,06/22/1998 45648,E10A180,00350,0100,06/22/1998 45648,E10A180,00350,0300,06/22/1998 45648,S000000,00100,0200,06/02/2000 45648,S200000,00100,0100,2270 WARRENSBURG ROAD 45648,S200000,00200,0100,DELAWARE 45648,S200000,00200,0200,OH 45648,S200000,00200,0300,43015- 45648,S200000,00300,0100,DELAWARE 45648,S200000,00400,0100,ARBORS AT DELAWARE 45648,S200000,00400,0200,365408 45648,S200000,00400,0300,01/01/1987 45648,S200000,00400,0500,P 45648,S200000,01600,0100,Y 45648,S200000,04700,0100,Y 45659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45659,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45659,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45659,A000000,00300,0000,00300EMPLOYEE BENEFITS 45659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45659,A000000,00700,0000,00700HOUSEKEEPING 45659,A000000,00800,0000,00800DIETARY 45659,A000000,00801,0000,00801CAFETERIA 45659,A000000,00900,0000,00900NURSING ADMINISTRATION 45659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45659,A000000,01100,0000,01100PHARMACY 45659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45659,A000000,01300,0000,01300SOCIAL SERVICE 45659,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45659,A000000,01600,0000,01600SKILLED NURSING FACILITY 45659,A000000,01800,0000,01800NURSING FACILITY 45659,A000000,01900,0000,01900OTHER LONG TERM CARE 45659,A000000,02100,0000,02100RADIOLOGY 45659,A000000,02200,0000,02200LABORATORY 45659,A000000,02300,0000,02300INTRAVENOUS THERAPY 45659,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45659,A000000,02500,0000,02500PHYSICAL THERAPY 45659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45659,A000000,02700,0000,02700SPEECH PATHOLOGY 45659,A000000,02800,0000,02800ELECTROCARDIOLOGY 45659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45659,A000000,03050,0000,03300OTHER ANCILLARY 45659,A000000,03051,0000,03301OTHER ANCILLARY II 45659,A000000,03052,0000,03302OTHER ANCILLARY III 45659,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45659,A000000,03200,0000,03200SUPPORT SURFACES 45659,A000000,03400,0000,03400CLINIC 45659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45659,A000000,03500,0000,03500RURAL HEALTH CLINIC 45659,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45659,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45659,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45659,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45659,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45659,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45659,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45659,A000000,04400,0000,04400DME RENTED - HHA 45659,A000000,04500,0000,04500DME SOLD - HHA 45659,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45659,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45659,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45659,A000000,04800,0000,04800AMBULANCE 45659,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45659,A000000,05000,0000,05000CORF 45659,A000000,05010,0000,05010CMHC I 45659,A000000,05020,0000,05020OPT I 45659,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45659,A000000,05300,0000,05300INTEREST EXPENSE 45659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45659,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45659,A000000,05500,0000,05500HOSPICE 45659,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45659,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45659,A000000,06100,0000,06100NONPAID WORKERS 45659,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45659,A000000,06200,0000,06200PATIENTS LAUNDRY 45659,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45659,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45659,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45659,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45659,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45659,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45659,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45659,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45659,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45659,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45659,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45659,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45659,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 45659,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45659,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45659,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 45659,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45659,S000000,00100,0200,06/05/2000 45659,S200000,00100,0100,486 SOUTH MAIN STREET 45659,S200000,00200,0100,ANDOVER 45659,S200000,00200,0200,OH 45659,S200000,00200,0300,44003- 45659,S200000,00300,0100,ASHTABULA 45659,S200000,00400,0100,MILLER MEMORIAL NURSING HOME 45659,S200000,00400,0200,365411 45659,S200000,00400,0300,01/01/1982 45659,S200000,00400,0500,P 45659,S200000,00600,0200,365411 45659,S200000,00600,0300,01/01/1982 45659,S200000,00600,0600,P 45659,S200000,01004,0500,O 45659,S200000,01600,0100,Y 45669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45669,A000000,00300,0000,00300EMPLOYEE BENEFITS 45669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45669,A000000,00700,0000,00700HOUSEKEEPING 45669,A000000,00800,0000,00800DIETARY 45669,A000000,00900,0000,00900NURSING ADMINISTRATION 45669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45669,A000000,01100,0000,01100PHARMACY 45669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45669,A000000,01300,0000,01300SOCIAL SERVICE 45669,A000000,01350,0000,01500OTHER GENERAL SERVICES 45669,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45669,A000000,01600,0000,01600SKILLED NURSING FACILITY 45669,A000000,01800,0000,01800NURSING FACILITY 45669,A000000,01900,0000,01900OTHER LONG TERM CARE 45669,A000000,02100,0000,02100RADIOLOGY 45669,A000000,02200,0000,02200LABORATORY 45669,A000000,02300,0000,02300INTRAVENOUS THERAPY 45669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45669,A000000,02500,0000,02500PHYSICAL THERAPY 45669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45669,A000000,02700,0000,02700SPEECH PATHOLOGY 45669,A000000,02800,0000,02800ELECTROCARDIOLOGY 45669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45669,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45669,A000000,03051,0000,03301AMBULANCE 45669,A000000,03052,0000,03302RENTAL EQUIPMENT 45669,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45669,A000000,03200,0000,03200SUPPORT SURFACES 45669,A000000,03400,0000,03400CLINIC 45669,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45669,A000000,03500,0000,03500RURAL HEALTH CLINIC 45669,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45669,A000000,04800,0000,04800AMBULANCE 45669,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45669,A000000,05000,0000,05000CORF 45669,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45669,A000000,05300,0000,05300INTEREST EXPENSE 45669,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45669,A000000,05500,0000,05500HOSPICE 45669,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45669,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45669,A000000,06100,0000,06100NONPAID WORKERS 45669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45669,A000000,06200,0000,06200PATIENTS LAUNDRY 45669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45669,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45669,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45669,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45669,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45669,B100000,00000,0800,00000MEALS SERVED :DIETARY 45669,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45669,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45669,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45669,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45669,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45669,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45669,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45669,S000000,00100,0200,06/01/2000 45669,S200000,00100,0100,1320 MAHONING AVENUE NW 45669,S200000,00200,0100,WARREN 45669,S200000,00200,0200,OH 45669,S200000,00200,0300,44483- 45669,S200000,00300,0100,TRUMBULL 45669,S200000,00400,0100,COMMUNITY SKILLED HEALTHCARE 45669,S200000,00400,0200,365412 45669,S200000,00400,0300,04/02/1979 45669,S200000,00400,0500,P 45669,S200000,01004,0500,O 45669,S200000,01500,0100,Y 45677,S000000,00100,0200,06/05/2000 45686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45686,A000000,00300,0000,00300EMPLOYEE BENEFITS 45686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45686,A000000,00700,0000,00700HOUSEKEEPING 45686,A000000,00800,0000,00800DIETARY 45686,A000000,00900,0000,00900NURSING ADMINISTRATION 45686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45686,A000000,01100,0000,01100PHARMACY 45686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45686,A000000,01300,0000,01300SOCIAL SERVICE 45686,A000000,01350,0000,01500OTHER GENERAL SERVICES 45686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45686,A000000,01600,0000,01600SKILLED NURSING FACILITY 45686,A000000,01800,0000,01800NURSING FACILITY 45686,A000000,01810,0000,01810ICF/MR 45686,A000000,01900,0000,01900OTHER LONG TERM CARE 45686,A000000,02100,0000,02100RADIOLOGY 45686,A000000,02200,0000,02200LABORATORY 45686,A000000,02300,0000,02300INTRAVENOUS THERAPY 45686,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45686,A000000,02500,0000,02500PHYSICAL THERAPY 45686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45686,A000000,02700,0000,02700SPEECH PATHOLOGY 45686,A000000,02800,0000,02800ELECTROCARDIOLOGY 45686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45686,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45686,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45686,A000000,03200,0000,03200SUPPORT SURFACES 45686,A000000,03400,0000,03400CLINIC 45686,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45686,A000000,03500,0000,03500RURAL HEALTH CLINIC 45686,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45686,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45686,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45686,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45686,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45686,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45686,A000000,04201,0000,04201MEDICAL SOCIAL SERVICES - HHA 2 45686,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45686,A000000,04400,0000,04400DME RENTED - HHA 45686,A000000,04500,0000,04500DME SOLD - HHA 45686,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45686,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45686,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45686,A000000,04800,0000,04800AMBULANCE 45686,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45686,A000000,05000,0000,05000CORF 45686,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45686,A000000,05300,0000,05300INTEREST EXPENSE 45686,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45686,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45686,A000000,05500,0000,05500HOSPICE 45686,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45686,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45686,A000000,06100,0000,06100NONPAID WORKERS 45686,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45686,A000000,06200,0000,06200PATIENTS LAUNDRY 45686,A81000A,00100,0100,Y 45686,A81000B,00100,0300,HOME OFFICE 45686,A81000B,00200,0300,HOME OFFICE 45686,A81000B,00300,0300,HOME OFFICE 45686,A81000B,00400,0300,HOME OFFICE 45686,A81000B,00500,0300,HOME OFFICE 45686,A81000C,00100,0100,B 45686,A81000C,00100,0200,OPRS 45686,A81000C,00100,0400,OPRC 45686,A81000C,00100,0600,HOME OFFICE 45686,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45686,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45686,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45686,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45686,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45686,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45686,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45686,B100000,00000,0800,00000MEALS SERVED :DIETARY 45686,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45686,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45686,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45686,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45686,H510100,00000,0000,8625 45686,H510200,00000,0000,5464 45686,H710000,00350,0100,02/29/2000 45686,H710000,00350,0300,02/29/2000 45686,H710000,00501,0100,01/11/2001 45686,S000000,00100,0200,12/01/2000 45686,S200000,00100,0100,717 NEIL AVENUE 45686,S200000,00200,0100,COLUMBUS 45686,S200000,00200,0200,OH 45686,S200000,00300,0100,FRANKLIN 45686,S200000,00300,0200,1840 45686,S200000,00300,0300,U 45686,S200000,00400,0100,WESTMINISTER NURSING FACILITY 45686,S200000,00400,0200,365416 45686,S200000,00400,0300,04/13/1979 45686,S200000,00400,0500,P 45686,S200000,00800,0200,367553 45686,S200000,00800,0300,12/21/1993 45686,S200000,00800,0500,P 45686,S200000,01500,0100,Y 45686,S200000,01900,0100,CCRC 45686,S200000,04300,0100,Y 45693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45693,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45693,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45693,A000000,00300,0000,00300EMPLOYEE BENEFITS 45693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45693,A000000,00700,0000,00700HOUSEKEEPING 45693,A000000,00800,0000,00800DIETARY 45693,A000000,00801,0000,00801CAFETERIA 45693,A000000,00900,0000,00900NURSING ADMINISTRATION 45693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45693,A000000,01100,0000,01100PHARMACY 45693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45693,A000000,01300,0000,01300SOCIAL SERVICE 45693,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45693,A000000,01600,0000,01600SKILLED NURSING FACILITY 45693,A000000,01800,0000,01800NURSING FACILITY 45693,A000000,01900,0000,01900OTHER LONG TERM CARE 45693,A000000,02100,0000,02100RADIOLOGY 45693,A000000,02200,0000,02200LABORATORY 45693,A000000,02300,0000,02300INTRAVENOUS THERAPY 45693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45693,A000000,02500,0000,02500PHYSICAL THERAPY 45693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45693,A000000,02700,0000,02700SPEECH PATHOLOGY 45693,A000000,02800,0000,02800ELECTROCARDIOLOGY 45693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45693,A000000,03050,0000,03300OTHER ANCILLARY 45693,A000000,03051,0000,03301OTHER ANCILLARY II 45693,A000000,03052,0000,03302OTHER ANCILLARY III 45693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45693,A000000,03200,0000,03200SUPPORT SURFACES 45693,A000000,03400,0000,03400CLINIC 45693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45693,A000000,03500,0000,03500RURAL HEALTH CLINIC 45693,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45693,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45693,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45693,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45693,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45693,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45693,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45693,A000000,04400,0000,04400DME RENTED - HHA 45693,A000000,04500,0000,04500DME SOLD - HHA 45693,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45693,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45693,A000000,04800,0000,04800AMBULANCE 45693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45693,A000000,05000,0000,05000CORF 45693,A000000,05010,0000,05010CMHC I 45693,A000000,05020,0000,05020OPT I 45693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45693,A000000,05300,0000,05300INTEREST EXPENSE 45693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45693,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45693,A000000,05500,0000,05500HOSPICE 45693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45693,A000000,06100,0000,06100NONPAID WORKERS 45693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45693,A000000,06200,0000,06200PATIENTS LAUNDRY 45693,A81000A,00100,0100,Y 45693,A81000B,00100,0300,RE TAX/DEPREC/INS 45693,A81000B,00200,0300,DEPRECIAITON 45693,A81000B,00300,0300,PROFESSIONAL FEES 45693,A81000B,00400,0300,LEASE AND RENT 45693,A81000B,00500,0300,COST OF OWNERSHIP 45693,A81000B,00600,0300,A & G 45693,A81000B,00700,0300,UTILITIES 45693,A81000B,00800,0300,MANAGEMENT FEE 45693,A81000C,00100,0100,A 45693,A81000C,00100,0200,J.T. HOLLAND 45693,A81000C,00100,0400,J.T. HOLLAND 45693,A81000C,00100,0600,INDIVIDUAL 45693,A81000C,00200,0100,B 45693,A81000C,00200,0200,J.T. HOLLAND MG 45693,A81000C,00200,0400,J.T. HOLLAND 45693,A81000C,00200,0600,INDIVIDUAL 45693,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45693,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45693,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45693,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45693,B100000,00000,0350,00000COST :EMPLOYEE BENEFITS 45693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45693,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45693,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45693,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45693,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45693,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45693,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45693,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45693,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45693,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45693,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45693,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45693,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45693,S000000,00100,0200,06/02/2000 45693,S200000,00100,0100,860 EAST IRON AVE. 45693,S200000,00200,0100,DOVER 45693,S200000,00200,0200,OH 45693,S200000,00200,0300,44622- 45693,S200000,00300,0100,TUSCARAWAS 45693,S200000,00400,0100,COUNTRY CLUB I 45693,S200000,00400,0200,365417 45693,S200000,00400,0300,06/04/1969 45693,S200000,00400,0500,P 45693,S200000,01004,0500,O 45693,S200000,01500,0100,Y 45693,S200000,04300,0100,Y 45704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45704,A000000,00300,0000,00300EMPLOYEE BENEFITS 45704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45704,A000000,00700,0000,00700HOUSEKEEPING 45704,A000000,00800,0000,00800DIETARY 45704,A000000,00900,0000,00900NURSING ADMINISTRATION 45704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45704,A000000,01100,0000,01100PHARMACY 45704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45704,A000000,01300,0000,01300SOCIAL SERVICE 45704,A000000,01350,0000,01500ACTIVITIES 45704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45704,A000000,01600,0000,01600SKILLED NURSING FACILITY 45704,A000000,01800,0000,01800NURSING FACILITY 45704,A000000,01810,0000,01801ICF/MR 45704,A000000,01900,0000,01900OTHER LONG TERM CARE 45704,A000000,02100,0000,02100RADIOLOGY 45704,A000000,02200,0000,02200LABORATORY 45704,A000000,02300,0000,02300INTRAVENOUS THERAPY 45704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45704,A000000,02500,0000,02500PHYSICAL THERAPY 45704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45704,A000000,02700,0000,02700SPEECH PATHOLOGY 45704,A000000,02800,0000,02800ELECTROCARDIOLOGY 45704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45704,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45704,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45704,A000000,03200,0000,03200SUPPORT SURFACES 45704,A000000,03400,0000,03400CLINIC 45704,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45704,A000000,03500,0000,03500RURAL HEALTH CLINIC 45704,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45704,A000000,04800,0000,04800AMBULANCE 45704,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45704,A000000,05000,0000,05000CORF 45704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45704,A000000,05300,0000,05300INTEREST EXPENSE 45704,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45704,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45704,A000000,05500,0000,05500HOSPICE 45704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45704,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45704,A000000,06100,0000,06100NONPAID WORKERS 45704,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45704,A000000,06200,0000,06200PATIENTS LAUNDRY 45704,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45704,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45704,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45704,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45704,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45704,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45704,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45704,B100000,00000,0800,00000MEALS SERVED :DIETARY 45704,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45704,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45704,B100000,00000,1150,00000NO STATISTICS :PHARMACY 45704,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45704,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45704,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 45704,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 45704,S000000,00100,0200,05/24/2000 45704,S200000,00100,0100,1865 COUNTRYSIDE DRIVE 45704,S200000,00200,0100,FREEMONT 45704,S200000,00200,0200,OH 45704,S200000,00200,0300,43420- 45704,S200000,00300,0100,SANDUSKY 45704,S200000,00400,0100,COUNTRYSIDE CONTINUING CARE CTR 45704,S200000,00400,0200,365418 45704,S200000,00400,0300,05/29/1979 45704,S200000,00400,0500,P 45704,S200000,00600,0200,365418 45704,S200000,00600,0300,05/29/1979 45704,S200000,00600,0600,P 45704,S200000,01600,0100,Y 45715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45715,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45715,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45715,A000000,00300,0000,00300EMPLOYEE BENEFITS 45715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45715,A000000,00700,0000,00700HOUSEKEEPING 45715,A000000,00800,0000,00800DIETARY 45715,A000000,00801,0000,00801CAFETERIA 45715,A000000,00900,0000,00900NURSING ADMINISTRATION 45715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45715,A000000,01100,0000,01100PHARMACY 45715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45715,A000000,01300,0000,01300SOCIAL SERVICE 45715,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45715,A000000,01600,0000,01600SKILLED NURSING FACILITY 45715,A000000,01800,0000,01800NURSING FACILITY 45715,A000000,01900,0000,01900OTHER LONG TERM CARE 45715,A000000,02100,0000,02100RADIOLOGY 45715,A000000,02200,0000,02200LABORATORY 45715,A000000,02300,0000,02300INTRAVENOUS THERAPY 45715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45715,A000000,02500,0000,02500PHYSICAL THERAPY 45715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45715,A000000,02700,0000,02700SPEECH PATHOLOGY 45715,A000000,02800,0000,02800ELECTROCARDIOLOGY 45715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45715,A000000,03050,0000,03300OTHER ANCILLARY 45715,A000000,03051,0000,03301OTHER ANCILLARY II 45715,A000000,03052,0000,03302OTHER ANCILLARY III 45715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45715,A000000,03200,0000,03200SUPPORT SURFACES 45715,A000000,03400,0000,03400CLINIC 45715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45715,A000000,03500,0000,03500RURAL HEALTH CLINIC 45715,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45715,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45715,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45715,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45715,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45715,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45715,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45715,A000000,04400,0000,04400DME RENTED - HHA 45715,A000000,04500,0000,04500DME SOLD - HHA 45715,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45715,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45715,A000000,04800,0000,04800AMBULANCE 45715,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45715,A000000,05000,0000,05000CORF 45715,A000000,05010,0000,05010CMHC I 45715,A000000,05020,0000,05020OPT I 45715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45715,A000000,05300,0000,05300INTEREST EXPENSE 45715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45715,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45715,A000000,05500,0000,05500HOSPICE 45715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45715,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45715,A000000,06100,0000,06100NONPAID WORKERS 45715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45715,A000000,06200,0000,06200PATIENTS LAUNDRY 45715,A81000A,00100,0100,Y 45715,A81000B,00100,0300,HOME OFFICE 45715,A81000B,00200,0300,HOME OFFICE 45715,A81000C,00100,0100,B 45715,A81000C,00100,0200,ESSEX SPRINGFLD 45715,A81000C,00100,0400,MHC 45715,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45715,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45715,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45715,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45715,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45715,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45715,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45715,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45715,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45715,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45715,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45715,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45715,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45715,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45715,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45715,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45715,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45715,S000000,00100,0200,05/22/2000 45715,S200000,00100,0100,2317 EAST HOME ROAD 45715,S200000,00200,0100,SPRINGFIELD 45715,S200000,00200,0200,OH 45715,S200000,00200,0300,45503- 45715,S200000,00300,0100,CLARK 45715,S200000,00400,0100,ESSEX OF SPRINGFIELD 45715,S200000,00400,0200,365420 45715,S200000,00400,0300,07/17/1979 45715,S200000,00400,0500,P 45715,S200000,01004,0500,O 45715,S200000,01600,0100,Y 45715,S200000,04300,0100,Y 45723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45723,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 45723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45723,A000000,00300,0000,00300EMPLOYEE BENEFITS 45723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45723,A000000,00700,0000,00700HOUSEKEEPING 45723,A000000,00800,0000,00800DIETARY 45723,A000000,00900,0000,00900NURSING ADMINISTRATION 45723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45723,A000000,01100,0000,01100PHARMACY 45723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45723,A000000,01300,0000,01300SOCIAL SERVICE 45723,A000000,01350,0000,01500OTHER GENERAL SERVICES 45723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45723,A000000,01600,0000,01600SKILLED NURSING FACILITY 45723,A000000,01800,0000,01800NURSING FACILITY 45723,A000000,01900,0000,01900OTHER LONG TERM CARE 45723,A000000,02100,0000,02100RADIOLOGY 45723,A000000,02200,0000,02200LABORATORY 45723,A000000,02300,0000,02300INTRAVENOUS THERAPY 45723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45723,A000000,02500,0000,02500PHYSICAL THERAPY 45723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45723,A000000,02700,0000,02700SPEECH PATHOLOGY 45723,A000000,02800,0000,02800ELECTROCARDIOLOGY 45723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45723,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45723,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45723,A000000,03200,0000,03200SUPPORT SURFACES 45723,A000000,03400,0000,03400CLINIC 45723,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45723,A000000,03500,0000,03500RURAL HEALTH CLINIC 45723,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45723,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45723,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45723,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45723,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45723,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45723,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45723,A000000,04400,0000,04400DME RENTED - HHA 45723,A000000,04500,0000,04500DME SOLD - HHA 45723,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45723,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45723,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45723,A000000,04800,0000,04800AMBULANCE 45723,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45723,A000000,05000,0000,05000CORF 45723,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45723,A000000,05300,0000,05300INTEREST EXPENSE 45723,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45723,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45723,A000000,05500,0000,05500HOSPICE 45723,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45723,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45723,A000000,06100,0000,06100NONPAID WORKERS 45723,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45723,A000000,06200,0000,06200PATIENTS LAUNDRY 45723,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45723,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 45723,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45723,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45723,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45723,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45723,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45723,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45723,B100000,00000,0800,00000MEALS SERVED :DIETARY 45723,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 45723,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45723,B100000,00000,1150,00000NURSING SALARIES :PHARMACY 45723,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45723,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45723,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 45723,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45723,E10A180,00501,0100,06/20/2000 45723,S000000,00100,0200,05/31/2000 45723,S200000,00100,0100,1150 COLONY DRIVE 45723,S200000,00200,0100,WESTERVILLE 45723,S200000,00200,0200,OH 45723,S200000,00200,0300,43081- 45723,S200000,00300,0100,FRANKLIN 45723,S200000,00400,0100,COLUMBUS COLONY ELDERLY CARE 45723,S200000,00400,0200,365421 45723,S200000,00400,0300,08/03/1979 45723,S200000,00400,0500,P 45723,S200000,00600,0200,365421 45723,S200000,00600,0300,08/03/1979 45723,S200000,01600,0100,Y 45723,S200000,04300,0100,Y 45733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45733,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45733,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45733,A000000,00300,0000,00300EMPLOYEE BENEFITS 45733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45733,A000000,00700,0000,00700HOUSEKEEPING 45733,A000000,00800,0000,00800DIETARY 45733,A000000,00801,0000,00801CAFETERIA 45733,A000000,00900,0000,00900NURSING ADMINISTRATION 45733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45733,A000000,01100,0000,01100PHARMACY 45733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45733,A000000,01300,0000,01300SOCIAL SERVICE 45733,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45733,A000000,01600,0000,01600SKILLED NURSING FACILITY 45733,A000000,01800,0000,01800NURSING FACILITY 45733,A000000,01900,0000,01900OTHER LONG TERM CARE 45733,A000000,02100,0000,02100RADIOLOGY 45733,A000000,02200,0000,02200LABORATORY 45733,A000000,02300,0000,02300INTRAVENOUS THERAPY 45733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45733,A000000,02500,0000,02500PHYSICAL THERAPY 45733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45733,A000000,02700,0000,02700SPEECH PATHOLOGY 45733,A000000,02800,0000,02800ELECTROCARDIOLOGY 45733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45733,A000000,03050,0000,03300OTHER ANCILLARY 45733,A000000,03051,0000,03301OTHER ANCILLARY II 45733,A000000,03052,0000,03302OTHER ANCILLARY III 45733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45733,A000000,03200,0000,03200SUPPORT SURFACES 45733,A000000,03400,0000,03400CLINIC 45733,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45733,A000000,03500,0000,03500RURAL HEALTH CLINIC 45733,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45733,A000000,04800,0000,04800AMBULANCE 45733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45733,A000000,05000,0000,05000CORF 45733,A000000,05010,0000,05010CMHC I 45733,A000000,05020,0000,05020OPT I 45733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45733,A000000,05300,0000,05300INTEREST EXPENSE 45733,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45733,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45733,A000000,05500,0000,05500HOSPICE 45733,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45733,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45733,A000000,06100,0000,06100NONPAID WORKERS 45733,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45733,A000000,06200,0000,06200PATIENTS LAUNDRY 45733,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45733,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45733,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45733,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45733,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45733,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45733,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45733,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45733,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45733,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45733,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45733,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 45733,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45733,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45733,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45733,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45733,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45733,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45733,S000000,00100,0200,05/31/2000 45733,S200000,00100,0100,1 COUNTRY LANE 45733,S200000,00200,0100,BROOKVILLE 45733,S200000,00200,0200,OH 45733,S200000,00300,0100,MONTGOMERY 45733,S200000,00400,0100,BROOKHAVEN NURSING & CARE CTR. 45733,S200000,00400,0200,365422 45733,S200000,00400,0300,10/02/1979 45733,S200000,00400,0500,P 45733,S200000,01600,0100,Y 45733,S200000,02100,0100,A 45733,S200000,02200,0100,Y 45733,S200000,04700,0100,Y 45751,S000000,00100,0200,09/06/2001 45761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45761,A000000,00700,0000,00700HOUSEKEEPING 45761,A000000,00800,0000,00800DIETARY 45761,A000000,00900,0000,00900NURSING ADMINISTRATION 45761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45761,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 45761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45761,A000000,01300,0000,01300SOCIAL SERVICE 45761,A000000,01600,0000,01600SKILLED NURSING FACILITY 45761,A000000,01800,0000,01800NURSING FACILITY 45761,A000000,02100,0000,02100RADIOLOGY 45761,A000000,02200,0000,02200LABORATORY 45761,A000000,02300,0000,02300INTRAVENOUS THERAPY 45761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45761,A000000,02500,0000,02500PHYSICAL THERAPY 45761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45761,A000000,02700,0000,02700SPEECH PATHOLOGY 45761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45761,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 45761,A000000,03052,0000,03302MEDICAL EQUIPMENT 45761,A000000,04800,0000,04800AMBULANCE 45761,A000000,05300,0000,05300INTEREST EXPENSE 45761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45761,A000000,06200,0000,06200PATIENTS LAUNDRY 45761,A81000A,00100,0100,Y 45761,A81000B,00100,0300,HOME OFFICE A&G 45761,A81000B,00200,0300,HOME OFFICE CAPITAL 45761,A81000B,00300,0300,DIVISION OFFICE A&G 45761,A81000B,00400,0300,DIVISION OFFICE CAPITAL 45761,A81000B,00500,0300,INSURANCE 45761,A81000C,00100,0100,B 45761,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 45761,A81000C,00200,0100,G 45761,A81000C,00200,0200,LAURIER INC. 45761,A81000C,00200,0400,EXTENDICARE INC. 45761,A81000C,00200,0600,INSURANCE 45761,A81000C,00300,0100,G 45761,A81000C,00400,0100,G 45761,A81000C,00400,0200,UPC 45761,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 45761,A81000C,00400,0600,PHARMACY THERAPY 45761,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45761,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45761,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45761,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45761,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45761,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 45761,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45761,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45761,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45761,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 45761,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 45761,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45761,E10A180,00301,0100,06/22/1998 45761,E10A180,00301,0300,06/22/1998 45761,E10A180,00350,0100,06/22/1998 45761,E10A180,00350,0300,06/22/1998 45761,S000000,00100,0200,06/02/2000 45761,S200000,00100,0100,375 WEST MAIN STREET 45761,S200000,00200,0100,WEST JEFFERSON 45761,S200000,00200,0200,OH 45761,S200000,00200,0300,43162- 45761,S200000,00300,0100,MADISON 45761,S200000,00400,0100,ARBORS WEST 45761,S200000,00400,0200,365426 45761,S200000,00400,0300,01/01/1986 45761,S200000,00400,0500,P 45761,S200000,01600,0100,Y 45769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45769,A000000,00300,0000,00300EMPLOYEE BENEFITS 45769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45769,A000000,00700,0000,00700HOUSEKEEPING 45769,A000000,00800,0000,00800DIETARY 45769,A000000,00900,0000,00900NURSING ADMINISTRATION 45769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45769,A000000,01100,0000,01100PHARMACY 45769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45769,A000000,01300,0000,01300SOCIAL SERVICE 45769,A000000,01350,0000,01500OTHER GENERAL SERVICES 45769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45769,A000000,01600,0000,01600SKILLED NURSING FACILITY 45769,A000000,01800,0000,01800NURSING FACILITY 45769,A000000,01900,0000,01900OTHER LONG TERM CARE 45769,A000000,02100,0000,02100RADIOLOGY 45769,A000000,02200,0000,02200LABORATORY 45769,A000000,02300,0000,02300INTRAVENOUS THERAPY 45769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45769,A000000,02500,0000,02500PHYSICAL THERAPY 45769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45769,A000000,02700,0000,02700SPEECH PATHOLOGY 45769,A000000,02800,0000,02800ELECTROCARDIOLOGY 45769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45769,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45769,A000000,03200,0000,03200SUPPORT SURFACES 45769,A000000,03400,0000,03400CLINIC 45769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45769,A000000,03500,0000,03500RURAL HEALTH CLINIC 45769,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45769,A000000,04800,0000,04800AMBULANCE 45769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45769,A000000,05000,0000,05000CORF 45769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45769,A000000,05300,0000,05300INTEREST EXPENSE 45769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45769,A000000,05500,0000,05500HOSPICE 45769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45769,A000000,06100,0000,06100NONPAID WORKERS 45769,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45769,A000000,06200,0000,06200PATIENTS LAUNDRY 45769,A81000A,00100,0100,Y 45769,A81000B,00100,0300,RENT 45769,A81000B,00200,0300,MEDICAL DIRECTOR 45769,A81000B,00300,0300,PHYSICAN FEES-PHYSICALS 45769,A81000B,00400,0300,OFFICER SALARY-DR SELNICK 45769,A81000B,00500,0300,OFFICER SALARY-A. SELNICK 45769,A81000B,00600,0300,ADMIN SALARY-B. SELNICK 45769,A81000C,00100,0100,A 45769,A81000C,00100,0200,WILLIAM SELNICK 45769,A81000C,00100,0400,DR. WILLIAM SELNICK MD 45769,A81000C,00100,0600,PRACTICING PHYSICAN 45769,A81000C,00200,0100,B 45769,A81000C,00200,0200,WILLIAM SELNICK 45769,A81000C,00200,0400,S & G INVESTMENTS 45769,A81000C,00200,0600,RENTAL PROPERTY 45769,A81000C,00300,0100,B 45769,A81000C,00300,0200,ANNA SELNICK 45769,A81000C,00300,0400,S & G INVESTMENTS 45769,A81000C,00300,0600,RENTAL PROPERTY 45769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45769,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45769,B100000,00000,0650,00000PER PATIENT :LAUNDRY & LINEN SERVI 45769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45769,B100000,00000,0850,00000PER PATIENT :DIETARY 45769,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 45769,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45769,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45769,B100000,00000,1250,00000PER PATIENT :MEDICAL RECORDS & LIB 45769,B100000,00000,1330,00000PER PATIENT :SOCIAL SERVICE 45769,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45769,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45769,S000000,00100,0200,08/30/1999 45769,S200000,00100,0100,501 NORTH 2ND STREET 45769,S200000,00200,0100,LOVELAND 45769,S200000,00200,0200,OH 45769,S200000,00200,0300,45140- 45769,S200000,00300,0100,WARREN 45769,S200000,00400,0100,LOVELAND HEALTH CARE 45769,S200000,00400,0200,365427 45769,S200000,00400,0300,11/05/1979 45769,S200000,00400,0500,P 45769,S200000,01600,0100,Y 45769,S200000,02800,0100,Y 45769,S700003,00000,0100,1 45771,S000000,00100,0200,05/31/2000 45780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45780,A000000,00300,0000,00300EMPLOYEE BENEFITS 45780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45780,A000000,00700,0000,00700HOUSEKEEPING 45780,A000000,00800,0000,00800DIETARY 45780,A000000,00900,0000,00900NURSING ADMINISTRATION 45780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45780,A000000,01100,0000,01100PHARMACY 45780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45780,A000000,01300,0000,01300SOCIAL SERVICE 45780,A000000,01600,0000,01600SKILLED NURSING FACILITY 45780,A000000,01800,0000,01800NURSING FACILITY 45780,A000000,01900,0000,01900OTHER LONG TERM CARE 45780,A000000,02100,0000,02100RADIOLOGY 45780,A000000,02200,0000,02200LABORATORY 45780,A000000,02300,0000,02300INTRAVENOUS THERAPY 45780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45780,A000000,02500,0000,02500PHYSICAL THERAPY 45780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45780,A000000,02700,0000,02700SPEECH PATHOLOGY 45780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45780,A000000,04800,0000,04800AMBULANCE 45780,A000000,05300,0000,05300INTEREST EXPENSE 45780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45780,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 45780,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45780,B100000,00000,0800,00000MEALS SERVED :DIETARY 45780,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 45780,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 45780,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 45780,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 45780,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 45780,E10A180,00550,0300,06/07/2000 45780,S000000,00100,0200,05/30/2000 45780,S200000,00100,0100,1100 EAST STATE ROAD 45780,S200000,00100,0300,315 45780,S200000,00200,0100,NEWCOMERSTOWN 45780,S200000,00200,0200,OH 45780,S200000,00200,0300,43832-9446 45780,S200000,00300,0100,TUSCARAWAS 45780,S200000,00400,0100,RIVERSIDE MANOR NURSING & REHA 45780,S200000,00400,0200,365429 45780,S200000,00400,0300,09/10/1978 45780,S200000,00400,0500,P 45780,S200000,01500,0100,Y 45780,S200000,04300,0100,Y 45780,S200000,04700,0100,Y 45788,S000000,00100,0200,04/07/2000 45794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45794,A000000,00300,0000,00300EMPLOYEE BENEFITS 45794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45794,A000000,00700,0000,00700HOUSEKEEPING 45794,A000000,00800,0000,00800DIETARY 45794,A000000,00900,0000,00900NURSING ADMINISTRATION 45794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45794,A000000,01100,0000,01100PHARMACY 45794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45794,A000000,01300,0000,01300SOCIAL SERVICE 45794,A000000,01350,0000,01500ACTIVITIES 45794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45794,A000000,01600,0000,01600SKILLED NURSING FACILITY 45794,A000000,01800,0000,01800NURSING FACILITY 45794,A000000,01810,0000,01801ICF/MR 45794,A000000,01900,0000,01900OTHER LONG TERM CARE 45794,A000000,02100,0000,02100RADIOLOGY 45794,A000000,02200,0000,02200LABORATORY 45794,A000000,02300,0000,02300INTRAVENOUS THERAPY 45794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45794,A000000,02500,0000,02500PHYSICAL THERAPY 45794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45794,A000000,02700,0000,02700SPEECH PATHOLOGY 45794,A000000,02800,0000,02800ELECTROCARDIOLOGY 45794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45794,A000000,03200,0000,03200SUPPORT SURFACES 45794,A000000,03400,0000,03400CLINIC 45794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45794,A000000,03500,0000,03500RURAL HEALTH CLINIC 45794,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45794,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45794,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45794,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45794,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45794,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45794,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45794,A000000,04400,0000,04400DME RENTED - HHA 45794,A000000,04500,0000,04500DME SOLD - HHA 45794,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45794,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45794,A000000,04800,0000,04800AMBULANCE 45794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45794,A000000,05000,0000,05000CORF 45794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45794,A000000,05300,0000,05300INTEREST EXPENSE 45794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45794,A000000,05500,0000,05500HOSPICE 45794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45794,A000000,06100,0000,06100NONPAID WORKERS 45794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45794,A000000,06200,0000,06200PATIENTS LAUNDRY 45794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45794,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45794,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45794,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45794,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45794,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45794,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45794,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45794,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45794,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45794,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45794,S000000,00100,0200,08/01/2000 45794,S200000,00100,0100,142 JENKINS MEMORIAL ROAD 45794,S200000,00200,0100,WELLSTON 45794,S200000,00200,0200,OH 45794,S200000,00200,0300,45692- 45794,S200000,00300,0100,JACKSON 45794,S200000,00400,0100,JENKINS MEMORIAL NURSING HOME 45794,S200000,00400,0200,365431 45794,S200000,00400,0300,01/01/1971 45794,S200000,00400,0500,P 45794,S200000,01600,0100,Y 45794,S700003,00000,0100,1 45806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45806,A000000,00300,0000,00300EMPLOYEE BENEFITS 45806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45806,A000000,00700,0000,00700HOUSEKEEPING 45806,A000000,00800,0000,00800DIETARY 45806,A000000,00900,0000,00900NURSING ADMINISTRATION 45806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45806,A000000,01100,0000,01100PHARMACY 45806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45806,A000000,01300,0000,01300SOCIAL SERVICE 45806,A000000,01350,0000,01500OTHER GENERAL SERVICES 45806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45806,A000000,01600,0000,01600SKILLED NURSING FACILITY 45806,A000000,01800,0000,01800NURSING FACILITY 45806,A000000,01810,0000,01810ICF/MR 45806,A000000,01900,0000,01900OTHER LONG TERM CARE 45806,A000000,02100,0000,02100RADIOLOGY 45806,A000000,02200,0000,02200LABORATORY 45806,A000000,02300,0000,02300INTRAVENOUS THERAPY 45806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45806,A000000,02500,0000,02500PHYSICAL THERAPY 45806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45806,A000000,02700,0000,02700SPEECH PATHOLOGY 45806,A000000,02800,0000,02800ELECTROCARDIOLOGY 45806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45806,A000000,03200,0000,03200SUPPORT SURFACES 45806,A000000,03400,0000,03400CLINIC 45806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45806,A000000,03500,0000,03500RURAL HEALTH CLINIC 45806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45806,A000000,04400,0000,04400DME RENTED - HHA 45806,A000000,04500,0000,04500DME SOLD - HHA 45806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45806,A000000,04800,0000,04800AMBULANCE 45806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45806,A000000,05000,0000,05000CORF 45806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45806,A000000,05300,0000,05300INTEREST EXPENSE 45806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45806,A000000,05500,0000,05500HOSPICE 45806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45806,A000000,06100,0000,06100NONPAID WORKERS 45806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45806,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 45806,A000000,06200,0000,06200PATIENTS LAUNDRY 45806,A81000A,00100,0100,Y 45806,A81000B,00100,0300,HOME OFFICE 45806,A81000B,00200,0300,RENT - BUILDING 45806,A81000B,00300,0300,DEP - BUILDING 45806,A81000B,00400,0300,INTEREST - BUILDING 45806,A81000B,00500,0300,DEP - EQUIPMENT 45806,A81000B,00600,0300,HOME OFFICE COSTS 45806,A81000B,00700,0300,HOME OFFICE COSTS 45806,A81000B,00800,0300,HOME OFFICE COSTS 45806,A81000C,00100,0100,A 45806,A81000C,00100,0200,T.B. GAITANAROS TRUST 45806,A81000C,00100,0400,T.B. GAITANAROS TRUST 45806,A81000C,00100,0600,REAL ESTATE 45806,A81000C,00200,0100,A 45806,A81000C,00200,0200,DOULA GAITANAROS 45806,A81000C,00200,0400,PEARLVIEW CENTRAL OFFICE 45806,A81000C,00200,0600,HOME OFFICE 45806,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 45806,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 45806,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 45806,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45806,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 45806,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 45806,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 45806,B100000,00000,0800,00001MEALS SERVED :DIETARY 45806,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 45806,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 45806,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 45806,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 45806,E10A180,00501,0100,06/22/2000 45806,S000000,00100,0200,06/05/2000 45806,S200000,00100,0100,9001 WEST 130 ST 45806,S200000,00200,0100,NORTH ROYALTON 45806,S200000,00200,0200,OH 45806,S200000,00200,0300,44133- 45806,S200000,00300,0100,CUYAHOGA 45806,S200000,00300,0200,1680 45806,S200000,00300,0300,U 45806,S200000,00400,0100,THE PATRICIAN 45806,S200000,00400,0200,365432 45806,S200000,00400,0300,11/01/1979 45806,S200000,00400,0500,P 45806,S200000,01600,0100,Y 45806,S200000,04300,0100,Y 45815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45815,A000000,00300,0000,00300EMPLOYEE BENEFITS 45815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45815,A000000,00700,0000,00700HOUSEKEEPING 45815,A000000,00800,0000,00800DIETARY 45815,A000000,00900,0000,00900NURSING ADMINISTRATION 45815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45815,A000000,01100,0000,01100PHARMACY 45815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45815,A000000,01300,0000,01300SOCIAL SERVICE 45815,A000000,01350,0000,01500OTHER GENERAL SERVICES 45815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45815,A000000,01600,0000,01600SKILLED NURSING FACILITY 45815,A000000,01800,0000,01800NURSING FACILITY 45815,A000000,01810,0000,01801ICF/MR 45815,A000000,01900,0000,01900OTHER LONG TERM CARE 45815,A000000,02100,0000,02100RADIOLOGY 45815,A000000,02200,0000,02200LABORATORY 45815,A000000,02300,0000,02300INTRAVENOUS THERAPY 45815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45815,A000000,02500,0000,02500PHYSICAL THERAPY 45815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45815,A000000,02700,0000,02700SPEECH PATHOLOGY 45815,A000000,02800,0000,02800ELECTROCARDIOLOGY 45815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45815,A000000,03051,0000,03301COMPLEX EQUIPMENT RENTAL 45815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45815,A000000,03200,0000,03200SUPPORT SURFACES 45815,A000000,03400,0000,03400CLINIC 45815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45815,A000000,03500,0000,03500RURAL HEALTH CLINIC 45815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45815,A000000,04400,0000,04400DME RENTED - HHA 45815,A000000,04500,0000,04500DME SOLD - HHA 45815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45815,A000000,04800,0000,04800AMBULANCE 45815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45815,A000000,05000,0000,05000CORF 45815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45815,A000000,05300,0000,05300INTEREST EXPENSE 45815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45815,A000000,05500,0000,05500HOSPICE 45815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45815,A000000,06100,0000,06100NONPAID WORKERS 45815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45815,A000000,06200,0000,06200PATIENTS LAUNDRY 45815,A81000A,00100,0100,Y 45815,A81000B,00100,0300,PRESCRIPTION DRUGS 45815,A81000B,00200,0300,OFFICE SUPPLIES 45815,A81000B,00300,0300,MAINTANCE SUPPLIES 45815,A81000B,00400,0300,LAUNDRY SUPPLIES 45815,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 45815,A81000B,00600,0300,DIETARY SUPPLIES 45815,A81000B,00700,0300,MEDICAL SUPPLIES 45815,A81000B,00800,0300,PHYSICAL THERAPY SUPPLIES 45815,A81000B,00900,0300,HOME OFFICE COST 45815,A81000B,01000,0300,EDUCATIONAL EXPENSE 45815,A81000C,00100,0100,D 45815,A81000C,00100,0200,JOHN J MASTERNICK JR 45815,A81000C,00100,0400,MEDI-RX 45815,A81000C,00100,0600,PHARMACY 45815,A81000C,00200,0100,A 45815,A81000C,00200,0200,JOHN MASTERNICK 45815,A81000C,00200,0400,TRADEMASTERS 45815,A81000C,00200,0600,SUPPLIES 45815,A81000C,00300,0100,D 45815,A81000C,00300,0200,JOHN J MASTERNICK JR 45815,A81000C,00300,0400,TADEMASTERS 45815,A81000C,00300,0600,SUPPLIES 45815,A81000C,00400,0100,D 45815,A81000C,00400,0200,LEO S GRIMES 45815,A81000C,00400,0400,TRADEMASTERS 45815,A81000C,00400,0600,SUPPLIES 45815,A81000C,00500,0100,A 45815,A81000C,00500,0200,JOHN MASTERNICK 45815,A81000C,00500,0400,WINDSOR TRAINING CENTER 45815,A81000C,00500,0600,EDUCATION 45815,A81000C,00600,0100,A 45815,A81000C,00600,0200,JOHN MASTERNICK 45815,A81000C,00600,0400,WINDSOR HOUSE INC 45815,A81000C,00600,0600,HOME OFFICE 45815,A81000C,00700,0100,A 45815,A81000C,00700,0200,JOHN MASTERNICK 45815,A81000C,00700,0400,D & M REALTY 45815,A81000C,00700,0600,REAL ESTATE 45815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45815,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45815,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 45815,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45815,B100000,00000,0800,00000MEALS SERVED :DIETARY 45815,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45815,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45815,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45815,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45815,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45815,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45815,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45815,S000000,00100,0200,06/02/2000 45815,S200000,00100,0100,3245 VESTAL RD 45815,S200000,00200,0100,YOUNGSTOWN 45815,S200000,00200,0200,OH 45815,S200000,00200,0300,44509- 45815,S200000,00300,0100,MAHONING 45815,S200000,00400,0100,OMNI MANOR NURSING HOME 45815,S200000,00400,0200,365433 45815,S200000,00400,0300,01/01/1980 45815,S200000,00400,0500,P 45815,S200000,01500,0100,Y 45824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45824,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45824,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45824,A000000,00300,0000,00300EMPLOYEE BENEFITS 45824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45824,A000000,00700,0000,00700HOUSEKEEPING 45824,A000000,00800,0000,00800DIETARY 45824,A000000,00801,0000,00801CAFETERIA 45824,A000000,00900,0000,00900NURSING ADMINISTRATION 45824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45824,A000000,01100,0000,01100PHARMACY 45824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45824,A000000,01300,0000,01300SOCIAL SERVICE 45824,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45824,A000000,01600,0000,01600SKILLED NURSING FACILITY 45824,A000000,01800,0000,01800NURSING FACILITY 45824,A000000,01900,0000,01900OTHER LONG TERM CARE 45824,A000000,02100,0000,02100RADIOLOGY 45824,A000000,02200,0000,02200LABORATORY 45824,A000000,02300,0000,02300INTRAVENOUS THERAPY 45824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45824,A000000,02500,0000,02500PHYSICAL THERAPY 45824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45824,A000000,02700,0000,02700SPEECH PATHOLOGY 45824,A000000,02800,0000,02800ELECTROCARDIOLOGY 45824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45824,A000000,03050,0000,03300OTHER ANCILLARY 45824,A000000,03051,0000,03301OTHER ANCILLARY II 45824,A000000,03052,0000,03302OTHER ANCILLARY III 45824,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45824,A000000,03200,0000,03200SUPPORT SURFACES 45824,A000000,03400,0000,03400CLINIC 45824,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45824,A000000,03500,0000,03500RURAL HEALTH CLINIC 45824,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45824,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45824,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45824,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45824,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45824,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45824,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45824,A000000,04400,0000,04400DME RENTED - HHA 45824,A000000,04500,0000,04500DME SOLD - HHA 45824,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45824,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45824,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45824,A000000,04800,0000,04800AMBULANCE 45824,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45824,A000000,05000,0000,05000CORF 45824,A000000,05010,0000,05010CMHC I 45824,A000000,05020,0000,05020OPT I 45824,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45824,A000000,05300,0000,05300INTEREST EXPENSE 45824,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45824,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45824,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45824,A000000,05500,0000,05500HOSPICE 45824,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45824,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45824,A000000,06100,0000,06100NONPAID WORKERS 45824,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45824,A000000,06200,0000,06200PATIENTS LAUNDRY 45824,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45824,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45824,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45824,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45824,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45824,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45824,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45824,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45824,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45824,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45824,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45824,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45824,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45824,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45824,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45824,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45824,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45824,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45824,S000000,00100,0200,06/02/2000 45824,S200000,00100,0100,1550 ROXBURY ROAD 45824,S200000,00200,0100,COLUMBUS 45824,S200000,00200,0200,OH 45824,S200000,00300,0100,FRANKLIN 45824,S200000,00400,0100,ST. RAPHAELS HOME FOR THE AGED 45824,S200000,00400,0200,365436 45824,S200000,00400,0300,03/19/1980 45824,S200000,00400,0500,P 45824,S200000,01500,0100,Y 45824,S700003,00000,0100,1 45832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45832,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45832,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45832,A000000,00300,0000,00300EMPLOYEE BENEFITS 45832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45832,A000000,00700,0000,00700HOUSEKEEPING 45832,A000000,00800,0000,00800DIETARY 45832,A000000,00801,0000,00801CAFETERIA 45832,A000000,00900,0000,00900NURSING ADMINISTRATION 45832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45832,A000000,01100,0000,01100PHARMACY 45832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45832,A000000,01300,0000,01300SOCIAL SERVICE 45832,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45832,A000000,01600,0000,01600SKILLED NURSING FACILITY 45832,A000000,01800,0000,01800NURSING FACILITY 45832,A000000,01900,0000,01900OTHER LONG TERM CARE 45832,A000000,02100,0000,02100RADIOLOGY 45832,A000000,02200,0000,02200LABORATORY 45832,A000000,02300,0000,02300INTRAVENOUS THERAPY 45832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45832,A000000,02500,0000,02500PHYSICAL THERAPY 45832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45832,A000000,02700,0000,02700SPEECH PATHOLOGY 45832,A000000,02800,0000,02800ELECTROCARDIOLOGY 45832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45832,A000000,03050,0000,03300OTHER ANCILLARY 45832,A000000,03051,0000,03301OTHER ANCILLARY II 45832,A000000,03052,0000,03302OTHER ANCILLARY III 45832,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45832,A000000,03200,0000,03200SUPPORT SURFACES 45832,A000000,03400,0000,03400CLINIC 45832,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45832,A000000,03500,0000,03500RURAL HEALTH CLINIC 45832,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45832,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45832,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45832,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45832,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45832,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45832,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45832,A000000,04400,0000,04400DME RENTED - HHA 45832,A000000,04500,0000,04500DME SOLD - HHA 45832,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45832,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45832,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45832,A000000,04800,0000,04800AMBULANCE 45832,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45832,A000000,05000,0000,05000CORF 45832,A000000,05010,0000,05010CMHC I 45832,A000000,05020,0000,05020OPT I 45832,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45832,A000000,05300,0000,05300INTEREST EXPENSE 45832,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45832,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45832,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45832,A000000,05500,0000,05500HOSPICE 45832,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45832,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45832,A000000,06100,0000,06100NONPAID WORKERS 45832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45832,A000000,06200,0000,06200PATIENTS LAUNDRY 45832,A81000A,00100,0100,Y 45832,A81000B,00100,0300,COUNTY SVC COSTS 45832,A81000C,00100,0100,A 45832,A81000C,00100,0200,CHAMPAIGN COUNTY 45832,A81000C,00100,0400,CHAMPAIGN COUNTY 45832,A81000C,00100,0600,GOVERNMENT 45832,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45832,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45832,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45832,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45832,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45832,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45832,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45832,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45832,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45832,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45832,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45832,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45832,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45832,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45832,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45832,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45832,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45832,E10A180,00301,0100,08/17/1998 45832,E10A180,00301,0300,08/17/1998 45832,S000000,00100,0200,05/31/2000 45832,S200000,00100,0100,2380 S STATE RT 68 45832,S200000,00200,0100,URBANA 45832,S200000,00200,0200,OH 45832,S200000,00300,0100,CHAMPAIGN 45832,S200000,00400,0100,CHAMPAIGN NURSING HOME 45832,S200000,00400,0200,365437 45832,S200000,00400,0300,02/02/1980 45832,S200000,00400,0500,P 45832,S200000,01500,0100,Y 45840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45840,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45840,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45840,A000000,00300,0000,00300EMPLOYEE BENEFITS 45840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45840,A000000,00700,0000,00700HOUSEKEEPING 45840,A000000,00800,0000,00800DIETARY 45840,A000000,00801,0000,00801CAFETERIA 45840,A000000,00900,0000,00900NURSING ADMINISTRATION 45840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45840,A000000,01100,0000,01100PHARMACY 45840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45840,A000000,01300,0000,01300SOCIAL SERVICE 45840,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45840,A000000,01600,0000,01600SKILLED NURSING FACILITY 45840,A000000,01800,0000,01800NURSING FACILITY 45840,A000000,01900,0000,01900OTHER LONG TERM CARE 45840,A000000,02100,0000,02100RADIOLOGY 45840,A000000,02200,0000,02200LABORATORY 45840,A000000,02300,0000,02300INTRAVENOUS THERAPY 45840,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45840,A000000,02500,0000,02500PHYSICAL THERAPY 45840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45840,A000000,02700,0000,02700SPEECH PATHOLOGY 45840,A000000,02800,0000,02800ELECTROCARDIOLOGY 45840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45840,A000000,03050,0000,03300OTHER ANCILLARY 45840,A000000,03051,0000,03301OTHER ANCILLARY II 45840,A000000,03052,0000,03302OTHER ANCILLARY III 45840,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45840,A000000,03200,0000,03200SUPPORT SURFACES 45840,A000000,03400,0000,03400CLINIC 45840,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45840,A000000,03500,0000,03500RURAL HEALTH CLINIC 45840,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45840,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45840,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45840,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45840,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45840,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45840,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45840,A000000,04400,0000,04400DME RENTED - HHA 45840,A000000,04500,0000,04500DME SOLD - HHA 45840,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45840,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45840,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45840,A000000,04800,0000,04800AMBULANCE 45840,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45840,A000000,05000,0000,05000CORF 45840,A000000,05010,0000,05010CMHC I 45840,A000000,05020,0000,05020OPT I 45840,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45840,A000000,05300,0000,05300INTEREST EXPENSE 45840,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45840,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45840,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45840,A000000,05500,0000,05500HOSPICE 45840,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45840,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45840,A000000,06100,0000,06100NONPAID WORKERS 45840,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45840,A000000,06200,0000,06200PATIENTS LAUNDRY 45840,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45840,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45840,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45840,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45840,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45840,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45840,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45840,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45840,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45840,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45840,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45840,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45840,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45840,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45840,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45840,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45840,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45840,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45840,E10A180,00550,0300,06/05/2000 45840,S000000,00100,0200,03/27/2000 45840,S200000,00100,0100,2420 HARRISON AVE. 45840,S200000,00200,0100,CINCINNATI 45840,S200000,00200,0200,OH 45840,S200000,00300,0100,HAMILTON 45840,S200000,00400,0100,CRESTVIEW PARKE CARE CENTER 45840,S200000,00400,0200,365439 45840,S200000,00400,0300,01/01/1983 45840,S200000,00400,0500,P 45840,S200000,01600,0100,Y 45840,S200000,02800,0100,Y 45842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45842,A000000,00300,0000,00300EMPLOYEE BENEFITS 45842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45842,A000000,00700,0000,00700HOUSEKEEPING 45842,A000000,00800,0000,00800DIETARY 45842,A000000,00900,0000,00900NURSING ADMINISTRATION 45842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45842,A000000,01300,0000,01300SOCIAL SERVICE 45842,A000000,01350,0000,01500ACTIVITIES 45842,A000000,01600,0000,01600SKILLED NURSING FACILITY 45842,A000000,01800,0000,01800NURSING FACILITY 45842,A000000,01810,0000,01810ICF/MR 45842,A000000,01900,0000,01900OTHER LONG TERM CARE 45842,A000000,02100,0000,02100RADIOLOGY 45842,A000000,02200,0000,02200LABORATORY 45842,A000000,02300,0000,02300INTRAVENOUS THERAPY 45842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45842,A000000,02500,0000,02500PHYSICAL THERAPY 45842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45842,A000000,02700,0000,02700SPEECH PATHOLOGY 45842,A000000,02800,0000,02800ELECTROCARDIOLOGY 45842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45842,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45842,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45842,A000000,03200,0000,03200SUPPORT SURFACES 45842,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45842,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45842,A000000,04800,0000,04800AMBULANCE 45842,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45842,A000000,05000,0000,05000CORF 45842,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45842,A000000,05300,0000,05300INTEREST EXPENSE 45842,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45842,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45842,A000000,05500,0000,05500HOSPICE 45842,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45842,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45842,A000000,06100,0000,06100NONPAID WORKERS 45842,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45842,A000000,06200,0000,06200PATIENTS LAUNDRY 45842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45842,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45842,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45842,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45842,B100000,00000,0800,00000MEALS SERVED :DIETARY 45842,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45842,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45842,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45842,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45842,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45842,E10A180,00550,0300,06/05/2000 45842,S000000,00100,0200,05/31/2000 45842,S200000,00100,0100,2420 HARRISON AVENUE 45842,S200000,00200,0100,CINCINNATI 45842,S200000,00200,0200,OH 45842,S200000,00200,0300,45211- 45842,S200000,00300,0100,HAMILTON 45842,S200000,00300,0200,1640 45842,S200000,00300,0300,U 45842,S200000,00400,0100,CRESTVIEW PARKE CARE CENTER 45842,S200000,00400,0200,365439 45842,S200000,00400,0300,01/01/1983 45842,S200000,00400,0500,P 45842,S200000,01500,0100,Y 45853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45853,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45853,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45853,A000000,00300,0000,00300EMPLOYEE BENEFITS 45853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45853,A000000,00700,0000,00700HOUSEKEEPING 45853,A000000,00800,0000,00800DIETARY 45853,A000000,00801,0000,00801CAFETERIA 45853,A000000,00900,0000,00900NURSING ADMINISTRATION 45853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45853,A000000,01100,0000,01100PHARMACY 45853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45853,A000000,01300,0000,01300SOCIAL SERVICE 45853,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45853,A000000,01600,0000,01600SKILLED NURSING FACILITY 45853,A000000,01800,0000,01800NURSING FACILITY 45853,A000000,01900,0000,01900OTHER LONG TERM CARE 45853,A000000,02100,0000,02100RADIOLOGY 45853,A000000,02200,0000,02200LABORATORY 45853,A000000,02300,0000,02300INTRAVENOUS THERAPY 45853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45853,A000000,02500,0000,02500PHYSICAL THERAPY 45853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45853,A000000,02700,0000,02700SPEECH PATHOLOGY 45853,A000000,02800,0000,02800ELECTROCARDIOLOGY 45853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45853,A000000,03050,0000,03300OTHER ANCILLARY 45853,A000000,03051,0000,03301OTHER ANCILLARY II 45853,A000000,03052,0000,03302OTHER ANCILLARY III 45853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45853,A000000,03200,0000,03200SUPPORT SURFACES 45853,A000000,03400,0000,03400CLINIC 45853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45853,A000000,03500,0000,03500RURAL HEALTH CLINIC 45853,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45853,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45853,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45853,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45853,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45853,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45853,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45853,A000000,04400,0000,04400DME RENTED - HHA 45853,A000000,04500,0000,04500DME SOLD - HHA 45853,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45853,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45853,A000000,04800,0000,04800AMBULANCE 45853,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45853,A000000,05000,0000,05000CORF 45853,A000000,05010,0000,05010CMHC I 45853,A000000,05020,0000,05020OPT I 45853,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45853,A000000,05300,0000,05300INTEREST EXPENSE 45853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45853,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45853,A000000,05500,0000,05500HOSPICE 45853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45853,A000000,06100,0000,06100NONPAID WORKERS 45853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45853,A000000,06200,0000,06200PATIENTS LAUNDRY 45853,A81000A,00100,0100,Y 45853,A81000B,00100,0300,H/O NURSING 45853,A81000B,00200,0300,H/O A & G 45853,A81000B,00300,0300,H/O 45853,A81000B,00400,0300,H/O RENT 45853,A81000B,00500,0300,H/O NON REIMBURSABLE 45853,A81000B,00600,0300,H/O THERAPIES 45853,A81000C,00100,0100,A 45853,A81000C,00100,0200,GLYNDON POWELL 45853,A81000C,00100,0400,CHSHO INC. 45853,A81000C,00100,0600,HOME OFFICE 45853,A81000C,00200,0100,A 45853,A81000C,00200,0200,ED BYINGTON 45853,A81000C,00200,0400,CHSHO INC. 45853,A81000C,00200,0600,HOME OFFICE 45853,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45853,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45853,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45853,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45853,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45853,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45853,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45853,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45853,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45853,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45853,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45853,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45853,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45853,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45853,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45853,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45853,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45853,S000000,00100,0200,06/01/2000 45853,S200000,00100,0100,98 SOUTH 30TH STREET 45853,S200000,00200,0100,NEWARK 45853,S200000,00200,0200,OH 45853,S200000,00300,0100,LICKING 45853,S200000,00400,0100,ARLINGTON NURSING HOME 45853,S200000,00400,0200,365440 45853,S200000,00400,0300,04/01/1980 45853,S200000,00400,0500,P 45853,S200000,01500,0100,Y 45853,S200000,02800,0100,Y 45853,S200000,04300,0100,Y 45853,S200000,04700,0100,Y 45853,S200000,04900,0100,Y 45865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45865,A000000,00300,0000,00300EMPLOYEE BENEFITS 45865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45865,A000000,00700,0000,00700HOUSEKEEPING 45865,A000000,00800,0000,00800DIETARY 45865,A000000,00900,0000,00900NURSING ADMINISTRATION 45865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45865,A000000,01100,0000,01100PHARMACY 45865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45865,A000000,01300,0000,01300SOCIAL SERVICE 45865,A000000,01350,0000,01500OTHER GENERAL SERVICES 45865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45865,A000000,01600,0000,01600SKILLED NURSING FACILITY 45865,A000000,01800,0000,01800NURSING FACILITY 45865,A000000,01810,0000,01801ICF/MR 45865,A000000,01900,0000,01900OTHER LONG TERM CARE 45865,A000000,02100,0000,02100RADIOLOGY 45865,A000000,02200,0000,02200LABORATORY 45865,A000000,02300,0000,02300INTRAVENOUS THERAPY 45865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45865,A000000,02500,0000,02500PHYSICAL THERAPY 45865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45865,A000000,02700,0000,02700SPEECH PATHOLOGY 45865,A000000,02800,0000,02800ELECTROCARDIOLOGY 45865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45865,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45865,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45865,A000000,03200,0000,03200SUPPORT SURFACES 45865,A000000,03400,0000,03400CLINIC 45865,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45865,A000000,03500,0000,03500RURAL HEALTH CLINIC 45865,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45865,A000000,04800,0000,04800AMBULANCE 45865,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45865,A000000,05000,0000,05000CORF 45865,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45865,A000000,05300,0000,05300INTEREST EXPENSE 45865,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45865,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45865,A000000,05500,0000,05500HOSPICE 45865,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45865,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45865,A000000,06100,0000,06100NONPAID WORKERS 45865,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45865,A000000,06200,0000,06200PATIENTS LAUNDRY 45865,A81000A,00100,0100,Y 45865,A81000B,00100,0300,RENT EXPENSE 45865,A81000C,00100,0100,D 45865,A81000C,00100,0200,RICHARD VAN ALLEN 45865,A81000C,00100,0400,INN CONNEAUT HEALTH SYS. 45865,A81000C,00100,0600,NURSING HOME OWNER 45865,A81000C,00200,0100,D 45865,A81000C,00200,0200,IMOGENE VAN ALLEN 45865,A81000C,00200,0400,INN CONNEAUT HEATLH SYS. 45865,A81000C,00200,0600,NURSING HOME OWNER 45865,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45865,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 45865,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45865,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45865,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45865,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45865,B100000,00000,0800,00000MEALS SERVED :DIETARY 45865,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45865,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45865,B100000,00000,1150,00000NO STATISTICS :PHARMACY 45865,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45865,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45865,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45865,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 45865,E10A180,00501,0100,06/08/2000 45865,E10A180,00550,0300,06/08/2000 45865,S000000,00100,0200,05/30/2000 45865,S200000,00100,0100,22 PARISH ROAD 45865,S200000,00200,0100,CONNEAUT 45865,S200000,00200,0200,OH 45865,S200000,00200,0300,44030- 45865,S200000,00300,0100,ASHTABULA 45865,S200000,00400,0100,INN CONNEAUT HEALTH CARE CENTER 45865,S200000,00400,0200,365441 45865,S200000,00400,0300,01/01/1996 45865,S200000,00400,0500,P 45865,S200000,01500,0100,Y 45874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45874,A000000,00300,0000,00300EMPLOYEE BENEFITS 45874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45874,A000000,00700,0000,00700HOUSEKEEPING 45874,A000000,00800,0000,00800DIETARY 45874,A000000,00900,0000,00900NURSING ADMINISTRATION 45874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45874,A000000,01300,0000,01300SOCIAL SERVICE 45874,A000000,01350,0000,01500ACTIVITIES 45874,A000000,01600,0000,01600SKILLED NURSING FACILITY 45874,A000000,01800,0000,01800NURSING FACILITY 45874,A000000,01810,0000,01801ICF/MR 45874,A000000,01900,0000,01900OTHER LONG TERM CARE 45874,A000000,02100,0000,02100RADIOLOGY 45874,A000000,02200,0000,02200LABORATORY 45874,A000000,02300,0000,02300INTRAVENOUS THERAPY 45874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45874,A000000,02500,0000,02500PHYSICAL THERAPY 45874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45874,A000000,02700,0000,02700SPEECH PATHOLOGY 45874,A000000,02800,0000,02800ELECTROCARDIOLOGY 45874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45874,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45874,A000000,03200,0000,03200SUPPORT SURFACES 45874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45874,A000000,04800,0000,04800AMBULANCE 45874,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45874,A000000,05000,0000,05000CORF 45874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45874,A000000,05300,0000,05300INTEREST EXPENSE 45874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45874,A000000,05500,0000,05500HOSPICE 45874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45874,A000000,06100,0000,06100NONPAID WORKERS 45874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45874,A000000,06200,0000,06200PATIENTS LAUNDRY 45874,A81000A,00100,0100,Y 45874,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 45874,A81000C,00100,0100,F 45874,A81000C,00100,0200,E. GALBRAITH NH 45874,A81000C,00100,0400,HRM REALTY 45874,A81000C,00100,0600,NH 45874,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45874,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45874,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45874,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45874,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45874,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45874,B100000,00000,0800,00000MEALS SERVED :DIETARY 45874,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 45874,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45874,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45874,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45874,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45874,E10A180,00550,0300,06/09/2000 45874,S000000,00100,0200,06/02/2000 45874,S200000,00100,0100,3875 EAST GALBRAITH ROAD 45874,S200000,00200,0100,CINCINNATI 45874,S200000,00200,0200,OH 45874,S200000,00200,0300,45236- 45874,S200000,00300,0100,HAMILTON 45874,S200000,00400,0100,EAST GALBRAITH NH 45874,S200000,00400,0200,365442 45874,S200000,00400,0300,01/01/1974 45874,S200000,00400,0500,P 45874,S200000,01600,0100,Y 45884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45884,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45884,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45884,A000000,00300,0000,00300EMPLOYEE BENEFITS 45884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45884,A000000,00700,0000,00700HOUSEKEEPING 45884,A000000,00800,0000,00800DIETARY 45884,A000000,00801,0000,00801CAFETERIA 45884,A000000,00900,0000,00900NURSING ADMINISTRATION 45884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45884,A000000,01100,0000,01100PHARMACY 45884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45884,A000000,01300,0000,01300SOCIAL SERVICE 45884,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45884,A000000,01600,0000,01600SKILLED NURSING FACILITY 45884,A000000,01800,0000,01800NURSING FACILITY 45884,A000000,01900,0000,01900OTHER LONG TERM CARE 45884,A000000,02100,0000,02100RADIOLOGY 45884,A000000,02200,0000,02200LABORATORY 45884,A000000,02300,0000,02300INTRAVENOUS THERAPY 45884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45884,A000000,02500,0000,02500PHYSICAL THERAPY 45884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45884,A000000,02700,0000,02700SPEECH PATHOLOGY 45884,A000000,02800,0000,02800ELECTROCARDIOLOGY 45884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45884,A000000,03050,0000,03300OTHER ANCILLARY 45884,A000000,03051,0000,03301OTHER ANCILLARY II 45884,A000000,03052,0000,03302OTHER ANCILLARY III 45884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45884,A000000,03200,0000,03200SUPPORT SURFACES 45884,A000000,03400,0000,03400CLINIC 45884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45884,A000000,03500,0000,03500RURAL HEALTH CLINIC 45884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45884,A000000,04400,0000,04400DME RENTED - HHA 45884,A000000,04500,0000,04500DME SOLD - HHA 45884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45884,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45884,A000000,04800,0000,04800AMBULANCE 45884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45884,A000000,05000,0000,05000CORF 45884,A000000,05010,0000,05010CMHC I 45884,A000000,05020,0000,05020OPT I 45884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45884,A000000,05300,0000,05300INTEREST EXPENSE 45884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45884,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45884,A000000,05500,0000,05500HOSPICE 45884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45884,A000000,06100,0000,06100NONPAID WORKERS 45884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45884,A000000,06200,0000,06200PATIENTS LAUNDRY 45884,A81000A,00100,0100,Y 45884,A81000B,00100,0300,H/O NURSING 45884,A81000B,00200,0300,H/O A&G 45884,A81000B,00300,0300,H/O 45884,A81000B,00400,0300,H/O RENT 45884,A81000B,00500,0300,H/O NON REIMBURSABLE 45884,A81000B,00600,0300,H/O THERAPIES 45884,A81000C,00100,0100,A 45884,A81000C,00100,0200,GLYNDON POWELL 45884,A81000C,00100,0400,CHSHO INC 45884,A81000C,00100,0600,HOME OFFICE 45884,A81000C,00200,0100,A 45884,A81000C,00200,0200,ED BYINGTON 45884,A81000C,00200,0400,CHSHO INC 45884,A81000C,00200,0600,HOME OFFICE 45884,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45884,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45884,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45884,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45884,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45884,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45884,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45884,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45884,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45884,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45884,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45884,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45884,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45884,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45884,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45884,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45884,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45884,S000000,00100,0200,06/01/2000 45884,S200000,00100,0100,934 STATE ROUTE 28 45884,S200000,00200,0100,MILFORD 45884,S200000,00200,0200,OH 45884,S200000,00300,0100,CLERMONT 45884,S200000,00400,0100,CLERMONT HEALTH CARE CENTER 45884,S200000,00400,0200,365443 45884,S200000,00400,0300,04/03/1980 45884,S200000,00400,0500,P 45884,S200000,01500,0100,Y 45895,S000000,00100,0200,04/27/2000 45904,S000000,00100,0200,05/30/2000 45924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45924,A000000,00300,0000,00300EMPLOYEE BENEFITS 45924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45924,A000000,00700,0000,00700HOUSEKEEPING 45924,A000000,00800,0000,00800DIETARY 45924,A000000,00900,0000,00900NURSING ADMINISTRATION 45924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45924,A000000,01100,0000,01100PHARMACY 45924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45924,A000000,01300,0000,01300SOCIAL SERVICE 45924,A000000,01350,0000,01500ACTIVITIES 45924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45924,A000000,01600,0000,01600SKILLED NURSING FACILITY 45924,A000000,01800,0000,01800NURSING FACILITY 45924,A000000,01810,0000,01801ICF/MR 45924,A000000,01900,0000,01900OTHER LONG TERM CARE 45924,A000000,02100,0000,02100RADIOLOGY 45924,A000000,02200,0000,02200LABORATORY 45924,A000000,02300,0000,02300INTRAVENOUS THERAPY 45924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45924,A000000,02500,0000,02500PHYSICAL THERAPY 45924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45924,A000000,02700,0000,02700SPEECH PATHOLOGY 45924,A000000,02800,0000,02800ELECTROCARDIOLOGY 45924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45924,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45924,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45924,A000000,03200,0000,03200SUPPORT SURFACES 45924,A000000,03400,0000,03400CLINIC 45924,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45924,A000000,03500,0000,03500RURAL HEALTH CLINIC 45924,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45924,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45924,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45924,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45924,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45924,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45924,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45924,A000000,04400,0000,04400DME RENTED - HHA 45924,A000000,04500,0000,04500DME SOLD - HHA 45924,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45924,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45924,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45924,A000000,04800,0000,04800AMBULANCE 45924,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45924,A000000,05000,0000,05000CORF 45924,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45924,A000000,05300,0000,05300INTEREST EXPENSE 45924,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45924,A000000,05500,0000,05500HOSPICE 45924,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45924,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45924,A000000,06100,0000,06100NONPAID WORKERS 45924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45924,A000000,06200,0000,06200PATIENTS LAUNDRY 45924,A81000A,00100,0100,Y 45924,A81000B,00100,0300,HOME OFFICE COST 45924,A81000C,00100,0100,A 45924,A81000C,00100,0200,RALPH HAZELBAKER 45924,A81000C,00100,0400,AEGIS INC. 45924,A81000C,00100,0600,MANAGEMENT 45924,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45924,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45924,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45924,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45924,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45924,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45924,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45924,B100000,00000,0800,00000MEALS SERVED :DIETARY 45924,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45924,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45924,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45924,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45924,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45924,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45924,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45924,S000000,00100,0200,05/30/2000 45924,S200000,00100,0100,214 HARDING STREET 45924,S200000,00200,0100,DEFIANCE 45924,S200000,00200,0200,OH 45924,S200000,00200,0300,43512- 45924,S200000,00300,0100,DEFIANCE 45924,S200000,00400,0100,LEISURE OAKS CONVALESCENT CENTER 45924,S200000,00400,0200,365447 45924,S200000,00400,0300,10/01/1989 45924,S200000,00400,0500,P 45924,S200000,01500,0100,Y 45924,S200000,04300,0100,Y 45924,S700003,00000,0100,1 45933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45933,A000000,00300,0000,00300EMPLOYEE BENEFITS 45933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45933,A000000,00700,0000,00700HOUSEKEEPING 45933,A000000,00800,0000,00800DIETARY 45933,A000000,00900,0000,00900NURSING ADMINISTRATION 45933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45933,A000000,01100,0000,01100PHARMACY 45933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45933,A000000,01300,0000,01300SOCIAL SERVICE 45933,A000000,01350,0000,01500OTHER GENERAL SERVICES 45933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45933,A000000,01600,0000,01600SKILLED NURSING FACILITY 45933,A000000,01800,0000,01800NURSING FACILITY 45933,A000000,01810,0000,01801ICF/MR 45933,A000000,01900,0000,01900OTHER LONG TERM CARE 45933,A000000,02100,0000,02100RADIOLOGY 45933,A000000,02200,0000,02200LABORATORY 45933,A000000,02300,0000,02300INTRAVENOUS THERAPY 45933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45933,A000000,02500,0000,02500PHYSICAL THERAPY 45933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45933,A000000,02700,0000,02700SPEECH PATHOLOGY 45933,A000000,02800,0000,02800ELECTROCARDIOLOGY 45933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45933,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45933,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45933,A000000,03200,0000,03200SUPPORT SURFACES 45933,A000000,03400,0000,03400CLINIC 45933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45933,A000000,03500,0000,03500RURAL HEALTH CLINIC 45933,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45933,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45933,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45933,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45933,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45933,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45933,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45933,A000000,04400,0000,04400DME RENTED - HHA 45933,A000000,04500,0000,04500DME SOLD - HHA 45933,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45933,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45933,A000000,04800,0000,04800AMBULANCE 45933,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45933,A000000,05000,0000,05000CORF 45933,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45933,A000000,05300,0000,05300INTEREST EXPENSE 45933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45933,A000000,05500,0000,05500HOSPICE 45933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45933,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45933,A000000,06100,0000,06100NONPAID WORKERS 45933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45933,A000000,06200,0000,06200PATIENTS LAUNDRY 45933,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45933,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 45933,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 45933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45933,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45933,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45933,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45933,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45933,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45933,B100000,00000,1150,00000NO STATISTICS :PHARMACY 45933,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45933,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45933,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45933,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 45933,S000000,00100,0200,05/26/2000 45933,S200000,00100,0100,1096 NORTH OHIO STREET 45933,S200000,00200,0100,GREENVILLE 45933,S200000,00200,0200,OH 45933,S200000,00200,0300,45331-9999 45933,S200000,00300,0100,DARKE 45933,S200000,00400,0100,REST HAVEN NURSING HOME 45933,S200000,00400,0200,365448 45933,S200000,00400,0300,01/01/1976 45933,S200000,00400,0500,P 45933,S200000,01500,0100,Y 45933,S700003,00000,0100,1 45942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45942,A000000,00300,0000,00300EMPLOYEE BENEFITS 45942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45942,A000000,00700,0000,00700HOUSEKEEPING 45942,A000000,00800,0000,00800DIETARY 45942,A000000,00900,0000,00900NURSING ADMINISTRATION 45942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45942,A000000,01100,0000,01100PHARMACY 45942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45942,A000000,01300,0000,01300SOCIAL SERVICE 45942,A000000,01350,0000,01500OTHER GENERAL SERVICES 45942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45942,A000000,01600,0000,01600SKILLED NURSING FACILITY 45942,A000000,01800,0000,01800NURSING FACILITY 45942,A000000,01810,0000,01810ICF/MR 45942,A000000,01900,0000,01900OTHER LONG TERM CARE 45942,A000000,02100,0000,02100RADIOLOGY 45942,A000000,02200,0000,02200LABORATORY 45942,A000000,02300,0000,02300INTRAVENOUS THERAPY 45942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45942,A000000,02500,0000,02500PHYSICAL THERAPY 45942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45942,A000000,02700,0000,02700SPEECH PATHOLOGY 45942,A000000,02800,0000,02800ELECTROCARDIOLOGY 45942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45942,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45942,A000000,03200,0000,03200SUPPORT SURFACES 45942,A000000,03400,0000,03400CLINIC 45942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45942,A000000,03500,0000,03500RURAL HEALTH CLINIC 45942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45942,A000000,04800,0000,04800AMBULANCE 45942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45942,A000000,05000,0000,05000CORF 45942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45942,A000000,05300,0000,05300INTEREST EXPENSE 45942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45942,A000000,05500,0000,05500HOSPICE 45942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45942,A000000,06100,0000,06100NONPAID WORKERS 45942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45942,A000000,06200,0000,06200PATIENTS LAUNDRY 45942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45942,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45942,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45942,B100000,00000,0800,00000MEALS SERVED :DIETARY 45942,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45942,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45942,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 45942,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45942,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45942,S000000,00100,0200,06/01/2000 45942,S200000,00100,0100,1242 CRESCENT DRIVE 45942,S200000,00200,0100,WHEELERSBURG 45942,S200000,00200,0200,OH 45942,S200000,00200,0300,45694- 45942,S200000,00300,0100,SCIOTO 45942,S200000,00300,0200,36 45942,S200000,00300,0300,R 45942,S200000,00400,0100,GREENBRIAR CONVALESCENT CENTER 45942,S200000,00400,0200,365449 45942,S200000,00400,0300,01/01/1998 45942,S200000,00400,0500,P 45942,S200000,01004,0500,O 45942,S200000,01600,0100,Y 45942,S200000,03100,0100,Y 45944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45944,A000000,00300,0000,00300EMPLOYEE BENEFITS 45944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45944,A000000,00700,0000,00700HOUSEKEEPING 45944,A000000,00800,0000,00800DIETARY 45944,A000000,00900,0000,00900NURSING ADMINISTRATION 45944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45944,A000000,01100,0000,01100PHARMACY 45944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45944,A000000,01300,0000,01300SOCIAL SERVICE 45944,A000000,01350,0000,01500OTHER GENERAL SERVICES 45944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45944,A000000,01600,0000,01600SKILLED NURSING FACILITY 45944,A000000,01800,0000,01800NURSING FACILITY 45944,A000000,01810,0000,01810ICF/MR 45944,A000000,01900,0000,01900OTHER LONG TERM CARE 45944,A000000,02100,0000,02100RADIOLOGY 45944,A000000,02200,0000,02200LABORATORY 45944,A000000,02300,0000,02300INTRAVENOUS THERAPY 45944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45944,A000000,02500,0000,02500PHYSICAL THERAPY 45944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45944,A000000,02700,0000,02700SPEECH PATHOLOGY 45944,A000000,02800,0000,02800ELECTROCARDIOLOGY 45944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45944,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45944,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45944,A000000,03200,0000,03200SUPPORT SURFACES 45944,A000000,03400,0000,03400CLINIC 45944,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45944,A000000,03500,0000,03500RURAL HEALTH CLINIC 45944,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45944,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45944,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45944,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45944,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45944,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45944,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45944,A000000,04400,0000,04400DME RENTED - HHA 45944,A000000,04500,0000,04500DME SOLD - HHA 45944,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45944,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45944,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45944,A000000,04800,0000,04800AMBULANCE 45944,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45944,A000000,05000,0000,05000CORF 45944,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45944,A000000,05300,0000,05300INTEREST EXPENSE 45944,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45944,A000000,05500,0000,05500HOSPICE 45944,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45944,A000000,06100,0000,06100NONPAID WORKERS 45944,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45944,A000000,06200,0000,06200PATIENTS LAUNDRY 45944,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45944,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45944,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45944,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45944,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45944,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45944,B100000,00000,0800,00000MEALS SERVED :DIETARY 45944,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 45944,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45944,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45944,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45944,S000000,00100,0200,06/01/2000 45944,S200000,00100,0100,1242 CRESCENT DRIVE 45944,S200000,00200,0100,WHEELERSBURG 45944,S200000,00200,0200,OH 45944,S200000,00200,0300,45694- 45944,S200000,00300,0100,SCIOTO 45944,S200000,00300,0200,36 45944,S200000,00300,0300,R 45944,S200000,00400,0100,GREENBRIAR CONVALESCENT CENTER 45944,S200000,00400,0200,365449 45944,S200000,00400,0300,02/16/1999 45944,S200000,00400,0500,P 45944,S200000,01600,0100,Y 45954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45954,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45954,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45954,A000000,00300,0000,00300EMPLOYEE BENEFITS 45954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45954,A000000,00700,0000,00700HOUSEKEEPING 45954,A000000,00800,0000,00800DIETARY 45954,A000000,00801,0000,00801CAFETERIA 45954,A000000,00900,0000,00900NURSING ADMINISTRATION 45954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45954,A000000,01100,0000,01100PHARMACY 45954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45954,A000000,01300,0000,01300SOCIAL SERVICE 45954,A000000,01350,0000,01500ACTIVITIES 45954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45954,A000000,01600,0000,01600SKILLED NURSING FACILITY 45954,A000000,01800,0000,01800NURSING FACILITY 45954,A000000,01900,0000,01900OTHER LONG TERM CARE 45954,A000000,02100,0000,02100RADIOLOGY 45954,A000000,02200,0000,02200LABORATORY 45954,A000000,02300,0000,02300INTRAVENOUS THERAPY 45954,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45954,A000000,02500,0000,02500PHYSICAL THERAPY 45954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45954,A000000,02700,0000,02700SPEECH PATHOLOGY 45954,A000000,02800,0000,02800ELECTROCARDIOLOGY 45954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45954,A000000,03050,0000,03300DME 45954,A000000,03051,0000,03301ORTHOTIS 45954,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 45954,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45954,A000000,03200,0000,03200SUPPORT SURFACES 45954,A000000,03400,0000,03400CLINIC 45954,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45954,A000000,03500,0000,03500RURAL HEALTH CLINIC 45954,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45954,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45954,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45954,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45954,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45954,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45954,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45954,A000000,04400,0000,04400DME RENTED - HHA 45954,A000000,04500,0000,04500DME SOLD - HHA 45954,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45954,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45954,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45954,A000000,04800,0000,04800AMBULANCE 45954,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45954,A000000,05000,0000,05000CORF 45954,A000000,05010,0000,05010CMHC I 45954,A000000,05020,0000,05020OPT I 45954,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45954,A000000,05300,0000,05300INTEREST EXPENSE 45954,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45954,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45954,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45954,A000000,05500,0000,05500HOSPICE 45954,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45954,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45954,A000000,06100,0000,06100NONPAID WORKERS 45954,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45954,A000000,06200,0000,06200PATIENTS LAUNDRY 45954,A81000A,00100,0100,Y 45954,A81000B,00100,0300,HOME OFFICE ALLOCATION 45954,A81000B,00200,0300,THERACOR ACTUAL COSTS 45954,A81000B,00300,0300,THERACOR ACTUAL COSTS 45954,A81000B,00400,0300,THERACOR ACTUAL COSTS 45954,A81000C,00100,0100,B 45954,A81000C,00100,0200,HARBORSIDE 45954,A81000C,00200,0200,HEALTHCARE 45954,A81000C,00300,0200,LIMITED PSHIP 45954,A81000C,00300,0600,MANAGEMENT CO 45954,A81000C,00500,0100,B 45954,A81000C,00500,0200,HARBORSIDE 45954,A81000C,00600,0200,REHABILITITAION 45954,A81000C,00700,0200,LIMITED PSHIP 45954,A81000C,00700,0600,THERAPY 45954,A81000C,00800,0600,SERVICE AND 45954,A81000C,00900,0600,MANAGEMENT CO 45954,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45954,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45954,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45954,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45954,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45954,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45954,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45954,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45954,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45954,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45954,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45954,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 45954,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45954,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45954,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45954,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45954,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 45954,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45954,S000000,00100,0200,06/01/2000 45954,S200000,00100,0100,27601 WESTCHESTER PARKWAY 45954,S200000,00200,0100,WESTLAKE 45954,S200000,00200,0200,OH 45954,S200000,00200,0300,45373- 45954,S200000,00300,0100,CUYAHOGO 45954,S200000,00400,0100,HHC - WESTLAKE 45954,S200000,00400,0200,365451 45954,S200000,00400,0300,07/01/1996 45954,S200000,00400,0500,P 45954,S200000,01600,0100,Y 45954,S200000,02200,0100,Y 45954,S200000,04700,0100,Y 45954,S200000,04900,0100,Y 45962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45962,A000000,00300,0000,00300EMPLOYEE BENEFITS 45962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45962,A000000,00700,0000,00700HOUSEKEEPING 45962,A000000,00800,0000,00800DIETARY 45962,A000000,00900,0000,00900NURSING ADMINISTRATION 45962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45962,A000000,01300,0000,01300SOCIAL SERVICE 45962,A000000,01350,0000,01500OTHER GENERAL SERVICES 45962,A000000,01600,0000,01600SKILLED NURSING FACILITY 45962,A000000,01800,0000,01800NURSING FACILITY 45962,A000000,02100,0000,02100RADIOLOGY 45962,A000000,02200,0000,02200LABORATORY 45962,A000000,02500,0000,02500PHYSICAL THERAPY 45962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45962,A000000,02700,0000,02700SPEECH PATHOLOGY 45962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45962,A000000,04800,0000,04800AMBULANCE 45962,A000000,05300,0000,05300INTEREST EXPENSE 45962,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45962,A000000,06100,0000,06100NONPAID WORKERS 45962,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45962,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 45962,A000000,06200,0000,06200PATIENTS LAUNDRY 45962,A81000A,00100,0100,Y 45962,A81000B,00100,0300,HOME OFFICE COSTS 45962,A81000B,00200,0300,HOME OFFICE COSTS 45962,A81000B,00300,0300,HOME OFFICE COSTS 45962,A81000C,00100,0100,A 45962,A81000C,00100,0200,DOULA GAITANAROS 45962,A81000C,00100,0400,PEARLVIEW CENTRAL OFFICE 45962,A81000C,00100,0600,HOME OFFICE 45962,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 45962,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 45962,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 45962,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 45962,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 45962,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 45962,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 45962,B100000,00000,0800,00001MEALS SERVED :DIETARY 45962,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 45962,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 45962,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 45962,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 45962,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 45962,S000000,00100,0200,06/01/2000 45962,S200000,00100,0100,4426 HOMESTEAD DRIVE 45962,S200000,00200,0100,BRUNSWICK 45962,S200000,00200,0200,OH 45962,S200000,00200,0300,44212- 45962,S200000,00300,0100,MEDINA 45962,S200000,00400,0100,PEARLVIEW EXTENDED CARE CENTER 45962,S200000,00400,0200,365452 45962,S200000,00400,0300,03/04/1980 45962,S200000,00400,0500,P 45962,S200000,01600,0100,Y 45962,S200000,04300,0100,Y 45970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45970,A000000,00300,0000,00300EMPLOYEE BENEFITS 45970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45970,A000000,00700,0000,00700HOUSEKEEPING 45970,A000000,00800,0000,00800DIETARY 45970,A000000,00900,0000,00900NURSING ADMINISTRATION 45970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45970,A000000,01100,0000,01100PHARMACY 45970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45970,A000000,01300,0000,01300SOCIAL SERVICE 45970,A000000,01350,0000,01500OTHER GENERAL SERVICES 45970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45970,A000000,01600,0000,01600SKILLED NURSING FACILITY 45970,A000000,01800,0000,01800NURSING FACILITY 45970,A000000,01900,0000,01900OTHER LONG TERM CARE 45970,A000000,02100,0000,02100RADIOLOGY 45970,A000000,02200,0000,02200LABORATORY 45970,A000000,02300,0000,02300INTRAVENOUS THERAPY 45970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45970,A000000,02500,0000,02500PHYSICAL THERAPY 45970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45970,A000000,02700,0000,02700SPEECH PATHOLOGY 45970,A000000,02800,0000,02800ELECTROCARDIOLOGY 45970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45970,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45970,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45970,A000000,03200,0000,03200SUPPORT SURFACES 45970,A000000,03400,0000,03400CLINIC 45970,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45970,A000000,03500,0000,03500RURAL HEALTH CLINIC 45970,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45970,A000000,04800,0000,04800AMBULANCE 45970,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45970,A000000,05000,0000,05000CORF 45970,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45970,A000000,05300,0000,05300INTEREST EXPENSE 45970,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45970,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45970,A000000,05500,0000,05500HOSPICE 45970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45970,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45970,A000000,06100,0000,06100NONPAID WORKERS 45970,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45970,A000000,06200,0000,06200PATIENTS LAUNDRY 45970,A81000A,00100,0100,Y 45970,A81000B,00100,0300,ADMINISTRATIVE OFFICES 45970,A81000B,00200,0300,ACCOUNTING SERVICES 45970,A81000C,00100,0100,B 45970,A81000C,00100,0200,GREENE WOOD MANOR 45970,A81000C,00100,0400,GREENE COUNTY 45970,A81000C,00100,0600,GOVERNMENT 45970,B100000,00000,0100,00000SQ. FT. :CAP REL COSTS - BLDGS & F 45970,B100000,00000,0250,00000SQ. FT. :CAP REL COSTS - MOVABLE E 45970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45970,B100000,00000,0500,00000SQ. FT. :PLANT OPERATION MAINT. & 45970,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 45970,B100000,00000,0750,00000SQ. FT. :HOUSEKEEPING 45970,B100000,00000,0800,00000MEALS SERVED :DIETARY 45970,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 45970,B100000,00000,1050,00000TIME :CENTRAL SERVICES & SUPPLY 45970,B100000,00000,1150,00000TIME :PHARMACY 45970,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 45970,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 45970,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45970,B100000,00000,1450,00000TIME :INTERNS & RESIDENTS (APPRVD 45970,S000000,00100,0200,04/27/2000 45970,S200000,00100,0100,711 DAYTON-XENIA ROAD 45970,S200000,00200,0100,XENIA 45970,S200000,00200,0200,OH 45970,S200000,00200,0300,45385- 45970,S200000,00300,0100,GREENE 45970,S200000,00400,0100,GREENEWOOD MANOR 45970,S200000,00400,0200,365454 45970,S200000,00400,0300,02/28/1980 45970,S200000,00400,0500,P 45970,S200000,01600,0100,Y 45979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45979,A000000,00300,0000,00300EMPLOYEE BENEFITS 45979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45979,A000000,00700,0000,00700HOUSEKEEPING 45979,A000000,00800,0000,00800DIETARY 45979,A000000,00900,0000,00900NURSING ADMINISTRATION 45979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45979,A000000,01100,0000,01100PHARMACY 45979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45979,A000000,01300,0000,01300SOCIAL SERVICE 45979,A000000,01350,0000,01500OTHER GENERAL SERVICES 45979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45979,A000000,01600,0000,01600SKILLED NURSING FACILITY 45979,A000000,01800,0000,01800NURSING FACILITY 45979,A000000,01900,0000,01900OTHER LONG TERM CARE 45979,A000000,02100,0000,02100RADIOLOGY 45979,A000000,02200,0000,02200LABORATORY 45979,A000000,02300,0000,02300INTRAVENOUS THERAPY 45979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45979,A000000,02500,0000,02500PHYSICAL THERAPY 45979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45979,A000000,02700,0000,02700SPEECH PATHOLOGY 45979,A000000,02800,0000,02800ELECTROCARDIOLOGY 45979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45979,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45979,A000000,03051,0000,03301ROUTINE MEDICAL EQUIPMENT 45979,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45979,A000000,03200,0000,03200SUPPORT SURFACES 45979,A000000,03400,0000,03400CLINIC 45979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45979,A000000,03500,0000,03500RURAL HEALTH CLINIC 45979,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45979,A000000,04800,0000,04800AMBULANCE 45979,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45979,A000000,05000,0000,05000CORF 45979,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45979,A000000,05300,0000,05300INTEREST EXPENSE 45979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45979,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45979,A000000,05500,0000,05500HOSPICE 45979,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45979,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45979,A000000,06100,0000,06100NONPAID WORKERS 45979,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45979,A000000,06200,0000,06200PATIENTS LAUNDRY 45979,A81000A,00100,0100,Y 45979,A81000B,00100,0300,ADMINISTRATORS SALARY 45979,A81000C,00100,0100,A 45979,A81000C,00100,0200,MICHELLE SCHNEIDER 45979,A81000C,00100,0400,IVY WOODS HEALTH CARE 45979,A81000C,00100,0600,ADMINISTRATOR 45979,A81000C,00200,0100,A 45979,A81000C,00200,0200,MICHELLE SCHNEIDER 45979,A81000C,00200,0400,HILLEBRAND HEALTH & REHAB 45979,A81000C,00200,0600,SHAREHOLDER 45979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45979,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45979,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45979,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45979,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45979,B100000,00000,0850,00000PATIENT DAYS :DIETARY 45979,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 45979,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 45979,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 45979,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45979,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45979,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 45979,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 45979,S000000,00100,0200,05/26/2000 45979,S200000,00100,0100,2025 WYOMING AVENUE 45979,S200000,00200,0100,CINCINNATI 45979,S200000,00200,0200,OH 45979,S200000,00200,0300,45205- 45979,S200000,00300,0100,HAMILTON 45979,S200000,00400,0100,IVY WOODS HEALTH CARE 45979,S200000,00400,0200,365455 45979,S200000,00400,0300,04/17/1980 45979,S200000,00400,0500,P 45979,S200000,01600,0100,Y 45994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45994,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 45994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45994,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 45994,A000000,00300,0000,00300EMPLOYEE BENEFITS 45994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45994,A000000,00700,0000,00700HOUSEKEEPING 45994,A000000,00800,0000,00800DIETARY 45994,A000000,00801,0000,00801CAFETERIA 45994,A000000,00900,0000,00900NURSING ADMINISTRATION 45994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45994,A000000,01100,0000,01100PHARMACY 45994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45994,A000000,01300,0000,01300SOCIAL SERVICE 45994,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 45994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 45994,A000000,01600,0000,01600SKILLED NURSING FACILITY 45994,A000000,01800,0000,01800NURSING FACILITY 45994,A000000,01900,0000,01900OTHER LONG TERM CARE 45994,A000000,02100,0000,02100RADIOLOGY 45994,A000000,02200,0000,02200LABORATORY 45994,A000000,02300,0000,02300INTRAVENOUS THERAPY 45994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45994,A000000,02500,0000,02500PHYSICAL THERAPY 45994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45994,A000000,02700,0000,02700SPEECH PATHOLOGY 45994,A000000,02800,0000,02800ELECTROCARDIOLOGY 45994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45994,A000000,03050,0000,03300OTHER ANCILLARY 45994,A000000,03051,0000,03301OTHER ANCILLARY II 45994,A000000,03052,0000,03302OTHER ANCILLARY III 45994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45994,A000000,03200,0000,03200SUPPORT SURFACES 45994,A000000,03400,0000,03400CLINIC 45994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 45994,A000000,03500,0000,03500RURAL HEALTH CLINIC 45994,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 45994,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 45994,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 45994,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 45994,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 45994,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 45994,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 45994,A000000,04400,0000,04400DME RENTED - HHA 45994,A000000,04500,0000,04500DME SOLD - HHA 45994,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 45994,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 45994,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45994,A000000,04800,0000,04800AMBULANCE 45994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45994,A000000,05000,0000,05000CORF 45994,A000000,05010,0000,05010CMHC I 45994,A000000,05020,0000,05020OPT I 45994,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45994,A000000,05300,0000,05300INTEREST EXPENSE 45994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 45994,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 45994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45994,A000000,05500,0000,05500HOSPICE 45994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45994,A000000,06100,0000,06100NONPAID WORKERS 45994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45994,A000000,06200,0000,06200PATIENTS LAUNDRY 45994,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 45994,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 45994,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 45994,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 45994,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 45994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45994,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 45994,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 45994,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 45994,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 45994,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 45994,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 45994,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 45994,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 45994,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 45994,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 45994,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 45994,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 45994,E10A180,00550,0300,06/07/2000 45994,S000000,00100,0200,03/27/2000 45994,S200000,00100,0100,751 KENSINGTON AVENUE 45994,S200000,00200,0100,MIDDLETOWN 45994,S200000,00200,0200,OH 45994,S200000,00300,0100,BUTLER 45994,S200000,00400,0100,BARBARA PARKE CARE CENTER 45994,S200000,00400,0200,365457 45994,S200000,00400,0300,02/01/1981 45994,S200000,00400,0500,P 45994,S200000,01600,0100,Y 45994,S200000,04300,0100,Y 45996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 45996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 45996,A000000,00300,0000,00300EMPLOYEE BENEFITS 45996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 45996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 45996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 45996,A000000,00700,0000,00700HOUSEKEEPING 45996,A000000,00800,0000,00800DIETARY 45996,A000000,00900,0000,00900NURSING ADMINISTRATION 45996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 45996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 45996,A000000,01300,0000,01300SOCIAL SERVICE 45996,A000000,01350,0000,01500ACTIVITIES 45996,A000000,01600,0000,01600SKILLED NURSING FACILITY 45996,A000000,01800,0000,01800NURSING FACILITY 45996,A000000,01810,0000,01801ICF/MR 45996,A000000,01900,0000,01900OTHER LONG TERM CARE 45996,A000000,02100,0000,02100RADIOLOGY 45996,A000000,02200,0000,02200LABORATORY 45996,A000000,02300,0000,02300INTRAVENOUS THERAPY 45996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 45996,A000000,02500,0000,02500PHYSICAL THERAPY 45996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 45996,A000000,02700,0000,02700SPEECH PATHOLOGY 45996,A000000,02800,0000,02800ELECTROCARDIOLOGY 45996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 45996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 45996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 45996,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 45996,A000000,03200,0000,03200SUPPORT SURFACES 45996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 45996,A000000,04750,0000,05100OTHER REIMBURSABLE COST 45996,A000000,04800,0000,04800AMBULANCE 45996,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 45996,A000000,05000,0000,05000CORF 45996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 45996,A000000,05300,0000,05300INTEREST EXPENSE 45996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 45996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 45996,A000000,05500,0000,05500HOSPICE 45996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 45996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 45996,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 45996,A000000,06100,0000,06100NONPAID WORKERS 45996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 45996,A000000,06200,0000,06200PATIENTS LAUNDRY 45996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 45996,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 45996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 45996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 45996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 45996,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 45996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 45996,B100000,00000,0800,00000MEALS SERVED :DIETARY 45996,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 45996,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 45996,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 45996,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 45996,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 45996,E10A180,00501,0300,06/07/2000 45996,S000000,00100,0200,06/02/2000 45996,S200000,00100,0100,751 KENSINGTON ST 45996,S200000,00200,0100,MIDDLETOWN 45996,S200000,00200,0200,OH 45996,S200000,00200,0300,45044- 45996,S200000,00300,0100,BUTLER 45996,S200000,00400,0100,BARBARA PARKE CARE CENTER 45996,S200000,00400,0200,365457 45996,S200000,00400,0300,02/01/1981 45996,S200000,00400,0500,P 45996,S200000,01500,0100,Y 46006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46006,A000000,00300,0000,00300EMPLOYEE BENEFITS 46006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46006,A000000,00700,0000,00700HOUSEKEEPING 46006,A000000,00800,0000,00800DIETARY 46006,A000000,00900,0000,00900NURSING ADMINISTRATION 46006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46006,A000000,01100,0000,01100PHARMACY 46006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46006,A000000,01300,0000,01300SOCIAL SERVICE 46006,A000000,01350,0000,01500ACTIVITIES 46006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46006,A000000,01600,0000,01600SKILLED NURSING FACILITY 46006,A000000,01800,0000,01800NURSING FACILITY 46006,A000000,01900,0000,01900OTHER LONG TERM CARE 46006,A000000,02100,0000,02100RADIOLOGY 46006,A000000,02200,0000,02200LABORATORY 46006,A000000,02300,0000,02300INTRAVENOUS THERAPY 46006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46006,A000000,02500,0000,02500PHYSICAL THERAPY 46006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46006,A000000,02700,0000,02700SPEECH PATHOLOGY 46006,A000000,02800,0000,02800ELECTROCARDIOLOGY 46006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46006,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46006,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46006,A000000,03200,0000,03200SUPPORT SURFACES 46006,A000000,03400,0000,03400CLINIC 46006,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46006,A000000,03500,0000,03500RURAL HEALTH CLINIC 46006,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46006,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46006,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46006,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46006,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46006,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46006,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46006,A000000,04400,0000,04400DME RENTED - HHA 46006,A000000,04500,0000,04500DME SOLD - HHA 46006,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46006,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46006,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46006,A000000,04800,0000,04800AMBULANCE 46006,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46006,A000000,05000,0000,05000CORF 46006,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46006,A000000,05300,0000,05300INTEREST EXPENSE 46006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46006,A000000,05500,0000,05500HOSPICE 46006,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46006,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46006,A000000,06100,0000,06100NONPAID WORKERS 46006,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46006,A000000,06200,0000,06200PATIENTS LAUNDRY 46006,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46006,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46006,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46006,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46006,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46006,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46006,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46006,B100000,00000,0800,00000MEALS SERVED :DIETARY 46006,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46006,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46006,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46006,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46006,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46006,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46006,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46006,S000000,00100,0200,06/05/2000 46006,S200000,00100,0100,11080 E. GYPSY LANE 46006,S200000,00200,0100,BOWLING GREEN 46006,S200000,00200,0200,OH 46006,S200000,00200,0300,43402- 46006,S200000,00300,0100,WOOD 46006,S200000,00400,0100,WOOD COUNTY NURSING HOME 46006,S200000,00400,0200,365458 46006,S200000,00400,0300,04/22/1980 46006,S200000,00400,0500,P 46006,S200000,01600,0100,Y 46006,S200000,04300,0100,Y 46006,S700003,00000,0100,1 46014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46014,A000000,00300,0000,00300EMPLOYEE BENEFITS 46014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46014,A000000,00700,0000,00700HOUSEKEEPING 46014,A000000,00800,0000,00800DIETARY 46014,A000000,00900,0000,00900NURSING ADMINISTRATION 46014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46014,A000000,01100,0000,01100PHARMACY 46014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46014,A000000,01300,0000,01300SOCIAL SERVICE 46014,A000000,01350,0000,01500OTHER GENERAL SERVICES 46014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46014,A000000,01600,0000,01600SKILLED NURSING FACILITY 46014,A000000,01800,0000,01800NURSING FACILITY 46014,A000000,01810,0000,01810ICF/MR 46014,A000000,01900,0000,01900OTHER LONG TERM CARE 46014,A000000,02100,0000,02100RADIOLOGY 46014,A000000,02200,0000,02200LABORATORY 46014,A000000,02300,0000,02300INTRAVENOUS THERAPY 46014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46014,A000000,02500,0000,02500PHYSICAL THERAPY 46014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46014,A000000,02700,0000,02700SPEECH PATHOLOGY 46014,A000000,02800,0000,02800ELECTROCARDIOLOGY 46014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46014,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46014,A000000,03051,0000,03301COMPLEX EQUIPMENT RENTAL 46014,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46014,A000000,03200,0000,03200SUPPORT SURFACES 46014,A000000,03400,0000,03400CLINIC 46014,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46014,A000000,03500,0000,03500RURAL HEALTH CLINIC 46014,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46014,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46014,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46014,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46014,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46014,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46014,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46014,A000000,04400,0000,04400DME RENTED - HHA 46014,A000000,04500,0000,04500DME SOLD - HHA 46014,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46014,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46014,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46014,A000000,04800,0000,04800AMBULANCE 46014,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46014,A000000,05000,0000,05000CORF 46014,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46014,A000000,05300,0000,05300INTEREST EXPENSE 46014,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46014,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46014,A000000,05500,0000,05500HOSPICE 46014,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46014,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46014,A000000,06100,0000,06100NONPAID WORKERS 46014,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46014,A000000,06200,0000,06200PATIENTS LAUNDRY 46014,A81000A,00100,0100,Y 46014,A81000B,00100,0300,HOME OFFICE COST 46014,A81000B,00200,0300,EDUCATION / TRAINING 46014,A81000B,00300,0300,PRESCRIPTION DRUGS 46014,A81000B,00400,0300,OFFICE SUPPLIES 46014,A81000B,00500,0300,MAINTENANCE SUPPLIES 46014,A81000B,00600,0300,LAUNDRY SUPPLIES 46014,A81000B,00700,0300,HOUSEKEEPING SUPPLIES 46014,A81000B,00800,0300,DIETARY SUPPLIES 46014,A81000B,00900,0300,MEDICAL SUPPLIES 46014,A81000B,01000,0300,THERAPY SUPPLIES 46014,A81000C,00100,0100,D 46014,A81000C,00100,0200,JOHN J MASTERNICK JR 46014,A81000C,00100,0400,MEDI-RX INC 46014,A81000C,00100,0600,PHARMACY 46014,A81000C,00200,0100,A 46014,A81000C,00200,0200,JOHN MASTERNICK 46014,A81000C,00200,0400,TRADEMASTERS 46014,A81000C,00200,0600,SUPPLIES 46014,A81000C,00300,0100,D 46014,A81000C,00300,0200,JOHN J MASTERNICK JR 46014,A81000C,00300,0400,TRADEMASTERS 46014,A81000C,00300,0600,SUPPLIES 46014,A81000C,00400,0100,D 46014,A81000C,00400,0200,LEO S GRIMES 46014,A81000C,00400,0400,TRADEMASTERS 46014,A81000C,00400,0600,SUPPLIES 46014,A81000C,00500,0100,A 46014,A81000C,00500,0200,JOHN MASTERNICK 46014,A81000C,00500,0400,WINDSOR TRAINING CENTER 46014,A81000C,00500,0600,EDUCATION 46014,A81000C,00600,0100,A 46014,A81000C,00600,0200,JOHN MASTERNICK 46014,A81000C,00600,0400,WINDSOR HOUSE INC 46014,A81000C,00600,0600,HOME OFFICE COST 46014,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46014,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46014,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46014,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46014,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46014,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46014,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46014,B100000,00000,0800,00000MEALS SERVED :DIETARY 46014,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46014,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46014,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46014,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46014,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46014,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46014,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46014,S000000,00100,0200,06/02/2000 46014,S200000,00100,0100,1735 BELMONT AVE. 46014,S200000,00200,0100,YOUNGSTOWN 46014,S200000,00200,0200,OH 46014,S200000,00200,0300,44504- 46014,S200000,00300,0100,MAHONING 46014,S200000,00400,0100,WINDSOR HEALTH CARE CENTER 46014,S200000,00400,0200,365460 46014,S200000,00400,0300,01/01/1980 46014,S200000,00400,0500,P 46014,S200000,01500,0100,Y 46023,S000000,00100,0200,06/01/2000 46032,S000000,00100,0200,05/31/2000 46039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46039,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46039,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46039,A000000,00300,0000,00300EMPLOYEE BENEFITS 46039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46039,A000000,00700,0000,00700HOUSEKEEPING 46039,A000000,00800,0000,00800DIETARY 46039,A000000,00801,0000,00801CAFETERIA 46039,A000000,00900,0000,00900NURSING ADMINISTRATION 46039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46039,A000000,01100,0000,01100PHARMACY 46039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46039,A000000,01300,0000,01300SOCIAL SERVICE 46039,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46039,A000000,01600,0000,01600SKILLED NURSING FACILITY 46039,A000000,01800,0000,01800NURSING FACILITY 46039,A000000,01900,0000,01900OTHER LONG TERM CARE 46039,A000000,02100,0000,02100RADIOLOGY 46039,A000000,02200,0000,02200LABORATORY 46039,A000000,02300,0000,02300INTRAVENOUS THERAPY 46039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46039,A000000,02500,0000,02500PHYSICAL THERAPY 46039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46039,A000000,02700,0000,02700SPEECH PATHOLOGY 46039,A000000,02800,0000,02800ELECTROCARDIOLOGY 46039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46039,A000000,03050,0000,03300OTHER ANCILLARY 46039,A000000,03051,0000,03301OTHER ANCILLARY II 46039,A000000,03052,0000,03302OTHER ANCILLARY III 46039,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46039,A000000,03200,0000,03200SUPPORT SURFACES 46039,A000000,03400,0000,03400CLINIC 46039,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46039,A000000,03500,0000,03500RURAL HEALTH CLINIC 46039,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46039,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46039,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46039,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46039,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46039,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46039,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46039,A000000,04400,0000,04400DME RENTED - HHA 46039,A000000,04500,0000,04500DME SOLD - HHA 46039,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46039,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46039,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46039,A000000,04800,0000,04800AMBULANCE 46039,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46039,A000000,05000,0000,05000CORF 46039,A000000,05010,0000,05010CMHC I 46039,A000000,05020,0000,05020OPT I 46039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46039,A000000,05300,0000,05300INTEREST EXPENSE 46039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46039,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46039,A000000,05500,0000,05500HOSPICE 46039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46039,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46039,A000000,06100,0000,06100NONPAID WORKERS 46039,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46039,A000000,06200,0000,06200PATIENTS LAUNDRY 46039,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46039,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46039,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46039,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46039,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46039,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46039,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46039,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46039,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46039,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46039,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46039,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46039,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46039,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46039,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46039,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46039,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46039,S000000,00100,0200,06/05/2000 46039,S200000,00100,0100,3125 EAST PIKE 46039,S200000,00200,0100,ZANESVILLE 46039,S200000,00200,0200,OH 46039,S200000,00200,0300,43701- 46039,S200000,00300,0100,MUSKINGUM 46039,S200000,00400,0100,OHIO DISTRICT COUNCIL NURSING HOME 46039,S200000,00400,0200,365464 46039,S200000,00400,0300,03/06/1980 46039,S200000,00400,0500,P 46039,S200000,01500,0100,Y 46048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46048,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46048,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46048,A000000,00300,0000,00300EMPLOYEE BENEFITS 46048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46048,A000000,00700,0000,00700HOUSEKEEPING 46048,A000000,00800,0000,00800DIETARY 46048,A000000,00801,0000,00801CAFETERIA 46048,A000000,00900,0000,00900NURSING ADMINISTRATION 46048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46048,A000000,01100,0000,01100PHARMACY 46048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46048,A000000,01300,0000,01300SOCIAL SERVICE 46048,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46048,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46048,A000000,01600,0000,01600SKILLED NURSING FACILITY 46048,A000000,01800,0000,01800NURSING FACILITY 46048,A000000,01900,0000,01900OTHER LONG TERM CARE 46048,A000000,02100,0000,02100RADIOLOGY 46048,A000000,02200,0000,02200LABORATORY 46048,A000000,02300,0000,02300INTRAVENOUS THERAPY 46048,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46048,A000000,02500,0000,02500PHYSICAL THERAPY 46048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46048,A000000,02700,0000,02700SPEECH PATHOLOGY 46048,A000000,02800,0000,02800ELECTROCARDIOLOGY 46048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46048,A000000,03050,0000,03300OTHER ANCILLARY 46048,A000000,03051,0000,03301OTHER ANCILLARY II 46048,A000000,03052,0000,03302OTHER ANCILLARY III 46048,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46048,A000000,03200,0000,03200SUPPORT SURFACES 46048,A000000,03400,0000,03400CLINIC 46048,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46048,A000000,03500,0000,03500RURAL HEALTH CLINIC 46048,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46048,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46048,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46048,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46048,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46048,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46048,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46048,A000000,04400,0000,04400DME RENTED - HHA 46048,A000000,04500,0000,04500DME SOLD - HHA 46048,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46048,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46048,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46048,A000000,04800,0000,04800AMBULANCE 46048,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46048,A000000,05000,0000,05000CORF 46048,A000000,05010,0000,05010CMHC I 46048,A000000,05020,0000,05020OPT I 46048,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46048,A000000,05300,0000,05300INTEREST EXPENSE 46048,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46048,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46048,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46048,A000000,05500,0000,05500HOSPICE 46048,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46048,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46048,A000000,06100,0000,06100NONPAID WORKERS 46048,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46048,A000000,06200,0000,06200PATIENTS LAUNDRY 46048,A81000A,00100,0100,Y 46048,A81000B,00100,0300,H/O NURSING 46048,A81000B,00200,0300,H/O A&G 46048,A81000B,00300,0300,H/O 46048,A81000B,00400,0300,H/O RENT 46048,A81000B,00500,0300,H/O NON REIMBURSABLE 46048,A81000B,00600,0300,H/O THERAPIES 46048,A81000C,00100,0100,A 46048,A81000C,00100,0200,GLYNDON POWELL 46048,A81000C,00100,0400,CHSHO INC. 46048,A81000C,00100,0600,HOME OFFICE 46048,A81000C,00200,0100,A 46048,A81000C,00200,0200,ED BYINGTON 46048,A81000C,00200,0400,CHSHO INC. 46048,A81000C,00200,0600,HOME OFFICE 46048,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46048,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46048,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46048,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46048,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46048,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46048,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46048,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46048,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46048,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46048,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46048,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46048,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46048,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46048,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46048,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46048,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46048,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46048,E10A180,00350,0300,06/15/1998 46048,S000000,00100,0200,06/01/2000 46048,S200000,00100,0100,717 SOUTH 30TH STREET 46048,S200000,00200,0100,HEATH 46048,S200000,00200,0200,OH 46048,S200000,00300,0100,LICKING 46048,S200000,00400,0100,HEATH NURSING & CONVALESCENT CENTER 46048,S200000,00400,0200,365466 46048,S200000,00400,0300,04/10/1980 46048,S200000,00400,0500,P 46048,S200000,01500,0100,Y 46048,S200000,02800,0100,Y 46048,S700003,00000,0100,1 46060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46060,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46060,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46060,A000000,00300,0000,00300EMPLOYEE BENEFITS 46060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46060,A000000,00700,0000,00700HOUSEKEEPING 46060,A000000,00800,0000,00800DIETARY 46060,A000000,00801,0000,00801CAFETERIA 46060,A000000,00900,0000,00900NURSING ADMINISTRATION 46060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46060,A000000,01100,0000,01100PHARMACY 46060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46060,A000000,01300,0000,01300SOCIAL SERVICE 46060,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46060,A000000,01600,0000,01600SKILLED NURSING FACILITY 46060,A000000,01800,0000,01800NURSING FACILITY 46060,A000000,01900,0000,01900OTHER LONG TERM CARE 46060,A000000,02100,0000,02100RADIOLOGY 46060,A000000,02200,0000,02200LABORATORY 46060,A000000,02300,0000,02300INTRAVENOUS THERAPY 46060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46060,A000000,02500,0000,02500PHYSICAL THERAPY 46060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46060,A000000,02700,0000,02700SPEECH PATHOLOGY 46060,A000000,02800,0000,02800ELECTROCARDIOLOGY 46060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46060,A000000,03050,0000,03300OTHER ANCILLARY 46060,A000000,03051,0000,03301OTHER ANCILLARY II 46060,A000000,03052,0000,03302OTHER ANCILLARY III 46060,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46060,A000000,03200,0000,03200SUPPORT SURFACES 46060,A000000,03400,0000,03400CLINIC 46060,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46060,A000000,03500,0000,03500RURAL HEALTH CLINIC 46060,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46060,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46060,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46060,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46060,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46060,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46060,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46060,A000000,04400,0000,04400DME RENTED - HHA 46060,A000000,04500,0000,04500DME SOLD - HHA 46060,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46060,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46060,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46060,A000000,04800,0000,04800AMBULANCE 46060,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46060,A000000,05000,0000,05000CORF 46060,A000000,05010,0000,05010CMHC I 46060,A000000,05020,0000,05020OPT I 46060,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46060,A000000,05300,0000,05300INTEREST EXPENSE 46060,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46060,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46060,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46060,A000000,05500,0000,05500HOSPICE 46060,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46060,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46060,A000000,06100,0000,06100NONPAID WORKERS 46060,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46060,A000000,06200,0000,06200PATIENTS LAUNDRY 46060,A81000A,00100,0100,Y 46060,A81000B,00100,0300,RELATED PARTY RENT 46060,A81000B,00200,0300,RELATED PARTY DEPR - BLDG 46060,A81000B,00300,0300,RELATED PARTY DEPR - EQUIP 46060,A81000B,00400,0300,RELATED PARTY AMORT 46060,A81000B,00500,0300,RELATED PARTY INTEREST 46060,A81000C,00100,0100,A 46060,A81000C,00100,0200,RAY SCHNEIDER 46060,A81000C,00100,0400,TO LIFE LTD. 46060,A81000C,00100,0600,REAL ESTATE 46060,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46060,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46060,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46060,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46060,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46060,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46060,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46060,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46060,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46060,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46060,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46060,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46060,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46060,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46060,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46060,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46060,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46060,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46060,S000000,00100,0200,06/01/2000 46060,S200000,00100,0100,6969 GLENMEADOW LANE 46060,S200000,00200,0100,CINCINNATI 46060,S200000,00200,0200,OH 46060,S200000,00200,0300,45237- 46060,S200000,00300,0100,HAMILTON 46060,S200000,00400,0100,HARMONY HEALTH CARE INC 46060,S200000,00400,0200,365468 46060,S200000,00400,0300,05/13/1980 46060,S200000,00400,0500,P 46060,S200000,01500,0100,Y 46060,S200000,02800,0100,Y 46060,S200000,04300,0100,Y 46060,S700003,00000,0100,1 46068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46068,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46068,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46068,A000000,00300,0000,00300EMPLOYEE BENEFITS 46068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46068,A000000,00700,0000,00700HOUSEKEEPING 46068,A000000,00800,0000,00800DIETARY 46068,A000000,00801,0000,00801CAFETERIA 46068,A000000,00900,0000,00900NURSING ADMINISTRATION 46068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46068,A000000,01100,0000,01100PHARMACY 46068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46068,A000000,01300,0000,01300SOCIAL SERVICE 46068,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46068,A000000,01600,0000,01600SKILLED NURSING FACILITY 46068,A000000,01800,0000,01800NURSING FACILITY 46068,A000000,01900,0000,01900OTHER LONG TERM CARE 46068,A000000,02100,0000,02100RADIOLOGY 46068,A000000,02200,0000,02200LABORATORY 46068,A000000,02300,0000,02300INTRAVENOUS THERAPY 46068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46068,A000000,02500,0000,02500PHYSICAL THERAPY 46068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46068,A000000,02700,0000,02700SPEECH PATHOLOGY 46068,A000000,02800,0000,02800ELECTROCARDIOLOGY 46068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46068,A000000,03050,0000,03300OTHER ANCILLARY 46068,A000000,03051,0000,03301OTHER ANCILLARY II 46068,A000000,03052,0000,03302OTHER ANCILLARY III 46068,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46068,A000000,03200,0000,03200SUPPORT SURFACES 46068,A000000,03400,0000,03400CLINIC 46068,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46068,A000000,03500,0000,03500RURAL HEALTH CLINIC 46068,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46068,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46068,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46068,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46068,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46068,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46068,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46068,A000000,04400,0000,04400DME RENTED - HHA 46068,A000000,04500,0000,04500DME SOLD - HHA 46068,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46068,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46068,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46068,A000000,04800,0000,04800AMBULANCE 46068,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46068,A000000,05000,0000,05000CORF 46068,A000000,05010,0000,05010CMHC I 46068,A000000,05020,0000,05020OPT I 46068,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46068,A000000,05300,0000,05300INTEREST EXPENSE 46068,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46068,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46068,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46068,A000000,05500,0000,05500HOSPICE 46068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46068,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46068,A000000,06100,0000,06100NONPAID WORKERS 46068,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46068,A000000,06200,0000,06200PATIENTS LAUNDRY 46068,A81000A,00100,0100,Y 46068,A81000B,00100,0300,H/O NURSING 46068,A81000B,00200,0300,H/O A&G 46068,A81000B,00300,0300,H/O 46068,A81000B,00400,0300,H/O RENT 46068,A81000B,00500,0300,H/O NON REIMBURSABLE 46068,A81000B,00600,0300,H/O THERAPIES 46068,A81000C,00100,0100,A 46068,A81000C,00100,0200,GLYNDON POWELL 46068,A81000C,00100,0400,CHSHO INC 46068,A81000C,00100,0600,HOME OFFICE 46068,A81000C,00200,0100,A 46068,A81000C,00200,0200,ED BYINGTON 46068,A81000C,00200,0400,CHSHO INC 46068,A81000C,00200,0600,HOME OFFICE 46068,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46068,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46068,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46068,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46068,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46068,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46068,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46068,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46068,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46068,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46068,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46068,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46068,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46068,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46068,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46068,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46068,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46068,S000000,00100,0200,06/01/2000 46068,S200000,00100,0100,4000 GOLDEN AGE DRIVE 46068,S200000,00200,0100,BATAVIA 46068,S200000,00200,0200,OH 46068,S200000,00300,0100,CLERMONT 46068,S200000,00400,0100,BATAVIA NURSING & CONVALESCENT INN 46068,S200000,00400,0200,365469 46068,S200000,00400,0300,04/30/1980 46068,S200000,00400,0500,P 46068,S200000,01500,0100,Y 46068,S200000,02800,0100,Y 46068,S200000,04300,0100,Y 46084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46084,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46084,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46084,A000000,00300,0000,00300EMPLOYEE BENEFITS 46084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46084,A000000,00700,0000,00700HOUSEKEEPING 46084,A000000,00800,0000,00800DIETARY 46084,A000000,00801,0000,00801CAFETERIA 46084,A000000,00900,0000,00900NURSING ADMINISTRATION 46084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46084,A000000,01100,0000,01100PHARMACY 46084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46084,A000000,01300,0000,01300SOCIAL SERVICE 46084,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46084,A000000,01600,0000,01600SKILLED NURSING FACILITY 46084,A000000,01800,0000,01800NURSING FACILITY 46084,A000000,01900,0000,01900OTHER LONG TERM CARE 46084,A000000,02100,0000,02100RADIOLOGY 46084,A000000,02200,0000,02200LABORATORY 46084,A000000,02300,0000,02300INTRAVENOUS THERAPY 46084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46084,A000000,02500,0000,02500PHYSICAL THERAPY 46084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46084,A000000,02700,0000,02700SPEECH PATHOLOGY 46084,A000000,02800,0000,02800ELECTROCARDIOLOGY 46084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46084,A000000,03050,0000,03300OTHER ANCILLARY 46084,A000000,03051,0000,03301OTHER ANCILLARY II 46084,A000000,03052,0000,03302OTHER ANCILLARY III 46084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46084,A000000,03200,0000,03200SUPPORT SURFACES 46084,A000000,03400,0000,03400CLINIC 46084,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46084,A000000,03500,0000,03500RURAL HEALTH CLINIC 46084,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46084,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46084,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46084,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46084,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46084,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46084,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46084,A000000,04400,0000,04400DME RENTED - HHA 46084,A000000,04500,0000,04500DME SOLD - HHA 46084,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46084,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46084,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46084,A000000,04800,0000,04800AMBULANCE 46084,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46084,A000000,05000,0000,05000CORF 46084,A000000,05010,0000,05010CMHC I 46084,A000000,05020,0000,05020OPT I 46084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46084,A000000,05300,0000,05300INTEREST EXPENSE 46084,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46084,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46084,A000000,05500,0000,05500HOSPICE 46084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46084,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46084,A000000,06100,0000,06100NONPAID WORKERS 46084,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46084,A000000,06200,0000,06200PATIENTS LAUNDRY 46084,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46084,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46084,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46084,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46084,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46084,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46084,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46084,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46084,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46084,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46084,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46084,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46084,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46084,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46084,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46084,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46084,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46084,S000000,00100,0200,03/27/2000 46084,S200000,00100,0100,6300 DALY ROAD 46084,S200000,00200,0100,CINCINNATI 46084,S200000,00200,0200,OH 46084,S200000,00300,0100,HAMILTON 46084,S200000,00400,0100,DALY PARKE CARE CENTER 46084,S200000,00400,0200,365473 46084,S200000,00400,0300,01/01/1983 46084,S200000,00400,0500,P 46084,S200000,01600,0100,Y 46084,S200000,04300,0100,Y 46086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46086,A000000,00300,0000,00300EMPLOYEE BENEFITS 46086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46086,A000000,00700,0000,00700HOUSEKEEPING 46086,A000000,00800,0000,00800DIETARY 46086,A000000,00900,0000,00900NURSING ADMINISTRATION 46086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46086,A000000,01300,0000,01300SOCIAL SERVICE 46086,A000000,01350,0000,01500ACTIVITIES 46086,A000000,01600,0000,01600SKILLED NURSING FACILITY 46086,A000000,01800,0000,01800NURSING FACILITY 46086,A000000,01810,0000,01801ICF/MR 46086,A000000,01900,0000,01900OTHER LONG TERM CARE 46086,A000000,02100,0000,02100RADIOLOGY 46086,A000000,02200,0000,02200LABORATORY 46086,A000000,02300,0000,02300INTRAVENOUS THERAPY 46086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46086,A000000,02500,0000,02500PHYSICAL THERAPY 46086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46086,A000000,02700,0000,02700SPEECH PATHOLOGY 46086,A000000,02800,0000,02800ELECTROCARDIOLOGY 46086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46086,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46086,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46086,A000000,03200,0000,03200SUPPORT SURFACES 46086,A000000,03400,0000,03400CLINIC 46086,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46086,A000000,03500,0000,03500RURAL HEALTH CLINIC 46086,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46086,A000000,04800,0000,04800AMBULANCE 46086,A000000,05000,0000,05000CORF 46086,A000000,05300,0000,05300INTEREST EXPENSE 46086,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46086,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46086,A000000,05500,0000,05500HOSPICE 46086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46086,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46086,A000000,06200,0000,06200PATIENTS LAUNDRY 46086,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46086,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46086,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46086,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46086,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46086,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46086,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46086,B100000,00000,0800,00000MEALS SERVED :DIETARY 46086,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 46086,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46086,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46086,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46086,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46086,E10A180,00550,0300,06/02/2000 46086,S000000,00100,0200,05/31/2000 46086,S200000,00100,0100,6300 DALY ROAD 46086,S200000,00200,0100,CINCINNATI 46086,S200000,00200,0200,OH 46086,S200000,00200,0300,45224- 46086,S200000,00300,0100,HAMILTON 46086,S200000,00400,0100,DALY PARKE CARE CENTER 46086,S200000,00400,0200,365473 46086,S200000,00400,0300,01/01/1983 46086,S200000,00400,0500,P 46086,S200000,01500,0100,Y 46086,S700003,00000,0200,2 46097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46097,A000000,00300,0000,00300EMPLOYEE BENEFITS 46097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46097,A000000,00700,0000,00700HOUSEKEEPING 46097,A000000,00800,0000,00800DIETARY 46097,A000000,00900,0000,00900NURSING ADMINISTRATION 46097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46097,A000000,01100,0000,01100PHARMACY 46097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46097,A000000,01300,0000,01300SOCIAL SERVICE 46097,A000000,01600,0000,01600SKILLED NURSING FACILITY 46097,A000000,01800,0000,01800NURSING FACILITY 46097,A000000,01900,0000,01900OTHER LONG TERM CARE 46097,A000000,02100,0000,02100RADIOLOGY 46097,A000000,02200,0000,02200LABORATORY 46097,A000000,02300,0000,02300INTRAVENOUS THERAPY 46097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46097,A000000,02500,0000,02500PHYSICAL THERAPY 46097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46097,A000000,02700,0000,02700SPEECH PATHOLOGY 46097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46097,A000000,03200,0000,03200SUPPORT SURFACES 46097,A000000,04800,0000,04800AMBULANCE 46097,A000000,05300,0000,05300INTEREST EXPENSE 46097,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46097,A000000,06150,0000,06300ENTERALS & OTHER FEE SCREEN 46097,A81000A,00100,0100,Y 46097,A81000B,00100,0300,RENT 46097,A81000B,00200,0300,INSURANCE 46097,A81000B,00300,0300,INSURANCE 46097,A81000B,00400,0300,HOME OFFICE COSTS 46097,A81000B,00500,0300,HOME OFFICE COSTS 46097,A81000B,00600,0300,HOME OFFICE INTEREST 46097,A81000C,00100,0100,A 46097,A81000C,00100,0200,KENNETH HUBBARD 46097,A81000C,00100,0400,HUBBARD H/C 46097,A81000C,00100,0600,MGMT COMPANY 46097,A81000C,00200,0100,B 46097,A81000C,00200,0200,KENNETH HUBBARD 46097,A81000C,00200,0400,LYNNHAVEN VI LLC 46097,A81000C,00200,0600,REAL ESTATE CO. 46097,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46097,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46097,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46097,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46097,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46097,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46097,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46097,B100000,00000,0800,00000MEALS SERVED :DIETARY 46097,B100000,00000,0900,00000DIRECT NRSG HOURS :NURSING ADMINIST 46097,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46097,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46097,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46097,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46097,S000000,00100,0200,06/02/2000 46097,S200000,00100,0100,535 LEXINGTON AVENUE 46097,S200000,00200,0100,MANSFIELD 46097,S200000,00200,0200,OH 46097,S200000,00200,0300,44907-1588 46097,S200000,00300,0100,RICHLAND 46097,S200000,00400,0100,WOODLAWN NURSING HOME 46097,S200000,00400,0200,365475 46097,S200000,00400,0300,06/01/1995 46097,S200000,00400,0500,P 46097,S200000,01600,0100,Y 46097,S200000,04300,0100,Y 46097,S200000,04700,0100,Y 46104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46104,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46104,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46104,A000000,00300,0000,00300EMPLOYEE BENEFITS 46104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46104,A000000,00700,0000,00700HOUSEKEEPING 46104,A000000,00800,0000,00800DIETARY 46104,A000000,00801,0000,00801CAFETERIA 46104,A000000,00900,0000,00900NURSING ADMINISTRATION 46104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46104,A000000,01100,0000,01100PHARMACY 46104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46104,A000000,01300,0000,01300SOCIAL SERVICE 46104,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46104,A000000,01600,0000,01600SKILLED NURSING FACILITY 46104,A000000,01800,0000,01800NURSING FACILITY 46104,A000000,01900,0000,01900OTHER LONG TERM CARE 46104,A000000,02100,0000,02100RADIOLOGY 46104,A000000,02200,0000,02200LABORATORY 46104,A000000,02300,0000,02300INTRAVENOUS THERAPY 46104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46104,A000000,02500,0000,02500PHYSICAL THERAPY 46104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46104,A000000,02700,0000,02700SPEECH PATHOLOGY 46104,A000000,02800,0000,02800ELECTROCARDIOLOGY 46104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46104,A000000,03050,0000,03300OTHER ANCILLARY 46104,A000000,03051,0000,03301OTHER ANCILLARY II 46104,A000000,03052,0000,03302OTHER ANCILLARY III 46104,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46104,A000000,03200,0000,03200SUPPORT SURFACES 46104,A000000,03400,0000,03400CLINIC 46104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46104,A000000,03500,0000,03500RURAL HEALTH CLINIC 46104,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46104,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46104,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46104,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46104,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46104,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46104,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46104,A000000,04400,0000,04400DME RENTED - HHA 46104,A000000,04500,0000,04500DME SOLD - HHA 46104,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46104,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46104,A000000,04800,0000,04800AMBULANCE 46104,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46104,A000000,05000,0000,05000CORF 46104,A000000,05010,0000,05010CMHC I 46104,A000000,05020,0000,05020OPT I 46104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46104,A000000,05300,0000,05300INTEREST EXPENSE 46104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46104,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46104,A000000,05500,0000,05500HOSPICE 46104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46104,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46104,A000000,06100,0000,06100NONPAID WORKERS 46104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46104,A000000,06200,0000,06200PATIENTS LAUNDRY 46104,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46104,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46104,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46104,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46104,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46104,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46104,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46104,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46104,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46104,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46104,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46104,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46104,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46104,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46104,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46104,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46104,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46104,S000000,00100,0200,03/27/2000 46104,S200000,00100,0100,6922 OHIO AVENUE 46104,S200000,00200,0100,CINCINNATI 46104,S200000,00200,0200,OH 46104,S200000,00300,0100,HAMILTON 46104,S200000,00400,0100,DEER PARKE CARE CENTER 46104,S200000,00400,0200,365476 46104,S200000,00400,0300,01/01/1983 46104,S200000,00400,0500,P 46104,S200000,01600,0100,Y 46104,S200000,04300,0100,Y 46106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46106,A000000,00300,0000,00300EMPLOYEE BENEFITS 46106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46106,A000000,00700,0000,00700HOUSEKEEPING 46106,A000000,00800,0000,00800DIETARY 46106,A000000,00900,0000,00900NURSING ADMINISTRATION 46106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46106,A000000,01300,0000,01300SOCIAL SERVICE 46106,A000000,01350,0000,01500ACTIVITIES 46106,A000000,01600,0000,01600SKILLED NURSING FACILITY 46106,A000000,01800,0000,01800NURSING FACILITY 46106,A000000,01810,0000,01801ICF/MR 46106,A000000,01900,0000,01900OTHER LONG TERM CARE 46106,A000000,02100,0000,02100RADIOLOGY 46106,A000000,02200,0000,02200LABORATORY 46106,A000000,02300,0000,02300INTRAVENOUS THERAPY 46106,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46106,A000000,02500,0000,02500PHYSICAL THERAPY 46106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46106,A000000,02700,0000,02700SPEECH PATHOLOGY 46106,A000000,02800,0000,02800ELECTROCARDIOLOGY 46106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46106,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46106,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46106,A000000,03200,0000,03200SUPPORT SURFACES 46106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46106,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46106,A000000,04800,0000,04800AMBULANCE 46106,A000000,05000,0000,05000CORF 46106,A000000,05300,0000,05300INTEREST EXPENSE 46106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46106,A000000,05500,0000,05500HOSPICE 46106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46106,A000000,06200,0000,06200PATIENTS LAUNDRY 46106,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46106,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46106,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46106,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46106,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46106,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46106,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46106,B100000,00000,0800,00000MEALS SERVED :DIETARY 46106,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 46106,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46106,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46106,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46106,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46106,E10A180,00550,0300,06/08/2000 46106,S000000,00100,0200,05/31/2000 46106,S200000,00100,0100,6922 OHIO AVENUE 46106,S200000,00200,0100,CINCINNATI 46106,S200000,00200,0200,OH 46106,S200000,00200,0300,45236- 46106,S200000,00300,0100,HAMILTON 46106,S200000,00400,0100,DEER PARKE CARE CENTER 46106,S200000,00400,0200,365476 46106,S200000,00400,0300,01/01/1983 46106,S200000,00400,0500,P 46106,S200000,01500,0100,Y 46117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46117,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46117,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46117,A000000,00300,0000,00300EMPLOYEE BENEFITS 46117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46117,A000000,00700,0000,00700HOUSEKEEPING 46117,A000000,00800,0000,00800DIETARY 46117,A000000,00801,0000,00801CAFETERIA 46117,A000000,00900,0000,00900NURSING ADMINISTRATION 46117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46117,A000000,01100,0000,01100PHARMACY 46117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46117,A000000,01300,0000,01300SOCIAL SERVICE 46117,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46117,A000000,01600,0000,01600SKILLED NURSING FACILITY 46117,A000000,01800,0000,01800NURSING FACILITY 46117,A000000,01900,0000,01900OTHER LONG TERM CARE 46117,A000000,02100,0000,02100RADIOLOGY 46117,A000000,02200,0000,02200LABORATORY 46117,A000000,02300,0000,02300INTRAVENOUS THERAPY 46117,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46117,A000000,02500,0000,02500PHYSICAL THERAPY 46117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46117,A000000,02700,0000,02700SPEECH PATHOLOGY 46117,A000000,02800,0000,02800ELECTROCARDIOLOGY 46117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46117,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 46117,A000000,03051,0000,03301OTHER ANCILLARY II 46117,A000000,03052,0000,03302OTHER ANCILLARY III 46117,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46117,A000000,03200,0000,03200SUPPORT SURFACES 46117,A000000,03400,0000,03400CLINIC 46117,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46117,A000000,03500,0000,03500RURAL HEALTH CLINIC 46117,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46117,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46117,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46117,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46117,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46117,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46117,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46117,A000000,04400,0000,04400DME RENTED - HHA 46117,A000000,04500,0000,04500DME SOLD - HHA 46117,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46117,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46117,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46117,A000000,04800,0000,04800AMBULANCE 46117,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46117,A000000,05000,0000,05000CORF 46117,A000000,05010,0000,05010CMHC I 46117,A000000,05020,0000,05020OPT I 46117,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46117,A000000,05300,0000,05300INTEREST EXPENSE 46117,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46117,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46117,A000000,05500,0000,05500HOSPICE 46117,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46117,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46117,A000000,06100,0000,06100NONPAID WORKERS 46117,A000000,06150,0000,06300DAYCARE COSTS 46117,A000000,06200,0000,06200PATIENTS LAUNDRY 46117,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46117,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46117,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46117,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46117,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46117,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46117,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46117,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46117,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46117,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46117,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46117,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46117,E10A180,00501,0100,06/30/2000 46117,S000000,00100,0200,05/31/2000 46117,S200000,00100,0100,850 S. MARSIELLE 46117,S200000,00200,0100,UPPER SANDUSKY 46117,S200000,00200,0200,OH 46117,S200000,00300,0100,WYANDOT 46117,S200000,00300,0200,36 46117,S200000,00300,0300,R 46117,S200000,00400,0100,FAIRHAVEN COMMUNITY 46117,S200000,00400,0200,365478 46117,S200000,00400,0300,01/01/1979 46117,S200000,00400,0500,P 46117,S200000,01500,0100,Y 46117,S200000,02200,0100,Y 46117,S200000,02800,0100,Y 46117,S200000,04700,0100,Y 46117,S200000,04700,0200,Y 46125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46125,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46125,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46125,A000000,00300,0000,00300EMPLOYEE BENEFITS 46125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46125,A000000,00700,0000,00700HOUSEKEEPING 46125,A000000,00800,0000,00800DIETARY 46125,A000000,00801,0000,00801CAFETERIA 46125,A000000,00900,0000,00900NURSING ADMINISTRATION 46125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46125,A000000,01100,0000,01100PHARMACY 46125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46125,A000000,01300,0000,01300SOCIAL SERVICE 46125,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46125,A000000,01600,0000,01600SKILLED NURSING FACILITY 46125,A000000,01800,0000,01800NURSING FACILITY 46125,A000000,01900,0000,01900OTHER LONG TERM CARE 46125,A000000,02100,0000,02100RADIOLOGY 46125,A000000,02200,0000,02200LABORATORY 46125,A000000,02300,0000,02300INTRAVENOUS THERAPY 46125,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46125,A000000,02500,0000,02500PHYSICAL THERAPY 46125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46125,A000000,02700,0000,02700SPEECH PATHOLOGY 46125,A000000,02800,0000,02800ELECTROCARDIOLOGY 46125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46125,A000000,03050,0000,03300OTHER ANCILLARY 46125,A000000,03051,0000,03301OTHER ANCILLARY II 46125,A000000,03052,0000,03302OTHER ANCILLARY III 46125,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46125,A000000,03200,0000,03200SUPPORT SURFACES 46125,A000000,03400,0000,03400CLINIC 46125,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46125,A000000,03500,0000,03500RURAL HEALTH CLINIC 46125,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46125,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46125,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46125,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46125,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46125,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46125,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46125,A000000,04400,0000,04400DME RENTED - HHA 46125,A000000,04500,0000,04500DME SOLD - HHA 46125,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46125,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46125,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46125,A000000,04800,0000,04800AMBULANCE 46125,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46125,A000000,05000,0000,05000CORF 46125,A000000,05010,0000,05010CMHC I 46125,A000000,05020,0000,05020OPT I 46125,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46125,A000000,05300,0000,05300INTEREST EXPENSE 46125,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46125,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46125,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46125,A000000,05500,0000,05500HOSPICE 46125,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46125,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46125,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46125,A000000,06100,0000,06100NONPAID WORKERS 46125,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46125,A000000,06200,0000,06200PATIENTS LAUNDRY 46125,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46125,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46125,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46125,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46125,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46125,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46125,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46125,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46125,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46125,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46125,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46125,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46125,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46125,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46125,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46125,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46125,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46125,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46125,S000000,00100,0200,03/27/2000 46125,S200000,00100,0100,6128 SALEM ROAD 46125,S200000,00200,0100,CINCINNATI 46125,S200000,00200,0200,OH 46125,S200000,00300,0100,HAMILTON 46125,S200000,00400,0100,SALEM PARKE CARE CENTER 46125,S200000,00400,0200,365480 46125,S200000,00400,0300,01/01/1980 46125,S200000,00400,0500,P 46125,S200000,01600,0100,Y 46125,S200000,04300,0100,Y 46126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46126,A000000,00300,0000,00300EMPLOYEE BENEFITS 46126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46126,A000000,00700,0000,00700HOUSEKEEPING 46126,A000000,00800,0000,00800DIETARY 46126,A000000,00900,0000,00900NURSING ADMINISTRATION 46126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46126,A000000,01300,0000,01300SOCIAL SERVICE 46126,A000000,01350,0000,01500ACTIVITIES 46126,A000000,01600,0000,01600SKILLED NURSING FACILITY 46126,A000000,01800,0000,01800NURSING FACILITY 46126,A000000,01810,0000,01810ICF/MR 46126,A000000,01900,0000,01900OTHER LONG TERM CARE 46126,A000000,02100,0000,02100RADIOLOGY 46126,A000000,02200,0000,02200LABORATORY 46126,A000000,02300,0000,02300INTRAVENOUS THERAPY 46126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46126,A000000,02500,0000,02500PHYSICAL THERAPY 46126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46126,A000000,02700,0000,02700SPEECH PATHOLOGY 46126,A000000,02800,0000,02800ELECTROCARDIOLOGY 46126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46126,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46126,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46126,A000000,03200,0000,03200SUPPORT SURFACES 46126,A000000,03400,0000,03400CLINIC 46126,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46126,A000000,03500,0000,03500RURAL HEALTH CLINIC 46126,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46126,A000000,04800,0000,04800AMBULANCE 46126,A000000,05300,0000,05300INTEREST EXPENSE 46126,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46126,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46126,A000000,05500,0000,05500HOSPICE 46126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46126,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46126,A000000,06200,0000,06200PATIENTS LAUNDRY 46126,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46126,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46126,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46126,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46126,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46126,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46126,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46126,B100000,00000,0800,00000MEALS SERVED :DIETARY 46126,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 46126,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46126,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46126,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46126,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46126,E10A180,00550,0300,06/07/2000 46126,S000000,00100,0200,06/02/2000 46126,S200000,00100,0100,6128 SALEM ROAD 46126,S200000,00200,0100,CINCINNATI 46126,S200000,00200,0200,OH 46126,S200000,00200,0300,45230- 46126,S200000,00300,0100,HAMILTON 46126,S200000,00300,0200,1640 46126,S200000,00300,0300,U 46126,S200000,00400,0100,SALEM PARKE CARE CENTER 46126,S200000,00400,0200,365480 46126,S200000,00400,0300,01/01/1980 46126,S200000,00400,0500,P 46126,S200000,01500,0100,Y 46135,S000000,00100,0200,06/15/2000 46143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46143,A000000,00300,0000,00300EMPLOYEE BENEFITS 46143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46143,A000000,00700,0000,00700HOUSEKEEPING 46143,A000000,00800,0000,00800DIETARY 46143,A000000,00900,0000,00900NURSING ADMINISTRATION 46143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46143,A000000,01100,0000,01100PHARMACY 46143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46143,A000000,01300,0000,01300SOCIAL SERVICE 46143,A000000,01600,0000,01600SKILLED NURSING FACILITY 46143,A000000,01800,0000,01800NURSING FACILITY 46143,A000000,01900,0000,01900OTHER LONG TERM CARE 46143,A000000,02100,0000,02100RADIOLOGY 46143,A000000,02200,0000,02200LABORATORY 46143,A000000,02300,0000,02300INTRAVENOUS THERAPY 46143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46143,A000000,02500,0000,02500PHYSICAL THERAPY 46143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46143,A000000,02700,0000,02700SPEECH PATHOLOGY 46143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46143,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46143,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46143,A000000,03200,0000,03200SUPPORT SURFACES 46143,A000000,04800,0000,04800AMBULANCE 46143,A000000,05300,0000,05300INTEREST EXPENSE 46143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46143,A000000,05500,0000,05500HOSPICE 46143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46143,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46143,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46143,A000000,06200,0000,06200PATIENTS LAUNDRY 46143,A81000A,00100,0100,Y 46143,A81000B,00100,0300,H.O. COSTS 46143,A81000B,00200,0300,H.O. COSTS 46143,A81000B,00300,0300,H.O. COSTS 46143,A81000B,00400,0300,H.O. COSTS 46143,A81000B,00500,0300,H.O. COSTS 46143,A81000B,00600,0300,H.O. COSTS 46143,A81000B,00700,0300,H.O. COSTS 46143,A81000B,00800,0300,H.O. COSTS 46143,A81000B,00900,0300,H.O. COSTS 46143,A81000B,01000,0300,H.O. COSTS 46143,A81000B,01100,0300,H.O. COSTS 46143,A81000B,01200,0300,H.O. COSTS 46143,A81000B,01300,0300,H.O. COSTS 46143,A81000B,01400,0300,H.O. COSTS 46143,A81000B,01500,0300,H.O. COSTS 46143,A81000B,01600,0300,H.O. COSTS 46143,A81000B,01700,0300,H.O. COSTS 46143,A81000B,01800,0300,H.O. COSTS 46143,A81000B,01900,0300,H.O. COSTS 46143,A81000B,02000,0300,H.O. COSTS 46143,A81000B,02100,0300,H.O. COSTS 46143,A81000C,00100,0100,B 46143,A81000C,00100,0200,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00100,0400,ALTERCARE OF NAVARRE 46143,A81000C,00100,0600,NURSING HOMES 46143,A81000C,00200,0100,B 46143,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 46143,A81000C,00200,0400,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00200,0600,THERAPY & SUPPLIES 46143,A81000C,00300,0100,B 46143,A81000C,00300,0200,APOTHECARE HEALTH SERV. 46143,A81000C,00300,0400,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00300,0600,DRUGS & SUPPLIES 46143,A81000C,00400,0100,B 46143,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 46143,A81000C,00400,0400,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00400,0600,MED. SUPPLIES 46143,A81000C,00500,0100,B 46143,A81000C,00500,0200,RENAISSANCE MORTGAGE 46143,A81000C,00500,0400,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00500,0600,MORTGAGES 46143,A81000C,00600,0100,B 46143,A81000C,00600,0200,ABSOLUTE LAB 46143,A81000C,00600,0400,CONSOL.HEALTHCARE REL.MGM 46143,A81000C,00600,0600,LAB 46143,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46143,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46143,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46143,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46143,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46143,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46143,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46143,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46143,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46143,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46143,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46143,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46143,S000000,00100,0200,06/02/2000 46143,S200000,00100,0100,517 PARK STREET 46143,S200000,00200,0100,NAVARRE 46143,S200000,00200,0200,OH 46143,S200000,00200,0300,44662- 46143,S200000,00300,0100,STARK 46143,S200000,00400,0100,ALTERCARE OF NAVARRE 46143,S200000,00400,0200,365482 46143,S200000,00400,0300,01/01/1979 46143,S200000,00400,0500,P 46143,S200000,01600,0100,Y 46143,S200000,04300,0100,Y 46143,S700003,00000,0100,1 46152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46152,A000000,00300,0000,00300EMPLOYEE BENEFITS 46152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46152,A000000,00700,0000,00700HOUSEKEEPING 46152,A000000,00800,0000,00800DIETARY 46152,A000000,00900,0000,00900NURSING ADMINISTRATION 46152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46152,A000000,01100,0000,01100PHARMACY 46152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46152,A000000,01300,0000,01300SOCIAL SERVICE 46152,A000000,01350,0000,01500ACTIVITIES 46152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46152,A000000,01600,0000,01600SKILLED NURSING FACILITY 46152,A000000,01800,0000,01800NURSING FACILITY 46152,A000000,01810,0000,01801ICF/MR 46152,A000000,01900,0000,01900OTHER LONG TERM CARE 46152,A000000,02100,0000,02100RADIOLOGY 46152,A000000,02200,0000,02200LABORATORY 46152,A000000,02300,0000,02300INTRAVENOUS THERAPY 46152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46152,A000000,02500,0000,02500PHYSICAL THERAPY 46152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46152,A000000,02700,0000,02700SPEECH PATHOLOGY 46152,A000000,02800,0000,02800ELECTROCARDIOLOGY 46152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46152,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46152,A000000,03200,0000,03200SUPPORT SURFACES 46152,A000000,03400,0000,03400CLINIC 46152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46152,A000000,03500,0000,03500RURAL HEALTH CLINIC 46152,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46152,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46152,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46152,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46152,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46152,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46152,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46152,A000000,04400,0000,04400DME RENTED - HHA 46152,A000000,04500,0000,04500DME SOLD - HHA 46152,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46152,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46152,A000000,04800,0000,04800AMBULANCE 46152,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46152,A000000,05000,0000,05000CORF 46152,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46152,A000000,05300,0000,05300INTEREST EXPENSE 46152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46152,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46152,A000000,05500,0000,05500HOSPICE 46152,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46152,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46152,A000000,06100,0000,06100NONPAID WORKERS 46152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46152,A000000,06200,0000,06200PATIENTS LAUNDRY 46152,A81000A,00100,0100,Y 46152,A81000B,00100,0300,BOND INTEREST INCOME 46152,A81000B,00200,0300,BOND AMORT EXPENSE 46152,A81000B,00300,0300,HOME OFFICE COSTS ADMINISTRATIVE 46152,A81000C,00100,0100,B 46152,A81000C,00100,0400,UVMC NURSING CARE INC. 46152,A81000C,00100,0600,HEALTH CARE SERVICES 46152,A81000C,00200,0100,B 46152,A81000C,00200,0400,UVMC NURSING CARE INC. 46152,A81000C,00200,0600,HEALTH CARE SERVICES 46152,A81000C,00300,0100,B 46152,A81000C,00300,0400,UVMC NURSING CARE INC. 46152,A81000C,00300,0600,HEALTH CARE SERVICES 46152,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46152,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 46152,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46152,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46152,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46152,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46152,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46152,B100000,00000,0800,00000MEALS SERVED :DIETARY 46152,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46152,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46152,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46152,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 46152,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46152,B100000,00000,1350,00000HOURS SPENT :ACTIVITIES 46152,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46152,S000000,00100,0200,06/05/2000 46152,S200000,00100,0100,75 MOTE DRIVE 46152,S200000,00200,0100,COVINGTON 46152,S200000,00200,0200,OH 46152,S200000,00200,0300,45318- 46152,S200000,00300,0100,MIAMI 46152,S200000,00400,0100,COVINGTON CARE CENTER 46152,S200000,00400,0200,365483 46152,S200000,00400,0300,04/05/1980 46152,S200000,00400,0500,P 46152,S200000,01600,0100,Y 46152,S700003,00000,0100,1 46162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46162,A000000,00300,0000,00300EMPLOYEE BENEFITS 46162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46162,A000000,00700,0000,00700HOUSEKEEPING 46162,A000000,00800,0000,00800DIETARY 46162,A000000,00900,0000,00900NURSING ADMINISTRATION 46162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46162,A000000,01100,0000,01100PHARMACY 46162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46162,A000000,01300,0000,01300SOCIAL SERVICE 46162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46162,A000000,01600,0000,01600SKILLED NURSING FACILITY 46162,A000000,01900,0000,01900OTHER LONG TERM CARE 46162,A000000,02100,0000,02100RADIOLOGY 46162,A000000,02200,0000,02200LABORATORY 46162,A000000,02300,0000,02300INTRAVENOUS THERAPY 46162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46162,A000000,02500,0000,02500PHYSICAL THERAPY 46162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46162,A000000,02700,0000,02700SPEECH PATHOLOGY 46162,A000000,02800,0000,02800ELECTROCARDIOLOGY 46162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46162,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46162,A000000,03200,0000,03200SUPPORT SURFACES 46162,A000000,03400,0000,03400CLINIC 46162,A000000,04800,0000,04800AMBULANCE 46162,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46162,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46162,A000000,05300,0000,05300INTEREST EXPENSE 46162,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46162,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46162,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46162,A000000,06100,0000,06100NONPAID WORKERS 46162,A000000,06200,0000,06200PATIENTS LAUNDRY 46162,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46162,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46162,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46162,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 46162,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46162,B100000,00000,0800,00000MEALS SERVED :DIETARY 46162,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46162,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46162,B100000,00000,1250,00000PATIENT DA :MEDICAL RECORDS & LIBR 46162,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 46162,E10A180,00501,0100,07/25/2000 46162,S000000,00100,0200,06/01/2000 46162,S200000,00100,0100,2000 REGENCY MANOR CIRCLE 46162,S200000,00200,0100,COLUMBUS 46162,S200000,00200,0200,OH 46162,S200000,00300,0100,43207 FRANKLIN 46162,S200000,00300,0200,1840 46162,S200000,00300,0300,U 46162,S200000,00400,0100,REGENCY MANOR 46162,S200000,00400,0200,365484 46162,S200000,00400,0300,03/17/1980 46162,S200000,00400,0500,P 46162,S200000,01600,0100,Y 46170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46170,A000000,00300,0000,00300EMPLOYEE BENEFITS 46170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46170,A000000,00700,0000,00700HOUSEKEEPING 46170,A000000,00800,0000,00800DIETARY 46170,A000000,00900,0000,00900NURSING ADMINISTRATION 46170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46170,A000000,01100,0000,01100PHARMACY 46170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46170,A000000,01300,0000,01300SOCIAL SERVICE 46170,A000000,01600,0000,01600SKILLED NURSING FACILITY 46170,A000000,01800,0000,01800NURSING FACILITY 46170,A000000,01900,0000,01900OTHER LONG TERM CARE 46170,A000000,02100,0000,02100RADIOLOGY 46170,A000000,02200,0000,02200LABORATORY 46170,A000000,02300,0000,02300INTRAVENOUS THERAPY 46170,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46170,A000000,02500,0000,02500PHYSICAL THERAPY 46170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46170,A000000,02700,0000,02700SPEECH PATHOLOGY 46170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46170,A000000,03200,0000,03200SUPPORT SURFACES 46170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46170,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46170,A81000A,00100,0100,Y 46170,A81000B,00100,0300,HOME OFFICE COSTS 46170,A81000B,00200,0300,HOME OFFICE COSTS 46170,A81000C,00100,0100,A 46170,A81000C,00100,0200,KEN HUBBARD 46170,A81000C,00100,0400,HUBBARD H/C 46170,A81000C,00100,0600,MANAGEMENT CO. 46170,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46170,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46170,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46170,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46170,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46170,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46170,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46170,B100000,00000,0800,00000MEALS SERVED :DIETARY 46170,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46170,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46170,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46170,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46170,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46170,E10A180,00550,0300,06/07/2000 46170,S000000,00100,0200,06/02/2000 46170,S200000,00100,0100,1450 WEST MAIN STREET 46170,S200000,00200,0100,NEWARK 46170,S200000,00200,0200,OH 46170,S200000,00200,0300,43055- 46170,S200000,00300,0100,LICKING 46170,S200000,00400,0100,FLINT RIDGE NURSING CENTER 46170,S200000,00400,0200,365485 46170,S200000,00400,0300,12/17/1996 46170,S200000,00400,0500,P 46170,S200000,01600,0100,Y 46170,S200000,04300,0100,Y 46174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46174,A000000,00300,0000,00300EMPLOYEE BENEFITS 46174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46174,A000000,00700,0000,00700HOUSEKEEPING 46174,A000000,00800,0000,00800DIETARY 46174,A000000,00900,0000,00900NURSING ADMINISTRATION 46174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46174,A000000,01100,0000,01100PHARMACY 46174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46174,A000000,01300,0000,01300SOCIAL SERVICE 46174,A000000,01350,0000,01500OTHER GENERAL SERVICES 46174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46174,A000000,01600,0000,01600SKILLED NURSING FACILITY 46174,A000000,01800,0000,01800NURSING FACILITY 46174,A000000,01810,0000,01801ICF/MR 46174,A000000,01900,0000,01900OTHER LONG TERM CARE 46174,A000000,02100,0000,02100RADIOLOGY 46174,A000000,02200,0000,02200LABORATORY 46174,A000000,02300,0000,02300INTRAVENOUS THERAPY 46174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46174,A000000,02500,0000,02500PHYSICAL THERAPY 46174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46174,A000000,02700,0000,02700SPEECH PATHOLOGY 46174,A000000,02800,0000,02800ELECTROCARDIOLOGY 46174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46174,A000000,03200,0000,03200SUPPORT SURFACES 46174,A000000,03400,0000,03400CLINIC 46174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46174,A000000,03500,0000,03500RURAL HEALTH CLINIC 46174,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46174,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46174,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46174,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46174,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46174,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46174,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46174,A000000,04400,0000,04400DME RENTED - HHA 46174,A000000,04500,0000,04500DME SOLD - HHA 46174,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46174,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46174,A000000,04800,0000,04800AMBULANCE 46174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46174,A000000,05000,0000,05000CORF 46174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46174,A000000,05300,0000,05300INTEREST EXPENSE 46174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46174,A000000,05500,0000,05500HOSPICE 46174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46174,A000000,06100,0000,06100NONPAID WORKERS 46174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46174,A000000,06200,0000,06200PATIENTS LAUNDRY 46174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46174,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46174,B100000,00000,0800,00000MEALS SERVED :DIETARY 46174,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46174,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46174,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46174,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46174,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46174,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 46174,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46174,S000000,00100,0200,05/30/2000 46174,S200000,00100,0100,21800 CHARDON ROAD 46174,S200000,00200,0100,EUCLID 46174,S200000,00200,0200,OH 46174,S200000,00200,0300,44117-2199 46174,S200000,00300,0100,CUYAHOGA 46174,S200000,00400,0100,SISTERS OF ST JOE OF ST MARK 46174,S200000,00400,0200,365487 46174,S200000,00400,0300,01/01/1970 46174,S200000,00400,0500,P 46174,S200000,01500,0100,Y 46174,S700003,00000,0100,1 46184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46184,A000000,00300,0000,00300EMPLOYEE BENEFITS 46184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46184,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46184,A000000,00700,0000,00700HOUSEKEEPING 46184,A000000,00800,0000,00800DIETARY 46184,A000000,00900,0000,00900NURSING ADMINISTRATION 46184,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46184,A000000,01100,0000,01100PHARMACY 46184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46184,A000000,01300,0000,01300SOCIAL SERVICE 46184,A000000,01600,0000,01600SKILLED NURSING FACILITY 46184,A000000,01800,0000,01800NURSING FACILITY 46184,A000000,01900,0000,01900OTHER LONG TERM CARE 46184,A000000,02100,0000,02100RADIOLOGY 46184,A000000,02200,0000,02200LABORATORY 46184,A000000,02300,0000,02300INTRAVENOUS THERAPY 46184,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46184,A000000,02500,0000,02500PHYSICAL THERAPY 46184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46184,A000000,02700,0000,02700SPEECH PATHOLOGY 46184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46184,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 46184,A000000,04800,0000,04800AMBULANCE 46184,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46184,A81000A,00100,0100,Y 46184,A81000B,00100,0300,HOME OFFICE ALLOC 46184,A81000B,00200,0300,HOME OFFICE ALLOC 46184,A81000C,00100,0100,A 46184,A81000C,00100,0200,COVENANT CARE INC 46184,A81000C,00100,0400,COVENANT CARE INC. 46184,A81000C,00100,0600,HEALTH CARE 46184,A81000C,00200,0100,B 46184,A81000C,00200,0200,PHARMACY 46184,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 46184,A81000C,00200,0600,PHARMACY - HEALTH CARE 46184,A81000C,00300,0100,C 46184,A81000C,00300,0200,THERAPY 46184,A81000C,00300,0400,SELECT THEREAPY 46184,A81000C,00300,0600,THERAPY SERVICES 46184,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46184,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46184,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46184,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46184,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46184,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46184,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46184,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46184,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46184,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46184,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46184,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 46184,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46184,S000000,00100,0200,06/01/2000 46184,S200000,00100,0100,4420 SOUTH AVENUE 46184,S200000,00200,0100,TOLEDO 46184,S200000,00200,0200,OH 46184,S200000,00200,0300,43615- 46184,S200000,00300,0100,TOLEDO 46184,S200000,00400,0100,FAIRVIEW MANOR NURSING CENTER 46184,S200000,00400,0200,365488 46184,S200000,00400,0300,04/21/1978 46184,S200000,00400,0500,P 46184,S200000,00600,0200,365488 46184,S200000,00600,0300,04/21/1978 46184,S200000,01004,0500,O 46184,S200000,01600,0100,Y 46195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46195,A000000,00300,0000,00300EMPLOYEE BENEFITS 46195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46195,A000000,00700,0000,00700HOUSEKEEPING 46195,A000000,00800,0000,00800DIETARY 46195,A000000,00900,0000,00900NURSING ADMINISTRATION 46195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46195,A000000,01100,0000,01100PHARMACY 46195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46195,A000000,01300,0000,01300SOCIAL SERVICE 46195,A000000,01600,0000,01600SKILLED NURSING FACILITY 46195,A000000,01800,0000,01800NURSING FACILITY 46195,A000000,01900,0000,01900OTHER LONG TERM CARE 46195,A000000,02100,0000,02100RADIOLOGY 46195,A000000,02200,0000,02200LABORATORY 46195,A000000,02300,0000,02300INTRAVENOUS THERAPY 46195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46195,A000000,02500,0000,02500PHYSICAL THERAPY 46195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46195,A000000,02700,0000,02700SPEECH PATHOLOGY 46195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46195,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 46195,A000000,04800,0000,04800AMBULANCE 46195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46195,A81000A,00100,0100,Y 46195,A81000B,00100,0300,HOME OFFICE ALLOC 46195,A81000B,00200,0300,HOME OFFICE ALLOC 46195,A81000C,00100,0100,A 46195,A81000C,00100,0200,COVENANT CARE INC 46195,A81000C,00100,0400,COVENANT CARE INC. 46195,A81000C,00100,0600,HEALTH CARE 46195,A81000C,00200,0100,B 46195,A81000C,00200,0200,PHARMACY 46195,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 46195,A81000C,00200,0600,PHARMACY - HEALTH CARE 46195,A81000C,00300,0100,C 46195,A81000C,00300,0200,THERAPY 46195,A81000C,00300,0400,SELECT THEREAPY 46195,A81000C,00300,0600,THERAPY SERVICES 46195,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46195,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46195,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46195,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46195,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46195,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46195,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46195,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46195,B100000,00000,0950,00000DIRECT NRSING COST :NURSING ADMINIS 46195,B100000,00000,1050,00000PATIEN DAYS :CENTRAL SERVICES & SU 46195,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46195,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 46195,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46195,S000000,00100,0200,06/01/2000 46195,S200000,00100,0100,1330 SOUTH FULTON STREET 46195,S200000,00200,0100,PORT CLINTON 46195,S200000,00200,0200,OH 46195,S200000,00200,0300,43452- 46195,S200000,00300,0100,OHIO - RURAL 46195,S200000,00400,0100,EDGEWOOD MANOR NURSING CENTER 46195,S200000,00400,0200,365489 46195,S200000,00400,0300,06/01/1998 46195,S200000,00400,0500,P 46195,S200000,00600,0200,365489 46195,S200000,00600,0300,06/01/1998 46195,S200000,01600,0100,Y 46204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46204,A000000,00300,0000,00300EMPLOYEE BENEFITS 46204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46204,A000000,00700,0000,00700HOUSEKEEPING 46204,A000000,00800,0000,00800DIETARY 46204,A000000,00900,0000,00900NURSING ADMINISTRATION 46204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46204,A000000,01100,0000,01100PHARMACY 46204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46204,A000000,01300,0000,01300SOCIAL SERVICE 46204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46204,A000000,01600,0000,01600SKILLED NURSING FACILITY 46204,A000000,01800,0000,01800NURSING FACILITY 46204,A000000,01900,0000,01900OTHER LONG TERM CARE 46204,A000000,02100,0000,02100RADIOLOGY 46204,A000000,02200,0000,02200LABORATORY 46204,A000000,02300,0000,02300INTRAVENOUS THERAPY 46204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46204,A000000,02500,0000,02500PHYSICAL THERAPY 46204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46204,A000000,02700,0000,02700SPEECH PATHOLOGY 46204,A000000,02800,0000,02800ELECTROCARDIOLOGY 46204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46204,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46204,A000000,03050,0000,03300MEDICAL EQUIPMENT 46204,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46204,A000000,03200,0000,03200SUPPORT SURFACES 46204,A000000,04800,0000,04800AMBULANCE 46204,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46204,A000000,05300,0000,05300INTEREST EXPENSE 46204,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46204,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46204,A000000,05500,0000,05500HOSPICE 46204,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46204,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46204,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 46204,A000000,06200,0000,06200PATIENTS LAUNDRY 46204,A81000A,00100,0100,Y 46204,A81000B,00100,0300,HOME OFFICE COST 46204,A81000B,00200,0300,HOME OFFICE COST 46204,A81000B,00300,0300,HOME OFFICE COST 46204,A81000C,00100,0100,A 46204,A81000C,00100,0200,HERB SEIDNER 46204,A81000C,00100,0400,VICTORIA 46204,A81000C,00100,0600,HOME OFFICE 46204,A81000C,00200,0100,A 46204,A81000C,00200,0200,PETER SEIDNER 46204,A81000C,00200,0400,VICTORIA 46204,A81000C,00200,0600,HOME OFFICE 46204,A81000C,00300,0100,A 46204,A81000C,00300,0200,E. KIRSCHNER 46204,A81000C,00300,0400,VICTORIA 46204,A81000C,00300,0600,HOME OFFICE 46204,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46204,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46204,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46204,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46204,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46204,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46204,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46204,B100000,00000,0800,00000MEALS SERVED :DIETARY 46204,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 46204,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 46204,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 46204,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46204,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46204,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46204,S000000,00100,0200,05/31/2000 46204,S200000,00100,0100,1578 SHERMAN AVENUE 46204,S200000,00200,0100,CINCINNATI 46204,S200000,00200,0200,OH 46204,S200000,00200,0300,45202- 46204,S200000,00300,0100,HAMILTON 46204,S200000,00400,0100,VICTORY PARK NURSING HOME 46204,S200000,00400,0200,365490 46204,S200000,00400,0300,07/01/1980 46204,S200000,00400,0500,P 46204,S200000,01600,0100,Y 46212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46212,A000000,00300,0000,00300EMPLOYEE BENEFITS 46212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46212,A000000,00700,0000,00700HOUSEKEEPING 46212,A000000,00800,0000,00800DIETARY 46212,A000000,00900,0000,00900NURSING ADMINISTRATION 46212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46212,A000000,01100,0000,01100PHARMACY 46212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46212,A000000,01300,0000,01300SOCIAL SERVICE 46212,A000000,01600,0000,01600SKILLED NURSING FACILITY 46212,A000000,01800,0000,01800NURSING FACILITY 46212,A000000,01900,0000,01900OTHER LONG TERM CARE 46212,A000000,02100,0000,02100RADIOLOGY 46212,A000000,02200,0000,02200LABORATORY 46212,A000000,02300,0000,02300INTRAVENOUS THERAPY 46212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46212,A000000,02500,0000,02500PHYSICAL THERAPY 46212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46212,A000000,02700,0000,02700SPEECH PATHOLOGY 46212,A000000,02800,0000,02800ELECTROCARDIOLOGY 46212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46212,A000000,03200,0000,03200SUPPORT SURFACES 46212,A000000,03400,0000,03400CLINIC 46212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46212,A000000,03500,0000,03500RURAL HEALTH CLINIC 46212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46212,A000000,04400,0000,04400DME RENTED - HHA 46212,A000000,04500,0000,04500DME SOLD - HHA 46212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46212,A000000,04800,0000,04800AMBULANCE 46212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46212,A000000,05000,0000,05000CORF 46212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46212,A000000,05300,0000,05300INTEREST EXPENSE 46212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46212,A000000,05500,0000,05500HOSPICE 46212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46212,A000000,06100,0000,06100NONPAID WORKERS 46212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46212,A000000,06200,0000,06200PATIENTS LAUNDRY 46212,A81000A,00100,0100,Y 46212,A81000B,00100,0300,H.O. COSTS 46212,A81000B,00200,0300,H.O. COSTS 46212,A81000B,00300,0300,H.O. COSTS 46212,A81000B,00400,0300,H.O. COSTS 46212,A81000B,00500,0300,H.O. COSTS 46212,A81000B,00600,0300,H.O. COSTS 46212,A81000B,00700,0300,H.O. COSTS 46212,A81000B,00800,0300,H.O. COSTS 46212,A81000B,00900,0300,H.O. COSTS 46212,A81000B,01000,0300,H.O. COSTS 46212,A81000B,01100,0300,H.O. COSTS 46212,A81000B,01200,0300,H.O. COSTS 46212,A81000B,01300,0300,H.O. COSTS 46212,A81000B,01400,0300,H.O. COSTS 46212,A81000B,01500,0300,H.O. COSTS 46212,A81000B,01600,0300,H.O. COSTS 46212,A81000B,01700,0300,H.O. COSTS 46212,A81000B,01800,0300,H.O. COSTS 46212,A81000C,00100,0100,B 46212,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00100,0400,FOREST HILLS NURSING HOME 46212,A81000C,00100,0600,NURSING HOMES 46212,A81000C,00200,0100,B 46212,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 46212,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00200,0600,SOCIAL SERVICES 46212,A81000C,00300,0100,B 46212,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 46212,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00300,0600,DRUGS & MED. SUPPLIES 46212,A81000C,00400,0100,B 46212,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 46212,A81000C,00400,0400,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00400,0600,MED. SUPPLIES 46212,A81000C,00500,0100,B 46212,A81000C,00500,0200,RENAISSANCE MORTGAGE 46212,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00500,0600,FINANCING 46212,A81000C,00600,0100,B 46212,A81000C,00600,0200,ABSOLUTE LAB 46212,A81000C,00600,0400,CONSOL. HEALTHCARE MGMT. 46212,A81000C,00600,0600,LAB SERVICES 46212,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46212,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46212,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46212,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46212,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46212,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46212,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46212,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46212,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46212,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46212,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46212,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46212,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46212,E10A180,00501,0100,06/05/2000 46212,E10A180,00550,0300,06/05/2000 46212,S000000,00100,0200,05/31/2000 46212,S200000,00100,0100,736 LAKEVIEW ROAD 46212,S200000,00200,0100,CLEVELAND 46212,S200000,00200,0200,OH 46212,S200000,00200,0300,44108- 46212,S200000,00300,0100,CUYAHOGA 46212,S200000,00400,0100,FOREST HILLS NURSING HOME 46212,S200000,00400,0200,365491 46212,S200000,00400,0300,03/01/1988 46212,S200000,00400,0500,P 46212,S200000,01600,0100,Y 46212,S200000,04300,0100,Y 46219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46219,A000000,00300,0000,00300EMPLOYEE BENEFITS 46219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46219,A000000,00700,0000,00700HOUSEKEEPING 46219,A000000,00800,0000,00800DIETARY 46219,A000000,00900,0000,00900NURSING ADMINISTRATION 46219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46219,A000000,01100,0000,01100PHARMACY 46219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46219,A000000,01300,0000,01300SOCIAL SERVICE 46219,A000000,01350,0000,01500OTHER GENERAL SERVICES 46219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46219,A000000,01600,0000,01600SKILLED NURSING FACILITY 46219,A000000,01800,0000,01800NURSING FACILITY 46219,A000000,01810,0000,01801ICF/MR 46219,A000000,01900,0000,01900OTHER LONG TERM CARE 46219,A000000,02100,0000,02100RADIOLOGY 46219,A000000,02200,0000,02200LABORATORY 46219,A000000,02300,0000,02300INTRAVENOUS THERAPY 46219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46219,A000000,02500,0000,02500PHYSICAL THERAPY 46219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46219,A000000,02700,0000,02700SPEECH PATHOLOGY 46219,A000000,02800,0000,02800ELECTROCARDIOLOGY 46219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46219,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46219,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46219,A000000,03200,0000,03200SUPPORT SURFACES 46219,A000000,03400,0000,03400CLINIC 46219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46219,A000000,03500,0000,03500RURAL HEALTH CLINIC 46219,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46219,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46219,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46219,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46219,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46219,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46219,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46219,A000000,04400,0000,04400DME RENTED - HHA 46219,A000000,04500,0000,04500DME SOLD - HHA 46219,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46219,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46219,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46219,A000000,04800,0000,04800AMBULANCE 46219,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46219,A000000,05000,0000,05000CORF 46219,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46219,A000000,05300,0000,05300INTEREST EXPENSE 46219,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46219,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46219,A000000,05500,0000,05500HOSPICE 46219,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46219,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46219,A000000,06100,0000,06100NONPAID WORKERS 46219,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46219,A000000,06200,0000,06200PATIENTS LAUNDRY 46219,A81000A,00100,0100,Y 46219,A81000B,00100,0300,HOME OFFICE ALLOCATION 46219,A81000B,00200,0300,HOME OFFICE ALLOCATION 46219,A81000B,00300,0300,HOME OFFICE ALLOCATION 46219,A81000C,00100,0100,C 46219,A81000C,00100,0200,MORTON WEISBERG 46219,A81000C,00100,0400,MULTI-CARE MGMT 46219,A81000C,00100,0600,HOME OFFICE 46219,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46219,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46219,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46219,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46219,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46219,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46219,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46219,B100000,00000,0800,00000MEALS SERVED :DIETARY 46219,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 46219,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46219,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46219,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46219,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46219,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46219,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46219,E10A180,00501,0300,06/26/2000 46219,S000000,00100,0200,06/12/2000 46219,S200000,00100,0100,164 LIBERTY STREET 46219,S200000,00200,0100,PAINESVILLE 46219,S200000,00200,0200,OH 46219,S200000,00200,0300,44077- 46219,S200000,00300,0100,LAKE 46219,S200000,00400,0100,HOMESTEAD I 46219,S200000,00400,0200,365492 46219,S200000,00400,0300,05/08/1990 46219,S200000,00400,0500,P 46219,S200000,01500,0100,Y 46219,S200000,04300,0100,Y 46230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46230,A000000,00300,0000,00300EMPLOYEE BENEFITS 46230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46230,A000000,00700,0000,00700HOUSEKEEPING 46230,A000000,00800,0000,00800DIETARY 46230,A000000,00900,0000,00900NURSING ADMINISTRATION 46230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46230,A000000,01100,0000,01100PHARMACY 46230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46230,A000000,01300,0000,01300SOCIAL SERVICE 46230,A000000,01350,0000,01500ACTIVITIES 46230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46230,A000000,01600,0000,01600SKILLED NURSING FACILITY 46230,A000000,01800,0000,01800NURSING FACILITY 46230,A000000,01810,0000,01801ICF/MR 46230,A000000,01900,0000,01900OTHER LONG TERM CARE 46230,A000000,02100,0000,02100RADIOLOGY 46230,A000000,02200,0000,02200LABORATORY 46230,A000000,02300,0000,02300INTRAVENOUS THERAPY 46230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46230,A000000,02500,0000,02500PHYSICAL THERAPY 46230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46230,A000000,02700,0000,02700SPEECH PATHOLOGY 46230,A000000,02800,0000,02800ELECTROCARDIOLOGY 46230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46230,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46230,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46230,A000000,03200,0000,03200SUPPORT SURFACES 46230,A000000,03400,0000,03400CLINIC 46230,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46230,A000000,03500,0000,03500RURAL HEALTH CLINIC 46230,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46230,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46230,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46230,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46230,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46230,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46230,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46230,A000000,04400,0000,04400DME RENTED - HHA 46230,A000000,04500,0000,04500DME SOLD - HHA 46230,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46230,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46230,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46230,A000000,04800,0000,04800AMBULANCE 46230,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46230,A000000,05000,0000,05000CORF 46230,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46230,A000000,05300,0000,05300INTEREST EXPENSE 46230,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46230,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46230,A000000,05500,0000,05500HOSPICE 46230,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46230,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46230,A000000,06100,0000,06100NONPAID WORKERS 46230,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46230,A000000,06200,0000,06200PATIENTS LAUNDRY 46230,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46230,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46230,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46230,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46230,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46230,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 46230,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46230,B100000,00000,0800,00000MEALS SERVED :DIETARY 46230,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46230,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46230,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46230,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46230,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46230,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46230,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46230,S000000,00100,0200,06/01/2000 46230,S200000,00100,0100,6445 FAR HILLS AVENUE 46230,S200000,00200,0100,DAYTON 46230,S200000,00200,0200,OH 46230,S200000,00200,0300,45459- 46230,S200000,00300,0100,MONTEGOMERY 46230,S200000,00400,0100,BETHANY LUTHERAN VILLAGE 46230,S200000,00400,0200,365493 46230,S200000,00400,0300,07/01/1983 46230,S200000,00400,0500,P 46230,S200000,01600,0100,Y 46230,S200000,01700,0100,Y 46230,S200000,02200,0100,Y 46230,S200000,04300,0100,Y 46240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46240,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46240,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46240,A000000,00300,0000,00300EMPLOYEE BENEFITS 46240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46240,A000000,00700,0000,00700HOUSEKEEPING 46240,A000000,00800,0000,00800DIETARY 46240,A000000,00801,0000,00801CAFETERIA 46240,A000000,00900,0000,00900NURSING ADMINISTRATION 46240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46240,A000000,01100,0000,01100PHARMACY 46240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46240,A000000,01300,0000,01300SOCIAL SERVICE 46240,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46240,A000000,01600,0000,01600SKILLED NURSING FACILITY 46240,A000000,01800,0000,01800NURSING FACILITY 46240,A000000,01900,0000,01900OTHER LONG TERM CARE 46240,A000000,02100,0000,02100RADIOLOGY 46240,A000000,02200,0000,02200LABORATORY 46240,A000000,02300,0000,02300INTRAVENOUS THERAPY 46240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46240,A000000,02500,0000,02500PHYSICAL THERAPY 46240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46240,A000000,02700,0000,02700SPEECH PATHOLOGY 46240,A000000,02800,0000,02800ELECTROCARDIOLOGY 46240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46240,A000000,03050,0000,03300OTHER ANCILLARY 46240,A000000,03051,0000,03301COMPLEX MEDICAL EQUIPMENT 46240,A000000,03052,0000,03302OTHER ANCILLARY III 46240,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46240,A000000,03200,0000,03200SUPPORT SURFACES 46240,A000000,03400,0000,03400CLINIC 46240,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46240,A000000,03500,0000,03500RURAL HEALTH CLINIC 46240,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46240,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46240,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46240,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46240,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46240,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46240,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46240,A000000,04400,0000,04400DME RENTED - HHA 46240,A000000,04500,0000,04500DME SOLD - HHA 46240,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46240,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46240,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46240,A000000,04800,0000,04800AMBULANCE 46240,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46240,A000000,05000,0000,05000CORF 46240,A000000,05010,0000,05010CMHC I 46240,A000000,05020,0000,05020OPT I 46240,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46240,A000000,05300,0000,05300INTEREST EXPENSE 46240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46240,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46240,A000000,05500,0000,05500HOSPICE 46240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46240,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46240,A000000,06100,0000,06100NONPAID WORKERS 46240,A000000,06150,0000,06300PARSONAGE EXPENSE 46240,A000000,06200,0000,06200PATIENTS LAUNDRY 46240,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46240,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46240,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46240,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46240,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46240,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46240,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46240,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46240,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46240,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46240,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46240,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46240,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46240,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46240,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46240,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46240,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46240,E10A180,00501,0100,06/28/2000 46240,S000000,00100,0200,05/17/2000 46240,S200000,00100,0100,12200 STRAUSSER RD NW 46240,S200000,00200,0100,CANAL FULTON 46240,S200000,00200,0200,OH 46240,S200000,00200,0300,44614- 46240,S200000,00300,0100,STARK 46240,S200000,00400,0100,CHAPEL HILL COMMUNITY 46240,S200000,00400,0200,365494 46240,S200000,00400,0300,07/01/1980 46240,S200000,00400,0500,P 46240,S200000,01500,0100,Y 46240,S200000,02200,0100,Y 46249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46249,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46249,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46249,A000000,00300,0000,00300EMPLOYEE BENEFITS 46249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46249,A000000,00700,0000,00700HOUSEKEEPING 46249,A000000,00800,0000,00800DIETARY 46249,A000000,00801,0000,00801CAFETERIA 46249,A000000,00900,0000,00900NURSING ADMINISTRATION 46249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46249,A000000,01100,0000,01100PHARMACY 46249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46249,A000000,01300,0000,01300SOCIAL SERVICE 46249,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46249,A000000,01600,0000,01600SKILLED NURSING FACILITY 46249,A000000,01800,0000,01800NURSING FACILITY 46249,A000000,01900,0000,01900OTHER LONG TERM CARE 46249,A000000,02100,0000,02100RADIOLOGY 46249,A000000,02200,0000,02200LABORATORY 46249,A000000,02300,0000,02300INTRAVENOUS THERAPY 46249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46249,A000000,02500,0000,02500PHYSICAL THERAPY 46249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46249,A000000,02700,0000,02700SPEECH PATHOLOGY 46249,A000000,02800,0000,02800ELECTROCARDIOLOGY 46249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46249,A000000,03050,0000,03300OTHER ANCILLARY 46249,A000000,03051,0000,03301OTHER ANCILLARY II 46249,A000000,03052,0000,03302OTHER ANCILLARY III 46249,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46249,A000000,03200,0000,03200SUPPORT SURFACES 46249,A000000,03400,0000,03400CLINIC 46249,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46249,A000000,03500,0000,03500RURAL HEALTH CLINIC 46249,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46249,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46249,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46249,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46249,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46249,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46249,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46249,A000000,04400,0000,04400DME RENTED - HHA 46249,A000000,04500,0000,04500DME SOLD - HHA 46249,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46249,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46249,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46249,A000000,04800,0000,04800AMBULANCE 46249,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46249,A000000,05000,0000,05000CORF 46249,A000000,05010,0000,05010CMHC I 46249,A000000,05020,0000,05020OPT I 46249,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46249,A000000,05300,0000,05300INTEREST EXPENSE 46249,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46249,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46249,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46249,A000000,05500,0000,05500HOSPICE 46249,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46249,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46249,A000000,06100,0000,06100NONPAID WORKERS 46249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46249,A000000,06200,0000,06200PATIENTS LAUNDRY 46249,A81000A,00100,0100,Y 46249,A81000B,00100,0300,HOME OFFICE 46249,A81000B,00200,0300,HOME OFFICE 46249,A81000C,00100,0100,B 46249,A81000C,00100,0200,EVERGREEN 46249,A81000C,00100,0400,ESSEX HC 46249,A81000C,00100,0600,HOME OFFICE 46249,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46249,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46249,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46249,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46249,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46249,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46249,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46249,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46249,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46249,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46249,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46249,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46249,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46249,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46249,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46249,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46249,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46249,S000000,00100,0200,05/22/2000 46249,S200000,00100,0100,924 ROBINAIR WAY 46249,S200000,00200,0100,MONTPELIER 46249,S200000,00200,0200,OH 46249,S200000,00200,0300,43543-1904 46249,S200000,00300,0100,WILLAMS 46249,S200000,00400,0100,EVERGREEN MANOR 46249,S200000,00400,0200,365495 46249,S200000,00400,0300,04/14/1980 46249,S200000,00400,0500,P 46249,S200000,01004,0500,O 46249,S200000,01600,0100,Y 46249,S200000,04300,0100,Y 46269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46269,A000000,00300,0000,00300EMPLOYEE BENEFITS 46269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46269,A000000,00700,0000,00700HOUSEKEEPING 46269,A000000,00800,0000,00800DIETARY 46269,A000000,00900,0000,00900NURSING ADMINISTRATION 46269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46269,A000000,01100,0000,01100PHARMACY 46269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46269,A000000,01300,0000,01300SOCIAL SERVICE 46269,A000000,01350,0000,01500ACTIVITIES 46269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46269,A000000,01600,0000,01600SKILLED NURSING FACILITY 46269,A000000,01800,0000,01800NURSING FACILITY 46269,A000000,01900,0000,01900OTHER LONG TERM CARE 46269,A000000,02100,0000,02100RADIOLOGY 46269,A000000,02200,0000,02200LABORATORY 46269,A000000,02300,0000,02300INTRAVENOUS THERAPY 46269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46269,A000000,02500,0000,02500PHYSICAL THERAPY 46269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46269,A000000,02700,0000,02700SPEECH PATHOLOGY 46269,A000000,02800,0000,02800ELECTROCARDIOLOGY 46269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46269,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46269,A000000,03200,0000,03200SUPPORT SURFACES 46269,A000000,03400,0000,03400CLINIC 46269,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46269,A000000,03500,0000,03500RURAL HEALTH CLINIC 46269,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46269,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46269,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46269,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46269,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46269,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46269,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46269,A000000,04400,0000,04400DME RENTED - HHA 46269,A000000,04500,0000,04500DME SOLD - HHA 46269,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46269,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46269,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46269,A000000,04800,0000,04800AMBULANCE 46269,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46269,A000000,05000,0000,05000CORF 46269,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46269,A000000,05300,0000,05300INTEREST EXPENSE 46269,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46269,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46269,A000000,05500,0000,05500HOSPICE 46269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46269,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46269,A000000,06100,0000,06100NONPAID WORKERS 46269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46269,A000000,06200,0000,06200PATIENTS LAUNDRY 46269,A81000A,00100,0100,Y 46269,A81000B,00100,0300,FEES PAID TO COUNTY COMM 46269,A81000C,00100,0100,A 46269,A81000C,00100,0200,OTTAWA CO RIVERVIEW 46269,A81000C,00100,0400,OTTAWA COUNTY 46269,A81000C,00100,0600,GOVERNMENT 46269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46269,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46269,B100000,00000,0800,00000MEALS SERVED :DIETARY 46269,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46269,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46269,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46269,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46269,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46269,S000000,00100,0200,03/20/2000 46269,S200000,00100,0100,8180 W. STATE RT. 163 46269,S200000,00200,0100,OAK HARBOR 46269,S200000,00200,0200,OH 46269,S200000,00200,0300,43449- 46269,S200000,00300,0100,OTTAWA 46269,S200000,00400,0100,OTTAWA COUNTY RIVERVIEW 46269,S200000,00400,0200,365498 46269,S200000,00400,0300,06/01/1980 46269,S200000,00400,0500,P 46269,S200000,00400,0600,P 46269,S200000,01600,0100,Y 46269,S200000,02200,0100,Y 46269,S200000,02800,0100,Y 46269,S200000,04300,0100,Y 46269,S700003,00000,0100,1 46280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46280,A000000,00300,0000,00300EMPLOYEE BENEFITS 46280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46280,A000000,00700,0000,00700HOUSEKEEPING 46280,A000000,00800,0000,00800DIETARY 46280,A000000,00900,0000,00900NURSING ADMINISTRATION 46280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46280,A000000,01100,0000,01100PHARMACY 46280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46280,A000000,01300,0000,01300SOCIAL SERVICE 46280,A000000,01350,0000,01500ACTIVITIES 46280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46280,A000000,01600,0000,01600SKILLED NURSING FACILITY 46280,A000000,01800,0000,01800NURSING FACILITY 46280,A000000,01810,0000,01810ICF/MR 46280,A000000,01900,0000,01900OTHER LONG TERM CARE 46280,A000000,02100,0000,02100RADIOLOGY 46280,A000000,02200,0000,02200LABORATORY 46280,A000000,02300,0000,02300INTRAVENOUS THERAPY 46280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46280,A000000,02500,0000,02500PHYSICAL THERAPY 46280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46280,A000000,02700,0000,02700SPEECH PATHOLOGY 46280,A000000,02800,0000,02800ELECTROCARDIOLOGY 46280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46280,A000000,03200,0000,03200SUPPORT SURFACES 46280,A000000,03400,0000,03400CLINIC 46280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46280,A000000,03500,0000,03500RURAL HEALTH CLINIC 46280,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46280,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46280,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46280,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46280,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46280,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46280,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46280,A000000,04400,0000,04400DME RENTED - HHA 46280,A000000,04500,0000,04500DME SOLD - HHA 46280,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46280,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46280,A000000,04800,0000,04800AMBULANCE 46280,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46280,A000000,05000,0000,05000CORF 46280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46280,A000000,05300,0000,05300INTEREST EXPENSE 46280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46280,A000000,05500,0000,05500HOSPICE 46280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46280,A000000,06100,0000,06100NONPAID WORKERS 46280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46280,A000000,06200,0000,06200PATIENTS LAUNDRY 46280,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46280,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46280,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46280,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46280,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46280,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46280,B100000,00000,0800,00000MEALS SERVED :DIETARY 46280,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46280,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46280,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46280,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46280,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46280,S000000,00100,0200,12/01/2000 46280,S200000,00100,0100,935 NORTH CASSIDY 46280,S200000,00200,0100,COLUMBUS 46280,S200000,00200,0200,OH 46280,S200000,00200,0300,43219- 46280,S200000,00300,0100,FRANKLIN 46280,S200000,00300,0200,1840 46280,S200000,00300,0300,U 46280,S200000,00400,0100,LUTHERAN SENIOR CITY INC 46280,S200000,00400,0200,365499 46280,S200000,00400,0300,02/27/1980 46280,S200000,00400,0500,P 46280,S200000,01600,0100,Y 46289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46289,A000000,00300,0000,00300EMPLOYEE BENEFITS 46289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46289,A000000,00700,0000,00700HOUSEKEEPING 46289,A000000,00800,0000,00800DIETARY 46289,A000000,00900,0000,00900NURSING ADMINISTRATION 46289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46289,A000000,01300,0000,01300SOCIAL SERVICE 46289,A000000,01350,0000,01500ACTIVITIES 46289,A000000,01600,0000,01600SKILLED NURSING FACILITY 46289,A000000,01800,0000,01800NURSING FACILITY 46289,A000000,01810,0000,01810ICF/MR 46289,A000000,01900,0000,01900OTHER LONG TERM CARE 46289,A000000,02100,0000,02100RADIOLOGY 46289,A000000,02200,0000,02200LABORATORY 46289,A000000,02300,0000,02300INTRAVENOUS THERAPY 46289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46289,A000000,02500,0000,02500PHYSICAL THERAPY 46289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46289,A000000,02700,0000,02700SPEECH PATHOLOGY 46289,A000000,02800,0000,02800ELECTROCARDIOLOGY 46289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46289,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46289,A000000,03200,0000,03200SUPPORT SURFACES 46289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46289,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46289,A000000,04800,0000,04800AMBULANCE 46289,A000000,05000,0000,05000CORF 46289,A000000,05300,0000,05300INTEREST EXPENSE 46289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46289,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46289,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46289,A000000,06200,0000,06200PATIENTS LAUNDRY 46289,A81000A,00100,0100,Y 46289,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT EXPEN 46289,A81000C,00100,0100,A 46289,A81000C,00100,0200,DAVID R. LIPSON 46289,A81000C,00100,0400,DRL REAL ESTATE LTD. 46289,A81000C,00100,0600,REAL ESTATE 46289,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46289,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46289,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46289,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46289,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46289,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46289,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46289,B100000,00000,0800,00000MEALS SERVED :DIETARY 46289,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46289,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46289,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46289,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46289,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46289,S000000,00100,0200,05/30/2000 46289,S200000,00100,0100,5500 VERULAM STREET 46289,S200000,00200,0100,CINCINNATI 46289,S200000,00200,0200,OH 46289,S200000,00200,0300,45213- 46289,S200000,00300,0100,HAMILTON 46289,S200000,00300,0200,1640 46289,S200000,00300,0300,U 46289,S200000,00400,0100,RIDGE PAVILION 46289,S200000,00400,0200,365503 46289,S200000,00400,0300,01/01/1974 46289,S200000,00400,0500,P 46289,S200000,01600,0100,Y 46298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46298,A000000,00300,0000,00300EMPLOYEE BENEFITS 46298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46298,A000000,00700,0000,00700HOUSEKEEPING 46298,A000000,00800,0000,00800DIETARY 46298,A000000,00900,0000,00900NURSING ADMINISTRATION 46298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46298,A000000,01100,0000,01100PHARMACY 46298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46298,A000000,01300,0000,01300SOCIAL SERVICE 46298,A000000,01600,0000,01600SKILLED NURSING FACILITY 46298,A000000,01800,0000,01800NURSING FACILITY 46298,A000000,01900,0000,01900OTHER LONG TERM CARE 46298,A000000,02100,0000,02100RADIOLOGY 46298,A000000,02200,0000,02200LABORATORY 46298,A000000,02300,0000,02300INTRAVENOUS THERAPY 46298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46298,A000000,02500,0000,02500PHYSICAL THERAPY 46298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46298,A000000,02700,0000,02700SPEECH PATHOLOGY 46298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46298,A000000,03200,0000,03200SUPPORT SURFACES 46298,A000000,04800,0000,04800AMBULANCE 46298,A000000,05300,0000,05300INTEREST EXPENSE 46298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46298,A000000,05500,0000,05500HOSPICE 46298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46298,A000000,06200,0000,06200PATIENTS LAUNDRY 46298,A81000A,00100,0100,Y 46298,A81000B,00100,0300,INSURANCE 46298,A81000B,00200,0300,EMPLOYEE BENEFITS 46298,A81000B,00300,0300,MANAGEMENT FEES 46298,A81000B,00400,0300,PLANT & OPERATIONS 46298,A81000C,00100,0100,C 46298,A81000C,00100,0200,WESLEY GLEN 46298,A81000C,00100,0400,METH. ELDERCARE SERVICES 46298,A81000C,00100,0600,PARENT ORGANIZATION 46298,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46298,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46298,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46298,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46298,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46298,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46298,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46298,B100000,00000,0800,00000MEALS SERVED :DIETARY 46298,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 46298,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46298,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46298,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46298,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46298,S000000,00100,0200,05/31/2000 46298,S200000,00100,0100,5155 NORTH HIGH STREET 46298,S200000,00200,0100,COLUMBUS 46298,S200000,00200,0200,OH 46298,S200000,00200,0300,43214-1592 46298,S200000,00300,0100,FRANKLIN 46298,S200000,00400,0100,WESLEY GLEN 46298,S200000,00400,0200,365504 46298,S200000,00400,0300,04/30/1980 46298,S200000,00400,0500,P 46298,S200000,01500,0100,Y 46298,S200000,04300,0100,Y 46298,S200000,04700,0100,Y 46298,S700003,00000,0100,1 46305,S000000,00100,0200,05/30/2000 46321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46321,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46321,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46321,A000000,00300,0000,00300EMPLOYEE BENEFITS 46321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46321,A000000,00700,0000,00700HOUSEKEEPING 46321,A000000,00800,0000,00800DIETARY 46321,A000000,00801,0000,00801CAFETERIA 46321,A000000,00900,0000,00900NURSING ADMINISTRATION 46321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46321,A000000,01100,0000,01100PHARMACY 46321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46321,A000000,01300,0000,01300SOCIAL SERVICE 46321,A000000,01350,0000,01500ACTIVITIES 46321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46321,A000000,01600,0000,01600SKILLED NURSING FACILITY 46321,A000000,01800,0000,01800NURSING FACILITY 46321,A000000,01900,0000,01900OTHER LONG TERM CARE 46321,A000000,02100,0000,02100RADIOLOGY 46321,A000000,02200,0000,02200LABORATORY 46321,A000000,02300,0000,02300INTRAVENOUS THERAPY 46321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46321,A000000,02500,0000,02500PHYSICAL THERAPY 46321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46321,A000000,02700,0000,02700SPEECH PATHOLOGY 46321,A000000,02800,0000,02800ELECTROCARDIOLOGY 46321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46321,A000000,03050,0000,03300DME 46321,A000000,03051,0000,03301ORTHOTICS 46321,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 46321,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46321,A000000,03200,0000,03200SUPPORT SURFACES 46321,A000000,03400,0000,03400CLINIC 46321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46321,A000000,03500,0000,03500RURAL HEALTH CLINIC 46321,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46321,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46321,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46321,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46321,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46321,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46321,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46321,A000000,04400,0000,04400DME RENTED - HHA 46321,A000000,04500,0000,04500DME SOLD - HHA 46321,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46321,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46321,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46321,A000000,04800,0000,04800AMBULANCE 46321,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46321,A000000,05000,0000,05000CORF 46321,A000000,05010,0000,05010CMHC I 46321,A000000,05020,0000,05020OPT I 46321,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46321,A000000,05300,0000,05300INTEREST EXPENSE 46321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46321,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46321,A000000,05500,0000,05500HOSPICE 46321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46321,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46321,A000000,06100,0000,06100NONPAID WORKERS 46321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46321,A000000,06200,0000,06200PATIENTS LAUNDRY 46321,A81000A,00100,0100,Y 46321,A81000B,00100,0300,HOME OFFICE ALLOCATION 46321,A81000B,00200,0300,THERACOR ACTUAL COSTS 46321,A81000B,00300,0300,THERACOR ACTUAL COSTS 46321,A81000B,00400,0300,THERACOR ACTUAL COSTS 46321,A81000C,00100,0100,B 46321,A81000C,00100,0200,HARBORSIDE 46321,A81000C,00200,0200,HEALTHCARE 46321,A81000C,00300,0200,LIMITED PSHIP 46321,A81000C,00300,0600,MANAGEMENT CO 46321,A81000C,00500,0100,B 46321,A81000C,00500,0200,HARBORSIDE 46321,A81000C,00600,0200,REHABILITITAION 46321,A81000C,00700,0200,LIMITED PSHIP 46321,A81000C,00700,0600,THERAPY 46321,A81000C,00800,0600,SERVICE AND 46321,A81000C,00900,0600,MANAGEMENT CO 46321,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46321,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46321,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46321,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46321,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46321,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46321,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46321,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46321,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46321,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46321,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46321,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46321,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46321,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46321,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46321,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46321,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46321,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46321,S000000,00100,0200,06/01/2000 46321,S200000,00100,0100,395 HARDING AVE 46321,S200000,00200,0100,DEFIANCE 46321,S200000,00200,0200,OH 46321,S200000,00200,0300,43512- 46321,S200000,00300,0100,DEFIANCE 46321,S200000,00400,0100,HHC - DEFIANCE 46321,S200000,00400,0200,365507 46321,S200000,00400,0300,06/01/1993 46321,S200000,00400,0500,P 46321,S200000,01600,0100,Y 46321,S200000,02200,0100,Y 46321,S200000,04700,0100,Y 46321,S200000,04900,0100,Y 46329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46329,A000000,00300,0000,00300EMPLOYEE BENEFITS 46329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46329,A000000,00700,0000,00700HOUSEKEEPING 46329,A000000,00800,0000,00800DIETARY 46329,A000000,00900,0000,00900NURSING ADMINISTRATION 46329,A000000,01300,0000,01300SOCIAL SERVICE 46329,A000000,01600,0000,01600SKILLED NURSING FACILITY 46329,A000000,01800,0000,01800NURSING FACILITY 46329,A000000,01900,0000,01900OTHER LONG TERM CARE 46329,A000000,02100,0000,02100RADIOLOGY 46329,A000000,02200,0000,02200LABORATORY 46329,A000000,02300,0000,02300INTRAVENOUS THERAPY 46329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46329,A000000,02500,0000,02500PHYSICAL THERAPY 46329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46329,A000000,02700,0000,02700SPEECH PATHOLOGY 46329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46329,A000000,03050,0000,03001AMBULANCE SERVICES 46329,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46329,A000000,05300,0000,05300INTEREST EXPENSE 46329,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46329,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46329,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46329,A81000A,00100,0100,Y 46329,A81000B,00100,0300,RENT EXPENSE 46329,A81000B,00200,0300,BUILDING DEPRECIATION 46329,A81000B,00300,0300,RENOVATION DEPRECIATION 46329,A81000B,00400,0300,BUILDING INTEREST 46329,A81000B,00500,0300,RENOVATION INTEREST 46329,A81000B,00600,0300,REAL ESTATE TAX 46329,A81000B,00700,0300,UTILITIES 46329,A81000B,00800,0300,REPAIR & MAINTENANCE 46329,A81000C,00100,0100,A 46329,A81000C,00100,0200,DON & THEO WESSELL 46329,A81000C,00100,0400,WELCOME NURSING HOME 46329,A81000C,00100,0600,REAL ESTATE 46329,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46329,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46329,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46329,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46329,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46329,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46329,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46329,B100000,00000,0800,00000MEALS SERVED :DIETARY 46329,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 46329,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46329,S000000,00100,0200,06/02/2000 46329,S200000,00100,0100,417 S. MAIN STREET 46329,S200000,00200,0100,OBERLIN 46329,S200000,00200,0200,OH 46329,S200000,00200,0300,44074- 46329,S200000,00300,0100,LORAIN 46329,S200000,00400,0100,WELCOME NURSING HOME 46329,S200000,00400,0200,365508 46329,S200000,00400,0300,01/01/1980 46329,S200000,00400,0500,P 46329,S200000,01004,0500,O 46329,S200000,01500,0100,Y 46329,S200000,04700,0100,Y 46339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46339,A000000,00300,0000,00300EMPLOYEE BENEFITS 46339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46339,A000000,00700,0000,00700HOUSEKEEPING 46339,A000000,00800,0000,00800DIETARY 46339,A000000,00900,0000,00900NURSING ADMINISTRATION 46339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46339,A000000,01100,0000,01100PHARMACY 46339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46339,A000000,01300,0000,01300SOCIAL SERVICE 46339,A000000,01350,0000,01500ACTIVITIES 46339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46339,A000000,01600,0000,01600SKILLED NURSING FACILITY 46339,A000000,01800,0000,01800NURSING FACILITY 46339,A000000,01900,0000,01900OTHER LONG TERM CARE 46339,A000000,02100,0000,02100RADIOLOGY 46339,A000000,02200,0000,02200LABORATORY 46339,A000000,02300,0000,02300INTRAVENOUS THERAPY 46339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46339,A000000,02500,0000,02500PHYSICAL THERAPY 46339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46339,A000000,02700,0000,02700SPEECH PATHOLOGY 46339,A000000,02800,0000,02800ELECTROCARDIOLOGY 46339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46339,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46339,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46339,A000000,03200,0000,03200SUPPORT SURFACES 46339,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46339,A000000,04800,0000,04800AMBULANCE 46339,A000000,05300,0000,05300INTEREST EXPENSE 46339,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46339,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46339,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46339,A000000,06100,0000,06100NONPAID WORKERS 46339,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46339,A000000,06200,0000,06200PATIENTS LAUNDRY 46339,A81000A,00100,0100,Y 46339,A81000B,00100,0300,HOME OFFICE COST 46339,A81000B,00200,0300,PURCH SERV PHARMACIST 46339,A81000B,00300,0300,IV DRUGS & SUPPLIES 46339,A81000B,00400,0300,DRUGS 46339,A81000B,00500,0300,PT ADMINISTRATION FEE 46339,A81000B,00600,0300,OT ADMINISTRATION FEE 46339,A81000B,00700,0300,ST ADMINISTRATION FEE 46339,A81000B,00800,0300,PURCH SERV PT 46339,A81000B,00900,0300,PURCH SERV OT 46339,A81000B,01000,0300,PURCH SERV ST 46339,A81000C,00100,0100,B 46339,A81000C,00100,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00100,0400,HCR MANORCARE INC. 46339,A81000C,00100,0600,LONG TERM CARE FACILITIES 46339,A81000C,00200,0100,B 46339,A81000C,00200,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 46339,A81000C,00200,0600,PHARMACY 46339,A81000C,00300,0100,B 46339,A81000C,00300,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 46339,A81000C,00300,0600,PHARMACY 46339,A81000C,00400,0100,B 46339,A81000C,00400,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 46339,A81000C,00400,0600,PHARMACY 46339,A81000C,00500,0100,B 46339,A81000C,00500,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 46339,A81000C,00500,0600,THERAPY MANAGEMENT 46339,A81000C,00600,0100,B 46339,A81000C,00600,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 46339,A81000C,00600,0600,THERAPY MANAGEMENT 46339,A81000C,00700,0100,B 46339,A81000C,00700,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 46339,A81000C,00700,0600,THERAPY MANAGEMENT 46339,A81000C,00800,0100,B 46339,A81000C,00800,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00800,0400,HEARTLAND REHABILITATION 46339,A81000C,00800,0600,THERAPY PROVIDER 46339,A81000C,00900,0100,B 46339,A81000C,00900,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,00900,0400,HEARTLAND REHABILITATION 46339,A81000C,00900,0600,THERAPY PROVIDER 46339,A81000C,01000,0100,B 46339,A81000C,01000,0200,HEARTLAND OF SPRINGFIELD 46339,A81000C,01000,0400,HEARTLAND REHABILITATION 46339,A81000C,01000,0600,THERAPY PROVIDER 46339,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46339,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46339,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46339,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46339,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46339,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46339,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46339,B100000,00000,0800,00000MEALS SERVED :DIETARY 46339,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46339,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46339,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46339,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46339,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46339,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46339,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46339,S000000,00100,0200,05/26/2000 46339,S200000,00100,0100,2615 DERR ROAD 46339,S200000,00200,0100,SPRINGFIELD 46339,S200000,00200,0200,OH 46339,S200000,00200,0300,45503- 46339,S200000,00300,0100,CLARK 46339,S200000,00400,0100,HEARTLAND OF SPRINGFIELD 46339,S200000,00400,0200,365514 46339,S200000,00400,0300,01/01/1983 46339,S200000,00400,0500,P 46339,S200000,00400,0600,P 46339,S200000,01004,0500,O 46339,S200000,01600,0100,Y 46339,S200000,02200,0100,Y 46339,S700003,00000,0100,1 46344,S000000,00100,0200,06/01/2000 46350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46350,A000000,00300,0000,00300EMPLOYEE BENEFITS 46350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46350,A000000,00700,0000,00700HOUSEKEEPING 46350,A000000,00800,0000,00800DIETARY 46350,A000000,00900,0000,00900NURSING ADMINISTRATION 46350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46350,A000000,01100,0000,01100PHARMACY 46350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46350,A000000,01300,0000,01300SOCIAL SERVICE 46350,A000000,01600,0000,01600SKILLED NURSING FACILITY 46350,A000000,01800,0000,01800NURSING FACILITY 46350,A000000,01900,0000,01900OTHER LONG TERM CARE 46350,A000000,02100,0000,02100RADIOLOGY 46350,A000000,02200,0000,02200LABORATORY 46350,A000000,02300,0000,02300INTRAVENOUS THERAPY 46350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46350,A000000,02500,0000,02500PHYSICAL THERAPY 46350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46350,A000000,02700,0000,02700SPEECH PATHOLOGY 46350,A000000,02800,0000,02800ELECTROCARDIOLOGY 46350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46350,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46350,A000000,03200,0000,03200SUPPORT SURFACES 46350,A000000,04800,0000,04800AMBULANCE 46350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46350,A000000,05300,0000,05300INTEREST EXPENSE 46350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46350,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 46350,A81000A,00100,0100,Y 46350,A81000B,00100,0300,OWNERSHIP COST FOR RENT 46350,A81000B,00200,0300,MEDICAL SUPPLIES 46350,A81000B,00300,0300,PHARMACY SUPPLIES 46350,A81000C,00100,0100,A 46350,A81000C,00100,0200,SANFORD GERBER 46350,A81000C,00100,0400,BELLE MANOR REA 46350,A81000C,00100,0600,REALTY COMPANY 46350,A81000C,00200,0100,G 46350,A81000C,00200,0200,MARC MEZIBOV 46350,A81000C,00200,0400,BELLE MANOR REA 46350,A81000C,00200,0600,REALTY COMPANY 46350,A81000C,00300,0100,G 46350,A81000C,00300,0200,JOEL MOSKOWITZ 46350,A81000C,00300,0400,BELLE MANOR REA 46350,A81000C,00300,0600,REALTY COMPANY 46350,A81000C,00400,0100,G 46350,A81000C,00400,0200,ROBERT SIEGEL 46350,A81000C,00400,0400,BELLE MANOR REA 46350,A81000C,00400,0600,REALTY COMPANY 46350,A81000C,00500,0100,A 46350,A81000C,00500,0200,SANFORD GERBER 46350,A81000C,00500,0400,BEACON PHARMACY 46350,A81000C,00500,0600,PHARMACY COMPAN 46350,A81000C,03100,0000,ROBERT SIEGEL 46350,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46350,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46350,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46350,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46350,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46350,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46350,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46350,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46350,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 46350,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46350,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 46350,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46350,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46350,E10A180,00501,0300,06/06/2000 46350,E10A180,00550,0100,06/06/2000 46350,S000000,00100,0200,05/31/2000 46350,S200000,00100,0100,107 NORTH PIKE STREET 46350,S200000,00200,0100,NEW CARLISLE 46350,S200000,00200,0200,OH 46350,S200000,00200,0300,45344-1817 46350,S200000,00300,0100,CLARK 46350,S200000,00400,0100,BELLE MANOR NURSING HOME 46350,S200000,00400,0200,365519 46350,S200000,00400,0300,06/23/1980 46350,S200000,00400,0500,P 46350,S200000,01500,0100,Y 46359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46359,A000000,00300,0000,00300EMPLOYEE BENEFITS 46359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46359,A000000,00700,0000,00700HOUSEKEEPING 46359,A000000,00800,0000,00800DIETARY 46359,A000000,00900,0000,00900NURSING ADMINISTRATION 46359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46359,A000000,01100,0000,01100PHARMACY 46359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46359,A000000,01300,0000,01300SOCIAL SERVICE 46359,A000000,01350,0000,01500OTHER GENERAL SERVICES 46359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46359,A000000,01600,0000,01600SKILLED NURSING FACILITY 46359,A000000,01800,0000,01800NURSING FACILITY 46359,A000000,01810,0000,01810ICF/MR 46359,A000000,01900,0000,01900OTHER LONG TERM CARE 46359,A000000,02100,0000,02100RADIOLOGY 46359,A000000,02200,0000,02200LABORATORY 46359,A000000,02300,0000,02300INTRAVENOUS THERAPY 46359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46359,A000000,02500,0000,02500PHYSICAL THERAPY 46359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46359,A000000,02700,0000,02700SPEECH PATHOLOGY 46359,A000000,02800,0000,02800ELECTROCARDIOLOGY 46359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46359,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46359,A000000,03200,0000,03200SUPPORT SURFACES 46359,A000000,03400,0000,03400CLINIC 46359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46359,A000000,03500,0000,03500RURAL HEALTH CLINIC 46359,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46359,A000000,04800,0000,04800AMBULANCE 46359,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46359,A000000,05000,0000,05000CORF 46359,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46359,A000000,05300,0000,05300INTEREST EXPENSE 46359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46359,A000000,05500,0000,05500HOSPICE 46359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46359,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46359,A000000,06100,0000,06100NONPAID WORKERS 46359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46359,A000000,06200,0000,06200PATIENTS LAUNDRY 46359,A81000A,00100,0100,Y 46359,A81000B,00100,0300,HOME OFFICE EXPENSES 46359,A81000C,00100,0100,B 46359,A81000C,00100,0400,A SYSTEMS 46359,A81000C,00100,0600,NURSING HOME MGMT. 46359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46359,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46359,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46359,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46359,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46359,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46359,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46359,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46359,E10A180,00301,0100,12/13/2000 46359,S000000,00100,0200,06/05/2000 46359,S200000,00100,0100,19900 CLARE AVENUE 46359,S200000,00200,0100,MAPLE HEIGHTS 46359,S200000,00200,0200,OH 46359,S200000,00200,0300,44137- 46359,S200000,00300,0100,CUYAHOGA 46359,S200000,00300,0200,1680 46359,S200000,00300,0300,U 46359,S200000,00400,0100,SUNRISE POINTE 46359,S200000,00400,0200,365520 46359,S200000,00400,0300,01/01/1967 46359,S200000,00400,0500,P 46359,S200000,01600,0100,Y 46370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46370,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46370,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46370,A000000,00300,0000,00300EMPLOYEE BENEFITS 46370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46370,A000000,00700,0000,00700HOUSEKEEPING 46370,A000000,00800,0000,00800DIETARY 46370,A000000,00801,0000,00801CAFETERIA 46370,A000000,00900,0000,00900NURSING ADMINISTRATION 46370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46370,A000000,01100,0000,01100PHARMACY 46370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46370,A000000,01300,0000,01300SOCIAL SERVICE 46370,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46370,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46370,A000000,01600,0000,01600SKILLED NURSING FACILITY 46370,A000000,01800,0000,01800NURSING FACILITY 46370,A000000,01900,0000,01900OTHER LONG TERM CARE 46370,A000000,02100,0000,02100RADIOLOGY 46370,A000000,02200,0000,02200LABORATORY 46370,A000000,02300,0000,02300INTRAVENOUS THERAPY 46370,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46370,A000000,02500,0000,02500PHYSICAL THERAPY 46370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46370,A000000,02700,0000,02700SPEECH PATHOLOGY 46370,A000000,02800,0000,02800ELECTROCARDIOLOGY 46370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46370,A000000,03050,0000,03300OTHER ANCILLARY 46370,A000000,03051,0000,03301OTHER ANCILLARY II 46370,A000000,03052,0000,03302OTHER ANCILLARY III 46370,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46370,A000000,03200,0000,03200SUPPORT SURFACES 46370,A000000,03400,0000,03400CLINIC 46370,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46370,A000000,03500,0000,03500RURAL HEALTH CLINIC 46370,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46370,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46370,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46370,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46370,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46370,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46370,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46370,A000000,04400,0000,04400DME RENTED - HHA 46370,A000000,04500,0000,04500DME SOLD - HHA 46370,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46370,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46370,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46370,A000000,04800,0000,04800AMBULANCE 46370,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46370,A000000,05000,0000,05000CORF 46370,A000000,05010,0000,05010CMHC I 46370,A000000,05020,0000,05020OPT I 46370,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46370,A000000,05300,0000,05300INTEREST EXPENSE 46370,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46370,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46370,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46370,A000000,05500,0000,05500HOSPICE 46370,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46370,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46370,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46370,A000000,06100,0000,06100NONPAID WORKERS 46370,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46370,A000000,06200,0000,06200PATIENTS LAUNDRY 46370,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46370,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46370,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46370,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46370,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46370,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46370,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46370,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46370,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46370,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46370,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46370,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 46370,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46370,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 46370,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 46370,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 46370,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46370,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46370,S000000,00100,0200,06/23/2000 46370,S200000,00100,0100,220 APPLEGROVE ST. N.E. 46370,S200000,00200,0100,NORTH CANTON 46370,S200000,00200,0200,OH 46370,S200000,00200,0300,44720- 46370,S200000,00300,0100,STARK 46370,S200000,00400,0100,ST. LUKE LUTHERAN HOME FOR THE AGING 46370,S200000,00400,0200,365521 46370,S200000,00400,0300,06/12/1980 46370,S200000,00400,0500,P 46370,S200000,01600,0100,Y 46370,S200000,02200,0100,Y 46380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46380,A000000,00300,0000,00300EMPLOYEE BENEFITS 46380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46380,A000000,00700,0000,00700HOUSEKEEPING 46380,A000000,00800,0000,00800DIETARY 46380,A000000,00900,0000,00900NURSING ADMINISTRATION 46380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46380,A000000,01100,0000,01100PHARMACY 46380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46380,A000000,01300,0000,01300SOCIAL SERVICE 46380,A000000,01350,0000,01500ACTIVITIES 46380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46380,A000000,01600,0000,01600SKILLED NURSING FACILITY 46380,A000000,01800,0000,01800NURSING FACILITY 46380,A000000,01900,0000,01900OTHER LONG TERM CARE 46380,A000000,02100,0000,02100RADIOLOGY 46380,A000000,02200,0000,02200LABORATORY 46380,A000000,02300,0000,02300INTRAVENOUS THERAPY 46380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46380,A000000,02500,0000,02500PHYSICAL THERAPY 46380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46380,A000000,02700,0000,02700SPEECH PATHOLOGY 46380,A000000,02800,0000,02800ELECTROCARDIOLOGY 46380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46380,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46380,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46380,A000000,03200,0000,03200SUPPORT SURFACES 46380,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46380,A000000,04800,0000,04800AMBULANCE 46380,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46380,A000000,05300,0000,05300INTEREST EXPENSE 46380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46380,A000000,06100,0000,06100NONPAID WORKERS 46380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46380,A000000,06200,0000,06200PATIENTS LAUNDRY 46380,A81000A,00100,0100,Y 46380,A81000B,00100,0300,HOME OFFICE COST 46380,A81000B,00200,0300,P/S PHARMACIST 46380,A81000B,00300,0300,IV COST 46380,A81000B,00400,0300,PHARMACY 46380,A81000B,00500,0300,PHYSICAL THERAPY 46380,A81000B,00600,0300,OCCUPATIONAL THERAPY 46380,A81000B,00700,0300,SPEECH THERAPY 46380,A81000B,00800,0300,PHYSICAL THERAPY 46380,A81000B,00900,0300,OCCUPATIONAL THERAPY 46380,A81000B,01000,0300,SPEECH THERAPY 46380,A81000C,00100,0100,B 46380,A81000C,00100,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00100,0400,HCR MANORCARE INC. 46380,A81000C,00100,0600,LONG TERM CARE FACILITIES 46380,A81000C,00200,0100,B 46380,A81000C,00200,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 46380,A81000C,00200,0600,PHARMACY 46380,A81000C,00300,0100,B 46380,A81000C,00300,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 46380,A81000C,00300,0600,PHARMACY 46380,A81000C,00400,0100,B 46380,A81000C,00400,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 46380,A81000C,00400,0600,PHARMACY 46380,A81000C,00500,0100,B 46380,A81000C,00500,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00500,0400,SCIOTO VALLEY THERAPY 46380,A81000C,00500,0600,PHYSICAL THERAPY 46380,A81000C,00600,0100,B 46380,A81000C,00600,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00600,0400,SCIOTO VALLEY THERAPY 46380,A81000C,00600,0600,OCCUPATIONAL THERAPY 46380,A81000C,00700,0100,B 46380,A81000C,00700,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00700,0400,SCIOTO VALLEY THERAPY 46380,A81000C,00700,0600,SPEECH THERAPY 46380,A81000C,00800,0100,B 46380,A81000C,00800,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00800,0400,HTLD MANAGEMENT SERVICES 46380,A81000C,00800,0600,PHYSICAL THERAPY MGMT 46380,A81000C,00900,0100,B 46380,A81000C,00900,0200,HEARTLAND OF CENTERBURG 46380,A81000C,00900,0400,HTLD MANAGEMENT SERVICES 46380,A81000C,00900,0600,OCCUPATIONAL THERAPY MGMT 46380,A81000C,01000,0100,B 46380,A81000C,01000,0200,HEARTLAND OF CENTERBURG 46380,A81000C,01000,0400,HTLD MANAGEMENT SERVICES 46380,A81000C,01000,0600,SPEECH THERAPY MGMT 46380,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46380,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46380,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46380,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46380,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46380,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46380,B100000,00000,0800,00000MEALS SERVED :DIETARY 46380,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46380,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46380,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46380,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46380,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46380,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46380,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46380,S000000,00100,0200,05/31/2000 46380,S200000,00100,0100,FAIRVIEW AVENUE 46380,S200000,00200,0100,CENTERBURG 46380,S200000,00200,0200,OH 46380,S200000,00200,0300,43011- 46380,S200000,00300,0100,KNOX 46380,S200000,00400,0100,HEARTLAND OF CENTERBURG 46380,S200000,00400,0200,365525 46380,S200000,00400,0300,06/01/1966 46380,S200000,00400,0500,P 46380,S200000,00400,0600,P 46380,S200000,01004,0500,O 46380,S200000,01600,0100,Y 46380,S200000,02200,0100,Y 46380,S700003,00000,0100,1 46391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46391,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46391,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46391,A000000,00300,0000,00300EMPLOYEE BENEFITS 46391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46391,A000000,00700,0000,00700HOUSEKEEPING 46391,A000000,00800,0000,00800DIETARY 46391,A000000,00801,0000,00801CAFETERIA 46391,A000000,00900,0000,00900NURSING ADMINISTRATION 46391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46391,A000000,01100,0000,01100PHARMACY 46391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46391,A000000,01300,0000,01300SOCIAL SERVICE 46391,A000000,01350,0000,01500ACTIVITIES 46391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46391,A000000,01600,0000,01600SKILLED NURSING FACILITY 46391,A000000,01800,0000,01800NURSING FACILITY 46391,A000000,01900,0000,01900OTHER LONG TERM CARE 46391,A000000,02100,0000,02100RADIOLOGY 46391,A000000,02200,0000,02200LABORATORY 46391,A000000,02300,0000,02300INTRAVENOUS THERAPY 46391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46391,A000000,02500,0000,02500PHYSICAL THERAPY 46391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46391,A000000,02700,0000,02700SPEECH PATHOLOGY 46391,A000000,02800,0000,02800ELECTROCARDIOLOGY 46391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46391,A000000,03050,0000,03300OTHER ANCILLARY 46391,A000000,03051,0000,03301OTHER ANCILLARY II 46391,A000000,03052,0000,03302OTHER ANCILLARY III 46391,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46391,A000000,03200,0000,03200SUPPORT SURFACES 46391,A000000,03400,0000,03400CLINIC 46391,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46391,A000000,03500,0000,03500RURAL HEALTH CLINIC 46391,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46391,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46391,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46391,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46391,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46391,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46391,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46391,A000000,04400,0000,04400DME RENTED - HHA 46391,A000000,04500,0000,04500DME SOLD - HHA 46391,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46391,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46391,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46391,A000000,04800,0000,04800AMBULANCE 46391,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46391,A000000,05000,0000,05000CORF 46391,A000000,05010,0000,05010CMHC I 46391,A000000,05020,0000,05020OPT I 46391,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46391,A000000,05300,0000,05300INTEREST EXPENSE 46391,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46391,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46391,A000000,05500,0000,05500HOSPICE 46391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46391,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46391,A000000,06100,0000,06100NONPAID WORKERS 46391,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46391,A000000,06200,0000,06200PATIENTS LAUNDRY 46391,A81000A,00100,0100,Y 46391,A81000B,00100,0300,RELATED PARTY RENT 46391,A81000B,00200,0300,RELATED PARTY DEPR 46391,A81000B,00300,0300,RELATED PARTY DEPR 46391,A81000B,00400,0300,RELATED PARTY INT 46391,A81000C,00100,0100,A 46391,A81000C,00100,0200,RAY SCHNEIDER 46391,A81000C,00100,0400,TO LIFE LTD. 46391,A81000C,00100,0600,REAL ESTATE 46391,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46391,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46391,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46391,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46391,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46391,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46391,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 46391,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46391,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 46391,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46391,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46391,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46391,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46391,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46391,E10A180,00501,0100,05/21/2001 46391,E10A180,00550,0300,05/21/2001 46391,S000000,00100,0200,06/01/2000 46391,S200000,00100,0100,1171 TOWNE STREET 46391,S200000,00200,0100,CINCINNATI 46391,S200000,00200,0200,OH 46391,S200000,00300,0100,HAMILTON 46391,S200000,00300,0200,1640 46391,S200000,00300,0300,U 46391,S200000,00400,0100,UNITY COURT 46391,S200000,00400,0200,365526 46391,S200000,00400,0300,06/06/1980 46391,S200000,00400,0500,P 46391,S200000,01500,0100,Y 46391,S200000,04300,0100,Y 46391,S200000,04700,0100,Y 46391,S200000,04700,0200,Y 46391,S200000,04900,0100,Y 46399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46399,A000000,00300,0000,00300EMPLOYEE BENEFITS 46399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46399,A000000,00700,0000,00700HOUSEKEEPING 46399,A000000,00800,0000,00800DIETARY 46399,A000000,00900,0000,00900NURSING ADMINISTRATION 46399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46399,A000000,01300,0000,01300SOCIAL SERVICE 46399,A000000,01350,0000,01500ACTIVITIES 46399,A000000,01600,0000,01600SKILLED NURSING FACILITY 46399,A000000,01800,0000,01800NURSING FACILITY 46399,A000000,01810,0000,01801ICF/MR 46399,A000000,01900,0000,01900OTHER LONG TERM CARE 46399,A000000,02100,0000,02100RADIOLOGY 46399,A000000,02200,0000,02200LABORATORY 46399,A000000,02300,0000,02300INTRAVENOUS THERAPY 46399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46399,A000000,02500,0000,02500PHYSICAL THERAPY 46399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46399,A000000,02700,0000,02700SPEECH PATHOLOGY 46399,A000000,02800,0000,02800ELECTROCARDIOLOGY 46399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46399,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46399,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46399,A000000,03200,0000,03200SUPPORT SURFACES 46399,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46399,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46399,A000000,04800,0000,04800AMBULANCE 46399,A000000,05000,0000,05000CORF 46399,A000000,05300,0000,05300INTEREST EXPENSE 46399,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46399,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46399,A000000,05500,0000,05500HOSPICE 46399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46399,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46399,A000000,06200,0000,06200PATIENTS LAUNDRY 46399,A81000A,00100,0100,Y 46399,A81000B,00100,0300,CAP REL COSTS - BLDG RENT EXPENSE 46399,A81000C,00100,0100,A 46399,A81000C,00100,0200,MARY K. JAMISON 46399,A81000C,00100,0400,GARDENVIEW REALTY 46399,A81000C,00100,0600,REAL ESTATE 46399,A81000C,00200,0100,A 46399,A81000C,00200,0200,SUSAN MOORE 46399,A81000C,00200,0400,GARDENVIEW REALTY 46399,A81000C,00200,0600,REAL ESTATE 46399,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46399,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46399,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46399,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46399,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46399,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46399,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46399,B100000,00000,0800,00000MEALS SERVED :DIETARY 46399,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46399,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46399,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46399,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46399,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46399,S000000,00100,0200,06/01/2000 46399,S200000,00100,0100,3544 WASHINGTON AVENUE 46399,S200000,00200,0100,CINCINNATI 46399,S200000,00200,0200,OH 46399,S200000,00200,0300,45229- 46399,S200000,00300,0100,HAMILTON 46399,S200000,00400,0100,GARDENVIEW NURSING HOME 46399,S200000,00400,0200,365529 46399,S200000,00400,0300,07/01/1980 46399,S200000,00400,0500,P 46399,S200000,01600,0100,Y 46399,S700003,00000,0100,1 46408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46408,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46408,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46408,A000000,00300,0000,00300EMPLOYEE BENEFITS 46408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46408,A000000,00700,0000,00700HOUSEKEEPING 46408,A000000,00800,0000,00800DIETARY 46408,A000000,00801,0000,00801CAFETERIA 46408,A000000,00900,0000,00900NURSING ADMINISTRATION 46408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46408,A000000,01100,0000,01100PHARMACY 46408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46408,A000000,01300,0000,01300SOCIAL SERVICE 46408,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46408,A000000,01600,0000,01600SKILLED NURSING FACILITY 46408,A000000,01800,0000,01800NURSING FACILITY 46408,A000000,01900,0000,01900OTHER LONG TERM CARE 46408,A000000,02100,0000,02100RADIOLOGY 46408,A000000,02200,0000,02200LABORATORY 46408,A000000,02300,0000,02300INTRAVENOUS THERAPY 46408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46408,A000000,02500,0000,02500PHYSICAL THERAPY 46408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46408,A000000,02700,0000,02700SPEECH PATHOLOGY 46408,A000000,02800,0000,02800ELECTROCARDIOLOGY 46408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46408,A000000,03050,0000,03300OTHER ANCILLARY 46408,A000000,03051,0000,03301OTHER ANCILLARY II 46408,A000000,03052,0000,03302OTHER ANCILLARY III 46408,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46408,A000000,03200,0000,03200SUPPORT SURFACES 46408,A000000,03400,0000,03400CLINIC 46408,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46408,A000000,03500,0000,03500RURAL HEALTH CLINIC 46408,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46408,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46408,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46408,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46408,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46408,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46408,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46408,A000000,04400,0000,04400DME RENTED - HHA 46408,A000000,04500,0000,04500DME SOLD - HHA 46408,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46408,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46408,A000000,04800,0000,04800AMBULANCE 46408,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46408,A000000,05000,0000,05000CORF 46408,A000000,05010,0000,05010CMHC I 46408,A000000,05020,0000,05020OPT I 46408,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46408,A000000,05300,0000,05300INTEREST EXPENSE 46408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46408,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46408,A000000,05500,0000,05500HOSPICE 46408,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46408,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46408,A000000,06100,0000,06100NONPAID WORKERS 46408,A000000,06150,0000,06300PARSONAGE EXPENSE 46408,A000000,06200,0000,06200PATIENTS LAUNDRY 46408,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46408,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46408,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46408,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46408,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46408,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46408,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46408,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46408,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46408,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46408,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46408,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46408,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46408,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46408,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46408,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46408,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46408,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46408,S000000,00100,0200,05/31/2000 46408,S200000,00100,0100,5999 BENDER ROAD 46408,S200000,00200,0100,CINCINNATI 46408,S200000,00200,0200,OH 46408,S200000,00200,0300,45233- 46408,S200000,00300,0100,HAMILTON 46408,S200000,00400,0100,RIVERVIEW COMMUNITY 46408,S200000,00400,0200,365530 46408,S200000,00400,0300,07/01/1980 46408,S200000,00400,0500,P 46408,S200000,01600,0100,Y 46408,S200000,02200,0100,Y 46408,S200000,02800,0100,Y 46417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46417,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46417,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46417,A000000,00300,0000,00300EMPLOYEE BENEFITS 46417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46417,A000000,00700,0000,00700HOUSEKEEPING 46417,A000000,00800,0000,00800DIETARY 46417,A000000,00801,0000,00801CAFETERIA 46417,A000000,00900,0000,00900NURSING ADMINISTRATION 46417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46417,A000000,01100,0000,01100PHARMACY 46417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46417,A000000,01300,0000,01300SOCIAL SERVICE 46417,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46417,A000000,01600,0000,01600SKILLED NURSING FACILITY 46417,A000000,01800,0000,01800NURSING FACILITY 46417,A000000,01900,0000,01900OTHER LONG TERM CARE 46417,A000000,02100,0000,02100RADIOLOGY 46417,A000000,02200,0000,02200LABORATORY 46417,A000000,02300,0000,02300INTRAVENOUS THERAPY 46417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46417,A000000,02500,0000,02500PHYSICAL THERAPY 46417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46417,A000000,02700,0000,02700SPEECH PATHOLOGY 46417,A000000,02800,0000,02800ELECTROCARDIOLOGY 46417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46417,A000000,03050,0000,03300OTHER ANCILLARY 46417,A000000,03051,0000,03301OTHER ANCILLARY II 46417,A000000,03052,0000,03302OTHER ANCILLARY III 46417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46417,A000000,03200,0000,03200SUPPORT SURFACES 46417,A000000,03400,0000,03400CLINIC 46417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46417,A000000,03500,0000,03500RURAL HEALTH CLINIC 46417,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46417,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46417,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46417,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46417,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46417,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46417,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46417,A000000,04400,0000,04400DME RENTED - HHA 46417,A000000,04500,0000,04500DME SOLD - HHA 46417,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46417,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46417,A000000,04800,0000,04800AMBULANCE 46417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46417,A000000,05000,0000,05000CORF 46417,A000000,05010,0000,05010CMHC I 46417,A000000,05020,0000,05020OPT I 46417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46417,A000000,05300,0000,05300INTEREST EXPENSE 46417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46417,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46417,A000000,05500,0000,05500HOSPICE 46417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46417,A000000,06100,0000,06100NONPAID WORKERS 46417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46417,A000000,06200,0000,06200PATIENTS LAUNDRY 46417,A81000A,00100,0100,Y 46417,A81000B,00100,0300,LEASE/DEPREC BLDG 46417,A81000B,00200,0300,MGMT FEE/ADMIN WAGE 46417,A81000C,00100,0100,G 46417,A81000C,00100,0200,SEE EXHIBIT I 46417,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46417,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46417,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46417,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46417,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46417,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46417,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46417,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46417,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46417,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46417,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46417,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46417,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46417,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46417,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46417,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46417,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46417,S000000,00100,0200,06/01/2000 46417,S200000,00100,0100,1852 SINCLAIR AVENUE 46417,S200000,00200,0100,STEUBENVILLE 46417,S200000,00200,0200,OH 46417,S200000,00300,0100,JEFFERSON 46417,S200000,00400,0100,LANCIA VILLA ROYALE 46417,S200000,00400,0200,365531 46417,S200000,00400,0300,02/11/1980 46417,S200000,00400,0500,P 46417,S200000,01500,0100,Y 46417,S200000,02800,0100,Y 46417,S200000,04300,0100,Y 46428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46428,A000000,00300,0000,00300EMPLOYEE BENEFITS 46428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46428,A000000,00700,0000,00700HOUSEKEEPING 46428,A000000,00800,0000,00800DIETARY 46428,A000000,00900,0000,00900NURSING ADMINISTRATION 46428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46428,A000000,01100,0000,01100PHARMACY 46428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46428,A000000,01300,0000,01300SOCIAL SERVICE 46428,A000000,01350,0000,01500ACTIVITIES 46428,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46428,A000000,01600,0000,01600SKILLED NURSING FACILITY 46428,A000000,01800,0000,01800NURSING FACILITY 46428,A000000,01900,0000,01900OTHER LONG TERM CARE 46428,A000000,02100,0000,02100RADIOLOGY 46428,A000000,02200,0000,02200LABORATORY 46428,A000000,02300,0000,02300INTRAVENOUS THERAPY 46428,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46428,A000000,02500,0000,02500PHYSICAL THERAPY 46428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46428,A000000,02700,0000,02700SPEECH PATHOLOGY 46428,A000000,02800,0000,02800ELECTROCARDIOLOGY 46428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46428,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46428,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46428,A000000,03200,0000,03200SUPPORT SURFACES 46428,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46428,A000000,04800,0000,04800AMBULANCE 46428,A000000,05300,0000,05300INTEREST EXPENSE 46428,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46428,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46428,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46428,A000000,06100,0000,06100NONPAID WORKERS 46428,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46428,A000000,06200,0000,06200PATIENTS LAUNDRY 46428,A81000A,00100,0100,Y 46428,A81000B,00100,0300,HOME OFFICE COST 46428,A81000B,00200,0300,IV COST 46428,A81000B,00300,0300,P/S PHARMACIST 46428,A81000B,00400,0300,DIETARY 46428,A81000B,00500,0300,DRUGS 46428,A81000B,00600,0300,P/S PHYSICAL THERAPY 46428,A81000B,00700,0300,P/S OCCUPATIONAL THERAPY 46428,A81000B,00800,0300,P/S SPEECH THERAPY 46428,A81000B,00900,0300,PT ADMIN FEES 46428,A81000B,01000,0300,OT ADMIN FEES 46428,A81000B,01100,0300,ST ADMIN FEES 46428,A81000C,00100,0100,B 46428,A81000C,00100,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00100,0400,HCR MANORCARE INC. 46428,A81000C,00100,0600,LONG TERM CARE FACILITIES 46428,A81000C,00200,0100,B 46428,A81000C,00200,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 46428,A81000C,00200,0600,PHARMACY 46428,A81000C,00300,0100,B 46428,A81000C,00300,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 46428,A81000C,00300,0600,PHARMACY 46428,A81000C,00400,0100,B 46428,A81000C,00400,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 46428,A81000C,00400,0600,PHARMACY 46428,A81000C,00500,0100,B 46428,A81000C,00500,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00500,0400,HEARTLAND HEALTHCARE SVCS 46428,A81000C,00500,0600,PHARMACY 46428,A81000C,00600,0100,B 46428,A81000C,00600,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00600,0400,HEARTLAND REHAB SERVICES 46428,A81000C,00600,0600,THERAPY SERVICE 46428,A81000C,00700,0100,B 46428,A81000C,00700,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00700,0400,HEARTLAND REHAB SERVICES 46428,A81000C,00700,0600,THERAPY SERVICE 46428,A81000C,00800,0100,B 46428,A81000C,00800,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00800,0400,HEARTLAND REHAB SERVICES 46428,A81000C,00800,0600,THERAPY SERVICE 46428,A81000C,00900,0100,B 46428,A81000C,00900,0200,HEARTLAND OF GREENVILLE 46428,A81000C,00900,0400,HEARTLAND MANAGEMENT SVCS 46428,A81000C,00900,0600,THERAPY MANAGEMENT 46428,A81000C,01000,0100,B 46428,A81000C,01000,0200,HEARTLAND OF GREENVILLE 46428,A81000C,01000,0400,HEARTLAND MANAGEMENT SVCS 46428,A81000C,01000,0600,THERAPY MANAGEMENT 46428,A81000C,01001,0100,B 46428,A81000C,01001,0200,HEARTLAND OF GREENVILLE 46428,A81000C,01001,0400,HEARTLAND MANAGEMENT SVCS 46428,A81000C,01001,0600,THERAPY MANAGEMENT 46428,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46428,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46428,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46428,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46428,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46428,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46428,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46428,B100000,00000,0800,00000MEALS SERVED :DIETARY 46428,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46428,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46428,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46428,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46428,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46428,S000000,00100,0200,05/25/2000 46428,S200000,00100,0100,130 MARION DRIVE 46428,S200000,00200,0100,GREENVILLE 46428,S200000,00200,0200,OH 46428,S200000,00200,0300,43521- 46428,S200000,00300,0100,DARKE 46428,S200000,00300,0200,36 46428,S200000,00300,0300,R 46428,S200000,00400,0100,HEARTLAND OF GREENVILLE 46428,S200000,00400,0200,365532 46428,S200000,00400,0300,03/31/1988 46428,S200000,00400,0500,P 46428,S200000,01004,0500,O 46428,S200000,01600,0100,Y 46428,S200000,02200,0100,Y 46436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46436,A000000,00300,0000,00300EMPLOYEE BENEFITS 46436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46436,A000000,00700,0000,00700HOUSEKEEPING 46436,A000000,00800,0000,00800DIETARY 46436,A000000,00900,0000,00900NURSING ADMINISTRATION 46436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46436,A000000,01100,0000,01100PHARMACY 46436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46436,A000000,01300,0000,01300SOCIAL SERVICE 46436,A000000,01350,0000,01500OTHER GENERAL SERVICES 46436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46436,A000000,01600,0000,01600SKILLED NURSING FACILITY 46436,A000000,01800,0000,01800NURSING FACILITY 46436,A000000,01810,0000,01801ICF/MR 46436,A000000,01900,0000,01900OTHER LONG TERM CARE 46436,A000000,02100,0000,02100RADIOLOGY 46436,A000000,02200,0000,02200LABORATORY 46436,A000000,02300,0000,02300INTRAVENOUS THERAPY 46436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46436,A000000,02500,0000,02500PHYSICAL THERAPY 46436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46436,A000000,02700,0000,02700SPEECH PATHOLOGY 46436,A000000,02800,0000,02800ELECTROCARDIOLOGY 46436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46436,A000000,03200,0000,03200SUPPORT SURFACES 46436,A000000,03400,0000,03400CLINIC 46436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46436,A000000,03500,0000,03500RURAL HEALTH CLINIC 46436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46436,A000000,04800,0000,04800AMBULANCE 46436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46436,A000000,05000,0000,05000CORF 46436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46436,A000000,05300,0000,05300INTEREST EXPENSE 46436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46436,A000000,05500,0000,05500HOSPICE 46436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46436,A000000,06100,0000,06100NONPAID WORKERS 46436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46436,A000000,06200,0000,06200PATIENTS LAUNDRY 46436,A81000A,00100,0100,Y 46436,A81000B,00100,0300,ADMIN.MGT CONST 46436,A81000B,00200,0300,MEDICAL SPPLY 46436,A81000B,00300,0300,PHARMACY 46436,A81000C,00100,0100,A 46436,A81000C,00100,0200,JOHN COURY/ROBERT NEMETZ 46436,A81000C,00100,0400,J& R ASSOCIATES 46436,A81000C,00100,0600,ACCTG MGT. CONST. 46436,A81000C,00200,0100,D 46436,A81000C,00200,0200,ELI COURY 46436,A81000C,00200,0400,PHARMED 46436,A81000C,00200,0600,MEDICAL SUPPLIES 46436,A81000C,00300,0100,D 46436,A81000C,00300,0200,DAVID COURY 46436,A81000C,00300,0400,BAY PHARMACY 46436,A81000C,00300,0600,PHARMACY 46436,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 46436,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 46436,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 46436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46436,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 46436,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 46436,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 46436,B100000,00000,0850,00000NO STATISTICS :DIETARY 46436,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 46436,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 46436,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46436,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 46436,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 46436,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46436,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46436,S000000,00100,0200,06/02/2000 46436,S200000,00100,0100,27500 MILL RD 46436,S200000,00200,0100,NORTH OLMSTED 46436,S200000,00200,0200,OH 46436,S200000,00200,0300,44070- 46436,S200000,00300,0100,CUYAHOGA 46436,S200000,00400,0100,OLMSTED MANOR NURSING HOME 46436,S200000,00400,0200,365533 46436,S200000,00400,0300,10/01/1997 46436,S200000,00400,0500,P 46436,S200000,01500,0100,Y 46436,S200000,04700,0100,Y 46447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46447,A000000,00300,0000,00300EMPLOYEE BENEFITS 46447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46447,A000000,00700,0000,00700HOUSEKEEPING 46447,A000000,00800,0000,00800DIETARY 46447,A000000,00900,0000,00900NURSING ADMINISTRATION 46447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46447,A000000,01100,0000,01100PHARMACY 46447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46447,A000000,01300,0000,01300SOCIAL SERVICE 46447,A000000,01350,0000,01500ACTIVITIES 46447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46447,A000000,01600,0000,01600SKILLED NURSING FACILITY 46447,A000000,01800,0000,01800NURSING FACILITY 46447,A000000,01900,0000,01900OTHER LONG TERM CARE 46447,A000000,02100,0000,02100RADIOLOGY 46447,A000000,02200,0000,02200LABORATORY 46447,A000000,02300,0000,02300INTRAVENOUS THERAPY 46447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46447,A000000,02500,0000,02500PHYSICAL THERAPY 46447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46447,A000000,02700,0000,02700SPEECH PATHOLOGY 46447,A000000,02800,0000,02800ELECTROCARDIOLOGY 46447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46447,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46447,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46447,A000000,03200,0000,03200SUPPORT SURFACES 46447,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46447,A000000,04800,0000,04800AMBULANCE 46447,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46447,A000000,05300,0000,05300INTEREST EXPENSE 46447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46447,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46447,A000000,06100,0000,06100NONPAID WORKERS 46447,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46447,A000000,06200,0000,06200PATIENTS LAUNDRY 46447,A81000A,00100,0100,Y 46447,A81000B,00100,0300,HOME OFFICE COST 46447,A81000B,00200,0300,IV COST 46447,A81000B,00300,0300,PHARMACY 46447,A81000B,00400,0300,PHARMACIST 46447,A81000B,00500,0300,PHYSICAL THERAPY 46447,A81000B,00600,0300,OCCUPATIONAL THERAPY 46447,A81000B,00700,0300,SPEECH THERAPY 46447,A81000B,00800,0300,PHYSICAL THERAPY 46447,A81000B,00900,0300,OCCUPATIONAL THERAPY 46447,A81000B,01000,0300,SPEECH THERAPY 46447,A81000C,00100,0100,B 46447,A81000C,00100,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00100,0400,HCR MANORCARE INC. 46447,A81000C,00100,0600,LONG TERM CARE FACILITIES 46447,A81000C,00200,0100,B 46447,A81000C,00200,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 46447,A81000C,00200,0600,PHARMACY 46447,A81000C,00300,0100,B 46447,A81000C,00300,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 46447,A81000C,00300,0600,PHARMACY 46447,A81000C,00400,0100,B 46447,A81000C,00400,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 46447,A81000C,00400,0600,PHARMACY 46447,A81000C,00500,0100,B 46447,A81000C,00500,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00500,0400,HTLD REHAB 46447,A81000C,00500,0600,THERAPY PROVIDER 46447,A81000C,00600,0100,B 46447,A81000C,00600,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00600,0400,HTLD REHAB 46447,A81000C,00600,0600,THERAPY PROVIDER 46447,A81000C,00700,0100,B 46447,A81000C,00700,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00700,0400,HTLD REHAB 46447,A81000C,00700,0600,THERAPY PROVIDER 46447,A81000C,00800,0100,B 46447,A81000C,00800,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00800,0400,HTLD MANAGEMENT SERVICES 46447,A81000C,00800,0600,THERAPY MANAGEMENT 46447,A81000C,00900,0100,B 46447,A81000C,00900,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,00900,0400,HTLD MANAGEMENT SERVICES 46447,A81000C,00900,0600,THERAPY MANAGEMENT 46447,A81000C,01000,0100,B 46447,A81000C,01000,0200,HEARTLAND OF PERRYSBURG 46447,A81000C,01000,0400,HTLD MANAGEMENT SERVICES 46447,A81000C,01000,0600,THERAPY MANAGEMENT 46447,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46447,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46447,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46447,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46447,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46447,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46447,B100000,00000,0800,00000MEALS SERVED :DIETARY 46447,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46447,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46447,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46447,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46447,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46447,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46447,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46447,S000000,00100,0200,05/31/2000 46447,S200000,00100,0100,10540 FREMONT PIKE 46447,S200000,00200,0100,PERRYSBURG 46447,S200000,00200,0200,OH 46447,S200000,00200,0300,43551- 46447,S200000,00300,0100,WOOD 46447,S200000,00400,0100,HEARTLAND OF PERRYSBURG 46447,S200000,00400,0200,365535 46447,S200000,00400,0300,01/01/1980 46447,S200000,00400,0500,P 46447,S200000,00400,0600,P 46447,S200000,01004,0500,O 46447,S200000,01600,0100,Y 46447,S200000,02200,0100,Y 46458,S000000,00100,0200,07/24/2000 46464,S000000,00100,0200,06/05/2000 46472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46472,A000000,00300,0000,00300EMPLOYEE BENEFITS 46472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46472,A000000,00700,0000,00700HOUSEKEEPING 46472,A000000,00800,0000,00800DIETARY 46472,A000000,00900,0000,00900NURSING ADMINISTRATION 46472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46472,A000000,01100,0000,01100PHARMACY 46472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46472,A000000,01300,0000,01300SOCIAL SERVICE 46472,A000000,01600,0000,01600SKILLED NURSING FACILITY 46472,A000000,01800,0000,01800NURSING FACILITY 46472,A000000,02100,0000,02100RADIOLOGY 46472,A000000,02200,0000,02200LABORATORY 46472,A000000,02300,0000,02300INTRAVENOUS THERAPY 46472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46472,A000000,02500,0000,02500PHYSICAL THERAPY 46472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46472,A000000,02700,0000,02700SPEECH PATHOLOGY 46472,A000000,02800,0000,02800ELECTROCARDIOLOGY 46472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46472,A000000,03200,0000,03200SUPPORT SURFACES 46472,A000000,04800,0000,04800AMBULANCE 46472,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46472,A000000,05300,0000,05300INTEREST EXPENSE 46472,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46472,A000000,06150,0000,06300HERITAGE ESTATES 46472,A81000A,00100,0100,Y 46472,A81000B,00100,0300,STORAGE RENTAL 46472,A81000C,00100,0100,A 46472,A81000C,00100,0200,L. DON MANLEY 46472,A81000C,00100,0400,CONSTELLATION L 46472,A81000C,00100,0600,STORAGE RENTAL 46472,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46472,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46472,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46472,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46472,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46472,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46472,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46472,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46472,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 46472,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46472,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 46472,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46472,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46472,S000000,00100,0200,05/31/2000 46472,S200000,00100,0100,2820 GREENACRE DRIVE 46472,S200000,00200,0100,FINDLAY 46472,S200000,00200,0200,OH 46472,S200000,00200,0300,45840-4157 46472,S200000,00300,0100,HANCOCK 46472,S200000,00400,0100,THE HERITAGE 46472,S200000,00400,0200,365541 46472,S200000,00400,0300,11/14/1980 46472,S200000,00400,0500,P 46472,S200000,01500,0100,Y 46472,S200000,02800,0100,Y 46472,S200000,04700,0100,Y 46482,S000000,00100,0200,03/02/2000 46492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46492,A000000,00300,0000,00300EMPLOYEE BENEFITS 46492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46492,A000000,00700,0000,00700HOUSEKEEPING 46492,A000000,00800,0000,00800DIETARY 46492,A000000,00900,0000,00900NURSING ADMINISTRATION 46492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46492,A000000,01100,0000,01100PHARMACY 46492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46492,A000000,01300,0000,01300SOCIAL SERVICE 46492,A000000,01350,0000,01500ACTIVITIES 46492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46492,A000000,01600,0000,01600SKILLED NURSING FACILITY 46492,A000000,01800,0000,01800NURSING FACILITY 46492,A000000,01900,0000,01900OTHER LONG TERM CARE 46492,A000000,02100,0000,02100RADIOLOGY 46492,A000000,02200,0000,02200LABORATORY 46492,A000000,02300,0000,02300INTRAVENOUS THERAPY 46492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46492,A000000,02500,0000,02500PHYSICAL THERAPY 46492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46492,A000000,02700,0000,02700SPEECH PATHOLOGY 46492,A000000,02800,0000,02800ELECTROCARDIOLOGY 46492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46492,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46492,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46492,A000000,03200,0000,03200SUPPORT SURFACES 46492,A000000,03400,0000,03400CLINIC 46492,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46492,A000000,03500,0000,03500RURAL HEALTH CLINIC 46492,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46492,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46492,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46492,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46492,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46492,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46492,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46492,A000000,04400,0000,04400DME RENTED - HHA 46492,A000000,04500,0000,04500DME SOLD - HHA 46492,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46492,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46492,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46492,A000000,04800,0000,04800AMBULANCE 46492,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46492,A000000,05000,0000,05000CORF 46492,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46492,A000000,05300,0000,05300INTEREST EXPENSE 46492,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46492,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46492,A000000,05500,0000,05500HOSPICE 46492,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46492,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46492,A000000,06100,0000,06100NONPAID WORKERS 46492,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46492,A000000,06200,0000,06200PATIENTS LAUNDRY 46492,A81000A,00100,0100,Y 46492,A81000B,00100,0300,MANAGEMENT FEES 46492,A81000B,00200,0300,HOME OFFICE A&G 46492,A81000B,00300,0300,HOME OFFICE CAPITAL 46492,A81000C,00100,0100,A 46492,A81000C,00100,0200,JOHN A. DEPIZZO JR. 46492,A81000C,00100,0400,JOHN A. DEPIZZO JR. INC 46492,A81000C,00100,0600,MANAGEMENT SERVICES 46492,A81000C,00200,0100,A 46492,A81000C,00200,0200,JOHN A. DEPIZZO JR. 46492,A81000C,00200,0400,JAD FINANCIAL SERV INC 46492,A81000C,00200,0600,ACCTG/DATA PROCE 46492,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46492,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46492,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46492,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46492,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46492,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46492,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46492,B100000,00000,0800,00000MEALS SERVED :DIETARY 46492,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46492,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46492,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46492,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46492,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46492,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46492,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46492,E10A180,00550,0300,06/09/2000 46492,S000000,00100,0200,07/06/1999 46492,S200000,00100,0100,5291 ASHLEY CIRCLE 46492,S200000,00200,0100,YOUNGSTOWN 46492,S200000,00200,0200,OH 46492,S200000,00200,0300,44515- 46492,S200000,00300,0100,MAHONING 46492,S200000,00400,0100,BRIARFIELD AT ASHLEY CIRCLE 46492,S200000,00400,0200,365545 46492,S200000,00400,0300,01/06/1981 46492,S200000,00400,0500,P 46492,S200000,01600,0100,Y 46492,S700003,00000,0100,1 46494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46494,A000000,00300,0000,00300EMPLOYEE BENEFITS 46494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46494,A000000,00700,0000,00700HOUSEKEEPING 46494,A000000,00800,0000,00800DIETARY 46494,A000000,00900,0000,00900NURSING ADMINISTRATION 46494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46494,A000000,01100,0000,01100PHARMACY 46494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46494,A000000,01300,0000,01300SOCIAL SERVICE 46494,A000000,01600,0000,01600SKILLED NURSING FACILITY 46494,A000000,01800,0000,01800NURSING FACILITY 46494,A000000,01810,0000,01801ICF/MR 46494,A000000,01900,0000,01900OTHER LONG TERM CARE 46494,A000000,02100,0000,02100RADIOLOGY 46494,A000000,02200,0000,02200LABORATORY 46494,A000000,02300,0000,02300INTRAVENOUS THERAPY 46494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46494,A000000,02500,0000,02500PHYSICAL THERAPY 46494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46494,A000000,02700,0000,02700SPEECH PATHOLOGY 46494,A000000,02800,0000,02800ELECTROCARDIOLOGY 46494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46494,A000000,03200,0000,03200SUPPORT SURFACES 46494,A000000,03400,0000,03400CLINIC 46494,A000000,04800,0000,04800AMBULANCE 46494,A000000,05300,0000,05300INTEREST EXPENSE 46494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46494,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46494,A000000,05500,0000,05500HOSPICE 46494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46494,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46494,A000000,06100,0000,06100NONPAID WORKERS 46494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46494,A000000,06200,0000,06200PATIENTS LAUNDRY 46494,A81000A,00100,0100,Y 46494,A81000B,00100,0300,HOME OFFICE COSTS 46494,A81000B,00200,0300,HOME OFFICE COSTS 46494,A81000B,00300,0300,HOME OFFICE COSTS 46494,A81000B,00400,0300,HOME OFFICE COSTS - SALARY 46494,A81000B,00500,0300,HOME OFFICE COSTS 46494,A81000B,00600,0300,HOME OFFICE COSTS - SALARY 46494,A81000B,00700,0300,HOME OFFICE COSTS 46494,A81000B,00800,0300,HOME OFFICE COSTS 46494,A81000C,00100,0100,A 46494,A81000C,00100,0200,JOHN A . DEPIZZO 46494,A81000C,00100,0400,JOHN A DEPIZZO INC. 46494,A81000C,00100,0600,MANAGEMENT COMPANY 46494,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46494,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46494,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46494,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46494,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46494,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46494,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46494,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46494,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46494,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46494,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46494,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46494,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46494,S000000,00100,0200,06/02/2000 46494,S200000,00100,0100,5291 ASHLEY CIRCLE 46494,S200000,00200,0100,YOUNGSTOWN 46494,S200000,00200,0200,OH 46494,S200000,00200,0300,44515- 46494,S200000,00300,0100,MAHONING 46494,S200000,00400,0100,BRIARFIELD AT ASHLEY CIRCLE 46494,S200000,00400,0200,365545 46494,S200000,00400,0300,01/06/1981 46494,S200000,00400,0500,P 46494,S200000,01500,0100,Y 46494,S200000,04300,0100,Y 46508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46508,A000000,00300,0000,00300EMPLOYEE BENEFITS 46508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46508,A000000,00700,0000,00700HOUSEKEEPING 46508,A000000,00800,0000,00800DIETARY 46508,A000000,00900,0000,00900NURSING ADMINISTRATION 46508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46508,A000000,01100,0000,01100PHARMACY 46508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46508,A000000,01300,0000,01300SOCIAL SERVICE 46508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46508,A000000,01600,0000,01600SKILLED NURSING FACILITY 46508,A000000,01800,0000,01800NURSING FACILITY 46508,A000000,01810,0000,01810ICF/MR 46508,A000000,01900,0000,01900OTHER LONG TERM CARE 46508,A000000,02100,0000,02100RADIOLOGY 46508,A000000,02200,0000,02200LABORATORY 46508,A000000,02300,0000,02300INTRAVENOUS THERAPY 46508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46508,A000000,02500,0000,02500PHYSICAL THERAPY 46508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46508,A000000,02700,0000,02700SPEECH PATHOLOGY 46508,A000000,02800,0000,02800ELECTROCARDIOLOGY 46508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46508,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46508,A000000,03200,0000,03200SUPPORT SURFACES 46508,A000000,03400,0000,03400CLINIC 46508,A000000,03500,0000,03500RURAL HEALTH CLINIC 46508,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 46508,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46508,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46508,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46508,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46508,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46508,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46508,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46508,A000000,04400,0000,04400DME RENTED - HHA 46508,A000000,04500,0000,04500DME SOLD - HHA 46508,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46508,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46508,A000000,04800,0000,04800AMBULANCE 46508,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46508,A000000,05000,0000,05000CORF 46508,A000000,05010,0000,05010CMHC 46508,A000000,05020,0000,05020OPT 46508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 46508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 46508,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46508,A000000,05300,0000,05300INTEREST EXPENSE 46508,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46508,A000000,05500,0000,05500HOSPICE 46508,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46508,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46508,A000000,06100,0000,06100NONPAID WORKERS 46508,A000000,06200,0000,06200PATIENTS LAUNDRY 46508,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46508,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46508,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46508,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46508,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46508,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46508,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 46508,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46508,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 46508,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 46508,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 46508,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 46508,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 46508,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46508,S000000,00100,0200,06/27/2000 46508,S200000,00100,0100,2035 VAN WYE SE 46508,S200000,00100,0300,2357 46508,S200000,00200,0100,WARREN 46508,S200000,00200,0200,OH 46508,S200000,00200,0300,44484- 46508,S200000,00300,0100,TRUMBULL 46508,S200000,00400,0100,HLA HEALTHCARE BUILDING 1 46508,S200000,00400,0200,365548 46508,S200000,00400,0300,12/22/1980 46508,S200000,00400,0500,P 46508,S200000,01004,0500,O 46508,S200000,01500,0100,Y 46508,S200000,02800,0100,Y 46508,S200000,03100,0100,Y 46515,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46515,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46515,A000000,00300,0000,00300EMPLOYEE BENEFITS 46515,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46515,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46515,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46515,A000000,00700,0000,00700HOUSEKEEPING 46515,A000000,00800,0000,00800DIETARY 46515,A000000,00900,0000,00900NURSING ADMINISTRATION 46515,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46515,A000000,01100,0000,01100PHARMACY 46515,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46515,A000000,01300,0000,01300SOCIAL SERVICE 46515,A000000,01600,0000,01600SKILLED NURSING FACILITY 46515,A000000,01800,0000,01800NURSING FACILITY 46515,A000000,01900,0000,01900OTHER LONG TERM CARE 46515,A000000,02100,0000,02100RADIOLOGY 46515,A000000,02200,0000,02200LABORATORY 46515,A000000,02300,0000,02300INTRAVENOUS THERAPY 46515,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46515,A000000,02500,0000,02500PHYSICAL THERAPY 46515,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46515,A000000,02700,0000,02700SPEECH PATHOLOGY 46515,A000000,02800,0000,02800ELECTROCARDIOLOGY 46515,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46515,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46515,A000000,03200,0000,03200SUPPORT SURFACES 46515,A000000,04800,0000,04800AMBULANCE 46515,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46515,A000000,05300,0000,05300INTEREST EXPENSE 46515,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46515,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46515,A81000A,00100,0100,Y 46515,A81000B,00100,0300,OWNERSHIP COSTS 46515,A81000B,00200,0300,OWNERSHIP COSTS 46515,A81000B,00300,0300,HOME OFFICE COSTS 46515,A81000B,00400,0300,HOME OFFICE COSTS 46515,A81000B,00500,0300,HOME OFFICE COSTS 46515,A81000B,00600,0300,PHARMACEUTICAL ITEMS 46515,A81000B,00700,0300,THERAPY SERVICES 46515,A81000C,00100,0100,A 46515,A81000C,00100,0200,STEVE BOYMEL 46515,A81000C,00100,0400,CLOVERNOOK MANO 46515,A81000C,00100,0600,REALTY CO. 46515,A81000C,00200,0100,A 46515,A81000C,00200,0200,HANK SCHNEIDER 46515,A81000C,00200,0400,CLOVERNOOK MANO 46515,A81000C,00200,0600,REALTY CO. 46515,A81000C,00300,0100,A 46515,A81000C,00300,0200,STEVE BOYMEL 46515,A81000C,00300,0400,CENTRAL ACCOUNT 46515,A81000C,00300,0600,HOME OFFICE 46515,A81000C,00400,0100,A 46515,A81000C,00400,0200,STEVE BOYMEL 46515,A81000C,00400,0400,PHARMCO 46515,A81000C,00400,0600,PHARMACY CO. 46515,A81000C,00500,0100,A 46515,A81000C,00500,0200,HANK SCHNEIDER 46515,A81000C,00500,0400,PHARMCO 46515,A81000C,00500,0600,PHARMACY CO. 46515,A81000C,00600,0100,D 46515,A81000C,00600,0200,JEROME STANISLA 46515,A81000C,00600,0400,THERAPY 2000 46515,A81000C,00600,0600,THERAPY SERVICE 46515,A81000C,00700,0100,D 46515,A81000C,00700,0200,AGENT FOR THOMA 46515,A81000C,00700,0400,THERAPY 2000 46515,A81000C,00700,0600,THERAPY SERVICE 46515,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46515,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46515,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46515,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46515,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46515,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46515,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46515,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46515,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 46515,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 46515,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 46515,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46515,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46515,E10A180,00501,0100,06/06/2000 46515,E10A180,00550,0300,06/06/2000 46515,S000000,00100,0200,05/31/2000 46515,S200000,00100,0100,7025 CLOVERNOOK AVENUE 46515,S200000,00200,0100,CINCINNATI 46515,S200000,00200,0200,OH 46515,S200000,00200,0300,45231- 46515,S200000,00300,0100,HAMILTON 46515,S200000,00400,0100,CLOVERNOOK INC. 46515,S200000,00400,0200,365551 46515,S200000,00400,0300,03/31/1981 46515,S200000,00400,0500,P 46515,S200000,01600,0100,Y 46515,S200000,02800,0100,Y 46524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46524,A000000,00700,0000,00700HOUSEKEEPING 46524,A000000,00800,0000,00800DIETARY 46524,A000000,00900,0000,00900NURSING ADMINISTRATION 46524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46524,A000000,01300,0000,01300SOCIAL SERVICE 46524,A000000,01600,0000,01600SKILLED NURSING FACILITY 46524,A000000,01800,0000,01800NURSING FACILITY 46524,A000000,02100,0000,02100RADIOLOGY 46524,A000000,02200,0000,02200LABORATORY 46524,A000000,02300,0000,02300INTRAVENOUS THERAPY 46524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46524,A000000,02500,0000,02500PHYSICAL THERAPY 46524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46524,A000000,02700,0000,02700SPEECH PATHOLOGY 46524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46524,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46524,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 46524,A000000,03052,0000,03302MEDICAL EQUIPMENT 46524,A000000,04800,0000,04800AMBULANCE 46524,A000000,05300,0000,05300INTEREST EXPENSE 46524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46524,A000000,06200,0000,06200PATIENTS LAUNDRY 46524,A81000A,00100,0100,Y 46524,A81000B,00100,0300,HOME OFFICE A&G 46524,A81000B,00200,0300,HOME OFFICE CAPITAL 46524,A81000B,00300,0300,DIVISION OFFICE A&G 46524,A81000B,00400,0300,DIVISION OFFICE CAPITAL 46524,A81000B,00500,0300,INSURANCE 46524,A81000B,00600,0300,PHYSICAL THERAPY 46524,A81000B,00700,0300,OCCUPATIONAL THERAPY 46524,A81000B,00800,0300,SPEECH THERAPY 46524,A81000B,00900,0300,AIR FLUIDIZED THERAPY 46524,A81000C,00100,0100,B 46524,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 46524,A81000C,00200,0100,G 46524,A81000C,00200,0200,LAURIER INC. 46524,A81000C,00200,0400,EXTENDICARE INC. 46524,A81000C,00200,0600,INSURANCE 46524,A81000C,00300,0100,G 46524,A81000C,00300,0200,UNITED REHABILITATION SVS 46524,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 46524,A81000C,00300,0600,THERAPY SERVICE 46524,A81000C,00400,0100,G 46524,A81000C,00400,0200,UPC 46524,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 46524,A81000C,00400,0600,PHARMACY THERAPY 46524,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46524,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46524,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46524,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46524,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46524,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 46524,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46524,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46524,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46524,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 46524,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46524,E10A180,00301,0100,06/22/1998 46524,E10A180,00301,0300,06/22/1998 46524,E10A180,00350,0100,06/22/1998 46524,E10A180,00350,0300,06/22/1998 46524,S000000,00100,0200,06/02/2000 46524,S200000,00100,0100,839 E. CHERRY STREET 46524,S200000,00200,0100,BLANCHESTER 46524,S200000,00200,0200,OH 46524,S200000,00200,0300,45107- 46524,S200000,00300,0100,STARK 46524,S200000,00400,0100,BLANCHESTER CARE CENER 46524,S200000,00400,0200,365552 46524,S200000,00400,0300,07/01/1988 46524,S200000,00400,0500,P 46524,S200000,01004,0500,O 46524,S200000,01500,0100,Y 46535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46535,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46535,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46535,A000000,00300,0000,00300EMPLOYEE BENEFITS 46535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46535,A000000,00700,0000,00700HOUSEKEEPING 46535,A000000,00800,0000,00800DIETARY 46535,A000000,00801,0000,00801CAFETERIA 46535,A000000,00900,0000,00900NURSING ADMINISTRATION 46535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46535,A000000,01100,0000,01100PHARMACY 46535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46535,A000000,01300,0000,01300SOCIAL SERVICE 46535,A000000,01350,0000,01500ACTIVITIES 46535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46535,A000000,01600,0000,01600SKILLED NURSING FACILITY 46535,A000000,01800,0000,01800NURSING FACILITY 46535,A000000,01900,0000,01900OTHER LONG TERM CARE 46535,A000000,02100,0000,02100RADIOLOGY 46535,A000000,02200,0000,02200LABORATORY 46535,A000000,02300,0000,02300INTRAVENOUS THERAPY 46535,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46535,A000000,02500,0000,02500PHYSICAL THERAPY 46535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46535,A000000,02700,0000,02700SPEECH PATHOLOGY 46535,A000000,02800,0000,02800ELECTROCARDIOLOGY 46535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46535,A000000,03050,0000,03300OTHER ANCILLARY 46535,A000000,03051,0000,03301OTHER ANCILLARY II 46535,A000000,03052,0000,03302OTHER ANCILLARY III 46535,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46535,A000000,03200,0000,03200SUPPORT SURFACES 46535,A000000,03400,0000,03400CLINIC 46535,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46535,A000000,03500,0000,03500RURAL HEALTH CLINIC 46535,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46535,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46535,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46535,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46535,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46535,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46535,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46535,A000000,04400,0000,04400DME RENTED - HHA 46535,A000000,04500,0000,04500DME SOLD - HHA 46535,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46535,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46535,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46535,A000000,04800,0000,04800AMBULANCE 46535,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46535,A000000,05000,0000,05000CORF 46535,A000000,05010,0000,05010CMHC I 46535,A000000,05020,0000,05020OPT I 46535,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46535,A000000,05300,0000,05300INTEREST EXPENSE 46535,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46535,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46535,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46535,A000000,05500,0000,05500HOSPICE 46535,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46535,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46535,A000000,06100,0000,06100NONPAID WORKERS 46535,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46535,A000000,06200,0000,06200PATIENTS LAUNDRY 46535,A81000A,00100,0100,Y 46535,A81000B,00100,0300,H/O NURSING 46535,A81000B,00200,0300,H/O A & G 46535,A81000B,00300,0300,H/O RENT 46535,A81000B,00400,0300,H/O NON REIMBURSABLE 46535,A81000B,00500,0300,H/O THERAPIES 46535,A81000C,00100,0100,A 46535,A81000C,00100,0200,GLYNDON POWELL 46535,A81000C,00100,0400,CHSHO INC. 46535,A81000C,00100,0600,HOME OFFICE 46535,A81000C,00200,0100,A 46535,A81000C,00200,0200,ED BYINGTON 46535,A81000C,00200,0400,CHSHO INC. 46535,A81000C,00200,0600,HOME OFFICE 46535,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46535,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46535,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46535,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46535,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46535,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46535,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46535,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46535,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 46535,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46535,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46535,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 46535,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46535,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46535,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46535,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46535,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46535,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46535,S000000,00100,0200,06/01/2000 46535,S200000,00100,0100,3472 HAMILTON MASON ROAD 46535,S200000,00200,0100,HAMILTON 46535,S200000,00200,0200,OH 46535,S200000,00300,0100,BUTLER 46535,S200000,00400,0100,GLEN MEADOWS 46535,S200000,00400,0200,365554 46535,S200000,00400,0300,11/10/1994 46535,S200000,00400,0500,P 46535,S200000,01600,0100,Y 46535,S200000,04300,0100,Y 46535,S700003,00000,0100,1 46545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46545,A000000,00300,0000,00300EMPLOYEE BENEFITS 46545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46545,A000000,00700,0000,00700HOUSEKEEPING 46545,A000000,00800,0000,00800DIETARY 46545,A000000,00900,0000,00900NURSING ADMINISTRATION 46545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46545,A000000,01100,0000,01100PHARMACY 46545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46545,A000000,01300,0000,01300SOCIAL SERVICE 46545,A000000,01350,0000,01500OTHER GENERAL SERVICES 46545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46545,A000000,01600,0000,01600SKILLED NURSING FACILITY 46545,A000000,01800,0000,01800NURSING FACILITY 46545,A000000,01810,0000,01801ICF/MR 46545,A000000,01900,0000,01900OTHER LONG TERM CARE 46545,A000000,02100,0000,02100RADIOLOGY 46545,A000000,02200,0000,02200LABORATORY 46545,A000000,02300,0000,02300INTRAVENOUS THERAPY 46545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46545,A000000,02500,0000,02500PHYSICAL THERAPY 46545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46545,A000000,02700,0000,02700SPEECH PATHOLOGY 46545,A000000,02800,0000,02800ELECTROCARDIOLOGY 46545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46545,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46545,A000000,03051,0000,03301COMPLEX EQIPMENT RENTAL 46545,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46545,A000000,03200,0000,03200SUPPORT SURFACES 46545,A000000,03400,0000,03400CLINIC 46545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46545,A000000,03500,0000,03500RURAL HEALTH CLINIC 46545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46545,A000000,04400,0000,04400DME RENTED - HHA 46545,A000000,04500,0000,04500DME SOLD - HHA 46545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46545,A000000,04800,0000,04800AMBULANCE 46545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46545,A000000,05000,0000,05000CORF 46545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46545,A000000,05300,0000,05300INTEREST EXPENSE 46545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46545,A000000,05500,0000,05500HOSPICE 46545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46545,A000000,06100,0000,06100NONPAID WORKERS 46545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46545,A000000,06200,0000,06200PATIENTS LAUNDRY 46545,A81000A,00100,0100,Y 46545,A81000B,00100,0300,INTEREST / DEPRECIATION 46545,A81000B,00200,0300,HOME OFFICE COST 46545,A81000B,00300,0300,PRESCRIPTION DRUGS 46545,A81000B,00400,0300,EDUCATIONAL / TRAINING 46545,A81000B,00500,0300,OFFICE SUPPLIES 46545,A81000B,00600,0300,MAINTENANCE SUPPLIES 46545,A81000B,00700,0300,LAUNDRY SUPPLIES 46545,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 46545,A81000B,00900,0300,DIETARY SUPPLIES 46545,A81000B,01000,0300,MEDICAL SUPPLIES 46545,A81000B,01100,0300,THERAPY SUPPLIES 46545,A81000C,00100,0100,A 46545,A81000C,00100,0200,JOHN MASTERNICK 46545,A81000C,00100,0400,D & M REALTY 46545,A81000C,00100,0600,REAL ESTATE 46545,A81000C,00200,0100,D 46545,A81000C,00200,0200,JOHN J MASTERNICK JR 46545,A81000C,00200,0400,MEDI-RX INC 46545,A81000C,00200,0600,PHARMACY 46545,A81000C,00300,0100,A 46545,A81000C,00300,0200,JOHN MASTERNICK 46545,A81000C,00300,0400,TRADEMASTERS 46545,A81000C,00300,0600,SUPPLIES 46545,A81000C,00400,0100,D 46545,A81000C,00400,0200,JOHN J MASTERNICK JR 46545,A81000C,00400,0400,TRADEMASTERS 46545,A81000C,00400,0600,SUPPLIES 46545,A81000C,00500,0100,D 46545,A81000C,00500,0200,LEO S GRIMES 46545,A81000C,00500,0400,TRADEMASTERS 46545,A81000C,00500,0600,SUPPLIES 46545,A81000C,00600,0100,A 46545,A81000C,00600,0200,JOHN MASTERNICK 46545,A81000C,00600,0400,WINDSOR TRAINING CENTER 46545,A81000C,00600,0600,EDUCATION 46545,A81000C,00700,0100,A 46545,A81000C,00700,0200,JOHN MASTERNICK 46545,A81000C,00700,0400,WINDSOR HOUSE INC 46545,A81000C,00700,0600,HOME OFFICE 46545,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46545,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46545,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46545,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46545,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46545,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46545,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46545,B100000,00000,0800,00000MEALS SERVED :DIETARY 46545,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46545,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46545,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46545,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46545,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46545,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46545,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46545,S000000,00100,0200,06/02/2000 46545,S200000,00100,0100,563 BROOKFIELD AVE 46545,S200000,00200,0100,MASURY 46545,S200000,00200,0200,OH 46545,S200000,00200,0300,44438- 46545,S200000,00300,0100,TRUMBULL 46545,S200000,00400,0100,OBRIEN MEMORIAL HEALTH CARE CENTER 46545,S200000,00400,0200,365555 46545,S200000,00400,0300,01/01/1981 46545,S200000,00400,0500,P 46545,S200000,01500,0100,Y 46545,S700003,00000,0100,1 46554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46554,A000000,00300,0000,00300EMPLOYEE BENEFITS 46554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46554,A000000,00700,0000,00700HOUSEKEEPING 46554,A000000,00800,0000,00800DIETARY 46554,A000000,00900,0000,00900NURSING ADMINISTRATION 46554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46554,A000000,01100,0000,01100PHARMACY 46554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46554,A000000,01300,0000,01300SOCIAL SERVICE 46554,A000000,01350,0000,01500ACTIVITIES 46554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46554,A000000,01600,0000,01600SKILLED NURSING FACILITY 46554,A000000,01800,0000,01800NURSING FACILITY 46554,A000000,01810,0000,01801ICF/MR 46554,A000000,01900,0000,01900OTHER LONG TERM CARE 46554,A000000,02100,0000,02100RADIOLOGY 46554,A000000,02200,0000,02200LABORATORY 46554,A000000,02300,0000,02300INTRAVENOUS THERAPY 46554,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46554,A000000,02500,0000,02500PHYSICAL THERAPY 46554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46554,A000000,02700,0000,02700SPEECH PATHOLOGY 46554,A000000,02800,0000,02800ELECTROCARDIOLOGY 46554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46554,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46554,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46554,A000000,03200,0000,03200SUPPORT SURFACES 46554,A000000,03400,0000,03400CLINIC 46554,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46554,A000000,03500,0000,03500RURAL HEALTH CLINIC 46554,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46554,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46554,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46554,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46554,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46554,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46554,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46554,A000000,04400,0000,04400DME RENTED - HHA 46554,A000000,04500,0000,04500DME SOLD - HHA 46554,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46554,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46554,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46554,A000000,04800,0000,04800AMBULANCE 46554,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46554,A000000,05000,0000,05000CORF 46554,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46554,A000000,05300,0000,05300INTEREST EXPENSE 46554,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46554,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46554,A000000,05500,0000,05500HOSPICE 46554,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46554,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46554,A000000,06100,0000,06100NONPAID WORKERS 46554,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46554,A000000,06200,0000,06200PATIENTS LAUNDRY 46554,A81000A,00100,0100,Y 46554,A81000B,00100,0300,HOME OFFICE EXPENSE 46554,A81000C,00100,0100,A 46554,A81000C,00100,0200,ROBERT MURTHA 46554,A81000C,00100,0400,MACINTOSH MGMNT 46554,A81000C,00100,0600,NURS HOME MGMNT 46554,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46554,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46554,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46554,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46554,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46554,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46554,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46554,B100000,00000,0800,00000MEALS SERVED :DIETARY 46554,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46554,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46554,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46554,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46554,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46554,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46554,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46554,S000000,00100,0200,05/26/2000 46554,S200000,00100,0100,391 CLARK DRIVE 46554,S200000,00200,0100,CIRCLEVILLE 46554,S200000,00200,0200,OH 46554,S200000,00200,0300,43113- 46554,S200000,00300,0100,PICKAWAY 46554,S200000,00400,0100,PICKAWAY MANOR 46554,S200000,00400,0200,365556 46554,S200000,00400,0300,05/18/1981 46554,S200000,00400,0500,P 46554,S200000,01004,0500,O 46554,S200000,01500,0100,Y 46554,S700003,00000,0100,1 46565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46565,A000000,00300,0000,00300EMPLOYEE BENEFITS 46565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46565,A000000,00700,0000,00700HOUSEKEEPING 46565,A000000,00800,0000,00800DIETARY 46565,A000000,00900,0000,00900NURSING ADMINISTRATION 46565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46565,A000000,01100,0000,01100PHARMACY 46565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46565,A000000,01300,0000,01300SOCIAL SERVICE 46565,A000000,01350,0000,01500ACTIVITIES 46565,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46565,A000000,01600,0000,01600SKILLED NURSING FACILITY 46565,A000000,01800,0000,01800NURSING FACILITY 46565,A000000,01900,0000,01900OTHER LONG TERM CARE 46565,A000000,02100,0000,02100RADIOLOGY 46565,A000000,02200,0000,02200LABORATORY 46565,A000000,02300,0000,02300INTRAVENOUS THERAPY 46565,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46565,A000000,02500,0000,02500PHYSICAL THERAPY 46565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46565,A000000,02700,0000,02700SPEECH PATHOLOGY 46565,A000000,02800,0000,02800ELECTROCARDIOLOGY 46565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46565,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46565,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46565,A000000,03200,0000,03200SUPPORT SURFACES 46565,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46565,A000000,04800,0000,04800AMBULANCE 46565,A000000,05300,0000,05300INTEREST EXPENSE 46565,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46565,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46565,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46565,A000000,06100,0000,06100NONPAID WORKERS 46565,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46565,A000000,06200,0000,06200PATIENTS LAUNDRY 46565,A81000A,00100,0100,Y 46565,A81000B,00100,0300,HOME OFFICE COST 46565,A81000B,00200,0300,PURCH SERV PHARMACIST 46565,A81000B,00300,0300,IV DRUGS & SUPPLIES 46565,A81000B,00400,0300,DRUGS 46565,A81000B,00500,0300,PT ADMINISTRATION FEE 46565,A81000B,00600,0300,OT ADMINISTRATION FEE 46565,A81000B,00700,0300,ST ADMINISTRATION FEE 46565,A81000B,00800,0300,PHYSICAL THERAPY 46565,A81000B,00900,0300,OCCUP THERAPY 46565,A81000B,01000,0300,SPEECH THERAPY 46565,A81000C,00100,0100,B 46565,A81000C,00100,0200,HEARTLAND OF EATON 46565,A81000C,00100,0400,HCR MANORCARE INC. 46565,A81000C,00100,0600,LONG TERM CARE FACILITIES 46565,A81000C,00200,0100,B 46565,A81000C,00200,0200,HEARTLAND OF EATON 46565,A81000C,00200,0400,HEATLAND HEALTHCARE SERV 46565,A81000C,00200,0600,PHARMACY 46565,A81000C,00300,0100,B 46565,A81000C,00300,0200,HEARTLAND OF EATON 46565,A81000C,00300,0400,HEATLAND HEALTHCARE SERV 46565,A81000C,00300,0600,PHARMACY 46565,A81000C,00400,0100,B 46565,A81000C,00400,0200,HEARTLAND OF EATON 46565,A81000C,00400,0400,HEATLAND HEALTHCARE SERV 46565,A81000C,00400,0600,PHARMACY 46565,A81000C,00500,0100,B 46565,A81000C,00500,0200,HEARTLAND OF EATON 46565,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 46565,A81000C,00500,0600,THERAPY MANAGEMENT 46565,A81000C,00600,0100,B 46565,A81000C,00600,0200,HEARTLAND OF EATON 46565,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 46565,A81000C,00600,0600,THERAPY MANAGEMENT 46565,A81000C,00700,0100,B 46565,A81000C,00700,0200,HEARTLAND OF EATON 46565,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 46565,A81000C,00700,0600,THERAPY MANAGEMENT 46565,A81000C,00800,0100,B 46565,A81000C,00800,0200,HEARTLAND OF EATON 46565,A81000C,00800,0400,HEARTLAND REHABILITATION 46565,A81000C,00800,0600,THERAPY SERVICES 46565,A81000C,00900,0100,B 46565,A81000C,00900,0200,HEARTLAND OF EATON 46565,A81000C,00900,0400,HEARTLAND REHABILITATION 46565,A81000C,00900,0600,THERAPY SERVICES 46565,A81000C,01000,0100,B 46565,A81000C,01000,0200,HEARTLAND OF EATON 46565,A81000C,01000,0400,HEARTLAND REHABILITATION 46565,A81000C,01000,0600,THERAPY SERVICES 46565,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46565,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46565,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46565,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46565,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46565,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46565,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46565,B100000,00000,0800,00000MEALS SERVED :DIETARY 46565,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46565,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46565,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46565,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46565,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46565,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46565,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46565,S000000,00100,0200,05/25/2000 46565,S200000,00100,0100,515 SOUTH MALPLE STREET 46565,S200000,00200,0100,EATON 46565,S200000,00200,0200,OH 46565,S200000,00200,0300,45320- 46565,S200000,00300,0100,PREBLE 46565,S200000,00400,0100,HEARTLAND OF EATON 46565,S200000,00400,0200,365557 46565,S200000,00400,0300,06/12/1981 46565,S200000,00400,0500,P 46565,S200000,00400,0600,P 46565,S200000,01004,0500,O 46565,S200000,01600,0100,Y 46565,S200000,02200,0100,Y 46574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46574,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46574,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46574,A000000,00300,0000,00300EMPLOYEE BENEFITS 46574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46574,A000000,00700,0000,00700HOUSEKEEPING 46574,A000000,00800,0000,00800DIETARY 46574,A000000,00801,0000,00801CAFETERIA 46574,A000000,00900,0000,00900NURSING ADMINISTRATION 46574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46574,A000000,01100,0000,01100PHARMACY 46574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46574,A000000,01300,0000,01300SOCIAL SERVICE 46574,A000000,01350,0000,01500ACTIVITIES 46574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46574,A000000,01600,0000,01600SKILLED NURSING FACILITY 46574,A000000,01800,0000,01800NURSING FACILITY 46574,A000000,01900,0000,01900OTHER LONG TERM CARE 46574,A000000,02100,0000,02100RADIOLOGY 46574,A000000,02200,0000,02200LABORATORY 46574,A000000,02300,0000,02300INTRAVENOUS THERAPY 46574,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46574,A000000,02500,0000,02500PHYSICAL THERAPY 46574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46574,A000000,02700,0000,02700SPEECH PATHOLOGY 46574,A000000,02800,0000,02800ELECTROCARDIOLOGY 46574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46574,A000000,03050,0000,03300OTHER ANCILLARY 46574,A000000,03051,0000,03301OTHER ANCILLARY II 46574,A000000,03052,0000,03302OTHER ANCILLARY III 46574,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46574,A000000,03200,0000,03200SUPPORT SURFACES 46574,A000000,03400,0000,03400CLINIC 46574,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46574,A000000,03500,0000,03500RURAL HEALTH CLINIC 46574,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46574,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46574,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46574,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46574,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46574,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46574,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46574,A000000,04400,0000,04400DME RENTED - HHA 46574,A000000,04500,0000,04500DME SOLD - HHA 46574,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46574,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46574,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46574,A000000,04800,0000,04800AMBULANCE 46574,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46574,A000000,05000,0000,05000CORF 46574,A000000,05010,0000,05010CMHC I 46574,A000000,05020,0000,05020OPT I 46574,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46574,A000000,05300,0000,05300INTEREST EXPENSE 46574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46574,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46574,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46574,A000000,05500,0000,05500HOSPICE 46574,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46574,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46574,A000000,06100,0000,06100NONPAID WORKERS 46574,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46574,A000000,06200,0000,06200PATIENTS LAUNDRY 46574,A81000A,00100,0100,Y 46574,A81000B,00100,0300,H/O NURSING 46574,A81000B,00200,0300,H/O A & G 46574,A81000B,00300,0300,H/O RENT 46574,A81000B,00400,0300,H/O NON-REIMBURSABLE 46574,A81000B,00500,0300,H/O PHYSICAL THERAPY 46574,A81000C,00100,0100,A 46574,A81000C,00100,0200,GLYNDON POWELL 46574,A81000C,00100,0400,CHSHO INC. 46574,A81000C,00100,0600,HOME OFFICE 46574,A81000C,00200,0100,A 46574,A81000C,00200,0200,ED BYINGTON 46574,A81000C,00200,0400,CHSHO INC. 46574,A81000C,00200,0600,HOME OFFICE 46574,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46574,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46574,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46574,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46574,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46574,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46574,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46574,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46574,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46574,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46574,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46574,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46574,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46574,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46574,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46574,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46574,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46574,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46574,S000000,00100,0200,06/01/2000 46574,S200000,00100,0100,2923 HAMILTON MASON RD 46574,S200000,00200,0100,INDIAN SPRINGS 46574,S200000,00200,0200,OH 46574,S200000,00300,0100,BUTLER 46574,S200000,00400,0100,WELLINGTON MANOR 46574,S200000,00400,0200,365558 46574,S200000,00400,0300,06/01/1981 46574,S200000,00400,0500,P 46574,S200000,01500,0100,Y 46574,S200000,04300,0100,Y 46574,S200000,04700,0100,Y 46574,S200000,04900,0100,Y 46585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46585,A000000,00300,0000,00300EMPLOYEE BENEFITS 46585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46585,A000000,00700,0000,00700HOUSEKEEPING 46585,A000000,00800,0000,00800DIETARY 46585,A000000,00900,0000,00900NURSING ADMINISTRATION 46585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46585,A000000,01100,0000,01100PHARMACY 46585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46585,A000000,01300,0000,01300SOCIAL SERVICE 46585,A000000,01350,0000,01500ACTIVITIES 46585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46585,A000000,01600,0000,01600SKILLED NURSING FACILITY 46585,A000000,01800,0000,01800NURSING FACILITY 46585,A000000,01900,0000,01900OTHER LONG TERM CARE 46585,A000000,02100,0000,02100RADIOLOGY 46585,A000000,02200,0000,02200LABORATORY 46585,A000000,02300,0000,02300INTRAVENOUS THERAPY 46585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46585,A000000,02500,0000,02500PHYSICAL THERAPY 46585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46585,A000000,02700,0000,02700SPEECH PATHOLOGY 46585,A000000,02800,0000,02800ELECTROCARDIOLOGY 46585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46585,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46585,A000000,03200,0000,03200SUPPORT SURFACES 46585,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46585,A000000,04800,0000,04800AMBULANCE 46585,A000000,05300,0000,05300INTEREST EXPENSE 46585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46585,A000000,06100,0000,06100NONPAID WORKERS 46585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46585,A000000,06200,0000,06200PATIENTS LAUNDRY 46585,A81000A,00100,0100,Y 46585,A81000B,00100,0300,HOME OFFICE COST 46585,A81000B,00200,0300,IV COSTS 46585,A81000B,00300,0300,DRUGS 46585,A81000B,00400,0300,P/S PHARMACIST 46585,A81000B,00500,0300,PHYSICAL THERAPY 46585,A81000B,00600,0300,OCCUPATIONAL THERAPY 46585,A81000B,00700,0300,SPEECH THERAPY 46585,A81000C,00100,0100,B 46585,A81000C,00100,0200,HEARTLAND OF LANSING 46585,A81000C,00100,0400,HCR MANORCARE INC. 46585,A81000C,00100,0600,LONG TERM CARE FACILITIES 46585,A81000C,00200,0100,B 46585,A81000C,00200,0200,HEARTLAND OF LANSING 46585,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 46585,A81000C,00200,0600,PHARMACY 46585,A81000C,00300,0100,B 46585,A81000C,00300,0200,HEARTLAND OF LANSING 46585,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 46585,A81000C,00300,0600,PHARMACY 46585,A81000C,00400,0100,B 46585,A81000C,00400,0200,HEARTLAND OF LANSING 46585,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 46585,A81000C,00400,0600,PHARMACY 46585,A81000C,00500,0100,B 46585,A81000C,00500,0200,HEARTLAND OF LANSING 46585,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 46585,A81000C,00500,0600,THERAPY MANAGEMENT 46585,A81000C,00600,0100,B 46585,A81000C,00600,0200,HEARTLAND OF LANSING 46585,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 46585,A81000C,00600,0600,THERAPY MANAGEMENT 46585,A81000C,00700,0100,B 46585,A81000C,00700,0200,HEARTLAND OF LANSING 46585,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 46585,A81000C,00700,0600,THERAPY MANAGEMENT 46585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46585,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46585,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46585,B100000,00000,0800,00000MEALS SERVED :DIETARY 46585,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46585,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46585,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46585,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46585,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46585,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46585,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46585,S000000,00100,0200,05/25/2000 46585,S200000,00100,0100,300 COMMERCIAL DRIVE 46585,S200000,00200,0100,BRIDGEPORT 46585,S200000,00200,0200,OH 46585,S200000,00200,0300,43912- 46585,S200000,00300,0100,BELMONT 46585,S200000,00400,0100,HEARTLAND OF LANSING 46585,S200000,00400,0200,365559 46585,S200000,00400,0300,07/23/1981 46585,S200000,00400,0500,O 46585,S200000,00400,0600,P 46585,S200000,01004,0500,O 46585,S200000,01600,0100,Y 46585,S700003,00000,0100,1 46596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46596,A000000,00300,0000,00300EMPLOYEE BENEFITS 46596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46596,A000000,00700,0000,00700HOUSEKEEPING 46596,A000000,00800,0000,00800DIETARY 46596,A000000,00900,0000,00900NURSING ADMINISTRATION 46596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46596,A000000,01100,0000,01100PHARMACY 46596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46596,A000000,01300,0000,01300SOCIAL SERVICE 46596,A000000,01350,0000,01500OTHER GENERAL SERVICES 46596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46596,A000000,01600,0000,01600SKILLED NURSING FACILITY 46596,A000000,01800,0000,01800NURSING FACILITY 46596,A000000,01900,0000,01900OTHER LONG TERM CARE 46596,A000000,02100,0000,02100RADIOLOGY 46596,A000000,02200,0000,02200LABORATORY 46596,A000000,02300,0000,02300INTRAVENOUS THERAPY 46596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46596,A000000,02500,0000,02500PHYSICAL THERAPY 46596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46596,A000000,02700,0000,02700SPEECH PATHOLOGY 46596,A000000,02800,0000,02800ELECTROCARDIOLOGY 46596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46596,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46596,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46596,A000000,03200,0000,03200SUPPORT SURFACES 46596,A000000,03400,0000,03400CLINIC 46596,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46596,A000000,03500,0000,03500RURAL HEALTH CLINIC 46596,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46596,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46596,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46596,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46596,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46596,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46596,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46596,A000000,04400,0000,04400DME RENTED - HHA 46596,A000000,04500,0000,04500DME SOLD - HHA 46596,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46596,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46596,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46596,A000000,04800,0000,04800AMBULANCE 46596,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46596,A000000,05000,0000,05000CORF 46596,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46596,A000000,05300,0000,05300INTEREST EXPENSE 46596,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46596,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46596,A000000,05500,0000,05500HOSPICE 46596,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46596,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46596,A000000,06100,0000,06100NONPAID WORKERS 46596,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46596,A000000,06200,0000,06200PATIENTS LAUNDRY 46596,A81000A,00100,0100,Y 46596,A81000B,00100,0300,RENT 46596,A81000B,00200,0300,ADMINISTRATIVE SALARY 46596,A81000B,00300,0300,OFFICER SALARY 46596,A81000C,00100,0100,B 46596,A81000C,00100,0200,MADEIRA NURSING CENTER 46596,A81000C,00200,0100,F 46596,A81000C,00200,0200,LISA WEBER ADMINISTRATOR 46596,A81000C,00200,0400,ADMINISTRATOR 46596,A81000C,00300,0100,F 46596,A81000C,00300,0200,MARY HUCKE OFFICE MANAGE 46596,A81000C,00300,0400,PRESIDENT 46596,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 46596,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 46596,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 46596,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46596,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 46596,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 46596,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 46596,B100000,00000,0850,00000NO STATISTICS :DIETARY 46596,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 46596,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 46596,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46596,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 46596,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 46596,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46596,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46596,S000000,00100,0200,07/31/2000 46596,S200000,00100,0100,%MARY HUCKE-9528 LANSFORD DR. 46596,S200000,00200,0100,CINCINNATI 46596,S200000,00200,0200,OH 46596,S200000,00200,0300,45242- 46596,S200000,00300,0100,HAMILTON 46596,S200000,00400,0100,MADEIRA HEALTH CARE CENTER 46596,S200000,00400,0200,365562 46596,S200000,00400,0300,05/11/1981 46596,S200000,00400,0500,P 46596,S200000,01600,0100,Y 46596,S200000,02800,0100,Y 46596,S200000,03100,0100,Y 46607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46607,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46607,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46607,A000000,00300,0000,00300EMPLOYEE BENEFITS 46607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46607,A000000,00700,0000,00700HOUSEKEEPING 46607,A000000,00800,0000,00800DIETARY 46607,A000000,00801,0000,00801CAFETERIA 46607,A000000,00900,0000,00900NURSING ADMINISTRATION 46607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46607,A000000,01100,0000,01100PHARMACY 46607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46607,A000000,01300,0000,01300SOCIAL SERVICE 46607,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46607,A000000,01600,0000,01600SKILLED NURSING FACILITY 46607,A000000,01800,0000,01800NURSING FACILITY 46607,A000000,01900,0000,01900OTHER LONG TERM CARE 46607,A000000,02100,0000,02100RADIOLOGY 46607,A000000,02200,0000,02200LABORATORY 46607,A000000,02300,0000,02300INTRAVENOUS THERAPY 46607,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46607,A000000,02500,0000,02500PHYSICAL THERAPY 46607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46607,A000000,02700,0000,02700SPEECH PATHOLOGY 46607,A000000,02800,0000,02800ELECTROCARDIOLOGY 46607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46607,A000000,03050,0000,03300OTHER ANCILLARY 46607,A000000,03051,0000,03301OTHER ANCILLARY II 46607,A000000,03052,0000,03302OTHER ANCILLARY III 46607,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46607,A000000,03200,0000,03200SUPPORT SURFACES 46607,A000000,03400,0000,03400CLINIC 46607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46607,A000000,03500,0000,03500RURAL HEALTH CLINIC 46607,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46607,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46607,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46607,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46607,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46607,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46607,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46607,A000000,04400,0000,04400DME RENTED - HHA 46607,A000000,04500,0000,04500DME SOLD - HHA 46607,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46607,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46607,A000000,04800,0000,04800AMBULANCE 46607,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46607,A000000,05000,0000,05000CORF 46607,A000000,05010,0000,05010CMHC I 46607,A000000,05020,0000,05020OPT I 46607,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46607,A000000,05300,0000,05300INTEREST EXPENSE 46607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46607,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46607,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46607,A000000,05500,0000,05500HOSPICE 46607,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46607,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46607,A000000,06100,0000,06100NONPAID WORKERS 46607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46607,A000000,06200,0000,06200PATIENTS LAUNDRY 46607,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46607,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46607,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46607,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46607,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46607,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46607,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46607,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46607,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46607,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46607,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46607,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46607,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46607,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46607,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46607,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46607,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46607,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46607,S000000,00100,0200,06/01/2000 46607,S200000,00100,0100,1050 CLINTON STREET 46607,S200000,00200,0100,IRONTON 46607,S200000,00200,0200,OH 46607,S200000,00300,0100,LAWRENCE 46607,S200000,00400,0100,JO-LIN HEALTH CENTER 46607,S200000,00400,0200,365564 46607,S200000,00400,0300,09/29/1981 46607,S200000,00400,0500,P 46607,S200000,01500,0100,Y 46617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46617,A000000,00300,0000,00300EMPLOYEE BENEFITS 46617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46617,A000000,00700,0000,00700HOUSEKEEPING 46617,A000000,00800,0000,00800DIETARY 46617,A000000,00900,0000,00900NURSING ADMINISTRATION 46617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46617,A000000,01100,0000,01100PHARMACY 46617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46617,A000000,01300,0000,01300SOCIAL SERVICE 46617,A000000,01600,0000,01600SKILLED NURSING FACILITY 46617,A000000,01800,0000,01800NURSING FACILITY 46617,A000000,01900,0000,01900OTHER LONG TERM CARE 46617,A000000,02100,0000,02100RADIOLOGY 46617,A000000,02200,0000,02200LABORATORY 46617,A000000,02300,0000,02300INTRAVENOUS THERAPY 46617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46617,A000000,02500,0000,02500PHYSICAL THERAPY 46617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46617,A000000,02700,0000,02700SPEECH PATHOLOGY 46617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46617,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46617,A000000,03200,0000,03200SUPPORT SURFACES 46617,A000000,04800,0000,04800AMBULANCE 46617,A000000,05300,0000,05300INTEREST EXPENSE 46617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46617,A000000,05500,0000,05500HOSPICE 46617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46617,A000000,06200,0000,06200PATIENTS LAUNDRY 46617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46617,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46617,B100000,00000,0800,00000MEALS SERVED :DIETARY 46617,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46617,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46617,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 46617,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46617,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46617,S000000,00100,0200,05/30/2000 46617,S200000,00100,0100,18621 NEFF ROAD 46617,S200000,00200,0100,CLEVELAND 46617,S200000,00200,0200,OH 46617,S200000,00200,0300,44119-3084 46617,S200000,00300,0100,CUYAHOGA 46617,S200000,00400,0100,SLOVENE HOME FOR THE AGED 46617,S200000,00400,0200,365567 46617,S200000,00400,0300,10/21/1981 46617,S200000,00400,0500,P 46617,S200000,01500,0100,Y 46617,S200000,04300,0100,Y 46617,S700003,00000,0100,1 46627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46627,A000000,00300,0000,00300EMPLOYEE BENEFITS 46627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46627,A000000,00700,0000,00700HOUSEKEEPING 46627,A000000,00800,0000,00800DIETARY 46627,A000000,00900,0000,00900NURSING ADMINISTRATION 46627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46627,A000000,01100,0000,01100PHARMACY 46627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46627,A000000,01300,0000,01300SOCIAL SERVICE 46627,A000000,01350,0000,01500ACTIVITIES 46627,A000000,01600,0000,01600SKILLED NURSING FACILITY 46627,A000000,01800,0000,01800NURSING FACILITY 46627,A000000,01900,0000,01900OTHER LONG TERM CARE 46627,A000000,02100,0000,02100RADIOLOGY 46627,A000000,02200,0000,02200LABORATORY 46627,A000000,02300,0000,02300INTRAVENOUS THERAPY 46627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46627,A000000,02500,0000,02500PHYSICAL THERAPY 46627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46627,A000000,02700,0000,02700SPEECH PATHOLOGY 46627,A000000,02800,0000,02800ELECTROCARDIOLOGY 46627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46627,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46627,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46627,A000000,03200,0000,03200SUPPORT SURFACES 46627,A000000,03400,0000,03400CLINIC 46627,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46627,A000000,03500,0000,03500RURAL HEALTH CLINIC 46627,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46627,A000000,04800,0000,04800AMBULANCE 46627,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46627,A000000,05000,0000,05000CORF 46627,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46627,A000000,05300,0000,05300INTEREST EXPENSE 46627,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46627,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46627,A000000,05500,0000,05500HOSPICE 46627,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46627,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46627,A000000,06100,0000,06100NONPAID WORKERS 46627,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46627,A000000,06200,0000,06200PATIENTS LAUNDRY 46627,A81000A,00100,0100,Y 46627,A81000B,00100,0300,OWNERSHIP COSTS 46627,A81000B,00200,0300,MANAGEMENT SERVICES 46627,A81000B,00300,0300,DATA SERVICES 46627,A81000B,00400,0300,ACCOUNTING FEES 46627,A81000C,00100,0100,A 46627,A81000C,00100,0200,JAMES FARLEY 46627,A81000C,00100,0400,NURSING CARE MANAGEMENT 46627,A81000C,00100,0600,MANAGEMENT SERVICES 46627,A81000C,00200,0100,A 46627,A81000C,00200,0200,MICHAEL SCHARFENBERGER 46627,A81000C,00200,0400,NURSING CARE MANAGEMENT 46627,A81000C,00200,0600,MANAGEMENT SERVICES 46627,A81000C,00300,0100,A 46627,A81000C,00300,0200,TIMOTHY WYNNE 46627,A81000C,00300,0400,NURSING CARE MANAGEMENT 46627,A81000C,00300,0600,MANAGEMENT SERVICES 46627,A81000C,00400,0100,A 46627,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 46627,A81000C,00400,0400,NURSING CARE MANAGEMENT 46627,A81000C,00400,0600,MANAGEMENT SERVICES 46627,A81000C,00500,0100,A 46627,A81000C,00500,0200,JAMES FARLEY 46627,A81000C,00500,0400,NCM REALTY 46627,A81000C,00500,0600,LESSOR 46627,A81000C,00600,0100,A 46627,A81000C,00600,0200,MICHAEL SCHARFENBERGER 46627,A81000C,00600,0400,NCM REALTY 46627,A81000C,00600,0600,LESSOR 46627,A81000C,00700,0100,A 46627,A81000C,00700,0200,TIMOTHY WYNNE 46627,A81000C,00700,0400,NCM REALTY 46627,A81000C,00700,0600,LESSOR 46627,A81000C,00800,0100,A 46627,A81000C,00800,0200,ESTATE OF ROBERT WYNNE 46627,A81000C,00800,0400,NCM REALTY 46627,A81000C,00800,0600,LESSOR 46627,A81000C,00900,0100,A 46627,A81000C,00900,0200,JAMES FARLEY 46627,A81000C,00900,0400,PHARMCO 46627,A81000C,00900,0600,PHARMACY 46627,A81000C,01000,0100,A 46627,A81000C,01000,0200,MICHAEL SCHARFENBERGER 46627,A81000C,01000,0400,PHARMCO 46627,A81000C,01000,0600,PHARMACY 46627,A81000C,01001,0100,A 46627,A81000C,01001,0200,TIMOTHY WYNNE 46627,A81000C,01001,0400,PHARMCO 46627,A81000C,01001,0600,PHARMACY 46627,A81000C,01002,0100,A 46627,A81000C,01002,0200,ESTATE OF ROBERT WYNNE 46627,A81000C,01002,0400,PHARMCO 46627,A81000C,01002,0600,PHARMACY 46627,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46627,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46627,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46627,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46627,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46627,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 46627,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46627,B100000,00000,0800,00000MEALS SERVED :DIETARY 46627,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46627,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 46627,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 46627,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 46627,B100000,00000,1350,00000DAYS SPENT :ACTIVITIES 46627,S000000,00100,0200,11/29/2000 46627,S200000,00100,0100,328 WEST VINE STREET 46627,S200000,00200,0100,EDGERTON 46627,S200000,00200,0200,OH 46627,S200000,00200,0300,43517- 46627,S200000,00300,0100,WILLIAMS 46627,S200000,00300,0200,0036 46627,S200000,00300,0300,R 46627,S200000,00400,0100,PARK VIEW NURSING CENTER 46627,S200000,00400,0200,365570 46627,S200000,00400,0300,10/30/1981 46627,S200000,00400,0500,P 46627,S200000,00600,0200,365570 46627,S200000,00600,0300,10/30/1981 46627,S200000,00600,0600,P 46627,S200000,01600,0100,Y 46636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46636,A000000,00300,0000,00300EMPLOYEE BENEFITS 46636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46636,A000000,00700,0000,00700HOUSEKEEPING 46636,A000000,00800,0000,00800DIETARY 46636,A000000,00900,0000,00900NURSING ADMINISTRATION 46636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46636,A000000,01100,0000,01100PHARMACY 46636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46636,A000000,01300,0000,01300SOCIAL SERVICE 46636,A000000,01350,0000,01500ACTIVITIES 46636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46636,A000000,01600,0000,01600SKILLED NURSING FACILITY 46636,A000000,01800,0000,01800NURSING FACILITY 46636,A000000,01810,0000,01801ICF/MR 46636,A000000,01900,0000,01900OTHER LONG TERM CARE 46636,A000000,02100,0000,02100RADIOLOGY 46636,A000000,02200,0000,02200LABORATORY 46636,A000000,02300,0000,02300INTRAVENOUS THERAPY 46636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46636,A000000,02500,0000,02500PHYSICAL THERAPY 46636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46636,A000000,02700,0000,02700SPEECH PATHOLOGY 46636,A000000,02800,0000,02800ELECTROCARDIOLOGY 46636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46636,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46636,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46636,A000000,03200,0000,03200SUPPORT SURFACES 46636,A000000,03400,0000,03400CLINIC 46636,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46636,A000000,03500,0000,03500RURAL HEALTH CLINIC 46636,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46636,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46636,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46636,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46636,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46636,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46636,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46636,A000000,04400,0000,04400DME RENTED - HHA 46636,A000000,04500,0000,04500DME SOLD - HHA 46636,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46636,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46636,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46636,A000000,04800,0000,04800AMBULANCE 46636,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46636,A000000,05000,0000,05000CORF 46636,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46636,A000000,05300,0000,05300INTEREST EXPENSE 46636,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46636,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46636,A000000,05500,0000,05500HOSPICE 46636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46636,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46636,A000000,06100,0000,06100NONPAID WORKERS 46636,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46636,A000000,06151,0000,06301CLINIC 46636,A000000,06200,0000,06200PATIENTS LAUNDRY 46636,A81000A,00100,0100,Y 46636,A81000B,00100,0300,HOME OFFICE COST 46636,A81000C,00100,0100,B 46636,A81000C,00100,0400,OTTERBEIN HOMES 46636,A81000C,00100,0600,HOME OFFICE 46636,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 46636,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 46636,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 46636,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 46636,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 46636,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 46636,B100000,00000,0750,00001MINUTES OF SER :HOUSEKEEPING 46636,B100000,00000,0800,00001MEALS SERVED :DIETARY 46636,B100000,00000,0950,00001TIME SPENT :NURSING ADMINISTRATION 46636,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 46636,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 46636,B100000,00000,1200,00001TIME STUDY :MEDICAL RECORDS & LIBR 46636,B100000,00000,1300,00001TIME STUDY :SOCIAL SERVICE 46636,B100000,00000,1350,00001TIME STUDIES :ACTIVITIES 46636,B100000,00000,1450,00001TIME STUDY :INTERNS & RESIDENTS (A 46636,E10A180,00501,0100,06/30/2000 46636,S000000,00100,0200,06/01/2000 46636,S200000,00100,0100,20311 PEMBERVILLE RD 46636,S200000,00200,0100,PEMBERVILLE 46636,S200000,00200,0200,OH 46636,S200000,00200,0300,43450- 46636,S200000,00300,0100,WOOD 46636,S200000,00400,0100,OTTERBEIN-PORTAGE VALLEY 46636,S200000,00400,0200,365571 46636,S200000,00400,0300,12/15/1981 46636,S200000,00400,0500,P 46636,S200000,01600,0100,Y 46636,S200000,02200,0100,Y 46636,S200000,04300,0100,Y 46645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46645,A000000,00300,0000,00300EMPLOYEE BENEFITS 46645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46645,A000000,00700,0000,00700HOUSEKEEPING 46645,A000000,00800,0000,00800DIETARY 46645,A000000,00900,0000,00900NURSING ADMINISTRATION 46645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46645,A000000,01100,0000,01100PHARMACY 46645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46645,A000000,01300,0000,01300SOCIAL SERVICE 46645,A000000,01600,0000,01600SKILLED NURSING FACILITY 46645,A000000,01800,0000,01800NURSING FACILITY 46645,A000000,01900,0000,01900OTHER LONG TERM CARE 46645,A000000,02100,0000,02100RADIOLOGY 46645,A000000,02200,0000,02200LABORATORY 46645,A000000,02300,0000,02300INTRAVENOUS THERAPY 46645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46645,A000000,02500,0000,02500PHYSICAL THERAPY 46645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46645,A000000,02700,0000,02700SPEECH PATHOLOGY 46645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46645,A000000,03200,0000,03200SUPPORT SURFACES 46645,A000000,04800,0000,04800AMBULANCE 46645,A000000,05300,0000,05300INTEREST EXPENSE 46645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46645,A000000,05500,0000,05500HOSPICE 46645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46645,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46645,A000000,06200,0000,06200PATIENTS LAUNDRY 46645,A81000A,00100,0100,Y 46645,A81000B,00100,0300,H/O PAYROLL TAXES 46645,A81000B,00200,0300,ADMIN PERSONNEL & SUPPORT 46645,A81000B,00300,0300,MAINT. PERSONNEL & SUPPORT 46645,A81000B,00400,0300,LAUNDRY & HSKPG SUPPORT 46645,A81000C,00100,0100,B 46645,A81000C,00100,0400,COPELAND OAKS 46645,A81000C,00100,0600,CCRC 46645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46645,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46645,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46645,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46645,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46645,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46645,B100000,00000,0800,00000MEALS SERVED :DIETARY 46645,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 46645,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46645,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 46645,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46645,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46645,S000000,00100,0200,06/02/2000 46645,S200000,00100,0100,800 SOUTH 15TH STREET 46645,S200000,00200,0100,SEBRING 46645,S200000,00200,0200,OH 46645,S200000,00200,0300,44672- 46645,S200000,00300,0100,MAHONING 46645,S200000,00400,0100,CRANDALL MEDICAL CENTER 46645,S200000,00400,0200,365574 46645,S200000,00400,0300,12/06/1981 46645,S200000,00400,0500,P 46645,S200000,01500,0100,Y 46645,S200000,01900,0100,NON-PROFIT 46645,S200000,04300,0100,Y 46653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46653,A000000,00300,0000,00300EMPLOYEE BENEFITS 46653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46653,A000000,00700,0000,00700HOUSEKEEPING 46653,A000000,00800,0000,00800DIETARY 46653,A000000,00900,0000,00900NURSING ADMINISTRATION 46653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46653,A000000,01300,0000,01300SOCIAL SERVICE 46653,A000000,01350,0000,01500ACTIVITIES 46653,A000000,01600,0000,01600SKILLED NURSING FACILITY 46653,A000000,01800,0000,01800NURSING FACILITY 46653,A000000,01900,0000,01900OTHER LONG TERM CARE 46653,A000000,02500,0000,02500PHYSICAL THERAPY 46653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46653,A000000,02700,0000,02700SPEECH PATHOLOGY 46653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46653,A000000,03200,0000,03200SUPPORT SURFACES 46653,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46653,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46653,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46653,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46653,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46653,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46653,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46653,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46653,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46653,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46653,B100000,00000,0800,00000MEALS SERVED :DIETARY 46653,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46653,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46653,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46653,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46653,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46653,E10A180,00501,0300,06/22/2000 46653,E10A180,00550,0100,06/22/2000 46653,S000000,00100,0200,06/21/2000 46653,S200000,00100,0100,25 CHRISTOPHER DRIVE 46653,S200000,00200,0100,FOSTORIA 46653,S200000,00200,0200,OH 46653,S200000,00200,0300,44830- 46653,S200000,00300,0100,SENECA 46653,S200000,00400,0100,FOSTORIA 46653,S200000,00400,0200,365575 46653,S200000,00400,0300,05/01/1991 46653,S200000,00400,0500,P 46653,S200000,01600,0100,Y 46653,S700003,00000,0100,1 46655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46655,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46655,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46655,A000000,00300,0000,00300EMPLOYEE BENEFITS 46655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46655,A000000,00700,0000,00700HOUSEKEEPING 46655,A000000,00800,0000,00800DIETARY 46655,A000000,00801,0000,00801CAFETERIA 46655,A000000,00900,0000,00900NURSING ADMINISTRATION 46655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46655,A000000,01100,0000,01100PHARMACY 46655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46655,A000000,01300,0000,01300SOCIAL SERVICE 46655,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46655,A000000,01600,0000,01600SKILLED NURSING FACILITY 46655,A000000,01800,0000,01800NURSING FACILITY 46655,A000000,01900,0000,01900OTHER LONG TERM CARE 46655,A000000,02100,0000,02100RADIOLOGY 46655,A000000,02200,0000,02200LABORATORY 46655,A000000,02300,0000,02300INTRAVENOUS THERAPY 46655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46655,A000000,02500,0000,02500PHYSICAL THERAPY 46655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46655,A000000,02700,0000,02700SPEECH PATHOLOGY 46655,A000000,02800,0000,02800ELECTROCARDIOLOGY 46655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46655,A000000,03050,0000,03300OTHER ANCILLARY 46655,A000000,03051,0000,03301OTHER ANCILLARY II 46655,A000000,03052,0000,03302OTHER ANCILLARY III 46655,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46655,A000000,03200,0000,03200SUPPORT SURFACES 46655,A000000,03400,0000,03400CLINIC 46655,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46655,A000000,03500,0000,03500RURAL HEALTH CLINIC 46655,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46655,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46655,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46655,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46655,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46655,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46655,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46655,A000000,04400,0000,04400DME RENTED - HHA 46655,A000000,04500,0000,04500DME SOLD - HHA 46655,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46655,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46655,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46655,A000000,04800,0000,04800AMBULANCE 46655,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46655,A000000,05000,0000,05000CORF 46655,A000000,05010,0000,05010CMHC I 46655,A000000,05020,0000,05020OPT I 46655,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46655,A000000,05300,0000,05300INTEREST EXPENSE 46655,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46655,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46655,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46655,A000000,05500,0000,05500HOSPICE 46655,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46655,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46655,A000000,06100,0000,06100NONPAID WORKERS 46655,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46655,A000000,06200,0000,06200PATIENTS LAUNDRY 46655,A81000A,00100,0100,Y 46655,A81000B,00100,0300,H/O NURSING 46655,A81000B,00200,0300,H/O A&G 46655,A81000B,00300,0300,H/O 46655,A81000B,00400,0300,H/O RENT 46655,A81000B,00500,0300,H/O NON REIMBURSABLE 46655,A81000B,00600,0300,H/O THERAPIES 46655,A81000C,00100,0100,A 46655,A81000C,00100,0200,GLYNDON POWELL 46655,A81000C,00100,0400,CHSHO INC. 46655,A81000C,00100,0600,HOME OFFICE 46655,A81000C,00200,0100,A 46655,A81000C,00200,0200,ED BYINGTON 46655,A81000C,00200,0400,CHSHO INC. 46655,A81000C,00200,0600,HOME OFFICE 46655,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46655,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46655,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46655,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46655,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46655,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46655,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46655,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46655,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46655,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46655,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46655,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46655,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46655,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46655,S000000,00100,0200,06/01/2000 46655,S200000,00100,0100,25 CHRISTOPHER DR 46655,S200000,00200,0100,FOSTORIA 46655,S200000,00200,0200,OH 46655,S200000,00200,0300,44830- 46655,S200000,00300,0100,SENECA 46655,S200000,00300,0200,36 46655,S200000,00300,0300,R 46655,S200000,00400,0100,FOSTORIA CARE INC 46655,S200000,00400,0200,365575 46655,S200000,00400,0300,05/01/1991 46655,S200000,00400,0500,P 46655,S200000,01500,0100,Y 46655,S200000,02800,0100,Y 46655,S200000,04300,0100,Y 46667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46667,A000000,00300,0000,00300EMPLOYEE BENEFITS 46667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46667,A000000,00700,0000,00700HOUSEKEEPING 46667,A000000,00800,0000,00800DIETARY 46667,A000000,00900,0000,00900NURSING ADMINISTRATION 46667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46667,A000000,01100,0000,01100PHARMACY 46667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46667,A000000,01300,0000,01300SOCIAL SERVICE 46667,A000000,01350,0000,01500ACTIVITIES 46667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46667,A000000,01600,0000,01600SKILLED NURSING FACILITY 46667,A000000,01800,0000,01800NURSING FACILITY 46667,A000000,01900,0000,01900OTHER LONG TERM CARE 46667,A000000,02100,0000,02100RADIOLOGY 46667,A000000,02200,0000,02200LABORATORY 46667,A000000,02300,0000,02300INTRAVENOUS THERAPY 46667,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46667,A000000,02500,0000,02500PHYSICAL THERAPY 46667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46667,A000000,02700,0000,02700SPEECH PATHOLOGY 46667,A000000,02800,0000,02800ELECTROCARDIOLOGY 46667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46667,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46667,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46667,A000000,03200,0000,03200SUPPORT SURFACES 46667,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46667,A000000,04800,0000,04800AMBULANCE 46667,A000000,05300,0000,05300INTEREST EXPENSE 46667,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46667,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46667,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46667,A000000,06100,0000,06100NONPAID WORKERS 46667,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46667,A000000,06200,0000,06200PATIENTS LAUNDRY 46667,A81000A,00100,0100,Y 46667,A81000B,00100,0300,HOME OFFICE COST 46667,A81000B,00200,0300,IV COSTS 46667,A81000B,00300,0300,DRUGS 46667,A81000B,00400,0300,P/S PHARMACIST 46667,A81000B,00500,0300,PT ADMINISTRATION FEE 46667,A81000B,00600,0300,OT ADMINISTRATION FEE 46667,A81000B,00700,0300,ST ADMINISTRATION FEE 46667,A81000B,00800,0300,PHYSICAL THERAPY 46667,A81000B,00900,0300,OCCUPATIONAL THERAPY 46667,A81000B,01000,0300,SPEECH THERAPY 46667,A81000C,00100,0100,B 46667,A81000C,00100,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00100,0400,HCR MANORCARE INC. 46667,A81000C,00100,0600,LONG TERM CARE FACILITIES 46667,A81000C,00200,0100,B 46667,A81000C,00200,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 46667,A81000C,00200,0600,PHARMACY 46667,A81000C,00300,0100,B 46667,A81000C,00300,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 46667,A81000C,00300,0600,PHARMACY 46667,A81000C,00400,0100,B 46667,A81000C,00400,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 46667,A81000C,00400,0600,PHARMACY 46667,A81000C,00500,0100,B 46667,A81000C,00500,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00500,0400,HEARTLAND REHAB MGMT 46667,A81000C,00500,0600,THERAPY MANAGEMENT 46667,A81000C,00600,0100,B 46667,A81000C,00600,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00600,0400,HEARTLAND REHAB MGMT 46667,A81000C,00600,0600,THERAPY MANAGEMENT 46667,A81000C,00700,0100,B 46667,A81000C,00700,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00700,0400,HEARTLAND REHAB MGMT 46667,A81000C,00700,0600,THERAPY MANAGEMENT 46667,A81000C,00800,0100,B 46667,A81000C,00800,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00800,0400,HEARTLAND REHAB 46667,A81000C,00800,0600,PT THERAPY 46667,A81000C,00900,0100,B 46667,A81000C,00900,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,00900,0400,HEARTLAND REHAB 46667,A81000C,00900,0600,OT THERAPY 46667,A81000C,01000,0100,B 46667,A81000C,01000,0200,HEARTLAND OF CHILLICOTHE 46667,A81000C,01000,0400,HEARTLAND REHAB 46667,A81000C,01000,0600,ST THERAPY 46667,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46667,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46667,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46667,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46667,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46667,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46667,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46667,B100000,00000,0800,00000MEALS SERVED :DIETARY 46667,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46667,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46667,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46667,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46667,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46667,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46667,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46667,S000000,00100,0200,05/31/2000 46667,S200000,00100,0100,1058 COLUMBUS ST. 46667,S200000,00200,0100,CHILLICOTHE 46667,S200000,00200,0200,OH 46667,S200000,00200,0300,45601- 46667,S200000,00300,0100,ROSS 46667,S200000,00400,0100,HEARTLAND OF CHILLICOTHE 46667,S200000,00400,0200,365576 46667,S200000,00400,0300,01/01/1980 46667,S200000,00400,0500,P 46667,S200000,00400,0600,P 46667,S200000,01600,0100,Y 46667,S200000,02200,0100,Y 46678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46678,A000000,00300,0000,00300EMPLOYEE BENEFITS 46678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46678,A000000,00700,0000,00700HOUSEKEEPING 46678,A000000,00800,0000,00800DIETARY 46678,A000000,00900,0000,00900NURSING ADMINISTRATION 46678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46678,A000000,01100,0000,01100PHARMACY 46678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46678,A000000,01300,0000,01300SOCIAL SERVICE 46678,A000000,01350,0000,01500ACTIVITIES 46678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46678,A000000,01600,0000,01600SKILLED NURSING FACILITY 46678,A000000,01800,0000,01800NURSING FACILITY 46678,A000000,01900,0000,01900OTHER LONG TERM CARE 46678,A000000,02100,0000,02100RADIOLOGY 46678,A000000,02200,0000,02200LABORATORY 46678,A000000,02300,0000,02300INTRAVENOUS THERAPY 46678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46678,A000000,02500,0000,02500PHYSICAL THERAPY 46678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46678,A000000,02700,0000,02700SPEECH PATHOLOGY 46678,A000000,02800,0000,02800ELECTROCARDIOLOGY 46678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46678,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46678,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46678,A000000,03200,0000,03200SUPPORT SURFACES 46678,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46678,A000000,04800,0000,04800AMBULANCE 46678,A000000,05300,0000,05300INTEREST EXPENSE 46678,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46678,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46678,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46678,A000000,06100,0000,06100NONPAID WORKERS 46678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46678,A000000,06200,0000,06200PATIENTS LAUNDRY 46678,A81000A,00100,0100,Y 46678,A81000B,00100,0300,HOME OFFICE COST 46678,A81000B,00200,0300,P/S PHARMACIST 46678,A81000B,00300,0300,IV COSTS 46678,A81000B,00400,0300,DRUGS 46678,A81000B,00500,0300,PHYSICAL THERAPY 46678,A81000B,00600,0300,OCCUPATIONAL THERAPY 46678,A81000B,00700,0300,SPEECH THERAPY 46678,A81000C,00100,0100,B 46678,A81000C,00100,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00100,0400,HCR MANORCARE INC. 46678,A81000C,00100,0600,LONG TERM CARE FACILITIES 46678,A81000C,00200,0100,B 46678,A81000C,00200,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 46678,A81000C,00200,0600,PHARMACY 46678,A81000C,00300,0100,B 46678,A81000C,00300,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 46678,A81000C,00300,0600,PHARMACY 46678,A81000C,00400,0100,B 46678,A81000C,00400,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 46678,A81000C,00400,0600,PHARMACY 46678,A81000C,00500,0100,B 46678,A81000C,00500,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00500,0400,HTLD MGMT SERVICES 46678,A81000C,00500,0600,THERAPY MANAGEMENT 46678,A81000C,00600,0100,B 46678,A81000C,00600,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00600,0400,HTLD MGMT SERVICES 46678,A81000C,00600,0600,THERAPY MANAGEMENT 46678,A81000C,00700,0100,B 46678,A81000C,00700,0200,HEARTLAND OF MARYSVILLE 46678,A81000C,00700,0400,HTLD MGMT SERVICES 46678,A81000C,00700,0600,THERAPY MANAGEMENT 46678,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46678,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46678,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46678,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46678,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46678,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46678,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46678,B100000,00000,0800,00000MEALS SERVED :DIETARY 46678,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46678,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46678,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46678,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46678,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46678,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46678,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46678,S000000,00100,0200,06/25/2000 46678,S200000,00100,0100,755 S PLUM STREET 46678,S200000,00200,0100,MARYSVILLE 46678,S200000,00200,0200,OH 46678,S200000,00200,0300,43040- 46678,S200000,00300,0100,UNION 46678,S200000,00400,0100,HEARTLAND OF MARYSVILLE 46678,S200000,00400,0200,365577 46678,S200000,00400,0300,01/09/1982 46678,S200000,00400,0500,P 46678,S200000,01600,0100,Y 46678,S200000,02200,0100,Y 46678,S200000,04700,0100,Y 46690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46690,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46690,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46690,A000000,00300,0000,00300EMPLOYEE BENEFITS 46690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46690,A000000,00700,0000,00700HOUSEKEEPING 46690,A000000,00800,0000,00800DIETARY 46690,A000000,00801,0000,00801CAFETERIA 46690,A000000,00900,0000,00900NURSING ADMINISTRATION 46690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46690,A000000,01100,0000,01100PHARMACY 46690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46690,A000000,01300,0000,01300SOCIAL SERVICE 46690,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46690,A000000,01600,0000,01600SKILLED NURSING FACILITY 46690,A000000,01800,0000,01800NURSING FACILITY 46690,A000000,01900,0000,01900OTHER LONG TERM CARE 46690,A000000,02100,0000,02100RADIOLOGY 46690,A000000,02200,0000,02200LABORATORY 46690,A000000,02300,0000,02300INTRAVENOUS THERAPY 46690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46690,A000000,02500,0000,02500PHYSICAL THERAPY 46690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46690,A000000,02700,0000,02700SPEECH PATHOLOGY 46690,A000000,02800,0000,02800ELECTROCARDIOLOGY 46690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46690,A000000,03050,0000,03300OTHER ANCILLARY 46690,A000000,03051,0000,03301OTHER ANCILLARY II 46690,A000000,03052,0000,03302OTHER ANCILLARY III 46690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46690,A000000,03200,0000,03200SUPPORT SURFACES 46690,A000000,03400,0000,03400CLINIC 46690,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46690,A000000,03500,0000,03500RURAL HEALTH CLINIC 46690,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46690,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46690,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46690,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46690,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46690,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46690,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46690,A000000,04400,0000,04400DME RENTED - HHA 46690,A000000,04500,0000,04500DME SOLD - HHA 46690,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46690,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46690,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46690,A000000,04800,0000,04800AMBULANCE 46690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46690,A000000,05000,0000,05000CORF 46690,A000000,05010,0000,05010CMHC I 46690,A000000,05020,0000,05020OPT I 46690,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46690,A000000,05300,0000,05300INTEREST EXPENSE 46690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46690,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46690,A000000,05500,0000,05500HOSPICE 46690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46690,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46690,A000000,06100,0000,06100NONPAID WORKERS 46690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46690,A000000,06200,0000,06200PATIENTS LAUNDRY 46690,A81000A,00100,0100,Y 46690,A81000B,00100,0300,LAUNDRY/LINEN SERVICE 46690,A81000B,00200,0300,BIBS/TOWEL SERVICE 46690,A81000B,00300,0300,INCONTINENCE SERVICE 46690,A81000C,00100,0100,A 46690,A81000C,00100,0200,T. JEAN MILLER 46690,A81000C,00100,0400,S.S. & E. INC 46690,A81000C,00100,0600,LAUNDRY AND 46690,A81000C,00200,0100,A 46690,A81000C,00200,0200,T. JEAN MILLER 46690,A81000C,00200,0400,S.S. & E. INC 46690,A81000C,00200,0600,LINEN SERV. 46690,A81000C,00300,0100,A 46690,A81000C,00300,0200,T. JEAN MILLER 46690,A81000C,00300,0400,S.S. & E. INC 46690,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46690,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46690,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46690,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46690,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46690,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46690,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46690,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46690,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46690,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46690,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46690,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 46690,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 46690,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46690,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46690,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 46690,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46690,S000000,00100,0200,06/01/2000 46690,S200000,00100,0100,648 LONGHORN ST 46690,S200000,00200,0100,CARROLLTON 46690,S200000,00200,0200,OH 46690,S200000,00200,0300,44615- 46690,S200000,00300,0100,CARROLL 46690,S200000,00400,0100,CARROLL HEALTHCARE CENTER INC. 46690,S200000,00400,0200,365579 46690,S200000,00400,0300,12/15/1993 46690,S200000,00400,0500,P 46690,S200000,01500,0100,Y 46690,S200000,02200,0100,Y 46690,S200000,04300,0100,Y 46690,S200000,04700,0100,Y 46697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46697,A000000,00300,0000,00300EMPLOYEE BENEFITS 46697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46697,A000000,00700,0000,00700HOUSEKEEPING 46697,A000000,00800,0000,00800DIETARY 46697,A000000,00900,0000,00900NURSING ADMINISTRATION 46697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46697,A000000,01100,0000,01100PHARMACY 46697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46697,A000000,01300,0000,01300SOCIAL SERVICE 46697,A000000,01350,0000,01500OTHER GENERAL SERVICES 46697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46697,A000000,01600,0000,01600SKILLED NURSING FACILITY 46697,A000000,01800,0000,01800NURSING FACILITY 46697,A000000,01810,0000,01810ICF/MR 46697,A000000,01900,0000,01900OTHER LONG TERM CARE 46697,A000000,02100,0000,02100RADIOLOGY 46697,A000000,02200,0000,02200LABORATORY 46697,A000000,02300,0000,02300INTRAVENOUS THERAPY 46697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46697,A000000,02500,0000,02500PHYSICAL THERAPY 46697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46697,A000000,02700,0000,02700SPEECH PATHOLOGY 46697,A000000,02800,0000,02800ELECTROCARDIOLOGY 46697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46697,A000000,03200,0000,03200SUPPORT SURFACES 46697,A000000,03400,0000,03400CLINIC 46697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46697,A000000,03500,0000,03500RURAL HEALTH CLINIC 46697,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46697,A000000,04800,0000,04800AMBULANCE 46697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46697,A000000,05000,0000,05000CORF 46697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46697,A000000,05300,0000,05300INTEREST EXPENSE 46697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46697,A000000,05500,0000,05500HOSPICE 46697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46697,A000000,06100,0000,06100NONPAID WORKERS 46697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46697,A000000,06200,0000,06200PATIENTS LAUNDRY 46697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46697,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46697,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46697,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46697,B100000,00000,0800,00000MEALS SERVED :DIETARY 46697,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 46697,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46697,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46697,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46697,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46697,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 46697,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46697,E10A180,00550,0100,06/06/2000 46697,E10A180,00550,0300,06/06/2000 46697,S000000,00100,0200,06/01/2000 46697,S200000,00100,0100,7148 WEST BOULEVARD 46697,S200000,00200,0100,YOUNGSTOWN 46697,S200000,00200,0200,OH 46697,S200000,00200,0300,44512- 46697,S200000,00300,0100,MAHONING 46697,S200000,00400,0100,SHEPHERD OF THE VALLEY-BOARDMAN 46697,S200000,00400,0200,365580 46697,S200000,00400,0300,01/01/1979 46697,S200000,00400,0500,P 46697,S200000,01500,0100,Y 46697,S200000,04700,0100,Y 46706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46706,A000000,00300,0000,00300EMPLOYEE BENEFITS 46706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46706,A000000,00700,0000,00700HOUSEKEEPING 46706,A000000,00800,0000,00800DIETARY 46706,A000000,00900,0000,00900NURSING ADMINISTRATION 46706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46706,A000000,01100,0000,01100PHARMACY 46706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46706,A000000,01300,0000,01300SOCIAL SERVICE 46706,A000000,01350,0000,01500OTHER GENERAL SERVICES 46706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46706,A000000,01600,0000,01600SKILLED NURSING FACILITY 46706,A000000,01800,0000,01800NURSING FACILITY 46706,A000000,01810,0000,01810ICF/MR 46706,A000000,01900,0000,01900OTHER LONG TERM CARE 46706,A000000,02100,0000,02100RADIOLOGY 46706,A000000,02200,0000,02200LABORATORY 46706,A000000,02300,0000,02300INTRAVENOUS THERAPY 46706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46706,A000000,02500,0000,02500PHYSICAL THERAPY 46706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46706,A000000,02700,0000,02700SPEECH PATHOLOGY 46706,A000000,02800,0000,02800ELECTROCARDIOLOGY 46706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46706,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46706,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46706,A000000,03200,0000,03200SUPPORT SURFACES 46706,A000000,03400,0000,03400CLINIC 46706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46706,A000000,03500,0000,03500RURAL HEALTH CLINIC 46706,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46706,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46706,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46706,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46706,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46706,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46706,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46706,A000000,04400,0000,04400DME RENTED - HHA 46706,A000000,04500,0000,04500DME SOLD - HHA 46706,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46706,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46706,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46706,A000000,04800,0000,04800AMBULANCE 46706,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46706,A000000,05000,0000,05000CORF 46706,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46706,A000000,05300,0000,05300INTEREST EXPENSE 46706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46706,A000000,05500,0000,05500HOSPICE 46706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46706,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46706,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46706,A000000,06100,0000,06100NONPAID WORKERS 46706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46706,A000000,06200,0000,06200PATIENTS LAUNDRY 46706,A81000A,00100,0100,Y 46706,A81000B,00100,0300,HOME OFFICE COSTS 46706,A81000B,00200,0300,HOME OFFICE COSTS 46706,A81000B,00300,0300,HOME OFFICE COSTS 46706,A81000B,00400,0300,HOME OFFICE COSTS 46706,A81000B,00500,0300,HOME OFFICE COSTS 46706,A81000C,00100,0100,B 46706,A81000C,00100,0200,OPRS 46706,A81000C,00100,0400,OPRS 46706,A81000C,00100,0600,HOME OFFICE 46706,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46706,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46706,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46706,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46706,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46706,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46706,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46706,B100000,00000,0800,00000MEALS SERVED :DIETARY 46706,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46706,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46706,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46706,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46706,H510100,00000,0000,1680 46706,H510100,02400,0000,1680 46706,H710000,00350,0100,03/02/2000 46706,H710000,00350,0300,03/02/2000 46706,H710000,00501,0100,01/11/2001 46706,H710000,00501,0300,01/11/2001 46706,S000000,00100,0200,12/01/2000 46706,S200000,00100,0100,36855 RIDGE ROAD 46706,S200000,00200,0100,WILOUGHBY 46706,S200000,00200,0200,OH 46706,S200000,00200,0300,44094- 46706,S200000,00300,0100,LAKE 46706,S200000,00300,0200,1680 46706,S200000,00300,0300,U 46706,S200000,00400,0100,FAIRMOUNT HEALTH CENTER 46706,S200000,00400,0200,365581 46706,S200000,00400,0300,06/11/1982 46706,S200000,00400,0500,P 46706,S200000,00600,0200,365581 46706,S200000,00600,0300,06/11/1982 46706,S200000,00600,0600,P 46706,S200000,00800,0200,367564 46706,S200000,00800,0300,01/04/1994 46706,S200000,00800,0500,P 46706,S200000,01600,0100,Y 46706,S200000,01900,0100,CCRC 46706,S200000,04300,0100,Y 46706,S410002,01700,0100,1680 46715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46715,A000000,00300,0000,00300EMPLOYEE BENEFITS 46715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46715,A000000,00700,0000,00700HOUSEKEEPING 46715,A000000,00800,0000,00800DIETARY 46715,A000000,00900,0000,00900NURSING ADMINISTRATION 46715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46715,A000000,01100,0000,01100PHARMACY 46715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46715,A000000,01300,0000,01300SOCIAL SERVICE 46715,A000000,01350,0000,01500OTHER GENERAL SERVICES 46715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46715,A000000,01600,0000,01600SKILLED NURSING FACILITY 46715,A000000,01800,0000,01800NURSING FACILITY 46715,A000000,01810,0000,01801ICF/MR 46715,A000000,01900,0000,01900OTHER LONG TERM CARE 46715,A000000,02100,0000,02100RADIOLOGY 46715,A000000,02200,0000,02200LABORATORY 46715,A000000,02300,0000,02300INTRAVENOUS THERAPY 46715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46715,A000000,02500,0000,02500PHYSICAL THERAPY 46715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46715,A000000,02700,0000,02700SPEECH PATHOLOGY 46715,A000000,02800,0000,02800ELECTROCARDIOLOGY 46715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46715,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46715,A000000,03200,0000,03200SUPPORT SURFACES 46715,A000000,03400,0000,03400CLINIC 46715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46715,A000000,03500,0000,03500RURAL HEALTH CLINIC 46715,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46715,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46715,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46715,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46715,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46715,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46715,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46715,A000000,04400,0000,04400DME RENTED - HHA 46715,A000000,04500,0000,04500DME SOLD - HHA 46715,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46715,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46715,A000000,04800,0000,04800AMBULANCE 46715,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46715,A000000,05000,0000,05000CORF 46715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46715,A000000,05300,0000,05300INTEREST EXPENSE 46715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46715,A000000,05500,0000,05500HOSPICE 46715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46715,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46715,A000000,06100,0000,06100NONPAID WORKERS 46715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46715,A000000,06200,0000,06200PATIENTS LAUNDRY 46715,A81000A,00100,0100,Y 46715,A81000B,00100,0300,BUILDING LEASE 46715,A81000C,00100,0100,A 46715,A81000C,00100,0200,BRUCE SCHIRHART 46715,A81000C,00100,0400,VILLA CAMILLUS 46715,A81000C,00100,0600,REAL ESTATE 46715,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 46715,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 46715,B100000,00000,0300,00000GROSS WAGES :EMPLOYEE BENEFITS 46715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46715,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 46715,B100000,00000,0650,00000DAYS :LAUNDRY & LINEN SERVICE 46715,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 46715,B100000,00000,0850,00000DAYS :DIETARY 46715,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46715,B100000,00000,1050,00000SQ FT :CENTRAL SERVICES & SUPPLY 46715,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46715,B100000,00000,1250,00000SQ FT :MEDICAL RECORDS & LIBRARY 46715,B100000,00000,1330,00000DAYS :SOCIAL SERVICE 46715,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46715,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46715,S000000,00100,0200,06/07/2000 46715,S200000,00100,0100,10515 EAST RIVER ROAD 46715,S200000,00200,0100,COLUMBIA STATION 46715,S200000,00200,0200,OH 46715,S200000,00200,0300,44028- 46715,S200000,00300,0100,LORAIN 46715,S200000,00400,0100,VILLA CAMILLUS 46715,S200000,00400,0200,365583 46715,S200000,00400,0300,09/01/1996 46715,S200000,00400,0500,P 46715,S200000,01500,0100,Y 46715,S700003,00000,0100,1 46725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46725,A000000,00300,0000,00300EMPLOYEE BENEFITS 46725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46725,A000000,00700,0000,00700HOUSEKEEPING 46725,A000000,00800,0000,00800DIETARY 46725,A000000,00900,0000,00900NURSING ADMINISTRATION 46725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46725,A000000,01100,0000,01100PHARMACY 46725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46725,A000000,01300,0000,01300SOCIAL SERVICE 46725,A000000,01350,0000,01500ACTIVITIES 46725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46725,A000000,01600,0000,01600SKILLED NURSING FACILITY 46725,A000000,01800,0000,01800NURSING FACILITY 46725,A000000,01900,0000,01900OTHER LONG TERM CARE 46725,A000000,02100,0000,02100RADIOLOGY 46725,A000000,02200,0000,02200LABORATORY 46725,A000000,02300,0000,02300INTRAVENOUS THERAPY 46725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46725,A000000,02500,0000,02500PHYSICAL THERAPY 46725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46725,A000000,02700,0000,02700SPEECH PATHOLOGY 46725,A000000,02800,0000,02800ELECTROCARDIOLOGY 46725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46725,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46725,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46725,A000000,03200,0000,03200SUPPORT SURFACES 46725,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46725,A000000,04800,0000,04800AMBULANCE 46725,A000000,05300,0000,05300INTEREST EXPENSE 46725,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46725,A000000,06100,0000,06100NONPAID WORKERS 46725,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46725,A000000,06200,0000,06200PATIENTS LAUNDRY 46725,A81000A,00100,0100,Y 46725,A81000B,00100,0300,HOME OFFICE COST 46725,A81000B,00200,0300,P/S PHARMACIST 46725,A81000B,00300,0300,IV COSTS 46725,A81000B,00400,0300,DRUGS 46725,A81000B,00500,0300,PHYSICAL THERAPY 46725,A81000B,00600,0300,OCCUPATIONAL THERAPY 46725,A81000B,00700,0300,SPEECH THERAPY 46725,A81000B,00800,0300,PHYSICAL THERAPY 46725,A81000B,00900,0300,OCCUPATIONAL THERAPY 46725,A81000B,01000,0300,SPEECH THERAPY 46725,A81000C,00100,0100,B 46725,A81000C,00100,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00100,0400,HCR MANORCARE INC. 46725,A81000C,00100,0600,LONG TERM CARE FACILITIES 46725,A81000C,00200,0100,B 46725,A81000C,00200,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 46725,A81000C,00200,0600,PHARMACY 46725,A81000C,00300,0100,B 46725,A81000C,00300,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 46725,A81000C,00300,0600,PHARMACY 46725,A81000C,00400,0100,B 46725,A81000C,00400,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 46725,A81000C,00400,0600,PHARMACY 46725,A81000C,00500,0100,B 46725,A81000C,00500,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00500,0400,HEARTLAND REHAB SVCS 46725,A81000C,00500,0600,THERAPY 46725,A81000C,00600,0100,B 46725,A81000C,00600,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00600,0400,HEARTLAND REHAB SVCS 46725,A81000C,00600,0600,THERAPY 46725,A81000C,00700,0100,B 46725,A81000C,00700,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00700,0400,HEARTLAND REHAB SVCS 46725,A81000C,00700,0600,THERAPY 46725,A81000C,00800,0100,B 46725,A81000C,00800,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00800,0400,HEARTLAND MANAGEMENT SVCS 46725,A81000C,00800,0600,THERAPY MANAGEMENT 46725,A81000C,00900,0100,B 46725,A81000C,00900,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,00900,0400,HEARTLAND MANAGEMENT SVCS 46725,A81000C,00900,0600,THERAPY MANAGEMENT 46725,A81000C,01000,0100,B 46725,A81000C,01000,0200,HEARTLAND OF PORTSMOUTH 46725,A81000C,01000,0400,HEARTLAND MANAGEMENT SVCS 46725,A81000C,01000,0600,THERAPY MANAGEMENT 46725,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46725,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46725,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46725,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46725,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46725,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46725,B100000,00000,0800,00000MEALS SERVED :DIETARY 46725,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46725,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46725,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46725,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46725,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46725,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46725,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46725,S000000,00100,0200,05/31/2000 46725,S200000,00100,0100,ROUTE 6 FUERT HILL RD. 46725,S200000,00200,0100,PORTSMOUTH 46725,S200000,00200,0200,OH 46725,S200000,00200,0300,45622- 46725,S200000,00300,0100,SCIOTO 46725,S200000,00400,0100,HEARTLAND OF PORTSMOUTH 46725,S200000,00400,0200,365584 46725,S200000,00400,0300,08/26/1982 46725,S200000,00400,0500,P 46725,S200000,00400,0600,P 46725,S200000,01004,0500,O 46725,S200000,01600,0100,Y 46725,S200000,02200,0100,Y 46725,S700003,00000,0100,1 46733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46733,A000000,00300,0000,00300EMPLOYEE BENEFITS 46733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46733,A000000,00700,0000,00700HOUSEKEEPING 46733,A000000,00800,0000,00800DIETARY 46733,A000000,00900,0000,00900NURSING ADMINISTRATION 46733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46733,A000000,01100,0000,01100PHARMACY 46733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46733,A000000,01300,0000,01300SOCIAL SERVICE 46733,A000000,01350,0000,01500OTHER GENERAL SERVICES 46733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46733,A000000,01600,0000,01600SKILLED NURSING FACILITY 46733,A000000,01800,0000,01800NURSING FACILITY 46733,A000000,01810,0000,01801ICF/MR 46733,A000000,01900,0000,01900OTHER LONG TERM CARE 46733,A000000,02100,0000,02100RADIOLOGY 46733,A000000,02200,0000,02200LABORATORY 46733,A000000,02300,0000,02300INTRAVENOUS THERAPY 46733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46733,A000000,02500,0000,02500PHYSICAL THERAPY 46733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46733,A000000,02700,0000,02700SPEECH PATHOLOGY 46733,A000000,02800,0000,02800ELECTROCARDIOLOGY 46733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46733,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46733,A000000,03200,0000,03200SUPPORT SURFACES 46733,A000000,03400,0000,03400CLINIC 46733,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46733,A000000,03500,0000,03500RURAL HEALTH CLINIC 46733,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46733,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46733,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46733,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46733,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46733,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46733,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46733,A000000,04400,0000,04400DME RENTED - HHA 46733,A000000,04500,0000,04500DME SOLD - HHA 46733,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46733,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46733,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46733,A000000,04800,0000,04800AMBULANCE 46733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46733,A000000,05000,0000,05000CORF 46733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46733,A000000,05300,0000,05300INTEREST EXPENSE 46733,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46733,A000000,05500,0000,05500HOSPICE 46733,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46733,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46733,A000000,06100,0000,06100NONPAID WORKERS 46733,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46733,A000000,06200,0000,06200PATIENTS LAUNDRY 46733,A81000A,00100,0100,Y 46733,A81000B,00100,0300,HOME OFFICE COSTS - CAPITAL 46733,A81000B,00200,0300,HOME OFFICE COSTS - ADMIN. 46733,A81000B,00300,0300,HOME OFFICE COSTS - DIETARY 46733,A81000B,00400,0300,HOME OFFICE COSTS - CAPITAL 46733,A81000B,00500,0300,HOME OFFICE COSTS - ADMIN. 46733,A81000C,00100,0100,B 46733,A81000C,00100,0200,LTC MANAGEMENT SERVICES 46733,A81000C,00100,0400,LTC MANAGEMENT SERVICES 46733,A81000C,00100,0600,NRSG. HOME MGMT. 46733,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46733,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46733,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46733,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46733,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46733,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46733,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46733,B100000,00000,0800,00000MEALS SERVED :DIETARY 46733,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 46733,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46733,B100000,00000,1150,00000NO STATISTICS :PHARMACY 46733,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46733,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46733,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 46733,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46733,S000000,00100,0200,06/05/2000 46733,S200000,00100,0100,10098 BEARCREEK ROAD 46733,S200000,00200,0100,LUCASVILLE 46733,S200000,00200,0200,OH 46733,S200000,00200,0300,45648- 46733,S200000,00300,0100,SCIOTO 46733,S200000,00400,0100,LTC MGMT. OF LUCASVILLE I 46733,S200000,00400,0200,365585 46733,S200000,00400,0300,08/16/1982 46733,S200000,00400,0500,P 46733,S200000,01600,0100,Y 46733,S200000,02800,0100,Y 46733,S200000,04300,0100,Y 46743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46743,A000000,00300,0000,00300EMPLOYEE BENEFITS 46743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46743,A000000,00700,0000,00700HOUSEKEEPING 46743,A000000,00800,0000,00800DIETARY 46743,A000000,00900,0000,00900NURSING ADMINISTRATION 46743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46743,A000000,01100,0000,01100PHARMACY 46743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46743,A000000,01300,0000,01300SOCIAL SERVICE 46743,A000000,01600,0000,01600SKILLED NURSING FACILITY 46743,A000000,01800,0000,01800NURSING FACILITY 46743,A000000,01900,0000,01900OTHER LONG TERM CARE 46743,A000000,02200,0000,02200LABORATORY 46743,A000000,02500,0000,02500PHYSICAL THERAPY 46743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46743,A000000,02700,0000,02700SPEECH PATHOLOGY 46743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46743,A000000,03200,0000,03200SUPPORT SURFACES 46743,A000000,04800,0000,04800AMBULANCE 46743,A000000,05300,0000,05300INTEREST EXPENSE 46743,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46743,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46743,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46743,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46743,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46743,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46743,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46743,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46743,B100000,00000,0800,00000MEALS SERVED :DIETARY 46743,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46743,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 46743,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46743,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46743,S000000,00100,0200,06/02/2000 46743,S200000,00100,0100,15028 LINCOLN WAY 46743,S200000,00200,0100,DALTON 46743,S200000,00200,0200,OH 46743,S200000,00300,0100,WAYNE 46743,S200000,00300,0200,36 46743,S200000,00300,0300,R 46743,S200000,00400,0100,SHADY LAWN NURSING HOME 46743,S200000,00400,0200,365591 46743,S200000,00400,0300,01/01/1983 46743,S200000,00400,0500,P 46743,S200000,01004,0500,O 46743,S200000,01500,0100,Y 46743,S200000,04300,0100,Y 46752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46752,A000000,00300,0000,00300EMPLOYEE BENEFITS 46752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46752,A000000,00700,0000,00700HOUSEKEEPING 46752,A000000,00800,0000,00800DIETARY 46752,A000000,00900,0000,00900NURSING ADMINISTRATION 46752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46752,A000000,01100,0000,01100PHARMACY 46752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46752,A000000,01300,0000,01300SOCIAL SERVICE 46752,A000000,01350,0000,01500ACTIVITIES 46752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46752,A000000,01600,0000,01600SKILLED NURSING FACILITY 46752,A000000,01800,0000,01800NURSING FACILITY 46752,A000000,01810,0000,01801ICF/MR 46752,A000000,01900,0000,01900OTHER LONG TERM CARE 46752,A000000,02100,0000,02100RADIOLOGY 46752,A000000,02200,0000,02200LABORATORY 46752,A000000,02300,0000,02300INTRAVENOUS THERAPY 46752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46752,A000000,02500,0000,02500PHYSICAL THERAPY 46752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46752,A000000,02700,0000,02700SPEECH PATHOLOGY 46752,A000000,02800,0000,02800ELECTROCARDIOLOGY 46752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46752,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46752,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46752,A000000,03200,0000,03200SUPPORT SURFACES 46752,A000000,03400,0000,03400CLINIC 46752,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46752,A000000,03500,0000,03500RURAL HEALTH CLINIC 46752,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46752,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46752,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46752,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46752,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46752,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46752,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46752,A000000,04400,0000,04400DME RENTED - HHA 46752,A000000,04500,0000,04500DME SOLD - HHA 46752,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46752,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46752,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46752,A000000,04800,0000,04800AMBULANCE 46752,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46752,A000000,05000,0000,05000CORF 46752,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46752,A000000,05300,0000,05300INTEREST EXPENSE 46752,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46752,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46752,A000000,05500,0000,05500HOSPICE 46752,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46752,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46752,A000000,06100,0000,06100NONPAID WORKERS 46752,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46752,A000000,06200,0000,06200PATIENTS LAUNDRY 46752,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46752,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46752,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46752,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46752,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46752,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46752,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46752,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46752,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46752,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46752,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46752,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46752,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46752,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46752,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46752,S000000,00100,0200,06/12/2000 46752,S200000,00100,0100,820 E. CENTER STREET 46752,S200000,00200,0100,BLANCHESTER 46752,S200000,00200,0200,OH 46752,S200000,00200,0300,45107- 46752,S200000,00300,0100,CLINTON 46752,S200000,00400,0100,CONTINENTIAL MANOR 46752,S200000,00400,0200,365592 46752,S200000,00400,0300,01/01/1983 46752,S200000,00400,0500,P 46752,S200000,01500,0100,Y 46752,S700003,00000,0100,1 46760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46760,A000000,00300,0000,00300EMPLOYEE BENEFITS 46760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46760,A000000,00700,0000,00700HOUSEKEEPING 46760,A000000,00800,0000,00800DIETARY 46760,A000000,00900,0000,00900NURSING ADMINISTRATION 46760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46760,A000000,01300,0000,01300SOCIAL SERVICE 46760,A000000,01350,0000,01500ACTIVITIES 46760,A000000,01600,0000,01600SKILLED NURSING FACILITY 46760,A000000,01800,0000,01800NURSING FACILITY 46760,A000000,02500,0000,02500PHYSICAL THERAPY 46760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46760,A000000,02700,0000,02700SPEECH PATHOLOGY 46760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46760,A000000,03200,0000,03200SUPPORT SURFACES 46760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46760,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46760,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46760,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46760,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46760,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46760,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46760,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46760,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46760,B100000,00000,0800,00000MEALS SERVED :DIETARY 46760,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46760,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46760,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46760,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46760,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46760,S000000,00100,0200,07/06/1999 46760,S200000,00100,0100,422 MISSION LANE 46760,S200000,00200,0100,FRANKLIN 46760,S200000,00200,0200,OH 46760,S200000,00200,0300,45005- 46760,S200000,00300,0100,WARREN 46760,S200000,00400,0100,FRANKLIN RIDGE 46760,S200000,00400,0200,365595 46760,S200000,00400,0300,02/01/1983 46760,S200000,00400,0500,P 46760,S200000,01600,0100,Y 46760,S700003,00000,0100,1 46762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46762,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46762,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46762,A000000,00300,0000,00300EMPLOYEE BENEFITS 46762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46762,A000000,00700,0000,00700HOUSEKEEPING 46762,A000000,00800,0000,00800DIETARY 46762,A000000,00801,0000,00801CAFETERIA 46762,A000000,00900,0000,00900NURSING ADMINISTRATION 46762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46762,A000000,01100,0000,01100PHARMACY 46762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46762,A000000,01300,0000,01300SOCIAL SERVICE 46762,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46762,A000000,01600,0000,01600SKILLED NURSING FACILITY 46762,A000000,01800,0000,01800NURSING FACILITY 46762,A000000,01900,0000,01900OTHER LONG TERM CARE 46762,A000000,02100,0000,02100RADIOLOGY 46762,A000000,02200,0000,02200LABORATORY 46762,A000000,02300,0000,02300INTRAVENOUS THERAPY 46762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46762,A000000,02500,0000,02500PHYSICAL THERAPY 46762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46762,A000000,02700,0000,02700SPEECH PATHOLOGY 46762,A000000,02800,0000,02800ELECTROCARDIOLOGY 46762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46762,A000000,03050,0000,03300OTHER ANCILLARY 46762,A000000,03051,0000,03301OTHER ANCILLARY II 46762,A000000,03052,0000,03302OTHER ANCILLARY III 46762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46762,A000000,03200,0000,03200SUPPORT SURFACES 46762,A000000,03400,0000,03400CLINIC 46762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46762,A000000,03500,0000,03500RURAL HEALTH CLINIC 46762,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46762,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46762,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46762,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46762,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46762,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46762,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46762,A000000,04400,0000,04400DME RENTED - HHA 46762,A000000,04500,0000,04500DME SOLD - HHA 46762,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46762,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46762,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46762,A000000,04800,0000,04800AMBULANCE 46762,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46762,A000000,05000,0000,05000CORF 46762,A000000,05010,0000,05010CMHC I 46762,A000000,05020,0000,05020OPT I 46762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46762,A000000,05300,0000,05300INTEREST EXPENSE 46762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46762,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46762,A000000,05500,0000,05500HOSPICE 46762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46762,A000000,06100,0000,06100NONPAID WORKERS 46762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46762,A000000,06200,0000,06200PATIENTS LAUNDRY 46762,A81000A,00100,0100,Y 46762,A81000B,00100,0300,H/O NURSING 46762,A81000B,00200,0300,H/O A&G 46762,A81000B,00300,0300,H/O 46762,A81000B,00400,0300,H/O RENT 46762,A81000B,00500,0300,H/O NON REIMBURSABLE 46762,A81000B,00600,0300,H/O THERAPIES 46762,A81000C,00100,0100,A 46762,A81000C,00100,0200,GLYNDON POWELL 46762,A81000C,00100,0400,CHSHO INC. 46762,A81000C,00100,0600,HOME OFFICE 46762,A81000C,00200,0100,A 46762,A81000C,00200,0200,ED BYINGTON 46762,A81000C,00200,0400,CHSHO INC. 46762,A81000C,00200,0600,HOME OFFICE 46762,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46762,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46762,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46762,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46762,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46762,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46762,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 46762,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 46762,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46762,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46762,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46762,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46762,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46762,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46762,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46762,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46762,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46762,S000000,00100,0200,06/01/2000 46762,S200000,00100,0100,421 MISSION LANE 46762,S200000,00200,0100,FRANKLIN 46762,S200000,00200,0200,OH 46762,S200000,00300,0100,WARREN 46762,S200000,00400,0100,FRANKLIN RIDGE INC. 46762,S200000,00400,0200,365595 46762,S200000,00400,0300,02/01/1983 46762,S200000,00400,0500,P 46762,S200000,01500,0100,Y 46762,S200000,04900,0100,Y 46775,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46775,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46775,A000000,00300,0000,00300EMPLOYEE BENEFITS 46775,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46775,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46775,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46775,A000000,00700,0000,00700HOUSEKEEPING 46775,A000000,00800,0000,00800DIETARY 46775,A000000,00900,0000,00900NURSING ADMINISTRATION 46775,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46775,A000000,01100,0000,01100PHARMACY 46775,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46775,A000000,01300,0000,01300SOCIAL SERVICE 46775,A000000,01301,0000,01301ACTIVITIES 46775,A000000,01302,0000,01302ADMISSIONS 46775,A000000,01350,0000,01500OTHER GENERAL SERVICES 46775,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46775,A000000,01600,0000,01600SKILLED NURSING FACILITY 46775,A000000,01800,0000,01800NURSING FACILITY 46775,A000000,01810,0000,01801ICF/MR 46775,A000000,01900,0000,01900OTHER LONG TERM CARE 46775,A000000,02100,0000,02100RADIOLOGY 46775,A000000,02200,0000,02200LABORATORY 46775,A000000,02300,0000,02300INTRAVENOUS THERAPY 46775,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46775,A000000,02500,0000,02500PHYSICAL THERAPY 46775,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46775,A000000,02700,0000,02700SPEECH PATHOLOGY 46775,A000000,02800,0000,02800ELECTROCARDIOLOGY 46775,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46775,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46775,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46775,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46775,A000000,03200,0000,03200SUPPORT SURFACES 46775,A000000,03400,0000,03400CLINIC 46775,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46775,A000000,03500,0000,03500RURAL HEALTH CLINIC 46775,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46775,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46775,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46775,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46775,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46775,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46775,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46775,A000000,04400,0000,04400DME RENTED - HHA 46775,A000000,04500,0000,04500DME SOLD - HHA 46775,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46775,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46775,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46775,A000000,04800,0000,04800AMBULANCE 46775,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46775,A000000,05000,0000,05000CORF 46775,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46775,A000000,05300,0000,05300INTEREST EXPENSE 46775,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46775,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46775,A000000,05500,0000,05500HOSPICE 46775,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46775,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46775,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46775,A000000,06100,0000,06100NONPAID WORKERS 46775,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46775,A000000,06200,0000,06200PATIENTS LAUNDRY 46775,A81000A,00100,0100,Y 46775,A81000B,00100,0300,ACUTE CARE ALLOCATION 46775,A81000B,00200,0300,ACUTE CARE ALLOCATION 46775,A81000B,00300,0300,ACUTE CARE ALLOCATION 46775,A81000B,00400,0300,CORPORATE ALLOCATION 46775,A81000B,00500,0300,CORPORATE ALLOCATION 46775,A81000B,00600,0300,CORPORATE ALLOCATION 46775,A81000B,00700,0300,CORPORATE ALLOCATION 46775,A81000B,00800,0300,CORPORATE ALLOCATION 46775,A81000C,00100,0100,B 46775,A81000C,00100,0200,THE TOLEDO HOSPITAL 46775,A81000C,00100,0400,PROMEDICA 46775,A81000C,00100,0600,HEALTHCARE 46775,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46775,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46775,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46775,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46775,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46775,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46775,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46775,B100000,00000,0800,00000MEALS SERVED :DIETARY 46775,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46775,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46775,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46775,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46775,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46775,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 46775,B100000,00000,1332,00000PATIENT DAYS :ADMISSIONS 46775,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 46775,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46775,S000000,00100,0200,06/29/2000 46775,S200000,00100,0100,GOLDEN HAVEN NURSING & REHAB 46775,S200000,00100,0300,2901 TREMAINSVILLE RD 46775,S200000,00200,0100,TOLEDO 46775,S200000,00200,0200,OH 46775,S200000,00200,0300,43613- 46775,S200000,00300,0100,LUCAS 46775,S200000,00400,0100,GOLDEN HAVEN NURSING & REHAB 46775,S200000,00400,0200,365596 46775,S200000,00400,0300,01/01/1983 46775,S200000,00400,0500,P 46775,S200000,01004,0500,O 46775,S200000,01600,0100,Y 46775,S700003,00000,0100,1 46786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46786,A000000,00300,0000,00300EMPLOYEE BENEFITS 46786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46786,A000000,00700,0000,00700HOUSEKEEPING 46786,A000000,00800,0000,00800DIETARY 46786,A000000,00900,0000,00900NURSING ADMINISTRATION 46786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46786,A000000,01100,0000,01100PHARMACY 46786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46786,A000000,01300,0000,01300SOCIAL SERVICE 46786,A000000,01600,0000,01600SKILLED NURSING FACILITY 46786,A000000,01800,0000,01800NURSING FACILITY 46786,A000000,01900,0000,01900OTHER LONG TERM CARE 46786,A000000,02100,0000,02100RADIOLOGY 46786,A000000,02200,0000,02200LABORATORY 46786,A000000,02300,0000,02300INTRAVENOUS THERAPY 46786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46786,A000000,02500,0000,02500PHYSICAL THERAPY 46786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46786,A000000,02700,0000,02700SPEECH PATHOLOGY 46786,A000000,02800,0000,02800ELECTROCARDIOLOGY 46786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46786,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46786,A000000,03200,0000,03200SUPPORT SURFACES 46786,A000000,03400,0000,03400CLINIC 46786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46786,A000000,03500,0000,03500RURAL HEALTH CLINIC 46786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46786,A000000,04800,0000,04800AMBULANCE 46786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46786,A000000,05000,0000,05000CORF 46786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46786,A000000,05300,0000,05300INTEREST EXPENSE 46786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46786,A000000,05500,0000,05500HOSPICE 46786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46786,A000000,06100,0000,06100NONPAID WORKERS 46786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46786,A000000,06200,0000,06200PATIENTS LAUNDRY 46786,A81000A,00100,0100,Y 46786,A81000B,00100,0300,MANAGEMENT FEE 46786,A81000B,00200,0300,DATA PROCESSING 46786,A81000B,00300,0300,ACCOUNTING FEES 46786,A81000B,00400,0300,LEGAL FEES 46786,A81000C,00100,0100,A 46786,A81000C,00100,0200,JAMES FARLEY 46786,A81000C,00100,0400,NURSING CARE MGMT OF AMER 46786,A81000C,00100,0600,MANAGEMENT SERVICES 46786,A81000C,00200,0100,A 46786,A81000C,00200,0200,MICHAEL SCHARFENBERGER 46786,A81000C,00200,0400,NURSING CARE MGMT OF AMER 46786,A81000C,00200,0600,MANAGEMENT SERVICES 46786,A81000C,00300,0100,A 46786,A81000C,00300,0200,TIMOTHY WYNNE 46786,A81000C,00300,0400,NURSING CARE MGMT OF AMER 46786,A81000C,00300,0600,MANAGEMENT SERVICES 46786,A81000C,00400,0100,A 46786,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 46786,A81000C,00400,0400,NURSING CARE MGMT OF AMER 46786,A81000C,00400,0600,MANAGEMENT SERVICES 46786,A81000C,00500,0100,A 46786,A81000C,00500,0200,JAMES FARLEY 46786,A81000C,00500,0400,PHARMCO 46786,A81000C,00500,0600,PHARMACY 46786,A81000C,00600,0100,A 46786,A81000C,00600,0200,MICHAEL SCHARFENBERGER 46786,A81000C,00600,0400,PHARMCO 46786,A81000C,00600,0600,PHARMACY 46786,A81000C,00700,0100,A 46786,A81000C,00700,0200,TIMOTHY WYNNE 46786,A81000C,00700,0400,PHARMCO 46786,A81000C,00700,0600,PHARMACY 46786,A81000C,00800,0100,A 46786,A81000C,00800,0200,ESTATE OF ROBERT WYNNE 46786,A81000C,00800,0400,PHARMCO 46786,A81000C,00800,0600,PHARMACY 46786,A81000C,00900,0100,A 46786,A81000C,00900,0200,JAMES FARLEY 46786,A81000C,00900,0400,BOBBIE FARLEY ATTORNEY 46786,A81000C,00900,0600,LEGAL SERVICES 46786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46786,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 46786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46786,B100000,00000,0800,00000MEALS SERVED :DIETARY 46786,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46786,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 46786,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46786,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 46786,E10A180,00501,0300,12/01/2000 46786,S000000,00100,0200,11/27/2000 46786,S200000,00100,0100,230 CHERRY STREET 46786,S200000,00200,0100,CHILLICOTHE 46786,S200000,00200,0200,OH 46786,S200000,00200,0300,45601- 46786,S200000,00300,0100,ROSS 46786,S200000,00300,0200,0036 46786,S200000,00300,0300,R 46786,S200000,00400,0100,WESTMORELAND PLACE 46786,S200000,00400,0200,365597 46786,S200000,00400,0300,11/01/1986 46786,S200000,00400,0500,P 46786,S200000,00600,0200,365597 46786,S200000,00600,0300,11/01/1986 46786,S200000,00600,0600,P 46786,S200000,01600,0100,Y 46795,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46795,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46795,A000000,00300,0000,00300EMPLOYEE BENEFITS 46795,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46795,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46795,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46795,A000000,00700,0000,00700HOUSEKEEPING 46795,A000000,00800,0000,00800DIETARY 46795,A000000,00900,0000,00900NURSING ADMINISTRATION 46795,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46795,A000000,01100,0000,01100PHARMACY 46795,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46795,A000000,01300,0000,01300SOCIAL SERVICE 46795,A000000,01350,0000,01500ACTIVITIES 46795,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46795,A000000,01600,0000,01600SKILLED NURSING FACILITY 46795,A000000,01800,0000,01800NURSING FACILITY 46795,A000000,01810,0000,01801ICF/MR 46795,A000000,01900,0000,01900OTHER LONG TERM CARE 46795,A000000,02100,0000,02100RADIOLOGY 46795,A000000,02200,0000,02200LABORATORY 46795,A000000,02300,0000,02300INTRAVENOUS THERAPY 46795,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46795,A000000,02500,0000,02500PHYSICAL THERAPY 46795,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46795,A000000,02700,0000,02700SPEECH PATHOLOGY 46795,A000000,02800,0000,02800ELECTROCARDIOLOGY 46795,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46795,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46795,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46795,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46795,A000000,03200,0000,03200SUPPORT SURFACES 46795,A000000,03400,0000,03400CLINIC 46795,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46795,A000000,03500,0000,03500RURAL HEALTH CLINIC 46795,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46795,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46795,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46795,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46795,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46795,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46795,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46795,A000000,04400,0000,04400DME RENTED - HHA 46795,A000000,04500,0000,04500DME SOLD - HHA 46795,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46795,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46795,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46795,A000000,04800,0000,04800AMBULANCE 46795,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46795,A000000,05000,0000,05000CORF 46795,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46795,A000000,05300,0000,05300INTEREST EXPENSE 46795,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46795,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46795,A000000,05500,0000,05500HOSPICE 46795,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46795,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46795,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46795,A000000,06100,0000,06100NONPAID WORKERS 46795,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46795,A000000,06200,0000,06200PATIENTS LAUNDRY 46795,A81000A,00100,0100,Y 46795,A81000B,00100,0300,PHYSICAL THERAPY 46795,A81000B,00200,0300,OCCUPATIONAL THERAPY 46795,A81000B,00300,0300,SPEECH PATHOLOGY 46795,A81000B,00400,0300,ACCOUNTING & AUDITING 46795,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46795,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46795,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46795,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46795,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46795,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46795,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46795,B100000,00000,0800,00000MEALS SERVED :DIETARY 46795,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 46795,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46795,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46795,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46795,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46795,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46795,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46795,S000000,00100,0200,05/24/2000 46795,S200000,00100,0100,164 OFFICE PARK DRIVE 46795,S200000,00200,0100,XENIA 46795,S200000,00200,0200,OH 46795,S200000,00200,0300,45385- 46795,S200000,00300,0100,GREENE 46795,S200000,00400,0100,GREENE OAKS 46795,S200000,00400,0200,365601 46795,S200000,00400,0300,08/11/1983 46795,S200000,00400,0500,P 46795,S200000,00600,0200,365601 46795,S200000,00600,0300,08/11/1983 46795,S200000,01600,0100,Y 46795,S200000,02800,0100,Y 46795,S700003,00000,0100,1 46804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46804,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46804,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46804,A000000,00300,0000,00300EMPLOYEE BENEFITS 46804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46804,A000000,00700,0000,00700HOUSEKEEPING 46804,A000000,00800,0000,00800DIETARY 46804,A000000,00801,0000,00801CAFETERIA 46804,A000000,00900,0000,00900NURSING ADMINISTRATION 46804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46804,A000000,01100,0000,01100PHARMACY 46804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46804,A000000,01300,0000,01300SOCIAL SERVICE 46804,A000000,01350,0000,01500ACTIVITIES 46804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46804,A000000,01600,0000,01600SKILLED NURSING FACILITY 46804,A000000,01800,0000,01800NURSING FACILITY 46804,A000000,01900,0000,01900OTHER LONG TERM CARE 46804,A000000,02100,0000,02100RADIOLOGY 46804,A000000,02200,0000,02200LABORATORY 46804,A000000,02300,0000,02300INTRAVENOUS THERAPY 46804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46804,A000000,02500,0000,02500PHYSICAL THERAPY 46804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46804,A000000,02700,0000,02700SPEECH PATHOLOGY 46804,A000000,02800,0000,02800ELECTROCARDIOLOGY 46804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46804,A000000,03050,0000,03300OTHER ANCILLARY 46804,A000000,03051,0000,03301OTHER ANCILLARY II 46804,A000000,03052,0000,03302OTHER ANCILLARY III 46804,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46804,A000000,03200,0000,03200SUPPORT SURFACES 46804,A000000,03400,0000,03400CLINIC 46804,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46804,A000000,03500,0000,03500RURAL HEALTH CLINIC 46804,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46804,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46804,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46804,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46804,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46804,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46804,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46804,A000000,04400,0000,04400DME RENTED - HHA 46804,A000000,04500,0000,04500DME SOLD - HHA 46804,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46804,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46804,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46804,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46804,A000000,05000,0000,05000CORF 46804,A000000,05010,0000,05010CMHC I 46804,A000000,05020,0000,05020OPT I 46804,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46804,A000000,05300,0000,05300INTEREST EXPENSE 46804,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46804,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46804,A000000,05500,0000,05500HOSPICE 46804,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46804,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46804,A000000,06100,0000,06100NONPAID WORKERS 46804,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46804,A000000,06200,0000,06200PATIENTS LAUNDRY 46804,A81000A,00100,0100,Y 46804,A81000B,00100,0300,HOME OFFICE 46804,A81000C,00100,0100,A 46804,A81000C,00100,0200,FRANCISCAN HEAL 46804,A81000C,00100,0400,FRAN SISTERS 46804,A81000C,00100,0600,HEALTH CARE 46804,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46804,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46804,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46804,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46804,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46804,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46804,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46804,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46804,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46804,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46804,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46804,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46804,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46804,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46804,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46804,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46804,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46804,S000000,00100,0200,08/31/1999 46804,S200000,00100,0100,2950 WEST PARK DRIVE 46804,S200000,00200,0100,CINCINNATI 46804,S200000,00200,0200,OH 46804,S200000,00200,0300,45238-3594 46804,S200000,00300,0100,HAMILTON 46804,S200000,00400,0100,THE FRANCISCAN AT WEST PARK 46804,S200000,00400,0200,365603 46804,S200000,00400,0300,06/18/1983 46804,S200000,00400,0500,P 46804,S200000,01005,0500,O 46804,S200000,01600,0100,Y 46804,S200000,02200,0100,Y 46804,S200000,03100,0100,Y 46804,S700003,00000,0100,1 46806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46806,A000000,00300,0000,00300EMPLOYEE BENEFITS 46806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46806,A000000,00700,0000,00700HOUSEKEEPING 46806,A000000,00800,0000,00800DIETARY 46806,A000000,00900,0000,00900NURSING ADMINISTRATION 46806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46806,A000000,01100,0000,01100PHARMACY 46806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46806,A000000,01300,0000,01300SOCIAL SERVICE 46806,A000000,01350,0000,01500OTHER GENERAL SERVICES 46806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46806,A000000,01600,0000,01600SKILLED NURSING FACILITY 46806,A000000,01800,0000,01800NURSING FACILITY 46806,A000000,01900,0000,01900OTHER LONG TERM CARE 46806,A000000,02100,0000,02100RADIOLOGY 46806,A000000,02200,0000,02200LABORATORY 46806,A000000,02300,0000,02300INTRAVENOUS THERAPY 46806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46806,A000000,02500,0000,02500PHYSICAL THERAPY 46806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46806,A000000,02700,0000,02700SPEECH PATHOLOGY 46806,A000000,02800,0000,02800ELECTROCARDIOLOGY 46806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46806,A000000,03200,0000,03200SUPPORT SURFACES 46806,A000000,03400,0000,03400CLINIC 46806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46806,A000000,03500,0000,03500RURAL HEALTH CLINIC 46806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46806,A000000,04400,0000,04400DME RENTED - HHA 46806,A000000,04500,0000,04500DME SOLD - HHA 46806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46806,A000000,04800,0000,04800AMBULANCE 46806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46806,A000000,05000,0000,05000CORF 46806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46806,A000000,05300,0000,05300INTEREST EXPENSE 46806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46806,A000000,05500,0000,05500HOSPICE 46806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46806,A000000,06100,0000,06100NONPAID WORKERS 46806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46806,A000000,06200,0000,06200PATIENTS LAUNDRY 46806,A81000A,00100,0100,Y 46806,A81000B,00100,0300,HOME OFFICE 46806,A81000C,00100,0100,A 46806,A81000C,00100,0200,MERCY HEALTH SYSTEMS 46806,A81000C,00100,0400,MERCY HEALTH SYSTEMS 46806,A81000C,00100,0600,HEALTH CARE 46806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46806,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46806,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46806,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 46806,B100000,00000,0800,00000MEALS SERVED :DIETARY 46806,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46806,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46806,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 46806,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46806,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46806,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 46806,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46806,S000000,00100,0200,05/31/2000 46806,S200000,00100,0100,2950 WEST PARK DRIVE 46806,S200000,00200,0100,CINCINNATI 46806,S200000,00200,0200,OH 46806,S200000,00200,0300,45238- 46806,S200000,00300,0100,HAMILTON 46806,S200000,00400,0100,MERCY FRANCISCAN AT WEST PARK 46806,S200000,00400,0200,365603 46806,S200000,00400,0300,06/18/1983 46806,S200000,00400,0500,P 46806,S200000,00400,0600,P 46806,S200000,01600,0100,Y 46806,S200000,02200,0100,Y 46815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46815,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46815,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46815,A000000,00300,0000,00300EMPLOYEE BENEFITS 46815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46815,A000000,00700,0000,00700HOUSEKEEPING 46815,A000000,00800,0000,00800DIETARY 46815,A000000,00801,0000,00801CAFETERIA 46815,A000000,00900,0000,00900NURSING ADMINISTRATION 46815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46815,A000000,01100,0000,01100PHARMACY 46815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46815,A000000,01300,0000,01300SOCIAL SERVICE 46815,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46815,A000000,01600,0000,01600SKILLED NURSING FACILITY 46815,A000000,01800,0000,01800NURSING FACILITY 46815,A000000,01900,0000,01900OTHER LONG TERM CARE 46815,A000000,02100,0000,02100RADIOLOGY 46815,A000000,02200,0000,02200LABORATORY 46815,A000000,02300,0000,02300INTRAVENOUS THERAPY 46815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46815,A000000,02500,0000,02500PHYSICAL THERAPY 46815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46815,A000000,02700,0000,02700SPEECH PATHOLOGY 46815,A000000,02800,0000,02800ELECTROCARDIOLOGY 46815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46815,A000000,03050,0000,03300OTHER ANCILLARY 46815,A000000,03051,0000,03301OTHER ANCILLARY II 46815,A000000,03052,0000,03302OTHER ANCILLARY III 46815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46815,A000000,03200,0000,03200SUPPORT SURFACES 46815,A000000,03400,0000,03400CLINIC 46815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46815,A000000,03500,0000,03500RURAL HEALTH CLINIC 46815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46815,A000000,04400,0000,04400DME RENTED - HHA 46815,A000000,04500,0000,04500DME SOLD - HHA 46815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46815,A000000,04800,0000,04800AMBULANCE 46815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46815,A000000,05000,0000,05000CORF 46815,A000000,05010,0000,05010CMHC I 46815,A000000,05020,0000,05020OPT I 46815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46815,A000000,05300,0000,05300INTEREST EXPENSE 46815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46815,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46815,A000000,05500,0000,05500HOSPICE 46815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46815,A000000,06100,0000,06100NONPAID WORKERS 46815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46815,A000000,06200,0000,06200PATIENTS LAUNDRY 46815,A81000A,00100,0100,Y 46815,A81000B,00100,0300,STARK COUNTY ASSESSMENT 46815,A81000C,00100,0100,B 46815,A81000C,00100,0200,STARK COUNTY 46815,A81000C,00100,0400,STARK COUNTY 46815,A81000C,00100,0600,COUNTY GOVT 46815,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46815,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46815,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46815,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46815,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46815,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46815,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46815,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46815,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46815,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46815,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 46815,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46815,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 46815,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 46815,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 46815,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 46815,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46815,S000000,00100,0200,06/19/2000 46815,S200000,00100,0100,7770 COLUMBUS ROAD N.E. 46815,S200000,00200,0100,LOUISVILLE 46815,S200000,00200,0200,OH 46815,S200000,00200,0300,44641- 46815,S200000,00300,0100,STARK 46815,S200000,00400,0100,JOSEPH T. NIST HEALTH CARE CENTER 46815,S200000,00400,0200,365604 46815,S200000,00400,0300,09/27/1983 46815,S200000,00400,0500,P 46815,S200000,01600,0100,Y 46815,S200000,04300,0100,Y 46815,S700003,00000,0100,1 46826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46826,A000000,00300,0000,00300EMPLOYEE BENEFITS 46826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46826,A000000,00700,0000,00700HOUSEKEEPING 46826,A000000,00800,0000,00800DIETARY 46826,A000000,00900,0000,00900NURSING ADMINISTRATION 46826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46826,A000000,01100,0000,01100PHARMACY 46826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46826,A000000,01300,0000,01300SOCIAL SERVICE 46826,A000000,01350,0000,01500ACTIVITIES 46826,A000000,01600,0000,01600SKILLED NURSING FACILITY 46826,A000000,01800,0000,01800NURSING FACILITY 46826,A000000,01900,0000,01900OTHER LONG TERM CARE 46826,A000000,02100,0000,02100RADIOLOGY 46826,A000000,02200,0000,02200LABORATORY 46826,A000000,02300,0000,02300INTRAVENOUS THERAPY 46826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46826,A000000,02500,0000,02500PHYSICAL THERAPY 46826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46826,A000000,02700,0000,02700SPEECH PATHOLOGY 46826,A000000,02800,0000,02800ELECTROCARDIOLOGY 46826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46826,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46826,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46826,A000000,03200,0000,03200SUPPORT SURFACES 46826,A000000,03400,0000,03400CLINIC 46826,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46826,A000000,03500,0000,03500RURAL HEALTH CLINIC 46826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46826,A000000,04800,0000,04800AMBULANCE 46826,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46826,A000000,05000,0000,05000CORF 46826,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46826,A000000,05300,0000,05300INTEREST EXPENSE 46826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46826,A000000,05500,0000,05500HOSPICE 46826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46826,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46826,A000000,06100,0000,06100NONPAID WORKERS 46826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46826,A000000,06200,0000,06200PATIENTS LAUNDRY 46826,A81000A,00100,0100,Y 46826,A81000B,00100,0300,MANAGEMENT SERVICES 46826,A81000B,00200,0300,DATA SERVICES 46826,A81000B,00300,0300,COST OF OWNERSHIP 46826,A81000B,00400,0300,ACCOUNTING SERVICES 46826,A81000C,00100,0100,A 46826,A81000C,00100,0200,JAMES FARLEY 46826,A81000C,00100,0400,NURSING CARE MANAGEMENT 46826,A81000C,00100,0600,MANAGEMENT SERVICES 46826,A81000C,00200,0100,A 46826,A81000C,00200,0200,MICHAEL SCHARFENBERGER 46826,A81000C,00200,0400,NURSING CARE MANAGEMENT 46826,A81000C,00200,0600,MANAGEMENT SERVICES 46826,A81000C,00300,0100,A 46826,A81000C,00300,0200,ESTATE OF ROBERT WYNNE 46826,A81000C,00300,0400,NURSING CARE MANAGEMENT 46826,A81000C,00300,0600,MANAGEMENT SERVICES 46826,A81000C,00400,0100,A 46826,A81000C,00400,0200,JAMES FARLEY 46826,A81000C,00400,0400,MILCREST REALTY 46826,A81000C,00400,0600,LESSOR 46826,A81000C,00500,0100,A 46826,A81000C,00500,0200,MICHAEL SCHARFENBERGER 46826,A81000C,00500,0400,MILCREST REALTY 46826,A81000C,00500,0600,LESSOR 46826,A81000C,00600,0100,A 46826,A81000C,00600,0200,ESTATE OF ROBERT WYNNE 46826,A81000C,00600,0400,MILCREST REALTY 46826,A81000C,00600,0600,LESSOR 46826,A81000C,00700,0100,A 46826,A81000C,00700,0200,GARY RABINER 46826,A81000C,00700,0400,MILCREST REALTY 46826,A81000C,00700,0600,LESSOR 46826,A81000C,00800,0100,A 46826,A81000C,00800,0200,DAVID SPITZBERG 46826,A81000C,00800,0400,MILCREST REALTY 46826,A81000C,00800,0600,LESSOR 46826,A81000C,00900,0100,A 46826,A81000C,00900,0200,JAMES FARLEY 46826,A81000C,00900,0400,PHARMCO 46826,A81000C,00900,0600,PHARMACY 46826,A81000C,01000,0100,A 46826,A81000C,01000,0200,MICHAEL SCHARFENBERBER 46826,A81000C,01000,0400,PHARMCO 46826,A81000C,01000,0600,PHARMACY 46826,A81000C,01001,0100,A 46826,A81000C,01001,0200,ESTATE OF ROBERT WYNNE 46826,A81000C,01001,0400,PHARMCO 46826,A81000C,01001,0600,PHARMACY 46826,A81000C,01002,0100,A 46826,A81000C,01002,0200,GARY RABINER 46826,A81000C,01002,0400,PHARMCO 46826,A81000C,01002,0600,PHARMACY 46826,A81000C,01003,0100,A 46826,A81000C,01003,0200,DAVID SPITZBERG 46826,A81000C,01003,0400,PHARMCO 46826,A81000C,01003,0600,PHARMACY 46826,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46826,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46826,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46826,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46826,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 46826,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46826,B100000,00000,0800,00000MEALS SERVED :DIETARY 46826,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 46826,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 46826,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 46826,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 46826,B100000,00000,1350,00000DAYS SPENT :ACTIVITIES 46826,S000000,00100,0200,11/27/2000 46826,S200000,00100,0100,730 MILCREST DRIVE 46826,S200000,00200,0100,MARYSVILLE 46826,S200000,00200,0200,OH 46826,S200000,00200,0300,43040- 46826,S200000,00300,0100,UNION 46826,S200000,00300,0200,36 46826,S200000,00300,0300,R 46826,S200000,00400,0100,MILCREST NURSING CENTER 46826,S200000,00400,0200,365605 46826,S200000,00400,0300,08/12/1983 46826,S200000,00400,0500,P 46826,S200000,01500,0100,Y 46842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46842,A000000,00300,0000,00300EMPLOYEE BENEFITS 46842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46842,A000000,00700,0000,00700HOUSEKEEPING 46842,A000000,00800,0000,00800DIETARY 46842,A000000,00900,0000,00900NURSING ADMINISTRATION 46842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46842,A000000,01100,0000,01100PHARMACY 46842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46842,A000000,01300,0000,01300SOCIAL SERVICE 46842,A000000,01350,0000,01500ACTIVITIES 46842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46842,A000000,01600,0000,01600SKILLED NURSING FACILITY 46842,A000000,01800,0000,01800NURSING FACILITY 46842,A000000,01900,0000,01900OTHER LONG TERM CARE 46842,A000000,02100,0000,02100RADIOLOGY 46842,A000000,02200,0000,02200LABORATORY 46842,A000000,02300,0000,02300INTRAVENOUS THERAPY 46842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46842,A000000,02500,0000,02500PHYSICAL THERAPY 46842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46842,A000000,02700,0000,02700SPEECH PATHOLOGY 46842,A000000,02800,0000,02800ELECTROCARDIOLOGY 46842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46842,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46842,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46842,A000000,03200,0000,03200SUPPORT SURFACES 46842,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46842,A000000,04800,0000,04800AMBULANCE 46842,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46842,A000000,05300,0000,05300INTEREST EXPENSE 46842,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46842,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46842,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46842,A000000,06100,0000,06100NONPAID WORKERS 46842,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46842,A000000,06200,0000,06200PATIENTS LAUNDRY 46842,A81000A,00100,0100,Y 46842,A81000B,00100,0300,HOME OFFICE COST 46842,A81000B,00200,0300,PURCH SERV PHARMACIST 46842,A81000B,00300,0300,IV DRUGS & SUPPLIES 46842,A81000B,00400,0300,DRUGS 46842,A81000B,00500,0300,PT ADMINISTRATION FEES 46842,A81000B,00600,0300,OT ADMINISTRATION FEES 46842,A81000B,00700,0300,ST ADMINISTRATION FEES 46842,A81000B,00800,0300,PHYSICAL THERAPY 46842,A81000B,00900,0300,OCCUPATIONAL THERAPY 46842,A81000B,01000,0300,SPEECH THERAPY 46842,A81000C,00100,0100,B 46842,A81000C,00100,0200,HEARTLAND OF PIQUA 46842,A81000C,00100,0400,HCR MANORCARE INC. 46842,A81000C,00100,0600,LONG TERM CARE FACILITIES 46842,A81000C,00200,0100,B 46842,A81000C,00200,0200,HEARTLAND OF PIQUA 46842,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 46842,A81000C,00200,0600,PHARMACY 46842,A81000C,00300,0100,B 46842,A81000C,00300,0200,HEARTLAND OF PIQUA 46842,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 46842,A81000C,00300,0600,PHARMACY 46842,A81000C,00400,0100,B 46842,A81000C,00400,0200,HEARTLAND OF PIQUA 46842,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 46842,A81000C,00400,0600,PHARMACY 46842,A81000C,00500,0100,B 46842,A81000C,00500,0200,HEARTLAND OF PIQUA 46842,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 46842,A81000C,00500,0600,THERAPY MANAGEMENT 46842,A81000C,00600,0100,B 46842,A81000C,00600,0200,HEARTLAND OF PIQUA 46842,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 46842,A81000C,00600,0600,THERAPY MANAGEMENT 46842,A81000C,00700,0100,B 46842,A81000C,00700,0200,HEARTLAND OF PIQUA 46842,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 46842,A81000C,00700,0600,THERAPY MANAGEMENT 46842,A81000C,00800,0100,B 46842,A81000C,00800,0200,HEARTLAND OF PIQUA 46842,A81000C,00800,0400,HEARTLAND REHABILITATION 46842,A81000C,00800,0600,THERAPY 46842,A81000C,00900,0100,B 46842,A81000C,00900,0200,HEARTLAND OF PIQUA 46842,A81000C,00900,0400,HEARTLAND REHABILITATION 46842,A81000C,00900,0600,THERAPY 46842,A81000C,01000,0100,B 46842,A81000C,01000,0200,HEARTLAND OF PIQUA 46842,A81000C,01000,0400,HEARTLAND REHABILITATION 46842,A81000C,01000,0600,THERAPY 46842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46842,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46842,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46842,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46842,B100000,00000,0800,00000MEALS SERVED :DIETARY 46842,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46842,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46842,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46842,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46842,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46842,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46842,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46842,S000000,00100,0200,05/30/2000 46842,S200000,00100,0100,275 KIENLE DRIVE 46842,S200000,00200,0100,PIQUA 46842,S200000,00200,0200,OH 46842,S200000,00200,0300,45356- 46842,S200000,00300,0100,MIAMI 46842,S200000,00400,0100,HEARTLAND OF PIQUA 46842,S200000,00400,0200,365607 46842,S200000,00400,0300,11/01/1983 46842,S200000,00400,0500,P 46842,S200000,01600,0100,Y 46842,S200000,02200,0100,Y 46853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46853,A000000,00300,0000,00300EMPLOYEE BENEFITS 46853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46853,A000000,00700,0000,00700HOUSEKEEPING 46853,A000000,00800,0000,00800DIETARY 46853,A000000,00900,0000,00900NURSING ADMINISTRATION 46853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46853,A000000,01100,0000,01100PHARMACY 46853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46853,A000000,01300,0000,01300SOCIAL SERVICE 46853,A000000,01350,0000,01500PATIENT ACTIVITIES 46853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46853,A000000,01600,0000,01600SKILLED NURSING FACILITY 46853,A000000,01800,0000,01800NURSING FACILITY 46853,A000000,01810,0000,01801ICF/MR 46853,A000000,01900,0000,01900OTHER LONG TERM CARE 46853,A000000,02100,0000,02100RADIOLOGY 46853,A000000,02200,0000,02200LABORATORY 46853,A000000,02300,0000,02300INTRAVENOUS THERAPY 46853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46853,A000000,02500,0000,02500PHYSICAL THERAPY 46853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46853,A000000,02700,0000,02700SPEECH PATHOLOGY 46853,A000000,02800,0000,02800ELECTROCARDIOLOGY 46853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46853,A000000,03200,0000,03200SUPPORT SURFACES 46853,A000000,03400,0000,03400CLINIC 46853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46853,A000000,03500,0000,03500RURAL HEALTH CLINIC 46853,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46853,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46853,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46853,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46853,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46853,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46853,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46853,A000000,04400,0000,04400DME RENTED - HHA 46853,A000000,04500,0000,04500DME SOLD - HHA 46853,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46853,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46853,A000000,04800,0000,04800AMBULANCE 46853,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46853,A000000,05000,0000,05000CORF 46853,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46853,A000000,05300,0000,05300INTEREST EXPENSE 46853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46853,A000000,05500,0000,05500HOSPICE 46853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46853,A000000,06100,0000,06100NONPAID WORKERS 46853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46853,A000000,06200,0000,06200PATIENTS LAUNDRY 46853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46853,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 46853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46853,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 46853,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46853,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46853,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46853,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 46853,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46853,E10A180,00301,0100,07/13/1999 46853,E10A180,00350,0100,07/08/1999 46853,E10A180,00351,0100,11/30/1999 46853,S000000,00100,0200,06/01/2000 46853,S200000,00100,0100,255 FRONT STREET 46853,S200000,00200,0100,BEREA 46853,S200000,00200,0200,OH 46853,S200000,00200,0300,44017- 46853,S200000,00300,0100,CUYAHOGA 46853,S200000,00400,0100,ARISTOCRAT BEREA 46853,S200000,00400,0200,365608 46853,S200000,00400,0300,01/01/1984 46853,S200000,00400,0500,P 46853,S200000,01600,0100,Y 46853,S700003,00000,0100,1 46864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46864,A000000,00300,0000,00300EMPLOYEE BENEFITS 46864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46864,A000000,00700,0000,00700HOUSEKEEPING 46864,A000000,00800,0000,00800DIETARY 46864,A000000,00900,0000,00900NURSING ADMINISTRATION 46864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46864,A000000,01100,0000,01100PHARMACY 46864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46864,A000000,01300,0000,01300SOCIAL SERVICE 46864,A000000,01350,0000,01500ACTIVITIES 46864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46864,A000000,01600,0000,01600SKILLED NURSING FACILITY 46864,A000000,01800,0000,01800NURSING FACILITY 46864,A000000,01900,0000,01900OTHER LONG TERM CARE 46864,A000000,02100,0000,02100RADIOLOGY 46864,A000000,02200,0000,02200LABORATORY 46864,A000000,02300,0000,02300INTRAVENOUS THERAPY 46864,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46864,A000000,02500,0000,02500PHYSICAL THERAPY 46864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46864,A000000,02700,0000,02700SPEECH PATHOLOGY 46864,A000000,02800,0000,02800ELECTROCARDIOLOGY 46864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46864,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46864,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46864,A000000,03200,0000,03200SUPPORT SURFACES 46864,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46864,A000000,04800,0000,04800AMBULANCE 46864,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46864,A000000,05300,0000,05300INTEREST EXPENSE 46864,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46864,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46864,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46864,A000000,06100,0000,06100NONPAID WORKERS 46864,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46864,A000000,06200,0000,06200PATIENTS LAUNDRY 46864,A81000A,00100,0100,Y 46864,A81000B,00100,0300,HOME OFFICE COST 46864,A81000B,00200,0300,PURCH SERV PHARMACIST 46864,A81000B,00300,0300,IV COSTS 46864,A81000B,00400,0300,PHARMACY 46864,A81000B,00500,0300,PURCH SERV PT 46864,A81000B,00600,0300,PURCH SERV OT 46864,A81000B,00700,0300,PURCH SERV ST 46864,A81000B,00800,0300,PT ADMINISTRATION FEE 46864,A81000B,00900,0300,OT ADMINISTRATION FEE 46864,A81000B,01000,0300,ST ADMINISTRATION FEE 46864,A81000C,00100,0100,B 46864,A81000C,00100,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00100,0400,HCR MANORCARE INC. 46864,A81000C,00100,0600,LONG TERM CARE FACILITIES 46864,A81000C,00200,0100,B 46864,A81000C,00200,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 46864,A81000C,00200,0600,PHARMACY 46864,A81000C,00300,0100,B 46864,A81000C,00300,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 46864,A81000C,00300,0600,PHARMACY 46864,A81000C,00400,0100,B 46864,A81000C,00400,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 46864,A81000C,00400,0600,PHARMACY 46864,A81000C,00500,0100,B 46864,A81000C,00500,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00500,0400,SCIOTO VALLEY THERAPY 46864,A81000C,00500,0600,THERAPY PROVIDER 46864,A81000C,00600,0100,B 46864,A81000C,00600,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00600,0400,SCIOTO VALLEY THERAPY 46864,A81000C,00600,0600,THERAPY PROVIDER 46864,A81000C,00700,0100,B 46864,A81000C,00700,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00700,0400,SCIOTO VALLEY THERAPY 46864,A81000C,00700,0600,THERAPY PROVIDER 46864,A81000C,00800,0100,B 46864,A81000C,00800,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00800,0400,HTLD MANAGEMENT SERVICES 46864,A81000C,00800,0600,THERAPY MANAGEMENT 46864,A81000C,00900,0100,B 46864,A81000C,00900,0200,VILLAGE AT WESTERVILLE 46864,A81000C,00900,0400,HTLD MANAGEMENT SERVICES 46864,A81000C,00900,0600,THERAPY MANAGEMENT 46864,A81000C,01000,0100,B 46864,A81000C,01000,0200,VILLAGE AT WESTERVILLE 46864,A81000C,01000,0400,HTLD MANAGEMENT SERVICES 46864,A81000C,01000,0600,THERAPY MANAGEMENT 46864,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46864,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46864,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46864,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46864,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46864,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46864,B100000,00000,0800,00000MEALS SERVED :DIETARY 46864,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46864,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46864,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46864,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46864,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46864,S000000,00100,0200,05/30/2000 46864,S200000,00100,0100,1060 EASTWIND DRIVE 46864,S200000,00200,0100,WESTERVILLE 46864,S200000,00200,0200,OH 46864,S200000,00200,0300,43081- 46864,S200000,00300,0100,FRANKLIN 46864,S200000,00300,0200,1840 46864,S200000,00300,0300,U 46864,S200000,00400,0100,THE VILLAGE AT WESTERVILLE 46864,S200000,00400,0200,365611 46864,S200000,00400,0300,07/01/1983 46864,S200000,00400,0500,P 46864,S200000,00400,0600,P 46864,S200000,01004,0500,O 46864,S200000,01600,0100,Y 46864,S200000,02200,0100,Y 46873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46873,A000000,00300,0000,00300EMPLOYEE BENEFITS 46873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46873,A000000,00700,0000,00700HOUSEKEEPING 46873,A000000,00800,0000,00800DIETARY 46873,A000000,00900,0000,00900NURSING ADMINISTRATION 46873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46873,A000000,01100,0000,01100PHARMACY 46873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46873,A000000,01300,0000,01300SOCIAL SERVICE 46873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46873,A000000,01600,0000,01600SKILLED NURSING FACILITY 46873,A000000,01800,0000,01800NURSING FACILITY 46873,A000000,01900,0000,01900OTHER LONG TERM CARE 46873,A000000,02100,0000,02100RADIOLOGY 46873,A000000,02200,0000,02200LABORATORY 46873,A000000,02300,0000,02300INTRAVENOUS THERAPY 46873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46873,A000000,02500,0000,02500PHYSICAL THERAPY 46873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46873,A000000,02700,0000,02700SPEECH PATHOLOGY 46873,A000000,02800,0000,02800ELECTROCARDIOLOGY 46873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46873,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46873,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46873,A000000,03200,0000,03200SUPPORT SURFACES 46873,A000000,03400,0000,03400CLINIC 46873,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 46873,A000000,04800,0000,04800AMBULANCE 46873,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46873,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46873,A000000,05300,0000,05300INTEREST EXPENSE 46873,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46873,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46873,A000000,06100,0000,06100NONPAID WORKERS 46873,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 46873,A000000,06200,0000,06200PATIENTS LAUNDRY 46873,A81000A,00100,0100,Y 46873,A81000B,00100,0300,NURSING SUPPLIES 46873,A81000B,00200,0300,LAUNDRY 46873,A81000B,00300,0300,HOUSEKEEPING 46873,A81000B,00400,0300,DIETARY 46873,A81000C,00100,0100,A 46873,A81000C,00100,0200,LEANDER CROCK 46873,A81000C,00100,0400,F&W GROCERY IN 46873,A81000C,00100,0600,SUPERMARKET 46873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46873,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46873,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46873,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46873,B100000,00000,0800,00000MEALS SERVED :DIETARY 46873,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 46873,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 46873,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 46873,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46873,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46873,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 46873,S000000,00100,0200,05/31/2000 46873,S200000,00100,0100,44565 TR 497 46873,S200000,00200,0100,CALDWELL 46873,S200000,00200,0200,OH 46873,S200000,00200,0300,43724- 46873,S200000,00300,0100,NOBLE 46873,S200000,00400,0100,SUMMIT ACRES INC. 46873,S200000,00400,0200,365612 46873,S200000,00400,0300,11/14/1983 46873,S200000,00400,0500,P 46873,S200000,01500,0100,Y 46873,S200000,04300,0100,Y 46884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46884,A000000,00300,0000,00300EMPLOYEE BENEFITS 46884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46884,A000000,00700,0000,00700HOUSEKEEPING 46884,A000000,00800,0000,00800DIETARY 46884,A000000,00900,0000,00900NURSING ADMINISTRATION 46884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46884,A000000,01100,0000,01100PHARMACY 46884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46884,A000000,01300,0000,01300SOCIAL SERVICE 46884,A000000,01350,0000,01500ACTIVITIES 46884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46884,A000000,01600,0000,01600SKILLED NURSING FACILITY 46884,A000000,01800,0000,01800NURSING FACILITY 46884,A000000,01900,0000,01900OTHER LONG TERM CARE 46884,A000000,02100,0000,02100RADIOLOGY 46884,A000000,02200,0000,02200LABORATORY 46884,A000000,02300,0000,02300INTRAVENOUS THERAPY 46884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46884,A000000,02500,0000,02500PHYSICAL THERAPY 46884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46884,A000000,02700,0000,02700SPEECH PATHOLOGY 46884,A000000,02800,0000,02800ELECTROCARDIOLOGY 46884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46884,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46884,A000000,03200,0000,03200SUPPORT SURFACES 46884,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46884,A000000,04800,0000,04800AMBULANCE 46884,A000000,05300,0000,05300INTEREST EXPENSE 46884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46884,A000000,06100,0000,06100NONPAID WORKERS 46884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46884,A000000,06200,0000,06200PATIENTS LAUNDRY 46884,A81000A,00100,0100,Y 46884,A81000B,00100,0300,HOME OFFICE COST 46884,A81000B,00200,0300,P/S PHARMACIST 46884,A81000B,00300,0300,IV DRUGS & SUPPLIES 46884,A81000B,00400,0300,DRUGS 46884,A81000B,00500,0300,PT ADMINISTRATION FEE 46884,A81000B,00600,0300,OT ADMINISTRATION FEE 46884,A81000B,00700,0300,ST ADMINISTRATION FEE 46884,A81000B,00800,0300,P/S PHYSICAL THERAPY 46884,A81000B,00900,0300,P/S OCCUPATIONAL THERAPY 46884,A81000B,01000,0300,P/S SPEECH THERAPY 46884,A81000C,00100,0100,B 46884,A81000C,00100,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00100,0400,HCR MANORCARE INC. 46884,A81000C,00100,0600,LONG TERM CARE FACILITIES 46884,A81000C,00200,0100,B 46884,A81000C,00200,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00200,0400,HTLD HEALT CARE SERVICE 46884,A81000C,00200,0600,PHARMACY 46884,A81000C,00300,0100,B 46884,A81000C,00300,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00300,0400,HTLD HEALT CARE SERVICE 46884,A81000C,00300,0600,PHARMACY 46884,A81000C,00400,0100,B 46884,A81000C,00400,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00400,0400,HTLD HEALT CARE SERVICE 46884,A81000C,00400,0600,PHARMACY 46884,A81000C,00500,0100,B 46884,A81000C,00500,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 46884,A81000C,00500,0600,THERAPY MANAGEMENT 46884,A81000C,00600,0100,B 46884,A81000C,00600,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 46884,A81000C,00600,0600,THERAPY MANAGEMENT 46884,A81000C,00700,0100,B 46884,A81000C,00700,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 46884,A81000C,00700,0600,THERAPY MANAGEMENT 46884,A81000C,00800,0100,B 46884,A81000C,00800,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00800,0400,SCIOTO VALLEY THERAPY 46884,A81000C,00800,0600,THERAPY SERVICES 46884,A81000C,00900,0100,B 46884,A81000C,00900,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,00900,0400,SCIOTO VALLEY THERAPY 46884,A81000C,00900,0600,THERAPY SERVICES 46884,A81000C,01000,0100,B 46884,A81000C,01000,0200,HEARTLAND OF BELLEFONTAIN 46884,A81000C,01000,0400,SCIOTO VALLEY THERAPY 46884,A81000C,01000,0600,THERAPY SERVICES 46884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46884,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46884,B100000,00000,0800,00000MEALS SERVED :DIETARY 46884,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46884,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46884,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46884,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46884,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46884,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46884,S000000,00100,0200,05/30/2000 46884,S200000,00100,0100,221 N. SCHOOL ST. 46884,S200000,00200,0100,BELLEFONTAINE 46884,S200000,00200,0200,OH 46884,S200000,00200,0300,43311- 46884,S200000,00300,0100,LOGAN 46884,S200000,00400,0100,HEARTLAND OF BELLEFONTAINE 46884,S200000,00400,0200,365615 46884,S200000,00400,0300,02/07/1984 46884,S200000,00400,0500,P 46884,S200000,00400,0600,P 46884,S200000,01004,0500,O 46884,S200000,01600,0100,Y 46884,S200000,02200,0100,Y 46895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46895,A000000,00300,0000,00300EMPLOYEE BENEFITS 46895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46895,A000000,00700,0000,00700HOUSEKEEPING 46895,A000000,00800,0000,00800DIETARY 46895,A000000,00900,0000,00900NURSING ADMINISTRATION 46895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46895,A000000,01100,0000,01100PHARMACY 46895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46895,A000000,01300,0000,01300SOCIAL SERVICE 46895,A000000,01350,0000,01500ACTIVITIES 46895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46895,A000000,01600,0000,01600SKILLED NURSING FACILITY 46895,A000000,01800,0000,01800NURSING FACILITY 46895,A000000,01900,0000,01900OTHER LONG TERM CARE 46895,A000000,02100,0000,02100RADIOLOGY 46895,A000000,02200,0000,02200LABORATORY 46895,A000000,02300,0000,02300INTRAVENOUS THERAPY 46895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46895,A000000,02500,0000,02500PHYSICAL THERAPY 46895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46895,A000000,02700,0000,02700SPEECH PATHOLOGY 46895,A000000,02800,0000,02800ELECTROCARDIOLOGY 46895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46895,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46895,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46895,A000000,03200,0000,03200SUPPORT SURFACES 46895,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46895,A000000,04800,0000,04800AMBULANCE 46895,A000000,05300,0000,05300INTEREST EXPENSE 46895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46895,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46895,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46895,A000000,06100,0000,06100NONPAID WORKERS 46895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46895,A000000,06200,0000,06200PATIENTS LAUNDRY 46895,A81000A,00100,0100,Y 46895,A81000B,00100,0300,HOME OFFICE COST 46895,A81000B,00200,0300,PHARMACIST 46895,A81000B,00300,0300,IV COSTS 46895,A81000B,00400,0300,DRUGS 46895,A81000B,00500,0300,PHYSICAL THERAPY 46895,A81000B,00600,0300,OCCUPATIONAL THERAPY 46895,A81000B,00700,0300,SPEECH THERAPY 46895,A81000B,00800,0300,PT ADMIN FEES 46895,A81000B,00900,0300,OT ADMIN FEES 46895,A81000B,01000,0300,ST ADMIN FEES 46895,A81000C,00100,0100,B 46895,A81000C,00100,0200,HEARTLAND OF KETTERING 46895,A81000C,00100,0400,HCR MANORCARE INC. 46895,A81000C,00100,0600,LONG TERM CARE FACILITIES 46895,A81000C,00200,0100,B 46895,A81000C,00200,0200,HEARTLAND OF KETTERING 46895,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 46895,A81000C,00200,0600,PHARMACY 46895,A81000C,00300,0100,B 46895,A81000C,00300,0200,HEARTLAND OF KETTERING 46895,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 46895,A81000C,00300,0600,PHARMACY 46895,A81000C,00400,0100,B 46895,A81000C,00400,0200,HEARTLAND OF KETTERING 46895,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 46895,A81000C,00400,0600,PHARMACY 46895,A81000C,00500,0100,B 46895,A81000C,00500,0200,HEARTLAND OF KETTERING 46895,A81000C,00500,0400,HEARTLAND REHAB 46895,A81000C,00500,0600,THERAPY 46895,A81000C,00600,0100,B 46895,A81000C,00600,0200,HEARTLAND OF KETTERING 46895,A81000C,00600,0400,HEARTLAND REHAB 46895,A81000C,00600,0600,THERAPY 46895,A81000C,00700,0100,B 46895,A81000C,00700,0200,HEARTLAND OF KETTERING 46895,A81000C,00700,0400,HEARTLAND REHAB 46895,A81000C,00700,0600,THERAPY 46895,A81000C,00800,0100,B 46895,A81000C,00800,0200,HEARTLAND OF KETTERING 46895,A81000C,00800,0400,HEARTLAND MANAGEMENT SERV 46895,A81000C,00800,0600,THERAPY MANAGEMENT 46895,A81000C,00900,0100,B 46895,A81000C,00900,0200,HEARTLAND OF KETTERING 46895,A81000C,00900,0400,HEARTLAND MANAGEMENT SERV 46895,A81000C,00900,0600,THERAPY MANAGEMENT 46895,A81000C,01000,0100,B 46895,A81000C,01000,0200,HEARTLAND OF KETTERING 46895,A81000C,01000,0400,HEARTLAND MANAGEMENT SERV 46895,A81000C,01000,0600,THERAPY MANAGEMENT 46895,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46895,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46895,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46895,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46895,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46895,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46895,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46895,B100000,00000,0800,00000MEALS SERVED :DIETARY 46895,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46895,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46895,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46895,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46895,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46895,S000000,00100,0200,05/31/2000 46895,S200000,00100,0100,3313 WILMINGTON PIKE 46895,S200000,00200,0100,KETTERING 46895,S200000,00200,0200,OH 46895,S200000,00200,0300,45429- 46895,S200000,00300,0100,MONTGOMERY 46895,S200000,00300,0200,2000 46895,S200000,00300,0300,U 46895,S200000,00400,0100,HEARTLAND OF KETTERING 46895,S200000,00400,0200,365616 46895,S200000,00400,0300,01/30/1984 46895,S200000,00400,0500,P 46895,S200000,00400,0600,P 46895,S200000,01600,0100,Y 46895,S200000,02200,0100,Y 46906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46906,A000000,00300,0000,00300EMPLOYEE BENEFITS 46906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46906,A000000,00700,0000,00700HOUSEKEEPING 46906,A000000,00800,0000,00800DIETARY 46906,A000000,00900,0000,00900NURSING ADMINISTRATION 46906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46906,A000000,01100,0000,01100PHARMACY 46906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46906,A000000,01300,0000,01300SOCIAL SERVICE 46906,A000000,01350,0000,01500ACTIVITIES 46906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46906,A000000,01600,0000,01600SKILLED NURSING FACILITY 46906,A000000,01800,0000,01800NURSING FACILITY 46906,A000000,01900,0000,01900OTHER LONG TERM CARE 46906,A000000,02100,0000,02100RADIOLOGY 46906,A000000,02200,0000,02200LABORATORY 46906,A000000,02300,0000,02300INTRAVENOUS THERAPY 46906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46906,A000000,02500,0000,02500PHYSICAL THERAPY 46906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46906,A000000,02700,0000,02700SPEECH PATHOLOGY 46906,A000000,02800,0000,02800ELECTROCARDIOLOGY 46906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46906,A000000,03200,0000,03200SUPPORT SURFACES 46906,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46906,A000000,04800,0000,04800AMBULANCE 46906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46906,A000000,05300,0000,05300INTEREST EXPENSE 46906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46906,A000000,06100,0000,06100NONPAID WORKERS 46906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46906,A000000,06200,0000,06200PATIENTS LAUNDRY 46906,A81000A,00100,0100,Y 46906,A81000B,00100,0300,HOME OFFICE COST 46906,A81000B,00200,0300,IV COST 46906,A81000B,00300,0300,DRUGS 46906,A81000B,00400,0300,PHARMACIST 46906,A81000B,00500,0300,PT COST 46906,A81000B,00600,0300,OT COST 46906,A81000B,00700,0300,ST COST 46906,A81000B,00800,0300,PHYSICAL THERAPY 46906,A81000B,00900,0300,OCCUPATIONAL THERAPY 46906,A81000B,01000,0300,SPEECH THERAPY 46906,A81000C,00100,0100,B 46906,A81000C,00100,0200,BROWNING CARE CENTER 46906,A81000C,00100,0400,HCR MANORCARE INC. 46906,A81000C,00100,0600,LONG TERM CARE FACILITIES 46906,A81000C,00200,0100,B 46906,A81000C,00200,0200,BROWNING CARE CENTER 46906,A81000C,00200,0400,HTLD HEALTH CARE SERVICE 46906,A81000C,00200,0600,PHARMACY 46906,A81000C,00300,0100,B 46906,A81000C,00300,0200,BROWNING CARE CENTER 46906,A81000C,00300,0400,HTLD HEALTH CARE SERVICE 46906,A81000C,00300,0600,PHARMACY 46906,A81000C,00400,0100,B 46906,A81000C,00400,0200,BROWNING CARE CENTER 46906,A81000C,00400,0400,HTLD HEALTH CARE SERVICE 46906,A81000C,00400,0600,PHARMACY 46906,A81000C,00500,0100,B 46906,A81000C,00500,0200,BROWNING CARE CENTER 46906,A81000C,00500,0400,HEARTLAND REHAB 46906,A81000C,00500,0600,THERAPY 46906,A81000C,00600,0100,B 46906,A81000C,00600,0200,BROWNING CARE CENTER 46906,A81000C,00600,0400,HEARTLAND REHAB 46906,A81000C,00600,0600,THERAPY 46906,A81000C,00700,0100,B 46906,A81000C,00700,0200,BROWNING CARE CENTER 46906,A81000C,00700,0400,HEARTLAND REHAB 46906,A81000C,00700,0600,THERAPY 46906,A81000C,00800,0100,B 46906,A81000C,00800,0200,BROWNING CARE CENTER 46906,A81000C,00800,0400,HTLD MANAGEMENT SERVICES 46906,A81000C,00800,0600,THERAPY MANAGEMENT 46906,A81000C,00900,0100,B 46906,A81000C,00900,0200,BROWNING CARE CENTER 46906,A81000C,00900,0400,HTLD MANAGEMENT SERVICES 46906,A81000C,00900,0600,THERAPY MANAGEMENT 46906,A81000C,01000,0100,B 46906,A81000C,01000,0200,BROWNING CARE CENTER 46906,A81000C,01000,0400,HTLD MANAGEMENT SERVICES 46906,A81000C,01000,0600,THERAPY MANAGEMENT 46906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46906,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46906,B100000,00000,0800,00000MEALS SERVED :DIETARY 46906,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46906,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46906,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46906,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46906,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46906,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46906,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46906,S000000,00100,0200,05/31/2000 46906,S200000,00100,0100,8885 BROWNING DRIVE 46906,S200000,00200,0100,WATERVILLE 46906,S200000,00200,0200,OH 46906,S200000,00200,0300,43566- 46906,S200000,00300,0100,LUCAS 46906,S200000,00400,0100,BROWING CARE CENTER 46906,S200000,00400,0200,365617 46906,S200000,00400,0300,03/06/1984 46906,S200000,00400,0500,P 46906,S200000,00400,0600,P 46906,S200000,01004,0500,O 46906,S200000,01600,0100,Y 46906,S200000,02200,0100,Y 46906,S700003,00000,0100,1 46921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46921,A000000,00300,0000,00300EMPLOYEE BENEFITS 46921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46921,A000000,00700,0000,00700HOUSEKEEPING 46921,A000000,00800,0000,00800DIETARY 46921,A000000,00900,0000,00900NURSING ADMINISTRATION 46921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46921,A000000,01100,0000,01100PHARMACY 46921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46921,A000000,01300,0000,01300SOCIAL SERVICE 46921,A000000,01350,0000,01500ACTIVITIES 46921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46921,A000000,01600,0000,01600SKILLED NURSING FACILITY 46921,A000000,01800,0000,01800NURSING FACILITY 46921,A000000,01900,0000,01900OTHER LONG TERM CARE 46921,A000000,02100,0000,02100RADIOLOGY 46921,A000000,02200,0000,02200LABORATORY 46921,A000000,02300,0000,02300INTRAVENOUS THERAPY 46921,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46921,A000000,02500,0000,02500PHYSICAL THERAPY 46921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46921,A000000,02700,0000,02700SPEECH PATHOLOGY 46921,A000000,02800,0000,02800ELECTROCARDIOLOGY 46921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46921,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46921,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46921,A000000,03200,0000,03200SUPPORT SURFACES 46921,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46921,A000000,04800,0000,04800AMBULANCE 46921,A000000,05300,0000,05300INTEREST EXPENSE 46921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46921,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46921,A000000,06100,0000,06100NONPAID WORKERS 46921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46921,A000000,06200,0000,06200PATIENTS LAUNDRY 46921,A81000A,00100,0100,Y 46921,A81000B,00100,0300,HOME OFFICE COST 46921,A81000B,00200,0300,IV COST 46921,A81000B,00300,0300,DRUGS 46921,A81000B,00400,0300,PHARMACIST 46921,A81000B,00500,0300,PHYSICAL THERAPY 46921,A81000B,00600,0300,OCCUPATIONAL THERAPY 46921,A81000B,00700,0300,SPEECH THERAPY 46921,A81000B,00800,0300,PT COST 46921,A81000B,00900,0300,OT COST 46921,A81000B,01000,0300,ST COST 46921,A81000C,00100,0100,B 46921,A81000C,00100,0200,BUCYRUS NURSING CENTER 46921,A81000C,00100,0400,HCR MANORCARE INC. 46921,A81000C,00100,0600,LONG TERM CARE FACILITIES 46921,A81000C,00200,0100,B 46921,A81000C,00200,0200,BUCYRUS NURSING CENTER 46921,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 46921,A81000C,00200,0600,PHARMACY 46921,A81000C,00300,0100,B 46921,A81000C,00300,0200,BUCYRUS NURSING CENTER 46921,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 46921,A81000C,00300,0600,PHARMACY 46921,A81000C,00400,0100,B 46921,A81000C,00400,0200,BUCYRUS NURSING CENTER 46921,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 46921,A81000C,00400,0600,PHARMACY 46921,A81000C,00500,0100,B 46921,A81000C,00500,0200,BUCYRUS NURSING CENTER 46921,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 46921,A81000C,00500,0600,THERAPY MANAGEMENT 46921,A81000C,00600,0100,B 46921,A81000C,00600,0200,BUCYRUS NURSING CENTER 46921,A81000C,00600,0400,HTLD MANAGEMENT SERVICES 46921,A81000C,00600,0600,THERAPY MANAGEMENT 46921,A81000C,00700,0100,B 46921,A81000C,00700,0200,BUCYRUS NURSING CENTER 46921,A81000C,00700,0400,HTLD MANAGEMENT SERVICES 46921,A81000C,00700,0600,THERAPY MANAGEMENT 46921,A81000C,00800,0100,B 46921,A81000C,00800,0200,BUCYRUS NURSING CENTER 46921,A81000C,00800,0400,SCIOTO VALLEY THERAPY 46921,A81000C,00800,0600,THERAPY 46921,A81000C,00900,0100,B 46921,A81000C,00900,0200,BUCYRUS NURSING CENTER 46921,A81000C,00900,0400,SCIOTO VALLEY THERAPY 46921,A81000C,00900,0600,THERAPY 46921,A81000C,01000,0100,B 46921,A81000C,01000,0200,BUCYRUS NURSING CENTER 46921,A81000C,01000,0400,SCIOTO VALLEY THERAPY 46921,A81000C,01000,0600,THERAPY 46921,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46921,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46921,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46921,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46921,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46921,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46921,B100000,00000,0800,00000MEALS SERVED :DIETARY 46921,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46921,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46921,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46921,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46921,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46921,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46921,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46921,S000000,00100,0200,05/25/2000 46921,S200000,00100,0100,1170 W. MANSFIELD 46921,S200000,00200,0100,BUCYRUS 46921,S200000,00200,0200,OH 46921,S200000,00200,0300,44820- 46921,S200000,00300,0100,CRAWFORD 46921,S200000,00400,0100,BUCYRUS NURSING CENTER 46921,S200000,00400,0200,365619 46921,S200000,00400,0300,01/01/1980 46921,S200000,00400,0500,P 46921,S200000,00400,0600,P 46921,S200000,01600,0100,Y 46921,S200000,02200,0100,Y 46931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46931,A000000,00300,0000,00300EMPLOYEE BENEFITS 46931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46931,A000000,00700,0000,00700HOUSEKEEPING 46931,A000000,00800,0000,00800DIETARY 46931,A000000,00900,0000,00900NURSING ADMINISTRATION 46931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46931,A000000,01100,0000,01100PHARMACY 46931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46931,A000000,01300,0000,01300SOCIAL SERVICE 46931,A000000,01350,0000,01500ACTIVITIES 46931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46931,A000000,01600,0000,01600SKILLED NURSING FACILITY 46931,A000000,01800,0000,01800NURSING FACILITY 46931,A000000,01900,0000,01900OTHER LONG TERM CARE 46931,A000000,02100,0000,02100RADIOLOGY 46931,A000000,02200,0000,02200LABORATORY 46931,A000000,02300,0000,02300INTRAVENOUS THERAPY 46931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46931,A000000,02500,0000,02500PHYSICAL THERAPY 46931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46931,A000000,02700,0000,02700SPEECH PATHOLOGY 46931,A000000,02800,0000,02800ELECTROCARDIOLOGY 46931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46931,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46931,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46931,A000000,03200,0000,03200SUPPORT SURFACES 46931,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46931,A000000,04800,0000,04800AMBULANCE 46931,A000000,05300,0000,05300INTEREST EXPENSE 46931,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46931,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46931,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46931,A000000,06100,0000,06100NONPAID WORKERS 46931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46931,A000000,06200,0000,06200PATIENTS LAUNDRY 46931,A81000A,00100,0100,Y 46931,A81000B,00100,0300,HOME OFFICE COST 46931,A81000B,00200,0300,IV COSTS 46931,A81000B,00300,0300,DRUGS 46931,A81000B,00400,0300,PURCH SERV PHARMACIST 46931,A81000B,00500,0300,DIETARY 46931,A81000B,00600,0300,PUR SERV PHYSICAL THERAPY 46931,A81000B,00700,0300,PUR SERV OCCUPATIONAL THERAPY 46931,A81000B,00800,0300,PUR SERV SPEECH THERAPY 46931,A81000B,00900,0300,PHYSICAL THERAPY 46931,A81000B,01000,0300,OCCUPATIONAL THERAPY 46931,A81000B,01100,0300,SPEECH THERAPY 46931,A81000C,00100,0100,B 46931,A81000C,00100,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00100,0400,HCR MANORCARE INC. 46931,A81000C,00100,0600,LONG TERM CARE FACILITIES 46931,A81000C,00200,0100,B 46931,A81000C,00200,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 46931,A81000C,00200,0600,PHARMACY 46931,A81000C,00300,0100,B 46931,A81000C,00300,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 46931,A81000C,00300,0600,PHARMACY 46931,A81000C,00400,0100,B 46931,A81000C,00400,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 46931,A81000C,00400,0600,PHARMACY 46931,A81000C,00500,0100,B 46931,A81000C,00500,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00500,0400,HEARTLAND HEALTHCARE SVCS 46931,A81000C,00500,0600,PHARMACY 46931,A81000C,00600,0100,B 46931,A81000C,00600,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00600,0400,HEARTLAND REHABILITATION 46931,A81000C,00600,0600,PHYSICAL THERAPY 46931,A81000C,00700,0100,B 46931,A81000C,00700,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00700,0400,HEARTLAND REHABILITATION 46931,A81000C,00700,0600,OCCUPATIONAL THERAPY 46931,A81000C,00800,0100,B 46931,A81000C,00800,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00800,0400,HEARTLAND REHABILITATION 46931,A81000C,00800,0600,SPEECH THERAPY 46931,A81000C,00900,0100,B 46931,A81000C,00900,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,00900,0400,HEARTLAND MANAGEMENT SVCS 46931,A81000C,00900,0600,THERAPY MANAGEMENT 46931,A81000C,01000,0100,B 46931,A81000C,01000,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,01000,0400,HEARTLAND MANAGEMENT SVCS 46931,A81000C,01000,0600,THERAPY MANAGEMENT 46931,A81000C,01001,0100,B 46931,A81000C,01001,0200,HEARTLAND OF RIVERVIEW 46931,A81000C,01001,0400,HEARTLAND MANAGEMENT SVCS 46931,A81000C,01001,0600,THERAPY MANAGEMENT 46931,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46931,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46931,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46931,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46931,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46931,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46931,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46931,B100000,00000,0800,00000MEALS SERVED :DIETARY 46931,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46931,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46931,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46931,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46931,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46931,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46931,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46931,S000000,00100,0200,05/26/2000 46931,S200000,00100,0100,ROUTE 4 46931,S200000,00100,0300,312 46931,S200000,00200,0100,SOUTH POINTE 46931,S200000,00200,0200,OH 46931,S200000,00200,0300,45680- 46931,S200000,00300,0100,LAWRENCE 46931,S200000,00400,0100,HEARTLAND OF RIVERVIEW 46931,S200000,00400,0200,365620 46931,S200000,00400,0300,03/01/1984 46931,S200000,00400,0500,P 46931,S200000,01004,0500,O 46931,S200000,01600,0100,Y 46931,S200000,02200,0100,Y 46941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46941,A000000,00300,0000,00300EMPLOYEE BENEFITS 46941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46941,A000000,00700,0000,00700HOUSEKEEPING 46941,A000000,00800,0000,00800DIETARY 46941,A000000,00900,0000,00900NURSING ADMINISTRATION 46941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46941,A000000,01100,0000,01100PHARMACY 46941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46941,A000000,01300,0000,01300SOCIAL SERVICE 46941,A000000,01350,0000,01500ACTIVITIES 46941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46941,A000000,01600,0000,01600SKILLED NURSING FACILITY 46941,A000000,01800,0000,01800NURSING FACILITY 46941,A000000,01900,0000,01900OTHER LONG TERM CARE 46941,A000000,02100,0000,02100RADIOLOGY 46941,A000000,02200,0000,02200LABORATORY 46941,A000000,02300,0000,02300INTRAVENOUS THERAPY 46941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46941,A000000,02500,0000,02500PHYSICAL THERAPY 46941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46941,A000000,02700,0000,02700SPEECH PATHOLOGY 46941,A000000,02800,0000,02800ELECTROCARDIOLOGY 46941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46941,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 46941,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46941,A000000,03200,0000,03200SUPPORT SURFACES 46941,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 46941,A000000,04800,0000,04800AMBULANCE 46941,A000000,05300,0000,05300INTEREST EXPENSE 46941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 46941,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46941,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46941,A000000,06100,0000,06100NONPAID WORKERS 46941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46941,A000000,06200,0000,06200PATIENTS LAUNDRY 46941,A81000A,00100,0100,Y 46941,A81000B,00100,0300,HOME OFFICE COST 46941,A81000B,00200,0300,IV COSTS 46941,A81000B,00300,0300,DRUGS 46941,A81000B,00400,0300,P/S PHARMACIST 46941,A81000B,00500,0300,P/S PHYSICAL THERAPY 46941,A81000B,00600,0300,P/S OCCUPATIONAL THERAPY 46941,A81000B,00700,0300,P/S SPEECH THERAPY 46941,A81000B,00800,0300,PHYSICAL THERAPY 46941,A81000B,00900,0300,OCCUPATIONAL THERAPY 46941,A81000B,01000,0300,SPEECH THERAPY 46941,A81000C,00100,0100,B 46941,A81000C,00100,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00100,0400,HCR MANORCARE INC. 46941,A81000C,00100,0600,LONG TERM CARE FACILITIES 46941,A81000C,00200,0100,B 46941,A81000C,00200,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00200,0400,HTLD HEALTHCARE SERVICE 46941,A81000C,00200,0600,PHARMACY 46941,A81000C,00300,0100,B 46941,A81000C,00300,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00300,0400,HTLD HEALTHCARE SERVICE 46941,A81000C,00300,0600,PHARMACY 46941,A81000C,00400,0100,B 46941,A81000C,00400,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00400,0400,HTLD HEALTHCARE SERVICE 46941,A81000C,00400,0600,PHARMACY 46941,A81000C,00500,0100,B 46941,A81000C,00500,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00500,0400,HEARTLAND REHAB SERVICE 46941,A81000C,00500,0600,THERAPY SERVICE 46941,A81000C,00600,0100,B 46941,A81000C,00600,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00600,0400,HEARTLAND REHAB SERVICE 46941,A81000C,00600,0600,THERAPY SERVICE 46941,A81000C,00700,0100,B 46941,A81000C,00700,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00700,0400,HEARTLAND REHAB SERVICE 46941,A81000C,00700,0600,THERAPY SERVICE 46941,A81000C,00800,0100,B 46941,A81000C,00800,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00800,0400,HTLD MGMT SERVICES 46941,A81000C,00800,0600,THERAPY MANAGEMENT 46941,A81000C,00900,0100,B 46941,A81000C,00900,0200,HEARTLAND OF HILLSBORO 46941,A81000C,00900,0400,HTLD MGMT SERVICES 46941,A81000C,00900,0600,THERAPY MANAGEMENT 46941,A81000C,01000,0100,B 46941,A81000C,01000,0200,HEARTLAND OF HILLSBORO 46941,A81000C,01000,0400,HTLD MGMT SERVICES 46941,A81000C,01000,0600,THERAPY MANAGEMENT 46941,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46941,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46941,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46941,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46941,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46941,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 46941,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46941,B100000,00000,0800,00000MEALS SERVED :DIETARY 46941,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 46941,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46941,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46941,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 46941,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 46941,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 46941,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 46941,S000000,00100,0200,05/25/2000 46941,S200000,00100,0100,1141 NORTHVIEW DR 46941,S200000,00200,0100,HILLSBORO 46941,S200000,00200,0200,OH 46941,S200000,00200,0300,45133- 46941,S200000,00300,0100,HIGHLAND 46941,S200000,00400,0100,HEARTLAND OF HILLSBORO 46941,S200000,00400,0200,365621 46941,S200000,00400,0300,07/01/1966 46941,S200000,00400,0500,P 46941,S200000,01004,0500,O 46941,S200000,01600,0100,Y 46941,S200000,02200,0100,Y 46952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46952,A000000,00300,0000,00300EMPLOYEE BENEFITS 46952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46952,A000000,00700,0000,00700HOUSEKEEPING 46952,A000000,00800,0000,00800DIETARY 46952,A000000,00900,0000,00900NURSING ADMINISTRATION 46952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46952,A000000,01100,0000,01100PHARMACY 46952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46952,A000000,01300,0000,01300SOCIAL SERVICE 46952,A000000,01350,0000,01500PATIENT ACTIVITIES 46952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46952,A000000,01600,0000,01600SKILLED NURSING FACILITY 46952,A000000,01800,0000,01800NURSING FACILITY 46952,A000000,01810,0000,01801ICF/MR 46952,A000000,01900,0000,01900OTHER LONG TERM CARE 46952,A000000,02100,0000,02100RADIOLOGY 46952,A000000,02200,0000,02200LABORATORY 46952,A000000,02300,0000,02300INTRAVENOUS THERAPY 46952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46952,A000000,02500,0000,02500PHYSICAL THERAPY 46952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46952,A000000,02700,0000,02700SPEECH PATHOLOGY 46952,A000000,02800,0000,02800ELECTROCARDIOLOGY 46952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46952,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46952,A000000,03200,0000,03200SUPPORT SURFACES 46952,A000000,03400,0000,03400CLINIC 46952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46952,A000000,03500,0000,03500RURAL HEALTH CLINIC 46952,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46952,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46952,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46952,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46952,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46952,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46952,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46952,A000000,04400,0000,04400DME RENTED - HHA 46952,A000000,04500,0000,04500DME SOLD - HHA 46952,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46952,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46952,A000000,04800,0000,04800AMBULANCE 46952,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46952,A000000,05000,0000,05000CORF 46952,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46952,A000000,05300,0000,05300INTEREST EXPENSE 46952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46952,A000000,05500,0000,05500HOSPICE 46952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46952,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46952,A000000,06100,0000,06100NONPAID WORKERS 46952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46952,A000000,06200,0000,06200PATIENTS LAUNDRY 46952,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46952,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 46952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46952,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46952,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 46952,B100000,00000,0850,00000PATIENT DAYS :DIETARY 46952,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46952,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46952,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 46952,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46952,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46952,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 46952,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 46952,E10A180,00550,0300,06/07/2000 46952,S000000,00100,0200,06/01/2000 46952,S200000,00100,0100,3364 KOLBE ROAD 46952,S200000,00200,0100,LORAIN 46952,S200000,00200,0200,OH 46952,S200000,00200,0300,44053- 46952,S200000,00300,0100,LORAIN 46952,S200000,00400,0100,OHIO EXTENDED CARE CENTER 46952,S200000,00400,0200,365623 46952,S200000,00400,0300,06/06/1984 46952,S200000,00400,0500,P 46952,S200000,01600,0100,Y 46962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46962,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46962,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46962,A000000,00300,0000,00300EMPLOYEE BENEFITS 46962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46962,A000000,00700,0000,00700HOUSEKEEPING 46962,A000000,00800,0000,00800DIETARY 46962,A000000,00801,0000,00801CAFETERIA 46962,A000000,00900,0000,00900NURSING ADMINISTRATION 46962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46962,A000000,01100,0000,01100PHARMACY 46962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46962,A000000,01300,0000,01300SOCIAL SERVICE 46962,A000000,01350,0000,01500ACTIVITIES 46962,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46962,A000000,01600,0000,01600SKILLED NURSING FACILITY 46962,A000000,01800,0000,01800NURSING FACILITY 46962,A000000,01900,0000,01900OTHER LONG TERM CARE 46962,A000000,02100,0000,02100RADIOLOGY 46962,A000000,02200,0000,02200LABORATORY 46962,A000000,02300,0000,02300INTRAVENOUS THERAPY 46962,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46962,A000000,02500,0000,02500PHYSICAL THERAPY 46962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46962,A000000,02700,0000,02700SPEECH PATHOLOGY 46962,A000000,02800,0000,02800ELECTROCARDIOLOGY 46962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46962,A000000,03050,0000,03300DME 46962,A000000,03051,0000,03301ORTHOTICS 46962,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 46962,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46962,A000000,03200,0000,03200SUPPORT SURFACES 46962,A000000,03400,0000,03400CLINIC 46962,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46962,A000000,03500,0000,03500RURAL HEALTH CLINIC 46962,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46962,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46962,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46962,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46962,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46962,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46962,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46962,A000000,04400,0000,04400DME RENTED - HHA 46962,A000000,04500,0000,04500DME SOLD - HHA 46962,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46962,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46962,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46962,A000000,04800,0000,04800AMBULANCE 46962,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46962,A000000,05000,0000,05000CORF 46962,A000000,05010,0000,05010CMHC I 46962,A000000,05020,0000,05020OPT I 46962,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46962,A000000,05300,0000,05300INTEREST EXPENSE 46962,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46962,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46962,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46962,A000000,05500,0000,05500HOSPICE 46962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46962,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46962,A000000,06100,0000,06100NONPAID WORKERS 46962,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46962,A000000,06200,0000,06200PATIENTS LAUNDRY 46962,A81000A,00100,0100,Y 46962,A81000B,00100,0300,HOME OFFICE ALLOCATION 46962,A81000B,00200,0300,THERACOR ACTUAL COSTS 46962,A81000B,00300,0300,THERACOR ACTUAL COSTS 46962,A81000B,00400,0300,THERACOR ACTUAL COSTS 46962,A81000C,00100,0100,B 46962,A81000C,00100,0200,HARBORSIDE 46962,A81000C,00200,0200,HEALTHCARE 46962,A81000C,00300,0200,LIMITED PSHIP 46962,A81000C,00300,0600,MANAGEMENT CO 46962,A81000C,00500,0100,B 46962,A81000C,00500,0200,HARBORSIDE 46962,A81000C,00600,0200,REHABILITITAION 46962,A81000C,00700,0200,LIMITED PSHIP 46962,A81000C,00700,0600,THERAPY 46962,A81000C,00800,0600,SERVICE AND 46962,A81000C,00900,0600,MANAGEMENT CO 46962,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46962,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46962,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46962,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46962,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46962,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46962,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46962,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46962,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46962,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46962,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 46962,E10A180,00501,0100,07/06/2000 46962,S000000,00100,0200,06/01/2000 46962,S200000,00100,0100,28546 STARBRIGHT BOULEVARD 46962,S200000,00200,0100,PERRYSBURG 46962,S200000,00200,0200,OH 46962,S200000,00200,0300,43551- 46962,S200000,00300,0100,WOOD 46962,S200000,00300,0200,8400 46962,S200000,00300,0300,U 46962,S200000,00400,0100,HHC - PERRYSBURG 46962,S200000,00400,0200,365624 46962,S200000,00400,0300,01/01/1996 46962,S200000,00400,0500,P 46962,S200000,01600,0100,Y 46962,S200000,02200,0100,Y 46962,S200000,04700,0100,Y 46962,S200000,04700,0200,Y 46969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46969,A000000,00300,0000,00300EMPLOYEE BENEFITS 46969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46969,A000000,00700,0000,00700HOUSEKEEPING 46969,A000000,00800,0000,00800DIETARY 46969,A000000,00900,0000,00900NURSING ADMINISTRATION 46969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46969,A000000,01100,0000,01100PHARMACY 46969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46969,A000000,01300,0000,01300SOCIAL SERVICE 46969,A000000,01600,0000,01600SKILLED NURSING FACILITY 46969,A000000,01800,0000,01800NURSING FACILITY 46969,A000000,01900,0000,01900OTHER LONG TERM CARE 46969,A000000,02100,0000,02100RADIOLOGY 46969,A000000,02200,0000,02200LABORATORY 46969,A000000,02300,0000,02300INTRAVENOUS THERAPY 46969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46969,A000000,02500,0000,02500PHYSICAL THERAPY 46969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46969,A000000,02700,0000,02700SPEECH PATHOLOGY 46969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46969,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46969,A000000,03200,0000,03200SUPPORT SURFACES 46969,A000000,04800,0000,04800AMBULANCE 46969,A000000,05300,0000,05300INTEREST EXPENSE 46969,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46969,A000000,05500,0000,05500HOSPICE 46969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46969,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46969,A000000,06200,0000,06200PATIENTS LAUNDRY 46969,A81000A,00100,0100,Y 46969,A81000B,00100,0300,H.O. COSTS 46969,A81000B,00200,0300,H.O. COSTS 46969,A81000B,00300,0300,H.O. COSTS 46969,A81000B,00400,0300,H.O. COSTS 46969,A81000B,00500,0300,H.O. COSTS 46969,A81000B,00600,0300,H.O. COSTS 46969,A81000B,00700,0300,H.O. COSTS 46969,A81000B,00800,0300,H.O. COSTS 46969,A81000B,00900,0300,H.O. COSTS 46969,A81000B,01000,0300,H.O. COSTS 46969,A81000B,01100,0300,H.O. COSTS 46969,A81000B,01200,0300,H.O. COSTS 46969,A81000B,01300,0300,H.O. COSTS 46969,A81000B,01400,0300,H.O. COSTS 46969,A81000B,01500,0300,H.O. COSTS 46969,A81000B,01600,0300,H.O. COSTS 46969,A81000B,01700,0300,H.O. COSTS 46969,A81000B,01800,0300,H.O. COSTS 46969,A81000B,01900,0300,H.O. COSTS 46969,A81000C,00100,0100,B 46969,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00100,0400,ALTERCARE OF BUCYRUS 46969,A81000C,00100,0600,NURSING HOMES 46969,A81000C,00200,0100,B 46969,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 46969,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00200,0600,DIETARY 46969,A81000C,00300,0100,B 46969,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 46969,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00300,0600,DRUGS & MED SUPPLIES 46969,A81000C,00400,0100,B 46969,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 46969,A81000C,00400,0400,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00400,0600,MED SUPPLIES 46969,A81000C,00500,0100,B 46969,A81000C,00500,0200,RENAISSANCE MORTGAGE 46969,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00500,0600,FINANCING 46969,A81000C,00600,0100,B 46969,A81000C,00600,0200,ABSOLUTE LAB/XRAY 46969,A81000C,00600,0400,CONSOL. HEALTHCARE MGMT. 46969,A81000C,00600,0600,LAB/XRAY 46969,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46969,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46969,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46969,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46969,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46969,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 46969,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 46969,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 46969,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 46969,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 46969,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 46969,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 46969,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 46969,S000000,00100,0200,06/05/2000 46969,S200000,00100,0100,1929 WHETSTONE 46969,S200000,00200,0100,BUCYRUS 46969,S200000,00200,0200,OH 46969,S200000,00200,0300,44820- 46969,S200000,00300,0100,CRAWFORD 46969,S200000,00400,0100,ALTERCARE OF BUCYRUS 46969,S200000,00400,0200,365625 46969,S200000,00400,0300,07/01/1980 46969,S200000,00400,0500,P 46969,S200000,01600,0100,Y 46969,S200000,04300,0100,Y 46969,S200000,04700,0100,Y 46969,S700003,00000,0100,1 46977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46977,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46977,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46977,A000000,00300,0000,00300EMPLOYEE BENEFITS 46977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46977,A000000,00700,0000,00700HOUSEKEEPING 46977,A000000,00800,0000,00800DIETARY 46977,A000000,00801,0000,00801CAFETERIA 46977,A000000,00900,0000,00900NURSING ADMINISTRATION 46977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46977,A000000,01100,0000,01100PHARMACY 46977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46977,A000000,01300,0000,01300SOCIAL SERVICE 46977,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46977,A000000,01600,0000,01600SKILLED NURSING FACILITY 46977,A000000,01800,0000,01800NURSING FACILITY 46977,A000000,01900,0000,01900OTHER LONG TERM CARE 46977,A000000,02100,0000,02100RADIOLOGY 46977,A000000,02200,0000,02200LABORATORY 46977,A000000,02300,0000,02300INTRAVENOUS THERAPY 46977,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46977,A000000,02500,0000,02500PHYSICAL THERAPY 46977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46977,A000000,02700,0000,02700SPEECH PATHOLOGY 46977,A000000,02800,0000,02800ELECTROCARDIOLOGY 46977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46977,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 46977,A000000,03051,0000,03301OTHER ANCILLARY II 46977,A000000,03052,0000,03302OTHER ANCILLARY III 46977,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46977,A000000,03200,0000,03200SUPPORT SURFACES 46977,A000000,03400,0000,03400CLINIC 46977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46977,A000000,03500,0000,03500RURAL HEALTH CLINIC 46977,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46977,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46977,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46977,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46977,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46977,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46977,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46977,A000000,04400,0000,04400DME RENTED - HHA 46977,A000000,04500,0000,04500DME SOLD - HHA 46977,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46977,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46977,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46977,A000000,04800,0000,04800AMBULANCE 46977,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46977,A000000,05000,0000,05000CORF 46977,A000000,05010,0000,05010CMHC I 46977,A000000,05020,0000,05020OPT I 46977,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46977,A000000,05300,0000,05300INTEREST EXPENSE 46977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46977,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46977,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46977,A000000,05500,0000,05500HOSPICE 46977,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46977,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46977,A000000,06100,0000,06100NONPAID WORKERS 46977,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46977,A000000,06200,0000,06200PATIENTS LAUNDRY 46977,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46977,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46977,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46977,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46977,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46977,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46977,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46977,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46977,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46977,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46977,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46977,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 46977,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46977,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46977,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46977,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46977,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46977,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46977,S000000,00100,0200,05/31/2000 46977,S200000,00100,0100,225 CLEVELAND AVENUE 46977,S200000,00200,0100,MILFORD 46977,S200000,00200,0200,OH 46977,S200000,00200,0300,45150- 46977,S200000,00300,0100,CLERMONT 46977,S200000,00400,0100,SEM HAVEN HEALTH CARE 46977,S200000,00400,0200,365628 46977,S200000,00400,0300,07/30/1984 46977,S200000,00400,0500,P 46977,S200000,01500,0100,Y 46977,S200000,02200,0100,Y 46977,S200000,02800,0100,Y 46977,S200000,04700,0100,Y 46977,S700003,00000,0100,1 46988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46988,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 46988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46988,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 46988,A000000,00300,0000,00300EMPLOYEE BENEFITS 46988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46988,A000000,00700,0000,00700HOUSEKEEPING 46988,A000000,00800,0000,00800DIETARY 46988,A000000,00801,0000,00801CAFETERIA 46988,A000000,00900,0000,00900NURSING ADMINISTRATION 46988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46988,A000000,01100,0000,01100PHARMACY 46988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46988,A000000,01300,0000,01300SOCIAL SERVICE 46988,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 46988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46988,A000000,01600,0000,01600SKILLED NURSING FACILITY 46988,A000000,01800,0000,01800NURSING FACILITY 46988,A000000,01900,0000,01900OTHER LONG TERM CARE 46988,A000000,02100,0000,02100RADIOLOGY 46988,A000000,02200,0000,02200LABORATORY 46988,A000000,02300,0000,02300INTRAVENOUS THERAPY 46988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46988,A000000,02500,0000,02500PHYSICAL THERAPY 46988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46988,A000000,02700,0000,02700SPEECH PATHOLOGY 46988,A000000,02800,0000,02800ELECTROCARDIOLOGY 46988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46988,A000000,03050,0000,03300OTHER ANCILLARY 46988,A000000,03051,0000,03301OTHER ANCILLARY II 46988,A000000,03052,0000,03302OTHER ANCILLARY III 46988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46988,A000000,03200,0000,03200SUPPORT SURFACES 46988,A000000,03400,0000,03400CLINIC 46988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 46988,A000000,03500,0000,03500RURAL HEALTH CLINIC 46988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46988,A000000,04400,0000,04400DME RENTED - HHA 46988,A000000,04500,0000,04500DME SOLD - HHA 46988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46988,A000000,04800,0000,04800AMBULANCE 46988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46988,A000000,05000,0000,05000CORF 46988,A000000,05010,0000,05010CMHC I 46988,A000000,05020,0000,05020OPT I 46988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46988,A000000,05300,0000,05300INTEREST EXPENSE 46988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 46988,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 46988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46988,A000000,05500,0000,05500HOSPICE 46988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46988,A000000,06100,0000,06100NONPAID WORKERS 46988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46988,A000000,06200,0000,06200PATIENTS LAUNDRY 46988,A81000A,00100,0100,Y 46988,A81000B,00100,0300,HOME OFFICE 46988,A81000B,00200,0300,HOME OFFICE 46988,A81000C,00100,0100,B 46988,A81000C,00100,0200,DIXON 46988,A81000C,00100,0400,ESSEX HC 46988,A81000C,00100,0600,HOME OFFICE 46988,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 46988,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 46988,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 46988,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 46988,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 46988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46988,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 46988,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 46988,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 46988,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 46988,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 46988,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 46988,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 46988,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 46988,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 46988,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 46988,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 46988,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 46988,S000000,00100,0200,05/22/2000 46988,S200000,00100,0100,135 REICHART AVENUE 46988,S200000,00200,0100,WINTERVILLE 46988,S200000,00200,0200,OH 46988,S200000,00200,0300,43952- 46988,S200000,00300,0100,JEFFERSON 46988,S200000,00400,0100,DIXON HEALTH CARE CENTER 46988,S200000,00400,0200,365629 46988,S200000,00400,0300,06/01/1986 46988,S200000,00400,0500,P 46988,S200000,01004,0500,O 46988,S200000,01600,0100,Y 46988,S200000,04300,0100,Y 46988,S700003,00000,0100,1 46993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 46993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 46993,A000000,00300,0000,00300EMPLOYEE BENEFITS 46993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 46993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 46993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 46993,A000000,00700,0000,00700HOUSEKEEPING 46993,A000000,00800,0000,00800DIETARY 46993,A000000,00900,0000,00900NURSING ADMINISTRATION 46993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 46993,A000000,01100,0000,01100PHARMACY 46993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 46993,A000000,01300,0000,01300SOCIAL SERVICE 46993,A000000,01350,0000,01500OTHER GENERAL SERVICES 46993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 46993,A000000,01600,0000,01600SKILLED NURSING FACILITY 46993,A000000,01800,0000,01800NURSING FACILITY 46993,A000000,01810,0000,01810ICF/MR 46993,A000000,01900,0000,01900OTHER LONG TERM CARE 46993,A000000,02100,0000,02100RADIOLOGY 46993,A000000,02200,0000,02200LABORATORY 46993,A000000,02300,0000,02300INTRAVENOUS THERAPY 46993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 46993,A000000,02500,0000,02500PHYSICAL THERAPY 46993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 46993,A000000,02700,0000,02700SPEECH PATHOLOGY 46993,A000000,02800,0000,02800ELECTROCARDIOLOGY 46993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 46993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 46993,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 46993,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 46993,A000000,03200,0000,03200SUPPORT SURFACES 46993,A000000,03400,0000,03400CLINIC 46993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 46993,A000000,03500,0000,03500RURAL HEALTH CLINIC 46993,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 46993,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 46993,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 46993,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 46993,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 46993,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 46993,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 46993,A000000,04400,0000,04400DME RENTED - HHA 46993,A000000,04500,0000,04500DME SOLD - HHA 46993,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 46993,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 46993,A000000,04750,0000,05100OTHER REIMBURSABLE COST 46993,A000000,04800,0000,04800AMBULANCE 46993,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 46993,A000000,05000,0000,05000CORF 46993,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 46993,A000000,05300,0000,05300INTEREST EXPENSE 46993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 46993,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 46993,A000000,05500,0000,05500HOSPICE 46993,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 46993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 46993,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 46993,A000000,06100,0000,06100NONPAID WORKERS 46993,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 46993,A000000,06200,0000,06200PATIENTS LAUNDRY 46993,A81000A,00100,0100,Y 46993,A81000B,00100,0300,BUILDING RENT 46993,A81000C,00100,0100,B 46993,A81000C,00100,0200,CONSOLIDATED H.C MGMT 46993,A81000C,00100,0400,MAJORA LANE 46993,A81000C,00100,0600,REAL ESTATE 46993,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 46993,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 46993,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 46993,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 46993,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 46993,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 46993,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 46993,B100000,00000,0800,00000MEALS SERVED :DIETARY 46993,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 46993,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 46993,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 46993,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 46993,S000000,00100,0200,06/12/2000 46993,S200000,00100,0100,1037 S WASHINGTON STREET 46993,S200000,00200,0100,MILLERSBURG 46993,S200000,00200,0200,OH 46993,S200000,00200,0300,44654- 46993,S200000,00300,0100,HOLMES 46993,S200000,00300,0200,36 46993,S200000,00300,0300,R 46993,S200000,00400,0100,MAJORA LANE 46993,S200000,00400,0200,365632 46993,S200000,00400,0300,01/01/1985 46993,S200000,00400,0500,P 46993,S200000,01600,0100,Y 47002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47002,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47002,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47002,A000000,00300,0000,00300EMPLOYEE BENEFITS 47002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47002,A000000,00700,0000,00700HOUSEKEEPING 47002,A000000,00800,0000,00800DIETARY 47002,A000000,00801,0000,00801CAFETERIA 47002,A000000,00900,0000,00900NURSING ADMINISTRATION 47002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47002,A000000,01100,0000,01100PHARMACY 47002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47002,A000000,01300,0000,01300SOCIAL SERVICE 47002,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47002,A000000,01600,0000,01600SKILLED NURSING FACILITY 47002,A000000,01800,0000,01800NURSING FACILITY 47002,A000000,01900,0000,01900OTHER LONG TERM CARE 47002,A000000,02100,0000,02100RADIOLOGY 47002,A000000,02200,0000,02200LABORATORY 47002,A000000,02300,0000,02300INTRAVENOUS THERAPY 47002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47002,A000000,02500,0000,02500PHYSICAL THERAPY 47002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47002,A000000,02700,0000,02700SPEECH PATHOLOGY 47002,A000000,02800,0000,02800ELECTROCARDIOLOGY 47002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47002,A000000,03050,0000,03300OTHER ANCILLARY 47002,A000000,03051,0000,03301OTHER ANCILLARY II 47002,A000000,03052,0000,03302OTHER ANCILLARY III 47002,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47002,A000000,03200,0000,03200SUPPORT SURFACES 47002,A000000,03400,0000,03400CLINIC 47002,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47002,A000000,03500,0000,03500RURAL HEALTH CLINIC 47002,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47002,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47002,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47002,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47002,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47002,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47002,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47002,A000000,04400,0000,04400DME RENTED - HHA 47002,A000000,04500,0000,04500DME SOLD - HHA 47002,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47002,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47002,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47002,A000000,04800,0000,04800AMBULANCE 47002,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47002,A000000,05000,0000,05000CORF 47002,A000000,05010,0000,05010CMHC I 47002,A000000,05020,0000,05020OPT I 47002,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47002,A000000,05300,0000,05300INTEREST EXPENSE 47002,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47002,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47002,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47002,A000000,05500,0000,05500HOSPICE 47002,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47002,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47002,A000000,06100,0000,06100NONPAID WORKERS 47002,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47002,A000000,06200,0000,06200PATIENTS LAUNDRY 47002,A81000A,00100,0100,Y 47002,A81000B,00100,0300,HOME OFFICE 47002,A81000B,00200,0300,HOME OFFICE 47002,A81000C,00100,0100,B 47002,A81000C,00100,0200,ESSEX TALLMADGE 47002,A81000C,00100,0400,MHF 47002,A81000C,00100,0600,HOME OFFICE 47002,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47002,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47002,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47002,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47002,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47002,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47002,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47002,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47002,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47002,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47002,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47002,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47002,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47002,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47002,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47002,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47002,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47002,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47002,S000000,00100,0200,05/22/2000 47002,S200000,00100,0100,563 COLONY PARK 47002,S200000,00200,0100,TALLMADGE 47002,S200000,00200,0200,OH 47002,S200000,00200,0300,44278- 47002,S200000,00300,0100,SUMMIT 47002,S200000,00400,0100,ESSEX OF TALLMADGE 47002,S200000,00400,0200,365633 47002,S200000,00400,0300,05/10/1984 47002,S200000,00400,0500,P 47002,S200000,01004,0500,O 47002,S200000,01600,0100,Y 47002,S200000,04300,0100,Y 47013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47013,A000000,00300,0000,00300EMPLOYEE BENEFITS 47013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47013,A000000,00700,0000,00700HOUSEKEEPING 47013,A000000,00800,0000,00800DIETARY 47013,A000000,00900,0000,00900NURSING ADMINISTRATION 47013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47013,A000000,01100,0000,01100PHARMACY 47013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47013,A000000,01300,0000,01300SOCIAL SERVICE 47013,A000000,01350,0000,01500ACTIVITIES 47013,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47013,A000000,01600,0000,01600SKILLED NURSING FACILITY 47013,A000000,01800,0000,01800NURSING FACILITY 47013,A000000,01810,0000,01801ICF/MR 47013,A000000,01900,0000,01900OTHER LONG TERM CARE 47013,A000000,02100,0000,02100RADIOLOGY 47013,A000000,02200,0000,02200LABORATORY 47013,A000000,02300,0000,02300INTRAVENOUS THERAPY 47013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47013,A000000,02500,0000,02500PHYSICAL THERAPY 47013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47013,A000000,02700,0000,02700SPEECH PATHOLOGY 47013,A000000,02800,0000,02800ELECTROCARDIOLOGY 47013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47013,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47013,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47013,A000000,03200,0000,03200SUPPORT SURFACES 47013,A000000,03400,0000,03400CLINIC 47013,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47013,A000000,03500,0000,03500RURAL HEALTH CLINIC 47013,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47013,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47013,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47013,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47013,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47013,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47013,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47013,A000000,04400,0000,04400DME RENTED - HHA 47013,A000000,04500,0000,04500DME SOLD - HHA 47013,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47013,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47013,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47013,A000000,04800,0000,04800AMBULANCE 47013,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47013,A000000,05000,0000,05000CORF 47013,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47013,A000000,05300,0000,05300INTEREST EXPENSE 47013,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47013,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47013,A000000,05500,0000,05500HOSPICE 47013,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47013,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47013,A000000,06100,0000,06100NONPAID WORKERS 47013,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47013,A000000,06200,0000,06200PATIENTS LAUNDRY 47013,A81000A,00100,0100,Y 47013,A81000B,00100,0300,HOME OFFICE COST 47013,A81000C,00100,0100,A 47013,A81000C,00100,0200,RALPH HAZELBAKER 47013,A81000C,00100,0400,AEGIS INC. 47013,A81000C,00100,0600,MNGMNT/FINANCE OPERATIONA 47013,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47013,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47013,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47013,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47013,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47013,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47013,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47013,B100000,00000,0800,00000MEALS SERVED :DIETARY 47013,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47013,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47013,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47013,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47013,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47013,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47013,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47013,S000000,00100,0200,05/30/2000 47013,S200000,00100,0100,2040 MCCREA STREET 47013,S200000,00200,0100,ALLIANCE 47013,S200000,00200,0200,OH 47013,S200000,00200,0300,44601- 47013,S200000,00300,0100,STARK 47013,S200000,00400,0100,MCCREA MANOR NURSING & REHAB CENTER 47013,S200000,00400,0200,365634 47013,S200000,00400,0300,08/31/1984 47013,S200000,00400,0500,P 47013,S200000,00400,0600,P 47013,S200000,01500,0100,Y 47013,S200000,04300,0100,Y 47021,S000000,00100,0200,05/30/2000 47031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47031,A000000,00300,0000,00300EMPLOYEE BENEFITS 47031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47031,A000000,00700,0000,00700HOUSEKEEPING 47031,A000000,00800,0000,00800DIETARY 47031,A000000,00900,0000,00900NURSING ADMINISTRATION 47031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47031,A000000,01100,0000,01100PHARMACY 47031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47031,A000000,01300,0000,01300SOCIAL SERVICE 47031,A000000,01301,0000,01301ACTIVITIES 47031,A000000,01302,0000,01302ADMISSIONS 47031,A000000,01600,0000,01600SKILLED NURSING FACILITY 47031,A000000,01800,0000,01800NURSING FACILITY 47031,A000000,01900,0000,01900OTHER LONG TERM CARE 47031,A000000,02100,0000,02100RADIOLOGY 47031,A000000,02200,0000,02200LABORATORY 47031,A000000,02300,0000,02300INTRAVENOUS THERAPY 47031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47031,A000000,02500,0000,02500PHYSICAL THERAPY 47031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47031,A000000,02700,0000,02700SPEECH PATHOLOGY 47031,A000000,02800,0000,02800ELECTROCARDIOLOGY 47031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47031,A000000,03200,0000,03200SUPPORT SURFACES 47031,A000000,04800,0000,04800AMBULANCE 47031,A000000,05300,0000,05300INTEREST EXPENSE 47031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47031,A000000,06100,0000,06100NONPAID WORKERS 47031,A000000,06150,0000,06300MARKETING 47031,A000000,06200,0000,06200PATIENTS LAUNDRY 47031,A81000A,00100,0100,Y 47031,A81000B,00100,0300,MANAGEMENT FEES 47031,A81000C,00100,0100,D 47031,A81000C,00100,0200,F.D. WOLFE 47031,A81000C,00100,0400,KINGSTON 47031,A81000C,00100,0600,MANAGEMENT 47031,A81000C,00200,0100,D 47031,A81000C,00200,0200,B.G. THOMPSON 47031,A81000C,00200,0400,HEALTHCARE 47031,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47031,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47031,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47031,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47031,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47031,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47031,B100000,00000,0800,00000MEALS SERVED :DIETARY 47031,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 47031,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47031,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47031,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47031,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47031,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 47031,B100000,00000,1332,00000PATIENT DAYS :ADMISSIONS 47031,S000000,00100,0200,06/01/2000 47031,S200000,00100,0100,4210 TELEGRAPH LANE 47031,S200000,00200,0100,VERMILION 47031,S200000,00200,0200,OH 47031,S200000,00200,0300,44089- 47031,S200000,00300,0100,LORAIN 47031,S200000,00400,0100,KINGSTON OF VERMILION 47031,S200000,00400,0200,365639 47031,S200000,00400,0300,11/01/1984 47031,S200000,00400,0500,P 47031,S200000,01500,0100,Y 47031,S200000,02800,0100,Y 47031,S200000,04300,0100,Y 47031,S200000,04700,0100,Y 47041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47041,A000000,00300,0000,00300EMPLOYEE BENEFITS 47041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47041,A000000,00700,0000,00700HOUSEKEEPING 47041,A000000,00800,0000,00800DIETARY 47041,A000000,00900,0000,00900NURSING ADMINISTRATION 47041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47041,A000000,01100,0000,01100PHARMACY 47041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47041,A000000,01300,0000,01300SOCIAL SERVICE 47041,A000000,01350,0000,01500ACTIVITIES 47041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47041,A000000,01600,0000,01600SKILLED NURSING FACILITY 47041,A000000,01800,0000,01800NURSING FACILITY 47041,A000000,01900,0000,01900OTHER LONG TERM CARE 47041,A000000,02100,0000,02100RADIOLOGY 47041,A000000,02200,0000,02200LABORATORY 47041,A000000,02300,0000,02300INTRAVENOUS THERAPY 47041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47041,A000000,02500,0000,02500PHYSICAL THERAPY 47041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47041,A000000,02700,0000,02700SPEECH PATHOLOGY 47041,A000000,02800,0000,02800ELECTROCARDIOLOGY 47041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47041,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 47041,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47041,A000000,03200,0000,03200SUPPORT SURFACES 47041,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 47041,A000000,04800,0000,04800AMBULANCE 47041,A000000,05300,0000,05300INTEREST EXPENSE 47041,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 47041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47041,A000000,06100,0000,06100NONPAID WORKERS 47041,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47041,A000000,06200,0000,06200PATIENTS LAUNDRY 47041,A81000A,00100,0100,Y 47041,A81000B,00100,0300,HOME OFFICE COST 47041,A81000B,00200,0300,PHARMACIST 47041,A81000B,00300,0300,IV COSTSPY 47041,A81000B,00400,0300,DRUGS 47041,A81000B,00500,0300,THERAPY SERVICES 47041,A81000B,00600,0300,THERAPY SERVICES 47041,A81000B,00700,0300,THERAPY SERVICES 47041,A81000B,00800,0300,MANAGEMENT FEES 47041,A81000B,00900,0300,MANAGEMENT FEES 47041,A81000B,01000,0300,MANAGEMENT FEES 47041,A81000C,00100,0100,B 47041,A81000C,00100,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00100,0400,HCR MANORCARE INC. 47041,A81000C,00100,0600,LONG TERM CARE FACILITIES 47041,A81000C,00200,0100,B 47041,A81000C,00200,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 47041,A81000C,00200,0600,PHARMACY 47041,A81000C,00300,0100,B 47041,A81000C,00300,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 47041,A81000C,00300,0600,PHARMACY 47041,A81000C,00400,0100,B 47041,A81000C,00400,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 47041,A81000C,00400,0600,PHARMACY 47041,A81000C,00500,0100,B 47041,A81000C,00500,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00500,0400,HEARTLAND REHAB SERVICES 47041,A81000C,00500,0600,THERAPY 47041,A81000C,00600,0100,B 47041,A81000C,00600,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00600,0400,HEARTLAND REHAB SERVICES 47041,A81000C,00600,0600,THERAPY 47041,A81000C,00700,0100,B 47041,A81000C,00700,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00700,0400,HEARTLAND REHAB SERVICES 47041,A81000C,00700,0600,THERAPY 47041,A81000C,00800,0100,B 47041,A81000C,00800,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00800,0400,HEARTLAND MGMT SERVICES 47041,A81000C,00800,0600,THERAPY MANAGEMENT 47041,A81000C,00900,0100,B 47041,A81000C,00900,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,00900,0400,HEARTLAND MGMT SERVICES 47041,A81000C,00900,0600,THERAPY MANAGEMENT 47041,A81000C,01000,0100,B 47041,A81000C,01000,0200,HEARTLAND OF OAK RIDGE 47041,A81000C,01000,0400,HEARTLAND MGMT SERVICES 47041,A81000C,01000,0600,THERAPY MANAGEMENT 47041,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47041,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47041,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47041,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47041,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47041,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47041,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47041,B100000,00000,0800,00000MEALS SERVED :DIETARY 47041,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 47041,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47041,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47041,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47041,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47041,E10A180,00350,0100,06/21/1999 47041,E10A180,00601,0100,09/13/2001 47041,S000000,00100,0200,05/31/2000 47041,S200000,00100,0100,450 OAKRIDGE BLVD. 47041,S200000,00200,0100,MIAMISBURG 47041,S200000,00200,0200,OH 47041,S200000,00200,0300,45342- 47041,S200000,00300,0100,MIAMISBURG 47041,S200000,00300,0200,2000 47041,S200000,00300,0300,U 47041,S200000,00400,0100,HEARTLAND OF OAK RIDGE 47041,S200000,00400,0200,365640 47041,S200000,00400,0300,09/20/1984 47041,S200000,00400,0500,P 47041,S200000,00400,0600,P 47041,S200000,01600,0100,Y 47041,S200000,02200,0100,Y 47050,S000000,00100,0200,06/02/2000 47060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47060,A000000,00300,0000,00300EMPLOYEE BENEFITS 47060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47060,A000000,00700,0000,00700HOUSEKEEPING 47060,A000000,00800,0000,00800DIETARY 47060,A000000,00900,0000,00900NURSING ADMINISTRATION 47060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47060,A000000,01100,0000,01100PHARMACY 47060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47060,A000000,01300,0000,01300SOCIAL SERVICE 47060,A000000,01600,0000,01600SKILLED NURSING FACILITY 47060,A000000,01900,0000,01900OTHER LONG TERM CARE 47060,A000000,02100,0000,02100RADIOLOGY 47060,A000000,02200,0000,02200LABORATORY 47060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47060,A000000,02500,0000,02500PHYSICAL THERAPY 47060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47060,A000000,02700,0000,02700SPEECH PATHOLOGY 47060,A000000,02800,0000,02800ELECTROCARDIOLOGY 47060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47060,A000000,03050,0000,03300EQUIPMENT RENTAL BEDS IV O2 47060,A000000,03200,0000,03200SUPPORT SURFACES 47060,A000000,04800,0000,04800AMBULANCE 47060,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47060,A000000,05300,0000,05300INTEREST EXPENSE 47060,A81000A,00100,0100,Y 47060,A81000B,00100,0300,H.O. OPERATING COSTS 47060,A81000B,00200,0300,H.O.CAPITAL 47060,A81000C,00100,0100,B 47060,A81000C,00100,0400,SOMC 47060,A81000C,00200,0100,B 47060,A81000C,00200,0400,SOMC 47060,A81000C,00300,0100,B 47060,A81000C,00300,0400,SOMC 47060,A81000C,00400,0100,B 47060,A81000C,00400,0400,SOMC 47060,A81000C,00500,0100,B 47060,A81000C,00500,0400,SOMC 47060,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 47060,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 47060,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 47060,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47060,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 47060,B100000,00000,0650,00000SQUARE FOOTAGE :LAUNDRY & LINEN SE 47060,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 47060,B100000,00000,0800,00000DIETARY MEALS :DIETARY 47060,B100000,00000,0950,00000NURSING TIME :NURSING ADMINISTRATI 47060,B100000,00000,1050,00000SQUARE FOOTAGE :CENTRAL SERVICES & 47060,B100000,00000,1150,00000SQUARE FOOTAGE :PHARMACY 47060,B100000,00000,1250,00000SQUARE FOOTAGE :MEDICAL RECORDS & 47060,B100000,00000,1330,00000SQUARE FOOTAGE :SOCIAL SERVICE 47060,E10A180,00501,0300,12/12/2000 47060,E10A180,00551,0100,12/12/2000 47060,S000000,00100,0200,12/01/2000 47060,S200000,00100,0100,727 EIGHTH STREET 47060,S200000,00200,0100,PORTSMOUTH 47060,S200000,00200,0200,OH 47060,S200000,00200,0300,45662- 47060,S200000,00300,0100,SCIOTO 47060,S200000,00300,0200,36 47060,S200000,00300,0300,R 47060,S200000,00400,0100,HEMPSTEAD MANOR 47060,S200000,00400,0200,365643 47060,S200000,00400,0300,03/07/1984 47060,S200000,00400,0500,P 47060,S200000,01600,0100,Y 47060,S200000,02200,0100,Y 47060,S200000,04300,0100,Y 47065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47065,A000000,00300,0000,00300EMPLOYEE BENEFITS 47065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47065,A000000,00700,0000,00700HOUSEKEEPING 47065,A000000,00800,0000,00800DIETARY 47065,A000000,00900,0000,00900NURSING ADMINISTRATION 47065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47065,A000000,01100,0000,01100PHARMACY 47065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47065,A000000,01300,0000,01300SOCIAL SERVICE 47065,A000000,01350,0000,01500OTHER GENERAL SERVICES 47065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47065,A000000,01600,0000,01600SKILLED NURSING FACILITY 47065,A000000,01800,0000,01800NURSING FACILITY 47065,A000000,01810,0000,01801ICF/MR 47065,A000000,01900,0000,01900OTHER LONG TERM CARE 47065,A000000,02100,0000,02100RADIOLOGY 47065,A000000,02200,0000,02200LABORATORY 47065,A000000,02300,0000,02300INTRAVENOUS THERAPY 47065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47065,A000000,02500,0000,02500PHYSICAL THERAPY 47065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47065,A000000,02700,0000,02700SPEECH PATHOLOGY 47065,A000000,02800,0000,02800ELECTROCARDIOLOGY 47065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47065,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47065,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47065,A000000,03200,0000,03200SUPPORT SURFACES 47065,A000000,03400,0000,03400CLINIC 47065,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47065,A000000,03500,0000,03500RURAL HEALTH CLINIC 47065,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47065,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47065,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47065,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47065,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47065,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47065,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47065,A000000,04400,0000,04400DME RENTED - HHA 47065,A000000,04500,0000,04500DME SOLD - HHA 47065,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47065,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47065,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47065,A000000,04800,0000,04800AMBULANCE 47065,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47065,A000000,05000,0000,05000CORF 47065,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47065,A000000,05300,0000,05300INTEREST EXPENSE 47065,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47065,A000000,05500,0000,05500HOSPICE 47065,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47065,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47065,A000000,06100,0000,06100NONPAID WORKERS 47065,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47065,A000000,06200,0000,06200PATIENTS LAUNDRY 47065,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47065,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 47065,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47065,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47065,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47065,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 47065,B100000,00000,0800,00000MEALS SERVED :DIETARY 47065,B100000,00000,0950,00000SQ FT :NURSING ADMINISTRATION 47065,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47065,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47065,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47065,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47065,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47065,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47065,E10A180,00501,0100,06/19/2000 47065,S000000,00100,0200,06/12/2000 47065,S200000,00100,0100,35990 WESTMINISTER AVENUE 47065,S200000,00200,0100,NORTH RIDGEVILLE 47065,S200000,00200,0200,OH 47065,S200000,00200,0300,44039- 47065,S200000,00300,0100,LORAIN 47065,S200000,00400,0100,NORTHRIDGE HEALTH CENTER 47065,S200000,00400,0200,365645 47065,S200000,00400,0300,12/20/1984 47065,S200000,00400,0500,P 47065,S200000,01600,0100,Y 47065,S700003,00000,0100,1 47073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47073,A000000,00300,0000,00300EMPLOYEE BENEFITS 47073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47073,A000000,00700,0000,00700HOUSEKEEPING 47073,A000000,00800,0000,00800DIETARY 47073,A000000,00900,0000,00900NURSING ADMINISTRATION 47073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47073,A000000,01100,0000,01100PHARMACY 47073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47073,A000000,01300,0000,01300SOCIAL SERVICE 47073,A000000,01301,0000,01301ACTIVITIES 47073,A000000,01302,0000,01302ADMISSIONS 47073,A000000,01600,0000,01600SKILLED NURSING FACILITY 47073,A000000,01800,0000,01800NURSING FACILITY 47073,A000000,01900,0000,01900OTHER LONG TERM CARE 47073,A000000,02100,0000,02100RADIOLOGY 47073,A000000,02200,0000,02200LABORATORY 47073,A000000,02300,0000,02300INTRAVENOUS THERAPY 47073,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47073,A000000,02500,0000,02500PHYSICAL THERAPY 47073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47073,A000000,02700,0000,02700SPEECH PATHOLOGY 47073,A000000,02800,0000,02800ELECTROCARDIOLOGY 47073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47073,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47073,A000000,03200,0000,03200SUPPORT SURFACES 47073,A000000,05300,0000,05300INTEREST EXPENSE 47073,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47073,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47073,A000000,06100,0000,06100NONPAID WORKERS 47073,A000000,06150,0000,06300MARKETING 47073,A000000,06200,0000,06200PATIENTS LAUNDRY 47073,A81000A,00100,0100,Y 47073,A81000B,00100,0300,MANAGEMENT FEES 47073,A81000C,00100,0100,D 47073,A81000C,00100,0200,F.D. WOLFE 47073,A81000C,00100,0400,KINGSTON 47073,A81000C,00100,0600,MANAGEMENT 47073,A81000C,00200,0100,D 47073,A81000C,00200,0200,B.G. THOMPSON 47073,A81000C,00200,0400,HEALTHCARE 47073,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47073,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47073,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47073,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47073,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47073,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47073,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47073,B100000,00000,0800,00000MEALS SERVED :DIETARY 47073,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 47073,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47073,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47073,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47073,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47073,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 47073,B100000,00000,1332,00000PATIENT DAYS :ADMISSIONS 47073,E10A180,00501,0300,06/07/2000 47073,E10A180,00550,0300,06/27/2000 47073,S000000,00100,0200,06/01/2000 47073,S200000,00100,0100,20 AMBERWOOD PARKWAY 47073,S200000,00200,0100,ASHLAND 47073,S200000,00200,0200,OH 47073,S200000,00200,0300,44805- 47073,S200000,00300,0100,ASHLAND 47073,S200000,00400,0100,KINGSTON OF ASHLAND 47073,S200000,00400,0200,365646 47073,S200000,00400,0300,01/03/1985 47073,S200000,00400,0500,P 47073,S200000,01004,0500,O 47073,S200000,01500,0100,Y 47073,S200000,02800,0100,Y 47083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47083,A000000,00300,0000,00300EMPLOYEE BENEFITS 47083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47083,A000000,00700,0000,00700HOUSEKEEPING 47083,A000000,00800,0000,00800DIETARY 47083,A000000,00900,0000,00900NURSING ADMINISTRATION 47083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47083,A000000,01100,0000,01100PHARMACY 47083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47083,A000000,01300,0000,01300SOCIAL SERVICE 47083,A000000,01350,0000,01500ACTIVITIES 47083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47083,A000000,01600,0000,01600SKILLED NURSING FACILITY 47083,A000000,01800,0000,01800NURSING FACILITY 47083,A000000,01810,0000,01801ICF/MR 47083,A000000,01900,0000,01900OTHER LONG TERM CARE 47083,A000000,02100,0000,02100RADIOLOGY 47083,A000000,02200,0000,02200LABORATORY 47083,A000000,02300,0000,02300INTRAVENOUS THERAPY 47083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47083,A000000,02500,0000,02500PHYSICAL THERAPY 47083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47083,A000000,02700,0000,02700SPEECH PATHOLOGY 47083,A000000,02800,0000,02800ELECTROCARDIOLOGY 47083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47083,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47083,A000000,03200,0000,03200SUPPORT SURFACES 47083,A000000,03400,0000,03400CLINIC 47083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47083,A000000,03500,0000,03500RURAL HEALTH CLINIC 47083,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47083,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47083,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47083,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47083,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47083,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47083,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47083,A000000,04400,0000,04400DME RENTED - HHA 47083,A000000,04500,0000,04500DME SOLD - HHA 47083,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47083,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47083,A000000,04800,0000,04800AMBULANCE 47083,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47083,A000000,05000,0000,05000CORF 47083,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47083,A000000,05300,0000,05300INTEREST EXPENSE 47083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47083,A000000,05500,0000,05500HOSPICE 47083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47083,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47083,A000000,06100,0000,06100NONPAID WORKERS 47083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47083,A000000,06200,0000,06200PATIENTS LAUNDRY 47083,A81000A,00100,0100,Y 47083,A81000B,00100,0300,MANAGEMENT SERVICES-COGRC 47083,A81000C,00100,0100,A 47083,A81000C,00100,0200,CHURCH OF GOD RETIRMT COM 47083,A81000C,00100,0600,PARENT COMPANY 47083,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47083,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47083,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47083,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47083,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47083,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47083,B100000,00000,0800,00000MEALS SERVED :DIETARY 47083,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47083,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47083,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47083,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47083,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47083,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 47083,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47083,S000000,00100,0200,05/22/2000 47083,S200000,00100,0100,4400 VANNEST AVENUE 47083,S200000,00200,0100,MIDDLETOWN 47083,S200000,00200,0200,OH 47083,S200000,00200,0300,45042- 47083,S200000,00300,0100,BUTLER 47083,S200000,00400,0100,WILLOW KNOLL RETIREMENT COMMUNITY 47083,S200000,00400,0200,365648 47083,S200000,00400,0300,02/08/1985 47083,S200000,00400,0500,P 47083,S200000,01500,0100,Y 47083,S700003,00000,0100,1 47090,S000000,00100,0200,06/01/2000 47098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47098,A000000,00300,0000,00300EMPLOYEE BENEFITS 47098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47098,A000000,00700,0000,00700HOUSEKEEPING 47098,A000000,00800,0000,00800DIETARY 47098,A000000,00900,0000,00900NURSING ADMINISTRATION 47098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47098,A000000,01100,0000,01100PHARMACY 47098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47098,A000000,01300,0000,01300SOCIAL SERVICE 47098,A000000,01350,0000,01500ACTIVITIES 47098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47098,A000000,01600,0000,01600SKILLED NURSING FACILITY 47098,A000000,01800,0000,01800NURSING FACILITY 47098,A000000,01900,0000,01900OTHER LONG TERM CARE 47098,A000000,02100,0000,02100RADIOLOGY 47098,A000000,02200,0000,02200LABORATORY 47098,A000000,02300,0000,02300INTRAVENOUS THERAPY 47098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47098,A000000,02500,0000,02500PHYSICAL THERAPY 47098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47098,A000000,02700,0000,02700SPEECH PATHOLOGY 47098,A000000,02800,0000,02800ELECTROCARDIOLOGY 47098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47098,A000000,03050,0000,03300AIR FLUID/AMBULANCE 47098,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47098,A000000,03400,0000,03400CLINIC 47098,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47098,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47098,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47098,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47098,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47098,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47098,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47098,A000000,04400,0000,04400DME RENTED - HHA 47098,A000000,04500,0000,04500DME SOLD - HHA 47098,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47098,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47098,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47098,A000000,05000,0000,05000CORF 47098,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47098,A000000,05300,0000,05300INTEREST EXPENSE 47098,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47098,A000000,05500,0000,05500HOSPICE 47098,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47098,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47098,A000000,06100,0000,06100NONPAID WORKERS 47098,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 47098,A000000,06200,0000,06200PATIENTS LAUNDRY 47098,A81000A,00100,0100,Y 47098,A81000B,00100,0300,CHP-INTEREST EXPENSE 47098,A81000B,00200,0300,CHP-OPER COSTS 47098,A81000B,00300,0300,CHP-CAPITAL BLDG 47098,A81000B,00400,0300,CHP-CAPITAL M.E. 47098,A81000B,00500,0300,MWO REGION-OPER 47098,A81000B,00600,0300,MWO REGION-CAP 47098,A81000B,00700,0300,MWO REGION-CAP 47098,A81000B,00800,0300,MMH LAUNDRY 47098,A81000B,00900,0300,MMH DIETARY 47098,A81000B,01000,0300,MMH CAPITAL 47098,A81000C,00100,0100,A 47098,A81000C,00100,0200,MERCY MEMORIAL 47098,A81000C,00100,0400,MHCS 47098,A81000C,00100,0600,HEALTH CARE 47098,A81000C,00200,0100,A 47098,A81000C,00200,0200,MHCS 47098,A81000C,00200,0400,MHCS 47098,A81000C,00200,0600,HEALTH CARE 47098,A81000C,00300,0100,A 47098,A81000C,00300,0200,MWO 47098,A81000C,00300,0400,MHCS 47098,A81000C,00300,0600,HEALTH CARE 47098,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 47098,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 47098,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 47098,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47098,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 47098,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 47098,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 47098,B100000,00000,0800,00000MEALS SERVED :DIETARY 47098,B100000,00000,0950,00000CENSUS :NURSING ADMINISTRATION 47098,B100000,00000,1050,00000CENSUS :CENTRAL SERVICES & SUPPLY 47098,B100000,00000,1250,00000CENSUS :MEDICAL RECORDS & LIBRARY 47098,B100000,00000,1330,00000CENSUS :SOCIAL SERVICE 47098,B100000,00000,1350,00000CENSUS :ACTIVITIES 47098,E10A180,00601,0100,09/06/2001 47098,S000000,00100,0200,05/30/2000 47098,S200000,00100,0100,906 SCIOTO STREET 47098,S200000,00100,0300,688 47098,S200000,00200,0100,URBANA 47098,S200000,00200,0200,OH 47098,S200000,00300,0100,CHAMPAIGN 47098,S200000,00300,0200,36 47098,S200000,00300,0300,R 47098,S200000,00400,0100,MCAULEY CENTER 47098,S200000,00400,0200,365650 47098,S200000,00400,0300,03/20/1985 47098,S200000,00400,0500,P 47098,S200000,00400,0600,P 47098,S200000,01500,0100,Y 47098,S200000,02200,0100,Y 47107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47107,A000000,00300,0000,00300EMPLOYEE BENEFITS 47107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47107,A000000,00700,0000,00700HOUSEKEEPING 47107,A000000,00800,0000,00800DIETARY 47107,A000000,00900,0000,00900NURSING ADMINISTRATION 47107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47107,A000000,01300,0000,01300SOCIAL SERVICE 47107,A000000,01350,0000,01500ACTIVITIES 47107,A000000,01600,0000,01600SKILLED NURSING FACILITY 47107,A000000,01800,0000,01800NURSING FACILITY 47107,A000000,01810,0000,01801ICF/MR 47107,A000000,01900,0000,01900OTHER LONG TERM CARE 47107,A000000,02100,0000,02100RADIOLOGY 47107,A000000,02200,0000,02200LABORATORY 47107,A000000,02300,0000,02300INTRAVENOUS THERAPY 47107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47107,A000000,02500,0000,02500PHYSICAL THERAPY 47107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47107,A000000,02700,0000,02700SPEECH PATHOLOGY 47107,A000000,02800,0000,02800ELECTROCARDIOLOGY 47107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47107,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47107,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47107,A000000,03200,0000,03200SUPPORT SURFACES 47107,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47107,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47107,A000000,04800,0000,04800AMBULANCE 47107,A000000,05300,0000,05300INTEREST EXPENSE 47107,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47107,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47107,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47107,A000000,06200,0000,06200PATIENTS LAUNDRY 47107,A81000A,00100,0100,Y 47107,A81000B,00100,0300,CAP REL COSTS - BLDGS RENT EXPENSE 47107,A81000C,00100,0100,A 47107,A81000C,00100,0200,HAROLD SOSNA 47107,A81000C,00100,0400,F&H REALTY 47107,A81000C,00100,0600,REAL ESTATE 47107,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47107,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47107,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47107,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47107,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47107,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47107,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47107,B100000,00000,0800,00000MEALS SERVED :DIETARY 47107,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47107,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47107,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47107,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47107,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47107,E10A180,00550,0300,06/08/2000 47107,S000000,00100,0200,05/30/2000 47107,S200000,00100,0100,20 LIVINGSTON AVENUE 47107,S200000,00200,0100,DAYTON 47107,S200000,00200,0200,OH 47107,S200000,00200,0300,45403- 47107,S200000,00300,0100,MONTGOMERY 47107,S200000,00400,0100,LIVINGSTON CARE CENTER 47107,S200000,00400,0200,365651 47107,S200000,00400,0300,01/01/1980 47107,S200000,00400,0500,P 47107,S200000,01600,0100,Y 47107,S700003,00000,0100,1 47117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47117,A000000,00300,0000,00300EMPLOYEE BENEFITS 47117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47117,A000000,00700,0000,00700HOUSEKEEPING 47117,A000000,00800,0000,00800DIETARY 47117,A000000,00900,0000,00900NURSING ADMINISTRATION 47117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47117,A000000,01100,0000,01100PHARMACY 47117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47117,A000000,01300,0000,01300SOCIAL SERVICE 47117,A000000,01350,0000,01500ACTIVITIES 47117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47117,A000000,01600,0000,01600SKILLED NURSING FACILITY 47117,A000000,01800,0000,01800NURSING FACILITY 47117,A000000,01810,0000,01801ICF/MR 47117,A000000,01900,0000,01900OTHER LONG TERM CARE 47117,A000000,02100,0000,02100RADIOLOGY 47117,A000000,02200,0000,02200LABORATORY 47117,A000000,02300,0000,02300INTRAVENOUS THERAPY 47117,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47117,A000000,02500,0000,02500PHYSICAL THERAPY 47117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47117,A000000,02700,0000,02700SPEECH PATHOLOGY 47117,A000000,02800,0000,02800ELECTROCARDIOLOGY 47117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47117,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47117,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47117,A000000,03200,0000,03200SUPPORT SURFACES 47117,A000000,03400,0000,03400CLINIC 47117,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47117,A000000,03500,0000,03500RURAL HEALTH CLINIC 47117,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47117,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47117,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47117,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47117,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47117,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47117,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47117,A000000,04400,0000,04400DME RENTED - HHA 47117,A000000,04500,0000,04500DME SOLD - HHA 47117,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47117,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47117,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47117,A000000,04800,0000,04800AMBULANCE 47117,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47117,A000000,05000,0000,05000CORF 47117,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47117,A000000,05300,0000,05300INTEREST EXPENSE 47117,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47117,A000000,05500,0000,05500HOSPICE 47117,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47117,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47117,A000000,06100,0000,06100NONPAID WORKERS 47117,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47117,A000000,06200,0000,06200PATIENTS LAUNDRY 47117,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47117,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47117,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47117,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47117,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47117,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47117,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47117,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47117,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47117,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47117,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47117,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47117,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47117,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47117,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47117,S000000,00100,0200,06/13/2000 47117,S200000,00100,0100,3995 COTTINGHAM DRIVE 47117,S200000,00200,0100,CINCINNATI 47117,S200000,00200,0200,OH 47117,S200000,00200,0300,45241- 47117,S200000,00300,0100,HAMILTON 47117,S200000,00400,0100,COTTINGHAM RETIREMENT COMM. 47117,S200000,00400,0200,365652 47117,S200000,00400,0300,02/22/1985 47117,S200000,00400,0500,P 47117,S200000,01600,0100,Y 47117,S700003,00000,0100,1 47128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47128,A000000,00300,0000,00300EMPLOYEE BENEFITS 47128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47128,A000000,00700,0000,00700HOUSEKEEPING 47128,A000000,00800,0000,00800DIETARY 47128,A000000,00900,0000,00900NURSING ADMINISTRATION 47128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47128,A000000,01100,0000,01100PHARMACY 47128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47128,A000000,01300,0000,01300SOCIAL SERVICE 47128,A000000,01350,0000,01500OTHER GENERAL SERVICES 47128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47128,A000000,01600,0000,01600SKILLED NURSING FACILITY 47128,A000000,01800,0000,01800NURSING FACILITY 47128,A000000,01810,0000,01801ICF/MR 47128,A000000,01900,0000,01900OTHER LONG TERM CARE 47128,A000000,02100,0000,02100RADIOLOGY 47128,A000000,02200,0000,02200LABORATORY 47128,A000000,02300,0000,02300INTRAVENOUS THERAPY 47128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47128,A000000,02500,0000,02500PHYSICAL THERAPY 47128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47128,A000000,02700,0000,02700SPEECH PATHOLOGY 47128,A000000,02800,0000,02800ELECTROCARDIOLOGY 47128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47128,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47128,A000000,03051,0000,03301ENTERALS 47128,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47128,A000000,03200,0000,03200SUPPORT SURFACES 47128,A000000,03400,0000,03400CLINIC 47128,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47128,A000000,03500,0000,03500RURAL HEALTH CLINIC 47128,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47128,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47128,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47128,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47128,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47128,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47128,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47128,A000000,04400,0000,04400DME RENTED - HHA 47128,A000000,04500,0000,04500DME SOLD - HHA 47128,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47128,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47128,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47128,A000000,04800,0000,04800AMBULANCE 47128,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47128,A000000,05000,0000,05000CORF 47128,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47128,A000000,05300,0000,05300INTEREST EXPENSE 47128,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47128,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47128,A000000,05500,0000,05500HOSPICE 47128,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47128,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47128,A000000,06100,0000,06100NONPAID WORKERS 47128,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47128,A000000,06200,0000,06200PATIENTS LAUNDRY 47128,A81000A,00100,0100,Y 47128,A81000B,00100,0300,LEASE EXPENSE 47128,A81000B,00200,0300,PARTNERSHIP INTEREST 47128,A81000B,00300,0300,DEPRECIATION 47128,A81000B,00400,0300,AMORTIZATION 47128,A81000C,00100,0100,A 47128,A81000C,00100,0200,AUSTINWOOD GENL PARTNERSH 47128,A81000C,00100,0400,AUSTINWOOD NUR CENTER 47128,A81000C,00100,0600,PARTNERSHIO 47128,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47128,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47128,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47128,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47128,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47128,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47128,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47128,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47128,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47128,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47128,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47128,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47128,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47128,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 47128,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47128,E10A180,00501,0100,07/25/2000 47128,E10A180,00550,0100,02/28/2001 47128,E10A180,00550,0300,02/28/2001 47128,S000000,00100,0200,05/26/2000 47128,S200000,00100,0100,4780 KIRK ROAD 47128,S200000,00200,0100,AUSTINTOWN 47128,S200000,00200,0200,OH 47128,S200000,00200,0300,44515- 47128,S200000,00300,0100,MAHONING 47128,S200000,00400,0100,AUSTINWOODS NURSING CNTR 47128,S200000,00400,0200,365654 47128,S200000,00400,0300,11/27/1990 47128,S200000,00400,0500,P 47128,S200000,01600,0100,Y 47137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47137,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47137,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47137,A000000,00300,0000,00300EMPLOYEE BENEFITS 47137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47137,A000000,00700,0000,00700HOUSEKEEPING 47137,A000000,00800,0000,00800DIETARY 47137,A000000,00801,0000,00801CAFETERIA 47137,A000000,00900,0000,00900NURSING ADMINISTRATION 47137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47137,A000000,01100,0000,01100PHARMACY 47137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47137,A000000,01300,0000,01300SOCIAL SERVICE 47137,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47137,A000000,01600,0000,01600SKILLED NURSING FACILITY 47137,A000000,01800,0000,01800NURSING FACILITY 47137,A000000,01900,0000,01900OTHER LONG TERM CARE 47137,A000000,02100,0000,02100RADIOLOGY 47137,A000000,02200,0000,02200LABORATORY 47137,A000000,02300,0000,02300INTRAVENOUS THERAPY 47137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47137,A000000,02500,0000,02500PHYSICAL THERAPY 47137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47137,A000000,02700,0000,02700SPEECH PATHOLOGY 47137,A000000,02800,0000,02800ELECTROCARDIOLOGY 47137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47137,A000000,03050,0000,03300OTHER ANCILLARY 47137,A000000,03051,0000,03301OTHER ANCILLARY II 47137,A000000,03052,0000,03302OTHER ANCILLARY III 47137,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47137,A000000,03200,0000,03200SUPPORT SURFACES 47137,A000000,03400,0000,03400CLINIC 47137,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47137,A000000,03500,0000,03500RURAL HEALTH CLINIC 47137,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47137,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47137,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47137,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47137,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47137,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47137,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47137,A000000,04400,0000,04400DME RENTED - HHA 47137,A000000,04500,0000,04500DME SOLD - HHA 47137,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47137,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47137,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47137,A000000,04800,0000,04800AMBULANCE 47137,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47137,A000000,05000,0000,05000CORF 47137,A000000,05010,0000,05010CMHC I 47137,A000000,05020,0000,05020OPT I 47137,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47137,A000000,05300,0000,05300INTEREST EXPENSE 47137,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47137,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47137,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47137,A000000,05500,0000,05500HOSPICE 47137,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47137,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47137,A000000,06100,0000,06100NONPAID WORKERS 47137,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47137,A000000,06200,0000,06200PATIENTS LAUNDRY 47137,A81000A,00100,0100,Y 47137,A81000B,00100,0300,DEPREC & INTEREST 47137,A81000B,00200,0300,ADMIN COSTS 47137,A81000B,00300,0300,UTILITIES & TAXES 47137,A81000C,00100,0100,A 47137,A81000C,00100,0200,MCKINLEY LTD 47137,A81000C,00100,0400,MCKINLEY LIFE 47137,A81000C,00100,0600,REAL ESTATE 47137,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47137,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47137,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47137,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47137,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47137,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47137,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47137,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47137,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47137,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47137,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47137,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47137,S000000,00100,0200,06/05/2000 47137,S200000,00100,0100,800 MARKET AVE NORTH 47137,S200000,00200,0100,CANTON 47137,S200000,00200,0200,OH 47137,S200000,00200,0300,44702- 47137,S200000,00300,0100,STARK 47137,S200000,00300,0200,1320 47137,S200000,00300,0300,U 47137,S200000,00400,0100,MCKINLEY LIFE CARE CENTER INC. 47137,S200000,00400,0200,365655 47137,S200000,00400,0300,04/04/1985 47137,S200000,00400,0500,P 47137,S200000,00600,0200,365655 47137,S200000,00600,0300,04/04/1985 47137,S200000,00600,0600,P 47137,S200000,01004,0500,O 47137,S200000,01600,0100,Y 47148,S000000,00100,0200,05/22/2000 47157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47157,A000000,00300,0000,00300EMPLOYEE BENEFITS 47157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47157,A000000,00700,0000,00700HOUSEKEEPING 47157,A000000,00800,0000,00800DIETARY 47157,A000000,00900,0000,00900NURSING ADMINISTRATION 47157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47157,A000000,01100,0000,01100PHARMACY 47157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47157,A000000,01300,0000,01300SOCIAL SERVICE 47157,A000000,01350,0000,01500ACTIVITIES 47157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47157,A000000,01600,0000,01600SKILLED NURSING FACILITY 47157,A000000,01800,0000,01800NURSING FACILITY 47157,A000000,01810,0000,01801ICF/MR 47157,A000000,01900,0000,01900OTHER LONG TERM CARE 47157,A000000,02100,0000,02100RADIOLOGY 47157,A000000,02200,0000,02200LABORATORY 47157,A000000,02300,0000,02300INTRAVENOUS THERAPY 47157,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47157,A000000,02500,0000,02500PHYSICAL THERAPY 47157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47157,A000000,02700,0000,02700SPEECH PATHOLOGY 47157,A000000,02800,0000,02800ELECTROCARDIOLOGY 47157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47157,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47157,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47157,A000000,03200,0000,03200SUPPORT SURFACES 47157,A000000,03400,0000,03400CLINIC 47157,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47157,A000000,03500,0000,03500RURAL HEALTH CLINIC 47157,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47157,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47157,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47157,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47157,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47157,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47157,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47157,A000000,04400,0000,04400DME RENTED - HHA 47157,A000000,04500,0000,04500DME SOLD - HHA 47157,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47157,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47157,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47157,A000000,04800,0000,04800AMBULANCE 47157,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47157,A000000,05000,0000,05000CORF 47157,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47157,A000000,05300,0000,05300INTEREST EXPENSE 47157,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47157,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47157,A000000,05500,0000,05500HOSPICE 47157,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47157,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47157,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47157,A000000,06100,0000,06100NONPAID WORKERS 47157,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47157,A000000,06200,0000,06200PATIENTS LAUNDRY 47157,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47157,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47157,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47157,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47157,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47157,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47157,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47157,B100000,00000,0800,00000MEALS SERVED :DIETARY 47157,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47157,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47157,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47157,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47157,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47157,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47157,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47157,S000000,00100,0200,05/22/2000 47157,S200000,00100,0100,1422 MT VERNON AVENUE 47157,S200000,00200,0100,MARION 47157,S200000,00200,0200,OH 47157,S200000,00200,0300,43302- 47157,S200000,00300,0100,MARION 47157,S200000,00400,0100,MARION COUNTY DBA EASTLAWN MANOR 47157,S200000,00400,0200,365660 47157,S200000,00400,0300,06/02/1985 47157,S200000,00400,0500,P 47157,S200000,01004,0500,O 47157,S200000,01600,0100,Y 47157,S200000,02200,0100,Y 47157,S200000,04300,0100,Y 47169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47169,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47169,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47169,A000000,00300,0000,00300EMPLOYEE BENEFITS 47169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47169,A000000,00700,0000,00700HOUSEKEEPING 47169,A000000,00800,0000,00800DIETARY 47169,A000000,00801,0000,00801CAFETERIA 47169,A000000,00900,0000,00900NURSING ADMINISTRATION 47169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47169,A000000,01100,0000,01100PHARMACY 47169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47169,A000000,01300,0000,01300SOCIAL SERVICE 47169,A000000,01350,0000,01500ACTIVITIES 47169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47169,A000000,01600,0000,01600SKILLED NURSING FACILITY 47169,A000000,01800,0000,01800NURSING FACILITY 47169,A000000,01900,0000,01900OTHER LONG TERM CARE 47169,A000000,02100,0000,02100RADIOLOGY 47169,A000000,02200,0000,02200LABORATORY 47169,A000000,02300,0000,02300INTRAVENOUS THERAPY 47169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47169,A000000,02500,0000,02500PHYSICAL THERAPY 47169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47169,A000000,02700,0000,02700SPEECH PATHOLOGY 47169,A000000,02800,0000,02800ELECTROCARDIOLOGY 47169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47169,A000000,03050,0000,03300DME 47169,A000000,03051,0000,03301ORTHOTICS 47169,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 47169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47169,A000000,03200,0000,03200SUPPORT SURFACES 47169,A000000,03400,0000,03400CLINIC 47169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47169,A000000,03500,0000,03500RURAL HEALTH CLINIC 47169,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47169,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47169,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47169,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47169,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47169,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47169,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47169,A000000,04400,0000,04400DME RENTED - HHA 47169,A000000,04500,0000,04500DME SOLD - HHA 47169,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47169,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47169,A000000,04800,0000,04800AMBULANCE 47169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47169,A000000,05000,0000,05000CORF 47169,A000000,05010,0000,05010CMHC I 47169,A000000,05020,0000,05020OPT I 47169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47169,A000000,05300,0000,05300INTEREST EXPENSE 47169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47169,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47169,A000000,05500,0000,05500HOSPICE 47169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47169,A000000,06100,0000,06100NONPAID WORKERS 47169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47169,A000000,06200,0000,06200PATIENTS LAUNDRY 47169,A81000A,00100,0100,Y 47169,A81000B,00100,0300,HOME OFFICE ALLOCATION 47169,A81000B,00200,0300,THERACOR ACTUAL COSTS 47169,A81000B,00300,0300,THERACOR ACTUAL COSTS 47169,A81000B,00400,0300,THERACOR ACTUAL COSTS 47169,A81000C,00100,0100,B 47169,A81000C,00100,0200,HARBORSIDE 47169,A81000C,00200,0200,HEALTHCARE 47169,A81000C,00300,0200,LIMITED PSHIP 47169,A81000C,00300,0600,MANAGEMENT CO 47169,A81000C,00500,0100,B 47169,A81000C,00500,0200,HARBORSIDE 47169,A81000C,00600,0200,REHABILITITAION 47169,A81000C,00700,0200,LIMITED PSHIP 47169,A81000C,00700,0600,THERAPY 47169,A81000C,00800,0600,SERVICE AND 47169,A81000C,00900,0600,MANAGEMENT CO 47169,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47169,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47169,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47169,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47169,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47169,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47169,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47169,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47169,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47169,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47169,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47169,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47169,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47169,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47169,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47169,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 47169,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47169,E10A180,00501,0300,06/07/2000 47169,E10A180,00550,0100,06/07/2000 47169,S000000,00100,0200,06/01/2000 47169,S200000,00100,0100,2801 E. ROYALTON ROAD 47169,S200000,00200,0100,BROADVIEW HEIGHTS 47169,S200000,00200,0200,OH 47169,S200000,00200,0300,44147- 47169,S200000,00300,0100,CUYAHOGA 47169,S200000,00400,0100,HHC - BROADVIEW HEIGHTS 47169,S200000,00400,0200,365661 47169,S200000,00400,0300,07/01/1996 47169,S200000,00400,0500,P 47169,S200000,01600,0100,Y 47169,S200000,02200,0100,Y 47169,S200000,04700,0100,Y 47178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47178,A000000,00300,0000,00300EMPLOYEE BENEFITS 47178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47178,A000000,00700,0000,00700HOUSEKEEPING 47178,A000000,00800,0000,00800DIETARY 47178,A000000,00900,0000,00900NURSING ADMINISTRATION 47178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47178,A000000,01100,0000,01100PHARMACY 47178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47178,A000000,01300,0000,01300SOCIAL SERVICE 47178,A000000,01350,0000,01500OTHER GENERAL SERVICES 47178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47178,A000000,01600,0000,01600SKILLED NURSING FACILITY 47178,A000000,01800,0000,01800NURSING FACILITY 47178,A000000,01810,0000,01801ICF/MR 47178,A000000,01900,0000,01900OTHER LONG TERM CARE 47178,A000000,02100,0000,02100RADIOLOGY 47178,A000000,02200,0000,02200LABORATORY 47178,A000000,02300,0000,02300INTRAVENOUS THERAPY 47178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47178,A000000,02500,0000,02500PHYSICAL THERAPY 47178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47178,A000000,02700,0000,02700SPEECH PATHOLOGY 47178,A000000,02800,0000,02800ELECTROCARDIOLOGY 47178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47178,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47178,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47178,A000000,03200,0000,03200SUPPORT SURFACES 47178,A000000,03400,0000,03400CLINIC 47178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47178,A000000,03500,0000,03500RURAL HEALTH CLINIC 47178,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47178,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47178,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47178,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47178,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47178,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47178,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47178,A000000,04400,0000,04400DME RENTED - HHA 47178,A000000,04500,0000,04500DME SOLD - HHA 47178,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47178,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47178,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47178,A000000,04800,0000,04800AMBULANCE 47178,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47178,A000000,05000,0000,05000CORF 47178,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47178,A000000,05300,0000,05300INTEREST EXPENSE 47178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47178,A000000,05500,0000,05500HOSPICE 47178,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47178,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47178,A000000,06100,0000,06100NONPAID WORKERS 47178,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47178,A000000,06200,0000,06200PATIENTS LAUNDRY 47178,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47178,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47178,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47178,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47178,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47178,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47178,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47178,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47178,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47178,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47178,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47178,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47178,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47178,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47178,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47178,S000000,00100,0200,06/08/2000 47178,S200000,00100,0100,300 CHERRY STREET 47178,S200000,00200,0100,GENOA 47178,S200000,00200,0200,OH 47178,S200000,00200,0300,43430- 47178,S200000,00300,0100,OTTAWA 47178,S200000,00400,0100,GENOA CARE CENTER 47178,S200000,00400,0200,365663 47178,S200000,00400,0300,01/01/1995 47178,S200000,00400,0500,P 47178,S200000,01600,0100,Y 47186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47186,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47186,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47186,A000000,00300,0000,00300EMPLOYEE BENEFITS 47186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47186,A000000,00700,0000,00700HOUSEKEEPING 47186,A000000,00800,0000,00800DIETARY 47186,A000000,00801,0000,00801CAFETERIA 47186,A000000,00900,0000,00900NURSING ADMINISTRATION 47186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47186,A000000,01100,0000,01100PHARMACY 47186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47186,A000000,01300,0000,01300SOCIAL SERVICE 47186,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47186,A000000,01600,0000,01600SKILLED NURSING FACILITY 47186,A000000,01800,0000,01800NURSING FACILITY 47186,A000000,01900,0000,01900OTHER LONG TERM CARE 47186,A000000,02100,0000,02100RADIOLOGY 47186,A000000,02200,0000,02200LABORATORY 47186,A000000,02300,0000,02300INTRAVENOUS THERAPY 47186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47186,A000000,02500,0000,02500PHYSICAL THERAPY 47186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47186,A000000,02700,0000,02700SPEECH PATHOLOGY 47186,A000000,02800,0000,02800ELECTROCARDIOLOGY 47186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47186,A000000,03050,0000,03300OTHER ANCILLARY 47186,A000000,03051,0000,03301OTHER ANCILLARY II 47186,A000000,03052,0000,03302OTHER ANCILLARY III 47186,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47186,A000000,03200,0000,03200SUPPORT SURFACES 47186,A000000,03400,0000,03400CLINIC 47186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47186,A000000,03500,0000,03500RURAL HEALTH CLINIC 47186,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47186,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47186,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47186,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47186,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47186,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47186,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47186,A000000,04400,0000,04400DME RENTED - HHA 47186,A000000,04500,0000,04500DME SOLD - HHA 47186,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47186,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47186,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47186,A000000,04800,0000,04800AMBULANCE 47186,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47186,A000000,05000,0000,05000CORF 47186,A000000,05010,0000,05010CMHC I 47186,A000000,05020,0000,05020OPT I 47186,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47186,A000000,05300,0000,05300INTEREST EXPENSE 47186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47186,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47186,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47186,A000000,05500,0000,05500HOSPICE 47186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47186,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47186,A000000,06100,0000,06100NONPAID WORKERS 47186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47186,A000000,06200,0000,06200PATIENTS LAUNDRY 47186,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47186,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47186,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47186,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47186,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47186,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47186,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47186,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47186,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47186,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47186,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47186,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47186,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 47186,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 47186,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 47186,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47186,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 47186,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47186,S000000,00100,0200,05/26/2000 47186,S200000,00100,0100,300 23RD STREET NE 47186,S200000,00200,0100,MASSILLON 47186,S200000,00200,0200,OH 47186,S200000,00200,0300,44646- 47186,S200000,00300,0100,STARK 47186,S200000,00400,0100,MEADOW WIND HEALTH CARE 47186,S200000,00400,0200,365665 47186,S200000,00400,0300,12/01/1984 47186,S200000,00400,0500,P 47186,S200000,00400,0600,O 47186,S200000,01600,0100,Y 47198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47198,A000000,00300,0000,00300EMPLOYEE BENEFITS 47198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47198,A000000,00700,0000,00700HOUSEKEEPING 47198,A000000,00800,0000,00800DIETARY 47198,A000000,00900,0000,00900NURSING ADMINISTRATION 47198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47198,A000000,01100,0000,01100PHARMACY 47198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47198,A000000,01300,0000,01300SOCIAL SERVICE 47198,A000000,01350,0000,01500ACTIVITIES 47198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47198,A000000,01600,0000,01600SKILLED NURSING FACILITY 47198,A000000,01800,0000,01800NURSING FACILITY 47198,A000000,01900,0000,01900OTHER LONG TERM CARE 47198,A000000,02100,0000,02100RADIOLOGY 47198,A000000,02200,0000,02200LABORATORY 47198,A000000,02300,0000,02300INTRAVENOUS THERAPY 47198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47198,A000000,02500,0000,02500PHYSICAL THERAPY 47198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47198,A000000,02700,0000,02700SPEECH PATHOLOGY 47198,A000000,02800,0000,02800ELECTROCARDIOLOGY 47198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47198,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 47198,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47198,A000000,03200,0000,03200SUPPORT SURFACES 47198,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 47198,A000000,04800,0000,04800AMBULANCE 47198,A000000,05300,0000,05300INTEREST EXPENSE 47198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 47198,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47198,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47198,A000000,06100,0000,06100NONPAID WORKERS 47198,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47198,A000000,06200,0000,06200PATIENTS LAUNDRY 47198,A81000A,00100,0100,Y 47198,A81000B,00100,0300,HOME OFFICE COST 47198,A81000B,00200,0300,PURCH SERV PHARMACIST 47198,A81000B,00300,0300,IV DRUGS & SUPPLIES 47198,A81000B,00400,0300,DRUGS 47198,A81000B,00500,0300,PT ADMINISTRATION FEE 47198,A81000B,00600,0300,OT ADMINISTRATION FEE 47198,A81000B,00700,0300,ST ADMINISTRATION FEE 47198,A81000B,00800,0300,PURCH SERV PT 47198,A81000B,00900,0300,PURCH SERV OT 47198,A81000B,01000,0300,PRUCH SERV ST 47198,A81000C,00100,0100,B 47198,A81000C,00100,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00100,0400,HCR MANORCARE INC. 47198,A81000C,00100,0600,LONG TERM CARE FACILITIES 47198,A81000C,00200,0100,B 47198,A81000C,00200,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 47198,A81000C,00200,0600,PHARMACY 47198,A81000C,00300,0100,B 47198,A81000C,00300,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 47198,A81000C,00300,0600,PHARMACY 47198,A81000C,00400,0100,B 47198,A81000C,00400,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 47198,A81000C,00400,0600,PHARMACY 47198,A81000C,00500,0100,B 47198,A81000C,00500,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 47198,A81000C,00500,0600,THERAPY MANAGEMENT 47198,A81000C,00600,0100,B 47198,A81000C,00600,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 47198,A81000C,00600,0600,THERAPY MANAGEMENT 47198,A81000C,00700,0100,B 47198,A81000C,00700,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 47198,A81000C,00700,0600,THERAPY MANAGEMENT 47198,A81000C,00800,0100,B 47198,A81000C,00800,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00800,0400,SCIOTO VALLEY THERAPY 47198,A81000C,00800,0600,THERAPY 47198,A81000C,00900,0100,B 47198,A81000C,00900,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,00900,0400,SCIOTO VALLEY THERAPY 47198,A81000C,00900,0600,THERAPY 47198,A81000C,01000,0100,B 47198,A81000C,01000,0200,HEARTLAND OF INDAIN LAKE 47198,A81000C,01000,0400,SCIOTO VALLEY THERAPY 47198,A81000C,01000,0600,THERAPY 47198,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47198,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47198,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47198,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47198,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47198,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47198,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47198,B100000,00000,0800,00000MEALS SERVED :DIETARY 47198,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 47198,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47198,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47198,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47198,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47198,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47198,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 47198,S000000,00100,0200,05/31/2000 47198,S200000,00100,0100,14442 ST. RT. 33 WEST 47198,S200000,00200,0100,LAKEVIEW 47198,S200000,00200,0200,OH 47198,S200000,00200,0300,43331- 47198,S200000,00300,0100,LOGAN 47198,S200000,00400,0100,HEARTLAND OF INDIAN LAKE 47198,S200000,00400,0200,365666 47198,S200000,00400,0300,10/16/1985 47198,S200000,00400,0500,P 47198,S200000,00400,0600,P 47198,S200000,01004,0500,O 47198,S200000,01600,0100,Y 47198,S200000,02200,0100,Y 47208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47208,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47208,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47208,A000000,00300,0000,00300EMPLOYEE BENEFITS 47208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47208,A000000,00700,0000,00700HOUSEKEEPING 47208,A000000,00800,0000,00800DIETARY 47208,A000000,00801,0000,00801CAFETERIA 47208,A000000,00900,0000,00900NURSING ADMINISTRATION 47208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47208,A000000,01100,0000,01100PHARMACY 47208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47208,A000000,01300,0000,01300SOCIAL SERVICE 47208,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47208,A000000,01600,0000,01600SKILLED NURSING FACILITY 47208,A000000,01800,0000,01800NURSING FACILITY 47208,A000000,01900,0000,01900OTHER LONG TERM CARE 47208,A000000,02100,0000,02100RADIOLOGY 47208,A000000,02200,0000,02200LABORATORY 47208,A000000,02300,0000,02300INTRAVENOUS THERAPY 47208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47208,A000000,02500,0000,02500PHYSICAL THERAPY 47208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47208,A000000,02700,0000,02700SPEECH PATHOLOGY 47208,A000000,02800,0000,02800ELECTROCARDIOLOGY 47208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47208,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 47208,A000000,03051,0000,03301OTHER ANCILLARY II 47208,A000000,03052,0000,03302OTHER ANCILLARY III 47208,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47208,A000000,03200,0000,03200SUPPORT SURFACES 47208,A000000,03400,0000,03400CLINIC 47208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47208,A000000,03500,0000,03500RURAL HEALTH CLINIC 47208,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47208,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47208,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47208,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47208,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47208,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47208,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47208,A000000,04400,0000,04400DME RENTED - HHA 47208,A000000,04500,0000,04500DME SOLD - HHA 47208,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47208,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47208,A000000,04800,0000,04800AMBULANCE 47208,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47208,A000000,05000,0000,05000CORF 47208,A000000,05010,0000,05010CMHC I 47208,A000000,05020,0000,05020OPT I 47208,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47208,A000000,05300,0000,05300INTEREST EXPENSE 47208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47208,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47208,A000000,05500,0000,05500HOSPICE 47208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47208,A000000,06100,0000,06100NONPAID WORKERS 47208,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47208,A000000,06200,0000,06200PATIENTS LAUNDRY 47208,A81000A,00100,0100,Y 47208,A81000B,00100,0300,MANAGEMENT FEES 47208,A81000C,00100,0100,A 47208,A81000C,00100,0200,GREG NELSON 47208,A81000C,00100,0400,CENTURION 47208,A81000C,00100,0600,MANAGEMENT SERV 47208,A81000C,00200,0400,MANAGEMENT 47208,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47208,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47208,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47208,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47208,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47208,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47208,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47208,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47208,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47208,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47208,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47208,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47208,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47208,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47208,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47208,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47208,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47208,S000000,00100,0200,01/19/2001 47208,S200000,00100,0100,215 SETH AVE. 47208,S200000,00200,0100,JACKSON 47208,S200000,00200,0200,OH 47208,S200000,00200,0300,45640- 47208,S200000,00300,0100,JACKSON 47208,S200000,00400,0100,FOUR WINDS NURSING FACILITY 47208,S200000,00400,0200,365669 47208,S200000,00400,0300,02/07/1986 47208,S200000,00400,0500,P 47208,S200000,01004,0500,O 47208,S200000,01600,0100,Y 47208,S200000,02200,0100,Y 47216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47216,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47216,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47216,A000000,00300,0000,00300EMPLOYEE BENEFITS 47216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47216,A000000,00700,0000,00700HOUSEKEEPING 47216,A000000,00800,0000,00800DIETARY 47216,A000000,00801,0000,00801CAFETERIA 47216,A000000,00900,0000,00900NURSING ADMINISTRATION 47216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47216,A000000,01100,0000,01100PHARMACY 47216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47216,A000000,01300,0000,01300SOCIAL SERVICE 47216,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47216,A000000,01600,0000,01600SKILLED NURSING FACILITY 47216,A000000,01800,0000,01800NURSING FACILITY 47216,A000000,01900,0000,01900OTHER LONG TERM CARE 47216,A000000,02100,0000,02100RADIOLOGY 47216,A000000,02200,0000,02200LABORATORY 47216,A000000,02300,0000,02300INTRAVENOUS THERAPY 47216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47216,A000000,02500,0000,02500PHYSICAL THERAPY 47216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47216,A000000,02700,0000,02700SPEECH PATHOLOGY 47216,A000000,02800,0000,02800ELECTROCARDIOLOGY 47216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47216,A000000,03050,0000,03300OTHER ANCILLARY 47216,A000000,03051,0000,03301OTHER ANCILLARY II 47216,A000000,03052,0000,03302OTHER ANCILLARY III 47216,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47216,A000000,03200,0000,03200SUPPORT SURFACES 47216,A000000,03400,0000,03400CLINIC 47216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47216,A000000,03500,0000,03500RURAL HEALTH CLINIC 47216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47216,A000000,04800,0000,04800AMBULANCE 47216,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47216,A000000,05000,0000,05000CORF 47216,A000000,05010,0000,05010CMHC I 47216,A000000,05020,0000,05020OPT I 47216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47216,A000000,05300,0000,05300INTEREST EXPENSE 47216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47216,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47216,A000000,05500,0000,05500HOSPICE 47216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47216,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47216,A000000,06100,0000,06100NONPAID WORKERS 47216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47216,A000000,06200,0000,06200PATIENTS LAUNDRY 47216,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47216,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47216,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47216,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47216,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47216,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47216,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47216,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47216,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47216,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47216,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47216,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47216,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47216,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47216,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47216,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47216,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47216,S000000,00100,0200,06/01/2000 47216,S200000,00100,0100,165 HIGHBLUFFS BLVD. 47216,S200000,00200,0100,WORTHINGTON 47216,S200000,00200,0200,OH 47216,S200000,00300,0100,FRANKLIN 47216,S200000,00400,0100,WORTHINGTON CHRISTIAN VILLAGE 47216,S200000,00400,0200,365671 47216,S200000,00400,0300,03/03/1986 47216,S200000,00400,0500,P 47216,S200000,01500,0100,Y 47216,S200000,02800,0100,Y 47224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47224,A000000,00300,0000,00300EMPLOYEE BENEFITS 47224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47224,A000000,00700,0000,00700HOUSEKEEPING 47224,A000000,00800,0000,00800DIETARY 47224,A000000,00900,0000,00900NURSING ADMINISTRATION 47224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47224,A000000,01100,0000,01100PHARMACY 47224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47224,A000000,01300,0000,01300SOCIAL SERVICE 47224,A000000,01350,0000,01500OTHER GENERAL SERVICES 47224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47224,A000000,01600,0000,01600SKILLED NURSING FACILITY 47224,A000000,01800,0000,01800NURSING FACILITY 47224,A000000,01810,0000,01801ICF/MR 47224,A000000,01900,0000,01900OTHER LONG TERM CARE 47224,A000000,02100,0000,02100RADIOLOGY 47224,A000000,02200,0000,02200LABORATORY 47224,A000000,02300,0000,02300INTRAVENOUS THERAPY 47224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47224,A000000,02500,0000,02500PHYSICAL THERAPY 47224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47224,A000000,02700,0000,02700SPEECH PATHOLOGY 47224,A000000,02800,0000,02800ELECTROCARDIOLOGY 47224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47224,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47224,A000000,03051,0000,03301ENTERALS 47224,A000000,03052,0000,03302PSYCHOLOGIST 47224,A000000,03053,0000,03303NON LEGEND DRUGS 47224,A000000,03054,0000,03304VENTS & CONCENTRATORS 47224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47224,A000000,03200,0000,03200SUPPORT SURFACES 47224,A000000,03400,0000,03400CLINIC 47224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47224,A000000,03500,0000,03500RURAL HEALTH CLINIC 47224,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47224,A000000,04800,0000,04800AMBULANCE 47224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47224,A000000,05000,0000,05000CORF 47224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47224,A000000,05300,0000,05300INTEREST EXPENSE 47224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47224,A000000,05500,0000,05500HOSPICE 47224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47224,A000000,06100,0000,06100NONPAID WORKERS 47224,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47224,A000000,06200,0000,06200PATIENTS LAUNDRY 47224,A81000A,00100,0100,Y 47224,A81000B,00100,0300,DEPRECIATION BLDG 47224,A81000B,00200,0300,INTEREST 47224,A81000B,00300,0300,AMORTIZATION OF LOAN FEES 47224,A81000B,00400,0300,LEASE BUILDING 47224,A81000C,00100,0100,A 47224,A81000C,00100,0200,AUTUMN CARE CNTR 47224,A81000C,00100,0400,SAIFCO 47224,A81000C,00100,0600,OWN REAL ESTATE 47224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47224,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47224,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47224,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47224,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47224,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47224,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47224,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47224,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47224,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 47224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47224,E10A180,00550,0300,06/01/2000 47224,S000000,00100,0200,05/30/2000 47224,S200000,00100,0100,2565 NILES VIENNA ROAD 47224,S200000,00200,0100,NILES 47224,S200000,00200,0200,OH 47224,S200000,00200,0300,44446- 47224,S200000,00300,0100,TRUMBULL 47224,S200000,00400,0100,AUTUMN HILLS CARE CENTER 47224,S200000,00400,0200,365672 47224,S200000,00400,0300,01/31/1986 47224,S200000,00400,0500,P 47224,S200000,01600,0100,Y 47236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47236,A000000,00700,0000,00700HOUSEKEEPING 47236,A000000,00800,0000,00800DIETARY 47236,A000000,00900,0000,00900NURSING ADMINISTRATION 47236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47236,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 47236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47236,A000000,01300,0000,01300SOCIAL SERVICE 47236,A000000,01600,0000,01600SKILLED NURSING FACILITY 47236,A000000,01800,0000,01800NURSING FACILITY 47236,A000000,02100,0000,02100RADIOLOGY 47236,A000000,02200,0000,02200LABORATORY 47236,A000000,02300,0000,02300INTRAVENOUS THERAPY 47236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47236,A000000,02500,0000,02500PHYSICAL THERAPY 47236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47236,A000000,02700,0000,02700SPEECH PATHOLOGY 47236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47236,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47236,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47236,A000000,03052,0000,03302MEDICAL EQUIPMENT 47236,A000000,04800,0000,04800AMBULANCE 47236,A000000,05300,0000,05300INTEREST EXPENSE 47236,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47236,A000000,06200,0000,06200PATIENTS LAUNDRY 47236,A81000A,00100,0100,Y 47236,A81000B,00100,0300,HOME OFFICE A&G 47236,A81000B,00200,0300,HOME OFFICE CAPITAL 47236,A81000B,00300,0300,DIVISION OFFICE A&G 47236,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47236,A81000B,00500,0300,INSURANCE 47236,A81000B,00600,0300,PHYSICAL THERAPY 47236,A81000B,00700,0300,OCCUPATIONAL THERAPY 47236,A81000B,00800,0300,SPEECH THERAPY 47236,A81000B,00900,0300,AIR FLUIDIZED THERAPY 47236,A81000C,00100,0100,B 47236,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47236,A81000C,00200,0100,G 47236,A81000C,00200,0200,LAURIER INC. 47236,A81000C,00200,0400,EXTENDICARE INC. 47236,A81000C,00200,0600,INSURANCE 47236,A81000C,00300,0100,G 47236,A81000C,00300,0200,UNITED REHABILITATION SVS 47236,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 47236,A81000C,00300,0600,THERAPY SERVICE 47236,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47236,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47236,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47236,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47236,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47236,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47236,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47236,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47236,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47236,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 47236,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47236,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47236,E10A180,00301,0100,01/24/2000 47236,E10A180,00301,0300,06/22/1998 47236,E10A180,00350,0100,06/22/1998 47236,E10A180,00350,0300,06/22/1998 47236,S000000,00100,0200,06/02/2000 47236,S200000,00100,0100,5900 MEADOWCREEK DRIVE 47236,S200000,00200,0100,MILFORD 47236,S200000,00200,0200,OH 47236,S200000,00200,0300,45150- 47236,S200000,00300,0100,CLERMONT 47236,S200000,00400,0100,ARBORS AT MILFORD 47236,S200000,00400,0200,365675 47236,S200000,00400,0300,01/01/1986 47236,S200000,00400,0500,P 47236,S200000,01600,0100,Y 47236,S700003,00000,0100,1 47244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47244,A000000,00300,0000,00300EMPLOYEE BENEFITS 47244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47244,A000000,00700,0000,00700HOUSEKEEPING 47244,A000000,00800,0000,00800DIETARY 47244,A000000,00900,0000,00900NURSING ADMINISTRATION 47244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47244,A000000,01100,0000,01100PHARMACY 47244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47244,A000000,01300,0000,01300SOCIAL SERVICE 47244,A000000,01600,0000,01600SKILLED NURSING FACILITY 47244,A000000,01900,0000,01900OTHER LONG TERM CARE 47244,A000000,02100,0000,02100RADIOLOGY 47244,A000000,02200,0000,02200LABORATORY 47244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47244,A000000,02500,0000,02500PHYSICAL THERAPY 47244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47244,A000000,02700,0000,02700SPEECH PATHOLOGY 47244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47244,A000000,04800,0000,04800AMBULANCE 47244,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47244,A000000,05300,0000,05300INTEREST EXPENSE 47244,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47244,A000000,05500,0000,05500HOSPICE 47244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47244,A81000A,00100,0100,Y 47244,A81000B,00100,0300,HQ ADMINISTRATIVE EXPENSE 47244,A81000B,00200,0300,CAP RELATED COSTS - BUILDINGS & FIX 47244,A81000C,00100,0100,G 47244,A81000C,00100,0200,LEVERING MGMT 47244,A81000C,00100,0400,LEVERING MGMT 47244,A81000C,00100,0600,MANAGEMENT 47244,A81000C,03100,0000,OTHER MANAGEMENT COMPANY 47244,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47244,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47244,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 47244,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47244,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47244,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47244,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47244,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47244,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47244,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47244,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47244,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47244,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47244,S000000,00100,0200,06/01/2000 47244,S200000,00100,0100,4 NEW MARKET DRIVE 47244,S200000,00200,0100,DELAWARE 47244,S200000,00200,0200,OH 47244,S200000,00200,0300,43015- 47244,S200000,00300,0100,DELAWARE 47244,S200000,00400,0100,DELAWARE COURT HEALTH CARE CENTER 47244,S200000,00400,0200,365676 47244,S200000,00400,0300,08/15/1985 47244,S200000,00400,0500,P 47244,S200000,01600,0100,Y 47244,S200000,02200,0100,Y 47253,S000000,00100,0200,07/11/2000 47264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47264,A000000,00300,0000,00300EMPLOYEE BENEFITS 47264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47264,A000000,00700,0000,00700HOUSEKEEPING 47264,A000000,00800,0000,00800DIETARY 47264,A000000,00900,0000,00900NURSING ADMINISTRATION 47264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47264,A000000,01100,0000,01100PHARMACY 47264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47264,A000000,01300,0000,01300SOCIAL SERVICE 47264,A000000,01350,0000,01500ACTIVITIES 47264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47264,A000000,01600,0000,01600SKILLED NURSING FACILITY 47264,A000000,01800,0000,01800NURSING FACILITY 47264,A000000,01810,0000,01801ICF/MR 47264,A000000,01900,0000,01900OTHER LONG TERM CARE 47264,A000000,02100,0000,02100RADIOLOGY 47264,A000000,02200,0000,02200LABORATORY 47264,A000000,02300,0000,02300INTRAVENOUS THERAPY 47264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47264,A000000,02500,0000,02500PHYSICAL THERAPY 47264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47264,A000000,02700,0000,02700SPEECH PATHOLOGY 47264,A000000,02800,0000,02800ELECTROCARDIOLOGY 47264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47264,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47264,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47264,A000000,03200,0000,03200SUPPORT SURFACES 47264,A000000,03400,0000,03400CLINIC 47264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47264,A000000,03500,0000,03500RURAL HEALTH CLINIC 47264,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47264,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47264,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47264,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47264,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47264,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47264,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47264,A000000,04400,0000,04400DME RENTED - HHA 47264,A000000,04500,0000,04500DME SOLD - HHA 47264,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47264,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47264,A000000,04800,0000,04800AMBULANCE 47264,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47264,A000000,05000,0000,05000CORF 47264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47264,A000000,05300,0000,05300INTEREST EXPENSE 47264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47264,A000000,05500,0000,05500HOSPICE 47264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47264,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47264,A000000,06100,0000,06100NONPAID WORKERS 47264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47264,A000000,06200,0000,06200PATIENTS LAUNDRY 47264,A81000A,00100,0100,Y 47264,A81000B,00100,0300,HOME OFFICE COSTS 47264,A81000C,00100,0100,A 47264,A81000C,00100,0200,RALPH HAZELBAKER 47264,A81000C,00100,0400,AEGIS INC. 47264,A81000C,00100,0600,MANAGEMENT 47264,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47264,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47264,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47264,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47264,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47264,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47264,B100000,00000,0800,00000MEALS SERVED :DIETARY 47264,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47264,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47264,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47264,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47264,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47264,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47264,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47264,S000000,00100,0200,05/30/2000 47264,S200000,00100,0100,355 WINDSOR LANE 47264,S200000,00200,0100,GIBSONBURG 47264,S200000,00200,0200,OH 47264,S200000,00200,0300,43431- 47264,S200000,00300,0100,SANDUSKY 47264,S200000,00400,0100,GIBSONBURG HEALTH CARE CENTER 47264,S200000,00400,0200,365681 47264,S200000,00400,0300,06/13/1986 47264,S200000,00400,0500,P 47264,S200000,00400,0600,P 47264,S200000,01500,0100,Y 47264,S200000,02200,0100,Y 47264,S200000,04300,0100,Y 47276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47276,A000000,00300,0000,00300EMPLOYEE BENEFITS 47276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47276,A000000,00700,0000,00700HOUSEKEEPING 47276,A000000,00800,0000,00800DIETARY 47276,A000000,00900,0000,00900NURSING ADMINISTRATION 47276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47276,A000000,01300,0000,01300SOCIAL SERVICE 47276,A000000,01350,0000,01500OTHER GENERAL SERVICES 47276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47276,A000000,01600,0000,01600SKILLED NURSING FACILITY 47276,A000000,01800,0000,01800NURSING FACILITY 47276,A000000,01810,0000,01801ICF/MR 47276,A000000,01900,0000,01900OTHER LONG TERM CARE 47276,A000000,02100,0000,02100RADIOLOGY 47276,A000000,02200,0000,02200LABORATORY 47276,A000000,02300,0000,02300INTRAVENOUS THERAPY 47276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47276,A000000,02500,0000,02500PHYSICAL THERAPY 47276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47276,A000000,02700,0000,02700SPEECH PATHOLOGY 47276,A000000,02800,0000,02800ELECTROCARDIOLOGY 47276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47276,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47276,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47276,A000000,03200,0000,03200SUPPORT SURFACES 47276,A000000,03400,0000,03400CLINIC 47276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47276,A000000,03500,0000,03500RURAL HEALTH CLINIC 47276,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47276,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47276,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47276,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47276,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47276,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47276,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47276,A000000,04400,0000,04400DME RENTED - HHA 47276,A000000,04500,0000,04500DME SOLD - HHA 47276,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47276,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47276,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47276,A000000,04800,0000,04800AMBULANCE 47276,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47276,A000000,05000,0000,05000CORF 47276,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47276,A000000,05300,0000,05300INTEREST EXPENSE 47276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47276,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47276,A000000,05500,0000,05500HOSPICE 47276,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47276,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47276,A000000,06100,0000,06100NONPAID WORKERS 47276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47276,A000000,06200,0000,06200PATIENTS LAUNDRY 47276,A81000A,00100,0100,Y 47276,A81000B,00100,0300,MANAGEMENT CO- INDIRECT CARE 47276,A81000B,00200,0300,MANAGEMENT CO - DIRECT CARE 47276,A81000B,00300,0300,MANAGEMENT CO - CAPITAL 47276,A81000C,00100,0100,A 47276,A81000C,00100,0200,JLW TRUST 47276,A81000C,00100,0400,WALLICK PROPERTIES 47276,A81000C,00100,0600,MANAGEMENT COMPANY 47276,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 47276,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 47276,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47276,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47276,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 47276,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 47276,B100000,00000,0750,00000INPATIENT DAYS :HOUSEKEEPING 47276,B100000,00000,0800,00000MEALS SERVED :DIETARY 47276,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 47276,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47276,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 47276,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 47276,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47276,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47276,S000000,00100,0200,06/05/2000 47276,S200000,00100,0100,2000 VILLA ROAD 47276,S200000,00200,0100,SPRINGFIELD 47276,S200000,00200,0200,OH 47276,S200000,00200,0300,45502- 47276,S200000,00300,0100,CLARK 47276,S200000,00400,0100,EAGLEWOOD CARE CENTER 47276,S200000,00400,0200,365684 47276,S200000,00400,0300,02/01/1984 47276,S200000,00400,0500,P 47276,S200000,01600,0100,Y 47276,S200000,04300,0100,Y 47276,S700003,00000,0100,1 47283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47283,A000000,00300,0000,00300EMPLOYEE BENEFITS 47283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47283,A000000,00700,0000,00700HOUSEKEEPING 47283,A000000,00800,0000,00800DIETARY 47283,A000000,00900,0000,00900NURSING ADMINISTRATION 47283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47283,A000000,01100,0000,01100PHARMACY 47283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47283,A000000,01300,0000,01300SOCIAL SERVICE 47283,A000000,01350,0000,01500OTHER GENERAL SERVICES 47283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47283,A000000,01600,0000,01600SKILLED NURSING FACILITY 47283,A000000,01800,0000,01800NURSING FACILITY 47283,A000000,01810,0000,01801ICF/MR 47283,A000000,01900,0000,01900OTHER LONG TERM CARE 47283,A000000,02100,0000,02100RADIOLOGY 47283,A000000,02200,0000,02200LABORATORY 47283,A000000,02300,0000,02300INTRAVENOUS THERAPY 47283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47283,A000000,02500,0000,02500PHYSICAL THERAPY 47283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47283,A000000,02700,0000,02700SPEECH PATHOLOGY 47283,A000000,02800,0000,02800ELECTROCARDIOLOGY 47283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47283,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47283,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47283,A000000,03200,0000,03200SUPPORT SURFACES 47283,A000000,03400,0000,03400CLINIC 47283,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47283,A000000,03500,0000,03500RURAL HEALTH CLINIC 47283,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47283,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47283,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47283,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47283,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47283,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47283,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47283,A000000,04400,0000,04400DME RENTED - HHA 47283,A000000,04500,0000,04500DME SOLD - HHA 47283,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47283,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47283,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47283,A000000,04800,0000,04800AMBULANCE 47283,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47283,A000000,05000,0000,05000CORF 47283,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47283,A000000,05300,0000,05300INTEREST EXPENSE 47283,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47283,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47283,A000000,05500,0000,05500HOSPICE 47283,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47283,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47283,A000000,06100,0000,06100NONPAID WORKERS 47283,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47283,A000000,06200,0000,06200PATIENTS LAUNDRY 47283,A81000A,00100,0100,Y 47283,A81000B,00100,0300,LEASE BUILDING 47283,A81000C,00100,0100,A 47283,A81000C,00100,0200,JOHN ONEILL 47283,A81000C,00100,0400,LAKE RIDGE HOLDINGS 47283,A81000C,00100,0600,REAL ESTATE 47283,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47283,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 47283,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47283,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47283,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47283,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47283,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 47283,B100000,00000,0800,00000MEALS SERVED :DIETARY 47283,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47283,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47283,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47283,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47283,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47283,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47283,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47283,S000000,00100,0200,06/01/2000 47283,S200000,00100,0100,38600 CENTER RIDGE ROAD 47283,S200000,00200,0100,NORTH RIDGEVILLE 47283,S200000,00200,0200,OH 47283,S200000,00300,0100,LORAIN 47283,S200000,00400,0100,CENTER RIDGE NURSING HOME 47283,S200000,00400,0200,365685 47283,S200000,00400,0300,05/23/1986 47283,S200000,00400,0500,P 47283,S200000,01500,0100,Y 47294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47294,A000000,00700,0000,00700HOUSEKEEPING 47294,A000000,00800,0000,00800DIETARY 47294,A000000,00900,0000,00900NURSING ADMINISTRATION 47294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47294,A000000,01300,0000,01300SOCIAL SERVICE 47294,A000000,01600,0000,01600SKILLED NURSING FACILITY 47294,A000000,01800,0000,01800NURSING FACILITY 47294,A000000,02100,0000,02100RADIOLOGY 47294,A000000,02200,0000,02200LABORATORY 47294,A000000,02300,0000,02300INTRAVENOUS THERAPY 47294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47294,A000000,02500,0000,02500PHYSICAL THERAPY 47294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47294,A000000,02700,0000,02700SPEECH PATHOLOGY 47294,A000000,02800,0000,02800ELECTROCARDIOLOGY 47294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47294,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47294,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47294,A000000,03052,0000,03302MEDICAL EQUIPMENT 47294,A000000,05300,0000,05300INTEREST EXPENSE 47294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47294,A000000,06200,0000,06200PATIENTS LAUNDRY 47294,A81000A,00100,0100,Y 47294,A81000B,00100,0300,HOME OFFICE A&G 47294,A81000B,00200,0300,HOME OFFICE CAPITAL 47294,A81000B,00300,0300,DIVISION OFFICE A&G 47294,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47294,A81000B,00500,0300,INSURANCE 47294,A81000C,00100,0100,B 47294,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47294,A81000C,00200,0100,G 47294,A81000C,00200,0200,LAURIER INC. 47294,A81000C,00200,0400,EXTENDICARE INC. 47294,A81000C,00200,0600,INSURANCE 47294,A81000C,00300,0100,G 47294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47294,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47294,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47294,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47294,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47294,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47294,S000000,00100,0200,06/02/2000 47294,S200000,00100,0100,400 SEVENTH STREET 47294,S200000,00200,0100,MARIETTA 47294,S200000,00200,0200,OH 47294,S200000,00200,0300,45750- 47294,S200000,00300,0100,WASHINGTON 47294,S200000,00400,0100,ARBORS AT MARIETTA 47294,S200000,00400,0200,365687 47294,S200000,00400,0300,04/01/1987 47294,S200000,00400,0500,P 47294,S200000,01600,0100,Y 47305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47305,A000000,00700,0000,00700HOUSEKEEPING 47305,A000000,00800,0000,00800DIETARY 47305,A000000,00900,0000,00900NURSING ADMINISTRATION 47305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47305,A000000,01300,0000,01300SOCIAL SERVICE 47305,A000000,01600,0000,01600SKILLED NURSING FACILITY 47305,A000000,01800,0000,01800NURSING FACILITY 47305,A000000,02100,0000,02100RADIOLOGY 47305,A000000,02200,0000,02200LABORATORY 47305,A000000,02300,0000,02300INTRAVENOUS THERAPY 47305,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47305,A000000,02500,0000,02500PHYSICAL THERAPY 47305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47305,A000000,02700,0000,02700SPEECH PATHOLOGY 47305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47305,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47305,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47305,A000000,03052,0000,03302MEDICAL EQUIPMENT 47305,A000000,05300,0000,05300INTEREST EXPENSE 47305,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47305,A000000,06200,0000,06200PATIENTS LAUNDRY 47305,A81000A,00100,0100,Y 47305,A81000B,00100,0300,HOME OFFICE A&G 47305,A81000B,00200,0300,HOME OFFICE CAPITAL 47305,A81000B,00300,0300,DIVISION OFFICE A&G 47305,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47305,A81000B,00500,0300,INSURANCE 47305,A81000C,00100,0100,B 47305,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47305,A81000C,00200,0100,G 47305,A81000C,00200,0200,LAURIER INC. 47305,A81000C,00200,0400,EXTENDICARE INC. 47305,A81000C,00200,0600,INSURANCE 47305,A81000C,00300,0100,G 47305,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47305,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47305,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47305,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47305,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47305,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47305,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47305,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47305,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47305,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47305,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47305,S000000,00100,0200,06/02/2000 47305,S200000,00100,0100,575 S. CLEVELAND-MASSILLON 47305,S200000,00200,0100,FAIRLAWN 47305,S200000,00200,0200,OH 47305,S200000,00200,0300,44333-3087 47305,S200000,00300,0100,SUMMIT 47305,S200000,00400,0100,ARBORS AT FAIRLAWN 47305,S200000,00400,0200,365689 47305,S200000,00400,0300,10/01/1986 47305,S200000,00400,0500,P 47305,S200000,01600,0100,Y 47327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47327,A000000,00300,0000,00300EMPLOYEE BENEFITS 47327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47327,A000000,00700,0000,00700HOUSEKEEPING 47327,A000000,00800,0000,00800DIETARY 47327,A000000,00900,0000,00900NURSING ADMINISTRATION 47327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47327,A000000,01100,0000,01100PHARMACY 47327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47327,A000000,01300,0000,01300SOCIAL SERVICE 47327,A000000,01350,0000,01500ACTIVITIES 47327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47327,A000000,01600,0000,01600SKILLED NURSING FACILITY 47327,A000000,01800,0000,01800NURSING FACILITY 47327,A000000,01900,0000,01900OTHER LONG TERM CARE 47327,A000000,02100,0000,02100RADIOLOGY 47327,A000000,02200,0000,02200LABORATORY 47327,A000000,02300,0000,02300INTRAVENOUS THERAPY 47327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47327,A000000,02500,0000,02500PHYSICAL THERAPY 47327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47327,A000000,02700,0000,02700SPEECH PATHOLOGY 47327,A000000,02800,0000,02800ELECTROCARDIOLOGY 47327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47327,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 47327,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47327,A000000,03200,0000,03200SUPPORT SURFACES 47327,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 47327,A000000,04800,0000,04800AMBULANCE 47327,A000000,05300,0000,05300INTEREST EXPENSE 47327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 47327,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47327,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47327,A000000,06100,0000,06100NONPAID WORKERS 47327,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47327,A000000,06200,0000,06200PATIENTS LAUNDRY 47327,A81000A,00100,0100,Y 47327,A81000B,00100,0300,HOME OFFICE COST 47327,A81000B,00200,0300,PURCH SERV PHARMACIST 47327,A81000B,00300,0300,IV COSTS 47327,A81000B,00400,0300,DRUGS CHARGES TO PATIENTS 47327,A81000B,00500,0300,PHYSICAL THERAPY 47327,A81000B,00600,0300,OCCUPATIONAL THERAPY 47327,A81000B,00700,0300,SPEECH THERAPY 47327,A81000C,00100,0100,B 47327,A81000C,00100,0200,HEARTLAND OF MENTOR 47327,A81000C,00100,0400,HCR MANORCARE INC. 47327,A81000C,00100,0600,LONG TERM CARE FACILITIES 47327,A81000C,00200,0100,B 47327,A81000C,00200,0200,HEARTLAND OF MENTOR 47327,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 47327,A81000C,00200,0600,PHARMACY 47327,A81000C,00300,0100,B 47327,A81000C,00300,0200,HEARTLAND OF MENTOR 47327,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 47327,A81000C,00300,0600,PHARMACY 47327,A81000C,00400,0100,B 47327,A81000C,00400,0200,HEARTLAND OF MENTOR 47327,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 47327,A81000C,00400,0600,PHARMACY 47327,A81000C,00500,0100,B 47327,A81000C,00500,0200,HEARTLAND OF MENTOR 47327,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 47327,A81000C,00500,0600,THERAPY MANAGEMENT 47327,A81000C,00600,0100,B 47327,A81000C,00600,0200,HEARTLAND OF MENTOR 47327,A81000C,00600,0400,HTLD MANAGEMENT SERVICES 47327,A81000C,00600,0600,THERAPY MANAGEMENT 47327,A81000C,00700,0100,B 47327,A81000C,00700,0200,HEARTLAND OF MENTOR 47327,A81000C,00700,0400,HTLD MANAGEMENT SERVICES 47327,A81000C,00700,0600,THERAPY MANAGEMENT 47327,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47327,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47327,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47327,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47327,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47327,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47327,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47327,B100000,00000,0800,00000MEALS SERVED :DIETARY 47327,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 47327,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47327,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47327,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47327,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47327,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47327,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 47327,S000000,00100,0200,05/31/2000 47327,S200000,00100,0100,8300 CENTER STREET 47327,S200000,00200,0100,MENTOR 47327,S200000,00200,0200,OH 47327,S200000,00200,0300,44060- 47327,S200000,00300,0100,LAKE 47327,S200000,00400,0100,HEARTLAND OF MENTOR 47327,S200000,00400,0200,365691 47327,S200000,00400,0300,01/01/1980 47327,S200000,00400,0500,P 47327,S200000,01600,0100,Y 47327,S200000,02200,0100,Y 47338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47338,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47338,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47338,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47338,A000000,00300,0000,00300EMPLOYEE BENEFITS 47338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47338,A000000,00700,0000,00700HOUSEKEEPING 47338,A000000,00800,0000,00800DIETARY 47338,A000000,00801,0000,00801CAFETERIA 47338,A000000,00900,0000,00900NURSING ADMINISTRATION 47338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47338,A000000,01100,0000,01100PHARMACY 47338,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47338,A000000,01300,0000,01300SOCIAL SERVICE 47338,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47338,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47338,A000000,01600,0000,01600SKILLED NURSING FACILITY 47338,A000000,01800,0000,01800NURSING FACILITY 47338,A000000,01900,0000,01900OTHER LONG TERM CARE 47338,A000000,02100,0000,02100RADIOLOGY 47338,A000000,02200,0000,02200LABORATORY 47338,A000000,02300,0000,02300INTRAVENOUS THERAPY 47338,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47338,A000000,02500,0000,02500PHYSICAL THERAPY 47338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47338,A000000,02700,0000,02700SPEECH PATHOLOGY 47338,A000000,02800,0000,02800ELECTROCARDIOLOGY 47338,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47338,A000000,03050,0000,03300OTHER ANCILLARY 47338,A000000,03051,0000,03301OTHER ANCILLARY II 47338,A000000,03052,0000,03302OTHER ANCILLARY III 47338,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47338,A000000,03200,0000,03200SUPPORT SURFACES 47338,A000000,03400,0000,03400CLINIC 47338,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47338,A000000,03500,0000,03500RURAL HEALTH CLINIC 47338,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47338,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47338,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47338,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47338,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47338,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47338,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47338,A000000,04400,0000,04400DME RENTED - HHA 47338,A000000,04500,0000,04500DME SOLD - HHA 47338,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47338,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47338,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47338,A000000,04800,0000,04800AMBULANCE 47338,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47338,A000000,05000,0000,05000CORF 47338,A000000,05010,0000,05010CMHC I 47338,A000000,05020,0000,05020OPT I 47338,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47338,A000000,05300,0000,05300INTEREST EXPENSE 47338,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47338,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47338,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47338,A000000,05500,0000,05500HOSPICE 47338,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47338,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47338,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47338,A000000,06100,0000,06100NONPAID WORKERS 47338,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47338,A000000,06200,0000,06200PATIENTS LAUNDRY 47338,A81000A,00100,0100,Y 47338,A81000B,00100,0300,RENT 47338,A81000B,00200,0300,DRUGS 47338,A81000B,00300,0300,MEDICAL SUPPLIES 47338,A81000B,00400,0300,PHARM CONSULTANT 47338,A81000C,00100,0100,A 47338,A81000C,00100,0200,SAM BOYMEL 47338,A81000C,00100,0400,BKS INVESTORS 47338,A81000C,00100,0600,BLDG LESSOR 47338,A81000C,00200,0100,A 47338,A81000C,00200,0200,BARRY KOHN 47338,A81000C,00200,0400,BKS INVESTORS 47338,A81000C,00200,0600,BLDG LESSOR 47338,A81000C,00300,0100,A 47338,A81000C,00300,0200,HAROLD SOSNA 47338,A81000C,00300,0400,BKS INVESTORS 47338,A81000C,00300,0600,BLDG LESSOR 47338,A81000C,00500,0100,A 47338,A81000C,00500,0200,SAM BOYMEL 47338,A81000C,00500,0400,PHARMCO 47338,A81000C,00600,0100,A 47338,A81000C,00600,0200,BARRY KOHN 47338,A81000C,00600,0400,PHARMCO 47338,A81000C,00700,0100,A 47338,A81000C,00700,0200,HAROLD SOSNA 47338,A81000C,00700,0400,PHARMCO 47338,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47338,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47338,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47338,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47338,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47338,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47338,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47338,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47338,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47338,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47338,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47338,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47338,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47338,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47338,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47338,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47338,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 47338,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47338,S000000,00100,0200,03/06/2000 47338,S200000,00100,0100,6210 CLEVES WARSAW PIKE 47338,S200000,00200,0100,CINCINNATI 47338,S200000,00200,0200,OH 47338,S200000,00300,0100,HAMILTON 47338,S200000,00400,0100,WESTERN HILLS CARE CENTER 47338,S200000,00400,0200,365693 47338,S200000,00400,0300,04/24/1987 47338,S200000,00400,0500,P 47338,S200000,01600,0100,Y 47338,S200000,04900,0100,Y 47338,S700003,00000,0100,1 47339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47339,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47339,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47339,A000000,00300,0000,00300EMPLOYEE BENEFITS 47339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47339,A000000,00700,0000,00700HOUSEKEEPING 47339,A000000,00800,0000,00800DIETARY 47339,A000000,00801,0000,00801CAFETERIA 47339,A000000,00900,0000,00900NURSING ADMINISTRATION 47339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47339,A000000,01100,0000,01100PHARMACY 47339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47339,A000000,01300,0000,01300SOCIAL SERVICE 47339,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47339,A000000,01600,0000,01600SKILLED NURSING FACILITY 47339,A000000,01800,0000,01800NURSING FACILITY 47339,A000000,01900,0000,01900OTHER LONG TERM CARE 47339,A000000,02100,0000,02100RADIOLOGY 47339,A000000,02200,0000,02200LABORATORY 47339,A000000,02300,0000,02300INTRAVENOUS THERAPY 47339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47339,A000000,02500,0000,02500PHYSICAL THERAPY 47339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47339,A000000,02700,0000,02700SPEECH PATHOLOGY 47339,A000000,02800,0000,02800ELECTROCARDIOLOGY 47339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47339,A000000,03050,0000,03300OTHER ANCILLARY 47339,A000000,03051,0000,03301OTHER ANCILLARY II 47339,A000000,03052,0000,03302OTHER ANCILLARY III 47339,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47339,A000000,03200,0000,03200SUPPORT SURFACES 47339,A000000,03400,0000,03400CLINIC 47339,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47339,A000000,03500,0000,03500RURAL HEALTH CLINIC 47339,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47339,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47339,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47339,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47339,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47339,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47339,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47339,A000000,04400,0000,04400DME RENTED - HHA 47339,A000000,04500,0000,04500DME SOLD - HHA 47339,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47339,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47339,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47339,A000000,04800,0000,04800AMBULANCE 47339,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47339,A000000,05000,0000,05000CORF 47339,A000000,05010,0000,05010CMHC I 47339,A000000,05020,0000,05020OPT I 47339,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47339,A000000,05300,0000,05300INTEREST EXPENSE 47339,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47339,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47339,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47339,A000000,05500,0000,05500HOSPICE 47339,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47339,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47339,A000000,06100,0000,06100NONPAID WORKERS 47339,A000000,06150,0000,06300ASSISTED LIVING 47339,A000000,06200,0000,06200PATIENTS LAUNDRY 47339,A81000A,00100,0100,Y 47339,A81000B,00100,0300,RENT EXPENSE 47339,A81000B,00200,0300,DRUGS 47339,A81000B,00300,0300,MEDICAL SUPPLIES 47339,A81000B,00400,0300,PHARMACY CONSULTANT 47339,A81000C,00100,0100,A 47339,A81000C,00100,0200,SAM BOYMEL 47339,A81000C,00100,0400,BKS INVESTORS 47339,A81000C,00100,0600,LANDLORD 47339,A81000C,00200,0100,A 47339,A81000C,00200,0200,BARRY KOHN 47339,A81000C,00200,0400,BKS INVESTORS 47339,A81000C,00200,0600,LANDLORD 47339,A81000C,00300,0100,A 47339,A81000C,00300,0200,HAROLD SOSNA 47339,A81000C,00300,0400,BKS INVESTORS 47339,A81000C,00300,0600,LANDLORD 47339,A81000C,00500,0100,A 47339,A81000C,00500,0200,SAM BOYMEL 47339,A81000C,00500,0400,PHARMCO 47339,A81000C,00500,0600,PHARMACY 47339,A81000C,00600,0100,A 47339,A81000C,00600,0200,BARRY KOHN 47339,A81000C,00600,0400,PHARMCO 47339,A81000C,00600,0600,PHARMACY 47339,A81000C,00700,0100,A 47339,A81000C,00700,0200,HAROLD SOSNA 47339,A81000C,00700,0400,PHARMCO 47339,A81000C,00700,0600,PHARMACY 47339,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47339,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47339,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47339,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47339,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47339,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47339,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47339,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47339,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47339,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47339,S000000,00100,0200,05/31/2000 47339,S200000,00100,0100,6210 CLEVES WARSAW PIKE 47339,S200000,00200,0100,CINCINNATI 47339,S200000,00200,0200,OH 47339,S200000,00300,0100,HAMILTON 47339,S200000,00300,0200,1640 47339,S200000,00300,0300,U 47339,S200000,00400,0100,EBENEZER ROAD CORPORATION 47339,S200000,00400,0200,365693 47339,S200000,00400,0300,04/24/1987 47339,S200000,00400,0500,P 47339,S200000,01600,0100,Y 47339,S200000,04300,0100,Y 47339,S200000,04700,0100,Y 47339,S200000,04700,0200,Y 47348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47348,A000000,00300,0000,00300EMPLOYEE BENEFITS 47348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47348,A000000,00700,0000,00700HOUSEKEEPING 47348,A000000,00800,0000,00800DIETARY 47348,A000000,00900,0000,00900NURSING ADMINISTRATION 47348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47348,A000000,01100,0000,01100PHARMACY 47348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47348,A000000,01300,0000,01300SOCIAL SERVICE 47348,A000000,01350,0000,01500OTHER GENERAL SERVICES 47348,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47348,A000000,01600,0000,01600SKILLED NURSING FACILITY 47348,A000000,01800,0000,01800NURSING FACILITY 47348,A000000,01810,0000,01801ICF/MR 47348,A000000,01900,0000,01900OTHER LONG TERM CARE 47348,A000000,02100,0000,02100RADIOLOGY 47348,A000000,02200,0000,02200LABORATORY 47348,A000000,02300,0000,02300INTRAVENOUS THERAPY 47348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47348,A000000,02500,0000,02500PHYSICAL THERAPY 47348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47348,A000000,02700,0000,02700SPEECH PATHOLOGY 47348,A000000,02800,0000,02800ELECTROCARDIOLOGY 47348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47348,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47348,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47348,A000000,03200,0000,03200SUPPORT SURFACES 47348,A000000,03400,0000,03400CLINIC 47348,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47348,A000000,03500,0000,03500RURAL HEALTH CLINIC 47348,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47348,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47348,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47348,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47348,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47348,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47348,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47348,A000000,04400,0000,04400DME RENTED - HHA 47348,A000000,04500,0000,04500DME SOLD - HHA 47348,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47348,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47348,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47348,A000000,04800,0000,04800AMBULANCE 47348,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47348,A000000,05000,0000,05000CORF 47348,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47348,A000000,05300,0000,05300INTEREST EXPENSE 47348,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47348,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47348,A000000,05500,0000,05500HOSPICE 47348,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47348,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47348,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47348,A000000,06100,0000,06100NONPAID WORKERS 47348,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47348,A000000,06200,0000,06200PATIENTS LAUNDRY 47348,A81000A,00100,0100,Y 47348,A81000B,00100,0300,INTEREST/DEPRECIATION 47348,A81000B,00200,0300,HOME OFFICE COST 47348,A81000B,00300,0300,EDUCATION 47348,A81000B,00400,0300,OFFICE SUPPLIES 47348,A81000B,00500,0300,MAINTENANCE SUPPLIES 47348,A81000B,00600,0300,LAUNDRY SUPPLIES 47348,A81000B,00700,0300,HOUSEKEEPING SUPPLIES 47348,A81000B,00800,0300,DIETARY SUPPLIES 47348,A81000B,00900,0300,MEDICAL SUPPLIES 47348,A81000B,01000,0300,THERAPY SUPPLIES 47348,A81000C,00100,0100,A 47348,A81000C,00100,0200,JOHN MASTERNICK 47348,A81000C,00100,0400,D & M REALTY 47348,A81000C,00100,0600,REAL ESTATE 47348,A81000C,00200,0100,D 47348,A81000C,00200,0200,JOHN J MASTERNICK JR 47348,A81000C,00200,0400,MEDI-RX 47348,A81000C,00200,0600,PHARMACY 47348,A81000C,00300,0100,A 47348,A81000C,00300,0200,JOHN MASTERNICK 47348,A81000C,00300,0400,TRADEMASTERS 47348,A81000C,00300,0600,SUPPLIES 47348,A81000C,00400,0100,D 47348,A81000C,00400,0200,JOHN J MASTERNICK JR 47348,A81000C,00400,0400,TRADEMASTERS 47348,A81000C,00400,0600,SUPPLIES 47348,A81000C,00500,0100,D 47348,A81000C,00500,0200,LEO S GRIMES 47348,A81000C,00500,0400,TRADEMASTERS 47348,A81000C,00500,0600,SUPPLIES 47348,A81000C,00600,0100,A 47348,A81000C,00600,0200,JOHN MASTERNICK 47348,A81000C,00600,0400,WINDSOR TRAINING CENTER 47348,A81000C,00600,0600,EDUCATION 47348,A81000C,00700,0100,A 47348,A81000C,00700,0200,JOHN MASTERNICK 47348,A81000C,00700,0400,WINDSOR HOUSE INC 47348,A81000C,00700,0600,HOME OFFICE 47348,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47348,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47348,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47348,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47348,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47348,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47348,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47348,B100000,00000,0800,00000MEALS SERVED :DIETARY 47348,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47348,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47348,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47348,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47348,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47348,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47348,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47348,S000000,00100,0200,06/05/2000 47348,S200000,00100,0100,95 BLACK DR 47348,S200000,00200,0100,DOYLESTOWN 47348,S200000,00200,0200,OH 47348,S200000,00200,0300,44230- 47348,S200000,00300,0100,WAYNE 47348,S200000,00400,0100,DOYLESTOWN HEALTH CARE 47348,S200000,00400,0200,365695 47348,S200000,00400,0300,03/01/1987 47348,S200000,00400,0500,P 47348,S200000,01500,0100,Y 47348,S700003,00000,0100,1 47356,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47356,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 47356,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47356,A000000,00300,0000,00300EMPLOYEE BENEFITS 47356,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47356,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47356,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47356,A000000,00700,0000,00700HOUSEKEEPING 47356,A000000,00800,0000,00800DIETARY 47356,A000000,00900,0000,00900NURSING ADMINISTRATION 47356,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47356,A000000,01100,0000,01100PHARMACY 47356,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47356,A000000,01300,0000,01300SOCIAL SERVICE 47356,A000000,01350,0000,01500OTHER GENERAL SERVICES 47356,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47356,A000000,01600,0000,01600SKILLED NURSING FACILITY 47356,A000000,01800,0000,01800NURSING FACILITY 47356,A000000,01900,0000,01900OTHER LONG TERM CARE 47356,A000000,02100,0000,02100RADIOLOGY 47356,A000000,02200,0000,02200LABORATORY 47356,A000000,02300,0000,02300INTRAVENOUS THERAPY 47356,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47356,A000000,02500,0000,02500PHYSICAL THERAPY 47356,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47356,A000000,02700,0000,02700SPEECH PATHOLOGY 47356,A000000,02800,0000,02800ELECTROCARDIOLOGY 47356,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47356,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47356,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47356,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47356,A000000,03200,0000,03200SUPPORT SURFACES 47356,A000000,03400,0000,03400CLINIC 47356,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47356,A000000,03500,0000,03500RURAL HEALTH CLINIC 47356,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47356,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47356,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47356,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47356,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47356,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47356,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47356,A000000,04400,0000,04400DME RENTED - HHA 47356,A000000,04500,0000,04500DME SOLD - HHA 47356,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47356,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47356,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47356,A000000,04800,0000,04800AMBULANCE 47356,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47356,A000000,05000,0000,05000CORF 47356,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47356,A000000,05300,0000,05300INTEREST EXPENSE 47356,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47356,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47356,A000000,05500,0000,05500HOSPICE 47356,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47356,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47356,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47356,A000000,06100,0000,06100NONPAID WORKERS 47356,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47356,A000000,06200,0000,06200PATIENTS LAUNDRY 47356,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47356,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47356,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47356,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47356,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47356,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47356,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47356,B100000,00000,0800,00000MEALS SERVED :DIETARY 47356,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47356,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47356,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47356,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47356,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 47356,S000000,00100,0200,06/05/2000 47356,S200000,00100,0100,100 RESEVOIR ROAD 47356,S200000,00200,0100,ST CLAIRSVILLE 47356,S200000,00200,0200,OH 47356,S200000,00200,0300,43950- 47356,S200000,00300,0100,BELMONT 47356,S200000,00300,0200,9000 47356,S200000,00300,0300,U 47356,S200000,00400,0100,FOREST HILL 47356,S200000,00400,0200,365696 47356,S200000,00400,0300,04/15/1987 47356,S200000,00400,0500,P 47356,S200000,01004,0500,O 47356,S200000,01500,0100,Y 47356,S200000,04300,0100,Y 47365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47365,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47365,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47365,A000000,00300,0000,00300EMPLOYEE BENEFITS 47365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47365,A000000,00700,0000,00700HOUSEKEEPING 47365,A000000,00800,0000,00800DIETARY 47365,A000000,00801,0000,00801CAFETERIA 47365,A000000,00900,0000,00900NURSING ADMINISTRATION 47365,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47365,A000000,01100,0000,01100PHARMACY 47365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47365,A000000,01300,0000,01300SOCIAL SERVICE 47365,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47365,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47365,A000000,01600,0000,01600SKILLED NURSING FACILITY 47365,A000000,01800,0000,01800NURSING FACILITY 47365,A000000,01900,0000,01900OTHER LONG TERM CARE 47365,A000000,02100,0000,02100RADIOLOGY 47365,A000000,02200,0000,02200LABORATORY 47365,A000000,02300,0000,02300INTRAVENOUS THERAPY 47365,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47365,A000000,02500,0000,02500PHYSICAL THERAPY 47365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47365,A000000,02700,0000,02700SPEECH PATHOLOGY 47365,A000000,02800,0000,02800ELECTROCARDIOLOGY 47365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47365,A000000,03050,0000,03300OTHER ANCILLARY 47365,A000000,03051,0000,03301OTHER ANCILLARY II 47365,A000000,03052,0000,03302OTHER ANCILLARY III 47365,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47365,A000000,03200,0000,03200SUPPORT SURFACES 47365,A000000,03400,0000,03400CLINIC 47365,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47365,A000000,03500,0000,03500RURAL HEALTH CLINIC 47365,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47365,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47365,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47365,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47365,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47365,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47365,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47365,A000000,04400,0000,04400DME RENTED - HHA 47365,A000000,04500,0000,04500DME SOLD - HHA 47365,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47365,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47365,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47365,A000000,04800,0000,04800AMBULANCE 47365,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47365,A000000,05000,0000,05000CORF 47365,A000000,05010,0000,05010CMHC I 47365,A000000,05020,0000,05020OPT I 47365,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47365,A000000,05300,0000,05300INTEREST EXPENSE 47365,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47365,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47365,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47365,A000000,05500,0000,05500HOSPICE 47365,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47365,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47365,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47365,A000000,06100,0000,06100NONPAID WORKERS 47365,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47365,A000000,06200,0000,06200PATIENTS LAUNDRY 47365,A81000A,00100,0100,Y 47365,A81000B,00100,0300,DEP/INT/RETAX 47365,A81000B,00200,0300,DEP/PP TAX 47365,A81000B,00300,0300,AUDIT/LEGAL/BANK 47365,A81000B,00400,0300,LEASE EXPENSE 47365,A81000B,00500,0300,DEPRECIATION 47365,A81000B,00600,0300,A&G EXPENSE 47365,A81000B,00700,0300,UTILITIES 47365,A81000B,00800,0300,MGMT FEES 47365,A81000C,00100,0100,A 47365,A81000C,00100,0200,J.T. HOLLAND 47365,A81000C,00100,0400,CCIV LTD 47365,A81000C,00100,0600,PARTNERSHIP 47365,A81000C,00200,0100,B 47365,A81000C,00200,0200,J.T. HOLLAND 47365,A81000C,00200,0400,HOLLAND MGMT 47365,A81000C,00200,0600,CORPORATION 47365,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47365,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47365,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47365,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47365,B100000,00000,0350,00000COST :EMPLOYEE BENEFITS 47365,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47365,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47365,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47365,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47365,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47365,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47365,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47365,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47365,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47365,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47365,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47365,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47365,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47365,S000000,00100,0200,06/02/2000 47365,S200000,00100,0100,55801 CONNO MARA DRIVE 47365,S200000,00200,0100,BELLAIRE 47365,S200000,00200,0200,OH 47365,S200000,00200,0300,43906- 47365,S200000,00300,0100,BELMONT 47365,S200000,00400,0100,COUNTRY CLUB IV 47365,S200000,00400,0200,365699 47365,S200000,00400,0300,06/04/1969 47365,S200000,00400,0500,P 47365,S200000,01500,0100,Y 47365,S200000,04300,0100,Y 47375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47375,A000000,00300,0000,00300EMPLOYEE BENEFITS 47375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47375,A000000,00700,0000,00700HOUSEKEEPING 47375,A000000,00800,0000,00800DIETARY 47375,A000000,00900,0000,00900NURSING ADMINISTRATION 47375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47375,A000000,01100,0000,01100PHARMACY 47375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47375,A000000,01300,0000,01300SOCIAL SERVICE 47375,A000000,01600,0000,01600SKILLED NURSING FACILITY 47375,A000000,01800,0000,01800NURSING FACILITY 47375,A000000,01900,0000,01900OTHER LONG TERM CARE 47375,A000000,02100,0000,02100RADIOLOGY 47375,A000000,02200,0000,02200LABORATORY 47375,A000000,02300,0000,02300INTRAVENOUS THERAPY 47375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47375,A000000,02500,0000,02500PHYSICAL THERAPY 47375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47375,A000000,02700,0000,02700SPEECH PATHOLOGY 47375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47375,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47375,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47375,A000000,03200,0000,03200SUPPORT SURFACES 47375,A000000,04800,0000,04800AMBULANCE 47375,A000000,05300,0000,05300INTEREST EXPENSE 47375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47375,A000000,05500,0000,05500HOSPICE 47375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47375,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47375,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47375,A000000,06200,0000,06200PATIENTS LAUNDRY 47375,A81000A,00100,0100,Y 47375,A81000B,00100,0300,VARIOUS 47375,A81000B,00200,0300,VARIOUS 47375,A81000B,00300,0300,VARIOUS 47375,A81000C,00100,0100,A 47375,A81000C,00100,0200,LOUIS KRAUS 47375,A81000C,00100,0400,MAPLE CARE LTD 47375,A81000C,00100,0600,REAL ESTATE 47375,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47375,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47375,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47375,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47375,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47375,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 47375,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47375,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 47375,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 47375,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47375,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 47375,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 47375,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 47375,S000000,00100,0200,06/02/2000 47375,S200000,00100,0100,16231 BROADWAY 47375,S200000,00100,0300,37191 47375,S200000,00200,0100,MAPLE HEIGHTS 47375,S200000,00200,0200,OH 47375,S200000,00200,0300,44137- 47375,S200000,00300,0100,CUYAHOGA 47375,S200000,00400,0100,MAPLE CARE CENTER 47375,S200000,00400,0200,365701 47375,S200000,00400,0300,09/28/1987 47375,S200000,00400,0500,P 47375,S200000,01004,0500,O 47375,S200000,01500,0100,Y 47375,S200000,02800,0100,Y 47375,S200000,04300,0100,Y 47375,S700003,00000,0100,1 47382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47382,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47382,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47382,A000000,00300,0000,00300EMPLOYEE BENEFITS 47382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47382,A000000,00700,0000,00700HOUSEKEEPING 47382,A000000,00800,0000,00800DIETARY 47382,A000000,00801,0000,00801CAFETERIA 47382,A000000,00900,0000,00900NURSING ADMINISTRATION 47382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47382,A000000,01100,0000,01100PHARMACY 47382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47382,A000000,01300,0000,01300SOCIAL SERVICE 47382,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47382,A000000,01600,0000,01600SKILLED NURSING FACILITY 47382,A000000,01800,0000,01800NURSING FACILITY 47382,A000000,01900,0000,01900OTHER LONG TERM CARE 47382,A000000,02100,0000,02100RADIOLOGY 47382,A000000,02200,0000,02200LABORATORY 47382,A000000,02300,0000,02300INTRAVENOUS THERAPY 47382,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47382,A000000,02500,0000,02500PHYSICAL THERAPY 47382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47382,A000000,02700,0000,02700SPEECH PATHOLOGY 47382,A000000,02800,0000,02800ELECTROCARDIOLOGY 47382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47382,A000000,03050,0000,03300OTHER ANCILLARY 47382,A000000,03051,0000,03301OTHER ANCILLARY II 47382,A000000,03052,0000,03302OTHER ANCILLARY III 47382,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47382,A000000,03200,0000,03200SUPPORT SURFACES 47382,A000000,03400,0000,03400CLINIC 47382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47382,A000000,03500,0000,03500RURAL HEALTH CLINIC 47382,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47382,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47382,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47382,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47382,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47382,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47382,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47382,A000000,04400,0000,04400DME RENTED - HHA 47382,A000000,04500,0000,04500DME SOLD - HHA 47382,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47382,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47382,A000000,04800,0000,04800AMBULANCE 47382,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47382,A000000,05000,0000,05000CORF 47382,A000000,05010,0000,05010CMHC I 47382,A000000,05020,0000,05020OPT I 47382,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47382,A000000,05300,0000,05300INTEREST EXPENSE 47382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47382,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47382,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47382,A000000,05500,0000,05500HOSPICE 47382,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47382,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47382,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47382,A000000,06100,0000,06100NONPAID WORKERS 47382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47382,A000000,06200,0000,06200PATIENTS LAUNDRY 47382,A81000A,00100,0100,Y 47382,A81000B,00100,0300,RE & PROP TAXES 47382,A81000B,00200,0300,ADMINISTRATIVE COST 47382,A81000B,00300,0300,REPAIRS AND MAINT 47382,A81000B,00400,0300,INSURANCE 47382,A81000B,00500,0300,NONREIMB INTEREST 47382,A81000B,00600,0300,DEPREC BUILDING 47382,A81000B,00700,0300,HUD INTEREST 47382,A81000B,00800,0300,DEPREC EQUIPMENT 47382,A81000B,00900,0300,LEASE & RENT BLDG 47382,A81000C,00100,0100,A 47382,A81000C,00100,0200,STEWART BOSSEL 47382,A81000C,00100,0400,SOUTHWEST ASSOC 47382,A81000C,00100,0600,REAL EST PART 47382,A81000C,00200,0100,A 47382,A81000C,00200,0200,DANIEL ROCKER 47382,A81000C,00200,0400,SOUTHWEST ASSOC 47382,A81000C,00200,0600,REAL EST PART 47382,A81000C,00300,0100,A 47382,A81000C,00300,0200,FRANK CRISAFI 47382,A81000C,00300,0400,SOUTHWEST ASSOC 47382,A81000C,00300,0600,REAL EST PART 47382,A81000C,00400,0100,A 47382,A81000C,00400,0200,BARBARA SOLTZ 47382,A81000C,00400,0400,SOUTHWEST ASSOC 47382,A81000C,00400,0600,REAL EST PART 47382,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47382,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47382,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47382,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47382,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47382,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47382,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47382,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47382,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47382,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47382,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47382,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47382,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47382,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47382,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47382,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47382,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47382,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47382,E10A180,00350,0300,05/28/1998 47382,S000000,00100,0200,06/05/2000 47382,S200000,00100,0100,7250 OLD OAK BOULEVARD 47382,S200000,00200,0100,MIDDLEBURG HEIGHTS 47382,S200000,00200,0200,OH 47382,S200000,00200,0300,44130- 47382,S200000,00300,0100,CUYAHOGA 47382,S200000,00400,0100,CENTURY OAK CARE CENTER 47382,S200000,00400,0200,365702 47382,S200000,00400,0300,10/20/1987 47382,S200000,00400,0500,P 47382,S200000,01600,0100,Y 47382,S700003,00000,0100,1 47392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47392,A000000,00300,0000,00300EMPLOYEE BENEFITS 47392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47392,A000000,00700,0000,00700HOUSEKEEPING 47392,A000000,00800,0000,00800DIETARY 47392,A000000,00900,0000,00900NURSING ADMINISTRATION 47392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47392,A000000,01100,0000,01100PHARMACY 47392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47392,A000000,01300,0000,01300SOCIAL SERVICE 47392,A000000,01350,0000,01500OTHER GENERAL SERVICES 47392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47392,A000000,01600,0000,01600SKILLED NURSING FACILITY 47392,A000000,01800,0000,01800NURSING FACILITY 47392,A000000,01810,0000,01801ICF/MR 47392,A000000,01900,0000,01900OTHER LONG TERM CARE 47392,A000000,02100,0000,02100RADIOLOGY 47392,A000000,02200,0000,02200LABORATORY 47392,A000000,02300,0000,02300INTRAVENOUS THERAPY 47392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47392,A000000,02500,0000,02500PHYSICAL THERAPY 47392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47392,A000000,02700,0000,02700SPEECH PATHOLOGY 47392,A000000,02800,0000,02800ELECTROCARDIOLOGY 47392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47392,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47392,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47392,A000000,03200,0000,03200SUPPORT SURFACES 47392,A000000,03400,0000,03400CLINIC 47392,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47392,A000000,03500,0000,03500RURAL HEALTH CLINIC 47392,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47392,A000000,04800,0000,04800AMBULANCE 47392,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47392,A000000,05000,0000,05000CORF 47392,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47392,A000000,05300,0000,05300INTEREST EXPENSE 47392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47392,A000000,05500,0000,05500HOSPICE 47392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47392,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47392,A000000,06100,0000,06100NONPAID WORKERS 47392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47392,A000000,06200,0000,06200PATIENTS LAUNDRY 47392,A81000A,00100,0100,Y 47392,A81000B,00100,0300,RELATED PARTY RENT 47392,A81000B,00200,0300,RELATED PARTY INTEREST 47392,A81000B,00300,0300,RELATED PARTY AMORTIZATION 47392,A81000B,00400,0300,RELATED PARTY PERS PROP TAX 47392,A81000B,00500,0300,RELATED PARTY ADMIN & GEN 47392,A81000B,00600,0300,RELATED PARTY DEPRECIATION 47392,A81000B,00700,0300,RELATED PARTY DEPRECIATION 47392,A81000B,00800,0300,HOME OFFICE ALLOCATION 47392,A81000B,00900,0300,HOME OFFICE ALLOCATION 47392,A81000B,01000,0300,HOME OFFICE ALLOCATION 47392,A81000C,00100,0100,C 47392,A81000C,00100,0200,MORTON WEISBERG 47392,A81000C,00100,0400,MULTI-CARE MGMT 47392,A81000C,00100,0600,HOME OFFICE 47392,A81000C,00200,0100,C 47392,A81000C,00200,0200,MORTON WEISBERG 47392,A81000C,00200,0400,WALTON REALTY 47392,A81000C,00200,0600,REALTY CO 47392,A81000C,00300,0100,C 47392,A81000C,00300,0200,DAVID WEISBERG 47392,A81000C,00300,0600,REALTY CO 47392,A81000C,00400,0100,C 47392,A81000C,00400,0200,LISA MCGRIEVY 47392,A81000C,00400,0600,REALTY CO 47392,A81000C,00500,0100,C 47392,A81000C,00500,0200,BILL WEISBERG 47392,A81000C,00500,0600,REALTY CO 47392,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47392,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47392,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47392,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47392,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47392,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47392,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47392,B100000,00000,0800,00000MEALS SERVED :DIETARY 47392,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 47392,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47392,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47392,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47392,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47392,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47392,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47392,E10A180,00550,0300,06/06/2000 47392,S000000,00100,0200,06/05/2000 47392,S200000,00100,0100,19859 ALEXANDER ROAD 47392,S200000,00200,0100,WALTON HILLS 47392,S200000,00200,0200,OH 47392,S200000,00200,0300,44146- 47392,S200000,00300,0100,CUYAHOGA 47392,S200000,00400,0100,WALTON MANOR 47392,S200000,00400,0200,365705 47392,S200000,00400,0300,10/15/1997 47392,S200000,00400,0500,P 47392,S200000,01600,0100,Y 47392,S200000,04300,0100,Y 47401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47401,A000000,00300,0000,00300EMPLOYEE BENEFITS 47401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47401,A000000,00700,0000,00700HOUSEKEEPING 47401,A000000,00800,0000,00800DIETARY 47401,A000000,00900,0000,00900NURSING ADMINISTRATION 47401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47401,A000000,01100,0000,01100PHARMACY 47401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47401,A000000,01300,0000,01300SOCIAL SERVICE 47401,A000000,01600,0000,01600SKILLED NURSING FACILITY 47401,A000000,01800,0000,01800NURSING FACILITY 47401,A000000,01900,0000,01900OTHER LONG TERM CARE 47401,A000000,02100,0000,02100RADIOLOGY 47401,A000000,02200,0000,02200LABORATORY 47401,A000000,02300,0000,02300INTRAVENOUS THERAPY 47401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47401,A000000,02500,0000,02500PHYSICAL THERAPY 47401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47401,A000000,02700,0000,02700SPEECH PATHOLOGY 47401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47401,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47401,A000000,03200,0000,03200SUPPORT SURFACES 47401,A000000,04800,0000,04800AMBULANCE 47401,A000000,05300,0000,05300INTEREST EXPENSE 47401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47401,A000000,05500,0000,05500HOSPICE 47401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47401,A000000,06150,0000,06300ENTERALS & OTHER NON-REIMB. 47401,A000000,06200,0000,06200PATIENTS LAUNDRY 47401,A81000A,00100,0100,Y 47401,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 47401,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 47401,A81000B,00300,0300,HOME OFFICE COSTS 47401,A81000B,00400,0300,HOME OFFICE COSTS 47401,A81000B,00500,0300,HOME OFFICE THERAPY COSTS 47401,A81000B,00600,0300,HOME OFFICE THERAPY COSTS 47401,A81000B,00700,0300,HOME OFFICE THERAPY COSTS 47401,A81000B,00800,0300,REAL ESTATE PTSP EXPENSE 47401,A81000B,00900,0300,REAL ESTATE PTSP EXPENSE 47401,A81000C,00100,0100,A 47401,A81000C,00100,0200,BRUCE DASKAL 47401,A81000C,00100,0400,DMD MANAGEMENT 47401,A81000C,00100,0600,MANAGEMENT CO. 47401,A81000C,00200,0100,A 47401,A81000C,00200,0200,SHARON DASKAL 47401,A81000C,00200,0400,DMD MANAGEMENT 47401,A81000C,00200,0600,MANAGEMENT CO. 47401,A81000C,00300,0100,A 47401,A81000C,00300,0200,DAVID FARKAS 47401,A81000C,00300,0400,DMD MANAGEMENT 47401,A81000C,00300,0600,MANAGEMENT CO. 47401,A81000C,00400,0100,A 47401,A81000C,00400,0200,VALERIE FARKAS 47401,A81000C,00400,0400,DMD MANAGEMENT 47401,A81000C,00400,0600,MANAGEMENT CO. 47401,A81000C,00500,0100,A 47401,A81000C,00500,0200,HAROLD SHACHTER 47401,A81000C,00500,0400,DMD MANAGEMENT 47401,A81000C,00500,0600,MANAGEMENT CO. 47401,A81000C,00600,0100,A 47401,A81000C,00600,0200,RITA SCHONFELD 47401,A81000C,00600,0400,DMD MANAGEMENT 47401,A81000C,00600,0600,MANAGEMENT CO. 47401,A81000C,00700,0100,A 47401,A81000C,00700,0200,LARRY DANCZIGER 47401,A81000C,00700,0400,DMD MANAGEMENT 47401,A81000C,00700,0600,MANAGEMENT CO. 47401,A81000C,00800,0100,A 47401,A81000C,00800,0200,HELENA FLANK 47401,A81000C,00800,0400,DMD MANAGEMENT 47401,A81000C,00800,0600,MANAGEMENT CO. 47401,A81000C,00900,0100,A 47401,A81000C,00900,0200,RUTH FEIG 47401,A81000C,00900,0400,DMD MANAGEMENT 47401,A81000C,00900,0600,MANAGEMENT CO. 47401,A81000C,01000,0100,D 47401,A81000C,01000,0200,ALEX DASKAL 47401,A81000C,01000,0400,DMD MANAGEMENT 47401,A81000C,01000,0600,MANAGEMENT CO. 47401,A81000C,01001,0100,D 47401,A81000C,01001,0200,ESTER DASKAL 47401,A81000C,01001,0400,DMD MANAGEMENT 47401,A81000C,01001,0600,MANAGEMENT CO. 47401,A81000C,01002,0100,D 47401,A81000C,01002,0200,EDITH SHACHTER 47401,A81000C,01002,0400,DMD MANAGEMENT 47401,A81000C,01002,0600,MANAGEMENT CO. 47401,A81000C,01003,0100,D 47401,A81000C,01003,0200,LOUIS SCHONFELD 47401,A81000C,01003,0400,DMD MANAGEMENT 47401,A81000C,01003,0600,MANAGEMENT CO. 47401,A81000C,01004,0100,D 47401,A81000C,01004,0200,ROSE DANCZIGER 47401,A81000C,01004,0400,DMD MANAGEMENT 47401,A81000C,01004,0600,MANAGEMENT CO. 47401,A81000C,01005,0100,D 47401,A81000C,01005,0200,LORETTA DANCZIGER 47401,A81000C,01005,0400,DMD MANAGEMENT 47401,A81000C,01005,0600,MANAGEMENT CO. 47401,A81000C,01006,0100,D 47401,A81000C,01006,0200,MIKE FLANK 47401,A81000C,01006,0400,DMD MANAGEMENT 47401,A81000C,01006,0600,MANAGEMENT CO. 47401,A81000C,01007,0100,D 47401,A81000C,01007,0200,REGINA KATZ 47401,A81000C,01007,0400,DMD MANAGEMENT 47401,A81000C,01007,0600,MANAGEMENT CO. 47401,A81000C,01008,0100,A 47401,A81000C,01008,0200,BRUCE DASKAL 47401,A81000C,01008,0400,PLSNT LAKE ASSC 47401,A81000C,01008,0600,REALTY CO. 47401,A81000C,01009,0100,A 47401,A81000C,01009,0200,SHARON DASKAL 47401,A81000C,01009,0400,PLSNT LAKE ASSC 47401,A81000C,01009,0600,REALTY CO. 47401,A81000C,01010,0100,A 47401,A81000C,01010,0200,DAVID FARKAS 47401,A81000C,01010,0400,PLSNT LAKE ASSC 47401,A81000C,01010,0600,REALTY CO. 47401,A81000C,01011,0100,A 47401,A81000C,01011,0200,VALERIE FARKAS 47401,A81000C,01011,0400,PLSNT LAKE ASSC 47401,A81000C,01011,0600,REALTY CO. 47401,A81000C,01012,0100,A 47401,A81000C,01012,0200,HAROLD SHACHTER 47401,A81000C,01012,0400,PLSNT LAKE ASSC 47401,A81000C,01012,0600,REALTY CO. 47401,A81000C,01013,0100,A 47401,A81000C,01013,0200,RITA SCHONFELD 47401,A81000C,01013,0400,PLSNT LAKE ASSC 47401,A81000C,01013,0600,REALTY CO. 47401,A81000C,01014,0100,A 47401,A81000C,01014,0200,LARRY DANCZIGER 47401,A81000C,01014,0400,PLSNT LAKE ASSC 47401,A81000C,01014,0600,REALTY CO. 47401,A81000C,01015,0100,A 47401,A81000C,01015,0200,HELENA FLANK 47401,A81000C,01015,0400,PLSNT LAKE ASSC 47401,A81000C,01015,0600,REALTY CO. 47401,A81000C,01016,0100,A 47401,A81000C,01016,0200,RUTH FEIG 47401,A81000C,01016,0400,PLSNT LAKE ASSC 47401,A81000C,01016,0600,REALTY CO. 47401,A81000C,01017,0100,D 47401,A81000C,01017,0200,EDITH SHACHTER 47401,A81000C,01017,0400,PLSNT LAKE ASSC 47401,A81000C,01017,0600,REALTY CO. 47401,A81000C,01018,0100,D 47401,A81000C,01018,0200,LOUIS SCHONFELD 47401,A81000C,01018,0400,PLSNT LAKE ASSC 47401,A81000C,01018,0600,REALTY CO. 47401,A81000C,01019,0100,D 47401,A81000C,01019,0200,ROSE DANCZIGER 47401,A81000C,01019,0400,PLSNT LAKE ASSC 47401,A81000C,01019,0600,REALTY CO. 47401,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47401,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47401,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47401,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47401,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47401,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47401,B100000,00000,0800,00000MEALS SERVED :DIETARY 47401,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47401,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47401,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47401,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47401,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 47401,E10A180,00501,0100,07/25/2000 47401,S000000,00100,0200,06/05/2000 47401,S200000,00100,0100,7260 RIDGE ROAD 47401,S200000,00200,0100,PARMA 47401,S200000,00200,0200,OH 47401,S200000,00200,0300,44129- 47401,S200000,00300,0100,CUYAHOGA 47401,S200000,00400,0100,PLEASANT LAKE VILLA 47401,S200000,00400,0200,365706 47401,S200000,00400,0300,11/18/1987 47401,S200000,00400,0500,P 47401,S200000,01600,0100,Y 47401,S200000,04300,0100,Y 47410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47410,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47410,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47410,A000000,00300,0000,00300EMPLOYEE BENEFITS 47410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47410,A000000,00700,0000,00700HOUSEKEEPING 47410,A000000,00800,0000,00800DIETARY 47410,A000000,00801,0000,00801CAFETERIA 47410,A000000,00900,0000,00900NURSING ADMINISTRATION 47410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47410,A000000,01100,0000,01100PHARMACY 47410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47410,A000000,01300,0000,01300SOCIAL SERVICE 47410,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47410,A000000,01600,0000,01600SKILLED NURSING FACILITY 47410,A000000,01800,0000,01800NURSING FACILITY 47410,A000000,01900,0000,01900OTHER LONG TERM CARE 47410,A000000,02100,0000,02100RADIOLOGY 47410,A000000,02200,0000,02200LABORATORY 47410,A000000,02300,0000,02300INTRAVENOUS THERAPY 47410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47410,A000000,02500,0000,02500PHYSICAL THERAPY 47410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47410,A000000,02700,0000,02700SPEECH PATHOLOGY 47410,A000000,02800,0000,02800ELECTROCARDIOLOGY 47410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47410,A000000,03050,0000,03300OTHER ANCILLARY 47410,A000000,03051,0000,03301OTHER ANCILLARY II 47410,A000000,03052,0000,03302OTHER ANCILLARY III 47410,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47410,A000000,03200,0000,03200SUPPORT SURFACES 47410,A000000,03400,0000,03400CLINIC 47410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47410,A000000,03500,0000,03500RURAL HEALTH CLINIC 47410,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47410,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47410,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47410,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47410,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47410,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47410,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47410,A000000,04400,0000,04400DME RENTED - HHA 47410,A000000,04500,0000,04500DME SOLD - HHA 47410,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47410,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47410,A000000,04800,0000,04800AMBULANCE 47410,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47410,A000000,05000,0000,05000CORF 47410,A000000,05010,0000,05010CMHC I 47410,A000000,05020,0000,05020OPT I 47410,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47410,A000000,05300,0000,05300INTEREST EXPENSE 47410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47410,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47410,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47410,A000000,05500,0000,05500HOSPICE 47410,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47410,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47410,A000000,06100,0000,06100NONPAID WORKERS 47410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47410,A000000,06200,0000,06200PATIENTS LAUNDRY 47410,A81000A,00100,0100,Y 47410,A81000B,00100,0300,PROFIT-BASED FEES 47410,A81000C,00100,0100,A 47410,A81000C,00100,0200,LEO E. ZICKLER 47410,A81000C,00100,0400,OXFORD RETIREM. 47410,A81000C,00100,0600,RETIRE SERV 47410,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47410,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47410,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47410,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47410,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47410,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47410,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47410,B100000,00000,0650,00000PT DAYS :LAUNDRY & LINEN SERVICE 47410,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47410,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47410,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47410,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 47410,B100000,00000,1050,00000PT DAYS :CENTRAL SERVICES & SUPPLY 47410,B100000,00000,1150,00000PT DAYS :PHARMACY 47410,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 47410,B100000,00000,1330,00000PT DAYS :SOCIAL SERVICE 47410,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 47410,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47410,E10A180,00501,0100,10/13/2000 47410,E10A180,00501,0300,06/07/2000 47410,E10A180,00502,0100,11/02/2000 47410,E10A180,00550,0100,06/07/2000 47410,E10A180,00550,0300,11/02/2000 47410,S000000,00100,0200,06/05/2000 47410,S200000,00100,0100,120 BROOKMONT ROAD 47410,S200000,00200,0100,AKRON 47410,S200000,00200,0200,OH 47410,S200000,00300,0100,SUMMIT 47410,S200000,00400,0100,WINDSONG CARE CENTER 47410,S200000,00400,0200,365707 47410,S200000,00400,0300,01/01/1988 47410,S200000,00400,0500,P 47410,S200000,01500,0100,Y 47426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47426,A000000,00300,0000,00300EMPLOYEE BENEFITS 47426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47426,A000000,00700,0000,00700HOUSEKEEPING 47426,A000000,00800,0000,00800DIETARY 47426,A000000,00900,0000,00900NURSING ADMINISTRATION 47426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47426,A000000,01100,0000,01100PHARMACY 47426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47426,A000000,01300,0000,01300SOCIAL SERVICE 47426,A000000,01350,0000,01500ACTIVITIES 47426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47426,A000000,01600,0000,01600SKILLED NURSING FACILITY 47426,A000000,01800,0000,01800NURSING FACILITY 47426,A000000,01810,0000,01801ICF/MR 47426,A000000,01900,0000,01900OTHER LONG TERM CARE 47426,A000000,02100,0000,02100RADIOLOGY 47426,A000000,02200,0000,02200LABORATORY 47426,A000000,02300,0000,02300INTRAVENOUS THERAPY 47426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47426,A000000,02500,0000,02500PHYSICAL THERAPY 47426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47426,A000000,02700,0000,02700SPEECH PATHOLOGY 47426,A000000,02800,0000,02800ELECTROCARDIOLOGY 47426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47426,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47426,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47426,A000000,03200,0000,03200SUPPORT SURFACES 47426,A000000,03400,0000,03400CLINIC 47426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47426,A000000,03500,0000,03500RURAL HEALTH CLINIC 47426,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47426,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47426,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47426,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47426,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47426,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47426,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47426,A000000,04400,0000,04400DME RENTED - HHA 47426,A000000,04500,0000,04500DME SOLD - HHA 47426,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47426,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47426,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47426,A000000,04800,0000,04800AMBULANCE 47426,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47426,A000000,05000,0000,05000CORF 47426,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47426,A000000,05300,0000,05300INTEREST EXPENSE 47426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47426,A000000,05500,0000,05500HOSPICE 47426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47426,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47426,A000000,06100,0000,06100NONPAID WORKERS 47426,A000000,06150,0000,06300RETIREMENT AND MARKETING 47426,A000000,06200,0000,06200PATIENTS LAUNDRY 47426,A81000A,00100,0100,Y 47426,A81000B,00100,0300,CAPITAL ALLOC 47426,A81000B,00200,0300,ADMIN & GENERAL 47426,A81000C,00100,0100,G 47426,A81000C,00100,0200,CANTON REGENCY 47426,A81000C,00100,0400,CAPITAL SENIOR LIVING 47426,A81000C,00100,0600,CONCARECOMM 47426,A81000C,00200,0100,G 47426,A81000C,00200,0200,CANTON REGENCY 47426,A81000C,00200,0400,CAPITAL SENIOR LIVING 47426,A81000C,00200,0600,CONCARECOMM 47426,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47426,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47426,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47426,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47426,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47426,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 47426,B100000,00000,0800,00000MEALS SERVED :DIETARY 47426,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 47426,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47426,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47426,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47426,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47426,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 47426,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47426,S000000,00100,0200,06/02/2000 47426,S200000,00100,0100,4515 22ND STREET NW 47426,S200000,00200,0100,CANTON 47426,S200000,00200,0200,OH 47426,S200000,00200,0300,44708- 47426,S200000,00300,0100,STARK 47426,S200000,00400,0100,CANTON REGENCY 47426,S200000,00400,0200,365710 47426,S200000,00400,0300,04/19/1988 47426,S200000,00400,0500,P 47426,S200000,01600,0100,Y 47426,S700003,00000,0100,1 47439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47439,A000000,00300,0000,00300EMPLOYEE BENEFITS 47439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47439,A000000,00700,0000,00700HOUSEKEEPING 47439,A000000,00800,0000,00800DIETARY 47439,A000000,00900,0000,00900NURSING ADMINISTRATION 47439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47439,A000000,01100,0000,01100PHARMACY 47439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47439,A000000,01300,0000,01300SOCIAL SERVICE 47439,A000000,01600,0000,01600SKILLED NURSING FACILITY 47439,A000000,01800,0000,01800NURSING FACILITY 47439,A000000,01900,0000,01900OTHER LONG TERM CARE 47439,A000000,02100,0000,02100RADIOLOGY 47439,A000000,02200,0000,02200LABORATORY 47439,A000000,02300,0000,02300INTRAVENOUS THERAPY 47439,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47439,A000000,02500,0000,02500PHYSICAL THERAPY 47439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47439,A000000,02700,0000,02700SPEECH PATHOLOGY 47439,A000000,02800,0000,02800ELECTROCARDIOLOGY 47439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47439,A000000,03200,0000,03200SUPPORT SURFACES 47439,A000000,04800,0000,04800AMBULANCE 47439,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47439,A000000,05300,0000,05300INTEREST EXPENSE 47439,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47439,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47439,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47439,A000000,06150,0000,06300INDEPENDENT LIVING 47439,A81000A,00100,0100,Y 47439,A81000B,00100,0300,OWNERSHIP COST 47439,A81000B,00200,0300,OWNERSHIP COST 47439,A81000B,00300,0300,OWNERSHIP COST 47439,A81000B,00400,0300,ACCOUNTING SERVICES 47439,A81000B,00500,0300,ACCOUNTING SERVICES 47439,A81000B,00600,0300,ACCOUNTING SERVICES 47439,A81000B,00700,0300,PHARMACY ITEMS 47439,A81000B,00800,0300,THERAPY SERVICES 47439,A81000C,00100,0100,A 47439,A81000C,00100,0200,STEVE BOYMEL 47439,A81000C,00100,0400,BROOKWOOD REALT 47439,A81000C,00100,0600,REALTY COMPANY 47439,A81000C,00200,0100,A 47439,A81000C,00200,0200,STEVE BOYMEL 47439,A81000C,00200,0400,CENTRAL ACCOUNT 47439,A81000C,00200,0600,ACCTNG/MNGMT 47439,A81000C,00300,0100,A 47439,A81000C,00300,0200,STEVE BOYMEL 47439,A81000C,00300,0400,PHARMCO 47439,A81000C,00300,0600,PHARMACY 47439,A81000C,00400,0100,D 47439,A81000C,00400,0200,JEROME STANISLA 47439,A81000C,00400,0400,THERAPY 2000 47439,A81000C,00400,0600,THERAPY SERVICE 47439,A81000C,00500,0100,D 47439,A81000C,00500,0200,AGENT FOR THOMA 47439,A81000C,00500,0400,THERAPY 2000 47439,A81000C,00500,0600,THERAPY SERVICE 47439,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47439,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47439,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47439,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47439,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47439,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47439,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 47439,B100000,00000,0800,00000MEALS SERVED :DIETARY 47439,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 47439,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 47439,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 47439,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47439,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47439,S000000,00100,0200,05/31/2000 47439,S200000,00100,0100,12100 REED HARTMAN HIGHWAY 47439,S200000,00200,0100,CINCINNATI 47439,S200000,00200,0200,OH 47439,S200000,00200,0300,45241- 47439,S200000,00300,0100,HAMILTON 47439,S200000,00400,0100,BROOKWOOD RETIREMENT COMMUNITY 47439,S200000,00400,0200,365712 47439,S200000,00400,0300,09/06/1988 47439,S200000,00400,0500,P 47439,S200000,01600,0100,Y 47439,S200000,02800,0100,Y 47439,S200000,04700,0100,Y 47449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47449,A000000,00300,0000,00300EMPLOYEE BENEFITS 47449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47449,A000000,00700,0000,00700HOUSEKEEPING 47449,A000000,00800,0000,00800DIETARY 47449,A000000,00900,0000,00900NURSING ADMINISTRATION 47449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47449,A000000,01100,0000,01100PHARMACY 47449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47449,A000000,01300,0000,01300SOCIAL SERVICE 47449,A000000,01350,0000,01500ACTIVITIES 47449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47449,A000000,01600,0000,01600SKILLED NURSING FACILITY 47449,A000000,01800,0000,01800NURSING FACILITY 47449,A000000,01810,0000,01801ICF/MR 47449,A000000,01900,0000,01900OTHER LONG TERM CARE 47449,A000000,02100,0000,02100RADIOLOGY 47449,A000000,02200,0000,02200LABORATORY 47449,A000000,02300,0000,02300INTRAVENOUS THERAPY 47449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47449,A000000,02500,0000,02500PHYSICAL THERAPY 47449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47449,A000000,02700,0000,02700SPEECH PATHOLOGY 47449,A000000,02800,0000,02800ELECTROCARDIOLOGY 47449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47449,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47449,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47449,A000000,03200,0000,03200SUPPORT SURFACES 47449,A000000,03400,0000,03400CLINIC 47449,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47449,A000000,03500,0000,03500RURAL HEALTH CLINIC 47449,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47449,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47449,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47449,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47449,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47449,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47449,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47449,A000000,04400,0000,04400DME RENTED - HHA 47449,A000000,04500,0000,04500DME SOLD - HHA 47449,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47449,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47449,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47449,A000000,04800,0000,04800AMBULANCE 47449,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47449,A000000,05000,0000,05000CORF 47449,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47449,A000000,05300,0000,05300INTEREST EXPENSE 47449,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47449,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47449,A000000,05500,0000,05500HOSPICE 47449,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47449,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47449,A000000,06100,0000,06100NONPAID WORKERS 47449,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47449,A000000,06200,0000,06200PATIENTS LAUNDRY 47449,A81000A,00100,0100,Y 47449,A81000B,00100,0300,HOME OFFICE COSTS 47449,A81000C,00100,0100,A 47449,A81000C,00100,0200,FRANCISCAN HEALTH SYSTEM 47449,A81000C,00100,0400,FRANCISCAN SISTERS 47449,A81000C,00100,0600,HOME OFFICE 47449,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47449,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47449,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47449,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47449,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47449,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47449,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47449,B100000,00000,0800,00000MEALS SERVED :DIETARY 47449,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47449,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47449,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47449,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47449,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47449,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47449,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47449,S000000,00100,0200,06/01/2000 47449,S200000,00100,0100,8100 CLYO ROAD 47449,S200000,00200,0100,CENTERVILLE 47449,S200000,00200,0200,OH 47449,S200000,00200,0300,45459- 47449,S200000,00300,0100,MONTGOMERY 47449,S200000,00400,0100,THE FRANCISCAN AT ST. LEONARD 47449,S200000,00400,0200,365714 47449,S200000,00400,0300,10/14/1988 47449,S200000,00400,0500,P 47449,S200000,01600,0100,Y 47449,S200000,02200,0100,Y 47449,S200000,04300,0100,Y 47449,S700003,00000,0100,1 47456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47456,A000000,00300,0000,00300EMPLOYEE BENEFITS 47456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47456,A000000,00700,0000,00700HOUSEKEEPING 47456,A000000,00800,0000,00800DIETARY 47456,A000000,00900,0000,00900NURSING ADMINISTRATION 47456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47456,A000000,01100,0000,01100PHARMACY 47456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47456,A000000,01300,0000,01300SOCIAL SERVICE 47456,A000000,01350,0000,01500OTHER GENERAL SERVICES 47456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47456,A000000,01600,0000,01600SKILLED NURSING FACILITY 47456,A000000,01800,0000,01800NURSING FACILITY 47456,A000000,01810,0000,01801ICF/MR 47456,A000000,01900,0000,01900OTHER LONG TERM CARE 47456,A000000,02100,0000,02100RADIOLOGY 47456,A000000,02200,0000,02200LABORATORY 47456,A000000,02300,0000,02300INTRAVENOUS THERAPY 47456,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47456,A000000,02500,0000,02500PHYSICAL THERAPY 47456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47456,A000000,02700,0000,02700SPEECH PATHOLOGY 47456,A000000,02800,0000,02800ELECTROCARDIOLOGY 47456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47456,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47456,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47456,A000000,03200,0000,03200SUPPORT SURFACES 47456,A000000,03400,0000,03400CLINIC 47456,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47456,A000000,03500,0000,03500RURAL HEALTH CLINIC 47456,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47456,A000000,04800,0000,04800AMBULANCE 47456,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47456,A000000,05000,0000,05000CORF 47456,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47456,A000000,05300,0000,05300INTEREST EXPENSE 47456,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47456,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47456,A000000,05500,0000,05500HOSPICE 47456,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47456,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47456,A000000,06100,0000,06100NONPAID WORKERS 47456,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47456,A000000,06200,0000,06200PATIENTS LAUNDRY 47456,A81000A,00100,0100,Y 47456,A81000B,00100,0300,INTEREST / DEPRECIATION 47456,A81000B,00200,0300,PRECRIPTION DRUGS 47456,A81000B,00300,0300,EDUCATIONAL / TRAINING 47456,A81000B,00400,0300,HOME OFFICE COST 47456,A81000B,00500,0300,OFFICE SUPPLIES 47456,A81000B,00600,0300,MAINTENANCE SUPPLIES 47456,A81000B,00700,0300,LAUNDRY SUPPLIES 47456,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 47456,A81000B,00900,0300,DIETARY SUPPLIES 47456,A81000B,01000,0300,MEDICAL SUPPLIES 47456,A81000B,01100,0300,THRAPY SUPPLIES 47456,A81000C,00100,0100,A 47456,A81000C,00100,0200,JOHN MASTERNICK 47456,A81000C,00100,0400,D & M TRUST 47456,A81000C,00100,0600,REAL ESTATE 47456,A81000C,00200,0100,D 47456,A81000C,00200,0200,JOHN J MASTERNICK JR 47456,A81000C,00200,0400,MEDI-RX INC 47456,A81000C,00200,0600,PHARMACY 47456,A81000C,00300,0100,A 47456,A81000C,00300,0200,JOHN MASTERNICK 47456,A81000C,00300,0400,TRADEMASTERS 47456,A81000C,00300,0600,SUPPLIES 47456,A81000C,00400,0100,D 47456,A81000C,00400,0200,JOHN J MASTERNICK JR 47456,A81000C,00400,0400,TRADEMASTERS 47456,A81000C,00400,0600,SUPPLIES 47456,A81000C,00500,0100,D 47456,A81000C,00500,0200,LEO S GRIMES 47456,A81000C,00500,0400,TRADEMASTERS 47456,A81000C,00500,0600,SUPPLIES 47456,A81000C,00600,0100,A 47456,A81000C,00600,0200,JOHN MASTERNICK 47456,A81000C,00600,0400,WINDSOR TRAINING CENTER 47456,A81000C,00600,0600,EDUCATION 47456,A81000C,00700,0100,A 47456,A81000C,00700,0200,JOHN MASTERNICK 47456,A81000C,00700,0400,WINDSOR HOUSE INC 47456,A81000C,00700,0600,HOME OFFICE 47456,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 47456,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 47456,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 47456,B100000,00000,0400,00000 ACCUM COST :ADMINISTRATIVE & GENER 47456,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 47456,B100000,00000,0600,00000 POUNDS OF LAUNDRY:LAUNDRY & LINEN 47456,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 47456,B100000,00000,0800,00000 MEALS SERVED :DIETARY 47456,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 47456,B100000,00000,1000,00000 COST REQUIST :CENTRAL SERVICES & S 47456,B100000,00000,1100,00000 COST REQUIST :PHARMACY 47456,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47456,B100000,00000,1300,00000 TIME SPENT :SOCIAL SERVICE 47456,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 47456,B100000,00000,1400,00000 ASSIGNED TIME :INTERNS & RESIDENTS 47456,S000000,00100,0200,06/02/2000 47456,S200000,00100,0100,1899 GARFIELD RD. 47456,S200000,00200,0100,COLAMBIANA 47456,S200000,00200,0200,OH 47456,S200000,00200,0300,44408- 47456,S200000,00300,0100,MAHONING 47456,S200000,00400,0100,SM ALZHEIMERS CENTER 47456,S200000,00400,0200,365715 47456,S200000,00400,0300,11/19/1998 47456,S200000,00400,0500,P 47456,S200000,01500,0100,Y 47465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47465,A000000,00300,0000,00300EMPLOYEE BENEFITS 47465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47465,A000000,00700,0000,00700HOUSEKEEPING 47465,A000000,00800,0000,00800DIETARY 47465,A000000,00900,0000,00900NURSING ADMINISTRATION 47465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47465,A000000,01100,0000,01100PHARMACY 47465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47465,A000000,01300,0000,01300SOCIAL SERVICE 47465,A000000,01350,0000,01500ACTIVITIES 47465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47465,A000000,01600,0000,01600SKILLED NURSING FACILITY 47465,A000000,01800,0000,01800NURSING FACILITY 47465,A000000,01810,0000,01801ICF/MR 47465,A000000,01900,0000,01900OTHER LONG TERM CARE 47465,A000000,02100,0000,02100RADIOLOGY 47465,A000000,02200,0000,02200LABORATORY 47465,A000000,02300,0000,02300INTRAVENOUS THERAPY 47465,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47465,A000000,02500,0000,02500PHYSICAL THERAPY 47465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47465,A000000,02700,0000,02700SPEECH PATHOLOGY 47465,A000000,02800,0000,02800ELECTROCARDIOLOGY 47465,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47465,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47465,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47465,A000000,03200,0000,03200SUPPORT SURFACES 47465,A000000,03400,0000,03400CLINIC 47465,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47465,A000000,03500,0000,03500RURAL HEALTH CLINIC 47465,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47465,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47465,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47465,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47465,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47465,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47465,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47465,A000000,04400,0000,04400DME RENTED - HHA 47465,A000000,04500,0000,04500DME SOLD - HHA 47465,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47465,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47465,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47465,A000000,04800,0000,04800AMBULANCE 47465,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47465,A000000,05000,0000,05000CORF 47465,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47465,A000000,05300,0000,05300INTEREST EXPENSE 47465,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47465,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47465,A000000,05500,0000,05500HOSPICE 47465,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47465,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47465,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47465,A000000,06100,0000,06100NONPAID WORKERS 47465,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47465,A000000,06200,0000,06200PATIENTS LAUNDRY 47465,A81000A,00100,0100,Y 47465,A81000B,00100,0300,CAPITAL-MANAGEMENT 47465,A81000B,00200,0300,MANAGEMENT 47465,A81000C,00100,0100,A 47465,A81000C,00100,0200,SKIP HAMILTON 47465,A81000C,00100,0400,GRANDVIEW MANOR 47465,A81000C,00100,0600,MANAGEMENT 47465,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47465,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47465,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47465,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47465,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47465,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47465,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47465,B100000,00000,0800,00000MEALS SERVED :DIETARY 47465,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47465,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47465,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47465,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47465,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47465,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47465,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47465,S000000,00100,0200,05/26/2000 47465,S200000,00100,0100,405 GRAFTON AVENUE 47465,S200000,00200,0100,DAYTON 47465,S200000,00200,0200,OH 47465,S200000,00200,0300,45406- 47465,S200000,00300,0100,MONTGOMERY 47465,S200000,00400,0100,GRAFTON OAKS NURSING CENTER 47465,S200000,00400,0200,365716 47465,S200000,00400,0300,11/12/1988 47465,S200000,00400,0500,P 47465,S200000,01004,0500,O 47465,S200000,01600,0100,Y 47465,S200000,04300,0100,Y 47465,S700003,00000,0100,1 47477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47477,A000000,00300,0000,00300EMPLOYEE BENEFITS 47477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47477,A000000,00700,0000,00700HOUSEKEEPING 47477,A000000,00800,0000,00800DIETARY 47477,A000000,00900,0000,00900NURSING ADMINISTRATION 47477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47477,A000000,01100,0000,01100PHARMACY 47477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47477,A000000,01300,0000,01300SOCIAL SERVICE 47477,A000000,01350,0000,01500ACTIVITIES 47477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47477,A000000,01600,0000,01600SKILLED NURSING FACILITY 47477,A000000,01800,0000,01800NURSING FACILITY 47477,A000000,01810,0000,01801ICF/MR 47477,A000000,01900,0000,01900OTHER LONG TERM CARE 47477,A000000,02100,0000,02100RADIOLOGY 47477,A000000,02200,0000,02200LABORATORY 47477,A000000,02300,0000,02300INTRAVENOUS THERAPY 47477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47477,A000000,02500,0000,02500PHYSICAL THERAPY 47477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47477,A000000,02700,0000,02700SPEECH PATHOLOGY 47477,A000000,02800,0000,02800ELECTROCARDIOLOGY 47477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47477,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47477,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47477,A000000,03200,0000,03200SUPPORT SURFACES 47477,A000000,03400,0000,03400CLINIC 47477,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47477,A000000,03500,0000,03500RURAL HEALTH CLINIC 47477,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47477,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47477,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47477,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47477,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47477,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47477,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47477,A000000,04400,0000,04400DME RENTED - HHA 47477,A000000,04500,0000,04500DME SOLD - HHA 47477,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47477,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47477,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47477,A000000,04800,0000,04800AMBULANCE 47477,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47477,A000000,05000,0000,05000CORF 47477,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47477,A000000,05300,0000,05300INTEREST EXPENSE 47477,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47477,A000000,05500,0000,05500HOSPICE 47477,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47477,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47477,A000000,06100,0000,06100NONPAID WORKERS 47477,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47477,A000000,06200,0000,06200PATIENTS LAUNDRY 47477,A81000A,00100,0100,Y 47477,A81000B,00100,0300,HOME OFFICE COST 47477,A81000C,00100,0100,A 47477,A81000C,00100,0200,RALPH HAZELBAKER 47477,A81000C,00100,0400,AEGIS INC. 47477,A81000C,00100,0600,MANAGEMENT 47477,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47477,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47477,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47477,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47477,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47477,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47477,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47477,B100000,00000,0800,00000MEALS SERVED :DIETARY 47477,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47477,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47477,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47477,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47477,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47477,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47477,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47477,S000000,00100,0200,05/30/2000 47477,S200000,00100,0100,5430 POST ROAD 47477,S200000,00200,0100,DUBLIN 47477,S200000,00200,0200,OH 47477,S200000,00200,0300,43017- 47477,S200000,00300,0100,FRANKLIN 47477,S200000,00400,0100,CONVALARIUM AT INDIAN RUN 47477,S200000,00400,0200,365717 47477,S200000,00400,0300,12/16/1988 47477,S200000,00400,0500,P 47477,S200000,01500,0100,Y 47477,S200000,04300,0100,Y 47489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47489,A000000,00300,0000,00300EMPLOYEE BENEFITS 47489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47489,A000000,00700,0000,00700HOUSEKEEPING 47489,A000000,00800,0000,00800DIETARY 47489,A000000,00900,0000,00900NURSING ADMINISTRATION 47489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47489,A000000,01100,0000,01100PHARMACY 47489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47489,A000000,01300,0000,01300SOCIAL SERVICE 47489,A000000,01600,0000,01600SKILLED NURSING FACILITY 47489,A000000,01800,0000,01800NURSING FACILITY 47489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47489,A000000,02500,0000,02500PHYSICAL THERAPY 47489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47489,A000000,02700,0000,02700SPEECH PATHOLOGY 47489,A000000,02800,0000,02800ELECTROCARDIOLOGY 47489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47489,A000000,05300,0000,05300INTEREST EXPENSE 47489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47489,A000000,06100,0000,06100NONPAID WORKERS 47489,A000000,06200,0000,06200PATIENTS LAUNDRY 47489,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47489,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47489,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47489,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47489,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 47489,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 47489,B100000,00000,0800,00000MEALS SERVED :DIETARY 47489,B100000,00000,0900,00000DIRECT NRSG HOURS :NURSING ADMINIST 47489,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47489,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47489,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47489,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47489,S000000,00100,0200,05/23/2000 47489,S200000,00100,0100,333 PAGE STREET 47489,S200000,00200,0100,MIDDLEPORT 47489,S200000,00200,0200,OH 47489,S200000,00200,0300,45760- 47489,S200000,00300,0100,MEIGS 47489,S200000,00400,0100,OVERBROOK CENTER 47489,S200000,00400,0200,365721 47489,S200000,00400,0300,12/22/1988 47489,S200000,00400,0500,P 47489,S200000,00600,0200,365721 47489,S200000,00600,0300,12/22/1988 47489,S200000,01600,0100,Y 47489,S200000,02200,0100,Y 47499,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47499,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47499,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47499,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47499,A000000,00300,0000,00300EMPLOYEE BENEFITS 47499,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47499,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47499,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47499,A000000,00700,0000,00700HOUSEKEEPING 47499,A000000,00800,0000,00800DIETARY 47499,A000000,00801,0000,00801CAFETERIA 47499,A000000,00900,0000,00900NURSING ADMINISTRATION 47499,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47499,A000000,01100,0000,01100PHARMACY 47499,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47499,A000000,01300,0000,01300SOCIAL SERVICE 47499,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47499,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47499,A000000,01600,0000,01600SKILLED NURSING FACILITY 47499,A000000,01800,0000,01800NURSING FACILITY 47499,A000000,01900,0000,01900OTHER LONG TERM CARE 47499,A000000,02100,0000,02100RADIOLOGY 47499,A000000,02200,0000,02200LABORATORY 47499,A000000,02300,0000,02300INTRAVENOUS THERAPY 47499,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47499,A000000,02500,0000,02500PHYSICAL THERAPY 47499,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47499,A000000,02700,0000,02700SPEECH PATHOLOGY 47499,A000000,02800,0000,02800ELECTROCARDIOLOGY 47499,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47499,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47499,A000000,03050,0000,03300OTHER ANCILLARY 47499,A000000,03051,0000,03301OTHER ANCILLARY II 47499,A000000,03052,0000,03302OTHER ANCILLARY III 47499,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47499,A000000,03200,0000,03200SUPPORT SURFACES 47499,A000000,03400,0000,03400CLINIC 47499,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47499,A000000,03500,0000,03500RURAL HEALTH CLINIC 47499,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47499,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47499,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47499,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47499,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47499,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47499,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47499,A000000,04400,0000,04400DME RENTED - HHA 47499,A000000,04500,0000,04500DME SOLD - HHA 47499,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47499,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47499,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47499,A000000,04800,0000,04800AMBULANCE 47499,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47499,A000000,05000,0000,05000CORF 47499,A000000,05010,0000,05010CMHC I 47499,A000000,05020,0000,05020OPT I 47499,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47499,A000000,05300,0000,05300INTEREST EXPENSE 47499,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47499,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47499,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47499,A000000,05500,0000,05500HOSPICE 47499,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47499,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47499,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47499,A000000,06100,0000,06100NONPAID WORKERS 47499,A000000,06150,0000,06300CONTRIBUTIONS 47499,A000000,06200,0000,06200PATIENTS LAUNDRY 47499,A81000A,00100,0100,Y 47499,A81000B,00100,0300,HOME OFFICE EXPENSES 47499,A81000C,00100,0100,E 47499,A81000C,00100,0200,DON AMBROSE 47499,A81000C,00100,0400,DEL MAR 47499,A81000C,00100,0600,PARENT COMPANY 47499,A81000C,00200,0400,HEALTHCARE 47499,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47499,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47499,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47499,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47499,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47499,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47499,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47499,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47499,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47499,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47499,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47499,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47499,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47499,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47499,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47499,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47499,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47499,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47499,S000000,00100,0200,05/31/2000 47499,S200000,00100,0100,3800 SUMMIT GLEN DR. 47499,S200000,00200,0100,DAYTON 47499,S200000,00200,0200,OH 47499,S200000,00200,0300,45459- 47499,S200000,00300,0100,MONTGOMERY 47499,S200000,00400,0100,WOOD GLEN NURSING CTR. 47499,S200000,00400,0200,365722 47499,S200000,00400,0300,01/05/1989 47499,S200000,00400,0500,P 47499,S200000,01500,0100,Y 47499,S200000,02100,0100,A 47499,S200000,02200,0100,Y 47508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47508,A000000,00700,0000,00700HOUSEKEEPING 47508,A000000,00800,0000,00800DIETARY 47508,A000000,00900,0000,00900NURSING ADMINISTRATION 47508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47508,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 47508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47508,A000000,01300,0000,01300SOCIAL SERVICE 47508,A000000,01600,0000,01600SKILLED NURSING FACILITY 47508,A000000,01800,0000,01800NURSING FACILITY 47508,A000000,02100,0000,02100RADIOLOGY 47508,A000000,02200,0000,02200LABORATORY 47508,A000000,02300,0000,02300INTRAVENOUS THERAPY 47508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47508,A000000,02500,0000,02500PHYSICAL THERAPY 47508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47508,A000000,02700,0000,02700SPEECH PATHOLOGY 47508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47508,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47508,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47508,A000000,03052,0000,03302MEDICAL EQUIPMENT 47508,A000000,04800,0000,04800AMBULANCE 47508,A000000,05300,0000,05300INTEREST EXPENSE 47508,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47508,A000000,06200,0000,06200PATIENTS LAUNDRY 47508,A81000A,00100,0100,Y 47508,A81000B,00100,0300,HOME OFFICE A&G 47508,A81000B,00200,0300,HOME OFFICE CAPITAL 47508,A81000B,00300,0300,DIVISION OFFICE A&G 47508,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47508,A81000B,00500,0300,INSURANCE 47508,A81000B,00600,0300,PHYSICAL THERAPY 47508,A81000B,00700,0300,OCCUPATIONAL THERAPY 47508,A81000B,00800,0300,SPEECH THERAPY 47508,A81000B,00900,0300,AIR FLUIDIZED THERAPY 47508,A81000C,00100,0100,B 47508,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47508,A81000C,00200,0100,G 47508,A81000C,00200,0200,LAURIER INC. 47508,A81000C,00200,0400,EXTENDICARE INC. 47508,A81000C,00200,0600,INSURANCE 47508,A81000C,00300,0100,G 47508,A81000C,00300,0200,UNITED REHABILITATION SVS 47508,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 47508,A81000C,00300,0600,THERAPY SERVICE 47508,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47508,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47508,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47508,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47508,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47508,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47508,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47508,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47508,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47508,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 47508,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47508,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47508,E10A180,00301,0100,06/22/1998 47508,E10A180,00301,0300,06/22/1998 47508,E10A180,00350,0100,06/22/1998 47508,E10A180,00350,0300,06/22/1998 47508,S000000,00100,0200,06/02/2000 47508,S200000,00100,0100,5471 SCIOTO DARBY ROAD 47508,S200000,00200,0100,HILLIARD 47508,S200000,00200,0200,OH 47508,S200000,00200,0300,43026- 47508,S200000,00300,0100,FRANKLIN 47508,S200000,00400,0100,ARBORS AT HILLIARD 47508,S200000,00400,0200,365725 47508,S200000,00400,0300,10/01/1985 47508,S200000,00400,0500,P 47508,S200000,01600,0100,Y 47508,S700003,00000,0100,1 47516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47516,A000000,00300,0000,00300EMPLOYEE BENEFITS 47516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47516,A000000,00700,0000,00700HOUSEKEEPING 47516,A000000,00800,0000,00800DIETARY 47516,A000000,00900,0000,00900NURSING ADMINISTRATION 47516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47516,A000000,01100,0000,01100PHARMACY 47516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47516,A000000,01300,0000,01300SOCIAL SERVICE 47516,A000000,01350,0000,01500PATIENT ACTIVITIES 47516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47516,A000000,01600,0000,01600SKILLED NURSING FACILITY 47516,A000000,01800,0000,01800NURSING FACILITY 47516,A000000,01810,0000,01801ICF/MR 47516,A000000,01900,0000,01900OTHER LONG TERM CARE 47516,A000000,02100,0000,02100RADIOLOGY 47516,A000000,02200,0000,02200LABORATORY 47516,A000000,02300,0000,02300INTRAVENOUS THERAPY 47516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47516,A000000,02500,0000,02500PHYSICAL THERAPY 47516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47516,A000000,02700,0000,02700SPEECH PATHOLOGY 47516,A000000,02800,0000,02800ELECTROCARDIOLOGY 47516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47516,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47516,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47516,A000000,03200,0000,03200SUPPORT SURFACES 47516,A000000,03400,0000,03400CLINIC 47516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47516,A000000,03500,0000,03500RURAL HEALTH CLINIC 47516,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47516,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47516,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47516,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47516,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47516,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47516,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47516,A000000,04400,0000,04400DME RENTED - HHA 47516,A000000,04500,0000,04500DME SOLD - HHA 47516,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47516,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47516,A000000,04800,0000,04800AMBULANCE 47516,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47516,A000000,05000,0000,05000CORF 47516,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47516,A000000,05300,0000,05300INTEREST EXPENSE 47516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47516,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47516,A000000,05500,0000,05500HOSPICE 47516,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47516,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47516,A000000,06100,0000,06100NONPAID WORKERS 47516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47516,A000000,06200,0000,06200PATIENTS LAUNDRY 47516,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47516,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 47516,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47516,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47516,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47516,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47516,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 47516,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47516,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47516,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47516,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47516,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47516,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47516,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 47516,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47516,E10A180,00550,0300,06/08/2000 47516,S000000,00100,0200,06/01/2000 47516,S200000,00100,0100,670 JARVIS ROAD 47516,S200000,00200,0100,AKRON 47516,S200000,00200,0200,OH 47516,S200000,00200,0300,44319- 47516,S200000,00300,0100,SUMMIT 47516,S200000,00400,0100,PEBBLE CREEK CONVALESCENT CENTER 47516,S200000,00400,0200,365727 47516,S200000,00400,0300,01/04/1989 47516,S200000,00400,0500,P 47516,S200000,01600,0100,Y 47524,S000000,00100,0200,06/05/2000 47534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47534,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47534,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47534,A000000,00300,0000,00300EMPLOYEE BENEFITS 47534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47534,A000000,00700,0000,00700HOUSEKEEPING 47534,A000000,00800,0000,00800DIETARY 47534,A000000,00801,0000,00801CAFETERIA 47534,A000000,00900,0000,00900NURSING ADMINISTRATION 47534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47534,A000000,01100,0000,01100PHARMACY 47534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47534,A000000,01300,0000,01300SOCIAL SERVICE 47534,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47534,A000000,01600,0000,01600SKILLED NURSING FACILITY 47534,A000000,01800,0000,01800NURSING FACILITY 47534,A000000,01900,0000,01900OTHER LONG TERM CARE 47534,A000000,02100,0000,02100RADIOLOGY 47534,A000000,02200,0000,02200LABORATORY 47534,A000000,02300,0000,02300INTRAVENOUS THERAPY 47534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47534,A000000,02500,0000,02500PHYSICAL THERAPY 47534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47534,A000000,02700,0000,02700SPEECH PATHOLOGY 47534,A000000,02800,0000,02800ELECTROCARDIOLOGY 47534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47534,A000000,03050,0000,03300OTHER ANCILLARY 47534,A000000,03051,0000,03301OTHER ANCILLARY II 47534,A000000,03052,0000,03302OTHER ANCILLARY III 47534,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47534,A000000,03200,0000,03200SUPPORT SURFACES 47534,A000000,03400,0000,03400CLINIC 47534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47534,A000000,03500,0000,03500RURAL HEALTH CLINIC 47534,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47534,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47534,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47534,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47534,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47534,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47534,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47534,A000000,04400,0000,04400DME RENTED - HHA 47534,A000000,04500,0000,04500DME SOLD - HHA 47534,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47534,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47534,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47534,A000000,04800,0000,04800AMBULANCE 47534,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47534,A000000,05000,0000,05000CORF 47534,A000000,05010,0000,05010CMHC I 47534,A000000,05020,0000,05020OPT I 47534,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47534,A000000,05300,0000,05300INTEREST EXPENSE 47534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47534,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47534,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47534,A000000,05500,0000,05500HOSPICE 47534,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47534,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47534,A000000,06100,0000,06100NONPAID WORKERS 47534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47534,A000000,06200,0000,06200PATIENTS LAUNDRY 47534,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47534,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47534,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47534,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47534,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47534,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47534,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47534,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47534,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47534,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47534,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47534,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47534,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47534,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 47534,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47534,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47534,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 47534,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47534,S000000,00100,0200,06/02/2000 47534,S200000,00100,0100,3 GATEWAY DRIVE 47534,S200000,00200,0100,EUCLID 47534,S200000,00200,0200,OH 47534,S200000,00200,0300,44119- 47534,S200000,00300,0100,CUYAHOGA 47534,S200000,00400,0100,GATEWAY HEALTH CARE CENTER 47534,S200000,00400,0200,365730 47534,S200000,00400,0300,05/01/1989 47534,S200000,00400,0500,P 47534,S200000,01004,0500,O 47534,S200000,01600,0100,Y 47540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47540,A000000,00300,0000,00300EMPLOYEE BENEFITS 47540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47540,A000000,00700,0000,00700HOUSEKEEPING 47540,A000000,00800,0000,00800DIETARY 47540,A000000,00900,0000,00900NURSING ADMINISTRATION 47540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47540,A000000,01100,0000,01100PHARMACY 47540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47540,A000000,01300,0000,01300SOCIAL SERVICE 47540,A000000,01350,0000,01500OTHER GENERAL SERVICES 47540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47540,A000000,01600,0000,01600SKILLED NURSING FACILITY 47540,A000000,01800,0000,01800NURSING FACILITY 47540,A000000,01810,0000,01810ICF/MR 47540,A000000,01900,0000,01900OTHER LONG TERM CARE 47540,A000000,02100,0000,02100RADIOLOGY 47540,A000000,02200,0000,02200LABORATORY 47540,A000000,02300,0000,02300INTRAVENOUS THERAPY 47540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47540,A000000,02500,0000,02500PHYSICAL THERAPY 47540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47540,A000000,02700,0000,02700SPEECH PATHOLOGY 47540,A000000,02800,0000,02800ELECTROCARDIOLOGY 47540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47540,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47540,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47540,A000000,03200,0000,03200SUPPORT SURFACES 47540,A000000,03400,0000,03400CLINIC 47540,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47540,A000000,03500,0000,03500RURAL HEALTH CLINIC 47540,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47540,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47540,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47540,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47540,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47540,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47540,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47540,A000000,04400,0000,04400DME RENTED - HHA 47540,A000000,04500,0000,04500DME SOLD - HHA 47540,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47540,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47540,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47540,A000000,04800,0000,04800AMBULANCE 47540,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47540,A000000,05000,0000,05000CORF 47540,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47540,A000000,05300,0000,05300INTEREST EXPENSE 47540,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47540,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47540,A000000,05500,0000,05500HOSPICE 47540,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47540,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47540,A000000,06100,0000,06100NONPAID WORKERS 47540,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47540,A000000,06200,0000,06200PATIENTS LAUNDRY 47540,A81000A,00100,0100,Y 47540,A81000B,00100,0300,ADMIN.MGT. CONSULTING 47540,A81000B,00200,0300,MEDICAL SUPPLIES 47540,A81000B,00300,0300,PHARMACY 47540,A81000C,00100,0100,A 47540,A81000C,00100,0200,JOHN COURY JR./ROBERT NEM 47540,A81000C,00100,0400,J & R ASSOCIATES 47540,A81000C,00100,0600,ADMIN. MGT. CONSULTING 47540,A81000C,00200,0100,D 47540,A81000C,00200,0200,ELI COURY 47540,A81000C,00200,0400,PHARMED 47540,A81000C,00200,0600,MEDICAL SUPPLIES 47540,A81000C,00300,0100,D 47540,A81000C,00300,0200,DAVID COURY 47540,A81000C,00300,0400,BAY PHARMACY 47540,A81000C,00300,0600,PHARMACY 47540,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 47540,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 47540,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 47540,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47540,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 47540,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 47540,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 47540,B100000,00000,0850,00000NO STATISTICS :DIETARY 47540,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 47540,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 47540,E10A180,00501,0100,06/30/2000 47540,S000000,00100,0200,06/02/2000 47540,S200000,00100,0100,6360 ELMDALE RD 47540,S200000,00200,0100,BROOKPARK 47540,S200000,00200,0200,OH 47540,S200000,00200,0300,44142- 47540,S200000,00300,0100,CUYAHOGA 47540,S200000,00300,0200,1680 47540,S200000,00300,0300,U 47540,S200000,00400,0100,EAST PARK CARE CENTER 47540,S200000,00400,0200,365731 47540,S200000,00400,0300,03/02/1989 47540,S200000,00400,0500,P 47540,S200000,01500,0100,Y 47540,S200000,04700,0100,Y 47540,S200000,04700,0200,Y 47549,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47549,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47549,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47549,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47549,A000000,00300,0000,00300EMPLOYEE BENEFITS 47549,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47549,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47549,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47549,A000000,00700,0000,00700HOUSEKEEPING 47549,A000000,00800,0000,00800DIETARY 47549,A000000,00801,0000,00801CAFETERIA 47549,A000000,00900,0000,00900NURSING ADMINISTRATION 47549,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47549,A000000,01100,0000,01100PHARMACY 47549,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47549,A000000,01300,0000,01300SOCIAL SERVICE 47549,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47549,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47549,A000000,01600,0000,01600SKILLED NURSING FACILITY 47549,A000000,01800,0000,01800NURSING FACILITY 47549,A000000,01900,0000,01900OTHER LONG TERM CARE 47549,A000000,02100,0000,02100RADIOLOGY 47549,A000000,02200,0000,02200LABORATORY 47549,A000000,02300,0000,02300INTRAVENOUS THERAPY 47549,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47549,A000000,02500,0000,02500PHYSICAL THERAPY 47549,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47549,A000000,02700,0000,02700SPEECH PATHOLOGY 47549,A000000,02800,0000,02800ELECTROCARDIOLOGY 47549,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47549,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47549,A000000,03050,0000,03300OTHER ANCILLARY 47549,A000000,03051,0000,03301OTHER ANCILLARY II 47549,A000000,03052,0000,03302OTHER ANCILLARY III 47549,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47549,A000000,03200,0000,03200SUPPORT SURFACES 47549,A000000,03400,0000,03400CLINIC 47549,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47549,A000000,03500,0000,03500RURAL HEALTH CLINIC 47549,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47549,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47549,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47549,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47549,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47549,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47549,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47549,A000000,04400,0000,04400DME RENTED - HHA 47549,A000000,04500,0000,04500DME SOLD - HHA 47549,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47549,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47549,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47549,A000000,04800,0000,04800AMBULANCE 47549,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47549,A000000,05000,0000,05000CORF 47549,A000000,05010,0000,05010CMHC I 47549,A000000,05020,0000,05020OPT I 47549,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47549,A000000,05300,0000,05300INTEREST EXPENSE 47549,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47549,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47549,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47549,A000000,05500,0000,05500HOSPICE 47549,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47549,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47549,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47549,A000000,06100,0000,06100NONPAID WORKERS 47549,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47549,A000000,06200,0000,06200PATIENTS LAUNDRY 47549,A81000A,00100,0100,Y 47549,A81000B,00100,0300,HOME OFFICE 47549,A81000B,00200,0300,HOME OFFICE 47549,A81000C,00100,0100,B 47549,A81000C,00100,0200,MERIDIAN ARMS 47549,A81000C,00100,0400,ESSEX HC 47549,A81000C,00100,0600,HOME OFFICE 47549,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47549,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47549,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47549,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47549,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47549,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47549,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47549,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47549,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47549,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47549,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47549,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47549,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47549,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47549,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47549,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47549,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47549,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47549,S000000,00100,0200,05/22/2000 47549,S200000,00100,0100,650 SOUTH MERIDIAN RD 47549,S200000,00200,0100,YOUNGSTOWN 47549,S200000,00200,0200,OH 47549,S200000,00200,0300,44509- 47549,S200000,00300,0100,MAHONING 47549,S200000,00400,0100,MERIDIAN ARMS LIVING CENTER 47549,S200000,00400,0200,365732 47549,S200000,00400,0300,04/01/1989 47549,S200000,00400,0500,P 47549,S200000,01600,0100,Y 47549,S200000,04300,0100,Y 47549,S700003,00000,0100,1 47558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47558,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47558,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47558,A000000,00300,0000,00300EMPLOYEE BENEFITS 47558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47558,A000000,00700,0000,00700HOUSEKEEPING 47558,A000000,00800,0000,00800DIETARY 47558,A000000,00801,0000,00801CAFETERIA 47558,A000000,00900,0000,00900NURSING ADMINISTRATION 47558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47558,A000000,01100,0000,01100PHARMACY 47558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47558,A000000,01300,0000,01300SOCIAL SERVICE 47558,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47558,A000000,01600,0000,01600SKILLED NURSING FACILITY 47558,A000000,01800,0000,01800NURSING FACILITY 47558,A000000,01900,0000,01900OTHER LONG TERM CARE 47558,A000000,02100,0000,02100RADIOLOGY 47558,A000000,02200,0000,02200LABORATORY 47558,A000000,02300,0000,02300INTRAVENOUS THERAPY 47558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47558,A000000,02500,0000,02500PHYSICAL THERAPY 47558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47558,A000000,02700,0000,02700SPEECH PATHOLOGY 47558,A000000,02800,0000,02800ELECTROCARDIOLOGY 47558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47558,A000000,03050,0000,03300OTHER ANCILLARY 47558,A000000,03051,0000,03301OTHER ANCILLARY II 47558,A000000,03052,0000,03302OTHER ANCILLARY III 47558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47558,A000000,03200,0000,03200SUPPORT SURFACES 47558,A000000,03400,0000,03400CLINIC 47558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47558,A000000,03500,0000,03500RURAL HEALTH CLINIC 47558,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47558,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47558,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47558,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47558,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47558,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47558,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47558,A000000,04400,0000,04400DME RENTED - HHA 47558,A000000,04500,0000,04500DME SOLD - HHA 47558,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47558,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47558,A000000,04800,0000,04800AMBULANCE 47558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47558,A000000,05000,0000,05000CORF 47558,A000000,05010,0000,05010CMHC I 47558,A000000,05020,0000,05020OPT I 47558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47558,A000000,05300,0000,05300INTEREST EXPENSE 47558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47558,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47558,A000000,05500,0000,05500HOSPICE 47558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47558,A000000,06100,0000,06100NONPAID WORKERS 47558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47558,A000000,06200,0000,06200PATIENTS LAUNDRY 47558,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47558,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47558,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47558,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47558,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47558,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47558,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47558,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47558,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47558,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47558,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 47558,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47558,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47558,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47558,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47558,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47558,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47558,S000000,00100,0200,06/01/2000 47558,S200000,00100,0100,1960 MADISON RD. 47558,S200000,00200,0100,CINCINNATI 47558,S200000,00200,0200,OH 47558,S200000,00300,0100,HAMILTON 47558,S200000,00400,0100,SAINT MARGARET HALL 47558,S200000,00400,0200,365733 47558,S200000,00400,0300,06/17/1989 47558,S200000,00400,0500,P 47558,S200000,01500,0100,Y 47566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47566,A000000,00300,0000,00300EMPLOYEE BENEFITS 47566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47566,A000000,00700,0000,00700HOUSEKEEPING 47566,A000000,00800,0000,00800DIETARY 47566,A000000,00900,0000,00900NURSING ADMINISTRATION 47566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47566,A000000,01300,0000,01300SOCIAL SERVICE 47566,A000000,01350,0000,01500ACTIVITIES 47566,A000000,01600,0000,01600SKILLED NURSING FACILITY 47566,A000000,01800,0000,01800NURSING FACILITY 47566,A000000,01810,0000,01801ICF/MR 47566,A000000,01900,0000,01900OTHER LONG TERM CARE 47566,A000000,02100,0000,02100RADIOLOGY 47566,A000000,02200,0000,02200LABORATORY 47566,A000000,02300,0000,02300INTRAVENOUS THERAPY 47566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47566,A000000,02500,0000,02500PHYSICAL THERAPY 47566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47566,A000000,02700,0000,02700SPEECH PATHOLOGY 47566,A000000,02800,0000,02800ELECTROCARDIOLOGY 47566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47566,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47566,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47566,A000000,03200,0000,03200SUPPORT SURFACES 47566,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47566,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47566,A000000,04800,0000,04800AMBULANCE 47566,A000000,05000,0000,05000CORF 47566,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47566,A000000,05300,0000,05300INTEREST EXPENSE 47566,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47566,A000000,05500,0000,05500HOSPICE 47566,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47566,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47566,A000000,06100,0000,06100NONPAID WORKERS 47566,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47566,A000000,06200,0000,06200PATIENTS LAUNDRY 47566,A81000A,00100,0100,Y 47566,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 47566,A81000C,00100,0100,A 47566,A81000C,00100,0200,RAYMOND SCHNEIDER 47566,A81000C,00100,0400,EAST GALB HOLDING 47566,A81000C,00100,0600,REAL ESTATE 47566,A81000C,00200,0100,A 47566,A81000C,00200,0200,HENRY SCHNEIDER 47566,A81000C,00200,0400,EAST GALB HOLDING 47566,A81000C,00200,0600,REAL ESTATE 47566,A81000C,00300,0100,A 47566,A81000C,00300,0200,MARYILYN ZEMBOCH 47566,A81000C,00300,0400,EAST GALB HOLDING 47566,A81000C,00300,0600,REAL ESTATE 47566,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47566,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47566,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47566,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47566,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47566,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47566,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47566,B100000,00000,0800,00000MEALS SERVED :DIETARY 47566,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47566,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47566,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47566,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47566,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47566,S000000,00100,0200,06/05/2000 47566,S200000,00100,0100,3889 EAST GALBRAITH RD 47566,S200000,00200,0100,CINCINNATI 47566,S200000,00200,0200,OH 47566,S200000,00200,0300,45236- 47566,S200000,00300,0100,HAMILTON 47566,S200000,00400,0100,EAST GALBRAITH HCC 47566,S200000,00400,0200,365734 47566,S200000,00400,0300,05/18/1989 47566,S200000,00400,0500,P 47566,S200000,01600,0100,Y 47566,S700003,00000,0100,1 47574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47574,A000000,00300,0000,00300EMPLOYEE BENEFITS 47574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47574,A000000,00700,0000,00700HOUSEKEEPING 47574,A000000,00800,0000,00800DIETARY 47574,A000000,00900,0000,00900NURSING ADMINISTRATION 47574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47574,A000000,01100,0000,01100PHARMACY 47574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47574,A000000,01300,0000,01300SOCIAL SERVICE 47574,A000000,01350,0000,01500ACTIVITIES 47574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47574,A000000,01600,0000,01600SKILLED NURSING FACILITY 47574,A000000,01800,0000,01800NURSING FACILITY 47574,A000000,01810,0000,01801ICF/MR 47574,A000000,01900,0000,01900OTHER LONG TERM CARE 47574,A000000,02100,0000,02100RADIOLOGY 47574,A000000,02200,0000,02200LABORATORY 47574,A000000,02300,0000,02300INTRAVENOUS THERAPY 47574,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47574,A000000,02500,0000,02500PHYSICAL THERAPY 47574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47574,A000000,02700,0000,02700SPEECH PATHOLOGY 47574,A000000,02800,0000,02800ELECTROCARDIOLOGY 47574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47574,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47574,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47574,A000000,03200,0000,03200SUPPORT SURFACES 47574,A000000,03400,0000,03400CLINIC 47574,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47574,A000000,03500,0000,03500RURAL HEALTH CLINIC 47574,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47574,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47574,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47574,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47574,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47574,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47574,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47574,A000000,04400,0000,04400DME RENTED - HHA 47574,A000000,04500,0000,04500DME SOLD - HHA 47574,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47574,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47574,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47574,A000000,04800,0000,04800AMBULANCE 47574,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47574,A000000,05000,0000,05000CORF 47574,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47574,A000000,05300,0000,05300INTEREST EXPENSE 47574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47574,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47574,A000000,05500,0000,05500HOSPICE 47574,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47574,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47574,A000000,06100,0000,06100NONPAID WORKERS 47574,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47574,A000000,06200,0000,06200PATIENTS LAUNDRY 47574,A81000A,00100,0100,Y 47574,A81000B,00100,0300,BOND INTEREST INCOME 47574,A81000B,00200,0300,BOND AMORT EXPENSE 47574,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 47574,A81000B,00400,0300,HOME OFFICE LAUNDRY 47574,A81000C,00100,0100,B 47574,A81000C,00100,0400,UVMC NURSING CARE INC. 47574,A81000C,00100,0600,HEALTH CARE SERVICES 47574,A81000C,00200,0100,B 47574,A81000C,00200,0400,UVMC NURSING CARE INC. 47574,A81000C,00200,0600,HEALTH CARE SERVICES 47574,A81000C,00300,0100,B 47574,A81000C,00300,0400,UVMC NURSING CARE INC. 47574,A81000C,00300,0600,HEALTH CARE SERVICES 47574,A81000C,00400,0100,B 47574,A81000C,00400,0400,UVMC NURSING CARE INC. 47574,A81000C,00400,0600,HEALTH CARE SERVICES 47574,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47574,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47574,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47574,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47574,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47574,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47574,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 47574,B100000,00000,0800,00000MEALS SERVED :DIETARY 47574,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47574,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47574,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47574,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 47574,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47574,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 47574,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47574,S000000,00100,0200,06/05/2000 47574,S200000,00100,0100,3232 N. COUNTY ROAD 25A 47574,S200000,00200,0100,TROY 47574,S200000,00200,0200,OH 47574,S200000,00200,0300,45373- 47574,S200000,00300,0100,MIAMI 47574,S200000,00400,0100,KOESTER PAVILION 47574,S200000,00400,0200,365735 47574,S200000,00400,0300,05/01/1989 47574,S200000,00400,0500,P 47574,S200000,01600,0100,Y 47574,S200000,02200,0100,Y 47574,S700003,00000,0100,1 47585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47585,A000000,00300,0000,00300EMPLOYEE BENEFITS 47585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47585,A000000,00700,0000,00700HOUSEKEEPING 47585,A000000,00800,0000,00800DIETARY 47585,A000000,00900,0000,00900NURSING ADMINISTRATION 47585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47585,A000000,01100,0000,01100PHARMACY 47585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47585,A000000,01300,0000,01300SOCIAL SERVICE 47585,A000000,01350,0000,01500ACTIVITIES 47585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47585,A000000,01600,0000,01600SKILLED NURSING FACILITY 47585,A000000,01800,0000,01800NURSING FACILITY 47585,A000000,01810,0000,01801ICF/MR 47585,A000000,01900,0000,01900OTHER LONG TERM CARE 47585,A000000,02100,0000,02100RADIOLOGY 47585,A000000,02200,0000,02200LABORATORY 47585,A000000,02300,0000,02300INTRAVENOUS THERAPY 47585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47585,A000000,02500,0000,02500PHYSICAL THERAPY 47585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47585,A000000,02700,0000,02700SPEECH PATHOLOGY 47585,A000000,02800,0000,02800ELECTROCARDIOLOGY 47585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47585,A000000,03200,0000,03200SUPPORT SURFACES 47585,A000000,03400,0000,03400CLINIC 47585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47585,A000000,03500,0000,03500RURAL HEALTH CLINIC 47585,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47585,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47585,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47585,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47585,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47585,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47585,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47585,A000000,04400,0000,04400DME RENTED - HHA 47585,A000000,04500,0000,04500DME SOLD - HHA 47585,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47585,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47585,A000000,04800,0000,04800AMBULANCE 47585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47585,A000000,05000,0000,05000CORF 47585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47585,A000000,05300,0000,05300INTEREST EXPENSE 47585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47585,A000000,05500,0000,05500HOSPICE 47585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47585,A000000,06100,0000,06100NONPAID WORKERS 47585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47585,A000000,06200,0000,06200PATIENTS LAUNDRY 47585,A81000A,00100,0100,Y 47585,A81000B,00100,0300,HOME OFFICE COST 47585,A81000C,00100,0100,A 47585,A81000C,00100,0200,RALPH HAZELBAKER 47585,A81000C,00100,0400,AEGIS INC. 47585,A81000C,00100,0600,HEALTH CARE 47585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47585,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47585,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47585,B100000,00000,0800,00000MEALS SERVED :DIETARY 47585,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47585,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47585,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47585,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47585,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47585,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47585,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47585,E10A180,00501,0100,06/30/2000 47585,S000000,00100,0200,05/30/2000 47585,S200000,00100,0100,2401 CASS ROAD 47585,S200000,00200,0100,TOLEDO 47585,S200000,00200,0200,OH 47585,S200000,00200,0300,43614- 47585,S200000,00300,0100,LUCAS 47585,S200000,00400,0100,HEATHERDOWNS CONVALESCENT CENTER 47585,S200000,00400,0200,365737 47585,S200000,00400,0300,05/01/1989 47585,S200000,00400,0500,P 47585,S200000,00400,0600,P 47585,S200000,01500,0100,Y 47585,S200000,04300,0100,Y 47595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47595,A000000,00300,0000,00300EMPLOYEE BENEFITS 47595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47595,A000000,00700,0000,00700HOUSEKEEPING 47595,A000000,00800,0000,00800DIETARY 47595,A000000,00900,0000,00900NURSING ADMINISTRATION 47595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47595,A000000,01100,0000,01100PHARMACY 47595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47595,A000000,01300,0000,01300SOCIAL SERVICE 47595,A000000,01600,0000,01600SKILLED NURSING FACILITY 47595,A000000,01800,0000,01800NURSING FACILITY 47595,A000000,01900,0000,01900OTHER LONG TERM CARE 47595,A000000,02100,0000,02100RADIOLOGY 47595,A000000,02200,0000,02200LABORATORY 47595,A000000,02500,0000,02500PHYSICAL THERAPY 47595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47595,A000000,02700,0000,02700SPEECH PATHOLOGY 47595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47595,A000000,03200,0000,03200SUPPORT SURFACES 47595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47595,A000000,04800,0000,04800AMBULANCE 47595,A000000,05300,0000,05300INTEREST EXPENSE 47595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47595,A81000A,00100,0100,Y 47595,A81000B,00100,0300,REAL ESTATE PARTNERSHIP COSTS 47595,A81000B,00200,0300,REAL ESTATE PARTNERSHIP COSTS 47595,A81000B,00300,0300,REAL ESTATE PARTNERSHIP COSTS 47595,A81000C,00100,0100,A 47595,A81000C,00100,0200,LISA R. SLOMOVITZ-GILBERT 47595,A81000C,00100,0400,CHS LTD. PTSP. 47595,A81000C,00100,0600,R/E LTD. PTSP. 47595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47595,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47595,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47595,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47595,B100000,00000,0800,00000MEALS SERVED :DIETARY 47595,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 47595,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 47595,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 47595,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47595,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47595,S000000,00100,0200,05/15/2000 47595,S200000,00100,0100,1134 NORTH AVENUE 47595,S200000,00200,0100,TALLMADGE 47595,S200000,00200,0200,OH 47595,S200000,00200,0300,44278- 47595,S200000,00300,0100,SUMMIT 47595,S200000,00400,0100,HEATHER KNOLL 47595,S200000,00400,0200,365739 47595,S200000,00400,0300,06/20/1992 47595,S200000,00400,0500,P 47595,S200000,01500,0100,Y 47595,S200000,04300,0100,Y 47604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47604,A000000,00700,0000,00700HOUSEKEEPING 47604,A000000,00800,0000,00800DIETARY 47604,A000000,00900,0000,00900NURSING ADMINISTRATION 47604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47604,A000000,01300,0000,01300SOCIAL SERVICE 47604,A000000,01600,0000,01600SKILLED NURSING FACILITY 47604,A000000,01800,0000,01800NURSING FACILITY 47604,A000000,02100,0000,02100RADIOLOGY 47604,A000000,02200,0000,02200LABORATORY 47604,A000000,02300,0000,02300INTRAVENOUS THERAPY 47604,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47604,A000000,02500,0000,02500PHYSICAL THERAPY 47604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47604,A000000,02700,0000,02700SPEECH PATHOLOGY 47604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47604,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47604,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47604,A000000,03052,0000,03302MEDICAL EQUIPMENT 47604,A000000,05300,0000,05300INTEREST EXPENSE 47604,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47604,A000000,06200,0000,06200PATIENTS LAUNDRY 47604,A81000A,00100,0100,Y 47604,A81000B,00100,0300,HOME OFFICE A&G 47604,A81000B,00200,0300,HOME OFFICE CAPITAL 47604,A81000B,00300,0300,DIVISION OFFICE A&G 47604,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47604,A81000B,00500,0300,INSURANCE 47604,A81000C,00100,0100,B 47604,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47604,A81000C,00200,0100,G 47604,A81000C,00200,0200,LAURIER INC. 47604,A81000C,00200,0400,EXTENDICARE INC. 47604,A81000C,00200,0600,INSURANCE 47604,A81000C,00300,0100,G 47604,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47604,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47604,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47604,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47604,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47604,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47604,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47604,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47604,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47604,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47604,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47604,S000000,00100,0200,06/02/2000 47604,S200000,00100,0100,700 HELEN STREET 47604,S200000,00200,0100,CLYDE 47604,S200000,00200,0200,OH 47604,S200000,00200,0300,43410- 47604,S200000,00300,0100,SANDUSKY 47604,S200000,00400,0100,ARBORS AT CLYDE 47604,S200000,00400,0200,365740 47604,S200000,00400,0300,06/20/1989 47604,S200000,00400,0500,P 47604,S200000,01600,0100,Y 47615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47615,A000000,00300,0000,00300EMPLOYEE BENEFITS 47615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47615,A000000,00700,0000,00700HOUSEKEEPING 47615,A000000,00800,0000,00800DIETARY 47615,A000000,00900,0000,00900NURSING ADMINISTRATION 47615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47615,A000000,01100,0000,01100PHARMACY 47615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47615,A000000,01300,0000,01300SOCIAL SERVICE 47615,A000000,01350,0000,01500OTHER GENERAL SERVICES 47615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47615,A000000,01600,0000,01600SKILLED NURSING FACILITY 47615,A000000,01800,0000,01800NURSING FACILITY 47615,A000000,01810,0000,01801ICF/MR 47615,A000000,01900,0000,01900OTHER LONG TERM CARE 47615,A000000,02100,0000,02100RADIOLOGY 47615,A000000,02200,0000,02200LABORATORY 47615,A000000,02300,0000,02300INTRAVENOUS THERAPY 47615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47615,A000000,02500,0000,02500PHYSICAL THERAPY 47615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47615,A000000,02700,0000,02700SPEECH PATHOLOGY 47615,A000000,02800,0000,02800ELECTROCARDIOLOGY 47615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47615,A000000,03051,0000,03301ENTERALS 47615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47615,A000000,03200,0000,03200SUPPORT SURFACES 47615,A000000,03400,0000,03400CLINIC 47615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47615,A000000,03500,0000,03500RURAL HEALTH CLINIC 47615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47615,A000000,04400,0000,04400DME RENTED - HHA 47615,A000000,04500,0000,04500DME SOLD - HHA 47615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47615,A000000,04800,0000,04800AMBULANCE 47615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47615,A000000,05000,0000,05000CORF 47615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47615,A000000,05300,0000,05300INTEREST EXPENSE 47615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47615,A000000,05500,0000,05500HOSPICE 47615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47615,A000000,06100,0000,06100NONPAID WORKERS 47615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47615,A000000,06200,0000,06200PATIENTS LAUNDRY 47615,A81000A,00100,0100,Y 47615,A81000B,00100,0300,COUNTY PROVIDED ADMIN SERV. 47615,A81000C,00100,0100,B 47615,A81000C,00100,0200,ASHTABULA COUNTY 47615,A81000C,00100,0400,ASHTABULA COUNTY 47615,A81000C,00100,0600,GOVERNMENT 47615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47615,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47615,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47615,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47615,B100000,00000,0800,00000MEALS SERVED :DIETARY 47615,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47615,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47615,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47615,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47615,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47615,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 47615,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47615,E10A180,00501,0300,07/14/2000 47615,S000000,00100,0200,06/05/2000 47615,S200000,00100,0100,5740 DIBBLE ROAD 47615,S200000,00200,0100,KINGSVILLE 47615,S200000,00200,0200,OH 47615,S200000,00200,0300,44048-9809 47615,S200000,00300,0100,ASHTABULA 47615,S200000,00400,0100,ASHTABULA COUNTY NURSING HOME 47615,S200000,00400,0200,365741 47615,S200000,00400,0300,06/02/1989 47615,S200000,00400,0500,P 47615,S200000,01500,0100,Y 47624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47624,A000000,00300,0000,00300EMPLOYEE BENEFITS 47624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47624,A000000,00700,0000,00700HOUSEKEEPING 47624,A000000,00800,0000,00800DIETARY 47624,A000000,00900,0000,00900NURSING ADMINISTRATION 47624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47624,A000000,01100,0000,01100PHARMACY 47624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47624,A000000,01300,0000,01300SOCIAL SERVICE 47624,A000000,01350,0000,01500ACTIVITIES 47624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47624,A000000,01600,0000,01600SKILLED NURSING FACILITY 47624,A000000,01800,0000,01800NURSING FACILITY 47624,A000000,01810,0000,01810ICF/MR 47624,A000000,01900,0000,01900OTHER LONG TERM CARE 47624,A000000,02100,0000,02100RADIOLOGY 47624,A000000,02200,0000,02200LABORATORY 47624,A000000,02300,0000,02300INTRAVENOUS THERAPY 47624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47624,A000000,02500,0000,02500PHYSICAL THERAPY 47624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47624,A000000,02700,0000,02700SPEECH PATHOLOGY 47624,A000000,02800,0000,02800ELECTROCARDIOLOGY 47624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47624,A000000,03200,0000,03200SUPPORT SURFACES 47624,A000000,03400,0000,03400CLINIC 47624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47624,A000000,03500,0000,03500RURAL HEALTH CLINIC 47624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47624,A000000,04400,0000,04400DME RENTED - HHA 47624,A000000,04500,0000,04500DME SOLD - HHA 47624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47624,A000000,04800,0000,04800AMBULANCE 47624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47624,A000000,05000,0000,05000CORF 47624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47624,A000000,05300,0000,05300INTEREST EXPENSE 47624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47624,A000000,05500,0000,05500HOSPICE 47624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47624,A000000,06100,0000,06100NONPAID WORKERS 47624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47624,A000000,06200,0000,06200PATIENTS LAUNDRY 47624,A81000A,00100,0100,Y 47624,A81000B,00100,0300,HOME OFFICE COSTS 47624,A81000B,00200,0300,HOME OFFICE COSTS 47624,A81000C,00100,0100,B 47624,A81000C,00100,0200,NATIONAL CHURCH RESIDENCE 47624,A81000C,00100,0400,BRISTOL VILLAGE 47624,A81000C,00100,0600,HOME OFFICE 47624,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47624,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47624,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47624,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47624,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47624,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47624,B100000,00000,0800,00000MEALS SERVED :DIETARY 47624,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47624,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47624,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47624,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47624,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47624,H510100,00000,0000,61 47624,H510100,02400,0000,61 47624,H510100,02401,0000,36 47624,H510200,00000,0000,36 47624,H710000,00350,0100,02/29/2000 47624,H710000,00350,0300,02/29/2000 47624,H710000,00501,0100,06/14/2000 47624,S000000,00100,0200,06/01/2000 47624,S200000,00100,0100,444 CHERRY STREET 47624,S200000,00200,0100,WAVERLY 47624,S200000,00200,0200,OH 47624,S200000,00200,0300,45690- 47624,S200000,00300,0100,PIKE 47624,S200000,00300,0200,36 47624,S200000,00300,0300,R 47624,S200000,00400,0100,BRISTOL VILLAGE CARE CENTER 47624,S200000,00400,0200,365742 47624,S200000,00400,0300,06/28/1989 47624,S200000,00400,0500,P 47624,S200000,00400,0600,P 47624,S200000,00800,0200,367666 47624,S200000,00800,0300,07/17/1995 47624,S200000,00800,0500,P 47624,S200000,01500,0100,Y 47631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47631,A000000,00300,0000,00300EMPLOYEE BENEFITS 47631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47631,A000000,00700,0000,00700HOUSEKEEPING 47631,A000000,00800,0000,00800DIETARY 47631,A000000,00900,0000,00900NURSING ADMINISTRATION 47631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47631,A000000,01100,0000,01100PHARMACY 47631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47631,A000000,01300,0000,01300SOCIAL SERVICE 47631,A000000,01600,0000,01600SKILLED NURSING FACILITY 47631,A000000,01800,0000,01800NURSING FACILITY 47631,A000000,01900,0000,01900OTHER LONG TERM CARE 47631,A000000,02100,0000,02100RADIOLOGY 47631,A000000,02200,0000,02200LABORATORY 47631,A000000,02300,0000,02300INTRAVENOUS THERAPY 47631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47631,A000000,02500,0000,02500PHYSICAL THERAPY 47631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47631,A000000,02700,0000,02700SPEECH PATHOLOGY 47631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47631,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 47631,A000000,04800,0000,04800AMBULANCE 47631,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47631,A81000A,00100,0100,Y 47631,A81000B,00100,0300,HOME OFFICE ALLOC 47631,A81000B,00200,0300,HOME OFFICE ALLOC 47631,A81000C,00100,0100,A 47631,A81000C,00100,0200,COVENANT CARE INC 47631,A81000C,00100,0400,COVENANT CARE INC. 47631,A81000C,00100,0600,HEALTH CARE 47631,A81000C,00200,0100,A 47631,A81000C,00300,0100,A 47631,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47631,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47631,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47631,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47631,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47631,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47631,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47631,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47631,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47631,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47631,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47631,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47631,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47631,S000000,00100,0200,06/01/2000 47631,S200000,00100,0100,829 YELLOW SPRINGS - FAIRFIELD ROAD 47631,S200000,00200,0100,FAIRBORN 47631,S200000,00200,0200,OH 47631,S200000,00200,0300,45324- 47631,S200000,00300,0100,DAYTON 47631,S200000,00400,0100,VILLA FAIRBORN 47631,S200000,00400,0200,365743 47631,S200000,00400,0300,05/25/1989 47631,S200000,00400,0500,P 47631,S200000,01600,0100,Y 47641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47641,A000000,00300,0000,00300EMPLOYEE BENEFITS 47641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47641,A000000,00700,0000,00700HOUSEKEEPING 47641,A000000,00800,0000,00800DIETARY 47641,A000000,00900,0000,00900NURSING ADMINISTRATION 47641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47641,A000000,01100,0000,01100PHARMACY 47641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47641,A000000,01300,0000,01300SOCIAL SERVICE 47641,A000000,01350,0000,01500PATIENT ACTIVITIES 47641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47641,A000000,01600,0000,01600SKILLED NURSING FACILITY 47641,A000000,01800,0000,01800NURSING FACILITY 47641,A000000,01900,0000,01900OTHER LONG TERM CARE 47641,A000000,02100,0000,02100RADIOLOGY 47641,A000000,02200,0000,02200LABORATORY 47641,A000000,02300,0000,02300INTRAVENOUS THERAPY 47641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47641,A000000,02500,0000,02500PHYSICAL THERAPY 47641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47641,A000000,02700,0000,02700SPEECH PATHOLOGY 47641,A000000,02800,0000,02800ELECTROCARDIOLOGY 47641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47641,A000000,02901,0000,02901CLINITRON BEDS 47641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47641,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47641,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47641,A000000,06100,0000,06100NONPAID WORKERS 47641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47641,A000000,06200,0000,06200PATIENTS LAUNDRY 47641,A81000A,00100,0100,Y 47641,A81000B,00100,0300,H.O. COSTS - OPERATING 47641,A81000B,00200,0300,H.O. COSTS - CAPITAL 47641,A81000B,00300,0300,RADIOLOGY 47641,A81000B,00400,0300,MOVEABLE EQUIPMENT 47641,A81000B,00500,0300,EMPLOYEE BENEFIT 47641,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 47641,A81000B,00700,0300,HOUSEKEEPING 47641,A81000B,00800,0300,DIETARY 47641,A81000B,00900,0300,CENTRAL SERVICES 47641,A81000B,01000,0300,PHARMACY 47641,A81000B,01100,0300,PHYSICAL THERAPY 47641,A81000B,01200,0300,MEDICAL SUPPLIES 47641,A81000B,01300,0300,CLINITRON THERAPY 47641,A81000B,01400,0300,DRUGS 47641,A81000C,00100,0100,B 47641,A81000C,00100,0400,HCF INC. 47641,A81000C,00100,0600,HOME OFFICE 47641,A81000C,00200,0100,B 47641,A81000C,00200,0400,HCF INC. 47641,A81000C,00200,0600,HOME OFFICE 47641,A81000C,00300,0100,D 47641,A81000C,00300,0200,UNVERFERTH SONS 47641,A81000C,00300,0400,MIDWEST RADIOLOGY OHIO 47641,A81000C,00300,0600,PORTABLE RADIOLOGY SVCS 47641,A81000C,00400,0100,A 47641,A81000C,00400,0200,UNVERFERTH FAMILY 47641,A81000C,00400,0400,ICP INC. 47641,A81000C,00400,0600,INSTITUTIONAL PHARMACY 47641,A81000C,00500,0100,A 47641,A81000C,00500,0200,UNVERFERTH FAMILY 47641,A81000C,00500,0400,ICP INC. 47641,A81000C,00500,0600,INSTITUTIONAL PHARMACY 47641,A81000C,00600,0100,A 47641,A81000C,00600,0200,UNVERFERTH FAMILY 47641,A81000C,00600,0400,ICP INC. 47641,A81000C,00600,0600,INSTITUTIONAL PHARMACY 47641,A81000C,00700,0100,A 47641,A81000C,00700,0200,UNVERFERTH FAMILY 47641,A81000C,00700,0400,ICP INC. 47641,A81000C,00700,0600,INSTITUTIONAL PHARMACY 47641,A81000C,00800,0100,A 47641,A81000C,00800,0200,UNVERFERTH FAMILY 47641,A81000C,00800,0400,ICP INC. 47641,A81000C,00800,0600,INSTITUTIONAL PHARMACY 47641,A81000C,00900,0100,A 47641,A81000C,00900,0200,UNVERFERTH FAMILY 47641,A81000C,00900,0400,ICP INC. 47641,A81000C,00900,0600,INSTITUTIONAL PHARMACY 47641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47641,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47641,B100000,00000,0750,00000SQFT EXCL DIETARY :HOUSEKEEPING 47641,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47641,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47641,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47641,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47641,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 47641,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47641,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 47641,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47641,E10A180,00501,0100,06/06/2000 47641,E10A180,00550,0300,06/06/2000 47641,S000000,00100,0200,05/22/2000 47641,S200000,00100,0100,418 EAST FOURTH STREET 47641,S200000,00200,0100,SPENCERVILLE 47641,S200000,00200,0200,OH 47641,S200000,00200,0300,45887- 47641,S200000,00300,0100,ALLEN 47641,S200000,00400,0100,ROSELAWN MANOR 47641,S200000,00400,0200,365744 47641,S200000,00400,0300,08/15/1989 47641,S200000,00400,0500,P 47641,S200000,01500,0100,Y 47641,S700003,00000,0100,1 47650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47650,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47650,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47650,A000000,00300,0000,00300EMPLOYEE BENEFITS 47650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47650,A000000,00700,0000,00700HOUSEKEEPING 47650,A000000,00800,0000,00800DIETARY 47650,A000000,00801,0000,00801CAFETERIA 47650,A000000,00900,0000,00900NURSING ADMINISTRATION 47650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47650,A000000,01100,0000,01100PHARMACY 47650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47650,A000000,01300,0000,01300SOCIAL SERVICE 47650,A000000,01350,0000,01500ACTIVITIES 47650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47650,A000000,01600,0000,01600SKILLED NURSING FACILITY 47650,A000000,01800,0000,01800NURSING FACILITY 47650,A000000,01900,0000,01900OTHER LONG TERM CARE 47650,A000000,02100,0000,02100RADIOLOGY 47650,A000000,02200,0000,02200LABORATORY 47650,A000000,02300,0000,02300INTRAVENOUS THERAPY 47650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47650,A000000,02500,0000,02500PHYSICAL THERAPY 47650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47650,A000000,02700,0000,02700SPEECH PATHOLOGY 47650,A000000,02800,0000,02800ELECTROCARDIOLOGY 47650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47650,A000000,03050,0000,03300DME 47650,A000000,03051,0000,03301ORTHOTICS 47650,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 47650,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47650,A000000,03200,0000,03200SUPPORT SURFACES 47650,A000000,03400,0000,03400CLINIC 47650,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47650,A000000,03500,0000,03500RURAL HEALTH CLINIC 47650,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47650,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47650,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47650,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47650,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47650,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47650,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47650,A000000,04400,0000,04400DME RENTED - HHA 47650,A000000,04500,0000,04500DME SOLD - HHA 47650,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47650,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47650,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47650,A000000,04800,0000,04800AMBULANCE 47650,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47650,A000000,05000,0000,05000CORF 47650,A000000,05010,0000,05010CMHC I 47650,A000000,05020,0000,05020OPT I 47650,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47650,A000000,05300,0000,05300INTEREST EXPENSE 47650,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47650,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47650,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47650,A000000,05500,0000,05500HOSPICE 47650,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47650,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47650,A000000,06100,0000,06100NONPAID WORKERS 47650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47650,A000000,06200,0000,06200PATIENTS LAUNDRY 47650,A81000A,00100,0100,Y 47650,A81000B,00100,0300,HOME OFFICE ALLOCATION 47650,A81000B,00200,0300,THERACOR ACTUAL COSTS 47650,A81000B,00300,0300,THERACOR ACTUAL COSTS 47650,A81000B,00400,0300,THERACOR ACTUAL COSTS 47650,A81000C,00100,0100,B 47650,A81000C,00100,0200,HARBORSIDE 47650,A81000C,00200,0200,HEALTHCARE 47650,A81000C,00300,0200,LIMITED PSHIP 47650,A81000C,00300,0600,MANAGEMENT CO 47650,A81000C,00500,0100,B 47650,A81000C,00500,0200,HARBORSIDE 47650,A81000C,00600,0200,REHABILITITAION 47650,A81000C,00700,0200,LIMITED PSHIP 47650,A81000C,00700,0600,THERAPY 47650,A81000C,00800,0600,SERVICE AND 47650,A81000C,00900,0600,MANAGEMENT CO 47650,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47650,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47650,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47650,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47650,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47650,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47650,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47650,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47650,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47650,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47650,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47650,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47650,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47650,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47650,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47650,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47650,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 47650,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47650,E10A180,00501,0100,06/30/2000 47650,S000000,00100,0200,06/01/2000 47650,S200000,00100,0100,401 WEST AIRPORT HIGHWAY 47650,S200000,00200,0100,SWANTON 47650,S200000,00200,0200,OH 47650,S200000,00200,0300,43558- 47650,S200000,00300,0100,FULTON 47650,S200000,00400,0100,HHC - SWANTON 47650,S200000,00400,0200,365745 47650,S200000,00400,0300,04/01/1995 47650,S200000,00400,0500,P 47650,S200000,01600,0100,Y 47650,S200000,02200,0100,Y 47650,S200000,04700,0100,Y 47650,S200000,04900,0100,Y 47650,S700003,00000,0100,1 47659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47659,A000000,00300,0000,00300EMPLOYEE BENEFITS 47659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47659,A000000,00700,0000,00700HOUSEKEEPING 47659,A000000,00800,0000,00800DIETARY 47659,A000000,00900,0000,00900NURSING ADMINISTRATION 47659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47659,A000000,01100,0000,01100PHARMACY 47659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47659,A000000,01300,0000,01300SOCIAL SERVICE 47659,A000000,01350,0000,01500OTHER GENERAL SERVICES 47659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47659,A000000,01600,0000,01600SKILLED NURSING FACILITY 47659,A000000,01800,0000,01800NURSING FACILITY 47659,A000000,01810,0000,01801ICF/MR 47659,A000000,01900,0000,01900OTHER LONG TERM CARE 47659,A000000,02100,0000,02100RADIOLOGY 47659,A000000,02200,0000,02200LABORATORY 47659,A000000,02300,0000,02300INTRAVENOUS THERAPY 47659,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47659,A000000,02500,0000,02500PHYSICAL THERAPY 47659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47659,A000000,02700,0000,02700SPEECH PATHOLOGY 47659,A000000,02800,0000,02800ELECTROCARDIOLOGY 47659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47659,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47659,A000000,03051,0000,03301ENTERALS 47659,A000000,03052,0000,03302MEDICAL COMP;EX EQUIP 47659,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47659,A000000,03200,0000,03200SUPPORT SURFACES 47659,A000000,03400,0000,03400CLINIC 47659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47659,A000000,03500,0000,03500RURAL HEALTH CLINIC 47659,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47659,A000000,04800,0000,04800AMBULANCE 47659,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47659,A000000,05000,0000,05000CORF 47659,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47659,A000000,05300,0000,05300INTEREST EXPENSE 47659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47659,A000000,05500,0000,05500HOSPICE 47659,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47659,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47659,A000000,06100,0000,06100NONPAID WORKERS 47659,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47659,A000000,06200,0000,06200PATIENTS LAUNDRY 47659,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47659,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47659,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47659,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47659,B100000,00000,0650,00000PATIENTS DAY :LAUNDRY & LINEN SERV 47659,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47659,B100000,00000,0800,00000MEALS SERVED :DIETARY 47659,B100000,00000,0950,00000PATIENTS DAY :NURSING ADMINISTRATI 47659,B100000,00000,1050,00000PATIENTS DAY :CENTRAL SERVICES & S 47659,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47659,B100000,00000,1250,00000PATIENTS DAY :MEDICAL RECORDS & LI 47659,B100000,00000,1330,00000PATIENTS DAY :SOCIAL SERVICE 47659,B100000,00000,1350,00000PATIENTS DAY :OTHER GENERAL SERVIC 47659,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47659,E10A180,00501,0300,07/21/2000 47659,S000000,00100,0200,06/02/2000 47659,S200000,00100,0100,907 WEST AURORA ROAD 47659,S200000,00200,0100,SAGAMORE HILLS 47659,S200000,00200,0200,OH 47659,S200000,00200,0300,44067- 47659,S200000,00300,0100,SUMMIT 47659,S200000,00400,0100,BRENTWOOD HEALTH CARE 47659,S200000,00400,0200,365746 47659,S200000,00400,0300,08/01/1989 47659,S200000,00400,0500,P 47659,S200000,01600,0100,Y 47659,S200000,04700,0100,Y 47668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47668,A000000,00700,0000,00700HOUSEKEEPING 47668,A000000,00800,0000,00800DIETARY 47668,A000000,00900,0000,00900NURSING ADMINISTRATION 47668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47668,A000000,01300,0000,01300SOCIAL SERVICE 47668,A000000,01600,0000,01600SKILLED NURSING FACILITY 47668,A000000,01800,0000,01800NURSING FACILITY 47668,A000000,02100,0000,02100RADIOLOGY 47668,A000000,02200,0000,02200LABORATORY 47668,A000000,02300,0000,02300INTRAVENOUS THERAPY 47668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47668,A000000,02500,0000,02500PHYSICAL THERAPY 47668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47668,A000000,02700,0000,02700SPEECH PATHOLOGY 47668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47668,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47668,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47668,A000000,03052,0000,03302MEDICAL EQUIPMENT 47668,A000000,05300,0000,05300INTEREST EXPENSE 47668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47668,A000000,06200,0000,06200PATIENTS LAUNDRY 47668,A81000A,00100,0100,Y 47668,A81000B,00100,0300,HOME OFFICE A&G 47668,A81000B,00200,0300,HOME OFFICE CAPITAL 47668,A81000B,00300,0300,DIVISION OFFICE A&G 47668,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47668,A81000B,00500,0300,INSURANCE 47668,A81000C,00100,0100,B 47668,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47668,A81000C,00200,0100,G 47668,A81000C,00200,0200,LAURIER INC. 47668,A81000C,00200,0400,EXTENDICARE INC. 47668,A81000C,00200,0600,INSURANCE 47668,A81000C,00300,0100,G 47668,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47668,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47668,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47668,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47668,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47668,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47668,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47668,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47668,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47668,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47668,S000000,00100,0200,06/02/2000 47668,S200000,00100,0100,555 ANTHONY WAYNE TRIA 47668,S200000,00200,0100,WATERVILLE 47668,S200000,00200,0200,OH 47668,S200000,00200,0300,43566- 47668,S200000,00300,0100,LUCAS 47668,S200000,00400,0100,ARBORS AT WATERVILLE 47668,S200000,00400,0200,365747 47668,S200000,00400,0300,10/12/1989 47668,S200000,00400,0500,P 47668,S200000,01600,0100,Y 47668,S700003,00000,0100,1 47680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47680,A000000,00300,0000,00300EMPLOYEE BENEFITS 47680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47680,A000000,00700,0000,00700HOUSEKEEPING 47680,A000000,00800,0000,00800DIETARY 47680,A000000,00900,0000,00900NURSING ADMINISTRATION 47680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47680,A000000,01100,0000,01100PHARMACY 47680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47680,A000000,01300,0000,01300SOCIAL SERVICE 47680,A000000,01350,0000,01500OTHER GENERAL SERVICES 47680,A000000,01600,0000,01600SKILLED NURSING FACILITY 47680,A000000,01800,0000,01800NURSING FACILITY 47680,A000000,01900,0000,01900OTHER LONG TERM CARE 47680,A000000,02100,0000,02100RADIOLOGY 47680,A000000,02200,0000,02200LABORATORY 47680,A000000,02300,0000,02300INTRAVENOUS THERAPY 47680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47680,A000000,02500,0000,02500PHYSICAL THERAPY 47680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47680,A000000,02700,0000,02700SPEECH PATHOLOGY 47680,A000000,02800,0000,02800ELECTROCARDIOLOGY 47680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47680,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47680,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47680,A000000,03200,0000,03200SUPPORT SURFACES 47680,A000000,03400,0000,03400CLINIC 47680,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47680,A000000,03500,0000,03500RURAL HEALTH CLINIC 47680,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47680,A000000,04800,0000,04800AMBULANCE 47680,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47680,A000000,05000,0000,05000CORF 47680,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47680,A000000,05300,0000,05300INTEREST EXPENSE 47680,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47680,A000000,05500,0000,05500HOSPICE 47680,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47680,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47680,A000000,06100,0000,06100NONPAID WORKERS 47680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47680,A000000,06200,0000,06200PATIENTS LAUNDRY 47680,A81000A,00100,0100,Y 47680,A81000B,00100,0300,OWNERSHIP COSTS/RENT 47680,A81000B,00200,0300,MANAGEMENT EXPENSE 47680,A81000B,00300,0300,ACCOUNTING FEES 47680,A81000B,00400,0300,DATA SERVICES 47680,A81000C,00100,0100,A 47680,A81000C,00100,0200,JAMES FARLEY 47680,A81000C,00100,0400,NURSING CARE MANAGEMENT 47680,A81000C,00100,0600,MANAGEMENT SERVICES 47680,A81000C,00200,0100,A 47680,A81000C,00200,0200,MICHAEL SCHARFENBERGER 47680,A81000C,00200,0400,NURSING CARE MANAGEMENT 47680,A81000C,00200,0600,MANAGEMENT SERVICES 47680,A81000C,00300,0100,A 47680,A81000C,00300,0200,TIMOTHY WYNNE 47680,A81000C,00300,0400,NURSING CARE MANAGEMENT 47680,A81000C,00300,0600,MANAGEMENT SERVICES 47680,A81000C,00400,0100,A 47680,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 47680,A81000C,00400,0400,NURSING CARE MANAGEMENT 47680,A81000C,00400,0600,MANAGEMENT SERVICES 47680,A81000C,00500,0100,A 47680,A81000C,00500,0200,JAMES FARLEY 47680,A81000C,00500,0400,GLEN BYRNE REALTY CO 47680,A81000C,00500,0600,LESSOR 47680,A81000C,00600,0100,A 47680,A81000C,00600,0200,MICHAEL SCHARFENBERGER 47680,A81000C,00600,0400,GLEN BYRNE REALTY CO 47680,A81000C,00600,0600,LESSOR 47680,A81000C,00700,0100,A 47680,A81000C,00700,0200,TIMOTHY WYNNE 47680,A81000C,00700,0400,GLEN BYRNE REALTY CO 47680,A81000C,00700,0600,LESSOR 47680,A81000C,00800,0100,A 47680,A81000C,00800,0200,ESTATE OF ROBERT WYNNE 47680,A81000C,00800,0400,GLEN BYRNE REALTY CO 47680,A81000C,00800,0600,LESSOR 47680,A81000C,00900,0100,A 47680,A81000C,00900,0200,LEONARD D CULVER 47680,A81000C,00900,0400,GLEN BYRNE REALTY CO 47680,A81000C,00900,0600,LESSOR 47680,A81000C,01000,0100,A 47680,A81000C,01000,0200,JAMES FARLEY 47680,A81000C,01000,0400,PHARMCO 47680,A81000C,01000,0600,PHARMACY 47680,A81000C,01001,0100,A 47680,A81000C,01001,0200,MICHAEL SCHARFENBERGER 47680,A81000C,01001,0400,PHARMCO 47680,A81000C,01001,0600,PHARMACY 47680,A81000C,01002,0100,A 47680,A81000C,01002,0200,TIMOTHY WYNNE 47680,A81000C,01002,0400,PHARMCO 47680,A81000C,01002,0600,PHARMACY 47680,A81000C,01003,0100,A 47680,A81000C,01003,0200,ESTATE OF ROBERT WYNNE 47680,A81000C,01003,0400,PHARMCO 47680,A81000C,01003,0600,PHARMACY 47680,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47680,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47680,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47680,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47680,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47680,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 47680,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47680,B100000,00000,0800,00000MEALS SERVED :DIETARY 47680,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47680,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 47680,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 47680,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 47680,B100000,00000,1350,00000DAYS SPENT :OTHER GENERAL SERVICES 47680,E10A180,00501,0300,01/09/2001 47680,S000000,00100,0200,11/29/2000 47680,S200000,00100,0100,1621 SOUTH BYRNE ROAD 47680,S200000,00200,0100,TOLEDO 47680,S200000,00200,0200,OH 47680,S200000,00200,0300,43614- 47680,S200000,00300,0100,LUCAS 47680,S200000,00300,0200,8400 47680,S200000,00300,0300,U 47680,S200000,00400,0100,FOUNDATION PARK CARE CENTER 47680,S200000,00400,0200,365752 47680,S200000,00400,0300,09/17/1989 47680,S200000,00400,0500,P 47680,S200000,01500,0100,Y 47687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47687,A000000,00300,0000,00300EMPLOYEE BENEFITS 47687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47687,A000000,00700,0000,00700HOUSEKEEPING 47687,A000000,00800,0000,00800DIETARY 47687,A000000,00900,0000,00900NURSING ADMINISTRATION 47687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47687,A000000,01100,0000,01100PHARMACY 47687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47687,A000000,01300,0000,01300SOCIAL SERVICE 47687,A000000,01600,0000,01600SKILLED NURSING FACILITY 47687,A000000,01800,0000,01800NURSING FACILITY 47687,A000000,01900,0000,01900OTHER LONG TERM CARE 47687,A000000,02100,0000,02100RADIOLOGY 47687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47687,A000000,02500,0000,02500PHYSICAL THERAPY 47687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47687,A000000,02700,0000,02700SPEECH PATHOLOGY 47687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47687,A000000,05300,0000,05300INTEREST EXPENSE 47687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47687,A81000A,00100,0100,Y 47687,A81000B,00100,0300,MEDICAL SUPPLY COMPANY 47687,A81000B,00200,0300,MEDICAL SUPPLY COMPANY 47687,A81000B,00300,0300,MEDICAL SUPPLY COMPANY 47687,A81000B,00400,0300,MEDICAL SUPPLY COMPANY 47687,A81000B,00500,0300,MEDICAL SUPPLY COMPANY 47687,A81000B,00600,0300,HOME OFFICE COSTS 47687,A81000B,00700,0300,HOME OFFICE COSTS 47687,A81000B,00800,0300,HOME OFFICE COSTS 47687,A81000B,00900,0300,HOME OFFICE COSTS 47687,A81000B,01000,0300,HOME OFFICE COSTS 47687,A81000B,01100,0300,HOME OFFICE COSTS 47687,A81000B,01200,0300,HOME OFFICE COSTS 47687,A81000B,01300,0300,HOME OFFICE COSTS 47687,A81000B,01400,0300,HOME OFFICE COSTS 47687,A81000B,01500,0300,HOME OFICE COSTS 47687,A81000C,00100,0100,A 47687,A81000C,00100,0200,SALLY SCHWARTZ 47687,A81000C,00100,0400,MIDDLE RIDGE 47687,A81000C,00100,0600,MEDICAL SPLY 47687,A81000C,00200,0100,A 47687,A81000C,00200,0200,ABRAHAMSCHWARTZ 47687,A81000C,00200,0400,MIDDLE RIDGE 47687,A81000C,00200,0600,MEDICAL SPLY 47687,A81000C,00300,0100,A 47687,A81000C,00300,0200,SALLY SCHWARTZ 47687,A81000C,00300,0400,ROYAL MANOR MGT 47687,A81000C,00300,0600,HOME OFFICE 47687,A81000C,00400,0100,A 47687,A81000C,00400,0200,ABRAHAMSWARTZ 47687,A81000C,00400,0400,ROYAL MANOR MGT 47687,A81000C,00400,0600,HOME OFFICE 47687,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47687,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47687,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47687,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47687,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47687,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47687,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47687,B100000,00000,0800,00000MEALS SERVED :DIETARY 47687,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47687,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47687,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47687,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47687,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47687,S000000,00100,0200,07/01/1999 47687,S200000,00100,0100,6973 PEARL ROAD 47687,S200000,00200,0100,MIDDLEBURG HEIGHTS 47687,S200000,00200,0200,OH 47687,S200000,00200,0300,44130- 47687,S200000,00300,0100,CUYAHAGA 47687,S200000,00400,0100,ROYAL OAK REHAB CENTER 47687,S200000,00400,0200,365753 47687,S200000,00400,0300,10/11/1989 47687,S200000,00400,0500,P 47687,S200000,01600,0100,Y 47687,S200000,04300,0100,Y 47687,S700003,00000,0100,1 47689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47689,A000000,00300,0000,00300EMPLOYEE BENEFITS 47689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47689,A000000,00700,0000,00700HOUSEKEEPING 47689,A000000,00800,0000,00800DIETARY 47689,A000000,00900,0000,00900NURSING ADMINISTRATION 47689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47689,A000000,01100,0000,01100PHARMACY 47689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47689,A000000,01300,0000,01300SOCIAL SERVICE 47689,A000000,01600,0000,01600SKILLED NURSING FACILITY 47689,A000000,01800,0000,01800NURSING FACILITY 47689,A000000,01900,0000,01900OTHER LONG TERM CARE 47689,A000000,02100,0000,02100RADIOLOGY 47689,A000000,02200,0000,02200LABORATORY 47689,A000000,02300,0000,02300INTRAVENOUS THERAPY 47689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47689,A000000,02500,0000,02500PHYSICAL THERAPY 47689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47689,A000000,02700,0000,02700SPEECH PATHOLOGY 47689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47689,A000000,03200,0000,03200SUPPORT SURFACES 47689,A000000,04800,0000,04800AMBULANCE 47689,A000000,05300,0000,05300INTEREST EXPENSE 47689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47689,A000000,05500,0000,05500HOSPICE 47689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47689,A000000,06200,0000,06200PATIENTS LAUNDRY 47689,A81000A,00100,0100,Y 47689,A81000B,00100,0300,HOME OFFICE COSTS 47689,A81000B,00200,0300,HOME OFFICE COSTS 47689,A81000B,00300,0300,HOME OFFICE COSTS 47689,A81000B,00400,0300,HOME OFFICE COSTS 47689,A81000B,00500,0300,HOME OFFICE COSTS 47689,A81000B,00600,0300,HOME OFFICE COSTS 47689,A81000B,00700,0300,HOME OFFICE COSTS 47689,A81000B,00800,0300,HOME OFFICE COSTS 47689,A81000B,00900,0300,HOME OFFICE COSTS 47689,A81000B,01000,0300,MEDICAL SUPPLIES 47689,A81000B,01100,0300,LINEN/CLEANING SUPPLIES 47689,A81000C,00100,0100,A 47689,A81000C,00100,0200,SALLY SCHWARTZ 47689,A81000C,00100,0400,ROYAL MANOR MANAGEMENT 47689,A81000C,00100,0600,HOME OFFICE 47689,A81000C,00200,0100,A 47689,A81000C,00200,0200,ABRAHAM SCHWARTZ 47689,A81000C,00200,0400,ROYAL MANOR MANAGEMENT 47689,A81000C,00200,0600,HOME OFFICE 47689,A81000C,00300,0100,A 47689,A81000C,00300,0200,SALLY SCHWARTZ 47689,A81000C,00300,0400,MIDDLE RIDGE 47689,A81000C,00300,0600,MEDICAL SUPPLY 47689,A81000C,00400,0100,A 47689,A81000C,00400,0200,ABRAHAM SCHWARTZ 47689,A81000C,00400,0400,MIDDLE RIDGE 47689,A81000C,00400,0600,MEDICAL SUPPLY 47689,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47689,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47689,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47689,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47689,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 47689,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47689,B100000,00000,0800,00000MEALS SERVED :DIETARY 47689,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 47689,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47689,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 47689,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 47689,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 47689,E10A180,00501,0100,06/13/2000 47689,E10A180,00550,0300,06/13/2000 47689,S000000,00100,0200,06/05/2000 47689,S200000,00100,0100,6973 PEARL ROAD 47689,S200000,00200,0100,MIDDLEBURG HEIGHTS 47689,S200000,00200,0200,OH 47689,S200000,00200,0300,44130- 47689,S200000,00300,0100,CUYAHOGA 47689,S200000,00400,0100,BRIAN FAMILY LTD DBA ROYAL OAK 47689,S200000,00400,0200,365753 47689,S200000,00400,0300,06/01/1998 47689,S200000,00400,0500,P 47689,S200000,01500,0100,Y 47689,S200000,04300,0100,Y 47700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47700,A000000,00700,0000,00700HOUSEKEEPING 47700,A000000,00800,0000,00800DIETARY 47700,A000000,00900,0000,00900NURSING ADMINISTRATION 47700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47700,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 47700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47700,A000000,01300,0000,01300SOCIAL SERVICE 47700,A000000,01600,0000,01600SKILLED NURSING FACILITY 47700,A000000,01800,0000,01800NURSING FACILITY 47700,A000000,02100,0000,02100RADIOLOGY 47700,A000000,02200,0000,02200LABORATORY 47700,A000000,02300,0000,02300INTRAVENOUS THERAPY 47700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47700,A000000,02500,0000,02500PHYSICAL THERAPY 47700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47700,A000000,02700,0000,02700SPEECH PATHOLOGY 47700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47700,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 47700,A000000,03052,0000,03302MEDICAL EQUIPMENT 47700,A000000,04800,0000,04800AMBULANCE 47700,A000000,05300,0000,05300INTEREST EXPENSE 47700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47700,A000000,06200,0000,06200PATIENTS LAUNDRY 47700,A81000A,00100,0100,Y 47700,A81000B,00100,0300,HOME OFFICE A&G 47700,A81000B,00200,0300,HOME OFFICE CAPITAL 47700,A81000B,00300,0300,DIVISION OFFICE A&G 47700,A81000B,00400,0300,DIVISION OFFICE CAPITAL 47700,A81000B,00500,0300,INSURANCE 47700,A81000B,00600,0300,PHYSICAL THERAPY 47700,A81000B,00700,0300,OCCUPATIONAL THERAPY 47700,A81000B,00800,0300,SPEECH THERAPY 47700,A81000B,00900,0300,AIR FLUIDIZED THERAPY 47700,A81000C,00100,0100,B 47700,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 47700,A81000C,00200,0100,G 47700,A81000C,00200,0200,LAURIER INC. 47700,A81000C,00200,0400,EXTENDICARE INC. 47700,A81000C,00200,0600,INSURANCE 47700,A81000C,00300,0100,G 47700,A81000C,00300,0200,UNITED REHABILITATION SVS 47700,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 47700,A81000C,00300,0600,THERAPY SERVICE 47700,A81000C,00400,0100,G 47700,A81000C,00400,0200,UPC 47700,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 47700,A81000C,00400,0600,PHARMACY THERAPY 47700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47700,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47700,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 47700,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47700,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47700,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47700,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 47700,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47700,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47700,E10A180,00301,0100,06/22/1998 47700,E10A180,00301,0300,06/22/1998 47700,E10A180,00350,0100,06/22/1998 47700,E10A180,00350,0300,06/22/1998 47700,S000000,00100,0200,06/02/2000 47700,S200000,00100,0100,44 SOUTH SOUDER AVE. 47700,S200000,00200,0100,COLUMBUS 47700,S200000,00200,0200,OH 47700,S200000,00200,0300,43222- 47700,S200000,00300,0100,FRANKLIN 47700,S200000,00400,0100,COLUMBUS REHAB & SUBACUTE CARE 47700,S200000,00400,0200,365754 47700,S200000,00400,0300,09/21/1989 47700,S200000,00400,0500,P 47700,S200000,01600,0100,Y 47700,S700003,00000,0100,1 47707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47707,A000000,00300,0000,00300EMPLOYEE BENEFITS 47707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47707,A000000,00700,0000,00700HOUSEKEEPING 47707,A000000,00800,0000,00800DIETARY 47707,A000000,00900,0000,00900NURSING ADMINISTRATION 47707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47707,A000000,01100,0000,01100PHARMACY 47707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47707,A000000,01300,0000,01300SOCIAL SERVICE 47707,A000000,01350,0000,01500OTHER GENERAL SERVICES 47707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47707,A000000,01600,0000,01600SKILLED NURSING FACILITY 47707,A000000,01800,0000,01800NURSING FACILITY 47707,A000000,01810,0000,01801ICF/MR 47707,A000000,01900,0000,01900OTHER LONG TERM CARE 47707,A000000,02100,0000,02100RADIOLOGY 47707,A000000,02200,0000,02200LABORATORY 47707,A000000,02300,0000,02300INTRAVENOUS THERAPY 47707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47707,A000000,02500,0000,02500PHYSICAL THERAPY 47707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47707,A000000,02700,0000,02700SPEECH PATHOLOGY 47707,A000000,02800,0000,02800ELECTROCARDIOLOGY 47707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47707,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47707,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47707,A000000,03200,0000,03200SUPPORT SURFACES 47707,A000000,03400,0000,03400CLINIC 47707,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47707,A000000,03500,0000,03500RURAL HEALTH CLINIC 47707,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47707,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47707,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47707,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47707,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47707,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47707,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47707,A000000,04400,0000,04400DME RENTED - HHA 47707,A000000,04500,0000,04500DME SOLD - HHA 47707,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47707,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47707,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47707,A000000,04800,0000,04800AMBULANCE 47707,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47707,A000000,05000,0000,05000CORF 47707,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47707,A000000,05300,0000,05300INTEREST EXPENSE 47707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47707,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47707,A000000,05500,0000,05500HOSPICE 47707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47707,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47707,A000000,06100,0000,06100NONPAID WORKERS 47707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47707,A000000,06200,0000,06200PATIENTS LAUNDRY 47707,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47707,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 47707,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47707,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47707,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47707,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47707,B100000,00000,0800,00000MEALS SERVED :DIETARY 47707,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47707,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47707,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47707,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47707,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47707,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47707,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47707,E10A180,00501,0100,06/07/2000 47707,E10A180,00501,0300,06/16/2000 47707,E10A180,00550,0100,06/16/2000 47707,E10A180,00550,0300,06/07/2000 47707,S000000,00100,0200,06/15/2000 47707,S200000,00100,0100,747 S MOUNT VERNON 47707,S200000,00200,0100,LOUDONVILLE 47707,S200000,00200,0200,OH 47707,S200000,00200,0300,44842- 47707,S200000,00300,0100,ASHLAND 47707,S200000,00400,0100,COLONIAL MANOR 47707,S200000,00400,0200,365755 47707,S200000,00400,0300,12/01/1998 47707,S200000,00400,0500,P 47707,S200000,01600,0100,Y 47707,S700003,00000,0100,1 47718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47718,A000000,00300,0000,00300EMPLOYEE BENEFITS 47718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47718,A000000,00700,0000,00700HOUSEKEEPING 47718,A000000,00800,0000,00800DIETARY 47718,A000000,00900,0000,00900NURSING ADMINISTRATION 47718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47718,A000000,01100,0000,01100PHARMACY 47718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47718,A000000,01300,0000,01300SOCIAL SERVICE 47718,A000000,01600,0000,01600SKILLED NURSING FACILITY 47718,A000000,01800,0000,01800NURSING FACILITY 47718,A000000,01900,0000,01900OTHER LONG TERM CARE 47718,A000000,02100,0000,02100RADIOLOGY 47718,A000000,02200,0000,02200LABORATORY 47718,A000000,02300,0000,02300INTRAVENOUS THERAPY 47718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47718,A000000,02500,0000,02500PHYSICAL THERAPY 47718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47718,A000000,02700,0000,02700SPEECH PATHOLOGY 47718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47718,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47718,A000000,03200,0000,03200SUPPORT SURFACES 47718,A000000,04800,0000,04800AMBULANCE 47718,A000000,05300,0000,05300INTEREST EXPENSE 47718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47718,A000000,05500,0000,05500HOSPICE 47718,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47718,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47718,A000000,06150,0000,06300ENTERALS AND OTHER 47718,A000000,06200,0000,06200PATIENTS LAUNDRY 47718,A81000A,00100,0100,Y 47718,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 47718,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 47718,A81000B,00300,0300,HOME OFFICE COSTS 47718,A81000B,00400,0300,HOME OFFICE COSTS 47718,A81000B,00500,0300,DEPR. OF RELATED PROJECT 47718,A81000B,00600,0300,DEPR. OF RELATED PROJECT 47718,A81000C,00100,0100,A 47718,A81000C,00100,0200,BRUCE DASKAL 47718,A81000C,00100,0400,DMD MANAGEMENT 47718,A81000C,00100,0600,MANAGEMENT CO. 47718,A81000C,00200,0100,A 47718,A81000C,00200,0200,SHARON DASKAL 47718,A81000C,00200,0400,DMD MANAGEMENT 47718,A81000C,00200,0600,MANAGEMENT CO. 47718,A81000C,00300,0100,A 47718,A81000C,00300,0200,DAVID FARKAS 47718,A81000C,00300,0400,DMD MANAGEMENT 47718,A81000C,00300,0600,MANAGEMENT CO. 47718,A81000C,00400,0100,A 47718,A81000C,00400,0200,VALERIE FARKAS 47718,A81000C,00400,0400,DMD MANAGEMENT 47718,A81000C,00400,0600,MANAGEMENT CO. 47718,A81000C,00500,0100,A 47718,A81000C,00500,0200,EDITH SHACHTER 47718,A81000C,00500,0400,DMD MANAGEMENT 47718,A81000C,00500,0600,MANAGEMENT CO. 47718,A81000C,00600,0100,A 47718,A81000C,00600,0200,RITA SCHONFELD 47718,A81000C,00600,0400,DMD MANAGEMENT 47718,A81000C,00600,0600,MANAGEMENT CO. 47718,A81000C,00700,0100,A 47718,A81000C,00700,0200,ROSE DANCZIGER 47718,A81000C,00700,0400,DMD MANAGEMENT 47718,A81000C,00700,0600,MANAGEMENT CO. 47718,A81000C,00800,0100,A 47718,A81000C,00800,0200,LARRY DANCZIGER 47718,A81000C,00800,0400,DMD MANAGEMENT 47718,A81000C,00800,0600,MANAGEMENT CO. 47718,A81000C,00900,0100,A 47718,A81000C,00900,0200,LORETTA DANCZIGER 47718,A81000C,00900,0400,DMD MANAGEMENT 47718,A81000C,00900,0600,MANAGEMENT CO. 47718,A81000C,01000,0100,A 47718,A81000C,01000,0200,HELENA FLANK 47718,A81000C,01000,0400,DMD MANAGEMENT 47718,A81000C,01000,0600,MANAGEMENT CO. 47718,A81000C,01001,0100,A 47718,A81000C,01001,0200,RUTH FEIG 47718,A81000C,01001,0400,DMD MANAGEMENT 47718,A81000C,01001,0600,MANAGEMENT CO. 47718,A81000C,01002,0100,A 47718,A81000C,01002,0200,REGINA KATZ 47718,A81000C,01002,0400,DMD MANAGEMENT 47718,A81000C,01002,0600,MANAGEMENT CO. 47718,A81000C,01003,0100,D 47718,A81000C,01003,0200,ALEX DASKAL 47718,A81000C,01003,0400,DMD MANAGEMENT 47718,A81000C,01003,0600,MANAGEMENT CO. 47718,A81000C,01004,0100,D 47718,A81000C,01004,0200,ESTER DASKAL 47718,A81000C,01004,0400,DMD MANAGEMENT 47718,A81000C,01004,0600,MANAGEMENT CO. 47718,A81000C,01005,0100,D 47718,A81000C,01005,0200,HAROLD SHACHTER 47718,A81000C,01005,0400,DMD MANAGEMENT 47718,A81000C,01005,0600,MANAGEMENT CO. 47718,A81000C,01006,0100,D 47718,A81000C,01006,0200,LOUIS SCHONFELD 47718,A81000C,01006,0400,DMD MANAGEMENT 47718,A81000C,01006,0600,MANAGEMENT CO. 47718,A81000C,01007,0100,D 47718,A81000C,01007,0200,MIKE FLANK 47718,A81000C,01007,0400,DMD MANAGEMENT 47718,A81000C,01007,0600,MANAGEMENT CO. 47718,A81000C,01008,0100,A 47718,A81000C,01008,0200,EDITH SHACHTER 47718,A81000C,01008,0400,CAMBIE CONSTRUCTION 47718,A81000C,01008,0600,CONSTRUCTION CO. 47718,A81000C,01009,0100,D 47718,A81000C,01009,0200,HAROLD SHACHTER 47718,A81000C,01009,0400,CAMBIE CONSTRUCTION 47718,A81000C,01009,0600,CONSTRUCTION CO. 47718,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47718,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47718,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47718,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47718,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47718,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47718,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47718,B100000,00000,0800,00000MEALS SERVED :DIETARY 47718,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47718,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47718,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47718,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47718,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47718,E10A180,00501,0100,07/06/2000 47718,S000000,00100,0200,06/05/2000 47718,S200000,00100,0100,5520 BROADVIEW ROAD 47718,S200000,00200,0100,PARMA 47718,S200000,00200,0200,OH 47718,S200000,00200,0300,44134- 47718,S200000,00300,0100,CUYAHOGA 47718,S200000,00400,0100,BROADVIEW MULTI-CARE CENTER 47718,S200000,00400,0200,365757 47718,S200000,00400,0300,09/21/1989 47718,S200000,00400,0500,P 47718,S200000,01600,0100,Y 47718,S200000,02800,0100,Y 47718,S200000,04300,0100,Y 47728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47728,A000000,00300,0000,00300EMPLOYEE BENEFITS 47728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47728,A000000,00700,0000,00700HOUSEKEEPING 47728,A000000,00800,0000,00800DIETARY 47728,A000000,00900,0000,00900NURSING ADMINISTRATION 47728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47728,A000000,01100,0000,01100PHARMACY 47728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47728,A000000,01300,0000,01300SOCIAL SERVICE 47728,A000000,01350,0000,01500OTHER GENERAL SERVICES 47728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47728,A000000,01600,0000,01600SKILLED NURSING FACILITY 47728,A000000,01800,0000,01800NURSING FACILITY 47728,A000000,01810,0000,01810ICF/MR 47728,A000000,01900,0000,01900OTHER LONG TERM CARE 47728,A000000,02100,0000,02100RADIOLOGY 47728,A000000,02200,0000,02200LABORATORY 47728,A000000,02300,0000,02300INTRAVENOUS THERAPY 47728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47728,A000000,02500,0000,02500PHYSICAL THERAPY 47728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47728,A000000,02700,0000,02700SPEECH PATHOLOGY 47728,A000000,02800,0000,02800ELECTROCARDIOLOGY 47728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47728,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47728,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47728,A000000,03200,0000,03200SUPPORT SURFACES 47728,A000000,03400,0000,03400CLINIC 47728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47728,A000000,03500,0000,03500RURAL HEALTH CLINIC 47728,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47728,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47728,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47728,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47728,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47728,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47728,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47728,A000000,04400,0000,04400DME RENTED - HHA 47728,A000000,04500,0000,04500DME SOLD - HHA 47728,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47728,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47728,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47728,A000000,04800,0000,04800AMBULANCE 47728,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47728,A000000,05000,0000,05000CORF 47728,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47728,A000000,05300,0000,05300INTEREST EXPENSE 47728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47728,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47728,A000000,05500,0000,05500HOSPICE 47728,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47728,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47728,A000000,06100,0000,06100NONPAID WORKERS 47728,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47728,A000000,06200,0000,06200PATIENTS LAUNDRY 47728,A81000A,00100,0100,Y 47728,A81000B,00100,0300,HOME OFFICE COSTS 47728,A81000C,00100,0100,A 47728,A81000C,00100,0200,LOUIS SCHONFELD 47728,A81000C,00100,0400,LEGACY MGMT 47728,A81000C,00100,0600,HOME OFFICE 47728,A81000C,00200,0100,A 47728,A81000C,00200,0200,MIKE FLANK 47728,A81000C,00200,0400,LEGACY MGMT 47728,A81000C,00200,0600,HOME OFFICE 47728,A81000C,00300,0100,A 47728,A81000C,00300,0200,DAVID FARKAS 47728,A81000C,00300,0400,LEGACY MGMT 47728,A81000C,00300,0600,HOME OFFICE 47728,A81000C,00400,0100,A 47728,A81000C,00400,0200,HAROLD SHACHTER 47728,A81000C,00400,0400,LEGACY MGMT 47728,A81000C,00400,0600,HOME OFFICE 47728,A81000C,00500,0100,A 47728,A81000C,00500,0200,BRUCE DASKAL 47728,A81000C,00500,0400,LEGACY MGMT 47728,A81000C,00500,0600,HOME OFFICE 47728,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47728,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47728,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47728,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47728,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47728,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47728,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47728,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47728,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47728,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47728,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47728,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47728,E10A180,00650,0100,08/30/2001 47728,E10A180,00650,0300,08/30/2001 47728,S000000,00100,0200,06/05/2000 47728,S200000,00100,0100,5553 BROADVIEW ROAD 47728,S200000,00200,0100,PARMA 47728,S200000,00200,0200,CA 47728,S200000,00200,0300,44134- 47728,S200000,00300,0100,CUYAHOGA 47728,S200000,00300,0200,1680 47728,S200000,00300,0300,U 47728,S200000,00400,0100,PARMA CARE CENTER 47728,S200000,00400,0200,365758 47728,S200000,00400,0300,09/22/1989 47728,S200000,00400,0500,P 47728,S200000,01600,0100,Y 47739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47739,A000000,00300,0000,00300EMPLOYEE BENEFITS 47739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47739,A000000,00700,0000,00700HOUSEKEEPING 47739,A000000,00701,0000,00701HOUSEKEEPING 47739,A000000,00702,0000,00702HOUSEKEEPING 47739,A000000,00800,0000,00800DIETARY 47739,A000000,00900,0000,00900NURSING ADMINISTRATION 47739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47739,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 47739,A000000,01100,0000,01100PHARMACY 47739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47739,A000000,01300,0000,01300SOCIAL SERVICE 47739,A000000,01350,0000,01500OTHER GENERAL SERVICES 47739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47739,A000000,01600,0000,01600SKILLED NURSING FACILITY 47739,A000000,01800,0000,01800NURSING FACILITY 47739,A000000,01810,0000,01810ICF/MR 47739,A000000,01900,0000,01900OTHER LONG TERM CARE 47739,A000000,02100,0000,02100RADIOLOGY 47739,A000000,02200,0000,02200LABORATORY 47739,A000000,02300,0000,02300INTRAVENOUS THERAPY 47739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47739,A000000,02500,0000,02500PHYSICAL THERAPY 47739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47739,A000000,02700,0000,02700SPEECH PATHOLOGY 47739,A000000,02800,0000,02800ELECTROCARDIOLOGY 47739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47739,A000000,03200,0000,03200SUPPORT SURFACES 47739,A000000,03400,0000,03400CLINIC 47739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47739,A000000,03500,0000,03500RURAL HEALTH CLINIC 47739,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47739,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47739,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47739,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47739,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47739,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47739,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47739,A000000,04400,0000,04400DME RENTED - HHA 47739,A000000,04500,0000,04500DME SOLD - HHA 47739,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47739,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47739,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47739,A000000,04800,0000,04800AMBULANCE 47739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47739,A000000,05000,0000,05000CORF 47739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47739,A000000,05300,0000,05300INTEREST EXPENSE 47739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47739,A000000,05500,0000,05500HOSPICE 47739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47739,A000000,06100,0000,06100NONPAID WORKERS 47739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47739,A000000,06151,0000,06301INDEPENDENT LIVING 47739,A000000,06152,0000,06302ASSISTED LIVING 47739,A000000,06153,0000,06303HOME CARE 47739,A000000,06200,0000,06200PATIENTS LAUNDRY 47739,A81000A,00100,0100,Y 47739,A81000B,00100,0300,CP REL COSTS-BLDGS & F HOME OFFICE 47739,A81000B,00200,0300,CAP REL COSTS-MOVABLE E HOME OFFICE 47739,A81000B,00300,0300,ADMIN & GENERAL - HOME OFFICE EXPENS 47739,A81000C,00100,0100,B 47739,A81000C,00100,0200,ELIZA JENNINGS GROUP 47739,A81000C,00100,0400,ELIZA JENNINGS GROUP 47739,A81000C,00100,0600,MANAGEMENT COMPANY 47739,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 47739,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 47739,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 47739,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 47739,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 47739,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 47739,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 47739,B100000,00000,0800,00003MEALS SERVED :DIETARY 47739,B100000,00000,0950,00003DIRECT NRSING HRS :NURSING ADMINIST 47739,B100000,00000,1050,00003INPATIENT DAYS :CENTRAL SERVICES & 47739,B100000,00000,1200,00003TIME SPENT :MEDICAL RECORDS & LIBR 47739,B100000,00000,1300,00003TIME SPENT :SOCIAL SERVICE 47739,S000000,00100,0200,12/01/2000 47739,S200000,00100,0100,26376 JOHN ROAD 47739,S200000,00200,0100,OLMSTED TOWNSHIP 47739,S200000,00200,0200,OH 47739,S200000,00200,0300,44138- 47739,S200000,00300,0100,CUYAHOGA 47739,S200000,00300,0200,1680 47739,S200000,00300,0300,U 47739,S200000,00400,0100,THE HEALTH CENTER AT THE RENAISSANCE 47739,S200000,00400,0200,365759 47739,S200000,00400,0300,10/04/1989 47739,S200000,00400,0500,P 47739,S200000,01004,0500,O 47739,S200000,01500,0100,Y 47739,S200000,01900,0100,VOLUNTARY - NON-PROF 47739,S200000,04300,0100,Y 47746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47746,A000000,00300,0000,00300EMPLOYEE BENEFITS 47746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47746,A000000,00700,0000,00700HOUSEKEEPING 47746,A000000,00800,0000,00800DIETARY 47746,A000000,00900,0000,00900NURSING ADMINISTRATION 47746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47746,A000000,01100,0000,01100PHARMACY 47746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47746,A000000,01300,0000,01300SOCIAL SERVICE 47746,A000000,01600,0000,01600SKILLED NURSING FACILITY 47746,A000000,01800,0000,01800NURSING FACILITY 47746,A000000,01900,0000,01900OTHER LONG TERM CARE 47746,A000000,02100,0000,02100RADIOLOGY 47746,A000000,02200,0000,02200LABORATORY 47746,A000000,02300,0000,02300INTRAVENOUS THERAPY 47746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47746,A000000,02500,0000,02500PHYSICAL THERAPY 47746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47746,A000000,02700,0000,02700SPEECH PATHOLOGY 47746,A000000,02800,0000,02800ELECTROCARDIOLOGY 47746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47746,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 47746,A000000,03200,0000,03200SUPPORT SURFACES 47746,A000000,04800,0000,04800AMBULANCE 47746,A000000,05300,0000,05300INTEREST EXPENSE 47746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47746,A81000A,00100,0100,Y 47746,A81000B,00100,0300,ENTERAL SUPPLIES 47746,A81000B,00200,0300,MEDICAL SUPPLIES 47746,A81000B,00300,0300,INCONTINENT & UP SUPPLIES 47746,A81000B,00400,0300,BUILDING REPAIRS 47746,A81000B,00500,0300,RENTAL OF EQUIPMENT 47746,A81000B,00600,0300,COMMUNICATIONS 47746,A81000B,00700,0300,OFFICE SUPPLIES 47746,A81000B,00800,0300,BUILDING RENT 47746,A81000B,00900,0300,OWNERSHIP COST-CONDO 47746,A81000B,01000,0300,OWNERSHIP COST-CONDO 47746,A81000B,01100,0300,OWNERSHIP COST-CONDO 47746,A81000B,01200,0300,OWNERSHIP COST-CONDO 47746,A81000B,01300,0300,OWNERSHIP COST-CONDO 47746,A81000B,01400,0300,OWNERSHIP COST-CONDO 47746,A81000C,00100,0100,A 47746,A81000C,00100,0200,FELIX SAVON 47746,A81000C,00100,0400,BOARDMAN MEDICA 47746,A81000C,00100,0600,MEDICAL SUPPLIE 47746,A81000C,00200,0100,A 47746,A81000C,00200,0200,FELIX SAVON 47746,A81000C,00200,0400,SATERI HOME INC 47746,A81000C,00200,0600,RETIREMENT HOME 47746,A81000C,00300,0100,A 47746,A81000C,00300,0200,FELIX SAVON 47746,A81000C,00300,0400,FELIX SAVON 47746,A81000C,00300,0600,CONDO OWNER 47746,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47746,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47746,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47746,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47746,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47746,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47746,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 47746,B100000,00000,0800,00000MEALS SERVED :DIETARY 47746,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 47746,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 47746,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 47746,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47746,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47746,E10A180,00501,0100,03/02/2000 47746,S000000,00100,0200,02/29/2000 47746,S200000,00100,0100,830 BOARDMAN-CANFIELD RD 47746,S200000,00200,0100,YOUNGSTOWN 47746,S200000,00200,0200,OH 47746,S200000,00200,0300,44512- 47746,S200000,00300,0100,MAHONING 47746,S200000,00400,0100,RON JOY NURSING HOME 47746,S200000,00400,0200,365760 47746,S200000,00400,0300,08/24/1989 47746,S200000,00400,0500,P 47746,S200000,01500,0100,Y 47756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47756,A000000,00300,0000,00300EMPLOYEE BENEFITS 47756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47756,A000000,00700,0000,00700HOUSEKEEPING 47756,A000000,00800,0000,00800DIETARY 47756,A000000,00900,0000,00900NURSING ADMINISTRATION 47756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47756,A000000,01100,0000,01100PHARMACY 47756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47756,A000000,01300,0000,01300SOCIAL SERVICE 47756,A000000,01600,0000,01600SKILLED NURSING FACILITY 47756,A000000,01800,0000,01800NURSING FACILITY 47756,A000000,01900,0000,01900OTHER LONG TERM CARE 47756,A000000,02100,0000,02100RADIOLOGY 47756,A000000,02200,0000,02200LABORATORY 47756,A000000,02300,0000,02300INTRAVENOUS THERAPY 47756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47756,A000000,02500,0000,02500PHYSICAL THERAPY 47756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47756,A000000,02700,0000,02700SPEECH PATHOLOGY 47756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47756,A000000,03200,0000,03200SUPPORT SURFACES 47756,A000000,04800,0000,04800AMBULANCE 47756,A000000,05300,0000,05300INTEREST EXPENSE 47756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47756,A000000,06151,0000,06301CHILD CARE CENTER 47756,A000000,06152,0000,06302ENTERALS 47756,A000000,06200,0000,06200PATIENTS LAUNDRY 47756,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 47756,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 47756,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 47756,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 47756,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 47756,B100000,00000,0650,00002INPATIENT DAYS :LAUNDRY & LINEN SE 47756,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 47756,B100000,00000,0800,00002MEALS SERVED :DIETARY 47756,B100000,00000,0950,00002DIRECT NURSING HR :NURSING ADMINIST 47756,B100000,00000,1050,00002INPATIENT DAYS :CENTRAL SERVICES & 47756,B100000,00000,1150,00002INPATIENT DAYS :PHARMACY 47756,B100000,00000,1250,00002INPATIENT DAYS :MEDICAL RECORDS & 47756,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 47756,E10A180,00501,0100,06/27/2000 47756,S000000,00100,0200,06/02/2000 47756,S200000,00100,0100,37800 FRENCH CREEK ROAD 47756,S200000,00200,0100,AVON 47756,S200000,00200,0200,OH 47756,S200000,00200,0300,44011- 47756,S200000,00300,0100,LORAIN 47756,S200000,00400,0100,AVON OAKS NURSING HOME 47756,S200000,00400,0200,365762 47756,S200000,00400,0300,09/29/1989 47756,S200000,00400,0500,P 47756,S200000,01500,0100,Y 47756,S200000,04300,0100,Y 47756,S200000,04700,0100,Y 47767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47767,A000000,00300,0000,00300EMPLOYEE BENEFITS 47767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47767,A000000,00700,0000,00700HOUSEKEEPING 47767,A000000,00800,0000,00800DIETARY 47767,A000000,00900,0000,00900NURSING ADMINISTRATION 47767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47767,A000000,01100,0000,01100PHARMACY 47767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47767,A000000,01300,0000,01300SOCIAL SERVICE 47767,A000000,01350,0000,01500OTHER GENERAL SERVICES 47767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47767,A000000,01600,0000,01600SKILLED NURSING FACILITY 47767,A000000,01800,0000,01800NURSING FACILITY 47767,A000000,01810,0000,01810ICF/MR 47767,A000000,01900,0000,01900OTHER LONG TERM CARE 47767,A000000,02100,0000,02100RADIOLOGY 47767,A000000,02200,0000,02200LABORATORY 47767,A000000,02300,0000,02300INTRAVENOUS THERAPY 47767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47767,A000000,02500,0000,02500PHYSICAL THERAPY 47767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47767,A000000,02700,0000,02700SPEECH PATHOLOGY 47767,A000000,02800,0000,02800ELECTROCARDIOLOGY 47767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47767,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47767,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47767,A000000,03200,0000,03200SUPPORT SURFACES 47767,A000000,03400,0000,03400CLINIC 47767,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47767,A000000,03500,0000,03500RURAL HEALTH CLINIC 47767,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47767,A000000,04800,0000,04800AMBULANCE 47767,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47767,A000000,05000,0000,05000CORF 47767,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47767,A000000,05300,0000,05300INTEREST EXPENSE 47767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47767,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47767,A000000,05500,0000,05500HOSPICE 47767,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47767,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47767,A000000,06100,0000,06100NONPAID WORKERS 47767,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47767,A000000,06200,0000,06200PATIENTS LAUNDRY 47767,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 47767,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 47767,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 47767,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47767,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 47767,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 47767,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 47767,B100000,00000,0850,00000NO STATISTICS :DIETARY 47767,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 47767,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 47767,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47767,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 47767,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 47767,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47767,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47767,E10A180,00501,0100,05/12/2000 47767,S000000,00100,0200,04/20/2000 47767,S200000,00100,0100,7300 MCEWEN ROAD 47767,S200000,00200,0100,DAYTON 47767,S200000,00200,0200,OH 47767,S200000,00200,0300,45459- 47767,S200000,00300,0100,MONTGOMERY 47767,S200000,00400,0100,WASHINGTON MANOR 47767,S200000,00400,0200,365764 47767,S200000,00400,0300,01/01/1990 47767,S200000,00400,0500,P 47767,S200000,01500,0100,Y 47776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47776,A000000,00300,0000,00300EMPLOYEE BENEFITS 47776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47776,A000000,00700,0000,00700HOUSEKEEPING 47776,A000000,00800,0000,00800DIETARY 47776,A000000,00900,0000,00900NURSING ADMINISTRATION 47776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47776,A000000,01100,0000,01100PHARMACY 47776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47776,A000000,01300,0000,01300SOCIAL SERVICE 47776,A000000,01350,0000,01500OTHER GENERAL SERVICES 47776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47776,A000000,01600,0000,01600SKILLED NURSING FACILITY 47776,A000000,01800,0000,01800NURSING FACILITY 47776,A000000,01810,0000,01801ICF/MR 47776,A000000,01900,0000,01900OTHER LONG TERM CARE 47776,A000000,02100,0000,02100RADIOLOGY 47776,A000000,02200,0000,02200LABORATORY 47776,A000000,02300,0000,02300INTRAVENOUS THERAPY 47776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47776,A000000,02500,0000,02500PHYSICAL THERAPY 47776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47776,A000000,02700,0000,02700SPEECH PATHOLOGY 47776,A000000,02800,0000,02800ELECTROCARDIOLOGY 47776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47776,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47776,A000000,03200,0000,03200SUPPORT SURFACES 47776,A000000,03400,0000,03400CLINIC 47776,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47776,A000000,03500,0000,03500RURAL HEALTH CLINIC 47776,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47776,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47776,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47776,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47776,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47776,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47776,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47776,A000000,04400,0000,04400DME RENTED - HHA 47776,A000000,04500,0000,04500DME SOLD - HHA 47776,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47776,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47776,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47776,A000000,04800,0000,04800AMBULANCE 47776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47776,A000000,05000,0000,05000CORF 47776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47776,A000000,05300,0000,05300INTEREST EXPENSE 47776,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47776,A000000,05500,0000,05500HOSPICE 47776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47776,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47776,A000000,06100,0000,06100NONPAID WORKERS 47776,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47776,A000000,06200,0000,06200PATIENTS LAUNDRY 47776,A81000A,00100,0100,Y 47776,A81000B,00100,0300,CAP RELATED COST-BLDGS &DEPRECIATION 47776,A81000B,00200,0300,ADMINISTRATIVE @ GENERAL HOME OFFICE 47776,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 47776,A81000B,00400,0300,CENTRAL SERVICES & MEDICAL SUPPLIES 47776,A81000B,00500,0300,ADMINISTRATIVE AND GENERAL HOME OFFI 47776,A81000B,00600,0300,PLANT OPERATION MAINT. AND SUPPLIES 47776,A81000B,00700,0300,LAUNDRY AND LINNEN SUPPLIES 47776,A81000B,00800,0300,HOUSEKEEPING 47776,A81000B,00900,0300,DIETARY 47776,A81000B,01000,0300,PHYSICAL THERAPY SUPPLIES 47776,A81000B,01100,0300,EDUCATION EXPENCE 47776,A81000C,00100,0100,A 47776,A81000C,00100,0200,JOHN MASTERNICK 47776,A81000C,00100,0400,D&M TRUST 47776,A81000C,00100,0600,REAL ESTATE 47776,A81000C,00200,0100,D 47776,A81000C,00200,0200,JOHN J. MASTERNICK JR 47776,A81000C,00200,0400,MEDI-RX 47776,A81000C,00200,0600,PHARMACY 47776,A81000C,00300,0100,A 47776,A81000C,00300,0200,JOHN MASTERNICK 47776,A81000C,00300,0400,TRADEMASTERS 47776,A81000C,00300,0600,SUPLIES 47776,A81000C,00400,0100,D 47776,A81000C,00400,0200,JOHN J. MASTERNICK JR 47776,A81000C,00400,0400,TRADMASTERSA 47776,A81000C,00400,0600,SUPPLIES 47776,A81000C,00500,0100,D 47776,A81000C,00500,0200,LEO GRIMES 47776,A81000C,00500,0400,TRADMASTERS 47776,A81000C,00500,0600,SUPPLIES 47776,A81000C,00600,0100,A 47776,A81000C,00600,0200,JOHN MASTERNICK 47776,A81000C,00600,0400,WINDSOR TRANING CENTER 47776,A81000C,00600,0600,EDUCATION 47776,A81000C,00700,0100,A 47776,A81000C,00700,0200,JOHN MASTERNICK 47776,A81000C,00700,0400,WINDSOR HOUSE INC. 47776,A81000C,00700,0600,HOME OFFICE 47776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47776,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47776,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47776,B100000,00000,0800,00000MEALS SERVED :DIETARY 47776,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47776,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47776,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47776,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47776,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47776,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47776,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47776,S000000,00100,0200,06/02/2000 47776,S200000,00100,0100,930 EAST PARK 47776,S200000,00200,0100,COLUMBIANA 47776,S200000,00200,0200,OH 47776,S200000,00200,0300,44408- 47776,S200000,00300,0100,COLUMBIANA 47776,S200000,00400,0100,PARKSIDE HEALTH CARE CENTER 47776,S200000,00400,0200,365766 47776,S200000,00400,0300,08/15/1988 47776,S200000,00400,0500,P 47776,S200000,01500,0100,Y 47776,S200000,04700,0100,Y 47776,S700003,00000,0100,1 47786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47786,A000000,00300,0000,00300EMPLOYEE BENEFITS 47786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47786,A000000,00700,0000,00700HOUSEKEEPING 47786,A000000,00800,0000,00800DIETARY 47786,A000000,00900,0000,00900NURSING ADMINISTRATION 47786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47786,A000000,01100,0000,01100PHARMACY 47786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47786,A000000,01300,0000,01300SOCIAL SERVICE 47786,A000000,01350,0000,01500ACTIVITIES 47786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47786,A000000,01600,0000,01600SKILLED NURSING FACILITY 47786,A000000,01800,0000,01800NURSING FACILITY 47786,A000000,01810,0000,01801ICF/MR 47786,A000000,01900,0000,01900OTHER LONG TERM CARE 47786,A000000,02100,0000,02100RADIOLOGY 47786,A000000,02200,0000,02200LABORATORY 47786,A000000,02300,0000,02300INTRAVENOUS THERAPY 47786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47786,A000000,02500,0000,02500PHYSICAL THERAPY 47786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47786,A000000,02700,0000,02700SPEECH PATHOLOGY 47786,A000000,02800,0000,02800ELECTROCARDIOLOGY 47786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47786,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47786,A000000,03200,0000,03200SUPPORT SURFACES 47786,A000000,03400,0000,03400CLINIC 47786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47786,A000000,03500,0000,03500RURAL HEALTH CLINIC 47786,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47786,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47786,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47786,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47786,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47786,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47786,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47786,A000000,04400,0000,04400DME RENTED - HHA 47786,A000000,04500,0000,04500DME SOLD - HHA 47786,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47786,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47786,A000000,04800,0000,04800AMBULANCE 47786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47786,A000000,05000,0000,05000CORF 47786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47786,A000000,05300,0000,05300INTEREST EXPENSE 47786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47786,A000000,05500,0000,05500HOSPICE 47786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47786,A000000,06100,0000,06100NONPAID WORKERS 47786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47786,A000000,06200,0000,06200PATIENTS LAUNDRY 47786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47786,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47786,B100000,00000,0800,00000MEALS SERVED :DIETARY 47786,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47786,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47786,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47786,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47786,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47786,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47786,S000000,00100,0200,03/17/2000 47786,S200000,00100,0100,3023 COUNTY ROAD 91 47786,S200000,00200,0100,BELLEFONTAINE 47786,S200000,00200,0200,OH 47786,S200000,00200,0300,43311- 47786,S200000,00300,0100,LOGAN 47786,S200000,00400,0100,LOGAN ACRES 47786,S200000,00400,0200,365768 47786,S200000,00400,0300,07/21/1989 47786,S200000,00400,0500,P 47786,S200000,00400,0600,P 47786,S200000,01600,0100,Y 47786,S700003,00000,0100,1 47796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47796,A000000,00300,0000,00300EMPLOYEE BENEFITS 47796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47796,A000000,00700,0000,00700HOUSEKEEPING 47796,A000000,00800,0000,00800DIETARY 47796,A000000,00900,0000,00900NURSING ADMINISTRATION 47796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47796,A000000,01100,0000,01100PHARMACY 47796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47796,A000000,01300,0000,01300SOCIAL SERVICE 47796,A000000,01350,0000,01500OTHER GENERAL SERVICES 47796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47796,A000000,01600,0000,01600SKILLED NURSING FACILITY 47796,A000000,01800,0000,01800NURSING FACILITY 47796,A000000,01810,0000,01801ICF/MR 47796,A000000,01900,0000,01900OTHER LONG TERM CARE 47796,A000000,02100,0000,02100RADIOLOGY 47796,A000000,02200,0000,02200LABORATORY 47796,A000000,02300,0000,02300INTRAVENOUS THERAPY 47796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47796,A000000,02500,0000,02500PHYSICAL THERAPY 47796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47796,A000000,02700,0000,02700SPEECH PATHOLOGY 47796,A000000,02800,0000,02800ELECTROCARDIOLOGY 47796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47796,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47796,A000000,03200,0000,03200SUPPORT SURFACES 47796,A000000,03400,0000,03400CLINIC 47796,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47796,A000000,03500,0000,03500RURAL HEALTH CLINIC 47796,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47796,A000000,04800,0000,04800AMBULANCE 47796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47796,A000000,05000,0000,05000CORF 47796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47796,A000000,05300,0000,05300INTEREST EXPENSE 47796,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47796,A000000,05500,0000,05500HOSPICE 47796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47796,A000000,06100,0000,06100NONPAID WORKERS 47796,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47796,A000000,06200,0000,06200PATIENTS LAUNDRY 47796,A81000A,00100,0100,Y 47796,A81000B,00100,0300,HOME OFFICE EXPENSES 47796,A81000C,00100,0100,A 47796,A81000C,00100,0200,EVELYN GARFIELD 47796,A81000C,00100,0400,EMERY MEDICAL MANAGEMENT 47796,A81000C,00100,0600,MANAGEMENT COMPANY 47796,A81000C,00200,0100,A 47796,A81000C,00200,0200,HOLLIS GARFIELD 47796,A81000C,00200,0400,EMERY MEDICAL MANAGEMENT 47796,A81000C,00200,0600,MANAGEMENT COMPANY 47796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47796,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47796,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47796,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47796,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 47796,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47796,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47796,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47796,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47796,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47796,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47796,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47796,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47796,S000000,00100,0200,05/30/2000 47796,S200000,00100,0100,155 HERITAGE WOODS DRIVE 47796,S200000,00200,0100,COPLEY 47796,S200000,00200,0200,OH 47796,S200000,00200,0300,44321- 47796,S200000,00300,0100,SUMMIT 47796,S200000,00400,0100,COPLEY HEALTH CENTER 47796,S200000,00400,0200,365771 47796,S200000,00400,0300,01/09/1990 47796,S200000,00400,0500,P 47796,S200000,01600,0100,Y 47796,S200000,04700,0100,Y 47805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47805,A000000,00300,0000,00300EMPLOYEE BENEFITS 47805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47805,A000000,00700,0000,00700HOUSEKEEPING 47805,A000000,00800,0000,00800DIETARY 47805,A000000,00900,0000,00900NURSING ADMINISTRATION 47805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47805,A000000,01300,0000,01300SOCIAL SERVICE 47805,A000000,01350,0000,01500ACTIVITIES 47805,A000000,01600,0000,01600SKILLED NURSING FACILITY 47805,A000000,01800,0000,01800NURSING FACILITY 47805,A000000,01810,0000,01801ICF/MR 47805,A000000,01900,0000,01900OTHER LONG TERM CARE 47805,A000000,02100,0000,02100RADIOLOGY 47805,A000000,02200,0000,02200LABORATORY 47805,A000000,02300,0000,02300INTRAVENOUS THERAPY 47805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47805,A000000,02500,0000,02500PHYSICAL THERAPY 47805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47805,A000000,02700,0000,02700SPEECH PATHOLOGY 47805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47805,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47805,A000000,03200,0000,03200SUPPORT SURFACES 47805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47805,A000000,04800,0000,04800AMBULANCE 47805,A000000,05300,0000,05300INTEREST EXPENSE 47805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47805,A000000,06200,0000,06200PATIENTS LAUNDRY 47805,A81000A,00100,0100,Y 47805,A81000B,00100,0300,CAP REL COSTS -BLDGS & F RENT EXPENS 47805,A81000C,00100,0100,A 47805,A81000C,00100,0200,BARRY BORTZ 47805,A81000C,00100,0400,EASTGATE REALTY 47805,A81000C,00100,0600,REAL ESTATE COMPANY 47805,A81000C,00200,0100,A 47805,A81000C,00200,0200,HENRY SCHNEIDER 47805,A81000C,00200,0400,EASTGATE REALTY 47805,A81000C,00200,0600,REAL ESTATE COMPANY 47805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47805,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47805,B100000,00000,0800,00000MEALS SERVED :DIETARY 47805,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47805,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47805,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47805,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47805,S000000,00100,0200,06/03/2000 47805,S200000,00100,0100,4400 GLENESTE WITHAMSVILLE RD 47805,S200000,00200,0100,CINCINNATI 47805,S200000,00200,0200,OH 47805,S200000,00200,0300,45245- 47805,S200000,00300,0100,CLERMONT 47805,S200000,00400,0100,EASTGATE HEALTH CARE CENTER 47805,S200000,00400,0200,365772 47805,S200000,00400,0300,02/01/1990 47805,S200000,00400,0500,P 47805,S200000,01600,0100,Y 47805,S700003,00000,0100,1 47812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47812,A000000,00300,0000,00300EMPLOYEE BENEFITS 47812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47812,A000000,00700,0000,00700HOUSEKEEPING 47812,A000000,00800,0000,00800DIETARY 47812,A000000,00900,0000,00900NURSING ADMINISTRATION 47812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47812,A000000,01100,0000,01100PHARMACY 47812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47812,A000000,01300,0000,01300SOCIAL SERVICE 47812,A000000,01350,0000,01500OTHER GENERAL SERVICES 47812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47812,A000000,01600,0000,01600SKILLED NURSING FACILITY 47812,A000000,01800,0000,01800NURSING FACILITY 47812,A000000,01810,0000,01801ICF/MR 47812,A000000,01900,0000,01900OTHER LONG TERM CARE 47812,A000000,02100,0000,02100RADIOLOGY 47812,A000000,02200,0000,02200LABORATORY 47812,A000000,02300,0000,02300INTRAVENOUS THERAPY 47812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47812,A000000,02500,0000,02500PHYSICAL THERAPY 47812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47812,A000000,02700,0000,02700SPEECH PATHOLOGY 47812,A000000,02800,0000,02800ELECTROCARDIOLOGY 47812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47812,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47812,A000000,03200,0000,03200SUPPORT SURFACES 47812,A000000,03400,0000,03400CLINIC 47812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47812,A000000,03500,0000,03500RURAL HEALTH CLINIC 47812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47812,A000000,04400,0000,04400DME RENTED - HHA 47812,A000000,04500,0000,04500DME SOLD - HHA 47812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47812,A000000,04800,0000,04800AMBULANCE 47812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47812,A000000,05000,0000,05000CORF 47812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47812,A000000,05300,0000,05300INTEREST EXPENSE 47812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47812,A000000,05500,0000,05500HOSPICE 47812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47812,A000000,06100,0000,06100NONPAID WORKERS 47812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47812,A000000,06200,0000,06200PATIENTS LAUNDRY 47812,A81000A,00100,0100,Y 47812,A81000B,00100,0300,HOME OFFICE EXP (MGT FEES) 47812,A81000C,00100,0100,A 47812,A81000C,00100,0200,CHARLES OSBORNE 47812,A81000C,00100,0400,VANTAGE RESOURSES 47812,A81000C,00100,0600,MANAGEMENT SERVICES 47812,B100000,00000,0150,00000SUQARE FEET :CAP REL COSTS - BLDGS 47812,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 47812,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 47812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47812,B100000,00000,0550,00000SUQARE FEET :PLANT OPERATION MAIN 47812,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47812,B100000,00000,0750,00000SUQARE FEET :HOUSEKEEPING 47812,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47812,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 47812,B100000,00000,1050,00000NURSING DAYS :CENTRAL SERVICES & S 47812,B100000,00000,1150,00000NURSING DAYS :PHARMACY 47812,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47812,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47812,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47812,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47812,S000000,00100,0200,06/05/2000 47812,S200000,00100,0100,694 ISAAC PRUGH WAY 47812,S200000,00200,0100,KETTERING 47812,S200000,00200,0200,OH 47812,S200000,00200,0300,45429- 47812,S200000,00300,0100,MONTOMERY 47812,S200000,00400,0100,LINCOLN PARK MANRO 47812,S200000,00400,0200,365773 47812,S200000,00400,0300,01/01/1990 47812,S200000,00400,0500,P 47812,S200000,01004,0500,O 47812,S200000,01600,0100,Y 47821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47821,A000000,00300,0000,00300EMPLOYEE BENEFITS 47821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47821,A000000,00700,0000,00700HOUSEKEEPING 47821,A000000,00800,0000,00800DIETARY 47821,A000000,00900,0000,00900NURSING ADMINISTRATION 47821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47821,A000000,01100,0000,01100PHARMACY 47821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47821,A000000,01300,0000,01300SOCIAL SERVICE 47821,A000000,01350,0000,01500ACTIVITIES 47821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47821,A000000,01600,0000,01600SKILLED NURSING FACILITY 47821,A000000,01800,0000,01800NURSING FACILITY 47821,A000000,01810,0000,01801ICF/MR 47821,A000000,01900,0000,01900OTHER LONG TERM CARE 47821,A000000,02100,0000,02100RADIOLOGY 47821,A000000,02200,0000,02200LABORATORY 47821,A000000,02300,0000,02300INTRAVENOUS THERAPY 47821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47821,A000000,02500,0000,02500PHYSICAL THERAPY 47821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47821,A000000,02700,0000,02700SPEECH PATHOLOGY 47821,A000000,02800,0000,02800ELECTROCARDIOLOGY 47821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47821,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47821,A000000,03200,0000,03200SUPPORT SURFACES 47821,A000000,03400,0000,03400CLINIC 47821,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47821,A000000,03500,0000,03500RURAL HEALTH CLINIC 47821,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47821,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47821,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47821,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47821,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47821,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47821,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47821,A000000,04400,0000,04400DME RENTED - HHA 47821,A000000,04500,0000,04500DME SOLD - HHA 47821,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47821,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47821,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47821,A000000,04800,0000,04800AMBULANCE 47821,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47821,A000000,05000,0000,05000CORF 47821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47821,A000000,05300,0000,05300INTEREST EXPENSE 47821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47821,A000000,05500,0000,05500HOSPICE 47821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47821,A000000,06100,0000,06100NONPAID WORKERS 47821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47821,A000000,06200,0000,06200PATIENTS LAUNDRY 47821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47821,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47821,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47821,B100000,00000,0800,00000MEALS SERVED :DIETARY 47821,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47821,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47821,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47821,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47821,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47821,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47821,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47821,S000000,00100,0200,06/05/2000 47821,S200000,00100,0100,550 MINER DRIVE 47821,S200000,00200,0100,MEDINA 47821,S200000,00200,0200,OH 47821,S200000,00200,0300,44256- 47821,S200000,00300,0100,MEDINA 47821,S200000,00400,0100,OHIO PYTHIAN SISTERS HOME 47821,S200000,00400,0200,365774 47821,S200000,00400,0300,10/08/1989 47821,S200000,00400,0500,P 47821,S200000,00400,0600,P 47821,S200000,01004,0500,O 47821,S200000,01500,0100,Y 47821,S200000,02200,0100,Y 47821,S200000,04300,0100,Y 47821,S200000,04700,0100,Y 47831,S000000,00100,0200,06/01/2000 47837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47837,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47837,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47837,A000000,00300,0000,00300EMPLOYEE BENEFITS 47837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47837,A000000,00700,0000,00700HOUSEKEEPING 47837,A000000,00800,0000,00800DIETARY 47837,A000000,00801,0000,00801CAFETERIA 47837,A000000,00900,0000,00900NURSING ADMINISTRATION 47837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47837,A000000,01100,0000,01100PHARMACY 47837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47837,A000000,01300,0000,01300SOCIAL SERVICE 47837,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47837,A000000,01600,0000,01600SKILLED NURSING FACILITY 47837,A000000,01800,0000,01800NURSING FACILITY 47837,A000000,01900,0000,01900OTHER LONG TERM CARE 47837,A000000,02100,0000,02100RADIOLOGY 47837,A000000,02200,0000,02200LABORATORY 47837,A000000,02300,0000,02300INTRAVENOUS THERAPY 47837,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47837,A000000,02500,0000,02500PHYSICAL THERAPY 47837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47837,A000000,02700,0000,02700SPEECH PATHOLOGY 47837,A000000,02800,0000,02800ELECTROCARDIOLOGY 47837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47837,A000000,03050,0000,03300OTHER ANCILLARY 47837,A000000,03051,0000,03301OTHER ANCILLARY II 47837,A000000,03052,0000,03302OTHER ANCILLARY III 47837,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47837,A000000,03200,0000,03200SUPPORT SURFACES 47837,A000000,03400,0000,03400CLINIC 47837,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47837,A000000,03500,0000,03500RURAL HEALTH CLINIC 47837,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47837,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47837,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47837,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47837,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47837,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47837,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47837,A000000,04400,0000,04400DME RENTED - HHA 47837,A000000,04500,0000,04500DME SOLD - HHA 47837,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47837,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47837,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47837,A000000,04800,0000,04800AMBULANCE 47837,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47837,A000000,05000,0000,05000CORF 47837,A000000,05010,0000,05010CMHC I 47837,A000000,05020,0000,05020OPT I 47837,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47837,A000000,05300,0000,05300INTEREST EXPENSE 47837,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47837,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47837,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47837,A000000,05500,0000,05500HOSPICE 47837,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47837,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47837,A000000,06100,0000,06100NONPAID WORKERS 47837,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47837,A000000,06200,0000,06200PATIENTS LAUNDRY 47837,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47837,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47837,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47837,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47837,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47837,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47837,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47837,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47837,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47837,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47837,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47837,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47837,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47837,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47837,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47837,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47837,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47837,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47837,S000000,00100,0200,05/31/2000 47837,S200000,00100,0100,3218 INDIAN RIPPLE RD. 47837,S200000,00200,0100,BEAVERCREEK 47837,S200000,00200,0200,OH 47837,S200000,00300,0100,GREENE 47837,S200000,00400,0100,TRINITY COMMUNITY 47837,S200000,00400,0200,365777 47837,S200000,00400,0300,07/01/1980 47837,S200000,00400,0500,P 47837,S200000,01500,0100,Y 47837,S200000,02200,0100,Y 47837,S200000,04700,0100,Y 47844,S000000,00100,0200,06/01/2000 47860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47860,A000000,00300,0000,00300EMPLOYEE BENEFITS 47860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47860,A000000,00700,0000,00700HOUSEKEEPING 47860,A000000,00800,0000,00800DIETARY 47860,A000000,00900,0000,00900NURSING ADMINISTRATION 47860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47860,A000000,01100,0000,01100PHARMACY 47860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47860,A000000,01300,0000,01300SOCIAL SERVICE 47860,A000000,01350,0000,01500ACTIVITIES 47860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47860,A000000,01600,0000,01600SKILLED NURSING FACILITY 47860,A000000,01800,0000,01800NURSING FACILITY 47860,A000000,01900,0000,01900OTHER LONG TERM CARE 47860,A000000,02100,0000,02100RADIOLOGY 47860,A000000,02200,0000,02200LABORATORY 47860,A000000,02300,0000,02300INTRAVENOUS THERAPY 47860,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47860,A000000,02500,0000,02500PHYSICAL THERAPY 47860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47860,A000000,02700,0000,02700SPEECH PATHOLOGY 47860,A000000,02800,0000,02800ELECTROCARDIOLOGY 47860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47860,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 47860,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47860,A000000,03200,0000,03200SUPPORT SURFACES 47860,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 47860,A000000,04800,0000,04800AMBULANCE 47860,A000000,05300,0000,05300INTEREST EXPENSE 47860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 47860,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47860,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47860,A000000,06100,0000,06100NONPAID WORKERS 47860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47860,A000000,06200,0000,06200PATIENTS LAUNDRY 47860,A81000A,00100,0100,Y 47860,A81000B,00100,0300,HOME OFFICE COST 47860,A81000B,00200,0300,P/S PHARMACIST 47860,A81000B,00300,0300,IV COSTS 47860,A81000B,00400,0300,DRUGS 47860,A81000B,00500,0300,PHYSICAL THERAPY 47860,A81000B,00600,0300,OCCUPATIONAL THERAPY 47860,A81000B,00700,0300,SPEECH THERAPY 47860,A81000C,00100,0100,B 47860,A81000C,00100,0200,HEARTLAND OF MARIETTA 47860,A81000C,00100,0400,HEALTH CARE & RETIREMENT 47860,A81000C,00100,0600,LONG TERM CARE FACILITIES 47860,A81000C,00200,0100,B 47860,A81000C,00200,0200,HEARTLAND OF MARIETTA 47860,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 47860,A81000C,00200,0600,PHARMACY 47860,A81000C,00300,0100,B 47860,A81000C,00300,0200,HEARTLAND OF MARIETTA 47860,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 47860,A81000C,00300,0600,PHARMACY 47860,A81000C,00400,0100,B 47860,A81000C,00400,0200,HEARTLAND OF MARIETTA 47860,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 47860,A81000C,00400,0600,PHARMACY 47860,A81000C,00500,0100,B 47860,A81000C,00500,0200,HEARTLAND OF MARIETTA 47860,A81000C,00500,0400,HEARTLAND MGMT SERVICES 47860,A81000C,00500,0600,THERAPY MANAGEMENT 47860,A81000C,00600,0100,B 47860,A81000C,00600,0200,HEARTLAND OF MARIETTA 47860,A81000C,00600,0400,HEARTLAND MGMT SERVICES 47860,A81000C,00600,0600,THERAPY MANAGEMENT 47860,A81000C,00700,0100,B 47860,A81000C,00700,0200,HEARTLAND OF MARIETTA 47860,A81000C,00700,0400,HEARTLAND MGMT SERVICES 47860,A81000C,00700,0600,THERAPY MANAGEMENT 47860,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47860,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47860,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47860,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47860,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47860,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47860,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47860,B100000,00000,0800,00000MEALS SERVED :DIETARY 47860,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 47860,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47860,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 47860,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47860,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47860,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47860,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 47860,S000000,00100,0200,05/25/2000 47860,S200000,00100,0100,2501 STATE ROUTE 60 47860,S200000,00200,0100,MARIETTA 47860,S200000,00200,0200,OH 47860,S200000,00200,0300,45750- 47860,S200000,00300,0100,WASHINGTON 47860,S200000,00400,0100,HEARTLAND OF MARIETTA 47860,S200000,00400,0200,365780 47860,S200000,00400,0300,11/06/1989 47860,S200000,00400,0500,P 47860,S200000,01600,0100,Y 47869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47869,A000000,00300,0000,00300EMPLOYEE BENEFITS 47869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47869,A000000,00700,0000,00700HOUSEKEEPING 47869,A000000,00800,0000,00800DIETARY 47869,A000000,00900,0000,00900NURSING ADMINISTRATION 47869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47869,A000000,01100,0000,01100PHARMACY 47869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47869,A000000,01300,0000,01300SOCIAL SERVICE 47869,A000000,01350,0000,01500OTHER GENERAL SERVICES 47869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47869,A000000,01600,0000,01600SKILLED NURSING FACILITY 47869,A000000,01800,0000,01800NURSING FACILITY 47869,A000000,01810,0000,01801ICF/MR 47869,A000000,01900,0000,01900OTHER LONG TERM CARE 47869,A000000,02100,0000,02100RADIOLOGY 47869,A000000,02200,0000,02200LABORATORY 47869,A000000,02300,0000,02300INTRAVENOUS THERAPY 47869,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47869,A000000,02500,0000,02500PHYSICAL THERAPY 47869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47869,A000000,02700,0000,02700SPEECH PATHOLOGY 47869,A000000,02800,0000,02800ELECTROCARDIOLOGY 47869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47869,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47869,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47869,A000000,03200,0000,03200SUPPORT SURFACES 47869,A000000,03400,0000,03400CLINIC 47869,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47869,A000000,03500,0000,03500RURAL HEALTH CLINIC 47869,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47869,A000000,04800,0000,04800AMBULANCE 47869,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47869,A000000,05000,0000,05000CORF 47869,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47869,A000000,05300,0000,05300INTEREST EXPENSE 47869,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47869,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47869,A000000,05500,0000,05500HOSPICE 47869,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47869,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47869,A000000,06100,0000,06100NONPAID WORKERS 47869,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47869,A000000,06200,0000,06200PATIENTS LAUNDRY 47869,A81000A,00100,0100,Y 47869,A81000B,00100,0300,HOME OFFICE 47869,A81000B,00200,0300,LAUNDRY SERVICES 47869,A81000C,00100,0100,B 47869,A81000C,00100,0200,CATHOLIC HEALTHCARE PARTN 47869,A81000C,00100,0400,CATHOLIC HEALTHCARE PARTN 47869,A81000C,00100,0600,MANAGEMENT 47869,A81000C,00200,0100,B 47869,A81000C,00200,0200,HUMILITY OF MARY 47869,A81000C,00200,0400,HUMILITY OF MARY 47869,A81000C,00200,0600,LAUNDRY SERVICES 47869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47869,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47869,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47869,B100000,00000,0800,00000MEALS SERVED :DIETARY 47869,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47869,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47869,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47869,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47869,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47869,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47869,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47869,S000000,00100,0200,06/01/2000 47869,S200000,00100,0100,9800 MARKET ST 47869,S200000,00200,0100,NORTH LIMA 47869,S200000,00200,0200,OH 47869,S200000,00200,0300,44452- 47869,S200000,00300,0100,MAHONING 47869,S200000,00400,0100,THE ASSUMPTION VILLAGE 47869,S200000,00400,0200,365783 47869,S200000,00400,0300,02/20/1990 47869,S200000,00400,0500,P 47869,S200000,01004,0500,O 47869,S200000,01500,0100,Y 47878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47878,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 47878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47878,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 47878,A000000,00300,0000,00300EMPLOYEE BENEFITS 47878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47878,A000000,00700,0000,00700HOUSEKEEPING 47878,A000000,00800,0000,00800DIETARY 47878,A000000,00801,0000,00801CAFETERIA 47878,A000000,00900,0000,00900NURSING ADMINISTRATION 47878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47878,A000000,01100,0000,01100PHARMACY 47878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47878,A000000,01300,0000,01300SOCIAL SERVICE 47878,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 47878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47878,A000000,01600,0000,01600SKILLED NURSING FACILITY 47878,A000000,01800,0000,01800NURSING FACILITY 47878,A000000,01900,0000,01900OTHER LONG TERM CARE 47878,A000000,02100,0000,02100RADIOLOGY 47878,A000000,02200,0000,02200LABORATORY 47878,A000000,02300,0000,02300INTRAVENOUS THERAPY 47878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47878,A000000,02500,0000,02500PHYSICAL THERAPY 47878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47878,A000000,02700,0000,02700SPEECH PATHOLOGY 47878,A000000,02800,0000,02800ELECTROCARDIOLOGY 47878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47878,A000000,03050,0000,03300OTHER ANCILLARY 47878,A000000,03051,0000,03301OTHER ANCILLARY II 47878,A000000,03052,0000,03302OTHER ANCILLARY III 47878,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47878,A000000,03200,0000,03200SUPPORT SURFACES 47878,A000000,03400,0000,03400CLINIC 47878,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 47878,A000000,03500,0000,03500RURAL HEALTH CLINIC 47878,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47878,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47878,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47878,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47878,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47878,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47878,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47878,A000000,04400,0000,04400DME RENTED - HHA 47878,A000000,04500,0000,04500DME SOLD - HHA 47878,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47878,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47878,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47878,A000000,04800,0000,04800AMBULANCE 47878,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47878,A000000,05000,0000,05000CORF 47878,A000000,05010,0000,05010CMHC I 47878,A000000,05020,0000,05020OPT I 47878,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47878,A000000,05300,0000,05300INTEREST EXPENSE 47878,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 47878,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 47878,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47878,A000000,05500,0000,05500HOSPICE 47878,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47878,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47878,A000000,06100,0000,06100NONPAID WORKERS 47878,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47878,A000000,06200,0000,06200PATIENTS LAUNDRY 47878,A81000A,00100,0100,Y 47878,A81000B,00100,0300,PROTECTED EXPENSE 47878,A81000B,00200,0300,ADMIN & GENERAL 47878,A81000B,00300,0300,CAPITAL EXPENSE 47878,A81000B,00400,0300,DIETARY 47878,A81000C,00100,0100,A 47878,A81000C,00100,0200,EDWRD TELLE 47878,A81000C,00100,0400,SOROKA TELLE 47878,A81000C,00100,0600,MGT CO 47878,A81000C,00200,0100,B 47878,A81000C,00200,0200,WILLIAM SOROKA 47878,A81000C,00200,0400,SOROKA TELLE 47878,A81000C,00200,0600,MGT CO 47878,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 47878,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 47878,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 47878,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 47878,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 47878,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47878,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 47878,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 47878,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 47878,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 47878,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 47878,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 47878,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 47878,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 47878,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 47878,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 47878,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 47878,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 47878,E10A180,00501,0300,07/20/2000 47878,S000000,00100,0200,06/01/2000 47878,S200000,00100,0100,1186 HADCOCK RD 47878,S200000,00200,0100,BRUNSWICK 47878,S200000,00200,0200,OH 47878,S200000,00200,0300,44212- 47878,S200000,00300,0100,MEDINA 47878,S200000,00400,0100,WILLOWOOD CARE CENTER 47878,S200000,00400,0200,365785 47878,S200000,00400,0300,01/02/1990 47878,S200000,00400,0500,P 47878,S200000,01500,0100,Y 47878,S200000,02200,0100,Y 47889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47889,A000000,00300,0000,00300EMPLOYEE BENEFITS 47889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47889,A000000,00700,0000,00700HOUSEKEEPING 47889,A000000,00800,0000,00800DIETARY 47889,A000000,00900,0000,00900NURSING ADMINISTRATION 47889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47889,A000000,01100,0000,01100PHARMACY 47889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47889,A000000,01300,0000,01300SOCIAL SERVICE 47889,A000000,01600,0000,01600SKILLED NURSING FACILITY 47889,A000000,01800,0000,01800NURSING FACILITY 47889,A000000,01900,0000,01900OTHER LONG TERM CARE 47889,A000000,02100,0000,02100RADIOLOGY 47889,A000000,02200,0000,02200LABORATORY 47889,A000000,02300,0000,02300INTRAVENOUS THERAPY 47889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47889,A000000,02500,0000,02500PHYSICAL THERAPY 47889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47889,A000000,02700,0000,02700SPEECH PATHOLOGY 47889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47889,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 47889,A000000,04800,0000,04800AMBULANCE 47889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47889,A81000A,00100,0100,Y 47889,A81000B,00100,0300,HOME OFFICE ALLOC 47889,A81000B,00200,0300,HOME OFFICE ALLOC 47889,A81000C,00100,0100,A 47889,A81000C,00100,0200,COVENANT CARE INC 47889,A81000C,00100,0400,COVENANT CARE INC. 47889,A81000C,00100,0600,HEALTH CARE 47889,A81000C,00200,0100,A 47889,A81000C,00300,0100,A 47889,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47889,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47889,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47889,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47889,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47889,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47889,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47889,B100000,00000,0850,00000PATIENT DAYS :DIETARY 47889,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47889,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47889,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47889,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 47889,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47889,E10A180,00501,0100,07/06/2000 47889,E10A180,00501,0300,07/06/2000 47889,S000000,00100,0200,06/01/2000 47889,S200000,00100,0100,8065 DR. FAUL ROAD 47889,S200000,00200,0100,GEORGETOWN 47889,S200000,00200,0200,OH 47889,S200000,00200,0300,45121- 47889,S200000,00300,0100,CINCINNATI 47889,S200000,00400,0100,VILLA GEORGETOWN 47889,S200000,00400,0200,365786 47889,S200000,00400,0300,01/01/1967 47889,S200000,00400,0500,P 47889,S200000,00600,0200,365786 47889,S200000,00600,0300,01/01/1967 47889,S200000,00600,0600,P 47889,S200000,01600,0100,Y 47889,S700003,00000,0100,1 47897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47897,A000000,00300,0000,00300EMPLOYEE BENEFITS 47897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47897,A000000,00700,0000,00700HOUSEKEEPING 47897,A000000,00800,0000,00800DIETARY 47897,A000000,00900,0000,00900NURSING ADMINISTRATION 47897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47897,A000000,01300,0000,01300SOCIAL SERVICE 47897,A000000,01600,0000,01600SKILLED NURSING FACILITY 47897,A000000,01800,0000,01800NURSING FACILITY 47897,A000000,02500,0000,02500PHYSICAL THERAPY 47897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47897,A000000,02700,0000,02700SPEECH PATHOLOGY 47897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47897,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47897,A000000,06150,0000,06300PATHOLOGY 47897,A000000,06151,0000,06301NON REIMBURSEABLE MEDICAL SUPPLIES 47897,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 47897,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 47897,B100000,00000,0300,00001GROSS SAL :EMPLOYEE BENEFITS 47897,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 47897,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 47897,B100000,00000,0650,00001PAT DAYS :LAUNDRY & LINEN SERVICE 47897,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 47897,B100000,00000,0800,00001MEALS SERVED :DIETARY 47897,B100000,00000,0950,00001HRS. OF SERVICE :NURSING ADMINISTRA 47897,B100000,00000,1050,00001PAT DAYS :CENTRAL SERVICES & SUPPL 47897,B100000,00000,1250,00001PAT DAYS :MEDICAL RECORDS & LIBRAR 47897,B100000,00000,1330,00001PAT DAYS :SOCIAL SERVICE 47897,S000000,00100,0200,05/30/2000 47897,S200000,00100,0100,3305 FRANKLIN BLVD. 47897,S200000,00200,0100,CLEVELAND 47897,S200000,00200,0200,OH 47897,S200000,00200,0300,44113- 47897,S200000,00300,0100,CUYAHOGA 47897,S200000,00400,0100,METROHEALTH CTR FOR SKILLED - WEST 47897,S200000,00400,0200,365787 47897,S200000,00400,0300,03/08/1990 47897,S200000,00400,0500,P 47897,S200000,01600,0100,Y 47897,S200000,03300,0100,Y 47897,S200000,03300,0200,Y 47897,S200000,04300,0100,Y 47897,S200000,04600,0100,Y 47897,S700003,00000,0100,1 47904,S000000,00100,0200,06/01/2000 47911,S000000,00100,0200,06/01/2000 47921,S000000,00100,0200,06/01/2000 47930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47930,A000000,00300,0000,00300EMPLOYEE BENEFITS 47930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47930,A000000,00700,0000,00700HOUSEKEEPING 47930,A000000,00800,0000,00800DIETARY 47930,A000000,00900,0000,00900NURSING ADMINISTRATION 47930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47930,A000000,01100,0000,01100PHARMACY 47930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47930,A000000,01300,0000,01300SOCIAL SERVICE 47930,A000000,01600,0000,01600SKILLED NURSING FACILITY 47930,A000000,01800,0000,01800NURSING FACILITY 47930,A000000,01900,0000,01900OTHER LONG TERM CARE 47930,A000000,02100,0000,02100RADIOLOGY 47930,A000000,02200,0000,02200LABORATORY 47930,A000000,02300,0000,02300INTRAVENOUS THERAPY 47930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47930,A000000,02500,0000,02500PHYSICAL THERAPY 47930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47930,A000000,02700,0000,02700SPEECH PATHOLOGY 47930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47930,A000000,03200,0000,03200SUPPORT SURFACES 47930,A000000,03400,0000,03400CLINIC 47930,A000000,04800,0000,04800AMBULANCE 47930,A000000,05300,0000,05300INTEREST EXPENSE 47930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47930,A000000,05500,0000,05500HOSPICE 47930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47930,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47930,A000000,06151,0000,06301PERSONAL ASSISTANCE 47930,A000000,06152,0000,06302MARKETING 47930,A000000,06153,0000,06303INDEPENDENT LIVING 47930,A000000,06154,0000,06304CLINIC 47930,A000000,06200,0000,06200PATIENTS LAUNDRY 47930,A81000A,00100,0100,Y 47930,A81000B,00100,0300,MANAGEMENT FEE 47930,A81000B,00200,0300,PRESIDENT SALARY 47930,A81000B,00300,0300,FURNITURE & FIXTURES 47930,A81000B,00400,0300,INTEREST EXPENSE 47930,A81000B,00500,0300,INTEREST EXPENSE-LOC 47930,A81000C,00100,0100,B 47930,A81000C,00100,0400,CATHOLIC HEALTH 47930,A81000C,00100,0600,HOME OFFICE 47930,A81000C,00200,0100,B 47930,A81000C,00200,0400,HUMILITY MARY 47930,A81000C,00200,0600,REGIONAL OFFICE 47930,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 47930,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 47930,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 47930,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 47930,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 47930,B100000,00000,0650,00004LBS OF LAUNDRY :LAUNDRY & LINEN SER 47930,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 47930,B100000,00000,0800,00004MEALS SERVED :DIETARY 47930,B100000,00000,0900,00004DIRECT NRSG HOURS :NURSING ADMINIST 47930,B100000,00000,1050,00004INPATIENT DAYS :CENTRAL SERVICES & 47930,B100000,00000,1150,00004INPATIENT DAYS :PHARMACY 47930,B100000,00000,1250,00004INPATIENT DAYS :MEDICAL RECORDS & 47930,B100000,00000,1330,00004INPATIENT DAYS :SOCIAL SERVICE 47930,S000000,00100,0200,08/21/2000 47930,S200000,00100,0100,200 LAUREL LAKE DRIVE 47930,S200000,00200,0100,HUDSON 47930,S200000,00200,0200,OH 47930,S200000,00200,0300,44236- 47930,S200000,00300,0100,SUMMIT 47930,S200000,00400,0100,CROWN CENTER AT LAUREL LAKE 47930,S200000,00400,0200,365793 47930,S200000,00400,0300,05/04/1990 47930,S200000,00400,0500,P 47930,S200000,01004,0500,O 47930,S200000,01500,0100,Y 47930,S200000,04300,0100,Y 47942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47942,A000000,00300,0000,00300EMPLOYEE BENEFITS 47942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47942,A000000,00700,0000,00700HOUSEKEEPING 47942,A000000,00800,0000,00800DIETARY 47942,A000000,00900,0000,00900NURSING ADMINISTRATION 47942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47942,A000000,01100,0000,01100PHARMACY 47942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47942,A000000,01300,0000,01300SOCIAL SERVICE 47942,A000000,01350,0000,01500OTHER GENERAL SERVICES 47942,A000000,01600,0000,01600SKILLED NURSING FACILITY 47942,A000000,01800,0000,01800NURSING FACILITY 47942,A000000,01900,0000,01900OTHER LONG TERM CARE 47942,A000000,02100,0000,02100RADIOLOGY 47942,A000000,02200,0000,02200LABORATORY 47942,A000000,02300,0000,02300INTRAVENOUS THERAPY 47942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47942,A000000,02500,0000,02500PHYSICAL THERAPY 47942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47942,A000000,02700,0000,02700SPEECH PATHOLOGY 47942,A000000,02800,0000,02800ELECTROCARDIOLOGY 47942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47942,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47942,A000000,03200,0000,03200SUPPORT SURFACES 47942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47942,A000000,04800,0000,04800AMBULANCE 47942,A000000,05000,0000,05000CORF 47942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47942,A000000,05300,0000,05300INTEREST EXPENSE 47942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47942,A000000,05500,0000,05500HOSPICE 47942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47942,A000000,06100,0000,06100NONPAID WORKERS 47942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47942,A000000,06200,0000,06200PATIENTS LAUNDRY 47942,A81000A,00100,0100,Y 47942,A81000B,00100,0300,MANAGEMENT FEES 47942,A81000B,00200,0300,COST OF OWNERSHIP/RENT 47942,A81000B,00300,0300,DATA SERVICES 47942,A81000B,00400,0300,ACCOUNTING SERVICES 47942,A81000C,00100,0100,A 47942,A81000C,00100,0200,JAMES FARLEY 47942,A81000C,00100,0400,NURSING CARE MANAGEMENT 47942,A81000C,00100,0600,MANAGEMENT SERVICES 47942,A81000C,00200,0100,A 47942,A81000C,00200,0200,MICHAEL SCHARFENBERGER 47942,A81000C,00200,0400,NURSING CARE MANAGEMENT 47942,A81000C,00200,0600,MANAGEMENT SERVICES 47942,A81000C,00300,0100,A 47942,A81000C,00300,0200,TIMOTHY WYNNE 47942,A81000C,00300,0400,NURSING CARE MANAGEMENT 47942,A81000C,00300,0600,MANAGEMENT SERVICES 47942,A81000C,00400,0100,A 47942,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 47942,A81000C,00400,0400,NURSING CARE MANAGEMENT 47942,A81000C,00400,0600,MANAGEMENT SERVICES 47942,A81000C,00500,0100,A 47942,A81000C,00500,0200,JAMES FARLEY 47942,A81000C,00500,0400,PHARMCO 47942,A81000C,00500,0600,PHARMACY 47942,A81000C,00600,0100,A 47942,A81000C,00600,0200,MICHAEL SCHARFENBERGER 47942,A81000C,00600,0400,PHARMCO 47942,A81000C,00600,0600,PHARMACY 47942,A81000C,00700,0100,A 47942,A81000C,00700,0200,TIMOTHY WYNNE 47942,A81000C,00700,0400,PHARMCO 47942,A81000C,00700,0600,PHARMACY 47942,A81000C,00800,0100,A 47942,A81000C,00800,0200,ESTATE OF ROBERT WYNNE 47942,A81000C,00800,0400,PHARMCO 47942,A81000C,00800,0600,PHARMACY 47942,A81000C,00900,0100,A 47942,A81000C,00900,0200,JAMES FARLEY 47942,A81000C,00900,0400,NCM REALTY 47942,A81000C,00900,0600,LESSOR 47942,A81000C,01000,0100,A 47942,A81000C,01000,0200,MICHAEL SCHARFENBERGER 47942,A81000C,01000,0400,NCM REALTY 47942,A81000C,01000,0600,LESSOR 47942,A81000C,01001,0100,A 47942,A81000C,01001,0200,TIMOTHY WYNNE 47942,A81000C,01001,0400,NCM REALTY 47942,A81000C,01001,0600,LESSOR 47942,A81000C,01002,0100,A 47942,A81000C,01002,0200,ESTATE OF ROBERT WYNNE 47942,A81000C,01002,0400,NCM REALTY 47942,A81000C,01002,0600,LESSOR 47942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47942,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47942,B100000,00000,0650,00000DAYS SPENT :LAUNDRY & LINEN SERVIC 47942,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47942,B100000,00000,0800,00000MEALS SERVED :DIETARY 47942,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47942,B100000,00000,1050,00000DAYS SPENT :CENTRAL SERVICES & SUP 47942,B100000,00000,1150,00000DAYS SPENT :PHARMACY 47942,B100000,00000,1250,00000DAYS SPENT :MEDICAL RECORDS & LIBR 47942,B100000,00000,1330,00000DAYS SPENT :SOCIAL SERVICE 47942,B100000,00000,1350,00000DAYS SPENT :OTHER GENERAL SERVICES 47942,S000000,00100,0200,12/04/2000 47942,S200000,00100,0100,144 EAST BROAD STREET 47942,S200000,00200,0100,PATASKALA 47942,S200000,00200,0200,OH 47942,S200000,00200,0300,43062- 47942,S200000,00300,0100,LICKING 47942,S200000,00300,0200,1840 47942,S200000,00300,0300,U 47942,S200000,00400,0100,PATASKALA OAKS CARE CENTER 47942,S200000,00400,0200,365794 47942,S200000,00400,0300,07/30/1990 47942,S200000,00400,0500,P 47942,S200000,00600,0200,365794 47942,S200000,00600,0300,07/30/1990 47942,S200000,00600,0600,P 47942,S200000,01600,0100,Y 47950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47950,A000000,00300,0000,00300EMPLOYEE BENEFITS 47950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47950,A000000,00700,0000,00700HOUSEKEEPING 47950,A000000,00800,0000,00800DIETARY 47950,A000000,00900,0000,00900NURSING ADMINISTRATION 47950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47950,A000000,01100,0000,01100PHARMACY 47950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47950,A000000,01300,0000,01300SOCIAL SERVICE 47950,A000000,01350,0000,01500OTHER GENERAL SERVICES 47950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47950,A000000,01600,0000,01600SKILLED NURSING FACILITY 47950,A000000,01800,0000,01800NURSING FACILITY 47950,A000000,01810,0000,01801ICF/MR 47950,A000000,01900,0000,01900OTHER LONG TERM CARE 47950,A000000,02100,0000,02100RADIOLOGY 47950,A000000,02200,0000,02200LABORATORY 47950,A000000,02300,0000,02300INTRAVENOUS THERAPY 47950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47950,A000000,02500,0000,02500PHYSICAL THERAPY 47950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47950,A000000,02700,0000,02700SPEECH PATHOLOGY 47950,A000000,02800,0000,02800ELECTROCARDIOLOGY 47950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47950,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47950,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47950,A000000,03200,0000,03200SUPPORT SURFACES 47950,A000000,03400,0000,03400CLINIC 47950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47950,A000000,03500,0000,03500RURAL HEALTH CLINIC 47950,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47950,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47950,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47950,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47950,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47950,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47950,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47950,A000000,04400,0000,04400DME RENTED - HHA 47950,A000000,04500,0000,04500DME SOLD - HHA 47950,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47950,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47950,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47950,A000000,04800,0000,04800AMBULANCE 47950,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47950,A000000,05000,0000,05000CORF 47950,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47950,A000000,05300,0000,05300INTEREST EXPENSE 47950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47950,A000000,05500,0000,05500HOSPICE 47950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47950,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47950,A000000,06100,0000,06100NONPAID WORKERS 47950,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47950,A000000,06200,0000,06200PATIENTS LAUNDRY 47950,A81000A,00100,0100,Y 47950,A81000B,00100,0300,RELATED PARTY LEASE 47950,A81000B,00200,0300,RELATED PARTY LEASE 47950,A81000B,00300,0300,RELATED PARTY LEASE 47950,A81000C,00100,0100,A 47950,A81000C,00100,0200,ROBERT H. VANSICKLE 47950,A81000C,00100,0400,CARRINGTON SOUTH R/E 47950,A81000C,00100,0600,REAL ESTATE 47950,A81000C,00200,0100,A 47950,A81000C,00200,0200,N. SARMA 47950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47950,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47950,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47950,B100000,00000,0800,00000MEALS SERVED :DIETARY 47950,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 47950,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 47950,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47950,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47950,B100000,00000,1330,00000 PROVIDER RECORDS :SOCIAL SERVICE 47950,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47950,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47950,S000000,00100,0200,07/06/2000 47950,S200000,00100,0100,850 EAST MIDLOTHIAN BLVD. 47950,S200000,00200,0100,YOUNGSTOWN 47950,S200000,00200,0200,OH 47950,S200000,00200,0300,44507- 47950,S200000,00300,0100,MAHONING 47950,S200000,00400,0100,CARRINGTON SOUTH HEALTH CARE 47950,S200000,00400,0200,365795 47950,S200000,00400,0300,07/02/1990 47950,S200000,00400,0500,P 47950,S200000,01600,0100,Y 47963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47963,A000000,00300,0000,00300EMPLOYEE BENEFITS 47963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47963,A000000,00700,0000,00700HOUSEKEEPING 47963,A000000,00800,0000,00800DIETARY 47963,A000000,00900,0000,00900NURSING ADMINISTRATION 47963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47963,A000000,01100,0000,01100PHARMACY 47963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47963,A000000,01300,0000,01300SOCIAL SERVICE 47963,A000000,01600,0000,01600SKILLED NURSING FACILITY 47963,A000000,01800,0000,01800NURSING FACILITY 47963,A000000,01900,0000,01900OTHER LONG TERM CARE 47963,A000000,02100,0000,02100RADIOLOGY 47963,A000000,02200,0000,02200LABORATORY 47963,A000000,02300,0000,02300INTRAVENOUS THERAPY 47963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47963,A000000,02500,0000,02500PHYSICAL THERAPY 47963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47963,A000000,02700,0000,02700SPEECH PATHOLOGY 47963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47963,A000000,03200,0000,03200SUPPORT SURFACES 47963,A000000,04800,0000,04800AMBULANCE 47963,A000000,05300,0000,05300INTEREST EXPENSE 47963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47963,A000000,05500,0000,05500HOSPICE 47963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47963,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47963,A000000,06200,0000,06200PATIENTS LAUNDRY 47963,A81000A,00100,0100,Y 47963,A81000B,00100,0300,CAPITAL REL COSTS-BLDG & FIX 47963,A81000B,00200,0300,CAPITAL REL COSTS-MOV EQUIP 47963,A81000B,00300,0300,EMPLOYEE BENEFITS 47963,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 47963,A81000B,00500,0300,PHYSICAL THERAPY 47963,A81000B,00600,0300,OCCUPATIONAL THERAPY 47963,A81000B,00700,0300,SPEECH THERAPY 47963,A81000B,00800,0300,RELATED PARTY ACTUAL COSTS 47963,A81000B,00900,0300,CONSTRUCTION COSTS 47963,A81000B,01000,0300,CONSTRUCTION COSTS 47963,A81000C,00100,0100,A 47963,A81000C,00100,0200,BRUCE DASKAL 47963,A81000C,00100,0400,DMD MANAGEMENT 47963,A81000C,00100,0600,MANAGEMENT CO. 47963,A81000C,00200,0100,A 47963,A81000C,00200,0200,SHARON DASKAL 47963,A81000C,00200,0400,DMD MANAGEMENT 47963,A81000C,00200,0600,MANAGEMENT CO. 47963,A81000C,00300,0100,A 47963,A81000C,00300,0200,DAVID FARKAS 47963,A81000C,00300,0400,DMD MANAGEMENT 47963,A81000C,00300,0600,MANAGEMENT CO. 47963,A81000C,00400,0100,A 47963,A81000C,00400,0200,VALERIE FARKAS 47963,A81000C,00400,0400,DMD MANAGEMENT 47963,A81000C,00400,0600,MANAGEMENT CO. 47963,A81000C,00500,0100,D 47963,A81000C,00500,0200,ALEX DASKAL 47963,A81000C,00500,0400,DMD MANAGEMENT 47963,A81000C,00500,0600,MANAGEMENT CO. 47963,A81000C,00600,0100,D 47963,A81000C,00600,0200,ESTER DASKAL 47963,A81000C,00600,0400,DMD MANAGEMENT 47963,A81000C,00600,0600,MANAGEMENT CO. 47963,A81000C,00700,0100,D 47963,A81000C,00700,0200,HAROLD SHACHTER 47963,A81000C,00700,0400,DMD MANAGEMENT 47963,A81000C,00700,0600,MANAGEMENT CO. 47963,A81000C,00800,0100,D 47963,A81000C,00800,0200,EDITH SHACHTER 47963,A81000C,00800,0400,DMD MANAGEMENT 47963,A81000C,00800,0600,MANAGEMENT CO. 47963,A81000C,00900,0100,D 47963,A81000C,00900,0200,LOUIS SCHONFELD 47963,A81000C,00900,0400,DMD MANAGEMENT 47963,A81000C,00900,0600,MANAGEMENT CO. 47963,A81000C,01000,0100,D 47963,A81000C,01000,0200,RITA SCHONFELD 47963,A81000C,01000,0400,DMD MANAGEMENT 47963,A81000C,01000,0600,MANAGEMENT CO. 47963,A81000C,01001,0100,D 47963,A81000C,01001,0200,ROSE DANCZIGER 47963,A81000C,01001,0400,DMD MANAGEMENT 47963,A81000C,01001,0600,MANAGEMENT CO. 47963,A81000C,01002,0100,D 47963,A81000C,01002,0200,LARRY DANCZIGER 47963,A81000C,01002,0400,DMD MANAGEMENT 47963,A81000C,01002,0600,MANAGEMENT CO. 47963,A81000C,01003,0100,D 47963,A81000C,01003,0200,LORETTA DANCZIGER 47963,A81000C,01003,0400,DMD MANAGEMENT 47963,A81000C,01003,0600,MANAGEMENT CO. 47963,A81000C,01004,0100,D 47963,A81000C,01004,0200,MIKE FLANK 47963,A81000C,01004,0400,DMD MANAGEMENT 47963,A81000C,01004,0600,MANAGEMENT CO. 47963,A81000C,01005,0100,D 47963,A81000C,01005,0200,HELENA FLANK 47963,A81000C,01005,0400,DMD MANAGEMENT 47963,A81000C,01005,0600,MANAGEMENT CO. 47963,A81000C,01006,0100,D 47963,A81000C,01006,0200,RUTH FEIG 47963,A81000C,01006,0400,DMD MANAGEMENT 47963,A81000C,01006,0600,MANAGEMENT CO. 47963,A81000C,01007,0100,D 47963,A81000C,01007,0200,REGINA KATZ 47963,A81000C,01007,0400,DMD MANAGEMENT 47963,A81000C,01007,0600,MANAGEMENT CO. 47963,A81000C,01008,0100,A 47963,A81000C,01008,0200,BRUCE DASKAL 47963,A81000C,01008,0400,FERENZ CONST 47963,A81000C,01008,0600,CONSTRUCTION CO. 47963,A81000C,01009,0100,A 47963,A81000C,01009,0200,DAVID FARKAS 47963,A81000C,01009,0400,FERENZ CONST 47963,A81000C,01009,0600,CONSTRUCTION CO. 47963,A81000C,01010,0100,A 47963,A81000C,01010,0200,BRUCK DASKAL 47963,A81000C,01010,0400,ORCHARD HEALTH 47963,A81000C,01010,0600,BILLING COMPANY 47963,A81000C,01011,0100,A 47963,A81000C,01011,0200,SHARON DASKAL 47963,A81000C,01011,0400,ORCHARD HEALTH 47963,A81000C,01011,0600,BILLING COMPANY 47963,A81000C,01012,0100,A 47963,A81000C,01012,0200,DAVID FARKAS 47963,A81000C,01012,0400,ORCHARD HEALTH 47963,A81000C,01012,0600,BILLING COMPANY 47963,A81000C,01013,0100,A 47963,A81000C,01013,0200,VALERIE FARKAS 47963,A81000C,01013,0400,ORCHARD HEALTH 47963,A81000C,01013,0600,BILLING COMPANY 47963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47963,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 47963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47963,B100000,00000,0800,00000MEALS SERVED :DIETARY 47963,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 47963,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 47963,B100000,00000,1150,00000NO STATISTICS :PHARMACY 47963,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 47963,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 47963,E10A180,00501,0100,06/30/2000 47963,S000000,00100,0200,06/02/2000 47963,S200000,00100,0100,2005 ASHLAND AVE. 47963,S200000,00200,0100,TOLEDO 47963,S200000,00200,0200,OH 47963,S200000,00200,0300,43620- 47963,S200000,00300,0100,LUCAS 47963,S200000,00400,0100,PLAZA CARE CENTER 47963,S200000,00400,0200,365797 47963,S200000,00400,0300,08/30/1990 47963,S200000,00400,0500,P 47963,S200000,00800,0200,367637 47963,S200000,00800,0300,04/03/1995 47963,S200000,00800,0500,P 47963,S200000,01600,0100,Y 47963,S200000,02800,0100,Y 47963,S200000,04300,0100,Y 47963,S200000,04700,0100,Y 47970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47970,A000000,00300,0000,00300EMPLOYEE BENEFITS 47970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47970,A000000,00700,0000,00700HOUSEKEEPING 47970,A000000,00800,0000,00800DIETARY 47970,A000000,00900,0000,00900NURSING ADMINISTRATION 47970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47970,A000000,01300,0000,01300SOCIAL SERVICE 47970,A000000,01350,0000,01500ACTIVITIES 47970,A000000,01600,0000,01600SKILLED NURSING FACILITY 47970,A000000,01800,0000,01800NURSING FACILITY 47970,A000000,01810,0000,01801ICF/MR 47970,A000000,01900,0000,01900OTHER LONG TERM CARE 47970,A000000,02100,0000,02100RADIOLOGY 47970,A000000,02200,0000,02200LABORATORY 47970,A000000,02300,0000,02300INTRAVENOUS THERAPY 47970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47970,A000000,02500,0000,02500PHYSICAL THERAPY 47970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47970,A000000,02700,0000,02700SPEECH PATHOLOGY 47970,A000000,02800,0000,02800ELECTROCARDIOLOGY 47970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47970,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47970,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47970,A000000,03200,0000,03200SUPPORT SURFACES 47970,A000000,03400,0000,03400CLINIC 47970,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47970,A000000,03500,0000,03500RURAL HEALTH CLINIC 47970,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47970,A000000,04800,0000,04800AMBULANCE 47970,A000000,05000,0000,05000CORF 47970,A000000,05300,0000,05300INTEREST EXPENSE 47970,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47970,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47970,A000000,05500,0000,05500HOSPICE 47970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47970,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47970,A000000,06200,0000,06200PATIENTS LAUNDRY 47970,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47970,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47970,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47970,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47970,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47970,B100000,00000,0800,00000MEALS SERVED :DIETARY 47970,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 47970,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47970,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47970,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47970,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47970,S000000,00100,0200,06/01/2000 47970,S200000,00100,0100,7100 DEARWESTER DRIVE 47970,S200000,00200,0100,CINCINNATI 47970,S200000,00200,0200,OH 47970,S200000,00200,0300,45236- 47970,S200000,00300,0100,HAMILTON 47970,S200000,00400,0100,COURTYARD AT THE SEASONS 47970,S200000,00400,0200,365798 47970,S200000,00400,0300,08/13/1990 47970,S200000,00400,0500,P 47970,S200000,01500,0100,Y 47970,S700003,00000,0100,1 47979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47979,A000000,00300,0000,00300EMPLOYEE BENEFITS 47979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47979,A000000,00700,0000,00700HOUSEKEEPING 47979,A000000,00800,0000,00800DIETARY 47979,A000000,00900,0000,00900NURSING ADMINISTRATION 47979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47979,A000000,01100,0000,01100PHARMACY 47979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47979,A000000,01300,0000,01300SOCIAL SERVICE 47979,A000000,01350,0000,01500ACTIVITIES 47979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47979,A000000,01600,0000,01600SKILLED NURSING FACILITY 47979,A000000,01800,0000,01800NURSING FACILITY 47979,A000000,01810,0000,01801ICF/MR 47979,A000000,01900,0000,01900OTHER LONG TERM CARE 47979,A000000,02100,0000,02100RADIOLOGY 47979,A000000,02200,0000,02200LABORATORY 47979,A000000,02300,0000,02300INTRAVENOUS THERAPY 47979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47979,A000000,02500,0000,02500PHYSICAL THERAPY 47979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47979,A000000,02700,0000,02700SPEECH PATHOLOGY 47979,A000000,02800,0000,02800ELECTROCARDIOLOGY 47979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47979,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47979,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47979,A000000,03200,0000,03200SUPPORT SURFACES 47979,A000000,03400,0000,03400CLINIC 47979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47979,A000000,03500,0000,03500RURAL HEALTH CLINIC 47979,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47979,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47979,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47979,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47979,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47979,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47979,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47979,A000000,04400,0000,04400DME RENTED - HHA 47979,A000000,04500,0000,04500DME SOLD - HHA 47979,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47979,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47979,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47979,A000000,04800,0000,04800AMBULANCE 47979,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47979,A000000,05000,0000,05000CORF 47979,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47979,A000000,05300,0000,05300INTEREST EXPENSE 47979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47979,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47979,A000000,05500,0000,05500HOSPICE 47979,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47979,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47979,A000000,06100,0000,06100NONPAID WORKERS 47979,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47979,A000000,06200,0000,06200PATIENTS LAUNDRY 47979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47979,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47979,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47979,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47979,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47979,B100000,00000,0800,00000MEALS SERVED :DIETARY 47979,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47979,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47979,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47979,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47979,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47979,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 47979,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47979,E10A180,00501,0300,07/11/2000 47979,S000000,00100,0200,05/31/2000 47979,S200000,00100,0100,1700 HEINZERLING DRIVE 47979,S200000,00200,0100,COLUMBUS 47979,S200000,00200,0200,OH 47979,S200000,00200,0300,43223- 47979,S200000,00300,0100,FRANKLIN 47979,S200000,00400,0100,COLUMBUS WEST PARK 47979,S200000,00400,0200,365799 47979,S200000,00400,0300,09/30/1990 47979,S200000,00400,0500,P 47979,S200000,01600,0100,Y 47988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47988,A000000,00300,0000,00300EMPLOYEE BENEFITS 47988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47988,A000000,00700,0000,00700HOUSEKEEPING 47988,A000000,00800,0000,00800DIETARY 47988,A000000,00900,0000,00900NURSING ADMINISTRATION 47988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47988,A000000,01100,0000,01100PHARMACY 47988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47988,A000000,01300,0000,01300SOCIAL SERVICE 47988,A000000,01350,0000,01500OTHER GENERAL SERVICES 47988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47988,A000000,01600,0000,01600SKILLED NURSING FACILITY 47988,A000000,01800,0000,01800NURSING FACILITY 47988,A000000,01810,0000,01801ICF/MR 47988,A000000,01900,0000,01900OTHER LONG TERM CARE 47988,A000000,02100,0000,02100RADIOLOGY 47988,A000000,02200,0000,02200LABORATORY 47988,A000000,02300,0000,02300INTRAVENOUS THERAPY 47988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47988,A000000,02500,0000,02500PHYSICAL THERAPY 47988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47988,A000000,02700,0000,02700SPEECH PATHOLOGY 47988,A000000,02800,0000,02800ELECTROCARDIOLOGY 47988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47988,A000000,03200,0000,03200SUPPORT SURFACES 47988,A000000,03400,0000,03400CLINIC 47988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47988,A000000,03500,0000,03500RURAL HEALTH CLINIC 47988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47988,A000000,04400,0000,04400DME RENTED - HHA 47988,A000000,04500,0000,04500DME SOLD - HHA 47988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47988,A000000,04800,0000,04800AMBULANCE 47988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47988,A000000,05000,0000,05000CORF 47988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47988,A000000,05300,0000,05300INTEREST EXPENSE 47988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47988,A000000,05500,0000,05500HOSPICE 47988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47988,A000000,06100,0000,06100NONPAID WORKERS 47988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47988,A000000,06200,0000,06200PATIENTS LAUNDRY 47988,A81000A,00100,0100,Y 47988,A81000B,00100,0300,RENTAL BUILDING 47988,A81000C,00100,0100,A 47988,A81000C,00100,0200,EDWARD POWELL 47988,A81000C,00100,0400,WOODLAWN MANOR 47988,A81000C,00100,0600,REAL ESTATE 47988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47988,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 47988,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47988,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 47988,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 47988,B100000,00000,0800,00000MEALS SERVED :DIETARY 47988,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 47988,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 47988,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 47988,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 47988,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 47988,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47988,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 47988,S000000,00100,0200,06/12/2000 47988,S200000,00100,0100,5151 N HAMILTON ROAD 47988,S200000,00200,0100,COLUMBUS 47988,S200000,00200,0200,OH 47988,S200000,00200,0300,43230- 47988,S200000,00300,0100,FRANKLIN 47988,S200000,00400,0100,BROADVIEW HEALTH CENTER 47988,S200000,00400,0200,365801 47988,S200000,00400,0300,10/04/1990 47988,S200000,00400,0500,P 47988,S200000,01600,0100,Y 47988,S200000,04700,0100,Y 47998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 47998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 47998,A000000,00300,0000,00300EMPLOYEE BENEFITS 47998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 47998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 47998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 47998,A000000,00700,0000,00700HOUSEKEEPING 47998,A000000,00800,0000,00800DIETARY 47998,A000000,00900,0000,00900NURSING ADMINISTRATION 47998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 47998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 47998,A000000,01300,0000,01300SOCIAL SERVICE 47998,A000000,01350,0000,01500OTHER GENERAL SERVICES 47998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 47998,A000000,01600,0000,01600SKILLED NURSING FACILITY 47998,A000000,01800,0000,01800NURSING FACILITY 47998,A000000,01810,0000,01801ICF/MR 47998,A000000,01900,0000,01900OTHER LONG TERM CARE 47998,A000000,02100,0000,02100RADIOLOGY 47998,A000000,02200,0000,02200LABORATORY 47998,A000000,02300,0000,02300INTRAVENOUS THERAPY 47998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 47998,A000000,02500,0000,02500PHYSICAL THERAPY 47998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 47998,A000000,02700,0000,02700SPEECH PATHOLOGY 47998,A000000,02800,0000,02800ELECTROCARDIOLOGY 47998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 47998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 47998,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 47998,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 47998,A000000,03200,0000,03200SUPPORT SURFACES 47998,A000000,03400,0000,03400CLINIC 47998,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 47998,A000000,03500,0000,03500RURAL HEALTH CLINIC 47998,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 47998,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 47998,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 47998,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 47998,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 47998,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 47998,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 47998,A000000,04400,0000,04400DME RENTED - HHA 47998,A000000,04500,0000,04500DME SOLD - HHA 47998,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 47998,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 47998,A000000,04750,0000,05100OTHER REIMBURSABLE COST 47998,A000000,04800,0000,04800AMBULANCE 47998,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 47998,A000000,05000,0000,05000CORF 47998,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 47998,A000000,05300,0000,05300INTEREST EXPENSE 47998,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 47998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 47998,A000000,05500,0000,05500HOSPICE 47998,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 47998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 47998,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 47998,A000000,06100,0000,06100NONPAID WORKERS 47998,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 47998,A000000,06200,0000,06200PATIENTS LAUNDRY 47998,A81000A,00100,0100,Y 47998,A81000B,00100,0300,HOME OFFICE COSTS 47998,A81000B,00200,0300,HOME OFFICE COSTS 47998,A81000B,00300,0300,HOME OFFICE COSTS 47998,A81000C,00100,0100,B 47998,A81000C,00100,0400,EPISCOPAL RETIREMENT HOME 47998,A81000C,00100,0600,HOME OFFICE 47998,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 47998,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 47998,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 47998,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 47998,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 47998,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 47998,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 47998,B100000,00000,0800,00000MEALS SERVED :DIETARY 47998,B100000,00000,0950,00000DIRECT NURSG HRS :NURSING ADMINISTR 47998,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 47998,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 47998,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 47998,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 47998,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 47998,S000000,00100,0200,06/07/2000 47998,S200000,00100,0100,3550 SHAW AVENUE 47998,S200000,00200,0100,CINCINNATI 47998,S200000,00200,0200,OH 47998,S200000,00200,0300,45208- 47998,S200000,00300,0100,HAMILTON 47998,S200000,00400,0100,MARJORIE P LEE RETIREMENT 47998,S200000,00400,0200,365802 47998,S200000,00400,0300,07/28/1990 47998,S200000,00400,0500,P 47998,S200000,00400,0600,P 47998,S200000,01500,0100,Y 47998,S200000,04300,0100,Y 48007,S000000,00100,0200,05/31/2000 48015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48015,A000000,00300,0000,00300EMPLOYEE BENEFITS 48015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48015,A000000,00700,0000,00700HOUSEKEEPING 48015,A000000,00800,0000,00800DIETARY 48015,A000000,00900,0000,00900NURSING ADMINISTRATION 48015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48015,A000000,01300,0000,01300SOCIAL SERVICE 48015,A000000,01600,0000,01600SKILLED NURSING FACILITY 48015,A000000,01800,0000,01800NURSING FACILITY 48015,A000000,01900,0000,01900OTHER LONG TERM CARE 48015,A000000,02100,0000,02100RADIOLOGY 48015,A000000,02200,0000,02200LABORATORY 48015,A000000,02500,0000,02500PHYSICAL THERAPY 48015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48015,A000000,02700,0000,02700SPEECH PATHOLOGY 48015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48015,A000000,04800,0000,04800AMBULANCE 48015,A000000,05300,0000,05300INTEREST EXPENSE 48015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 48015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48015,A000000,06100,0000,06100NONPAID WORKERS 48015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48015,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 48015,A000000,06200,0000,06200PATIENTS LAUNDRY 48015,A81000A,00100,0100,Y 48015,A81000B,00100,0300,LEASE BUILDING 48015,A81000B,00200,0300,DEPR BUILDING 48015,A81000B,00300,0300,DEPR EQUIPMENT 48015,A81000B,00400,0300,INTEREST 48015,A81000B,00500,0300,ADMINISTRATIVE COSTS 48015,A81000B,00600,0300,HOME OFFICE COSTS 48015,A81000B,00700,0300,HOME OFFICE COSTS 48015,A81000B,00800,0300,HOME OFFICE COSTS 48015,A81000C,00100,0100,A 48015,A81000C,00100,0200,DOULA GAITANAROS 48015,A81000C,00100,0400,DORIC INC. 48015,A81000C,00100,0600,REAL ESTATE 48015,A81000C,00200,0100,A 48015,A81000C,00200,0200,DOULA GAITANAROS 48015,A81000C,00200,0400,PEARLVIEW CENTRAL OFFICE 48015,A81000C,00200,0600,HOME OFFICE 48015,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 48015,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 48015,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 48015,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 48015,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 48015,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 48015,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 48015,B100000,00000,0800,00001MEALS SERVED :DIETARY 48015,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 48015,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 48015,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 48015,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 48015,S000000,00100,0200,05/31/2000 48015,S200000,00100,0100,4000 CROCKER ROAD 48015,S200000,00200,0100,WESTLAKE 48015,S200000,00200,0200,OH 48015,S200000,00200,0300,44145- 48015,S200000,00300,0100,CUYAHOGA 48015,S200000,00400,0100,THE CORINTHIAN 48015,S200000,00400,0200,365808 48015,S200000,00400,0300,10/18/1990 48015,S200000,00400,0500,P 48015,S200000,01600,0100,Y 48015,S200000,04300,0100,Y 48015,S700003,00000,0100,1 48025,S000000,00100,0200,05/22/2000 48037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48037,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48037,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48037,A000000,00300,0000,00300EMPLOYEE BENEFITS 48037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48037,A000000,00700,0000,00700HOUSEKEEPING 48037,A000000,00800,0000,00800DIETARY 48037,A000000,00801,0000,00801CAFETERIA 48037,A000000,00900,0000,00900NURSING ADMINISTRATION 48037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48037,A000000,01100,0000,01100PHARMACY 48037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48037,A000000,01300,0000,01300SOCIAL SERVICE 48037,A000000,01350,0000,01500ACTIVITIES 48037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48037,A000000,01600,0000,01600SKILLED NURSING FACILITY 48037,A000000,01800,0000,01800NURSING FACILITY 48037,A000000,01900,0000,01900OTHER LONG TERM CARE 48037,A000000,02100,0000,02100RADIOLOGY 48037,A000000,02200,0000,02200LABORATORY 48037,A000000,02300,0000,02300INTRAVENOUS THERAPY 48037,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48037,A000000,02500,0000,02500PHYSICAL THERAPY 48037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48037,A000000,02700,0000,02700SPEECH PATHOLOGY 48037,A000000,02800,0000,02800ELECTROCARDIOLOGY 48037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48037,A000000,03050,0000,03300DME 48037,A000000,03051,0000,03301ORTHOTICS 48037,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 48037,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48037,A000000,03200,0000,03200SUPPORT SURFACES 48037,A000000,03400,0000,03400CLINIC 48037,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48037,A000000,03500,0000,03500RURAL HEALTH CLINIC 48037,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48037,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48037,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48037,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48037,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48037,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48037,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48037,A000000,04400,0000,04400DME RENTED - HHA 48037,A000000,04500,0000,04500DME SOLD - HHA 48037,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48037,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48037,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48037,A000000,04800,0000,04800AMBULANCE 48037,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48037,A000000,05000,0000,05000CORF 48037,A000000,05010,0000,05010CMHC I 48037,A000000,05020,0000,05020OPT I 48037,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48037,A000000,05300,0000,05300INTEREST EXPENSE 48037,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48037,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48037,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48037,A000000,05500,0000,05500HOSPICE 48037,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48037,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48037,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48037,A000000,06100,0000,06100NONPAID WORKERS 48037,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48037,A000000,06200,0000,06200PATIENTS LAUNDRY 48037,A81000A,00100,0100,Y 48037,A81000B,00100,0300,HOME OFFICE ALLOCATION 48037,A81000B,00200,0300,THERACOR ACTUAL COSTS 48037,A81000B,00300,0300,THERACOR ACTUAL COSTS 48037,A81000B,00400,0300,THERACOR ACTUAL COSTS 48037,A81000C,00100,0100,B 48037,A81000C,00100,0200,HARBORSIDE 48037,A81000C,00200,0200,HEALTHCARE 48037,A81000C,00300,0200,LIMITED PSHIP 48037,A81000C,00300,0600,MANAGEMENT CO 48037,A81000C,00500,0100,B 48037,A81000C,00500,0200,HARBORSIDE 48037,A81000C,00600,0200,REHABILITITAION 48037,A81000C,00700,0200,LIMITED PSHIP 48037,A81000C,00700,0600,THERAPY 48037,A81000C,00800,0600,SERVICE AND 48037,A81000C,00900,0600,MANAGEMENT CO 48037,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48037,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48037,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48037,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48037,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48037,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48037,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48037,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48037,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48037,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48037,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48037,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48037,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48037,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48037,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48037,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48037,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48037,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48037,E10A180,00301,0100,10/18/2000 48037,S000000,00100,0200,06/01/2000 48037,S200000,00100,0100,3800 PARK EAST 48037,S200000,00200,0100,BEACHWOOD 48037,S200000,00200,0200,OH 48037,S200000,00200,0300,44122- 48037,S200000,00300,0100,CUYAHOGA 48037,S200000,00400,0100,HHC - BEACHWOOD 48037,S200000,00400,0200,365810 48037,S200000,00400,0300,07/01/1996 48037,S200000,00400,0500,P 48037,S200000,01600,0100,Y 48037,S200000,02200,0100,Y 48037,S200000,04700,0100,Y 48037,S700003,00000,0100,1 48047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48047,A000000,00300,0000,00300EMPLOYEE BENEFITS 48047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48047,A000000,00700,0000,00700HOUSEKEEPING 48047,A000000,00800,0000,00800DIETARY 48047,A000000,00900,0000,00900NURSING ADMINISTRATION 48047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48047,A000000,01100,0000,01100PHARMACY 48047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48047,A000000,01300,0000,01300SOCIAL SERVICE 48047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48047,A000000,01600,0000,01600SKILLED NURSING FACILITY 48047,A000000,01900,0000,01900OTHER LONG TERM CARE 48047,A000000,02100,0000,02100RADIOLOGY 48047,A000000,02200,0000,02200LABORATORY 48047,A000000,02300,0000,02300INTRAVENOUS THERAPY 48047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48047,A000000,02500,0000,02500PHYSICAL THERAPY 48047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48047,A000000,02700,0000,02700SPEECH PATHOLOGY 48047,A000000,02800,0000,02800ELECTROCARDIOLOGY 48047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48047,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48047,A000000,03200,0000,03200SUPPORT SURFACES 48047,A000000,03400,0000,03400CLINIC 48047,A000000,04800,0000,04800AMBULANCE 48047,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48047,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48047,A000000,05300,0000,05300INTEREST EXPENSE 48047,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48047,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48047,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48047,A000000,06100,0000,06100NONPAID WORKERS 48047,A000000,06200,0000,06200PATIENTS LAUNDRY 48047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48047,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 48047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48047,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48047,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 48047,B100000,00000,0800,00000MEALS SERVED :DIETARY 48047,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48047,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48047,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48047,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48047,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48047,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48047,S000000,00100,0200,05/10/2000 48047,S200000,00100,0100,200 WEST GALBRAITH RD. 48047,S200000,00200,0100,CINCINNATI 48047,S200000,00200,0200,OH 48047,S200000,00300,0100,42515 HAMILTON 48047,S200000,00400,0100,WELLSPRING HEALTH CENTER 48047,S200000,00400,0200,365812 48047,S200000,00400,0300,06/01/1996 48047,S200000,00400,0500,P 48047,S200000,01600,0100,Y 48055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48055,A000000,00300,0000,00300EMPLOYEE BENEFITS 48055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48055,A000000,00700,0000,00700HOUSEKEEPING 48055,A000000,00800,0000,00800DIETARY 48055,A000000,00900,0000,00900NURSING ADMINISTRATION 48055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48055,A000000,01100,0000,01100PHARMACY 48055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48055,A000000,01300,0000,01300SOCIAL SERVICE 48055,A000000,01350,0000,01500ACTIVITIES 48055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48055,A000000,01600,0000,01600SKILLED NURSING FACILITY 48055,A000000,01800,0000,01800NURSING FACILITY 48055,A000000,01810,0000,01801ICF/MR 48055,A000000,01900,0000,01900OTHER LONG TERM CARE 48055,A000000,02100,0000,02100RADIOLOGY 48055,A000000,02200,0000,02200LABORATORY 48055,A000000,02300,0000,02300INTRAVENOUS THERAPY 48055,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48055,A000000,02500,0000,02500PHYSICAL THERAPY 48055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48055,A000000,02700,0000,02700SPEECH PATHOLOGY 48055,A000000,02800,0000,02800ELECTROCARDIOLOGY 48055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48055,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48055,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48055,A000000,03200,0000,03200SUPPORT SURFACES 48055,A000000,03400,0000,03400CLINIC 48055,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48055,A000000,03500,0000,03500RURAL HEALTH CLINIC 48055,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48055,A000000,04800,0000,04800AMBULANCE 48055,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48055,A000000,05000,0000,05000CORF 48055,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48055,A000000,05300,0000,05300INTEREST EXPENSE 48055,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48055,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48055,A000000,05500,0000,05500HOSPICE 48055,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48055,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48055,A000000,06100,0000,06100NONPAID WORKERS 48055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48055,A000000,06200,0000,06200PATIENTS LAUNDRY 48055,A81000A,00100,0100,Y 48055,A81000B,00100,0300,MANAGEMENT FEES 48055,A81000B,00200,0300,CONSULTING FEES 48055,A81000C,00100,0100,A 48055,A81000C,00100,0200,PAUL DEPALMA 48055,A81000C,00100,0600,MANAGEMENT SERVICES 48055,A81000C,00200,0100,A 48055,A81000C,00200,0200,PAUL DEPALMA 48055,A81000C,00200,0400,WALNUT CREEK NURSING CTR 48055,A81000C,00200,0600,SKILLED NURSING FACILITY 48055,A81000C,00300,0100,A 48055,A81000C,00300,0200,PAUL DEPALMA 48055,A81000C,00300,0400,THE GREENBRIAR NSG CENTER 48055,A81000C,00300,0600,SKILLED NURSING FACILITY 48055,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48055,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48055,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48055,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48055,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48055,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48055,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48055,B100000,00000,0800,00000MEALS SERVED :DIETARY 48055,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48055,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48055,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48055,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48055,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48055,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48055,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48055,E10A180,00501,0100,06/16/2000 48055,E10A180,00550,0300,06/16/2000 48055,S000000,00100,0200,06/02/2000 48055,S200000,00100,0100,5414 HANKINS ROAD 48055,S200000,00200,0100,MIDDLETOWN 48055,S200000,00200,0200,OH 48055,S200000,00200,0300,45044- 48055,S200000,00300,0100,BUTLER 48055,S200000,00400,0100,HAWTHORN GLEN NURSING CENTER 48055,S200000,00400,0200,365813 48055,S200000,00400,0300,11/16/1990 48055,S200000,00400,0500,P 48055,S200000,01500,0100,Y 48065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48065,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48065,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48065,A000000,00300,0000,00300EMPLOYEE BENEFITS 48065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48065,A000000,00700,0000,00700HOUSEKEEPING 48065,A000000,00800,0000,00800DIETARY 48065,A000000,00801,0000,00801CAFETERIA 48065,A000000,00900,0000,00900NURSING ADMINISTRATION 48065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48065,A000000,01100,0000,01100PHARMACY 48065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48065,A000000,01300,0000,01300SOCIAL SERVICE 48065,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48065,A000000,01600,0000,01600SKILLED NURSING FACILITY 48065,A000000,01800,0000,01800NURSING FACILITY 48065,A000000,01900,0000,01900OTHER LONG TERM CARE 48065,A000000,02100,0000,02100RADIOLOGY 48065,A000000,02200,0000,02200LABORATORY 48065,A000000,02300,0000,02300INTRAVENOUS THERAPY 48065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48065,A000000,02500,0000,02500PHYSICAL THERAPY 48065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48065,A000000,02700,0000,02700SPEECH PATHOLOGY 48065,A000000,02800,0000,02800ELECTROCARDIOLOGY 48065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48065,A000000,03050,0000,03300OTHER ANCILLARY 48065,A000000,03051,0000,03301OTHER ANCILLARY II 48065,A000000,03052,0000,03302OTHER ANCILLARY III 48065,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48065,A000000,03200,0000,03200SUPPORT SURFACES 48065,A000000,03400,0000,03400CLINIC 48065,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48065,A000000,03500,0000,03500RURAL HEALTH CLINIC 48065,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48065,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48065,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48065,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48065,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48065,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48065,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48065,A000000,04400,0000,04400DME RENTED - HHA 48065,A000000,04500,0000,04500DME SOLD - HHA 48065,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48065,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48065,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48065,A000000,04800,0000,04800AMBULANCE 48065,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48065,A000000,05000,0000,05000CORF 48065,A000000,05010,0000,05010CMHC I 48065,A000000,05020,0000,05020OPT I 48065,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48065,A000000,05300,0000,05300INTEREST EXPENSE 48065,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48065,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48065,A000000,05500,0000,05500HOSPICE 48065,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48065,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48065,A000000,06100,0000,06100NONPAID WORKERS 48065,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48065,A000000,06200,0000,06200PATIENTS LAUNDRY 48065,A81000A,00100,0100,Y 48065,A81000B,00100,0300,DEP/INT/TAXES 48065,A81000B,00200,0300,DEP/PP TAXES 48065,A81000B,00300,0300,AUDIT/LEGAL/BANK 48065,A81000B,00400,0300,LEASE EXPENSE 48065,A81000B,00500,0300,DEPRECIATION 48065,A81000B,00600,0300,A&G EXPENSE 48065,A81000B,00700,0300,UTILITIES 48065,A81000B,00800,0300,MGMT FEE 48065,A81000C,00100,0100,A 48065,A81000C,00100,0200,J.T. HOLLAND 48065,A81000C,00100,0400,CCII LTD 48065,A81000C,00100,0600,PARTNERSHIP 48065,A81000C,00200,0100,B 48065,A81000C,00200,0200,J.T. HOLLAND 48065,A81000C,00200,0400,HOLLAND MGMT 48065,A81000C,00200,0600,CORPORATION 48065,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48065,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48065,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48065,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48065,B100000,00000,0350,00000COST :EMPLOYEE BENEFITS 48065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48065,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48065,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48065,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48065,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48065,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48065,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48065,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48065,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48065,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48065,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48065,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 48065,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48065,S000000,00100,0200,06/02/2000 48065,S200000,00100,0100,1350 YAUGER ROAD 48065,S200000,00200,0100,MT. VERNON 48065,S200000,00200,0200,OH 48065,S200000,00200,0300,43050- 48065,S200000,00300,0100,KNOX 48065,S200000,00400,0100,COUNTRY CLUB II 48065,S200000,00400,0200,365815 48065,S200000,00400,0300,06/01/1978 48065,S200000,00400,0500,P 48065,S200000,01500,0100,Y 48065,S200000,02800,0100,Y 48065,S200000,04300,0100,Y 48065,S700003,00000,0100,1 48076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48076,A000000,00300,0000,00300EMPLOYEE BENEFITS 48076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48076,A000000,00700,0000,00700HOUSEKEEPING 48076,A000000,00800,0000,00800DIETARY 48076,A000000,00900,0000,00900NURSING ADMINISTRATION 48076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48076,A000000,01100,0000,01100PHARMACY 48076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48076,A000000,01300,0000,01300SOCIAL SERVICE 48076,A000000,01350,0000,01500OTHER GENERAL SERVICES 48076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48076,A000000,01600,0000,01600SKILLED NURSING FACILITY 48076,A000000,01800,0000,01800NURSING FACILITY 48076,A000000,01810,0000,01801ICF/MR 48076,A000000,01900,0000,01900OTHER LONG TERM CARE 48076,A000000,02100,0000,02100RADIOLOGY 48076,A000000,02200,0000,02200LABORATORY 48076,A000000,02300,0000,02300INTRAVENOUS THERAPY 48076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48076,A000000,02500,0000,02500PHYSICAL THERAPY 48076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48076,A000000,02700,0000,02700SPEECH PATHOLOGY 48076,A000000,02800,0000,02800ELECTROCARDIOLOGY 48076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48076,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48076,A000000,03200,0000,03200SUPPORT SURFACES 48076,A000000,03400,0000,03400CLINIC 48076,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48076,A000000,03500,0000,03500RURAL HEALTH CLINIC 48076,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48076,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48076,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48076,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48076,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48076,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48076,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48076,A000000,04400,0000,04400DME RENTED - HHA 48076,A000000,04500,0000,04500DME SOLD - HHA 48076,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48076,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48076,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48076,A000000,04800,0000,04800AMBULANCE 48076,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48076,A000000,05000,0000,05000CORF 48076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48076,A000000,05300,0000,05300INTEREST EXPENSE 48076,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48076,A000000,05500,0000,05500HOSPICE 48076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48076,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48076,A000000,06100,0000,06100NONPAID WORKERS 48076,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48076,A000000,06200,0000,06200PATIENTS LAUNDRY 48076,A81000A,00100,0100,Y 48076,A81000B,00100,0300,CAPITAL COSTS RENT BUILDING 48076,A81000B,00200,0300,OMNILIFE DEPRECIATION EQUIPMENT 48076,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 48076,A81000B,00400,0300,OMNILIFE OFFICER SALARY 48076,A81000B,00500,0300,STAFF DEVELOPMENT OMNILIFE 48076,A81000B,00600,0300,PERSONAL PROPERTY TAX OMNI 48076,A81000B,00700,0300,OMNI FRINGE BENEFITS 48076,A81000B,00800,0300,OMNILIFE ADMIN WAGES 48076,A81000C,00100,0100,A 48076,A81000C,00100,0200,ROBERT C. BANASIK 48076,A81000C,00100,0400,OMNILIFE HEALTHCARE 48076,A81000C,00100,0600,HOME OFFICE; MANAGEMENT 48076,A81000C,00200,0100,B 48076,A81000C,00200,0200,ROBERT C. BANASIK 48076,A81000C,00200,0400,MEDINA OHIO INVESTORS 48076,A81000C,00200,0600,REAL ESTATE PARTNERSHIP 48076,A81000C,00300,0100,C 48076,A81000C,00300,0200,ROBERT C. BANASIK 48076,A81000C,00300,0400,EQUITY MANAGEMENT 48076,A81000C,00300,0600,OWNS HOME OFFICE BUILDING 48076,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48076,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48076,B100000,00000,0300,00000GROSS SALARI :EMPLOYEE BENEFITS 48076,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48076,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48076,B100000,00000,0600,00000POUNDS OF LAUDRY :LAUNDRY & LINEN S 48076,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48076,B100000,00000,0800,00000NUMBER OFMEALS SE :DIETARY 48076,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 48076,B100000,00000,1000,00000COSTED REQUISTION :CENTRAL SERVICE 48076,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48076,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48076,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48076,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48076,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48076,E10A180,00501,0100,06/08/2000 48076,E10A180,00550,0300,06/08/2000 48076,S000000,00100,0200,06/06/2000 48076,S200000,00100,0100,806 EAST WASHINGTON STREET 48076,S200000,00200,0100,MEDINA 48076,S200000,00200,0200,OH 48076,S200000,00200,0300,44256- 48076,S200000,00300,0100,MEDINA 48076,S200000,00400,0100,SAMARITAN CARE CENTER 48076,S200000,00400,0200,365817 48076,S200000,00400,0300,11/30/1990 48076,S200000,00400,0500,P 48076,S200000,01600,0100,Y 48087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48087,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48087,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48087,A000000,00300,0000,00300EMPLOYEE BENEFITS 48087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48087,A000000,00700,0000,00700HOUSEKEEPING 48087,A000000,00800,0000,00800DIETARY 48087,A000000,00801,0000,00801CAFETERIA 48087,A000000,00900,0000,00900NURSING ADMINISTRATION 48087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48087,A000000,01100,0000,01100PHARMACY 48087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48087,A000000,01300,0000,01300SOCIAL SERVICE 48087,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48087,A000000,01600,0000,01600SKILLED NURSING FACILITY 48087,A000000,01800,0000,01800NURSING FACILITY 48087,A000000,01900,0000,01900OTHER LONG TERM CARE 48087,A000000,02100,0000,02100RADIOLOGY 48087,A000000,02200,0000,02200LABORATORY 48087,A000000,02300,0000,02300INTRAVENOUS THERAPY 48087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48087,A000000,02500,0000,02500PHYSICAL THERAPY 48087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48087,A000000,02700,0000,02700SPEECH PATHOLOGY 48087,A000000,02800,0000,02800ELECTROCARDIOLOGY 48087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48087,A000000,03050,0000,03300OTHER ANCILLARY 48087,A000000,03051,0000,03301OTHER ANCILLARY II 48087,A000000,03052,0000,03302OTHER ANCILLARY III 48087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48087,A000000,03200,0000,03200SUPPORT SURFACES 48087,A000000,03400,0000,03400CLINIC 48087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48087,A000000,03500,0000,03500RURAL HEALTH CLINIC 48087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48087,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48087,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48087,A000000,04400,0000,04400DME RENTED - HHA 48087,A000000,04500,0000,04500DME SOLD - HHA 48087,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48087,A000000,04800,0000,04800AMBULANCE 48087,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48087,A000000,05000,0000,05000CORF 48087,A000000,05010,0000,05010CMHC I 48087,A000000,05020,0000,05020OPT I 48087,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48087,A000000,05300,0000,05300INTEREST EXPENSE 48087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48087,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48087,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48087,A000000,05500,0000,05500HOSPICE 48087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48087,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48087,A000000,06100,0000,06100NONPAID WORKERS 48087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48087,A000000,06200,0000,06200PATIENTS LAUNDRY 48087,A81000A,00100,0100,Y 48087,A81000B,00100,0300,HUMAN RESOURCES 48087,A81000B,00200,0300,BUSINESS ADMINISTRATION 48087,A81000B,00300,0300,DATA PROCESSING 48087,A81000B,00400,0300,PLANT OPERATIONS 48087,A81000B,00500,0300,LAUNDRY SERVICES 48087,A81000B,00600,0300,NURSING SCHEDULING 48087,A81000B,00700,0300,HOUSEKEEPING SUPERVISION 48087,A81000B,00800,0300,FLOOR MAINTENANCE 48087,A81000C,00100,0100,B 48087,A81000C,00100,0400,SISTERS OF CHAY 48087,A81000C,00200,0100,B 48087,A81000C,00200,0400,SISTERS OF CHAY 48087,A81000C,00300,0100,B 48087,A81000C,00300,0400,SISTERS OF CHAY 48087,A81000C,00400,0100,B 48087,A81000C,00400,0400,SISTERS OF CHAY 48087,A81000C,00500,0100,B 48087,A81000C,00500,0400,SISTERS OF CHAY 48087,A81000C,00600,0100,B 48087,A81000C,00600,0400,SISTERS OF CHAY 48087,A81000C,00700,0100,B 48087,A81000C,00700,0400,SISTERS OF CHAY 48087,A81000C,00800,0100,B 48087,A81000C,00800,0400,SISTERS OF CHAY 48087,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48087,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48087,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48087,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48087,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48087,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 48087,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48087,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48087,B100000,00000,0950,00000SALARIES SUPERVISED :NURSING ADMIN 48087,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 48087,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48087,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 48087,S000000,00100,0200,11/30/2000 48087,S200000,00100,0100,990 BAYLEY PLACE 48087,S200000,00200,0100,CINCINNATI 48087,S200000,00200,0200,OH 48087,S200000,00200,0300,45233- 48087,S200000,00300,0100,HAMILTON 48087,S200000,00300,0200,1640 48087,S200000,00300,0300,U 48087,S200000,00400,0100,S.C. SENIOR CARE CORP 48087,S200000,00400,0200,365818 48087,S200000,00400,0300,12/20/1990 48087,S200000,00400,0500,P 48087,S200000,01500,0100,Y 48087,S200000,02200,0100,Y 48096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48096,A000000,00300,0000,00300EMPLOYEE BENEFITS 48096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48096,A000000,00700,0000,00700HOUSEKEEPING 48096,A000000,00800,0000,00800DIETARY 48096,A000000,00900,0000,00900NURSING ADMINISTRATION 48096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48096,A000000,01100,0000,01100PHARMACY 48096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48096,A000000,01300,0000,01300SOCIAL SERVICE 48096,A000000,01350,0000,01500ACTIVITIES 48096,A000000,01600,0000,01600SKILLED NURSING FACILITY 48096,A000000,01800,0000,01800NURSING FACILITY 48096,A000000,01900,0000,01900OTHER LONG TERM CARE 48096,A000000,02100,0000,02100RADIOLOGY 48096,A000000,02200,0000,02200LABORATORY 48096,A000000,02300,0000,02300INTRAVENOUS THERAPY 48096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48096,A000000,02500,0000,02500PHYSICAL THERAPY 48096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48096,A000000,02700,0000,02700SPEECH PATHOLOGY 48096,A000000,02800,0000,02800ELECTROCARDIOLOGY 48096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48096,A000000,03050,0000,03300CLINITRON BED/AMBULANCE 48096,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48096,A000000,03200,0000,03200SUPPORT SURFACES 48096,A000000,03400,0000,03400CLINIC 48096,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48096,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48096,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48096,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48096,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48096,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48096,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48096,A000000,04400,0000,04400DME RENTED - HHA 48096,A000000,04500,0000,04500DME SOLD - HHA 48096,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48096,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48096,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48096,A000000,05000,0000,05000CORF 48096,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48096,A000000,05300,0000,05300INTEREST EXPENSE 48096,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48096,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48096,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48096,A000000,06100,0000,06100NONPAID WORKERS 48096,A000000,06150,0000,06300CHAPEL 48096,A000000,06200,0000,06200PATIENTS LAUNDRY 48096,A81000A,00100,0100,Y 48096,A81000B,00100,0300,MHP REGION-OPER 48096,A81000B,00200,0300,MHP REGION-CAP 48096,A81000B,00300,0300,MHP REGION-CAP 48096,A81000B,00400,0300,CHP-OPER 48096,A81000B,00500,0300,CHP-CAPITAL BUILDINGS 48096,A81000B,00600,0300,CHP-CAPITAL M.E. 48096,A81000B,00700,0300,CHP-INTEREST EXP 48096,A81000C,00100,0100,A 48096,A81000C,00100,0200,REGIONAL OFFICE 48096,A81000C,00100,0600,HEALTH CARE 48096,A81000C,00200,0100,A 48096,A81000C,00200,0200,HOME OFFICE 48096,A81000C,00200,0600,HEALTH CARE 48096,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 48096,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 48096,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 48096,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48096,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 48096,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 48096,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 48096,B100000,00000,0800,00000MEALS SERVED :DIETARY 48096,B100000,00000,0950,00000DIR NUR HRS SVC:NURSING ADMINISTRAT 48096,B100000,00000,1000,00000COSTED REQUIST :CENTRAL SERVICES & 48096,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48096,B100000,00000,1300,00000SS TIME SPENT :SOCIAL SERVICE 48096,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48096,E10A180,00601,0100,09/06/2001 48096,E10A180,00601,0300,09/06/2001 48096,S000000,00100,0200,05/30/2000 48096,S200000,00100,0100,235 W. ORCHARD SPRINGS 48096,S200000,00200,0100,DAYTON 48096,S200000,00200,0200,OH 48096,S200000,00300,0100,MONTGOMERY 48096,S200000,00300,0200,2000 48096,S200000,00300,0300,U 48096,S200000,00400,0100,MERCY SIENA WOODS 48096,S200000,00400,0200,365819 48096,S200000,00400,0300,11/21/1990 48096,S200000,00400,0500,P 48096,S200000,00600,0200,365819 48096,S200000,00600,0300,11/21/1990 48096,S200000,00600,0600,P 48096,S200000,01600,0100,Y 48096,S200000,02200,0100,Y 48096,S200000,02800,0100,Y 48104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48104,A000000,00300,0000,00300EMPLOYEE BENEFITS 48104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48104,A000000,00700,0000,00700HOUSEKEEPING 48104,A000000,00800,0000,00800DIETARY 48104,A000000,00900,0000,00900NURSING ADMINISTRATION 48104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48104,A000000,01100,0000,01100PHARMACY 48104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48104,A000000,01300,0000,01300SOCIAL SERVICE 48104,A000000,01350,0000,01500ACTIVITIES 48104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48104,A000000,01600,0000,01600SKILLED NURSING FACILITY 48104,A000000,01800,0000,01800NURSING FACILITY 48104,A000000,01810,0000,01810ICF/MR 48104,A000000,01900,0000,01900OTHER LONG TERM CARE 48104,A000000,02100,0000,02100RADIOLOGY 48104,A000000,02200,0000,02200LABORATORY 48104,A000000,02300,0000,02300INTRAVENOUS THERAPY 48104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48104,A000000,02500,0000,02500PHYSICAL THERAPY 48104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48104,A000000,02700,0000,02700SPEECH PATHOLOGY 48104,A000000,02800,0000,02800ELECTROCARDIOLOGY 48104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48104,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48104,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48104,A000000,03200,0000,03200SUPPORT SURFACES 48104,A000000,03400,0000,03400CLINIC 48104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48104,A000000,03500,0000,03500RURAL HEALTH CLINIC 48104,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48104,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48104,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48104,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48104,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48104,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48104,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48104,A000000,04400,0000,04400DME RENTED - HHA 48104,A000000,04500,0000,04500DME SOLD - HHA 48104,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48104,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48104,A000000,04800,0000,04800AMBULANCE 48104,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48104,A000000,05000,0000,05000CORF 48104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48104,A000000,05300,0000,05300INTEREST EXPENSE 48104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48104,A000000,05500,0000,05500HOSPICE 48104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48104,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48104,A000000,06100,0000,06100NONPAID WORKERS 48104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48104,A000000,06200,0000,06200PATIENTS LAUNDRY 48104,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48104,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48104,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48104,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48104,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48104,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48104,B100000,00000,0800,00000MEALS SERVED :DIETARY 48104,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48104,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48104,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48104,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48104,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48104,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48104,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48104,E10A180,00501,0100,04/25/2000 48104,S000000,00100,0200,04/21/2000 48104,S200000,00100,0100,5070 LAMME ROAD 48104,S200000,00200,0100,KETTERING 48104,S200000,00200,0200,OH 48104,S200000,00200,0300,45439- 48104,S200000,00300,0100,MONTGOMERY 48104,S200000,00400,0100,WALNUT CREEK NURSING CENTER 48104,S200000,00400,0200,365821 48104,S200000,00400,0300,01/15/1991 48104,S200000,00400,0500,P 48104,S200000,01600,0100,Y 48111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48111,A000000,00300,0000,00300EMPLOYEE BENEFITS 48111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48111,A000000,00700,0000,00700HOUSEKEEPING 48111,A000000,00800,0000,00800DIETARY 48111,A000000,00900,0000,00900NURSING ADMINISTRATION 48111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48111,A000000,01100,0000,01100PHARMACY 48111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48111,A000000,01300,0000,01300SOCIAL SERVICE 48111,A000000,01350,0000,01500OTHER GENERAL SERVICES 48111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48111,A000000,01600,0000,01600SKILLED NURSING FACILITY 48111,A000000,01800,0000,01800NURSING FACILITY 48111,A000000,01810,0000,01801ICF/MR 48111,A000000,01900,0000,01900OTHER LONG TERM CARE 48111,A000000,02100,0000,02100RADIOLOGY 48111,A000000,02200,0000,02200LABORATORY 48111,A000000,02300,0000,02300INTRAVENOUS THERAPY 48111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48111,A000000,02500,0000,02500PHYSICAL THERAPY 48111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48111,A000000,02700,0000,02700SPEECH PATHOLOGY 48111,A000000,02800,0000,02800ELECTROCARDIOLOGY 48111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48111,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48111,A000000,03200,0000,03200SUPPORT SURFACES 48111,A000000,03400,0000,03400CLINIC 48111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48111,A000000,03500,0000,03500RURAL HEALTH CLINIC 48111,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48111,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48111,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48111,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48111,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48111,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48111,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48111,A000000,04400,0000,04400DME RENTED - HHA 48111,A000000,04500,0000,04500DME SOLD - HHA 48111,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48111,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48111,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48111,A000000,04800,0000,04800AMBULANCE 48111,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48111,A000000,05000,0000,05000CORF 48111,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48111,A000000,05300,0000,05300INTEREST EXPENSE 48111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48111,A000000,05500,0000,05500HOSPICE 48111,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48111,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48111,A000000,06100,0000,06100NONPAID WORKERS 48111,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48111,A000000,06200,0000,06200PATIENTS LAUNDRY 48111,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48111,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48111,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48111,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48111,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48111,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48111,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48111,B100000,00000,0800,00000MEALS SERVED :DIETARY 48111,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48111,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48111,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48111,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48111,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48111,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48111,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48111,S000000,00100,0200,07/06/2000 48111,S200000,00100,0100,461 S. CANFIELD NILES ROAD 48111,S200000,00200,0100,AUSTINTOWN 48111,S200000,00200,0200,OH 48111,S200000,00200,0300,44515- 48111,S200000,00300,0100,MAHONING 48111,S200000,00400,0100,MANOR WEST HEALTH CARE CTR. 48111,S200000,00400,0200,365822 48111,S200000,00400,0300,01/01/1991 48111,S200000,00400,0500,P 48111,S200000,01600,0100,Y 48111,S700003,00000,0100,1 48121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48121,A000000,00300,0000,00300EMPLOYEE BENEFITS 48121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48121,A000000,00700,0000,00700HOUSEKEEPING 48121,A000000,00800,0000,00800DIETARY 48121,A000000,00900,0000,00900NURSING ADMINISTRATION 48121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48121,A000000,01100,0000,01100PHARMACY 48121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48121,A000000,01300,0000,01300SOCIAL SERVICE 48121,A000000,01350,0000,01500OTHER GENERAL SERVICES 48121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48121,A000000,01600,0000,01600SKILLED NURSING FACILITY 48121,A000000,01800,0000,01800NURSING FACILITY 48121,A000000,01810,0000,01801ICF/MR 48121,A000000,01900,0000,01900OTHER LONG TERM CARE 48121,A000000,02100,0000,02100RADIOLOGY 48121,A000000,02200,0000,02200LABORATORY 48121,A000000,02300,0000,02300INTRAVENOUS THERAPY 48121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48121,A000000,02500,0000,02500PHYSICAL THERAPY 48121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48121,A000000,02700,0000,02700SPEECH PATHOLOGY 48121,A000000,02800,0000,02800ELECTROCARDIOLOGY 48121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48121,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48121,A000000,03051,0000,03301ENTERALS 48121,A000000,03052,0000,03302MEDICAL COMPLEX EQUIP 48121,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48121,A000000,03200,0000,03200SUPPORT SURFACES 48121,A000000,03400,0000,03400CLINIC 48121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48121,A000000,03500,0000,03500RURAL HEALTH CLINIC 48121,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48121,A000000,04800,0000,04800AMBULANCE 48121,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48121,A000000,05000,0000,05000CORF 48121,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48121,A000000,05300,0000,05300INTEREST EXPENSE 48121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48121,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48121,A000000,05500,0000,05500HOSPICE 48121,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48121,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48121,A000000,06100,0000,06100NONPAID WORKERS 48121,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48121,A000000,06200,0000,06200PATIENTS LAUNDRY 48121,A81000A,00100,0100,Y 48121,A81000B,00100,0300,REDUCE LEASE OF BLDG 48121,A81000B,00200,0300,INTEREST 48121,A81000B,00300,0300,DEPRECIATION 48121,A81000B,00400,0300,RENOV DEORE EXP 48121,A81000B,00500,0300,AMORT OF LOAN 48121,A81000B,00600,0300,DEPRE EXP 48121,A81000B,00700,0300,TO REUCE LEASE EQUIPMENT 48121,A81000B,00800,0300,DEPRECIATION EXP 48121,A81000C,00100,0100,D 48121,A81000C,00100,0200,EDWARD HOOD 48121,A81000C,00100,0400,GLENVIEW LAND 48121,A81000C,00100,0600,LEASING CO. FOR THE BLDG. 48121,A81000C,00200,0100,D 48121,A81000C,00200,0200,EDWARD HOOD 48121,A81000C,00200,0400,FREEDOM LEASING 48121,A81000C,00200,0600,LEASING CO. FOR THE BLDG. 48121,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48121,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48121,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48121,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48121,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48121,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48121,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48121,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48121,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48121,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48121,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48121,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48121,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 48121,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48121,S000000,00100,0200,05/30/2000 48121,S200000,00100,0100,3379 MAIN STREET 48121,S200000,00200,0100,MINERAL RIDGE 48121,S200000,00200,0200,OH 48121,S200000,00200,0300,44440- 48121,S200000,00300,0100,TRUMBULL 48121,S200000,00400,0100,GLENN VIEW MANOR 48121,S200000,00400,0200,365823 48121,S200000,00400,0300,11/27/1990 48121,S200000,00400,0500,P 48121,S200000,01600,0100,Y 48131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48131,A000000,00300,0000,00300EMPLOYEE BENEFITS 48131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48131,A000000,00700,0000,00700HOUSEKEEPING 48131,A000000,00800,0000,00800DIETARY 48131,A000000,00900,0000,00900NURSING ADMINISTRATION 48131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48131,A000000,01100,0000,01100PHARMACY 48131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48131,A000000,01300,0000,01300SOCIAL SERVICE 48131,A000000,01350,0000,01500OTHER GENERAL SERVICES 48131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48131,A000000,01600,0000,01600SKILLED NURSING FACILITY 48131,A000000,01800,0000,01800NURSING FACILITY 48131,A000000,01900,0000,01900OTHER LONG TERM CARE 48131,A000000,02100,0000,02100RADIOLOGY 48131,A000000,02200,0000,02200LABORATORY 48131,A000000,02300,0000,02300INTRAVENOUS THERAPY 48131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48131,A000000,02500,0000,02500PHYSICAL THERAPY 48131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48131,A000000,02700,0000,02700SPEECH PATHOLOGY 48131,A000000,02800,0000,02800ELECTROCARDIOLOGY 48131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48131,A000000,03200,0000,03200SUPPORT SURFACES 48131,A000000,03400,0000,03400CLINIC 48131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48131,A000000,03500,0000,03500RURAL HEALTH CLINIC 48131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48131,A000000,05000,0000,05000CORF 48131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48131,A000000,05300,0000,05300INTEREST EXPENSE 48131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48131,A000000,05500,0000,05500HOSPICE 48131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48131,A000000,06100,0000,06100NONPAID WORKERS 48131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48131,A000000,06200,0000,06200PATIENTS LAUNDRY 48131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48131,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48131,B100000,00000,0800,00000MEALS SERVED :DIETARY 48131,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 48131,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48131,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48131,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 48131,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 48131,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 48131,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 48131,S000000,00100,0200,06/02/2000 48131,S200000,00100,0100,24579 BROADWAY AVENUE 48131,S200000,00200,0100,OAKWOOD VILLAGE 48131,S200000,00200,0200,OH 48131,S200000,00200,0300,44146- 48131,S200000,00300,0100,CUYAHOGA 48131,S200000,00400,0100,HERITAGE CARE 48131,S200000,00400,0200,365825 48131,S200000,00400,0300,02/21/1991 48131,S200000,00400,0500,O 48131,S200000,01600,0100,Y 48131,S700003,00000,0100,1 48139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48139,A000000,00300,0000,00300EMPLOYEE BENEFITS 48139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48139,A000000,00700,0000,00700HOUSEKEEPING 48139,A000000,00800,0000,00800DIETARY 48139,A000000,00900,0000,00900NURSING ADMINISTRATION 48139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48139,A000000,01100,0000,01100PHARMACY 48139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48139,A000000,01300,0000,01300SOCIAL SERVICE 48139,A000000,01350,0000,01500ACTIVITIES 48139,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48139,A000000,01600,0000,01600SKILLED NURSING FACILITY 48139,A000000,01800,0000,01800NURSING FACILITY 48139,A000000,01810,0000,01810ICF/MR 48139,A000000,01900,0000,01900OTHER LONG TERM CARE 48139,A000000,02100,0000,02100RADIOLOGY 48139,A000000,02200,0000,02200LABORATORY 48139,A000000,02300,0000,02300INTRAVENOUS THERAPY 48139,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48139,A000000,02500,0000,02500PHYSICAL THERAPY 48139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48139,A000000,02700,0000,02700SPEECH PATHOLOGY 48139,A000000,02800,0000,02800ELECTROCARDIOLOGY 48139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48139,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48139,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48139,A000000,03200,0000,03200SUPPORT SURFACES 48139,A000000,03400,0000,03400CLINIC 48139,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48139,A000000,03500,0000,03500RURAL HEALTH CLINIC 48139,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48139,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48139,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48139,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48139,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48139,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48139,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48139,A000000,04400,0000,04400DME RENTED - HHA 48139,A000000,04500,0000,04500DME SOLD - HHA 48139,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48139,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48139,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48139,A000000,04800,0000,04800AMBULANCE 48139,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48139,A000000,05000,0000,05000CORF 48139,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48139,A000000,05300,0000,05300INTEREST EXPENSE 48139,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48139,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48139,A000000,05500,0000,05500HOSPICE 48139,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48139,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48139,A000000,06100,0000,06100NONPAID WORKERS 48139,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48139,A000000,06200,0000,06200PATIENTS LAUNDRY 48139,A81000A,00100,0100,Y 48139,A81000B,00100,0300,HOME OFFICE COST 48139,A81000B,00200,0300,CAPITAL RELATED - BLDGS 48139,A81000C,00100,0100,B 48139,A81000C,00100,0200,NATL CHRUCH RE 48139,A81000C,00100,0400,NCR CARE CENTER 48139,A81000C,00100,0600,HOME OFFICE 48139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48139,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48139,B100000,00000,0800,00000MEALS SERVED :DIETARY 48139,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48139,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48139,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48139,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48139,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48139,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48139,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48139,E10A180,00501,0100,07/20/2000 48139,S000000,00100,0200,05/31/2000 48139,S200000,00100,0100,300 EAST BATH ROAD 48139,S200000,00200,0100,CUYAHOGA FALLS 48139,S200000,00200,0200,OH 48139,S200000,00200,0300,44223- 48139,S200000,00300,0100,SUMMIT 48139,S200000,00400,0100,NCRCC AT BATH ROAD 48139,S200000,00400,0200,365826 48139,S200000,00400,0300,03/13/1991 48139,S200000,00400,0500,P 48139,S200000,00600,0200,840371 48139,S200000,00600,0300,03/13/1991 48139,S200000,01600,0100,Y 48149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48149,A000000,00300,0000,00300EMPLOYEE BENEFITS 48149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48149,A000000,00700,0000,00700HOUSEKEEPING 48149,A000000,00800,0000,00800DIETARY 48149,A000000,00900,0000,00900NURSING ADMINISTRATION 48149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48149,A000000,01100,0000,01100PHARMACY 48149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48149,A000000,01300,0000,01300SOCIAL SERVICE 48149,A000000,01600,0000,01600SKILLED NURSING FACILITY 48149,A000000,01800,0000,01800NURSING FACILITY 48149,A000000,01900,0000,01900OTHER LONG TERM CARE 48149,A000000,02100,0000,02100RADIOLOGY 48149,A000000,02200,0000,02200LABORATORY 48149,A000000,02300,0000,02300INTRAVENOUS THERAPY 48149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48149,A000000,02500,0000,02500PHYSICAL THERAPY 48149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48149,A000000,02700,0000,02700SPEECH PATHOLOGY 48149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48149,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48149,A000000,03200,0000,03200SUPPORT SURFACES 48149,A000000,04800,0000,04800AMBULANCE 48149,A000000,05300,0000,05300INTEREST EXPENSE 48149,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48149,A000000,05500,0000,05500HOSPICE 48149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48149,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48149,A000000,06200,0000,06200PATIENTS LAUNDRY 48149,A81000A,00100,0100,Y 48149,A81000B,00100,0300,HOME OFFICE COSTS 48149,A81000B,00200,0300,HOME OFFICE COSTS 48149,A81000B,00300,0300,HOME OFFICE COSTS 48149,A81000B,00400,0300,HOME OFFICE COSTS 48149,A81000B,00500,0300,HOME OFFICE COSTS 48149,A81000B,00600,0300,HOME OFFICE COSTS 48149,A81000B,00700,0300,HOME OFFICE COSTS 48149,A81000B,00800,0300,HOME OFFICE COSTS 48149,A81000B,00900,0300,HOME OFFICE COSTS 48149,A81000B,01000,0300,MEDICAL SUPPLY COMPANY 48149,A81000B,01100,0300,MEDICAL SUPPLY COMPANY 48149,A81000C,00100,0100,A 48149,A81000C,00100,0200,SALLY SCHWARTZ 48149,A81000C,00100,0400,MIDDLE RIDGE 48149,A81000C,00100,0600,MEDICAL SUPPLY 48149,A81000C,00200,0100,A 48149,A81000C,00200,0200,ABRAHAM SCHWARTZ 48149,A81000C,00200,0400,MIDDLE RIDGE 48149,A81000C,00200,0600,MEDICAL SUPPLY 48149,A81000C,00300,0100,A 48149,A81000C,00300,0200,SALLY SCHWARTZ 48149,A81000C,00300,0400,ROYAL MANOR MGM 48149,A81000C,00300,0600,HOME OFFICE 48149,A81000C,00400,0100,A 48149,A81000C,00400,0200,ABRAHAM SCHWARTZ 48149,A81000C,00400,0400,ROYAL MANOR MGM 48149,A81000C,00400,0600,HOME OFFICE 48149,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48149,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48149,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48149,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48149,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48149,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48149,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48149,B100000,00000,0800,00000MEALS SERVED :DIETARY 48149,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 48149,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48149,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48149,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48149,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48149,E10A180,00501,0100,07/27/2000 48149,S000000,00100,0200,06/05/2000 48149,S200000,00100,0100,18810 HARVARD AVENUE 48149,S200000,00200,0100,CLEVELAND 48149,S200000,00200,0200,OH 48149,S200000,00200,0300,44122- 48149,S200000,00300,0100,CUYAHOGA 48149,S200000,00400,0100,WILLOW PARK CONVALESCENT CTR INC. 48149,S200000,00400,0200,365828 48149,S200000,00400,0300,03/07/1991 48149,S200000,00400,0500,P 48149,S200000,01500,0100,Y 48149,S200000,04300,0100,Y 48149,S700003,00000,0100,1 48158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48158,A000000,00300,0000,00300EMPLOYEE BENEFITS 48158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48158,A000000,00700,0000,00700HOUSEKEEPING 48158,A000000,00800,0000,00800DIETARY 48158,A000000,00900,0000,00900NURSING ADMINISTRATION 48158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48158,A000000,01100,0000,01100PHARMACY 48158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48158,A000000,01300,0000,01300SOCIAL SERVICE 48158,A000000,01600,0000,01600SKILLED NURSING FACILITY 48158,A000000,01800,0000,01800NURSING FACILITY 48158,A000000,01900,0000,01900OTHER LONG TERM CARE 48158,A000000,02100,0000,02100RADIOLOGY 48158,A000000,02200,0000,02200LABORATORY 48158,A000000,02300,0000,02300INTRAVENOUS THERAPY 48158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48158,A000000,02500,0000,02500PHYSICAL THERAPY 48158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48158,A000000,02700,0000,02700SPEECH PATHOLOGY 48158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48158,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 48158,A000000,04800,0000,04800AMBULANCE 48158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48158,A81000A,00100,0100,Y 48158,A81000B,00100,0300,HOME OFFICE ALLOC 48158,A81000B,00200,0300,HOME OFFICE ALLOC 48158,A81000C,00100,0100,A 48158,A81000C,00100,0200,COVENANT CARE INC 48158,A81000C,00100,0400,COVENANT CARE INC. 48158,A81000C,00100,0600,HEALTH CARE 48158,A81000C,00200,0100,B 48158,A81000C,00200,0200,PHARMACY 48158,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 48158,A81000C,00200,0600,PHARMACY - HEALTH CARE 48158,A81000C,00300,0100,C 48158,A81000C,00300,0200,THERAPY 48158,A81000C,00300,0400,SELECT THEREAPY 48158,A81000C,00300,0600,THERAPY SERVICES 48158,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48158,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48158,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48158,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48158,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48158,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48158,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48158,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48158,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48158,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48158,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 48158,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48158,S000000,00100,0200,06/01/2000 48158,S200000,00100,0100,701 VILLA ROAD 48158,S200000,00200,0100,SPRINGFIELD 48158,S200000,00200,0200,OH 48158,S200000,00200,0300,45503- 48158,S200000,00300,0100,DAYTON 48158,S200000,00400,0100,VILLA SPRINGFIELD 48158,S200000,00400,0200,365829 48158,S200000,00400,0300,01/01/1967 48158,S200000,00400,0500,P 48158,S200000,00600,0200,365829 48158,S200000,00600,0300,01/01/1967 48158,S200000,01600,0100,Y 48169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48169,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48169,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48169,A000000,00300,0000,00300EMPLOYEE BENEFITS 48169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48169,A000000,00700,0000,00700HOUSEKEEPING 48169,A000000,00800,0000,00800DIETARY 48169,A000000,00801,0000,00801CAFETERIA 48169,A000000,00900,0000,00900NURSING ADMINISTRATION 48169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48169,A000000,01100,0000,01100PHARMACY 48169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48169,A000000,01300,0000,01300SOCIAL SERVICE 48169,A000000,01350,0000,01500ACTIVITIES 48169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48169,A000000,01600,0000,01600SKILLED NURSING FACILITY 48169,A000000,01800,0000,01800NURSING FACILITY 48169,A000000,01900,0000,01900OTHER LONG TERM CARE 48169,A000000,02100,0000,02100RADIOLOGY 48169,A000000,02200,0000,02200LABORATORY 48169,A000000,02300,0000,02300INTRAVENOUS THERAPY 48169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48169,A000000,02500,0000,02500PHYSICAL THERAPY 48169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48169,A000000,02700,0000,02700SPEECH PATHOLOGY 48169,A000000,02800,0000,02800ELECTROCARDIOLOGY 48169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48169,A000000,03050,0000,03300DME 48169,A000000,03051,0000,03301ORTHOTICS 48169,A000000,03052,0000,03302PSYCH/NON-PHSYICIAN DIAG 48169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48169,A000000,03200,0000,03200SUPPORT SURFACES 48169,A000000,03400,0000,03400CLINIC 48169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48169,A000000,03500,0000,03500RURAL HEALTH CLINIC 48169,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48169,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48169,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48169,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48169,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48169,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48169,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48169,A000000,04400,0000,04400DME RENTED - HHA 48169,A000000,04500,0000,04500DME SOLD - HHA 48169,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48169,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48169,A000000,04800,0000,04800AMBULANCE 48169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48169,A000000,05000,0000,05000CORF 48169,A000000,05010,0000,05010CMHC I 48169,A000000,05020,0000,05020OPT I 48169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48169,A000000,05300,0000,05300INTEREST EXPENSE 48169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48169,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48169,A000000,05500,0000,05500HOSPICE 48169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48169,A000000,06100,0000,06100NONPAID WORKERS 48169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48169,A000000,06200,0000,06200PATIENTS LAUNDRY 48169,A81000A,00100,0100,Y 48169,A81000B,00100,0300,HOME OFFICE ALLOCATION 48169,A81000B,00200,0300,THERACOR ACTUAL COSTS 48169,A81000B,00300,0300,THERACOR ACTUAL COSTS 48169,A81000B,00400,0300,THERACOR ACTUAL COSTS 48169,A81000C,00100,0100,B 48169,A81000C,00100,0200,HARBORSIDE 48169,A81000C,00200,0200,HEALTHCARE 48169,A81000C,00300,0200,LIMITED PSHIP 48169,A81000C,00300,0600,MANAGEMENT CO 48169,A81000C,00500,0100,B 48169,A81000C,00500,0200,HARBORSIDE 48169,A81000C,00600,0200,REHABILITITAION 48169,A81000C,00700,0200,LIMITED PSHIP 48169,A81000C,00700,0600,THERAPY 48169,A81000C,00800,0600,SERVICE AND 48169,A81000C,00900,0600,MANAGEMENT CO 48169,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48169,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48169,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48169,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48169,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48169,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48169,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48169,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48169,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48169,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48169,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48169,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48169,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48169,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48169,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48169,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48169,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48169,E10A180,00301,0100,10/01/1999 48169,S000000,00100,0200,06/01/2000 48169,S200000,00100,0100,1104 WESLEY AVENUE 48169,S200000,00200,0100,BRYAN 48169,S200000,00200,0200,OH 48169,S200000,00200,0300,43506- 48169,S200000,00300,0100,WILLIAMS 48169,S200000,00400,0100,HHC - NORTHWEST OHIO 48169,S200000,00400,0200,365830 48169,S200000,00400,0300,06/01/1993 48169,S200000,00400,0500,P 48169,S200000,01600,0100,Y 48169,S200000,02200,0100,Y 48169,S200000,04700,0100,Y 48169,S200000,04900,0100,Y 48179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48179,A000000,00300,0000,00300EMPLOYEE BENEFITS 48179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48179,A000000,00700,0000,00700HOUSEKEEPING 48179,A000000,00800,0000,00800DIETARY 48179,A000000,00900,0000,00900NURSING ADMINISTRATION 48179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48179,A000000,01100,0000,01100PHARMACY 48179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48179,A000000,01300,0000,01300SOCIAL SERVICE 48179,A000000,01600,0000,01600SKILLED NURSING FACILITY 48179,A000000,01800,0000,01800NURSING FACILITY 48179,A000000,01900,0000,01900OTHER LONG TERM CARE 48179,A000000,02100,0000,02100RADIOLOGY 48179,A000000,02200,0000,02200LABORATORY 48179,A000000,02300,0000,02300INTRAVENOUS THERAPY 48179,A000000,02500,0000,02500PHYSICAL THERAPY 48179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48179,A000000,02700,0000,02700SPEECH PATHOLOGY 48179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48179,A000000,03200,0000,03200SUPPORT SURFACES 48179,A000000,04800,0000,04800AMBULANCE 48179,A000000,05300,0000,05300INTEREST EXPENSE 48179,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48179,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48179,A81000A,00100,0100,Y 48179,A81000B,00100,0300,HOME OFFICE COSTS 48179,A81000B,00200,0300,HOME OFFICE COSTS 48179,A81000B,00300,0300,HOME OFFICE COSTS 48179,A81000C,00100,0100,A 48179,A81000C,00100,0200,KENNETH HUBBARD 48179,A81000C,00100,0400,HUBBARD H/C 48179,A81000C,00100,0600,MGMT COMPANY 48179,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48179,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48179,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48179,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48179,B100000,00000,0800,00000MEALS SERVED :DIETARY 48179,B100000,00000,0900,00000DIRECTNRSI ING HOURS :NURSING ADMIN 48179,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48179,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48179,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48179,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48179,S000000,00100,0200,06/02/2000 48179,S200000,00100,0100,2186 AMBLESIDE ROAD 48179,S200000,00200,0100,CLEVELAND 48179,S200000,00200,0200,OH 48179,S200000,00200,0300,44106- 48179,S200000,00300,0100,CUYAHOGA 48179,S200000,00400,0100,UNIVERSITY MANOR 48179,S200000,00400,0200,365832 48179,S200000,00400,0300,04/05/1991 48179,S200000,00400,0500,P 48179,S200000,01600,0100,Y 48179,S200000,04300,0100,Y 48188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48188,A000000,00300,0000,00300EMPLOYEE BENEFITS 48188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48188,A000000,00700,0000,00700HOUSEKEEPING 48188,A000000,00800,0000,00800DIETARY 48188,A000000,00900,0000,00900NURSING ADMINISTRATION 48188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48188,A000000,01100,0000,01100PHARMACY 48188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48188,A000000,01300,0000,01300SOCIAL SERVICE 48188,A000000,01350,0000,01500ACTIVITIES 48188,A000000,01600,0000,01600SKILLED NURSING FACILITY 48188,A000000,01800,0000,01800NURSING FACILITY 48188,A000000,01900,0000,01900OTHER LONG TERM CARE 48188,A000000,02100,0000,02100RADIOLOGY 48188,A000000,02200,0000,02200LABORATORY 48188,A000000,02300,0000,02300INTRAVENOUS THERAPY 48188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48188,A000000,02500,0000,02500PHYSICAL THERAPY 48188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48188,A000000,02700,0000,02700SPEECH PATHOLOGY 48188,A000000,02800,0000,02800ELECTROCARDIOLOGY 48188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48188,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48188,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48188,A000000,03200,0000,03200SUPPORT SURFACES 48188,A000000,03400,0000,03400CLINIC 48188,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48188,A000000,03500,0000,03500RURAL HEALTH CLINIC 48188,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48188,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48188,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48188,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48188,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48188,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48188,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48188,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48188,A000000,04800,0000,04800AMBULANCE 48188,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48188,A000000,05000,0000,05000CORF 48188,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48188,A000000,05300,0000,05300INTEREST EXPENSE 48188,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48188,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48188,A000000,05500,0000,05500HOSPICE 48188,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48188,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48188,A000000,06100,0000,06100NONPAID WORKERS 48188,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48188,A000000,06200,0000,06200PATIENTS LAUNDRY 48188,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48188,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48188,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48188,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48188,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48188,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48188,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48188,B100000,00000,0800,00000MEALS SERVED :DIETARY 48188,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 48188,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48188,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48188,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48188,E10A180,00501,0300,06/13/2000 48188,E10A180,00550,0100,06/13/2000 48188,H510100,00000,0000,1640 48188,H510100,02400,0000,1640 48188,H710000,00301,0100,03/21/2000 48188,H710000,00301,0300,03/21/2000 48188,H710000,00350,0100,02/29/2000 48188,H710000,00350,0300,02/29/2000 48188,H710000,00501,0100,06/13/2000 48188,H710000,00501,0300,06/13/2000 48188,S000000,00100,0200,06/01/2000 48188,S200000,00100,0100,2373 HARRISON AVENUE 48188,S200000,00200,0100,CINCINNATI 48188,S200000,00200,0200,OH 48188,S200000,00200,0300,45211- 48188,S200000,00300,0100,HAMILTON 48188,S200000,00300,0200,1640 48188,S200000,00300,0300,U 48188,S200000,00400,0100,JUDSON CARE CENTER 48188,S200000,00400,0200,365833 48188,S200000,00400,0300,06/01/1991 48188,S200000,00400,0500,P 48188,S200000,00800,0200,367608 48188,S200000,00800,0300,10/22/1994 48188,S200000,00800,0500,P 48188,S200000,01500,0100,Y 48196,S000000,00100,0200,06/01/2000 48205,S000000,00100,0200,05/15/2000 48216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48216,A000000,00300,0000,00300EMPLOYEE BENEFITS 48216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48216,A000000,00700,0000,00700HOUSEKEEPING 48216,A000000,00800,0000,00800DIETARY 48216,A000000,00900,0000,00900NURSING ADMINISTRATION 48216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48216,A000000,01100,0000,01100PHARMACY 48216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48216,A000000,01300,0000,01300SOCIAL SERVICE 48216,A000000,01350,0000,01500ACTIVITIES 48216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48216,A000000,01600,0000,01600SKILLED NURSING FACILITY 48216,A000000,01800,0000,01800NURSING FACILITY 48216,A000000,01810,0000,01801ICF/MR 48216,A000000,01900,0000,01900OTHER LONG TERM CARE 48216,A000000,02100,0000,02100RADIOLOGY 48216,A000000,02200,0000,02200LABORATORY 48216,A000000,02300,0000,02300INTRAVENOUS THERAPY 48216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48216,A000000,02500,0000,02500PHYSICAL THERAPY 48216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48216,A000000,02700,0000,02700SPEECH PATHOLOGY 48216,A000000,02800,0000,02800ELECTROCARDIOLOGY 48216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48216,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48216,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48216,A000000,03200,0000,03200SUPPORT SURFACES 48216,A000000,03400,0000,03400CLINIC 48216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48216,A000000,03500,0000,03500RURAL HEALTH CLINIC 48216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48216,A000000,04800,0000,04800AMBULANCE 48216,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48216,A000000,05000,0000,05000CORF 48216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48216,A000000,05300,0000,05300INTEREST EXPENSE 48216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48216,A000000,05500,0000,05500HOSPICE 48216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48216,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48216,A000000,06100,0000,06100NONPAID WORKERS 48216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48216,A000000,06200,0000,06200PATIENTS LAUNDRY 48216,A81000A,00100,0100,Y 48216,A81000B,00100,0300,HOME OFFICE COST 48216,A81000C,00100,0100,A 48216,A81000C,00100,0200,BILLIE HAZELBAKER 48216,A81000C,00100,0400,AEGIS INC. 48216,A81000C,00100,0600,MANAGEMENT 48216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48216,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48216,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48216,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48216,B100000,00000,0800,00000MEALS SERVED :DIETARY 48216,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48216,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48216,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48216,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48216,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48216,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48216,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48216,S000000,00100,0200,05/30/2000 48216,S200000,00100,0100,1670 CRIDER ROAD 48216,S200000,00200,0100,MANSFIELD 48216,S200000,00200,0200,OH 48216,S200000,00200,0300,44903- 48216,S200000,00300,0100,RICHLAND 48216,S200000,00400,0100,OAK GROVE MANOR 48216,S200000,00400,0200,365837 48216,S200000,00400,0300,05/01/1991 48216,S200000,00400,0500,P 48216,S200000,00400,0600,P 48216,S200000,01004,0500,O 48216,S200000,01600,0100,Y 48216,S200000,04300,0100,Y 48227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48227,A000000,00300,0000,00300EMPLOYEE BENEFITS 48227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48227,A000000,00700,0000,00700HOUSEKEEPING 48227,A000000,00800,0000,00800DIETARY 48227,A000000,00900,0000,00900NURSING ADMINISTRATION 48227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48227,A000000,01100,0000,01100PHARMACY 48227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48227,A000000,01300,0000,01300SOCIAL SERVICE 48227,A000000,01350,0000,01500ACTIVITIES 48227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48227,A000000,01600,0000,01600SKILLED NURSING FACILITY 48227,A000000,01800,0000,01800NURSING FACILITY 48227,A000000,01810,0000,01801ICF/MR 48227,A000000,01900,0000,01900OTHER LONG TERM CARE 48227,A000000,02100,0000,02100RADIOLOGY 48227,A000000,02200,0000,02200LABORATORY 48227,A000000,02300,0000,02300INTRAVENOUS THERAPY 48227,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48227,A000000,02500,0000,02500PHYSICAL THERAPY 48227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48227,A000000,02700,0000,02700SPEECH PATHOLOGY 48227,A000000,02800,0000,02800ELECTROCARDIOLOGY 48227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48227,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48227,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48227,A000000,03200,0000,03200SUPPORT SURFACES 48227,A000000,03400,0000,03400CLINIC 48227,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48227,A000000,03500,0000,03500RURAL HEALTH CLINIC 48227,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48227,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48227,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48227,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48227,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48227,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48227,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48227,A000000,04400,0000,04400DME RENTED - HHA 48227,A000000,04500,0000,04500DME SOLD - HHA 48227,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48227,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48227,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48227,A000000,04800,0000,04800AMBULANCE 48227,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48227,A000000,05000,0000,05000CORF 48227,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48227,A000000,05300,0000,05300INTEREST EXPENSE 48227,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48227,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48227,A000000,05500,0000,05500HOSPICE 48227,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48227,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48227,A000000,06100,0000,06100NONPAID WORKERS 48227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48227,A000000,06200,0000,06200PATIENTS LAUNDRY 48227,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48227,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48227,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48227,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48227,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48227,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48227,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48227,B100000,00000,0800,00000MEALS SERVED :DIETARY 48227,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48227,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48227,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48227,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48227,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48227,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48227,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48227,S000000,00100,0200,06/01/2000 48227,S200000,00100,0100,HENNIS CARE CENTRE 48227,S200000,00200,0100,DOVER 48227,S200000,00200,0200,OH 48227,S200000,00200,0300,44622- 48227,S200000,00300,0100,TUSCARAWAS 48227,S200000,00400,0100,HENNIS CARE CENTRE 48227,S200000,00400,0200,365838 48227,S200000,00400,0300,03/21/1995 48227,S200000,00400,0500,P 48227,S200000,01500,0100,Y 48227,S200000,02200,0100,Y 48227,S200000,02800,0100,Y 48227,S200000,04300,0100,Y 48234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48234,A000000,00300,0000,00300EMPLOYEE BENEFITS 48234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48234,A000000,00700,0000,00700HOUSEKEEPING 48234,A000000,00800,0000,00800DIETARY 48234,A000000,00900,0000,00900NURSING ADMINISTRATION 48234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48234,A000000,01100,0000,01100PHARMACY 48234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48234,A000000,01300,0000,01300SOCIAL SERVICE 48234,A000000,01350,0000,01500ACTIVITIES 48234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48234,A000000,01600,0000,01600SKILLED NURSING FACILITY 48234,A000000,01800,0000,01800NURSING FACILITY 48234,A000000,01810,0000,01801ICF/MR 48234,A000000,01900,0000,01900OTHER LONG TERM CARE 48234,A000000,02100,0000,02100RADIOLOGY 48234,A000000,02200,0000,02200LABORATORY 48234,A000000,02300,0000,02300INTRAVENOUS THERAPY 48234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48234,A000000,02500,0000,02500PHYSICAL THERAPY 48234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48234,A000000,02700,0000,02700SPEECH PATHOLOGY 48234,A000000,02800,0000,02800ELECTROCARDIOLOGY 48234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48234,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48234,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48234,A000000,03200,0000,03200SUPPORT SURFACES 48234,A000000,03400,0000,03400CLINIC 48234,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48234,A000000,03500,0000,03500RURAL HEALTH CLINIC 48234,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48234,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48234,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48234,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48234,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48234,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48234,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48234,A000000,04400,0000,04400DME RENTED - HHA 48234,A000000,04500,0000,04500DME SOLD - HHA 48234,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48234,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48234,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48234,A000000,04800,0000,04800AMBULANCE 48234,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48234,A000000,05000,0000,05000CORF 48234,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48234,A000000,05300,0000,05300INTEREST EXPENSE 48234,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48234,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48234,A000000,05500,0000,05500HOSPICE 48234,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48234,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48234,A000000,06100,0000,06100NONPAID WORKERS 48234,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48234,A000000,06200,0000,06200PATIENTS LAUNDRY 48234,A81000A,00100,0100,Y 48234,A81000B,00100,0300,HOME OFFICE COST 48234,A81000C,00100,0100,A 48234,A81000C,00100,0200,R HAZELBAKER 48234,A81000C,00100,0400,AEGIS 48234,A81000C,00100,0600,HEALTH CARE 48234,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48234,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48234,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48234,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48234,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48234,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48234,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48234,B100000,00000,0800,00000MEALS SERVED :DIETARY 48234,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48234,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48234,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48234,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48234,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48234,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48234,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48234,E10A180,00501,0100,07/25/2000 48234,S000000,00100,0200,05/30/2000 48234,S200000,00100,0100,700 JASONWAY AVENUE 48234,S200000,00200,0100,COLUMBUS 48234,S200000,00200,0200,OH 48234,S200000,00200,0300,43214- 48234,S200000,00300,0100,FRANKLIN 48234,S200000,00400,0100,COLUMBUS ALZHEIMERS CARE CENTER 48234,S200000,00400,0200,365839 48234,S200000,00400,0300,06/28/1991 48234,S200000,00400,0500,P 48234,S200000,00400,0600,P 48234,S200000,01500,0100,Y 48234,S200000,04300,0100,Y 48243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48243,A000000,00300,0000,00300EMPLOYEE BENEFITS 48243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48243,A000000,00700,0000,00700HOUSEKEEPING 48243,A000000,00800,0000,00800DIETARY 48243,A000000,00900,0000,00900NURSING ADMINISTRATION 48243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48243,A000000,01100,0000,01100PHARMACY 48243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48243,A000000,01300,0000,01300SOCIAL SERVICE 48243,A000000,01350,0000,01500OTHER GENERAL SERVICES 48243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48243,A000000,01600,0000,01600SKILLED NURSING FACILITY 48243,A000000,01800,0000,01800NURSING FACILITY 48243,A000000,01900,0000,01900OTHER LONG TERM CARE 48243,A000000,02100,0000,02100RADIOLOGY 48243,A000000,02200,0000,02200LABORATORY 48243,A000000,02300,0000,02300INTRAVENOUS THERAPY 48243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48243,A000000,02500,0000,02500PHYSICAL THERAPY 48243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48243,A000000,02700,0000,02700SPEECH PATHOLOGY 48243,A000000,02800,0000,02800ELECTROCARDIOLOGY 48243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48243,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48243,A000000,03051,0000,03301ROUTINE MEDICAL EQUIPMENT 48243,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CENTER 48243,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48243,A000000,03200,0000,03200SUPPORT SURFACES 48243,A000000,03400,0000,03400CLINIC 48243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48243,A000000,03500,0000,03500RURAL HEALTH CLINIC 48243,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48243,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48243,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48243,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48243,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48243,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48243,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48243,A000000,04400,0000,04400DME RENTED - HHA 48243,A000000,04500,0000,04500DME SOLD - HHA 48243,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48243,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48243,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48243,A000000,04800,0000,04800AMBULANCE 48243,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48243,A000000,05000,0000,05000CORF 48243,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48243,A000000,05300,0000,05300INTEREST EXPENSE 48243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48243,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48243,A000000,05500,0000,05500HOSPICE 48243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48243,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48243,A000000,06100,0000,06100NONPAID WORKERS 48243,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48243,A000000,06200,0000,06200PATIENTS LAUNDRY 48243,A81000A,00100,0100,Y 48243,A81000B,00100,0300,ADMINISTRATOR SALARY 48243,A81000C,00100,0100,F 48243,A81000C,00100,0200,WILMA WILLARD 48243,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48243,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48243,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48243,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48243,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48243,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48243,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48243,B100000,00000,0800,00000MEALS SERVED :DIETARY 48243,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 48243,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48243,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48243,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48243,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48243,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48243,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48243,S000000,00100,0200,05/01/2000 48243,S200000,00100,0100,9117 CINCINNATI-COLUMBUS ROAD 48243,S200000,00200,0100,WEST CHESTER 48243,S200000,00200,0200,OH 48243,S200000,00200,0300,45069- 48243,S200000,00300,0100,BUTLER 48243,S200000,00400,0100,WEST CHESTER HEALTH CARE 48243,S200000,00400,0200,365842 48243,S200000,00400,0300,08/22/1991 48243,S200000,00400,0500,P 48243,S200000,01600,0100,Y 48254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48254,A000000,00300,0000,00300EMPLOYEE BENEFITS 48254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48254,A000000,00700,0000,00700HOUSEKEEPING 48254,A000000,00800,0000,00800DIETARY 48254,A000000,00900,0000,00900NURSING ADMINISTRATION 48254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48254,A000000,01100,0000,01100PHARMACY 48254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48254,A000000,01300,0000,01300SOCIAL SERVICE 48254,A000000,01350,0000,01500OTHER GENERAL SERVICES 48254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48254,A000000,01600,0000,01600SKILLED NURSING FACILITY 48254,A000000,01800,0000,01800NURSING FACILITY 48254,A000000,01810,0000,01810ICF/MR 48254,A000000,01900,0000,01900OTHER LONG TERM CARE 48254,A000000,02100,0000,02100RADIOLOGY 48254,A000000,02200,0000,02200LABORATORY 48254,A000000,02300,0000,02300INTRAVENOUS THERAPY 48254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48254,A000000,02500,0000,02500PHYSICAL THERAPY 48254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48254,A000000,02700,0000,02700SPEECH PATHOLOGY 48254,A000000,02800,0000,02800ELECTROCARDIOLOGY 48254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48254,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48254,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48254,A000000,03200,0000,03200SUPPORT SURFACES 48254,A000000,03400,0000,03400CLINIC 48254,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48254,A000000,03500,0000,03500RURAL HEALTH CLINIC 48254,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48254,A000000,04800,0000,04800AMBULANCE 48254,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48254,A000000,05000,0000,05000CORF 48254,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48254,A000000,05300,0000,05300INTEREST EXPENSE 48254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48254,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48254,A000000,05500,0000,05500HOSPICE 48254,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48254,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48254,A000000,06100,0000,06100NONPAID WORKERS 48254,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48254,A000000,06200,0000,06200PATIENTS LAUNDRY 48254,A81000A,00100,0100,Y 48254,A81000B,00100,0300,HOME OFFICE COST - CAPITAL 48254,A81000B,00200,0300,HOME OFFICE COSTS - ADMIN. 48254,A81000B,00300,0300,HOME OFFICE COSTS - DIETARY 48254,A81000C,00100,0100,B 48254,A81000C,00100,0200,LTC MANAGEMENT SERVICES 48254,A81000C,00100,0400,LTC MANAGEMENT SERVICES 48254,A81000C,00100,0600,NRSG. HOME MGMT. 48254,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48254,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48254,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48254,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48254,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48254,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48254,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48254,B100000,00000,0800,00000MEALS SERVED :DIETARY 48254,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 48254,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48254,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48254,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48254,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48254,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48254,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48254,S000000,00100,0200,06/05/2000 48254,S200000,00100,0100,117 JACOB-PARROTT BLVD. 48254,S200000,00200,0100,KENTON 48254,S200000,00200,0200,OH 48254,S200000,00200,0300,43326- 48254,S200000,00300,0100,HARDIN 48254,S200000,00400,0100,BALDWIN MANOR 48254,S200000,00400,0200,365843 48254,S200000,00400,0300,06/14/1991 48254,S200000,00400,0500,P 48254,S200000,01600,0100,Y 48254,S200000,04300,0100,Y 48265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48265,A000000,00300,0000,00300EMPLOYEE BENEFITS 48265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48265,A000000,00700,0000,00700HOUSEKEEPING 48265,A000000,00800,0000,00800DIETARY 48265,A000000,00900,0000,00900NURSING ADMINISTRATION 48265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48265,A000000,01100,0000,01100PHARMACY 48265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48265,A000000,01300,0000,01300SOCIAL SERVICE 48265,A000000,01350,0000,01500OTHER GENERAL SERVICES 48265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48265,A000000,01600,0000,01600SKILLED NURSING FACILITY 48265,A000000,01800,0000,01800NURSING FACILITY 48265,A000000,01810,0000,01801ICF/MR 48265,A000000,01900,0000,01900OTHER LONG TERM CARE 48265,A000000,02100,0000,02100RADIOLOGY 48265,A000000,02200,0000,02200LABORATORY 48265,A000000,02300,0000,02300INTRAVENOUS THERAPY 48265,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48265,A000000,02500,0000,02500PHYSICAL THERAPY 48265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48265,A000000,02700,0000,02700SPEECH PATHOLOGY 48265,A000000,02800,0000,02800ELECTROCARDIOLOGY 48265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48265,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48265,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48265,A000000,03200,0000,03200SUPPORT SURFACES 48265,A000000,03400,0000,03400CLINIC 48265,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48265,A000000,03500,0000,03500RURAL HEALTH CLINIC 48265,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48265,A000000,04800,0000,04800AMBULANCE 48265,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48265,A000000,05000,0000,05000CORF 48265,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48265,A000000,05300,0000,05300INTEREST EXPENSE 48265,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48265,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48265,A000000,05500,0000,05500HOSPICE 48265,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48265,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48265,A000000,06100,0000,06100NONPAID WORKERS 48265,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48265,A000000,06200,0000,06200PATIENTS LAUNDRY 48265,A81000A,00100,0100,Y 48265,A81000B,00100,0300,HOME OFFICE ALLOCATION 48265,A81000B,00200,0300,HOME OFFICE ALLOCATION 48265,A81000B,00300,0300,HOME OFFICE ALLOCATION 48265,A81000C,00100,0100,C 48265,A81000C,00100,0200,MORTON WEISBERG 48265,A81000C,00100,0400,MULTI-CARE MANAGEMENT 48265,A81000C,00100,0600,HOME OFFICE 48265,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48265,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48265,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48265,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48265,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48265,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48265,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48265,B100000,00000,0800,00000MEALS SERVED :DIETARY 48265,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 48265,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 48265,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48265,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48265,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48265,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48265,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48265,S000000,00100,0200,06/12/2000 48265,S200000,00100,0100,101 BISSELL ROAD 48265,S200000,00200,0100,AURORA 48265,S200000,00200,0200,OH 48265,S200000,00200,0300,44202- 48265,S200000,00300,0100,PORTAGE 48265,S200000,00400,0100,AURORA MANOR 48265,S200000,00400,0200,365844 48265,S200000,00400,0300,08/09/1991 48265,S200000,00400,0500,P 48265,S200000,01600,0100,Y 48265,S200000,04700,0100,Y 48274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48274,A000000,00300,0000,00300EMPLOYEE BENEFITS 48274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48274,A000000,00700,0000,00700HOUSEKEEPING 48274,A000000,00800,0000,00800DIETARY 48274,A000000,00900,0000,00900NURSING ADMINISTRATION 48274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48274,A000000,01100,0000,01100PHARMACY 48274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48274,A000000,01300,0000,01300SOCIAL SERVICE 48274,A000000,01600,0000,01600SKILLED NURSING FACILITY 48274,A000000,01800,0000,01800NURSING FACILITY 48274,A000000,01900,0000,01900OTHER LONG TERM CARE 48274,A000000,02100,0000,02100RADIOLOGY 48274,A000000,02200,0000,02200LABORATORY 48274,A000000,02300,0000,02300INTRAVENOUS THERAPY 48274,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48274,A000000,02500,0000,02500PHYSICAL THERAPY 48274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48274,A000000,02700,0000,02700SPEECH PATHOLOGY 48274,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48274,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48274,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48274,A000000,03200,0000,03200SUPPORT SURFACES 48274,A000000,04800,0000,04800AMBULANCE 48274,A000000,05300,0000,05300INTEREST EXPENSE 48274,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48274,A000000,05500,0000,05500HOSPICE 48274,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48274,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48274,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48274,A000000,06200,0000,06200PATIENTS LAUNDRY 48274,A81000A,00100,0100,Y 48274,A81000B,00100,0300,HOME OFFICE COSTS 48274,A81000B,00200,0300,HOME OFFICE COSTS 48274,A81000B,00300,0300,HOME OFFICE COSTS 48274,A81000B,00400,0300,HOME OFFICE COSTS 48274,A81000B,00500,0300,HOME OFFICE COSTS 48274,A81000B,00600,0300,HOME OFFICE COSTS 48274,A81000B,00700,0300,NURSE AIDE TRAINING COSTS 48274,A81000C,00100,0100,D 48274,A81000C,00100,0200,RAYMOND A. GRIFFITHS 48274,A81000C,00100,0400,RAE-ANN ENTERPRISES 48274,A81000C,00100,0600,MANAGEMENT COMPANY 48274,A81000C,00200,0100,D 48274,A81000C,00200,0200,CINDY GRIFFITHS-NOVAK 48274,A81000C,00200,0400,J.C.S. INC. 48274,A81000C,00200,0600,PAYMASTER 48274,A81000C,00300,0100,D 48274,A81000C,00300,0200,JOHN GRIFFITHS 48274,A81000C,00300,0400,J.C.S. INC. 48274,A81000C,00300,0600,PAYMASTER 48274,A81000C,00400,0100,D 48274,A81000C,00400,0200,SUSAN GRIFFITHS 48274,A81000C,00400,0400,J.C.S. INC. 48274,A81000C,00400,0600,PAYMASTER 48274,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48274,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48274,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48274,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48274,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48274,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48274,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48274,B100000,00000,0800,00000MEALS SERVED :DIETARY 48274,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48274,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48274,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48274,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48274,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48274,E10A180,00501,0100,07/07/2000 48274,S000000,00100,0200,06/02/2000 48274,S200000,00100,0100,29505 DETROIT ROAD 48274,S200000,00200,0100,WESTLAKE 48274,S200000,00200,0200,OH 48274,S200000,00200,0300,44145- 48274,S200000,00300,0100,CUYAHOGA 48274,S200000,00400,0100,RAE ANN SUBURBAN 48274,S200000,00400,0200,365845 48274,S200000,00400,0300,06/06/1991 48274,S200000,00400,0500,P 48274,S200000,01500,0100,Y 48274,S200000,04300,0100,Y 48274,S700003,00000,0100,1 48284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48284,A000000,00300,0000,00300EMPLOYEE BENEFITS 48284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48284,A000000,00700,0000,00700HOUSEKEEPING 48284,A000000,00800,0000,00800DIETARY 48284,A000000,00900,0000,00900NURSING ADMINISTRATION 48284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48284,A000000,01100,0000,01100PHARMACY 48284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48284,A000000,01300,0000,01300SOCIAL SERVICE 48284,A000000,01350,0000,01500OTHER GENERAL SERVICES 48284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48284,A000000,01600,0000,01600SKILLED NURSING FACILITY 48284,A000000,01800,0000,01800NURSING FACILITY 48284,A000000,01810,0000,01801ICF/MR 48284,A000000,01900,0000,01900OTHER LONG TERM CARE 48284,A000000,02100,0000,02100RADIOLOGY 48284,A000000,02200,0000,02200LABORATORY 48284,A000000,02300,0000,02300INTRAVENOUS THERAPY 48284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48284,A000000,02500,0000,02500PHYSICAL THERAPY 48284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48284,A000000,02700,0000,02700SPEECH PATHOLOGY 48284,A000000,02800,0000,02800ELECTROCARDIOLOGY 48284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48284,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48284,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48284,A000000,03200,0000,03200SUPPORT SURFACES 48284,A000000,03400,0000,03400CLINIC 48284,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48284,A000000,03500,0000,03500RURAL HEALTH CLINIC 48284,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48284,A000000,04800,0000,04800AMBULANCE 48284,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48284,A000000,05000,0000,05000CORF 48284,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48284,A000000,05300,0000,05300INTEREST EXPENSE 48284,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48284,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48284,A000000,05500,0000,05500HOSPICE 48284,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48284,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48284,A000000,06100,0000,06100NONPAID WORKERS 48284,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48284,A000000,06200,0000,06200PATIENTS LAUNDRY 48284,A81000A,00100,0100,Y 48284,A81000B,00100,0300,CENTRAL OFFICE ALLOCATION 48284,A81000B,00200,0300,CENTRAL OFFICE ALLOCATION 48284,A81000B,00300,0300,CENTRAL OFFICE ALLOCATION 48284,A81000C,00100,0100,C 48284,A81000C,00100,0200,MORTON WEISBERG 48284,A81000C,00100,0400,MULTI-CARE MANAGEMENT 48284,A81000C,00100,0600,HOME OFFICE 48284,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48284,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48284,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48284,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48284,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48284,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48284,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48284,B100000,00000,0800,00000MEALS SERVED :DIETARY 48284,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 48284,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 48284,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48284,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48284,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48284,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48284,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48284,E10A180,00550,0300,06/15/2000 48284,S000000,00100,0200,06/12/2000 48284,S200000,00100,0100,2330 SMITH ROAD 48284,S200000,00200,0100,AKRON 48284,S200000,00200,0200,OH 48284,S200000,00200,0300,44333- 48284,S200000,00300,0100,SUMMIT 48284,S200000,00400,0100,BATH MANOR 48284,S200000,00400,0200,365847 48284,S200000,00400,0300,07/08/1991 48284,S200000,00400,0500,P 48284,S200000,01600,0100,Y 48284,S200000,04700,0100,Y 48284,S700003,00000,0100,1 48292,S000000,00100,0200,06/05/2000 48301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48301,A000000,00300,0000,00300EMPLOYEE BENEFITS 48301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48301,A000000,00700,0000,00700HOUSEKEEPING 48301,A000000,00800,0000,00800DIETARY 48301,A000000,00900,0000,00900NURSING ADMINISTRATION 48301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48301,A000000,01100,0000,01100PHARMACY 48301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48301,A000000,01300,0000,01300SOCIAL SERVICE 48301,A000000,01350,0000,01500ACTIVITIES 48301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48301,A000000,01600,0000,01600SKILLED NURSING FACILITY 48301,A000000,01800,0000,01800NURSING FACILITY 48301,A000000,01900,0000,01900OTHER LONG TERM CARE 48301,A000000,02100,0000,02100RADIOLOGY 48301,A000000,02200,0000,02200LABORATORY 48301,A000000,02300,0000,02300INTRAVENOUS THERAPY 48301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48301,A000000,02500,0000,02500PHYSICAL THERAPY 48301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48301,A000000,02700,0000,02700SPEECH PATHOLOGY 48301,A000000,02800,0000,02800ELECTROCARDIOLOGY 48301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48301,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 48301,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48301,A000000,03200,0000,03200SUPPORT SURFACES 48301,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 48301,A000000,04800,0000,04800AMBULANCE 48301,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48301,A000000,05300,0000,05300INTEREST EXPENSE 48301,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 48301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48301,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48301,A000000,06100,0000,06100NONPAID WORKERS 48301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48301,A000000,06200,0000,06200PATIENTS LAUNDRY 48301,A81000A,00100,0100,Y 48301,A81000B,00100,0300,HOME OFFICE COST 48301,A81000B,00200,0300,PURCHASE SERVICE PHARMACIST 48301,A81000B,00300,0300,PHARMACY 48301,A81000B,00400,0300,IV COSTS 48301,A81000B,00500,0300,PHYSICAL THERAPY 48301,A81000B,00600,0300,OCCUPATIONAL THERAPY 48301,A81000B,00700,0300,SPEECH THERAPY 48301,A81000B,00800,0300,PHYSICAL THERAPY 48301,A81000B,00900,0300,OCCUPATIONAL THERAPY 48301,A81000B,01000,0300,SPEECH THERAPY 48301,A81000C,00100,0100,B 48301,A81000C,00100,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00100,0400,HCR MANORCARE INC. 48301,A81000C,00100,0600,LONG TERM CARE FACILITIES 48301,A81000C,00200,0100,B 48301,A81000C,00200,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 48301,A81000C,00200,0600,PHARMACY 48301,A81000C,00300,0100,B 48301,A81000C,00300,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 48301,A81000C,00300,0600,PHARMACY 48301,A81000C,00400,0100,B 48301,A81000C,00400,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00400,0400,HTLD HEALTH CARE SERVICES 48301,A81000C,00400,0600,PHARMACY 48301,A81000C,00500,0100,B 48301,A81000C,00500,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00500,0400,HTLD REHAB. SERVICES 48301,A81000C,00500,0600,PHYSICAL THERAPY 48301,A81000C,00600,0100,B 48301,A81000C,00600,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00600,0400,HTLD REHAB. SERVICES 48301,A81000C,00600,0600,OCCUPATIONAL THERAPY 48301,A81000C,00700,0100,B 48301,A81000C,00700,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00700,0400,HTLD REHAB. SERVICES 48301,A81000C,00700,0600,SPEECH THERAPY 48301,A81000C,00800,0100,B 48301,A81000C,00800,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00800,0400,HTLD MGMT. SERVICES 48301,A81000C,00800,0600,THERAPY MANAGEMENT 48301,A81000C,00900,0100,B 48301,A81000C,00900,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,00900,0400,HTLD MGMT. SERVICES 48301,A81000C,00900,0600,THERAPY MANAGEMENT 48301,A81000C,01000,0100,B 48301,A81000C,01000,0200,HEARTLAND OF HOLLY GLEN 48301,A81000C,01000,0400,HTLD MGMT. SERVICES 48301,A81000C,01000,0600,THERAPY MANAGEMENT 48301,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48301,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48301,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48301,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48301,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48301,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48301,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48301,B100000,00000,0800,00000MEALS SERVED :DIETARY 48301,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 48301,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48301,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 48301,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48301,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48301,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48301,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 48301,S000000,00100,0200,05/31/2000 48301,S200000,00100,0100,4293 MONROE STREET 48301,S200000,00200,0100,TOLEDO 48301,S200000,00200,0200,OH 48301,S200000,00200,0300,43606- 48301,S200000,00300,0100,LUCAS 48301,S200000,00400,0100,HEARTLAND OF HOLLY GLEN 48301,S200000,00400,0200,365849 48301,S200000,00400,0300,08/12/1991 48301,S200000,00400,0500,P 48301,S200000,00400,0600,P 48301,S200000,01004,0500,O 48301,S200000,01600,0100,Y 48301,S200000,02200,0100,Y 48301,S700003,00000,0100,1 48311,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48311,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48311,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48311,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48311,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48311,A000000,00700,0000,00700HOUSEKEEPING 48311,A000000,00800,0000,00800DIETARY 48311,A000000,00900,0000,00900NURSING ADMINISTRATION 48311,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48311,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 48311,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48311,A000000,01300,0000,01300SOCIAL SERVICE 48311,A000000,01600,0000,01600SKILLED NURSING FACILITY 48311,A000000,01800,0000,01800NURSING FACILITY 48311,A000000,02100,0000,02100RADIOLOGY 48311,A000000,02200,0000,02200LABORATORY 48311,A000000,02300,0000,02300INTRAVENOUS THERAPY 48311,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48311,A000000,02500,0000,02500PHYSICAL THERAPY 48311,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48311,A000000,02700,0000,02700SPEECH PATHOLOGY 48311,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48311,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48311,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48311,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 48311,A000000,03052,0000,03302MEDICAL EQUIPMENT 48311,A000000,04800,0000,04800AMBULANCE 48311,A000000,05300,0000,05300INTEREST EXPENSE 48311,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48311,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48311,A000000,06200,0000,06200PATIENTS LAUNDRY 48311,A81000A,00100,0100,Y 48311,A81000B,00100,0300,HOME OFFICE A&G 48311,A81000B,00200,0300,HOME OFFICE CAPITAL 48311,A81000B,00300,0300,DIVISION OFFICE A&G 48311,A81000B,00400,0300,DIVISION OFFICE CAPITAL 48311,A81000B,00500,0300,INSURANCE 48311,A81000B,00600,0300,PHYSICAL THERAPY 48311,A81000B,00700,0300,OCCUPATIONAL THERAPY 48311,A81000B,00800,0300,SPEECH THERAPY 48311,A81000B,00900,0300,AIR FLUIDIZED THERAPY 48311,A81000C,00100,0100,B 48311,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 48311,A81000C,00200,0100,G 48311,A81000C,00200,0200,LAURIER INC. 48311,A81000C,00200,0400,EXTENDICARE INC. 48311,A81000C,00200,0600,INSURANCE 48311,A81000C,00300,0100,G 48311,A81000C,00300,0200,UNITED REHABILITATION SVS 48311,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 48311,A81000C,00300,0600,THERAPY SERVICE 48311,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48311,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48311,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48311,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48311,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48311,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 48311,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48311,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48311,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48311,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 48311,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 48311,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48311,E10A180,00301,0100,06/22/1998 48311,E10A180,00301,0300,06/22/1998 48311,E10A180,00350,0100,06/22/1998 48311,E10A180,00350,0300,06/22/1998 48311,S000000,00100,0200,06/02/2000 48311,S200000,00100,0100,5500 EAST BROAD STREET 48311,S200000,00200,0100,COLUMBUS 48311,S200000,00200,0200,OH 48311,S200000,00200,0300,43213- 48311,S200000,00300,0100,FRANKLIN 48311,S200000,00400,0100,ARBORS EAST SKILLED AND REHAB 48311,S200000,00400,0200,365851 48311,S200000,00400,0300,10/03/1991 48311,S200000,00400,0500,P 48311,S200000,01600,0100,Y 48320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48320,A000000,00300,0000,00300EMPLOYEE BENEFITS 48320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48320,A000000,00700,0000,00700HOUSEKEEPING 48320,A000000,00800,0000,00800DIETARY 48320,A000000,00900,0000,00900NURSING ADMINISTRATION 48320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48320,A000000,01100,0000,01100PHARMACY 48320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48320,A000000,01300,0000,01300SOCIAL SERVICE 48320,A000000,01600,0000,01600SKILLED NURSING FACILITY 48320,A000000,01800,0000,01800NURSING FACILITY 48320,A000000,01900,0000,01900OTHER LONG TERM CARE 48320,A000000,02100,0000,02100RADIOLOGY 48320,A000000,02200,0000,02200LABORATORY 48320,A000000,02300,0000,02300INTRAVENOUS THERAPY 48320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48320,A000000,02500,0000,02500PHYSICAL THERAPY 48320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48320,A000000,02700,0000,02700SPEECH PATHOLOGY 48320,A000000,02800,0000,02800ELECTROCARDIOLOGY 48320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48320,A000000,03200,0000,03200SUPPORT SURFACES 48320,A000000,04800,0000,04800AMBULANCE 48320,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48320,A000000,05300,0000,05300INTEREST EXPENSE 48320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48320,A81000A,00100,0100,Y 48320,A81000B,00100,0300,OWNERSHIP COSTS 48320,A81000B,00200,0300,OWNERSHIP COSTS 48320,A81000B,00300,0300,HOME OFFICE COST 48320,A81000B,00400,0300,HOME OFFICE COST 48320,A81000B,00500,0300,HOME OFFICE COST 48320,A81000B,00600,0300,PHARMACY SUPPLIES 48320,A81000B,00700,0300,THERAPY SERVICES 48320,A81000C,00100,0100,A 48320,A81000C,00100,0200,STEVE BOYMEL 48320,A81000C,00100,0400,CAMARGO MANOR R 48320,A81000C,00100,0600,REALTY CO. 48320,A81000C,00200,0100,A 48320,A81000C,00200,0200,HANK SCHNEIDER 48320,A81000C,00200,0400,CAMARGO MANOR R 48320,A81000C,00200,0600,REALTY CO. 48320,A81000C,00300,0100,A 48320,A81000C,00300,0200,STEVE BOYMEL 48320,A81000C,00300,0400,CENTRAL ACCOUNT 48320,A81000C,00300,0600,HOME OFFICE 48320,A81000C,00400,0100,A 48320,A81000C,00400,0200,STEVE BOYMEL 48320,A81000C,00400,0400,PHARMCO 48320,A81000C,00400,0600,PHARMACY 48320,A81000C,00500,0100,A 48320,A81000C,00500,0200,HANK SCHNEIDER 48320,A81000C,00500,0400,PHARMCO 48320,A81000C,00500,0600,PHARMACY 48320,A81000C,00600,0100,D 48320,A81000C,00600,0200,JEROME STANISLA 48320,A81000C,00600,0400,THERAPY 2000 48320,A81000C,00600,0600,THERAPY SERVICE 48320,A81000C,00700,0100,D 48320,A81000C,00700,0200,AGENT FOR THOMA 48320,A81000C,00700,0400,THERAPY 2000 48320,A81000C,00700,0600,THERAPY SERVICE 48320,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48320,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48320,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48320,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48320,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48320,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48320,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48320,B100000,00000,0800,00000MEALS SERVED :DIETARY 48320,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 48320,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 48320,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48320,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48320,E10A180,00501,0100,06/08/2000 48320,E10A180,00550,0300,06/08/2000 48320,S000000,00100,0200,05/31/2000 48320,S200000,00100,0100,7625 CAMARGO ROAD 48320,S200000,00200,0100,CINCINNATI 48320,S200000,00200,0200,OH 48320,S200000,00200,0300,45243- 48320,S200000,00300,0100,HAMILTON 48320,S200000,00300,0200,1640 48320,S200000,00300,0300,U 48320,S200000,00400,0100,CAMARGO MANOR INC. 48320,S200000,00400,0200,365852 48320,S200000,00400,0300,09/25/1991 48320,S200000,00400,0500,P 48320,S200000,01600,0100,Y 48320,S200000,02800,0100,Y 48331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48331,A000000,00300,0000,00300EMPLOYEE BENEFITS 48331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48331,A000000,00700,0000,00700HOUSEKEEPING 48331,A000000,00800,0000,00800DIETARY 48331,A000000,00900,0000,00900NURSING ADMINISTRATION 48331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48331,A000000,01100,0000,01100PHARMACY 48331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48331,A000000,01300,0000,01300SOCIAL SERVICE 48331,A000000,01350,0000,01500ACTIVITIES 48331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48331,A000000,01600,0000,01600SKILLED NURSING FACILITY 48331,A000000,01800,0000,01800NURSING FACILITY 48331,A000000,01810,0000,01801ICF/MR 48331,A000000,01900,0000,01900OTHER LONG TERM CARE 48331,A000000,02100,0000,02100RADIOLOGY 48331,A000000,02200,0000,02200LABORATORY 48331,A000000,02300,0000,02300INTRAVENOUS THERAPY 48331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48331,A000000,02500,0000,02500PHYSICAL THERAPY 48331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48331,A000000,02700,0000,02700SPEECH PATHOLOGY 48331,A000000,02800,0000,02800ELECTROCARDIOLOGY 48331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48331,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48331,A000000,03200,0000,03200SUPPORT SURFACES 48331,A000000,03400,0000,03400CLINIC 48331,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48331,A000000,03500,0000,03500RURAL HEALTH CLINIC 48331,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48331,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48331,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48331,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48331,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48331,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48331,A000000,04400,0000,04400DME RENTED - HHA 48331,A000000,04500,0000,04500DME SOLD - HHA 48331,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48331,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48331,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48331,A000000,04800,0000,04800AMBULANCE 48331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48331,A000000,05000,0000,05000CORF 48331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48331,A000000,05300,0000,05300INTEREST EXPENSE 48331,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48331,A000000,05500,0000,05500HOSPICE 48331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48331,A000000,06100,0000,06100NONPAID WORKERS 48331,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48331,A000000,06200,0000,06200PATIENTS LAUNDRY 48331,A81000A,00100,0100,Y 48331,A81000B,00100,0300,MANAGEMENT FEES 48331,A81000B,00200,0300,ADVERTISING 48331,A81000B,00300,0300,CONSULTING FEES 48331,A81000B,00400,0300,ACCOUNTING SERVICES 48331,A81000C,00100,0100,A 48331,A81000C,00100,0200,PAUL DEPALMA 48331,A81000C,00100,0600,MANAGEMENT SERVICES 48331,A81000C,00200,0100,A 48331,A81000C,00200,0200,PAUL DEPALMA 48331,A81000C,00200,0400,HAWTHORN GLEN NURSING CTR 48331,A81000C,00200,0600,SKILLED NURSING SERVICES 48331,A81000C,00300,0100,A 48331,A81000C,00300,0200,PAUL DEPALMA 48331,A81000C,00300,0400,WALNUT CREEK NURSING CTR 48331,A81000C,00300,0600,SKILLED NURSING SERVICES 48331,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48331,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48331,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48331,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48331,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48331,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48331,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48331,B100000,00000,0800,00000MEALS SERVED :DIETARY 48331,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48331,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48331,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48331,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48331,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48331,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48331,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48331,S000000,00100,0200,05/26/2000 48331,S200000,00100,0100,501 W. LEXINGTON ROAD 48331,S200000,00200,0100,EATON 48331,S200000,00200,0200,OH 48331,S200000,00200,0300,45320- 48331,S200000,00300,0100,PREBLE 48331,S200000,00400,0100,THE GREENBRIAR NURSING CENTER 48331,S200000,00400,0200,365854 48331,S200000,00400,0300,11/01/1991 48331,S200000,00400,0500,P 48331,S200000,01500,0100,Y 48340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48340,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48340,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48340,A000000,00300,0000,00300EMPLOYEE BENEFITS 48340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48340,A000000,00700,0000,00700HOUSEKEEPING 48340,A000000,00800,0000,00800DIETARY 48340,A000000,00801,0000,00801CAFETERIA 48340,A000000,00900,0000,00900NURSING ADMINISTRATION 48340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48340,A000000,01100,0000,01100PHARMACY 48340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48340,A000000,01300,0000,01300SOCIAL SERVICE 48340,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48340,A000000,01600,0000,01600SKILLED NURSING FACILITY 48340,A000000,01800,0000,01800NURSING FACILITY 48340,A000000,01900,0000,01900OTHER LONG TERM CARE 48340,A000000,02100,0000,02100RADIOLOGY 48340,A000000,02200,0000,02200LABORATORY 48340,A000000,02300,0000,02300INTRAVENOUS THERAPY 48340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48340,A000000,02500,0000,02500PHYSICAL THERAPY 48340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48340,A000000,02700,0000,02700SPEECH PATHOLOGY 48340,A000000,02800,0000,02800ELECTROCARDIOLOGY 48340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48340,A000000,03050,0000,03300OTHER ANCILLARY 48340,A000000,03051,0000,03301OTHER ANCILLARY II 48340,A000000,03052,0000,03302OTHER ANCILLARY III 48340,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48340,A000000,03200,0000,03200SUPPORT SURFACES 48340,A000000,03400,0000,03400CLINIC 48340,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48340,A000000,03500,0000,03500RURAL HEALTH CLINIC 48340,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48340,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48340,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48340,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48340,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48340,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48340,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48340,A000000,04400,0000,04400DME RENTED - HHA 48340,A000000,04500,0000,04500DME SOLD - HHA 48340,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48340,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48340,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48340,A000000,04800,0000,04800AMBULANCE 48340,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48340,A000000,05000,0000,05000CORF 48340,A000000,05010,0000,05010CMHC I 48340,A000000,05020,0000,05020OPT I 48340,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48340,A000000,05300,0000,05300INTEREST EXPENSE 48340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48340,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48340,A000000,05500,0000,05500HOSPICE 48340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48340,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48340,A000000,06100,0000,06100NONPAID WORKERS 48340,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48340,A000000,06200,0000,06200PATIENTS LAUNDRY 48340,A81000A,00100,0100,Y 48340,A81000B,00100,0300,DEPREC & INT 48340,A81000B,00200,0300,DEPREC & INT 48340,A81000B,00300,0300,DEPREC & INT 48340,A81000B,00400,0300,DEPREC & INT 48340,A81000C,00100,0100,A 48340,A81000C,00100,0200,HOOBERRY FAMIY 48340,A81000C,00100,0400,HOOBERRY FAMILY 48340,A81000C,00100,0600,REAL ESTATE 48340,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48340,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48340,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48340,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48340,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48340,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48340,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48340,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48340,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48340,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48340,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 48340,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48340,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48340,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48340,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48340,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48340,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48340,S000000,00100,0200,06/01/2000 48340,S200000,00100,0100,2200 MILTON BLVD 48340,S200000,00200,0100,NEWTON FALLS 48340,S200000,00200,0200,OH 48340,S200000,00200,0300,44444- 48340,S200000,00300,0100,TRUMBULL 48340,S200000,00400,0100,LAURIE ANN NURSING HOME 48340,S200000,00400,0200,365855 48340,S200000,00400,0300,11/01/1991 48340,S200000,00400,0500,P 48340,S200000,00600,0200,365855 48340,S200000,00600,0300,11/01/1991 48340,S200000,00600,0600,P 48340,S200000,01004,0500,O 48340,S200000,01600,0100,Y 48347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48347,A000000,00300,0000,00300EMPLOYEE BENEFITS 48347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48347,A000000,00700,0000,00700HOUSEKEEPING 48347,A000000,00800,0000,00800DIETARY 48347,A000000,00900,0000,00900NURSING ADMINISTRATION 48347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48347,A000000,01100,0000,01100PHARMACY 48347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48347,A000000,01300,0000,01300SOCIAL SERVICE 48347,A000000,01350,0000,01500OTHER GENERAL SERVICES 48347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48347,A000000,01600,0000,01600SKILLED NURSING FACILITY 48347,A000000,01800,0000,01800NURSING FACILITY 48347,A000000,01810,0000,01801ICF/MR 48347,A000000,01900,0000,01900OTHER LONG TERM CARE 48347,A000000,02100,0000,02100RADIOLOGY 48347,A000000,02200,0000,02200LABORATORY 48347,A000000,02300,0000,02300INTRAVENOUS THERAPY 48347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48347,A000000,02500,0000,02500PHYSICAL THERAPY 48347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48347,A000000,02700,0000,02700SPEECH PATHOLOGY 48347,A000000,02800,0000,02800ELECTROCARDIOLOGY 48347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48347,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48347,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48347,A000000,03200,0000,03200SUPPORT SURFACES 48347,A000000,03400,0000,03400CLINIC 48347,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48347,A000000,03500,0000,03500RURAL HEALTH CLINIC 48347,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48347,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48347,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48347,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48347,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48347,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48347,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48347,A000000,04400,0000,04400DME RENTED - HHA 48347,A000000,04500,0000,04500DME SOLD - HHA 48347,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48347,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48347,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48347,A000000,04800,0000,04800AMBULANCE 48347,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48347,A000000,05000,0000,05000CORF 48347,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48347,A000000,05300,0000,05300INTEREST EXPENSE 48347,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48347,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48347,A000000,05500,0000,05500HOSPICE 48347,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48347,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48347,A000000,06100,0000,06100NONPAID WORKERS 48347,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48347,A000000,06200,0000,06200PATIENTS LAUNDRY 48347,A81000A,00100,0100,Y 48347,A81000B,00100,0300,MANAGEMENT FEES 48347,A81000B,00200,0300,ADMINISTRATOR SALARY 48347,A81000B,00300,0300,QA SALARY 48347,A81000B,00400,0300,SOCIAL SERVICE SALARY 48347,A81000C,00100,0100,A 48347,A81000C,00100,0200,JONATHON TRIMBLE 48347,A81000C,00100,0400,THE BRIARWOOD INC. 48347,A81000C,00100,0600,6 48347,A81000C,00200,0100,A 48347,A81000C,00200,0200,BARBARA TRIMBLE 48347,A81000C,00200,0400,THE BRIARWOOD INC. 48347,A81000C,00300,0100,B 48347,A81000C,00300,0400,THE BRIARWOOD INC. 48347,A81000C,00300,0600,MANAGEMENT COMPANY 48347,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48347,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48347,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48347,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48347,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48347,B100000,00000,0650,00000DAYS :LAUNDRY & LINEN SERVICE 48347,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48347,B100000,00000,0800,00000MEALS SERVED :DIETARY 48347,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 48347,B100000,00000,1050,00000DAYS :CENTRAL SERVICES & SUPPLY 48347,B100000,00000,1150,00000DAYS :PHARMACY 48347,B100000,00000,1250,00000DAYS :MEDICAL RECORDS & LIBRARY 48347,B100000,00000,1330,00000DAYS :SOCIAL SERVICE 48347,B100000,00000,1350,00000DAYS :OTHER GENERAL SERVICES 48347,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48347,E10A180,00550,0100,07/14/2000 48347,E10A180,00550,0300,07/14/2000 48347,S000000,00100,0200,05/30/2000 48347,S200000,00100,0100,3700 ENGLEWOOD DRIVE 48347,S200000,00200,0100,STOW 48347,S200000,00200,0200,OH 48347,S200000,00200,0300,44224- 48347,S200000,00300,0100,SUMMIT 48347,S200000,00400,0100,THE BRIARWOOD LTD 48347,S200000,00400,0200,365858 48347,S200000,00400,0300,01/10/1992 48347,S200000,00400,0500,P 48347,S200000,01500,0100,Y 48347,S200000,04700,0100,Y 48356,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48356,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48356,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48356,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48356,A000000,00300,0000,00300EMPLOYEE BENEFITS 48356,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48356,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48356,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48356,A000000,00700,0000,00700HOUSEKEEPING 48356,A000000,00800,0000,00800DIETARY 48356,A000000,00801,0000,00801CAFETERIA 48356,A000000,00900,0000,00900NURSING ADMINISTRATION 48356,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48356,A000000,01100,0000,01100PHARMACY 48356,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48356,A000000,01300,0000,01300SOCIAL SERVICE 48356,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48356,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48356,A000000,01600,0000,01600SKILLED NURSING FACILITY 48356,A000000,01800,0000,01800NURSING FACILITY 48356,A000000,01900,0000,01900OTHER LONG TERM CARE 48356,A000000,02100,0000,02100RADIOLOGY 48356,A000000,02200,0000,02200LABORATORY 48356,A000000,02300,0000,02300INTRAVENOUS THERAPY 48356,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48356,A000000,02500,0000,02500PHYSICAL THERAPY 48356,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48356,A000000,02700,0000,02700SPEECH PATHOLOGY 48356,A000000,02800,0000,02800ELECTROCARDIOLOGY 48356,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48356,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48356,A000000,03050,0000,03300OTHER ANCILLARY 48356,A000000,03051,0000,03301OTHER ANCILLARY II 48356,A000000,03052,0000,03302OTHER ANCILLARY III 48356,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48356,A000000,03200,0000,03200SUPPORT SURFACES 48356,A000000,03400,0000,03400CLINIC 48356,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48356,A000000,03500,0000,03500RURAL HEALTH CLINIC 48356,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48356,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48356,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48356,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48356,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48356,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48356,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48356,A000000,04400,0000,04400DME RENTED - HHA 48356,A000000,04500,0000,04500DME SOLD - HHA 48356,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48356,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48356,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48356,A000000,04800,0000,04800AMBULANCE 48356,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48356,A000000,05000,0000,05000CORF 48356,A000000,05010,0000,05010CMHC I 48356,A000000,05020,0000,05020OPT I 48356,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48356,A000000,05300,0000,05300INTEREST EXPENSE 48356,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48356,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48356,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48356,A000000,05500,0000,05500HOSPICE 48356,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48356,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48356,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48356,A000000,06100,0000,06100NONPAID WORKERS 48356,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48356,A000000,06200,0000,06200PATIENTS LAUNDRY 48356,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48356,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48356,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48356,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48356,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48356,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48356,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48356,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48356,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48356,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48356,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48356,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 48356,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48356,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48356,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48356,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48356,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48356,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48356,S000000,00100,0200,06/06/2000 48356,S200000,00100,0100,209 MERRIMAN ROAD 48356,S200000,00200,0100,AKRON 48356,S200000,00200,0200,OH 48356,S200000,00200,0300,44303- 48356,S200000,00300,0100,SUMMIT 48356,S200000,00400,0100,SUMNER ON MERRIMAN 48356,S200000,00400,0200,365859 48356,S200000,00400,0300,01/13/1992 48356,S200000,00400,0500,P 48356,S200000,01004,0500,O 48356,S200000,01500,0100,Y 48356,S200000,01800,0100,Y 48362,S000000,00100,0200,05/31/2000 48369,S000000,00100,0200,05/18/2000 48378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48378,A000000,00300,0000,00300EMPLOYEE BENEFITS 48378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48378,A000000,00700,0000,00700HOUSEKEEPING 48378,A000000,00800,0000,00800DIETARY 48378,A000000,00900,0000,00900NURSING ADMINISTRATION 48378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48378,A000000,01100,0000,01100PHARMACY 48378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48378,A000000,01300,0000,01300SOCIAL SERVICE 48378,A000000,01350,0000,01500ACTIVITIES 48378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48378,A000000,01600,0000,01600SKILLED NURSING FACILITY 48378,A000000,01800,0000,01800NURSING FACILITY 48378,A000000,01810,0000,01801ICF/MR 48378,A000000,01900,0000,01900OTHER LONG TERM CARE 48378,A000000,02100,0000,02100RADIOLOGY 48378,A000000,02200,0000,02200LABORATORY 48378,A000000,02300,0000,02300INTRAVENOUS THERAPY 48378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48378,A000000,02500,0000,02500PHYSICAL THERAPY 48378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48378,A000000,02700,0000,02700SPEECH PATHOLOGY 48378,A000000,02800,0000,02800ELECTROCARDIOLOGY 48378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48378,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48378,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48378,A000000,03200,0000,03200SUPPORT SURFACES 48378,A000000,03400,0000,03400CLINIC 48378,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48378,A000000,03500,0000,03500RURAL HEALTH CLINIC 48378,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48378,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48378,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48378,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48378,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48378,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48378,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48378,A000000,04400,0000,04400DME RENTED - HHA 48378,A000000,04500,0000,04500DME SOLD - HHA 48378,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48378,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48378,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48378,A000000,04800,0000,04800AMBULANCE 48378,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48378,A000000,05000,0000,05000CORF 48378,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48378,A000000,05300,0000,05300INTEREST EXPENSE 48378,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48378,A000000,05500,0000,05500HOSPICE 48378,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48378,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48378,A000000,06100,0000,06100NONPAID WORKERS 48378,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48378,A000000,06200,0000,06200PATIENTS LAUNDRY 48378,A81000A,00100,0100,Y 48378,A81000B,00100,0300,DRUGS 48378,A81000B,00200,0300,INTEREST WORKING CAPITAL 48378,A81000B,00300,0300,MANAGEMENT FEES 48378,A81000C,00100,0100,B 48378,A81000C,00100,0200,MEMORIAL HOSPITAL 48378,A81000C,00100,0400,MEMORIAL HOSPITAL 48378,A81000C,00100,0600,HOSPITAL 48378,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48378,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48378,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48378,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48378,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48378,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48378,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48378,B100000,00000,0800,00000MEALS SERVED :DIETARY 48378,B100000,00000,0950,00000DIRECT NRSNG SALA :NURSING ADMINIST 48378,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48378,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48378,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48378,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48378,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48378,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48378,E10A180,00501,0100,03/28/2000 48378,S000000,00100,0200,03/24/2000 48378,S200000,00100,0100,18000 STATE ROUTE 4 48378,S200000,00200,0100,MARYSVILLE 48378,S200000,00200,0200,OH 48378,S200000,00200,0300,43040- 48378,S200000,00300,0100,UNION 48378,S200000,00400,0100,UNION MANOR COUNTY HOME 48378,S200000,00400,0200,365864 48378,S200000,00400,0300,03/06/1992 48378,S200000,00400,0500,P 48378,S200000,01600,0100,Y 48378,S200000,04300,0100,Y 48389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48389,A000000,00300,0000,00300EMPLOYEE BENEFITS 48389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48389,A000000,00700,0000,00700HOUSEKEEPING 48389,A000000,00800,0000,00800DIETARY 48389,A000000,00900,0000,00900NURSING ADMINISTRATION 48389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48389,A000000,01100,0000,01100PHARMACY 48389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48389,A000000,01300,0000,01300SOCIAL SERVICE 48389,A000000,01600,0000,01600SKILLED NURSING FACILITY 48389,A000000,01800,0000,01800NURSING FACILITY 48389,A000000,01900,0000,01900OTHER LONG TERM CARE 48389,A000000,02100,0000,02100RADIOLOGY 48389,A000000,02200,0000,02200LABORATORY 48389,A000000,02300,0000,02300INTRAVENOUS THERAPY 48389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48389,A000000,02500,0000,02500PHYSICAL THERAPY 48389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48389,A000000,02700,0000,02700SPEECH PATHOLOGY 48389,A000000,02800,0000,02800ELECTROCARDIOLOGY 48389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48389,A000000,03200,0000,03200SUPPORT SURFACES 48389,A000000,04800,0000,04800AMBULANCE 48389,A000000,05300,0000,05300INTEREST EXPENSE 48389,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48389,A000000,05500,0000,05500HOSPICE 48389,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48389,A000000,06200,0000,06200PATIENTS LAUNDRY 48389,A81000A,00100,0100,Y 48389,A81000B,00100,0300,CAPITIAL & BUILDING LEASE 48389,A81000B,00200,0300,WORKING CAPITIAL INTEREST 48389,A81000B,00300,0300,ACCOUNTING FEES - PARTNERSHIP 48389,A81000B,00400,0300,CAP REL COSTS - BLDGS & FIXTURES 48389,A81000B,00500,0300,CAP REL COSTS - MOVEABLE EQUIPMENT 48389,A81000B,00600,0300,EMPLOYEE BENEFITS 48389,A81000B,00700,0300,ADMINISTRATIVE & GENERAL 48389,A81000B,00800,0300,PLANT OPERATION MAINT & REPAIRS 48389,A81000B,00900,0300,DIETARY 48389,A81000C,00100,0100,A 48389,A81000C,00100,0200,DONEL SPRENGER 48389,A81000C,00100,0400,LORAIN MANOR PARTNERSHIP 48389,A81000C,00100,0600,REALTY CO. 48389,A81000C,00200,0100,A 48389,A81000C,00200,0200,DONEL SPRENGER 48389,A81000C,00200,0400,SPRENGER ENTERPRISES 48389,A81000C,00200,0600,HOME OFFICE 48389,A81000C,00300,0100,A 48389,A81000C,00300,0200,TONY SPRENGER 48389,A81000C,00300,0400,LORAIN MANOR PARTNERSHIP 48389,A81000C,00300,0600,REALTY CO. 48389,A81000C,00400,0100,A 48389,A81000C,00400,0200,TONY SPRENGER 48389,A81000C,00400,0400,SPRENGER ENTERPRISES 48389,A81000C,00400,0600,HOME OFFICE 48389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48389,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48389,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48389,B100000,00000,0800,00000MEALS SERVED :DIETARY 48389,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 48389,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48389,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48389,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48389,S000000,00100,0200,12/01/2000 48389,S200000,00100,0100,1882 EAST 32ND STREET 48389,S200000,00200,0100,LORAIN 48389,S200000,00200,0200,OH 48389,S200000,00200,0300,44055- 48389,S200000,00300,0100,LORAIN 48389,S200000,00300,0200,1680 48389,S200000,00300,0300,U 48389,S200000,00400,0100,LORAIN MANOR INC. 48389,S200000,00400,0200,365865 48389,S200000,00400,0300,05/01/1992 48389,S200000,00400,0500,P 48389,S200000,01500,0100,Y 48389,S200000,04300,0100,Y 48389,S200000,04700,0100,Y 48389,S200000,04700,0200,Y 48396,S000000,00100,0200,07/14/1999 48398,S000000,00100,0200,05/30/2000 48407,S000000,00100,0200,06/06/2000 48413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48413,A000000,00300,0000,00300EMPLOYEE BENEFITS 48413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48413,A000000,00700,0000,00700HOUSEKEEPING 48413,A000000,00800,0000,00800DIETARY 48413,A000000,00900,0000,00900NURSING ADMINISTRATION 48413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48413,A000000,01100,0000,01100PHARMACY 48413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48413,A000000,01300,0000,01300SOCIAL SERVICE 48413,A000000,01600,0000,01600SKILLED NURSING FACILITY 48413,A000000,01800,0000,01800NURSING FACILITY 48413,A000000,01900,0000,01900OTHER LONG TERM CARE 48413,A000000,02100,0000,02100RADIOLOGY 48413,A000000,02200,0000,02200LABORATORY 48413,A000000,02300,0000,02300INTRAVENOUS THERAPY 48413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48413,A000000,02500,0000,02500PHYSICAL THERAPY 48413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48413,A000000,02700,0000,02700SPEECH PATHOLOGY 48413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48413,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48413,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48413,A000000,03200,0000,03200SUPPORT SURFACES 48413,A000000,04800,0000,04800AMBULANCE 48413,A000000,05300,0000,05300INTEREST EXPENSE 48413,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48413,A000000,05500,0000,05500HOSPICE 48413,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48413,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48413,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48413,A000000,06200,0000,06200PATIENTS LAUNDRY 48413,A81000A,00100,0100,Y 48413,A81000B,00100,0300,CAP REL COSTS-BLDG & FIXT 48413,A81000B,00200,0300,CAP REL COSTS-MVBLE EQUIP 48413,A81000B,00300,0300,ADMINISTRATIVE AND GENERAL 48413,A81000B,00400,0300,PLANT OPER MAINT & REPAIR 48413,A81000B,00500,0300,DIETARY 48413,A81000B,00600,0300,NURSING ADMIN 48413,A81000B,00700,0300,CENTRAL SERVICES & SUPPLY 48413,A81000B,00800,0300,PHARMACY 48413,A81000B,00900,0300,SOCIAL SERVICE 48413,A81000B,01000,0300,RADIOLOGY 48413,A81000B,01100,0300,INTRAVENOUS THERAPY 48413,A81000B,01200,0300,OXYGEN (INHAL) THERAPY 48413,A81000B,01300,0300,PHYSICAL THERAPY 48413,A81000B,01400,0300,OCCUPATIONAL THERAPY 48413,A81000B,01500,0300,SPEECH PATHOLOGY 48413,A81000B,01600,0300,DRUGS CHARGED TO PATIENTS 48413,A81000B,01700,0300,SUPPORT SURFACES 48413,A81000B,01800,0300,EMPLOYEE BENEFITS 48413,A81000C,00100,0100,B 48413,A81000C,00100,0200,CONSOL HEALTHCARE MGMT. 48413,A81000C,00100,0400,ALTERCARE OF WESTERVILLE 48413,A81000C,00100,0600,NURSING HOMES 48413,A81000C,00200,0100,B 48413,A81000C,00200,0200,ADVANTAGE ANCILLARY SERV 48413,A81000C,00200,0400,CONSOL HEALTHCARE MGMT. 48413,A81000C,00200,0600,MED. SUPPLIES 48413,A81000C,00300,0100,B 48413,A81000C,00300,0200,APOTHECARE HEALTH SERV. 48413,A81000C,00300,0400,CONSOL HEALTHCARE MGMT. 48413,A81000C,00300,0600,MED. SUPPLIES 48413,A81000C,00400,0100,B 48413,A81000C,00400,0200,ABSOLUTE HEALTH SERV. 48413,A81000C,00400,0400,CONSOL HEALTHCARE MGMT. 48413,A81000C,00400,0600,THERAPY SERVICES 48413,A81000C,00500,0100,B 48413,A81000C,00500,0200,RENAISSANCE MORTGAGE 48413,A81000C,00500,0400,CONSOL HEALTHCARE MGMT. 48413,A81000C,00500,0600,FINANCING 48413,A81000C,00600,0100,B 48413,A81000C,00600,0200,ABSOLUTE LAB 48413,A81000C,00600,0400,CONSOL HEALTHCARE MGMT. 48413,A81000C,00600,0600,LAB 48413,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48413,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48413,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48413,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48413,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48413,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48413,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48413,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 48413,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 48413,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48413,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48413,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48413,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48413,E10A180,00501,0100,07/07/2000 48413,S000000,00100,0200,06/02/2000 48413,S200000,00100,0100,25 WEST HOME STREET 48413,S200000,00200,0100,WESTERVILLE 48413,S200000,00200,0200,OH 48413,S200000,00200,0300,43081- 48413,S200000,00300,0100,FRANKLIN 48413,S200000,00400,0100,ALTERCARE OF WESTERVILLE 48413,S200000,00400,0200,365868 48413,S200000,00400,0300,06/01/1992 48413,S200000,00400,0500,P 48413,S200000,01600,0100,Y 48413,S200000,04300,0100,Y 48413,S200000,04700,0100,Y 48420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48420,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48420,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48420,A000000,00300,0000,00300EMPLOYEE BENEFITS 48420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48420,A000000,00700,0000,00700HOUSEKEEPING 48420,A000000,00800,0000,00800DIETARY 48420,A000000,00801,0000,00801CAFETERIA 48420,A000000,00900,0000,00900NURSING ADMINISTRATION 48420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48420,A000000,01100,0000,01100PHARMACY 48420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48420,A000000,01300,0000,01300SOCIAL SERVICE 48420,A000000,01350,0000,01500ACTIVITIES 48420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48420,A000000,01600,0000,01600SKILLED NURSING FACILITY 48420,A000000,01800,0000,01800NURSING FACILITY 48420,A000000,01900,0000,01900OTHER LONG TERM CARE 48420,A000000,02100,0000,02100RADIOLOGY 48420,A000000,02200,0000,02200LABORATORY 48420,A000000,02300,0000,02300INTRAVENOUS THERAPY 48420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48420,A000000,02500,0000,02500PHYSICAL THERAPY 48420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48420,A000000,02700,0000,02700SPEECH PATHOLOGY 48420,A000000,02800,0000,02800ELECTROCARDIOLOGY 48420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48420,A000000,03050,0000,03300OTHER ANCILLARY 48420,A000000,03051,0000,03301OTHER ANCILLARY II 48420,A000000,03052,0000,03302OTHER ANCILLARY III 48420,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48420,A000000,03200,0000,03200SUPPORT SURFACES 48420,A000000,03400,0000,03400CLINIC 48420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48420,A000000,03500,0000,03500RURAL HEALTH CLINIC 48420,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48420,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48420,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48420,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48420,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48420,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48420,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48420,A000000,04400,0000,04400DME RENTED - HHA 48420,A000000,04500,0000,04500DME SOLD - HHA 48420,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48420,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48420,A000000,04800,0000,04800AMBULANCE 48420,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48420,A000000,05000,0000,05000CORF 48420,A000000,05010,0000,05010CMHC I 48420,A000000,05020,0000,05020OPT I 48420,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48420,A000000,05300,0000,05300INTEREST EXPENSE 48420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48420,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48420,A000000,05500,0000,05500HOSPICE 48420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48420,A000000,06100,0000,06100NONPAID WORKERS 48420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48420,A000000,06200,0000,06200PATIENTS LAUNDRY 48420,A81000A,00100,0100,Y 48420,A81000B,00100,0300,H/O NURSING 48420,A81000B,00200,0300,H/O A&G 48420,A81000B,00300,0300,H/O 48420,A81000B,00400,0300,H/O RENT 48420,A81000B,00500,0300,H/O NON REIMBURSABLE 48420,A81000B,00600,0300,H/O THERAPIES 48420,A81000C,00100,0100,A 48420,A81000C,00100,0200,GLYNDON POWELL 48420,A81000C,00100,0400,CHSHO INC 48420,A81000C,00100,0600,HOME OFFICE 48420,A81000C,00200,0100,A 48420,A81000C,00200,0200,ED BYINGTON 48420,A81000C,00200,0400,CHSHO INC 48420,A81000C,00200,0600,HOME OFFICE 48420,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48420,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48420,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48420,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48420,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48420,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48420,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 48420,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 48420,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48420,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48420,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 48420,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48420,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48420,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48420,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48420,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48420,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48420,S000000,00100,0200,06/01/2000 48420,S200000,00100,0100,1169 BRYDEN ROAD 48420,S200000,00200,0100,COLUMBUS 48420,S200000,00200,0200,OH 48420,S200000,00300,0100,FRANKLIN 48420,S200000,00400,0100,BRYDEN PLACE 48420,S200000,00400,0200,365869 48420,S200000,00400,0300,05/14/1992 48420,S200000,00400,0500,P 48420,S200000,01500,0100,Y 48420,S200000,04300,0100,Y 48420,S200000,04900,0100,Y 48420,S700003,00000,0100,1 48433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48433,A000000,00101,0000,00101CAP REL COSTS- BLDG & FIXT JP 48433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48433,A000000,00201,0000,00201CAP REL COSTS- MOV EQUIP JP 48433,A000000,00300,0000,00300EMPLOYEE BENEFITS 48433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48433,A000000,00700,0000,00700HOUSEKEEPING 48433,A000000,00800,0000,00800DIETARY 48433,A000000,00900,0000,00900NURSING ADMINISTRATION 48433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48433,A000000,01300,0000,01300SOCIAL SERVICE 48433,A000000,01350,0000,01500RECREATIONAL THERAPY 48433,A000000,01600,0000,01600SKILLED NURSING FACILITY 48433,A000000,01800,0000,01800NURSING FACILITY 48433,A000000,01900,0000,01900OTHER LONG TERM CARE 48433,A000000,02100,0000,02100RADIOLOGY 48433,A000000,02200,0000,02200LABORATORY 48433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48433,A000000,02500,0000,02500PHYSICAL THERAPY 48433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48433,A000000,02700,0000,02700SPEECH PATHOLOGY 48433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48433,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 48433,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48433,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48433,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48433,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48433,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48433,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48433,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48433,A000000,04400,0000,04400DME RENTED - HHA 48433,A000000,04500,0000,04500DME SOLD - HHA 48433,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48433,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48433,A000000,04800,0000,04800AMBULANCE 48433,A000000,05300,0000,05300INTEREST EXPENSE 48433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48433,A000000,06100,0000,06100NONPAID WORKERS 48433,A000000,06150,0000,06300 APARTMENTS 48433,A000000,06151,0000,06301HEALTH & WELLNESS 48433,A000000,06152,0000,06302ADULT DAY CARE 48433,A000000,06153,0000,06303RESEARCH 48433,A000000,06154,0000,06304FUNDRAISING 48433,A000000,06200,0000,06200PATIENTS LAUNDRY 48433,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 48433,B100000,00000,0101,00004SQUARE FEET :CAP REL COSTS- BLDG & 48433,B100000,00000,0250,00004SQUARE FEET :CAP REL COSTS - MOVAB 48433,B100000,00000,0251,00004SQUARE FEET :CAP REL COSTS- MOV EQ 48433,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 48433,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 48433,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 48433,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 48433,B100000,00000,0700,00004HOURS OF SERVICE :HOUSEKEEPING 48433,B100000,00000,0800,00004MEALS SERVED :DIETARY 48433,B100000,00000,0900,00004HOURS OF SERVICE :NURSING ADMINISTR 48433,B100000,00000,1000,00004COSTED REQUISITIO :CENTRAL SERVICE 48433,B100000,00000,1200,00004TIME SPENT :MEDICAL RECORDS & LIBR 48433,B100000,00000,1300,00004TIME SPENT :SOCIAL SERVICE 48433,B100000,00000,1350,00004RESIDENT DAYS BHC :RECREATIONAL THE 48433,H510100,00000,0000,1680 48433,H510100,02400,0000,1680 48433,S000000,00100,0200,06/06/2000 48433,S200000,00100,0100,2181 AMBLESIDE DRIVE 48433,S200000,00200,0100,CLEVELAND OH 44106 48433,S200000,00300,0100,CUYAHOGA 48433,S200000,00400,0100,JUDSON RETIREMENT COMMUNITY 48433,S200000,00400,0200,365870 48433,S200000,00400,0300,07/02/1992 48433,S200000,00400,0500,P 48433,S200000,00800,0200,367623 48433,S200000,00800,0300,11/03/1994 48433,S200000,00800,0500,P 48433,S200000,01600,0100,Y 48433,S200000,01700,0100,Y 48433,S200000,04700,0100,Y 48433,S700003,00000,0100,1 48436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48436,A000000,00300,0000,00300EMPLOYEE BENEFITS 48436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48436,A000000,00700,0000,00700HOUSEKEEPING 48436,A000000,00800,0000,00800DIETARY 48436,A000000,00900,0000,00900NURSING ADMINISTRATION 48436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48436,A000000,01100,0000,01100PHARMACY 48436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48436,A000000,01300,0000,01300SOCIAL SERVICE 48436,A000000,01350,0000,01500OTHER GENERAL SERVICES 48436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48436,A000000,01600,0000,01600SKILLED NURSING FACILITY 48436,A000000,01800,0000,01800NURSING FACILITY 48436,A000000,01810,0000,01810ICF/MR 48436,A000000,01900,0000,01900OTHER LONG TERM CARE 48436,A000000,02100,0000,02100RADIOLOGY 48436,A000000,02200,0000,02200LABORATORY 48436,A000000,02300,0000,02300INTRAVENOUS THERAPY 48436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48436,A000000,02500,0000,02500PHYSICAL THERAPY 48436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48436,A000000,02700,0000,02700SPEECH PATHOLOGY 48436,A000000,02800,0000,02800ELECTROCARDIOLOGY 48436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48436,A000000,03200,0000,03200SUPPORT SURFACES 48436,A000000,03400,0000,03400CLINIC 48436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48436,A000000,03500,0000,03500RURAL HEALTH CLINIC 48436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48436,A000000,04400,0000,04400DME RENTED - HHA 48436,A000000,04500,0000,04500DME SOLD - HHA 48436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48436,A000000,04800,0000,04800AMBULANCE 48436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48436,A000000,05000,0000,05000CORF 48436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48436,A000000,05300,0000,05300INTEREST EXPENSE 48436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48436,A000000,05500,0000,05500HOSPICE 48436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48436,A000000,06100,0000,06100NONPAID WORKERS 48436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48436,A000000,06200,0000,06200PATIENTS LAUNDRY 48436,A81000A,00100,0100,Y 48436,A81000B,00100,0300,MEDICAL SUPPLIES 48436,A81000B,00200,0300,DRUGS 48436,A81000C,00100,0100,A 48436,A81000C,00100,0200,ELI COURY 48436,A81000C,00100,0400,PHARMED 48436,A81000C,00100,0600,MEDICAL SUPPLIES 48436,A81000C,00200,0100,A 48436,A81000C,00200,0200,DAVID COURY 48436,A81000C,00200,0400,BAY PHARMACY 48436,A81000C,00200,0600,PHARMACY 48436,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 48436,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 48436,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 48436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48436,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 48436,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 48436,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 48436,B100000,00000,0850,00000NO STATISTICS :DIETARY 48436,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 48436,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 48436,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48436,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 48436,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 48436,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48436,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48436,E10A180,00501,0300,06/19/2000 48436,S000000,00100,0200,06/02/2000 48436,S200000,00100,0100,13330 DETROIT RD 48436,S200000,00200,0100,LAKEWOOD 48436,S200000,00200,0200,OH 48436,S200000,00200,0300,44107- 48436,S200000,00300,0100,CUYAHOGA 48436,S200000,00400,0100,CRESTMONT NORTH 48436,S200000,00400,0200,365875 48436,S200000,00400,0300,05/22/1993 48436,S200000,00400,0500,P 48436,S200000,01500,0100,Y 48436,S200000,04700,0100,Y 48450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48450,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48450,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48450,A000000,00300,0000,00300EMPLOYEE BENEFITS 48450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48450,A000000,00700,0000,00700HOUSEKEEPING 48450,A000000,00800,0000,00800DIETARY 48450,A000000,00801,0000,00801CAFETERIA 48450,A000000,00900,0000,00900NURSING ADMINISTRATION 48450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48450,A000000,01100,0000,01100PHARMACY 48450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48450,A000000,01300,0000,01300SOCIAL SERVICE 48450,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48450,A000000,01600,0000,01600SKILLED NURSING FACILITY 48450,A000000,01800,0000,01800NURSING FACILITY 48450,A000000,01900,0000,01900OTHER LONG TERM CARE 48450,A000000,02100,0000,02100RADIOLOGY 48450,A000000,02200,0000,02200LABORATORY 48450,A000000,02300,0000,02300INTRAVENOUS THERAPY 48450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48450,A000000,02500,0000,02500PHYSICAL THERAPY 48450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48450,A000000,02700,0000,02700SPEECH PATHOLOGY 48450,A000000,02800,0000,02800ELECTROCARDIOLOGY 48450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48450,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 48450,A000000,03051,0000,03301OTHER ANCILLARY II 48450,A000000,03052,0000,03302OTHER ANCILLARY III 48450,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48450,A000000,03200,0000,03200SUPPORT SURFACES 48450,A000000,03400,0000,03400CLINIC 48450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48450,A000000,03500,0000,03500RURAL HEALTH CLINIC 48450,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48450,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48450,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48450,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48450,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48450,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48450,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48450,A000000,04400,0000,04400DME RENTED - HHA 48450,A000000,04500,0000,04500DME SOLD - HHA 48450,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48450,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48450,A000000,04800,0000,04800AMBULANCE 48450,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48450,A000000,05000,0000,05000CORF 48450,A000000,05010,0000,05010CMHC I 48450,A000000,05020,0000,05020OPT I 48450,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48450,A000000,05300,0000,05300INTEREST EXPENSE 48450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48450,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48450,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48450,A000000,05500,0000,05500HOSPICE 48450,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48450,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48450,A000000,06100,0000,06100NONPAID WORKERS 48450,A000000,06150,0000,06300CONTRIBUTIONS 48450,A000000,06200,0000,06200PATIENTS LAUNDRY 48450,A81000A,00100,0100,Y 48450,A81000B,00100,0300,HOME OFFICE FEES 48450,A81000C,00100,0100,E 48450,A81000C,00100,0200,DON AMBROSE 48450,A81000C,00100,0400,DEL MAR 48450,A81000C,00100,0600,PARENT COMPANY 48450,A81000C,00200,0400,HEALTHCARE 48450,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48450,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48450,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48450,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48450,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48450,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48450,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48450,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48450,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48450,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48450,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48450,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48450,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48450,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48450,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48450,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48450,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 48450,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48450,S000000,00100,0200,05/31/2000 48450,S200000,00100,0100,KING TREE DRIVE 48450,S200000,00200,0100,DAYTON 48450,S200000,00200,0200,OH 48450,S200000,00200,0300,45415- 48450,S200000,00300,0100,MONTGOMERY 48450,S200000,00400,0100,THE RIVERSIDE 48450,S200000,00400,0200,365877 48450,S200000,00400,0300,06/29/1992 48450,S200000,00400,0500,P 48450,S200000,01600,0100,Y 48450,S200000,02100,0100,A 48450,S200000,02200,0100,Y 48450,S200000,04700,0100,Y 48459,S000000,00100,0200,05/11/2000 48471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48471,A000000,00300,0000,00300EMPLOYEE BENEFITS 48471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48471,A000000,00700,0000,00700HOUSEKEEPING 48471,A000000,00800,0000,00800DIETARY 48471,A000000,00900,0000,00900NURSING ADMINISTRATION 48471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48471,A000000,01100,0000,01100PHARMACY 48471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48471,A000000,01300,0000,01300SOCIAL SERVICE 48471,A000000,01600,0000,01600SKILLED NURSING FACILITY 48471,A000000,01800,0000,01800NURSING FACILITY 48471,A000000,01900,0000,01900OTHER LONG TERM CARE 48471,A000000,02100,0000,02100RADIOLOGY 48471,A000000,02200,0000,02200LABORATORY 48471,A000000,02300,0000,02300INTRAVENOUS THERAPY 48471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48471,A000000,02500,0000,02500PHYSICAL THERAPY 48471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48471,A000000,02700,0000,02700SPEECH PATHOLOGY 48471,A000000,02800,0000,02800ELECTROCARDIOLOGY 48471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48471,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 48471,A000000,03200,0000,03200SUPPORT SURFACES 48471,A000000,04800,0000,04800AMBULANCE 48471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48471,A000000,05300,0000,05300INTEREST EXPENSE 48471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48471,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 48471,A81000A,00100,0100,Y 48471,A81000B,00100,0300,HOME OFFICE COSTS 48471,A81000B,00200,0300,HOME OFFICE COSTS 48471,A81000B,00300,0300,HOME OFFICE COSTS 48471,A81000B,00400,0300,HOME OFFICE COSTS 48471,A81000B,00500,0300,HOME OFFICE COSTS 48471,A81000B,00600,0300,HOME OFFICE COSTS 48471,A81000B,00700,0300,THERAPY SERVICES 48471,A81000B,00800,0300,THERAPY SERVICES 48471,A81000B,00900,0300,THERAPY SERVICES 48471,A81000C,00100,0100,A 48471,A81000C,00100,0200,STEVE ROSEDALE 48471,A81000C,00100,0400,COMMUNICARE HEA 48471,A81000C,00100,0600,HOME OFFICE 48471,A81000C,00200,0100,A 48471,A81000C,00200,0200,STEVE ROSEDALE 48471,A81000C,00200,0400,COMMUNICARE IN 48471,A81000C,00200,0600,HOME OFFICE 48471,A81000C,00300,0100,A 48471,A81000C,00300,0200,STEVE ROSEDALE 48471,A81000C,00300,0400,HOMEWARD REHAB 48471,A81000C,00300,0600,THERAPY SERVICE 48471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48471,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48471,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 48471,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 48471,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 48471,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48471,E10A180,00301,0100,11/02/1999 48471,E10A180,00501,0100,06/06/2000 48471,E10A180,00550,0300,06/06/2000 48471,S000000,00100,0200,05/31/2000 48471,S200000,00100,0100,6606 CARNEIGE AVENUE 48471,S200000,00200,0100,CLEVELAND 48471,S200000,00200,0200,OH 48471,S200000,00200,0300,44103- 48471,S200000,00300,0100,CUYAHOGA 48471,S200000,00400,0100,CITY VIEW NURSING AND REHAB 48471,S200000,00400,0200,365879 48471,S200000,00400,0300,04/13/1992 48471,S200000,00400,0500,P 48471,S200000,01600,0100,Y 48471,S700003,00000,0100,1 48480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48480,A000000,00300,0000,00300EMPLOYEE BENEFITS 48480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48480,A000000,00700,0000,00700HOUSEKEEPING 48480,A000000,00800,0000,00800DIETARY 48480,A000000,00900,0000,00900NURSING ADMINISTRATION 48480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48480,A000000,01100,0000,01100PHARMACY 48480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48480,A000000,01300,0000,01300SOCIAL SERVICE 48480,A000000,01350,0000,01500ACTIVITIES 48480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48480,A000000,01600,0000,01600SKILLED NURSING FACILITY 48480,A000000,01800,0000,01800NURSING FACILITY 48480,A000000,01810,0000,01810ICF/MR 48480,A000000,01900,0000,01900OTHER LONG TERM CARE 48480,A000000,02100,0000,02100RADIOLOGY 48480,A000000,02200,0000,02200LABORATORY 48480,A000000,02300,0000,02300INTRAVENOUS THERAPY 48480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48480,A000000,02500,0000,02500PHYSICAL THERAPY 48480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48480,A000000,02700,0000,02700SPEECH PATHOLOGY 48480,A000000,02800,0000,02800ELECTROCARDIOLOGY 48480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48480,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48480,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48480,A000000,03200,0000,03200SUPPORT SURFACES 48480,A000000,03400,0000,03400CLINIC 48480,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48480,A000000,03500,0000,03500RURAL HEALTH CLINIC 48480,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48480,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48480,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48480,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48480,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48480,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48480,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48480,A000000,04400,0000,04400DME RENTED - HHA 48480,A000000,04500,0000,04500DME SOLD - HHA 48480,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48480,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48480,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48480,A000000,04800,0000,04800AMBULANCE 48480,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48480,A000000,05000,0000,05000CORF 48480,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48480,A000000,05300,0000,05300INTEREST EXPENSE 48480,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48480,A000000,05500,0000,05500HOSPICE 48480,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48480,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48480,A000000,06100,0000,06100NONPAID WORKERS 48480,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48480,A000000,06200,0000,06200PATIENTS LAUNDRY 48480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48480,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48480,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48480,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48480,B100000,00000,0800,00000MEALS SERVED :DIETARY 48480,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48480,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48480,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48480,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48480,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48480,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48480,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48480,E10A180,00501,0100,05/23/2000 48480,S000000,00100,0200,05/19/2000 48480,S200000,00100,0100,10270 BLACKLICK-EASTERN ROAD NW 48480,S200000,00200,0100,PICKERINGTON 48480,S200000,00200,0200,OH 48480,S200000,00200,0300,43147- 48480,S200000,00300,0100,FAIRFIELD 48480,S200000,00400,0100,ECHO MANOR EXTENDED CARE CENTER 48480,S200000,00400,0200,365881 48480,S200000,00400,0300,07/09/1992 48480,S200000,00400,0500,P 48480,S200000,01600,0100,Y 48480,S200000,04300,0100,Y 48488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48488,A000000,00300,0000,00300EMPLOYEE BENEFITS 48488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48488,A000000,00700,0000,00700HOUSEKEEPING 48488,A000000,00800,0000,00800DIETARY 48488,A000000,00900,0000,00900NURSING ADMINISTRATION 48488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48488,A000000,01100,0000,01100PHARMACY 48488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48488,A000000,01300,0000,01300SOCIAL SERVICE 48488,A000000,01350,0000,01500ACTIVITIES 48488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48488,A000000,01600,0000,01600SKILLED NURSING FACILITY 48488,A000000,01800,0000,01800NURSING FACILITY 48488,A000000,01810,0000,01801ICF/MR 48488,A000000,01900,0000,01900OTHER LONG TERM CARE 48488,A000000,02100,0000,02100RADIOLOGY 48488,A000000,02200,0000,02200LABORATORY 48488,A000000,02300,0000,02300INTRAVENOUS THERAPY 48488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48488,A000000,02500,0000,02500PHYSICAL THERAPY 48488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48488,A000000,02700,0000,02700SPEECH PATHOLOGY 48488,A000000,02800,0000,02800ELECTROCARDIOLOGY 48488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48488,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48488,A000000,03200,0000,03200SUPPORT SURFACES 48488,A000000,03400,0000,03400CLINIC 48488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48488,A000000,03500,0000,03500RURAL HEALTH CLINIC 48488,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48488,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48488,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48488,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48488,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48488,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48488,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48488,A000000,04400,0000,04400DME RENTED - HHA 48488,A000000,04500,0000,04500DME SOLD - HHA 48488,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48488,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48488,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48488,A000000,04800,0000,04800AMBULANCE 48488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48488,A000000,05000,0000,05000CORF 48488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48488,A000000,05300,0000,05300INTEREST EXPENSE 48488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48488,A000000,05500,0000,05500HOSPICE 48488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48488,A000000,06100,0000,06100NONPAID WORKERS 48488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48488,A000000,06200,0000,06200PATIENTS LAUNDRY 48488,A81000A,00100,0100,Y 48488,A81000B,00100,0300,BOND INTEREST INCOME 48488,A81000B,00200,0300,BOND AMORT EXPENSE 48488,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 48488,A81000B,00400,0300,HOME OFFICE LAUNDRY 48488,A81000C,00100,0100,B 48488,A81000C,00100,0400,UVMC NURSING CARE INC. 48488,A81000C,00100,0600,HEALTH CARE SERVICES 48488,A81000C,00200,0100,B 48488,A81000C,00200,0400,UVMC NURSING CARE INC. 48488,A81000C,00200,0600,HEALTH CARE SERVICES 48488,A81000C,00300,0100,B 48488,A81000C,00300,0400,UVMC NURSING CARE INC. 48488,A81000C,00300,0600,HEALTH CARE SERVICES 48488,A81000C,00400,0100,B 48488,A81000C,00400,0400,UVMC NURSING CARE INC. 48488,A81000C,00400,0600,HEALTH CARE SERVICES 48488,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48488,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 48488,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48488,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48488,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48488,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 48488,B100000,00000,0800,00000MEALS SERVED :DIETARY 48488,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48488,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48488,B100000,00000,1150,00000ACCUM. COST :PHARMACY 48488,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 48488,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48488,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48488,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48488,E10A180,00550,0100,06/07/2000 48488,S000000,00100,0200,06/01/2000 48488,S200000,00100,0100,4375 S. COUNTY ROAD 25A 48488,S200000,00200,0100,TIPP CITY 48488,S200000,00200,0200,OH 48488,S200000,00200,0300,45371- 48488,S200000,00300,0100,MIAMI 48488,S200000,00400,0100,SPRINGMEADE HEALTHCENTER 48488,S200000,00400,0200,365882 48488,S200000,00400,0300,07/01/1992 48488,S200000,00400,0500,P 48488,S200000,01600,0100,Y 48488,S200000,02200,0100,Y 48488,S200000,02800,0100,Y 48498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48498,A000000,00300,0000,00300EMPLOYEE BENEFITS 48498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48498,A000000,00700,0000,00700HOUSEKEEPING 48498,A000000,00800,0000,00800DIETARY 48498,A000000,00900,0000,00900NURSING ADMINISTRATION 48498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48498,A000000,01100,0000,01100PHARMACY 48498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48498,A000000,01300,0000,01300SOCIAL SERVICE 48498,A000000,01350,0000,01500OTHER GENERAL SERVICES 48498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48498,A000000,01600,0000,01600SKILLED NURSING FACILITY 48498,A000000,01800,0000,01800NURSING FACILITY 48498,A000000,01900,0000,01900OTHER LONG TERM CARE 48498,A000000,02100,0000,02100RADIOLOGY 48498,A000000,02200,0000,02200LABORATORY 48498,A000000,02300,0000,02300INTRAVENOUS THERAPY 48498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48498,A000000,02500,0000,02500PHYSICAL THERAPY 48498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48498,A000000,02700,0000,02700SPEECH PATHOLOGY 48498,A000000,02800,0000,02800ELECTROCARDIOLOGY 48498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48498,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48498,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48498,A000000,03200,0000,03200SUPPORT SURFACES 48498,A000000,03400,0000,03400CLINIC 48498,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48498,A000000,03500,0000,03500RURAL HEALTH CLINIC 48498,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48498,A000000,04800,0000,04800AMBULANCE 48498,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48498,A000000,05000,0000,05000CORF 48498,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48498,A000000,05300,0000,05300INTEREST EXPENSE 48498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48498,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48498,A000000,05500,0000,05500HOSPICE 48498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48498,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48498,A000000,06100,0000,06100NONPAID WORKERS 48498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48498,A000000,06151,0000,06301NRCC 48498,A000000,06152,0000,06302RENTAL SPACE 48498,A000000,06153,0000,06303CRAFTS 48498,A000000,06200,0000,06200PATIENTS LAUNDRY 48498,A81000A,00100,0100,Y 48498,A81000B,00100,0300,BUILDING RENTAL 48498,A81000B,00200,0300,CAPITAL EXPENSES 48498,A81000B,00300,0300,EMPLOYEE BENEFITS 48498,A81000B,00400,0300,ADMINISTRATIVE 48498,A81000B,00500,0300,PLANT OPERATION 48498,A81000B,00600,0300,LAUNDRY SERVICE 48498,A81000B,00700,0300,HOUSEKEEPING 48498,A81000B,00800,0300,CENTRAL SERVICES 48498,A81000B,00900,0300,RESPIRATORY SERVICES 48498,A81000B,01000,0300,MEDICAL SUPPLIES CHARGED 48498,A81000B,01100,0300,DRUGS 48498,A81000B,01200,0300,NONOPERATING 48498,A81000C,00100,0100,B 48498,A81000C,00100,0200,ST AUG CORP 48498,A81000C,00200,0100,B 48498,A81000C,00200,0200,ST. AUG. CORP 48498,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 48498,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 48498,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 48498,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 48498,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 48498,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 48498,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 48498,B100000,00000,0800,00003MEALS SERVED :DIETARY 48498,B100000,00000,0900,00003HOURS OF SERVICE :NURSING ADMINISTR 48498,B100000,00000,1000,00003COSTED REQUIS. :CENTRAL SERVICES & 48498,B100000,00000,1100,00003COSTED REQUIS. :PHARMACY 48498,B100000,00000,1200,00003TIME SPENT :MEDICAL RECORDS & LIBR 48498,B100000,00000,1300,00003TIME SPENT :SOCIAL SERVICE 48498,B100000,00000,1350,00003TIME SPENT :OTHER GENERAL SERVICES 48498,B100000,00000,1450,00003TIME SPENT :INTERNS & RESIDENTS (A 48498,E10A180,00550,0300,06/08/2000 48498,S000000,00100,0200,05/31/2000 48498,S200000,00100,0100,7801 DETROIT 48498,S200000,00200,0100,CLEVELAND 48498,S200000,00200,0200,OH 48498,S200000,00200,0300,44102- 48498,S200000,00300,0100,CUYAHOGA 48498,S200000,00400,0100,ST. AUGUSTINE MANOR 48498,S200000,00400,0200,365883 48498,S200000,00400,0300,12/02/1992 48498,S200000,00400,0500,P 48498,S200000,01600,0100,Y 48507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48507,A000000,00300,0000,00300EMPLOYEE BENEFITS 48507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48507,A000000,00700,0000,00700HOUSEKEEPING 48507,A000000,00800,0000,00800DIETARY 48507,A000000,00900,0000,00900NURSING ADMINISTRATION 48507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48507,A000000,01100,0000,01100PHARMACY 48507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48507,A000000,01300,0000,01300SOCIAL SERVICE 48507,A000000,01350,0000,01500ACTIVITIES 48507,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48507,A000000,01600,0000,01600SKILLED NURSING FACILITY 48507,A000000,01800,0000,01800NURSING FACILITY 48507,A000000,01900,0000,01900OTHER LONG TERM CARE 48507,A000000,02100,0000,02100RADIOLOGY 48507,A000000,02200,0000,02200LABORATORY 48507,A000000,02300,0000,02300INTRAVENOUS THERAPY 48507,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48507,A000000,02500,0000,02500PHYSICAL THERAPY 48507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48507,A000000,02700,0000,02700SPEECH PATHOLOGY 48507,A000000,02800,0000,02800ELECTROCARDIOLOGY 48507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48507,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48507,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48507,A000000,03200,0000,03200SUPPORT SURFACES 48507,A000000,03400,0000,03400CLINIC 48507,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48507,A000000,03500,0000,03500RURAL HEALTH CLINIC 48507,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48507,A000000,04800,0000,04800AMBULANCE 48507,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48507,A000000,05000,0000,05000CORF 48507,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48507,A000000,05300,0000,05300INTEREST EXPENSE 48507,A000000,05350,0000,05600ENTERALS 48507,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48507,A000000,05500,0000,05500HOSPICE 48507,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48507,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48507,A000000,06100,0000,06100NONPAID WORKERS 48507,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48507,A000000,06200,0000,06200PATIENTS LAUNDRY 48507,A81000A,00100,0100,Y 48507,A81000B,00100,0300,MANAGEMENT FEES PAID 48507,A81000B,00200,0300,HOME OFFICE A&G 48507,A81000B,00300,0300,HOME OFFICE PLANT 48507,A81000B,00400,0300,HOME OFFICE CAPITAL 48507,A81000C,00100,0100,A 48507,A81000C,00100,0200,JOHN A. DEPIZZO JR. 48507,A81000C,00100,0400,JOHN A. DEPIZZO JR. INC. 48507,A81000C,00100,0600,ACCTG/MGT/DATA PROC. 48507,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48507,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48507,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48507,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48507,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48507,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48507,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48507,B100000,00000,0800,00000MEALS SERVED :DIETARY 48507,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48507,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48507,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48507,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48507,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48507,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48507,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48507,S000000,00100,0200,10/29/1999 48507,S200000,00100,0100,620 W. STRUB RD. 48507,S200000,00200,0100,SANDUSKY 48507,S200000,00200,0200,OH 48507,S200000,00200,0300,44870-5795 48507,S200000,00300,0100,ERIE 48507,S200000,00400,0100,BRIARFIELD OF SANDUSKY INC. 48507,S200000,00400,0200,365885 48507,S200000,00400,0300,10/01/1992 48507,S200000,00400,0500,P 48507,S200000,01005,0500,O 48507,S200000,01600,0100,Y 48509,S000000,00100,0200,05/30/2000 48519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48519,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48519,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48519,A000000,00300,0000,00300EMPLOYEE BENEFITS 48519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48519,A000000,00700,0000,00700HOUSEKEEPING 48519,A000000,00800,0000,00800DIETARY 48519,A000000,00801,0000,00801CAFETERIA 48519,A000000,00900,0000,00900NURSING ADMINISTRATION 48519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48519,A000000,01100,0000,01100PHARMACY 48519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48519,A000000,01300,0000,01300SOCIAL SERVICE 48519,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48519,A000000,01600,0000,01600SKILLED NURSING FACILITY 48519,A000000,01800,0000,01800NURSING FACILITY 48519,A000000,01900,0000,01900OTHER LONG TERM CARE 48519,A000000,02100,0000,02100RADIOLOGY 48519,A000000,02200,0000,02200LABORATORY 48519,A000000,02300,0000,02300INTRAVENOUS THERAPY 48519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48519,A000000,02500,0000,02500PHYSICAL THERAPY 48519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48519,A000000,02700,0000,02700SPEECH PATHOLOGY 48519,A000000,02800,0000,02800ELECTROCARDIOLOGY 48519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48519,A000000,03050,0000,03300OTHER ANCILLARY 48519,A000000,03051,0000,03301OTHER ANCILLARY II 48519,A000000,03052,0000,03302OTHER ANCILLARY III 48519,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48519,A000000,03200,0000,03200SUPPORT SURFACES 48519,A000000,03400,0000,03400CLINIC 48519,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48519,A000000,03500,0000,03500RURAL HEALTH CLINIC 48519,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48519,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48519,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48519,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48519,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48519,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48519,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48519,A000000,04400,0000,04400DME RENTED - HHA 48519,A000000,04500,0000,04500DME SOLD - HHA 48519,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48519,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48519,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48519,A000000,04800,0000,04800AMBULANCE 48519,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48519,A000000,05000,0000,05000CORF 48519,A000000,05010,0000,05010CMHC I 48519,A000000,05020,0000,05020OPT I 48519,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48519,A000000,05300,0000,05300INTEREST EXPENSE 48519,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48519,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48519,A000000,05500,0000,05500HOSPICE 48519,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48519,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48519,A000000,06100,0000,06100NONPAID WORKERS 48519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48519,A000000,06200,0000,06200PATIENTS LAUNDRY 48519,A81000A,00100,0100,Y 48519,A81000B,00100,0300,RENT EXPENSE 48519,A81000B,00200,0300,PHARMACY CONSULTANT 48519,A81000B,00300,0300,DRUGS 48519,A81000B,00400,0300,MEDICAL SUPPLIES 48519,A81000B,00500,0300,ENTERALS 48519,A81000C,00100,0100,A 48519,A81000C,00100,0200,BOYMEL/KOHN 48519,A81000C,00100,0400,BOYKO INVESTMET 48519,A81000C,00100,0600,LANDLORD 48519,A81000C,00200,0100,A 48519,A81000C,00200,0200,BOYMEL/KOHN 48519,A81000C,00200,0400,PHARMCO 48519,A81000C,00200,0600,PHARMACY 48519,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48519,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48519,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48519,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48519,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48519,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48519,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48519,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48519,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48519,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48519,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48519,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48519,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48519,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48519,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 48519,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48519,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48519,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48519,S000000,00100,0200,05/31/2000 48519,S200000,00100,0100,9370 UNION CEMETARY RD 48519,S200000,00200,0100,LOVELAND 48519,S200000,00200,0200,OH 48519,S200000,00200,0300,45140- 48519,S200000,00300,0100,HAMILTON 48519,S200000,00400,0100,LODGE CARE CENTER 48519,S200000,00400,0200,365889 48519,S200000,00400,0300,09/19/1992 48519,S200000,00400,0500,P 48519,S200000,01600,0100,Y 48519,S200000,04300,0100,Y 48519,S200000,04700,0100,Y 48528,S000000,00100,0200,05/26/2000 48539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48539,A000000,00300,0000,00300EMPLOYEE BENEFITS 48539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48539,A000000,00700,0000,00700HOUSEKEEPING 48539,A000000,00800,0000,00800DIETARY 48539,A000000,00900,0000,00900NURSING ADMINISTRATION 48539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48539,A000000,01100,0000,01100PHARMACY 48539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48539,A000000,01300,0000,01300SOCIAL SERVICE 48539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48539,A000000,01600,0000,01600SKILLED NURSING FACILITY 48539,A000000,01900,0000,01900OTHER LONG TERM CARE 48539,A000000,02100,0000,02100RADIOLOGY 48539,A000000,02200,0000,02200LABORATORY 48539,A000000,02300,0000,02300INTRAVENOUS THERAPY 48539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48539,A000000,02500,0000,02500PHYSICAL THERAPY 48539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48539,A000000,02700,0000,02700SPEECH PATHOLOGY 48539,A000000,02800,0000,02800ELECTROCARDIOLOGY 48539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48539,A000000,03200,0000,03200SUPPORT SURFACES 48539,A000000,03400,0000,03400CLINIC 48539,A000000,04800,0000,04800AMBULANCE 48539,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48539,A000000,05300,0000,05300INTEREST EXPENSE 48539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48539,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48539,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48539,A000000,06100,0000,06100NONPAID WORKERS 48539,A000000,06200,0000,06200PATIENTS LAUNDRY 48539,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48539,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 48539,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48539,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 48539,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48539,B100000,00000,0800,00000MEALS SERVED :DIETARY 48539,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48539,B100000,00000,1050,00000PATIENT DA :CENTRAL SERVICES & SUP 48539,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48539,B100000,00000,1250,00000REVENUE :MEDICAL RECORDS & LIBRAR 48539,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 48539,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48539,S000000,00100,0200,03/23/2000 48539,S200000,00100,0100,2222 SPRINGDALE ROAD 48539,S200000,00200,0100,CINCINNATI 48539,S200000,00200,0200,OH 48539,S200000,00300,0100,45231 HAMILTON 48539,S200000,00400,0100,BURLINGTON HOUSE NURSING HOME 48539,S200000,00400,0200,365892 48539,S200000,00400,0300,05/17/1992 48539,S200000,00400,0500,P 48539,S200000,01600,0100,Y 48539,S700003,00000,0100,1 48551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48551,A000000,00300,0000,00300EMPLOYEE BENEFITS 48551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48551,A000000,00700,0000,00700HOUSEKEEPING 48551,A000000,00800,0000,00800DIETARY 48551,A000000,00900,0000,00900NURSING ADMINISTRATION 48551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48551,A000000,01100,0000,01100PHARMACY 48551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48551,A000000,01300,0000,01300SOCIAL SERVICE 48551,A000000,01350,0000,01500OTHER GENERAL SERVICES 48551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48551,A000000,01600,0000,01600SKILLED NURSING FACILITY 48551,A000000,01800,0000,01800NURSING FACILITY 48551,A000000,01810,0000,01801ICF/MR 48551,A000000,01900,0000,01900OTHER LONG TERM CARE 48551,A000000,02100,0000,02100RADIOLOGY 48551,A000000,02200,0000,02200LABORATORY 48551,A000000,02300,0000,02300INTRAVENOUS THERAPY 48551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48551,A000000,02500,0000,02500PHYSICAL THERAPY 48551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48551,A000000,02700,0000,02700SPEECH PATHOLOGY 48551,A000000,02800,0000,02800ELECTROCARDIOLOGY 48551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48551,A000000,03200,0000,03200SUPPORT SURFACES 48551,A000000,03400,0000,03400CLINIC 48551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48551,A000000,03500,0000,03500RURAL HEALTH CLINIC 48551,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48551,A000000,04800,0000,04800AMBULANCE 48551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48551,A000000,05000,0000,05000CORF 48551,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48551,A000000,05300,0000,05300INTEREST EXPENSE 48551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48551,A000000,05500,0000,05500HOSPICE 48551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48551,A000000,06100,0000,06100NONPAID WORKERS 48551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48551,A000000,06200,0000,06200PATIENTS LAUNDRY 48551,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 48551,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 48551,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48551,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48551,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 48551,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48551,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 48551,B100000,00000,0800,00000MEALS SERVED :DIETARY 48551,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 48551,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 48551,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48551,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48551,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48551,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48551,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48551,S000000,00100,0200,06/01/2000 48551,S200000,00100,0100,411 WESTERN ROW ROAD 48551,S200000,00200,0100,MASON 48551,S200000,00200,0200,OH 48551,S200000,00200,0300,45040- 48551,S200000,00300,0100,WARREN 48551,S200000,00400,0100,MCV HEALTH CARE FACILITY 48551,S200000,00400,0200,365894 48551,S200000,00400,0300,11/25/1992 48551,S200000,00400,0500,P 48551,S200000,01600,0100,Y 48551,S700003,00000,0100,1 48560,S000000,00100,0200,06/01/2000 48570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48570,A000000,00300,0000,00300EMPLOYEE BENEFITS 48570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48570,A000000,00700,0000,00700HOUSEKEEPING 48570,A000000,00800,0000,00800DIETARY 48570,A000000,00900,0000,00900NURSING ADMINISTRATION 48570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48570,A000000,01300,0000,01300SOCIAL SERVICE 48570,A000000,01350,0000,01500ACTIVITIES 48570,A000000,01600,0000,01600SKILLED NURSING FACILITY 48570,A000000,01800,0000,01800NURSING FACILITY 48570,A000000,02500,0000,02500PHYSICAL THERAPY 48570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48570,A000000,02700,0000,02700SPEECH PATHOLOGY 48570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48570,A000000,03200,0000,03200SUPPORT SURFACES 48570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48570,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48570,B100000,00000,0800,00000MEALS SERVED :DIETARY 48570,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 48570,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48570,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48570,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48570,E10A180,00301,0100,12/04/1998 48570,E10A180,00501,0100,06/04/1999 48570,S000000,00100,0200,07/02/1999 48570,S200000,00100,0100,8455 COUNTY ROAD 140 48570,S200000,00200,0100,FINDLAY 48570,S200000,00200,0200,OH 48570,S200000,00200,0300,45840- 48570,S200000,00300,0100,HANCOCK 48570,S200000,00400,0100,FINDLAY 48570,S200000,00400,0200,365896 48570,S200000,00400,0300,11/01/1995 48570,S200000,00400,0500,P 48570,S200000,01600,0100,Y 48570,S700003,00000,0100,1 48572,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48572,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48572,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48572,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48572,A000000,00300,0000,00300EMPLOYEE BENEFITS 48572,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48572,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48572,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48572,A000000,00700,0000,00700HOUSEKEEPING 48572,A000000,00800,0000,00800DIETARY 48572,A000000,00801,0000,00801CAFETERIA 48572,A000000,00900,0000,00900NURSING ADMINISTRATION 48572,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48572,A000000,01100,0000,01100PHARMACY 48572,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48572,A000000,01300,0000,01300SOCIAL SERVICE 48572,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48572,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48572,A000000,01600,0000,01600SKILLED NURSING FACILITY 48572,A000000,01800,0000,01800NURSING FACILITY 48572,A000000,01900,0000,01900OTHER LONG TERM CARE 48572,A000000,02100,0000,02100RADIOLOGY 48572,A000000,02200,0000,02200LABORATORY 48572,A000000,02300,0000,02300INTRAVENOUS THERAPY 48572,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48572,A000000,02500,0000,02500PHYSICAL THERAPY 48572,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48572,A000000,02700,0000,02700SPEECH PATHOLOGY 48572,A000000,02800,0000,02800ELECTROCARDIOLOGY 48572,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48572,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48572,A000000,03050,0000,03300OTHER ANCILLARY 48572,A000000,03051,0000,03301OTHER ANCILLARY II 48572,A000000,03052,0000,03302OTHER ANCILLARY III 48572,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48572,A000000,03200,0000,03200SUPPORT SURFACES 48572,A000000,03400,0000,03400CLINIC 48572,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48572,A000000,03500,0000,03500RURAL HEALTH CLINIC 48572,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48572,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48572,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48572,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48572,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48572,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48572,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48572,A000000,04400,0000,04400DME RENTED - HHA 48572,A000000,04500,0000,04500DME SOLD - HHA 48572,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48572,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48572,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48572,A000000,04800,0000,04800AMBULANCE 48572,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48572,A000000,05000,0000,05000CORF 48572,A000000,05010,0000,05010CMHC I 48572,A000000,05020,0000,05020OPT I 48572,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48572,A000000,05300,0000,05300INTEREST EXPENSE 48572,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48572,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48572,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48572,A000000,05500,0000,05500HOSPICE 48572,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48572,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48572,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48572,A000000,06100,0000,06100NONPAID WORKERS 48572,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48572,A000000,06200,0000,06200PATIENTS LAUNDRY 48572,A81000A,00100,0100,Y 48572,A81000B,00100,0300,H/O NURSING 48572,A81000B,00200,0300,H/O A&G 48572,A81000B,00300,0300,H/O 48572,A81000B,00400,0300,H/O RENT 48572,A81000B,00500,0300,H/O NON REIMBURSABLE 48572,A81000B,00600,0300,H/O THERAPIES 48572,A81000C,00100,0100,A 48572,A81000C,00100,0200,GLYNDON POWELL 48572,A81000C,00100,0400,CHSHO INC. 48572,A81000C,00100,0600,HOME OFFICE 48572,A81000C,00200,0100,A 48572,A81000C,00200,0200,ED BYINGTON 48572,A81000C,00200,0400,CHSHO INC. 48572,A81000C,00200,0600,HOME OFFICE 48572,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48572,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48572,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48572,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48572,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48572,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48572,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48572,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48572,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48572,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48572,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48572,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 48572,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48572,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48572,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48572,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48572,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 48572,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48572,S000000,00100,0200,06/01/2000 48572,S200000,00100,0100,8455 CO. RD 140 48572,S200000,00200,0100,FINDLAY 48572,S200000,00200,0200,OH 48572,S200000,00200,0300,45840- 48572,S200000,00300,0100,HANCOCK 48572,S200000,00400,0100,FINDLAY CARE INC 48572,S200000,00400,0200,365896 48572,S200000,00400,0300,11/01/1995 48572,S200000,00400,0500,P 48572,S200000,01500,0100,Y 48572,S200000,02800,0100,Y 48572,S200000,04300,0100,Y 48588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48588,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48588,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48588,A000000,00300,0000,00300EMPLOYEE BENEFITS 48588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48588,A000000,00700,0000,00700HOUSEKEEPING 48588,A000000,00800,0000,00800DIETARY 48588,A000000,00801,0000,00801CAFETERIA 48588,A000000,00900,0000,00900NURSING ADMINISTRATION 48588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48588,A000000,01100,0000,01100PHARMACY 48588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48588,A000000,01300,0000,01300SOCIAL SERVICE 48588,A000000,01350,0000,01500ACTIVITIES 48588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48588,A000000,01600,0000,01600SKILLED NURSING FACILITY 48588,A000000,01800,0000,01800NURSING FACILITY 48588,A000000,01900,0000,01900OTHER LONG TERM CARE 48588,A000000,02100,0000,02100RADIOLOGY 48588,A000000,02200,0000,02200LABORATORY 48588,A000000,02300,0000,02300INTRAVENOUS THERAPY 48588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48588,A000000,02500,0000,02500PHYSICAL THERAPY 48588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48588,A000000,02700,0000,02700SPEECH PATHOLOGY 48588,A000000,02800,0000,02800ELECTROCARDIOLOGY 48588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48588,A000000,03050,0000,03300DME 48588,A000000,03051,0000,03301ORTHOTICS 48588,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 48588,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48588,A000000,03200,0000,03200SUPPORT SURFACES 48588,A000000,03400,0000,03400CLINIC 48588,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48588,A000000,03500,0000,03500RURAL HEALTH CLINIC 48588,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48588,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48588,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48588,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48588,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48588,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48588,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48588,A000000,04400,0000,04400DME RENTED - HHA 48588,A000000,04500,0000,04500DME SOLD - HHA 48588,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48588,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48588,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48588,A000000,04800,0000,04800AMBULANCE 48588,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48588,A000000,05000,0000,05000CORF 48588,A000000,05010,0000,05010CMHC I 48588,A000000,05020,0000,05020OPT I 48588,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48588,A000000,05300,0000,05300INTEREST EXPENSE 48588,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48588,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48588,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48588,A000000,05500,0000,05500HOSPICE 48588,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48588,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48588,A000000,06100,0000,06100NONPAID WORKERS 48588,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48588,A000000,06200,0000,06200PATIENTS LAUNDRY 48588,A81000A,00100,0100,Y 48588,A81000B,00100,0300,HOME OFFICE ALLOCATION 48588,A81000B,00200,0300,THERACOR ACTUAL COSTS 48588,A81000B,00300,0300,THERACOR ACTUAL COSTS 48588,A81000B,00400,0300,THERACOR ACTUAL COSTS 48588,A81000C,00100,0100,B 48588,A81000C,00100,0200,HARBORSIDE 48588,A81000C,00200,0200,HEALTHCARE 48588,A81000C,00300,0200,LIMITED PSHIP 48588,A81000C,00300,0600,MANAGEMENT CO 48588,A81000C,00500,0100,B 48588,A81000C,00500,0200,HARBORSIDE 48588,A81000C,00600,0200,REHABILITITAION 48588,A81000C,00700,0200,LIMITED PSHIP 48588,A81000C,00700,0600,THERAPY 48588,A81000C,00800,0600,SERVICE AND 48588,A81000C,00900,0600,MANAGEMENT CO 48588,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48588,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48588,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48588,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48588,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48588,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48588,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48588,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48588,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48588,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48588,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48588,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48588,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48588,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48588,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48588,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48588,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48588,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48588,S000000,00100,0200,06/01/2000 48588,S200000,00100,0100,101 MILLS PLACE 48588,S200000,00200,0100,NEW LEBANON 48588,S200000,00200,0200,OH 48588,S200000,00200,0300,45345- 48588,S200000,00300,0100,MONTGOMERY 48588,S200000,00400,0100,HHC - NEW LEBANON 48588,S200000,00400,0200,365897 48588,S200000,00400,0300,09/01/1997 48588,S200000,00400,0500,P 48588,S200000,01600,0100,Y 48588,S200000,02200,0100,Y 48588,S200000,04700,0100,Y 48588,S200000,04900,0100,Y 48598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48598,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48598,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48598,A000000,00300,0000,00300EMPLOYEE BENEFITS 48598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48598,A000000,00700,0000,00700HOUSEKEEPING 48598,A000000,00800,0000,00800DIETARY 48598,A000000,00801,0000,00801CAFETERIA 48598,A000000,00900,0000,00900NURSING ADMINISTRATION 48598,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48598,A000000,01100,0000,01100PHARMACY 48598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48598,A000000,01300,0000,01300SOCIAL SERVICE 48598,A000000,01350,0000,01500ACTIVITIES 48598,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48598,A000000,01600,0000,01600SKILLED NURSING FACILITY 48598,A000000,01800,0000,01800NURSING FACILITY 48598,A000000,01900,0000,01900OTHER LONG TERM CARE 48598,A000000,02100,0000,02100RADIOLOGY 48598,A000000,02200,0000,02200LABORATORY 48598,A000000,02300,0000,02300INTRAVENOUS THERAPY 48598,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48598,A000000,02500,0000,02500PHYSICAL THERAPY 48598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48598,A000000,02700,0000,02700SPEECH PATHOLOGY 48598,A000000,02800,0000,02800ELECTROCARDIOLOGY 48598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48598,A000000,03050,0000,03300DME 48598,A000000,03051,0000,03301ORTHOTICS 48598,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 48598,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48598,A000000,03200,0000,03200SUPPORT SURFACES 48598,A000000,03400,0000,03400CLINIC 48598,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48598,A000000,03500,0000,03500RURAL HEALTH CLINIC 48598,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48598,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48598,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48598,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48598,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48598,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48598,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48598,A000000,04400,0000,04400DME RENTED - HHA 48598,A000000,04500,0000,04500DME SOLD - HHA 48598,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48598,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48598,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48598,A000000,04800,0000,04800AMBULANCE 48598,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48598,A000000,05000,0000,05000CORF 48598,A000000,05010,0000,05010CMHC I 48598,A000000,05020,0000,05020OPT I 48598,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48598,A000000,05300,0000,05300INTEREST EXPENSE 48598,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48598,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48598,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48598,A000000,05500,0000,05500HOSPICE 48598,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48598,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48598,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48598,A000000,06100,0000,06100NONPAID WORKERS 48598,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48598,A000000,06200,0000,06200PATIENTS LAUNDRY 48598,A81000A,00100,0100,Y 48598,A81000B,00100,0300,HOME OFFICE ALLOCATION 48598,A81000B,00200,0300,THERACOR ACTUAL COSTS 48598,A81000B,00300,0300,THERACOR ACTUAL COSTS 48598,A81000B,00400,0300,THERACOR ACTUAL COSTS 48598,A81000C,00100,0100,B 48598,A81000C,00100,0200,HARBORSIDE 48598,A81000C,00200,0200,HEALTHCARE 48598,A81000C,00300,0200,LIMITED PSHIP 48598,A81000C,00300,0600,MANAGEMENT CO 48598,A81000C,00500,0100,B 48598,A81000C,00500,0200,HARBORSIDE 48598,A81000C,00600,0200,REHABILITITAION 48598,A81000C,00700,0200,LIMITED PSHIP 48598,A81000C,00700,0600,THERAPY 48598,A81000C,00800,0600,SERVICE AND 48598,A81000C,00900,0600,MANAGEMENT CO 48598,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48598,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48598,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48598,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48598,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48598,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48598,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48598,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48598,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48598,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48598,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48598,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48598,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48598,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48598,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48598,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48598,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48598,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48598,S000000,00100,0200,06/01/2000 48598,S200000,00100,0100,5757 WHITEFORD ROAD 48598,S200000,00200,0100,SYLVANIA 48598,S200000,00200,0200,OH 48598,S200000,00200,0300,43560- 48598,S200000,00300,0100,LUCAS 48598,S200000,00400,0100,HHC - SYLVANIA 48598,S200000,00400,0200,365898 48598,S200000,00400,0300,04/01/1998 48598,S200000,00400,0500,P 48598,S200000,01600,0100,Y 48598,S200000,02200,0100,Y 48598,S200000,04700,0100,Y 48598,S200000,04900,0100,Y 48606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48606,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48606,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48606,A000000,00300,0000,00300EMPLOYEE BENEFITS 48606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48606,A000000,00700,0000,00700HOUSEKEEPING 48606,A000000,00800,0000,00800DIETARY 48606,A000000,00801,0000,00801CAFETERIA 48606,A000000,00900,0000,00900NURSING ADMINISTRATION 48606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48606,A000000,01100,0000,01100PHARMACY 48606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48606,A000000,01300,0000,01300SOCIAL SERVICE 48606,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48606,A000000,01600,0000,01600SKILLED NURSING FACILITY 48606,A000000,01800,0000,01800NURSING FACILITY 48606,A000000,01900,0000,01900OTHER LONG TERM CARE 48606,A000000,02100,0000,02100RADIOLOGY 48606,A000000,02200,0000,02200LABORATORY 48606,A000000,02300,0000,02300INTRAVENOUS THERAPY 48606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48606,A000000,02500,0000,02500PHYSICAL THERAPY 48606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48606,A000000,02700,0000,02700SPEECH PATHOLOGY 48606,A000000,02800,0000,02800ELECTROCARDIOLOGY 48606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48606,A000000,03050,0000,03300OTHER ANCILLARY 48606,A000000,03051,0000,03301OTHER ANCILLARY II 48606,A000000,03052,0000,03302OTHER ANCILLARY III 48606,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48606,A000000,03200,0000,03200SUPPORT SURFACES 48606,A000000,03400,0000,03400CLINIC 48606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48606,A000000,03500,0000,03500RURAL HEALTH CLINIC 48606,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48606,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48606,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48606,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48606,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48606,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48606,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48606,A000000,04400,0000,04400DME RENTED - HHA 48606,A000000,04500,0000,04500DME SOLD - HHA 48606,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48606,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48606,A000000,04800,0000,04800AMBULANCE 48606,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48606,A000000,05000,0000,05000CORF 48606,A000000,05010,0000,05010CMHC I 48606,A000000,05020,0000,05020OPT I 48606,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48606,A000000,05300,0000,05300INTEREST EXPENSE 48606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48606,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48606,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48606,A000000,05500,0000,05500HOSPICE 48606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48606,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48606,A000000,06100,0000,06100NONPAID WORKERS 48606,A000000,06150,0000,06300ASSISTED LIVING 48606,A000000,06200,0000,06200PATIENTS LAUNDRY 48606,A81000A,00100,0100,Y 48606,A81000B,00100,0300,RENT EXPENSE 48606,A81000C,00100,0100,D 48606,A81000C,00100,0200,KOHN\SOSNA\BOYL 48606,A81000C,00100,0400,BKS INVESTORS 48606,A81000C,00100,0600,LANDLORD 48606,A81000C,00200,0100,D 48606,A81000C,00200,0200,KOHN\SOSNA\BOYL 48606,A81000C,00200,0400,PHARMCO 48606,A81000C,00200,0600,PHARMACY 48606,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48606,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48606,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48606,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48606,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48606,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48606,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48606,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48606,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48606,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48606,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48606,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48606,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48606,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48606,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 48606,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48606,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48606,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48606,S000000,00100,0200,05/31/2000 48606,S200000,00100,0100,2316 SPRINGMILL RD 48606,S200000,00200,0100,KETTERING 48606,S200000,00200,0200,OH 48606,S200000,00300,0100,MONTGOMERY 48606,S200000,00400,0100,OAK CREEK TERRACE 48606,S200000,00400,0200,365899 48606,S200000,00400,0300,12/09/1992 48606,S200000,00400,0500,P 48606,S200000,01600,0100,Y 48606,S200000,04300,0100,Y 48606,S200000,04700,0100,Y 48617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48617,A000000,00300,0000,00300EMPLOYEE BENEFITS 48617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48617,A000000,00700,0000,00700HOUSEKEEPING 48617,A000000,00800,0000,00800DIETARY 48617,A000000,00900,0000,00900NURSING ADMINISTRATION 48617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48617,A000000,01100,0000,01100PHARMACY 48617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48617,A000000,01300,0000,01300SOCIAL SERVICE 48617,A000000,01600,0000,01600SKILLED NURSING FACILITY 48617,A000000,01800,0000,01800NURSING FACILITY 48617,A000000,01900,0000,01900OTHER LONG TERM CARE 48617,A000000,02100,0000,02100RADIOLOGY 48617,A000000,02200,0000,02200LABORATORY 48617,A000000,02300,0000,02300INTRAVENOUS THERAPY 48617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48617,A000000,02500,0000,02500PHYSICAL THERAPY 48617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48617,A000000,02700,0000,02700SPEECH PATHOLOGY 48617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48617,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 48617,A000000,04800,0000,04800AMBULANCE 48617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48617,A81000A,00100,0100,Y 48617,A81000B,00100,0300,HOME OFFICE ALLOC 48617,A81000B,00200,0300,HOME OFFICE ALLOC 48617,A81000C,00100,0100,A 48617,A81000C,00100,0200,COVENANT CARE INC 48617,A81000C,00100,0400,COVENANT CARE INC. 48617,A81000C,00100,0600,HEALTH CARE 48617,A81000C,00200,0100,A 48617,A81000C,00300,0100,A 48617,A81000C,00300,0200,THERAPY 48617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48617,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48617,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48617,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48617,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48617,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48617,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 48617,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48617,E10A180,00501,0300,07/26/2000 48617,S000000,00100,0200,06/01/2000 48617,S200000,00100,0100,200 MARKER ROAD 48617,S200000,00200,0100,VERSAILLES 48617,S200000,00200,0200,OH 48617,S200000,00200,0300,45380- 48617,S200000,00300,0100,RURAL 48617,S200000,00400,0100,VERSAILLES HEALTH CARE CENTER 48617,S200000,00400,0200,365900 48617,S200000,00400,0300,01/01/1993 48617,S200000,00400,0500,P 48617,S200000,00600,0200,365900 48617,S200000,00600,0300,01/01/1993 48617,S200000,00600,0600,P 48617,S200000,01600,0100,Y 48625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48625,A000000,00300,0000,00300EMPLOYEE BENEFITS 48625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48625,A000000,00700,0000,00700HOUSEKEEPING 48625,A000000,00800,0000,00800DIETARY 48625,A000000,00900,0000,00900NURSING ADMINISTRATION 48625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48625,A000000,01100,0000,01100PHARMACY 48625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48625,A000000,01300,0000,01300SOCIAL SERVICE 48625,A000000,01350,0000,01500ACTIVITIES 48625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48625,A000000,01600,0000,01600SKILLED NURSING FACILITY 48625,A000000,01800,0000,01800NURSING FACILITY 48625,A000000,01900,0000,01900OTHER LONG TERM CARE 48625,A000000,02100,0000,02100RADIOLOGY 48625,A000000,02200,0000,02200LABORATORY 48625,A000000,02300,0000,02300INTRAVENOUS THERAPY 48625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48625,A000000,02500,0000,02500PHYSICAL THERAPY 48625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48625,A000000,02700,0000,02700SPEECH PATHOLOGY 48625,A000000,02800,0000,02800ELECTROCARDIOLOGY 48625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48625,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48625,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48625,A000000,03200,0000,03200SUPPORT SURFACES 48625,A000000,03400,0000,03400CLINIC 48625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48625,A000000,03500,0000,03500RURAL HEALTH CLINIC 48625,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48625,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48625,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48625,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48625,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48625,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48625,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48625,A000000,04400,0000,04400DME RENTED - HHA 48625,A000000,04500,0000,04500DME SOLD - HHA 48625,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48625,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48625,A000000,04800,0000,04800AMBULANCE 48625,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48625,A000000,05000,0000,05000CORF 48625,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48625,A000000,05300,0000,05300INTEREST EXPENSE 48625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48625,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48625,A000000,05500,0000,05500HOSPICE 48625,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48625,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48625,A000000,06100,0000,06100NONPAID WORKERS 48625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48625,A000000,06200,0000,06200PATIENTS LAUNDRY 48625,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48625,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48625,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48625,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48625,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48625,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48625,B100000,00000,0800,00000MEALS SERVED :DIETARY 48625,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48625,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48625,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 48625,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48625,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48625,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48625,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 48625,S000000,00100,0200,06/01/2000 48625,S200000,00100,0100,650 N. MAIN STREET RT. 49 48625,S200000,00200,0100,PAYNE 48625,S200000,00200,0200,OH 48625,S200000,00200,0300,45880- 48625,S200000,00300,0100,PAULDING 48625,S200000,00400,0100,DALLAS LAMB FOUNDATION 48625,S200000,00400,0200,365901 48625,S200000,00400,0300,01/08/1993 48625,S200000,00400,0500,P 48625,S200000,00400,0600,P 48625,S200000,01500,0100,Y 48625,S200000,02800,0100,Y 48625,S200000,04300,0100,Y 48634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48634,A000000,00300,0000,00300EMPLOYEE BENEFITS 48634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48634,A000000,00700,0000,00700HOUSEKEEPING 48634,A000000,00800,0000,00800DIETARY 48634,A000000,00900,0000,00900NURSING ADMINISTRATION 48634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48634,A000000,01100,0000,01100PHARMACY 48634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48634,A000000,01300,0000,01300SOCIAL SERVICE 48634,A000000,01350,0000,01500ACTIVITIES 48634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48634,A000000,01600,0000,01600SKILLED NURSING FACILITY 48634,A000000,01800,0000,01800NURSING FACILITY 48634,A000000,01900,0000,01900OTHER LONG TERM CARE 48634,A000000,02100,0000,02100RADIOLOGY 48634,A000000,02200,0000,02200LABORATORY 48634,A000000,02300,0000,02300INTRAVENOUS THERAPY 48634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48634,A000000,02500,0000,02500PHYSICAL THERAPY 48634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48634,A000000,02700,0000,02700SPEECH PATHOLOGY 48634,A000000,02800,0000,02800ELECTROCARDIOLOGY 48634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48634,A000000,03200,0000,03200SUPPORT SURFACES 48634,A000000,03400,0000,03400CLINIC 48634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48634,A000000,03500,0000,03500RURAL HEALTH CLINIC 48634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48634,A000000,04400,0000,04400DME RENTED - HHA 48634,A000000,04500,0000,04500DME SOLD - HHA 48634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48634,A000000,04800,0000,04800AMBULANCE 48634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48634,A000000,05000,0000,05000CORF 48634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48634,A000000,05300,0000,05300INTEREST EXPENSE 48634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48634,A000000,05500,0000,05500HOSPICE 48634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48634,A000000,06100,0000,06100NONPAID WORKERS 48634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48634,A000000,06200,0000,06200PATIENTS LAUNDRY 48634,A81000A,00100,0100,Y 48634,A81000B,00100,0300,MANAGEMENT FEES PAID 48634,A81000B,00200,0300,HOME OFFICE A&G 48634,A81000B,00300,0300,HOME OFFICE PLANT 48634,A81000B,00400,0300,HOME OFFICE CAPITAL 48634,A81000C,00100,0100,A 48634,A81000C,00100,0200,JOHN A. DEPIZZO JR. 48634,A81000C,00100,0400,JOHN A. DEPIZZO JR. INC. 48634,A81000C,00100,0600,MGT ACCTG DATA PROCESS 48634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48634,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48634,B100000,00000,0800,00000MEALS SERVED :DIETARY 48634,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48634,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48634,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48634,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48634,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48634,S000000,00100,0200,10/29/1999 48634,S200000,00100,0100,3090 FIVE POINTS-HARTFORD RD. 48634,S200000,00200,0100,FOWLER 48634,S200000,00200,0200,OH 48634,S200000,00200,0300,44418-9727 48634,S200000,00300,0100,TRUMBULL 48634,S200000,00400,0100,MEADOWBROOK MANOR 48634,S200000,00400,0200,365902 48634,S200000,00400,0300,01/29/1993 48634,S200000,00400,0500,P 48634,S200000,01004,0500,O 48634,S200000,01600,0100,Y 48636,S000000,00100,0200,05/30/2000 48645,S000000,00100,0200,06/05/2000 48655,S000000,00100,0200,05/11/2000 48665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48665,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48665,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48665,A000000,00300,0000,00300EMPLOYEE BENEFITS 48665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48665,A000000,00700,0000,00700HOUSEKEEPING 48665,A000000,00800,0000,00800DIETARY 48665,A000000,00801,0000,00801CAFETERIA 48665,A000000,00900,0000,00900NURSING ADMINISTRATION 48665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48665,A000000,01100,0000,01100PHARMACY 48665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48665,A000000,01300,0000,01300SOCIAL SERVICE 48665,A000000,01350,0000,01500ACTIVITIES 48665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48665,A000000,01600,0000,01600SKILLED NURSING FACILITY 48665,A000000,01800,0000,01800NURSING FACILITY 48665,A000000,01900,0000,01900OTHER LONG TERM CARE 48665,A000000,02100,0000,02100RADIOLOGY 48665,A000000,02200,0000,02200LABORATORY 48665,A000000,02300,0000,02300INTRAVENOUS THERAPY 48665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48665,A000000,02500,0000,02500PHYSICAL THERAPY 48665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48665,A000000,02700,0000,02700SPEECH PATHOLOGY 48665,A000000,02800,0000,02800ELECTROCARDIOLOGY 48665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48665,A000000,03050,0000,03300OTHER ANCILLARY 48665,A000000,03051,0000,03301OTHER ANCILLARY II 48665,A000000,03052,0000,03302OTHER ANCILLARY III 48665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48665,A000000,03200,0000,03200SUPPORT SURFACES 48665,A000000,03400,0000,03400CLINIC 48665,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48665,A000000,03500,0000,03500RURAL HEALTH CLINIC 48665,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48665,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48665,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48665,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48665,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48665,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48665,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48665,A000000,04400,0000,04400DME RENTED - HHA 48665,A000000,04500,0000,04500DME SOLD - HHA 48665,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48665,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48665,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48665,A000000,05000,0000,05000CORF 48665,A000000,05010,0000,05010CMHC I 48665,A000000,05020,0000,05020OPT I 48665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48665,A000000,05300,0000,05300INTEREST EXPENSE 48665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48665,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48665,A000000,05500,0000,05500HOSPICE 48665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48665,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48665,A000000,06100,0000,06100NONPAID WORKERS 48665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48665,A000000,06200,0000,06200PATIENTS LAUNDRY 48665,A81000A,00100,0100,Y 48665,A81000B,00100,0300,HOME OFFICE COSTS 48665,A81000B,00200,0300,BUILDING LEASE 48665,A81000C,00100,0100,B 48665,A81000C,00100,0200,FRANCISCAN HEAL 48665,A81000C,00100,0400,FRAN SISTER POR 48665,A81000C,00100,0600,HOME OFFICE 48665,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48665,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48665,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48665,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48665,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48665,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48665,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48665,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48665,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48665,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48665,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48665,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48665,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48665,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48665,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48665,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 48665,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48665,S000000,00100,0200,09/30/1999 48665,S200000,00100,0100,100 COMPTON ROAD 48665,S200000,00200,0100,CINCINNATI 48665,S200000,00200,0200,OH 48665,S200000,00200,0300,45215- 48665,S200000,00300,0100,HAMILTON 48665,S200000,00400,0100,THE FRANCISCAN AT ST. CLARE 48665,S200000,00400,0200,365909 48665,S200000,00400,0300,02/19/1993 48665,S200000,00400,0500,P 48665,S200000,01005,0500,O 48665,S200000,01600,0100,Y 48665,S200000,02200,0100,Y 48665,S200000,03100,0100,Y 48665,S200000,04300,0100,Y 48665,S700003,00000,0100,1 48674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48674,A000000,00300,0000,00300EMPLOYEE BENEFITS 48674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48674,A000000,00700,0000,00700HOUSEKEEPING 48674,A000000,00800,0000,00800DIETARY 48674,A000000,00900,0000,00900NURSING ADMINISTRATION 48674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48674,A000000,01100,0000,01100PHARMACY 48674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48674,A000000,01300,0000,01300SOCIAL SERVICE 48674,A000000,01600,0000,01600SKILLED NURSING FACILITY 48674,A000000,02100,0000,02100RADIOLOGY 48674,A000000,02200,0000,02200LABORATORY 48674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48674,A000000,02500,0000,02500PHYSICAL THERAPY 48674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48674,A000000,02700,0000,02700SPEECH PATHOLOGY 48674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48674,A000000,04800,0000,04800AMBULANCE 48674,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48674,A000000,05300,0000,05300INTEREST EXPENSE 48674,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48674,A000000,05500,0000,05500HOSPICE 48674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48674,A81000A,00100,0100,Y 48674,A81000B,00100,0300,HQ ADMINISTRATIVE EXPENSE 48674,A81000B,00200,0300,HQ ADMINISTRATIVE EXPENSE 48674,A81000C,00100,0100,G 48674,A81000C,00100,0200,LEVERING MGMT 48674,A81000C,00100,0400,LEVERING MGMT 48674,A81000C,00100,0600,MANAGEMENT 48674,A81000C,03100,0000,MANAGEMENT 48674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48674,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48674,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 48674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48674,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48674,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 48674,B100000,00000,0850,00000PATIENT DAYS :DIETARY 48674,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48674,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48674,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 48674,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48674,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48674,S000000,00100,0200,06/01/2000 48674,S200000,00100,0100,70 WINCHESTER DRIVE 48674,S200000,00200,0100,MANSFIELD 48674,S200000,00200,0200,OH 48674,S200000,00200,0300,44907- 48674,S200000,00300,0100,RICHLAND 48674,S200000,00400,0100,WINCHESTER TERRACE 48674,S200000,00400,0200,365911 48674,S200000,00400,0300,04/01/1992 48674,S200000,00400,0500,P 48674,S200000,01500,0100,Y 48674,S200000,02200,0100,Y 48674,S700003,00000,0100,1 48683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48683,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48683,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48683,A000000,00300,0000,00300EMPLOYEE BENEFITS 48683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48683,A000000,00700,0000,00700HOUSEKEEPING 48683,A000000,00800,0000,00800DIETARY 48683,A000000,00801,0000,00801CAFETERIA 48683,A000000,00900,0000,00900NURSING ADMINISTRATION 48683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48683,A000000,01100,0000,01100PHARMACY 48683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48683,A000000,01300,0000,01300SOCIAL SERVICE 48683,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48683,A000000,01600,0000,01600SKILLED NURSING FACILITY 48683,A000000,01800,0000,01800NURSING FACILITY 48683,A000000,01900,0000,01900OTHER LONG TERM CARE 48683,A000000,02100,0000,02100RADIOLOGY 48683,A000000,02200,0000,02200LABORATORY 48683,A000000,02300,0000,02300INTRAVENOUS THERAPY 48683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48683,A000000,02500,0000,02500PHYSICAL THERAPY 48683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48683,A000000,02700,0000,02700SPEECH PATHOLOGY 48683,A000000,02800,0000,02800ELECTROCARDIOLOGY 48683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48683,A000000,03050,0000,03300OTHER ANCILLARY 48683,A000000,03051,0000,03301OTHER ANCILLARY II 48683,A000000,03052,0000,03302OTHER ANCILLARY III 48683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48683,A000000,03200,0000,03200SUPPORT SURFACES 48683,A000000,03400,0000,03400CLINIC 48683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48683,A000000,03500,0000,03500RURAL HEALTH CLINIC 48683,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48683,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48683,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48683,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48683,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48683,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48683,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48683,A000000,04400,0000,04400DME RENTED - HHA 48683,A000000,04500,0000,04500DME SOLD - HHA 48683,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48683,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48683,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48683,A000000,04800,0000,04800AMBULANCE 48683,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48683,A000000,05000,0000,05000CORF 48683,A000000,05010,0000,05010CMHC I 48683,A000000,05020,0000,05020OPT I 48683,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48683,A000000,05300,0000,05300INTEREST EXPENSE 48683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48683,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48683,A000000,05500,0000,05500HOSPICE 48683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48683,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48683,A000000,06100,0000,06100NONPAID WORKERS 48683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48683,A000000,06200,0000,06200PATIENTS LAUNDRY 48683,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48683,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48683,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48683,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48683,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48683,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48683,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48683,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48683,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 48683,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48683,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48683,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 48683,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48683,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48683,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48683,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48683,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48683,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48683,S000000,00100,0200,07/06/2000 48683,S200000,00100,0100,250 PARK DRIVE 48683,S200000,00200,0100,DAYTON 48683,S200000,00200,0200,OH 48683,S200000,00200,0300,45410- 48683,S200000,00300,0100,MONTGOMERY 48683,S200000,00400,0100,CRYSTAL CARE CENTER OF DAYTON 48683,S200000,00400,0200,365913 48683,S200000,00400,0300,08/01/1997 48683,S200000,00400,0500,P 48683,S200000,00600,0200,365913 48683,S200000,00600,0300,08/01/1997 48683,S200000,01004,0500,O 48683,S200000,01600,0100,Y 48696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48696,A000000,00300,0000,00300EMPLOYEE BENEFITS 48696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48696,A000000,00700,0000,00700HOUSEKEEPING 48696,A000000,00800,0000,00800DIETARY 48696,A000000,00900,0000,00900NURSING ADMINISTRATION 48696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48696,A000000,01100,0000,01100PHARMACY 48696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48696,A000000,01300,0000,01300SOCIAL SERVICE 48696,A000000,01350,0000,01500ACTIVITIES 48696,A000000,01600,0000,01600SKILLED NURSING FACILITY 48696,A000000,01800,0000,01800NURSING FACILITY 48696,A000000,01900,0000,01900OTHER LONG TERM CARE 48696,A000000,02100,0000,02100RADIOLOGY 48696,A000000,02200,0000,02200LABORATORY 48696,A000000,02300,0000,02300INTRAVENOUS THERAPY 48696,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48696,A000000,02500,0000,02500PHYSICAL THERAPY 48696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48696,A000000,02700,0000,02700SPEECH PATHOLOGY 48696,A000000,02800,0000,02800ELECTROCARDIOLOGY 48696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48696,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48696,A000000,03400,0000,03400CLINIC 48696,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48696,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48696,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48696,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48696,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48696,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48696,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48696,A000000,04400,0000,04400DME RENTED - HHA 48696,A000000,04500,0000,04500DME SOLD - HHA 48696,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48696,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48696,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48696,A000000,05000,0000,05000CORF 48696,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48696,A000000,05300,0000,05300INTEREST EXPENSE 48696,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48696,A000000,05500,0000,05500HOSPICE 48696,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48696,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48696,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48696,A000000,06100,0000,06100NONPAID WORKERS 48696,A000000,06150,0000,06300ASSISTED AND INDEPENDENT LIVING 48696,A000000,06151,0000,06301WELLNESS CLINIC 48696,A000000,06200,0000,06200PATIENTS LAUNDRY 48696,A81000A,00100,0100,Y 48696,A81000B,00100,0300,CHP INTEREST 48696,A81000B,00200,0300,CHP-OPER COST 48696,A81000B,00300,0300,CHP-CAPITAL BLDG 48696,A81000B,00400,0300,CHP-CAPITAL M.E. 48696,A81000B,00500,0300,MWO REGION-OPER 48696,A81000B,00600,0300,MWO REGION-CAP 48696,A81000B,00700,0300,MWO REGION-CAP 48696,A81000C,00100,0100,A 48696,A81000C,00100,0200,REGIONAL OFFICE 48696,A81000C,00100,0400,MHS 48696,A81000C,00100,0600,HEALTH CARE 48696,A81000C,00200,0100,A 48696,A81000C,00200,0200,HOME OFFICE 48696,A81000C,00200,0400,MHS 48696,A81000C,00200,0600,HEALTH CARE 48696,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 48696,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 48696,B100000,00000,0300,00001GROSS SAL :EMPLOYEE BENEFITS 48696,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 48696,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 48696,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 48696,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 48696,B100000,00000,0800,00001MEALS SERVED :DIETARY 48696,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 48696,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 48696,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 48696,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 48696,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 48696,E10A180,00601,0100,08/31/2001 48696,E10A180,00601,0300,08/31/2001 48696,S000000,00100,0200,05/30/2000 48696,S200000,00100,0100,1500 VILLA ROAD 48696,S200000,00200,0100,SPRINGFIELD 48696,S200000,00200,0200,OH 48696,S200000,00200,0300,45503- 48696,S200000,00300,0100,CLARK 48696,S200000,00300,0200,2000 48696,S200000,00300,0300,U 48696,S200000,00400,0100,OAKWOOD VILLAGE 48696,S200000,00400,0200,365917 48696,S200000,00400,0300,05/26/1993 48696,S200000,00400,0500,P 48696,S200000,00400,0600,P 48696,S200000,01500,0100,Y 48696,S200000,02800,0100,Y 48704,S000000,00100,0200,05/31/2000 48711,S000000,00100,0200,05/11/2000 48722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48722,A000000,00300,0000,00300EMPLOYEE BENEFITS 48722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48722,A000000,00700,0000,00700HOUSEKEEPING 48722,A000000,00800,0000,00800DIETARY 48722,A000000,00900,0000,00900NURSING ADMINISTRATION 48722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48722,A000000,01100,0000,01100PHARMACY 48722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48722,A000000,01300,0000,01300SOCIAL SERVICE 48722,A000000,01600,0000,01600SKILLED NURSING FACILITY 48722,A000000,01800,0000,01800NURSING FACILITY 48722,A000000,01900,0000,01900OTHER LONG TERM CARE 48722,A000000,02100,0000,02100RADIOLOGY 48722,A000000,02200,0000,02200LABORATORY 48722,A000000,02300,0000,02300INTRAVENOUS THERAPY 48722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48722,A000000,02500,0000,02500PHYSICAL THERAPY 48722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48722,A000000,02700,0000,02700SPEECH PATHOLOGY 48722,A000000,02800,0000,02800ELECTROCARDIOLOGY 48722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48722,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48722,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48722,A000000,03200,0000,03200SUPPORT SURFACES 48722,A000000,04800,0000,04800AMBULANCE 48722,A000000,05300,0000,05300INTEREST EXPENSE 48722,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48722,A000000,05500,0000,05500HOSPICE 48722,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48722,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48722,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48722,A000000,06200,0000,06200PATIENTS LAUNDRY 48722,A81000A,00100,0100,Y 48722,A81000B,00100,0300,BUILDING DEPRECIATION & INTEREST 48722,A81000B,00200,0300,EQUIPMENT DEPRECIATION 48722,A81000B,00300,0300,ADMISTRATIVE & GENERAL 48722,A81000B,00400,0300,PERSONAL PROPERTY TAX 48722,A81000B,00500,0300,HOME OFFICE COST 48722,A81000B,00600,0300,HOME OFFICE COST 48722,A81000B,00700,0300,HOME OFFICE COST 48722,A81000B,00800,0300,HOME OFFICE COST 48722,A81000B,00900,0300,HOME OFFICE COST 48722,A81000B,01000,0300,HOME OFFICE COST 48722,A81000C,00100,0100,A 48722,A81000C,00100,0200,DONEL SPRENGER 48722,A81000C,00100,0400,AMHERST MANOR CO 48722,A81000C,00100,0600,REALTY COMPANY 48722,A81000C,00200,0100,A 48722,A81000C,00200,0200,DONEL SPRENGER 48722,A81000C,00200,0400,SPRENGER ENTERPRISES 48722,A81000C,00200,0600,HOME OFFICE 48722,A81000C,00300,0100,A 48722,A81000C,00300,0200,TONY SPRENGER 48722,A81000C,00300,0400,AMHERST MANOR CO 48722,A81000C,00300,0600,REALTY COMPANY 48722,A81000C,00400,0100,A 48722,A81000C,00400,0200,TONY SPRENGER 48722,A81000C,00400,0400,SPRENGER ENTERPRISES 48722,A81000C,00400,0600,HOME OFFICE 48722,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48722,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48722,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48722,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48722,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48722,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48722,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48722,B100000,00000,0800,00000MEALS SERVED :DIETARY 48722,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 48722,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48722,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48722,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48722,E10A180,00501,0300,12/12/2000 48722,S000000,00100,0200,12/01/2000 48722,S200000,00100,0100,175 NORTH LAKE STREET 48722,S200000,00200,0100,AMHERST 48722,S200000,00200,0200,OH 48722,S200000,00200,0300,44001- 48722,S200000,00300,0100,LORAIN 48722,S200000,00300,0200,1680 48722,S200000,00300,0300,U 48722,S200000,00400,0100,AMHERST MANOR INC. 48722,S200000,00400,0200,365924 48722,S200000,00400,0300,07/01/1993 48722,S200000,00400,0500,P 48722,S200000,01500,0100,Y 48722,S200000,04300,0100,Y 48722,S200000,04700,0100,Y 48722,S200000,04700,0200,Y 48731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48731,A000000,00300,0000,00300EMPLOYEE BENEFITS 48731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48731,A000000,00700,0000,00700HOUSEKEEPING 48731,A000000,00800,0000,00800DIETARY 48731,A000000,00900,0000,00900NURSING ADMINISTRATION 48731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48731,A000000,01100,0000,01100PHARMACY 48731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48731,A000000,01300,0000,01300SOCIAL SERVICE 48731,A000000,01600,0000,01600SKILLED NURSING FACILITY 48731,A000000,01800,0000,01800NURSING FACILITY 48731,A000000,01900,0000,01900OTHER LONG TERM CARE 48731,A000000,02100,0000,02100RADIOLOGY 48731,A000000,02200,0000,02200LABORATORY 48731,A000000,02300,0000,02300INTRAVENOUS THERAPY 48731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48731,A000000,02500,0000,02500PHYSICAL THERAPY 48731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48731,A000000,02700,0000,02700SPEECH PATHOLOGY 48731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48731,A000000,03200,0000,03200SUPPORT SURFACES 48731,A000000,04800,0000,04800AMBULANCE 48731,A000000,05300,0000,05300INTEREST EXPENSE 48731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48731,A000000,05500,0000,05500HOSPICE 48731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48731,A000000,06151,0000,06301PROMOTION & DEVELOPMENT 48731,A000000,06152,0000,06302CS WAGES & SALARIES 48731,A000000,06153,0000,06303PART B ENTERNAL SUPPLIES 48731,A000000,06155,0000,06305RENTAL PROPERTY EXP 48731,A000000,06200,0000,06200PATIENTS LAUNDRY 48731,B100000,00000,0100,00005SQUARE FEET :CAP REL COSTS - BLDGS 48731,B100000,00000,0250,00005SQUARE FEET :CAP REL COSTS - MOVAB 48731,B100000,00000,0300,00005GROSS SALARIES :EMPLOYEE BENEFITS 48731,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 48731,B100000,00000,0500,00005SQUARE FEET :PLANT OPERATION MAIN 48731,B100000,00000,0650,00005INPATIENT DAYS :LAUNDRY & LINEN SE 48731,B100000,00000,0750,00005SQUARE FEET :HOUSEKEEPING 48731,B100000,00000,0800,00005MEALS SERVED :DIETARY 48731,B100000,00000,0950,00005INPATIENT DAYS :NURSING ADMINISTRA 48731,B100000,00000,1050,00005INPATIENT DAYS :CENTRAL SERVICES & 48731,B100000,00000,1150,00005INPATIENT DAYS :PHARMACY 48731,B100000,00000,1250,00005INPATIENT DAYS :MEDICAL RECORDS & 48731,B100000,00000,1330,00005INPATIENT DAYS :SOCIAL SERVICE 48731,S000000,00100,0200,06/01/2000 48731,S200000,00100,0100,315 LILENTHAL STREET 48731,S200000,00200,0100,CINCINNATI 48731,S200000,00200,0200,OH 48731,S200000,00200,0300,44204- 48731,S200000,00300,0100,HAMILTON 48731,S200000,00400,0100,WESLEY HALL 48731,S200000,00400,0200,365925 48731,S200000,00400,0300,06/28/1993 48731,S200000,00400,0500,P 48731,S200000,01004,0500,O 48731,S200000,01600,0100,Y 48731,S200000,04300,0100,Y 48731,S700003,00000,0100,1 48740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48740,A000000,00300,0000,00300EMPLOYEE BENEFITS 48740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48740,A000000,00700,0000,00700HOUSEKEEPING 48740,A000000,00800,0000,00800DIETARY 48740,A000000,00900,0000,00900NURSING ADMINISTRATION 48740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48740,A000000,01100,0000,01100PHARMACY 48740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48740,A000000,01300,0000,01300SOCIAL SERVICE 48740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48740,A000000,01600,0000,01600SKILLED NURSING FACILITY 48740,A000000,01800,0000,01800NURSING FACILITY 48740,A000000,01900,0000,01900OTHER LONG TERM CARE 48740,A000000,02100,0000,02100RADIOLOGY 48740,A000000,02200,0000,02200LABORATORY 48740,A000000,02300,0000,02300INTRAVENOUS THERAPY 48740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48740,A000000,02500,0000,02500PHYSICAL THERAPY 48740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48740,A000000,02700,0000,02700SPEECH PATHOLOGY 48740,A000000,02800,0000,02800ELECTROCARDIOLOGY 48740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48740,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 48740,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48740,A000000,03200,0000,03200SUPPORT SURFACES 48740,A000000,03400,0000,03400CLINIC 48740,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 48740,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48740,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48740,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48740,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48740,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48740,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48740,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48740,A000000,04400,0000,04400DME RENTED - HHA 48740,A000000,04500,0000,04500DME SOLD - HHA 48740,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48740,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48740,A000000,04800,0000,04800AMBULANCE 48740,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48740,A000000,05000,0000,05000CORF 48740,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48740,A000000,05300,0000,05300INTEREST EXPENSE 48740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48740,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48740,A000000,05500,0000,05500HOSPICE 48740,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48740,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48740,A000000,06100,0000,06100NONPAID WORKERS 48740,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 48740,A000000,06200,0000,06200PATIENTS LAUNDRY 48740,A81000A,00100,0100,Y 48740,A81000B,00100,0300,INTEREST EXPENSE 48740,A81000B,00200,0300,AMORT. OF FINANCING COST 48740,A81000B,00300,0300,ADMIN. SALARIES 48740,A81000C,00100,0100,A 48740,A81000C,00100,0200,DAVID ORLEAN 48740,A81000C,00100,0400,DELTA MORTGAGE 48740,A81000C,00100,0600,MORTGAGE COMPAN 48740,A81000C,00200,0100,A 48740,A81000C,00200,0200,DAVID ORLEAN 48740,A81000C,00200,0400,ABC REALTY 48740,A81000C,00200,0600,MANAGEMENT CO. 48740,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48740,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48740,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48740,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48740,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48740,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48740,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 48740,B100000,00000,0800,00000MEALS SERVED :DIETARY 48740,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 48740,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 48740,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 48740,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48740,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48740,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48740,S000000,00100,0200,06/02/2000 48740,S200000,00100,0100,22709 LAKE ROAD 48740,S200000,00200,0100,ROCKY RIVER 48740,S200000,00200,0200,OH 48740,S200000,00200,0300,44116- 48740,S200000,00300,0100,CUYAHOGA 48740,S200000,00400,0100,NORMANDY MANOR OF ROCKY RIVER 48740,S200000,00400,0200,365926 48740,S200000,00400,0300,06/25/1993 48740,S200000,00400,0500,P 48740,S200000,01600,0100,Y 48740,S200000,04300,0100,Y 48751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48751,A000000,00300,0000,00300EMPLOYEE BENEFITS 48751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48751,A000000,00700,0000,00700HOUSEKEEPING 48751,A000000,00800,0000,00800DIETARY 48751,A000000,00900,0000,00900NURSING ADMINISTRATION 48751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48751,A000000,01100,0000,01100PHARMACY 48751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48751,A000000,01300,0000,01300SOCIAL SERVICE 48751,A000000,01350,0000,01500OTHER GENERAL SERVICES 48751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48751,A000000,01600,0000,01600SKILLED NURSING FACILITY 48751,A000000,01800,0000,01800NURSING FACILITY 48751,A000000,01810,0000,01810ICF/MR 48751,A000000,01900,0000,01900OTHER LONG TERM CARE 48751,A000000,02100,0000,02100RADIOLOGY 48751,A000000,02200,0000,02200LABORATORY 48751,A000000,02300,0000,02300INTRAVENOUS THERAPY 48751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48751,A000000,02500,0000,02500PHYSICAL THERAPY 48751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48751,A000000,02700,0000,02700SPEECH PATHOLOGY 48751,A000000,02800,0000,02800ELECTROCARDIOLOGY 48751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48751,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48751,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48751,A000000,03200,0000,03200SUPPORT SURFACES 48751,A000000,03400,0000,03400CLINIC 48751,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48751,A000000,03500,0000,03500RURAL HEALTH CLINIC 48751,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48751,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48751,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48751,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48751,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48751,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48751,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48751,A000000,04400,0000,04400DME RENTED - HHA 48751,A000000,04500,0000,04500DME SOLD - HHA 48751,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48751,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48751,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48751,A000000,04800,0000,04800AMBULANCE 48751,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48751,A000000,05000,0000,05000CORF 48751,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48751,A000000,05300,0000,05300INTEREST EXPENSE 48751,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48751,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48751,A000000,05500,0000,05500HOSPICE 48751,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48751,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48751,A000000,06100,0000,06100NONPAID WORKERS 48751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48751,A000000,06200,0000,06200PATIENTS LAUNDRY 48751,A81000A,00100,0100,Y 48751,A81000B,00100,0300,RENT 48751,A81000B,00200,0300,DEPRECIATION BUILDINGS 48751,A81000B,00300,0300,DEPRECIATION EQUIPMENT 48751,A81000B,00400,0300,ADMINISTRATOR SALARY 48751,A81000C,00100,0100,B 48751,A81000C,00100,0200,MAJOR SUPERIOR 48751,A81000C,00100,0400,SISTERS OF CHARITY 48751,A81000C,00100,0600,RELIGIOUS ORGANIZATION 48751,A81000C,00200,0100,B 48751,A81000C,00200,0200,CSA HEALTH SYSTEMS 48751,A81000C,00200,0400,SISTERS OF CHARITY 48751,A81000C,00200,0600,RELIGIOUS ORGANIZATION 48751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48751,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48751,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48751,B100000,00000,0800,00000MEALS SERVED :DIETARY 48751,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 48751,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48751,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48751,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48751,S000000,00100,0200,12/04/2000 48751,S200000,00100,0100,5232 BROADVIEW ROAD 48751,S200000,00200,0100,RICHFIELD 48751,S200000,00200,0200,OH 48751,S200000,00200,0300,44286-9608 48751,S200000,00300,0100,SUMMIT 48751,S200000,00300,0200,0080 48751,S200000,00300,0300,U 48751,S200000,00400,0100,REGINA HEALTH CENTER INC. 48751,S200000,00400,0200,365927 48751,S200000,00400,0300,08/12/1993 48751,S200000,00400,0500,P 48751,S200000,01500,0100,Y 48751,S200000,01900,0100,RELIGIOUS ORGANIZATI 48751,S200000,04300,0100,Y 48758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48758,A000000,00300,0000,00300EMPLOYEE BENEFITS 48758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48758,A000000,00700,0000,00700HOUSEKEEPING 48758,A000000,00800,0000,00800DIETARY 48758,A000000,00900,0000,00900NURSING ADMINISTRATION 48758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48758,A000000,01300,0000,01300SOCIAL SERVICE 48758,A000000,01350,0000,01500ACTIVITIES 48758,A000000,01600,0000,01600SKILLED NURSING FACILITY 48758,A000000,01800,0000,01800NURSING FACILITY 48758,A000000,02500,0000,02500PHYSICAL THERAPY 48758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48758,A000000,02700,0000,02700SPEECH PATHOLOGY 48758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48758,A000000,03200,0000,03200SUPPORT SURFACES 48758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48758,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48758,A81000A,00100,0100,Y 48758,A81000B,00100,0300,RENT EXPENSE 48758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48758,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48758,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48758,B100000,00000,0800,00000MEALS SERVED :DIETARY 48758,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 48758,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48758,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48758,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48758,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48758,E10A180,00301,0100,11/23/1998 48758,S000000,00100,0200,07/07/1999 48758,S200000,00100,0100,1771 PALMER ROAD 48758,S200000,00200,0100,WASHINGTON CT HOUSE 48758,S200000,00200,0200,OH 48758,S200000,00200,0300,43160- 48758,S200000,00300,0100,FAYETTE 48758,S200000,00400,0100,WASHINGTON CARE CENTER 48758,S200000,00400,0200,365928 48758,S200000,00400,0300,06/11/1993 48758,S200000,00400,0500,P 48758,S200000,01600,0100,Y 48758,S700003,00000,0100,1 48760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48760,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48760,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48760,A000000,00300,0000,00300EMPLOYEE BENEFITS 48760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48760,A000000,00700,0000,00700HOUSEKEEPING 48760,A000000,00800,0000,00800DIETARY 48760,A000000,00801,0000,00801CAFETERIA 48760,A000000,00900,0000,00900NURSING ADMINISTRATION 48760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48760,A000000,01100,0000,01100PHARMACY 48760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48760,A000000,01300,0000,01300SOCIAL SERVICE 48760,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48760,A000000,01600,0000,01600SKILLED NURSING FACILITY 48760,A000000,01800,0000,01800NURSING FACILITY 48760,A000000,01900,0000,01900OTHER LONG TERM CARE 48760,A000000,02100,0000,02100RADIOLOGY 48760,A000000,02200,0000,02200LABORATORY 48760,A000000,02300,0000,02300INTRAVENOUS THERAPY 48760,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48760,A000000,02500,0000,02500PHYSICAL THERAPY 48760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48760,A000000,02700,0000,02700SPEECH PATHOLOGY 48760,A000000,02800,0000,02800ELECTROCARDIOLOGY 48760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48760,A000000,03050,0000,03300OTHER ANCILLARY 48760,A000000,03051,0000,03301OTHER ANCILLARY II 48760,A000000,03052,0000,03302OTHER ANCILLARY III 48760,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48760,A000000,03200,0000,03200SUPPORT SURFACES 48760,A000000,03400,0000,03400CLINIC 48760,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48760,A000000,03500,0000,03500RURAL HEALTH CLINIC 48760,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48760,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48760,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48760,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48760,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48760,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48760,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48760,A000000,04400,0000,04400DME RENTED - HHA 48760,A000000,04500,0000,04500DME SOLD - HHA 48760,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48760,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48760,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48760,A000000,04800,0000,04800AMBULANCE 48760,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48760,A000000,05000,0000,05000CORF 48760,A000000,05010,0000,05010CMHC I 48760,A000000,05020,0000,05020OPT I 48760,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48760,A000000,05300,0000,05300INTEREST EXPENSE 48760,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48760,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48760,A000000,05500,0000,05500HOSPICE 48760,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48760,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48760,A000000,06100,0000,06100NONPAID WORKERS 48760,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48760,A000000,06200,0000,06200PATIENTS LAUNDRY 48760,A81000A,00100,0100,Y 48760,A81000B,00100,0300,H/O NURSING 48760,A81000B,00200,0300,H/O A & G 48760,A81000B,00300,0300,H/O 48760,A81000B,00400,0300,H/O RENT 48760,A81000B,00500,0300,H/O NON REIMBURSABLES 48760,A81000B,00600,0300,H/O THERAPIES 48760,A81000C,00100,0100,A 48760,A81000C,00100,0200,GLYNDON POWELL 48760,A81000C,00100,0400,CHSHO INC. 48760,A81000C,00100,0600,HOME OFFICE 48760,A81000C,00200,0100,A 48760,A81000C,00200,0200,ED BYINGTON 48760,A81000C,00200,0400,CHSHO INC. 48760,A81000C,00200,0600,HOME OFFICE 48760,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48760,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48760,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48760,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48760,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48760,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48760,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48760,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48760,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48760,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48760,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48760,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 48760,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48760,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 48760,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48760,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48760,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 48760,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48760,S000000,00100,0200,06/01/2000 48760,S200000,00100,0100,1771 PALMER RD NW 48760,S200000,00200,0100,WASHINGTON CH 48760,S200000,00200,0200,OH 48760,S200000,00200,0300,43160- 48760,S200000,00300,0100,FAYETTE 48760,S200000,00400,0100,WASHINGTON CARE INC 48760,S200000,00400,0200,365928 48760,S200000,00400,0300,06/11/1993 48760,S200000,00400,0500,P 48760,S200000,01500,0100,Y 48760,S200000,02800,0100,Y 48771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48771,A000000,00300,0000,00300EMPLOYEE BENEFITS 48771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48771,A000000,00700,0000,00700HOUSEKEEPING 48771,A000000,00800,0000,00800DIETARY 48771,A000000,00900,0000,00900NURSING ADMINISTRATION 48771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48771,A000000,01300,0000,01300SOCIAL SERVICE 48771,A000000,01301,0000,01301ACTIVITIES 48771,A000000,01350,0000,01500REHAB 48771,A000000,01600,0000,01600SKILLED NURSING FACILITY 48771,A000000,01800,0000,01800NURSING FACILITY 48771,A000000,01900,0000,01900OTHER LONG TERM CARE 48771,A000000,02100,0000,02100RADIOLOGY 48771,A000000,02200,0000,02200LABORATORY 48771,A000000,02300,0000,02300INTRAVENOUS THERAPY 48771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48771,A000000,02500,0000,02500PHYSICAL THERAPY 48771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48771,A000000,02700,0000,02700SPEECH PATHOLOGY 48771,A000000,02800,0000,02800ELECTROCARDIOLOGY 48771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48771,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 48771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48771,A000000,03200,0000,03200SUPPORT SURFACES 48771,A000000,03400,0000,03400CLINIC 48771,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 48771,A000000,04800,0000,04800AMBULANCE 48771,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48771,A000000,05000,0000,05000CORF 48771,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48771,A000000,05300,0000,05300INTEREST EXPENSE 48771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48771,A000000,05500,0000,05500HOSPICE 48771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48771,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48771,A000000,06100,0000,06100NONPAID WORKERS 48771,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 48771,A000000,06200,0000,06200PATIENTS LAUNDRY 48771,A81000A,00100,0100,Y 48771,A81000B,00100,0300,HOME OFFICE COST 48771,A81000B,00200,0300,ADMIN 48771,A81000B,00300,0300,PLANT 48771,A81000B,00400,0300,DIETARY 48771,A81000B,00500,0300,PT 48771,A81000B,00600,0300,OT 48771,A81000B,00700,0300,ST 48771,A81000C,00100,0100,B 48771,A81000C,00100,0200,ROSEGATE HCC 48771,A81000C,00100,0400,MARINER POST-AC 48771,A81000C,00100,0600,NURSING HOMES 48771,A81000C,00200,0100,G 48771,A81000C,00200,0200,MARINER POST-AC 48771,A81000C,00200,0400,AMERICAN PHARMA 48771,A81000C,00200,0600,PHARMACEUTICALS 48771,A81000C,00300,0100,G 48771,A81000C,00300,0200,MARINER POST-AC 48771,A81000C,00300,0400,PRISM (ATS ARS 48771,A81000C,00300,0600,THERAPIES 48771,A81000C,03100,0000,MARINER POST-ACUTE NETWORK 48771,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48771,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48771,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48771,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48771,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48771,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 48771,B100000,00000,0800,00000MEALS SERVED :DIETARY 48771,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 48771,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48771,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48771,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48771,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 48771,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 48771,S000000,00100,0200,06/01/2000 48771,S200000,00100,0100,1850 CROWN PARK COURT 48771,S200000,00200,0100,COLUMBUS 48771,S200000,00200,0200,OH 48771,S200000,00200,0300,43235- 48771,S200000,00300,0100,FRANKLIN 48771,S200000,00400,0100,ROSEGATE HEALTHCARE CENTER 48771,S200000,00400,0200,365929 48771,S200000,00400,0300,09/02/1993 48771,S200000,00400,0500,P 48771,S200000,01600,0100,Y 48771,S200000,04700,0100,Y 48771,S700003,00000,0100,1 48781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48781,A000000,00300,0000,00300EMPLOYEE BENEFITS 48781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48781,A000000,00700,0000,00700HOUSEKEEPING 48781,A000000,00800,0000,00800DIETARY 48781,A000000,00900,0000,00900NURSING ADMINISTRATION 48781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48781,A000000,01100,0000,01100PHARMACY 48781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48781,A000000,01300,0000,01300SOCIAL SERVICE 48781,A000000,01350,0000,01500ACTIVITIES 48781,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48781,A000000,01600,0000,01600SKILLED NURSING FACILITY 48781,A000000,01800,0000,01800NURSING FACILITY 48781,A000000,01810,0000,01801ICF/MR 48781,A000000,01900,0000,01900OTHER LONG TERM CARE 48781,A000000,02100,0000,02100RADIOLOGY 48781,A000000,02200,0000,02200LABORATORY 48781,A000000,02300,0000,02300INTRAVENOUS THERAPY 48781,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48781,A000000,02500,0000,02500PHYSICAL THERAPY 48781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48781,A000000,02700,0000,02700SPEECH PATHOLOGY 48781,A000000,02800,0000,02800ELECTROCARDIOLOGY 48781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48781,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48781,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48781,A000000,03200,0000,03200SUPPORT SURFACES 48781,A000000,03400,0000,03400CLINIC 48781,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48781,A000000,03500,0000,03500RURAL HEALTH CLINIC 48781,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48781,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48781,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48781,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48781,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48781,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48781,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48781,A000000,04400,0000,04400DME RENTED - HHA 48781,A000000,04500,0000,04500DME SOLD - HHA 48781,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48781,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48781,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48781,A000000,04800,0000,04800AMBULANCE 48781,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48781,A000000,05000,0000,05000CORF 48781,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48781,A000000,05300,0000,05300INTEREST EXPENSE 48781,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48781,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48781,A000000,05500,0000,05500HOSPICE 48781,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48781,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48781,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48781,A000000,06100,0000,06100NONPAID WORKERS 48781,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48781,A000000,06200,0000,06200PATIENTS LAUNDRY 48781,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48781,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48781,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48781,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48781,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48781,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48781,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48781,B100000,00000,0800,00000MEALS SERVED :DIETARY 48781,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 48781,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48781,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 48781,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48781,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48781,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48781,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48781,S000000,00100,0200,05/31/2000 48781,S200000,00100,0100,10170 ROAD 5-H 48781,S200000,00200,0100,OTTAWA 48781,S200000,00200,0200,OH 48781,S200000,00200,0300,45875- 48781,S200000,00300,0100,PUTNAM 48781,S200000,00400,0100,PUTNAM ACRES CARE CENTER 48781,S200000,00400,0200,365931 48781,S200000,00400,0300,09/21/1993 48781,S200000,00400,0500,P 48781,S200000,00400,0600,P 48781,S200000,01004,0500,O 48781,S200000,01600,0100,Y 48781,S700003,00000,0100,1 48791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48791,A000000,00300,0000,00300EMPLOYEE BENEFITS 48791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48791,A000000,00700,0000,00700HOUSEKEEPING 48791,A000000,00800,0000,00800DIETARY 48791,A000000,00900,0000,00900NURSING ADMINISTRATION 48791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48791,A000000,01100,0000,01100PHARMACY 48791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48791,A000000,01300,0000,01300SOCIAL SERVICE 48791,A000000,01350,0000,01500OTHER GENERAL SERVICES 48791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48791,A000000,01600,0000,01600SKILLED NURSING FACILITY 48791,A000000,01800,0000,01800NURSING FACILITY 48791,A000000,01810,0000,01801ICF/MR 48791,A000000,01900,0000,01900OTHER LONG TERM CARE 48791,A000000,02100,0000,02100RADIOLOGY 48791,A000000,02200,0000,02200LABORATORY 48791,A000000,02300,0000,02300INTRAVENOUS THERAPY 48791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48791,A000000,02500,0000,02500PHYSICAL THERAPY 48791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48791,A000000,02700,0000,02700SPEECH PATHOLOGY 48791,A000000,02800,0000,02800ELECTROCARDIOLOGY 48791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48791,A000000,03200,0000,03200SUPPORT SURFACES 48791,A000000,03400,0000,03400CLINIC 48791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48791,A000000,03500,0000,03500RURAL HEALTH CLINIC 48791,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48791,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48791,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48791,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48791,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48791,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48791,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48791,A000000,04400,0000,04400DME RENTED - HHA 48791,A000000,04500,0000,04500DME SOLD - HHA 48791,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48791,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48791,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48791,A000000,04800,0000,04800AMBULANCE 48791,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48791,A000000,05000,0000,05000CORF 48791,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48791,A000000,05300,0000,05300INTEREST EXPENSE 48791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48791,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48791,A000000,05500,0000,05500HOSPICE 48791,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48791,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48791,A000000,06100,0000,06100NONPAID WORKERS 48791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48791,A000000,06200,0000,06200PATIENTS LAUNDRY 48791,A81000A,00100,0100,Y 48791,A81000B,00100,0300,HOME OFFICE COSTS - CAPITAL 48791,A81000B,00200,0300,HOME OFFICE COSTS - ADMIN. 48791,A81000B,00300,0300,HOME OFFICE COSTS - DIETARY 48791,A81000B,00400,0300,HOME OFFICE COSTS - CAPITAL 48791,A81000B,00500,0300,HOME OFFICE COSTS - ADMIN. 48791,A81000C,00100,0100,B 48791,A81000C,00100,0200,LTC MANAGEMENT SERVICES 48791,A81000C,00100,0400,LTC MANAGEMENT SERVICES 48791,A81000C,00100,0600,NRSG. HOME MGMT. 48791,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48791,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48791,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48791,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48791,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48791,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48791,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48791,B100000,00000,0800,00000MEALS SERVED :DIETARY 48791,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 48791,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48791,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48791,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48791,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48791,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48791,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48791,E10A180,00501,0300,06/19/2000 48791,S000000,00100,0200,06/05/2000 48791,S200000,00100,0100,10098A BEARCREEK ROAD 48791,S200000,00200,0100,LUCASVILLE 48791,S200000,00200,0200,OH 48791,S200000,00200,0300,45648- 48791,S200000,00300,0100,SCIOTO 48791,S200000,00400,0100,LTC MGMT. OF LUCASVILLE II 48791,S200000,00400,0200,365932 48791,S200000,00400,0300,10/01/1994 48791,S200000,00400,0500,P 48791,S200000,01600,0100,Y 48791,S200000,04300,0100,Y 48801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48801,A000000,00300,0000,00300EMPLOYEE BENEFITS 48801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48801,A000000,00700,0000,00700HOUSEKEEPING 48801,A000000,00800,0000,00800DIETARY 48801,A000000,00900,0000,00900NURSING ADMINISTRATION 48801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48801,A000000,01100,0000,01100PHARMACY 48801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48801,A000000,01300,0000,01300SOCIAL SERVICE 48801,A000000,01350,0000,01500OTHER GENERAL SERVICES 48801,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48801,A000000,01600,0000,01600SKILLED NURSING FACILITY 48801,A000000,01800,0000,01800NURSING FACILITY 48801,A000000,01810,0000,01801ICF/MR 48801,A000000,01900,0000,01900OTHER LONG TERM CARE 48801,A000000,02100,0000,02100RADIOLOGY 48801,A000000,02200,0000,02200LABORATORY 48801,A000000,02300,0000,02300INTRAVENOUS THERAPY 48801,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48801,A000000,02500,0000,02500PHYSICAL THERAPY 48801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48801,A000000,02700,0000,02700SPEECH PATHOLOGY 48801,A000000,02800,0000,02800ELECTROCARDIOLOGY 48801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48801,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48801,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48801,A000000,03200,0000,03200SUPPORT SURFACES 48801,A000000,03400,0000,03400CLINIC 48801,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48801,A000000,03500,0000,03500RURAL HEALTH CLINIC 48801,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48801,A000000,04800,0000,04800AMBULANCE 48801,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48801,A000000,05000,0000,05000CORF 48801,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48801,A000000,05300,0000,05300INTEREST EXPENSE 48801,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48801,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48801,A000000,05500,0000,05500HOSPICE 48801,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48801,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48801,A000000,06100,0000,06100NONPAID WORKERS 48801,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48801,A000000,06200,0000,06200PATIENTS LAUNDRY 48801,A81000A,00100,0100,Y 48801,A81000B,00100,0300,HO COSTS - CAPITAL 48801,A81000B,00200,0300,HO COSTS - ADMINISTRATIVE 48801,A81000B,00300,0300,HO COSTS - DIETARY 48801,A81000B,00400,0300,CAPITAL REL COSTS - BLDG 48801,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 48801,A81000C,00100,0100,B 48801,A81000C,00100,0200,LTC MANAGEMENT SERVICES 48801,A81000C,00100,0400,LTC MANAGEMENT SERVICES 48801,A81000C,00100,0600,NURSING HOME MGT 48801,A81000C,00200,0100,B 48801,A81000C,00200,0200,LTCMANAGEMENT SERVICES 48801,A81000C,00200,0400,LTC MANAGEMENT SERVICES 48801,A81000C,00200,0600,NURSING HOME MGT 48801,A81000C,00300,0100,B 48801,A81000C,00300,0200,LTC MANAGEMENT SERVICES 48801,A81000C,00300,0400,LTC MANAGEMENT SERVICES 48801,A81000C,00300,0600,NURSING HOME MGT 48801,A81000C,00400,0100,A 48801,A81000C,00400,0200,JAMES B RENACCI 48801,A81000C,00400,0400,LTC ASSOCIATES 48801,A81000C,00400,0600,REAL ESTATE 48801,A81000C,00500,0100,A 48801,A81000C,00500,0200,JAMES B RENACCI 48801,A81000C,00500,0400,LTC ASSOCIATES 48801,A81000C,00500,0600,REAL ESTATE 48801,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48801,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48801,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48801,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48801,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48801,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48801,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48801,B100000,00000,0800,00000MEALS SERVED :DIETARY 48801,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48801,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48801,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48801,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48801,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48801,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48801,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48801,S000000,00100,0200,06/05/2000 48801,S200000,00100,0100,140 N STATE STREET 48801,S200000,00200,0100,WESTERVILLE 48801,S200000,00200,0200,OH 48801,S200000,00200,0300,43081- 48801,S200000,00300,0100,FRANKLIN 48801,S200000,00400,0100,LTC MANAGEMENT OF WESTERVILLE 48801,S200000,00400,0200,365933 48801,S200000,00400,0300,03/02/1993 48801,S200000,00400,0500,P 48801,S200000,01600,0100,Y 48801,S200000,04300,0100,Y 48801,S200000,04700,0100,Y 48811,S000000,00100,0200,05/11/2000 48817,S000000,00100,0200,05/11/2000 48827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48827,A000000,00300,0000,00300EMPLOYEE BENEFITS 48827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48827,A000000,00700,0000,00700HOUSEKEEPING 48827,A000000,00800,0000,00800DIETARY 48827,A000000,00900,0000,00900NURSING ADMINISTRATION 48827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48827,A000000,01100,0000,01100PHARMACY 48827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48827,A000000,01300,0000,01300SOCIAL SERVICE 48827,A000000,01350,0000,01500ACTIVITIES 48827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48827,A000000,01600,0000,01600SKILLED NURSING FACILITY 48827,A000000,01800,0000,01800NURSING FACILITY 48827,A000000,01810,0000,01801ICF/MR 48827,A000000,01900,0000,01900OTHER LONG TERM CARE 48827,A000000,02100,0000,02100RADIOLOGY 48827,A000000,02200,0000,02200LABORATORY 48827,A000000,02300,0000,02300INTRAVENOUS THERAPY 48827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48827,A000000,02500,0000,02500PHYSICAL THERAPY 48827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48827,A000000,02700,0000,02700SPEECH PATHOLOGY 48827,A000000,02800,0000,02800ELECTROCARDIOLOGY 48827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48827,A000000,03200,0000,03200SUPPORT SURFACES 48827,A000000,03400,0000,03400CLINIC 48827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48827,A000000,03500,0000,03500RURAL HEALTH CLINIC 48827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48827,A000000,04400,0000,04400DME RENTED - HHA 48827,A000000,04500,0000,04500DME SOLD - HHA 48827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48827,A000000,04800,0000,04800AMBULANCE 48827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48827,A000000,05000,0000,05000CORF 48827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48827,A000000,05300,0000,05300INTEREST EXPENSE 48827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48827,A000000,05500,0000,05500HOSPICE 48827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48827,A000000,06100,0000,06100NONPAID WORKERS 48827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48827,A000000,06200,0000,06200PATIENTS LAUNDRY 48827,A81000A,00100,0100,Y 48827,A81000B,00100,0300,MANAGEMENT 48827,A81000B,00200,0300,CAPITAL MANAGEMENT 48827,A81000C,00100,0100,A 48827,A81000C,00100,0200,JEROME ONEAL 48827,A81000C,00100,0400,PLUS MANAGEMENT 48827,A81000C,00100,0600,MANAGEMENT COMPANY 48827,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48827,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48827,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48827,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48827,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48827,B100000,00000,0600,00000LAUNDRY POUNDAGE :LAUNDRY & LINEN 48827,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48827,B100000,00000,0800,00000MEALS SERVED :DIETARY 48827,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48827,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48827,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48827,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48827,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48827,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48827,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48827,S000000,00100,0200,05/30/2000 48827,S200000,00100,0100,3125 ADA RD 48827,S200000,00200,0100,LIMA 48827,S200000,00200,0200,OH 48827,S200000,00200,0300,45801- 48827,S200000,00300,0100,ALLEN 48827,S200000,00400,0100,PLUS HEALTH CARE CENTER 48827,S200000,00400,0200,365936 48827,S200000,00400,0300,10/01/1993 48827,S200000,00400,0500,P 48827,S200000,01004,0500,O 48827,S200000,01600,0100,Y 48827,S200000,04300,0100,Y 48827,S700003,00000,0100,1 48836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48836,A000000,00300,0000,00300EMPLOYEE BENEFITS 48836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48836,A000000,00700,0000,00700HOUSEKEEPING 48836,A000000,00800,0000,00800DIETARY 48836,A000000,00900,0000,00900NURSING ADMINISTRATION 48836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48836,A000000,01100,0000,01100PHARMACY 48836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48836,A000000,01300,0000,01300SOCIAL SERVICE 48836,A000000,01350,0000,01500OTHER GENERAL SERVICES 48836,A000000,01600,0000,01600SKILLED NURSING FACILITY 48836,A000000,01800,0000,01800NURSING FACILITY 48836,A000000,01900,0000,01900OTHER LONG TERM CARE 48836,A000000,02100,0000,02100RADIOLOGY 48836,A000000,02200,0000,02200LABORATORY 48836,A000000,02300,0000,02300INTRAVENOUS THERAPY 48836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48836,A000000,02500,0000,02500PHYSICAL THERAPY 48836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48836,A000000,02700,0000,02700SPEECH PATHOLOGY 48836,A000000,02800,0000,02800ELECTROCARDIOLOGY 48836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48836,A000000,03400,0000,03400CLINIC 48836,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48836,A000000,05300,0000,05300INTEREST EXPENSE 48836,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48836,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48836,A000000,06100,0000,06100NONPAID WORKERS 48836,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48836,A000000,06200,0000,06200PATIENTS LAUNDRY 48836,A81000A,00100,0100,Y 48836,A81000B,00100,0300,BUILDING RENT 48836,A81000C,00100,0100,B 48836,A81000C,00100,0200,MARJOAN & ASSOCIATES 48836,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48836,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48836,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48836,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48836,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48836,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48836,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48836,B100000,00000,0800,00000MEALS SERVED :DIETARY 48836,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48836,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48836,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48836,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48836,B100000,00000,1330,00000PATIENT DAYST :SOCIAL SERVICE 48836,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48836,E10A180,00550,0300,05/19/2000 48836,S000000,00100,0200,05/23/2000 48836,S200000,00100,0100,15950 PIERCE STREET 48836,S200000,00200,0100,MIDDLEFIELD 48836,S200000,00200,0200,OH 48836,S200000,00200,0300,44062- 48836,S200000,00300,0100,GEAUGA 48836,S200000,00400,0100,BRIAR HILL HEALTH CARE RESIDENC 48836,S200000,00400,0200,365937 48836,S200000,00400,0300,11/01/1993 48836,S200000,00400,0500,P 48836,S200000,01600,0100,Y 48836,S200000,04300,0100,Y 48851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48851,A000000,00300,0000,00300EMPLOYEE BENEFITS 48851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48851,A000000,00700,0000,00700HOUSEKEEPING 48851,A000000,00800,0000,00800DIETARY 48851,A000000,00900,0000,00900NURSING ADMINISTRATION 48851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48851,A000000,01100,0000,01100PHARMACY 48851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48851,A000000,01300,0000,01300SOCIAL SERVICE 48851,A000000,01350,0000,01500OTHER GENERAL SERVICES 48851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48851,A000000,01600,0000,01600SKILLED NURSING FACILITY 48851,A000000,01800,0000,01800NURSING FACILITY 48851,A000000,01900,0000,01900OTHER LONG TERM CARE 48851,A000000,02100,0000,02100RADIOLOGY 48851,A000000,02200,0000,02200LABORATORY 48851,A000000,02300,0000,02300INTRAVENOUS THERAPY 48851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48851,A000000,02500,0000,02500PHYSICAL THERAPY 48851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48851,A000000,02700,0000,02700SPEECH PATHOLOGY 48851,A000000,02800,0000,02800ELECTROCARDIOLOGY 48851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48851,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48851,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48851,A000000,03200,0000,03200SUPPORT SURFACES 48851,A000000,03400,0000,03400CLINIC 48851,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48851,A000000,03500,0000,03500RURAL HEALTH CLINIC 48851,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48851,A000000,04800,0000,04800AMBULANCE 48851,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48851,A000000,05000,0000,05000CORF 48851,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48851,A000000,05300,0000,05300INTEREST EXPENSE 48851,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48851,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48851,A000000,05500,0000,05500HOSPICE 48851,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48851,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48851,A000000,06100,0000,06100NONPAID WORKERS 48851,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48851,A000000,06200,0000,06200PATIENTS LAUNDRY 48851,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48851,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48851,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48851,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48851,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 48851,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48851,B100000,00000,0800,00000MEALS SERVED :DIETARY 48851,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48851,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48851,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 48851,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 48851,S000000,00100,0200,12/03/1999 48851,S200000,00100,0100,405 N PARK AVENUE 48851,S200000,00200,0100,WELLSTON 48851,S200000,00200,0200,OH 48851,S200000,00300,0100,JACKSON 48851,S200000,00300,0200,36 48851,S200000,00300,0300,R 48851,S200000,00400,0100,EDGEWOOD MANOR OF WELLSTON 48851,S200000,00400,0200,365939 48851,S200000,00400,0300,03/01/1993 48851,S200000,00400,0500,P 48851,S200000,01600,0100,Y 48853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48853,A000000,00300,0000,00300EMPLOYEE BENEFITS 48853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48853,A000000,00700,0000,00700HOUSEKEEPING 48853,A000000,00800,0000,00800DIETARY 48853,A000000,00900,0000,00900NURSING ADMINISTRATION 48853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48853,A000000,01100,0000,01100PHARMACY 48853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48853,A000000,01300,0000,01300SOCIAL SERVICE 48853,A000000,01350,0000,01500OTHER GENERAL SERVICES 48853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48853,A000000,01600,0000,01600SKILLED NURSING FACILITY 48853,A000000,01800,0000,01800NURSING FACILITY 48853,A000000,01810,0000,01810ICF/MR 48853,A000000,01900,0000,01900OTHER LONG TERM CARE 48853,A000000,02100,0000,02100RADIOLOGY 48853,A000000,02200,0000,02200LABORATORY 48853,A000000,02300,0000,02300INTRAVENOUS THERAPY 48853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48853,A000000,02500,0000,02500PHYSICAL THERAPY 48853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48853,A000000,02700,0000,02700SPEECH PATHOLOGY 48853,A000000,02800,0000,02800ELECTROCARDIOLOGY 48853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48853,A000000,03200,0000,03200SUPPORT SURFACES 48853,A000000,03400,0000,03400CLINIC 48853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48853,A000000,03500,0000,03500RURAL HEALTH CLINIC 48853,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48853,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48853,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48853,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48853,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48853,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48853,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48853,A000000,04400,0000,04400DME RENTED - HHA 48853,A000000,04500,0000,04500DME SOLD - HHA 48853,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48853,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48853,A000000,04800,0000,04800AMBULANCE 48853,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48853,A000000,05000,0000,05000CORF 48853,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48853,A000000,05300,0000,05300INTEREST EXPENSE 48853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48853,A000000,05500,0000,05500HOSPICE 48853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48853,A000000,06100,0000,06100NONPAID WORKERS 48853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48853,A000000,06200,0000,06200PATIENTS LAUNDRY 48853,A81000A,00100,0100,Y 48853,A81000B,00100,0300,HO COSTS - CAPITAL 48853,A81000B,00200,0300,HO COSTS - ADMINISTRATIVE 48853,A81000B,00300,0300,HO COSTS - DIETARY 48853,A81000B,00400,0300,CAP REL COSTS - BLDGS 48853,A81000B,00500,0300,ADMINISTRATIVE & GENERAL COSTS 48853,A81000C,00100,0100,B 48853,A81000C,00100,0200,LTC MANAGEMENT SERVICES 48853,A81000C,00100,0400,LTC MANAGEMENT SERVICES 48853,A81000C,00100,0600,NURSING HOME MGT 48853,A81000C,00200,0100,B 48853,A81000C,00200,0200,LTC MANAGEMENT SERVICES 48853,A81000C,00200,0400,LTC MANAGEMENT SERVICES 48853,A81000C,00200,0600,NURSING HOME MGT 48853,A81000C,00300,0100,B 48853,A81000C,00300,0200,LTC MANAGEMENT SERVICES 48853,A81000C,00300,0400,LTC MANAGEMENT SERVICES 48853,A81000C,00300,0600,NURSING HOME MGT 48853,A81000C,00400,0100,A 48853,A81000C,00400,0200,JAMES B RENACCI 48853,A81000C,00400,0400,LTC ASSOCIATES 48853,A81000C,00400,0600,REAL ESTATE 48853,A81000C,00500,0100,A 48853,A81000C,00500,0200,JAMES B RENACCI 48853,A81000C,00500,0400,LTC ASSOCIATES 48853,A81000C,00500,0600,REAL ESTATE 48853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48853,B100000,00000,0800,00000MEALS SERVED :DIETARY 48853,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48853,E10A180,00501,0100,07/05/2000 48853,S000000,00100,0200,06/05/2000 48853,S200000,00100,0100,405 N PARK AVENUE 48853,S200000,00200,0100,WELLSTON 48853,S200000,00200,0200,OH 48853,S200000,00200,0300,45692- 48853,S200000,00300,0100,JACKSON 48853,S200000,00300,0200,36 48853,S200000,00300,0300,R 48853,S200000,00400,0100,LTC MANAGEMENT OF WELLSTON 48853,S200000,00400,0200,365939 48853,S200000,00400,0300,03/01/1993 48853,S200000,00400,0500,P 48853,S200000,01600,0100,Y 48853,S200000,04300,0100,Y 48867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48867,A000000,00300,0000,00300EMPLOYEE BENEFITS 48867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48867,A000000,00700,0000,00700HOUSEKEEPING 48867,A000000,00800,0000,00800DIETARY 48867,A000000,00900,0000,00900NURSING ADMINISTRATION 48867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48867,A000000,01100,0000,01100PHARMACY 48867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48867,A000000,01300,0000,01300SOCIAL SERVICE 48867,A000000,01600,0000,01600SKILLED NURSING FACILITY 48867,A000000,01800,0000,01800NURSING FACILITY 48867,A000000,01900,0000,01900OTHER LONG TERM CARE 48867,A000000,02100,0000,02100RADIOLOGY 48867,A000000,02200,0000,02200LABORATORY 48867,A000000,02300,0000,02300INTRAVENOUS THERAPY 48867,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48867,A000000,02500,0000,02500PHYSICAL THERAPY 48867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48867,A000000,02700,0000,02700SPEECH PATHOLOGY 48867,A000000,02800,0000,02800ELECTROCARDIOLOGY 48867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48867,A000000,03050,0000,03300TREATMENT ROOM 48867,A000000,03200,0000,03200SUPPORT SURFACES 48867,A000000,04800,0000,04800AMBULANCE 48867,A000000,05500,0000,05500HOSPICE 48867,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48867,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48867,A000000,06150,0000,06300MARKETING & PROMOTION 48867,A000000,06151,0000,06301ENTERALS & UROLOGICALS 48867,A000000,06200,0000,06200PATIENTS LAUNDRY 48867,A81000A,00100,0100,Y 48867,A81000B,00100,0300,RENT 48867,A81000B,00200,0300,EQUIPMENT COSTS 48867,A81000B,00300,0300,ACCT FEES/CONSULT 48867,A81000B,00400,0300,REPAIRS & MAINTENANCE 48867,A81000B,00500,0300,HOME OFFICE BLDG COST 48867,A81000B,00600,0300,HOME OFFICE MOVEABLE EQUIP 48867,A81000B,00700,0300,HOME OFFICE EMPL. BEN. 48867,A81000B,00800,0300,HOME OFFICE A&G 48867,A81000B,00900,0300,HOME OFFICE PLANT & OPER. 48867,A81000B,01000,0300,HOME OFFICE DIETARY COSTS 48867,A81000C,00100,0100,A 48867,A81000C,00100,0200,A. SPRENGER 48867,A81000C,00100,0400,SPRENGER ENTERPRISES 48867,A81000C,00100,0600,HOME OFFICE 48867,A81000C,00200,0100,A 48867,A81000C,00200,0200,D. SPRENGER 48867,A81000C,00200,0400,SPRENGER ENTERPRISES 48867,A81000C,00200,0600,HOME OFFICE 48867,A81000C,00300,0100,A 48867,A81000C,00300,0200,D. SPRENGER 48867,A81000C,00300,0400,AUTUMN AEGIS RENTAL PROP 48867,A81000C,00300,0600,REALTY CO 48867,A81000C,00400,0100,A 48867,A81000C,00400,0200,A. SPRENGER 48867,A81000C,00400,0400,AUTUMN AEGIS RENTAL PROP 48867,A81000C,00400,0600,REALTY CO 48867,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 48867,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 48867,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 48867,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 48867,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 48867,B100000,00000,0650,00001INPATIENT DAYS :LAUNDRY & LINEN SE 48867,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 48867,B100000,00000,0800,00001MEALS SERVED :DIETARY 48867,B100000,00000,0950,00001INPATIENT DAYS :NURSING ADMINISTRA 48867,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 48867,B100000,00000,1250,00001INPATIENT DAYS :MEDICAL RECORDS & 48867,B100000,00000,1330,00001INPATIENT DAYS :SOCIAL SERVICE 48867,S000000,00100,0200,12/01/2000 48867,S200000,00100,0100,3905 OBERLIN AVENUE 48867,S200000,00200,0100,LORAIN 48867,S200000,00200,0200,OH 48867,S200000,00200,0300,44053- 48867,S200000,00300,0100,LORAIN 48867,S200000,00300,0200,1680 48867,S200000,00300,0300,U 48867,S200000,00400,0100,AUTUMN AEGIS INC. 48867,S200000,00400,0200,365940 48867,S200000,00400,0300,01/01/1994 48867,S200000,00400,0500,P 48867,S200000,01500,0100,Y 48867,S200000,04300,0100,Y 48867,S200000,04700,0100,Y 48874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48874,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48874,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48874,A000000,00300,0000,00300EMPLOYEE BENEFITS 48874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48874,A000000,00700,0000,00700HOUSEKEEPING 48874,A000000,00800,0000,00800DIETARY 48874,A000000,00801,0000,00801CAFETERIA 48874,A000000,00900,0000,00900NURSING ADMINISTRATION 48874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48874,A000000,01100,0000,01100PHARMACY 48874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48874,A000000,01300,0000,01300SOCIAL SERVICE 48874,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48874,A000000,01600,0000,01600SKILLED NURSING FACILITY 48874,A000000,01800,0000,01800NURSING FACILITY 48874,A000000,01900,0000,01900OTHER LONG TERM CARE 48874,A000000,02100,0000,02100RADIOLOGY 48874,A000000,02200,0000,02200LABORATORY 48874,A000000,02300,0000,02300INTRAVENOUS THERAPY 48874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48874,A000000,02500,0000,02500PHYSICAL THERAPY 48874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48874,A000000,02700,0000,02700SPEECH PATHOLOGY 48874,A000000,02800,0000,02800ELECTROCARDIOLOGY 48874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48874,A000000,03050,0000,03300ENTERALS 48874,A000000,03051,0000,03301OTHER ANCILLARY II 48874,A000000,03052,0000,03302OTHER ANCILLARY III 48874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48874,A000000,03200,0000,03200SUPPORT SURFACES 48874,A000000,03400,0000,03400CLINIC 48874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48874,A000000,03500,0000,03500RURAL HEALTH CLINIC 48874,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48874,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48874,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48874,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48874,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48874,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48874,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48874,A000000,04400,0000,04400DME RENTED - HHA 48874,A000000,04500,0000,04500DME SOLD - HHA 48874,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48874,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48874,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48874,A000000,05000,0000,05000CORF 48874,A000000,05010,0000,05010CMHC I 48874,A000000,05020,0000,05020OPT I 48874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48874,A000000,05300,0000,05300INTEREST EXPENSE 48874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48874,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48874,A000000,05500,0000,05500HOSPICE 48874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48874,A000000,06100,0000,06100NONPAID WORKERS 48874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48874,A000000,06200,0000,06200PATIENTS LAUNDRY 48874,A81000A,00100,0100,Y 48874,A81000B,00100,0300,BILLABLE MED SUPPLIES 48874,A81000B,00200,0300,NON-BILLABLE MED SUPPLIES 48874,A81000B,00300,0300,DRUGS CHARGED 48874,A81000C,00100,0100,A 48874,A81000C,00100,0200,MONA JO TROWBRI 48874,A81000C,00100,0400,SKILLED PHARMAC 48874,A81000C,00100,0600,PHARMACY 48874,A81000C,00200,0100,A 48874,A81000C,00200,0200,MONA JO TROWBRI 48874,A81000C,00200,0400,SKILLED PHARMAC 48874,A81000C,00200,0600,PHARMACY 48874,A81000C,00300,0100,A 48874,A81000C,00300,0200,MONA JO TROWBRI 48874,A81000C,00300,0400,SKILLED PHARMAC 48874,A81000C,00300,0600,PHARMACY 48874,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48874,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48874,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48874,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48874,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48874,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48874,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48874,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 48874,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48874,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 48874,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48874,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 48874,S000000,00100,0200,07/01/1999 48874,S200000,00100,0100,515 E. MARTIN LUTHER KING 48874,S200000,00200,0100,CINCINNATI 48874,S200000,00200,0200,OH 48874,S200000,00200,0300,45243- 48874,S200000,00300,0100,HAMILTON 48874,S200000,00300,0200,1640 48874,S200000,00300,0300,U 48874,S200000,00400,0100,CLIFTON VILLA 48874,S200000,00400,0200,365942 48874,S200000,00400,0300,11/01/1993 48874,S200000,00400,0500,P 48874,S200000,01600,0100,Y 48874,S200000,04300,0100,Y 48876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48876,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 48876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48876,A000000,00300,0000,00300EMPLOYEE BENEFITS 48876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48876,A000000,00700,0000,00700HOUSEKEEPING 48876,A000000,00800,0000,00800DIETARY 48876,A000000,00900,0000,00900NURSING ADMINISTRATION 48876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48876,A000000,01100,0000,01100PHARMACY 48876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48876,A000000,01300,0000,01300SOCIAL SERVICE 48876,A000000,01350,0000,01500OTHER GENERAL SERVICES 48876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48876,A000000,01600,0000,01600SKILLED NURSING FACILITY 48876,A000000,01800,0000,01800NURSING FACILITY 48876,A000000,01900,0000,01900OTHER LONG TERM CARE 48876,A000000,02100,0000,02100RADIOLOGY 48876,A000000,02200,0000,02200LABORATORY 48876,A000000,02300,0000,02300INTRAVENOUS THERAPY 48876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48876,A000000,02500,0000,02500PHYSICAL THERAPY 48876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48876,A000000,02700,0000,02700SPEECH PATHOLOGY 48876,A000000,02800,0000,02800ELECTROCARDIOLOGY 48876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48876,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48876,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48876,A000000,03200,0000,03200SUPPORT SURFACES 48876,A000000,03400,0000,03400CLINIC 48876,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48876,A000000,03500,0000,03500RURAL HEALTH CLINIC 48876,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48876,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48876,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48876,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48876,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48876,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48876,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48876,A000000,04400,0000,04400DME RENTED - HHA 48876,A000000,04500,0000,04500DME SOLD - HHA 48876,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48876,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48876,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48876,A000000,04800,0000,04800AMBULANCE 48876,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48876,A000000,05000,0000,05000CORF 48876,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48876,A000000,05300,0000,05300INTEREST EXPENSE 48876,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48876,A000000,05500,0000,05500HOSPICE 48876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48876,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48876,A000000,06100,0000,06100NONPAID WORKERS 48876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48876,A000000,06200,0000,06200PATIENTS LAUNDRY 48876,A81000A,00100,0100,Y 48876,A81000B,00100,0300,BILLABLE MED SUPPLIES 48876,A81000B,00200,0300,NON-BILLABLE MED SUPPLIES 48876,A81000B,00300,0300,LEGEND DRUGS 48876,A81000C,00100,0100,A 48876,A81000C,00100,0200,MONA JO TROWBRIDGE 48876,A81000C,00100,0400,BEACON SKILLED PHARMACY 48876,A81000C,00100,0600,PHARMACY 48876,A81000C,00200,0100,A 48876,A81000C,00200,0200,MONA JO TROWBRIDGE 48876,A81000C,00200,0400,BEACON SKILLED PHARMACY 48876,A81000C,00200,0600,PHARMACY 48876,A81000C,00300,0100,A 48876,A81000C,00300,0200,MONA JO TROWBRIDGE 48876,A81000C,00300,0400,BEACON SKILLED PHARMACY 48876,A81000C,00300,0600,PHARMACY 48876,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48876,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 48876,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48876,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48876,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48876,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48876,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48876,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48876,B100000,00000,0800,00000MEALS SERVED :DIETARY 48876,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 48876,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48876,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 48876,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48876,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48876,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 48876,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48876,S000000,00100,0200,05/30/2000 48876,S200000,00100,0100,515 E. MARTIN LUTHER KING DRIVE 48876,S200000,00200,0100,CINCINNATI 48876,S200000,00200,0200,OH 48876,S200000,00200,0300,45243- 48876,S200000,00300,0100,HAMILTON 48876,S200000,00400,0100,CLIFTON VILLA 48876,S200000,00400,0200,365942 48876,S200000,00400,0300,11/01/1993 48876,S200000,00400,0500,P 48876,S200000,01600,0100,Y 48876,S200000,04300,0100,Y 48886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48886,A000000,00300,0000,00300EMPLOYEE BENEFITS 48886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48886,A000000,00700,0000,00700HOUSEKEEPING 48886,A000000,00800,0000,00800DIETARY 48886,A000000,00900,0000,00900NURSING ADMINISTRATION 48886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48886,A000000,01100,0000,01100PHARMACY 48886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48886,A000000,01300,0000,01300SOCIAL SERVICE 48886,A000000,01350,0000,01500OTHER GENERAL SERVICES 48886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48886,A000000,01600,0000,01600SKILLED NURSING FACILITY 48886,A000000,01800,0000,01800NURSING FACILITY 48886,A000000,01810,0000,01801ICF/MR 48886,A000000,01900,0000,01900OTHER LONG TERM CARE 48886,A000000,02100,0000,02100RADIOLOGY 48886,A000000,02200,0000,02200LABORATORY 48886,A000000,02300,0000,02300INTRAVENOUS THERAPY 48886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48886,A000000,02500,0000,02500PHYSICAL THERAPY 48886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48886,A000000,02700,0000,02700SPEECH PATHOLOGY 48886,A000000,02800,0000,02800ELECTROCARDIOLOGY 48886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48886,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48886,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48886,A000000,03200,0000,03200SUPPORT SURFACES 48886,A000000,03400,0000,03400CLINIC 48886,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48886,A000000,03500,0000,03500RURAL HEALTH CLINIC 48886,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48886,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48886,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48886,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48886,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48886,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48886,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48886,A000000,04400,0000,04400DME RENTED - HHA 48886,A000000,04500,0000,04500DME SOLD - HHA 48886,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48886,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48886,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48886,A000000,04800,0000,04800AMBULANCE 48886,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48886,A000000,05000,0000,05000CORF 48886,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48886,A000000,05300,0000,05300INTEREST EXPENSE 48886,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48886,A000000,05500,0000,05500HOSPICE 48886,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48886,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48886,A000000,06100,0000,06100NONPAID WORKERS 48886,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48886,A000000,06200,0000,06200PATIENTS LAUNDRY 48886,A81000A,00100,0100,Y 48886,A81000B,00100,0300,ADMIN. MGT. CONSULTING 48886,A81000B,00200,0300,MEDICAL SUPPLIES 48886,A81000B,00300,0300,DRUGS 48886,A81000C,00100,0100,A 48886,A81000C,00100,0200,JOHN COURY JR 48886,A81000C,00100,0400,J& R ASSOCIATES INC 48886,A81000C,00100,0600,ADMIN. MGT. CONSULTING 48886,A81000C,00200,0100,D 48886,A81000C,00200,0200,ELI COURY 48886,A81000C,00200,0400,PHARMED 48886,A81000C,00200,0600,MEDICAL SUPPLIES 48886,A81000C,00300,0100,D 48886,A81000C,00300,0200,DAVID COURY 48886,A81000C,00300,0400,BAY PHARMACY 48886,A81000C,00300,0600,PHARMACY 48886,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 48886,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 48886,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 48886,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48886,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 48886,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 48886,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 48886,B100000,00000,0850,00000NO STATISTICS :DIETARY 48886,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 48886,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 48886,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48886,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 48886,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 48886,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48886,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48886,S000000,00100,0200,06/02/2000 48886,S200000,00100,0100,2307 WEST 14TH STR. 48886,S200000,00200,0100,CLEVELAND 48886,S200000,00200,0200,OH 48886,S200000,00200,0300,44113- 48886,S200000,00300,0100,CUYAHOGA 48886,S200000,00400,0100,TREMONT CARE CENTER 48886,S200000,00400,0200,365944 48886,S200000,00400,0300,11/29/1993 48886,S200000,00400,0500,P 48886,S200000,01600,0100,Y 48886,S200000,04700,0100,Y 48894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48894,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 48894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48894,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 48894,A000000,00300,0000,00300EMPLOYEE BENEFITS 48894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48894,A000000,00700,0000,00700HOUSEKEEPING 48894,A000000,00800,0000,00800DIETARY 48894,A000000,00801,0000,00801CAFETERIA 48894,A000000,00900,0000,00900NURSING ADMINISTRATION 48894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48894,A000000,01100,0000,01100PHARMACY 48894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48894,A000000,01300,0000,01300SOCIAL SERVICE 48894,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 48894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48894,A000000,01600,0000,01600SKILLED NURSING FACILITY 48894,A000000,01800,0000,01800NURSING FACILITY 48894,A000000,01900,0000,01900OTHER LONG TERM CARE 48894,A000000,02100,0000,02100RADIOLOGY 48894,A000000,02200,0000,02200LABORATORY 48894,A000000,02300,0000,02300INTRAVENOUS THERAPY 48894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48894,A000000,02500,0000,02500PHYSICAL THERAPY 48894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48894,A000000,02700,0000,02700SPEECH PATHOLOGY 48894,A000000,02800,0000,02800ELECTROCARDIOLOGY 48894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48894,A000000,03050,0000,03300OTHER ANCILLARY 48894,A000000,03051,0000,03301OTHER ANCILLARY II 48894,A000000,03052,0000,03302OTHER ANCILLARY III 48894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48894,A000000,03200,0000,03200SUPPORT SURFACES 48894,A000000,03400,0000,03400CLINIC 48894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 48894,A000000,03500,0000,03500RURAL HEALTH CLINIC 48894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48894,A000000,04400,0000,04400DME RENTED - HHA 48894,A000000,04500,0000,04500DME SOLD - HHA 48894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48894,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48894,A000000,04800,0000,04800AMBULANCE 48894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48894,A000000,05000,0000,05000CORF 48894,A000000,05010,0000,05010CMHC I 48894,A000000,05020,0000,05020OPT I 48894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48894,A000000,05300,0000,05300INTEREST EXPENSE 48894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 48894,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 48894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48894,A000000,05500,0000,05500HOSPICE 48894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48894,A000000,06100,0000,06100NONPAID WORKERS 48894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48894,A000000,06200,0000,06200PATIENTS LAUNDRY 48894,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 48894,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 48894,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 48894,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 48894,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 48894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48894,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 48894,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 48894,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 48894,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 48894,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 48894,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 48894,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 48894,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 48894,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 48894,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 48894,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 48894,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 48894,S000000,00100,0200,06/06/2000 48894,S200000,00100,0100,1159 WYANDOTTE AVENUE 48894,S200000,00200,0100,MANSFIELD 48894,S200000,00200,0200,OH 48894,S200000,00200,0300,44906- 48894,S200000,00300,0100,RICHLAND 48894,S200000,00400,0100,CRYSTAL CARE CTR OF MANSFIELD 48894,S200000,00400,0200,365945 48894,S200000,00400,0300,07/22/1993 48894,S200000,00400,0500,P 48894,S200000,01004,0500,O 48894,S200000,01500,0100,Y 48904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48904,A000000,00300,0000,00300EMPLOYEE BENEFITS 48904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48904,A000000,00700,0000,00700HOUSEKEEPING 48904,A000000,00800,0000,00800DIETARY 48904,A000000,00900,0000,00900NURSING ADMINISTRATION 48904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48904,A000000,01100,0000,01100PHARMACY 48904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48904,A000000,01300,0000,01300SOCIAL SERVICE 48904,A000000,01350,0000,01500ACTIVITIES 48904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48904,A000000,01600,0000,01600SKILLED NURSING FACILITY 48904,A000000,01800,0000,01800NURSING FACILITY 48904,A000000,01900,0000,01900OTHER LONG TERM CARE 48904,A000000,02100,0000,02100RADIOLOGY 48904,A000000,02200,0000,02200LABORATORY 48904,A000000,02300,0000,02300INTRAVENOUS THERAPY 48904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48904,A000000,02500,0000,02500PHYSICAL THERAPY 48904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48904,A000000,02700,0000,02700SPEECH PATHOLOGY 48904,A000000,02800,0000,02800ELECTROCARDIOLOGY 48904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48904,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48904,A000000,03200,0000,03200SUPPORT SURFACES 48904,A000000,03400,0000,03400CLINIC 48904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48904,A000000,03500,0000,03500RURAL HEALTH CLINIC 48904,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48904,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48904,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48904,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48904,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48904,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48904,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48904,A000000,04400,0000,04400DME RENTED - HHA 48904,A000000,04500,0000,04500DME SOLD - HHA 48904,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48904,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48904,A000000,04800,0000,04800AMBULANCE 48904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48904,A000000,05000,0000,05000CORF 48904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48904,A000000,05300,0000,05300INTEREST EXPENSE 48904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48904,A000000,05500,0000,05500HOSPICE 48904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48904,A000000,06100,0000,06100NONPAID WORKERS 48904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48904,A000000,06151,0000,06301RENTAL SPACE HOME HEALTH 48904,A000000,06200,0000,06200PATIENTS LAUNDRY 48904,A81000A,00100,0100,Y 48904,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 48904,A81000B,00200,0300,HOME OFFICE A&G COSTS 48904,A81000B,00300,0300,PHYSICAL THERAPY 48904,A81000B,00400,0300,OCCUPATIONAL THERAPY 48904,A81000B,00500,0300,SPEECH THERAPY 48904,A81000C,00100,0100,A 48904,A81000C,00100,0200,MERCY HEALTH SYSTEM 48904,A81000C,00100,0400,MHS 48904,A81000C,00100,0600,HOME OFFICE 48904,A81000C,00200,0100,B 48904,A81000C,00200,0200,MERCY HEALTH SYSTEM 48904,A81000C,00200,0400,MHS-CINCINNATI 48904,A81000C,00200,0600,REGION HOME OFFICE 48904,A81000C,00300,0100,C 48904,A81000C,00300,0200,MERCY HEALTH SYSTEM 48904,A81000C,00300,0400,MERCY ANDERSON 48904,A81000C,00300,0600,THERAPY 48904,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 48904,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 48904,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 48904,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 48904,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 48904,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 48904,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 48904,B100000,00000,0800,00001MEALS SERVED :DIETARY 48904,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 48904,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 48904,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 48904,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 48904,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 48904,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 48904,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 48904,S000000,00100,0200,05/31/2000 48904,S200000,00100,0100,7010 ROWAN HILL DRIVE 48904,S200000,00200,0100,CINCINNATI 48904,S200000,00200,0200,OH 48904,S200000,00200,0300,45227- 48904,S200000,00300,0100,HAMILTON 48904,S200000,00400,0100,MERCY ST. THERESA CENTER 48904,S200000,00400,0200,365946 48904,S200000,00400,0300,02/17/1994 48904,S200000,00400,0500,P 48904,S200000,01004,0500,O 48904,S200000,01600,0100,Y 48904,S200000,01700,0100,Y 48904,S200000,02800,0100,Y 48904,S700003,00000,0100,1 48922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48922,A000000,00300,0000,00300EMPLOYEE BENEFITS 48922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48922,A000000,00700,0000,00700HOUSEKEEPING 48922,A000000,00800,0000,00800DIETARY 48922,A000000,00900,0000,00900NURSING ADMINISTRATION 48922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48922,A000000,01100,0000,01100PHARMACY 48922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48922,A000000,01300,0000,01300SOCIAL SERVICE 48922,A000000,01350,0000,01500OTHER GENERAL SERVICES 48922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48922,A000000,01600,0000,01600SKILLED NURSING FACILITY 48922,A000000,01800,0000,01800NURSING FACILITY 48922,A000000,01810,0000,01801ICF/MR 48922,A000000,01900,0000,01900OTHER LONG TERM CARE 48922,A000000,02100,0000,02100RADIOLOGY 48922,A000000,02200,0000,02200LABORATORY 48922,A000000,02300,0000,02300INTRAVENOUS THERAPY 48922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48922,A000000,02500,0000,02500PHYSICAL THERAPY 48922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48922,A000000,02700,0000,02700SPEECH PATHOLOGY 48922,A000000,02800,0000,02800ELECTROCARDIOLOGY 48922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48922,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48922,A000000,03200,0000,03200SUPPORT SURFACES 48922,A000000,03400,0000,03400CLINIC 48922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48922,A000000,03500,0000,03500RURAL HEALTH CLINIC 48922,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48922,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48922,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48922,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48922,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48922,A000000,04400,0000,04400DME RENTED - HHA 48922,A000000,04500,0000,04500DME SOLD - HHA 48922,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48922,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48922,A000000,04800,0000,04800AMBULANCE 48922,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48922,A000000,05000,0000,05000CORF 48922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48922,A000000,05300,0000,05300INTEREST EXPENSE 48922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48922,A000000,05500,0000,05500HOSPICE 48922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48922,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48922,A000000,06100,0000,06100NONPAID WORKERS 48922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48922,A000000,06200,0000,06200PATIENTS LAUNDRY 48922,A81000A,00100,0100,Y 48922,A81000B,00100,0300,BUILDS & F HOME OFFICE ALLOCATION 48922,A81000B,00200,0300,MOVEABLE E HOME OFFICE ALLOCATION 48922,A81000B,00300,0300,HOME OFFICE ALLOCATION 48922,A81000C,00100,0100,C 48922,A81000C,00100,0200,MORTON WEISBERG 48922,A81000C,00100,0400,MULTI-CARE MGMT 48922,A81000C,00100,0600,HOME OFFICE 48922,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48922,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48922,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48922,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48922,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48922,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48922,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48922,B100000,00000,0800,00000MEALS SERVED :DIETARY 48922,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 48922,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 48922,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48922,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48922,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48922,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48922,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48922,E10A180,00501,0100,07/25/2000 48922,S000000,00100,0200,06/05/2000 48922,S200000,00100,0100,8800 CARNEGIE AVENUE 48922,S200000,00200,0100,CLEVELAND 48922,S200000,00200,0200,OH 48922,S200000,00200,0300,44106- 48922,S200000,00300,0100,CUYAHOGA 48922,S200000,00400,0100,CLEVELAND REHAB & SPECIAL CARE 48922,S200000,00400,0200,365948 48922,S200000,00400,0300,12/21/1993 48922,S200000,00400,0500,P 48922,S200000,01600,0100,Y 48922,S200000,04300,0100,Y 48930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48930,A000000,00300,0000,00300EMPLOYEE BENEFITS 48930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48930,A000000,00700,0000,00700HOUSEKEEPING 48930,A000000,00800,0000,00800DIETARY 48930,A000000,00900,0000,00900NURSING ADMINISTRATION 48930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48930,A000000,01100,0000,01100PHARMACY 48930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48930,A000000,01300,0000,01300SOCIAL SERVICE 48930,A000000,01350,0000,01500ACTIVITIES 48930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48930,A000000,01600,0000,01600SKILLED NURSING FACILITY 48930,A000000,01800,0000,01800NURSING FACILITY 48930,A000000,01900,0000,01900OTHER LONG TERM CARE 48930,A000000,02100,0000,02100RADIOLOGY 48930,A000000,02200,0000,02200LABORATORY 48930,A000000,02300,0000,02300INTRAVENOUS THERAPY 48930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48930,A000000,02500,0000,02500PHYSICAL THERAPY 48930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48930,A000000,02700,0000,02700SPEECH PATHOLOGY 48930,A000000,02800,0000,02800ELECTROCARDIOLOGY 48930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48930,A000000,03200,0000,03200SUPPORT SURFACES 48930,A000000,03400,0000,03400CLINIC 48930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48930,A000000,03500,0000,03500RURAL HEALTH CLINIC 48930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48930,A000000,04800,0000,04800AMBULANCE 48930,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48930,A000000,05000,0000,05000CORF 48930,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48930,A000000,05300,0000,05300INTEREST EXPENSE 48930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48930,A000000,05500,0000,05500HOSPICE 48930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48930,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48930,A000000,06100,0000,06100NONPAID WORKERS 48930,A000000,06150,0000,06300ENTERALS 48930,A000000,06200,0000,06200PATIENTS LAUNDRY 48930,A81000A,00100,0100,Y 48930,A81000B,00100,0300,MANAGEMENT FEES PAID 48930,A81000B,00200,0300,HOME OFFICE COSTS A&G 48930,A81000B,00300,0300,HOME OFFICE-CAPITAL 48930,A81000B,00400,0300,HOME OFFICE-PLANT 48930,A81000C,00100,0100,A 48930,A81000C,00100,0200,JOHN A. DEPPIZZO JR. 48930,A81000C,00100,0400,JOHN A. DEPIZZO JR. INC. 48930,A81000C,00100,0600,MGT/ACCTG/DATA PROC 48930,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48930,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48930,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48930,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48930,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48930,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48930,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48930,B100000,00000,0800,00000MEALS SERVED :DIETARY 48930,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48930,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48930,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48930,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48930,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48930,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48930,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48930,S000000,00100,0200,10/29/1999 48930,S200000,00100,0100,4250 SODOM-HUTCHINGS RD. 48930,S200000,00200,0100,CORTLAND 48930,S200000,00200,0200,OH 48930,S200000,00200,0300,44410-9738 48930,S200000,00300,0100,TRUMBULL 48930,S200000,00400,0100,BRIARFIELD OF CORTLAND INC. 48930,S200000,00400,0200,365949 48930,S200000,00400,0300,10/29/1993 48930,S200000,00400,0500,P 48930,S200000,01005,0500,O 48930,S200000,01600,0100,Y 48932,S000000,00100,0200,05/30/2000 48943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48943,A000000,00300,0000,00300EMPLOYEE BENEFITS 48943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48943,A000000,00700,0000,00700HOUSEKEEPING 48943,A000000,00800,0000,00800DIETARY 48943,A000000,00900,0000,00900NURSING ADMINISTRATION 48943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48943,A000000,01100,0000,01100PHARMACY 48943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48943,A000000,01300,0000,01300SOCIAL SERVICE 48943,A000000,01600,0000,01600SKILLED NURSING FACILITY 48943,A000000,01800,0000,01800NURSING FACILITY 48943,A000000,01900,0000,01900OTHER LONG TERM CARE 48943,A000000,02100,0000,02100RADIOLOGY 48943,A000000,02200,0000,02200LABORATORY 48943,A000000,02300,0000,02300INTRAVENOUS THERAPY 48943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48943,A000000,02500,0000,02500PHYSICAL THERAPY 48943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48943,A000000,02700,0000,02700SPEECH PATHOLOGY 48943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48943,A000000,03200,0000,03200SUPPORT SURFACES 48943,A000000,04800,0000,04800AMBULANCE 48943,A000000,05300,0000,05300INTEREST EXPENSE 48943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48943,A000000,05500,0000,05500HOSPICE 48943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48943,A000000,06200,0000,06200PATIENTS LAUNDRY 48943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48943,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48943,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48943,B100000,00000,0800,00000MEALS SERVED :DIETARY 48943,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 48943,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48943,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48943,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48943,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48943,E10A180,00301,0100,02/28/2000 48943,S000000,00100,0200,06/01/2000 48943,S200000,00100,0100,1605 NW PROFESSIONAL PLAZA 48943,S200000,00200,0100,UPPER ARLINGTON 48943,S200000,00200,0200,OH 48943,S200000,00200,0300,43220- 48943,S200000,00300,0100,FRANKLIN 48943,S200000,00400,0100,ARLINGTON COURT 48943,S200000,00400,0200,365950 48943,S200000,00400,0300,02/03/1994 48943,S200000,00400,0500,P 48943,S200000,01600,0100,Y 48943,S200000,04300,0100,Y 48943,S200000,04700,0100,Y 48952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48952,A000000,00300,0000,00300EMPLOYEE BENEFITS 48952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48952,A000000,00700,0000,00700HOUSEKEEPING 48952,A000000,00800,0000,00800DIETARY 48952,A000000,00900,0000,00900NURSING ADMINISTRATION 48952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48952,A000000,01100,0000,01100PHARMACY 48952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48952,A000000,01300,0000,01300SOCIAL SERVICE 48952,A000000,01350,0000,01500ACTIVITIES 48952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48952,A000000,01600,0000,01600SKILLED NURSING FACILITY 48952,A000000,01800,0000,01800NURSING FACILITY 48952,A000000,01810,0000,01801ICF/MR 48952,A000000,01900,0000,01900OTHER LONG TERM CARE 48952,A000000,02100,0000,02100RADIOLOGY 48952,A000000,02200,0000,02200LABORATORY 48952,A000000,02300,0000,02300INTRAVENOUS THERAPY 48952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48952,A000000,02500,0000,02500PHYSICAL THERAPY 48952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48952,A000000,02700,0000,02700SPEECH PATHOLOGY 48952,A000000,02800,0000,02800ELECTROCARDIOLOGY 48952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48952,A000000,03050,0000,03300ENTERALS/AMBULANCE 48952,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48952,A000000,03200,0000,03200SUPPORT SURFACES 48952,A000000,03400,0000,03400CLINIC 48952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48952,A000000,03500,0000,03500RURAL HEALTH CLINIC 48952,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48952,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48952,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48952,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48952,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48952,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48952,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48952,A000000,04400,0000,04400DME RENTED - HHA 48952,A000000,04500,0000,04500DME SOLD - HHA 48952,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48952,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48952,A000000,04800,0000,04800AMBULANCE 48952,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48952,A000000,05000,0000,05000CORF 48952,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48952,A000000,05300,0000,05300INTEREST EXPENSE 48952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48952,A000000,05500,0000,05500HOSPICE 48952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48952,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48952,A000000,06100,0000,06100NONPAID WORKERS 48952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48952,A000000,06200,0000,06200PATIENTS LAUNDRY 48952,A81000A,00100,0100,Y 48952,A81000B,00100,0300,INTEREST 48952,A81000C,00100,0100,E 48952,A81000C,00100,0200,PATRICK KRINER 48952,A81000C,00100,0400,PATRICK KRINER 48952,A81000C,00100,0600,PERSONAL 48952,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48952,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48952,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48952,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48952,B100000,00000,0800,00000MEALS SERVED :DIETARY 48952,B100000,00000,0950,00000DIRECT NRSNG :NURSING ADMINISTRATI 48952,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48952,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48952,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48952,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48952,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 48952,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48952,E10A180,00501,0300,04/12/2000 48952,S000000,00100,0200,03/28/2000 48952,S200000,00100,0100,3231 MANLEY ROAD 48952,S200000,00200,0100,MAUMEE 48952,S200000,00200,0200,OH 48952,S200000,00200,0300,43537- 48952,S200000,00300,0100,LUCAS 48952,S200000,00400,0100,RIDGEWOOD MANOR 48952,S200000,00400,0200,365952 48952,S200000,00400,0300,12/26/1993 48952,S200000,00400,0500,P 48952,S200000,00400,0600,P 48952,S200000,01600,0100,Y 48952,S200000,02200,0100,Y 48952,S200000,04300,0100,Y 48960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48960,A000000,00300,0000,00300EMPLOYEE BENEFITS 48960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48960,A000000,00700,0000,00700HOUSEKEEPING 48960,A000000,00800,0000,00800DIETARY 48960,A000000,00900,0000,00900NURSING ADMINISTRATION 48960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48960,A000000,01100,0000,01100PHARMACY 48960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48960,A000000,01300,0000,01300SOCIAL SERVICE 48960,A000000,01350,0000,01500ACTIVITIES 48960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48960,A000000,01600,0000,01600SKILLED NURSING FACILITY 48960,A000000,01800,0000,01800NURSING FACILITY 48960,A000000,01810,0000,01810ICF/MR 48960,A000000,01900,0000,01900OTHER LONG TERM CARE 48960,A000000,02100,0000,02100RADIOLOGY 48960,A000000,02200,0000,02200LABORATORY 48960,A000000,02300,0000,02300INTRAVENOUS THERAPY 48960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48960,A000000,02500,0000,02500PHYSICAL THERAPY 48960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48960,A000000,02700,0000,02700SPEECH PATHOLOGY 48960,A000000,02800,0000,02800ELECTROCARDIOLOGY 48960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48960,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48960,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48960,A000000,03200,0000,03200SUPPORT SURFACES 48960,A000000,03400,0000,03400CLINIC 48960,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48960,A000000,03500,0000,03500RURAL HEALTH CLINIC 48960,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48960,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48960,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48960,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48960,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48960,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48960,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48960,A000000,04400,0000,04400DME RENTED - HHA 48960,A000000,04500,0000,04500DME SOLD - HHA 48960,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48960,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48960,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48960,A000000,04800,0000,04800AMBULANCE 48960,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48960,A000000,05000,0000,05000CORF 48960,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48960,A000000,05300,0000,05300INTEREST EXPENSE 48960,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48960,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48960,A000000,05500,0000,05500HOSPICE 48960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48960,A000000,06100,0000,06100NONPAID WORKERS 48960,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48960,A000000,06200,0000,06200PATIENTS LAUNDRY 48960,A81000A,00100,0100,Y 48960,A81000B,00100,0300,HOME OFFICE 48960,A81000C,00100,0100,B 48960,A81000C,00100,0200,OTTERBEIN HOMES 48960,A81000C,00100,0400,OTTERBEIN 48960,A81000C,00100,0600,HEALTH CARE 48960,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48960,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48960,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48960,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48960,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48960,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48960,B100000,00000,0800,00000MEALS SERVED :DIETARY 48960,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 48960,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48960,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 48960,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48960,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48960,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 48960,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 48960,S000000,00100,0200,06/01/2000 48960,S200000,00100,0100,11230 STATE ROUTE 364 48960,S200000,00200,0100,ST. MARYS 48960,S200000,00200,0200,OH 48960,S200000,00200,0300,45885- 48960,S200000,00300,0100,AUGLAIZE 48960,S200000,00400,0100,OTTERBEIN-ST. MARYS 48960,S200000,00400,0200,365953 48960,S200000,00400,0300,02/09/1994 48960,S200000,00400,0500,P 48960,S200000,01004,0500,O 48960,S200000,01500,0100,Y 48960,S200000,01700,0100,Y 48960,S200000,02200,0100,Y 48960,S200000,04300,0100,Y 48973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48973,A000000,00300,0000,00300EMPLOYEE BENEFITS 48973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48973,A000000,00700,0000,00700HOUSEKEEPING 48973,A000000,00800,0000,00800DIETARY 48973,A000000,00900,0000,00900NURSING ADMINISTRATION 48973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48973,A000000,01100,0000,01100PHARMACY 48973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48973,A000000,01300,0000,01300SOCIAL SERVICE 48973,A000000,01600,0000,01600SKILLED NURSING FACILITY 48973,A000000,01800,0000,01800NURSING FACILITY 48973,A000000,01900,0000,01900OTHER LONG TERM CARE 48973,A000000,02100,0000,02100RADIOLOGY 48973,A000000,02200,0000,02200LABORATORY 48973,A000000,02300,0000,02300INTRAVENOUS THERAPY 48973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48973,A000000,02500,0000,02500PHYSICAL THERAPY 48973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48973,A000000,02700,0000,02700SPEECH PATHOLOGY 48973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48973,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48973,A000000,03200,0000,03200SUPPORT SURFACES 48973,A000000,04800,0000,04800AMBULANCE 48973,A000000,05300,0000,05300INTEREST EXPENSE 48973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48973,A000000,05500,0000,05500HOSPICE 48973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48973,A000000,06200,0000,06200PATIENTS LAUNDRY 48973,A81000A,00100,0100,Y 48973,A81000C,00100,0100,B 48973,A81000C,00100,0200,THE KENDAL CORP 48973,A81000C,00100,0400,THE KENDAL CORP 48973,A81000C,00100,0600,MGMT OFFICE 48973,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48973,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48973,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48973,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 48973,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48973,B100000,00000,0800,00000MEALS SERVED :DIETARY 48973,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 48973,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48973,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48973,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 48973,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 48973,E10A180,00550,0300,06/05/2000 48973,S000000,00100,0200,05/31/2000 48973,S200000,00100,0100,600 KENDAL DRIVE 48973,S200000,00200,0100,OBERLIN 48973,S200000,00200,0200,OH 48973,S200000,00200,0300,44074- 48973,S200000,00300,0100,LORAIN 48973,S200000,00400,0100,KENDAL AT OBERLIN 48973,S200000,00400,0200,365956 48973,S200000,00400,0300,01/30/1994 48973,S200000,00400,0500,P 48973,S200000,01500,0100,Y 48973,S200000,01900,0100,CONTINUING CARE COMM 48973,S200000,04300,0100,Y 48984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48984,A000000,00300,0000,00300EMPLOYEE BENEFITS 48984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48984,A000000,00700,0000,00700HOUSEKEEPING 48984,A000000,00800,0000,00800DIETARY 48984,A000000,00900,0000,00900NURSING ADMINISTRATION 48984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48984,A000000,01100,0000,01100PHARMACY 48984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48984,A000000,01300,0000,01300SOCIAL SERVICE 48984,A000000,01350,0000,01500OTHER GENERAL SERVICES 48984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 48984,A000000,01600,0000,01600SKILLED NURSING FACILITY 48984,A000000,01800,0000,01800NURSING FACILITY 48984,A000000,01810,0000,01801ICF/MR 48984,A000000,01900,0000,01900OTHER LONG TERM CARE 48984,A000000,02100,0000,02100RADIOLOGY 48984,A000000,02200,0000,02200LABORATORY 48984,A000000,02300,0000,02300INTRAVENOUS THERAPY 48984,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48984,A000000,02500,0000,02500PHYSICAL THERAPY 48984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48984,A000000,02700,0000,02700SPEECH PATHOLOGY 48984,A000000,02800,0000,02800ELECTROCARDIOLOGY 48984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48984,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48984,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48984,A000000,03200,0000,03200SUPPORT SURFACES 48984,A000000,03400,0000,03400CLINIC 48984,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 48984,A000000,03500,0000,03500RURAL HEALTH CLINIC 48984,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 48984,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 48984,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 48984,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 48984,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 48984,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 48984,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 48984,A000000,04400,0000,04400DME RENTED - HHA 48984,A000000,04500,0000,04500DME SOLD - HHA 48984,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 48984,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 48984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 48984,A000000,04800,0000,04800AMBULANCE 48984,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 48984,A000000,05000,0000,05000CORF 48984,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 48984,A000000,05300,0000,05300INTEREST EXPENSE 48984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 48984,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48984,A000000,05500,0000,05500HOSPICE 48984,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48984,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48984,A000000,06100,0000,06100NONPAID WORKERS 48984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48984,A000000,06200,0000,06200PATIENTS LAUNDRY 48984,A81000A,00100,0100,Y 48984,A81000B,00100,0300,CAP REL COSTS - BLDGS 48984,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 48984,A81000B,00300,0300,HO COSTS - CAPITAL 48984,A81000B,00400,0300,HO COSTS - ADMINISTRATIVE 48984,A81000B,00500,0300,HO COSTS - DIETARY 48984,A81000C,00100,0100,A 48984,A81000C,00100,0200,JAMES B RENACCI 48984,A81000C,00100,0400,LTC ASSOCIATES 48984,A81000C,00100,0600,REAL ESTATE 48984,A81000C,00200,0100,A 48984,A81000C,00200,0200,JAMES B RENACCI 48984,A81000C,00200,0400,LTC ASSOCIATES 48984,A81000C,00200,0600,REAL ESTATE 48984,A81000C,00300,0100,B 48984,A81000C,00300,0200,LTC MANAGEMENT SERVICES 48984,A81000C,00300,0400,LTC MANAGEMENT SERVICES 48984,A81000C,00300,0600,NURSING HOME MGT 48984,A81000C,00400,0100,B 48984,A81000C,00400,0200,LTC MANAGEMENT SERVICES 48984,A81000C,00400,0400,LTC MANAGEMENT SERVICES 48984,A81000C,00400,0600,NURSING HOME MGT 48984,A81000C,00500,0100,B 48984,A81000C,00500,0200,LTC MANAGEMENT SERVICES 48984,A81000C,00500,0400,LTC MANAGEMENT SERVICES 48984,A81000C,00500,0600,NURSING HOME MGT 48984,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48984,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48984,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48984,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48984,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48984,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 48984,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48984,B100000,00000,0800,00000MEALS SERVED :DIETARY 48984,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 48984,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 48984,B100000,00000,1150,00000NO STATISTICS :PHARMACY 48984,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 48984,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 48984,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 48984,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 48984,S000000,00100,0200,06/05/2000 48984,S200000,00100,0100,300 OVERLOOK DRIVE 48984,S200000,00200,0100,PIKETON 48984,S200000,00200,0200,OH 48984,S200000,00200,0300,45661- 48984,S200000,00300,0100,PIKE 48984,S200000,00400,0100,PIKETON NURSING CENTER INC. 48984,S200000,00400,0200,365961 48984,S200000,00400,0300,05/01/1996 48984,S200000,00400,0500,P 48984,S200000,01600,0100,Y 48984,S200000,04300,0100,Y 48994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 48994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 48994,A000000,00300,0000,00300EMPLOYEE BENEFITS 48994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 48994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 48994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 48994,A000000,00700,0000,00700HOUSEKEEPING 48994,A000000,00800,0000,00800DIETARY 48994,A000000,00900,0000,00900NURSING ADMINISTRATION 48994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 48994,A000000,01100,0000,01100PHARMACY 48994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 48994,A000000,01300,0000,01300SOCIAL SERVICE 48994,A000000,01600,0000,01600SKILLED NURSING FACILITY 48994,A000000,01800,0000,01800NURSING FACILITY 48994,A000000,01900,0000,01900OTHER LONG TERM CARE 48994,A000000,02100,0000,02100RADIOLOGY 48994,A000000,02200,0000,02200LABORATORY 48994,A000000,02300,0000,02300INTRAVENOUS THERAPY 48994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 48994,A000000,02500,0000,02500PHYSICAL THERAPY 48994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 48994,A000000,02700,0000,02700SPEECH PATHOLOGY 48994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 48994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 48994,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 48994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 48994,A000000,03200,0000,03200SUPPORT SURFACES 48994,A000000,04800,0000,04800AMBULANCE 48994,A000000,05300,0000,05300INTEREST EXPENSE 48994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 48994,A000000,05500,0000,05500HOSPICE 48994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 48994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 48994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 48994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 48994,A000000,06200,0000,06200PATIENTS LAUNDRY 48994,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 48994,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 48994,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 48994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 48994,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 48994,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 48994,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 48994,B100000,00000,0800,00000MEALS SERVED :DIETARY 48994,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 48994,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 48994,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 48994,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 48994,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 48994,S000000,00100,0200,05/30/2000 48994,S200000,00100,0100,60 WEST STREET 48994,S200000,00200,0100,GENEVA 48994,S200000,00200,0200,OH 48994,S200000,00200,0300,44041- 48994,S200000,00300,0100,ASHTABULA 48994,S200000,00400,0100,ESTHER MARIE NURSING HOME 48994,S200000,00400,0200,365962 48994,S200000,00400,0300,02/17/1994 48994,S200000,00400,0500,P 48994,S200000,01004,0500,O 48994,S200000,01600,0100,Y 48994,S200000,04300,0100,Y 48994,S200000,04700,0100,Y 49003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49003,A000000,00300,0000,00300EMPLOYEE BENEFITS 49003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49003,A000000,00700,0000,00700HOUSEKEEPING 49003,A000000,00800,0000,00800DIETARY 49003,A000000,00900,0000,00900NURSING ADMINISTRATION 49003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49003,A000000,01100,0000,01100PHARMACY 49003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49003,A000000,01300,0000,01300SOCIAL SERVICE 49003,A000000,01350,0000,01500ACTIVITIES 49003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49003,A000000,01600,0000,01600SKILLED NURSING FACILITY 49003,A000000,01800,0000,01800NURSING FACILITY 49003,A000000,01810,0000,01801ICF/MR 49003,A000000,01900,0000,01900OTHER LONG TERM CARE 49003,A000000,02100,0000,02100RADIOLOGY 49003,A000000,02200,0000,02200LABORATORY 49003,A000000,02300,0000,02300INTRAVENOUS THERAPY 49003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49003,A000000,02500,0000,02500PHYSICAL THERAPY 49003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49003,A000000,02700,0000,02700SPEECH PATHOLOGY 49003,A000000,02800,0000,02800ELECTROCARDIOLOGY 49003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49003,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49003,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49003,A000000,03200,0000,03200SUPPORT SURFACES 49003,A000000,03400,0000,03400CLINIC 49003,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49003,A000000,03500,0000,03500RURAL HEALTH CLINIC 49003,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49003,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49003,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49003,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49003,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49003,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49003,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49003,A000000,04400,0000,04400DME RENTED - HHA 49003,A000000,04500,0000,04500DME SOLD - HHA 49003,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49003,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49003,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49003,A000000,04800,0000,04800AMBULANCE 49003,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49003,A000000,05000,0000,05000CORF 49003,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49003,A000000,05300,0000,05300INTEREST EXPENSE 49003,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49003,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49003,A000000,05500,0000,05500HOSPICE 49003,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49003,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49003,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49003,A000000,06100,0000,06100NONPAID WORKERS 49003,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49003,A000000,06200,0000,06200PATIENTS LAUNDRY 49003,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49003,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49003,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49003,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49003,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49003,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49003,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49003,B100000,00000,0800,00000MEALS SERVED :DIETARY 49003,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49003,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49003,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49003,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49003,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49003,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49003,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49003,S000000,00100,0200,06/02/2000 49003,S200000,00100,0100,725 COLUMBUS AVENUE 49003,S200000,00200,0100,FOSTORIA 49003,S200000,00200,0200,OH 49003,S200000,00200,0300,44830- 49003,S200000,00300,0100,SENECA 49003,S200000,00400,0100,GOOD SHEPHERD HOME 49003,S200000,00400,0200,365963 49003,S200000,00400,0300,09/01/1994 49003,S200000,00400,0500,P 49003,S200000,00400,0600,P 49003,S200000,01500,0100,Y 49012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49012,A000000,00300,0000,00300EMPLOYEE BENEFITS 49012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49012,A000000,00700,0000,00700HOUSEKEEPING 49012,A000000,00800,0000,00800DIETARY 49012,A000000,00900,0000,00900NURSING ADMINISTRATION 49012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49012,A000000,01100,0000,01100PHARMACY 49012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49012,A000000,01300,0000,01300SOCIAL SERVICE 49012,A000000,01350,0000,01500ACTIVITIES 49012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49012,A000000,01600,0000,01600SKILLED NURSING FACILITY 49012,A000000,01800,0000,01800NURSING FACILITY 49012,A000000,01810,0000,01801ICF/MR 49012,A000000,01900,0000,01900OTHER LONG TERM CARE 49012,A000000,02100,0000,02100RADIOLOGY 49012,A000000,02200,0000,02200LABORATORY 49012,A000000,02300,0000,02300INTRAVENOUS THERAPY 49012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49012,A000000,02500,0000,02500PHYSICAL THERAPY 49012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49012,A000000,02700,0000,02700SPEECH PATHOLOGY 49012,A000000,02800,0000,02800ELECTROCARDIOLOGY 49012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49012,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49012,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49012,A000000,03200,0000,03200SUPPORT SURFACES 49012,A000000,03400,0000,03400CLINIC 49012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49012,A000000,03500,0000,03500RURAL HEALTH CLINIC 49012,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49012,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49012,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49012,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49012,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49012,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49012,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49012,A000000,04400,0000,04400DME RENTED - HHA 49012,A000000,04500,0000,04500DME SOLD - HHA 49012,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49012,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49012,A000000,04800,0000,04800AMBULANCE 49012,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49012,A000000,05000,0000,05000CORF 49012,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49012,A000000,05300,0000,05300INTEREST EXPENSE 49012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49012,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49012,A000000,05500,0000,05500HOSPICE 49012,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49012,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49012,A000000,06100,0000,06100NONPAID WORKERS 49012,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49012,A000000,06200,0000,06200PATIENTS LAUNDRY 49012,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49012,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49012,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49012,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49012,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49012,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49012,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49012,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49012,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49012,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49012,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49012,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49012,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49012,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49012,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49012,S000000,00100,0200,06/12/2000 49012,S200000,00100,0100,1920 CLEVELAND ROAD WEST 49012,S200000,00200,0100,HURON 49012,S200000,00200,0200,OH 49012,S200000,00200,0300,44839- 49012,S200000,00300,0100,ERIE 49012,S200000,00400,0100,HURON HEALTH CARE CENTER 49012,S200000,00400,0200,365968 49012,S200000,00400,0300,06/01/1994 49012,S200000,00400,0500,P 49012,S200000,01600,0100,Y 49023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49023,A000000,00300,0000,00300EMPLOYEE BENEFITS 49023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49023,A000000,00700,0000,00700HOUSEKEEPING 49023,A000000,00800,0000,00800DIETARY 49023,A000000,00900,0000,00900NURSING ADMINISTRATION 49023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49023,A000000,01100,0000,01100PHARMACY 49023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49023,A000000,01300,0000,01300SOCIAL SERVICE 49023,A000000,01600,0000,01600SKILLED NURSING FACILITY 49023,A000000,01800,0000,01800NURSING FACILITY 49023,A000000,01900,0000,01900OTHER LONG TERM CARE 49023,A000000,02100,0000,02100RADIOLOGY 49023,A000000,02200,0000,02200LABORATORY 49023,A000000,02300,0000,02300INTRAVENOUS THERAPY 49023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49023,A000000,02500,0000,02500PHYSICAL THERAPY 49023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49023,A000000,02700,0000,02700SPEECH PATHOLOGY 49023,A000000,02800,0000,02800ELECTROCARDIOLOGY 49023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49023,A000000,03200,0000,03200SUPPORT SURFACES 49023,A000000,04800,0000,04800AMBULANCE 49023,A000000,05300,0000,05300INTEREST EXPENSE 49023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49023,A000000,06150,0000,06300MARKETING & PROMOTION 49023,A000000,06151,0000,06301ENTERALS & UROLOGICALS 49023,A81000A,00100,0100,Y 49023,A81000B,00100,0300,BUILDING COSTS 49023,A81000B,00200,0300,EQUIPMENT COSTS 49023,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 49023,A81000B,00400,0300,HOME OFFICE BUILDING COST 49023,A81000B,00500,0300,HOME OFFICE EQUIPMENT COST 49023,A81000B,00600,0300,HOME OFFICE EMPLOYEE BEN 49023,A81000B,00700,0300,HOME OFFICE A&G 49023,A81000B,00800,0300,HOME OFFICE MAINTENANCE 49023,A81000B,00900,0300,HOME OFFICE DIETARY 49023,A81000B,01000,0300,MAINTENANCE 49023,A81000C,00100,0100,A 49023,A81000C,00100,0200,A.SPRENGER 49023,A81000C,00100,0400,SPRENGER ENTERPRISES 49023,A81000C,00100,0600,HOME OFFICE 49023,A81000C,00200,0100,A 49023,A81000C,00200,0200,D.SPRENGER 49023,A81000C,00200,0400,SPRENGER ENTERPRISES 49023,A81000C,00200,0600,HOME OFFICE 49023,A81000C,00300,0100,A 49023,A81000C,00300,0200,A.SPRENGER 49023,A81000C,00300,0400,ANCHOR LODGE PARTNERSHIP 49023,A81000C,00300,0600,REALTY CO. 49023,A81000C,00400,0100,A 49023,A81000C,00400,0200,D.SPRENGER 49023,A81000C,00400,0400,ANCHOR LODGE PARTNERSHIP 49023,A81000C,00400,0600,REALTY CO. 49023,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 49023,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 49023,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 49023,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 49023,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 49023,B100000,00000,0650,00001INPATIENT DAYS :LAUNDRY & LINEN SE 49023,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 49023,B100000,00000,0800,00001MEALS SERVED :DIETARY 49023,B100000,00000,0950,00001INPATIENT DAYS :NURSING ADMINISTRA 49023,B100000,00000,1050,00001INPATIENT DAYS :CENTRAL SERVICES & 49023,B100000,00000,1250,00001INPATIENT DAYS :MEDICAL RECORDS & 49023,B100000,00000,1330,00001INPATIENT DAYS :SOCIAL SERVICE 49023,S000000,00100,0200,12/01/2000 49023,S200000,00100,0100,3756 WEST ERIE AVENUE 49023,S200000,00200,0100,LORAIN 49023,S200000,00200,0200,OH 49023,S200000,00200,0300,44053- 49023,S200000,00300,0100,LORAIN 49023,S200000,00300,0200,1680 49023,S200000,00300,0300,U 49023,S200000,00400,0100,ANCHOR LODGE NURSING HOME INC. 49023,S200000,00400,0200,365969 49023,S200000,00400,0300,07/01/1994 49023,S200000,00400,0500,P 49023,S200000,01500,0100,Y 49023,S200000,04300,0100,Y 49023,S200000,04700,0100,Y 49030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49030,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49030,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49030,A000000,00300,0000,00300EMPLOYEE BENEFITS 49030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49030,A000000,00700,0000,00700HOUSEKEEPING 49030,A000000,00800,0000,00800DIETARY 49030,A000000,00801,0000,00801CAFETERIA 49030,A000000,00900,0000,00900NURSING ADMINISTRATION 49030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49030,A000000,01100,0000,01100PHARMACY 49030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49030,A000000,01300,0000,01300SOCIAL SERVICE 49030,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49030,A000000,01600,0000,01600SKILLED NURSING FACILITY 49030,A000000,01800,0000,01800NURSING FACILITY 49030,A000000,01900,0000,01900OTHER LONG TERM CARE 49030,A000000,02100,0000,02100RADIOLOGY 49030,A000000,02200,0000,02200LABORATORY 49030,A000000,02300,0000,02300INTRAVENOUS THERAPY 49030,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49030,A000000,02500,0000,02500PHYSICAL THERAPY 49030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49030,A000000,02700,0000,02700SPEECH PATHOLOGY 49030,A000000,02800,0000,02800ELECTROCARDIOLOGY 49030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49030,A000000,03050,0000,03300OTHER ANCILLARY 49030,A000000,03051,0000,03301OTHER ANCILLARY II 49030,A000000,03052,0000,03302OTHER ANCILLARY III 49030,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49030,A000000,03200,0000,03200SUPPORT SURFACES 49030,A000000,03400,0000,03400CLINIC 49030,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49030,A000000,03500,0000,03500RURAL HEALTH CLINIC 49030,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49030,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49030,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49030,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49030,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49030,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49030,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49030,A000000,04400,0000,04400DME RENTED - HHA 49030,A000000,04500,0000,04500DME SOLD - HHA 49030,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49030,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49030,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49030,A000000,04800,0000,04800AMBULANCE 49030,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49030,A000000,05000,0000,05000CORF 49030,A000000,05010,0000,05010CMHC I 49030,A000000,05020,0000,05020OPT I 49030,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49030,A000000,05300,0000,05300INTEREST EXPENSE 49030,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49030,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49030,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49030,A000000,05500,0000,05500HOSPICE 49030,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49030,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49030,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49030,A000000,06100,0000,06100NONPAID WORKERS 49030,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49030,A000000,06200,0000,06200PATIENTS LAUNDRY 49030,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49030,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49030,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49030,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49030,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49030,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49030,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49030,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49030,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49030,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49030,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49030,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49030,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49030,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49030,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49030,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49030,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49030,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49030,S000000,00100,0200,06/05/2000 49030,S200000,00100,0100,907 CENTRAL AVENUE 49030,S200000,00200,0100,UNION CITY 49030,S200000,00200,0200,OH 49030,S200000,00300,0100,DARKE 49030,S200000,00400,0100,CENTER OF HOPE 49030,S200000,00400,0200,365970 49030,S200000,00400,0300,05/04/1994 49030,S200000,00400,0500,P 49030,S200000,01500,0100,Y 49030,S700003,00000,0100,1 49039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49039,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49039,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49039,A000000,00300,0000,00300EMPLOYEE BENEFITS 49039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49039,A000000,00700,0000,00700HOUSEKEEPING 49039,A000000,00800,0000,00800DIETARY 49039,A000000,00801,0000,00801CAFETERIA 49039,A000000,00900,0000,00900NURSING ADMINISTRATION 49039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49039,A000000,01100,0000,01100PHARMACY 49039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49039,A000000,01300,0000,01300SOCIAL SERVICE 49039,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49039,A000000,01600,0000,01600SKILLED NURSING FACILITY 49039,A000000,01800,0000,01800NURSING FACILITY 49039,A000000,01900,0000,01900OTHER LONG TERM CARE 49039,A000000,02100,0000,02100RADIOLOGY 49039,A000000,02200,0000,02200LABORATORY 49039,A000000,02300,0000,02300INTRAVENOUS THERAPY 49039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49039,A000000,02500,0000,02500PHYSICAL THERAPY 49039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49039,A000000,02700,0000,02700SPEECH PATHOLOGY 49039,A000000,02800,0000,02800ELECTROCARDIOLOGY 49039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49039,A000000,03050,0000,03300OTHER ANCILLARY 49039,A000000,03051,0000,03301OTHER ANCILLARY II 49039,A000000,03052,0000,03302OTHER ANCILLARY III 49039,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49039,A000000,03200,0000,03200SUPPORT SURFACES 49039,A000000,03400,0000,03400CLINIC 49039,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49039,A000000,03500,0000,03500RURAL HEALTH CLINIC 49039,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49039,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49039,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49039,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49039,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49039,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49039,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49039,A000000,04400,0000,04400DME RENTED - HHA 49039,A000000,04500,0000,04500DME SOLD - HHA 49039,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49039,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49039,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49039,A000000,04800,0000,04800AMBULANCE 49039,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49039,A000000,05000,0000,05000CORF 49039,A000000,05010,0000,05010CMHC I 49039,A000000,05020,0000,05020OPT I 49039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49039,A000000,05300,0000,05300INTEREST EXPENSE 49039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49039,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49039,A000000,05500,0000,05500HOSPICE 49039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49039,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49039,A000000,06100,0000,06100NONPAID WORKERS 49039,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49039,A000000,06200,0000,06200PATIENTS LAUNDRY 49039,A81000A,00100,0100,Y 49039,A81000B,00100,0300,HOME OFFICE 49039,A81000B,00200,0300,HOME OFFICE 49039,A81000C,00100,0100,B 49039,A81000C,00100,0200,CAMELOT ARMS 49039,A81000C,00100,0400,ESSEX HC 49039,A81000C,00100,0600,HOME OFFICE 49039,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49039,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49039,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49039,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49039,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49039,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49039,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49039,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49039,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49039,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49039,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49039,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49039,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49039,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49039,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49039,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49039,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49039,S000000,00100,0200,05/22/2000 49039,S200000,00100,0100,2958 CANFIELD ROAD 49039,S200000,00200,0100,YOUNGSTOWN 49039,S200000,00200,0200,OH 49039,S200000,00200,0300,44511- 49039,S200000,00300,0100,MAHONING 49039,S200000,00400,0100,CAMELOT ARMS 49039,S200000,00400,0200,365972 49039,S200000,00400,0300,07/18/1994 49039,S200000,00400,0500,P 49039,S200000,01004,0500,O 49039,S200000,01600,0100,Y 49039,S200000,04300,0100,Y 49039,S700003,00000,0100,1 49047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49047,A000000,00300,0000,00300EMPLOYEE BENEFITS 49047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49047,A000000,00700,0000,00700HOUSEKEEPING 49047,A000000,00800,0000,00800DIETARY 49047,A000000,00900,0000,00900NURSING ADMINISTRATION 49047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49047,A000000,01100,0000,01100PHARMACY 49047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49047,A000000,01300,0000,01300SOCIAL SERVICE 49047,A000000,01350,0000,01500ACTIVITIES 49047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49047,A000000,01600,0000,01600SKILLED NURSING FACILITY 49047,A000000,01800,0000,01800NURSING FACILITY 49047,A000000,01810,0000,01801ICF/MR 49047,A000000,01900,0000,01900OTHER LONG TERM CARE 49047,A000000,02100,0000,02100RADIOLOGY 49047,A000000,02200,0000,02200LABORATORY 49047,A000000,02300,0000,02300INTRAVENOUS THERAPY 49047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49047,A000000,02500,0000,02500PHYSICAL THERAPY 49047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49047,A000000,02700,0000,02700SPEECH PATHOLOGY 49047,A000000,02800,0000,02800ELECTROCARDIOLOGY 49047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49047,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49047,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49047,A000000,03200,0000,03200SUPPORT SURFACES 49047,A000000,03400,0000,03400CLINIC 49047,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49047,A000000,03500,0000,03500RURAL HEALTH CLINIC 49047,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49047,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49047,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49047,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49047,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49047,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49047,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49047,A000000,04400,0000,04400DME RENTED - HHA 49047,A000000,04500,0000,04500DME SOLD - HHA 49047,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49047,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49047,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49047,A000000,04800,0000,04800AMBULANCE 49047,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49047,A000000,05000,0000,05000CORF 49047,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49047,A000000,05300,0000,05300INTEREST EXPENSE 49047,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49047,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49047,A000000,05500,0000,05500HOSPICE 49047,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49047,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49047,A000000,06100,0000,06100NONPAID WORKERS 49047,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49047,A000000,06200,0000,06200PATIENTS LAUNDRY 49047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49047,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49047,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49047,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49047,B100000,00000,0800,00000MEALS SERVED :DIETARY 49047,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49047,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49047,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49047,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49047,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49047,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49047,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49047,S000000,00100,0200,06/05/2000 49047,S200000,00100,0100,415 COLLEGE STREET 49047,S200000,00200,0100,FINDLAY 49047,S200000,00200,0200,OH 49047,S200000,00200,0300,45840- 49047,S200000,00300,0100,HANCOCK 49047,S200000,00400,0100,WINEBRENNER EXTENDED CARE FACILITY 49047,S200000,00400,0200,365973 49047,S200000,00400,0300,09/15/1994 49047,S200000,00400,0500,P 49047,S200000,00400,0600,P 49047,S200000,01004,0500,O 49047,S200000,01600,0100,Y 49047,S200000,04300,0100,Y 49055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49055,A000000,00300,0000,00300EMPLOYEE BENEFITS 49055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49055,A000000,00700,0000,00700HOUSEKEEPING 49055,A000000,00800,0000,00800DIETARY 49055,A000000,00900,0000,00900NURSING ADMINISTRATION 49055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49055,A000000,01100,0000,01100PHARMACY 49055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49055,A000000,01300,0000,01300SOCIAL SERVICE 49055,A000000,01350,0000,01500OTHER GENERAL SERVICES 49055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49055,A000000,01600,0000,01600SKILLED NURSING FACILITY 49055,A000000,01800,0000,01800NURSING FACILITY 49055,A000000,01810,0000,01801ICF/MR 49055,A000000,01900,0000,01900OTHER LONG TERM CARE 49055,A000000,02100,0000,02100RADIOLOGY 49055,A000000,02200,0000,02200LABORATORY 49055,A000000,02300,0000,02300INTRAVENOUS THERAPY 49055,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49055,A000000,02500,0000,02500PHYSICAL THERAPY 49055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49055,A000000,02700,0000,02700SPEECH PATHOLOGY 49055,A000000,02800,0000,02800ELECTROCARDIOLOGY 49055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49055,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49055,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49055,A000000,03200,0000,03200SUPPORT SURFACES 49055,A000000,03400,0000,03400CLINIC 49055,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49055,A000000,03500,0000,03500RURAL HEALTH CLINIC 49055,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49055,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49055,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49055,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49055,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49055,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49055,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49055,A000000,04400,0000,04400DME RENTED - HHA 49055,A000000,04500,0000,04500DME SOLD - HHA 49055,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49055,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49055,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49055,A000000,04800,0000,04800AMBULANCE 49055,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49055,A000000,05000,0000,05000CORF 49055,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49055,A000000,05300,0000,05300INTEREST EXPENSE 49055,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49055,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49055,A000000,05500,0000,05500HOSPICE 49055,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49055,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49055,A000000,06100,0000,06100NONPAID WORKERS 49055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49055,A000000,06200,0000,06200PATIENTS LAUNDRY 49055,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49055,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49055,B100000,00000,0350,00000WAGES :EMPLOYEE BENEFITS 49055,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49055,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49055,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49055,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49055,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49055,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49055,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 49055,B100000,00000,1150,00000NO STATISTICS :PHARMACY 49055,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 49055,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49055,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 49055,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49055,S000000,00100,0200,06/14/2000 49055,S200000,00100,0100,514 W. HIGH ST 49055,S200000,00100,0300,677 49055,S200000,00200,0100,WAYNESVILLE 49055,S200000,00200,0200,OH 49055,S200000,00200,0300,45068- 49055,S200000,00300,0100,WARREN 49055,S200000,00400,0100,QUAKER HEIGHTS NURSING HOME 49055,S200000,00400,0200,365974 49055,S200000,00400,0300,03/31/1989 49055,S200000,00400,0500,P 49055,S200000,01500,0100,Y 49064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49064,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49064,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49064,A000000,00300,0000,00300EMPLOYEE BENEFITS 49064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49064,A000000,00700,0000,00700HOUSEKEEPING 49064,A000000,00800,0000,00800DIETARY 49064,A000000,00801,0000,00801CAFETERIA 49064,A000000,00900,0000,00900NURSING ADMINISTRATION 49064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49064,A000000,01100,0000,01100PHARMACY 49064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49064,A000000,01300,0000,01300SOCIAL SERVICE 49064,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49064,A000000,01600,0000,01600SKILLED NURSING FACILITY 49064,A000000,01800,0000,01800NURSING FACILITY 49064,A000000,01900,0000,01900OTHER LONG TERM CARE 49064,A000000,02100,0000,02100RADIOLOGY 49064,A000000,02200,0000,02200LABORATORY 49064,A000000,02300,0000,02300INTRAVENOUS THERAPY 49064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49064,A000000,02500,0000,02500PHYSICAL THERAPY 49064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49064,A000000,02700,0000,02700SPEECH PATHOLOGY 49064,A000000,02800,0000,02800ELECTROCARDIOLOGY 49064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49064,A000000,03050,0000,03300OTHER ANCILLARY 49064,A000000,03051,0000,03301OTHER ANCILLARY II 49064,A000000,03052,0000,03302OTHER ANCILLARY III 49064,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49064,A000000,03200,0000,03200SUPPORT SURFACES 49064,A000000,03400,0000,03400CLINIC 49064,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49064,A000000,03500,0000,03500RURAL HEALTH CLINIC 49064,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49064,A000000,04800,0000,04800AMBULANCE 49064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49064,A000000,05000,0000,05000CORF 49064,A000000,05010,0000,05010CMHC I 49064,A000000,05020,0000,05020OPT I 49064,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49064,A000000,05300,0000,05300INTEREST EXPENSE 49064,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49064,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49064,A000000,05500,0000,05500HOSPICE 49064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49064,A000000,06100,0000,06100NONPAID WORKERS 49064,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49064,A000000,06200,0000,06200PATIENTS LAUNDRY 49064,A81000A,00100,0100,Y 49064,A81000B,00100,0300,COUNTY SVC COSTS 49064,A81000C,00100,0100,A 49064,A81000C,00100,0200,BELMONT COUNTY 49064,A81000C,00100,0400,BELMONT COUNTY 49064,A81000C,00100,0600,GOVERNMENT 49064,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49064,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49064,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49064,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49064,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49064,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49064,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49064,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49064,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49064,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49064,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49064,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49064,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49064,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49064,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49064,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49064,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49064,S000000,00100,0200,05/31/2000 49064,S200000,00100,0100,100 PINE AVENUE 49064,S200000,00200,0100,ST. CLAIRSVILLE 49064,S200000,00200,0200,OH 49064,S200000,00300,0100,BELMONT 49064,S200000,00400,0100,PARK HEALTH CENTER 49064,S200000,00400,0200,365975 49064,S200000,00400,0300,09/01/1994 49064,S200000,00400,0500,P 49064,S200000,01600,0100,Y 49064,S200000,02800,0100,Y 49064,S700003,00000,0100,1 49072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49072,A000000,00300,0000,00300EMPLOYEE BENEFITS 49072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49072,A000000,00700,0000,00700HOUSEKEEPING 49072,A000000,00800,0000,00800DIETARY 49072,A000000,00900,0000,00900NURSING ADMINISTRATION 49072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49072,A000000,01100,0000,01100PHARMACY 49072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49072,A000000,01300,0000,01300SOCIAL SERVICE 49072,A000000,01350,0000,01500OTHER GENERAL SERVICES 49072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49072,A000000,01600,0000,01600SKILLED NURSING FACILITY 49072,A000000,01800,0000,01800NURSING FACILITY 49072,A000000,01900,0000,01900OTHER LONG TERM CARE 49072,A000000,02100,0000,02100RADIOLOGY 49072,A000000,02200,0000,02200LABORATORY 49072,A000000,02300,0000,02300INTRAVENOUS THERAPY 49072,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49072,A000000,02500,0000,02500PHYSICAL THERAPY 49072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49072,A000000,02700,0000,02700SPEECH PATHOLOGY 49072,A000000,02800,0000,02800ELECTROCARDIOLOGY 49072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49072,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49072,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49072,A000000,03200,0000,03200SUPPORT SURFACES 49072,A000000,03400,0000,03400CLINIC 49072,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49072,A000000,03500,0000,03500RURAL HEALTH CLINIC 49072,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49072,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49072,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49072,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49072,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49072,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49072,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49072,A000000,04400,0000,04400DME RENTED - HHA 49072,A000000,04500,0000,04500DME SOLD - HHA 49072,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49072,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49072,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49072,A000000,04800,0000,04800AMBULANCE 49072,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49072,A000000,05000,0000,05000CORF 49072,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49072,A000000,05300,0000,05300INTEREST EXPENSE 49072,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49072,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49072,A000000,05500,0000,05500HOSPICE 49072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49072,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49072,A000000,06100,0000,06100NONPAID WORKERS 49072,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49072,A000000,06200,0000,06200PATIENTS LAUNDRY 49072,A81000A,00100,0100,Y 49072,A81000B,00100,0300,ACCOUNTING & BILLING 49072,A81000B,00200,0300,CAPITAL COSTS 49072,A81000B,00300,0300,OTHER NON-CAPITAL 49072,A81000C,00100,0100,B 49072,A81000C,00100,0200,FRANCISCAN SVC CORPORATIO 49072,A81000C,00100,0400,FRANSISCAN SRV CORP 49072,A81000C,00100,0600,HOME OFFICE 49072,A81000C,00200,0100,B 49072,A81000C,00200,0200,PROVIDENCE HOSPITAL 49072,A81000C,00200,0400,PROVIDENCE HOSPITAL 49072,A81000C,00200,0600,HOSPITAL 49072,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 49072,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 49072,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49072,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49072,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 49072,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49072,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 49072,B100000,00000,0800,00000MEALS :DIETARY 49072,B100000,00000,0900,00000NURSING HOUR :NURSING ADMINISTRATI 49072,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 49072,B100000,00000,1150,00000BLANK :PHARMACY 49072,B100000,00000,1250,00000MED RECORDS :MEDICAL RECORDS & LIB 49072,B100000,00000,1300,00000SS TIME :SOCIAL SERVICE 49072,B100000,00000,1350,00000BLANK :OTHER GENERAL SERVICES 49072,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 49072,S000000,00100,0200,06/01/2000 49072,S200000,00100,0100,2025 HAYES AVENUE 49072,S200000,00200,0100,SANDUSKY 49072,S200000,00200,0200,OH 49072,S200000,00200,0300,44870- 49072,S200000,00300,0100,ERIE 49072,S200000,00400,0100,PROVIDENCE CARE CENTER 49072,S200000,00400,0200,365976 49072,S200000,00400,0300,01/01/1995 49072,S200000,00400,0500,P 49072,S200000,01500,0100,Y 49072,S200000,02200,0100,Y 49080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49080,A000000,00300,0000,00300EMPLOYEE BENEFITS 49080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49080,A000000,00700,0000,00700HOUSEKEEPING 49080,A000000,00800,0000,00800DIETARY 49080,A000000,00900,0000,00900NURSING ADMINISTRATION 49080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49080,A000000,01100,0000,01100PHARMACY 49080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49080,A000000,01300,0000,01300SOCIAL SERVICE 49080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49080,A000000,01600,0000,01600SKILLED NURSING FACILITY 49080,A000000,01800,0000,01800NURSING FACILITY 49080,A000000,01810,0000,01810ICF/MR 49080,A000000,01900,0000,01900OTHER LONG TERM CARE 49080,A000000,02100,0000,02100RADIOLOGY 49080,A000000,02200,0000,02200LABORATORY 49080,A000000,02300,0000,02300INTRAVENOUS THERAPY 49080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49080,A000000,02500,0000,02500PHYSICAL THERAPY 49080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49080,A000000,02700,0000,02700SPEECH PATHOLOGY 49080,A000000,02800,0000,02800ELECTROCARDIOLOGY 49080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49080,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49080,A000000,03200,0000,03200SUPPORT SURFACES 49080,A000000,03400,0000,03400CLINIC 49080,A000000,03500,0000,03500RURAL HEALTH CLINIC 49080,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 49080,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49080,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49080,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49080,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49080,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49080,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49080,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49080,A000000,04400,0000,04400DME RENTED - HHA 49080,A000000,04500,0000,04500DME SOLD - HHA 49080,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49080,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49080,A000000,04800,0000,04800AMBULANCE 49080,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49080,A000000,05000,0000,05000CORF 49080,A000000,05010,0000,05010CMHC 49080,A000000,05020,0000,05020OPT 49080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 49080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 49080,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49080,A000000,05300,0000,05300INTEREST EXPENSE 49080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49080,A000000,05500,0000,05500HOSPICE 49080,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49080,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49080,A000000,06100,0000,06100NONPAID WORKERS 49080,A000000,06200,0000,06200PATIENTS LAUNDRY 49080,A81000A,00100,0100,Y 49080,A81000B,00100,0300,MANAGEMENT FEES 49080,A81000C,00100,0100,D 49080,A81000C,00100,0200,DAVID E CHILDS 49080,A81000C,00100,0400,MGMT SERVICES CO 49080,A81000C,00100,0600,CONSULTING 49080,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49080,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49080,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49080,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49080,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49080,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49080,B100000,00000,0750,00000SQUARE FT SERVICE) :HOUSEKEEPING 49080,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49080,B100000,00000,0900,00000SALARIES HOURS) :NURSING ADMINISTR 49080,B100000,00000,1000,00000CENSUS REQUIS) :CENTRAL SERVICES & 49080,B100000,00000,1100,00000CENSUS REQUIS) :PHARMACY 49080,B100000,00000,1250,00000CENSUS SPENT) :MEDICAL RECORDS & L 49080,B100000,00000,1330,00000CENSUS SPENT) :SOCIAL SERVICE 49080,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49080,E10A180,00350,0100,10/20/2000 49080,E10A180,00350,0300,10/20/2000 49080,S000000,00100,0200,10/19/2000 49080,S200000,00100,0100,1985 E PERSHING ST 49080,S200000,00200,0100,SALEN 49080,S200000,00200,0200,OH 49080,S200000,00200,0300,44460- 49080,S200000,00300,0100,COLUMBIANA 49080,S200000,00400,0100,SALEM CONVALESCENT CENTER 49080,S200000,00400,0200,365977 49080,S200000,00400,0300,09/07/1994 49080,S200000,00400,0500,P 49080,S200000,01004,0500,O 49080,S200000,01600,0100,Y 49090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49090,A000000,00300,0000,00300EMPLOYEE BENEFITS 49090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49090,A000000,00700,0000,00700HOUSEKEEPING 49090,A000000,00800,0000,00800DIETARY 49090,A000000,00900,0000,00900NURSING ADMINISTRATION 49090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49090,A000000,01100,0000,01100PHARMACY 49090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49090,A000000,01300,0000,01300SOCIAL SERVICE 49090,A000000,01350,0000,01500ACTIVITIES 49090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49090,A000000,01600,0000,01600SKILLED NURSING FACILITY 49090,A000000,01800,0000,01800NURSING FACILITY 49090,A000000,01810,0000,01801ICF/MR 49090,A000000,01900,0000,01900OTHER LONG TERM CARE 49090,A000000,02100,0000,02100RADIOLOGY 49090,A000000,02200,0000,02200LABORATORY 49090,A000000,02300,0000,02300INTRAVENOUS THERAPY 49090,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49090,A000000,02500,0000,02500PHYSICAL THERAPY 49090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49090,A000000,02700,0000,02700SPEECH PATHOLOGY 49090,A000000,02800,0000,02800ELECTROCARDIOLOGY 49090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49090,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49090,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49090,A000000,03200,0000,03200SUPPORT SURFACES 49090,A000000,03400,0000,03400CLINIC 49090,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49090,A000000,03500,0000,03500RURAL HEALTH CLINIC 49090,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49090,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49090,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49090,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49090,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49090,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49090,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49090,A000000,04400,0000,04400DME RENTED - HHA 49090,A000000,04500,0000,04500DME SOLD - HHA 49090,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49090,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49090,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49090,A000000,04800,0000,04800AMBULANCE 49090,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49090,A000000,05000,0000,05000CORF 49090,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49090,A000000,05300,0000,05300INTEREST EXPENSE 49090,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49090,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49090,A000000,05500,0000,05500HOSPICE 49090,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49090,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49090,A000000,06100,0000,06100NONPAID WORKERS 49090,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49090,A000000,06200,0000,06200PATIENTS LAUNDRY 49090,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49090,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49090,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49090,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49090,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49090,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49090,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49090,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49090,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49090,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49090,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49090,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49090,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49090,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49090,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49090,S000000,00100,0200,06/12/2000 49090,S200000,00100,0100,440 LAFAYETTE AVENUE 49090,S200000,00200,0100,CINCINNATI 49090,S200000,00200,0200,OH 49090,S200000,00200,0300,45220- 49090,S200000,00300,0100,HAMILTON 49090,S200000,00400,0100,SCARLET OAKS RETIREMENT 49090,S200000,00400,0200,365978 49090,S200000,00400,0300,10/30/1994 49090,S200000,00400,0500,P 49090,S200000,01600,0100,Y 49090,S700003,00000,0100,1 49109,S000000,00100,0200,06/01/2000 49120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49120,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49120,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49120,A000000,00300,0000,00300EMPLOYEE BENEFITS 49120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49120,A000000,00700,0000,00700HOUSEKEEPING 49120,A000000,00800,0000,00800DIETARY 49120,A000000,00801,0000,00801CAFETERIA 49120,A000000,00900,0000,00900NURSING ADMINISTRATION 49120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49120,A000000,01100,0000,01100PHARMACY 49120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49120,A000000,01300,0000,01300SOCIAL SERVICE 49120,A000000,01350,0000,01500ACTIVITIES 49120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49120,A000000,01600,0000,01600SKILLED NURSING FACILITY 49120,A000000,01800,0000,01800NURSING FACILITY 49120,A000000,01900,0000,01900OTHER LONG TERM CARE 49120,A000000,02100,0000,02100RADIOLOGY 49120,A000000,02200,0000,02200LABORATORY 49120,A000000,02300,0000,02300INTRAVENOUS THERAPY 49120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49120,A000000,02500,0000,02500PHYSICAL THERAPY 49120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49120,A000000,02700,0000,02700SPEECH PATHOLOGY 49120,A000000,02800,0000,02800ELECTROCARDIOLOGY 49120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49120,A000000,03050,0000,03300DME 49120,A000000,03051,0000,03301ORTHOTICS 49120,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 49120,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49120,A000000,03200,0000,03200SUPPORT SURFACES 49120,A000000,03400,0000,03400CLINIC 49120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49120,A000000,03500,0000,03500RURAL HEALTH CLINIC 49120,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49120,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49120,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49120,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49120,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49120,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49120,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49120,A000000,04400,0000,04400DME RENTED - HHA 49120,A000000,04500,0000,04500DME SOLD - HHA 49120,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49120,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49120,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49120,A000000,04800,0000,04800AMBULANCE 49120,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49120,A000000,05000,0000,05000CORF 49120,A000000,05010,0000,05010CMHC I 49120,A000000,05020,0000,05020OPT I 49120,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49120,A000000,05300,0000,05300INTEREST EXPENSE 49120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49120,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49120,A000000,05500,0000,05500HOSPICE 49120,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49120,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49120,A000000,06100,0000,06100NONPAID WORKERS 49120,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49120,A000000,06200,0000,06200PATIENTS LAUNDRY 49120,A81000A,00100,0100,Y 49120,A81000B,00100,0300,HOME OFFICE ALLOCATION 49120,A81000B,00200,0300,THERACOR ACTUAL COSTS 49120,A81000B,00300,0300,THERACOR ACTUAL COSTS 49120,A81000B,00400,0300,THERACOR ACTUAL COSTS 49120,A81000C,00100,0100,B 49120,A81000C,00100,0200,HARBORSIDE 49120,A81000C,00200,0200,HEALTHCARE 49120,A81000C,00300,0200,LIMITED PSHIP 49120,A81000C,00300,0600,MANAGEMENT CO 49120,A81000C,00500,0100,B 49120,A81000C,00500,0200,HARBORSIDE 49120,A81000C,00600,0200,REHABILITITAION 49120,A81000C,00700,0200,LIMITED PSHIP 49120,A81000C,00700,0600,THERAPY 49120,A81000C,00800,0600,SERVICE AND 49120,A81000C,00900,0600,MANAGEMENT CO 49120,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49120,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49120,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49120,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49120,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49120,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49120,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49120,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49120,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49120,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49120,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49120,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49120,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49120,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49120,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49120,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 49120,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49120,S000000,00100,0200,06/01/2000 49120,S200000,00100,0100,323 FOREST AVE 49120,S200000,00200,0100,DAYTON 49120,S200000,00200,0200,OH 49120,S200000,00200,0300,45405- 49120,S200000,00300,0100,MONTGOMERY 49120,S200000,00400,0100,HHC - DAYTON 49120,S200000,00400,0200,365981 49120,S200000,00400,0300,09/01/1997 49120,S200000,00400,0500,P 49120,S200000,01600,0100,Y 49120,S200000,02200,0100,Y 49120,S200000,04700,0100,Y 49120,S200000,04900,0100,Y 49129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49129,A000000,00300,0000,00300EMPLOYEE BENEFITS 49129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49129,A000000,00700,0000,00700HOUSEKEEPING 49129,A000000,00800,0000,00800DIETARY 49129,A000000,00900,0000,00900NURSING ADMINISTRATION 49129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49129,A000000,01300,0000,01300SOCIAL SERVICE 49129,A000000,01350,0000,01500ACTIVITIES 49129,A000000,01600,0000,01600SKILLED NURSING FACILITY 49129,A000000,01800,0000,01800NURSING FACILITY 49129,A000000,02500,0000,02500PHYSICAL THERAPY 49129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49129,A000000,02700,0000,02700SPEECH PATHOLOGY 49129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49129,A000000,03200,0000,03200SUPPORT SURFACES 49129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49129,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49129,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49129,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49129,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49129,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49129,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49129,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49129,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49129,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49129,B100000,00000,0800,00000MEALS SERVED :DIETARY 49129,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49129,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49129,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49129,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49129,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49129,S000000,00100,0200,07/13/1999 49129,S200000,00100,0100,22 CLINTON STREET 49129,S200000,00200,0100,BLOOMVILLE 49129,S200000,00200,0200,OH 49129,S200000,00200,0300,44818- 49129,S200000,00300,0100,SENECA 49129,S200000,00400,0100,ST. CATH. OF BLOOMVILLE 49129,S200000,00400,0200,365982 49129,S200000,00400,0300,01/01/1995 49129,S200000,00400,0500,P 49129,S200000,01600,0100,Y 49129,S700003,00000,0100,1 49131,S000000,00100,0200,05/31/2000 49140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49140,A000000,00300,0000,00300EMPLOYEE BENEFITS 49140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49140,A000000,00700,0000,00700HOUSEKEEPING 49140,A000000,00800,0000,00800DIETARY 49140,A000000,00900,0000,00900NURSING ADMINISTRATION 49140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49140,A000000,01100,0000,01100PHARMACY 49140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49140,A000000,01300,0000,01300SOCIAL SERVICE 49140,A000000,01301,0000,01301ACTIVITIES 49140,A000000,01302,0000,01302ADMISSIONS 49140,A000000,01600,0000,01600SKILLED NURSING FACILITY 49140,A000000,01800,0000,01800NURSING FACILITY 49140,A000000,01900,0000,01900OTHER LONG TERM CARE 49140,A000000,02100,0000,02100RADIOLOGY 49140,A000000,02200,0000,02200LABORATORY 49140,A000000,02300,0000,02300INTRAVENOUS THERAPY 49140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49140,A000000,02500,0000,02500PHYSICAL THERAPY 49140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49140,A000000,02700,0000,02700SPEECH PATHOLOGY 49140,A000000,02800,0000,02800ELECTROCARDIOLOGY 49140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49140,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49140,A000000,03200,0000,03200SUPPORT SURFACES 49140,A000000,04800,0000,04800AMBULANCE 49140,A000000,05300,0000,05300INTEREST EXPENSE 49140,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49140,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49140,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49140,A000000,06100,0000,06100NONPAID WORKERS 49140,A000000,06150,0000,06300APARTMENTS 49140,A000000,06151,0000,06301MARKETING 49140,A000000,06200,0000,06200PATIENTS LAUNDRY 49140,A81000A,00100,0100,Y 49140,A81000B,00100,0300,MANAGEMENT FEES 49140,A81000C,00100,0100,A 49140,A81000C,00100,0200,BRUCE G. THOMPS 49140,A81000C,00100,0400,KINGSTON HEALTH 49140,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 49140,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 49140,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 49140,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 49140,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 49140,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 49140,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 49140,B100000,00000,0800,00001MEALS SERVED :DIETARY 49140,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 49140,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 49140,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 49140,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 49140,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 49140,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 49140,B100000,00000,1332,00001PATIENT DAYS :ADMISSIONS 49140,S000000,00100,0200,06/01/2000 49140,S200000,00100,0100,1120 SOUTH DUNAWAY ST. 49140,S200000,00200,0100,MIAMISBURG 49140,S200000,00200,0200,OH 49140,S200000,00200,0300,45342- 49140,S200000,00300,0100,MONTGOMERY 49140,S200000,00400,0100,MIAMI CHRISTEL MANOR 49140,S200000,00400,0200,365984 49140,S200000,00400,0300,03/13/1995 49140,S200000,00400,0500,P 49140,S200000,01500,0100,Y 49140,S200000,04300,0100,Y 49140,S200000,04700,0100,Y 49140,S700003,00000,0100,1 49151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49151,A000000,00300,0000,00300EMPLOYEE BENEFITS 49151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49151,A000000,00700,0000,00700HOUSEKEEPING 49151,A000000,00800,0000,00800DIETARY 49151,A000000,00900,0000,00900NURSING ADMINISTRATION 49151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49151,A000000,01100,0000,01100PHARMACY 49151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49151,A000000,01300,0000,01300SOCIAL SERVICE 49151,A000000,01600,0000,01600SKILLED NURSING FACILITY 49151,A000000,01800,0000,01800NURSING FACILITY 49151,A000000,01900,0000,01900OTHER LONG TERM CARE 49151,A000000,02100,0000,02100RADIOLOGY 49151,A000000,02200,0000,02200LABORATORY 49151,A000000,02300,0000,02300INTRAVENOUS THERAPY 49151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49151,A000000,02500,0000,02500PHYSICAL THERAPY 49151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49151,A000000,02700,0000,02700SPEECH PATHOLOGY 49151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49151,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49151,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49151,A000000,03200,0000,03200SUPPORT SURFACES 49151,A000000,03400,0000,03400CLINIC 49151,A000000,03500,0000,03500RURAL HEALTH CLINIC 49151,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49151,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49151,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49151,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49151,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49151,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49151,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49151,A000000,04400,0000,04400DME RENTED - HHA 49151,A000000,04500,0000,04500DME SOLD - HHA 49151,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49151,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49151,A000000,04800,0000,04800AMBULANCE 49151,A000000,05300,0000,05300INTEREST EXPENSE 49151,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49151,A000000,05500,0000,05500HOSPICE 49151,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49151,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49151,A000000,06200,0000,06200PATIENTS LAUNDRY 49151,A81000A,00100,0100,Y 49151,A81000B,00100,0300,HOME OFFICE COSTS - A&G 49151,A81000B,00200,0300,REALTY CO. COSTS - BLDGS & FIXT. 49151,A81000B,00300,0300,REALTY CO. COSTS - MOV. EQUIP. 49151,A81000C,00100,0100,A 49151,A81000C,00100,0200,TOM NORDQUIST 49151,A81000C,00100,0400,CALCUTTA NH INC. 49151,A81000C,00100,0600,REALTY CO. 49151,A81000C,00200,0100,A 49151,A81000C,00200,0200,PATRICIA ADAMS 49151,A81000C,00200,0400,CALCUTTA NH INC. 49151,A81000C,00200,0600,REALTY CO. 49151,A81000C,00300,0100,A 49151,A81000C,00300,0200,L A PETROZZI 49151,A81000C,00300,0400,CALCUTTA NH INC. 49151,A81000C,00300,0600,REALTY CO. 49151,A81000C,00400,0100,A 49151,A81000C,00400,0200,JIM PASTORE 49151,A81000C,00400,0400,CALCUTTA NH INC. 49151,A81000C,00400,0600,REALTY CO. 49151,A81000C,00500,0100,B 49151,A81000C,00500,0200,TOM NORDQUIST 49151,A81000C,00500,0400,NP MANAGEMENT INC. 49151,A81000C,00500,0600,MGMT. CO. 49151,A81000C,00600,0100,B 49151,A81000C,00600,0200,PATRICIA ADAMS 49151,A81000C,00600,0400,NP MANAGEMENT INC. 49151,A81000C,00600,0600,MGMT. CO. 49151,A81000C,00700,0100,B 49151,A81000C,00700,0200,L A PETROZZI 49151,A81000C,00700,0400,NP MANAGEMENT INC. 49151,A81000C,00700,0600,MGMT. CO. 49151,A81000C,00800,0100,B 49151,A81000C,00800,0200,JIM PASTORE 49151,A81000C,00800,0400,NP MANAGEMENT INC. 49151,A81000C,00800,0600,MGMT. CO. 49151,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49151,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49151,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49151,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49151,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49151,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49151,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49151,B100000,00000,0800,00000MEALS SERVED :DIETARY 49151,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49151,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49151,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49151,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49151,E10A180,00501,0100,03/28/2001 49151,H510100,00000,0000,9320 49151,H510100,02400,0000,9320 49151,H510100,02401,0000,9000 49151,H510100,02402,0000,8080 49151,H510200,00000,0000,9000 49151,H510300,00000,0000,8080 49151,H710000,00301,0100,01/13/2000 49151,H710000,00550,0100,03/28/2001 49151,H710000,00550,0300,03/28/2001 49151,S000000,00100,0200,05/31/2000 49151,S200000,00100,0100,48444 BELL SCHOLL ROAD 49151,S200000,00200,0100,CALCUTTA 49151,S200000,00200,0200,OH 49151,S200000,00200,0300,43920- 49151,S200000,00300,0100,COLUMBIANA 49151,S200000,00300,0200,9320 49151,S200000,00300,0300,U 49151,S200000,00400,0100,CALCUTTA HEALTH CARE CENTER 49151,S200000,00400,0200,365987 49151,S200000,00400,0300,02/21/1995 49151,S200000,00400,0500,P 49151,S200000,00800,0200,367746 49151,S200000,00800,0300,07/24/1997 49151,S200000,00800,0500,P 49151,S200000,01600,0100,Y 49151,S200000,04300,0100,Y 49151,S200000,04700,0100,Y 49151,S200000,04700,0200,Y 49159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49159,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49159,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49159,A000000,00300,0000,00300EMPLOYEE BENEFITS 49159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49159,A000000,00700,0000,00700HOUSEKEEPING 49159,A000000,00800,0000,00800DIETARY 49159,A000000,00801,0000,00801CAFETERIA 49159,A000000,00900,0000,00900NURSING ADMINISTRATION 49159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49159,A000000,01100,0000,01100PHARMACY 49159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49159,A000000,01300,0000,01300SOCIAL SERVICE 49159,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49159,A000000,01600,0000,01600SKILLED NURSING FACILITY 49159,A000000,01800,0000,01800NURSING FACILITY 49159,A000000,01900,0000,01900OTHER LONG TERM CARE 49159,A000000,02100,0000,02100RADIOLOGY 49159,A000000,02200,0000,02200LABORATORY 49159,A000000,02300,0000,02300INTRAVENOUS THERAPY 49159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49159,A000000,02500,0000,02500PHYSICAL THERAPY 49159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49159,A000000,02700,0000,02700SPEECH PATHOLOGY 49159,A000000,02800,0000,02800ELECTROCARDIOLOGY 49159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49159,A000000,03050,0000,03300OTHER ANCILLARY 49159,A000000,03051,0000,03301OTHER ANCILLARY II 49159,A000000,03052,0000,03302OTHER ANCILLARY III 49159,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49159,A000000,03200,0000,03200SUPPORT SURFACES 49159,A000000,03400,0000,03400CLINIC 49159,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49159,A000000,03500,0000,03500RURAL HEALTH CLINIC 49159,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49159,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49159,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49159,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49159,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49159,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49159,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49159,A000000,04400,0000,04400DME RENTED - HHA 49159,A000000,04500,0000,04500DME SOLD - HHA 49159,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49159,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49159,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49159,A000000,04800,0000,04800AMBULANCE 49159,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49159,A000000,05000,0000,05000CORF 49159,A000000,05010,0000,05010CMHC I 49159,A000000,05020,0000,05020OPT I 49159,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49159,A000000,05300,0000,05300INTEREST EXPENSE 49159,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49159,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49159,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49159,A000000,05500,0000,05500HOSPICE 49159,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49159,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49159,A000000,06100,0000,06100NONPAID WORKERS 49159,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49159,A000000,06200,0000,06200PATIENTS LAUNDRY 49159,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49159,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49159,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49159,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49159,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49159,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49159,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49159,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49159,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49159,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49159,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49159,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49159,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49159,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49159,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49159,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49159,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49159,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49159,S000000,00100,0200,06/05/2000 49159,S200000,00100,0100,55 LAZELLE ROAD 49159,S200000,00200,0100,WORTHINGTON 49159,S200000,00200,0200,OH 49159,S200000,00200,0300,43235- 49159,S200000,00300,0100,FRANKLIN 49159,S200000,00400,0100,WILLOW BROOK CHRISTIAN COMMUNITIES 49159,S200000,00400,0200,365988 49159,S200000,00400,0300,01/16/1995 49159,S200000,00400,0500,P 49159,S200000,01004,0500,O 49159,S200000,01500,0100,Y 49159,S200000,04700,0100,Y 49169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49169,A000000,00300,0000,00300EMPLOYEE BENEFITS 49169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49169,A000000,00700,0000,00700HOUSEKEEPING 49169,A000000,00800,0000,00800DIETARY 49169,A000000,00900,0000,00900NURSING ADMINISTRATION 49169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49169,A000000,01100,0000,01100PHARMACY 49169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49169,A000000,01300,0000,01300SOCIAL SERVICE 49169,A000000,01600,0000,01600SKILLED NURSING FACILITY 49169,A000000,01800,0000,01800NURSING FACILITY 49169,A000000,01900,0000,01900OTHER LONG TERM CARE 49169,A000000,02100,0000,02100RADIOLOGY 49169,A000000,02200,0000,02200LABORATORY 49169,A000000,02300,0000,02300INTRAVENOUS THERAPY 49169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49169,A000000,02500,0000,02500PHYSICAL THERAPY 49169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49169,A000000,02700,0000,02700SPEECH PATHOLOGY 49169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49169,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49169,A000000,03200,0000,03200SUPPORT SURFACES 49169,A000000,04800,0000,04800AMBULANCE 49169,A000000,05300,0000,05300INTEREST EXPENSE 49169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49169,A000000,05500,0000,05500HOSPICE 49169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49169,A000000,06200,0000,06200PATIENTS LAUNDRY 49169,A81000A,00100,0100,Y 49169,A81000B,00100,0300,REAL ESTATE PARTNERSHIP 49169,A81000B,00200,0300,REAL ESTATE PARTNERSHIP 49169,A81000C,00100,0100,A 49169,A81000C,00100,0200,DAN HERSHBERGER 49169,A81000C,00100,0400,HERSHBERGER PTS 49169,A81000C,00100,0600,REALTY CO 49169,A81000C,00200,0100,A 49169,A81000C,00200,0200,S. HERSHBERGER 49169,A81000C,00200,0400,HERSHBERGER PTS 49169,A81000C,00200,0600,REALTY CO 49169,A81000C,00300,0100,A 49169,A81000C,00300,0200,P. HERSHBERGER 49169,A81000C,00300,0400,HERSHBERGER PTS 49169,A81000C,00300,0600,REALTY CO 49169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49169,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49169,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49169,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49169,B100000,00000,0800,00000MEALS SERVED :DIETARY 49169,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49169,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49169,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49169,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49169,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49169,S000000,00100,0200,06/02/2000 49169,S200000,00100,0100,865 EAST IRON AVENUE 49169,S200000,00200,0100,DOVER 49169,S200000,00200,0200,OH 49169,S200000,00200,0300,44622- 49169,S200000,00300,0100,TUSCARAWAS 49169,S200000,00400,0100,NEW DAWN HLTH CARE & RETIREMENT CTR 49169,S200000,00400,0200,365990 49169,S200000,00400,0300,02/08/1995 49169,S200000,00400,0500,P 49169,S200000,01500,0100,Y 49169,S200000,04300,0100,Y 49178,S000000,00100,0200,05/22/2000 49186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49186,A000000,00300,0000,00300EMPLOYEE BENEFITS 49186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49186,A000000,00700,0000,00700HOUSEKEEPING 49186,A000000,00800,0000,00800DIETARY 49186,A000000,00900,0000,00900NURSING ADMINISTRATION 49186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49186,A000000,01100,0000,01100PHARMACY 49186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49186,A000000,01300,0000,01300SOCIAL SERVICE 49186,A000000,01600,0000,01600SKILLED NURSING FACILITY 49186,A000000,01800,0000,01800NURSING FACILITY 49186,A000000,01900,0000,01900OTHER LONG TERM CARE 49186,A000000,02100,0000,02100RADIOLOGY 49186,A000000,02200,0000,02200LABORATORY 49186,A000000,02300,0000,02300INTRAVENOUS THERAPY 49186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49186,A000000,02500,0000,02500PHYSICAL THERAPY 49186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49186,A000000,02700,0000,02700SPEECH PATHOLOGY 49186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49186,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49186,A000000,03200,0000,03200SUPPORT SURFACES 49186,A000000,04800,0000,04800AMBULANCE 49186,A000000,05300,0000,05300INTEREST EXPENSE 49186,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49186,A81000A,00100,0100,Y 49186,A81000B,00100,0300,HOME OFFICE COSTS 49186,A81000B,00200,0300,HOME OFFICE COSTS 49186,A81000B,00300,0300,HOME OFFICE COSTS 49186,A81000B,00400,0300,HOME OFFICE COSTS 49186,A81000B,00500,0300,HOME OFFICE COSTS 49186,A81000B,00600,0300,HOME OFFICE COSTS 49186,A81000B,00700,0300,HOME OFFICE COSTS 49186,A81000B,00800,0300,HOME OFFICE COSTS 49186,A81000B,00900,0300,HOME OFFICE COSTS 49186,A81000B,01000,0300,HOME OFFICE COSTS 49186,A81000B,01100,0300,HOME OFFICE COSTS 49186,A81000B,01200,0300,HOME OFFICE COSTS 49186,A81000B,01300,0300,HOME OFFICE COSTS 49186,A81000B,01400,0300,HOME OFFICE COSTS 49186,A81000B,01500,0300,HOME OFFICE COSTS 49186,A81000B,01600,0300,HOME OFFICE COSTS 49186,A81000B,01700,0300,HOME OFFICE COSTS 49186,A81000B,01800,0300,HOME OFFICE COSTS 49186,A81000C,00100,0100,B 49186,A81000C,00100,0200,CONSOL. HEALTHCARE REL. M 49186,A81000C,00100,0400,ALTERCARE OF LOUISVILLE 49186,A81000C,00100,0600,NURSING HOMES 49186,A81000C,00200,0100,B 49186,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 49186,A81000C,00200,0400,CONSOL. HEALTHCARE REL. M 49186,A81000C,00200,0600,THERAPY & NURSING 49186,A81000C,00300,0100,B 49186,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 49186,A81000C,00300,0400,CONSOL. HEALTHCARE REL. M 49186,A81000C,00300,0600,DRUGS & MED. SUPPLIES 49186,A81000C,00400,0100,B 49186,A81000C,00400,0200,ADVANTAGE ANCILARY SERVIC 49186,A81000C,00400,0400,CONSOL. HEALTHCARE REL. M 49186,A81000C,00400,0600,MED. SUPPLIES 49186,A81000C,00500,0100,B 49186,A81000C,00500,0200,RENNAISSANCE MORTGAGE 49186,A81000C,00500,0400,CONSOL. HEALTHCARE REL. M 49186,A81000C,00500,0600,FINANCING 49186,A81000C,00600,0100,B 49186,A81000C,00600,0200,ABSOLUTE LAB 49186,A81000C,00600,0400,CONSOL. HEALTHCARE REL. M 49186,A81000C,00600,0600,LAB 49186,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49186,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49186,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49186,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49186,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49186,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49186,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49186,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 49186,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49186,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49186,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49186,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49186,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49186,S000000,00100,0200,06/02/2000 49186,S200000,00100,0100,7121 WEST ST. FRANCIS STREET 49186,S200000,00200,0100,LOUISVILLE 49186,S200000,00200,0200,OH 49186,S200000,00200,0300,44641- 49186,S200000,00300,0100,STARK 49186,S200000,00400,0100,ALTERCARE OF LOUISVILLE 49186,S200000,00400,0200,365993 49186,S200000,00400,0300,06/01/1995 49186,S200000,00400,0500,P 49186,S200000,01600,0100,Y 49186,S200000,04300,0100,Y 49186,S700003,00000,0100,1 49197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49197,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 49197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49197,A000000,00300,0000,00300EMPLOYEE BENEFITS 49197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49197,A000000,00700,0000,00700HOUSEKEEPING 49197,A000000,00800,0000,00800DIETARY 49197,A000000,00900,0000,00900NURSING ADMINISTRATION 49197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49197,A000000,01100,0000,01100PHARMACY 49197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49197,A000000,01300,0000,01300SOCIAL SERVICE 49197,A000000,01350,0000,01500OTHER GENERAL SERVICES 49197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49197,A000000,01600,0000,01600SKILLED NURSING FACILITY 49197,A000000,01800,0000,01800NURSING FACILITY 49197,A000000,01900,0000,01900OTHER LONG TERM CARE 49197,A000000,02100,0000,02100RADIOLOGY 49197,A000000,02200,0000,02200LABORATORY 49197,A000000,02300,0000,02300INTRAVENOUS THERAPY 49197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49197,A000000,02500,0000,02500PHYSICAL THERAPY 49197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49197,A000000,02700,0000,02700SPEECH PATHOLOGY 49197,A000000,02800,0000,02800ELECTROCARDIOLOGY 49197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49197,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49197,A000000,03200,0000,03200SUPPORT SURFACES 49197,A000000,03400,0000,03400CLINIC 49197,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49197,A000000,03500,0000,03500RURAL HEALTH CLINIC 49197,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49197,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49197,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49197,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49197,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49197,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49197,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49197,A000000,04400,0000,04400DME RENTED - HHA 49197,A000000,04500,0000,04500DME SOLD - HHA 49197,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49197,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49197,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49197,A000000,04800,0000,04800AMBULANCE 49197,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49197,A000000,05000,0000,05000CORF 49197,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49197,A000000,05300,0000,05300INTEREST EXPENSE 49197,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49197,A000000,05500,0000,05500HOSPICE 49197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49197,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49197,A000000,06100,0000,06100NONPAID WORKERS 49197,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49197,A000000,06200,0000,06200PATIENTS LAUNDRY 49197,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 49197,B100000,00000,0151,00000PATIENT DAYS :CAP REL COSTS - BLDG 49197,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 49197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49197,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 49197,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49197,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 49197,B100000,00000,0800,00000MEALS SERVED :DIETARY 49197,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49197,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49197,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49197,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49197,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49197,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 49197,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49197,S000000,00100,0200,05/31/2000 49197,S200000,00100,0100,175 CHILLICOTHE AVENUE 49197,S200000,00200,0100,HILLSBORO 49197,S200000,00200,0200,OH 49197,S200000,00200,0300,45133- 49197,S200000,00300,0100,HIGHLAND 49197,S200000,00400,0100,OAKLAND NURSING CENTER 49197,S200000,00400,0200,365994 49197,S200000,00400,0300,03/08/1995 49197,S200000,00400,0500,P 49197,S200000,01004,0500,O 49197,S200000,01500,0100,Y 49197,S200000,04300,0100,Y 49207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49207,A000000,00300,0000,00300EMPLOYEE BENEFITS 49207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49207,A000000,00700,0000,00700HOUSEKEEPING 49207,A000000,00800,0000,00800DIETARY 49207,A000000,00900,0000,00900NURSING ADMINISTRATION 49207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49207,A000000,01100,0000,01100PHARMACY 49207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49207,A000000,01300,0000,01300SOCIAL SERVICE 49207,A000000,01600,0000,01600SKILLED NURSING FACILITY 49207,A000000,01800,0000,01800NURSING FACILITY 49207,A000000,01900,0000,01900OTHER LONG TERM CARE 49207,A000000,02100,0000,02100RADIOLOGY 49207,A000000,02200,0000,02200LABORATORY 49207,A000000,02300,0000,02300INTRAVENOUS THERAPY 49207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49207,A000000,02500,0000,02500PHYSICAL THERAPY 49207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49207,A000000,02700,0000,02700SPEECH PATHOLOGY 49207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49207,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49207,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49207,A000000,03200,0000,03200SUPPORT SURFACES 49207,A000000,04800,0000,04800AMBULANCE 49207,A000000,05300,0000,05300INTEREST EXPENSE 49207,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49207,A000000,05500,0000,05500HOSPICE 49207,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49207,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49207,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49207,A000000,06200,0000,06200PATIENTS LAUNDRY 49207,A81000A,00100,0100,Y 49207,A81000B,00100,0300,CAP REL COSTS-BLDG & FIXT 49207,A81000B,00200,0300,CAP REL COSTS-MVBLE EQUIPMENT 49207,A81000B,00300,0300,EMPLOYEE BENEFITS 49207,A81000B,00400,0300,ADMINISTRATIVE AND GENERAL 49207,A81000B,00500,0300,PLANT OPER MAINT & REPAIR 49207,A81000B,00600,0300,DIETARY 49207,A81000B,00700,0300,NURSING ADMIN 49207,A81000B,00800,0300,CENTRAL SERVICES & SUPPLY 49207,A81000B,00900,0300,PHARMACY 49207,A81000B,01000,0300,SOCIAL SERVICE 49207,A81000B,01100,0300,ANF-PARTICIPATING 49207,A81000B,01200,0300,NURSING FACILITY 49207,A81000B,01300,0300,RADIOLOGY 49207,A81000B,01400,0300,LABORATORY 49207,A81000B,01500,0300,OXYGEN (INHAL) THERAPY 49207,A81000B,01600,0300,PHYSICAL THERAPY 49207,A81000B,01700,0300,OCCUPATIONAL THERAPY 49207,A81000B,01800,0300,SPEECH PATHOLOGY 49207,A81000B,01900,0300,DRUGS CHARGED TO PATIENTS 49207,A81000B,02000,0300,SUPPORT SURFACES 49207,A81000C,00100,0100,B 49207,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00100,0400,COUNTRY LAWN NURSING HOME 49207,A81000C,00100,0600,NURSING HOMES 49207,A81000C,00200,0100,B 49207,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 49207,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00200,0600,THERAPY & NURSING 49207,A81000C,00300,0100,B 49207,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 49207,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00300,0600,DRUGS & MED. SUPPLIES 49207,A81000C,00400,0100,B 49207,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 49207,A81000C,00400,0400,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00400,0600,MED. SUPPLIES 49207,A81000C,00500,0100,B 49207,A81000C,00500,0200,RENAISSANCE MORTGAGE 49207,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00500,0600,FINANCING 49207,A81000C,00600,0100,B 49207,A81000C,00600,0200,ABSOLUTE LAB 49207,A81000C,00600,0400,CONSOL. HEALTHCARE MGMT. 49207,A81000C,00600,0600,LAB & X-RAY 49207,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49207,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49207,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49207,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49207,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49207,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49207,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49207,B100000,00000,0800,00000MEALS SERVED :DIETARY 49207,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 49207,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49207,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49207,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49207,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49207,S000000,00100,0200,06/02/2000 49207,S200000,00100,0100,10608 NAVARRE ROAD S.W. 49207,S200000,00200,0100,NAVARRE 49207,S200000,00200,0200,OH 49207,S200000,00200,0300,44662- 49207,S200000,00300,0100,STARK 49207,S200000,00400,0100,COUNTRY LAWN NURSING HOME 49207,S200000,00400,0200,365995 49207,S200000,00400,0300,04/01/1995 49207,S200000,00400,0500,P 49207,S200000,01600,0100,Y 49207,S200000,04300,0100,Y 49207,S700003,00000,0400,4 49215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49215,A000000,00300,0000,00300EMPLOYEE BENEFITS 49215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49215,A000000,00700,0000,00700HOUSEKEEPING 49215,A000000,00800,0000,00800DIETARY 49215,A000000,00900,0000,00900NURSING ADMINISTRATION 49215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49215,A000000,01100,0000,01100PHARMACY 49215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49215,A000000,01300,0000,01300SOCIAL SERVICE 49215,A000000,01350,0000,01500OTHER GENERAL SERVICES 49215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49215,A000000,01600,0000,01600SKILLED NURSING FACILITY 49215,A000000,01800,0000,01800NURSING FACILITY 49215,A000000,01810,0000,01810ICF/MR 49215,A000000,01900,0000,01900OTHER LONG TERM CARE 49215,A000000,02100,0000,02100RADIOLOGY 49215,A000000,02200,0000,02200LABORATORY 49215,A000000,02300,0000,02300INTRAVENOUS THERAPY 49215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49215,A000000,02500,0000,02500PHYSICAL THERAPY 49215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49215,A000000,02700,0000,02700SPEECH PATHOLOGY 49215,A000000,02800,0000,02800ELECTROCARDIOLOGY 49215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49215,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49215,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49215,A000000,03200,0000,03200SUPPORT SURFACES 49215,A000000,03400,0000,03400CLINIC 49215,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49215,A000000,03500,0000,03500RURAL HEALTH CLINIC 49215,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49215,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49215,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49215,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49215,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49215,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49215,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49215,A000000,04400,0000,04400DME RENTED - HHA 49215,A000000,04500,0000,04500DME SOLD - HHA 49215,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49215,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49215,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49215,A000000,04800,0000,04800AMBULANCE 49215,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49215,A000000,05000,0000,05000CORF 49215,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49215,A000000,05300,0000,05300INTEREST EXPENSE 49215,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49215,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49215,A000000,05500,0000,05500HOSPICE 49215,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49215,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49215,A000000,06100,0000,06100NONPAID WORKERS 49215,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49215,A000000,06200,0000,06200PATIENTS LAUNDRY 49215,A81000A,00100,0100,Y 49215,A81000B,00100,0300,HOME OFFICE 49215,A81000B,00200,0300,HOME OFFICE 49215,A81000B,00300,0300,HOME OFFICE 49215,A81000B,00400,0300,HOME OFFICE 49215,A81000B,00500,0300,HOME OFFICE 49215,A81000C,00100,0100,B 49215,A81000C,00100,0400,OPRS 49215,A81000C,00100,0600,HOME OFFICE 49215,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49215,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49215,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49215,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49215,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49215,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49215,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49215,B100000,00000,0800,00000MEALS SERVED :DIETARY 49215,B100000,00000,0900,00000DIRECTNURS SING HOUR :NURSING ADMIN 49215,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49215,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49215,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49215,H510100,00000,0000,9048 49215,H710000,00301,0100,04/04/2000 49215,H710000,00301,0300,04/04/2000 49215,H710000,00501,0100,01/09/2001 49215,H710000,00501,0300,01/09/2001 49215,S000000,00100,0200,12/01/2000 49215,S200000,00100,0100,5916 CRESTHAVEN LANE 49215,S200000,00200,0100,TOLEDO 49215,S200000,00200,0200,OH 49215,S200000,00200,0300,43614- 49215,S200000,00300,0100,LUCAS 49215,S200000,00300,0200,8400 49215,S200000,00300,0300,U 49215,S200000,00400,0100,SWAN CREEK 49215,S200000,00400,0200,365996 49215,S200000,00400,0300,04/18/1995 49215,S200000,00400,0500,P 49215,S200000,00600,0200,365996 49215,S200000,00600,0300,04/18/1995 49215,S200000,00600,0600,P 49215,S200000,00800,0200,367530 49215,S200000,00800,0300,04/18/1995 49215,S200000,00800,0500,P 49215,S200000,01600,0100,Y 49215,S200000,04300,0100,Y 49223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49223,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49223,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49223,A000000,00300,0000,00300EMPLOYEE BENEFITS 49223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49223,A000000,00700,0000,00700HOUSEKEEPING 49223,A000000,00800,0000,00800DIETARY 49223,A000000,00801,0000,00801CAFETERIA 49223,A000000,00900,0000,00900NURSING ADMINISTRATION 49223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49223,A000000,01100,0000,01100PHARMACY 49223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49223,A000000,01300,0000,01300SOCIAL SERVICE 49223,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49223,A000000,01600,0000,01600SKILLED NURSING FACILITY 49223,A000000,01800,0000,01800NURSING FACILITY 49223,A000000,01900,0000,01900OTHER LONG TERM CARE 49223,A000000,02100,0000,02100RADIOLOGY 49223,A000000,02200,0000,02200LABORATORY 49223,A000000,02300,0000,02300INTRAVENOUS THERAPY 49223,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49223,A000000,02500,0000,02500PHYSICAL THERAPY 49223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49223,A000000,02700,0000,02700SPEECH PATHOLOGY 49223,A000000,02800,0000,02800ELECTROCARDIOLOGY 49223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49223,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 49223,A000000,03051,0000,03301OTHER ANCILLARY II 49223,A000000,03052,0000,03302OTHER ANCILLARY III 49223,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49223,A000000,03200,0000,03200SUPPORT SURFACES 49223,A000000,03400,0000,03400CLINIC 49223,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49223,A000000,03500,0000,03500RURAL HEALTH CLINIC 49223,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49223,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49223,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49223,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49223,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49223,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49223,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49223,A000000,04400,0000,04400DME RENTED - HHA 49223,A000000,04500,0000,04500DME SOLD - HHA 49223,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49223,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49223,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49223,A000000,04800,0000,04800AMBULANCE 49223,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49223,A000000,05000,0000,05000CORF 49223,A000000,05010,0000,05010CMHC I 49223,A000000,05020,0000,05020OPT I 49223,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49223,A000000,05300,0000,05300INTEREST EXPENSE 49223,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49223,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49223,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49223,A000000,05500,0000,05500HOSPICE 49223,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49223,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49223,A000000,06100,0000,06100NONPAID WORKERS 49223,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49223,A000000,06200,0000,06200PATIENTS LAUNDRY 49223,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49223,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49223,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49223,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49223,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49223,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49223,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49223,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49223,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49223,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49223,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49223,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49223,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49223,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49223,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49223,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49223,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49223,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49223,S000000,00100,0200,05/31/2000 49223,S200000,00100,0100,3800 BOARDWALK BLVD. 49223,S200000,00200,0100,SANDUSKY 49223,S200000,00200,0200,OH 49223,S200000,00300,0100,ERIE 49223,S200000,00400,0100,PARKVUE HEALTHCARE CTR. 49223,S200000,00400,0200,365997 49223,S200000,00400,0300,04/21/1995 49223,S200000,00400,0500,P 49223,S200000,01500,0100,Y 49223,S200000,02200,0100,Y 49223,S200000,02800,0100,Y 49223,S200000,04700,0100,Y 49233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49233,A000000,00300,0000,00300EMPLOYEE BENEFITS 49233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49233,A000000,00700,0000,00700HOUSEKEEPING 49233,A000000,00800,0000,00800DIETARY 49233,A000000,00900,0000,00900NURSING ADMINISTRATION 49233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49233,A000000,01100,0000,01100PHARMACY 49233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49233,A000000,01300,0000,01300SOCIAL SERVICE 49233,A000000,01350,0000,01500OTHER GENERAL SERVICES 49233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49233,A000000,01600,0000,01600SKILLED NURSING FACILITY 49233,A000000,01800,0000,01800NURSING FACILITY 49233,A000000,01900,0000,01900OTHER LONG TERM CARE 49233,A000000,02100,0000,02100RADIOLOGY 49233,A000000,02200,0000,02200LABORATORY 49233,A000000,02300,0000,02300INTRAVENOUS THERAPY 49233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49233,A000000,02500,0000,02500PHYSICAL THERAPY 49233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49233,A000000,02700,0000,02700SPEECH PATHOLOGY 49233,A000000,02800,0000,02800ELECTROCARDIOLOGY 49233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49233,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49233,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49233,A000000,03200,0000,03200SUPPORT SURFACES 49233,A000000,03400,0000,03400CLINIC 49233,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49233,A000000,03500,0000,03500RURAL HEALTH CLINIC 49233,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49233,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49233,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49233,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49233,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49233,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49233,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49233,A000000,04400,0000,04400DME RENTED - HHA 49233,A000000,04500,0000,04500DME SOLD - HHA 49233,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49233,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49233,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49233,A000000,04800,0000,04800AMBULANCE 49233,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49233,A000000,05000,0000,05000CORF 49233,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49233,A000000,05300,0000,05300INTEREST EXPENSE 49233,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49233,A000000,05500,0000,05500HOSPICE 49233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49233,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49233,A000000,06100,0000,06100NONPAID WORKERS 49233,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49233,A000000,06200,0000,06200PATIENTS LAUNDRY 49233,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49233,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49233,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49233,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49233,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49233,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49233,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49233,B100000,00000,0800,00000MEALS SERVED :DIETARY 49233,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49233,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49233,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49233,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49233,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 49233,S000000,00100,0200,12/04/2000 49233,S200000,00100,0100,380 COLONIAL DRIVE 49233,S200000,00200,0100,BIDWELL 49233,S200000,00200,0200,OH 49233,S200000,00200,0300,45614- 49233,S200000,00300,0100,GALIA 49233,S200000,00300,0200,36 49233,S200000,00300,0300,R 49233,S200000,00400,0100,HOLZER SENIOR CARE CENTER 49233,S200000,00400,0200,365998 49233,S200000,00400,0300,04/10/1995 49233,S200000,00400,0500,P 49233,S200000,00600,0200,365998 49233,S200000,00600,0300,04/10/1995 49233,S200000,00600,0600,P 49233,S200000,01004,0500,O 49233,S200000,01600,0100,Y 49244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49244,A000000,00300,0000,00300EMPLOYEE BENEFITS 49244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49244,A000000,00700,0000,00700HOUSEKEEPING 49244,A000000,00800,0000,00800DIETARY 49244,A000000,00900,0000,00900NURSING ADMINISTRATION 49244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49244,A000000,01100,0000,01100PHARMACY 49244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49244,A000000,01300,0000,01300SOCIAL SERVICE 49244,A000000,01350,0000,01500OTHER GENERAL SERVICES 49244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49244,A000000,01600,0000,01600SKILLED NURSING FACILITY 49244,A000000,01800,0000,01800NURSING FACILITY 49244,A000000,01810,0000,01801ICF/MR 49244,A000000,01900,0000,01900OTHER LONG TERM CARE 49244,A000000,02100,0000,02100RADIOLOGY 49244,A000000,02200,0000,02200LABORATORY 49244,A000000,02300,0000,02300INTRAVENOUS THERAPY 49244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49244,A000000,02500,0000,02500PHYSICAL THERAPY 49244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49244,A000000,02700,0000,02700SPEECH PATHOLOGY 49244,A000000,02800,0000,02800ELECTROCARDIOLOGY 49244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49244,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49244,A000000,03200,0000,03200SUPPORT SURFACES 49244,A000000,03400,0000,03400CLINIC 49244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49244,A000000,03500,0000,03500RURAL HEALTH CLINIC 49244,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49244,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49244,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49244,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49244,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49244,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49244,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49244,A000000,04400,0000,04400DME RENTED - HHA 49244,A000000,04500,0000,04500DME SOLD - HHA 49244,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49244,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49244,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49244,A000000,04800,0000,04800AMBULANCE 49244,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49244,A000000,05000,0000,05000CORF 49244,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49244,A000000,05300,0000,05300INTEREST EXPENSE 49244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49244,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49244,A000000,05500,0000,05500HOSPICE 49244,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49244,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49244,A000000,06100,0000,06100NONPAID WORKERS 49244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49244,A000000,06200,0000,06200PATIENTS LAUNDRY 49244,A81000A,00100,0100,Y 49244,A81000B,00100,0300,BUILDING LEASE 49244,A81000B,00200,0300,HOME OFFICE - CAPITAL 49244,A81000B,00300,0300,HOME OFFICE - ADMIN. 49244,A81000B,00400,0300,HOME OFFICE - DIETARY 49244,A81000C,00100,0100,A 49244,A81000C,00100,0200,JAMES B. RENACCI 49244,A81000C,00100,0400,LTC ASSOCIATES 49244,A81000C,00100,0600,REAL ESTATE MGMT. 49244,A81000C,00200,0100,B 49244,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49244,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49244,A81000C,00200,0600,NRSG. HOME MGMT. 49244,A81000C,00300,0100,B 49244,A81000C,00300,0200,LTC MANAGEMENT SERVICES 49244,A81000C,00300,0400,LTC MANAGEMENT SERVICES 49244,A81000C,00300,0600,NRSG. HOME MGMT. 49244,A81000C,00400,0100,B 49244,A81000C,00400,0200,LTC MANAGEMENT SERVICES 49244,A81000C,00400,0400,LTC MANAGEMENT SERVICES 49244,A81000C,00400,0600,NRSG. HOME MGMT. 49244,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49244,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49244,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49244,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49244,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49244,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49244,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49244,B100000,00000,0800,00000MEALS SERVED :DIETARY 49244,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 49244,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49244,B100000,00000,1150,00000NO STATISTICS :PHARMACY 49244,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49244,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49244,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49244,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49244,S000000,00100,0200,06/05/2000 49244,S200000,00100,0100,327 W. MAIN STREET 49244,S200000,00200,0100,CRESTLINE 49244,S200000,00200,0200,OH 49244,S200000,00200,0300,44827- 49244,S200000,00300,0100,CRAWFORD 49244,S200000,00400,0100,CRESTLINE NURSING HOME INC. 49244,S200000,00400,0200,366002 49244,S200000,00400,0300,08/01/1995 49244,S200000,00400,0500,P 49244,S200000,01600,0100,Y 49254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49254,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49254,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49254,A000000,00300,0000,00300EMPLOYEE BENEFITS 49254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49254,A000000,00700,0000,00700HOUSEKEEPING 49254,A000000,00800,0000,00800DIETARY 49254,A000000,00801,0000,00801CAFETERIA 49254,A000000,00900,0000,00900NURSING ADMINISTRATION 49254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49254,A000000,01100,0000,01100PHARMACY 49254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49254,A000000,01300,0000,01300SOCIAL SERVICE 49254,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49254,A000000,01600,0000,01600SKILLED NURSING FACILITY 49254,A000000,01800,0000,01800NURSING FACILITY 49254,A000000,01900,0000,01900OTHER LONG TERM CARE 49254,A000000,02100,0000,02100RADIOLOGY 49254,A000000,02200,0000,02200LABORATORY 49254,A000000,02300,0000,02300INTRAVENOUS THERAPY 49254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49254,A000000,02500,0000,02500PHYSICAL THERAPY 49254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49254,A000000,02700,0000,02700SPEECH PATHOLOGY 49254,A000000,02800,0000,02800ELECTROCARDIOLOGY 49254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49254,A000000,03050,0000,03300OTHER ANCILLARY 49254,A000000,03051,0000,03301OTHER ANCILLARY II 49254,A000000,03052,0000,03302OTHER ANCILLARY III 49254,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49254,A000000,03200,0000,03200SUPPORT SURFACES 49254,A000000,03400,0000,03400CLINIC 49254,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49254,A000000,03500,0000,03500RURAL HEALTH CLINIC 49254,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49254,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49254,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49254,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49254,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49254,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49254,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49254,A000000,04400,0000,04400DME RENTED - HHA 49254,A000000,04500,0000,04500DME SOLD - HHA 49254,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49254,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49254,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49254,A000000,04800,0000,04800AMBULANCE 49254,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49254,A000000,05000,0000,05000CORF 49254,A000000,05010,0000,05010CMHC I 49254,A000000,05020,0000,05020OPT I 49254,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49254,A000000,05300,0000,05300INTEREST EXPENSE 49254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49254,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49254,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49254,A000000,05500,0000,05500HOSPICE 49254,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49254,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49254,A000000,06100,0000,06100NONPAID WORKERS 49254,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49254,A000000,06200,0000,06200PATIENTS LAUNDRY 49254,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49254,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49254,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49254,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49254,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49254,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49254,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49254,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49254,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49254,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49254,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49254,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49254,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49254,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 49254,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49254,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49254,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 49254,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49254,S000000,00100,0200,06/06/2000 49254,S200000,00100,0100,4734 GALLIA PIKE 49254,S200000,00200,0100,FRANKLIN FURNACE 49254,S200000,00200,0200,OH 49254,S200000,00200,0300,45629- 49254,S200000,00300,0100,SCIOTO 49254,S200000,00400,0100,FOUNTAINHEAD NURSING HOME INC. 49254,S200000,00400,0200,366003 49254,S200000,00400,0300,04/19/1985 49254,S200000,00400,0500,P 49254,S200000,01004,0500,O 49254,S200000,01500,0100,Y 49263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49263,A000000,00300,0000,00300EMPLOYEE BENEFITS 49263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49263,A000000,00700,0000,00700HOUSEKEEPING 49263,A000000,00800,0000,00800DIETARY 49263,A000000,00900,0000,00900NURSING ADMINISTRATION 49263,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49263,A000000,01100,0000,01100PHARMACY 49263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49263,A000000,01300,0000,01300SOCIAL SERVICE 49263,A000000,01350,0000,01500OTHER GENERAL SERVICES 49263,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49263,A000000,01600,0000,01600SKILLED NURSING FACILITY 49263,A000000,01800,0000,01800NURSING FACILITY 49263,A000000,01810,0000,01801ICF/MR 49263,A000000,01900,0000,01900OTHER LONG TERM CARE 49263,A000000,02100,0000,02100RADIOLOGY 49263,A000000,02200,0000,02200LABORATORY 49263,A000000,02300,0000,02300INTRAVENOUS THERAPY 49263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49263,A000000,02500,0000,02500PHYSICAL THERAPY 49263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49263,A000000,02700,0000,02700SPEECH PATHOLOGY 49263,A000000,02800,0000,02800ELECTROCARDIOLOGY 49263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49263,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49263,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49263,A000000,03200,0000,03200SUPPORT SURFACES 49263,A000000,03400,0000,03400CLINIC 49263,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49263,A000000,03500,0000,03500RURAL HEALTH CLINIC 49263,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49263,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49263,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49263,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49263,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49263,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49263,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49263,A000000,04400,0000,04400DME RENTED - HHA 49263,A000000,04500,0000,04500DME SOLD - HHA 49263,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49263,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49263,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49263,A000000,04800,0000,04800AMBULANCE 49263,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49263,A000000,05000,0000,05000CORF 49263,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49263,A000000,05300,0000,05300INTEREST EXPENSE 49263,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49263,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49263,A000000,05500,0000,05500HOSPICE 49263,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49263,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49263,A000000,06100,0000,06100NONPAID WORKERS 49263,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49263,A000000,06200,0000,06200PATIENTS LAUNDRY 49263,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49263,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 49263,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49263,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49263,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49263,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49263,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49263,B100000,00000,0800,00000MEALS SERVED :DIETARY 49263,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49263,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49263,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49263,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49263,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49263,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49263,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49263,S000000,00100,0200,06/07/2000 49263,S200000,00100,0100,889 NORTH AURORA ROAD 49263,S200000,00200,0100,AURORA 49263,S200000,00200,0200,OH 49263,S200000,00200,0300,44202- 49263,S200000,00300,0100,PORTAGE 49263,S200000,00400,0100,KENSINGTON CARE CENTER 49263,S200000,00400,0200,366004 49263,S200000,00400,0300,04/14/1995 49263,S200000,00400,0500,P 49263,S200000,01600,0100,Y 49272,S000000,00100,0200,05/30/2000 49280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49280,A000000,00300,0000,00300EMPLOYEE BENEFITS 49280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49280,A000000,00700,0000,00700HOUSEKEEPING 49280,A000000,00800,0000,00800DIETARY 49280,A000000,00900,0000,00900NURSING ADMINISTRATION 49280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49280,A000000,01100,0000,01100PHARMACY 49280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49280,A000000,01300,0000,01300SOCIAL SERVICE 49280,A000000,01350,0000,01500PATIENT ACTIVITIES 49280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49280,A000000,01600,0000,01600SKILLED NURSING FACILITY 49280,A000000,01800,0000,01800NURSING FACILITY 49280,A000000,01810,0000,01801ICF/MR 49280,A000000,01900,0000,01900OTHER LONG TERM CARE 49280,A000000,02100,0000,02100RADIOLOGY 49280,A000000,02200,0000,02200LABORATORY 49280,A000000,02300,0000,02300INTRAVENOUS THERAPY 49280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49280,A000000,02500,0000,02500PHYSICAL THERAPY 49280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49280,A000000,02700,0000,02700SPEECH PATHOLOGY 49280,A000000,02800,0000,02800ELECTROCARDIOLOGY 49280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49280,A000000,03200,0000,03200SUPPORT SURFACES 49280,A000000,03400,0000,03400CLINIC 49280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49280,A000000,03500,0000,03500RURAL HEALTH CLINIC 49280,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49280,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49280,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49280,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49280,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49280,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49280,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49280,A000000,04400,0000,04400DME RENTED - HHA 49280,A000000,04500,0000,04500DME SOLD - HHA 49280,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49280,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49280,A000000,04800,0000,04800AMBULANCE 49280,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49280,A000000,05000,0000,05000CORF 49280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49280,A000000,05300,0000,05300INTEREST EXPENSE 49280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49280,A000000,05500,0000,05500HOSPICE 49280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49280,A000000,06100,0000,06100NONPAID WORKERS 49280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49280,A000000,06200,0000,06200PATIENTS LAUNDRY 49280,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49280,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 49280,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49280,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49280,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49280,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 49280,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49280,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49280,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49280,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49280,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49280,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49280,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 49280,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49280,E10A180,00550,0300,06/07/2000 49280,S000000,00100,0200,06/01/2000 49280,S200000,00100,0100,THREE MERIT DRIVE 49280,S200000,00200,0100,RICHMOND HEIGHTS 49280,S200000,00200,0200,OH 49280,S200000,00200,0300,44143- 49280,S200000,00300,0100,CUYAHOGA 49280,S200000,00400,0100,GRANDE POINTE HEALTHCARE COMMUNITY 49280,S200000,00400,0200,366008 49280,S200000,00400,0300,07/11/1995 49280,S200000,00400,0500,P 49280,S200000,01600,0100,Y 49280,S700003,00000,0100,1 49291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49291,A000000,00300,0000,00300EMPLOYEE BENEFITS 49291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49291,A000000,00700,0000,00700HOUSEKEEPING 49291,A000000,00800,0000,00800DIETARY 49291,A000000,00900,0000,00900NURSING ADMINISTRATION 49291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49291,A000000,01100,0000,01100PHARMACY 49291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49291,A000000,01300,0000,01300SOCIAL SERVICE 49291,A000000,01350,0000,01500OTHER GENERAL SERVICES 49291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49291,A000000,01600,0000,01600SKILLED NURSING FACILITY 49291,A000000,01800,0000,01800NURSING FACILITY 49291,A000000,01810,0000,01810ICF/MR 49291,A000000,01900,0000,01900OTHER LONG TERM CARE 49291,A000000,02100,0000,02100RADIOLOGY 49291,A000000,02200,0000,02200LABORATORY 49291,A000000,02300,0000,02300INTRAVENOUS THERAPY 49291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49291,A000000,02500,0000,02500PHYSICAL THERAPY 49291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49291,A000000,02700,0000,02700SPEECH PATHOLOGY 49291,A000000,02800,0000,02800ELECTROCARDIOLOGY 49291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49291,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49291,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49291,A000000,03200,0000,03200SUPPORT SURFACES 49291,A000000,03400,0000,03400CLINIC 49291,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49291,A000000,03500,0000,03500RURAL HEALTH CLINIC 49291,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49291,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49291,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49291,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49291,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49291,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49291,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49291,A000000,04400,0000,04400DME RENTED - HHA 49291,A000000,04500,0000,04500DME SOLD - HHA 49291,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49291,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49291,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49291,A000000,04800,0000,04800AMBULANCE 49291,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49291,A000000,05000,0000,05000CORF 49291,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49291,A000000,05300,0000,05300INTEREST EXPENSE 49291,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49291,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49291,A000000,05500,0000,05500HOSPICE 49291,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49291,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49291,A000000,06100,0000,06100NONPAID WORKERS 49291,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49291,A000000,06200,0000,06200PATIENTS LAUNDRY 49291,A81000A,00100,0100,Y 49291,A81000B,00100,0300,CAP REL COSTS - BLDGS & F LEASE 49291,A81000B,00200,0300,HO COSTS - CAPITAL 49291,A81000B,00300,0300,HO COSTS - ADMINISTRATIVE 49291,A81000B,00400,0300,HO COSTS - DIETARY 49291,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 49291,A81000C,00100,0100,A 49291,A81000C,00100,0200,JAMES B RENACCI 49291,A81000C,00100,0400,LTC ASSOCIATES 49291,A81000C,00100,0600,REAL ESTATE 49291,A81000C,00200,0100,B 49291,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49291,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49291,A81000C,00200,0600,NURSING HOME MGT 49291,A81000C,00300,0100,B 49291,A81000C,00300,0200,LTC MANAGEMENT SERVICES 49291,A81000C,00300,0400,LTC MANAGEMENT SERVICES 49291,A81000C,00300,0600,NURSING HOME MGT 49291,A81000C,00400,0100,B 49291,A81000C,00400,0200,LTC MANAGEMENT SERVICES 49291,A81000C,00400,0400,LTC MANAGEMENT SERVICES 49291,A81000C,00400,0600,NURSING HOME MGT 49291,A81000C,00500,0100,A 49291,A81000C,00500,0200,JAMES B RENACCI 49291,A81000C,00500,0400,LTC ASSOCIATES 49291,A81000C,00500,0600,REAL ESTATE 49291,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49291,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49291,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49291,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49291,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49291,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49291,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49291,B100000,00000,0800,00000MEALS SERVED :DIETARY 49291,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49291,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49291,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49291,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49291,E10A180,00650,0100,09/06/2001 49291,E10A180,00650,0300,09/06/2001 49291,S000000,00100,0200,06/05/2000 49291,S200000,00100,0100,330 SOUTHWEST AVE 49291,S200000,00200,0100,TALLMADGE 49291,S200000,00200,0200,OH 49291,S200000,00200,0300,44278- 49291,S200000,00300,0100,SUMMIT 49291,S200000,00300,0200,0080 49291,S200000,00300,0300,U 49291,S200000,00400,0100,SUMMIT VILLA CARE CENTER INC. 49291,S200000,00400,0200,366010 49291,S200000,00400,0300,01/01/1995 49291,S200000,00400,0500,P 49291,S200000,01600,0100,Y 49291,S200000,04300,0100,Y 49301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49301,A000000,00300,0000,00300EMPLOYEE BENEFITS 49301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49301,A000000,00700,0000,00700HOUSEKEEPING 49301,A000000,00800,0000,00800DIETARY 49301,A000000,00900,0000,00900NURSING ADMINISTRATION 49301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49301,A000000,01100,0000,01100PHARMACY 49301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49301,A000000,01300,0000,01300SOCIAL SERVICE 49301,A000000,01350,0000,01500OTHER GENERAL SERVICE 49301,A000000,01600,0000,01600SKILLED NURSING FACILITY 49301,A000000,01800,0000,01800NURSING FACILITY 49301,A000000,01900,0000,01900OTHER LONG TERM CARE 49301,A000000,02100,0000,02100RADIOLOGY 49301,A000000,02200,0000,02200LABORATORY 49301,A000000,02500,0000,02500PHYSICAL THERAPY 49301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49301,A000000,02700,0000,02700SPEECH PATHOLOGY 49301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49301,A000000,03200,0000,03200SUPPORT SURFACES 49301,A000000,04800,0000,04800AMBULANCE 49301,A000000,05300,0000,05300INTEREST EXPENSE 49301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49301,A81000A,00100,0100,Y 49301,A81000B,00100,0300,CAP REL COSTS-BLDG & FIXT 49301,A81000B,00200,0300,CAP REL COSTS-MVBLE EQUIP 49301,A81000B,00300,0300,EMPLOYEE BENEFITS 49301,A81000B,00400,0300,ADMINISTRATIVE AND GENERAL 49301,A81000B,00500,0300,PLANT OPER. MAINT & REPAIR 49301,A81000B,00600,0300,HOUSEKEEPING 49301,A81000B,00700,0300,DIETARY 49301,A81000B,00800,0300,NURSING ADMIN 49301,A81000B,00900,0300,CENTRAL SERVICES & SUPPLY 49301,A81000B,01000,0300,PHARMACY 49301,A81000B,01100,0300,SOCIAL SERVICES 49301,A81000B,01200,0300,SNF-PARTICIPATING 49301,A81000B,01300,0300,RADIOLOGY 49301,A81000B,01400,0300,LABORATORY 49301,A81000B,01500,0300,OXYGEN (INHAL) THERAPY 49301,A81000B,01600,0300,PHYSICAL THERAPY 49301,A81000B,01700,0300,OCCUPATIONAL THERAPY 49301,A81000B,01800,0300,SPEECH PATHOLOGY 49301,A81000B,01900,0300,MED SUPPLIES CHRD TO PATS 49301,A81000B,02000,0300,DRUGS CHARGED TO PATIENTS 49301,A81000B,02100,0300,SUPPORT SURFACES 49301,A81000C,00100,0100,B 49301,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 49301,A81000C,00100,0400,ALTERCARE OF MENTOR 49301,A81000C,00100,0600,NURSING HOMES 49301,A81000C,00200,0100,B 49301,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 49301,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 49301,A81000C,00200,0600,THERAPY & NURSING SERV. 49301,A81000C,00300,0100,B 49301,A81000C,00300,0200,APOTHECARE HEALTH SERV. 49301,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 49301,A81000C,00300,0600,DRUGS & MED. SUPPLIES 49301,A81000C,00400,0100,B 49301,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 49301,A81000C,00400,0400,CONSOL. HEALTHCARE MGMT. 49301,A81000C,00400,0600,MED. SUPPLIES 49301,A81000C,00500,0100,B 49301,A81000C,00500,0200,RENAISSANCE MORTGAGE 49301,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 49301,A81000C,00500,0600,FINANCING 49301,A81000C,00600,0100,B 49301,A81000C,00600,0200,ABSOLUTE LAB 49301,A81000C,00600,0400,CONSOL HEALTHCARE MGMT. 49301,A81000C,00600,0600,LAB 49301,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49301,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49301,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49301,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49301,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49301,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49301,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49301,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 49301,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49301,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49301,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49301,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49301,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49301,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49301,S000000,00100,0200,06/02/2000 49301,S200000,00100,0100,9901 JOHNNYCAKE RIDGE 49301,S200000,00200,0100,MENTOR 49301,S200000,00200,0200,OH 49301,S200000,00200,0300,44060- 49301,S200000,00300,0100,LAKE 49301,S200000,00400,0100,ALTERCARE OF MENTOR 49301,S200000,00400,0200,366011 49301,S200000,00400,0300,08/01/1995 49301,S200000,00400,0500,P 49301,S200000,01600,0100,Y 49301,S200000,04300,0100,Y 49301,S700003,00000,0400,4 49310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49310,A000000,00300,0000,00300EMPLOYEE BENEFITS 49310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49310,A000000,00700,0000,00700HOUSEKEEPING 49310,A000000,00800,0000,00800DIETARY 49310,A000000,00900,0000,00900NURSING ADMINISTRATION 49310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49310,A000000,01100,0000,01100PHARMACY 49310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49310,A000000,01300,0000,01300SOCIAL SERVICE 49310,A000000,01350,0000,01500OTHER GENERAL SERVICES 49310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49310,A000000,01600,0000,01600SKILLED NURSING FACILITY 49310,A000000,01800,0000,01800NURSING FACILITY 49310,A000000,01810,0000,01810ICF/MR 49310,A000000,01900,0000,01900OTHER LONG TERM CARE 49310,A000000,02100,0000,02100RADIOLOGY 49310,A000000,02200,0000,02200LABORATORY 49310,A000000,02300,0000,02300INTRAVENOUS THERAPY 49310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49310,A000000,02500,0000,02500PHYSICAL THERAPY 49310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49310,A000000,02700,0000,02700SPEECH PATHOLOGY 49310,A000000,02800,0000,02800ELECTROCARDIOLOGY 49310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49310,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49310,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49310,A000000,03200,0000,03200SUPPORT SURFACES 49310,A000000,03400,0000,03400CLINIC 49310,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49310,A000000,03500,0000,03500RURAL HEALTH CLINIC 49310,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49310,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49310,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49310,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49310,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49310,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49310,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49310,A000000,04400,0000,04400DME RENTED - HHA 49310,A000000,04500,0000,04500DME SOLD - HHA 49310,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49310,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49310,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49310,A000000,04800,0000,04800AMBULANCE 49310,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49310,A000000,05000,0000,05000CORF 49310,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49310,A000000,05300,0000,05300INTEREST EXPENSE 49310,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49310,A000000,05500,0000,05500HOSPICE 49310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49310,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49310,A000000,06100,0000,06100NONPAID WORKERS 49310,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49310,A000000,06200,0000,06200PATIENTS LAUNDRY 49310,A81000A,00100,0100,Y 49310,A81000B,00100,0300,BUILDING LEASE 49310,A81000B,00200,0300,HOME OFFICE COSTS - CAPITAL 49310,A81000B,00300,0300,HOME OFFICE COSTS - ADMIN. 49310,A81000B,00400,0300,HOME OFFICE COSTS - DIETARY 49310,A81000B,00500,0300,HOME OFFICE COSTS - CAPITAL 49310,A81000B,00600,0300,HOME OFFICE COSTS - ADMIN. 49310,A81000C,00100,0100,A 49310,A81000C,00100,0200,JAMES B. RENACCI 49310,A81000C,00100,0400,LTC ASSOCIATES 49310,A81000C,00100,0600,REAL ESTATE MGMT. 49310,A81000C,00200,0100,B 49310,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49310,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49310,A81000C,00200,0600,NRSG. HOME MGMT. 49310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49310,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49310,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49310,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49310,B100000,00000,0800,00000MEALS SERVED :DIETARY 49310,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 49310,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49310,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49310,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49310,S000000,00100,0200,06/05/2000 49310,S200000,00100,0100,4910 ALGIRE ROAD 49310,S200000,00200,0100,BELLVILLE 49310,S200000,00200,0200,OH 49310,S200000,00200,0300,44813- 49310,S200000,00300,0100,RICHLAND 49310,S200000,00300,0200,36 49310,S200000,00300,0300,R 49310,S200000,00400,0100,OVERLOOK VILLA CARE CENTER 49310,S200000,00400,0200,366012 49310,S200000,00400,0300,08/01/1995 49310,S200000,00400,0500,P 49310,S200000,01600,0100,Y 49310,S200000,04300,0100,Y 49320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49320,A000000,00300,0000,00300EMPLOYEE BENEFITS 49320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49320,A000000,00700,0000,00700HOUSEKEEPING 49320,A000000,00800,0000,00800DIETARY 49320,A000000,00900,0000,00900NURSING ADMINISTRATION 49320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49320,A000000,01100,0000,01100PHARMACY 49320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49320,A000000,01300,0000,01300SOCIAL SERVICE 49320,A000000,01350,0000,01500ACTIVITIES 49320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49320,A000000,01600,0000,01600SKILLED NURSING FACILITY 49320,A000000,01800,0000,01800NURSING FACILITY 49320,A000000,01810,0000,01810ICF/MR 49320,A000000,01900,0000,01900OTHER LONG TERM CARE 49320,A000000,02100,0000,02100RADIOLOGY 49320,A000000,02200,0000,02200LABORATORY 49320,A000000,02300,0000,02300INTRAVENOUS THERAPY 49320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49320,A000000,02500,0000,02500PHYSICAL THERAPY 49320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49320,A000000,02700,0000,02700SPEECH PATHOLOGY 49320,A000000,02800,0000,02800ELECTROCARDIOLOGY 49320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49320,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49320,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49320,A000000,03200,0000,03200SUPPORT SURFACES 49320,A000000,03400,0000,03400CLINIC 49320,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49320,A000000,03500,0000,03500RURAL HEALTH CLINIC 49320,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49320,A000000,04800,0000,04800AMBULANCE 49320,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49320,A000000,05000,0000,05000CORF 49320,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49320,A000000,05300,0000,05300INTEREST EXPENSE 49320,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49320,A000000,05500,0000,05500HOSPICE 49320,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49320,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49320,A000000,06100,0000,06100NONPAID WORKERS 49320,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49320,A000000,06200,0000,06200PATIENTS LAUNDRY 49320,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49320,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49320,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49320,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49320,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49320,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49320,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49320,B100000,00000,0800,00000MEALS SERVED :DIETARY 49320,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49320,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49320,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49320,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49320,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49320,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 49320,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49320,E10A180,00501,0100,07/28/2000 49320,S000000,00100,0200,06/02/2000 49320,S200000,00100,0100,250 DELAWARE STREET 49320,S200000,00200,0100,LEXINGTON 49320,S200000,00200,0200,OH 49320,S200000,00200,0300,44904- 49320,S200000,00300,0100,RICHLAND 49320,S200000,00400,0100,LEXINGTON COURT CARE CENTER 49320,S200000,00400,0200,366013 49320,S200000,00400,0300,08/01/1995 49320,S200000,00400,0500,P 49320,S200000,01500,0100,Y 49332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49332,A000000,00300,0000,00300EMPLOYEE BENEFITS 49332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49332,A000000,00700,0000,00700HOUSEKEEPING 49332,A000000,00800,0000,00800DIETARY 49332,A000000,00900,0000,00900NURSING ADMINISTRATION 49332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49332,A000000,01100,0000,01100PHARMACY 49332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49332,A000000,01300,0000,01300SOCIAL SERVICE 49332,A000000,01350,0000,01500OTHER GENERAL SERVICES 49332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49332,A000000,01600,0000,01600SKILLED NURSING FACILITY 49332,A000000,01800,0000,01800NURSING FACILITY 49332,A000000,01810,0000,01810ICF/MR 49332,A000000,01900,0000,01900OTHER LONG TERM CARE 49332,A000000,02100,0000,02100RADIOLOGY 49332,A000000,02200,0000,02200LABORATORY 49332,A000000,02300,0000,02300INTRAVENOUS THERAPY 49332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49332,A000000,02500,0000,02500PHYSICAL THERAPY 49332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49332,A000000,02700,0000,02700SPEECH PATHOLOGY 49332,A000000,02800,0000,02800ELECTROCARDIOLOGY 49332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49332,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49332,A000000,03200,0000,03200SUPPORT SURFACES 49332,A000000,03400,0000,03400CLINIC 49332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49332,A000000,03500,0000,03500RURAL HEALTH CLINIC 49332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49332,A000000,04800,0000,04800AMBULANCE 49332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49332,A000000,05000,0000,05000CORF 49332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49332,A000000,05300,0000,05300INTEREST EXPENSE 49332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49332,A000000,05500,0000,05500HOSPICE 49332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49332,A000000,06100,0000,06100NONPAID WORKERS 49332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49332,A000000,06200,0000,06200PATIENTS LAUNDRY 49332,A81000A,00100,0100,Y 49332,A81000B,00100,0300,BUILDING LEASE 49332,A81000B,00200,0300,HO COSTS - CAPITAL 49332,A81000B,00300,0300,HO COSTS - ADMINISTRATIVE 49332,A81000B,00400,0300,HO COSTS - DIETARY 49332,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 49332,A81000C,00100,0100,A 49332,A81000C,00100,0200,JAMES B RENACCI 49332,A81000C,00100,0400,LTC ASSOCIATES 49332,A81000C,00100,0600,REAL ESTATE 49332,A81000C,00200,0100,B 49332,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49332,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49332,A81000C,00200,0600,NURSING HOME MGT 49332,A81000C,00300,0100,B 49332,A81000C,00300,0200,LTC MANAGEMENT SERVICES 49332,A81000C,00300,0400,LTC MANAGEMENT SERVICES 49332,A81000C,00300,0600,NURSING HOME MGT 49332,A81000C,00400,0100,B 49332,A81000C,00400,0200,LTC MANAGEMENT SERVICES 49332,A81000C,00400,0400,LTC MANAGEMENT SERVICES 49332,A81000C,00400,0600,NURSING HOME MGT 49332,A81000C,00500,0100,A 49332,A81000C,00500,0200,JAMES B RENACCI 49332,A81000C,00500,0400,LTC ASSOCIATES 49332,A81000C,00500,0600,REAL ESTATE 49332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49332,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49332,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49332,B100000,00000,0800,00000MEALS SERVED :DIETARY 49332,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49332,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49332,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49332,S000000,00100,0200,06/05/2000 49332,S200000,00100,0100,414 WOOSTER ROAD 49332,S200000,00200,0100,MT VERNON 49332,S200000,00200,0200,OH 49332,S200000,00200,0300,43050- 49332,S200000,00300,0100,KNOX 49332,S200000,00300,0200,9936 49332,S200000,00300,0300,R 49332,S200000,00400,0100,WHISPERING HILLS CARE CENTER 49332,S200000,00400,0200,366014 49332,S200000,00400,0300,09/01/1995 49332,S200000,00400,0500,P 49332,S200000,01600,0100,Y 49341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49341,A000000,00300,0000,00300EMPLOYEE BENEFITS 49341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49341,A000000,00700,0000,00700HOUSEKEEPING 49341,A000000,00800,0000,00800DIETARY 49341,A000000,00900,0000,00900NURSING ADMINISTRATION 49341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49341,A000000,01100,0000,01100PHARMACY 49341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49341,A000000,01300,0000,01300SOCIAL SERVICE 49341,A000000,01600,0000,01600SKILLED NURSING FACILITY 49341,A000000,01800,0000,01800NURSING FACILITY 49341,A000000,01900,0000,01900OTHER LONG TERM CARE 49341,A000000,02100,0000,02100RADIOLOGY 49341,A000000,02200,0000,02200LABORATORY 49341,A000000,02300,0000,02300INTRAVENOUS THERAPY 49341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49341,A000000,02500,0000,02500PHYSICAL THERAPY 49341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49341,A000000,02700,0000,02700SPEECH PATHOLOGY 49341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49341,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49341,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49341,A000000,03200,0000,03200SUPPORT SURFACES 49341,A000000,04800,0000,04800AMBULANCE 49341,A000000,05300,0000,05300INTEREST EXPENSE 49341,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49341,A000000,05500,0000,05500HOSPICE 49341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49341,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49341,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49341,A000000,06200,0000,06200PATIENTS LAUNDRY 49341,A81000A,00100,0100,Y 49341,A81000B,00100,0300,MANAGEMENT FEE 49341,A81000B,00200,0300,HOME OFFICE BUILDING RENT 49341,A81000B,00300,0300,RELATED PARTY RENT EXPENSE 49341,A81000B,00400,0300,EQUIPMENT EXPENSES 49341,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 49341,A81000B,00600,0300,STORAGE BUILDING 49341,A81000C,00100,0100,A 49341,A81000C,00100,0200,NATHAN POLLACK 49341,A81000C,00100,0400,CARE CENTER MGMT 49341,A81000C,00100,0600,MGMT COMPANY 49341,A81000C,00200,0100,A 49341,A81000C,00200,0200,HYMIE KELLER 49341,A81000C,00200,0400,CARE CENTER MGMT 49341,A81000C,00200,0600,MGMT COMPANY 49341,A81000C,00300,0100,A 49341,A81000C,00300,0200,NATHAN POLLACK 49341,A81000C,00300,0400,MENTOR WAY R/E 49341,A81000C,00300,0600,R/E COMPANY 49341,A81000C,00400,0100,A 49341,A81000C,00400,0200,HYMIE KELLER 49341,A81000C,00400,0400,MENTOR WAY R/E 49341,A81000C,00400,0600,R/E COMPANY 49341,A81000C,00500,0100,A 49341,A81000C,00500,0200,NATHAN POLLACK 49341,A81000C,00500,0400,ASHTABULA CARE 49341,A81000C,00500,0600,R/E COMPANY 49341,A81000C,00600,0100,A 49341,A81000C,00600,0200,HYMIE KELLER 49341,A81000C,00600,0400,ASTHABULA CARE 49341,A81000C,00600,0600,R/E COMPANY 49341,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49341,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49341,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49341,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49341,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49341,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49341,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49341,B100000,00000,0800,00000MEALS SERVED :DIETARY 49341,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49341,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49341,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49341,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49341,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49341,S000000,00100,0200,05/30/2000 49341,S200000,00100,0100,8881 SCHAEFER STREET 49341,S200000,00200,0100,MENTOR 49341,S200000,00200,0200,OH 49341,S200000,00200,0300,44060- 49341,S200000,00300,0100,LAKE 49341,S200000,00400,0100,MENTOR WAY CARE CENTER 49341,S200000,00400,0200,366015 49341,S200000,00400,0300,07/24/1995 49341,S200000,00400,0500,P 49341,S200000,01600,0100,Y 49341,S200000,04300,0100,Y 49341,S200000,04700,0100,Y 49341,S700003,00000,0400,4 49349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49349,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49349,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49349,A000000,00300,0000,00300EMPLOYEE BENEFITS 49349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49349,A000000,00700,0000,00700HOUSEKEEPING 49349,A000000,00800,0000,00800DIETARY 49349,A000000,00801,0000,00801CAFETERIA 49349,A000000,00900,0000,00900NURSING ADMINISTRATION 49349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49349,A000000,01100,0000,01100PHARMACY 49349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49349,A000000,01300,0000,01300SOCIAL SERVICE 49349,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49349,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49349,A000000,01600,0000,01600SKILLED NURSING FACILITY 49349,A000000,01800,0000,01800NURSING FACILITY 49349,A000000,01900,0000,01900OTHER LONG TERM CARE 49349,A000000,02100,0000,02100RADIOLOGY 49349,A000000,02200,0000,02200LABORATORY 49349,A000000,02300,0000,02300INTRAVENOUS THERAPY 49349,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49349,A000000,02500,0000,02500PHYSICAL THERAPY 49349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49349,A000000,02700,0000,02700SPEECH PATHOLOGY 49349,A000000,02800,0000,02800ELECTROCARDIOLOGY 49349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49349,A000000,03050,0000,03300OTHER ANCILLARY 49349,A000000,03051,0000,03301OTHER ANCILLARY II 49349,A000000,03052,0000,03302OTHER ANCILLARY III 49349,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49349,A000000,03200,0000,03200SUPPORT SURFACES 49349,A000000,03400,0000,03400CLINIC 49349,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49349,A000000,03500,0000,03500RURAL HEALTH CLINIC 49349,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49349,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49349,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49349,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49349,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49349,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49349,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49349,A000000,04400,0000,04400DME RENTED - HHA 49349,A000000,04500,0000,04500DME SOLD - HHA 49349,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49349,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49349,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49349,A000000,04800,0000,04800AMBULANCE 49349,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49349,A000000,05000,0000,05000CORF 49349,A000000,05010,0000,05010CMHC I 49349,A000000,05020,0000,05020OPT I 49349,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49349,A000000,05300,0000,05300INTEREST EXPENSE 49349,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49349,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49349,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49349,A000000,05500,0000,05500HOSPICE 49349,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49349,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49349,A000000,06100,0000,06100NONPAID WORKERS 49349,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49349,A000000,06200,0000,06200PATIENTS LAUNDRY 49349,A81000A,00100,0100,Y 49349,A81000B,00100,0300,PROTECTED EXPENSE 49349,A81000B,00200,0300,ADMIN EXPENSE 49349,A81000B,00300,0300,DIETARY EXPENSE 49349,A81000B,00400,0300,CAPITAL EXPENSE 49349,A81000C,00100,0100,A 49349,A81000C,00100,0200,EDWARD TELLE 49349,A81000C,00100,0400,SOROKA TELLE 49349,A81000C,00100,0600,MGT CO 49349,A81000C,00200,0100,B 49349,A81000C,00200,0200,WILLIAM SOROKA 49349,A81000C,00200,0400,SOROKA TELLE 49349,A81000C,00200,0600,MGT CO 49349,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49349,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49349,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49349,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49349,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49349,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49349,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49349,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49349,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49349,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49349,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49349,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49349,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49349,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49349,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49349,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49349,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49349,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49349,S000000,00100,0200,06/30/2000 49349,S200000,00100,0100,1318 E MAIN ST 49349,S200000,00200,0100,LANCASTER 49349,S200000,00200,0200,OH 49349,S200000,00300,0100,FAIRFIELD 49349,S200000,00400,0100,MAIN ST TERRACE CARE CENTER 49349,S200000,00400,0200,366016 49349,S200000,00400,0300,07/12/1995 49349,S200000,00400,0500,P 49349,S200000,01500,0100,Y 49349,S200000,02200,0100,Y 49358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49358,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49358,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49358,A000000,00300,0000,00300EMPLOYEE BENEFITS 49358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49358,A000000,00700,0000,00700HOUSEKEEPING 49358,A000000,00800,0000,00800DIETARY 49358,A000000,00801,0000,00801CAFETERIA 49358,A000000,00900,0000,00900NURSING ADMINISTRATION 49358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49358,A000000,01100,0000,01100PHARMACY 49358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49358,A000000,01300,0000,01300SOCIAL SERVICE 49358,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49358,A000000,01600,0000,01600SKILLED NURSING FACILITY 49358,A000000,01800,0000,01800NURSING FACILITY 49358,A000000,01900,0000,01900OTHER LONG TERM CARE 49358,A000000,02100,0000,02100RADIOLOGY 49358,A000000,02200,0000,02200LABORATORY 49358,A000000,02300,0000,02300INTRAVENOUS THERAPY 49358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49358,A000000,02500,0000,02500PHYSICAL THERAPY 49358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49358,A000000,02700,0000,02700SPEECH PATHOLOGY 49358,A000000,02800,0000,02800ELECTROCARDIOLOGY 49358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49358,A000000,03050,0000,03300OTHER ANCILLARY 49358,A000000,03051,0000,03301OTHER ANCILLARY II 49358,A000000,03052,0000,03302OTHER ANCILLARY III 49358,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49358,A000000,03200,0000,03200SUPPORT SURFACES 49358,A000000,03400,0000,03400CLINIC 49358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49358,A000000,03500,0000,03500RURAL HEALTH CLINIC 49358,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49358,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49358,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49358,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49358,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49358,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49358,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49358,A000000,04400,0000,04400DME RENTED - HHA 49358,A000000,04500,0000,04500DME SOLD - HHA 49358,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49358,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49358,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49358,A000000,04800,0000,04800AMBULANCE 49358,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49358,A000000,05000,0000,05000CORF 49358,A000000,05010,0000,05010CMHC I 49358,A000000,05020,0000,05020OPT I 49358,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49358,A000000,05300,0000,05300INTEREST EXPENSE 49358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49358,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49358,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49358,A000000,05500,0000,05500HOSPICE 49358,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49358,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49358,A000000,06100,0000,06100NONPAID WORKERS 49358,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49358,A000000,06200,0000,06200PATIENTS LAUNDRY 49358,A81000A,00100,0100,Y 49358,A81000B,00100,0300,PROTECTED EXPENSE 49358,A81000B,00200,0300,ADMIN EXPENSE 49358,A81000B,00300,0300,DIETARY EXPENSE 49358,A81000B,00400,0300,CAPITAL EXPENSE 49358,A81000C,00100,0100,A 49358,A81000C,00100,0200,EDWARD TELLE 49358,A81000C,00100,0400,SOROKA TELLE 49358,A81000C,00100,0600,MGT CO 49358,A81000C,00200,0100,B 49358,A81000C,00200,0200,WILLIAM SOROKA 49358,A81000C,00200,0400,SOROKA TELLE 49358,A81000C,00200,0600,MGT CO 49358,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49358,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49358,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49358,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49358,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49358,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49358,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49358,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49358,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49358,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49358,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49358,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49358,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49358,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49358,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49358,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49358,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49358,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49358,S000000,00100,0200,06/01/2000 49358,S200000,00100,0100,20017 ST RT 93 S 49358,S200000,00100,0300,443 49358,S200000,00200,0100,LOGAN 49358,S200000,00200,0200,OH 49358,S200000,00300,0100,HOCKING 49358,S200000,00400,0100,ARCADIA ACRES INC 49358,S200000,00400,0200,366017 49358,S200000,00400,0300,07/14/1995 49358,S200000,00400,0500,P 49358,S200000,01500,0100,Y 49358,S200000,02200,0100,Y 49366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49366,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49366,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49366,A000000,00300,0000,00300EMPLOYEE BENEFITS 49366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49366,A000000,00700,0000,00700HOUSEKEEPING 49366,A000000,00800,0000,00800DIETARY 49366,A000000,00801,0000,00801CAFETERIA 49366,A000000,00900,0000,00900NURSING ADMINISTRATION 49366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49366,A000000,01100,0000,01100PHARMACY 49366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49366,A000000,01300,0000,01300SOCIAL SERVICE 49366,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49366,A000000,01600,0000,01600SKILLED NURSING FACILITY 49366,A000000,01800,0000,01800NURSING FACILITY 49366,A000000,01900,0000,01900OTHER LONG TERM CARE 49366,A000000,02100,0000,02100RADIOLOGY 49366,A000000,02200,0000,02200LABORATORY 49366,A000000,02300,0000,02300INTRAVENOUS THERAPY 49366,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49366,A000000,02500,0000,02500PHYSICAL THERAPY 49366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49366,A000000,02700,0000,02700SPEECH PATHOLOGY 49366,A000000,02800,0000,02800ELECTROCARDIOLOGY 49366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49366,A000000,03050,0000,03300COMPLEX MEDICAL 49366,A000000,03051,0000,03301OTHER ANCILLARY II 49366,A000000,03052,0000,03302OTHER ANCILLARY III 49366,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49366,A000000,03200,0000,03200SUPPORT SURFACES 49366,A000000,03400,0000,03400CLINIC 49366,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49366,A000000,03500,0000,03500RURAL HEALTH CLINIC 49366,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49366,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49366,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49366,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49366,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49366,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49366,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49366,A000000,04400,0000,04400DME RENTED - HHA 49366,A000000,04500,0000,04500DME SOLD - HHA 49366,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49366,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49366,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49366,A000000,04800,0000,04800AMBULANCE 49366,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49366,A000000,05000,0000,05000CORF 49366,A000000,05010,0000,05010CMHC I 49366,A000000,05020,0000,05020OPT I 49366,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49366,A000000,05300,0000,05300INTEREST EXPENSE 49366,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49366,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49366,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49366,A000000,05500,0000,05500HOSPICE 49366,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49366,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49366,A000000,06100,0000,06100NONPAID WORKERS 49366,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49366,A000000,06200,0000,06200PATIENTS LAUNDRY 49366,A81000A,00100,0100,Y 49366,A81000B,00100,0300,HOME OFFICE COSTS 49366,A81000B,00200,0300,HOME OFFICE COSTS 49366,A81000B,00300,0300,HOME OFFICE COSTS 49366,A81000C,00100,0100,A 49366,A81000C,00100,0400,AMERICAN HEALTH 49366,A81000C,00100,0600,HOME OFFICE 49366,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49366,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49366,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49366,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49366,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49366,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49366,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49366,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49366,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 49366,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49366,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49366,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49366,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49366,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 49366,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49366,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49366,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49366,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49366,S000000,00100,0200,06/05/2000 49366,S200000,00100,0100,1336 MARYLAND AVE 49366,S200000,00200,0100,STEUBENVILLE 49366,S200000,00200,0200,OH 49366,S200000,00200,0300,43952- 49366,S200000,00300,0100,JEFFERSON 49366,S200000,00400,0100,LABELLE VIEW NURSING 49366,S200000,00400,0200,366018 49366,S200000,00400,0300,07/21/1996 49366,S200000,00400,0500,P 49366,S200000,01600,0100,Y 49374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49374,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49374,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49374,A000000,00300,0000,00300EMPLOYEE BENEFITS 49374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49374,A000000,00700,0000,00700HOUSEKEEPING 49374,A000000,00800,0000,00800DIETARY 49374,A000000,00801,0000,00801CAFETERIA 49374,A000000,00900,0000,00900NURSING ADMINISTRATION 49374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49374,A000000,01100,0000,01100PHARMACY 49374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49374,A000000,01300,0000,01300SOCIAL SERVICE 49374,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49374,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49374,A000000,01600,0000,01600SKILLED NURSING FACILITY 49374,A000000,01800,0000,01800NURSING FACILITY 49374,A000000,01900,0000,01900OTHER LONG TERM CARE 49374,A000000,02100,0000,02100RADIOLOGY 49374,A000000,02200,0000,02200LABORATORY 49374,A000000,02300,0000,02300INTRAVENOUS THERAPY 49374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49374,A000000,02500,0000,02500PHYSICAL THERAPY 49374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49374,A000000,02700,0000,02700SPEECH PATHOLOGY 49374,A000000,02800,0000,02800ELECTROCARDIOLOGY 49374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49374,A000000,03050,0000,03300OTHER ANCILLARY 49374,A000000,03051,0000,03301OTHER ANCILLARY II 49374,A000000,03052,0000,03302OTHER ANCILLARY III 49374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49374,A000000,03200,0000,03200SUPPORT SURFACES 49374,A000000,03400,0000,03400CLINIC 49374,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49374,A000000,03500,0000,03500RURAL HEALTH CLINIC 49374,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49374,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49374,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49374,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49374,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49374,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49374,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49374,A000000,04400,0000,04400DME RENTED - HHA 49374,A000000,04500,0000,04500DME SOLD - HHA 49374,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49374,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49374,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49374,A000000,04800,0000,04800AMBULANCE 49374,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49374,A000000,05000,0000,05000CORF 49374,A000000,05010,0000,05010CMHC I 49374,A000000,05020,0000,05020OPT I 49374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49374,A000000,05300,0000,05300INTEREST EXPENSE 49374,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49374,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49374,A000000,05500,0000,05500HOSPICE 49374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49374,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49374,A000000,06100,0000,06100NONPAID WORKERS 49374,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49374,A000000,06200,0000,06200PATIENTS LAUNDRY 49374,A81000A,00100,0100,Y 49374,A81000B,00100,0300,BUILDING DEPREC 49374,A81000B,00200,0300,INTEREST EXPENSE 49374,A81000B,00300,0300,LEASE-BUILDING/EQUIP 49374,A81000C,00100,0100,A 49374,A81000C,00100,0200,VIRGINIA DECKER 49374,A81000C,00100,0400,V. DECKER 49374,A81000C,00100,0600,INDIVIDUAL 49374,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49374,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49374,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49374,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49374,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49374,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49374,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49374,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49374,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49374,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49374,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49374,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49374,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49374,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49374,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49374,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49374,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49374,S000000,00100,0200,06/01/2000 49374,S200000,00100,0100,575 O-G ROAD 49374,S200000,00200,0100,OTTAWA 49374,S200000,00200,0200,OH 49374,S200000,00300,0100,PUTNAM 49374,S200000,00400,0100,CALVARY MANOR NURSING HOME 49374,S200000,00400,0200,366019 49374,S200000,00400,0300,10/01/1995 49374,S200000,00400,0500,P 49374,S200000,01600,0100,Y 49382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49382,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49382,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49382,A000000,00300,0000,00300EMPLOYEE BENEFITS 49382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49382,A000000,00700,0000,00700HOUSEKEEPING 49382,A000000,00800,0000,00800DIETARY 49382,A000000,00801,0000,00801CAFETERIA 49382,A000000,00900,0000,00900NURSING ADMINISTRATION 49382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49382,A000000,01100,0000,01100PHARMACY 49382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49382,A000000,01300,0000,01300SOCIAL SERVICE 49382,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49382,A000000,01600,0000,01600SKILLED NURSING FACILITY 49382,A000000,01800,0000,01800NURSING FACILITY 49382,A000000,01900,0000,01900OTHER LONG TERM CARE 49382,A000000,02100,0000,02100RADIOLOGY 49382,A000000,02200,0000,02200LABORATORY 49382,A000000,02300,0000,02300INTRAVENOUS THERAPY 49382,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49382,A000000,02500,0000,02500PHYSICAL THERAPY 49382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49382,A000000,02700,0000,02700SPEECH PATHOLOGY 49382,A000000,02800,0000,02800ELECTROCARDIOLOGY 49382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49382,A000000,03050,0000,03300COMPLEX MEDICAL 49382,A000000,03051,0000,03301OTHER ANCILLARY II 49382,A000000,03052,0000,03302OTHER ANCILLARY III 49382,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49382,A000000,03200,0000,03200SUPPORT SURFACES 49382,A000000,03400,0000,03400CLINIC 49382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49382,A000000,03500,0000,03500RURAL HEALTH CLINIC 49382,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49382,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49382,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49382,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49382,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49382,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49382,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49382,A000000,04400,0000,04400DME RENTED - HHA 49382,A000000,04500,0000,04500DME SOLD - HHA 49382,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49382,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49382,A000000,04800,0000,04800AMBULANCE 49382,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49382,A000000,05000,0000,05000CORF 49382,A000000,05010,0000,05010CMHC I 49382,A000000,05020,0000,05020OPT I 49382,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49382,A000000,05300,0000,05300INTEREST EXPENSE 49382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49382,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49382,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49382,A000000,05500,0000,05500HOSPICE 49382,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49382,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49382,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49382,A000000,06100,0000,06100NONPAID WORKERS 49382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49382,A000000,06200,0000,06200PATIENTS LAUNDRY 49382,A81000A,00100,0100,Y 49382,A81000B,00100,0300,HOME OFFICE COSTS 49382,A81000B,00200,0300,HOME OFFICE COSTS 49382,A81000B,00300,0300,HOME OFFICE COSTS 49382,A81000C,00100,0100,A 49382,A81000C,00100,0400,AMERICAN HEALTH 49382,A81000C,00100,0600,HOME OFFICE 49382,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49382,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49382,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49382,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49382,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49382,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49382,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49382,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49382,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 49382,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49382,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49382,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49382,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49382,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 49382,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49382,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49382,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49382,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49382,S000000,00100,0200,06/05/2000 49382,S200000,00100,0100,1528 N. MARKET ST. 49382,S200000,00200,0100,CANTON 49382,S200000,00200,0200,OH 49382,S200000,00200,0300,44714- 49382,S200000,00300,0100,STARK 49382,S200000,00400,0100,COLONIAL NURSING 49382,S200000,00400,0200,366020 49382,S200000,00400,0300,08/30/1995 49382,S200000,00400,0500,P 49382,S200000,01004,0500,O 49382,S200000,01500,0100,Y 49392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49392,A000000,00300,0000,00300EMPLOYEE BENEFITS 49392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49392,A000000,00700,0000,00700HOUSEKEEPING 49392,A000000,00800,0000,00800DIETARY 49392,A000000,00900,0000,00900NURSING ADMINISTRATION 49392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49392,A000000,01100,0000,01100PHARMACY 49392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49392,A000000,01300,0000,01300SOCIAL SERVICE 49392,A000000,01600,0000,01600SKILLED NURSING FACILITY 49392,A000000,01800,0000,01800NURSING FACILITY 49392,A000000,01900,0000,01900OTHER LONG TERM CARE 49392,A000000,02100,0000,02100RADIOLOGY 49392,A000000,02200,0000,02200LABORATORY 49392,A000000,02300,0000,02300INTRAVENOUS THERAPY 49392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49392,A000000,02500,0000,02500PHYSICAL THERAPY 49392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49392,A000000,02700,0000,02700SPEECH PATHOLOGY 49392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49392,A000000,03200,0000,03200SUPPORT SURFACES 49392,A000000,04800,0000,04800AMBULANCE 49392,A000000,05300,0000,05300INTEREST EXPENSE 49392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49392,A81000A,00100,0100,Y 49392,A81000B,00100,0300,MANAGEMENT FEE 49392,A81000C,00100,0100,A 49392,A81000C,00100,0200,BARBARA SOLTZ 49392,A81000C,00100,0400,AMI 49392,A81000C,00100,0600,MANAGEMENT CO. 49392,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49392,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49392,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49392,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49392,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49392,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49392,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49392,B100000,00000,0800,00000MEALS SERVED :DIETARY 49392,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 49392,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49392,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49392,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49392,S000000,00100,0200,06/01/2000 49392,S200000,00100,0100,3550 NORTHFIELD ROAD 49392,S200000,00200,0100,SHAKER HEIGHTS 49392,S200000,00200,0200,OH 49392,S200000,00200,0300,44122- 49392,S200000,00300,0100,CUYAHOGA 49392,S200000,00300,0200,1680 49392,S200000,00300,0300,U 49392,S200000,00400,0100,SOMERSET POINT 49392,S200000,00400,0200,366021 49392,S200000,00400,0300,08/11/1995 49392,S200000,00400,0500,P 49392,S200000,01600,0100,Y 49392,S200000,04300,0100,Y 49392,S200000,04700,0100,Y 49392,S200000,04700,0200,Y 49402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49402,A000000,00300,0000,00300EMPLOYEE BENEFITS 49402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49402,A000000,00700,0000,00700HOUSEKEEPING 49402,A000000,00800,0000,00800DIETARY 49402,A000000,00900,0000,00900NURSING ADMINISTRATION 49402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49402,A000000,01100,0000,01100PHARMACY 49402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49402,A000000,01300,0000,01300SOCIAL SERVICE 49402,A000000,01350,0000,01500PATIENT ACTIVITIES 49402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49402,A000000,01600,0000,01600SKILLED NURSING FACILITY 49402,A000000,01800,0000,01800NURSING FACILITY 49402,A000000,01900,0000,01900OTHER LONG TERM CARE 49402,A000000,02100,0000,02100RADIOLOGY 49402,A000000,02200,0000,02200LABORATORY 49402,A000000,02300,0000,02300INTRAVENOUS THERAPY 49402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49402,A000000,02500,0000,02500PHYSICAL THERAPY 49402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49402,A000000,02700,0000,02700SPEECH PATHOLOGY 49402,A000000,02800,0000,02800ELECTROCARDIOLOGY 49402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49402,A000000,02901,0000,02901CLINITRON BEDS 49402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49402,A000000,04800,0000,04800AMBULANCE 49402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49402,A000000,06100,0000,06100NONPAID WORKERS 49402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49402,A000000,06200,0000,06200PATIENTS LAUNDRY 49402,A81000A,00100,0100,Y 49402,A81000B,00100,0300,H.O. OFFICE COST - OPERATING 49402,A81000B,00200,0300,H.O. OFFICE COST - CAPITAL 49402,A81000B,00300,0300,MOVEABLE EQUIPMENT 49402,A81000B,00400,0300,EMPLOYEE BENEFITS 49402,A81000B,00500,0300,GENERAL & ADMINISTRATIVE 49402,A81000B,00600,0300,PLANT OPER MAINT AND REPAIRS 49402,A81000B,00700,0300,HOUSEKEEPING 49402,A81000B,00800,0300,DIETARY 49402,A81000B,00900,0300,CENTRAL SERVICES 49402,A81000B,01000,0300,PHARMACY 49402,A81000B,01100,0300,PHYSICAL THERAPY 49402,A81000B,01200,0300,MEDICAL SUPPLIES 49402,A81000B,01300,0300,COMPLEX MEDICAL EQUIPMENT 49402,A81000B,01400,0300,DRUGS 49402,A81000C,00100,0100,B 49402,A81000C,00100,0400,HCF INC. 49402,A81000C,00100,0600,HOME OFFICE 49402,A81000C,00200,0100,B 49402,A81000C,00200,0400,HCF INC. 49402,A81000C,00200,0600,HOME OFFICE 49402,A81000C,00300,0100,A 49402,A81000C,00300,0200,UNVERFERTH FAMILY 49402,A81000C,00300,0400,ICP INC. 49402,A81000C,00300,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00400,0100,A 49402,A81000C,00400,0200,UNVERFERTH FAMILY 49402,A81000C,00400,0400,ICP INC. 49402,A81000C,00400,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00500,0100,A 49402,A81000C,00500,0200,UNVERFERTH FAMILY 49402,A81000C,00500,0400,ICP INC. 49402,A81000C,00500,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00600,0100,A 49402,A81000C,00600,0200,UNVERFERTH FAMILY 49402,A81000C,00600,0400,ICP INC. 49402,A81000C,00600,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00700,0100,A 49402,A81000C,00700,0200,UNVERFERTH FAMILY 49402,A81000C,00700,0400,ICP INC. 49402,A81000C,00700,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00800,0100,A 49402,A81000C,00800,0200,UNVERFERTH FAMILY 49402,A81000C,00800,0400,ICP INC. 49402,A81000C,00800,0600,INSTITUTIONAL PHARMACY 49402,A81000C,00900,0100,A 49402,A81000C,00900,0200,UNVERFERTH FAMILY 49402,A81000C,00900,0400,ICP INC. 49402,A81000C,00900,0600,INSTITUTIONAL PHARMACY 49402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49402,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49402,B100000,00000,0750,00000SQFT EXCL DIETARY :HOUSEKEEPING 49402,B100000,00000,0800,00000MEALS SERVED :DIETARY 49402,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49402,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49402,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49402,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 49402,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49402,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 49402,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49402,S000000,00100,0200,05/22/2000 49402,S200000,00100,0100,250 MANOR DRIVE 49402,S200000,00200,0100,PERRYSBURG 49402,S200000,00200,0200,OH 49402,S200000,00200,0300,43551- 49402,S200000,00300,0100,LUCAS 49402,S200000,00400,0100,THE MANOR AT PERRYSBURG 49402,S200000,00400,0200,366022 49402,S200000,00400,0300,09/19/1995 49402,S200000,00400,0500,P 49402,S200000,01500,0100,Y 49402,S700003,00000,0400,4 49410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49410,A000000,00300,0000,00300EMPLOYEE BENEFITS 49410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49410,A000000,00700,0000,00700HOUSEKEEPING 49410,A000000,00800,0000,00800DIETARY 49410,A000000,00900,0000,00900NURSING ADMINISTRATION 49410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49410,A000000,01100,0000,01100PHARMACY 49410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49410,A000000,01300,0000,01300SOCIAL SERVICE 49410,A000000,01350,0000,01500ACTIVITIES 49410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49410,A000000,01600,0000,01600SKILLED NURSING FACILITY 49410,A000000,01800,0000,01800NURSING FACILITY 49410,A000000,01810,0000,01810ICF/MR 49410,A000000,01900,0000,01900OTHER LONG TERM CARE 49410,A000000,02100,0000,02100RADIOLOGY 49410,A000000,02200,0000,02200LABORATORY 49410,A000000,02300,0000,02300INTRAVENOUS THERAPY 49410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49410,A000000,02500,0000,02500PHYSICAL THERAPY 49410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49410,A000000,02700,0000,02700SPEECH PATHOLOGY 49410,A000000,02800,0000,02800ELECTROCARDIOLOGY 49410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49410,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49410,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49410,A000000,03200,0000,03200SUPPORT SURFACES 49410,A000000,03400,0000,03400CLINIC 49410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49410,A000000,03500,0000,03500RURAL HEALTH CLINIC 49410,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49410,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49410,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49410,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49410,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49410,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49410,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49410,A000000,04400,0000,04400DME RENTED - HHA 49410,A000000,04500,0000,04500DME SOLD - HHA 49410,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49410,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49410,A000000,04800,0000,04800AMBULANCE 49410,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49410,A000000,05000,0000,05000CORF 49410,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49410,A000000,05300,0000,05300INTEREST EXPENSE 49410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49410,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49410,A000000,05500,0000,05500HOSPICE 49410,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49410,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49410,A000000,06100,0000,06100NONPAID WORKERS 49410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49410,A000000,06200,0000,06200PATIENTS LAUNDRY 49410,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49410,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49410,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49410,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49410,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49410,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49410,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49410,B100000,00000,0800,00000MEALS SERVED :DIETARY 49410,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49410,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49410,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49410,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49410,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49410,E10A180,00501,0100,07/18/2000 49410,S000000,00100,0200,05/30/2000 49410,S200000,00100,0100,5343 HAMILTON AVE 49410,S200000,00200,0100,CINCINNATI 49410,S200000,00200,0200,OH 49410,S200000,00200,0300,45224- 49410,S200000,00300,0100,HAMILTON 49410,S200000,00300,0200,1640 49410,S200000,00300,0300,U 49410,S200000,00400,0100,TWIN TOWERS 49410,S200000,00400,0200,366023 49410,S200000,00400,0300,07/11/1995 49410,S200000,00400,0500,P 49410,S200000,01600,0100,Y 49410,S200000,01700,0100,Y 49410,S200000,01900,0100,CCRC 49410,S200000,02200,0100,Y 49410,S200000,04300,0100,Y 49420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49420,A000000,00300,0000,00300EMPLOYEE BENEFITS 49420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49420,A000000,00700,0000,00700HOUSEKEEPING 49420,A000000,00800,0000,00800DIETARY 49420,A000000,00900,0000,00900NURSING ADMINISTRATION 49420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49420,A000000,01100,0000,01100PHARMACY 49420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49420,A000000,01300,0000,01300SOCIAL SERVICE 49420,A000000,01600,0000,01600SKILLED NURSING FACILITY 49420,A000000,01800,0000,01800NURSING FACILITY 49420,A000000,01900,0000,01900OTHER LONG TERM CARE 49420,A000000,02100,0000,02100RADIOLOGY 49420,A000000,02200,0000,02200LABORATORY 49420,A000000,02300,0000,02300INTRAVENOUS THERAPY 49420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49420,A000000,02500,0000,02500PHYSICAL THERAPY 49420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49420,A000000,02700,0000,02700SPEECH PATHOLOGY 49420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49420,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49420,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49420,A000000,03200,0000,03200SUPPORT SURFACES 49420,A000000,04800,0000,04800AMBULANCE 49420,A000000,05300,0000,05300INTEREST EXPENSE 49420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49420,A000000,05500,0000,05500HOSPICE 49420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49420,A000000,06200,0000,06200PATIENTS LAUNDRY 49420,A81000A,00100,0100,Y 49420,A81000B,00100,0300,CAPITAL BLD - POOLED 49420,A81000B,00200,0300,CAPITAL EQUIP - POOLED 49420,A81000B,00300,0300,EMPLOYEE BENEFITS - POOLED 49420,A81000B,00400,0300,ADMIN. SALARIES - POOLED 49420,A81000B,00500,0300,ADMIN OTHER - POOLED 49420,A81000B,00600,0300,MAINTENANCE SALARIES - POOLED 49420,A81000B,00700,0300,MAINTENANCE OTHER - POOLED 49420,A81000B,00800,0300,LAUNDRY SALARIES - POOLED 49420,A81000B,00900,0300,LAUNDRY - OTHER - POOLED 49420,A81000B,01000,0300,HOUSEKEEPING SALARIES - POOLED 49420,A81000B,01100,0300,DIETARY SALARIES - POOLED 49420,A81000B,01200,0300,DIETARY OTHER - POOLED 49420,A81000B,01300,0300,NURSING ADMIN.-SALARIES-POOLED 49420,A81000B,01400,0300,NURSING ADMIN OTHER - POOLED 49420,A81000B,01500,0300,CENTRAL SUPPLY - POOLED 49420,A81000B,01600,0300,MEDICAL RECORDS SALARIES - POOLED 49420,A81000B,01700,0300,MEDICAL RECORDS OTHER - POOLED 49420,A81000B,01800,0300,SOCIAL SERVICES SALARIES - POOLED 49420,A81000B,01900,0300,SOCIAL SERVICES OTHER - POOLED 49420,A81000B,02000,0300,INTEREST - POOLED 49420,A81000B,02100,0300,BEAUTICIAN SALARIES - POOLED 49420,A81000B,02200,0300,BEAUTY SHOP OTHER - POOLED 49420,A81000B,02300,0300,SEWER LINE DEPREC - BUILDING 49420,A81000B,02400,0300,REALTY COMPANY EXPENSE 49420,A81000B,02500,0300,REALTY COMPANY EXPENSE 49420,A81000B,02600,0300,REALTY COMPANY EXPENSE 49420,A81000B,02700,0300,REALTY COMPANY EXPENSE 49420,A81000B,02800,0300,BUILDING DEPRECIATION - DIRECT 49420,A81000B,02900,0300,EQUIPMENT DEPRECIATION - DIRECT 49420,A81000B,02901,0300,ADMINISTRATIVE SALARIES - DIRECT 49420,A81000B,02902,0300,BENEFITS - DIRECT 49420,A81000B,02903,0300,REAL ESTATE TAXES - DIRECT 49420,A81000C,00100,0100,B 49420,A81000C,00100,0200,CASTLE NURSING HOMES INC 49420,A81000C,00100,0400,SEE ATTACHMENT 49420,A81000C,00200,0100,C 49420,A81000C,00200,0200,CASTLE NURSING HOMES INC 49420,A81000C,00200,0400,SUNSET VIEW LIMITED 49420,A81000C,00200,0600,REAL ESTATE CO. 49420,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49420,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49420,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49420,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49420,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49420,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49420,B100000,00000,0800,00000MEALS SERVED :DIETARY 49420,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 49420,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49420,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49420,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49420,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49420,S000000,00100,0200,06/02/2000 49420,S200000,00100,0100,434 N. WASHINGTON ST. 49420,S200000,00200,0100,MILLERSBURG 49420,S200000,00200,0200,OH 49420,S200000,00200,0300,44654- 49420,S200000,00300,0100,HOLMES 49420,S200000,00400,0100,SUNSET VIEW CASTLE NURSING HOMES IN 49420,S200000,00400,0200,366024 49420,S200000,00400,0300,10/18/1995 49420,S200000,00400,0500,P 49420,S200000,01600,0100,Y 49420,S200000,04300,0100,Y 49429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49429,A000000,00300,0000,00300EMPLOYEE BENEFITS 49429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49429,A000000,00700,0000,00700HOUSEKEEPING 49429,A000000,00800,0000,00800DIETARY 49429,A000000,00801,0000,00801CAFETERIA 49429,A000000,00900,0000,00900NURSING ADMINISTRATION 49429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49429,A000000,01100,0000,01100PHARMACY 49429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49429,A000000,01300,0000,01300SOCIAL SERVICE 49429,A000000,01350,0000,01500ACTIVITIES 49429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49429,A000000,01600,0000,01600SKILLED NURSING FACILITY 49429,A000000,01800,0000,01800NURSING FACILITY 49429,A000000,01810,0000,01801ICF/MR 49429,A000000,01900,0000,01900OTHER LONG TERM CARE 49429,A000000,02100,0000,02100RADIOLOGY 49429,A000000,02200,0000,02200LABORATORY 49429,A000000,02300,0000,02300INTRAVENOUS THERAPY 49429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49429,A000000,02500,0000,02500PHYSICAL THERAPY 49429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49429,A000000,02700,0000,02700SPEECH PATHOLOGY 49429,A000000,02800,0000,02800ELECTROCARDIOLOGY 49429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49429,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49429,A000000,03200,0000,03200SUPPORT SURFACES 49429,A000000,03400,0000,03400CLINIC 49429,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49429,A000000,03500,0000,03500RURAL HEALTH CLINIC 49429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49429,A000000,04400,0000,04400DME RENTED - HHA 49429,A000000,04500,0000,04500DME SOLD - HHA 49429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49429,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49429,A000000,04800,0000,04800AMBULANCE 49429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49429,A000000,05000,0000,05000CORF 49429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49429,A000000,05300,0000,05300INTEREST EXPENSE 49429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49429,A000000,05500,0000,05500HOSPICE 49429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49429,A000000,06100,0000,06100NONPAID WORKERS 49429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49429,A000000,06200,0000,06200PATIENTS LAUNDRY 49429,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49429,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49429,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49429,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49429,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49429,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49429,B100000,00000,0800,00000MEALS SERVED :DIETARY 49429,B100000,00000,0801,00000MEALS SERVED :CAFETERIA 49429,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49429,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49429,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49429,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49429,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49429,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49429,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49429,S000000,00100,0200,06/01/2000 49429,S200000,00100,0100,8097 HAMILTON AVENUE 49429,S200000,00200,0100,CINCINNATI 49429,S200000,00200,0200,OH 49429,S200000,00200,0300,45231- 49429,S200000,00300,0100,HAMILTON 49429,S200000,00400,0100,MOUNT HEALTHY CHRISTIAN HOME 49429,S200000,00400,0200,366025 49429,S200000,00400,0300,01/19/1996 49429,S200000,00400,0500,P 49429,S200000,01500,0100,Y 49429,S200000,01700,0100,Y 49439,S000000,00100,0200,05/18/2000 49445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49445,A000000,00300,0000,00300EMPLOYEE BENEFITS 49445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49445,A000000,00700,0000,00700HOUSEKEEPING 49445,A000000,00800,0000,00800DIETARY 49445,A000000,00900,0000,00900NURSING ADMINISTRATION 49445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49445,A000000,01100,0000,01100PHARMACY 49445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49445,A000000,01300,0000,01300SOCIAL SERVICE 49445,A000000,01600,0000,01600SKILLED NURSING FACILITY 49445,A000000,01800,0000,01800NURSING FACILITY 49445,A000000,01900,0000,01900OTHER LONG TERM CARE 49445,A000000,02100,0000,02100RADIOLOGY 49445,A000000,02200,0000,02200LABORATORY 49445,A000000,02300,0000,02300INTRAVENOUS THERAPY 49445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49445,A000000,02500,0000,02500PHYSICAL THERAPY 49445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49445,A000000,02700,0000,02700SPEECH PATHOLOGY 49445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49445,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49445,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49445,A000000,03200,0000,03200SUPPORT SURFACES 49445,A000000,04800,0000,04800AMBULANCE 49445,A000000,05300,0000,05300INTEREST EXPENSE 49445,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49445,A000000,05500,0000,05500HOSPICE 49445,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49445,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49445,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49445,A000000,06200,0000,06200PATIENTS LAUNDRY 49445,A81000A,00100,0100,Y 49445,A81000B,00100,0300,HOME OFFICE COSTS 49445,A81000B,00200,0300,HOME OFFICE COSTS 49445,A81000B,00300,0300,HOME OFFICE COSTS 49445,A81000B,00400,0300,HOME OFFICE COSTS 49445,A81000B,00500,0300,HOME OFFICE COSTS 49445,A81000B,00600,0300,HOME OFFICE COSTS 49445,A81000B,00700,0300,HOME OFFICE COSTS 49445,A81000B,00800,0300,HOME OFFICE COSTS 49445,A81000B,00900,0300,HOME OFFICE COSTS 49445,A81000B,01000,0300,HOME OFFICE COSTS 49445,A81000B,01100,0300,HOME OFFICE COSTS 49445,A81000B,01200,0300,HOME OFFICE COSTS 49445,A81000B,01300,0300,HOME OFFICE COSTS 49445,A81000B,01400,0300,HOME OFFICE COSTS 49445,A81000B,01500,0300,HOME OFFICE COSTS 49445,A81000B,01600,0300,HOME OFFICE COSTS 49445,A81000B,01700,0300,HOME OFFICE COSTS 49445,A81000B,01800,0300,HOME OFFICE COSTS 49445,A81000B,01900,0300,HOME OFFICE COSTS 49445,A81000B,02000,0300,HOME OFFICE COSTS 49445,A81000B,02100,0300,HOME OFFICE COSTS 49445,A81000C,00100,0100,B 49445,A81000C,00100,0200,CONSOL. HEALTHCARE REL MG 49445,A81000C,00100,0400,ALTERCARE OF HARTVILLE 49445,A81000C,00100,0600,NURSING HOMES 49445,A81000C,00200,0100,B 49445,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 49445,A81000C,00200,0400,CONSOL. HEALTHCARE REL 49445,A81000C,00200,0600,THERAPY & NURSING SERVICE 49445,A81000C,00300,0100,B 49445,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 49445,A81000C,00300,0400,CONCOL. HEALTHCARE REL 49445,A81000C,00300,0600,MED. SUPP & DRUGS 49445,A81000C,00400,0100,B 49445,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV 49445,A81000C,00400,0400,CONSOL. HEALTHCARE REL 49445,A81000C,00400,0600,MED. SUPPLIES 49445,A81000C,00500,0100,B 49445,A81000C,00500,0200,RENAISSANCE MORTGAGE 49445,A81000C,00500,0400,CONSOL. HEALTHCARE REL 49445,A81000C,00500,0600,MORTGAGES 49445,A81000C,00600,0100,B 49445,A81000C,00600,0200,ABSOLUTE LAB 49445,A81000C,00600,0400,CONSOL. HEALTHCARE REL 49445,A81000C,00600,0600,LAB 49445,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49445,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49445,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49445,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49445,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49445,B100000,00000,0650,00000DIRECT NURSING HR :LAUNDRY & LINEN 49445,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49445,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 49445,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 49445,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49445,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49445,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49445,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49445,E10A180,00501,0100,06/30/2000 49445,S000000,00100,0200,06/02/2000 49445,S200000,00100,0100,1420 SMITH KRAMER ROAD 49445,S200000,00200,0100,HARTVILLE 49445,S200000,00200,0200,OH 49445,S200000,00200,0300,44632- 49445,S200000,00300,0100,STARK 49445,S200000,00400,0100,ALTERCARE OF HARTVILLE 49445,S200000,00400,0200,366027 49445,S200000,00400,0300,02/01/1996 49445,S200000,00400,0500,P 49445,S200000,01600,0100,Y 49445,S200000,04300,0100,Y 49454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49454,A000000,00300,0000,00300EMPLOYEE BENEFITS 49454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49454,A000000,00700,0000,00700HOUSEKEEPING 49454,A000000,00800,0000,00800DIETARY 49454,A000000,00900,0000,00900NURSING ADMINISTRATION 49454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49454,A000000,01100,0000,01100PHARMACY 49454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49454,A000000,01300,0000,01300SOCIAL SERVICE 49454,A000000,01350,0000,01500ACTIVITIES 49454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49454,A000000,01600,0000,01600SKILLED NURSING FACILITY 49454,A000000,01800,0000,01800NURSING FACILITY 49454,A000000,01810,0000,01801ICF/MR 49454,A000000,01900,0000,01900OTHER LONG TERM CARE 49454,A000000,02100,0000,02100RADIOLOGY 49454,A000000,02200,0000,02200LABORATORY 49454,A000000,02300,0000,02300INTRAVENOUS THERAPY 49454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49454,A000000,02500,0000,02500PHYSICAL THERAPY 49454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49454,A000000,02700,0000,02700SPEECH PATHOLOGY 49454,A000000,02800,0000,02800ELECTROCARDIOLOGY 49454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49454,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49454,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49454,A000000,03200,0000,03200SUPPORT SURFACES 49454,A000000,03400,0000,03400CLINIC 49454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49454,A000000,03500,0000,03500RURAL HEALTH CLINIC 49454,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49454,A000000,04800,0000,04800AMBULANCE 49454,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49454,A000000,05000,0000,05000CORF 49454,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49454,A000000,05300,0000,05300INTEREST EXPENSE 49454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49454,A000000,05500,0000,05500HOSPICE 49454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49454,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49454,A000000,06100,0000,06100NONPAID WORKERS 49454,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49454,A000000,06200,0000,06200PATIENTS LAUNDRY 49454,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49454,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49454,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49454,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49454,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49454,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49454,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49454,B100000,00000,0800,00000MEALS SERVED :DIETARY 49454,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49454,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49454,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49454,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49454,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49454,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 49454,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 49454,E10A180,00501,0100,07/25/2000 49454,S000000,00100,0200,06/02/2000 49454,S200000,00100,0100,841 WEST MARION RD 49454,S200000,00200,0100,MT GILEAD 49454,S200000,00200,0200,OH 49454,S200000,00200,0300,43338- 49454,S200000,00300,0100,MORROW 49454,S200000,00400,0100,WOODSIDE VILLAGE CARE CENTER 49454,S200000,00400,0200,366028 49454,S200000,00400,0300,11/01/1995 49454,S200000,00400,0500,P 49454,S200000,01500,0100,Y 49454,S700003,00000,0400,4 49463,S000000,00100,0200,06/05/2000 49473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49473,A000000,00300,0000,00300EMPLOYEE BENEFITS 49473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49473,A000000,00700,0000,00700HOUSEKEEPING 49473,A000000,00800,0000,00800DIETARY 49473,A000000,00900,0000,00900NURSING ADMINISTRATION 49473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49473,A000000,01300,0000,01300SOCIAL SERVICE 49473,A000000,01600,0000,01600SKILLED NURSING FACILITY 49473,A000000,01800,0000,01800NURSING FACILITY 49473,A000000,02500,0000,02500PHYSICAL THERAPY 49473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49473,A000000,02700,0000,02700SPEECH PATHOLOGY 49473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49473,A000000,05300,0000,05300INTEREST EXPENSE 49473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49473,A81000A,00100,0100,Y 49473,A81000B,00100,0300,DATA PROCESSING 49473,A81000C,00100,0100,A 49473,A81000C,00100,0200,HARRY HOOYENGA 49473,A81000C,00100,0400,ABBA MANAGEMENT 49473,A81000C,00100,0600,DATA PROCESSING 49473,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49473,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49473,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49473,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49473,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49473,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49473,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 49473,B100000,00000,0800,00000MEALS SERVED :DIETARY 49473,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49473,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49473,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49473,E10A180,00501,0100,11/28/2000 49473,S000000,00100,0200,06/06/2000 49473,S200000,00100,0100,320 N.WAYNE STREET 49473,S200000,00200,0100,KENTON 49473,S200000,00200,0200,OH 49473,S200000,00200,0300,43226- 49473,S200000,00300,0100,HARDIN 49473,S200000,00400,0100,GOLDEN KEY 49473,S200000,00400,0200,366030 49473,S200000,00400,0300,02/13/1996 49473,S200000,00400,0500,P 49473,S200000,01600,0100,Y 49473,S700003,00000,0400,4 49482,S000000,00100,0200,05/30/2000 49486,S000000,00100,0200,06/01/2000 49495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49495,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49495,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49495,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49495,A000000,00300,0000,00300EMPLOYEE BENEFITS 49495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49495,A000000,00700,0000,00700HOUSEKEEPING 49495,A000000,00800,0000,00800DIETARY 49495,A000000,00801,0000,00801CAFETERIA 49495,A000000,00900,0000,00900NURSING ADMINISTRATION 49495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49495,A000000,01100,0000,01100PHARMACY 49495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49495,A000000,01300,0000,01300SOCIAL SERVICE 49495,A000000,01350,0000,01500ACTIVITIES 49495,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49495,A000000,01600,0000,01600SKILLED NURSING FACILITY 49495,A000000,01800,0000,01800NURSING FACILITY 49495,A000000,01900,0000,01900OTHER LONG TERM CARE 49495,A000000,02100,0000,02100RADIOLOGY 49495,A000000,02200,0000,02200LABORATORY 49495,A000000,02300,0000,02300INTRAVENOUS THERAPY 49495,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49495,A000000,02500,0000,02500PHYSICAL THERAPY 49495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49495,A000000,02700,0000,02700SPEECH PATHOLOGY 49495,A000000,02800,0000,02800ELECTROCARDIOLOGY 49495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49495,A000000,03050,0000,03300OTHER ANCILLARY 49495,A000000,03051,0000,03301OTHER ANCILLARY II 49495,A000000,03052,0000,03302OTHER ANCILLARY III 49495,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49495,A000000,03200,0000,03200SUPPORT SURFACES 49495,A000000,03400,0000,03400CLINIC 49495,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49495,A000000,03500,0000,03500RURAL HEALTH CLINIC 49495,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49495,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49495,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49495,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49495,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49495,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49495,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49495,A000000,04400,0000,04400DME RENTED - HHA 49495,A000000,04500,0000,04500DME SOLD - HHA 49495,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49495,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49495,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49495,A000000,04800,0000,04800AMBULANCE 49495,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49495,A000000,05000,0000,05000CORF 49495,A000000,05010,0000,05010CMHC I 49495,A000000,05020,0000,05020OPT I 49495,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49495,A000000,05300,0000,05300INTEREST EXPENSE 49495,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49495,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49495,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49495,A000000,05500,0000,05500HOSPICE 49495,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49495,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49495,A000000,06100,0000,06100NONPAID WORKERS 49495,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49495,A000000,06200,0000,06200PATIENTS LAUNDRY 49495,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49495,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49495,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49495,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49495,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49495,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49495,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49495,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49495,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 49495,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49495,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49495,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49495,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49495,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49495,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49495,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49495,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 49495,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49495,E10A180,00501,0100,03/13/2000 49495,E10A180,00550,0100,05/24/2000 49495,S000000,00100,0200,05/22/2000 49495,S200000,00100,0100,510 BUCKEYE STREET 49495,S200000,00200,0100,SIDNEY 49495,S200000,00200,0200,OH 49495,S200000,00300,0100,SIDNEY 49495,S200000,00400,0100,SIDNEY CARE CENTER 49495,S200000,00400,0200,366033 49495,S200000,00400,0300,11/18/1995 49495,S200000,00400,0500,P 49495,S200000,01600,0100,Y 49495,S200000,04300,0100,Y 49495,S700003,00000,0400,4 49497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49497,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49497,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49497,A000000,00300,0000,00300EMPLOYEE BENEFITS 49497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49497,A000000,00700,0000,00700HOUSEKEEPING 49497,A000000,00800,0000,00800DIETARY 49497,A000000,00801,0000,00801CAFETERIA 49497,A000000,00900,0000,00900NURSING ADMINISTRATION 49497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49497,A000000,01100,0000,01100PHARMACY 49497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49497,A000000,01300,0000,01300SOCIAL SERVICE 49497,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49497,A000000,01600,0000,01600SKILLED NURSING FACILITY 49497,A000000,01800,0000,01800NURSING FACILITY 49497,A000000,01900,0000,01900OTHER LONG TERM CARE 49497,A000000,02100,0000,02100RADIOLOGY 49497,A000000,02200,0000,02200LABORATORY 49497,A000000,02300,0000,02300INTRAVENOUS THERAPY 49497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49497,A000000,02500,0000,02500PHYSICAL THERAPY 49497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49497,A000000,02700,0000,02700SPEECH PATHOLOGY 49497,A000000,02800,0000,02800ELECTROCARDIOLOGY 49497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49497,A000000,03050,0000,03300OTHER ANCILLARY 49497,A000000,03051,0000,03301OTHER ANCILLARY II 49497,A000000,03052,0000,03302OTHER ANCILLARY III 49497,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49497,A000000,03200,0000,03200SUPPORT SURFACES 49497,A000000,03400,0000,03400CLINIC 49497,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49497,A000000,03500,0000,03500RURAL HEALTH CLINIC 49497,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49497,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49497,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49497,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49497,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49497,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49497,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49497,A000000,04400,0000,04400DME RENTED - HHA 49497,A000000,04500,0000,04500DME SOLD - HHA 49497,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49497,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49497,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49497,A000000,04800,0000,04800AMBULANCE 49497,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49497,A000000,05000,0000,05000CORF 49497,A000000,05010,0000,05010CMHC I 49497,A000000,05020,0000,05020OPT I 49497,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49497,A000000,05300,0000,05300INTEREST EXPENSE 49497,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49497,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49497,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49497,A000000,05500,0000,05500HOSPICE 49497,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49497,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49497,A000000,06100,0000,06100NONPAID WORKERS 49497,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49497,A000000,06200,0000,06200PATIENTS LAUNDRY 49497,A81000A,00100,0100,Y 49497,A81000B,00100,0300,H/O NURSING 49497,A81000B,00200,0300,H/O A&G 49497,A81000B,00300,0300,H/O 49497,A81000B,00400,0300,H/O RENT 49497,A81000B,00500,0300,H/O NON REIMBURSABLE 49497,A81000B,00600,0300,H/O THERAPIES 49497,A81000C,00100,0100,A 49497,A81000C,00100,0200,GLYNDON POWELL 49497,A81000C,00100,0400,CHSHO INC. 49497,A81000C,00100,0600,HOME OFFICE 49497,A81000C,00200,0100,A 49497,A81000C,00200,0200,ED BYINGTON 49497,A81000C,00200,0400,CHSHO INC. 49497,A81000C,00200,0600,HOME OFFICE 49497,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49497,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49497,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49497,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49497,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49497,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49497,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49497,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49497,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49497,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49497,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49497,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49497,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49497,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49497,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49497,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49497,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49497,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49497,S000000,00100,0200,06/01/2000 49497,S200000,00100,0100,510 BUCKEYE STREET 49497,S200000,00200,0100,SIDNEY 49497,S200000,00200,0200,OH 49497,S200000,00300,0100,SIDNEY 49497,S200000,00400,0100,SIDNEY CARE CENTER 49497,S200000,00400,0200,366033 49497,S200000,00400,0300,11/18/1995 49497,S200000,00400,0500,P 49497,S200000,01500,0100,Y 49497,S200000,04700,0100,Y 49510,S000000,00100,0200,05/22/2000 49518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49518,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49518,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49518,A000000,00300,0000,00300EMPLOYEE BENEFITS 49518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49518,A000000,00700,0000,00700HOUSEKEEPING 49518,A000000,00800,0000,00800DIETARY 49518,A000000,00801,0000,00801CAFETERIA 49518,A000000,00900,0000,00900NURSING ADMINISTRATION 49518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49518,A000000,01100,0000,01100PHARMACY 49518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49518,A000000,01300,0000,01300SOCIAL SERVICE 49518,A000000,01350,0000,01500ACTIVITIES 49518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49518,A000000,01600,0000,01600SKILLED NURSING FACILITY 49518,A000000,01800,0000,01800NURSING FACILITY 49518,A000000,01900,0000,01900OTHER LONG TERM CARE 49518,A000000,02100,0000,02100RADIOLOGY 49518,A000000,02200,0000,02200LABORATORY 49518,A000000,02300,0000,02300INTRAVENOUS THERAPY 49518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49518,A000000,02500,0000,02500PHYSICAL THERAPY 49518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49518,A000000,02700,0000,02700SPEECH PATHOLOGY 49518,A000000,02800,0000,02800ELECTROCARDIOLOGY 49518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49518,A000000,03050,0000,03300OTHER ANCILLARY 49518,A000000,03051,0000,03301OTHER ANCILLARY II 49518,A000000,03052,0000,03302OTHER ANCILLARY III 49518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49518,A000000,03200,0000,03200SUPPORT SURFACES 49518,A000000,03400,0000,03400CLINIC 49518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49518,A000000,03500,0000,03500RURAL HEALTH CLINIC 49518,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49518,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49518,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49518,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49518,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49518,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49518,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49518,A000000,04400,0000,04400DME RENTED - HHA 49518,A000000,04500,0000,04500DME SOLD - HHA 49518,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49518,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49518,A000000,04800,0000,04800AMBULANCE 49518,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49518,A000000,05000,0000,05000CORF 49518,A000000,05010,0000,05010CMHC I 49518,A000000,05020,0000,05020OPT I 49518,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49518,A000000,05300,0000,05300INTEREST EXPENSE 49518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49518,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49518,A000000,05500,0000,05500HOSPICE 49518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49518,A000000,06100,0000,06100NONPAID WORKERS 49518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49518,A000000,06200,0000,06200PATIENTS LAUNDRY 49518,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49518,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49518,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49518,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49518,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49518,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49518,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49518,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 49518,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49518,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49518,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49518,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49518,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49518,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49518,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49518,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 49518,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49518,E10A180,00301,0100,09/16/1998 49518,E10A180,00350,0300,09/16/1998 49518,E10A180,00501,0100,08/17/1999 49518,E10A180,00550,0300,08/17/1999 49518,E10A180,00551,0100,06/15/2000 49518,S000000,00100,0200,05/26/2000 49518,S200000,00100,0100,208 NORTH CASSEL ROAD 49518,S200000,00200,0100,VANDALIA 49518,S200000,00200,0200,OH 49518,S200000,00300,0100,MONTGOMERY 49518,S200000,00400,0100,VANDALIA PARK 49518,S200000,00400,0200,366035 49518,S200000,00400,0300,11/10/1995 49518,S200000,00400,0500,P 49518,S200000,01600,0100,Y 49518,S200000,04300,0100,Y 49518,S700003,00000,0400,4 49520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49520,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49520,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49520,A000000,00300,0000,00300EMPLOYEE BENEFITS 49520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49520,A000000,00700,0000,00700HOUSEKEEPING 49520,A000000,00800,0000,00800DIETARY 49520,A000000,00801,0000,00801CAFETERIA 49520,A000000,00900,0000,00900NURSING ADMINISTRATION 49520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49520,A000000,01100,0000,01100PHARMACY 49520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49520,A000000,01300,0000,01300SOCIAL SERVICE 49520,A000000,01350,0000,01500ACTIVITIES 49520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49520,A000000,01600,0000,01600SKILLED NURSING FACILITY 49520,A000000,01800,0000,01800NURSING FACILITY 49520,A000000,01900,0000,01900OTHER LONG TERM CARE 49520,A000000,02100,0000,02100RADIOLOGY 49520,A000000,02200,0000,02200LABORATORY 49520,A000000,02300,0000,02300INTRAVENOUS THERAPY 49520,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49520,A000000,02500,0000,02500PHYSICAL THERAPY 49520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49520,A000000,02700,0000,02700SPEECH PATHOLOGY 49520,A000000,02800,0000,02800ELECTROCARDIOLOGY 49520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49520,A000000,03050,0000,03300OTHER ANCILLARY 49520,A000000,03051,0000,03301OTHER ANCILLARY II 49520,A000000,03052,0000,03302OTHER ANCILLARY III 49520,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49520,A000000,03200,0000,03200SUPPORT SURFACES 49520,A000000,03400,0000,03400CLINIC 49520,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49520,A000000,03500,0000,03500RURAL HEALTH CLINIC 49520,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49520,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49520,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49520,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49520,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49520,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49520,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49520,A000000,04400,0000,04400DME RENTED - HHA 49520,A000000,04500,0000,04500DME SOLD - HHA 49520,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49520,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49520,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49520,A000000,04800,0000,04800AMBULANCE 49520,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49520,A000000,05000,0000,05000CORF 49520,A000000,05010,0000,05010CMHC I 49520,A000000,05020,0000,05020OPT I 49520,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49520,A000000,05300,0000,05300INTEREST EXPENSE 49520,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49520,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49520,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49520,A000000,05500,0000,05500HOSPICE 49520,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49520,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49520,A000000,06100,0000,06100NONPAID WORKERS 49520,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49520,A000000,06200,0000,06200PATIENTS LAUNDRY 49520,A81000A,00100,0100,Y 49520,A81000B,00100,0300,H/O NURSING 49520,A81000B,00200,0300,H/O A&G 49520,A81000B,00300,0300,H/O 49520,A81000B,00400,0300,H/O RENT 49520,A81000B,00500,0300,H/O NON REIMBURSABLE 49520,A81000B,00600,0300,H/O THERAPIES 49520,A81000C,00100,0100,A 49520,A81000C,00100,0200,GLYNDON POWELL 49520,A81000C,00100,0400,CHSHO INC. 49520,A81000C,00100,0600,HOME OFFICE 49520,A81000C,00200,0100,A 49520,A81000C,00200,0200,ED BYINGTON 49520,A81000C,00200,0400,CHSHO INC. 49520,A81000C,00200,0600,HOME OFFICE 49520,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49520,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49520,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49520,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49520,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49520,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49520,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49520,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 49520,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 49520,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49520,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49520,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49520,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49520,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49520,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49520,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49520,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 49520,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49520,S000000,00100,0200,06/01/2000 49520,S200000,00100,0100,208 NORTH CASSEL ROAD 49520,S200000,00200,0100,VANDALIA 49520,S200000,00200,0200,OH 49520,S200000,00300,0100,MONTGOMERY 49520,S200000,00400,0100,VANDALIA PARK 49520,S200000,00400,0200,366035 49520,S200000,00400,0300,11/10/1995 49520,S200000,00400,0500,P 49520,S200000,01600,0100,Y 49520,S200000,04300,0100,Y 49530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49530,A000000,00300,0000,00300EMPLOYEE BENEFITS 49530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49530,A000000,00700,0000,00700HOUSEKEEPING 49530,A000000,00800,0000,00800DIETARY 49530,A000000,00900,0000,00900NURSING ADMINISTRATION 49530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49530,A000000,01100,0000,01100PHARMACY 49530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49530,A000000,01300,0000,01300SOCIAL SERVICE 49530,A000000,01350,0000,01500OTHER GENERAL SERVICES 49530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49530,A000000,01600,0000,01600SKILLED NURSING FACILITY 49530,A000000,01800,0000,01800NURSING FACILITY 49530,A000000,01810,0000,01801ICF/MR 49530,A000000,01900,0000,01900OTHER LONG TERM CARE 49530,A000000,02100,0000,02100RADIOLOGY 49530,A000000,02200,0000,02200LABORATORY 49530,A000000,02300,0000,02300INTRAVENOUS THERAPY 49530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49530,A000000,02500,0000,02500PHYSICAL THERAPY 49530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49530,A000000,02700,0000,02700SPEECH PATHOLOGY 49530,A000000,02800,0000,02800ELECTROCARDIOLOGY 49530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49530,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49530,A000000,03051,0000,03301MEDICAL COMPLEX EQUIP 49530,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49530,A000000,03200,0000,03200SUPPORT SURFACES 49530,A000000,03400,0000,03400CLINIC 49530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49530,A000000,03500,0000,03500RURAL HEALTH CLINIC 49530,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49530,A000000,04800,0000,04800AMBULANCE 49530,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49530,A000000,05000,0000,05000CORF 49530,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49530,A000000,05300,0000,05300INTEREST EXPENSE 49530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49530,A000000,05500,0000,05500HOSPICE 49530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49530,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49530,A000000,06100,0000,06100NONPAID WORKERS 49530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49530,A000000,06200,0000,06200PATIENTS LAUNDRY 49530,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49530,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49530,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49530,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49530,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49530,B100000,00000,0650,00000PATIENTS DAYS :LAUNDRY & LINEN SER 49530,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49530,B100000,00000,0800,00000MEALS SERVED :DIETARY 49530,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49530,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49530,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49530,B100000,00000,1250,00000PATIENTS DAYS :MEDICAL RECORDS & L 49530,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49530,B100000,00000,1350,00000PATIENTS DAYS :OTHER GENERAL SERVI 49530,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49530,S000000,00100,0200,06/01/2000 49530,S200000,00100,0100,1552 N HONEYTOWN RD 49530,S200000,00200,0100,WOOSTER 49530,S200000,00200,0200,OH 49530,S200000,00200,0300,44691- 49530,S200000,00300,0100,WAYNE 49530,S200000,00400,0100,GLENDORA HEALTH CARE 49530,S200000,00400,0200,366036 49530,S200000,00400,0300,12/27/1995 49530,S200000,00400,0500,P 49530,S200000,01600,0100,Y 49530,S700003,00000,0400,4 49538,S000000,00100,0200,05/30/2000 49558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49558,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49558,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49558,A000000,00300,0000,00300EMPLOYEE BENEFITS 49558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49558,A000000,00700,0000,00700HOUSEKEEPING 49558,A000000,00800,0000,00800DIETARY 49558,A000000,00801,0000,00801CAFETERIA 49558,A000000,00900,0000,00900NURSING ADMINISTRATION 49558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49558,A000000,01100,0000,01100PHARMACY 49558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49558,A000000,01300,0000,01300SOCIAL SERVICE 49558,A000000,01350,0000,01500ACTIVITIES 49558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49558,A000000,01600,0000,01600SKILLED NURSING FACILITY 49558,A000000,01800,0000,01800NURSING FACILITY 49558,A000000,01900,0000,01900OTHER LONG TERM CARE 49558,A000000,02100,0000,02100RADIOLOGY 49558,A000000,02200,0000,02200LABORATORY 49558,A000000,02300,0000,02300INTRAVENOUS THERAPY 49558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49558,A000000,02500,0000,02500PHYSICAL THERAPY 49558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49558,A000000,02700,0000,02700SPEECH PATHOLOGY 49558,A000000,02800,0000,02800ELECTROCARDIOLOGY 49558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49558,A000000,03050,0000,03300DME 49558,A000000,03051,0000,03301ORTHOTICS 49558,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 49558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49558,A000000,03200,0000,03200SUPPORT SURFACES 49558,A000000,03400,0000,03400CLINIC 49558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49558,A000000,03500,0000,03500RURAL HEALTH CLINIC 49558,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49558,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49558,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49558,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49558,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49558,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49558,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49558,A000000,04400,0000,04400DME RENTED - HHA 49558,A000000,04500,0000,04500DME SOLD - HHA 49558,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49558,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49558,A000000,04800,0000,04800AMBULANCE 49558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49558,A000000,05000,0000,05000CORF 49558,A000000,05010,0000,05010CMHC I 49558,A000000,05020,0000,05020OPT I 49558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49558,A000000,05300,0000,05300INTEREST EXPENSE 49558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49558,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49558,A000000,05500,0000,05500HOSPICE 49558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49558,A000000,06100,0000,06100NONPAID WORKERS 49558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49558,A000000,06200,0000,06200PATIENTS LAUNDRY 49558,A81000A,00100,0100,Y 49558,A81000B,00100,0300,HOME OFFICE ALLOCATION 49558,A81000B,00200,0300,THERACOR ACTUAL COSTS 49558,A81000B,00300,0300,THERACOR ACTUAL COSTS 49558,A81000B,00400,0300,THERACOR ACTUAL COSTS 49558,A81000C,00100,0100,B 49558,A81000C,00100,0200,HARBORSIDE 49558,A81000C,00200,0200,HEALTHCARE 49558,A81000C,00300,0200,LIMITED PSHIP 49558,A81000C,00300,0600,MANAGEMENT CO 49558,A81000C,00500,0100,B 49558,A81000C,00500,0200,HARBORSIDE 49558,A81000C,00600,0200,REHABILITITAION 49558,A81000C,00700,0200,LIMITED PSHIP 49558,A81000C,00700,0600,THERAPY 49558,A81000C,00800,0600,SERVICE AND 49558,A81000C,00900,0600,MANAGEMENT CO 49558,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49558,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49558,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49558,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49558,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49558,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49558,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49558,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49558,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49558,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49558,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 49558,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49558,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49558,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49558,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49558,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 49558,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49558,S000000,00100,0200,06/01/2000 49558,S200000,00100,0100,6101 NORTH SUMMIT 49558,S200000,00200,0100,TOLEDO 49558,S200000,00200,0200,OH 49558,S200000,00200,0300,43611- 49558,S200000,00300,0100,LUCAS 49558,S200000,00400,0100,HHC - POINT PLACE 49558,S200000,00400,0200,366039 49558,S200000,00400,0300,04/01/1998 49558,S200000,00400,0500,P 49558,S200000,01600,0100,Y 49558,S200000,02200,0100,Y 49558,S200000,04700,0100,Y 49558,S200000,04900,0100,Y 49567,S000000,00100,0200,06/01/2000 49577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49577,A000000,00300,0000,00300EMPLOYEE BENEFITS 49577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49577,A000000,00700,0000,00700HOUSEKEEPING 49577,A000000,00800,0000,00800DIETARY 49577,A000000,00900,0000,00900NURSING ADMINISTRATION 49577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49577,A000000,01100,0000,01100PHARMACY 49577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49577,A000000,01300,0000,01300SOCIAL SERVICE 49577,A000000,01350,0000,01500OTHER GENERAL SERVICES 49577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49577,A000000,01600,0000,01600SKILLED NURSING FACILITY 49577,A000000,01800,0000,01800NURSING FACILITY 49577,A000000,01810,0000,01810ICF/MR 49577,A000000,01900,0000,01900OTHER LONG TERM CARE 49577,A000000,02100,0000,02100RADIOLOGY 49577,A000000,02200,0000,02200LABORATORY 49577,A000000,02300,0000,02300INTRAVENOUS THERAPY 49577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49577,A000000,02500,0000,02500PHYSICAL THERAPY 49577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49577,A000000,02700,0000,02700SPEECH PATHOLOGY 49577,A000000,02800,0000,02800ELECTROCARDIOLOGY 49577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49577,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49577,A000000,03200,0000,03200SUPPORT SURFACES 49577,A000000,03400,0000,03400CLINIC 49577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49577,A000000,03500,0000,03500RURAL HEALTH CLINIC 49577,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49577,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49577,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49577,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49577,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49577,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49577,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49577,A000000,04400,0000,04400DME RENTED - HHA 49577,A000000,04500,0000,04500DME SOLD - HHA 49577,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49577,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49577,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49577,A000000,04800,0000,04800AMBULANCE 49577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49577,A000000,05000,0000,05000CORF 49577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49577,A000000,05300,0000,05300INTEREST EXPENSE 49577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49577,A000000,05500,0000,05500HOSPICE 49577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49577,A000000,06100,0000,06100NONPAID WORKERS 49577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49577,A000000,06200,0000,06200PATIENTS LAUNDRY 49577,A81000A,00100,0100,Y 49577,A81000B,00100,0300,CAP REL COSTS - BLDGS & F BUILDING 49577,A81000B,00200,0300,HO COSTS - CAPITAL 49577,A81000B,00300,0300,HO COSTS - ADMINISTRATIVE 49577,A81000B,00400,0300,HO COSTS - DIETARY 49577,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 49577,A81000C,00100,0100,A 49577,A81000C,00100,0200,JAMES B. RENACCI 49577,A81000C,00100,0400,LTC ASSOCIATES 49577,A81000C,00100,0600,REAL ESTATE 49577,A81000C,00200,0100,B 49577,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49577,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49577,A81000C,00200,0600,NURSING HOME MGT 49577,A81000C,00300,0100,B 49577,A81000C,00300,0200,LTC MANAGEMENT SERVICES 49577,A81000C,00300,0400,LTC MANAGEMENT SERVICES 49577,A81000C,00300,0600,NURSING HOME MGT 49577,A81000C,00400,0100,B 49577,A81000C,00400,0200,LTC MANAGEMENT SERVICES 49577,A81000C,00400,0400,LTC MANAGEMENT SERVICES 49577,A81000C,00400,0600,NURSING HOME MGT 49577,A81000C,00500,0100,A 49577,A81000C,00500,0200,JAMES B. RENACCI 49577,A81000C,00500,0400,LTC ASSOCIATES 49577,A81000C,00500,0600,REAL ESTATE 49577,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49577,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49577,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49577,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49577,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49577,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49577,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49577,B100000,00000,0800,00000MEALS SERVED :DIETARY 49577,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49577,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49577,B100000,00000,1150,00000NO STATISTICS :PHARMACY 49577,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49577,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49577,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49577,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49577,E10A180,00501,0100,07/18/2000 49577,S000000,00100,0200,06/05/2000 49577,S200000,00100,0100,3600 BUTZ ROAD 49577,S200000,00200,0100,MAUMEE 49577,S200000,00200,0200,OH 49577,S200000,00200,0300,43537- 49577,S200000,00300,0100,LUCAS 49577,S200000,00400,0100,SWAN POINTE CARE CENTER INC. 49577,S200000,00400,0200,366041 49577,S200000,00400,0300,01/02/1996 49577,S200000,00400,0500,P 49577,S200000,01600,0100,Y 49577,S200000,04300,0100,Y 49589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49589,A000000,00300,0000,00300EMPLOYEE BENEFITS 49589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49589,A000000,00700,0000,00700HOUSEKEEPING 49589,A000000,00800,0000,00800DIETARY 49589,A000000,00900,0000,00900NURSING ADMINISTRATION 49589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49589,A000000,01100,0000,01100PHARMACY 49589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49589,A000000,01300,0000,01300SOCIAL SERVICE 49589,A000000,01350,0000,01500ACTIVITIES 49589,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49589,A000000,01600,0000,01600SKILLED NURSING FACILITY 49589,A000000,01800,0000,01800NURSING FACILITY 49589,A000000,01810,0000,01801ICF/MR 49589,A000000,01900,0000,01900OTHER LONG TERM CARE 49589,A000000,02100,0000,02100RADIOLOGY 49589,A000000,02200,0000,02200LABORATORY 49589,A000000,02300,0000,02300INTRAVENOUS THERAPY 49589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49589,A000000,02500,0000,02500PHYSICAL THERAPY 49589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49589,A000000,02700,0000,02700SPEECH PATHOLOGY 49589,A000000,02800,0000,02800ELECTROCARDIOLOGY 49589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49589,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49589,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49589,A000000,03200,0000,03200SUPPORT SURFACES 49589,A000000,03400,0000,03400CLINIC 49589,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49589,A000000,03500,0000,03500RURAL HEALTH CLINIC 49589,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49589,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49589,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49589,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49589,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49589,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49589,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49589,A000000,04400,0000,04400DME RENTED - HHA 49589,A000000,04500,0000,04500DME SOLD - HHA 49589,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49589,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49589,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49589,A000000,04800,0000,04800AMBULANCE 49589,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49589,A000000,05000,0000,05000CORF 49589,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49589,A000000,05300,0000,05300INTEREST EXPENSE 49589,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49589,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49589,A000000,05500,0000,05500HOSPICE 49589,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49589,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49589,A000000,06100,0000,06100NONPAID WORKERS 49589,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49589,A000000,06200,0000,06200PATIENTS LAUNDRY 49589,A81000A,00100,0100,Y 49589,A81000B,00100,0300,DEPRECIATION - BUILDING 49589,A81000C,00100,0100,B 49589,A81000C,00100,0400,J & D ENTERPRISE 49589,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49589,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49589,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49589,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49589,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49589,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49589,B100000,00000,0800,00000MEALS SERVED :DIETARY 49589,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49589,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49589,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49589,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49589,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49589,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49589,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49589,S000000,00100,0200,06/02/2000 49589,S200000,00100,0100,1125 CLARION 49589,S200000,00100,0300,429 49589,S200000,00200,0100,HOLLAND 49589,S200000,00200,0200,OH 49589,S200000,00200,0300,43528- 49589,S200000,00300,0100,LUCAS 49589,S200000,00400,0100,SPRING MEADOWS EXTENDED CARE FAC 49589,S200000,00400,0200,366042 49589,S200000,00400,0300,12/15/1995 49589,S200000,00400,0500,P 49589,S200000,01600,0100,Y 49589,S200000,04300,0100,Y 49598,S000000,00100,0200,06/02/2000 49609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49609,A000000,00300,0000,00300EMPLOYEE BENEFITS 49609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49609,A000000,00700,0000,00700HOUSEKEEPING 49609,A000000,00800,0000,00800DIETARY 49609,A000000,00900,0000,00900NURSING ADMINISTRATION 49609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49609,A000000,01100,0000,01100PHARMACY 49609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49609,A000000,01300,0000,01300SOCIAL SERVICE 49609,A000000,01350,0000,01500ACTIVITIES 49609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49609,A000000,01600,0000,01600SKILLED NURSING FACILITY 49609,A000000,01800,0000,01800NURSING FACILITY 49609,A000000,01810,0000,01801ICF/MR 49609,A000000,01900,0000,01900OTHER LONG TERM CARE 49609,A000000,02100,0000,02100RADIOLOGY 49609,A000000,02200,0000,02200LABORATORY 49609,A000000,02300,0000,02300INTRAVENOUS THERAPY 49609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49609,A000000,02500,0000,02500PHYSICAL THERAPY 49609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49609,A000000,02700,0000,02700SPEECH PATHOLOGY 49609,A000000,02800,0000,02800ELECTROCARDIOLOGY 49609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49609,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49609,A000000,03200,0000,03200SUPPORT SURFACES 49609,A000000,03400,0000,03400CLINIC 49609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49609,A000000,03500,0000,03500RURAL HEALTH CLINIC 49609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49609,A000000,04400,0000,04400DME RENTED - HHA 49609,A000000,04500,0000,04500DME SOLD - HHA 49609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49609,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49609,A000000,04800,0000,04800AMBULANCE 49609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49609,A000000,05000,0000,05000CORF 49609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49609,A000000,05300,0000,05300INTEREST EXPENSE 49609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49609,A000000,05500,0000,05500HOSPICE 49609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49609,A000000,06100,0000,06100NONPAID WORKERS 49609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49609,A000000,06200,0000,06200PATIENTS LAUNDRY 49609,A81000A,00100,0100,Y 49609,A81000B,00100,0300,HOME OFFICE EXPENSE 49609,A81000B,00200,0300,LEASE & RENT - RELATED PARTY 49609,A81000C,00100,0100,A 49609,A81000C,00100,0200,BILLIE HAZELBAKER 49609,A81000C,00100,0400,AEGIS INC. 49609,A81000C,00100,0600,MANAGEMENT 49609,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49609,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49609,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49609,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49609,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49609,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49609,B100000,00000,0800,00000MEALS SERVED :DIETARY 49609,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49609,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49609,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49609,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49609,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49609,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49609,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49609,S000000,00100,0200,05/30/2000 49609,S200000,00100,0100,11660 STATE ROUTE 111 49609,S200000,00200,0100,PAULDING 49609,S200000,00200,0200,OH 49609,S200000,00200,0300,45877- 49609,S200000,00300,0100,PAULDING 49609,S200000,00400,0100,HAWTHORN COURT 49609,S200000,00400,0200,366044 49609,S200000,00400,0300,04/01/1998 49609,S200000,00400,0500,P 49609,S200000,00400,0600,P 49609,S200000,01500,0100,Y 49609,S200000,04300,0100,Y 49609,S700003,00000,0400,4 49617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49617,A000000,00300,0000,00300EMPLOYEE BENEFITS 49617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49617,A000000,00700,0000,00700HOUSEKEEPING 49617,A000000,00800,0000,00800DIETARY 49617,A000000,00900,0000,00900NURSING ADMINISTRATION 49617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49617,A000000,01100,0000,01100PHARMACY 49617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49617,A000000,01300,0000,01300SOCIAL SERVICE 49617,A000000,01600,0000,01600SKILLED NURSING FACILITY 49617,A000000,01800,0000,01800NURSING FACILITY 49617,A000000,01900,0000,01900OTHER LONG TERM CARE 49617,A000000,02100,0000,02100RADIOLOGY 49617,A000000,02200,0000,02200LABORATORY 49617,A000000,02300,0000,02300INTRAVENOUS THERAPY 49617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49617,A000000,02500,0000,02500PHYSICAL THERAPY 49617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49617,A000000,02700,0000,02700SPEECH PATHOLOGY 49617,A000000,02800,0000,02800ELECTROCARDIOLOGY 49617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49617,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49617,A000000,03200,0000,03200SUPPORT SURFACES 49617,A000000,04800,0000,04800AMBULANCE 49617,A000000,05300,0000,05300INTEREST EXPENSE 49617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49617,A000000,05500,0000,05500HOSPICE 49617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49617,A000000,06200,0000,06200PATIENTS LAUNDRY 49617,A81000A,00100,0100,Y 49617,A81000B,00100,0300,LAND LEASE 49617,A81000C,00100,0100,B 49617,A81000C,00100,0200,JENNINGS HALL 49617,A81000C,00100,0400,CATHOLIC CHARITIES 49617,A81000C,00100,0600,REALTY LESSOR 49617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49617,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49617,B100000,00000,0800,00000MEALS SERVED :DIETARY 49617,B100000,00000,0900,00000DIRECT NURSG HOUR :NURSING ADMINIST 49617,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49617,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49617,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49617,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49617,E10A180,00501,0100,06/06/2000 49617,E10A180,00550,0300,06/06/2000 49617,S000000,00100,0200,06/01/2000 49617,S200000,00100,0100,10204 GRANGER ROAD 49617,S200000,00200,0100,GARFIELD HEIGHTS 49617,S200000,00200,0200,OH 49617,S200000,00200,0300,44125-3106 49617,S200000,00300,0100,CUYAHOGA 49617,S200000,00400,0100,JENNINGS HALL 49617,S200000,00400,0200,366045 49617,S200000,00400,0300,04/01/1996 49617,S200000,00400,0500,P 49617,S200000,01600,0100,Y 49617,S200000,04300,0100,Y 49617,S200000,04700,0100,Y 49617,S700003,00000,0400,4 49628,S000000,00100,0200,05/24/2000 49637,S000000,00100,0200,06/01/2000 49644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49644,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 49644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49644,A000000,00300,0000,00300EMPLOYEE BENEFITS 49644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49644,A000000,00700,0000,00700HOUSEKEEPING 49644,A000000,00800,0000,00800DIETARY 49644,A000000,00900,0000,00900NURSING ADMINISTRATION 49644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49644,A000000,01100,0000,01100PHARMACY 49644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49644,A000000,01300,0000,01300SOCIAL SERVICE 49644,A000000,01350,0000,01500OTHER GENERAL SERVICES 49644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49644,A000000,01600,0000,01600SKILLED NURSING FACILITY 49644,A000000,01800,0000,01800NURSING FACILITY 49644,A000000,01900,0000,01900OTHER LONG TERM CARE 49644,A000000,02100,0000,02100RADIOLOGY 49644,A000000,02200,0000,02200LABORATORY 49644,A000000,02300,0000,02300INTRAVENOUS THERAPY 49644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49644,A000000,02500,0000,02500PHYSICAL THERAPY 49644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49644,A000000,02700,0000,02700SPEECH PATHOLOGY 49644,A000000,02800,0000,02800ELECTROCARDIOLOGY 49644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49644,A000000,03200,0000,03200SUPPORT SURFACES 49644,A000000,03400,0000,03400CLINIC 49644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49644,A000000,03500,0000,03500RURAL HEALTH CLINIC 49644,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49644,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49644,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49644,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49644,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49644,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49644,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49644,A000000,04400,0000,04400DME RENTED - HHA 49644,A000000,04500,0000,04500DME SOLD - HHA 49644,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49644,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49644,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49644,A000000,04800,0000,04800AMBULANCE 49644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49644,A000000,05000,0000,05000CORF 49644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49644,A000000,05300,0000,05300INTEREST EXPENSE 49644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49644,A000000,05500,0000,05500HOSPICE 49644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49644,A000000,06100,0000,06100NONPAID WORKERS 49644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49644,A000000,06200,0000,06200PATIENTS LAUNDRY 49644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49644,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 49644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49644,B100000,00000,0800,00000MEALS SERVED :DIETARY 49644,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49644,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49644,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49644,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49644,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 49644,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49644,S000000,00100,0200,05/30/2000 49644,S200000,00100,0100,2991 MAPLE AVENUE 49644,S200000,00200,0100,ZANESVILLE 49644,S200000,00200,0200,OH 49644,S200000,00200,0300,43701- 49644,S200000,00300,0100,MUSKINGUM 49644,S200000,00400,0100,SUNNY VIEW NURSING HOME 49644,S200000,00400,0200,366051 49644,S200000,00400,0300,04/10/1996 49644,S200000,00400,0500,P 49644,S200000,00600,0200,366051 49644,S200000,00600,0300,04/10/1996 49644,S200000,00600,0600,P 49644,S200000,01600,0100,Y 49644,S200000,04300,0100,Y 49654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49654,A000000,00300,0000,00300EMPLOYEE BENEFITS 49654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49654,A000000,00700,0000,00700HOUSEKEEPING 49654,A000000,00800,0000,00800DIETARY 49654,A000000,00900,0000,00900NURSING ADMINISTRATION 49654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49654,A000000,01100,0000,01100PHARMACY 49654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49654,A000000,01300,0000,01300SOCIAL SERVICE 49654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49654,A000000,01600,0000,01600SKILLED NURSING FACILITY 49654,A000000,01800,0000,01800NURSING FACILITY 49654,A000000,01810,0000,01810ICF/MR 49654,A000000,01900,0000,01900OTHER LONG TERM CARE 49654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49654,A000000,02500,0000,02500PHYSICAL THERAPY 49654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49654,A000000,03550,0000,03550FQHC 49654,A000000,05000,0000,05000CORF 49654,A000000,05010,0000,05010CMHC 49654,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 49654,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 49654,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 49654,A000000,05300,0000,05300INTEREST EXPENSE 49654,A000000,06100,0000,06100NONPAID WORKERS 49654,A81000A,00100,0100,Y 49654,A81000B,00100,0300,EXC. MGMT SERVICES 49654,A81000C,00100,0100,B 49654,A81000C,00100,0200,ADMIN & FINANCE 49654,A81000C,00100,0400,FORT HAMILTON H 49654,A81000C,00100,0600,HOSPITAL 49654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49654,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49654,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49654,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 49654,B100000,00000,0800,00000MEALS SERVED :DIETARY 49654,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 49654,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 49654,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 49654,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49654,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49654,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49654,S000000,00100,0200,12/08/1999 49654,S200000,00100,0100,100 BERKELEY DRIVE 49654,S200000,00200,0100,HAMILTON 49654,S200000,00200,0200,OH 49654,S200000,00200,0300,45013- 49654,S200000,00300,0100,BUTLER 49654,S200000,00400,0100,FORT HAMILTON-HUGHES MEM. HOSPT. 49654,S200000,00400,0200,366053 49654,S200000,00400,0300,05/09/1996 49654,S200000,00400,0500,P 49654,S200000,01004,0500,O 49654,S200000,02200,0100,Y 49654,S200000,04300,0100,Y 49654,S700003,00000,0400,4 49655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49655,A000000,00300,0000,00300EMPLOYEE BENEFITS 49655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49655,A000000,00700,0000,00700HOUSEKEEPING 49655,A000000,00800,0000,00800DIETARY 49655,A000000,00900,0000,00900NURSING ADMINISTRATION 49655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49655,A000000,01100,0000,01100PHARMACY 49655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49655,A000000,01300,0000,01300SOCIAL SERVICE 49655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49655,A000000,01600,0000,01600SKILLED NURSING FACILITY 49655,A000000,01800,0000,01800NURSING FACILITY 49655,A000000,01810,0000,01810ICF/MR 49655,A000000,01900,0000,01900OTHER LONG TERM CARE 49655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49655,A000000,02500,0000,02500PHYSICAL THERAPY 49655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49655,A000000,03550,0000,03550FQHC 49655,A000000,05000,0000,05000CORF 49655,A000000,05010,0000,05010CMHC 49655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 49655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 49655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 49655,A000000,05300,0000,05300INTEREST EXPENSE 49655,A81000A,00100,0100,Y 49655,A81000B,00100,0300,EXC. MGMT SERVICES 49655,A81000C,00100,0100,B 49655,A81000C,00100,0200,ADMIN & FINANCE 49655,A81000C,00100,0400,FORT HAMILTON H 49655,A81000C,00100,0600,HOSPITAL 49655,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49655,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49655,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49655,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49655,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49655,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 49655,B100000,00000,0800,00000MEALS SERVED :DIETARY 49655,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 49655,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49655,S000000,00100,0200,12/18/2000 49655,S200000,00100,0100,100 BERKELEY DRIVE 49655,S200000,00200,0100,HAMILTON 49655,S200000,00200,0200,OH 49655,S200000,00200,0300,45338- 49655,S200000,00300,0100,BUTLER 49655,S200000,00300,0200,1640 49655,S200000,00300,0300,U 49655,S200000,00400,0100,BERKELEY HEALTHCARE . 49655,S200000,00400,0200,366053 49655,S200000,00400,0300,05/09/1996 49655,S200000,00400,0500,P 49655,S200000,01600,0100,Y 49655,S200000,02200,0100,Y 49655,S200000,04300,0100,Y 49663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49663,A000000,00300,0000,00300EMPLOYEE BENEFITS 49663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49663,A000000,00700,0000,00700HOUSEKEEPING 49663,A000000,00800,0000,00800DIETARY 49663,A000000,00900,0000,00900NURSING ADMINISTRATION 49663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49663,A000000,01100,0000,01100PHARMACY 49663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49663,A000000,01300,0000,01300SOCIAL SERVICE 49663,A000000,01600,0000,01600SKILLED NURSING FACILITY 49663,A000000,01800,0000,01800NURSING FACILITY 49663,A000000,01900,0000,01900OTHER LONG TERM CARE 49663,A000000,02100,0000,02100RADIOLOGY 49663,A000000,02200,0000,02200LABORATORY 49663,A000000,02300,0000,02300INTRAVENOUS THERAPY 49663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49663,A000000,02500,0000,02500PHYSICAL THERAPY 49663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49663,A000000,02700,0000,02700SPEECH PATHOLOGY 49663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49663,A000000,03200,0000,03200SUPPORT SURFACES 49663,A000000,05300,0000,05300INTEREST EXPENSE 49663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49663,A81000A,00100,0100,Y 49663,A81000B,00100,0300,HOME OFFICE COSTS 49663,A81000B,00200,0300,HOME OFFICE COSTS 49663,A81000B,00300,0300,HOME OFFICE COSTS 49663,A81000C,00100,0100,A 49663,A81000C,00100,0200,KENNETH HUBBARD 49663,A81000C,00100,0400,HUBBARD H/C 49663,A81000C,00100,0600,MGMT COMPANY 49663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49663,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49663,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49663,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49663,B100000,00000,0800,00000MEALS SERVED :DIETARY 49663,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49663,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49663,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49663,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49663,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49663,E10A180,00550,0100,09/29/2000 49663,E10A180,00550,0300,09/29/2000 49663,S000000,00100,0200,06/30/1999 49663,S200000,00100,0100,5165 STATE ROUTE 322 49663,S200000,00200,0100,WINSOR 49663,S200000,00200,0200,OH 49663,S200000,00200,0300,44099- 49663,S200000,00300,0100,ASHTABULA 49663,S200000,00400,0100,GRAND VALLEY COUNTRY MANOR 49663,S200000,00400,0200,366054 49663,S200000,00400,0300,04/12/1996 49663,S200000,00400,0500,P 49663,S200000,01005,0500,O 49663,S200000,01600,0100,Y 49663,S200000,04300,0100,Y 49666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49666,A000000,00300,0000,00300EMPLOYEE BENEFITS 49666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49666,A000000,00700,0000,00700HOUSEKEEPING 49666,A000000,00800,0000,00800DIETARY 49666,A000000,00900,0000,00900NURSING ADMINISTRATION 49666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49666,A000000,01100,0000,01100PHARMACY 49666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49666,A000000,01300,0000,01300SOCIAL SERVICE 49666,A000000,01600,0000,01600SKILLED NURSING FACILITY 49666,A000000,01800,0000,01800NURSING FACILITY 49666,A000000,01900,0000,01900OTHER LONG TERM CARE 49666,A000000,02100,0000,02100RADIOLOGY 49666,A000000,02200,0000,02200LABORATORY 49666,A000000,02300,0000,02300INTRAVENOUS THERAPY 49666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49666,A000000,02500,0000,02500PHYSICAL THERAPY 49666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49666,A000000,02700,0000,02700SPEECH PATHOLOGY 49666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49666,A000000,03200,0000,03200SUPPORT SURFACES 49666,A000000,05300,0000,05300INTEREST EXPENSE 49666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49666,A000000,06150,0000,06300PROSTHETICS & ORTHO. 49666,A81000A,00100,0100,Y 49666,A81000B,00100,0300,HOME OFFICE COSTS 49666,A81000B,00200,0300,HOME OFFICE COSTS 49666,A81000B,00300,0300,HOME OFFICE COSTS 49666,A81000C,00100,0100,A 49666,A81000C,00100,0200,KENNETH HUBBARD 49666,A81000C,00100,0400,HUBBARD H/C 49666,A81000C,00100,0600,MGMT COMPANY 49666,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49666,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49666,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49666,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49666,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49666,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49666,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49666,B100000,00000,0800,00000MEALS SERVED :DIETARY 49666,B100000,00000,0900,00000DIRECT NRSNG HOUR :NURSING ADMINIST 49666,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49666,B100000,00000,1150,00000NO STATISTICS :PHARMACY 49666,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49666,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49666,S000000,00100,0200,06/02/2000 49666,S200000,00100,0100,5165 STATE ROUTE 322 49666,S200000,00200,0100,WINSOR 49666,S200000,00200,0200,OH 49666,S200000,00200,0300,44099- 49666,S200000,00300,0100,ASHTABULA 49666,S200000,00400,0100,GRAND VALLEY COUNTRY MANOR 49666,S200000,00400,0200,366054 49666,S200000,00400,0300,04/12/1996 49666,S200000,00400,0500,P 49666,S200000,01600,0100,Y 49666,S200000,04300,0100,Y 49666,S700003,00000,0400,4 49677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49677,A000000,00300,0000,00300EMPLOYEE BENEFITS 49677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49677,A000000,00700,0000,00700HOUSEKEEPING 49677,A000000,00800,0000,00800DIETARY 49677,A000000,00900,0000,00900NURSING ADMINISTRATION 49677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49677,A000000,01100,0000,01100PHARMACY 49677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49677,A000000,01300,0000,01300SOCIAL SERVICE 49677,A000000,01600,0000,01600SKILLED NURSING FACILITY 49677,A000000,01800,0000,01800NURSING FACILITY 49677,A000000,02100,0000,02100RADIOLOGY 49677,A000000,02200,0000,02200LABORATORY 49677,A000000,02300,0000,02300INTRAVENOUS THERAPY 49677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49677,A000000,02500,0000,02500PHYSICAL THERAPY 49677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49677,A000000,02700,0000,02700SPEECH PATHOLOGY 49677,A000000,02800,0000,02800ELECTROCARDIOLOGY 49677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49677,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 49677,A000000,03200,0000,03200SUPPORT SURFACES 49677,A000000,04800,0000,04800AMBULANCE 49677,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49677,A000000,05300,0000,05300INTEREST EXPENSE 49677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49677,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 49677,A81000A,00100,0100,Y 49677,A81000B,00100,0300,HOME OFFICE COST 49677,A81000B,00200,0300,HOME OFFICE COST 49677,A81000B,00300,0300,HOME OFFICE COST 49677,A81000B,00400,0300,HOME OFFICE COST 49677,A81000B,00500,0300,HOME OFFICE COST 49677,A81000B,00600,0300,HOME OFFICE COST 49677,A81000B,00700,0300,LAUNDRY SERVICES 49677,A81000C,00100,0100,A 49677,A81000C,00100,0200,STEVE ROSEDALE 49677,A81000C,00100,0400,COMMUNICARE HEA 49677,A81000C,00100,0600,HOME OFFICE 49677,A81000C,00200,0100,A 49677,A81000C,00200,0200,STEVE ROSEDALE 49677,A81000C,00200,0400,COMMUNICARE IN 49677,A81000C,00200,0600,HOME OFFICE 49677,A81000C,00300,0100,A 49677,A81000C,00300,0200,STEVE ROSEDALE 49677,A81000C,00300,0400,CITY VIEW NURSI 49677,A81000C,00300,0600,NURSING FACILIT 49677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49677,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49677,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49677,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49677,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49677,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49677,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 49677,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 49677,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 49677,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49677,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49677,S000000,00100,0200,05/31/2000 49677,S200000,00100,0100,4180 WARRENSVILLE CENTER ROAD 49677,S200000,00200,0100,WARRENSVILLE HEIGHTS 49677,S200000,00200,0200,OH 49677,S200000,00200,0300,44122- 49677,S200000,00300,0100,CUYAHOGA 49677,S200000,00400,0100,TCU @ MERIDIA SOUTH POINTE 49677,S200000,00400,0200,366055 49677,S200000,00400,0300,04/17/1996 49677,S200000,00400,0500,P 49677,S200000,01004,0500,O 49677,S200000,01500,0100,Y 49677,S200000,02800,0100,Y 49677,S200000,04700,0100,Y 49685,S000000,00100,0200,05/30/2000 49693,S000000,00100,0200,05/23/2000 49702,S000000,00100,0200,03/28/2000 49712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49712,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49712,A000000,00700,0000,00700HOUSEKEEPING 49712,A000000,00800,0000,00800DIETARY 49712,A000000,00900,0000,00900NURSING ADMINISTRATION 49712,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49712,A000000,01300,0000,01300SOCIAL SERVICE 49712,A000000,01600,0000,01600SKILLED NURSING FACILITY 49712,A000000,01800,0000,01800NURSING FACILITY 49712,A000000,02100,0000,02100RADIOLOGY 49712,A000000,02200,0000,02200LABORATORY 49712,A000000,02300,0000,02300INTRAVENOUS THERAPY 49712,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49712,A000000,02500,0000,02500PHYSICAL THERAPY 49712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49712,A000000,02700,0000,02700SPEECH PATHOLOGY 49712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49712,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49712,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 49712,A000000,03052,0000,03302MEDICAL EQUIPMENT 49712,A000000,05300,0000,05300INTEREST EXPENSE 49712,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49712,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49712,A000000,06200,0000,06200PATIENTS LAUNDRY 49712,A81000A,00100,0100,Y 49712,A81000B,00100,0300,HOME OFFICE A&G 49712,A81000B,00200,0300,HOME OFFICE CAPITAL 49712,A81000B,00300,0300,DIVISION OFFICE A&G 49712,A81000B,00400,0300,DIVISION OFFICE CAPITAL 49712,A81000B,00500,0300,INSURANCE 49712,A81000C,00100,0100,B 49712,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 49712,A81000C,00200,0100,G 49712,A81000C,00200,0200,LAURIER INC. 49712,A81000C,00200,0400,EXTENDICARE INC. 49712,A81000C,00200,0600,INSURANCE 49712,A81000C,00300,0100,G 49712,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49712,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49712,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49712,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49712,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49712,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 49712,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49712,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49712,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49712,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 49712,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49712,S000000,00100,0200,06/02/2000 49712,S200000,00100,0100,7120 PORT SYLVANIA DRIVE 49712,S200000,00200,0100,TOLEDO 49712,S200000,00200,0200,OH 49712,S200000,00200,0300,43617- 49712,S200000,00300,0100,LUCAS 49712,S200000,00400,0100,ARBORS AT SYLVANIA 49712,S200000,00400,0200,366060 49712,S200000,00400,0300,04/19/1996 49712,S200000,00400,0500,P 49712,S200000,01600,0100,Y 49719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49719,A000000,00300,0000,00300EMPLOYEE BENEFITS 49719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49719,A000000,00700,0000,00700HOUSEKEEPING 49719,A000000,00800,0000,00800DIETARY 49719,A000000,00900,0000,00900NURSING ADMINISTRATION 49719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49719,A000000,01100,0000,01100PHARMACY 49719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49719,A000000,01300,0000,01300SOCIAL SERVICE 49719,A000000,01600,0000,01600SKILLED NURSING FACILITY 49719,A000000,01800,0000,01800NURSING FACILITY 49719,A000000,01900,0000,01900OTHER LONG TERM CARE 49719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49719,A000000,02500,0000,02500PHYSICAL THERAPY 49719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49719,A000000,02700,0000,02700SPEECH PATHOLOGY 49719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49719,A000000,03200,0000,03200SUPPORT SURFACES 49719,A000000,05300,0000,05300INTEREST EXPENSE 49719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49719,A81000A,00100,0100,Y 49719,A81000B,00100,0300,HOME OFFICE COSTS 49719,A81000B,00200,0300,HOME OFFICE COSTS 49719,A81000C,00100,0100,A 49719,A81000C,00100,0200,TOM NORDQUIST 49719,A81000C,00100,0400,NP MGMT INC. 49719,A81000C,00100,0600,MGMT COMPANY 49719,A81000C,00200,0100,A 49719,A81000C,00200,0200,P. ADAMS 49719,A81000C,00200,0400,NP MGMT INC. 49719,A81000C,00200,0600,MGMT COMPANY 49719,A81000C,00300,0100,A 49719,A81000C,00300,0200,JIM PASTORE 49719,A81000C,00300,0400,NP MGMT INC. 49719,A81000C,00300,0600,MGMT COMPANY 49719,A81000C,00400,0100,A 49719,A81000C,00400,0200,L A PETROZZI 49719,A81000C,00400,0400,NP MGMT INC. 49719,A81000C,00400,0600,MGMT COMPANY 49719,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49719,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49719,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49719,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49719,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49719,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49719,B100000,00000,0800,00000MEALS SERVED :DIETARY 49719,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49719,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49719,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49719,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49719,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49719,E10A180,00550,0100,09/01/1999 49719,E10A180,00550,0300,09/01/1999 49719,S000000,00100,0200,08/27/1999 49719,S200000,00100,0100,9184 MARKET STREET 49719,S200000,00200,0100,NORTH LIMA 49719,S200000,00200,0200,OH 49719,S200000,00200,0300,44452- 49719,S200000,00300,0100,MAHONING 49719,S200000,00400,0100,CAPRICE HEALTH CARE CENTER 49719,S200000,00400,0200,366062 49719,S200000,00400,0300,10/02/1998 49719,S200000,00400,0500,P 49719,S200000,01600,0100,Y 49719,S200000,04300,0100,Y 49719,S700003,00000,0400,4 49721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49721,A000000,00300,0000,00300EMPLOYEE BENEFITS 49721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49721,A000000,00700,0000,00700HOUSEKEEPING 49721,A000000,00800,0000,00800DIETARY 49721,A000000,00900,0000,00900NURSING ADMINISTRATION 49721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49721,A000000,01100,0000,01100PHARMACY 49721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49721,A000000,01300,0000,01300SOCIAL SERVICE 49721,A000000,01600,0000,01600SKILLED NURSING FACILITY 49721,A000000,01800,0000,01800NURSING FACILITY 49721,A000000,01900,0000,01900OTHER LONG TERM CARE 49721,A000000,02100,0000,02100RADIOLOGY 49721,A000000,02200,0000,02200LABORATORY 49721,A000000,02300,0000,02300INTRAVENOUS THERAPY 49721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49721,A000000,02500,0000,02500PHYSICAL THERAPY 49721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49721,A000000,02700,0000,02700SPEECH PATHOLOGY 49721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49721,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49721,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49721,A000000,03200,0000,03200SUPPORT SURFACES 49721,A000000,04800,0000,04800AMBULANCE 49721,A000000,05300,0000,05300INTEREST EXPENSE 49721,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49721,A000000,05500,0000,05500HOSPICE 49721,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49721,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49721,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49721,A000000,06200,0000,06200PATIENTS LAUNDRY 49721,A81000A,00100,0100,Y 49721,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 49721,A81000C,00100,0100,A 49721,A81000C,00100,0200,TOM NORDQUIST 49721,A81000C,00100,0400,NP MGMT INC. 49721,A81000C,00100,0600,MGMT COMPANY 49721,A81000C,00200,0100,A 49721,A81000C,00200,0200,P. ADAMS 49721,A81000C,00200,0400,NP MGMT INC. 49721,A81000C,00200,0600,MGMT COMPANY 49721,A81000C,00300,0100,A 49721,A81000C,00300,0200,JIM PASTORE 49721,A81000C,00300,0400,NP MGMT INC. 49721,A81000C,00300,0600,MGMT COMPANY 49721,A81000C,00400,0100,A 49721,A81000C,00400,0200,L. A. PETROZZI 49721,A81000C,00400,0400,NP MGMT INC 49721,A81000C,00400,0600,MGMT COMPANY 49721,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49721,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49721,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49721,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49721,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49721,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49721,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49721,B100000,00000,0800,00000MEALS SERVED :DIETARY 49721,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49721,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49721,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49721,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49721,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49721,S000000,00100,0200,06/01/2000 49721,S200000,00100,0100,9184 MARKET STREET 49721,S200000,00200,0100,NORTH LIMA 49721,S200000,00200,0200,OH 49721,S200000,00200,0300,44452- 49721,S200000,00300,0100,MAHONING 49721,S200000,00400,0100,CAPRICE HEALTH CARE CENTER 49721,S200000,00400,0200,366062 49721,S200000,00400,0300,06/05/1996 49721,S200000,00400,0500,P 49721,S200000,01500,0100,Y 49721,S200000,04300,0100,Y 49727,S000000,00100,0200,06/07/2000 49735,S000000,00100,0200,05/30/2000 49742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49742,A000000,00300,0000,00300EMPLOYEE BENEFITS 49742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49742,A000000,00700,0000,00700HOUSEKEEPING 49742,A000000,00800,0000,00800DIETARY 49742,A000000,00900,0000,00900NURSING ADMINISTRATION 49742,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49742,A000000,01100,0000,01100PHARMACY 49742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49742,A000000,01300,0000,01300SOCIAL SERVICE 49742,A000000,01350,0000,01500ACTIVITIES 49742,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49742,A000000,01600,0000,01600SKILLED NURSING FACILITY 49742,A000000,01800,0000,01800NURSING FACILITY 49742,A000000,01810,0000,01801ICF/MR 49742,A000000,01900,0000,01900OTHER LONG TERM CARE 49742,A000000,02100,0000,02100RADIOLOGY 49742,A000000,02200,0000,02200LABORATORY 49742,A000000,02300,0000,02300INTRAVENOUS THERAPY 49742,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49742,A000000,02500,0000,02500PHYSICAL THERAPY 49742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49742,A000000,02700,0000,02700SPEECH PATHOLOGY 49742,A000000,02800,0000,02800ELECTROCARDIOLOGY 49742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49742,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49742,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49742,A000000,03200,0000,03200SUPPORT SURFACES 49742,A000000,03400,0000,03400CLINIC 49742,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49742,A000000,03500,0000,03500RURAL HEALTH CLINIC 49742,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49742,A000000,04800,0000,04800AMBULANCE 49742,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49742,A000000,05000,0000,05000CORF 49742,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49742,A000000,05300,0000,05300INTEREST EXPENSE 49742,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49742,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49742,A000000,05500,0000,05500HOSPICE 49742,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49742,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49742,A000000,06100,0000,06100NONPAID WORKERS 49742,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49742,A000000,06200,0000,06200PATIENTS LAUNDRY 49742,A81000A,00100,0100,Y 49742,A81000B,00100,0300,H.O. COSTS ALLOCATION 49742,A81000C,00100,0100,B 49742,A81000C,00100,0200,DEACONESS LONG TERM CARE 49742,A81000C,00100,0400,CONVOY CARE CENTER 49742,A81000C,00100,0600,LONG TERM CARE MGMT. 49742,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49742,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49742,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49742,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49742,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49742,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49742,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49742,B100000,00000,0850,00000PATIENT DAYS :DIETARY 49742,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49742,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49742,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 49742,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49742,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49742,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49742,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49742,S000000,00100,0200,06/12/2000 49742,S200000,00100,0100,127 MENTZER DRIVE 49742,S200000,00200,0100,CONVOY 49742,S200000,00200,0200,OH 49742,S200000,00200,0300,45832- 49742,S200000,00300,0100,VAN WERT 49742,S200000,00400,0100,CONVOY CARE CENTER 49742,S200000,00400,0200,366066 49742,S200000,00400,0300,06/05/1996 49742,S200000,00400,0500,P 49742,S200000,00400,0600,O 49742,S200000,01500,0100,Y 49748,S000000,00100,0200,05/30/2000 49757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49757,A000000,00300,0000,00300EMPLOYEE BENEFITS 49757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49757,A000000,00700,0000,00700HOUSEKEEPING 49757,A000000,00800,0000,00800DIETARY 49757,A000000,00900,0000,00900NURSING ADMINISTRATION 49757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49757,A000000,01100,0000,01100PHARMACY 49757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49757,A000000,01300,0000,01300SOCIAL SERVICE 49757,A000000,01600,0000,01600SKILLED NURSING FACILITY 49757,A000000,01800,0000,01800NURSING FACILITY 49757,A000000,01900,0000,01900OTHER LONG TERM CARE 49757,A000000,02100,0000,02100RADIOLOGY 49757,A000000,02200,0000,02200LABORATORY 49757,A000000,02300,0000,02300INTRAVENOUS THERAPY 49757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49757,A000000,02500,0000,02500PHYSICAL THERAPY 49757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49757,A000000,02700,0000,02700SPEECH PATHOLOGY 49757,A000000,02800,0000,02800ELECTROCARDIOLOGY 49757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49757,A000000,03200,0000,03200SUPPORT SURFACES 49757,A000000,04800,0000,04800AMBULANCE 49757,A000000,05300,0000,05300INTEREST EXPENSE 49757,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49757,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49757,A000000,06150,0000,06300ENTERALS NONREIMBURSABLE COSTS 49757,A81000A,00100,0100,Y 49757,A81000B,00100,0300,HOME OFFICE COSTS 49757,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 49757,A81000B,00300,0300,HOME OFFICE CAPITAL COSTS 49757,A81000B,00400,0300,HOME OFFICE BENEFITS 49757,A81000B,00500,0300,HOME OFFICE THERAPY COSTS 49757,A81000B,00600,0300,HOME OFFICE THERAPY COSTS 49757,A81000B,00700,0300,HOME OFFICE THERAPY COSTS 49757,A81000B,00800,0300,CONSTRUCTION COSTS 49757,A81000C,00100,0100,D 49757,A81000C,00100,0200,ALEX DASKAL 49757,A81000C,00100,0400,DMD MANAGEMENT 49757,A81000C,00100,0600,MANAGEMENT CO 49757,A81000C,00200,0100,D 49757,A81000C,00200,0200,ESTHER DASKAL 49757,A81000C,00200,0400,DMD MANAGEMENT 49757,A81000C,00200,0600,MANAGEMENT CO 49757,A81000C,00300,0100,A 49757,A81000C,00300,0200,BRUCE DASKAL 49757,A81000C,00300,0400,DMD MANAGEMENT 49757,A81000C,00300,0600,MANAGEMENT CO 49757,A81000C,00400,0100,A 49757,A81000C,00400,0200,SHARON DASKAL 49757,A81000C,00400,0400,DMD MANAGEMENT 49757,A81000C,00400,0600,MANAGEMENT CO 49757,A81000C,00500,0100,A 49757,A81000C,00500,0200,DAVID FARKAS 49757,A81000C,00500,0400,DMD MANAGEMENT 49757,A81000C,00500,0600,MANAGEMENT CO 49757,A81000C,00600,0100,A 49757,A81000C,00600,0200,VALERIE FARKAS 49757,A81000C,00600,0400,DMD MANAGEMENT 49757,A81000C,00600,0600,MANAGEMENT CO 49757,A81000C,00700,0100,D 49757,A81000C,00700,0200,HAROLD SHACHTER 49757,A81000C,00700,0400,DMD MANAGEMENT 49757,A81000C,00700,0600,MANAGEMENT CO 49757,A81000C,00800,0100,D 49757,A81000C,00800,0200,EDITH SHACHTER 49757,A81000C,00800,0400,DMD MANAGEMENT 49757,A81000C,00800,0600,MANAGEMENT CO 49757,A81000C,00900,0100,D 49757,A81000C,00900,0200,LOUIS SCHONFELD 49757,A81000C,00900,0400,DMD MANAGEMENT 49757,A81000C,00900,0600,MANAGEMENT CO 49757,A81000C,01000,0100,D 49757,A81000C,01000,0200,RITA SCHONFELD 49757,A81000C,01000,0400,DMD MANAGEMENT 49757,A81000C,01000,0600,MANAGEMENT CO 49757,A81000C,01001,0100,D 49757,A81000C,01001,0200,ROSE DANCZIGER 49757,A81000C,01001,0400,DMD MANAGEMENT 49757,A81000C,01001,0600,MANAGEMENT CO 49757,A81000C,01002,0100,D 49757,A81000C,01002,0200,LARRY DANCZIGER 49757,A81000C,01002,0400,DMD MANAGEMENT 49757,A81000C,01002,0600,MANAGEMENT CO 49757,A81000C,01003,0100,D 49757,A81000C,01003,0200,HELEN FLANK 49757,A81000C,01003,0400,DMD MANAGEMENT 49757,A81000C,01003,0600,MANAGEMENT CO 49757,A81000C,01004,0100,D 49757,A81000C,01004,0200,RUTH FEIG 49757,A81000C,01004,0400,DMD MANAGEMENT 49757,A81000C,01004,0600,MANAGEMENT CO 49757,A81000C,01005,0100,D 49757,A81000C,01005,0200,LORETTA DANCZIG 49757,A81000C,01005,0400,DMD MANAGEMENT 49757,A81000C,01005,0600,MANAGEMENT CO 49757,A81000C,01006,0100,D 49757,A81000C,01006,0200,MIKE FLANK 49757,A81000C,01006,0400,DMD MANAGEMENT 49757,A81000C,01006,0600,MANAGEMENT CO 49757,A81000C,01007,0100,D 49757,A81000C,01007,0200,REGINA KATZ 49757,A81000C,01007,0400,DMD MANAGEMENT 49757,A81000C,01007,0600,MANGEMENT CO 49757,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49757,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49757,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49757,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49757,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49757,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49757,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49757,B100000,00000,0800,00000MEALS SERVED :DIETARY 49757,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 49757,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49757,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49757,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49757,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49757,E10A180,00501,0100,07/10/2000 49757,E10A180,00501,0300,07/10/2000 49757,S000000,00100,0200,06/02/2000 49757,S200000,00100,0100,2841 MUNDING DRIVE 49757,S200000,00200,0100,OREGON 49757,S200000,00200,0200,OH 49757,S200000,00200,0300,43616- 49757,S200000,00300,0100,LUCAS 49757,S200000,00400,0100,ORCHARD VILLA 49757,S200000,00400,0200,366068 49757,S200000,00400,0300,07/16/1996 49757,S200000,00400,0500,P 49757,S200000,01600,0100,Y 49757,S200000,04300,0100,Y 49766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49766,A000000,00300,0000,00300EMPLOYEE BENEFITS 49766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49766,A000000,00700,0000,00700HOUSEKEEPING 49766,A000000,00800,0000,00800DIETARY 49766,A000000,00900,0000,00900NURSING ADMINISTRATION 49766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49766,A000000,01100,0000,01100PHARMACY 49766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49766,A000000,01300,0000,01300SOCIAL SERVICE 49766,A000000,01600,0000,01600SKILLED NURSING FACILITY 49766,A000000,01800,0000,01800NURSING FACILITY 49766,A000000,01900,0000,01900OTHER LONG TERM CARE 49766,A000000,02100,0000,02100RADIOLOGY 49766,A000000,02200,0000,02200LABORATORY 49766,A000000,02300,0000,02300INTRAVENOUS THERAPY 49766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49766,A000000,02500,0000,02500PHYSICAL THERAPY 49766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49766,A000000,02700,0000,02700SPEECH PATHOLOGY 49766,A000000,02800,0000,02800ELECTROCARDIOLOGY 49766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49766,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49766,A000000,03200,0000,03200SUPPORT SURFACES 49766,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49766,A000000,04800,0000,04800AMBULANCE 49766,A000000,05300,0000,05300INTEREST EXPENSE 49766,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49766,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49766,A000000,05500,0000,05500HOSPICE 49766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49766,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49766,A000000,06200,0000,06200PATIENTS LAUNDRY 49766,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49766,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49766,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49766,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49766,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49766,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49766,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49766,B100000,00000,0800,00000MEALS SERVED :DIETARY 49766,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 49766,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49766,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49766,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49766,E10A180,00550,0300,01/09/2001 49766,S000000,00100,0200,01/02/2001 49766,S200000,00100,0100,6765 STATE ROAD 49766,S200000,00200,0100,PARMA 49766,S200000,00200,0200,OH 49766,S200000,00200,0300,44134-4597 49766,S200000,00300,0100,CUYAHOGA 49766,S200000,00300,0200,1680 49766,S200000,00300,0300,U 49766,S200000,00400,0100,MOUNT ALVERNA HOME INC. 49766,S200000,00400,0200,366071 49766,S200000,00400,0300,08/02/1996 49766,S200000,00400,0500,P 49766,S200000,01500,0100,Y 49766,S200000,04300,0100,Y 49773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49773,A000000,00300,0000,00300EMPLOYEE BENEFITS 49773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49773,A000000,00700,0000,00700HOUSEKEEPING 49773,A000000,00800,0000,00800DIETARY 49773,A000000,00900,0000,00900NURSING ADMINISTRATION 49773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49773,A000000,01100,0000,01100PHARMACY 49773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49773,A000000,01300,0000,01300SOCIAL SERVICE 49773,A000000,01350,0000,01500ACTIVITIES 49773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49773,A000000,01600,0000,01600SKILLED NURSING FACILITY 49773,A000000,01800,0000,01800NURSING FACILITY 49773,A000000,01810,0000,01801ICF/MR 49773,A000000,01900,0000,01900OTHER LONG TERM CARE 49773,A000000,02100,0000,02100RADIOLOGY 49773,A000000,02200,0000,02200LABORATORY 49773,A000000,02300,0000,02300INTRAVENOUS THERAPY 49773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49773,A000000,02500,0000,02500PHYSICAL THERAPY 49773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49773,A000000,02700,0000,02700SPEECH PATHOLOGY 49773,A000000,02800,0000,02800ELECTROCARDIOLOGY 49773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49773,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49773,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49773,A000000,03200,0000,03200SUPPORT SURFACES 49773,A000000,03400,0000,03400CLINIC 49773,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49773,A000000,03500,0000,03500RURAL HEALTH CLINIC 49773,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49773,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49773,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49773,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49773,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49773,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49773,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49773,A000000,04400,0000,04400DME RENTED - HHA 49773,A000000,04500,0000,04500DME SOLD - HHA 49773,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49773,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49773,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49773,A000000,04800,0000,04800AMBULANCE 49773,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49773,A000000,05000,0000,05000CORF 49773,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49773,A000000,05300,0000,05300INTEREST EXPENSE 49773,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49773,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49773,A000000,05500,0000,05500HOSPICE 49773,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49773,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49773,A000000,06100,0000,06100NONPAID WORKERS 49773,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49773,A000000,06200,0000,06200PATIENTS LAUNDRY 49773,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49773,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49773,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49773,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49773,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49773,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49773,B100000,00000,0800,00000MEALS SERVED :DIETARY 49773,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49773,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49773,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49773,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49773,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49773,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49773,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49773,S000000,00100,0200,03/15/2000 49773,S200000,00100,0100,3916 EAST PERKINS AVENUE 49773,S200000,00200,0100,HURON 49773,S200000,00200,0200,OH 49773,S200000,00200,0300,44839- 49773,S200000,00300,0100,ERIE 49773,S200000,00400,0100,ERIE COUNTY CARE FACILITY 49773,S200000,00400,0200,366072 49773,S200000,00400,0300,07/01/1996 49773,S200000,00400,0500,P 49773,S200000,01004,0500,O 49773,S200000,01600,0100,Y 49773,S200000,02200,0100,Y 49782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49782,A000000,00300,0000,00300EMPLOYEE BENEFITS 49782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49782,A000000,00700,0000,00700HOUSEKEEPING 49782,A000000,00800,0000,00800DIETARY 49782,A000000,00900,0000,00900NURSING ADMINISTRATION 49782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49782,A000000,01100,0000,01100PHARMACY 49782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49782,A000000,01300,0000,01300SOCIAL SERVICE 49782,A000000,01350,0000,01500ACTIVITIES 49782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49782,A000000,01600,0000,01600SKILLED NURSING FACILITY 49782,A000000,01800,0000,01800NURSING FACILITY 49782,A000000,01810,0000,01801ICF/MR 49782,A000000,01900,0000,01900OTHER LONG TERM CARE 49782,A000000,02100,0000,02100RADIOLOGY 49782,A000000,02200,0000,02200LABORATORY 49782,A000000,02300,0000,02300INTRAVENOUS THERAPY 49782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49782,A000000,02500,0000,02500PHYSICAL THERAPY 49782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49782,A000000,02700,0000,02700SPEECH PATHOLOGY 49782,A000000,02800,0000,02800ELECTROCARDIOLOGY 49782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49782,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49782,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49782,A000000,03200,0000,03200SUPPORT SURFACES 49782,A000000,03400,0000,03400CLINIC 49782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49782,A000000,03500,0000,03500RURAL HEALTH CLINIC 49782,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49782,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49782,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49782,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49782,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49782,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49782,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49782,A000000,04400,0000,04400DME RENTED - HHA 49782,A000000,04500,0000,04500DME SOLD - HHA 49782,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49782,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49782,A000000,04800,0000,04800AMBULANCE 49782,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49782,A000000,05000,0000,05000CORF 49782,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49782,A000000,05300,0000,05300INTEREST EXPENSE 49782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49782,A000000,05500,0000,05500HOSPICE 49782,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49782,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49782,A000000,06100,0000,06100NONPAID WORKERS 49782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49782,A000000,06200,0000,06200PATIENTS LAUNDRY 49782,A81000A,00100,0100,Y 49782,A81000B,00100,0300,LEASE AND RENT BLDG 49782,A81000B,00200,0300,DEPRECIATION BLDG 49782,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49782,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49782,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49782,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49782,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49782,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49782,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49782,B100000,00000,0800,00000MEALS SERVED :DIETARY 49782,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49782,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49782,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49782,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49782,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49782,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49782,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49782,S000000,00100,0200,06/02/2000 49782,S200000,00100,0100,214 SOUTH MUNSON ROAD 49782,S200000,00200,0100,SWANTON 49782,S200000,00200,0200,OH 49782,S200000,00200,0300,43558- 49782,S200000,00300,0100,FULTON 49782,S200000,00400,0100,SWANTON CARE & RETIREMENT CENTER 49782,S200000,00400,0200,366073 49782,S200000,00400,0300,07/17/1996 49782,S200000,00400,0500,P 49782,S200000,00400,0600,P 49782,S200000,01004,0500,O 49782,S200000,01600,0100,Y 49782,S200000,02200,0100,Y 49782,S200000,03300,0100,Y 49782,S200000,03300,0200,Y 49782,S200000,04300,0100,Y 49782,S700003,00000,0400,4 49791,S000000,00100,0200,06/01/2000 49802,S000000,00100,0200,06/01/2000 49812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49812,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49812,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49812,A000000,00300,0000,00300EMPLOYEE BENEFITS 49812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49812,A000000,00700,0000,00700HOUSEKEEPING 49812,A000000,00800,0000,00800DIETARY 49812,A000000,00801,0000,00801CAFETERIA 49812,A000000,00900,0000,00900NURSING ADMINISTRATION 49812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49812,A000000,01100,0000,01100PHARMACY 49812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49812,A000000,01300,0000,01300SOCIAL SERVICE 49812,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49812,A000000,01600,0000,01600SKILLED NURSING FACILITY 49812,A000000,01800,0000,01800NURSING FACILITY 49812,A000000,01900,0000,01900OTHER LONG TERM CARE 49812,A000000,02100,0000,02100RADIOLOGY 49812,A000000,02200,0000,02200LABORATORY 49812,A000000,02300,0000,02300INTRAVENOUS THERAPY 49812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49812,A000000,02500,0000,02500PHYSICAL THERAPY 49812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49812,A000000,02700,0000,02700SPEECH PATHOLOGY 49812,A000000,02800,0000,02800ELECTROCARDIOLOGY 49812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49812,A000000,03050,0000,03300OTHER ANCILLARY 49812,A000000,03051,0000,03301OTHER ANCILLARY II 49812,A000000,03052,0000,03302OTHER ANCILLARY III 49812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49812,A000000,03200,0000,03200SUPPORT SURFACES 49812,A000000,03400,0000,03400CLINIC 49812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49812,A000000,03500,0000,03500RURAL HEALTH CLINIC 49812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49812,A000000,04400,0000,04400DME RENTED - HHA 49812,A000000,04500,0000,04500DME SOLD - HHA 49812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49812,A000000,04800,0000,04800AMBULANCE 49812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49812,A000000,05000,0000,05000CORF 49812,A000000,05010,0000,05010CMHC I 49812,A000000,05020,0000,05020OPT I 49812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49812,A000000,05300,0000,05300INTEREST EXPENSE 49812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49812,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49812,A000000,05500,0000,05500HOSPICE 49812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49812,A000000,06100,0000,06100NONPAID WORKERS 49812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49812,A000000,06200,0000,06200PATIENTS LAUNDRY 49812,A81000A,00100,0100,Y 49812,A81000B,00100,0300,HOME OFFICE 49812,A81000B,00200,0300,HOME OFFICE 49812,A81000C,00100,0100,B 49812,A81000C,00100,0200,CANTON 49812,A81000C,00100,0400,ESSEX HC 49812,A81000C,00100,0600,HOME OFFICE 49812,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49812,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49812,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49812,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49812,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49812,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49812,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49812,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49812,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49812,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49812,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49812,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49812,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49812,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49812,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49812,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49812,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49812,S000000,00100,0200,05/22/2000 49812,S200000,00100,0100,1223 NORTH MARKET AVE. 49812,S200000,00200,0100,CANTON 49812,S200000,00200,0200,OH 49812,S200000,00200,0300,44132- 49812,S200000,00300,0100,STARK 49812,S200000,00400,0100,CANTON HEALTH CARE CENTER 49812,S200000,00400,0200,366077 49812,S200000,00400,0300,07/05/1996 49812,S200000,00400,0500,P 49812,S200000,01004,0500,O 49812,S200000,01600,0100,Y 49812,S200000,04300,0100,Y 49812,S200000,04900,0100,Y 49812,S700003,00000,0400,4 49820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49820,A000000,00300,0000,00300EMPLOYEE BENEFITS 49820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49820,A000000,00700,0000,00700HOUSEKEEPING 49820,A000000,00800,0000,00800DIETARY 49820,A000000,00900,0000,00900NURSING ADMINISTRATION 49820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49820,A000000,01100,0000,01100PHARMACY 49820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49820,A000000,01300,0000,01300SOCIAL SERVICE 49820,A000000,01350,0000,01500ACTIVITIES 49820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49820,A000000,01600,0000,01600SKILLED NURSING FACILITY 49820,A000000,01800,0000,01800NURSING FACILITY 49820,A000000,01900,0000,01900OTHER LONG TERM CARE 49820,A000000,02100,0000,02100RADIOLOGY 49820,A000000,02200,0000,02200LABORATORY 49820,A000000,02300,0000,02300INTRAVENOUS THERAPY 49820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49820,A000000,02500,0000,02500PHYSICAL THERAPY 49820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49820,A000000,02700,0000,02700SPEECH PATHOLOGY 49820,A000000,02800,0000,02800ELECTROCARDIOLOGY 49820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49820,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49820,A000000,03200,0000,03200SUPPORT SURFACES 49820,A000000,03400,0000,03400CLINIC 49820,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49820,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49820,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49820,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49820,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49820,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49820,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49820,A000000,04400,0000,04400DME RENTED - HHA 49820,A000000,04500,0000,04500DME SOLD - HHA 49820,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49820,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49820,A000000,04800,0000,04800AMBULANCE 49820,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49820,A000000,05300,0000,05300INTEREST EXPENSE 49820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49820,A000000,05500,0000,05500HOSPICE 49820,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49820,A000000,06100,0000,06100NONPAID WORKERS 49820,A000000,06200,0000,06200PATIENTS LAUNDRY 49820,A81000A,00100,0100,Y 49820,A81000B,00100,0300,MANAGEMENT FEES 49820,A81000B,00200,0300,QUALITY ASSURANCE 49820,A81000B,00300,0300,CAPITAL 49820,A81000B,00400,0300,HOME OFFICE - OTHER 49820,A81000C,00100,0100,B 49820,A81000C,00100,0400,LAUREL HEALTH 49820,A81000C,00100,0600,MANAGEMENT CO. 49820,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49820,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49820,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 49820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49820,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49820,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 49820,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49820,B100000,00000,0850,00000PAT DAYS :DIETARY 49820,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 49820,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 49820,B100000,00000,1150,00000BLANK :PHARMACY 49820,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 49820,B100000,00000,1330,00000DISCHARGES :SOCIAL SERVICE 49820,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 49820,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 49820,S000000,00100,0200,05/30/2000 49820,S200000,00100,0100,2000 SHERMAN CIRCLE N.E. 49820,S200000,00200,0100,MASSILLON 49820,S200000,00200,0200,OH 49820,S200000,00200,0300,44646- 49820,S200000,00300,0100,STARK 49820,S200000,00400,0100,THE LAURELS OF MASSILLON 49820,S200000,00400,0200,366078 49820,S200000,00400,0300,06/01/1996 49820,S200000,00400,0500,P 49820,S200000,01600,0100,Y 49820,S200000,02200,0100,Y 49820,S700003,00000,0400,4 49834,S000000,00100,0200,06/01/2000 49842,S000000,00100,0200,03/28/2000 49849,S000000,00100,0200,03/28/2000 49859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49859,A000000,00300,0000,00300EMPLOYEE BENEFITS 49859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49859,A000000,00700,0000,00700HOUSEKEEPING 49859,A000000,00800,0000,00800DIETARY 49859,A000000,00900,0000,00900NURSING ADMINISTRATION 49859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49859,A000000,01100,0000,01100PHARMACY 49859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49859,A000000,01300,0000,01300SOCIAL SERVICE 49859,A000000,01600,0000,01600SKILLED NURSING FACILITY 49859,A000000,01800,0000,01800NURSING FACILITY 49859,A000000,01900,0000,01900OTHER LONG TERM CARE 49859,A000000,02100,0000,02100RADIOLOGY 49859,A000000,02200,0000,02200LABORATORY 49859,A000000,02300,0000,02300INTRAVENOUS THERAPY 49859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49859,A000000,02500,0000,02500PHYSICAL THERAPY 49859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49859,A000000,02700,0000,02700SPEECH PATHOLOGY 49859,A000000,02800,0000,02800ELECTROCARDIOLOGY 49859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49859,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49859,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49859,A000000,03200,0000,03200SUPPORT SURFACES 49859,A000000,04800,0000,04800AMBULANCE 49859,A000000,05300,0000,05300INTEREST EXPENSE 49859,A000000,05500,0000,05500HOSPICE 49859,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49859,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49859,A000000,06200,0000,06200PATIENTS LAUNDRY 49859,A81000A,00100,0100,Y 49859,A81000B,00100,0300,HOME OFFICE BUILDING COST 49859,A81000B,00200,0300,HOME OFFICE EQUIP COST 49859,A81000B,00300,0300,HOME OFFICE EMP BENEFITS 49859,A81000B,00400,0300,HOME OFFICE A&G 49859,A81000B,00500,0300,HOME OFFICE MAINTENANCE 49859,A81000B,00600,0300,HOME OFFICE DIETARY 49859,A81000C,00100,0100,B 49859,A81000C,00100,0200,DONEL SPRENGER 49859,A81000C,00100,0400,SPRENGER ENTERPRISES INC 49859,A81000C,00100,0600,HOME OFFICE 49859,A81000C,00200,0100,B 49859,A81000C,00200,0200,ANTHONY SPRENGER 49859,A81000C,00200,0400,SPRENGER ENTERPRISES INC 49859,A81000C,00200,0600,HOME OFFICE 49859,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49859,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49859,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49859,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49859,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49859,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49859,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49859,B100000,00000,0800,00000MEALS SERVED :DIETARY 49859,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 49859,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49859,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49859,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49859,E10A180,00550,0100,07/02/2001 49859,S000000,00100,0200,06/28/2001 49859,S200000,00100,0100,230 N. MARKET STREET 49859,S200000,00200,0100,WOOSTER 49859,S200000,00200,0200,OH 49859,S200000,00200,0300,44691- 49859,S200000,00300,0100,WAYNE 49859,S200000,00300,0200,9936 49859,S200000,00300,0300,R 49859,S200000,00400,0100,HORN NURSING HOME 49859,S200000,00400,0200,366083 49859,S200000,00400,0300,09/13/1996 49859,S200000,00400,0500,P 49859,S200000,01500,0100,Y 49859,S200000,04300,0100,Y 49869,S000000,00100,0200,05/30/2000 49882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49882,A000000,00300,0000,00300EMPLOYEE BENEFITS 49882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49882,A000000,00700,0000,00700HOUSEKEEPING 49882,A000000,00800,0000,00800DIETARY 49882,A000000,00900,0000,00900NURSING ADMINISTRATION 49882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49882,A000000,01100,0000,01100PHARMACY 49882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49882,A000000,01300,0000,01300SOCIAL SERVICE 49882,A000000,01350,0000,01500OTHER GENERAL SERVICES 49882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49882,A000000,01600,0000,01600SKILLED NURSING FACILITY 49882,A000000,01800,0000,01800NURSING FACILITY 49882,A000000,01810,0000,01810ICF/MR 49882,A000000,01900,0000,01900OTHER LONG TERM CARE 49882,A000000,02100,0000,02100RADIOLOGY 49882,A000000,02200,0000,02200LABORATORY 49882,A000000,02300,0000,02300INTRAVENOUS THERAPY 49882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49882,A000000,02500,0000,02500PHYSICAL THERAPY 49882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49882,A000000,02700,0000,02700SPEECH PATHOLOGY 49882,A000000,02800,0000,02800ELECTROCARDIOLOGY 49882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49882,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49882,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49882,A000000,03200,0000,03200SUPPORT SURFACES 49882,A000000,03400,0000,03400CLINIC 49882,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49882,A000000,03500,0000,03500RURAL HEALTH CLINIC 49882,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49882,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49882,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49882,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49882,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49882,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49882,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49882,A000000,04400,0000,04400DME RENTED - HHA 49882,A000000,04500,0000,04500DME SOLD - HHA 49882,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49882,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49882,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49882,A000000,04800,0000,04800AMBULANCE 49882,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49882,A000000,05000,0000,05000CORF 49882,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49882,A000000,05300,0000,05300INTEREST EXPENSE 49882,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49882,A000000,05500,0000,05500HOSPICE 49882,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49882,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49882,A000000,06100,0000,06100NONPAID WORKERS 49882,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49882,A000000,06200,0000,06200PATIENTS LAUNDRY 49882,A81000A,00100,0100,Y 49882,A81000B,00100,0300,BUILDING LEASE 49882,A81000B,00200,0300,WORKING CAPITAL INTEREST 49882,A81000B,00300,0300,HOME OFFICE COSTS - CAPITAL 49882,A81000B,00400,0300,HOME OFFICE COSTS - ADMIN. 49882,A81000B,00500,0300,HOME OFFICE COSTS - DIETARY 49882,A81000C,00100,0100,A 49882,A81000C,00100,0200,JAMES B. RENACCI 49882,A81000C,00100,0400,LTC ASSOCIATES 49882,A81000C,00100,0600,REAL ESTATE MGMT. 49882,A81000C,00200,0100,B 49882,A81000C,00200,0200,LTC MANAGEMENT SERVICES 49882,A81000C,00200,0400,LTC MANAGEMENT SERVICES 49882,A81000C,00200,0600,NRSG. HOME MGMT. 49882,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49882,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49882,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49882,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49882,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49882,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49882,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49882,B100000,00000,0800,00000MEALS SERVED :DIETARY 49882,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 49882,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49882,B100000,00000,1150,00000NO STATISTICS :PHARMACY 49882,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49882,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49882,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49882,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 49882,S000000,00100,0200,06/05/2000 49882,S200000,00100,0100,2311 NAVE ROAD 49882,S200000,00200,0100,MASSILLON 49882,S200000,00200,0200,OH 49882,S200000,00200,0300,44656- 49882,S200000,00300,0100,STARK 49882,S200000,00400,0100,LEGENDS CARE CENTER 49882,S200000,00400,0200,366085 49882,S200000,00400,0300,09/25/1996 49882,S200000,00400,0500,P 49882,S200000,01600,0100,Y 49882,S200000,04300,0100,Y 49893,S000000,00100,0200,06/05/2000 49900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49900,A000000,00300,0000,00300EMPLOYEE BENEFITS 49900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49900,A000000,00700,0000,00700HOUSEKEEPING 49900,A000000,00800,0000,00800DIETARY 49900,A000000,00900,0000,00900NURSING ADMINISTRATION 49900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49900,A000000,01100,0000,01100PHARMACY 49900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49900,A000000,01300,0000,01300SOCIAL SERVICE 49900,A000000,01350,0000,01500ACTIVITIES 49900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49900,A000000,01600,0000,01600SKILLED NURSING FACILITY 49900,A000000,01800,0000,01800NURSING FACILITY 49900,A000000,01810,0000,01801ICF/MR 49900,A000000,01900,0000,01900OTHER LONG TERM CARE 49900,A000000,02100,0000,02100RADIOLOGY 49900,A000000,02200,0000,02200LABORATORY 49900,A000000,02300,0000,02300INTRAVENOUS THERAPY 49900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49900,A000000,02500,0000,02500PHYSICAL THERAPY 49900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49900,A000000,02700,0000,02700SPEECH PATHOLOGY 49900,A000000,02800,0000,02800ELECTROCARDIOLOGY 49900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49900,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49900,A000000,03200,0000,03200SUPPORT SURFACES 49900,A000000,03400,0000,03400CLINIC 49900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49900,A000000,03500,0000,03500RURAL HEALTH CLINIC 49900,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49900,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49900,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49900,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49900,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49900,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49900,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49900,A000000,04400,0000,04400DME RENTED - HHA 49900,A000000,04500,0000,04500DME SOLD - HHA 49900,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49900,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49900,A000000,04800,0000,04800AMBULANCE 49900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49900,A000000,05000,0000,05000CORF 49900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49900,A000000,05300,0000,05300INTEREST EXPENSE 49900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49900,A000000,05500,0000,05500HOSPICE 49900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49900,A000000,06100,0000,06100NONPAID WORKERS 49900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49900,A000000,06200,0000,06200PATIENTS LAUNDRY 49900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49900,B100000,00000,0350,00000SALARY :EMPLOYEE BENEFITS 49900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49900,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49900,B100000,00000,0800,00000MEALS SERVED :DIETARY 49900,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49900,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49900,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 49900,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49900,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49900,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49900,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49900,S000000,00100,0200,05/26/2000 49900,S200000,00100,0100,100 VISTA DRIVE 49900,S200000,00100,0300,479 49900,S200000,00200,0100,LISBON 49900,S200000,00200,0200,OH 49900,S200000,00200,0300,44432- 49900,S200000,00300,0100,COLUMBIANA 49900,S200000,00400,0100,THE VISTA CENTRE 49900,S200000,00400,0200,366087 49900,S200000,00400,0300,10/04/1996 49900,S200000,00400,0500,P 49900,S200000,01500,0100,Y 49900,S200000,04300,0100,Y 49900,S700003,00000,0400,4 49910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49910,A000000,00300,0000,00300EMPLOYEE BENEFITS 49910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49910,A000000,00700,0000,00700HOUSEKEEPING 49910,A000000,00800,0000,00800DIETARY 49910,A000000,00900,0000,00900NURSING ADMINISTRATION 49910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49910,A000000,01100,0000,01100PHARMACY 49910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49910,A000000,01300,0000,01300SOCIAL SERVICE 49910,A000000,01600,0000,01600SKILLED NURSING FACILITY 49910,A000000,01800,0000,01800NURSING FACILITY 49910,A000000,01900,0000,01900OTHER LONG TERM CARE 49910,A000000,02100,0000,02100RADIOLOGY 49910,A000000,02200,0000,02200LABORATORY 49910,A000000,02300,0000,02300INTRAVENOUS THERAPY 49910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49910,A000000,02500,0000,02500PHYSICAL THERAPY 49910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49910,A000000,02700,0000,02700SPEECH PATHOLOGY 49910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49910,A000000,03200,0000,03200SUPPORT SURFACES 49910,A000000,04800,0000,04800AMBULANCE 49910,A000000,05300,0000,05300INTEREST EXPENSE 49910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49910,A000000,05500,0000,05500HOSPICE 49910,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49910,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49910,A000000,06200,0000,06200PATIENTS LAUNDRY 49910,A81000A,00100,0100,Y 49910,A81000B,00100,0300,REAL ESTATE COMPANY COSTS 49910,A81000B,00200,0300,REAL ESTATE COMPANY COSTS 49910,A81000B,00300,0300,REAL ESTATE COMPANY COSTS 49910,A81000B,00400,0300,HOME OFFICE EXPENSES 49910,A81000B,00500,0300,HOME OFFICE EXPENSES 49910,A81000B,00600,0300,HOME OFFICE EXPENSES 49910,A81000B,00700,0300,HOME OFFICE EXPENSES 49910,A81000B,00800,0300,HOME OFFICE EXPENSES 49910,A81000B,01000,0300,HOME OFFICE EXPENSES 49910,A81000B,01100,0300,HOME OFFICE EXPENSES 49910,A81000B,01200,0300,HOME OFFICE EXPENSES 49910,A81000B,01300,0300,HOME OFFICE EXPENSES 49910,A81000B,01400,0300,HOME OFFICE EXPENSES 49910,A81000B,01500,0300,MEDICAL SUPPLY COMPANY 49910,A81000B,01600,0300,MEDICAL SUPPLY COMPANY 49910,A81000C,00100,0100,A 49910,A81000C,00100,0200,SALLY SCHWARTZ 49910,A81000C,00100,0400,MIDDLE RIDGE 49910,A81000C,00100,0600,MEDICAL SUPPLY 49910,A81000C,00200,0100,A 49910,A81000C,00200,0200,ABRAHAM SCHWARTZ 49910,A81000C,00200,0400,MIDDLE RIDGE 49910,A81000C,00200,0600,MEDICAL SUPPLY 49910,A81000C,00300,0100,A 49910,A81000C,00300,0200,SALLY SCHWARTZ 49910,A81000C,00300,0400,AUSTINBURG PROP 49910,A81000C,00300,0600,REALTY CO. 49910,A81000C,00400,0100,A 49910,A81000C,00400,0200,ABRAHAM SCHWARTZ 49910,A81000C,00400,0400,AUSTINBURG PROP. 49910,A81000C,00400,0600,REALTY CO. 49910,A81000C,00500,0100,A 49910,A81000C,00500,0200,SALLY SCHWARTZ 49910,A81000C,00500,0400,ROYAL MANOR MGT 49910,A81000C,00500,0600,MANAGEMENT CO. 49910,A81000C,00600,0100,A 49910,A81000C,00600,0200,ABRAHAM SCHWARTZ 49910,A81000C,00600,0400,ROYAL MANOR MGT 49910,A81000C,00600,0600,MANAGEMENT CO. 49910,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49910,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49910,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49910,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49910,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49910,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49910,B100000,00000,0800,00000MEALS SERVED :DIETARY 49910,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 49910,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 49910,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49910,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49910,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49910,S000000,00100,0200,06/05/2000 49910,S200000,00100,0100,2026 STATE ROUTE 45 49910,S200000,00200,0100,AUSTINBURG 49910,S200000,00200,0200,OH 49910,S200000,00200,0300,44010- 49910,S200000,00300,0100,ASHTABULA 49910,S200000,00400,0100,AUSTINBURG NURSING & REHAB CENTER 49910,S200000,00400,0200,366088 49910,S200000,00400,0300,10/08/1996 49910,S200000,00400,0500,P 49910,S200000,01500,0100,Y 49910,S200000,04300,0100,Y 49919,S000000,00100,0200,05/15/2000 49927,S000000,00100,0200,06/01/2000 49934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49934,A000000,00300,0000,00300EMPLOYEE BENEFITS 49934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49934,A000000,00700,0000,00700HOUSEKEEPING 49934,A000000,00800,0000,00800DIETARY 49934,A000000,00900,0000,00900NURSING ADMINISTRATION 49934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49934,A000000,01100,0000,01100PHARMACY 49934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49934,A000000,01300,0000,01300SOCIAL SERVICE 49934,A000000,01350,0000,01500OTHER GENERAL SERVICES 49934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49934,A000000,01600,0000,01600SKILLED NURSING FACILITY 49934,A000000,01800,0000,01800NURSING FACILITY 49934,A000000,01810,0000,01801ICF/MR 49934,A000000,01900,0000,01900OTHER LONG TERM CARE 49934,A000000,02100,0000,02100RADIOLOGY 49934,A000000,02200,0000,02200LABORATORY 49934,A000000,02300,0000,02300INTRAVENOUS THERAPY 49934,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49934,A000000,02500,0000,02500PHYSICAL THERAPY 49934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49934,A000000,02700,0000,02700SPEECH PATHOLOGY 49934,A000000,02800,0000,02800ELECTROCARDIOLOGY 49934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49934,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49934,A000000,03051,0000,03301COMPLEX EQUIPMENT RENTAL 49934,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49934,A000000,03200,0000,03200SUPPORT SURFACES 49934,A000000,03400,0000,03400CLINIC 49934,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49934,A000000,03500,0000,03500RURAL HEALTH CLINIC 49934,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49934,A000000,04800,0000,04800AMBULANCE 49934,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49934,A000000,05000,0000,05000CORF 49934,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49934,A000000,05300,0000,05300INTEREST EXPENSE 49934,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49934,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49934,A000000,05500,0000,05500HOSPICE 49934,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49934,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49934,A000000,06100,0000,06100NONPAID WORKERS 49934,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49934,A000000,06200,0000,06200PATIENTS LAUNDRY 49934,A81000A,00100,0100,Y 49934,A81000B,00100,0300,INTEREST/DEPRECIATION 49934,A81000B,00200,0300,HOME OFFICE COST 49934,A81000B,00300,0300,PRESCRIPTION DRUGS 49934,A81000B,00400,0300,EDUCATIONAL / TRAINING 49934,A81000B,00500,0300,OFFICE SUPPLIES 49934,A81000B,00600,0300,MAINTENANCE SUPPLIES 49934,A81000B,00700,0300,LAUNDRY SUPPLIES 49934,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 49934,A81000B,00900,0300,DIETARY SUPPLIES 49934,A81000B,01000,0300,MEDICAL SUPPLIES 49934,A81000B,01100,0300,THERAPY SUPPLIES 49934,A81000C,00100,0100,A 49934,A81000C,00100,0200,DOROTHY MASTERNICK 49934,A81000C,00100,0400,DFM TRUST 49934,A81000C,00100,0600,REAL ESTATE 49934,A81000C,00200,0100,A 49934,A81000C,00200,0200,JOHN MASTERNICK 49934,A81000C,00200,0400,WINDSOR HOUSE INC 49934,A81000C,00200,0600,HOME OFFICE 49934,A81000C,00300,0100,A 49934,A81000C,00300,0200,JOHN MASTERNICK 49934,A81000C,00300,0400,TRADEMASTERS 49934,A81000C,00300,0600,SUPPLIES 49934,A81000C,00400,0100,D 49934,A81000C,00400,0200,LEO GRIMES 49934,A81000C,00400,0400,TRADEMASTERS 49934,A81000C,00400,0600,SUPPLIES 49934,A81000C,00500,0100,D 49934,A81000C,00500,0200,JOHN J MASTERNICK JR 49934,A81000C,00500,0400,TRADEMASTERS 49934,A81000C,00500,0600,SUPPLIES 49934,A81000C,00600,0100,D 49934,A81000C,00600,0200,JOHN J MASTERNICK JR 49934,A81000C,00600,0400,MEDI-RX INC 49934,A81000C,00600,0600,PHARMACY 49934,A81000C,00700,0100,A 49934,A81000C,00700,0200,JOHN MASTERNICK 49934,A81000C,00700,0400,WINDSOR TRAINING CENTER 49934,A81000C,00700,0600,EDUCATION 49934,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49934,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49934,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49934,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49934,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49934,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 49934,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49934,B100000,00000,0800,00000MEALS SERVED :DIETARY 49934,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 49934,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 49934,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49934,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 49934,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 49934,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 49934,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49934,S000000,00100,0200,06/02/2000 49934,S200000,00100,0100,14095 EAST CENTER STREET 49934,S200000,00200,0100,BURTON 49934,S200000,00200,0200,OH 49934,S200000,00200,0300,44021- 49934,S200000,00300,0100,GEAUGA 49934,S200000,00400,0100,BURTON HEALTH CARE CENTER 49934,S200000,00400,0200,366092 49934,S200000,00400,0300,10/28/1996 49934,S200000,00400,0500,P 49934,S200000,01500,0100,Y 49934,S700003,00000,0400,4 49942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49942,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 49942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49942,A000000,00300,0000,00300EMPLOYEE BENEFITS 49942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49942,A000000,00700,0000,00700HOUSEKEEPING 49942,A000000,00800,0000,00800DIETARY 49942,A000000,00900,0000,00900NURSING ADMINISTRATION 49942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49942,A000000,01100,0000,01100PHARMACY 49942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49942,A000000,01300,0000,01300SOCIAL SERVICE 49942,A000000,01350,0000,01500OTHER GENERAL SERVICES 49942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49942,A000000,01600,0000,01600SKILLED NURSING FACILITY 49942,A000000,01800,0000,01800NURSING FACILITY 49942,A000000,01900,0000,01900OTHER LONG TERM CARE 49942,A000000,02100,0000,02100RADIOLOGY 49942,A000000,02200,0000,02200LABORATORY 49942,A000000,02300,0000,02300INTRAVENOUS THERAPY 49942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49942,A000000,02500,0000,02500PHYSICAL THERAPY 49942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49942,A000000,02700,0000,02700SPEECH PATHOLOGY 49942,A000000,02800,0000,02800ELECTROCARDIOLOGY 49942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49942,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49942,A000000,03200,0000,03200SUPPORT SURFACES 49942,A000000,03400,0000,03400CLINIC 49942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49942,A000000,03500,0000,03500RURAL HEALTH CLINIC 49942,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49942,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49942,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49942,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49942,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49942,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49942,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49942,A000000,04400,0000,04400DME RENTED - HHA 49942,A000000,04500,0000,04500DME SOLD - HHA 49942,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49942,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49942,A000000,04800,0000,04800AMBULANCE 49942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49942,A000000,05000,0000,05000CORF 49942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49942,A000000,05300,0000,05300INTEREST EXPENSE 49942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49942,A000000,05500,0000,05500HOSPICE 49942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49942,A000000,06100,0000,06100NONPAID WORKERS 49942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49942,A000000,06200,0000,06200PATIENTS LAUNDRY 49942,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 49942,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 49942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49942,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 49942,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49942,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 49942,B100000,00000,0800,00000MEALS SERVED :DIETARY 49942,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 49942,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49942,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49942,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 49942,S000000,00100,0200,05/30/2000 49942,S200000,00100,0100,1525 CRATER AVENUE 49942,S200000,00200,0100,DOVER 49942,S200000,00200,0200,OH 49942,S200000,00200,0300,44622- 49942,S200000,00300,0100,TUSCARAWAS 49942,S200000,00300,0200,36 49942,S200000,00300,0300,R 49942,S200000,00400,0100,PARK VILLAGE HEALTH CARE CENTER 49942,S200000,00400,0200,366093 49942,S200000,00400,0300,11/14/1996 49942,S200000,00400,0500,P 49942,S200000,01004,0500,O 49942,S200000,01500,0100,Y 49942,S200000,04300,0100,Y 49952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49952,A000000,00300,0000,00300EMPLOYEE BENEFITS 49952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49952,A000000,00700,0000,00700HOUSEKEEPING 49952,A000000,00800,0000,00800DIETARY 49952,A000000,00900,0000,00900NURSING ADMINISTRATION 49952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49952,A000000,01100,0000,01100PHARMACY 49952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49952,A000000,01300,0000,01300SOCIAL SERVICE 49952,A000000,01350,0000,01500ACTIVITIES 49952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49952,A000000,01600,0000,01600SKILLED NURSING FACILITY 49952,A000000,01800,0000,01800NURSING FACILITY 49952,A000000,01810,0000,01801ICF/MR 49952,A000000,01900,0000,01900OTHER LONG TERM CARE 49952,A000000,02100,0000,02100RADIOLOGY 49952,A000000,02200,0000,02200LABORATORY 49952,A000000,02300,0000,02300INTRAVENOUS THERAPY 49952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49952,A000000,02500,0000,02500PHYSICAL THERAPY 49952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49952,A000000,02700,0000,02700SPEECH PATHOLOGY 49952,A000000,02800,0000,02800ELECTROCARDIOLOGY 49952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49952,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49952,A000000,03200,0000,03200SUPPORT SURFACES 49952,A000000,03400,0000,03400CLINIC 49952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 49952,A000000,03500,0000,03500RURAL HEALTH CLINIC 49952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49952,A000000,04800,0000,04800AMBULANCE 49952,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49952,A000000,05000,0000,05000CORF 49952,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49952,A000000,05300,0000,05300INTEREST EXPENSE 49952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 49952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49952,A000000,05500,0000,05500HOSPICE 49952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49952,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49952,A000000,06100,0000,06100NONPAID WORKERS 49952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49952,A000000,06200,0000,06200PATIENTS LAUNDRY 49952,A81000A,00100,0100,Y 49952,A81000B,00100,0300,HOME OFFICE COSTS 49952,A81000B,00200,0300,HOME OFFICE COSTS 49952,A81000C,00100,0100,B 49952,A81000C,00100,0200,NATIONAL CHURCH 49952,A81000C,00100,0400,TRADITIONS AT STYGLER ROA 49952,A81000C,00100,0600,SENIOR MANAGEMENT 49952,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49952,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49952,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 49952,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49952,B100000,00000,0800,00000MEALS SERVED :DIETARY 49952,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 49952,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 49952,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 49952,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 49952,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 49952,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 49952,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 49952,S000000,00100,0200,06/01/2000 49952,S200000,00100,0100,167 NORTH STYGLER ROAD 49952,S200000,00200,0100,GAHANNA 49952,S200000,00200,0200,OH 49952,S200000,00200,0300,43230- 49952,S200000,00300,0100,FRANKLIN 49952,S200000,00400,0100,TRADITIONS AT STYGLER ROAD 49952,S200000,00400,0200,366094 49952,S200000,00400,0300,11/21/1996 49952,S200000,00400,0500,P 49952,S200000,00400,0600,P 49952,S200000,01600,0100,Y 49952,S200000,04100,0100,Y 49952,S200000,04200,0100,Y 49952,S200000,04300,0100,Y 49963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49963,A000000,00300,0000,00300EMPLOYEE BENEFITS 49963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49963,A000000,00700,0000,00700HOUSEKEEPING 49963,A000000,00800,0000,00800DIETARY 49963,A000000,00900,0000,00900NURSING ADMINISTRATION 49963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49963,A000000,01100,0000,01100PHARMACY 49963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49963,A000000,01300,0000,01300SOCIAL SERVICE 49963,A000000,01600,0000,01600SKILLED NURSING FACILITY 49963,A000000,01800,0000,01800NURSING FACILITY 49963,A000000,01900,0000,01900OTHER LONG TERM CARE 49963,A000000,02100,0000,02100RADIOLOGY 49963,A000000,02200,0000,02200LABORATORY 49963,A000000,02300,0000,02300INTRAVENOUS THERAPY 49963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49963,A000000,02500,0000,02500PHYSICAL THERAPY 49963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49963,A000000,02700,0000,02700SPEECH PATHOLOGY 49963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 49963,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49963,A000000,03200,0000,03200SUPPORT SURFACES 49963,A000000,04800,0000,04800AMBULANCE 49963,A000000,05300,0000,05300INTEREST EXPENSE 49963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49963,A000000,05500,0000,05500HOSPICE 49963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49963,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49963,A000000,06200,0000,06200PATIENTS LAUNDRY 49963,A81000A,00100,0100,Y 49963,A81000B,00100,0300,HOME OFFICE COSTS 49963,A81000B,00200,0300,HOME OFFICE COSTS 49963,A81000B,00300,0300,HOME OFFICE COSTS 49963,A81000B,00400,0300,HOME OFFICE COSTS 49963,A81000B,00500,0300,HOME OFFICE COSTS 49963,A81000B,00600,0300,HOME OFFICE COSTS 49963,A81000B,00700,0300,HOME OFFICE COSTS 49963,A81000B,00800,0300,HOME OFFICE COSTS 49963,A81000B,00900,0300,HOME OFFICE COSTS 49963,A81000B,01000,0300,HOME OFFICE COSTS 49963,A81000B,01100,0300,HOME OFFICE COSTS 49963,A81000B,01200,0300,HOME OFFICE COSTS 49963,A81000B,01300,0300,HOME OFFICE COSTS 49963,A81000B,01400,0300,HOME OFFICE COSTS 49963,A81000B,01500,0300,HOME OFFICE COSTS 49963,A81000B,01600,0300,HOME OFFICE COSTS 49963,A81000B,01700,0300,HOME OFFICE COSTS 49963,A81000B,01800,0300,HOME OFFICE COSTS 49963,A81000B,01900,0300,HOME OFFICE COSTS 49963,A81000B,02000,0300,HOME OFFICE COSTS 49963,A81000B,02100,0300,HOME OFFICE COSTS 49963,A81000C,00100,0100,B 49963,A81000C,00100,0200,CONSOL.. HEALTHCARE MGMT. 49963,A81000C,00100,0400,ALTERCARE OF CANTON 49963,A81000C,00100,0600,NURSING HOMES 49963,A81000C,00200,0100,B 49963,A81000C,00200,0200,ABSOLUTE HEALTH SERV. 49963,A81000C,00200,0400,CONSOL. HEALTHCARE MGMT. 49963,A81000C,00200,0600,THERAPY SERVICES 49963,A81000C,00300,0100,B 49963,A81000C,00300,0200,APOTHECARE HEALTH SERV. 49963,A81000C,00300,0400,CONSOL. HEALTHCARE MGMT. 49963,A81000C,00300,0600,MED. SUPPLIES 49963,A81000C,00400,0100,B 49963,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 49963,A81000C,00400,0400,CONSOL. HEALTHCARE MHMT. 49963,A81000C,00400,0600,OXYGEN SUPPLIES 49963,A81000C,00500,0100,B 49963,A81000C,00500,0200,RENAISSANCE MORTGAGE 49963,A81000C,00500,0400,CONSOL. HEALTHCARE MGMT. 49963,A81000C,00500,0600,CAPITAL COSTS 49963,A81000C,00600,0100,B 49963,A81000C,00600,0200,ABSOLUTE LAB 49963,A81000C,00600,0400,CONSOL. HEALTHCARE MGMT. 49963,A81000C,00600,0600,LAB COSTS 49963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 49963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 49963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 49963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 49963,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 49963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 49963,B100000,00000,0800,00000MEALS SERVED :DIETARY 49963,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 49963,B100000,00000,1000,00000COSTED REQUISTION :CENTRAL SERVICE 49963,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 49963,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 49963,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 49963,E10A180,00501,0100,06/28/2000 49963,S000000,00100,0200,05/31/2000 49963,S200000,00100,0100,836 34TH STREET 49963,S200000,00200,0100,CANTON 49963,S200000,00200,0200,OH 49963,S200000,00200,0300,47709- 49963,S200000,00300,0100,STARK 49963,S200000,00400,0100,ALTERCARE OF CANTON 49963,S200000,00400,0200,366095 49963,S200000,00400,0300,11/01/1996 49963,S200000,00400,0500,P 49963,S200000,01600,0100,Y 49963,S200000,04300,0100,Y 49963,S200000,04700,0100,Y 49974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 49974,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 49974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 49974,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 49974,A000000,00300,0000,00300EMPLOYEE BENEFITS 49974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 49974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 49974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 49974,A000000,00700,0000,00700HOUSEKEEPING 49974,A000000,00800,0000,00800DIETARY 49974,A000000,00801,0000,00801CAFETERIA 49974,A000000,00900,0000,00900NURSING ADMINISTRATION 49974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 49974,A000000,01100,0000,01100PHARMACY 49974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 49974,A000000,01300,0000,01300SOCIAL SERVICE 49974,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 49974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 49974,A000000,01600,0000,01600SKILLED NURSING FACILITY 49974,A000000,01800,0000,01800NURSING FACILITY 49974,A000000,01900,0000,01900OTHER LONG TERM CARE 49974,A000000,02100,0000,02100RADIOLOGY 49974,A000000,02200,0000,02200LABORATORY 49974,A000000,02300,0000,02300INTRAVENOUS THERAPY 49974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 49974,A000000,02500,0000,02500PHYSICAL THERAPY 49974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 49974,A000000,02700,0000,02700SPEECH PATHOLOGY 49974,A000000,02800,0000,02800ELECTROCARDIOLOGY 49974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 49974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 49974,A000000,03050,0000,03300OTHER ANCILLARY 49974,A000000,03051,0000,03301OTHER ANCILLARY II 49974,A000000,03052,0000,03302OTHER ANCILLARY III 49974,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 49974,A000000,03200,0000,03200SUPPORT SURFACES 49974,A000000,03400,0000,03400CLINIC 49974,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 49974,A000000,03500,0000,03500RURAL HEALTH CLINIC 49974,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 49974,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 49974,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 49974,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 49974,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 49974,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 49974,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 49974,A000000,04400,0000,04400DME RENTED - HHA 49974,A000000,04500,0000,04500DME SOLD - HHA 49974,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 49974,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 49974,A000000,04750,0000,05100OTHER REIMBURSABLE COST 49974,A000000,04800,0000,04800AMBULANCE 49974,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 49974,A000000,05000,0000,05000CORF 49974,A000000,05010,0000,05010CMHC I 49974,A000000,05020,0000,05020OPT I 49974,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 49974,A000000,05300,0000,05300INTEREST EXPENSE 49974,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 49974,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 49974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 49974,A000000,05500,0000,05500HOSPICE 49974,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 49974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 49974,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 49974,A000000,06100,0000,06100NONPAID WORKERS 49974,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 49974,A000000,06200,0000,06200PATIENTS LAUNDRY 49974,A81000A,00100,0100,Y 49974,A81000B,00100,0300,HOME OFFICE 49974,A81000B,00200,0300,HOME OFFICE 49974,A81000C,00100,0100,B 49974,A81000C,00100,0200,ESSEX OF SALEMI 49974,A81000C,00100,0400,MHI 49974,A81000C,00100,0600,HOME OFFICE 49974,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 49974,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 49974,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 49974,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 49974,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 49974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 49974,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 49974,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 49974,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 49974,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 49974,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 49974,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 49974,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 49974,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 49974,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 49974,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 49974,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 49974,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 49974,S000000,00100,0200,05/22/2000 49974,S200000,00100,0100,2511 BENTLEY DRIVE 49974,S200000,00200,0100,SALEM 49974,S200000,00200,0200,OH 49974,S200000,00200,0300,44460- 49974,S200000,00300,0100,COLUMBIANA 49974,S200000,00400,0100,ESSEX OF SALEM I 49974,S200000,00400,0200,366096 49974,S200000,00400,0300,11/01/1996 49974,S200000,00400,0500,P 49974,S200000,01004,0500,O 49974,S200000,01600,0100,Y 49974,S200000,04300,0100,Y 49974,S200000,04700,0100,Y 49983,S000000,00100,0200,06/01/2000 49992,S000000,00100,0200,05/31/2000 50000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50000,A000000,00300,0000,00300EMPLOYEE BENEFITS 50000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50000,A000000,00700,0000,00700HOUSEKEEPING 50000,A000000,00800,0000,00800DIETARY 50000,A000000,00900,0000,00900NURSING ADMINISTRATION 50000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50000,A000000,01100,0000,01100PHARMACY 50000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50000,A000000,01300,0000,01300SOCIAL SERVICE 50000,A000000,01600,0000,01600SKILLED NURSING FACILITY 50000,A000000,01800,0000,01800NURSING FACILITY 50000,A000000,01900,0000,01900OTHER LONG TERM CARE 50000,A000000,02100,0000,02100RADIOLOGY 50000,A000000,02200,0000,02200LABORATORY 50000,A000000,02300,0000,02300INTRAVENOUS THERAPY 50000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50000,A000000,02500,0000,02500PHYSICAL THERAPY 50000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50000,A000000,02700,0000,02700SPEECH PATHOLOGY 50000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50000,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50000,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50000,A000000,03200,0000,03200SUPPORT SURFACES 50000,A000000,04800,0000,04800AMBULANCE 50000,A000000,05300,0000,05300INTEREST EXPENSE 50000,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50000,A000000,05500,0000,05500HOSPICE 50000,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50000,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50000,A000000,06150,0000,06300ADULT DAY CARE 50000,A000000,06151,0000,06301WELL SENIOR PROGRAM 50000,A000000,06152,0000,06302FEE SCREEN - ENTERALS 50000,A000000,06153,0000,06303DEVELOPMENT 50000,A000000,06200,0000,06200PATIENTS LAUNDRY 50000,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 50000,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 50000,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 50000,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 50000,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 50000,B100000,00000,0650,00003INPATIENT DAYS :LAUNDRY & LINEN SE 50000,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 50000,B100000,00000,0800,00003MEALS SERVED :DIETARY 50000,B100000,00000,0950,00003INPATIENT DAYS :NURSING ADMINISTRA 50000,B100000,00000,1050,00003INPATIENT DAYS :CENTRAL SERVICES & 50000,B100000,00000,1150,00003INPATIENT DAYS :PHARMACY 50000,B100000,00000,1250,00003INPATIENT DAYS :MEDICAL RECORDS & 50000,B100000,00000,1330,00003INPATIENT DAYS :SOCIAL SERVICE 50000,S000000,00100,0200,06/05/2000 50000,S200000,00100,0100,7201 WADE PARK AVENUE 50000,S200000,00200,0100,CLEVELAND 50000,S200000,00200,0200,OH 50000,S200000,00200,0300,44103-2765 50000,S200000,00300,0100,CUYAHOGA 50000,S200000,00400,0100,ELIZA BRYANT CENTER 50000,S200000,00400,0200,366101 50000,S200000,00400,0300,01/02/1997 50000,S200000,00400,0500,P 50000,S200000,01500,0100,Y 50000,S200000,04300,0100,Y 50008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50008,A000000,00300,0000,00300EMPLOYEE BENEFITS 50008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50008,A000000,00700,0000,00700HOUSEKEEPING 50008,A000000,00800,0000,00800DIETARY 50008,A000000,00900,0000,00900NURSING ADMINISTRATION 50008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50008,A000000,01100,0000,01100PHARMACY 50008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50008,A000000,01300,0000,01300SOCIAL SERVICE 50008,A000000,01350,0000,01500ACTIVITIES 50008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50008,A000000,01600,0000,01600SKILLED NURSING FACILITY 50008,A000000,01800,0000,01800NURSING FACILITY 50008,A000000,01810,0000,01810ICF/MR 50008,A000000,01900,0000,01900OTHER LONG TERM CARE 50008,A000000,02100,0000,02100RADIOLOGY 50008,A000000,02200,0000,02200LABORATORY 50008,A000000,02300,0000,02300INTRAVENOUS THERAPY 50008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50008,A000000,02500,0000,02500PHYSICAL THERAPY 50008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50008,A000000,02700,0000,02700SPEECH PATHOLOGY 50008,A000000,02800,0000,02800ELECTROCARDIOLOGY 50008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50008,A000000,03200,0000,03200SUPPORT SURFACES 50008,A000000,03400,0000,03400CLINIC 50008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50008,A000000,03500,0000,03500RURAL HEALTH CLINIC 50008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50008,A000000,04800,0000,04800AMBULANCE 50008,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50008,A000000,05000,0000,05000CORF 50008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50008,A000000,05300,0000,05300INTEREST EXPENSE 50008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50008,A000000,05500,0000,05500HOSPICE 50008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50008,A000000,06100,0000,06100NONPAID WORKERS 50008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50008,A000000,06200,0000,06200PATIENTS LAUNDRY 50008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50008,B100000,00000,0800,00000MEALS SERVED :DIETARY 50008,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50008,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50008,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50008,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50008,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50008,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50008,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50008,E10A180,00501,0100,07/07/2000 50008,S000000,00100,0200,06/02/2000 50008,S200000,00100,0100,182 ST. FRANCIS AVENUE 50008,S200000,00200,0100,TIFFIN 50008,S200000,00200,0200,OH 50008,S200000,00200,0300,44883- 50008,S200000,00300,0100,SENECA 50008,S200000,00400,0100,ST. FRANCIS HOME 50008,S200000,00400,0200,366102 50008,S200000,00400,0300,01/06/1997 50008,S200000,00400,0500,P 50008,S200000,00400,0600,P 50008,S200000,01500,0100,Y 50008,S200000,02200,0100,Y 50008,S200000,02800,0100,Y 50008,S200000,04300,0100,Y 50025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50025,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50025,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50025,A000000,00300,0000,00300EMPLOYEE BENEFITS 50025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50025,A000000,00700,0000,00700HOUSEKEEPING 50025,A000000,00800,0000,00800DIETARY 50025,A000000,00801,0000,00801CAFETERIA 50025,A000000,00900,0000,00900NURSING ADMINISTRATION 50025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50025,A000000,01100,0000,01100PHARMACY 50025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50025,A000000,01300,0000,01300SOCIAL SERVICE 50025,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50025,A000000,01600,0000,01600SKILLED NURSING FACILITY 50025,A000000,01800,0000,01800NURSING FACILITY 50025,A000000,01900,0000,01900OTHER LONG TERM CARE 50025,A000000,02100,0000,02100RADIOLOGY 50025,A000000,02200,0000,02200LABORATORY 50025,A000000,02300,0000,02300INTRAVENOUS THERAPY 50025,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50025,A000000,02500,0000,02500PHYSICAL THERAPY 50025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50025,A000000,02700,0000,02700SPEECH PATHOLOGY 50025,A000000,02800,0000,02800ELECTROCARDIOLOGY 50025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50025,A000000,03050,0000,03300OTHER ANCILLARY 50025,A000000,03051,0000,03301OTHER ANCILLARY II 50025,A000000,03052,0000,03302OTHER ANCILLARY III 50025,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50025,A000000,03200,0000,03200SUPPORT SURFACES 50025,A000000,03400,0000,03400CLINIC 50025,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50025,A000000,03500,0000,03500RURAL HEALTH CLINIC 50025,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50025,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50025,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50025,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50025,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50025,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50025,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50025,A000000,04400,0000,04400DME RENTED - HHA 50025,A000000,04500,0000,04500DME SOLD - HHA 50025,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50025,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50025,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50025,A000000,04800,0000,04800AMBULANCE 50025,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50025,A000000,05000,0000,05000CORF 50025,A000000,05010,0000,05010CMHC I 50025,A000000,05020,0000,05020OPT I 50025,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50025,A000000,05300,0000,05300INTEREST EXPENSE 50025,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50025,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50025,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50025,A000000,05500,0000,05500HOSPICE 50025,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50025,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50025,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50025,A000000,06100,0000,06100NONPAID WORKERS 50025,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50025,A000000,06200,0000,06200PATIENTS LAUNDRY 50025,A81000A,00100,0100,Y 50025,A81000B,00100,0300,HOME OFFICE 50025,A81000B,00200,0300,HOME OFFICE 50025,A81000C,00100,0100,B 50025,A81000C,00100,0200,ESSEX SALEM II 50025,A81000C,00100,0400,MHI 50025,A81000C,00100,0600,HOME OFFICE 50025,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50025,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50025,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50025,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50025,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50025,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50025,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50025,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50025,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50025,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50025,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50025,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 50025,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50025,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50025,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50025,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50025,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 50025,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50025,S000000,00100,0200,05/22/2000 50025,S200000,00100,0100,250 CONTINENTAL DRIVE 50025,S200000,00200,0100,SALEM 50025,S200000,00200,0200,OH 50025,S200000,00200,0300,44460- 50025,S200000,00300,0100,COLUMBIANA 50025,S200000,00400,0100,ESSEX OF SALEM II 50025,S200000,00400,0200,366104 50025,S200000,00400,0300,01/01/1997 50025,S200000,00400,0500,P 50025,S200000,01004,0500,O 50025,S200000,01600,0100,Y 50025,S200000,04300,0100,Y 50031,S000000,00100,0200,06/02/2000 50040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50040,A000000,00300,0000,00300EMPLOYEE BENEFITS 50040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50040,A000000,00700,0000,00700HOUSEKEEPING 50040,A000000,00800,0000,00800DIETARY 50040,A000000,00900,0000,00900NURSING ADMINISTRATION 50040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50040,A000000,01100,0000,01100PHARMACY 50040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50040,A000000,01300,0000,01300SOCIAL SERVICE 50040,A000000,01600,0000,01600SKILLED NURSING FACILITY 50040,A000000,01800,0000,01800NURSING FACILITY 50040,A000000,01900,0000,01900OTHER LONG TERM CARE 50040,A000000,02100,0000,02100RADIOLOGY 50040,A000000,02200,0000,02200LABORATORY 50040,A000000,02300,0000,02300INTRAVENOUS THERAPY 50040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50040,A000000,02500,0000,02500PHYSICAL THERAPY 50040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50040,A000000,02700,0000,02700SPEECH PATHOLOGY 50040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50040,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50040,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50040,A000000,03200,0000,03200SUPPORT SURFACES 50040,A000000,04800,0000,04800AMBULANCE 50040,A000000,05300,0000,05300INTEREST EXPENSE 50040,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50040,A000000,05500,0000,05500HOSPICE 50040,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50040,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50040,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50040,A000000,06200,0000,06200PATIENTS LAUNDRY 50040,A81000A,00100,0100,Y 50040,A81000B,00100,0300,RENT 50040,A81000B,00200,0300,CAPITAL COSTS- BUILDING 50040,A81000B,00300,0300,CAPITAL COSTS- EQUIPMENT 50040,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 50040,A81000B,00500,0300,INTEREST EXPENSE 50040,A81000C,00100,0100,A 50040,A81000C,00100,0200,MELVIN G. PYE 50040,A81000C,00100,0400,SENIOR CARE LLP 50040,A81000C,00100,0600,RENTAL REAL ESTATE 50040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50040,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50040,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50040,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 50040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50040,B100000,00000,0800,00000MEALS SERVED :DIETARY 50040,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50040,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 50040,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 50040,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 50040,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 50040,S000000,00100,0200,06/02/2000 50040,S200000,00100,0100,9014 CEDAR AVENUE 50040,S200000,00200,0100,CLEVELAND 50040,S200000,00200,0200,OH 50040,S200000,00200,0300,44106- 50040,S200000,00300,0100,CUYAHOGA 50040,S200000,00400,0100,FAIRFAX HEALTH CARE CENTER 50040,S200000,00400,0200,366106 50040,S200000,00400,0300,12/10/1996 50040,S200000,00400,0500,P 50040,S200000,01600,0100,Y 50040,S200000,04300,0100,Y 50040,S700003,00000,0400,4 50048,S000000,00100,0200,06/01/2000 50054,S000000,00100,0200,05/31/2000 50064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50064,A000000,00300,0000,00300EMPLOYEE BENEFITS 50064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50064,A000000,00700,0000,00700HOUSEKEEPING 50064,A000000,00800,0000,00800DIETARY 50064,A000000,00900,0000,00900NURSING ADMINISTRATION 50064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50064,A000000,01100,0000,01100PHARMACY 50064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50064,A000000,01300,0000,01300SOCIAL SERVICE 50064,A000000,01350,0000,01500OTHER GENERAL SERVICES 50064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50064,A000000,01600,0000,01600SKILLED NURSING FACILITY 50064,A000000,01800,0000,01800NURSING FACILITY 50064,A000000,01810,0000,01801ICF/MR 50064,A000000,01900,0000,01900OTHER LONG TERM CARE 50064,A000000,02100,0000,02100RADIOLOGY 50064,A000000,02200,0000,02200LABORATORY 50064,A000000,02300,0000,02300INTRAVENOUS THERAPY 50064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50064,A000000,02500,0000,02500PHYSICAL THERAPY 50064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50064,A000000,02700,0000,02700SPEECH PATHOLOGY 50064,A000000,02800,0000,02800ELECTROCARDIOLOGY 50064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50064,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50064,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50064,A000000,03200,0000,03200SUPPORT SURFACES 50064,A000000,03400,0000,03400CLINIC 50064,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50064,A000000,03500,0000,03500RURAL HEALTH CLINIC 50064,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50064,A000000,04800,0000,04800AMBULANCE 50064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50064,A000000,05000,0000,05000CORF 50064,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50064,A000000,05300,0000,05300INTEREST EXPENSE 50064,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50064,A000000,05500,0000,05500HOSPICE 50064,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50064,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50064,A000000,06100,0000,06100NONPAID WORKERS 50064,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50064,A000000,06200,0000,06200PATIENTS LAUNDRY 50064,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 50064,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 50064,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 50064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50064,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 50064,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 50064,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 50064,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 50064,B100000,00000,0950,00000 DIRECT CARE $S:NURSING ADMINISTRAT 50064,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 50064,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 50064,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 50064,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 50064,B100000,00000,1350,00000 PATIENT DAYS :OTHER GENERAL SERVIC 50064,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50064,S000000,00100,0200,06/29/2000 50064,S200000,00100,0100,4166 SOMMERVILLE RD 50064,S200000,00200,0100,SOMMERVILLE 50064,S200000,00200,0200,OH 50064,S200000,00200,0300,45064- 50064,S200000,00300,0100,BUTLER 50064,S200000,00400,0100,WOODLAND COUNTRY MANOR 50064,S200000,00400,0200,366109 50064,S200000,00400,0300,12/06/1996 50064,S200000,00400,0500,P 50064,S200000,00400,0600,O 50064,S200000,01500,0100,Y 50074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50074,A000000,00300,0000,00300EMPLOYEE BENEFITS 50074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50074,A000000,00700,0000,00700HOUSEKEEPING 50074,A000000,00800,0000,00800DIETARY 50074,A000000,00900,0000,00900NURSING ADMINISTRATION 50074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50074,A000000,01100,0000,01100PHARMACY 50074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50074,A000000,01300,0000,01300SOCIAL SERVICE 50074,A000000,01350,0000,01500PATIENT ACTIVITIES 50074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50074,A000000,01600,0000,01600SKILLED NURSING FACILITY 50074,A000000,01800,0000,01800NURSING FACILITY 50074,A000000,01810,0000,01801ICF/MR 50074,A000000,01900,0000,01900OTHER LONG TERM CARE 50074,A000000,02100,0000,02100RADIOLOGY 50074,A000000,02200,0000,02200LABORATORY 50074,A000000,02300,0000,02300INTRAVENOUS THERAPY 50074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50074,A000000,02500,0000,02500PHYSICAL THERAPY 50074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50074,A000000,02700,0000,02700SPEECH PATHOLOGY 50074,A000000,02800,0000,02800ELECTROCARDIOLOGY 50074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50074,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50074,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50074,A000000,03200,0000,03200SUPPORT SURFACES 50074,A000000,03400,0000,03400CLINIC 50074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50074,A000000,03500,0000,03500RURAL HEALTH CLINIC 50074,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50074,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50074,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50074,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50074,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50074,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50074,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50074,A000000,04400,0000,04400DME RENTED - HHA 50074,A000000,04500,0000,04500DME SOLD - HHA 50074,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50074,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50074,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50074,A000000,04800,0000,04800AMBULANCE 50074,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50074,A000000,05000,0000,05000CORF 50074,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50074,A000000,05300,0000,05300INTEREST EXPENSE 50074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50074,A000000,05500,0000,05500HOSPICE 50074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50074,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50074,A000000,06100,0000,06100NONPAID WORKERS 50074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50074,A000000,06200,0000,06200PATIENTS LAUNDRY 50074,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50074,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 50074,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50074,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50074,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50074,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50074,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 50074,B100000,00000,0850,00000PATIENT DAYS :DIETARY 50074,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50074,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50074,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50074,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50074,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50074,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 50074,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50074,S000000,00100,0200,06/01/2000 50074,S200000,00100,0100,18840 FALLING WATER ROAD 50074,S200000,00200,0100,STRONGSVILLE 50074,S200000,00200,0200,OH 50074,S200000,00200,0300,44136- 50074,S200000,00300,0100,CUYAHOGA 50074,S200000,00400,0100,FALLING WATER HEALTHCARE CTR 50074,S200000,00400,0200,366111 50074,S200000,00400,0300,01/15/1997 50074,S200000,00400,0500,P 50074,S200000,01600,0100,Y 50080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50080,A000000,00300,0000,00300EMPLOYEE BENEFITS 50080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50080,A000000,00700,0000,00700HOUSEKEEPING 50080,A000000,00800,0000,00800DIETARY 50080,A000000,00900,0000,00900NURSING ADMINISTRATION 50080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50080,A000000,01100,0000,01100PHARMACY 50080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50080,A000000,01300,0000,01300SOCIAL SERVICE 50080,A000000,01350,0000,01500ACTIVITIES 50080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50080,A000000,01600,0000,01600SKILLED NURSING FACILITY 50080,A000000,01800,0000,01800NURSING FACILITY 50080,A000000,01810,0000,01801ICF/MR 50080,A000000,01900,0000,01900OTHER LONG TERM CARE 50080,A000000,02100,0000,02100RADIOLOGY 50080,A000000,02200,0000,02200LABORATORY 50080,A000000,02300,0000,02300INTRAVENOUS THERAPY 50080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50080,A000000,02500,0000,02500PHYSICAL THERAPY 50080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50080,A000000,02700,0000,02700SPEECH PATHOLOGY 50080,A000000,02800,0000,02800ELECTROCARDIOLOGY 50080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50080,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50080,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50080,A000000,03200,0000,03200SUPPORT SURFACES 50080,A000000,03400,0000,03400CLINIC 50080,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50080,A000000,03500,0000,03500RURAL HEALTH CLINIC 50080,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50080,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50080,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50080,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50080,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50080,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50080,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50080,A000000,04400,0000,04400DME RENTED - HHA 50080,A000000,04500,0000,04500DME SOLD - HHA 50080,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50080,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50080,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50080,A000000,04800,0000,04800AMBULANCE 50080,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50080,A000000,05000,0000,05000CORF 50080,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50080,A000000,05300,0000,05300INTEREST EXPENSE 50080,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50080,A000000,05500,0000,05500HOSPICE 50080,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50080,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50080,A000000,06100,0000,06100NONPAID WORKERS 50080,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50080,A000000,06200,0000,06200PATIENTS LAUNDRY 50080,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50080,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50080,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50080,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50080,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50080,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50080,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50080,B100000,00000,0850,00000PATIENT DAYS :DIETARY 50080,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50080,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50080,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50080,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50080,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50080,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50080,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50080,S000000,00100,0200,06/21/2000 50080,S200000,00100,0100,158 E. MOUND STREET 50080,S200000,00200,0100,CIRCLEVILLE 50080,S200000,00200,0200,OH 50080,S200000,00200,0300,43113- 50080,S200000,00300,0100,PICKAWAY 50080,S200000,00400,0100,BROWN MEMORIAL HOME 50080,S200000,00400,0200,366112 50080,S200000,00400,0300,03/01/1997 50080,S200000,00400,0500,P 50080,S200000,01600,0100,Y 50089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50089,A000000,00300,0000,00300EMPLOYEE BENEFITS 50089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50089,A000000,00700,0000,00700HOUSEKEEPING 50089,A000000,00800,0000,00800DIETARY 50089,A000000,00900,0000,00900NURSING ADMINISTRATION 50089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50089,A000000,01100,0000,01100PHARMACY 50089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50089,A000000,01300,0000,01300SOCIAL SERVICE 50089,A000000,01350,0000,01500OTHER GENERAL SERVICES 50089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50089,A000000,01600,0000,01600SKILLED NURSING FACILITY 50089,A000000,01800,0000,01800NURSING FACILITY 50089,A000000,01810,0000,01801ICF/MR 50089,A000000,01900,0000,01900OTHER LONG TERM CARE 50089,A000000,02100,0000,02100RADIOLOGY 50089,A000000,02200,0000,02200LABORATORY 50089,A000000,02300,0000,02300INTRAVENOUS THERAPY 50089,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50089,A000000,02500,0000,02500PHYSICAL THERAPY 50089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50089,A000000,02700,0000,02700SPEECH PATHOLOGY 50089,A000000,02800,0000,02800ELECTROCARDIOLOGY 50089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50089,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50089,A000000,03051,0000,03301COMPLEX EQUIPMENT RENTAL 50089,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50089,A000000,03200,0000,03200SUPPORT SURFACES 50089,A000000,03400,0000,03400CLINIC 50089,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50089,A000000,03500,0000,03500RURAL HEALTH CLINIC 50089,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50089,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50089,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50089,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50089,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50089,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50089,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50089,A000000,04400,0000,04400DME RENTED - HHA 50089,A000000,04500,0000,04500DME SOLD - HHA 50089,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50089,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50089,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50089,A000000,04800,0000,04800AMBULANCE 50089,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50089,A000000,05000,0000,05000CORF 50089,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50089,A000000,05300,0000,05300INTEREST EXPENSE 50089,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50089,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50089,A000000,05500,0000,05500HOSPICE 50089,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50089,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50089,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50089,A000000,06100,0000,06100NONPAID WORKERS 50089,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50089,A000000,06200,0000,06200PATIENTS LAUNDRY 50089,A81000A,00100,0100,Y 50089,A81000B,00100,0300,INTEREST / DEPRECIATION 50089,A81000B,00200,0300,HOME OFFICE COST 50089,A81000B,00300,0300,OFFICE SUPPLIES 50089,A81000B,00400,0300,MAINTANCE SUPPLIES 50089,A81000B,00500,0300,LAUNDRY SUPPLIES 50089,A81000B,00600,0300,HOUSEKEEPING SUPPLIES 50089,A81000B,00700,0300,DIETARY SUPPLIES 50089,A81000B,00800,0300,MEDICAL SUPPLIES 50089,A81000B,00900,0300,THERAPY SUPPLIES 50089,A81000B,01000,0300,EDUCATIONAL EXPENSE 50089,A81000B,01100,0300,PRESCRIPTION DRUGS 50089,A81000C,00100,0100,A 50089,A81000C,00100,0200,DOROTHY MASTERNICK 50089,A81000C,00100,0400,DFM TRUST 50089,A81000C,00100,0600,REAL ESTATE 50089,A81000C,00200,0100,A 50089,A81000C,00200,0200,JOHN MASTERNICK 50089,A81000C,00200,0400,WINDSOR HOUSE INC 50089,A81000C,00200,0600,HOME OFFICE 50089,A81000C,00300,0100,A 50089,A81000C,00300,0200,JOHN MASTERNICK 50089,A81000C,00300,0400,TRADEMASTERS 50089,A81000C,00300,0600,SUPPLIES 50089,A81000C,00400,0100,D 50089,A81000C,00400,0200,JOHN MASTERNICK JR 50089,A81000C,00400,0400,TRADEMASTERS 50089,A81000C,00400,0600,SUPPLIES 50089,A81000C,00500,0100,D 50089,A81000C,00500,0200,LEO GRIMES 50089,A81000C,00500,0400,TRADEMASTERS 50089,A81000C,00500,0600,SUPPLIES 50089,A81000C,00600,0100,D 50089,A81000C,00600,0200,JOHN MASTERNICK JR 50089,A81000C,00600,0400,MEDI-RX INC 50089,A81000C,00600,0600,PHARMACY 50089,A81000C,00700,0100,A 50089,A81000C,00700,0200,JOHN MASTERNICK 50089,A81000C,00700,0400,WINDSOR TRAINING CENTER 50089,A81000C,00700,0600,EDUCATION 50089,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50089,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50089,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50089,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50089,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50089,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50089,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50089,B100000,00000,0800,00000MEALS SERVED :DIETARY 50089,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50089,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 50089,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50089,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50089,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50089,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 50089,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50089,E10A180,00550,0100,07/25/2000 50089,S000000,00100,0200,06/02/2000 50089,S200000,00100,0100,1355 CHURCHHILL-HUBBARD RD 50089,S200000,00200,0100,YOUNGSTOWN 50089,S200000,00200,0200,OH 50089,S200000,00200,0300,44505- 50089,S200000,00300,0100,TRUMBULL 50089,S200000,00400,0100,LIBERTY HEALTH CARE CENTER 50089,S200000,00400,0200,366113 50089,S200000,00400,0300,12/16/1996 50089,S200000,00400,0500,P 50089,S200000,01500,0100,Y 50098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50098,A000000,00300,0000,00300EMPLOYEE BENEFITS 50098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50098,A000000,00700,0000,00700HOUSEKEEPING 50098,A000000,00800,0000,00800DIETARY 50098,A000000,00900,0000,00900NURSING ADMINISTRATION 50098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50098,A000000,01100,0000,01100PHARMACY 50098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50098,A000000,01300,0000,01300SOCIAL SERVICE 50098,A000000,01600,0000,01600SKILLED NURSING FACILITY 50098,A000000,01800,0000,01800NURSING FACILITY 50098,A000000,01900,0000,01900OTHER LONG TERM CARE 50098,A000000,02100,0000,02100RADIOLOGY 50098,A000000,02200,0000,02200LABORATORY 50098,A000000,02300,0000,02300INTRAVENOUS THERAPY 50098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50098,A000000,02500,0000,02500PHYSICAL THERAPY 50098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50098,A000000,02700,0000,02700SPEECH PATHOLOGY 50098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50098,A000000,03200,0000,03200SUPPORT SURFACES 50098,A000000,05300,0000,05300INTEREST EXPENSE 50098,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50098,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50098,A81000A,00100,0100,Y 50098,A81000B,00100,0300,RENT & REAL ESTATE TAXES 50098,A81000B,00200,0300,DEPRECIATION 50098,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 50098,A81000B,00400,0300,HOME OFFICE 50098,A81000B,00500,0300,HOME OFFICE 50098,A81000B,00600,0300,HOME OFFICE 50098,A81000B,00700,0300,HOME OFFICE 50098,A81000B,00800,0300,HOME OFFICE 50098,A81000B,00900,0300,HOME OFFICE 50098,A81000B,01000,0300,HOME OFFICE 50098,A81000B,01100,0300,PHYSICAL THERAPY 50098,A81000B,01200,0300,OCCUPATIONAL THERAPY 50098,A81000B,01300,0300,SPEECH THERAPY 50098,A81000C,00100,0100,A 50098,A81000C,00100,0200,STEVE & BEA ROSEDALE 50098,A81000C,00100,0400,COMMUNICARE HEALTH SRVS 50098,A81000C,00100,0600,HEALTHCARE MANAGEMENT 50098,A81000C,00200,0100,A 50098,A81000C,00200,0200,STEVE & BEA ROSEDALE 50098,A81000C,00200,0400,COMMUNICARE INC. 50098,A81000C,00200,0600,LTC MANAGEMENT 50098,A81000C,00300,0100,A 50098,A81000C,00300,0200,THE GREENS PARTNERS 50098,A81000C,00300,0400,GREENS LAND LTD. PTR. 50098,A81000C,00300,0600,REAL ESTATE COMPANY 50098,A81000C,00400,0100,A 50098,A81000C,00400,0200,STEVE & BEA ROSEDALE 50098,A81000C,00400,0400,HOMEWARD REHAB 50098,A81000C,00400,0600,THERAPY SERVICES 50098,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50098,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50098,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50098,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50098,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50098,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 50098,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50098,B100000,00000,0800,00000MEALS SERVED :DIETARY 50098,B100000,00000,0900,00000DIRECTNRSI ING HOURS :NURSING ADMIN 50098,B100000,00000,1000,00000COSTED REQUISTION :CENTRAL SERVICE 50098,B100000,00000,1150,00000NO STATISTICS :PHARMACY 50098,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50098,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50098,E10A180,00501,0300,07/19/2000 50098,S000000,00100,0200,06/01/2000 50098,S200000,00100,0100,1575 BRAINARD ROAD 50098,S200000,00200,0100,LYNDHURST 50098,S200000,00200,0200,OH 50098,S200000,00200,0300,44124- 50098,S200000,00300,0100,CUYAHOGA 50098,S200000,00400,0100,GREENS COMMUNITY LIMITED 50098,S200000,00400,0200,366114 50098,S200000,00400,0300,03/12/1997 50098,S200000,00400,0500,P 50098,S200000,01600,0100,Y 50098,S200000,04300,0100,Y 50108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50108,A000000,00300,0000,00300EMPLOYEE BENEFITS 50108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50108,A000000,00700,0000,00700HOUSEKEEPING 50108,A000000,00800,0000,00800DIETARY 50108,A000000,00900,0000,00900NURSING ADMINISTRATION 50108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50108,A000000,01100,0000,01100PHARMACY 50108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50108,A000000,01300,0000,01300SOCIAL SERVICE 50108,A000000,01350,0000,01500ACTIVITIES 50108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50108,A000000,01600,0000,01600SKILLED NURSING FACILITY 50108,A000000,01800,0000,01800NURSING FACILITY 50108,A000000,01810,0000,01801ICF/MR 50108,A000000,01900,0000,01900OTHER LONG TERM CARE 50108,A000000,02100,0000,02100RADIOLOGY 50108,A000000,02200,0000,02200LABORATORY 50108,A000000,02300,0000,02300INTRAVENOUS THERAPY 50108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50108,A000000,02500,0000,02500PHYSICAL THERAPY 50108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50108,A000000,02700,0000,02700SPEECH PATHOLOGY 50108,A000000,02800,0000,02800ELECTROCARDIOLOGY 50108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50108,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50108,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50108,A000000,03200,0000,03200SUPPORT SURFACES 50108,A000000,03400,0000,03400CLINIC 50108,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50108,A000000,03500,0000,03500RURAL HEALTH CLINIC 50108,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50108,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50108,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50108,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50108,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50108,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50108,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50108,A000000,04400,0000,04400DME RENTED - HHA 50108,A000000,04500,0000,04500DME SOLD - HHA 50108,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50108,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50108,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50108,A000000,04800,0000,04800AMBULANCE 50108,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50108,A000000,05000,0000,05000CORF 50108,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50108,A000000,05300,0000,05300INTEREST EXPENSE 50108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50108,A000000,05500,0000,05500HOSPICE 50108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50108,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50108,A000000,06100,0000,06100NONPAID WORKERS 50108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50108,A000000,06200,0000,06200PATIENTS LAUNDRY 50108,A81000A,00100,0100,Y 50108,A81000B,00100,0300,HOME OFFICE ALLOCATION 50108,A81000B,00200,0300,HOME OFFICE ALLOCATION 50108,A81000B,00300,0300,HOME OFFICE ALLOCATION 50108,A81000C,00100,0100,B 50108,A81000C,00100,0200,OHIO MASONIC HOME 50108,A81000C,00100,0400,MASONIC HEALTH CARE 50108,A81000C,00100,0600,CCRC 50108,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 50108,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 50108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50108,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 50108,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50108,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 50108,B100000,00000,0800,00000MEALS SERVED :DIETARY 50108,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50108,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50108,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50108,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50108,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50108,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50108,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50108,E10A180,00550,0300,06/06/2000 50108,S000000,00100,0200,06/01/2000 50108,S200000,00100,0100,3 MASONIC DRIVE 50108,S200000,00200,0100,SPRINGFIELD 50108,S200000,00200,0200,OH 50108,S200000,00200,0300,45504- 50108,S200000,00300,0100,CLARK 50108,S200000,00400,0100,MASONIC HEALTH CARE INC. 50108,S200000,00400,0200,366116 50108,S200000,00400,0300,04/14/1997 50108,S200000,00400,0500,P 50108,S200000,01600,0100,Y 50108,S700003,00000,0400,4 50116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50116,A000000,00300,0000,00300EMPLOYEE BENEFITS 50116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50116,A000000,00700,0000,00700HOUSEKEEPING 50116,A000000,00800,0000,00800DIETARY 50116,A000000,00900,0000,00900NURSING ADMINISTRATION 50116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50116,A000000,01300,0000,01300SOCIAL SERVICE 50116,A000000,01350,0000,01500ACTIVITIES 50116,A000000,01600,0000,01600SKILLED NURSING FACILITY 50116,A000000,01800,0000,01800NURSING FACILITY 50116,A000000,02500,0000,02500PHYSICAL THERAPY 50116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50116,A000000,02700,0000,02700SPEECH PATHOLOGY 50116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50116,A000000,03200,0000,03200SUPPORT SURFACES 50116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50116,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50116,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50116,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50116,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50116,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50116,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50116,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50116,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50116,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50116,B100000,00000,0800,00000MEALS SERVED :DIETARY 50116,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50116,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50116,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50116,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50116,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50116,E10A180,00501,0300,09/21/2000 50116,E10A180,00550,0100,09/21/2000 50116,S000000,00100,0200,07/12/1999 50116,S200000,00100,0100,2320 WEST COUNTY RD 6 50116,S200000,00200,0100,TIFFIN 50116,S200000,00200,0200,OH 50116,S200000,00200,0300,44883- 50116,S200000,00300,0100,SENECA 50116,S200000,00400,0100,ST. CATH. OF TIFFIN 50116,S200000,00400,0200,366117 50116,S200000,00400,0300,03/12/1997 50116,S200000,00400,0500,P 50116,S200000,01500,0100,Y 50116,S700003,00000,0400,4 50119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50119,A000000,00300,0000,00300EMPLOYEE BENEFITS 50119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50119,A000000,00700,0000,00700HOUSEKEEPING 50119,A000000,00800,0000,00800DIETARY 50119,A000000,00900,0000,00900NURSING ADMINISTRATION 50119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50119,A000000,01100,0000,01100PHARMACY 50119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50119,A000000,01300,0000,01300SOCIAL SERVICE 50119,A000000,01350,0000,01500ACTIVITIES 50119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50119,A000000,01600,0000,01600SKILLED NURSING FACILITY 50119,A000000,01800,0000,01800NURSING FACILITY 50119,A000000,01810,0000,01810ICF/MR 50119,A000000,01900,0000,01900OTHER LONG TERM CARE 50119,A000000,02100,0000,02100RADIOLOGY 50119,A000000,02200,0000,02200LABORATORY 50119,A000000,02300,0000,02300INTRAVENOUS THERAPY 50119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50119,A000000,02500,0000,02500PHYSICAL THERAPY 50119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50119,A000000,02700,0000,02700SPEECH PATHOLOGY 50119,A000000,02800,0000,02800ELECTROCARDIOLOGY 50119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50119,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50119,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50119,A000000,03200,0000,03200SUPPORT SURFACES 50119,A000000,03400,0000,03400CLINIC 50119,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50119,A000000,03500,0000,03500RURAL HEALTH CLINIC 50119,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50119,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50119,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50119,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50119,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50119,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50119,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50119,A000000,04400,0000,04400DME RENTED - HHA 50119,A000000,04500,0000,04500DME SOLD - HHA 50119,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50119,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50119,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50119,A000000,04800,0000,04800AMBULANCE 50119,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50119,A000000,05000,0000,05000CORF 50119,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50119,A000000,05300,0000,05300INTEREST EXPENSE 50119,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50119,A000000,05500,0000,05500HOSPICE 50119,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50119,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50119,A000000,06100,0000,06100NONPAID WORKERS 50119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50119,A000000,06200,0000,06200PATIENTS LAUNDRY 50119,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50119,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50119,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50119,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50119,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50119,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50119,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50119,B100000,00000,0800,00000MEALS SERVED :DIETARY 50119,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50119,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50119,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50119,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50119,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50119,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50119,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50119,S000000,00100,0200,06/01/2000 50119,S200000,00100,0100,2320 WEST COUNTY ROAD 6 50119,S200000,00200,0100,TIFFIN 50119,S200000,00200,0200,OH 50119,S200000,00200,0300,44883- 50119,S200000,00300,0100,SENECA 50119,S200000,00400,0100,RUFFING CARE INC. 50119,S200000,00400,0200,366117 50119,S200000,00400,0300,03/12/1997 50119,S200000,00400,0500,P 50119,S200000,01500,0100,Y 50119,S200000,04300,0100,Y 50129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50129,A000000,00300,0000,00300EMPLOYEE BENEFITS 50129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50129,A000000,00700,0000,00700HOUSEKEEPING 50129,A000000,00800,0000,00800DIETARY 50129,A000000,00900,0000,00900NURSING ADMINISTRATION 50129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50129,A000000,01100,0000,01100PHARMACY 50129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50129,A000000,01300,0000,01300SOCIAL SERVICE 50129,A000000,01600,0000,01600SKILLED NURSING FACILITY 50129,A000000,01800,0000,01800NURSING FACILITY 50129,A000000,01900,0000,01900OTHER LONG TERM CARE 50129,A000000,02100,0000,02100RADIOLOGY 50129,A000000,02200,0000,02200LABORATORY 50129,A000000,02300,0000,02300INTRAVENOUS THERAPY 50129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50129,A000000,02500,0000,02500PHYSICAL THERAPY 50129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50129,A000000,02700,0000,02700SPEECH PATHOLOGY 50129,A000000,02800,0000,02800ELECTROCARDIOLOGY 50129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50129,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50129,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50129,A000000,03200,0000,03200SUPPORT SURFACES 50129,A000000,04800,0000,04800AMBULANCE 50129,A000000,05300,0000,05300INTEREST EXPENSE 50129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50129,A000000,05500,0000,05500HOSPICE 50129,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50129,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50129,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50129,A000000,06200,0000,06200PATIENTS LAUNDRY 50129,A81000A,00100,0100,Y 50129,A81000B,00100,0300,BUILDING COSTS 50129,A81000B,00200,0300,EQUIPMENT COSTS 50129,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 50129,A81000B,00400,0300,HOME OFFICE BUILDING COST 50129,A81000B,00500,0300,HOME OFFICE MOVEABLE EQUIP 50129,A81000B,00600,0300,HOME OFFICE EMPLOYEE BENEFITS 50129,A81000B,00700,0300,HOME OFFICE ADMIN & GENERAL 50129,A81000B,00800,0300,HOME OFFICE PLANT OPERATIONS 50129,A81000B,00900,0300,HOME OFFICE DIETARY COSTS 50129,A81000C,00100,0100,A 50129,A81000C,00100,0200,DONEL SPRENGER 50129,A81000C,00100,0400,SPRENGER ENTERPRISES INC 50129,A81000C,00100,0600,HOME OFFICE 50129,A81000C,00200,0100,A 50129,A81000C,00200,0200,DONEL SPRENGER 50129,A81000C,00200,0400,ELMS LIMITED COMPANY 50129,A81000C,00200,0600,REALTY COMPANY 50129,A81000C,00300,0100,A 50129,A81000C,00300,0200,TONY SPRENGER 50129,A81000C,00300,0400,SPRENGER ENTERPRISES INC 50129,A81000C,00300,0600,HOME OFFICE 50129,A81000C,00400,0100,A 50129,A81000C,00400,0200,TONY SPRENGER 50129,A81000C,00400,0400,ELMS LIMITED COMPANY 50129,A81000C,00400,0600,REALTY COMPANY 50129,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50129,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50129,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50129,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50129,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50129,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 50129,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50129,B100000,00000,0800,00000MEALS SERVED :DIETARY 50129,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 50129,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 50129,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 50129,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 50129,S000000,00100,0200,12/01/2000 50129,S200000,00100,0100,136 SOUTH MAIN STREET 50129,S200000,00200,0100,WELLINGTON 50129,S200000,00200,0200,OH 50129,S200000,00200,0300,44090- 50129,S200000,00300,0100,LORAIN 50129,S200000,00300,0200,1680 50129,S200000,00300,0300,U 50129,S200000,00400,0100,ELMS RETIREMENT VILLAGE 50129,S200000,00400,0200,366118 50129,S200000,00400,0300,02/27/1997 50129,S200000,00400,0500,P 50129,S200000,01500,0100,Y 50129,S200000,04300,0100,Y 50129,S200000,04700,0100,Y 50136,S000000,00100,0200,08/08/2001 50143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50143,A000000,00300,0000,00300EMPLOYEE BENEFITS 50143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50143,A000000,00700,0000,00700HOUSEKEEPING 50143,A000000,00800,0000,00800DIETARY 50143,A000000,00900,0000,00900NURSING ADMINISTRATION 50143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50143,A000000,01100,0000,01100PHARMACY 50143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50143,A000000,01300,0000,01300SOCIAL SERVICE 50143,A000000,01350,0000,01500ACTIVITIES 50143,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50143,A000000,01600,0000,01600SKILLED NURSING FACILITY 50143,A000000,01800,0000,01800NURSING FACILITY 50143,A000000,01810,0000,01801ICF/MR 50143,A000000,01900,0000,01900OTHER LONG TERM CARE 50143,A000000,02100,0000,02100RADIOLOGY 50143,A000000,02200,0000,02200LABORATORY 50143,A000000,02300,0000,02300INTRAVENOUS THERAPY 50143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50143,A000000,02500,0000,02500PHYSICAL THERAPY 50143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50143,A000000,02700,0000,02700SPEECH PATHOLOGY 50143,A000000,02800,0000,02800ELECTROCARDIOLOGY 50143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50143,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50143,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50143,A000000,03200,0000,03200SUPPORT SURFACES 50143,A000000,03400,0000,03400CLINIC 50143,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50143,A000000,03500,0000,03500RURAL HEALTH CLINIC 50143,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50143,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50143,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50143,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50143,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50143,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50143,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50143,A000000,04400,0000,04400DME RENTED - HHA 50143,A000000,04500,0000,04500DME SOLD - HHA 50143,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50143,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50143,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50143,A000000,04800,0000,04800AMBULANCE 50143,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50143,A000000,05000,0000,05000CORF 50143,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50143,A000000,05300,0000,05300INTEREST EXPENSE 50143,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50143,A000000,05500,0000,05500HOSPICE 50143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50143,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50143,A000000,06100,0000,06100NONPAID WORKERS 50143,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50143,A000000,06200,0000,06200PATIENTS LAUNDRY 50143,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50143,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50143,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50143,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50143,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50143,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50143,B100000,00000,0800,00000MEALS SERVED :DIETARY 50143,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50143,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 50143,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50143,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50143,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50143,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50143,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50143,S000000,00100,0200,06/05/2000 50143,S200000,00100,0100,5467 CEDAR VILLAGE DRIVE 50143,S200000,00200,0100,MASON 50143,S200000,00200,0200,OH 50143,S200000,00200,0300,45040- 50143,S200000,00300,0100,WARREN 50143,S200000,00400,0100,CEDAR VILLAGE LTC 50143,S200000,00400,0200,366120 50143,S200000,00400,0300,03/14/1997 50143,S200000,00400,0500,P 50143,S200000,01004,0500,O 50143,S200000,01600,0100,Y 50143,S700003,00000,0400,4 50151,S000000,00100,0200,06/02/2000 50158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50158,A000000,00300,0000,00300EMPLOYEE BENEFITS 50158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50158,A000000,00700,0000,00700HOUSEKEEPING 50158,A000000,00800,0000,00800DIETARY 50158,A000000,00900,0000,00900NURSING ADMINISTRATION 50158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50158,A000000,01100,0000,01100PHARMACY 50158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50158,A000000,01300,0000,01300SOCIAL SERVICE 50158,A000000,01350,0000,01500ACTIVITIES 50158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50158,A000000,01600,0000,01600SKILLED NURSING FACILITY 50158,A000000,01800,0000,01800NURSING FACILITY 50158,A000000,01810,0000,01801ICF/MR 50158,A000000,01900,0000,01900OTHER LONG TERM CARE 50158,A000000,02100,0000,02100RADIOLOGY 50158,A000000,02200,0000,02200LABORATORY 50158,A000000,02300,0000,02300INTRAVENOUS THERAPY 50158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50158,A000000,02500,0000,02500PHYSICAL THERAPY 50158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50158,A000000,02700,0000,02700SPEECH PATHOLOGY 50158,A000000,02800,0000,02800ELECTROCARDIOLOGY 50158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50158,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50158,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50158,A000000,03200,0000,03200SUPPORT SURFACES 50158,A000000,03400,0000,03400CLINIC 50158,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50158,A000000,03500,0000,03500RURAL HEALTH CLINIC 50158,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50158,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50158,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50158,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50158,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50158,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50158,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50158,A000000,04400,0000,04400DME RENTED - HHA 50158,A000000,04500,0000,04500DME SOLD - HHA 50158,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50158,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50158,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50158,A000000,04800,0000,04800AMBULANCE 50158,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50158,A000000,05000,0000,05000CORF 50158,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50158,A000000,05300,0000,05300INTEREST EXPENSE 50158,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50158,A000000,05500,0000,05500HOSPICE 50158,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50158,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50158,A000000,06100,0000,06100NONPAID WORKERS 50158,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50158,A000000,06200,0000,06200PATIENTS LAUNDRY 50158,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50158,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50158,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50158,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50158,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50158,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50158,B100000,00000,0800,00000MEALS SERVED :DIETARY 50158,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50158,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50158,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50158,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50158,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50158,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50158,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50158,E10A180,00501,0100,06/20/2000 50158,S000000,00100,0200,06/01/2000 50158,S200000,00100,0100,3109 CAMPUS CENTER 50158,S200000,00200,0100,DAYTON 50158,S200000,00200,0200,OH 50158,S200000,00200,0300,45406- 50158,S200000,00300,0100,MONTGOMERY 50158,S200000,00400,0100,MARY SCOTT NURSING HOME 50158,S200000,00400,0200,366122 50158,S200000,00400,0300,02/28/1997 50158,S200000,00400,0500,P 50158,S200000,00400,0600,P 50158,S200000,01600,0100,Y 50158,S200000,02200,0100,Y 50158,S200000,04300,0100,Y 50158,S700003,00000,0400,4 50165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50165,A000000,00300,0000,00300EMPLOYEE BENEFITS 50165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50165,A000000,00700,0000,00700HOUSEKEEPING 50165,A000000,00800,0000,00800DIETARY 50165,A000000,00900,0000,00900NURSING ADMINISTRATION 50165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50165,A000000,01100,0000,01100PHARMACY 50165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50165,A000000,01300,0000,01300SOCIAL SERVICE 50165,A000000,01600,0000,01600SKILLED NURSING FACILITY 50165,A000000,01800,0000,01800NURSING FACILITY 50165,A000000,01900,0000,01900OTHER LONG TERM CARE 50165,A000000,02100,0000,02100RADIOLOGY 50165,A000000,02200,0000,02200LABORATORY 50165,A000000,02300,0000,02300INTRAVENOUS THERAPY 50165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50165,A000000,02500,0000,02500PHYSICAL THERAPY 50165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50165,A000000,02700,0000,02700SPEECH PATHOLOGY 50165,A000000,02800,0000,02800ELECTROCARDIOLOGY 50165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50165,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50165,A000000,03200,0000,03200SUPPORT SURFACES 50165,A000000,04800,0000,04800AMBULANCE 50165,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50165,A000000,05300,0000,05300INTEREST EXPENSE 50165,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50165,A81000A,00100,0100,Y 50165,A81000B,00100,0300,COSTS OF OWNERSHIP FOR RENT 50165,A81000C,00100,0100,A 50165,A81000C,00100,0200,JEAN P. STEPFIE 50165,A81000C,00100,0400,JEAN P. STEPFIE 50165,A81000C,00100,0600,LANDLORD 50165,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50165,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50165,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50165,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50165,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50165,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50165,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50165,B100000,00000,0850,00000PATIENT DAYS :DIETARY 50165,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 50165,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50165,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 50165,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50165,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50165,S000000,00100,0200,05/31/2000 50165,S200000,00100,0100,1980 LYNN DRIVE 50165,S200000,00200,0100,ORRVILLE 50165,S200000,00200,0200,OH 50165,S200000,00200,0300,44667- 50165,S200000,00300,0100,WAYNE 50165,S200000,00400,0100,BRENN - FIELD NURSING CENTER 50165,S200000,00400,0200,366123 50165,S200000,00400,0300,06/09/1997 50165,S200000,00400,0500,P 50173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50173,A000000,00300,0000,00300EMPLOYEE BENEFITS 50173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50173,A000000,00700,0000,00700HOUSEKEEPING 50173,A000000,00800,0000,00800DIETARY 50173,A000000,00900,0000,00900NURSING ADMINISTRATION 50173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50173,A000000,01100,0000,01100PHARMACY 50173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50173,A000000,01300,0000,01300SOCIAL SERVICE 50173,A000000,01350,0000,01500OTHER GENERAL SERVICES 50173,A000000,01600,0000,01600SKILLED NURSING FACILITY 50173,A000000,01800,0000,01800NURSING FACILITY 50173,A000000,01900,0000,01900OTHER LONG TERM CARE 50173,A000000,02100,0000,02100RADIOLOGY 50173,A000000,02200,0000,02200LABORATORY 50173,A000000,02300,0000,02300INTRAVENOUS THERAPY 50173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50173,A000000,02500,0000,02500PHYSICAL THERAPY 50173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50173,A000000,02700,0000,02700SPEECH PATHOLOGY 50173,A000000,02800,0000,02800ELECTROCARDIOLOGY 50173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50173,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50173,A000000,03200,0000,03200SUPPORT SURFACES 50173,A000000,03400,0000,03400CLINIC 50173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50173,A000000,03500,0000,03500RURAL HEALTH CLINIC 50173,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50173,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50173,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50173,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50173,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50173,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50173,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50173,A000000,04400,0000,04400DME RENTED - HHA 50173,A000000,04500,0000,04500DME SOLD - HHA 50173,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50173,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50173,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50173,A000000,05000,0000,05000CORF 50173,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50173,A000000,05300,0000,05300INTEREST EXPENSE 50173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50173,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50173,A000000,05500,0000,05500HOSPICE 50173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50173,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50173,A000000,06100,0000,06100NONPAID WORKERS 50173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50173,A000000,06200,0000,06200PATIENTS LAUNDRY 50173,A81000A,00100,0100,Y 50173,A81000B,00100,0300,BUILDING RENT 50173,A81000C,00100,0100,B 50173,A81000C,00100,0400,CG&D ASSOCIATES 50173,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50173,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50173,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50173,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50173,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50173,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50173,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50173,B100000,00000,0800,00000MEALS SERVED :DIETARY 50173,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 50173,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 50173,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50173,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50173,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50173,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 50173,S000000,00100,0200,06/01/2000 50173,S200000,00100,0100,12496 PRINCETON ROAD 50173,S200000,00100,0300,369 50173,S200000,00200,0100,HUNTSBURG 50173,S200000,00200,0200,OH 50173,S200000,00200,0300,44046- 50173,S200000,00300,0100,GEAUGA 50173,S200000,00400,0100,BLOSSOM HILL CARE CENTER 50173,S200000,00400,0200,366124 50173,S200000,00400,0300,06/01/1997 50173,S200000,00400,0500,P 50173,S200000,01500,0100,Y 50173,S700003,00000,0400,4 50180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50180,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 50180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50180,A000000,00300,0000,00300EMPLOYEE BENEFITS 50180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50180,A000000,00700,0000,00700HOUSEKEEPING 50180,A000000,00800,0000,00800DIETARY 50180,A000000,00900,0000,00900NURSING ADMINISTRATION 50180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50180,A000000,01100,0000,01100PHARMACY 50180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50180,A000000,01300,0000,01300SOCIAL SERVICE 50180,A000000,01350,0000,01500OTHER GENERAL SERVICES 50180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50180,A000000,01600,0000,01600SKILLED NURSING FACILITY 50180,A000000,01800,0000,01800NURSING FACILITY 50180,A000000,01900,0000,01900OTHER LONG TERM CARE 50180,A000000,02100,0000,02100RADIOLOGY 50180,A000000,02200,0000,02200LABORATORY 50180,A000000,02300,0000,02300INTRAVENOUS THERAPY 50180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50180,A000000,02500,0000,02500PHYSICAL THERAPY 50180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50180,A000000,02700,0000,02700SPEECH PATHOLOGY 50180,A000000,02800,0000,02800ELECTROCARDIOLOGY 50180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50180,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50180,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50180,A000000,03200,0000,03200SUPPORT SURFACES 50180,A000000,03400,0000,03400CLINIC 50180,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50180,A000000,03500,0000,03500RURAL HEALTH CLINIC 50180,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50180,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50180,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50180,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50180,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50180,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50180,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50180,A000000,04400,0000,04400DME RENTED - HHA 50180,A000000,04500,0000,04500DME SOLD - HHA 50180,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50180,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50180,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50180,A000000,04800,0000,04800AMBULANCE 50180,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50180,A000000,05000,0000,05000CORF 50180,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50180,A000000,05300,0000,05300INTEREST EXPENSE 50180,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50180,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50180,A000000,05500,0000,05500HOSPICE 50180,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50180,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50180,A000000,06100,0000,06100NONPAID WORKERS 50180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50180,A000000,06200,0000,06200PATIENTS LAUNDRY 50180,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50180,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 50180,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50180,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50180,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50180,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50180,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50180,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50180,B100000,00000,0800,00000MEALS SERVED :DIETARY 50180,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50180,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50180,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50180,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50180,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50180,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 50180,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50180,S000000,00100,0200,05/30/2000 50180,S200000,00100,0100,10731 STATE ROUTE 118 50180,S200000,00200,0100,ROCKFORD 50180,S200000,00200,0200,OH 50180,S200000,00200,0300,45882- 50180,S200000,00300,0100,MERCER 50180,S200000,00400,0100,SHANE HILL NURSING HOME 50180,S200000,00400,0200,366125 50180,S200000,00400,0300,04/30/1997 50180,S200000,00400,0500,P 50180,S200000,01004,0500,O 50180,S200000,01500,0100,Y 50180,S200000,04300,0100,Y 50180,S700003,00000,0400,4 50194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50194,A000000,00300,0000,00300EMPLOYEE BENEFITS 50194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50194,A000000,00700,0000,00700HOUSEKEEPING 50194,A000000,00800,0000,00800DIETARY 50194,A000000,00900,0000,00900NURSING ADMINISTRATION 50194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50194,A000000,01100,0000,01100PHARMACY 50194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50194,A000000,01300,0000,01300SOCIAL SERVICE 50194,A000000,01350,0000,01500OTHER GENERAL SERVICES 50194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50194,A000000,01600,0000,01600SKILLED NURSING FACILITY 50194,A000000,01800,0000,01800NURSING FACILITY 50194,A000000,01810,0000,01801ICF/MR 50194,A000000,01900,0000,01900OTHER LONG TERM CARE 50194,A000000,02100,0000,02100RADIOLOGY 50194,A000000,02200,0000,02200LABORATORY 50194,A000000,02300,0000,02300INTRAVENOUS THERAPY 50194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50194,A000000,02500,0000,02500PHYSICAL THERAPY 50194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50194,A000000,02700,0000,02700SPEECH PATHOLOGY 50194,A000000,02800,0000,02800ELECTROCARDIOLOGY 50194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50194,A000000,03200,0000,03200SUPPORT SURFACES 50194,A000000,03400,0000,03400CLINIC 50194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50194,A000000,03500,0000,03500RURAL HEALTH CLINIC 50194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50194,A000000,04400,0000,04400DME RENTED - HHA 50194,A000000,04500,0000,04500DME SOLD - HHA 50194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50194,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50194,A000000,04800,0000,04800AMBULANCE 50194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50194,A000000,05000,0000,05000CORF 50194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50194,A000000,05300,0000,05300INTEREST EXPENSE 50194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50194,A000000,05500,0000,05500HOSPICE 50194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50194,A000000,06100,0000,06100NONPAID WORKERS 50194,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50194,A000000,06200,0000,06200PATIENTS LAUNDRY 50194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50194,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50194,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50194,B100000,00000,0800,00000MEALS SERVED :DIETARY 50194,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 50194,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50194,B100000,00000,1150,00000NO STATISTICS :PHARMACY 50194,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50194,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50194,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 50194,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50194,S000000,00100,0200,06/05/2000 50194,S200000,00100,0100,7988 INFIRMARY ROAD 50194,S200000,00200,0100,RAVENNA 50194,S200000,00200,0200,OH 50194,S200000,00200,0300,44266- 50194,S200000,00300,0100,PORTAGE 50194,S200000,00400,0100,PORTAGE COUNTY NURSING HOME 50194,S200000,00400,0200,366127 50194,S200000,00400,0300,02/15/1997 50194,S200000,00400,0500,P 50194,S200000,01600,0100,Y 50194,S200000,04300,0100,Y 50202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50202,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50202,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50202,A000000,00300,0000,00300EMPLOYEE BENEFITS 50202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50202,A000000,00700,0000,00700HOUSEKEEPING 50202,A000000,00800,0000,00800DIETARY 50202,A000000,00801,0000,00801CAFETERIA 50202,A000000,00900,0000,00900NURSING ADMINISTRATION 50202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50202,A000000,01100,0000,01100PHARMACY 50202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50202,A000000,01300,0000,01300SOCIAL SERVICE 50202,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50202,A000000,01600,0000,01600SKILLED NURSING FACILITY 50202,A000000,01800,0000,01800NURSING FACILITY 50202,A000000,01900,0000,01900OTHER LONG TERM CARE 50202,A000000,02100,0000,02100RADIOLOGY 50202,A000000,02200,0000,02200LABORATORY 50202,A000000,02300,0000,02300INTRAVENOUS THERAPY 50202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50202,A000000,02500,0000,02500PHYSICAL THERAPY 50202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50202,A000000,02700,0000,02700SPEECH PATHOLOGY 50202,A000000,02800,0000,02800ELECTROCARDIOLOGY 50202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50202,A000000,03050,0000,03300OTHER ANCILLARY 50202,A000000,03051,0000,03301OTHER ANCILLARY II 50202,A000000,03052,0000,03302OTHER ANCILLARY III 50202,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50202,A000000,03200,0000,03200SUPPORT SURFACES 50202,A000000,03400,0000,03400CLINIC 50202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50202,A000000,03500,0000,03500RURAL HEALTH CLINIC 50202,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50202,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50202,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50202,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50202,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50202,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50202,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50202,A000000,04400,0000,04400DME RENTED - HHA 50202,A000000,04500,0000,04500DME SOLD - HHA 50202,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50202,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50202,A000000,04800,0000,04800AMBULANCE 50202,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50202,A000000,05000,0000,05000CORF 50202,A000000,05010,0000,05010CMHC I 50202,A000000,05020,0000,05020OPT I 50202,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50202,A000000,05300,0000,05300INTEREST EXPENSE 50202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50202,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50202,A000000,05500,0000,05500HOSPICE 50202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50202,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50202,A000000,06100,0000,06100NONPAID WORKERS 50202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50202,A000000,06200,0000,06200PATIENTS LAUNDRY 50202,A81000A,00100,0100,Y 50202,A81000B,00100,0300,RENT EXPENSE 50202,A81000B,00200,0300,BUILDING - DEPREC 50202,A81000B,00300,0300,RENOV - DEPREC 50202,A81000B,00400,0300,INTEREST 50202,A81000C,00100,0100,A 50202,A81000C,00100,0200,GREG CHILDS 50202,A81000C,00100,0400,GREG CHILDS 50202,A81000C,00100,0600,INDIVIDUAL 50202,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50202,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50202,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50202,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50202,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50202,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50202,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50202,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50202,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50202,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50202,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 50202,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50202,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50202,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50202,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50202,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 50202,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50202,S000000,00100,0200,05/31/2000 50202,S200000,00100,0100,309 MAIN STREET 50202,S200000,00100,0300,51 50202,S200000,00200,0100,KIMBOLTON 50202,S200000,00200,0200,OH 50202,S200000,00200,0300,43749- 50202,S200000,00300,0100,GUERNSEY 50202,S200000,00400,0100,BELL NURSING HOME 50202,S200000,00400,0200,366128 50202,S200000,00400,0300,07/01/1997 50202,S200000,00400,0500,P 50202,S200000,01500,0100,Y 50210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50210,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50210,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50210,A000000,00300,0000,00300EMPLOYEE BENEFITS 50210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50210,A000000,00700,0000,00700HOUSEKEEPING 50210,A000000,00800,0000,00800DIETARY 50210,A000000,00801,0000,00801CAFETERIA 50210,A000000,00900,0000,00900NURSING ADMINISTRATION 50210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50210,A000000,01100,0000,01100PHARMACY 50210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50210,A000000,01300,0000,01300SOCIAL SERVICE 50210,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50210,A000000,01600,0000,01600SKILLED NURSING FACILITY 50210,A000000,01800,0000,01800NURSING FACILITY 50210,A000000,01900,0000,01900OTHER LONG TERM CARE 50210,A000000,02100,0000,02100RADIOLOGY 50210,A000000,02200,0000,02200LABORATORY 50210,A000000,02300,0000,02300INTRAVENOUS THERAPY 50210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50210,A000000,02500,0000,02500PHYSICAL THERAPY 50210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50210,A000000,02700,0000,02700SPEECH PATHOLOGY 50210,A000000,02800,0000,02800ELECTROCARDIOLOGY 50210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50210,A000000,03050,0000,03300OTHER ANCILLARY 50210,A000000,03051,0000,03301OTHER ANCILLARY II 50210,A000000,03052,0000,03302OTHER ANCILLARY III 50210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50210,A000000,03200,0000,03200SUPPORT SURFACES 50210,A000000,03400,0000,03400CLINIC 50210,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50210,A000000,03500,0000,03500RURAL HEALTH CLINIC 50210,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50210,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50210,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50210,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50210,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50210,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50210,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50210,A000000,04400,0000,04400DME RENTED - HHA 50210,A000000,04500,0000,04500DME SOLD - HHA 50210,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50210,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50210,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50210,A000000,04800,0000,04800AMBULANCE 50210,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50210,A000000,05000,0000,05000CORF 50210,A000000,05010,0000,05010CMHC I 50210,A000000,05020,0000,05020OPT I 50210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50210,A000000,05300,0000,05300INTEREST EXPENSE 50210,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50210,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50210,A000000,05500,0000,05500HOSPICE 50210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50210,A000000,06100,0000,06100NONPAID WORKERS 50210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50210,A000000,06200,0000,06200PATIENTS LAUNDRY 50210,A81000A,00100,0100,Y 50210,A81000B,00100,0300,RELATED PARTY DEPREC & INTEREST 50210,A81000B,00200,0300,INSURANCE 50210,A81000B,00300,0300,REAL ESTATE TAXES 50210,A81000C,00100,0100,A 50210,A81000C,00100,0200,CHARLES STEIN 50210,A81000C,00100,0400,GILLETTE ASSOC 50210,A81000C,00100,0600,REAL ESTATE 50210,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50210,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50210,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50210,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50210,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50210,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50210,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50210,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50210,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50210,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50210,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 50210,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 50210,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 50210,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50210,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50210,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 50210,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50210,S000000,00100,0200,05/31/2000 50210,S200000,00100,0100,3310 ELM ROAD NE 50210,S200000,00200,0100,WARREN 50210,S200000,00200,0200,OH 50210,S200000,00200,0300,44483- 50210,S200000,00300,0100,TRUMBULL 50210,S200000,00400,0100,GILLETTE NURSING HOME 50210,S200000,00400,0200,366129 50210,S200000,00400,0300,07/01/1997 50210,S200000,00400,0500,P 50210,S200000,00600,0200,366129 50210,S200000,00600,0300,07/01/1997 50210,S200000,01600,0100,Y 50210,S700003,00000,0400,4 50218,S000000,00100,0200,05/30/2000 50227,S000000,00100,0200,06/01/2000 50235,S000000,00100,0200,03/06/2000 50243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50243,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50243,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50243,A000000,00300,0000,00300EMPLOYEE BENEFITS 50243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50243,A000000,00700,0000,00700HOUSEKEEPING 50243,A000000,00800,0000,00800DIETARY 50243,A000000,00801,0000,00801CAFETERIA 50243,A000000,00900,0000,00900NURSING ADMINISTRATION 50243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50243,A000000,01100,0000,01100PHARMACY 50243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50243,A000000,01300,0000,01300SOCIAL SERVICE 50243,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50243,A000000,01600,0000,01600SKILLED NURSING FACILITY 50243,A000000,01800,0000,01800NURSING FACILITY 50243,A000000,01900,0000,01900OTHER LONG TERM CARE 50243,A000000,02100,0000,02100RADIOLOGY 50243,A000000,02200,0000,02200LABORATORY 50243,A000000,02300,0000,02300INTRAVENOUS THERAPY 50243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50243,A000000,02500,0000,02500PHYSICAL THERAPY 50243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50243,A000000,02700,0000,02700SPEECH PATHOLOGY 50243,A000000,02800,0000,02800ELECTROCARDIOLOGY 50243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50243,A000000,03050,0000,03300OTHER ANCILLARY 50243,A000000,03051,0000,03301OTHER ANCILLARY II 50243,A000000,03052,0000,03302OTHER ANCILLARY III 50243,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50243,A000000,03200,0000,03200SUPPORT SURFACES 50243,A000000,03400,0000,03400CLINIC 50243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50243,A000000,03500,0000,03500RURAL HEALTH CLINIC 50243,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50243,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50243,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50243,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50243,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50243,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50243,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50243,A000000,04400,0000,04400DME RENTED - HHA 50243,A000000,04500,0000,04500DME SOLD - HHA 50243,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50243,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50243,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50243,A000000,04800,0000,04800AMBULANCE 50243,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50243,A000000,05000,0000,05000CORF 50243,A000000,05010,0000,05010CMHC I 50243,A000000,05020,0000,05020OPT I 50243,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50243,A000000,05300,0000,05300INTEREST EXPENSE 50243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50243,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50243,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50243,A000000,05500,0000,05500HOSPICE 50243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50243,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50243,A000000,06100,0000,06100NONPAID WORKERS 50243,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50243,A000000,06200,0000,06200PATIENTS LAUNDRY 50243,A81000A,00100,0100,Y 50243,A81000B,00100,0300,RENT EXPENSE 50243,A81000B,00200,0300,INTEREST EXPENSE 50243,A81000B,00600,0300,AMORT-FINANCE COST 50243,A81000C,00100,0100,B 50243,A81000C,00100,0200,ST MARYS SPRING 50243,A81000C,00100,0400,ST MARYS SPRING 50243,A81000C,00100,0600,NURSING HOME 50243,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50243,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50243,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50243,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50243,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50243,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50243,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50243,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50243,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50243,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50243,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50243,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 50243,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50243,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50243,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50243,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50243,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 50243,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50243,S000000,00100,0200,06/01/2000 50243,S200000,00100,0100,2320 AIRPORT DRIVE 50243,S200000,00200,0100,COLUMBUS 50243,S200000,00200,0200,OH 50243,S200000,00200,0300,43219- 50243,S200000,00300,0100,FRANKLIN 50243,S200000,00400,0100,MOHUN HEALTH CARE CENTER 50243,S200000,00400,0200,366135 50243,S200000,00400,0300,08/09/1997 50243,S200000,00400,0500,P 50243,S200000,01500,0100,Y 50243,S700003,00000,0400,4 50251,S000000,00100,0200,05/25/2000 50261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50261,A000000,00300,0000,00300EMPLOYEE BENEFITS 50261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50261,A000000,00700,0000,00700HOUSEKEEPING 50261,A000000,00800,0000,00800DIETARY 50261,A000000,00900,0000,00900NURSING ADMINISTRATION 50261,A000000,01300,0000,01300SOCIAL SERVICE 50261,A000000,01600,0000,01600SKILLED NURSING FACILITY 50261,A000000,02500,0000,02500PHYSICAL THERAPY 50261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50261,A000000,02700,0000,02700SPEECH PATHOLOGY 50261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50261,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50261,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50261,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50261,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50261,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50261,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 50261,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 50261,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50261,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 50261,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 50261,S000000,00100,0200,06/22/2000 50261,S200000,00100,0100,31054 STATE ROUTE 93 50261,S200000,00200,0100,MCARTHUR 50261,S200000,00200,0200,OH 50261,S200000,00200,0300,45651- 50261,S200000,00300,0100,VINTON 50261,S200000,00400,0100,TWIN MAPLES NURSING HOME 50261,S200000,00400,0200,366139 50261,S200000,00400,0300,06/11/1997 50261,S200000,00400,0500,P 50261,S200000,00400,0600,P 50261,S200000,01500,0100,Y 50261,S200000,02200,0100,Y 50261,S200000,03300,0100,Y 50261,S200000,03300,0200,Y 50269,S000000,00100,0200,05/25/2000 50277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50277,A000000,00300,0000,00300EMPLOYEE BENEFITS 50277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50277,A000000,00700,0000,00700HOUSEKEEPING 50277,A000000,00800,0000,00800DIETARY 50277,A000000,00900,0000,00900NURSING ADMINISTRATION 50277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50277,A000000,01100,0000,01100PHARMACY 50277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50277,A000000,01300,0000,01300SOCIAL SERVICE 50277,A000000,01350,0000,01500OTHER GENERAL SERVICES 50277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50277,A000000,01600,0000,01600SKILLED NURSING FACILITY 50277,A000000,01800,0000,01800NURSING FACILITY 50277,A000000,01810,0000,01801ICF/MR 50277,A000000,01900,0000,01900OTHER LONG TERM CARE 50277,A000000,02100,0000,02100RADIOLOGY 50277,A000000,02200,0000,02200LABORATORY 50277,A000000,02300,0000,02300INTRAVENOUS THERAPY 50277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50277,A000000,02500,0000,02500PHYSICAL THERAPY 50277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50277,A000000,02700,0000,02700SPEECH PATHOLOGY 50277,A000000,02800,0000,02800ELECTROCARDIOLOGY 50277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50277,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50277,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50277,A000000,03200,0000,03200SUPPORT SURFACES 50277,A000000,03400,0000,03400CLINIC 50277,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50277,A000000,03500,0000,03500RURAL HEALTH CLINIC 50277,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50277,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50277,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50277,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50277,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50277,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50277,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50277,A000000,04400,0000,04400DME RENTED - HHA 50277,A000000,04500,0000,04500DME SOLD - HHA 50277,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50277,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50277,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50277,A000000,04800,0000,04800AMBULANCE 50277,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50277,A000000,05000,0000,05000CORF 50277,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50277,A000000,05300,0000,05300INTEREST EXPENSE 50277,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50277,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50277,A000000,05500,0000,05500HOSPICE 50277,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50277,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50277,A000000,06100,0000,06100NONPAID WORKERS 50277,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50277,A000000,06200,0000,06200PATIENTS LAUNDRY 50277,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50277,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50277,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50277,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50277,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50277,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50277,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50277,B100000,00000,0800,00000MEALS SERVED :DIETARY 50277,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 50277,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50277,B100000,00000,1150,00000NO STATISTICS :PHARMACY 50277,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50277,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50277,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 50277,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50277,S000000,00100,0200,05/31/2000 50277,S200000,00100,0100,4466 LYNNHAVEN AVENUE N.E. 50277,S200000,00200,0100,LOUISVILLE 50277,S200000,00200,0200,OH 50277,S200000,00200,0300,44641- 50277,S200000,00300,0100,STARK 50277,S200000,00400,0100,OAKHILL MANOR CARE CENTER 50277,S200000,00400,0200,366141 50277,S200000,00400,0300,09/17/1997 50277,S200000,00400,0500,P 50277,S200000,01600,0100,Y 50277,S200000,04300,0100,Y 50277,S700003,00000,0400,4 50285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50285,A000000,00300,0000,00300EMPLOYEE BENEFITS 50285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50285,A000000,00700,0000,00700HOUSEKEEPING 50285,A000000,00800,0000,00800DIETARY 50285,A000000,00900,0000,00900NURSING ADMINISTRATION 50285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50285,A000000,01100,0000,01100PHARMACY 50285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50285,A000000,01300,0000,01300SOCIAL SERVICE 50285,A000000,01350,0000,01500ACTIVITIES 50285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50285,A000000,01600,0000,01600SKILLED NURSING FACILITY 50285,A000000,01800,0000,01800NURSING FACILITY 50285,A000000,01810,0000,01801ICF/MR 50285,A000000,01900,0000,01900OTHER LONG TERM CARE 50285,A000000,02100,0000,02100RADIOLOGY 50285,A000000,02200,0000,02200LABORATORY 50285,A000000,02300,0000,02300INTRAVENOUS THERAPY 50285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50285,A000000,02500,0000,02500PHYSICAL THERAPY 50285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50285,A000000,02700,0000,02700SPEECH PATHOLOGY 50285,A000000,02800,0000,02800ELECTROCARDIOLOGY 50285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50285,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50285,A000000,03200,0000,03200SUPPORT SURFACES 50285,A000000,03400,0000,03400CLINIC 50285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50285,A000000,03500,0000,03500RURAL HEALTH CLINIC 50285,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50285,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50285,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50285,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50285,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50285,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50285,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50285,A000000,04400,0000,04400DME RENTED - HHA 50285,A000000,04500,0000,04500DME SOLD - HHA 50285,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50285,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50285,A000000,04800,0000,04800AMBULANCE 50285,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50285,A000000,05000,0000,05000CORF 50285,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50285,A000000,05300,0000,05300INTEREST EXPENSE 50285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50285,A000000,05500,0000,05500HOSPICE 50285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50285,A000000,06100,0000,06100NONPAID WORKERS 50285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50285,A000000,06200,0000,06200PATIENTS LAUNDRY 50285,A81000A,00100,0100,Y 50285,A81000B,00100,0300,HOME OFFICE COSTS 50285,A81000C,00100,0100,A 50285,A81000C,00100,0200,ROBERT MURTHA 50285,A81000C,00100,0400,MACINTOSH MGMT 50285,A81000C,00100,0600,NURS HOME MGMT 50285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50285,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50285,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50285,B100000,00000,0800,00000MEALS SERVED :DIETARY 50285,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50285,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50285,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50285,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50285,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50285,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50285,S000000,00100,0200,05/26/2000 50285,S200000,00100,0100,3399 MILL RUN DRIVE 50285,S200000,00200,0100,HILLIARD 50285,S200000,00200,0200,OH 50285,S200000,00200,0300,43026- 50285,S200000,00300,0100,FRANKLIN 50285,S200000,00400,0100,MILL RUN CARE CENTER 50285,S200000,00400,0200,366142 50285,S200000,00400,0300,08/19/1997 50285,S200000,00400,0500,P 50285,S200000,01500,0100,Y 50285,S200000,04300,0100,Y 50285,S700003,00000,0400,4 50292,S000000,00100,0200,06/02/2000 50298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50298,A000000,00300,0000,00300EMPLOYEE BENEFITS 50298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50298,A000000,00700,0000,00700HOUSEKEEPING 50298,A000000,00800,0000,00800DIETARY 50298,A000000,00900,0000,00900NURSING ADMINISTRATION 50298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50298,A000000,01100,0000,01100PHARMACY 50298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50298,A000000,01300,0000,01300SOCIAL SERVICE 50298,A000000,01350,0000,01500ACTIVITIES 50298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50298,A000000,01600,0000,01600SKILLED NURSING FACILITY 50298,A000000,01800,0000,01800NURSING FACILITY 50298,A000000,01810,0000,01801ICF/MR 50298,A000000,01900,0000,01900OTHER LONG TERM CARE 50298,A000000,02100,0000,02100RADIOLOGY 50298,A000000,02200,0000,02200LABORATORY 50298,A000000,02300,0000,02300INTRAVENOUS THERAPY 50298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50298,A000000,02500,0000,02500PHYSICAL THERAPY 50298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50298,A000000,02700,0000,02700SPEECH PATHOLOGY 50298,A000000,02800,0000,02800ELECTROCARDIOLOGY 50298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50298,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50298,A000000,03200,0000,03200SUPPORT SURFACES 50298,A000000,03400,0000,03400CLINIC 50298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50298,A000000,03500,0000,03500RURAL HEALTH CLINIC 50298,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50298,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50298,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50298,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50298,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50298,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50298,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50298,A000000,04400,0000,04400DME RENTED - HHA 50298,A000000,04500,0000,04500DME SOLD - HHA 50298,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50298,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50298,A000000,04800,0000,04800AMBULANCE 50298,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50298,A000000,05000,0000,05000CORF 50298,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50298,A000000,05300,0000,05300INTEREST EXPENSE 50298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50298,A000000,05500,0000,05500HOSPICE 50298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50298,A000000,06100,0000,06100NONPAID WORKERS 50298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50298,A000000,06200,0000,06200PATIENTS LAUNDRY 50298,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50298,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50298,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50298,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50298,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50298,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50298,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50298,B100000,00000,0800,00000MEALS SERVED :DIETARY 50298,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50298,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50298,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50298,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50298,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50298,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50298,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50298,E10A180,00501,0100,07/25/2000 50298,S000000,00100,0200,05/25/2000 50298,S200000,00100,0100,410 WEST ELM STREET 50298,S200000,00200,0100,BLUFFTON 50298,S200000,00200,0200,OH 50298,S200000,00200,0300,45817- 50298,S200000,00300,0100,ALLEN 50298,S200000,00400,0100,MENNONITE MEMORIAL HOME 50298,S200000,00400,0200,366144 50298,S200000,00400,0300,08/15/1997 50298,S200000,00400,0500,P 50298,S200000,01500,0100,Y 50298,S200000,04300,0100,Y 50305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50305,A000000,00300,0000,00300EMPLOYEE BENEFITS 50305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50305,A000000,00700,0000,00700HOUSEKEEPING 50305,A000000,00800,0000,00800DIETARY 50305,A000000,00900,0000,00900NURSING ADMINISTRATION 50305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50305,A000000,01300,0000,01300SOCIAL SERVICE 50305,A000000,01350,0000,01500ACTIVITIES 50305,A000000,01600,0000,01600SKILLED NURSING FACILITY 50305,A000000,01800,0000,01800NURSING FACILITY 50305,A000000,01810,0000,01801ICF/MR 50305,A000000,01900,0000,01900OTHER LONG TERM CARE 50305,A000000,02100,0000,02100RADIOLOGY 50305,A000000,02200,0000,02200LABORATORY 50305,A000000,02300,0000,02300INTRAVENOUS THERAPY 50305,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50305,A000000,02500,0000,02500PHYSICAL THERAPY 50305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50305,A000000,02700,0000,02700SPEECH PATHOLOGY 50305,A000000,02800,0000,02800ELECTROCARDIOLOGY 50305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50305,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50305,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50305,A000000,03200,0000,03200SUPPORT SURFACES 50305,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50305,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50305,A000000,04800,0000,04800AMBULANCE 50305,A000000,05300,0000,05300INTEREST EXPENSE 50305,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50305,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50305,A000000,05500,0000,05500HOSPICE 50305,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50305,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50305,A000000,06200,0000,06200PATIENTS LAUNDRY 50305,A81000A,00100,0100,Y 50305,A81000B,00100,0300,CAP REL COST - BLDG & F RENT EXPENSE 50305,A81000C,00100,0100,A 50305,A81000C,00100,0200,HERMAN MOSKOWITZ 50305,A81000C,00100,0400,MOSKOWITZ TRUST 50305,A81000C,00100,0600,TRUST 50305,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50305,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50305,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50305,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50305,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50305,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50305,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50305,B100000,00000,0800,00000MEALS SERVED :DIETARY 50305,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 50305,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50305,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50305,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50305,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50305,S000000,00100,0200,05/30/2000 50305,S200000,00100,0100,7220 PIPPIN ROAD 50305,S200000,00200,0100,CINCINNATI 50305,S200000,00200,0200,OH 50305,S200000,00200,0300,45239- 50305,S200000,00300,0100,HAMILTON 50305,S200000,00400,0100,LAKERIDGE VILLA 50305,S200000,00400,0200,366145 50305,S200000,00400,0300,11/20/1997 50305,S200000,00400,0500,P 50305,S200000,01600,0100,Y 50313,S000000,00100,0200,05/15/2000 50321,S000000,00100,0200,05/30/2000 50328,S000000,00100,0200,06/05/2000 50333,S000000,00100,0200,05/11/2000 50340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50340,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50340,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50340,A000000,00300,0000,00300EMPLOYEE BENEFITS 50340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50340,A000000,00700,0000,00700HOUSEKEEPING 50340,A000000,00800,0000,00800DIETARY 50340,A000000,00801,0000,00801CAFETERIA 50340,A000000,00900,0000,00900NURSING ADMINISTRATION 50340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50340,A000000,01100,0000,01100PHARMACY 50340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50340,A000000,01300,0000,01300SOCIAL SERVICE 50340,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50340,A000000,01600,0000,01600SKILLED NURSING FACILITY 50340,A000000,01800,0000,01800NURSING FACILITY 50340,A000000,01900,0000,01900OTHER LONG TERM CARE 50340,A000000,02100,0000,02100RADIOLOGY 50340,A000000,02200,0000,02200LABORATORY 50340,A000000,02300,0000,02300INTRAVENOUS THERAPY 50340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50340,A000000,02500,0000,02500PHYSICAL THERAPY 50340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50340,A000000,02700,0000,02700SPEECH PATHOLOGY 50340,A000000,02800,0000,02800ELECTROCARDIOLOGY 50340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50340,A000000,03050,0000,03300OTHER ANCILLARY 50340,A000000,03051,0000,03301OTHER ANCILLARY II 50340,A000000,03052,0000,03302OTHER ANCILLARY III 50340,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50340,A000000,03200,0000,03200SUPPORT SURFACES 50340,A000000,03400,0000,03400CLINIC 50340,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50340,A000000,03500,0000,03500RURAL HEALTH CLINIC 50340,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50340,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50340,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50340,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50340,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50340,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50340,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50340,A000000,04400,0000,04400DME RENTED - HHA 50340,A000000,04500,0000,04500DME SOLD - HHA 50340,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50340,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50340,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50340,A000000,04800,0000,04800AMBULANCE 50340,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50340,A000000,05000,0000,05000CORF 50340,A000000,05010,0000,05010CMHC I 50340,A000000,05020,0000,05020OPT I 50340,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50340,A000000,05300,0000,05300INTEREST EXPENSE 50340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50340,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50340,A000000,05500,0000,05500HOSPICE 50340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50340,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50340,A000000,06100,0000,06100NONPAID WORKERS 50340,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50340,A000000,06200,0000,06200PATIENTS LAUNDRY 50340,A81000A,00100,0100,Y 50340,A81000B,00100,0300,H/O NURSING 50340,A81000B,00200,0300,H/O A&G 50340,A81000B,00300,0300,H/O 50340,A81000B,00400,0300,H/O RENT 50340,A81000B,00500,0300,H/O NON REIMBURSABLE 50340,A81000B,00600,0300,H/O THERAPIES 50340,A81000C,00100,0100,A 50340,A81000C,00100,0200,GLYNDON POWELL 50340,A81000C,00100,0400,CHSHO INC 50340,A81000C,00100,0600,HOME OFFICE 50340,A81000C,00200,0100,A 50340,A81000C,00200,0200,ED BYINGTON 50340,A81000C,00200,0400,CHSHO INC 50340,A81000C,00200,0600,HOME OFFICE 50340,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50340,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50340,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50340,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50340,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50340,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50340,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50340,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50340,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50340,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50340,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 50340,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50340,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50340,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50340,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50340,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 50340,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50340,S000000,00100,0200,06/01/2000 50340,S200000,00100,0100,3627 HARVEY ROAD 50340,S200000,00200,0100,CINCINNATI 50340,S200000,00200,0200,OH 50340,S200000,00200,0300,45229- 50340,S200000,00300,0100,HAMILTON 50340,S200000,00400,0100,GLENCARE CENTER - NF 50340,S200000,00400,0200,366150 50340,S200000,00400,0300,12/06/1997 50340,S200000,00400,0500,P 50340,S200000,01500,0100,Y 50340,S200000,02800,0100,Y 50340,S200000,04300,0100,Y 50340,S200000,04700,0100,Y 50340,S200000,04900,0100,Y 50340,S700003,00000,0400,4 50346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50346,A000000,00300,0000,00300EMPLOYEE BENEFITS 50346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50346,A000000,00700,0000,00700HOUSEKEEPING 50346,A000000,00800,0000,00800DIETARY 50346,A000000,00900,0000,00900NURSING ADMINISTRATION 50346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50346,A000000,01300,0000,01300SOCIAL SERVICE 50346,A000000,01350,0000,01500ACTIVITIES 50346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50346,A000000,01600,0000,01600SKILLED NURSING FACILITY 50346,A000000,01800,0000,01800NURSING FACILITY 50346,A000000,01810,0000,01801ICF/MR 50346,A000000,01900,0000,01900OTHER LONG TERM CARE 50346,A000000,02100,0000,02100RADIOLOGY 50346,A000000,02200,0000,02200LABORATORY 50346,A000000,02300,0000,02300INTRAVENOUS THERAPY 50346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50346,A000000,02500,0000,02500PHYSICAL THERAPY 50346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50346,A000000,02700,0000,02700SPEECH PATHOLOGY 50346,A000000,02800,0000,02800ELECTROCARDIOLOGY 50346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50346,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50346,A000000,03200,0000,03200SUPPORT SURFACES 50346,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50346,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50346,A000000,04800,0000,04800AMBULANCE 50346,A000000,05000,0000,05000CORF 50346,A000000,05300,0000,05300INTEREST EXPENSE 50346,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50346,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50346,A000000,05500,0000,05500HOSPICE 50346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50346,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50346,A000000,06200,0000,06200PATIENTS LAUNDRY 50346,A81000A,00100,0100,Y 50346,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT EXPEN 50346,A81000C,00100,0100,A 50346,A81000C,00100,0200,BARRY BORTZ 50346,A81000C,00100,0400,DAYSPRING REALTY 50346,A81000C,00100,0600,REAL ESTATE COMPANY 50346,A81000C,00200,0100,A 50346,A81000C,00200,0200,HENRY SCHNEIDER 50346,A81000C,00200,0400,DAYSPRING REALTY 50346,A81000C,00200,0600,REAL ESTATE COMPANY 50346,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50346,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50346,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50346,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50346,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50346,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50346,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50346,B100000,00000,0800,00000MEALS SERVED :DIETARY 50346,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50346,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50346,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50346,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50346,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50346,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50346,S000000,00100,0200,06/05/2000 50346,S200000,00100,0100,8001 DAYTON SPRINGFIELD ROAD 50346,S200000,00200,0100,FAIRBORN 50346,S200000,00200,0200,OH 50346,S200000,00200,0300,45324- 50346,S200000,00300,0100,CLARK 50346,S200000,00400,0100,DAYSPRING HCC 50346,S200000,00400,0200,366151 50346,S200000,00400,0300,01/30/1998 50346,S200000,00400,0500,P 50346,S200000,01600,0100,Y 50353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50353,A000000,00300,0000,00300EMPLOYEE BENEFITS 50353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50353,A000000,00700,0000,00700HOUSEKEEPING 50353,A000000,00800,0000,00800DIETARY 50353,A000000,00900,0000,00900NURSING ADMINISTRATION 50353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50353,A000000,01100,0000,01100PHARMACY 50353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50353,A000000,01300,0000,01300SOCIAL SERVICE 50353,A000000,01350,0000,01500ACTIVITIES 50353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50353,A000000,01600,0000,01600SKILLED NURSING FACILITY 50353,A000000,01800,0000,01800NURSING FACILITY 50353,A000000,01810,0000,01801ICF/MR 50353,A000000,01900,0000,01900OTHER LONG TERM CARE 50353,A000000,02100,0000,02100RADIOLOGY 50353,A000000,02200,0000,02200LABORATORY 50353,A000000,02300,0000,02300INTRAVENOUS THERAPY 50353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50353,A000000,02500,0000,02500PHYSICAL THERAPY 50353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50353,A000000,02700,0000,02700SPEECH PATHOLOGY 50353,A000000,02800,0000,02800ELECTROCARDIOLOGY 50353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50353,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50353,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50353,A000000,03200,0000,03200SUPPORT SURFACES 50353,A000000,03400,0000,03400CLINIC 50353,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50353,A000000,03500,0000,03500RURAL HEALTH CLINIC 50353,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50353,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50353,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50353,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50353,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50353,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50353,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50353,A000000,04400,0000,04400DME RENTED - HHA 50353,A000000,04500,0000,04500DME SOLD - HHA 50353,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50353,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50353,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50353,A000000,04800,0000,04800AMBULANCE 50353,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50353,A000000,05000,0000,05000CORF 50353,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50353,A000000,05300,0000,05300INTEREST EXPENSE 50353,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50353,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50353,A000000,05500,0000,05500HOSPICE 50353,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50353,A000000,06100,0000,06100NONPAID WORKERS 50353,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50353,A000000,06200,0000,06200PATIENTS LAUNDRY 50353,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50353,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50353,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50353,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50353,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50353,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50353,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50353,B100000,00000,0800,00000MEALS SERVED :DIETARY 50353,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50353,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50353,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 50353,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50353,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50353,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50353,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50353,S000000,00100,0200,03/24/2000 50353,S200000,00100,0100,1715 MECHANISBURG RD 50353,S200000,00200,0100,WOOSTER 50353,S200000,00200,0200,OH 50353,S200000,00200,0300,44691- 50353,S200000,00300,0100,WAYNE 50353,S200000,00400,0100,WESTVIEW MANOR 50353,S200000,00400,0200,366152 50353,S200000,00400,0300,02/25/1998 50353,S200000,00400,0500,P 50353,S200000,00400,0600,P 50353,S200000,01004,0500,O 50353,S200000,01600,0100,Y 50353,S700003,00000,0400,4 50361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50361,A000000,00300,0000,00300EMPLOYEE BENEFITS 50361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50361,A000000,00700,0000,00700HOUSEKEEPING 50361,A000000,00800,0000,00800DIETARY 50361,A000000,00900,0000,00900NURSING ADMINISTRATION 50361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50361,A000000,01300,0000,01300SOCIAL SERVICE 50361,A000000,01350,0000,01500ACTIVITIES 50361,A000000,01600,0000,01600SKILLED NURSING FACILITY 50361,A000000,01800,0000,01800NURSING FACILITY 50361,A000000,02500,0000,02500PHYSICAL THERAPY 50361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50361,A000000,02700,0000,02700SPEECH PATHOLOGY 50361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50361,A000000,03200,0000,03200SUPPORT SURFACES 50361,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50361,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50361,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50361,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50361,B100000,00000,0800,00000MEALS SERVED :DIETARY 50361,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50361,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50361,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50361,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50361,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50361,S000000,00100,0200,07/03/1999 50361,S200000,00100,0100,3904 NORTH BEND ROAD 50361,S200000,00200,0100,CINCINNATI 50361,S200000,00200,0200,OH 50361,S200000,00200,0300,45211- 50361,S200000,00300,0100,HAMILTON 50361,S200000,00400,0100,TERRACE VIEW 50361,S200000,00400,0200,366153 50361,S200000,00400,0300,11/25/1997 50361,S200000,00400,0500,P 50361,S200000,01500,0100,Y 50361,S700003,00000,0400,4 50363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50363,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50363,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50363,A000000,00300,0000,00300EMPLOYEE BENEFITS 50363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50363,A000000,00700,0000,00700HOUSEKEEPING 50363,A000000,00800,0000,00800DIETARY 50363,A000000,00801,0000,00801CAFETERIA 50363,A000000,00900,0000,00900NURSING ADMINISTRATION 50363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50363,A000000,01100,0000,01100PHARMACY 50363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50363,A000000,01300,0000,01300SOCIAL SERVICE 50363,A000000,01350,0000,01500ACTIVITIES 50363,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50363,A000000,01600,0000,01600SKILLED NURSING FACILITY 50363,A000000,01800,0000,01800NURSING FACILITY 50363,A000000,01900,0000,01900OTHER LONG TERM CARE 50363,A000000,02100,0000,02100RADIOLOGY 50363,A000000,02200,0000,02200LABORATORY 50363,A000000,02300,0000,02300INTRAVENOUS THERAPY 50363,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50363,A000000,02500,0000,02500PHYSICAL THERAPY 50363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50363,A000000,02700,0000,02700SPEECH PATHOLOGY 50363,A000000,02800,0000,02800ELECTROCARDIOLOGY 50363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50363,A000000,03050,0000,03300OTHER ANCILLARY 50363,A000000,03051,0000,03301OTHER ANCILLARY II 50363,A000000,03052,0000,03302OTHER ANCILLARY III 50363,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50363,A000000,03200,0000,03200SUPPORT SURFACES 50363,A000000,03400,0000,03400CLINIC 50363,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50363,A000000,03500,0000,03500RURAL HEALTH CLINIC 50363,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50363,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50363,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50363,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50363,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50363,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50363,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50363,A000000,04400,0000,04400DME RENTED - HHA 50363,A000000,04500,0000,04500DME SOLD - HHA 50363,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50363,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50363,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50363,A000000,04800,0000,04800AMBULANCE 50363,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50363,A000000,05000,0000,05000CORF 50363,A000000,05010,0000,05010CMHC I 50363,A000000,05020,0000,05020OPT I 50363,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50363,A000000,05300,0000,05300INTEREST EXPENSE 50363,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50363,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50363,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50363,A000000,05500,0000,05500HOSPICE 50363,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50363,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50363,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50363,A000000,06100,0000,06100NONPAID WORKERS 50363,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50363,A000000,06200,0000,06200PATIENTS LAUNDRY 50363,A81000A,00100,0100,Y 50363,A81000B,00100,0300,H/O NURSING 50363,A81000B,00200,0300,H/O A&G 50363,A81000B,00300,0300,H/O 50363,A81000B,00400,0300,H/O RENT 50363,A81000B,00500,0300,H/O NON REIMBURSABLE 50363,A81000B,00600,0300,H/O THERAPIES 50363,A81000C,00100,0100,A 50363,A81000C,00100,0200,GLYNDON POWELL 50363,A81000C,00100,0400,CHSHO INC. 50363,A81000C,00100,0600,HOME OFFICE 50363,A81000C,00200,0100,A 50363,A81000C,00200,0200,ED BYINGTON 50363,A81000C,00200,0400,CHSHO INC. 50363,A81000C,00200,0600,HOME OFFICE 50363,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50363,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50363,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50363,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50363,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50363,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50363,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50363,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 50363,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 50363,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50363,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50363,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 50363,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50363,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50363,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50363,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50363,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 50363,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50363,S000000,00100,0200,06/01/2000 50363,S200000,00100,0100,2841 E. ROUTE 161 50363,S200000,00200,0100,COLUMBUS 50363,S200000,00200,0200,OH 50363,S200000,00300,0100,FRANKLIN 50363,S200000,00400,0100,TERRACE VIEW 50363,S200000,00400,0200,366153 50363,S200000,00400,0300,11/25/1997 50363,S200000,00400,0500,P 50363,S200000,01600,0100,Y 50363,S200000,04300,0100,Y 50371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50371,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50371,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50371,A000000,00300,0000,00300EMPLOYEE BENEFITS 50371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50371,A000000,00700,0000,00700HOUSEKEEPING 50371,A000000,00800,0000,00800DIETARY 50371,A000000,00801,0000,00801CAFETERIA 50371,A000000,00900,0000,00900NURSING ADMINISTRATION 50371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50371,A000000,01100,0000,01100PHARMACY 50371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50371,A000000,01300,0000,01300SOCIAL SERVICE 50371,A000000,01350,0000,01500ACTIVITIES 50371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50371,A000000,01600,0000,01600SKILLED NURSING FACILITY 50371,A000000,01800,0000,01800NURSING FACILITY 50371,A000000,01900,0000,01900OTHER LONG TERM CARE 50371,A000000,02100,0000,02100RADIOLOGY 50371,A000000,02200,0000,02200LABORATORY 50371,A000000,02300,0000,02300INTRAVENOUS THERAPY 50371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50371,A000000,02500,0000,02500PHYSICAL THERAPY 50371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50371,A000000,02700,0000,02700SPEECH PATHOLOGY 50371,A000000,02800,0000,02800ELECTROCARDIOLOGY 50371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50371,A000000,03050,0000,03300OTHER ANCILLARY 50371,A000000,03051,0000,03301OTHER ANCILLARY II 50371,A000000,03052,0000,03302OTHER ANCILLARY III 50371,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50371,A000000,03200,0000,03200SUPPORT SURFACES 50371,A000000,03400,0000,03400CLINIC 50371,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50371,A000000,03500,0000,03500RURAL HEALTH CLINIC 50371,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50371,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50371,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50371,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50371,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50371,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50371,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50371,A000000,04400,0000,04400DME RENTED - HHA 50371,A000000,04500,0000,04500DME SOLD - HHA 50371,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50371,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50371,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50371,A000000,04800,0000,04800AMBULANCE 50371,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50371,A000000,05000,0000,05000CORF 50371,A000000,05010,0000,05010CMHC I 50371,A000000,05020,0000,05020OPT I 50371,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50371,A000000,05300,0000,05300INTEREST EXPENSE 50371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50371,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50371,A000000,05500,0000,05500HOSPICE 50371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50371,A000000,06100,0000,06100NONPAID WORKERS 50371,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50371,A000000,06200,0000,06200PATIENTS LAUNDRY 50371,A81000A,00100,0100,Y 50371,A81000B,00100,0300,H/O NURSING 50371,A81000B,00200,0300,H/O A & G 50371,A81000B,00300,0300,H/O RENT 50371,A81000B,00400,0300,H/O NON REIMBURSABLE 50371,A81000B,00500,0300,H/O THERAPIES 50371,A81000C,00100,0100,A 50371,A81000C,00100,0200,GLYNDON POWELL 50371,A81000C,00100,0400,CHSHO INC. 50371,A81000C,00100,0600,HOME OFFICE 50371,A81000C,00200,0100,A 50371,A81000C,00200,0200,ED BYINGTON 50371,A81000C,00200,0400,CHSHO INC. 50371,A81000C,00200,0600,HOME OFFICE 50371,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50371,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50371,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50371,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50371,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50371,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50371,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 50371,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 50371,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50371,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50371,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 50371,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50371,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50371,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50371,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50371,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 50371,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50371,S000000,00100,0200,06/01/2000 50371,S200000,00100,0100,500 NORTH NELSON ROAD 50371,S200000,00200,0100,COLUMBUS 50371,S200000,00200,0200,OH 50371,S200000,00300,0100,FRANKLIN 50371,S200000,00400,0100,NELSON PARK CARE CENTER 50371,S200000,00400,0200,366154 50371,S200000,00400,0300,01/21/1998 50371,S200000,00400,0500,P 50371,S200000,01500,0100,Y 50371,S200000,04300,0100,Y 50379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50379,A000000,00300,0000,00300EMPLOYEE BENEFITS 50379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50379,A000000,00700,0000,00700HOUSEKEEPING 50379,A000000,00800,0000,00800DIETARY 50379,A000000,00900,0000,00900NURSING ADMINISTRATION 50379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50379,A000000,01100,0000,01100PHARMACY 50379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50379,A000000,01300,0000,01300SOCIAL SERVICE 50379,A000000,01350,0000,01500ACTIVITIES 50379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50379,A000000,01600,0000,01600SKILLED NURSING FACILITY 50379,A000000,01800,0000,01800NURSING FACILITY 50379,A000000,01810,0000,01801ICF/MR 50379,A000000,01900,0000,01900OTHER LONG TERM CARE 50379,A000000,02100,0000,02100RADIOLOGY 50379,A000000,02200,0000,02200LABORATORY 50379,A000000,02300,0000,02300INTRAVENOUS THERAPY 50379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50379,A000000,02500,0000,02500PHYSICAL THERAPY 50379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50379,A000000,02700,0000,02700SPEECH PATHOLOGY 50379,A000000,02800,0000,02800ELECTROCARDIOLOGY 50379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50379,A000000,03200,0000,03200SUPPORT SURFACES 50379,A000000,03400,0000,03400CLINIC 50379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50379,A000000,03500,0000,03500RURAL HEALTH CLINIC 50379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50379,A000000,04400,0000,04400DME RENTED - HHA 50379,A000000,04500,0000,04500DME SOLD - HHA 50379,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50379,A000000,04800,0000,04800AMBULANCE 50379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50379,A000000,05000,0000,05000CORF 50379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50379,A000000,05300,0000,05300INTEREST EXPENSE 50379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50379,A000000,05500,0000,05500HOSPICE 50379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50379,A000000,06100,0000,06100NONPAID WORKERS 50379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50379,A000000,06200,0000,06200PATIENTS LAUNDRY 50379,A81000A,00100,0100,Y 50379,A81000B,00100,0300,HOME OFFICE COSTS 50379,A81000C,00100,0100,A 50379,A81000C,00100,0200,ROBERT MURTHA 50379,A81000C,00100,0400,MACINTOSH MANAGEMENT CO 50379,A81000C,00100,0600,MANAGEMENT COMPANY 50379,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50379,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50379,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50379,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50379,B100000,00000,0800,00000MEALS SERVED :DIETARY 50379,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50379,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50379,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50379,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50379,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50379,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50379,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 50379,S000000,00100,0200,05/26/2000 50379,S200000,00100,0100,5691 THOMPSON ROAD 50379,S200000,00200,0100,NEW ALBANY 50379,S200000,00200,0200,OH 50379,S200000,00200,0300,43230- 50379,S200000,00300,0100,FRANKLIN 50379,S200000,00400,0100,NEW ALBANY CARE CENTER 50379,S200000,00400,0200,366155 50379,S200000,00400,0300,04/01/1998 50379,S200000,00400,0500,P 50379,S200000,01004,0500,O 50379,S200000,01500,0100,Y 50379,S700003,00000,0400,4 50383,S000000,00100,0200,06/29/1999 50385,S000000,00100,0200,05/31/2000 50391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50391,A000000,00700,0000,00700HOUSEKEEPING 50391,A000000,00800,0000,00800DIETARY 50391,A000000,00900,0000,00900NURSING ADMINISTRATION 50391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50391,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 50391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50391,A000000,01300,0000,01300SOCIAL SERVICE 50391,A000000,01600,0000,01600SKILLED NURSING FACILITY 50391,A000000,01800,0000,01800NURSING FACILITY 50391,A000000,02100,0000,02100RADIOLOGY 50391,A000000,02200,0000,02200LABORATORY 50391,A000000,02300,0000,02300INTRAVENOUS THERAPY 50391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50391,A000000,02500,0000,02500PHYSICAL THERAPY 50391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50391,A000000,02700,0000,02700SPEECH PATHOLOGY 50391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50391,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50391,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 50391,A000000,03052,0000,03302MEDICAL EQUIPMENT 50391,A000000,04800,0000,04800AMBULANCE 50391,A000000,05300,0000,05300INTEREST EXPENSE 50391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50391,A000000,06200,0000,06200PATIENTS LAUNDRY 50391,A81000A,00100,0100,Y 50391,A81000B,00100,0300,HOME OFFICE A&G 50391,A81000B,00200,0300,HOME OFFICE CAPITAL 50391,A81000B,00300,0300,DIVISION OFFICE A&G 50391,A81000B,00400,0300,DIVISION OFFICE CAPITAL 50391,A81000B,00500,0300,INSURANCE 50391,A81000B,00600,0300,PHYSICAL THERAPY 50391,A81000B,00700,0300,OCCUPATIONAL THERAPY 50391,A81000B,00800,0300,SPEECH THERAPY 50391,A81000B,00900,0300,AIR FLUIDIZED THERAPY 50391,A81000C,00100,0100,B 50391,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 50391,A81000C,00200,0100,G 50391,A81000C,00200,0200,LAURIER INC. 50391,A81000C,00200,0400,EXTENDICARE INC. 50391,A81000C,00200,0600,INSURANCE 50391,A81000C,00300,0100,G 50391,A81000C,00300,0200,UNITED REHABILITATION SVS 50391,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 50391,A81000C,00300,0600,THERAPY SERVICE 50391,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50391,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50391,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50391,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50391,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50391,B100000,00000,0750,00000ALTERNATE SQUARE FEE :HOUSEKEEPING 50391,B100000,00000,0850,00000PATIENT DAYS :DIETARY 50391,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 50391,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50391,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 50391,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50391,E10A180,00301,0100,06/22/1998 50391,E10A180,00301,0300,06/22/1998 50391,E10A180,00350,0100,06/22/1998 50391,E10A180,00350,0300,06/22/1998 50391,E10A180,00550,0300,06/08/2000 50391,S000000,00100,0200,06/02/2000 50391,S200000,00100,0100,320 ALBANY STREET 50391,S200000,00200,0100,DAYTON 50391,S200000,00200,0200,OH 50391,S200000,00200,0300,45409- 50391,S200000,00300,0100,MONTGOMERY 50391,S200000,00300,0200,2000 50391,S200000,00300,0300,U 50391,S200000,00400,0100,ARBORS AT DAYTON 50391,S200000,00400,0200,366157 50391,S200000,00400,0300,07/10/1998 50391,S200000,00400,0500,P 50391,S200000,01600,0100,Y 50397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50397,A000000,00300,0000,00300EMPLOYEE BENEFITS 50397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50397,A000000,00700,0000,00700HOUSEKEEPING 50397,A000000,00800,0000,00800DIETARY 50397,A000000,00900,0000,00900NURSING ADMINISTRATION 50397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50397,A000000,01100,0000,01100PHARMACY 50397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50397,A000000,01300,0000,01300SOCIAL SERVICE 50397,A000000,01350,0000,01500OTHER GENERAL SERVICES 50397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50397,A000000,01600,0000,01600SKILLED NURSING FACILITY 50397,A000000,01800,0000,01800NURSING FACILITY 50397,A000000,01810,0000,01801ICF/MR 50397,A000000,01900,0000,01900OTHER LONG TERM CARE 50397,A000000,02100,0000,02100RADIOLOGY 50397,A000000,02200,0000,02200LABORATORY 50397,A000000,02300,0000,02300INTRAVENOUS THERAPY 50397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50397,A000000,02500,0000,02500PHYSICAL THERAPY 50397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50397,A000000,02700,0000,02700SPEECH PATHOLOGY 50397,A000000,02800,0000,02800ELECTROCARDIOLOGY 50397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50397,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50397,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50397,A000000,03200,0000,03200SUPPORT SURFACES 50397,A000000,03400,0000,03400CLINIC 50397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50397,A000000,03500,0000,03500RURAL HEALTH CLINIC 50397,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50397,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50397,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50397,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50397,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50397,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50397,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50397,A000000,04400,0000,04400DME RENTED - HHA 50397,A000000,04500,0000,04500DME SOLD - HHA 50397,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50397,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50397,A000000,04800,0000,04800AMBULANCE 50397,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50397,A000000,05000,0000,05000CORF 50397,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50397,A000000,05300,0000,05300INTEREST EXPENSE 50397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50397,A000000,05500,0000,05500HOSPICE 50397,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50397,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50397,A000000,06100,0000,06100NONPAID WORKERS 50397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50397,A000000,06200,0000,06200PATIENTS LAUNDRY 50397,A81000A,00100,0100,Y 50397,A81000B,00100,0300,CAP REL COSTS - BLDGS 50397,A81000B,00200,0300,ADMINISTRATIVE & GENERAL COSTS 50397,A81000B,00300,0300,HO COSTS - CAPITAL 50397,A81000B,00400,0300,HO COSTS - ADMINISTRATIVE 50397,A81000B,00500,0300,HO COSTS - DIETARY 50397,A81000C,00100,0100,A 50397,A81000C,00100,0200,JAMES B RENACCI 50397,A81000C,00100,0400,LTC ASSOCIATES 50397,A81000C,00100,0600,REAL ESTATE 50397,A81000C,00200,0100,A 50397,A81000C,00200,0200,JAMES B RENACCI 50397,A81000C,00200,0400,LTC ASSOCIATES 50397,A81000C,00200,0600,REAL ESTATE 50397,A81000C,00300,0100,B 50397,A81000C,00300,0200,LTC MANAGEMENT SERVICES 50397,A81000C,00300,0400,LTC MANAGEMENT SERVICES 50397,A81000C,00300,0600,NURSING HOME MGT 50397,A81000C,00400,0100,B 50397,A81000C,00400,0200,LTC MANAGEMENT SERVICES 50397,A81000C,00400,0400,LTC MANAGEMENT SERVICES 50397,A81000C,00400,0600,NURSING HOME MGT 50397,A81000C,00500,0100,B 50397,A81000C,00500,0200,LTC MANAGEMENT SERVICES 50397,A81000C,00500,0400,LTC MANAGEMENT SERVICES 50397,A81000C,00500,0600,NURSING HOME MGT 50397,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50397,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50397,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50397,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50397,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50397,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50397,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50397,B100000,00000,0800,00000MEALS SERVED :DIETARY 50397,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50397,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50397,B100000,00000,1150,00000NO STATISTICS :PHARMACY 50397,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50397,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50397,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 50397,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50397,S000000,00100,0200,06/05/2000 50397,S200000,00100,0100,13900 BENNETT ROAD 50397,S200000,00200,0100,NORTH ROYALTON 50397,S200000,00200,0200,OH 50397,S200000,00200,0300,44133- 50397,S200000,00300,0100,CUYAHOGA 50397,S200000,00400,0100,ROYAL VIEW CARE CENTER INC. 50397,S200000,00400,0200,366158 50397,S200000,00400,0300,03/29/1998 50397,S200000,00400,0500,P 50397,S200000,01600,0100,Y 50397,S200000,02200,0100,Y 50397,S200000,04300,0100,Y 50405,S000000,00100,0200,06/01/2000 50410,S000000,00100,0200,06/07/2000 50415,S000000,00100,0200,06/05/2000 50418,S000000,00100,0200,05/28/1999 50420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50420,A000000,00300,0000,00300EMPLOYEE BENEFITS 50420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50420,A000000,00700,0000,00700HOUSEKEEPING 50420,A000000,00800,0000,00800DIETARY 50420,A000000,00900,0000,00900NURSING ADMINISTRATION 50420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50420,A000000,01100,0000,01100PHARMACY 50420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50420,A000000,01300,0000,01300SOCIAL SERVICE 50420,A000000,01350,0000,01500ACTIVITIES 50420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50420,A000000,01600,0000,01600SKILLED NURSING FACILITY 50420,A000000,01800,0000,01800NURSING FACILITY 50420,A000000,01900,0000,01900OTHER LONG TERM CARE 50420,A000000,02100,0000,02100RADIOLOGY 50420,A000000,02200,0000,02200LABORATORY 50420,A000000,02300,0000,02300INTRAVENOUS THERAPY 50420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50420,A000000,02500,0000,02500PHYSICAL THERAPY 50420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50420,A000000,02700,0000,02700SPEECH PATHOLOGY 50420,A000000,02800,0000,02800ELECTROCARDIOLOGY 50420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50420,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50420,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50420,A000000,03200,0000,03200SUPPORT SURFACES 50420,A000000,03400,0000,03400CLINIC 50420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50420,A000000,03500,0000,03500RURAL HEALTH CLINIC 50420,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50420,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50420,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50420,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50420,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50420,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50420,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50420,A000000,04400,0000,04400DME RENTED - HHA 50420,A000000,04500,0000,04500DME SOLD - HHA 50420,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50420,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50420,A000000,04800,0000,04800AMBULANCE 50420,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50420,A000000,05000,0000,05000CORF 50420,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50420,A000000,05300,0000,05300INTEREST EXPENSE 50420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50420,A000000,05500,0000,05500HOSPICE 50420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50420,A000000,06100,0000,06100NONPAID WORKERS 50420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50420,A000000,06200,0000,06200PATIENTS LAUNDRY 50420,A81000A,00100,0100,Y 50420,A81000B,00100,0300,HOME OFFICE COSTS 50420,A81000B,00200,0300,HOME OFFICE COSTS 50420,A81000C,00100,0100,B 50420,A81000C,00100,0200,LUTHERAN HOMES SOCIETY 50420,A81000C,00100,0400,LUTHERAN HOMES SOCIETY 50420,A81000C,00100,0600,CHURCH RELATED ORG. 50420,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 50420,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 50420,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50420,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 50420,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50420,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 50420,B100000,00000,0800,00000MEALS SERVED :DIETARY 50420,B100000,00000,0950,00000DIRECT NURSE :NURSING ADMINISTRATI 50420,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50420,B100000,00000,1150,00000NO STATISTICS :PHARMACY 50420,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50420,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50420,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50420,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 50420,S000000,00100,0200,05/11/2000 50420,S200000,00100,0100,1036 SOUTH PERRY ST. 50420,S200000,00200,0100,NAPOLEON 50420,S200000,00200,0200,OH 50420,S200000,00200,0300,43545- 50420,S200000,00300,0100,HENRY 50420,S200000,00400,0100,THE LUTHERAN HOME 50420,S200000,00400,0200,366162 50420,S200000,00400,0300,10/09/1998 50420,S200000,00400,0500,P 50420,S200000,00400,0600,P 50420,S200000,01004,0500,O 50420,S200000,01500,0100,Y 50420,S200000,02200,0100,Y 50420,S200000,02800,0100,Y 50420,S200000,04300,0100,Y 50420,S700003,00000,0400,4 50426,S000000,00100,0200,05/30/2000 50429,S000000,00100,0200,07/13/1999 50431,S000000,00100,0200,06/05/2000 50434,S000000,00100,0200,05/25/2000 50437,S000000,00100,0200,03/29/2000 50440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50440,A000000,00300,0000,00300EMPLOYEE BENEFITS 50440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50440,A000000,00700,0000,00700HOUSEKEEPING 50440,A000000,00800,0000,00800DIETARY 50440,A000000,00900,0000,00900NURSING ADMINISTRATION 50440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50440,A000000,01100,0000,01100PHARMACY 50440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50440,A000000,01300,0000,01300SOCIAL SERVICE 50440,A000000,01350,0000,01500OTHER GENERAL SERVICES 50440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50440,A000000,01600,0000,01600SKILLED NURSING FACILITY 50440,A000000,01800,0000,01800NURSING FACILITY 50440,A000000,01900,0000,01900OTHER LONG TERM CARE 50440,A000000,02100,0000,02100RADIOLOGY 50440,A000000,02200,0000,02200LABORATORY 50440,A000000,02300,0000,02300INTRAVENOUS THERAPY 50440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50440,A000000,02500,0000,02500PHYSICAL THERAPY 50440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50440,A000000,02700,0000,02700SPEECH PATHOLOGY 50440,A000000,02800,0000,02800ELECTROCARDIOLOGY 50440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50440,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50440,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50440,A000000,03200,0000,03200SUPPORT SURFACES 50440,A000000,03400,0000,03400CLINIC 50440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50440,A000000,03500,0000,03500RURAL HEALTH CLINIC 50440,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50440,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50440,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50440,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50440,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50440,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50440,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50440,A000000,04400,0000,04400DME RENTED - HHA 50440,A000000,04500,0000,04500DME SOLD - HHA 50440,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50440,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50440,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50440,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50440,A000000,05000,0000,05000CORF 50440,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50440,A000000,05300,0000,05300INTEREST EXPENSE 50440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50440,A000000,05500,0000,05500HOSPICE 50440,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50440,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50440,A000000,06100,0000,06100NONPAID WORKERS 50440,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50440,A000000,06200,0000,06200PATIENTS LAUNDRY 50440,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50440,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50440,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50440,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50440,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50440,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50440,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50440,B100000,00000,0800,00000MEALS :DIETARY 50440,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 50440,B100000,00000,1000,00000REQUISITIO ON :CENTRAL SERVICES & 50440,B100000,00000,1330,00000SOC HRS :SOCIAL SERVICE 50440,S000000,00100,0200,06/01/2000 50440,S200000,00100,0100,8139 BEECHMONT AVE 50440,S200000,00200,0100,CINCINNATI 50440,S200000,00200,0200,OH 50440,S200000,00200,0300,45254-1084 50440,S200000,00300,0100,HAMILTON 50440,S200000,00300,0200,1640 50440,S200000,00300,0300,U 50440,S200000,00400,0100,THE ANDERSON 50440,S200000,00400,0200,366167 50440,S200000,00400,0300,02/21/1999 50440,S200000,00400,0500,P 50440,S200000,01500,0100,Y 50446,S000000,00100,0200,07/13/1999 50448,S000000,00100,0200,06/05/2000 50452,S000000,00100,0200,07/02/1999 50453,S000000,00100,0200,06/01/2000 50459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50459,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES-NE 50459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50459,A000000,00300,0000,00300EMPLOYEE BENEFITS 50459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50459,A000000,00700,0000,00700HOUSEKEEPING 50459,A000000,00800,0000,00800DIETARY 50459,A000000,00900,0000,00900NURSING ADMINISTRATION 50459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50459,A000000,01100,0000,01100PHARMACY 50459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50459,A000000,01300,0000,01300SOCIAL SERVICE 50459,A000000,01350,0000,01500OTHER GENERAL SERVICES 50459,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50459,A000000,01600,0000,01600SKILLED NURSING FACILITY 50459,A000000,01800,0000,01800NURSING FACILITY 50459,A000000,01900,0000,01900OTHER LONG TERM CARE 50459,A000000,02100,0000,02100RADIOLOGY 50459,A000000,02200,0000,02200LABORATORY 50459,A000000,02300,0000,02300INTRAVENOUS THERAPY 50459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50459,A000000,02500,0000,02500PHYSICAL THERAPY 50459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50459,A000000,02700,0000,02700SPEECH PATHOLOGY 50459,A000000,02800,0000,02800ELECTROCARDIOLOGY 50459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50459,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50459,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50459,A000000,03200,0000,03200SUPPORT SURFACES 50459,A000000,03400,0000,03400CLINIC 50459,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50459,A000000,03500,0000,03500RURAL HEALTH CLINIC 50459,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50459,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50459,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50459,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50459,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50459,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50459,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50459,A000000,04400,0000,04400DME RENTED - HHA 50459,A000000,04500,0000,04500DME SOLD - HHA 50459,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50459,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50459,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50459,A000000,04800,0000,04800AMBULANCE 50459,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50459,A000000,05000,0000,05000CORF 50459,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50459,A000000,05300,0000,05300INTEREST EXPENSE 50459,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50459,A000000,05500,0000,05500HOSPICE 50459,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50459,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50459,A000000,06100,0000,06100NONPAID WORKERS 50459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50459,A000000,06200,0000,06200PATIENTS LAUNDRY 50459,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50459,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50459,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50459,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50459,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50459,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50459,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50459,B100000,00000,0800,00000MEALS SERVED :DIETARY 50459,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 50459,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50459,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50459,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50459,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 50459,S000000,00100,0200,05/31/2000 50459,S200000,00100,0100,1280 FRIENDSHIP DRIVE 50459,S200000,00200,0100,NEW CONCORD 50459,S200000,00200,0200,OH 50459,S200000,00200,0300,43762- 50459,S200000,00300,0100,MUSKINGUM 50459,S200000,00300,0200,36 50459,S200000,00300,0300,R 50459,S200000,00400,0100,BECKETT HOUSE AT NEW CONCORD 50459,S200000,00400,0200,366173 50459,S200000,00400,0300,03/20/1999 50459,S200000,00400,0500,P 50459,S200000,00600,0200,366173 50459,S200000,00600,0300,03/20/1999 50459,S200000,00600,0600,P 50459,S200000,01004,0500,O 50459,S200000,01600,0100,Y 50459,S200000,04300,0100,Y 50463,S000000,00100,0200,06/05/2000 50467,S000000,00100,0200,06/01/2000 50470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50470,A000000,00300,0000,00300EMPLOYEE BENEFITS 50470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50470,A000000,00700,0000,00700HOUSEKEEPING 50470,A000000,00800,0000,00800DIETARY 50470,A000000,00900,0000,00900NURSING ADMINISTRATION 50470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50470,A000000,01100,0000,01100PHARMACY 50470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50470,A000000,01300,0000,01300SOCIAL SERVICE 50470,A000000,01600,0000,01600SKILLED NURSING FACILITY 50470,A000000,01900,0000,01900OTHER LONG TERM CARE 50470,A000000,02100,0000,02100RADIOLOGY 50470,A000000,02200,0000,02200LABORATORY 50470,A000000,02300,0000,02300INTRAVENOUS THERAPY 50470,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50470,A000000,02500,0000,02500PHYSICAL THERAPY 50470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50470,A000000,02700,0000,02700SPEECH PATHOLOGY 50470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50470,A000000,03200,0000,03200SUPPORT SURFACES 50470,A000000,04800,0000,04800AMBULANCE 50470,A000000,05300,0000,05300INTEREST EXPENSE 50470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50470,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50470,A81000A,00100,0100,Y 50470,A81000B,00100,0300,HOME OFFICE COSTS 50470,A81000C,00100,0100,A 50470,A81000C,00100,0200,TOM NORDQUIST 50470,A81000C,00100,0400,NP MGMT INC. 50470,A81000C,00100,0600,MGMT COMPANY 50470,A81000C,00200,0100,A 50470,A81000C,00200,0200,JAMES PASTORE 50470,A81000C,00200,0400,NP MGMT INC. 50470,A81000C,00200,0600,MGMT COMPANY 50470,A81000C,00300,0100,A 50470,A81000C,00300,0200,LEE ANN PETROZZI 50470,A81000C,00300,0400,NP MGMT INC. 50470,A81000C,00300,0600,MGMT COMPANY 50470,A81000C,00400,0100,A 50470,A81000C,00400,0200,PATRICIA ADAMS 50470,A81000C,00400,0400,NP MGMT INC. 50470,A81000C,00400,0600,MGMT COMPANY 50470,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50470,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50470,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50470,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50470,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50470,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50470,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50470,B100000,00000,0800,00000MEALS SERVED :DIETARY 50470,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 50470,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 50470,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 50470,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 50470,E10A180,00550,0100,01/19/2001 50470,E10A180,00550,0300,06/08/2000 50470,S000000,00100,0200,06/01/2000 50470,S200000,00100,0100,68637 BANNOCK ROAD 50470,S200000,00200,0100,ST. CLAIRSVILLE 50470,S200000,00200,0200,OH 50470,S200000,00200,0300,43950- 50470,S200000,00300,0100,BELMONT 50470,S200000,00300,0200,9000 50470,S200000,00300,0300,U 50470,S200000,00400,0100,CRESTVIEW HEALTH CARE CENTER 50470,S200000,00400,0200,366177 50470,S200000,00400,0300,07/27/1999 50470,S200000,00400,0500,P 50470,S200000,01500,0100,Y 50470,S200000,04300,0100,Y 50473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50473,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 50473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50473,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 50473,A000000,00300,0000,00300EMPLOYEE BENEFITS 50473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50473,A000000,00700,0000,00700HOUSEKEEPING 50473,A000000,00800,0000,00800DIETARY 50473,A000000,00801,0000,00801CAFETERIA 50473,A000000,00900,0000,00900NURSING ADMINISTRATION 50473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50473,A000000,01100,0000,01100PHARMACY 50473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50473,A000000,01300,0000,01300SOCIAL SERVICE 50473,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 50473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50473,A000000,01600,0000,01600SKILLED NURSING FACILITY 50473,A000000,01800,0000,01800NURSING FACILITY 50473,A000000,01900,0000,01900OTHER LONG TERM CARE 50473,A000000,02100,0000,02100RADIOLOGY 50473,A000000,02200,0000,02200LABORATORY 50473,A000000,02300,0000,02300INTRAVENOUS THERAPY 50473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50473,A000000,02500,0000,02500PHYSICAL THERAPY 50473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50473,A000000,02700,0000,02700SPEECH PATHOLOGY 50473,A000000,02800,0000,02800ELECTROCARDIOLOGY 50473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50473,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 50473,A000000,03051,0000,03301OTHER ANCILLARY II 50473,A000000,03052,0000,03302OTHER ANCILLARY III 50473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50473,A000000,03200,0000,03200SUPPORT SURFACES 50473,A000000,03400,0000,03400CLINIC 50473,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 50473,A000000,03500,0000,03500RURAL HEALTH CLINIC 50473,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50473,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 50473,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 50473,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 50473,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 50473,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 50473,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 50473,A000000,04400,0000,04400DME RENTED - HHA 50473,A000000,04500,0000,04500DME SOLD - HHA 50473,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 50473,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 50473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50473,A000000,04800,0000,04800AMBULANCE 50473,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50473,A000000,05000,0000,05000CORF 50473,A000000,05010,0000,05010CMHC I 50473,A000000,05020,0000,05020OPT I 50473,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50473,A000000,05300,0000,05300INTEREST EXPENSE 50473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 50473,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 50473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50473,A000000,05500,0000,05500HOSPICE 50473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50473,A000000,06100,0000,06100NONPAID WORKERS 50473,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50473,A000000,06200,0000,06200PATIENTS LAUNDRY 50473,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 50473,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 50473,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 50473,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 50473,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 50473,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50473,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 50473,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 50473,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 50473,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 50473,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 50473,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 50473,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 50473,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 50473,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 50473,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 50473,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 50473,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 50473,S000000,00100,0200,05/31/2000 50473,S200000,00100,0100,50 SOUTH FINDLAY ST. 50473,S200000,00200,0100,DAYTON 50473,S200000,00200,0200,OH 50473,S200000,00200,0300,45403- 50473,S200000,00300,0100,MONTGOMERY 50473,S200000,00400,0100,WIDOWS HOME 50473,S200000,00400,0200,366178 50473,S200000,00400,0300,08/04/1999 50473,S200000,00400,0500,P 50473,S200000,01500,0100,Y 50473,S200000,02100,0100,A 50473,S200000,02200,0100,Y 50476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50476,A000000,00300,0000,00300EMPLOYEE BENEFITS 50476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50476,A000000,00700,0000,00700HOUSEKEEPING 50476,A000000,00800,0000,00800DIETARY 50476,A000000,00900,0000,00900NURSING ADMINISTRATION 50476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50476,A000000,01100,0000,01100PHARMACY 50476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50476,A000000,01300,0000,01300SOCIAL SERVICE 50476,A000000,01600,0000,01600SKILLED NURSING FACILITY 50476,A000000,01800,0000,01800NURSING FACILITY 50476,A000000,01900,0000,01900OTHER LONG TERM CARE 50476,A000000,02100,0000,02100RADIOLOGY 50476,A000000,02200,0000,02200LABORATORY 50476,A000000,02300,0000,02300INTRAVENOUS THERAPY 50476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50476,A000000,02500,0000,02500PHYSICAL THERAPY 50476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50476,A000000,02700,0000,02700SPEECH PATHOLOGY 50476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50476,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50476,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50476,A000000,03200,0000,03200SUPPORT SURFACES 50476,A000000,04800,0000,04800AMBULANCE 50476,A000000,05300,0000,05300INTEREST EXPENSE 50476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50476,A000000,05500,0000,05500HOSPICE 50476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50476,A000000,06200,0000,06200PATIENTS LAUNDRY 50476,A81000A,00100,0100,Y 50476,A81000B,00100,0300,SHARED A&G EXPENSES 50476,A81000B,00200,0300,SHARED A&G EXPENSES 50476,A81000B,00300,0300,REALTY COMPANY-BUILDING 50476,A81000B,00400,0300,REALTY COMPANY-EQUIPMENT 50476,A81000B,00500,0300,REALTY COMPANY COSTS 50476,A81000C,00100,0100,A 50476,A81000C,00100,0200,WILL GRUNSPAN 50476,A81000C,00100,0400,EMERALD RIDGE REALTY INC 50476,A81000C,00100,0600,REALTY COMPANY 50476,A81000C,00200,0100,A 50476,A81000C,00200,0200,SHARONA GRUNSPAN 50476,A81000C,00200,0400,EMERALD RIDGE REALTY INC 50476,A81000C,00200,0600,REALTY COMPANY 50476,B100000,00000,0150,00000INPATIENT DAYS :CAP REL COSTS - BL 50476,B100000,00000,0250,00000INPATIENT DAYS :CAP REL COSTS - MO 50476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50476,B100000,00000,0550,00000INPATIENT DAYS :PLANT OPERATION M 50476,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 50476,B100000,00000,0750,00000INPATIENT DAYS :HOUSEKEEPING 50476,B100000,00000,0800,00000MEALS SERVED :DIETARY 50476,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 50476,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 50476,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 50476,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 50476,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 50476,E10A180,00550,0300,08/11/2000 50476,S000000,00100,0200,07/25/2000 50476,S200000,00100,0100,5625 EMERALD RIDGE PKWY 50476,S200000,00200,0100,SOLON 50476,S200000,00200,0200,OH 50476,S200000,00200,0300,44139- 50476,S200000,00300,0100,CUYAHOGA 50476,S200000,00400,0100,EMERALD RIDGE NSG & REHAB CTR 50476,S200000,00400,0200,366179 50476,S200000,00400,0300,08/20/1999 50476,S200000,00400,0500,P 50476,S200000,01600,0100,Y 50476,S200000,04300,0100,Y 50481,S000000,00100,0200,06/01/2000 50492,S000000,00100,0200,06/01/2000 50546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50546,A000000,00300,0000,00300EMPLOYEE BENEFITS 50546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50546,A000000,00700,0000,00700HOUSEKEEPING 50546,A000000,00800,0000,00800DIETARY 50546,A000000,00900,0000,00900NURSING ADMINISTRATION 50546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50546,A000000,01100,0000,01100PHARMACY 50546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50546,A000000,01300,0000,01300SOCIAL SERVICE 50546,A000000,01350,0000,01500ACTIVITIES 50546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50546,A000000,01600,0000,01600SKILLED NURSING FACILITY 50546,A000000,01800,0000,01800NURSING FACILITY 50546,A000000,01900,0000,01900OTHER LONG TERM CARE 50546,A000000,02100,0000,02100RADIOLOGY 50546,A000000,02200,0000,02200LABORATORY 50546,A000000,02300,0000,02300INTRAVENOUS THERAPY 50546,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50546,A000000,02500,0000,02500PHYSICAL THERAPY 50546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50546,A000000,02700,0000,02700SPEECH PATHOLOGY 50546,A000000,02800,0000,02800ELECTROCARDIOLOGY 50546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50546,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50546,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50546,A000000,03200,0000,03200SUPPORT SURFACES 50546,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50546,A000000,04800,0000,04800AMBULANCE 50546,A000000,05300,0000,05300INTEREST EXPENSE 50546,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50546,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50546,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50546,A000000,06100,0000,06100NONPAID WORKERS 50546,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50546,A000000,06200,0000,06200PATIENTS LAUNDRY 50546,A81000A,00100,0100,Y 50546,A81000B,00100,0300,HOME OFFICE COST 50546,A81000B,00200,0300,IV THERAPY 50546,A81000B,00300,0300,DRUGS 50546,A81000B,00400,0300,PHYSICAL THERAPY 50546,A81000B,00500,0300,OCCUPATIONAL THERAPY 50546,A81000B,00600,0300,SPEECH THERAPY 50546,A81000C,00100,0100,B 50546,A81000C,00100,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00100,0400,HCR MANORCARE INC. 50546,A81000C,00100,0600,LONG TERM CARE FACILITIES 50546,A81000C,00200,0100,B 50546,A81000C,00200,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50546,A81000C,00200,0600,PHARMACY 50546,A81000C,00300,0100,B 50546,A81000C,00300,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50546,A81000C,00300,0600,PHARMACY 50546,A81000C,00400,0100,B 50546,A81000C,00400,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00400,0400,MANAGEMENT SERVICES 50546,A81000C,00400,0600,THERAPY MANAGEMENT 50546,A81000C,00500,0100,B 50546,A81000C,00500,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00500,0400,MANAGEMENT SERVICES 50546,A81000C,00500,0600,THERAPY MANAGEMENT 50546,A81000C,00600,0100,B 50546,A81000C,00600,0200,TWINBROOK MEDICAL CENTER 50546,A81000C,00600,0400,MANAGEMENT SERVICES 50546,A81000C,00600,0600,THERAPY MANAGEMENT 50546,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50546,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50546,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50546,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50546,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50546,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50546,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50546,B100000,00000,0800,00000MEALS SERVED :DIETARY 50546,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50546,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50546,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50546,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50546,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50546,E10A180,00501,0100,10/07/2000 50546,S000000,00100,0200,11/06/2000 50546,S200000,00100,0100,3805 ST. LAWERENCE PARK 50546,S200000,00200,0100,ERIE 50546,S200000,00200,0200,PA 50546,S200000,00200,0300,16511- 50546,S200000,00300,0100,ERIE 50546,S200000,00300,0200,2360 50546,S200000,00300,0300,U 50546,S200000,00400,0100,TWINBROOK MEDICAL CENTER 50546,S200000,00400,0200,395041 50546,S200000,00400,0300,01/01/1967 50546,S200000,00400,0500,P 50546,S200000,00400,0600,P 50546,S200000,01600,0100,Y 50546,S200000,02200,0100,Y 50556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50556,A000000,00300,0000,00300EMPLOYEE BENEFITS 50556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50556,A000000,00700,0000,00700HOUSEKEEPING 50556,A000000,00800,0000,00800DIETARY 50556,A000000,00900,0000,00900NURSING ADMINISTRATION 50556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50556,A000000,01100,0000,01100PHARMACY 50556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50556,A000000,01300,0000,01300SOCIAL SERVICE 50556,A000000,01350,0000,01500ACTIVITIES 50556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50556,A000000,01600,0000,01600SKILLED NURSING FACILITY 50556,A000000,01800,0000,01800NURSING FACILITY 50556,A000000,01900,0000,01900OTHER LONG TERM CARE 50556,A000000,02100,0000,02100RADIOLOGY 50556,A000000,02200,0000,02200LABORATORY 50556,A000000,02300,0000,02300INTRAVENOUS THERAPY 50556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50556,A000000,02500,0000,02500PHYSICAL THERAPY 50556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50556,A000000,02700,0000,02700SPEECH PATHOLOGY 50556,A000000,02800,0000,02800ELECTROCARDIOLOGY 50556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50556,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50556,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50556,A000000,03200,0000,03200SUPPORT SURFACES 50556,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50556,A000000,04800,0000,04800AMBULANCE 50556,A000000,05300,0000,05300INTEREST EXPENSE 50556,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50556,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50556,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50556,A000000,06100,0000,06100NONPAID WORKERS 50556,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50556,A000000,06200,0000,06200PATIENTS LAUNDRY 50556,A81000A,00100,0100,Y 50556,A81000B,00100,0300,HOME OFFICE COST 50556,A81000B,00200,0300,IV THERAPY 50556,A81000B,00300,0300,PHARMACY 50556,A81000B,00400,0300,PHYSICAL THERAPY 50556,A81000B,00500,0300,OCCUPATIONAL THERAPY 50556,A81000B,00600,0300,SPEECH THERAPY 50556,A81000C,00100,0100,B 50556,A81000C,00100,0200,HHCC- PITTSBURGH 50556,A81000C,00100,0400,HCR MANORCARE INC. 50556,A81000C,00100,0600,LONG TERM CARE FACILITIES 50556,A81000C,00200,0100,B 50556,A81000C,00200,0200,HHCC- PITTSBURGH 50556,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50556,A81000C,00200,0600,PHARMACY 50556,A81000C,00300,0100,B 50556,A81000C,00300,0200,HHCC- PITTSBURGH 50556,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50556,A81000C,00300,0600,PHARMACY 50556,A81000C,00400,0100,B 50556,A81000C,00400,0200,HHCC- PITTSBURGH 50556,A81000C,00400,0400,HEARTLAND MANAGEMENT CO 50556,A81000C,00400,0600,THERAPY MANAGEMENT SERV 50556,A81000C,00500,0100,B 50556,A81000C,00500,0200,HHCC- PITTSBURGH 50556,A81000C,00500,0400,HEARTLAND MANAGEMENT CO 50556,A81000C,00500,0600,THERAPY MANAGEMENT SERV 50556,A81000C,00600,0100,B 50556,A81000C,00600,0200,HHCC- PITTSBURGH 50556,A81000C,00600,0400,HEARTLAND MANAGEMENT CO 50556,A81000C,00600,0600,THERAPY MANAGEMENT SERV 50556,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50556,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50556,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50556,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50556,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50556,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50556,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50556,B100000,00000,0800,00000MEALS SERVED :DIETARY 50556,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50556,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50556,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50556,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50556,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50556,E10A180,00301,0100,02/03/2000 50556,E10A180,00301,0300,02/03/2000 50556,E10A180,00501,0100,11/17/2000 50556,S000000,00100,0200,11/09/2000 50556,S200000,00100,0100,550 SOUTH NEGLEY AVENUE 50556,S200000,00200,0100,PITTSBURGH 50556,S200000,00200,0200,PA 50556,S200000,00200,0300,15232- 50556,S200000,00300,0100,ALLEGHENY 50556,S200000,00300,0200,6280 50556,S200000,00300,0300,U 50556,S200000,00400,0100,HHCC- PITTSBURGH 50556,S200000,00400,0200,395068 50556,S200000,00400,0300,01/01/1996 50556,S200000,00400,0500,P 50556,S200000,00400,0600,P 50556,S200000,01600,0100,Y 50556,S200000,02200,0100,Y 50577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50577,A000000,00300,0000,00300EMPLOYEE BENEFITS 50577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50577,A000000,00700,0000,00700HOUSEKEEPING 50577,A000000,00800,0000,00800DIETARY 50577,A000000,00900,0000,00900NURSING ADMINISTRATION 50577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50577,A000000,01100,0000,01100PHARMACY 50577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50577,A000000,01300,0000,01300SOCIAL SERVICE 50577,A000000,01350,0000,01500ACTIVITIES 50577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50577,A000000,01600,0000,01600SKILLED NURSING FACILITY 50577,A000000,01800,0000,01800NURSING FACILITY 50577,A000000,01900,0000,01900OTHER LONG TERM CARE 50577,A000000,02100,0000,02100RADIOLOGY 50577,A000000,02200,0000,02200LABORATORY 50577,A000000,02300,0000,02300INTRAVENOUS THERAPY 50577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50577,A000000,02500,0000,02500PHYSICAL THERAPY 50577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50577,A000000,02700,0000,02700SPEECH PATHOLOGY 50577,A000000,02800,0000,02800ELECTROCARDIOLOGY 50577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50577,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50577,A000000,03200,0000,03200SUPPORT SURFACES 50577,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50577,A000000,04800,0000,04800AMBULANCE 50577,A000000,05300,0000,05300INTEREST EXPENSE 50577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50577,A000000,06100,0000,06100NONPAID WORKERS 50577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50577,A000000,06200,0000,06200PATIENTS LAUNDRY 50577,A81000A,00100,0100,Y 50577,A81000B,00100,0300,HOME OFFICE COST 50577,A81000B,00200,0300,IV COSTS 50577,A81000B,00300,0300,PHARMACY 50577,A81000B,00400,0300,PHYSICAL THERAPY 50577,A81000B,00500,0300,OCCUPATIONAL THERAPY 50577,A81000B,00600,0300,SPEECH THERAPY 50577,A81000B,00700,0300,DIRECT CORPORATE INTEREST 50577,A81000C,00100,0100,B 50577,A81000C,00100,0200,HAMPTON HOUSE MANOR 50577,A81000C,00100,0400,HCR MANORCARE INC. 50577,A81000C,00100,0600,LONG TERM CARE FACILITIES 50577,A81000C,00200,0100,B 50577,A81000C,00200,0200,HAMPTON HOUSE MANOR 50577,A81000C,00200,0400,HTLD HEALTH CARE SERVICES 50577,A81000C,00200,0600,IV DRUGS 50577,A81000C,00300,0100,B 50577,A81000C,00300,0200,HAMPTON HOUSE MANOR 50577,A81000C,00300,0400,HTLD HEALTH CARE SERVICES 50577,A81000C,00300,0600,PHARMACY 50577,A81000C,00400,0100,B 50577,A81000C,00400,0200,HAMPTON HOUSE MANOR 50577,A81000C,00400,0400,HTLD MGMT SERVICES 50577,A81000C,00400,0600,THERAPY MANAGEMENT 50577,A81000C,00500,0100,B 50577,A81000C,00500,0200,HAMPTON HOUSE MANOR 50577,A81000C,00500,0400,HTLD MGMT SERVICES 50577,A81000C,00500,0600,THERAPY MANAGEMENT 50577,A81000C,00600,0100,B 50577,A81000C,00600,0200,HAMPTON HOUSE MANOR 50577,A81000C,00600,0400,HTLD MGMT SERVICES 50577,A81000C,00600,0600,THERAPY MANAGEMENT 50577,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50577,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50577,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50577,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50577,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50577,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50577,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50577,B100000,00000,0800,00000MEALS SERVED :DIETARY 50577,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50577,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50577,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50577,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50577,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50577,E10A180,00501,0100,11/08/2000 50577,S000000,00100,0200,11/02/2000 50577,S200000,00100,0100,1548 SAN SOUCI PARKWAY 50577,S200000,00200,0100,WILKES-BARRE 50577,S200000,00200,0200,PA 50577,S200000,00200,0300,18702- 50577,S200000,00300,0100,LUZERNE 50577,S200000,00300,0200,7560 50577,S200000,00300,0300,U 50577,S200000,00400,0100,HAMPTON HOUSE 50577,S200000,00400,0200,395249 50577,S200000,00400,0300,03/31/1983 50577,S200000,00400,0500,P 50577,S200000,00400,0600,P 50577,S200000,01600,0100,Y 50577,S200000,02200,0100,Y 50594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50594,A000000,00300,0000,00300EMPLOYEE BENEFITS 50594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50594,A000000,00700,0000,00700HOUSEKEEPING 50594,A000000,00800,0000,00800DIETARY 50594,A000000,00900,0000,00900NURSING ADMINISTRATION 50594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50594,A000000,01100,0000,01100PHARMACY 50594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50594,A000000,01300,0000,01300SOCIAL SERVICE 50594,A000000,01350,0000,01500ACTIVITIES 50594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50594,A000000,01600,0000,01600SKILLED NURSING FACILITY 50594,A000000,01800,0000,01800NURSING FACILITY 50594,A000000,01900,0000,01900OTHER LONG TERM CARE 50594,A000000,02100,0000,02100RADIOLOGY 50594,A000000,02200,0000,02200LABORATORY 50594,A000000,02300,0000,02300INTRAVENOUS THERAPY 50594,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50594,A000000,02500,0000,02500PHYSICAL THERAPY 50594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50594,A000000,02700,0000,02700SPEECH PATHOLOGY 50594,A000000,02800,0000,02800ELECTROCARDIOLOGY 50594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50594,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50594,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50594,A000000,03200,0000,03200SUPPORT SURFACES 50594,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50594,A000000,04800,0000,04800AMBULANCE 50594,A000000,05300,0000,05300INTEREST EXPENSE 50594,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50594,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50594,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50594,A000000,06100,0000,06100NONPAID WORKERS 50594,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50594,A000000,06200,0000,06200PATIENTS LAUNDRY 50594,A81000A,00100,0100,Y 50594,A81000B,00100,0300,HOME OFFICE COST 50594,A81000B,00200,0300,PHYSICAL THERAPY 50594,A81000B,00300,0300,OCCUPATIONAL THERAPY 50594,A81000B,00400,0300,SPEECH THERAPY 50594,A81000B,00500,0300,IV COSTS 50594,A81000B,00600,0300,PHARMACY 50594,A81000C,00100,0100,B 50594,A81000C,00100,0200,LIBERTY NURSING & REHAB 50594,A81000C,00100,0400,HCR MANORCARE INC. 50594,A81000C,00100,0600,LONG TERM CARE FACILITIES 50594,A81000C,00200,0100,B 50594,A81000C,00200,0200,LIBERTY NURSING & REHAB 50594,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 50594,A81000C,00200,0600,THERAPY MANAGEMENT 50594,A81000C,00300,0100,B 50594,A81000C,00300,0200,LIBERTY NURSING & REHAB 50594,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 50594,A81000C,00300,0600,THERAPY MANAGEMENT 50594,A81000C,00400,0100,B 50594,A81000C,00400,0200,LIBERTY NURSING & REHAB 50594,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 50594,A81000C,00400,0600,THERAPY MANAGEMENT 50594,A81000C,00500,0100,B 50594,A81000C,00500,0200,LIBERTY NURSING & REHAB 50594,A81000C,00500,0400,HTLD HEALTHCARE SERVICES 50594,A81000C,00500,0600,IV DRUGS 50594,A81000C,00600,0100,B 50594,A81000C,00600,0200,LIBERTY NURSING & REHAB 50594,A81000C,00600,0400,HTLD HEALTHCARE SERVICES 50594,A81000C,00600,0600,PHARMACY 50594,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50594,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50594,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50594,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50594,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50594,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50594,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50594,B100000,00000,0800,00000MEALS SERVED :DIETARY 50594,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50594,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50594,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50594,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50594,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50594,E10A180,00501,0100,12/19/2000 50594,S000000,00100,0200,11/02/2000 50594,S200000,00100,0100,535 N 17TH STREET 50594,S200000,00200,0100,ALLENTOWN 50594,S200000,00200,0200,PA 50594,S200000,00200,0300,18104- 50594,S200000,00300,0100,LEHEIGH 50594,S200000,00300,0200,0240 50594,S200000,00300,0300,U 50594,S200000,00400,0100,LIBERTY NURSING 50594,S200000,00400,0200,395264 50594,S200000,00400,0300,06/01/1969 50594,S200000,00400,0500,P 50594,S200000,01600,0100,Y 50594,S200000,02200,0100,Y 50603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50603,A000000,00300,0000,00300EMPLOYEE BENEFITS 50603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50603,A000000,00700,0000,00700HOUSEKEEPING 50603,A000000,00800,0000,00800DIETARY 50603,A000000,00900,0000,00900NURSING ADMINISTRATION 50603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50603,A000000,01100,0000,01100PHARMACY 50603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50603,A000000,01300,0000,01300SOCIAL SERVICE 50603,A000000,01350,0000,01500ACTIVITIES 50603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50603,A000000,01600,0000,01600SKILLED NURSING FACILITY 50603,A000000,01800,0000,01800NURSING FACILITY 50603,A000000,01900,0000,01900OTHER LONG TERM CARE 50603,A000000,02100,0000,02100RADIOLOGY 50603,A000000,02200,0000,02200LABORATORY 50603,A000000,02300,0000,02300INTRAVENOUS THERAPY 50603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50603,A000000,02500,0000,02500PHYSICAL THERAPY 50603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50603,A000000,02700,0000,02700SPEECH PATHOLOGY 50603,A000000,02800,0000,02800ELECTROCARDIOLOGY 50603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50603,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50603,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50603,A000000,03200,0000,03200SUPPORT SURFACES 50603,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50603,A000000,04800,0000,04800AMBULANCE 50603,A000000,05300,0000,05300INTEREST EXPENSE 50603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50603,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50603,A000000,06100,0000,06100NONPAID WORKERS 50603,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50603,A000000,06200,0000,06200PATIENTS LAUNDRY 50603,A81000A,00100,0100,Y 50603,A81000B,00100,0300,HOME OFFICE COST 50603,A81000B,00200,0300,IV THERAPY 50603,A81000B,00300,0300,DRUGS 50603,A81000B,00400,0300,PHYSICAL THERAPY 50603,A81000B,00500,0300,OCCUPATIONAL THERAPT 50603,A81000B,00600,0300,SPEECH THERAPY 50603,A81000C,00100,0100,B 50603,A81000C,00100,0200,SKY VUE TERRACE 50603,A81000C,00100,0400,HCR MANORCARE INC. 50603,A81000C,00100,0600,LONG TERM CARE FACILITIES 50603,A81000C,00200,0100,B 50603,A81000C,00200,0200,SKY VUE TERRACE 50603,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50603,A81000C,00200,0600,PHARMACY 50603,A81000C,00300,0100,B 50603,A81000C,00300,0200,SKY VUE TERRACE 50603,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50603,A81000C,00300,0600,PHARMACY 50603,A81000C,00400,0100,B 50603,A81000C,00400,0200,SKY VUE TERRACE 50603,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 50603,A81000C,00400,0600,THERAPY MANAGEMENT 50603,A81000C,00500,0100,B 50603,A81000C,00500,0200,SKY VUE TERRACE 50603,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 50603,A81000C,00500,0600,THERAPY MANAGEMENT 50603,A81000C,00600,0100,B 50603,A81000C,00600,0200,SKY VUE TERRACE 50603,A81000C,00600,0400,HEARTLAND MANAGEMENT SVCS 50603,A81000C,00600,0600,THERAPY MANAGEMENT 50603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50603,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50603,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50603,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50603,B100000,00000,0800,00000MEALS SERVED :DIETARY 50603,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50603,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50603,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50603,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50603,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50603,E10A180,00301,0100,02/03/2000 50603,E10A180,00501,0100,11/16/2000 50603,S000000,00100,0200,11/06/2000 50603,S200000,00100,0100,2170 RHINE STREET 50603,S200000,00200,0100,PITTSBURGH 50603,S200000,00200,0200,PA 50603,S200000,00200,0300,15212- 50603,S200000,00300,0100,ALLEGHENY 50603,S200000,00300,0200,6280 50603,S200000,00300,0300,U 50603,S200000,00400,0100,SKY VUE TERRACE 50603,S200000,00400,0200,395666 50603,S200000,00400,0300,01/01/1967 50603,S200000,00400,0500,P 50603,S200000,00400,0600,P 50603,S200000,01600,0100,Y 50603,S200000,02200,0100,Y 50614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50614,A000000,00300,0000,00300EMPLOYEE BENEFITS 50614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50614,A000000,00700,0000,00700HOUSEKEEPING 50614,A000000,00800,0000,00800DIETARY 50614,A000000,00900,0000,00900NURSING ADMINISTRATION 50614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50614,A000000,01100,0000,01100PHARMACY 50614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50614,A000000,01300,0000,01300SOCIAL SERVICE 50614,A000000,01350,0000,01500ACTIVITIES 50614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50614,A000000,01600,0000,01600SKILLED NURSING FACILITY 50614,A000000,01800,0000,01800NURSING FACILITY 50614,A000000,01900,0000,01900OTHER LONG TERM CARE 50614,A000000,02100,0000,02100RADIOLOGY 50614,A000000,02200,0000,02200LABORATORY 50614,A000000,02300,0000,02300INTRAVENOUS THERAPY 50614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50614,A000000,02500,0000,02500PHYSICAL THERAPY 50614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50614,A000000,02700,0000,02700SPEECH PATHOLOGY 50614,A000000,02800,0000,02800ELECTROCARDIOLOGY 50614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50614,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50614,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50614,A000000,03200,0000,03200SUPPORT SURFACES 50614,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50614,A000000,04800,0000,04800AMBULANCE 50614,A000000,05300,0000,05300INTEREST EXPENSE 50614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50614,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50614,A000000,06100,0000,06100NONPAID WORKERS 50614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50614,A000000,06200,0000,06200PATIENTS LAUNDRY 50614,A81000A,00100,0100,Y 50614,A81000B,00100,0300,HOME OFFICE COST 50614,A81000B,00200,0300,INTRAVENOUS THERAPY 50614,A81000B,00300,0300,PHARMACY 50614,A81000B,00400,0300,THERAPY MGMT SERVICES 50614,A81000B,00500,0300,THERAPY MGMT SERVICES 50614,A81000B,00600,0300,THERAPY MGMT SERVICES 50614,A81000C,00100,0100,B 50614,A81000C,00100,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00100,0400,HCR MANORCARE INC. 50614,A81000C,00100,0600,LONG TERM CARE FACILITIES 50614,A81000C,00200,0100,B 50614,A81000C,00200,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00200,0400,HEARTLAND HEALTH SERVICES 50614,A81000C,00200,0600,PHARMACY 50614,A81000C,00300,0100,B 50614,A81000C,00300,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00300,0400,HEARTLAND HEALTH SERVICES 50614,A81000C,00300,0600,PHARMACY 50614,A81000C,00400,0100,B 50614,A81000C,00400,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00400,0400,HEARTLAND MGMT SERVICES 50614,A81000C,00400,0600,THERAPY MGMT SVCS 50614,A81000C,00500,0100,B 50614,A81000C,00500,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00500,0400,HEARTLAND MGMT SERVICES 50614,A81000C,00500,0600,THERAPY MGMT SVCS 50614,A81000C,00600,0100,B 50614,A81000C,00600,0200,WALLINGFORD NSG & REHAB 50614,A81000C,00600,0400,HEARTLAND MGMT SERVICES 50614,A81000C,00600,0600,THERAPY MGMT SVCS 50614,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50614,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50614,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50614,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50614,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50614,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50614,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50614,B100000,00000,0800,00000MEALS SERVED :DIETARY 50614,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50614,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50614,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50614,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50614,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50614,E10A180,00501,0100,12/01/2000 50614,S000000,00100,0200,11/02/2000 50614,S200000,00100,0100,115 S PROVIDENCE ROAD 50614,S200000,00200,0100,WALLINGFORD 50614,S200000,00200,0200,PA 50614,S200000,00200,0300,19086- 50614,S200000,00300,0100,DELAWARE 50614,S200000,00300,0200,6160 50614,S200000,00300,0300,U 50614,S200000,00400,0100,WALLINGFORD NURSING & REHAB 50614,S200000,00400,0200,395685 50614,S200000,00400,0300,07/01/1986 50614,S200000,00400,0500,P 50614,S200000,00400,0600,P 50614,S200000,01600,0100,Y 50614,S200000,02200,0100,Y 50619,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50619,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50619,A000000,00300,0000,00300EMPLOYEE BENEFITS 50619,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50619,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50619,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50619,A000000,00700,0000,00700HOUSEKEEPING 50619,A000000,00800,0000,00800DIETARY 50619,A000000,00900,0000,00900NURSING ADMINISTRATION 50619,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50619,A000000,01100,0000,01100PHARMACY 50619,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50619,A000000,01300,0000,01300SOCIAL SERVICE 50619,A000000,01350,0000,01500OTHER GENERAL SERVICES 50619,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50619,A000000,01600,0000,01600SKILLED NURSING FACILITY 50619,A000000,01800,0000,01800NURSING FACILITY 50619,A000000,01810,0000,01810ICF/MR 50619,A000000,01900,0000,01900OTHER LONG TERM CARE 50619,A000000,02100,0000,02100RADIOLOGY 50619,A000000,02200,0000,02200LABORATORY 50619,A000000,02300,0000,02300INTRAVENOUS THERAPY 50619,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50619,A000000,02500,0000,02500PHYSICAL THERAPY 50619,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50619,A000000,02700,0000,02700SPEECH PATHOLOGY 50619,A000000,02800,0000,02800ELECTROCARDIOLOGY 50619,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50619,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50619,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50619,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50619,A000000,03200,0000,03200SUPPORT SURFACES 50619,A000000,03400,0000,03400CLINIC 50619,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50619,A000000,03500,0000,03500RURAL HEALTH CLINIC 50619,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50619,A000000,04800,0000,04800AMBULANCE 50619,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50619,A000000,05000,0000,05000CORF 50619,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 50619,A000000,05300,0000,05300INTEREST EXPENSE 50619,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50619,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50619,A000000,05500,0000,05500HOSPICE 50619,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50619,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50619,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 50619,A000000,06100,0000,06100NONPAID WORKERS 50619,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50619,A000000,06200,0000,06200PATIENTS LAUNDRY 50619,A81000A,00100,0100,Y 50619,A81000B,00100,0300,INTEREST/DEPRECIATION 50619,A81000B,00200,0300,HOME OFFICE COST 50619,A81000B,00300,0300,PHARMACY 50619,A81000B,00400,0300,EMPLOYEE BENEFITS 50619,A81000B,00500,0300,OFFICE SUPPLIES 50619,A81000B,00600,0300,MAINTENANCE SUPPLIES 50619,A81000B,00700,0300,LAUNDRY SUPPLIES 50619,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 50619,A81000B,00900,0300,DIETARY SUPPLIES 50619,A81000B,01000,0300,MEDICAL SUPPLIES 50619,A81000B,01100,0300,THERAPY SUPPLIES 50619,A81000C,00100,0100,A 50619,A81000C,00100,0200,JOHN MASTERNICK 50619,A81000C,00100,0400,D & M REALTY 50619,A81000C,00100,0600,REAL ESTATE 50619,A81000C,00200,0100,D 50619,A81000C,00200,0200,JOHN J MASTERNICK JR 50619,A81000C,00200,0400,MEDI-RX 50619,A81000C,00200,0600,PHARMACY 50619,A81000C,00300,0100,A 50619,A81000C,00300,0200,JOHN MASTERNICK 50619,A81000C,00300,0400,TRADEMASTERS 50619,A81000C,00300,0600,SUPPLIES 50619,A81000C,00400,0100,D 50619,A81000C,00400,0200,JOHN J MASTERNICK JR 50619,A81000C,00400,0400,TRADEMASTERS 50619,A81000C,00400,0600,SUPPLIES 50619,A81000C,00500,0100,D 50619,A81000C,00500,0200,LEO S GRIMES 50619,A81000C,00500,0400,TRADEMASTERS 50619,A81000C,00500,0600,SUPPLIES 50619,A81000C,00600,0100,A 50619,A81000C,00600,0200,JOHN MASTERNICK 50619,A81000C,00600,0400,WINDSOR HOUSE INC 50619,A81000C,00600,0600,HOME OFFICE 50619,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50619,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50619,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50619,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 50619,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50619,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50619,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50619,B100000,00000,0800,00000MEALS SERVED :DIETARY 50619,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 50619,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50619,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50619,E10A180,00550,0100,07/26/2000 50619,S000000,00100,0200,06/02/2000 50619,S200000,00100,0100,SR 66 CHERRY STREET 50619,S200000,00200,0100,MARIENVILLE 50619,S200000,00200,0200,PA 50619,S200000,00200,0300,16239- 50619,S200000,00300,0100,FOREST 50619,S200000,00300,0200,39 50619,S200000,00300,0300,R 50619,S200000,00400,0100,SNYDER MEMORIAL HEALTH CARE 50619,S200000,00400,0200,395728 50619,S200000,00400,0300,01/01/1987 50619,S200000,00400,0500,P 50619,S200000,01500,0100,Y 50629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50629,A000000,00300,0000,00300EMPLOYEE BENEFITS 50629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50629,A000000,00700,0000,00700HOUSEKEEPING 50629,A000000,00800,0000,00800DIETARY 50629,A000000,00900,0000,00900NURSING ADMINISTRATION 50629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50629,A000000,01100,0000,01100PHARMACY 50629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50629,A000000,01300,0000,01300SOCIAL SERVICE 50629,A000000,01350,0000,01500ACTIVITIES 50629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50629,A000000,01600,0000,01600SKILLED NURSING FACILITY 50629,A000000,01800,0000,01800NURSING FACILITY 50629,A000000,01900,0000,01900OTHER LONG TERM CARE 50629,A000000,02100,0000,02100RADIOLOGY 50629,A000000,02200,0000,02200LABORATORY 50629,A000000,02300,0000,02300INTRAVENOUS THERAPY 50629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50629,A000000,02500,0000,02500PHYSICAL THERAPY 50629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50629,A000000,02700,0000,02700SPEECH PATHOLOGY 50629,A000000,02800,0000,02800ELECTROCARDIOLOGY 50629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50629,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50629,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50629,A000000,03200,0000,03200SUPPORT SURFACES 50629,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50629,A000000,04800,0000,04800AMBULANCE 50629,A000000,05300,0000,05300INTEREST EXPENSE 50629,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50629,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50629,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50629,A000000,06100,0000,06100NONPAID WORKERS 50629,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50629,A000000,06200,0000,06200PATIENTS LAUNDRY 50629,A81000A,00100,0100,Y 50629,A81000B,00100,0300,HOME OFFICE COST 50629,A81000B,00200,0300,IV COST 50629,A81000B,00300,0300,DRUGS 50629,A81000B,00400,0300,PT ADMIN FEES 50629,A81000B,00500,0300,OT ADMIN FEES 50629,A81000B,00600,0300,ST ADMIN FEES 50629,A81000C,00100,0100,B 50629,A81000C,00100,0200,OAKMONT EAST 50629,A81000C,00100,0400,HCR MANORCARE INC. 50629,A81000C,00100,0600,LONG TERM CARE FACILITIES 50629,A81000C,00200,0100,B 50629,A81000C,00200,0200,OAKMONT EAST 50629,A81000C,00200,0400,HTLD HEALTH CARE SERVICE 50629,A81000C,00200,0600,PHARMACY 50629,A81000C,00300,0100,B 50629,A81000C,00300,0200,OAKMONT EAST 50629,A81000C,00300,0400,HTLD HEALTH CARE SERVICE 50629,A81000C,00300,0600,PHARMACY 50629,A81000C,00400,0100,B 50629,A81000C,00400,0200,OAKMONT EAST 50629,A81000C,00400,0400,HTLD MANAGMENT SERV ICE 50629,A81000C,00400,0600,THERAPY MANAGEMENT 50629,A81000C,00500,0100,B 50629,A81000C,00500,0200,OAKMONT EAST 50629,A81000C,00500,0400,HTLD MANAGEMENT SERVICE 50629,A81000C,00500,0600,THERAPY MANAGEMENT 50629,A81000C,00600,0100,B 50629,A81000C,00600,0200,OAKMONT EAST 50629,A81000C,00600,0400,HTLD MANAGEMENT SERVICE 50629,A81000C,00600,0600,THERAPY MANAGEMENT 50629,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50629,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50629,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50629,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50629,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50629,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50629,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50629,B100000,00000,0800,00000MEALS SERVED :DIETARY 50629,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50629,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50629,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50629,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50629,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50629,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50629,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50629,S000000,00100,0200,02/17/2000 50629,S200000,00100,0100,601 SULFER SPRINGS ROAD 50629,S200000,00200,0100,GREENVILLE 50629,S200000,00200,0200,SC 50629,S200000,00200,0300,29511- 50629,S200000,00300,0100,GREENVILLE 50629,S200000,00400,0100,OAKMONT EAST 50629,S200000,00400,0200,425106 50629,S200000,00400,0300,10/01/1976 50629,S200000,00400,0500,O 50629,S200000,00400,0600,P 50629,S200000,01600,0100,Y 50629,S700003,00000,0100,1 50637,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50637,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50637,A000000,00300,0000,00300EMPLOYEE BENEFITS 50637,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50637,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50637,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50637,A000000,00700,0000,00700HOUSEKEEPING 50637,A000000,00800,0000,00800DIETARY 50637,A000000,00900,0000,00900NURSING ADMINISTRATION 50637,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50637,A000000,01100,0000,01100PHARMACY 50637,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50637,A000000,01300,0000,01300SOCIAL SERVICE 50637,A000000,01350,0000,01500ACTIVITIES 50637,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50637,A000000,01600,0000,01600SKILLED NURSING FACILITY 50637,A000000,01800,0000,01800NURSING FACILITY 50637,A000000,01900,0000,01900OTHER LONG TERM CARE 50637,A000000,02100,0000,02100RADIOLOGY 50637,A000000,02200,0000,02200LABORATORY 50637,A000000,02300,0000,02300INTRAVENOUS THERAPY 50637,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50637,A000000,02500,0000,02500PHYSICAL THERAPY 50637,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50637,A000000,02700,0000,02700SPEECH PATHOLOGY 50637,A000000,02800,0000,02800ELECTROCARDIOLOGY 50637,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50637,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50637,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50637,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50637,A000000,03200,0000,03200SUPPORT SURFACES 50637,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50637,A000000,04800,0000,04800AMBULANCE 50637,A000000,05300,0000,05300INTEREST EXPENSE 50637,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50637,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50637,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50637,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50637,A000000,06100,0000,06100NONPAID WORKERS 50637,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50637,A000000,06200,0000,06200PATIENTS LAUNDRY 50637,A81000A,00100,0100,Y 50637,A81000B,00100,0300,HOME OFFICE COST 50637,A81000B,00200,0300,PHYSICAL THERAPY 50637,A81000B,00300,0300,OCCUPATIONAL THERAPY 50637,A81000B,00400,0300,SPEECH THERAPY 50637,A81000B,00500,0300,PHARMACY 50637,A81000C,00100,0100,B 50637,A81000C,00100,0200,OAKMONT OF UNION 50637,A81000C,00100,0400,HCR MANORCARE INC. 50637,A81000C,00100,0600,LONG TERM CARE FACILITIES 50637,A81000C,00200,0100,B 50637,A81000C,00200,0200,OAKMONT OF UNION 50637,A81000C,00200,0400,HTLD MGMT SERVICES 50637,A81000C,00200,0600,THERAPY MANAGEMENT 50637,A81000C,00300,0100,B 50637,A81000C,00300,0200,OAKMONT OF UNION 50637,A81000C,00300,0400,HTLD MGMT SERVICES 50637,A81000C,00300,0600,THERAPY MANAGEMENT 50637,A81000C,00400,0100,B 50637,A81000C,00400,0200,OAKMONT OF UNION 50637,A81000C,00400,0400,HTLD MGMT SERVICES 50637,A81000C,00400,0600,THERAPY MANAGEMENT 50637,A81000C,00500,0100,B 50637,A81000C,00500,0200,OAKMONT OF UNION 50637,A81000C,00500,0400,HTLD HEALTHCARE SERVICES 50637,A81000C,00500,0600,PHARMACY 50637,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50637,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50637,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50637,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50637,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50637,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50637,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50637,B100000,00000,0800,00000MEALS SERVED :DIETARY 50637,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50637,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50637,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50637,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50637,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50637,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50637,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50637,E10A180,00501,0100,03/02/2000 50637,S000000,00100,0200,02/15/2000 50637,S200000,00100,0100,709 RICE STREET EXTENSION 50637,S200000,00200,0100,UNION 50637,S200000,00200,0200,SC 50637,S200000,00200,0300,29397- 50637,S200000,00300,0100,UNION 50637,S200000,00400,0100,OAKMONT OF UNION 50637,S200000,00400,0200,425142 50637,S200000,00400,0300,11/01/1985 50637,S200000,00400,0500,P 50637,S200000,00400,0600,P 50637,S200000,01600,0100,Y 50637,S700003,00000,0100,1 50650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50650,A000000,00300,0000,00300EMPLOYEE BENEFITS 50650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50650,A000000,00700,0000,00700HOUSEKEEPING 50650,A000000,00800,0000,00800DIETARY 50650,A000000,00900,0000,00900NURSING ADMINISTRATION 50650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50650,A000000,01100,0000,01100PHARMACY 50650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50650,A000000,01300,0000,01300SOCIAL SERVICE 50650,A000000,01350,0000,01500ACTIVITIES 50650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50650,A000000,01600,0000,01600SKILLED NURSING FACILITY 50650,A000000,01800,0000,01800NURSING FACILITY 50650,A000000,01900,0000,01900OTHER LONG TERM CARE 50650,A000000,02100,0000,02100RADIOLOGY 50650,A000000,02200,0000,02200LABORATORY 50650,A000000,02300,0000,02300INTRAVENOUS THERAPY 50650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50650,A000000,02500,0000,02500PHYSICAL THERAPY 50650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50650,A000000,02700,0000,02700SPEECH PATHOLOGY 50650,A000000,02800,0000,02800ELECTROCARDIOLOGY 50650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50650,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50650,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50650,A000000,03200,0000,03200SUPPORT SURFACES 50650,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 50650,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50650,A000000,04800,0000,04800AMBULANCE 50650,A000000,05300,0000,05300INTEREST EXPENSE 50650,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50650,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50650,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50650,A000000,06100,0000,06100NONPAID WORKERS 50650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50650,A000000,06200,0000,06200PATIENTS LAUNDRY 50650,A81000A,00100,0100,Y 50650,A81000B,00100,0300,HOME OFFICE COST 50650,A81000B,00200,0300,DRUGS 50650,A81000B,00300,0300,PT ADMINISTATION FEE 50650,A81000B,00400,0300,OT ADMINISTATION FEE 50650,A81000B,00500,0300,ST ADMINISTATION FEE 50650,A81000C,00100,0100,B 50650,A81000C,00100,0200,CHARLESTON SC 50650,A81000C,00100,0400,HCR MANORCARE INC. 50650,A81000C,00100,0600,LONG TERM CARE FACILITIES 50650,A81000C,00200,0100,B 50650,A81000C,00200,0200,CHARLESTON SC 50650,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50650,A81000C,00200,0600,PHARMACY 50650,A81000C,00300,0100,B 50650,A81000C,00300,0200,CHARLESTON SC 50650,A81000C,00300,0400,HEARTLNAD MANAGEMENT SERV 50650,A81000C,00300,0600,THERAPY MANAGEMENT 50650,A81000C,00400,0100,B 50650,A81000C,00400,0200,CHARLESTON SC 50650,A81000C,00400,0400,HEARTLNAD MANAGEMENT SERV 50650,A81000C,00400,0600,THERAPY MANAGEMENT 50650,A81000C,00500,0100,B 50650,A81000C,00500,0200,CHARLESTON SC 50650,A81000C,00500,0400,HEARTLNAD MANAGEMENT SERV 50650,A81000C,00500,0600,THERAPY MANAGEMENT 50650,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50650,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50650,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50650,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50650,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50650,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50650,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50650,B100000,00000,0800,00000MEALS SERVED :DIETARY 50650,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50650,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50650,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50650,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50650,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50650,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50650,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50650,E10A180,00501,0100,03/02/2000 50650,S000000,00100,0200,02/17/2000 50650,S200000,00100,0100,1800 EAGLE LANDING BLVD. 50650,S200000,00200,0100,HANAHAN 50650,S200000,00200,0200,SC 50650,S200000,00200,0300,29406- 50650,S200000,00300,0100,BERKLEY 50650,S200000,00400,0100,HCR MANOR CARE - CHARLESTON SC 50650,S200000,00400,0200,425289 50650,S200000,00400,0300,07/27/1989 50650,S200000,00400,0500,P 50650,S200000,01600,0100,Y 50650,S200000,02200,0100,Y 50660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50660,A000000,00300,0000,00300EMPLOYEE BENEFITS 50660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50660,A000000,00700,0000,00700HOUSEKEEPING 50660,A000000,00800,0000,00800DIETARY 50660,A000000,00900,0000,00900NURSING ADMINISTRATION 50660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50660,A000000,01100,0000,01100PHARMACY 50660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50660,A000000,01300,0000,01300SOCIAL SERVICE 50660,A000000,01350,0000,01500ACTIVITIES 50660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50660,A000000,01600,0000,01600SKILLED NURSING FACILITY 50660,A000000,01800,0000,01800NURSING FACILITY 50660,A000000,01900,0000,01900OTHER LONG TERM CARE 50660,A000000,02100,0000,02100RADIOLOGY 50660,A000000,02200,0000,02200LABORATORY 50660,A000000,02300,0000,02300INTRAVENOUS THERAPY 50660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50660,A000000,02500,0000,02500PHYSICAL THERAPY 50660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50660,A000000,02700,0000,02700SPEECH PATHOLOGY 50660,A000000,02800,0000,02800ELECTROCARDIOLOGY 50660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50660,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50660,A000000,03200,0000,03200SUPPORT SURFACES 50660,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50660,A000000,04800,0000,04800AMBULANCE 50660,A000000,05300,0000,05300INTEREST EXPENSE 50660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50660,A000000,06100,0000,06100NONPAID WORKERS 50660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50660,A000000,06200,0000,06200PATIENTS LAUNDRY 50660,A81000A,00100,0100,Y 50660,A81000B,00100,0300,HOME OFFICE COST 50660,A81000B,00200,0300,PHYSICAL THERAPY 50660,A81000B,00300,0300,OCCUPATIONAL THERAPY 50660,A81000B,00400,0300,SPEECH THERAPY 50660,A81000B,00500,0300,IV COSTS 50660,A81000B,00600,0300,DRUGS 50660,A81000C,00100,0100,B 50660,A81000C,00100,0200,OAKMONT WEST 50660,A81000C,00100,0400,HCR MANORCARE INC. 50660,A81000C,00100,0600,LONG TERM CARE FACILITIES 50660,A81000C,00200,0100,B 50660,A81000C,00200,0200,OAKMONT WEST 50660,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 50660,A81000C,00200,0600,PHYSICAL THERAPY 50660,A81000C,00300,0100,B 50660,A81000C,00300,0200,OAKMONT WEST 50660,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 50660,A81000C,00300,0600,OCCUPATIONAL THERAPY 50660,A81000C,00400,0100,B 50660,A81000C,00400,0200,OAKMONT WEST 50660,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 50660,A81000C,00400,0600,SPEECH THERAPY 50660,A81000C,00500,0100,B 50660,A81000C,00500,0200,OAKMONT WEST 50660,A81000C,00500,0400,HEARTLAND HEALTHCARE SVS 50660,A81000C,00500,0600,IV COSTS 50660,A81000C,00600,0100,B 50660,A81000C,00600,0200,OAKMONT WEST 50660,A81000C,00600,0400,HEARTLAND HEALTHCARE SVS 50660,A81000C,00600,0600,PHARMACY 50660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50660,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50660,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50660,B100000,00000,0800,00000MEALS SERVED :DIETARY 50660,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50660,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50660,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50660,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50660,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50660,E10A180,00501,0100,02/24/2000 50660,S000000,00100,0200,02/17/2000 50660,S200000,00100,0100,600 SULPHUR SPRINGS ROAD 50660,S200000,00200,0100,GREENVILLE 50660,S200000,00200,0200,SC 50660,S200000,00200,0300,29617- 50660,S200000,00300,0100,GREENVILLE 50660,S200000,00300,0200,3160 50660,S200000,00300,0300,U 50660,S200000,00400,0100,OAKMONT WEST 50660,S200000,00400,0200,425294 50660,S200000,00400,0300,01/01/1991 50660,S200000,00400,0500,P 50660,S200000,01500,0100,Y 50668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50668,A000000,00300,0000,00300EMPLOYEE BENEFITS 50668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50668,A000000,00700,0000,00700HOUSEKEEPING 50668,A000000,00800,0000,00800DIETARY 50668,A000000,00900,0000,00900NURSING ADMINISTRATION 50668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50668,A000000,01100,0000,01100PHARMACY 50668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50668,A000000,01300,0000,01300SOCIAL SERVICE 50668,A000000,01350,0000,01500ACTIVITIES 50668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50668,A000000,01600,0000,01600SKILLED NURSING FACILITY 50668,A000000,01800,0000,01800NURSING FACILITY 50668,A000000,01900,0000,01900OTHER LONG TERM CARE 50668,A000000,02100,0000,02100RADIOLOGY 50668,A000000,02200,0000,02200LABORATORY 50668,A000000,02300,0000,02300INTRAVENOUS THERAPY 50668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50668,A000000,02500,0000,02500PHYSICAL THERAPY 50668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50668,A000000,02700,0000,02700SPEECH PATHOLOGY 50668,A000000,02800,0000,02800ELECTROCARDIOLOGY 50668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50668,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50668,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50668,A000000,03200,0000,03200SUPPORT SURFACES 50668,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50668,A000000,04800,0000,04800AMBULANCE 50668,A000000,05300,0000,05300INTEREST EXPENSE 50668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50668,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50668,A000000,06100,0000,06100NONPAID WORKERS 50668,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50668,A000000,06200,0000,06200PATIENTS LAUNDRY 50668,A81000A,00100,0100,Y 50668,A81000B,00100,0300,HOME OFFICE COST 50668,A81000B,00200,0300,IV COST 50668,A81000B,00300,0300,DRUGS 50668,A81000B,00400,0300,PT ADMINISTRATION FEES 50668,A81000B,00500,0300,OT ADMINSTRATION FEES 50668,A81000B,00600,0300,ST ADMINISTRATION FEES 50668,A81000C,00100,0100,B 50668,A81000C,00100,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00100,0400,HCR MANORCARE INC. 50668,A81000C,00100,0600,LONG TERM CARE FACILITIES 50668,A81000C,00200,0100,B 50668,A81000C,00200,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50668,A81000C,00200,0600,PHARMACY 50668,A81000C,00300,0100,B 50668,A81000C,00300,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50668,A81000C,00300,0600,PHARMACY 50668,A81000C,00400,0100,B 50668,A81000C,00400,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 50668,A81000C,00400,0600,PHARMACY 50668,A81000C,00500,0100,B 50668,A81000C,00500,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 50668,A81000C,00500,0600,THERAPY MANAGEMENT 50668,A81000C,00600,0100,B 50668,A81000C,00600,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50668,A81000C,00600,0600,THERAPY MANAGEMENT 50668,A81000C,00700,0100,B 50668,A81000C,00700,0200,HEARTLAND OF MEMPHIS 50668,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 50668,A81000C,00700,0600,THERAPY MANAGEMENT 50668,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50668,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50668,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50668,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50668,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50668,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50668,B100000,00000,0800,00000MEALS SERVED :DIETARY 50668,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50668,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50668,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50668,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50668,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50668,E10A180,00501,0100,06/27/2000 50668,E10A180,00501,0300,09/24/2001 50668,E10A180,00550,0100,09/24/2001 50668,S000000,00100,0200,06/01/2000 50668,S200000,00100,0100,3030 WALNUT GROVE 50668,S200000,00200,0100,MEMPHIS 50668,S200000,00200,0200,TN 50668,S200000,00200,0300,38111- 50668,S200000,00300,0100,SHELBY 50668,S200000,00300,0200,4920 50668,S200000,00300,0300,U 50668,S200000,00400,0100,HEARTLAND OF MEMPHIS 50668,S200000,00400,0200,445118 50668,S200000,00400,0300,01/01/1984 50668,S200000,00400,0500,P 50668,S200000,01600,0100,Y 50668,S200000,02200,0100,Y 50677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50677,A000000,00300,0000,00300EMPLOYEE BENEFITS 50677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50677,A000000,00700,0000,00700HOUSEKEEPING 50677,A000000,00800,0000,00800DIETARY 50677,A000000,00900,0000,00900NURSING ADMINISTRATION 50677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50677,A000000,01100,0000,01100PHARMACY 50677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50677,A000000,01300,0000,01300SOCIAL SERVICE 50677,A000000,01350,0000,01500ACTIVITIES 50677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50677,A000000,01600,0000,01600SKILLED NURSING FACILITY 50677,A000000,01800,0000,01800NURSING FACILITY 50677,A000000,01900,0000,01900OTHER LONG TERM CARE 50677,A000000,02100,0000,02100RADIOLOGY 50677,A000000,02200,0000,02200LABORATORY 50677,A000000,02300,0000,02300INTRAVENOUS THERAPY 50677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50677,A000000,02500,0000,02500PHYSICAL THERAPY 50677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50677,A000000,02700,0000,02700SPEECH PATHOLOGY 50677,A000000,02800,0000,02800ELECTROCARDIOLOGY 50677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50677,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50677,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50677,A000000,03200,0000,03200SUPPORT SURFACES 50677,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50677,A000000,04800,0000,04800AMBULANCE 50677,A000000,05300,0000,05300INTEREST EXPENSE 50677,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50677,A000000,06100,0000,06100NONPAID WORKERS 50677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50677,A000000,06200,0000,06200PATIENTS LAUNDRY 50677,A81000A,00100,0100,Y 50677,A81000B,00100,0300,HOME OFFICE COST 50677,A81000B,00200,0300,MANAGEMENT FEE 50677,A81000B,00300,0300,MANAGEMENT FEE 50677,A81000B,00400,0300,MANAGEMENT FEE 50677,A81000B,00500,0300,INTEREST 50677,A81000C,00100,0100,B 50677,A81000C,00100,0200,HOLIDAY NURSING CENTER 50677,A81000C,00100,0400,HCR MANORCARE INC. 50677,A81000C,00100,0600,LONG TERM CARE FACILITIES 50677,A81000C,00200,0100,B 50677,A81000C,00200,0200,HOLIDAY NURSING CENTER 50677,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 50677,A81000C,00200,0600,THERAPY MANAGEMENT 50677,A81000C,00300,0100,B 50677,A81000C,00300,0200,HOLIDAY NURSING CENTER 50677,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 50677,A81000C,00300,0600,THERAPY MANAGEMENT 50677,A81000C,00400,0100,B 50677,A81000C,00400,0200,HOLIDAY NURSING CENTER 50677,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 50677,A81000C,00400,0600,THERAPY MANAGEMENT 50677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50677,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50677,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50677,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50677,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50677,B100000,00000,0800,00000MEALS SERVED :DIETARY 50677,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50677,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50677,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50677,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50677,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50677,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50677,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50677,E10A180,00501,0300,05/25/2000 50677,S000000,00100,0200,05/17/2000 50677,S200000,00100,0300,1865 50677,S200000,00200,0100,CENTER 50677,S200000,00200,0200,TX 50677,S200000,00200,0300,75935- 50677,S200000,00300,0100,SHELBY 50677,S200000,00400,0100,HOLIDAY NURSING CENTER 50677,S200000,00400,0200,455550 50677,S200000,00400,0300,09/01/1985 50677,S200000,00400,0500,P 50677,S200000,00400,0600,P 50677,S200000,01600,0100,Y 50677,S200000,02200,0100,Y 50688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50688,A000000,00300,0000,00300EMPLOYEE BENEFITS 50688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50688,A000000,00700,0000,00700HOUSEKEEPING 50688,A000000,00800,0000,00800DIETARY 50688,A000000,00900,0000,00900NURSING ADMINISTRATION 50688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50688,A000000,01100,0000,01100PHARMACY 50688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50688,A000000,01300,0000,01300SOCIAL SERVICE 50688,A000000,01350,0000,01500ACTIVITIES 50688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50688,A000000,01600,0000,01600SKILLED NURSING FACILITY 50688,A000000,01800,0000,01800NURSING FACILITY 50688,A000000,01900,0000,01900OTHER LONG TERM CARE 50688,A000000,02100,0000,02100RADIOLOGY 50688,A000000,02200,0000,02200LABORATORY 50688,A000000,02300,0000,02300INTRAVENOUS THERAPY 50688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50688,A000000,02500,0000,02500PHYSICAL THERAPY 50688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50688,A000000,02700,0000,02700SPEECH PATHOLOGY 50688,A000000,02800,0000,02800ELECTROCARDIOLOGY 50688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50688,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50688,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50688,A000000,03200,0000,03200SUPPORT SURFACES 50688,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50688,A000000,04800,0000,04800AMBULANCE 50688,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50688,A000000,05300,0000,05300INTEREST EXPENSE 50688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50688,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50688,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50688,A000000,06100,0000,06100NONPAID WORKERS 50688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50688,A000000,06200,0000,06200PATIENTS LAUNDRY 50688,A81000A,00100,0100,Y 50688,A81000B,00100,0300,HOME OFFICE COST 50688,A81000B,00200,0300,INTRAVENOUS THERAPY 50688,A81000B,00300,0300,PT THERAPY SERVICES 50688,A81000B,00400,0300,OT THERAPY SERVICES 50688,A81000B,00500,0300,ST THERAPY SERVICES 50688,A81000B,00600,0300,PT MANAGEMENT FEE 50688,A81000B,00700,0300,OT MANAGEMENT FEE 50688,A81000B,00800,0300,ST MANAGEMENT FEE 50688,A81000B,00900,0300,DRUGS CHARGED TO PATIENTS 50688,A81000C,00100,0100,B 50688,A81000C,00100,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00100,0400,HCR MANORCARE INC. 50688,A81000C,00100,0600,LONG TERM CARE FACILITIES 50688,A81000C,00200,0100,B 50688,A81000C,00200,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50688,A81000C,00200,0600,PHARMACY 50688,A81000C,00300,0100,B 50688,A81000C,00300,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00300,0400,HEARTLAND REHAB SERVICES 50688,A81000C,00300,0600,THERAPY SERVICES 50688,A81000C,00400,0100,B 50688,A81000C,00400,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00400,0400,HEARTLAND REHAB SERVICES 50688,A81000C,00400,0600,THERAPY SERVICES 50688,A81000C,00500,0100,B 50688,A81000C,00500,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00500,0400,HEARTLAND REHAB SERVICES 50688,A81000C,00500,0600,THERAPY SERVICES 50688,A81000C,00600,0100,B 50688,A81000C,00600,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00600,0400,HEARTLAND MGT SERVICES 50688,A81000C,00600,0600,THERAPY MANAGEMENT 50688,A81000C,00700,0100,B 50688,A81000C,00700,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00700,0400,HEARTLAND MGT SERVICES 50688,A81000C,00700,0600,THERAPY MANAGEMENT 50688,A81000C,00800,0100,B 50688,A81000C,00800,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00800,0400,HEARTLAND MGT SERVICES 50688,A81000C,00800,0600,THERAPY MANAGEMENT 50688,A81000C,00900,0100,B 50688,A81000C,00900,0200,HTLND OF CORPUS CHRISTI 50688,A81000C,00900,0400,HEARTLAND MGT SERVICES 50688,A81000C,00900,0600,PHARMACY 50688,A81000C,01000,0100,B 50688,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50688,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50688,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50688,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50688,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50688,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50688,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50688,B100000,00000,0800,00000MEALS SERVED :DIETARY 50688,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50688,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50688,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50688,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50688,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50688,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50688,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50688,S000000,00100,0200,05/17/2000 50688,S200000,00100,0100,202 FORTUNE DRIVE 50688,S200000,00200,0100,CORPUS CHRISTI 50688,S200000,00200,0200,TX 50688,S200000,00200,0300,78405- 50688,S200000,00300,0100,NUECES 50688,S200000,00400,0100,HEARTLAND OF CORPUS CHRISTI 50688,S200000,00400,0200,455697 50688,S200000,00400,0300,04/01/1987 50688,S200000,00400,0500,P 50688,S200000,00400,0600,P 50688,S200000,01600,0100,Y 50688,S200000,02200,0100,Y 50688,S700003,00000,0100,1 50699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50699,A000000,00300,0000,00300EMPLOYEE BENEFITS 50699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50699,A000000,00700,0000,00700HOUSEKEEPING 50699,A000000,00800,0000,00800DIETARY 50699,A000000,00900,0000,00900NURSING ADMINISTRATION 50699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50699,A000000,01100,0000,01100PHARMACY 50699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50699,A000000,01300,0000,01300SOCIAL SERVICE 50699,A000000,01350,0000,01500ACTIVITIES 50699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50699,A000000,01600,0000,01600SKILLED NURSING FACILITY 50699,A000000,01800,0000,01800NURSING FACILITY 50699,A000000,01900,0000,01900OTHER LONG TERM CARE 50699,A000000,02100,0000,02100RADIOLOGY 50699,A000000,02200,0000,02200LABORATORY 50699,A000000,02300,0000,02300INTRAVENOUS THERAPY 50699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50699,A000000,02500,0000,02500PHYSICAL THERAPY 50699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50699,A000000,02700,0000,02700SPEECH PATHOLOGY 50699,A000000,02800,0000,02800ELECTROCARDIOLOGY 50699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50699,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50699,A000000,03200,0000,03200SUPPORT SURFACES 50699,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50699,A000000,04800,0000,04800AMBULANCE 50699,A000000,05300,0000,05300INTEREST EXPENSE 50699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50699,A000000,06100,0000,06100NONPAID WORKERS 50699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50699,A000000,06200,0000,06200PATIENTS LAUNDRY 50699,A81000A,00100,0100,Y 50699,A81000B,00100,0300,HOME OFFICE COST 50699,A81000B,00200,0300,IV COSTS 50699,A81000B,00300,0300,THERAPY SERVICES 50699,A81000B,00400,0300,THERAPY SERVICES 50699,A81000B,00500,0300,THERAPY SERVICES 50699,A81000B,00600,0300,MANAGEMENT FEE 50699,A81000B,00700,0300,MANAGEMENT FEE 50699,A81000B,00800,0300,MANAGEMENT FEE 50699,A81000B,00900,0300,DRUGS 50699,A81000C,00100,0100,B 50699,A81000C,00100,0200,HHCC - WEST HOUSTON 50699,A81000C,00100,0400,HCR MANORCARE INC. 50699,A81000C,00100,0600,LONG TERM CARE FACILITIES 50699,A81000C,00200,0100,B 50699,A81000C,00200,0200,HHCC - WEST HOUSTON 50699,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50699,A81000C,00200,0600,PHARMACY 50699,A81000C,00300,0100,B 50699,A81000C,00300,0200,HHCC - WEST HOUSTON 50699,A81000C,00300,0400,HEARTLAND REHAB SERV 50699,A81000C,00300,0600,THERAPY SERVICES 50699,A81000C,00400,0100,B 50699,A81000C,00400,0200,HHCC - WEST HOUSTON 50699,A81000C,00400,0400,HEARTLAND REHAB SERV 50699,A81000C,00400,0600,THERAPY SERVICES 50699,A81000C,00500,0100,B 50699,A81000C,00500,0200,HHCC - WEST HOUSTON 50699,A81000C,00500,0400,HEARTLAND REHAB SERV 50699,A81000C,00500,0600,THERAPY SERVICES 50699,A81000C,00600,0100,B 50699,A81000C,00600,0200,HHCC - WEST HOUSTON 50699,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50699,A81000C,00600,0600,THERAPY MANAGEMENT 50699,A81000C,00700,0100,B 50699,A81000C,00700,0200,HHCC - WEST HOUSTON 50699,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 50699,A81000C,00700,0600,THERAPY MANAGEMENT 50699,A81000C,00800,0100,B 50699,A81000C,00800,0200,HHCC - WEST HOUSTON 50699,A81000C,00800,0400,HEARTLAND MANAGEMENT SERV 50699,A81000C,00800,0600,THERAPY MANAGEMENT 50699,A81000C,00900,0100,B 50699,A81000C,00900,0200,HHCC - WEST HOUSTON 50699,A81000C,00900,0400,HEARTLAND HEALTHCARE SERV 50699,A81000C,00900,0600,PHARMACY 50699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50699,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50699,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50699,B100000,00000,0800,00000MEALS SERVED :DIETARY 50699,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50699,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50699,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50699,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50699,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50699,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50699,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50699,S000000,00100,0200,05/17/2000 50699,S200000,00100,0100,2939 WOODLAND PARK DRIVE 50699,S200000,00200,0100,HOUSTON 50699,S200000,00200,0200,TX 50699,S200000,00200,0300,77082- 50699,S200000,00300,0100,HARRIS 50699,S200000,00400,0100,HHCC - WEST HOUSTON 50699,S200000,00400,0200,455756 50699,S200000,00400,0300,05/20/1988 50699,S200000,00400,0500,P 50699,S200000,00400,0600,P 50699,S200000,01004,0500,O 50699,S200000,01600,0100,Y 50699,S200000,02200,0100,Y 50709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50709,A000000,00300,0000,00300EMPLOYEE BENEFITS 50709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50709,A000000,00700,0000,00700HOUSEKEEPING 50709,A000000,00800,0000,00800DIETARY 50709,A000000,00900,0000,00900NURSING ADMINISTRATION 50709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50709,A000000,01100,0000,01100PHARMACY 50709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50709,A000000,01300,0000,01300SOCIAL SERVICE 50709,A000000,01350,0000,01500ACTIVITIES 50709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50709,A000000,01600,0000,01600SKILLED NURSING FACILITY 50709,A000000,01800,0000,01800NURSING FACILITY 50709,A000000,01900,0000,01900OTHER LONG TERM CARE 50709,A000000,02100,0000,02100RADIOLOGY 50709,A000000,02200,0000,02200LABORATORY 50709,A000000,02300,0000,02300INTRAVENOUS THERAPY 50709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50709,A000000,02500,0000,02500PHYSICAL THERAPY 50709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50709,A000000,02700,0000,02700SPEECH PATHOLOGY 50709,A000000,02800,0000,02800ELECTROCARDIOLOGY 50709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50709,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50709,A000000,03200,0000,03200SUPPORT SURFACES 50709,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50709,A000000,04800,0000,04800AMBULANCE 50709,A000000,05300,0000,05300INTEREST EXPENSE 50709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50709,A000000,06100,0000,06100NONPAID WORKERS 50709,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50709,A000000,06200,0000,06200PATIENTS LAUNDRY 50709,A81000A,00100,0100,Y 50709,A81000B,00100,0300,HOME OFFICE COST 50709,A81000B,00200,0300,THERAPY SERVICES 50709,A81000B,00300,0300,THERAPY SERVICES 50709,A81000B,00400,0300,THERAPY SERVICES 50709,A81000B,00500,0300,IV COSTS 50709,A81000B,00600,0300,DRUGS 50709,A81000B,00700,0300,PT ADMINISTRATIVE FEE 50709,A81000B,00800,0300,OT ADMINISTRATIVE FEE 50709,A81000B,00900,0300,ST ADMINISTRATIVE FEE 50709,A81000C,00100,0100,B 50709,A81000C,00100,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00100,0400,HCR MANORCARE INC. 50709,A81000C,00100,0600,LONG TERM CARE FACILITIES 50709,A81000C,00200,0100,B 50709,A81000C,00200,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00200,0400,HEARTLAND REHAB 50709,A81000C,00200,0600,THERAPY SERVICES 50709,A81000C,00300,0100,B 50709,A81000C,00300,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00300,0400,HEARTLAND REHAB 50709,A81000C,00300,0600,THERAPY SERVICES 50709,A81000C,00400,0100,B 50709,A81000C,00400,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00400,0400,HEARTLAND REHAB 50709,A81000C,00400,0600,THERAPY SERVICES 50709,A81000C,00500,0100,B 50709,A81000C,00500,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00500,0400,HEARTLAND HEALTHCARE SERV 50709,A81000C,00500,0600,PHARMACY 50709,A81000C,00600,0100,B 50709,A81000C,00600,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00600,0400,HEARTLAND HEALTACARE SERV 50709,A81000C,00600,0600,PHARMACY 50709,A81000C,00700,0100,B 50709,A81000C,00700,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00700,0400,HEARTLAND MGT SERV 50709,A81000C,00700,0600,THERAPY MANAGEMENT 50709,A81000C,00800,0100,B 50709,A81000C,00800,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00800,0400,HEARTLAND MGT SERV. 50709,A81000C,00800,0600,THERAPY MANAGEMENT 50709,A81000C,00900,0100,B 50709,A81000C,00900,0200,HEARTLAND OF SAN ANTONIO 50709,A81000C,00900,0400,HEARTLAND MGT. SERV. 50709,A81000C,00900,0600,THERAPY MANAGEMENT 50709,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50709,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50709,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50709,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50709,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50709,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50709,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50709,B100000,00000,0800,00000MEALS SERVED :DIETARY 50709,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50709,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50709,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50709,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50709,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50709,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50709,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50709,S000000,00100,0200,05/23/2000 50709,S200000,00100,0100,ONE HEARTLAND DRIVE 50709,S200000,00200,0100,SAN ANTONIO 50709,S200000,00200,0200,TX 50709,S200000,00200,0300,78247- 50709,S200000,00300,0100,BEXAR 50709,S200000,00400,0100,SAN ANTONIO 50709,S200000,00400,0200,455762 50709,S200000,00400,0300,07/01/1988 50709,S200000,00400,0500,P 50709,S200000,00400,0600,P 50709,S200000,01600,0100,Y 50709,S200000,02200,0100,Y 50709,S700003,00000,0100,1 50718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50718,A000000,00300,0000,00300EMPLOYEE BENEFITS 50718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50718,A000000,00700,0000,00700HOUSEKEEPING 50718,A000000,00800,0000,00800DIETARY 50718,A000000,00900,0000,00900NURSING ADMINISTRATION 50718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50718,A000000,01100,0000,01100PHARMACY 50718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50718,A000000,01300,0000,01300SOCIAL SERVICE 50718,A000000,01350,0000,01500ACTIVITIES 50718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50718,A000000,01600,0000,01600SKILLED NURSING FACILITY 50718,A000000,01800,0000,01800NURSING FACILITY 50718,A000000,01900,0000,01900OTHER LONG TERM CARE 50718,A000000,02100,0000,02100RADIOLOGY 50718,A000000,02200,0000,02200LABORATORY 50718,A000000,02300,0000,02300INTRAVENOUS THERAPY 50718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50718,A000000,02500,0000,02500PHYSICAL THERAPY 50718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50718,A000000,02700,0000,02700SPEECH PATHOLOGY 50718,A000000,02800,0000,02800ELECTROCARDIOLOGY 50718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50718,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50718,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50718,A000000,03200,0000,03200SUPPORT SURFACES 50718,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50718,A000000,04800,0000,04800AMBULANCE 50718,A000000,05300,0000,05300INTEREST EXPENSE 50718,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50718,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50718,A000000,06100,0000,06100NONPAID WORKERS 50718,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50718,A000000,06200,0000,06200PATIENTS LAUNDRY 50718,A81000A,00100,0100,Y 50718,A81000B,00100,0300,HOME OFFICE COST 50718,A81000B,00200,0300,THERAPY SERVICES 50718,A81000B,00300,0300,THERAPY SERVICES 50718,A81000B,00400,0300,THERAPY SERVICES 50718,A81000B,00500,0300,MANAGEMENT SERVICES 50718,A81000B,00600,0300,MANAGEMENT SERVICES 50718,A81000B,00700,0300,MANAGEMENT SERVICES 50718,A81000C,00100,0100,B 50718,A81000C,00100,0200,HHCC - TEMPLE 50718,A81000C,00100,0400,HCR MANORCARE INC. 50718,A81000C,00100,0600,LONG TERM CARE FACILITIES 50718,A81000C,00200,0100,B 50718,A81000C,00200,0200,HHCC - TEMPLE 50718,A81000C,00200,0400,HEARTLAND REHAB SERVICES 50718,A81000C,00200,0600,THERAPY SERVICES 50718,A81000C,00300,0100,B 50718,A81000C,00300,0200,HHCC - TEMPLE 50718,A81000C,00300,0400,HEARTLAND REHAB SERVICES 50718,A81000C,00300,0600,THERAPY SERVICES 50718,A81000C,00400,0100,B 50718,A81000C,00400,0200,HHCC - TEMPLE 50718,A81000C,00400,0400,HEARTLAND REHAB SERVICES 50718,A81000C,00400,0600,THERAPY SERVICES 50718,A81000C,00500,0100,B 50718,A81000C,00500,0200,HHCC - TEMPLE 50718,A81000C,00500,0400,HEARTLAND MGMT SERVICES 50718,A81000C,00500,0600,THERAPY MANAGEMENT 50718,A81000C,00600,0100,B 50718,A81000C,00600,0200,HHCC - TEMPLE 50718,A81000C,00600,0400,HEARTLAND MGMT SERVICES 50718,A81000C,00600,0600,THERAPY MANAGEMENT 50718,A81000C,00700,0100,B 50718,A81000C,00700,0200,HHCC - TEMPLE 50718,A81000C,00700,0400,HEARTLAND MGMT SERVICES 50718,A81000C,00700,0600,THERAPY MANAGEMENT 50718,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50718,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50718,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50718,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50718,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50718,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50718,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50718,B100000,00000,0800,00000MEALS SERVED :DIETARY 50718,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50718,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50718,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50718,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50718,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50718,E10A180,00501,0300,07/20/2000 50718,S000000,00100,0200,05/23/2000 50718,S200000,00100,0100,512 DRAPER DRIVE 50718,S200000,00200,0100,TEMPLE 50718,S200000,00200,0200,TX 50718,S200000,00200,0300,76501- 50718,S200000,00300,0100,BELL 50718,S200000,00300,0200,3810 50718,S200000,00300,0300,U 50718,S200000,00400,0100,HHCC - TEMPLE 50718,S200000,00400,0200,455785 50718,S200000,00400,0300,12/02/1988 50718,S200000,00400,0500,P 50718,S200000,00400,0600,P 50718,S200000,01600,0100,Y 50718,S200000,02200,0100,Y 50729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50729,A000000,00300,0000,00300EMPLOYEE BENEFITS 50729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50729,A000000,00700,0000,00700HOUSEKEEPING 50729,A000000,00800,0000,00800DIETARY 50729,A000000,00900,0000,00900NURSING ADMINISTRATION 50729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50729,A000000,01100,0000,01100PHARMACY 50729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50729,A000000,01300,0000,01300SOCIAL SERVICE 50729,A000000,01350,0000,01500ACTIVITIES 50729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50729,A000000,01600,0000,01600SKILLED NURSING FACILITY 50729,A000000,01800,0000,01800NURSING FACILITY 50729,A000000,01900,0000,01900OTHER LONG TERM CARE 50729,A000000,02100,0000,02100RADIOLOGY 50729,A000000,02200,0000,02200LABORATORY 50729,A000000,02300,0000,02300INTRAVENOUS THERAPY 50729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50729,A000000,02500,0000,02500PHYSICAL THERAPY 50729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50729,A000000,02700,0000,02700SPEECH PATHOLOGY 50729,A000000,02800,0000,02800ELECTROCARDIOLOGY 50729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50729,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50729,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50729,A000000,03200,0000,03200SUPPORT SURFACES 50729,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50729,A000000,04800,0000,04800AMBULANCE 50729,A000000,05300,0000,05300INTEREST EXPENSE 50729,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50729,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50729,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50729,A000000,06100,0000,06100NONPAID WORKERS 50729,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50729,A000000,06200,0000,06200PATIENTS LAUNDRY 50729,A81000A,00100,0100,Y 50729,A81000B,00100,0300,HOME OFFICE COST 50729,A81000B,00200,0300,THERAPY SERVICES 50729,A81000B,00300,0300,THERAPY SERVICES 50729,A81000B,00400,0300,THERAPY SERVICES 50729,A81000B,00500,0300,MANAGEMENT FEE 50729,A81000B,00600,0300,MANAGEMENT FEE 50729,A81000B,00700,0300,MANAGEMENT FEE 50729,A81000C,00100,0100,B 50729,A81000C,00100,0200,HHCC - WILLOWBROOK 50729,A81000C,00100,0400,HCR MANORCARE INC. 50729,A81000C,00100,0600,LONG TERM CARE FACILITIES 50729,A81000C,00200,0100,B 50729,A81000C,00200,0200,HHCC - WILLOWBROOK 50729,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50729,A81000C,00200,0600,THERAPY 50729,A81000C,00300,0100,B 50729,A81000C,00300,0200,HHCC - WILLOWBROOK 50729,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50729,A81000C,00300,0600,THERAPY 50729,A81000C,00400,0100,B 50729,A81000C,00400,0200,HHCC - WILLOWBROOK 50729,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 50729,A81000C,00400,0600,THERAPY 50729,A81000C,00500,0100,B 50729,A81000C,00500,0200,HHCC - WILLOWBROOK 50729,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 50729,A81000C,00500,0600,MANAGEMENT FEE 50729,A81000C,00600,0100,B 50729,A81000C,00600,0200,HHCC - WILLOWBROOK 50729,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50729,A81000C,00600,0600,MANAGEMENT FEE 50729,A81000C,00700,0100,B 50729,A81000C,00700,0200,HHCC - WILLOWBROOK 50729,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 50729,A81000C,00700,0600,MANAGEMENT FEE 50729,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50729,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50729,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50729,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50729,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50729,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50729,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50729,B100000,00000,0800,00000MEALS SERVED :DIETARY 50729,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50729,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50729,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50729,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50729,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50729,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50729,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50729,S000000,00100,0200,05/23/2000 50729,S200000,00100,0100,13631 ARDFIELD DRIVE 50729,S200000,00200,0100,HOUSTON 50729,S200000,00200,0200,TX 50729,S200000,00200,0300,77070- 50729,S200000,00300,0100,HARRIS 50729,S200000,00400,0100,HHCC - WILLOWBROOK 50729,S200000,00400,0200,455794 50729,S200000,00400,0300,03/09/1989 50729,S200000,00400,0500,P 50729,S200000,00400,0600,P 50729,S200000,01004,0500,O 50729,S200000,01600,0100,Y 50729,S200000,02200,0100,Y 50740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50740,A000000,00300,0000,00300EMPLOYEE BENEFITS 50740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50740,A000000,00700,0000,00700HOUSEKEEPING 50740,A000000,00800,0000,00800DIETARY 50740,A000000,00900,0000,00900NURSING ADMINISTRATION 50740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50740,A000000,01100,0000,01100PHARMACY 50740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50740,A000000,01300,0000,01300SOCIAL SERVICE 50740,A000000,01350,0000,01500ACTIVITIES 50740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50740,A000000,01600,0000,01600SKILLED NURSING FACILITY 50740,A000000,01800,0000,01800NURSING FACILITY 50740,A000000,01900,0000,01900OTHER LONG TERM CARE 50740,A000000,02100,0000,02100RADIOLOGY 50740,A000000,02200,0000,02200LABORATORY 50740,A000000,02300,0000,02300INTRAVENOUS THERAPY 50740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50740,A000000,02500,0000,02500PHYSICAL THERAPY 50740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50740,A000000,02700,0000,02700SPEECH PATHOLOGY 50740,A000000,02800,0000,02800ELECTROCARDIOLOGY 50740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50740,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50740,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50740,A000000,03200,0000,03200SUPPORT SURFACES 50740,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50740,A000000,04800,0000,04800AMBULANCE 50740,A000000,05300,0000,05300INTEREST EXPENSE 50740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50740,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50740,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50740,A000000,06100,0000,06100NONPAID WORKERS 50740,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50740,A000000,06200,0000,06200PATIENTS LAUNDRY 50740,A81000A,00100,0100,Y 50740,A81000B,00100,0300,HOME OFFICE COST 50740,A81000B,00200,0300,IV COSTS 50740,A81000B,00300,0300,THERAPY SERVICES 50740,A81000B,00400,0300,THERAPY SERVICES 50740,A81000B,00500,0300,THERAPY SERVICES 50740,A81000B,00600,0300,DRUGS 50740,A81000B,00700,0300,MANAGEMENT FEE 50740,A81000B,00800,0300,MANAGEMENT FEE 50740,A81000B,00900,0300,MANAGEMENT FEE 50740,A81000C,00100,0100,B 50740,A81000C,00100,0200,HHCC - BEDFORD 50740,A81000C,00100,0400,HCR MANORCARE INC. 50740,A81000C,00100,0600,LONG TERM CARE FACILITIES 50740,A81000C,00200,0100,B 50740,A81000C,00200,0200,HHCC - BEDFORD 50740,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50740,A81000C,00200,0600,PHARMACY 50740,A81000C,00300,0100,B 50740,A81000C,00300,0200,HHCC - BEDFORD 50740,A81000C,00300,0400,HEARTLAND REHAB SERV 50740,A81000C,00300,0600,THERAPY SERVICES 50740,A81000C,00400,0100,B 50740,A81000C,00400,0200,HHCC - BEDFORD 50740,A81000C,00400,0400,HEARTLAND REHAB SERV 50740,A81000C,00400,0600,THERAPY SERVICES 50740,A81000C,00500,0100,B 50740,A81000C,00500,0200,HHCC - BEDFORD 50740,A81000C,00500,0400,HEARTLAND REHAB SERV 50740,A81000C,00500,0600,THERAPY SERVICES 50740,A81000C,00600,0100,B 50740,A81000C,00600,0200,HHCC - BEDFORD 50740,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 50740,A81000C,00600,0600,PHARMACY 50740,A81000C,00700,0100,B 50740,A81000C,00700,0200,HHCC - BEDFORD 50740,A81000C,00700,0400,HEARTLAND MANAGEMENT SERV 50740,A81000C,00700,0600,THERAPY MANAGEMENT 50740,A81000C,00800,0100,B 50740,A81000C,00800,0200,HHCC - BEDFORD 50740,A81000C,00800,0400,HEARTLAND MANAGEMENT SERV 50740,A81000C,00800,0600,THERAPY MANAGEMENT 50740,A81000C,00900,0100,B 50740,A81000C,00900,0200,HHCC - BEDFORD 50740,A81000C,00900,0400,HEARTLAND MANAGEMENT SERV 50740,A81000C,00900,0600,THERAPY MANAGEMENT 50740,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50740,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50740,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50740,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50740,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50740,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50740,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50740,B100000,00000,0800,00000MEALS SERVED :DIETARY 50740,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50740,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50740,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50740,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50740,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50740,E10A180,00501,0300,05/25/2000 50740,S000000,00100,0200,05/23/2000 50740,S200000,00100,0100,2001 FOREST RIDGE DRIVE 50740,S200000,00200,0100,BEDFORD 50740,S200000,00200,0200,TX 50740,S200000,00200,0300,76021- 50740,S200000,00300,0100,TARRANT 50740,S200000,00300,0200,2800 50740,S200000,00300,0300,U 50740,S200000,00400,0100,HHCC - BEDFORD 50740,S200000,00400,0200,455798 50740,S200000,00400,0300,04/05/1989 50740,S200000,00400,0500,P 50740,S200000,00400,0600,P 50740,S200000,01600,0100,Y 50740,S200000,02200,0100,Y 50750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50750,A000000,00300,0000,00300EMPLOYEE BENEFITS 50750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50750,A000000,00700,0000,00700HOUSEKEEPING 50750,A000000,00800,0000,00800DIETARY 50750,A000000,00900,0000,00900NURSING ADMINISTRATION 50750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50750,A000000,01100,0000,01100PHARMACY 50750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50750,A000000,01300,0000,01300SOCIAL SERVICE 50750,A000000,01350,0000,01500ACTIVITIES 50750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50750,A000000,01600,0000,01600SKILLED NURSING FACILITY 50750,A000000,01800,0000,01800NURSING FACILITY 50750,A000000,01900,0000,01900OTHER LONG TERM CARE 50750,A000000,02100,0000,02100RADIOLOGY 50750,A000000,02200,0000,02200LABORATORY 50750,A000000,02300,0000,02300INTRAVENOUS THERAPY 50750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50750,A000000,02500,0000,02500PHYSICAL THERAPY 50750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50750,A000000,02700,0000,02700SPEECH PATHOLOGY 50750,A000000,02800,0000,02800ELECTROCARDIOLOGY 50750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50750,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50750,A000000,03200,0000,03200SUPPORT SURFACES 50750,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50750,A000000,04800,0000,04800AMBULANCE 50750,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50750,A000000,05300,0000,05300INTEREST EXPENSE 50750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50750,A000000,06100,0000,06100NONPAID WORKERS 50750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50750,A000000,06200,0000,06200PATIENTS LAUNDRY 50750,A81000A,00100,0100,Y 50750,A81000B,00100,0300,HOME OFFICE COST 50750,A81000B,00200,0300,IV COSTS 50750,A81000B,00300,0300,THERAPY SERVICES 50750,A81000B,00400,0300,THERAPY SERVICES 50750,A81000B,00500,0300,THERAPY SERVICES 50750,A81000B,00600,0300,DRUGS 50750,A81000B,00700,0300,MANAGEMENT FEE 50750,A81000B,00800,0300,MANAGEMENT FEE 50750,A81000B,00900,0300,MANAGEMENT FEE 50750,A81000C,00100,0100,B 50750,A81000C,00100,0200,HHCC - AUSTIN 50750,A81000C,00100,0400,HCR MANORCARE INC 50750,A81000C,00100,0600,LONG TERM CARE FACILITIES 50750,A81000C,00200,0100,B 50750,A81000C,00200,0200,HHCC - AUSTIN 50750,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50750,A81000C,00200,0600,PHARMACY 50750,A81000C,00300,0100,B 50750,A81000C,00300,0200,HHCC - AUSTIN 50750,A81000C,00300,0400,HEARTLAND REHAB 50750,A81000C,00300,0600,THERAPY SERV 50750,A81000C,00400,0100,B 50750,A81000C,00400,0200,HHCC - AUSTIN 50750,A81000C,00400,0400,HEARTLAND REHAB 50750,A81000C,00400,0600,THERAPY SERV 50750,A81000C,00500,0100,B 50750,A81000C,00500,0200,HHCC - AUSTIN 50750,A81000C,00500,0400,HEARTLAND REHAB 50750,A81000C,00500,0600,THERAPY SERV 50750,A81000C,00600,0100,B 50750,A81000C,00600,0200,HHCC - AUSTIN 50750,A81000C,00600,0400,HEARTLAND HEALTHCARE SERV 50750,A81000C,00600,0600,PHARMACY 50750,A81000C,00700,0100,B 50750,A81000C,00700,0200,HHCC - AUSTIN 50750,A81000C,00700,0400,HEARTLAND MGMT SERV 50750,A81000C,00700,0600,MANAGEMENT FEE 50750,A81000C,00800,0100,B 50750,A81000C,00800,0200,HHCC - AUSTIN 50750,A81000C,00800,0400,HEARTLAND MGMT SERV 50750,A81000C,00800,0600,MANAGEMENT FEE 50750,A81000C,00900,0100,B 50750,A81000C,00900,0200,HHCC - AUSTIN 50750,A81000C,00900,0400,HEARTLAND MGMT SERV 50750,A81000C,00900,0600,MANAGEMENT FEE 50750,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50750,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50750,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50750,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50750,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 50750,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 50750,B100000,00000,0800,00000MEALS SERVED :DIETARY 50750,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50750,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50750,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50750,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50750,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50750,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50750,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50750,S000000,00100,0200,05/17/2000 50750,S200000,00100,0100,11406 RUSTIC ROCK DRIVE 50750,S200000,00200,0100,AUSTIN 50750,S200000,00200,0200,TX 50750,S200000,00200,0300,78750- 50750,S200000,00300,0100,TRAVIS 50750,S200000,00400,0100,HHCC - AUSTIN 50750,S200000,00400,0200,455799 50750,S200000,00400,0300,03/21/1989 50750,S200000,00400,0500,P 50750,S200000,00400,0600,P 50750,S200000,01004,0500,O 50750,S200000,01600,0100,Y 50750,S200000,02200,0100,Y 50764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50764,A000000,00300,0000,00300EMPLOYEE BENEFITS 50764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50764,A000000,00700,0000,00700HOUSEKEEPING 50764,A000000,00800,0000,00800DIETARY 50764,A000000,00900,0000,00900NURSING ADMINISTRATION 50764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50764,A000000,01100,0000,01100PHARMACY 50764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50764,A000000,01300,0000,01300SOCIAL SERVICE 50764,A000000,01350,0000,01500ACTIVITIES 50764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50764,A000000,01600,0000,01600SKILLED NURSING FACILITY 50764,A000000,01800,0000,01800NURSING FACILITY 50764,A000000,01900,0000,01900OTHER LONG TERM CARE 50764,A000000,02100,0000,02100RADIOLOGY 50764,A000000,02200,0000,02200LABORATORY 50764,A000000,02300,0000,02300INTRAVENOUS THERAPY 50764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50764,A000000,02500,0000,02500PHYSICAL THERAPY 50764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50764,A000000,02700,0000,02700SPEECH PATHOLOGY 50764,A000000,02800,0000,02800ELECTROCARDIOLOGY 50764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50764,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50764,A000000,03200,0000,03200SUPPORT SURFACES 50764,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50764,A000000,04800,0000,04800AMBULANCE 50764,A000000,05300,0000,05300INTEREST EXPENSE 50764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50764,A000000,06100,0000,06100NONPAID WORKERS 50764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50764,A000000,06200,0000,06200PATIENTS LAUNDRY 50764,A81000A,00100,0100,Y 50764,A81000B,00100,0300,HOME OFFICE COST 50764,A81000B,00200,0300,PHYSICAL THERAPY 50764,A81000B,00300,0300,OCCUPATIONAL THERAPY 50764,A81000B,00400,0300,SPEECH THERAPY 50764,A81000C,00100,0100,B 50764,A81000C,00100,0200,OAK MEADOW NURSING CENTER 50764,A81000C,00100,0400,HCR MANORCARE INC. 50764,A81000C,00100,0600,LONG TERM CARE FACILITIES 50764,A81000C,00200,0100,B 50764,A81000C,00200,0200,OAK MEADOW NURSING CENTER 50764,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 50764,A81000C,00200,0600,THERAPY MANAGEMENT 50764,A81000C,00300,0100,B 50764,A81000C,00300,0200,OAK MEADOW NURSING CENTER 50764,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 50764,A81000C,00300,0600,THERAPY MANAGEMENT 50764,A81000C,00400,0100,B 50764,A81000C,00400,0200,OAK MEADOW NURSING CENTER 50764,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 50764,A81000C,00400,0600,THERAPY MANAGEMENT 50764,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50764,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50764,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50764,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50764,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50764,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50764,B100000,00000,0800,00000MEALS SERVED :DIETARY 50764,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50764,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50764,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50764,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50764,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50764,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50764,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50764,E10A180,00550,0100,05/29/2001 50764,S000000,00100,0200,03/29/2000 50764,S200000,00100,0100,1501 COLLINGWOOD 50764,S200000,00200,0100,ALEXANDRIA 50764,S200000,00200,0200,VA 50764,S200000,00200,0300,22308- 50764,S200000,00300,0100,IONIA 50764,S200000,00400,0100,OAK MEADOW NURSING CENTER 50764,S200000,00400,0200,495011 50764,S200000,00400,0300,01/01/1967 50764,S200000,00400,0500,P 50764,S200000,01004,0500,O 50764,S200000,01600,0100,Y 50764,S200000,02200,0100,Y 50774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50774,A000000,00300,0000,00300EMPLOYEE BENEFITS 50774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50774,A000000,00700,0000,00700HOUSEKEEPING 50774,A000000,00800,0000,00800DIETARY 50774,A000000,00900,0000,00900NURSING ADMINISTRATION 50774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50774,A000000,01100,0000,01100PHARMACY 50774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50774,A000000,01300,0000,01300SOCIAL SERVICE 50774,A000000,01350,0000,01500ACTIVITIES 50774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50774,A000000,01600,0000,01600SKILLED NURSING FACILITY 50774,A000000,01800,0000,01800NURSING FACILITY 50774,A000000,01900,0000,01900OTHER LONG TERM CARE 50774,A000000,02100,0000,02100RADIOLOGY 50774,A000000,02200,0000,02200LABORATORY 50774,A000000,02300,0000,02300INTRAVENOUS THERAPY 50774,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50774,A000000,02500,0000,02500PHYSICAL THERAPY 50774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50774,A000000,02700,0000,02700SPEECH PATHOLOGY 50774,A000000,02800,0000,02800ELECTROCARDIOLOGY 50774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50774,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50774,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50774,A000000,03200,0000,03200SUPPORT SURFACES 50774,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50774,A000000,04800,0000,04800AMBULANCE 50774,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50774,A000000,05300,0000,05300INTEREST EXPENSE 50774,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50774,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50774,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50774,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50774,A000000,06100,0000,06100NONPAID WORKERS 50774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50774,A000000,06200,0000,06200PATIENTS LAUNDRY 50774,A81000A,00100,0100,Y 50774,A81000B,00100,0300,HOME OFFICE COST 50774,A81000B,00200,0300,DRUGS 50774,A81000B,00300,0300,PHYSICAL THERAPY 50774,A81000B,00400,0300,OCCUPATIONAL THERAPY 50774,A81000B,00500,0300,SPEECH THERAPY 50774,A81000C,00100,0100,B 50774,A81000C,00100,0200,MEDICAL CARE CENTER 50774,A81000C,00100,0400,HCR MANORCARE INC. 50774,A81000C,00100,0600,LONG TERM CARE FACILITIES 50774,A81000C,00200,0100,B 50774,A81000C,00200,0200,MEDICAL CARE CENTER 50774,A81000C,00200,0400,HEARTLAND HEALTHCARE SVC 50774,A81000C,00200,0600,PHARMACY 50774,A81000C,00300,0100,B 50774,A81000C,00300,0200,MEDICAL CARE CENTER 50774,A81000C,00300,0400,HEARTLAND MGMT SERVICE 50774,A81000C,00300,0600,THERAPY MANAGEMENT 50774,A81000C,00400,0100,B 50774,A81000C,00400,0200,MEDICAL CARE CENTER 50774,A81000C,00400,0400,HEARTLAND MGMT SERVICE 50774,A81000C,00400,0600,THERAPY MANAGEMENT 50774,A81000C,00500,0100,B 50774,A81000C,00500,0200,MEDICAL CARE CENTER 50774,A81000C,00500,0400,HEARTLAND MGMT SERVICE 50774,A81000C,00500,0600,THERAPY MANAGEMENT 50774,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50774,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50774,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50774,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50774,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50774,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50774,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50774,B100000,00000,0800,00000MEALS SERVED :DIETARY 50774,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50774,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50774,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50774,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50774,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50774,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50774,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50774,S000000,00100,0200,03/29/2000 50774,S200000,00100,0100,2200 LANDOVER PLACE 50774,S200000,00200,0100,LYNCHBERG 50774,S200000,00200,0200,VA 50774,S200000,00200,0300,24501- 50774,S200000,00300,0100,LYNCHBERG 50774,S200000,00400,0100,MEDICAL CARE CENTER 50774,S200000,00400,0200,495077 50774,S200000,00400,0300,05/04/1970 50774,S200000,00400,0500,P 50774,S200000,01004,0500,O 50774,S200000,01600,0100,Y 50774,S200000,02200,0100,Y 50784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50784,A000000,00300,0000,00300EMPLOYEE BENEFITS 50784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50784,A000000,00700,0000,00700HOUSEKEEPING 50784,A000000,00800,0000,00800DIETARY 50784,A000000,00900,0000,00900NURSING ADMINISTRATION 50784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50784,A000000,01100,0000,01100PHARMACY 50784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50784,A000000,01300,0000,01300SOCIAL SERVICE 50784,A000000,01350,0000,01500ACTIVITIES 50784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50784,A000000,01600,0000,01600SKILLED NURSING FACILITY 50784,A000000,01800,0000,01800NURSING FACILITY 50784,A000000,01900,0000,01900OTHER LONG TERM CARE 50784,A000000,02100,0000,02100RADIOLOGY 50784,A000000,02200,0000,02200LABORATORY 50784,A000000,02300,0000,02300INTRAVENOUS THERAPY 50784,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50784,A000000,02500,0000,02500PHYSICAL THERAPY 50784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50784,A000000,02700,0000,02700SPEECH PATHOLOGY 50784,A000000,02800,0000,02800ELECTROCARDIOLOGY 50784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50784,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50784,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50784,A000000,03200,0000,03200SUPPORT SURFACES 50784,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50784,A000000,04800,0000,04800AMBULANCE 50784,A000000,05300,0000,05300INTEREST EXPENSE 50784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50784,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50784,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50784,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50784,A000000,06100,0000,06100NONPAID WORKERS 50784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50784,A000000,06200,0000,06200PATIENTS LAUNDRY 50784,A81000A,00100,0100,Y 50784,A81000B,00100,0300,HOME OFFICE COST 50784,A81000B,00200,0300,IV DRUGS 50784,A81000B,00300,0300,DRUGS 50784,A81000B,00400,0300,PT ADMIN FEES 50784,A81000B,00500,0300,OT ADMIN FEES 50784,A81000B,00600,0300,ST ADMIN FEES 50784,A81000C,00100,0100,B 50784,A81000C,00100,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00100,0400,HCR MANORCARE INC. 50784,A81000C,00100,0600,LONG TERM CARE FACILITIES 50784,A81000C,00200,0100,B 50784,A81000C,00200,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50784,A81000C,00200,0600,PHARMACY 50784,A81000C,00300,0100,B 50784,A81000C,00300,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50784,A81000C,00300,0600,PHARMACY 50784,A81000C,00400,0100,B 50784,A81000C,00400,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 50784,A81000C,00400,0600,THERAPY MANAGEMENT 50784,A81000C,00500,0100,B 50784,A81000C,00500,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 50784,A81000C,00500,0600,THERAPY MANAGEMENT 50784,A81000C,00600,0100,B 50784,A81000C,00600,0200,HEARTLAND OF MARTINSBURG 50784,A81000C,00600,0400,HEARTLAND MANAGEMENT SVCS 50784,A81000C,00600,0600,THERAPY MANAGEMENT 50784,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50784,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50784,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50784,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50784,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50784,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50784,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50784,B100000,00000,0800,00000MEALS SERVED :DIETARY 50784,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50784,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50784,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50784,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50784,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50784,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50784,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50784,E10A180,00501,0100,06/14/2000 50784,S000000,00100,0200,06/01/2000 50784,S200000,00100,0100,210 CLOVER STREET 50784,S200000,00200,0100,MARTINSBURG 50784,S200000,00200,0200,WV 50784,S200000,00200,0300,25401- 50784,S200000,00300,0100,BERKELEY 50784,S200000,00400,0100,HEARTLAND OF MARTINSBURG 50784,S200000,00400,0200,515039 50784,S200000,00400,0300,11/01/1972 50784,S200000,00400,0500,P 50784,S200000,01600,0100,Y 50784,S200000,02200,0100,Y 50794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50794,A000000,00300,0000,00300EMPLOYEE BENEFITS 50794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50794,A000000,00700,0000,00700HOUSEKEEPING 50794,A000000,00800,0000,00800DIETARY 50794,A000000,00900,0000,00900NURSING ADMINISTRATION 50794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50794,A000000,01100,0000,01100PHARMACY 50794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50794,A000000,01300,0000,01300SOCIAL SERVICE 50794,A000000,01350,0000,01500ACTIVITIES 50794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50794,A000000,01600,0000,01600SKILLED NURSING FACILITY 50794,A000000,01800,0000,01800NURSING FACILITY 50794,A000000,01900,0000,01900OTHER LONG TERM CARE 50794,A000000,02100,0000,02100RADIOLOGY 50794,A000000,02200,0000,02200LABORATORY 50794,A000000,02300,0000,02300INTRAVENOUS THERAPY 50794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50794,A000000,02500,0000,02500PHYSICAL THERAPY 50794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50794,A000000,02700,0000,02700SPEECH PATHOLOGY 50794,A000000,02800,0000,02800ELECTROCARDIOLOGY 50794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50794,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50794,A000000,03200,0000,03200SUPPORT SURFACES 50794,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50794,A000000,04800,0000,04800AMBULANCE 50794,A000000,05300,0000,05300INTEREST EXPENSE 50794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50794,A000000,06100,0000,06100NONPAID WORKERS 50794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50794,A000000,06200,0000,06200PATIENTS LAUNDRY 50794,A81000A,00100,0100,Y 50794,A81000B,00100,0300,HOME OFFICE COST 50794,A81000B,00200,0300,IV THERAPY 50794,A81000B,00300,0300,DRUG COSTS 50794,A81000B,00400,0300,PT ADMIN FEES 50794,A81000B,00500,0300,OT ADMIN FEES 50794,A81000B,00600,0300,ST ADMIN FEES 50794,A81000C,00100,0100,B 50794,A81000C,00100,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00100,0400,HCR MANORCARE INC. 50794,A81000C,00100,0600,LONG TERM CARE FACILITIES 50794,A81000C,00200,0100,B 50794,A81000C,00200,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00200,0400,HEARTLAND HEALTHCARE SVS. 50794,A81000C,00200,0600,PHARMACY 50794,A81000C,00300,0100,B 50794,A81000C,00300,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00300,0400,HEARTLAND HEALTHCARE SVS. 50794,A81000C,00300,0600,PHARMACY 50794,A81000C,00400,0100,B 50794,A81000C,00400,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00400,0400,HEARTLAND HEALTHCARE SVS. 50794,A81000C,00400,0600,THERAPY MANAGEMENT 50794,A81000C,00500,0100,B 50794,A81000C,00500,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00500,0400,HEARTLAND HEALTHCARE SVS. 50794,A81000C,00500,0600,THERAPY MANAGEMENT 50794,A81000C,00600,0100,B 50794,A81000C,00600,0200,HEARTLAND PRESTON COUNTY 50794,A81000C,00600,0400,HEARTLAND HEALTHCARE SVS. 50794,A81000C,00600,0600,THERAPY MANAGEMENT 50794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50794,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50794,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50794,B100000,00000,0800,00000MEALS SERVED :DIETARY 50794,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50794,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50794,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50794,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50794,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50794,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50794,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50794,S000000,00100,0200,05/31/2000 50794,S200000,00100,0100,300 MILLER ROAD 50794,S200000,00200,0100,PRESTON 50794,S200000,00200,0200,WV 50794,S200000,00200,0300,26537- 50794,S200000,00300,0100,PRESTON 50794,S200000,00400,0100,HEARTLAND OF PRESTON COUNTY 50794,S200000,00400,0200,515072 50794,S200000,00400,0300,05/01/1987 50794,S200000,00400,0500,P 50794,S200000,00400,0600,P 50794,S200000,01004,0500,O 50794,S200000,01600,0100,Y 50794,S200000,02200,0100,Y 50794,S700003,00000,0100,1 50803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50803,A000000,00300,0000,00300EMPLOYEE BENEFITS 50803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50803,A000000,00700,0000,00700HOUSEKEEPING 50803,A000000,00800,0000,00800DIETARY 50803,A000000,00900,0000,00900NURSING ADMINISTRATION 50803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50803,A000000,01100,0000,01100PHARMACY 50803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50803,A000000,01300,0000,01300SOCIAL SERVICE 50803,A000000,01350,0000,01500ACTIVITIES 50803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50803,A000000,01600,0000,01600SKILLED NURSING FACILITY 50803,A000000,01800,0000,01800NURSING FACILITY 50803,A000000,01900,0000,01900OTHER LONG TERM CARE 50803,A000000,02100,0000,02100RADIOLOGY 50803,A000000,02200,0000,02200LABORATORY 50803,A000000,02300,0000,02300INTRAVENOUS THERAPY 50803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50803,A000000,02500,0000,02500PHYSICAL THERAPY 50803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50803,A000000,02700,0000,02700SPEECH PATHOLOGY 50803,A000000,02800,0000,02800ELECTROCARDIOLOGY 50803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50803,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50803,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50803,A000000,03200,0000,03200SUPPORT SURFACES 50803,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50803,A000000,04800,0000,04800AMBULANCE 50803,A000000,05300,0000,05300INTEREST EXPENSE 50803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50803,A000000,06100,0000,06100NONPAID WORKERS 50803,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50803,A000000,06200,0000,06200PATIENTS LAUNDRY 50803,A81000A,00100,0100,Y 50803,A81000B,00100,0300,HOME OFFICE COST 50803,A81000B,00200,0300,IV COSTS 50803,A81000B,00300,0300,DRUGS 50803,A81000B,00400,0300,PT ADMIN FEES 50803,A81000B,00500,0300,OT ADMIN FEES 50803,A81000B,00600,0300,ST ADMIN FEES 50803,A81000C,00100,0100,B 50803,A81000C,00100,0200,HEARTLAND OF BECKLEY 50803,A81000C,00100,0400,HCR MANORCARE INC. 50803,A81000C,00100,0600,LONG TERM CARE FACILITIES 50803,A81000C,00200,0100,B 50803,A81000C,00200,0200,HEARTLAND OF BECKLEY 50803,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50803,A81000C,00200,0600,PHARMACY 50803,A81000C,00300,0100,B 50803,A81000C,00300,0200,HEARTLAND OF BECKLEY 50803,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50803,A81000C,00300,0600,PHARMACY 50803,A81000C,00400,0100,B 50803,A81000C,00400,0200,HEARTLAND OF BECKLEY 50803,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 50803,A81000C,00400,0600,THERAPY MANAGEMENT 50803,A81000C,00500,0100,B 50803,A81000C,00500,0200,HEARTLAND OF BECKLEY 50803,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 50803,A81000C,00500,0600,THERAPY MANAGEMENT 50803,A81000C,00600,0100,B 50803,A81000C,00600,0200,HEARTLAND OF BECKLEY 50803,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50803,A81000C,00600,0600,THERAPY MANAGEMENT 50803,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50803,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50803,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50803,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50803,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50803,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50803,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50803,B100000,00000,0800,00000MEALS SERVED :DIETARY 50803,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50803,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50803,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50803,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50803,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50803,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50803,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50803,S000000,00100,0200,05/22/2000 50803,S200000,00100,0100,100 HEARTLAND DRIVE 50803,S200000,00200,0100,BECKLEY 50803,S200000,00200,0200,WV 50803,S200000,00200,0300,25801- 50803,S200000,00300,0100,RALEIGH 50803,S200000,00400,0100,HEARTLAND OF BECKLEY 50803,S200000,00400,0200,515086 50803,S200000,00400,0300,07/01/1977 50803,S200000,00400,0500,P 50803,S200000,00400,0600,P 50803,S200000,01004,0500,O 50803,S200000,01600,0100,Y 50803,S200000,02200,0100,Y 50812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50812,A000000,00300,0000,00300EMPLOYEE BENEFITS 50812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50812,A000000,00700,0000,00700HOUSEKEEPING 50812,A000000,00800,0000,00800DIETARY 50812,A000000,00900,0000,00900NURSING ADMINISTRATION 50812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50812,A000000,01100,0000,01100PHARMACY 50812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50812,A000000,01300,0000,01300SOCIAL SERVICE 50812,A000000,01350,0000,01500ACTIVITIES 50812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50812,A000000,01600,0000,01600SKILLED NURSING FACILITY 50812,A000000,01800,0000,01800NURSING FACILITY 50812,A000000,01900,0000,01900OTHER LONG TERM CARE 50812,A000000,02100,0000,02100RADIOLOGY 50812,A000000,02200,0000,02200LABORATORY 50812,A000000,02300,0000,02300INTRAVENOUS THERAPY 50812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50812,A000000,02500,0000,02500PHYSICAL THERAPY 50812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50812,A000000,02700,0000,02700SPEECH PATHOLOGY 50812,A000000,02800,0000,02800ELECTROCARDIOLOGY 50812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50812,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50812,A000000,03200,0000,03200SUPPORT SURFACES 50812,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50812,A000000,04800,0000,04800AMBULANCE 50812,A000000,05300,0000,05300INTEREST EXPENSE 50812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50812,A000000,06100,0000,06100NONPAID WORKERS 50812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50812,A000000,06200,0000,06200PATIENTS LAUNDRY 50812,A81000A,00100,0100,Y 50812,A81000B,00100,0300,HOME OFFICE COST 50812,A81000B,00200,0300,IV COSTS 50812,A81000B,00300,0300,DRUGS 50812,A81000B,00400,0300,PT ADMIN FEES 50812,A81000B,00500,0300,OT ADMIN FEES 50812,A81000B,00600,0300,ST ADMIN FEES 50812,A81000C,00100,0100,B 50812,A81000C,00100,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00100,0400,HCR MANORCARE INC. 50812,A81000C,00100,0600,LONG TERM CARE FACILITIES 50812,A81000C,00200,0100,B 50812,A81000C,00200,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50812,A81000C,00200,0600,PHARMACY 50812,A81000C,00300,0100,B 50812,A81000C,00300,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50812,A81000C,00300,0600,PHARMACY 50812,A81000C,00400,0100,B 50812,A81000C,00400,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 50812,A81000C,00400,0600,THERAPY MANAGEMENT 50812,A81000C,00500,0100,B 50812,A81000C,00500,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 50812,A81000C,00500,0600,THERAPY MANAGEMENT 50812,A81000C,00600,0100,B 50812,A81000C,00600,0200,HEARTLAND OF CHARLESTON 50812,A81000C,00600,0400,HEARTLAND MANAGEMENT SVCS 50812,A81000C,00600,0600,THERAPY MANAGEMENT 50812,A81000C,00700,0100,B 50812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50812,B100000,00000,0650,00000TIME SPENT :LAUNDRY & LINEN SERVIC 50812,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50812,B100000,00000,0800,00000MEALS SERVED :DIETARY 50812,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50812,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50812,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 50812,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 50812,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50812,E10A180,00501,0100,06/23/2000 50812,S000000,00100,0200,06/01/2000 50812,S200000,00100,0100,3819 CHESTERFIELD 50812,S200000,00200,0100,CHARLESTON 50812,S200000,00200,0200,WV 50812,S200000,00200,0300,25304- 50812,S200000,00300,0100,KANAWHA 50812,S200000,00300,0200,1480 50812,S200000,00300,0300,U 50812,S200000,00400,0100,HEARTLAND OF CHARLESTON 50812,S200000,00400,0200,515089 50812,S200000,00400,0300,01/01/1980 50812,S200000,00400,0500,P 50812,S200000,01600,0100,Y 50812,S200000,02200,0100,Y 50821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50821,A000000,00300,0000,00300EMPLOYEE BENEFITS 50821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50821,A000000,00700,0000,00700HOUSEKEEPING 50821,A000000,00800,0000,00800DIETARY 50821,A000000,00900,0000,00900NURSING ADMINISTRATION 50821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50821,A000000,01100,0000,01100PHARMACY 50821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50821,A000000,01300,0000,01300SOCIAL SERVICE 50821,A000000,01350,0000,01500ACTIVITIES 50821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50821,A000000,01600,0000,01600SKILLED NURSING FACILITY 50821,A000000,01800,0000,01800NURSING FACILITY 50821,A000000,01900,0000,01900OTHER LONG TERM CARE 50821,A000000,02100,0000,02100RADIOLOGY 50821,A000000,02200,0000,02200LABORATORY 50821,A000000,02300,0000,02300INTRAVENOUS THERAPY 50821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50821,A000000,02500,0000,02500PHYSICAL THERAPY 50821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50821,A000000,02700,0000,02700SPEECH PATHOLOGY 50821,A000000,02800,0000,02800ELECTROCARDIOLOGY 50821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50821,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50821,A000000,03200,0000,03200SUPPORT SURFACES 50821,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50821,A000000,04800,0000,04800AMBULANCE 50821,A000000,05300,0000,05300INTEREST EXPENSE 50821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50821,A000000,06100,0000,06100NONPAID WORKERS 50821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50821,A000000,06200,0000,06200PATIENTS LAUNDRY 50821,A81000A,00100,0100,Y 50821,A81000B,00100,0300,HOME OFFICE COST 50821,A81000B,00200,0300,IV COST 50821,A81000B,00300,0300,DRUGS 50821,A81000B,00400,0300,PT ADMIN FEES 50821,A81000B,00500,0300,OT ADMIN FEES 50821,A81000B,00600,0300,ST ADMIN FEES 50821,A81000C,00100,0100,B 50821,A81000C,00100,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00100,0400,HCR MANORCARE INC. 50821,A81000C,00100,0600,LONG TERM CARE FACILITIES 50821,A81000C,00200,0100,B 50821,A81000C,00200,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50821,A81000C,00200,0600,PHARMACY 50821,A81000C,00300,0100,B 50821,A81000C,00300,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50821,A81000C,00300,0600,PHARMACY 50821,A81000C,00400,0100,B 50821,A81000C,00400,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 50821,A81000C,00400,0600,THERAPY MANAGEMENT 50821,A81000C,00500,0100,B 50821,A81000C,00500,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 50821,A81000C,00500,0600,THERAPY MANAGEMENT 50821,A81000C,00600,0100,B 50821,A81000C,00600,0200,HEARTLAND OF CLARKSBURG 50821,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50821,A81000C,00600,0600,THERAPY MANAGEMENT 50821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50821,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50821,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50821,B100000,00000,0800,00000MEALS SERVED :DIETARY 50821,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50821,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50821,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50821,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50821,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50821,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50821,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50821,S000000,00100,0200,05/22/2000 50821,S200000,00100,0100,100 PARKWAY DRIVE 50821,S200000,00200,0100,CLARKSBURG 50821,S200000,00200,0200,WV 50821,S200000,00200,0300,26301- 50821,S200000,00300,0100,HARRISON 50821,S200000,00400,0100,HEARTLAND OF CLARKSBURG 50821,S200000,00400,0200,515120 50821,S200000,00400,0300,04/01/1993 50821,S200000,00400,0500,P 50821,S200000,00400,0600,P 50821,S200000,01004,0500,O 50821,S200000,01600,0100,Y 50821,S200000,02200,0100,Y 50832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50832,A000000,00300,0000,00300EMPLOYEE BENEFITS 50832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50832,A000000,00700,0000,00700HOUSEKEEPING 50832,A000000,00800,0000,00800DIETARY 50832,A000000,00900,0000,00900NURSING ADMINISTRATION 50832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50832,A000000,01100,0000,01100PHARMACY 50832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50832,A000000,01300,0000,01300SOCIAL SERVICE 50832,A000000,01350,0000,01500ACTIVITIES 50832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50832,A000000,01600,0000,01600SKILLED NURSING FACILITY 50832,A000000,01800,0000,01800NURSING FACILITY 50832,A000000,01900,0000,01900OTHER LONG TERM CARE 50832,A000000,02100,0000,02100RADIOLOGY 50832,A000000,02200,0000,02200LABORATORY 50832,A000000,02300,0000,02300INTRAVENOUS THERAPY 50832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50832,A000000,02500,0000,02500PHYSICAL THERAPY 50832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50832,A000000,02700,0000,02700SPEECH PATHOLOGY 50832,A000000,02800,0000,02800ELECTROCARDIOLOGY 50832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50832,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50832,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50832,A000000,03200,0000,03200SUPPORT SURFACES 50832,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50832,A000000,04800,0000,04800AMBULANCE 50832,A000000,05300,0000,05300INTEREST EXPENSE 50832,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50832,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50832,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50832,A000000,06100,0000,06100NONPAID WORKERS 50832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50832,A000000,06200,0000,06200PATIENTS LAUNDRY 50832,A81000A,00100,0100,Y 50832,A81000B,00100,0300,HOME OFFICE COST 50832,A81000B,00200,0300,DRUGS 50832,A81000B,00300,0300,PT MANAGEMENT FEES 50832,A81000B,00400,0300,OT MANAGEMENT FEES 50832,A81000B,00500,0300,ST MANAGEMENT FEES 50832,A81000C,00100,0100,B 50832,A81000C,00100,0200,HEARTLAND OF RAINELLE 50832,A81000C,00100,0400,HCR MANORCARE INC. 50832,A81000C,00100,0600,LONG TERM CARE FACILITIES 50832,A81000C,00200,0100,B 50832,A81000C,00200,0200,HEARTLAND OF RAINELLE 50832,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50832,A81000C,00200,0600,PHARMACY 50832,A81000C,00300,0100,B 50832,A81000C,00300,0200,HEARTLAND OF RAINELLE 50832,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 50832,A81000C,00300,0600,THERAPY MANAGEMENT 50832,A81000C,00400,0100,B 50832,A81000C,00400,0200,HEARTLAND OF RAINELLE 50832,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 50832,A81000C,00400,0600,THERAPY MANAGEMENT 50832,A81000C,00500,0100,B 50832,A81000C,00500,0200,HEARTLAND OF RAINELLE 50832,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 50832,A81000C,00500,0600,THERAPY MANAGEMENT 50832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50832,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50832,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50832,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50832,B100000,00000,0800,00000MEALS SERVED :DIETARY 50832,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50832,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50832,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50832,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50832,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50832,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50832,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50832,S000000,00100,0200,05/22/2000 50832,S200000,00100,0100,606 PENNSYLVANIA 50832,S200000,00200,0100,RAINELLE 50832,S200000,00200,0200,WV 50832,S200000,00200,0300,25962- 50832,S200000,00300,0100,GREENBRIER 50832,S200000,00400,0100,HEARTLAND OF RAINELLE 50832,S200000,00400,0200,515121 50832,S200000,00400,0300,06/01/1993 50832,S200000,00400,0500,P 50832,S200000,00400,0600,P 50832,S200000,01600,0100,Y 50832,S200000,02200,0100,Y 50832,S700003,00000,0100,1 50841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50841,A000000,00300,0000,00300EMPLOYEE BENEFITS 50841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50841,A000000,00700,0000,00700HOUSEKEEPING 50841,A000000,00800,0000,00800DIETARY 50841,A000000,00900,0000,00900NURSING ADMINISTRATION 50841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50841,A000000,01100,0000,01100PHARMACY 50841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50841,A000000,01300,0000,01300SOCIAL SERVICE 50841,A000000,01350,0000,01500ACTIVITIES 50841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50841,A000000,01600,0000,01600SKILLED NURSING FACILITY 50841,A000000,01800,0000,01800NURSING FACILITY 50841,A000000,01900,0000,01900OTHER LONG TERM CARE 50841,A000000,02100,0000,02100RADIOLOGY 50841,A000000,02200,0000,02200LABORATORY 50841,A000000,02300,0000,02300INTRAVENOUS THERAPY 50841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50841,A000000,02500,0000,02500PHYSICAL THERAPY 50841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50841,A000000,02700,0000,02700SPEECH PATHOLOGY 50841,A000000,02800,0000,02800ELECTROCARDIOLOGY 50841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50841,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50841,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50841,A000000,03200,0000,03200SUPPORT SURFACES 50841,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50841,A000000,04800,0000,04800AMBULANCE 50841,A000000,05300,0000,05300INTEREST EXPENSE 50841,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50841,A000000,06100,0000,06100NONPAID WORKERS 50841,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50841,A000000,06200,0000,06200PATIENTS LAUNDRY 50841,A81000A,00100,0100,Y 50841,A81000B,00100,0300,HOME OFFICE COST 50841,A81000B,00200,0300,DRUGS 50841,A81000B,00300,0300,IV THERAPY 50841,A81000B,00400,0300,PT ADMIN FEES 50841,A81000B,00500,0300,OT ADMIN FEES 50841,A81000B,00600,0300,ST ADMIN FEES 50841,A81000C,00100,0100,B 50841,A81000C,00100,0200,HEARTLAND OF KEYSER 50841,A81000C,00100,0400,HCR MANORCARE INC. 50841,A81000C,00100,0600,LONG TERM CARE FACILITIES 50841,A81000C,00200,0100,B 50841,A81000C,00200,0200,HEARTLAND OF KEYSER 50841,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50841,A81000C,00200,0600,PHARMACY 50841,A81000C,00300,0100,B 50841,A81000C,00300,0200,HEARTLAND OF KEYSER 50841,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50841,A81000C,00300,0600,PHARMACY 50841,A81000C,00400,0100,B 50841,A81000C,00400,0200,HEARTLAND OF KEYSER 50841,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 50841,A81000C,00400,0600,THERAPY MANAGEMENT 50841,A81000C,00500,0100,B 50841,A81000C,00500,0200,HEARTLAND OF KEYSER 50841,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 50841,A81000C,00500,0600,THERAPY MANAGEMENT 50841,A81000C,00600,0100,B 50841,A81000C,00600,0200,HEARTLAND OF KEYSER 50841,A81000C,00600,0400,HEARTLAND MANAGEMENT SVCS 50841,A81000C,00600,0600,THERAPY MANAGEMENT 50841,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50841,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50841,B100000,00000,0800,00000MEALS SERVED :DIETARY 50841,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50841,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50841,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50841,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50841,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50841,S000000,00100,0200,05/22/2000 50841,S200000,00100,0100,135 SOUTHERN DRIVE 50841,S200000,00200,0100,KEYSER 50841,S200000,00200,0200,WV 50841,S200000,00200,0300,26726- 50841,S200000,00300,0100,MINERAL 50841,S200000,00400,0100,HEARTLAND OF KEYSER 50841,S200000,00400,0200,515122 50841,S200000,00400,0300,05/01/1993 50841,S200000,00400,0500,P 50841,S200000,00400,0600,P 50841,S200000,01004,0500,O 50841,S200000,01600,0100,Y 50841,S200000,02200,0100,Y 50841,S700003,00000,0100,1 50849,S000000,00100,0200,05/31/2000 50858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50858,A000000,00300,0000,00300EMPLOYEE BENEFITS 50858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50858,A000000,00700,0000,00700HOUSEKEEPING 50858,A000000,00800,0000,00800DIETARY 50858,A000000,00900,0000,00900NURSING ADMINISTRATION 50858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50858,A000000,01100,0000,01100PHARMACY 50858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50858,A000000,01300,0000,01300SOCIAL SERVICE 50858,A000000,01350,0000,01500ACTIVITIES 50858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50858,A000000,01600,0000,01600SKILLED NURSING FACILITY 50858,A000000,01800,0000,01800NURSING FACILITY 50858,A000000,01900,0000,01900OTHER LONG TERM CARE 50858,A000000,02100,0000,02100RADIOLOGY 50858,A000000,02200,0000,02200LABORATORY 50858,A000000,02300,0000,02300INTRAVENOUS THERAPY 50858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50858,A000000,02500,0000,02500PHYSICAL THERAPY 50858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50858,A000000,02700,0000,02700SPEECH PATHOLOGY 50858,A000000,02800,0000,02800ELECTROCARDIOLOGY 50858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50858,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50858,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50858,A000000,03200,0000,03200SUPPORT SURFACES 50858,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50858,A000000,04800,0000,04800AMBULANCE 50858,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50858,A000000,05300,0000,05300INTEREST EXPENSE 50858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50858,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50858,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50858,A000000,06100,0000,06100NONPAID WORKERS 50858,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50858,A000000,06200,0000,06200PATIENTS LAUNDRY 50858,A81000A,00100,0100,Y 50858,A81000B,00100,0300,HOME OFFICE COST 50858,A81000B,00200,0300,PHYSICAL THERAPY 50858,A81000B,00300,0300,OCCUPATIONAL THERAPY 50858,A81000B,00400,0300,SPEECH THERAPY 50858,A81000B,00500,0300,INTRAVENOUS THERAPY 50858,A81000B,00600,0300,DRUGS CHARGED TO PATIENTS 50858,A81000C,00100,0100,B 50858,A81000C,00100,0200,WASHINGTON MANOR 50858,A81000C,00100,0400,HCR MANORCARE INC. 50858,A81000C,00100,0600,LONG TERM CARE FACILITIES 50858,A81000C,00200,0100,B 50858,A81000C,00200,0200,WASHINGTON MANOR 50858,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 50858,A81000C,00200,0600,THERAPY MANAGEMENT 50858,A81000C,00300,0100,B 50858,A81000C,00300,0200,WASHINGTON MANOR 50858,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 50858,A81000C,00300,0600,THERAPY MANAGEMENT 50858,A81000C,00400,0100,B 50858,A81000C,00400,0200,WASHINGTON MANOR 50858,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 50858,A81000C,00400,0600,THERAPY MANAGEMENT 50858,A81000C,00500,0100,B 50858,A81000C,00500,0200,WASHINGTON MANOR 50858,A81000C,00500,0400,HTLD HEALTH CARE SERVICES 50858,A81000C,00500,0600,PHARMACY 50858,A81000C,00600,0100,B 50858,A81000C,00600,0200,WASHINGTON MANOR 50858,A81000C,00600,0400,HTLD HEALTH CARE SERVICES 50858,A81000C,00600,0600,PHARMACY 50858,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50858,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50858,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50858,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50858,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50858,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50858,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50858,B100000,00000,0800,00000MEALS SERVED :DIETARY 50858,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50858,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50858,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50858,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50858,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50858,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50858,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50858,S000000,00100,0200,09/29/2000 50858,S200000,00100,0100,3100 WASHINGTON ROAD 50858,S200000,00200,0100,KENOSHA 50858,S200000,00200,0200,WI 50858,S200000,00200,0300,53144- 50858,S200000,00300,0100,KENOSHA 50858,S200000,00400,0100,WASHINGTON MANOR 50858,S200000,00400,0200,525179 50858,S200000,00400,0300,10/01/1986 50858,S200000,00400,0500,P 50858,S200000,00400,0600,P 50858,S200000,01004,0500,O 50858,S200000,01600,0100,Y 50858,S200000,02200,0100,Y 50869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50869,A000000,00300,0000,00300EMPLOYEE BENEFITS 50869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50869,A000000,00700,0000,00700HOUSEKEEPING 50869,A000000,00800,0000,00800DIETARY 50869,A000000,00900,0000,00900NURSING ADMINISTRATION 50869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50869,A000000,01100,0000,01100PHARMACY 50869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50869,A000000,01300,0000,01300SOCIAL SERVICE 50869,A000000,01350,0000,01500ACTIVITIES 50869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50869,A000000,01600,0000,01600SKILLED NURSING FACILITY 50869,A000000,01800,0000,01800NURSING FACILITY 50869,A000000,01900,0000,01900OTHER LONG TERM CARE 50869,A000000,02100,0000,02100RADIOLOGY 50869,A000000,02200,0000,02200LABORATORY 50869,A000000,02300,0000,02300INTRAVENOUS THERAPY 50869,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50869,A000000,02500,0000,02500PHYSICAL THERAPY 50869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50869,A000000,02700,0000,02700SPEECH PATHOLOGY 50869,A000000,02800,0000,02800ELECTROCARDIOLOGY 50869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50869,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50869,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50869,A000000,03200,0000,03200SUPPORT SURFACES 50869,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50869,A000000,04800,0000,04800AMBULANCE 50869,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50869,A000000,05300,0000,05300INTEREST EXPENSE 50869,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50869,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50869,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50869,A000000,06100,0000,06100NONPAID WORKERS 50869,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50869,A000000,06200,0000,06200PATIENTS LAUNDRY 50869,A81000A,00100,0100,Y 50869,A81000B,00100,0300,HOME OFFICE COST 50869,A81000B,00200,0300,PHYSICAL THERAPY 50869,A81000B,00300,0300,OCCUPATIONAL THERAPY 50869,A81000B,00400,0300,SPEECH THERAPY 50869,A81000C,00100,0100,B 50869,A81000C,00100,0200,HEARTLAND OF PLATTEVILLE 50869,A81000C,00100,0400,HCR MANORCARE INC. 50869,A81000C,00100,0600,LONG TERM CARE FACILITIES 50869,A81000C,00200,0100,B 50869,A81000C,00200,0200,HEARTLAND OF PLATTEVILLE 50869,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 50869,A81000C,00200,0600,MANAGES THERAPY 50869,A81000C,00300,0100,B 50869,A81000C,00300,0200,HEARTLAND OF PLATTEVILLE 50869,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 50869,A81000C,00300,0600,MANAGES THERAPY 50869,A81000C,00400,0100,B 50869,A81000C,00400,0200,HEARTLAND OF PLATTEVILLE 50869,A81000C,00400,0400,HEARTLAND MANAGEMENT SVSC 50869,A81000C,00400,0600,MANAGES THERAPY 50869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50869,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50869,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50869,B100000,00000,0800,00000MEALS SERVED :DIETARY 50869,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50869,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50869,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50869,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50869,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50869,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50869,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50869,S000000,00100,0200,05/31/2000 50869,S200000,00100,0100,1300 NORTH WATER STREET 50869,S200000,00200,0100,PLATTEVILLE 50869,S200000,00200,0200,WI 50869,S200000,00200,0300,53208- 50869,S200000,00300,0100,IROQUOIS 50869,S200000,00400,0100,HEARTLAND PLATTEVILLE 50869,S200000,00400,0200,525219 50869,S200000,00400,0300,01/01/1966 50869,S200000,00400,0500,P 50869,S200000,01600,0100,Y 50869,S200000,02200,0100,Y 50877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50877,A000000,00300,0000,00300EMPLOYEE BENEFITS 50877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50877,A000000,00700,0000,00700HOUSEKEEPING 50877,A000000,00800,0000,00800DIETARY 50877,A000000,00900,0000,00900NURSING ADMINISTRATION 50877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50877,A000000,01100,0000,01100PHARMACY 50877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50877,A000000,01300,0000,01300SOCIAL SERVICE 50877,A000000,01350,0000,01500ACTIVITIES 50877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50877,A000000,01600,0000,01600SKILLED NURSING FACILITY 50877,A000000,01800,0000,01800NURSING FACILITY 50877,A000000,01900,0000,01900OTHER LONG TERM CARE 50877,A000000,02100,0000,02100RADIOLOGY 50877,A000000,02200,0000,02200LABORATORY 50877,A000000,02300,0000,02300INTRAVENOUS THERAPY 50877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50877,A000000,02500,0000,02500PHYSICAL THERAPY 50877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50877,A000000,02700,0000,02700SPEECH PATHOLOGY 50877,A000000,02800,0000,02800ELECTROCARDIOLOGY 50877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50877,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50877,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50877,A000000,03200,0000,03200SUPPORT SURFACES 50877,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50877,A000000,04800,0000,04800AMBULANCE 50877,A000000,05300,0000,05300INTEREST EXPENSE 50877,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50877,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50877,A000000,06100,0000,06100NONPAID WORKERS 50877,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50877,A000000,06200,0000,06200PATIENTS LAUNDRY 50877,A81000A,00100,0100,Y 50877,A81000B,00100,0300,HOME OFFICE COST 50877,A81000B,00200,0300,IV SUPPLIES & DRUGS 50877,A81000B,00300,0300,DRUGS 50877,A81000B,00400,0300,PT ADMINISTRATION FEE 50877,A81000B,00500,0300,OT ADMINISTRATION FEE 50877,A81000B,00600,0300,ST ADMINISTRATION FEE 50877,A81000C,00100,0100,B 50877,A81000C,00100,0200,MARINA VIEW MANOR 50877,A81000C,00100,0400,HCR MANORCARE INC. 50877,A81000C,00100,0600,LONG TERM CARE FACILITIES 50877,A81000C,00200,0100,B 50877,A81000C,00200,0200,MARINA VIEW MANOR 50877,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50877,A81000C,00200,0600,PHARMACY 50877,A81000C,00300,0100,B 50877,A81000C,00300,0200,MARINA VIEW MANOR 50877,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50877,A81000C,00300,0600,PHARMACY 50877,A81000C,00400,0100,B 50877,A81000C,00400,0200,MARINA VIEW MANOR 50877,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 50877,A81000C,00400,0600,THARAPY MANAGEMENT 50877,A81000C,00500,0100,B 50877,A81000C,00500,0200,MARINA VIEW MANOR 50877,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 50877,A81000C,00500,0600,THARAPY MANAGEMENT 50877,A81000C,00600,0100,B 50877,A81000C,00600,0200,MARINA VIEW MANOR 50877,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 50877,A81000C,00600,0600,THARAPY MANAGEMENT 50877,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50877,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50877,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50877,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50877,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50877,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50877,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50877,B100000,00000,0800,00000MEALS SERVED :DIETARY 50877,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50877,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50877,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50877,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50877,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50877,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50877,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50877,S000000,00100,0200,09/29/2000 50877,S200000,00100,0100,1552 NORTH PROSPECT AVENUE 50877,S200000,00200,0100,MILWAUKEE 50877,S200000,00200,0200,WI 50877,S200000,00200,0300,53202- 50877,S200000,00300,0100,MILWAUKEE 50877,S200000,00400,0100,MARINA VIEW MANOR 50877,S200000,00400,0200,525255 50877,S200000,00400,0300,10/01/1986 50877,S200000,00400,0500,P 50877,S200000,01600,0100,Y 50877,S200000,02200,0100,Y 50886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50886,A000000,00300,0000,00300EMPLOYEE BENEFITS 50886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50886,A000000,00700,0000,00700HOUSEKEEPING 50886,A000000,00800,0000,00800DIETARY 50886,A000000,00900,0000,00900NURSING ADMINISTRATION 50886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50886,A000000,01100,0000,01100PHARMACY 50886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50886,A000000,01300,0000,01300SOCIAL SERVICE 50886,A000000,01350,0000,01500ACTIVITIES 50886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50886,A000000,01600,0000,01600SKILLED NURSING FACILITY 50886,A000000,01800,0000,01800NURSING FACILITY 50886,A000000,01900,0000,01900OTHER LONG TERM CARE 50886,A000000,02100,0000,02100RADIOLOGY 50886,A000000,02200,0000,02200LABORATORY 50886,A000000,02300,0000,02300INTRAVENOUS THERAPY 50886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50886,A000000,02500,0000,02500PHYSICAL THERAPY 50886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50886,A000000,02700,0000,02700SPEECH PATHOLOGY 50886,A000000,02800,0000,02800ELECTROCARDIOLOGY 50886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50886,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50886,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50886,A000000,03200,0000,03200SUPPORT SURFACES 50886,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50886,A000000,04800,0000,04800AMBULANCE 50886,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 50886,A000000,05300,0000,05300INTEREST EXPENSE 50886,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50886,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50886,A000000,06100,0000,06100NONPAID WORKERS 50886,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50886,A000000,06200,0000,06200PATIENTS LAUNDRY 50886,A81000A,00100,0100,Y 50886,A81000B,00100,0300,HOME OFFICE COST 50886,A81000B,00200,0300,DRUGS 50886,A81000B,00300,0300,IV THERAPY 50886,A81000C,00100,0100,B 50886,A81000C,00100,0200,HEARTLAND OF SHAWANO 50886,A81000C,00100,0400,HCR MANORCARE INC. 50886,A81000C,00100,0600,LONG TERM CARE FACILITIES 50886,A81000C,00200,0100,B 50886,A81000C,00200,0200,HEARTLAND OF SHAWANO 50886,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 50886,A81000C,00200,0600,PHARMACY 50886,A81000C,00300,0100,B 50886,A81000C,00300,0200,HEARTLAND OF SHAWANO 50886,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 50886,A81000C,00300,0600,PHARMACY 50886,A81000C,00400,0100,B 50886,A81000C,00500,0100,B 50886,A81000C,00600,0100,B 50886,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50886,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50886,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50886,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50886,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50886,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50886,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50886,B100000,00000,0800,00000MEALS SERVED :DIETARY 50886,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50886,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50886,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50886,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50886,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50886,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50886,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50886,S000000,00100,0200,05/31/2000 50886,S200000,00100,0100,1436 SOUTH LINCOLN STREET 50886,S200000,00200,0100,SHAWANO 50886,S200000,00200,0200,WI 50886,S200000,00200,0300,54166- 50886,S200000,00300,0100,SHAWANO 50886,S200000,00400,0100,HEARTLAND OF SHAWANO 50886,S200000,00400,0200,525335 50886,S200000,00400,0300,01/01/1983 50886,S200000,00400,0500,P 50886,S200000,00400,0600,P 50886,S200000,01004,0500,O 50886,S200000,01600,0100,Y 50886,S200000,02200,0100,Y 50896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 50896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 50896,A000000,00300,0000,00300EMPLOYEE BENEFITS 50896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 50896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50896,A000000,00700,0000,00700HOUSEKEEPING 50896,A000000,00800,0000,00800DIETARY 50896,A000000,00900,0000,00900NURSING ADMINISTRATION 50896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50896,A000000,01100,0000,01100PHARMACY 50896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50896,A000000,01300,0000,01300SOCIAL SERVICE 50896,A000000,01350,0000,01500ACTIVITIES 50896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 50896,A000000,01600,0000,01600SKILLED NURSING FACILITY 50896,A000000,01800,0000,01800NURSING FACILITY 50896,A000000,01900,0000,01900OTHER LONG TERM CARE 50896,A000000,02100,0000,02100RADIOLOGY 50896,A000000,02200,0000,02200LABORATORY 50896,A000000,02300,0000,02300INTRAVENOUS THERAPY 50896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50896,A000000,02500,0000,02500PHYSICAL THERAPY 50896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50896,A000000,02700,0000,02700SPEECH PATHOLOGY 50896,A000000,02800,0000,02800ELECTROCARDIOLOGY 50896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 50896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50896,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 50896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 50896,A000000,03200,0000,03200SUPPORT SURFACES 50896,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 50896,A000000,04800,0000,04800AMBULANCE 50896,A000000,05300,0000,05300INTEREST EXPENSE 50896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 50896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 50896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 50896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50896,A000000,06100,0000,06100NONPAID WORKERS 50896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50896,A000000,06200,0000,06200PATIENTS LAUNDRY 50896,A81000A,00100,0100,Y 50896,A81000B,00100,0300,HOME OFFICE COST 50896,A81000B,00200,0300,IV THERAPY 50896,A81000B,00300,0300,DRUGS 50896,A81000B,00400,0300,PHYSICAL THERAPY 50896,A81000B,00500,0300,OCCUPATIONAL THERAPY 50896,A81000B,00600,0300,SPEECH THERAPY 50896,A81000C,00100,0100,B 50896,A81000C,00100,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00100,0400,HCR MANORCARE INC. 50896,A81000C,00100,0600,LONG TERM CARE FACILITIES 50896,A81000C,00200,0100,B 50896,A81000C,00200,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 50896,A81000C,00200,0600,PHARMACY 50896,A81000C,00300,0100,B 50896,A81000C,00300,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 50896,A81000C,00300,0600,PHARMACY 50896,A81000C,00400,0100,B 50896,A81000C,00400,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 50896,A81000C,00400,0600,THERAPY MANAGEMENT 50896,A81000C,00500,0100,B 50896,A81000C,00500,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00500,0400,HEARTLAND HEALTHCARE SVCS 50896,A81000C,00500,0600,THERAPY MANAGEMENT 50896,A81000C,00600,0100,B 50896,A81000C,00600,0200,HEARTLAND OF MILWAUKEE 50896,A81000C,00600,0400,HEARTLAND HEALTHCARE SVCS 50896,A81000C,00600,0600,THERAPY MANAGEMENT 50896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 50896,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 50896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 50896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 50896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 50896,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 50896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 50896,B100000,00000,0800,00000MEALS SERVED :DIETARY 50896,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 50896,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 50896,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 50896,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 50896,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 50896,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 50896,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 50896,S000000,00100,0200,05/31/2000 50896,S200000,00100,0100,3216 W HIGHLAND BLVD 50896,S200000,00200,0100,MILWAUKEE 50896,S200000,00200,0200,WI 50896,S200000,00200,0300,53208- 50896,S200000,00300,0100,MILWAUKEE 50896,S200000,00400,0100,HEARTLAND OF MILWAUKEE 50896,S200000,00400,0200,525417 50896,S200000,00400,0300,06/30/1981 50896,S200000,00400,0500,P 50896,S200000,01600,0100,Y 50896,S200000,02200,0100,Y 50920,S000000,00100,0200,11/09/2000 50928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 50928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 50928,A000000,00300,0000,00300EMPLOYEE BENEFITS 50928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 50928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50928,A000000,00700,0000,00700HOUSEKEEPING 50928,A000000,00800,0000,00800DIETARY 50928,A000000,00900,0000,00900NURSING ADMINISTRATION 50928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50928,A000000,01100,0000,01100PHARMACY 50928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50928,A000000,01300,0000,01300SOCIAL SERVICE 50928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 50928,A000000,01600,0000,01600SKILLED NURSING FACILITY 50928,A000000,01800,0000,01800NURSING FACILITY 50928,A000000,01810,0000,01810ICF/MR 50928,A000000,02100,0000,02100RADIOLOGY 50928,A000000,02200,0000,02200LABORATORY 50928,A000000,02500,0000,02500PHYSICAL THERAPY 50928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50928,A000000,02700,0000,02700SPEECH PATHOLOGY 50928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 50928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50928,A000000,03550,0000,03550FQHC 50928,A000000,05000,0000,05000CORF 50928,A000000,05010,0000,05010CMHC 50928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 50928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 50928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 50928,A000000,05300,0000,05300INTEREST EXPENSE 50928,A81000A,00100,0100,Y 50928,A81000C,00100,0100,A 50928,A81000C,00100,0200,TUTERA HEALTH CARE MGT 50928,B100000,00000,0100,00000SQUARE FEET 50928,B100000,00000,0200,00000SQUARE FEET 50928,B100000,00000,0300,00000GROSS SALARIES 50928,B100000,00000,0400,00000ACCUM. COST 50928,B100000,00000,0500,00000SQUARE FEET 50928,B100000,00000,0600,00000PATIENT DAYS 50928,B100000,00000,0700,00000SQUARE FEET 50928,B100000,00000,0800,00000MEALS SERVED 50928,B100000,00000,0900,00000NURSING HOURS 50928,B100000,00000,1000,00000COSTED REQUIS. 50928,B100000,00000,1100,00000COSTED REQUIS. 50928,B100000,00000,1200,00000PATIENT DAYS 50928,B100000,00000,1300,00000PATIENT DAYS 50928,B100000,00000,1400,00000ASSIGNED TIME 50928,S000000,00100,0200,03/08/2001 50928,S200000,00100,0100,7019 NW CACHE ROAD 50928,S200000,00200,0100,LAWTON 50928,S200000,00200,0200,OK 50928,S200000,00200,0300,73505 50928,S200000,00300,0100,C 50928,S200000,00400,0100,WILLOW PARK HEALTH CARE CENTER 50928,S200000,00400,0200,375125 50928,S200000,00400,0300,10/01/1992 50928,S200000,00400,0500,P 50928,S200000,01600,0100,Y 50928,S200000,02200,0100,Y 50953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 50953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 50953,A000000,00300,0000,00300EMPLOYEE BENEFITS 50953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 50953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50953,A000000,00700,0000,00700HOUSEKEEPING 50953,A000000,00800,0000,00800DIETARY 50953,A000000,00900,0000,00900NURSING ADMINISTRATION 50953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50953,A000000,01100,0000,01100PHARMACY 50953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50953,A000000,01300,0000,01300SOCIAL SERVICE 50953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 50953,A000000,01600,0000,01600SKILLED NURSING FACILITY 50953,A000000,01800,0000,01800NURSING FACILITY 50953,A000000,01810,0000,01810ICF/MR 50953,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 50953,A000000,02500,0000,02500PHYSICAL THERAPY 50953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50953,A000000,02700,0000,02700SPEECH PATHOLOGY 50953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 50953,A000000,03550,0000,03550FQHC 50953,A000000,05000,0000,05000CORF 50953,A000000,05010,0000,05010CMHC 50953,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 50953,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 50953,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 50953,A000000,05300,0000,05300INTEREST EXPENSE 50953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50953,A81000A,00100,0100,Y 50953,A81000B,00100,0300,RELATED PARTY MGT FEES 50953,A81000C,00100,0100,A 50953,A81000C,00100,0200,TUTERA HEALTH CARE MGT 50953,B100000,00000,0100,00000SQUARE FEET 50953,B100000,00000,0200,00000SQUARE FEET 50953,B100000,00000,0300,00000GROSS SALARIES 50953,B100000,00000,0400,00000ACCUM. COST 50953,B100000,00000,0500,00000SQUARE FEET 50953,B100000,00000,0600,00000PATIENT DAYS 50953,B100000,00000,0700,00000SQUARE FEET 50953,B100000,00000,0800,00000PATIENT DAYS 50953,B100000,00000,0900,00000NURSING HOURS 50953,B100000,00000,1000,00000COSTED REQUIS. 50953,B100000,00000,1100,00000COSTED REQUIS. 50953,B100000,00000,1200,00000PATIENT DAYS 50953,B100000,00000,1300,00000PATIENT DAYS 50953,B100000,00000,1400,00000ASSIGNED TIME 50953,S000000,00100,0200,03/08/2001 50953,S200000,00100,0100,104 SOUTHEAST 4TH ST 50953,S200000,00200,0100,TUTTLE 50953,S200000,00200,0200,OK 50953,S200000,00200,0300,73089 50953,S200000,00300,0100,GRADY 50953,S200000,00400,0100,TUTTLE CARE CENTER 50953,S200000,00400,0200,375154 50953,S200000,00400,0300,03/01/1994 50953,S200000,00400,0500,P 50953,S200000,01600,0100,Y 50960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 50960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 50960,A000000,00300,0000,00300EMPLOYEE BENEFITS 50960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 50960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50960,A000000,00700,0000,00700HOUSEKEEPING 50960,A000000,00800,0000,00800DIETARY 50960,A000000,00801,0000,00801CAFETERIA 50960,A000000,00900,0000,00900NURSING ADMINISTRATION 50960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50960,A000000,01100,0000,01100PHARMACY 50960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50960,A000000,01300,0000,01300SOCIAL SERVICE 50960,A000000,01350,0000,01500OTHER GENERAL SERVICES 50960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 50960,A000000,01600,0000,01600SKILLED NURSING FACILITY 50960,A000000,01800,0000,01800NURSING FACILITY 50960,A000000,01810,0000,01810ICF/MR 50960,A000000,02200,0000,02200LABORATORY 50960,A000000,02500,0000,02500PHYSICAL THERAPY 50960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50960,A000000,02700,0000,02700SPEECH PATHOLOGY 50960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 50960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50960,A000000,03550,0000,03550FQHC 50960,A000000,05000,0000,05000CORF 50960,A000000,05010,0000,05010CMHC 50960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 50960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 50960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 50960,A000000,05300,0000,05300INTEREST EXPENSE 50960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50960,A81000A,00100,0100,Y 50960,A81000B,00100,0300,MANAGEMENT FEES 50960,A81000C,00100,0100,G 50960,A81000C,00100,0200,TUTERA MANAGEMENT 50960,B100000,00000,0100,00000SQUARE FEET 50960,B100000,00000,0200,00000SQUARE FEET 50960,B100000,00000,0300,00000GROSS SALARIES 50960,B100000,00000,0400,00000ACCUM. COST 50960,B100000,00000,0500,00000SQUARE FEET 50960,B100000,00000,0600,00000PATIENT DAYS 50960,B100000,00000,0700,00000SQUARE FEET 50960,B100000,00000,0800,00000PATIENT DAYS 50960,B100000,00000,0801,00000NO STATISTICS 50960,B100000,00000,0900,00000PATIENT DAYS 50960,B100000,00000,1000,00000COSTED REQUIS. 50960,B100000,00000,1100,00000COSTED REQUIS. 50960,B100000,00000,1200,00000PATIENT DAYS 50960,B100000,00000,1300,00000PATIENT DAYS 50960,B100000,00000,1350,00000NO STATISTICS 50960,B100000,00000,1400,00000ASSIGNED TIME 50960,S000000,00100,0200,03/08/2001 50960,S200000,00100,0100,5396 NW CACHE ROAD 50960,S200000,00200,0100,LAWTON 50960,S200000,00200,0200,OK 50960,S200000,00200,0300,73505 50960,S200000,00300,0100,C 50960,S200000,00400,0100,WESTERN HILLS HEALTH CARE CTR 50960,S200000,00400,0200,375157 50960,S200000,00400,0300,04/01/1994 50960,S200000,00400,0500,P 50960,S200000,01600,0100,Y 50976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 50976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 50976,A000000,00300,0000,00300EMPLOYEE BENEFITS 50976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 50976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50976,A000000,00700,0000,00700HOUSEKEEPING 50976,A000000,00800,0000,00800DIETARY 50976,A000000,00900,0000,00900NURSING ADMINISTRATION 50976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50976,A000000,01100,0000,01100PHARMACY 50976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50976,A000000,01300,0000,01300SOCIAL SERVICE 50976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 50976,A000000,01600,0000,01600SKILLED NURSING FACILITY 50976,A000000,01800,0000,01800NURSING FACILITY 50976,A000000,01810,0000,01810ICF/MR 50976,A000000,02100,0000,02100RADIOLOGY 50976,A000000,02200,0000,02200LABORATORY 50976,A000000,02500,0000,02500PHYSICAL THERAPY 50976,A000000,02501,0000,02501PHYSICAL THERAPY PT B 50976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50976,A000000,02601,0000,02601OCCUPATIONAL THERAPY PT B 50976,A000000,02700,0000,02700SPEECH PATHOLOGY 50976,A000000,02701,0000,02701SPEECH PATHOLOGY PT B 50976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 50976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50976,A000000,03200,0000,03200SUPPORT SURFACES 50976,A000000,03550,0000,03550FQHC 50976,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50976,A000000,05000,0000,05000CORF 50976,A000000,05010,0000,05010CMHC 50976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 50976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 50976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 50976,A000000,05300,0000,05300INTEREST EXPENSE 50976,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50976,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50976,A81000A,00100,0100,Y 50976,A81000B,00100,0300,HO A&G ALLOCATION 50976,A81000C,00100,0100,A 50976,A81000C,00100,0200,JOE HAMRA TRUST 50976,A81000C,00100,0400,GOLD MEDALLION 50976,A81000C,00100,0600,MANAGEMENT 50976,A81000C,00200,0100,A 50976,A81000C,00200,0200,MURIEL HAMRA TRUST 50976,A81000C,00200,0400,GOLD MEDALLION 50976,B100000,00000,0100,00000SQUARE FEET 50976,B100000,00000,0200,00000SQUARE FEET 50976,B100000,00000,0300,00000GROSS SALARIES 50976,B100000,00000,0400,00000ACCUM. COST 50976,B100000,00000,0500,00000SQUARE FEET 50976,B100000,00000,0600,00000POUNDS OF LAUNDRY 50976,B100000,00000,0700,00000SQUARE FEET 50976,B100000,00000,0800,00000PATIENT DAYS 50976,B100000,00000,0900,00000PATIENT DAYS 50976,B100000,00000,1000,00000COSTED REQUIS. 50976,B100000,00000,1100,00000COSTED REQUIS. 50976,B100000,00000,1200,00000PATIENT DAYS 50976,B100000,00000,1300,00000PATIENT DAYS 50976,B100000,00000,1400,00000ASSIGNED TIME 50976,E10A180,00501,0100,07/20/2000 50976,E10A180,00501,0300,07/20/2000 50976,S000000,00100,0200,05/30/2000 50976,S200000,00100,0100,2154 SOUTH 85TH EAST AVENUE 50976,S200000,00200,0100,TULSA 50976,S200000,00200,0200,OK 50976,S200000,00200,0300,74129 50976,S200000,00300,0100,TULSA 50976,S200000,00400,0100,LEISURE VILLAGE HEALTH CARE CENTER 50976,S200000,00400,0200,375230 50976,S200000,00400,0300,08/01/1995 50976,S200000,00400,0500,P 50976,S200000,01600,0100,Y 50996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 50996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 50996,A000000,00300,0000,00300EMPLOYEE BENEFITS 50996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 50996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 50996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 50996,A000000,00700,0000,00700HOUSEKEEPING 50996,A000000,00800,0000,00800DIETARY 50996,A000000,00801,0000,00801CAFETERIA 50996,A000000,00900,0000,00900NURSING ADMINISTRATION 50996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 50996,A000000,01100,0000,01100PHARMACY 50996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 50996,A000000,01300,0000,01300SOCIAL SERVICE 50996,A000000,01350,0000,01500OTHER GENERAL SERVICES 50996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 50996,A000000,01600,0000,01600SKILLED NURSING FACILITY 50996,A000000,01800,0000,01800NURSING FACILITY 50996,A000000,01810,0000,01810ICF/MR 50996,A000000,02100,0000,02100RADIOLOGY 50996,A000000,02200,0000,02200LABORATORY 50996,A000000,02500,0000,02500PHYSICAL THERAPY 50996,A000000,02501,0000,02501PHYSICAL THERAPY PART B 50996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 50996,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 50996,A000000,02700,0000,02700SPEECH PATHOLOGY 50996,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 50996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 50996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 50996,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 50996,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 50996,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 50996,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 50996,A000000,03550,0000,03550FQHC 50996,A000000,04750,0000,05100OTHER REIMBURSABLE COST 50996,A000000,05000,0000,05000CORF 50996,A000000,05010,0000,05010CMHC 50996,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 50996,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 50996,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 50996,A000000,05300,0000,05300INTEREST EXPENSE 50996,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 50996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 50996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 50996,A000000,06151,0000,06301APARTMENTS 50996,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 50996,A000000,06153,0000,06303GUEST MEALS 50996,A81000A,00100,0100,Y 50996,A81000B,00100,0300,RELATED PARTY MGT FEES 50996,A81000C,00100,0100,A 50996,A81000C,00100,0200,TUTERA HEALTH CARE MGT 50996,B100000,00000,0100,00003SQUARE FEET 50996,B100000,00000,0200,00003SQUARE FEET 50996,B100000,00000,0300,00003GROSS SALARIES 50996,B100000,00000,0400,00003ACCUM. COST 50996,B100000,00000,0500,00003SQUARE FEET 50996,B100000,00000,0600,00003PATIENT DAYS 50996,B100000,00000,0700,00003SQUARE FEET 50996,B100000,00000,0800,00003PATIENT DAYS 50996,B100000,00000,0801,00003MEALS SERVED 50996,B100000,00000,0900,00003NURSING HOURS 50996,B100000,00000,1000,00003COSTED REQUIS. 50996,B100000,00000,1100,00003COSTED REQUIS. 50996,B100000,00000,1200,00003PATIENT DAYS 50996,B100000,00000,1300,00003PATIENT DAYS 50996,B100000,00000,1350,00003MEALS SERVED 50996,B100000,00000,1400,00003ASSIGNED TIME 50996,S000000,00100,0200,03/08/2001 50996,S200000,00100,0100,100 GREEN AVE 50996,S200000,00200,0100,TEMPLE 50996,S200000,00200,0200,OK 50996,S200000,00200,0300,73568 50996,S200000,00300,0100,C 50996,S200000,00400,0100,TEMPLE MANOR NURSING HOME 50996,S200000,00400,0200,375270 50996,S200000,00400,0300,07/01/1996 50996,S200000,00400,0500,P 50996,S200000,01600,0100,Y 51006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 51006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 51006,A000000,00300,0000,00300EMPLOYEE BENEFITS 51006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 51006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51006,A000000,00700,0000,00700HOUSEKEEPING 51006,A000000,00800,0000,00800DIETARY 51006,A000000,00900,0000,00900NURSING ADMINISTRATION 51006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51006,A000000,01100,0000,01100PHARMACY 51006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51006,A000000,01300,0000,01300SOCIAL SERVICE 51006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 51006,A000000,01600,0000,01600SKILLED NURSING FACILITY 51006,A000000,01800,0000,01800NURSING FACILITY 51006,A000000,01810,0000,01810ICF/MR 51006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51006,A000000,02500,0000,02500PHYSICAL THERAPY 51006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51006,A000000,02700,0000,02700SPEECH PATHOLOGY 51006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 51006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51006,A000000,03550,0000,03550FQHC 51006,A000000,05000,0000,05000CORF 51006,A000000,05010,0000,05010CMHC 51006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 51006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 51006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 51006,B100000,00000,0100,00040SQUARE FEET 51006,B100000,00000,0200,00040SQUARE FEET 51006,B100000,00000,0300,00040GROSS SALARIES 51006,B100000,00000,0400,00040ACCUM COST 51006,B100000,00000,0500,00040SQUARE FEET 51006,B100000,00000,0600,00040POUNDS OF LAUNDRY 51006,B100000,00000,0700,00040SQUARE FEET 51006,B100000,00000,0800,00040PATIENT DAYS 51006,B100000,00000,0900,00040PATIENT DAYS 51006,B100000,00000,1000,00040COSTED REQUIS 51006,B100000,00000,1100,00040PATIENT DAYS 51006,B100000,00000,1200,00040TIME SPENT 51006,B100000,00000,1300,00040PATIENT DAYS 51006,B100000,00000,1400,00040ASSIGNED TIME 51006,E10A180,00501,0100,08/03/2000 51006,S000000,00100,0200,06/28/2000 51006,S200000,00100,0100,1200 EAST MAIN 51006,S200000,00200,0100,TISHOMINGO 51006,S200000,00200,0200,OK 51006,S200000,00200,0300,73460 51006,S200000,00300,0100,JOHNSTON 51006,S200000,00400,0100,HILCREST NURSING CENTER 51006,S200000,00400,0200,375302 51006,S200000,00400,0300,05/01/1997 51006,S200000,00400,0500,P 51006,S200000,01500,0100,Y 51006,S200000,04300,0100,Y 51014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 51014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 51014,A000000,00300,0000,00300EMPLOYEE BENEFITS 51014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 51014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51014,A000000,00700,0000,00700HOUSEKEEPING 51014,A000000,00800,0000,00800DIETARY 51014,A000000,00900,0000,00900NURSING ADMINISTRATION 51014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51014,A000000,01100,0000,01100PHARMACY 51014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51014,A000000,01300,0000,01300SOCIAL SERVICE 51014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 51014,A000000,01600,0000,01600SKILLED NURSING FACILITY 51014,A000000,01800,0000,01800NURSING FACILITY 51014,A000000,01810,0000,01810ICF/MR 51014,A000000,02100,0000,02100RADIOLOGY 51014,A000000,02200,0000,02200LABORATORY 51014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51014,A000000,02500,0000,02500PHYSICAL THERAPY 51014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51014,A000000,02700,0000,02700SPEECH PATHOLOGY 51014,A000000,02800,0000,02800ELECTROCARDIOLOGY 51014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 51014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51014,A000000,03550,0000,03550FQHC 51014,A000000,05000,0000,05000CORF 51014,A000000,05010,0000,05010CMHC 51014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 51014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 51014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 51014,B100000,00000,0100,00040SQUARE FEET 51014,B100000,00000,0200,00040SQUARE FEET 51014,B100000,00000,0300,00040GROSS SALARIES 51014,B100000,00000,0400,00040ACCUM COST 51014,B100000,00000,0500,00040SQUARE FEET 51014,B100000,00000,0600,00040POUNDS OF LAUNDRY 51014,B100000,00000,0700,00040HOURS OF SERVICE 51014,B100000,00000,0800,00040MEALS SERVED 51014,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 51014,B100000,00000,1000,00040COSTED REQUISITIO 51014,B100000,00000,1100,00040COSTED REQUISITIO 51014,B100000,00000,1200,00040TIME SPENT 51014,B100000,00000,1300,00040TIME SPENT 51014,B100000,00000,1400,00040ASSIGNED TIME 51014,E10A180,00501,0100,07/20/2000 51014,E10A180,00501,0300,07/20/2000 51014,S000000,00100,0200,05/30/2000 51014,S200000,00100,0100,703 EAST SOUTH STREET 51014,S200000,00100,0300,490 51014,S200000,00200,0100,COWETA 51014,S200000,00200,0200,OKLAHOMA 51014,S200000,00200,0300,74429 51014,S200000,00300,0100,WAGONER 51014,S200000,00400,0100,COWETA MANOR 51014,S200000,00400,0200,375304 51014,S200000,00400,0300,05/01/1997 51014,S200000,00400,0500,P 51021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 51021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 51021,A000000,00300,0000,00300EMPLOYEE BENEFITS 51021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 51021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51021,A000000,00700,0000,00700HOUSEKEEPING 51021,A000000,00800,0000,00800DIETARY 51021,A000000,00900,0000,00900NURSING ADMINISTRATION 51021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51021,A000000,01100,0000,01100PHARMACY 51021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51021,A000000,01300,0000,01300SOCIAL SERVICE 51021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 51021,A000000,01600,0000,01600SKILLED NURSING FACILITY 51021,A000000,01800,0000,01800NURSING FACILITY 51021,A000000,01810,0000,01810ICF/MR 51021,A000000,02100,0000,02100RADIOLOGY 51021,A000000,02200,0000,02200LABORATORY 51021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51021,A000000,02500,0000,02500PHYSICAL THERAPY 51021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51021,A000000,02700,0000,02700SPEECH PATHOLOGY 51021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 51021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51021,A000000,03550,0000,03550FQHC 51021,A000000,05000,0000,05000CORF 51021,A000000,05010,0000,05010CMHC 51021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 51021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 51021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 51021,B100000,00000,0100,00040SQUARE FEET 51021,B100000,00000,0200,00040SQUARE FEET 51021,B100000,00000,0300,00040GROSS SALARIES 51021,B100000,00000,0400,00040ACCUM COST 51021,B100000,00000,0500,00040SQUARE FEET 51021,B100000,00000,0600,00040POUNDS OF LAUNDRY 51021,B100000,00000,0700,00040HOURS OF SERVICE 51021,B100000,00000,0800,00040MEALS SERVED 51021,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 51021,B100000,00000,1000,00040COSTED REQUISITIO 51021,B100000,00000,1100,00040COSTED REQUISITIO 51021,B100000,00000,1200,00040TIME SPENT 51021,B100000,00000,1300,00040TIME SPENT 51021,B100000,00000,1400,00040ASSIGNED TIME 51021,E10A180,00501,0100,07/20/2000 51021,E10A180,00550,0300,07/20/2000 51021,S000000,00100,0200,05/30/2000 51021,S200000,00100,0100,2415 W. SKELLY DRIVE 51021,S200000,00200,0100,TULSA 51021,S200000,00200,0200,OKLAHOMA 51021,S200000,00200,0300,74107 51021,S200000,00400,0100,SHERWOOD MANOR 51021,S200000,00400,0200,375305 51021,S200000,00400,0300,05/01/1997 51021,S200000,00400,0500,P 51021,S200000,01600,0100,Y 51029,S000000,00100,0200,11/28/2000 51038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51038,A000000,00300,0000,00300EMPLOYEE BENEFITS 51038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51038,A000000,00700,0000,00700HOUSEKEEPING 51038,A000000,00800,0000,00800DIETARY 51038,A000000,00900,0000,00900NURSING ADMINISTRATION 51038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51038,A000000,01300,0000,01300SOCIAL SERVICE 51038,A000000,01600,0000,01600SKILLED NURSING FACILITY 51038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51038,A000000,02500,0000,02500PHYSICAL THERAPY 51038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51038,A000000,02700,0000,02700SPEECH PATHOLOGY 51038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51038,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51038,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51038,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51038,A000000,05300,0000,05300INTEREST EXPENSE 51038,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51038,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51038,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51038,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51038,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51038,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51038,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51038,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51038,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51038,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51038,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51038,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51038,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51038,E10A180,00501,0100,06/30/2000 51038,E10A180,00550,0300,06/30/2000 51038,S000000,00100,0200,05/18/2000 51038,S200000,00100,0100,1071 RENEE AVE. 51038,S200000,00200,0100,POCATELLO 51038,S200000,00200,0200,ID 51038,S200000,00200,0300,83201- 51038,S200000,00300,0100,BANNOCK 51038,S200000,00400,0100,HILLCREST HAVEN CONVALESCENT CENTER 51038,S200000,00400,0200,135018 51038,S200000,00400,0300,12/01/1982 51038,S200000,00400,0500,P 51038,S200000,01500,0100,Y 51046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51046,A000000,00300,0000,00300EMPLOYEE BENEFITS 51046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51046,A000000,00700,0000,00700HOUSEKEEPING 51046,A000000,00800,0000,00800DIETARY 51046,A000000,00900,0000,00900NURSING ADMINISTRATION 51046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51046,A000000,01300,0000,01300SOCIAL SERVICE 51046,A000000,01600,0000,01600SKILLED NURSING FACILITY 51046,A000000,01800,0000,01800NURSING FACILITY 51046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51046,A000000,02500,0000,02500PHYSICAL THERAPY 51046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51046,A000000,02700,0000,02700SPEECH PATHOLOGY 51046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51046,B100000,00000,0150,00000HOURS OF SERVICE :CAP REL COSTS - B 51046,B100000,00000,0250,00000HOURS OF SERVICE :CAP REL COSTS - M 51046,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51046,B100000,00000,0550,00000HOURS OF SERVICE :PLANT OPERATION 51046,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51046,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 51046,B100000,00000,0800,00000MEALS SERVED :DIETARY 51046,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51046,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 51046,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51046,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51046,E10A180,00501,0100,04/03/2000 51046,E10A180,00550,0300,04/03/2000 51046,S000000,00100,0200,03/03/2000 51046,S200000,00100,0100,WEST 722 NORTH STRRET 51046,S200000,00200,0100,GRANGEVILLE 51046,S200000,00200,0200,ID 51046,S200000,00200,0300,83530-1395 51046,S200000,00300,0100,IDAHO 51046,S200000,00400,0100,IDAHO COUNTY NURSING HOME 51046,S200000,00400,0200,135031 51046,S200000,00400,0300,03/24/1967 51046,S200000,00400,0500,P 51046,S200000,01500,0100,Y 51058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51058,A000000,00300,0000,00300EMPLOYEE BENEFITS 51058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51058,A000000,00700,0000,00700HOUSEKEEPING 51058,A000000,00800,0000,00800DIETARY 51058,A000000,00900,0000,00900NURSING ADMINISTRATION 51058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51058,A000000,01300,0000,01300SOCIAL SERVICE 51058,A000000,01600,0000,01600SKILLED NURSING FACILITY 51058,A000000,01800,0000,01800NURSING FACILITY 51058,A000000,01900,0000,01900OTHER LONG TERM CARE 51058,A000000,02200,0000,02200LABORATORY 51058,A000000,02500,0000,02500PHYSICAL THERAPY 51058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51058,A000000,02700,0000,02700SPEECH PATHOLOGY 51058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51058,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51058,A000000,03200,0000,03200SUPPORT SURFACES 51058,A000000,05000,0000,05000CORF 51058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51058,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51058,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51058,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51058,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 51058,B100000,00000,0800,00000MEALS SERVED :DIETARY 51058,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51058,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 51058,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51058,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51058,E10A180,00501,0300,08/07/2000 51058,E10A180,00550,0100,08/07/2000 51058,J41D000,00501,0100,08/07/2000 51058,S000000,00100,0200,07/31/2000 51058,S200000,00100,0100,510WEST PALOUSE RIVER DRIVE 51058,S200000,00200,0100,MOSCOW 51058,S200000,00200,0200,ID 51058,S200000,00200,0300,83843- 51058,S200000,00300,0100,LATAH 51058,S200000,00300,0200,9913 51058,S200000,00300,0300,R 51058,S200000,00400,0100,LATAH HEALTH SERVICES 51058,S200000,00400,0200,135032 51058,S200000,00400,0300,09/13/1986 51058,S200000,00400,0500,P 51058,S200000,01000,0200,136511 51058,S200000,01000,0300,09/13/1986 51058,S200000,01000,0500,P 51058,S200000,01500,0100,Y 51078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51078,A000000,00300,0000,00300EMPLOYEE BENEFITS 51078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51078,A000000,00700,0000,00700HOUSEKEEPING 51078,A000000,00800,0000,00800DIETARY 51078,A000000,00900,0000,00900NURSING ADMINISTRATION 51078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51078,A000000,01100,0000,01100PHARMACY 51078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51078,A000000,01300,0000,01300SOCIAL SERVICE 51078,A000000,01600,0000,01600SKILLED NURSING FACILITY 51078,A000000,02200,0000,02200LABORATORY 51078,A000000,02500,0000,02500PHYSICAL THERAPY 51078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51078,A000000,02700,0000,02700SPEECH PATHOLOGY 51078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51078,A81000A,00100,0100,Y 51078,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 51078,A81000C,00100,0100,A 51078,A81000C,00100,0200,DAN ADAMSON 51078,A81000C,00100,0400,NORTHWEST BEC CORP 51078,A81000C,00100,0600,MANAGEMENT COMPANY 51078,A81000C,00200,0100,A 51078,A81000C,00200,0200,RUTH ADAMSON 51078,A81000C,00200,0400,NORTHWEST BEC CORP 51078,A81000C,00200,0600,MANAGEMENT COMPANY 51078,A81000C,00300,0100,B 51078,A81000C,00300,0200,NORTHWEST BEC CORP 51078,A81000C,00300,0400,TRI-CITY MANAGEMENT 51078,A81000C,00300,0600,MANAGEMENT GROUP 51078,A81000C,00400,0100,B 51078,A81000C,00400,0200,ERITER LLC 51078,A81000C,00400,0400,TRI-CITY MANAGEMENT 51078,A81000C,00400,0600,MANAGEMENT GROUP 51078,A81000C,00500,0100,B 51078,A81000C,00500,0200,DR DWIGHT B. ROMRIELL 51078,A81000C,00500,0400,ERITER LLC 51078,A81000C,00500,0600,LIMITED LIABILITY COMPANY 51078,A81000C,00600,0100,B 51078,A81000C,00600,0200,DENISE ROMRIELL 51078,A81000C,00600,0400,ERITER LLC 51078,A81000C,00600,0600,LIMITED LIABILITY COMPANY 51078,A81000C,00700,0100,B 51078,A81000C,00700,0200,DR GREG ROMRIELL 51078,A81000C,00700,0400,ERITER LLC 51078,A81000C,00700,0600,LIMITED LIABILITY COMPANY 51078,A81000C,00800,0100,B 51078,A81000C,00800,0200,LESLIE ROMRIELL 51078,A81000C,00800,0400,ERITER LLC 51078,A81000C,00800,0600,LIMITED LIABILITY COMPANY 51078,A81000C,00900,0100,B 51078,A81000C,01000,0100,B 51078,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51078,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51078,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51078,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51078,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51078,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51078,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51078,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51078,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51078,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51078,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51078,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51078,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51078,E10A180,00501,0100,07/03/2000 51078,E10A180,00501,0300,07/03/2000 51078,S000000,00100,0200,06/05/2000 51078,S200000,00100,0100,511 EAST 4TH 51078,S200000,00200,0100,SHOSHONE 51078,S200000,00200,0200,ID 51078,S200000,00200,0300,83352- 51078,S200000,00300,0100,LINCOLN 51078,S200000,00400,0100,SHOSHONE LIVING CENTER 51078,S200000,00400,0200,135056 51078,S200000,00400,0300,08/04/1997 51078,S200000,00400,0500,P 51078,S200000,01500,0100,Y 51078,S200000,02200,0100,Y 51086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51086,A000000,00300,0000,00300EMPLOYEE BENEFITS 51086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51086,A000000,00700,0000,00700HOUSEKEEPING 51086,A000000,00800,0000,00800DIETARY 51086,A000000,00900,0000,00900NURSING ADMINISTRATION 51086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51086,A000000,01100,0000,01100PHARMACY 51086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51086,A000000,01300,0000,01300SOCIAL SERVICE 51086,A000000,01350,0000,01500OTHER GENERAL SERVICES 51086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51086,A000000,01600,0000,01600SKILLED NURSING FACILITY 51086,A000000,01800,0000,01800NURSING FACILITY 51086,A000000,01900,0000,01900OTHER LONG TERM CARE 51086,A000000,02100,0000,02100RADIOLOGY 51086,A000000,02200,0000,02200LABORATORY 51086,A000000,02300,0000,02300INTRAVENOUS THERAPY 51086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51086,A000000,02500,0000,02500PHYSICAL THERAPY 51086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51086,A000000,02700,0000,02700SPEECH PATHOLOGY 51086,A000000,02800,0000,02800ELECTROCARDIOLOGY 51086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51086,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51086,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51086,A000000,03200,0000,03200SUPPORT SURFACES 51086,A000000,03400,0000,03400CLINIC 51086,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51086,A000000,03500,0000,03500RURAL HEALTH CLINIC 51086,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51086,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51086,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51086,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51086,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51086,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51086,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51086,A000000,04400,0000,04400DME RENTED - HHA 51086,A000000,04500,0000,04500DME SOLD - HHA 51086,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51086,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51086,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51086,A000000,04800,0000,04800AMBULANCE 51086,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51086,A000000,05000,0000,05000CORF 51086,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51086,A000000,05300,0000,05300INTEREST EXPENSE 51086,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51086,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51086,A000000,05500,0000,05500HOSPICE 51086,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51086,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51086,A000000,06100,0000,06100NONPAID WORKERS 51086,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51086,A000000,06200,0000,06200PATIENTS LAUNDRY 51086,A81000A,00100,0100,Y 51086,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 51086,A81000B,00200,0300,CAP REL COSTS - BLDGS & F PROP COSTS 51086,A81000C,00100,0100,A 51086,A81000C,00100,0200,A. KEITH HOLLOWAY 51086,A81000C,00100,0400,WESTERN HEALTH CARE CORP 51086,A81000C,00100,0600,MANAGEMENT COMPANY 51086,A81000C,00200,0100,A 51086,A81000C,00200,0200,DELTA B. HOLLOWAY 51086,A81000C,00200,0400,WESTERN HEALTH CARE CORP 51086,A81000C,00200,0600,MANAGEMENT COMPANY 51086,A81000C,00300,0100,A 51086,A81000C,00300,0200,A. KEITH HOLLOWAY 51086,A81000C,00300,0400,HOLLY PROPERTIES 51086,A81000C,00300,0600,LESSOR OF PROPERTIES 51086,A81000C,00400,0100,A 51086,A81000C,00400,0200,DELTA B. HOLLOWAY 51086,A81000C,00400,0400,HOLLY PROPERTIES 51086,A81000C,00400,0600,LESSOR OF PROPERTIES 51086,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51086,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51086,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51086,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51086,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51086,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51086,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51086,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51086,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51086,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51086,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51086,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51086,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51086,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51086,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51086,S000000,00100,0200,06/02/2000 51086,S200000,00100,0100,2303 PARKE AVENUE 51086,S200000,00200,0100,BURLEY 51086,S200000,00200,0200,ID 51086,S200000,00200,0300,83318- 51086,S200000,00300,0100,CASSIA 51086,S200000,00400,0100,PARKE VIEW CARE & REHAB CENTER 51086,S200000,00400,0200,135068 51086,S200000,00400,0300,01/01/1995 51086,S200000,00400,0500,P 51086,S200000,01500,0100,Y 51086,S200000,02100,0100,A 51094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51094,A000000,00700,0000,00700HOUSEKEEPING 51094,A000000,00800,0000,00800DIETARY 51094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51094,A000000,01300,0000,01300SOCIAL SERVICE 51094,A000000,01600,0000,01600SKILLED NURSING FACILITY 51094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51094,A000000,02500,0000,02500PHYSICAL THERAPY 51094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51094,A000000,02700,0000,02700SPEECH PATHOLOGY 51094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51094,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51094,A000000,06100,0000,06100NONPAID WORKERS 51094,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51094,A000000,06200,0000,06200PATIENTS LAUNDRY 51094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51094,B100000,00000,0650,00000CENSUS :LAUNDRY & LINEN SERVICE 51094,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51094,B100000,00000,0800,00000MEALS SERVED :DIETARY 51094,B100000,00000,1250,00000CENSUS :MEDICAL RECORDS & LIBRARY 51094,B100000,00000,1330,00000CENSUS :SOCIAL SERVICE 51094,E10A180,00550,0300,05/02/2000 51094,S000000,00100,0200,03/03/2000 51094,S200000,00100,0100,820 ELM STREET 51094,S200000,00200,0100,ST. MARIES 51094,S200000,00200,0200,ID 51094,S200000,00200,0300,83861- 51094,S200000,00300,0100,BENEWAH 51094,S200000,00400,0100,VALEY VISTA CARE CENTER 51094,S200000,00400,0200,135075 51094,S200000,00400,0300,06/01/1988 51094,S200000,00400,0500,P 51094,S200000,01500,0100,Y 51094,S200000,02800,0100,Y 51104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51104,A000000,00300,0000,00300EMPLOYEE BENEFITS 51104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51104,A000000,00700,0000,00700HOUSEKEEPING 51104,A000000,00800,0000,00800DIETARY 51104,A000000,00900,0000,00900NURSING ADMINISTRATION 51104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51104,A000000,01300,0000,01300SOCIAL SERVICE 51104,A000000,01600,0000,01600SKILLED NURSING FACILITY 51104,A000000,01800,0000,01800NURSING FACILITY 51104,A000000,01810,0000,01801ICF/MR 51104,A000000,01900,0000,01900OTHER LONG TERM CARE 51104,A000000,02100,0000,02100RADIOLOGY 51104,A000000,02200,0000,02200LABORATORY 51104,A000000,02300,0000,02300INTRAVENOUS THERAPY 51104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51104,A000000,02500,0000,02500PHYSICAL THERAPY 51104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51104,A000000,02700,0000,02700SPEECH PATHOLOGY 51104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51104,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51104,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51104,A000000,03200,0000,03200SUPPORT SURFACES 51104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51104,A000000,05300,0000,05300INTEREST EXPENSE 51104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51104,A81000A,00100,0100,Y 51104,A81000B,00100,0300,NEW CAPITAL - BLDGS & FIXTURES 51104,A81000B,00200,0300,NEW CAPITAL - MOVEABLE EQPT 51104,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 51104,A81000C,00100,0100,B 51104,A81000C,00100,0200,BOND JOHNSON & BOND 51104,A81000C,00100,0600,MANAGEMENT SERVICES 51104,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51104,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51104,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51104,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51104,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51104,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51104,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51104,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51104,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51104,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51104,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51104,E10A180,00501,0100,07/26/2000 51104,E10A180,00550,0300,07/26/2000 51104,S000000,00100,0200,05/30/2000 51104,S200000,00100,0100,436 CENTRAL MIDLAND BLVD 51104,S200000,00200,0100,NAMPA 51104,S200000,00200,0200,ID 51104,S200000,00200,0300,83651- 51104,S200000,00300,0100,CANYON 51104,S200000,00400,0100,MIDLAND CARE CENTER 51104,S200000,00400,0200,135076 51104,S200000,00400,0300,10/01/1985 51104,S200000,00400,0500,P 51104,S200000,01500,0100,Y 51115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51115,A000000,00300,0000,00300EMPLOYEE BENEFITS 51115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51115,A000000,00700,0000,00700HOUSEKEEPING 51115,A000000,00800,0000,00800DIETARY 51115,A000000,00900,0000,00900NURSING ADMINISTRATION 51115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51115,A000000,01100,0000,01100PHARMACY 51115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51115,A000000,01300,0000,01300SOCIAL SERVICE 51115,A000000,01600,0000,01600SKILLED NURSING FACILITY 51115,A000000,02100,0000,02100RADIOLOGY 51115,A000000,02200,0000,02200LABORATORY 51115,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51115,A000000,02500,0000,02500PHYSICAL THERAPY 51115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51115,A000000,02700,0000,02700SPEECH PATHOLOGY 51115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51115,A81000A,00100,0100,Y 51115,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 51115,A81000C,00100,0100,A 51115,A81000C,00100,0200,DAN ADAMSON 51115,A81000C,00100,0400,NORTHWEST BEC CORP 51115,A81000C,00100,0600,MANAGEMENT COMPANY 51115,A81000C,00200,0100,A 51115,A81000C,00200,0200,RUTH ADAMSON 51115,A81000C,00200,0400,NORTHWEST BEC CORP 51115,A81000C,00200,0600,MANAGEMENT COMPANY 51115,A81000C,00300,0100,B 51115,A81000C,00300,0200,NORTHWEST BEC CORP 51115,A81000C,00300,0400,KIMBURIDA 51115,A81000C,00300,0600,MANAGEMENT GROUP 51115,A81000C,00400,0100,B 51115,A81000C,00400,0200,MCNABB GRAIN COMPANY 51115,A81000C,00400,0400,KIMBURIDA 51115,A81000C,00400,0600,MANAGEMENT GROUP 51115,A81000C,00500,0100,B 51115,A81000C,00500,0200,BILL MCNABB 51115,A81000C,00500,0400,MCNABB GRAIN COMPANY 51115,A81000C,00500,0600,GENERAL PARTNERSHIP 51115,A81000C,00600,0100,B 51115,A81000C,00600,0200,MIKE MCNABB 51115,A81000C,00600,0400,MCNABB GRAIN COMPANY 51115,A81000C,00600,0600,GENERAL PARTNERSHIP 51115,A81000C,00700,0100,B 51115,A81000C,00700,0200,JOHN C. MCNABB 51115,A81000C,00700,0400,MCNABB GRAIN COMPANY 51115,A81000C,00700,0600,GENERAL PARTNERSHIP 51115,A81000C,00800,0100,B 51115,A81000C,00900,0100,B 51115,A81000C,01000,0100,B 51115,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51115,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51115,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51115,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51115,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51115,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51115,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51115,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51115,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51115,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51115,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51115,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51115,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51115,E10A180,00501,0300,07/25/2000 51115,S000000,00100,0200,06/05/2000 51115,S200000,00100,0100,1729 MILLER AVE 51115,S200000,00200,0100,BURLEY 51115,S200000,00200,0200,ID 51115,S200000,00200,0300,83318- 51115,S200000,00300,0100,CASSIA 51115,S200000,00300,0200,13 51115,S200000,00300,0300,R 51115,S200000,00400,0100,BURLEY CARE CENTER 51115,S200000,00400,0200,135081 51115,S200000,00400,0300,10/01/1997 51115,S200000,00400,0500,P 51115,S200000,01600,0100,Y 51115,S200000,02200,0100,Y 51122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51122,A000000,00300,0000,00300EMPLOYEE BENEFITS 51122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51122,A000000,00700,0000,00700HOUSEKEEPING 51122,A000000,00800,0000,00800DIETARY 51122,A000000,00900,0000,00900NURSING ADMINISTRATION 51122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51122,A000000,01100,0000,01100PHARMACY 51122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51122,A000000,01300,0000,01300SOCIAL SERVICE 51122,A000000,01600,0000,01600SKILLED NURSING FACILITY 51122,A000000,01800,0000,01800NURSING FACILITY 51122,A000000,02100,0000,02100RADIOLOGY 51122,A000000,02200,0000,02200LABORATORY 51122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51122,A000000,02500,0000,02500PHYSICAL THERAPY 51122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51122,A000000,02700,0000,02700SPEECH PATHOLOGY 51122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51122,A81000A,00100,0100,Y 51122,A81000B,00100,0300,HOME OFFICE ALLOCATION 51122,A81000C,00100,0100,A 51122,A81000C,00100,0200,DAN ADAMSON 51122,A81000C,00100,0400,NORTHWEST BEC CORP 51122,A81000C,00100,0600,MANAGEMENT COMPANY 51122,A81000C,00200,0100,A 51122,A81000C,00200,0200,RUTH ADAMSON 51122,A81000C,00200,0400,NORTHWEST BEC CORP 51122,A81000C,00200,0600,MANAGEMENT COMPANY 51122,A81000C,00300,0100,B 51122,A81000C,00300,0200,NORTHWEST BEC CORP 51122,A81000C,00300,0400,TRI-CITY MANAGEMENT 51122,A81000C,00300,0600,MANAGEMENT GROUP 51122,A81000C,00400,0100,B 51122,A81000C,00400,0200,ERITER LLC 51122,A81000C,00400,0400,TRI-CITY MANAGEMENT 51122,A81000C,00400,0600,MANAGEMENT GROUP 51122,A81000C,00500,0100,A 51122,A81000C,00500,0200,DR. DWIGHT ROMRIELL 51122,A81000C,00500,0400,ERITER LLC 51122,A81000C,00500,0600,LIMITED LIABILITY COMPANY 51122,A81000C,00600,0100,A 51122,A81000C,00600,0200,DENISE ROMRIELL 51122,A81000C,00600,0400,ERITER LLC 51122,A81000C,00600,0600,LIMITED LIABILITY COMPANY 51122,A81000C,00700,0100,A 51122,A81000C,00700,0200,DR GREG ROMRIELL 51122,A81000C,00700,0400,ERITER LLC 51122,A81000C,00700,0600,LIMITED LIABILITY COMPANY 51122,A81000C,00800,0100,A 51122,A81000C,00800,0200,LESLIE ROMRIELL 51122,A81000C,00800,0400,ERITER LLC 51122,A81000C,00800,0600,LIMITED LIABILITY COMPANY 51122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51122,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51122,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51122,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51122,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51122,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51122,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51122,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51122,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51122,E10A180,00501,0100,08/01/2000 51122,E10A180,00501,0300,07/25/2000 51122,S000000,00100,0200,06/05/2000 51122,S200000,00100,0100,GOODING REHAB & LIVING CENTER 51122,S200000,00200,0100,GOODING 51122,S200000,00200,0200,ID 51122,S200000,00200,0300,83330- 51122,S200000,00300,0100,GOODING 51122,S200000,00300,0200,13 51122,S200000,00300,0300,R 51122,S200000,00400,0100,GOODING REHAB & LIVING CENTER 51122,S200000,00400,0200,135083 51122,S200000,00400,0300,09/01/1997 51122,S200000,00400,0500,P 51122,S200000,01600,0100,Y 51122,S200000,02200,0100,Y 51131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51131,A000000,00300,0000,00300EMPLOYEE BENEFITS 51131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51131,A000000,00700,0000,00700HOUSEKEEPING 51131,A000000,00800,0000,00800DIETARY 51131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51131,A000000,01100,0000,01100PHARMACY 51131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51131,A000000,01300,0000,01300SOCIAL SERVICE 51131,A000000,01600,0000,01600SKILLED NURSING FACILITY 51131,A000000,01800,0000,01800NURSING FACILITY 51131,A000000,01900,0000,01900OTHER LONG TERM CARE 51131,A000000,02200,0000,02200LABORATORY 51131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51131,A000000,02500,0000,02500PHYSICAL THERAPY 51131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51131,A000000,02700,0000,02700SPEECH PATHOLOGY 51131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51131,A81000A,00100,0100,Y 51131,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 51131,A81000C,00100,0100,A 51131,A81000C,00100,0200,DAN ADAMSON 51131,A81000C,00100,0400,NORTHWEST BEC-CORP 51131,A81000C,00100,0600,MANAGEMENT COMPANY 51131,A81000C,00200,0100,A 51131,A81000C,00200,0200,RUTH ADAMSON 51131,A81000C,00200,0400,NORTHWEST BEC-CORP 51131,A81000C,00200,0600,MANAGEMENT COMPANY 51131,A81000C,00300,0100,B 51131,A81000C,00300,0200,NORTHWEST BEC-CORP 51131,A81000C,00300,0400,KIMBURIDA 51131,A81000C,00300,0600,MANAGEMENT GROUP 51131,A81000C,00400,0100,B 51131,A81000C,00400,0200,MCNABB GRAIN COMPANY 51131,A81000C,00400,0400,KIMBURIDA 51131,A81000C,00400,0600,MANAGEMENT GROUP 51131,A81000C,00500,0100,B 51131,A81000C,00500,0200,BILL MCNABB 51131,A81000C,00500,0400,MCNABB GRAIN COMPANY 51131,A81000C,00500,0600,GENERAL PARTNERSHIP 51131,A81000C,00600,0100,B 51131,A81000C,00600,0200,MIKE MCNABB 51131,A81000C,00600,0400,MCNABB GRAIN COMPANY 51131,A81000C,00600,0600,GENERAL PARTNERSHIP 51131,A81000C,00700,0100,B 51131,A81000C,00700,0200,JOHN C. MCNABB 51131,A81000C,00700,0400,MCNABB GRAIN COMPANY 51131,A81000C,00700,0600,GENERAL PARTNERSHIP 51131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51131,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51131,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51131,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51131,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51131,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51131,E10A180,00501,0100,07/25/2000 51131,E10A180,00501,0300,07/25/2000 51131,S000000,00100,0200,06/05/2000 51131,S200000,00100,0100,500 POLK ST EAST 51131,S200000,00200,0100,KIMBERLY 51131,S200000,00200,0200,ID 51131,S200000,00200,0300,83341- 51131,S200000,00300,0100,TWIN FALLS 51131,S200000,00300,0200,13 51131,S200000,00300,0300,R 51131,S200000,00400,0100,MOUNTAIN VIEW CARE CENTER 51131,S200000,00400,0200,135084 51131,S200000,00400,0300,10/01/1997 51131,S200000,00400,0500,P 51131,S200000,01500,0100,Y 51131,S200000,02200,0100,Y 51139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51139,A000000,00300,0000,00300EMPLOYEE BENEFITS 51139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51139,A000000,00700,0000,00700HOUSEKEEPING 51139,A000000,00800,0000,00800DIETARY 51139,A000000,00900,0000,00900NURSING ADMINISTRATION 51139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51139,A000000,01300,0000,01300SOCIAL SERVICE 51139,A000000,01600,0000,01600SKILLED NURSING FACILITY 51139,A000000,02200,0000,02200LABORATORY 51139,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51139,A000000,02500,0000,02500PHYSICAL THERAPY 51139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51139,A000000,02700,0000,02700SPEECH PATHOLOGY 51139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51139,A81000A,00100,0100,Y 51139,A81000B,00100,0300,HOME OFFICE COST 51139,A81000C,00100,0100,A 51139,A81000C,00100,0200,DAN ADAMSON 51139,A81000C,00100,0400,NORTHWEST BEC CORP 51139,A81000C,00100,0600,MANAGEMENT COMPANY 51139,A81000C,00200,0100,A 51139,A81000C,00200,0200,RUTH ADAMSON 51139,A81000C,00200,0400,NORTHWEST BEC CORP 51139,A81000C,00200,0600,MANAGEMENT COMPANY 51139,A81000C,00300,0100,B 51139,A81000C,00300,0200,NORTHWEST BEC CORP 51139,A81000C,00300,0400,TRI-CITY MANAGEMENT 51139,A81000C,00300,0600,MANAGEMENT GROUP 51139,A81000C,00400,0100,B 51139,A81000C,00400,0200,ERITER LLC 51139,A81000C,00400,0400,TRI-CITY MANAGEMENT 51139,A81000C,00400,0600,MANAGEMENT GROUP 51139,A81000C,00500,0100,B 51139,A81000C,00500,0200,DR. DWIGHT G. ROMRIELL 51139,A81000C,00500,0400,ERITER LLC 51139,A81000C,00500,0600,LIMITED LIABILITY COMPANY 51139,A81000C,00600,0100,B 51139,A81000C,00600,0200,DENISE ROMRIELL 51139,A81000C,00600,0400,ERITER LLC 51139,A81000C,00600,0600,LIMITED LIABILITY COMPANY 51139,A81000C,00700,0100,B 51139,A81000C,00700,0200,DR. GREG ROMRIELL 51139,A81000C,00700,0400,ERITER LLC 51139,A81000C,00700,0600,LIMITED LIABILITY COMPANY 51139,A81000C,00800,0100,B 51139,A81000C,00800,0200,LESLIE ROMRIELL 51139,A81000C,00800,0400,ERITER LLC 51139,A81000C,00800,0600,LIMITED LIABILITY COMPANY 51139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51139,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51139,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51139,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51139,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51139,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51139,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51139,E10A180,00501,0100,08/01/2000 51139,E10A180,00501,0300,07/25/2000 51139,S000000,00100,0200,06/05/2000 51139,S200000,00100,0100,210 NORTH IDAHO 51139,S200000,00200,0100,WENDELL 51139,S200000,00200,0200,ID 51139,S200000,00200,0300,83355- 51139,S200000,00300,0100,GOODING 51139,S200000,00300,0200,13 51139,S200000,00300,0300,R 51139,S200000,00400,0100,MAGIC VALLEY MANOR 51139,S200000,00400,0200,135086 51139,S200000,00400,0300,09/01/1997 51139,S200000,00400,0500,P 51139,S200000,01500,0100,Y 51148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51148,A000000,00300,0000,00300EMPLOYEE BENEFITS 51148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51148,A000000,00700,0000,00700HOUSEKEEPING 51148,A000000,00800,0000,00800DIETARY 51148,A000000,00900,0000,00900NURSING ADMINISTRATION 51148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51148,A000000,01100,0000,01100PHARMACY 51148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51148,A000000,01300,0000,01300SOCIAL SERVICE 51148,A000000,01350,0000,01500OTHER GENERAL SERVICES 51148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51148,A000000,01600,0000,01600SKILLED NURSING FACILITY 51148,A000000,01800,0000,01800NURSING FACILITY 51148,A000000,01810,0000,01801ICF/MR 51148,A000000,01900,0000,01900OTHER LONG TERM CARE 51148,A000000,02100,0000,02100RADIOLOGY 51148,A000000,02200,0000,02200LABORATORY 51148,A000000,02300,0000,02300INTRAVENOUS THERAPY 51148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51148,A000000,02500,0000,02500PHYSICAL THERAPY 51148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51148,A000000,02700,0000,02700SPEECH PATHOLOGY 51148,A000000,02800,0000,02800ELECTROCARDIOLOGY 51148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51148,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51148,A000000,03200,0000,03200SUPPORT SURFACES 51148,A000000,03400,0000,03400CLINIC 51148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51148,A000000,03500,0000,03500RURAL HEALTH CLINIC 51148,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51148,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51148,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51148,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51148,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51148,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51148,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51148,A000000,04400,0000,04400DME RENTED - HHA 51148,A000000,04500,0000,04500DME SOLD - HHA 51148,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51148,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51148,A000000,04800,0000,04800AMBULANCE 51148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51148,A000000,05000,0000,05000CORF 51148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51148,A000000,05300,0000,05300INTEREST EXPENSE 51148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51148,A000000,05500,0000,05500HOSPICE 51148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51148,A000000,06100,0000,06100NONPAID WORKERS 51148,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51148,A000000,06200,0000,06200PATIENTS LAUNDRY 51148,A81000A,00100,0100,Y 51148,A81000B,00100,0300,HOME OFFICE ALLOCATION 51148,A81000B,00200,0300,RELATED PARTY RENT (7 MNTHS) 51148,A81000B,00300,0300,BUILDING DEPRECIATION 51148,A81000B,00400,0300,MORTGAGE INTEREST 51148,A81000C,00100,0100,D 51148,A81000C,00100,0200,RICK HOLLOWAY 51148,A81000C,00100,0400,WESTERN HEALTH CARE CORP 51148,A81000C,00100,0600,MANAGEMENT COMPANY 51148,A81000C,00200,0100,A 51148,A81000C,00200,0200,RICK HOLLOWAY 51148,A81000C,00200,0400,ALCES PROPERTIES 51148,A81000C,00200,0600,FACILITY LESSOR 51148,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51148,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51148,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51148,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51148,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51148,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51148,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51148,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 51148,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 51148,B100000,00000,1150,00000NO STATISTICS :PHARMACY 51148,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 51148,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51148,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51148,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 51148,S000000,00100,0200,09/22/2000 51148,S200000,00100,0100,108 WEST OWYHEE 51148,S200000,00100,0300,A 51148,S200000,00200,0100,HOMEDALE 51148,S200000,00200,0200,ID 51148,S200000,00200,0300,83628- 51148,S200000,00300,0100,OWYHEE 51148,S200000,00400,0100,OWYHEE HEALTH AND REHAB CENTER 51148,S200000,00400,0200,135087 51148,S200000,00400,0300,07/15/1981 51148,S200000,00400,0500,P 51148,S200000,01500,0100,Y 51148,S700003,00000,0100,1 51156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51156,A000000,00300,0000,00300EMPLOYEE BENEFITS 51156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51156,A000000,00700,0000,00700HOUSEKEEPING 51156,A000000,00800,0000,00800DIETARY 51156,A000000,00900,0000,00900NURSING ADMINISTRATION 51156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51156,A000000,01100,0000,01100PHARMACY 51156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51156,A000000,01300,0000,01300SOCIAL SERVICE 51156,A000000,01600,0000,01600SKILLED NURSING FACILITY 51156,A000000,01800,0000,01800NURSING FACILITY 51156,A000000,02100,0000,02100RADIOLOGY 51156,A000000,02200,0000,02200LABORATORY 51156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51156,A000000,02500,0000,02500PHYSICAL THERAPY 51156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51156,A000000,02700,0000,02700SPEECH PATHOLOGY 51156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51156,A81000A,00100,0100,Y 51156,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 51156,A81000C,00100,0100,A 51156,A81000C,00100,0200,DAN ADAMSON 51156,A81000C,00100,0400,NORTHWEST BEC CORP 51156,A81000C,00100,0600,MANAGEMENT COMPANY 51156,A81000C,00200,0100,A 51156,A81000C,00200,0200,RUTH ADAMSON 51156,A81000C,00200,0400,NORTHWEST BEC CORP 51156,A81000C,00200,0600,MANAGEMENT COMPANY 51156,A81000C,00300,0100,A 51156,A81000C,00300,0200,SHARON KURZ 51156,A81000C,00300,0400,NORTHWEST BEC CORP 51156,A81000C,00300,0600,MANAGEMENT COMPANT 51156,A81000C,00500,0400,(SEE 339 ATTACHMENT) 51156,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51156,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51156,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51156,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51156,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51156,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51156,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 51156,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51156,B100000,00000,0900,00000HOURS OF SEVICE :NURSING ADMINISTRA 51156,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 51156,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51156,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51156,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51156,E10A180,00501,0100,07/25/2000 51156,E10A180,00501,0300,07/25/2000 51156,S000000,00100,0200,06/05/2000 51156,S200000,00100,0100,820 SPRAGUE 51156,S200000,00200,0100,BUHL 51156,S200000,00200,0200,ID 51156,S200000,00200,0300,83316- 51156,S200000,00300,0100,TWIN FALLS 51156,S200000,00400,0100,SNAKE RIVER REHAB & LIVING CENTER 51156,S200000,00400,0200,135089 51156,S200000,00400,0300,01/01/1994 51156,S200000,00400,0500,P 51156,S200000,01500,0100,Y 51156,S200000,02200,0100,Y 51167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51167,A000000,00300,0000,00300EMPLOYEE BENEFITS 51167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51167,A000000,00700,0000,00700HOUSEKEEPING 51167,A000000,00800,0000,00800DIETARY 51167,A000000,00900,0000,00900NURSING ADMINISTRATION 51167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51167,A000000,01300,0000,01300SOCIAL SERVICE 51167,A000000,01350,0000,01500ACTIVITIES 51167,A000000,01600,0000,01600SKILLED NURSING FACILITY 51167,A000000,01800,0000,01800NURSING FACILITY 51167,A000000,02100,0000,02100RADIOLOGY 51167,A000000,02200,0000,02200LABORATORY 51167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51167,A000000,02500,0000,02500PHYSICAL THERAPY 51167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51167,A000000,02700,0000,02700SPEECH PATHOLOGY 51167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51167,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51167,A000000,03200,0000,03200SUPPORT SURFACES 51167,A000000,04800,0000,04800AMBULANCE 51167,A000000,05300,0000,05300INTEREST EXPENSE 51167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51167,A81000A,00100,0100,Y 51167,A81000B,00100,0300,REMOVE MNGT FEES 51167,A81000B,00200,0300,HOME OFC ALLOCATIONS 51167,A81000C,00100,0100,A 51167,A81000C,00100,0200,P.FOGG/G.WART 51167,A81000C,00100,0400,MARQUIS 51167,A81000C,00100,0600,HOME OFFICE 51167,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51167,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51167,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51167,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51167,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51167,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51167,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51167,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51167,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51167,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51167,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51167,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51167,S000000,00100,0200,06/01/2000 51167,S200000,00100,0100,909 RESERVE STREET 51167,S200000,00200,0100,BOISE 51167,S200000,00200,0200,ID 51167,S200000,00200,0300,83712- 51167,S200000,00300,0100,ADA 51167,S200000,00300,0200,1080 51167,S200000,00300,0300,U 51167,S200000,00400,0100,MARQUIS CARE AT SHAW MOUNTAIN 51167,S200000,00400,0200,135090 51167,S200000,00400,0300,09/01/1981 51167,S200000,00400,0500,P 51167,S200000,01500,0100,Y 51174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51174,A000000,00300,0000,00300EMPLOYEE BENEFITS 51174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51174,A000000,00700,0000,00700HOUSEKEEPING 51174,A000000,00800,0000,00800DIETARY 51174,A000000,00900,0000,00900NURSING ADMINISTRATION 51174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51174,A000000,01300,0000,01300SOCIAL SERVICE 51174,A000000,01600,0000,01600SKILLED NURSING FACILITY 51174,A000000,01800,0000,01800NURSING FACILITY 51174,A000000,01900,0000,01900OTHER LONG TERM CARE 51174,A000000,02100,0000,02100RADIOLOGY 51174,A000000,02200,0000,02200LABORATORY 51174,A000000,02300,0000,02300INTRAVENOUS THERAPY 51174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51174,A000000,02500,0000,02500PHYSICAL THERAPY 51174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51174,A000000,02700,0000,02700SPEECH PATHOLOGY 51174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51174,A000000,03200,0000,03200SUPPORT SURFACES 51174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51174,A000000,05300,0000,05300INTEREST EXPENSE 51174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51174,A81000A,00100,0100,Y 51174,A81000B,00100,0300,NEW CAPITAL - BLDGS & FIXTURES 51174,A81000B,00200,0300,NEW CAPITAL - MOVEABLE EQUIPMENT 51174,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 51174,A81000C,00100,0100,B 51174,A81000C,00100,0200,BOND JOHNSON & BOND 51174,A81000C,00100,0600,MANAGEMENT SERVICES 51174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51174,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51174,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51174,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51174,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51174,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51174,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51174,E10A180,00501,0100,05/31/2000 51174,E10A180,00550,0300,05/31/2000 51174,S000000,00100,0200,05/30/2000 51174,S200000,00100,0100,472 CALDWELL BLVD 51174,S200000,00200,0100,NAMPA 51174,S200000,00200,0200,ID 51174,S200000,00200,0300,83651- 51174,S200000,00300,0100,CANYON 51174,S200000,00400,0100,HOLLY CARE CENTER 51174,S200000,00400,0200,135094 51174,S200000,00400,0300,09/09/1983 51174,S200000,00400,0500,P 51174,S200000,01500,0100,Y 51182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51182,A000000,00300,0000,00300EMPLOYEE BENEFITS 51182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51182,A000000,00700,0000,00700HOUSEKEEPING 51182,A000000,00800,0000,00800DIETARY 51182,A000000,00900,0000,00900NURSING ADMINISTRATION 51182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51182,A000000,01100,0000,01100PHARMACY 51182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51182,A000000,01300,0000,01300SOCIAL SERVICE 51182,A000000,01350,0000,01500OTHER GENERAL SERVICES 51182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51182,A000000,01600,0000,01600SKILLED NURSING FACILITY 51182,A000000,01800,0000,01800NURSING FACILITY 51182,A000000,01810,0000,01801ICF/MR 51182,A000000,01900,0000,01900OTHER LONG TERM CARE 51182,A000000,02100,0000,02100RADIOLOGY 51182,A000000,02200,0000,02200LABORATORY 51182,A000000,02300,0000,02300INTRAVENOUS THERAPY 51182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51182,A000000,02500,0000,02500PHYSICAL THERAPY 51182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51182,A000000,02700,0000,02700SPEECH PATHOLOGY 51182,A000000,02800,0000,02800ELECTROCARDIOLOGY 51182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51182,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51182,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51182,A000000,03200,0000,03200SUPPORT SURFACES 51182,A000000,03400,0000,03400CLINIC 51182,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51182,A000000,03500,0000,03500RURAL HEALTH CLINIC 51182,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51182,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51182,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51182,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51182,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51182,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51182,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51182,A000000,04400,0000,04400DME RENTED - HHA 51182,A000000,04500,0000,04500DME SOLD - HHA 51182,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51182,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51182,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51182,A000000,04800,0000,04800AMBULANCE 51182,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51182,A000000,05000,0000,05000CORF 51182,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51182,A000000,05300,0000,05300INTEREST EXPENSE 51182,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51182,A000000,05500,0000,05500HOSPICE 51182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51182,A000000,06100,0000,06100NONPAID WORKERS 51182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51182,A000000,06200,0000,06200PATIENTS LAUNDRY 51182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51182,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51182,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51182,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51182,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51182,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51182,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51182,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51182,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51182,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51182,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51182,E10A180,00501,0300,05/31/2000 51182,E10A180,00550,0100,05/31/2000 51182,S000000,00100,0200,05/03/2000 51182,S200000,00100,0100,801 MAIN STREET 51182,S200000,00100,0300,PO BOX 838 51182,S200000,00200,0100,ASHTON 51182,S200000,00200,0200,ID 51182,S200000,00200,0300,83429- 51182,S200000,00300,0100,FREMONT 51182,S200000,00400,0100,ASHTON MEMORIAL INC. 51182,S200000,00400,0200,135097 51182,S200000,00400,0300,01/09/1985 51182,S200000,00400,0500,P 51182,S200000,01500,0100,Y 51182,S200000,02800,0100,Y 51182,S200000,04600,0100,Y 51197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51197,A000000,00300,0000,00300EMPLOYEE BENEFITS 51197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51197,A000000,00700,0000,00700HOUSEKEEPING 51197,A000000,00800,0000,00800DIETARY 51197,A000000,00900,0000,00900NURSING ADMINISTRATION 51197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51197,A000000,01300,0000,01300SOCIAL SERVICE 51197,A000000,01600,0000,01600SKILLED NURSING FACILITY 51197,A000000,01800,0000,01800NURSING FACILITY 51197,A000000,01900,0000,01900OTHER LONG TERM CARE 51197,A000000,02200,0000,02200LABORATORY 51197,A000000,02500,0000,02500PHYSICAL THERAPY 51197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51197,A000000,02700,0000,02700SPEECH PATHOLOGY 51197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51197,A000000,06150,0000,06300RETIREMENT FACILITY 51197,A81000A,00100,0100,Y 51197,A81000B,00100,0300,CAPITAL HOME OFFICE 51197,A81000B,00200,0300,CAPITAL HOME OFFICE 51197,A81000B,00300,0300,A & G HOME OFFICE 51197,A81000B,00400,0300,A & G CAPTIAL INTEREST 51197,A81000C,00100,0100,B 51197,A81000C,00100,0200,HEALTH RESOURCES INC. 51197,A81000C,00100,0600,ACCTG & MGMT 51197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51197,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51197,B100000,00000,0550,00000TIME SPENT :PLANT OPERATION MAINT 51197,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51197,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 51197,B100000,00000,0800,00000MEALS SERVED :DIETARY 51197,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51197,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51197,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51197,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51197,S000000,00100,0200,08/31/2000 51197,S200000,00100,0100,1828 BRIDGEVIEW BOULEVARD 51197,S200000,00200,0100,TWIN FALLS 51197,S200000,00200,0200,ID 51197,S200000,00200,0300,83301- 51197,S200000,00300,0100,TWIN FALLS 51197,S200000,00400,0100,HRI-BRIDGEVIEW ESTATES 51197,S200000,00400,0200,135113 51197,S200000,00400,0300,10/27/1992 51197,S200000,00400,0500,P 51197,S200000,01500,0100,Y 51201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51201,A000000,00300,0000,00300EMPLOYEE BENEFITS 51201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51201,A000000,00700,0000,00700HOUSEKEEPING 51201,A000000,00800,0000,00800DIETARY 51201,A000000,00900,0000,00900NURSING ADMINISTRATION 51201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51201,A000000,01100,0000,01100PHARMACY 51201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51201,A000000,01300,0000,01300SOCIAL SERVICE 51201,A000000,01350,0000,01500OTHER GENERAL SERVICES 51201,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51201,A000000,01600,0000,01600SKILLED NURSING FACILITY 51201,A000000,01800,0000,01800NURSING FACILITY 51201,A000000,01900,0000,01900OTHER LONG TERM CARE 51201,A000000,02100,0000,02100RADIOLOGY 51201,A000000,02200,0000,02200LABORATORY 51201,A000000,02300,0000,02300INTRAVENOUS THERAPY 51201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51201,A000000,02500,0000,02500PHYSICAL THERAPY 51201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51201,A000000,02700,0000,02700SPEECH PATHOLOGY 51201,A000000,02800,0000,02800ELECTROCARDIOLOGY 51201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51201,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51201,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51201,A000000,03200,0000,03200SUPPORT SURFACES 51201,A000000,03400,0000,03400CLINIC 51201,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51201,A000000,03500,0000,03500RURAL HEALTH CLINIC 51201,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51201,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51201,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51201,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51201,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51201,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51201,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51201,A000000,04400,0000,04400DME RENTED - HHA 51201,A000000,04500,0000,04500DME SOLD - HHA 51201,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51201,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51201,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51201,A000000,04800,0000,04800AMBULANCE 51201,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51201,A000000,05000,0000,05000CORF 51201,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51201,A000000,05300,0000,05300INTEREST EXPENSE 51201,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51201,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51201,A000000,05500,0000,05500HOSPICE 51201,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51201,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51201,A000000,06100,0000,06100NONPAID WORKERS 51201,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51201,A000000,06200,0000,06200PATIENTS LAUNDRY 51201,A81000A,00100,0100,Y 51201,A81000B,00100,0300,HOME OFFICE ALLOCATION 51201,A81000C,00100,0100,A 51201,A81000C,00100,0200,A. KEITH HOLLOWAY 51201,A81000C,00100,0400,WESTERN HEALTH CARE CORP 51201,A81000C,00100,0600,MANAGEMENT COMPANY 51201,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51201,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51201,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51201,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51201,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51201,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51201,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51201,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51201,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51201,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 51201,B100000,00000,1150,00000NO STATISTICS :PHARMACY 51201,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51201,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51201,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51201,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 51201,E10A180,00501,0100,06/30/2000 51201,E10A180,00501,0300,06/30/2000 51201,S000000,00100,0200,06/02/2000 51201,S200000,00100,0100,600 SHANAFELT 51201,S200000,00200,0100,SALMON 51201,S200000,00200,0200,ID 51201,S200000,00200,0300,83467- 51201,S200000,00300,0100,LEMHI 51201,S200000,00400,0100,DISCOVERY CARE CENTER OF SALMON 51201,S200000,00400,0200,135129 51201,S200000,00400,0300,12/01/1997 51201,S200000,00400,0500,P 51201,S200000,01500,0100,Y 51232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51232,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51232,A000000,00300,0000,00300EMPLOYEE BENEFITS 51232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51232,A000000,00700,0000,00700HOUSEKEEPING 51232,A000000,00800,0000,00800DIETARY 51232,A000000,00900,0000,00900NURSING ADMINISTRATION 51232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51232,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51232,A000000,01300,0000,01300SOCIAL SERVICE 51232,A000000,01350,0000,01500OTHER GENERAL SERVICES 51232,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51232,A000000,01600,0000,01600SKILLED NURSING FACILITY 51232,A000000,01800,0000,01800NURSING FACILITY 51232,A000000,01810,0000,01810ICF/MR 51232,A000000,01900,0000,01900OTHER LONG TERM CARE 51232,A000000,02100,0000,02100RADIOLOGY 51232,A000000,02200,0000,02200LABORATORY 51232,A000000,02300,0000,02300INTRAVENOUS THERAPY 51232,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51232,A000000,02500,0000,02500PHYSICAL THERAPY 51232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51232,A000000,02700,0000,02700SPEECH PATHOLOGY 51232,A000000,02800,0000,02800ELECTROCARDIOLOGY 51232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51232,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51232,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51232,A000000,03200,0000,03200SUPPORT SURFACES 51232,A000000,03400,0000,03400CLINIC 51232,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51232,A000000,03500,0000,03500RURAL HEALTH CLINIC 51232,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51232,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51232,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51232,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51232,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51232,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51232,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51232,A000000,04400,0000,04400DME RENTED - HHA 51232,A000000,04500,0000,04500DME SOLD - HHA 51232,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51232,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51232,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51232,A000000,04800,0000,04800AMBULANCE 51232,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51232,A000000,05000,0000,05000CORF 51232,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51232,A000000,05300,0000,05300INTEREST EXPENSE 51232,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51232,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51232,A000000,05500,0000,05500HOSPICE 51232,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51232,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51232,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51232,A000000,06100,0000,06100NONPAID WORKERS 51232,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51232,A000000,06200,0000,06200PATIENTS LAUNDRY 51232,A81000A,00100,0100,Y 51232,A81000B,00100,0300,RENT 51232,A81000B,00200,0300,DEPRECIATION 51232,A81000B,00300,0300,INTEREST 51232,A81000C,00100,0100,B 51232,A81000C,00100,0200,CHARLES DEMPSEY 51232,A81000C,00100,0400,CHARLES DEMPSEY 51232,A81000C,00100,0600,PACIFIC COMMERCAIL PROPER 51232,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51232,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51232,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51232,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51232,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51232,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 51232,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51232,B100000,00000,0800,00000MEALS SERVED :DIETARY 51232,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51232,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 51232,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51232,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51232,E10A180,00501,0100,10/25/2000 51232,E10A180,00550,0300,10/25/2000 51232,S000000,00100,0200,08/30/2000 51232,S200000,00100,0100,P.O. BOX 525 51232,S200000,00200,0100,GRESHAM 51232,S200000,00200,0200,OR 51232,S200000,00200,0300,97030- 51232,S200000,00300,0100,MULTNOMAH 51232,S200000,00300,0200,6440 51232,S200000,00300,0300,U 51232,S200000,00400,0100,REST HARBOR EXTENDED CARE 51232,S200000,00400,0200,385015 51232,S200000,00400,0300,04/01/1976 51232,S200000,00400,0500,P 51232,S200000,01600,0100,Y 51244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51244,A000000,00300,0000,00300EMPLOYEE BENEFITS 51244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51244,A000000,00700,0000,00700HOUSEKEEPING 51244,A000000,00800,0000,00800DIETARY 51244,A000000,00900,0000,00900NURSING ADMINISTRATION 51244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51244,A000000,01100,0000,01100PHARMACY 51244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51244,A000000,01300,0000,01300SOCIAL SERVICE 51244,A000000,01350,0000,01500OTHER GENERAL SERVICES 51244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51244,A000000,01600,0000,01600SKILLED NURSING FACILITY 51244,A000000,01800,0000,01800NURSING FACILITY 51244,A000000,01810,0000,01801ICF/MR 51244,A000000,01900,0000,01900OTHER LONG TERM CARE 51244,A000000,02100,0000,02100RADIOLOGY 51244,A000000,02200,0000,02200LABORATORY 51244,A000000,02300,0000,02300INTRAVENOUS THERAPY 51244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51244,A000000,02500,0000,02500PHYSICAL THERAPY 51244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51244,A000000,02700,0000,02700SPEECH PATHOLOGY 51244,A000000,02800,0000,02800ELECTROCARDIOLOGY 51244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51244,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51244,A000000,03200,0000,03200SUPPORT SURFACES 51244,A000000,03400,0000,03400CLINIC 51244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51244,A000000,03500,0000,03500RURAL HEALTH CLINIC 51244,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51244,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51244,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51244,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51244,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51244,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51244,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51244,A000000,04400,0000,04400DME RENTED - HHA 51244,A000000,04500,0000,04500DME SOLD - HHA 51244,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51244,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51244,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51244,A000000,04800,0000,04800AMBULANCE 51244,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51244,A000000,05000,0000,05000CORF 51244,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51244,A000000,05300,0000,05300INTEREST EXPENSE 51244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51244,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51244,A000000,05500,0000,05500HOSPICE 51244,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51244,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51244,A000000,06100,0000,06100NONPAID WORKERS 51244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51244,A000000,06200,0000,06200PATIENTS LAUNDRY 51244,A81000A,00100,0100,Y 51244,A81000B,00100,0300,CAP REL COSTS 51244,A81000B,00200,0300,CAP REL COSTS 51244,A81000B,00300,0300,ADMIN. & GENERAL 51244,A81000C,00100,0100,B 51244,A81000C,00100,0200,PROVIDENCE HEALTH SYSTEM 51244,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 51244,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 51244,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 51244,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51244,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 51244,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 51244,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 51244,B100000,00000,0850,00000NO STATISTICS :DIETARY 51244,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 51244,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 51244,B100000,00000,1150,00000NO STATISTICS :PHARMACY 51244,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 51244,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 51244,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51244,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 51244,E10A180,00501,0100,07/27/2000 51244,E10A180,00501,0300,07/27/2000 51244,H510100,00000,0000,7080 51244,H510100,02400,0000,7080 51244,H510100,02401,0000,6440 51244,H510200,00000,0000,6440 51244,H710000,00301,0100,10/15/1999 51244,H710000,00501,0100,07/27/2000 51244,H710000,00550,0300,07/27/2000 51244,S000000,00100,0200,05/31/2000 51244,S200000,00100,0100,540 S. MAIN 51244,S200000,00200,0100,MT. ANGEL 51244,S200000,00200,0200,OR 51244,S200000,00200,0300,97362-9532 51244,S200000,00300,0100,MARION 51244,S200000,00400,0100,BENEDICTINE NURSING CENTER 51244,S200000,00400,0200,385018 51244,S200000,00400,0300,01/01/1967 51244,S200000,00400,0500,P 51244,S200000,00400,0600,P 51244,S200000,00800,0200,387074 51244,S200000,00800,0300,01/01/1967 51244,S200000,00800,0500,P 51244,S200000,00800,0600,P 51244,S200000,01600,0100,Y 51244,S200000,02200,0100,Y 51253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51253,A000000,00300,0000,00300EMPLOYEE BENEFITS 51253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51253,A000000,00700,0000,00700HOUSEKEEPING 51253,A000000,00800,0000,00800DIETARY 51253,A000000,00900,0000,00900NURSING ADMINISTRATION 51253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51253,A000000,01300,0000,01300SOCIAL SERVICE 51253,A000000,01600,0000,01600SKILLED NURSING FACILITY 51253,A000000,01800,0000,01800NURSING FACILITY 51253,A000000,01900,0000,01900OTHER LONG TERM CARE 51253,A000000,02100,0000,02100RADIOLOGY 51253,A000000,02200,0000,02200LABORATORY 51253,A000000,02300,0000,02300INTRAVENOUS THERAPY 51253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51253,A000000,02500,0000,02500PHYSICAL THERAPY 51253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51253,A000000,02700,0000,02700SPEECH PATHOLOGY 51253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51253,A000000,03200,0000,03200SUPPORT SURFACES 51253,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51253,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51253,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51253,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51253,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51253,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51253,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51253,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51253,A000000,04400,0000,04400DME RENTED - HHA 51253,A000000,04500,0000,04500DME SOLD - HHA 51253,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51253,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51253,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 51253,A000000,04800,0000,04800AMBULANCE 51253,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51253,A000000,05000,0000,05000CORF 51253,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51253,A000000,05300,0000,05300INTEREST EXPENSE 51253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51253,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51253,A81000A,00100,0100,Y 51253,A81000B,00100,0300,MANAGEMENT FEES 51253,A81000B,00200,0300,ALLOWABLE CAPITAL-BLDG 51253,A81000B,00300,0300,ALLOWABLE CAPITAL-EQUIP 51253,A81000B,00400,0300,ALLOWABLE INTEREST 51253,A81000B,00500,0300,ADMINISTRATOR COST REIMBURSEMENT 51253,A81000B,00600,0300,ADMINISTRATOR COST REIMBURSEMENT 51253,A81000B,00700,0300,PROPERTY LEASE 51253,A81000B,00800,0300,HSI ALLOCATED COSTS 51253,A81000C,00100,0100,A 51253,A81000C,00100,0200,WERNER G NISTLER 51253,A81000C,00100,0400,TLC-CRESTVIEW 51253,A81000C,00100,0600,LESSOR OF REAL PROPERTY 51253,A81000C,00200,0100,A 51253,A81000C,00200,0200,WERNER G NISTLER 51253,A81000C,00200,0400,TLC 51253,A81000C,00200,0600,MANAGEMENT & ACCOUNTING 51253,A81000C,00300,0100,A 51253,A81000C,00300,0200,WERNER G NISTLER 51253,A81000C,00300,0400,HEALTH SPECTRUM 51253,A81000C,00300,0600,DATA PROCESSING/SUPPLIES 51253,A81000C,00400,0100,A 51253,A81000C,00400,0200,STEVE NISTLER 51253,A81000C,00400,0400,TLC-CRESTVIEW 51253,A81000C,00400,0600,LESSOR OF REAL PROPERTY 51253,A81000C,00500,0100,A 51253,A81000C,00500,0200,STEVE NISTLER 51253,A81000C,00500,0400,TLC 51253,A81000C,00500,0600,MANAGEMENT & ACCOUNTING 51253,A81000C,00600,0100,A 51253,A81000C,00600,0200,STEVE NISTLER 51253,A81000C,00600,0400,HEALTH SPECTRUM 51253,A81000C,00600,0600,DATA PROCESSING/SUPPLIES 51253,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51253,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51253,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51253,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51253,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51253,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51253,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51253,B100000,00000,0800,00000MEALS SERVED :DIETARY 51253,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51253,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51253,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51253,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51253,E10A180,00501,0100,07/28/2000 51253,E10A180,00501,0300,07/28/2000 51253,H510100,00000,0000,6440 51253,H510100,02400,0000,6440 51253,H710000,00501,0100,07/28/2000 51253,H710000,00550,0300,07/28/2000 51253,S000000,00100,0200,06/01/2000 51253,S200000,00100,0100,6530 SW 30TH 51253,S200000,00200,0100,PORTLAND 51253,S200000,00200,0200,OR 51253,S200000,00200,0300,97201- 51253,S200000,00300,0100,MULTNOMAH 51253,S200000,00300,0200,6440 51253,S200000,00300,0300,U 51253,S200000,00400,0100,CRESTVIEW CONVALESCENT CENTER 51253,S200000,00400,0200,385031 51253,S200000,00400,0300,07/01/1966 51253,S200000,00400,0500,P 51253,S200000,00800,0200,387133 51253,S200000,00800,0300,07/17/1996 51253,S200000,00800,0500,P 51253,S200000,01600,0100,Y 51253,S200000,04600,0100,Y 51263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51263,A000000,00300,0000,00300EMPLOYEE BENEFITS 51263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51263,A000000,00700,0000,00700HOUSEKEEPING 51263,A000000,00800,0000,00800DIETARY 51263,A000000,00900,0000,00900NURSING ADMINISTRATION 51263,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51263,A000000,01300,0000,01300SOCIAL SERVICE 51263,A000000,01350,0000,01500OTHER GENERAL SERVICES 51263,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51263,A000000,01600,0000,01600SKILLED NURSING FACILITY 51263,A000000,01800,0000,01800NURSING FACILITY 51263,A000000,01810,0000,01810ICF/MR 51263,A000000,01900,0000,01900OTHER LONG TERM CARE 51263,A000000,02100,0000,02100RADIOLOGY 51263,A000000,02200,0000,02200LABORATORY 51263,A000000,02300,0000,02300INTRAVENOUS THERAPY 51263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51263,A000000,02500,0000,02500PHYSICAL THERAPY 51263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51263,A000000,02700,0000,02700SPEECH PATHOLOGY 51263,A000000,02800,0000,02800ELECTROCARDIOLOGY 51263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51263,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51263,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51263,A000000,03200,0000,03200SUPPORT SURFACES 51263,A000000,03400,0000,03400CLINIC 51263,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51263,A000000,03500,0000,03500RURAL HEALTH CLINIC 51263,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51263,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51263,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51263,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51263,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51263,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51263,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51263,A000000,04400,0000,04400DME RENTED - HHA 51263,A000000,04500,0000,04500DME SOLD - HHA 51263,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51263,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51263,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51263,A000000,04800,0000,04800AMBULANCE 51263,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51263,A000000,05000,0000,05000CORF 51263,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51263,A000000,05300,0000,05300INTEREST EXPENSE 51263,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51263,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51263,A000000,05500,0000,05500HOSPICE 51263,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51263,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51263,A000000,06100,0000,06100NONPAID WORKERS 51263,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51263,A000000,06200,0000,06200PATIENTS LAUNDRY 51263,A81000A,00100,0100,Y 51263,A81000B,00100,0300,HOME OFFICE CAPITAL BLDG 51263,A81000B,00200,0300,HOME OFFICE CAPITAL ME 51263,A81000B,00300,0300,HOME OFFICE NON CAPITAL 51263,A81000B,00400,0300,MANAGEMENT FEES 51263,A81000B,00500,0300,INSURANCE MALPRACTICE 51263,A81000B,00600,0300,PENSION 51263,A81000B,00700,0300,INTEREST EXPENSE 51263,A81000C,00100,0100,B 51263,A81000C,00100,0200,CATHOLIC HEALTH CORP 51263,A81000C,00100,0600,HEALTHCARE MGMT 51263,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51263,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51263,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51263,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51263,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51263,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51263,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51263,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51263,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 51263,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51263,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51263,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51263,E10A180,00501,0100,01/25/2001 51263,S000000,00100,0200,12/01/2000 51263,S200000,00100,0100,3959 SHERIDAN AVENUE 51263,S200000,00200,0100,NORTH BEND 51263,S200000,00200,0200,OR 51263,S200000,00200,0300,97459-2899 51263,S200000,00300,0100,COOS 51263,S200000,00300,0200,0038 51263,S200000,00300,0300,R 51263,S200000,00400,0100,ST CATHERINES RESIDENCE 51263,S200000,00400,0200,385039 51263,S200000,00400,0300,01/01/1985 51263,S200000,00400,0500,P 51263,S200000,01600,0100,Y 51272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51272,A000000,00300,0000,00300EMPLOYEE BENEFITS 51272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51272,A000000,00700,0000,00700HOUSEKEEPING 51272,A000000,00800,0000,00800DIETARY 51272,A000000,00900,0000,00900NURSING ADMINISTRATION 51272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51272,A000000,01100,0000,01100PHARMACY 51272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51272,A000000,01300,0000,01300SOCIAL SERVICE 51272,A000000,01301,0000,01301ACTIVITIES 51272,A000000,01600,0000,01600SKILLED NURSING FACILITY 51272,A000000,01800,0000,01800NURSING FACILITY 51272,A000000,01900,0000,01900OTHER LONG TERM CARE 51272,A000000,02100,0000,02100RADIOLOGY 51272,A000000,02200,0000,02200LABORATORY 51272,A000000,02300,0000,02300INTRAVENOUS THERAPY 51272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51272,A000000,02500,0000,02500PHYSICAL THERAPY 51272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51272,A000000,02700,0000,02700SPEECH PATHOLOGY 51272,A000000,02800,0000,02800ELECTROCARDIOLOGY 51272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51272,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51272,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51272,A000000,03200,0000,03200SUPPORT SURFACES 51272,A000000,03400,0000,03400CLINIC 51272,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51272,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51272,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51272,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51272,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51272,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51272,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51272,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51272,A000000,04400,0000,04400DME RENTED - HHA 51272,A000000,04500,0000,04500DME SOLD - HHA 51272,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51272,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51272,A000000,04800,0000,04800AMBULANCE 51272,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51272,A000000,05000,0000,05000CORF 51272,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51272,A000000,05300,0000,05300INTEREST EXPENSE 51272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51272,A000000,05500,0000,05500HOSPICE 51272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51272,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51272,A000000,06100,0000,06100NONPAID WORKERS 51272,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51272,A000000,06200,0000,06200PATIENTS LAUNDRY 51272,A81000A,00100,0100,Y 51272,A81000B,00100,0300,MGMT FEES 51272,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51272,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51272,A81000B,00400,0300,HO ALLOCATION - INTEREST 51272,A81000C,00100,0100,C 51272,A81000C,00100,0400,PRESTIGE CARE 51272,A81000C,00100,0600,HOME OFFICE 51272,A81000C,00200,0100,C 51272,A81000C,00200,0400,PRESTIGE CARE 51272,A81000C,00200,0600,HOME OFFICE 51272,A81000C,00300,0100,C 51272,A81000C,00300,0400,PRESTIGE CARE 51272,A81000C,00300,0600,HOME OFFICE 51272,A81000C,00400,0100,C 51272,A81000C,00400,0400,PRESTIGE CARE 51272,A81000C,00400,0600,HOME OFFICE 51272,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51272,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51272,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51272,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51272,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51272,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51272,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51272,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51272,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51272,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51272,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51272,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51272,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51272,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51272,E10A180,00501,0100,04/14/2000 51272,E10A180,00501,0300,04/14/2000 51272,S000000,00100,0200,02/28/2000 51272,S200000,00100,0100,5330 NE PRESCOTT 51272,S200000,00200,0100,PORTLAND 51272,S200000,00200,0200,OR 51272,S200000,00200,0300,97218- 51272,S200000,00300,0100,MULTNOMAH 51272,S200000,00300,0200,6440 51272,S200000,00300,0300,U 51272,S200000,00400,0100,PORTHAVEN HEALTH CARE CENTER 51272,S200000,00400,0200,385045 51272,S200000,00400,0300,01/01/1967 51272,S200000,00400,0500,P 51272,S200000,01600,0100,Y 51281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51281,A000000,00300,0000,00300EMPLOYEE BENEFITS 51281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51281,A000000,00700,0000,00700HOUSEKEEPING 51281,A000000,00800,0000,00800DIETARY 51281,A000000,00900,0000,00900NURSING ADMINISTRATION 51281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51281,A000000,01300,0000,01300SOCIAL SERVICE 51281,A000000,01350,0000,01500ACTIVITIES 51281,A000000,01600,0000,01600SKILLED NURSING FACILITY 51281,A000000,01800,0000,01800NURSING FACILITY 51281,A000000,01810,0000,01810ICF/MR 51281,A000000,01900,0000,01900OTHER LONG TERM CARE 51281,A000000,02100,0000,02100RADIOLOGY 51281,A000000,02200,0000,02200LABORATORY 51281,A000000,02300,0000,02300INTRAVENOUS THERAPY 51281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51281,A000000,02500,0000,02500PHYSICAL THERAPY 51281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51281,A000000,02700,0000,02700SPEECH PATHOLOGY 51281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51281,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51281,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51281,A000000,03200,0000,03200SUPPORT SURFACES 51281,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51281,A000000,04800,0000,04800AMBULANCE 51281,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51281,A000000,05000,0000,05000CORF 51281,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51281,A000000,05300,0000,05300INTEREST EXPENSE 51281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51281,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51281,A000000,05500,0000,05500HOSPICE 51281,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51281,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51281,A000000,06100,0000,06100NONPAID WORKERS 51281,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51281,A000000,06200,0000,06200PATIENTS LAUNDRY 51281,A81000A,00100,0100,Y 51281,A81000B,00100,0300,LEASE EXPENSE 51281,A81000B,00200,0300,DEPRECIATION 51281,A81000B,00300,0300,INTEREST 51281,A81000B,00400,0300,OTHER PROPERTY 51281,A81000B,00500,0300,PHYSICAL THERAPY 51281,A81000B,00600,0300,OCCUPATIONAL THERAPY 51281,A81000B,00700,0300,SPEECH THERAPY 51281,A81000B,00800,0300,MANAGEMENT FEES 51281,A81000B,00900,0300,ALLOWABLE H.O. COSTS 51281,A81000B,01000,0300,CAPITAL - BUILDING 51281,A81000B,01100,0300,CAPITAL - EQUIPMENT 51281,A81000C,00100,0100,A 51281,A81000C,00100,0200,DARRYL FISHER 51281,A81000C,00100,0400,PINNACLE HEALTH CARE 51281,A81000C,00100,0600,ACCTG MGMT & THERAPY 51281,A81000C,00200,0100,A 51281,A81000C,00200,0200,MERLIN HART 51281,A81000C,00200,0400,PINNACLE HEALTH CARE 51281,A81000C,00200,0600,ACCTG MGMT & THERAPY 51281,A81000C,00300,0100,A 51281,A81000C,00300,0200,MARK GARBER 51281,A81000C,00300,0400,PINNACLE HEALTH CARE 51281,A81000C,00300,0600,ACCTG MGMT & THERAPY 51281,A81000C,00400,0100,A 51281,A81000C,00400,0200,DARRYL FISHER 51281,A81000C,00400,0400,HILLSIDE HEIGHTS LLC 51281,A81000C,00400,0600,OWNER OF REAL PROPERTY 51281,A81000C,00500,0100,A 51281,A81000C,00500,0200,MERLIN HART 51281,A81000C,00500,0400,HILLSIDE HEIGHTS LLC 51281,A81000C,00500,0600,OWNER OF REAL PROPERTY 51281,A81000C,00600,0100,A 51281,A81000C,00600,0200,MARK GARBER 51281,A81000C,00600,0400,HILLSIDE HEIGHTS LLC 51281,A81000C,00600,0600,OWNER OF REAL PROPERTY 51281,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51281,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51281,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51281,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51281,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51281,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51281,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51281,B100000,00000,0800,00000MEALS SERVED :DIETARY 51281,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51281,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51281,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51281,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51281,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51281,E10A180,00550,0300,08/08/2000 51281,S000000,00100,0200,06/01/2000 51281,S200000,00100,0100,1201 MCLEAN BLVD. 51281,S200000,00200,0100,EUGENE 51281,S200000,00200,0200,OR 51281,S200000,00200,0300,97405- 51281,S200000,00300,0100,LANE 51281,S200000,00400,0100,HILLSIDE HEIGHTS CARE CENTER 51281,S200000,00400,0200,385046 51281,S200000,00400,0300,03/01/1994 51281,S200000,00400,0500,P 51281,S200000,01500,0100,Y 51303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51303,A000000,00300,0000,00300EMPLOYEE BENEFITS 51303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51303,A000000,00700,0000,00700HOUSEKEEPING 51303,A000000,00800,0000,00800DIETARY 51303,A000000,00900,0000,00900NURSING ADMINISTRATION 51303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51303,A000000,01100,0000,01100PHARMACY 51303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51303,A000000,01300,0000,01300SOCIAL SERVICE 51303,A000000,01350,0000,01500OTHER GENERAL SERVICES 51303,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51303,A000000,01600,0000,01600SKILLED NURSING FACILITY 51303,A000000,01800,0000,01800NURSING FACILITY 51303,A000000,01900,0000,01900OTHER LONG TERM CARE 51303,A000000,02100,0000,02100RADIOLOGY 51303,A000000,02200,0000,02200LABORATORY 51303,A000000,02300,0000,02300INTRAVENOUS THERAPY 51303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51303,A000000,02500,0000,02500PHYSICAL THERAPY 51303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51303,A000000,02700,0000,02700SPEECH PATHOLOGY 51303,A000000,02800,0000,02800ELECTROCARDIOLOGY 51303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51303,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51303,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51303,A000000,03200,0000,03200SUPPORT SURFACES 51303,A000000,03400,0000,03400CLINIC 51303,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51303,A000000,03500,0000,03500RURAL HEALTH CLINIC 51303,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51303,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51303,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51303,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51303,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51303,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51303,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51303,A000000,04400,0000,04400DME RENTED - HHA 51303,A000000,04500,0000,04500DME SOLD - HHA 51303,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51303,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51303,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51303,A000000,04800,0000,04800AMBULANCE 51303,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51303,A000000,05000,0000,05000CORF 51303,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51303,A000000,05300,0000,05300INTEREST EXPENSE 51303,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51303,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51303,A000000,05500,0000,05500HOSPICE 51303,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51303,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51303,A000000,06100,0000,06100NONPAID WORKERS 51303,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51303,A000000,06200,0000,06200PATIENTS LAUNDRY 51303,A81000A,00100,0100,Y 51303,A81000B,00100,0300,BUILDING LEASE 51303,A81000B,00200,0300,BUILDING DEPRECIATION 51303,A81000B,00300,0300,INTEREST 51303,A81000B,00400,0300,EQUIPMENT DEPRECIATION 51303,A81000B,00500,0300,ACCOUNTING AND AMORT FEES 51303,A81000B,00600,0300,MANAGEMENT FEESSULTANT 51303,A81000B,00700,0300,HOME OFFICE CONSULTANT 51303,A81000B,00800,0300,HOME OFFICE CONSULTANT 51303,A81000B,00900,0300,HOME OFFICE CONSULTANT 51303,A81000B,01000,0300,HOME OFFICE CONSULTANT 51303,A81000B,01100,0300,HOME OFFICE CONSULTANT 51303,A81000B,01200,0300,CAP REL BUILDING DEPRE 51303,A81000B,01300,0300,INTEREST EXPENSE 51303,A81000B,01400,0300,CAP REL EQUIPMENT DEPRECATIO 51303,A81000C,00100,0100,A 51303,A81000C,00100,0200,RICK MILLER 51303,A81000C,00100,0400,GENESIS HEALTHCARE 51303,A81000C,00100,0600,MANAGEMENT SVC 51303,A81000C,00200,0100,A 51303,A81000C,00200,0200,RICK DILLON 51303,A81000C,00200,0400,GENESIS HEALTHCARE 51303,A81000C,00200,0600,MANAGEMENT SVC 51303,A81000C,00300,0100,A 51303,A81000C,00300,0200,RICK MILLER 51303,A81000C,00300,0400,MILLER/DILLON PARTNERSHIP 51303,A81000C,00300,0600,PROPERTY LESSOR 51303,A81000C,00400,0100,A 51303,A81000C,00400,0200,RICK DILLON 51303,A81000C,00400,0400,MILLER/DILLON PARTNERSHIP 51303,A81000C,00400,0600,PROPERTY LESSOR 51303,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51303,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51303,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51303,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51303,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51303,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51303,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51303,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51303,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51303,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51303,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51303,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51303,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51303,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51303,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51303,E10A180,00501,0300,07/26/2000 51303,S000000,00100,0200,05/31/2000 51303,S200000,00100,0100,2360 CHAMBERS STREET 51303,S200000,00200,0100,EUGENE 51303,S200000,00200,0200,OR 51303,S200000,00200,0300,97405- 51303,S200000,00300,0100,LANE 51303,S200000,00400,0100,EUGENE REHAB & SPECIALITY CARE 51303,S200000,00400,0200,385053 51303,S200000,00400,0300,11/01/1980 51303,S200000,00400,0500,P 51303,S200000,01500,0100,Y 51322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51322,A000000,00300,0000,00300EMPLOYEE BENEFITS 51322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51322,A000000,00700,0000,00700HOUSEKEEPING 51322,A000000,00800,0000,00800DIETARY 51322,A000000,00900,0000,00900NURSING ADMINISTRATION 51322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51322,A000000,01300,0000,01300SOCIAL SERVICE 51322,A000000,01600,0000,01600SKILLED NURSING FACILITY 51322,A000000,01800,0000,01800NURSING FACILITY 51322,A000000,01900,0000,01900OTHER LONG TERM CARE 51322,A000000,02100,0000,02100RADIOLOGY 51322,A000000,02200,0000,02200LABORATORY 51322,A000000,02300,0000,02300INTRAVENOUS THERAPY 51322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51322,A000000,02500,0000,02500PHYSICAL THERAPY 51322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51322,A000000,02700,0000,02700SPEECH PATHOLOGY 51322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51322,A000000,03200,0000,03200SUPPORT SURFACES 51322,A000000,04800,0000,04800AMBULANCE 51322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51322,A000000,05300,0000,05300INTEREST EXPENSE 51322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51322,A000000,05500,0000,05500HOSPICE 51322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51322,A000000,06100,0000,06100NONPAID WORKERS 51322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51322,A000000,06200,0000,06200PATIENTS LAUNDRY 51322,A81000A,00100,0100,Y 51322,A81000B,00100,0300,LEASE EXPENSE 51322,A81000B,00200,0300,DEPRECIATION 51322,A81000B,00300,0300,INTEREST 51322,A81000B,00400,0300,OTHER PROPERTY 51322,A81000B,00500,0300,PHYSICAL THERAPY 51322,A81000B,00600,0300,SPEECH THERAPY 51322,A81000B,00700,0300,MANAGEMENT FEES 51322,A81000B,00800,0300,ALLOWABLE H.O. COSTS 51322,A81000B,00900,0300,CAPITAL - BUILDING 51322,A81000B,01000,0300,CAPITAL - EQUIPMENT 51322,A81000C,00100,0100,A 51322,A81000C,00100,0200,DARRYL FISHER 51322,A81000C,00100,0400,PINNACLE HEALTH CARE 51322,A81000C,00100,0600,ACCTG MGMT & THERAPY 51322,A81000C,00200,0100,A 51322,A81000C,00200,0200,MERLIN HART 51322,A81000C,00200,0400,PINNACLE HEALTH CARE 51322,A81000C,00200,0600,ACCTG MGMT & THERAPY 51322,A81000C,00300,0100,A 51322,A81000C,00300,0200,MARK GARBER 51322,A81000C,00300,0400,PINNACLE HEALTH CARE 51322,A81000C,00300,0600,ACCTG MGMT & THERAPY 51322,A81000C,00400,0100,A 51322,A81000C,00400,0200,DARRYL FISHER 51322,A81000C,00400,0400,CORVALLIS MANOR LLC 51322,A81000C,00400,0600,OWNER OF REAL PROPERTY 51322,A81000C,00500,0100,A 51322,A81000C,00500,0200,MERLIN HART 51322,A81000C,00500,0400,CORVALLIS MANOR LLC 51322,A81000C,00500,0600,OWNER OF REAL PROPERTY 51322,A81000C,00600,0100,A 51322,A81000C,00600,0200,MARK GARBER 51322,A81000C,00600,0400,CORVALLIS MANOR LLC 51322,A81000C,00600,0600,OWNER OF REAL PROPERTY 51322,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51322,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51322,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51322,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51322,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51322,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51322,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51322,B100000,00000,0800,00000MEALS SERVED :DIETARY 51322,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51322,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51322,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51322,B100000,00000,1330,00000FTE :SOCIAL SERVICE 51322,S000000,00100,0200,06/01/2000 51322,S200000,00100,0100,160 CONIFER 51322,S200000,00200,0100,CORVALLIS 51322,S200000,00200,0200,OR 51322,S200000,00200,0300,97330- 51322,S200000,00300,0100,BENTON 51322,S200000,00400,0100,CORVALLIS MANOR 51322,S200000,00400,0200,385072 51322,S200000,00400,0300,04/01/1967 51322,S200000,00400,0500,P 51322,S200000,01600,0100,Y 51336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51336,A000000,00300,0000,00300EMPLOYEE BENEFITS 51336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51336,A000000,00700,0000,00700HOUSEKEEPING 51336,A000000,00800,0000,00800DIETARY 51336,A000000,00900,0000,00900NURSING ADMINISTRATION 51336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51336,A000000,01300,0000,01300SOCIAL SERVICE 51336,A000000,01350,0000,01500ACTIVITIES 51336,A000000,01600,0000,01600SKILLED NURSING FACILITY 51336,A000000,01800,0000,01800NURSING FACILITY 51336,A000000,02100,0000,02100RADIOLOGY 51336,A000000,02200,0000,02200LABORATORY 51336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51336,A000000,02500,0000,02500PHYSICAL THERAPY 51336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51336,A000000,02700,0000,02700SPEECH PATHOLOGY 51336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51336,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51336,A000000,03200,0000,03200SUPPORT SURFACES 51336,A000000,04800,0000,04800AMBULANCE 51336,A000000,05300,0000,05300INTEREST EXPENSE 51336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51336,A81000A,00100,0100,Y 51336,A81000B,00100,0300,PHYSICAL THERAPY 51336,A81000B,00200,0300,OCCUPATIONAL THERAPY 51336,A81000B,00300,0300,SPEECH THERAPY 51336,A81000B,00400,0300,REMOVE MNGT FEES 51336,A81000B,00500,0300,HOME OFC ALLOCATIONS 51336,A81000C,00100,0100,A 51336,A81000C,00100,0200,P.FOGG/G.WART 51336,A81000C,00100,0400,MARQUIS 51336,A81000C,00100,0600,HOME OFFICE 51336,A81000C,00200,0100,A 51336,A81000C,00200,0200,P.FOGG/G.WART 51336,A81000C,00200,0400,RSI 51336,A81000C,00200,0600,REHAB 51336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51336,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51336,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51336,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51336,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51336,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51336,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51336,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51336,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51336,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51336,E10A180,00501,0100,08/17/2000 51336,E10A180,00501,0300,08/17/2000 51336,S000000,00100,0200,06/01/2000 51336,S200000,00100,0100,1333 NORTH FIRST STREET 51336,S200000,00200,0100,SPRINGFIELD 51336,S200000,00200,0200,OR 51336,S200000,00200,0300,97477- 51336,S200000,00300,0100,LANE 51336,S200000,00300,0200,2400 51336,S200000,00300,0300,U 51336,S200000,00400,0100,MARQUIS CARE AT SPRINGFIELD 51336,S200000,00400,0200,385077 51336,S200000,00400,0300,10/01/1970 51336,S200000,00400,0500,P 51336,S200000,01500,0100,Y 51349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51349,A000000,00300,0000,00300EMPLOYEE BENEFITS 51349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51349,A000000,00700,0000,00700HOUSEKEEPING 51349,A000000,00800,0000,00800DIETARY 51349,A000000,00900,0000,00900NURSING ADMINISTRATION 51349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51349,A000000,01100,0000,01100PHARMACY 51349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51349,A000000,01300,0000,01300SOCIAL SERVICE 51349,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51349,A000000,01600,0000,01600SKILLED NURSING FACILITY 51349,A000000,01800,0000,01800NURSING FACILITY 51349,A000000,01810,0000,01810ICF/MR 51349,A000000,02500,0000,02500PHYSICAL THERAPY 51349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51349,A000000,02700,0000,02700SPEECH PATHOLOGY 51349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51349,A000000,03550,0000,03550FQHC 51349,A000000,05000,0000,05000CORF 51349,A000000,05010,0000,05010CMHC 51349,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 51349,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 51349,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 51349,A000000,05300,0000,05300INTEREST EXPENSE 51349,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51349,A81000A,00100,0100,Y 51349,A81000B,00100,0300,HR EXPENSES 51349,A81000B,00200,0300,ADMIN & GENERAL COST 51349,A81000B,00300,0300,INTEREST EXPENSE 51349,A81000B,00400,0300,BUILDING EXPENSE 51349,A81000B,00500,0300,EQUIPMENT EXPENSE 51349,A81000B,00600,0300,PT 51349,A81000B,00700,0300,OT 51349,A81000B,00800,0300,SPEECH 51349,A81000B,00900,0300,LAUNDRY 51349,A81000B,01000,0300,DIETARY 51349,A81000C,00100,0100,B 51349,A81000C,00100,0200,ROGUE VALLEY ME 51349,A81000C,00100,0600,THER DIET LIN 51349,A81000C,00200,0100,B 51349,A81000C,00200,0200,ASANTE HEALTH S 51349,A81000C,00200,0600,MANAGEMENT 51349,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51349,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51349,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51349,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51349,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51349,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51349,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 51349,B100000,00000,0800,00000MEALS SERVED :DIETARY 51349,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 51349,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 51349,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 51349,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51349,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51349,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51349,E10A180,00501,0300,04/07/2000 51349,E10A180,00503,0100,04/07/2000 51349,S000000,00100,0200,03/02/2000 51349,S200000,00100,0100,2901 EAST BARNETT ROAD 51349,S200000,00200,0100,MEDFORD 51349,S200000,00200,0200,OR 51349,S200000,00200,0300,97504- 51349,S200000,00300,0100,JACKSON 51349,S200000,00400,0100,HEARTHSTONE MANOR 51349,S200000,00400,0200,385091 51349,S200000,00400,0300,12/01/1982 51349,S200000,00400,0500,P 51349,S200000,01600,0100,Y 51349,S200000,01900,0100,COMMUNITY 51359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51359,A000000,00300,0000,00300EMPLOYEE BENEFITS 51359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51359,A000000,00700,0000,00700HOUSEKEEPING 51359,A000000,00800,0000,00800DIETARY 51359,A000000,00900,0000,00900NURSING ADMINISTRATION 51359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51359,A000000,01100,0000,01100PHARMACY 51359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51359,A000000,01300,0000,01300SOCIAL SERVICE 51359,A000000,01301,0000,01301ACTIVITIES 51359,A000000,01600,0000,01600SKILLED NURSING FACILITY 51359,A000000,01800,0000,01800NURSING FACILITY 51359,A000000,01900,0000,01900OTHER LONG TERM CARE 51359,A000000,02100,0000,02100RADIOLOGY 51359,A000000,02200,0000,02200LABORATORY 51359,A000000,02300,0000,02300INTRAVENOUS THERAPY 51359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51359,A000000,02500,0000,02500PHYSICAL THERAPY 51359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51359,A000000,02700,0000,02700SPEECH PATHOLOGY 51359,A000000,02800,0000,02800ELECTROCARDIOLOGY 51359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51359,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51359,A000000,03200,0000,03200SUPPORT SURFACES 51359,A000000,03400,0000,03400CLINIC 51359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51359,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51359,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51359,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51359,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51359,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51359,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51359,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51359,A000000,04400,0000,04400DME RENTED - HHA 51359,A000000,04500,0000,04500DME SOLD - HHA 51359,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51359,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51359,A000000,04800,0000,04800AMBULANCE 51359,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51359,A000000,05000,0000,05000CORF 51359,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51359,A000000,05300,0000,05300INTEREST EXPENSE 51359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51359,A000000,05500,0000,05500HOSPICE 51359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51359,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51359,A000000,06100,0000,06100NONPAID WORKERS 51359,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51359,A000000,06200,0000,06200PATIENTS LAUNDRY 51359,A81000A,00100,0100,Y 51359,A81000B,00100,0300,MGMT FEES 51359,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51359,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51359,A81000B,00400,0300,HO ALLOCATION - INTEREST 51359,A81000C,00100,0100,C 51359,A81000C,00100,0400,PRESTIGE CARE 51359,A81000C,00100,0600,HOME OFFICE 51359,A81000C,00200,0100,C 51359,A81000C,00200,0400,PRESTIGE CARE 51359,A81000C,00200,0600,HOME OFFICE 51359,A81000C,00300,0100,C 51359,A81000C,00300,0400,PRESTIGE CARE 51359,A81000C,00300,0600,HOME OFFICE 51359,A81000C,00400,0100,C 51359,A81000C,00400,0400,PRESTIGE CARE 51359,A81000C,00400,0600,HOME OFFICE 51359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51359,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51359,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51359,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51359,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51359,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51359,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51359,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51359,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51359,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51359,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51359,E10A180,00501,0100,04/14/2000 51359,E10A180,00501,0300,04/14/2000 51359,S000000,00100,0200,02/28/2000 51359,S200000,00100,0100,729 HENDERSON ROAD 51359,S200000,00200,0100,HOOD RIVER 51359,S200000,00200,0200,OR 51359,S200000,00200,0300,97031- 51359,S200000,00300,0100,HOOD RIVER 51359,S200000,00400,0100,HOOD RIVER CARE CENTER 51359,S200000,00400,0200,385104 51359,S200000,00400,0300,07/01/1983 51359,S200000,00400,0500,P 51359,S200000,01600,0100,Y 51368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51368,A000000,00300,0000,00300EMPLOYEE BENEFITS 51368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51368,A000000,00700,0000,00700HOUSEKEEPING 51368,A000000,00800,0000,00800DIETARY 51368,A000000,00900,0000,00900NURSING ADMINISTRATION 51368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51368,A000000,01100,0000,01100PHARMACY 51368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51368,A000000,01300,0000,01300SOCIAL SERVICE 51368,A000000,01301,0000,01301ACTIVITIES 51368,A000000,01600,0000,01600SKILLED NURSING FACILITY 51368,A000000,01800,0000,01800NURSING FACILITY 51368,A000000,01900,0000,01900OTHER LONG TERM CARE 51368,A000000,02100,0000,02100RADIOLOGY 51368,A000000,02200,0000,02200LABORATORY 51368,A000000,02300,0000,02300INTRAVENOUS THERAPY 51368,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51368,A000000,02500,0000,02500PHYSICAL THERAPY 51368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51368,A000000,02700,0000,02700SPEECH PATHOLOGY 51368,A000000,02800,0000,02800ELECTROCARDIOLOGY 51368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51368,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51368,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51368,A000000,03200,0000,03200SUPPORT SURFACES 51368,A000000,03400,0000,03400CLINIC 51368,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51368,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51368,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51368,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51368,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51368,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51368,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51368,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51368,A000000,04400,0000,04400DME RENTED - HHA 51368,A000000,04500,0000,04500DME SOLD - HHA 51368,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51368,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51368,A000000,04800,0000,04800AMBULANCE 51368,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51368,A000000,05000,0000,05000CORF 51368,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51368,A000000,05300,0000,05300INTEREST EXPENSE 51368,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51368,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51368,A000000,05500,0000,05500HOSPICE 51368,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51368,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51368,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51368,A000000,06100,0000,06100NONPAID WORKERS 51368,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51368,A000000,06200,0000,06200PATIENTS LAUNDRY 51368,A81000A,00100,0100,Y 51368,A81000B,00100,0300,MGMT FEES 51368,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51368,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51368,A81000B,00400,0300,HO ALLOCATION - INTEREST 51368,A81000C,00100,0100,C 51368,A81000C,00100,0400,PRESTIGE CARE 51368,A81000C,00100,0600,HOME OFFICE 51368,A81000C,00200,0100,C 51368,A81000C,00200,0400,PRESTIGE CARE 51368,A81000C,00200,0600,HOME OFFICE 51368,A81000C,00300,0100,C 51368,A81000C,00300,0400,PRESTIGE CARE 51368,A81000C,00300,0600,HOME OFFICE 51368,A81000C,00400,0100,C 51368,A81000C,00400,0400,PRESTIGE CARE 51368,A81000C,00400,0600,HOME OFFICE 51368,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51368,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51368,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51368,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51368,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51368,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51368,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51368,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51368,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51368,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51368,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51368,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51368,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51368,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51368,E10A180,00501,0300,04/14/2000 51368,S000000,00100,0200,02/28/2000 51368,S200000,00100,0100,1023 W. SIXTH AVENUE 51368,S200000,00200,0100,ALBANY 51368,S200000,00200,0200,OR 51368,S200000,00200,0300,97321- 51368,S200000,00300,0100,LINN 51368,S200000,00400,0100,TIMBERVIEW CARE CENTER 51368,S200000,00400,0200,385107 51368,S200000,00400,0300,06/03/1983 51368,S200000,00400,0500,P 51368,S200000,01600,0100,Y 51374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51374,A000000,00300,0000,00300EMPLOYEE BENEFITS 51374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51374,A000000,00700,0000,00700HOUSEKEEPING 51374,A000000,00800,0000,00800DIETARY 51374,A000000,00900,0000,00900NURSING ADMINISTRATION 51374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51374,A000000,01100,0000,01100PHARMACY 51374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51374,A000000,01300,0000,01300SOCIAL SERVICE 51374,A000000,01350,0000,01500OTHER GENERAL SERVICES 51374,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51374,A000000,01600,0000,01600SKILLED NURSING FACILITY 51374,A000000,01800,0000,01800NURSING FACILITY 51374,A000000,01900,0000,01900OTHER LONG TERM CARE 51374,A000000,02100,0000,02100RADIOLOGY 51374,A000000,02200,0000,02200LABORATORY 51374,A000000,02300,0000,02300INTRAVENOUS THERAPY 51374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51374,A000000,02500,0000,02500PHYSICAL THERAPY 51374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51374,A000000,02700,0000,02700SPEECH PATHOLOGY 51374,A000000,02800,0000,02800ELECTROCARDIOLOGY 51374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51374,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51374,A000000,03200,0000,03200SUPPORT SURFACES 51374,A000000,03400,0000,03400CLINIC 51374,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51374,A000000,03500,0000,03500RURAL HEALTH CLINIC 51374,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51374,A000000,04800,0000,04800AMBULANCE 51374,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51374,A000000,05000,0000,05000CORF 51374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51374,A000000,05300,0000,05300INTEREST EXPENSE 51374,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51374,A000000,05500,0000,05500HOSPICE 51374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51374,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51374,A000000,06100,0000,06100NONPAID WORKERS 51374,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51374,A000000,06200,0000,06200PATIENTS LAUNDRY 51374,A81000A,00100,0100,Y 51374,A81000B,00100,0300,MGMT & ACCTG FEES 51374,A81000B,00200,0300,BLDG & FIXTURES - CAP RELATED 51374,A81000C,00100,0100,A 51374,A81000C,00100,0200,JOHN B GOODMAN 51374,A81000C,00100,0400,SAGE COMPANY 51374,A81000C,00100,0600,MANAGEMENT COMPANY 51374,A81000C,00200,0100,A 51374,A81000C,00200,0200,SIDNEY A GOODMAN 51374,A81000C,00200,0400,SAGE COMPANY 51374,A81000C,00200,0600,MANAGEMENT COMPANY 51374,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 51374,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 51374,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51374,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 51374,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51374,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 51374,B100000,00000,0800,00000MEALS SERVED :DIETARY 51374,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 51374,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 51374,B100000,00000,1150,00000NO STATISTICS :PHARMACY 51374,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51374,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51374,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51374,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 51374,S000000,00100,0200,04/10/2000 51374,S200000,00100,0100,5701 S.W. MULTNOMAH BLVD 51374,S200000,00200,0100,PORTLAND 51374,S200000,00200,0200,OR 51374,S200000,00200,0300,97219-3199 51374,S200000,00300,0100,MULTNOMAH 51374,S200000,00400,0100,WEST HILLS CONVALESCENT CENTER 51374,S200000,00400,0200,385112 51374,S200000,00400,0300,04/01/1970 51374,S200000,00400,0500,P 51374,S200000,01004,0500,O 51374,S200000,01600,0100,Y 51374,S200000,02800,0100,Y 51383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51383,A000000,00300,0000,00300EMPLOYEE BENEFITS 51383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51383,A000000,00700,0000,00700HOUSEKEEPING 51383,A000000,00800,0000,00800DIETARY 51383,A000000,00900,0000,00900NURSING ADMINISTRATION 51383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51383,A000000,01300,0000,01300SOCIAL SERVICE 51383,A000000,01350,0000,01500ACTIVITIES 51383,A000000,01600,0000,01600SKILLED NURSING FACILITY 51383,A000000,01800,0000,01800NURSING FACILITY 51383,A000000,02100,0000,02100RADIOLOGY 51383,A000000,02200,0000,02200LABORATORY 51383,A000000,02300,0000,02300INTRAVENOUS THERAPY 51383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51383,A000000,02500,0000,02500PHYSICAL THERAPY 51383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51383,A000000,02700,0000,02700SPEECH PATHOLOGY 51383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51383,A000000,03200,0000,03200SUPPORT SURFACES 51383,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51383,A000000,04800,0000,04800AMBULANCE 51383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51383,A000000,05300,0000,05300INTEREST EXPENSE 51383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51383,A000000,05500,0000,05500HOSPICE 51383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51383,A000000,06100,0000,06100NONPAID WORKERS 51383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51383,A000000,06200,0000,06200PATIENTS LAUNDRY 51383,A81000A,00100,0100,Y 51383,A81000B,00100,0300,LEASE EXPENSE 51383,A81000B,00200,0300,DEPRECIATION 51383,A81000B,00300,0300,INTEREST 51383,A81000B,00400,0300,OTHER PROPERTY 51383,A81000B,00500,0300,PHYSICAL THERAPY 51383,A81000B,00600,0300,OCCUPATIONAL THERAPY 51383,A81000B,00700,0300,MANAGEMENT FEES 51383,A81000B,00800,0300,ALLOWABLE H.O. COSTS 51383,A81000B,00900,0300,CAPITAL - BUILDING 51383,A81000B,01000,0300,CAPITAL - EQUIPMENT 51383,A81000C,00100,0100,A 51383,A81000C,00100,0200,DARRYL FISHER 51383,A81000C,00100,0400,PINNACLE HEALTH CARE 51383,A81000C,00100,0600,ACCTG MGMT & THERAPY 51383,A81000C,00200,0100,A 51383,A81000C,00200,0200,MERLIN HART 51383,A81000C,00200,0400,PINNACLE HEALTH CARE 51383,A81000C,00200,0600,ACCTG. MGMT & THERAPY 51383,A81000C,00300,0100,A 51383,A81000C,00300,0200,MARK GARBER 51383,A81000C,00300,0400,PINNACLE HEALTH CARE 51383,A81000C,00300,0600,ACCTG. MGMT & THERAPY 51383,A81000C,00400,0100,A 51383,A81000C,00400,0200,DARRYL FISHER 51383,A81000C,00400,0400,FRENCH PRAIRIE LLC 51383,A81000C,00400,0600,OWNER OF REAL PROPERTY 51383,A81000C,00500,0100,A 51383,A81000C,00500,0200,MERLIN HART 51383,A81000C,00500,0400,FRENCH PRAIRIE LLC 51383,A81000C,00500,0600,OWNER OF REAL PROPERTY 51383,A81000C,00600,0100,A 51383,A81000C,00600,0200,MARK GARBER 51383,A81000C,00600,0400,FRENCH PRAIRIE LLC 51383,A81000C,00600,0600,OWNER OF REAL PROPERTY 51383,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51383,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51383,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51383,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51383,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51383,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51383,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51383,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51383,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51383,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51383,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51383,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51383,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51383,E10A180,00501,0300,07/26/2000 51383,S000000,00100,0200,06/01/2000 51383,S200000,00100,0100,601 EVERGREEN ROAD 51383,S200000,00200,0100,WOODBURN 51383,S200000,00200,0200,OR 51383,S200000,00200,0300,97071- 51383,S200000,00300,0100,MARION 51383,S200000,00400,0100,FRENCH PRAIRIE CARE CENTER 51383,S200000,00400,0200,385117 51383,S200000,00400,0300,01/01/1972 51383,S200000,00400,0500,P 51383,S200000,01600,0100,Y 51390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51390,A000000,00300,0000,00300EMPLOYEE BENEFITS 51390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51390,A000000,00700,0000,00700HOUSEKEEPING 51390,A000000,00800,0000,00800DIETARY 51390,A000000,00900,0000,00900NURSING ADMINISTRATION 51390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51390,A000000,01100,0000,01100PHARMACY 51390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51390,A000000,01300,0000,01300SOCIAL SERVICE 51390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51390,A000000,01600,0000,01600SKILLED NURSING FACILITY 51390,A000000,01800,0000,01800NURSING FACILITY 51390,A000000,02100,0000,02100RADIOLOGY 51390,A000000,02200,0000,02200LABORATORY 51390,A000000,02300,0000,02300INTRAVENOUS THERAPY 51390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51390,A000000,02500,0000,02500PHYSICAL THERAPY 51390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51390,A000000,02700,0000,02700SPEECH PATHOLOGY 51390,A000000,02800,0000,02800ELECTROCARDIOLOGY 51390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51390,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51390,A000000,03200,0000,03200SUPPORT SURFACES 51390,A000000,03400,0000,03400CLINIC 51390,A000000,04800,0000,04800AMBULANCE 51390,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51390,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51390,A000000,05300,0000,05300INTEREST EXPENSE 51390,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51390,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51390,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51390,A000000,06100,0000,06100NONPAID WORKERS 51390,A000000,06200,0000,06200PATIENTS LAUNDRY 51390,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51390,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51390,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51390,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51390,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51390,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 51390,B100000,00000,0800,00000MEALS SERVED :DIETARY 51390,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51390,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51390,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51390,S000000,00100,0200,07/26/2000 51390,S200000,00100,0100,3320 SE HOLGATE BLVD 51390,S200000,00200,0100,PORTLAND 51390,S200000,00200,0200,OR 51390,S200000,00200,0300,97202- 51390,S200000,00300,0100,MULTNOMAH 51390,S200000,00300,0200,6440 51390,S200000,00300,0300,U 51390,S200000,00400,0100,FRIENDSHIP HEALTH CENTER 51390,S200000,00400,0200,385121 51390,S200000,00400,0300,02/12/1973 51390,S200000,00400,0500,P 51390,S200000,00400,0600,O 51390,S200000,00600,0200,385121 51390,S200000,00600,0300,02/12/1973 51390,S200000,00600,0600,P 51390,S200000,01600,0100,Y 51390,S200000,01900,0100,CORPORATION 51402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51402,A000000,00300,0000,00300EMPLOYEE BENEFITS 51402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51402,A000000,00700,0000,00700HOUSEKEEPING 51402,A000000,00800,0000,00800DIETARY 51402,A000000,00900,0000,00900NURSING ADMINISTRATION 51402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51402,A000000,01100,0000,01100PHARMACY 51402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51402,A000000,01300,0000,01300SOCIAL SERVICE 51402,A000000,01350,0000,01500OTHER GENERAL SERVICES 51402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51402,A000000,01600,0000,01600SKILLED NURSING FACILITY 51402,A000000,01800,0000,01800NURSING FACILITY 51402,A000000,01810,0000,01810ICF/MR 51402,A000000,01900,0000,01900OTHER LONG TERM CARE 51402,A000000,02100,0000,02100RADIOLOGY 51402,A000000,02200,0000,02200LABORATORY 51402,A000000,02300,0000,02300INTRAVENOUS THERAPY 51402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51402,A000000,02500,0000,02500PHYSICAL THERAPY 51402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51402,A000000,02700,0000,02700SPEECH PATHOLOGY 51402,A000000,02800,0000,02800ELECTROCARDIOLOGY 51402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51402,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51402,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51402,A000000,03200,0000,03200SUPPORT SURFACES 51402,A000000,03400,0000,03400CLINIC 51402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51402,A000000,03500,0000,03500RURAL HEALTH CLINIC 51402,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51402,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51402,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51402,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51402,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51402,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51402,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51402,A000000,04400,0000,04400DME RENTED - HHA 51402,A000000,04500,0000,04500DME SOLD - HHA 51402,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51402,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51402,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51402,A000000,04800,0000,04800AMBULANCE 51402,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51402,A000000,05000,0000,05000CORF 51402,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51402,A000000,05300,0000,05300INTEREST EXPENSE 51402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51402,A000000,05500,0000,05500HOSPICE 51402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51402,A000000,06100,0000,06100NONPAID WORKERS 51402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51402,A000000,06200,0000,06200PATIENTS LAUNDRY 51402,A81000A,00100,0100,Y 51402,A81000B,00100,0300,PROPERTY - BLDG. RENT 51402,A81000B,00200,0300,BUILDING DEPRECIATION 51402,A81000B,00300,0300,BUILDING INTEREST 51402,A81000B,00400,0300,REAL PROPERTY TAXES 51402,A81000B,00500,0300,PERSONAL PROPERTY TAXES 51402,A81000C,00100,0100,D 51402,A81000C,00100,0200,GREG TONACK 51402,A81000C,00100,0400,HEALTH RESOURCES INC 51402,A81000C,00100,0600,PROPERTY 51402,A81000C,00200,0100,D 51402,A81000C,00200,0200,JEFF TONACK 51402,A81000C,00200,0400,HEALTH RESOURCES INC 51402,A81000C,00200,0600,PROPERTY 51402,A81000C,00300,0100,A 51402,A81000C,00300,0200,GREG TONACK 51402,A81000C,00300,0400,HEALTH CARE FACILTIES 51402,A81000C,00300,0600,OPERATIONS 51402,A81000C,00400,0100,A 51402,A81000C,00400,0200,JEFF TONACK 51402,A81000C,00400,0400,HEALTH CARE FACILITIES 51402,A81000C,00400,0600,OPERATIONS 51402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51402,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51402,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51402,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51402,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51402,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51402,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51402,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51402,S000000,00100,0200,05/31/2000 51402,S200000,00100,0100,1400 DIVISION 51402,S200000,00200,0100,OREGON CITY 51402,S200000,00200,0200,OR 51402,S200000,00200,0300,97045- 51402,S200000,00300,0100,CLACKAMAS 51402,S200000,00300,0200,6440 51402,S200000,00300,0300,U 51402,S200000,00400,0100,MT. VIEW REHAB & LIVING CENTER 51402,S200000,00400,0200,385125 51402,S200000,00400,0300,03/28/1975 51402,S200000,00400,0500,P 51402,S200000,01500,0100,Y 51402,S200000,04600,0100,Y 51417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51417,A000000,00300,0000,00300EMPLOYEE BENEFITS 51417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51417,A000000,00700,0000,00700HOUSEKEEPING 51417,A000000,00800,0000,00800DIETARY 51417,A000000,00900,0000,00900NURSING ADMINISTRATION 51417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51417,A000000,01100,0000,01100PHARMACY 51417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51417,A000000,01300,0000,01300SOCIAL SERVICE 51417,A000000,01350,0000,01500OTHER GENERAL SERVICES 51417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51417,A000000,01600,0000,01600SKILLED NURSING FACILITY 51417,A000000,01800,0000,01800NURSING FACILITY 51417,A000000,01810,0000,01801ICF/MR 51417,A000000,01900,0000,01900OTHER LONG TERM CARE 51417,A000000,02100,0000,02100RADIOLOGY 51417,A000000,02200,0000,02200LABORATORY 51417,A000000,02300,0000,02300INTRAVENOUS THERAPY 51417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51417,A000000,02500,0000,02500PHYSICAL THERAPY 51417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51417,A000000,02700,0000,02700SPEECH PATHOLOGY 51417,A000000,02800,0000,02800ELECTROCARDIOLOGY 51417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51417,A000000,03200,0000,03200SUPPORT SURFACES 51417,A000000,03400,0000,03400CLINIC 51417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51417,A000000,03500,0000,03500RURAL HEALTH CLINIC 51417,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51417,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51417,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51417,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51417,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51417,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51417,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51417,A000000,04400,0000,04400DME RENTED - HHA 51417,A000000,04500,0000,04500DME SOLD - HHA 51417,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51417,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51417,A000000,04800,0000,04800AMBULANCE 51417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51417,A000000,05000,0000,05000CORF 51417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51417,A000000,05300,0000,05300INTEREST EXPENSE 51417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51417,A000000,05500,0000,05500HOSPICE 51417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51417,A000000,06100,0000,06100NONPAID WORKERS 51417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51417,A000000,06200,0000,06200PATIENTS LAUNDRY 51417,A81000A,00100,0100,Y 51417,A81000B,00100,0300,PROPERTY BUILDING RENT 51417,A81000B,00200,0300,BUILDING DEPRECIATION 51417,A81000B,00300,0300,EQUIPMENT DEPRECIATION 51417,A81000B,00400,0300,BUILDING INTEREST 51417,A81000B,00500,0300,REAL PROPERTY TAXES 51417,A81000B,00600,0300,PERSONAL PROPERTY TAXES 51417,A81000C,00100,0100,D 51417,A81000C,00100,0200,GREG TONACK 51417,A81000C,00100,0400,HEALTH RESOURCES INC. 51417,A81000C,00100,0600,PROPERTY 51417,A81000C,00200,0100,D 51417,A81000C,00200,0200,JEFF TONACK 51417,A81000C,00200,0400,HEALTH RESOURCES INC. 51417,A81000C,00200,0600,PROPERTY 51417,A81000C,00300,0100,A 51417,A81000C,00300,0200,GREG TONACK 51417,A81000C,00300,0400,HEALTH CARE FACILITIES 51417,A81000C,00300,0600,OPERATIONS 51417,A81000C,00400,0100,A 51417,A81000C,00400,0200,JEFF TONACK 51417,A81000C,00400,0400,HEALTH CARE FACILTIES 51417,A81000C,00400,0600,OPERATIONS 51417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51417,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51417,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51417,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51417,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51417,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51417,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51417,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51417,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51417,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51417,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51417,S000000,00100,0200,05/31/2000 51417,S200000,00100,0100,16485 SW PACIFIC HIGHWAY 51417,S200000,00200,0100,TIGARD 51417,S200000,00200,0200,OR 51417,S200000,00200,0300,97224- 51417,S200000,00300,0100,WASHINGTON 51417,S200000,00400,0100,KING CITY REHAB & LIVING CENTER 51417,S200000,00400,0200,385132 51417,S200000,00400,0300,06/01/1976 51417,S200000,00400,0500,P 51417,S200000,01500,0100,Y 51426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51426,A000000,00300,0000,00300EMPLOYEE BENEFITS 51426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51426,A000000,00700,0000,00700HOUSEKEEPING 51426,A000000,00800,0000,00800DIETARY 51426,A000000,00900,0000,00900NURSING ADMINISTRATION 51426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51426,A000000,01100,0000,01100PHARMACY 51426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51426,A000000,01300,0000,01300SOCIAL SERVICE 51426,A000000,01301,0000,01301ACTIVITIES 51426,A000000,01600,0000,01600SKILLED NURSING FACILITY 51426,A000000,01800,0000,01800NURSING FACILITY 51426,A000000,01900,0000,01900OTHER LONG TERM CARE 51426,A000000,02100,0000,02100RADIOLOGY 51426,A000000,02200,0000,02200LABORATORY 51426,A000000,02300,0000,02300INTRAVENOUS THERAPY 51426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51426,A000000,02500,0000,02500PHYSICAL THERAPY 51426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51426,A000000,02700,0000,02700SPEECH PATHOLOGY 51426,A000000,02800,0000,02800ELECTROCARDIOLOGY 51426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51426,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51426,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51426,A000000,03200,0000,03200SUPPORT SURFACES 51426,A000000,03400,0000,03400CLINIC 51426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51426,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51426,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51426,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51426,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51426,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51426,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51426,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51426,A000000,04400,0000,04400DME RENTED - HHA 51426,A000000,04500,0000,04500DME SOLD - HHA 51426,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51426,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51426,A000000,04800,0000,04800AMBULANCE 51426,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51426,A000000,05000,0000,05000CORF 51426,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51426,A000000,05300,0000,05300INTEREST EXPENSE 51426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51426,A000000,05500,0000,05500HOSPICE 51426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51426,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51426,A000000,06100,0000,06100NONPAID WORKERS 51426,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51426,A000000,06200,0000,06200PATIENTS LAUNDRY 51426,A81000A,00100,0100,Y 51426,A81000B,00100,0300,MGMT FEES 51426,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51426,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51426,A81000B,00400,0300,HO ALLOCATION - INTEREST 51426,A81000C,00100,0100,C 51426,A81000C,00100,0400,PRESTIGE CARE 51426,A81000C,00100,0600,HOME OFFICE 51426,A81000C,00200,0100,C 51426,A81000C,00200,0400,PRESTIGE CARE 51426,A81000C,00200,0600,HOME OFFICE 51426,A81000C,00300,0100,C 51426,A81000C,00300,0400,PRESTIGE CARE 51426,A81000C,00300,0600,HOME OFFICE 51426,A81000C,00400,0100,C 51426,A81000C,00400,0400,PRESTIGE CARE 51426,A81000C,00400,0600,HOME OFFICE 51426,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51426,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51426,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51426,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51426,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51426,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51426,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51426,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51426,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51426,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51426,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51426,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51426,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51426,E10A180,00501,0100,04/14/2000 51426,E10A180,00501,0300,04/14/2000 51426,S000000,00100,0200,02/28/2000 51426,S200000,00100,0100,9750 NE GLISAN 51426,S200000,00200,0100,PORTLAND 51426,S200000,00200,0200,OR 51426,S200000,00200,0300,97220- 51426,S200000,00300,0100,MULTNOMAH 51426,S200000,00300,0200,6440 51426,S200000,00300,0300,U 51426,S200000,00400,0100,GLISAN CARE CENTER 51426,S200000,00400,0200,385136 51426,S200000,00400,0300,02/15/1977 51426,S200000,00400,0500,P 51426,S200000,01600,0100,Y 51438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51438,A000000,00300,0000,00300EMPLOYEE BENEFITS 51438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51438,A000000,00700,0000,00700HOUSEKEEPING 51438,A000000,00800,0000,00800DIETARY 51438,A000000,00900,0000,00900NURSING ADMINISTRATION 51438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51438,A000000,01300,0000,01300SOCIAL SERVICE 51438,A000000,01600,0000,01600SKILLED NURSING FACILITY 51438,A000000,01800,0000,01800NURSING FACILITY 51438,A000000,02200,0000,02200LABORATORY 51438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51438,A000000,02500,0000,02500PHYSICAL THERAPY 51438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51438,A000000,02700,0000,02700SPEECH PATHOLOGY 51438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51438,A81000A,00100,0100,Y 51438,A81000B,00100,0300,BUILDING DEPRECIATION 51438,A81000B,00200,0300,EQUIPMENT DEPRECIATION 51438,A81000B,00300,0300,INTEREST EXPENSE 51438,A81000B,00400,0300,RENT EXPENSE 51438,A81000B,00500,0300,HOME OFFICE COSTS 51438,A81000B,00600,0300,HOME OFFICE COSTS 51438,A81000B,00700,0300,HOME OFFICE COSTS 51438,A81000B,00800,0300,INTEREST EXPENSE 51438,A81000B,00900,0300,MOVABLE EQUIP 51438,A81000C,00100,0100,A 51438,A81000C,00100,0200,OGDEN CUMMINGS 51438,A81000C,00100,0400,HC OF CENTRAL O 51438,A81000C,00100,0600,REAL ESTATE 51438,A81000C,00200,0100,A 51438,A81000C,00200,0200,AMORY CUMMINGS 51438,A81000C,00200,0400,HC OF CENTRAL O 51438,A81000C,00200,0600,REAL ESTATE 51438,A81000C,00300,0100,A 51438,A81000C,00300,0200,OGDEN CUMMINGS 51438,A81000C,00300,0400,SUNRIVER LIVING 51438,A81000C,00300,0600,HOME OFFICE 51438,A81000C,00400,0100,A 51438,A81000C,00400,0200,AMORY CUMMINGS 51438,A81000C,00400,0400,SUNRIVER LIVING 51438,A81000C,00400,0600,HOME OFFICE 51438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51438,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51438,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51438,B100000,00000,0800,00000MEALS SERVED :DIETARY 51438,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51438,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51438,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51438,E10A180,00301,0100,01/31/2000 51438,E10A180,00501,0100,07/24/2001 51438,E10A180,00501,0300,07/24/2001 51438,E10A180,00550,0300,07/20/2000 51438,S000000,00100,0200,07/12/2000 51438,S200000,00100,0100,1876 NE HIGHWAY 20 51438,S200000,00200,0100,BEND 51438,S200000,00200,0200,OR 51438,S200000,00200,0300,97701-4898 51438,S200000,00300,0100,DESCHUTES 51438,S200000,00300,0200,0038 51438,S200000,00300,0300,R 51438,S200000,00400,0100,CENTRAL OREGON HEALTH CARE 51438,S200000,00400,0200,385138 51438,S200000,00400,0300,04/04/1978 51438,S200000,00400,0500,P 51438,S200000,01600,0100,Y 51449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51449,A000000,00300,0000,00300EMPLOYEE BENEFITS 51449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51449,A000000,00700,0000,00700HOUSEKEEPING 51449,A000000,00800,0000,00800DIETARY 51449,A000000,00900,0000,00900NURSING ADMINISTRATION 51449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51449,A000000,01300,0000,01300SOCIAL SERVICE 51449,A000000,01600,0000,01600SKILLED NURSING FACILITY 51449,A000000,01800,0000,01800NURSING FACILITY 51449,A000000,02100,0000,02100RADIOLOGY 51449,A000000,02200,0000,02200LABORATORY 51449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51449,A000000,02500,0000,02500PHYSICAL THERAPY 51449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51449,A000000,02700,0000,02700SPEECH PATHOLOGY 51449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51449,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51449,A81000A,00100,0100,Y 51449,A81000B,00100,0300,HOME OFFICE COSTS 51449,A81000B,00200,0300,HOME OFFICE COSTS 51449,A81000B,00300,0300,HOME OFFICE COSTS 51449,A81000B,00400,0300,HOME OFFICE COSTS 51449,A81000C,00100,0100,A 51449,A81000C,00100,0200,WHITE FAMILY 51449,A81000C,00100,0400,GENERATIONS LL 51449,A81000C,00100,0600,HOME OFFICE 51449,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51449,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51449,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51449,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51449,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51449,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51449,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51449,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51449,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51449,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51449,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51449,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51449,E10A180,00550,0300,08/11/2000 51449,S000000,00100,0200,06/02/2000 51449,S200000,00100,0100,6040 SE BELMONT 51449,S200000,00200,0100,PORTLAND 51449,S200000,00200,0200,OR 51449,S200000,00200,0300,97215- 51449,S200000,00300,0100,MULTNOMAH 51449,S200000,00400,0100,ADVENTIST REHAB & EXT CARE 51449,S200000,00400,0200,385141 51449,S200000,00400,0300,10/01/1978 51449,S200000,00400,0500,P 51449,S200000,01600,0100,Y 51457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51457,A000000,00300,0000,00300EMPLOYEE BENEFITS 51457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51457,A000000,00700,0000,00700HOUSEKEEPING 51457,A000000,00800,0000,00800DIETARY 51457,A000000,00900,0000,00900NURSING ADMINISTRATION 51457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51457,A000000,01300,0000,01300SOCIAL SERVICE 51457,A000000,01600,0000,01600SKILLED NURSING FACILITY 51457,A000000,01800,0000,01800NURSING FACILITY 51457,A000000,02200,0000,02200LABORATORY 51457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51457,A000000,02500,0000,02500PHYSICAL THERAPY 51457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51457,A000000,02700,0000,02700SPEECH PATHOLOGY 51457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51457,A81000A,00100,0100,Y 51457,A81000B,00100,0300,BUILDING COSTS 51457,A81000B,00200,0300,HOME OFFCIE COSTS 51457,A81000B,00300,0300,HOME OFFICE COSTS 51457,A81000B,00400,0300,HOME OFFICE INTEREST INCOME 51457,A81000C,00100,0100,A 51457,A81000C,00100,0200,DANNY MAR 51457,A81000C,00100,0400,DANNY MAR 51457,A81000C,00100,0600,REAL ESTATE 51457,A81000C,00200,0100,A 51457,A81000C,00200,0200,DANNY MAR 51457,A81000C,00200,0400,CASCADE HEALTH 51457,A81000C,00200,0600,HOME OFFICE COS 51457,A81000C,00300,0100,A 51457,A81000C,00300,0200,DANNY MAR 51457,A81000C,00300,0400,CASCADE HEALTH 51457,A81000C,00300,0600,HOME OFFICE COS 51457,A81000C,00400,0100,A 51457,A81000C,00400,0200,DANNY MAR 51457,A81000C,00400,0400,CASCADE HEALTH 51457,A81000C,00400,0600,HOME OFFICE COS 51457,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51457,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51457,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51457,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51457,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51457,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51457,B100000,00000,0800,00000MEALS SERVED :DIETARY 51457,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51457,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51457,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51457,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51457,E10A180,00501,0300,07/12/2000 51457,S000000,00100,0200,06/02/2000 51457,S200000,00100,0100,1951 EAST 21ST 51457,S200000,00200,0100,FLORENCE 51457,S200000,00200,0200,OR 51457,S200000,00200,0300,97439- 51457,S200000,00300,0100,LANE 51457,S200000,00300,0200,2400 51457,S200000,00300,0300,U 51457,S200000,00400,0100,SIUSLAW CARE CENTER 51457,S200000,00400,0200,385142 51457,S200000,00400,0300,09/01/1987 51457,S200000,00400,0500,P 51457,S200000,01600,0100,Y 51457,S200000,02200,0100,Y 51466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51466,A000000,00300,0000,00300EMPLOYEE BENEFITS 51466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51466,A000000,00700,0000,00700HOUSEKEEPING 51466,A000000,00800,0000,00800DIETARY 51466,A000000,00900,0000,00900NURSING ADMINISTRATION 51466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51466,A000000,01300,0000,01300SOCIAL SERVICE 51466,A000000,01600,0000,01600SKILLED NURSING FACILITY 51466,A000000,01800,0000,01800NURSING FACILITY 51466,A000000,01810,0000,01801ICF/MR 51466,A000000,01900,0000,01900OTHER LONG TERM CARE 51466,A000000,02100,0000,02100RADIOLOGY 51466,A000000,02200,0000,02200LABORATORY 51466,A000000,02300,0000,02300INTRAVENOUS THERAPY 51466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51466,A000000,02500,0000,02500PHYSICAL THERAPY 51466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51466,A000000,02700,0000,02700SPEECH PATHOLOGY 51466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51466,A000000,03200,0000,03200SUPPORT SURFACES 51466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51466,A81000A,00100,0100,Y 51466,A81000B,00100,0300,MSC-LANDSCAPING 51466,A81000B,00200,0300,MMC-SUPPLIES 51466,A81000B,00300,0300,MMC-RADIOLOGY 51466,A81000B,00400,0300,MMC-LAB 51466,A81000B,00500,0300,TSI-PT 51466,A81000B,00600,0300,TSI-OT 51466,A81000B,00700,0300,MMC-DRUGS 51466,A81000B,00800,0300,CHI-BUILDING 51466,A81000B,00900,0300,CHI-EQUIPMENT 51466,A81000B,01000,0300,CHI-ADMIN/BENEFITS 51466,A81000B,01100,0300,CHI-ADMIN/INSURANCE 51466,A81000C,00100,0100,B 51466,A81000C,00100,0200,CATHOLIC HLTH INITIATIVES 51466,A81000C,00100,0600,HOME OFFICE 51466,A81000C,00200,0100,B 51466,A81000C,00200,0200,MERCY SERVICES CORP 51466,A81000C,00200,0600,LANDSCAPING 51466,A81000C,00300,0100,B 51466,A81000C,00300,0200,MERCY MEDICAL CENTER 51466,A81000C,00300,0600,LAB XRAY RX SUPPLIES 51466,A81000C,00400,0100,B 51466,A81000C,00400,0200,THERAPEUTIC SVCS INC 51466,A81000C,00400,0600,PT OT 51466,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51466,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51466,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51466,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51466,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51466,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51466,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51466,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51466,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51466,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51466,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51466,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51466,S000000,00100,0200,12/04/2000 51466,S200000,00100,0100,525 W UMPQUA STREET 51466,S200000,00200,0100,ROSEBURG 51466,S200000,00200,0200,OR 51466,S200000,00200,0300,97470-0990 51466,S200000,00300,0100,DOUGLAS 51466,S200000,00400,0100,MERCY CARE CENTER 51466,S200000,00400,0200,385143 51466,S200000,00400,0300,03/01/1985 51466,S200000,00400,0500,P 51466,S200000,01600,0100,Y 51466,S700003,00000,0200,2 51493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51493,A000000,00300,0000,00300EMPLOYEE BENEFITS 51493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51493,A000000,00700,0000,00700HOUSEKEEPING 51493,A000000,00800,0000,00800DIETARY 51493,A000000,00900,0000,00900NURSING ADMINISTRATION 51493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51493,A000000,01300,0000,01300SOCIAL SERVICE 51493,A000000,01350,0000,01500OTHER GENERAL SERVICES 51493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51493,A000000,01600,0000,01600SKILLED NURSING FACILITY 51493,A000000,01800,0000,01800NURSING FACILITY 51493,A000000,01810,0000,01810ICF/MR 51493,A000000,01900,0000,01900OTHER LONG TERM CARE 51493,A000000,02100,0000,02100RADIOLOGY 51493,A000000,02200,0000,02200LABORATORY 51493,A000000,02300,0000,02300INTRAVENOUS THERAPY 51493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51493,A000000,02500,0000,02500PHYSICAL THERAPY 51493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51493,A000000,02700,0000,02700SPEECH PATHOLOGY 51493,A000000,02800,0000,02800ELECTROCARDIOLOGY 51493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51493,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51493,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51493,A000000,03200,0000,03200SUPPORT SURFACES 51493,A000000,03400,0000,03400CLINIC 51493,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51493,A000000,03500,0000,03500RURAL HEALTH CLINIC 51493,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51493,A000000,04800,0000,04800AMBULANCE 51493,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51493,A000000,05000,0000,05000CORF 51493,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51493,A000000,05300,0000,05300INTEREST EXPENSE 51493,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51493,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51493,A000000,05500,0000,05500HOSPICE 51493,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51493,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51493,A000000,06100,0000,06100NONPAID WORKERS 51493,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51493,A000000,06200,0000,06200PATIENTS LAUNDRY 51493,A81000A,00100,0100,Y 51493,A81000B,00100,0300,BUILDING RENTAL 51493,A81000B,00200,0300,DEPRECIATION 51493,A81000B,00300,0300,PROPERTY TAX 51493,A81000C,00100,0100,B 51493,A81000C,00100,0200,OLEN AND MARY NATIONS 51493,A81000C,00100,0400,OLEN AND MARY NATIONS 51493,A81000C,00100,0600,LESSOR OF REAL PROPERTY 51493,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51493,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51493,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51493,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51493,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51493,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51493,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51493,B100000,00000,0800,00000MEALS SERVED :DIETARY 51493,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51493,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51493,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51493,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51493,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51493,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51493,E10A180,00501,0100,07/26/2000 51493,E10A180,00501,0300,07/26/2000 51493,S000000,00100,0200,06/05/2000 51493,S200000,00100,0100,2075 NW HIGHLAND 51493,S200000,00200,0100,GRANTS PASS 51493,S200000,00200,0200,OR 51493,S200000,00200,0300,97426- 51493,S200000,00300,0100,JOSEPHINE 51493,S200000,00400,0100,ROYALE GARDENS HEALTH CARE FACILITY 51493,S200000,00400,0200,385148 51493,S200000,00400,0300,07/01/1981 51493,S200000,00400,0500,P 51493,S200000,01600,0100,Y 51513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51513,A000000,00300,0000,00300EMPLOYEE BENEFITS 51513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51513,A000000,00700,0000,00700HOUSEKEEPING 51513,A000000,00800,0000,00800DIETARY 51513,A000000,00900,0000,00900NURSING ADMINISTRATION 51513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51513,A000000,01100,0000,01100PHARMACY 51513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51513,A000000,01300,0000,01300SOCIAL SERVICE 51513,A000000,01301,0000,01301ACTIVITIES 51513,A000000,01600,0000,01600SKILLED NURSING FACILITY 51513,A000000,01800,0000,01800NURSING FACILITY 51513,A000000,01900,0000,01900OTHER LONG TERM CARE 51513,A000000,02100,0000,02100RADIOLOGY 51513,A000000,02200,0000,02200LABORATORY 51513,A000000,02300,0000,02300INTRAVENOUS THERAPY 51513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51513,A000000,02500,0000,02500PHYSICAL THERAPY 51513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51513,A000000,02700,0000,02700SPEECH PATHOLOGY 51513,A000000,02800,0000,02800ELECTROCARDIOLOGY 51513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51513,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51513,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51513,A000000,03200,0000,03200SUPPORT SURFACES 51513,A000000,03400,0000,03400CLINIC 51513,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51513,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51513,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51513,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51513,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51513,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51513,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51513,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51513,A000000,04400,0000,04400DME RENTED - HHA 51513,A000000,04500,0000,04500DME SOLD - HHA 51513,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51513,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51513,A000000,04800,0000,04800AMBULANCE 51513,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51513,A000000,05000,0000,05000CORF 51513,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51513,A000000,05300,0000,05300INTEREST EXPENSE 51513,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51513,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51513,A000000,05500,0000,05500HOSPICE 51513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51513,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51513,A000000,06100,0000,06100NONPAID WORKERS 51513,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51513,A000000,06200,0000,06200PATIENTS LAUNDRY 51513,A81000A,00100,0100,Y 51513,A81000B,00100,0300,MGMT FEES 51513,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51513,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51513,A81000B,00400,0300,HO ALLOCATION - INTEREST 51513,A81000C,00100,0100,C 51513,A81000C,00100,0400,PRESTIGE CARE 51513,A81000C,00100,0600,HOME OFFICE 51513,A81000C,00200,0100,C 51513,A81000C,00200,0400,PRESTIGE CARE 51513,A81000C,00200,0600,HOME OFFICE 51513,A81000C,00300,0100,C 51513,A81000C,00300,0400,PRESTIGE CARE 51513,A81000C,00300,0600,HOME OFFICE 51513,A81000C,00400,0100,C 51513,A81000C,00400,0400,PRESTIGE CARE 51513,A81000C,00400,0600,HOME OFFICE 51513,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51513,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51513,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51513,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51513,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51513,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51513,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51513,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51513,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51513,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51513,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51513,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51513,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51513,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51513,E10A180,00501,0100,04/14/2000 51513,E10A180,00501,0300,04/14/2000 51513,S000000,00100,0200,02/28/2000 51513,S200000,00100,0100,301 RIDINGS AVENUE 51513,S200000,00200,0100,MOLALLA 51513,S200000,00200,0200,OR 51513,S200000,00200,0300,97038- 51513,S200000,00300,0100,CLACKAMAS 51513,S200000,00300,0200,6440 51513,S200000,00300,0300,U 51513,S200000,00400,0100,MOLALLA MANOR CARE CENTER 51513,S200000,00400,0200,385150 51513,S200000,00400,0300,09/20/1981 51513,S200000,00400,0500,P 51513,S200000,01600,0100,Y 51522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51522,A000000,00300,0000,00300EMPLOYEE BENEFITS 51522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51522,A000000,00700,0000,00700HOUSEKEEPING 51522,A000000,00800,0000,00800DIETARY 51522,A000000,00900,0000,00900NURSING ADMINISTRATION 51522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51522,A000000,01300,0000,01300SOCIAL SERVICE 51522,A000000,01600,0000,01600SKILLED NURSING FACILITY 51522,A000000,01800,0000,01800NURSING FACILITY 51522,A000000,02100,0000,02100RADIOLOGY 51522,A000000,02200,0000,02200LABORATORY 51522,A000000,02300,0000,02300INTRAVENOUS THERAPY 51522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51522,A000000,02500,0000,02500PHYSICAL THERAPY 51522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51522,A000000,02700,0000,02700SPEECH PATHOLOGY 51522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51522,A000000,03200,0000,03200SUPPORT SURFACES 51522,A000000,04800,0000,04800AMBULANCE 51522,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51522,A000000,05300,0000,05300INTEREST EXPENSE 51522,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51522,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51522,A000000,05500,0000,05500HOSPICE 51522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51522,A000000,06100,0000,06100NONPAID WORKERS 51522,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51522,A000000,06200,0000,06200PATIENTS LAUNDRY 51522,A81000A,00100,0100,Y 51522,A81000B,00100,0300,LEASE EXPENSE 51522,A81000B,00200,0300,DEPRECIATION 51522,A81000B,00300,0300,INTEREST 51522,A81000B,00400,0300,OTHER PROPERTY 51522,A81000B,00500,0300,PHYSICAL THERAPY 51522,A81000B,00600,0300,OCCUPATIONAL THERAPY 51522,A81000B,00700,0300,SPEECH THERAPY 51522,A81000B,00800,0300,MANAGEMENT FEES 51522,A81000B,00900,0300,ALLOWABLE H.O. COSTS 51522,A81000B,01000,0300,CAPITAL - BUILDING 51522,A81000B,01100,0300,CAPITAL - EQUIPMENT 51522,A81000C,00100,0100,A 51522,A81000C,00100,0200,DARRYL FISHER 51522,A81000C,00100,0400,PINNACLE HEALTH CARE 51522,A81000C,00100,0600,ACCTG MGMT & THERAPY 51522,A81000C,00200,0100,A 51522,A81000C,00200,0200,MERLIN HART 51522,A81000C,00200,0400,PINNACLE HEALTH CARE 51522,A81000C,00200,0600,ACCTG MGMT & THERAPY 51522,A81000C,00300,0100,A 51522,A81000C,00300,0200,MARK GARBER 51522,A81000C,00300,0400,PINNACLE HEALTH CARE 51522,A81000C,00300,0600,ACCTG MGMT & THERAPY 51522,A81000C,00400,0100,A 51522,A81000C,00400,0200,DARRYL FISHER 51522,A81000C,00400,0400,ROSE HAVEN LLC 51522,A81000C,00400,0600,OWNER OF REAL PROPERTY 51522,A81000C,00500,0100,A 51522,A81000C,00500,0200,MERLIN HART 51522,A81000C,00500,0400,ROSE HAVEN LLC 51522,A81000C,00500,0600,OWNER OF REAL PROPERTY 51522,A81000C,00600,0100,A 51522,A81000C,00600,0200,MARK GARBER 51522,A81000C,00600,0400,ROSE HAVEN LLC 51522,A81000C,00600,0600,OWNER OF REAL PROPERTY 51522,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51522,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51522,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51522,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51522,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51522,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51522,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51522,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51522,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51522,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51522,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51522,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51522,E10A180,00501,0100,07/26/2000 51522,E10A180,00550,0300,07/26/2000 51522,S000000,00100,0200,06/01/2000 51522,S200000,00100,0100,740 N.W. HILL PLACE 51522,S200000,00200,0100,ROSEBURG 51522,S200000,00200,0200,OR 51522,S200000,00200,0300,97470- 51522,S200000,00300,0100,UMPQUA 51522,S200000,00400,0100,ROSE HAVEN NURSING CENTER 51522,S200000,00400,0200,385151 51522,S200000,00400,0300,05/12/1982 51522,S200000,00400,0500,P 51522,S200000,01600,0100,Y 51531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51531,A000000,00300,0000,00300EMPLOYEE BENEFITS 51531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51531,A000000,00700,0000,00700HOUSEKEEPING 51531,A000000,00800,0000,00800DIETARY 51531,A000000,00900,0000,00900NURSING ADMINISTRATION 51531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51531,A000000,01100,0000,01100PHARMACY 51531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51531,A000000,01300,0000,01300SOCIAL SERVICE 51531,A000000,01301,0000,01301ACTIVITIES 51531,A000000,01600,0000,01600SKILLED NURSING FACILITY 51531,A000000,01800,0000,01800NURSING FACILITY 51531,A000000,01900,0000,01900OTHER LONG TERM CARE 51531,A000000,02100,0000,02100RADIOLOGY 51531,A000000,02200,0000,02200LABORATORY 51531,A000000,02300,0000,02300INTRAVENOUS THERAPY 51531,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51531,A000000,02500,0000,02500PHYSICAL THERAPY 51531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51531,A000000,02700,0000,02700SPEECH PATHOLOGY 51531,A000000,02800,0000,02800ELECTROCARDIOLOGY 51531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51531,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51531,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51531,A000000,03200,0000,03200SUPPORT SURFACES 51531,A000000,03400,0000,03400CLINIC 51531,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51531,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51531,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51531,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51531,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51531,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51531,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51531,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51531,A000000,04400,0000,04400DME RENTED - HHA 51531,A000000,04500,0000,04500DME SOLD - HHA 51531,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51531,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51531,A000000,04800,0000,04800AMBULANCE 51531,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51531,A000000,05000,0000,05000CORF 51531,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51531,A000000,05300,0000,05300INTEREST EXPENSE 51531,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51531,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51531,A000000,05500,0000,05500HOSPICE 51531,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51531,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51531,A000000,06100,0000,06100NONPAID WORKERS 51531,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51531,A000000,06200,0000,06200PATIENTS LAUNDRY 51531,A81000A,00100,0100,Y 51531,A81000B,00100,0300,MGMT FEES 51531,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51531,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51531,A81000B,00400,0300,HO ALLOCATION - INTEREST 51531,A81000C,00100,0100,C 51531,A81000C,00100,0400,PRESTIGE CARE 51531,A81000C,00100,0600,HOME OFFICE 51531,A81000C,00200,0100,C 51531,A81000C,00200,0400,PRESTIGE CARE 51531,A81000C,00200,0600,HOME OFFICE 51531,A81000C,00300,0100,C 51531,A81000C,00300,0400,PRESTIGE CARE 51531,A81000C,00300,0600,HOME OFFICE 51531,A81000C,00400,0100,C 51531,A81000C,00400,0400,PRESTIGE CARE 51531,A81000C,00400,0600,HOME OFFICE 51531,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51531,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51531,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51531,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51531,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51531,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51531,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51531,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51531,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51531,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51531,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51531,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51531,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51531,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51531,E10A180,00501,0100,04/17/2000 51531,E10A180,00501,0300,04/17/2000 51531,S000000,00100,0200,02/28/2000 51531,S200000,00100,0100,515 GRANT STREET 51531,S200000,00200,0100,COTTAGE GROVE 51531,S200000,00200,0200,OR 51531,S200000,00200,0300,97424- 51531,S200000,00300,0100,LANE 51531,S200000,00300,0200,2400 51531,S200000,00300,0300,U 51531,S200000,00400,0100,COAST FORK NURSING CENTER 51531,S200000,00400,0200,385152 51531,S200000,00400,0300,06/22/1982 51531,S200000,00400,0500,P 51531,S200000,01600,0100,Y 51544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51544,A000000,00300,0000,00300EMPLOYEE BENEFITS 51544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51544,A000000,00700,0000,00700HOUSEKEEPING 51544,A000000,00800,0000,00800DIETARY 51544,A000000,00900,0000,00900NURSING ADMINISTRATION 51544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51544,A000000,01100,0000,01100PHARMACY 51544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51544,A000000,01300,0000,01300SOCIAL SERVICE 51544,A000000,01301,0000,01301ACTIVITIES 51544,A000000,01600,0000,01600SKILLED NURSING FACILITY 51544,A000000,01800,0000,01800NURSING FACILITY 51544,A000000,01900,0000,01900OTHER LONG TERM CARE 51544,A000000,02100,0000,02100RADIOLOGY 51544,A000000,02200,0000,02200LABORATORY 51544,A000000,02300,0000,02300INTRAVENOUS THERAPY 51544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51544,A000000,02500,0000,02500PHYSICAL THERAPY 51544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51544,A000000,02700,0000,02700SPEECH PATHOLOGY 51544,A000000,02800,0000,02800ELECTROCARDIOLOGY 51544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51544,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51544,A000000,03200,0000,03200SUPPORT SURFACES 51544,A000000,03400,0000,03400CLINIC 51544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51544,A000000,04400,0000,04400DME RENTED - HHA 51544,A000000,04500,0000,04500DME SOLD - HHA 51544,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51544,A000000,04800,0000,04800AMBULANCE 51544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51544,A000000,05000,0000,05000CORF 51544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51544,A000000,05300,0000,05300INTEREST EXPENSE 51544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51544,A000000,05500,0000,05500HOSPICE 51544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51544,A000000,06100,0000,06100NONPAID WORKERS 51544,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51544,A000000,06200,0000,06200PATIENTS LAUNDRY 51544,A81000A,00100,0100,Y 51544,A81000B,00100,0300,MGMT FEES 51544,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51544,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51544,A81000B,00400,0300,HO ALLOCATION - INTEREST 51544,A81000C,00100,0100,C 51544,A81000C,00100,0400,PRESTIGE CARE 51544,A81000C,00100,0600,HOME OFFICE 51544,A81000C,00200,0100,C 51544,A81000C,00200,0400,PRESTIGE CARE 51544,A81000C,00200,0600,HOME OFFICE 51544,A81000C,00300,0100,C 51544,A81000C,00300,0400,PRESTIGE CARE 51544,A81000C,00300,0600,HOME OFFICE 51544,A81000C,00400,0100,C 51544,A81000C,00400,0400,PRESTIGE CARE 51544,A81000C,00400,0600,HOME OFFICE 51544,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51544,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51544,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51544,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51544,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51544,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51544,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51544,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51544,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51544,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51544,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51544,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51544,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51544,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51544,E10A180,00501,0100,04/17/2000 51544,E10A180,00501,0300,04/17/2000 51544,S000000,00100,0200,02/28/2000 51544,S200000,00100,0100,3900 PACIFIC AVENUE 51544,S200000,00200,0100,FOREST GROVE 51544,S200000,00200,0200,OR 51544,S200000,00200,0300,97116- 51544,S200000,00300,0100,WASHINGTON 51544,S200000,00300,0200,6440 51544,S200000,00300,0300,U 51544,S200000,00400,0100,CAMELOT CARE CENTER 51544,S200000,00400,0200,385155 51544,S200000,00400,0300,12/01/1990 51544,S200000,00400,0500,P 51544,S200000,01600,0100,Y 51552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51552,A000000,00300,0000,00300EMPLOYEE BENEFITS 51552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51552,A000000,00700,0000,00700HOUSEKEEPING 51552,A000000,00800,0000,00800DIETARY 51552,A000000,00900,0000,00900NURSING ADMINISTRATION 51552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51552,A000000,01300,0000,01300SOCIAL SERVICE 51552,A000000,01350,0000,01500ACTIVITIES 51552,A000000,01600,0000,01600SKILLED NURSING FACILITY 51552,A000000,01800,0000,01800NURSING FACILITY 51552,A000000,02100,0000,02100RADIOLOGY 51552,A000000,02200,0000,02200LABORATORY 51552,A000000,02300,0000,02300INTRAVENOUS THERAPY 51552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51552,A000000,02500,0000,02500PHYSICAL THERAPY 51552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51552,A000000,02700,0000,02700SPEECH PATHOLOGY 51552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51552,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51552,A000000,03200,0000,03200SUPPORT SURFACES 51552,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51552,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51552,A000000,06200,0000,06200PATIENTS LAUNDRY 51552,A81000A,00100,0100,Y 51552,A81000B,00100,0300,LEASE EXPENSE 51552,A81000B,00200,0300,DEPRECIATION 51552,A81000B,00300,0300,INTEREST 51552,A81000B,00400,0300,OTHER PROPERTY 51552,A81000B,00500,0300,PHYSICAL THERAPY 51552,A81000B,00600,0300,OCCUPATIONAL THERAPY 51552,A81000B,00700,0300,SPEECH THERAPY 51552,A81000B,00800,0300,MANAGEMENT FEES 51552,A81000B,00900,0300,ALLOWABLE H.O. COSTS 51552,A81000B,01000,0300,CAPITAL - BUILDING 51552,A81000B,01100,0300,CAPITAL - EQUIPMENT 51552,A81000C,00100,0100,A 51552,A81000C,00100,0200,DARRYL FISHER 51552,A81000C,00100,0400,PINNACLE HEALTH CARE 51552,A81000C,00100,0600,ACCTG MGMT & THERAPY 51552,A81000C,00200,0100,A 51552,A81000C,00200,0200,MERLIN HART 51552,A81000C,00200,0400,PINNACLE HEALTH CARE 51552,A81000C,00200,0600,ACCTG MGMT & THERAPY 51552,A81000C,00300,0100,A 51552,A81000C,00300,0200,MARK GARBER 51552,A81000C,00300,0400,PINNACLE HEALTH CARE 51552,A81000C,00300,0600,ACCTG MGMT & THERAPY 51552,A81000C,00400,0100,A 51552,A81000C,00400,0200,DARRYL FISHER 51552,A81000C,00400,0400,GREEN VALLEY LLC 51552,A81000C,00400,0600,OWNER OF REAL PROPERTY 51552,A81000C,00500,0100,A 51552,A81000C,00500,0200,MERLIN HART 51552,A81000C,00500,0400,GREEN VALLEY LLC 51552,A81000C,00500,0600,OWNER OF REAL PROPERTY 51552,A81000C,00600,0100,A 51552,A81000C,00600,0200,MARK GARBER 51552,A81000C,00600,0400,GREEN VALLEY LLC 51552,A81000C,00600,0600,OWNER OF REAL PROPERTY 51552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51552,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51552,B100000,00000,0800,00000MEALS SERVED :DIETARY 51552,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51552,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51552,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51552,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51552,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51552,E10A180,00501,0100,07/26/2000 51552,E10A180,00501,0300,06/01/2000 51552,E10A180,00550,0100,06/01/2000 51552,E10A180,00550,0300,07/26/2000 51552,S000000,00100,0200,06/01/2000 51552,S200000,00100,0100,1735 ADKINS 51552,S200000,00200,0100,EUGENE 51552,S200000,00200,0200,OR 51552,S200000,00200,0300,97401- 51552,S200000,00300,0100,LANE 51552,S200000,00400,0100,GREEN VALLEY REHAB & HLTH 51552,S200000,00400,0200,385156 51552,S200000,00400,0300,03/01/1994 51552,S200000,00400,0500,P 51552,S200000,01600,0100,Y 51560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51560,A000000,00300,0000,00300EMPLOYEE BENEFITS 51560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51560,A000000,00700,0000,00700HOUSEKEEPING 51560,A000000,00800,0000,00800DIETARY 51560,A000000,00900,0000,00900NURSING ADMINISTRATION 51560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51560,A000000,01300,0000,01300SOCIAL SERVICE 51560,A000000,01600,0000,01600SKILLED NURSING FACILITY 51560,A000000,01800,0000,01800NURSING FACILITY 51560,A000000,02200,0000,02200LABORATORY 51560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51560,A000000,02500,0000,02500PHYSICAL THERAPY 51560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51560,A000000,02700,0000,02700SPEECH PATHOLOGY 51560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51560,A000000,06150,0000,06300STANDBY COSTS 51560,A81000A,00100,0100,Y 51560,A81000B,00100,0300,BUILDING COSTS 51560,A81000B,00200,0300,HOME OFFICE COSTS 51560,A81000B,00300,0300,HOME OFFICE COSTS 51560,A81000B,00400,0300,HOME OFFICE INTEREST INCOME 51560,A81000C,00100,0100,A 51560,A81000C,00100,0200,DANNY MAR 51560,A81000C,00100,0400,DANNY MAR 51560,A81000C,00100,0600,REAL ESTATE 51560,A81000C,00200,0100,A 51560,A81000C,00200,0200,DANNY MAR 51560,A81000C,00200,0400,CASCADE HEALTH 51560,A81000C,00200,0600,HOME OFFICE 51560,A81000C,00300,0100,A 51560,A81000C,00300,0200,DANNY MAR 51560,A81000C,00300,0400,CASCADE HEALTH 51560,A81000C,00300,0600,HOME OFFICE 51560,A81000C,00400,0100,A 51560,A81000C,00400,0200,DANNY MAR 51560,A81000C,00400,0400,CASCADE HEALTH 51560,A81000C,00400,0600,HOME OFFICE 51560,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51560,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51560,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51560,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51560,B100000,00000,0800,00000MEALS SERVED :DIETARY 51560,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51560,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51560,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51560,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51560,E10A180,00501,0300,07/12/2000 51560,S000000,00100,0200,06/02/2000 51560,S200000,00100,0100,2500 NIELSEN ROAD 51560,S200000,00200,0100,TILLAMOOK 51560,S200000,00200,0200,OR 51560,S200000,00200,0300,97141- 51560,S200000,00300,0100,TILLAMOOK 51560,S200000,00400,0100,TILLAMOOK CARE CENTER 51560,S200000,00400,0200,385159 51560,S200000,00400,0300,06/13/1990 51560,S200000,00400,0500,P 51560,S200000,01600,0100,Y 51560,S200000,02200,0100,Y 51569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51569,A000000,00300,0000,00300EMPLOYEE BENEFITS 51569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51569,A000000,00700,0000,00700HOUSEKEEPING 51569,A000000,00800,0000,00800DIETARY 51569,A000000,00900,0000,00900NURSING ADMINISTRATION 51569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51569,A000000,01300,0000,01300SOCIAL SERVICE 51569,A000000,01600,0000,01600SKILLED NURSING FACILITY 51569,A000000,01800,0000,01800NURSING FACILITY 51569,A000000,01900,0000,01900OTHER LONG TERM CARE 51569,A000000,02100,0000,02100RADIOLOGY 51569,A000000,02200,0000,02200LABORATORY 51569,A000000,02300,0000,02300INTRAVENOUS THERAPY 51569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51569,A000000,02500,0000,02500PHYSICAL THERAPY 51569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51569,A000000,02700,0000,02700SPEECH PATHOLOGY 51569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51569,A000000,03200,0000,03200SUPPORT SURFACES 51569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51569,A000000,05300,0000,05300INTEREST EXPENSE 51569,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51569,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51569,A000000,06200,0000,06200PATIENTS LAUNDRY 51569,A81000A,00100,0100,Y 51569,A81000B,00100,0300,A & G 51569,A81000B,00200,0300,PT 51569,A81000B,00300,0300,OT 51569,A81000B,00400,0300,ST 51569,A81000C,00100,0100,D 51569,A81000C,00100,0200,ANDY MARTINI 51569,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51569,A81000C,00100,0600,MANAGEMENT SERVICE 51569,A81000C,00200,0100,B 51569,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 51569,A81000C,00200,0400,EVERGREEN ANCILLARY 51569,A81000C,00200,0600,THERAPY SERVICE 51569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51569,B100000,00000,0800,00000MEALS SERVED :DIETARY 51569,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51569,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51569,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51569,S000000,00100,0200,06/02/2000 51569,S200000,00100,0100,120 ELZORA STREET 51569,S200000,00200,0100,MILTON-FREEWATER 51569,S200000,00200,0200,WA 51569,S200000,00200,0300,97862- 51569,S200000,00300,0100,UMATILLA 51569,S200000,00400,0100,EVERGREEN MILTON-FREEWATER H&R CTR 51569,S200000,00400,0200,385161 51569,S200000,00400,0300,01/20/1984 51569,S200000,00400,0500,P 51569,S200000,01600,0100,Y 51579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51579,A000000,00300,0000,00300EMPLOYEE BENEFITS 51579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51579,A000000,00700,0000,00700HOUSEKEEPING 51579,A000000,00800,0000,00800DIETARY 51579,A000000,00900,0000,00900NURSING ADMINISTRATION 51579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51579,A000000,01100,0000,01100PHARMACY 51579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51579,A000000,01300,0000,01300SOCIAL SERVICE 51579,A000000,01350,0000,01500OTHER GENERAL SERVICES 51579,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51579,A000000,01600,0000,01600SKILLED NURSING FACILITY 51579,A000000,01800,0000,01800NURSING FACILITY 51579,A000000,01810,0000,01810ICF/MR 51579,A000000,01900,0000,01900OTHER LONG TERM CARE 51579,A000000,02100,0000,02100RADIOLOGY 51579,A000000,02200,0000,02200LABORATORY 51579,A000000,02300,0000,02300INTRAVENOUS THERAPY 51579,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51579,A000000,02500,0000,02500PHYSICAL THERAPY 51579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51579,A000000,02700,0000,02700SPEECH PATHOLOGY 51579,A000000,02800,0000,02800ELECTROCARDIOLOGY 51579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51579,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51579,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51579,A000000,03200,0000,03200SUPPORT SURFACES 51579,A000000,03400,0000,03400CLINIC 51579,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51579,A000000,03500,0000,03500RURAL HEALTH CLINIC 51579,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51579,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51579,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51579,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51579,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51579,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51579,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51579,A000000,04400,0000,04400DME RENTED - HHA 51579,A000000,04500,0000,04500DME SOLD - HHA 51579,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51579,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51579,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51579,A000000,04800,0000,04800AMBULANCE 51579,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51579,A000000,05000,0000,05000CORF 51579,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51579,A000000,05300,0000,05300INTEREST EXPENSE 51579,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51579,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51579,A000000,05500,0000,05500HOSPICE 51579,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51579,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51579,A000000,06100,0000,06100NONPAID WORKERS 51579,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51579,A000000,06200,0000,06200PATIENTS LAUNDRY 51579,A81000A,00100,0100,Y 51579,A81000B,00100,0300,MANAGEMENT FEES 51579,A81000B,00200,0300,AREA FINANCE MANAGER 51579,A81000B,00300,0300,CONSULTANT HOME OFFICE 51579,A81000B,00400,0300,CONSULTANT HOME OFFICE 51579,A81000B,00500,0300,CONSULTANT HOME OFFICE 51579,A81000B,00600,0300,HOME OFFICE FIXTURE CAPITAL 51579,A81000B,00700,0300,OLD MOVABLE CAPITAL 51579,A81000B,00800,0300,HOME OFFICE INTEREST 51579,A81000C,00100,0100,A 51579,A81000C,00100,0200,RICK MILLER 51579,A81000C,00100,0400,AVAMERE 51579,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 51579,A81000C,00200,0100,A 51579,A81000C,00200,0200,RICK DILLON 51579,A81000C,00200,0400,AVAMERE 51579,A81000C,00200,0600,MANAGEMENT & ACCOUNTING 51579,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51579,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51579,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51579,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51579,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51579,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51579,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51579,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51579,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51579,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51579,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51579,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51579,E10A180,00501,0300,07/26/2000 51579,S000000,00100,0200,05/31/2000 51579,S200000,00100,0100,835 SW 11TH AVE 51579,S200000,00200,0100,NEWPORT 51579,S200000,00200,0200,OR 51579,S200000,00200,0300,97365- 51579,S200000,00300,0100,LINCOLN 51579,S200000,00300,0200,38 51579,S200000,00300,0300,R 51579,S200000,00400,0100,NEWPORT REHAB & SPECIALITY CARE 51579,S200000,00400,0200,385162 51579,S200000,00400,0300,05/03/1984 51579,S200000,00400,0500,P 51579,S200000,01500,0100,Y 51595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51595,A000000,00300,0000,00300EMPLOYEE BENEFITS 51595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51595,A000000,00700,0000,00700HOUSEKEEPING 51595,A000000,00800,0000,00800DIETARY 51595,A000000,00900,0000,00900NURSING ADMINISTRATION 51595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51595,A000000,01300,0000,01300SOCIAL SERVICE 51595,A000000,01350,0000,01500OTHER GENERAL SERVICES 51595,A000000,01600,0000,01600SKILLED NURSING FACILITY 51595,A000000,01800,0000,01800NURSING FACILITY 51595,A000000,01810,0000,01810ICF/MR 51595,A000000,01900,0000,01900OTHER LONG TERM CARE 51595,A000000,02100,0000,02100RADIOLOGY 51595,A000000,02200,0000,02200LABORATORY 51595,A000000,02300,0000,02300INTRAVENOUS THERAPY 51595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51595,A000000,02500,0000,02500PHYSICAL THERAPY 51595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51595,A000000,02700,0000,02700SPEECH PATHOLOGY 51595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51595,A000000,03050,0000,03300AMBULANCE 51595,A000000,03200,0000,03200SUPPORT SURFACES 51595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51595,A000000,04800,0000,04800AMBULANCE 51595,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51595,A000000,05300,0000,05300INTEREST EXPENSE 51595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51595,A000000,05500,0000,05500HOSPICE 51595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51595,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51595,A000000,06100,0000,06100NONPAID WORKERS 51595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51595,A000000,06200,0000,06200PATIENTS LAUNDRY 51595,A81000A,00100,0100,Y 51595,A81000B,00100,0300,LEASE EXPENSE 51595,A81000B,00200,0300,DEPRECIATION 51595,A81000B,00300,0300,INTEREST 51595,A81000B,00400,0300,OTHER PROPERTY 51595,A81000B,00500,0300,PHYSICAL THERAPY 51595,A81000B,00600,0300,OCCUPATIONAL THERAPY 51595,A81000B,00700,0300,SPEECH THERAPY 51595,A81000B,00800,0300,MANAGEMENT FEES 51595,A81000B,00900,0300,ALLOWABLE H.O. COSTS 51595,A81000B,01000,0300,CAPITAL - BUILDING 51595,A81000B,01100,0300,CAPITAL - EQUIPMENT 51595,A81000C,00100,0100,A 51595,A81000C,00100,0200,DARRYL FISHER 51595,A81000C,00100,0400,PINNACLE HEALTH CARE 51595,A81000C,00100,0600,ACCTG MGMT & THERAPY 51595,A81000C,00200,0100,A 51595,A81000C,00200,0200,MERLIN HART 51595,A81000C,00200,0400,PINNACLE HEALTH CARE 51595,A81000C,00200,0600,ACCTG. MGMT & THERAPY 51595,A81000C,00300,0100,A 51595,A81000C,00300,0200,MARK GARBER 51595,A81000C,00300,0400,PINNACLE HEALTH CARE 51595,A81000C,00300,0600,ACCTG MGMT & THERAPY 51595,A81000C,00400,0100,A 51595,A81000C,00400,0200,DARRYL FISHER 51595,A81000C,00400,0400,SOUTH HILLS LLC 51595,A81000C,00400,0600,OWNER OF REAL PROPERTY 51595,A81000C,00500,0100,A 51595,A81000C,00500,0200,MERLIN HART 51595,A81000C,00500,0400,SOUTH HILLS LLC 51595,A81000C,00500,0600,OWNER OF REAL PROPERTY 51595,A81000C,00600,0100,A 51595,A81000C,00600,0200,MARK GARBER 51595,A81000C,00600,0400,SOUTH HILLS LLC 51595,A81000C,00600,0600,OWNER OF REAL PROPERTY 51595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51595,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51595,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51595,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51595,B100000,00000,0800,00000MEALS SERVED :DIETARY 51595,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51595,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51595,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51595,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51595,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51595,E10A180,00550,0300,07/26/2000 51595,S000000,00100,0200,06/02/2000 51595,S200000,00100,0100,1166 EAST 28TH 51595,S200000,00200,0100,EUGENE 51595,S200000,00200,0200,OR 51595,S200000,00200,0300,97405- 51595,S200000,00300,0100,LANE 51595,S200000,00400,0100,SOUTH HILLS CARE CENTER 51595,S200000,00400,0200,385167 51595,S200000,00400,0300,03/01/1969 51595,S200000,00400,0500,P 51595,S200000,01500,0100,Y 51605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51605,A000000,00300,0000,00300EMPLOYEE BENEFITS 51605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51605,A000000,00700,0000,00700HOUSEKEEPING 51605,A000000,00800,0000,00800DIETARY 51605,A000000,00900,0000,00900NURSING ADMINISTRATION 51605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51605,A000000,01100,0000,01100PHARMACY 51605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51605,A000000,01300,0000,01300SOCIAL SERVICE 51605,A000000,01350,0000,01500OTHER GENERAL SERVICES 51605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51605,A000000,01600,0000,01600SKILLED NURSING FACILITY 51605,A000000,01800,0000,01800NURSING FACILITY 51605,A000000,01810,0000,01810ICF/MR 51605,A000000,01900,0000,01900OTHER LONG TERM CARE 51605,A000000,02100,0000,02100RADIOLOGY 51605,A000000,02200,0000,02200LABORATORY 51605,A000000,02300,0000,02300INTRAVENOUS THERAPY 51605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51605,A000000,02500,0000,02500PHYSICAL THERAPY 51605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51605,A000000,02700,0000,02700SPEECH PATHOLOGY 51605,A000000,02800,0000,02800ELECTROCARDIOLOGY 51605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51605,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51605,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51605,A000000,03200,0000,03200SUPPORT SURFACES 51605,A000000,03400,0000,03400CLINIC 51605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51605,A000000,03500,0000,03500RURAL HEALTH CLINIC 51605,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51605,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51605,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51605,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51605,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51605,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51605,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51605,A000000,04400,0000,04400DME RENTED - HHA 51605,A000000,04500,0000,04500DME SOLD - HHA 51605,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51605,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51605,A000000,04800,0000,04800AMBULANCE 51605,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51605,A000000,05000,0000,05000CORF 51605,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51605,A000000,05300,0000,05300INTEREST EXPENSE 51605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51605,A000000,05500,0000,05500HOSPICE 51605,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51605,A000000,06100,0000,06100NONPAID WORKERS 51605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51605,A000000,06200,0000,06200PATIENTS LAUNDRY 51605,A81000A,00100,0100,Y 51605,A81000B,00100,0300,BUILDING RENT 51605,A81000B,00200,0300,DEPRECIATION BUILDING 51605,A81000B,00300,0300,DEPRECIATION EQUIPMENT 51605,A81000B,00400,0300,INTEREST 51605,A81000B,00500,0300,TAXES REAL PROP 51605,A81000B,00600,0300,TAXES PERSONAL PROP 51605,A81000C,00100,0100,D 51605,A81000C,00100,0200,JEFF TONACK 51605,A81000C,00100,0400,HEALTH RESOURCES INC. 51605,A81000C,00100,0600,PROPERTY 51605,A81000C,00200,0100,D 51605,A81000C,00200,0200,GREG TONACK 51605,A81000C,00200,0400,HEALTH RESOURCES INC. 51605,A81000C,00200,0600,PROPERTY 51605,A81000C,00300,0100,A 51605,A81000C,00300,0200,JEFF TONACK 51605,A81000C,00300,0400,HEALTH CARE FACILITIES 51605,A81000C,00300,0600,OPERATIONS 51605,A81000C,00400,0100,A 51605,A81000C,00400,0200,GREG TONACK 51605,A81000C,00400,0400,HEALTH CARE FACILITIES 51605,A81000C,00400,0600,OPERATIONS 51605,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51605,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51605,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51605,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51605,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51605,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51605,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51605,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51605,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51605,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51605,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51605,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51605,S000000,00100,0200,05/31/2000 51605,S200000,00100,0100,350 SOUTH 8TH 51605,S200000,00200,0100,LEBANON 51605,S200000,00200,0200,OR 51605,S200000,00200,0300,97355- 51605,S200000,00300,0100,LINN 51605,S200000,00300,0200,38 51605,S200000,00300,0300,R 51605,S200000,00400,0100,VILLA CASCADE CARE CENTER 51605,S200000,00400,0200,385168 51605,S200000,00400,0300,07/18/1986 51605,S200000,00400,0500,P 51605,S200000,01500,0100,Y 51615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51615,A000000,00300,0000,00300EMPLOYEE BENEFITS 51615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51615,A000000,00700,0000,00700HOUSEKEEPING 51615,A000000,00800,0000,00800DIETARY 51615,A000000,00900,0000,00900NURSING ADMINISTRATION 51615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51615,A000000,01300,0000,01300SOCIAL SERVICE 51615,A000000,01600,0000,01600SKILLED NURSING FACILITY 51615,A000000,01800,0000,01800NURSING FACILITY 51615,A000000,01900,0000,01900OTHER LONG TERM CARE 51615,A000000,02100,0000,02100RADIOLOGY 51615,A000000,02200,0000,02200LABORATORY 51615,A000000,02300,0000,02300INTRAVENOUS THERAPY 51615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51615,A000000,02500,0000,02500PHYSICAL THERAPY 51615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51615,A000000,02700,0000,02700SPEECH PATHOLOGY 51615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51615,A000000,03200,0000,03200SUPPORT SURFACES 51615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51615,A000000,05300,0000,05300INTEREST EXPENSE 51615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51615,A000000,06200,0000,06200PATIENTS LAUNDRY 51615,A81000A,00100,0100,Y 51615,A81000B,00100,0300,A & G 51615,A81000B,00200,0300,PT 51615,A81000B,00300,0300,OT 51615,A81000B,00400,0300,ST 51615,A81000C,00100,0100,D 51615,A81000C,00100,0200,ANDY MARTINI 51615,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51615,A81000C,00100,0600,MANAGEMENT SERVICE 51615,A81000C,00200,0100,B 51615,A81000C,00200,0200,EVERGREEN HEALTHCARE 51615,A81000C,00200,0400,EVERGREEN ANCILLARY 51615,A81000C,00200,0600,THERAPY SERVICE 51615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51615,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51615,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51615,B100000,00000,0800,00000MEALS SERVED :DIETARY 51615,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51615,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51615,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51615,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51615,E10A180,00501,0100,07/17/2000 51615,E10A180,00501,0300,07/17/2001 51615,S000000,00100,0200,06/02/2000 51615,S200000,00100,0100,1023 WEST 25TH 51615,S200000,00200,0100,THE DALLES 51615,S200000,00200,0200,OR 51615,S200000,00200,0300,97058- 51615,S200000,00300,0100,WASCO 51615,S200000,00400,0100,EVERGREEN & DALLES HR CENTER 51615,S200000,00400,0200,385172 51615,S200000,00400,0300,06/01/1987 51615,S200000,00400,0500,P 51615,S200000,01600,0100,Y 51634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51634,A000000,00300,0000,00300EMPLOYEE BENEFITS 51634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51634,A000000,00700,0000,00700HOUSEKEEPING 51634,A000000,00800,0000,00800DIETARY 51634,A000000,00900,0000,00900NURSING ADMINISTRATION 51634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51634,A000000,01300,0000,01300SOCIAL SERVICE 51634,A000000,01600,0000,01600SKILLED NURSING FACILITY 51634,A000000,01800,0000,01800NURSING FACILITY 51634,A000000,01900,0000,01900OTHER LONG TERM CARE 51634,A000000,02100,0000,02100RADIOLOGY 51634,A000000,02200,0000,02200LABORATORY 51634,A000000,02300,0000,02300INTRAVENOUS THERAPY 51634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51634,A000000,02500,0000,02500PHYSICAL THERAPY 51634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51634,A000000,02700,0000,02700SPEECH PATHOLOGY 51634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51634,A000000,03200,0000,03200SUPPORT SURFACES 51634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51634,A000000,05300,0000,05300INTEREST EXPENSE 51634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51634,A000000,06200,0000,06200PATIENTS LAUNDRY 51634,A81000A,00100,0100,Y 51634,A81000B,00100,0300,A & G 51634,A81000B,00200,0300,PT 51634,A81000B,00300,0300,OT 51634,A81000B,00400,0300,ST 51634,A81000C,00100,0100,D 51634,A81000C,00100,0200,ANDY MARTINI 51634,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51634,A81000C,00100,0600,MANAGEMENT SERVICES 51634,A81000C,00200,0100,B 51634,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 51634,A81000C,00200,0400,EVERGREEN ANCILLARY 51634,A81000C,00200,0600,THERAPY SERVICES 51634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51634,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51634,B100000,00000,0800,00000MEALS SERVED :DIETARY 51634,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51634,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51634,S000000,00100,0200,06/02/2000 51634,S200000,00100,0100,103 ADAMS AVE 51634,S200000,00200,0100,LAGRAND 51634,S200000,00200,0200,OR 51634,S200000,00200,0300,97850- 51634,S200000,00300,0100,UNION 51634,S200000,00400,0100,EVERGREEN VISTA HEALTH CENTER 51634,S200000,00400,0200,385177 51634,S200000,00400,0300,01/01/1986 51634,S200000,00400,0500,P 51634,S200000,01600,0100,Y 51644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51644,A000000,00300,0000,00300EMPLOYEE BENEFITS 51644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51644,A000000,00700,0000,00700HOUSEKEEPING 51644,A000000,00800,0000,00800DIETARY 51644,A000000,00900,0000,00900NURSING ADMINISTRATION 51644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51644,A000000,01300,0000,01300SOCIAL SERVICE 51644,A000000,01600,0000,01600SKILLED NURSING FACILITY 51644,A000000,02500,0000,02500PHYSICAL THERAPY 51644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51644,A000000,02700,0000,02700SPEECH PATHOLOGY 51644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51644,A81000A,00100,0100,Y 51644,A81000B,00100,0300,BUILDING RENT 51644,A81000B,00200,0300,BUILDING DEPRECIATION 51644,A81000C,00100,0100,A 51644,A81000C,00100,0200,JESSE JOHNSON 51644,A81000C,00100,0600,OWNER REAL PROPERTY 51644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51644,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51644,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51644,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51644,B100000,00000,1330,00000GROSS REVENUE :SOCIAL SERVICE 51644,E10A180,00501,0100,05/18/2000 51644,S000000,00100,0200,03/23/2000 51644,S200000,00100,0100,1500 EAST FIRST STREET 51644,S200000,00200,0100,NEWBERG 51644,S200000,00200,0200,OR 51644,S200000,00200,0300,97132- 51644,S200000,00300,0100,YAMHILL 51644,S200000,00400,0100,NEWBERG CARE HOME 51644,S200000,00400,0200,385180 51644,S200000,00400,0300,03/17/1990 51644,S200000,00400,0500,P 51644,S200000,01500,0100,Y 51652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51652,A000000,00300,0000,00300EMPLOYEE BENEFITS 51652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51652,A000000,00700,0000,00700HOUSEKEEPING 51652,A000000,00800,0000,00800DIETARY 51652,A000000,00900,0000,00900NURSING ADMINISTRATION 51652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51652,A000000,01300,0000,01300SOCIAL SERVICE 51652,A000000,01600,0000,01600SKILLED NURSING FACILITY 51652,A000000,01800,0000,01800NURSING FACILITY 51652,A000000,02100,0000,02100RADIOLOGY 51652,A000000,02500,0000,02500PHYSICAL THERAPY 51652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51652,A000000,02700,0000,02700SPEECH PATHOLOGY 51652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51652,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51652,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51652,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51652,B100000,00000,0800,00000MEALS SERVED :DIETARY 51652,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51652,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51652,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51652,E10A180,00501,0100,07/27/2000 51652,E10A180,00501,0300,07/27/2000 51652,S000000,00100,0200,06/13/2000 51652,S200000,00100,0100,525 SOUTH SECOND STREET 51652,S200000,00200,0100,CRESWELL 51652,S200000,00200,0200,OR 51652,S200000,00200,0300,97426- 51652,S200000,00300,0100,LANE 51652,S200000,00400,0100,CRESWELL CARE CENTER 51652,S200000,00400,0200,385182 51652,S200000,00400,0300,04/28/1988 51652,S200000,00400,0500,P 51652,S200000,01500,0100,Y 51661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51661,A000000,00300,0000,00300EMPLOYEE BENEFITS 51661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51661,A000000,00700,0000,00700HOUSEKEEPING 51661,A000000,00800,0000,00800DIETARY 51661,A000000,00900,0000,00900NURSING ADMINISTRATION 51661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51661,A000000,01300,0000,01300SOCIAL SERVICE 51661,A000000,01350,0000,01500ACTIVITIES 51661,A000000,01600,0000,01600SKILLED NURSING FACILITY 51661,A000000,01800,0000,01800NURSING FACILITY 51661,A000000,02100,0000,02100RADIOLOGY 51661,A000000,02200,0000,02200LABORATORY 51661,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51661,A000000,02500,0000,02500PHYSICAL THERAPY 51661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51661,A000000,02700,0000,02700SPEECH PATHOLOGY 51661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51661,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51661,A000000,03200,0000,03200SUPPORT SURFACES 51661,A000000,04800,0000,04800AMBULANCE 51661,A000000,05300,0000,05300INTEREST EXPENSE 51661,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51661,A81000A,00100,0100,Y 51661,A81000B,00100,0300,PHYSICAL THERAPY 51661,A81000B,00200,0300,OCCUPATIONAL THERAPY 51661,A81000B,00300,0300,SPEECH THERAPY 51661,A81000B,00400,0300,REMOVE MNGT FEES 51661,A81000B,00500,0300,HOME OFC ALLOCATIONS 51661,A81000C,00100,0100,A 51661,A81000C,00100,0200,P FOGG/G WART 51661,A81000C,00100,0400,MARQUIS 51661,A81000C,00100,0600,HOME OFFICE 51661,A81000C,00200,0100,A 51661,A81000C,00200,0200,P FOGG/G WART 51661,A81000C,00200,0400,RSI 51661,A81000C,00200,0600,REHAB 51661,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51661,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51661,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51661,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51661,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51661,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51661,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51661,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51661,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51661,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51661,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51661,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51661,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51661,S000000,00100,0200,06/01/2000 51661,S200000,00100,0100,725 SE 202ND 51661,S200000,00200,0100,PORTLAND 51661,S200000,00200,0200,OR 51661,S200000,00200,0300,97233- 51661,S200000,00300,0100,MULTNOMAH 51661,S200000,00400,0100,MARQUIS CARE AT CENTENNIAL 51661,S200000,00400,0200,385183 51661,S200000,00400,0300,08/01/1988 51661,S200000,00400,0500,P 51661,S200000,01500,0100,Y 51661,S700003,00000,0100,1 51671,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51671,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51671,A000000,00300,0000,00300EMPLOYEE BENEFITS 51671,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51671,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51671,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51671,A000000,00700,0000,00700HOUSEKEEPING 51671,A000000,00800,0000,00800DIETARY 51671,A000000,00900,0000,00900NURSING ADMINISTRATION 51671,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51671,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51671,A000000,01300,0000,01300SOCIAL SERVICE 51671,A000000,01600,0000,01600SKILLED NURSING FACILITY 51671,A000000,01800,0000,01800NURSING FACILITY 51671,A000000,01900,0000,01900OTHER LONG TERM CARE 51671,A000000,02100,0000,02100RADIOLOGY 51671,A000000,02200,0000,02200LABORATORY 51671,A000000,02300,0000,02300INTRAVENOUS THERAPY 51671,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51671,A000000,02500,0000,02500PHYSICAL THERAPY 51671,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51671,A000000,02700,0000,02700SPEECH PATHOLOGY 51671,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51671,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51671,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51671,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51671,A000000,03200,0000,03200SUPPORT SURFACES 51671,A000000,03400,0000,03400CLINIC 51671,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51671,A000000,03500,0000,03500RURAL HEALTH CLINIC 51671,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51671,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51671,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51671,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51671,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51671,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51671,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51671,A000000,04400,0000,04400DME RENTED - HHA 51671,A000000,04500,0000,04500DME SOLD - HHA 51671,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51671,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51671,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 51671,A000000,04800,0000,04800AMBULANCE 51671,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51671,A000000,05000,0000,05000CORF 51671,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51671,A000000,05300,0000,05300INTEREST EXPENSE 51671,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 51671,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51671,A000000,05500,0000,05500HOSPICE 51671,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51671,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51671,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51671,A81000A,00100,0100,Y 51671,A81000B,00100,0300,MANAGEMENT FEES 51671,A81000B,00200,0300,ALLOWABLE CAPITAL BUILDING 51671,A81000B,00300,0300,ALLOWABLE CAPITAL EQUIPMENT 51671,A81000B,00400,0300,ALLOWABLE INTEREST 51671,A81000B,00500,0300,ADMINISTRATOR COST REIMBURSEMENT 51671,A81000B,00600,0300,HSI ALLOCATED COSTS 51671,A81000C,00100,0100,A 51671,A81000C,00100,0200,WERNER G. NISTLER 51671,A81000C,00100,0400,TLC-RIVERPARK 51671,A81000C,00100,0600,LESSOR OF REAL PROPERTY 51671,A81000C,00200,0100,A 51671,A81000C,00200,0200,WERNER G. NISTLER 51671,A81000C,00200,0400,TLC 51671,A81000C,00200,0600,MGMT & ACCOUNTING 51671,A81000C,00300,0100,A 51671,A81000C,00300,0200,WERNER G. NISTLER 51671,A81000C,00300,0400,HEALTH SPECTRUM (HSI) 51671,A81000C,00300,0600,DATA PROCESSING / SUPPLIE 51671,A81000C,00400,0100,A 51671,A81000C,00400,0200,STEVE NISTLER 51671,A81000C,00400,0400,TLC-RIVERPARK 51671,A81000C,00400,0600,LESSOR OF REAL PROPERTY 51671,A81000C,00500,0100,A 51671,A81000C,00500,0200,STEVE NISTLER 51671,A81000C,00500,0400,TLC 51671,A81000C,00500,0600,MGMT & ACCOUNTING 51671,A81000C,00600,0100,A 51671,A81000C,00600,0200,STEVE NISTLER 51671,A81000C,00600,0400,HEALTH SPECTRUM (HSI) 51671,A81000C,00600,0600,DATA PROCESSING/SUPPLIES 51671,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51671,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51671,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51671,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51671,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51671,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51671,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51671,B100000,00000,0800,00000MEALS SERVED :DIETARY 51671,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51671,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51671,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51671,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51671,E10A180,00501,0300,07/28/2000 51671,H510100,00000,0000,2400 51671,H510100,02400,0000,2400 51671,H710000,00501,0100,07/28/2000 51671,H710000,00550,0300,07/28/2000 51671,S000000,00100,0200,06/01/2000 51671,S200000,00100,0100,425 ALEXANDER LOOP 51671,S200000,00200,0100,EUGENE 51671,S200000,00200,0200,OR 51671,S200000,00200,0300,97401- 51671,S200000,00300,0100,LANE 51671,S200000,00300,0200,2400 51671,S200000,00300,0300,U 51671,S200000,00400,0100,RIVERPARK NURSING AND REHABILITATION 51671,S200000,00400,0200,385185 51671,S200000,00400,0300,08/01/1988 51671,S200000,00400,0500,P 51671,S200000,00800,0200,387140 51671,S200000,00800,0300,07/30/1997 51671,S200000,00800,0500,P 51671,S200000,01600,0100,Y 51671,S200000,02800,0100,Y 51671,S200000,04600,0100,Y 51679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51679,A000000,00300,0000,00300EMPLOYEE BENEFITS 51679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51679,A000000,00700,0000,00700HOUSEKEEPING 51679,A000000,00800,0000,00800DIETARY 51679,A000000,00900,0000,00900NURSING ADMINISTRATION 51679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51679,A000000,01100,0000,01100PHARMACY 51679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51679,A000000,01300,0000,01300SOCIAL SERVICE 51679,A000000,01301,0000,01301ACTIVITIES 51679,A000000,01600,0000,01600SKILLED NURSING FACILITY 51679,A000000,01800,0000,01800NURSING FACILITY 51679,A000000,01900,0000,01900OTHER LONG TERM CARE 51679,A000000,02100,0000,02100RADIOLOGY 51679,A000000,02200,0000,02200LABORATORY 51679,A000000,02300,0000,02300INTRAVENOUS THERAPY 51679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51679,A000000,02500,0000,02500PHYSICAL THERAPY 51679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51679,A000000,02700,0000,02700SPEECH PATHOLOGY 51679,A000000,02800,0000,02800ELECTROCARDIOLOGY 51679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51679,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51679,A000000,03200,0000,03200SUPPORT SURFACES 51679,A000000,03400,0000,03400CLINIC 51679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51679,A000000,04400,0000,04400DME RENTED - HHA 51679,A000000,04500,0000,04500DME SOLD - HHA 51679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51679,A000000,04800,0000,04800AMBULANCE 51679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51679,A000000,05000,0000,05000CORF 51679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51679,A000000,05300,0000,05300INTEREST EXPENSE 51679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51679,A000000,05500,0000,05500HOSPICE 51679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51679,A000000,06100,0000,06100NONPAID WORKERS 51679,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51679,A000000,06200,0000,06200PATIENTS LAUNDRY 51679,A81000A,00100,0100,Y 51679,A81000B,00100,0300,MGMT FEES 51679,A81000B,00200,0300,HO ALLOCATION - CAPTIAL BLDG 51679,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51679,A81000B,00400,0300,HO ALLOCATION - INTEREST 51679,A81000C,00100,0100,C 51679,A81000C,00100,0400,PRESTIGE CARE 51679,A81000C,00100,0600,HOME OFFICE 51679,A81000C,00200,0100,C 51679,A81000C,00200,0400,PRESTIGE CARE 51679,A81000C,00200,0600,HOME OFFICE 51679,A81000C,00300,0100,C 51679,A81000C,00300,0400,PRESTIGE CARE 51679,A81000C,00300,0600,HOME OFFICE 51679,A81000C,00400,0100,C 51679,A81000C,00400,0400,PRESTIGE CARE 51679,A81000C,00400,0600,HOME OFFICE 51679,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51679,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51679,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51679,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51679,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51679,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51679,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51679,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51679,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51679,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51679,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51679,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51679,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51679,E10A180,00501,0100,04/17/2000 51679,E10A180,00501,0300,04/17/2000 51679,S000000,00100,0200,02/28/2000 51679,S200000,00100,0100,5601 SE 122ND 51679,S200000,00200,0100,PORTLAND 51679,S200000,00200,0200,OR 51679,S200000,00200,0300,97236- 51679,S200000,00300,0100,MULTNOMAH 51679,S200000,00300,0200,6440 51679,S200000,00300,0300,U 51679,S200000,00400,0100,CASCADE TERRACE 51679,S200000,00400,0200,385187 51679,S200000,00400,0300,07/11/1988 51679,S200000,00400,0500,P 51679,S200000,01600,0100,Y 51692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51692,A000000,00300,0000,00300EMPLOYEE BENEFITS 51692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51692,A000000,00700,0000,00700HOUSEKEEPING 51692,A000000,00800,0000,00800DIETARY 51692,A000000,00900,0000,00900NURSING ADMINISTRATION 51692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51692,A000000,01300,0000,01300SOCIAL SERVICE 51692,A000000,01600,0000,01600SKILLED NURSING FACILITY 51692,A000000,01800,0000,01800NURSING FACILITY 51692,A000000,01900,0000,01900OTHER LONG TERM CARE 51692,A000000,02100,0000,02100RADIOLOGY 51692,A000000,02200,0000,02200LABORATORY 51692,A000000,02300,0000,02300INTRAVENOUS THERAPY 51692,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51692,A000000,02500,0000,02500PHYSICAL THERAPY 51692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51692,A000000,02700,0000,02700SPEECH PATHOLOGY 51692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51692,A000000,03200,0000,03200SUPPORT SURFACES 51692,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51692,A000000,05300,0000,05300INTEREST EXPENSE 51692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51692,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51692,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51692,A000000,06200,0000,06200PATIENTS LAUNDRY 51692,A81000A,00100,0100,Y 51692,A81000B,00100,0300,MANAGEMENT FEE 51692,A81000B,00200,0300,PT 51692,A81000B,00300,0300,OT 51692,A81000B,00400,0300,ST 51692,A81000B,00500,0300,CAP. REL BLDG & FIX 51692,A81000B,00600,0300,CAP REL EQUIP 51692,A81000B,00700,0300,A & G INTERST 51692,A81000C,00100,0100,D 51692,A81000C,00100,0200,ANDY MARTINI 51692,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51692,A81000C,00100,0600,MANAGEMENT SERVICE 51692,A81000C,00200,0100,B 51692,A81000C,00200,0200,EVERGREEN HEALTHCARE 51692,A81000C,00200,0400,EVERGREEN ANCILLARY 51692,A81000C,00200,0600,THERAPY SERVICE 51692,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51692,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51692,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51692,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51692,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51692,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51692,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51692,B100000,00000,0800,00000MEALS SERVED :DIETARY 51692,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51692,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51692,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51692,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51692,E10A180,00501,0300,07/27/2000 51692,S000000,00100,0200,06/02/2000 51692,S200000,00100,0100,1525 MONMOUTH AVE 51692,S200000,00200,0100,INDEPENDENCE 51692,S200000,00200,0200,OR 51692,S200000,00200,0300,97351- 51692,S200000,00300,0100,POLK 51692,S200000,00300,0200,7080 51692,S200000,00300,0300,U 51692,S200000,00400,0100,EVERGREEN INDEPENDENCE H&R CTR 51692,S200000,00400,0200,385188 51692,S200000,00400,0300,02/01/1994 51692,S200000,00400,0500,P 51692,S200000,01600,0100,Y 51700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51700,A000000,00300,0000,00300EMPLOYEE BENEFITS 51700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51700,A000000,00700,0000,00700HOUSEKEEPING 51700,A000000,00800,0000,00800DIETARY 51700,A000000,00900,0000,00900NURSING ADMINISTRATION 51700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51700,A000000,01300,0000,01300SOCIAL SERVICE 51700,A000000,01350,0000,01500ACTIVITIES 51700,A000000,01600,0000,01600SKILLED NURSING FACILITY 51700,A000000,01800,0000,01800NURSING FACILITY 51700,A000000,02100,0000,02100RADIOLOGY 51700,A000000,02200,0000,02200LABORATORY 51700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51700,A000000,02500,0000,02500PHYSICAL THERAPY 51700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51700,A000000,02700,0000,02700SPEECH PATHOLOGY 51700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51700,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51700,A000000,03200,0000,03200SUPPORT SURFACES 51700,A000000,04800,0000,04800AMBULANCE 51700,A000000,05300,0000,05300INTEREST EXPENSE 51700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51700,A81000A,00100,0100,Y 51700,A81000B,00100,0300,PHYSICAL THERAPY 51700,A81000B,00200,0300,OCCUPATIONAL THERAPY 51700,A81000B,00300,0300,SPEECH THERAPY 51700,A81000B,00400,0300,REMOVE MNGT FEES 51700,A81000B,00500,0300,H.O. BLDGS ALLOCATION 51700,A81000B,00600,0300,H.O. MOV ALLOCATION 51700,A81000B,00700,0300,H.O. MOV ALLOCATION (INT) 51700,A81000B,00800,0300,HOME OFFICE COST ALLOCATION 51700,A81000B,00900,0300,H.O. BLDGS ALLOCATION (INT) 51700,A81000C,00100,0100,A 51700,A81000C,00100,0200,P.FOGG/G.WART 51700,A81000C,00100,0400,MARQUIS 51700,A81000C,00100,0600,HOME OFFICE 51700,A81000C,00200,0100,A 51700,A81000C,00200,0200,P.FOGG/G.WART 51700,A81000C,00200,0400,RSI 51700,A81000C,00200,0600,REHAB 51700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51700,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51700,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51700,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51700,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51700,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51700,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51700,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51700,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51700,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51700,E10A180,00501,0300,08/17/2000 51700,S000000,00100,0200,06/01/2000 51700,S200000,00100,0100,2827 SE SALMON STREET 51700,S200000,00200,0100,PORTLAND 51700,S200000,00200,0200,OR 51700,S200000,00200,0300,97214- 51700,S200000,00300,0100,MULTNOMAH 51700,S200000,00300,0200,6440 51700,S200000,00300,0300,U 51700,S200000,00400,0100,MARQUIS CARE AT HAWTHORNE 51700,S200000,00400,0200,385194 51700,S200000,00400,0300,05/01/1989 51700,S200000,00400,0500,P 51700,S200000,01500,0100,Y 51711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51711,A000000,00300,0000,00300EMPLOYEE BENEFITS 51711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51711,A000000,00700,0000,00700HOUSEKEEPING 51711,A000000,00800,0000,00800DIETARY 51711,A000000,00900,0000,00900NURSING ADMINISTRATION 51711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51711,A000000,01100,0000,01100PHARMACY 51711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51711,A000000,01300,0000,01300SOCIAL SERVICE 51711,A000000,01301,0000,01301ACTIVITIES 51711,A000000,01600,0000,01600SKILLED NURSING FACILITY 51711,A000000,01800,0000,01800NURSING FACILITY 51711,A000000,01900,0000,01900OTHER LONG TERM CARE 51711,A000000,02100,0000,02100RADIOLOGY 51711,A000000,02200,0000,02200LABORATORY 51711,A000000,02300,0000,02300INTRAVENOUS THERAPY 51711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51711,A000000,02500,0000,02500PHYSICAL THERAPY 51711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51711,A000000,02700,0000,02700SPEECH PATHOLOGY 51711,A000000,02800,0000,02800ELECTROCARDIOLOGY 51711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51711,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51711,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51711,A000000,03200,0000,03200SUPPORT SURFACES 51711,A000000,03400,0000,03400CLINIC 51711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51711,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51711,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51711,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51711,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51711,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51711,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51711,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51711,A000000,04400,0000,04400DME RENTED - HHA 51711,A000000,04500,0000,04500DME SOLD - HHA 51711,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51711,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51711,A000000,04800,0000,04800AMBULANCE 51711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51711,A000000,05000,0000,05000CORF 51711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51711,A000000,05300,0000,05300INTEREST EXPENSE 51711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51711,A000000,05500,0000,05500HOSPICE 51711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51711,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51711,A000000,06100,0000,06100NONPAID WORKERS 51711,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51711,A000000,06200,0000,06200PATIENTS LAUNDRY 51711,A81000A,00100,0100,Y 51711,A81000B,00100,0300,MGMT FEES 51711,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51711,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 51711,A81000B,00400,0300,HO ALLOCATION - INTEREST 51711,A81000C,00100,0100,C 51711,A81000C,00100,0400,PRESTIGE CARE 51711,A81000C,00100,0600,HOME OFFICE 51711,A81000C,00200,0100,C 51711,A81000C,00200,0400,PRESTIGE CARE 51711,A81000C,00200,0600,HOME OFFICE 51711,A81000C,00300,0100,C 51711,A81000C,00300,0400,PRESTIGE CARE 51711,A81000C,00300,0600,HOME OFFICE 51711,A81000C,00400,0100,C 51711,A81000C,00400,0400,PRESTIGE CARE 51711,A81000C,00400,0600,HOME OFFICE 51711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51711,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51711,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51711,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51711,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51711,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51711,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51711,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51711,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51711,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51711,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51711,E10A180,00501,0100,04/14/2000 51711,E10A180,00501,0300,04/14/2000 51711,S000000,00100,0200,02/28/2000 51711,S200000,00100,0100,135 MAPLE STREET 51711,S200000,00200,0100,ASHLAND 51711,S200000,00200,0200,OR 51711,S200000,00200,0300,97520- 51711,S200000,00300,0100,JACKSON 51711,S200000,00300,0200,4890 51711,S200000,00300,0300,U 51711,S200000,00400,0100,LINDA VISTA CARE CENTER 51711,S200000,00400,0200,385197 51711,S200000,00400,0300,05/23/1989 51711,S200000,00400,0500,P 51711,S200000,01600,0100,Y 51721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51721,A000000,00300,0000,00300EMPLOYEE BENEFITS 51721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51721,A000000,00700,0000,00700HOUSEKEEPING 51721,A000000,00800,0000,00800DIETARY 51721,A000000,00900,0000,00900NURSING ADMINISTRATION 51721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51721,A000000,01100,0000,01100PHARMACY 51721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51721,A000000,01300,0000,01300SOCIAL SERVICE 51721,A000000,01301,0000,01301ACTIVITIES 51721,A000000,01600,0000,01600SKILLED NURSING FACILITY 51721,A000000,01800,0000,01800NURSING FACILITY 51721,A000000,01900,0000,01900OTHER LONG TERM CARE 51721,A000000,02100,0000,02100RADIOLOGY 51721,A000000,02200,0000,02200LABORATORY 51721,A000000,02300,0000,02300INTRAVENOUS THERAPY 51721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51721,A000000,02500,0000,02500PHYSICAL THERAPY 51721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51721,A000000,02700,0000,02700SPEECH PATHOLOGY 51721,A000000,02800,0000,02800ELECTROCARDIOLOGY 51721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51721,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51721,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51721,A000000,03200,0000,03200SUPPORT SURFACES 51721,A000000,03400,0000,03400CLINIC 51721,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 51721,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51721,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51721,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51721,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51721,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51721,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51721,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51721,A000000,04400,0000,04400DME RENTED - HHA 51721,A000000,04500,0000,04500DME SOLD - HHA 51721,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51721,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51721,A000000,04800,0000,04800AMBULANCE 51721,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51721,A000000,05000,0000,05000CORF 51721,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51721,A000000,05300,0000,05300INTEREST EXPENSE 51721,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51721,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51721,A000000,05500,0000,05500HOSPICE 51721,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51721,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51721,A000000,06100,0000,06100NONPAID WORKERS 51721,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51721,A000000,06200,0000,06200PATIENTS LAUNDRY 51721,A81000A,00100,0100,Y 51721,A81000B,00100,0300,MGMT FEES 51721,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 51721,A81000B,00300,0300,HO ALLOCATION - CAPITAL - EQUIP. 51721,A81000B,00400,0300,HO ALLOCATION - INTEREST 51721,A81000C,00100,0100,C 51721,A81000C,00100,0400,PRESTIGE CARE 51721,A81000C,00100,0600,HOME OFFICE 51721,A81000C,00200,0100,C 51721,A81000C,00200,0400,PRESTIGE CARE 51721,A81000C,00200,0600,HOME OFFICE 51721,A81000C,00300,0100,C 51721,A81000C,00300,0400,PRESTIGE CARE 51721,A81000C,00300,0600,HOME OFFICE 51721,A81000C,00400,0100,C 51721,A81000C,00400,0400,PRESTIGE CARE 51721,A81000C,00400,0600,HOME OFFICE 51721,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51721,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51721,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51721,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51721,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51721,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51721,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51721,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51721,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51721,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51721,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 51721,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51721,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51721,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 51721,S000000,00100,0200,02/28/2000 51721,S200000,00100,0100,1900 E. FULTON STREET 51721,S200000,00200,0100,NEWBERG 51721,S200000,00200,0200,OR 51721,S200000,00200,0300,97132- 51721,S200000,00300,0100,YAMHILL 51721,S200000,00400,0100,CHEHALEM VALLEY CARE CENTER 51721,S200000,00400,0200,385199 51721,S200000,00400,0300,08/01/1997 51721,S200000,00400,0500,P 51721,S200000,01600,0100,Y 51728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51728,A000000,00300,0000,00300EMPLOYEE BENEFITS 51728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51728,A000000,00700,0000,00700HOUSEKEEPING 51728,A000000,00800,0000,00800DIETARY 51728,A000000,00900,0000,00900NURSING ADMINISTRATION 51728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51728,A000000,01300,0000,01300SOCIAL SERVICE 51728,A000000,01350,0000,01500OTHER GENERAL SERVICES 51728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51728,A000000,01600,0000,01600SKILLED NURSING FACILITY 51728,A000000,01800,0000,01800NURSING FACILITY 51728,A000000,01810,0000,01801ICF/MR 51728,A000000,01900,0000,01900OTHER LONG TERM CARE 51728,A000000,02100,0000,02100RADIOLOGY 51728,A000000,02200,0000,02200LABORATORY 51728,A000000,02300,0000,02300INTRAVENOUS THERAPY 51728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51728,A000000,02500,0000,02500PHYSICAL THERAPY 51728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51728,A000000,02700,0000,02700SPEECH PATHOLOGY 51728,A000000,02800,0000,02800ELECTROCARDIOLOGY 51728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51728,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51728,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51728,A000000,03200,0000,03200SUPPORT SURFACES 51728,A000000,03400,0000,03400CLINIC 51728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51728,A000000,03500,0000,03500RURAL HEALTH CLINIC 51728,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51728,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51728,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51728,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51728,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51728,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51728,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51728,A000000,04400,0000,04400DME RENTED - HHA 51728,A000000,04500,0000,04500DME SOLD - HHA 51728,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51728,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51728,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51728,A000000,04800,0000,04800AMBULANCE 51728,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51728,A000000,05000,0000,05000CORF 51728,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51728,A000000,05300,0000,05300INTEREST EXPENSE 51728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51728,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51728,A000000,05500,0000,05500HOSPICE 51728,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51728,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51728,A000000,06100,0000,06100NONPAID WORKERS 51728,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51728,A000000,06200,0000,06200PATIENTS LAUNDRY 51728,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51728,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51728,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51728,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51728,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51728,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51728,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51728,B100000,00000,0800,00000MEALS SERVED :DIETARY 51728,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51728,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51728,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51728,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51728,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51728,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51728,E10A180,00501,0100,07/21/2000 51728,E10A180,00550,0300,07/21/2000 51728,S000000,00100,0200,05/30/2000 51728,S200000,00100,0100,13021 SE RIVER ROAD 51728,S200000,00200,0100,MILWAUKIE 51728,S200000,00200,0200,OR 51728,S200000,00200,0300,97222- 51728,S200000,00300,0100,CLACKAMAS 51728,S200000,00400,0100,WILLAMETTE VIEW CONVALESCENT CENTER 51728,S200000,00400,0200,385200 51728,S200000,00400,0300,05/12/1989 51728,S200000,00400,0500,P 51728,S200000,01600,0100,Y 51737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51737,A000000,00300,0000,00300EMPLOYEE BENEFITS 51737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51737,A000000,00700,0000,00700HOUSEKEEPING 51737,A000000,00800,0000,00800DIETARY 51737,A000000,00900,0000,00900NURSING ADMINISTRATION 51737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51737,A000000,01300,0000,01300SOCIAL SERVICE 51737,A000000,01600,0000,01600SKILLED NURSING FACILITY 51737,A000000,01800,0000,01800NURSING FACILITY 51737,A000000,01810,0000,01801ICF/MR 51737,A000000,01900,0000,01900OTHER LONG TERM CARE 51737,A000000,02100,0000,02100RADIOLOGY 51737,A000000,02200,0000,02200LABORATORY 51737,A000000,02300,0000,02300INTRAVENOUS THERAPY 51737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51737,A000000,02500,0000,02500PHYSICAL THERAPY 51737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51737,A000000,02700,0000,02700SPEECH PATHOLOGY 51737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51737,A000000,03050,0000,03300EQUIPMENT 51737,A000000,03200,0000,03200SUPPORT SURFACES 51737,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51737,A000000,04800,0000,04800AMBULANCE 51737,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51737,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51737,A000000,05300,0000,05300INTEREST EXPENSE 51737,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51737,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51737,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51737,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51737,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51737,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51737,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51737,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51737,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51737,B100000,00000,0800,00000MEALS SERVED :DIETARY 51737,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51737,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51737,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51737,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51737,E10A180,00301,0300,06/25/1999 51737,E10A180,00350,0300,06/25/1999 51737,E10A180,00501,0300,04/03/2000 51737,E10A180,00550,0100,04/03/2000 51737,S000000,00100,0200,02/29/2000 51737,S200000,00100,0100,707 SW 37TH 51737,S200000,00200,0100,PENDLETON 51737,S200000,00200,0200,OR 51737,S200000,00200,0300,97801- 51737,S200000,00300,0100,UMATILLA 51737,S200000,00400,0100,AMBER VALLEY CARE CENTER 51737,S200000,00400,0200,385201 51737,S200000,00400,0300,05/18/1989 51737,S200000,00400,0500,P 51737,S200000,01600,0100,Y 51737,S200000,04600,0100,Y 51748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51748,A000000,00300,0000,00300EMPLOYEE BENEFITS 51748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51748,A000000,00700,0000,00700HOUSEKEEPING 51748,A000000,00800,0000,00800DIETARY 51748,A000000,00900,0000,00900NURSING ADMINISTRATION 51748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51748,A000000,01100,0000,01100PHARMACY 51748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51748,A000000,01300,0000,01300SOCIAL SERVICE 51748,A000000,01350,0000,01500OTHER GENERAL SERVICES 51748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51748,A000000,01600,0000,01600SKILLED NURSING FACILITY 51748,A000000,01800,0000,01800NURSING FACILITY 51748,A000000,01900,0000,01900OTHER LONG TERM CARE 51748,A000000,02100,0000,02100RADIOLOGY 51748,A000000,02200,0000,02200LABORATORY 51748,A000000,02300,0000,02300INTRAVENOUS THERAPY 51748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51748,A000000,02500,0000,02500PHYSICAL THERAPY 51748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51748,A000000,02700,0000,02700SPEECH PATHOLOGY 51748,A000000,02800,0000,02800ELECTROCARDIOLOGY 51748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51748,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51748,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51748,A000000,03200,0000,03200SUPPORT SURFACES 51748,A000000,03400,0000,03400CLINIC 51748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51748,A000000,03500,0000,03500RURAL HEALTH CLINIC 51748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51748,A000000,04800,0000,04800AMBULANCE 51748,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51748,A000000,05000,0000,05000CORF 51748,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51748,A000000,05300,0000,05300INTEREST EXPENSE 51748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51748,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51748,A000000,05500,0000,05500HOSPICE 51748,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51748,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51748,A000000,06100,0000,06100NONPAID WORKERS 51748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51748,A000000,06200,0000,06200PATIENTS LAUNDRY 51748,A81000A,00100,0100,Y 51748,A81000B,00100,0300,HOME OFFICE EXPENSE 51748,A81000B,00200,0300,HOME OFFICE EXPENSE 51748,A81000B,00300,0300,HOME OFFICE EXPENSE 51748,A81000B,00400,0300,HOME OFFICE EXPENSE 51748,A81000B,00500,0300,CONTRACTED STAFFING 51748,A81000C,00100,0100,A 51748,A81000C,00100,0200,RICK MILLER 51748,A81000C,00100,0400,AVAMERE 51748,A81000C,00100,0600,MANAGEMENT SERVICES 51748,A81000C,00200,0100,A 51748,A81000C,00200,0200,RICK DILLON 51748,A81000C,00200,0400,AVAMERE 51748,A81000C,00200,0600,MANAGEMENT SERVICES 51748,A81000C,00300,0100,A 51748,A81000C,00300,0200,RICK MILLER 51748,A81000C,00300,0400,CAREER STYLES 51748,A81000C,00300,0600,STAFFING AGENCY 51748,A81000C,00400,0100,A 51748,A81000C,00400,0200,RICK DILLON 51748,A81000C,00400,0400,CAREER STYLES 51748,A81000C,00400,0600,STAFFING AGENCY 51748,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51748,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51748,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51748,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51748,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51748,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51748,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51748,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51748,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51748,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51748,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 51748,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51748,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51748,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51748,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 51748,S000000,00100,0200,05/31/2000 51748,S200000,00100,0100,220 E. HEREFORD 51748,S200000,00200,0100,GLADSTONE 51748,S200000,00200,0200,OR 51748,S200000,00200,0300,97027- 51748,S200000,00300,0100,CLACKAMAS 51748,S200000,00400,0100,CLACKAMAS REHABILITATION 51748,S200000,00400,0200,385203 51748,S200000,00400,0300,08/03/1989 51748,S200000,00400,0500,P 51748,S200000,01500,0100,Y 51756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51756,A000000,00300,0000,00300EMPLOYEE BENEFITS 51756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51756,A000000,00700,0000,00700HOUSEKEEPING 51756,A000000,00800,0000,00800DIETARY 51756,A000000,00900,0000,00900NURSING ADMINISTRATION 51756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51756,A000000,01300,0000,01300SOCIAL SERVICE 51756,A000000,01350,0000,01500ACTIVITIES 51756,A000000,01600,0000,01600SKILLED NURSING FACILITY 51756,A000000,01800,0000,01800NURSING FACILITY 51756,A000000,02100,0000,02100RADIOLOGY 51756,A000000,02200,0000,02200LABORATORY 51756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51756,A000000,02500,0000,02500PHYSICAL THERAPY 51756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51756,A000000,02700,0000,02700SPEECH PATHOLOGY 51756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51756,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51756,A000000,03200,0000,03200SUPPORT SURFACES 51756,A000000,04800,0000,04800AMBULANCE 51756,A000000,05300,0000,05300INTEREST EXPENSE 51756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51756,A81000A,00100,0100,Y 51756,A81000B,00100,0300,PHYSICAL THERAPY 51756,A81000B,00200,0300,OCCUPATIONAL THERAPY 51756,A81000B,00300,0300,SPEECH THERAPY 51756,A81000B,00400,0300,REMOVE MNGT FEES 51756,A81000B,00500,0300,HOME OFC ALLOCATIONS 51756,A81000C,00100,0100,A 51756,A81000C,00100,0200,P.FOGG/G.WART 51756,A81000C,00100,0400,MARQUIS 51756,A81000C,00100,0600,HOME OFFICE 51756,A81000C,00200,0100,A 51756,A81000C,00200,0200,P.FOGG/G.WART 51756,A81000C,00200,0400,RSI 51756,A81000C,00200,0600,REHAB 51756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51756,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51756,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51756,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51756,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51756,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51756,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51756,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51756,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51756,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51756,E10A180,00501,0300,07/25/2000 51756,S000000,00100,0200,06/01/2000 51756,S200000,00100,0100,3300 19TH AVENUE 51756,S200000,00200,0100,FOREST GROVE 51756,S200000,00200,0200,OR 51756,S200000,00200,0300,97116- 51756,S200000,00300,0100,WASHINGTON 51756,S200000,00400,0100,MARQUIS CARE AT FOREST GROVE 51756,S200000,00400,0200,385204 51756,S200000,00400,0300,08/01/1989 51756,S200000,00400,0500,P 51756,S200000,01500,0100,Y 51764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51764,A000000,00300,0000,00300EMPLOYEE BENEFITS 51764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51764,A000000,00700,0000,00700HOUSEKEEPING 51764,A000000,00800,0000,00800DIETARY 51764,A000000,00900,0000,00900NURSING ADMINISTRATION 51764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51764,A000000,01300,0000,01300SOCIAL SERVICE 51764,A000000,01600,0000,01600SKILLED NURSING FACILITY 51764,A000000,01800,0000,01800NURSING FACILITY 51764,A000000,01900,0000,01900OTHER LONG TERM CARE 51764,A000000,02100,0000,02100RADIOLOGY 51764,A000000,02500,0000,02500PHYSICAL THERAPY 51764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51764,A000000,02700,0000,02700SPEECH PATHOLOGY 51764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51764,A81000A,00100,0100,Y 51764,A81000B,00100,0300,NURSING STAFF 51764,A81000B,00200,0300,SUPPLIES-DRUGS 51764,A81000B,00300,0300,P-T STAFF 51764,A81000B,00400,0300,S-T STAFF 51764,A81000B,00500,0300,O-T STAFF 51764,A81000B,00600,0300,DIETARY 51764,A81000B,00700,0300,SOCIAL SERVICE 51764,A81000B,00800,0300,SUPPLIES - NURSING ADMIN 51764,A81000B,00900,0300,ADMINISTRATIVE 51764,A81000B,01000,0300,EMPLOYEE BENEFITS 51764,A81000B,01100,0300,PROPERTY TAXES 51764,A81000B,01200,0300,DRUGS 51764,A81000C,00100,0100,B 51764,A81000C,00100,0200,SAMARITAN HEALTH SERVICES 51764,A81000C,00100,0400,GOOD SAMARITAN HOSPITAL 51764,A81000C,00100,0600,HOSPITAL 51764,A81000C,00200,0100,B 51764,A81000C,00200,0200,SAMARITAN HEALTH SERVICES 51764,A81000C,00200,0400,LEBANON COMMUNITY HOSPITA 51764,A81000C,00200,0600,HOSPITAL 51764,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51764,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51764,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51764,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51764,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51764,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51764,B100000,00000,0800,00000MEALS SERVED :DIETARY 51764,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51764,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51764,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51764,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51764,E10A180,00550,0300,06/21/2000 51764,S000000,00100,0200,04/26/2000 51764,S200000,00100,0100,2790 NW HARRISON STREET 51764,S200000,00200,0100,CORVALLIS 51764,S200000,00200,0200,OR 51764,S200000,00300,0100,BENTON 51764,S200000,00400,0100,HEART OF THE VALLEY 51764,S200000,00400,0200,385205 51764,S200000,00400,0300,04/21/1991 51764,S200000,00400,0500,P 51764,S200000,01600,0100,Y 51776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51776,A000000,00300,0000,00300EMPLOYEE BENEFITS 51776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51776,A000000,00700,0000,00700HOUSEKEEPING 51776,A000000,00800,0000,00800DIETARY 51776,A000000,00900,0000,00900NURSING ADMINISTRATION 51776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51776,A000000,01300,0000,01300SOCIAL SERVICE 51776,A000000,01600,0000,01600SKILLED NURSING FACILITY 51776,A000000,01800,0000,01800NURSING FACILITY 51776,A000000,01810,0000,01801ICF/MR 51776,A000000,02100,0000,02100RADIOLOGY 51776,A000000,02200,0000,02200LABORATORY 51776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51776,A000000,02500,0000,02500PHYSICAL THERAPY 51776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51776,A000000,02700,0000,02700SPEECH PATHOLOGY 51776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51776,A000000,03200,0000,03200SUPPORT SURFACES 51776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51776,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51776,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51776,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51776,B100000,00000,0800,00000MEALS SERVED :DIETARY 51776,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51776,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51776,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51776,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51776,E10A180,00501,0100,03/12/2000 51776,E10A180,00550,0300,03/12/2000 51776,S000000,00100,0200,02/29/2000 51776,S200000,00100,0100,5353 COLUMBUS STREET S.E. 51776,S200000,00200,0100,ALBANY 51776,S200000,00200,0200,OR 51776,S200000,00200,0300,97321- 51776,S200000,00300,0100,LINN 51776,S200000,00400,0100,MENNONITE HOME OF ALBANY 51776,S200000,00400,0200,385206 51776,S200000,00400,0300,08/01/1989 51776,S200000,00400,0500,P 51776,S200000,01600,0100,Y 51786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51786,A000000,00300,0000,00300EMPLOYEE BENEFITS 51786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51786,A000000,00700,0000,00700HOUSEKEEPING 51786,A000000,00800,0000,00800DIETARY 51786,A000000,00900,0000,00900NURSING ADMINISTRATION 51786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51786,A000000,01300,0000,01300SOCIAL SERVICE 51786,A000000,01600,0000,01600SKILLED NURSING FACILITY 51786,A000000,01800,0000,01800NURSING FACILITY 51786,A000000,01900,0000,01900OTHER LONG TERM CARE 51786,A000000,02100,0000,02100RADIOLOGY 51786,A000000,02200,0000,02200LABORATORY 51786,A000000,02300,0000,02300INTRAVENOUS THERAPY 51786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51786,A000000,02500,0000,02500PHYSICAL THERAPY 51786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51786,A000000,02700,0000,02700SPEECH PATHOLOGY 51786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51786,A000000,03200,0000,03200SUPPORT SURFACES 51786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51786,A000000,05300,0000,05300INTEREST EXPENSE 51786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51786,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51786,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51786,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51786,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51786,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51786,E10A180,00501,0100,06/22/2000 51786,E10A180,00550,0300,06/22/2000 51786,S000000,00100,0200,04/27/2000 51786,S200000,00100,0100,348 WEST ELLENDALE AVE 51786,S200000,00200,0100,DALLAS 51786,S200000,00200,0200,OR 51786,S200000,00200,0300,97338- 51786,S200000,00300,0100,POLK 51786,S200000,00300,0200,7080 51786,S200000,00300,0300,U 51786,S200000,00400,0100,DALLAS CARE CENTER 51786,S200000,00400,0200,385207 51786,S200000,00400,0300,09/18/1989 51786,S200000,00400,0500,P 51786,S200000,01600,0100,Y 51786,S200000,02800,0100,Y 51786,S200000,04600,0100,Y 51794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51794,A000000,00300,0000,00300EMPLOYEE BENEFITS 51794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51794,A000000,00700,0000,00700HOUSEKEEPING 51794,A000000,00800,0000,00800DIETARY 51794,A000000,00900,0000,00900NURSING ADMINISTRATION 51794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51794,A000000,01300,0000,01300SOCIAL SERVICE 51794,A000000,01350,0000,01500ACTIVITIES 51794,A000000,01600,0000,01600SKILLED NURSING FACILITY 51794,A000000,01800,0000,01800NURSING FACILITY 51794,A000000,02100,0000,02100RADIOLOGY 51794,A000000,02200,0000,02200LABORATORY 51794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51794,A000000,02500,0000,02500PHYSICAL THERAPY 51794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51794,A000000,02700,0000,02700SPEECH PATHOLOGY 51794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51794,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51794,A000000,03200,0000,03200SUPPORT SURFACES 51794,A000000,04800,0000,04800AMBULANCE 51794,A000000,05300,0000,05300INTEREST EXPENSE 51794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51794,A81000A,00100,0100,Y 51794,A81000B,00100,0300,PHYSICAL THERAPY 51794,A81000B,00200,0300,OCCUPATIONAL THERAPY 51794,A81000B,00300,0300,SPEECH THERAPY 51794,A81000B,00400,0300,REMOVE MNGT FEES 51794,A81000B,00500,0300,HOME OFC ALLOCATIONS 51794,A81000B,00900,0300,RELATED PARTY RENT PMTS 51794,A81000C,00100,0100,A 51794,A81000C,00100,0200,P.FOGG/G.WART 51794,A81000C,00100,0400,MARQUIS 51794,A81000C,00100,0600,HOME OFFICE 51794,A81000C,00200,0100,A 51794,A81000C,00200,0200,P.FOGG/G.WART 51794,A81000C,00200,0400,RSI 51794,A81000C,00200,0600,REHAB 51794,A81000C,00300,0100,A 51794,A81000C,00300,0200,P.FPGG SR 51794,A81000C,00300,0400,MARQUIS CARE AT 51794,A81000C,00300,0600,OWNER 51794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51794,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51794,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51794,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51794,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51794,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51794,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51794,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51794,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51794,S000000,00100,0200,06/01/2000 51794,S200000,00100,0100,319 NE RUSSETT STREET 51794,S200000,00200,0100,PORTLAND 51794,S200000,00200,0200,OR 51794,S200000,00200,0300,97211- 51794,S200000,00300,0100,MULTNOMAH 51794,S200000,00300,0200,6440 51794,S200000,00300,0300,U 51794,S200000,00400,0100,MARQUIS CARE AT PIEDMONT 51794,S200000,00400,0200,385208 51794,S200000,00400,0300,09/14/1989 51794,S200000,00400,0500,P 51794,S200000,01500,0100,Y 51805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51805,A000000,00300,0000,00300EMPLOYEE BENEFITS 51805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51805,A000000,00700,0000,00700HOUSEKEEPING 51805,A000000,00800,0000,00800DIETARY 51805,A000000,00900,0000,00900NURSING ADMINISTRATION 51805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51805,A000000,01300,0000,01300SOCIAL SERVICE 51805,A000000,01600,0000,01600SKILLED NURSING FACILITY 51805,A000000,01800,0000,01800NURSING FACILITY 51805,A000000,01900,0000,01900OTHER LONG TERM CARE 51805,A000000,02100,0000,02100RADIOLOGY 51805,A000000,02200,0000,02200LABORATORY 51805,A000000,02300,0000,02300INTRAVENOUS THERAPY 51805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51805,A000000,02500,0000,02500PHYSICAL THERAPY 51805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51805,A000000,02700,0000,02700SPEECH PATHOLOGY 51805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51805,A000000,03200,0000,03200SUPPORT SURFACES 51805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51805,A000000,05300,0000,05300INTEREST EXPENSE 51805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51805,A000000,06200,0000,06200PATIENTS LAUNDRY 51805,A81000A,00100,0100,Y 51805,A81000B,00100,0300,A & G 51805,A81000B,00200,0300,PT 51805,A81000B,00300,0300,OT 51805,A81000B,00400,0300,ST 51805,A81000C,00100,0100,D 51805,A81000C,00100,0200,ANDY MARTINI 51805,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51805,A81000C,00100,0600,MANAGEMENT SERVICE 51805,A81000C,00200,0100,B 51805,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 51805,A81000C,00200,0400,EVERGREEN ANCILLARY 51805,A81000C,00200,0600,THERAPY SERVICE 51805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51805,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51805,B100000,00000,0800,00000MEALS SERVED :DIETARY 51805,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51805,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51805,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51805,E10A180,00550,0300,06/30/2000 51805,S000000,00100,0200,06/02/2000 51805,S200000,00100,0100,93 ARIES WAY 51805,S200000,00200,0100,LA GRANDE 51805,S200000,00200,0200,OR 51805,S200000,00200,0300,97850- 51805,S200000,00300,0100,UNION 51805,S200000,00400,0100,EVERGREEN HEALTH & REHAB CTR 51805,S200000,00400,0200,385211 51805,S200000,00400,0300,11/14/1989 51805,S200000,00400,0500,P 51805,S200000,01600,0100,Y 51816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51816,A000000,00300,0000,00300EMPLOYEE BENEFITS 51816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51816,A000000,00700,0000,00700HOUSEKEEPING 51816,A000000,00800,0000,00800DIETARY 51816,A000000,00900,0000,00900NURSING ADMINISTRATION 51816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51816,A000000,01100,0000,01100PHARMACY 51816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51816,A000000,01300,0000,01300SOCIAL SERVICE 51816,A000000,01350,0000,01500OTHER GENERAL SERVICES 51816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51816,A000000,01600,0000,01600SKILLED NURSING FACILITY 51816,A000000,01800,0000,01800NURSING FACILITY 51816,A000000,01900,0000,01900OTHER LONG TERM CARE 51816,A000000,02100,0000,02100RADIOLOGY 51816,A000000,02200,0000,02200LABORATORY 51816,A000000,02300,0000,02300INTRAVENOUS THERAPY 51816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51816,A000000,02500,0000,02500PHYSICAL THERAPY 51816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51816,A000000,02700,0000,02700SPEECH PATHOLOGY 51816,A000000,02800,0000,02800ELECTROCARDIOLOGY 51816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51816,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51816,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51816,A000000,03200,0000,03200SUPPORT SURFACES 51816,A000000,03400,0000,03400CLINIC 51816,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51816,A000000,03500,0000,03500RURAL HEALTH CLINIC 51816,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51816,A000000,04800,0000,04800AMBULANCE 51816,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51816,A000000,05000,0000,05000CORF 51816,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51816,A000000,05300,0000,05300INTEREST EXPENSE 51816,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51816,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51816,A000000,05500,0000,05500HOSPICE 51816,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51816,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51816,A000000,06100,0000,06100NONPAID WORKERS 51816,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51816,A000000,06200,0000,06200PATIENTS LAUNDRY 51816,A81000A,00100,0100,Y 51816,A81000B,00100,0300,RENT EXPENSE 51816,A81000B,00200,0300,BUILDING DEPRECIATION 51816,A81000B,00300,0300,BUILDING INTEREST 51816,A81000B,00400,0300,REAL PROPERTY TAXES 51816,A81000B,00500,0300,PERSONAL PROPERTY TAXES 51816,A81000C,00100,0100,D 51816,A81000C,00100,0200,GREG TONACK 51816,A81000C,00100,0400,HEALTH RESOURCES INC. 51816,A81000C,00100,0600,PROPERTY 51816,A81000C,00200,0100,D 51816,A81000C,00200,0200,JEFF TONACK 51816,A81000C,00200,0400,HEALTH RESOURCES INC. 51816,A81000C,00200,0600,PROPERTY 51816,A81000C,00300,0100,A 51816,A81000C,00300,0200,GREG TONACK 51816,A81000C,00300,0400,HEALTH CARE FACILITIES 51816,A81000C,00300,0600,OPERATIONS 51816,A81000C,00400,0100,A 51816,A81000C,00400,0200,JEFF TONACK 51816,A81000C,00400,0400,HEALTH CARE FACILITIES 51816,A81000C,00400,0600,OPERATIONS 51816,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51816,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51816,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51816,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51816,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51816,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51816,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51816,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51816,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51816,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51816,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51816,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51816,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51816,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51816,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51816,S000000,00100,0200,05/31/2000 51816,S200000,00100,0100,18000 SE WEBSTER RD. 51816,S200000,00200,0100,GLADSTONE 51816,S200000,00200,0200,OR 51816,S200000,00200,0300,97027- 51816,S200000,00300,0100,CLACKAMAS 51816,S200000,00400,0100,GLADSTONE LIVING & REHAB CTR 51816,S200000,00400,0200,385213 51816,S200000,00400,0300,12/20/1989 51816,S200000,00400,0500,P 51816,S200000,01500,0100,Y 51825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51825,A000000,00300,0000,00300EMPLOYEE BENEFITS 51825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51825,A000000,00700,0000,00700HOUSEKEEPING 51825,A000000,00800,0000,00800DIETARY 51825,A000000,00900,0000,00900NURSING ADMINISTRATION 51825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51825,A000000,01300,0000,01300SOCIAL SERVICE 51825,A000000,01350,0000,01500ACTIVITIES 51825,A000000,01600,0000,01600SKILLED NURSING FACILITY 51825,A000000,01800,0000,01800NURSING FACILITY 51825,A000000,02100,0000,02100RADIOLOGY 51825,A000000,02200,0000,02200LABORATORY 51825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51825,A000000,02500,0000,02500PHYSICAL THERAPY 51825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51825,A000000,02700,0000,02700SPEECH PATHOLOGY 51825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51825,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51825,A000000,03200,0000,03200SUPPORT SURFACES 51825,A000000,04800,0000,04800AMBULANCE 51825,A000000,05300,0000,05300INTEREST EXPENSE 51825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51825,A81000A,00100,0100,Y 51825,A81000B,00100,0300,PHYSICAL THERAPY 51825,A81000B,00200,0300,OCCUPATIONAL THERAPY 51825,A81000B,00300,0300,SPEECH THERAPY 51825,A81000B,00400,0300,REMOVE MNGT FEES 51825,A81000B,00500,0300,HOME OFC ALLOCATIONS 51825,A81000C,00100,0100,A 51825,A81000C,00100,0200,P.FOGG/G.WART 51825,A81000C,00100,0400,MARQUIS 51825,A81000C,00100,0600,HOME OFFICE 51825,A81000C,00200,0100,A 51825,A81000C,00200,0200,P.FOGG/G.WART 51825,A81000C,00200,0400,RSI 51825,A81000C,00200,0600,REHAB 51825,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51825,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51825,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51825,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51825,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51825,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51825,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51825,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51825,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51825,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51825,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51825,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51825,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51825,S000000,00100,0200,06/01/2000 51825,S200000,00100,0100,13033 SE HOLGATE BLVD. 51825,S200000,00200,0100,PORTLAND 51825,S200000,00200,0200,OR 51825,S200000,00200,0300,97236- 51825,S200000,00300,0100,MULTNOMAH 51825,S200000,00300,0200,6440 51825,S200000,00300,0300,U 51825,S200000,00400,0100,MARQUIS CARE AT POWELLHURST 51825,S200000,00400,0200,385214 51825,S200000,00400,0300,03/01/1990 51825,S200000,00400,0500,P 51825,S200000,01500,0100,Y 51836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51836,A000000,00300,0000,00300EMPLOYEE BENEFITS 51836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51836,A000000,00700,0000,00700HOUSEKEEPING 51836,A000000,00800,0000,00800DIETARY 51836,A000000,00900,0000,00900NURSING ADMINISTRATION 51836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51836,A000000,01300,0000,01300SOCIAL SERVICE 51836,A000000,01600,0000,01600SKILLED NURSING FACILITY 51836,A000000,01800,0000,01800NURSING FACILITY 51836,A000000,01900,0000,01900OTHER LONG TERM CARE 51836,A000000,02100,0000,02100RADIOLOGY 51836,A000000,02200,0000,02200LABORATORY 51836,A000000,02300,0000,02300INTRAVENOUS THERAPY 51836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51836,A000000,02500,0000,02500PHYSICAL THERAPY 51836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51836,A000000,02700,0000,02700SPEECH PATHOLOGY 51836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51836,A000000,03200,0000,03200SUPPORT SURFACES 51836,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51836,A000000,05300,0000,05300INTEREST EXPENSE 51836,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51836,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51836,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51836,A000000,06200,0000,06200PATIENTS LAUNDRY 51836,A81000A,00100,0100,Y 51836,A81000B,00100,0300,A & G 51836,A81000B,00200,0300,PT 51836,A81000B,00300,0300,OT 51836,A81000B,00400,0300,ST 51836,A81000C,00100,0100,D 51836,A81000C,00100,0200,ANDY MARTINI 51836,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51836,A81000C,00100,0600,MANAGEMENT SERVICE 51836,A81000C,00200,0100,B 51836,A81000C,00200,0200,EVERGREEN HEALTHCARE 51836,A81000C,00200,0400,EVERGREEN ANCILLARY 51836,A81000C,00200,0600,THERAPY SERVICE 51836,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51836,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51836,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51836,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51836,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51836,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51836,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51836,B100000,00000,0800,00000MEALS SERVED :DIETARY 51836,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51836,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51836,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51836,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51836,S000000,00100,0200,06/02/2000 51836,S200000,00100,0100,1778 NE CORNELL RD 51836,S200000,00200,0100,HILLSBORO 51836,S200000,00200,0200,OR 51836,S200000,00200,0300,97123- 51836,S200000,00300,0100,WASHINGTON 51836,S200000,00400,0100,EVERGREEN HILLSBORO HLTH & REHAB CTR 51836,S200000,00400,0200,385217 51836,S200000,00400,0300,01/01/1967 51836,S200000,00400,0500,P 51836,S200000,01600,0100,Y 51844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51844,A000000,00300,0000,00300EMPLOYEE BENEFITS 51844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51844,A000000,00700,0000,00700HOUSEKEEPING 51844,A000000,00800,0000,00800DIETARY 51844,A000000,00900,0000,00900NURSING ADMINISTRATION 51844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51844,A000000,01300,0000,01300SOCIAL SERVICE 51844,A000000,01350,0000,01500ACTIVITIES 51844,A000000,01600,0000,01600SKILLED NURSING FACILITY 51844,A000000,01800,0000,01800NURSING FACILITY 51844,A000000,02100,0000,02100RADIOLOGY 51844,A000000,02200,0000,02200LABORATORY 51844,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51844,A000000,02500,0000,02500PHYSICAL THERAPY 51844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51844,A000000,02700,0000,02700SPEECH PATHOLOGY 51844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51844,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51844,A000000,03200,0000,03200SUPPORT SURFACES 51844,A000000,04800,0000,04800AMBULANCE 51844,A000000,05300,0000,05300INTEREST EXPENSE 51844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51844,A81000A,00100,0100,Y 51844,A81000B,00100,0300,PHYSICAL THERAPY 51844,A81000B,00200,0300,OCCUPATIONAL THERAPY 51844,A81000B,00300,0300,SPEECH THERAPY 51844,A81000B,00400,0300,REMOVE MNGT FEES 51844,A81000B,00500,0300,ALLOCATE HOME OFC EXP 51844,A81000C,00100,0100,A 51844,A81000C,00100,0200,P.FOGG/G.WART 51844,A81000C,00100,0400,MARQUIS 51844,A81000C,00100,0600,HOME OFFICE 51844,A81000C,00200,0100,A 51844,A81000C,00200,0200,P.FOGG/G.WART 51844,A81000C,00200,0400,RSI 51844,A81000C,00200,0600,REHAB 51844,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51844,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51844,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51844,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51844,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51844,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51844,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51844,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51844,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51844,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51844,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51844,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51844,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51844,S000000,00100,0200,06/01/2000 51844,S200000,00100,0100,6010 SW SHATTUCK ROAD 51844,S200000,00200,0100,PORTLAND 51844,S200000,00200,0200,OR 51844,S200000,00200,0300,97221- 51844,S200000,00300,0100,MULTNOMAH 51844,S200000,00400,0100,MARQUIS CARE AT VERMONT HILLS 51844,S200000,00400,0200,385218 51844,S200000,00400,0300,04/19/1990 51844,S200000,00400,0500,P 51844,S200000,01500,0100,Y 51852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51852,A000000,00300,0000,00300EMPLOYEE BENEFITS 51852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51852,A000000,00700,0000,00700HOUSEKEEPING 51852,A000000,00800,0000,00800DIETARY 51852,A000000,00900,0000,00900NURSING ADMINISTRATION 51852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51852,A000000,01300,0000,01300SOCIAL SERVICE 51852,A000000,01600,0000,01600SKILLED NURSING FACILITY 51852,A000000,01800,0000,01800NURSING FACILITY 51852,A000000,02100,0000,02100RADIOLOGY 51852,A000000,02200,0000,02200LABORATORY 51852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51852,A000000,02500,0000,02500PHYSICAL THERAPY 51852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51852,A000000,02700,0000,02700SPEECH PATHOLOGY 51852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51852,A000000,06150,0000,06300HOME OFFICE 51852,A81000A,00100,0100,Y 51852,A81000B,00100,0300,BUILDING COSTS 51852,A81000B,00200,0300,HOME OFFICE COSTS 51852,A81000B,00300,0300,HOME OFFICE COSTS 51852,A81000B,00400,0300,HOME OFFICE INTEREST INCOME 51852,A81000C,00100,0100,A 51852,A81000C,00100,0200,DANNY MAR 51852,A81000C,00100,0400,DANNY MAR 51852,A81000C,00100,0600,REAL ESTATE 51852,A81000C,00200,0100,A 51852,A81000C,00200,0200,DANNY MAR 51852,A81000C,00200,0400,CASCADE HEALTH 51852,A81000C,00200,0600,HOME OFFICE 51852,A81000C,00300,0100,A 51852,A81000C,00300,0200,DANNY MAR 51852,A81000C,00300,0400,CASCADE HEALTH 51852,A81000C,00300,0600,HOME OFFICE 51852,A81000C,00400,0100,A 51852,A81000C,00400,0200,DANNY MAR 51852,A81000C,00400,0400,CASCADE HEALTH 51852,A81000C,00400,0600,HOME OFFICE 51852,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51852,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51852,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51852,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51852,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51852,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51852,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51852,B100000,00000,0800,00000MEALS SERVED :DIETARY 51852,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51852,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51852,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51852,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51852,S000000,00100,0200,06/02/2000 51852,S200000,00100,0100,805 SE 19TH AVENUE 51852,S200000,00200,0100,ALBANY 51852,S200000,00200,0200,OR 51852,S200000,00200,0300,97321- 51852,S200000,00300,0100,LINN 51852,S200000,00400,0100,ALBANY CARE CENTER 51852,S200000,00400,0200,385220 51852,S200000,00400,0300,06/13/1990 51852,S200000,00400,0500,P 51852,S200000,01600,0100,Y 51861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51861,A000000,00300,0000,00300EMPLOYEE BENEFITS 51861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51861,A000000,00700,0000,00700HOUSEKEEPING 51861,A000000,00800,0000,00800DIETARY 51861,A000000,00900,0000,00900NURSING ADMINISTRATION 51861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51861,A000000,01300,0000,01300SOCIAL SERVICE 51861,A000000,01350,0000,01500ACTIVITIES 51861,A000000,01600,0000,01600SKILLED NURSING FACILITY 51861,A000000,01800,0000,01800NURSING FACILITY 51861,A000000,02100,0000,02100RADIOLOGY 51861,A000000,02200,0000,02200LABORATORY 51861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51861,A000000,02500,0000,02500PHYSICAL THERAPY 51861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51861,A000000,02700,0000,02700SPEECH PATHOLOGY 51861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51861,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 51861,A000000,03200,0000,03200SUPPORT SURFACES 51861,A000000,04800,0000,04800AMBULANCE 51861,A000000,05300,0000,05300INTEREST EXPENSE 51861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51861,A81000A,00100,0100,Y 51861,A81000B,00100,0300,PHYSICAL THERAPY 51861,A81000B,00200,0300,OCCUPATIONAL THERAPY 51861,A81000B,00300,0300,SPEECH THERAPY 51861,A81000B,00400,0300,REMOVE MNGT FEES 51861,A81000B,00500,0300,HOME OFC ALLOCATIONS 51861,A81000C,00100,0100,A 51861,A81000C,00100,0200,P.FOGG/G.WART 51861,A81000C,00100,0400,MARQUIS 51861,A81000C,00100,0600,HOME OFFICE 51861,A81000C,00200,0100,A 51861,A81000C,00200,0200,P.FOGG/G.WART 51861,A81000C,00200,0400,RSI 51861,A81000C,00200,0600,REHAB 51861,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51861,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51861,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51861,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51861,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51861,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51861,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51861,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51861,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51861,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51861,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51861,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51861,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51861,S000000,00100,0200,06/01/2000 51861,S200000,00100,0100,1680 MOLLALA AVENUE 51861,S200000,00200,0100,OREGON CITY 51861,S200000,00200,0200,OR 51861,S200000,00200,0300,97045- 51861,S200000,00300,0100,CLACKAMAS 51861,S200000,00300,0200,6440 51861,S200000,00300,0300,U 51861,S200000,00400,0100,MARQUIS CARE AT OREGON CITY 51861,S200000,00400,0200,385221 51861,S200000,00400,0300,10/16/1990 51861,S200000,00400,0500,P 51861,S200000,01500,0100,Y 51871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51871,A000000,00300,0000,00300EMPLOYEE BENEFITS 51871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51871,A000000,00700,0000,00700HOUSEKEEPING 51871,A000000,00800,0000,00800DIETARY 51871,A000000,00900,0000,00900NURSING ADMINISTRATION 51871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51871,A000000,01300,0000,01300SOCIAL SERVICE 51871,A000000,01600,0000,01600SKILLED NURSING FACILITY 51871,A000000,01800,0000,01800NURSING FACILITY 51871,A000000,01900,0000,01900OTHER LONG TERM CARE 51871,A000000,02100,0000,02100RADIOLOGY 51871,A000000,02200,0000,02200LABORATORY 51871,A000000,02300,0000,02300INTRAVENOUS THERAPY 51871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51871,A000000,02500,0000,02500PHYSICAL THERAPY 51871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51871,A000000,02700,0000,02700SPEECH PATHOLOGY 51871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51871,A000000,03200,0000,03200SUPPORT SURFACES 51871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51871,A000000,05300,0000,05300INTEREST EXPENSE 51871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51871,A000000,06200,0000,06200PATIENTS LAUNDRY 51871,A81000A,00100,0100,Y 51871,A81000B,00100,0300,A & G 51871,A81000B,00200,0300,PT 51871,A81000B,00300,0300,OT 51871,A81000B,00400,0300,ST 51871,A81000B,00500,0300,CAP.REL.BLDG & FIX 51871,A81000B,00600,0300,CAP.REL.MOV.EQUIP 51871,A81000B,00700,0300,INTEREST 51871,A81000C,00100,0100,D 51871,A81000C,00100,0200,ANDY MARTINI 51871,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51871,A81000C,00100,0600,MANAGEMENT SERVICE 51871,A81000C,00200,0100,B 51871,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 51871,A81000C,00200,0400,EVERGREEN ANCILLARY 51871,A81000C,00200,0600,THERAPY SERVICE 51871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51871,B100000,00000,0800,00000MEALS SERVED :DIETARY 51871,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51871,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51871,E10A180,00501,0100,07/24/2000 51871,E10A180,00501,0300,07/24/2000 51871,S000000,00100,0200,06/02/2000 51871,S200000,00100,0100,820 COTTAGE ST 51871,S200000,00200,0100,SALEM 51871,S200000,00200,0200,OR 51871,S200000,00200,0300,97301- 51871,S200000,00300,0100,MARION 51871,S200000,00400,0100,EVERGREEN WINDSOR HEALTH & REHAB CTR 51871,S200000,00400,0200,385224 51871,S200000,00400,0300,07/03/1991 51871,S200000,00400,0500,P 51871,S200000,01600,0100,Y 51880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51880,A000000,00300,0000,00300EMPLOYEE BENEFITS 51880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51880,A000000,00700,0000,00700HOUSEKEEPING 51880,A000000,00800,0000,00800DIETARY 51880,A000000,00900,0000,00900NURSING ADMINISTRATION 51880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51880,A000000,01300,0000,01300SOCIAL SERVICE 51880,A000000,01600,0000,01600SKILLED NURSING FACILITY 51880,A000000,01800,0000,01800NURSING FACILITY 51880,A000000,02100,0000,02100RADIOLOGY 51880,A000000,02200,0000,02200LABORATORY 51880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51880,A000000,02500,0000,02500PHYSICAL THERAPY 51880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51880,A000000,02700,0000,02700SPEECH PATHOLOGY 51880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51880,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51880,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51880,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51880,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51880,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51880,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51880,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51880,A000000,04400,0000,04400DME RENTED - HHA 51880,A000000,04500,0000,04500DME SOLD - HHA 51880,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51880,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51880,A000000,04800,0000,04800AMBULANCE 51880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51880,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51880,A81000A,00100,0100,Y 51880,A81000B,00100,0300,HOME OFFICE COSTS 51880,A81000B,00200,0300,HOME OFFICE COSTS 51880,A81000B,00300,0300,HOME OFFICE COSTS 51880,A81000B,00400,0300,BUIDING DEPRECIATION & INTEREST 51880,A81000B,00500,0300,EQUIPMENT DEPRECIATION & INTEREST 51880,A81000C,00100,0100,A 51880,A81000C,00100,0200,T. ARMAGNO 51880,A81000C,00100,0400,NORTHWEST COUNT 51880,A81000C,00100,0600,HOME OFFICE 51880,A81000C,00200,0100,C 51880,A81000C,00200,0200,NORTHWEST COUNT 51880,A81000C,00200,0400,MCMINNVILLE COU 51880,A81000C,00200,0600,REAL ESTATE 51880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51880,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51880,B100000,00000,0800,00000MEALS SERVED :DIETARY 51880,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51880,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51880,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51880,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51880,E10A180,00501,0300,07/26/2000 51880,H510100,00000,0000,6440 51880,H510100,02400,0000,6440 51880,H710000,00501,0100,07/26/1999 51880,H710000,00501,0300,07/26/1999 51880,S000000,00100,0200,06/13/2000 51880,S200000,00100,0100,421 SOUTH EVANS 51880,S200000,00200,0100,MCMINNVILLE 51880,S200000,00200,0200,OR 51880,S200000,00200,0300,97128- 51880,S200000,00300,0100,YAMHILL 51880,S200000,00400,0100,OAKWOOD COUNTRY PLACE 51880,S200000,00400,0200,385225 51880,S200000,00400,0300,10/01/1991 51880,S200000,00400,0500,P 51880,S200000,00800,0200,387108 51880,S200000,00800,0300,07/07/1992 51880,S200000,00800,0500,P 51880,S200000,01600,0100,Y 51889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51889,A000000,00300,0000,00300EMPLOYEE BENEFITS 51889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51889,A000000,00700,0000,00700HOUSEKEEPING 51889,A000000,00800,0000,00800DIETARY 51889,A000000,00900,0000,00900NURSING ADMINISTRATION 51889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51889,A000000,01300,0000,01300SOCIAL SERVICE 51889,A000000,01600,0000,01600SKILLED NURSING FACILITY 51889,A000000,01800,0000,01800NURSING FACILITY 51889,A000000,01900,0000,01900OTHER LONG TERM CARE 51889,A000000,02100,0000,02100RADIOLOGY 51889,A000000,02200,0000,02200LABORATORY 51889,A000000,02300,0000,02300INTRAVENOUS THERAPY 51889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51889,A000000,02500,0000,02500PHYSICAL THERAPY 51889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51889,A000000,02700,0000,02700SPEECH PATHOLOGY 51889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51889,A000000,03200,0000,03200SUPPORT SURFACES 51889,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51889,A000000,05300,0000,05300INTEREST EXPENSE 51889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51889,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51889,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51889,A000000,06200,0000,06200PATIENTS LAUNDRY 51889,A81000A,00100,0100,Y 51889,A81000B,00100,0300,H.O. RELATED A & G 51889,A81000B,00200,0300,PT 51889,A81000B,00300,0300,OT 51889,A81000B,00400,0300,ST 51889,A81000B,00500,0300,H.O. COSTS 51889,A81000B,00600,0300,H.O. COSTS 51889,A81000B,00700,0300,H.O. RELATED INTEREST 51889,A81000C,00100,0100,D 51889,A81000C,00100,0200,ANDY MARTINI 51889,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 51889,A81000C,00100,0600,MANAGEMENT SERVICE 51889,A81000C,00200,0100,B 51889,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 51889,A81000C,00200,0400,EVERGREEN ANCILLARY 51889,A81000C,00200,0600,THERAPY SERVICE 51889,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51889,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51889,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51889,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51889,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51889,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51889,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51889,B100000,00000,0800,00000MEALS SERVED :DIETARY 51889,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 51889,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51889,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51889,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51889,S000000,00100,0200,06/02/2000 51889,S200000,00100,0100,12441 SE STARK 51889,S200000,00200,0100,PORTLAND 51889,S200000,00200,0200,OR 51889,S200000,00200,0300,97233- 51889,S200000,00300,0100,MULTNOMAH 51889,S200000,00300,0200,6440 51889,S200000,00300,0300,U 51889,S200000,00400,0100,KARRINGTON HEALTH & REHAB 51889,S200000,00400,0200,385228 51889,S200000,00400,0300,01/01/1992 51889,S200000,00400,0500,P 51889,S200000,01600,0100,Y 51898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51898,A000000,00300,0000,00300EMPLOYEE BENEFITS 51898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51898,A000000,00700,0000,00700HOUSEKEEPING 51898,A000000,00800,0000,00800DIETARY 51898,A000000,00900,0000,00900NURSING ADMINISTRATION 51898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51898,A000000,01100,0000,01100PHARMACY 51898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51898,A000000,01300,0000,01300SOCIAL SERVICE 51898,A000000,01350,0000,01500OTHER GENERAL SERVICES 51898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51898,A000000,01600,0000,01600SKILLED NURSING FACILITY 51898,A000000,01800,0000,01800NURSING FACILITY 51898,A000000,01810,0000,01801ICF/MR 51898,A000000,01900,0000,01900OTHER LONG TERM CARE 51898,A000000,02100,0000,02100RADIOLOGY 51898,A000000,02200,0000,02200LABORATORY 51898,A000000,02300,0000,02300INTRAVENOUS THERAPY 51898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51898,A000000,02500,0000,02500PHYSICAL THERAPY 51898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51898,A000000,02700,0000,02700SPEECH PATHOLOGY 51898,A000000,02800,0000,02800ELECTROCARDIOLOGY 51898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51898,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51898,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51898,A000000,03200,0000,03200SUPPORT SURFACES 51898,A000000,03400,0000,03400CLINIC 51898,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51898,A000000,03500,0000,03500RURAL HEALTH CLINIC 51898,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51898,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51898,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51898,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51898,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51898,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51898,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51898,A000000,04400,0000,04400DME RENTED - HHA 51898,A000000,04500,0000,04500DME SOLD - HHA 51898,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51898,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51898,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51898,A000000,04800,0000,04800AMBULANCE 51898,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51898,A000000,05000,0000,05000CORF 51898,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51898,A000000,05300,0000,05300INTEREST EXPENSE 51898,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51898,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51898,A000000,05500,0000,05500HOSPICE 51898,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51898,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51898,A000000,06100,0000,06100NONPAID WORKERS 51898,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51898,A000000,06200,0000,06200PATIENTS LAUNDRY 51898,A81000A,00100,0100,Y 51898,A81000B,00100,0300,MANAGEMENT FEES 51898,A81000B,00200,0300,AREA FINANCE MANAGER 51898,A81000B,00300,0300,HOME OFFICE CONSULTANT 51898,A81000B,00400,0300,HOME OFFICE CONSULTANT 51898,A81000B,00500,0300,HOME OFFICE CONSULTANT 51898,A81000B,00600,0300,BUILDING LEASE EXPENSE 51898,A81000B,00700,0300,BUILDING INTEREST 51898,A81000B,00800,0300,BUILDING DEPRECIATION 51898,A81000B,00900,0300,MOVEABLE EQUIP DEPRECIATION 51898,A81000B,01000,0300,A&G ACCTING AND AMORTIZATION 51898,A81000C,00100,0100,A 51898,A81000C,00100,0200,RICK MILLER 51898,A81000C,00100,0400,AVAMERE 51898,A81000C,00100,0600,MANAGEMENT SERVICE 51898,A81000C,00200,0100,A 51898,A81000C,00200,0200,RICK DILLON 51898,A81000C,00200,0400,AVAMERE 51898,A81000C,00200,0600,MANAGEMENT SERVICE 51898,A81000C,00300,0100,A 51898,A81000C,00300,0200,RICK MILLER 51898,A81000C,00300,0400,MILLER/DILLON PARTNERSHIP 51898,A81000C,00300,0600,PROPERTY LESSOR 51898,A81000C,00400,0100,A 51898,A81000C,00400,0200,RICK DILLON 51898,A81000C,00400,0400,MILLER/DILLON PARTNERSHIP 51898,A81000C,00400,0600,PROPERTY LESSOR 51898,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51898,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51898,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51898,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51898,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51898,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51898,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51898,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51898,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51898,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51898,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51898,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51898,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51898,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51898,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51898,E10A180,00550,0300,08/11/2000 51898,S000000,00100,0200,05/31/2000 51898,S200000,00100,0100,530 BIRCH STREET 51898,S200000,00200,0100,JUNCTION CITY 51898,S200000,00200,0200,OR 51898,S200000,00200,0300,97448- 51898,S200000,00300,0100,LANE 51898,S200000,00400,0100,JUNCTION CITY REHAB & SPECIALITY CAR 51898,S200000,00400,0200,385229 51898,S200000,00400,0300,01/29/1992 51898,S200000,00400,0500,P 51898,S200000,01500,0100,Y 51907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51907,A000000,00300,0000,00300EMPLOYEE BENEFITS 51907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51907,A000000,00700,0000,00700HOUSEKEEPING 51907,A000000,00800,0000,00800DIETARY 51907,A000000,00900,0000,00900NURSING ADMINISTRATION 51907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51907,A000000,01300,0000,01300SOCIAL SERVICE 51907,A000000,01600,0000,01600SKILLED NURSING FACILITY 51907,A000000,01800,0000,01800NURSING FACILITY 51907,A000000,02100,0000,02100RADIOLOGY 51907,A000000,02200,0000,02200LABORATORY 51907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51907,A000000,02500,0000,02500PHYSICAL THERAPY 51907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51907,A000000,02700,0000,02700SPEECH PATHOLOGY 51907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51907,A81000A,00100,0100,Y 51907,A81000B,00100,0300,BUILDING DEPRECIATION 51907,A81000B,00200,0300,EQUIPMENT DEPRECIATION 51907,A81000B,00300,0300,LOAN COSTS 51907,A81000B,00400,0300,INTEREST EXPENSE 51907,A81000B,00500,0300,RENT EXPENSE 51907,A81000B,00600,0300,HOME OFFICE COSTS 51907,A81000B,00700,0300,HOME OFFICE COSTS 51907,A81000B,00800,0300,HOME OFFICE COSTS 51907,A81000B,00900,0300,HOME OFFICE-INT EXP 51907,A81000B,01000,0300,HOME OFFICE-MOV EQUIP 51907,A81000C,00100,0100,A 51907,A81000C,00100,0200,OGDEN CUMMINGS 51907,A81000C,00100,0400,HC OF REDMOND 51907,A81000C,00100,0600,REAL ESTATE 51907,A81000C,00200,0100,A 51907,A81000C,00200,0200,AMORY CUMMINGS 51907,A81000C,00200,0400,HC OF REDMOND 51907,A81000C,00200,0600,REAL ESTATE 51907,A81000C,00300,0100,A 51907,A81000C,00300,0200,OGDEN CUMMINGS 51907,A81000C,00300,0400,SUNRIVER LIVING 51907,A81000C,00300,0600,HOME OFFICE 51907,A81000C,00400,0100,A 51907,A81000C,00400,0200,AMORY CUMMINGS 51907,A81000C,00400,0400,SUNRIVER LIVING 51907,A81000C,00400,0600,HOME OFFCIE 51907,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51907,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51907,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51907,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51907,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51907,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51907,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51907,B100000,00000,0800,00000MEALS SERVED :DIETARY 51907,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 51907,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51907,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51907,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51907,E10A180,00301,0100,01/31/2000 51907,E10A180,00501,0100,07/20/2001 51907,E10A180,00501,0300,07/20/2001 51907,E10A180,00550,0300,07/20/2000 51907,S000000,00100,0200,07/12/2000 51907,S200000,00100,0100,3025 SW RESERVIOR DRIVE 51907,S200000,00200,0100,REDMOND 51907,S200000,00200,0200,OR 51907,S200000,00200,0300,97756- 51907,S200000,00300,0100,DESCHUTES 51907,S200000,00300,0200,0038 51907,S200000,00300,0300,R 51907,S200000,00400,0100,REDMOND HEALTH CARE CENTER 51907,S200000,00400,0200,385230 51907,S200000,00400,0300,05/29/1992 51907,S200000,00400,0500,P 51907,S200000,01600,0100,Y 51918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51918,A000000,00300,0000,00300EMPLOYEE BENEFITS 51918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51918,A000000,00700,0000,00700HOUSEKEEPING 51918,A000000,00800,0000,00800DIETARY 51918,A000000,00900,0000,00900NURSING ADMINISTRATION 51918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51918,A000000,01300,0000,01300SOCIAL SERVICE 51918,A000000,01600,0000,01600SKILLED NURSING FACILITY 51918,A000000,01800,0000,01800NURSING FACILITY 51918,A000000,02200,0000,02200LABORATORY 51918,A000000,02300,0000,02300INTRAVENOUS THERAPY 51918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51918,A000000,02500,0000,02500PHYSICAL THERAPY 51918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51918,A000000,02700,0000,02700SPEECH PATHOLOGY 51918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51918,A81000A,00100,0100,Y 51918,A81000B,00100,0300,BUILDING RENTAL 51918,A81000B,00200,0300,DEPRECIATION 51918,A81000B,00300,0300,INTEREST EXPENSE 51918,A81000B,00400,0300,AMORTIZATION 51918,A81000B,00500,0300,PROPERTY TAXES 51918,A81000C,00100,0100,A 51918,A81000C,00100,0200,PAUL & JUDY WITTENBERG 51918,A81000C,00100,0400,TEAM MANAGEMENT 51918,A81000C,00100,0600,REAL ESTATE / INVESTMENTS 51918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51918,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51918,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51918,B100000,00000,0800,00000MEALS SERVED :DIETARY 51918,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51918,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 51918,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51918,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51918,E10A180,00501,0100,07/26/2000 51918,S000000,00100,0200,06/02/2000 51918,S200000,00100,0100,5210 RIVER ROAD 51918,S200000,00200,0100,SALEM 51918,S200000,00200,0200,OR 51918,S200000,00200,0300,97303- 51918,S200000,00300,0100,MARION 51918,S200000,00300,0200,7080 51918,S200000,00300,0300,U 51918,S200000,00400,0100,KEIZER RETIREMENT COMMUNITY 51918,S200000,00400,0200,385233 51918,S200000,00400,0300,01/01/1993 51918,S200000,00400,0500,P 51918,S200000,01600,0100,Y 51926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51926,A000000,00300,0000,00300EMPLOYEE BENEFITS 51926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51926,A000000,00700,0000,00700HOUSEKEEPING 51926,A000000,00800,0000,00800DIETARY 51926,A000000,00900,0000,00900NURSING ADMINISTRATION 51926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51926,A000000,01100,0000,01100PHARMACY 51926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51926,A000000,01300,0000,01300SOCIAL SERVICE 51926,A000000,01350,0000,01500OTHER GENERAL SERVICES 51926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51926,A000000,01600,0000,01600SKILLED NURSING FACILITY 51926,A000000,01800,0000,01800NURSING FACILITY 51926,A000000,01810,0000,01810ICF/MR 51926,A000000,01900,0000,01900OTHER LONG TERM CARE 51926,A000000,02100,0000,02100RADIOLOGY 51926,A000000,02200,0000,02200LABORATORY 51926,A000000,02300,0000,02300INTRAVENOUS THERAPY 51926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51926,A000000,02500,0000,02500PHYSICAL THERAPY 51926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51926,A000000,02700,0000,02700SPEECH PATHOLOGY 51926,A000000,02800,0000,02800ELECTROCARDIOLOGY 51926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51926,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51926,A000000,03200,0000,03200SUPPORT SURFACES 51926,A000000,03400,0000,03400CLINIC 51926,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51926,A000000,03500,0000,03500RURAL HEALTH CLINIC 51926,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51926,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51926,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51926,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51926,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51926,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51926,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51926,A000000,04400,0000,04400DME RENTED - HHA 51926,A000000,04500,0000,04500DME SOLD - HHA 51926,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51926,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51926,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51926,A000000,04800,0000,04800AMBULANCE 51926,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51926,A000000,05000,0000,05000CORF 51926,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51926,A000000,05300,0000,05300INTEREST EXPENSE 51926,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51926,A000000,05500,0000,05500HOSPICE 51926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51926,A000000,06100,0000,06100NONPAID WORKERS 51926,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51926,A000000,06200,0000,06200PATIENTS LAUNDRY 51926,A81000A,00100,0100,Y 51926,A81000B,00100,0300,MANAGEMENT FEES 51926,A81000B,00200,0300,AREA FINANCE MANAGER 51926,A81000B,00300,0300,HOME OFFICE CONSULTANT 51926,A81000B,00400,0300,HOME OFFICE CONSULTANT 51926,A81000B,00500,0300,HOME OFFICE CONSULTANT 51926,A81000C,00100,0100,A 51926,A81000C,00100,0200,RICK MILLER 51926,A81000C,00100,0400,AVAMERE 51926,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 51926,A81000C,00200,0100,A 51926,A81000C,00200,0200,RICK DILLON 51926,A81000C,00200,0400,AVAMERE 51926,A81000C,00200,0600,MANAGEMENT & ACCOUNTING 51926,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51926,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51926,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51926,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51926,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51926,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51926,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51926,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51926,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51926,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51926,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51926,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51926,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51926,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51926,E10A180,00550,0300,07/31/2000 51926,S000000,00100,0200,05/31/2000 51926,S200000,00100,0100,4120 KURTH STREET SOUTH 51926,S200000,00200,0100,SALEM 51926,S200000,00200,0200,OR 51926,S200000,00200,0300,97302- 51926,S200000,00300,0100,MARION 51926,S200000,00400,0100,SOUTH SALEM REHAB & SPECIALITY CARE 51926,S200000,00400,0200,385234 51926,S200000,00400,0300,04/01/1993 51926,S200000,00400,0500,P 51926,S200000,01500,0100,Y 51935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51935,A000000,00300,0000,00300EMPLOYEE BENEFITS 51935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51935,A000000,00700,0000,00700HOUSEKEEPING 51935,A000000,00800,0000,00800DIETARY 51935,A000000,00900,0000,00900NURSING ADMINISTRATION 51935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51935,A000000,01300,0000,01300SOCIAL SERVICE 51935,A000000,01350,0000,01500ACTIVITIES 51935,A000000,01600,0000,01600SKILLED NURSING FACILITY 51935,A000000,01800,0000,01800NURSING FACILITY 51935,A000000,01900,0000,01900OTHER LONG TERM CARE 51935,A000000,02100,0000,02100RADIOLOGY 51935,A000000,02200,0000,02200LABORATORY 51935,A000000,02500,0000,02500PHYSICAL THERAPY 51935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51935,A000000,02700,0000,02700SPEECH PATHOLOGY 51935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51935,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51935,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51935,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51935,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51935,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51935,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51935,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51935,A000000,04400,0000,04400DME RENTED - HHA 51935,A000000,04500,0000,04500DME SOLD - HHA 51935,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51935,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51935,A000000,04800,0000,04800AMBULANCE 51935,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51935,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 51935,A81000A,00100,0100,Y 51935,A81000B,00100,0300,INTEREST & DEPRECIATION 51935,A81000B,00200,0300,INTEREST & DEPRECIATION 51935,A81000B,00300,0300,HOME OFFICE COSTS 51935,A81000B,00400,0300,HOME OFFICE COSTS 51935,A81000B,00500,0300,HOME OFFICE COSTS 51935,A81000B,00600,0300,HOME OFFICE COSTS 51935,A81000C,00100,0100,A 51935,A81000C,00100,0200,RW WHITE 51935,A81000C,00100,0400,CLARK & WHITE 51935,A81000C,00100,0600,REAL ESTATE 51935,A81000C,00200,0100,A 51935,A81000C,00200,0200,WHITE FAMILY 51935,A81000C,00200,0400,GENERATIONS LLC 51935,A81000C,00200,0600,HOME OFFICE 51935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51935,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51935,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51935,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51935,B100000,00000,0800,00000MEALS SERVED :DIETARY 51935,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 51935,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51935,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51935,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51935,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 51935,E10A180,00505,0100,11/14/2000 51935,E10A180,00505,0300,11/14/2000 51935,H510100,00000,0000,6440 51935,H510100,02400,0000,6440 51935,H710000,00550,0100,08/14/2000 51935,S000000,00100,0200,06/06/2000 51935,S200000,00100,0100,8607 SE CAUSEY 51935,S200000,00200,0100,PORTLAND 51935,S200000,00200,0200,OR 51935,S200000,00200,0300,97266- 51935,S200000,00300,0100,CLACKAMAS 51935,S200000,00400,0100,TOWN CENTER VILLAGE REHAB 51935,S200000,00400,0200,385236 51935,S200000,00400,0300,04/16/1993 51935,S200000,00400,0500,P 51935,S200000,00800,0200,387127 51935,S200000,00800,0300,01/19/1996 51935,S200000,00800,0500,P 51935,S200000,01600,0100,Y 51935,S200000,04700,0100,Y 51943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51943,A000000,00300,0000,00300EMPLOYEE BENEFITS 51943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51943,A000000,00700,0000,00700HOUSEKEEPING 51943,A000000,00800,0000,00800DIETARY 51943,A000000,00900,0000,00900NURSING ADMINISTRATION 51943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51943,A000000,01300,0000,01300SOCIAL SERVICE 51943,A000000,01600,0000,01600SKILLED NURSING FACILITY 51943,A000000,01800,0000,01800NURSING FACILITY 51943,A000000,01900,0000,01900OTHER LONG TERM CARE 51943,A000000,02100,0000,02100RADIOLOGY 51943,A000000,02200,0000,02200LABORATORY 51943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51943,A000000,02500,0000,02500PHYSICAL THERAPY 51943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51943,A000000,02700,0000,02700SPEECH PATHOLOGY 51943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51943,A000000,04800,0000,04800AMBULANCE 51943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51943,A81000A,00100,0100,Y 51943,A81000B,00100,0300,DEPRECIATION 51943,A81000B,00200,0300,DEPRECIATION 51943,A81000C,00100,0100,A 51943,A81000C,00100,0200,BARBARA ADLER 51943,A81000C,00100,0400,UNITED FRONT 51943,A81000C,00100,0600,PROPERTY OWNER 51943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51943,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51943,B100000,00000,0800,00000MEALS SERVED :DIETARY 51943,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 51943,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51943,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 51943,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51943,S000000,00100,0200,03/02/2000 51943,S200000,00100,0100,5737 N.E. 37TH 51943,S200000,00200,0100,PORTLAND 51943,S200000,00200,0200,OR 51943,S200000,00200,0300,97211- 51943,S200000,00300,0100,MULTNOMAH 51943,S200000,00400,0100,FERNHILL MANOR 51943,S200000,00400,0200,385237 51943,S200000,00400,0300,07/01/1993 51943,S200000,00400,0500,P 51943,S200000,01500,0100,Y 51955,S000000,00100,0200,08/03/1999 51963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51963,A000000,00300,0000,00300EMPLOYEE BENEFITS 51963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51963,A000000,00700,0000,00700HOUSEKEEPING 51963,A000000,00800,0000,00800DIETARY 51963,A000000,00900,0000,00900NURSING ADMINISTRATION 51963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51963,A000000,01100,0000,01100PHARMACY 51963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51963,A000000,01300,0000,01300SOCIAL SERVICE 51963,A000000,01350,0000,01500OTHER GENERAL SERVICES 51963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51963,A000000,01600,0000,01600SKILLED NURSING FACILITY 51963,A000000,01800,0000,01800NURSING FACILITY 51963,A000000,01900,0000,01900OTHER LONG TERM CARE 51963,A000000,02100,0000,02100RADIOLOGY 51963,A000000,02200,0000,02200LABORATORY 51963,A000000,02300,0000,02300INTRAVENOUS THERAPY 51963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51963,A000000,02500,0000,02500PHYSICAL THERAPY 51963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51963,A000000,02700,0000,02700SPEECH PATHOLOGY 51963,A000000,02800,0000,02800ELECTROCARDIOLOGY 51963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51963,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51963,A000000,03200,0000,03200SUPPORT SURFACES 51963,A000000,03400,0000,03400CLINIC 51963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51963,A000000,03500,0000,03500RURAL HEALTH CLINIC 51963,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51963,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51963,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51963,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51963,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51963,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51963,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51963,A000000,04400,0000,04400DME RENTED - HHA 51963,A000000,04500,0000,04500DME SOLD - HHA 51963,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51963,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51963,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51963,A000000,04800,0000,04800AMBULANCE 51963,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51963,A000000,05000,0000,05000CORF 51963,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51963,A000000,05300,0000,05300INTEREST EXPENSE 51963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51963,A000000,05500,0000,05500HOSPICE 51963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51963,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51963,A000000,06100,0000,06100NONPAID WORKERS 51963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51963,A000000,06200,0000,06200PATIENTS LAUNDRY 51963,A81000A,00100,0100,Y 51963,A81000B,00100,0300,MANAGEMENT FEE 51963,A81000B,00200,0300,H.O. MED REC CONSULTANT 51963,A81000B,00300,0300,H.O FINANCE MANAGER 51963,A81000B,00400,0300,H.O. SOC SVC CONSULTANT 51963,A81000C,00100,0100,A 51963,A81000C,00100,0200,RICK MILLER 51963,A81000C,00100,0400,GENESIS HEALTHCARE 51963,A81000C,00100,0600,MANAGEMENT SERVICE 51963,A81000C,00200,0100,A 51963,A81000C,00200,0200,RICK DILLON 51963,A81000C,00200,0400,GENESIS HEALTHCARE 51963,A81000C,00200,0600,MANAGEMENT SERVICE 51963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51963,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51963,B100000,00000,0850,00000PATIENT DAYS :DIETARY 51963,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 51963,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 51963,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 51963,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51963,S000000,00100,0200,05/31/2000 51963,S200000,00100,0100,2625 KOOSBAY BLVD. 51963,S200000,00200,0100,COOS BAY 51963,S200000,00200,0200,OR 51963,S200000,00200,0300,97420- 51963,S200000,00300,0100,COOS 51963,S200000,00300,0200,38 51963,S200000,00300,0300,R 51963,S200000,00400,0100,COOS BAY REHAB & SPECIALITY CARE 51963,S200000,00400,0200,385239 51963,S200000,00400,0300,01/25/1994 51963,S200000,00400,0500,P 51963,S200000,01500,0100,Y 51975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51975,A000000,00300,0000,00300EMPLOYEE BENEFITS 51975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51975,A000000,00700,0000,00700HOUSEKEEPING 51975,A000000,00800,0000,00800DIETARY 51975,A000000,00900,0000,00900NURSING ADMINISTRATION 51975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51975,A000000,01300,0000,01300SOCIAL SERVICE 51975,A000000,01600,0000,01600SKILLED NURSING FACILITY 51975,A000000,01800,0000,01800NURSING FACILITY 51975,A000000,01810,0000,01810ICF/MR 51975,A000000,01900,0000,01900OTHER LONG TERM CARE 51975,A000000,02100,0000,02100RADIOLOGY 51975,A000000,02200,0000,02200LABORATORY 51975,A000000,02300,0000,02300INTRAVENOUS THERAPY 51975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51975,A000000,02500,0000,02500PHYSICAL THERAPY 51975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51975,A000000,02700,0000,02700SPEECH PATHOLOGY 51975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51975,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51975,A000000,06150,0000,06300RESTAURANT 51975,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51975,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51975,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51975,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51975,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51975,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 51975,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51975,B100000,00000,0800,00000MEALS SERVED :DIETARY 51975,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51975,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 51975,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 51975,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 51975,E10A180,00501,0100,07/13/2000 51975,E10A180,00550,0300,07/13/2000 51975,S000000,00100,0200,05/15/2000 51975,S200000,00100,0100,390 CHURCH STREET 51975,S200000,00200,0100,SUBLIMITY 51975,S200000,00200,0200,OR 51975,S200000,00200,0300,97385- 51975,S200000,00300,0100,MARIAN 51975,S200000,00300,0200,7080 51975,S200000,00300,0300,U 51975,S200000,00400,0100,MARIAN RETIREMENT CENTER 51975,S200000,00400,0200,385240 51975,S200000,00400,0300,02/08/1994 51975,S200000,00400,0500,P 51975,S200000,01600,0100,Y 51994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 51994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 51994,A000000,00300,0000,00300EMPLOYEE BENEFITS 51994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 51994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 51994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 51994,A000000,00700,0000,00700HOUSEKEEPING 51994,A000000,00800,0000,00800DIETARY 51994,A000000,00900,0000,00900NURSING ADMINISTRATION 51994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 51994,A000000,01100,0000,01100PHARMACY 51994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 51994,A000000,01300,0000,01300SOCIAL SERVICE 51994,A000000,01350,0000,01500OTHER GENERAL SERVICES 51994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 51994,A000000,01600,0000,01600SKILLED NURSING FACILITY 51994,A000000,01800,0000,01800NURSING FACILITY 51994,A000000,01810,0000,01801ICF/MR 51994,A000000,01900,0000,01900OTHER LONG TERM CARE 51994,A000000,02100,0000,02100RADIOLOGY 51994,A000000,02200,0000,02200LABORATORY 51994,A000000,02300,0000,02300INTRAVENOUS THERAPY 51994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 51994,A000000,02500,0000,02500PHYSICAL THERAPY 51994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 51994,A000000,02700,0000,02700SPEECH PATHOLOGY 51994,A000000,02800,0000,02800ELECTROCARDIOLOGY 51994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 51994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 51994,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 51994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 51994,A000000,03200,0000,03200SUPPORT SURFACES 51994,A000000,03400,0000,03400CLINIC 51994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 51994,A000000,03500,0000,03500RURAL HEALTH CLINIC 51994,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 51994,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 51994,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 51994,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 51994,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 51994,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 51994,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 51994,A000000,04400,0000,04400DME RENTED - HHA 51994,A000000,04500,0000,04500DME SOLD - HHA 51994,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 51994,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 51994,A000000,04750,0000,05100OTHER REIMBURSABLE COST 51994,A000000,04800,0000,04800AMBULANCE 51994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 51994,A000000,05000,0000,05000CORF 51994,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 51994,A000000,05300,0000,05300INTEREST EXPENSE 51994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 51994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 51994,A000000,05500,0000,05500HOSPICE 51994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 51994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 51994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 51994,A000000,06100,0000,06100NONPAID WORKERS 51994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 51994,A000000,06200,0000,06200PATIENTS LAUNDRY 51994,A81000A,00100,0100,Y 51994,A81000B,00100,0300,LEASE EXPENSE 51994,A81000C,00100,0100,A 51994,A81000C,00100,0200,DEREK SALAWAY 51994,A81000C,00100,0600,LESSOR OF REAL PROPERTY 51994,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 51994,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 51994,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 51994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 51994,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 51994,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 51994,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 51994,B100000,00000,0800,00000MEALS SERVED :DIETARY 51994,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 51994,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 51994,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 51994,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 51994,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 51994,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 51994,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 51994,E10A180,00501,0300,06/25/1999 51994,E10A180,00550,0100,06/25/1999 51994,S000000,00100,0200,02/29/2000 51994,S200000,00100,0100,950 NANDINA 51994,S200000,00200,0100,SWEET HOME 51994,S200000,00200,0200,OR 51994,S200000,00200,0300,97386- 51994,S200000,00300,0100,LINN 51994,S200000,00400,0100,TWIN OAKS CARE CENTER 51994,S200000,00400,0200,385242 51994,S200000,00400,0300,04/01/1994 51994,S200000,00400,0500,P 51994,S200000,01500,0100,Y 52004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52004,A000000,00300,0000,00300EMPLOYEE BENEFITS 52004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52004,A000000,00700,0000,00700HOUSEKEEPING 52004,A000000,00800,0000,00800DIETARY 52004,A000000,00900,0000,00900NURSING ADMINISTRATION 52004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52004,A000000,01100,0000,01100PHARMACY 52004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52004,A000000,01300,0000,01300SOCIAL SERVICE 52004,A000000,01301,0000,01301ACTIVITIES 52004,A000000,01600,0000,01600SKILLED NURSING FACILITY 52004,A000000,01800,0000,01800NURSING FACILITY 52004,A000000,01900,0000,01900OTHER LONG TERM CARE 52004,A000000,02100,0000,02100RADIOLOGY 52004,A000000,02200,0000,02200LABORATORY 52004,A000000,02300,0000,02300INTRAVENOUS THERAPY 52004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52004,A000000,02500,0000,02500PHYSICAL THERAPY 52004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52004,A000000,02700,0000,02700SPEECH PATHOLOGY 52004,A000000,02800,0000,02800ELECTROCARDIOLOGY 52004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52004,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52004,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52004,A000000,03200,0000,03200SUPPORT SURFACES 52004,A000000,03400,0000,03400CLINIC 52004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52004,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52004,A000000,04400,0000,04400DME RENTED - HHA 52004,A000000,04500,0000,04500DME SOLD - HHA 52004,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52004,A000000,04800,0000,04800AMBULANCE 52004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52004,A000000,05000,0000,05000CORF 52004,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52004,A000000,05300,0000,05300INTEREST EXPENSE 52004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52004,A000000,05500,0000,05500HOSPICE 52004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52004,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52004,A000000,06100,0000,06100NONPAID WORKERS 52004,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52004,A000000,06200,0000,06200PATIENTS LAUNDRY 52004,A81000A,00100,0100,Y 52004,A81000B,00100,0300,MGMT FEES 52004,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52004,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52004,A81000B,00400,0300,HO ALLOCATION - INTEREST 52004,A81000C,00100,0100,C 52004,A81000C,00100,0400,PRESTIGE CARE 52004,A81000C,00100,0600,HOME OFFICE 52004,A81000C,00200,0100,C 52004,A81000C,00200,0400,PRESTIGE CARE 52004,A81000C,00200,0600,HOME OFFICE 52004,A81000C,00300,0100,C 52004,A81000C,00300,0400,PRESTIGE CARE 52004,A81000C,00300,0600,HOME OFFICE 52004,A81000C,00400,0100,C 52004,A81000C,00400,0400,PRESTIGE CARE 52004,A81000C,00400,0600,HOME OFFICE 52004,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52004,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52004,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52004,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52004,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52004,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52004,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52004,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52004,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52004,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52004,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52004,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52004,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52004,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52004,S000000,00100,0200,02/28/2000 52004,S200000,00100,0100,280 ROWE STREET 52004,S200000,00200,0100,WHEELER 52004,S200000,00200,0200,OR 52004,S200000,00200,0300,97147- 52004,S200000,00300,0100,TILLAMOOK 52004,S200000,00400,0100,NEHALEM VALLEY CARE CENTER 52004,S200000,00400,0200,385244 52004,S200000,00400,0300,05/01/1994 52004,S200000,00400,0500,P 52004,S200000,01600,0100,Y 52013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52013,A000000,00300,0000,00300EMPLOYEE BENEFITS 52013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52013,A000000,00700,0000,00700HOUSEKEEPING 52013,A000000,00800,0000,00800DIETARY 52013,A000000,00900,0000,00900NURSING ADMINISTRATION 52013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52013,A000000,01100,0000,01100PHARMACY 52013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52013,A000000,01300,0000,01300SOCIAL SERVICE 52013,A000000,01301,0000,01301ACTIVITIES 52013,A000000,01600,0000,01600SKILLED NURSING FACILITY 52013,A000000,01800,0000,01800NURSING FACILITY 52013,A000000,01900,0000,01900OTHER LONG TERM CARE 52013,A000000,02100,0000,02100RADIOLOGY 52013,A000000,02200,0000,02200LABORATORY 52013,A000000,02300,0000,02300INTRAVENOUS THERAPY 52013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52013,A000000,02500,0000,02500PHYSICAL THERAPY 52013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52013,A000000,02700,0000,02700SPEECH PATHOLOGY 52013,A000000,02800,0000,02800ELECTROCARDIOLOGY 52013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52013,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52013,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52013,A000000,03200,0000,03200SUPPORT SURFACES 52013,A000000,03400,0000,03400CLINIC 52013,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52013,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52013,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52013,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52013,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52013,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52013,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52013,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52013,A000000,04400,0000,04400DME RENTED - HHA 52013,A000000,04500,0000,04500DME SOLD - HHA 52013,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52013,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52013,A000000,04800,0000,04800AMBULANCE 52013,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52013,A000000,05000,0000,05000CORF 52013,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52013,A000000,05300,0000,05300INTEREST EXPENSE 52013,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52013,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52013,A000000,05500,0000,05500HOSPICE 52013,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52013,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52013,A000000,06100,0000,06100NONPAID WORKERS 52013,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52013,A000000,06200,0000,06200PATIENTS LAUNDRY 52013,A81000A,00100,0100,Y 52013,A81000B,00100,0300,MGMT FEES 52013,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52013,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52013,A81000B,00400,0300,HO ALLOCATION - INTEREST 52013,A81000C,00100,0100,C 52013,A81000C,00100,0400,PRESTIGE CARE 52013,A81000C,00100,0600,HOME OFFICE 52013,A81000C,00200,0100,C 52013,A81000C,00200,0400,PRESTIGE CARE 52013,A81000C,00200,0600,HOME OFFICE 52013,A81000C,00300,0100,C 52013,A81000C,00300,0400,PRESTIGE CARE 52013,A81000C,00300,0600,HOME OFFICE 52013,A81000C,00400,0100,C 52013,A81000C,00400,0400,PRESTIGE CARE 52013,A81000C,00400,0600,HOME OFFICE 52013,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52013,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52013,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52013,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52013,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52013,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52013,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52013,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52013,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52013,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52013,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52013,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52013,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52013,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52013,E10A180,00501,0100,04/17/2000 52013,S000000,00100,0200,02/28/2000 52013,S200000,00100,0100,148 HOOD STREET 52013,S200000,00200,0100,OREGON CITY 52013,S200000,00200,0200,OR 52013,S200000,00200,0300,97045- 52013,S200000,00300,0100,CLACKAMAS 52013,S200000,00300,0200,6440 52013,S200000,00300,0300,U 52013,S200000,00400,0100,OREGON CITY HEALTH CARE CENTER 52013,S200000,00400,0200,385245 52013,S200000,00400,0300,08/31/1989 52013,S200000,00400,0500,P 52013,S200000,01600,0100,Y 52022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52022,A000000,00300,0000,00300EMPLOYEE BENEFITS 52022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52022,A000000,00700,0000,00700HOUSEKEEPING 52022,A000000,00800,0000,00800DIETARY 52022,A000000,00801,0000,00801CAFETERIA 52022,A000000,00900,0000,00900NURSING ADMINISTRATION 52022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52022,A000000,01100,0000,01100PHARMACY 52022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52022,A000000,01300,0000,01300SOCIAL SERVICE 52022,A000000,01350,0000,01500OTHER GENERAL SERVICES 52022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52022,A000000,01600,0000,01600SKILLED NURSING FACILITY 52022,A000000,01800,0000,01800NURSING FACILITY 52022,A000000,01900,0000,01900OTHER LONG TERM CARE 52022,A000000,02100,0000,02100RADIOLOGY 52022,A000000,02200,0000,02200LABORATORY 52022,A000000,02300,0000,02300INTRAVENOUS THERAPY 52022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52022,A000000,02500,0000,02500PHYSICAL THERAPY 52022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52022,A000000,02700,0000,02700SPEECH PATHOLOGY 52022,A000000,02800,0000,02800ELECTROCARDIOLOGY 52022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52022,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52022,A000000,03200,0000,03200SUPPORT SURFACES 52022,A000000,03400,0000,03400CLINIC 52022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52022,A000000,03500,0000,03500RURAL HEALTH CLINIC 52022,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52022,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52022,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52022,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52022,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52022,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52022,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52022,A000000,04400,0000,04400DME RENTED - HHA 52022,A000000,04500,0000,04500DME SOLD - HHA 52022,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52022,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52022,A000000,04800,0000,04800AMBULANCE 52022,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52022,A000000,05000,0000,05000CORF 52022,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52022,A000000,05300,0000,05300INTEREST EXPENSE 52022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52022,A000000,05500,0000,05500HOSPICE 52022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52022,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52022,A000000,06100,0000,06100NONPAID WORKERS 52022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52022,A000000,06151,0000,06301PRIVATE DUTY NURSING 52022,A000000,06200,0000,06200PATIENTS LAUNDRY 52022,A81000A,00100,0100,Y 52022,A81000B,00100,0300,ADMIN & GENERAL 52022,A81000B,00200,0300,NURSING ADMIN 52022,A81000B,00300,0300,EMPLOYEE BENEFITS 52022,A81000B,00400,0300,DIETARY 52022,A81000B,00500,0300,PRS PROPERTY COSTS 52022,A81000B,00600,0300,PRS EQUIPMENT COSTS 52022,A81000C,00100,0100,B 52022,A81000C,00100,0400,PACIFIC RETIREMENT SERVIC 52022,A81000C,00100,0600,HOLDING COMPANY 52022,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 52022,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 52022,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 52022,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 52022,B100000,00000,0650,00001GROSS REV :LAUNDRY & LINEN SERVICE 52022,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 52022,B100000,00000,0800,00001MEALS SERV :DIETARY 52022,B100000,00000,0851,00001FTE :CAFETERIA 52022,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 52022,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 52022,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 52022,E10A180,00501,0300,05/04/2000 52022,E10A180,00550,0100,05/04/2000 52022,H510100,00000,0000,4890 52022,H510100,02400,0000,4890 52022,S000000,00100,0200,02/29/2000 52022,S200000,00100,0100,1200 MIRA MAR 52022,S200000,00200,0100,MEDFORD 52022,S200000,00200,0200,OR 52022,S200000,00200,0300,97504- 52022,S200000,00300,0100,JACKSON 52022,S200000,00300,0200,4890 52022,S200000,00300,0300,U 52022,S200000,00400,0100,ROGUE VALLEY MANOR SNF 52022,S200000,00400,0200,385250 52022,S200000,00400,0300,09/07/1995 52022,S200000,00400,0500,P 52022,S200000,00800,0200,387119 52022,S200000,00800,0300,10/01/1998 52022,S200000,00800,0500,P 52022,S200000,01600,0100,Y 52022,S200000,01900,0100,OTHER 52029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52029,A000000,00300,0000,00300EMPLOYEE BENEFITS 52029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52029,A000000,00700,0000,00700HOUSEKEEPING 52029,A000000,00800,0000,00800DIETARY 52029,A000000,00900,0000,00900NURSING ADMINISTRATION 52029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52029,A000000,01100,0000,01100PHARMACY 52029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52029,A000000,01300,0000,01300SOCIAL SERVICE 52029,A000000,01350,0000,01500OTHER GENERAL SERVICES 52029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52029,A000000,01600,0000,01600SKILLED NURSING FACILITY 52029,A000000,01800,0000,01800NURSING FACILITY 52029,A000000,01900,0000,01900OTHER LONG TERM CARE 52029,A000000,02100,0000,02100RADIOLOGY 52029,A000000,02200,0000,02200LABORATORY 52029,A000000,02300,0000,02300INTRAVENOUS THERAPY 52029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52029,A000000,02500,0000,02500PHYSICAL THERAPY 52029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52029,A000000,02700,0000,02700SPEECH PATHOLOGY 52029,A000000,02800,0000,02800ELECTROCARDIOLOGY 52029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52029,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52029,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52029,A000000,03200,0000,03200SUPPORT SURFACES 52029,A000000,03400,0000,03400CLINIC 52029,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52029,A000000,03500,0000,03500RURAL HEALTH CLINIC 52029,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52029,A000000,04800,0000,04800AMBULANCE 52029,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52029,A000000,05000,0000,05000CORF 52029,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52029,A000000,05300,0000,05300INTEREST EXPENSE 52029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52029,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52029,A000000,05500,0000,05500HOSPICE 52029,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52029,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52029,A000000,06100,0000,06100NONPAID WORKERS 52029,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52029,A000000,06200,0000,06200PATIENTS LAUNDRY 52029,A81000A,00100,0100,Y 52029,A81000B,00100,0300,CAP REL COSTS - BLD LEASE 52029,A81000B,00200,0300,CAP REL COSTS - BLD INTEREST 52029,A81000B,00300,0300,CAP REL COSTS - BLD INTEREST 52029,A81000B,00400,0300,CAP REL COSTS - BLD DEPR. 52029,A81000B,00500,0300,A&G MANAGEMENT FEES 52029,A81000B,00600,0300,AREA FINANCE MANAGER 52029,A81000B,00700,0300,MED REC HOME OFFICE CONSULTANT 52029,A81000B,00800,0300,SS HOME OFFICE CONSULTANT 52029,A81000B,00900,0300,NURSE ADMIN H.O. CONSULTANT 52029,A81000B,01000,0300,DIETARY H.O. CONSULTANT 52029,A81000C,00100,0100,A 52029,A81000C,00100,0200,RICK MILLER 52029,A81000C,00100,0400,GENESIS HEALTHCARE VENTUR 52029,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 52029,A81000C,00200,0100,A 52029,A81000C,00200,0200,RICK DILLON 52029,A81000C,00200,0400,GENESIS HEALTHCARE VENTUR 52029,A81000C,00200,0600,MANAGEMENT & ACCOUNTING 52029,A81000C,00300,0100,A 52029,A81000C,00300,0200,RICK MILLER 52029,A81000C,00300,0400,MILLER / PECKAM PARTNER 52029,A81000C,00300,0600,PROPERTY LESSOR 52029,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52029,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52029,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52029,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52029,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52029,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52029,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52029,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 52029,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 52029,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 52029,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 52029,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52029,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 52029,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 52029,E10A180,00501,0300,07/26/2000 52029,S000000,00100,0200,05/31/2000 52029,S200000,00100,0100,650 S.E. OAK STREET 52029,S200000,00200,0100,HILLSBORO 52029,S200000,00200,0200,OR 52029,S200000,00200,0300,97123- 52029,S200000,00300,0100,WASHINGTON 52029,S200000,00400,0100,HILLSBORO REHAB & SPECIALITY CARE 52029,S200000,00400,0200,385251 52029,S200000,00400,0300,04/01/1996 52029,S200000,00400,0500,P 52029,S200000,01500,0100,Y 52037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52037,A000000,00300,0000,00300EMPLOYEE BENEFITS 52037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52037,A000000,00700,0000,00700HOUSEKEEPING 52037,A000000,00800,0000,00800DIETARY 52037,A000000,00900,0000,00900NURSING ADMINISTRATION 52037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52037,A000000,01300,0000,01300SOCIAL SERVICE 52037,A000000,01600,0000,01600SKILLED NURSING FACILITY 52037,A000000,01800,0000,01800NURSING FACILITY 52037,A000000,02500,0000,02500PHYSICAL THERAPY 52037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52037,A000000,02700,0000,02700SPEECH PATHOLOGY 52037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52037,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52037,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52037,A81000A,00100,0100,Y 52037,A81000B,00100,0300,BUILDING LEASE 52037,A81000B,00200,0300,EQUIPMENT LEASE 52037,A81000B,00300,0300,DEPRECIATION - BUILDING 52037,A81000B,00400,0300,DEPRECIATION - EQUIPMENT 52037,A81000B,00500,0300,REPAIR / MAINTENANCE 52037,A81000B,00600,0300,INTEREST EXPENSE 52037,A81000B,00700,0300,ADMINISTRATOR WAGES 52037,A81000B,00800,0300,COMPTROLLER 52037,A81000B,00900,0300,MANAGEMENT FEES 52037,A81000B,01000,0300,REGISTERED NURSE 52037,A81000B,01100,0300,ACTIVITY/THERAPY EXPENSE 52037,A81000B,01200,0300,NURSING EXPENSE 52037,A81000B,01300,0300,CAPITAL COST HOME OFFICE 52037,A81000C,00100,0100,A 52037,A81000C,00100,0200,FRANK & VIRGINIA MARTYNOW 52037,A81000C,00100,0600,OWNER OF REAL PROPERTY 52037,A81000C,00200,0100,A 52037,A81000C,00200,0200,FRANK & VIRGINIA MARTYNOW 52037,A81000C,00200,0600,HOLDER OF NOTES 52037,A81000C,00300,0100,B 52037,A81000C,00300,0200,MARTYNOWICZ FAMILY CORP 52037,A81000C,00300,0600,MANAGEMENT SERVICE 52037,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52037,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52037,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52037,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52037,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52037,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52037,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52037,B100000,00000,0800,00000MEALS SERVED :DIETARY 52037,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 52037,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 52037,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 52037,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52037,E10A180,00501,0100,04/19/2000 52037,S000000,00100,0200,04/03/2000 52037,S200000,00100,0100,HARMONY HOUSE NURSING HOME 52037,S200000,00200,0100,BEND 52037,S200000,00200,0200,OR 52037,S200000,00200,0300,97701- 52037,S200000,00300,0100,DESCHUTES 52037,S200000,00300,0200,38 52037,S200000,00300,0300,R 52037,S200000,00400,0100,HARMONY HOUSE NURSING HOME 52037,S200000,00400,0200,385253 52037,S200000,00400,0300,11/07/1996 52037,S200000,00400,0500,P 52037,S200000,01600,0100,Y 52043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52043,A000000,00300,0000,00300EMPLOYEE BENEFITS 52043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52043,A000000,00700,0000,00700HOUSEKEEPING 52043,A000000,00800,0000,00800DIETARY 52043,A000000,00900,0000,00900NURSING ADMINISTRATION 52043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52043,A000000,01100,0000,01100PHARMACY 52043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52043,A000000,01300,0000,01300SOCIAL SERVICE 52043,A000000,01350,0000,01500OTHER GENERAL SERVICES 52043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52043,A000000,01600,0000,01600SKILLED NURSING FACILITY 52043,A000000,01800,0000,01800NURSING FACILITY 52043,A000000,01900,0000,01900OTHER LONG TERM CARE 52043,A000000,02100,0000,02100RADIOLOGY 52043,A000000,02200,0000,02200LABORATORY 52043,A000000,02300,0000,02300INTRAVENOUS THERAPY 52043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52043,A000000,02500,0000,02500PHYSICAL THERAPY 52043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52043,A000000,02700,0000,02700SPEECH PATHOLOGY 52043,A000000,02800,0000,02800ELECTROCARDIOLOGY 52043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52043,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52043,A000000,03200,0000,03200SUPPORT SURFACES 52043,A000000,03400,0000,03400CLINIC 52043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52043,A000000,03500,0000,03500RURAL HEALTH CLINIC 52043,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52043,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52043,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52043,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52043,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52043,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52043,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52043,A000000,04400,0000,04400DME RENTED - HHA 52043,A000000,04500,0000,04500DME SOLD - HHA 52043,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52043,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52043,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52043,A000000,04800,0000,04800AMBULANCE 52043,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52043,A000000,05000,0000,05000CORF 52043,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52043,A000000,05300,0000,05300INTEREST EXPENSE 52043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52043,A000000,05500,0000,05500HOSPICE 52043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52043,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52043,A000000,06100,0000,06100NONPAID WORKERS 52043,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52043,A000000,06200,0000,06200PATIENTS LAUNDRY 52043,A81000A,00100,0100,Y 52043,A81000B,00100,0300,HOME OFFICE ALLOCATION 52043,A81000B,00200,0300,PROPERTY LEASE 52043,A81000B,00300,0300,BUILDING & FIXTURES 52043,A81000B,00400,0300,MOVING & EQUIPMENT 52043,A81000B,00500,0300,HOME OFFICE INTEREST EXPENSE 52043,A81000C,00100,0100,A 52043,A81000C,00100,0200,ROBERT M. DECKER 52043,A81000C,00100,0400,WESTCARE MANAGEMENT INC. 52043,A81000C,00100,0600,MANAGEMENT COMPANY 52043,A81000C,00200,0100,A 52043,A81000C,00200,0200,ROBERT M. DECKER 52043,A81000C,00200,0400,MYRTLE POINT PROPERTIES 52043,A81000C,00200,0600,PROPERTY LESSOR 52043,A81000C,00300,0100,A 52043,A81000C,00300,0200,VAN F. MOORE 52043,A81000C,00300,0400,MYRTLE POINT PROPERTIES 52043,A81000C,00300,0600,PROPERTY LESSOR 52043,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52043,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52043,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52043,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52043,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52043,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52043,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52043,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52043,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 52043,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 52043,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 52043,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 52043,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52043,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 52043,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 52043,S000000,00100,0200,06/02/2000 52043,S200000,00100,0100,637 ASH 52043,S200000,00100,0300,576 52043,S200000,00200,0100,MYRTLE POINT 52043,S200000,00200,0200,OR 52043,S200000,00200,0300,97458- 52043,S200000,00300,0100,COOS COUNTY 52043,S200000,00400,0100,MYRTLE POINT CARE CENTER 52043,S200000,00400,0200,385254 52043,S200000,00400,0300,06/03/1997 52043,S200000,00400,0500,P 52043,S200000,00600,0200,800036 52043,S200000,00600,0300,08/01/1992 52043,S200000,00600,0600,P 52043,S200000,01004,0500,O 52043,S200000,01500,0100,Y 52054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52054,A000000,00300,0000,00300EMPLOYEE BENEFITS 52054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52054,A000000,00700,0000,00700HOUSEKEEPING 52054,A000000,00800,0000,00800DIETARY 52054,A000000,00900,0000,00900NURSING ADMINISTRATION 52054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52054,A000000,01100,0000,01100PHARMACY 52054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52054,A000000,01300,0000,01300SOCIAL SERVICE 52054,A000000,01301,0000,01301ACTIVITIES 52054,A000000,01600,0000,01600SKILLED NURSING FACILITY 52054,A000000,01800,0000,01800NURSING FACILITY 52054,A000000,01900,0000,01900OTHER LONG TERM CARE 52054,A000000,02100,0000,02100RADIOLOGY 52054,A000000,02200,0000,02200LABORATORY 52054,A000000,02300,0000,02300INTRAVENOUS THERAPY 52054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52054,A000000,02500,0000,02500PHYSICAL THERAPY 52054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52054,A000000,02700,0000,02700SPEECH PATHOLOGY 52054,A000000,02800,0000,02800ELECTROCARDIOLOGY 52054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52054,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52054,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52054,A000000,03200,0000,03200SUPPORT SURFACES 52054,A000000,03400,0000,03400CLINIC 52054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52054,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52054,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52054,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52054,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52054,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52054,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52054,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52054,A000000,04400,0000,04400DME RENTED - HHA 52054,A000000,04500,0000,04500DME SOLD - HHA 52054,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52054,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52054,A000000,04800,0000,04800AMBULANCE 52054,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52054,A000000,05000,0000,05000CORF 52054,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52054,A000000,05300,0000,05300INTEREST EXPENSE 52054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52054,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52054,A000000,05500,0000,05500HOSPICE 52054,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52054,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52054,A000000,06100,0000,06100NONPAID WORKERS 52054,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52054,A000000,06200,0000,06200PATIENTS LAUNDRY 52054,A81000A,00100,0100,Y 52054,A81000B,00100,0300,MGMT FEES 52054,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52054,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52054,A81000B,00400,0300,HO ALLOCATION - INTEREST 52054,A81000C,00100,0100,C 52054,A81000C,00100,0400,PRESTIGE CARE 52054,A81000C,00100,0600,HOME OFFICE 52054,A81000C,00200,0100,C 52054,A81000C,00200,0400,PRESTIGE CARE 52054,A81000C,00200,0600,HOME OFFICE 52054,A81000C,00300,0100,C 52054,A81000C,00300,0400,PRESTIGE CARE 52054,A81000C,00300,0600,HOME OFFICE 52054,A81000C,00400,0100,C 52054,A81000C,00400,0400,PRESTIGE CARE 52054,A81000C,00400,0600,HOME OFFICE 52054,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52054,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52054,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52054,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52054,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52054,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52054,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52054,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52054,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52054,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52054,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52054,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52054,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52054,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52054,E10A180,00501,0300,04/17/2000 52054,S000000,00100,0200,02/28/2000 52054,S200000,00100,0100,8643 NE BEECH STREET 52054,S200000,00200,0100,PORTLAND 52054,S200000,00200,0200,OR 52054,S200000,00200,0300,97220- 52054,S200000,00300,0100,MULTNOMAH 52054,S200000,00300,0200,6440 52054,S200000,00300,0300,U 52054,S200000,00400,0100,PARK FOREST CARE CENTER 52054,S200000,00400,0200,385258 52054,S200000,00400,0300,06/01/1998 52054,S200000,00400,0500,P 52054,S200000,01600,0100,Y 52060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52060,A000000,00300,0000,00300EMPLOYEE BENEFITS 52060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52060,A000000,00700,0000,00700HOUSEKEEPING 52060,A000000,00800,0000,00800DIETARY 52060,A000000,00900,0000,00900NURSING ADMINISTRATION 52060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52060,A000000,01100,0000,01100PHARMACY 52060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52060,A000000,01300,0000,01300SOCIAL SERVICE 52060,A000000,01350,0000,01500OTHER GENERAL SERVICES 52060,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52060,A000000,01600,0000,01600SKILLED NURSING FACILITY 52060,A000000,01800,0000,01800NURSING FACILITY 52060,A000000,01810,0000,01801ICF/MR 52060,A000000,01900,0000,01900OTHER LONG TERM CARE 52060,A000000,02100,0000,02100RADIOLOGY 52060,A000000,02200,0000,02200LABORATORY 52060,A000000,02300,0000,02300INTRAVENOUS THERAPY 52060,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52060,A000000,02500,0000,02500PHYSICAL THERAPY 52060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52060,A000000,02700,0000,02700SPEECH PATHOLOGY 52060,A000000,02800,0000,02800ELECTROCARDIOLOGY 52060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52060,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52060,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52060,A000000,03200,0000,03200SUPPORT SURFACES 52060,A000000,03400,0000,03400CLINIC 52060,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52060,A000000,03500,0000,03500RURAL HEALTH CLINIC 52060,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52060,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52060,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52060,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52060,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52060,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52060,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52060,A000000,04400,0000,04400DME RENTED - HHA 52060,A000000,04500,0000,04500DME SOLD - HHA 52060,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52060,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52060,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52060,A000000,04800,0000,04800AMBULANCE 52060,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52060,A000000,05000,0000,05000CORF 52060,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52060,A000000,05300,0000,05300INTEREST EXPENSE 52060,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52060,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52060,A000000,05500,0000,05500HOSPICE 52060,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52060,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52060,A000000,06100,0000,06100NONPAID WORKERS 52060,A000000,06150,0000,06300SEMI-INDEPENDENT LIVING 52060,A000000,06151,0000,06301RESIDENTS 52060,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 52060,A000000,06200,0000,06200PATIENTS LAUNDRY 52060,A81000A,00100,0100,Y 52060,A81000B,00100,0300,MANAGEMENT FEES 52060,A81000C,00100,0100,B 52060,A81000C,00100,0400,PACIFIC RETIREMENT SERVIC 52060,A81000C,00100,0600,HOLDING COMPANY 52060,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 52060,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 52060,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 52060,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 52060,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 52060,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 52060,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 52060,B100000,00000,0800,00002MEALS SERVED :DIETARY 52060,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 52060,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 52060,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 52060,B100000,00000,1250,00002GROSS REVENUES :MEDICAL RECORDS & 52060,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 52060,B100000,00000,1350,00002NO STATISTICS :OTHER GENERAL SERVI 52060,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 52060,S000000,00100,0200,08/09/2000 52060,S200000,00100,0100,1300 NE 16TH AVENUE 52060,S200000,00200,0100,PORTLAND 52060,S200000,00200,0200,OR 52060,S200000,00200,0300,97232-1467 52060,S200000,00300,0100,MULTNOMAH 52060,S200000,00400,0100,HOLLADAY PARK PLAZA 52060,S200000,00400,0200,385259 52060,S200000,00400,0300,11/24/1998 52060,S200000,00400,0500,P 52060,S200000,01600,0100,Y 52060,S200000,01900,0100,OTHER 52060,S200000,04300,0100,Y 52065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52065,A000000,00300,0000,00300EMPLOYEE BENEFITS 52065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52065,A000000,00700,0000,00700HOUSEKEEPING 52065,A000000,00800,0000,00800DIETARY 52065,A000000,00900,0000,00900NURSING ADMINISTRATION 52065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52065,A000000,01300,0000,01300SOCIAL SERVICE 52065,A000000,01350,0000,01500ACTIVITIES 52065,A000000,01600,0000,01600SKILLED NURSING FACILITY 52065,A000000,01800,0000,01800NURSING FACILITY 52065,A000000,01900,0000,01900OTHER LONG TERM CARE 52065,A000000,02100,0000,02100RADIOLOGY 52065,A000000,02200,0000,02200LABORATORY 52065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52065,A000000,02500,0000,02500PHYSICAL THERAPY 52065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52065,A000000,02700,0000,02700SPEECH PATHOLOGY 52065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52065,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52065,A000000,03200,0000,03200SUPPORT SURFACES 52065,A000000,05300,0000,05300INTEREST EXPENSE 52065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52065,A81000A,00100,0100,Y 52065,A81000B,00100,0300,PHYSICAL THERAPY 52065,A81000B,00200,0300,OCCUPATIONAL THERAPY 52065,A81000B,00300,0300,SPEECH THERAPY 52065,A81000B,00400,0300,REMOVE MNGT FEES 52065,A81000B,00500,0300,HOME OFFICE ALLOCATIONS 52065,A81000C,00100,0100,A 52065,A81000C,00100,0200,P.FOGG/G.WART 52065,A81000C,00100,0400,MARQUIS 52065,A81000C,00100,0600,HOME OFFICE 52065,A81000C,00200,0100,A 52065,A81000C,00200,0200,P.FOGG/G.WART 52065,A81000C,00200,0400,RSI 52065,A81000C,00200,0600,REHAB 52065,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52065,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52065,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52065,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52065,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52065,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 52065,B100000,00000,0800,00000MEALS SERVED :DIETARY 52065,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52065,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 52065,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52065,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52065,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 52065,S000000,00100,0200,06/01/2000 52065,S200000,00100,0100,1577 S. IVY 52065,S200000,00200,0100,CANBY 52065,S200000,00200,0200,OR 52065,S200000,00200,0300,97013- 52065,S200000,00300,0100,CLACKAMAS 52065,S200000,00300,0200,6440 52065,S200000,00300,0300,U 52065,S200000,00400,0100,MARQUIS CARE AT HOPE VILLAGE 52065,S200000,00400,0200,385260 52065,S200000,00400,0300,09/01/1998 52065,S200000,00400,0500,P 52065,S200000,01500,0100,Y 52074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52074,A000000,00300,0000,00300EMPLOYEE BENEFITS 52074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52074,A000000,00700,0000,00700HOUSEKEEPING 52074,A000000,00800,0000,00800DIETARY 52074,A000000,00900,0000,00900NURSING ADMINISTRATION 52074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52074,A000000,01300,0000,01300SOCIAL SERVICE 52074,A000000,01600,0000,01600SKILLED NURSING FACILITY 52074,A000000,01800,0000,01800NURSING FACILITY 52074,A000000,01900,0000,01900OTHER LONG TERM CARE 52074,A000000,02100,0000,02100RADIOLOGY 52074,A000000,02200,0000,02200LABORATORY 52074,A000000,02300,0000,02300INTRAVENOUS THERAPY 52074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52074,A000000,02500,0000,02500PHYSICAL THERAPY 52074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52074,A000000,02700,0000,02700SPEECH PATHOLOGY 52074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52074,A000000,03200,0000,03200SUPPORT SURFACES 52074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52074,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52074,A000000,05300,0000,05300INTEREST EXPENSE 52074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52074,A000000,06200,0000,06200PATIENTS LAUNDRY 52074,A81000A,00100,0100,Y 52074,A81000B,00100,0300,A & G 52074,A81000B,00200,0300,PHYSICAL THERAPY 52074,A81000B,00300,0300,OCCUPATIONAL THERAPY 52074,A81000B,00400,0300,SPEECH THERAPY 52074,A81000C,00100,0100,D 52074,A81000C,00100,0200,ANDY MARTINI 52074,A81000C,00100,0400,EVERGREEN HEALT 52074,A81000C,00100,0600,MANAGEMENT SERV 52074,A81000C,00200,0100,B 52074,A81000C,00200,0200,EVERGREEN HEALT 52074,A81000C,00200,0400,EVERGREEN ANCIL 52074,A81000C,00200,0600,THERAPY SERVICE 52074,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 52074,B100000,00000,0250,00000SQUARE FEETCAP REL COSTS - MOVAB 52074,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 52074,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 52074,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 52074,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 52074,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 52074,B100000,00000,0800,00000MEALS SERVEDDIETARY 52074,B100000,00000,0900,00000DIRECT NRSGNURSING ADMINISTRATIO 52074,B100000,00000,1000,00000PATIENT DAYSCENTRAL SERVICES & SU 52074,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 52074,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 52074,S000000,00100,0200,06/01/2000 52074,S200000,00100,0100,4600 S HIGHLAND DRIVE 52074,S200000,00200,0100,SALT LAKE CITY 52074,S200000,00200,0200,UT 52074,S200000,00200,0300,84117- 52074,S200000,00300,0100,SALT LAKE 52074,S200000,00300,0300,U 52074,S200000,00400,0100,EVERGREEN CANYONS 52074,S200000,00400,0200,465049 52074,S200000,00400,0300,10/01/1993 52074,S200000,00400,0500,P 52074,S200000,01600,0100,Y 52074,S200000,01900,0100,N 52074,S700003,00000,0100,1 52081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52081,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 52081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52081,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 52081,A000000,00300,0000,00300EMPLOYEE BENEFITS 52081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52081,A000000,00700,0000,00700HOUSEKEEPING 52081,A000000,00800,0000,00800DIETARY 52081,A000000,00801,0000,00801CAFETERIA 52081,A000000,00900,0000,00900NURSING ADMINISTRATION 52081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52081,A000000,01100,0000,01100PHARMACY 52081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52081,A000000,01300,0000,01300SOCIAL SERVICE 52081,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52081,A000000,01600,0000,01600SKILLED NURSING FACILITY 52081,A000000,01800,0000,01800NURSING FACILITY 52081,A000000,01900,0000,01900OTHER LONG TERM CARE 52081,A000000,02100,0000,02100RADIOLOGY 52081,A000000,02200,0000,02200LABORATORY 52081,A000000,02300,0000,02300INTRAVENOUS THERAPY 52081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52081,A000000,02500,0000,02500PHYSICAL THERAPY 52081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52081,A000000,02700,0000,02700SPEECH PATHOLOGY 52081,A000000,02800,0000,02800ELECTROCARDIOLOGY 52081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52081,A000000,03050,0000,03300OTHER ANCILLARY 52081,A000000,03051,0000,03301OTHER ANCILLARY II 52081,A000000,03052,0000,03302OTHER ANCILLARY III 52081,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52081,A000000,03200,0000,03200SUPPORT SURFACES 52081,A000000,03400,0000,03400CLINIC 52081,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52081,A000000,03500,0000,03500RURAL HEALTH CLINIC 52081,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52081,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52081,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52081,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52081,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52081,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52081,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52081,A000000,04400,0000,04400DME RENTED - HHA 52081,A000000,04500,0000,04500DME SOLD - HHA 52081,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52081,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52081,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52081,A000000,04800,0000,04800AMBULANCE 52081,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52081,A000000,05000,0000,05000CORF 52081,A000000,05010,0000,05010CMHC I 52081,A000000,05020,0000,05020OPT I 52081,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52081,A000000,05300,0000,05300INTEREST EXPENSE 52081,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52081,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52081,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52081,A000000,05500,0000,05500HOSPICE 52081,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52081,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52081,A000000,06100,0000,06100NONPAID WORKERS 52081,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52081,A000000,06200,0000,06200PATIENTS LAUNDRY 52081,A81000A,00100,0100,Y 52081,A81000B,00100,0300,MANAGEMENT FEE 52081,A81000B,00200,0300,ACCOUNTING FEE 52081,A81000C,00100,0100,B 52081,A81000C,00100,0400,HERITAGE MANAGT 52081,A81000C,00100,0600,MANAGEMENT 52081,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 52081,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 52081,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 52081,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 52081,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 52081,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52081,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 52081,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 52081,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 52081,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 52081,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 52081,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 52081,B100000,00000,1000,00000(COSTED REQUIS. ) :CENTRAL SERVICES 52081,B100000,00000,1100,00000(COSTED REQUIS. ) :PHARMACY 52081,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 52081,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 52081,B100000,00000,1350,00000BLANK :OTHER GENERAL SERVICE COST 52081,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 52081,S000000,00100,0200,05/31/2000 52081,S200000,00100,0100,6246 SOUTH REDWOOD ROAD 52081,S200000,00200,0100,SALT LAKE CITY 52081,S200000,00200,0200,UT 52081,S200000,00200,0300,84123- 52081,S200000,00300,0100,SALT LAKE 52081,S200000,00400,0100,HERITAGE BENNION CARE CAENTER 52081,S200000,00400,0200,465066 52081,S200000,00400,0300,07/15/1977 52081,S200000,00400,0500,P 52081,S200000,01500,0100,Y 52081,S200000,04300,0100,Y 52085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52085,A000000,00300,0000,00300EMPLOYEE BENEFITS 52085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52085,A000000,00700,0000,00700HOUSEKEEPING 52085,A000000,00800,0000,00800DIETARY 52085,A000000,00900,0000,00900NURSING ADMINISTRATION 52085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52085,A000000,01100,0000,01100PHARMACY 52085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52085,A000000,01300,0000,01300SOCIAL SERVICE 52085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52085,A000000,01600,0000,01600SKILLED NURSING FACILITY 52085,A000000,01800,0000,01800NURSING FACILITY 52085,A000000,02100,0000,02100RADIOLOGY 52085,A000000,02200,0000,02200LABORATORY 52085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52085,A000000,02500,0000,02500PHYSICAL THERAPY 52085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52085,A000000,02700,0000,02700SPEECH PATHOLOGY 52085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52085,A000000,05000,0000,05000CORF 52085,A000000,05010,0000,05010CMHC 52085,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52085,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52085,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52085,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52085,A81000A,00100,0100,Y 52085,A81000B,00100,0300,MANAGEMENT FEES 52085,A81000C,00100,0100,B 52085,A81000C,00100,0200,UTAH SENIOR SER 52085,A81000C,00100,0400,UTAH SENIOR SER 52085,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 52085,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 52085,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 52085,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52085,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 52085,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 52085,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 52085,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 52085,B100000,00000,0950,00000(NURSING SAL COST) :NURSING ADMINIS 52085,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 52085,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 52085,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 52085,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 52085,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 52085,E10A180,00550,0100,06/20/2000 52085,E10A180,00550,0300,06/20/2000 52085,S000000,00100,0200,06/29/2000 52085,S200000,00100,0100,375 EAST 5350 SOUTH 52085,S200000,00200,0100,WASHINGTON TERRACE 52085,S200000,00200,0200,UT 52085,S200000,00200,0300,84405- 52085,S200000,00300,0100,WEBER 52085,S200000,00400,0100,MT.OGDEN NURSING & REHAB 52085,S200000,00400,0200,465069 52085,S200000,00400,0300,05/01/1986 52085,S200000,00400,0500,P 52085,S200000,00600,0200,465069 52085,S200000,00600,0300,05/01/1986 52085,S200000,00600,0600,P 52085,S200000,01500,0100,Y 52085,S200000,02200,0100,Y 52085,S200000,04300,0100,Y 52087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52087,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 52087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52087,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 52087,A000000,00300,0000,00300EMPLOYEE BENEFITS 52087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52087,A000000,00700,0000,00700HOUSEKEEPING 52087,A000000,00800,0000,00800DIETARY 52087,A000000,00801,0000,00801CAFETERIA 52087,A000000,00900,0000,00900NURSING ADMINISTRATION 52087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52087,A000000,01100,0000,01100PHARMACY 52087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52087,A000000,01300,0000,01300SOCIAL SERVICE 52087,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52087,A000000,01600,0000,01600SKILLED NURSING FACILITY 52087,A000000,01800,0000,01800NURSING FACILITY 52087,A000000,01900,0000,01900OTHER LONG TERM CARE 52087,A000000,02100,0000,02100RADIOLOGY 52087,A000000,02200,0000,02200LABORATORY 52087,A000000,02300,0000,02300INTRAVENOUS THERAPY 52087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52087,A000000,02500,0000,02500PHYSICAL THERAPY 52087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52087,A000000,02700,0000,02700SPEECH PATHOLOGY 52087,A000000,02800,0000,02800ELECTROCARDIOLOGY 52087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52087,A000000,03050,0000,03300INFUSION SERVICES 52087,A000000,03051,0000,03301OTHER ANCILLARY II 52087,A000000,03052,0000,03302OTHER ANCILLARY III 52087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52087,A000000,03200,0000,03200SUPPORT SURFACES 52087,A000000,03400,0000,03400CLINIC 52087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52087,A000000,03500,0000,03500RURAL HEALTH CLINIC 52087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52087,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52087,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52087,A000000,04400,0000,04400DME RENTED - HHA 52087,A000000,04500,0000,04500DME SOLD - HHA 52087,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52087,A000000,04750,0000,05100OSP 52087,A000000,04800,0000,04800AMBULANCE 52087,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52087,A000000,05000,0000,05000CORF 52087,A000000,05010,0000,05010CMHC I 52087,A000000,05020,0000,05020OPT I 52087,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52087,A000000,05300,0000,05300INTEREST EXPENSE 52087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52087,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52087,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52087,A000000,05500,0000,05500HOSPICE 52087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52087,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52087,A000000,06100,0000,06100NONPAID WORKERS 52087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52087,A000000,06200,0000,06200PATIENTS LAUNDRY 52087,A81000A,00100,0100,Y 52087,A81000B,00901,0300,MANAGEMENT FEE 52087,A81000B,00902,0300,ACCOUNTING FEE 52087,A81000C,00100,0100,A 52087,A81000C,00100,0200,RANDY KIRTON 52087,A81000C,00100,0400,HERITAGE MANAGT 52087,A81000C,00100,0600,MANAGEMENT 52087,A81000C,00200,0100,A 52087,A81000C,00200,0200,LEWIS GARRETT 52087,A81000C,00200,0400,HERITAGE MANAGT 52087,A81000C,00200,0600,MANAGEMENT 52087,A81000C,00300,0100,A 52087,A81000C,00300,0200,JOHN MORRIS 52087,A81000C,00300,0400,HERITAGE MANAGT 52087,A81000C,00300,0600,MANAGEMENT 52087,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFITS 52087,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 52087,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAINT 52087,B100000,00000,0650,00000(PATIENT DAYS)LAUNDRY & LINEN SERVI 52087,B100000,00000,0750,00000(SQUARE FEET)HOUSEKEEPING 52087,B100000,00000,0960,00000(NURSING SALARIES)NURSING ADMINISTR 52087,B100000,00000,1000,00000(COSTED REQUIS. )CENTRAL SERVICES & 52087,B100000,00000,1100,00000(COSTED REQUIS. )PHARMACY 52087,B100000,00000,1250,00000(PATIENT DAYS)MEDICAL RECORDS & LIB 52087,B100000,00000,1330,00000(PATIENT DAYS)SOCIAL SERVICE 52087,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 52087,E10A180,00501,0100,07/28/2000 52087,E10A180,00501,0300,07/28/2000 52087,H510100,00000,0000,7160 52087,H510100,02400,0000,7160 52087,H510100,02401,0000,9946 52087,H510200,00000,0000,9946 52087,H710000,00501,0100,07/28/2000 52087,S000000,00100,0200,05/31/2000 52087,S200000,00100,0100,1205 EAST 4725 SOUTH 52087,S200000,00200,0100,SALT LAKE CITY 52087,S200000,00200,0200,UT 52087,S200000,00200,0300,84117 52087,S200000,00300,0100,SALT LAKE 52087,S200000,00300,0300,U 52087,S200000,00400,0100,WILLOW WOOD CARE CENTER 52087,S200000,00400,0200,465074 52087,S200000,00400,0300,02/07/1977 52087,S200000,00400,0500,P 52087,S200000,00800,0200,467095 52087,S200000,00800,0300,10/04/1996 52087,S200000,00800,0500,P 52087,S200000,01500,0100,Y 52087,S200000,01900,0100,N 52087,S200000,02800,0100,Y 52087,S200000,04300,0100,Y 52087,S700003,00000,0100,1 52091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52091,A000000,00300,0000,00300EMPLOYEE BENEFITS 52091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52091,A000000,00700,0000,00700HOUSEKEEPING 52091,A000000,00800,0000,00800DIETARY 52091,A000000,00900,0000,00900NURSING ADMINISTRATION 52091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52091,A000000,01300,0000,01300SOCIAL SERVICE 52091,A000000,01350,0000,01500ACTIVITIES 52091,A000000,01600,0000,01600SKILLED NURSING FACILITY 52091,A000000,01800,0000,01800NURSING FACILITY 52091,A000000,02100,0000,02100RADIOLOGY 52091,A000000,02200,0000,02200LABORATORY 52091,A000000,02300,0000,02300INTRAVENOUS THERAPY 52091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52091,A000000,02500,0000,02500PHYSICAL THERAPY 52091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52091,A000000,02700,0000,02700SPEECH PATHOLOGY 52091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52091,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52091,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52091,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52091,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52091,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52091,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52091,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52091,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52091,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52091,A000000,04800,0000,04800AMBULANCE 52091,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52091,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52091,A81000A,00100,0100,Y 52091,A81000B,00100,0300,SNF POOLED ALLOCATION 52091,A81000B,00200,0300,HHA FUNCTIONAL ALLOCATION 52091,A81000B,00300,0300,MANAGE IT 52091,A81000B,00400,0300,LEASE - EQUIPMENT 52091,A81000C,00100,0100,E 52091,A81000C,00100,0200,ROCKY MOUNTAIN 52091,A81000C,00100,0400,ROCKY MOUNTAIN 52091,A81000C,00100,0600,MANAGEMENT COMP 52091,A81000C,00200,0100,E 52091,A81000C,00200,0200,RMHC HOME CARE 52091,A81000C,00200,0400,RMHC HOME CARE 52091,A81000C,00200,0600,MANAGEMENT COMP 52091,A81000C,00300,0100,E 52091,A81000C,00300,0200,MANAGE IT 52091,A81000C,00300,0400,MANAGE IT 52091,A81000C,00300,0600,LEASING COMPANY 52091,A81000C,00400,0100,E 52091,A81000C,00400,0200,HEALTH CARE LEA 52091,A81000C,00400,0400,HEALTH CARE LEA 52091,A81000C,00400,0600,PAYROLL PROCESS 52091,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52091,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52091,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52091,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52091,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52091,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52091,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52091,B100000,00000,0800,00000MEALS SERVED :DIETARY 52091,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 52091,B100000,00000,1050,00000REVENUE :CENTRAL SERVICES & SUPPL 52091,B100000,00000,1250,00000REVENUE :MEDICAL RECORDS & LIBRAR 52091,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52091,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 52091,E10A180,00501,0100,08/22/2000 52091,E10A180,00550,0300,08/22/2000 52091,S000000,00100,0200,12/31/2000 52091,S200000,00100,0100,4150 WEST 3375 SOUTH 52091,S200000,00200,0100,WEST VALLEY CITY 52091,S200000,00200,0200,UT 52091,S200000,00200,0300,84120- 52091,S200000,00300,0100,SALT LAKE 52091,S200000,00400,0100,ROCKY MOUNTAIN CARE - WEST VALLEY 52091,S200000,00400,0200,465075 52091,S200000,00400,0300,08/01/1980 52091,S200000,00400,0500,P 52091,S200000,01600,0100,Y 52094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52094,A000000,00300,0000,00300EMPLOYEE BENEFITS 52094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52094,A000000,00700,0000,00700HOUSEKEEPING 52094,A000000,00800,0000,00800DIETARY 52094,A000000,00900,0000,00900NURSING ADMINISTRATION 52094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52094,A000000,01100,0000,01100PHARMACY 52094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52094,A000000,01300,0000,01300SOCIAL SERVICE 52094,A000000,01350,0000,01500OTHER GENERAL SERVICES 52094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52094,A000000,01600,0000,01600SKILLED NURSING FACILITY 52094,A000000,01800,0000,01800NURSING FACILITY 52094,A000000,01900,0000,01900OTHER LONG TERM CARE 52094,A000000,02100,0000,02100RADIOLOGY 52094,A000000,02200,0000,02200LABORATORY 52094,A000000,02300,0000,02300INTRAVENOUS THERAPY 52094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52094,A000000,02500,0000,02500PHYSICAL THERAPY 52094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52094,A000000,02700,0000,02700SPEECH PATHOLOGY 52094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52094,A000000,03500,0000,03500RURAL HEALTH CLINIC 52094,A000000,05000,0000,05000CORF 52094,A000000,05010,0000,05010CMHC 52094,A000000,05020,0000,05020OPT 52094,A000000,05030,0000,05030OOT 52094,A000000,05040,0000,05040OSP 52094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52094,A81000A,00100,0100,Y 52094,A81000B,00100,0300,LEASE PAYMENTS 52094,A81000B,00200,0300,EXPENSE ALLOCATION 52094,A81000B,00300,0300,DEPRECIATION 52094,A81000C,00100,0100,A 52094,A81000C,00100,0200,DAYWEST HEALTHCARE 52094,A81000C,00100,0400,DAYWEST HEALTHCARE 52094,A81000C,00100,0600,MANAGEMENT COMPANY 52094,A81000C,00200,0100,B 52094,A81000C,00200,0200,DAYWEST HEALTHCARE 52094,A81000C,00200,0400,DAYWEST HEALTHCARE 52094,A81000C,00200,0600,PROPERTY COMPANY 52094,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 52094,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 52094,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 52094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52094,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 52094,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52094,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 52094,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52094,B100000,00000,0950,00000 DIRECT NRSING HRS:NURSING ADMINIST 52094,B100000,00000,1050,00000 :CENTRAL SERVICES & SUPPLY 52094,B100000,00000,1100,00000 COSTED REQUIS. :PHARMACY 52094,B100000,00000,1250,00000 GROSS REVENUES :MEDICAL RECORDS & 52094,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52094,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 52094,B100000,00000,1400,00000 ASSIGNED TIME :INTERNS & RESIDENTS 52094,S000000,00100,0200,08/26/1999 52094,S200000,00100,0100,4285 HIGHLAND DRIVE 52094,S200000,00200,0100,SALT LAKE CITY 52094,S200000,00200,0200,UT 52094,S200000,00200,0300,84124- 52094,S200000,00300,0100,SALT LAKE 52094,S200000,00400,0100,HIGHLAND CARE CENTER 52094,S200000,00400,0200,465078 52094,S200000,00400,0300,09/17/1981 52094,S200000,00400,0500,P 52094,S200000,00600,0200,465078 52094,S200000,00600,0300,09/17/1981 52094,S200000,00600,0600,P 52094,S200000,01600,0100,Y 52094,S200000,04100,0100,Y 52095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52095,A000000,00300,0000,00300EMPLOYEE BENEFITS 52095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52095,A000000,00700,0000,00700HOUSEKEEPING 52095,A000000,00800,0000,00800DIETARY 52095,A000000,00900,0000,00900NURSING ADMINISTRATION 52095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52095,A000000,01300,0000,01300SOCIAL SERVICE 52095,A000000,01600,0000,01600SKILLED NURSING FACILITY 52095,A000000,01800,0000,01800NURSING FACILITY 52095,A000000,01900,0000,01900OTHER LONG TERM CARE 52095,A000000,02100,0000,02100RADIOLOGY 52095,A000000,02200,0000,02200LABORATORY 52095,A000000,02300,0000,02300INTRAVENOUS THERAPY 52095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52095,A000000,02500,0000,02500PHYSICAL THERAPY 52095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52095,A000000,02700,0000,02700SPEECH PATHOLOGY 52095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52095,A81000A,00100,0100,Y 52095,A81000B,00100,0300,LEASE PAYMENT 52095,A81000B,00200,0300,BLDG & FIXTURE DEPR 52095,A81000B,00300,0300,EQUIPMENT 52095,A81000B,00400,0300,EXPENSE ALLOCATION 52095,A81000C,00100,0100,A 52095,A81000C,00100,0200,DAYWEST HEALTHC 52095,A81000C,00200,0100,A 52095,A81000C,00200,0200,DAYWEST PROPERT 52095,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52095,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52095,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52095,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52095,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52095,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52095,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52095,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 52095,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 52095,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52095,E10A180,00501,0100,01/26/2000 52095,E10A180,00550,0300,01/26/2000 52095,S000000,00100,0200,11/30/1999 52095,S200000,00100,0100,4285 HIGHLAND DRIVE 52095,S200000,00200,0100,SALT LAKE CITY 52095,S200000,00200,0200,UT 52095,S200000,00200,0300,84124- 52095,S200000,00300,0100,SALT LAKE 52095,S200000,00400,0100,HIGHLAND CARE CENTER 52095,S200000,00400,0200,465078 52095,S200000,00400,0300,09/17/1981 52095,S200000,00400,0500,P 52095,S200000,00600,0200,465078 52095,S200000,00600,0300,09/17/1981 52095,S200000,00600,0600,P 52095,S200000,01600,0100,Y 52101,S000000,00100,0200,04/04/2000 52102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52102,A000000,00300,0000,00300EMPLOYEE BENEFITS 52102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52102,A000000,00700,0000,00700HOUSEKEEPING 52102,A000000,00800,0000,00800DIETARY 52102,A000000,00900,0000,00900NURSING ADMINISTRATION 52102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52102,A000000,01300,0000,01300SOCIAL SERVICE 52102,A000000,01600,0000,01600SKILLED NURSING FACILITY 52102,A000000,01800,0000,01800NURSING FACILITY 52102,A000000,02200,0000,02200LABORATORY 52102,A000000,02500,0000,02500PHYSICAL THERAPY 52102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52102,A000000,02700,0000,02700SPEECH PATHOLOGY 52102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52102,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52102,A81000A,00100,0100,Y 52102,A81000B,00100,0300,LEASE PAYMENTS 52102,A81000B,00200,0300,BLDG & FIX DEPR 52102,A81000B,00300,0300,INTEREST EXPENSE 52102,A81000B,00400,0300,EQUIPMENT DEPR 52102,A81000B,00500,0300,EXPENSE ALLOCATION 52102,A81000C,00100,0100,A 52102,A81000C,00100,0200,DAYWEST HEALTHC 52102,A81000C,00100,0400,DAYWEST HEALTHC 52102,A81000C,00100,0600,MANAGEMENT COMP 52102,A81000C,00200,0100,A 52102,A81000C,00200,0200,DAYWEST PROPERT 52102,A81000C,00200,0400,DAYWEST PROPERT 52102,A81000C,00200,0600,INVESTMENT COMP 52102,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52102,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52102,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52102,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52102,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52102,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52102,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52102,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52102,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 52102,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 52102,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52102,E10A180,00501,0100,07/21/2000 52102,E10A180,00501,0300,07/21/2000 52102,E10A180,00550,0300,07/21/2000 52102,S000000,00100,0200,05/25/2000 52102,S200000,00100,0100,1130 37TH STREET 52102,S200000,00200,0100,OGDEN 52102,S200000,00200,0200,UT 52102,S200000,00200,0300,84403- 52102,S200000,00300,0100,WEBER 52102,S200000,00400,0100,CRESTWOOD CARE CENTER 52102,S200000,00400,0200,465083 52102,S200000,00400,0300,01/18/1982 52102,S200000,00400,0500,P 52102,S200000,01500,0100,Y 52117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52117,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 52117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52117,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 52117,A000000,00300,0000,00300EMPLOYEE BENEFITS 52117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52117,A000000,00700,0000,00700HOUSEKEEPING 52117,A000000,00800,0000,00800DIETARY 52117,A000000,00801,0000,00801CAFETERIA 52117,A000000,00900,0000,00900NURSING ADMINISTRATION 52117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52117,A000000,01100,0000,01100PHARMACY 52117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52117,A000000,01300,0000,01300SOCIAL SERVICE 52117,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52117,A000000,01600,0000,01600SKILLED NURSING FACILITY 52117,A000000,01800,0000,01800NURSING FACILITY 52117,A000000,01900,0000,01900OTHER LONG TERM CARE 52117,A000000,02100,0000,02100RADIOLOGY 52117,A000000,02200,0000,02200LABORATORY 52117,A000000,02300,0000,02300INTRAVENOUS THERAPY 52117,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52117,A000000,02500,0000,02500PHYSICAL THERAPY 52117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52117,A000000,02700,0000,02700SPEECH PATHOLOGY 52117,A000000,02800,0000,02800ELECTROCARDIOLOGY 52117,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52117,A000000,03050,0000,03300OTHER ANCILLARY 52117,A000000,03051,0000,03301OTHER ANCILLARY II 52117,A000000,03052,0000,03302OTHER ANCILLARY III 52117,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52117,A000000,03200,0000,03200SUPPORT SURFACES 52117,A000000,03400,0000,03400CLINIC 52117,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52117,A000000,03500,0000,03500RURAL HEALTH CLINIC 52117,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52117,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52117,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52117,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52117,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52117,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52117,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52117,A000000,04400,0000,04400DME RENTED - HHA 52117,A000000,04500,0000,04500DME SOLD - HHA 52117,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52117,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52117,A000000,04750,0000,05100OSP 52117,A000000,04800,0000,04800AMBULANCE 52117,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52117,A000000,05000,0000,05000CORF 52117,A000000,05010,0000,05010CMHC I 52117,A000000,05020,0000,05020OPT I 52117,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52117,A000000,05300,0000,05300INTEREST EXPENSE 52117,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52117,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52117,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52117,A000000,05500,0000,05500HOSPICE 52117,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52117,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52117,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52117,A000000,06100,0000,06100NONPAID WORKERS 52117,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52117,A000000,06200,0000,06200PATIENTS LAUNDRY 52117,A81000A,00100,0100,Y 52117,A81000B,00901,0300,MANAGEMENT FEE 52117,A81000B,00902,0300,ACCOUNTING FEE 52117,A81000B,00903,0300,BUILDING LEASE 52117,A81000C,00100,0100,G 52117,A81000C,00100,0400,HERITAGE MGT 52117,A81000C,00100,0600,MANAGEMENT 52117,A81000C,00200,0100,A 52117,A81000C,00200,0400,LEONARD FONG 52117,A81000C,00200,0600,OWNER 52117,A81000C,03100,0000,CONTROL 52117,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFITS 52117,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 52117,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAINT 52117,B100000,00000,0650,00000(PATIENT DAYS)LAUNDRY & LINEN SERVI 52117,B100000,00000,0750,00000(SQUARE FEET)HOUSEKEEPING 52117,B100000,00000,0960,00000(NURSING SALARIES)NURSING ADMINISTR 52117,B100000,00000,1000,00000(COSTED REQUIS. )CENTRAL SERVICES & 52117,B100000,00000,1100,00000(COSTED REQUIS. )PHARMACY 52117,B100000,00000,1250,00000(PATIENT DAYS)MEDICAL RECORDS & LIB 52117,B100000,00000,1330,00000(PATIENT DAYS)SOCIAL SERVICE 52117,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 52117,E10A180,00501,0100,07/25/2000 52117,E10A180,00501,0300,07/25/2000 52117,S000000,00100,0200,05/31/2000 52117,S200000,00100,0100,3855 SOUTH 700 EAST 52117,S200000,00200,0100,SALT LAKE CITY 52117,S200000,00200,0200,UT 52117,S200000,00300,0100,SALT LAKE 52117,S200000,00300,0300,U 52117,S200000,00400,0100,WOODLAND PARK REHABILITATION CENTER 52117,S200000,00400,0200,465094 52117,S200000,00400,0300,07/16/1997 52117,S200000,00400,0500,P 52117,S200000,01500,0100,Y 52117,S200000,01900,0100,N 52117,S200000,02800,0100,Y 52117,S200000,04300,0100,Y 52117,S700003,00000,0100,1 52123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52123,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 52123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52123,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 52123,A000000,00300,0000,00300EMPLOYEE BENEFITS 52123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52123,A000000,00700,0000,00700HOUSEKEEPING 52123,A000000,00800,0000,00800DIETARY 52123,A000000,00801,0000,00801CAFETERIA 52123,A000000,00900,0000,00900NURSING ADMINISTRATION 52123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52123,A000000,01100,0000,01100PHARMACY 52123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52123,A000000,01300,0000,01300SOCIAL SERVICE 52123,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52123,A000000,01600,0000,01600SKILLED NURSING FACILITY 52123,A000000,01800,0000,01800NURSING FACILITY 52123,A000000,01900,0000,01900OTHER LONG TERM CARE 52123,A000000,02100,0000,02100RADIOLOGY 52123,A000000,02200,0000,02200LABORATORY 52123,A000000,02300,0000,02300INTRAVENOUS THERAPY 52123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52123,A000000,02500,0000,02500PHYSICAL THERAPY 52123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52123,A000000,02700,0000,02700SPEECH PATHOLOGY 52123,A000000,02800,0000,02800ELECTROCARDIOLOGY 52123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52123,A000000,03050,0000,03300INFUSION SERVICES 52123,A000000,03051,0000,03301OTHER ANCILLARY II 52123,A000000,03052,0000,03302OTHER ANCILLARY III 52123,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52123,A000000,03200,0000,03200SUPPORT SURFACES 52123,A000000,03400,0000,03400CLINIC 52123,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52123,A000000,03500,0000,03500RURAL HEALTH CLINIC 52123,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52123,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52123,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52123,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52123,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52123,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52123,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52123,A000000,04400,0000,04400DME RENTED - HHA 52123,A000000,04500,0000,04500DME SOLD - HHA 52123,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52123,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52123,A000000,04750,0000,05100OSP 52123,A000000,04800,0000,04800AMBULANCE 52123,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52123,A000000,05000,0000,05000CORF 52123,A000000,05010,0000,05010CMHC I 52123,A000000,05020,0000,05020OPT I 52123,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52123,A000000,05300,0000,05300INTEREST EXPENSE 52123,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52123,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52123,A000000,05500,0000,05500HOSPICE 52123,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52123,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52123,A000000,06100,0000,06100NONPAID WORKERS 52123,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52123,A000000,06200,0000,06200PATIENTS LAUNDRY 52123,A81000A,00100,0100,Y 52123,A81000B,00100,0300,MANAGEMENT FEE 52123,A81000B,00200,0300,ACCOUNTING FEE 52123,A81000C,00100,0100,B 52123,A81000C,00100,0400,HERITAGE CARE 52123,A81000C,00100,0600,MANAGEMENT 52123,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 52123,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 52123,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 52123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52123,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 52123,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 52123,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 52123,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 52123,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 52123,B100000,00000,1100,00000(COSTED REQUIS. ) :PHARMACY 52123,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 52123,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 52123,E10A180,00501,0100,08/27/2001 52123,E10A180,00550,0100,07/31/2000 52123,E10A180,00550,0300,07/31/2000 52123,H510100,00000,0000,7160 52123,H510100,02400,0000,7160 52123,H710000,00550,0100,07/31/2000 52123,H710000,00551,0100,08/27/2001 52123,S000000,00100,0200,05/31/2000 52123,S200000,00100,0100,350 EAST 300 NORTH 52123,S200000,00200,0100,AMERICAN FORK 52123,S200000,00200,0200,UT 52123,S200000,00200,0300,84003- 52123,S200000,00300,0100,UTAH 52123,S200000,00300,0200,6520 52123,S200000,00300,0300,U 52123,S200000,00400,0100,HERITAGE CONVALESCENT CENTER 52123,S200000,00400,0200,465097 52123,S200000,00400,0300,07/01/1984 52123,S200000,00400,0500,P 52123,S200000,00800,0200,467075 52123,S200000,00800,0300,03/17/1997 52123,S200000,00800,0500,P 52123,S200000,01500,0100,Y 52123,S200000,02800,0100,Y 52123,S200000,04300,0100,Y 52123,S410002,01700,0100,7160 52128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52128,A000000,00300,0000,00300EMPLOYEE BENEFITS 52128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52128,A000000,00700,0000,00700HOUSEKEEPING 52128,A000000,00800,0000,00800DIETARY 52128,A000000,00900,0000,00900NURSING ADMINISTRATION 52128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52128,A000000,01100,0000,01100PHARMACY 52128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52128,A000000,01300,0000,01300SOCIAL SERVICE 52128,A000000,01350,0000,01500RECREATION 52128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52128,A000000,01600,0000,01600SKILLED NURSING FACILITY 52128,A000000,01800,0000,01800NURSING FACILITY 52128,A000000,01810,0000,01810ICF/MR 52128,A000000,02200,0000,02200LABORATORY 52128,A000000,02300,0000,02300INTRAVENOUS THERAPY 52128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52128,A000000,02500,0000,02500PHYSICAL THERAPY 52128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52128,A000000,02700,0000,02700SPEECH PATHOLOGY 52128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52128,A000000,03500,0000,03500RURAL HEALTH CLINIC 52128,A000000,03550,0000,03550FQHC 52128,A000000,05000,0000,05000CORF 52128,A000000,05010,0000,05010CMHC 52128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52128,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52128,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52128,A81000A,00100,0100,Y 52128,A81000B,00100,0300,HOME OFFICE CAPITAL 52128,A81000B,00200,0300,HOME OFFICE ADMIN. 52128,A81000C,00100,0100,B 52128,A81000C,00100,0200,MISSION HEALTH 52128,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52128,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52128,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52128,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52128,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52128,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52128,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52128,B100000,00000,0850,00000PATIENT CENSUS :DIETARY 52128,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 52128,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 52128,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 52128,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52128,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52128,B100000,00000,1350,00000PATIENT CENSUS :RECREATION 52128,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 52128,E10A180,00501,0100,07/27/2000 52128,E10A180,00501,0300,07/27/2000 52128,S000000,00100,0200,05/30/2000 52128,S200000,00100,0100,416 NORTH STATE STREET 52128,S200000,00200,0100,HURRICANE 52128,S200000,00200,0200,UT 52128,S200000,00200,0300,84737- 52128,S200000,00300,0100,WASHINGTON 52128,S200000,00400,0100,ZION HEALTH CARE CENTER 52128,S200000,00400,0200,465101 52128,S200000,00400,0300,07/01/1985 52128,S200000,00400,0500,P 52128,S200000,01600,0100,Y 52138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52138,A000000,00300,0000,00300EMPLOYEE BENEFITS 52138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52138,A000000,00700,0000,00700HOUSEKEEPING 52138,A000000,00800,0000,00800DIETARY 52138,A000000,00900,0000,00900NURSING ADMINISTRATION 52138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52138,A000000,01100,0000,01100PHARMACY 52138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52138,A000000,01300,0000,01300SOCIAL SERVICE 52138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52138,A000000,01600,0000,01600SKILLED NURSING FACILITY 52138,A000000,01800,0000,01800NURSING FACILITY 52138,A000000,01810,0000,01810ICF/MR 52138,A000000,02200,0000,02200LABORATORY 52138,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52138,A000000,02500,0000,02500PHYSICAL THERAPY 52138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52138,A000000,02700,0000,02700SPEECH PATHOLOGY 52138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52138,A000000,03550,0000,03550FQHC 52138,A000000,05000,0000,05000CORF 52138,A000000,05010,0000,05010CMHC 52138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52138,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52138,A81000A,00100,0100,Y 52138,A81000B,00100,0300,MANAGEMENT FEES 52138,A81000C,00100,0100,B 52138,A81000C,00100,0200,UTAH SENIOR SER 52138,A81000C,00100,0400,UTAH SENIOR SER 52138,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 52138,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 52138,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 52138,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 52138,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 52138,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 52138,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 52138,B100000,00000,0850,00000PATIENT DAYSDIETARY 52138,B100000,00000,0960,00000NURSING SAL COSTSNURSING ADMINIST 52138,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 52138,B100000,00000,1100,00000COSTED REQUISPHARMACY 52138,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 52138,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 52138,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 52138,S000000,00100,0200,06/01/2000 52138,S200000,00100,0100,1480 NORTH 400 EAST 52138,S200000,00200,0100,LOGAN 52138,S200000,00200,0200,UT 52138,S200000,00200,0300,84321 52138,S200000,00300,0100,CACHE 52138,S200000,00400,0100,LOGAN NURSING & REHAB 52138,S200000,00400,0200,465116 52138,S200000,00400,0300,01/13/1987 52138,S200000,00400,0500,P 52138,S200000,00600,0200,465116 52138,S200000,00600,0300,01/13/1987 52138,S200000,00600,0600,P 52138,S200000,01500,0100,Y 52138,S200000,01800,0100,Y 52138,S200000,02200,0100,Y 52138,S700003,00000,0100,1 52145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52145,A000000,00300,0000,00300EMPLOYEE BENEFITS 52145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52145,A000000,00700,0000,00700HOUSEKEEPING 52145,A000000,00800,0000,00800DIETARY 52145,A000000,00900,0000,00900NURSING ADMINISTRATION 52145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52145,A000000,01100,0000,01100PHARMACY 52145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52145,A000000,01300,0000,01300SOCIAL SERVICE 52145,A000000,01350,0000,01500OTHER GENERAL SERVICES 52145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 52145,A000000,01600,0000,01600SKILLED NURSING FACILITY 52145,A000000,01800,0000,01800NURSING FACILITY 52145,A000000,01900,0000,01900OTHER LONG TERM CARE 52145,A000000,02100,0000,02100RADIOLOGY 52145,A000000,02200,0000,02200LABORATORY 52145,A000000,02300,0000,02300INTRAVENOUS THERAPY 52145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52145,A000000,02500,0000,02500PHYSICAL THERAPY 52145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52145,A000000,02700,0000,02700SPEECH PATHOLOGY 52145,A000000,02800,0000,02800ELECTROCARDIOLOGY 52145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52145,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52145,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52145,A000000,03200,0000,03200SUPPORT SURFACES 52145,A000000,03400,0000,03400CLINIC 52145,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52145,A000000,03500,0000,03500RURAL HEALTH CLINIC 52145,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52145,A000000,04800,0000,04800AMBULANCE 52145,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52145,A000000,05000,0000,05000CORF 52145,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52145,A000000,05300,0000,05300INTEREST EXPENSE 52145,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52145,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52145,A000000,05500,0000,05500HOSPICE 52145,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52145,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52145,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52145,A000000,06100,0000,06100NONPAID WORKERS 52145,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52145,A000000,06200,0000,06200PATIENTS LAUNDRY 52145,A81000A,00100,0100,Y 52145,A81000B,00100,0300,MANAGEMENT FEES 52145,A81000C,00100,0100,B 52145,A81000C,00100,0200,BARRETT SPEK 52145,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52145,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52145,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52145,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52145,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52145,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52145,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52145,B100000,00000,0800,00000MEALS SERVED :DIETARY 52145,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 52145,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 52145,B100000,00000,1150,00000NO STATISTICS :PHARMACY 52145,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52145,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52145,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 52145,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 52145,E10A180,00501,0100,07/11/2000 52145,E10A180,00501,0300,07/11/2000 52145,S000000,00100,0200,06/02/2000 52145,S200000,00100,0100,835 VINE STREET 52145,S200000,00200,0100,MURRAY 52145,S200000,00200,0200,UT 52145,S200000,00200,0300,84107- 52145,S200000,00300,0100,SALT LAKE 52145,S200000,00400,0100,MURRAY CARE CENTER 52145,S200000,00400,0200,465125 52145,S200000,00400,0300,05/15/1991 52145,S200000,00400,0500,P 52145,S200000,01600,0100,Y 52167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52167,A000000,00300,0000,00300EMPLOYEE BENEFITS 52167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52167,A000000,00700,0000,00700HOUSEKEEPING 52167,A000000,00800,0000,00800DIETARY 52167,A000000,00900,0000,00900NURSING ADMINISTRATION 52167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52167,A000000,01300,0000,01300SOCIAL SERVICE 52167,A000000,01350,0000,01500ACTIVITIES 52167,A000000,01600,0000,01600SKILLED NURSING FACILITY 52167,A000000,01800,0000,01800NURSING FACILITY 52167,A000000,02100,0000,02100RADIOLOGY 52167,A000000,02200,0000,02200LABORATORY 52167,A000000,02300,0000,02300INTRAVENOUS THERAPY 52167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52167,A000000,02500,0000,02500PHYSICAL THERAPY 52167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52167,A000000,02700,0000,02700SPEECH PATHOLOGY 52167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52167,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52167,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52167,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52167,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52167,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52167,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52167,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52167,A000000,04400,0000,04400DME RENTED - HHA 52167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52167,A000000,04800,0000,04800AMBULANCE 52167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52167,A81000A,00100,0100,Y 52167,A81000B,00100,0300,SNF POOLED ALLOCATION 52167,A81000B,00200,0300,MANAGE-IT 52167,A81000B,00300,0300,HEALTH CARE LEASING 52167,A81000C,00100,0100,E 52167,A81000C,00100,0200,MANAGEMENT COMP 52167,A81000C,00100,0400,MANAGEMENT COMP 52167,A81000C,00100,0600,MANAGEMENT OFFI 52167,A81000C,00200,0100,E 52167,A81000C,00200,0200,MANAGE-IT 52167,A81000C,00200,0400,MANAGE-IT 52167,A81000C,00200,0600,MANAGEMENT OFFI 52167,A81000C,00300,0100,E 52167,A81000C,00300,0200,HEALTH CARE LEA 52167,A81000C,00300,0400,HEALTH CARE LEA 52167,A81000C,00300,0600,LEASING COMPANY 52167,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52167,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52167,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52167,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52167,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52167,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52167,B100000,00000,0800,00000MEALS SERVED :DIETARY 52167,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 52167,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 52167,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52167,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52167,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 52167,E10A180,00501,0100,07/28/2000 52167,S000000,00100,0200,05/31/2000 52167,S200000,00100,0100,165 WEST 500 NORTH 52167,S200000,00200,0100,HEBER 52167,S200000,00200,0200,UT 52167,S200000,00200,0300,84032- 52167,S200000,00300,0100,SALT LAKE 52167,S200000,00400,0100,ROCKY MOUNTAIN CARE - HEBER 52167,S200000,00400,0200,465147 52167,S200000,00400,0300,01/01/1998 52167,S200000,00400,0500,P 52167,S200000,01600,0100,Y 52180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52180,A000000,00300,0000,00300EMPLOYEE BENEFITS 52180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52180,A000000,00700,0000,00700HOUSEKEEPING 52180,A000000,00800,0000,00800DIETARY 52180,A000000,00900,0000,00900NURSING ADMINISTRATION 52180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52180,A000000,01300,0000,01300SOCIAL SERVICE 52180,A000000,01600,0000,01600SKILLED NURSING FACILITY 52180,A000000,01800,0000,01800NURSING FACILITY 52180,A000000,01900,0000,01900OTHER LONG TERM CARE 52180,A000000,02100,0000,02100RADIOLOGY 52180,A000000,02200,0000,02200LABORATORY 52180,A000000,02300,0000,02300INTRAVENOUS THERAPY 52180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52180,A000000,02500,0000,02500PHYSICAL THERAPY 52180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52180,A000000,02700,0000,02700SPEECH PATHOLOGY 52180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52180,A000000,03200,0000,03200SUPPORT SURFACES 52180,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52180,A000000,05300,0000,05300INTEREST EXPENSE 52180,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52180,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52180,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52180,A000000,06200,0000,06200PATIENTS LAUNDRY 52180,A81000A,00100,0100,Y 52180,A81000B,00100,0300,A & G 52180,A81000B,00200,0300,PT 52180,A81000B,00300,0300,OT 52180,A81000B,00400,0300,ST 52180,A81000C,00100,0100,D 52180,A81000C,00100,0200,ANDY MARTINI 52180,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 52180,A81000C,00100,0600,MANAGEMENT SERVICE 52180,A81000C,00200,0100,B 52180,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 52180,A81000C,00200,0400,EVERGREEN ANCILLARY 52180,A81000C,00200,0600,THERAPY SERVICE 52180,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52180,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52180,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52180,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52180,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52180,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 52180,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52180,B100000,00000,0800,00000MEALS SERVED :DIETARY 52180,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 52180,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 52180,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 52180,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 52180,E10A180,00350,0100,10/10/2000 52180,E10A180,00501,0100,07/27/2000 52180,S000000,00100,0200,06/02/2000 52180,S200000,00100,0100,SOUTH 1150 ALMOTA ROAD 52180,S200000,00200,0100,COLFAX 52180,S200000,00200,0200,WA 52180,S200000,00200,0300,99111- 52180,S200000,00300,0100,WHITMAN 52180,S200000,00400,0100,WHITMAN HEALTH & REHAB CENTER 52180,S200000,00400,0200,505251 52180,S200000,00400,0300,06/01/1985 52180,S200000,00400,0500,P 52180,S200000,01600,0100,Y 52190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52190,A000000,00300,0000,00300EMPLOYEE BENEFITS 52190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52190,A000000,00700,0000,00700HOUSEKEEPING 52190,A000000,00800,0000,00800DIETARY 52190,A000000,00900,0000,00900NURSING ADMINISTRATION 52190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52190,A000000,01300,0000,01300SOCIAL SERVICE 52190,A000000,01600,0000,01600SKILLED NURSING FACILITY 52190,A000000,01800,0000,01800NURSING FACILITY 52190,A000000,01900,0000,01900OTHER LONG TERM CARE 52190,A000000,02100,0000,02100RADIOLOGY 52190,A000000,02200,0000,02200LABORATORY 52190,A000000,02300,0000,02300INTRAVENOUS THERAPY 52190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52190,A000000,02500,0000,02500PHYSICAL THERAPY 52190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52190,A000000,02700,0000,02700SPEECH PATHOLOGY 52190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52190,A000000,03200,0000,03200SUPPORT SURFACES 52190,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52190,A000000,05300,0000,05300INTEREST EXPENSE 52190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52190,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52190,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52190,A000000,06151,0000,06301ALZHEIMERS UNIT 52190,A81000A,00100,0100,Y 52190,A81000B,00100,0300,BUILDING LEASE 52190,A81000B,00200,0300,ALLOWABLE DEPRECIATION 52190,A81000B,00300,0300,ALLOWABLE INTEREST 52190,A81000C,00100,0100,F 52190,A81000C,00100,0200,MEL AND DOROTHY JACKSON 52190,A81000C,00100,0600,PROPERTY LEASE 52190,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 52190,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 52190,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 52190,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 52190,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 52190,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 52190,B100000,00000,0750,00001PATIENT DAYS :HOUSEKEEPING 52190,B100000,00000,0800,00001MEALS SERVED :DIETARY 52190,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 52190,B100000,00000,1050,00001GROSS REVENUES :CENTRAL SERVICES & 52190,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 52190,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 52190,E10A180,00501,0100,06/05/2000 52190,E10A180,00550,0300,06/05/2000 52190,S000000,00100,0200,04/14/2000 52190,S200000,00100,0100,8507 NE 8TH WAY 52190,S200000,00200,0100,VANCOUVER 52190,S200000,00200,0200,WA 52190,S200000,00200,0300,98664- 52190,S200000,00300,0100,CLARK 52190,S200000,00300,0200,6440 52190,S200000,00300,0300,U 52190,S200000,00400,0100,FORT VANCOUVER CONVALESCENT CENTER 52190,S200000,00400,0200,505260 52190,S200000,00400,0300,10/16/1981 52190,S200000,00400,0500,P 52190,S200000,01600,0100,Y 52190,S200000,02800,0100,Y 52201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52201,A000000,00300,0000,00300EMPLOYEE BENEFITS 52201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52201,A000000,00700,0000,00700HOUSEKEEPING 52201,A000000,00800,0000,00800DIETARY 52201,A000000,00900,0000,00900NURSING ADMINISTRATION 52201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52201,A000000,01100,0000,01100PHARMACY 52201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52201,A000000,01300,0000,01300SOCIAL SERVICE 52201,A000000,01301,0000,01301ACTIVITIES 52201,A000000,01600,0000,01600SKILLED NURSING FACILITY 52201,A000000,01800,0000,01800NURSING FACILITY 52201,A000000,01900,0000,01900OTHER LONG TERM CARE 52201,A000000,02100,0000,02100RADIOLOGY 52201,A000000,02200,0000,02200LABORATORY 52201,A000000,02300,0000,02300INTRAVENOUS THERAPY 52201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52201,A000000,02500,0000,02500PHYSICAL THERAPY 52201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52201,A000000,02700,0000,02700SPEECH PATHOLOGY 52201,A000000,02800,0000,02800ELECTROCARDIOLOGY 52201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52201,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52201,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52201,A000000,03200,0000,03200SUPPORT SURFACES 52201,A000000,03400,0000,03400CLINIC 52201,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52201,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52201,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52201,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52201,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52201,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52201,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52201,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52201,A000000,04400,0000,04400DME RENTED - HHA 52201,A000000,04500,0000,04500DME SOLD - HHA 52201,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52201,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52201,A000000,04800,0000,04800AMBULANCE 52201,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52201,A000000,05000,0000,05000CORF 52201,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52201,A000000,05300,0000,05300INTEREST EXPENSE 52201,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52201,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52201,A000000,05500,0000,05500HOSPICE 52201,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52201,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52201,A000000,06100,0000,06100NONPAID WORKERS 52201,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52201,A000000,06200,0000,06200PATIENTS LAUNDRY 52201,A81000A,00100,0100,Y 52201,A81000B,00100,0300,MGMT FEES 52201,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52201,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52201,A81000B,00400,0300,HO ALLOCATION - INTEREST 52201,A81000C,00100,0100,C 52201,A81000C,00100,0400,PRESTIGE CARE 52201,A81000C,00100,0600,HOME OFFICE 52201,A81000C,00200,0100,C 52201,A81000C,00200,0400,PRESTIGE CARE 52201,A81000C,00200,0600,HOME OFFICE 52201,A81000C,00300,0100,C 52201,A81000C,00300,0400,PRESTIGE CARE 52201,A81000C,00300,0600,HOME OFFICE 52201,A81000C,00400,0100,C 52201,A81000C,00400,0400,PRESTIGE CARE 52201,A81000C,00400,0600,HOME OFFICE 52201,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52201,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52201,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52201,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52201,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52201,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52201,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52201,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52201,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52201,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52201,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52201,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52201,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52201,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52201,E10A180,00501,0100,04/17/2000 52201,E10A180,00501,0300,04/17/2000 52201,S000000,00100,0200,02/28/2000 52201,S200000,00100,0100,1506 RADIO ROAD 52201,S200000,00200,0100,ELLENSBURG 52201,S200000,00200,0200,WA 52201,S200000,00200,0300,98926- 52201,S200000,00300,0100,KITTITAS 52201,S200000,00300,0200,50 52201,S200000,00300,0300,R 52201,S200000,00400,0100,ROYAL VISTA CARE CENTER 52201,S200000,00400,0200,505286 52201,S200000,00400,0300,10/01/1989 52201,S200000,00400,0500,P 52201,S200000,01600,0100,Y 52210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52210,A000000,00300,0000,00300EMPLOYEE BENEFITS 52210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52210,A000000,00700,0000,00700HOUSEKEEPING 52210,A000000,00800,0000,00800DIETARY 52210,A000000,00900,0000,00900NURSING ADMINISTRATION 52210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52210,A000000,01100,0000,01100PHARMACY 52210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52210,A000000,01300,0000,01300SOCIAL SERVICE 52210,A000000,01301,0000,01301ACTIVITIES 52210,A000000,01600,0000,01600SKILLED NURSING FACILITY 52210,A000000,01800,0000,01800NURSING FACILITY 52210,A000000,01900,0000,01900OTHER LONG TERM CARE 52210,A000000,02100,0000,02100RADIOLOGY 52210,A000000,02200,0000,02200LABORATORY 52210,A000000,02300,0000,02300INTRAVENOUS THERAPY 52210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52210,A000000,02500,0000,02500PHYSICAL THERAPY 52210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52210,A000000,02700,0000,02700SPEECH PATHOLOGY 52210,A000000,02800,0000,02800ELECTROCARDIOLOGY 52210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52210,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52210,A000000,03200,0000,03200SUPPORT SURFACES 52210,A000000,03400,0000,03400CLINIC 52210,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52210,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52210,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52210,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52210,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52210,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52210,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52210,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52210,A000000,04400,0000,04400DME RENTED - HHA 52210,A000000,04500,0000,04500DME SOLD - HHA 52210,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52210,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52210,A000000,04800,0000,04800AMBULANCE 52210,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52210,A000000,05000,0000,05000CORF 52210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52210,A000000,05300,0000,05300INTEREST EXPENSE 52210,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52210,A000000,05500,0000,05500HOSPICE 52210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52210,A000000,06100,0000,06100NONPAID WORKERS 52210,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52210,A000000,06200,0000,06200PATIENTS LAUNDRY 52210,A81000A,00100,0100,Y 52210,A81000B,00100,0300,MGMT FEES 52210,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52210,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52210,A81000B,00400,0300,HO ALLOCATION - INTEREST 52210,A81000C,00100,0100,C 52210,A81000C,00100,0400,PRESTIGE CARE 52210,A81000C,00100,0600,HOME OFFICE 52210,A81000C,00200,0100,C 52210,A81000C,00200,0400,PRESTIGE CARE 52210,A81000C,00200,0600,HOME OFFICE 52210,A81000C,00300,0100,C 52210,A81000C,00300,0400,PRESTIGE CARE 52210,A81000C,00300,0600,HOME OFFICE 52210,A81000C,00400,0100,C 52210,A81000C,00400,0400,PRESTIGE CARE 52210,A81000C,00400,0600,HOME OFFICE 52210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52210,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52210,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52210,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52210,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52210,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52210,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52210,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52210,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52210,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52210,E10A180,00501,0100,04/14/2000 52210,E10A180,00501,0300,04/14/2000 52210,S000000,00100,0200,02/28/2000 52210,S200000,00100,0100,5001 SE COLUMBIA VIEW DRIVE 52210,S200000,00200,0100,VANCOUVER 52210,S200000,00200,0200,WA 52210,S200000,00200,0300,98661- 52210,S200000,00300,0100,CLARK 52210,S200000,00300,0200,6440 52210,S200000,00300,0300,U 52210,S200000,00400,0100,ROSE VISTA CARE CENTER 52210,S200000,00400,0200,505297 52210,S200000,00400,0300,10/30/1985 52210,S200000,00400,0500,P 52210,S200000,01600,0100,Y 52221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52221,A000000,00300,0000,00300EMPLOYEE BENEFITS 52221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52221,A000000,00700,0000,00700HOUSEKEEPING 52221,A000000,00800,0000,00800DIETARY 52221,A000000,00900,0000,00900NURSING ADMINISTRATION 52221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52221,A000000,01100,0000,01100PHARMACY 52221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52221,A000000,01300,0000,01300SOCIAL SERVICE 52221,A000000,01301,0000,01301ACTIVITIES 52221,A000000,01600,0000,01600SKILLED NURSING FACILITY 52221,A000000,01800,0000,01800NURSING FACILITY 52221,A000000,01900,0000,01900OTHER LONG TERM CARE 52221,A000000,02100,0000,02100RADIOLOGY 52221,A000000,02200,0000,02200LABORATORY 52221,A000000,02300,0000,02300INTRAVENOUS THERAPY 52221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52221,A000000,02500,0000,02500PHYSICAL THERAPY 52221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52221,A000000,02700,0000,02700SPEECH PATHOLOGY 52221,A000000,02800,0000,02800ELECTROCARDIOLOGY 52221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52221,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52221,A000000,03200,0000,03200SUPPORT SURFACES 52221,A000000,03400,0000,03400CLINIC 52221,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52221,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52221,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52221,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52221,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52221,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52221,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52221,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52221,A000000,04400,0000,04400DME RENTED - HHA 52221,A000000,04500,0000,04500DME SOLD - HHA 52221,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52221,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52221,A000000,04800,0000,04800AMBULANCE 52221,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52221,A000000,05000,0000,05000CORF 52221,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52221,A000000,05300,0000,05300INTEREST EXPENSE 52221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52221,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52221,A000000,05500,0000,05500HOSPICE 52221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52221,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52221,A000000,06100,0000,06100NONPAID WORKERS 52221,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52221,A000000,06200,0000,06200PATIENTS LAUNDRY 52221,A81000A,00100,0100,Y 52221,A81000B,00100,0300,A&G - MANAGEMENT FEES 52221,A81000B,00200,0300,HOME OFFICE ALLOC. - BLDG 52221,A81000B,00300,0300,HO - EQUIPMENT 52221,A81000B,00400,0300,HOME OFFICE ALLOC. - INTEREST REVENU 52221,A81000C,00100,0100,C 52221,A81000C,00100,0400,PRESTIGE CARE 52221,A81000C,00100,0600,HOME OFFICE 52221,A81000C,00200,0100,C 52221,A81000C,00200,0400,PRESTIGE CARE 52221,A81000C,00200,0600,HOME OFFICE 52221,A81000C,00300,0100,C 52221,A81000C,00300,0400,PRESTIGE CARE 52221,A81000C,00300,0600,HOME OFFICE 52221,A81000C,00400,0100,C 52221,A81000C,00400,0400,PRESTIGE CARE 52221,A81000C,00400,0600,HOME OFFICE 52221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52221,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52221,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52221,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52221,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52221,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52221,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52221,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52221,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52221,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52221,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52221,E10A180,00501,0100,02/22/2000 52221,E10A180,00501,0300,02/22/2000 52221,S000000,00100,0200,10/26/1999 52221,S200000,00100,0100,520 2ND AVENUE 52221,S200000,00100,0300,PO BOX 977 52221,S200000,00200,0100,OKANOGAN WA 98840 52221,S200000,00200,0200,CA 52221,S200000,00300,0100,OKANOGAN 52221,S200000,00400,0100,VALLEY CARE CENTER 52221,S200000,00400,0200,505303 52221,S200000,00400,0300,10/01/1985 52221,S200000,00400,0500,P 52221,S200000,01600,0100,Y 52221,S200000,03100,0100,Y 52221,S700003,00000,0100,1 52231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 52231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 52231,A000000,00300,0000,00300EMPLOYEE BENEFITS 52231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 52231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52231,A000000,00700,0000,00700HOUSEKEEPING 52231,A000000,00800,0000,00800DIETARY 52231,A000000,00900,0000,00900NURSING ADMINISTRATION 52231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52231,A000000,01100,0000,01100PHARMACY 52231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52231,A000000,01300,0000,01300SOCIAL SERVICE 52231,A000000,01301,0000,01301ACTIVITIES 52231,A000000,01600,0000,01600SKILLED NURSING FACILITY 52231,A000000,01800,0000,01800NURSING FACILITY 52231,A000000,01900,0000,01900OTHER LONG TERM CARE 52231,A000000,02100,0000,02100RADIOLOGY 52231,A000000,02200,0000,02200LABORATORY 52231,A000000,02300,0000,02300INTRAVENOUS THERAPY 52231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52231,A000000,02500,0000,02500PHYSICAL THERAPY 52231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52231,A000000,02700,0000,02700SPEECH PATHOLOGY 52231,A000000,02800,0000,02800ELECTROCARDIOLOGY 52231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 52231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52231,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 52231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52231,A000000,03200,0000,03200SUPPORT SURFACES 52231,A000000,03400,0000,03400CLINIC 52231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 52231,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 52231,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 52231,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 52231,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 52231,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 52231,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 52231,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 52231,A000000,04400,0000,04400DME RENTED - HHA 52231,A000000,04500,0000,04500DME SOLD - HHA 52231,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 52231,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 52231,A000000,04800,0000,04800AMBULANCE 52231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 52231,A000000,05000,0000,05000CORF 52231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 52231,A000000,05300,0000,05300INTEREST EXPENSE 52231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52231,A000000,05500,0000,05500HOSPICE 52231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 52231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 52231,A000000,06100,0000,06100NONPAID WORKERS 52231,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 52231,A000000,06200,0000,06200PATIENTS LAUNDRY 52231,A81000A,00100,0100,Y 52231,A81000B,00100,0300,MGMT FEES 52231,A81000B,00200,0300,HO ALLOCATION - CAPITAL BLDG. 52231,A81000B,00300,0300,HO ALLOCATION - CAPITAL EQUIP. 52231,A81000B,00400,0300,HO ALLOCATION - INTEREST 52231,A81000B,00500,0300,RENTAL EXPENSE 52231,A81000C,00100,0100,C 52231,A81000C,00100,0400,PRESTIGE CARE 52231,A81000C,00100,0600,HOME OFFICE 52231,A81000C,00200,0100,C 52231,A81000C,00200,0400,PRESTIGE CARE 52231,A81000C,00200,0600,HOME OFFICE 52231,A81000C,00300,0100,C 52231,A81000C,00300,0400,PRESTIGE CARE 52231,A81000C,00300,0600,HOME OFFICE 52231,A81000C,00400,0100,C 52231,A81000C,00400,0400,PRESTIGE CARE 52231,A81000C,00400,0600,HOME OFFICE 52231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 52231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 52231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 52231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 52231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 52231,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 52231,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 52231,B100000,00000,0850,00000PATIENT DAYS :DIETARY 52231,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 52231,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 52231,B100000,00000,1150,00000GROSS REVENUES :PHARMACY 52231,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 52231,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 52231,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 52231,E10A180,00301,0300,07/30/1999 52231,S000000,00100,0200,02/28/2000 52231,S200000,00100,0100,E. 14829 4TH AVENUE 52231,S200000,00200,0100,SPOKANE 52231,S200000,00200,0200,WA 52231,S200000,00200,0300,99216- 52231,S200000,00300,0100,SPOKANE 52231,S200000,00400,0100,SULLIVAN PARK CARE CENTER 52231,S200000,00400,0200,505383 52231,S200000,00400,0300,06/01/1991 52231,S200000,00400,0500,P 52231,S200000,01600,0100,Y 52264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52264,A000000,00300,0000,00300EMPLOYEE BENEFITS 52264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52264,A000000,00700,0000,00700HOUSEKEEPING 52264,A000000,00800,0000,00800DIETARY 52264,A000000,00900,0000,00900NURSING ADMINISTRATION 52264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52264,A000000,01100,0000,01100PHARMACY 52264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52264,A000000,01300,0000,01300SOCIAL SERVICE 52264,A000000,01350,0000,01500RESIDENT ACTIVITIES 52264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52264,A000000,01600,0000,01600SKILLED NURSING FACILITY 52264,A000000,01800,0000,01800NURSING FACILITY 52264,A000000,01810,0000,01810ICF/MR 52264,A000000,02100,0000,02100RADIOLOGY 52264,A000000,02200,0000,02200LABORATORY 52264,A000000,02300,0000,02300INTRAVENOUS THERAPY 52264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52264,A000000,02500,0000,02500PHYSICAL THERAPY 52264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52264,A000000,02700,0000,02700SPEECH PATHOLOGY 52264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52264,A000000,03050,0000,03300ENTERAL NUTRITION 52264,A000000,03051,0000,03350OTHER ANCILLARY EXP 52264,A000000,03200,0000,03200SUPPORT SURFACES 52264,A000000,03550,0000,03550FQHC 52264,A000000,05000,0000,05000CORF 52264,A000000,05010,0000,05010CMHC 52264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52264,A000000,06150,0000,06300NON-HEALTH CARE REV/EXP 52264,A81000A,00100,0100,Y 52264,A81000B,00100,0300,HO COSTS-CAPITAL 52264,A81000B,00200,0300,HO COSTS-NON CAPITAL 52264,A81000C,00100,0100,B 52264,A81000C,00100,0200,MERITCARE INC. 52264,A81000C,00100,0400,MERITCARE INC. 52264,A81000C,00100,0600,NURSINGHOMES 52264,B100000,00000,0100,00000SQUARE FEET 52264,B100000,00000,0200,00000SQUARE FEET 52264,B100000,00000,0300,00000GROSS SALARIES 52264,B100000,00000,0400,00000ACCUM COST 52264,B100000,00000,0500,00000SQUARE FEET 52264,B100000,00000,0600,00000PATIENT DAYS 52264,B100000,00000,0700,00000SQUARE FEET 52264,B100000,00000,0800,00000PATIENT DAYS 52264,B100000,00000,0900,00000DIRECT NRSG HRS 52264,B100000,00000,1000,00000PATIENT DAYS 52264,B100000,00000,1100,00000COSTED REQUIS 52264,B100000,00000,1200,00000PATIENT DAYS 52264,B100000,00000,1300,00000PATIENT DAYS 52264,B100000,00000,1350,00000PATIENT DAYS 52264,B100000,00000,1400,00000ASSIGNED TIME 52264,E10A180,00550,0100,11/30/2000 52264,E10A180,00550,0300,11/30/2000 52264,S000000,00100,0200,11/17/2000 52264,S200000,00100,0100,3806 CLAYTON ROAD 52264,S200000,00200,0100,CONCORD 52264,S200000,00200,0200,CA 52264,S200000,00300,0100,OAKLAND 52264,S200000,00400,0100,VALLEY MANOR REHAB CENTER 52264,S200000,00400,0200,055150 52264,S200000,00400,0300,07/01/1990 52264,S200000,00400,0500,P 52264,S200000,00600,0200,055150 52264,S200000,00600,0300,07/01/1990 52264,S200000,00600,0600,P 52264,S200000,01600,0100,Y 52264,S200000,01900,0100,CORPORATION 52264,S200000,02200,0100,Y 52264,S200000,02800,0100,Y 52272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52272,A000000,00300,0000,00300EMPLOYEE BENEFITS 52272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52272,A000000,00700,0000,00700HOUSEKEEPING 52272,A000000,00800,0000,00800DIETARY 52272,A000000,00900,0000,00900NURSING ADMINISTRATION 52272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52272,A000000,01100,0000,01100PHARMACY 52272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52272,A000000,01300,0000,01300SOCIAL SERVICE 52272,A000000,01350,0000,01500RESIDENT ACTIVITIES 52272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52272,A000000,01600,0000,01600SKILLED NURSING FACILITY 52272,A000000,01800,0000,01800NURSING FACILITY 52272,A000000,01810,0000,01810ICF/MR 52272,A000000,02100,0000,02100RADIOLOGY 52272,A000000,02200,0000,02200LABORATORY 52272,A000000,02300,0000,02300INTRAVENOUS THERAPY 52272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52272,A000000,02500,0000,02500PHYSICAL THERAPY 52272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52272,A000000,02700,0000,02700SPEECH PATHOLOGY 52272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52272,A000000,03050,0000,03300ENTERAL NUTRITION 52272,A000000,03051,0000,03350OTHER ANCILLARY 52272,A000000,03200,0000,03200SUPPORT SURFACES 52272,A000000,03550,0000,03550FQHC 52272,A000000,05000,0000,05000CORF 52272,A000000,05010,0000,05010CMHC 52272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52272,A000000,06150,0000,06300NON HEALTH CARE REV/EXP 52272,A81000A,00100,0100,Y 52272,A81000B,00100,0300,HO COSTS - NON-CAPIT 52272,A81000B,00200,0300,HO COSTS - CAPITAL 52272,A81000C,00100,0100,B 52272,A81000C,00100,0200,MERITCARE INC. 52272,A81000C,00100,0400,MERITCARE INC. 52272,A81000C,00100,0600,NURSING HOMES 52272,B100000,00000,0100,00000SQUARE FEET 52272,B100000,00000,0200,00000SQUARE FEET 52272,B100000,00000,0300,00000GROSS SALARIES 52272,B100000,00000,0400,00000ACCUM COST 52272,B100000,00000,0500,00000SQUARE FEET 52272,B100000,00000,0600,00000PATIENT DAYS 52272,B100000,00000,0700,00000SQUARE FEET 52272,B100000,00000,0800,00000PATIENT DAYS 52272,B100000,00000,0900,00000DIRECT NRSG HRS 52272,B100000,00000,1000,00000PATIENT DAYS 52272,B100000,00000,1100,00000COSTED REQUIS 52272,B100000,00000,1200,00000PATIENT DAYS 52272,B100000,00000,1300,00000PATIENT DAYS 52272,B100000,00000,1350,00000PATIENT DAYS 52272,B100000,00000,1400,00000ASSIGNED TIME 52272,E10A180,00501,0300,12/01/2000 52272,E10A180,00550,0300,11/30/2000 52272,S000000,00100,0200,11/28/2000 52272,S200000,00100,0100,2400 PARKSIDE DRIVE 52272,S200000,00200,0100,FREMONT 52272,S200000,00200,0200,CA 52272,S200000,00300,0100,ALAMEDA 52272,S200000,00400,0100,PARKMONT REHAB & NURSING CARE CTR 52272,S200000,00400,0200,055276 52272,S200000,00400,0300,04/01/1986 52272,S200000,00400,0500,P 52272,S200000,00600,0200,5-5276 52272,S200000,00600,0300,04/01/1986 52272,S200000,01600,0100,Y 52272,S200000,02200,0100,Y 52272,S200000,02800,0100,Y 52282,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52282,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52282,A000000,00300,0000,00300EMPLOYEE BENEFITS 52282,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52282,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52282,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52282,A000000,00700,0000,00700HOUSEKEEPING 52282,A000000,00800,0000,00800DIETARY 52282,A000000,00900,0000,00900NURSING ADMINISTRATION 52282,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52282,A000000,01100,0000,01100PHARMACY 52282,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52282,A000000,01300,0000,01300SOCIAL SERVICE 52282,A000000,01350,0000,01500RESIDENT ACTIVITIES 52282,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52282,A000000,01600,0000,01600SKILLED NURSING FACILITY 52282,A000000,01800,0000,01800NURSING FACILITY 52282,A000000,01810,0000,01810ICF/MR 52282,A000000,02100,0000,02100RADIOLOGY 52282,A000000,02200,0000,02200LABORATORY 52282,A000000,02300,0000,02300INTRAVENOUS THERAPY 52282,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52282,A000000,02500,0000,02500PHYSICAL THERAPY 52282,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52282,A000000,02700,0000,02700SPEECH PATHOLOGY 52282,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52282,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52282,A000000,03050,0000,03300ENTERAL NUTRITION 52282,A000000,03051,0000,03350OTHER ANCILLARY EXP 52282,A000000,03200,0000,03200SUPPORT SURFACES 52282,A000000,03550,0000,03550FQHC 52282,A000000,05000,0000,05000CORF 52282,A000000,05010,0000,05010CMHC 52282,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52282,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52282,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52282,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52282,A000000,06150,0000,06300NON HEALTH CARE REV/EXP 52282,A81000A,00100,0100,Y 52282,A81000B,00100,0300,HOME OFFICE COSTS 52282,A81000B,00200,0300,HO COSTS-CAPITAL 52282,A81000C,00100,0100,B 52282,A81000C,00100,0200,MERITCARE INC. 52282,A81000C,00100,0400,MERITCARE INC. 52282,B100000,00000,0100,00000SQUARE FEET 52282,B100000,00000,0200,00000SQUARE FEET 52282,B100000,00000,0300,00000GROSS SALARIES 52282,B100000,00000,0400,00000ACCUM COST 52282,B100000,00000,0500,00000SQUARE FEET 52282,B100000,00000,0600,00000PATIENT DAYS 52282,B100000,00000,0700,00000SQUARE FEET 52282,B100000,00000,0800,00000PATIENT DAYS 52282,B100000,00000,0900,00000DIRECT NRSG HRS 52282,B100000,00000,1000,00000PATIENT DAYS 52282,B100000,00000,1100,00000COSTED REQUIS 52282,B100000,00000,1200,00000PATIENT DAYS 52282,B100000,00000,1300,00000PATIENT DAYS 52282,B100000,00000,1350,00000PATIENT DAYS 52282,B100000,00000,1400,00000ASSIGNED TIME 52282,E10A180,00550,0300,11/30/2000 52282,S000000,00100,0200,11/17/2000 52282,S200000,00100,0100,1628 B STREET 52282,S200000,00200,0100,HAYWARD 52282,S200000,00200,0200,CA 52282,S200000,00300,0100,ALAMEDA 52282,S200000,00400,0100,MAJESTIC PINES CARE CENTER 52282,S200000,00400,0200,055434 52282,S200000,00400,0300,04/01/1986 52282,S200000,00400,0500,P 52282,S200000,00600,0200,055434 52282,S200000,00600,0300,04/01/1986 52282,S200000,00600,0600,P 52282,S200000,01600,0100,Y 52282,S200000,02200,0100,Y 52282,S200000,02800,0100,Y 52291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52291,A000000,00300,0000,00300EMPLOYEE BENEFITS 52291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52291,A000000,00700,0000,00700HOUSEKEEPING 52291,A000000,00800,0000,00800DIETARY 52291,A000000,00900,0000,00900NURSING ADMINISTRATION 52291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52291,A000000,01100,0000,01100PHARMACY 52291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52291,A000000,01300,0000,01300SOCIAL SERVICE 52291,A000000,01350,0000,01500RESIDENT ACTIVITIES 52291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52291,A000000,01600,0000,01600SKILLED NURSING FACILITY 52291,A000000,01800,0000,01800NURSING FACILITY 52291,A000000,01810,0000,01810ICF/MR 52291,A000000,02100,0000,02100RADIOLOGY 52291,A000000,02200,0000,02200LABORATORY 52291,A000000,02300,0000,02300INTRAVENOUS THERAPY 52291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52291,A000000,02500,0000,02500PHYSICAL THERAPY 52291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52291,A000000,02700,0000,02700SPEECH PATHOLOGY 52291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52291,A000000,03050,0000,03300ENTERAL NUTRITION 52291,A000000,03051,0000,03350OTHER ANCILLARY SERVICES 52291,A000000,03200,0000,03200SUPPORT SURFACES 52291,A000000,03550,0000,03550FQHC 52291,A000000,05000,0000,05000CORF 52291,A000000,05010,0000,05010CMHC 52291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52291,A000000,06150,0000,06300NON HEALTH CARE REV/EXP 52291,A81000A,00100,0100,Y 52291,A81000B,00100,0300,HO COSTS-NON CAPITAL 52291,A81000B,00200,0300,HO COSTS-CAPITAL 52291,A81000C,00100,0100,B 52291,A81000C,00100,0200,MERITCARE INC. 52291,A81000C,00100,0400,MERITCARE INC. 52291,A81000C,00100,0600,NURSING HOMES 52291,B100000,00000,0100,00000SQUARE FEET 52291,B100000,00000,0200,00000SQUARE FEET 52291,B100000,00000,0300,00000GROSS SALARIES 52291,B100000,00000,0400,00000ACCUM COST 52291,B100000,00000,0500,00000SQUARE FEET 52291,B100000,00000,0600,00000PATIENT DAYS 52291,B100000,00000,0700,00000SQUARE FEET 52291,B100000,00000,0800,00000PATIENT DAYS 52291,B100000,00000,0900,00000DIRECT NRSG HRS 52291,B100000,00000,1000,00000PATIENT DAYS 52291,B100000,00000,1100,00000COSTED REQUIS 52291,B100000,00000,1200,00000PATIENT DAYS 52291,B100000,00000,1300,00000PATIENT DAYS 52291,B100000,00000,1350,00000PATIENT DAYS 52291,B100000,00000,1400,00000ASSIGNED TIME 52291,E10A180,00550,0300,11/30/2000 52291,S000000,00100,0200,11/28/2000 52291,S200000,00100,0100,245 E. WILSHIRE AVENUE 52291,S200000,00200,0100,FULLERTON 52291,S200000,00200,0200,CA 52291,S200000,00200,0300,92632 52291,S200000,00300,0100,ORANGE 52291,S200000,00400,0100,CARRIAGE HOUSE MANOR 52291,S200000,00400,0200,055689 52291,S200000,00400,0300,04/01/1986 52291,S200000,00400,0500,P 52291,S200000,01600,0100,Y 52291,S200000,02200,0100,Y 52291,S200000,02800,0100,Y 52299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52299,A000000,00300,0000,00300EMPLOYEE BENEFITS 52299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52299,A000000,00700,0000,00700HOUSEKEEPING 52299,A000000,00800,0000,00800DIETARY 52299,A000000,00900,0000,00900NURSING ADMINISTRATION 52299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52299,A000000,01100,0000,01100PHARMACY 52299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52299,A000000,01300,0000,01300SOCIAL SERVICE 52299,A000000,01350,0000,01500RESIDENT ACTIVITIES 52299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52299,A000000,01600,0000,01600SKILLED NURSING FACILITY 52299,A000000,01800,0000,01800NURSING FACILITY 52299,A000000,01810,0000,01810ICF/MR 52299,A000000,02100,0000,02100RADIOLOGY 52299,A000000,02200,0000,02200LABORATORY 52299,A000000,02300,0000,02300INTRAVENOUS THERAPY 52299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52299,A000000,02500,0000,02500PHYSICAL THERAPY 52299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52299,A000000,02700,0000,02700SPEECH PATHOLOGY 52299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52299,A000000,03050,0000,03300ENTERAL NUTRITION 52299,A000000,03051,0000,03350OTHER ANCILLARY EXPENSE 52299,A000000,03200,0000,03200SUPPORT SURFACES 52299,A000000,03550,0000,03550FQHC 52299,A000000,05000,0000,05000CORF 52299,A000000,05010,0000,05010CMHC 52299,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52299,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52299,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52299,A000000,06150,0000,06300NON-HEALTH CARE REV/EXP 52299,A81000A,00100,0100,Y 52299,A81000B,00100,0300,HO COSTS-CAPITAL 52299,A81000B,00200,0300,HO COSTS-NON CAPITAL 52299,A81000C,00100,0100,B 52299,A81000C,00100,0200,MERITCARE INC. 52299,A81000C,00100,0400,MERITCARE INC. 52299,B100000,00000,0100,00000SQUARE FEET 52299,B100000,00000,0200,00000SQUARE FEET 52299,B100000,00000,0300,00000GROSS SALARIES 52299,B100000,00000,0400,00000ACCUM COST 52299,B100000,00000,0500,00000SQUARE FEET 52299,B100000,00000,0600,00000PATIENT DAYS 52299,B100000,00000,0700,00000SQUARE FEET 52299,B100000,00000,0800,00000PATIENT DAYS 52299,B100000,00000,0900,00000HOURS WORKED 52299,B100000,00000,1000,00000PATIENT DAYS 52299,B100000,00000,1100,00000COSTED REQUIS 52299,B100000,00000,1200,00000PATIENT DAYS 52299,B100000,00000,1300,00000PATIENT DAYS 52299,B100000,00000,1350,00000PATIENT DAYS 52299,B100000,00000,1400,00000ASSIGNED TIME 52299,E10A180,00550,0300,11/30/2000 52299,S000000,00100,0200,11/29/2000 52299,S200000,00100,0100,637 E. ROMIE LANE 52299,S200000,00200,0100,SALINAS 52299,S200000,00200,0200,CA 52299,S200000,00300,0100,MONTEREY 52299,S200000,00400,0100,SALINAS CARE CENTER 52299,S200000,00400,0200,055739 52299,S200000,00400,0300,07/01/1988 52299,S200000,00400,0500,P 52299,S200000,00600,0200,055739 52299,S200000,00600,0300,01/01/1988 52299,S200000,00600,0600,P 52299,S200000,01600,0100,Y 52299,S200000,02200,0100,Y 52299,S200000,02800,0100,Y 52306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52306,A000000,00300,0000,00300EMPLOYEE BENEFITS 52306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52306,A000000,00700,0000,00700HOUSEKEEPING 52306,A000000,00800,0000,00800DIETARY 52306,A000000,00900,0000,00900NURSING ADMINISTRATION 52306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52306,A000000,01100,0000,01100PHARMACY 52306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52306,A000000,01300,0000,01300SOCIAL SERVICE 52306,A000000,01350,0000,01500OTHER GENERAL SERVICES 52306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52306,A000000,01600,0000,01600SKILLED NURSING FACILITY 52306,A000000,01810,0000,01810ICF/MR 52306,A000000,02100,0000,02100RADIOLOGY 52306,A000000,02200,0000,02200LABORATORY 52306,A000000,02300,0000,02300INTRAVENOUS THERAPY 52306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52306,A000000,02500,0000,02500PHYSICAL THERAPY 52306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52306,A000000,02700,0000,02700SPEECH PATHOLOGY 52306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52306,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52306,A000000,03550,0000,03550FQHC 52306,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52306,A000000,05000,0000,05000CORF 52306,A000000,05010,0000,05010CMHC 52306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52306,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52306,A81000A,00100,0100,Y 52306,A81000B,00100,0300,MANAGEMENT FEES 52306,A81000C,00100,0100,A 52306,B100000,00000,0100,00000SQUARE FT 52306,B100000,00000,0200,00000SQUARE FT 52306,B100000,00000,0300,00000DIRECT WAGES 52306,B100000,00000,0400,00000ACCUM. COST 52306,B100000,00000,0500,00000SQUARE FT 52306,B100000,00000,0600,00000POUNDS 52306,B100000,00000,0700,00000SQUARE FT 52306,B100000,00000,0800,00000MEALS 52306,B100000,00000,0900,00000NO STATISTICS 52306,B100000,00000,1000,00000NO STATISTICS 52306,B100000,00000,1100,00000NO STATISTICS 52306,B100000,00000,1200,00000NO STATISTICS 52306,B100000,00000,1300,00000TIME 52306,B100000,00000,1350,00000NO STATISTICS 52306,B100000,00000,1400,00000NO STATISTICS 52306,E10A180,00501,0100,12/01/2000 52306,E10A180,00501,0300,12/01/2000 52306,S000000,00100,0200,11/28/2000 52306,S200000,00100,0100,4333 TORRANCE BOULEVARD 52306,S200000,00200,0100,TORRANCE 52306,S200000,00200,0200,CA 52306,S200000,00200,0300,90503 52306,S200000,00400,0100,WEST TORRANCE CARE CENTER 52306,S200000,00400,0200,055952 52306,S200000,00400,0300,07/01/1988 52306,S200000,00400,0500,P 52306,S200000,01500,0100,Y 52316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52316,A000000,00300,0000,00300EMPLOYEE BENEFITS 52316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52316,A000000,00700,0000,00700HOUSEKEEPING 52316,A000000,00800,0000,00800DIETARY 52316,A000000,00900,0000,00900NURSING ADMINISTRATION 52316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52316,A000000,01100,0000,01100PHARMACY 52316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52316,A000000,01300,0000,01300SOCIAL SERVICE 52316,A000000,01350,0000,01500OTHER GENERAL SERVICES 52316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52316,A000000,01600,0000,01600SKILLED NURSING FACILITY 52316,A000000,01810,0000,01810ICF/MR 52316,A000000,02100,0000,02100RADIOLOGY 52316,A000000,02200,0000,02200LABORATORY 52316,A000000,02300,0000,02300INTRAVENOUS THERAPY 52316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52316,A000000,02500,0000,02500PHYSICAL THERAPY 52316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52316,A000000,02700,0000,02700SPEECH PATHOLOGY 52316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52316,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52316,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52316,A000000,03550,0000,03550FQHC 52316,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52316,A000000,05000,0000,05000CORF 52316,A000000,05010,0000,05010CMHC 52316,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52316,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52316,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52316,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52316,A81000A,00100,0100,Y 52316,A81000B,00100,0300,MANAGEMENT SERVICES FEE 52316,A81000C,00100,0100,B 52316,A81000C,00100,0200,ASPEN HEALTHCARE 52316,A81000C,00100,0400,HEALTHCARE 52316,B100000,00000,0100,00000SQUARE FEET 52316,B100000,00000,0200,00000SQUARE FEET 52316,B100000,00000,0300,00000GROSS SALARIES 52316,B100000,00000,0400,00000ACCUM. COST 52316,B100000,00000,0500,00000SQUARE FEET 52316,B100000,00000,0600,00000POUNDS OF LAUNDRY 52316,B100000,00000,0700,00000SQUARE FEET 52316,B100000,00000,0800,00000MEALS SERVED 52316,B100000,00000,0900,00000DIRECT NRSING HRS 52316,B100000,00000,1000,00000COSTED REQUIS. 52316,B100000,00000,1100,00000COSTED REQUIS. 52316,B100000,00000,1200,00000TIME SPENT 52316,B100000,00000,1300,00000TIME SPENT 52316,B100000,00000,1350,00000NO STATISTICS 52316,B100000,00000,1400,00000ASSIGNED TIME 52316,E10A180,00501,0100,11/30/2000 52316,E10A180,00550,0300,11/30/2000 52316,S000000,00100,0200,11/29/2000 52316,S200000,00100,0100,4315 TORRANCE BOULEVARD 52316,S200000,00200,0100,TORRANCE 52316,S200000,00200,0200,CA 52316,S200000,00200,0300,90503 52316,S200000,00400,0100,TORRANCE CARE CENTER 52316,S200000,00400,0200,056352 52316,S200000,00400,0300,07/01/1988 52316,S200000,00400,0500,P 52316,S200000,01500,0100,Y 52324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52324,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52324,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52324,A000000,00300,0000,00300EMPLOYEE BENEFITS 52324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52324,A000000,00700,0000,00700HOUSEKEEPING 52324,A000000,00800,0000,00800DIETARY 52324,A000000,00801,0000,00801CAFETERIA 52324,A000000,00900,0000,00900NURSING ADMINISTRATION 52324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52324,A000000,01100,0000,01100PHARMACY 52324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52324,A000000,01300,0000,01300SOCIAL SERVICE 52324,A000000,01350,0000,01500ACTIVITIES 52324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52324,A000000,01600,0000,01600SKILLED NURSING FACILITY 52324,A000000,01800,0000,01800NURSING FACILITY 52324,A000000,01810,0000,01810ICF/MR 52324,A000000,02100,0000,02100RADIOLOGY 52324,A000000,02200,0000,02200LABORATORY 52324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52324,A000000,02500,0000,02500PHYSICAL THERAPY 52324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52324,A000000,02700,0000,02700SPEECH PATHOLOGY 52324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52324,A000000,03050,0000,03300PEN THERAPY 52324,A000000,03051,0000,03301FEE SCREENING 52324,A000000,03052,0000,03302OTHER ANCILLARY III 52324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52324,A000000,03550,0000,03550FQHC 52324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52324,A000000,05000,0000,05000CORF I 52324,A000000,05010,0000,05010CMHC I 52324,A000000,05020,0000,05020OPT I 52324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52324,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52324,A81000A,00100,0100,Y 52324,A81000B,00100,0300,HOME OFFICE ALLOCATION 52324,A81000B,00200,0300,HOME OFFICE ALLOCATION 52324,A81000B,00300,0300,REHAB SVC 52324,A81000B,00400,0300,REHAB SVC 52324,A81000B,00500,0300,REHAB SVC 52324,A81000C,00100,0100,B 52324,A81000C,00100,0200,GENESIS HEALTH 52324,A81000C,00100,0600,HOME OFFICE 52324,A81000C,00200,0100,B 52324,A81000C,00200,0200,GENESIS HEALTH 52324,A81000C,00200,0600,HOME OFFICE 52324,A81000C,00300,0100,G 52324,A81000C,00300,0200,REHAB SVC 52324,A81000C,00300,0600,REHAB 52324,A81000C,00400,0100,G 52324,A81000C,00400,0200,REHAB SV 52324,A81000C,00400,0600,REHAB 52324,A81000C,00500,0100,G 52324,A81000C,00500,0200,REHAB SVC 52324,A81000C,00500,0600,REHAB 52324,B100000,00000,0100,00000(SQUARE FEET) 52324,B100000,00000,0101,00000(SQUARE FEET) 52324,B100000,00000,0200,00000(SQUARE FEET) 52324,B100000,00000,0201,00000(SQUARE FEET) 52324,B100000,00000,0300,00000(GROSS SALARIES) 52324,B100000,00000,0400,00000(ACCUM. COST) 52324,B100000,00000,0500,00000(SQUARE FEET) 52324,B100000,00000,0600,00000(PATIENT DAYS) 52324,B100000,00000,0700,00000(SQUARE FEET) 52324,B100000,00000,0800,00000(MEALS SERVED) 52324,B100000,00000,0801,00000(MEALS SERVED) 52324,B100000,00000,0900,00000(NURSING SALARIES) 52324,B100000,00000,1000,00000(COSTED REQUIS.) 52324,B100000,00000,1100,00000(PATIENT DAYS) 52324,B100000,00000,1200,00000(GROSS CHARGES) 52324,B100000,00000,1300,00000(PATIENT DAYS) 52324,B100000,00000,1350,00000(PATIENT DAYS) 52324,B100000,00000,1400,00000(ASSIGNED TIME) 52324,E10A180,00550,0300,06/26/2000 52324,S000000,00100,0200,05/25/2000 52324,S200000,00100,0100,210 CHATFIELD STREET 52324,S200000,00200,0100,DERBY 52324,S200000,00200,0200,CT 52324,S200000,00200,0300,06418 52324,S200000,00300,0100,NEW HAVEN 52324,S200000,00400,0100,DERBY NURSING CENTER 52324,S200000,00400,0200,075059 52324,S200000,00400,0300,01/01/1994 52324,S200000,00400,0500,P 52324,S200000,01600,0100,Y 52324,S200000,02200,0100,Y 52364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52364,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52364,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52364,A000000,00300,0000,00300EMPLOYEE BENEFITS 52364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52364,A000000,00700,0000,00700HOUSEKEEPING 52364,A000000,00800,0000,00800DIETARY 52364,A000000,00801,0000,00801CAFETERIA 52364,A000000,00900,0000,00900NURSING ADMINISTRATION 52364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52364,A000000,01100,0000,01100PHARMACY 52364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52364,A000000,01300,0000,01300SOCIAL SERVICE 52364,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52364,A000000,01600,0000,01600SKILLED NURSING FACILITY 52364,A000000,01800,0000,01800NURSING FACILITY 52364,A000000,01810,0000,01810ICF/MR 52364,A000000,02100,0000,02100RADIOLOGY 52364,A000000,02200,0000,02200LABORATORY 52364,A000000,02300,0000,02300INTRAVENOUS THERAPY 52364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52364,A000000,02500,0000,02500PHYSICAL THERAPY 52364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52364,A000000,02700,0000,02700SPEECH PATHOLOGY 52364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52364,A000000,03050,0000,03300PEN PART B 52364,A000000,03051,0000,03301FEE SCREENING 52364,A000000,03052,0000,03302OTHER ANCILLARY III 52364,A000000,03200,0000,03200SUPPORT SURFACES 52364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52364,A000000,03550,0000,03550FQHC 52364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52364,A000000,05000,0000,05000CORF I 52364,A000000,05010,0000,05010CMHC I 52364,A000000,05020,0000,05020OPT I 52364,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52364,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52364,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52364,A81000A,00100,0100,Y 52364,A81000B,00100,0300,HOME OFFICE 52364,A81000B,00200,0300,HOME OFFICE 52364,A81000B,00300,0300,PHYSICAL THERAPY 52364,A81000B,00400,0300,OCCUPATIONAL THERAPY 52364,A81000B,00500,0300,SPEECH THERAPY 52364,A81000B,00600,0300,MEDICAL SUPPLIES 52364,A81000B,00700,0300,DRUGS 52364,A81000B,00800,0300,CLINITRON 52364,A81000C,00100,0100,B 52364,A81000C,00100,0200,GENESIS HEALTHS 52364,A81000C,00100,0600,MGMNT CO 52364,A81000C,00200,0100,B 52364,A81000C,00200,0200,NEIGHBORCARE 52364,A81000C,00200,0600,PHARMACY CO. 52364,A81000C,00300,0100,B 52364,A81000C,00300,0200,GENESIS SVCS 52364,A81000C,00300,0600,VARIOUS 52364,A81000C,00400,0100,B 52364,A81000C,00400,0200,R H S 52364,A81000C,00400,0600,REHAB CO. 52364,B100000,00000,0100,00000(SQUARE FEET) 52364,B100000,00000,0101,00000(SQUARE FEET) 52364,B100000,00000,0200,00000(SQUARE FEET) 52364,B100000,00000,0201,00000(SQUARE FEET) 52364,B100000,00000,0300,00000(GROSS SALARIES) 52364,B100000,00000,0400,00000(ACCUM. COST) 52364,B100000,00000,0500,00000(SQUARE FEET) 52364,B100000,00000,0600,00000(PATIENT DAYS) 52364,B100000,00000,0700,00000(SQUARE FEET) 52364,B100000,00000,0800,00000(MEALS SERVED) 52364,B100000,00000,0801,00000(MEALS SERVED) 52364,B100000,00000,0900,00000(PATIENT DAYS) 52364,B100000,00000,1000,00000(COSTED REQUIS.) 52364,B100000,00000,1100,00000(PATIENT DAYS) 52364,B100000,00000,1200,00000(GROSS CHARGES) 52364,B100000,00000,1300,00000(PATIENT DAYS) 52364,B100000,00000,1350,00000(PATIENT DAYS) 52364,B100000,00000,1400,00000(ASSIGNED TIME) 52364,E10A180,00550,0300,02/29/2000 52364,S000000,00100,0200,02/29/2000 52364,S200000,00100,0100,700 MARVEL RD 52364,S200000,00200,0100,MILFORD 52364,S200000,00200,0200,DE 52364,S200000,00200,0300,19963 52364,S200000,00300,0100,SUSSEX 52364,S200000,00400,0100,MILFORD 52364,S200000,00400,0200,085010 52364,S200000,00400,0300,07/01/1970 52364,S200000,00400,0500,P 52364,S200000,01600,0100,Y 52364,S200000,02200,0100,Y 52376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52376,A000000,00300,0000,00300EMPLOYEE BENEFITS 52376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52376,A000000,00700,0000,00700HOUSEKEEPING 52376,A000000,00800,0000,00800DIETARY 52376,A000000,00900,0000,00900NURSING ADMINISTRATION 52376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52376,A000000,01100,0000,01100PHARMACY 52376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52376,A000000,01300,0000,01300SOCIAL SERVICE 52376,A000000,01350,0000,01500PATIENT ACTIVITIES 52376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52376,A000000,01600,0000,01600SKILLED NURSING FACILITY 52376,A000000,01800,0000,01800NURSING FACILITY 52376,A000000,01810,0000,01810ICF/MR 52376,A000000,02100,0000,02100RADIOLOGY 52376,A000000,02200,0000,02200LABORATORY 52376,A000000,02300,0000,02300INTRAVENOUS THERAPY 52376,A000000,02500,0000,02500PHYSICAL THERAPY 52376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52376,A000000,02700,0000,02700SPEECH PATHOLOGY 52376,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52376,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52376,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52376,A000000,03550,0000,03550FQHC 52376,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52376,A000000,05000,0000,05000CORF 52376,A000000,05010,0000,05010CMHC 52376,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52376,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52376,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52376,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52376,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52376,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52376,A81000A,00100,0100,Y 52376,A81000B,00100,0300,LAUNDRY SERVICES 52376,A81000B,00200,0300,HEALTH INSURANCE 52376,A81000B,00300,0300,HOME OFFICE FEES 52376,A81000B,00400,0300,ADMIN & GEN HOME OFF COST 52376,A81000B,00500,0300,CAP REL COSTS - BLDGS & NEW CA 52376,A81000C,00100,0100,B 52376,A81000C,00100,0200,CATHOLIC HLTH INITIATIVES 52376,A81000C,00100,0400,CATHOLIC HLTH INITIATIVES 52376,A81000C,00100,0600,HOME OFFICE 52376,B100000,00000,0100,00000SQUARE FEET 52376,B100000,00000,0200,00000NO STATISTICS 52376,B100000,00000,0300,00000GROSS SALARIES 52376,B100000,00000,0400,00000ACCUM. COST 52376,B100000,00000,0500,00000SQUARE FEET 52376,B100000,00000,0600,00000RESIDENT DAYS 52376,B100000,00000,0700,00000SQ FT EXCL D 52376,B100000,00000,0800,00000RESIDENT DAYS 52376,B100000,00000,0900,00000RESIDENT DAYS 52376,B100000,00000,1000,00000NO STATISTICS 52376,B100000,00000,1100,00000RESIDENT DAYS 52376,B100000,00000,1200,00000RESIDENT DAYS 52376,B100000,00000,1300,00000RESIDENT DAYS 52376,B100000,00000,1350,00000RESIDENT DAYS 52376,B100000,00000,1400,00000ASSIGNED TIME 52376,E10A180,00301,0100,12/16/1999 52376,E10A180,00501,0300,12/29/2000 52376,S000000,00100,0200,11/30/2000 52376,S200000,00100,0100,801 NORTH BROOM STREET 52376,S200000,00200,0100,WILMINGTON 52376,S200000,00200,0200,DE 52376,S200000,00200,0300,19806 52376,S200000,00300,0100,N 52376,S200000,00400,0100,FRANCISCAN HCC @ WILMINGTON 52376,S200000,00400,0200,085012 52376,S200000,00400,0300,06/18/1970 52376,S200000,00400,0500,P 52376,S200000,01600,0100,Y 52386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52386,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52386,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52386,A000000,00300,0000,00300EMPLOYEE BENEFITS 52386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52386,A000000,00700,0000,00700HOUSEKEEPING 52386,A000000,00800,0000,00800DIETARY 52386,A000000,00801,0000,00801CAFETERIA 52386,A000000,00900,0000,00900NURSING ADMINISTRATION 52386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52386,A000000,01100,0000,01100PHARMACY 52386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52386,A000000,01300,0000,01300SOCIAL SERVICE 52386,A000000,01350,0000,01500ACTIVITIES 52386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52386,A000000,01600,0000,01600SKILLED NURSING FACILITY 52386,A000000,01800,0000,01800NURSING FACILITY 52386,A000000,01810,0000,01810ICF/MR 52386,A000000,02300,0000,02300INTRAVENOUS THERAPY 52386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52386,A000000,02500,0000,02500PHYSICAL THERAPY 52386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52386,A000000,02700,0000,02700SPEECH PATHOLOGY 52386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52386,A000000,03050,0000,03300PEN PART B 52386,A000000,03051,0000,03301FEE SCREENING 52386,A000000,03052,0000,03302OTHER ANCILLARY III 52386,A000000,03200,0000,03200SUPPORT SURFACES 52386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52386,A000000,03550,0000,03550FQHC 52386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52386,A000000,05000,0000,05000CORF I 52386,A000000,05010,0000,05010CMHC I 52386,A000000,05020,0000,05020OPT I 52386,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52386,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52386,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52386,A81000A,00100,0100,Y 52386,A81000B,00100,0300,HOME OFFICE ALLOC 52386,A81000B,00200,0300,HOME OFFICE CAP REL 52386,A81000B,00300,0300,OT 52386,A81000B,00400,0300,ST 52386,A81000B,00500,0300,PT 52386,A81000B,00600,0300,OXYGEN/RT 52386,A81000B,00700,0300,MEDICAL SUPPLIES 52386,A81000B,00800,0300,DRUGS 52386,A81000B,00900,0300,CLINITRON 52386,A81000C,00100,0100,B 52386,A81000C,00100,0200,GENESIS ELDERCA 52386,A81000C,00100,0600,MGMT CO 52386,A81000C,00200,0100,B 52386,A81000C,00200,0200,GENESIS SERVICE 52386,A81000C,00200,0600,THERAPY SERVICE 52386,A81000C,00300,0100,B 52386,A81000C,00300,0200,NEIGHBORCARE 52386,A81000C,00300,0600,PHARMACY 52386,A81000C,00400,0100,B 52386,A81000C,00400,0200,GEN.PHYS.SERV. 52386,A81000C,00400,0600,CASE MGMT 52386,A81000C,00500,0100,B 52386,A81000C,00500,0200,RESP. HEALTH 52386,A81000C,00500,0600,RT 52386,B100000,00000,0100,00000(SQUARE FEET) 52386,B100000,00000,0101,00000(SQUARE FEET) 52386,B100000,00000,0200,00000(SQUARE FEET) 52386,B100000,00000,0201,00000(SQUARE FEET) 52386,B100000,00000,0300,00000(GROSS SALARIES) 52386,B100000,00000,0400,00000(ACCUM. COST) 52386,B100000,00000,0500,00000(SQUARE FEET) 52386,B100000,00000,0600,00000(PATIENT DAYS) 52386,B100000,00000,0700,00000(SQUARE FEET) 52386,B100000,00000,0800,00000(MEALS SERVED) 52386,B100000,00000,0801,00000(MEALS SERVED) 52386,B100000,00000,0900,00000(PATIENT DAYS) 52386,B100000,00000,1000,00000(COSTED REQUIS.) 52386,B100000,00000,1100,00000(COSTED REQUIS.) 52386,B100000,00000,1200,00000(GROSS CHARGES) 52386,B100000,00000,1300,00000(PATIENT DAYS) 52386,B100000,00000,1350,00000(PATIENT DAYS) 52386,B100000,00000,1400,00000(ASSIGNED TIME) 52386,E10A180,00501,0100,03/24/2000 52386,E10A180,00501,0300,03/24/2000 52386,E10A180,00550,0100,03/12/2001 52386,E10A180,00550,0300,03/12/2001 52386,S000000,00100,0200,02/29/2000 52386,S200000,00100,0100,810 SOUTH BROOM STREET 52386,S200000,00200,0100,WILMINGTON 52386,S200000,00200,0200,DE 52386,S200000,00200,0300,19720 52386,S200000,00300,0100,NEW CASTLE 52386,S200000,00400,0100,HILLSIDE 52386,S200000,00400,0200,085013 52386,S200000,00400,0300,10/01/1987 52386,S200000,00400,0500,P 52386,S200000,01600,0100,Y 52386,S200000,02200,0100,Y 52386,S200000,04600,0100,Y 52396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52396,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52396,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52396,A000000,00300,0000,00300EMPLOYEE BENEFITS 52396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52396,A000000,00700,0000,00700HOUSEKEEPING 52396,A000000,00800,0000,00800DIETARY 52396,A000000,00801,0000,00801CAFETERIA 52396,A000000,00900,0000,00900NURSING ADMINISTRATION 52396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52396,A000000,01100,0000,01100PHARMACY 52396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52396,A000000,01300,0000,01300SOCIAL SERVICE 52396,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52396,A000000,01600,0000,01600SKILLED NURSING FACILITY 52396,A000000,01800,0000,01800NURSING FACILITY 52396,A000000,01810,0000,01810ICF/MR 52396,A000000,01900,0000,01900OTHER LONG TERM CARE 52396,A000000,02100,0000,02100RADIOLOGY 52396,A000000,02200,0000,02200LABORATORY 52396,A000000,02300,0000,02300INTRAVENOUS THERAPY 52396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52396,A000000,02500,0000,02500PHYSICAL THERAPY 52396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52396,A000000,02700,0000,02700SPEECH PATHOLOGY 52396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52396,A000000,03050,0000,03300PEN PART B 52396,A000000,03051,0000,03301FEE SCREENING 52396,A000000,03052,0000,03302OTHER ANCILLARY III 52396,A000000,03200,0000,03200SUPPORT SURFACES 52396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52396,A000000,03550,0000,03550FQHC 52396,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52396,A000000,05000,0000,05000CORF I 52396,A000000,05010,0000,05010CMHC I 52396,A000000,05020,0000,05020OPT I 52396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52396,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52396,A81000A,00100,0100,Y 52396,A81000B,00100,0300,HOME OFFICE 52396,A81000B,00200,0300,HOME OFFICE 52396,A81000B,00300,0300,PT 52396,A81000B,00400,0300,OT 52396,A81000B,00500,0300,ST 52396,A81000B,00600,0300,MEDICAL SUPPLIES 52396,A81000B,00700,0300,CENTRAL SUPPLY 52396,A81000B,00800,0300,OXYGEN 52396,A81000B,00900,0300,DRUGS 52396,A81000C,00100,0100,B 52396,A81000C,00100,0200,GENESIS HEALTH 52396,A81000C,00100,0600,HOME OFFICE 52396,A81000C,00200,0100,B 52396,A81000C,00200,0200,GEN ELDER REHAB 52396,A81000C,00200,0600,THERAPY 52396,A81000C,00300,0100,B 52396,A81000C,00300,0200,GEN MNGD CARE 52396,A81000C,00300,0600,CASE MGMNT 52396,A81000C,00400,0100,B 52396,A81000C,00400,0200,GEN PHY SVC 52396,A81000C,00400,0600,DRUG SCREENING 52396,A81000C,00500,0100,B 52396,A81000C,00500,0200,NEIGHBORCARE 52396,A81000C,00500,0600,PHARMACY 52396,A81000C,00600,0100,B 52396,A81000C,00600,0200,RESPIR HLTH SVC 52396,A81000C,00600,0600,THERAPY 52396,B100000,00000,0100,00000(SQUARE FEET) 52396,B100000,00000,0101,00000(SQUARE FEET) 52396,B100000,00000,0200,00000(SQUARE FEET) 52396,B100000,00000,0201,00000(SQUARE FEET) 52396,B100000,00000,0300,00000(GROSS SALARIES) 52396,B100000,00000,0400,00000(ACCUM. COST) 52396,B100000,00000,0500,00000(SQUARE FEET) 52396,B100000,00000,0600,00000(PATIENT DAYS) 52396,B100000,00000,0700,00000(SQUARE FEET) 52396,B100000,00000,0800,00000(MEALS SERVED) 52396,B100000,00000,0801,00000(MEALS SERVED) 52396,B100000,00000,0900,00000(PATIENT DAYS) 52396,B100000,00000,1000,00000(COSTED REQUIS.) 52396,B100000,00000,1100,00000(PATIENT DAYS) 52396,B100000,00000,1200,00000(GROSS CHARGES) 52396,B100000,00000,1300,00000(PATIENT DAYS) 52396,B100000,00000,1350,00000(PATIENT DAYS) 52396,B100000,00000,1400,00000(ASSIGNED TIME) 52396,S000000,00100,0200,02/29/2000 52396,S200000,00100,0100,1100 NORMAN ESKRIDGE 52396,S200000,00200,0100,SEAFORD 52396,S200000,00200,0200,DE 52396,S200000,00300,0100,SUSSEX 52396,S200000,00400,0100,SEAFORD CENTER 52396,S200000,00400,0200,085015 52396,S200000,00400,0300,05/10/1976 52396,S200000,00400,0500,P 52396,S200000,01600,0100,Y 52396,S200000,02200,0100,Y 52404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52404,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52404,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52404,A000000,00300,0000,00300EMPLOYEE BENEFITS 52404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52404,A000000,00700,0000,00700HOUSEKEEPING 52404,A000000,00800,0000,00800DIETARY 52404,A000000,00801,0000,00801CAFETERIA 52404,A000000,00900,0000,00900NURSING ADMINISTRATION 52404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52404,A000000,01100,0000,01100PHARMACY 52404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52404,A000000,01300,0000,01300SOCIAL SERVICE 52404,A000000,01350,0000,01500ACTIVITIES 52404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52404,A000000,01600,0000,01600SKILLED NURSING FACILITY 52404,A000000,01800,0000,01800NURSING FACILITY 52404,A000000,01810,0000,01810ICF/MR 52404,A000000,01900,0000,01900OTHER LONG TERM CARE 52404,A000000,02200,0000,02200LABORATORY 52404,A000000,02300,0000,02300INTRAVENOUS THERAPY 52404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52404,A000000,02500,0000,02500PHYSICAL THERAPY 52404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52404,A000000,02700,0000,02700SPEECH PATHOLOGY 52404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52404,A000000,03050,0000,03300PEN PARTB 52404,A000000,03051,0000,03301FEE SCREENING 52404,A000000,03052,0000,03302OTHER ANCILLARY III 52404,A000000,03200,0000,03200SUPPORT SURFACES 52404,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52404,A000000,03550,0000,03550FQHC 52404,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52404,A000000,05000,0000,05000CORF I 52404,A000000,05010,0000,05010CMHC I 52404,A000000,05020,0000,05020OPT I 52404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52404,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52404,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52404,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52404,A81000A,00100,0100,Y 52404,A81000B,00100,0300,TRUSTEES FEES 52404,A81000B,00200,0300,BROAD OF DIRECTORS FEES 52404,A81000C,00100,0100,A 52404,A81000C,00100,0200,HOOSIER CARE 52404,A81000C,00100,0600,MGMT 52404,A81000C,00200,0100,B 52404,A81000C,00200,0200,HOOSIER CARE 52404,A81000C,00200,0600,MGMT 52404,B100000,00000,0100,00000(SQUARE FEET) 52404,B100000,00000,0101,00000(SQUARE FEET) 52404,B100000,00000,0200,00000(SQUARE FEET) 52404,B100000,00000,0201,00000(SQUARE FEET) 52404,B100000,00000,0300,00000(GROSS SALARIES) 52404,B100000,00000,0400,00000(ACCUM. COST) 52404,B100000,00000,0500,00000(SQUARE FEET) 52404,B100000,00000,0600,00000(PATIENT DAYS) 52404,B100000,00000,0700,00000(SQUARE FEET) 52404,B100000,00000,0800,00000(MEALS SERVED) 52404,B100000,00000,0801,00000(MEALS SERVED) 52404,B100000,00000,0900,00000(PATIENT DAYS) 52404,B100000,00000,1000,00000(COSTED REQUIS.) 52404,B100000,00000,1100,00000(GROSS CHARGES) 52404,B100000,00000,1200,00000(GROSS CHARGES) 52404,B100000,00000,1300,00000(PATIENT DAYS) 52404,B100000,00000,1350,00000(PATIENT DAYS) 52404,B100000,00000,1400,00000(ASSIGNED TIME) 52404,E10A180,00501,0100,01/18/2001 52404,E10A180,00550,0300,01/18/2001 52404,S000000,00100,0200,12/01/2000 52404,S200000,00100,0100,4949 OGELTOWN ST. 52404,S200000,00200,0100,NEWARK 52404,S200000,00200,0200,DE 52404,S200000,00200,0300,19713 52404,S200000,00300,0100,N 52404,S200000,00400,0100,CHURCHMANS VILLAGE 52404,S200000,00400,0200,085025 52404,S200000,00400,0300,03/01/1986 52404,S200000,00400,0500,P 52404,S200000,01500,0100,Y 52404,S200000,02200,0100,Y 52422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52422,A000000,00300,0000,00300EMPLOYEE BENEFITS 52422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52422,A000000,00700,0000,00700HOUSEKEEPING 52422,A000000,00800,0000,00800DIETARY 52422,A000000,00900,0000,00900NURSING ADMINISTRATION 52422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52422,A000000,01100,0000,01100PHARMACY 52422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52422,A000000,01300,0000,01300SOCIAL SERVICE 52422,A000000,01350,0000,01500PATIENT ACTIVITIES 52422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52422,A000000,01600,0000,01600SKILLED NURSING FACILITY 52422,A000000,01810,0000,01810ICF/MR 52422,A000000,02100,0000,02100RADIOLOGY 52422,A000000,02200,0000,02200LABORATORY 52422,A000000,02300,0000,02300INTRAVENOUS THERAPY 52422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52422,A000000,02500,0000,02500PHYSICAL THERAPY 52422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52422,A000000,02700,0000,02700SPEECH PATHOLOGY 52422,A000000,02800,0000,02800ELECTROCARDIOLOGY 52422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52422,A000000,03550,0000,03550FQHC 52422,A000000,05000,0000,05000CORF 52422,A000000,05010,0000,05010CMHC 52422,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52422,A000000,06150,0000,06300RESIDENTIAL 52422,A81000A,00100,0100,Y 52422,A81000B,00100,0300,MANAGEMENT SUPPORT 52422,A81000B,00200,0300,MGNT SUPPORT (CAP) 52422,A81000B,00300,0300,MANAGEMENT SUPPORT 52422,A81000B,00400,0300,DATA PROCESSING SVCS 52422,A81000B,00500,0300,DATA PROC (CAP) 52422,A81000B,00600,0300,DATA PROCESSING SVCS 52422,A81000B,00700,0300,WORKING CAPITAL INT 52422,A81000B,00800,0300,WORKING CAPITAL INT 52422,A81000C,00100,0100,B 52422,A81000C,00100,0400,PHI INC. 52422,A81000C,00100,0600,MANAGEMENT SUPP 52422,A81000C,00200,0100,B 52422,A81000C,00200,0400,PRELUDE SYSTEMS 52422,A81000C,00200,0600,INFORMATION SYS 52422,B100000,00000,0100,00000SQUARE FEET 52422,B100000,00000,0200,00000SQUARE FEET 52422,B100000,00000,0300,00000GROSS SALARIES 52422,B100000,00000,0400,00000ACCUM COST 52422,B100000,00000,0500,00000SQUARE FEET 52422,B100000,00000,0600,00000POUNDS OF LAUNDRY 52422,B100000,00000,0700,00000SQ FT EXCL KTCH 52422,B100000,00000,0800,00000MEALS SERVED 52422,B100000,00000,0900,00000DIRECT NRSG HRS 52422,B100000,00000,1000,00000COSTED REQUIS 52422,B100000,00000,1100,00000COSTED REQUIS 52422,B100000,00000,1200,00000PATIENT DAYS 52422,B100000,00000,1300,00000PATIENT DAYS 52422,B100000,00000,1350,00000PATIENT DAYS 52422,B100000,00000,1400,00000ASSIGNED TIME 52422,E10A180,00550,0100,06/08/2000 52422,E10A180,00550,0300,06/08/2000 52422,E10A180,00551,0100,05/22/2001 52422,E10A180,00551,0300,05/22/2001 52422,E10A180,00552,0100,03/05/2001 52422,S000000,00100,0200,05/31/2000 52422,S200000,00100,0100,1175 MCKEE ROAD 52422,S200000,00200,0100,DOVER 52422,S200000,00200,0200,DE 52422,S200000,00200,0300,19904 52422,S200000,00300,0100,KENT 52422,S200000,00400,0100,WESTMINSTER VILLAGE/DOVER 52422,S200000,00400,0200,085032 52422,S200000,00400,0300,02/11/1987 52422,S200000,00400,0500,P 52422,S200000,01500,0100,Y 52433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52433,A000000,00300,0000,00300EMPLOYEE BENEFITS 52433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52433,A000000,00700,0000,00700HOUSEKEEPING 52433,A000000,00800,0000,00800DIETARY 52433,A000000,00900,0000,00900NURSING ADMINISTRATION 52433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52433,A000000,01100,0000,01100PHARMACY 52433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52433,A000000,01300,0000,01300SOCIAL SERVICE 52433,A000000,01350,0000,01500ACTIVITIES 52433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52433,A000000,01600,0000,01600SKILLED NURSING FACILITY 52433,A000000,01800,0000,01800NURSING FACILITY 52433,A000000,01810,0000,01810ICF/MR 52433,A000000,02100,0000,02100RADIOLOGY 52433,A000000,02200,0000,02200LABORATORY 52433,A000000,02300,0000,02300INTRAVENOUS THERAPY 52433,A000000,02500,0000,02500PHYSICAL THERAPY 52433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52433,A000000,02700,0000,02700SPEECH PATHOLOGY 52433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 52433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 52433,A000000,03550,0000,03550FQHC 52433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52433,A000000,05000,0000,05000CORF 52433,A000000,05010,0000,05010CMHC 52433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 52433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52433,A81000A,00100,0100,Y 52433,A81000B,00100,0300,LAUNDRY SERVICES 52433,A81000B,00200,0300,HEALTH INSURANCE 52433,A81000B,00300,0300,HOME OFFICE FEES 52433,A81000B,00400,0300,ADMIN & GEN HOME OFF COST 52433,A81000B,00500,0300,CAPITAL COSTS 52433,A81000C,00100,0100,B 52433,A81000C,00100,0200,CATHOLIC HLTH INITIATIVES 52433,A81000C,00100,0400,CATHOLIC HLTH INITIATIVES 52433,A81000C,00100,0600,HOME OFFICE 52433,B100000,00000,0100,00000SQUARE FEET 52433,B100000,00000,0200,00000NO STATISTICS 52433,B100000,00000,0300,00000GROSS SALARIES 52433,B100000,00000,0400,00000ACCUM. COST 52433,B100000,00000,0500,00000SQUARE FEET 52433,B100000,00000,0600,00000RESIDENT DAYS 52433,B100000,00000,0700,00000SQ FT EXCL D 52433,B100000,00000,0800,00000RESIDENT DAYS 52433,B100000,00000,0900,00000RESIDENT DAYS 52433,B100000,00000,1000,00000RESIDENT DAYS 52433,B100000,00000,1100,00000RESIDENT DAYS 52433,B100000,00000,1200,00000RESIDENT DAYS 52433,B100000,00000,1300,00000RESIDENT DAYS 52433,B100000,00000,1350,00000RESIDENT DAYS 52433,B100000,00000,1400,00000NO STATISTICS 52433,E10A180,00301,0100,12/16/1999 52433,E10A180,00301,0300,12/16/1999 52433,E10A180,00501,0100,12/13/2000 52433,E10A180,00501,0300,12/13/2000 52433,S000000,00100,0200,11/29/2000 52433,S200000,00100,0100,100 ST CLARE DRIVE 52433,S200000,00200,0100,HOCKESSIN 52433,S200000,00200,0200,DE 52433,S200000,00300,0100,NEW CASTLE 52433,S200000,00400,0100,FRANCISCAN HCC @ BRACKENVILLE 52433,S200000,00400,0200,085042 52433,S200000,00400,0300,03/01/1993 52433,S200000,00400,0500,P 52433,S200000,01600,0100,Y 52441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52441,A000000,00300,0000,00300EMPLOYEE BENEFITS 52441,A000000,00301,0000,00301STAFF DEVELOPMENT 52441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52441,A000000,00700,0000,00700HOUSEKEEPING 52441,A000000,00800,0000,00800DIETARY 52441,A000000,00900,0000,00900NURSING ADMINISTRATION 52441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52441,A000000,01100,0000,01100PHARMACY 52441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52441,A000000,01300,0000,01300SOCIAL SERVICE 52441,A000000,01350,0000,01500PATIENT ACTIVITIES 52441,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 52441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52441,A000000,01600,0000,01600SKILLED NURSING FACILITY 52441,A000000,01800,0000,01800NURSING FACILITY 52441,A000000,01810,0000,01810ICF/MR 52441,A000000,02100,0000,02100RADIOLOGY 52441,A000000,02200,0000,02200LABORATORY 52441,A000000,02300,0000,02300INTRAVENOUS THERAPY 52441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52441,A000000,02500,0000,02500PHYSICAL THERAPY 52441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52441,A000000,02700,0000,02700SPEECH PATHOLOGY 52441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52441,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 52441,A000000,03051,0000,03301OTHER - BLANK 1 52441,A000000,03052,0000,03302OTHER - RESPIRATORY 52441,A000000,03053,0000,03303OTHER - BLANK 2 52441,A000000,03054,0000,03304OTHER - OTHER MEDICAL SERVICES 52441,A000000,03055,0000,03305OTHER - CARRIER SERVICE 52441,A000000,03200,0000,03200SUPPORT SURFACES 52441,A000000,03550,0000,03550FQHC 52441,A000000,05000,0000,05000CORF 52441,A000000,05010,0000,05010CMHC 52441,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52441,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52441,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 52441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52441,B100000,00000,0100,00000SQUARE FEET 52441,B100000,00000,0200,00000SQUARE FEET 52441,B100000,00000,0300,00000GROSS SALARIES 52441,B100000,00000,0301,00000GROSS SALARIES 52441,B100000,00000,0400,00000ACCUM COST 52441,B100000,00000,0500,00000SQUARE FEET 52441,B100000,00000,0600,00000POUNDS OF LAUNDRY 52441,B100000,00000,0700,00000HOURS OF SERVICE 52441,B100000,00000,0800,00000MEALS SERVED 52441,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 52441,B100000,00000,1000,00000COSTED REQUISITIO 52441,B100000,00000,1100,00000COSTED REQUISITIO 52441,B100000,00000,1200,00000TIME SPENT 52441,B100000,00000,1300,00000TIME SPENT 52441,B100000,00000,1350,00000TIME SPENT 52441,B100000,00000,1351,00000REVENUE 52441,B100000,00000,1400,00000ASSIGNED TIME 52441,E10A180,00501,0100,07/20/2000 52441,E10A180,00501,0300,07/20/2000 52441,S000000,00100,0200,06/28/2000 52441,S200000,00100,0100,4500 INDIANAPOLIS STREET NE 52441,S200000,00200,0100,ST. PETERSBURG 52441,S200000,00200,0200,FL 52441,S200000,00200,0300,33703 52441,S200000,00300,0100,PINELLAS 52441,S200000,00400,0100,SHORE ACRES REHAB & NRSG. CENTER 52441,S200000,00400,0200,105050 52441,S200000,00400,0300,10/01/1988 52441,S200000,00400,0500,P 52441,S200000,01600,0100,Y 52450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52450,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52450,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52450,A000000,00300,0000,00300EMPLOYEE BENEFITS 52450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52450,A000000,00700,0000,00700HOUSEKEEPING 52450,A000000,00800,0000,00800DIETARY 52450,A000000,00801,0000,00801CAFETERIA 52450,A000000,00900,0000,00900NURSING ADMINISTRATION 52450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52450,A000000,01100,0000,01100PHARMACY 52450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52450,A000000,01300,0000,01300SOCIAL SERVICE 52450,A000000,01350,0000,01500ACTIVITIES 52450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52450,A000000,01600,0000,01600SKILLED NURSING FACILITY 52450,A000000,01800,0000,01800NURSING FACILITY 52450,A000000,01810,0000,01810ICF/MR 52450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52450,A000000,02500,0000,02500PHYSICAL THERAPY 52450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52450,A000000,02700,0000,02700SPEECH PATHOLOGY 52450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52450,A000000,03050,0000,03300PEN PART B 52450,A000000,03051,0000,03301OTHER ANCILLARY II 52450,A000000,03052,0000,03302OTHER ANCILLARY III 52450,A000000,03200,0000,03200SUPPORT SURFACES 52450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52450,A000000,03550,0000,03550FQHC 52450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52450,A000000,05000,0000,05000CORF I 52450,A000000,05010,0000,05010CMHC I 52450,A000000,05020,0000,05020OPT I 52450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52450,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52450,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52450,A81000A,00100,0100,Y 52450,A81000B,00100,0300,HOME OFFICE ALLOC 52450,A81000B,00200,0300,PT 52450,A81000B,00300,0300,OT 52450,A81000B,00400,0300,ST 52450,A81000B,00500,0300,CAPITAL 52450,A81000B,00600,0300,MED SUPP 52450,A81000B,00700,0300,RT 52450,A81000B,00800,0300,DRUGS CHARGED 52450,A81000B,00900,0300,CLINITRON 52450,A81000C,00100,0100,B 52450,A81000C,00100,0200,GENESIS ELDER 52450,A81000C,00100,0600,MGMT CO 52450,A81000C,00200,0100,B 52450,A81000C,00200,0200,NEIGHBORCARE 52450,A81000C,00200,0600,PHARMACY 52450,A81000C,00300,0100,B 52450,A81000C,00300,0200,GENESIS SERVICE 52450,A81000C,00300,0600,THERAPY 52450,A81000C,00400,0100,B 52450,A81000C,00400,0200,GENE PHYS SERV 52450,A81000C,00400,0600,CASE MGMT 52450,A81000C,00500,0100,B 52450,A81000C,00500,0200,RESP HLTH SERV 52450,A81000C,00500,0600,RT 52450,B100000,00000,0100,00000(SQUARE FEET) 52450,B100000,00000,0101,00000(SQUARE FEET) 52450,B100000,00000,0200,00000(SQUARE FEET) 52450,B100000,00000,0201,00000(SQUARE FEET) 52450,B100000,00000,0300,00000(GROSS SALARIES) 52450,B100000,00000,0400,00000(ACCUM. COST) 52450,B100000,00000,0500,00000(SQUARE FEET) 52450,B100000,00000,0600,00000(PATIENT DAYS) 52450,B100000,00000,0700,00000(SQUARE FEET) 52450,B100000,00000,0800,00000(MEALS SERVED) 52450,B100000,00000,0801,00000(MEALS SERVED) 52450,B100000,00000,0900,00000(PATIENT DAYS) 52450,B100000,00000,1000,00000(COSTED REQUIS.) 52450,B100000,00000,1100,00000(COSTED REQUIS.) 52450,B100000,00000,1200,00000(GROSS CHARGES) 52450,B100000,00000,1300,00000(PATIENT DAYS) 52450,B100000,00000,1350,00000(PATIENT DAYS) 52450,B100000,00000,1400,00000(ASSIGNED TIME) 52450,E10A180,00501,0100,03/23/2000 52450,E10A180,00501,0300,03/23/2000 52450,S000000,00100,0200,02/29/2000 52450,S200000,00100,0100,2802 PARENTAL HOME ROAD 52450,S200000,00200,0100,JACKSONVILLE 52450,S200000,00200,0200,FL 52450,S200000,00200,0300,32216 52450,S200000,00400,0100,THE RIVERWOOD CENTER 52450,S200000,00400,0200,105135 52450,S200000,00400,0300,08/01/1987 52450,S200000,00400,0500,P 52450,S200000,01600,0100,Y 52450,S200000,02200,0100,Y 52462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52462,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52462,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52462,A000000,00300,0000,00300EMPLOYEE BENEFITS 52462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52462,A000000,00700,0000,00700HOUSEKEEPING 52462,A000000,00800,0000,00800DIETARY 52462,A000000,00801,0000,00801CAFETERIA 52462,A000000,00900,0000,00900NURSING ADMINISTRATION 52462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52462,A000000,01100,0000,01100PHARMACY 52462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52462,A000000,01300,0000,01300SOCIAL SERVICE 52462,A000000,01350,0000,01500ACTIVITIES 52462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52462,A000000,01600,0000,01600SKILLED NURSING FACILITY 52462,A000000,01800,0000,01800NURSING FACILITY 52462,A000000,01810,0000,01810ICF/MR 52462,A000000,02100,0000,02100RADIOLOGY 52462,A000000,02300,0000,02300INTRAVENOUS THERAPY 52462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52462,A000000,02500,0000,02500PHYSICAL THERAPY 52462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52462,A000000,02700,0000,02700SPEECH PATHOLOGY 52462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52462,A000000,03050,0000,03300PEN PART B 52462,A000000,03051,0000,03301FEE SCREENING 52462,A000000,03052,0000,03302OTHER ANCILLARY III 52462,A000000,03200,0000,03200SUPPORT SURFACES 52462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52462,A000000,03550,0000,03550FQHC 52462,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52462,A000000,05000,0000,05000CORF I 52462,A000000,05010,0000,05010CMHC I 52462,A000000,05020,0000,05020OPT I 52462,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52462,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52462,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52462,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52462,A81000A,00100,0100,Y 52462,A81000B,00100,0300,HOME OFFICE FEES 52462,A81000C,00100,0100,B 52462,A81000C,00100,0200,AGED INST OF FL 52462,A81000C,00100,0600,OWNER 52462,B100000,00000,0100,00000(SQUARE FEET) 52462,B100000,00000,0101,00000(SQUARE FEET) 52462,B100000,00000,0200,00000(SQUARE FEET) 52462,B100000,00000,0201,00000(SQUARE FEET) 52462,B100000,00000,0300,00000(GROSS SALARIES) 52462,B100000,00000,0400,00000(ACCUM. COST) 52462,B100000,00000,0500,00000(SQUARE FEET) 52462,B100000,00000,0600,00000(PATIENT DAYS) 52462,B100000,00000,0700,00000(SQUARE FEET) 52462,B100000,00000,0800,00000(MEALS SERVED) 52462,B100000,00000,0801,00000(MEALS SERVED) 52462,B100000,00000,0900,00000(NURSING SALARIES) 52462,B100000,00000,1000,00000(COSTED REQUIS.) 52462,B100000,00000,1100,00000(COSTED REQUIS.) 52462,B100000,00000,1200,00000(GROSS CHARGES) 52462,B100000,00000,1300,00000(PATIENT DAYS) 52462,B100000,00000,1350,00000(PATIENT DAYS) 52462,B100000,00000,1400,00000(ASSIGNED TIME) 52462,S000000,00100,0200,05/26/2000 52462,S200000,00100,0100,545 WEST EUCLID AVENUE 52462,S200000,00200,0100,DELAND 52462,S200000,00200,0200,FL 52462,S200000,00200,0300,32720 52462,S200000,00300,0100,VOLUSIA 52462,S200000,00400,0100,UNIVERSITY WEST 52462,S200000,00400,0200,105261 52462,S200000,00400,0300,10/14/1972 52462,S200000,00400,0500,P 52462,S200000,01600,0100,Y 52462,S200000,02200,0100,Y 52462,S200000,04600,0100,Y 52471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52471,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52471,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52471,A000000,00300,0000,00300EMPLOYEE BENEFITS 52471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52471,A000000,00700,0000,00700HOUSEKEEPING 52471,A000000,00800,0000,00800DIETARY 52471,A000000,00801,0000,00801CAFETERIA 52471,A000000,00900,0000,00900NURSING ADMINISTRATION 52471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52471,A000000,01100,0000,01100PHARMACY 52471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52471,A000000,01300,0000,01300SOCIAL SERVICE 52471,A000000,01350,0000,01500ACTIVITIES 52471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52471,A000000,01600,0000,01600SKILLED NURSING FACILITY 52471,A000000,01800,0000,01800NURSING FACILITY 52471,A000000,01810,0000,01810ICF/MR 52471,A000000,02100,0000,02100RADIOLOGY 52471,A000000,02300,0000,02300INTRAVENOUS THERAPY 52471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52471,A000000,02500,0000,02500PHYSICAL THERAPY 52471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52471,A000000,02700,0000,02700SPEECH PATHOLOGY 52471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52471,A000000,03050,0000,03300PEN PART B 52471,A000000,03051,0000,03301FEE SCREENING 52471,A000000,03052,0000,03302OTHER ANCILLARY III 52471,A000000,03200,0000,03200SUPPORT SURFACES 52471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52471,A000000,03550,0000,03550FQHC 52471,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52471,A000000,05000,0000,05000CORF I 52471,A000000,05010,0000,05010CMHC I 52471,A000000,05020,0000,05020OPT I 52471,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52471,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52471,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52471,A81000A,00100,0100,Y 52471,A81000B,00100,0300,HOME OFFICE FEES 52471,A81000C,00100,0100,B 52471,A81000C,00100,0200,AGED INST OF FL 52471,A81000C,00100,0600,OWNER 52471,B100000,00000,0100,00000(SQUARE FEET) 52471,B100000,00000,0101,00000(SQUARE FEET) 52471,B100000,00000,0200,00000(SQUARE FEET) 52471,B100000,00000,0201,00000(SQUARE FEET) 52471,B100000,00000,0300,00000(GROSS SALARIES) 52471,B100000,00000,0400,00000(ACCUM. COST) 52471,B100000,00000,0500,00000(SQUARE FEET) 52471,B100000,00000,0600,00000(PATIENT DAYS) 52471,B100000,00000,0700,00000(SQUARE FEET) 52471,B100000,00000,0800,00000(MEALS SERVED) 52471,B100000,00000,0801,00000(MEALS SERVED) 52471,B100000,00000,0900,00000(NURSING SALARIES) 52471,B100000,00000,1000,00000(COSTED REQUIS.) 52471,B100000,00000,1100,00000(COSTED REQUIS.) 52471,B100000,00000,1200,00000(GROSS CHARGES) 52471,B100000,00000,1300,00000(PATIENT DAYS) 52471,B100000,00000,1350,00000(PATIENT DAYS) 52471,B100000,00000,1400,00000(ASSIGNED TIME) 52471,S000000,00100,0200,05/26/2000 52471,S200000,00100,0100,991 EAST NEW YORK AVENUE 52471,S200000,00200,0100,DELAND 52471,S200000,00200,0200,FL 52471,S200000,00200,0300,32724 52471,S200000,00300,0100,VOLUSIA 52471,S200000,00400,0100,UNIVERSITY EAST 52471,S200000,00400,0200,105262 52471,S200000,00400,0300,11/14/1972 52471,S200000,00400,0500,P 52471,S200000,01600,0100,Y 52471,S200000,02200,0100,Y 52471,S200000,04600,0100,Y 52481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52481,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52481,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52481,A000000,00300,0000,00300EMPLOYEE BENEFITS 52481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52481,A000000,00700,0000,00700HOUSEKEEPING 52481,A000000,00800,0000,00800DIETARY 52481,A000000,00801,0000,00801CAFETERIA 52481,A000000,00900,0000,00900NURSING ADMINISTRATION 52481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52481,A000000,01100,0000,01100PHARMACY 52481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52481,A000000,01300,0000,01300SOCIAL SERVICE 52481,A000000,01350,0000,01500ACTIVITIES 52481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52481,A000000,01600,0000,01600SKILLED NURSING FACILITY 52481,A000000,01800,0000,01800NURSING FACILITY 52481,A000000,01810,0000,01810ICF/MR 52481,A000000,02100,0000,02100RADIOLOGY 52481,A000000,02200,0000,02200LABORATORY 52481,A000000,02300,0000,02300INTRAVENOUS THERAPY 52481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52481,A000000,02500,0000,02500PHYSICAL THERAPY 52481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52481,A000000,02700,0000,02700SPEECH PATHOLOGY 52481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52481,A000000,03050,0000,03300PEN PART B 52481,A000000,03051,0000,03301FEE SCREENING 52481,A000000,03052,0000,03302OTHER ANCILLARY III 52481,A000000,03200,0000,03200SUPPORT SURFACES 52481,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52481,A000000,03550,0000,03550FQHC 52481,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52481,A000000,05000,0000,05000CORF I 52481,A000000,05010,0000,05010CMHC I 52481,A000000,05020,0000,05020OPT I 52481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52481,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52481,A81000A,00100,0100,Y 52481,A81000B,00100,0300,HOME OFFICE FEES 52481,A81000C,00100,0100,B 52481,A81000C,00100,0200,AGE INST OF FL 52481,A81000C,00100,0600,OWNED 52481,B100000,00000,0100,00000(SQUARE FEET) 52481,B100000,00000,0101,00000(SQUARE FEET) 52481,B100000,00000,0200,00000(SQUARE FEET) 52481,B100000,00000,0201,00000(SQUARE FEET) 52481,B100000,00000,0300,00000(GROSS SALARIES) 52481,B100000,00000,0400,00000(ACCUM. COST) 52481,B100000,00000,0500,00000(SQUARE FEET) 52481,B100000,00000,0600,00000(PATIENT DAYS) 52481,B100000,00000,0700,00000(SQUARE FEET) 52481,B100000,00000,0800,00000(MEALS SERVED) 52481,B100000,00000,0801,00000(MEALS SERVED) 52481,B100000,00000,0900,00000(PATIENT DAYS) 52481,B100000,00000,1000,00000(COSTED REQUIS.) 52481,B100000,00000,1100,00000(COSTED REQUIS.) 52481,B100000,00000,1200,00000(GROSS CHARGES) 52481,B100000,00000,1300,00000(PATIENT DAYS) 52481,B100000,00000,1350,00000(PATIENT DAYS) 52481,B100000,00000,1400,00000(ASSIGNED TIME) 52481,S000000,00100,0200,05/26/2000 52481,S200000,00100,0100,550 62ND ST SOUTH 52481,S200000,00200,0100,ST PETERSBURG 52481,S200000,00200,0200,FL 52481,S200000,00200,0300,33707 52481,S200000,00400,0100,EMERALD COAST 52481,S200000,00400,0200,105265 52481,S200000,00400,0300,01/21/1976 52481,S200000,00400,0500,P 52481,S200000,01600,0100,Y 52481,S200000,02200,0100,Y 52481,S200000,04600,0100,Y 52493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52493,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52493,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52493,A000000,00300,0000,00300EMPLOYEE BENEFITS 52493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52493,A000000,00700,0000,00700HOUSEKEEPING 52493,A000000,00800,0000,00800DIETARY 52493,A000000,00801,0000,00801CAFETERIA 52493,A000000,00900,0000,00900NURSING ADMINISTRATION 52493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52493,A000000,01100,0000,01100PHARMACY 52493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52493,A000000,01300,0000,01300SOCIAL SERVICE 52493,A000000,01350,0000,01500ACTIVITIES 52493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52493,A000000,01600,0000,01600SKILLED NURSING FACILITY 52493,A000000,01800,0000,01800NURSING FACILITY 52493,A000000,01810,0000,01810ICF/MR 52493,A000000,02100,0000,02100RADIOLOGY 52493,A000000,02200,0000,02200LABORATORY 52493,A000000,02300,0000,02300INTRAVENOUS THERAPY 52493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52493,A000000,02500,0000,02500PHYSICAL THERAPY 52493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52493,A000000,02700,0000,02700SPEECH PATHOLOGY 52493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52493,A000000,03050,0000,03300PEN PART B 52493,A000000,03051,0000,03301FEE SCREENING 52493,A000000,03052,0000,03302OTHER ANCILLARY III 52493,A000000,03200,0000,03200SUPPORT SURFACES 52493,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52493,A000000,03550,0000,03550FQHC 52493,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52493,A000000,05000,0000,05000CORF I 52493,A000000,05010,0000,05010CMHC I 52493,A000000,05020,0000,05020OPT I 52493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52493,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52493,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52493,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52493,A81000A,00100,0100,Y 52493,A81000B,00100,0300,HOME OFFICE FEES 52493,A81000C,00100,0100,B 52493,A81000C,00100,0200,AGE INST OF FL 52493,A81000C,00100,0600,OWNER 52493,B100000,00000,0100,00000(SQUARE FEET) 52493,B100000,00000,0101,00000(SQUARE FEET) 52493,B100000,00000,0200,00000(SQUARE FEET) 52493,B100000,00000,0201,00000(SQUARE FEET) 52493,B100000,00000,0300,00000(GROSS SALARIES) 52493,B100000,00000,0400,00000(ACCUM. COST) 52493,B100000,00000,0500,00000(SQUARE FEET) 52493,B100000,00000,0600,00000(PATIENT DAYS) 52493,B100000,00000,0700,00000(SQUARE FEET) 52493,B100000,00000,0800,00000(MEALS SERVED) 52493,B100000,00000,0801,00000(MEALS SERVED) 52493,B100000,00000,0900,00000(PATIENT DAYS) 52493,B100000,00000,1000,00000(COSTED REQUIS.) 52493,B100000,00000,1100,00000(COSTED REQUIS.) 52493,B100000,00000,1200,00000(GROSS CHARGES) 52493,B100000,00000,1300,00000(PATIENT DAYS) 52493,B100000,00000,1350,00000(PATIENT DAYS) 52493,B100000,00000,1400,00000(ASSIGNED TIME) 52493,S000000,00100,0200,05/26/2000 52493,S200000,00100,0100,512 SOUTH 11TH STREET 52493,S200000,00200,0100,LAKE WALES 52493,S200000,00200,0200,FL 52493,S200000,00200,0300,33853 52493,S200000,00400,0100,THE GROVES CENTER 52493,S200000,00400,0200,105269 52493,S200000,00400,0300,01/01/1987 52493,S200000,00400,0500,P 52493,S200000,01600,0100,Y 52493,S200000,02200,0100,Y 52493,S200000,04600,0100,Y 52503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52503,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52503,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52503,A000000,00300,0000,00300EMPLOYEE BENEFITS 52503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52503,A000000,00700,0000,00700HOUSEKEEPING 52503,A000000,00800,0000,00800DIETARY 52503,A000000,00801,0000,00801CAFETERIA 52503,A000000,00900,0000,00900NURSING ADMINISTRATION 52503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52503,A000000,01100,0000,01100PHARMACY 52503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52503,A000000,01300,0000,01300SOCIAL SERVICE 52503,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52503,A000000,01600,0000,01600SKILLED NURSING FACILITY 52503,A000000,01800,0000,01800NURSING FACILITY 52503,A000000,01810,0000,01810ICF/MR 52503,A000000,02100,0000,02100RADIOLOGY 52503,A000000,02200,0000,02200LABORATORY 52503,A000000,02300,0000,02300INTRAVENOUS THERAPY 52503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52503,A000000,02500,0000,02500PHYSICAL THERAPY 52503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52503,A000000,02700,0000,02700SPEECH PATHOLOGY 52503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52503,A000000,03050,0000,03300PEN PART B 52503,A000000,03051,0000,03301FEE SCREENING 52503,A000000,03052,0000,03302OTHER ANCILLARY III 52503,A000000,03200,0000,03200SUPPORT SURFACES 52503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52503,A000000,03550,0000,03550FQHC 52503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52503,A000000,05000,0000,05000CORF I 52503,A000000,05010,0000,05010CMHC I 52503,A000000,05020,0000,05020OPT I 52503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52503,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52503,A81000A,00100,0100,Y 52503,A81000B,00100,0300,H.O. RELATED FEES 52503,A81000C,00100,0100,B 52503,A81000C,00100,0200,AGED INST OF FL 52503,A81000C,00100,0600,OWNER 52503,A81000C,00200,0100,B 52503,A81000C,00200,0200,NEIGHBORCARE 52503,A81000C,00200,0600,PHARMACY 52503,A81000C,00300,0100,B 52503,A81000C,00300,0200,GENESIS SCVS 52503,A81000C,00300,0600,VARIOUS 52503,A81000C,00400,0100,B 52503,A81000C,00400,0200,GENESIS PHYS 52503,A81000C,00400,0600,CASE MGMT 52503,A81000C,00500,0100,B 52503,A81000C,00500,0200,GENESIS REHAB 52503,A81000C,00500,0600,RT 52503,B100000,00000,0100,00000(SQUARE FEET) 52503,B100000,00000,0101,00000(SQUARE FEET) 52503,B100000,00000,0200,00000(SQUARE FEET) 52503,B100000,00000,0201,00000(SQUARE FEET) 52503,B100000,00000,0300,00000(GROSS SALARIES) 52503,B100000,00000,0400,00000(ACCUM. COST) 52503,B100000,00000,0500,00000(SQUARE FEET) 52503,B100000,00000,0600,00000(PATIENT DAYS) 52503,B100000,00000,0700,00000(SQUARE FEET) 52503,B100000,00000,0800,00000(MEALS SERVED) 52503,B100000,00000,0801,00000(MEALS SERVED) 52503,B100000,00000,0900,00000(NURSING SALARIES) 52503,B100000,00000,1000,00000(PATIENT DAYS) 52503,B100000,00000,1100,00000(PATIENT DAYS) 52503,B100000,00000,1200,00000(PATIENT DAYS) 52503,B100000,00000,1300,00000(PATIENT DAYS) 52503,B100000,00000,1350,00000(PATIENT DAYS) 52503,B100000,00000,1400,00000(ASSIGNED TIME) 52503,S000000,00100,0200,05/26/2000 52503,S200000,00100,0100,1414 59TH STREET SOUTH 52503,S200000,00200,0100,GULFPORT 52503,S200000,00200,0200,FL 52503,S200000,00200,0300,33707 52503,S200000,00400,0100,BOCA CIEGA 52503,S200000,00400,0200,105271 52503,S200000,00400,0300,10/01/1993 52503,S200000,00400,0500,P 52503,S200000,01600,0100,Y 52503,S200000,02200,0100,Y 52513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52513,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52513,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52513,A000000,00300,0000,00300EMPLOYEE BENEFITS 52513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52513,A000000,00700,0000,00700HOUSEKEEPING 52513,A000000,00800,0000,00800DIETARY 52513,A000000,00801,0000,00801CAFETERIA 52513,A000000,00900,0000,00900NURSING ADMINISTRATION 52513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52513,A000000,01100,0000,01100PHARMACY 52513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52513,A000000,01300,0000,01300SOCIAL SERVICE 52513,A000000,01350,0000,01500PEN PART B 52513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52513,A000000,01600,0000,01600SKILLED NURSING FACILITY 52513,A000000,01800,0000,01800NURSING FACILITY 52513,A000000,01810,0000,01810ICF/MR 52513,A000000,02100,0000,02100RADIOLOGY 52513,A000000,02200,0000,02200LABORATORY 52513,A000000,02300,0000,02300INTRAVENOUS THERAPY 52513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52513,A000000,02500,0000,02500PHYSICAL THERAPY 52513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52513,A000000,02700,0000,02700SPEECH PATHOLOGY 52513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52513,A000000,03050,0000,03300FEE SCREENING 52513,A000000,03051,0000,03301OTHER ANCILLARY II 52513,A000000,03052,0000,03302OTHER ANCILLARY III 52513,A000000,03200,0000,03200SUPPORT SURFACES 52513,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52513,A000000,03550,0000,03550FQHC 52513,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52513,A000000,05000,0000,05000CORF I 52513,A000000,05010,0000,05010CMHC I 52513,A000000,05020,0000,05020OPT I 52513,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52513,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52513,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52513,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52513,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52513,A81000A,00100,0100,Y 52513,A81000B,00100,0300,H.O. RELATED FEES 52513,A81000C,00100,0100,B 52513,A81000C,00100,0200,AGE INST OF FLA 52513,B100000,00000,0100,00000(SQUARE FEET) 52513,B100000,00000,0101,00000(SQUARE FEET) 52513,B100000,00000,0200,00000(SQUARE FEET) 52513,B100000,00000,0201,00000(SQUARE FEET) 52513,B100000,00000,0300,00000(GROSS SALARIES) 52513,B100000,00000,0400,00000(ACCUM. COST) 52513,B100000,00000,0500,00000(SQUARE FEET) 52513,B100000,00000,0600,00000(PATIENT DAYS) 52513,B100000,00000,0700,00000(SQUARE FEET) 52513,B100000,00000,0800,00000(MEALS SERVED) 52513,B100000,00000,0801,00000(MEALS SERVED) 52513,B100000,00000,0900,00000(PATIENT DAYS) 52513,B100000,00000,1000,00000(COSTED REQUIS.) 52513,B100000,00000,1100,00000(PATIENT DAYS) 52513,B100000,00000,1200,00000(GROSS CHARGES) 52513,B100000,00000,1300,00000(PATIENT DAYS) 52513,B100000,00000,1350,00000(PATIENT DAYS) 52513,B100000,00000,1400,00000(ASSIGNED TIME) 52513,S000000,00100,0200,05/26/2000 52513,S200000,00100,0100,1270 TURNER ST 52513,S200000,00200,0100,CLEARWATER 52513,S200000,00200,0200,FL 52513,S200000,00200,0300,34616 52513,S200000,00400,0100,CLEARWATER 52513,S200000,00400,0200,105274 52513,S200000,00400,0300,12/13/1973 52513,S200000,00400,0500,P 52513,S200000,01600,0100,Y 52513,S200000,02200,0100,Y 52525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52525,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52525,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52525,A000000,00300,0000,00300EMPLOYEE BENEFITS 52525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52525,A000000,00700,0000,00700HOUSEKEEPING 52525,A000000,00800,0000,00800DIETARY 52525,A000000,00801,0000,00801CAFETERIA 52525,A000000,00900,0000,00900NURSING ADMINISTRATION 52525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52525,A000000,01100,0000,01100PHARMACY 52525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52525,A000000,01300,0000,01300SOCIAL SERVICE 52525,A000000,01350,0000,01500ACTIVITIES 52525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52525,A000000,01600,0000,01600SKILLED NURSING FACILITY 52525,A000000,01800,0000,01800NURSING FACILITY 52525,A000000,01810,0000,01810ICF/MR 52525,A000000,02100,0000,02100RADIOLOGY 52525,A000000,02300,0000,02300INTRAVENOUS THERAPY 52525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52525,A000000,02500,0000,02500PHYSICAL THERAPY 52525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52525,A000000,02700,0000,02700SPEECH PATHOLOGY 52525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52525,A000000,03050,0000,03300PEN PART B 52525,A000000,03051,0000,03301FEE SCREENING 52525,A000000,03052,0000,03302OTHER ANCILLARY III 52525,A000000,03200,0000,03200SUPPORT SURFACES 52525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52525,A000000,03550,0000,03550FQHC 52525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52525,A000000,05000,0000,05000CORF I 52525,A000000,05010,0000,05010CMHC I 52525,A000000,05020,0000,05020OPT I 52525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52525,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52525,A81000A,00100,0100,Y 52525,A81000B,00100,0300,HOME OFFICE FEES 52525,A81000C,00100,0100,B 52525,A81000C,00100,0200,AGED INST OF FL 52525,A81000C,00100,0600,OWNER 52525,B100000,00000,0100,00000(SQUARE FEET) 52525,B100000,00000,0101,00000(SQUARE FEET) 52525,B100000,00000,0200,00000(SQUARE FEET) 52525,B100000,00000,0201,00000(SQUARE FEET) 52525,B100000,00000,0300,00000(GROSS SALARIES) 52525,B100000,00000,0400,00000(ACCUM. COST) 52525,B100000,00000,0500,00000(SQUARE FEET) 52525,B100000,00000,0600,00000(PATIENT DAYS) 52525,B100000,00000,0700,00000(SQUARE FEET) 52525,B100000,00000,0800,00000(MEALS SERVED) 52525,B100000,00000,0801,00000(MEALS SERVED) 52525,B100000,00000,0900,00000(NURSING SALARIES) 52525,B100000,00000,1000,00000(COSTED REQUIS.) 52525,B100000,00000,1100,00000(COSTED REQUIS.) 52525,B100000,00000,1200,00000(GROSS CHARGES) 52525,B100000,00000,1300,00000(PATIENT DAYS) 52525,B100000,00000,1350,00000(PATIENT DAYS) 52525,B100000,00000,1400,00000(ASSIGNED TIME) 52525,S000000,00100,0200,05/26/2000 52525,S200000,00100,0100,515 CHESAPEAKE DRIVE 52525,S200000,00200,0100,TARPON SPRINGS 52525,S200000,00200,0200,FL 52525,S200000,00200,0300,34689 52525,S200000,00400,0100,TARPON BAYOU 52525,S200000,00400,0200,105280 52525,S200000,00400,0300,01/01/1973 52525,S200000,00400,0500,P 52525,S200000,01600,0100,Y 52525,S200000,02200,0100,Y 52525,S200000,04600,0100,Y 52537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52537,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52537,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52537,A000000,00300,0000,00300EMPLOYEE BENEFITS 52537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52537,A000000,00700,0000,00700HOUSEKEEPING 52537,A000000,00800,0000,00800DIETARY 52537,A000000,00801,0000,00801CAFETERIA 52537,A000000,00900,0000,00900NURSING ADMINISTRATION 52537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52537,A000000,01100,0000,01100PHARMACY 52537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52537,A000000,01300,0000,01300SOCIAL SERVICE 52537,A000000,01350,0000,01500ACTIVITIES 52537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52537,A000000,01600,0000,01600SKILLED NURSING FACILITY 52537,A000000,01800,0000,01800NURSING FACILITY 52537,A000000,01810,0000,01810ICF/MR 52537,A000000,02100,0000,02100RADIOLOGY 52537,A000000,02200,0000,02200LABORATORY 52537,A000000,02300,0000,02300INTRAVENOUS THERAPY 52537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52537,A000000,02500,0000,02500PHYSICAL THERAPY 52537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52537,A000000,02700,0000,02700SPEECH PATHOLOGY 52537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52537,A000000,03050,0000,03300PEN PART B 52537,A000000,03051,0000,03301FEE SCREENING 52537,A000000,03052,0000,03302OTHER ANCILLARY III 52537,A000000,03200,0000,03200SUPPORT SURFACES 52537,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52537,A000000,03550,0000,03550FQHC 52537,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52537,A000000,05000,0000,05000CORF I 52537,A000000,05010,0000,05010CMHC I 52537,A000000,05020,0000,05020OPT I 52537,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52537,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52537,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52537,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52537,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52537,A81000A,00100,0100,Y 52537,A81000B,00100,0300,HOME OFFICE FEES 52537,A81000C,00100,0100,B 52537,A81000C,00100,0200,AGE INST OF FL 52537,A81000C,00100,0600,OWNER 52537,B100000,00000,0100,00000(SQUARE FEET) 52537,B100000,00000,0101,00000(SQUARE FEET) 52537,B100000,00000,0200,00000(SQUARE FEET) 52537,B100000,00000,0201,00000(SQUARE FEET) 52537,B100000,00000,0300,00000(GROSS SALARIES) 52537,B100000,00000,0400,00000(ACCUM. COST) 52537,B100000,00000,0500,00000(SQUARE FEET) 52537,B100000,00000,0600,00000(PATIENT DAYS) 52537,B100000,00000,0700,00000(SQUARE FEET) 52537,B100000,00000,0800,00000(MEALS SERVED) 52537,B100000,00000,0801,00000(MEALS SERVED) 52537,B100000,00000,0900,00000(PATIENT DAYS) 52537,B100000,00000,1000,00000(COSTED REQUIS.) 52537,B100000,00000,1100,00000(COSTED REQUIS.) 52537,B100000,00000,1200,00000(GROSS CHARGES) 52537,B100000,00000,1300,00000(PATIENT DAYS) 52537,B100000,00000,1350,00000(PATIENT DAYS) 52537,B100000,00000,1400,00000(ASSIGNED TIME) 52537,S000000,00100,0200,05/26/2000 52537,S200000,00100,0100,610 E. BELLA VISTA DR 52537,S200000,00200,0100,LAKELAND 52537,S200000,00200,0200,FL 52537,S200000,00200,0300,33805 52537,S200000,00300,0100,POLK 52537,S200000,00400,0100,LAKELAND HILLS 52537,S200000,00400,0200,105283 52537,S200000,00400,0300,12/01/1974 52537,S200000,00400,0500,P 52537,S200000,01600,0100,Y 52537,S200000,02200,0100,Y 52537,S200000,04600,0100,Y 52546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52546,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52546,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52546,A000000,00300,0000,00300EMPLOYEE BENEFITS 52546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52546,A000000,00700,0000,00700HOUSEKEEPING 52546,A000000,00800,0000,00800DIETARY 52546,A000000,00801,0000,00801CAFETERIA 52546,A000000,00900,0000,00900NURSING ADMINISTRATION 52546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52546,A000000,01100,0000,01100PHARMACY 52546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52546,A000000,01300,0000,01300SOCIAL SERVICE 52546,A000000,01350,0000,01500ACTIVITIES 52546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52546,A000000,01600,0000,01600SKILLED NURSING FACILITY 52546,A000000,01800,0000,01800NURSING FACILITY 52546,A000000,01810,0000,01810ICF/MR 52546,A000000,02100,0000,02100RADIOLOGY 52546,A000000,02200,0000,02200LABORATORY 52546,A000000,02300,0000,02300INTRAVENOUS THERAPY 52546,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52546,A000000,02500,0000,02500PHYSICAL THERAPY 52546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52546,A000000,02700,0000,02700SPEECH PATHOLOGY 52546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52546,A000000,03050,0000,03300PEN PART B 52546,A000000,03051,0000,03301FEE SCREENING 52546,A000000,03052,0000,03302OTHER ANCILLARY III 52546,A000000,03200,0000,03200SUPPORT SURFACES 52546,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52546,A000000,03550,0000,03550FQHC 52546,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52546,A000000,05000,0000,05000CORF I 52546,A000000,05010,0000,05010CMHC I 52546,A000000,05020,0000,05020OPT I 52546,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52546,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52546,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52546,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52546,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52546,A81000A,00100,0100,Y 52546,A81000B,00100,0300,HOME OFFICE FEES 52546,A81000C,00100,0100,B 52546,A81000C,00100,0200,AGED INST OF FL 52546,A81000C,00100,0600,OWNER 52546,B100000,00000,0100,00000(SQUARE FEET) 52546,B100000,00000,0101,00000(SQUARE FEET) 52546,B100000,00000,0200,00000(SQUARE FEET) 52546,B100000,00000,0201,00000(SQUARE FEET) 52546,B100000,00000,0300,00000(GROSS SALARIES) 52546,B100000,00000,0400,00000(ACCUM. COST) 52546,B100000,00000,0500,00000(SQUARE FEET) 52546,B100000,00000,0600,00000(PATIENT DAYS) 52546,B100000,00000,0700,00000(SQUARE FEET) 52546,B100000,00000,0800,00000(MEALS SERVED) 52546,B100000,00000,0801,00000(MEALS SERVED) 52546,B100000,00000,0900,00000(NURSING SALARIES) 52546,B100000,00000,1000,00000(COSTED REQUIS.) 52546,B100000,00000,1100,00000(COSTED REQUIS.) 52546,B100000,00000,1200,00000(GROSS CHARGES) 52546,B100000,00000,1300,00000(PATIENT DAYS) 52546,B100000,00000,1350,00000(PATIENT DAYS) 52546,B100000,00000,1400,00000(ASSIGNED TIME) 52546,S000000,00100,0200,05/26/2000 52546,S200000,00100,0100,1336 ST. ANDREWS BLVD 52546,S200000,00200,0100,BAY 52546,S200000,00200,0200,FL 52546,S200000,00200,0300,32406 52546,S200000,00400,0100,BAY CENTER 52546,S200000,00400,0200,105285 52546,S200000,00400,0300,08/01/1987 52546,S200000,00400,0500,P 52546,S200000,01600,0100,Y 52546,S200000,02200,0100,Y 52558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52558,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52558,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52558,A000000,00300,0000,00300EMPLOYEE BENEFITS 52558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52558,A000000,00700,0000,00700HOUSEKEEPING 52558,A000000,00800,0000,00800DIETARY 52558,A000000,00801,0000,00801CAFETERIA 52558,A000000,00900,0000,00900NURSING ADMINISTRATION 52558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52558,A000000,01100,0000,01100PHARMACY 52558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52558,A000000,01300,0000,01300SOCIAL SERVICE 52558,A000000,01350,0000,01500ACTIVITIES 52558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52558,A000000,01600,0000,01600SKILLED NURSING FACILITY 52558,A000000,01800,0000,01800NURSING FACILITY 52558,A000000,01810,0000,01810ICF/MR 52558,A000000,02100,0000,02100RADIOLOGY 52558,A000000,02200,0000,02200LABORATORY 52558,A000000,02300,0000,02300INTRAVENOUS THERAPY 52558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52558,A000000,02500,0000,02500PHYSICAL THERAPY 52558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52558,A000000,02700,0000,02700SPEECH PATHOLOGY 52558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52558,A000000,03050,0000,03300PEN PART B 52558,A000000,03051,0000,03301FEE SCREENING 52558,A000000,03052,0000,03302OTHER ANCILLARY III 52558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 52558,A000000,03200,0000,03200SUPPORT SURFACES 52558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52558,A000000,03550,0000,03550FQHC 52558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52558,A000000,05000,0000,05000CORF I 52558,A000000,05010,0000,05010CMHC I 52558,A000000,05020,0000,05020OPT I 52558,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52558,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52558,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52558,A81000A,00100,0100,Y 52558,A81000B,00100,0300,HOME OFFICE FEES 52558,A81000C,00100,0100,B 52558,A81000C,00100,0200,AGE INST OF FL 52558,A81000C,00100,0600,OWNER 52558,B100000,00000,0100,00000(SQUARE FEET) 52558,B100000,00000,0101,00000(SQUARE FEET) 52558,B100000,00000,0200,00000(SQUARE FEET) 52558,B100000,00000,0201,00000(SQUARE FEET) 52558,B100000,00000,0300,00000(GROSS SALARIES) 52558,B100000,00000,0400,00000(ACCUM. COST) 52558,B100000,00000,0500,00000(SQUARE FEET) 52558,B100000,00000,0600,00000(PATIENT DAYS) 52558,B100000,00000,0700,00000(SQUARE FEET) 52558,B100000,00000,0800,00000(MEALS SERVED) 52558,B100000,00000,0801,00000(MEALS SERVED) 52558,B100000,00000,0900,00000(PATIENT DAYS) 52558,B100000,00000,1000,00000(COSTED REQUIS.) 52558,B100000,00000,1100,00000(COSTED REQUIS.) 52558,B100000,00000,1200,00000(GROSS CHARGES) 52558,B100000,00000,1300,00000(PATIENT DAYS) 52558,B100000,00000,1350,00000(PATIENT DAYS) 52558,B100000,00000,1400,00000(ASSIGNED TIME) 52558,E10A180,00350,0100,01/01/2000 52558,S000000,00100,0200,05/26/2000 52558,S200000,00100,0100,2055 EAST GEORGIA STREET 52558,S200000,00200,0100,BARTOW 52558,S200000,00200,0200,FL 52558,S200000,00200,0300,33030 52558,S200000,00300,0100,POLK 52558,S200000,00400,0100,BARTOW CENTER 52558,S200000,00400,0200,105286 52558,S200000,00400,0300,03/01/1975 52558,S200000,00400,0500,P 52558,S200000,01600,0100,Y 52558,S200000,02200,0100,Y 52568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52568,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52568,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52568,A000000,00300,0000,00300EMPLOYEE BENEFITS 52568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52568,A000000,00700,0000,00700HOUSEKEEPING 52568,A000000,00800,0000,00800DIETARY 52568,A000000,00801,0000,00801CAFETERIA 52568,A000000,00900,0000,00900NURSING ADMINISTRATION 52568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52568,A000000,01100,0000,01100PHARMACY 52568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52568,A000000,01300,0000,01300SOCIAL SERVICE 52568,A000000,01350,0000,01500ACTIVITIES 52568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52568,A000000,01600,0000,01600SKILLED NURSING FACILITY 52568,A000000,01800,0000,01800NURSING FACILITY 52568,A000000,01810,0000,01810ICF/MR 52568,A000000,02100,0000,02100RADIOLOGY 52568,A000000,02200,0000,02200LABORATORY 52568,A000000,02300,0000,02300INTRAVENOUS THERAPY 52568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52568,A000000,02500,0000,02500PHYSICAL THERAPY 52568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52568,A000000,02700,0000,02700SPEECH PATHOLOGY 52568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52568,A000000,03050,0000,03300PEN PART B 52568,A000000,03051,0000,03301FEE SCREENING 52568,A000000,03052,0000,03302OTHER ANCILLARY III 52568,A000000,03200,0000,03200SUPPORT SURFACES 52568,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52568,A000000,03550,0000,03550FQHC 52568,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52568,A000000,05000,0000,05000CORF I 52568,A000000,05010,0000,05010CMHC I 52568,A000000,05020,0000,05020OPT I 52568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52568,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52568,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52568,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52568,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52568,A81000A,00100,0100,Y 52568,A81000B,00100,0300,HOME OFFICE FEES 52568,A81000C,00100,0100,B 52568,A81000C,00100,0200,AGED INST OF FL 52568,A81000C,00100,0600,OWNER 52568,B100000,00000,0100,00000(SQUARE FEET) 52568,B100000,00000,0101,00000(SQUARE FEET) 52568,B100000,00000,0200,00000(SQUARE FEET) 52568,B100000,00000,0201,00000(SQUARE FEET) 52568,B100000,00000,0300,00000(GROSS SALARIES) 52568,B100000,00000,0400,00000(ACCUM. COST) 52568,B100000,00000,0500,00000(SQUARE FEET) 52568,B100000,00000,0600,00000(PATIENT DAYS) 52568,B100000,00000,0700,00000(SQUARE FEET) 52568,B100000,00000,0800,00000(MEALS SERVED) 52568,B100000,00000,0801,00000(MEALS SERVED) 52568,B100000,00000,0900,00000(NURSING SALARIES) 52568,B100000,00000,1000,00000(COSTED REQUIS.) 52568,B100000,00000,1100,00000(COSTED REQUIS.) 52568,B100000,00000,1200,00000(GROSS CHARGES) 52568,B100000,00000,1300,00000(PATIENT DAYS) 52568,B100000,00000,1350,00000(PATIENT DAYS) 52568,B100000,00000,1400,00000(ASSIGNED TIME) 52568,S000000,00100,0200,05/26/2000 52568,S200000,00100,0100,550 62ND STREET SOUTH 52568,S200000,00200,0100,ST. PETERSBURG 52568,S200000,00200,0200,FL 52568,S200000,00200,0300,33707 52568,S200000,00400,0100,EGRET COVE 52568,S200000,00400,0200,105293 52568,S200000,00400,0300,01/21/1976 52568,S200000,00400,0500,P 52568,S200000,01600,0100,Y 52568,S200000,02200,0100,Y 52568,S200000,04600,0100,Y 52577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52577,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52577,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52577,A000000,00300,0000,00300EMPLOYEE BENEFITS 52577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52577,A000000,00700,0000,00700HOUSEKEEPING 52577,A000000,00800,0000,00800DIETARY 52577,A000000,00801,0000,00801CAFETERIA 52577,A000000,00900,0000,00900NURSING ADMINISTRATION 52577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52577,A000000,01100,0000,01100PHARMACY 52577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52577,A000000,01300,0000,01300SOCIAL SERVICE 52577,A000000,01350,0000,01500ACTIVITIES 52577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52577,A000000,01600,0000,01600SKILLED NURSING FACILITY 52577,A000000,01800,0000,01800NURSING FACILITY 52577,A000000,01810,0000,01810ICF/MR 52577,A000000,02200,0000,02200LABORATORY 52577,A000000,02300,0000,02300INTRAVENOUS THERAPY 52577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52577,A000000,02500,0000,02500PHYSICAL THERAPY 52577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52577,A000000,02700,0000,02700SPEECH PATHOLOGY 52577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52577,A000000,03050,0000,03300PEN PART B 52577,A000000,03051,0000,03301FEE SCREENING 52577,A000000,03052,0000,03302OTHER ANCILLARY III 52577,A000000,03200,0000,03200SUPPORT SURFACES 52577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52577,A000000,03550,0000,03550FQHC 52577,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52577,A000000,05000,0000,05000CORF I 52577,A000000,05010,0000,05010CMHC I 52577,A000000,05020,0000,05020OPT I 52577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52577,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52577,A81000A,00100,0100,Y 52577,A81000B,00100,0300,HOME OFFICE ALLOC 52577,A81000B,00200,0300,HOME OFFICE CAP REL 52577,A81000B,00300,0300,OT 52577,A81000B,00400,0300,ST 52577,A81000B,00500,0300,PT 52577,A81000B,00600,0300,RT/OXYGEN 52577,A81000B,00700,0300,MEDICAL SUPPLIES 52577,A81000B,00800,0300,DRUGS 52577,A81000B,00900,0300,CLINITRON 52577,A81000C,00100,0100,B 52577,A81000C,00100,0200,GENESIS ELDERC 52577,A81000C,00100,0600,MGMT CO 52577,A81000C,00200,0100,B 52577,A81000C,00200,0200,NEIGHBORCARE 52577,A81000C,00200,0600,PHARMACY 52577,A81000C,00300,0100,B 52577,A81000C,00300,0200,GENESIS SERVICE 52577,A81000C,00300,0600,THERAPY 52577,A81000C,00400,0100,B 52577,A81000C,00400,0200,RESPIRATORY HEA 52577,A81000C,00400,0600,RT 52577,A81000C,00500,0100,B 52577,A81000C,00500,0200,RESPIR. HEALTH 52577,A81000C,00500,0600,RT 52577,B100000,00000,0100,00000(SQUARE FEET) 52577,B100000,00000,0101,00000(SQUARE FEET) 52577,B100000,00000,0200,00000(SQUARE FEET) 52577,B100000,00000,0201,00000(SQUARE FEET) 52577,B100000,00000,0300,00000(GROSS SALARIES) 52577,B100000,00000,0400,00000(ACCUM. COST) 52577,B100000,00000,0500,00000(SQUARE FEET) 52577,B100000,00000,0600,00000(PATIENT DAYS) 52577,B100000,00000,0700,00000(SQUARE FEET) 52577,B100000,00000,0800,00000(MEALS SERVED) 52577,B100000,00000,0801,00000(MEALS SERVED) 52577,B100000,00000,0900,00000(PATIENT DAYS) 52577,B100000,00000,1000,00000(COSTED REQUIS.) 52577,B100000,00000,1100,00000(COSTED REQUIS.) 52577,B100000,00000,1200,00000(GROSS CHARGES) 52577,B100000,00000,1300,00000(PATIENT DAYS) 52577,B100000,00000,1350,00000(PATIENT DAYS) 52577,B100000,00000,1400,00000(ASSIGNED TIME) 52577,E10A180,00550,0300,02/29/2000 52577,S000000,00100,0200,02/29/2000 52577,S200000,00100,0100,13806 NORTH 46TH STREET 52577,S200000,00200,0100,TAMPA 52577,S200000,00200,0200,FL 52577,S200000,00200,0300,33613 52577,S200000,00400,0100,FAIRWAY OAKS 52577,S200000,00400,0200,105305 52577,S200000,00400,0300,01/01/1991 52577,S200000,00400,0500,P 52577,S200000,01600,0100,Y 52577,S200000,02200,0100,Y 52577,S200000,04600,0100,Y 52586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52586,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52586,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52586,A000000,00300,0000,00300EMPLOYEE BENEFITS 52586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52586,A000000,00700,0000,00700HOUSEKEEPING 52586,A000000,00800,0000,00800DIETARY 52586,A000000,00801,0000,00801CAFETERIA 52586,A000000,00900,0000,00900NURSING ADMINISTRATION 52586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52586,A000000,01100,0000,01100PHARMACY 52586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52586,A000000,01300,0000,01300SOCIAL SERVICE 52586,A000000,01350,0000,01500ACTIVITIES 52586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52586,A000000,01600,0000,01600SKILLED NURSING FACILITY 52586,A000000,01800,0000,01800NURSING FACILITY 52586,A000000,01810,0000,01810ICF/MR 52586,A000000,02100,0000,02100RADIOLOGY 52586,A000000,02200,0000,02200LABORATORY 52586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52586,A000000,02500,0000,02500PHYSICAL THERAPY 52586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52586,A000000,02700,0000,02700SPEECH PATHOLOGY 52586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52586,A000000,03050,0000,03300PEN PART B 52586,A000000,03051,0000,03301FEE SCREENING 52586,A000000,03052,0000,03302OTHER ANCILLARY III 52586,A000000,03200,0000,03200SUPPORT SURFACES 52586,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52586,A000000,03550,0000,03550FQHC 52586,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52586,A000000,05000,0000,05000CORF I 52586,A000000,05010,0000,05010CMHC I 52586,A000000,05020,0000,05020OPT I 52586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52586,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52586,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52586,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52586,A81000A,00100,0100,Y 52586,A81000B,00100,0300,PT 52586,A81000B,00200,0300,OT 52586,A81000B,00300,0300,ST 52586,A81000B,00400,0300,HOME OFFICE ALLOCATION 52586,A81000B,00500,0300,OXYGEN 52586,A81000B,00600,0300,MEDICAL SUPPLIES 52586,A81000B,00700,0300,HOME OFFICE CAP REL 52586,A81000B,00800,0300,SUPPORT SURFACES 52586,A81000B,00900,0300,NURSING OTHER 52586,A81000C,00100,0100,B 52586,A81000C,00100,0200,GENESIS ELDERCR 52586,A81000C,00100,0600,MGMT CO 52586,A81000C,00200,0100,B 52586,A81000C,00200,0200,NEIGHBORCARE 52586,A81000C,00200,0600,PHARMACY 52586,A81000C,00300,0100,B 52586,A81000C,00300,0200,GENESIS SERVICE 52586,A81000C,00300,0600,THERAPY SVC 52586,A81000C,00400,0100,B 52586,A81000C,00400,0200,GENE PHYS SERV 52586,A81000C,00400,0600,CASE MGMT 52586,A81000C,00500,0100,B 52586,A81000C,00500,0200,RESP. HEALTH 52586,A81000C,00500,0600,RT 52586,B100000,00000,0100,00000(SQUARE FEET) 52586,B100000,00000,0101,00000(SQUARE FEET) 52586,B100000,00000,0200,00000(SQUARE FEET) 52586,B100000,00000,0201,00000(SQUARE FEET) 52586,B100000,00000,0300,00000(GROSS SALARIES) 52586,B100000,00000,0400,00000(ACCUM. COST) 52586,B100000,00000,0500,00000(SQUARE FEET) 52586,B100000,00000,0600,00000(PATIENT DAYS) 52586,B100000,00000,0700,00000(SQUARE FEET) 52586,B100000,00000,0800,00000(MEALS SERVED) 52586,B100000,00000,0801,00000(MEALS SERVED) 52586,B100000,00000,0900,00000(PATIENT DAYS) 52586,B100000,00000,1000,00000(COSTED REQUIS.) 52586,B100000,00000,1100,00000(PATIENT DAYS) 52586,B100000,00000,1200,00000(GROSS CHARGES) 52586,B100000,00000,1300,00000(PATIENT DAYS) 52586,B100000,00000,1350,00000(PATIENT DAYS) 52586,B100000,00000,1400,00000(ASSIGNED TIME) 52586,E10A180,00550,0300,03/28/2000 52586,S000000,00100,0200,03/28/2000 52586,S200000,00100,0100,6026 OLD CONGRESS ROAD 52586,S200000,00200,0100,LANTANA 52586,S200000,00200,0200,FL 52586,S200000,00200,0300,33462 52586,S200000,00400,0100,ATLANTIS 52586,S200000,00400,0200,105306 52586,S200000,00400,0300,12/31/1989 52586,S200000,00400,0500,P 52586,S200000,01600,0100,Y 52586,S200000,02200,0100,Y 52586,S200000,04600,0100,Y 52605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52605,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52605,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52605,A000000,00300,0000,00300EMPLOYEE BENEFITS 52605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52605,A000000,00700,0000,00700HOUSEKEEPING 52605,A000000,00800,0000,00800DIETARY 52605,A000000,00801,0000,00801CAFETERIA 52605,A000000,00900,0000,00900NURSING ADMINISTRATION 52605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52605,A000000,01100,0000,01100PHARMACY 52605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52605,A000000,01300,0000,01300SOCIAL SERVICE 52605,A000000,01350,0000,01500ACTIVITIES 52605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52605,A000000,01600,0000,01600SKILLED NURSING FACILITY 52605,A000000,01800,0000,01800NURSING FACILITY 52605,A000000,01810,0000,01810ICF/MR 52605,A000000,02300,0000,02300INTRAVENOUS THERAPY 52605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52605,A000000,02500,0000,02500PHYSICAL THERAPY 52605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52605,A000000,02700,0000,02700SPEECH PATHOLOGY 52605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52605,A000000,03050,0000,03300PEN PART B 52605,A000000,03051,0000,03301FEE SCREENING 52605,A000000,03052,0000,03302OTHER ANCILLARY III 52605,A000000,03101,0000,03107NON ALLOWABLE ADVERTISING EXP. 52605,A000000,03102,0000,03109MISCELLANEOUS INCOME\ 52605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52605,A000000,03550,0000,03550FQHC 52605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52605,A000000,05000,0000,05000CORF I 52605,A000000,05010,0000,05010CMHC I 52605,A000000,05020,0000,05020OPT I 52605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52605,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52605,A81000A,00100,0100,Y 52605,A81000B,00100,0300,HOME OFFICE ALLOC 52605,A81000B,00200,0300,HOME OFFICE CAP REL 52605,A81000B,00300,0300,PT 52605,A81000B,00400,0300,OT 52605,A81000B,00500,0300,ST 52605,A81000B,00600,0300,CENTRAL SUPPLY 52605,A81000B,00700,0300,OXYGEN/RT 52605,A81000B,00800,0300,MEDICAL SUPPLIES 52605,A81000B,00900,0300,DRUGS 52605,A81000C,00100,0100,B 52605,A81000C,00100,0200,GENESIS ELDERCA 52605,A81000C,00100,0600,MGMT CO 52605,A81000C,00200,0100,B 52605,A81000C,00200,0200,NEIGHBORCARE 52605,A81000C,00200,0600,PHARMACY 52605,A81000C,00300,0100,B 52605,A81000C,00300,0200,GENESIS SERVICE 52605,A81000C,00300,0600,THERAPY SERVICS 52605,A81000C,00400,0100,B 52605,A81000C,00400,0200,GEN.PHYS.SERV. 52605,A81000C,00400,0600,CASE MGMT 52605,A81000C,00500,0100,B 52605,A81000C,00500,0200,RESPIR. HEALTH 52605,A81000C,00500,0600,RT 52605,B100000,00000,0100,00000(SQUARE FEET) 52605,B100000,00000,0101,00000(SQUARE FEET) 52605,B100000,00000,0200,00000(SQUARE FEET) 52605,B100000,00000,0201,00000(SQUARE FEET) 52605,B100000,00000,0300,00000(GROSS SALARIES) 52605,B100000,00000,0400,00000(ACCUM. COST) 52605,B100000,00000,0500,00000(SQUARE FEET) 52605,B100000,00000,0600,00000(PATIENT DAYS) 52605,B100000,00000,0700,00000(SQUARE FEET) 52605,B100000,00000,0800,00000(MEALS SERVED) 52605,B100000,00000,0801,00000(MEALS SERVED) 52605,B100000,00000,0900,00000(NURSING SALARIES) 52605,B100000,00000,1000,00000(COSTED REQUIS.) 52605,B100000,00000,1100,00000(COSTED REQUIS.) 52605,B100000,00000,1200,00000(GROSS CHARGES) 52605,B100000,00000,1300,00000(PATIENT DAYS) 52605,B100000,00000,1350,00000(PATIENT DAYS) 52605,B100000,00000,1400,00000(ASSIGNED TIME) 52605,E10A180,00501,0300,03/01/2000 52605,S000000,00100,0200,02/29/2000 52605,S200000,00100,0100,7380 ULMERTON ROAD 52605,S200000,00200,0100,LARGO 52605,S200000,00200,0200,FL 52605,S200000,00200,0300,34641 52605,S200000,00400,0100,TIERRA PINES 52605,S200000,00400,0200,105398 52605,S200000,00400,0300,08/01/1987 52605,S200000,00400,0500,P 52605,S200000,01600,0100,Y 52605,S200000,02200,0100,Y 52605,S200000,04600,0100,Y 52615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52615,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52615,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52615,A000000,00300,0000,00300EMPLOYEE BENEFITS 52615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52615,A000000,00700,0000,00700HOUSEKEEPING 52615,A000000,00800,0000,00800DIETARY 52615,A000000,00801,0000,00801CAFETERIA 52615,A000000,00900,0000,00900NURSING ADMINISTRATION 52615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52615,A000000,01100,0000,01100PHARMACY 52615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52615,A000000,01300,0000,01300SOCIAL SERVICE 52615,A000000,01350,0000,01500ACTIVITIES 52615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52615,A000000,01600,0000,01600SKILLED NURSING FACILITY 52615,A000000,01800,0000,01800NURSING FACILITY 52615,A000000,01810,0000,01810ICF/MR 52615,A000000,02100,0000,02100RADIOLOGY 52615,A000000,02200,0000,02200LABORATORY 52615,A000000,02300,0000,02300INTRAVENOUS THERAPY 52615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52615,A000000,02500,0000,02500PHYSICAL THERAPY 52615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52615,A000000,02700,0000,02700SPEECH PATHOLOGY 52615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52615,A000000,03050,0000,03300PEN PART B 52615,A000000,03051,0000,03301FEE SCREENING 52615,A000000,03052,0000,03302OTHER ANCILLARY III 52615,A000000,03200,0000,03200SUPPORT SURFACES 52615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52615,A000000,03550,0000,03550FQHC 52615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52615,A000000,05000,0000,05000CORF I 52615,A000000,05010,0000,05010CMHC I 52615,A000000,05020,0000,05020OPT I 52615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52615,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52615,A81000A,00100,0100,Y 52615,A81000B,00100,0300,HOME OFFICE ALLOC 52615,A81000B,00200,0300,CAPITAL 52615,A81000B,00300,0300,PT 52615,A81000B,00400,0300,OT 52615,A81000B,00500,0300,ST 52615,A81000B,00600,0300,RT 52615,A81000B,00700,0300,MED SUPP 52615,A81000B,00800,0300,DRUGS CHARGED 52615,A81000B,00900,0300,CLINITRON 52615,A81000C,00100,0100,B 52615,A81000C,00100,0200,GENESIS ELDER 52615,A81000C,00100,0600,MGMT CO 52615,A81000C,00200,0100,B 52615,A81000C,00200,0200,NEIGHBORCARE 52615,A81000C,00200,0600,PHARMACY 52615,A81000C,00300,0100,B 52615,A81000C,00300,0200,GENESIS SERV 52615,A81000C,00300,0600,THERAPY 52615,A81000C,00400,0100,B 52615,A81000C,00400,0200,GEN PHYS SERV 52615,A81000C,00400,0600,CASE MGMT 52615,A81000C,00500,0100,B 52615,A81000C,00500,0200,RESP HLTH SERV 52615,A81000C,00500,0600,RT 52615,B100000,00000,0100,00000(SQUARE FEET) 52615,B100000,00000,0101,00000(SQUARE FEET) 52615,B100000,00000,0200,00000(SQUARE FEET) 52615,B100000,00000,0201,00000(SQUARE FEET) 52615,B100000,00000,0300,00000(GROSS SALARIES) 52615,B100000,00000,0400,00000(ACCUM. COST) 52615,B100000,00000,0500,00000(SQUARE FEET) 52615,B100000,00000,0600,00000(PATIENT DAYS) 52615,B100000,00000,0700,00000(SQUARE FEET) 52615,B100000,00000,0800,00000(MEALS SERVED) 52615,B100000,00000,0801,00000(MEALS SERVED) 52615,B100000,00000,0900,00000(PATIENT DAYS) 52615,B100000,00000,1000,00000(COSTED REQUIS.) 52615,B100000,00000,1100,00000(COSTED REQUIS.) 52615,B100000,00000,1200,00000(GROSS CHARGES) 52615,B100000,00000,1300,00000(PATIENT DAYS) 52615,B100000,00000,1350,00000(PATIENT DAYS) 52615,B100000,00000,1400,00000(ASSIGNED TIME) 52615,E10A180,00501,0100,02/29/2000 52615,E10A180,00550,0300,02/29/2000 52615,S000000,00100,0200,02/28/2000 52615,S200000,00100,0100,350 SOUTH RIDGEWOOD AVE 52615,S200000,00200,0100,ORMOND BEACH 52615,S200000,00200,0200,FL 52615,S200000,00200,0300,32174 52615,S200000,00300,0100,VOLUSIA 52615,S200000,00400,0100,BOWMANS CENTER 52615,S200000,00400,0200,105402 52615,S200000,00400,0300,10/17/1990 52615,S200000,00400,0500,P 52615,S200000,01600,0100,Y 52615,S200000,02200,0100,Y 52625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52625,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52625,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52625,A000000,00300,0000,00300EMPLOYEE BENEFITS 52625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52625,A000000,00700,0000,00700HOUSEKEEPING 52625,A000000,00800,0000,00800DIETARY 52625,A000000,00801,0000,00801CAFETERIA 52625,A000000,00900,0000,00900NURSING ADMINISTRATION 52625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52625,A000000,01100,0000,01100PHARMACY 52625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52625,A000000,01300,0000,01300SOCIAL SERVICE 52625,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52625,A000000,01600,0000,01600SKILLED NURSING FACILITY 52625,A000000,01800,0000,01800NURSING FACILITY 52625,A000000,01810,0000,01810ICF/MR 52625,A000000,01900,0000,01900OTHER LONG TERM CARE 52625,A000000,02100,0000,02100RADIOLOGY 52625,A000000,02200,0000,02200LABORATORY 52625,A000000,02300,0000,02300INTRAVENOUS THERAPY 52625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52625,A000000,02500,0000,02500PHYSICAL THERAPY 52625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52625,A000000,02700,0000,02700SPEECH PATHOLOGY 52625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52625,A000000,03050,0000,03300PEN PART B 52625,A000000,03051,0000,03301FEE SCREENING 52625,A000000,03052,0000,03302OTHER ANCILLARY III 52625,A000000,03200,0000,03200SUPPORT SURFACES 52625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52625,A000000,03550,0000,03550FQHC 52625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52625,A000000,05000,0000,05000CORF I 52625,A000000,05010,0000,05010CMHC I 52625,A000000,05020,0000,05020OPT I 52625,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52625,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52625,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52625,A81000A,00100,0100,Y 52625,A81000B,00100,0300,HOME OFFICE ALLOCATION 52625,A81000B,00200,0300,H.O. ALLOC. CAP. REL. 52625,A81000B,00300,0300,PT 52625,A81000B,00400,0300,OT 52625,A81000B,00500,0300,ST 52625,A81000B,00600,0300,OXYGEN 52625,A81000B,00700,0300,MEDICAL SUPPLIES 52625,A81000B,00800,0300,PHARMACY 52625,A81000B,00900,0300,CLINITRON 52625,A81000C,00100,0100,B 52625,A81000C,00100,0200,GENEESIS HEALTS 52625,A81000C,00100,0600,MGMT CO 52625,A81000C,00200,0100,B 52625,A81000C,00200,0200,NEIGHBORCARE 52625,A81000C,00200,0600,PHARMACY 52625,A81000C,00300,0100,B 52625,A81000C,00300,0200,GENESIS SCVS 52625,A81000C,00300,0600,VARIOUS 52625,A81000C,00400,0100,B 52625,A81000C,00400,0200,GENESIS PHYS 52625,A81000C,00400,0600,CASE MGMT 52625,A81000C,00500,0100,B 52625,A81000C,00500,0200,GENESIS REHAB 52625,A81000C,00500,0600,RT 52625,B100000,00000,0100,00000(SQUARE FEET) 52625,B100000,00000,0101,00000(SQUARE FEET) 52625,B100000,00000,0200,00000(SQUARE FEET) 52625,B100000,00000,0201,00000(SQUARE FEET) 52625,B100000,00000,0300,00000(GROSS SALARIES) 52625,B100000,00000,0400,00000(ACCUM. COST) 52625,B100000,00000,0500,00000(SQUARE FEET) 52625,B100000,00000,0600,00000(PATIENT DAYS) 52625,B100000,00000,0700,00000(SQUARE FEET) 52625,B100000,00000,0800,00000(MEALS SERVED) 52625,B100000,00000,0801,00000(MEALS SERVED) 52625,B100000,00000,0900,00000(NURSING SALARIES) 52625,B100000,00000,1000,00000(PATIENT DAYS) 52625,B100000,00000,1100,00000(PATIENT DAYS) 52625,B100000,00000,1200,00000(GROSS CHARGES) 52625,B100000,00000,1300,00000(PATIENT DAYS) 52625,B100000,00000,1350,00000(PATIENT DAYS) 52625,B100000,00000,1400,00000(ASSIGNED TIME) 52625,S000000,00100,0200,05/05/2000 52625,S200000,00100,0100,1801 N. LAKE MARIAM DRIVE 52625,S200000,00200,0100,WINTER HAVEN 52625,S200000,00200,0200,FL 52625,S200000,00200,0300,33884 52625,S200000,00400,0100,BRANDYWYNE 52625,S200000,00400,0200,105428 52625,S200000,00400,0300,08/01/1997 52625,S200000,00400,0500,P 52625,S200000,01600,0100,Y 52625,S200000,02200,0100,Y 52639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52639,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52639,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52639,A000000,00300,0000,00300EMPLOYEE BENEFITS 52639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52639,A000000,00700,0000,00700HOUSEKEEPING 52639,A000000,00800,0000,00800DIETARY 52639,A000000,00801,0000,00801CAFETERIA 52639,A000000,00900,0000,00900NURSING ADMINISTRATION 52639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52639,A000000,01100,0000,01100PHARMACY 52639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52639,A000000,01300,0000,01300SOCIAL SERVICE 52639,A000000,01350,0000,01500ACTIVITIES 52639,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52639,A000000,01600,0000,01600SKILLED NURSING FACILITY 52639,A000000,01800,0000,01800NURSING FACILITY 52639,A000000,01810,0000,01810ICF/MR 52639,A000000,02100,0000,02100RADIOLOGY 52639,A000000,02200,0000,02200LABORATORY 52639,A000000,02300,0000,02300INTRAVENOUS THERAPY 52639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52639,A000000,02500,0000,02500PHYSICAL THERAPY 52639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52639,A000000,02700,0000,02700SPEECH PATHOLOGY 52639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52639,A000000,03050,0000,03300OTHER ANCILLARY 52639,A000000,03051,0000,03301OTHER ANCILLARY II 52639,A000000,03052,0000,03302OTHER ANCILLARY III 52639,A000000,03200,0000,03200SUPPORT SURFACES 52639,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52639,A000000,03550,0000,03550FQHC 52639,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52639,A000000,05000,0000,05000CORF I 52639,A000000,05010,0000,05010CMHC I 52639,A000000,05020,0000,05020OPT I 52639,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52639,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52639,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52639,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52639,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52639,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52639,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52639,A81000A,00100,0100,Y 52639,A81000B,00100,0300,HOME OFFICE 52639,A81000B,00200,0300,HOME OFFICE 52639,A81000B,00300,0300,PHYSICAL THERAPY 52639,A81000B,00400,0300,OCCUPATIONAL THERAPY 52639,A81000B,00500,0300,SPEECH THERAPY 52639,A81000B,00600,0300,CENTRAL SUPPLY 52639,A81000B,00700,0300,OXYGEN 52639,A81000B,00800,0300,MEDICAL SUPPLIES 52639,A81000B,00900,0300,CLINITRON 52639,A81000C,00100,0100,B 52639,A81000C,00100,0200,GENESIS ELDERCA 52639,A81000C,00100,0600,MGMNT CO. 52639,A81000C,00200,0100,B 52639,A81000C,00200,0200,NEIGHBORCARE 52639,A81000C,00200,0600,PHARMACY 52639,A81000C,00300,0100,B 52639,A81000C,00300,0200,GENESIS SERVICS 52639,A81000C,00300,0600,THERAPY SVCS 52639,A81000C,00400,0100,B 52639,A81000C,00400,0200,GEN PHY SERV 52639,A81000C,00400,0600,CASE MGMNT 52639,A81000C,00500,0100,B 52639,A81000C,00500,0200,RESPIR HEALTH 52639,A81000C,00500,0600,RT 52639,B100000,00000,0100,00000(SQUARE FEET) 52639,B100000,00000,0101,00000(SQUARE FEET) 52639,B100000,00000,0200,00000(SQUARE FEET) 52639,B100000,00000,0201,00000(SQUARE FEET) 52639,B100000,00000,0300,00000(GROSS SALARIES) 52639,B100000,00000,0400,00000(ACCUM. COST) 52639,B100000,00000,0500,00000(SQUARE FEET) 52639,B100000,00000,0600,00000(PATIENT DAYS) 52639,B100000,00000,0700,00000(SQUARE FEET) 52639,B100000,00000,0800,00000(MEALS SERVED) 52639,B100000,00000,0801,00000(MEALS SERVED) 52639,B100000,00000,0900,00000(PATIENT DAYS) 52639,B100000,00000,1000,00000(COSTED REQUIS.) 52639,B100000,00000,1100,00000(PATIENT DAYS) 52639,B100000,00000,1200,00000(GROSS CHARGES) 52639,B100000,00000,1300,00000(PATIENT DAYS) 52639,B100000,00000,1350,00000(PATIENT DAYS) 52639,B100000,00000,1400,00000(ASSIGNED TIME) 52639,E10A180,00501,0100,05/05/2000 52639,E10A180,00550,0300,05/05/2000 52639,S000000,00100,0200,05/05/2000 52639,S200000,00100,0100,4405 LAKEWOOD RD 52639,S200000,00200,0100,LAKE WORTH 52639,S200000,00200,0200,FL 52639,S200000,00300,0100,PALM BEACH 52639,S200000,00400,0100,SUTTON PLACE 52639,S200000,00400,0200,105466 52639,S200000,00400,0300,12/31/1995 52639,S200000,00400,0500,P 52639,S200000,01600,0100,Y 52639,S200000,02200,0100,Y 52647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52647,A000000,00300,0000,00300EMPLOYEE BENEFITS 52647,A000000,00301,0000,00301STAFF DEVELOPMENT 52647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52647,A000000,00700,0000,00700HOUSEKEEPING 52647,A000000,00800,0000,00800DIETARY 52647,A000000,00900,0000,00900NURSING ADMINISTRATION 52647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52647,A000000,01100,0000,01100PHARMACY 52647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52647,A000000,01300,0000,01300SOCIAL SERVICE 52647,A000000,01350,0000,01500PATIENT ACTIVITIES 52647,A000000,01351,0000,01501EQUIPMENT RENTAL 52647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52647,A000000,01600,0000,01600SKILLED NURSING FACILITY 52647,A000000,01800,0000,01800NURSING FACILITY 52647,A000000,01810,0000,01810ICF/MR 52647,A000000,02100,0000,02100RADIOLOGY 52647,A000000,02200,0000,02200LABORATORY 52647,A000000,02300,0000,02300INTRAVENOUS THERAPY 52647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52647,A000000,02500,0000,02500PHYSICAL THERAPY 52647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52647,A000000,02700,0000,02700SPEECH PATHOLOGY 52647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52647,A000000,03050,0000,03300OTHER - ENTERNAL FEEDING 52647,A000000,03051,0000,03301OTHER BLANK2 52647,A000000,03052,0000,03302OTHER BLANK3 52647,A000000,03053,0000,03303OTHER BLANK4 52647,A000000,03054,0000,03304OTHER - OTHER MEDICAL SERVICES 52647,A000000,03055,0000,03305OTHER - CARRIER SERVICES 52647,A000000,03200,0000,03200SUPPORT SURFACES 52647,A000000,03550,0000,03550FQHC 52647,A000000,04800,0000,04800AMBULANCE 52647,A000000,05000,0000,05000CORF 52647,A000000,05010,0000,05010CMHC 52647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52647,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52647,B100000,00000,0100,00000SQUARE FEET 52647,B100000,00000,0200,00000SQUARE FEET 52647,B100000,00000,0300,00000GROSS SALARIES 52647,B100000,00000,0301,00000GROSS SALARIES 52647,B100000,00000,0400,00000ACCUM COST 52647,B100000,00000,0500,00000SQUARE FEET 52647,B100000,00000,0600,00000POUNDS OF LAUNDRY 52647,B100000,00000,0700,00000HOURS OF SERVICE 52647,B100000,00000,0800,00000MEALS SERVED 52647,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 52647,B100000,00000,1000,00000COSTED REQUISITIO 52647,B100000,00000,1100,00000COSTED REQUISITIO 52647,B100000,00000,1200,00000TIME SPENT 52647,B100000,00000,1300,00000TIME SPENT 52647,B100000,00000,1350,00000TIME SPENT 52647,B100000,00000,1351,00000GROSS REVENUES 52647,B100000,00000,1400,00000ASSIGNED TIME 52647,E10A180,00301,0100,01/31/2000 52647,S000000,00100,0200,06/28/2000 52647,S200000,00100,0100,401 FAIRWOOD AVENUE 52647,S200000,00200,0100,CLEARWATER 52647,S200000,00200,0200,FL 52647,S200000,00200,0300,34619 52647,S200000,00300,0100,PINELLAS 52647,S200000,00400,0100,DREW VILLAGE REHAB & NRSG CENTER 52647,S200000,00400,0200,105478 52647,S200000,00400,0300,10/16/1984 52647,S200000,00400,0500,P 52647,S200000,01600,0100,Y 52647,S200000,04700,0100,Y 52647,S200000,04700,0200,Y 52654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52654,A000000,00300,0000,00300EMPLOYEE BENEFITS 52654,A000000,00301,0000,00301STAFF DEVELOPMENT 52654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52654,A000000,00700,0000,00700HOUSEKEEPING 52654,A000000,00800,0000,00800DIETARY 52654,A000000,00900,0000,00900NURSING ADMINISTRATION 52654,A000000,00901,0000,00901TEMP LINE 52654,A000000,00902,0000,00902OUTPATIENT DIRECT 52654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52654,A000000,01100,0000,01100PHARMACY 52654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52654,A000000,01300,0000,01300SOCIAL SERVICE 52654,A000000,01350,0000,01500PATIENT ACTIVITIES 52654,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 52654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52654,A000000,01600,0000,01600SKILLED NURSING FACILITY 52654,A000000,01800,0000,01800NURSING FACILITY 52654,A000000,01810,0000,01810ICF/MR 52654,A000000,02100,0000,02100RADIOLOGY 52654,A000000,02200,0000,02200LABORATORY 52654,A000000,02300,0000,02300INTRAVENOUS THERAPY 52654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52654,A000000,02500,0000,02500PHYSICAL THERAPY 52654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52654,A000000,02700,0000,02700SPEECH PATHOLOGY 52654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52654,A000000,03050,0000,03300OTHER ANCILLARY ENTERAL FEEDING 52654,A000000,03051,0000,03301OTHER BLANK 1 52654,A000000,03052,0000,03302OTHER RESPIRATORY SERVICES 52654,A000000,03053,0000,03303OTHER BLANK 2 52654,A000000,03054,0000,03304OTHER OTHER MEDICAL SERVICE 52654,A000000,03055,0000,03305OTHER CARRIER SERVICE 52654,A000000,03200,0000,03200SUPPORT SURFACES 52654,A000000,03550,0000,03550FQHC 52654,A000000,05000,0000,05000CORF 52654,A000000,05010,0000,05010CMHC 52654,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52654,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52654,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 52654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52654,B100000,00000,0100,00000SQUARE FEET 52654,B100000,00000,0200,00000SQUARE FEET 52654,B100000,00000,0300,00000GROSS SALARIES 52654,B100000,00000,0301,00000GROSS SALARIES 52654,B100000,00000,0400,00000 (ACCUM COST) 52654,B100000,00000,0500,00000SQUARE FEET 52654,B100000,00000,0600,00000POUNDS OF LAUNDRY 52654,B100000,00000,0700,00000HOURS OF SERVICE 52654,B100000,00000,0800,00000MEALS SERVED 52654,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 52654,B100000,00000,0901,00000 52654,B100000,00000,0902,00000EXPENSE 52654,B100000,00000,1000,00000COSTED REQUISITIO 52654,B100000,00000,1100,00000COSTED REQUISITIO 52654,B100000,00000,1200,00000TIME SPENT 52654,B100000,00000,1300,00000TIME SPENT 52654,B100000,00000,1350,00000TIME SPENT 52654,B100000,00000,1351,00000REVENUE 52654,B100000,00000,1400,00000ASSIGNED TIME 52654,E10A180,00301,0100,01/31/2000 52654,E10A180,00501,0100,07/25/2000 52654,E10A180,00501,0300,07/25/2000 52654,S000000,00100,0200,06/28/2000 52654,S200000,00100,0100,6750 WEST 22ND COURT 52654,S200000,00200,0100,HIALEAH 52654,S200000,00200,0200,FL 52654,S200000,00200,0300,33016 52654,S200000,00300,0100,DADE 52654,S200000,00400,0100,PALMETTO HEALTH CENTER 52654,S200000,00400,0200,105575 52654,S200000,00400,0300,02/09/1987 52654,S200000,00400,0500,P 52654,S200000,01600,0100,Y 52673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52673,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52673,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52673,A000000,00300,0000,00300EMPLOYEE BENEFITS 52673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52673,A000000,00700,0000,00700HOUSEKEEPING 52673,A000000,00800,0000,00800DIETARY 52673,A000000,00801,0000,00801CAFETERIA 52673,A000000,00900,0000,00900NURSING ADMINISTRATION 52673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52673,A000000,01100,0000,01100PHARMACY 52673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52673,A000000,01300,0000,01300SOCIAL SERVICE 52673,A000000,01350,0000,01500ACTIVITIES 52673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52673,A000000,01600,0000,01600SKILLED NURSING FACILITY 52673,A000000,01800,0000,01800NURSING FACILITY 52673,A000000,01810,0000,01810ICF/MR 52673,A000000,02100,0000,02100RADIOLOGY 52673,A000000,02200,0000,02200LABORATORY 52673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52673,A000000,02500,0000,02500PHYSICAL THERAPY 52673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52673,A000000,02700,0000,02700SPEECH PATHOLOGY 52673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52673,A000000,03050,0000,03300PEN PART B 52673,A000000,03051,0000,03301FEE SCREENING 52673,A000000,03052,0000,03302OTHER ANCILLARY III 52673,A000000,03200,0000,03200SUPPORT SURFACES 52673,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52673,A000000,03550,0000,03550FQHC 52673,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52673,A000000,05000,0000,05000CORF I 52673,A000000,05010,0000,05010CMHC I 52673,A000000,05020,0000,05020OPT I 52673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52673,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52673,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52673,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52673,A81000A,00100,0100,Y 52673,A81000B,00100,0300,HOME OFFICE ALLOC 52673,A81000B,00200,0300,CAPITAL 52673,A81000B,00300,0300,PT 52673,A81000B,00400,0300,OT 52673,A81000B,00500,0300,ST 52673,A81000B,00600,0300,OXYGEN 52673,A81000B,00700,0300,MED SUPP 52673,A81000B,00800,0300,DRUGS CHARGED 52673,A81000B,00900,0300,CLINITRON 52673,A81000C,00100,0100,B 52673,A81000C,00100,0200,GENESIS ELDER 52673,A81000C,00100,0600,MGMT CO 52673,A81000C,00200,0100,B 52673,A81000C,00200,0200,NEIGHBORCARE 52673,A81000C,00200,0600,PHARMACY 52673,A81000C,00300,0100,B 52673,A81000C,00300,0200,GENESIS SERVICE 52673,A81000C,00300,0600,PT ST OT 52673,A81000C,00400,0100,B 52673,A81000C,00400,0200,GENE PHYS SERV 52673,A81000C,00400,0600,CASE MGMT 52673,A81000C,00500,0100,B 52673,A81000C,00500,0200,RESP HLTH SERV 52673,A81000C,00500,0600,RT 52673,B100000,00000,0100,00000(SQUARE FEET) 52673,B100000,00000,0101,00000(SQUARE FEET) 52673,B100000,00000,0200,00000(SQUARE FEET) 52673,B100000,00000,0201,00000(SQUARE FEET) 52673,B100000,00000,0300,00000(GROSS SALARIES) 52673,B100000,00000,0400,00000(ACCUM. COST) 52673,B100000,00000,0500,00000(SQUARE FEET) 52673,B100000,00000,0600,00000(PATIENT DAYS) 52673,B100000,00000,0700,00000(SQUARE FEET) 52673,B100000,00000,0800,00000(MEALS SERVED) 52673,B100000,00000,0801,00000(MEALS SERVED) 52673,B100000,00000,0900,00000(PATIENT DAYS) 52673,B100000,00000,1000,00000(COSTED REQUIS.) 52673,B100000,00000,1100,00000(COSTED REQUIS.) 52673,B100000,00000,1200,00000(GROSS CHARGES) 52673,B100000,00000,1300,00000(PATIENT DAYS) 52673,B100000,00000,1350,00000(PATIENT DAYS) 52673,B100000,00000,1400,00000(ASSIGNED TIME) 52673,S000000,00100,0200,05/05/2000 52673,S200000,00100,0100,110 S.E. LEE AVENUE 52673,S200000,00200,0100,LIVE OAK 52673,S200000,00200,0200,FL 52673,S200000,00200,0300,32060 52673,S200000,00400,0100,SURREY PLACE 52673,S200000,00400,0200,105597 52673,S200000,00400,0300,10/01/1991 52673,S200000,00400,0500,P 52673,S200000,01600,0100,Y 52673,S200000,02200,0100,Y 52693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52693,A000000,00300,0000,00300EMPLOYEE BENEFITS 52693,A000000,00301,0000,00301STAFF DEVELOPMENT 52693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52693,A000000,00700,0000,00700HOUSEKEEPING 52693,A000000,00800,0000,00800DIETARY 52693,A000000,00900,0000,00900NURSING ADMINISTRATION 52693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52693,A000000,01100,0000,01100PHARMACY 52693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52693,A000000,01300,0000,01300SOCIAL SERVICE 52693,A000000,01350,0000,01500PATIENT ACTIVITIES 52693,A000000,01351,0000,01501PATIENT EQUIP RENTAL 52693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52693,A000000,01600,0000,01600SKILLED NURSING FACILITY 52693,A000000,01800,0000,01800NURSING FACILITY 52693,A000000,01810,0000,01810ICF/MR 52693,A000000,02100,0000,02100RADIOLOGY 52693,A000000,02200,0000,02200LABORATORY 52693,A000000,02300,0000,02300INTRAVENOUS THERAPY 52693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52693,A000000,02500,0000,02500PHYSICAL THERAPY 52693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52693,A000000,02700,0000,02700SPEECH PATHOLOGY 52693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52693,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 52693,A000000,03051,0000,03301OTHER - BLANK 1 52693,A000000,03052,0000,03302OTHER - RESPIRATORY THERAPY 52693,A000000,03053,0000,03303OTHER - BLANK 2 52693,A000000,03054,0000,03304OTHER - OTHER MEDICAL SERVICE 52693,A000000,03055,0000,03305OTHER - CARRIER SERVICE 52693,A000000,03200,0000,03200SUPPORT SURFACES 52693,A000000,03550,0000,03550FQHC 52693,A000000,05000,0000,05000CORF 52693,A000000,05010,0000,05010CMHC 52693,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52693,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52693,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 52693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 52693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52693,B100000,00000,0100,00000SQUARE FEET 52693,B100000,00000,0200,00000SQUARE FEET 52693,B100000,00000,0300,00000GROSS SALARIES 52693,B100000,00000,0301,00000GROSS SALARIES 52693,B100000,00000,0400,00000ACCUM COST 52693,B100000,00000,0500,00000SQUARE FEET 52693,B100000,00000,0600,00000POUNDS OF LAUNDRY 52693,B100000,00000,0700,00000HOURS OF SERVICE 52693,B100000,00000,0800,00000MEALS SERVED 52693,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 52693,B100000,00000,1000,00000COSTED REQUISITIO 52693,B100000,00000,1100,00000COSTED REQUISITIO 52693,B100000,00000,1200,00000TIME SPENT 52693,B100000,00000,1300,00000TIME SPENT 52693,B100000,00000,1350,00000TIME SPENT 52693,B100000,00000,1351,00000REVENUE 52693,B100000,00000,1400,00000ASSIGNED TIME 52693,S000000,00100,0200,06/28/2000 52693,S200000,00100,0100,750 BAYBERRY DRIVE 52693,S200000,00200,0100,LAKE PARK 52693,S200000,00200,0200,FL 52693,S200000,00200,0300,33403 52693,S200000,00300,0100,PALM BEACH 52693,S200000,00400,0100,RENOVA HEALTH CENTER 52693,S200000,00400,0200,105640 52693,S200000,00400,0300,01/11/1989 52693,S200000,00400,0500,P 52693,S200000,01600,0100,Y 52734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52734,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52734,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52734,A000000,00300,0000,00300EMPLOYEE BENEFITS 52734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52734,A000000,00700,0000,00700HOUSEKEEPING 52734,A000000,00800,0000,00800DIETARY 52734,A000000,00801,0000,00801CAFETERIA 52734,A000000,00900,0000,00900NURSING ADMINISTRATION 52734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52734,A000000,01100,0000,01100PHARMACY 52734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52734,A000000,01300,0000,01300SOCIAL SERVICE 52734,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52734,A000000,01600,0000,01600SKILLED NURSING FACILITY 52734,A000000,01800,0000,01800NURSING FACILITY 52734,A000000,01810,0000,01810ICF/MR 52734,A000000,02100,0000,02100RADIOLOGY 52734,A000000,02200,0000,02200LABORATORY 52734,A000000,02300,0000,02300INTRAVENOUS THERAPY 52734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52734,A000000,02500,0000,02500PHYSICAL THERAPY 52734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52734,A000000,02700,0000,02700SPEECH PATHOLOGY 52734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52734,A000000,03050,0000,03300PEN PART B 52734,A000000,03051,0000,03301FEE SCREENING 52734,A000000,03052,0000,03302OTHER ANCILLARY III 52734,A000000,03200,0000,03200SUPPORT SURFACES 52734,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52734,A000000,03550,0000,03550FQHC 52734,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52734,A000000,05000,0000,05000CORF I 52734,A000000,05010,0000,05010CMHC I 52734,A000000,05020,0000,05020OPT I 52734,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52734,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52734,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52734,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52734,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52734,B100000,00000,0100,00000(SQUARE FEET) 52734,B100000,00000,0101,00000(SQUARE FEET) 52734,B100000,00000,0200,00000(SQUARE FEET) 52734,B100000,00000,0201,00000(SQUARE FEET) 52734,B100000,00000,0300,00000(GROSS SALARIES) 52734,B100000,00000,0400,00000(ACCUM. COST) 52734,B100000,00000,0500,00000(SQUARE FEET) 52734,B100000,00000,0600,00000(PATIENT DAYS) 52734,B100000,00000,0700,00000(SQUARE FEET) 52734,B100000,00000,0800,00000(MEALS SERVED) 52734,B100000,00000,0801,00000(MEALS SERVED) 52734,B100000,00000,0900,00000(PATIENT DAYS) 52734,B100000,00000,1000,00000(COSTED REQUIS.) 52734,B100000,00000,1100,00000(PATIENT DAYS) 52734,B100000,00000,1200,00000(GROSS CHARGES) 52734,B100000,00000,1300,00000(PATIENT DAYS) 52734,B100000,00000,1350,00000(PATIENT DAYS) 52734,B100000,00000,1400,00000(ASSIGNED TIME) 52734,S000000,00100,0200,05/05/2000 52734,S200000,00100,0100,400 NORTH AVE 52734,S200000,00200,0100,FREDERICK 52734,S200000,00200,0200,MD 52734,S200000,00200,0300,21701 52734,S200000,00400,0100,COLLEGE VIEW 52734,S200000,00400,0200,215001 52734,S200000,00400,0300,10/01/1987 52734,S200000,00400,0500,P 52734,S200000,01600,0100,Y 52734,S200000,02200,0100,Y 52734,S200000,04600,0100,Y 52759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52759,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52759,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52759,A000000,00300,0000,00300EMPLOYEE BENEFITS 52759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52759,A000000,00700,0000,00700HOUSEKEEPING 52759,A000000,00800,0000,00800DIETARY 52759,A000000,00801,0000,00801CAFETERIA 52759,A000000,00900,0000,00900NURSING ADMINISTRATION 52759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52759,A000000,01100,0000,01100PHARMACY 52759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52759,A000000,01300,0000,01300SOCIAL SERVICE 52759,A000000,01350,0000,01500ACTIVITIES 52759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52759,A000000,01600,0000,01600SKILLED NURSING FACILITY 52759,A000000,01800,0000,01800NURSING FACILITY 52759,A000000,01810,0000,01810ICF/MR 52759,A000000,02100,0000,02100RADIOLOGY 52759,A000000,02200,0000,02200LABORATORY 52759,A000000,02300,0000,02300INTRAVENOUS THERAPY 52759,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52759,A000000,02500,0000,02500PHYSICAL THERAPY 52759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52759,A000000,02700,0000,02700SPEECH PATHOLOGY 52759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52759,A000000,03050,0000,03300OTHER ANCILLARY 52759,A000000,03051,0000,03301FEE SCREENING 52759,A000000,03052,0000,03302OTHER ANCILLARY III 52759,A000000,03200,0000,03200SUPPORT SURFACES 52759,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52759,A000000,03550,0000,03550FQHC 52759,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52759,A000000,05000,0000,05000CORF I 52759,A000000,05010,0000,05010CMHC I 52759,A000000,05020,0000,05020OPT I 52759,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52759,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52759,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52759,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52759,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52759,A81000A,00100,0100,Y 52759,A81000B,00100,0300,HOME OFFICE ALLOC 52759,A81000B,00200,0300,H.O. CAP RELATED 52759,A81000B,00300,0300,PHYSICAL THERAPY 52759,A81000B,00400,0300,OCCUPATIONAL THERAPY 52759,A81000B,00500,0300,SPEECH THERAPY 52759,A81000B,00600,0300,DRUGS 52759,A81000B,00700,0300,CLINITRON 52759,A81000B,00800,0300,CASE MANAGEMENT 52759,A81000B,00900,0300,MEDICAL SUPPLIES 52759,A81000C,00100,0100,B 52759,A81000C,00100,0200,GENESIS HEALTH 52759,A81000C,00100,0600,MGMT CO 52759,A81000C,00200,0100,B 52759,A81000C,00200,0200,NEIGHBORCARE 52759,A81000C,00200,0600,PHARMACY 52759,A81000C,00300,0100,B 52759,A81000C,00300,0200,GENESIS SVCS 52759,A81000C,00300,0600,VARIOUS 52759,B100000,00000,0100,00000(SQUARE FEET) 52759,B100000,00000,0101,00000(SQUARE FEET) 52759,B100000,00000,0200,00000(SQUARE FEET) 52759,B100000,00000,0201,00000(SQUARE FEET) 52759,B100000,00000,0300,00000(GROSS SALARIES) 52759,B100000,00000,0400,00000(ACCUM. COST) 52759,B100000,00000,0500,00000(SQUARE FEET) 52759,B100000,00000,0600,00000(PATIENT DAYS) 52759,B100000,00000,0700,00000(SQUARE FEET) 52759,B100000,00000,0800,00000(MEALS SERVED) 52759,B100000,00000,0801,00000(MEALS SERVED) 52759,B100000,00000,0900,00000(PATIENT DAYS) 52759,B100000,00000,1000,00000(COSTED REQUIS.) 52759,B100000,00000,1100,00000(PATIENT DAYS) 52759,B100000,00000,1200,00000(GROSS CHARGES) 52759,B100000,00000,1300,00000(PATIENT DAYS) 52759,B100000,00000,1350,00000(PATIENT DAYS) 52759,B100000,00000,1400,00000(ASSIGNED TIME) 52759,S000000,00100,0200,05/26/2000 52759,S200000,00100,0100,9101 SECOND ST 52759,S200000,00200,0100,SILVER SPRING 52759,S200000,00200,0200,MD 52759,S200000,00200,0300,20910 52759,S200000,00300,0100,MONTGOMERY 52759,S200000,00400,0100,WOODSIDE 52759,S200000,00400,0200,215060 52759,S200000,00400,0300,10/01/1996 52759,S200000,00400,0500,P 52759,S200000,01600,0100,Y 52759,S200000,02200,0100,Y 52759,S200000,04600,0100,Y 52800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52800,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52800,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52800,A000000,00300,0000,00300EMPLOYEE BENEFITS 52800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52800,A000000,00700,0000,00700HOUSEKEEPING 52800,A000000,00800,0000,00800DIETARY 52800,A000000,00801,0000,00801CAFETERIA 52800,A000000,00900,0000,00900NURSING ADMINISTRATION 52800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52800,A000000,01100,0000,01100PHARMACY 52800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52800,A000000,01300,0000,01300SOCIAL SERVICE 52800,A000000,01350,0000,01500ACTIVITIES 52800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52800,A000000,01600,0000,01600SKILLED NURSING FACILITY 52800,A000000,01800,0000,01800NURSING FACILITY 52800,A000000,01810,0000,01810ICF/MR 52800,A000000,02100,0000,02100RADIOLOGY 52800,A000000,02200,0000,02200LABORATORY 52800,A000000,02300,0000,02300INTRAVENOUS THERAPY 52800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52800,A000000,02500,0000,02500PHYSICAL THERAPY 52800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52800,A000000,02700,0000,02700SPEECH PATHOLOGY 52800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52800,A000000,03050,0000,03300PEN PART B 52800,A000000,03051,0000,03301FEE SCREENING 52800,A000000,03052,0000,03302OTHER ANCILLARY III 52800,A000000,03200,0000,03200SUPPORT SURFACES 52800,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52800,A000000,03550,0000,03550FQHC 52800,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52800,A000000,05000,0000,05000CORF I 52800,A000000,05010,0000,05010CMHC I 52800,A000000,05020,0000,05020OPT I 52800,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52800,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52800,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52800,B100000,00000,0100,00000(SQUARE FEET) 52800,B100000,00000,0101,00000(SQUARE FEET) 52800,B100000,00000,0200,00000(SQUARE FEET) 52800,B100000,00000,0201,00000(SQUARE FEET) 52800,B100000,00000,0300,00000(GROSS SALARIES) 52800,B100000,00000,0400,00000(ACCUM. COST) 52800,B100000,00000,0500,00000(SQUARE FEET) 52800,B100000,00000,0600,00000(PATIENT DAYS) 52800,B100000,00000,0700,00000(SQUARE FEET) 52800,B100000,00000,0800,00000(MEALS SERVED) 52800,B100000,00000,0801,00000(MEALS SERVED) 52800,B100000,00000,0900,00000(PATIENT DAYS) 52800,B100000,00000,1000,00000(COSTED REQUIS.) 52800,B100000,00000,1100,00000(COSTED REQUIS.) 52800,B100000,00000,1200,00000(GROSS CHARGES) 52800,B100000,00000,1300,00000(PATIENT DAYS) 52800,B100000,00000,1350,00000(PATIENT DAYS) 52800,B100000,00000,1400,00000(ASSIGNED TIME) 52800,S000000,00100,0200,05/16/2000 52800,S200000,00100,0100,9109 LIBERTY ROAD 52800,S200000,00200,0100,RANDALLSTOWN 52800,S200000,00200,0200,MD 52800,S200000,00200,0300,21133 52800,S200000,00300,0100,BALTIMORE 52800,S200000,00400,0100,RANDALLSTOWN CENTER 52800,S200000,00400,0200,215084 52800,S200000,00400,0300,08/01/1987 52800,S200000,00400,0500,P 52800,S200000,01600,0100,Y 52800,S200000,02200,0100,Y 52800,S200000,04600,0100,Y 52809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52809,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52809,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52809,A000000,00300,0000,00300EMPLOYEE BENEFITS 52809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52809,A000000,00700,0000,00700HOUSEKEEPING 52809,A000000,00800,0000,00800DIETARY 52809,A000000,00801,0000,00801CAFETERIA 52809,A000000,00900,0000,00900NURSING ADMINISTRATION 52809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52809,A000000,01100,0000,01100PHARMACY 52809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52809,A000000,01300,0000,01300SOCIAL SERVICE 52809,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52809,A000000,01600,0000,01600SKILLED NURSING FACILITY 52809,A000000,01800,0000,01800NURSING FACILITY 52809,A000000,01810,0000,01810ICF/MR 52809,A000000,02100,0000,02100RADIOLOGY 52809,A000000,02200,0000,02200LABORATORY 52809,A000000,02300,0000,02300INTRAVENOUS THERAPY 52809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52809,A000000,02500,0000,02500PHYSICAL THERAPY 52809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52809,A000000,02700,0000,02700SPEECH PATHOLOGY 52809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52809,A000000,03050,0000,03300PEN PART B 52809,A000000,03051,0000,03301FEE SCREENING 52809,A000000,03052,0000,03302OTHER ANCILLARY III 52809,A000000,03200,0000,03200SUPPORT SURFACES 52809,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52809,A000000,03550,0000,03550FQHC 52809,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52809,A000000,05000,0000,05000CORF I 52809,A000000,05010,0000,05010CMHC I 52809,A000000,05020,0000,05020OPT I 52809,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52809,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52809,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52809,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52809,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52809,B100000,00000,0100,00000(SQUARE FEET) 52809,B100000,00000,0101,00000(SQUARE FEET) 52809,B100000,00000,0200,00000(SQUARE FEET) 52809,B100000,00000,0201,00000(SQUARE FEET) 52809,B100000,00000,0300,00000(GROSS SALARIES) 52809,B100000,00000,0400,00000(ACCUM. COST) 52809,B100000,00000,0500,00000(SQUARE FEET) 52809,B100000,00000,0600,00000(PATIENT DAYS) 52809,B100000,00000,0700,00000(SQUARE FEET) 52809,B100000,00000,0800,00000(MEALS SERVED) 52809,B100000,00000,0801,00000(MEALS SERVED) 52809,B100000,00000,0900,00000(NURSING SALARIES) 52809,B100000,00000,1000,00000(PATIENT DAYS) 52809,B100000,00000,1100,00000(PATIENT DAYS) 52809,B100000,00000,1200,00000(GROSS CHARGES) 52809,B100000,00000,1300,00000(PATIENT DAYS) 52809,B100000,00000,1350,00000(PATIENT DAYS) 52809,B100000,00000,1400,00000(ASSIGNED TIME) 52809,E10A180,00501,0100,06/02/2000 52809,E10A180,00501,0300,06/02/2000 52809,S000000,00100,0200,05/16/2000 52809,S200000,00100,0100,3330 WILKENS AVE. 52809,S200000,00200,0100,BALTIMORE 52809,S200000,00200,0200,MD 52809,S200000,00200,0300,21229 52809,S200000,00400,0100,CATON MANOR 52809,S200000,00400,0200,215085 52809,S200000,00400,0300,08/01/1997 52809,S200000,00400,0500,P 52809,S200000,01600,0100,Y 52809,S200000,02200,0100,Y 52818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52818,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52818,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52818,A000000,00300,0000,00300EMPLOYEE BENEFITS 52818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52818,A000000,00700,0000,00700HOUSEKEEPING 52818,A000000,00800,0000,00800DIETARY 52818,A000000,00801,0000,00801CAFETERIA 52818,A000000,00900,0000,00900NURSING ADMINISTRATION 52818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52818,A000000,01100,0000,01100PHARMACY 52818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52818,A000000,01300,0000,01300SOCIAL SERVICE 52818,A000000,01350,0000,01500ACTIVITIES 52818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52818,A000000,01600,0000,01600SKILLED NURSING FACILITY 52818,A000000,01800,0000,01800NURSING FACILITY 52818,A000000,01810,0000,01810ICF/MR 52818,A000000,02100,0000,02100RADIOLOGY 52818,A000000,02200,0000,02200LABORATORY 52818,A000000,02300,0000,02300INTRAVENOUS THERAPY 52818,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52818,A000000,02500,0000,02500PHYSICAL THERAPY 52818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52818,A000000,02700,0000,02700SPEECH PATHOLOGY 52818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52818,A000000,03050,0000,03300PEN PART B 52818,A000000,03051,0000,03301FEE SCREENING 52818,A000000,03052,0000,03302OTHER ANCILLARY III 52818,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52818,A000000,03550,0000,03550FQHC 52818,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52818,A000000,05000,0000,05000CORF I 52818,A000000,05010,0000,05010CMHC I 52818,A000000,05020,0000,05020OPT I 52818,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52818,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52818,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52818,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52818,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52818,B100000,00000,0100,00000(SQUARE FEET) 52818,B100000,00000,0101,00000(SQUARE FEET) 52818,B100000,00000,0200,00000(SQUARE FEET) 52818,B100000,00000,0201,00000(SQUARE FEET) 52818,B100000,00000,0300,00000(GROSS SALARIES) 52818,B100000,00000,0400,00000(ACCUM. COST) 52818,B100000,00000,0500,00000(SQUARE FEET) 52818,B100000,00000,0600,00000(PATIENT DAYS) 52818,B100000,00000,0700,00000(SQUARE FEET) 52818,B100000,00000,0800,00000(MEALS SERVED) 52818,B100000,00000,0801,00000(MEALS SERVED) 52818,B100000,00000,0900,00000(PATIENT DAYS) 52818,B100000,00000,1000,00000(COSTED REQUIS.) 52818,B100000,00000,1100,00000(PATIENT DAYS) 52818,B100000,00000,1200,00000(GROSS CHARGES) 52818,B100000,00000,1300,00000(PATIENT DAYS) 52818,B100000,00000,1350,00000(PATIENT DAYS) 52818,B100000,00000,1400,00000(ASSIGNED TIME) 52818,E10A180,00550,0100,02/22/2001 52818,S000000,00100,0200,05/04/2000 52818,S200000,00100,0100,6040 HARFORD RD 52818,S200000,00200,0100,BALTIMORE 52818,S200000,00200,0200,MD 52818,S200000,00200,0300,21214 52818,S200000,00400,0100,HAMILTON 52818,S200000,00400,0200,215087 52818,S200000,00400,0300,10/01/1987 52818,S200000,00400,0500,P 52818,S200000,01600,0100,Y 52818,S200000,02200,0100,Y 52827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52827,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52827,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52827,A000000,00300,0000,00300EMPLOYEE BENEFITS 52827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52827,A000000,00700,0000,00700HOUSEKEEPING 52827,A000000,00800,0000,00800DIETARY 52827,A000000,00801,0000,00801CAFETERIA 52827,A000000,00900,0000,00900NURSING ADMINISTRATION 52827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52827,A000000,01100,0000,01100PHARMACY 52827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52827,A000000,01300,0000,01300SOCIAL SERVICE 52827,A000000,01350,0000,01500ACTIVITIES 52827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52827,A000000,01600,0000,01600SKILLED NURSING FACILITY 52827,A000000,01800,0000,01800NURSING FACILITY 52827,A000000,01810,0000,01810ICF/MR 52827,A000000,02100,0000,02100RADIOLOGY 52827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52827,A000000,02500,0000,02500PHYSICAL THERAPY 52827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52827,A000000,02700,0000,02700SPEECH PATHOLOGY 52827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52827,A000000,03050,0000,03300PEN PART B 52827,A000000,03051,0000,03301OTHER ANCILLARY II 52827,A000000,03052,0000,03302OTHER ANCILLARY III 52827,A000000,03200,0000,03200SUPPORT SURFACES 52827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52827,A000000,03550,0000,03550FQHC 52827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52827,A000000,05000,0000,05000CORF I 52827,A000000,05010,0000,05010CMHC I 52827,A000000,05020,0000,05020OPT I 52827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52827,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52827,A81000A,00100,0100,Y 52827,A81000B,00100,0300,HOME OFFICE ALLOC 52827,A81000B,00200,0300,PT 52827,A81000B,00300,0300,OT 52827,A81000B,00400,0300,ST 52827,A81000B,00500,0300,CAPITAL 52827,A81000B,00600,0300,MED SUPP 52827,A81000B,00700,0300,DRUGS CHARGED 52827,A81000B,00800,0300,CLINITRON 52827,A81000B,00900,0300,NURSING OTHER 52827,A81000C,00100,0100,B 52827,A81000C,00100,0200,GENESIS ELDER 52827,A81000C,00100,0600,MGMT CO 52827,A81000C,00200,0100,B 52827,A81000C,00200,0200,NEIGHBORCARE 52827,A81000C,00200,0600,PHARMACY 52827,A81000C,00300,0100,B 52827,A81000C,00300,0200,GENE PHYS SERV 52827,A81000C,00300,0600,CASE MGMT 52827,A81000C,00400,0100,B 52827,A81000C,00400,0200,GENESIS SERVICS 52827,A81000C,00400,0600,REHAB 52827,A81000C,00500,0100,B 52827,A81000C,00500,0200,RESP HLTH SERV 52827,A81000C,00500,0600,RT 52827,B100000,00000,0100,00000(SQUARE FEET) 52827,B100000,00000,0101,00000(SQUARE FEET) 52827,B100000,00000,0200,00000(SQUARE FEET) 52827,B100000,00000,0201,00000(SQUARE FEET) 52827,B100000,00000,0300,00000(GROSS SALARIES) 52827,B100000,00000,0400,00000(ACCUM. COST) 52827,B100000,00000,0500,00000(SQUARE FEET) 52827,B100000,00000,0600,00000(PATIENT DAYS) 52827,B100000,00000,0700,00000(SQUARE FEET) 52827,B100000,00000,0800,00000(MEALS SERVED) 52827,B100000,00000,0801,00000(MEALS SERVED) 52827,B100000,00000,0900,00000(PATIENT DAYS) 52827,B100000,00000,1000,00000(COSTED REQUIS.) 52827,B100000,00000,1100,00000(COSTED REQUIS.) 52827,B100000,00000,1200,00000(GROSS CHARGES) 52827,B100000,00000,1300,00000(PATIENT DAYS) 52827,B100000,00000,1350,00000(PATIENT DAYS) 52827,B100000,00000,1400,00000(ASSIGNED TIME) 52827,E10A180,00550,0300,02/29/2000 52827,S000000,00100,0200,02/29/2000 52827,S200000,00100,0100,613 HAMMONDS LANE 52827,S200000,00200,0100,BROOKLYN PARK 52827,S200000,00200,0200,MD 52827,S200000,00200,0300,21225 52827,S200000,00400,0100,HAMMONDS LANE 52827,S200000,00400,0200,215088 52827,S200000,00400,0300,12/01/1990 52827,S200000,00400,0500,P 52827,S200000,01600,0100,Y 52827,S200000,02200,0100,Y 52882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52882,A000000,00300,0000,00300EMPLOYEE BENEFITS 52882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52882,A000000,00700,0000,00700HOUSEKEEPING 52882,A000000,00800,0000,00800DIETARY 52882,A000000,00900,0000,00900NURSING ADMINISTRATION 52882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52882,A000000,01100,0000,01100PHARMACY 52882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52882,A000000,01300,0000,01300SOCIAL SERVICE 52882,A000000,01350,0000,01500PATIENT ACTIVITIES 52882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52882,A000000,01600,0000,01600SKILLED NURSING FACILITY 52882,A000000,01810,0000,01810ICF/MR 52882,A000000,02100,0000,02100RADIOLOGY 52882,A000000,02200,0000,02200LABORATORY 52882,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52882,A000000,02500,0000,02500PHYSICAL THERAPY 52882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52882,A000000,02700,0000,02700SPEECH PATHOLOGY 52882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52882,A000000,03550,0000,03550FQHC 52882,A000000,04800,0000,04800AMBULANCE 52882,A000000,05000,0000,05000CORF 52882,A000000,05010,0000,05010CMHC 52882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52882,A000000,05300,0000,05300INTEREST EXPENSE 52882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52882,A000000,06150,0000,06300OTHER NON REIMBURSEABLE 52882,A81000A,00100,0100,Y 52882,A81000B,00100,0300,G&A 6060 6076 6082 52882,A81000B,00200,0300,G&A 6090 52882,A81000C,00100,0100,B 52882,A81000C,00100,0200,TRESSLER LUTHER 52882,B100000,00000,0100,00000SQUARE FEET 52882,B100000,00000,0200,00000SQUARE FEET 52882,B100000,00000,0300,00000GROSS SALARIES 52882,B100000,00000,0400,00000ACCUM COST 52882,B100000,00000,0500,00000SQUARE FEET 52882,B100000,00000,0600,00000POUNDS OF LAUNDRY 52882,B100000,00000,0700,00000SQUARE FEET 52882,B100000,00000,0800,00000MEALS SERVED 52882,B100000,00000,0900,00000PATIENT DAYS 52882,B100000,00000,1000,00000COSTED REQUIS 52882,B100000,00000,1100,00000COSTED REQUIS 52882,B100000,00000,1200,00000PATIENT DAYS 52882,B100000,00000,1300,00000PATIENT DAYS 52882,B100000,00000,1350,00000PATIENT DAYS 52882,B100000,00000,1400,00000ASSIGNED TIME 52882,S000000,00100,0200,05/30/2000 52882,S200000,00100,0100,1183 LUTHER DRIVE 52882,S200000,00200,0100,HAGERSTOWN 52882,S200000,00200,0200,MD 52882,S200000,00200,0300,21740 52882,S200000,00300,0100,WASHINGTON MD 52882,S200000,00400,0100,RAVENWOOD LUTHERAN VILLAGE 52882,S200000,00400,0200,215113 52882,S200000,00400,0300,04/10/1978 52882,S200000,00400,0500,P 52882,S200000,00400,0600,O 52882,S200000,01500,0100,Y 52882,S200000,02200,0100,Y 52882,S200000,02800,0100,Y 52882,S200000,04700,0100,Y 52882,S200000,04700,0200,Y 52899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52899,A000000,00300,0000,00300EMPLOYEE BENEFITS 52899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52899,A000000,00700,0000,00700HOUSEKEEPING 52899,A000000,00800,0000,00800DIETARY 52899,A000000,00900,0000,00900NURSING ADMINISTRATION 52899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52899,A000000,01100,0000,01100PHARMACY 52899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52899,A000000,01300,0000,01300SOCIAL SERVICE 52899,A000000,01350,0000,01500PATIENT ACTIVITIES 52899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52899,A000000,01600,0000,01600SKILLED NURSING FACILITY 52899,A000000,01810,0000,01810ICF/MR 52899,A000000,02100,0000,02100RADIOLOGY 52899,A000000,02200,0000,02200LABORATORY 52899,A000000,02500,0000,02500PHYSICAL THERAPY 52899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52899,A000000,02700,0000,02700SPEECH PATHOLOGY 52899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52899,A000000,03550,0000,03550FQHC 52899,A000000,04800,0000,04800AMBULANCE 52899,A000000,05000,0000,05000CORF 52899,A000000,05010,0000,05010CMHC 52899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52899,A000000,05300,0000,05300INTEREST EXPENSE 52899,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 52899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52899,A000000,06150,0000,06300OTHER NON REIMBURSEABLE 52899,A81000A,00100,0100,Y 52899,A81000B,00100,0300,G&A 6060 6076 6082 52899,A81000B,00200,0300,G&A 6090 52899,A81000B,00300,0300,HOME OFFICE CAPITAL 52899,A81000C,00100,0100,B 52899,A81000C,00100,0200,TRESSLER LUTH S 52899,B100000,00000,0100,00000SQUARE FEET 52899,B100000,00000,0200,00000SQUARE FEET 52899,B100000,00000,0300,00000GROSS SALARIES 52899,B100000,00000,0400,00000ACCUM COST 52899,B100000,00000,0500,00000SQUARE FEET 52899,B100000,00000,0600,00000POUNDS OF LAUNDRY 52899,B100000,00000,0700,00000SQUARE FEET 52899,B100000,00000,0800,00000MEALS SERVED 52899,B100000,00000,0900,00000PATIENT DAYS 52899,B100000,00000,1000,00000COSTED REQUIS 52899,B100000,00000,1100,00000COSTED REQUIS 52899,B100000,00000,1200,00000PATIENT DAYS 52899,B100000,00000,1300,00000PATIENT DAYS 52899,B100000,00000,1350,00000PATIENT DAYS 52899,B100000,00000,1400,00000ASSIGNED TIME 52899,E10A180,00501,0300,06/28/2000 52899,S000000,00100,0200,05/30/2000 52899,S200000,00100,0100,ONE KAYLOR CIRCLE 52899,S200000,00200,0100,FROSTBURG 52899,S200000,00200,0200,MD 52899,S200000,00200,0300,21532 52899,S200000,00300,0100,ALLEGANY 52899,S200000,00400,0100,FROSTBURG VILLAGE OF ALLENGANY CTY 52899,S200000,00400,0200,215115 52899,S200000,00400,0300,07/01/1966 52899,S200000,00400,0500,P 52899,S200000,00400,0600,O 52899,S200000,01500,0100,Y 52899,S200000,02200,0100,Y 52899,S200000,02800,0100,Y 52899,S200000,04700,0100,Y 52899,S200000,04700,0200,Y 52941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52941,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52941,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52941,A000000,00300,0000,00300EMPLOYEE BENEFITS 52941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52941,A000000,00700,0000,00700HOUSEKEEPING 52941,A000000,00800,0000,00800DIETARY 52941,A000000,00801,0000,00801CAFETERIA 52941,A000000,00900,0000,00900NURSING ADMINISTRATION 52941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52941,A000000,01100,0000,01100PHARMACY 52941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52941,A000000,01300,0000,01300SOCIAL SERVICE 52941,A000000,01350,0000,01500ACTIVITIES 52941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52941,A000000,01600,0000,01600SKILLED NURSING FACILITY 52941,A000000,01800,0000,01800NURSING FACILITY 52941,A000000,01810,0000,01810ICF/MR 52941,A000000,02100,0000,02100RADIOLOGY 52941,A000000,02200,0000,02200LABORATORY 52941,A000000,02300,0000,02300INTRAVENOUS THERAPY 52941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52941,A000000,02500,0000,02500PHYSICAL THERAPY 52941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52941,A000000,02700,0000,02700SPEECH PATHOLOGY 52941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52941,A000000,03050,0000,03300PEN PART B 52941,A000000,03051,0000,03301FEE SCREENING 52941,A000000,03052,0000,03302OTHER ANCILLARY III 52941,A000000,03200,0000,03200SUPPORT SURFACES 52941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52941,A000000,03550,0000,03550FQHC 52941,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52941,A000000,05000,0000,05000CORF I 52941,A000000,05010,0000,05010CMHC I 52941,A000000,05020,0000,05020OPT I 52941,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52941,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52941,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52941,A81000A,00100,0100,Y 52941,A81000B,00100,0300,HOME OFFICE ALLOC 52941,A81000B,00200,0300,CAPITAL 52941,A81000B,00300,0300,PT 52941,A81000B,00400,0300,OT 52941,A81000B,00500,0300,ST 52941,A81000B,00600,0300,PHARMACY 52941,A81000B,00700,0300,MED SUPP 52941,A81000B,00800,0300,CENTRAL SUPP 52941,A81000B,00900,0300,CLINITRON 52941,A81000C,00100,0100,B 52941,A81000C,00100,0200,GENESIS ELDER 52941,A81000C,00100,0600,MGMT CO 52941,A81000C,00200,0100,B 52941,A81000C,00200,0200,NEIGHBORCARE 52941,A81000C,00200,0600,PHARMACY 52941,A81000C,00300,0100,B 52941,A81000C,00300,0200,GENE PHYS SERV 52941,A81000C,00300,0600,CASE MGMT 52941,A81000C,00400,0100,B 52941,A81000C,00400,0200,GENESIS SERV 52941,A81000C,00400,0600,THERAPY 52941,A81000C,00500,0100,B 52941,A81000C,00500,0200,RESP HLTH SERV 52941,A81000C,00500,0600,RT 52941,B100000,00000,0100,00000(SQUARE FEET) 52941,B100000,00000,0101,00000(SQUARE FEET) 52941,B100000,00000,0200,00000(SQUARE FEET) 52941,B100000,00000,0201,00000(SQUARE FEET) 52941,B100000,00000,0300,00000(GROSS SALARIES) 52941,B100000,00000,0400,00000(ACCUM. COST) 52941,B100000,00000,0500,00000(SQUARE FEET) 52941,B100000,00000,0600,00000(PATIENT DAYS) 52941,B100000,00000,0700,00000(SQUARE FEET) 52941,B100000,00000,0800,00000(MEALS SERVED) 52941,B100000,00000,0801,00000(MEALS SERVED) 52941,B100000,00000,0900,00000(PATIENT DAYS) 52941,B100000,00000,1000,00000(COSTED REQUIS.) 52941,B100000,00000,1100,00000(COSTED REQUIS.) 52941,B100000,00000,1200,00000(GROSS CHARGES) 52941,B100000,00000,1300,00000(PATIENT DAYS) 52941,B100000,00000,1350,00000(PATIENT DAYS) 52941,B100000,00000,1400,00000(ASSIGNED TIME) 52941,E10A180,00501,0300,03/14/2000 52941,S000000,00100,0200,02/29/2000 52941,S200000,00100,0100,889 CECIL AVE 52941,S200000,00200,0100,MILLERSVILLE 52941,S200000,00200,0200,MD 52941,S200000,00200,0300,21108 52941,S200000,00300,0100,ANNE ARUNDEL 52941,S200000,00400,0100,KNOLLWOOD MANOR 52941,S200000,00400,0200,215148 52941,S200000,00400,0300,01/01/1986 52941,S200000,00400,0500,P 52941,S200000,01600,0100,Y 52941,S200000,02200,0100,Y 52974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52974,A000000,00201,0000,00201CAP REL COSTS- REHAB SUITE 52974,A000000,00300,0000,00300EMPLOYEE BENEFITS 52974,A000000,00301,0000,00301STAFF DEVELOPMENT 52974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52974,A000000,00501,0000,00501TRANSPORTATION 52974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52974,A000000,00700,0000,00700HOUSEKEEPING 52974,A000000,00800,0000,00800DIETARY 52974,A000000,00900,0000,00900NURSING ADMINISTRATION 52974,A000000,00901,0000,00901PROGRM DIRECTOR 52974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52974,A000000,01100,0000,01100PHARMACY 52974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52974,A000000,01300,0000,01300SOCIAL SERVICE 52974,A000000,01350,0000,01500PATIENT ACTIVITIES 52974,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 52974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52974,A000000,01600,0000,01600SKILLED NURSING FACILITY 52974,A000000,01800,0000,01800NURSING FACILITY 52974,A000000,01810,0000,01810ICF/MR 52974,A000000,02100,0000,02100RADIOLOGY 52974,A000000,02200,0000,02200LABORATORY 52974,A000000,02300,0000,02300INTRAVENOUS THERAPY 52974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52974,A000000,02500,0000,02500PHYSICAL THERAPY 52974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52974,A000000,02700,0000,02700SPEECH PATHOLOGY 52974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52974,A000000,03050,0000,03300ENTERAL FORMULAE 52974,A000000,03051,0000,03301BLANK 1 52974,A000000,03052,0000,03302RESPIRATORY THERPY 52974,A000000,03053,0000,03303BLANK 3 52974,A000000,03054,0000,03304OTHER MEDICAL SERVICE 52974,A000000,03055,0000,03305CARRIER SERVICE 52974,A000000,03550,0000,03550FQHC 52974,A000000,05000,0000,05000CORF 52974,A000000,05010,0000,05010CMHC 52974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52974,B100000,00000,0100,00000SQUARE FEET 52974,B100000,00000,0200,00000SQUARE FEET 52974,B100000,00000,0201,00000SQUARE FEET 52974,B100000,00000,0300,00000GROSS SALARIES 52974,B100000,00000,0301,00000GROSS SALARIES 52974,B100000,00000,0400,00000ACCUM COST 52974,B100000,00000,0500,00000SQUARE FEET 52974,B100000,00000,0501,00000NUMBER OF TRIPS 52974,B100000,00000,0600,00000POUNDS OF LAUNDRY 52974,B100000,00000,0700,00000HOURS OF SERVICE 52974,B100000,00000,0800,00000PATIENT DAYS 52974,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 52974,B100000,00000,0901,00000EXPENSE 52974,B100000,00000,1000,00000COSTED REQUISITIO 52974,B100000,00000,1100,00000COSTED REQUISITIO 52974,B100000,00000,1200,00000TIME SPENT 52974,B100000,00000,1300,00000TIME SPENT 52974,B100000,00000,1350,00000TIME SPENT 52974,B100000,00000,1351,00000TIME SPENT 52974,B100000,00000,1400,00000ASSIGNED TIME 52974,E10A180,00501,0100,07/19/2000 52974,S000000,00100,0200,05/31/2000 52974,S200000,00100,0100,2015 EAST HIGHWAY 52974,S200000,00200,0100,SILVER SPRING 52974,S200000,00200,0200,MD 52974,S200000,00200,0300,20910 52974,S200000,00300,0100,MONTGOMREY 52974,S200000,00400,0100,FOX CHASE REHAB & NRSG CENTER 52974,S200000,00400,0200,215197 52974,S200000,00400,0300,01/01/1989 52974,S200000,00400,0500,P 52974,S200000,01600,0100,Y 52983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52983,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 52983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52983,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 52983,A000000,00300,0000,00300EMPLOYEE BENEFITS 52983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52983,A000000,00700,0000,00700HOUSEKEEPING 52983,A000000,00800,0000,00800DIETARY 52983,A000000,00801,0000,00801CAFETERIA 52983,A000000,00900,0000,00900NURSING ADMINISTRATION 52983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52983,A000000,01100,0000,01100PHARMACY 52983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52983,A000000,01300,0000,01300SOCIAL SERVICE 52983,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 52983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52983,A000000,01600,0000,01600SKILLED NURSING FACILITY 52983,A000000,01800,0000,01800NURSING FACILITY 52983,A000000,01810,0000,01810ICF/MR 52983,A000000,02100,0000,02100RADIOLOGY 52983,A000000,02200,0000,02200LABORATORY 52983,A000000,02300,0000,02300INTRAVENOUS THERAPY 52983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52983,A000000,02500,0000,02500PHYSICAL THERAPY 52983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52983,A000000,02700,0000,02700SPEECH PATHOLOGY 52983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52983,A000000,03050,0000,03300PEN PART B 52983,A000000,03051,0000,03301FEE SCREENING 52983,A000000,03052,0000,03302OTHER ANCILLARY III 52983,A000000,03200,0000,03200SUPPORT SURFACES 52983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 52983,A000000,03550,0000,03550FQHC 52983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 52983,A000000,05000,0000,05000CORF I 52983,A000000,05010,0000,05010CMHC I 52983,A000000,05020,0000,05020OPT I 52983,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52983,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 52983,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 52983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 52983,A81000A,00100,0100,Y 52983,A81000B,00100,0300,HOME OFFICE ALLOCATION 52983,A81000B,00200,0300,H.O. CAP RELATED 52983,A81000B,00300,0300,PT 52983,A81000B,00400,0300,OT 52983,A81000B,00500,0300,ST 52983,A81000B,00600,0300,CENTRAL SUPP 52983,A81000B,00700,0300,MEDICAL RECORDS 52983,A81000B,00800,0300,DRUGS 52983,A81000B,00900,0300,CLINITRON 52983,A81000C,00100,0100,B 52983,A81000C,00100,0200,GENEESIS HEALTS 52983,A81000C,00100,0600,MGMT CO 52983,A81000C,00200,0100,B 52983,A81000C,00200,0200,NEIGHBORCARE 52983,A81000C,00200,0600,PHARMACY 52983,A81000C,00300,0100,B 52983,A81000C,00300,0200,GENESIS SCVS 52983,A81000C,00300,0600,VARIOUS 52983,A81000C,00400,0100,B 52983,A81000C,00400,0200,GENESIS PHYS 52983,A81000C,00400,0600,CASE MGMT 52983,A81000C,00500,0100,B 52983,A81000C,00500,0200,GENESIS REHAB 52983,A81000C,00500,0600,RT 52983,B100000,00000,0100,00000(SQUARE FEET) 52983,B100000,00000,0101,00000(SQUARE FEET) 52983,B100000,00000,0200,00000(SQUARE FEET) 52983,B100000,00000,0201,00000(SQUARE FEET) 52983,B100000,00000,0300,00000(GROSS SALARIES) 52983,B100000,00000,0400,00000(ACCUM. COST) 52983,B100000,00000,0500,00000(SQUARE FEET) 52983,B100000,00000,0600,00000(PATIENT DAYS) 52983,B100000,00000,0700,00000(SQUARE FEET) 52983,B100000,00000,0800,00000(MEALS SERVED) 52983,B100000,00000,0801,00000(MEALS SERVED) 52983,B100000,00000,0900,00000(NURSING SALARIES) 52983,B100000,00000,1000,00000(PATIENT DAYS) 52983,B100000,00000,1100,00000(PATIENT DAYS) 52983,B100000,00000,1200,00000(GROSS CHARGES) 52983,B100000,00000,1300,00000(PATIENT DAYS) 52983,B100000,00000,1350,00000(PATIENT DAYS) 52983,B100000,00000,1400,00000(ASSIGNED TIME) 52983,E10A180,00501,0100,05/27/2000 52983,E10A180,00501,0300,05/27/2000 52983,E10A180,00502,0100,05/18/2001 52983,E10A180,00550,0300,05/18/2001 52983,S000000,00100,0200,05/05/2000 52983,S200000,00100,0100,525 GLENBURN AVE. 52983,S200000,00200,0100,CAMBRIDGE 52983,S200000,00200,0200,MD 52983,S200000,00200,0300,21613 52983,S200000,00300,0100,DORCHESTER 52983,S200000,00400,0100,CHESAPEAKE WOODS 52983,S200000,00400,0200,215221 52983,S200000,00400,0300,07/25/1990 52983,S200000,00400,0500,P 52983,S200000,01600,0100,Y 52983,S200000,02200,0100,Y 52992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 52992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 52992,A000000,00300,0000,00300EMPLOYEE BENEFITS 52992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 52992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 52992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 52992,A000000,00700,0000,00700HOUSEKEEPING 52992,A000000,00800,0000,00800DIETARY 52992,A000000,00900,0000,00900NURSING ADMINISTRATION 52992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 52992,A000000,01100,0000,01100PHARMACY 52992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 52992,A000000,01300,0000,01300SOCIAL SERVICE 52992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 52992,A000000,01600,0000,01600SKILLED NURSING FACILITY 52992,A000000,01810,0000,01810ICF/MR 52992,A000000,01900,0000,01900OTHER LONG TERM CARE 52992,A000000,02100,0000,02100RADIOLOGY 52992,A000000,02200,0000,02200LABORATORY 52992,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 52992,A000000,02500,0000,02500PHYSICAL THERAPY 52992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 52992,A000000,02700,0000,02700SPEECH PATHOLOGY 52992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 52992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 52992,A000000,03550,0000,03550FQHC 52992,A000000,05000,0000,05000CORF 52992,A000000,05010,0000,05010CMHC 52992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 52992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 52992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 52992,A000000,05300,0000,05300INTEREST EXPENSE 52992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 52992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 52992,A000000,06150,0000,06300COMMUNITY 52992,A000000,06200,0000,06200PATIENTS LAUNDRY 52992,A81000A,00100,0100,Y 52992,A81000B,00100,0300,HOME OFFICE MGMT 52992,A81000C,00100,0100,B 52992,A81000C,00100,0200,HOMEWOOD RETIREMENT CENTR 52992,A81000C,00100,0600,HEALTHCARE 52992,B100000,00000,0100,00000SQUARE FEET 52992,B100000,00000,0200,00000SQUARE FEET 52992,B100000,00000,0300,00000GROSS SALARIES 52992,B100000,00000,0400,00000ACCUM. COST 52992,B100000,00000,0500,00000SQUARE FEET 52992,B100000,00000,0600,00000POUNDS OF LAUNDRY 52992,B100000,00000,0700,00000HOURS OF SERVICE 52992,B100000,00000,0800,00000MEALS SERVED 52992,B100000,00000,0900,00000DIRECT NRSING HRS 52992,B100000,00000,1000,00000COSTED REQUIS. 52992,B100000,00000,1100,00000COSTED REQUIS. 52992,B100000,00000,1200,00000TIME SPENT 52992,B100000,00000,1300,00000TIME SPENT 52992,B100000,00000,1400,00000ASSIGNED TIME 52992,E10A180,00501,0100,07/06/2000 52992,E10A180,00501,0300,07/06/2000 52992,S000000,00100,0200,05/24/2000 52992,S200000,00100,0100,2750 VIRGINIA AVE. 52992,S200000,00200,0100,WILLIAMSPORT 52992,S200000,00200,0200,MD 52992,S200000,00300,0100,WASHINGTON 52992,S200000,00400,0100,HOMEWOOD AT WILLIAMSPORT 52992,S200000,00400,0200,215225 52992,S200000,00400,0300,08/01/1990 52992,S200000,00400,0500,P 52992,S200000,01500,0100,Y 53012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53012,A000000,00300,0000,00300EMPLOYEE BENEFITS 53012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53012,A000000,00700,0000,00700HOUSEKEEPING 53012,A000000,00800,0000,00800DIETARY 53012,A000000,00900,0000,00900NURSING ADMINISTRATION 53012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53012,A000000,01100,0000,01100PHARMACY 53012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53012,A000000,01300,0000,01300SOCIAL SERVICE 53012,A000000,01350,0000,01500OTHER GENERAL SERVICES 53012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53012,A000000,01600,0000,01600SKILLED NURSING FACILITY 53012,A000000,01810,0000,01810ICF/MR 53012,A000000,01900,0000,01900OTHER LONG TERM CARE 53012,A000000,02100,0000,02100RADIOLOGY 53012,A000000,02200,0000,02200LABORATORY 53012,A000000,02500,0000,02500PHYSICAL THERAPY 53012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53012,A000000,02700,0000,02700SPEECH PATHOLOGY 53012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53012,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53012,A000000,03550,0000,03550FQHC 53012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53012,A000000,05000,0000,05000CORF 53012,A000000,05010,0000,05010CMHC 53012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53012,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53012,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53012,A81000A,00100,0100,Y 53012,A81000B,00100,0300,HOME OFFICE EXPENSE 53012,A81000C,00100,0100,B 53012,A81000C,00100,0200,HOMEWOOD RETIREMENT CTR 53012,A81000C,00100,0600,HEALTHCARE 53012,B100000,00000,0100,00000SQUARE FEET 53012,B100000,00000,0200,00000SQUARE FEET 53012,B100000,00000,0300,00000GROSS SALARIES 53012,B100000,00000,0400,00000ACCUM. COST 53012,B100000,00000,0500,00000SQUARE FEET 53012,B100000,00000,0600,00000POUNDS OF LAUNDRY 53012,B100000,00000,0700,00000HOURS OF SERVICE 53012,B100000,00000,0800,00000MEALS SERVED 53012,B100000,00000,0900,00000DIRECT NURSING HR 53012,B100000,00000,1000,00000COSTED REQUIS. 53012,B100000,00000,1100,00000PATIENT DAYS 53012,B100000,00000,1200,00000TIME SPENT 53012,B100000,00000,1300,00000TIME SPENT 53012,B100000,00000,1350,00000PATIENT DAYS 53012,B100000,00000,1400,00000NO STATISTICS 53012,E10A180,00501,0100,07/06/2000 53012,E10A180,00501,0300,07/06/2000 53012,S000000,00100,0200,05/24/2000 53012,S200000,00100,0100,31 PATRICK STREET 53012,S200000,00200,0100,FREDRICK 53012,S200000,00200,0200,VA 53012,S200000,00300,0100,FREDRICK 53012,S200000,00400,0100,HOMEWOOD AT FREDRICK 53012,S200000,00400,0200,215245 53012,S200000,00400,0300,01/04/1993 53012,S200000,00400,0500,P 53012,S200000,01500,0100,Y 53012,S200000,02200,0100,Y 53022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53022,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53022,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53022,A000000,00300,0000,00300EMPLOYEE BENEFITS 53022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53022,A000000,00700,0000,00700HOUSEKEEPING 53022,A000000,00800,0000,00800DIETARY 53022,A000000,00801,0000,00801CAFETERIA 53022,A000000,00900,0000,00900NURSING ADMINISTRATION 53022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53022,A000000,01100,0000,01100PHARMACY 53022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53022,A000000,01300,0000,01300SOCIAL SERVICE 53022,A000000,01350,0000,01500ACTIVITIES 53022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53022,A000000,01600,0000,01600SKILLED NURSING FACILITY 53022,A000000,01800,0000,01800NURSING FACILITY 53022,A000000,01810,0000,01810ICF/MR 53022,A000000,02100,0000,02100RADIOLOGY 53022,A000000,02300,0000,02300INTRAVENOUS THERAPY 53022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53022,A000000,02500,0000,02500PHYSICAL THERAPY 53022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53022,A000000,02700,0000,02700SPEECH PATHOLOGY 53022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53022,A000000,03050,0000,03300PEN PART B 53022,A000000,03051,0000,03301FEE SCREENING 53022,A000000,03052,0000,03302OTHER ANCILLARY III 53022,A000000,03200,0000,03200SUPPORT SURFACES 53022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53022,A000000,03550,0000,03550FQHC 53022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53022,A000000,05000,0000,05000CORF I 53022,A000000,05010,0000,05010CMHC I 53022,A000000,05020,0000,05020OPT I 53022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53022,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53022,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53022,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53022,A81000A,00100,0100,Y 53022,A81000B,00100,0300,HOME OFFICE ALLOC 53022,A81000B,00200,0300,H.O. CAP REL 53022,A81000B,00300,0300,PT 53022,A81000B,00400,0300,OT 53022,A81000B,00500,0300,ST 53022,A81000B,00600,0300,RT\OXYGEN 53022,A81000B,00700,0300,MEDICAL SUPPLIES 53022,A81000B,00800,0300,DRUGS 53022,A81000B,00900,0300,CLINITRON 53022,A81000C,00100,0100,B 53022,A81000C,00100,0200,GENESIS ELDERC 53022,A81000C,00100,0600,MGMT CO 53022,A81000C,00200,0100,B 53022,A81000C,00200,0200,NEIGHBORCARE 53022,A81000C,00200,0600,PHARMACY 53022,A81000C,00300,0100,B 53022,A81000C,00300,0200,GENESIS SERVICE 53022,A81000C,00300,0600,THERAPY SERVICS 53022,A81000C,00400,0100,B 53022,A81000C,00400,0200,GEN.PHYS.SERV. 53022,A81000C,00400,0600,CASE MGMT 53022,A81000C,00500,0100,B 53022,A81000C,00500,0200,RESPIR. HEALTH 53022,A81000C,00500,0600,RT 53022,B100000,00000,0100,00000(SQUARE FEET) 53022,B100000,00000,0101,00000(SQUARE FEET) 53022,B100000,00000,0200,00000(SQUARE FEET) 53022,B100000,00000,0201,00000(SQUARE FEET) 53022,B100000,00000,0300,00000(GROSS SALARIES) 53022,B100000,00000,0400,00000(ACCUM. COST) 53022,B100000,00000,0500,00000(SQUARE FEET) 53022,B100000,00000,0600,00000(PATIENT DAYS) 53022,B100000,00000,0700,00000(SQUARE FEET) 53022,B100000,00000,0800,00000(MEALS SERVED) 53022,B100000,00000,0801,00000(MEALS SERVED) 53022,B100000,00000,0900,00000(PATIENT DAYS) 53022,B100000,00000,1000,00000(COSTED REQUIS.) 53022,B100000,00000,1100,00000(COSTED REQUIS.) 53022,B100000,00000,1200,00000(GROSS CHARGES) 53022,B100000,00000,1300,00000(PATIENT DAYS) 53022,B100000,00000,1350,00000(PATIENT DAYS) 53022,B100000,00000,1400,00000(ASSIGNED TIME) 53022,E10A180,00501,0100,03/22/2000 53022,E10A180,00501,0300,03/22/2000 53022,S000000,00100,0200,02/29/2000 53022,S200000,00100,0100,35 MILKSHAKE LANE 53022,S200000,00200,0100,ANNAPOLIS 53022,S200000,00200,0200,MD 53022,S200000,00200,0300,21403 53022,S200000,00400,0100,SPA CREEK 53022,S200000,00400,0200,215258 53022,S200000,00400,0300,05/01/1994 53022,S200000,00400,0500,P 53022,S200000,01600,0100,Y 53022,S200000,02200,0100,Y 53022,S200000,04600,0100,Y 53031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53031,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53031,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53031,A000000,00300,0000,00300EMPLOYEE BENEFITS 53031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53031,A000000,00700,0000,00700HOUSEKEEPING 53031,A000000,00800,0000,00800DIETARY 53031,A000000,00801,0000,00801CAFETERIA 53031,A000000,00900,0000,00900NURSING ADMINISTRATION 53031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53031,A000000,01100,0000,01100PHARMACY 53031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53031,A000000,01300,0000,01300SOCIAL SERVICE 53031,A000000,01350,0000,01500ACTIVITIES 53031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53031,A000000,01600,0000,01600SKILLED NURSING FACILITY 53031,A000000,01800,0000,01800NURSING FACILITY 53031,A000000,01810,0000,01810ICF/MR 53031,A000000,02200,0000,02200LABORATORY 53031,A000000,02300,0000,02300INTRAVENOUS THERAPY 53031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53031,A000000,02500,0000,02500PHYSICAL THERAPY 53031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53031,A000000,02700,0000,02700SPEECH PATHOLOGY 53031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53031,A000000,03050,0000,03300PEN PART B 53031,A000000,03051,0000,03301FEE SCREENING 53031,A000000,03052,0000,03302OTHER ANCILLARY III 53031,A000000,03200,0000,03200SUPPORT SURFACES 53031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53031,A000000,03550,0000,03550FQHC 53031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53031,A000000,05000,0000,05000CORF I 53031,A000000,05010,0000,05010CMHC I 53031,A000000,05020,0000,05020OPT I 53031,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53031,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53031,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53031,A81000A,00100,0100,Y 53031,A81000B,00100,0300,HOME OFFICE ALLOC 53031,A81000B,00200,0300,HOME OFFICE CAP REL 53031,A81000B,00300,0300,PT 53031,A81000B,00400,0300,OT 53031,A81000B,00500,0300,ST 53031,A81000B,00600,0300,CENTRAL SUPPLY 53031,A81000B,00700,0300,OXYGEN/RT 53031,A81000B,00800,0300,MEDICAL SUPPLIES 53031,A81000B,00900,0300,DRUGS 53031,A81000C,00100,0100,B 53031,A81000C,00100,0200,GENESIS ELDERCA 53031,A81000C,00100,0600,MGMT CO 53031,A81000C,00200,0100,B 53031,A81000C,00200,0200,NEIGHBORCARE 53031,A81000C,00200,0600,PHARMACY 53031,A81000C,00300,0100,B 53031,A81000C,00300,0200,GENESIS SERVICE 53031,A81000C,00300,0600,THERAPY SERVICS 53031,A81000C,00400,0100,B 53031,A81000C,00400,0200,GEN.PHYS.SERV. 53031,A81000C,00400,0600,CASE MGMT 53031,A81000C,00500,0100,B 53031,A81000C,00500,0200,RESPIR. HEALTH 53031,A81000C,00500,0600,RT 53031,B100000,00000,0100,00000(SQUARE FEET) 53031,B100000,00000,0101,00000(SQUARE FEET) 53031,B100000,00000,0200,00000(SQUARE FEET) 53031,B100000,00000,0201,00000(SQUARE FEET) 53031,B100000,00000,0300,00000(GROSS SALARIES) 53031,B100000,00000,0400,00000(ACCUM. COST) 53031,B100000,00000,0500,00000(SQUARE FEET) 53031,B100000,00000,0600,00000(PATIENT DAYS) 53031,B100000,00000,0700,00000(SQUARE FEET) 53031,B100000,00000,0800,00000(MEALS SERVED) 53031,B100000,00000,0801,00000(MEALS SERVED) 53031,B100000,00000,0900,00000(NURSING SALARIES) 53031,B100000,00000,1000,00000(COSTED REQUIS.) 53031,B100000,00000,1100,00000(COSTED REQUIS.) 53031,B100000,00000,1200,00000(GROSS CHARGES) 53031,B100000,00000,1300,00000(PATIENT DAYS) 53031,B100000,00000,1350,00000(PATIENT DAYS) 53031,B100000,00000,1400,00000(ASSIGNED TIME) 53031,S000000,00100,0200,05/05/2000 53031,S200000,00100,0100,9200 FRANKLIN SQUARE DR 53031,S200000,00200,0100,BALTIMORE 53031,S200000,00200,0200,MD 53031,S200000,00200,0300,21237 53031,S200000,00300,0100,BALTIMORE 53031,S200000,00400,0100,FRANKLINWOODS 53031,S200000,00400,0200,215261 53031,S200000,00400,0300,04/11/1994 53031,S200000,00400,0500,P 53031,S200000,01600,0100,Y 53031,S200000,02200,0100,Y 53031,S200000,04600,0100,Y 53039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53039,A000000,00300,0000,00300EMPLOYEE BENEFITS 53039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53039,A000000,00700,0000,00700HOUSEKEEPING 53039,A000000,00800,0000,00800DIETARY 53039,A000000,00900,0000,00900NURSING ADMINISTRATION 53039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53039,A000000,01100,0000,01100PHARMACY 53039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53039,A000000,01300,0000,01300SOCIAL SERVICE 53039,A000000,01350,0000,01500PATIENT ACTIVITIES 53039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53039,A000000,01600,0000,01600SKILLED NURSING FACILITY 53039,A000000,01810,0000,01810ICF/MR 53039,A000000,02100,0000,02100RADIOLOGY 53039,A000000,02500,0000,02500PHYSICAL THERAPY 53039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53039,A000000,02700,0000,02700SPEECH PATHOLOGY 53039,A000000,02800,0000,02800ELECTROCARDIOLOGY 53039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53039,A000000,03550,0000,03550FQHC 53039,A000000,05000,0000,05000CORF 53039,A000000,05010,0000,05010CMHC 53039,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53039,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53039,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53039,A000000,06150,0000,06300RESIDENTIAL 53039,A81000A,00100,0100,Y 53039,A81000B,00100,0300,MANAGEMENT FEES 53039,A81000B,00200,0300,MANAGEMENT FEES 53039,A81000B,00300,0300,MANAGEMENT FEES 53039,A81000B,00400,0300,MANAGEMENT FEES 53039,A81000B,00500,0300,DATA PROCESSING 53039,A81000B,00600,0300,DATA PROCESSING 53039,A81000B,00700,0300,DATA PROCESSING 53039,A81000B,00800,0300,DATA PROCESSING 53039,A81000B,00900,0300,WORKING CAPITAL INT 53039,A81000B,01000,0300,WORKING CAPITAL INT 53039,A81000B,01100,0300,PHARMACEUTICALS 53039,A81000B,01200,0300,PHARMACEUTICALS 53039,A81000C,00100,0100,B 53039,A81000C,00100,0200,PHI INC. 53039,A81000C,00100,0600,MANAGEMENT SUPP 53039,A81000C,00200,0100,B 53039,A81000C,00200,0200,CONTINUING CARE 53039,A81000C,00200,0600,PHARMACEUTICALS 53039,B100000,00000,0100,00000SQUARE FEET 53039,B100000,00000,0200,00000SQUARE FEET 53039,B100000,00000,0300,00000GROSS SALARIES 53039,B100000,00000,0400,00000ACCUM COST 53039,B100000,00000,0500,00000SQUARE FEET 53039,B100000,00000,0600,00000POUNDS OF LAUNDRY 53039,B100000,00000,0700,00000SQ FT WO KITCHEN 53039,B100000,00000,0800,00000MEALS SERVED 53039,B100000,00000,0900,00000DIRECT NRSG HRS 53039,B100000,00000,1000,00000COSTED REQUIS 53039,B100000,00000,1100,00000COSTED REQUIS 53039,B100000,00000,1200,00000PATIENT DAYS 53039,B100000,00000,1300,00000PATIENT DAYS 53039,B100000,00000,1350,00000PATIENT DAYS 53039,B100000,00000,1400,00000ASSIGNED TIME 53039,E10A180,00550,0100,11/30/1999 53039,E10A180,00550,0300,11/30/1999 53039,S000000,00100,0200,11/29/1999 53039,S200000,00100,0100,11630 GLEN ARM ROAD 53039,S200000,00200,0100,GLEN ARM 53039,S200000,00200,0200,MD 53039,S200000,00200,0300,21057 53039,S200000,00300,0100,BALTIMORE 53039,S200000,00400,0100,GLEN MEADOWS RETIREMENT COMMUNITY 53039,S200000,00400,0200,215278 53039,S200000,00400,0300,09/11/1995 53039,S200000,00400,0500,P 53039,S200000,01500,0100,Y 53041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53041,A000000,00300,0000,00300EMPLOYEE BENEFITS 53041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53041,A000000,00700,0000,00700HOUSEKEEPING 53041,A000000,00800,0000,00800DIETARY 53041,A000000,00900,0000,00900NURSING ADMINISTRATION 53041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53041,A000000,01100,0000,01100PHARMACY 53041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53041,A000000,01300,0000,01300SOCIAL SERVICE 53041,A000000,01350,0000,01500PATIENT ACTIVITIES 53041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53041,A000000,01600,0000,01600SKILLED NURSING FACILITY 53041,A000000,01810,0000,01810ICF/MR 53041,A000000,02100,0000,02100RADIOLOGY 53041,A000000,02200,0000,02200LABORATORY 53041,A000000,02300,0000,02300INTRAVENOUS THERAPY 53041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53041,A000000,02500,0000,02500PHYSICAL THERAPY 53041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53041,A000000,02700,0000,02700SPEECH PATHOLOGY 53041,A000000,02800,0000,02800ELECTROCARDIOLOGY 53041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53041,A000000,03550,0000,03550FQHC 53041,A000000,05000,0000,05000CORF 53041,A000000,05010,0000,05010CMHC 53041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53041,A000000,06150,0000,06300RESIDENTIAL 53041,A81000A,00100,0100,Y 53041,A81000B,00100,0300,PHARMACY SUPPLIES 53041,A81000B,00200,0300,PHARMACY 53041,A81000B,00300,0300,PHARMACY (CAPITAL) 53041,A81000B,00400,0300,MANAGEMENT SUPPORT 53041,A81000B,00500,0300,MANAGEMENT SUPPORT 53041,A81000B,00600,0300,MANAGEMENT SUPPORT 53041,A81000B,00700,0300,DATA PROCESSING 53041,A81000B,00800,0300,DATA PROCESSING 53041,A81000B,00900,0300,DATA PROCESSING 53041,A81000C,00100,0100,B 53041,A81000C,00100,0400,PHI INC. 53041,A81000C,00100,0600,MANAGEMENT SUPP 53041,A81000C,00200,0100,B 53041,A81000C,00200,0400,CONTINUING CARE 53041,A81000C,00200,0600,PHARMACEUTICALS 53041,A81000C,00300,0100,B 53041,A81000C,00300,0400,PRELUDE SYSTEMS 53041,A81000C,00300,0600,INFORMATION SYS 53041,B100000,00000,0100,00000SQUARE FEET 53041,B100000,00000,0200,00000SQUARE FEET 53041,B100000,00000,0300,00000GROSS SALARIES 53041,B100000,00000,0400,00000ACCUM COST 53041,B100000,00000,0500,00000SQUARE FEET 53041,B100000,00000,0600,00000POUNDS OF LAUNDRY 53041,B100000,00000,0700,00000SQ FT EXCL KTCHN 53041,B100000,00000,0800,00000MEALS SERVED 53041,B100000,00000,0900,00000DIRECT NRSG HRS 53041,B100000,00000,1000,00000COSTED REQUIS 53041,B100000,00000,1100,00000COSTED REQUIS 53041,B100000,00000,1200,00000PATIENT DAYS 53041,B100000,00000,1300,00000PATIENT DAYS 53041,B100000,00000,1350,00000PATIENT DAYS 53041,B100000,00000,1400,00000ASSIGNED TIME 53041,E10A180,00550,0300,05/31/2000 53041,S000000,00100,0200,05/31/2000 53041,S200000,00100,0100,11630 GLEN ARM ROAD 53041,S200000,00200,0100,GLEN ARM 53041,S200000,00200,0200,PA 53041,S200000,00200,0300,21057 53041,S200000,00300,0100,BALTIMORE 53041,S200000,00400,0100,GLEN MEADOWS RETIREMENT COMMUNITY 53041,S200000,00400,0200,215278 53041,S200000,00400,0300,09/11/1995 53041,S200000,00400,0500,P 53041,S200000,01500,0100,Y 53044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53044,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53044,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53044,A000000,00300,0000,00300EMPLOYEE BENEFITS 53044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53044,A000000,00700,0000,00700HOUSEKEEPING 53044,A000000,00800,0000,00800DIETARY 53044,A000000,00801,0000,00801CAFETERIA 53044,A000000,00900,0000,00900NURSING ADMINISTRATION 53044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53044,A000000,01100,0000,01100PHARMACY 53044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53044,A000000,01300,0000,01300SOCIAL SERVICE 53044,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53044,A000000,01600,0000,01600SKILLED NURSING FACILITY 53044,A000000,01800,0000,01800NURSING FACILITY 53044,A000000,01810,0000,01810ICF/MR 53044,A000000,01900,0000,01900OTHER LONG TERM CARE 53044,A000000,02100,0000,02100RADIOLOGY 53044,A000000,02200,0000,02200LABORATORY 53044,A000000,02300,0000,02300INTRAVENOUS THERAPY 53044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53044,A000000,02500,0000,02500PHYSICAL THERAPY 53044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53044,A000000,02700,0000,02700SPEECH PATHOLOGY 53044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53044,A000000,03050,0000,03300OTHER ANCILLARY 53044,A000000,03051,0000,03301OTHER ANCILLARY II 53044,A000000,03052,0000,03302OTHER ANCILLARY III 53044,A000000,03200,0000,03200SUPPORT SURFACES 53044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53044,A000000,03550,0000,03550FQHC 53044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53044,A000000,05000,0000,05000CORF I 53044,A000000,05010,0000,05010CMHC I 53044,A000000,05020,0000,05020OPT I 53044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53044,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53044,B100000,00000,0100,00000(SQUARE FEET) 53044,B100000,00000,0101,00000(SQUARE FEET) 53044,B100000,00000,0200,00000(SQUARE FEET) 53044,B100000,00000,0201,00000(SQUARE FEET) 53044,B100000,00000,0300,00000(GROSS SALARIES) 53044,B100000,00000,0400,00000(ACCUM. COST) 53044,B100000,00000,0500,00000(SQUARE FEET) 53044,B100000,00000,0600,00000(PATIENT DAYS) 53044,B100000,00000,0700,00000(SQUARE FEET) 53044,B100000,00000,0800,00000(MEALS SERVED) 53044,B100000,00000,0801,00000(MEALS SERVED) 53044,B100000,00000,0900,00000(PATIENT DAYS) 53044,B100000,00000,1000,00000(PATIENT DAYS) 53044,B100000,00000,1100,00000(PATIENT DAYS) 53044,B100000,00000,1200,00000(GROSS CHARGES) 53044,B100000,00000,1300,00000(PATIENT DAYS) 53044,B100000,00000,1350,00000(PATIENT DAYS) 53044,B100000,00000,1400,00000(ASSIGNED TIME) 53044,E10A180,00501,0100,09/29/2000 53044,E10A180,00501,0300,09/29/2000 53044,S000000,00100,0200,07/31/2000 53044,S200000,00100,0100,4409 EAST WEST HIGHWAY 53044,S200000,00200,0200,MD 53044,S200000,00200,0300,20737 53044,S200000,00300,0100,RIVERDALE 53044,S200000,00400,0100,CRESCENT CITIES 53044,S200000,00400,0200,215323 53044,S200000,00400,0300,03/17/1999 53044,S200000,00400,0500,P 53044,S200000,01600,0100,Y 53044,S200000,02200,0100,Y 53061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53061,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53061,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53061,A000000,00300,0000,00300EMPLOYEE BENEFITS 53061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53061,A000000,00700,0000,00700HOUSEKEEPING 53061,A000000,00800,0000,00800DIETARY 53061,A000000,00801,0000,00801CAFETERIA 53061,A000000,00900,0000,00900NURSING ADMINISTRATION 53061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53061,A000000,01100,0000,01100PHARMACY 53061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53061,A000000,01300,0000,01300SOCIAL SERVICE 53061,A000000,01350,0000,01500ACTIVITIES 53061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53061,A000000,01600,0000,01600SKILLED NURSING FACILITY 53061,A000000,01800,0000,01800NURSING FACILITY 53061,A000000,01810,0000,01810ICF/MR 53061,A000000,02100,0000,02100RADIOLOGY 53061,A000000,02200,0000,02200LABORATORY 53061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53061,A000000,02500,0000,02500PHYSICAL THERAPY 53061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53061,A000000,02700,0000,02700SPEECH PATHOLOGY 53061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53061,A000000,03050,0000,03300PEN THERAPY 53061,A000000,03051,0000,03301FEE SCREENING 53061,A000000,03052,0000,03302OTHER ANCILLARY III 53061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53061,A000000,03550,0000,03550FQHC 53061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53061,A000000,05000,0000,05000CORF I 53061,A000000,05010,0000,05010CMHC I 53061,A000000,05020,0000,05020OPT I 53061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53061,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53061,A81000A,00100,0100,Y 53061,A81000B,00100,0300,HOME OFFICE ALLOCATION 53061,A81000B,00200,0300,HOME OFFICE ALLOCATION 53061,A81000B,00300,0300,SEE ATTACHED 53061,A81000C,00100,0100,B 53061,A81000C,00100,0200,GENESIS HEALTH 53061,A81000C,00100,0600,HOME OFFICE 53061,A81000C,00200,0100,B 53061,A81000C,00200,0200,GENESIS HEALTH 53061,A81000C,00200,0600,HOME OFFICE 53061,A81000C,00300,0100,B 53061,A81000C,00300,0200,GENESIS HEALTH 53061,A81000C,00300,0600,REHAB SERVICES 53061,A81000C,00400,0100,B 53061,A81000C,00400,0200,GENESIS HEALTH 53061,A81000C,00400,0600,REHAB SERVICES 53061,A81000C,00500,0100,B 53061,A81000C,00500,0200,GENESIS HEALTH 53061,A81000C,00500,0600,REHAB SERVICES 53061,B100000,00000,0100,00000(SQUARE FEET) 53061,B100000,00000,0101,00000(SQUARE FEET) 53061,B100000,00000,0200,00000(SQUARE FEET) 53061,B100000,00000,0201,00000(SQUARE FEET) 53061,B100000,00000,0300,00000(GROSS SALARIES) 53061,B100000,00000,0400,00000(ACCUM. COST) 53061,B100000,00000,0500,00000(SQUARE FEET) 53061,B100000,00000,0600,00000(PATIENT DAYS) 53061,B100000,00000,0700,00000(SQUARE FEET) 53061,B100000,00000,0800,00000(MEALS SERVED) 53061,B100000,00000,0801,00000(MEALS SERVED) 53061,B100000,00000,0900,00000(NURSING SALARIES) 53061,B100000,00000,1000,00000(COSTED REQUIS.) 53061,B100000,00000,1100,00000(COSTED REQUIS.) 53061,B100000,00000,1200,00000(GROSS CHARGES) 53061,B100000,00000,1300,00000(PATIENT DAYS) 53061,B100000,00000,1350,00000(PATIENT DAYS) 53061,B100000,00000,1400,00000(ASSIGNED TIME) 53061,E10A180,00501,0100,03/14/2000 53061,E10A180,00501,0300,03/14/2000 53061,S000000,00100,0200,02/28/2000 53061,S200000,00100,0100,751 GROVE STREE 53061,S200000,00200,0100,WORCESTER 53061,S200000,00200,0200,MA 53061,S200000,00200,0300,01605 53061,S200000,00300,0100,WORCHESTER 53061,S200000,00400,0100,WAYSIDE CENTER 53061,S200000,00400,0200,225027 53061,S200000,00400,0300,01/01/1967 53061,S200000,00400,0500,P 53061,S200000,01600,0100,Y 53061,S200000,02200,0100,Y 53087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53087,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53087,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53087,A000000,00300,0000,00300EMPLOYEE BENEFITS 53087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53087,A000000,00700,0000,00700HOUSEKEEPING 53087,A000000,00800,0000,00800DIETARY 53087,A000000,00801,0000,00801CAFETERIA 53087,A000000,00900,0000,00900NURSING ADMINISTRATION 53087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53087,A000000,01100,0000,01100PHARMACY 53087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53087,A000000,01300,0000,01300SOCIAL SERVICE 53087,A000000,01350,0000,01500ACTIVITIES 53087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53087,A000000,01600,0000,01600SKILLED NURSING FACILITY 53087,A000000,01800,0000,01800NURSING FACILITY 53087,A000000,01810,0000,01810ICF/MR 53087,A000000,02100,0000,02100RADIOLOGY 53087,A000000,02200,0000,02200LABORATORY 53087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53087,A000000,02500,0000,02500PHYSICAL THERAPY 53087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53087,A000000,02700,0000,02700SPEECH PATHOLOGY 53087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53087,A000000,03050,0000,03300PEN THERAPY 53087,A000000,03051,0000,03301FEE SCREENING 53087,A000000,03052,0000,03302OTHER ANCILLARY III 53087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53087,A000000,03550,0000,03550FQHC 53087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53087,A000000,04800,0000,04800AMBULANCE 53087,A000000,05000,0000,05000CORF I 53087,A000000,05010,0000,05010CMHC I 53087,A000000,05020,0000,05020OPT I 53087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53087,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53087,A81000A,00100,0100,Y 53087,A81000B,00100,0300,HOME OFFICE 53087,A81000B,00200,0300,HOME OFFICE 53087,A81000B,00300,0300,SEE ATTACHED 53087,A81000C,00100,0100,B 53087,A81000C,00100,0200,GENESIS HEALTH 53087,A81000C,00100,0600,HOME OFFICE 53087,A81000C,00200,0100,B 53087,A81000C,00200,0200,GENESIS HEALTH 53087,A81000C,00200,0600,HOME OFFICE 53087,A81000C,00300,0100,B 53087,A81000C,00300,0200,GENESIS REHAB 53087,A81000C,00300,0600,REHAB SERVICES 53087,A81000C,00400,0100,B 53087,A81000C,00400,0200,GENESIS REHAB 53087,A81000C,00400,0600,REHAB SERVICES 53087,A81000C,00500,0100,B 53087,A81000C,00500,0200,GENESIS REHAB 53087,A81000C,00500,0600,REHAB SERVICES 53087,B100000,00000,0100,00000(SQUARE FEET) 53087,B100000,00000,0101,00000(SQUARE FEET) 53087,B100000,00000,0200,00000(SQUARE FEET) 53087,B100000,00000,0201,00000(SQUARE FEET) 53087,B100000,00000,0300,00000(GROSS SALARIES) 53087,B100000,00000,0400,00000(ACCUM. COST) 53087,B100000,00000,0500,00000(SQUARE FEET) 53087,B100000,00000,0600,00000(PATIENT DAYS) 53087,B100000,00000,0700,00000(SQUARE FEET) 53087,B100000,00000,0800,00000(MEALS SERVED) 53087,B100000,00000,0801,00000(MEALS SERVED) 53087,B100000,00000,0900,00000(NURSING SALARIES) 53087,B100000,00000,1000,00000(COSTED REQUIS.) 53087,B100000,00000,1100,00000(COSTED REQUIS.) 53087,B100000,00000,1200,00000(GROSS CHARGES) 53087,B100000,00000,1300,00000(PATIENT DAYS) 53087,B100000,00000,1350,00000(PATIENT DAYS) 53087,B100000,00000,1400,00000(ASSIGNED TIME) 53087,S000000,00100,0200,02/29/2000 53087,S200000,00100,0100,61 COOPER STREET 53087,S200000,00200,0100,AGAWAM 53087,S200000,00200,0200,MA 53087,S200000,00300,0100,HAMPDEN 53087,S200000,00400,0100,HERITAGE HALL WEST 53087,S200000,00400,0200,225253 53087,S200000,00400,0300,07/01/1985 53087,S200000,00400,0500,P 53087,S200000,01600,0100,Y 53087,S200000,02200,0100,Y 53087,S200000,04900,0100,Y 53105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53105,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53105,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53105,A000000,00300,0000,00300EMPLOYEE BENEFITS 53105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53105,A000000,00700,0000,00700HOUSEKEEPING 53105,A000000,00800,0000,00800DIETARY 53105,A000000,00801,0000,00801CAFETERIA 53105,A000000,00900,0000,00900NURSING ADMINISTRATION 53105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53105,A000000,01100,0000,01100PHARMACY 53105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53105,A000000,01300,0000,01300SOCIAL SERVICE 53105,A000000,01350,0000,01500ACTIVITIES 53105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53105,A000000,01600,0000,01600SKILLED NURSING FACILITY 53105,A000000,01800,0000,01800NURSING FACILITY 53105,A000000,01810,0000,01810ICF/MR 53105,A000000,02100,0000,02100RADIOLOGY 53105,A000000,02200,0000,02200LABORATORY 53105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53105,A000000,02500,0000,02500PHYSICAL THERAPY 53105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53105,A000000,02700,0000,02700SPEECH PATHOLOGY 53105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53105,A000000,03050,0000,03300PEN THERAPY 53105,A000000,03051,0000,03301FEE SCREENING 53105,A000000,03052,0000,03302OTHER ANCILLARY III 53105,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53105,A000000,03550,0000,03550FQHC 53105,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53105,A000000,05000,0000,05000CORF I 53105,A000000,05010,0000,05010CMHC I 53105,A000000,05020,0000,05020OPT I 53105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53105,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53105,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53105,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53105,A81000A,00100,0100,Y 53105,A81000B,00100,0300,HOME OFFICE 53105,A81000B,00200,0300,HOME OFFICE CAPITAL 53105,A81000B,00400,0300,SEE ATTACHED 53105,A81000C,00100,0100,B 53105,A81000C,00100,0200,GENESIS HEALTH 53105,A81000C,00100,0600,HOME OFFICE 53105,A81000C,00200,0100,B 53105,A81000C,00200,0200,GENESIS HEALTH 53105,A81000C,00200,0600,HOME OFFICE 53105,A81000C,00300,0100,G 53105,A81000C,00300,0200,GEN ELDER REHAB 53105,A81000C,00300,0600,REHAB 53105,A81000C,00400,0100,G 53105,A81000C,00400,0200,GEN ELDER REHAB 53105,A81000C,00400,0600,REHAB 53105,A81000C,00500,0100,G 53105,A81000C,00500,0200,GEN ELDER REHAB 53105,A81000C,00500,0600,REHAB 53105,B100000,00000,0100,00000(SQUARE FEET) 53105,B100000,00000,0101,00000(SQUARE FEET) 53105,B100000,00000,0200,00000(SQUARE FEET) 53105,B100000,00000,0201,00000(SQUARE FEET) 53105,B100000,00000,0300,00000(GROSS SALARIES) 53105,B100000,00000,0400,00000(ACCUM. COST) 53105,B100000,00000,0500,00000(SQUARE FEET) 53105,B100000,00000,0600,00000(PATIENT DAYS) 53105,B100000,00000,0700,00000(SQUARE FEET) 53105,B100000,00000,0800,00000(MEALS SERVED) 53105,B100000,00000,0801,00000(MEALS SERVED) 53105,B100000,00000,0900,00000(NURSING SALARIES) 53105,B100000,00000,1000,00000(COSTED REQUIS.) 53105,B100000,00000,1100,00000(PATIENT DAYS) 53105,B100000,00000,1200,00000(GROSS CHARGES) 53105,B100000,00000,1300,00000(PATIENT DAYS) 53105,B100000,00000,1350,00000(PATIENT DAYS) 53105,B100000,00000,1400,00000(ASSIGNED TIME) 53105,S000000,00100,0200,02/29/2000 53105,S200000,00100,0100,464 MAIN STREET 53105,S200000,00200,0100,AGAWAM 53105,S200000,00200,0200,MA 53105,S200000,00200,0300,01001 53105,S200000,00300,0100,HAMPDEN 53105,S200000,00400,0100,HERITAGE HALL EAST 53105,S200000,00400,0200,225286 53105,S200000,00400,0300,11/01/1986 53105,S200000,00400,0500,P 53105,S200000,01600,0100,Y 53105,S200000,02200,0100,Y 53133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53133,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53133,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53133,A000000,00300,0000,00300EMPLOYEE BENEFITS 53133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53133,A000000,00700,0000,00700HOUSEKEEPING 53133,A000000,00800,0000,00800DIETARY 53133,A000000,00801,0000,00801CAFETERIA 53133,A000000,00900,0000,00900NURSING ADMINISTRATION 53133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53133,A000000,01100,0000,01100PHARMACY 53133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53133,A000000,01300,0000,01300SOCIAL SERVICE 53133,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53133,A000000,01600,0000,01600SKILLED NURSING FACILITY 53133,A000000,01800,0000,01800NURSING FACILITY 53133,A000000,01810,0000,01810ICF/MR 53133,A000000,02100,0000,02100RADIOLOGY 53133,A000000,02200,0000,02200LABORATORY 53133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53133,A000000,02500,0000,02500PHYSICAL THERAPY 53133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53133,A000000,02700,0000,02700SPEECH PATHOLOGY 53133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53133,A000000,03050,0000,03300PEN THERAPY 53133,A000000,03051,0000,03301FEE SCREENING 53133,A000000,03052,0000,03302OTHER ANCILLARY III 53133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53133,A000000,03550,0000,03550FQHC 53133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53133,A000000,04800,0000,04800AMBULANCE 53133,A000000,05000,0000,05000CORF I 53133,A000000,05010,0000,05010CMHC I 53133,A000000,05020,0000,05020OPT I 53133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53133,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53133,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53133,A81000A,00100,0100,Y 53133,A81000B,00100,0300,HOME OFFICE 53133,A81000B,00200,0300,HOME OFFICE CAPITAL 53133,A81000B,00500,0300,SEE ATTACHED 53133,A81000C,00100,0100,B 53133,A81000C,00100,0200,GENESIS HEALTH 53133,A81000C,00100,0600,HOME OFFICE 53133,A81000C,00200,0100,B 53133,A81000C,00200,0200,GENESIS HEALTH 53133,A81000C,00200,0600,HOME OFFICE 53133,A81000C,00300,0100,G 53133,A81000C,00300,0200,GENE ELDER REHA 53133,A81000C,00300,0600,PT SERVICES 53133,A81000C,00400,0100,G 53133,A81000C,00400,0200,GENE ELDER REHA 53133,A81000C,00400,0600,OT SERVICES 53133,A81000C,00500,0100,G 53133,A81000C,00500,0200,GENE ELDER REHA 53133,A81000C,00500,0600,ST SERVICES 53133,B100000,00000,0100,00000(SQUARE FEET) 53133,B100000,00000,0101,00000(SQUARE FEET) 53133,B100000,00000,0200,00000(SQUARE FEET) 53133,B100000,00000,0201,00000(SQUARE FEET) 53133,B100000,00000,0300,00000(GROSS SALARIES) 53133,B100000,00000,0400,00000(ACCUM. COST) 53133,B100000,00000,0500,00000(SQUARE FEET) 53133,B100000,00000,0600,00000(PATIENT DAYS) 53133,B100000,00000,0700,00000(SQUARE FEET) 53133,B100000,00000,0800,00000(MEALS SERVED) 53133,B100000,00000,0801,00000(MEALS SERVED) 53133,B100000,00000,0900,00000(NURSING SALARIES) 53133,B100000,00000,1000,00000(COSTED REQUIS.) 53133,B100000,00000,1100,00000(PATIENT DAYS) 53133,B100000,00000,1200,00000(GROSS CHARGES) 53133,B100000,00000,1300,00000(PATIENT DAYS) 53133,B100000,00000,1350,00000(PATIENT DAYS) 53133,B100000,00000,1400,00000(ASSIGNED TIME) 53133,E10A180,00505,0100,03/23/2000 53133,E10A180,00505,0300,03/23/2000 53133,S000000,00100,0200,02/28/2000 53133,S200000,00100,0100,329 CONWAY ST 53133,S200000,00200,0100,GREENFIELD 53133,S200000,00200,0200,MA 53133,S200000,00200,0300,01301 53133,S200000,00300,0100,FRANKLIN 53133,S200000,00400,0100,FRANKLIN CENTER 53133,S200000,00400,0200,225347 53133,S200000,00400,0300,03/22/1989 53133,S200000,00400,0500,P 53133,S200000,01600,0100,Y 53133,S200000,02200,0100,Y 53133,S200000,04700,0100,Y 53140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53140,A000000,00300,0000,00300EMPLOYEE BENEFITS 53140,A000000,00301,0000,00301STAFF DEVELOPMENT 53140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53140,A000000,00700,0000,00700HOUSEKEEPING 53140,A000000,00800,0000,00800DIETARY 53140,A000000,00900,0000,00900NURSING ADMINISTRATION 53140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53140,A000000,01100,0000,01100PHARMACY 53140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53140,A000000,01300,0000,01300SOCIAL SERVICE 53140,A000000,01350,0000,01500PATIENT ACTIVITIES 53140,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 53140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53140,A000000,01600,0000,01600SKILLED NURSING FACILITY 53140,A000000,01810,0000,01810ICF/MR 53140,A000000,02100,0000,02100RADIOLOGY 53140,A000000,02200,0000,02200LABORATORY 53140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53140,A000000,02500,0000,02500PHYSICAL THERAPY 53140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53140,A000000,02700,0000,02700SPEECH PATHOLOGY 53140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53140,A000000,03050,0000,03300ENTERAL FORMULAE 53140,A000000,03550,0000,03550FQHC 53140,A000000,05000,0000,05000CORF 53140,A000000,05010,0000,05010CMHC 53140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53140,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53140,B100000,00000,0100,00000SQUARE FEET 53140,B100000,00000,0200,00000SQUARE FEET 53140,B100000,00000,0300,00000GROSS SALARIES 53140,B100000,00000,0301,00000GROSS SALARIES 53140,B100000,00000,0400,00000ACCUM COST 53140,B100000,00000,0500,00000SQUARE FEET 53140,B100000,00000,0600,00000POUNDS OF LAUNDRY 53140,B100000,00000,0700,00000HOURS OF SERVICE 53140,B100000,00000,0800,00000MEALS SERVED 53140,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53140,B100000,00000,1000,00000COSTED REQUISITIO 53140,B100000,00000,1100,00000COSTED REQUISITIO 53140,B100000,00000,1200,00000TIME SPENT 53140,B100000,00000,1300,00000TIME SPENT 53140,B100000,00000,1350,00000TIME SPENT 53140,B100000,00000,1351,00000REVENUE 53140,B100000,00000,1400,00000ASSIGNED TIME 53140,E10A180,00501,0100,06/12/2000 53140,S000000,00100,0200,05/25/2000 53140,S200000,00100,0100,100 LOCUST STREET 53140,S200000,00200,0100,HOLYOKE 53140,S200000,00200,0200,MA 53140,S200000,00300,0100,HAMPDEN 53140,S200000,00400,0100,THE RENAISSANCE MANOR ON CABOT 53140,S200000,00400,0200,225352 53140,S200000,00400,0300,05/02/1989 53140,S200000,00400,0500,P 53140,S200000,01500,0100,Y 53159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53159,A000000,00300,0000,00300EMPLOYEE BENEFITS 53159,A000000,00301,0000,00301STAFF DEVELOPMENT 53159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53159,A000000,00700,0000,00700HOUSEKEEPING 53159,A000000,00800,0000,00800DIETARY 53159,A000000,00900,0000,00900NURSING ADMINISTRATION 53159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53159,A000000,01100,0000,01100PHARMACY 53159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53159,A000000,01300,0000,01300SOCIAL SERVICE 53159,A000000,01350,0000,01500PATIENT ACTIVITIES 53159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53159,A000000,01600,0000,01600SKILLED NURSING FACILITY 53159,A000000,01800,0000,01800NURSING FACILITY 53159,A000000,01810,0000,01810ICF/MR 53159,A000000,02100,0000,02100RADIOLOGY 53159,A000000,02200,0000,02200LABORATORY 53159,A000000,02300,0000,02300INTRAVENOUS THERAPY 53159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53159,A000000,02500,0000,02500PHYSICAL THERAPY 53159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53159,A000000,02700,0000,02700SPEECH PATHOLOGY 53159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53159,A000000,03050,0000,03300ENTERAL FORMULAE 53159,A000000,03051,0000,03301BLANK 1 53159,A000000,03052,0000,03302BLANK 2 53159,A000000,03053,0000,03303BLANK 3 53159,A000000,03054,0000,03304BLANK 4 53159,A000000,03055,0000,03305CARRIER SERVICE 53159,A000000,03550,0000,03550FQHC 53159,A000000,04800,0000,04800AMBULANCE 53159,A000000,05000,0000,05000CORF 53159,A000000,05010,0000,05010CMHC 53159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53159,B100000,00000,0100,00000SQUARE FEET 53159,B100000,00000,0200,00000SQUARE FEET 53159,B100000,00000,0300,00000GROSS SALARIES 53159,B100000,00000,0301,00000GROSS SALARIES 53159,B100000,00000,0400,00000ACCUM COST 53159,B100000,00000,0500,00000SQUARE FEET 53159,B100000,00000,0600,00000POUNDS OF LAUNDRY 53159,B100000,00000,0700,00000HOURS OF SERVICE 53159,B100000,00000,0800,00000PATIENT DAYS 53159,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53159,B100000,00000,1000,00000COSTED REQUISITIO 53159,B100000,00000,1100,00000COSTED REQUISITIO 53159,B100000,00000,1200,00000TIME SPENT 53159,B100000,00000,1300,00000TIME SPENT 53159,B100000,00000,1350,00000TIME SPENT 53159,B100000,00000,1400,00000ASSIGNED TIME 53159,E10A180,00350,0100,12/31/1999 53159,S000000,00100,0200,05/25/2000 53159,S200000,00100,0100,37 FEEDING HILLS ROAD 53159,S200000,00200,0100,WESTFIELD 53159,S200000,00200,0200,MA 53159,S200000,00200,0300,01085 53159,S200000,00300,0100,HAMPDEN 53159,S200000,00400,0100,RENAISSANCE MANOR OF WESTFIELD 53159,S200000,00400,0200,225383 53159,S200000,00400,0300,01/01/1990 53159,S200000,00400,0500,P 53159,S200000,04700,0100,Y 53159,S200000,04700,0200,Y 53185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53185,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53185,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53185,A000000,00300,0000,00300EMPLOYEE BENEFITS 53185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53185,A000000,00700,0000,00700HOUSEKEEPING 53185,A000000,00800,0000,00800DIETARY 53185,A000000,00801,0000,00801CAFETERIA 53185,A000000,00900,0000,00900NURSING ADMINISTRATION 53185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53185,A000000,01100,0000,01100PHARMACY 53185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53185,A000000,01300,0000,01300SOCIAL SERVICE 53185,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53185,A000000,01600,0000,01600SKILLED NURSING FACILITY 53185,A000000,01800,0000,01800NURSING FACILITY 53185,A000000,01810,0000,01810ICF/MR 53185,A000000,02100,0000,02100RADIOLOGY 53185,A000000,02200,0000,02200LABORATORY 53185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53185,A000000,02500,0000,02500PHYSICAL THERAPY 53185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53185,A000000,02700,0000,02700SPEECH PATHOLOGY 53185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53185,A000000,03050,0000,03300PEN THERAPY 53185,A000000,03051,0000,03301FEE SCREENING 53185,A000000,03052,0000,03302OTHER ANCILLARY III 53185,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53185,A000000,03550,0000,03550FQHC 53185,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53185,A000000,04800,0000,04800AMBULANCE 53185,A000000,05000,0000,05000CORF I 53185,A000000,05010,0000,05010CMHC I 53185,A000000,05020,0000,05020OPT I 53185,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53185,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53185,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53185,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53185,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53185,A81000A,00100,0100,Y 53185,A81000B,00100,0300,HOME OFFICE 53185,A81000B,00200,0300,HOME OFFICE CAPITAL 53185,A81000B,00500,0300,SEE ATTACHED 53185,A81000C,00100,0100,B 53185,A81000C,00100,0200,GENESIS HEALTH 53185,A81000C,00100,0600,HOME OFFICE 53185,A81000C,00200,0100,B 53185,A81000C,00200,0200,GENESIS HEALTH 53185,A81000C,00200,0600,HOME OFFICE 53185,A81000C,00300,0100,G 53185,A81000C,00300,0200,GENE ELDER REHB 53185,A81000C,00300,0600,PT SERVICES 53185,A81000C,00400,0100,G 53185,A81000C,00400,0200,GENE ELDER REHB 53185,A81000C,00400,0600,OT SERVICES 53185,A81000C,00500,0100,G 53185,A81000C,00500,0200,GENE ELDER REHB 53185,A81000C,00500,0600,ST SERVICES 53185,B100000,00000,0100,00000(SQUARE FEET) 53185,B100000,00000,0101,00000(SQUARE FEET) 53185,B100000,00000,0200,00000(SQUARE FEET) 53185,B100000,00000,0201,00000(SQUARE FEET) 53185,B100000,00000,0300,00000(GROSS SALARIES) 53185,B100000,00000,0400,00000(ACCUM. COST) 53185,B100000,00000,0500,00000(SQUARE FEET) 53185,B100000,00000,0600,00000(PATIENT DAYS) 53185,B100000,00000,0700,00000(SQUARE FEET) 53185,B100000,00000,0800,00000(MEALS SERVED) 53185,B100000,00000,0801,00000(MEALS SERVED) 53185,B100000,00000,0900,00000(NURSING SALARIES) 53185,B100000,00000,1000,00000(COSTED REQUIS.) 53185,B100000,00000,1100,00000(PATIENT DAYS) 53185,B100000,00000,1200,00000(GROSS CHARGES) 53185,B100000,00000,1300,00000(PATIENT DAYS) 53185,B100000,00000,1350,00000(PATIENT DAYS) 53185,B100000,00000,1400,00000(ASSIGNED TIME) 53185,E10A180,00501,0300,03/17/2000 53185,S000000,00100,0200,02/28/2000 53185,S200000,00100,0100,24 OLD ETNA ROAD 53185,S200000,00200,0100,LEBANON 53185,S200000,00200,0200,NH 53185,S200000,00200,0300,03766 53185,S200000,00300,0100,GRAFTON 53185,S200000,00400,0100,LEBANON CENTER 53185,S200000,00400,0200,305050 53185,S200000,00400,0300,06/01/1995 53185,S200000,00400,0500,P 53185,S200000,01600,0100,Y 53185,S200000,02200,0100,Y 53185,S200000,04700,0100,Y 53185,S200000,04900,0100,Y 53212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53212,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53212,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53212,A000000,00300,0000,00300EMPLOYEE BENEFITS 53212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53212,A000000,00700,0000,00700HOUSEKEEPING 53212,A000000,00800,0000,00800DIETARY 53212,A000000,00801,0000,00801CAFETERIA 53212,A000000,00900,0000,00900NURSING ADMINISTRATION 53212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53212,A000000,01100,0000,01100PHARMACY 53212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53212,A000000,01300,0000,01300SOCIAL SERVICE 53212,A000000,01350,0000,01500ACTIVITIES 53212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53212,A000000,01600,0000,01600SKILLED NURSING FACILITY 53212,A000000,01800,0000,01800NURSING FACILITY 53212,A000000,01810,0000,01810ICF/MR 53212,A000000,02100,0000,02100RADIOLOGY 53212,A000000,02200,0000,02200LABORATORY 53212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53212,A000000,02500,0000,02500PHYSICAL THERAPY 53212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53212,A000000,02700,0000,02700SPEECH PATHOLOGY 53212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53212,A000000,03050,0000,03300PENN THERAPY 53212,A000000,03051,0000,03301FEE SCREENING 53212,A000000,03052,0000,03302OTHER ANCILLARY III 53212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53212,A000000,03550,0000,03550FQHC 53212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53212,A000000,04800,0000,04800AMBULANCE 53212,A000000,05000,0000,05000CORF I 53212,A000000,05010,0000,05010CMHC I 53212,A000000,05020,0000,05020OPT I 53212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53212,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53212,A81000A,00100,0100,Y 53212,A81000B,00300,0300,REHAB SVC 53212,A81000B,00400,0300,REHAB SVC 53212,A81000B,00500,0300,REHAB SVC 53212,A81000C,00100,0100,B 53212,A81000C,00100,0200,GENESIS HEALTH 53212,A81000C,00100,0400,HOME OFFICE 53212,A81000C,00200,0100,B 53212,A81000C,00200,0200,GENESIS HEALTH 53212,A81000C,00200,0400,HOME OFFICE 53212,A81000C,00300,0100,G 53212,A81000C,00300,0200,REHAB SVC. 53212,A81000C,00300,0400,REHAB 53212,A81000C,00400,0100,G 53212,A81000C,00400,0200,REHAB SVC. 53212,A81000C,00400,0400,REHAB 53212,A81000C,00500,0100,G 53212,A81000C,00500,0200,REHAB SVC 53212,A81000C,00500,0400,REHAB 53212,B100000,00000,0100,00000(SQUARE FEET) 53212,B100000,00000,0101,00000(SQUARE FEET) 53212,B100000,00000,0200,00000(SQUARE FEET) 53212,B100000,00000,0201,00000(SQUARE FEET) 53212,B100000,00000,0300,00000(GROSS SALARIES) 53212,B100000,00000,0400,00000(ACCUM. COST) 53212,B100000,00000,0500,00000(SQUARE FEET) 53212,B100000,00000,0600,00000(PATIENT DAYS) 53212,B100000,00000,0700,00000(SQUARE FEET) 53212,B100000,00000,0800,00000(MEALS SERVED) 53212,B100000,00000,0801,00000(MEALS SERVED) 53212,B100000,00000,0900,00000(NURSING SALARIES) 53212,B100000,00000,1000,00000(COSTED REQUIS.) 53212,B100000,00000,1100,00000(PATIENT DAYS) 53212,B100000,00000,1200,00000(GROSS CHARGES) 53212,B100000,00000,1300,00000(PATIENT DAYS) 53212,B100000,00000,1350,00000(PATIENT DAYS) 53212,B100000,00000,1400,00000(ASSIGNED TIME) 53212,E10A180,00550,0300,02/29/2000 53212,S000000,00100,0200,02/28/2000 53212,S200000,00100,0100,7 BALDWIN STREET 53212,S200000,00200,0100,FRANKLIN 53212,S200000,00200,0200,NH 53212,S200000,00200,0300,03235 53212,S200000,00300,0100,MERRIMACK 53212,S200000,00400,0100,MT RIDGE 53212,S200000,00400,0200,305075 53212,S200000,00400,0300,05/01/1996 53212,S200000,00400,0500,P 53212,S200000,01500,0100,Y 53212,S200000,02200,0100,Y 53212,S200000,04700,0100,Y 53222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53222,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53222,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53222,A000000,00300,0000,00300EMPLOYEE BENEFITS 53222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53222,A000000,00700,0000,00700HOUSEKEEPING 53222,A000000,00800,0000,00800DIETARY 53222,A000000,00801,0000,00801CAFETERIA 53222,A000000,00900,0000,00900NURSING ADMINISTRATION 53222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53222,A000000,01100,0000,01100PHARMACY 53222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53222,A000000,01300,0000,01300SOCIAL SERVICE 53222,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53222,A000000,01600,0000,01600SKILLED NURSING FACILITY 53222,A000000,01800,0000,01800NURSING FACILITY 53222,A000000,01810,0000,01810ICF/MR 53222,A000000,02100,0000,02100RADIOLOGY 53222,A000000,02200,0000,02200LABORATORY 53222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53222,A000000,02500,0000,02500PHYSICAL THERAPY 53222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53222,A000000,02700,0000,02700SPEECH PATHOLOGY 53222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53222,A000000,03050,0000,03300PEN THERAPY 53222,A000000,03051,0000,03301FEE SCREENING 53222,A000000,03052,0000,03302OTHER ANCILLARY III 53222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53222,A000000,03550,0000,03550FQHC 53222,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53222,A000000,04800,0000,04800AMBULANCE 53222,A000000,05000,0000,05000CORF I 53222,A000000,05010,0000,05010CMHC I 53222,A000000,05020,0000,05020OPT I 53222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53222,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53222,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53222,A81000A,00100,0100,Y 53222,A81000B,00100,0300,HOME OFFICE 53222,A81000B,00200,0300,HOME OFFICE CAPITAL 53222,A81000B,00400,0300,SEE ATTACHED 53222,A81000C,00100,0100,B 53222,A81000C,00100,0200,GENESIS HEALTH 53222,A81000C,00100,0600,HOME OFFICE 53222,A81000C,00200,0100,B 53222,A81000C,00200,0200,GENESIS HEALTH 53222,A81000C,00200,0600,HOME OFFICE 53222,A81000C,00300,0100,G 53222,A81000C,00300,0200,GEN ELDER REHAB 53222,A81000C,00300,0600,REHAB 53222,A81000C,00400,0100,G 53222,A81000C,00400,0200,GEN ELDER REHAB 53222,A81000C,00400,0600,REHAB 53222,A81000C,00500,0100,G 53222,A81000C,00500,0200,GEN ELDER REHAB 53222,A81000C,00500,0600,REHAB 53222,B100000,00000,0100,00000(SQUARE FEET) 53222,B100000,00000,0101,00000(SQUARE FEET) 53222,B100000,00000,0200,00000(SQUARE FEET) 53222,B100000,00000,0201,00000(SQUARE FEET) 53222,B100000,00000,0300,00000(GROSS SALARIES) 53222,B100000,00000,0400,00000(ACCUM. COST) 53222,B100000,00000,0500,00000(SQUARE FEET) 53222,B100000,00000,0600,00000(PATIENT DAYS) 53222,B100000,00000,0700,00000(SQUARE FEET) 53222,B100000,00000,0800,00000(MEALS SERVED) 53222,B100000,00000,0801,00000(MEALS SERVED) 53222,B100000,00000,0900,00000(NURSING SALARIES) 53222,B100000,00000,1000,00000(COSTED REQUIS.) 53222,B100000,00000,1100,00000(PATIENT DAYS) 53222,B100000,00000,1200,00000(GROSS CHARGES) 53222,B100000,00000,1300,00000(PATIENT DAYS) 53222,B100000,00000,1350,00000(PATIENT DAYS) 53222,B100000,00000,1400,00000(ASSIGNED TIME) 53222,E10A180,00501,0300,03/14/2000 53222,S000000,00100,0200,02/28/2000 53222,S200000,00100,0100,91 COUNTRY VILLAGE RD 53222,S200000,00200,0100,LANCASTER 53222,S200000,00200,0200,NH 53222,S200000,00200,0300,03584 53222,S200000,00300,0100,COOS 53222,S200000,00400,0100,COUNTRY VILLAGE CENTER 53222,S200000,00400,0200,305076 53222,S200000,00400,0300,05/01/1996 53222,S200000,00400,0500,P 53222,S200000,01600,0100,Y 53222,S200000,02200,0100,Y 53222,S200000,04900,0100,Y 53239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53239,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53239,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53239,A000000,00300,0000,00300EMPLOYEE BENEFITS 53239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53239,A000000,00700,0000,00700HOUSEKEEPING 53239,A000000,00800,0000,00800DIETARY 53239,A000000,00801,0000,00801CAFETERIA 53239,A000000,00900,0000,00900NURSING ADMINISTRATION 53239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53239,A000000,01100,0000,01100PHARMACY 53239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53239,A000000,01300,0000,01300SOCIAL SERVICE 53239,A000000,01350,0000,01500ACTIVITES. 53239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53239,A000000,01600,0000,01600SKILLED NURSING FACILITY 53239,A000000,01800,0000,01800NURSING FACILITY 53239,A000000,01810,0000,01810ICF/MR 53239,A000000,02100,0000,02100RADIOLOGY 53239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53239,A000000,02500,0000,02500PHYSICAL THERAPY 53239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53239,A000000,02700,0000,02700SPEECH PATHOLOGY 53239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53239,A000000,03050,0000,03300PENN THERAPY 53239,A000000,03051,0000,03301FEE SCREENING 53239,A000000,03052,0000,03302OTHER ANCILLARY III 53239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53239,A000000,03550,0000,03550FQHC 53239,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53239,A000000,04800,0000,04800AMBULANCE 53239,A000000,05000,0000,05000CORF I 53239,A000000,05010,0000,05010CMHC I 53239,A000000,05020,0000,05020OPT I 53239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53239,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53239,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53239,A81000A,00100,0100,Y 53239,A81000B,00100,0300,HOME OFFICE ALLOCATION 53239,A81000B,00200,0300,HOME OFFICE ALLOCATION 53239,A81000B,00300,0300,REHAB SVC 53239,A81000B,00400,0300,REHAB SVC 53239,A81000B,00500,0300,REHAB SVC 53239,A81000C,00100,0100,B 53239,A81000C,00100,0200,GENESIS HEALTH 53239,A81000C,00100,0600,HOME OFFICE 53239,A81000C,00200,0100,B 53239,A81000C,00200,0200,GENESIS HEALTH 53239,A81000C,00200,0600,HOME OFFICE 53239,A81000C,00300,0100,G 53239,A81000C,00300,0200,REHAB SVC 53239,A81000C,00300,0600,REHAB 53239,A81000C,00400,0100,G 53239,A81000C,00400,0200,REHAB SVC 53239,A81000C,00400,0600,REHAB 53239,A81000C,00500,0100,G 53239,A81000C,00500,0200,REHAB SVC 53239,A81000C,00500,0600,REHAB 53239,A81000C,00600,0600,REHAB 53239,B100000,00000,0100,00000(SQUARE FEET) 53239,B100000,00000,0101,00000(SQUARE FEET) 53239,B100000,00000,0200,00000(SQUARE FEET) 53239,B100000,00000,0201,00000(SQUARE FEET) 53239,B100000,00000,0300,00000(GROSS SALARIES) 53239,B100000,00000,0400,00000(ACCUM. COST) 53239,B100000,00000,0500,00000(SQUARE FEET) 53239,B100000,00000,0600,00000(PATIENT DAYS) 53239,B100000,00000,0700,00000(SQUARE FEET) 53239,B100000,00000,0800,00000(MEALS SERVED) 53239,B100000,00000,0801,00000(MEALS SERVED) 53239,B100000,00000,0900,00000(NURSING SALARIES) 53239,B100000,00000,1000,00000(COSTED REQUIS.) 53239,B100000,00000,1100,00000(PATIENT DAYS) 53239,B100000,00000,1200,00000(GROSS CHARGES) 53239,B100000,00000,1300,00000(PATIENT DAYS) 53239,B100000,00000,1350,00000(PATIENT DAYS) 53239,B100000,00000,1400,00000(ASSIGNED TIME) 53239,E10A180,00501,0100,03/03/2000 53239,E10A180,00501,0300,03/03/2000 53239,S000000,00100,0200,02/29/2000 53239,S200000,00100,0100,20 MAITLAND 53239,S200000,00100,0300,2696 53239,S200000,00200,0100,CONCORD 53239,S200000,00200,0200,NH 53239,S200000,00200,0300,03301 53239,S200000,00300,0100,MERRIMACK 53239,S200000,00400,0100,HARRIS HILL 53239,S200000,00400,0200,305078 53239,S200000,00400,0300,05/14/1996 53239,S200000,00400,0500,P 53239,S200000,01600,0100,Y 53239,S200000,02200,0100,Y 53239,S200000,04700,0100,Y 53239,S200000,04900,0100,Y 53248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53248,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53248,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53248,A000000,00300,0000,00300EMPLOYEE BENEFITS 53248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53248,A000000,00700,0000,00700HOUSEKEEPING 53248,A000000,00800,0000,00800DIETARY 53248,A000000,00801,0000,00801CAFETERIA 53248,A000000,00900,0000,00900NURSING ADMINISTRATION 53248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53248,A000000,01100,0000,01100PHARMACY 53248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53248,A000000,01300,0000,01300SOCIAL SERVICE 53248,A000000,01350,0000,01500ACTIVITIES 53248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53248,A000000,01600,0000,01600SKILLED NURSING FACILITY 53248,A000000,01800,0000,01800NURSING FACILITY 53248,A000000,01810,0000,01810ICF/MR 53248,A000000,02100,0000,02100RADIOLOGY 53248,A000000,02200,0000,02200LABORATORY 53248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53248,A000000,02500,0000,02500PHYSICAL THERAPY 53248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53248,A000000,02700,0000,02700SPEECH PATHOLOGY 53248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53248,A000000,03050,0000,03300PEN THERAPY 53248,A000000,03051,0000,03301FEE SCREENING 53248,A000000,03052,0000,03302OTHER ANCILLARY III 53248,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53248,A000000,03550,0000,03550FQHC 53248,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53248,A000000,04800,0000,04800AMBULANCE 53248,A000000,05000,0000,05000CORF I 53248,A000000,05010,0000,05010CMHC I 53248,A000000,05020,0000,05020OPT I 53248,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53248,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53248,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53248,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53248,A81000A,00100,0100,Y 53248,A81000B,00100,0300,HOME OFFICE COSTS 53248,A81000B,00200,0300,HOME OFFICE CAPITAL 53248,A81000B,00300,0300,SEE ATTACHED 53248,A81000C,00100,0100,A 53248,A81000C,00100,0200,GENESIS HEALTH 53248,A81000C,00100,0600,HOME OFFICE 53248,A81000C,00200,0100,B 53248,A81000C,00200,0200,GENESIS HEALTH 53248,A81000C,00200,0600,HOME OFFICE CAP 53248,B100000,00000,0100,00000(SQUARE FEET) 53248,B100000,00000,0101,00000(SQUARE FEET) 53248,B100000,00000,0200,00000(SQUARE FEET) 53248,B100000,00000,0201,00000(SQUARE FEET) 53248,B100000,00000,0300,00000(GROSS SALARIES) 53248,B100000,00000,0400,00000(ACCUM. COST) 53248,B100000,00000,0500,00000(SQUARE FEET) 53248,B100000,00000,0600,00000(PATIENT DAYS) 53248,B100000,00000,0700,00000(SQUARE FEET) 53248,B100000,00000,0800,00000(MEALS SERVED) 53248,B100000,00000,0801,00000(MEALS SERVED) 53248,B100000,00000,0900,00000(NURSING SALARIES) 53248,B100000,00000,1000,00000(COSTED REQUIS.) 53248,B100000,00000,1100,00000(PATIENT DAYS) 53248,B100000,00000,1200,00000(GROSS CHARGES) 53248,B100000,00000,1300,00000(PATIENT DAYS) 53248,B100000,00000,1350,00000(PATIENT DAYS) 53248,B100000,00000,1400,00000(ASSIGNED TIME) 53248,E10A180,00501,0300,03/23/2000 53248,S000000,00100,0200,02/29/2000 53248,S200000,00100,0100,480 DONALD STREET 53248,S200000,00200,0100,BEDFORD 53248,S200000,00200,0200,NH 53248,S200000,00200,0300,03110 53248,S200000,00300,0100,HILLSBOROUGH 53248,S200000,00400,0100,LAUREL CENTER 53248,S200000,00400,0200,305086 53248,S200000,00400,0300,03/01/1997 53248,S200000,00400,0500,P 53248,S200000,01600,0100,Y 53248,S200000,04900,0100,Y 53254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53254,A000000,00300,0000,00300EMPLOYEE BENEFITS 53254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53254,A000000,00700,0000,00700HOUSEKEEPING 53254,A000000,00800,0000,00800DIETARY 53254,A000000,00900,0000,00900NURSING ADMINISTRATION 53254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53254,A000000,01100,0000,01100PHARMACY 53254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53254,A000000,01300,0000,01300SOCIAL SERVICE 53254,A000000,01350,0000,01500RECREATION THERAPY 53254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53254,A000000,01600,0000,01600SKILLED NURSING FACILITY 53254,A000000,01800,0000,01800NURSING FACILITY 53254,A000000,01810,0000,01810ICF/MR 53254,A000000,02100,0000,02100RADIOLOGY 53254,A000000,02200,0000,02200LABORATORY 53254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53254,A000000,02500,0000,02500PHYSICAL THERAPY 53254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53254,A000000,02700,0000,02700SPEECH PATHOLOGY 53254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53254,A000000,03050,0000,03300PEN THERAPY 53254,A000000,03051,0000,03301FEE SCREENING 53254,A000000,03550,0000,03550FQHC 53254,A000000,04800,0000,04800AMBULANCE 53254,A000000,05000,0000,05000CORF 53254,A000000,05010,0000,05010CMHC 53254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53254,A000000,05300,0000,05300INTEREST EXPENSE 53254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53254,A000000,06150,0000,06300RESIDENTIAL CARE 53254,A81000A,00100,0100,Y 53254,A81000B,00100,0300,HOME OFFICE 53254,A81000B,00200,0300,HOME OFFICE CAPITAL 53254,A81000B,00300,0300,AS ATTACHED 53254,A81000B,00400,0300,ALLOCATED CAPITAL 53254,A81000C,00100,0100,B 53254,A81000C,00100,0200,GHV INC. 53254,A81000C,00200,0100,B 53254,A81000C,00200,0200,GHV INC. 53254,A81000C,00300,0100,B 53254,A81000C,00300,0400,AS ATTACHED 53254,A81000C,00300,0600,VARIOUS 53254,A81000C,00400,0100,B 53254,A81000C,00400,0200,GHV INC. 53254,B100000,00000,0100,00000SQUARE FEET 53254,B100000,00000,0200,00000SQUARE FEET 53254,B100000,00000,0300,00000GROSS SALARIES 53254,B100000,00000,0400,00000ACCUM COST 53254,B100000,00000,0500,00000SQUARE FEET 53254,B100000,00000,0600,00000POUNDS OF LAUNDRY 53254,B100000,00000,0700,00000HOURS OF SERVICE 53254,B100000,00000,0800,00000MEALS SERVED 53254,B100000,00000,0900,00000DIRECT NRSG HRS 53254,B100000,00000,1000,00000(PATIENT CENSUS) 53254,B100000,00000,1100,00000COSTED REQUIS 53254,B100000,00000,1200,00000(PATIENT CENSUS) 53254,B100000,00000,1300,00000(PATIENT CENSUS) 53254,B100000,00000,1350,00000(PATIENT CENSUS) 53254,B100000,00000,1400,00000ASSIGNED TIME 53254,S000000,00100,0200,02/25/2000 53254,S200000,00100,0100,115 SUNSET ROAD 53254,S200000,00200,0100,BURLINGTON 53254,S200000,00200,0200,NJ 53254,S200000,00200,0300,08016 53254,S200000,00300,0100,BURLINGTON 53254,S200000,00400,0100,BURLINGTON WOODS 53254,S200000,00400,0200,315050 53254,S200000,00400,0300,03/01/1985 53254,S200000,00400,0500,P 53254,S200000,01600,0100,Y 53254,S200000,02200,0100,Y 53254,S200000,04300,0100,Y 53254,S200000,04700,0100,Y 53254,S200000,04900,0100,Y 53276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53276,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53276,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53276,A000000,00300,0000,00300EMPLOYEE BENEFITS 53276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53276,A000000,00700,0000,00700HOUSEKEEPING 53276,A000000,00800,0000,00800DIETARY 53276,A000000,00801,0000,00801CAFETERIA 53276,A000000,00900,0000,00900NURSING ADMINISTRATION 53276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53276,A000000,01100,0000,01100PHARMACY 53276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53276,A000000,01300,0000,01300SOCIAL SERVICE 53276,A000000,01350,0000,01500RECREATION 53276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53276,A000000,01600,0000,01600SKILLED NURSING FACILITY 53276,A000000,01800,0000,01800NURSING FACILITY 53276,A000000,01810,0000,01810ICF/MR 53276,A000000,02100,0000,02100RADIOLOGY 53276,A000000,02200,0000,02200LABORATORY 53276,A000000,02300,0000,02300INTRAVENOUS THERAPY 53276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53276,A000000,02500,0000,02500PHYSICAL THERAPY 53276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53276,A000000,02700,0000,02700SPEECH PATHOLOGY 53276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53276,A000000,03050,0000,03300PEN THERAPY 53276,A000000,03051,0000,03301FEE SCREENING 53276,A000000,03052,0000,03302AMBULANCE 53276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53276,A000000,03550,0000,03550FQHC 53276,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53276,A000000,05000,0000,05000CORF I 53276,A000000,05010,0000,05010CMHC I 53276,A000000,05020,0000,05020OPT I 53276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53276,A000000,05300,0000,05300INTEREST EXPENSE 53276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53276,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53276,A81000A,00100,0100,Y 53276,A81000B,00100,0300,A&G 53276,A81000C,00100,0100,B 53276,A81000C,00100,0400,HOOSIER HEALTH 53276,A81000C,00100,0600,HOME OFFICE 53276,B100000,00000,0100,00000(SQUARE FEET) 53276,B100000,00000,0101,00000(SQUARE FEET) 53276,B100000,00000,0200,00000(SQUARE FEET) 53276,B100000,00000,0201,00000(SQUARE FEET) 53276,B100000,00000,0300,00000(GROSS SALARIES) 53276,B100000,00000,0400,00000(ACCUM. COST) 53276,B100000,00000,0500,00000(SQUARE FEET) 53276,B100000,00000,0600,00000(PATIENT DAYS) 53276,B100000,00000,0700,00000(SQUARE FEET) 53276,B100000,00000,0800,00000(MEALS SERVED) 53276,B100000,00000,0801,00000(MEALS SERVED) 53276,B100000,00000,0900,00000(NURSING SALARIES) 53276,B100000,00000,1000,00000(COSTED REQUIS.) 53276,B100000,00000,1100,00000(PATIENT DAYS) 53276,B100000,00000,1200,00000(PATIENT DAYS) 53276,B100000,00000,1300,00000(PATIENT DAYS) 53276,B100000,00000,1350,00000(PATIENT DAYS) 53276,B100000,00000,1400,00000(ASSIGNED TIME) 53276,E10A180,00501,0100,01/11/2001 53276,E10A180,00501,0300,01/11/2001 53276,S000000,00100,0200,11/29/2000 53276,S200000,00100,0100,1515 HULSE ROAD 53276,S200000,00200,0100,POINT PLEASANT 53276,S200000,00200,0200,NJ 53276,S200000,00200,0300,08742 53276,S200000,00300,0100,O 53276,S200000,00400,0100,CLAREMONT CENTER 53276,S200000,00400,0200,315135 53276,S200000,00400,0300,06/01/1987 53276,S200000,00400,0500,P 53276,S200000,01600,0100,Y 53276,S200000,02200,0100,Y 53288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53288,A000000,00300,0000,00300EMPLOYEE BENEFITS 53288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53288,A000000,00700,0000,00700HOUSEKEEPING 53288,A000000,00800,0000,00800DIETARY 53288,A000000,00900,0000,00900NURSING ADMINISTRATION 53288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53288,A000000,01100,0000,01100PHARMACY 53288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53288,A000000,01300,0000,01300SOCIAL SERVICE 53288,A000000,01350,0000,01500ACTIVITIES 53288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53288,A000000,01600,0000,01600SKILLED NURSING FACILITY 53288,A000000,01800,0000,01800NURSING FACILITY 53288,A000000,01810,0000,01810ICF/MR 53288,A000000,02100,0000,02100RADIOLOGY 53288,A000000,02200,0000,02200LABORATORY 53288,A000000,02300,0000,02300INTRAVENOUS THERAPY 53288,A000000,02500,0000,02500PHYSICAL THERAPY 53288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53288,A000000,02700,0000,02700SPEECH PATHOLOGY 53288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53288,A000000,03200,0000,03200SUPPORT SURFACES 53288,A000000,03550,0000,03550FQHC 53288,A000000,04800,0000,04800AMBULANCE 53288,A000000,05000,0000,05000CORF 53288,A000000,05010,0000,05010CMHC 53288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53288,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 53288,B100000,00000,0100,00000SQUARE FEET 53288,B100000,00000,0200,00000SQUARE FEET 53288,B100000,00000,0300,00000GROSS SALARIES 53288,B100000,00000,0400,00000ACCUM COST 53288,B100000,00000,0500,00000SQUARE FEET 53288,B100000,00000,0600,00000PATIENT DAYS 53288,B100000,00000,0700,00000SQUARE FEET 53288,B100000,00000,0800,00000MEALS SERVED 53288,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53288,B100000,00000,1000,00000PATIENT DAYS 53288,B100000,00000,1100,00000PATIENT DAYS 53288,B100000,00000,1200,00000PATIENT DAYS 53288,B100000,00000,1300,00000PATIENT DAYS 53288,B100000,00000,1350,00000PATIENT DAYS 53288,B100000,00000,1400,00000ASSIGNED TIME 53288,E10A180,00501,0100,08/16/2000 53288,E10A180,00501,0300,08/16/2000 53288,S000000,00100,0200,07/18/2000 53288,S200000,00100,0100,901 ERNSTON ROAD 53288,S200000,00200,0100,SOUTH AMBOY 53288,S200000,00200,0200,NJ 53288,S200000,00200,0300,08879 53288,S200000,00300,0100,MIDDLESEX 53288,S200000,00400,0100,CARRIAGE HOUSE MANOR 53288,S200000,00400,0200,315188 53288,S200000,00400,0300,01/19/1986 53288,S200000,00400,0500,P 53288,S200000,01600,0100,Y 53288,S200000,04700,0100,Y 53288,S200000,04700,0200,Y 53292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53292,A000000,00300,0000,00300EMPLOYEE BENEFITS 53292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53292,A000000,00700,0000,00700HOUSEKEEPING 53292,A000000,00800,0000,00800DIETARY 53292,A000000,00900,0000,00900NURSING ADMINISTRATION 53292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53292,A000000,01100,0000,01100PHARMACY 53292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53292,A000000,01300,0000,01300SOCIAL SERVICE 53292,A000000,01350,0000,01500RECREATION THERAPY 53292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53292,A000000,01600,0000,01600SKILLED NURSING FACILITY 53292,A000000,01800,0000,01800NURSING FACILITY 53292,A000000,01810,0000,01810ICF/MR 53292,A000000,02100,0000,02100RADIOLOGY 53292,A000000,02200,0000,02200LABORATORY 53292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53292,A000000,02500,0000,02500PHYSICAL THERAPY 53292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53292,A000000,02700,0000,02700SPEECH PATHOLOGY 53292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53292,A000000,03050,0000,03300PEN THERAPY 53292,A000000,03051,0000,03301FEE SCREENING 53292,A000000,03550,0000,03550FQHC 53292,A000000,05000,0000,05000CORF 53292,A000000,05010,0000,05010CMHC 53292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53292,A000000,05300,0000,05300INTEREST EXPENSE 53292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53292,A81000A,00100,0100,Y 53292,A81000B,00100,0300,HOME OFFICE 53292,A81000B,00200,0300,HOME OFFICE CAPITAL 53292,A81000B,00300,0300,AS ATTACHED 53292,A81000C,00100,0100,B 53292,A81000C,00100,0200,GHV INC 53292,A81000C,00200,0100,B 53292,A81000C,00200,0200,GHV INC 53292,A81000C,00300,0100,B 53292,A81000C,00300,0400,AS ATTACHED 53292,A81000C,00300,0600,VARIOUS 53292,B100000,00000,0100,00000SQUARE FEET 53292,B100000,00000,0200,00000SQUARE FEET 53292,B100000,00000,0300,00000GROSS SALARIES 53292,B100000,00000,0400,00000ACCUM COST 53292,B100000,00000,0500,00000SQUARE FEET 53292,B100000,00000,0600,00000POUNDS OF LAUNDRY 53292,B100000,00000,0700,00000HOURS OF SERVICE 53292,B100000,00000,0800,00000MEALS SERVED 53292,B100000,00000,0900,00000DIRECT NRSG HRS 53292,B100000,00000,1000,00000(PATIENT CENSUS) 53292,B100000,00000,1100,00000COSTED REQUIS 53292,B100000,00000,1200,00000(PATIENT CENSUS) 53292,B100000,00000,1300,00000TIME SPENT 53292,B100000,00000,1350,00000(PATIENT CENSUS) 53292,B100000,00000,1400,00000ASSIGNED TIME 53292,S000000,00100,0200,02/25/2000 53292,S200000,00100,0100,390 RED SCHOOL LANE 53292,S200000,00200,0100,PHILLIPSBURG 53292,S200000,00200,0200,NJ 53292,S200000,00200,0300,08865 53292,S200000,00300,0100,WARREN 53292,S200000,00400,0100,C.C. OF LOPATCONG 53292,S200000,00400,0200,315202 53292,S200000,00400,0300,02/01/1985 53292,S200000,00400,0500,P 53292,S200000,01600,0100,Y 53292,S200000,02200,0100,Y 53292,S200000,04300,0100,Y 53296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53296,A000000,00300,0000,00300EMPLOYEE BENEFITS 53296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53296,A000000,00700,0000,00700HOUSEKEEPING 53296,A000000,00800,0000,00800DIETARY 53296,A000000,00900,0000,00900NURSING ADMINISTRATION 53296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53296,A000000,01100,0000,01100PHARMACY 53296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53296,A000000,01300,0000,01300SOCIAL SERVICE 53296,A000000,01350,0000,01500RECREATION THERAPY 53296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53296,A000000,01600,0000,01600SKILLED NURSING FACILITY 53296,A000000,01800,0000,01800NURSING FACILITY 53296,A000000,01810,0000,01810ICF/MR 53296,A000000,02100,0000,02100RADIOLOGY 53296,A000000,02200,0000,02200LABORATORY 53296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53296,A000000,02500,0000,02500PHYSICAL THERAPY 53296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53296,A000000,02700,0000,02700SPEECH PATHOLOGY 53296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53296,A000000,03050,0000,03300PEN THERAPY 53296,A000000,03051,0000,03301FEE SCREENING 53296,A000000,03550,0000,03550FQHC 53296,A000000,04800,0000,04800AMBULANCE 53296,A000000,05000,0000,05000CORF 53296,A000000,05010,0000,05010CMHC 53296,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53296,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53296,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53296,A000000,05300,0000,05300INTEREST EXPENSE 53296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53296,A000000,06150,0000,06300RESIDENTIAL CARE 53296,A81000A,00100,0100,Y 53296,A81000B,00100,0300,HOME OFFICE 53296,A81000B,00200,0300,HOME OFFICE CAPITAL 53296,A81000B,00300,0300,AS ATTACHED 53296,A81000C,00100,0100,B 53296,A81000C,00100,0200,GHV INC 53296,A81000C,00200,0100,B 53296,A81000C,00200,0200,GHV INC. 53296,A81000C,00300,0100,B 53296,A81000C,00300,0400,AS ATTACHED 53296,A81000C,00300,0600,VARIOUS 53296,B100000,00000,0100,00000SQUARE FEET 53296,B100000,00000,0200,00000SQUARE FEET 53296,B100000,00000,0300,00000GROSS SALARIES 53296,B100000,00000,0400,00000ACCUM COST 53296,B100000,00000,0500,00000SQUARE FEET 53296,B100000,00000,0600,00000POUNDS OF LAUNDRY 53296,B100000,00000,0700,00000HOURS OF SERVICE 53296,B100000,00000,0800,00000MEALS SERVED 53296,B100000,00000,0900,00000DIRECT NRSG HRS 53296,B100000,00000,1000,00000(PATIENT CENSUS) 53296,B100000,00000,1100,00000COSTED REQUIS 53296,B100000,00000,1200,00000(PATIENT CENSUS) 53296,B100000,00000,1300,00000(PATIENT CENSUS) 53296,B100000,00000,1350,00000(PATIENT CENSUS) 53296,B100000,00000,1400,00000ASSIGNED TIME 53296,S000000,00100,0200,02/28/2000 53296,S200000,00100,0100,2601 EVESHAM ROAD 53296,S200000,00200,0100,VOORHEES 53296,S200000,00200,0200,NJ 53296,S200000,00200,0300,08043 53296,S200000,00300,0100,CAMDEN 53296,S200000,00400,0100,KRESSON VIEW 53296,S200000,00400,0200,315207 53296,S200000,00400,0300,03/01/1985 53296,S200000,00400,0500,P 53296,S200000,01600,0100,Y 53296,S200000,02200,0100,Y 53296,S200000,04300,0100,Y 53296,S200000,04700,0100,Y 53296,S200000,04900,0100,Y 53316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53316,A000000,00300,0000,00300EMPLOYEE BENEFITS 53316,A000000,00301,0000,00301STAFF DEVELOPMENT 53316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53316,A000000,00700,0000,00700HOUSEKEEPING 53316,A000000,00800,0000,00800DIETARY 53316,A000000,00900,0000,00900NURSING ADMINISTRATION 53316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53316,A000000,01100,0000,01100PHARMACY 53316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53316,A000000,01300,0000,01300SOCIAL SERVICE 53316,A000000,01350,0000,01500PATIENT ACTIVITIES 53316,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 53316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53316,A000000,01600,0000,01600SKILLED NURSING FACILITY 53316,A000000,01800,0000,01800NURSING FACILITY 53316,A000000,01810,0000,01810ICF/MR 53316,A000000,02100,0000,02100RADIOLOGY 53316,A000000,02200,0000,02200LABORATORY 53316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53316,A000000,02500,0000,02500PHYSICAL THERAPY 53316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53316,A000000,02700,0000,02700SPEECH PATHOLOGY 53316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53316,A000000,03050,0000,03300ENTERAL FORMULAE 53316,A000000,03051,0000,03301BLANK1 53316,A000000,03052,0000,03302RESPIRATORY SERVICES 53316,A000000,03053,0000,03303BLANK 3 53316,A000000,03054,0000,03304BLANK 4 53316,A000000,03055,0000,03305CARRIER SERVICE 53316,A000000,03200,0000,03200SUPPORT SURFACES 53316,A000000,03550,0000,03550FQHC 53316,A000000,04800,0000,04800AMBULANCE 53316,A000000,05000,0000,05000CORF 53316,A000000,05010,0000,05010CMHC 53316,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53316,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53316,B100000,00000,0100,00000SQUARE FEET 53316,B100000,00000,0200,00000SQUARE FEET 53316,B100000,00000,0300,00000GROSS SALARIES 53316,B100000,00000,0301,00000GROSS SALARIES 53316,B100000,00000,0400,00000ACCUM COST 53316,B100000,00000,0500,00000SQUARE FEET 53316,B100000,00000,0600,00000POUNDS OF LAUNDRY 53316,B100000,00000,0700,00000HOURS OF SERVICE 53316,B100000,00000,0800,00000PATIENT DAYS 53316,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53316,B100000,00000,1000,00000COSTED REQUISITIO 53316,B100000,00000,1100,00000COSTED REQUISITIO 53316,B100000,00000,1200,00000TIME SPENT 53316,B100000,00000,1300,00000TIME SPENT 53316,B100000,00000,1350,00000TIME SPENT 53316,B100000,00000,1351,00000 53316,B100000,00000,1400,00000ASSIGNED TIME 53316,E10A180,00501,0100,07/12/2000 53316,E10A180,00501,0300,07/12/2000 53316,S000000,00100,0200,06/01/2000 53316,S200000,00100,0100,56 HAMILTON AVENUE 53316,S200000,00200,0100,PASSAIC 53316,S200000,00200,0200,NJ 53316,S200000,00200,0300,07055 53316,S200000,00300,0100,PASSAIC 53316,S200000,00400,0100,HAMILTON PLAZA NURSING CENTER 53316,S200000,00400,0200,315221 53316,S200000,00400,0300,01/06/1986 53316,S200000,00400,0500,P 53316,S200000,01600,0100,Y 53316,S200000,04700,0100,Y 53316,S200000,04700,0200,Y 53326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53326,A000000,00300,0000,00300EMPLOYEE BENEFITS 53326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53326,A000000,00700,0000,00700HOUSEKEEPING 53326,A000000,00800,0000,00800DIETARY 53326,A000000,00900,0000,00900NURSING ADMINISTRATION 53326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53326,A000000,01100,0000,01100PHARMACY 53326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53326,A000000,01300,0000,01300SOCIAL SERVICE 53326,A000000,01350,0000,01500RECREATION THERAPY 53326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53326,A000000,01600,0000,01600SKILLED NURSING FACILITY 53326,A000000,01800,0000,01800NURSING FACILITY 53326,A000000,01810,0000,01810ICF/MR 53326,A000000,02100,0000,02100RADIOLOGY 53326,A000000,02200,0000,02200LABORATORY 53326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53326,A000000,02500,0000,02500PHYSICAL THERAPY 53326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53326,A000000,02700,0000,02700SPEECH PATHOLOGY 53326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53326,A000000,03050,0000,03300PEN THERAPY 53326,A000000,03051,0000,03301FEE SCREENING 53326,A000000,03550,0000,03550FQHC 53326,A000000,04800,0000,04800AMBULANCE 53326,A000000,05000,0000,05000CORF 53326,A000000,05010,0000,05010CMHC 53326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53326,A000000,05300,0000,05300INTEREST EXPENSE 53326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53326,A81000A,00100,0100,Y 53326,A81000B,00100,0300,HOME OFFICE 53326,A81000B,00200,0300,HOME OFFICE CAPITAL 53326,A81000B,00300,0300,AS ATTACHED 53326,A81000C,00100,0100,B 53326,A81000C,00100,0200,GHV INC. 53326,A81000C,00200,0100,B 53326,A81000C,00200,0200,GHV INC. 53326,A81000C,00300,0100,B 53326,A81000C,00300,0400,AS ATTCHED 53326,A81000C,00300,0600,VARIOUS 53326,B100000,00000,0100,00000SQUARE FEET 53326,B100000,00000,0200,00000SQUARE FEET 53326,B100000,00000,0300,00000GROSS SALARIES 53326,B100000,00000,0400,00000ACCUM COST 53326,B100000,00000,0500,00000SQUARE FEET 53326,B100000,00000,0600,00000POUNDS OF LAUNDRY 53326,B100000,00000,0700,00000HOURS OF SERVICE 53326,B100000,00000,0800,00000MEALS SERVED 53326,B100000,00000,0900,00000DIRECT NRSG HRS 53326,B100000,00000,1000,00000(PATIENT CENSUS) 53326,B100000,00000,1100,00000COSTED REQUIS 53326,B100000,00000,1200,00000(PATIENT CENSUS) 53326,B100000,00000,1300,00000(PATIENT CENSUS) 53326,B100000,00000,1350,00000(PATIENT CENSUS) 53326,B100000,00000,1400,00000ASSIGNED TIME 53326,E10A180,00501,0100,03/24/2000 53326,E10A180,00501,0300,03/24/2000 53326,S000000,00100,0200,02/25/2000 53326,S200000,00100,0100,5101 NORTH PARK DRIVE 53326,S200000,00200,0100,PENNSAUKEN 53326,S200000,00200,0200,NJ 53326,S200000,00200,0300,08109 53326,S200000,00300,0100,CAMDEN 53326,S200000,00400,0100,COOPER RIVER WEST 53326,S200000,00400,0200,315225 53326,S200000,00400,0300,05/31/1986 53326,S200000,00400,0500,P 53326,S200000,01600,0100,Y 53326,S200000,02200,0100,Y 53326,S200000,04300,0100,Y 53326,S200000,04700,0100,Y 53326,S200000,04900,0100,Y 53336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53336,A000000,00300,0000,00300EMPLOYEE BENEFITS 53336,A000000,00301,0000,00301STAFF DEVELOPMENT 53336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53336,A000000,00700,0000,00700HOUSEKEEPING 53336,A000000,00800,0000,00800DIETARY 53336,A000000,00900,0000,00900NURSING ADMINISTRATION 53336,A000000,00901,0000,00901PROGRAM DIRECTOR 53336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53336,A000000,01100,0000,01100PHARMACY 53336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53336,A000000,01300,0000,01300SOCIAL SERVICE 53336,A000000,01350,0000,01500PATIENT ACTIVITIES 53336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53336,A000000,01600,0000,01600SKILLED NURSING FACILITY 53336,A000000,01800,0000,01800NURSING FACILITY 53336,A000000,01810,0000,01810ICF/MR 53336,A000000,02100,0000,02100RADIOLOGY 53336,A000000,02200,0000,02200LABORATORY 53336,A000000,02300,0000,02300INTRAVENOUS THERAPY 53336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53336,A000000,02500,0000,02500PHYSICAL THERAPY 53336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53336,A000000,02700,0000,02700SPEECH PATHOLOGY 53336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53336,A000000,03050,0000,03300ENTERAL FORMULAE 53336,A000000,03051,0000,03301BLANK 1 53336,A000000,03052,0000,03302RESPIRATORY 53336,A000000,03053,0000,03303BLANK 3 53336,A000000,03054,0000,03304OTHER MED SVS. 53336,A000000,03055,0000,03305CARRIER SSVS. 53336,A000000,03200,0000,03200SUPPORT SURFACES 53336,A000000,03550,0000,03550FQHC 53336,A000000,04800,0000,04800AMBULANCE 53336,A000000,05000,0000,05000CORF 53336,A000000,05010,0000,05010CMHC 53336,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53336,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53336,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53336,B100000,00000,0100,00000SQUARE FEET 53336,B100000,00000,0200,00000SQUARE FEET 53336,B100000,00000,0300,00000GROSS SALARIES 53336,B100000,00000,0301,00000GROSS SALARIES 53336,B100000,00000,0400,00000ACCUM COST 53336,B100000,00000,0500,00000SQUARE FEET 53336,B100000,00000,0600,00000POUNDS OF LAUNDRY 53336,B100000,00000,0700,00000HOURS OF SERVICE 53336,B100000,00000,0800,00000MEALS SERVED 53336,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53336,B100000,00000,0901,00000EXPENSE 53336,B100000,00000,1000,00000COSTED REQUISITIO 53336,B100000,00000,1100,00000COSTED REQUISITIO 53336,B100000,00000,1200,00000TIME SPENT 53336,B100000,00000,1300,00000TIME SPENT 53336,B100000,00000,1350,00000TIME SPENT 53336,B100000,00000,1400,00000ASSIGNED TIME 53336,E10A180,00301,0100,12/31/1999 53336,E10A180,00501,0100,06/15/2000 53336,E10A180,00501,0300,06/15/2000 53336,E10A180,00502,0100,04/02/2001 53336,E10A180,00502,0300,04/02/2001 53336,S000000,00100,0200,05/29/2000 53336,S200000,00100,0100,261 TERHUNE DRIVE 53336,S200000,00200,0100,WAYNE 53336,S200000,00200,0200,NJ 53336,S200000,00200,0300,07470 53336,S200000,00300,0100,PASSAIC 53336,S200000,00400,0100,OAKRIDGE MANOR NRSG & REHAB CTR 53336,S200000,00400,0200,315234 53336,S200000,00400,0300,09/01/1986 53336,S200000,00400,0500,P 53336,S200000,01600,0100,Y 53336,S200000,04700,0100,Y 53336,S200000,04700,0200,Y 53355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53355,A000000,00300,0000,00300EMPLOYEE BENEFITS 53355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53355,A000000,00700,0000,00700HOUSEKEEPING 53355,A000000,00800,0000,00800DIETARY 53355,A000000,00900,0000,00900NURSING ADMINISTRATION 53355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53355,A000000,01100,0000,01100PHARMACY 53355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53355,A000000,01300,0000,01300SOCIAL SERVICE 53355,A000000,01350,0000,01500RECREATIONAL THERAPY 53355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53355,A000000,01600,0000,01600SKILLED NURSING FACILITY 53355,A000000,01800,0000,01800NURSING FACILITY 53355,A000000,01810,0000,01810ICF/MR 53355,A000000,02100,0000,02100RADIOLOGY 53355,A000000,02200,0000,02200LABORATORY 53355,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53355,A000000,02500,0000,02500PHYSICAL THERAPY 53355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53355,A000000,02700,0000,02700SPEECH PATHOLOGY 53355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53355,A000000,03050,0000,03300PEN THERAPY 53355,A000000,03051,0000,03301FEE SCREENING 53355,A000000,03550,0000,03550FQHC 53355,A000000,04800,0000,04800AMBULANCE 53355,A000000,05000,0000,05000CORF 53355,A000000,05010,0000,05010CMHC 53355,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53355,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53355,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53355,A000000,05300,0000,05300INTEREST EXPENSE 53355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53355,A81000A,00100,0100,Y 53355,A81000B,00100,0300,HOME OFFICE 53355,A81000B,00200,0300,HOME OFFICE CAPITAL 53355,A81000B,00300,0300,AS ATTACHED 53355,A81000C,00100,0100,B 53355,A81000C,00100,0200,GHV INC 53355,A81000C,00200,0100,B 53355,A81000C,00200,0200,GHV INC. 53355,A81000C,00300,0100,B 53355,A81000C,00300,0400,AS ATTACHED 53355,A81000C,00300,0600,VARIOUS 53355,B100000,00000,0100,00000SQUARE FEET 53355,B100000,00000,0200,00000SQUARE FEET 53355,B100000,00000,0300,00000GROSS SALARIES 53355,B100000,00000,0400,00000ACCUM COST 53355,B100000,00000,0500,00000SQUARE FEET 53355,B100000,00000,0600,00000POUNDS OF LAUNDRY 53355,B100000,00000,0700,00000HOURS OF SERVICE 53355,B100000,00000,0800,00000MEALS SERVED 53355,B100000,00000,0900,00000DIRECT NRSG HRS 53355,B100000,00000,1000,00000(PATIENT CENSUS) 53355,B100000,00000,1100,00000COSTED REQUIS 53355,B100000,00000,1200,00000(PATIENT CENSUS) 53355,B100000,00000,1300,00000(PATIENT CENSUS) 53355,B100000,00000,1350,00000(PATIENT CENSUS) 53355,B100000,00000,1400,00000ASSIGNED TIME 53355,E10A180,00350,0300,12/14/1999 53355,E10A180,00501,0100,03/01/2000 53355,E10A180,00550,0300,03/01/2000 53355,S000000,00100,0200,02/25/2000 53355,S200000,00100,0100,916 LACEY ROAD 53355,S200000,00200,0100,FORKED RIVER 53355,S200000,00200,0200,NJ 53355,S200000,00200,0300,08731 53355,S200000,00300,0100,OCEAN 53355,S200000,00400,0100,LACEY 53355,S200000,00400,0200,315258 53355,S200000,00400,0300,05/31/1988 53355,S200000,00400,0500,P 53355,S200000,01600,0100,Y 53355,S200000,02200,0100,Y 53355,S200000,04300,0100,Y 53355,S200000,04700,0100,Y 53355,S200000,04900,0100,Y 53368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53368,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53368,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53368,A000000,00300,0000,00300EMPLOYEE BENEFITS 53368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53368,A000000,00700,0000,00700HOUSEKEEPING 53368,A000000,00800,0000,00800DIETARY 53368,A000000,00801,0000,00801CAFETERIA 53368,A000000,00900,0000,00900NURSING ADMINISTRATION 53368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53368,A000000,01100,0000,01100PHARMACY 53368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53368,A000000,01300,0000,01300SOCIAL SERVICE 53368,A000000,01350,0000,01500RECREATION 53368,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53368,A000000,01600,0000,01600SKILLED NURSING FACILITY 53368,A000000,01800,0000,01800NURSING FACILITY 53368,A000000,01810,0000,01810ICF/MR 53368,A000000,02100,0000,02100RADIOLOGY 53368,A000000,02500,0000,02500PHYSICAL THERAPY 53368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53368,A000000,02700,0000,02700SPEECH PATHOLOGY 53368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53368,A000000,03050,0000,03300PEN THERAPY 53368,A000000,03051,0000,03301FEE SCREENING 53368,A000000,03052,0000,03302OTHER ANCILLARY III 53368,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53368,A000000,03550,0000,03550FQHC 53368,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53368,A000000,05000,0000,05000CORF I 53368,A000000,05010,0000,05010CMHC I 53368,A000000,05020,0000,05020OPT I 53368,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53368,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53368,A000000,05300,0000,05300INTEREST EXPENSE 53368,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53368,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53368,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53368,A000000,06150,0000,06300RESIDENTIAL 53368,A81000A,00100,0100,Y 53368,A81000B,00100,0300,AS ATTACHED 53368,A81000C,00100,0100,B 53368,A81000C,00100,0400,GENESIS HEALTH 53368,A81000C,00100,0600,VARIOUS 53368,B100000,00000,0100,00000(SQUARE FEET) 53368,B100000,00000,0101,00000(SQUARE FEET) 53368,B100000,00000,0200,00000(SQUARE FEET) 53368,B100000,00000,0201,00000(SQUARE FEET) 53368,B100000,00000,0300,00000(GROSS SALARIES) 53368,B100000,00000,0400,00000(ACCUM. COST) 53368,B100000,00000,0500,00000(SQUARE FEET) 53368,B100000,00000,0600,00000(PATIENT DAYS) 53368,B100000,00000,0700,00000(SQUARE FEET) 53368,B100000,00000,0800,00000(MEALS SERVED) 53368,B100000,00000,0801,00000(MEALS SERVED) 53368,B100000,00000,0900,00000(NURSING SALARIES) 53368,B100000,00000,1000,00000COST REQ 53368,B100000,00000,1100,00000(PATIENT DAYS) 53368,B100000,00000,1200,00000(PATIENT DAYS) 53368,B100000,00000,1300,00000(PATIENT DAYS) 53368,B100000,00000,1350,00000(PATIENT DAYS) 53368,B100000,00000,1400,00000(ASSIGNED TIME) 53368,S000000,00100,0200,05/30/2000 53368,S200000,00100,0100,1400 WOODLAND AVE 53368,S200000,00200,0100,PLAINFIELD 53368,S200000,00200,0200,NJ 53368,S200000,00200,0300,07060 53368,S200000,00300,0100,UNION 53368,S200000,00400,0100,WOODLANDS 53368,S200000,00400,0200,315273 53368,S200000,00400,0300,05/01/1989 53368,S200000,00400,0500,P 53368,S200000,01600,0100,Y 53368,S200000,02200,0100,Y 53371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53371,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53371,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53371,A000000,00300,0000,00300EMPLOYEE BENEFITS 53371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53371,A000000,00700,0000,00700HOUSEKEEPING 53371,A000000,00800,0000,00800DIETARY 53371,A000000,00801,0000,00801CAFETERIA 53371,A000000,00900,0000,00900NURSING ADMINISTRATION 53371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53371,A000000,01100,0000,01100PHARMACY 53371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53371,A000000,01300,0000,01300SOCIAL SERVICE 53371,A000000,01350,0000,01500RECREATION 53371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53371,A000000,01600,0000,01600SKILLED NURSING FACILITY 53371,A000000,01800,0000,01800NURSING FACILITY 53371,A000000,01810,0000,01810ICF/MR 53371,A000000,02100,0000,02100RADIOLOGY 53371,A000000,02200,0000,02200LABORATORY 53371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53371,A000000,02500,0000,02500PHYSICAL THERAPY 53371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53371,A000000,02700,0000,02700SPEECH PATHOLOGY 53371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53371,A000000,03050,0000,03300PEN THERAPY 53371,A000000,03051,0000,03301FEE SCREENING 53371,A000000,03052,0000,03302OTHER ANCILLARY III 53371,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53371,A000000,03550,0000,03550FQHC 53371,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53371,A000000,05000,0000,05000CORF I 53371,A000000,05010,0000,05010CMHC I 53371,A000000,05020,0000,05020OPT I 53371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53371,A000000,05300,0000,05300INTEREST EXPENSE 53371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53371,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53371,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53371,B100000,00000,0100,00000(SQUARE FEET) 53371,B100000,00000,0101,00000(SQUARE FEET) 53371,B100000,00000,0200,00000(SQUARE FEET) 53371,B100000,00000,0201,00000(SQUARE FEET) 53371,B100000,00000,0300,00000(GROSS SALARIES) 53371,B100000,00000,0400,00000(ACCUM. COST) 53371,B100000,00000,0500,00000(SQUARE FEET) 53371,B100000,00000,0600,00000(PATIENT DAYS) 53371,B100000,00000,0700,00000(SQUARE FEET) 53371,B100000,00000,0800,00000(MEALS SERVED) 53371,B100000,00000,0801,00000(MEALS SERVED) 53371,B100000,00000,0900,00000(NURSING SALARIES) 53371,B100000,00000,1000,00000(PATIENT DAYS) 53371,B100000,00000,1100,00000(COSTED REQUIS.) 53371,B100000,00000,1200,00000(GROSS CHARGES) 53371,B100000,00000,1300,00000(PATIENT DAYS) 53371,B100000,00000,1350,00000(PATIENT DAYS) 53371,B100000,00000,1400,00000(ASSIGNED TIME) 53371,E10A180,00501,0100,06/23/2000 53371,E10A180,00502,0300,06/23/2000 53371,S000000,00100,0200,05/30/2000 53371,S200000,00100,0100,3809 BAY SHORE ROAD 53371,S200000,00200,0100,NORTH CAPE MAY 53371,S200000,00200,0200,NJ 53371,S200000,00200,0300,08204 53371,S200000,00300,0100,CAPE MAY 53371,S200000,00400,0100,VICTORIA MANOR 53371,S200000,00400,0200,315281 53371,S200000,00400,0300,02/01/1989 53371,S200000,00400,0500,P 53371,S200000,01600,0100,Y 53371,S200000,02200,0100,Y 53380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53380,A000000,00300,0000,00300EMPLOYEE BENEFITS 53380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53380,A000000,00700,0000,00700HOUSEKEEPING 53380,A000000,00800,0000,00800DIETARY 53380,A000000,00900,0000,00900NURSING ADMINISTRATION 53380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53380,A000000,01100,0000,01100PHARMACY 53380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53380,A000000,01300,0000,01300SOCIAL SERVICE 53380,A000000,01350,0000,01500RECREATION THERAPY 53380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53380,A000000,01600,0000,01600SKILLED NURSING FACILITY 53380,A000000,01800,0000,01800NURSING FACILITY 53380,A000000,01810,0000,01810ICF/MR 53380,A000000,02100,0000,02100RADIOLOGY 53380,A000000,02200,0000,02200LABORATORY 53380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53380,A000000,02500,0000,02500PHYSICAL THERAPY 53380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53380,A000000,02700,0000,02700SPEECH PATHOLOGY 53380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53380,A000000,03050,0000,03300PEN THERAPY 53380,A000000,03051,0000,03301FEE SCREENING 53380,A000000,03550,0000,03550FQHC 53380,A000000,05000,0000,05000CORF 53380,A000000,05010,0000,05010CMHC 53380,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53380,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53380,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53380,A000000,05300,0000,05300INTEREST EXPENSE 53380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53380,A81000A,00100,0100,Y 53380,A81000B,00100,0300,HOME OFFICE 53380,A81000B,00200,0300,HOME OFFICE CAPITAL 53380,A81000B,00300,0300,AS ATTACHED 53380,A81000C,00100,0100,B 53380,A81000C,00100,0200,GHV INC 53380,A81000C,00200,0100,B 53380,A81000C,00200,0200,GHV INC. 53380,A81000C,00300,0100,B 53380,A81000C,00300,0400,AS ATTACHED 53380,A81000C,00300,0600,VARIOUS 53380,B100000,00000,0100,00000SQUARE FEET 53380,B100000,00000,0200,00000SQUARE FEET 53380,B100000,00000,0300,00000GROSS SALARIES 53380,B100000,00000,0400,00000ACCUM COST 53380,B100000,00000,0500,00000SQUARE FEET 53380,B100000,00000,0600,00000POUNDS OF LAUNDRY 53380,B100000,00000,0700,00000HOURS OF SERVICE 53380,B100000,00000,0800,00000MEALS SERVED 53380,B100000,00000,0900,00000DIRECT NRSG HRS 53380,B100000,00000,1000,00000COSTED REQUIS 53380,B100000,00000,1100,00000COSTED REQUIS 53380,B100000,00000,1200,00000TIME SPENT 53380,B100000,00000,1300,00000TIME SPENT 53380,B100000,00000,1350,00000(PATIENT CENSUS) 53380,B100000,00000,1400,00000ASSIGNED TIME 53380,S000000,00100,0200,02/25/2000 53380,S200000,00100,0100,5101 NORTH PARK DRIVE 53380,S200000,00200,0100,PENNSAUKEN 53380,S200000,00200,0200,NJ 53380,S200000,00200,0300,08109 53380,S200000,00300,0100,CAMDEN 53380,S200000,00400,0100,COOPER RIVER EAST 53380,S200000,00400,0200,315296 53380,S200000,00400,0300,09/01/1986 53380,S200000,00400,0500,P 53380,S200000,01600,0100,Y 53380,S200000,02200,0100,Y 53380,S200000,04300,0100,Y 53389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53389,A000000,00300,0000,00300EMPLOYEE BENEFITS 53389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53389,A000000,00700,0000,00700HOUSEKEEPING 53389,A000000,00800,0000,00800DIETARY 53389,A000000,00900,0000,00900NURSING ADMINISTRATION 53389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53389,A000000,01100,0000,01100PHARMACY 53389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53389,A000000,01300,0000,01300SOCIAL SERVICE 53389,A000000,01350,0000,01500RECREATIONAL THERAPY 53389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53389,A000000,01600,0000,01600SKILLED NURSING FACILITY 53389,A000000,01800,0000,01800NURSING FACILITY 53389,A000000,01810,0000,01810ICF/MR 53389,A000000,02200,0000,02200LABORATORY 53389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53389,A000000,02500,0000,02500PHYSICAL THERAPY 53389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53389,A000000,02700,0000,02700SPEECH PATHOLOGY 53389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53389,A000000,03050,0000,03300BLOOD SCREENING 53389,A000000,03051,0000,03301FEE SCREENING 53389,A000000,03550,0000,03550FQHC 53389,A000000,05000,0000,05000CORF 53389,A000000,05010,0000,05010CMHC 53389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53389,A000000,05300,0000,05300INTEREST EXPENSE 53389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53389,A000000,06150,0000,06300RESIDENTIAL CARE 53389,A81000A,00100,0100,Y 53389,A81000B,00100,0300,HOME OFFICE 53389,A81000B,00200,0300,HOME OFFICE CAPITAL 53389,A81000B,00300,0300,AS ATTACHED 53389,A81000C,00100,0100,B 53389,A81000C,00100,0200,GHV INC. 53389,A81000C,00200,0100,B 53389,A81000C,00200,0200,GHV INC. 53389,A81000C,00300,0100,B 53389,A81000C,00300,0400,AS ATTACHED 53389,A81000C,00300,0600,VARIOUS 53389,B100000,00000,0100,00000SQUARE FEET 53389,B100000,00000,0200,00000SQUARE FEET 53389,B100000,00000,0300,00000GROSS SALARIES 53389,B100000,00000,0400,00000ACCUM COST 53389,B100000,00000,0500,00000SQUARE FEET 53389,B100000,00000,0600,00000POUNDS OF LAUNDRY 53389,B100000,00000,0700,00000HOURS OF SERVICE 53389,B100000,00000,0800,00000MEALS SERVED 53389,B100000,00000,0900,00000DIRECT NRSG HRS 53389,B100000,00000,1000,00000COSTED REQUIS 53389,B100000,00000,1100,00000COSTED REQUIS 53389,B100000,00000,1200,00000TIME SPENT 53389,B100000,00000,1300,00000TIME SPENT 53389,B100000,00000,1350,00000PATIENT DAYS 53389,B100000,00000,1400,00000ASSIGNED TIME 53389,E10A180,00501,0100,03/10/2000 53389,E10A180,00501,0300,03/10/2000 53389,S000000,00100,0200,02/25/2000 53389,S200000,00100,0100,843 WILBUR AVENUE 53389,S200000,00200,0100,PHILLIPSBURG 53389,S200000,00200,0200,NJ 53389,S200000,00200,0300,08865 53389,S200000,00300,0100,WARREN 53389,S200000,00400,0100,C.C. OF PHILLIPSBURG 53389,S200000,00400,0200,315311 53389,S200000,00400,0300,04/01/1992 53389,S200000,00400,0500,P 53389,S200000,01600,0100,Y 53389,S200000,02200,0100,Y 53389,S200000,04300,0100,Y 53398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53398,A000000,00300,0000,00300EMPLOYEE BENEFITS 53398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53398,A000000,00700,0000,00700HOUSEKEEPING 53398,A000000,00800,0000,00800DIETARY 53398,A000000,00900,0000,00900NURSING ADMINISTRATION 53398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53398,A000000,01100,0000,01100PHARMACY 53398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53398,A000000,01300,0000,01300SOCIAL SERVICE 53398,A000000,01350,0000,01500RECREATION THERAPY 53398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53398,A000000,01600,0000,01600SKILLED NURSING FACILITY 53398,A000000,01800,0000,01800NURSING FACILITY 53398,A000000,01810,0000,01810ICF/MR 53398,A000000,02100,0000,02100RADIOLOGY 53398,A000000,02200,0000,02200LABORATORY 53398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53398,A000000,02500,0000,02500PHYSICAL THERAPY 53398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53398,A000000,02700,0000,02700SPEECH PATHOLOGY 53398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53398,A000000,03050,0000,03300PEN THERAPY 53398,A000000,03051,0000,03301FEE SCREENING 53398,A000000,03550,0000,03550FQHC 53398,A000000,05000,0000,05000CORF 53398,A000000,05010,0000,05010CMHC 53398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53398,A000000,05300,0000,05300INTEREST EXPENSE 53398,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53398,A000000,06150,0000,06300RESIDENTIAL CARE 53398,A81000A,00100,0100,Y 53398,A81000B,00100,0300,HOME OFFICE 53398,A81000B,00200,0300,HOME OFFICE - CAPITA 53398,A81000B,00300,0300,AS ATTACHED 53398,A81000C,00100,0100,B 53398,A81000C,00100,0200,GEN HLTH VENT 53398,A81000C,00200,0100,B 53398,A81000C,00200,0200,GEN HLTH VENT 53398,A81000C,00300,0100,B 53398,A81000C,00300,0200,G= 53398,A81000C,00300,0400,AS ATTACHED 53398,A81000C,00300,0600,VARIOUS 53398,B100000,00000,0100,00000SQUARE FEET 53398,B100000,00000,0200,00000SQUARE FEET 53398,B100000,00000,0300,00000GROSS SALARIES 53398,B100000,00000,0400,00000ACCUM COST 53398,B100000,00000,0500,00000SQUARE FEET 53398,B100000,00000,0600,00000POUNDS OF LAUNDRY 53398,B100000,00000,0700,00000HOURS OF SERVICE 53398,B100000,00000,0800,00000MEALS SERVED 53398,B100000,00000,0900,00000DIRECT NRSG HRS 53398,B100000,00000,1000,00000(PATIENT CENSUS) 53398,B100000,00000,1100,00000COSTED REQUIS 53398,B100000,00000,1200,00000(PATIENT CENSUS) 53398,B100000,00000,1300,00000(PATIENT CENSUS) 53398,B100000,00000,1350,00000(PATIENT CENSUS) 53398,B100000,00000,1400,00000ASSIGNED TIME 53398,E10A180,00501,0100,03/22/2000 53398,E10A180,00501,0300,03/22/2000 53398,S000000,00100,0200,02/05/2000 53398,S200000,00100,0100,RED SCHOOL LANE 53398,S200000,00200,0100,PHILLIPSBURG 53398,S200000,00200,0200,NJ 53398,S200000,00200,0300,08865 53398,S200000,00300,0100,WARREN 53398,S200000,00400,0100,C.C. OF BRAKELY PARK 53398,S200000,00400,0200,315316 53398,S200000,00400,0300,09/17/1992 53398,S200000,00400,0500,P 53398,S200000,01600,0100,Y 53398,S200000,02200,0100,Y 53398,S200000,04300,0100,Y 53406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53406,A000000,00300,0000,00300EMPLOYEE BENEFITS 53406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53406,A000000,00700,0000,00700HOUSEKEEPING 53406,A000000,00800,0000,00800DIETARY 53406,A000000,00900,0000,00900NURSING ADMINISTRATION 53406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53406,A000000,01100,0000,01100PHARMACY 53406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53406,A000000,01300,0000,01300SOCIAL SERVICE 53406,A000000,01350,0000,01500RECREATION THERAPY 53406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53406,A000000,01600,0000,01600SKILLED NURSING FACILITY 53406,A000000,01800,0000,01800NURSING FACILITY 53406,A000000,01810,0000,01810ICF/MR 53406,A000000,02100,0000,02100RADIOLOGY 53406,A000000,02200,0000,02200LABORATORY 53406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53406,A000000,02500,0000,02500PHYSICAL THERAPY 53406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53406,A000000,02700,0000,02700SPEECH PATHOLOGY 53406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53406,A000000,03050,0000,03300PEN THERAPY 53406,A000000,03051,0000,03301FEE SCREENING 53406,A000000,03550,0000,03550FQHC 53406,A000000,05000,0000,05000CORF 53406,A000000,05010,0000,05010CMHC 53406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53406,A000000,05300,0000,05300INTEREST EXPENSE 53406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53406,A000000,06150,0000,06300RESIDENTIAL 53406,A81000A,00100,0100,Y 53406,A81000B,00100,0300,HOME OFFICE 53406,A81000B,00200,0300,HOME OFFICE CAPITAL 53406,A81000B,00300,0300,AS ATTACHED 53406,A81000C,00100,0100,B 53406,A81000C,00100,0200,GHV INC 53406,A81000C,00200,0100,B 53406,A81000C,00200,0200,GHV INC. 53406,A81000C,00300,0100,B 53406,A81000C,00300,0400,AS ATTACHED 53406,A81000C,00300,0600,VARIOUS 53406,B100000,00000,0100,00000SQUARE FEET 53406,B100000,00000,0200,00000SQUARE FEET 53406,B100000,00000,0300,00000GROSS SALARIES 53406,B100000,00000,0400,00000ACCUM COST 53406,B100000,00000,0500,00000SQUARE FEET 53406,B100000,00000,0600,00000POUNDS OF LAUNDRY 53406,B100000,00000,0700,00000HOURS OF SERVICE 53406,B100000,00000,0800,00000MEALS SERVED 53406,B100000,00000,0900,00000DIRECT NRSG HRS 53406,B100000,00000,1000,00000(PATIENT CENSUS) 53406,B100000,00000,1100,00000COSTED REQUIS 53406,B100000,00000,1200,00000(PATIENT CENSUS) 53406,B100000,00000,1300,00000(PATIENT CENSUS) 53406,B100000,00000,1350,00000(PATIENT CENSUS) 53406,B100000,00000,1400,00000ASSIGNED TIME 53406,E10A180,00501,0100,03/22/2000 53406,E10A180,00501,0300,03/22/2000 53406,S000000,00100,0200,02/25/2000 53406,S200000,00100,0100,700 TOWN BANK ROAD 53406,S200000,00200,0100,NORTH CAPE MAY 53406,S200000,00200,0200,NJ 53406,S200000,00200,0300,08204 53406,S200000,00300,0100,CAPE MAY 53406,S200000,00400,0100,NORTH CAPE NURSING & REHAB. CTR. 53406,S200000,00400,0200,315350 53406,S200000,00400,0300,02/02/1996 53406,S200000,00400,0500,P 53406,S200000,01600,0100,Y 53406,S200000,02200,0100,Y 53406,S200000,04300,0100,Y 53413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53413,A000000,00300,0000,00300EMPLOYEE BENEFITS 53413,A000000,00301,0000,00301STAFF DEVELOPMENT 53413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53413,A000000,00700,0000,00700HOUSEKEEPING 53413,A000000,00800,0000,00800DIETARY 53413,A000000,00900,0000,00900NURSING ADMINISTRATION 53413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53413,A000000,01100,0000,01100PHARMACY 53413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53413,A000000,01300,0000,01300SOCIAL SERVICE 53413,A000000,01350,0000,01500PATIENT ACTIVITIES 53413,A000000,01351,0000,01501PATIENT EQUIPMENT RENTAL 53413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53413,A000000,01600,0000,01600SKILLED NURSING FACILITY 53413,A000000,01800,0000,01800NURSING FACILITY 53413,A000000,01810,0000,01810ICF/MR 53413,A000000,02100,0000,02100RADIOLOGY 53413,A000000,02200,0000,02200LABORATORY 53413,A000000,02300,0000,02300INTRAVENOUS THERAPY 53413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53413,A000000,02500,0000,02500PHYSICAL THERAPY 53413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53413,A000000,02700,0000,02700SPEECH PATHOLOGY 53413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53413,A000000,03050,0000,03300ENTERAL FORMULAE 53413,A000000,03051,0000,03301BLANK1 53413,A000000,03052,0000,03302RESPIRATORY THERAPY 53413,A000000,03053,0000,03303BLANK 3 53413,A000000,03054,0000,03304OTHER MEDICAL SERVICES 53413,A000000,03055,0000,03305CARRIER SERVICE 53413,A000000,03200,0000,03200SUPPORT SURFACES 53413,A000000,03550,0000,03550FQHC 53413,A000000,04800,0000,04800AMBULANCE 53413,A000000,05000,0000,05000CORF 53413,A000000,05010,0000,05010CMHC 53413,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53413,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53413,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53413,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53413,B100000,00000,0100,00000SQUARE FEET 53413,B100000,00000,0200,00000SQUARE FEET 53413,B100000,00000,0300,00000GROSS SALARIES 53413,B100000,00000,0301,00000GROSS SALARIES 53413,B100000,00000,0400,00000ACCUM COST 53413,B100000,00000,0500,00000SQUARE FEET 53413,B100000,00000,0600,00000PATIENT DAYS 53413,B100000,00000,0700,00000HOURS OF SERVICE 53413,B100000,00000,0800,00000PATIENT DAYS 53413,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53413,B100000,00000,1000,00000COSTED REQUISITIO 53413,B100000,00000,1100,00000COSTED REQUISITIO 53413,B100000,00000,1200,00000TIME SPENT 53413,B100000,00000,1300,00000TIME SPENT 53413,B100000,00000,1350,00000TIME SPENT 53413,B100000,00000,1351,00000COSTED REQUISITIO 53413,B100000,00000,1400,00000ASSIGNED TIME 53413,E10A180,00501,0100,07/12/2000 53413,S000000,00100,0200,06/01/2000 53413,S200000,00100,0100,23 PARK PLACE 53413,S200000,00200,0100,BLOOMFIELD 53413,S200000,00200,0200,NJ 53413,S200000,00200,0300,07003 53413,S200000,00300,0100,ESSEX 53413,S200000,00400,0100,PARK MANOR NURSING HOME 53413,S200000,00400,0200,315373 53413,S200000,00400,0300,11/01/1997 53413,S200000,00400,0500,P 53413,S200000,01600,0100,Y 53422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53422,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53422,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53422,A000000,00300,0000,00300EMPLOYEE BENEFITS 53422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53422,A000000,00700,0000,00700HOUSEKEEPING 53422,A000000,00800,0000,00800DIETARY 53422,A000000,00801,0000,00801CAFETERIA 53422,A000000,00900,0000,00900NURSING ADMINISTRATION 53422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53422,A000000,01100,0000,01100PHARMACY 53422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53422,A000000,01300,0000,01300SOCIAL SERVICE 53422,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53422,A000000,01600,0000,01600SKILLED NURSING FACILITY 53422,A000000,01800,0000,01800NURSING FACILITY 53422,A000000,01810,0000,01810ICF/MR 53422,A000000,01900,0000,01900OTHER LONG TERM CARE 53422,A000000,02100,0000,02100RADIOLOGY 53422,A000000,02200,0000,02200LABORATORY 53422,A000000,02300,0000,02300INTRAVENOUS THERAPY 53422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53422,A000000,02500,0000,02500PHYSICAL THERAPY 53422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53422,A000000,02700,0000,02700SPEECH PATHOLOGY 53422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53422,A000000,03050,0000,03300PEN PART B 53422,A000000,03051,0000,03301FEE SCREENING 53422,A000000,03052,0000,03302OTHER ANCILLARY III 53422,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53422,A000000,03550,0000,03550FQHC 53422,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53422,A000000,05000,0000,05000CORF I 53422,A000000,05010,0000,05010CMHC I 53422,A000000,05020,0000,05020OPT I 53422,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53422,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53422,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53422,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53422,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53422,B100000,00000,0100,00000(SQUARE FEET) 53422,B100000,00000,0101,00000(SQUARE FEET) 53422,B100000,00000,0200,00000(SQUARE FEET) 53422,B100000,00000,0201,00000(SQUARE FEET) 53422,B100000,00000,0300,00000(GROSS SALARIES) 53422,B100000,00000,0400,00000(ACCUM. COST) 53422,B100000,00000,0500,00000(SQUARE FEET) 53422,B100000,00000,0600,00000(PATIENT DAYS) 53422,B100000,00000,0700,00000(SQUARE FEET) 53422,B100000,00000,0800,00000(MEALS SERVED) 53422,B100000,00000,0801,00000(MEALS SERVED) 53422,B100000,00000,0900,00000(PATIENT DAYS) 53422,B100000,00000,1000,00000(COSTED REQUIS.) 53422,B100000,00000,1100,00000(PATIENT DAYS) 53422,B100000,00000,1200,00000(GROSS CHARGES) 53422,B100000,00000,1300,00000(PATIENT DAYS) 53422,B100000,00000,1350,00000(PATIENT DAYS) 53422,B100000,00000,1400,00000(ASSIGNED TIME) 53422,E10A180,00501,0100,06/12/2000 53422,E10A180,00501,0300,06/12/2000 53422,S000000,00100,0200,05/26/2000 53422,S200000,00100,0100,550 GLENWOOD RD 53422,S200000,00200,0100,MOORESVILLE 53422,S200000,00200,0200,NC 53422,S200000,00200,0300,28115 53422,S200000,00400,0100,MOORESVILLE CENTER 53422,S200000,00400,0200,345283 53422,S200000,00400,0300,10/01/1988 53422,S200000,00400,0500,P 53422,S200000,01600,0100,Y 53422,S200000,02200,0100,Y 53432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53432,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53432,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53432,A000000,00300,0000,00300EMPLOYEE BENEFITS 53432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53432,A000000,00700,0000,00700HOUSEKEEPING 53432,A000000,00800,0000,00800DIETARY 53432,A000000,00801,0000,00801CAFETERIA 53432,A000000,00900,0000,00900NURSING ADMINISTRATION 53432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53432,A000000,01100,0000,01100PHARMACY 53432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53432,A000000,01300,0000,01300SOCIAL SERVICE 53432,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53432,A000000,01600,0000,01600SKILLED NURSING FACILITY 53432,A000000,01800,0000,01800NURSING FACILITY 53432,A000000,01810,0000,01810ICF/MR 53432,A000000,01900,0000,01900OTHER LONG TERM CARE 53432,A000000,02100,0000,02100RADIOLOGY 53432,A000000,02200,0000,02200LABORATORY 53432,A000000,02300,0000,02300INTRAVENOUS THERAPY 53432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53432,A000000,02500,0000,02500PHYSICAL THERAPY 53432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53432,A000000,02700,0000,02700SPEECH PATHOLOGY 53432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53432,A000000,03050,0000,03300PEN PART B 53432,A000000,03051,0000,03301FEE SCREENING 53432,A000000,03052,0000,03302OTHER ANCILLARY III 53432,A000000,03200,0000,03200SUPPORT SURFACES 53432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53432,A000000,03550,0000,03550FQHC 53432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53432,A000000,05000,0000,05000CORF I 53432,A000000,05010,0000,05010CMHC I 53432,A000000,05020,0000,05020OPT I 53432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53432,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53432,B100000,00000,0100,00000(SQUARE FEET) 53432,B100000,00000,0101,00000(SQUARE FEET) 53432,B100000,00000,0200,00000(SQUARE FEET) 53432,B100000,00000,0201,00000(SQUARE FEET) 53432,B100000,00000,0300,00000(GROSS SALARIES) 53432,B100000,00000,0400,00000(ACCUM. COST) 53432,B100000,00000,0500,00000(SQUARE FEET) 53432,B100000,00000,0600,00000(PATIENT DAYS) 53432,B100000,00000,0700,00000(SQUARE FEET) 53432,B100000,00000,0800,00000(MEALS SERVED) 53432,B100000,00000,0801,00000(MEALS SERVED) 53432,B100000,00000,0900,00000(NURSING SALARIES) 53432,B100000,00000,1000,00000(PATIENT DAYS) 53432,B100000,00000,1100,00000(PATIENT DAYS) 53432,B100000,00000,1200,00000(GROSS CHARGES) 53432,B100000,00000,1300,00000(PATIENT DAYS) 53432,B100000,00000,1350,00000(PATIENT DAYS) 53432,B100000,00000,1400,00000(ASSIGNED TIME) 53432,S000000,00100,0200,05/16/2000 53432,S200000,00100,0100,710 JULIAN RD 53432,S200000,00200,0100,SALISBURY 53432,S200000,00200,0200,NC 53432,S200000,00200,0300,28144 53432,S200000,00400,0100,SALISBURY CENTER 53432,S200000,00400,0200,345286 53432,S200000,00400,0300,08/01/1987 53432,S200000,00400,0500,P 53432,S200000,01600,0100,Y 53432,S200000,02200,0100,Y 53443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53443,A000000,00300,0000,00300EMPLOYEE BENEFITS 53443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53443,A000000,00700,0000,00700HOUSEKEEPING 53443,A000000,00800,0000,00800DIETARY 53443,A000000,00900,0000,00900NURSING ADMINISTRATION 53443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53443,A000000,01100,0000,01100PHARMACY 53443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53443,A000000,01300,0000,01300SOCIAL SERVICE 53443,A000000,01350,0000,01500PATIENT ACTIVITIES 53443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53443,A000000,01600,0000,01600SKILLED NURSING FACILITY 53443,A000000,01800,0000,01800NURSING FACILITY 53443,A000000,01810,0000,01810ICF/MR 53443,A000000,01900,0000,01900OTHER LONG TERM CARE 53443,A000000,02200,0000,02200LABORATORY 53443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53443,A000000,02500,0000,02500PHYSICAL THERAPY 53443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53443,A000000,02700,0000,02700SPEECH PATHOLOGY 53443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53443,A000000,03550,0000,03550FQHC 53443,A000000,05000,0000,05000CORF 53443,A000000,05010,0000,05010CMHC 53443,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53443,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53443,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53443,A000000,05300,0000,05300INTEREST EXPENSE 53443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53443,A000000,06150,0000,06300OTHER NON REIMBURSEABLE 53443,A81000A,00100,0100,Y 53443,A81000B,00100,0300,LAS MANAGEMENT FEE 53443,A81000B,00200,0300,ACCOUNT SHARED SVCS 53443,A81000B,00300,0300,CENTRAL SHARED SVCS 53443,A81000B,00400,0300,QUALITY SHARED SVCS 53443,A81000B,00500,0300,MEDICAL DIRECTOR 53443,A81000B,00600,0300,PT SHARED SVCS 53443,A81000B,00700,0300,OT SHARED SVCS 53443,A81000B,00800,0300,ST SHARED SVCS 53443,A81000B,00900,0300,AREC SHARED SVCS 53443,A81000B,01000,0300,DEVELPP SHARED SVCS 53443,A81000C,00100,0100,B 53443,A81000C,00100,0400,LUTHERAN AFFIL 53443,A81000C,00100,0600,MANAGEMENT SVCS 53443,A81000C,00200,0100,G 53443,A81000C,00200,0200,LAS GERI CARE S 53443,A81000C,00200,0400,LUTHERAN AFFIL 53443,A81000C,00200,0600,THERAPY & QUAL 53443,B100000,00000,0100,00000SQUARE FEET 53443,B100000,00000,0200,00000SQUARE FEET 53443,B100000,00000,0300,00000GROSS SALARIES 53443,B100000,00000,0400,00000ACCUM COST 53443,B100000,00000,0500,00000SQUARE FEET 53443,B100000,00000,0600,00000POUNDS OF LAUNDRY 53443,B100000,00000,0700,00000SQUARE FEET 53443,B100000,00000,0800,00000MEALS SERVED 53443,B100000,00000,0900,00000DIRECT NRSG HRS 53443,B100000,00000,1000,00000COSTED REQUIS 53443,B100000,00000,1100,00000COSTED REQUIS 53443,B100000,00000,1200,00000TIME SPENT 53443,B100000,00000,1300,00000PATIENT DAYS 53443,B100000,00000,1350,00000PATIENT DAYS 53443,B100000,00000,1400,00000ASSIGNED TIME 53443,E10A180,00550,0300,12/12/2000 53443,S000000,00100,0200,12/08/2000 53443,S200000,00100,0100,401 SOUTH MAIN ST 53443,S200000,00200,0100,ZELIENOPLE 53443,S200000,00200,0200,PA 53443,S200000,00300,0100,B 53443,S200000,00400,0100,PASSAVANT RETIREMENT CENTER 53443,S200000,00400,0200,395001 53443,S200000,00400,0300,07/01/1967 53443,S200000,00400,0500,P 53443,S200000,01020,0200,396702 53443,S200000,01020,0300,05/16/1995 53443,S200000,01020,0500,O 53443,S200000,01600,0100,Y 53443,S200000,02200,0100,Y 53443,S200000,02800,0100,Y 53454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53454,A000000,00300,0000,00300EMPLOYEE BENEFITS 53454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53454,A000000,00700,0000,00700HOUSEKEEPING 53454,A000000,00800,0000,00800DIETARY 53454,A000000,00900,0000,00900NURSING ADMINISTRATION 53454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53454,A000000,01100,0000,01100PHARMACY 53454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53454,A000000,01300,0000,01300SOCIAL SERVICE 53454,A000000,01350,0000,01500OTHER GENERAL SERVICES 53454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53454,A000000,01600,0000,01600SKILLED NURSING FACILITY 53454,A000000,01800,0000,01800NURSING FACILITY 53454,A000000,01810,0000,01810ICF/MR 53454,A000000,02100,0000,02100RADIOLOGY 53454,A000000,02200,0000,02200LABORATORY 53454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53454,A000000,02500,0000,02500PHYSICAL THERAPY 53454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53454,A000000,02700,0000,02700SPEECH PATHOLOGY 53454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53454,A000000,03550,0000,03550FQHC 53454,A000000,05000,0000,05000CORF 53454,A000000,05010,0000,05010CMHC 53454,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53454,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53454,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53454,A000000,05300,0000,05300INTEREST EXPENSE 53454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53454,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 53454,B100000,00000,0100,00000SQUARE FEET 53454,B100000,00000,0200,00000DOLLAR VALUE 53454,B100000,00000,0300,00000GROSS SALARIES 53454,B100000,00000,0400,00000ACCUM. COST 53454,B100000,00000,0500,00000SQUARE FEET 53454,B100000,00000,0600,00000POUNDS OF LAUNDRY 53454,B100000,00000,0700,00000HOURS OF SERVICE 53454,B100000,00000,0800,00000MEALS SERVED 53454,B100000,00000,0900,00000DIRECT NRSING HRS 53454,B100000,00000,1000,00000COSTED REQUIS. 53454,B100000,00000,1100,00000COSTED REQUIS. 53454,B100000,00000,1200,00000TIME SPENT 53454,B100000,00000,1300,00000TIME SPENT 53454,B100000,00000,1350,00000NO STATISTICS 53454,B100000,00000,1400,00000ASSIGNED TIME 53454,E10A180,00350,0100,02/05/1999 53454,E10A180,00350,0300,02/05/1999 53454,E10A180,00501,0100,12/01/2000 53454,E10A180,00550,0300,12/01/2000 53454,S000000,00100,0200,11/29/2000 53454,S200000,00100,0100,520 FRIENDSHIP STREET 53454,S200000,00200,0100,NEWCASTLE 53454,S200000,00200,0200,PA 53454,S200000,00200,0300,16101 53454,S200000,00400,0100,GOLDEN HILL NURSING HOME INC. 53454,S200000,00400,0200,395003 53454,S200000,00400,0300,01/01/1975 53454,S200000,00400,0500,P 53454,S200000,01600,0100,Y 53466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53466,A000000,00300,0000,00300EMPLOYEE BENEFITS 53466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53466,A000000,00700,0000,00700HOUSEKEEPING 53466,A000000,00800,0000,00800DIETARY 53466,A000000,00900,0000,00900NURSING ADMINISTRATION 53466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53466,A000000,01100,0000,01100PHARMACY 53466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53466,A000000,01300,0000,01300SOCIAL SERVICE 53466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53466,A000000,01600,0000,01600SKILLED NURSING FACILITY 53466,A000000,01800,0000,01800NURSING FACILITY 53466,A000000,01810,0000,01810ICF/MR 53466,A000000,01900,0000,01900OTHER LONG TERM CARE 53466,A000000,02200,0000,02200LABORATORY 53466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53466,A000000,02500,0000,02500PHYSICAL THERAPY 53466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53466,A000000,02700,0000,02700SPEECH PATHOLOGY 53466,A000000,02801,0000,02801MEDICAL SOCIAL WORK 53466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53466,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 53466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 53466,A000000,03550,0000,03550FQHC 53466,A000000,05000,0000,05000CORF 53466,A000000,05010,0000,05010CMHC 53466,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53466,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53466,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53466,A000000,05300,0000,05300INTEREST EXPENSE 53466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53466,A81000A,00100,0100,Y 53466,A81000B,00100,0300,HRHMC STEAM/ELEC 53466,A81000B,00200,0300,CORF - PT 53466,A81000B,00300,0300,CORF - OT 53466,A81000B,00400,0300,CORF - ST 53466,A81000B,00500,0300,HRHS - ADMIN 53466,A81000B,00600,0300,INTEREST 53466,A81000B,00700,0300,DIETARY 53466,A81000B,00800,0300,ANCILLARY SERVICES 53466,A81000C,00100,0100,B 53466,A81000C,00100,0200,HRHS 53466,A81000C,00100,0400,HRHS 53466,A81000C,00100,0600,HEALTH SYSTEM 53466,B100000,00000,0100,00000SQUARE FEET 53466,B100000,00000,0200,00000SQUARE FEET 53466,B100000,00000,0300,00000GROSS SALARIES 53466,B100000,00000,0400,00000ACCUM COST 53466,B100000,00000,0500,00000SQUARE FEET 53466,B100000,00000,0600,00000POUNDS OF LAUNDRY 53466,B100000,00000,0700,00000HOURS OF SERVICE 53466,B100000,00000,0800,00000MEALS SERVED 53466,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53466,B100000,00000,1000,00000COSTED REQUISITIO 53466,B100000,00000,1100,00000COSTED REQUISITIO 53466,B100000,00000,1200,00000TIME SPENT 53466,B100000,00000,1300,00000TIME SPENT 53466,B100000,00000,1400,00000ASSIGNED TIME 53466,E10A180,00550,0100,12/05/2000 53466,S000000,00100,0200,11/22/2000 53466,S200000,00100,0100,1616 HUNTINGDON PIKE 53466,S200000,00200,0100,MEADOWBROOK 53466,S200000,00200,0200,PA 53466,S200000,00200,0300,19046 53466,S200000,00300,0100,MONTGOMERY 53466,S200000,00400,0100,ST. JOSEPH MANOR 53466,S200000,00400,0200,395006 53466,S200000,00400,0300,01/01/1967 53466,S200000,00400,0500,P 53466,S200000,01500,0100,Y 53466,S200000,02800,0100,Y 53476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53476,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53476,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53476,A000000,00300,0000,00300EMPLOYEE BENEFITS 53476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53476,A000000,00700,0000,00700HOUSEKEEPING 53476,A000000,00800,0000,00800DIETARY 53476,A000000,00801,0000,00801CAFETERIA 53476,A000000,00900,0000,00900NURSING ADMINISTRATION 53476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53476,A000000,01100,0000,01100PHARMACY 53476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53476,A000000,01300,0000,01300SOCIAL SERVICE 53476,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 53476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53476,A000000,01600,0000,01600SKILLED NURSING FACILITY 53476,A000000,01800,0000,01800NURSING FACILITY 53476,A000000,01810,0000,01810ICF/MR 53476,A000000,02100,0000,02100RADIOLOGY 53476,A000000,02200,0000,02200LABORATORY 53476,A000000,02500,0000,02500PHYSICAL THERAPY 53476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53476,A000000,02700,0000,02700SPEECH PATHOLOGY 53476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53476,A000000,03050,0000,03300OTHER ANCILLARY 53476,A000000,03051,0000,03301OTHER ANCILLARY II 53476,A000000,03052,0000,03302OTHER ANCILLARY III 53476,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53476,A000000,03550,0000,03550FQHC 53476,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53476,A000000,04800,0000,04800AMBULANCE 53476,A000000,05000,0000,05000CORF I 53476,A000000,05010,0000,05010CMHC I 53476,A000000,05020,0000,05020OPT I 53476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53476,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53476,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53476,A81000A,00100,0100,Y 53476,A81000B,00100,0300,COUNTY COSTS 53476,A81000C,00100,0100,B 53476,A81000C,00100,0200,BUCKS COUNTY 53476,B100000,00000,0100,00000(SQUARE FEET) 53476,B100000,00000,0101,00000(SQUARE FEET) 53476,B100000,00000,0200,00000(SQUARE FEET) 53476,B100000,00000,0201,00000(SQUARE FEET) 53476,B100000,00000,0300,00000(GROSS SALARIES) 53476,B100000,00000,0400,00000(ACCUM. COST) 53476,B100000,00000,0500,00000(SQUARE FEET) 53476,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 53476,B100000,00000,0700,00000(SQUARE FEET) 53476,B100000,00000,0800,00000(MEALS SERVED) 53476,B100000,00000,0801,00000(MEALS SERVED) 53476,B100000,00000,0900,00000(NURSING SALARIES) 53476,B100000,00000,1000,00000(COSTED REQUIS.) 53476,B100000,00000,1100,00000(PATIENT DAYS) 53476,B100000,00000,1200,00000(GROSS CHARGES) 53476,B100000,00000,1300,00000(PATIENT DAYS) 53476,B100000,00000,1350,00000 53476,B100000,00000,1400,00000(ASSIGNED TIME) 53476,E10A180,00501,0300,06/12/2000 53476,S000000,00100,0200,05/18/2000 53476,S200000,00100,0100,1660 EASTON RD. 53476,S200000,00200,0100,WARRINGTON 53476,S200000,00200,0200,PA 53476,S200000,00200,0300,18976 53476,S200000,00300,0100,BUCKS 53476,S200000,00400,0100,NESHAMINY MANOR HOME 53476,S200000,00400,0200,395010 53476,S200000,00400,0300,01/01/1980 53476,S200000,00400,0500,P 53476,S200000,01600,0100,Y 53487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53487,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53487,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53487,A000000,00300,0000,00300EMPLOYEE BENEFITS 53487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53487,A000000,00700,0000,00700HOUSEKEEPING 53487,A000000,00800,0000,00800DIETARY 53487,A000000,00801,0000,00801CAFETERIA 53487,A000000,00900,0000,00900NURSING ADMINISTRATION 53487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53487,A000000,01100,0000,01100PHARMACY 53487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53487,A000000,01300,0000,01300SOCIAL SERVICE 53487,A000000,01350,0000,01500RECREATION 53487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53487,A000000,01600,0000,01600SKILLED NURSING FACILITY 53487,A000000,01800,0000,01800NURSING FACILITY 53487,A000000,01810,0000,01810ICF/MR 53487,A000000,02100,0000,02100RADIOLOGY 53487,A000000,02200,0000,02200LABORATORY 53487,A000000,02300,0000,02300INTRAVENOUS THERAPY 53487,A000000,02500,0000,02500PHYSICAL THERAPY 53487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53487,A000000,02700,0000,02700SPEECH PATHOLOGY 53487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53487,A000000,03050,0000,03300PEN THERAPY 53487,A000000,03051,0000,03301OTHER ANCILLARY II 53487,A000000,03052,0000,03302AMBULANCE 53487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53487,A000000,03550,0000,03550FQHC 53487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53487,A000000,05000,0000,05000CORF I 53487,A000000,05010,0000,05010CMHC I 53487,A000000,05020,0000,05020OPT I 53487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53487,A000000,05300,0000,05300INTEREST EXPENSE 53487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53487,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53487,A81000A,00100,0100,Y 53487,A81000B,00100,0300,A & G 53487,A81000C,00100,0100,B 53487,A81000C,00100,0400,HOOSIER HEALTH 53487,A81000C,00100,0600,PARENT COMPANY 53487,B100000,00000,0100,00000(SQUARE FEET) 53487,B100000,00000,0101,00000(SQUARE FEET) 53487,B100000,00000,0200,00000(SQUARE FEET) 53487,B100000,00000,0201,00000(SQUARE FEET) 53487,B100000,00000,0300,00000(GROSS SALARIES) 53487,B100000,00000,0400,00000(ACCUM. COST) 53487,B100000,00000,0500,00000(SQUARE FEET) 53487,B100000,00000,0600,00000(PATIENT DAYS) 53487,B100000,00000,0700,00000(SQUARE FEET) 53487,B100000,00000,0800,00000(MEALS SERVED) 53487,B100000,00000,0801,00000(MEALS SERVED) 53487,B100000,00000,0900,00000(NURSING SALARIES) 53487,B100000,00000,1000,00000(COSTED REQUIS.) 53487,B100000,00000,1100,00000(PATIENT DAYS) 53487,B100000,00000,1200,00000(PATIENT DAYS) 53487,B100000,00000,1300,00000(PATIENT DAYS) 53487,B100000,00000,1350,00000(PATIENT DAYS) 53487,B100000,00000,1400,00000(ASSIGNED TIME) 53487,E10A180,00501,0100,01/18/2001 53487,E10A180,00501,0300,01/18/2001 53487,S000000,00100,0200,11/30/2000 53487,S200000,00100,0100,1050 BROADVIEW BLVD 53487,S200000,00200,0100,BRACKENRIDGE 53487,S200000,00200,0200,PA 53487,S200000,00200,0300,15014 53487,S200000,00300,0100,ALLEGHANY 53487,S200000,00400,0100,HIGHLAND CENTER 53487,S200000,00400,0200,395011 53487,S200000,00400,0300,12/23/1983 53487,S200000,00400,0500,P 53487,S200000,01600,0100,Y 53487,S200000,02200,0100,Y 53494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53494,A000000,00300,0000,00300EMPLOYEE BENEFITS 53494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53494,A000000,00700,0000,00700HOUSEKEEPING 53494,A000000,00800,0000,00800DIETARY 53494,A000000,00900,0000,00900NURSING ADMINISTRATION 53494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53494,A000000,01100,0000,01100PHARMACY 53494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53494,A000000,01300,0000,01300SOCIAL SERVICE 53494,A000000,01350,0000,01500OTHER GENERAL SERVICES 53494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53494,A000000,01600,0000,01600SKILLED NURSING FACILITY 53494,A000000,01810,0000,01810ICF/MR 53494,A000000,02100,0000,02100RADIOLOGY 53494,A000000,02200,0000,02200LABORATORY 53494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53494,A000000,02500,0000,02500PHYSICAL THERAPY 53494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53494,A000000,02700,0000,02700SPEECH PATHOLOGY 53494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53494,A000000,03550,0000,03550FQHC 53494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53494,A000000,05000,0000,05000CORF 53494,A000000,05010,0000,05010CMHC 53494,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53494,A000000,05300,0000,05300INTEREST EXPENSE 53494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53494,B100000,00000,0100,00000SQUARE FEET 53494,B100000,00000,0200,00000SQUARE FEET 53494,B100000,00000,0300,00000GROSS SALARIES 53494,B100000,00000,0400,00000ACCUM. COST 53494,B100000,00000,0500,00000SQUARE FEET 53494,B100000,00000,0600,00000POUNDS OF LAUNDRY 53494,B100000,00000,0700,00000HOURS OF SERVICE 53494,B100000,00000,0800,00000MEALS SERVED 53494,B100000,00000,0900,00000DIRECT NRSING HRS 53494,B100000,00000,1000,00000COSTED REQUIS. 53494,B100000,00000,1100,00000COSTED REQUIS. 53494,B100000,00000,1200,00000TIME SPENT 53494,B100000,00000,1300,00000TIME SPENT 53494,B100000,00000,1350,00000NO STATISTICS 53494,B100000,00000,1400,00000ASSIGNED TIME 53494,E10A180,00501,0100,06/12/2000 53494,S000000,00100,0200,05/18/2000 53494,S200000,00100,0100,2075 SCOTLAND AVENUE 53494,S200000,00200,0100,CHAMBERSBURG 53494,S200000,00200,0200,PA 53494,S200000,00300,0100,FRANKLIN 53494,S200000,00400,0100,MENNO-HAVEN INC. 53494,S200000,00400,0200,395012 53494,S200000,00400,0300,01/01/1967 53494,S200000,00400,0500,P 53494,S200000,00400,0600,O 53494,S200000,01500,0100,Y 53504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53504,A000000,00300,0000,00300EMPLOYEE BENEFITS 53504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53504,A000000,00700,0000,00700HOUSEKEEPING 53504,A000000,00800,0000,00800DIETARY 53504,A000000,00900,0000,00900NURSING ADMINISTRATION 53504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53504,A000000,01100,0000,01100PHARMACY 53504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53504,A000000,01300,0000,01300SOCIAL SERVICE 53504,A000000,01350,0000,01500MEDICAL STAFF 53504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53504,A000000,01600,0000,01600SKILLED NURSING FACILITY 53504,A000000,01810,0000,01810ICF/MR 53504,A000000,02500,0000,02500PHYSICAL THERAPY 53504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53504,A000000,02700,0000,02700SPEECH PATHOLOGY 53504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53504,A000000,03050,0000,03300PATIENT ACTIVITY 53504,A000000,03400,0000,03400CLINIC 53504,A000000,03550,0000,03550FQHC 53504,A000000,05000,0000,05000CORF 53504,A000000,05010,0000,05010CMHC 53504,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53504,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53504,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 53504,A000000,05300,0000,05300INTEREST EXPENSE 53504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53504,A000000,06150,0000,06300NON-REIMBURSEABLE 53504,A81000A,00100,0100,Y 53504,A81000B,00100,0300,SUPPLIES 53504,A81000B,00200,0300,SUPPLIES 53504,A81000B,00300,0300,SUPPLIES 53504,A81000B,00400,0300,SUPPLIES 53504,A81000B,00500,0300,SUPPLIES 53504,A81000B,00600,0300,SUPPLIES 53504,A81000B,00700,0300,SUPPLIES 53504,A81000B,00800,0300,SUPPLIES 53504,A81000B,00900,0300,SUPPLIES 53504,A81000B,01000,0300,SUPPLIES 53504,A81000B,01100,0300,SUPPLIES 53504,A81000B,01200,0300,SUPPLIES 53504,A81000B,01300,0300,SUPPLIES 53504,A81000C,00100,0100,G 53504,A81000C,00100,0200,WILLIAM R. JUBE 53504,A81000C,00100,0400,HERITAGE VALLEY 53504,B100000,00000,0100,00000SQUARE FEET 53504,B100000,00000,0200,00000SQUARE FEET 53504,B100000,00000,0300,00000GROSS SALARIES 53504,B100000,00000,0400,00000ACCUM COST 53504,B100000,00000,0500,00000SQUARE FEET 53504,B100000,00000,0600,00000POUNDS OF LAUNDRY 53504,B100000,00000,0700,00000HOURS OF SERVICE 53504,B100000,00000,0800,00000MEALS SERVED 53504,B100000,00000,0900,00000DIRECT NRSG HRS 53504,B100000,00000,1000,00000COSTED REQUIS 53504,B100000,00000,1100,00000COSTED REQUIS 53504,B100000,00000,1200,00000TIME SPENT 53504,B100000,00000,1300,00000TIME SPENT 53504,B100000,00000,1350,00000 53504,B100000,00000,1400,00000ASSIGNED TIME 53504,S000000,00100,0200,06/07/2000 53504,S200000,00100,0100,246 FRIENDSHIP CIRCLE 53504,S200000,00200,0100,BEAVER 53504,S200000,00200,0200,PA 53504,S200000,00200,0300,15009 53504,S200000,00300,0100,BEAVER 53504,S200000,00400,0100,BEAVER VALLEY GERIATRIC CENTER 53504,S200000,00400,0200,395015 53504,S200000,00400,0300,01/01/1967 53504,S200000,00400,0500,P 53514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53514,A000000,00300,0000,00300EMPLOYEE BENEFITS 53514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53514,A000000,00700,0000,00700HOUSEKEEPING 53514,A000000,00800,0000,00800DIETARY 53514,A000000,00900,0000,00900NURSING ADMINISTRATION 53514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53514,A000000,01100,0000,01100PHARMACY 53514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53514,A000000,01300,0000,01300SOCIAL SERVICE 53514,A000000,01350,0000,01500PATIENT ACTIVITIES 53514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53514,A000000,01600,0000,01600SKILLED NURSING FACILITY 53514,A000000,01800,0000,01800NURSING FACILITY 53514,A000000,01810,0000,01810ICF/MR 53514,A000000,02100,0000,02100RADIOLOGY 53514,A000000,02200,0000,02200LABORATORY 53514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53514,A000000,02500,0000,02500PHYSICAL THERAPY 53514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53514,A000000,02700,0000,02700SPEECH PATHOLOGY 53514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53514,A000000,03550,0000,03550FQHC 53514,A000000,05000,0000,05000CORF 53514,A000000,05010,0000,05010CMHC 53514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53514,A000000,05300,0000,05300INTEREST EXPENSE 53514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53514,A000000,06150,0000,06300TELEVISION 53514,A81000A,00100,0100,Y 53514,A81000B,00100,0300,RX DRUGS 53514,A81000B,00200,0300,OTC DRUGS 53514,A81000B,00300,0300,ROUTINE MEDICAL SUPP 53514,A81000B,00400,0300,ANCILLARY MEDICAL SU 53514,A81000B,00500,0300,GENERAL NURSING SUPP 53514,A81000B,00600,0300,THERAPY SUPPLIES 53514,A81000B,00800,0300,PHARMACY DIRECTOR 53514,A81000B,00900,0300,EMPLOYEE BENEFITS 53514,A81000B,01000,0300,INTEREST/SERVICE CHA 53514,A81000B,01100,0300,MANAGEMENT FEES 53514,A81000C,00100,0100,A 53514,A81000C,00100,0200,P. DODD 53514,A81000C,00100,0400,BROCKIE HEALTHC 53514,A81000C,00100,0600,MEDICAL SUPPLIE 53514,A81000C,00200,0100,A 53514,A81000C,00200,0200,A. REYNOLDS 53514,A81000C,00200,0400,BROCKIE HEALTHC 53514,A81000C,00200,0600,MEDICAL SUPPLIE 53514,A81000C,00300,0100,A 53514,A81000C,00300,0200,S. WILSON 53514,A81000C,00300,0400,BROCKIE HEALTHC 53514,A81000C,00300,0600,MEDICAL SUPPLIE 53514,A81000C,00400,0100,A 53514,A81000C,00400,0200,M. WILSON 53514,A81000C,00400,0400,BROCKIE HEALTHC 53514,A81000C,00400,0600,MEDICAL SUPPLIE 53514,A81000C,00500,0100,A 53514,A81000C,00500,0200,D. WILSON 53514,A81000C,00500,0400,BROCKIE HEALTHC 53514,A81000C,00500,0600,MEDICAL SUPPLIE 53514,A81000C,00600,0100,A 53514,A81000C,00600,0200,K. MCCORMACK 53514,A81000C,00600,0400,BROCKIE HEALTHC 53514,A81000C,00600,0600,MEDICAL SUPPLIE 53514,A81000C,00700,0100,A 53514,A81000C,00700,0200,J. MCCORMACK 53514,A81000C,00700,0400,BROCKIE HEALTHC 53514,A81000C,00700,0600,MEDICAL SUPPLIE 53514,A81000C,00800,0100,A 53514,A81000C,00800,0200,G. MCCORMACK 53514,A81000C,00800,0400,BROCKIE HEALTHC 53514,A81000C,00800,0600,MEDICAL SUPPLIE 53514,A81000C,00900,0100,A 53514,A81000C,00900,0200,D. MCCORMACK 53514,A81000C,00900,0400,BROCKIE HEALTHC 53514,A81000C,00900,0600,MEDICAL SUPPLIE 53514,A81000C,01000,0100,B 53514,A81000C,01000,0200,WILMAC 53514,A81000C,01000,0400,WILMAC 53514,A81000C,01000,0600,HOME OFFICE 53514,B100000,00000,0100,00000SQUARE FEET 53514,B100000,00000,0200,00000SQUARE FEET 53514,B100000,00000,0300,00000GROSS SALARIES 53514,B100000,00000,0400,00000ACCUM COST 53514,B100000,00000,0500,00000SQUARE FEET 53514,B100000,00000,0600,00000POUNDS OF LAUNDRY 53514,B100000,00000,0700,00000SQ FT W/O KIT. 53514,B100000,00000,0800,00000MEALS SERVED 53514,B100000,00000,0900,00000DIRECT NRSG HRS 53514,B100000,00000,1000,00000COSTED REQUIS 53514,B100000,00000,1100,00000COSTED REQUIS 53514,B100000,00000,1200,00000GROSS CHARGES 53514,B100000,00000,1300,00000TIME SPENT 53514,B100000,00000,1350,00000PATIENT DAYS 53514,B100000,00000,1400,00000ASSIGNED TIME 53514,E10A180,00501,0100,06/19/2000 53514,S000000,00100,0200,05/31/2000 53514,S200000,00100,0100,267 FREDERICK STREET 53514,S200000,00200,0100,HANOVER 53514,S200000,00200,0200,PA 53514,S200000,00200,0300,17331 53514,S200000,00300,0100,YORK 53514,S200000,00400,0100,HANOVER HALL 53514,S200000,00400,0200,395016 53514,S200000,00400,0300,07/01/1970 53514,S200000,00400,0500,P 53514,S200000,01600,0100,Y 53514,S200000,02200,0100,Y 53514,S200000,02800,0100,Y 53523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53523,A000000,00300,0000,00300EMPLOYEE BENEFITS 53523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53523,A000000,00700,0000,00700HOUSEKEEPING 53523,A000000,00800,0000,00800DIETARY 53523,A000000,00900,0000,00900NURSING ADMINISTRATION 53523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53523,A000000,01100,0000,01100PHARMACY 53523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53523,A000000,01300,0000,01300SOCIAL SERVICE 53523,A000000,01350,0000,01500ACTIVITIES 53523,A000000,01351,0000,01501PASTORAL CARE 53523,A000000,01352,0000,01502VOLUNTEERS 53523,A000000,01353,0000,01503ICF/MR 53523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53523,A000000,01600,0000,01600SKILLED NURSING FACILITY 53523,A000000,01810,0000,01810ICF/MR 53523,A000000,02100,0000,02100RADIOLOGY 53523,A000000,02200,0000,02200LABORATORY 53523,A000000,02500,0000,02500PHYSICAL THERAPY 53523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53523,A000000,02700,0000,02700SPEECH PATHOLOGY 53523,A000000,02800,0000,02800ELECTROCARDIOLOGY 53523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53523,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53523,A000000,03550,0000,03550FQHC 53523,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53523,A000000,05000,0000,05000CORF 53523,A000000,05010,0000,05010CMHC 53523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 53523,A000000,06150,0000,06300MARKETING 53523,A000000,06151,0000,06301PERSONAL CARE 53523,A81000A,00100,0100,Y 53523,A81000B,00100,0300,ADMINISTRATIVE SERVICE 53523,A81000B,00200,0300,COMPUTER FEE 53523,A81000B,00300,0300,CAPITAL COSTS 53523,A81000B,00400,0300,CAPITAL COSTS 53523,A81000C,00100,0100,G 53523,A81000C,00100,0200,PARENT CORP 53523,A81000C,00100,0400,BAPTIST HOMES SOCIETY 53523,A81000C,00100,0600,ADMINISTRATIVE & MANAGE 53523,A81000C,00200,0100,G 53523,A81000C,00200,0200,AFFILIATED CORP 53523,A81000C,00200,0400,BAPTIST MANOR 53523,A81000C,00200,0600,HUD 202 APARTMENT 53523,A81000C,00300,0100,G 53523,A81000C,00300,0200,AFFILIATED CORP 53523,A81000C,00300,0400,BAPTIST HOMES RESIDENCE 53523,A81000C,00300,0600,PERSONAL CARE FACILITY 53523,A81000C,00400,0100,G 53523,A81000C,00400,0200,AFFILIATED CORP 53523,A81000C,00400,0400,BAPTIST MANOR 53523,A81000C,00400,0600,HUD 202 APARTMENT 53523,B100000,00000,0100,00001SQUARE FEET 53523,B100000,00000,0200,00001SQUARE FEET 53523,B100000,00000,0300,00001GROSS SALARIES 53523,B100000,00000,0400,00001ACCUM. COST 53523,B100000,00000,0500,00001SQUARE FEET 53523,B100000,00000,0600,00001POUNDS OF LAUNDRY 53523,B100000,00000,0700,00001SQUARE FEET 53523,B100000,00000,0800,00001MEALS SERVED 53523,B100000,00000,0900,00001DIRECT NRSING HRS 53523,B100000,00000,1000,00001COSTED REQUIS 53523,B100000,00000,1100,00001COSTED REQUIS 53523,B100000,00000,1200,00001SNF PATIENT 53523,B100000,00000,1300,00001TIME SPENT 53523,B100000,00000,1350,00001SNF PATIENT 53523,B100000,00000,1351,00001PATIENT DAYS 53523,B100000,00000,1352,00001PATIENT DAYS 53523,B100000,00000,1353,00001 53523,B100000,00000,1400,00001ASSIGNED TIME 53523,E10A180,00501,0100,11/30/2000 53523,E10A180,00501,0300,11/30/2000 53523,S000000,00100,0200,11/27/2000 53523,S200000,00100,0100,489 CASTLE SHANNON BLVD. 53523,S200000,00200,0100,PITTSBURGH 53523,S200000,00200,0200,PA 53523,S200000,00200,0300,15243 53523,S200000,00300,0100,ALLEGHENY 53523,S200000,00400,0100,BAPTIST HOMES NURSING CENTER 53523,S200000,00400,0200,395020 53523,S200000,00400,0300,10/31/1975 53523,S200000,00400,0500,P 53523,S200000,01500,0100,Y 53529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53529,A000000,00300,0000,00300EMPLOYEE BENEFITS 53529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53529,A000000,00700,0000,00700HOUSEKEEPING 53529,A000000,00800,0000,00800DIETARY 53529,A000000,00900,0000,00900NURSING ADMINISTRATION 53529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53529,A000000,01100,0000,01100PHARMACY 53529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53529,A000000,01300,0000,01300SOCIAL SERVICE 53529,A000000,01350,0000,01500ACTIVITIES 53529,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENT 53529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53529,A000000,01600,0000,01600SKILLED NURSING FACILITY 53529,A000000,01810,0000,01810ICF/MR 53529,A000000,02100,0000,02100RADIOLOGY 53529,A000000,02200,0000,02200LABORATORY 53529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53529,A000000,02500,0000,02500PHYSICAL THERAPY 53529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53529,A000000,02700,0000,02700SPEECH PATHOLOGY 53529,A000000,02800,0000,02800ELECTROCARDIOLOGY 53529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53529,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53529,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53529,A000000,03550,0000,03550FQHC 53529,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53529,A000000,05000,0000,05000CORF 53529,A000000,05010,0000,05010CMHC 53529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53529,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53529,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53529,B100000,00000,0100,00000SQUARE FEET 53529,B100000,00000,0200,00000SQUARE FEET 53529,B100000,00000,0300,00000GROSS SALARIES 53529,B100000,00000,0400,00000ACCUM. COST 53529,B100000,00000,0500,00000SQUARE FEET 53529,B100000,00000,0600,00000PATIENT DAYS 53529,B100000,00000,0700,00000SQUARE FEET 53529,B100000,00000,0800,00000MEALS SERVED 53529,B100000,00000,0900,00000DIRECT NRSING HRS 53529,B100000,00000,1000,00000COSTED REQUIS 53529,B100000,00000,1100,00000COSTED REQUIS 53529,B100000,00000,1200,00000TIME SPENT 53529,B100000,00000,1300,00000TIME SPENT 53529,B100000,00000,1350,00000TIME SPENT 53529,B100000,00000,1351,00000TIME SPENT 53529,B100000,00000,1400,00000ASSIGNED TIME 53529,E10A180,00501,0100,12/08/2000 53529,E10A180,00501,0300,12/08/2000 53529,S000000,00100,0200,11/22/2000 53529,S200000,00100,0100,108 S. MAIN STREET 53529,S200000,00200,0100,RICHLANDTOWN 53529,S200000,00200,0200,PA 53529,S200000,00200,0300,18955 53529,S200000,00300,0100,BUCKS 53529,S200000,00400,0100,ZOHLMAN NURSING HOME 53529,S200000,00400,0200,395023 53529,S200000,00400,0300,05/01/1975 53529,S200000,00400,0500,P 53529,S200000,01500,0100,Y 53538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53538,A000000,00300,0000,00300EMPLOYEE BENEFITS 53538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53538,A000000,00700,0000,00700HOUSEKEEPING 53538,A000000,00800,0000,00800DIETARY 53538,A000000,00900,0000,00900NURSING ADMINISTRATION 53538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53538,A000000,01100,0000,01100PHARMACY 53538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53538,A000000,01300,0000,01300SOCIAL SERVICE 53538,A000000,01350,0000,01500ACTIVITIES 53538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53538,A000000,01600,0000,01600SKILLED NURSING FACILITY 53538,A000000,01800,0000,01800NURSING FACILITY 53538,A000000,01810,0000,01810ICF/MR 53538,A000000,02100,0000,02100RADIOLOGY 53538,A000000,02200,0000,02200LABORATORY 53538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53538,A000000,02500,0000,02500PHYSICAL THERAPY 53538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53538,A000000,02700,0000,02700SPEECH PATHOLOGY 53538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53538,A000000,03101,0000,03110CLINITRON BEDS 53538,A000000,03550,0000,03550FQHC 53538,A000000,05000,0000,05000CORF 53538,A000000,05010,0000,05010CMHC 53538,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53538,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 53538,A000000,06101,0000,06101MARKETING 53538,B100000,00000,0100,00001SQUARE FEET 53538,B100000,00000,0200,00001SQUARE FEET 53538,B100000,00000,0300,00001GROSS SALARIES 53538,B100000,00000,0400,00001ACCUM COST 53538,B100000,00000,0500,00001SQUARE FEET 53538,B100000,00000,0600,00001PATIENT DAYS 53538,B100000,00000,0700,00001SQUARE FEET 53538,B100000,00000,0800,00001MEALS SERVED 53538,B100000,00000,0900,00001DIRECT NRSG HRS 53538,B100000,00000,1000,00001COSTED REQS 53538,B100000,00000,1100,00001PATIENT DAYS 53538,B100000,00000,1200,00001PATIENT DAYS 53538,B100000,00000,1300,00001PATIENT DAYS 53538,B100000,00000,1350,00001PATIENT DAYS 53538,B100000,00000,1400,00001ASSIGNED TIME 53538,E10A180,00301,0100,12/10/1999 53538,E10A180,00302,0100,12/22/1999 53538,E10A180,00501,0300,06/23/2000 53538,E10A180,00550,0100,06/23/2000 53538,S000000,00100,0200,05/30/2000 53538,S200000,00100,0100,2025 WIGHTMAN STREET 53538,S200000,00200,0100,PITTSBURGH 53538,S200000,00200,0200,PA 53538,S200000,00200,0300,15217 53538,S200000,00300,0100,ALLEGHANY 53538,S200000,00400,0100,WIGHTMAN CENTER FOR FURSING & REHAB 53538,S200000,00400,0200,395028 53538,S200000,00400,0300,09/01/1985 53538,S200000,00400,0500,P 53538,S200000,01600,0100,Y 53538,S200000,01900,0100,CORPORATION 53547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53547,A000000,00300,0000,00300EMPLOYEE BENEFITS 53547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53547,A000000,00700,0000,00700HOUSEKEEPING 53547,A000000,00800,0000,00800DIETARY 53547,A000000,00900,0000,00900NURSING ADMINISTRATION 53547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53547,A000000,01100,0000,01100PHARMACY 53547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53547,A000000,01300,0000,01300SOCIAL SERVICE 53547,A000000,01350,0000,01500ACTIVITIES 53547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53547,A000000,01600,0000,01600SKILLED NURSING FACILITY 53547,A000000,01800,0000,01800NURSING FACILITY 53547,A000000,01900,0000,01900OTHER LONG TERM CARE 53547,A000000,02100,0000,02100RADIOLOGY 53547,A000000,02200,0000,02200LABORATORY 53547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53547,A000000,02500,0000,02500PHYSICAL THERAPY 53547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53547,A000000,02700,0000,02700SPEECH PATHOLOGY 53547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53547,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53547,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53547,A000000,03550,0000,03550FQHC 53547,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53547,A000000,05000,0000,05000CORF 53547,A000000,05010,0000,05010CMHC 53547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53547,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53547,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53547,A81000A,00100,0100,Y 53547,A81000B,00100,0300,HOME OFFICE FEES 53547,A81000B,00200,0300,MANAGEMENT FEES 53547,A81000C,00100,0100,B 53547,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 53547,A81000C,00100,0400,AHF HOME OFFICE 53547,A81000C,00100,0600,HOME OFFICE 53547,A81000C,00200,0100,B 53547,A81000C,00200,0200,AMERICAN HEALTH FOUNDATIO 53547,A81000C,00200,0400,AHF MANAGEMENT INC. 53547,A81000C,00200,0600,MANAGEMENT CO. 53547,B100000,00000,0100,00000SQUARE FEET 53547,B100000,00000,0200,00000NO STATISTICS 53547,B100000,00000,0300,00000SALARIES 53547,B100000,00000,0400,00000ACCUM. COST 53547,B100000,00000,0500,00000SQUARE FEET 53547,B100000,00000,0600,00000POUNDS OF LAUNDRY 53547,B100000,00000,0700,00000SQUARE FEET 53547,B100000,00000,0800,00000MEALS SERVED 53547,B100000,00000,0900,00000DIRECT NURSING HR 53547,B100000,00000,1000,00000PATIENT DAYS 53547,B100000,00000,1100,00000PATIENT DAYS 53547,B100000,00000,1200,00000TIME SPENT 53547,B100000,00000,1300,00000TIME SPENT 53547,B100000,00000,1350,00000TIME SPENT 53547,B100000,00000,1400,00000NO STATISTICS 53547,S000000,00100,0200,05/30/2000 53547,S200000,00100,0100,249 WEST MCMURRAY ROAD 53547,S200000,00200,0100,MCMURRAY 53547,S200000,00200,0200,PA 53547,S200000,00300,0100,WASHINGTON 53547,S200000,00400,0100,AHF-C.STATES MCMURRAY HILLS 53547,S200000,00400,0200,395032 53547,S200000,00400,0300,01/01/1967 53547,S200000,00400,0500,P 53547,S200000,01600,0100,Y 53553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53553,A000000,00300,0000,00300EMPLOYEE BENEFITS 53553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53553,A000000,00700,0000,00700HOUSEKEEPING 53553,A000000,00800,0000,00800DIETARY 53553,A000000,00900,0000,00900NURSING ADMINISTRATION 53553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53553,A000000,01100,0000,01100PHARMACY 53553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53553,A000000,01300,0000,01300SOCIAL SERVICE 53553,A000000,01350,0000,01500ACTIVITIES 53553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53553,A000000,01600,0000,01600SKILLED NURSING FACILITY 53553,A000000,01800,0000,01800NURSING FACILITY 53553,A000000,01810,0000,01810ICF/MR 53553,A000000,01900,0000,01900OTHER LONG TERM CARE 53553,A000000,02100,0000,02100RADIOLOGY 53553,A000000,02200,0000,02200LABORATORY 53553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53553,A000000,02500,0000,02500PHYSICAL THERAPY 53553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53553,A000000,02700,0000,02700SPEECH PATHOLOGY 53553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53553,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53553,A000000,03550,0000,03550FQHC 53553,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53553,A000000,05000,0000,05000CORF 53553,A000000,05010,0000,05010CMHC 53553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53553,A000000,05300,0000,05300INTEREST EXPENSE 53553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53553,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53553,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53553,A81000A,00100,0100,Y 53553,A81000B,00100,0300,MANAGEMENT SERVICES 53553,A81000C,00100,0100,B 53553,A81000C,00100,0400,VINCENTIAN COLLABORATIVE 53553,A81000C,00100,0600,MANAGEMENT SERVICES 53553,B100000,00000,0100,00000SQUARE FEET 53553,B100000,00000,0200,00000SQUARE FEET 53553,B100000,00000,0300,00000GROSS SALARIES 53553,B100000,00000,0400,00000ACCUM. COST 53553,B100000,00000,0500,00000SQUARE FEET 53553,B100000,00000,0600,00000POUNDS OF LAUNDRY 53553,B100000,00000,0700,00000SQUARE FEET EXC 53553,B100000,00000,0800,00000MEALS SERVED 53553,B100000,00000,0900,00000DIRECT NRSING HRS 53553,B100000,00000,1000,00000PATIENT DAYS 53553,B100000,00000,1100,00000PATIENT DAYS 53553,B100000,00000,1200,00000TIME SPENT 53553,B100000,00000,1300,00000TIME SPENT 53553,B100000,00000,1350,00000TIME SPENT 53553,B100000,00000,1400,00000ASSIGNED TIME 53553,E10A180,00501,0300,11/30/2000 53553,E10A180,00550,0300,11/30/2000 53553,S000000,00100,0200,11/28/2000 53553,S200000,00100,0100,111 PERRYMONT ROAD 53553,S200000,00200,0100,PITTSBURGH 53553,S200000,00200,0200,PA 53553,S200000,00200,0300,15237 53553,S200000,00400,0100,VINCENTIAN HOME 53553,S200000,00400,0200,395034 53553,S200000,00400,0300,01/01/1967 53553,S200000,00400,0500,P 53553,S200000,01600,0100,Y 53560,S000000,00100,0200,10/25/1999 53566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53566,A000000,00300,0000,00300EMPLOYEE BENEFITS 53566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53566,A000000,00700,0000,00700HOUSEKEEPING 53566,A000000,00800,0000,00800DIETARY 53566,A000000,00900,0000,00900NURSING ADMINISTRATION 53566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53566,A000000,01100,0000,01100PHARMACY 53566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53566,A000000,01300,0000,01300SOCIAL SERVICE 53566,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53566,A000000,01600,0000,01600SKILLED NURSING FACILITY 53566,A000000,01800,0000,01800NURSING FACILITY 53566,A000000,01810,0000,01810ICF/MR 53566,A000000,02200,0000,02200LABORATORY 53566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53566,A000000,02500,0000,02500PHYSICAL THERAPY 53566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53566,A000000,02700,0000,02700SPEECH PATHOLOGY 53566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53566,A000000,03550,0000,03550FQHC 53566,A000000,04800,0000,04800AMBULANCE 53566,A000000,05000,0000,05000CORF 53566,A000000,05010,0000,05010CMHC 53566,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53566,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53566,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53566,A000000,05300,0000,05300INTEREST EXPENSE 53566,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53566,A000000,06100,0000,06100NONPAID WORKERS 53566,A000000,06200,0000,06200PATIENTS LAUNDRY 53566,A81000A,00100,0100,Y 53566,A81000B,00100,0300,RENT 53566,A81000C,00100,0100,B 53566,A81000C,00100,0400,SISTERS OF ST J 53566,A81000C,00100,0600,NON PROFIT 53566,B100000,00000,0100,00000SQUARE FEET 53566,B100000,00000,0200,00000SQUARE FEET 53566,B100000,00000,0300,00000GROSS SALARIES 53566,B100000,00000,0400,00000ACCUM COST 53566,B100000,00000,0500,00000SQUARE FEET 53566,B100000,00000,0600,00000POUNDS OF LAUNDRY 53566,B100000,00000,0700,00000HOURS OF SERVICE 53566,B100000,00000,0800,00000MEALS SERVED 53566,B100000,00000,0900,00000DIRECT NRSG HRS 53566,B100000,00000,1000,00000COSTED REQUIS 53566,B100000,00000,1100,00000COSTED REQUIS 53566,B100000,00000,1200,00000TIME SPENT 53566,B100000,00000,1300,00000TIME SPENT 53566,B100000,00000,1400,00000ASSIGNED TIME 53566,E10A180,00501,0100,06/23/2000 53566,E10A180,00501,0300,06/23/2000 53566,S000000,00100,0200,05/24/2000 53566,S200000,00100,0100,607 EAST 26TH ST 53566,S200000,00200,0100,ERIE 53566,S200000,00200,0200,PA 53566,S200000,00200,0300,16504 53566,S200000,00300,0100,ERIE 53566,S200000,00400,0100,ST MARYS HOME OF ERIE 53566,S200000,00400,0200,395042 53566,S200000,00400,0300,12/31/1966 53566,S200000,00400,0500,P 53566,S200000,00600,0200,395042 53566,S200000,00600,0300,12/31/1966 53566,S200000,00600,0600,O 53566,S200000,02200,0100,Y 53566,S200000,02800,0100,Y 53566,S200000,04300,0100,Y 53578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53578,A000000,00300,0000,00300EMPLOYEE BENEFITS 53578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53578,A000000,00700,0000,00700HOUSEKEEPING 53578,A000000,00800,0000,00800DIETARY 53578,A000000,00900,0000,00900NURSING ADMINISTRATION 53578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53578,A000000,01100,0000,01100PHARMACY 53578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53578,A000000,01300,0000,01300SOCIAL SERVICE 53578,A000000,01350,0000,01500RESIDENT ACTIVITIES 53578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53578,A000000,01600,0000,01600SKILLED NURSING FACILITY 53578,A000000,01800,0000,01800NURSING FACILITY 53578,A000000,01810,0000,01810ICF/MR 53578,A000000,02500,0000,02500PHYSICAL THERAPY 53578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53578,A000000,02700,0000,02700SPEECH PATHOLOGY 53578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53578,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53578,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53578,A000000,03550,0000,03550FQHC 53578,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53578,A000000,05000,0000,05000CORF 53578,A000000,05010,0000,05010CMHC 53578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53578,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53578,B100000,00000,0100,00000SQ FOOTAGE 53578,B100000,00000,0200,00000NO STATISTICS 53578,B100000,00000,0300,00000NO STATISTICS 53578,B100000,00000,0400,00000ACCUM. COST 53578,B100000,00000,0500,00000SQ FOOTAGE 53578,B100000,00000,0600,00000LBS OF LAUNDRY 53578,B100000,00000,0700,00000SQU FOOTAGEEXC 53578,B100000,00000,0800,00000MEALS SERVED 53578,B100000,00000,0900,00000NURSING SALARIES 53578,B100000,00000,1000,00000PATIENT DAYS 53578,B100000,00000,1100,00000COSTED REQUIS 53578,B100000,00000,1200,00000GROSS CHARGES 53578,B100000,00000,1300,00000PATIENT DAYS 53578,B100000,00000,1350,00000PATIENT DAYS 53578,B100000,00000,1400,00000NO STATISTICS 53578,E10A180,00301,0100,12/31/1999 53578,E10A180,00301,0300,12/31/1999 53578,E10A180,00501,0100,07/31/2000 53578,E10A180,00501,0300,07/31/2000 53578,S000000,00100,0200,05/31/2000 53578,S200000,00100,0100,RD # 1 53578,S200000,00100,0300,228 53578,S200000,00200,0100,COAL TOWNSHIP 53578,S200000,00200,0200,PA 53578,S200000,00300,0100,NORTHUMBERLAND 53578,S200000,00400,0100,MOUNTAIN VIEW MANOR 53578,S200000,00400,0200,395045 53578,S200000,00400,0300,01/01/1980 53578,S200000,00400,0500,P 53578,S200000,01600,0100,Y 53586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53586,A000000,00300,0000,00300EMPLOYEE BENEFITS 53586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53586,A000000,00700,0000,00700HOUSEKEEPING 53586,A000000,00800,0000,00800DIETARY 53586,A000000,00900,0000,00900NURSING ADMINISTRATION 53586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53586,A000000,01100,0000,01100PHARMACY 53586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53586,A000000,01300,0000,01300SOCIAL SERVICE 53586,A000000,01350,0000,01500ACTIVITIES 53586,A000000,01351,0000,01501VOLUNTEER SERVICES 53586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53586,A000000,01600,0000,01600SKILLED NURSING FACILITY 53586,A000000,01810,0000,01810ICF/MR 53586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53586,A000000,02500,0000,02500PHYSICAL THERAPY 53586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53586,A000000,02700,0000,02700SPEECH PATHOLOGY 53586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53586,A000000,03050,0000,03300RESTORATIVE NURSING 53586,A000000,03550,0000,03550FQHC 53586,A000000,04750,0000,05100OTHER MEDICAL EXPENSES 53586,A000000,04751,0000,05102VAN SERVICE 53586,A000000,04752,0000,05103INSURANCE EXPENSE 53586,A000000,04800,0000,04800AMBULANCE 53586,A000000,05000,0000,05000CORF 53586,A000000,05010,0000,05010CMHC 53586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53586,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53586,A000000,05801,0000,05810PERSONAL PURCHASES 53586,A000000,05802,0000,05820DEVELOPMENT EXPENSES 53586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53586,B100000,00000,0100,00000SQUARE FEET 53586,B100000,00000,0200,00000SQUARE FEET 53586,B100000,00000,0300,00000GROSS SALARIES 53586,B100000,00000,0400,00000ACCUM COST 53586,B100000,00000,0500,00000SQUARE FEET 53586,B100000,00000,0600,00000POUNDS OF LAUNDRY 53586,B100000,00000,0700,00000HOURS OF SERVICE 53586,B100000,00000,0800,00000MEALS SERVED 53586,B100000,00000,0900,00000DIRECT NRSG HRS 53586,B100000,00000,1000,00000COSTED REQUIS 53586,B100000,00000,1100,00000COSTED REQUIS 53586,B100000,00000,1200,00000TIME SPENT 53586,B100000,00000,1300,00000TIME SPENT 53586,B100000,00000,1350,00000(HOURS SPENT) 53586,B100000,00000,1351,00000(HOURS SPENT) 53586,B100000,00000,1400,00000ASSIGNED TIME 53586,S000000,00100,0200,05/26/2000 53586,S200000,00100,0100,128 LOGAN BOULEVARD 53586,S200000,00200,0100,HOLLIDAYSBURG 53586,S200000,00200,0200,PA 53586,S200000,00200,0300,16648 53586,S200000,00300,0100,BLAIR 53586,S200000,00400,0100,GARVEY MANOR 53586,S200000,00400,0200,395050 53586,S200000,00400,0300,07/01/1966 53586,S200000,00400,0500,P 53586,S200000,01500,0100,Y 53586,S200000,02800,0100,Y 53586,S200000,04600,0100,Y 53595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53595,A000000,00300,0000,00300EMPLOYEE BENEFITS 53595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53595,A000000,00700,0000,00700HOUSEKEEPING 53595,A000000,00800,0000,00800DIETARY 53595,A000000,00900,0000,00900NURSING ADMINISTRATION 53595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53595,A000000,01100,0000,01100PHARMACY 53595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53595,A000000,01300,0000,01300SOCIAL SERVICE 53595,A000000,01350,0000,01500PATIENT ACTIVITIES 53595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53595,A000000,01600,0000,01600SKILLED NURSING FACILITY 53595,A000000,01810,0000,01810ICF/MR 53595,A000000,02100,0000,02100RADIOLOGY 53595,A000000,02200,0000,02200LABORATORY 53595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53595,A000000,02500,0000,02500PHYSICAL THERAPY 53595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53595,A000000,02700,0000,02700SPEECH PATHOLOGY 53595,A000000,02800,0000,02800ELECTROCARDIOLOGY 53595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53595,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53595,A000000,03550,0000,03550FQHC 53595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53595,A000000,05000,0000,05000CORF 53595,A000000,05010,0000,05010CMHC 53595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53595,A81000A,00100,0100,Y 53595,A81000B,00100,0300,CAP REL BLDG & FIX 53595,A81000B,00200,0300,CAP REL - MOVE EQU 53595,A81000B,00300,0300,NON CAP RELATED 53595,A81000C,00100,0100,A 53595,A81000C,00100,0200,PHILA PRESBYTERY HOME 53595,A81000C,00100,0400,PHILA PRESBYTERY HOME 53595,A81000C,00100,0600,MGMT FEE 53595,B100000,00000,0100,00000(SQUARE FEET) 53595,B100000,00000,0200,00000(SQUARE FEET) 53595,B100000,00000,0300,00000(GROSS SALARIES) 53595,B100000,00000,0400,00000(ACCUM. COST) 53595,B100000,00000,0500,00000(SQUARE FEET) 53595,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 53595,B100000,00000,0700,00000(SQ FT EXE DIETARY) 53595,B100000,00000,0800,00000(PATIENT DAYS) 53595,B100000,00000,0900,00000(DIRECT NRSING HR) 53595,B100000,00000,1000,00000(COSTED REQUIS) 53595,B100000,00000,1100,00000(PATIENT DAYS) 53595,B100000,00000,1200,00000(TIME SPENT) 53595,B100000,00000,1300,00000(PATIENT DAYS) 53595,B100000,00000,1350,00000(PATIENT DAYS) 53595,B100000,00000,1400,00000(ASSIGNED TIME) 53595,E10A180,00501,0100,07/06/2000 53595,E10A180,00501,0300,07/06/2000 53595,S000000,00100,0200,06/01/2000 53595,S200000,00100,0100,146 MARPLE ROAD 53595,S200000,00200,0100,BROOMALL 53595,S200000,00200,0200,PA 53595,S200000,00300,0100,DELAWARE 53595,S200000,00400,0100,BROOMALL PRESBYTERIAN HOME 53595,S200000,00400,0200,395052 53595,S200000,00400,0300,01/01/1967 53595,S200000,00400,0500,P 53595,S200000,01500,0100,Y 53605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53605,A000000,00300,0000,00300EMPLOYEE BENEFITS 53605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53605,A000000,00700,0000,00700HOUSEKEEPING 53605,A000000,00800,0000,00800DIETARY 53605,A000000,00900,0000,00900NURSING ADMINISTRATION 53605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53605,A000000,01100,0000,01100PHARMACY 53605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53605,A000000,01300,0000,01300SOCIAL SERVICE 53605,A000000,01350,0000,01500ACTIVITIES 53605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53605,A000000,01600,0000,01600SKILLED NURSING FACILITY 53605,A000000,01800,0000,01800NURSING FACILITY 53605,A000000,01810,0000,01810ICF/MR 53605,A000000,02100,0000,02100RADIOLOGY 53605,A000000,02200,0000,02200LABORATORY 53605,A000000,02300,0000,02300INTRAVENOUS THERAPY 53605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53605,A000000,02500,0000,02500PHYSICAL THERAPY 53605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53605,A000000,02700,0000,02700SPEECH PATHOLOGY 53605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53605,A000000,03050,0000,03300RESPIRATORY THERAPY 53605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53605,A000000,03550,0000,03550FQHC 53605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53605,A000000,05000,0000,05000CORF 53605,A000000,05010,0000,05010CMHC 53605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53605,B100000,00000,0100,00000SQUARE FEET 53605,B100000,00000,0200,00000SQUARE FEET 53605,B100000,00000,0300,00000GROSS SALARIES 53605,B100000,00000,0400,00000ACCUM. COST 53605,B100000,00000,0500,00000SQUARE FEET 53605,B100000,00000,0600,00000PATIENT DAYS 53605,B100000,00000,0700,00000SQUARE FEET 53605,B100000,00000,0800,00000MEALS SERVED 53605,B100000,00000,0900,00000HOURS OF SERVICE 53605,B100000,00000,1000,00000PATIENT DAYS 53605,B100000,00000,1100,00000COSTED REQUIS. 53605,B100000,00000,1200,00000PATIENT DAYS 53605,B100000,00000,1300,00000PATIENT DAYS 53605,B100000,00000,1350,00000PATIENT DAYS 53605,B100000,00000,1400,00000TIME SPENT 53605,E10A180,00501,0100,12/07/2000 53605,E10A180,00501,0300,12/07/2000 53605,S000000,00100,0200,11/28/2000 53605,S200000,00100,0100,1050 S. GEORGE ST. 53605,S200000,00200,0100,YORK 53605,S200000,00200,0200,PA 53605,S200000,00200,0300,17403 53605,S200000,00300,0100,YORK 53605,S200000,00400,0100,REST HAVEN - YORK 53605,S200000,00400,0200,395058 53605,S200000,00400,0300,07/01/1966 53605,S200000,00400,0500,P 53605,S200000,01600,0100,Y 53605,S200000,02800,0100,Y 53605,S200000,04300,0100,Y 53614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53614,A000000,00300,0000,00300EMPLOYEE BENEFITS 53614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53614,A000000,00700,0000,00700HOUSEKEEPING 53614,A000000,00800,0000,00800DIETARY 53614,A000000,00900,0000,00900NURSING ADMINISTRATION 53614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53614,A000000,01100,0000,01100PHARMACY 53614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53614,A000000,01300,0000,01300SOCIAL SERVICE 53614,A000000,01350,0000,01500OTHER GENERAL SERVICES 53614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53614,A000000,01600,0000,01600SKILLED NURSING FACILITY 53614,A000000,01800,0000,01800NURSING FACILITY 53614,A000000,01810,0000,01810ICF/MR 53614,A000000,02200,0000,02200LABORATORY 53614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53614,A000000,02500,0000,02500PHYSICAL THERAPY 53614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53614,A000000,02700,0000,02700SPEECH PATHOLOGY 53614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53614,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53614,A000000,03051,0000,03301RESPIRATORY THERAPY 53614,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53614,A000000,03550,0000,03550FQHC 53614,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53614,A000000,05000,0000,05000CORF 53614,A000000,05010,0000,05010CMHC 53614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53614,A81000A,00100,0100,Y 53614,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 53614,A81000C,00100,0100,E 53614,A81000C,00100,0200,ROBERT C. LOHR LTD PTR 53614,A81000C,00100,0400,PERIDOT ENTERPRISES INC. 53614,A81000C,00100,0600,MANAGEMENT CONSULTING 53614,A81000C,00200,0100,B 53614,A81000C,00200,0200,PERIDOT ENTERPRISES 53614,A81000C,00200,0400,PERIDOT ENTERPRISES INC. 53614,A81000C,00200,0600,MANAGEMENT CONSULTING 53614,B100000,00000,0100,00000SQUARE FEET 53614,B100000,00000,0200,00000SQUARE FEET 53614,B100000,00000,0300,00000GROSS SALARIES 53614,B100000,00000,0400,00000ACCUM. COST 53614,B100000,00000,0500,00000SQUARE FEET 53614,B100000,00000,0600,00000POUNDS OF LAUNDRY 53614,B100000,00000,0700,00000SQUARE FEET 53614,B100000,00000,0800,00000MEALS SERVED 53614,B100000,00000,0900,00000DIRECT NRSING HRS 53614,B100000,00000,1000,00000COSTED REQUIS. 53614,B100000,00000,1100,00000COSTED REQUIS. 53614,B100000,00000,1200,00000TIME SPENT 53614,B100000,00000,1300,00000TIME SPENT 53614,B100000,00000,1350,00000NO STATISTICS 53614,B100000,00000,1400,00000ASSIGNED TIME 53614,S000000,00100,0200,03/08/2000 53614,S200000,00100,0300,10805 53614,S200000,00200,0100,PITTSBURGH 53614,S200000,00200,0200,PA 53614,S200000,00300,0100,ALLEGHENY 53614,S200000,00400,0100,JEFFERSON HILLS MANOR ASSOCIATES 53614,S200000,00400,0200,395066 53614,S200000,00400,0300,11/02/1992 53614,S200000,00400,0500,P 53614,S200000,01600,0100,Y 53614,S200000,02800,0100,Y 53625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53625,A000000,00300,0000,00300EMPLOYEE BENEFITS 53625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53625,A000000,00700,0000,00700HOUSEKEEPING 53625,A000000,00800,0000,00800DIETARY 53625,A000000,00900,0000,00900NURSING ADMINISTRATION 53625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53625,A000000,01100,0000,01100PHARMACY 53625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53625,A000000,01300,0000,01300SOCIAL SERVICE 53625,A000000,01350,0000,01500ACTIVITIES 53625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53625,A000000,01600,0000,01600SKILLED NURSING FACILITY 53625,A000000,01800,0000,01800NURSING FACILITY 53625,A000000,01810,0000,01810ICF/MR 53625,A000000,02100,0000,02100RADIOLOGY 53625,A000000,02200,0000,02200LABORATORY 53625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53625,A000000,02500,0000,02500PHYSICAL THERAPY 53625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53625,A000000,02700,0000,02700SPEECH PATHOLOGY 53625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53625,A000000,03550,0000,03550FQHC 53625,A000000,05000,0000,05000CORF 53625,A000000,05010,0000,05010CMHC 53625,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53625,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53625,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53625,A000000,06150,0000,06300EMPLOYEE MEALS 53625,A81000A,00100,0100,Y 53625,A81000B,00100,0300,MANAGEMENT FEES 53625,A81000C,00100,0100,A 53625,A81000C,00100,0200,FRANK HAYMAN 53625,A81000C,00100,0400,PENN MED 53625,A81000C,00100,0600,HOME OFFICE 53625,A81000C,00200,0100,A 53625,A81000C,00200,0200,JOHN HAYMAN 53625,A81000C,00200,0400,PENN MED 53625,A81000C,00200,0600,HOME OFFICE 53625,A81000C,00300,0100,A 53625,A81000C,00300,0200,DRURY GALLAGHER 53625,A81000C,00300,0400,PENN MED 53625,A81000C,00300,0600,HOME OFFICE 53625,B100000,00000,0100,00000SQUARE FEET 53625,B100000,00000,0200,00000DOLLAR VALUE 53625,B100000,00000,0300,00000GROSS SALARIES 53625,B100000,00000,0400,00000ACCUM. COST 53625,B100000,00000,0500,00000SQUARE FEET 53625,B100000,00000,0600,00000POUNDS OF LAUNDRY 53625,B100000,00000,0700,00000SQUARE FEET 53625,B100000,00000,0800,00000MEALS SERVED 53625,B100000,00000,0900,00000DIRECT NRSING HRS 53625,B100000,00000,1000,00000PATIENT DAYS 53625,B100000,00000,1100,00000PATIENT DAYS 53625,B100000,00000,1200,00000TIME SPENT 53625,B100000,00000,1300,00000PATIENT DAYS 53625,B100000,00000,1350,00000 53625,B100000,00000,1400,00000ASSIGNED TIME 53625,E10A180,00501,0100,07/12/2000 53625,E10A180,00501,0300,07/12/2000 53625,S000000,00100,0200,05/30/2000 53625,S200000,00100,0100,1530 SANDERSON AVENUE 53625,S200000,00200,0100,SCRANTON 53625,S200000,00200,0200,PA 53625,S200000,00200,0300,18509 53625,S200000,00300,0100,LACKAWANNA 53625,S200000,00400,0100,GREEN RIDGE NURSING HOME 53625,S200000,00400,0200,395067 53625,S200000,00400,0300,01/01/1995 53625,S200000,00400,0500,P 53625,S200000,00600,0200,395067 53625,S200000,00600,0300,01/01/1995 53625,S200000,00600,0600,P 53625,S200000,01600,0100,Y 53625,S200000,02200,0100,Y 53625,S200000,04700,0100,Y 53637,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53637,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53637,A000000,00300,0000,00300EMPLOYEE BENEFITS 53637,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53637,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53637,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53637,A000000,00700,0000,00700HOUSEKEEPING 53637,A000000,00800,0000,00800DIETARY 53637,A000000,00900,0000,00900NURSING ADMINISTRATION 53637,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53637,A000000,01100,0000,01100PHARMACY 53637,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53637,A000000,01300,0000,01300SOCIAL SERVICE 53637,A000000,01350,0000,01500PATIENT ACTIVITIES 53637,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53637,A000000,01600,0000,01600SKILLED NURSING FACILITY 53637,A000000,01810,0000,01810ICF/MR 53637,A000000,02100,0000,02100RADIOLOGY 53637,A000000,02200,0000,02200LABORATORY 53637,A000000,02500,0000,02500PHYSICAL THERAPY 53637,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53637,A000000,02700,0000,02700SPEECH PATHOLOGY 53637,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53637,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53637,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53637,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53637,A000000,03550,0000,03550FQHC 53637,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53637,A000000,05000,0000,05000CORF 53637,A000000,05010,0000,05010CMHC 53637,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53637,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53637,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53637,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53637,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53637,B100000,00000,0100,00000SQUARE FEET 53637,B100000,00000,0200,00000NO STATISTICS 53637,B100000,00000,0300,00000NO STATISTICS 53637,B100000,00000,0400,00000ACCUM. COST 53637,B100000,00000,0500,00000SQUARE FEET 53637,B100000,00000,0600,00000POUNDS OF LAUNDRY 53637,B100000,00000,0700,00000SQ FT EXCL DIET 53637,B100000,00000,0800,00000MEALS SERVED 53637,B100000,00000,0900,00000PATIENT DAYS 53637,B100000,00000,1000,00000NO STATISTICS 53637,B100000,00000,1100,00000PATIENT DAYS 53637,B100000,00000,1200,00000NO STATISTICS 53637,B100000,00000,1300,00000PATIENT DAYS 53637,B100000,00000,1350,00000PATIENT DAYS 53637,B100000,00000,1400,00000NO STATISTICS 53637,E10A180,00501,0100,07/31/2000 53637,E10A180,00501,0300,07/31/2000 53637,S000000,00100,0200,05/31/2000 53637,S200000,00100,0100,1205 SOUTH 28TH STREET 53637,S200000,00200,0100,HARRISBURG 53637,S200000,00200,0200,PA 53637,S200000,00300,0100,DAUPHIN 53637,S200000,00400,0100,DAUPHIN MANOR 53637,S200000,00400,0200,395074 53637,S200000,00400,0300,01/01/1967 53637,S200000,00400,0500,P 53637,S200000,01500,0100,Y 53653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53653,A000000,00300,0000,00300EMPLOYEE BENEFITS 53653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53653,A000000,00700,0000,00700HOUSEKEEPING 53653,A000000,00800,0000,00800DIETARY 53653,A000000,00900,0000,00900NURSING ADMINISTRATION 53653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53653,A000000,01100,0000,01100PHARMACY 53653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53653,A000000,01300,0000,01300SOCIAL SERVICE 53653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53653,A000000,01600,0000,01600SKILLED NURSING FACILITY 53653,A000000,01800,0000,01800NURSING FACILITY 53653,A000000,01810,0000,01810ICF/MR 53653,A000000,01900,0000,01900OTHER LONG TERM CARE 53653,A000000,02100,0000,02100RADIOLOGY 53653,A000000,02200,0000,02200LABORATORY 53653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53653,A000000,02500,0000,02500PHYSICAL THERAPY 53653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53653,A000000,02700,0000,02700SPEECH PATHOLOGY 53653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53653,A000000,03550,0000,03550FQHC 53653,A000000,05000,0000,05000CORF 53653,A000000,05010,0000,05010CMHC 53653,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53653,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53653,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 53653,A81000A,00100,0100,Y 53653,A81000B,00100,0300,PHARMACY 53653,A81000B,00200,0300,COMMUNICATIONS 53653,A81000B,00300,0300,MANAGEMENT FEES 53653,A81000C,00100,0100,G 53653,A81000C,00100,0200,PHOEBE SERVICES 53653,A81000C,00100,0400,PHOEBE-DEVITT H 53653,A81000C,00200,0100,G 53653,A81000C,00200,0200,PHOEBE SERVICES 53653,A81000C,00200,0400,PHOEBE-DEVITT H 53653,A81000C,00300,0100,G 53653,A81000C,00300,0200,PHOEBE SERVICES 53653,A81000C,00300,0400,PHOEBE-DEVITT H 53653,B100000,00000,0100,00000SQUARE FEET 53653,B100000,00000,0200,00000SQUARE FEET 53653,B100000,00000,0300,00000GROSS SALARIES 53653,B100000,00000,0400,00000ACCUM COST 53653,B100000,00000,0500,00000SQUARE FEET 53653,B100000,00000,0600,00000POUNDS OF LAUNDRY 53653,B100000,00000,0700,00000HOURS OF SERVICE 53653,B100000,00000,0800,00000MEALS SERVED 53653,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53653,B100000,00000,1000,00000COSTED REQUISITIO 53653,B100000,00000,1100,00000COSTED REQUISITIO 53653,B100000,00000,1200,00000TIME SPENT 53653,B100000,00000,1300,00000TIME SPENT 53653,B100000,00000,1400,00000ASSIGNED TIME 53653,E10A180,00550,0100,11/30/2000 53653,E10A180,00550,0300,11/30/2000 53653,S000000,00100,0200,11/29/2000 53653,S200000,00100,0100,1925 TURNER STREET 53653,S200000,00200,0100,ALLENTOWN 53653,S200000,00200,0200,PA 53653,S200000,00200,0300,18104 53653,S200000,00400,0100,PHOEBE HOME 53653,S200000,00400,0200,395080 53653,S200000,00400,0300,12/28/1996 53653,S200000,00400,0500,P 53653,S200000,01600,0100,Y 53663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53663,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53663,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53663,A000000,00300,0000,00300EMPLOYEE BENEFITS 53663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53663,A000000,00700,0000,00700HOUSEKEEPING 53663,A000000,00800,0000,00800DIETARY 53663,A000000,00801,0000,00801CAFETERIA 53663,A000000,00900,0000,00900NURSING ADMINISTRATION 53663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53663,A000000,01100,0000,01100PHARMACY 53663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53663,A000000,01300,0000,01300SOCIAL SERVICE 53663,A000000,01350,0000,01500RECT. THERAPY 53663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53663,A000000,01600,0000,01600SKILLED NURSING FACILITY 53663,A000000,01800,0000,01800NURSING FACILITY 53663,A000000,01810,0000,01810ICF/MR 53663,A000000,02100,0000,02100RADIOLOGY 53663,A000000,02200,0000,02200LABORATORY 53663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53663,A000000,02500,0000,02500PHYSICAL THERAPY 53663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53663,A000000,02700,0000,02700SPEECH PATHOLOGY 53663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53663,A000000,03050,0000,03300PEN THERAPY 53663,A000000,03051,0000,03301FEE SCREENING 53663,A000000,03052,0000,03302OTHER ANCILLARY III 53663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53663,A000000,03550,0000,03550FQHC 53663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53663,A000000,05000,0000,05000CORF I 53663,A000000,05010,0000,05010CMHC I 53663,A000000,05020,0000,05020OPT I 53663,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53663,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53663,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53663,A81000A,00100,0100,Y 53663,A81000B,00100,0300,HOME OFFICE 53663,A81000B,00200,0300,HOME OFFICE CAPITAL 53663,A81000B,00300,0300,HOME OFFICE INTEREST 53663,A81000B,00400,0300,AS ATTACHED 53663,A81000C,00100,0100,B 53663,A81000C,00100,0400,GHV INC 53663,A81000C,00100,0600,HOME OFFICE 53663,A81000C,00200,0100,B 53663,A81000C,00200,0400,GHV INC 53663,A81000C,00200,0600,HOME OFFICE 53663,A81000C,00300,0100,B 53663,A81000C,00300,0400,GHV INC 53663,A81000C,00300,0600,HOME OFFICE 53663,A81000C,00400,0100,B 53663,A81000C,00400,0400,AS ATTACHED 53663,A81000C,00400,0600,VARIOUS 53663,B100000,00000,0100,00000(SQUARE FEET) 53663,B100000,00000,0101,00000(SQUARE FEET) 53663,B100000,00000,0200,00000(SQUARE FEET) 53663,B100000,00000,0201,00000(SQUARE FEET) 53663,B100000,00000,0300,00000(GROSS SALARIES) 53663,B100000,00000,0400,00000(ACCUM. COST) 53663,B100000,00000,0500,00000(SQUARE FEET) 53663,B100000,00000,0600,00000(PATIENT DAYS) 53663,B100000,00000,0700,00000(SQUARE FEET) 53663,B100000,00000,0800,00000(MEALS SERVED) 53663,B100000,00000,0801,00000(MEALS SERVED) 53663,B100000,00000,0900,00000(NURSING SALARIES) 53663,B100000,00000,1000,00000(PATIENT DAYS) 53663,B100000,00000,1100,00000(PATIENT DAYS) 53663,B100000,00000,1200,00000(PATIENT DAYS) 53663,B100000,00000,1300,00000(PATIENT DAYS) 53663,B100000,00000,1350,00000(PATIENT DAYS) 53663,B100000,00000,1400,00000PAT DAYS 53663,E10A180,00501,0100,03/16/2000 53663,E10A180,00501,0300,03/16/2000 53663,S000000,00100,0200,02/28/2000 53663,S200000,00100,0100,650 EDISON AVE 53663,S200000,00200,0100,PHILADELPHIA 53663,S200000,00200,0200,PA 53663,S200000,00200,0300,19116 53663,S200000,00300,0100,PHILADELPHIA 53663,S200000,00400,0100,MAYO CENTER 53663,S200000,00400,0200,395084 53663,S200000,00400,0300,06/01/1973 53663,S200000,00400,0500,P 53663,S200000,01600,0100,Y 53663,S200000,02200,0100,Y 53672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53672,A000000,00300,0000,00300EMPLOYEE BENEFITS 53672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53672,A000000,00700,0000,00700HOUSEKEEPING 53672,A000000,00800,0000,00800DIETARY 53672,A000000,00900,0000,00900NURSING ADMINISTRATION 53672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53672,A000000,01100,0000,01100PHARMACY 53672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53672,A000000,01300,0000,01300SOCIAL SERVICE 53672,A000000,01350,0000,01500ACTIVITIES 53672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53672,A000000,01600,0000,01600SKILLED NURSING FACILITY 53672,A000000,01810,0000,01810ICF/MR 53672,A000000,02100,0000,02100RADIOLOGY 53672,A000000,02200,0000,02200LABORATORY 53672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53672,A000000,02500,0000,02500PHYSICAL THERAPY 53672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53672,A000000,02700,0000,02700SPEECH PATHOLOGY 53672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53672,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53672,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53672,A000000,03550,0000,03550FQHC 53672,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53672,A000000,05000,0000,05000CORF 53672,A000000,05010,0000,05010CMHC 53672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53672,A000000,06150,0000,06300PERSONAL CARE 53672,A000000,06151,0000,06301LITTLE SHOP 53672,B100000,00000,0100,00001SQUARE FEET 53672,B100000,00000,0200,00001SQUARE FEET 53672,B100000,00000,0300,00001GROSS SALARIES 53672,B100000,00000,0400,00001ACCUM. COST 53672,B100000,00000,0500,00001SQUARE FEET 53672,B100000,00000,0600,00001POUNDS OF LAUNDRY 53672,B100000,00000,0700,00001SNF SQUARE 53672,B100000,00000,0800,00001MEALS SERVED 53672,B100000,00000,0900,00001DIRECT NRSING HRS 53672,B100000,00000,1000,00001COSTED REQUIS. 53672,B100000,00000,1100,00001COSTED REQUIS. 53672,B100000,00000,1200,00001TIME SPENT 53672,B100000,00000,1300,00001TIME SPENT 53672,B100000,00000,1350,00001PATIENT DAYS 53672,B100000,00000,1400,00001ASSIGNED TIME 53672,E10A180,00501,0100,12/05/2000 53672,E10A180,00501,0300,12/05/2000 53672,S000000,00100,0200,11/16/2000 53672,S200000,00100,0100,277 HOFFMAN AVENUE 53672,S200000,00200,0100,WINDBER 53672,S200000,00200,0200,PA 53672,S200000,00200,0300,15963 53672,S200000,00300,0100,SOMERSET 53672,S200000,00400,0100,CHURCH OF THE BRETHREN HOME 53672,S200000,00400,0200,395090 53672,S200000,00400,0300,01/01/1967 53672,S200000,00400,0500,P 53672,S200000,01500,0100,Y 53672,S200000,02800,0100,Y 53682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53682,A000000,00300,0000,00300EMPLOYEE BENEFITS 53682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53682,A000000,00700,0000,00700HOUSEKEEPING 53682,A000000,00800,0000,00800DIETARY 53682,A000000,00900,0000,00900NURSING ADMINISTRATION 53682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53682,A000000,01100,0000,01100PHARMACY 53682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53682,A000000,01300,0000,01300SOCIAL SERVICE 53682,A000000,01350,0000,01500ACTIVITIES 53682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53682,A000000,01600,0000,01600SKILLED NURSING FACILITY 53682,A000000,01810,0000,01810ICF/MR 53682,A000000,02500,0000,02500PHYSICAL THERAPY 53682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53682,A000000,02700,0000,02700SPEECH PATHOLOGY 53682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53682,A000000,03550,0000,03550FQHC 53682,A000000,05000,0000,05000CORF 53682,A000000,05010,0000,05010CMHC 53682,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53682,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53682,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53682,A81000A,00100,0100,Y 53682,A81000B,00100,0300,HOME OFFICE COSTS 53682,A81000B,00200,0300,WORKING CAPITAL INTE 53682,A81000B,00300,0300,CAPITAL INTERESTEES 53682,A81000C,00100,0100,A 53682,A81000C,00100,0200,FRANK VARISCHETTI 53682,A81000C,00100,0400,GUARDIAN ELDER CARE 53682,A81000C,00100,0600,HOME OFFICE 53682,A81000C,00200,0100,A 53682,A81000C,00200,0200,FRANK A. VARISCHETTI 53682,A81000C,00200,0400,GUARDIAN ELDER CARE 53682,A81000C,00200,0600,HOME OFFICE 53682,A81000C,00300,0100,A 53682,A81000C,00300,0200,STEVEN R. VARISCHETT 53682,A81000C,00300,0400,GUARDIAN ELDER CARE 53682,A81000C,00300,0600,HOME OFFICE 53682,A81000C,00400,0100,A 53682,A81000C,00400,0200,PETER C. VARISCHETT 53682,A81000C,00400,0400,GUARDIAN ELDER CARE 53682,A81000C,00400,0600,HOME OFFICE 53682,A81000C,00500,0100,A 53682,A81000C,00500,0200,RAYMOND L. CALHOUN 53682,A81000C,00500,0400,GUARDIAN ELDER CARE 53682,A81000C,00500,0600,HOME OFFICE 53682,A81000C,00600,0100,A 53682,A81000C,00600,0200,FRANK VARISCHETTI 53682,A81000C,00600,0400,VSI DBA PUBLIC CRED 53682,A81000C,00600,0600,COMMERCIAL LENDING 53682,A81000C,00700,0100,A 53682,A81000C,00700,0200,FRANK A VARISCHETTI 53682,A81000C,00700,0400,VSI DBA PUBLIC CRED 53682,A81000C,00700,0600,COMMERCIAL LENDING 53682,A81000C,00800,0100,A 53682,A81000C,00800,0200,STEVEN R. VARISCHETT 53682,A81000C,00800,0400,VSI DBA PUBLIC CRED 53682,A81000C,00800,0600,COMMERCIAL LENDING 53682,A81000C,00900,0100,A 53682,A81000C,00900,0200,PETER C. VARISCHETTI 53682,A81000C,00900,0400,VSI DBA PUBLIC CRED 53682,A81000C,00900,0600,COMMERCIAL LENDING 53682,A81000C,01000,0100,D 53682,A81000C,01000,0200,NICHOLAS VARISCHETTI 53682,A81000C,01000,0400,VSI DBA PUBLIC CRED 53682,A81000C,01000,0600,COMMERCIAL LENDING 53682,B100000,00000,0100,00040SQUARE FEET 53682,B100000,00000,0200,00040SQUARE FEET 53682,B100000,00000,0300,00040GROSS SALARIES 53682,B100000,00000,0400,00040ACCUM COST 53682,B100000,00000,0500,00040SQUARE FEET 53682,B100000,00000,0600,00040POUNDS OF LAUNDRY 53682,B100000,00000,0700,00040HOURS OF SERVICE 53682,B100000,00000,0800,00040MEALS SERVED 53682,B100000,00000,0900,00040DIRECT NRSG HRS 53682,B100000,00000,1000,00040COSTED REQUIS 53682,B100000,00000,1100,00040COSTED REQUIS 53682,B100000,00000,1200,00040TIME SPENT 53682,B100000,00000,1300,00040TIME SPENT 53682,B100000,00000,1350,00040(PATIENT DAYS) 53682,B100000,00000,1400,00040ASSIGNED TIME 53682,S000000,00100,0200,09/13/1999 53682,S200000,00100,0100,PARK STREET 53682,S200000,00200,0100,MONTROSE 53682,S200000,00200,0200,PA 53682,S200000,00200,0300,18801 53682,S200000,00300,0100,SUSQUEHANNA 53682,S200000,00400,0100,MEADOWVIEW SENIOR LIVING CENTER 53682,S200000,00400,0200,395092 53682,S200000,00400,0300,01/01/1967 53682,S200000,00400,0500,P 53682,S200000,01500,0100,Y 53683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53683,A000000,00300,0000,00300EMPLOYEE BENEFITS 53683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53683,A000000,00700,0000,00700HOUSEKEEPING 53683,A000000,00800,0000,00800DIETARY 53683,A000000,00900,0000,00900NURSING ADMINISTRATION 53683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53683,A000000,01100,0000,01100PHARMACY 53683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53683,A000000,01300,0000,01300SOCIAL SERVICE 53683,A000000,01350,0000,01500ACTIVITIES 53683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53683,A000000,01600,0000,01600SKILLED NURSING FACILITY 53683,A000000,01810,0000,01810ICF/MR 53683,A000000,02100,0000,02100RADIOLOGY 53683,A000000,02200,0000,02200LABORATORY 53683,A000000,02500,0000,02500PHYSICAL THERAPY 53683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53683,A000000,02700,0000,02700SPEECH PATHOLOGY 53683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53683,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53683,A000000,03550,0000,03550FQHC 53683,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53683,A000000,05000,0000,05000CORF 53683,A000000,05010,0000,05010CMHC 53683,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53683,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53683,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53683,A81000A,00100,0100,Y 53683,A81000B,00100,0300,MANAGEMENT 53683,A81000B,00200,0300,LEASE EXPENSE 53683,A81000C,00100,0100,A 53683,A81000C,00100,0200,FRANK VARISCHETTI 53683,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 53683,A81000C,00100,0600,MANAGEMENT/LESSOR 53683,A81000C,00200,0100,A 53683,A81000C,00200,0200,FRANK A VARISCHETTI 53683,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 53683,A81000C,00200,0600,MANAGEMENT/LESSOR 53683,A81000C,00300,0100,A 53683,A81000C,00300,0200,STEVE R VARISCHETTI 53683,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 53683,A81000C,00300,0600,MANAGEMENT/ LESSOR 53683,A81000C,00400,0100,A 53683,A81000C,00400,0200,PETER C VARISCHETTI 53683,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 53683,A81000C,00400,0600,MANAGEMENT/LESSOR 53683,A81000C,00500,0100,A 53683,A81000C,00500,0200,RAYMOND L CALHOUN 53683,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 53683,A81000C,00500,0600,MANAGEMENT/ LESSOR 53683,B100000,00000,0100,00000SQUARE FEET 53683,B100000,00000,0200,00000NO STATISTICS 53683,B100000,00000,0300,00000GROSS SALARIES 53683,B100000,00000,0400,00000ACCUM. COST 53683,B100000,00000,0500,00000SQUARE FEET 53683,B100000,00000,0600,00000PATIENT DAYS 53683,B100000,00000,0700,00000SQUARE FEET 53683,B100000,00000,0800,00000PATIENT DAYS 53683,B100000,00000,0900,00000PATIENT DAYS 53683,B100000,00000,1000,00000PATIENT DAYS 53683,B100000,00000,1100,00000NO STATISTICS 53683,B100000,00000,1200,00000PATIENT DAYS 53683,B100000,00000,1300,00000PATIENT DAYS 53683,B100000,00000,1350,00000PATIENT DAYS 53683,B100000,00000,1400,00000NO STATISTICS 53683,E10A180,00501,0100,11/19/1999 53683,E10A180,00501,0300,05/03/2001 53683,E10A180,00502,0300,11/19/1999 53683,E10A180,00550,0100,05/03/2001 53683,S000000,00100,0200,09/27/1999 53683,S200000,00100,0100,PARK STREET 53683,S200000,00200,0100,MONTROSE 53683,S200000,00200,0200,PA 53683,S200000,00300,0100,SUSQUEHANNA 53683,S200000,00400,0100,MEADOWVIEW SENIOR LIVING CENTER 53683,S200000,00400,0200,395092 53683,S200000,00400,0300,01/01/1967 53683,S200000,00400,0500,P 53683,S200000,01500,0100,Y 53686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53686,A000000,00300,0000,00300EMPLOYEE BENEFITS 53686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53686,A000000,00700,0000,00700HOUSEKEEPING 53686,A000000,00800,0000,00800DIETARY 53686,A000000,00900,0000,00900NURSING ADMINISTRATION 53686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53686,A000000,01100,0000,01100PHARMACY 53686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53686,A000000,01300,0000,01300SOCIAL SERVICE 53686,A000000,01350,0000,01500ACTIVITIES 53686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53686,A000000,01600,0000,01600SKILLED NURSING FACILITY 53686,A000000,01810,0000,01810ICF/MR 53686,A000000,02100,0000,02100RADIOLOGY 53686,A000000,02500,0000,02500PHYSICAL THERAPY 53686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53686,A000000,02700,0000,02700SPEECH PATHOLOGY 53686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53686,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53686,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53686,A000000,03550,0000,03550FQHC 53686,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53686,A000000,05000,0000,05000CORF 53686,A000000,05010,0000,05010CMHC 53686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53686,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53686,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53686,A81000A,00100,0100,Y 53686,A81000B,00100,0300,MANAGEMENT 53686,A81000B,00200,0300,LEASE EXPENSE 53686,A81000C,00100,0100,A 53686,A81000C,00100,0200,FRANK VARISCHETTI 53686,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 53686,A81000C,00100,0600,MANAGEMENT/LESSOR 53686,A81000C,00200,0100,A 53686,A81000C,00200,0200,FRANK A VARISCHETTI 53686,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 53686,A81000C,00200,0600,MANAGEMENT/LESSOR 53686,A81000C,00300,0100,A 53686,A81000C,00300,0200,STEVE R VARISCHETTI 53686,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 53686,A81000C,00300,0600,MANAGEMENT/ LESSOR 53686,A81000C,00400,0100,A 53686,A81000C,00400,0200,PETER C VARISCHETTI 53686,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 53686,A81000C,00400,0600,MANAGEMENT/LESSOR 53686,A81000C,00500,0100,A 53686,A81000C,00500,0200,RAYMOND L CALHOUN 53686,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 53686,A81000C,00500,0600,MANAGEMENT/ LESSOR 53686,B100000,00000,0100,00000SQUARE FEET 53686,B100000,00000,0200,00000NO STATISTICS 53686,B100000,00000,0300,00000GROSS SALARIES 53686,B100000,00000,0400,00000ACCUM. COST 53686,B100000,00000,0500,00000SQUARE FEET 53686,B100000,00000,0600,00000PATIENT DAYS 53686,B100000,00000,0700,00000SQUARE FEET 53686,B100000,00000,0800,00000PATIENT DAYS 53686,B100000,00000,0900,00000PATIENT DAYS 53686,B100000,00000,1000,00000PATIENT DAYS 53686,B100000,00000,1100,00000NO STATISTICS 53686,B100000,00000,1200,00000PATIENT DAYS 53686,B100000,00000,1300,00000PATIENT DAYS 53686,B100000,00000,1350,00000PATIENT DAYS 53686,B100000,00000,1400,00000NO STATISTICS 53686,E10A180,00501,0100,10/27/2000 53686,E10A180,00501,0300,10/27/2000 53686,S000000,00100,0200,08/28/2000 53686,S200000,00100,0100,PARK STREET 53686,S200000,00200,0100,MONTROSE 53686,S200000,00200,0200,PA 53686,S200000,00200,0300,18801 53686,S200000,00300,0100,S 53686,S200000,00400,0100,MEADOWVIEW SENIOR LIVING CENTER 53686,S200000,00400,0200,395092 53686,S200000,00400,0300,01/01/1967 53686,S200000,00400,0500,P 53686,S200000,01500,0100,Y 53693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53693,A000000,00300,0000,00300EMPLOYEE BENEFITS 53693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53693,A000000,00700,0000,00700HOUSEKEEPING 53693,A000000,00800,0000,00800DIETARY 53693,A000000,00900,0000,00900NURSING ADMINISTRATION 53693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53693,A000000,01100,0000,01100PHARMACY 53693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53693,A000000,01300,0000,01300SOCIAL SERVICE 53693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53693,A000000,01600,0000,01600SKILLED NURSING FACILITY 53693,A000000,01800,0000,01800NURSING FACILITY 53693,A000000,01810,0000,01810ICF/MR 53693,A000000,02100,0000,02100RADIOLOGY 53693,A000000,02200,0000,02200LABORATORY 53693,A000000,02300,0000,02300INTRAVENOUS THERAPY 53693,A000000,02500,0000,02500PHYSICAL THERAPY 53693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53693,A000000,02700,0000,02700SPEECH PATHOLOGY 53693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53693,A000000,03400,0000,03400CLINIC 53693,A000000,03550,0000,03550FQHC 53693,A000000,05000,0000,05000CORF 53693,A000000,05010,0000,05010CMHC 53693,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53693,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53693,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53693,A000000,06101,0000,06150OTHER NON REIMBURSABLE COST 53693,B100000,00000,0100,00050SQUARE FEET 53693,B100000,00000,0200,00050SQUARE FEET 53693,B100000,00000,0300,00050GROSS SALARIES 53693,B100000,00000,0400,00050ACCUM COST 53693,B100000,00000,0500,00050SQUARE FEET 53693,B100000,00000,0600,00050POUNDS OF LAUNDRY 53693,B100000,00000,0700,00050SQUARE FEET 53693,B100000,00000,0800,00050MEALS SERVED 53693,B100000,00000,0900,00050DIRECT NRSG HRS 53693,B100000,00000,1000,00050PATIENT DAYS 53693,B100000,00000,1100,00050PATIENT DAYS 53693,B100000,00000,1200,00050PATIENT DAYS 53693,B100000,00000,1300,00050PATIENT DAYS 53693,B100000,00000,1400,00050ASSIGNED TIME 53693,E10A180,00501,0100,06/21/2000 53693,E10A180,00501,0300,06/21/2000 53693,S000000,00100,0200,05/30/2000 53693,S200000,00100,0300,1495 53693,S200000,00200,0100,READING 53693,S200000,00200,0200,PA 53693,S200000,00200,0300,19603 53693,S200000,00300,0100,BERKS 53693,S200000,00400,0100,BERKS COUNTY HOME-BERKS HEIM 53693,S200000,00400,0200,395094 53693,S200000,00400,0300,01/01/1965 53693,S200000,00400,0500,P 53693,S200000,01600,0100,Y 53705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53705,A000000,00300,0000,00300EMPLOYEE BENEFITS 53705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53705,A000000,00700,0000,00700HOUSEKEEPING 53705,A000000,00800,0000,00800DIETARY 53705,A000000,00900,0000,00900NURSING ADMINISTRATION 53705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53705,A000000,01100,0000,01100PHARMACY 53705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53705,A000000,01300,0000,01300SOCIAL SERVICE 53705,A000000,01350,0000,01500PATIENT ACTIVITIES 53705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53705,A000000,01600,0000,01600SKILLED NURSING FACILITY 53705,A000000,01800,0000,01800NURSING FACILITY 53705,A000000,01810,0000,01810ICF/MR 53705,A000000,02100,0000,02100RADIOLOGY 53705,A000000,02200,0000,02200LABORATORY 53705,A000000,02300,0000,02300INTRAVENOUS THERAPY 53705,A000000,02500,0000,02500PHYSICAL THERAPY 53705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53705,A000000,02700,0000,02700SPEECH PATHOLOGY 53705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53705,A000000,02901,0000,02901CLINITRON BEDS 53705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53705,A000000,03550,0000,03550FQHC 53705,A000000,05000,0000,05000CORF 53705,A000000,05010,0000,05010CMHC 53705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53705,A000000,06150,0000,06300RESIDENTIAL 53705,A000000,06151,0000,06301BRYN MAWR REGISTRY SPACE 53705,A000000,06152,0000,06302RENTAL PROPERTIES BLE COS 53705,B100000,00000,0100,00002(SQUARE FEET) 53705,B100000,00000,0200,00002(SQUARE FEET) 53705,B100000,00000,0300,00002(GROSS SALARIES) 53705,B100000,00000,0400,00002(ACCUM. COST) 53705,B100000,00000,0500,00002(SQUARE FEET) 53705,B100000,00000,0600,00002(POUNDS OF LAUNDRY) 53705,B100000,00000,0700,00002(SQ. FT XCL DIET) 53705,B100000,00000,0800,00002(MEALS SERVED) 53705,B100000,00000,0900,00002(NURSING SALARIES) 53705,B100000,00000,1000,00002(COSTED REQUIS) 53705,B100000,00000,1100,00002(COSTED REQUIS) 53705,B100000,00000,1200,00002(TIME SPENT) 53705,B100000,00000,1300,00002(TIME SPENT) 53705,B100000,00000,1350,00002(PATIENT DAYS) 53705,B100000,00000,1400,00002(ASSIGNED TIME) 53705,S000000,00100,0200,04/19/2000 53705,S200000,00100,0100,HAVERFORD & RUGBY ROADS 53705,S200000,00200,0100,BRYN MAWR 53705,S200000,00200,0200,PA 53705,S200000,00200,0300,19010 53705,S200000,00300,0100,DELAWARE 53705,S200000,00400,0100,BRYN MAWR TERRACE CONVALESCENT CTR 53705,S200000,00400,0200,395095 53705,S200000,00400,0300,01/01/1967 53705,S200000,00400,0500,P 53705,S200000,04300,0100,Y 53705,S200000,04700,0100,Y 53713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53713,A000000,00300,0000,00300EMPLOYEE BENEFITS 53713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53713,A000000,00700,0000,00700HOUSEKEEPING 53713,A000000,00800,0000,00800DIETARY 53713,A000000,00900,0000,00900NURSING ADMINISTRATION 53713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53713,A000000,01100,0000,01100PHARMACY 53713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53713,A000000,01300,0000,01300SOCIAL SERVICE 53713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53713,A000000,01600,0000,01600SKILLED NURSING FACILITY 53713,A000000,01810,0000,01810ICF/MR 53713,A000000,02100,0000,02100RADIOLOGY 53713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53713,A000000,02500,0000,02500PHYSICAL THERAPY 53713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53713,A000000,02700,0000,02700SPEECH PATHOLOGY 53713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53713,A000000,03550,0000,03550FQHC 53713,A000000,04800,0000,04800AMBULANCE 53713,A000000,05000,0000,05000CORF 53713,A000000,05010,0000,05010CMHC 53713,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53713,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53713,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53713,A000000,05300,0000,05300INTEREST EXPENSE 53713,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53713,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53713,A81000A,00100,0100,Y 53713,A81000B,00901,0300,REFUSE REMOVAL 53713,A81000B,00902,0300,BIOMEDICAL SERVICES 53713,A81000B,00903,0300,OFFICE SUPPLIES 53713,A81000B,01000,0300,MANAGEMENT FEES 53713,A81000B,01100,0300,PHYSICAL THERAPY 53713,A81000B,01200,0300,OCCUPATIONAL THERAPY 53713,A81000B,01300,0300,SPEECH THERAPY 53713,A81000B,01400,0300,ADMINISTRATIVE SALARIES 53713,A81000B,01500,0300,MEDICAL SUPPLIES 53713,A81000B,01600,0300,OXYGEN 53713,A81000B,01700,0300,DIETARY SUPPLEMENTS 53713,A81000B,01800,0300,DRUGS 53713,A81000B,01900,0300,COMMUNICATION SERVICES 53713,A81000B,02000,0300,BOOKS & SUBSCRIPTIONS 53713,A81000B,02100,0300,LAUNDRY SERVICES 53713,A81000B,02200,0300,COMPUTER SERVICES 53713,A81000B,02300,0300,OFFICE SUPPLIES 53713,A81000B,02400,0300,NURSING SERVICES 53713,A81000B,02500,0300,MAINTENANCE SERVICES 53713,A81000B,02600,0300,RADIOLOGY SERVICES 53713,A81000B,02700,0300,DISH GLASS PAPER 53713,A81000B,02800,0300,SOAPS 53713,A81000B,02900,0300,SOAPS 53713,A81000C,01100,0100,B 53713,A81000C,01100,0200,GUTHRIE HEALTHC 53713,A81000C,01100,0400,GUTHRIE HEALTHC 53713,A81000C,01100,0600,HEALTHCARE 53713,B100000,00000,0100,00000SQUARE FEET 53713,B100000,00000,0200,00000DOLLAR VALUE 53713,B100000,00000,0300,00000GROSS SALARIES 53713,B100000,00000,0400,00000ACCUM. COST 53713,B100000,00000,0500,00000SQUARE FEET 53713,B100000,00000,0600,00000POUNDS OF LAUNDRY 53713,B100000,00000,0700,00000HOURS OF SERVICE 53713,B100000,00000,0800,00000MEALS SERVED 53713,B100000,00000,0900,00000DIRECT NRSING HRS 53713,B100000,00000,1000,00000COSTED REQUIS. 53713,B100000,00000,1100,00000COSTED REQUIS. 53713,B100000,00000,1200,00000TIME SPENT 53713,B100000,00000,1300,00000TIME SPENT 53713,B100000,00000,1400,00000ASSIGNED TIME 53713,E10A180,00501,0100,12/29/2000 53713,E10A180,00501,0300,12/29/2000 53713,S000000,00100,0200,11/30/2000 53713,S200000,00100,0100,NORTH ELMER AVENUE 53713,S200000,00200,0100,SAYRE 53713,S200000,00200,0200,PA 53713,S200000,00200,0300,18840 53713,S200000,00300,0100,B 53713,S200000,00400,0100,SAYRE HOUSE INC. 53713,S200000,00400,0200,395101 53713,S200000,00400,0300,07/01/1966 53713,S200000,00400,0500,P 53713,S200000,01900,0100,FREESTANDING SKILLED NURSING FACILIT 53718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53718,A000000,00300,0000,00300EMPLOYEE BENEFITS 53718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53718,A000000,00700,0000,00700HOUSEKEEPING 53718,A000000,00800,0000,00800DIETARY 53718,A000000,00900,0000,00900NURSING ADMINISTRATION 53718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53718,A000000,01100,0000,01100PHARMACY 53718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53718,A000000,01300,0000,01300SOCIAL SERVICE 53718,A000000,01350,0000,01500RECREATIONAL THERPAY 53718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53718,A000000,01600,0000,01600SKILLED NURSING FACILITY 53718,A000000,01800,0000,01800NURSING FACILITY 53718,A000000,01810,0000,01810ICF/MR 53718,A000000,01900,0000,01900OTHER LONG TERM CARE 53718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53718,A000000,02500,0000,02500PHYSICAL THERAPY 53718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53718,A000000,02700,0000,02700SPEECH PATHOLOGY 53718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53718,A000000,03550,0000,03550FQHC 53718,A000000,05000,0000,05000CORF 53718,A000000,05010,0000,05010CMHC 53718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53718,A000000,06150,0000,06300PERSONAL CARE 53718,A000000,06151,0000,06302OTHER NONREIMBURSABLE 53718,B100000,00000,0100,00002SQUARE FEET 53718,B100000,00000,0200,00002SQUARE FEET 53718,B100000,00000,0300,00002GROSS SALARIES 53718,B100000,00000,0400,00002ACCUMULA- TED COST 53718,B100000,00000,0500,00002SQUARE FEET 53718,B100000,00000,0600,00002POUNDS OF LAUNDRY 53718,B100000,00000,0700,00002SQUARE FEET 53718,B100000,00000,0800,00002MEALS SERVED 53718,B100000,00000,0900,00002PATIENT DAYS 53718,B100000,00000,1000,00002COSTED REQUIS 53718,B100000,00000,1100,00002COSTED REQUIS 53718,B100000,00000,1200,00002TIME SPENT 53718,B100000,00000,1300,00002PATIENT DAYS 53718,B100000,00000,1350,00002PATIENT DAYS 53718,B100000,00000,1400,00002ASSIGNED TIME 53718,E10A180,00501,0100,06/02/2000 53718,S000000,00100,0200,05/12/2000 53718,S200000,00100,0100,PO BOX E 53718,S200000,00100,0300,PO BOX E 53718,S200000,00200,0100,GRANVILLE 53718,S200000,00200,0200,PA 53718,S200000,00200,0300,17029 53718,S200000,00300,0100,MIFFLIN 53718,S200000,00400,0100,MALTA HOME FOR THE AGING 53718,S200000,00400,0200,395102 53718,S200000,00400,0300,01/01/1967 53718,S200000,00400,0500,P 53718,S200000,00600,0200,395102 53718,S200000,00600,0300,01/01/1967 53718,S200000,00600,0600,P 53718,S200000,01600,0100,Y 53718,S200000,01900,0100,NON-PROFIT CORPORATION 53718,S200000,02200,0100,Y 53727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53727,A000000,00300,0000,00300EMPLOYEE BENEFITS 53727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53727,A000000,00700,0000,00700HOUSEKEEPING 53727,A000000,00800,0000,00800DIETARY 53727,A000000,00900,0000,00900NURSING ADMINISTRATION 53727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53727,A000000,01100,0000,01100PHARMACY 53727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53727,A000000,01300,0000,01300SOCIAL SERVICE 53727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53727,A000000,01600,0000,01600SKILLED NURSING FACILITY 53727,A000000,01810,0000,01810ICF/MR 53727,A000000,02500,0000,02500PHYSICAL THERAPY 53727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53727,A000000,02700,0000,02700SPEECH PATHOLOGY 53727,A000000,02800,0000,02800ELECTROCARDIOLOGY 53727,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 53727,A000000,03550,0000,03550FQHC 53727,A000000,05000,0000,05000CORF 53727,A000000,05010,0000,05010CMHC 53727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53727,A000000,05300,0000,05300INTEREST EXPENSE 53727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53727,A000000,06150,0000,06300OTHER NONREIMBURSABLE 53727,B100000,00000,0100,00000SQUARE FEET 53727,B100000,00000,0200,00000SQUARE FEET 53727,B100000,00000,0300,00000GROSS SALARIES 53727,B100000,00000,0400,00000ACCUM. COST 53727,B100000,00000,0500,00000SQUARE FEET 53727,B100000,00000,0600,00000POUNDS OF LAUNDRY 53727,B100000,00000,0700,00000SQUARE FEET 53727,B100000,00000,0800,00000MEALS ALL SNF = 53727,B100000,00000,0900,00000DIRECT ALL SNF = 53727,B100000,00000,1000,00000COSTED ALL SNF = 53727,B100000,00000,1100,00000COSTED REQUISITIO 53727,B100000,00000,1200,00000TIME SPENT 53727,B100000,00000,1300,00000TIME ALL SNF = 53727,B100000,00000,1400,00000ASSIGNED TIME 53727,S000000,00100,0200,05/30/2000 53727,S200000,00100,0100,1101 VINE STREET 53727,S200000,00200,0100,SCRANTON 53727,S200000,00200,0200,PA 53727,S200000,00200,0300,18510 53727,S200000,00300,0100,LACKAWANNA 53727,S200000,00400,0100,JEWISH HOME OF EASTERN PENNA 53727,S200000,00400,0200,395103 53727,S200000,00400,0300,01/01/1967 53727,S200000,00400,0500,P 53727,S200000,01500,0100,Y 53727,S200000,01900,0100,2 53734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53734,A000000,00300,0000,00300EMPLOYEE BENEFITS 53734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53734,A000000,00700,0000,00700HOUSEKEEPING 53734,A000000,00800,0000,00800DIETARY 53734,A000000,00900,0000,00900NURSING ADMINISTRATION 53734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53734,A000000,01100,0000,01100PHARMACY 53734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53734,A000000,01300,0000,01300SOCIAL SERVICE 53734,A000000,01350,0000,01500OTHER GENERAL SERVICES 53734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53734,A000000,01600,0000,01600SKILLED NURSING FACILITY 53734,A000000,01810,0000,01810ICF/MR 53734,A000000,01900,0000,01900OTHER LONG TERM CARE 53734,A000000,02500,0000,02500PHYSICAL THERAPY 53734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53734,A000000,02700,0000,02700SPEECH PATHOLOGY 53734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53734,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53734,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53734,A000000,03550,0000,03550FQHC 53734,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53734,A000000,05000,0000,05000CORF 53734,A000000,05010,0000,05010CMHC 53734,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53734,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53734,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53734,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53734,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53734,A000000,06200,0000,06200PATIENTS LAUNDRY 53734,A81000A,00100,0100,Y 53734,A81000B,00100,0300,BUILDING RENT 53734,A81000C,00100,0100,B 53734,A81000C,00100,0200,SISTERS OF C.J.C. 53734,B100000,00000,0100,00000SQUARE FEET 53734,B100000,00000,0200,00000SQUARE FEET 53734,B100000,00000,0300,00000GROSS SALARIES 53734,B100000,00000,0400,00000ACCUM. COST 53734,B100000,00000,0500,00000SQUARE FEET 53734,B100000,00000,0600,00000POUNDS OF LAUNDRY 53734,B100000,00000,0700,00000SQUARE FEET 53734,B100000,00000,0800,00000MEALS SERVED 53734,B100000,00000,0900,00000DIRECT NURSING HR 53734,B100000,00000,1000,00000COSTED REQUIS 53734,B100000,00000,1100,00000COSTED REQUIS 53734,B100000,00000,1200,00000TIME SPENT 53734,B100000,00000,1300,00000TIME SPENT 53734,B100000,00000,1350,00000SQUARE FEET 53734,B100000,00000,1400,00000ASSIGNED TIME 53734,E10A180,00501,0100,07/18/2000 53734,E10A180,00501,0300,07/18/2000 53734,S000000,00100,0200,05/30/2000 53734,S200000,00100,0100,ST. MARYS VILLA ROAD 53734,S200000,00200,0100,ELMHURST 53734,S200000,00200,0200,PA 53734,S200000,00300,0100,LACKAWANNA 53734,S200000,00400,0100,ST. MARYS VILLA NURSING HOME INC. 53734,S200000,00400,0200,395104 53734,S200000,00400,0300,07/01/1967 53734,S200000,00400,0500,P 53734,S200000,01500,0100,Y 53734,S200000,02800,0100,Y 53743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53743,A000000,00300,0000,00300EMPLOYEE BENEFITS 53743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53743,A000000,00700,0000,00700HOUSEKEEPING 53743,A000000,00800,0000,00800DIETARY 53743,A000000,00900,0000,00900NURSING ADMINISTRATION 53743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53743,A000000,01100,0000,01100PHARMACY 53743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53743,A000000,01300,0000,01300SOCIAL SERVICE 53743,A000000,01350,0000,01500ACTIVITIES 53743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53743,A000000,01600,0000,01600SKILLED NURSING FACILITY 53743,A000000,01810,0000,01810ICF/MR 53743,A000000,02100,0000,02100RADIOLOGY 53743,A000000,02200,0000,02200LABORATORY 53743,A000000,02500,0000,02500PHYSICAL THERAPY 53743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53743,A000000,02700,0000,02700SPEECH PATHOLOGY 53743,A000000,02800,0000,02800ELECTROCARDIOLOGY 53743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53743,A000000,03550,0000,03550FQHC 53743,A000000,05000,0000,05000CORF 53743,A000000,05010,0000,05010CMHC 53743,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53743,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53743,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53743,A81000A,00100,0100,Y 53743,A81000B,00100,0300,ADMINISTRATIVE SERVICES 53743,A81000B,00200,0300,PLANT SERVICES 53743,A81000B,00300,0300,LAUNDRY SERVICES 53743,A81000B,00400,0300,HOUSEKEEPING SERVICES 53743,A81000C,00100,0100,B 53743,A81000C,00100,0200,LIFEQUEST 53743,A81000C,00100,0400,LIFEQUEST 53743,A81000C,00100,0600,ADMIN. SERVICES 53743,B100000,00000,0100,00040SQUARE FEET 53743,B100000,00000,0200,00040SQUARE FEET 53743,B100000,00000,0300,00040GROSS SALARIES 53743,B100000,00000,0400,00040ACCUM. COST 53743,B100000,00000,0500,00040SQUARE FEET 53743,B100000,00000,0600,00040POUNDS OF LAUNDRY 53743,B100000,00000,0700,00040TIME SPENT 53743,B100000,00000,0800,00040MEALS SERVED 53743,B100000,00000,0900,00040PATIENT DA 53743,B100000,00000,1000,00040PATIENT DA 53743,B100000,00000,1100,00040PATIENT DA 53743,B100000,00000,1200,00040TIME SPENT 53743,B100000,00000,1300,00040PATIENT DA 53743,B100000,00000,1350,00040PATIENT DA 53743,B100000,00000,1400,00040ASSIGNED TIME 53743,E10A180,00501,0100,12/22/2000 53743,E10A180,00501,0300,12/22/2000 53743,S000000,00100,0200,12/04/2000 53743,S200000,00100,0100,ROUTE 222 & MOSSER ROAD 53743,S200000,00200,0100,TREXLERTOWN 53743,S200000,00200,0200,PA 53743,S200000,00200,0300,18087 53743,S200000,00400,0100,MOSSER NURSING HOME 53743,S200000,00400,0200,395105 53743,S200000,00400,0300,01/01/1967 53743,S200000,00400,0500,P 53743,S200000,01500,0100,Y 53743,S200000,02200,0100,Y 53743,S200000,04700,0100,Y 53758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53758,A000000,00300,0000,00300EMPLOYEE BENEFITS 53758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53758,A000000,00700,0000,00700HOUSEKEEPING 53758,A000000,00800,0000,00800DIETARY 53758,A000000,00900,0000,00900NURSING ADMINISTRATION 53758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53758,A000000,01100,0000,01100PHARMACY 53758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53758,A000000,01300,0000,01300SOCIAL SERVICE 53758,A000000,01350,0000,01500OTHER GENERAL SERVICES 53758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53758,A000000,01600,0000,01600SKILLED NURSING FACILITY 53758,A000000,01810,0000,01810ICF/MR 53758,A000000,02100,0000,02100RADIOLOGY 53758,A000000,02500,0000,02500PHYSICAL THERAPY 53758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53758,A000000,02700,0000,02700SPEECH PATHOLOGY 53758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53758,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53758,A000000,03550,0000,03550FQHC 53758,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53758,A000000,05000,0000,05000CORF 53758,A000000,05010,0000,05010CMHC 53758,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53758,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53758,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53758,A000000,05300,0000,05300INTEREST EXPENSE 53758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53758,B100000,00000,0100,00000SQUARE FEET 53758,B100000,00000,0200,00000SQUARE FEET 53758,B100000,00000,0300,00000GROSS SALARIES 53758,B100000,00000,0400,00000ACCUM. COST 53758,B100000,00000,0500,00000SQUARE FEET 53758,B100000,00000,0600,00000POUNDS OF LAUNDRY 53758,B100000,00000,0700,00000SQUARE FEET 53758,B100000,00000,0800,00000MEALS SERVED 53758,B100000,00000,0900,00000HOURS WORKED 53758,B100000,00000,1000,00000COSTED REQUIS 53758,B100000,00000,1100,00000COSTED REQUIS. 53758,B100000,00000,1200,00000TIME SPENT 53758,B100000,00000,1300,00000TIME SPENT 53758,B100000,00000,1350,00000NO STATISTICS 53758,B100000,00000,1400,00000NO STATISTICS 53758,S000000,00100,0200,01/16/2001 53758,S200000,00100,0100,616 GOLFCOURSE ROAD 53758,S200000,00200,0100,ALIQUIPPA 53758,S200000,00200,0200,PA 53758,S200000,00200,0300,15001 53758,S200000,00300,0100,B 53758,S200000,00400,0100,GOLFVIEW MANOR NURSING HOME 53758,S200000,00400,0200,395109 53758,S200000,00400,0300,06/28/1982 53758,S200000,00400,0500,P 53758,S200000,01500,0100,Y 53766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53766,A000000,00300,0000,00300EMPLOYEE BENEFITS 53766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53766,A000000,00700,0000,00700HOUSEKEEPING 53766,A000000,00800,0000,00800DIETARY 53766,A000000,00900,0000,00900NURSING ADMINISTRATION 53766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53766,A000000,01100,0000,01100PHARMACY 53766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53766,A000000,01300,0000,01300SOCIAL SERVICE 53766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53766,A000000,01600,0000,01600SKILLED NURSING FACILITY 53766,A000000,01810,0000,01810ICF/MR 53766,A000000,02100,0000,02100RADIOLOGY 53766,A000000,02500,0000,02500PHYSICAL THERAPY 53766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53766,A000000,02700,0000,02700SPEECH PATHOLOGY 53766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53766,A000000,03550,0000,03550FQHC 53766,A000000,05000,0000,05000CORF 53766,A000000,05010,0000,05010CMHC 53766,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53766,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53766,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53766,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 53766,A81000A,00100,0100,Y 53766,A81000B,00100,0300,MANAGEMENT EXP 53766,A81000C,00100,0100,G 53766,A81000C,00100,0200,LUTHERAN SERVIC 53766,A81000C,00100,0400,COMPONENTS 53766,A81000C,00100,0600,FINANCIAL 53766,B100000,00000,0100,00000SQUARE FEET 53766,B100000,00000,0200,00000SQUARE FEET 53766,B100000,00000,0300,00000GROSS SALARIES 53766,B100000,00000,0400,00000ACCUM COST 53766,B100000,00000,0500,00000SQUARE FEET 53766,B100000,00000,0600,00000POUNDS OF LAUNDRY 53766,B100000,00000,0700,00000HOURS OF SERVICE 53766,B100000,00000,0800,00000MEALS SERVED 53766,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 53766,B100000,00000,1000,00000COSTED REQUISITIO 53766,B100000,00000,1100,00000COSTED REQUIS 53766,B100000,00000,1200,00000TIME SPENT 53766,B100000,00000,1300,00000TIME SPENT 53766,B100000,00000,1400,00000ASSIGNED TIME 53766,E10A180,00501,0100,07/18/2000 53766,E10A180,00501,0300,07/18/2000 53766,S000000,00100,0200,05/31/2000 53766,S200000,00100,0100,1 SOUTH HOME AVE 53766,S200000,00200,0100,TOPTON 53766,S200000,00200,0200,PA 53766,S200000,00200,0300,19562 53766,S200000,00300,0100,BERKS 53766,S200000,00400,0100,LUTHERAN HOME AT TOPTON 53766,S200000,00400,0200,395117 53766,S200000,00400,0300,07/01/1967 53766,S200000,00400,0500,P 53766,S200000,01500,0100,Y 53784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53784,A000000,00300,0000,00300EMPLOYEE BENEFITS 53784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53784,A000000,00700,0000,00700HOUSEKEEPING 53784,A000000,00800,0000,00800DIETARY 53784,A000000,00900,0000,00900NURSING ADMINISTRATION 53784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53784,A000000,01100,0000,01100PHARMACY 53784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53784,A000000,01300,0000,01300SOCIAL SERVICE 53784,A000000,01301,0000,01301ACTIVITIES 53784,A000000,01350,0000,01500OTHER GENERAL SERVICES 53784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53784,A000000,01600,0000,01600SKILLED NURSING FACILITY 53784,A000000,01800,0000,01800NURSING FACILITY 53784,A000000,01810,0000,01810ICF/MR 53784,A000000,02100,0000,02100RADIOLOGY 53784,A000000,02500,0000,02500PHYSICAL THERAPY 53784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53784,A000000,02700,0000,02700SPEECH PATHOLOGY 53784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53784,A000000,03550,0000,03550FQHC 53784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53784,A000000,05000,0000,05000CORF 53784,A000000,05010,0000,05010CMHC 53784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53784,A000000,05300,0000,05300INTEREST EXPENSE 53784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53784,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53784,A81000A,00100,0100,Y 53784,A81000B,00100,0300,MANAGEMENT FEES 53784,A81000C,00100,0100,G 53784,A81000C,00100,0400,SIMPSON SENIOR SERVICES 53784,A81000C,00100,0600,MANADEMENT 53784,B100000,00000,0100,00000SQUARE FEET 53784,B100000,00000,0200,00000DOLLAR VALUE 53784,B100000,00000,0300,00000GROSS SALARIES 53784,B100000,00000,0400,00000ACCUM. COST 53784,B100000,00000,0500,00000SQUARE FEET 53784,B100000,00000,0600,00000POUNDS OF LAUNDRY 53784,B100000,00000,0700,00000SQUARE FEET 53784,B100000,00000,0800,00000MEALS SERVED 53784,B100000,00000,0900,00000DIRECT NRSING HRS 53784,B100000,00000,1000,00000COSTED REQUIS. 53784,B100000,00000,1100,00000PATIENT DAYS 53784,B100000,00000,1200,00000TIME SPENT 53784,B100000,00000,1300,00000TIME SPENT 53784,B100000,00000,1301,00000PATIENT DAYS 53784,B100000,00000,1350,00000TIME SPENT 53784,B100000,00000,1400,00000PATIENT DAYS 53784,E10A180,00301,0100,08/10/1999 53784,E10A180,00301,0300,08/10/1999 53784,E10A180,00501,0100,07/12/2000 53784,E10A180,00501,0300,07/12/2000 53784,S000000,00100,0200,05/31/2000 53784,S200000,00100,0100,2101 BELMONT AVENUE 53784,S200000,00200,0100,PHILADELPHIA 53784,S200000,00200,0200,PA 53784,S200000,00300,0100,PHILADELPHIA 53784,S200000,00400,0100,SIMPSON HOUSE 53784,S200000,00400,0200,395121 53784,S200000,00400,0300,01/16/1967 53784,S200000,00400,0500,P 53784,S200000,01600,0100,Y 53793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53793,A000000,00101,0000,00101CAP REL COSTS - MAIN BUILDING 53793,A000000,00102,0000,00102CAP REL COSTS - THERAPY BUILDIN 53793,A000000,00103,0000,00103CAP REL COSTS - MORRIS HALL 53793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53793,A000000,00300,0000,00300EMPLOYEE BENEFITS 53793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53793,A000000,00700,0000,00700HOUSEKEEPING 53793,A000000,00800,0000,00800DIETARY 53793,A000000,00900,0000,00900NURSING ADMINISTRATION 53793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53793,A000000,01100,0000,01100PHARMACY 53793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53793,A000000,01300,0000,01300SOCIAL SERVICE 53793,A000000,01350,0000,01500PATIENT ACTIVITIES 53793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53793,A000000,01600,0000,01600SKILLED NURSING FACILITY 53793,A000000,01810,0000,01810ICF/MR 53793,A000000,02200,0000,02200LABORATORY 53793,A000000,02500,0000,02500PHYSICAL THERAPY 53793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53793,A000000,02700,0000,02700SPEECH PATHOLOGY 53793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53793,A000000,02901,0000,02901CLINITRON BEDS 53793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53793,A000000,03550,0000,03550FQHC 53793,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53793,A000000,05000,0000,05000CORF 53793,A000000,05010,0000,05010CMHC 53793,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53793,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53793,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53793,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 53793,A000000,06150,0000,06300DAY VISITORS 53793,A81000A,00100,0100,Y 53793,A81000B,00100,0300,WHEELCHAIR SUPPLIES 53793,A81000C,00100,0100,G 53793,A81000C,00100,0400,INGLIS DURABLE MEDICAL EQ 53793,A81000C,00100,0600,MEDICAL EQUIPMENT 53793,B100000,00000,0100,00000SQUARE FEET 53793,B100000,00000,0101,00000SQ FT MAIN BUILD 53793,B100000,00000,0102,00000SQ FT THERAPY BU 53793,B100000,00000,0103,00000SQ FT MORRIS HAL 53793,B100000,00000,0200,00000SQUARE FEET 53793,B100000,00000,0300,00000GROSS SALARIES 53793,B100000,00000,0400,00000ACCUM. COST 53793,B100000,00000,0500,00000SQUARE FEET 53793,B100000,00000,0600,00000POUNDS OF LAUNDRY 53793,B100000,00000,0700,00000SQ FT ENTIR EXCL 53793,B100000,00000,0800,00000PATIENT DAYS 53793,B100000,00000,0900,00000TIME SPENT 53793,B100000,00000,1000,00000COSTED REQUIS. 53793,B100000,00000,1100,00000COSTED REQUIS. 53793,B100000,00000,1200,00000TIME SPENT 53793,B100000,00000,1300,00000TIME SPENT 53793,B100000,00000,1350,00000TIME SPENT 53793,B100000,00000,1400,00000ASSIGNED TIME 53793,E10A180,00501,0100,12/20/2000 53793,E10A180,00501,0300,12/20/2000 53793,S000000,00100,0200,11/29/2000 53793,S200000,00100,0100,2600 BELMONT AVENUE 53793,S200000,00200,0100,PHILADELPHIA 53793,S200000,00200,0200,PA 53793,S200000,00200,0300,19131 53793,S200000,00300,0100,P 53793,S200000,00400,0100,INGLIS HOUSE 53793,S200000,00400,0200,395134 53793,S200000,00400,0300,01/01/1967 53793,S200000,00400,0500,P 53793,S200000,01500,0100,Y 53793,S200000,01900,0100,501 (C) (3) 53793,S200000,02800,0100,Y 53793,S200000,04300,0100,Y 53810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53810,A000000,00300,0000,00300EMPLOYEE BENEFITS 53810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53810,A000000,00700,0000,00700HOUSEKEEPING 53810,A000000,00800,0000,00800DIETARY 53810,A000000,00900,0000,00900NURSING ADMINISTRATION 53810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53810,A000000,01100,0000,01100PHARMACY 53810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53810,A000000,01300,0000,01300SOCIAL SERVICE 53810,A000000,01350,0000,01500PATIENT ACTIVITIES 53810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53810,A000000,01600,0000,01600SKILLED NURSING FACILITY 53810,A000000,01800,0000,01800NURSING FACILITY 53810,A000000,01810,0000,01810ICF/MR 53810,A000000,02100,0000,02100RADIOLOGY 53810,A000000,02200,0000,02200LABORATORY 53810,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53810,A000000,02500,0000,02500PHYSICAL THERAPY 53810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53810,A000000,02700,0000,02700SPEECH PATHOLOGY 53810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53810,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53810,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53810,A000000,03550,0000,03550FQHC 53810,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53810,A000000,05000,0000,05000CORF 53810,A000000,05010,0000,05010CMHC 53810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53810,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53810,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53810,A81000A,00100,0100,Y 53810,A81000B,00100,0300,MANAGEMENT FEE 53810,A81000C,00100,0100,B 53810,A81000C,00100,0200,TNS NURSING HOMES INC. 53810,A81000C,00100,0400,TNS NURSING HOMES INC. 53810,A81000C,00100,0600,HOME OFFICE 53810,B100000,00000,0100,00000SQUARE FEET 53810,B100000,00000,0200,00000NO STATISTICS 53810,B100000,00000,0300,00000GROSS SALARIES 53810,B100000,00000,0400,00000ACCUM. COST 53810,B100000,00000,0500,00000SQUARE FEET 53810,B100000,00000,0600,00000PATIENT DAYS 53810,B100000,00000,0700,00000SQ FT EXCL D 53810,B100000,00000,0800,00000PATIENT DAYS 53810,B100000,00000,0900,00000PATIENT DAYS 53810,B100000,00000,1000,00000PATIENT DAYS 53810,B100000,00000,1100,00000PATIENT DAYS 53810,B100000,00000,1200,00000PATIENT DAYS 53810,B100000,00000,1300,00000PATIENT DAYS 53810,B100000,00000,1350,00000PATIENT DAYS 53810,B100000,00000,1400,00000NO STATISTICS 53810,S000000,00100,0200,07/05/2001 53810,S200000,00100,0100,7950 ROOSEVELT BOULEVARD 53810,S200000,00200,0100,PHILADELPHIA 53810,S200000,00200,0200,PA 53810,S200000,00200,0300,19152 53810,S200000,00400,0100,BOULEVARD NURSING HOME 53810,S200000,00400,0200,395143 53810,S200000,00400,0300,10/02/1987 53810,S200000,00400,0500,P 53810,S200000,01600,0100,Y 53810,S200000,02800,0100,Y 53818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53818,A000000,00300,0000,00300EMPLOYEE BENEFITS 53818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53818,A000000,00700,0000,00700HOUSEKEEPING 53818,A000000,00800,0000,00800DIETARY 53818,A000000,00900,0000,00900NURSING ADMINISTRATION 53818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53818,A000000,01100,0000,01100PHARMACY 53818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53818,A000000,01300,0000,01300SOCIAL SERVICE 53818,A000000,01301,0000,01301PATIENT ACTIVITIES 53818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53818,A000000,01600,0000,01600SKILLED NURSING FACILITY 53818,A000000,01810,0000,01810ICF/MR 53818,A000000,02100,0000,02100RADIOLOGY 53818,A000000,02101,0000,02101APPLICATION FEE INCOME 53818,A000000,02200,0000,02200LABORATORY 53818,A000000,02500,0000,02500PHYSICAL THERAPY 53818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53818,A000000,02700,0000,02700SPEECH PATHOLOGY 53818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53818,A000000,03550,0000,03550FQHC 53818,A000000,05000,0000,05000CORF 53818,A000000,05010,0000,05010CMHC 53818,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53818,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53818,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53818,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53818,A000000,06101,0000,06150PERSONAL CARE 53818,A000000,06200,0000,06200PATIENTS LAUNDRY 53818,B100000,00000,0100,00000SQUARE FEET 53818,B100000,00000,0200,00000SQUARE FEET 53818,B100000,00000,0300,00000GROSS SALARIES 53818,B100000,00000,0400,00000ACCUM COST 53818,B100000,00000,0500,00000SQUARE FEET 53818,B100000,00000,0600,00000POUNDS OF LAUNDRY 53818,B100000,00000,0700,00000HOURS OF SERVICE 53818,B100000,00000,0800,00000MEALS SERVED 53818,B100000,00000,0900,00000DIRECT NRSG HRS 53818,B100000,00000,1000,00000COSTED REQUIS 53818,B100000,00000,1100,00000COSTED REQUIS 53818,B100000,00000,1200,00000TIME SPENT 53818,B100000,00000,1300,00000TIME SPENT 53818,B100000,00000,1301,00000PATIENT DAYS 53818,B100000,00000,1400,00000ASSIGNED TIME 53818,S000000,00100,0200,05/30/2000 53818,S200000,00100,0100,4001 PENN AVENUE 53818,S200000,00200,0100,PITTSBURGH 53818,S200000,00200,0200,PA 53818,S200000,00200,0300,15201 53818,S200000,00300,0100,ALLEGHENY 53818,S200000,00400,0100,CANTEBURY PLACE 53818,S200000,00400,0200,395146 53818,S200000,00400,0300,01/01/1967 53818,S200000,00400,0500,P 53818,S200000,01500,0100,Y 53818,S200000,01900,0100,501 (C) CORPORATION 53826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53826,A000000,00300,0000,00300EMPLOYEE BENEFITS 53826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53826,A000000,00700,0000,00700HOUSEKEEPING 53826,A000000,00800,0000,00800DIETARY 53826,A000000,00900,0000,00900NURSING ADMINISTRATION 53826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53826,A000000,01100,0000,01100PHARMACY 53826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53826,A000000,01300,0000,01300SOCIAL SERVICE 53826,A000000,01350,0000,01500RECREATIONAL THERPAY 53826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53826,A000000,01600,0000,01600SKILLED NURSING FACILITY 53826,A000000,01810,0000,01810ICF/MR 53826,A000000,02100,0000,02100RADIOLOGY 53826,A000000,02200,0000,02200LABORATORY 53826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53826,A000000,02500,0000,02500PHYSICAL THERAPY 53826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53826,A000000,02700,0000,02700SPEECH PATHOLOGY 53826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53826,A000000,03550,0000,03550FQHC 53826,A000000,05000,0000,05000CORF 53826,A000000,05010,0000,05010CMHC 53826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53826,A000000,06150,0000,06300OTHER 53826,A000000,06151,0000,06302CHAPLAIN 53826,A81000A,00100,0100,Y 53826,A81000B,00100,0300,COUNTY ALLOCATION 53826,A81000C,00100,0100,B 53826,A81000C,00100,0200,VALLEY CREST 53826,A81000C,00100,0400,LUZERNE COUNTY 53826,A81000C,00100,0600,COUNTY GOV 53826,B100000,00000,0100,00002SQUARE FEET 53826,B100000,00000,0200,00002DOLLAR VAL OR SQ.FEET 53826,B100000,00000,0300,00002GROSS SALARIES 53826,B100000,00000,0400,00002ACCUMULA- TED COST 53826,B100000,00000,0500,00002SQUARE FEET 53826,B100000,00000,0600,00002POUNDS OF LAUNDRY 53826,B100000,00000,0700,00002SQUARE FEET 53826,B100000,00000,0800,00002MEALS SERVED 53826,B100000,00000,0900,00002DIRECT HOU OF SERVICE 53826,B100000,00000,1000,00002COSTED REQUIS 53826,B100000,00000,1100,00002COSTED REQUIS 53826,B100000,00000,1200,00002HOURS OF SERVICE 53826,B100000,00000,1300,00002HOURS OF SERVICE 53826,B100000,00000,1350,00002HOURS OF SERVICE 53826,B100000,00000,1400,00002ASSIGNED TIME 53826,E10A180,00501,0300,07/31/2000 53826,S000000,00100,0200,05/31/2000 53826,S200000,00100,0100,1551 EAST END BOULEVARD 53826,S200000,00200,0100,WILKES BARRE 53826,S200000,00200,0200,PA 53826,S200000,00200,0300,18711 53826,S200000,00300,0100,LUZERNE 53826,S200000,00400,0100,VALLEY CREST NURSING HOME 53826,S200000,00400,0200,395148 53826,S200000,00400,0300,01/01/1967 53826,S200000,00400,0500,P 53826,S200000,01500,0100,Y 53826,S200000,02200,0100,Y 53826,S200000,04700,0100,Y 53826,S200000,04700,0200,Y 53835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53835,A000000,00300,0000,00300EMPLOYEE BENEFITS 53835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53835,A000000,00700,0000,00700HOUSEKEEPING 53835,A000000,00800,0000,00800DIETARY 53835,A000000,00900,0000,00900NURSING ADMINISTRATION 53835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53835,A000000,01100,0000,01100PHARMACY 53835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53835,A000000,01300,0000,01300SOCIAL SERVICE 53835,A000000,01350,0000,01500ACTIVITIES 53835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53835,A000000,01600,0000,01600SKILLED NURSING FACILITY 53835,A000000,01800,0000,01800NURSING FACILITY 53835,A000000,01810,0000,01810ICF/MR 53835,A000000,02100,0000,02100RADIOLOGY 53835,A000000,02200,0000,02200LABORATORY 53835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53835,A000000,02500,0000,02500PHYSICAL THERAPY 53835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53835,A000000,02700,0000,02700SPEECH PATHOLOGY 53835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53835,A000000,03550,0000,03550FQHC 53835,A000000,05000,0000,05000CORF 53835,A000000,05010,0000,05010CMHC 53835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53835,A81000A,00100,0100,Y 53835,A81000B,00100,0300,MANAGEMENT FEES 53835,A81000C,00100,0100,A 53835,A81000C,00100,0200,FRANCIS HAYMAN 53835,A81000C,00100,0400,PENN MED 53835,A81000C,00100,0600,HOME OFFICE 53835,A81000C,00200,0100,A 53835,A81000C,00200,0200,DRURY GALLAGHER 53835,A81000C,00200,0400,PENN MED 53835,A81000C,00200,0600,HOME OFFICE 53835,A81000C,00300,0100,A 53835,A81000C,00300,0200,JOHN HAYMAN 53835,A81000C,00300,0400,PENN MED 53835,A81000C,00300,0600,HOME OFFICE 53835,B100000,00000,0100,00000SQUARE FEET 53835,B100000,00000,0200,00000DOLLAR VALUE 53835,B100000,00000,0300,00000GROSS SALARIES 53835,B100000,00000,0400,00000ACCUM. COST 53835,B100000,00000,0500,00000SQUARE FEET 53835,B100000,00000,0600,00000POUNDS OF LAUNDRY 53835,B100000,00000,0700,00000SQUARE FEET 53835,B100000,00000,0800,00000MEALS SERVED 53835,B100000,00000,0900,00000DIRECT NRSING HRS 53835,B100000,00000,1000,00000PATIENT DAYS 53835,B100000,00000,1100,00000PATIENT DAYS 53835,B100000,00000,1200,00000PATIENT DAYS 53835,B100000,00000,1300,00000PATIENT DAYS 53835,B100000,00000,1350,00000PATIENT DAYS 53835,B100000,00000,1400,00000ASSIGNED TIME 53835,E10A180,00501,0100,06/15/2000 53835,E10A180,00501,0300,06/15/2000 53835,S000000,00100,0200,05/30/2000 53835,S200000,00100,0100,110 FREDONIA ROAD 53835,S200000,00200,0100,GREENVILLE 53835,S200000,00200,0200,PA 53835,S200000,00200,0300,16125 53835,S200000,00300,0100,MERCER 53835,S200000,00400,0100,WHITE CLIFF NURSING CENTER 53835,S200000,00400,0200,395158 53835,S200000,00400,0300,01/26/1967 53835,S200000,00400,0500,P 53835,S200000,00600,0200,395158 53835,S200000,00600,0300,01/26/1967 53835,S200000,00600,0600,P 53835,S200000,01600,0100,Y 53835,S200000,02200,0100,Y 53835,S200000,04700,0100,Y 53846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53846,A000000,00300,0000,00300EMPLOYEE BENEFITS 53846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53846,A000000,00700,0000,00700HOUSEKEEPING 53846,A000000,00800,0000,00800DIETARY 53846,A000000,00900,0000,00900NURSING ADMINISTRATION 53846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53846,A000000,01100,0000,01100PHARMACY 53846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53846,A000000,01300,0000,01300SOCIAL SERVICE 53846,A000000,01350,0000,01500PATIENT ACTIVITIES 53846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53846,A000000,01600,0000,01600SKILLED NURSING FACILITY 53846,A000000,01800,0000,01800NURSING FACILITY 53846,A000000,01810,0000,01810ICF/MR 53846,A000000,01900,0000,01900OTHER LONG TERM CARE 53846,A000000,02100,0000,02100RADIOLOGY 53846,A000000,02200,0000,02200LABORATORY 53846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53846,A000000,02500,0000,02500PHYSICAL THERAPY 53846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53846,A000000,02700,0000,02700SPEECH PATHOLOGY 53846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53846,A000000,03550,0000,03550FQHC 53846,A000000,05000,0000,05000CORF 53846,A000000,05010,0000,05010CMHC 53846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53846,A000000,05300,0000,05300INTEREST EXPENSE 53846,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53846,A000000,06150,0000,06300OTHER NON REIMBURSABLE 53846,A81000A,00100,0100,Y 53846,A81000B,00100,0300,MEDICAL DIRECTOR 53846,A81000B,00200,0300,CENTRAL SUPL SHARED 53846,A81000B,00300,0300,SHARED SVCS-GCS 53846,A81000B,00400,0300,SHARED SVCS-GCS 53846,A81000B,00500,0300,SHARED SVCS-GCS 53846,A81000B,00600,0300,MANAGEMENT FEE 53846,A81000B,00700,0300,SHARED SVCS 53846,A81000B,00800,0300,SHARED SVCS 53846,A81000C,00100,0100,B 53846,A81000C,00100,0400,LUTHERAN AFFILI 53846,A81000C,00100,0600,MANAGEMENT 53846,A81000C,00200,0100,G 53846,A81000C,00200,0400,LAS GERI CARE S 53846,A81000C,00200,0600,THERAPY & QUAL 53846,B100000,00000,0100,00000SQUARE FEET 53846,B100000,00000,0200,00000SQUARE FEET 53846,B100000,00000,0300,00000GROSS SALARIES 53846,B100000,00000,0400,00000ACCUM COST 53846,B100000,00000,0500,00000SQUARE FEET 53846,B100000,00000,0600,00000POUNDS OF LAUNDRY 53846,B100000,00000,0700,00000HOURS OF SERVICE 53846,B100000,00000,0800,00000MEALS SERVED 53846,B100000,00000,0900,00000DIRECT NRSG HRS 53846,B100000,00000,1000,00000COSTED REQUIS 53846,B100000,00000,1100,00000COSTED REQUIS 53846,B100000,00000,1200,00000TIME SPENT 53846,B100000,00000,1300,00000PATIENT DAYS 53846,B100000,00000,1350,00000PATIENT DAYS 53846,B100000,00000,1400,00000ASSIGNED TIME 53846,E10A180,00550,0100,11/30/2000 53846,E10A180,00550,0300,11/30/2000 53846,S000000,00100,0200,11/30/2000 53846,S200000,00100,0100,500 WITTENBERG WAY 53846,S200000,00100,0300,928 53846,S200000,00200,0100,MARS 53846,S200000,00200,0200,PA 53846,S200000,00300,0100,B 53846,S200000,00400,0100,ST. JOHN LUTHERAN CARE CENTER 53846,S200000,00400,0200,395164 53846,S200000,00400,0300,07/01/1976 53846,S200000,00400,0500,P 53846,S200000,01600,0100,Y 53846,S200000,02200,0100,Y 53846,S200000,02800,0100,Y 53858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53858,A000000,00300,0000,00300EMPLOYEE BENEFITS 53858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53858,A000000,00700,0000,00700HOUSEKEEPING 53858,A000000,00800,0000,00800DIETARY 53858,A000000,00900,0000,00900NURSING ADMINISTRATION 53858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53858,A000000,01100,0000,01100PHARMACY 53858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53858,A000000,01300,0000,01300SOCIAL SERVICE 53858,A000000,01350,0000,01500PATIENT ACTIVITIES 53858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53858,A000000,01600,0000,01600SKILLED NURSING FACILITY 53858,A000000,01800,0000,01800NURSING FACILITY 53858,A000000,01810,0000,01810ICF/MR 53858,A000000,02200,0000,02200LABORATORY 53858,A000000,02300,0000,02300INTRAVENOUS THERAPY 53858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53858,A000000,02500,0000,02500PHYSICAL THERAPY 53858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53858,A000000,02700,0000,02700SPEECH PATHOLOGY 53858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53858,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53858,A000000,03200,0000,03200SUPPORT SURFACES 53858,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53858,A000000,03550,0000,03550FQHC 53858,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53858,A000000,04800,0000,04800AMBULANCE 53858,A000000,05000,0000,05000CORF 53858,A000000,05010,0000,05010CMHC 53858,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53858,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53858,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53858,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53858,A81000A,00100,0100,Y 53858,A81000B,00100,0300,HOME OFFICE 53858,A81000B,00200,0300,FINANCIAL MANAGEMENT FEES 53858,A81000C,00100,0100,B 53858,A81000C,00100,0200,RHA HOME OFFICE 53858,A81000C,00100,0400,RHA 53858,A81000C,00100,0600,HOME OFFICE 53858,A81000C,00200,0100,B 53858,A81000C,00200,0200,HEALTH DATA INC. 53858,A81000C,00200,0400,RHA 53858,A81000C,00200,0600,FINANCIAL MANAGEMENT 53858,B100000,00000,0100,00000SQUARE FEET 53858,B100000,00000,0200,00000SQUARE FEET 53858,B100000,00000,0300,00000GROSS SALARIES 53858,B100000,00000,0400,00000ACCUM. COST 53858,B100000,00000,0500,00000SQUARE FEET 53858,B100000,00000,0600,00000PATIENT DAYS 53858,B100000,00000,0700,00000SQUARE FEET 53858,B100000,00000,0800,00000MEALS SERVED 53858,B100000,00000,0900,00000NURSING HOURS 53858,B100000,00000,1000,00000COSTED REQUIS. 53858,B100000,00000,1100,00000COSTED REQUIS. 53858,B100000,00000,1200,00000GROSS CHARGES 53858,B100000,00000,1300,00000PATIENT DAYS 53858,B100000,00000,1350,00000PATIENT DAYS 53858,B100000,00000,1400,00000ASSIGNED TIME 53858,E10A180,00501,0100,12/20/2000 53858,E10A180,00501,0300,12/20/2000 53858,S000000,00100,0200,12/01/2000 53858,S200000,00100,0100,1130 WEST CHESTER PIKE 53858,S200000,00200,0100,WEST CHESTER 53858,S200000,00200,0200,PA 53858,S200000,00200,0300,19380 53858,S200000,00300,0100,PHILADELPHIA 53858,S200000,00400,0100,PEMBROOKE NURSING & REHAB CTR 53858,S200000,00400,0200,395166 53858,S200000,00400,0300,06/01/1976 53858,S200000,00400,0500,P 53858,S200000,01600,0100,Y 53867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53867,A000000,00300,0000,00300EMPLOYEE BENEFITS 53867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53867,A000000,00700,0000,00700HOUSEKEEPING 53867,A000000,00800,0000,00800DIETARY 53867,A000000,00900,0000,00900NURSING ADMINISTRATION 53867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53867,A000000,01100,0000,01100PHARMACY 53867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53867,A000000,01300,0000,01300SOCIAL SERVICE 53867,A000000,01350,0000,01500PATIENT ACTIVITIES 53867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53867,A000000,01600,0000,01600SKILLED NURSING FACILITY 53867,A000000,01800,0000,01800NURSING FACILITY 53867,A000000,01810,0000,01810ICF/MR 53867,A000000,02100,0000,02100RADIOLOGY 53867,A000000,02200,0000,02200LABORATORY 53867,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53867,A000000,02500,0000,02500PHYSICAL THERAPY 53867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53867,A000000,02700,0000,02700SPEECH PATHOLOGY 53867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53867,A000000,03550,0000,03550FQHC 53867,A000000,05000,0000,05000CORF 53867,A000000,05010,0000,05010CMHC 53867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53867,A000000,05300,0000,05300INTEREST EXPENSE 53867,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53867,A000000,06201,0000,06201TELEVISION 53867,A81000A,00100,0100,Y 53867,A81000B,00100,0300,RX DRUGS 53867,A81000B,00200,0300,OTC DRUGS 53867,A81000B,00300,0300,ROUTINE MEDICAL SUPP 53867,A81000B,00400,0300,ANCILLARY MEDICAL SU 53867,A81000B,00500,0300,GENERAL NURSING SUPP 53867,A81000B,00600,0300,THERAPY SUPPLIES 53867,A81000B,00700,0300,PHARMACY DIRECTOR 53867,A81000B,00800,0300,EMPLOYEE BENEFITS 53867,A81000B,00900,0300,INTEREST/SERVICE CHA 53867,A81000B,01000,0300,MANAGEMENT FEES 53867,A81000C,00100,0100,A 53867,A81000C,00100,0200,P. DODD 53867,A81000C,00100,0400,BROCKIE HEALTHC 53867,A81000C,00100,0600,MEDICAL SUPPLIE 53867,A81000C,00200,0100,A 53867,A81000C,00200,0200,A. REYNOLDS 53867,A81000C,00200,0400,BROCKIE HEALTHC 53867,A81000C,00200,0600,MEDICAL SUPPLIE 53867,A81000C,00300,0100,A 53867,A81000C,00300,0200,S. WILSON 53867,A81000C,00300,0400,BROCKIE HEALTHC 53867,A81000C,00300,0600,MEDICAL SUPPLIE 53867,A81000C,00400,0100,A 53867,A81000C,00400,0200,M. WILSON 53867,A81000C,00400,0400,BROCKIE HEALTHC 53867,A81000C,00400,0600,MEDICAL SUPPLIE 53867,A81000C,00500,0100,A 53867,A81000C,00500,0200,D. WILSON 53867,A81000C,00500,0400,BROCKIE HEALTHC 53867,A81000C,00500,0600,MEDICAL SUPPLIE 53867,A81000C,00600,0100,A 53867,A81000C,00600,0200,K. MCCORMACK 53867,A81000C,00600,0400,BROCKIE HEALTHC 53867,A81000C,00600,0600,MEDICAL SUPPLIE 53867,A81000C,00700,0100,A 53867,A81000C,00700,0200,J. MCCORMACK 53867,A81000C,00700,0400,BROCKIE HEALTHC 53867,A81000C,00700,0600,MEDICAL SUPPLIE 53867,A81000C,00800,0100,A 53867,A81000C,00800,0200,G. MCCORMACK 53867,A81000C,00800,0400,BROCKIE HEALTHC 53867,A81000C,00800,0600,MEDICAL SUPPLIE 53867,A81000C,00900,0100,A 53867,A81000C,00900,0200,D. MCCORMACK 53867,A81000C,00900,0400,BROCKIE HEALTHC 53867,A81000C,00900,0600,MEDICAL SUPPLIE 53867,A81000C,01000,0100,B 53867,A81000C,01000,0400,WILMAC CORPORAT 53867,A81000C,01000,0600,MANAGEMENT COMP 53867,B100000,00000,0100,00001SQUARE FEET 53867,B100000,00000,0200,00001SQUARE FEET 53867,B100000,00000,0300,00001GROSS SALARIES 53867,B100000,00000,0400,00001ACCUM COST 53867,B100000,00000,0500,00001SQUARE FEET 53867,B100000,00000,0600,00001POUNDS OF LAUNDRY 53867,B100000,00000,0700,00001SQUARE FEET 53867,B100000,00000,0800,00001MEALS SERVED 53867,B100000,00000,0900,00001DIRECT NRSG HRS 53867,B100000,00000,1000,00001COSTED REQUIS 53867,B100000,00000,1100,00001COSTED REQUIS 53867,B100000,00000,1200,00001GROSS CHARGES 53867,B100000,00000,1300,00001TIME SPENT 53867,B100000,00000,1350,00001PATIENT DAYS 53867,B100000,00000,1400,00001ASSIGNED TIME 53867,E10A180,00501,0100,06/19/2000 53867,E10A180,00501,0300,06/19/2000 53867,S000000,00100,0200,05/31/2000 53867,S200000,00100,0100,970 COLONIAL AVENUE 53867,S200000,00200,0100,YORK 53867,S200000,00200,0200,PA 53867,S200000,00200,0300,17403 53867,S200000,00300,0100,YORK 53867,S200000,00400,0100,COLONIAL MANOR 53867,S200000,00400,0200,395168 53867,S200000,00400,0300,07/01/1967 53867,S200000,00400,0500,P 53867,S200000,00400,0600,O 53867,S200000,01600,0100,Y 53867,S200000,02200,0100,Y 53867,S200000,02800,0100,Y 53877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53877,A000000,00300,0000,00300EMPLOYEE BENEFITS 53877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53877,A000000,00700,0000,00700HOUSEKEEPING 53877,A000000,00800,0000,00800DIETARY 53877,A000000,00900,0000,00900NURSING ADMINISTRATION 53877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53877,A000000,01100,0000,01100PHARMACY 53877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53877,A000000,01300,0000,01300SOCIAL SERVICE 53877,A000000,01350,0000,01500PATIENT ACTIVITIES 53877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53877,A000000,01600,0000,01600SKILLED NURSING FACILITY 53877,A000000,01810,0000,01810ICF/MR 53877,A000000,02100,0000,02100RADIOLOGY 53877,A000000,02200,0000,02200LABORATORY 53877,A000000,02300,0000,02300INTRAVENOUS THERAPY 53877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53877,A000000,02500,0000,02500PHYSICAL THERAPY 53877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53877,A000000,02700,0000,02700SPEECH PATHOLOGY 53877,A000000,02800,0000,02800ELECTROCARDIOLOGY 53877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53877,A000000,03550,0000,03550FQHC 53877,A000000,05000,0000,05000CORF 53877,A000000,05010,0000,05010CMHC 53877,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53877,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53877,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53877,A000000,06150,0000,06300RESIDENTIAL 53877,A81000A,00100,0100,Y 53877,A81000B,00100,0300,PHARMACY 53877,A81000B,00200,0300,LEASED EQUIPMENT 53877,A81000B,00300,0300,MEDICAL SUPPLIES 53877,A81000B,00400,0300,PHARMACY CONSULTANT 53877,A81000B,00500,0300,MEDICAL SUPPLIES 53877,A81000B,00600,0300,OTC DRUGS 53877,A81000B,00700,0300,MANAGEMENT SUPPORT 53877,A81000B,00800,0300,MANAGEMENT SUPPORT 53877,A81000B,00900,0300,DATA PROCESSING SVCS 53877,A81000B,01000,0300,DATA PROCESSING SVCS 53877,A81000B,01100,0300,WORKING CAPITAL INT 53877,A81000B,01200,0300,WORKING CAPITAL INT 53877,A81000B,01300,0300,MANAGEMENT SUPPORT 53877,A81000B,01400,0300,DATA PROCESSING SVCS 53877,A81000B,01500,0300,PHARMACY (CAPITAL) 53877,A81000C,00100,0100,B 53877,A81000C,00100,0400,PHI INC. 53877,A81000C,00100,0600,MANAGEMENT SUPP 53877,A81000C,00200,0400,PRELUDE SYSTEMS 53877,A81000C,00200,0600,DATA PROCESSING 53877,A81000C,00300,0400,CONTINUING CARE 53877,A81000C,00300,0600,PHARMACY 53877,B100000,00000,0100,00000SQUARE FEET 53877,B100000,00000,0200,00000SQUARE FEET 53877,B100000,00000,0300,00000GROSS SALARIES 53877,B100000,00000,0400,00000ACCUM COST 53877,B100000,00000,0500,00000SQUARE FEET 53877,B100000,00000,0600,00000POUNDS OF LAUNDRY 53877,B100000,00000,0700,00000SQ FT EXCL KTCHN 53877,B100000,00000,0800,00000MEALS SERVED 53877,B100000,00000,0900,00000DIRECT NRSG HRS 53877,B100000,00000,1000,00000COSTED REQUIS 53877,B100000,00000,1100,00000COSTED REQUIS 53877,B100000,00000,1200,00000PATIENT DAYS 53877,B100000,00000,1300,00000PATIENT DAYS 53877,B100000,00000,1350,00000PATIENT DAYS 53877,B100000,00000,1400,00000ASSIGNED TIME 53877,E10A180,00550,0300,05/31/2000 53877,S000000,00100,0200,05/31/2000 53877,S200000,00100,0100,803 NORTH WAHNETA STREET 53877,S200000,00200,0100,ALLENTOWN 53877,S200000,00200,0200,PA 53877,S200000,00200,0300,18103 53877,S200000,00300,0100,LEHIGH 53877,S200000,00400,0100,WESTMINSTER VILLAGE/LEHIGH VALLEY 53877,S200000,00400,0200,395171 53877,S200000,00400,0300,10/01/1973 53877,S200000,00400,0500,P 53877,S200000,01500,0100,Y 53885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53885,A000000,00300,0000,00300EMPLOYEE BENEFITS 53885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53885,A000000,00700,0000,00700HOUSEKEEPING 53885,A000000,00800,0000,00800DIETARY 53885,A000000,00900,0000,00900NURSING ADMINISTRATION 53885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53885,A000000,01100,0000,01100PHARMACY 53885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53885,A000000,01300,0000,01300SOCIAL SERVICE 53885,A000000,01350,0000,01500PATIENT ACTIVITIES 53885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53885,A000000,01600,0000,01600SKILLED NURSING FACILITY 53885,A000000,01800,0000,01800NURSING FACILITY 53885,A000000,01810,0000,01810ICF/MR 53885,A000000,02100,0000,02100RADIOLOGY 53885,A000000,02200,0000,02200LABORATORY 53885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53885,A000000,02500,0000,02500PHYSICAL THERAPY 53885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53885,A000000,02700,0000,02700SPEECH PATHOLOGY 53885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53885,A000000,03550,0000,03550FQHC 53885,A000000,04800,0000,04800AMBULANCE 53885,A000000,05000,0000,05000CORF 53885,A000000,05010,0000,05010CMHC 53885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53885,A000000,05300,0000,05300INTEREST EXPENSE 53885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53885,A81000A,00100,0100,Y 53885,A81000B,00100,0300,G&A 6060 6076 6082 53885,A81000B,00200,0300,G&A 6090 53885,A81000C,00100,0100,B 53885,A81000C,00100,0200,TRESSLER LUTHER 53885,B100000,00000,0100,00000SQUARE FEET 53885,B100000,00000,0200,00000SQUARE FEET 53885,B100000,00000,0300,00000GROSS SALARIES 53885,B100000,00000,0400,00000ACCUM COST 53885,B100000,00000,0500,00000SQUARE FEET 53885,B100000,00000,0600,00000POUNDS OF LAUNDRY 53885,B100000,00000,0700,00000SQUARE FEET 53885,B100000,00000,0800,00000MEALS SERVED 53885,B100000,00000,0900,00000PATIENT DAYS 53885,B100000,00000,1000,00000COSTED REQUIS 53885,B100000,00000,1100,00000COSTED REQUIS 53885,B100000,00000,1200,00000PATIENT DAYS 53885,B100000,00000,1300,00000PATIENT DAYS 53885,B100000,00000,1350,00000PATIENT DAYS 53885,B100000,00000,1400,00000ASSIGNED TIME 53885,S000000,00100,0200,05/31/2000 53885,S200000,00100,0100,800 BROAD STREET 53885,S200000,00200,0100,SELINSGROVE 53885,S200000,00200,0200,PA 53885,S200000,00200,0300,17870 53885,S200000,00300,0100,UNION 53885,S200000,00400,0100,PENN LUTHERAN VILLAGE 53885,S200000,00400,0200,395172 53885,S200000,00400,0300,01/01/1995 53885,S200000,00400,0500,P 53885,S200000,00400,0600,O 53885,S200000,01600,0100,Y 53885,S200000,02200,0100,Y 53885,S200000,02800,0100,Y 53885,S200000,04300,0100,Y 53885,S200000,04700,0100,Y 53885,S200000,04700,0200,Y 53893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53893,A000000,00300,0000,00300EMPLOYEE BENEFITS 53893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53893,A000000,00700,0000,00700HOUSEKEEPING 53893,A000000,00800,0000,00800DIETARY 53893,A000000,00900,0000,00900NURSING ADMINISTRATION 53893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53893,A000000,01100,0000,01100PHARMACY 53893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53893,A000000,01300,0000,01300SOCIAL SERVICE 53893,A000000,01350,0000,01500OTHER GENERAL SERVICES 53893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53893,A000000,01600,0000,01600SKILLED NURSING FACILITY 53893,A000000,01800,0000,01800NURSING FACILITY 53893,A000000,01810,0000,01810ICF/MR 53893,A000000,02100,0000,02100RADIOLOGY 53893,A000000,02200,0000,02200LABORATORY 53893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53893,A000000,02500,0000,02500PHYSICAL THERAPY 53893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53893,A000000,02700,0000,02700SPEECH PATHOLOGY 53893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53893,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53893,A000000,03550,0000,03550FQHC 53893,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53893,A000000,05000,0000,05000CORF 53893,A000000,05010,0000,05010CMHC 53893,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53893,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53893,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53893,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53893,A81000A,00100,0100,Y 53893,A81000B,00100,0300,HOME OFFICE 53893,A81000B,00200,0300,MANAGEMENT FEES 53893,A81000C,00100,0100,B 53893,A81000C,00100,0200,AHF INC 53893,A81000C,00100,0400,AHF INC. 53893,A81000C,00100,0600,HOME OFFICE 53893,A81000C,00200,0100,B 53893,A81000C,00200,0200,AHF INC. 53893,A81000C,00200,0400,AHF MANGEMENT 53893,A81000C,00200,0600,MANAGEMENT COMPANY 53893,B100000,00000,0100,00000SQUARE FEET 53893,B100000,00000,0200,00000SQUARE FEET 53893,B100000,00000,0300,00000GROSS SALARIES 53893,B100000,00000,0400,00000ACCUM. COST 53893,B100000,00000,0500,00000SQUARE FEET 53893,B100000,00000,0600,00000PATIENT DAYS 53893,B100000,00000,0700,00000SQUARE FEET 53893,B100000,00000,0800,00000PATIENT DAYS 53893,B100000,00000,0900,00000DIRECT NRSING HRS 53893,B100000,00000,1000,00000PATIENT DAYS 53893,B100000,00000,1100,00000PATIENT DAYS 53893,B100000,00000,1200,00000PATIENT DAYS 53893,B100000,00000,1300,00000PATIENT DAYS 53893,B100000,00000,1350,00000NO STATISTICS 53893,B100000,00000,1400,00000ASSIGNED TIME 53893,E10A180,00501,0100,01/18/2001 53893,E10A180,00501,0300,01/18/2001 53893,S000000,00100,0200,11/29/2000 53893,S200000,00100,0100,BETHLEHAM & BUTLER PIKES 53893,S200000,00200,0100,AMBLER 53893,S200000,00200,0200,PA 53893,S200000,00200,0300,19002 53893,S200000,00300,0100,M 53893,S200000,00400,0100,AMBLER REST CENTER 53893,S200000,00400,0200,395176 53893,S200000,00400,0300,01/01/1967 53893,S200000,00400,0500,P 53893,S200000,01600,0100,Y 53902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53902,A000000,00300,0000,00300EMPLOYEE BENEFITS 53902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53902,A000000,00700,0000,00700HOUSEKEEPING 53902,A000000,00800,0000,00800DIETARY 53902,A000000,00900,0000,00900NURSING ADMINISTRATION 53902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53902,A000000,01100,0000,01100PHARMACY 53902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53902,A000000,01300,0000,01300SOCIAL SERVICE 53902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53902,A000000,01600,0000,01600SKILLED NURSING FACILITY 53902,A000000,01810,0000,01810ICF/MR 53902,A000000,02100,0000,02100RADIOLOGY 53902,A000000,02200,0000,02200LABORATORY 53902,A000000,02300,0000,02300INTRAVENOUS THERAPY 53902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53902,A000000,02500,0000,02500PHYSICAL THERAPY 53902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53902,A000000,02700,0000,02700SPEECH PATHOLOGY 53902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53902,A000000,03550,0000,03550FQHC 53902,A000000,05000,0000,05000CORF 53902,A000000,05010,0000,05010CMHC 53902,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53902,A000000,06150,0000,06300CCRC-RESIDENTIAL 53902,B100000,00000,0100,00000SQUARE FEET 53902,B100000,00000,0200,00000SQUARE FEET 53902,B100000,00000,0300,00000GROSS SALARIES 53902,B100000,00000,0400,00000ACCUM COST 53902,B100000,00000,0500,00000SQUARE FEET 53902,B100000,00000,0600,00000POUNDS OF LAUNDRY 53902,B100000,00000,0700,00000HOURS OF SERVICE 53902,B100000,00000,0800,00000MEALS SERVED 53902,B100000,00000,0900,00000DIRECT NRSG HRS 53902,B100000,00000,1000,00000COSTED REQUIS 53902,B100000,00000,1100,00000COSTED REQUIS 53902,B100000,00000,1200,00000TIME SPENT 53902,B100000,00000,1300,00000TIME SPENT 53902,B100000,00000,1400,00000ASSIGNED TIME 53902,E10A180,00501,0100,03/27/2001 53902,E10A180,00501,0300,06/15/2000 53902,E10A180,00550,0300,03/27/2001 53902,S000000,00100,0200,05/25/2000 53902,S200000,00100,0100,1 BOYD STREET 53902,S200000,00100,0300,125 53902,S200000,00200,0100,CORNWALL 53902,S200000,00200,0200,PA 53902,S200000,00300,0100,LEBANON 53902,S200000,00400,0100,CORNWALL MANOR 53902,S200000,00400,0200,395180 53902,S200000,00400,0300,03/16/1967 53902,S200000,00400,0500,P 53902,S200000,01500,0100,Y 53902,S200000,01900,0100,NON PROFIT CORP 53902,S200000,02800,0100,Y 53913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53913,A000000,00300,0000,00300EMPLOYEE BENEFITS 53913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53913,A000000,00700,0000,00700HOUSEKEEPING 53913,A000000,00800,0000,00800DIETARY 53913,A000000,00900,0000,00900NURSING ADMINISTRATION 53913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53913,A000000,01100,0000,01100PHARMACY 53913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53913,A000000,01300,0000,01300SOCIAL SERVICE 53913,A000000,01301,0000,01301PATIENT ACTIVITIES 53913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53913,A000000,01600,0000,01600SKILLED NURSING FACILITY 53913,A000000,01800,0000,01800NURSING FACILITY 53913,A000000,01810,0000,01810ICF/MR 53913,A000000,02100,0000,02100RADIOLOGY 53913,A000000,02200,0000,02200LABORATORY 53913,A000000,02300,0000,02300INTRAVENOUS THERAPY 53913,A000000,02500,0000,02500PHYSICAL THERAPY 53913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53913,A000000,02700,0000,02700SPEECH PATHOLOGY 53913,A000000,02701,0000,02701CLINITRON THERAPY 53913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53913,A000000,03001,0000,03001ENTERAL/UROLOGICAL 53913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53913,A000000,03550,0000,03550FQHC 53913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53913,A000000,04800,0000,04800AMBULANCE 53913,A000000,05000,0000,05000CORF 53913,A000000,05010,0000,05010CMHC 53913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53913,A000000,05901,0000,05901CONVENT 53913,A000000,05902,0000,05902ADC/NON-ALLOW 53913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53913,A81000A,00100,0100,Y 53913,A81000B,00100,0300,ACCOUNTING/FINANCE/OFFICE 53913,A81000C,00100,0100,G 53913,A81000C,00100,0400,ARCH PHILA/CATH HEALTH 53913,A81000C,00100,0600,CHURCH OPERATED 53913,B100000,00000,0100,00000SQUARE FEET 53913,B100000,00000,0200,00000SQUARE FEET 53913,B100000,00000,0300,00000GROSS SALARIES 53913,B100000,00000,0400,00000ACCUM. COST 53913,B100000,00000,0500,00000SQUARE FEET 53913,B100000,00000,0600,00000POUNDS OF LAUNDRY 53913,B100000,00000,0700,00000HOURS OF SERVICE 53913,B100000,00000,0800,00000MEALS SERVED 53913,B100000,00000,0900,00000DIRECT NRSING HRS 53913,B100000,00000,1000,00000COSTED REQUIS. 53913,B100000,00000,1100,00000COSTED REQUIS 53913,B100000,00000,1200,00000TIME SPENT 53913,B100000,00000,1300,00000TIME SPENT 53913,B100000,00000,1301,00000ASSIGNED TIME 53913,B100000,00000,1400,00000ASSIGNED TIME 53913,E10A180,00501,0100,12/06/2000 53913,E10A180,00501,0300,12/06/2000 53913,S000000,00100,0200,11/16/2000 53913,S200000,00100,0100,10400 ROOSEVELT BOULEVARD 53913,S200000,00200,0100,PHILADELPHIA 53913,S200000,00200,0200,PA 53913,S200000,00200,0300,19116 53913,S200000,00300,0100,PHILADELPHIA 53913,S200000,00400,0100,ST. JOHN NEUMANN NURSING HOME 53913,S200000,00400,0200,395182 53913,S200000,00400,0300,01/01/1967 53913,S200000,00400,0500,P 53913,S200000,01600,0100,Y 53913,S200000,02800,0100,Y 53913,S200000,04700,0100,Y 53925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53925,A000000,00300,0000,00300EMPLOYEE BENEFITS 53925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53925,A000000,00700,0000,00700HOUSEKEEPING 53925,A000000,00800,0000,00800DIETARY 53925,A000000,00900,0000,00900NURSING ADMINISTRATION 53925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53925,A000000,01100,0000,01100PHARMACY 53925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53925,A000000,01300,0000,01300SOCIAL SERVICE 53925,A000000,01350,0000,01500ACTIVITIES 53925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53925,A000000,01600,0000,01600SKILLED NURSING FACILITY 53925,A000000,01800,0000,01800NURSING FACILITY 53925,A000000,01810,0000,01810ICF/MR 53925,A000000,01900,0000,01900OTHER LONG TERM CARE 53925,A000000,02100,0000,02100RADIOLOGY 53925,A000000,02200,0000,02200LABORATORY 53925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53925,A000000,02500,0000,02500PHYSICAL THERAPY 53925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53925,A000000,02700,0000,02700SPEECH PATHOLOGY 53925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53925,A000000,03550,0000,03550FQHC 53925,A000000,05000,0000,05000CORF 53925,A000000,05010,0000,05010CMHC 53925,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53925,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53925,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53925,A000000,06150,0000,06300MEALS ON WHEELS 53925,A81000A,00100,0100,Y 53925,A81000B,00100,0300,MANAGEMENT FEE 53925,A81000C,00100,0100,A 53925,A81000C,00100,0200,FRANK HAYMAN 53925,A81000C,00100,0400,PENN MED 53925,A81000C,00100,0600,HOME OFFICE 53925,A81000C,00200,0100,A 53925,A81000C,00200,0200,JOHN HAYMAN 53925,A81000C,00200,0400,PENN MED 53925,A81000C,00200,0600,HOME OFFICE 53925,A81000C,00300,0100,A 53925,A81000C,00300,0200,DRURY GALLAGHER 53925,A81000C,00300,0400,PENN MED 53925,A81000C,00300,0600,HOME OFFICE 53925,B100000,00000,0100,00000SQUARE FEET 53925,B100000,00000,0200,00000SQUARE FEET 53925,B100000,00000,0300,00000GROSS SALARIES 53925,B100000,00000,0400,00000ACCUM COST 53925,B100000,00000,0500,00000SQUARE FEET 53925,B100000,00000,0600,00000POUNDS OF LAUNDRY 53925,B100000,00000,0700,00000HOURS OF SERVICE 53925,B100000,00000,0800,00000MEALS SERVED 53925,B100000,00000,0900,00000DIRECT NRSG HRS 53925,B100000,00000,1000,00000COSTED REQUIS 53925,B100000,00000,1100,00000COSTED REQUIS 53925,B100000,00000,1200,00000TIME SPENT 53925,B100000,00000,1300,00000TIME SPENT 53925,B100000,00000,1350,00000 53925,B100000,00000,1400,00000ASSIGNED TIME 53925,S000000,00100,0200,05/30/2000 53925,S200000,00100,0100,408 NEW CASTLE STREET 53925,S200000,00200,0100,NEW WILMINGTON 53925,S200000,00200,0200,PA 53925,S200000,00200,0300,16142 53925,S200000,00300,0100,LAWRENCE 53925,S200000,00400,0100,OVERLOOK MEDICAL CENTER 53925,S200000,00400,0200,395197 53925,S200000,00400,0300,04/02/1967 53925,S200000,00400,0500,P 53925,S200000,00600,0200,395197 53925,S200000,00600,0300,04/02/1967 53925,S200000,01600,0100,Y 53925,S200000,02200,0100,Y 53925,S200000,04700,0100,Y 53936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53936,A000000,00300,0000,00300EMPLOYEE BENEFITS 53936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53936,A000000,00700,0000,00700HOUSEKEEPING 53936,A000000,00800,0000,00800DIETARY 53936,A000000,00900,0000,00900NURSING ADMINISTRATION 53936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53936,A000000,01100,0000,01100PHARMACY 53936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53936,A000000,01300,0000,01300SOCIAL SERVICE 53936,A000000,01350,0000,01500PATIENT ACTIVITIES 53936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53936,A000000,01600,0000,01600SKILLED NURSING FACILITY 53936,A000000,01800,0000,01800NURSING FACILITY 53936,A000000,01810,0000,01810ICF/MR 53936,A000000,02100,0000,02100RADIOLOGY 53936,A000000,02300,0000,02300INTRAVENOUS THERAPY 53936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53936,A000000,02500,0000,02500PHYSICAL THERAPY 53936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53936,A000000,02700,0000,02700SPEECH PATHOLOGY 53936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53936,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53936,A000000,03200,0000,03200SUPPORT SURFACES 53936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53936,A000000,03550,0000,03550FQHC 53936,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53936,A000000,04800,0000,04800AMBULANCE 53936,A000000,05000,0000,05000CORF 53936,A000000,05010,0000,05010CMHC 53936,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53936,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53936,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53936,A81000A,00100,0100,Y 53936,A81000B,00100,0300,MANAGEMENT FEES 53936,A81000B,00200,0300,HOME OFFICE EXPENSE 53936,A81000C,00100,0100,B 53936,A81000C,00100,0200,HEALTH DATA INC 53936,A81000C,00100,0400,RHA INC. 53936,A81000C,00100,0600,FINANCIAL MANAGEMENT 53936,A81000C,00200,0100,B 53936,A81000C,00200,0200,RHA HOME OFFICE 53936,A81000C,00200,0400,RHA INC. 53936,A81000C,00200,0600,HOME OFFICE 53936,B100000,00000,0100,00000SQUARE FEET 53936,B100000,00000,0200,00000SQUARE FEET 53936,B100000,00000,0300,00000GROSS SALARIES 53936,B100000,00000,0400,00000ACCUM. COST 53936,B100000,00000,0500,00000SQUARE FEET 53936,B100000,00000,0600,00000PATIENT DAYS 53936,B100000,00000,0700,00000SQUARE FEET 53936,B100000,00000,0800,00000MEALS SERVED 53936,B100000,00000,0900,00000DIRECT NRSING HRS 53936,B100000,00000,1000,00000COSTED REQUIS. 53936,B100000,00000,1100,00000COSTED REQUIS. 53936,B100000,00000,1200,00000GROSS SALARIES 53936,B100000,00000,1300,00000PATIENT DAYS 53936,B100000,00000,1350,00000PATIENT DAYS 53936,B100000,00000,1400,00000ASSIGNED TIME 53936,E10A180,00501,0100,12/21/2000 53936,E10A180,00501,0300,12/21/2000 53936,S000000,00100,0200,12/01/2000 53936,S200000,00100,0100,815 CHESTER PIKE 53936,S200000,00200,0100,PROSPECT PARK 53936,S200000,00200,0200,PA 53936,S200000,00200,0300,19076 53936,S200000,00300,0100,PHILADELPHIA 53936,S200000,00400,0100,PROSPECT PARK NURSING HOME 53936,S200000,00400,0200,395203 53936,S200000,00400,0300,06/01/1979 53936,S200000,00400,0500,P 53936,S200000,01600,0100,Y 53945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53945,A000000,00300,0000,00300EMPLOYEE BENEFITS 53945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53945,A000000,00700,0000,00700HOUSEKEEPING 53945,A000000,00800,0000,00800DIETARY 53945,A000000,00900,0000,00900NURSING ADMINISTRATION 53945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53945,A000000,01100,0000,01100PHARMACY 53945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53945,A000000,01300,0000,01300SOCIAL SERVICE 53945,A000000,01350,0000,01500PATIENT ACTIVITIES 53945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53945,A000000,01600,0000,01600SKILLED NURSING FACILITY 53945,A000000,01800,0000,01800NURSING FACILITY 53945,A000000,01810,0000,01810ICF/MR 53945,A000000,02100,0000,02100RADIOLOGY 53945,A000000,02200,0000,02200LABORATORY 53945,A000000,02500,0000,02500PHYSICAL THERAPY 53945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53945,A000000,02700,0000,02700SPEECH PATHOLOGY 53945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53945,A000000,03550,0000,03550FQHC 53945,A000000,05000,0000,05000CORF 53945,A000000,05010,0000,05010CMHC 53945,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53945,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53945,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53945,A000000,05300,0000,05300INTEREST EXPENSE 53945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53945,A000000,06150,0000,06300TELEVISION 53945,A81000A,00100,0100,Y 53945,A81000B,00100,0300,RX DRUGS 53945,A81000B,00200,0300,OTC DRUGS 53945,A81000B,00300,0300,ROUTINE MEDICAL SUPP 53945,A81000B,00400,0300,ANCILLARY MEDICAL SU 53945,A81000B,00500,0300,GENERAL NURSING SUPP 53945,A81000B,00600,0300,PHARMACY DIRECTOR 53945,A81000B,00700,0300,EMPLOYEE BENEFITS 53945,A81000B,00800,0300,INTEREST/SERVICE CHA 53945,A81000B,00900,0300,MANAGEMENT FEES 53945,A81000C,00100,0100,A 53945,A81000C,00100,0200,P. DODD 53945,A81000C,00100,0400,BROCKIE HEALTHC 53945,A81000C,00100,0600,MEDICAL SUPPLIE 53945,A81000C,00200,0100,A 53945,A81000C,00200,0200,A. REYNOLDS 53945,A81000C,00200,0400,BROCKIE HEALTHC 53945,A81000C,00200,0600,MEDICAL SUPPLIE 53945,A81000C,00300,0100,A 53945,A81000C,00300,0200,S. WILSON 53945,A81000C,00300,0400,BROCKIE HEALTHC 53945,A81000C,00300,0600,MEDICAL SUPPLIE 53945,A81000C,00400,0100,A 53945,A81000C,00400,0200,M. WILSON 53945,A81000C,00400,0400,BROCKIE HEALTHC 53945,A81000C,00400,0600,MEDICAL SUPPLIE 53945,A81000C,00500,0100,A 53945,A81000C,00500,0200,D. WILSON 53945,A81000C,00500,0400,BROCKIE HEALTHC 53945,A81000C,00500,0600,MEDICAL SUPPLIE 53945,A81000C,00600,0100,A 53945,A81000C,00600,0200,K. MCCORMACK 53945,A81000C,00600,0400,BROCKIE HEALTHC 53945,A81000C,00600,0600,MEDICAL SUPPLIE 53945,A81000C,00700,0100,A 53945,A81000C,00700,0200,J. MCCORMACK 53945,A81000C,00700,0400,BROCKIE HEALTHC 53945,A81000C,00700,0600,MEDICAL SUPPLIE 53945,A81000C,00800,0100,A 53945,A81000C,00800,0200,G. MCCORMACK 53945,A81000C,00800,0400,BROCKIE HEALTHC 53945,A81000C,00800,0600,MEDICAL SUPPLIE 53945,A81000C,00900,0100,A 53945,A81000C,00900,0200,D. MCCORMACK 53945,A81000C,00900,0400,BROCKIE HEALTHC 53945,A81000C,00900,0600,MEDICAL SUPPLIE 53945,A81000C,01000,0100,B 53945,A81000C,01000,0400,WILMAC CORPORAT 53945,A81000C,01000,0600,MANAGEMENT COMP 53945,B100000,00000,0100,00000SQUARE FEET 53945,B100000,00000,0200,00000SQUARE FEET 53945,B100000,00000,0300,00000GROSS SALARIES 53945,B100000,00000,0400,00000ACCUM COST 53945,B100000,00000,0500,00000SQUARE FEET 53945,B100000,00000,0600,00000POUNDS OF LAUNDRY 53945,B100000,00000,0700,00000SQ FT W/O KIT 53945,B100000,00000,0800,00000MEALS SERVED 53945,B100000,00000,0900,00000DIRECT NRSG HRS 53945,B100000,00000,1000,00000COSTED REQUIS 53945,B100000,00000,1100,00000COSTED REQUIS 53945,B100000,00000,1200,00000GROSS CHARGES 53945,B100000,00000,1300,00000TIME SPENT 53945,B100000,00000,1350,00000PATIENT DAYS 53945,B100000,00000,1400,00000ASSIGNED TIME 53945,E10A180,00501,0100,08/01/2000 53945,E10A180,00550,0300,08/01/2000 53945,S000000,00100,0200,06/20/2000 53945,S200000,00100,0100,2829 LITITZ PIKE 53945,S200000,00200,0100,LANCASTER 53945,S200000,00200,0200,PA 53945,S200000,00200,0300,17601 53945,S200000,00300,0100,LANCASTER 53945,S200000,00400,0100,LANCASHIRE HALL 53945,S200000,00400,0200,395205 53945,S200000,00400,0300,01/01/1975 53945,S200000,00400,0500,P 53945,S200000,00400,0600,O 53945,S200000,01600,0100,Y 53945,S200000,02200,0100,Y 53945,S200000,02800,0100,Y 53954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53954,A000000,00101,0000,00101CAP REL COSTS - RT & ZP 53954,A000000,00102,0000,00102CAP REL COSTS - REED HOUSE 53954,A000000,00103,0000,00103CAP REL COSTS - REED MANOR 53954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53954,A000000,00300,0000,00300EMPLOYEE BENEFITS 53954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53954,A000000,00700,0000,00700HOUSEKEEPING 53954,A000000,00800,0000,00800DIETARY 53954,A000000,00900,0000,00900NURSING ADMINISTRATION 53954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53954,A000000,01100,0000,01100PHARMACY 53954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53954,A000000,01300,0000,01300SOCIAL SERVICE 53954,A000000,01350,0000,01500ACTIVITIES 53954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53954,A000000,01600,0000,01600SKILLED NURSING FACILITY 53954,A000000,01810,0000,01810ICF/MR 53954,A000000,02100,0000,02100RADIOLOGY 53954,A000000,02200,0000,02200LABORATORY 53954,A000000,02500,0000,02500PHYSICAL THERAPY 53954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53954,A000000,02700,0000,02700SPEECH PATHOLOGY 53954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53954,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53954,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53954,A000000,03550,0000,03550FQHC 53954,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53954,A000000,05000,0000,05000CORF 53954,A000000,05010,0000,05010CMHC 53954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53954,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53954,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 53954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53954,A000000,06150,0000,06300PERS. CARE & RESIDENTIAL 53954,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 53954,A81000A,00100,0100,Y 53954,A81000B,00100,0300,ADMINISTRATIVE 53954,A81000C,00100,0100,G 53954,A81000C,00100,0400,HEALTHCARE VENTURES 53954,A81000C,00100,0600,GROUP PURCHASING 53954,A81000C,00200,0400,ALLIANCE 53954,B100000,00000,0100,00001SQUARE FEET 53954,B100000,00000,0101,00001SQUARE FEET 53954,B100000,00000,0102,00001SQUARE FEET 53954,B100000,00000,0103,00001SQUARE FEET 53954,B100000,00000,0200,00001SQUARE FEET 53954,B100000,00000,0300,00001GROSS SALARIES 53954,B100000,00000,0400,00001ACCUM. COST 53954,B100000,00000,0500,00001SQUARE FEET 53954,B100000,00000,0600,00001POUNDS OF LAUNDRY 53954,B100000,00000,0700,00001HOURS OF SERVICE 53954,B100000,00000,0800,00001MEALS SERVED 53954,B100000,00000,0900,00001DIRECT NRSING HRS 53954,B100000,00000,1000,00001COSTED REQUIS. 53954,B100000,00000,1100,00001COSTED REQUIS 53954,B100000,00000,1200,00001TIME SPENT 53954,B100000,00000,1300,00001TIME SPENT 53954,B100000,00000,1350,00001TIME SPENT 53954,B100000,00000,1400,00001ASSIGNED TIME 53954,E10A180,00501,0100,11/30/2000 53954,E10A180,00502,0300,11/30/2000 53954,S000000,00100,0200,11/28/2000 53954,S200000,00100,0100,227 WEST 22ND STREET 53954,S200000,00200,0100,ERIE 53954,S200000,00200,0200,PA 53954,S200000,00300,0100,ERIE 53954,S200000,00400,0100,SARAH A. REED RETIREMENT CENTER 53954,S200000,00400,0200,395206 53954,S200000,00400,0300,07/01/1966 53954,S200000,00400,0500,P 53954,S200000,01500,0100,Y 53954,S200000,02800,0100,Y 53967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53967,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 53967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53967,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 53967,A000000,00300,0000,00300EMPLOYEE BENEFITS 53967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53967,A000000,00700,0000,00700HOUSEKEEPING 53967,A000000,00800,0000,00800DIETARY 53967,A000000,00801,0000,00801CAFETERIA 53967,A000000,00900,0000,00900NURSING ADMINISTRATION 53967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53967,A000000,01100,0000,01100PHARMACY 53967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53967,A000000,01300,0000,01300SOCIAL SERVICE 53967,A000000,01350,0000,01500REC THERAPY 53967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53967,A000000,01600,0000,01600SKILLED NURSING FACILITY 53967,A000000,01800,0000,01800NURSING FACILITY 53967,A000000,01810,0000,01810ICF/MR 53967,A000000,02100,0000,02100RADIOLOGY 53967,A000000,02200,0000,02200LABORATORY 53967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53967,A000000,02500,0000,02500PHYSICAL THERAPY 53967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53967,A000000,02700,0000,02700SPEECH PATHOLOGY 53967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53967,A000000,03050,0000,03300OTHER ANCILLARY 53967,A000000,03051,0000,03301FEE SCREENING 53967,A000000,03052,0000,03302PEN THERAPY 53967,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 53967,A000000,03550,0000,03550FQHC 53967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53967,A000000,05000,0000,05000CORF I 53967,A000000,05010,0000,05010CMHC I 53967,A000000,05020,0000,05020OPT I 53967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 53967,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 53967,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 53967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53967,A81000A,00100,0100,Y 53967,A81000B,00100,0300,HOME OFFICE 53967,A81000B,00200,0300,HOME OFFICE-CAPITAL 53967,A81000B,00300,0300,HOME OFFICE INTEREST 53967,A81000B,00400,0300,AS ATTACHED 53967,A81000C,00100,0100,B 53967,A81000C,00100,0400,GHV. INC. 53967,A81000C,00100,0600,HOME OFFICE 53967,A81000C,00200,0100,B 53967,A81000C,00200,0400,GHV. INC. 53967,A81000C,00200,0600,HOME OFFICE 53967,A81000C,00300,0100,B 53967,A81000C,00300,0400,GHV. INC. 53967,A81000C,00300,0600,HOME OFFICE 53967,A81000C,00400,0100,B 53967,A81000C,00400,0400,AS ATTACHED 53967,A81000C,00400,0600,VARIOUS 53967,B100000,00000,0100,00000(SQUARE FEET) 53967,B100000,00000,0101,00000(SQUARE FEET) 53967,B100000,00000,0200,00000(SQUARE FEET) 53967,B100000,00000,0201,00000(SQUARE FEET) 53967,B100000,00000,0300,00000(GROSS SALARIES) 53967,B100000,00000,0400,00000(ACCUM. COST) 53967,B100000,00000,0500,00000(SQUARE FEET) 53967,B100000,00000,0600,00000(PATIENT DAYS) 53967,B100000,00000,0700,00000(SQUARE FEET) 53967,B100000,00000,0800,00000(MEALS SERVED) 53967,B100000,00000,0801,00000(MEALS SERVED) 53967,B100000,00000,0900,00000(NURSING SALARIES) 53967,B100000,00000,1000,00000(PATIENT DAYS) 53967,B100000,00000,1100,00000(PATIENT DAYS) 53967,B100000,00000,1200,00000(PATIENT DAYS) 53967,B100000,00000,1300,00000(PATIENT DAYS) 53967,B100000,00000,1350,00000(PATIENT DAYS) 53967,B100000,00000,1400,00000(ASSIGNED TIME) 53967,E10A180,00501,0100,03/21/2000 53967,E10A180,00501,0300,03/21/2000 53967,S000000,00100,0200,02/29/2000 53967,S200000,00100,0100,336 S. WEST END AVE. 53967,S200000,00200,0100,LANCASTER 53967,S200000,00200,0200,PA 53967,S200000,00200,0300,17603 53967,S200000,00300,0100,LANCASTER 53967,S200000,00400,0100,HAMILTON ARMS CENTER 53967,S200000,00400,0200,395224 53967,S200000,00400,0300,03/01/1985 53967,S200000,00400,0500,P 53967,S200000,01600,0100,Y 53967,S200000,02200,0100,Y 53978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53978,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 53978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53978,A000000,00300,0000,00300EMPLOYEE BENEFITS 53978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53978,A000000,00700,0000,00700HOUSEKEEPING 53978,A000000,00800,0000,00800DIETARY 53978,A000000,00900,0000,00900NURSING ADMINISTRATION 53978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53978,A000000,01100,0000,01100PHARMACY 53978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53978,A000000,01300,0000,01300SOCIAL SERVICE 53978,A000000,01350,0000,01500ACTIVITIES 53978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53978,A000000,01600,0000,01600SKILLED NURSING FACILITY 53978,A000000,01800,0000,01800NURSING FACILITY 53978,A000000,01810,0000,01810ICF/MR 53978,A000000,02100,0000,02100RADIOLOGY 53978,A000000,02200,0000,02200LABORATORY 53978,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53978,A000000,02500,0000,02500PHYSICAL THERAPY 53978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53978,A000000,02700,0000,02700SPEECH PATHOLOGY 53978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53978,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53978,A000000,03200,0000,03200SUPPORT SURFACES 53978,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53978,A000000,03550,0000,03550FQHC 53978,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53978,A000000,05000,0000,05000CORF 53978,A000000,05010,0000,05010CMHC 53978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53978,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 53978,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53978,A81000A,00100,0100,Y 53978,A81000B,00100,0300,HOME OFFICE - CAPITAL 53978,A81000B,00200,0300,HOME OFFICE - ADMINISTRATIVE 53978,A81000B,00300,0300,LEGAL FEES 53978,A81000C,00100,0100,B 53978,A81000C,00100,0200,WELLNESS CONCEPTS INC. 53978,A81000C,00100,0400,WELLNESS CONCEPTS INC 53978,A81000C,00100,0600,HOME OFFICE 53978,B100000,00000,0100,00000SQUARE FEET 53978,B100000,00000,0101,00000SQUARE FEET 53978,B100000,00000,0200,00000DOLLAR VALUE 53978,B100000,00000,0300,00000GROSS SALARIES 53978,B100000,00000,0400,00000ACCUM. COST 53978,B100000,00000,0500,00000SQUARE FEET 53978,B100000,00000,0600,00000PATIENT DAYS 53978,B100000,00000,0700,00000SQ FEET (EX DIETAR 53978,B100000,00000,0800,00000MEALS SERVED 53978,B100000,00000,0900,00000HOURS WORKED 53978,B100000,00000,1000,00000PATIENT DAYS 53978,B100000,00000,1100,00000PATIENT DAYS 53978,B100000,00000,1200,00000PATIENT DAYS 53978,B100000,00000,1300,00000PATIENT DAYS 53978,B100000,00000,1350,00000PATIENT DAYS 53978,B100000,00000,1400,00000ASSIGNED TIME 53978,E10A180,00501,0100,07/12/2000 53978,E10A180,00501,0300,07/12/2000 53978,S000000,00100,0200,05/31/2000 53978,S200000,00100,0100,2630 WOODLAND ROAD 53978,S200000,00200,0100,ROSLYN 53978,S200000,00200,0200,PA 53978,S200000,00300,0100,MONTGOMERY 53978,S200000,00400,0100,ROSLYN NURSING & REHABILITATION CTR 53978,S200000,00400,0200,395227 53978,S200000,00400,0300,07/24/1985 53978,S200000,00400,0500,P 53978,S200000,01600,0100,Y 53986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53986,A000000,00300,0000,00300EMPLOYEE BENEFITS 53986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53986,A000000,00700,0000,00700HOUSEKEEPING 53986,A000000,00800,0000,00800DIETARY 53986,A000000,00900,0000,00900NURSING ADMINISTRATION 53986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53986,A000000,01100,0000,01100PHARMACY 53986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53986,A000000,01300,0000,01300SOCIAL SERVICE 53986,A000000,01350,0000,01500OTHER GENERAL SERVICES 53986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53986,A000000,01600,0000,01600SKILLED NURSING FACILITY 53986,A000000,01800,0000,01800NURSING FACILITY 53986,A000000,01810,0000,01810ICF/MR 53986,A000000,02200,0000,02200LABORATORY 53986,A000000,02500,0000,02500PHYSICAL THERAPY 53986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53986,A000000,02700,0000,02700SPEECH PATHOLOGY 53986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53986,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53986,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53986,A000000,03550,0000,03550FQHC 53986,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53986,A000000,05000,0000,05000CORF 53986,A000000,05010,0000,05010CMHC 53986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53986,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53986,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53986,A81000A,00100,0100,Y 53986,A81000B,00100,0300,MANAGEMENT FEES 53986,A81000C,00100,0100,A 53986,A81000C,00100,0200,JOHN NUGENT 53986,A81000C,00100,0400,NUGENT INTERNATIONAL INC. 53986,A81000C,00100,0600,C - CORPORATION 53986,A81000C,00200,0100,A 53986,A81000C,00200,0200,DERRIC NUGENT 53986,A81000C,00200,0400,NUGENT INTERNATIONAL INC. 53986,A81000C,00200,0600,C - CORPORATION 53986,A81000C,00300,0100,A 53986,A81000C,00300,0200,SHANE NUGENT 53986,A81000C,00300,0400,NUGENT INTERNATIONAL INC. 53986,A81000C,00300,0600,C - CORPORATION 53986,A81000C,00400,0100,A 53986,B100000,00000,0100,00000SQUARE FEET 53986,B100000,00000,0200,00000SQUARE FEET 53986,B100000,00000,0300,00000GROSS SALARIES 53986,B100000,00000,0400,00000ACCUM. COST 53986,B100000,00000,0500,00000SQUARE FEET 53986,B100000,00000,0600,00000POUNDS OF LAUNDRY 53986,B100000,00000,0700,00000SQUARE FEET 53986,B100000,00000,0800,00000MEALS SERVED 53986,B100000,00000,0900,00000DIRECT NRSING HRS 53986,B100000,00000,1000,00000COSTED REQUIS. 53986,B100000,00000,1100,00000COSTED REQUIS. 53986,B100000,00000,1200,00000TIME SPENT 53986,B100000,00000,1300,00000TIME SPENT 53986,B100000,00000,1350,00000NO STATISTICS 53986,B100000,00000,1400,00000ASSIGNED TIME 53986,S000000,00100,0200,04/27/2000 53986,S200000,00100,0100,500 CLARKSVILLE ROAD 53986,S200000,00200,0100,HERMITAGE 53986,S200000,00200,0200,PA 53986,S200000,00300,0100,MERCER 53986,S200000,00400,0100,NUGENT CONVALESCENT HOME 53986,S200000,00400,0200,395231 53986,S200000,00400,0300,07/01/1968 53986,S200000,00400,0500,P 53986,S200000,01600,0100,Y 53986,S200000,02200,0100,Y 53993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 53993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 53993,A000000,00300,0000,00300EMPLOYEE BENEFITS 53993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 53993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 53993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 53993,A000000,00700,0000,00700HOUSEKEEPING 53993,A000000,00800,0000,00800DIETARY 53993,A000000,00900,0000,00900NURSING ADMINISTRATION 53993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 53993,A000000,01100,0000,01100PHARMACY 53993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 53993,A000000,01300,0000,01300SOCIAL SERVICE 53993,A000000,01350,0000,01500OTHER GENERAL SERVICES 53993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 53993,A000000,01600,0000,01600SKILLED NURSING FACILITY 53993,A000000,02200,0000,02200LABORATORY 53993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 53993,A000000,02500,0000,02500PHYSICAL THERAPY 53993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 53993,A000000,02700,0000,02700SPEECH PATHOLOGY 53993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 53993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 53993,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 53993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 53993,A000000,03550,0000,03550FQHC 53993,A000000,04750,0000,05100OTHER REIMBURSABLE COST 53993,A000000,05000,0000,05000CORF 53993,A000000,05010,0000,05010CMHC 53993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 53993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 53993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 53993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 53993,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 53993,B100000,00000,0100,00000SQUARE FEET 53993,B100000,00000,0200,00000SQUARE FEET 53993,B100000,00000,0300,00000GROSS SALARIES 53993,B100000,00000,0400,00000ACCUM. COST 53993,B100000,00000,0500,00000SQUARE FEET 53993,B100000,00000,0600,00000POUNDS OF LAUNDRY 53993,B100000,00000,0700,00000HOURS OF SERVICE 53993,B100000,00000,0800,00000MEALS SERVED 53993,B100000,00000,0900,00000DIRECT NURSING HR 53993,B100000,00000,1000,00000NO STATISTICS 53993,B100000,00000,1100,00000NO STATISTICS 53993,B100000,00000,1200,00000NO STATISTICS 53993,B100000,00000,1300,00000TIME SPENT 53993,B100000,00000,1350,00000NO STATISTICS 53993,B100000,00000,1400,00000NO STATISTICS 53993,S000000,00100,0200,06/26/2000 53993,S200000,00100,0100,3726 EAST STATE ST. 53993,S200000,00200,0100,HERMITAGE 53993,S200000,00200,0200,PA 53993,S200000,00300,0100,MERCER 53993,S200000,00400,0100,HOSPITALITY CARE CENTER OF HERMITAGE 53993,S200000,00400,0200,395232 53993,S200000,00400,0300,03/09/1983 53993,S200000,00400,0500,P 53993,S200000,00400,0600,O 53993,S200000,01500,0100,Y 53996,S000000,00100,0200,05/31/2000 54002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54002,A000000,00101,0000,00101CAP REL COSTS -HEALTH CENTER 54002,A000000,00102,0000,00102CAP REL COSTS -RESIDENTIAL 54002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54002,A000000,00300,0000,00300EMPLOYEE BENEFITS 54002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54002,A000000,00700,0000,00700HOUSEKEEPING 54002,A000000,00800,0000,00800DIETARY 54002,A000000,00900,0000,00900NURSING ADMINISTRATION 54002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54002,A000000,01100,0000,01100PHARMACY 54002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54002,A000000,01300,0000,01300SOCIAL SERVICE 54002,A000000,01350,0000,01500RESIDENT ACTIVITIES 54002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54002,A000000,01600,0000,01600SKILLED NURSING FACILITY 54002,A000000,01800,0000,01800NURSING FACILITY 54002,A000000,01810,0000,01810ICF/MR 54002,A000000,02100,0000,02100RADIOLOGY 54002,A000000,02200,0000,02200LABORATORY 54002,A000000,02500,0000,02500PHYSICAL THERAPY 54002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54002,A000000,02700,0000,02700SPEECH PATHOLOGY 54002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54002,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54002,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54002,A000000,03550,0000,03550FQHC 54002,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54002,A000000,05000,0000,05000CORF 54002,A000000,05010,0000,05010CMHC 54002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54002,A000000,05300,0000,05300INTEREST EXPENSE 54002,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54002,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54002,A000000,06150,0000,06300RESIDENTIAL/COTTAGES 54002,B100000,00000,0100,00000SQUARE FEET 54002,B100000,00000,0101,00000SQ FT HEALTH CTR 54002,B100000,00000,0102,00000SQ FT RESIDENTIA 54002,B100000,00000,0200,00000SQUARE FEET 54002,B100000,00000,0300,00000GROSS SALARIES 54002,B100000,00000,0400,00000ACCUM. COST 54002,B100000,00000,0500,00000SQ FT HEALTH CTR 54002,B100000,00000,0600,00000POUNDS OF LAUNDRY 54002,B100000,00000,0700,00000HOURS OF SERVICE 54002,B100000,00000,0800,00000MEALS SERVED 54002,B100000,00000,0900,00000HOURS OF SERVICE 54002,B100000,00000,1000,00000COSTED REQUIS. 54002,B100000,00000,1100,00000NO STATISTICS 54002,B100000,00000,1200,00000TIME SPENT 54002,B100000,00000,1300,00000TIME SPENT 54002,B100000,00000,1350,00000PATIENT DAYS 54002,B100000,00000,1400,00000ASSIGNED TIME 54002,S000000,00100,0200,05/30/2000 54002,S200000,00100,0100,339 EAST JAMESTOWN RD 54002,S200000,00200,0100,GREENVILLE 54002,S200000,00200,0200,PA 54002,S200000,00300,0100,MERCER 54002,S200000,00400,0100,ST PAUL HOMES 54002,S200000,00400,0200,395244 54002,S200000,00400,0300,07/01/1967 54002,S200000,00400,0500,P 54002,S200000,01600,0100,Y 54012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54012,A000000,00300,0000,00300EMPLOYEE BENEFITS 54012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54012,A000000,00700,0000,00700HOUSEKEEPING 54012,A000000,00800,0000,00800DIETARY 54012,A000000,00900,0000,00900NURSING ADMINISTRATION 54012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54012,A000000,01100,0000,01100PHARMACY 54012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54012,A000000,01300,0000,01300SOCIAL SERVICE 54012,A000000,01350,0000,01500OTHER GENERAL SERVICES 54012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54012,A000000,01600,0000,01600SKILLED NURSING FACILITY 54012,A000000,01800,0000,01800NURSING FACILITY 54012,A000000,01810,0000,01810ICF/MR 54012,A000000,02100,0000,02100RADIOLOGY 54012,A000000,02500,0000,02500PHYSICAL THERAPY 54012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54012,A000000,02700,0000,02700SPEECH PATHOLOGY 54012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54012,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54012,A000000,03550,0000,03550FQHC 54012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54012,A000000,05000,0000,05000CORF 54012,A000000,05010,0000,05010CMHC 54012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54012,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54012,B100000,00000,0100,00000SQUARE FEET 54012,B100000,00000,0200,00000SQUARE FEET 54012,B100000,00000,0300,00000GROSS SALARIES 54012,B100000,00000,0400,00000ACCUM. COST 54012,B100000,00000,0500,00000SQUARE FEET 54012,B100000,00000,0600,00000POUNDS OF LAUNDRY 54012,B100000,00000,0700,00000TIME SPENT 54012,B100000,00000,0800,00000MEALS SERVED 54012,B100000,00000,0900,00000DIRECT NURSING HR 54012,B100000,00000,1000,00000COSTEDREQU UISITIONS 54012,B100000,00000,1100,00000PATIENT DAYS 54012,B100000,00000,1200,00000TIME SPENT 54012,B100000,00000,1300,00000TIME SPENT 54012,B100000,00000,1350,00000TIME SPENT 54012,B100000,00000,1400,00000ASSIGNED TIME 54012,E10A180,00501,0100,06/15/2000 54012,S000000,00100,0200,05/31/2000 54012,S200000,00100,0100,MAIN STREET 54012,S200000,00200,0100,HARRISVILLE 54012,S200000,00200,0200,PA 54012,S200000,00300,0100,BUTLER 54012,S200000,00400,0100,AUTUMN GROVE CARE CENTER 54012,S200000,00400,0200,395248 54012,S200000,00400,0300,01/01/1968 54012,S200000,00400,0500,P 54012,S200000,01600,0100,Y 54021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54021,A000000,00300,0000,00300EMPLOYEE BENEFITS 54021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54021,A000000,00700,0000,00700HOUSEKEEPING 54021,A000000,00800,0000,00800DIETARY 54021,A000000,00900,0000,00900NURSING ADMINISTRATION 54021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54021,A000000,01100,0000,01100PHARMACY 54021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54021,A000000,01300,0000,01300SOCIAL SERVICE 54021,A000000,01350,0000,01500ACTIVITIES 54021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54021,A000000,01600,0000,01600SKILLED NURSING FACILITY 54021,A000000,01810,0000,01810ICF/MR 54021,A000000,02100,0000,02100RADIOLOGY 54021,A000000,02200,0000,02200LABORATORY 54021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54021,A000000,02500,0000,02500PHYSICAL THERAPY 54021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54021,A000000,02700,0000,02700SPEECH PATHOLOGY 54021,A000000,02800,0000,02800ELECTROCARDIOLOGY 54021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54021,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54021,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54021,A000000,03550,0000,03550FQHC 54021,A000000,05000,0000,05000CORF 54021,A000000,05010,0000,05010CMHC 54021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54021,A000000,05300,0000,05300INTEREST EXPENSE 54021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54021,A000000,06151,0000,06301MARKETING 54021,A000000,06152,0000,06302ADULT DAY CARE 54021,A000000,06200,0000,06200PATIENTS LAUNDRY 54021,A81000A,00100,0100,Y 54021,A81000B,00100,0300,WORKERS COMP 54021,A81000B,00200,0300,PROPERTY INSURANCE 54021,A81000C,00100,0100,B 54021,A81000C,00100,0200,HOLY FAMILY RES 54021,A81000C,00100,0400,DIOCESE. - ALLEN 54021,A81000C,00100,0600,CHURCH 54021,B100000,00000,0100,00002SQUARE FEET 54021,B100000,00000,0200,00002SQUARE FEET 54021,B100000,00000,0300,00002GROSS SALARIES 54021,B100000,00000,0400,00002ACCUM. COST 54021,B100000,00000,0500,00002SQUARE FEET 54021,B100000,00000,0600,00002POUNDS OF LAUNDRY 54021,B100000,00000,0700,00002SQUARE FEET 54021,B100000,00000,0800,00002MEALS SERVED 54021,B100000,00000,0900,00002PATIENT DAYS 54021,B100000,00000,1000,00002PATIENT DAYS 54021,B100000,00000,1100,00002PATIENT DAYS 54021,B100000,00000,1200,00002PATIENT DAYS 54021,B100000,00000,1300,00002PATIENT DAYS 54021,B100000,00000,1350,00002PATIENT DAYS 54021,B100000,00000,1400,00002ASSIGNED TIME 54021,E10A180,00501,0100,07/12/2000 54021,E10A180,00501,0300,07/12/2000 54021,S000000,00100,0200,05/31/2000 54021,S200000,00100,0100,1200 SPRING STREET 54021,S200000,00200,0100,BETHLEHEM 54021,S200000,00200,0200,PA 54021,S200000,00300,0100,LEHIGH 54021,S200000,00400,0100,HOLY FAMILY MANOR 54021,S200000,00400,0200,395250 54021,S200000,00400,0300,11/01/1968 54021,S200000,00400,0500,P 54021,S200000,01500,0100,Y 54021,S200000,02200,0100,Y 54021,S200000,02800,0100,Y 54033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54033,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54033,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54033,A000000,00300,0000,00300EMPLOYEE BENEFITS 54033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54033,A000000,00700,0000,00700HOUSEKEEPING 54033,A000000,00800,0000,00800DIETARY 54033,A000000,00801,0000,00801CAFETERIA 54033,A000000,00900,0000,00900NURSING ADMINISTRATION 54033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54033,A000000,01100,0000,01100PHARMACY 54033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54033,A000000,01300,0000,01300SOCIAL SERVICE 54033,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 54033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54033,A000000,01600,0000,01600SKILLED NURSING FACILITY 54033,A000000,01800,0000,01800NURSING FACILITY 54033,A000000,01810,0000,01810ICF/MR 54033,A000000,02100,0000,02100RADIOLOGY 54033,A000000,02200,0000,02200LABORATORY 54033,A000000,02300,0000,02300INTRAVENOUS THERAPY 54033,A000000,02500,0000,02500PHYSICAL THERAPY 54033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54033,A000000,02700,0000,02700SPEECH PATHOLOGY 54033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54033,A000000,03050,0000,03300PEN THERAPY 54033,A000000,03051,0000,03301FEE SCREENING 54033,A000000,03052,0000,03302AMBULANCE 54033,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54033,A000000,03550,0000,03550FQHC 54033,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54033,A000000,05000,0000,05000CORF I 54033,A000000,05010,0000,05010CMHC I 54033,A000000,05020,0000,05020OPT I 54033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54033,A000000,05300,0000,05300INTEREST EXPENSE 54033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54033,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54033,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54033,A81000A,00100,0100,Y 54033,A81000B,00100,0300,ADM FEES 54033,A81000C,00100,0100,B 54033,A81000C,00100,0400,AGE INSTITUTE 54033,A81000C,00100,0600,PARENT CO. 54033,B100000,00000,0100,00000(SQUARE FEET) 54033,B100000,00000,0101,00000(SQUARE FEET) 54033,B100000,00000,0200,00000(SQUARE FEET) 54033,B100000,00000,0201,00000(SQUARE FEET) 54033,B100000,00000,0300,00000(GROSS SALARIES) 54033,B100000,00000,0400,00000(ACCUM. COST) 54033,B100000,00000,0500,00000(SQUARE FEET) 54033,B100000,00000,0600,00000(PATIENT DAYS) 54033,B100000,00000,0700,00000(SQUARE FEET) 54033,B100000,00000,0800,00000(MEALS SERVED) 54033,B100000,00000,0801,00000(MEALS SERVED) 54033,B100000,00000,0900,00000(NURSING SALARIES) 54033,B100000,00000,1000,00000COST REQ 54033,B100000,00000,1100,00000(PATIENT DAYS) 54033,B100000,00000,1200,00000(PATIENT DAYS) 54033,B100000,00000,1300,00000(PATIENT DAYS) 54033,B100000,00000,1350,00000(PATIENT DAYS) 54033,B100000,00000,1400,00000(ASSIGNED TIME) 54033,S000000,00100,0200,12/07/2000 54033,S200000,00100,0100,905 TOWER RD 54033,S200000,00200,0100,BRISTOL 54033,S200000,00200,0200,PA 54033,S200000,00200,0300,19007 54033,S200000,00300,0100,B 54033,S200000,00400,0100,SILVERLAKE CENTER 54033,S200000,00400,0200,395258 54033,S200000,00400,0300,07/01/1970 54033,S200000,00400,0500,P 54033,S200000,01600,0100,Y 54033,S200000,02200,0100,Y 54041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54041,A000000,00300,0000,00300EMPLOYEE BENEFITS 54041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54041,A000000,00700,0000,00700HOUSEKEEPING 54041,A000000,00800,0000,00800DIETARY 54041,A000000,00900,0000,00900NURSING ADMINISTRATION 54041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54041,A000000,01100,0000,01100PHARMACY 54041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54041,A000000,01300,0000,01300SOCIAL SERVICE 54041,A000000,01350,0000,01500PATIENT ACTIVITIES 54041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54041,A000000,01600,0000,01600SKILLED NURSING FACILITY 54041,A000000,01800,0000,01800NURSING FACILITY 54041,A000000,01810,0000,01810ICF/MR 54041,A000000,02100,0000,02100RADIOLOGY 54041,A000000,02200,0000,02200LABORATORY 54041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54041,A000000,02500,0000,02500PHYSICAL THERAPY 54041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54041,A000000,02700,0000,02700SPEECH PATHOLOGY 54041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54041,A000000,03550,0000,03550FQHC 54041,A000000,04800,0000,04800AMBULANCE 54041,A000000,05000,0000,05000CORF 54041,A000000,05010,0000,05010CMHC 54041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54041,A81000A,00100,0100,Y 54041,A81000B,00100,0300,G&A 6060 6076 6082 54041,A81000B,00200,0300,G&A 6090 54041,A81000C,00100,0100,B 54041,A81000C,00100,0200,TRESSLER LUTHRA 54041,B100000,00000,0100,00000SQUARE FEET 54041,B100000,00000,0200,00000SQUARE FEET 54041,B100000,00000,0300,00000GROSS SALARIES 54041,B100000,00000,0400,00000ACCUM COST 54041,B100000,00000,0500,00000SQUARE FEET 54041,B100000,00000,0600,00000POUNDS OF LAUNDRY 54041,B100000,00000,0700,00000SQUARE FEET 54041,B100000,00000,0800,00000MEALS SERVED 54041,B100000,00000,0900,00000PATIENT DAYS 54041,B100000,00000,1000,00000COSTED REQUIS 54041,B100000,00000,1100,00000COSTED REQUIS 54041,B100000,00000,1200,00000PATIENT DAYS 54041,B100000,00000,1300,00000PATIENT DAYS 54041,B100000,00000,1350,00000PATIENT DAYS 54041,B100000,00000,1400,00000ASSIGNED TIME 54041,S000000,00100,0200,07/31/2000 54041,S200000,00100,0100,211 FAIRGROUND ROAD 54041,S200000,00200,0100,LEWISBURG 54041,S200000,00200,0200,PA 54041,S200000,00300,0100,UNION 54041,S200000,00400,0100,BUFFALO VALLEY LUTHERAN VILLAGE 54041,S200000,00400,0200,395261 54041,S200000,00400,0300,01/01/1995 54041,S200000,00400,0500,P 54041,S200000,00400,0600,O 54041,S200000,01600,0100,Y 54041,S200000,02200,0100,Y 54041,S200000,02800,0100,Y 54041,S200000,04700,0100,Y 54041,S200000,04700,0200,Y 54048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54048,A000000,00300,0000,00300EMPLOYEE BENEFITS 54048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54048,A000000,00700,0000,00700HOUSEKEEPING 54048,A000000,00800,0000,00800DIETARY 54048,A000000,00900,0000,00900NURSING ADMINISTRATION 54048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54048,A000000,01100,0000,01100PHARMACY 54048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54048,A000000,01300,0000,01300SOCIAL SERVICE 54048,A000000,01350,0000,01500RECREATIONAL THERAPY 54048,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54048,A000000,01600,0000,01600SKILLED NURSING FACILITY 54048,A000000,01810,0000,01810ICF/MR 54048,A000000,02100,0000,02100RADIOLOGY 54048,A000000,02200,0000,02200LABORATORY 54048,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54048,A000000,02500,0000,02500PHYSICAL THERAPY 54048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54048,A000000,02700,0000,02700SPEECH PATHOLOGY 54048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54048,A000000,03550,0000,03550FQHC 54048,A000000,05000,0000,05000CORF 54048,A000000,05010,0000,05010CMHC 54048,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54048,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54048,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54048,A000000,06150,0000,06300OTHER NONREIMBURSABLE 54048,A81000A,00100,0100,Y 54048,A81000B,00100,0300,MANAGEMENT FEES 54048,A81000B,00200,0300,CENTRAL MGMT 54048,A81000C,00100,0100,B 54048,A81000C,00100,0200,ST. LUKE PAV. 54048,A81000C,00100,0400,LUTHERAN SER- 54048,A81000C,00100,0600,MGMT. SVCS. 54048,A81000C,00200,0200,ILION 54048,A81000C,00200,0400,VICES NORTHEAST 54048,A81000C,00300,0100,B 54048,A81000C,00300,0200,ST. LUKE PAV- 54048,A81000C,00300,0400,LUTHERAN WEL- 54048,A81000C,00300,0600,CENTRAL MGMT 54048,A81000C,00400,0200,ILION 54048,A81000C,00400,0400,FARE SERVICES 54048,B100000,00000,0100,00000SQUARE FEET 54048,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 54048,B100000,00000,0300,00000GROSS SALARIES 54048,B100000,00000,0400,00000ACCUMULA- TED COST 54048,B100000,00000,0500,00000SQUARE FEET 54048,B100000,00000,0600,00000POUNDS OF LAUNDRY 54048,B100000,00000,0700,00000HOURS OF SERVICE 54048,B100000,00000,0800,00000MEALS SERVED 54048,B100000,00000,0900,00000DIRECT HOU OF SERVICE 54048,B100000,00000,1000,00000COSTED REQUIS 54048,B100000,00000,1100,00000COSTED REQUIS 54048,B100000,00000,1200,00000TIME SPENT 54048,B100000,00000,1300,00000TIME SPENT 54048,B100000,00000,1350,00000OTHER 54048,B100000,00000,1400,00000ASSIGNED TIME 54048,E10A180,00501,0100,06/15/2000 54048,S000000,00100,0200,05/30/2000 54048,S200000,00100,0100,1000 STACIE DRIVE 54048,S200000,00200,0100,HAZLETON 54048,S200000,00200,0200,PA 54048,S200000,00200,0300,18201 54048,S200000,00300,0100,LUZERNE 54048,S200000,00400,0100,LWS ST. LUKE PAVILION 54048,S200000,00400,0200,395265 54048,S200000,00400,0300,09/22/1983 54048,S200000,00400,0500,P 54048,S200000,01500,0100,Y 54048,S200000,02200,0100,Y 54048,S200000,02800,0100,Y 54048,S200000,04700,0100,Y 54048,S200000,04700,0200,Y 54056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54056,A000000,00300,0000,00300EMPLOYEE BENEFITS 54056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54056,A000000,00700,0000,00700HOUSEKEEPING 54056,A000000,00800,0000,00800DIETARY 54056,A000000,00900,0000,00900NURSING ADMINISTRATION 54056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54056,A000000,01100,0000,01100PHARMACY 54056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54056,A000000,01300,0000,01300SOCIAL SERVICE 54056,A000000,01350,0000,01500PATIENT ACTIVITIES 54056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54056,A000000,01600,0000,01600SKILLED NURSING FACILITY 54056,A000000,01810,0000,01810ICF/MR 54056,A000000,02100,0000,02100RADIOLOGY 54056,A000000,02200,0000,02200LABORATORY 54056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54056,A000000,02500,0000,02500PHYSICAL THERAPY 54056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54056,A000000,02700,0000,02700SPEECH PATHOLOGY 54056,A000000,02800,0000,02800ELECTROCARDIOLOGY 54056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54056,A000000,03550,0000,03550FQHC 54056,A000000,05000,0000,05000CORF 54056,A000000,05010,0000,05010CMHC 54056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54056,A81000A,00100,0100,Y 54056,A81000B,00100,0300,MANAGEMENT SUPPORT 54056,A81000B,00200,0300,MANAGEMENT SUPPORT 54056,A81000B,00300,0300,PHARMACY 54056,A81000B,00400,0300,IMMUNIZATIONS 54056,A81000B,00500,0300,OTC DRUGS 54056,A81000B,00600,0300,MEDICAL SUPPLIES 54056,A81000B,00700,0300,PHARMACY CONSULTANT 54056,A81000B,00800,0300,PHARMACY 54056,A81000B,00900,0300,DATA PROCESSING 54056,A81000B,01000,0300,DATA PROCESSING 54056,A81000B,01100,0300,WORKING CAPITAL INT 54056,A81000C,00100,0100,B 54056,A81000C,00100,0400,PHI INC. 54056,A81000C,00100,0600,MANAGEMENT SUPP 54056,A81000C,00200,0400,PRELUDE SYSTEMS 54056,A81000C,00200,0600,INFORMATION SER 54056,A81000C,00300,0400,CONTINUING CARE 54056,A81000C,00300,0600,PHARMACEUTICALS 54056,B100000,00000,0100,00000SQUARE FEET 54056,B100000,00000,0200,00000SQUARE FEET 54056,B100000,00000,0300,00000GROSS SALARIES 54056,B100000,00000,0400,00000ACCUM COST 54056,B100000,00000,0500,00000SQUARE FEET 54056,B100000,00000,0600,00000POUNDS OF LAUNDRY 54056,B100000,00000,0700,00000SQ FT EXCL KTCHN 54056,B100000,00000,0800,00000MEALS SERVED 54056,B100000,00000,0900,00000DIRECT NRSG HRS 54056,B100000,00000,1000,00000COSTED REQUIS 54056,B100000,00000,1100,00000COSTED REQUIS 54056,B100000,00000,1200,00000PATIENT DAYS 54056,B100000,00000,1300,00000PATIENT DAYS 54056,B100000,00000,1350,00000PATIENT DAYS 54056,B100000,00000,1400,00000ASSIGNED TIME 54056,E10A180,00501,0100,07/18/2000 54056,E10A180,00550,0300,07/18/2000 54056,S000000,00100,0200,06/01/2000 54056,S200000,00100,0100,700 WALNUT BOTTOM ROAD 54056,S200000,00200,0100,CARLISLE 54056,S200000,00200,0200,PA 54056,S200000,00200,0300,17013 54056,S200000,00300,0100,CUMBERLAND 54056,S200000,00400,0100,FOREST PARK HEALTH CENTER 54056,S200000,00400,0200,395270 54056,S200000,00400,0300,06/30/1969 54056,S200000,00400,0500,P 54056,S200000,01500,0100,Y 54066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54066,A000000,00300,0000,00300EMPLOYEE BENEFITS 54066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54066,A000000,00700,0000,00700HOUSEKEEPING 54066,A000000,00800,0000,00800DIETARY 54066,A000000,00900,0000,00900NURSING ADMINISTRATION 54066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54066,A000000,01100,0000,01100PHARMACY 54066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54066,A000000,01300,0000,01300SOCIAL SERVICE 54066,A000000,01350,0000,01500PATIENT ACTIVITIES 54066,A000000,01351,0000,01501PASTORAL CARE 54066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54066,A000000,01600,0000,01600SKILLED NURSING FACILITY 54066,A000000,01800,0000,01800NURSING FACILITY 54066,A000000,01810,0000,01810ICF/MR 54066,A000000,02100,0000,02100RADIOLOGY 54066,A000000,02200,0000,02200LABORATORY 54066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54066,A000000,02500,0000,02500PHYSICAL THERAPY 54066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54066,A000000,02700,0000,02700SPEECH PATHOLOGY 54066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54066,A000000,03200,0000,03200SUPPORT SURFACES 54066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54066,A000000,03550,0000,03550FQHC 54066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54066,A000000,05000,0000,05000CORF 54066,A000000,05010,0000,05010CMHC 54066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54066,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54066,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54066,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54066,A81000A,00100,0100,Y 54066,A81000B,00100,0300,SALARIES 54066,A81000B,00200,0300,SALARIES 54066,A81000B,00300,0300,SALARIES 54066,A81000B,00400,0300,SALARIES 54066,A81000B,00500,0300,SALARIES 54066,A81000B,00600,0300,SALARIES 54066,A81000B,00700,0300,SALARIES 54066,A81000B,00800,0300,SALARIES 54066,A81000B,00900,0300,SALARIES 54066,A81000B,01000,0300,SALARIES 54066,A81000C,00100,0100,G 54066,A81000C,00100,0200,ST. JOSEPH SISTERS 54066,A81000C,00100,0400,ORDER OF ST. JOSEPH 54066,A81000C,00100,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00200,0100,G 54066,A81000C,00200,0200,ST. JOSEPH SISTERS 54066,A81000C,00200,0400,ORDER OF ST. JOSEPH 54066,A81000C,00200,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00300,0100,G 54066,A81000C,00300,0200,ST. JOSEPH SISTERS 54066,A81000C,00300,0400,ORDER OF ST. JOSEPH 54066,A81000C,00300,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00400,0100,G 54066,A81000C,00400,0400,ORDER OF ST. JOSEPH 54066,A81000C,00400,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00500,0100,G 54066,A81000C,00500,0400,ORDER OF ST. JOSEPH 54066,A81000C,00500,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00600,0100,G 54066,A81000C,00600,0400,ORDER OF ST. JOSEPH 54066,A81000C,00600,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00700,0100,G 54066,A81000C,00700,0400,ORDER OF ST. JOSEPH 54066,A81000C,00700,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00800,0100,G 54066,A81000C,00800,0400,ORDER OF ST. JOSEPH 54066,A81000C,00800,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,00900,0100,G 54066,A81000C,00900,0400,ORDER OF ST. JOSEPH 54066,A81000C,00900,0600,RELIGIOUS ORDER OF SISTER 54066,A81000C,01000,0100,G 54066,A81000C,01000,0400,ORDER OF ST. JOSEPH 54066,A81000C,01000,0600,RELIGIOUS ORDER OF SISTER 54066,B100000,00000,0100,00000SQUARE FEET 54066,B100000,00000,0200,00000SQUARE FEET 54066,B100000,00000,0300,00000GROSS SALARIES 54066,B100000,00000,0400,00000ACCUM. COST 54066,B100000,00000,0500,00000SQUARE FEET 54066,B100000,00000,0600,00000POUNDS OF LAUNDRY 54066,B100000,00000,0700,00000HOURS OF SERVICE 54066,B100000,00000,0800,00000MEALS SERVED 54066,B100000,00000,0900,00000DIRECT NRSING HRS 54066,B100000,00000,1000,00000COSTED REQUIS. 54066,B100000,00000,1100,00000COSTED REQUIS. 54066,B100000,00000,1200,00000TIME SPENT 54066,B100000,00000,1300,00000TIME SPENT 54066,B100000,00000,1350,00000TIME SPENT 54066,B100000,00000,1351,00000PATIENT DAYS 54066,B100000,00000,1400,00000TIME SPENT 54066,E10A180,00501,0300,12/15/2000 54066,S000000,00100,0200,11/28/2000 54066,S200000,00100,0100,110 WEST WISSAHICKON AVENUE 54066,S200000,00200,0100,FLOURTOWN 54066,S200000,00200,0200,PA 54066,S200000,00300,0100,PHILADELPHIA 54066,S200000,00400,0100,SAINT JOSEPH VILLA 54066,S200000,00400,0200,395278 54066,S200000,00400,0300,02/11/1970 54066,S200000,00400,0500,P 54066,S200000,00400,0600,P 54066,S200000,00600,0200,395278 54066,S200000,00600,0300,02/11/1970 54066,S200000,00600,0600,P 54066,S200000,01600,0100,Y 54066,S200000,02800,0100,Y 54074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54074,A000000,00300,0000,00300EMPLOYEE BENEFITS 54074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54074,A000000,00700,0000,00700HOUSEKEEPING 54074,A000000,00800,0000,00800DIETARY 54074,A000000,00900,0000,00900NURSING ADMINISTRATION 54074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54074,A000000,01100,0000,01100PHARMACY 54074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54074,A000000,01300,0000,01300SOCIAL SERVICE 54074,A000000,01301,0000,01301PATIENT ACTIVITIES 54074,A000000,01350,0000,01500OTHER GENERAL SERVICES 54074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54074,A000000,01600,0000,01600SKILLED NURSING FACILITY 54074,A000000,01810,0000,01810ICF/MR 54074,A000000,02100,0000,02100RADIOLOGY 54074,A000000,02200,0000,02200LABORATORY 54074,A000000,02300,0000,02300INTRAVENOUS THERAPY 54074,A000000,02500,0000,02500PHYSICAL THERAPY 54074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54074,A000000,02700,0000,02700SPEECH PATHOLOGY 54074,A000000,02701,0000,02701CLINITRON THERAPY 54074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54074,A000000,03001,0000,03001ENTERAL 54074,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54074,A000000,03550,0000,03550FQHC 54074,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54074,A000000,04800,0000,04800AMBULANCE 54074,A000000,05000,0000,05000CORF 54074,A000000,05010,0000,05010CMHC 54074,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54074,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54074,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54074,A000000,06001,0000,06001UNUSED AREA 54074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54074,A81000A,00100,0100,Y 54074,A81000B,00100,0300,ADMIN/ACCOUNTING/FINANCE 54074,A81000C,00100,0100,G 54074,A81000C,00100,0400,ARCH PHILA/CATH HEALTH 54074,A81000C,00100,0600,CHURCH OPERATED 54074,B100000,00000,0100,00000SQUARE FEET 54074,B100000,00000,0200,00000SQUARE FEET 54074,B100000,00000,0300,00000GROSS SALARIES 54074,B100000,00000,0400,00000ACCUM. COST 54074,B100000,00000,0500,00000SQUARE FEET 54074,B100000,00000,0600,00000POUNDS OF LAUNDRY 54074,B100000,00000,0700,00000HOURS OF SERVICE 54074,B100000,00000,0800,00000MEALS SERVED 54074,B100000,00000,0900,00000DIRECT NRSING HRS 54074,B100000,00000,1000,00000COSTED REQUIS 54074,B100000,00000,1100,00000COSTED REQUIS 54074,B100000,00000,1200,00000TIME SPENT 54074,B100000,00000,1300,00000TIME SPENT 54074,B100000,00000,1301,00000ASSIGNED TIME 54074,B100000,00000,1350,00000NO STATISTICS 54074,B100000,00000,1400,00000ASSIGNED TIME 54074,E10A180,00501,0100,12/06/2000 54074,E10A180,00501,0300,12/06/2000 54074,S000000,00100,0200,11/15/2000 54074,S200000,00100,0100,1412 LANSDOWNE AVENUE 54074,S200000,00200,0100,DARBY 54074,S200000,00200,0200,PA 54074,S200000,00300,0100,PHILADELPHIA 54074,S200000,00400,0100,ST. FRANCIS COUNTRY HOUSE 54074,S200000,00400,0200,395282 54074,S200000,00400,0300,07/21/1970 54074,S200000,00400,0500,P 54074,S200000,01500,0100,Y 54074,S200000,02800,0100,Y 54074,S200000,04700,0100,Y 54083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54083,A000000,00300,0000,00300EMPLOYEE BENEFITS 54083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54083,A000000,00700,0000,00700HOUSEKEEPING 54083,A000000,00800,0000,00800DIETARY 54083,A000000,00900,0000,00900NURSING ADMINISTRATION 54083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54083,A000000,01100,0000,01100PHARMACY 54083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54083,A000000,01300,0000,01300SOCIAL SERVICE 54083,A000000,01350,0000,01500ACTIVITIES 54083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54083,A000000,01600,0000,01600SKILLED NURSING FACILITY 54083,A000000,01800,0000,01800NURSING FACILITY 54083,A000000,01810,0000,01810ICF/MR 54083,A000000,02100,0000,02100RADIOLOGY 54083,A000000,02200,0000,02200LABORATORY 54083,A000000,02300,0000,02300INTRAVENOUS THERAPY 54083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54083,A000000,02500,0000,02500PHYSICAL THERAPY 54083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54083,A000000,02700,0000,02700SPEECH PATHOLOGY 54083,A000000,02800,0000,02800ELECTROCARDIOLOGY 54083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54083,A000000,03550,0000,03550FQHC 54083,A000000,04800,0000,04800AMBULANCE 54083,A000000,05000,0000,05000CORF 54083,A000000,05010,0000,05010CMHC 54083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54083,A000000,05300,0000,05300INTEREST EXPENSE 54083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54083,A000000,06150,0000,06300MEALS ON WHEELS 54083,A000000,06151,0000,06301NON-ALLOWABLE 54083,A81000A,00100,0100,Y 54083,A81000B,00100,0300,HOME OFFICE COSTS 54083,A81000B,00300,0300,THERAPY SERVICES 54083,A81000B,00400,0300,THERAPY SERVICES 54083,A81000B,00500,0300,THERAPY SERVICES 54083,A81000B,01000,0300,PHARMACY 54083,A81000B,01100,0300,OTC DRUGS 54083,A81000B,01200,0300,OTC DRUGS 54083,A81000C,00100,0100,A 54083,A81000C,00100,0200,RIVERWOODS 54083,A81000C,00100,0400,ALBRIGHT CARE 54083,A81000C,00100,0600,CORPORATE 54083,A81000C,00200,0400,SERVICES 54083,A81000C,00200,0600,ADMINISTRATIVE 54083,A81000C,00300,0600,OFFICES 54083,A81000C,00400,0100,A 54083,A81000C,00400,0200,RIVERWOODS 54083,A81000C,00400,0400,ALBRIGHT CARE 54083,A81000C,00400,0600,REHAB PROVIDER 54083,A81000C,00500,0400,SERVICES 54083,A81000C,01100,0100,A 54083,A81000C,01100,0200,RIVERWOODS 54083,A81000C,01100,0400,ALBRIGHT COMMUN 54083,A81000C,01100,0600,PHARMACY 54083,A81000C,01200,0100,A 54083,A81000C,01200,0400,NITY SVCS LTD 54083,B100000,00000,0100,00001SQUARE FEET 54083,B100000,00000,0200,00001SQUARE FEET 54083,B100000,00000,0300,00001GROSS SALARIES 54083,B100000,00000,0400,00001ACCUMULA- TED COST 54083,B100000,00000,0500,00001SQUARE FEET 54083,B100000,00000,0600,00001POUNDS OF LAUNDRY 54083,B100000,00000,0700,00001SQUARE FEET 54083,B100000,00000,0800,00001MEALS SERVED 54083,B100000,00000,0900,00001TIME SPENT 54083,B100000,00000,1000,00001COSTED REQUIS 54083,B100000,00000,1100,00001COSTED REQUIS 54083,B100000,00000,1200,00001TIME SPENT 54083,B100000,00000,1300,00001TIME SPENT 54083,B100000,00000,1350,00001PATIENT DAYS 54083,B100000,00000,1400,00001ASSIGNED TIME 54083,E10A180,00501,0100,07/31/2000 54083,E10A180,00501,0300,07/31/2000 54083,S000000,00100,0200,05/31/2000 54083,S200000,00100,0100,ONE LEWISBURG DRIVE 54083,S200000,00200,0100,LEWISBURG 54083,S200000,00200,0200,PA 54083,S200000,00200,0300,17837 54083,S200000,00300,0100,UNION 54083,S200000,00400,0100,RIVERWOODS 54083,S200000,00400,0200,395283 54083,S200000,00400,0300,08/11/1970 54083,S200000,00400,0500,P 54083,S200000,00600,0200,111111 54083,S200000,00600,0300,08/11/1970 54083,S200000,00600,0600,P 54083,S200000,01600,0100,Y 54083,S200000,01900,0100,CORPORATION 54083,S200000,02200,0100,Y 54083,S200000,04700,0100,Y 54092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54092,A000000,00300,0000,00300EMPLOYEE BENEFITS 54092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54092,A000000,00700,0000,00700HOUSEKEEPING 54092,A000000,00800,0000,00800DIETARY 54092,A000000,00900,0000,00900NURSING ADMINISTRATION 54092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54092,A000000,01100,0000,01100PHARMACY 54092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54092,A000000,01300,0000,01300SOCIAL SERVICE 54092,A000000,01350,0000,01500OTHER GENERAL SERVICES 54092,A000000,01351,0000,01501PATIENT ACTIVITIES 54092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54092,A000000,01600,0000,01600SKILLED NURSING FACILITY 54092,A000000,01810,0000,01810ICF/MR 54092,A000000,02100,0000,02100RADIOLOGY 54092,A000000,02200,0000,02200LABORATORY 54092,A000000,02500,0000,02500PHYSICAL THERAPY 54092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54092,A000000,02700,0000,02700SPEECH PATHOLOGY 54092,A000000,02800,0000,02800ELECTROCARDIOLOGY 54092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54092,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54092,A000000,03101,0000,03101SCRAP METAL 54092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54092,A000000,03550,0000,03550FQHC 54092,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54092,A000000,05000,0000,05000CORF 54092,A000000,05010,0000,05010CMHC 54092,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54092,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54092,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54092,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54092,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54092,A000000,06200,0000,06200PATIENTS LAUNDRY 54092,B100000,00000,0100,00000SQUARE FEET 54092,B100000,00000,0200,00000DOLLAR VALUE 54092,B100000,00000,0300,00000GROSS SALARIES 54092,B100000,00000,0400,00000ACCUM. COST 54092,B100000,00000,0500,00000SQUARE FEET 54092,B100000,00000,0600,00000POUNDS OF LAUNDRY 54092,B100000,00000,0700,00000SQUARE FEET 54092,B100000,00000,0800,00000MEALS SERVED 54092,B100000,00000,0900,00000PATIENT DAYS 54092,B100000,00000,1000,00000NO STATISTICS 54092,B100000,00000,1100,00000NO STATISTICS 54092,B100000,00000,1200,00000PATIENT DAYS 54092,B100000,00000,1300,00000PATIENT DAYS 54092,B100000,00000,1350,00000NO STATISTICS 54092,B100000,00000,1351,00000PATIENT DAYS 54092,B100000,00000,1400,00000NO STATISTICS 54092,E10A180,00501,0100,07/12/2000 54092,E10A180,00550,0300,07/12/2000 54092,S000000,00100,0200,05/31/2000 54092,S200000,00100,0100,118 PLEASANT ACRES ROAD 54092,S200000,00200,0100,YORK 54092,S200000,00200,0200,PA 54092,S200000,00300,0100,YORK 54092,S200000,00400,0100,YORK COUNTY NURSING HOME 54092,S200000,00400,0200,395290 54092,S200000,00400,0300,02/23/1973 54092,S200000,00400,0500,P 54092,S200000,01500,0100,Y 54092,S200000,02800,0100,Y 54092,S200000,04100,0100,Y 54101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54101,A000000,00300,0000,00300EMPLOYEE BENEFITS 54101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54101,A000000,00700,0000,00700HOUSEKEEPING 54101,A000000,00800,0000,00800DIETARY 54101,A000000,00900,0000,00900NURSING ADMINISTRATION 54101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54101,A000000,01100,0000,01100PHARMACY 54101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54101,A000000,01300,0000,01300SOCIAL SERVICE 54101,A000000,01350,0000,01500OTHER GENERAL SERVICES 54101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54101,A000000,01600,0000,01600SKILLED NURSING FACILITY 54101,A000000,01810,0000,01810ICF/MR 54101,A000000,02100,0000,02100RADIOLOGY 54101,A000000,02200,0000,02200LABORATORY 54101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54101,A000000,02500,0000,02500PHYSICAL THERAPY 54101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54101,A000000,02700,0000,02700SPEECH PATHOLOGY 54101,A000000,02800,0000,02800ELECTROCARDIOLOGY 54101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54101,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54101,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54101,A000000,03550,0000,03550FQHC 54101,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54101,A000000,05000,0000,05000CORF 54101,A000000,05010,0000,05010CMHC 54101,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54101,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54101,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54101,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 54101,A000000,05300,0000,05300INTEREST EXPENSE 54101,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54101,A000000,06200,0000,06200PATIENTS LAUNDRY 54101,B100000,00000,0100,00000SQUARE FEET 54101,B100000,00000,0200,00000DOLLAR VALUE 54101,B100000,00000,0300,00000GROSS SALARIES 54101,B100000,00000,0400,00000ACCUM. COST 54101,B100000,00000,0500,00000SQUARE FEET 54101,B100000,00000,0600,00000POUNDS OF LAUNDRY 54101,B100000,00000,0700,00000HOURS OF SERVICE 54101,B100000,00000,0800,00000MEALS SERVED 54101,B100000,00000,0900,00000DIRECT NURSING HR 54101,B100000,00000,1000,00000COSTED REQUIS. 54101,B100000,00000,1100,00000COSTED REQUIS. 54101,B100000,00000,1200,00000TIME SPENT 54101,B100000,00000,1300,00000TIME SPENT 54101,B100000,00000,1350,00000NO STATISTICS 54101,B100000,00000,1400,00000ASSIGNED TIME 54101,E10A180,00501,0100,06/09/2000 54101,E10A180,00550,0300,06/09/2000 54101,S000000,00100,0200,05/24/2000 54101,S200000,00100,0100,31 N. PARK AVENUE 54101,S200000,00200,0100,MEADVILLE 54101,S200000,00200,0200,PA 54101,S200000,00200,0300,16335 54101,S200000,00300,0100,CRAWFORD 54101,S200000,00400,0100,WESBURY UNITED METHODIST COMMUNITY 54101,S200000,00400,0200,395292 54101,S200000,00400,0300,07/01/1971 54101,S200000,00400,0500,P 54101,S200000,01500,0100,Y 54110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54110,A000000,00300,0000,00300EMPLOYEE BENEFITS 54110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54110,A000000,00700,0000,00700HOUSEKEEPING 54110,A000000,00800,0000,00800DIETARY 54110,A000000,00900,0000,00900NURSING ADMINISTRATION 54110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54110,A000000,01100,0000,01100PHARMACY 54110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54110,A000000,01300,0000,01300SOCIAL SERVICE 54110,A000000,01350,0000,01500PATIENT ACTIVITIES 54110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54110,A000000,01600,0000,01600SKILLED NURSING FACILITY 54110,A000000,01800,0000,01800NURSING FACILITY 54110,A000000,01810,0000,01810ICF/MR 54110,A000000,02300,0000,02300INTRAVENOUS THERAPY 54110,A000000,02500,0000,02500PHYSICAL THERAPY 54110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54110,A000000,02700,0000,02700SPEECH PATHOLOGY 54110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54110,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54110,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54110,A000000,03550,0000,03550FQHC 54110,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54110,A000000,05000,0000,05000CORF 54110,A000000,05010,0000,05010CMHC 54110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54110,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54110,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54110,A81000A,00100,0100,Y 54110,A81000B,00100,0300,HOME OFFICE FEE 54110,A81000B,00200,0300,HOME OFFICE CAP 54110,A81000B,00300,0300,HOME OFFICE NON CAP 54110,A81000C,00100,0100,B 54110,A81000C,00100,0200,HUNTINGDON NSG CTR INC. 54110,A81000C,00100,0400,FOUNDATION HLTH SVC INC. 54110,A81000C,00100,0600,HOME OFFICE 54110,B100000,00000,0100,00000SQUARE FEET 54110,B100000,00000,0200,00000NO STATISTICS 54110,B100000,00000,0300,00000NO STATISTICS 54110,B100000,00000,0400,00000ACCUM. COST 54110,B100000,00000,0500,00000SQUARE FEET 54110,B100000,00000,0600,00000PATIENT DAYS 54110,B100000,00000,0700,00000SQ FT EXCL DIET 54110,B100000,00000,0800,00000PATIENT DAYS 54110,B100000,00000,0900,00000PATIENT DAYS 54110,B100000,00000,1000,00000PATIENT DAYS 54110,B100000,00000,1100,00000NO STATISTICS 54110,B100000,00000,1200,00000NO STATISTICS 54110,B100000,00000,1300,00000PATIENT DAYS 54110,B100000,00000,1350,00000PATIENT DAYS 54110,B100000,00000,1400,00000NO STATISTICS 54110,E10A180,00501,0100,11/30/2000 54110,E10A180,00501,0300,11/30/2000 54110,S000000,00100,0200,11/22/2000 54110,S200000,00100,0100,WARM SPRINGS AVENUE 54110,S200000,00200,0100,HUNTINGDON 54110,S200000,00200,0200,PA 54110,S200000,00200,0300,16652 54110,S200000,00300,0100,HUNTINGDON 54110,S200000,00400,0100,HUNTINGDON MANOR 54110,S200000,00400,0200,395297 54110,S200000,00400,0300,08/04/1988 54110,S200000,00400,0500,P 54110,S200000,01600,0100,Y 54118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54118,A000000,00300,0000,00300EMPLOYEE BENEFITS 54118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54118,A000000,00700,0000,00700HOUSEKEEPING 54118,A000000,00800,0000,00800DIETARY 54118,A000000,00801,0000,00801CAFETERIA 54118,A000000,00900,0000,00900NURSING ADMINISTRATION 54118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54118,A000000,01100,0000,01100PHARMACY 54118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54118,A000000,01300,0000,01300SOCIAL SERVICE 54118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54118,A000000,01600,0000,01600SKILLED NURSING FACILITY 54118,A000000,01800,0000,01800NURSING FACILITY 54118,A000000,01810,0000,01810ICF/MR 54118,A000000,02200,0000,02200LABORATORY 54118,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54118,A000000,02500,0000,02500PHYSICAL THERAPY 54118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54118,A000000,03550,0000,03550FQHC 54118,A000000,05000,0000,05000CORF 54118,A000000,05010,0000,05010CMHC 54118,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54118,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54118,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54118,A000000,05300,0000,05300INTEREST EXPENSE 54118,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54118,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54118,A81000A,00100,0100,Y 54118,A81000B,00100,0300,MHS OPERATING EXPENSES 54118,A81000B,00200,0300,MHS CAPITAL EXPENSES 54118,A81000B,00300,0300,MHS INTEREST EXPENSES 54118,A81000B,00400,0300,MHS NE REG OPERATING EXPENSE 54118,A81000B,00500,0300,MHS NE REG CAPITAL EXPENSE 54118,A81000B,00600,0300,MHS NE REGION BENEFITS 54118,A81000C,00100,0100,B 54118,A81000C,00100,0200,MHS HOME OFFICE 54118,A81000C,00100,0400,CATH HEALTH PAR 54118,A81000C,00100,0600,HEALTHCARE 54118,A81000C,00200,0100,B 54118,A81000C,00200,0200,MHS HOME OFFICE 54118,A81000C,00200,0400,CATH HEALTH PAR 54118,A81000C,00200,0600,HEALTHCARE 54118,A81000C,00300,0100,B 54118,A81000C,00300,0200,MHS HOME OFFICE 54118,A81000C,00300,0400,CATH HEALTH PAR 54118,A81000C,00300,0600,HEALTHCARE 54118,A81000C,00400,0100,A 54118,A81000C,00400,0200,MHS NE REGION 54118,A81000C,00400,0400,MHS NE REGION 54118,A81000C,00400,0600,HEALTHCARE 54118,A81000C,00500,0100,A 54118,A81000C,00500,0200,MHS NE REGION 54118,A81000C,00500,0400,MHS NE REGION 54118,A81000C,00500,0600,HEALTHCARE 54118,A81000C,00600,0100,A 54118,A81000C,00600,0200,MHS NE REGION 54118,A81000C,00600,0400,MHS NE REGION 54118,A81000C,00600,0600,HEALTHCARE 54118,B100000,00000,0100,00000SQUARE FEET 54118,B100000,00000,0200,00000SQUARE FEET 54118,B100000,00000,0300,00000GROSS SALARIES 54118,B100000,00000,0400,00000ACCUM. COST 54118,B100000,00000,0500,00000SQUARE FEET 54118,B100000,00000,0600,00000POUNDS OF LAUNDRY 54118,B100000,00000,0700,00000HOURS OF SERVICE 54118,B100000,00000,0800,00000MEALS SERVED 54118,B100000,00000,0801,00000MEALS SERVED 54118,B100000,00000,0900,00000DIRECT NRSING HRS 54118,B100000,00000,1000,00000COSTED REQUIS. 54118,B100000,00000,1100,00000COSTED REQUIS. 54118,B100000,00000,1200,00000TIME SPENT 54118,B100000,00000,1300,00000TIME SPENT 54118,B100000,00000,1400,00000ASSIGNED TIME 54118,E10A180,00550,0300,07/18/2000 54118,S000000,00100,0200,06/02/2000 54118,S200000,00100,0100,NEWPORT STREET 54118,S200000,00200,0100,NANTICOKE 54118,S200000,00200,0200,PA 54118,S200000,00300,0100,LUZERNE 54118,S200000,00400,0100,MERCY HEALTH CARE CENTER 54118,S200000,00400,0200,395298 54118,S200000,00400,0300,11/30/1984 54118,S200000,00400,0500,P 54118,S200000,00600,0200,395298 54118,S200000,00600,0300,11/30/1984 54118,S200000,00600,0600,P 54118,S200000,01600,0100,Y 54118,S200000,02200,0100,Y 54118,S200000,02800,0100,Y 54127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54127,A000000,00300,0000,00300EMPLOYEE BENEFITS 54127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54127,A000000,00700,0000,00700HOUSEKEEPING 54127,A000000,00800,0000,00800DIETARY 54127,A000000,00900,0000,00900NURSING ADMINISTRATION 54127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54127,A000000,01100,0000,01100PHARMACY 54127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54127,A000000,01300,0000,01300SOCIAL SERVICE 54127,A000000,01350,0000,01500OTHER GENERAL SERVICES 54127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54127,A000000,01600,0000,01600SKILLED NURSING FACILITY 54127,A000000,01800,0000,01800NURSING FACILITY 54127,A000000,01810,0000,01810ICF/MR 54127,A000000,02100,0000,02100RADIOLOGY 54127,A000000,02200,0000,02200LABORATORY 54127,A000000,02500,0000,02500PHYSICAL THERAPY 54127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54127,A000000,02700,0000,02700SPEECH PATHOLOGY 54127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54127,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54127,A000000,03200,0000,03200SUPPORT SURFACES 54127,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54127,A000000,03550,0000,03550FQHC 54127,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54127,A000000,05000,0000,05000CORF 54127,A000000,05010,0000,05010CMHC 54127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54127,A000000,05300,0000,05300INTEREST EXPENSE 54127,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54127,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54127,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54127,A81000A,00100,0100,Y 54127,A81000B,00100,0300,MANAGEMENT FEES 54127,A81000C,00100,0100,A 54127,A81000C,00100,0200,ESTATE OF SIDNEY GARFIELD 54127,A81000C,00100,0400,EMERY MEDICAL MANAGEMENT 54127,A81000C,00100,0600,MANAGEMENT COMPANY 54127,A81000C,00200,0100,A 54127,A81000C,00200,0200,HOLLIS J. GARFIELD 54127,A81000C,00200,0400,EMERY MEDICAL MANAGEMENT 54127,A81000C,00200,0600,MANAGEMENT COMPANY 54127,A81000C,00300,0100,A 54127,A81000C,00300,0200,PAVILION NURSING CENTER 54127,B100000,00000,0100,00000SQUARE FOOTAGE 54127,B100000,00000,0200,00000SQUARE FOOTAGE 54127,B100000,00000,0300,00000GROSS SALARIES 54127,B100000,00000,0400,00000ACCUM. COST 54127,B100000,00000,0500,00000SQUARE FOOTAGE 54127,B100000,00000,0600,00000POUNDS OF LAUNDRY 54127,B100000,00000,0700,00000SQUARE FOOTAGE 54127,B100000,00000,0800,00000PATIENT DAYS 54127,B100000,00000,0900,00000NURSING HOURS 54127,B100000,00000,1000,00000COSTEDREQU UISITIONS 54127,B100000,00000,1100,00000NO STATISTICS 54127,B100000,00000,1200,00000HOURS OF SERVICE 54127,B100000,00000,1300,00000HOURS OF SERVICE 54127,B100000,00000,1350,00000PATIENT DAYS 54127,B100000,00000,1400,00000NO STATISTICS 54127,S000000,00100,0200,06/02/2000 54127,S200000,00100,0100,9850 OLD PERRY HIGHWAY 54127,S200000,00200,0100,WEXFORD 54127,S200000,00200,0200,PA 54127,S200000,00300,0100,ALLEGHENY 54127,S200000,00400,0100,PAVILION NORTH LTD DBA WEXFORD HOUSE 54127,S200000,00400,0200,395300 54127,S200000,00400,0300,11/24/1972 54127,S200000,00400,0500,P 54127,S200000,01600,0100,Y 54133,S000000,00100,0200,06/02/2000 54141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54141,A000000,00300,0000,00300EMPLOYEE BENEFITS 54141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54141,A000000,00700,0000,00700HOUSEKEEPING 54141,A000000,00800,0000,00800DIETARY 54141,A000000,00900,0000,00900NURSING ADMINISTRATION 54141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54141,A000000,01001,0000,01001CHAPEL 54141,A000000,01100,0000,01100PHARMACY 54141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54141,A000000,01300,0000,01300SOCIAL SERVICE 54141,A000000,01350,0000,01500RESIDENT ACTIVITIES 54141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54141,A000000,01600,0000,01600SKILLED NURSING FACILITY 54141,A000000,01810,0000,01810ICF/MR 54141,A000000,02100,0000,02100RADIOLOGY 54141,A000000,02200,0000,02200LABORATORY 54141,A000000,02500,0000,02500PHYSICAL THERAPY 54141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54141,A000000,02700,0000,02700SPEECH PATHOLOGY 54141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54141,A000000,03550,0000,03550FQHC 54141,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54141,A000000,05000,0000,05000CORF 54141,A000000,05010,0000,05010CMHC 54141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54141,A000000,05300,0000,05300INTEREST EXPENSE 54141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54141,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54141,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54141,B100000,00000,0100,00000SQUARE FEET 54141,B100000,00000,0200,00000SQUARE FEET 54141,B100000,00000,0300,00000GROSS SALARIES 54141,B100000,00000,0400,00000ACCUM. COST 54141,B100000,00000,0500,00000SQUARE FEET 54141,B100000,00000,0600,00000POUNDS OF LAUNDRY 54141,B100000,00000,0700,00000SQUARE FEET 54141,B100000,00000,0800,00000MEALS SERVED 54141,B100000,00000,0900,00000DIRECT NRSING HRS 54141,B100000,00000,1000,00000PATIENT DAYS 54141,B100000,00000,1001,00000PATIENT DAYS 54141,B100000,00000,1100,00000PATIENT DAYS 54141,B100000,00000,1200,00000PATIENT DAYS 54141,B100000,00000,1300,00000PATIENT DAYS 54141,B100000,00000,1350,00000PATIENT DAYS 54141,B100000,00000,1400,00000PATIENT DAYS 54141,E10A180,00501,0100,06/14/2000 54141,E10A180,00501,0300,06/14/2000 54141,E10A180,00550,0300,06/14/2000 54141,S000000,00100,0200,05/24/2000 54141,S200000,00100,0100,1051 AVILA ROAD 54141,S200000,00200,0100,HARRISBURG 54141,S200000,00200,0200,PA 54141,S200000,00300,0100,DAUPHIN 54141,S200000,00400,0100,VILLA TERESA 54141,S200000,00400,0200,395306 54141,S200000,00400,0300,09/11/1973 54141,S200000,00400,0500,P 54141,S200000,01500,0100,Y 54141,S200000,02800,0100,Y 54149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54149,A000000,00300,0000,00300EMPLOYEE BENEFITS 54149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54149,A000000,00700,0000,00700HOUSEKEEPING 54149,A000000,00800,0000,00800DIETARY 54149,A000000,00900,0000,00900NURSING ADMINISTRATION 54149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54149,A000000,01100,0000,01100PHARMACY 54149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54149,A000000,01300,0000,01300SOCIAL SERVICE 54149,A000000,01350,0000,01500PATIENT ACTIVITIES 54149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54149,A000000,01600,0000,01600SKILLED NURSING FACILITY 54149,A000000,01810,0000,01810ICF/MR 54149,A000000,01900,0000,01900OTHER LONG TERM CARE 54149,A000000,02100,0000,02100RADIOLOGY 54149,A000000,02200,0000,02200LABORATORY 54149,A000000,02500,0000,02500PHYSICAL THERAPY 54149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54149,A000000,02700,0000,02700SPEECH PATHOLOGY 54149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54149,A000000,03400,0000,03400CLINIC 54149,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54149,A000000,03550,0000,03550FQHC 54149,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54149,A000000,05000,0000,05000CORF 54149,A000000,05010,0000,05010CMHC 54149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54149,A000000,06150,0000,06300RESIDENTIAL 54149,A81000A,00100,0100,Y 54149,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 54149,A81000B,00200,0300,CAPITAL RELATED COST 54149,A81000C,00100,0100,B 54149,A81000C,00100,0200,THE KENDAL CORPORATION 54149,A81000C,00100,0600,HEALTH CARE MANAGEMENT 54149,B100000,00000,0100,00000SQUARE FEET 54149,B100000,00000,0200,00000NO STATISTICS 54149,B100000,00000,0300,00000GROSS SALARIES 54149,B100000,00000,0400,00000ACCUM. COST 54149,B100000,00000,0500,00000SQUARE FEET 54149,B100000,00000,0600,00000POUNDS OF LAUNDRY 54149,B100000,00000,0700,00000HOURS OF SERVICE 54149,B100000,00000,0800,00000MEALS SERVED 54149,B100000,00000,0900,00000NO STATISTICS 54149,B100000,00000,1000,00000NO STATISTICS 54149,B100000,00000,1100,00000NO STATISTICS 54149,B100000,00000,1200,00000NO STATISTICS 54149,B100000,00000,1300,00000PATIENT DAYS 54149,B100000,00000,1350,00000PATIENT DAYS 54149,B100000,00000,1400,00000NO STATISTICS 54149,E10A180,00550,0300,09/21/2000 54149,S000000,00100,0200,08/31/2000 54149,S200000,00100,0100,ROUTE 1 54149,S200000,00100,0300,100 54149,S200000,00200,0100,KENNETT SQUARE 54149,S200000,00200,0200,PA 54149,S200000,00200,0300,19348 54149,S200000,00300,0100,C 54149,S200000,00400,0100,KENDAL AT LONGWOOD 54149,S200000,00400,0200,395307 54149,S200000,00400,0300,10/03/1973 54149,S200000,00400,0500,P 54149,S200000,01600,0100,Y 54152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54152,A000000,00300,0000,00300EMPLOYEE BENEFITS 54152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54152,A000000,00700,0000,00700HOUSEKEEPING 54152,A000000,00800,0000,00800DIETARY 54152,A000000,00900,0000,00900NURSING ADMINISTRATION 54152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54152,A000000,01100,0000,01100PHARMACY 54152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54152,A000000,01300,0000,01300SOCIAL SERVICE 54152,A000000,01350,0000,01500ACTIVITIES 54152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54152,A000000,01600,0000,01600SKILLED NURSING FACILITY 54152,A000000,01810,0000,01810ICF/MR 54152,A000000,02200,0000,02200LABORATORY 54152,A000000,02300,0000,02300INTRAVENOUS THERAPY 54152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54152,A000000,02500,0000,02500PHYSICAL THERAPY 54152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54152,A000000,02700,0000,02700SPEECH PATHOLOGY 54152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54152,A000000,03550,0000,03550FQHC 54152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54152,A000000,05000,0000,05000CORF 54152,A000000,05010,0000,05010CMHC 54152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54152,A81000A,00100,0100,Y 54152,A81000B,00100,0300,RENT 54152,A81000B,00200,0300,DEPRECIATION-BLDG. 54152,A81000B,00300,0300,DEPRECIATION-BLDG. IMP. 54152,A81000B,00400,0300,REAL ESTATE TAXES 54152,A81000B,00500,0300,OLD CAPITAL 54152,A81000B,00600,0300,OLD CAPITAL 54152,A81000B,00700,0300,HOME OFFICE COSTS 54152,A81000C,00100,0100,B 54152,A81000C,00100,0200,NORTH AMERICAN MEDICAL 54152,A81000C,00100,0400,MILFORD VALLEY CONV. HOME 54152,A81000C,00100,0600,SNF 54152,A81000C,00200,0200,CENTERS INC. 54152,A81000C,00200,0400,SCENERY HILL MANOR INC. 54152,A81000C,00200,0600,SNF 54152,B100000,00000,0100,00000SQUARE FEET 54152,B100000,00000,0200,00000SQUARE FEET 54152,B100000,00000,0300,00000GROSS SALARIES 54152,B100000,00000,0400,00000ACCUM. COST 54152,B100000,00000,0500,00000SQUARE FEET 54152,B100000,00000,0600,00000PATIENT DAYS 54152,B100000,00000,0700,00000SQUARE FEET 54152,B100000,00000,0800,00000MEALS SERVED 54152,B100000,00000,0900,00000NURSING HOURS 54152,B100000,00000,1000,00000PATIENT DAYS 54152,B100000,00000,1100,00000NO STATISTICS 54152,B100000,00000,1200,00000PATIENT DAYS 54152,B100000,00000,1300,00000PATIENT DAYS 54152,B100000,00000,1350,00000PATIENT DAYS 54152,B100000,00000,1400,00000NO STATISTICS 54152,E10A180,00350,0100,01/15/1999 54152,S000000,00100,0200,05/23/2000 54152,S200000,00100,0100,100 LIONS HEALTH CAMP ROAD 54152,S200000,00200,0100,INDIANA 54152,S200000,00200,0200,PA 54152,S200000,00200,0300,15701 54152,S200000,00300,0100,INDIANA 54152,S200000,00400,0100,SCENERY HILL MANOR INC. 54152,S200000,00400,0200,395313 54152,S200000,00400,0300,01/01/1967 54152,S200000,00400,0500,P 54152,S200000,01500,0100,Y 54152,S200000,04300,0100,Y 54176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54176,A000000,00300,0000,00300EMPLOYEE BENEFITS 54176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54176,A000000,00700,0000,00700HOUSEKEEPING 54176,A000000,00800,0000,00800DIETARY 54176,A000000,00900,0000,00900NURSING ADMINISTRATION 54176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54176,A000000,01100,0000,01100PHARMACY 54176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54176,A000000,01300,0000,01300SOCIAL SERVICE 54176,A000000,01350,0000,01500PATIENT ACTIVITIES 54176,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54176,A000000,01600,0000,01600SKILLED NURSING FACILITY 54176,A000000,01810,0000,01810ICF/MR 54176,A000000,02100,0000,02100RADIOLOGY 54176,A000000,02200,0000,02200LABORATORY 54176,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54176,A000000,02500,0000,02500PHYSICAL THERAPY 54176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54176,A000000,02700,0000,02700SPEECH PATHOLOGY 54176,A000000,02800,0000,02800ELECTROCARDIOLOGY 54176,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54176,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54176,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54176,A000000,03550,0000,03550FQHC 54176,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54176,A000000,05000,0000,05000CORF 54176,A000000,05010,0000,05010CMHC 54176,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54176,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54176,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54176,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54176,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54176,A81000A,00100,0100,Y 54176,A81000B,00100,0300,CAP REL- BLDG 54176,A81000B,00200,0300,CAP REL - MOVEABLE EQUIP 54176,A81000B,00300,0300,NON-CAPITAL RELATED 54176,A81000C,00100,0100,A 54176,A81000C,00100,0200,PHILA PRESBYTERY HOMES 54176,A81000C,00100,0400,PHILA PRESBY HOMES 54176,A81000C,00100,0600,MANAGEMENT FEE 54176,B100000,00000,0100,00000SQUARE FEET 54176,B100000,00000,0200,00000SQUARE FEET 54176,B100000,00000,0300,00000GROSS SALARIES 54176,B100000,00000,0400,00000ACCUM. COST 54176,B100000,00000,0500,00000SQUARE FEET 54176,B100000,00000,0600,00000POUNDS OF LAUNDRY 54176,B100000,00000,0700,00000SQ. FT.(EXE 54176,B100000,00000,0800,00000MEALS SERVED 54176,B100000,00000,0900,00000DIRECT NRSING HRS 54176,B100000,00000,1000,00000COSTED REQUIS. 54176,B100000,00000,1100,00000PATIENT DAYS 54176,B100000,00000,1200,00000PATIENT DAYS 54176,B100000,00000,1300,00000PATIENT DAYS 54176,B100000,00000,1350,00000PATIENT DAYS 54176,B100000,00000,1400,00000ASSIGNED TIME 54176,E10A180,00501,0100,07/06/2000 54176,E10A180,00501,0300,07/06/2000 54176,S000000,00100,0200,05/31/2000 54176,S200000,00100,0100,1515 THE FAIRWAY 54176,S200000,00200,0100,RYDAL 54176,S200000,00200,0200,PA 54176,S200000,00300,0100,MONTGOMERY 54176,S200000,00400,0100,RYDAL PARK MEDICAL CENTER 54176,S200000,00400,0200,395321 54176,S200000,00400,0300,10/25/1974 54176,S200000,00400,0500,P 54176,S200000,01500,0100,Y 54190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54190,A000000,00300,0000,00300EMPLOYEE BENEFITS 54190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54190,A000000,00700,0000,00700HOUSEKEEPING 54190,A000000,00800,0000,00800DIETARY 54190,A000000,00900,0000,00900NURSING ADMINISTRATION 54190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54190,A000000,01100,0000,01100PHARMACY 54190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54190,A000000,01300,0000,01300SOCIAL SERVICE 54190,A000000,01301,0000,01301RESIDENT ACTIVITIES 54190,A000000,01350,0000,01500OTHER GENERAL SERVICES 54190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54190,A000000,01600,0000,01600SKILLED NURSING FACILITY 54190,A000000,01810,0000,01810ICF/MR 54190,A000000,01900,0000,01900OTHER LONG TERM CARE 54190,A000000,02100,0000,02100RADIOLOGY 54190,A000000,02500,0000,02500PHYSICAL THERAPY 54190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54190,A000000,02700,0000,02700SPEECH PATHOLOGY 54190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54190,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54190,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54190,A000000,03550,0000,03550FQHC 54190,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54190,A000000,05000,0000,05000CORF 54190,A000000,05010,0000,05010CMHC 54190,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54190,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54190,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54190,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54190,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54190,B100000,00000,0100,00000SQUARE FEET 54190,B100000,00000,0200,00000DOLLAR VALUE 54190,B100000,00000,0300,00000GROSS SALARIES 54190,B100000,00000,0400,00000ACCUM. COST 54190,B100000,00000,0500,00000SQUARE FEET 54190,B100000,00000,0600,00000POUNDS OF LAUNDRY 54190,B100000,00000,0700,00000SQUARE FEET 54190,B100000,00000,0800,00000MEALS SERVED 54190,B100000,00000,0900,00000DIRECT NRSING HRS 54190,B100000,00000,1000,00000COSTED REQUIS. 54190,B100000,00000,1100,00000COSTED REQUIS. 54190,B100000,00000,1200,00000TIME SPENT 54190,B100000,00000,1300,00000TIME SPENT 54190,B100000,00000,1301,00000TIME SPENT 54190,B100000,00000,1350,00000TIME SPENT 54190,B100000,00000,1400,00000ASSIGNED TIME 54190,E10A180,00501,0100,06/28/2000 54190,E10A180,00501,0300,06/28/2000 54190,S000000,00100,0200,05/30/2000 54190,S200000,00100,0100,200 SOUTH MEADE STREET 54190,S200000,00200,0100,WILKES-BARRE 54190,S200000,00200,0200,PA 54190,S200000,00300,0100,LUZERNE 54190,S200000,00400,0100,LITTLE FLOWER MANOR 54190,S200000,00400,0200,395324 54190,S200000,00400,0300,01/20/1975 54190,S200000,00400,0500,P 54190,S200000,01500,0100,Y 54208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54208,A000000,00101,0000,00101CAP REL COSTS - 42 SNF BEDS 54208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54208,A000000,00300,0000,00300EMPLOYEE BENEFITS 54208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54208,A000000,00700,0000,00700HOUSEKEEPING 54208,A000000,00800,0000,00800DIETARY 54208,A000000,00900,0000,00900NURSING ADMINISTRATION 54208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54208,A000000,01100,0000,01100PHARMACY 54208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54208,A000000,01300,0000,01300SOCIAL SERVICE 54208,A000000,01350,0000,01500ACTIVITIES 54208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54208,A000000,01600,0000,01600SKILLED NURSING FACILITY 54208,A000000,01810,0000,01810ICF/MR 54208,A000000,02100,0000,02100RADIOLOGY 54208,A000000,02200,0000,02200LABORATORY 54208,A000000,02300,0000,02300INTRAVENOUS THERAPY 54208,A000000,02500,0000,02500PHYSICAL THERAPY 54208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54208,A000000,02700,0000,02700SPEECH PATHOLOGY 54208,A000000,02800,0000,02800ELECTROCARDIOLOGY 54208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54208,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 54208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54208,A000000,03550,0000,03550FQHC 54208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54208,A000000,04800,0000,04800AMBULANCE 54208,A000000,05000,0000,05000CORF 54208,A000000,05010,0000,05010CMHC 54208,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54208,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54208,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54208,A000000,06150,0000,06300RESIDENTIAL/PERSONAL CARE 54208,A81000A,00100,0100,Y 54208,A81000B,00100,0300,PRIVATE DUTY NURSING 54208,A81000B,00200,0300,PRIVATE DUTY NURSING 54208,A81000B,00300,0300,PRIVATE DUTY NURSING 54208,A81000B,00400,0300,PRIVATE DUTY NURSING 54208,A81000C,00100,0100,G 54208,A81000C,00100,0400,DUNWOODY ALLIED SERVICES 54208,A81000C,00100,0600,PRIVATE DUTY NURSING 54208,B100000,00000,0100,00000(SQUARE FEET) 54208,B100000,00000,0101,00000(SQUARE FEET) 54208,B100000,00000,0200,00000(SQUARE FEET) 54208,B100000,00000,0300,00000(GROSS SALARIES) 54208,B100000,00000,0400,00000(ACCUM. COST) 54208,B100000,00000,0500,00000(SQUARE FEET) 54208,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 54208,B100000,00000,0700,00000(SQUARE FEET) 54208,B100000,00000,0800,00000(MEALS SERVED) 54208,B100000,00000,0900,00000(DIRECT NRSG HRS) 54208,B100000,00000,1000,00000(COSTED REQUIS) 54208,B100000,00000,1100,00000(COSTED REQUIS) 54208,B100000,00000,1200,00000(TIME SPENT) 54208,B100000,00000,1300,00000(TIME SPENT) 54208,B100000,00000,1350,00000(TIME SPENT) 54208,B100000,00000,1400,00000(ASSIGNED TIME) 54208,E10A180,00501,0100,07/06/2000 54208,E10A180,00501,0300,07/06/2000 54208,S000000,00100,0200,05/23/2000 54208,S200000,00100,0100,3500 WEST CHESTER PIKE 54208,S200000,00200,0100,NEWTOWN SQUARE 54208,S200000,00200,0200,PA 54208,S200000,00300,0100,DELEWARE 54208,S200000,00400,0100,THE WM HOOD DUNWOODY CARE CENTER 54208,S200000,00400,0200,395329 54208,S200000,00400,0300,07/08/1975 54208,S200000,00400,0500,P 54208,S200000,01500,0100,Y 54218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54218,A000000,00300,0000,00300EMPLOYEE BENEFITS 54218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54218,A000000,00700,0000,00700HOUSEKEEPING 54218,A000000,00800,0000,00800DIETARY 54218,A000000,00900,0000,00900NURSING ADMINISTRATION 54218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54218,A000000,01100,0000,01100PHARMACY 54218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54218,A000000,01300,0000,01300SOCIAL SERVICE 54218,A000000,01350,0000,01500OTHER GENERAL SERVICES 54218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54218,A000000,01600,0000,01600SKILLED NURSING FACILITY 54218,A000000,01800,0000,01800NURSING FACILITY 54218,A000000,01810,0000,01810ICF/MR 54218,A000000,02100,0000,02100RADIOLOGY 54218,A000000,02200,0000,02200LABORATORY 54218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54218,A000000,02500,0000,02500PHYSICAL THERAPY 54218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54218,A000000,02700,0000,02700SPEECH PATHOLOGY 54218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54218,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54218,A000000,03200,0000,03200SUPPORT SURFACES 54218,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54218,A000000,03550,0000,03550FQHC 54218,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54218,A000000,05000,0000,05000CORF 54218,A000000,05010,0000,05010CMHC 54218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54218,A81000A,00100,0100,Y 54218,A81000B,00100,0300,HOME OFFICE 54218,A81000B,00200,0300,MANAGEMENT FEES 54218,A81000C,00100,0100,B 54218,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 54218,A81000C,00100,0400,AHF HOME OFFICE 54218,A81000C,00100,0600,HOME OFFICE 54218,A81000C,00200,0100,B 54218,A81000C,00200,0200,AMERICAN HEALTH FOUNDATIO 54218,A81000C,00200,0400,AHF MANAGEMENT 54218,A81000C,00200,0600,MANAGEMENT COMPANY 54218,B100000,00000,0100,00000SQUARE FEET 54218,B100000,00000,0200,00000DOLLAR VALUE 54218,B100000,00000,0300,00000GROSS SALARIES 54218,B100000,00000,0400,00000ACCUM. COST 54218,B100000,00000,0500,00000SQUARE FEET 54218,B100000,00000,0600,00000PATIENT DAYS 54218,B100000,00000,0700,00000SQUARE FEET 54218,B100000,00000,0800,00000MEALS SERVED 54218,B100000,00000,0900,00000DIRECT NRSING HRS 54218,B100000,00000,1000,00000PATIENT DAYS 54218,B100000,00000,1100,00000PATIENT DAYS 54218,B100000,00000,1200,00000PATIENT DAYS 54218,B100000,00000,1300,00000PATIENT DAYS 54218,B100000,00000,1350,00000NO STATISTICS 54218,B100000,00000,1400,00000ASSIGNED TIME 54218,E10A180,00501,0100,07/10/2000 54218,E10A180,00501,0300,07/10/2000 54218,E10A180,00502,0100,08/06/2001 54218,E10A180,00502,0300,08/06/2001 54218,S000000,00100,0200,05/30/2000 54218,S200000,00100,0100,600 CHELTENHAM AVENUE 54218,S200000,00200,0100,PHILADELPHIA 54218,S200000,00200,0200,PA 54218,S200000,00300,0100,PHILADELPHIA 54218,S200000,00400,0100,CHELTENHAM NURSING & REHAB CENTER 54218,S200000,00400,0200,395330 54218,S200000,00400,0300,01/01/1998 54218,S200000,00400,0500,P 54218,S200000,01600,0100,Y 54238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54238,A000000,00300,0000,00300EMPLOYEE BENEFITS 54238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54238,A000000,00700,0000,00700HOUSEKEEPING 54238,A000000,00800,0000,00800DIETARY 54238,A000000,00900,0000,00900NURSING ADMINISTRATION 54238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54238,A000000,01100,0000,01100PHARMACY 54238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54238,A000000,01300,0000,01300SOCIAL SERVICE 54238,A000000,01350,0000,01500OTHER GENERAL SERVICES 54238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54238,A000000,01600,0000,01600SKILLED NURSING FACILITY 54238,A000000,01810,0000,01810ICF/MR 54238,A000000,02100,0000,02100RADIOLOGY 54238,A000000,02200,0000,02200LABORATORY 54238,A000000,02300,0000,02300INTRAVENOUS THERAPY 54238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54238,A000000,02500,0000,02500PHYSICAL THERAPY 54238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54238,A000000,02700,0000,02700SPEECH PATHOLOGY 54238,A000000,02800,0000,02800ELECTROCARDIOLOGY 54238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54238,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54238,A000000,03550,0000,03550FQHC 54238,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54238,A000000,05000,0000,05000CORF 54238,A000000,05010,0000,05010CMHC 54238,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54238,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54238,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54238,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54238,B100000,00000,0100,00000SQUARE FEET 54238,B100000,00000,0200,00000SQUARE FEET 54238,B100000,00000,0300,00000GROSS SALARIES 54238,B100000,00000,0400,00000ACCUM. COST 54238,B100000,00000,0500,00000SQUARE FEET 54238,B100000,00000,0600,00000POUNDS OF LAUNDRY 54238,B100000,00000,0700,00000HOURS OF SERVICE 54238,B100000,00000,0800,00000MEALS SERVED 54238,B100000,00000,0900,00000NO STATISTICS 54238,B100000,00000,1000,00000NO STATISTICS 54238,B100000,00000,1100,00000NO STATISTICS 54238,B100000,00000,1200,00000NO STATISTICS 54238,B100000,00000,1300,00000TIME SPENT 54238,B100000,00000,1350,00000NO STATISTICS 54238,B100000,00000,1400,00000NO STATISTICS 54238,E10A180,00501,0100,11/22/2000 54238,E10A180,00550,0300,11/22/2000 54238,S000000,00100,0200,10/27/2000 54238,S200000,00100,0100,625 ROBERT FULTON HIGHWAY 54238,S200000,00200,0100,QUARRYVILLE 54238,S200000,00200,0200,PA 54238,S200000,00200,0300,17566 54238,S200000,00400,0100,THE QUARRYVILLE PRESBYTERIAN HOME 54238,S200000,00400,0200,395336 54238,S200000,00400,0300,04/15/1975 54238,S200000,00400,0500,P 54238,S200000,01500,0100,Y 54248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54248,A000000,00300,0000,00300EMPLOYEE BENEFITS 54248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54248,A000000,00700,0000,00700HOUSEKEEPING 54248,A000000,00800,0000,00800DIETARY 54248,A000000,00900,0000,00900NURSING ADMINISTRATION 54248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54248,A000000,01100,0000,01100PHARMACY 54248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54248,A000000,01300,0000,01300SOCIAL SERVICE 54248,A000000,01301,0000,01301PATIENT ACTIVITIES 54248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54248,A000000,01600,0000,01600SKILLED NURSING FACILITY 54248,A000000,01800,0000,01800NURSING FACILITY 54248,A000000,01810,0000,01810ICF/MR 54248,A000000,02100,0000,02100RADIOLOGY 54248,A000000,02200,0000,02200LABORATORY 54248,A000000,02300,0000,02300INTRAVENOUS THERAPY 54248,A000000,02500,0000,02500PHYSICAL THERAPY 54248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54248,A000000,02700,0000,02700SPEECH PATHOLOGY 54248,A000000,02701,0000,02701CLINITRON THERAPY 54248,A000000,02800,0000,02800ELECTROCARDIOLOGY 54248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54248,A000000,03001,0000,03001ENTERAL 54248,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54248,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54248,A000000,03550,0000,03550FQHC 54248,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54248,A000000,04800,0000,04800AMBULANCE 54248,A000000,05000,0000,05000CORF 54248,A000000,05010,0000,05010CMHC 54248,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54248,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54248,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54248,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54248,A000000,05901,0000,05901ADULT DAYCARE 54248,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54248,A81000A,00100,0100,Y 54248,A81000B,00100,0300,ADMIN/ACCOUNT/FINANCE 54248,A81000C,00100,0100,G 54248,A81000C,00100,0400,ARCH PHILA / CATH HEALTH 54248,A81000C,00100,0600,CHURCH OPERATED 54248,B100000,00000,0100,00000SQUARE FEET 54248,B100000,00000,0200,00000SQUARE FEET 54248,B100000,00000,0300,00000GROSS SALARIES 54248,B100000,00000,0400,00000ACCUM. COST 54248,B100000,00000,0500,00000SQUARE FEET 54248,B100000,00000,0600,00000POUNDS OF LAUNDRY 54248,B100000,00000,0700,00000HOURS OF SERVICE 54248,B100000,00000,0800,00000MEALS SERVED 54248,B100000,00000,0900,00000DIRECT NRSING HRS 54248,B100000,00000,1000,00000COSTED REQUIS 54248,B100000,00000,1100,00000COSTED REQUIS 54248,B100000,00000,1200,00000TIME SPENT 54248,B100000,00000,1300,00000TIME SPENT 54248,B100000,00000,1301,00000ASSIGNED TIME 54248,B100000,00000,1400,00000ASSIGNED TIME 54248,E10A180,00501,0100,11/28/2000 54248,E10A180,00501,0300,11/28/2000 54248,S000000,00100,0200,11/15/2000 54248,S200000,00100,0100,2990 HOLME AVENUE 54248,S200000,00200,0100,PHILADELPHIA 54248,S200000,00200,0200,PA 54248,S200000,00200,0300,13136 54248,S200000,00400,0100,IMMACULATE MARY HOME 54248,S200000,00400,0200,395338 54248,S200000,00400,0300,03/18/1976 54248,S200000,00400,0500,P 54248,S200000,01600,0100,Y 54248,S200000,02800,0100,Y 54248,S200000,04700,0100,Y 54254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54254,A000000,00300,0000,00300EMPLOYEE BENEFITS 54254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54254,A000000,00700,0000,00700HOUSEKEEPING 54254,A000000,00800,0000,00800DIETARY 54254,A000000,00900,0000,00900NURSING ADMINISTRATION 54254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54254,A000000,01100,0000,01100PHARMACY 54254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54254,A000000,01300,0000,01300SOCIAL SERVICE 54254,A000000,01350,0000,01500ACTIVITIES 54254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54254,A000000,01600,0000,01600SKILLED NURSING FACILITY 54254,A000000,01800,0000,01800NURSING FACILITY 54254,A000000,01810,0000,01810ICF/MR 54254,A000000,02100,0000,02100RADIOLOGY 54254,A000000,02200,0000,02200LABORATORY 54254,A000000,02500,0000,02500PHYSICAL THERAPY 54254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54254,A000000,02700,0000,02700SPEECH PATHOLOGY 54254,A000000,02800,0000,02800ELECTROCARDIOLOGY 54254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54254,A000000,03550,0000,03550FQHC 54254,A000000,05000,0000,05000CORF 54254,A000000,05010,0000,05010CMHC 54254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54254,A81000A,00100,0100,Y 54254,A81000B,00100,0300,CORPORATE ALLOCATION 54254,A81000B,00300,0300,ADMIMISTRATION 54254,A81000B,00400,0300,HOUSEKEEPING 54254,A81000B,00500,0300,SOCIAL SERVICES 54254,A81000B,00600,0300,PHYSICAL THERAPY 54254,A81000B,00700,0300,SPEECH THERAPY 54254,A81000B,00800,0300,OCCUPATIONAL THERAPY 54254,A81000B,00900,0300,DIETARY 54254,A81000B,01000,0300,MAINTENANCE 54254,A81000B,01100,0300,MEDICAL SUPPLY 54254,A81000B,01200,0300,ADMINISTRATION 54254,A81000B,01300,0300,RADIOLOGY 54254,A81000B,01400,0300,LABORATORY 54254,A81000C,00100,0100,B 54254,A81000C,00100,0200,CONEMAUGH 54254,A81000C,00100,0400,GOOD SAMARITAN 54254,A81000C,00100,0600,MANAGEMENT SVS. 54254,A81000C,00200,0200,HEALTH SVS. 54254,A81000C,00200,0400,NCC 54254,A81000C,00300,0100,G 54254,A81000C,00300,0200,MEMORIAL 54254,A81000C,00300,0400,GOOD SAMARITAN 54254,A81000C,00300,0600,HOSPITAL 54254,A81000C,00400,0200,MEDICAL CENTER 54254,A81000C,00400,0400,NCC 54254,B100000,00000,0100,00040SQUARE FEET 54254,B100000,00000,0200,00040DOLLAR VALUE 54254,B100000,00000,0300,00040GROSS SALARIES 54254,B100000,00000,0400,00040ACCUM. COST 54254,B100000,00000,0500,00040SQUARE FEET 54254,B100000,00000,0600,00040POUNDS OF LAUNDRY 54254,B100000,00000,0700,00040HOURS OF SERVICE 54254,B100000,00000,0800,00040MEALS SERVED 54254,B100000,00000,0900,00040DIRECT NRSING HRS 54254,B100000,00000,1000,00040COSTED REQUIS. 54254,B100000,00000,1100,00040COSTED REQUIS. 54254,B100000,00000,1200,00040TIME SPENT 54254,B100000,00000,1300,00040TIME SPENT 54254,B100000,00000,1350,00040TIME SPENT 54254,B100000,00000,1400,00040ASSIGNED TIME 54254,E10A180,00501,0100,12/06/2000 54254,E10A180,00550,0300,12/06/2000 54254,S000000,00100,0200,11/29/2000 54254,S200000,00100,0100,1017 FRANKLIN STREET 54254,S200000,00200,0100,JOHNSTOWN 54254,S200000,00200,0200,PA 54254,S200000,00200,0300,15905 54254,S200000,00300,0100,C 54254,S200000,00400,0100,GOOD SAMARITAN NURSING CENTER 54254,S200000,00400,0200,395339 54254,S200000,00400,0300,07/01/1988 54254,S200000,00400,0500,P 54254,S200000,01600,0100,Y 54254,S200000,02200,0100,Y 54254,S200000,02800,0100,Y 54262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54262,A000000,00300,0000,00300EMPLOYEE BENEFITS 54262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54262,A000000,00700,0000,00700HOUSEKEEPING 54262,A000000,00800,0000,00800DIETARY 54262,A000000,00900,0000,00900NURSING ADMINISTRATION 54262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54262,A000000,01100,0000,01100PHARMACY 54262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54262,A000000,01300,0000,01300SOCIAL SERVICE 54262,A000000,01350,0000,01500RESIDENT ACTIVITIES 54262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54262,A000000,01600,0000,01600SKILLED NURSING FACILITY 54262,A000000,01810,0000,01810ICF/MR 54262,A000000,01900,0000,01900OTHER LONG TERM CARE 54262,A000000,02100,0000,02100RADIOLOGY 54262,A000000,02200,0000,02200LABORATORY 54262,A000000,02300,0000,02300INTRAVENOUS THERAPY 54262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54262,A000000,02500,0000,02500PHYSICAL THERAPY 54262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54262,A000000,02700,0000,02700SPEECH PATHOLOGY 54262,A000000,02800,0000,02800ELECTROCARDIOLOGY 54262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54262,A000000,03550,0000,03550FQHC 54262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54262,A000000,05000,0000,05000CORF 54262,A000000,05010,0000,05010CMHC 54262,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54262,A000000,06150,0000,06300COMMUNITY AFFAIRS 54262,A000000,06200,0000,06200PATIENTS LAUNDRY 54262,B100000,00000,0100,00000SQUARE FEET 54262,B100000,00000,0200,00000NO STATISTICS 54262,B100000,00000,0300,00000GROSS SALARIES 54262,B100000,00000,0400,00000ACCUM. COST 54262,B100000,00000,0500,00000SQUARE FEET 54262,B100000,00000,0600,00000POUNDS OF LAUNDRY 54262,B100000,00000,0700,00000HOURS OF SERVICE 54262,B100000,00000,0800,00000MEALS SERVED 54262,B100000,00000,0900,00000PATIENT DAYS 54262,B100000,00000,1000,00000PATIENT DAYS 54262,B100000,00000,1100,00000PATIENT DAYS 54262,B100000,00000,1200,00000PATIENT DAYS 54262,B100000,00000,1300,00000PATIENT DAYS 54262,B100000,00000,1350,00000PATIENT DAYS 54262,B100000,00000,1400,00000ASSIGNED TIME 54262,E10A180,00501,0100,07/31/2000 54262,E10A180,00501,0300,07/31/2000 54262,S000000,00100,0200,05/31/2000 54262,S200000,00100,0100,7 WEST PARK AVENUE 54262,S200000,00200,0100,MYERSTOWN 54262,S200000,00200,0200,PA 54262,S200000,00300,0100,LEBANON 54262,S200000,00400,0100,E.C.C. RETIREMENT VILLAGE 54262,S200000,00400,0200,395343 54262,S200000,00400,0300,01/01/1978 54262,S200000,00400,0500,P 54262,S200000,01500,0100,Y 54262,S200000,02800,0100,Y 54262,S200000,04300,0100,Y 54272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54272,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54272,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54272,A000000,00300,0000,00300EMPLOYEE BENEFITS 54272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54272,A000000,00700,0000,00700HOUSEKEEPING 54272,A000000,00800,0000,00800DIETARY 54272,A000000,00801,0000,00801CAFETERIA 54272,A000000,00900,0000,00900NURSING ADMINISTRATION 54272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54272,A000000,01100,0000,01100PHARMACY 54272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54272,A000000,01300,0000,01300SOCIAL SERVICE 54272,A000000,01350,0000,01500RECREATION 54272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54272,A000000,01600,0000,01600SKILLED NURSING FACILITY 54272,A000000,01800,0000,01800NURSING FACILITY 54272,A000000,01810,0000,01810ICF/MR 54272,A000000,02100,0000,02100RADIOLOGY 54272,A000000,02200,0000,02200LABORATORY 54272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54272,A000000,02500,0000,02500PHYSICAL THERAPY 54272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54272,A000000,02700,0000,02700SPEECH PATHOLOGY 54272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54272,A000000,03050,0000,03300PEN THERAPY 54272,A000000,03051,0000,03301FEE SCREENING 54272,A000000,03052,0000,03302OTHER ANCILLARY III 54272,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54272,A000000,03550,0000,03550FQHC 54272,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54272,A000000,05000,0000,05000CORF I 54272,A000000,05010,0000,05010CMHC I 54272,A000000,05020,0000,05020OPT I 54272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54272,A000000,05300,0000,05300INTEREST EXPENSE 54272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54272,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54272,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54272,A81000A,00100,0100,Y 54272,A81000B,00100,0300,MANAGEMENT FEES 54272,A81000C,00100,0100,B 54272,A81000C,00100,0400,AGE INSTITUTE 54272,A81000C,00100,0600,PARENT CO. 54272,B100000,00000,0100,00000(SQUARE FEET) 54272,B100000,00000,0101,00000(SQUARE FEET) 54272,B100000,00000,0200,00000(SQUARE FEET) 54272,B100000,00000,0201,00000(SQUARE FEET) 54272,B100000,00000,0300,00000(GROSS SALARIES) 54272,B100000,00000,0400,00000(ACCUM. COST) 54272,B100000,00000,0500,00000(SQUARE FEET) 54272,B100000,00000,0600,00000(PATIENT DAYS) 54272,B100000,00000,0700,00000(SQUARE FEET) 54272,B100000,00000,0800,00000(MEALS SERVED) 54272,B100000,00000,0801,00000(MEALS SERVED) 54272,B100000,00000,0900,00000(NURSING SALARIES) 54272,B100000,00000,1000,00000(COSTED REQUIS.) 54272,B100000,00000,1100,00000(COSTED REQUIS.) 54272,B100000,00000,1200,00000(PATIENT DAYS) 54272,B100000,00000,1300,00000(PATIENT DAYS) 54272,B100000,00000,1350,00000(PATIENT DAYS) 54272,B100000,00000,1400,00000(ASSIGNED TIME) 54272,S000000,00100,0200,05/30/2000 54272,S200000,00100,0100,615 WYOMING AVE. 54272,S200000,00200,0100,KINGSTON 54272,S200000,00200,0200,PA 54272,S200000,00200,0300,18704 54272,S200000,00300,0100,LUZERNE 54272,S200000,00400,0100,DORRANCE MANOR 54272,S200000,00400,0200,395345 54272,S200000,00400,0300,12/01/1976 54272,S200000,00400,0500,P 54272,S200000,01600,0100,Y 54272,S200000,02200,0100,Y 54282,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54282,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54282,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54282,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54282,A000000,00300,0000,00300EMPLOYEE BENEFITS 54282,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54282,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54282,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54282,A000000,00700,0000,00700HOUSEKEEPING 54282,A000000,00800,0000,00800DIETARY 54282,A000000,00801,0000,00801CAFETERIA 54282,A000000,00900,0000,00900NURSING ADMINISTRATION 54282,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54282,A000000,01100,0000,01100PHARMACY 54282,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54282,A000000,01300,0000,01300SOCIAL SERVICE 54282,A000000,01350,0000,01500REC THERAPY 54282,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54282,A000000,01600,0000,01600SKILLED NURSING FACILITY 54282,A000000,01800,0000,01800NURSING FACILITY 54282,A000000,01810,0000,01810ICF/MR 54282,A000000,02100,0000,02100RADIOLOGY 54282,A000000,02200,0000,02200LABORATORY 54282,A000000,02500,0000,02500PHYSICAL THERAPY 54282,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54282,A000000,02700,0000,02700SPEECH PATHOLOGY 54282,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54282,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54282,A000000,03050,0000,03300PEN THERAPY 54282,A000000,03051,0000,03301FEE SCREENING 54282,A000000,03052,0000,03302OTHER ANCILLARY III 54282,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54282,A000000,03550,0000,03550FQHC 54282,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54282,A000000,04800,0000,04800AMBULANCE 54282,A000000,05000,0000,05000CORF I 54282,A000000,05010,0000,05010CMHC I 54282,A000000,05020,0000,05020OPT I 54282,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54282,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54282,A000000,05300,0000,05300INTEREST EXPENSE 54282,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54282,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54282,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54282,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54282,A81000A,00100,0100,Y 54282,A81000B,00100,0300,MGMT 54282,A81000C,00100,0100,B 54282,A81000C,00100,0400,AGE INSTITUTE 54282,A81000C,00100,0600,PARENT COMPANY 54282,B100000,00000,0100,00000(SQUARE FEET) 54282,B100000,00000,0101,00000(SQUARE FEET) 54282,B100000,00000,0200,00000(SQUARE FEET) 54282,B100000,00000,0201,00000(SQUARE FEET) 54282,B100000,00000,0300,00000(GROSS SALARIES) 54282,B100000,00000,0400,00000(ACCUM. COST) 54282,B100000,00000,0500,00000(SQUARE FEET) 54282,B100000,00000,0600,00000(PATIENT DAYS) 54282,B100000,00000,0700,00000(SQUARE FEET) 54282,B100000,00000,0800,00000(MEALS SERVED) 54282,B100000,00000,0801,00000(MEALS SERVED) 54282,B100000,00000,0900,00000(NURSING SALARIES) 54282,B100000,00000,1000,00000COST.REQ. 54282,B100000,00000,1100,00000(GROSS CHARGES) 54282,B100000,00000,1200,00000(PATIENT DAYS) 54282,B100000,00000,1300,00000(PATIENT DAYS) 54282,B100000,00000,1350,00000(PATIENT DAYS) 54282,B100000,00000,1400,00000(ASSIGNED TIME) 54282,S000000,00100,0200,05/30/2000 54282,S200000,00100,0100,205 E. JOHNSON HWY 54282,S200000,00200,0100,NORRISTOWN 54282,S200000,00200,0200,PA 54282,S200000,00200,0300,19401 54282,S200000,00300,0100,MONTGOMERY 54282,S200000,00400,0100,TOWNE MANOR WEST 54282,S200000,00400,0200,395346 54282,S200000,00400,0300,07/12/1976 54282,S200000,00400,0500,P 54282,S200000,01600,0100,Y 54282,S200000,02200,0100,Y 54290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54290,A000000,00300,0000,00300EMPLOYEE BENEFITS 54290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54290,A000000,00700,0000,00700HOUSEKEEPING 54290,A000000,00800,0000,00800DIETARY 54290,A000000,00900,0000,00900NURSING ADMINISTRATION 54290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54290,A000000,01100,0000,01100PHARMACY 54290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54290,A000000,01300,0000,01300SOCIAL SERVICE 54290,A000000,01350,0000,01500PATIENT ACTIVITIES 54290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54290,A000000,01600,0000,01600SKILLED NURSING FACILITY 54290,A000000,01800,0000,01800NURSING FACILITY 54290,A000000,01810,0000,01810ICF/MR 54290,A000000,02100,0000,02100RADIOLOGY 54290,A000000,02500,0000,02500PHYSICAL THERAPY 54290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54290,A000000,02700,0000,02700SPEECH PATHOLOGY 54290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54290,A000000,03550,0000,03550FQHC 54290,A000000,05000,0000,05000CORF 54290,A000000,05010,0000,05010CMHC 54290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54290,A000000,05300,0000,05300INTEREST EXPENSE 54290,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54290,A000000,06150,0000,06300OTHER NON REIMBURSEABLE 54290,A81000A,00100,0100,Y 54290,A81000B,00100,0300,G&A 6060 6076 6082 54290,A81000B,00200,0300,G&A 6090 54290,A81000C,00100,0100,B 54290,A81000C,00100,0200,TRESSLER LUTHER 54290,B100000,00000,0100,00000SQUARE FEET 54290,B100000,00000,0200,00000SQUARE FEET 54290,B100000,00000,0300,00000GROSS SALARIES 54290,B100000,00000,0400,00000ACCUM COST 54290,B100000,00000,0500,00000SQUARE FEET 54290,B100000,00000,0600,00000POUNDS OF LAUNDRY 54290,B100000,00000,0700,00000SQUARE FEET 54290,B100000,00000,0800,00000MEALS SERVED 54290,B100000,00000,0900,00000PATIENT DAYS 54290,B100000,00000,1000,00000COSTED REQUIS 54290,B100000,00000,1100,00000COSTED REQUIS 54290,B100000,00000,1200,00000PATIENT DAYS 54290,B100000,00000,1300,00000PATIENT DAYS 54290,B100000,00000,1350,00000PATIENT DAYS 54290,B100000,00000,1400,00000ASSIGNED TIME 54290,S000000,00100,0200,05/30/2000 54290,S200000,00100,0100,1020 N UNION STREET 54290,S200000,00200,0100,MIDDLETOWN 54290,S200000,00200,0200,PA 54290,S200000,00200,0300,17057 54290,S200000,00300,0100,DAUPHIN 54290,S200000,00400,0100,FREY VILLAGE 54290,S200000,00400,0200,395347 54290,S200000,00400,0300,01/01/1992 54290,S200000,00400,0500,P 54290,S200000,00400,0600,O 54290,S200000,01500,0100,Y 54290,S200000,02200,0100,Y 54290,S200000,02800,0100,Y 54301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54301,A000000,00300,0000,00300EMPLOYEE BENEFITS 54301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54301,A000000,00700,0000,00700HOUSEKEEPING 54301,A000000,00800,0000,00800DIETARY 54301,A000000,00900,0000,00900NURSING ADMINISTRATION 54301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54301,A000000,01100,0000,01100PHARMACY 54301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54301,A000000,01300,0000,01300SOCIAL SERVICE 54301,A000000,01350,0000,01500PATIENT ACTIVITIES 54301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54301,A000000,01600,0000,01600SKILLED NURSING FACILITY 54301,A000000,01810,0000,01810ICF/MR 54301,A000000,02200,0000,02200LABORATORY 54301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54301,A000000,02500,0000,02500PHYSICAL THERAPY 54301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54301,A000000,02700,0000,02700SPEECH PATHOLOGY 54301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54301,A000000,03550,0000,03550FQHC 54301,A000000,04800,0000,04800AMBULANCE 54301,A000000,05000,0000,05000CORF 54301,A000000,05010,0000,05010CMHC 54301,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54301,A000000,05300,0000,05300INTEREST EXPENSE 54301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54301,A000000,06150,0000,06300OTHER NON REIMBURSEABLE 54301,A81000A,00100,0100,Y 54301,A81000B,00100,0300,G&A 6060 6076 6082 54301,A81000B,00200,0300,G&A 6090 54301,A81000C,00100,0100,B 54301,A81000C,00100,0200,TRESSLER LUTHER 54301,B100000,00000,0100,00000SQUARE FEET 54301,B100000,00000,0200,00000SQUARE FEET 54301,B100000,00000,0300,00000GROSS SALARIES 54301,B100000,00000,0400,00000ACCUM COST 54301,B100000,00000,0500,00000SQUARE FEET 54301,B100000,00000,0600,00000POUNDS OF LAUNDRY 54301,B100000,00000,0700,00000SQUARE FEET 54301,B100000,00000,0800,00000MEALS SERVED 54301,B100000,00000,0900,00000PATIENT DAYS 54301,B100000,00000,1000,00000COSTED REQUIS 54301,B100000,00000,1100,00000COSTED REQUIS 54301,B100000,00000,1200,00000PATIENT DAYS 54301,B100000,00000,1300,00000PATIENT DAYS 54301,B100000,00000,1350,00000PATIENT DAYS 54301,B100000,00000,1400,00000ASSIGNED TIME 54301,S000000,00100,0200,05/30/2000 54301,S200000,00100,0100,HRC 67 BOX 7 54301,S200000,00200,0100,MIFFLIN 54301,S200000,00200,0200,PA 54301,S200000,00200,0300,17058 54301,S200000,00300,0100,JUNIATA 54301,S200000,00400,0100,LOCUST GROVE VILLAGE 54301,S200000,00400,0200,395350 54301,S200000,00400,0300,07/01/1976 54301,S200000,00400,0500,P 54301,S200000,00400,0600,O 54301,S200000,01500,0100,Y 54301,S200000,02200,0100,Y 54301,S200000,02800,0100,Y 54301,S200000,04700,0100,Y 54301,S200000,04700,0200,Y 54305,S000000,00100,0200,04/26/2000 54315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54315,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54315,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54315,A000000,00300,0000,00300EMPLOYEE BENEFITS 54315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54315,A000000,00700,0000,00700HOUSEKEEPING 54315,A000000,00800,0000,00800DIETARY 54315,A000000,00801,0000,00801CAFETERIA 54315,A000000,00900,0000,00900NURSING ADMINISTRATION 54315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54315,A000000,01100,0000,01100PHARMACY 54315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54315,A000000,01300,0000,01300SOCIAL SERVICE 54315,A000000,01350,0000,01500REC THERAPY 54315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54315,A000000,01600,0000,01600SKILLED NURSING FACILITY 54315,A000000,01800,0000,01800NURSING FACILITY 54315,A000000,01810,0000,01810ICF/MR 54315,A000000,02100,0000,02100RADIOLOGY 54315,A000000,02200,0000,02200LABORATORY 54315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54315,A000000,02500,0000,02500PHYSICAL THERAPY 54315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54315,A000000,02700,0000,02700SPEECH PATHOLOGY 54315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54315,A000000,03050,0000,03300PEN THERAPY 54315,A000000,03051,0000,03301FEE SCREENING 54315,A000000,03052,0000,03302OTHER ANCILLARY III 54315,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54315,A000000,03550,0000,03550FQHC 54315,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54315,A000000,04800,0000,04800AMBULANCE 54315,A000000,05000,0000,05000CORF I 54315,A000000,05010,0000,05010CMHC I 54315,A000000,05020,0000,05020OPT I 54315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54315,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54315,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54315,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54315,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54315,A81000A,00100,0100,Y 54315,A81000B,00100,0300,HOME OFFICE 54315,A81000B,00200,0300,HOME OFFICE CAPITAL 54315,A81000B,00300,0300,HOME OFFICE INTEREST 54315,A81000B,00400,0300,AS ATTACHED 54315,A81000C,00100,0100,B 54315,A81000C,00100,0400,GENESIS HEALTH 54315,A81000C,00100,0600,HOME OFFICE 54315,A81000C,00200,0100,B 54315,A81000C,00200,0400,GENESIS HEALTH 54315,A81000C,00200,0600,HOME OFFICE 54315,A81000C,00300,0100,B 54315,A81000C,00300,0400,GENSISI HEALTH 54315,A81000C,00300,0600,HOME OFFICE 54315,A81000C,00400,0100,B 54315,A81000C,00400,0400,AS ATTACHED 54315,A81000C,00400,0600,AS ATTACHED 54315,B100000,00000,0100,00000(SQUARE FEET) 54315,B100000,00000,0101,00000(SQUARE FEET) 54315,B100000,00000,0200,00000(SQUARE FEET) 54315,B100000,00000,0201,00000(SQUARE FEET) 54315,B100000,00000,0300,00000(GROSS SALARIES) 54315,B100000,00000,0400,00000(ACCUM. COST) 54315,B100000,00000,0500,00000(SQUARE FEET) 54315,B100000,00000,0600,00000(PATIENT DAYS) 54315,B100000,00000,0700,00000(SQUARE FEET) 54315,B100000,00000,0800,00000(MEALS SERVED) 54315,B100000,00000,0801,00000(MEALS SERVED) 54315,B100000,00000,0900,00000(NURSING SALARIES) 54315,B100000,00000,1000,00000(PATIENT DAYS) 54315,B100000,00000,1100,00000(COSTED REQUIS.) 54315,B100000,00000,1200,00000(PATIENT DAYS) 54315,B100000,00000,1300,00000(PATIENT DAYS) 54315,B100000,00000,1350,00000(PATIENT DAYS) 54315,B100000,00000,1400,00000(ASSIGNED TIME) 54315,E10A180,00501,0100,03/16/2000 54315,E10A180,00501,0300,03/16/2000 54315,S000000,00100,0200,02/28/2000 54315,S200000,00100,0100,905 PENLLYN PIKE 54315,S200000,00100,0300,397 54315,S200000,00200,0100,SPRING HOUSE 54315,S200000,00200,0200,PA 54315,S200000,00200,0300,19477 54315,S200000,00300,0100,MONTGOMERY 54315,S200000,00400,0100,SILVERSTREAM CENTER 54315,S200000,00400,0200,395354 54315,S200000,00400,0300,07/01/1982 54315,S200000,00400,0500,P 54315,S200000,01600,0100,Y 54315,S200000,02200,0100,Y 54315,S200000,04700,0100,Y 54324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54324,A000000,00300,0000,00300EMPLOYEE BENEFITS 54324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54324,A000000,00700,0000,00700HOUSEKEEPING 54324,A000000,00800,0000,00800DIETARY 54324,A000000,00900,0000,00900NURSING ADMINISTRATION 54324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54324,A000000,01100,0000,01100PHARMACY 54324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54324,A000000,01300,0000,01300SOCIAL SERVICE 54324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54324,A000000,01600,0000,01600SKILLED NURSING FACILITY 54324,A000000,01810,0000,01810ICF/MR 54324,A000000,02100,0000,02100RADIOLOGY 54324,A000000,02200,0000,02200LABORATORY 54324,A000000,02300,0000,02300INTRAVENOUS THERAPY 54324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54324,A000000,02500,0000,02500PHYSICAL THERAPY 54324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54324,A000000,02700,0000,02700SPEECH PATHOLOGY 54324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54324,A000000,03200,0000,03200SUPPORT SURFACES 54324,A000000,03550,0000,03550FQHC 54324,A000000,05000,0000,05000CORF 54324,A000000,05010,0000,05010CMHC 54324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54324,A000000,06200,0000,06200PATIENTS LAUNDRY 54324,B100000,00000,0100,00000(SQUARE FEET) 54324,B100000,00000,0200,00000(SQUARE FEET) 54324,B100000,00000,0300,00000(GROSS SALARIES) 54324,B100000,00000,0400,00000(ACCUM COST) 54324,B100000,00000,0500,00000(SQUARE FEET) 54324,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 54324,B100000,00000,0700,00000(HOURS OF SERVICE) 54324,B100000,00000,0800,00000(MEALS SERVED) 54324,B100000,00000,0900,00000(DIR NRSG HOURS) 54324,B100000,00000,1000,00000COSTED REQUIS 54324,B100000,00000,1100,00000COSTED REQUIS 54324,B100000,00000,1200,00000(TIME SPENT) 54324,B100000,00000,1300,00000(TIME SPENT) 54324,B100000,00000,1400,00000ASSIGNED TIME 54324,E10A180,00501,0100,12/19/2000 54324,E10A180,00501,0300,12/19/2000 54324,E10A180,00550,0100,12/07/2000 54324,E10A180,00550,0300,12/07/2000 54324,S000000,00100,0200,11/29/2000 54324,S200000,00100,0100,110 EAST FOURTH STREET 54324,S200000,00200,0100,EMPORIUM 54324,S200000,00200,0200,PA 54324,S200000,00200,0300,15834 54324,S200000,00300,0100,C 54324,S200000,00400,0100,GUY AND MARY FELT MANOR INC 54324,S200000,00400,0200,395356 54324,S200000,00400,0300,09/01/1976 54324,S200000,00400,0500,P 54324,S200000,01500,0100,Y 54324,S200000,02800,0100,Y 54343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54343,A000000,00300,0000,00300EMPLOYEE BENEFITS 54343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54343,A000000,00700,0000,00700HOUSEKEEPING 54343,A000000,00800,0000,00800DIETARY 54343,A000000,00900,0000,00900NURSING ADMINISTRATION 54343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54343,A000000,01100,0000,01100PHARMACY 54343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54343,A000000,01300,0000,01300SOCIAL SERVICE 54343,A000000,01350,0000,01500ACTIVITIES 54343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54343,A000000,01600,0000,01600SKILLED NURSING FACILITY 54343,A000000,01800,0000,01800NURSING FACILITY 54343,A000000,01810,0000,01810ICF/MR 54343,A000000,02100,0000,02100RADIOLOGY 54343,A000000,02500,0000,02500PHYSICAL THERAPY 54343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54343,A000000,02700,0000,02700SPEECH PATHOLOGY 54343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54343,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54343,A000000,03550,0000,03550FQHC 54343,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54343,A000000,05000,0000,05000CORF 54343,A000000,05010,0000,05010CMHC 54343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54343,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54343,A81000A,00100,0100,Y 54343,A81000B,00100,0300,MANAGEMENT FEES 54343,A81000B,00200,0300,CAPITAL EXPENSE 54343,A81000C,00100,0100,B 54343,A81000C,00100,0200,COURTLAND HEALTHCARE INC 54343,A81000C,00100,0400,COURTLAND HEALTHCARE INC 54343,A81000C,00100,0600,HOME OFFICE 54343,B100000,00000,0100,00000SQUARE FEET 54343,B100000,00000,0200,00000SQUARE FEET 54343,B100000,00000,0300,00000GROSS SALARIES 54343,B100000,00000,0400,00000ACCUM. COST 54343,B100000,00000,0500,00000SQUARE FEET 54343,B100000,00000,0600,00000PATIENT DAYS 54343,B100000,00000,0700,00000SQUARE FEET 54343,B100000,00000,0800,00000MEALS SERVED 54343,B100000,00000,0900,00000NURSING SALARIES 54343,B100000,00000,1000,00000PATIENT DAYS 54343,B100000,00000,1100,00000PATIENT DAYS 54343,B100000,00000,1200,00000GROSS CHARGES 54343,B100000,00000,1300,00000PATIENT DAYS 54343,B100000,00000,1350,00000PATIENT DAYS 54343,B100000,00000,1400,00000ASSIGNED TIME 54343,E10A180,00501,0100,12/15/2000 54343,E10A180,00550,0300,12/15/2000 54343,S000000,00100,0200,11/30/2000 54343,S200000,00100,0100,6950 GERMANTOWN AVE 54343,S200000,00200,0100,PHILADELPHIA 54343,S200000,00200,0200,PA 54343,S200000,00200,0300,19119 54343,S200000,00300,0100,PHILADELPHIA 54343,S200000,00400,0100,GERMANTOWN HOME 54343,S200000,00400,0200,395360 54343,S200000,00400,0300,10/01/1976 54343,S200000,00400,0500,P 54343,S200000,01600,0100,Y 54352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54352,A000000,00300,0000,00300EMPLOYEE BENEFITS 54352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54352,A000000,00700,0000,00700HOUSEKEEPING 54352,A000000,00800,0000,00800DIETARY 54352,A000000,00900,0000,00900NURSING ADMINISTRATION 54352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54352,A000000,01100,0000,01100PHARMACY 54352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54352,A000000,01300,0000,01300SOCIAL SERVICE 54352,A000000,01350,0000,01500ACTIVITIES & VOLUNTEERS 54352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54352,A000000,01600,0000,01600SKILLED NURSING FACILITY 54352,A000000,01800,0000,01800NURSING FACILITY 54352,A000000,01810,0000,01810ICF/MR 54352,A000000,02100,0000,02100RADIOLOGY 54352,A000000,02200,0000,02200LABORATORY 54352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54352,A000000,02500,0000,02500PHYSICAL THERAPY 54352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54352,A000000,02700,0000,02700SPEECH PATHOLOGY 54352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54352,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54352,A000000,03550,0000,03550FQHC 54352,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54352,A000000,05000,0000,05000CORF 54352,A000000,05010,0000,05010CMHC 54352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54352,A000000,05300,0000,05300INTEREST EXPENSE 54352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54352,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54352,A000000,06150,0000,06300E.L. THOMAS CTR./AGRIC. OFFICE 54352,B100000,00000,0100,00000SQUARE FEET 54352,B100000,00000,0200,00000SQUARE FEET 54352,B100000,00000,0300,00000GROSS SALARIES 54352,B100000,00000,0400,00000ACCUM. COST 54352,B100000,00000,0500,00000SQUARE FEET 54352,B100000,00000,0600,00000POUNDS OF LAUNDRY 54352,B100000,00000,0700,00000HOURS OF SERVICE 54352,B100000,00000,0800,00000MEALS SERVED 54352,B100000,00000,0900,00000DIRECT NRSING HRS 54352,B100000,00000,1000,00000COSTED REQUIS. 54352,B100000,00000,1100,00000COSTED REQUIS. 54352,B100000,00000,1200,00000TIME SPENT 54352,B100000,00000,1300,00000TIME SPENT 54352,B100000,00000,1350,00000TIME SPENT 54352,B100000,00000,1400,00000ASSIGNED TIME 54352,E10A180,00501,0100,06/22/2000 54352,E10A180,00501,0300,06/22/2000 54352,S000000,00100,0200,06/06/2000 54352,S200000,00100,0100,8300 WEST RIDGE ROAD 54352,S200000,00200,0100,GIRARD 54352,S200000,00200,0200,PA 54352,S200000,00300,0100,ERIE 54352,S200000,00400,0100,PLEASANT RIDGE MANOR 54352,S200000,00400,0200,395361 54352,S200000,00400,0300,07/01/1976 54352,S200000,00400,0500,P 54352,S200000,01600,0100,Y 54352,S200000,02800,0100,Y 54361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54361,A000000,00300,0000,00300EMPLOYEE BENEFITS 54361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54361,A000000,00700,0000,00700HOUSEKEEPING 54361,A000000,00800,0000,00800DIETARY 54361,A000000,00900,0000,00900NURSING ADMINISTRATION 54361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54361,A000000,01100,0000,01100PHARMACY 54361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54361,A000000,01300,0000,01300SOCIAL SERVICE 54361,A000000,01350,0000,01500RECREATIONAL THERAPY 54361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54361,A000000,01600,0000,01600SKILLED NURSING FACILITY 54361,A000000,01810,0000,01810ICF/MR 54361,A000000,02100,0000,02100RADIOLOGY 54361,A000000,02200,0000,02200LABORATORY 54361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54361,A000000,02500,0000,02500PHYSICAL THERAPY 54361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54361,A000000,02700,0000,02700SPEECH PATHOLOGY 54361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54361,A000000,03550,0000,03550FQHC 54361,A000000,05000,0000,05000CORF 54361,A000000,05010,0000,05010CMHC 54361,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54361,A000000,06150,0000,06300OTHER NONREIMBURSABLE 54361,A81000A,00100,0100,Y 54361,A81000B,00100,0300,MANAGEMENT SERVICES/ADMIN 54361,A81000B,00200,0300,MARKETING 54361,A81000C,00100,0100,B 54361,A81000C,00100,0200,SPANG CREST 54361,A81000C,00100,0400,LUTHERCARE INC. 54361,A81000C,00100,0600,MANAGEMENT SERV 54361,A81000C,00200,0100,B 54361,A81000C,00200,0200,SPANG CREST 54361,A81000C,00200,0400,LUTHERCARE INC. 54361,A81000C,00200,0600,MANAGEMENT SERV 54361,B100000,00000,0100,00000SQUARE FEET 54361,B100000,00000,0200,00000SQUARE FEET 54361,B100000,00000,0300,00000GROSS SALARIES 54361,B100000,00000,0400,00000ACCUMULA- TED COST 54361,B100000,00000,0500,00000SQUARE FEET 54361,B100000,00000,0600,00000POUNDS OF LAUNDRY 54361,B100000,00000,0700,00000SQUARE FEET 54361,B100000,00000,0800,00000MEALS SERVED 54361,B100000,00000,0900,00000DIRECT HOU OF SERVICE 54361,B100000,00000,1000,00000COSTED REQUIS 54361,B100000,00000,1100,00000COSTED REQUIS 54361,B100000,00000,1200,00000TIME SPENT 54361,B100000,00000,1300,00000TIME SPENT 54361,B100000,00000,1350,00000PATIENT DAYS 54361,B100000,00000,1400,00000ASSIGNED TIME 54361,E10A180,00501,0300,06/15/2000 54361,S000000,00100,0200,05/23/2000 54361,S200000,00100,0100,945 DUKE STREET 54361,S200000,00200,0100,LEBANON 54361,S200000,00200,0200,PA 54361,S200000,00200,0300,17042 54361,S200000,00300,0100,LEBANON 54361,S200000,00400,0100,SPANGCREST 54361,S200000,00400,0200,395365 54361,S200000,00400,0300,01/01/1977 54361,S200000,00400,0500,P 54361,S200000,01500,0100,Y 54361,S200000,01900,0100,NON-PROFIT CORPORATION 54361,S200000,02200,0100,Y 54361,S200000,02800,0100,Y 54369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54369,A000000,00300,0000,00300EMPLOYEE BENEFITS 54369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54369,A000000,00700,0000,00700HOUSEKEEPING 54369,A000000,00800,0000,00800DIETARY 54369,A000000,00900,0000,00900NURSING ADMINISTRATION 54369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54369,A000000,01100,0000,01100PHARMACY 54369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54369,A000000,01300,0000,01300SOCIAL SERVICE 54369,A000000,01301,0000,01301ACTIVITIES 54369,A000000,01350,0000,01500OTHER GENERAL SERVICES 54369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54369,A000000,01600,0000,01600SKILLED NURSING FACILITY 54369,A000000,01810,0000,01810ICF/MR 54369,A000000,02100,0000,02100RADIOLOGY 54369,A000000,02200,0000,02200LABORATORY 54369,A000000,02500,0000,02500PHYSICAL THERAPY 54369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54369,A000000,02700,0000,02700SPEECH PATHOLOGY 54369,A000000,02800,0000,02800ELECTROCARDIOLOGY 54369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54369,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54369,A000000,03550,0000,03550FQHC 54369,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54369,A000000,05000,0000,05000CORF 54369,A000000,05010,0000,05010CMHC 54369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54369,A000000,05300,0000,05300INTEREST EXPENSE 54369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54369,A81000A,00100,0100,Y 54369,A81000B,00100,0300,MANAGEMENT FEES 54369,A81000B,00200,0300,PHYSICAL THERAPY 54369,A81000B,00300,0300,OCCUPATIONAL THERAPY 54369,A81000B,00400,0300,SPEECH THERAPY 54369,A81000B,00500,0300,CHAPLAIN 54369,A81000C,00100,0100,A 54369,A81000C,00100,0200,DOYLESTOWN HOSPITAL 54369,A81000C,00100,0400,DOYLESTOWN HOSPITAL 54369,A81000C,00100,0600,HEALTH CARE 54369,A81000C,00200,0100,A 54369,A81000C,00200,0200,DOYLESTOWN HOSPITAL 54369,A81000C,00200,0400,DOYLESTOWN HOSPITAL 54369,A81000C,00200,0600,HEALTH CARE 54369,A81000C,00300,0100,A 54369,A81000C,00300,0200,DOYLESTOWN HOSPITAL 54369,A81000C,00300,0400,DOYLESTOWN HOSPITAL 54369,A81000C,00300,0600,HEALTH CARE 54369,A81000C,00400,0100,A 54369,A81000C,00400,0200,DOYLESTOWN HOSPITAL 54369,A81000C,00400,0400,DOYLESTOWN HOSPITAL 54369,A81000C,00400,0600,HEALTH CARE 54369,A81000C,00500,0100,A 54369,A81000C,00500,0200,DOYLESTOWN HOSPITAL 54369,A81000C,00500,0400,DOYLESTOWN HOSPITAL 54369,A81000C,00500,0600,HEALTH CARE 54369,B100000,00000,0100,00000SQUARE FEET 54369,B100000,00000,0200,00000SQUARE FEET 54369,B100000,00000,0300,00000GROSS SALARIES 54369,B100000,00000,0400,00000ACCUM. COST 54369,B100000,00000,0500,00000SQUARE FEET 54369,B100000,00000,0600,00000POUNDS OF LAUNDRY 54369,B100000,00000,0700,00000SQUARE FEET 54369,B100000,00000,0800,00000MEALS SERVED 54369,B100000,00000,0900,00000DIRECT NRSING HRS 54369,B100000,00000,1000,00000COSTED REQUIS. 54369,B100000,00000,1100,00000COSTED REQUIS 54369,B100000,00000,1200,00000TIME SPENT 54369,B100000,00000,1300,00000PATIENT DAYS 54369,B100000,00000,1301,00000PATIENT DAYS 54369,B100000,00000,1350,00000TIME SPENT 54369,B100000,00000,1400,00000ASSIGNED TIME 54369,E10A180,00501,0100,01/16/2001 54369,E10A180,00501,0300,01/16/2001 54369,S000000,00100,0200,12/18/2000 54369,S200000,00100,0100,777 FERRY ROAD 54369,S200000,00200,0100,DOYLESTOWN 54369,S200000,00200,0200,PA 54369,S200000,00200,0300,18901 54369,S200000,00300,0100,B 54369,S200000,00400,0100,PINE RUN HEALTH CENTER 54369,S200000,00400,0200,395366 54369,S200000,00400,0300,07/01/1992 54369,S200000,00400,0500,P 54369,S200000,01500,0100,Y 54378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54378,A000000,00300,0000,00300EMPLOYEE BENEFITS 54378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54378,A000000,00700,0000,00700HOUSEKEEPING 54378,A000000,00800,0000,00800DIETARY 54378,A000000,00900,0000,00900NURSING ADMINISTRATION 54378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54378,A000000,01100,0000,01100PHARMACY 54378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54378,A000000,01300,0000,01300SOCIAL SERVICE 54378,A000000,01350,0000,01500PATIENT ACTIVITIES 54378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54378,A000000,01600,0000,01600SKILLED NURSING FACILITY 54378,A000000,01800,0000,01800NURSING FACILITY 54378,A000000,01810,0000,01810ICF/MR 54378,A000000,02100,0000,02100RADIOLOGY 54378,A000000,02200,0000,02200LABORATORY 54378,A000000,02300,0000,02300INTRAVENOUS THERAPY 54378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54378,A000000,02500,0000,02500PHYSICAL THERAPY 54378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54378,A000000,02700,0000,02700SPEECH PATHOLOGY 54378,A000000,02800,0000,02800ELECTROCARDIOLOGY 54378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54378,A000000,03550,0000,03550FQHC 54378,A000000,05000,0000,05000CORF 54378,A000000,05010,0000,05010CMHC 54378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54378,A000000,06150,0000,06300RESIDENTIAL 54378,A81000A,00100,0100,Y 54378,A81000B,00100,0300,PHARMACY 54378,A81000B,00200,0300,OTC DRUGS 54378,A81000B,00300,0300,SUPPLIES 54378,A81000B,00400,0300,PHARMACY 54378,A81000B,00500,0300,OTC DRUGS 54378,A81000B,00600,0300,PHARMACY SUPPLIES 54378,A81000B,00700,0300,MANAGEMENT SUPPORT 54378,A81000B,00800,0300,MANAGEMENT SUPPORT 54378,A81000B,00900,0300,DATA PROCESSING 54378,A81000B,01000,0300,DATA PROCESSING 54378,A81000B,01100,0300,WORKING CAPITAL INT 54378,A81000B,01200,0300,WORKING CAPITAL INT 54378,A81000B,01300,0300,PHARMACY (CAP) 54378,A81000B,01400,0300,MGNT SUPPORT (CAP) 54378,A81000B,01500,0300,DATA PROCESSING (CAP 54378,A81000C,00100,0100,B 54378,A81000C,00100,0400,PHI INC. 54378,A81000C,00100,0600,MANAGEMENT SUPP 54378,A81000C,00200,0100,B 54378,A81000C,00200,0400,PRELUDE SYSTEMS 54378,A81000C,00200,0600,INFORMATION SYS 54378,A81000C,00300,0100,B 54378,A81000C,00300,0400,CONTINUING CARE 54378,A81000C,00300,0600,PHARMACY 54378,B100000,00000,0100,00000SQUARE FEET 54378,B100000,00000,0200,00000SQUARE FEET 54378,B100000,00000,0300,00000GROSS SALARIES 54378,B100000,00000,0400,00000ACCUM COST 54378,B100000,00000,0500,00000SQUARE FEET 54378,B100000,00000,0600,00000POUNDS OF LAUNDRY 54378,B100000,00000,0700,00000HOURS OF SERVICE 54378,B100000,00000,0800,00000MEALS SERVED 54378,B100000,00000,0900,00000DIRECT NRSG HRS 54378,B100000,00000,1000,00000COSTED REQUIS 54378,B100000,00000,1100,00000COSTED REQUIS 54378,B100000,00000,1200,00000TIME SPENT 54378,B100000,00000,1300,00000TIME SPENT 54378,B100000,00000,1350,00000PATIENT DAYS 54378,B100000,00000,1400,00000ASSIGNED TIME 54378,E10A180,00501,0100,07/12/2000 54378,E10A180,00502,0300,07/12/2000 54378,S000000,00100,0200,06/01/2000 54378,S200000,00100,0100,7 EAST LOCUST STREET 54378,S200000,00200,0100,OXFORD 54378,S200000,00200,0200,PA 54378,S200000,00200,0300,19363 54378,S200000,00300,0100,CHESTER 54378,S200000,00400,0100,OXFORD MANOR HEALTH CENTER 54378,S200000,00400,0200,395367 54378,S200000,00400,0300,02/22/1977 54378,S200000,00400,0500,P 54378,S200000,01600,0100,Y 54387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54387,A000000,00300,0000,00300EMPLOYEE BENEFITS 54387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54387,A000000,00700,0000,00700HOUSEKEEPING 54387,A000000,00800,0000,00800DIETARY 54387,A000000,00900,0000,00900NURSING ADMINISTRATION 54387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54387,A000000,01100,0000,01100PHARMACY 54387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54387,A000000,01300,0000,01300SOCIAL SERVICE 54387,A000000,01350,0000,01500ACTIVITIES 54387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54387,A000000,01600,0000,01600SKILLED NURSING FACILITY 54387,A000000,01800,0000,01800NURSING FACILITY 54387,A000000,01810,0000,01810ICF/MR 54387,A000000,02100,0000,02100RADIOLOGY 54387,A000000,02200,0000,02200LABORATORY 54387,A000000,02300,0000,02300INTRAVENOUS THERAPY 54387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54387,A000000,02500,0000,02500PHYSICAL THERAPY 54387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54387,A000000,02700,0000,02700SPEECH PATHOLOGY 54387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54387,A000000,03050,0000,03300RESPIRATORY THERAPY 54387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54387,A000000,03550,0000,03550FQHC 54387,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54387,A000000,04800,0000,04800AMBULANCE 54387,A000000,05000,0000,05000CORF 54387,A000000,05010,0000,05010CMHC 54387,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54387,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54387,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54387,A000000,05300,0000,05300INTEREST EXPENSE 54387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54387,A000000,06200,0000,06200PATIENTS LAUNDRY 54387,B100000,00000,0100,00000SQUARE FEET 54387,B100000,00000,0200,00000SQUARE FEET 54387,B100000,00000,0300,00000GROSS SALARIES 54387,B100000,00000,0400,00000ACCUM. COST 54387,B100000,00000,0500,00000SQUARE FEET 54387,B100000,00000,0600,00000PATIENT DAYS 54387,B100000,00000,0700,00000SQUARE FEET 54387,B100000,00000,0800,00000MEALS SERVED 54387,B100000,00000,0900,00000HOURS OF SERVICE 54387,B100000,00000,1000,00000PATIENT DAYS 54387,B100000,00000,1100,00000COSTED REQUIS. 54387,B100000,00000,1200,00000DIRECT WAGES 54387,B100000,00000,1300,00000PATIENT DAYS 54387,B100000,00000,1350,00000PATIENT DAYS 54387,B100000,00000,1400,00000TIME SPENT 54387,E10A180,00501,0100,12/07/2000 54387,E10A180,00501,0300,12/07/2000 54387,S000000,00100,0200,12/07/2000 54387,S200000,00100,0100,151 GOODVIEW DR. 54387,S200000,00100,0300,278 54387,S200000,00200,0100,APOLLO 54387,S200000,00200,0200,PA 54387,S200000,00200,0300,15613 54387,S200000,00300,0100,W 54387,S200000,00400,0100,WEST HAVEN NURSING HOME 54387,S200000,00400,0200,395371 54387,S200000,00400,0300,07/01/1971 54387,S200000,00400,0500,P 54387,S200000,01600,0100,Y 54387,S200000,02800,0100,Y 54387,S200000,04300,0100,Y 54396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54396,A000000,00300,0000,00300EMPLOYEE BENEFITS 54396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54396,A000000,00700,0000,00700HOUSEKEEPING 54396,A000000,00800,0000,00800DIETARY 54396,A000000,00900,0000,00900NURSING ADMINISTRATION 54396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54396,A000000,01100,0000,01100PHARMACY 54396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54396,A000000,01300,0000,01300SOCIAL SERVICE 54396,A000000,01350,0000,01500RESIDENT ACTIVITIES 54396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54396,A000000,01600,0000,01600SKILLED NURSING FACILITY 54396,A000000,01810,0000,01810ICF/MR 54396,A000000,02100,0000,02100RADIOLOGY 54396,A000000,02200,0000,02200LABORATORY 54396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54396,A000000,02500,0000,02500PHYSICAL THERAPY 54396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54396,A000000,02700,0000,02700SPEECH PATHOLOGY 54396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54396,A000000,03050,0000,03300BLOOD GLUCOSE 54396,A000000,03101,0000,03101DENTAL CARE - TITLE XIX ONLY 54396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54396,A000000,03550,0000,03550FQHC 54396,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54396,A000000,05000,0000,05000CORF 54396,A000000,05010,0000,05010CMHC 54396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54396,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54396,B100000,00000,0100,00000SQUARE FEET 54396,B100000,00000,0200,00000SQUARE FEET 54396,B100000,00000,0300,00000GROSS SALARIES 54396,B100000,00000,0400,00000ACCUM. COST 54396,B100000,00000,0500,00000SQUARE FEET 54396,B100000,00000,0600,00000POUNDS OF LAUNDRY 54396,B100000,00000,0700,00000SQ FT EXCL 54396,B100000,00000,0800,00000MEALS SERVED 54396,B100000,00000,0900,00000PATIENT DAYS 54396,B100000,00000,1000,00000PATIENT DAYS 54396,B100000,00000,1100,00000NO STATISTICS 54396,B100000,00000,1200,00000NO STATISTICS 54396,B100000,00000,1300,00000PATIENT DAYS 54396,B100000,00000,1350,00000PATIENT DAYS 54396,B100000,00000,1400,00000NO STATISTICS 54396,E10A180,00501,0100,12/07/2000 54396,E10A180,00501,0300,12/07/2000 54396,S000000,00100,0200,11/30/2000 54396,S200000,00100,0100,4000 LINGLESTOWN ROAD 54396,S200000,00200,0100,HARRISBURG 54396,S200000,00200,0200,PA 54396,S200000,00200,0300,17112 54396,S200000,00400,0100,JEWISH HOME OF GREATER HARRISBURG 54396,S200000,00400,0200,395372 54396,S200000,00400,0300,04/12/1977 54396,S200000,00400,0500,P 54396,S200000,01500,0100,Y 54396,S200000,02800,0100,Y 54404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54404,A000000,00300,0000,00300EMPLOYEE BENEFITS 54404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54404,A000000,00700,0000,00700HOUSEKEEPING 54404,A000000,00800,0000,00800DIETARY 54404,A000000,00900,0000,00900NURSING ADMINISTRATION 54404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54404,A000000,01100,0000,01100PHARMACY 54404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54404,A000000,01300,0000,01300SOCIAL SERVICE 54404,A000000,01350,0000,01500PATIENT ACTIVITIES 54404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54404,A000000,01600,0000,01600SKILLED NURSING FACILITY 54404,A000000,01800,0000,01800NURSING FACILITY 54404,A000000,01810,0000,01810ICF/MR 54404,A000000,02100,0000,02100RADIOLOGY 54404,A000000,02200,0000,02200LABORATORY 54404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54404,A000000,02500,0000,02500PHYSICAL THERAPY 54404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54404,A000000,02700,0000,02700SPEECH PATHOLOGY 54404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54404,A000000,03050,0000,03300ANCILLARY COMPLEX MEDICAL 54404,A000000,03550,0000,03550FQHC 54404,A000000,04800,0000,04800AMBULANCE 54404,A000000,05000,0000,05000CORF 54404,A000000,05010,0000,05010CMHC 54404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54404,A81000A,00100,0100,Y 54404,A81000B,00100,0300,G&A 6060 6076 6082 54404,A81000B,00200,0300,G&A 6090 54404,A81000C,00100,0100,B 54404,A81000C,00100,0200,TRESSLER LUTHER 54404,B100000,00000,0100,00000SQUARE FEET 54404,B100000,00000,0200,00000SQUARE FEET 54404,B100000,00000,0300,00000GROSS SALARIES 54404,B100000,00000,0400,00000ACCUM COST 54404,B100000,00000,0500,00000SQUARE FEET 54404,B100000,00000,0600,00000POUNDS OF LAUNDRY 54404,B100000,00000,0700,00000HOURS OF SERVICE 54404,B100000,00000,0800,00000MEALS SERVED 54404,B100000,00000,0900,00000PATIENT DAYS 54404,B100000,00000,1000,00000COSTED REQUIS 54404,B100000,00000,1100,00000COSTED REQUIS 54404,B100000,00000,1200,00000PATIENT DAYS 54404,B100000,00000,1300,00000PATIENT DAYS 54404,B100000,00000,1350,00000PATIENT DAYS 54404,B100000,00000,1400,00000ASSIGNED TIME 54404,E10A180,00501,0100,07/28/2000 54404,E10A180,00501,0300,07/28/2000 54404,S000000,00100,0200,05/30/2000 54404,S200000,00100,0100,276 GREEN AVENUE EXTENDED 54404,S200000,00200,0100,LEWISTOWN 54404,S200000,00200,0200,PA 54404,S200000,00200,0300,17044 54404,S200000,00300,0100,MIFFLIN 54404,S200000,00400,0100,OHESSON MANOR 54404,S200000,00400,0200,395373 54404,S200000,00400,0300,10/01/1977 54404,S200000,00400,0500,P 54404,S200000,00400,0600,O 54404,S200000,01600,0100,Y 54404,S200000,02200,0100,Y 54404,S200000,02800,0100,Y 54404,S200000,04700,0100,Y 54404,S200000,04700,0200,Y 54413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54413,A000000,00300,0000,00300EMPLOYEE BENEFITS 54413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54413,A000000,00700,0000,00700HOUSEKEEPING 54413,A000000,00800,0000,00800DIETARY 54413,A000000,00900,0000,00900NURSING ADMINISTRATION 54413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54413,A000000,01100,0000,01100PHARMACY 54413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54413,A000000,01300,0000,01300SOCIAL SERVICE 54413,A000000,01350,0000,01500PATIENT ACTIVITIES 54413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54413,A000000,01600,0000,01600SKILLED NURSING FACILITY 54413,A000000,01800,0000,01800NURSING FACILITY 54413,A000000,01810,0000,01810ICF/MR 54413,A000000,02100,0000,02100RADIOLOGY 54413,A000000,02200,0000,02200LABORATORY 54413,A000000,02300,0000,02300INTRAVENOUS THERAPY 54413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54413,A000000,02500,0000,02500PHYSICAL THERAPY 54413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54413,A000000,02700,0000,02700SPEECH PATHOLOGY 54413,A000000,02800,0000,02800ELECTROCARDIOLOGY 54413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54413,A000000,03550,0000,03550FQHC 54413,A000000,05000,0000,05000CORF 54413,A000000,05010,0000,05010CMHC 54413,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54413,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54413,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54413,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54413,A000000,06150,0000,06300RESIDENTIAL 54413,A81000A,00100,0100,Y 54413,A81000B,00100,0300,MANAGEMENT SUPPORT 54413,A81000B,00200,0300,MANAGEMENT SUPPORT 54413,A81000B,00300,0300,MANAGEMENT SUPPORT 54413,A81000B,00400,0300,DATA PROCESSING SERV 54413,A81000B,00500,0300,DATA PROCESSING SERV 54413,A81000B,00600,0300,DATA PROCESSING SERV 54413,A81000B,00700,0300,WORKING CAPITAL INT 54413,A81000B,00800,0300,WORKING CAPITAL INT 54413,A81000B,00900,0300,MEDICAL SUPPLIES 54413,A81000B,01000,0300,PHARMACY 54413,A81000B,01100,0300,OTC DRUGS 54413,A81000B,01200,0300,PHARMACY CONSULTANT 54413,A81000B,01300,0300,PHARMACY SUPPLIES 54413,A81000B,01400,0300,PHARMACY (CAPITAL) 54413,A81000C,00100,0100,B 54413,A81000C,00100,0400,PHI INC. 54413,A81000C,00100,0600,MANAGEMENT 54413,A81000C,00200,0100,B 54413,A81000C,00200,0400,PRELUDE SYSTEMS 54413,A81000C,00200,0600,DATA PROCESISNG 54413,A81000C,00300,0100,B 54413,A81000C,00300,0400,CONTINUING CARE 54413,A81000C,00300,0600,PHARMACY 54413,B100000,00000,0100,00000SQUARE FEET 54413,B100000,00000,0200,00000SQUARE FEET 54413,B100000,00000,0300,00000GROSS SALARIES 54413,B100000,00000,0400,00000ACCUM COST 54413,B100000,00000,0500,00000SQUARE FEET 54413,B100000,00000,0600,00000POUNDS OF LAUNDRY 54413,B100000,00000,0700,00000SQ FT EXCL KTCHN 54413,B100000,00000,0800,00000MEALS SERVED 54413,B100000,00000,0900,00000DIRECT NRSG HRS 54413,B100000,00000,1000,00000COSTED REQUIS 54413,B100000,00000,1100,00000COSTED REQUIS 54413,B100000,00000,1200,00000PATIENT DAYS 54413,B100000,00000,1300,00000TIME SPENT 54413,B100000,00000,1350,00000TIME SPENT 54413,B100000,00000,1400,00000ASSIGNED TIME 54413,E10A180,00550,0300,05/31/2000 54413,S000000,00100,0200,05/31/2000 54413,S200000,00100,0100,BIG SPRING ROAD 54413,S200000,00200,0100,NEWVILLE 54413,S200000,00200,0200,PA 54413,S200000,00200,0300,17241 54413,S200000,00300,0100,CUMBERLAND 54413,S200000,00400,0100,SWAIM HEALTH CENTER 54413,S200000,00400,0200,395375 54413,S200000,00400,0300,03/23/1977 54413,S200000,00400,0500,P 54413,S200000,01600,0100,Y 54424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54424,A000000,00300,0000,00300EMPLOYEE BENEFITS 54424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54424,A000000,00700,0000,00700HOUSEKEEPING 54424,A000000,00800,0000,00800DIETARY 54424,A000000,00900,0000,00900NURSING ADMINISTRATION 54424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54424,A000000,01100,0000,01100PHARMACY 54424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54424,A000000,01300,0000,01300SOCIAL SERVICE 54424,A000000,01350,0000,01500ACTIVITIES 54424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54424,A000000,01600,0000,01600SKILLED NURSING FACILITY 54424,A000000,01800,0000,01800NURSING FACILITY 54424,A000000,01810,0000,01810ICF/MR 54424,A000000,02100,0000,02100RADIOLOGY 54424,A000000,02500,0000,02500PHYSICAL THERAPY 54424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54424,A000000,02700,0000,02700SPEECH PATHOLOGY 54424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54424,A000000,03550,0000,03550FQHC 54424,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54424,A000000,05000,0000,05000CORF 54424,A000000,05010,0000,05010CMHC 54424,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54424,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54424,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54424,A81000A,00100,0100,Y 54424,A81000B,00100,0300,MANAGEMENT FEE 54424,A81000B,00200,0300,CAPITAL EXPENSES 54424,A81000C,00100,0100,B 54424,A81000C,00100,0200,COURTLAND HEALTHCARE INC 54424,A81000C,00100,0400,COURTLAND HEALTHCARE INC 54424,A81000C,00100,0600,HOME OFFICE 54424,B100000,00000,0100,00000SQUARE FEET 54424,B100000,00000,0200,00000SQUARE FEET 54424,B100000,00000,0300,00000GROSS SALARIES 54424,B100000,00000,0400,00000ACCUM. COST 54424,B100000,00000,0500,00000SQUARE FEET 54424,B100000,00000,0600,00000PATIENT DAYS 54424,B100000,00000,0700,00000SQUARE FEET 54424,B100000,00000,0800,00000MEALS SERVED 54424,B100000,00000,0900,00000NURSING SALARIES 54424,B100000,00000,1000,00000PATIENT DAYS 54424,B100000,00000,1100,00000PATIENT DAYS 54424,B100000,00000,1200,00000GROSS CHARGES 54424,B100000,00000,1300,00000PATIENT DAYS 54424,B100000,00000,1350,00000PATIENT DAYS 54424,B100000,00000,1400,00000ASSIGNED TIME 54424,E10A180,00501,0100,12/21/2000 54424,E10A180,00501,0300,12/21/2000 54424,S000000,00100,0200,11/30/2000 54424,S200000,00100,0100,6212 WALNUT STREET 54424,S200000,00200,0100,PHILADELPHIA 54424,S200000,00200,0200,PA 54424,S200000,00200,0300,19139 54424,S200000,00400,0100,CARE PAVILION OF WALNUT PARK 54424,S200000,00400,0200,395376 54424,S200000,00400,0300,06/02/1985 54424,S200000,00400,0500,P 54424,S200000,01600,0100,Y 54434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54434,A000000,00101,0000,00101CAPITAL - BLDG/FIX-CLSTK 54434,A000000,00102,0000,00102CAPITAL - BLDG/FIX-W/BI I 54434,A000000,00103,0000,00103INSURANCE BLDG & LAND IMP 54434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54434,A000000,00201,0000,00201CAPITAL - MOV EQUIP-CLSTK 54434,A000000,00300,0000,00300EMPLOYEE BENEFITS 54434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54434,A000000,00501,0000,00501OPERATION OF PLANT 54434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54434,A000000,00700,0000,00700HOUSEKEEPING 54434,A000000,00800,0000,00800DIETARY 54434,A000000,00900,0000,00900NURSING ADMINISTRATION 54434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54434,A000000,01100,0000,01100PHARMACY 54434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54434,A000000,01300,0000,01300SOCIAL SERVICE 54434,A000000,01301,0000,01301CHAPLAINCY 54434,A000000,01302,0000,01302INSURANCE AND TAXES 54434,A000000,01303,0000,01303ACTIVITIES 54434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54434,A000000,01600,0000,01600SKILLED NURSING FACILITY 54434,A000000,01810,0000,01810ICF/MR 54434,A000000,02100,0000,02100RADIOLOGY 54434,A000000,02200,0000,02200LABORATORY 54434,A000000,02300,0000,02300INTRAVENOUS THERAPY 54434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54434,A000000,02500,0000,02500PHYSICAL THERAPY 54434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54434,A000000,02700,0000,02700SPEECH PATHOLOGY 54434,A000000,02800,0000,02800ELECTROCARDIOLOGY 54434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54434,A000000,03200,0000,03200SUPPORT SURFACES 54434,A000000,03550,0000,03550FQHC 54434,A000000,04800,0000,04800AMBULANCE 54434,A000000,05000,0000,05000CORF 54434,A000000,05010,0000,05010CMHC 54434,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54434,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54434,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54434,A000000,05300,0000,05300INTEREST EXPENSE 54434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54434,A000000,06001,0000,06001ILU PERS.CARE 54434,A000000,06002,0000,06002QCDC 54434,B100000,00000,0100,00002SQUARE FEET 54434,B100000,00000,0101,00002SQUARE FEE 54434,B100000,00000,0102,00002DOLLAR VAL 54434,B100000,00000,0103,00002SQUARE FEE 54434,B100000,00000,0200,00002DOLLAR VAL OR SQ.FEET 54434,B100000,00000,0201,00002SQUARE FEE 54434,B100000,00000,0300,00002GROSS SALARIES 54434,B100000,00000,0400,00002ACCUMULA- TED COST 54434,B100000,00000,0500,00002SQUARE FEET 54434,B100000,00000,0501,00002SQUARE FEE 54434,B100000,00000,0600,00002POUNDS OF LAUNDRY 54434,B100000,00000,0700,00002HOURS OF SERVICE 54434,B100000,00000,0800,00002MEALS SERVED 54434,B100000,00000,0900,00002DIRECT HOU OF SERVICE 54434,B100000,00000,1000,00002COSTED REQUIS 54434,B100000,00000,1100,00002COSTED REQUIS 54434,B100000,00000,1200,00002TIME SPENT 54434,B100000,00000,1300,00002TIME SPENT 54434,B100000,00000,1301,00002OTHER 54434,B100000,00000,1302,00002OTHER 54434,B100000,00000,1303,00002TIME SPENT 54434,B100000,00000,1400,00002ASSIGNED TIME 54434,E10A180,00501,0100,07/28/2000 54434,E10A180,00501,0300,07/28/2000 54434,S000000,00100,0200,05/30/2000 54434,S200000,00100,0100,6596 ORPHANAGE ROAD 54434,S200000,00100,0300,P O BOX 2 54434,S200000,00200,0100,QUINCY 54434,S200000,00200,0200,PA 54434,S200000,00300,0100,17247 FRANKLIN COUNTY 54434,S200000,00400,0100,QUINCY UNITED METHODIST HOME 54434,S200000,00400,0200,395378 54434,S200000,00400,0300,10/01/1977 54434,S200000,00400,0500,P 54434,S200000,01500,0100,Y 54434,S200000,01900,0100,CHURCH RELATED ORGANIZATION 54434,S200000,02200,0100,Y 54434,S200000,02800,0100,Y 54442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54442,A000000,00300,0000,00300EMPLOYEE BENEFITS 54442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54442,A000000,00700,0000,00700HOUSEKEEPING 54442,A000000,00800,0000,00800DIETARY 54442,A000000,00900,0000,00900NURSING ADMINISTRATION 54442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54442,A000000,01100,0000,01100PHARMACY 54442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54442,A000000,01300,0000,01300SOCIAL SERVICE 54442,A000000,01350,0000,01500PATIENT ACTIVITIES 54442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54442,A000000,01600,0000,01600SKILLED NURSING FACILITY 54442,A000000,01800,0000,01800NURSING FACILITY 54442,A000000,01810,0000,01810ICF/MR 54442,A000000,02100,0000,02100RADIOLOGY 54442,A000000,02200,0000,02200LABORATORY 54442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54442,A000000,02500,0000,02500PHYSICAL THERAPY 54442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54442,A000000,02700,0000,02700SPEECH PATHOLOGY 54442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54442,A000000,03550,0000,03550FQHC 54442,A000000,05000,0000,05000CORF 54442,A000000,05010,0000,05010CMHC 54442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54442,A000000,06150,0000,06300NONREIMBURSABLE 54442,A81000A,00100,0100,Y 54442,A81000B,00100,0300,MANAGEMENT SUPPORT 54442,A81000B,00200,0300,MANAGEMENT SUPPORT 54442,A81000B,00300,0300,MEDICAL SUPPLIES 54442,A81000B,00400,0300,MEDICAL SUPPLIES 54442,A81000B,00500,0300,PHARMACY 54442,A81000B,00600,0300,PHARMACY 54442,A81000B,00700,0300,OTC DRUGS 54442,A81000B,00800,0300,MEDICAL SUPPLIES 54442,A81000B,00900,0300,PERSONAL PURCHASES 54442,A81000B,01000,0300,PHARMACY CONSULTANT 54442,A81000B,01100,0300,DATA PROCESSING 54442,A81000B,01200,0300,DATA PROCESSING 54442,A81000B,01300,0300,WORKING CAPITAL INT 54442,A81000B,01400,0300,PHARMACY 54442,A81000C,00100,0100,B 54442,A81000C,00100,0400,PHI INC. 54442,A81000C,00100,0600,MANAGEMENT SUPP 54442,A81000C,00200,0100,B 54442,A81000C,00200,0400,PRELUDE SYSTEMS 54442,A81000C,00200,0600,INFORMATION SER 54442,A81000C,00300,0100,B 54442,A81000C,00300,0400,CONTINUING CARE 54442,A81000C,00300,0600,PHARMACEUTICALS 54442,B100000,00000,0100,00000SQUARE FEET 54442,B100000,00000,0200,00000SQUARE FEET 54442,B100000,00000,0300,00000GROSS SALARIES 54442,B100000,00000,0400,00000ACCUM COST 54442,B100000,00000,0500,00000SQUARE FEET 54442,B100000,00000,0600,00000POUNDS OF LAUNDRY 54442,B100000,00000,0700,00000SQ FT EXCL KTCHN 54442,B100000,00000,0800,00000MEALS SERVED 54442,B100000,00000,0900,00000DIRECT NRSG HRS 54442,B100000,00000,1000,00000COSTED REQUIS 54442,B100000,00000,1100,00000COSTED REQUIS 54442,B100000,00000,1200,00000GROSS SALARIES 54442,B100000,00000,1300,00000TIME SPENT 54442,B100000,00000,1350,00000TIME SPENT 54442,B100000,00000,1400,00000ASSIGNED TIME 54442,E10A180,00501,0100,07/12/2000 54442,E10A180,00501,0300,07/12/2000 54442,S000000,00100,0200,06/01/2000 54442,S200000,00100,0100,1145 SYCAMORE ROAD 54442,S200000,00200,0100,MONTOURSVILLE 54442,S200000,00200,0200,PA 54442,S200000,00200,0300,17754 54442,S200000,00300,0100,LYCOMING 54442,S200000,00400,0100,SYCAMORE MANOR HEALTH CENTER 54442,S200000,00400,0200,395379 54442,S200000,00400,0300,10/01/1977 54442,S200000,00400,0500,P 54442,S200000,01600,0100,Y 54452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54452,A000000,00300,0000,00300EMPLOYEE BENEFITS 54452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54452,A000000,00700,0000,00700HOUSEKEEPING 54452,A000000,00800,0000,00800DIETARY 54452,A000000,00900,0000,00900NURSING ADMINISTRATION 54452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54452,A000000,01100,0000,01100PHARMACY 54452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54452,A000000,01300,0000,01300SOCIAL SERVICE 54452,A000000,01350,0000,01500PATIENT ACTIVITIES 54452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54452,A000000,01600,0000,01600SKILLED NURSING FACILITY 54452,A000000,01800,0000,01800NURSING FACILITY 54452,A000000,01810,0000,01810ICF/MR 54452,A000000,01900,0000,01900OTHER LONG TERM CARE 54452,A000000,02100,0000,02100RADIOLOGY 54452,A000000,02200,0000,02200LABORATORY 54452,A000000,02300,0000,02300INTRAVENOUS THERAPY 54452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54452,A000000,02500,0000,02500PHYSICAL THERAPY 54452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54452,A000000,02700,0000,02700SPEECH PATHOLOGY 54452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54452,A000000,03050,0000,03300AMBULANCE 54452,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 54452,A000000,03550,0000,03550FQHC 54452,A000000,04800,0000,04800AMBULANCE 54452,A000000,05000,0000,05000CORF 54452,A000000,05010,0000,05010CMHC 54452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54452,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54452,A000000,06201,0000,06201DEVELOPMENT OFFICE 54452,B100000,00000,0100,00001(SQUARE FEET) 54452,B100000,00000,0200,00001(SQUARE FEET) 54452,B100000,00000,0300,00001(GROSS SALARIES) 54452,B100000,00000,0400,00001(ACCUM COST) 54452,B100000,00000,0500,00001(SQUARE FEET) 54452,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 54452,B100000,00000,0700,00001(SQUARE FEET 54452,B100000,00000,0800,00001(MEALS SERVED) 54452,B100000,00000,0900,00001(DIRECT NRSG HRS) 54452,B100000,00000,1000,00001(COSTED REQUIS) 54452,B100000,00000,1100,00001(PATIENT DAYS) 54452,B100000,00000,1200,00001(TOTAL CHARGES) 54452,B100000,00000,1300,00001(PATIENT DAYS) 54452,B100000,00000,1350,00001PATIENT DAYS 54452,B100000,00000,1400,00001(ASSIGNED TIME) 54452,E10A180,00501,0100,01/11/2001 54452,E10A180,00501,0300,01/11/2001 54452,S000000,00100,0200,11/30/2000 54452,S200000,00100,0100,100 LANCASTER AVE. 54452,S200000,00200,0100,WYNNEWOOD 54452,S200000,00200,0200,PA 54452,S200000,00200,0300,19096 54452,S200000,00300,0100,M 54452,S200000,00400,0100,SAUNDERS HOUSE 54452,S200000,00400,0200,395380 54452,S200000,00400,0300,02/01/1977 54452,S200000,00400,0500,P 54452,S200000,00600,0200,751920 54452,S200000,00600,0600,P 54452,S200000,01600,0100,Y 54461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54461,A000000,00300,0000,00300EMPLOYEE BENEFITS 54461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54461,A000000,00700,0000,00700HOUSEKEEPING 54461,A000000,00800,0000,00800DIETARY 54461,A000000,00900,0000,00900NURSING ADMINISTRATION 54461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54461,A000000,01100,0000,01100PHARMACY 54461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54461,A000000,01300,0000,01300SOCIAL SERVICE 54461,A000000,01350,0000,01500OTHER GENERAL SERVICES 54461,A000000,01351,0000,01501ADMISSIONS 54461,A000000,01352,0000,01502RECREATION 54461,A000000,01353,0000,01503CHAPLAIN 54461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54461,A000000,01600,0000,01600SKILLED NURSING FACILITY 54461,A000000,01800,0000,01800NURSING FACILITY 54461,A000000,01810,0000,01810ICF/MR 54461,A000000,01900,0000,01900OTHER LONG TERM CARE 54461,A000000,02100,0000,02100RADIOLOGY 54461,A000000,02200,0000,02200LABORATORY 54461,A000000,02300,0000,02300INTRAVENOUS THERAPY 54461,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54461,A000000,02500,0000,02500PHYSICAL THERAPY 54461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54461,A000000,02700,0000,02700SPEECH PATHOLOGY 54461,A000000,02800,0000,02800ELECTROCARDIOLOGY 54461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54461,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54461,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54461,A000000,03550,0000,03550FQHC 54461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54461,A000000,05000,0000,05000CORF 54461,A000000,05010,0000,05010CMHC 54461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54461,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54461,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54461,A81000A,00100,0100,Y 54461,A81000B,00100,0300,CAPITAL RELATED COSTS 54461,A81000B,00200,0300,ADMIN AND GENERAL 54461,A81000B,00300,0300,MEDICAL DIRECTOR 54461,A81000C,00100,0100,E 54461,A81000C,00100,0200,WILLIAM V. DAY 54461,A81000C,00100,0400,PRESIDENT - SBHS 54461,A81000C,00100,0600,PARENT. CORP. 54461,A81000C,00200,0100,E 54461,A81000C,00200,0200,JOSEPH HLINKA 54461,A81000C,00200,0400,SR. VICE PRESIDENT 54461,A81000C,00200,0600,PARENT. CORP. 54461,A81000C,00300,0100,E 54461,A81000C,00300,0200,JUDITH WAGNER 54461,A81000C,00300,0400,VICE PRESIDENT 54461,A81000C,00300,0600,PARENT. CORP. 54461,A81000C,00400,0100,E 54461,A81000C,00400,0200,DOUGLAS DAY 54461,A81000C,00400,0400,ASSIST. VICE PRESDIENT 54461,A81000C,00400,0600,PARENT. CORP. 54461,A81000C,00500,0100,E 54461,A81000C,00500,0200,KAREN TABACCHI 54461,A81000C,00500,0400,ASSIST. VICE PRESIDENT 54461,A81000C,00500,0600,PARENT. CORP. 54461,B100000,00000,0100,00000SQUARE FEET 54461,B100000,00000,0200,00000SQUARE FEET 54461,B100000,00000,0300,00000GROSS SALARIES 54461,B100000,00000,0400,00000ACCUM. COST 54461,B100000,00000,0500,00000SQUARE FEET 54461,B100000,00000,0600,00000POUNDS OF LAUNDRY 54461,B100000,00000,0700,00000CENSUS DAYS 54461,B100000,00000,0800,00000MEALS SERVED 54461,B100000,00000,0900,00000TIME SPENT 54461,B100000,00000,1000,00000NO STATISTICS 54461,B100000,00000,1100,00000ACTUAL COSTS 54461,B100000,00000,1200,00000TIME SPENT 54461,B100000,00000,1300,00000TIME SPENT 54461,B100000,00000,1350,00000TIME SPENT 54461,B100000,00000,1351,00000TIME SPENT 54461,B100000,00000,1352,00000TIME SPENT 54461,B100000,00000,1353,00000TIME SPENT 54461,B100000,00000,1400,00000TIME SPENT 54461,E10A180,00301,0100,03/28/2000 54461,E10A180,00301,0300,03/28/2000 54461,E10A180,00501,0100,12/05/2000 54461,E10A180,00550,0300,12/05/2000 54461,S000000,00100,0200,11/29/2000 54461,S200000,00100,0100,85 CHARITY PLACE 54461,S200000,00200,0100,VALENCIA 54461,S200000,00200,0200,PA 54461,S200000,00200,0300,16059 54461,S200000,00300,0100,B 54461,S200000,00400,0100,VALENCIA WOODS INC. 54461,S200000,00400,0200,395381 54461,S200000,00400,0300,07/01/1980 54461,S200000,00400,0500,P 54461,S200000,01600,0100,Y 54471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54471,A000000,00300,0000,00300EMPLOYEE BENEFITS 54471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54471,A000000,00700,0000,00700HOUSEKEEPING 54471,A000000,00800,0000,00800DIETARY 54471,A000000,00900,0000,00900NURSING ADMINISTRATION 54471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54471,A000000,01100,0000,01100PHARMACY 54471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54471,A000000,01300,0000,01300SOCIAL SERVICE 54471,A000000,01350,0000,01500ACTIVITIES 54471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54471,A000000,01600,0000,01600SKILLED NURSING FACILITY 54471,A000000,01800,0000,01800NURSING FACILITY 54471,A000000,01810,0000,01810ICF/MR 54471,A000000,02100,0000,02100RADIOLOGY 54471,A000000,02200,0000,02200LABORATORY 54471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54471,A000000,02500,0000,02500PHYSICAL THERAPY 54471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54471,A000000,02700,0000,02700SPEECH PATHOLOGY 54471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54471,A000000,03550,0000,03550FQHC 54471,A000000,05000,0000,05000CORF 54471,A000000,05010,0000,05010CMHC 54471,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54471,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54471,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54471,A81000A,00100,0100,Y 54471,A81000B,00100,0300,MANAGEMENT FEES 54471,A81000C,00100,0100,A 54471,A81000C,00100,0200,FRANK HAYMAN 54471,A81000C,00100,0400,PENN MED 54471,A81000C,00100,0600,HOME OFFICE 54471,A81000C,00200,0100,A 54471,A81000C,00200,0200,DRURY GALLAGHER 54471,A81000C,00200,0400,PENN MED 54471,A81000C,00200,0600,HOME OFFICE 54471,A81000C,00300,0100,A 54471,A81000C,00300,0200,JOHN HAYMAN 54471,A81000C,00300,0400,PENN MED 54471,A81000C,00300,0600,HOME OFFICE 54471,B100000,00000,0100,00000SQUARE FEET 54471,B100000,00000,0200,00000SQUARE FEET 54471,B100000,00000,0300,00000GROSS SALARIES 54471,B100000,00000,0400,00000ACCUM. COST 54471,B100000,00000,0500,00000SQUARE FEET 54471,B100000,00000,0600,00000POUNDS OF LAUNDRY 54471,B100000,00000,0700,00000SQUARE FEET 54471,B100000,00000,0800,00000MEALS SERVED 54471,B100000,00000,0900,00000PATIENT DAYS 54471,B100000,00000,1000,00000COSTED REQUIS. 54471,B100000,00000,1100,00000PATIENT DAYS 54471,B100000,00000,1200,00000TIME SPENT 54471,B100000,00000,1300,00000PATIENT DAYS 54471,B100000,00000,1350,00000PATIENT DAYS 54471,B100000,00000,1400,00000ASSIGNED TIME 54471,S000000,00100,0200,05/30/2000 54471,S200000,00100,0100,249 MAUS DRIVE 54471,S200000,00200,0100,NORTH HUNTINGTON 54471,S200000,00200,0200,PA 54471,S200000,00200,0300,15642 54471,S200000,00300,0100,WESTMORELAND 54471,S200000,00400,0100,BRIARCLIFF PAVILION 54471,S200000,00400,0200,395382 54471,S200000,00400,0300,01/01/1975 54471,S200000,00400,0500,P 54471,S200000,00600,0200,395382 54471,S200000,00600,0300,01/01/1975 54471,S200000,00600,0600,P 54471,S200000,01600,0100,Y 54471,S200000,02200,0100,Y 54471,S200000,04700,0100,Y 54478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54478,A000000,00300,0000,00300EMPLOYEE BENEFITS 54478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54478,A000000,00700,0000,00700HOUSEKEEPING 54478,A000000,00800,0000,00800DIETARY 54478,A000000,00900,0000,00900NURSING ADMINISTRATION 54478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54478,A000000,01100,0000,01100PHARMACY 54478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54478,A000000,01300,0000,01300SOCIAL SERVICE 54478,A000000,01350,0000,01500ACTIVITIES 54478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54478,A000000,01600,0000,01600SKILLED NURSING FACILITY 54478,A000000,01810,0000,01810ICF/MR 54478,A000000,01900,0000,01900OTHER LONG TERM CARE 54478,A000000,02100,0000,02100RADIOLOGY 54478,A000000,02200,0000,02200LABORATORY 54478,A000000,02300,0000,02300INTRAVENOUS THERAPY 54478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54478,A000000,02500,0000,02500PHYSICAL THERAPY 54478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54478,A000000,02700,0000,02700SPEECH PATHOLOGY 54478,A000000,02800,0000,02800ELECTROCARDIOLOGY 54478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54478,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54478,A000000,03200,0000,03200SUPPORT SURFACES 54478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54478,A000000,03550,0000,03550FQHC 54478,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54478,A000000,05000,0000,05000CORF 54478,A000000,05010,0000,05010CMHC 54478,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54478,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54478,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54478,A000000,05300,0000,05300INTEREST EXPENSE 54478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54478,A000000,06150,0000,06300RESIDENT 54478,A000000,06151,0000,06301COTTAGES 54478,A000000,06152,0000,06302APARTMENTS 54478,A000000,06153,0000,06303OUTPT CLINIC 54478,A000000,06154,0000,06304PUBLIC RELATIONS 54478,A000000,06155,0000,06305MARKETING 54478,A81000A,00100,0100,Y 54478,A81000B,00100,0300,CAPITAL EXPENSES 54478,A81000B,00200,0300,CAPITAL EXPENSES 54478,A81000B,00300,0300,ADMINISTRATIVE EXPENSES 54478,A81000C,00100,0100,B 54478,A81000C,00100,0200,BETHANY VILLAGE 54478,A81000C,00100,0400,WESLEY AFFILIATED SERVICE 54478,A81000C,00100,0600,LONG TERM CARE 54478,A81000C,00200,0100,B 54478,A81000C,00200,0200,BETHANY VILLAGE 54478,A81000C,00200,0400,ASBURY SERVICES 54478,A81000C,00200,0600,LONG TERM CARE 54478,B100000,00000,0100,00005SQUARE FEET 54478,B100000,00000,0200,00005SQUARE FEET 54478,B100000,00000,0300,00005GROSS SALARIES 54478,B100000,00000,0400,00005ACCUM. COST 54478,B100000,00000,0500,00005SQUARE FEET 54478,B100000,00000,0600,00005POUNDS OF LAUNDRY 54478,B100000,00000,0700,00005SQUARE FEET 54478,B100000,00000,0800,00005MEALS SERVED 54478,B100000,00000,0900,00005DIRECT NRSING HRS 54478,B100000,00000,1000,00005PATIENT DAYS 54478,B100000,00000,1100,00005PATIENT DAYS 54478,B100000,00000,1200,00005PATIENT DAYS 54478,B100000,00000,1300,00005PATIENT DAYS 54478,B100000,00000,1350,00005PATIENT DAYS 54478,B100000,00000,1400,00005ASSIGNED TIME 54478,E10A180,00501,0300,07/18/2000 54478,S000000,00100,0200,05/31/2000 54478,S200000,00100,0100,325 WESLEY DRIVE 54478,S200000,00200,0100,MECHANICSBURG 54478,S200000,00200,0200,PA 54478,S200000,00300,0100,CUMBERLAND 54478,S200000,00400,0100,BETHANY VILLAGE 54478,S200000,00400,0200,395386 54478,S200000,00400,0300,10/31/1984 54478,S200000,00400,0500,P 54478,S200000,01500,0100,Y 54486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54486,A000000,00300,0000,00300EMPLOYEE BENEFITS 54486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54486,A000000,00700,0000,00700HOUSEKEEPING 54486,A000000,00800,0000,00800DIETARY 54486,A000000,00900,0000,00900NURSING ADMINISTRATION 54486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54486,A000000,01100,0000,01100PHARMACY 54486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54486,A000000,01300,0000,01300SOCIAL SERVICE 54486,A000000,01350,0000,01500PATIENT ACTIVITIES 54486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54486,A000000,01600,0000,01600SKILLED NURSING FACILITY 54486,A000000,01810,0000,01810ICF/MR 54486,A000000,01900,0000,01900OTHER LONG TERM CARE 54486,A000000,02100,0000,02100RADIOLOGY 54486,A000000,02200,0000,02200LABORATORY 54486,A000000,02500,0000,02500PHYSICAL THERAPY 54486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54486,A000000,02700,0000,02700SPEECH PATHOLOGY 54486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54486,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54486,A000000,03400,0000,03400CLINIC 54486,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54486,A000000,03550,0000,03550FQHC 54486,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54486,A000000,05000,0000,05000CORF 54486,A000000,05010,0000,05010CMHC 54486,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54486,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54486,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54486,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54486,A000000,06150,0000,06300RESIDENTIAL 54486,A81000A,00100,0100,Y 54486,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 54486,A81000B,00200,0300,CAPITAL RELATED COSTS 54486,A81000C,00100,0100,B 54486,A81000C,00100,0200,THE KENDAL CORPORATION 54486,A81000C,00100,0600,HEALTH CARE MANAGEMENT 54486,B100000,00000,0100,00000SQUARE FEET 54486,B100000,00000,0200,00000NO STATISTICS 54486,B100000,00000,0300,00000GROSS SALARIES 54486,B100000,00000,0400,00000ACCUM. COST 54486,B100000,00000,0500,00000SQUARE FEET 54486,B100000,00000,0600,00000POUNDS OF LAUNDRY 54486,B100000,00000,0700,00000HOURS OF SERVICE 54486,B100000,00000,0800,00000MEALS SERVED 54486,B100000,00000,0900,00000NO STATISTICS 54486,B100000,00000,1000,00000NO STATISTICS 54486,B100000,00000,1100,00000NO STATISTICS 54486,B100000,00000,1200,00000NO STATISTICS 54486,B100000,00000,1300,00000PATIENT DAYS 54486,B100000,00000,1350,00000PATIENT DAYS 54486,B100000,00000,1400,00000NO STATISTICS 54486,E10A180,00501,0300,09/21/2000 54486,S000000,00100,0200,08/31/2000 54486,S200000,00100,0100,ROUTE 926 54486,S200000,00100,0300,100 54486,S200000,00200,0100,KENNETT SQUARE 54486,S200000,00200,0200,PA 54486,S200000,00200,0300,19348 54486,S200000,00300,0100,CHESTER 54486,S200000,00400,0100,CROSSLANDS 54486,S200000,00400,0200,395388 54486,S200000,00400,0300,09/29/1977 54486,S200000,00400,0500,P 54486,S200000,01600,0100,Y 54486,S200000,02800,0100,Y 54494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54494,A000000,00300,0000,00300EMPLOYEE BENEFITS 54494,A000000,00301,0000,00301EMPLOYEE BENEFITS 54494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54494,A000000,00700,0000,00700HOUSEKEEPING 54494,A000000,00800,0000,00800DIETARY 54494,A000000,00900,0000,00900NURSING ADMINISTRATION 54494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54494,A000000,01100,0000,01100PHARMACY 54494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54494,A000000,01300,0000,01300SOCIAL SERVICE 54494,A000000,01350,0000,01500OTHER GENERAL SERVICES 54494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54494,A000000,01600,0000,01600SKILLED NURSING FACILITY 54494,A000000,01800,0000,01800NURSING FACILITY 54494,A000000,01810,0000,01810ICF/MR 54494,A000000,01900,0000,01900OTHER LONG TERM CARE 54494,A000000,02100,0000,02100RADIOLOGY 54494,A000000,02200,0000,02200LABORATORY 54494,A000000,02500,0000,02500PHYSICAL THERAPY 54494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54494,A000000,02700,0000,02700SPEECH PATHOLOGY 54494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54494,A000000,03550,0000,03550FQHC 54494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54494,A000000,04800,0000,04800AMBULANCE 54494,A000000,05000,0000,05000CORF 54494,A000000,05010,0000,05010CMHC 54494,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54494,A000000,05300,0000,05300INTEREST EXPENSE 54494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54494,A81000A,00100,0100,Y 54494,A81000B,00100,0300,SUPPLIES 54494,A81000B,00200,0300,SUPPLIES 54494,A81000B,00300,0300,OTC DRUGS 54494,A81000B,00400,0300,SUPPLIES 54494,A81000B,00500,0300,DRUGS 54494,A81000B,00600,0300,STORAGE RENT 54494,A81000C,00100,0100,C 54494,A81000C,00100,0200,FRED KESSLER 54494,A81000C,00100,0400,SYNERGY PHARMACY 54494,A81000C,00100,0600,PHARMACY 54494,A81000C,00600,0100,C 54494,A81000C,00600,0200,FRED KESSLER 54494,A81000C,00600,0400,RENTAL PROPERTY 54494,A81000C,00600,0600,RENTAL PROPERTY 54494,B100000,00000,0100,00000SQUARE FEET 54494,B100000,00000,0200,00000NO STATISTICS 54494,B100000,00000,0300,00000GROSS SALARY 54494,B100000,00000,0301,00000GROSS SALARY 54494,B100000,00000,0400,00000ACCUM. COST 54494,B100000,00000,0500,00000SQUARE FEET 54494,B100000,00000,0600,00000POUNDS OF LAUNDRY 54494,B100000,00000,0700,00000SQUARE FEET 54494,B100000,00000,0800,00000MEALS SERVED 54494,B100000,00000,0900,00000DIRECT NURSE HRS 54494,B100000,00000,1000,00000NO STATISTICS 54494,B100000,00000,1100,00000PATIENT DAYS 54494,B100000,00000,1200,00000NO STATISTICS 54494,B100000,00000,1300,00000PATIENT DAYS 54494,B100000,00000,1350,00000NO STATISTICS 54494,B100000,00000,1400,00000NO STATISTICS 54494,E10A180,00501,0100,07/28/2000 54494,E10A180,00501,0300,07/28/2000 54494,S000000,00100,0200,06/01/2000 54494,S200000,00100,0100,STRAWBRIDGE ROAD 54494,S200000,00100,0300,32 54494,S200000,00200,0100,NORTHUMBERLAND 54494,S200000,00200,0200,PA 54494,S200000,00300,0100,NORTHUMBERLAND 54494,S200000,00400,0100,NOTTINGHAM VILLAGE 54494,S200000,00400,0200,395390 54494,S200000,00400,0300,01/01/1987 54494,S200000,00400,0500,P 54494,S200000,01600,0100,Y 54502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54502,A000000,00101,0000,00101CAP REL COSTS - 1985 CONSTRUCTI 54502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54502,A000000,00300,0000,00300EMPLOYEE BENEFITS 54502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54502,A000000,00700,0000,00700HOUSEKEEPING 54502,A000000,00800,0000,00800DIETARY 54502,A000000,00900,0000,00900NURSING ADMINISTRATION 54502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54502,A000000,01100,0000,01100PHARMACY 54502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54502,A000000,01300,0000,01300SOCIAL SERVICE 54502,A000000,01350,0000,01500ACTIVITIES 54502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54502,A000000,01600,0000,01600SKILLED NURSING FACILITY 54502,A000000,01800,0000,01800NURSING FACILITY 54502,A000000,01810,0000,01810ICF/MR 54502,A000000,02100,0000,02100RADIOLOGY 54502,A000000,02200,0000,02200LABORATORY 54502,A000000,02500,0000,02500PHYSICAL THERAPY 54502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54502,A000000,02700,0000,02700SPEECH PATHOLOGY 54502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54502,A000000,03550,0000,03550FQHC 54502,A000000,05000,0000,05000CORF 54502,A000000,05010,0000,05010CMHC 54502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54502,A000000,05300,0000,05300INTEREST EXPENSE 54502,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54502,A000000,06150,0000,06300NONREIMBURSABLE COST CENTER 54502,A81000A,00100,0100,Y 54502,A81000B,00100,0300,ALLOCATED BENEFITS 54502,A81000B,00200,0300,A&G SALARIES 54502,A81000B,00300,0300,TELEPHONE COSTS 54502,A81000B,00400,0300,POM SALARIES 54502,A81000B,00500,0300,SECURITY SERVICES 54502,A81000B,00600,0300,CABLE SERVICES 54502,A81000B,00700,0300,CSS SALARIES 54502,A81000C,00100,0100,B 54502,A81000C,00100,0400,UMSA 54502,A81000C,00100,0600,MANAGEMENT CO. 54502,B100000,00000,0100,00000SQUARE FEET 54502,B100000,00000,0101,000001985 CONSTRUCTI 54502,B100000,00000,0200,00000SQUARE FEET 54502,B100000,00000,0300,00000GROSS SALARIES 54502,B100000,00000,0400,00000ACCUM COST 54502,B100000,00000,0500,00000SQUARE FEET 54502,B100000,00000,0600,00000POUNDS OF LAUNDRY 54502,B100000,00000,0700,00000HOURS OF SERVICE 54502,B100000,00000,0800,00000MEALS SERVED 54502,B100000,00000,0900,00000DIRECT NRSG HRS 54502,B100000,00000,1000,00000COSTED REQUIS 54502,B100000,00000,1100,00000COSTED REQUIS 54502,B100000,00000,1200,00000TIME SPENT 54502,B100000,00000,1300,00000TIME SPENT 54502,B100000,00000,1350,00000 54502,B100000,00000,1400,00000ASSIGNED TIME 54502,S000000,00100,0200,05/31/2000 54502,S200000,00100,0100,700 BOWER HILL ROAD 54502,S200000,00200,0100,PITTSBURGH 54502,S200000,00200,0200,PA 54502,S200000,00200,0300,15243 54502,S200000,00300,0100,ALLEGHENY 54502,S200000,00400,0100,ASBURY HEALTH CENTER 54502,S200000,00400,0200,395391 54502,S200000,00400,0300,01/01/1978 54502,S200000,00400,0500,P 54502,S200000,00600,0200,395391 54502,S200000,00600,0300,01/01/1978 54502,S200000,00600,0600,P 54502,S200000,01600,0100,Y 54502,S200000,02200,0100,Y 54510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54510,A000000,00300,0000,00300EMPLOYEE BENEFITS 54510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54510,A000000,00700,0000,00700HOUSEKEEPING 54510,A000000,00800,0000,00800DIETARY 54510,A000000,00900,0000,00900NURSING ADMINISTRATION 54510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54510,A000000,01100,0000,01100PHARMACY 54510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54510,A000000,01300,0000,01300SOCIAL SERVICE 54510,A000000,01350,0000,01500ACTIVITIES 54510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54510,A000000,01600,0000,01600SKILLED NURSING FACILITY 54510,A000000,01810,0000,01810ICF/MR 54510,A000000,01900,0000,01900OTHER LONG TERM CARE 54510,A000000,02200,0000,02200LABORATORY 54510,A000000,02500,0000,02500PHYSICAL THERAPY 54510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54510,A000000,02700,0000,02700SPEECH PATHOLOGY 54510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54510,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54510,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54510,A000000,03550,0000,03550FQHC 54510,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54510,A000000,05000,0000,05000CORF 54510,A000000,05010,0000,05010CMHC 54510,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54510,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54510,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54510,A000000,05300,0000,05300INTEREST EXPENSE 54510,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54510,A000000,06150,0000,06300COTTAGE 54510,A000000,06151,0000,06301PUBLIC RELATIONS 54510,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 54510,A81000A,00100,0100,Y 54510,A81000B,00100,0300,CAPITAL COSTS 54510,A81000B,00200,0300,CAPITAL COSTS 54510,A81000B,00300,0300,ADMINISTRATIVE COSTS 54510,A81000C,00100,0100,B 54510,A81000C,00100,0200,EPWORTH MANOR 54510,A81000C,00100,0400,WESLEY AFFILIATED SERVICE 54510,A81000C,00100,0600,LONG TERM CARE 54510,A81000C,00200,0100,B 54510,A81000C,00200,0200,EPWORTH MANOR 54510,A81000C,00200,0400,ASBURY SERVICES INC 54510,A81000C,00200,0600,LONG TERM CARE 54510,B100000,00000,0100,00002SQUARE FEET 54510,B100000,00000,0200,00002SQUARE FEET 54510,B100000,00000,0300,00002GROSS SALARIES 54510,B100000,00000,0400,00002ACCUM. COST 54510,B100000,00000,0500,00002SQUARE FEET 54510,B100000,00000,0600,00002POUNDS OF LAUNDRY 54510,B100000,00000,0700,00002SQUARE FEET 54510,B100000,00000,0800,00002MEALS SERVED 54510,B100000,00000,0900,00002DIRECT NRSING HRS 54510,B100000,00000,1000,00002PATIENT DAYS 54510,B100000,00000,1100,00002PATIENT DAYS 54510,B100000,00000,1200,00002PATIENT DAYS 54510,B100000,00000,1300,00002PATIENT DAYS 54510,B100000,00000,1350,00002PATIENT DAYS 54510,B100000,00000,1400,00002ASSIGNED TIME 54510,E10A180,00501,0300,06/14/2000 54510,E10A180,00550,0100,06/14/2000 54510,S000000,00100,0200,05/31/2000 54510,S200000,00100,0100,951 WASHINGTON AVENUE 54510,S200000,00200,0100,TYRONE 54510,S200000,00200,0200,PA 54510,S200000,00300,0100,BLAIR 54510,S200000,00400,0100,EPWORTH MANOR 54510,S200000,00400,0200,395393 54510,S200000,00400,0300,11/03/1977 54510,S200000,00400,0500,P 54510,S200000,01500,0100,Y 54519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54519,A000000,00300,0000,00300EMPLOYEE BENEFITS 54519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54519,A000000,00700,0000,00700HOUSEKEEPING 54519,A000000,00800,0000,00800DIETARY 54519,A000000,00900,0000,00900NURSING ADMINISTRATION 54519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54519,A000000,01100,0000,01100PHARMACY 54519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54519,A000000,01300,0000,01300SOCIAL SERVICE 54519,A000000,01350,0000,01500ACTIVITIES 54519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54519,A000000,01600,0000,01600SKILLED NURSING FACILITY 54519,A000000,01800,0000,01800NURSING FACILITY 54519,A000000,01810,0000,01810ICF/MR 54519,A000000,01900,0000,01900OTHER LONG TERM CARE 54519,A000000,02200,0000,02200LABORATORY 54519,A000000,02300,0000,02300INTRAVENOUS THERAPY 54519,A000000,02500,0000,02500PHYSICAL THERAPY 54519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54519,A000000,02700,0000,02700SPEECH PATHOLOGY 54519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54519,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 54519,A000000,03200,0000,03200SUPPORT SURFACES 54519,A000000,03550,0000,03550FQHC 54519,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 54519,A000000,05000,0000,05000CORF 54519,A000000,05010,0000,05010CMHC 54519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54519,A000000,05300,0000,05300INTEREST EXPENSE 54519,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 54519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54519,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54519,A81000A,00100,0100,Y 54519,A81000B,00100,0300,HOME OFFICE COST 54519,A81000B,00200,0300,PHYSICAL THERAPY 54519,A81000B,00300,0300,OCCUPATIONAL THERAPY 54519,A81000B,00400,0300,SPEECH THERAPY 54519,A81000C,00100,0100,B 54519,A81000C,00100,0200,MANOR CARE DEVON MANOR 54519,A81000C,00100,0400,MANORCARE INC. 54519,A81000C,00100,0600,LONG TERM CARE FACILITIES 54519,A81000C,00200,0100,B 54519,A81000C,00200,0200,MANOR CARE DEVON MANOR 54519,A81000C,00200,0400,HEARTLAND MGMT SERVICES 54519,A81000C,00200,0600,THERAPY MANANGEMENT 54519,A81000C,00300,0100,B 54519,A81000C,00300,0200,MANOR CARE DEVON MANOR 54519,A81000C,00300,0400,HEARTLAND MGMT SERVICES 54519,A81000C,00300,0600,THERAPY MANANGEMENT 54519,A81000C,00400,0100,B 54519,A81000C,00400,0200,MANOR CARE DEVON MANOR 54519,A81000C,00400,0400,HEARTLAND MGMT SERVICES 54519,A81000C,00400,0600,THERAPY MANANGEMENT 54519,B100000,00000,0100,00000SQUARE FEET 54519,B100000,00000,0200,00000SQUARE FEET 54519,B100000,00000,0300,00000GROSS SALARIES 54519,B100000,00000,0400,00000ACCUM. COST 54519,B100000,00000,0500,00000SQUARE FEET 54519,B100000,00000,0600,00000PATIENT DAYS 54519,B100000,00000,0700,00000SQUARE FEET 54519,B100000,00000,0800,00000MEALS SERVED 54519,B100000,00000,0900,00000NURSING WAGES 54519,B100000,00000,1000,00000PATIENT DAYS 54519,B100000,00000,1100,00000PATIENT DAYS 54519,B100000,00000,1200,00000PATIENT DAYS 54519,B100000,00000,1300,00000PATIENT DAYS 54519,B100000,00000,1350,00000PATIENT DAYS 54519,B100000,00000,1400,00000PATIENT DAYS 54519,E10A180,00550,0300,06/19/2000 54519,S000000,00100,0200,06/02/2000 54519,S200000,00100,0100,235 LANCASTER AVENUE 54519,S200000,00200,0100,DEVON 54519,S200000,00200,0200,PA 54519,S200000,00300,0100,CHESTER 54519,S200000,00400,0100,MANOR CARE DEVON MANOR 54519,S200000,00400,0200,395394 54519,S200000,00400,0300,01/01/1990 54519,S200000,00400,0500,P 54519,S200000,01600,0100,Y 54519,S200000,02200,0100,Y 54529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54529,A000000,00300,0000,00300EMPLOYEE BENEFITS 54529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54529,A000000,00700,0000,00700HOUSEKEEPING 54529,A000000,00800,0000,00800DIETARY 54529,A000000,00900,0000,00900NURSING ADMINISTRATION 54529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54529,A000000,01100,0000,01100PHARMACY 54529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54529,A000000,01300,0000,01300SOCIAL SERVICE 54529,A000000,01350,0000,01500PATIENT ACTIVITIES 54529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54529,A000000,01600,0000,01600SKILLED NURSING FACILITY 54529,A000000,01800,0000,01800NURSING FACILITY 54529,A000000,01810,0000,01810ICF/MR 54529,A000000,02100,0000,02100RADIOLOGY 54529,A000000,02200,0000,02200LABORATORY 54529,A000000,02500,0000,02500PHYSICAL THERAPY 54529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54529,A000000,02700,0000,02700SPEECH PATHOLOGY 54529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54529,A000000,03550,0000,03550FQHC 54529,A000000,05000,0000,05000CORF 54529,A000000,05010,0000,05010CMHC 54529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54529,A000000,05300,0000,05300INTEREST EXPENSE 54529,A000000,05350,0000,05600MEDICAL DIRECTOR 54529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54529,A000000,06200,0000,06200PATIENTS LAUNDRY 54529,A81000A,00100,0100,Y 54529,A81000B,00100,0300,PLANT MAINTENANCE 54529,A81000C,00100,0100,A 54529,A81000C,00100,0200,MARTIN SIEMON I 54529,A81000C,00100,0400,LAKESIDE CONSTR 54529,A81000C,00100,0600,GENERAL REPAIR& 54529,B100000,00000,0100,00000SQUARE FEET 54529,B100000,00000,0200,00000SQUARE FEET 54529,B100000,00000,0300,00000GROSS SALARIES 54529,B100000,00000,0400,00000ACCUM COST 54529,B100000,00000,0500,00000SQUARE FEET 54529,B100000,00000,0600,00000POUNDS OF LAUNDRY 54529,B100000,00000,0700,00000HOURS OF SERVICE 54529,B100000,00000,0800,00000MEALS SERVED 54529,B100000,00000,0900,00000DIRECT NRSG HRS 54529,B100000,00000,1000,00000COSTED REQUIS 54529,B100000,00000,1100,00000COSTED REQUIS 54529,B100000,00000,1200,00000PATIENT DAYS 54529,B100000,00000,1300,00000TIME SPENT 54529,B100000,00000,1350,00000TIME SPENT 54529,B100000,00000,1400,00000ASSIGNED TIME 54529,E10A180,00501,0100,11/30/2000 54529,E10A180,00550,0300,11/30/2000 54529,S000000,00100,0200,11/27/2000 54529,S200000,00100,0100,228 SIEMON DRIVE 54529,S200000,00200,0100,SOMERSET 54529,S200000,00200,0200,PA 54529,S200000,00200,0300,15501 54529,S200000,00300,0100,SOMERSET 54529,S200000,00400,0100,SIEMONS LAKEVIEW MANOR ESTATES 54529,S200000,00400,0200,395398 54529,S200000,00400,0300,01/01/1978 54529,S200000,00400,0500,P 54529,S200000,01600,0100,Y 54529,S200000,02200,0100,Y 54539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54539,A000000,00300,0000,00300EMPLOYEE BENEFITS 54539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54539,A000000,00700,0000,00700HOUSEKEEPING 54539,A000000,00800,0000,00800DIETARY 54539,A000000,00900,0000,00900NURSING ADMINISTRATION 54539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54539,A000000,01100,0000,01100PHARMACY 54539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54539,A000000,01300,0000,01300SOCIAL SERVICE 54539,A000000,01350,0000,01500OTHER GENERAL SERVICES 54539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54539,A000000,01600,0000,01600SKILLED NURSING FACILITY 54539,A000000,01800,0000,01800NURSING FACILITY 54539,A000000,01810,0000,01810ICF/MR 54539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54539,A000000,02500,0000,02500PHYSICAL THERAPY 54539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54539,A000000,02700,0000,02700SPEECH PATHOLOGY 54539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54539,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54539,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54539,A000000,03550,0000,03550FQHC 54539,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54539,A000000,05000,0000,05000CORF 54539,A000000,05010,0000,05010CMHC 54539,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54539,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54539,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54539,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54539,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54539,A81000A,00100,0100,Y 54539,A81000B,00100,0300,MANAGEMENT FEE 54539,A81000B,00200,0300,REPAIR CONSULTANTS 54539,A81000B,00300,0300,STORAGE FEES 54539,A81000B,00400,0300,CONTRACTED NURSING 54539,A81000B,00500,0300,EMPLOYEE BENEFIT COSTS 54539,A81000B,00600,0300,LEGAL FEES 54539,A81000B,00700,0300,NURSING CONSULTANTS 54539,A81000B,00800,0300,PSYCHOLOGIST 54539,A81000C,00100,0100,B 54539,A81000C,00100,0200,MDHS AFFILIATED 54539,A81000C,00100,0400,MDHS AFFILIATE 54539,A81000C,00100,0600,MANAGEMENT/ACCOUNTING 54539,A81000C,00200,0100,B 54539,A81000C,00200,0200,MD PRIMARY HEALTH CARE 54539,A81000C,00200,0400,MD PRIMARY HEALTH CARE 54539,A81000C,00200,0600,HEALTH SERVICES 54539,B100000,00000,0100,00000SQUARE FEET 54539,B100000,00000,0200,00000SQUARE FEET 54539,B100000,00000,0300,00000GROSS SALARIES 54539,B100000,00000,0400,00000ACCUM. COST 54539,B100000,00000,0500,00000SQUARE FEET 54539,B100000,00000,0600,00000PATIENT DAYS 54539,B100000,00000,0700,00000SQ FT EXCL D 54539,B100000,00000,0800,00000PATIENT DAYS 54539,B100000,00000,0900,00000PATIENT DAYS 54539,B100000,00000,1000,00000PATIENT DAYS 54539,B100000,00000,1100,00000PATIENT DAYS 54539,B100000,00000,1200,00000NO STATISTICS 54539,B100000,00000,1300,00000PATIENT DAYS 54539,B100000,00000,1350,00000PATIENT DAYS 54539,B100000,00000,1400,00000NO STATISTICS 54539,E10A180,00501,0100,01/18/2001 54539,S000000,00100,0200,12/08/2000 54539,S200000,00100,0100,4508-38 CHESTNUT STREET 54539,S200000,00200,0100,PHILADELPHIA 54539,S200000,00200,0200,PA 54539,S200000,00200,0300,19138 54539,S200000,00300,0100,PHILADELPHIA 54539,S200000,00400,0100,MERCY DOUGLASS HUMAN SERVICES 54539,S200000,00400,0200,395399 54539,S200000,00400,0300,10/21/1977 54539,S200000,00400,0500,P 54539,S200000,01600,0100,Y 54550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54550,A000000,00300,0000,00300EMPLOYEE BENEFITS 54550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54550,A000000,00700,0000,00700HOUSEKEEPING 54550,A000000,00800,0000,00800DIETARY 54550,A000000,00900,0000,00900NURSING ADMINISTRATION 54550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54550,A000000,01100,0000,01100PHARMACY 54550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54550,A000000,01300,0000,01300SOCIAL SERVICE 54550,A000000,01350,0000,01500PATIENT ACTIVITIES 54550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54550,A000000,01600,0000,01600SKILLED NURSING FACILITY 54550,A000000,01800,0000,01800NURSING FACILITY 54550,A000000,01810,0000,01810ICF/MR 54550,A000000,02100,0000,02100RADIOLOGY 54550,A000000,02200,0000,02200LABORATORY 54550,A000000,02500,0000,02500PHYSICAL THERAPY 54550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54550,A000000,02700,0000,02700SPEECH PATHOLOGY 54550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54550,A000000,03550,0000,03550FQHC 54550,A000000,05000,0000,05000CORF 54550,A000000,05010,0000,05010CMHC 54550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54550,A000000,05300,0000,05300INTEREST EXPENSE 54550,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54550,A81000A,00100,0100,Y 54550,A81000B,00100,0300,RX DRUGS 54550,A81000B,00200,0300,OTC DRUGS 54550,A81000B,00300,0300,ROUTINE MEDICAL SUPP 54550,A81000B,00400,0300,ANCILLARY MEDICAL SU 54550,A81000B,00500,0300,GENERAL NURSING SUPP 54550,A81000B,00600,0300,THERAPY SUPPLIES 54550,A81000B,00700,0300,PHARMACY DIRECTOR 54550,A81000B,00800,0300,EMPLOYEE BENEFITS 54550,A81000B,00900,0300,INTEREST/SERVICE CHG 54550,A81000B,01000,0300,MANAGEMENT FEES 54550,A81000C,00100,0100,A 54550,A81000C,00100,0200,P. DODD 54550,A81000C,00100,0400,BROCKIE HEALTHC 54550,A81000C,00100,0600,MEDICAL SUPPLIE 54550,A81000C,00200,0100,A 54550,A81000C,00200,0200,A. REYNOLDS 54550,A81000C,00200,0400,BROCKIE HEALTHC 54550,A81000C,00200,0600,MEDICAL SUPPLIE 54550,A81000C,00300,0100,A 54550,A81000C,00300,0200,S. WILSON 54550,A81000C,00300,0400,BROCKIE HEALTHC 54550,A81000C,00300,0600,MEDICAL SUPPLIE 54550,A81000C,00400,0100,A 54550,A81000C,00400,0200,M. WILSON 54550,A81000C,00400,0400,BROCKIE HEALTHC 54550,A81000C,00400,0600,MEDICAL SUPPLIE 54550,A81000C,00500,0100,A 54550,A81000C,00500,0200,K. MCCORMACK 54550,A81000C,00500,0400,BROCKIE HEALTHC 54550,A81000C,00500,0600,MEDICAL SUPPLIE 54550,A81000C,00600,0100,A 54550,A81000C,00600,0200,J. MCCORMACK 54550,A81000C,00600,0400,BROCKIE HEALTHC 54550,A81000C,00600,0600,MEDICAL SUPPLIE 54550,A81000C,00700,0100,A 54550,A81000C,00700,0200,G. MCCORMACK 54550,A81000C,00700,0400,BROCKIE HEALTHC 54550,A81000C,00700,0600,MEDICAL SUPPLIE 54550,A81000C,00800,0100,A 54550,A81000C,00800,0200,D. MCCORMACK 54550,A81000C,00800,0400,BROCKIE HEALTHC 54550,A81000C,00800,0600,MEDICAL SUPPLIE 54550,A81000C,00900,0100,A 54550,A81000C,00900,0200,D. WILSON 54550,A81000C,00900,0400,BROCKIE HEALTHC 54550,A81000C,00900,0600,MEDICAL SUPPLIE 54550,A81000C,01000,0100,B 54550,A81000C,01000,0400,WILMAC CORPORAT 54550,A81000C,01000,0600,MANAGEMENT SERV 54550,B100000,00000,0100,00000SQUARE FEET 54550,B100000,00000,0200,00000SQUARE FEET 54550,B100000,00000,0300,00000GROSS SALARIES 54550,B100000,00000,0400,00000ACCUM COST 54550,B100000,00000,0500,00000SQUARE FEET 54550,B100000,00000,0600,00000POUNDS OF LAUNDRY 54550,B100000,00000,0700,00000SQ FT W/O KIT. 54550,B100000,00000,0800,00000MEALS SERVED 54550,B100000,00000,0900,00000DIRECT NRSG HRS 54550,B100000,00000,1000,00000COSTED REQUIS 54550,B100000,00000,1100,00000COSTED REQUIS 54550,B100000,00000,1200,00000GROSS CHARGES 54550,B100000,00000,1300,00000TIME SPENT 54550,B100000,00000,1350,00000PATIENT DAYS 54550,B100000,00000,1400,00000ASSIGNED TIME 54550,E10A180,00501,0100,07/28/2000 54550,S000000,00100,0200,06/20/2000 54550,S200000,00100,0100,745 CHIQUES HILL ROAD 54550,S200000,00200,0100,COLUMBIA 54550,S200000,00200,0200,PA 54550,S200000,00200,0300,17512 54550,S200000,00300,0100,LANCASTER 54550,S200000,00400,0100,HEATHERBANK NURSING AND REHAB 54550,S200000,00400,0200,395400 54550,S200000,00400,0300,07/01/1976 54550,S200000,00400,0500,P 54550,S200000,00400,0600,O 54550,S200000,01600,0100,Y 54550,S200000,02800,0100,Y 54561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54561,A000000,00300,0000,00300EMPLOYEE BENEFITS 54561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54561,A000000,00700,0000,00700HOUSEKEEPING 54561,A000000,00800,0000,00800DIETARY 54561,A000000,00900,0000,00900NURSING ADMINISTRATION 54561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54561,A000000,01100,0000,01100PHARMACY 54561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54561,A000000,01300,0000,01300SOCIAL SERVICE 54561,A000000,01350,0000,01500PATIENT ACTIVITIES/VOLUNTEER SE 54561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54561,A000000,01600,0000,01600SKILLED NURSING FACILITY 54561,A000000,01800,0000,01800NURSING FACILITY 54561,A000000,01810,0000,01810ICF/MR 54561,A000000,02100,0000,02100RADIOLOGY 54561,A000000,02200,0000,02200LABORATORY 54561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54561,A000000,02500,0000,02500PHYSICAL THERAPY 54561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54561,A000000,02700,0000,02700SPEECH PATHOLOGY 54561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54561,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54561,A000000,03550,0000,03550FQHC 54561,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54561,A000000,05000,0000,05000CORF 54561,A000000,05010,0000,05010CMHC 54561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54561,A000000,05300,0000,05300INTEREST EXPENSE 54561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54561,A81000A,00100,0100,Y 54561,A81000B,00100,0300,MANAGEMENT FEE 54561,A81000B,00200,0300,DIETARY MEALS 54561,A81000C,00100,0100,E 54561,A81000C,00100,0200,GEORGE W HUNTER II 54561,A81000C,00100,0400,BREVILLIER VILLAGE FNDTN 54561,B100000,00000,0100,00000(SQUARE FEET) 54561,B100000,00000,0200,00000(SQUARE FEET) 54561,B100000,00000,0300,00000NO STATISTICS 54561,B100000,00000,0400,00000(ACCUM. COST) 54561,B100000,00000,0500,00000(SQUARE FEET) 54561,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 54561,B100000,00000,0700,00000(SQUARE FEET) 54561,B100000,00000,0800,00000(MEALS SERVED) 54561,B100000,00000,0900,00000(DIRECT NRSG HRS) 54561,B100000,00000,1000,00000NO STATISTICS 54561,B100000,00000,1100,00000NO STATISTICS 54561,B100000,00000,1200,00000NO STATISTICS 54561,B100000,00000,1300,00000(TIME SPENT) 54561,B100000,00000,1350,00000RESIDENT DAYS 54561,B100000,00000,1400,00000NO STATISTICS 54561,E10A180,00501,0300,11/29/2000 54561,E10A180,00550,0100,11/29/2000 54561,S000000,00100,0200,11/20/2000 54561,S200000,00100,0100,5416 EAST LAKE ROAD 54561,S200000,00200,0100,ERIE 54561,S200000,00200,0200,PA 54561,S200000,00200,0300,16511 54561,S200000,00300,0100,ERIE 54561,S200000,00400,0100,BALL PAVILION INC. 54561,S200000,00400,0200,395401 54561,S200000,00400,0300,07/01/1978 54561,S200000,00400,0500,P 54561,S200000,01500,0100,Y 54569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54569,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54569,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54569,A000000,00300,0000,00300EMPLOYEE BENEFITS 54569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54569,A000000,00700,0000,00700HOUSEKEEPING 54569,A000000,00800,0000,00800DIETARY 54569,A000000,00801,0000,00801CAFETERIA 54569,A000000,00900,0000,00900NURSING ADMINISTRATION 54569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54569,A000000,01100,0000,01100PHARMACY 54569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54569,A000000,01300,0000,01300SOCIAL SERVICE 54569,A000000,01350,0000,01500ACTIVITIES 54569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54569,A000000,01600,0000,01600SKILLED NURSING FACILITY 54569,A000000,01810,0000,01810ICF/MR 54569,A000000,02200,0000,02200LABORATORY 54569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54569,A000000,02500,0000,02500PHYSICAL THERAPY 54569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54569,A000000,02700,0000,02700SPEECH PATHOLOGY 54569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54569,A000000,03050,0000,03300OTHER ANCILLARY 54569,A000000,03051,0000,03301OTHER ANCILLARY II 54569,A000000,03052,0000,03302OTHER ANCILLARY III 54569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54569,A000000,03550,0000,03550FQHC 54569,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54569,A000000,05000,0000,05000CORF I 54569,A000000,05010,0000,05010CMHC I 54569,A000000,05020,0000,05020OPT I 54569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54569,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54569,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54569,A81000A,00100,0100,Y 54569,A81000B,00100,0300,MANAGEMENT SERVICES 54569,A81000B,00200,0300,MANAGEMENT FEE SUB 54569,A81000B,00300,0300,MANAGEMENT FEE SUB 54569,A81000B,00400,0300,MANAGEMENT FEE SUB 54569,A81000B,00500,0300,MANAGEMENT FEE SUB 54569,A81000B,00600,0300,MANAGEMENT FEE SUB 54569,A81000C,00100,0100,A 54569,A81000C,00100,0200,HARRISON ENTERS 54569,A81000C,00100,0400,HARRISON ENTER 54569,A81000C,00100,0600,FACILITY RENTAL 54569,A81000C,00200,0100,B 54569,A81000C,00200,0200,SALISBURY RET 54569,A81000C,00200,0400,HARRISON ENTER 54569,A81000C,00200,0600,MANAGEMENT SVCS 54569,B100000,00000,0100,00000(SQUARE FEET) 54569,B100000,00000,0101,00000(SQUARE FEET) 54569,B100000,00000,0200,00000(SQUARE FEET) 54569,B100000,00000,0201,00000(SQUARE FEET) 54569,B100000,00000,0300,00000(GROSS SALARIES) 54569,B100000,00000,0400,00000(ACCUM. COST) 54569,B100000,00000,0500,00000(SQUARE FEET) 54569,B100000,00000,0600,00000(PATIENT DAYS) 54569,B100000,00000,0700,00000(SQUARE FEET) 54569,B100000,00000,0800,00000(MEALS SERVED) 54569,B100000,00000,0801,00000(MEALS SERVED) 54569,B100000,00000,0900,00000(PATIENT DAYS) 54569,B100000,00000,1000,00000(PATIENT DAYS) 54569,B100000,00000,1100,00000(PATIENT DAYS) 54569,B100000,00000,1200,00000(PATIENT DAYS) 54569,B100000,00000,1300,00000(PATIENT DAYS) 54569,B100000,00000,1350,00000(PATIENT DAYS) 54569,B100000,00000,1400,00000(ASSIGNED TIME) 54569,E10A180,00501,0100,07/18/2000 54569,E10A180,00501,0300,07/18/2000 54569,S000000,00100,0200,05/31/2000 54569,S200000,00100,0100,41 NEWPORT PIKE 54569,S200000,00200,0100,CHRISTIANA 54569,S200000,00200,0200,PA 54569,S200000,00200,0300,17509 54569,S200000,00300,0100,LANCASTER 54569,S200000,00400,0100,HARRISON HOUSE OF CHRISTIANA 54569,S200000,00400,0200,395403 54569,S200000,00400,0300,01/01/1982 54569,S200000,00400,0500,P 54569,S200000,01600,0100,Y 54569,S200000,02200,0100,Y 54569,S200000,04700,0100,Y 54578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54578,A000000,00300,0000,00300EMPLOYEE BENEFITS 54578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54578,A000000,00700,0000,00700HOUSEKEEPING 54578,A000000,00800,0000,00800DIETARY 54578,A000000,00900,0000,00900NURSING ADMINISTRATION 54578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54578,A000000,01100,0000,01100PHARMACY 54578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54578,A000000,01300,0000,01300SOCIAL SERVICE 54578,A000000,01350,0000,01500RECREATIONAL THERPAY 54578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54578,A000000,01600,0000,01600SKILLED NURSING FACILITY 54578,A000000,01800,0000,01800NURSING FACILITY 54578,A000000,01810,0000,01810ICF/MR 54578,A000000,02100,0000,02100RADIOLOGY 54578,A000000,02200,0000,02200LABORATORY 54578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54578,A000000,02500,0000,02500PHYSICAL THERAPY 54578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54578,A000000,02700,0000,02700SPEECH PATHOLOGY 54578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54578,A000000,03201,0000,03201EMERGENCY SERVICES 54578,A000000,03550,0000,03550FQHC 54578,A000000,05000,0000,05000CORF 54578,A000000,05010,0000,05010CMHC 54578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54578,A000000,06150,0000,06300LA PERSONAL CARE 54578,A000000,06151,0000,06302OTHER NON-REIMBURSABLE 54578,A000000,06152,0000,06301FRIENDS ON LANH 54578,A81000A,00100,0100,Y 54578,A81000B,00100,0300,MANAGEMENT SERVICES/ADMIN 54578,A81000B,00200,0300,MARKETING 54578,A81000C,00100,0100,B 54578,A81000C,00100,0200,LUTHER ACRES 54578,A81000C,00100,0400,LUTHERCARE INC. 54578,A81000C,00100,0600,MANAGEMENT SVCS 54578,A81000C,00200,0100,B 54578,A81000C,00200,0200,LUTHER ACRES 54578,A81000C,00200,0400,LUTHERCARE INC. 54578,A81000C,00200,0600,MANAGEMENT SERV 54578,B100000,00000,0100,00002SQUARE FEET 54578,B100000,00000,0200,00002DOLLAR VAL OR SQ.FEET 54578,B100000,00000,0300,00002GROSS SALARIES 54578,B100000,00000,0400,00002ACCUMULA- TED COST 54578,B100000,00000,0500,00002SQUARE FEET 54578,B100000,00000,0600,00002POUNDS OF LAUNDRY 54578,B100000,00000,0700,00002SQUARE FEET 54578,B100000,00000,0800,00002MEALS SERVED 54578,B100000,00000,0900,00002DIRECT HOU OF SERVICE 54578,B100000,00000,1000,00002COSTED REQUIS 54578,B100000,00000,1100,00002COSTED REQUIS 54578,B100000,00000,1200,00002TIME SPENT 54578,B100000,00000,1300,00002TIME SPENT 54578,B100000,00000,1350,00002RESIDENT DAYS 54578,B100000,00000,1400,00002ASSIGNED TIME 54578,E10A180,00501,0300,06/15/2000 54578,S000000,00100,0200,05/23/2000 54578,S200000,00100,0100,400 ST LUKE DRIVE 54578,S200000,00200,0100,LITITZ 54578,S200000,00200,0200,PA 54578,S200000,00200,0300,17543 54578,S200000,00300,0100,LANCASTER 54578,S200000,00400,0100,LUTHER ACRES 54578,S200000,00400,0200,395406 54578,S200000,00400,0300,07/01/1978 54578,S200000,00400,0500,P 54578,S200000,00600,0200,395406 54578,S200000,00600,0300,07/01/1978 54578,S200000,01600,0100,Y 54578,S200000,01900,0100,NON-PROFIT CORPROATION 54578,S200000,02200,0100,Y 54578,S200000,02800,0100,Y 54578,S200000,04700,0100,Y 54578,S200000,04700,0200,Y 54588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54588,A000000,00300,0000,00300EMPLOYEE BENEFITS 54588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54588,A000000,00700,0000,00700HOUSEKEEPING 54588,A000000,00800,0000,00800DIETARY 54588,A000000,00900,0000,00900NURSING ADMINISTRATION 54588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54588,A000000,01100,0000,01100PHARMACY 54588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54588,A000000,01300,0000,01300SOCIAL SERVICE 54588,A000000,01350,0000,01500OTHER GENERAL SERVICES 54588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54588,A000000,01600,0000,01600SKILLED NURSING FACILITY 54588,A000000,01810,0000,01810ICF/MR 54588,A000000,01900,0000,01900OTHER LONG TERM CARE 54588,A000000,02100,0000,02100RADIOLOGY 54588,A000000,02200,0000,02200LABORATORY 54588,A000000,02300,0000,02300INTRAVENOUS THERAPY 54588,A000000,02500,0000,02500PHYSICAL THERAPY 54588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54588,A000000,02700,0000,02700SPEECH PATHOLOGY 54588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54588,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54588,A000000,03051,0000,03301RESPIRATORY THERAPY 54588,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CE 54588,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54588,A000000,03550,0000,03550FQHC 54588,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54588,A000000,05000,0000,05000CORF 54588,A000000,05010,0000,05010CMHC 54588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54588,A000000,05300,0000,05300INTEREST EXPENSE 54588,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54588,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54588,A81000A,00100,0100,Y 54588,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 54588,A81000C,00100,0100,B 54588,A81000C,00100,0400,SUGAR CREEK REST INC. 54588,A81000C,00100,0600,MANAGEMENT SERVICES 54588,A81000C,00200,0100,A 54588,A81000C,00200,0200,KENNETH R. TACK JR. 54588,A81000C,00300,0100,A 54588,A81000C,00300,0200,PHILIP E. TACK 54588,A81000C,00400,0100,A 54588,A81000C,00400,0200,MATTHEW P. TACK 54588,A81000C,00500,0100,A 54588,A81000C,00500,0200,STEVEN D. TACK 54588,A81000C,00600,0100,A 54588,A81000C,00600,0200,MARY S. TACK 54588,A81000C,00700,0100,A 54588,A81000C,00700,0200,SUSAN E. BEARDSLEY 54588,B100000,00000,0100,00000SQUARE FEET 54588,B100000,00000,0200,00000SQUARE FEET 54588,B100000,00000,0300,00000GROSS SALARIES 54588,B100000,00000,0400,00000ACCUM. COST 54588,B100000,00000,0500,00000SQUARE FEET 54588,B100000,00000,0600,00000POUNDS OF LAUNDRY 54588,B100000,00000,0700,00000HOURS OF SERVICE 54588,B100000,00000,0800,00000MEALS SERVED 54588,B100000,00000,0900,00000DIRECT NRSING HRS 54588,B100000,00000,1000,00000COSTED REQUIS. 54588,B100000,00000,1100,00000COSTED REQUIS. 54588,B100000,00000,1200,00000TIME SPENT 54588,B100000,00000,1300,00000TIME SPENT 54588,B100000,00000,1350,00000NO STATISTICS 54588,B100000,00000,1400,00000ASSIGNED TIME 54588,E10A180,00501,0100,11/29/2000 54588,E10A180,00501,0300,11/29/2000 54588,S000000,00100,0200,11/28/2000 54588,S200000,00100,0100,R. D. #2 54588,S200000,00200,0100,WORTHINGTON 54588,S200000,00200,0200,PA 54588,S200000,00200,0300,16262 54588,S200000,00400,0100,SUGAR CREEK REST LIMITED PARTNERSHIP 54588,S200000,00400,0200,395410 54588,S200000,00400,0300,04/06/1978 54588,S200000,00400,0500,P 54588,S200000,01500,0100,Y 54597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54597,A000000,00300,0000,00300EMPLOYEE BENEFITS 54597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54597,A000000,00700,0000,00700HOUSEKEEPING 54597,A000000,00800,0000,00800DIETARY 54597,A000000,00900,0000,00900NURSING ADMINISTRATION 54597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54597,A000000,01100,0000,01100PHARMACY 54597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54597,A000000,01300,0000,01300SOCIAL SERVICE 54597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54597,A000000,01600,0000,01600SKILLED NURSING FACILITY 54597,A000000,01800,0000,01800NURSING FACILITY 54597,A000000,01810,0000,01810ICF/MR 54597,A000000,02100,0000,02100RADIOLOGY 54597,A000000,02500,0000,02500PHYSICAL THERAPY 54597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54597,A000000,02700,0000,02700SPEECH PATHOLOGY 54597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54597,A000000,03550,0000,03550FQHC 54597,A000000,05000,0000,05000CORF 54597,A000000,05010,0000,05010CMHC 54597,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54597,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54597,A81000A,00100,0100,Y 54597,A81000B,00100,0300,INFO SERVICES 54597,A81000B,00200,0300,HUMAN RESOURCES 54597,A81000B,00300,0300,FINANCE SERVICES 54597,A81000B,00400,0300,MARKETING SERVICES 54597,A81000C,00100,0100,B 54597,A81000C,00100,0200,PMHS 54597,A81000C,00100,0400,PMHS 54597,A81000C,00100,0600,PARENT 54597,B100000,00000,0100,00000SQUARE FEET 54597,B100000,00000,0200,00000SQUARE FEET 54597,B100000,00000,0300,00000GROSS SALARIES 54597,B100000,00000,0400,00000ACCUM. COST 54597,B100000,00000,0500,00000SQUARE FEET 54597,B100000,00000,0600,00000POUNDS OF LAUNDRY 54597,B100000,00000,0700,00000SQUARE FEET 54597,B100000,00000,0800,00000MEALS SERVED 54597,B100000,00000,0900,00000DIRECT NURSING HR 54597,B100000,00000,1000,00000COSTED REQUIS. 54597,B100000,00000,1100,00000COSTED REQUIS. 54597,B100000,00000,1200,00000TIME SPENT 54597,B100000,00000,1300,00000TIME SPENT 54597,B100000,00000,1400,00000ASSIGNED TIME 54597,S000000,00100,0200,05/31/2000 54597,S200000,00100,0100,5324 PENN AVENUE 54597,S200000,00200,0100,PITTSBURGH 54597,S200000,00200,0200,PA 54597,S200000,00200,0300,15224 54597,S200000,00300,0100,ALLEGHENY 54597,S200000,00400,0100,ST. JOSEPH NURSING & HEALTHCARE CTR 54597,S200000,00400,0200,395412 54597,S200000,00400,0300,07/01/1992 54597,S200000,00400,0500,P 54597,S200000,00600,0200,395412 54597,S200000,00600,0300,07/01/1992 54597,S200000,00600,0600,P 54597,S200000,01600,0100,Y 54606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54606,A000000,00300,0000,00300EMPLOYEE BENEFITS 54606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54606,A000000,00700,0000,00700HOUSEKEEPING 54606,A000000,00800,0000,00800DIETARY 54606,A000000,00900,0000,00900NURSING ADMINISTRATION 54606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54606,A000000,01100,0000,01100PHARMACY 54606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54606,A000000,01300,0000,01300SOCIAL SERVICE 54606,A000000,01350,0000,01500ACTIVITIES 54606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54606,A000000,01600,0000,01600SKILLED NURSING FACILITY 54606,A000000,01800,0000,01800NURSING FACILITY 54606,A000000,01810,0000,01810ICF/MR 54606,A000000,02100,0000,02100RADIOLOGY 54606,A000000,02200,0000,02200LABORATORY 54606,A000000,02300,0000,02300INTRAVENOUS THERAPY 54606,A000000,02500,0000,02500PHYSICAL THERAPY 54606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54606,A000000,02700,0000,02700SPEECH PATHOLOGY 54606,A000000,02800,0000,02800ELECTROCARDIOLOGY 54606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54606,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54606,A000000,03400,0000,03400CLINIC 54606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54606,A000000,03550,0000,03550FQHC 54606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54606,A000000,05000,0000,05000CORF 54606,A000000,05010,0000,05010CMHC 54606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54606,A000000,06150,0000,06300RESIDENTIAL/PERSONAL CARE 54606,A81000A,00100,0100,Y 54606,A81000B,00100,0300,HUMAN RESOURCES 54606,A81000B,00200,0300,GROUP PURCHASING 54606,A81000C,00100,0100,G 54606,A81000C,00100,0400,ESA 54606,A81000C,00100,0600,HUMAN RESOURCES 54606,A81000C,00200,0100,G 54606,A81000C,00200,0400,CCRC LTD. 54606,A81000C,00200,0600,GROUP PURCHASING 54606,B100000,00000,0100,00000SQUARE FEET 54606,B100000,00000,0200,00000DOLLAR VALUE 54606,B100000,00000,0300,00000GROSS SALARIES 54606,B100000,00000,0400,00000ACCUM. COST 54606,B100000,00000,0500,00000SQUARE FEET 54606,B100000,00000,0600,00000POUNDS OF LAUNDRY 54606,B100000,00000,0700,00000SQUARE FEET 54606,B100000,00000,0800,00000MEALS SERVED 54606,B100000,00000,0900,00000NURSING SALARIES 54606,B100000,00000,1000,00000COSTED REQUIS 54606,B100000,00000,1100,00000COSTED REQUIS 54606,B100000,00000,1200,00000NH REVENUE 54606,B100000,00000,1300,00000NRSG HOME PT DAYS 54606,B100000,00000,1350,00000NRSG HOME PT DAYS 54606,B100000,00000,1400,00000ASSIGNED TIME 54606,E10A180,00301,0100,02/23/2000 54606,E10A180,00501,0100,07/06/2000 54606,E10A180,00501,0300,07/06/2000 54606,E10A180,00550,0100,12/18/2000 54606,S000000,00100,0200,05/24/2000 54606,S200000,00100,0100,8401 ROOSEVELT BLVD 54606,S200000,00200,0100,PHILIDELPHIA 54606,S200000,00200,0200,PA 54606,S200000,00300,0100,PHILADELPHIA 54606,S200000,00400,0100,EVANGELICAL MANOR 54606,S200000,00400,0200,395413 54606,S200000,00400,0300,09/01/1978 54606,S200000,00400,0500,P 54606,S200000,01600,0100,Y 54606,S200000,02800,0100,Y 54615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54615,A000000,00300,0000,00300EMPLOYEE BENEFITS 54615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54615,A000000,00700,0000,00700HOUSEKEEPING 54615,A000000,00800,0000,00800DIETARY 54615,A000000,00900,0000,00900NURSING ADMINISTRATION 54615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54615,A000000,01100,0000,01100PHARMACY 54615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54615,A000000,01300,0000,01300SOCIAL SERVICE 54615,A000000,01350,0000,01500OTHER GENERAL SERVICES 54615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54615,A000000,01600,0000,01600SKILLED NURSING FACILITY 54615,A000000,01800,0000,01800NURSING FACILITY 54615,A000000,01810,0000,01810ICF/MR 54615,A000000,02200,0000,02200LABORATORY 54615,A000000,02500,0000,02500PHYSICAL THERAPY 54615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54615,A000000,02700,0000,02700SPEECH PATHOLOGY 54615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54615,A000000,03550,0000,03550FQHC 54615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54615,A000000,05000,0000,05000CORF 54615,A000000,05010,0000,05010CMHC 54615,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54615,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54615,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54615,A81000A,00100,0100,Y 54615,A81000B,00100,0300,EMPLOYEE BENEFITS 54615,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 54615,A81000C,00100,0100,B 54615,A81000C,00100,0200,LACKAWANNA COUNTY 54615,B100000,00000,0100,00000SQUARE FEET 54615,B100000,00000,0200,00000DOLLAR VALUE 54615,B100000,00000,0300,00000GROSS SALARIES 54615,B100000,00000,0400,00000ACCUM. COST 54615,B100000,00000,0500,00000SQUARE FEET 54615,B100000,00000,0600,00000POUNDS OF LAUNDRY 54615,B100000,00000,0700,00000SQUARE FEET 54615,B100000,00000,0800,00000MEALS SERVED 54615,B100000,00000,0900,00000PATIENT DAYS 54615,B100000,00000,1000,00000COSTED REQUIS 54615,B100000,00000,1100,00000PATIENT DAYS 54615,B100000,00000,1200,00000TIME SPENT 54615,B100000,00000,1300,00000PATIENT DAYS 54615,B100000,00000,1350,00000NO STATISTICS 54615,B100000,00000,1400,00000ASSIGNED TIME 54615,E10A180,00501,0100,06/12/2000 54615,E10A180,00501,0300,06/12/2000 54615,S000000,00100,0200,05/24/2000 54615,S200000,00100,0100,STURGES ROAD 54615,S200000,00200,0100,OLYPHANT 54615,S200000,00200,0200,PA 54615,S200000,00300,0100,LACKAWANNA 54615,S200000,00400,0100,LACKAWANNA COUNTY HEALTH CARE CENTER 54615,S200000,00400,0200,395414 54615,S200000,00400,0300,10/10/1984 54615,S200000,00400,0500,P 54615,S200000,01600,0100,Y 54623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54623,A000000,00300,0000,00300EMPLOYEE BENEFITS 54623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54623,A000000,00700,0000,00700HOUSEKEEPING 54623,A000000,00800,0000,00800DIETARY 54623,A000000,00900,0000,00900NURSING ADMINISTRATION 54623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54623,A000000,01100,0000,01100PHARMACY 54623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54623,A000000,01300,0000,01300SOCIAL SERVICE 54623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54623,A000000,01600,0000,01600SKILLED NURSING FACILITY 54623,A000000,01810,0000,01810ICF/MR 54623,A000000,02100,0000,02100RADIOLOGY 54623,A000000,02200,0000,02200LABORATORY 54623,A000000,02500,0000,02500PHYSICAL THERAPY 54623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54623,A000000,02700,0000,02700SPEECH PATHOLOGY 54623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54623,A000000,03550,0000,03550FQHC 54623,A000000,05000,0000,05000CORF 54623,A000000,05010,0000,05010CMHC 54623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54623,A81000A,00100,0100,Y 54623,A81000B,00100,0300,COUNTY ALLOCATION 54623,A81000C,00100,0100,G 54623,A81000C,00100,0200,SCHUYLKILL CO. 54623,A81000C,00100,0400,SCHUYLKILL CO. 54623,A81000C,00100,0600,COUNTY 54623,B100000,00000,0100,00040SQUARE FEET 54623,B100000,00000,0200,00040SQUARE FEET 54623,B100000,00000,0300,00040GROSS SALARIES 54623,B100000,00000,0400,00040ACCUM COST 54623,B100000,00000,0500,00040SQUARE FEET 54623,B100000,00000,0600,00040POUNDS OF LAUNDRY 54623,B100000,00000,0700,00040HOURS OF SERVICE 54623,B100000,00000,0800,00040MEALS SERVED 54623,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 54623,B100000,00000,1000,00040COSTED REQUIS 54623,B100000,00000,1100,00040COSTED REQUIS 54623,B100000,00000,1200,00040TIME SPENT 54623,B100000,00000,1300,00040TIME SPENT 54623,B100000,00000,1400,00040ASSIGNED TIME 54623,E10A180,00501,0100,06/23/2000 54623,E10A180,00501,0300,06/23/2000 54623,S000000,00100,0200,05/25/2000 54623,S200000,00100,0100,401 UNIVERSITY DR 54623,S200000,00200,0100,SCHUYLKILL HAVEN 54623,S200000,00200,0200,PA 54623,S200000,00200,0300,17972 54623,S200000,00300,0100,SCHUYLKILL 54623,S200000,00400,0100,SCHUYLKILL COUNTY HOME - REST HAVEN 54623,S200000,00400,0200,395416 54623,S200000,00400,0300,01/01/1973 54623,S200000,00400,0500,P 54623,S200000,01500,0100,Y 54623,S200000,02800,0100,Y 54623,S200000,04300,0100,Y 54634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54634,A000000,00300,0000,00300EMPLOYEE BENEFITS 54634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54634,A000000,00700,0000,00700HOUSEKEEPING 54634,A000000,00800,0000,00800DIETARY 54634,A000000,00900,0000,00900NURSING ADMINISTRATION 54634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54634,A000000,01100,0000,01100PHARMACY 54634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54634,A000000,01300,0000,01300SOCIAL SERVICE 54634,A000000,01350,0000,01500ACTIVITIES 54634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54634,A000000,01600,0000,01600SKILLED NURSING FACILITY 54634,A000000,01800,0000,01800NURSING FACILITY 54634,A000000,01810,0000,01810ICF/MR 54634,A000000,02100,0000,02100RADIOLOGY 54634,A000000,02200,0000,02200LABORATORY 54634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54634,A000000,02500,0000,02500PHYSICAL THERAPY 54634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54634,A000000,02700,0000,02700SPEECH PATHOLOGY 54634,A000000,02800,0000,02800ELECTROCARDIOLOGY 54634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54634,A000000,03550,0000,03550FQHC 54634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54634,A000000,05000,0000,05000CORF 54634,A000000,05010,0000,05010CMHC 54634,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54634,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54634,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54634,A81000A,00100,0100,Y 54634,A81000B,00100,0300,HOME OFFICE/ MANAGEMENT 54634,A81000B,00200,0300,CAPITAL INTEREST 54634,A81000B,00300,0300,WORKING INTEREST 54634,A81000C,00100,0100,A 54634,A81000C,00100,0200,FRANK VARISCHETTI 54634,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 54634,A81000C,00100,0600,HOME OFFICE/MANAGEMENT 54634,A81000C,00200,0100,A 54634,A81000C,00200,0200,FRANK A VARISCHETTI 54634,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 54634,A81000C,00200,0600,HOME OFFICE/ MANAGEMENT 54634,A81000C,00300,0100,A 54634,A81000C,00300,0200,STEVEN R. VARISCHETTI 54634,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 54634,A81000C,00300,0600,HOME OFFIC/MANAGEMENT 54634,A81000C,00400,0100,A 54634,A81000C,00400,0200,PETER C. VARISCHETTI 54634,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 54634,A81000C,00400,0600,HOME OFFICE/MANAGEMENT 54634,A81000C,00500,0100,A 54634,A81000C,00500,0200,RAYMOND L. CALHOUN 54634,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 54634,A81000C,00500,0600,HOME OFFICE/MANAGEMENT 54634,A81000C,00600,0100,A 54634,A81000C,00600,0200,FRANK VARISCHETTI 54634,A81000C,00600,0400,PUBLIC CREDIT LLC 54634,A81000C,00600,0600,COMMERCIAL LENDING 54634,A81000C,00700,0100,A 54634,A81000C,00700,0200,FRANK A VARISCHETTI 54634,A81000C,00700,0400,PUBLIC CREDIT LLC 54634,A81000C,00700,0600,COMMERCIAL LENDING 54634,A81000C,00800,0100,A 54634,A81000C,00800,0200,STEVEN R VARISCHETTI 54634,A81000C,00800,0400,PUBLIC CREDIT LLC 54634,A81000C,00800,0600,COMMERCIAL LENDING 54634,A81000C,00900,0100,A 54634,A81000C,00900,0200,PETER C VARISCHETTI 54634,A81000C,00900,0400,PUBLIC CREDIT LLC 54634,A81000C,00900,0600,COMMERCIAL LENDING 54634,A81000C,01000,0100,D 54634,A81000C,01000,0200,NICHOLAS VARISCHETTI 54634,A81000C,01000,0400,PUBLIC CREDIT LLC 54634,A81000C,01000,0600,COMMERCIAL LENDING 54634,B100000,00000,0100,00000SQUARE FEET 54634,B100000,00000,0200,00000DOLLAR VALUE 54634,B100000,00000,0300,00000GROSS SALARIES 54634,B100000,00000,0400,00000ACCUM. COST 54634,B100000,00000,0500,00000SQUARE FEET 54634,B100000,00000,0600,00000LAUNDRY POUNDS 54634,B100000,00000,0700,00000SQUARE FEET 54634,B100000,00000,0800,00000PATIENT DAYS 54634,B100000,00000,0900,00000PATIENT DAYS 54634,B100000,00000,1000,00000PATIENT DAYS 54634,B100000,00000,1100,00000COSTED REQUIS. 54634,B100000,00000,1200,00000PATIENT DAYS 54634,B100000,00000,1300,00000TIME SPENT 54634,B100000,00000,1350,00000PATIENT DAYS 54634,B100000,00000,1400,00000TIME SPENT 54634,E10A180,00501,0100,06/05/2000 54634,E10A180,00501,0300,06/05/2000 54634,S000000,00100,0200,05/31/2000 54634,S200000,00100,0100,RD # 1 54634,S200000,00100,0300,BOX 463 54634,S200000,00200,0100,MIFFLINTOWN 54634,S200000,00200,0200,PA 54634,S200000,00300,0100,JUNIATA 54634,S200000,00400,0100,BROOKLINE MANOR 54634,S200000,00400,0200,395418 54634,S200000,00400,0300,06/30/1979 54634,S200000,00400,0500,P 54634,S200000,01600,0100,Y 54643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54643,A000000,00300,0000,00300EMPLOYEE BENEFITS 54643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54643,A000000,00700,0000,00700HOUSEKEEPING 54643,A000000,00800,0000,00800DIETARY 54643,A000000,00900,0000,00900NURSING ADMINISTRATION 54643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54643,A000000,01100,0000,01100PHARMACY 54643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54643,A000000,01300,0000,01300SOCIAL SERVICE 54643,A000000,01350,0000,01500PATIENT ACTIVITIES 54643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54643,A000000,01600,0000,01600SKILLED NURSING FACILITY 54643,A000000,01800,0000,01800NURSING FACILITY 54643,A000000,01810,0000,01810ICF/MR 54643,A000000,02100,0000,02100RADIOLOGY 54643,A000000,02200,0000,02200LABORATORY 54643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54643,A000000,02500,0000,02500PHYSICAL THERAPY 54643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54643,A000000,02700,0000,02700SPEECH PATHOLOGY 54643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54643,A000000,03550,0000,03550FQHC 54643,A000000,04800,0000,04800AMBULANCE 54643,A000000,05000,0000,05000CORF 54643,A000000,05010,0000,05010CMHC 54643,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54643,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54643,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54643,A81000A,00100,0100,Y 54643,A81000B,00100,0300,G&A 6060 6076 6082 54643,A81000B,00200,0300,G&A 6090 54643,A81000C,00100,0100,B 54643,A81000C,00100,0200,TRESSLER LUTHER 54643,B100000,00000,0100,00000SQUARE FEET 54643,B100000,00000,0200,00000SQUARE FEET 54643,B100000,00000,0300,00000GROSS SALARIES 54643,B100000,00000,0400,00000ACCUM COST 54643,B100000,00000,0500,00000SQUARE FEET 54643,B100000,00000,0600,00000POUNDS OF LAUNDRY 54643,B100000,00000,0700,00000SQUARE FEET 54643,B100000,00000,0800,00000MEALS SERVED 54643,B100000,00000,0900,00000PATIENT DAYS 54643,B100000,00000,1000,00000COSTED REQUIS 54643,B100000,00000,1100,00000COSTED REQUIS 54643,B100000,00000,1200,00000PATIENT DAYS 54643,B100000,00000,1300,00000PATIENT DAYS 54643,B100000,00000,1350,00000PATIENT DAYS 54643,B100000,00000,1400,00000ASSIGNED TIME 54643,S000000,00100,0200,05/30/2000 54643,S200000,00100,0100,208 PENNKNOLL ROAD 54643,S200000,00200,0100,EVERETT 54643,S200000,00200,0200,PA 54643,S200000,00200,0300,15537 54643,S200000,00300,0100,BEDFORD 54643,S200000,00400,0100,PENNKNOLL VILLAGE NRSG HOME 54643,S200000,00400,0200,395422 54643,S200000,00400,0300,07/01/1974 54643,S200000,00400,0500,P 54643,S200000,00400,0600,O 54643,S200000,01500,0100,Y 54643,S200000,02200,0100,Y 54643,S200000,02800,0100,Y 54643,S200000,04700,0100,Y 54643,S200000,04700,0200,Y 54657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54657,A000000,00300,0000,00300EMPLOYEE BENEFITS 54657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54657,A000000,00700,0000,00700HOUSEKEEPING 54657,A000000,00800,0000,00800DIETARY 54657,A000000,00801,0000,00801CAFETERIA 54657,A000000,00900,0000,00900NURSING ADMINISTRATION 54657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54657,A000000,01100,0000,01100PHARMACY 54657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54657,A000000,01300,0000,01300SOCIAL SERVICE 54657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54657,A000000,01600,0000,01600SKILLED NURSING FACILITY 54657,A000000,01810,0000,01810ICF/MR 54657,A000000,02100,0000,02100RADIOLOGY 54657,A000000,02200,0000,02200LABORATORY 54657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54657,A000000,02500,0000,02500PHYSICAL THERAPY 54657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54657,A000000,02700,0000,02700SPEECH PATHOLOGY 54657,A000000,02800,0000,02800ELECTROCARDIOLOGY 54657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54657,A000000,03550,0000,03550FQHC 54657,A000000,04750,0000,05100HOME HEALTH AGENCY 54657,A000000,04751,0000,05101HOSPICE BENEFIT PROGRAM 54657,A000000,05000,0000,05000CORF 54657,A000000,05010,0000,05010CMHC 54657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54657,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54657,A000000,06001,0000,06001RESIDENTIAL LIVING 54657,A81000A,00100,0100,Y 54657,A81000B,00100,0300,ADMINISTRATION - AGH 54657,A81000B,00200,0300,ADMINISTRATION - AUH WEST 54657,A81000B,00300,0300,CAPITAL - AUH WEST 54657,A81000B,00400,0300,ADMINISTRATION - AUH WEST 54657,A81000B,00500,0300,DEPREC BLDG - SHARED SVC 54657,A81000B,00600,0300,DEPREC EQUIP - SHARED SVC 54657,A81000B,00700,0300,BENEFITS - SHARED SVC 54657,A81000B,00800,0300,ADMINISTRATION - SHARED SVC 54657,A81000B,00900,0300,OPERATION OF PLANT - SHARE SVC 54657,A81000B,01000,0300,LAUNDRY - SHARED SVC 54657,A81000B,01100,0300,HOUSEKEEPING - SHARED SVC 54657,A81000B,01200,0300,CAFETERIA - SHARED SVC 54657,A81000B,01300,0300,ROUTINE - SHARED SVC 54657,A81000C,00100,0100,G 54657,A81000C,00100,0200,AUH - WEST 54657,A81000C,00100,0400,AUH - WEST 54657,A81000C,00100,0600,HEALTH CARE 54657,A81000C,00200,0100,G 54657,A81000C,00200,0200,CORP SHARED SVC 54657,A81000C,00200,0400,CORP SHARED SVC 54657,A81000C,00200,0600,HEALTH CARE 54657,B100000,00000,0100,00001SQUARE FEET 54657,B100000,00000,0200,00001DOLLAR VALUE 54657,B100000,00000,0300,00001GROSS SALARIES 54657,B100000,00000,0400,00001ACCUM. COST 54657,B100000,00000,0500,00001SQUARE FEET 54657,B100000,00000,0600,00001POUNDS OF LAUNDRY 54657,B100000,00000,0700,00001HOURS OF SERVICE 54657,B100000,00000,0800,00001MEALS SERVED 54657,B100000,00000,0801,00001MEALS SERVED 54657,B100000,00000,0900,00001DIRECT NRSING HRS 54657,B100000,00000,1000,00001COSTED REQUIS. 54657,B100000,00000,1100,00001COSTED REQUIS. 54657,B100000,00000,1200,00001TIME SPENT 54657,B100000,00000,1300,00001TIME SPENT 54657,B100000,00000,1400,00001ASSIGNED TIME 54657,E10A180,00501,0100,12/08/2000 54657,S000000,00100,0200,12/01/2000 54657,S200000,00100,0100,6655 FRANKSTOWN AVENUE 54657,S200000,00200,0100,PITTSBURGH 54657,S200000,00200,0200,PA 54657,S200000,00300,0100,U 54657,S200000,00400,0100,FORBES NURSING CENTER 54657,S200000,00400,0200,395423 54657,S200000,00400,0300,05/01/1978 54657,S200000,00400,0500,P 54657,S200000,01500,0100,Y 54657,S200000,01900,0100,2 54657,S200000,02200,0100,Y 54668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54668,A000000,00300,0000,00300EMPLOYEE BENEFITS 54668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54668,A000000,00700,0000,00700HOUSEKEEPING 54668,A000000,00800,0000,00800DIETARY 54668,A000000,00900,0000,00900NURSING ADMINISTRATION 54668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54668,A000000,01100,0000,01100PHARMACY 54668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54668,A000000,01300,0000,01300SOCIAL SERVICE 54668,A000000,01350,0000,01500ACTIVITIES 54668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54668,A000000,01600,0000,01600SKILLED NURSING FACILITY 54668,A000000,01810,0000,01810ICF/MR 54668,A000000,01900,0000,01900OTHER LONG TERM CARE 54668,A000000,02100,0000,02100RADIOLOGY 54668,A000000,02200,0000,02200LABORATORY 54668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54668,A000000,02500,0000,02500PHYSICAL THERAPY 54668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54668,A000000,02700,0000,02700SPEECH PATHOLOGY 54668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54668,A000000,03050,0000,03300MEDISCUS BEDS 54668,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54668,A000000,03550,0000,03550FQHC 54668,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54668,A000000,05000,0000,05000CORF 54668,A000000,05010,0000,05010CMHC 54668,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54668,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54668,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54668,A000000,05300,0000,05300INTEREST EXPENSE 54668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54668,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54668,A000000,06150,0000,06300APARTMENT 54668,B100000,00000,0100,00000SQUARE FEET 54668,B100000,00000,0200,00000SQUARE FEET 54668,B100000,00000,0300,00000GROSS SALARIES 54668,B100000,00000,0400,00000ACCUM. COST 54668,B100000,00000,0500,00000SQUARE FEET 54668,B100000,00000,0600,00000PATIENT DAYS 54668,B100000,00000,0700,00000SQUARE FEET 54668,B100000,00000,0800,00000MEALS SERVED 54668,B100000,00000,0900,00000HOURS OF SERVICE 54668,B100000,00000,1000,00000COSTED REQUIS. 54668,B100000,00000,1100,00000COSTED REQUIS. 54668,B100000,00000,1200,00000PATIENT DAYS 54668,B100000,00000,1300,00000PATIENT DAYS 54668,B100000,00000,1350,00000PATIENT DAYS 54668,B100000,00000,1400,00000TIME SPENT 54668,E10A180,00501,0100,12/29/2000 54668,E10A180,00501,0300,12/29/2000 54668,S000000,00100,0200,11/29/2000 54668,S200000,00100,0100,8301 ROOSEVELT BLVD. 54668,S200000,00200,0100,PHILADELPHIA 54668,S200000,00200,0200,PA 54668,S200000,00200,0300,19152 54668,S200000,00300,0100,P 54668,S200000,00400,0100,THE BAPTIST HOME OF PHILADELPHIA 54668,S200000,00400,0200,395425 54668,S200000,00400,0300,12/11/1978 54668,S200000,00400,0500,P 54668,S200000,01600,0100,Y 54668,S200000,02800,0100,Y 54668,S200000,04100,0100,Y 54668,S200000,04300,0100,Y 54676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54676,A000000,00300,0000,00300EMPLOYEE BENEFITS 54676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54676,A000000,00700,0000,00700HOUSEKEEPING 54676,A000000,00800,0000,00800DIETARY 54676,A000000,00900,0000,00900NURSING ADMINISTRATION 54676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54676,A000000,01100,0000,01100PHARMACY 54676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54676,A000000,01300,0000,01300SOCIAL SERVICE 54676,A000000,01350,0000,01500PATIENT ACTIVITIES 54676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54676,A000000,01600,0000,01600SKILLED NURSING FACILITY 54676,A000000,01800,0000,01800NURSING FACILITY 54676,A000000,01810,0000,01810ICF/MR 54676,A000000,02100,0000,02100RADIOLOGY 54676,A000000,02200,0000,02200LABORATORY 54676,A000000,02500,0000,02500PHYSICAL THERAPY 54676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54676,A000000,02700,0000,02700SPEECH PATHOLOGY 54676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54676,A000000,03050,0000,03300ANCILLARY COMPLEX MEDICAL 54676,A000000,03550,0000,03550FQHC 54676,A000000,04800,0000,04800AMBULANCE 54676,A000000,05000,0000,05000CORF 54676,A000000,05010,0000,05010CMHC 54676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54676,A81000A,00100,0100,Y 54676,A81000B,00100,0300,G&A 6060 6076 6082 54676,A81000B,00200,0300,G&A 6090 54676,A81000C,00100,0100,B 54676,A81000C,00100,0200,TRESSLER LUTHER 54676,B100000,00000,0100,00000SQUARE FEET 54676,B100000,00000,0200,00000SQUARE FEET 54676,B100000,00000,0300,00000GROSS SALARIES 54676,B100000,00000,0400,00000ACCUM COST 54676,B100000,00000,0500,00000SQUARE FEET 54676,B100000,00000,0600,00000POUNDS OF LAUNDRY 54676,B100000,00000,0700,00000SQUARE FEET 54676,B100000,00000,0800,00000MEALS SERVED 54676,B100000,00000,0900,00000PATIENT DAYS 54676,B100000,00000,1000,00000COSTED REQUIS 54676,B100000,00000,1100,00000COSTED REQUIS 54676,B100000,00000,1200,00000PATIENT DAYS 54676,B100000,00000,1300,00000PATIENT DAYS 54676,B100000,00000,1350,00000PATIENT DAYS 54676,B100000,00000,1400,00000ASSIGNED TIME 54676,S000000,00100,0200,05/30/2000 54676,S200000,00100,0100,213 EAST MAIN STREET 54676,S200000,00200,0100,NEW BLOOMFIELD 54676,S200000,00200,0200,PA 54676,S200000,00200,0300,17068 54676,S200000,00300,0100,PERRY 54676,S200000,00400,0100,PERRY VILLAGE 54676,S200000,00400,0200,395426 54676,S200000,00400,0300,01/01/1991 54676,S200000,00400,0500,P 54676,S200000,00400,0600,O 54676,S200000,01600,0100,Y 54676,S200000,02200,0100,Y 54676,S200000,02800,0100,Y 54676,S200000,04700,0100,Y 54676,S200000,04700,0200,Y 54684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54684,A000000,00300,0000,00300EMPLOYEE BENEFITS 54684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54684,A000000,00700,0000,00700HOUSEKEEPING 54684,A000000,00800,0000,00800DIETARY 54684,A000000,00900,0000,00900NURSING ADMINISTRATION 54684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54684,A000000,01100,0000,01100PHARMACY 54684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54684,A000000,01300,0000,01300SOCIAL SERVICE 54684,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 54684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54684,A000000,01600,0000,01600SKILLED NURSING FACILITY 54684,A000000,01800,0000,01800NURSING FACILITY 54684,A000000,01900,0000,01900OTHER LONG TERM CARE 54684,A000000,02100,0000,02100RADIOLOGY 54684,A000000,02200,0000,02200LABORATORY 54684,A000000,02300,0000,02300INTRAVENOUS THERAPY 54684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54684,A000000,02500,0000,02500PHYSICAL THERAPY 54684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54684,A000000,02700,0000,02700SPEECH PATHOLOGY 54684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54684,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54684,A000000,03200,0000,03200SUPPORT SURFACES 54684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54684,A000000,03550,0000,03550FQHC 54684,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54684,A000000,05000,0000,05000CORF 54684,A000000,05010,0000,05010CMHC 54684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54684,A81000A,00100,0100,Y 54684,A81000B,00100,0300,ADMIN & GENERA; 54684,A81000B,00200,0300,HOUSEKEEPING 54684,A81000C,00100,0100,B 54684,A81000C,00100,0200,LUTHERAN HOME AT HOLLIDAY 54684,A81000C,00100,0400,ALLEGHENY LUTERHAN SOCIAL 54684,A81000C,00100,0600,RETIREMENT COMMUNITY 54684,A81000C,00200,0100,B 54684,A81000C,00200,0200,LUTHERAN HOME AT HOL 54684,A81000C,00200,0400,ALSM 54684,A81000C,00200,0600,RETIREMENT COMMUNITY 54684,A81000C,00300,0100,B 54684,A81000C,00300,0200,LUTHERAN HOME AT HOL 54684,A81000C,00300,0400,ALSM 54684,A81000C,00300,0600,RETIREMENT COMMUNITY 54684,B100000,00000,0100,00000SQUARE FOOTAGE 54684,B100000,00000,0200,00000SQUARE FOOTAGE 54684,B100000,00000,0300,00000GROSS WAGES 54684,B100000,00000,0400,00000ACCUM. COST 54684,B100000,00000,0500,00000SQUARE FOOTAGE 54684,B100000,00000,0600,00000POUNDS OF LAUNDRY 54684,B100000,00000,0700,00000HOURS OF SERVICE 54684,B100000,00000,0800,00000MEALS SERVED 54684,B100000,00000,0900,00000DIRECT HOURS 54684,B100000,00000,1000,00000DIRECT HOURS 54684,B100000,00000,1100,00000NO STATISTICS 54684,B100000,00000,1200,00000ADMISSIONS S 54684,B100000,00000,1300,00000ADMISSIONS S 54684,B100000,00000,1350,00000DAYS 54684,B100000,00000,1400,00000DAYS 54684,S000000,00100,0200,06/01/2000 54684,S200000,00100,0100,916 HICKORY STREET 54684,S200000,00200,0100,HOLLIDAYSBURG 54684,S200000,00200,0200,PA 54684,S200000,00300,0100,BLAIR 54684,S200000,00400,0100,THE LUTHERAN HOME AT HOLLIDAYSBURG 54684,S200000,00400,0200,395427 54684,S200000,00400,0300,06/15/1979 54684,S200000,00400,0500,O 54684,S200000,00600,0200,395427 54684,S200000,00600,0300,06/15/1979 54684,S200000,01600,0100,Y 54684,S200000,02200,0100,Y 54691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54691,A000000,00300,0000,00300EMPLOYEE BENEFITS 54691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54691,A000000,00700,0000,00700HOUSEKEEPING 54691,A000000,00800,0000,00800DIETARY 54691,A000000,00900,0000,00900NURSING ADMINISTRATION 54691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54691,A000000,01100,0000,01100PHARMACY 54691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54691,A000000,01300,0000,01300SOCIAL SERVICE 54691,A000000,01350,0000,01500PATIENT ACTIVITIES 54691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54691,A000000,01600,0000,01600SKILLED NURSING FACILITY 54691,A000000,01800,0000,01800NURSING FACILITY 54691,A000000,01810,0000,01810ICF/MR 54691,A000000,02100,0000,02100RADIOLOGY 54691,A000000,02200,0000,02200LABORATORY 54691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54691,A000000,02500,0000,02500PHYSICAL THERAPY 54691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54691,A000000,02700,0000,02700SPEECH PATHOLOGY 54691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54691,A000000,03550,0000,03550FQHC 54691,A000000,05000,0000,05000CORF 54691,A000000,05010,0000,05010CMHC 54691,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54691,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54691,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54691,A000000,05300,0000,05300INTEREST EXPENSE 54691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54691,A81000A,00100,0100,Y 54691,A81000B,00100,0300,G&A 6060 6076 6082 54691,A81000B,00200,0300,G&A 6090 54691,A81000C,00100,0100,B 54691,A81000C,00100,0200,TRESSLER LUTHER 54691,B100000,00000,0100,00000SQUARE FEET 54691,B100000,00000,0200,00000SQUARE FEET 54691,B100000,00000,0300,00000GROSS SALARIES 54691,B100000,00000,0400,00000ACCUM COST 54691,B100000,00000,0500,00000SQUARE FEET 54691,B100000,00000,0600,00000POUNDS OF LAUNDRY 54691,B100000,00000,0700,00000SQUARE FEET 54691,B100000,00000,0800,00000MEALS SERVED 54691,B100000,00000,0900,00000PATIENT DAYS 54691,B100000,00000,1000,00000COSTED REQUIS 54691,B100000,00000,1100,00000COSTED REQUIS 54691,B100000,00000,1200,00000PATIENT DAYS 54691,B100000,00000,1300,00000PATIENT DAYS 54691,B100000,00000,1350,00000PATIENT DAYS 54691,B100000,00000,1400,00000ASSIGNED TIME 54691,E10A180,00501,0100,06/23/2000 54691,E10A180,00501,0300,06/23/2000 54691,S000000,00100,0200,05/30/2000 54691,S200000,00100,0100,990 MEDICAL ROAD 54691,S200000,00200,0100,MILLERSBURG 54691,S200000,00200,0200,PA 54691,S200000,00200,0300,17061 54691,S200000,00300,0100,DAUPHIN 54691,S200000,00400,0100,SUSQUEHANNA LUTHERAN VILLAGE 54691,S200000,00400,0200,395428 54691,S200000,00400,0300,07/01/1979 54691,S200000,00400,0500,P 54691,S200000,00400,0600,O 54691,S200000,01600,0100,Y 54691,S200000,02200,0100,Y 54691,S200000,02800,0100,Y 54701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54701,A000000,00300,0000,00300EMPLOYEE BENEFITS 54701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54701,A000000,00700,0000,00700HOUSEKEEPING 54701,A000000,00800,0000,00800DIETARY 54701,A000000,00900,0000,00900NURSING ADMINISTRATION 54701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54701,A000000,01100,0000,01100PHARMACY 54701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54701,A000000,01300,0000,01300SOCIAL SERVICE 54701,A000000,01350,0000,01500PATIENT ACTIVITIES 54701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54701,A000000,01600,0000,01600SKILLED NURSING FACILITY 54701,A000000,01800,0000,01800NURSING FACILITY 54701,A000000,01810,0000,01810ICF/MR 54701,A000000,02100,0000,02100RADIOLOGY 54701,A000000,02200,0000,02200LABORATORY 54701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54701,A000000,02500,0000,02500PHYSICAL THERAPY 54701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54701,A000000,02700,0000,02700SPEECH PATHOLOGY 54701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54701,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54701,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54701,A000000,03550,0000,03550FQHC 54701,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54701,A000000,05000,0000,05000CORF 54701,A000000,05010,0000,05010CMHC 54701,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54701,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54701,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54701,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54701,B100000,00000,0100,00000SQUARE FEET 54701,B100000,00000,0200,00000DOLLAR VALUE 54701,B100000,00000,0300,00000GROSS SALARIES 54701,B100000,00000,0400,00000ACCUM. COST 54701,B100000,00000,0500,00000SQUARE FEET 54701,B100000,00000,0600,00000PATIENT DAYS 54701,B100000,00000,0700,00000SQ FT EXCL DIET 54701,B100000,00000,0800,00000MEALS SERVED 54701,B100000,00000,0900,00000PATIENT DAYS 54701,B100000,00000,1000,00000PATIENT DAYS 54701,B100000,00000,1100,00000PATIENT DAYS 54701,B100000,00000,1200,00000PATIENT DAYS 54701,B100000,00000,1300,00000PATIENT DAYS 54701,B100000,00000,1350,00000PATIENT DAYS 54701,B100000,00000,1400,00000ASSIGNED TIME 54701,E10A180,00501,0100,06/14/2000 54701,E10A180,00550,0300,06/14/2000 54701,S000000,00100,0200,05/26/2000 54701,S200000,00100,0100,200 SOUTH 8TH ST 54701,S200000,00200,0100,DUBOIS 54701,S200000,00200,0200,PA 54701,S200000,00300,0100,CLEARFIELD 54701,S200000,00400,0100,DUBOIS NURSING HOME 54701,S200000,00400,0200,395430 54701,S200000,00400,0300,02/01/1979 54701,S200000,00400,0500,P 54701,S200000,01600,0100,Y 54710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54710,A000000,00300,0000,00300EMPLOYEE BENEFITS 54710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54710,A000000,00700,0000,00700HOUSEKEEPING 54710,A000000,00800,0000,00800DIETARY 54710,A000000,00900,0000,00900NURSING ADMINISTRATION 54710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54710,A000000,01100,0000,01100PHARMACY 54710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54710,A000000,01300,0000,01300SOCIAL SERVICE 54710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54710,A000000,01600,0000,01600SKILLED NURSING FACILITY 54710,A000000,01810,0000,01810ICF/MR 54710,A000000,01900,0000,01900OTHER LONG TERM CARE 54710,A000000,02500,0000,02500PHYSICAL THERAPY 54710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54710,A000000,02700,0000,02700SPEECH PATHOLOGY 54710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54710,A000000,03550,0000,03550FQHC 54710,A000000,05000,0000,05000CORF 54710,A000000,05010,0000,05010CMHC 54710,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54710,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54710,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54710,A81000A,00100,0100,Y 54710,A81000B,00100,0300,FACILITY RENTAL 54710,A81000C,00100,0100,A 54710,A81000C,00100,0200,F. KELLY 54710,A81000C,00100,0400,F. KELLY MNGT. 54710,A81000C,00100,0600,RENTAL 54710,B100000,00000,0100,00040(SQUARE FEET) 54710,B100000,00000,0200,00040(SQUARE FEET) 54710,B100000,00000,0300,00040(GROSS SALARIES) 54710,B100000,00000,0400,00040(ACCUM. COST) 54710,B100000,00000,0500,00040(SQUARE FEET) 54710,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 54710,B100000,00000,0700,00040(HOURS OF SERVICE) 54710,B100000,00000,0800,00040(MEALS SERVED) 54710,B100000,00000,0900,00040(DIR NRSG HRS SRVC) 54710,B100000,00000,1000,00040(COSTED REQUIS) 54710,B100000,00000,1100,00040(COSTED REQUIS.) 54710,B100000,00000,1200,00040TIME SPENT 54710,B100000,00000,1300,00040TIME SPENT 54710,B100000,00000,1400,00040ASSIGNED TIME 54710,E10A180,00501,0100,07/06/2000 54710,S000000,00100,0200,05/30/2000 54710,S200000,00100,0100,280 MIDDLE HOLLAND RD 54710,S200000,00200,0100,HOLLAND 54710,S200000,00200,0200,PA 54710,S200000,00300,0100,BUCKS 54710,S200000,00400,0100,TWINING VILLAGE 54710,S200000,00400,0200,395432 54710,S200000,00400,0300,07/01/1979 54710,S200000,00400,0500,P 54710,S200000,01500,0100,Y 54721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54721,A000000,00300,0000,00300EMPLOYEE BENEFITS 54721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54721,A000000,00700,0000,00700HOUSEKEEPING 54721,A000000,00800,0000,00800DIETARY 54721,A000000,00900,0000,00900NURSING ADMINISTRATION 54721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54721,A000000,01100,0000,01100PHARMACY 54721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54721,A000000,01300,0000,01300SOCIAL SERVICE 54721,A000000,01350,0000,01500ACTIVITIES 54721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54721,A000000,01600,0000,01600SKILLED NURSING FACILITY 54721,A000000,01800,0000,01800NURSING FACILITY 54721,A000000,01810,0000,01810ICF/MR 54721,A000000,02100,0000,02100RADIOLOGY 54721,A000000,02200,0000,02200LABORATORY 54721,A000000,02300,0000,02300INTRAVENOUS THERAPY 54721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54721,A000000,02500,0000,02500PHYSICAL THERAPY 54721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54721,A000000,02700,0000,02700SPEECH PATHOLOGY 54721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54721,A000000,03550,0000,03550FQHC 54721,A000000,05000,0000,05000CORF 54721,A000000,05010,0000,05010CMHC 54721,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54721,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54721,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54721,A000000,05300,0000,05300INTEREST EXPENSE 54721,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54721,A000000,06150,0000,06300RESTRICTED FUNDS 54721,B100000,00000,0100,00000SQUARE FEET 54721,B100000,00000,0200,00000SQUARE FEET 54721,B100000,00000,0300,00000GROSS SALARIES 54721,B100000,00000,0400,00000ACCUM COST 54721,B100000,00000,0500,00000SQUARE FEET 54721,B100000,00000,0600,00000POUNDS OF LAUNDRY 54721,B100000,00000,0700,00000HOURS OF SERVICE 54721,B100000,00000,0800,00000MEALS SERVED 54721,B100000,00000,0900,00000DIRECT NRSG HRS 54721,B100000,00000,1000,00000COSTED REQUIS 54721,B100000,00000,1100,00000COSTED REQUIS 54721,B100000,00000,1200,00000TIME SPENT 54721,B100000,00000,1300,00000TIME SPENT 54721,B100000,00000,1350,00000PATIENT DAYS 54721,B100000,00000,1400,00000ASSIGNED TIME 54721,E10A180,00501,0100,06/15/2000 54721,E10A180,00501,0300,06/15/2000 54721,S000000,00100,0200,05/26/2000 54721,S200000,00100,0100,2480 S. GRANDE BLVD 54721,S200000,00200,0100,GREENSBURG 54721,S200000,00200,0200,PA 54721,S200000,00200,0300,15601 54721,S200000,00300,0100,WESTMORELAND 54721,S200000,00400,0100,WESTMORELAND MANOR 54721,S200000,00400,0200,395435 54721,S200000,00400,0300,01/01/1979 54721,S200000,00400,0500,P 54721,S200000,01600,0100,Y 54721,S200000,02800,0100,Y 54724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54724,A000000,00300,0000,00300EMPLOYEE BENEFITS 54724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54724,A000000,00700,0000,00700HOUSEKEEPING 54724,A000000,00800,0000,00800DIETARY 54724,A000000,00900,0000,00900NURSING ADMINISTRATION 54724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54724,A000000,01100,0000,01100PHARMACY 54724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54724,A000000,01300,0000,01300SOCIAL SERVICE 54724,A000000,01350,0000,01500PATIENT ACTIVITIES 54724,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54724,A000000,01600,0000,01600SKILLED NURSING FACILITY 54724,A000000,01800,0000,01800NURSING FACILITY 54724,A000000,01810,0000,01810ICF/MR 54724,A000000,02100,0000,02100RADIOLOGY 54724,A000000,02200,0000,02200LABORATORY 54724,A000000,02300,0000,02300INTRAVENOUS THERAPY 54724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54724,A000000,02500,0000,02500PHYSICAL THERAPY 54724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54724,A000000,02700,0000,02700SPEECH PATHOLOGY 54724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54724,A000000,03550,0000,03550FQHC 54724,A000000,05000,0000,05000CORF 54724,A000000,05010,0000,05010CMHC 54724,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54724,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54724,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54724,A000000,05300,0000,05300INTEREST EXPENSE 54724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54724,A000000,06150,0000,06300NONREIMBURSABLE 54724,A81000A,00100,0100,Y 54724,A81000B,00100,0300,FOOD 54724,A81000B,00200,0300,NURSERY ITEMS 54724,A81000C,00100,0100,E 54724,A81000C,00100,0200,JOSEPH FARRELL 54724,A81000C,00100,0400,FARRELL AND SMA 54724,A81000C,00100,0600,LEGAL SERVICES 54724,A81000C,00200,0100,E 54724,A81000C,00200,0200,MICHAEL SMALL 54724,A81000C,00200,0400,FARRELL AND SMA 54724,A81000C,00300,0100,E 54724,A81000C,00300,0200,ROBERT DIMATTEO 54724,A81000C,00300,0400,ASK FOODS 54724,A81000C,00300,0600,FOOD 54724,A81000C,00400,0100,E 54724,A81000C,00400,0200,WENDY HOLSINGER 54724,A81000C,00400,0400,ASK FOODS 54724,A81000C,00500,0100,E 54724,A81000C,00500,0200,GERALD SEILER 54724,A81000C,00500,0400,FARMINGWOLDE NU 54724,A81000C,00500,0600,NURSERY ITEMS 54724,B100000,00000,0100,00000SQUARE FEET 54724,B100000,00000,0200,00000SQUARE FEET 54724,B100000,00000,0300,00000GROSS SALARIES 54724,B100000,00000,0400,00000ACCUM COST 54724,B100000,00000,0500,00000SQUARE FEET 54724,B100000,00000,0600,00000PATIENT DAYS 54724,B100000,00000,0700,00000SQUARE FEET 54724,B100000,00000,0800,00000MEALS SERVED 54724,B100000,00000,0900,00000DIRECT NRSG HRS 54724,B100000,00000,1000,00000PATIENT DAYS 54724,B100000,00000,1100,00000COSTED REQS 54724,B100000,00000,1200,00000PATIENT DAYS 54724,B100000,00000,1300,00000PATIENT DAYS 54724,B100000,00000,1350,00000PATIENT DAYS 54724,B100000,00000,1400,00000ASSIGNED TIME 54724,E10A180,00301,0100,12/21/1999 54724,E10A180,00301,0300,12/21/1999 54724,E10A180,00501,0100,07/28/2000 54724,E10A180,00501,0300,07/28/2000 54724,S000000,00100,0200,05/31/2000 54724,S200000,00100,0100,1200 GRUBB STREET 54724,S200000,00200,0100,PALMYRA 54724,S200000,00200,0200,PA 54724,S200000,00200,0300,17078 54724,S200000,00300,0100,LEBANON 54724,S200000,00400,0100,LEBANON VALLEY BRETHREN HOME 54724,S200000,00400,0200,395437 54724,S200000,00400,0300,07/01/1979 54724,S200000,00400,0500,P 54724,S200000,00400,0600,O 54724,S200000,01600,0100,Y 54724,S200000,02200,0100,Y 54732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54732,A000000,00300,0000,00300EMPLOYEE BENEFITS 54732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54732,A000000,00700,0000,00700HOUSEKEEPING 54732,A000000,00800,0000,00800DIETARY 54732,A000000,00900,0000,00900NURSING ADMINISTRATION 54732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54732,A000000,01100,0000,01100PHARMACY 54732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54732,A000000,01300,0000,01300SOCIAL SERVICE 54732,A000000,01301,0000,01301ACTIVITIES 54732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54732,A000000,01600,0000,01600SKILLED NURSING FACILITY 54732,A000000,01810,0000,01810ICF/MR 54732,A000000,02100,0000,02100RADIOLOGY 54732,A000000,02200,0000,02200LABORATORY 54732,A000000,02300,0000,02300INTRAVENOUS THERAPY 54732,A000000,02500,0000,02500PHYSICAL THERAPY 54732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54732,A000000,02700,0000,02700SPEECH PATHOLOGY 54732,A000000,02800,0000,02800ELECTROCARDIOLOGY 54732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54732,A000000,03001,0000,03001PNEUMOCCAL 54732,A000000,03201,0000,03201OTHER ANCILLARY SERVICE 54732,A000000,03550,0000,03550FQHC 54732,A000000,05000,0000,05000CORF 54732,A000000,05010,0000,05010CMHC 54732,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54732,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54732,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54732,A000000,05300,0000,05300INTEREST EXPENSE 54732,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54732,A000000,06101,0000,06101RESIDENTIAL LIVING 54732,A81000A,00100,0100,Y 54732,A81000B,00100,0300,MANAGEMENT FEE 54732,A81000C,00100,0100,B 54732,A81000C,00100,0200,SHREWSBURY LUTH 54732,A81000C,00100,0400,LSS-SCPA 54732,A81000C,00100,0600,MANAGEMENT SREV 54732,B100000,00000,0100,00001SQUARE FEET 54732,B100000,00000,0200,00001SQUARE FEET 54732,B100000,00000,0300,00001GROSS SALARIES 54732,B100000,00000,0400,00001ACCUMULA- TED COST 54732,B100000,00000,0500,00001SQUARE FEET 54732,B100000,00000,0600,00001POUNDS OF LAUNDRY 54732,B100000,00000,0700,00001HOURS OF SERVICE 54732,B100000,00000,0800,00001MEALS SERVED 54732,B100000,00000,0900,00001DIRECT HOU OF SERVICE 54732,B100000,00000,1000,00001COSTED REQUIS 54732,B100000,00000,1100,00001COSTED REQUIS 54732,B100000,00000,1200,00001TIME SPENT 54732,B100000,00000,1300,00001TIME SPENT 54732,B100000,00000,1301,00001TIME SPENT 54732,B100000,00000,1400,00001ASSIGNED TIME 54732,E10A180,00501,0100,06/19/2000 54732,E10A180,00501,0300,06/19/2000 54732,S000000,00100,0200,05/24/2000 54732,S200000,00100,0100,200 LUTHER ROAD 54732,S200000,00200,0100,SHREWSBURY 54732,S200000,00200,0200,PA 54732,S200000,00200,0300,17361 54732,S200000,00300,0100,YORK 54732,S200000,00400,0100,BARBARA J EGAN NURSING AND REHABILIT 54732,S200000,00400,0200,395438 54732,S200000,00400,0300,01/01/1979 54732,S200000,00400,0500,P 54732,S200000,01500,0100,Y 54732,S200000,02800,0100,Y 54732,S200000,04700,0100,Y 54740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54740,A000000,00300,0000,00300EMPLOYEE BENEFITS 54740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54740,A000000,00700,0000,00700HOUSEKEEPING 54740,A000000,00800,0000,00800DIETARY 54740,A000000,00900,0000,00900NURSING ADMINISTRATION 54740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54740,A000000,01100,0000,01100PHARMACY 54740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54740,A000000,01300,0000,01300SOCIAL SERVICE 54740,A000000,01350,0000,01500OTHER GENERAL SERVICES 54740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54740,A000000,01600,0000,01600SKILLED NURSING FACILITY 54740,A000000,01800,0000,01800NURSING FACILITY 54740,A000000,01810,0000,01810ICF/MR 54740,A000000,01900,0000,01900OTHER LONG TERM CARE 54740,A000000,02100,0000,02100RADIOLOGY 54740,A000000,02200,0000,02200LABORATORY 54740,A000000,02300,0000,02300INTRAVENOUS THERAPY 54740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54740,A000000,02500,0000,02500PHYSICAL THERAPY 54740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54740,A000000,02700,0000,02700SPEECH PATHOLOGY 54740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54740,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54740,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54740,A000000,03550,0000,03550FQHC 54740,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54740,A000000,05000,0000,05000CORF 54740,A000000,05010,0000,05010CMHC 54740,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54740,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54740,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54740,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54740,A81000A,00100,0100,Y 54740,A81000B,00100,0300,ADMINISTRATION HOME OFFICE COS 54740,B100000,00000,0100,00000SQUARE FOOTAGE 54740,B100000,00000,0200,00000SQUARE FOOTAGE 54740,B100000,00000,0300,00000GROSS SALARIES 54740,B100000,00000,0400,00000ACCUM. COST 54740,B100000,00000,0500,00000SQUARE FOOTAGE 54740,B100000,00000,0600,00000POUNDS OF LAUNDRY 54740,B100000,00000,0700,00000SQUARE FOOTAGE 54740,B100000,00000,0800,00000MEALS 54740,B100000,00000,0900,00000HOURS 54740,B100000,00000,1000,00000COST 54740,B100000,00000,1100,00000NO STATISTICS 54740,B100000,00000,1200,00000DISCHARGES S 54740,B100000,00000,1300,00000ADMISSIONS S 54740,B100000,00000,1350,00000TIME 54740,B100000,00000,1400,00000NO STATISTICS 54740,S000000,00100,0200,05/31/2000 54740,S200000,00100,0100,807 GOUCHER STREET 54740,S200000,00200,0100,JOHNSTOWN 54740,S200000,00200,0200,PA 54740,S200000,00300,0100,CAMBRIA 54740,S200000,00400,0100,THE LUTHERAN HOME AT JOHNSTOWN 54740,S200000,00400,0200,395439 54740,S200000,00400,0300,06/15/1979 54740,S200000,00400,0500,O 54740,S200000,00600,0200,395439 54740,S200000,00600,0300,06/15/1979 54740,S200000,01600,0100,Y 54740,S200000,02200,0100,Y 54750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54750,A000000,00300,0000,00300EMPLOYEE BENEFITS 54750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54750,A000000,00700,0000,00700HOUSEKEEPING 54750,A000000,00800,0000,00800DIETARY 54750,A000000,00900,0000,00900NURSING ADMINISTRATION 54750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54750,A000000,01100,0000,01100PHARMACY 54750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54750,A000000,01300,0000,01300SOCIAL SERVICE 54750,A000000,01350,0000,01500PATIENT ACTIVITIES 54750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54750,A000000,01600,0000,01600SKILLED NURSING FACILITY 54750,A000000,01810,0000,01810ICF/MR 54750,A000000,01900,0000,01900OTHER LONG TERM CARE 54750,A000000,02100,0000,02100RADIOLOGY 54750,A000000,02200,0000,02200LABORATORY 54750,A000000,02300,0000,02300INTRAVENOUS THERAPY 54750,A000000,02500,0000,02500PHYSICAL THERAPY 54750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54750,A000000,02700,0000,02700SPEECH PATHOLOGY 54750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54750,A000000,03400,0000,03400CLINIC 54750,A000000,03550,0000,03550FQHC 54750,A000000,04750,0000,05100ADULT DAY CARE 54750,A000000,04751,0000,05110HOME SERVICES 54750,A000000,04800,0000,04800AMBULANCE 54750,A000000,05000,0000,05000CORF 54750,A000000,05010,0000,05010CMHC 54750,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54750,A000000,05300,0000,05300INTEREST EXPENSE 54750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54750,A000000,06150,0000,06300NONREIMBURSABLE 54750,A000000,06151,0000,06301GRANTHAM HEIGHTS 54750,A81000A,00100,0100,Y 54750,A81000B,00100,0300,RENTAL MANG FEES 54750,A81000B,00200,0300,ELECTRIC 54750,A81000B,00300,0300,WATER 54750,A81000B,00400,0300,REPAIRS 54750,A81000B,00500,0300,REAL ESTATE TAXES 54750,A81000C,00100,0100,C 54750,A81000C,00100,0400,GRANTHAM HEIGHT 54750,A81000C,00100,0600,RESIDENTIAL LIV 54750,B100000,00000,0100,00001SQUARE FEET 54750,B100000,00000,0200,00001SQUARE FEET 54750,B100000,00000,0300,00001GROSS SALARIES 54750,B100000,00000,0400,00001ACCUM COST 54750,B100000,00000,0500,00001SQUARE FEET 54750,B100000,00000,0600,00001POUNDS OF LAUNDRY 54750,B100000,00000,0700,00001SQUARE FOOTAGE 54750,B100000,00000,0800,00001MEALS SERVED 54750,B100000,00000,0900,00001DIRECT NRSG HRS 54750,B100000,00000,1000,00001COSTED REQUIS 54750,B100000,00000,1100,00001COSTED REQUIS 54750,B100000,00000,1200,00001DIRECT SALARY 54750,B100000,00000,1300,00001DIRECT SALARY 54750,B100000,00000,1350,00001PATIENT DAYS 54750,B100000,00000,1400,00001ASSIGNED TIME 54750,E10A180,00501,0100,01/08/2001 54750,E10A180,00501,0300,01/08/2001 54750,S000000,00100,0200,12/05/2000 54750,S200000,00100,0100,100 MT. ALLEN DRIVE 54750,S200000,00100,0300,2015 54750,S200000,00200,0100,MECHANICSBURG 54750,S200000,00200,0200,PA 54750,S200000,00300,0100,C 54750,S200000,00400,0100,MESSIAH VILLAGE 54750,S200000,00400,0200,395445 54750,S200000,00400,0300,01/01/1980 54750,S200000,00400,0500,P 54750,S200000,01500,0100,Y 54750,S200000,01900,0100,1 54750,S200000,02800,0100,Y 54758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54758,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54758,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54758,A000000,00300,0000,00300EMPLOYEE BENEFITS 54758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54758,A000000,00700,0000,00700HOUSEKEEPING 54758,A000000,00800,0000,00800DIETARY 54758,A000000,00801,0000,00801CAFETERIA 54758,A000000,00900,0000,00900NURSING ADMINISTRATION 54758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54758,A000000,01100,0000,01100PHARMACY 54758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54758,A000000,01300,0000,01300SOCIAL SERVICE 54758,A000000,01350,0000,01500REC THERAPY 54758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54758,A000000,01600,0000,01600SKILLED NURSING FACILITY 54758,A000000,01800,0000,01800NURSING FACILITY 54758,A000000,01810,0000,01810ICF/MR 54758,A000000,02100,0000,02100RADIOLOGY 54758,A000000,02200,0000,02200LABORATORY 54758,A000000,02300,0000,02300INTRAVENOUS THERAPY 54758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54758,A000000,02500,0000,02500PHYSICAL THERAPY 54758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54758,A000000,02700,0000,02700SPEECH PATHOLOGY 54758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54758,A000000,03050,0000,03300PEN THERAPY 54758,A000000,03051,0000,03301FEE SCREENING 54758,A000000,03052,0000,03302OTHER ANCILLARY III 54758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54758,A000000,03550,0000,03550FQHC 54758,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54758,A000000,04800,0000,04800AMBULANCE 54758,A000000,05000,0000,05000CORF I 54758,A000000,05010,0000,05010CMHC I 54758,A000000,05020,0000,05020OPT I 54758,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54758,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54758,A000000,05300,0000,05300INTEREST EXPENSE 54758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54758,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54758,A81000A,00100,0100,Y 54758,A81000B,00100,0300,MGMT 54758,A81000C,00100,0100,B 54758,A81000C,00100,0400,AGE INSTITUTE 54758,A81000C,00100,0600,PARENT COMPANY 54758,B100000,00000,0100,00000(SQUARE FEET) 54758,B100000,00000,0101,00000(SQUARE FEET) 54758,B100000,00000,0200,00000(SQUARE FEET) 54758,B100000,00000,0201,00000(SQUARE FEET) 54758,B100000,00000,0300,00000(GROSS SALARIES) 54758,B100000,00000,0400,00000(ACCUM. COST) 54758,B100000,00000,0500,00000(SQUARE FEET) 54758,B100000,00000,0600,00000(PATIENT DAYS) 54758,B100000,00000,0700,00000(SQUARE FEET) 54758,B100000,00000,0800,00000(MEALS SERVED) 54758,B100000,00000,0801,00000(MEALS SERVED) 54758,B100000,00000,0900,00000(NURSING SALARIES) 54758,B100000,00000,1000,00000COSTED REQ 54758,B100000,00000,1100,00000(COSTED REQUIS.) 54758,B100000,00000,1200,00000(PATIENT DAYS) 54758,B100000,00000,1300,00000(PATIENT DAYS) 54758,B100000,00000,1350,00000(PATIENT DAYS) 54758,B100000,00000,1400,00000(ASSIGNED TIME) 54758,S000000,00100,0200,05/30/2000 54758,S200000,00100,0100,2004 OLD ARCH ROAD 54758,S200000,00200,0100,NORRISTOWN 54758,S200000,00200,0200,PA 54758,S200000,00200,0300,19401 54758,S200000,00300,0100,MONTGOMERY 54758,S200000,00400,0100,TOWNE MANOR EAST 54758,S200000,00400,0200,395446 54758,S200000,00400,0300,06/28/1979 54758,S200000,00400,0500,P 54758,S200000,01600,0100,Y 54758,S200000,02200,0100,Y 54767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54767,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54767,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54767,A000000,00300,0000,00300EMPLOYEE BENEFITS 54767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54767,A000000,00700,0000,00700HOUSEKEEPING 54767,A000000,00800,0000,00800DIETARY 54767,A000000,00801,0000,00801CAFETERIA 54767,A000000,00900,0000,00900NURSING ADMINISTRATION 54767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54767,A000000,01100,0000,01100PHARMACY 54767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54767,A000000,01300,0000,01300SOCIAL SERVICE 54767,A000000,01350,0000,01500RECREATION 54767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54767,A000000,01600,0000,01600SKILLED NURSING FACILITY 54767,A000000,01800,0000,01800NURSING FACILITY 54767,A000000,01810,0000,01810ICF/MR 54767,A000000,02100,0000,02100RADIOLOGY 54767,A000000,02200,0000,02200LABORATORY 54767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54767,A000000,02500,0000,02500PHYSICAL THERAPY 54767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54767,A000000,02700,0000,02700SPEECH PATHOLOGY 54767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54767,A000000,03050,0000,03300PENN THERAPY 54767,A000000,03051,0000,03301FEE SCREENING 54767,A000000,03052,0000,03302OTHER ANCILLARY III 54767,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54767,A000000,03550,0000,03550FQHC 54767,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54767,A000000,04800,0000,04800AMBULANCE 54767,A000000,05000,0000,05000CORF I 54767,A000000,05010,0000,05010CMHC I 54767,A000000,05020,0000,05020OPT I 54767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54767,A000000,05300,0000,05300INTEREST EXPENSE 54767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54767,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54767,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54767,A81000A,00100,0100,Y 54767,A81000B,00100,0300,CROZER MEDICAL CENTER 54767,A81000B,00200,0300,AS ATTACHED 54767,A81000C,00100,0100,B 54767,A81000C,00100,0400,CROZERKEYSTONE 54767,A81000C,00100,0600,MANAGEMENT 54767,A81000C,00200,0100,B 54767,A81000C,00200,0400,GENESIS HEALTH 54767,A81000C,00200,0600,VARIOUS 54767,B100000,00000,0100,00000(SQUARE FEET) 54767,B100000,00000,0101,00000(SQUARE FEET) 54767,B100000,00000,0200,00000(SQUARE FEET) 54767,B100000,00000,0201,00000(SQUARE FEET) 54767,B100000,00000,0300,00000(GROSS SALARIES) 54767,B100000,00000,0400,00000(ACCUM. COST) 54767,B100000,00000,0500,00000(SQUARE FEET) 54767,B100000,00000,0600,00000(PATIENT DAYS) 54767,B100000,00000,0700,00000(SQUARE FEET) 54767,B100000,00000,0800,00000(MEALS SERVED) 54767,B100000,00000,0801,00000(MEALS SERVED) 54767,B100000,00000,0900,00000(NURSING SALARIES) 54767,B100000,00000,1000,00000(COSTED REQUIS.) 54767,B100000,00000,1100,00000(COSTED REQUIS.) 54767,B100000,00000,1200,00000(PATIENT DAYS) 54767,B100000,00000,1300,00000(PATIENT DAYS) 54767,B100000,00000,1350,00000(PATIENT DAYS) 54767,B100000,00000,1400,00000(ASSIGNED TIME) 54767,E10A180,00501,0100,03/27/2000 54767,E10A180,00550,0300,03/27/2000 54767,S000000,00100,0200,02/28/2000 54767,S200000,00100,0100,1104 WELSH ROAD 54767,S200000,00200,0100,PHILADELPHIA 54767,S200000,00200,0200,PA 54767,S200000,00200,0300,19115 54767,S200000,00300,0100,PHILADELPHIA 54767,S200000,00400,0100,CHAPEL MANOR 54767,S200000,00400,0200,395449 54767,S200000,00400,0300,06/01/1988 54767,S200000,00400,0500,P 54767,S200000,01600,0100,Y 54767,S200000,02200,0100,Y 54779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54779,A000000,00300,0000,00300EMPLOYEE BENEFITS 54779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54779,A000000,00700,0000,00700HOUSEKEEPING 54779,A000000,00800,0000,00800DIETARY 54779,A000000,00900,0000,00900NURSING ADMINISTRATION 54779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54779,A000000,01100,0000,01100PHARMACY 54779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54779,A000000,01300,0000,01300SOCIAL SERVICE 54779,A000000,01350,0000,01500ACTIVITIES 54779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54779,A000000,01600,0000,01600SKILLED NURSING FACILITY 54779,A000000,01800,0000,01800NURSING FACILITY 54779,A000000,01810,0000,01810ICF/MR 54779,A000000,01900,0000,01900OTHER LONG TERM CARE 54779,A000000,02100,0000,02100RADIOLOGY 54779,A000000,02200,0000,02200LABORATORY 54779,A000000,02500,0000,02500PHYSICAL THERAPY 54779,A000000,02700,0000,02700SPEECH PATHOLOGY 54779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54779,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54779,A000000,03400,0000,03400CLINIC 54779,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54779,A000000,03550,0000,03550FQHC 54779,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54779,A000000,04800,0000,04800AMBULANCE 54779,A000000,05000,0000,05000CORF 54779,A000000,05010,0000,05010CMHC 54779,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54779,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54779,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54779,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54779,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54779,A000000,06150,0000,06300PBP BENEFITS/NONREIMBURSABLE 54779,B100000,00000,0100,00000SQUARE FEET 54779,B100000,00000,0200,00000DOLLAR VALUE 54779,B100000,00000,0300,00000GROSS SALARIES 54779,B100000,00000,0400,00000ACCUM. COST 54779,B100000,00000,0500,00000SQUARE FEET 54779,B100000,00000,0600,00000POUNDS OF LAUNDRY 54779,B100000,00000,0700,00000SQUARE FEET 54779,B100000,00000,0800,00000MEALS SERVED 54779,B100000,00000,0900,00000DIRECT NRSING HRS 54779,B100000,00000,1000,00000PATIENT DAYS 54779,B100000,00000,1100,00000COSTED REQUIS. 54779,B100000,00000,1200,00000PATIENT DAYS 54779,B100000,00000,1300,00000PATIENT DAYS 54779,B100000,00000,1350,00000PATIENT DAYS 54779,B100000,00000,1400,00000ASSIGNED TIME 54779,E10A180,00301,0100,06/25/1998 54779,E10A180,00501,0100,07/12/2000 54779,E10A180,00501,0300,07/12/2000 54779,S000000,00100,0200,05/30/2000 54779,S200000,00100,0100,1600 BLACK ROCK RD. 54779,S200000,00200,0100,ROYERSFORD 54779,S200000,00200,0200,PA 54779,S200000,00300,0100,MONTGOMERY 54779,S200000,00400,0100,MONTGOMERY COUNTY GERIATRIC CENTER 54779,S200000,00400,0200,395454 54779,S200000,00400,0300,10/22/1979 54779,S200000,00400,0500,P 54779,S200000,01600,0100,Y 54779,S200000,04300,0100,Y 54789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54789,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54789,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54789,A000000,00300,0000,00300EMPLOYEE BENEFITS 54789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54789,A000000,00700,0000,00700HOUSEKEEPING 54789,A000000,00800,0000,00800DIETARY 54789,A000000,00801,0000,00801CAFETERIA 54789,A000000,00900,0000,00900NURSING ADMINISTRATION 54789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54789,A000000,01100,0000,01100PHARMACY 54789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54789,A000000,01300,0000,01300SOCIAL SERVICE 54789,A000000,01350,0000,01500RECREATION 54789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54789,A000000,01600,0000,01600SKILLED NURSING FACILITY 54789,A000000,01800,0000,01800NURSING FACILITY 54789,A000000,01810,0000,01810ICF/MR 54789,A000000,02100,0000,02100RADIOLOGY 54789,A000000,02200,0000,02200LABORATORY 54789,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54789,A000000,02500,0000,02500PHYSICAL THERAPY 54789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54789,A000000,02700,0000,02700SPEECH PATHOLOGY 54789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54789,A000000,03050,0000,03300PENN THERAPY 54789,A000000,03051,0000,03301FEE SCREENING 54789,A000000,03052,0000,03302OTHER ANCILLARY III 54789,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54789,A000000,03550,0000,03550FQHC 54789,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54789,A000000,04800,0000,04800AMBULANCE 54789,A000000,05000,0000,05000CORF I 54789,A000000,05010,0000,05010CMHC I 54789,A000000,05020,0000,05020OPT I 54789,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54789,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54789,A000000,05300,0000,05300INTEREST EXPENSE 54789,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54789,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54789,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54789,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54789,A81000A,00100,0100,Y 54789,A81000B,00100,0300,HOME OFFICE COSTS 54789,A81000B,00200,0300,HOME OFFICE INT. 54789,A81000B,00300,0300,AS ATTACHED 54789,A81000B,00400,0300,HOME OFFICE CAPITAL 54789,A81000C,00100,0100,B 54789,A81000C,00100,0400,GHV 54789,A81000C,00100,0600,HOME OFFICE 54789,A81000C,00200,0100,B 54789,A81000C,00200,0400,GHV 54789,A81000C,00200,0600,HOME OFFICE 54789,A81000C,00300,0100,B 54789,A81000C,00300,0400,AS ATTACHED 54789,A81000C,00300,0600,VARIOUS 54789,A81000C,00400,0100,B 54789,A81000C,00400,0400,GHV 54789,A81000C,00400,0600,HOME OFFICE 54789,B100000,00000,0100,00000(SQUARE FEET) 54789,B100000,00000,0101,00000(SQUARE FEET) 54789,B100000,00000,0200,00000(SQUARE FEET) 54789,B100000,00000,0201,00000(SQUARE FEET) 54789,B100000,00000,0300,00000(GROSS SALARIES) 54789,B100000,00000,0400,00000(ACCUM. COST) 54789,B100000,00000,0500,00000(SQUARE FEET) 54789,B100000,00000,0600,00000(PATIENT DAYS) 54789,B100000,00000,0700,00000(SQUARE FEET) 54789,B100000,00000,0800,00000(MEALS SERVED) 54789,B100000,00000,0801,00000(MEALS SERVED) 54789,B100000,00000,0900,00000(NURSING SALARIES) 54789,B100000,00000,1000,00000(PATIENT DAYS) 54789,B100000,00000,1100,00000(COSTED REQUIS.) 54789,B100000,00000,1200,00000(PATIENT DAYS) 54789,B100000,00000,1300,00000(PATIENT DAYS) 54789,B100000,00000,1350,00000(PATIENT DAYS) 54789,B100000,00000,1400,00000(ASSIGNED TIME) 54789,E10A180,00501,0100,03/14/2000 54789,E10A180,00501,0300,03/14/2000 54789,S000000,00100,0200,02/28/2000 54789,S200000,00100,0100,262 TOLLGATE RD 54789,S200000,00200,0100,LANGHORNE 54789,S200000,00200,0200,PA 54789,S200000,00300,0100,BUCKS 54789,S200000,00400,0100,CRESTVIEW CENTER 54789,S200000,00400,0200,395459 54789,S200000,00400,0300,05/31/1981 54789,S200000,00400,0500,P 54789,S200000,01600,0100,Y 54789,S200000,02200,0100,Y 54789,S200000,04900,0100,Y 54798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54798,A000000,00101,0000,00101CAP REL COSTS - WING ABC 54798,A000000,00102,0000,00102CAP REL COSTS - WING D OLD 54798,A000000,00103,0000,00103CAP REL COSTS - WING D NEW 54798,A000000,00104,0000,00104CAP REL COSTS - PERSONAL CARE 54798,A000000,00105,0000,00105CAP REL COSTS - ENTIRE FACILITY 54798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54798,A000000,00300,0000,00300EMPLOYEE BENEFITS 54798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54798,A000000,00700,0000,00700HOUSEKEEPING 54798,A000000,00800,0000,00800DIETARY 54798,A000000,00900,0000,00900NURSING ADMINISTRATION 54798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54798,A000000,01100,0000,01100PHARMACY 54798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54798,A000000,01300,0000,01300SOCIAL SERVICE 54798,A000000,01350,0000,01500PATIENT ACTIVITIES 54798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54798,A000000,01600,0000,01600SKILLED NURSING FACILITY 54798,A000000,01800,0000,01800NURSING FACILITY 54798,A000000,02100,0000,02100RADIOLOGY 54798,A000000,02200,0000,02200LABORATORY 54798,A000000,02300,0000,02300INTRAVENOUS THERAPY 54798,A000000,02500,0000,02500PHYSICAL THERAPY 54798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54798,A000000,02700,0000,02700SPEECH PATHOLOGY 54798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54798,A000000,02901,0000,02901CLINITRON BEDS 54798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54798,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54798,A000000,03550,0000,03550FQHC 54798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54798,A000000,05000,0000,05000CORF 54798,A000000,05010,0000,05010CMHC 54798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54798,A000000,06150,0000,06300ADULT DAY CARE 54798,A000000,06151,0000,06301PERSONAL CARE 54798,B100000,00000,0100,00001SQUARE FEET ENTIR 54798,B100000,00000,0101,00001SQUARE FEET WING 54798,B100000,00000,0102,00001SQUARE FEET WIN 54798,B100000,00000,0103,00001SQUARE FEET WIN 54798,B100000,00000,0104,00001SQUARE FEET PE 54798,B100000,00000,0105,00001SQUARE FEET ENTIR 54798,B100000,00000,0200,00001DOLLAR VALUE 54798,B100000,00000,0300,00001GROSS SALARIES 54798,B100000,00000,0400,00001ACCUM. COST 54798,B100000,00000,0500,00001SQUARE FEET ENTIR 54798,B100000,00000,0600,00001POUNDS OF LAUNDRY 54798,B100000,00000,0700,00001SQUARE FEET EXCLU 54798,B100000,00000,0800,00001PATIENT DAYS 54798,B100000,00000,0900,00001DIRECT NRSING HRS 54798,B100000,00000,1000,00001COSTED REQUIS. 54798,B100000,00000,1100,00001COSTED REQUIS. 54798,B100000,00000,1200,00001TIME SPENT 54798,B100000,00000,1300,00001TIME SPENT 54798,B100000,00000,1350,00001PATIENT DAYS 54798,B100000,00000,1400,00001ASSIGNED TIME 54798,E10A180,00501,0100,12/04/2000 54798,E10A180,00501,0300,12/04/2000 54798,S000000,00100,0200,11/09/2000 54798,S200000,00100,0100,1100 WEST LONG AVENUE 54798,S200000,00200,0100,DUBOIS 54798,S200000,00200,0200,PA 54798,S200000,00200,0300,15801 54798,S200000,00300,0100,CLEARFIELD 54798,S200000,00400,0100,CHRIST THE KING MANOR INC 54798,S200000,00400,0200,395460 54798,S200000,00400,0300,04/01/1980 54798,S200000,00400,0500,P 54798,S200000,01600,0100,Y 54798,S200000,04300,0100,Y 54807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54807,A000000,00300,0000,00300EMPLOYEE BENEFITS 54807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54807,A000000,00700,0000,00700HOUSEKEEPING 54807,A000000,00800,0000,00800DIETARY 54807,A000000,00900,0000,00900NURSING ADMINISTRATION 54807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54807,A000000,01100,0000,01100PHARMACY 54807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54807,A000000,01300,0000,01300SOCIAL SERVICE 54807,A000000,01350,0000,01500ACTIVITIES 54807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54807,A000000,01600,0000,01600SKILLED NURSING FACILITY 54807,A000000,01800,0000,01800NURSING FACILITY 54807,A000000,01810,0000,01810ICF/MR 54807,A000000,02100,0000,02100RADIOLOGY 54807,A000000,02500,0000,02500PHYSICAL THERAPY 54807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54807,A000000,02700,0000,02700SPEECH PATHOLOGY 54807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54807,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54807,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54807,A000000,03550,0000,03550FQHC 54807,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54807,A000000,05000,0000,05000CORF 54807,A000000,05010,0000,05010CMHC 54807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54807,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54807,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54807,A81000A,00100,0100,Y 54807,A81000B,00100,0300,MANAGEMENT FEE 54807,A81000B,00200,0300,CAPITAL EXPENSE 54807,A81000C,00100,0100,B 54807,A81000C,00100,0200,COURTLAND HEALTHCARE INC 54807,A81000C,00100,0400,COURTLAND HEALTHCARE INC 54807,A81000C,00100,0600,HOME OFFICE 54807,B100000,00000,0100,00000SQUARE FEET 54807,B100000,00000,0200,00000SQUARE FEET 54807,B100000,00000,0300,00000GROSS SALARIES 54807,B100000,00000,0400,00000ACCUM. COST 54807,B100000,00000,0500,00000SQUARE FEET 54807,B100000,00000,0600,00000PATIENT DAYS 54807,B100000,00000,0700,00000PATIENT DAYS 54807,B100000,00000,0800,00000MEALS SERVED 54807,B100000,00000,0900,00000NURSING SALARIES 54807,B100000,00000,1000,00000PATIENT DAYS 54807,B100000,00000,1100,00000PATIENT DAYS 54807,B100000,00000,1200,00000GROSS CHARGES 54807,B100000,00000,1300,00000PATIENT DAYS 54807,B100000,00000,1350,00000PATIENT DAYS 54807,B100000,00000,1400,00000ASSIGNED TIME 54807,E10A180,00501,0100,12/20/2000 54807,E10A180,00501,0300,12/20/2000 54807,S000000,00100,0200,11/30/2000 54807,S200000,00100,0100,1011-11 WALLACE STREET 54807,S200000,00200,0100,PHILADELPHIA 54807,S200000,00200,0200,PA 54807,S200000,00200,0300,19123 54807,S200000,00400,0100,TUCKER HOUSE II 54807,S200000,00400,0200,395461 54807,S200000,00400,0300,08/01/1981 54807,S200000,00400,0500,P 54807,S200000,01600,0100,Y 54825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54825,A000000,00300,0000,00300EMPLOYEE BENEFITS 54825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54825,A000000,00700,0000,00700HOUSEKEEPING 54825,A000000,00800,0000,00800DIETARY 54825,A000000,00900,0000,00900NURSING ADMINISTRATION 54825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54825,A000000,01100,0000,01100PHARMACY 54825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54825,A000000,01300,0000,01300SOCIAL SERVICE 54825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54825,A000000,01600,0000,01600SKILLED NURSING FACILITY 54825,A000000,01810,0000,01810ICF/MR 54825,A000000,02200,0000,02200LABORATORY 54825,A000000,02500,0000,02500PHYSICAL THERAPY 54825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54825,A000000,02700,0000,02700SPEECH PATHOLOGY 54825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54825,A000000,03550,0000,03550FQHC 54825,A000000,05000,0000,05000CORF 54825,A000000,05010,0000,05010CMHC 54825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54825,A81000A,00100,0100,Y 54825,A81000B,00100,0300,COUNTY ALLOCATION 54825,A81000C,00100,0100,G 54825,A81000C,00100,0200,CARBON COUNTY 54825,A81000C,00100,0400,CARBON COUNTY 54825,A81000C,00100,0600,COUNTY 54825,B100000,00000,0100,00040SQUARE FEET 54825,B100000,00000,0200,00040SQUARE FEET 54825,B100000,00000,0300,00040GROSS SALARIES 54825,B100000,00000,0400,00040ACCUM COST 54825,B100000,00000,0500,00040SQUARE FEET 54825,B100000,00000,0600,00040POUNDS OF LAUNDRY 54825,B100000,00000,0700,00040HOURS OF SERVICE 54825,B100000,00000,0800,00040MEALS SERVED 54825,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 54825,B100000,00000,1000,00040COSTED REQUISITIO 54825,B100000,00000,1100,00040COSTED REQUIS 54825,B100000,00000,1200,00040TIME SPENT 54825,B100000,00000,1300,00040TIME SPENT 54825,B100000,00000,1400,00040ASSIGNED TIME 54825,E10A180,00501,0100,06/12/2000 54825,E10A180,00501,0300,06/12/2000 54825,S000000,00100,0200,05/24/2000 54825,S200000,00100,0100,1000 EVERGREEN AVE 54825,S200000,00200,0100,WEATHERLY 54825,S200000,00200,0200,PA 54825,S200000,00200,0300,18255 54825,S200000,00300,0100,CARBON 54825,S200000,00400,0100,WEATHERWOOD - CARBON COUNTY HOME 54825,S200000,00400,0200,395464 54825,S200000,00400,0300,08/01/1980 54825,S200000,00400,0500,P 54825,S200000,01500,0100,Y 54825,S200000,04300,0100,Y 54834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54834,A000000,00300,0000,00300EMPLOYEE BENEFITS 54834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54834,A000000,00700,0000,00700HOUSEKEEPING 54834,A000000,00800,0000,00800DIETARY 54834,A000000,00900,0000,00900NURSING ADMINISTRATION 54834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54834,A000000,01100,0000,01100PHARMACY 54834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54834,A000000,01300,0000,01300SOCIAL SERVICE 54834,A000000,01350,0000,01500OTHER GENERAL SERVICES 54834,A000000,01351,0000,01501PATIENT ACTIVITIES 54834,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54834,A000000,01600,0000,01600SKILLED NURSING FACILITY 54834,A000000,01800,0000,01800NURSING FACILITY 54834,A000000,01810,0000,01810ICF/MR 54834,A000000,02100,0000,02100RADIOLOGY 54834,A000000,02200,0000,02200LABORATORY 54834,A000000,02500,0000,02500PHYSICAL THERAPY 54834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54834,A000000,02700,0000,02700SPEECH PATHOLOGY 54834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54834,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54834,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54834,A000000,03550,0000,03550FQHC 54834,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54834,A000000,04800,0000,04800AMBULANCE 54834,A000000,05000,0000,05000CORF 54834,A000000,05010,0000,05010CMHC 54834,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54834,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54834,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54834,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54834,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54834,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54834,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54834,A000000,06200,0000,06200PATIENTS LAUNDRY 54834,A81000A,00100,0100,Y 54834,A81000B,00100,0300,COUNTY INDIRECT COST 54834,A81000C,00100,0100,A 54834,A81000C,00100,0200,INDIRECT COST ALLOCATION 54834,A81000C,00100,0400,LEHIOGH COUNTY 54834,A81000C,00100,0600,COUNTY GOVERNMENT 54834,B100000,00000,0100,00000SQUARE FEET 54834,B100000,00000,0200,00000SQUARE FEET 54834,B100000,00000,0300,00000GROSS SALARIES 54834,B100000,00000,0400,00000ACCUM. COST 54834,B100000,00000,0500,00000SQUARE FEET 54834,B100000,00000,0600,00000POUNDS OF LAUNDRY 54834,B100000,00000,0700,00000SQ FT (EXC DIET) 54834,B100000,00000,0800,00000MEALS SERVED 54834,B100000,00000,0900,00000PATIENT DAYS 54834,B100000,00000,1000,00000PATIENT DAYS 54834,B100000,00000,1100,00000PATIENT DAYS 54834,B100000,00000,1200,00000PATIENT DAYS 54834,B100000,00000,1300,00000PATIENT DAYS 54834,B100000,00000,1350,00000NO STATISTICS 54834,B100000,00000,1351,00000PATIENT DAYS 54834,B100000,00000,1400,00000ASSIGNED TIME 54834,E10A180,00501,0100,07/18/2000 54834,E10A180,00501,0300,07/18/2000 54834,S000000,00100,0200,05/31/2000 54834,S200000,00100,0100,350 SOUTH CEDARBROOK 54834,S200000,00200,0100,ALLENTOWN 54834,S200000,00200,0200,PA 54834,S200000,00300,0100,LEHIGH 54834,S200000,00400,0100,CEDARBROOK NURSING HOME 54834,S200000,00400,0200,395465 54834,S200000,00400,0300,08/01/1980 54834,S200000,00400,0500,P 54834,S200000,00400,0600,O 54834,S200000,01600,0100,Y 54834,S200000,02800,0100,Y 54838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54838,A000000,00300,0000,00300EMPLOYEE BENEFITS 54838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54838,A000000,00700,0000,00700HOUSEKEEPING 54838,A000000,00800,0000,00800DIETARY 54838,A000000,00900,0000,00900NURSING ADMINISTRATION 54838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54838,A000000,01100,0000,01100PHARMACY 54838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54838,A000000,01300,0000,01300SOCIAL SERVICE 54838,A000000,01350,0000,01500ACTIVITIES 54838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54838,A000000,01600,0000,01600SKILLED NURSING FACILITY 54838,A000000,01810,0000,01810ICF/MR 54838,A000000,02200,0000,02200LABORATORY 54838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54838,A000000,02500,0000,02500PHYSICAL THERAPY 54838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54838,A000000,02700,0000,02700SPEECH PATHOLOGY 54838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54838,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54838,A000000,03550,0000,03550FQHC 54838,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54838,A000000,05000,0000,05000CORF 54838,A000000,05010,0000,05010CMHC 54838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54838,A000000,05300,0000,05300INTEREST EXPENSE 54838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54838,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54838,A81000A,00100,0100,Y 54838,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 54838,A81000B,00200,0300,CAPITAL RELATED - BUILDINGS 54838,A81000B,00300,0300,CAPITAL RELATED - EQUIPMENT 54838,A81000C,00100,0100,B 54838,A81000C,00100,0200,NORTH AMERICAN MEDICAL 54838,A81000C,00100,0400,MILFORD VALLEY CONV. HOME 54838,A81000C,00100,0600,SNF 54838,A81000C,00200,0200,CENTERS INC. 54838,A81000C,00200,0400,SCENERY HILL MANOR INC. 54838,A81000C,00200,0600,SNF 54838,B100000,00000,0100,00000(SQUARE FEET) 54838,B100000,00000,0200,00000(SQUARE FEET) 54838,B100000,00000,0300,00000(GROSS SALARIES) 54838,B100000,00000,0400,00000(ACCUM. COST) 54838,B100000,00000,0500,00000(SQUARE FEET) 54838,B100000,00000,0600,00000(PATIENT DAYS) 54838,B100000,00000,0700,00000(SQUARE FEET) 54838,B100000,00000,0800,00000(MEALS SERVED) 54838,B100000,00000,0900,00000(NURSING HOURS) 54838,B100000,00000,1000,00000(PATIENT DAYS) 54838,B100000,00000,1100,00000NO STATISTICS 54838,B100000,00000,1200,00000(PATIENT DAYS) 54838,B100000,00000,1300,00000(PATIENT DAYS) 54838,B100000,00000,1350,00000(PATIENT DAYS) 54838,B100000,00000,1400,00000NO STATISTICS 54838,E10A180,00350,0100,01/15/1999 54838,E10A180,00501,0100,07/06/2000 54838,S000000,00100,0200,05/23/2000 54838,S200000,00100,0100,ROUTES 6 AND 209 54838,S200000,00200,0100,MILFORD 54838,S200000,00200,0200,PA 54838,S200000,00200,0300,18337 54838,S200000,00300,0100,PIKE 54838,S200000,00400,0100,MILFORD VALLEY CONV. HOME INC. 54838,S200000,00400,0200,395466 54838,S200000,00400,0300,04/01/1980 54838,S200000,00400,0500,P 54838,S200000,01500,0100,Y 54838,S200000,02800,0100,Y 54838,S200000,04300,0100,Y 54849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54849,A000000,00101,0000,00101CAP REL COSTS - COMMON 54849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54849,A000000,00201,0000,00201CAP REL COSTS - ENTIRE FACILITY 54849,A000000,00300,0000,00300EMPLOYEE BENEFITS 54849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54849,A000000,00700,0000,00700HOUSEKEEPING 54849,A000000,00800,0000,00800DIETARY 54849,A000000,00900,0000,00900NURSING ADMINISTRATION 54849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54849,A000000,01100,0000,01100PHARMACY 54849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54849,A000000,01300,0000,01300SOCIAL SERVICE 54849,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 54849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54849,A000000,01600,0000,01600SKILLED NURSING FACILITY 54849,A000000,01810,0000,01810ICF/MR 54849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54849,A000000,02500,0000,02500PHYSICAL THERAPY 54849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54849,A000000,02700,0000,02700SPEECH PATHOLOGY 54849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54849,A000000,03550,0000,03550FQHC 54849,A000000,05000,0000,05000CORF 54849,A000000,05010,0000,05010CMHC 54849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54849,A000000,05300,0000,05300INTEREST EXPENSE 54849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54849,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54849,A000000,06150,0000,06300APARTMENTS/RESIDENTIAL 54849,B100000,00000,0100,00000SQ FT- BLDG &FIX 54849,B100000,00000,0101,00000SQ FT- COMMON 54849,B100000,00000,0200,00000BLANK 54849,B100000,00000,0201,00000SQ FT- ENT FAC 54849,B100000,00000,0300,00000SALARIES 54849,B100000,00000,0400,00000ACCUM. COST 54849,B100000,00000,0500,00000SQ FT- ENT FAC 54849,B100000,00000,0600,00000TOTAL DAYS 54849,B100000,00000,0700,00000SQ FT- ENT FAC 54849,B100000,00000,0800,00000MEALS 54849,B100000,00000,0900,00000SNF DAYS 54849,B100000,00000,1000,00000BLANK 54849,B100000,00000,1100,00000BLANK 54849,B100000,00000,1200,00000SNF DAYS 54849,B100000,00000,1300,00000TOTAL DAYS 54849,B100000,00000,1350,00000SNF DAYS 54849,B100000,00000,1400,00000BLANK 54849,E10A180,00501,0100,11/28/2000 54849,E10A180,00501,0300,11/28/2000 54849,S000000,00100,0200,11/17/2000 54849,S200000,00100,0100,600 EAST CATHEDRAL ROAD 54849,S200000,00200,0100,PHILADELPHIA 54849,S200000,00200,0200,PA 54849,S200000,00200,0300,19128 54849,S200000,00300,0100,PHILADELPHIA 54849,S200000,00400,0100,CATHEDRAL VILLAGE 54849,S200000,00400,0200,395467 54849,S200000,00400,0300,03/28/1980 54849,S200000,00400,0500,P 54849,S200000,00400,0600,P 54849,S200000,01500,0100,Y 54857,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54857,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54857,A000000,00300,0000,00300EMPLOYEE BENEFITS 54857,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54857,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54857,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54857,A000000,00700,0000,00700HOUSEKEEPING 54857,A000000,00800,0000,00800DIETARY 54857,A000000,00900,0000,00900NURSING ADMINISTRATION 54857,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54857,A000000,01100,0000,01100PHARMACY 54857,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54857,A000000,01300,0000,01300SOCIAL SERVICE 54857,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54857,A000000,01600,0000,01600SKILLED NURSING FACILITY 54857,A000000,01800,0000,01800NURSING FACILITY 54857,A000000,01810,0000,01810ICF/MR 54857,A000000,02100,0000,02100RADIOLOGY 54857,A000000,02200,0000,02200LABORATORY 54857,A000000,02300,0000,02300INTRAVENOUS THERAPY 54857,A000000,02500,0000,02500PHYSICAL THERAPY 54857,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54857,A000000,02700,0000,02700SPEECH PATHOLOGY 54857,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54857,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54857,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54857,A000000,03051,0000,03301EQUIPMENT RENTAL 54857,A000000,03550,0000,03550FQHC 54857,A000000,05000,0000,05000CORF 54857,A000000,05010,0000,05010CMHC 54857,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54857,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54857,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54857,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 54857,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54857,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54857,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54857,A000000,05901,0000,05901ADULT DAY CARE 54857,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54857,B100000,00000,0100,00000SQUARE FEET 54857,B100000,00000,0200,00000SQUARE FEET 54857,B100000,00000,0300,00000GROSS SALARIES 54857,B100000,00000,0400,00000ACCUM. COST 54857,B100000,00000,0500,00000SQUARE FEET 54857,B100000,00000,0600,00000POUNDS OF LAUNDRY 54857,B100000,00000,0700,00000HOURS OF SERVICE 54857,B100000,00000,0800,00000MEALS SERVED 54857,B100000,00000,0900,00000DIRECT NRSING HRS 54857,B100000,00000,1000,00000COSTED REQUIS. 54857,B100000,00000,1100,00000COSTED REQUIS. 54857,B100000,00000,1200,00000TIME SPENT 54857,B100000,00000,1300,00000TIME SPENT 54857,B100000,00000,1400,00000ASSIGNED TIME 54857,E10A180,00501,0100,06/12/2000 54857,E10A180,00501,0300,06/12/2000 54857,E10A180,00502,0100,06/07/2000 54857,E10A180,00550,0300,06/07/2000 54857,S000000,00100,0200,05/20/2000 54857,S200000,00100,0100,265 SOUTH MCKEAN STREET 54857,S200000,00200,0100,KITTANNING 54857,S200000,00200,0200,PA 54857,S200000,00300,0100,ARMSTRONG 54857,S200000,00400,0100,ARMSTRONG COUNTY HEALTH CENTER 54857,S200000,00400,0200,395471 54857,S200000,00400,0300,01/01/1981 54857,S200000,00400,0500,P 54857,S200000,01600,0100,Y 54857,S200000,02800,0100,Y 54866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54866,A000000,00300,0000,00300EMPLOYEE BENEFITS 54866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54866,A000000,00700,0000,00700HOUSEKEEPING 54866,A000000,00800,0000,00800DIETARY 54866,A000000,00900,0000,00900NURSING ADMINISTRATION 54866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54866,A000000,01100,0000,01100PHARMACY 54866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54866,A000000,01300,0000,01300SOCIAL SERVICE 54866,A000000,01350,0000,01500OTHER GENERAL SERVICES 54866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54866,A000000,01600,0000,01600SKILLED NURSING FACILITY 54866,A000000,01810,0000,01810ICF/MR 54866,A000000,01900,0000,01900OTHER LONG TERM CARE 54866,A000000,02100,0000,02100RADIOLOGY 54866,A000000,02200,0000,02200LABORATORY 54866,A000000,02500,0000,02500PHYSICAL THERAPY 54866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54866,A000000,02700,0000,02700SPEECH PATHOLOGY 54866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54866,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54866,A000000,03550,0000,03550FQHC 54866,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54866,A000000,05000,0000,05000CORF 54866,A000000,05010,0000,05010CMHC 54866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54866,A000000,05300,0000,05300INTEREST EXPENSE 54866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54866,A000000,05801,0000,05801REAL ESTATE SCHOOL TAXES 54866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54866,A000000,06101,0000,06101TRANSPORTATION 54866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54866,A000000,06151,0000,06301FITNESS 54866,A000000,06152,0000,06302RESIDENT SERVICES 54866,A000000,06153,0000,06303COMPANION SERVICES 54866,B100000,00000,0100,00003SQUARE FEET 54866,B100000,00000,0200,00003DOLLAR VALUE 54866,B100000,00000,0300,00003GROSS SALARIES 54866,B100000,00000,0400,00003ACCUM. COST 54866,B100000,00000,0500,00003SQUARE FEET 54866,B100000,00000,0600,00003POUNDS OF LAUNDRY 54866,B100000,00000,0700,00003SQUARE FEET 54866,B100000,00000,0800,00003MEALS SERVED 54866,B100000,00000,0900,00003# OF HEALTH CE 54866,B100000,00000,1000,00003COSTED REQUIS. 54866,B100000,00000,1100,00003TOTAL BEDS 54866,B100000,00000,1200,00003TIME SPENT 54866,B100000,00000,1300,00003TIME SPENT 54866,B100000,00000,1350,00003NO STATISTICS 54866,B100000,00000,1400,00003ASSIGNED TIME 54866,S000000,00100,0200,09/05/2000 54866,S200000,00100,0100,1382 NEWTOWN-LANGHORNE RD 54866,S200000,00200,0100,NEWTOWN 54866,S200000,00200,0200,PA 54866,S200000,00300,0100,B 54866,S200000,00400,0100,PENNSWOOD VILLAGE 54866,S200000,00400,0200,395473 54866,S200000,00400,0300,06/18/1980 54866,S200000,00400,0500,P 54866,S200000,01500,0100,Y 54866,S200000,02800,0100,Y 54878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54878,A000000,00300,0000,00300EMPLOYEE BENEFITS 54878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54878,A000000,00700,0000,00700HOUSEKEEPING 54878,A000000,00800,0000,00800DIETARY 54878,A000000,00900,0000,00900NURSING ADMINISTRATION 54878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54878,A000000,01100,0000,01100PHARMACY 54878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54878,A000000,01300,0000,01300SOCIAL SERVICE 54878,A000000,01350,0000,01500PATIENT ACTIVITIES 54878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54878,A000000,01600,0000,01600SKILLED NURSING FACILITY 54878,A000000,01800,0000,01800NURSING FACILITY 54878,A000000,01810,0000,01810ICF/MR 54878,A000000,02100,0000,02100RADIOLOGY 54878,A000000,02200,0000,02200LABORATORY 54878,A000000,02500,0000,02500PHYSICAL THERAPY 54878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54878,A000000,02700,0000,02700SPEECH PATHOLOGY 54878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54878,A000000,03550,0000,03550FQHC 54878,A000000,05000,0000,05000CORF 54878,A000000,05010,0000,05010CMHC 54878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54878,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 54878,A000000,05300,0000,05300INTEREST EXPENSE 54878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54878,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 54878,A81000A,00100,0100,Y 54878,A81000B,00100,0300,PROPERTY INSURANCE 54878,A81000B,00200,0300,CENTRAL SERVICES 54878,A81000B,00300,0300,MAINTENANCE 54878,A81000C,00100,0100,B 54878,A81000C,00100,0400,NORTHAMPTON COU 54878,A81000C,00100,0600,GOVERNMENT 54878,B100000,00000,0100,00000SQUARE FEET 54878,B100000,00000,0200,00000SQUARE FEET 54878,B100000,00000,0300,00000GROSS SALARIES 54878,B100000,00000,0400,00000ACCUM COST 54878,B100000,00000,0500,00000SQUARE FEET 54878,B100000,00000,0600,00000POUNDS OF LAUNDRY 54878,B100000,00000,0700,00000HOURS OF SERVICE 54878,B100000,00000,0800,00000MEALS SERVED 54878,B100000,00000,0900,00000DIRECT NRSG HRS 54878,B100000,00000,1000,00000COSTED REQUIS 54878,B100000,00000,1100,00000COSTED REQUIS 54878,B100000,00000,1200,00000TIME SPENT 54878,B100000,00000,1300,00000TIME SPENT 54878,B100000,00000,1350,00000PATIENT DAYS 54878,B100000,00000,1400,00000ASSIGNED TIME 54878,E10A180,00501,0100,05/01/2000 54878,E10A180,00501,0300,05/01/2000 54878,S000000,00100,0200,04/17/2000 54878,S200000,00100,0100,GRACEDALE AVENUE 54878,S200000,00200,0100,NAZARETH 54878,S200000,00200,0200,PA 54878,S200000,00200,0300,18064 54878,S200000,00300,0100,NORTHAMPTON 54878,S200000,00400,0100,GRACEDALE NURSING HOME 54878,S200000,00400,0200,395476 54878,S200000,00400,0300,01/01/1981 54878,S200000,00400,0500,P 54878,S200000,00600,0200,395476 54878,S200000,00600,0300,08/11/1973 54878,S200000,01600,0100,Y 54878,S200000,02200,0100,Y 54878,S200000,02800,0100,Y 54888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54888,A000000,00300,0000,00300EMPLOYEE BENEFITS 54888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54888,A000000,00700,0000,00700HOUSEKEEPING 54888,A000000,00800,0000,00800DIETARY 54888,A000000,00900,0000,00900NURSING ADMINISTRATION 54888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54888,A000000,01100,0000,01100PHARMACY 54888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54888,A000000,01300,0000,01300SOCIAL SERVICE 54888,A000000,01301,0000,01301RECREATION THERAPY 54888,A000000,01350,0000,01500OTHER GENERAL SERVICES 54888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54888,A000000,01600,0000,01600SKILLED NURSING FACILITY 54888,A000000,01800,0000,01800NURSING FACILITY 54888,A000000,01810,0000,01810ICF/MR 54888,A000000,02100,0000,02100RADIOLOGY 54888,A000000,02200,0000,02200LABORATORY 54888,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54888,A000000,02500,0000,02500PHYSICAL THERAPY 54888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54888,A000000,02700,0000,02700SPEECH PATHOLOGY 54888,A000000,02800,0000,02800ELECTROCARDIOLOGY 54888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54888,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54888,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54888,A000000,03550,0000,03550FQHC 54888,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54888,A000000,05000,0000,05000CORF 54888,A000000,05010,0000,05010CMHC 54888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54888,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54888,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54888,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54888,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54888,B100000,00000,0100,00000SQUARE FEET 54888,B100000,00000,0200,00000SQUARE FEET 54888,B100000,00000,0300,00000GROSS SALARIES 54888,B100000,00000,0400,00000ACCUM. COST 54888,B100000,00000,0500,00000SQUARE FEET 54888,B100000,00000,0600,00000POUNDS OF LAUNDR 54888,B100000,00000,0700,00000SQUARE FEET 54888,B100000,00000,0800,00000MEALS SERVED 54888,B100000,00000,0900,00000NURSING SALARIES 54888,B100000,00000,1000,00000SUPPLY COST 54888,B100000,00000,1100,00000NO STATISTICS 54888,B100000,00000,1200,00000TIME SPENT 54888,B100000,00000,1300,00000RESIDENT DAYS 54888,B100000,00000,1301,00000RESIDENT DAYS 54888,B100000,00000,1350,00000RESID DAYS 54888,B100000,00000,1400,00000RESIDENT DAYS 54888,E10A180,00501,0100,12/15/2000 54888,E10A180,00501,0300,12/15/2000 54888,S000000,00100,0200,11/29/2000 54888,S200000,00100,0100,2100 W. GIRARD AVENUE 54888,S200000,00200,0100,PHILADELPHIA 54888,S200000,00200,0200,PA 54888,S200000,00200,0300,19130 54888,S200000,00300,0100,P 54888,S200000,00400,0100,PHILADELPHIA NURSING HOME 54888,S200000,00400,0200,395478 54888,S200000,00400,0300,07/01/1980 54888,S200000,00400,0500,P 54888,S200000,01600,0100,Y 54888,S200000,02800,0100,Y 54898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54898,A000000,00300,0000,00300EMPLOYEE BENEFITS 54898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54898,A000000,00700,0000,00700HOUSEKEEPING 54898,A000000,00800,0000,00800DIETARY 54898,A000000,00900,0000,00900NURSING ADMINISTRATION 54898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54898,A000000,01100,0000,01100PHARMACY 54898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54898,A000000,01300,0000,01300SOCIAL SERVICE 54898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54898,A000000,01600,0000,01600SKILLED NURSING FACILITY 54898,A000000,01800,0000,01800NURSING FACILITY 54898,A000000,01810,0000,01810ICF/MR 54898,A000000,02100,0000,02100RADIOLOGY 54898,A000000,02200,0000,02200LABORATORY 54898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54898,A000000,02500,0000,02500PHYSICAL THERAPY 54898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54898,A000000,02700,0000,02700SPEECH PATHOLOGY 54898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54898,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54898,A000000,03550,0000,03550FQHC 54898,A000000,04800,0000,04800AMBULANCE 54898,A000000,05000,0000,05000CORF 54898,A000000,05010,0000,05010CMHC 54898,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54898,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54898,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54898,A000000,05300,0000,05300INTEREST EXPENSE 54898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54898,B100000,00000,0100,00000SQUARE FEET 54898,B100000,00000,0200,00000SQUARE FEET 54898,B100000,00000,0300,00000GROSS SALARIES 54898,B100000,00000,0400,00000ACCUM. COST 54898,B100000,00000,0500,00000SQUARE FEET 54898,B100000,00000,0600,00000POUNDS OF LAUNDRY 54898,B100000,00000,0700,00000HOURS OF SERVICE 54898,B100000,00000,0800,00000MEALS SERVED 54898,B100000,00000,0900,00000DIRECT NRSING HRS 54898,B100000,00000,1000,00000COSTED REQUIS. 54898,B100000,00000,1100,00000COSTED REQUIS. 54898,B100000,00000,1200,00000TIME SPENT 54898,B100000,00000,1300,00000TIME SPENT 54898,B100000,00000,1400,00000ASSIGNED TIME 54898,E10A180,00550,0100,11/30/2000 54898,S000000,00100,0200,11/29/2000 54898,S200000,00100,0100,77 SUMNEYTOWN PIKE 54898,S200000,00200,0100,LANSDALE 54898,S200000,00200,0200,PA 54898,S200000,00200,0300,19446 54898,S200000,00300,0100,PHIADELPHIA 54898,S200000,00400,0100,GWYNEDD SQUARE 54898,S200000,00400,0200,395479 54898,S200000,00400,0300,07/01/1984 54898,S200000,00400,0500,P 54898,S200000,01600,0100,Y 54907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54907,A000000,00300,0000,00300EMPLOYEE BENEFITS 54907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54907,A000000,00700,0000,00700HOUSEKEEPING 54907,A000000,00800,0000,00800DIETARY 54907,A000000,00900,0000,00900NURSING ADMINISTRATION 54907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54907,A000000,01100,0000,01100PHARMACY 54907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54907,A000000,01300,0000,01300SOCIAL SERVICE 54907,A000000,01350,0000,01500ACTIVITIES 54907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54907,A000000,01600,0000,01600SKILLED NURSING FACILITY 54907,A000000,01810,0000,01810ICF/MR 54907,A000000,02100,0000,02100RADIOLOGY 54907,A000000,02200,0000,02200LABORATORY 54907,A000000,02300,0000,02300INTRAVENOUS THERAPY 54907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54907,A000000,02500,0000,02500PHYSICAL THERAPY 54907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54907,A000000,02700,0000,02700SPEECH PATHOLOGY 54907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54907,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 54907,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54907,A000000,03550,0000,03550FQHC 54907,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54907,A000000,05000,0000,05000CORF 54907,A000000,05010,0000,05010CMHC 54907,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54907,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54907,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54907,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54907,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54907,B100000,00000,0100,00000SQUARE FEET 54907,B100000,00000,0200,00000SQUARE FEET 54907,B100000,00000,0300,00000GROSS SALARIES 54907,B100000,00000,0400,00000ACCUM. COST 54907,B100000,00000,0500,00000SQUARE FEET 54907,B100000,00000,0600,00000POUNDS OF LAUNDRY 54907,B100000,00000,0700,00000SQUARE FEET 54907,B100000,00000,0800,00000MEALS SERVED 54907,B100000,00000,0900,00000DIRECT NRSING HRS 54907,B100000,00000,1000,00000COSTED REQUIS. 54907,B100000,00000,1100,00000COSTED REQUIS 54907,B100000,00000,1200,00000GROSS REVENUE 54907,B100000,00000,1300,00000TIME SPENT 54907,B100000,00000,1350,00000TIME SPENT 54907,B100000,00000,1400,00000ASSIGNED TIME 54907,E10A180,00501,0100,06/06/2000 54907,E10A180,00501,0300,06/06/2000 54907,S000000,00100,0200,05/03/2000 54907,S200000,00100,0100,397 HEMLOCK DRIVE 54907,S200000,00200,0100,LEHIGHTON 54907,S200000,00200,0200,PA 54907,S200000,00300,0100,CARBON 54907,S200000,00400,0100,MAHONING VALLEY NURSING & REHAB CTR 54907,S200000,00400,0200,395480 54907,S200000,00400,0300,01/01/1983 54907,S200000,00400,0500,P 54907,S200000,01500,0100,Y 54917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54917,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54917,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54917,A000000,00300,0000,00300EMPLOYEE BENEFITS 54917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54917,A000000,00700,0000,00700HOUSEKEEPING 54917,A000000,00800,0000,00800DIETARY 54917,A000000,00801,0000,00801CAFETERIA 54917,A000000,00900,0000,00900NURSING ADMINISTRATION 54917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54917,A000000,01100,0000,01100PHARMACY 54917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54917,A000000,01300,0000,01300SOCIAL SERVICE 54917,A000000,01350,0000,01500REC THERAPY 54917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54917,A000000,01600,0000,01600SKILLED NURSING FACILITY 54917,A000000,01800,0000,01800NURSING FACILITY 54917,A000000,01810,0000,01810ICF/MR 54917,A000000,02100,0000,02100RADIOLOGY 54917,A000000,02200,0000,02200LABORATORY 54917,A000000,02300,0000,02300INTRAVENOUS THERAPY 54917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54917,A000000,02500,0000,02500PHYSICAL THERAPY 54917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54917,A000000,02700,0000,02700SPEECH PATHOLOGY 54917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54917,A000000,03050,0000,03300PEN THERAPY 54917,A000000,03051,0000,03301FEE SCREENING 54917,A000000,03052,0000,03302OTHER ANCILLARY III 54917,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54917,A000000,03550,0000,03550FQHC 54917,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54917,A000000,04800,0000,04800AMBULANCE 54917,A000000,05000,0000,05000CORF I 54917,A000000,05010,0000,05010CMHC I 54917,A000000,05020,0000,05020OPT I 54917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54917,A000000,05300,0000,05300INTEREST EXPENSE 54917,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54917,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54917,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54917,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54917,A81000A,00100,0100,Y 54917,A81000B,00100,0300,HOME OFFICE 54917,A81000B,00200,0300,HOME OFFICE-CAPITAL 54917,A81000B,00300,0300,HOME OFFICE INT. 54917,A81000B,00400,0300,AS ATTACHED 54917,A81000C,00100,0100,B 54917,A81000C,00100,0400,GHV INC 54917,A81000C,00100,0600,HOME OFFICE 54917,A81000C,00200,0100,B 54917,A81000C,00200,0400,GHV INC 54917,A81000C,00200,0600,HOME OFFICE 54917,A81000C,00300,0100,B 54917,A81000C,00300,0400,GHV INC 54917,A81000C,00300,0600,HOME OFFICE 54917,A81000C,00400,0100,B 54917,A81000C,00400,0400,AS ATTACHED 54917,A81000C,00400,0600,VARIOUS 54917,B100000,00000,0100,00000(SQUARE FEET) 54917,B100000,00000,0101,00000(SQUARE FEET) 54917,B100000,00000,0200,00000(SQUARE FEET) 54917,B100000,00000,0201,00000(SQUARE FEET) 54917,B100000,00000,0300,00000(GROSS SALARIES) 54917,B100000,00000,0400,00000(ACCUM. COST) 54917,B100000,00000,0500,00000(SQUARE FEET) 54917,B100000,00000,0600,00000(PATIENT DAYS) 54917,B100000,00000,0700,00000(SQUARE FEET) 54917,B100000,00000,0800,00000(MEALS SERVED) 54917,B100000,00000,0801,00000(MEALS SERVED) 54917,B100000,00000,0900,00000(NURSING SALARIES) 54917,B100000,00000,1000,00000(PATIENT DAYS) 54917,B100000,00000,1100,00000(PATIENT DAYS) 54917,B100000,00000,1200,00000(PATIENT DAYS) 54917,B100000,00000,1300,00000(PATIENT DAYS) 54917,B100000,00000,1350,00000(PATIENT DAYS) 54917,B100000,00000,1400,00000(ASSIGNED TIME) 54917,S000000,00100,0200,02/29/2000 54917,S200000,00100,0100,1245 CHURCH ROAD 54917,S200000,00200,0100,WYNCOTE 54917,S200000,00200,0200,PA 54917,S200000,00200,0300,19095 54917,S200000,00300,0100,MONTGOMERY 54917,S200000,00400,0100,HILLCREST CENTER 54917,S200000,00400,0200,395481 54917,S200000,00400,0300,07/01/1981 54917,S200000,00400,0500,P 54917,S200000,01600,0100,Y 54917,S200000,02200,0100,Y 54917,S200000,04700,0100,Y 54924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54924,A000000,00300,0000,00300EMPLOYEE BENEFITS 54924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54924,A000000,00700,0000,00700HOUSEKEEPING 54924,A000000,00800,0000,00800DIETARY 54924,A000000,00900,0000,00900NURSING ADMINISTRATION 54924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54924,A000000,01100,0000,01100PHARMACY 54924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54924,A000000,01300,0000,01300SOCIAL SERVICE 54924,A000000,01350,0000,01500ACTIVITIES 54924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54924,A000000,01600,0000,01600SKILLED NURSING FACILITY 54924,A000000,01810,0000,01810ICF/MR 54924,A000000,02100,0000,02100RADIOLOGY 54924,A000000,02500,0000,02500PHYSICAL THERAPY 54924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54924,A000000,02700,0000,02700SPEECH PATHOLOGY 54924,A000000,02800,0000,02800ELECTROCARDIOLOGY 54924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54924,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 54924,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 54924,A000000,03550,0000,03550FQHC 54924,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54924,A000000,05000,0000,05000CORF 54924,A000000,05010,0000,05010CMHC 54924,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54924,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54924,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54924,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54924,B100000,00000,0100,00000SQUARE FEET 54924,B100000,00000,0200,00000DOLLAR VALUE 54924,B100000,00000,0300,00000GROSS SALARIES 54924,B100000,00000,0400,00000ACCUM. COST 54924,B100000,00000,0500,00000SQUARE FEET 54924,B100000,00000,0600,00000PATIENT DAYS 54924,B100000,00000,0700,00000SQUARE FEET 54924,B100000,00000,0800,00000PATIENT DAYS 54924,B100000,00000,0900,00000PATIENT DAYS 54924,B100000,00000,1000,00000COSTED REQUIS. 54924,B100000,00000,1100,00000PATIENT DAYS 54924,B100000,00000,1200,00000TIME SPENT 54924,B100000,00000,1300,00000PATIENT DAYS 54924,B100000,00000,1350,00000PATIENT DAYS 54924,B100000,00000,1400,00000ASSIGNED TIME 54924,E10A180,00501,0100,04/28/2000 54924,E10A180,00501,0300,04/28/2000 54924,S000000,00100,0200,04/18/2000 54924,S200000,00100,0100,550 E. FORNANCE ST. 54924,S200000,00200,0100,NORRISTOWN 54924,S200000,00200,0200,PA 54924,S200000,00300,0100,MONTGOMERY 54924,S200000,00400,0100,REGINA COMMUNITY NURSING CTR 54924,S200000,00400,0200,395483 54924,S200000,00400,0300,06/15/1980 54924,S200000,00400,0500,P 54924,S200000,01500,0100,Y 54924,S200000,04300,0100,Y 54931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54931,A000000,00300,0000,00300EMPLOYEE BENEFITS 54931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54931,A000000,00700,0000,00700HOUSEKEEPING 54931,A000000,00800,0000,00800DIETARY 54931,A000000,00900,0000,00900NURSING ADMINISTRATION 54931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54931,A000000,01100,0000,01100PHARMACY 54931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54931,A000000,01300,0000,01300SOCIAL SERVICE 54931,A000000,01350,0000,01500ACTIVITIES 54931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54931,A000000,01600,0000,01600SKILLED NURSING FACILITY 54931,A000000,01810,0000,01810ICF/MR 54931,A000000,02100,0000,02100RADIOLOGY 54931,A000000,02200,0000,02200LABORATORY 54931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54931,A000000,02500,0000,02500PHYSICAL THERAPY 54931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54931,A000000,02700,0000,02700SPEECH PATHOLOGY 54931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54931,A000000,03550,0000,03550FQHC 54931,A000000,05000,0000,05000CORF 54931,A000000,05010,0000,05010CMHC 54931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54931,A000000,06150,0000,06300NON-PATIENT MEALS 54931,A81000A,00100,0100,Y 54931,A81000B,00100,0300,MANAGEMENT FEE 54931,A81000C,00100,0100,A 54931,A81000C,00100,0200,FRANCIS HAYMAN 54931,A81000C,00100,0400,PENN MED 54931,A81000C,00100,0600,HOME OFFICE 54931,A81000C,00200,0100,A 54931,A81000C,00200,0200,DRURY GALLAGHER 54931,A81000C,00200,0400,PENN MED 54931,A81000C,00200,0600,HOME OFFICE 54931,A81000C,00300,0100,A 54931,A81000C,00300,0200,JOHN HAYMAN 54931,A81000C,00300,0400,PENN MED 54931,A81000C,00300,0600,HOME OFFICE 54931,B100000,00000,0100,00000SQUARE FEET 54931,B100000,00000,0200,00000DOLLAR VALUE 54931,B100000,00000,0300,00000GROSS SALARIES 54931,B100000,00000,0400,00000ACCUM. COST 54931,B100000,00000,0500,00000SQUARE FEET 54931,B100000,00000,0600,00000POUNDS OF LAUNDRY 54931,B100000,00000,0700,00000SQUARE FEET 54931,B100000,00000,0800,00000MEALS SERVED 54931,B100000,00000,0900,00000DIRECT NRSING HRS 54931,B100000,00000,1000,00000COSTED REQUIS. 54931,B100000,00000,1100,00000PATIENT DAYS 54931,B100000,00000,1200,00000TIME SPENT 54931,B100000,00000,1300,00000PATIENT DAYS 54931,B100000,00000,1350,00000 54931,B100000,00000,1400,00000ASSIGNED TIME 54931,E10A180,00501,0100,07/12/2000 54931,S000000,00100,0200,05/30/2000 54931,S200000,00100,0100,RR #1 BOX 1355 54931,S200000,00200,0100,DRUMS 54931,S200000,00200,0200,PA 54931,S200000,00200,0300,18222 54931,S200000,00300,0100,LUZERNE 54931,S200000,00400,0100,BUTLER VALLEY MANOR 54931,S200000,00400,0200,395484 54931,S200000,00400,0300,01/01/1995 54931,S200000,00400,0500,P 54931,S200000,01500,0100,Y 54931,S200000,02200,0100,Y 54931,S200000,04700,0100,Y 54941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54941,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 54941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54941,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 54941,A000000,00300,0000,00300EMPLOYEE BENEFITS 54941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54941,A000000,00700,0000,00700HOUSEKEEPING 54941,A000000,00800,0000,00800DIETARY 54941,A000000,00801,0000,00801CAFETERIA 54941,A000000,00900,0000,00900NURSING ADMINISTRATION 54941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54941,A000000,01100,0000,01100PHARMACY 54941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54941,A000000,01300,0000,01300SOCIAL SERVICE 54941,A000000,01350,0000,01500REC THERAPY 54941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54941,A000000,01600,0000,01600SKILLED NURSING FACILITY 54941,A000000,01800,0000,01800NURSING FACILITY 54941,A000000,01810,0000,01810ICF/MR 54941,A000000,02100,0000,02100RADIOLOGY 54941,A000000,02200,0000,02200LABORATORY 54941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54941,A000000,02500,0000,02500PHYSICAL THERAPY 54941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54941,A000000,02700,0000,02700SPEECH PATHOLOGY 54941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54941,A000000,03050,0000,03300PEN THERAPY 54941,A000000,03051,0000,03301FEE SCREENING 54941,A000000,03052,0000,03302OTHER ANCILLARY III 54941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 54941,A000000,03550,0000,03550FQHC 54941,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54941,A000000,04800,0000,04800AMBULANCE 54941,A000000,05000,0000,05000CORF I 54941,A000000,05010,0000,05010CMHC I 54941,A000000,05020,0000,05020OPT I 54941,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54941,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 54941,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 54941,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 54941,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54941,A81000A,00100,0100,Y 54941,A81000B,00100,0300,HOME OFFICE 54941,A81000B,00200,0300,HOME OFFICE CAPITAL 54941,A81000B,00300,0300,HOME OFFICE INTEREST 54941,A81000B,00400,0300,AS ATTACHED 54941,A81000C,00100,0100,B 54941,A81000C,00100,0400,GENESIS HEALTH 54941,A81000C,00100,0600,HOME OFFICE 54941,A81000C,00200,0100,B 54941,A81000C,00200,0400,GENESIS HEALTH 54941,A81000C,00200,0600,HOME OFFICE 54941,A81000C,00300,0100,B 54941,A81000C,00300,0400,GENESIS HEALTH 54941,A81000C,00300,0600,HOME OFFICE 54941,A81000C,00400,0400,AS ATTACHED 54941,A81000C,00400,0600,VARIOUS 54941,B100000,00000,0100,00000(SQUARE FEET) 54941,B100000,00000,0101,00000(SQUARE FEET) 54941,B100000,00000,0200,00000(SQUARE FEET) 54941,B100000,00000,0201,00000(SQUARE FEET) 54941,B100000,00000,0300,00000(GROSS SALARIES) 54941,B100000,00000,0400,00000(ACCUM. COST) 54941,B100000,00000,0500,00000(SQUARE FEET) 54941,B100000,00000,0600,00000(PATIENT DAYS) 54941,B100000,00000,0700,00000(SQUARE FEET) 54941,B100000,00000,0800,00000(MEALS SERVED) 54941,B100000,00000,0801,00000(MEALS SERVED) 54941,B100000,00000,0900,00000(NURSING SALARIES) 54941,B100000,00000,1000,00000(PATIENT DAYS) 54941,B100000,00000,1100,00000(COSTED REQUIS.) 54941,B100000,00000,1200,00000(PATIENT DAYS) 54941,B100000,00000,1300,00000(PATIENT DAYS) 54941,B100000,00000,1350,00000(PATIENT DAYS) 54941,B100000,00000,1400,00000(ASSIGNED TIME) 54941,S000000,00100,0200,02/28/2000 54941,S200000,00100,0100,1526 LOMBARD STREET 54941,S200000,00200,0100,PHILADELPHIA 54941,S200000,00200,0200,PA 54941,S200000,00200,0300,19146 54941,S200000,00300,0100,PHILADELPHIA 54941,S200000,00400,0100,RITTENHOUSE CARE 54941,S200000,00400,0200,395485 54941,S200000,00400,0300,06/01/1966 54941,S200000,00400,0500,P 54941,S200000,01600,0100,Y 54941,S200000,02200,0100,Y 54941,S200000,04900,0100,Y 54949,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54949,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54949,A000000,00300,0000,00300EMPLOYEE BENEFITS 54949,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54949,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54949,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54949,A000000,00700,0000,00700HOUSEKEEPING 54949,A000000,00800,0000,00800DIETARY 54949,A000000,00900,0000,00900NURSING ADMINISTRATION 54949,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54949,A000000,01100,0000,01100PHARMACY 54949,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54949,A000000,01300,0000,01300SOCIAL SERVICE 54949,A000000,01350,0000,01500PATIENT ACTIVITIES 54949,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54949,A000000,01600,0000,01600SKILLED NURSING FACILITY 54949,A000000,01810,0000,01810ICF/MR 54949,A000000,02100,0000,02100RADIOLOGY 54949,A000000,02200,0000,02200LABORATORY 54949,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54949,A000000,02500,0000,02500PHYSICAL THERAPY 54949,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54949,A000000,02700,0000,02700SPEECH PATHOLOGY 54949,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54949,A000000,02901,0000,02901CLINITRON BEDS 54949,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54949,A000000,03550,0000,03550FQHC 54949,A000000,04800,0000,04800AMBULANCE 54949,A000000,05000,0000,05000CORF 54949,A000000,05010,0000,05010CMHC 54949,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54949,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54949,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54949,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54949,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54949,A81000A,00100,0100,Y 54949,A81000B,00100,0300,H.O. COSTS - OPERATING 54949,A81000B,00300,0300,ADMINISTRATIVE MINOR 54949,A81000B,00400,0300,PROFESSIONAL FEES 54949,A81000B,00500,0300,MOVEABLE EQUIPMENT 54949,A81000B,00600,0300,EMPLOYEE BENEFITS 54949,A81000B,00700,0300,GENERAL & ADMINISTRATIVE 54949,A81000B,00800,0300,PLANT OPER MAINT AND REPAIR 54949,A81000B,00900,0300,HOUSEKEEPING 54949,A81000B,01000,0300,DIETARY 54949,A81000B,01100,0300,CENTRAL SERVICES 54949,A81000B,01200,0300,PHARMACY 54949,A81000B,01300,0300,MEDICAL RECORDS 54949,A81000B,01400,0300,OXYGEN 54949,A81000B,01500,0300,PHYSICAL THERAPY 54949,A81000B,01600,0300,MEDICAL SUPPLIES 54949,A81000B,01700,0300,DRUGS 54949,A81000B,01800,0300,HOME OFFICE MOV EQUIP 54949,A81000B,01900,0300,HOME OFFICE BLDG & FIX 54949,A81000C,00100,0100,B 54949,A81000C,00100,0400,HCF INC. 54949,A81000C,00100,0600,HOME OFFICE 54949,A81000C,00200,0100,B 54949,A81000C,00200,0400,HCF INC. 54949,A81000C,00200,0600,HOME OFFICE 54949,A81000C,00300,0100,A 54949,A81000C,00300,0200,JEFFREY L. UNVERFERTH 54949,A81000C,00300,0400,UNVERFERTH INTERIORS 54949,A81000C,00300,0600,INTERIOR DESIGN 54949,A81000C,00400,0100,A 54949,A81000C,00400,0200,JEFFREY L. UNVERFERTH 54949,A81000C,00400,0400,UNVERFERTH INTERIORS 54949,A81000C,00400,0600,INTERIOR DESIGN 54949,A81000C,00500,0100,A 54949,A81000C,00500,0200,UNVERFERTH FAMILY 54949,A81000C,00500,0400,ICP INC. 54949,A81000C,00500,0600,INSTITUTIONAL PHARMACY 54949,A81000C,00600,0100,A 54949,A81000C,00600,0200,UNVERFERTH FAMILY 54949,A81000C,00600,0400,ICP INC. 54949,A81000C,00600,0600,INSTITUTIONAL PHARMACY 54949,A81000C,00700,0100,A 54949,A81000C,00700,0200,UNVERFERTH FAMILY 54949,A81000C,00700,0400,ICP INC. 54949,A81000C,00700,0600,INSTITUTIONAL PHARMACY 54949,A81000C,00800,0100,A 54949,A81000C,00800,0200,UNVERFERTH FAMILY 54949,A81000C,00800,0400,ICP INC. 54949,A81000C,00800,0600,INSTITUTIONAL PHARMACY 54949,A81000C,00900,0100,A 54949,A81000C,00900,0200,UNVERFERTH FAMILY 54949,A81000C,00900,0400,ICP INC. 54949,A81000C,00900,0600,INSTITUTIONAL PHARMACY 54949,B100000,00000,0100,00000SQUARE FEET 54949,B100000,00000,0200,00000SQUARE FEET 54949,B100000,00000,0300,00000GROSS SALARIES 54949,B100000,00000,0400,00000ACCUM. COST 54949,B100000,00000,0500,00000SQUARE FEET 54949,B100000,00000,0600,00000PATIENT DAYS 54949,B100000,00000,0700,00000SQFT. EXCL DIET 54949,B100000,00000,0800,00000MEALS SERVED 54949,B100000,00000,0900,00000NURSING SALARIES 54949,B100000,00000,1000,00000COSTED REQUIS. 54949,B100000,00000,1100,00000COSTED REQUIS. 54949,B100000,00000,1200,00000PATIENT DAYS 54949,B100000,00000,1300,00000PATIENT DAYS 54949,B100000,00000,1350,00000PATIENT DAYS 54949,B100000,00000,1400,00000NO STATISTICS 54949,E10A180,00501,0100,06/22/2000 54949,E10A180,00501,0300,06/22/2000 54949,E10A180,00502,0100,06/23/2000 54949,E10A180,00550,0300,06/23/2000 54949,S000000,00100,0200,05/24/2000 54949,S200000,00100,0100,640 WORTH STREET 54949,S200000,00200,0100,CORRY 54949,S200000,00200,0200,PA 54949,S200000,00300,0100,ERIE 54949,S200000,00400,0100,CORRY MANOR 54949,S200000,00400,0200,395489 54949,S200000,00400,0300,10/01/1980 54949,S200000,00400,0500,P 54949,S200000,01500,0100,Y 54949,S200000,04700,0100,Y 54958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54958,A000000,00300,0000,00300EMPLOYEE BENEFITS 54958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54958,A000000,00700,0000,00700HOUSEKEEPING 54958,A000000,00800,0000,00800DIETARY 54958,A000000,00900,0000,00900NURSING ADMINISTRATION 54958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54958,A000000,01100,0000,01100PHARMACY 54958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54958,A000000,01300,0000,01300SOCIAL SERVICE 54958,A000000,01350,0000,01500PATIENT ACTIVITIES 54958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54958,A000000,01600,0000,01600SKILLED NURSING FACILITY 54958,A000000,01800,0000,01800NURSING FACILITY 54958,A000000,01810,0000,01810ICF/MR 54958,A000000,02100,0000,02100RADIOLOGY 54958,A000000,02200,0000,02200LABORATORY 54958,A000000,02300,0000,02300INTRAVENOUS THERAPY 54958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54958,A000000,02500,0000,02500PHYSICAL THERAPY 54958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54958,A000000,02700,0000,02700SPEECH PATHOLOGY 54958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54958,A000000,03550,0000,03550FQHC 54958,A000000,04800,0000,04800AMBULANCE 54958,A000000,05000,0000,05000CORF 54958,A000000,05010,0000,05010CMHC 54958,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54958,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54958,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54958,A000000,06150,0000,06300NONREIMBURSABLE 54958,A81000A,00100,0100,Y 54958,A81000B,00100,0300,HOME OFFICE 54958,A81000B,00200,0300,HOME OFFCE CAPITAL 54958,A81000C,00100,0100,B 54958,A81000C,00100,0200,ACTS INC 54958,A81000C,00100,0600,HOME OFFICE 54958,A81000C,00200,0100,B 54958,A81000C,00200,0200,ACTS INC 54958,A81000C,00200,0600,HOME OFFICE 54958,B100000,00000,0100,00000SQUARE FEET 54958,B100000,00000,0200,00000SQUARE FEET 54958,B100000,00000,0300,00000GROSS SALARIES 54958,B100000,00000,0400,00000ACCUM COST 54958,B100000,00000,0500,00000SQUARE FEET 54958,B100000,00000,0600,00000POUNDS OF LAUNDRY 54958,B100000,00000,0700,00000SQUARE FEET 54958,B100000,00000,0800,00000MEALS SERVED 54958,B100000,00000,0900,00000PATIENT DAYS 54958,B100000,00000,1000,00000COSTED REQUIS 54958,B100000,00000,1100,00000PATIENT DAYS 54958,B100000,00000,1200,00000PATIENT DAYS 54958,B100000,00000,1300,00000PATIENT DAYS 54958,B100000,00000,1350,00000PATIENT DAYS 54958,B100000,00000,1400,00000ASSIGNED TIME 54958,S000000,00100,0200,05/31/2000 54958,S200000,00100,0100,238 STREET ROAD 54958,S200000,00200,0100,SOUTHAMPTON 54958,S200000,00200,0200,PA 54958,S200000,00300,0100,MONTGOMERY 54958,S200000,00400,0100,SOUTHAMPTON ESTATES 54958,S200000,00400,0200,395490 54958,S200000,00400,0300,12/19/1980 54958,S200000,00400,0500,P 54958,S200000,01600,0100,Y 54958,S200000,01900,0100,NOT-FOR-PROFIT CORPORATION 54958,S200000,02200,0100,Y 54958,S200000,04700,0100,Y 54958,S200000,04700,0200,Y 54967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54967,A000000,00300,0000,00300EMPLOYEE BENEFITS 54967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54967,A000000,00700,0000,00700HOUSEKEEPING 54967,A000000,00800,0000,00800DIETARY 54967,A000000,00900,0000,00900NURSING ADMINISTRATION 54967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54967,A000000,01100,0000,01100PHARMACY 54967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54967,A000000,01300,0000,01300SOCIAL SERVICE 54967,A000000,01301,0000,01301ACTIVITIES 54967,A000000,01350,0000,01500OTHER GENERAL SERVICES 54967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54967,A000000,01600,0000,01600SKILLED NURSING FACILITY 54967,A000000,01800,0000,01800NURSING FACILITY 54967,A000000,01810,0000,01810ICF/MR 54967,A000000,02100,0000,02100RADIOLOGY 54967,A000000,02200,0000,02200LABORATORY 54967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54967,A000000,02500,0000,02500PHYSICAL THERAPY 54967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54967,A000000,02700,0000,02700SPEECH PATHOLOGY 54967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54967,A000000,03050,0000,03300OTHER THERAPY 54967,A000000,03550,0000,03550FQHC 54967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 54967,A000000,05000,0000,05000CORF 54967,A000000,05010,0000,05010CMHC 54967,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 54967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 54967,B100000,00000,0100,00000SQUARE FEET 54967,B100000,00000,0200,00000DOLLAR VALUE 54967,B100000,00000,0300,00000GROSS SALARIES 54967,B100000,00000,0400,00000ACCUM. COST 54967,B100000,00000,0500,00000SQUARE FEET 54967,B100000,00000,0600,00000POUNDS OF LAUNDRY 54967,B100000,00000,0700,00000HOURS OF SERVICE 54967,B100000,00000,0800,00000MEALS SERVED 54967,B100000,00000,0900,00000DIRECT NRSING HRS 54967,B100000,00000,1000,00000COSTED REQUIS. 54967,B100000,00000,1100,00000COSTED REQUIS. 54967,B100000,00000,1200,00000TIME SPENT 54967,B100000,00000,1300,00000TIME SPENT 54967,B100000,00000,1301,00000RESIDENT DAYS 54967,B100000,00000,1350,00000TIME SPENT 54967,B100000,00000,1400,00000ASSIGNED TIME 54967,E10A180,00501,0100,07/06/2000 54967,S000000,00100,0200,05/30/2000 54967,S200000,00100,0100,4227 MANOR DRIVE 54967,S200000,00200,0100,STROUDSBURG 54967,S200000,00200,0200,PA 54967,S200000,00300,0100,MONROE 54967,S200000,00400,0100,PLEASANT VALLEY MANOR 54967,S200000,00400,0200,395491 54967,S200000,00400,0300,04/04/1980 54967,S200000,00400,0500,P 54967,S200000,01600,0100,Y 54975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54975,A000000,00300,0000,00300EMPLOYEE BENEFITS 54975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54975,A000000,00700,0000,00700HOUSEKEEPING 54975,A000000,00800,0000,00800DIETARY 54975,A000000,00900,0000,00900NURSING ADMINISTRATION 54975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54975,A000000,01100,0000,01100PHARMACY 54975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54975,A000000,01300,0000,01300SOCIAL SERVICE 54975,A000000,01350,0000,01500PATIENT ACTIVITIES 54975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54975,A000000,01600,0000,01600SKILLED NURSING FACILITY 54975,A000000,01810,0000,01810ICF/MR 54975,A000000,02100,0000,02100RADIOLOGY 54975,A000000,02200,0000,02200LABORATORY 54975,A000000,02300,0000,02300INTRAVENOUS THERAPY 54975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54975,A000000,02500,0000,02500PHYSICAL THERAPY 54975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54975,A000000,02700,0000,02700SPEECH PATHOLOGY 54975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54975,A000000,03550,0000,03550FQHC 54975,A000000,05000,0000,05000CORF 54975,A000000,05010,0000,05010CMHC 54975,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54975,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54975,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54975,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54975,A000000,06150,0000,06300NONREIMBURSABLE 54975,A81000A,00100,0100,Y 54975,A81000B,00100,0300,HOME OFFICE 54975,A81000B,00200,0300,HOME OFFICE CAPITAL 54975,A81000C,00100,0100,B 54975,A81000C,00100,0200,ACTS INC 54975,A81000C,00100,0600,HOME OFFICE 54975,B100000,00000,0100,00000SQUARE FEET 54975,B100000,00000,0200,00000SQUARE FEET 54975,B100000,00000,0300,00000GROSS SALARIES 54975,B100000,00000,0400,00000ACCUM COST 54975,B100000,00000,0500,00000SQUARE FEET 54975,B100000,00000,0600,00000POUNDS OF LAUNDRY 54975,B100000,00000,0700,00000SQUARE FEET 54975,B100000,00000,0800,00000MEALS SERVED 54975,B100000,00000,0900,00000PATIENT DAYS 54975,B100000,00000,1000,00000PATIENT DAYS 54975,B100000,00000,1100,00000PATIENT DAYS 54975,B100000,00000,1200,00000PATIENT DAYS 54975,B100000,00000,1300,00000PATIENT DAYS 54975,B100000,00000,1350,00000PATIENT DAYS 54975,B100000,00000,1400,00000ASSIGNED TIME 54975,E10A180,00550,0100,05/31/2000 54975,S000000,00100,0200,05/31/2000 54975,S200000,00100,0100,411 N. MIDDLETOWN ROAD 54975,S200000,00200,0100,MEDIA 54975,S200000,00200,0200,PA 54975,S200000,00200,0300,19063 54975,S200000,00300,0100,DELAWARE 54975,S200000,00400,0100,LIMA ESTATES 54975,S200000,00400,0200,395492 54975,S200000,00400,0300,01/31/1981 54975,S200000,00400,0500,P 54975,S200000,00400,0600,O 54975,S200000,01500,0100,Y 54975,S200000,02200,0100,Y 54984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54984,A000000,00300,0000,00300EMPLOYEE BENEFITS 54984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54984,A000000,00700,0000,00700HOUSEKEEPING 54984,A000000,00800,0000,00800DIETARY 54984,A000000,00900,0000,00900NURSING ADMINISTRATION 54984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54984,A000000,01100,0000,01100PHARMACY 54984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54984,A000000,01300,0000,01300SOCIAL SERVICE 54984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54984,A000000,01600,0000,01600SKILLED NURSING FACILITY 54984,A000000,01810,0000,01810ICF/MR 54984,A000000,02100,0000,02100RADIOLOGY 54984,A000000,02200,0000,02200LABORATORY 54984,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54984,A000000,02500,0000,02500PHYSICAL THERAPY 54984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54984,A000000,02700,0000,02700SPEECH PATHOLOGY 54984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54984,A000000,03550,0000,03550FQHC 54984,A000000,05000,0000,05000CORF 54984,A000000,05010,0000,05010CMHC 54984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54984,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 54984,A81000A,00100,0100,Y 54984,A81000B,00100,0300,MANAGEMENT SERVICES 54984,A81000B,00200,0300,COMMUNICATION SERVICES 54984,A81000B,00300,0300,PHARMACY SERVICES 54984,A81000C,00100,0100,G 54984,A81000C,00100,0200,PHOEBE SERVICES 54984,A81000C,00100,0400,PHOEBE-DEVITT H 54984,A81000C,00200,0100,G 54984,A81000C,00200,0200,PHOEBE SERVICES 54984,A81000C,00200,0400,PHOEBE-DEVITT H 54984,A81000C,00300,0100,G 54984,A81000C,00300,0200,PHOEBE SERVICES 54984,A81000C,00300,0400,PHOEBE-DEVITT H 54984,B100000,00000,0100,00000SQUARE FEET 54984,B100000,00000,0200,00000SQUARE FEET 54984,B100000,00000,0300,00000GROSS SALARIES 54984,B100000,00000,0400,00000ACCUM COST 54984,B100000,00000,0500,00000SQUARE FEET 54984,B100000,00000,0600,00000POUNDS OF LAUNDRY 54984,B100000,00000,0700,00000HOURS OF SERVICE 54984,B100000,00000,0800,00000MEALS SERVED 54984,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 54984,B100000,00000,1000,00000COSTED REQUISITIO 54984,B100000,00000,1100,00000COSTED REQUISITIO 54984,B100000,00000,1200,00000TIME SPENT 54984,B100000,00000,1300,00000TIME SPENT 54984,B100000,00000,1400,00000ASSIGNED TIME 54984,E10A180,00501,0300,01/08/2001 54984,E10A180,00550,0100,01/08/2001 54984,S000000,00100,0200,11/30/2000 54984,S200000,00100,0100,701 SLATE BELT BOULEVARD 54984,S200000,00200,0100,BANGOR 54984,S200000,00200,0200,PA 54984,S200000,00200,0300,18013 54984,S200000,00400,0100,SLATE BELT NURSING & REHAB CENTER 54984,S200000,00400,0200,395494 54984,S200000,00400,0300,10/22/1984 54984,S200000,00400,0500,P 54984,S200000,01500,0100,Y 54992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 54992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 54992,A000000,00300,0000,00300EMPLOYEE BENEFITS 54992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 54992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 54992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 54992,A000000,00700,0000,00700HOUSEKEEPING 54992,A000000,00800,0000,00800DIETARY 54992,A000000,00900,0000,00900NURSING ADMINISTRATION 54992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 54992,A000000,01100,0000,01100PHARMACY 54992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 54992,A000000,01300,0000,01300SOCIAL SERVICE 54992,A000000,01350,0000,01500PATIENT ACTIVITIES 54992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 54992,A000000,01600,0000,01600SKILLED NURSING FACILITY 54992,A000000,01810,0000,01810ICF/MR 54992,A000000,02100,0000,02100RADIOLOGY 54992,A000000,02200,0000,02200LABORATORY 54992,A000000,02300,0000,02300INTRAVENOUS THERAPY 54992,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 54992,A000000,02500,0000,02500PHYSICAL THERAPY 54992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 54992,A000000,02700,0000,02700SPEECH PATHOLOGY 54992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 54992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 54992,A000000,03550,0000,03550FQHC 54992,A000000,05000,0000,05000CORF 54992,A000000,05010,0000,05010CMHC 54992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 54992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 54992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 54992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 54992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 54992,A000000,06150,0000,06300NONREIMBURSABLE 54992,A81000A,00100,0100,Y 54992,A81000B,00100,0300,HOME OFFICE 54992,A81000B,00200,0300,HOME OFFICE CAPITAL 54992,A81000C,00100,0100,B 54992,A81000C,00100,0200,ACTS INC 54992,A81000C,00100,0600,HOME OFFICE 54992,B100000,00000,0100,00000SQUARE FEET 54992,B100000,00000,0200,00000SQUARE FEET 54992,B100000,00000,0300,00000GROSS SALARIES 54992,B100000,00000,0400,00000ACCUM COST 54992,B100000,00000,0500,00000SQUARE FEET 54992,B100000,00000,0600,00000POUNDS OF LAUNDRY 54992,B100000,00000,0700,00000SQUARE FEET 54992,B100000,00000,0800,00000MEALS SERVED 54992,B100000,00000,0900,00000PATIENT DAYS 54992,B100000,00000,1000,00000PATIENT DAYS 54992,B100000,00000,1100,00000PATIENT DAYS 54992,B100000,00000,1200,00000PATIENT DAYS 54992,B100000,00000,1300,00000PATIENT DAYS 54992,B100000,00000,1350,00000PATIENT DAYS 54992,B100000,00000,1400,00000ASSIGNED TIME 54992,E10A180,00501,0100,07/06/2000 54992,E10A180,00501,0300,07/06/2000 54992,S000000,00100,0200,05/31/2000 54992,S200000,00100,0100,728 NORRISTOWN ROAD 54992,S200000,00200,0100,LOWER GWYNEDD 54992,S200000,00200,0200,PA 54992,S200000,00300,0100,MONTGOMERY 54992,S200000,00400,0100,SPRING HOUSE ESTATES 54992,S200000,00400,0200,395495 54992,S200000,00400,0300,01/30/1981 54992,S200000,00400,0500,P 54992,S200000,00400,0600,O 54992,S200000,01500,0100,Y 54992,S200000,02200,0100,Y 54992,S200000,02800,0100,Y 54992,S200000,04700,0100,Y 54992,S200000,04700,0200,Y 55000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55000,A000000,00300,0000,00300EMPLOYEE BENEFITS 55000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55000,A000000,00700,0000,00700HOUSEKEEPING 55000,A000000,00800,0000,00800DIETARY 55000,A000000,00900,0000,00900NURSING ADMINISTRATION 55000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55000,A000000,01100,0000,01100PHARMACY 55000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55000,A000000,01300,0000,01300SOCIAL SERVICE 55000,A000000,01350,0000,01500PATIENT ACTIVITIES 55000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55000,A000000,01600,0000,01600SKILLED NURSING FACILITY 55000,A000000,01810,0000,01810ICF/MR 55000,A000000,02100,0000,02100RADIOLOGY 55000,A000000,02200,0000,02200LABORATORY 55000,A000000,02300,0000,02300INTRAVENOUS THERAPY 55000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55000,A000000,02500,0000,02500PHYSICAL THERAPY 55000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55000,A000000,02700,0000,02700SPEECH PATHOLOGY 55000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55000,A000000,03550,0000,03550FQHC 55000,A000000,05000,0000,05000CORF 55000,A000000,05010,0000,05010CMHC 55000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55000,A000000,06150,0000,06300NONREIMBURSABLE 55000,A81000A,00100,0100,Y 55000,A81000B,00100,0300,HOME OFFICE 55000,A81000B,00200,0300,HOME OFFC CAPITAL RE 55000,A81000C,00100,0100,B 55000,A81000C,00100,0200,ACTS INC 55000,A81000C,00100,0600,HOME OFFICE 55000,B100000,00000,0100,00000SQUARE FEET 55000,B100000,00000,0200,00000SQUARE FEET 55000,B100000,00000,0300,00000GROSS SALARIES 55000,B100000,00000,0400,00000ACCUM COST 55000,B100000,00000,0500,00000SQUARE FEET 55000,B100000,00000,0600,00000POUNDS OF LAUNDRY 55000,B100000,00000,0700,00000SQUARE FEET 55000,B100000,00000,0800,00000MEALS SERVED 55000,B100000,00000,0900,00000PATIENT DAYS 55000,B100000,00000,1000,00000PATIENT DAYS 55000,B100000,00000,1100,00000PATIENT DAYS 55000,B100000,00000,1200,00000PATIENT DAYS 55000,B100000,00000,1300,00000PATIENT DAYS 55000,B100000,00000,1350,00000PATIENT DAYS 55000,B100000,00000,1400,00000ASSIGNED TIME 55000,S000000,00100,0200,05/31/2000 55000,S200000,00100,0100,1264 FORT WASHINGTON AVENUE 55000,S200000,00200,0100,FORT WASHINGTON 55000,S200000,00200,0200,PA 55000,S200000,00200,0300,19034 55000,S200000,00300,0100,MONTGOMERY 55000,S200000,00400,0100,FORT WASHINGTON ESTATES 55000,S200000,00400,0200,395496 55000,S200000,00400,0300,12/04/1980 55000,S200000,00400,0500,P 55000,S200000,00400,0600,O 55000,S200000,01500,0100,Y 55000,S200000,01900,0100,501(3)(C) 55000,S200000,02200,0100,Y 55000,S200000,02800,0100,Y 55000,S200000,04700,0100,Y 55000,S200000,04700,0200,Y 55008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55008,A000000,00300,0000,00300EMPLOYEE BENEFITS 55008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55008,A000000,00700,0000,00700HOUSEKEEPING 55008,A000000,00800,0000,00800DIETARY 55008,A000000,00900,0000,00900NURSING ADMINISTRATION 55008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55008,A000000,01100,0000,01100PHARMACY 55008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55008,A000000,01300,0000,01300SOCIAL SERVICE 55008,A000000,01350,0000,01500SUPPLEMENTAL SERVICES 55008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55008,A000000,01600,0000,01600SKILLED NURSING FACILITY 55008,A000000,01810,0000,01810ICF/MR 55008,A000000,02100,0000,02100RADIOLOGY 55008,A000000,02200,0000,02200LABORATORY 55008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55008,A000000,02500,0000,02500PHYSICAL THERAPY 55008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55008,A000000,02700,0000,02700SPEECH PATHOLOGY 55008,A000000,02800,0000,02800ELECTROCARDIOLOGY 55008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55008,A000000,03550,0000,03550FQHC 55008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55008,A000000,05000,0000,05000CORF 55008,A000000,05010,0000,05010CMHC 55008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55008,A000000,06150,0000,06300ILC ADC & AL 55008,B100000,00000,0100,00000TOTAL SQUARE 55008,B100000,00000,0200,00000SQUARE FEET 55008,B100000,00000,0300,00000GROSS SALARIES 55008,B100000,00000,0400,00000ACCUM. COST 55008,B100000,00000,0500,00000NRSG SQUARE 55008,B100000,00000,0600,00000POUNDS OF LAUNDRY 55008,B100000,00000,0700,00000NRSG SQUARE 55008,B100000,00000,0800,00000MEALS SERVED 55008,B100000,00000,0900,00000DIRECT NRSG HRS 55008,B100000,00000,1000,00000COSTED REQUIS 55008,B100000,00000,1100,00000COSTED REQUIS 55008,B100000,00000,1200,00000TIME SPENT 55008,B100000,00000,1300,00000TIME SPENT 55008,B100000,00000,1350,00000TIME SPENT 55008,B100000,00000,1400,00000ASSIGNED TIME 55008,E10A180,00501,0100,01/16/2001 55008,E10A180,00501,0300,01/16/2001 55008,S000000,00100,0200,11/28/2000 55008,S200000,00100,0100,3250 STATE ROAD 55008,S200000,00200,0100,SELLERSVILLE 55008,S200000,00200,0200,PA 55008,S200000,00200,0300,18960 55008,S200000,00300,0100,B 55008,S200000,00400,0100,ROCKHILL MENNONITE COMMUNITY 55008,S200000,00400,0200,395497 55008,S200000,00400,0300,06/01/1982 55008,S200000,00400,0500,P 55008,S200000,01500,0100,Y 55008,S200000,02800,0100,Y 55015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55015,A000000,00300,0000,00300EMPLOYEE BENEFITS 55015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55015,A000000,00700,0000,00700HOUSEKEEPING 55015,A000000,00800,0000,00800DIETARY 55015,A000000,00900,0000,00900NURSING ADMINISTRATION 55015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55015,A000000,01100,0000,01100PHARMACY 55015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55015,A000000,01300,0000,01300SOCIAL SERVICE 55015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55015,A000000,01600,0000,01600SKILLED NURSING FACILITY 55015,A000000,01810,0000,01810ICF/MR 55015,A000000,01900,0000,01900OTHER LONG TERM CARE 55015,A000000,02500,0000,02500PHYSICAL THERAPY 55015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55015,A000000,02700,0000,02700SPEECH PATHOLOGY 55015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55015,A000000,03400,0000,03400CLINIC 55015,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 55015,A000000,05000,0000,05000CORF 55015,A000000,05010,0000,05010CMHC 55015,A000000,05020,0000,05020OPT 55015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55015,B100000,00000,0100,00000(SQUARE FEET) 55015,B100000,00000,0200,00000(SQUARE FEET) 55015,B100000,00000,0300,00000(GROSS SALARIES) 55015,B100000,00000,0400,00000(ACCUM COST) 55015,B100000,00000,0500,00000(SQUARE FEET) 55015,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 55015,B100000,00000,0700,00000(HOURS OF SERVICE) 55015,B100000,00000,0800,00000(MEALS SERVED) 55015,B100000,00000,0900,00000(DIR NRSG HOURS) 55015,B100000,00000,1000,00000(COSTED REQUIS) 55015,B100000,00000,1100,00000(COSTED REQUIS) 55015,B100000,00000,1200,00000(TIME SPENT) 55015,B100000,00000,1300,00000(TIME SPENT) 55015,B100000,00000,1400,00000(ASSIGNED TIME) 55015,S000000,00100,0200,06/28/2000 55015,S200000,00100,0100,11 MARTINS RUN 55015,S200000,00200,0100,MEDIA 55015,S200000,00200,0200,PA 55015,S200000,00200,0300,19063 55015,S200000,00300,0100,DELAWARE 55015,S200000,00400,0100,MARTINS RUN 55015,S200000,00400,0200,395498 55015,S200000,00400,0300,07/01/1970 55015,S200000,00400,0500,P 55015,S200000,01700,0100,Y 55015,S200000,01900,0100,CORPORATION 55015,S200000,02800,0100,Y 55022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55022,A000000,00300,0000,00300EMPLOYEE BENEFITS 55022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55022,A000000,00700,0000,00700HOUSEKEEPING 55022,A000000,00800,0000,00800DIETARY 55022,A000000,00900,0000,00900NURSING ADMINISTRATION 55022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55022,A000000,01100,0000,01100PHARMACY 55022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55022,A000000,01300,0000,01300SOCIAL SERVICE 55022,A000000,01350,0000,01500PATIENT ACTIVITIES 55022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55022,A000000,01600,0000,01600SKILLED NURSING FACILITY 55022,A000000,01810,0000,01810ICF/MR 55022,A000000,02100,0000,02100RADIOLOGY 55022,A000000,02200,0000,02200LABORATORY 55022,A000000,02500,0000,02500PHYSICAL THERAPY 55022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55022,A000000,02700,0000,02700SPEECH PATHOLOGY 55022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55022,A000000,03550,0000,03550FQHC 55022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55022,A000000,05000,0000,05000CORF 55022,A000000,05010,0000,05010CMHC 55022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55022,A81000A,00100,0100,Y 55022,A81000B,00100,0300,CAP REL - BLDG & FIX 55022,A81000B,00200,0300,CAP REL - MOVE EQ 55022,A81000B,00300,0300,NON CAPITAL 55022,A81000C,00100,0100,A 55022,A81000C,00100,0200,PHILA PRESBYTERY HOMES 55022,A81000C,00100,0400,PHILA PRESBYTERY HOMES 55022,A81000C,00100,0600,MANAGEMENT FEE 55022,B100000,00000,0100,00000(SQUARE FEET) 55022,B100000,00000,0200,00000(SQUARE FEET) 55022,B100000,00000,0300,00000(GROSS SALARIES) 55022,B100000,00000,0400,00000(ACCUM. COST) 55022,B100000,00000,0500,00000(SQUARE FEET) 55022,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 55022,B100000,00000,0700,00000(SQ. FT. EXE DIET) 55022,B100000,00000,0800,00000(PATIENT DAYS) 55022,B100000,00000,0900,00000(DIRECT NRSG HRS) 55022,B100000,00000,1000,00000(COSTED REQUIS.) 55022,B100000,00000,1100,00000(COSTED REQUIS.) 55022,B100000,00000,1200,00000(TIME SPENT) 55022,B100000,00000,1300,00000(PATIENT DAYS) 55022,B100000,00000,1350,00000(PATIENT DAYS) 55022,B100000,00000,1400,00000(ASSIGNED TIME) 55022,E10A180,00501,0100,07/06/2000 55022,E10A180,00501,0300,07/06/2000 55022,S000000,00100,0200,05/31/2000 55022,S200000,00100,0100,2000 SOUTH 58TH STREET 55022,S200000,00200,0100,PHILADELPHIA 55022,S200000,00200,0200,PA 55022,S200000,00300,0100,PHILADELPHIA 55022,S200000,00400,0100,PRESBYTERIAN HOME AT 58TH ST. 55022,S200000,00400,0200,395501 55022,S200000,00400,0300,03/20/1981 55022,S200000,00400,0500,P 55022,S200000,01500,0100,Y 55022,S200000,02800,0100,Y 55028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55028,A000000,00300,0000,00300EMPLOYEE BENEFITS 55028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55028,A000000,00700,0000,00700HOUSEKEEPING 55028,A000000,00800,0000,00800DIETARY 55028,A000000,00900,0000,00900NURSING ADMINISTRATION 55028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55028,A000000,01100,0000,01100PHARMACY 55028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55028,A000000,01300,0000,01300SOCIAL SERVICE 55028,A000000,01350,0000,01500PATIENT ACTIVITIES 55028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55028,A000000,01600,0000,01600SKILLED NURSING FACILITY 55028,A000000,01800,0000,01800NURSING FACILITY 55028,A000000,01810,0000,01810ICF/MR 55028,A000000,02100,0000,02100RADIOLOGY 55028,A000000,02200,0000,02200LABORATORY 55028,A000000,02300,0000,02300INTRAVENOUS THERAPY 55028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55028,A000000,02500,0000,02500PHYSICAL THERAPY 55028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55028,A000000,02700,0000,02700SPEECH PATHOLOGY 55028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55028,A000000,03550,0000,03550FQHC 55028,A000000,04800,0000,04800AMBULANCE 55028,A000000,05000,0000,05000CORF 55028,A000000,05010,0000,05010CMHC 55028,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55028,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55028,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55028,A000000,05300,0000,05300INTEREST EXPENSE 55028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55028,A000000,06150,0000,06300NONREIMBURSABLE 55028,A81000A,00100,0100,Y 55028,A81000B,00100,0300,HOME OFFICE COSTS 55028,A81000B,00200,0300,CONTRACT THERAPY SER 55028,A81000B,00300,0300,CONTRACT THERAPY SER 55028,A81000B,00400,0300,CONTRACT THERAPY SER 55028,A81000C,00100,0100,B 55028,A81000C,00100,0200,PRESBYTERIAN HO 55028,A81000C,00100,0600,HOME OFFICE 55028,A81000C,00200,0600,MANAGEMENT 55028,A81000C,00500,0100,G 55028,A81000C,00500,0200,PRESBYTERIAN HO 55028,A81000C,00500,0400,HVA THERAPY LT 55028,A81000C,00500,0600,THERAPY SERVICE 55028,A81000C,00600,0200,IN THE PRESBYTE 55028,A81000C,00600,0600,PROVIDER 55028,A81000C,00700,0200,OF LAKE ERIE 55028,B100000,00000,0100,00000SQUARE FEET 55028,B100000,00000,0200,00000SQUARE FEET 55028,B100000,00000,0300,00000GROSS SALARIES 55028,B100000,00000,0400,00000ACCUM COST 55028,B100000,00000,0500,00000SQUARE FEET 55028,B100000,00000,0600,00000POUNDS OF LAUNDRY 55028,B100000,00000,0700,00000SQ FT W/O KIT 55028,B100000,00000,0800,00000MEALS SERVED 55028,B100000,00000,0900,00000DIRECT NRSG HRS 55028,B100000,00000,1000,00000COSTED REQUIS 55028,B100000,00000,1100,00000COSTED REQUIS 55028,B100000,00000,1200,00000GROSS CHARGES 55028,B100000,00000,1300,00000TIME SPENT 55028,B100000,00000,1350,00000TIME SPENT 55028,B100000,00000,1400,00000ASSIGNED TIME 55028,E10A180,00501,0100,06/09/2000 55028,E10A180,00501,0300,06/09/2000 55028,S000000,00100,0200,05/30/2000 55028,S200000,00100,0100,10 VO-TECH DRIVE 55028,S200000,00200,0100,OIL CITY 55028,S200000,00200,0200,PA 55028,S200000,00300,0100,VENANGO 55028,S200000,00400,0100,OIL CITY PRESBYTERIAN HOME 55028,S200000,00400,0200,395502 55028,S200000,00400,0300,02/20/1981 55028,S200000,00400,0500,P 55028,S200000,00400,0600,O 55028,S200000,01600,0100,Y 55028,S200000,02800,0100,Y 55028,S200000,04600,0100,Y 55028,S200000,04700,0100,Y 55028,S200000,04700,0200,Y 55036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55036,A000000,00300,0000,00300EMPLOYEE BENEFITS 55036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55036,A000000,00700,0000,00700HOUSEKEEPING 55036,A000000,00800,0000,00800DIETARY 55036,A000000,00900,0000,00900NURSING ADMINISTRATION 55036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55036,A000000,01100,0000,01100PHARMACY 55036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55036,A000000,01300,0000,01300SOCIAL SERVICE 55036,A000000,01350,0000,01500ACTIVITIES 55036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55036,A000000,01600,0000,01600SKILLED NURSING FACILITY 55036,A000000,01810,0000,01810ICF/MR 55036,A000000,02100,0000,02100RADIOLOGY 55036,A000000,02200,0000,02200LABORATORY 55036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55036,A000000,02500,0000,02500PHYSICAL THERAPY 55036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55036,A000000,02700,0000,02700SPEECH PATHOLOGY 55036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55036,A000000,03550,0000,03550FQHC 55036,A000000,05000,0000,05000CORF 55036,A000000,05010,0000,05010CMHC 55036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55036,A000000,06150,0000,06300GUEST MEALS 55036,A81000A,00100,0100,Y 55036,A81000B,00100,0300,MANAGEMENT FEES 55036,A81000C,00100,0100,A 55036,A81000C,00100,0200,FRANCIS HAYMAN 55036,A81000C,00100,0400,PENN MED 55036,A81000C,00100,0600,HOME OFFICE 55036,A81000C,00200,0100,A 55036,A81000C,00200,0200,DRURY GALLAGHER 55036,A81000C,00200,0400,PENN MED 55036,A81000C,00200,0600,HOME OFFICE 55036,A81000C,00300,0100,A 55036,A81000C,00300,0200,JOHN HAYMAN 55036,A81000C,00300,0400,PENN MED 55036,A81000C,00300,0600,HOME OFFICE 55036,B100000,00000,0100,00000SQUARE FEET 55036,B100000,00000,0200,00000DOLLAR VALUE 55036,B100000,00000,0300,00000GROSS SALARIES 55036,B100000,00000,0400,00000ACCUM. COST 55036,B100000,00000,0500,00000SQUARE FEET 55036,B100000,00000,0600,00000POUNDS OF LAUNDRY 55036,B100000,00000,0700,00000SQUARE FEET 55036,B100000,00000,0800,00000MEALS SERVED 55036,B100000,00000,0900,00000DIRECT NRSING HRS 55036,B100000,00000,1000,00000COSTED REQUIS. 55036,B100000,00000,1100,00000PATIENT DAYS 55036,B100000,00000,1200,00000TIME SPENT 55036,B100000,00000,1300,00000PATIENT DAYS 55036,B100000,00000,1350,00000PATIENT DAYS 55036,B100000,00000,1400,00000ASSIGNED TIME 55036,E10A180,00501,0100,07/12/2000 55036,E10A180,00501,0300,07/12/2000 55036,S000000,00100,0200,05/30/2000 55036,S200000,00100,0100,341 N RAILROAD STREET 55036,S200000,00200,0100,PALMYRA 55036,S200000,00200,0200,PA 55036,S200000,00200,0300,17078 55036,S200000,00300,0100,LEBANON 55036,S200000,00400,0100,PALMYRA NURSING HOME 55036,S200000,00400,0200,395506 55036,S200000,00400,0300,05/05/1981 55036,S200000,00400,0500,P 55036,S200000,01500,0100,Y 55036,S200000,02200,0100,Y 55036,S200000,04700,0100,Y 55044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55044,A000000,00300,0000,00300EMPLOYEE BENEFITS 55044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55044,A000000,00700,0000,00700HOUSEKEEPING 55044,A000000,00800,0000,00800DIETARY 55044,A000000,00900,0000,00900NURSING ADMINISTRATION 55044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55044,A000000,01100,0000,01100PHARMACY 55044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55044,A000000,01300,0000,01300SOCIAL SERVICE 55044,A000000,01350,0000,01500OTHER GENERAL SERVICES 55044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55044,A000000,01600,0000,01600SKILLED NURSING FACILITY 55044,A000000,01810,0000,01810ICF/MR 55044,A000000,01900,0000,01900OTHER LONG TERM CARE 55044,A000000,02500,0000,02500PHYSICAL THERAPY 55044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55044,A000000,02700,0000,02700SPEECH PATHOLOGY 55044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55044,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55044,A000000,03550,0000,03550FQHC 55044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55044,A000000,05000,0000,05000CORF 55044,A000000,05010,0000,05010CMHC 55044,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55044,B100000,00000,0100,00000NO STATISTICS 55044,B100000,00000,0200,00000NO STATISTICS 55044,B100000,00000,0300,00000NO STATISTICS 55044,B100000,00000,0400,00000ACCUM. COST 55044,B100000,00000,0500,00000NO STATISTICS 55044,B100000,00000,0600,00000NO STATISTICS 55044,B100000,00000,0700,00000NO STATISTICS 55044,B100000,00000,0800,00000NO STATISTICS 55044,B100000,00000,0900,00000NO STATISTICS 55044,B100000,00000,1000,00000NO STATISTICS 55044,B100000,00000,1100,00000NO STATISTICS 55044,B100000,00000,1200,00000NO STATISTICS 55044,B100000,00000,1300,00000NO STATISTICS 55044,B100000,00000,1350,00000NO STATISTICS 55044,B100000,00000,1400,00000NO STATISTICS 55044,E10A180,00501,0300,12/19/2000 55044,E10A180,00550,0100,12/19/2000 55044,E10A180,00550,0300,12/22/2000 55044,S000000,00100,0200,12/11/2000 55044,S200000,00100,0100,660 NORTH BROAD STREET 55044,S200000,00200,0100,LANSDALE 55044,S200000,00200,0200,PA 55044,S200000,00200,0300,19446 55044,S200000,00300,0100,M 55044,S200000,00400,0100,ELM TERRACE GARDENS 55044,S200000,00400,0200,395507 55044,S200000,00400,0300,07/01/1981 55044,S200000,00400,0500,P 55044,S200000,01500,0100,Y 55053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55053,A000000,00300,0000,00300EMPLOYEE BENEFITS 55053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55053,A000000,00700,0000,00700HOUSEKEEPING 55053,A000000,00800,0000,00800DIETARY 55053,A000000,00900,0000,00900NURSING ADMINISTRATION 55053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55053,A000000,01100,0000,01100PHARMACY 55053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55053,A000000,01300,0000,01300SOCIAL SERVICE 55053,A000000,01350,0000,01500PATIENT ACTIVITIES 55053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55053,A000000,01600,0000,01600SKILLED NURSING FACILITY 55053,A000000,01800,0000,01800NURSING FACILITY 55053,A000000,01810,0000,01810ICF/MR 55053,A000000,02100,0000,02100RADIOLOGY 55053,A000000,02200,0000,02200LABORATORY 55053,A000000,02500,0000,02500PHYSICAL THERAPY 55053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55053,A000000,02700,0000,02700SPEECH PATHOLOGY 55053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55053,A000000,03050,0000,03300AMBULANCE 55053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55053,A000000,03550,0000,03550FQHC 55053,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55053,A000000,05000,0000,05000CORF 55053,A000000,05010,0000,05010CMHC 55053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55053,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55053,B100000,00000,0100,00000SQUARE FEET 55053,B100000,00000,0200,00000DOLLAR VALUE 55053,B100000,00000,0300,00000GROSS SALARIES 55053,B100000,00000,0400,00000ACCUM. COST 55053,B100000,00000,0500,00000SQUARE FEET 55053,B100000,00000,0600,00000POUNDS OF LAUNDRY 55053,B100000,00000,0700,00000SQ FT EXCL DIET 55053,B100000,00000,0800,00000MEALS SERVED 55053,B100000,00000,0900,00000DIRECT NRSING HRS 55053,B100000,00000,1000,00000PATIENT DAYS 55053,B100000,00000,1100,00000PATIENT DAYS 55053,B100000,00000,1200,00000TIME SPENT 55053,B100000,00000,1300,00000TIME SPENT 55053,B100000,00000,1350,00000PATIENT DAYS 55053,B100000,00000,1400,00000ASSIGNED TIME 55053,S000000,00100,0200,05/31/2000 55053,S200000,00100,0100,301 VALLEY VIEW BOULEVARD 55053,S200000,00200,0100,ALTOONA 55053,S200000,00200,0200,PA 55053,S200000,00300,0100,BLAIR 55053,S200000,00400,0100,VALLEY VIEW HOME 55053,S200000,00400,0200,395514 55053,S200000,00400,0300,10/22/1981 55053,S200000,00400,0500,P 55053,S200000,01600,0100,Y 55061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55061,A000000,00300,0000,00300EMPLOYEE BENEFITS 55061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55061,A000000,00700,0000,00700HOUSEKEEPING 55061,A000000,00800,0000,00800DIETARY 55061,A000000,00900,0000,00900NURSING ADMINISTRATION 55061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55061,A000000,01100,0000,01100PHARMACY 55061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55061,A000000,01300,0000,01300SOCIAL SERVICE 55061,A000000,01350,0000,01500OTHER GENERAL SERVICES 55061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55061,A000000,01600,0000,01600SKILLED NURSING FACILITY 55061,A000000,01810,0000,01810ICF/MR 55061,A000000,01900,0000,01900OTHER LONG TERM CARE 55061,A000000,02100,0000,02100RADIOLOGY 55061,A000000,02200,0000,02200LABORATORY 55061,A000000,02500,0000,02500PHYSICAL THERAPY 55061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55061,A000000,02700,0000,02700SPEECH PATHOLOGY 55061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55061,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55061,A000000,03550,0000,03550FQHC 55061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55061,A000000,05000,0000,05000CORF 55061,A000000,05010,0000,05010CMHC 55061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55061,A000000,05300,0000,05300INTEREST EXPENSE 55061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55061,B100000,00000,0100,00000SQUARE FEET 55061,B100000,00000,0200,00000SQUARE FEET 55061,B100000,00000,0300,00000GROSS SALARIES 55061,B100000,00000,0400,00000ACCUM. COST 55061,B100000,00000,0500,00000SQUARE FEET 55061,B100000,00000,0600,00000POUNDS OF LAUNDRY 55061,B100000,00000,0700,00000HOURS OF SERVICE 55061,B100000,00000,0800,00000MEALS SERVED 55061,B100000,00000,0900,00000HOURS OF SERVICE 55061,B100000,00000,1000,00000NO STATISTICS 55061,B100000,00000,1100,00000NO STATISTICS 55061,B100000,00000,1200,00000NO STATISTICS 55061,B100000,00000,1300,00000TIME SPENT 55061,B100000,00000,1350,00000NO STATISTICS 55061,B100000,00000,1400,00000NO STATISTICS 55061,E10A180,00501,0100,06/06/2000 55061,E10A180,00501,0300,06/06/2000 55061,S000000,00100,0200,04/19/2000 55061,S200000,00100,0100,999 WEST HARRISBURG PIKE 55061,S200000,00200,0100,MIDDLETOWN 55061,S200000,00200,0200,PA 55061,S200000,00300,0100,DAUPHIN 55061,S200000,00400,0100,THE MIDDLETOWN HOME 55061,S200000,00400,0200,395518 55061,S200000,00400,0300,04/01/1982 55061,S200000,00400,0500,P 55061,S200000,01500,0100,Y 55066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55066,A000000,00300,0000,00300EMPLOYEE BENEFITS 55066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55066,A000000,00700,0000,00700HOUSEKEEPING 55066,A000000,00800,0000,00800DIETARY 55066,A000000,00900,0000,00900NURSING ADMINISTRATION 55066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55066,A000000,01100,0000,01100PHARMACY 55066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55066,A000000,01300,0000,01300SOCIAL SERVICE 55066,A000000,01350,0000,01500ACTIVITIES 55066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55066,A000000,01600,0000,01600SKILLED NURSING FACILITY 55066,A000000,01810,0000,01810ICF/MR 55066,A000000,02100,0000,02100RADIOLOGY 55066,A000000,02200,0000,02200LABORATORY 55066,A000000,02500,0000,02500PHYSICAL THERAPY 55066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55066,A000000,02700,0000,02700SPEECH PATHOLOGY 55066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55066,A000000,03550,0000,03550FQHC 55066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55066,A000000,04800,0000,04800AMBULANCE 55066,A000000,05000,0000,05000CORF 55066,A000000,05010,0000,05010CMHC 55066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55066,A000000,06150,0000,06300RESIDENTIAL/PERSONAL CARE 55066,A81000A,00100,0100,Y 55066,A81000B,00100,0300,ESA FEE 55066,A81000C,00100,0100,G 55066,A81000C,00100,0400,ESA 55066,A81000C,00100,0600,HUMAN RESOURCES 55066,B100000,00000,0100,00000SQUARE FEET 55066,B100000,00000,0200,00000SQUARE FEET 55066,B100000,00000,0300,00000GROSS SALARIES 55066,B100000,00000,0400,00000ACCUM. COST 55066,B100000,00000,0500,00000SQUARE FEET 55066,B100000,00000,0600,00000POUNDS OF LAUNDRY 55066,B100000,00000,0700,00000HOURS OF SERVICE 55066,B100000,00000,0800,00000MEALS SERVED 55066,B100000,00000,0900,00000DIRECT NRSING HRS 55066,B100000,00000,1000,00000COSTED REQUIS 55066,B100000,00000,1100,00000COSTED REQUIS 55066,B100000,00000,1200,00000TIME SPENT 55066,B100000,00000,1300,00000TIME SPENT 55066,B100000,00000,1350,00000TIME SPENT 55066,B100000,00000,1400,00000ASSIGNED TIME 55066,E10A180,00501,0100,05/26/2000 55066,E10A180,00501,0300,05/26/2000 55066,E10A180,00502,0300,01/17/2001 55066,E10A180,00550,0100,01/17/2001 55066,S000000,00100,0200,05/11/2000 55066,S200000,00100,0100,200 VETERANS LANE 55066,S200000,00200,0100,DOYLESTOWN 55066,S200000,00200,0200,PA 55066,S200000,00300,0100,BUCKS 55066,S200000,00400,0100,HERITAGE TOWERS 55066,S200000,00400,0200,395520 55066,S200000,00400,0300,07/01/1970 55066,S200000,00400,0500,P 55066,S200000,01500,0100,Y 55066,S200000,02800,0100,Y 55074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55074,A000000,00300,0000,00300EMPLOYEE BENEFITS 55074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55074,A000000,00700,0000,00700HOUSEKEEPING 55074,A000000,00800,0000,00800DIETARY 55074,A000000,00900,0000,00900NURSING ADMINISTRATION 55074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55074,A000000,01100,0000,01100PHARMACY 55074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55074,A000000,01300,0000,01300SOCIAL SERVICE 55074,A000000,01350,0000,01500ACTIVITIES 55074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55074,A000000,01600,0000,01600SKILLED NURSING FACILITY 55074,A000000,01810,0000,01810ICF/MR 55074,A000000,02100,0000,02100RADIOLOGY 55074,A000000,02200,0000,02200LABORATORY 55074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55074,A000000,02500,0000,02500PHYSICAL THERAPY 55074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55074,A000000,02700,0000,02700SPEECH PATHOLOGY 55074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55074,A000000,03550,0000,03550FQHC 55074,A000000,05000,0000,05000CORF 55074,A000000,05010,0000,05010CMHC 55074,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55074,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55074,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55074,A81000A,00100,0100,Y 55074,A81000B,00100,0300,MANAGEMENT FEES 55074,A81000C,00100,0100,A 55074,A81000C,00100,0200,FRANCIS HAYMAN 55074,A81000C,00100,0400,PENN MED 55074,A81000C,00100,0600,HOME OFFICE 55074,A81000C,00200,0100,A 55074,A81000C,00200,0200,JOHN HAYMAN 55074,A81000C,00200,0400,PENN MED 55074,A81000C,00200,0600,HOME OFFICE 55074,A81000C,00300,0100,A 55074,A81000C,00300,0200,DRURY GALLAGHER 55074,A81000C,00300,0400,PENN MED 55074,A81000C,00300,0600,HOME OFFICE 55074,B100000,00000,0100,00000SQUARE FEET 55074,B100000,00000,0200,00000DOLLAR VALUE 55074,B100000,00000,0300,00000GROSS SALARIES 55074,B100000,00000,0400,00000ACCUM. COST 55074,B100000,00000,0500,00000SQUARE FEET 55074,B100000,00000,0600,00000POUNDS OF LAUNDRY 55074,B100000,00000,0700,00000SQUARE FEET 55074,B100000,00000,0800,00000MEALS SERVED 55074,B100000,00000,0900,00000DIRECT NRSING HRS 55074,B100000,00000,1000,00000PATIENT DAYS 55074,B100000,00000,1100,00000PATIENT DAYS 55074,B100000,00000,1200,00000TIME SPENT 55074,B100000,00000,1300,00000PATIENT DAYS 55074,B100000,00000,1350,00000 55074,B100000,00000,1400,00000ASSIGNED TIME 55074,E10A180,00501,0100,06/22/2000 55074,E10A180,00501,0300,06/22/2000 55074,S000000,00100,0200,05/30/2000 55074,S200000,00100,0100,715 HARBOR STREET 55074,S200000,00200,0100,NEW CASTLE 55074,S200000,00200,0200,PA 55074,S200000,00200,0300,16101 55074,S200000,00300,0100,LAWRENCE 55074,S200000,00400,0100,SILVER OAKS NURSING CENTER 55074,S200000,00400,0200,395524 55074,S200000,00400,0300,07/01/1984 55074,S200000,00400,0500,P 55074,S200000,01500,0100,Y 55074,S200000,02200,0100,Y 55074,S200000,04700,0100,Y 55083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55083,A000000,00300,0000,00300EMPLOYEE BENEFITS 55083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55083,A000000,00700,0000,00700HOUSEKEEPING 55083,A000000,00800,0000,00800DIETARY 55083,A000000,00900,0000,00900NURSING ADMINISTRATION 55083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55083,A000000,01100,0000,01100PHARMACY 55083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55083,A000000,01300,0000,01300SOCIAL SERVICE 55083,A000000,01350,0000,01500RESIDENT ACTIVITIES 55083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55083,A000000,01600,0000,01600SKILLED NURSING FACILITY 55083,A000000,01810,0000,01810ICF/MR 55083,A000000,02100,0000,02100RADIOLOGY 55083,A000000,02200,0000,02200LABORATORY 55083,A000000,02500,0000,02500PHYSICAL THERAPY 55083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55083,A000000,02700,0000,02700SPEECH PATHOLOGY 55083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55083,A000000,03550,0000,03550FQHC 55083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55083,A000000,05000,0000,05000CORF 55083,A000000,05010,0000,05010CMHC 55083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55083,A000000,05300,0000,05300INTEREST EXPENSE 55083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55083,A000000,06200,0000,06200PATIENTS LAUNDRY 55083,A81000A,00100,0100,Y 55083,A81000B,00100,0300,MANAGEMENT FEES 55083,A81000C,00100,0100,B 55083,A81000C,00100,0400,JEWISH ASSOC. ON AGING 55083,A81000C,00100,0600,NONPROFIT PARENT CO 55083,B100000,00000,0100,00000SQUARE FEET 55083,B100000,00000,0200,00000SQUARE FEET 55083,B100000,00000,0300,00000GROSS SALARIES 55083,B100000,00000,0400,00000ACCUM. COST 55083,B100000,00000,0500,00000SQUARE FEET 55083,B100000,00000,0600,00000PATIENT DAYS 55083,B100000,00000,0700,00000SQUARE FEET 55083,B100000,00000,0800,00000MEALS SERVED 55083,B100000,00000,0900,00000PATIENT DAYS 55083,B100000,00000,1000,00000PATIENT DAYS 55083,B100000,00000,1100,00000PATIENT DAYS 55083,B100000,00000,1200,00000PATIENT DAYS 55083,B100000,00000,1300,00000PATIENT DAYS 55083,B100000,00000,1350,00000PATIENT DAYS 55083,B100000,00000,1400,00000NO STATISTICS 55083,E10A180,00501,0100,12/06/2000 55083,E10A180,00501,0300,12/06/2000 55083,S000000,00100,0200,11/30/2000 55083,S200000,00100,0100,200 JHF DRIVE 55083,S200000,00200,0100,PITTSBURGH 55083,S200000,00200,0200,PA 55083,S200000,00200,0300,15217 55083,S200000,00300,0100,A 55083,S200000,00400,0100,CHARLES M. MORRIS NURS & REHAB 55083,S200000,00400,0200,395526 55083,S200000,00400,0300,05/01/1982 55083,S200000,00400,0500,P 55083,S200000,01500,0100,Y 55083,S200000,04300,0100,Y 55091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55091,A000000,00300,0000,00300EMPLOYEE BENEFITS 55091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55091,A000000,00700,0000,00700HOUSEKEEPING 55091,A000000,00800,0000,00800DIETARY 55091,A000000,00900,0000,00900NURSING ADMINISTRATION 55091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55091,A000000,01100,0000,01100PHARMACY 55091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55091,A000000,01300,0000,01300SOCIAL SERVICE 55091,A000000,01301,0000,01301PATIENT ACTIVITIES 55091,A000000,01302,0000,01302SOCIAL SERVICE 55091,A000000,01350,0000,01500OTHER GENERAL SERVICES 55091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55091,A000000,01600,0000,01600SKILLED NURSING FACILITY 55091,A000000,01810,0000,01810ICF/MR 55091,A000000,01900,0000,01900OTHER LONG TERM CARE 55091,A000000,02100,0000,02100RADIOLOGY 55091,A000000,02200,0000,02200LABORATORY 55091,A000000,02300,0000,02300INTRAVENOUS THERAPY 55091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55091,A000000,02500,0000,02500PHYSICAL THERAPY 55091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55091,A000000,02700,0000,02700SPEECH PATHOLOGY 55091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55091,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55091,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55091,A000000,03550,0000,03550FQHC 55091,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55091,A000000,05000,0000,05000CORF 55091,A000000,05010,0000,05010CMHC 55091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55091,A000000,05300,0000,05300INTEREST EXPENSE 55091,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55091,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55091,A81000A,00100,0100,Y 55091,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 55091,A81000C,00100,0100,C 55091,A81000C,00100,0200,PRESBYTERIAN HOMES - 55091,A81000C,00100,0400,PH OF THE PRESBYTERY OF 55091,A81000C,00100,0600,HOME OFFICE 55091,A81000C,00200,0200,HOLLIDAYSBURG 55091,A81000C,00200,0400,HUNTINGDON COUNTY 55091,B100000,00000,0100,00000SQUARE FEET 55091,B100000,00000,0200,00000SQUARE FEET 55091,B100000,00000,0300,00000GROSS SALARIES 55091,B100000,00000,0400,00000ACCUM. COST 55091,B100000,00000,0500,00000SQUARE FEET 55091,B100000,00000,0600,00000POUNDS OF LAUNDRY 55091,B100000,00000,0700,00000HOURS OF SERVICE 55091,B100000,00000,0800,00000MEALS SERVED 55091,B100000,00000,0900,00000DIRECT NRSING HRS 55091,B100000,00000,1000,00000PATIENT DAYS 55091,B100000,00000,1100,00000COSTED REQUIS. 55091,B100000,00000,1200,00000DIRECT NURSG HRS 55091,B100000,00000,1300,00000PATIENT DAYS 55091,B100000,00000,1301,00000PATIENT DAYS 55091,B100000,00000,1302,00000PATIENT DAYS 55091,B100000,00000,1350,00000TIME SPENT 55091,B100000,00000,1400,00000PATIENT DAYS 55091,E10A180,00501,0100,04/25/2000 55091,E10A180,00501,0300,04/25/2000 55091,S000000,00100,0200,04/17/2000 55091,S200000,00100,0100,700 NEWRY STREET 55091,S200000,00200,0100,HOLLLIDAYSBURG 55091,S200000,00200,0200,PA 55091,S200000,00300,0100,BLAIR 55091,S200000,00400,0100,PRESBYTERIAN HOMES-HOLLIDAYSBURG 55091,S200000,00400,0200,395530 55091,S200000,00400,0300,08/01/1984 55091,S200000,00400,0500,P 55091,S200000,01500,0100,Y 55099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55099,A000000,00300,0000,00300EMPLOYEE BENEFITS 55099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55099,A000000,00700,0000,00700HOUSEKEEPING 55099,A000000,00800,0000,00800DIETARY 55099,A000000,00900,0000,00900NURSING ADMINISTRATION 55099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55099,A000000,01100,0000,01100PHARMACY 55099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55099,A000000,01300,0000,01300SOCIAL SERVICE 55099,A000000,01301,0000,01301PATIENT ACTIVITIES 55099,A000000,01350,0000,01500OTHER GENERAL SERVICES 55099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55099,A000000,01600,0000,01600SKILLED NURSING FACILITY 55099,A000000,01810,0000,01810ICF/MR 55099,A000000,01900,0000,01900OTHER LONG TERM CARE 55099,A000000,02100,0000,02100RADIOLOGY 55099,A000000,02200,0000,02200LABORATORY 55099,A000000,02300,0000,02300INTRAVENOUS THERAPY 55099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55099,A000000,02500,0000,02500PHYSICAL THERAPY 55099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55099,A000000,02700,0000,02700SPEECH PATHOLOGY 55099,A000000,02800,0000,02800ELECTROCARDIOLOGY 55099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55099,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55099,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55099,A000000,03550,0000,03550FQHC 55099,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55099,A000000,05000,0000,05000CORF 55099,A000000,05010,0000,05010CMHC 55099,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55099,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55099,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55099,A000000,05300,0000,05300INTEREST EXPENSE 55099,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55099,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55099,A81000A,00100,0100,Y 55099,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 55099,A81000C,00100,0100,C 55099,A81000C,00100,0200,MOSHANNON VALLEY 55099,A81000C,00100,0400,PH OF THE PRESBYTERY OF 55099,A81000C,00100,0600,HOME OFFICE 55099,A81000C,00200,0400,HUNTINGDON COUNTY 55099,B100000,00000,0100,00000SQUARE FEET 55099,B100000,00000,0200,00000SQUARE FEET 55099,B100000,00000,0300,00000GROSS SALARIES 55099,B100000,00000,0400,00000ACCUM. COST 55099,B100000,00000,0500,00000SQUARE FEET 55099,B100000,00000,0600,00000POUNDS OF LAUNDRY 55099,B100000,00000,0700,00000HOURS OF SERVICE 55099,B100000,00000,0800,00000MEALS SERVED 55099,B100000,00000,0900,00000DIRECT NRSING HRS 55099,B100000,00000,1000,00000PATIENT DAYS 55099,B100000,00000,1100,00000COSTED REQUIS. 55099,B100000,00000,1200,00000PATIENT DAYS 55099,B100000,00000,1300,00000PATIENT DAYS 55099,B100000,00000,1301,00000PATIENT DAYS 55099,B100000,00000,1350,00000TIME SPENT 55099,B100000,00000,1400,00000PATIENT DAYS 55099,S000000,00100,0200,04/18/2000 55099,S200000,00100,0100,200 MEDICAL CENTER DRIVE 55099,S200000,00200,0100,PHILLIPSBURG 55099,S200000,00200,0200,PA 55099,S200000,00300,0100,CENTRE 55099,S200000,00400,0100,PRESBYTERIAN HOME-MOSHANNON VALLEY 55099,S200000,00400,0200,395533 55099,S200000,00400,0300,08/01/1982 55099,S200000,00400,0500,P 55099,S200000,01500,0100,Y 55110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55110,A000000,00300,0000,00300EMPLOYEE BENEFITS 55110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55110,A000000,00700,0000,00700HOUSEKEEPING 55110,A000000,00800,0000,00800DIETARY 55110,A000000,00900,0000,00900NURSING ADMINISTRATION 55110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55110,A000000,01100,0000,01100PHARMACY 55110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55110,A000000,01300,0000,01300SOCIAL SERVICE 55110,A000000,01350,0000,01500PATIENT ACTIVITIES 55110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55110,A000000,01600,0000,01600SKILLED NURSING FACILITY 55110,A000000,01810,0000,01810ICF/MR 55110,A000000,01900,0000,01900OTHER LONG TERM CARE 55110,A000000,02100,0000,02100RADIOLOGY 55110,A000000,02200,0000,02200LABORATORY 55110,A000000,02300,0000,02300INTRAVENOUS THERAPY 55110,A000000,02500,0000,02500PHYSICAL THERAPY 55110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55110,A000000,02700,0000,02700SPEECH PATHOLOGY 55110,A000000,02800,0000,02800ELECTROCARDIOLOGY 55110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55110,A000000,03550,0000,03550FQHC 55110,A000000,05000,0000,05000CORF 55110,A000000,05010,0000,05010CMHC 55110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55110,A000000,05300,0000,05300INTEREST EXPENSE 55110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55110,A81000A,00100,0100,Y 55110,A81000B,00100,0300,NURSE CONSULTING 55110,A81000B,00200,0300,ACCOUNTING FEES 55110,A81000B,00300,0300,SEWAGE BARN & LOT 55110,A81000B,00400,0300,APARTMENT RENT 55110,A81000C,00100,0100,E 55110,A81000C,00100,0200,DAVID A. SMITH 55110,A81000C,00100,0400,SO. WINDS CARE 55110,A81000C,00100,0600,NURSE CONSULTIN 55110,A81000C,00200,0100,E 55110,A81000C,00200,0200,ALEXANDER KROT 55110,A81000C,00200,0400,SO. WINDS CARE 55110,A81000C,00200,0600,NURSE CONSULTIN 55110,A81000C,00300,0100,E 55110,A81000C,00300,0200,DAVID A. SMITH 55110,A81000C,00300,0400,DAVEID A. SMITH 55110,A81000C,00300,0600,CPA FIRM 55110,A81000C,00400,0100,E 55110,A81000C,00400,0200,DAVID A. SMITH 55110,A81000C,00400,0400,LINCOLN SQUARE 55110,A81000C,00400,0600,RENTAL 55110,A81000C,00500,0100,E 55110,A81000C,00500,0200,ALEXANDER KROT 55110,A81000C,00500,0400,LINCOLN SQUARE 55110,A81000C,00500,0600,RENTAL 55110,B100000,00000,0100,00000SQUARE FEET 55110,B100000,00000,0200,00000SQUARE FEET 55110,B100000,00000,0300,00000GROSS SALARIES 55110,B100000,00000,0400,00000ACCUM COST 55110,B100000,00000,0500,00000SQUARE FEET 55110,B100000,00000,0600,00000POUNDS OF LAUNDRY 55110,B100000,00000,0700,00000HOURS OF SERVICE 55110,B100000,00000,0800,00000MEALS SERVED 55110,B100000,00000,0900,00000DIRECT NRSG HRS 55110,B100000,00000,1000,00000COSTED REQUIS 55110,B100000,00000,1100,00000COSTED REQUIS 55110,B100000,00000,1200,00000TIME SPENT 55110,B100000,00000,1300,00000TIME SPENT 55110,B100000,00000,1350,00000TIME SPENT 55110,B100000,00000,1400,00000ASSIGNED TIME 55110,E10A180,00501,0100,11/30/2000 55110,E10A180,00550,0300,11/30/2000 55110,S000000,00100,0200,10/24/2000 55110,S200000,00100,0100,126 IRON BRIDGE ROAD 55110,S200000,00200,0100,SARVER 55110,S200000,00200,0200,PA 55110,S200000,00200,0300,16055 55110,S200000,00300,0100,BUTLER 55110,S200000,00400,0100,FAIR WINDS MANOR 55110,S200000,00400,0200,395534 55110,S200000,00400,0300,07/01/1994 55110,S200000,00400,0500,P 55110,S200000,00400,0600,O 55110,S200000,01500,0100,Y 55110,S200000,02200,0100,Y 55110,S200000,02800,0100,Y 55115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55115,A000000,00300,0000,00300EMPLOYEE BENEFITS 55115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55115,A000000,00700,0000,00700HOUSEKEEPING 55115,A000000,00800,0000,00800DIETARY 55115,A000000,00900,0000,00900NURSING ADMINISTRATION 55115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55115,A000000,01100,0000,01100PHARMACY 55115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55115,A000000,01300,0000,01300SOCIAL SERVICE 55115,A000000,01350,0000,01500OTHER GENERAL SERVICES 55115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55115,A000000,01600,0000,01600SKILLED NURSING FACILITY 55115,A000000,01800,0000,01800NURSING FACILITY 55115,A000000,01810,0000,01810ICF/MR 55115,A000000,02100,0000,02100RADIOLOGY 55115,A000000,02500,0000,02500PHYSICAL THERAPY 55115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55115,A000000,02700,0000,02700SPEECH PATHOLOGY 55115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55115,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55115,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55115,A000000,03550,0000,03550FQHC 55115,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55115,A000000,04800,0000,04800AMBULANCE 55115,A000000,05000,0000,05000CORF 55115,A000000,05010,0000,05010CMHC 55115,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55115,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55115,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55115,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55115,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55115,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55115,B100000,00000,0100,00000SQUARE FEET 55115,B100000,00000,0200,00000SQUARE FEET 55115,B100000,00000,0300,00000GROSS SALARIES 55115,B100000,00000,0400,00000ACCUM. COST 55115,B100000,00000,0500,00000SQUARE FEET 55115,B100000,00000,0600,00000PATIENT DAYS 55115,B100000,00000,0700,00000SQUARE FEET 55115,B100000,00000,0800,00000MEALS SERVED 55115,B100000,00000,0900,00000PATIENT DAYS 55115,B100000,00000,1000,00000COSTED REQUIS. 55115,B100000,00000,1100,00000COSTED REQUIS. 55115,B100000,00000,1200,00000PATIENT DAYS 55115,B100000,00000,1300,00000PATIENT DAYS 55115,B100000,00000,1350,00000SQUARE FEET 55115,B100000,00000,1400,00000ASSIGNED TIME 55115,E10A180,00501,0100,12/07/2000 55115,E10A180,00501,0300,11/09/2001 55115,E10A180,00550,0100,11/09/2001 55115,S000000,00100,0200,11/30/2000 55115,S200000,00100,0100,1020 OAK LANE 55115,S200000,00200,0100,PHILADELPHIA 55115,S200000,00200,0200,PA 55115,S200000,00200,0300,19126 55115,S200000,00300,0100,P 55115,S200000,00400,0100,MARWOOD REST HOME INC. 55115,S200000,00400,0200,395535 55115,S200000,00400,0300,06/21/1982 55115,S200000,00400,0500,P 55115,S200000,01600,0100,Y 55142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55142,A000000,00300,0000,00300EMPLOYEE BENEFITS 55142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55142,A000000,00700,0000,00700HOUSEKEEPING 55142,A000000,00800,0000,00800DIETARY 55142,A000000,00900,0000,00900NURSING ADMINISTRATION 55142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55142,A000000,01100,0000,01100PHARMACY 55142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55142,A000000,01300,0000,01300SOCIAL SERVICE 55142,A000000,01350,0000,01500PATIENT ACTIVITIES 55142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55142,A000000,01600,0000,01600SKILLED NURSING FACILITY 55142,A000000,01800,0000,01800NURSING FACILITY 55142,A000000,01810,0000,01810ICF/MR 55142,A000000,02100,0000,02100RADIOLOGY 55142,A000000,02200,0000,02200LABORATORY 55142,A000000,02300,0000,02300INTRAVENOUS THERAPY 55142,A000000,02500,0000,02500PHYSICAL THERAPY 55142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55142,A000000,02700,0000,02700SPEECH PATHOLOGY 55142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55142,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55142,A000000,03550,0000,03550FQHC 55142,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55142,A000000,05000,0000,05000CORF 55142,A000000,05010,0000,05010CMHC 55142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55142,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55142,A81000A,00100,0100,Y 55142,A81000B,00100,0300,MANAGEMENT FEES 55142,A81000B,00200,0300,THERAPY 55142,A81000B,00300,0300,NEW CAP 55142,A81000B,00400,0300,NEW CAP 55142,A81000C,00100,0100,B 55142,A81000C,00100,0200,TANDEM HEALTH CARE INC. 55142,A81000C,00100,0400,TANDEM HEALTH CARE INC. 55142,A81000C,00100,0600,HOME OFFICE 55142,A81000C,00200,0100,B 55142,A81000C,00200,0200,TANDEM HEALTH CARE INC. 55142,A81000C,00200,0400,TANDEM REHAB 55142,A81000C,00200,0600,THERAPY 55142,B100000,00000,0100,00000SQUARE FEET 55142,B100000,00000,0200,00000NO STATISTICS 55142,B100000,00000,0300,00000GROSS SALARIES 55142,B100000,00000,0400,00000ACCUM. COST 55142,B100000,00000,0500,00000SQUARE FEET 55142,B100000,00000,0600,00000PATIENT DAYS 55142,B100000,00000,0700,00000SQU FT EXCL D 55142,B100000,00000,0800,00000PATIENT DAYS 55142,B100000,00000,0900,00000NURSING SALARIES 55142,B100000,00000,1000,00000PATIENT DAYS 55142,B100000,00000,1100,00000PATIENT DAYS 55142,B100000,00000,1200,00000PATIENT DAYS 55142,B100000,00000,1300,00000PATIENT DAYS 55142,B100000,00000,1350,00000PATIENT DAYS 55142,B100000,00000,1400,00000NO STATISTICS 55142,E10A180,00501,0300,11/30/2000 55142,S000000,00100,0200,11/22/2000 55142,S200000,00100,0100,2527 SAXONBURG BOULEVARD 55142,S200000,00200,0100,CHESWICK 55142,S200000,00200,0200,PA 55142,S200000,00200,0300,15024 55142,S200000,00300,0100,ALLEGHENY 55142,S200000,00400,0100,TANDEM HEALTH CARE OF CHESWICK INC. 55142,S200000,00400,0200,395538 55142,S200000,00400,0300,09/01/1982 55142,S200000,00400,0500,P 55142,S200000,01500,0100,Y 55152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55152,A000000,00300,0000,00300EMPLOYEE BENEFITS 55152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55152,A000000,00700,0000,00700HOUSEKEEPING 55152,A000000,00800,0000,00800DIETARY 55152,A000000,00900,0000,00900NURSING ADMINISTRATION 55152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55152,A000000,01100,0000,01100PHARMACY 55152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55152,A000000,01300,0000,01300SOCIAL SERVICE 55152,A000000,01350,0000,01500RESIDENT ACTIVITIES 55152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55152,A000000,01600,0000,01600SKILLED NURSING FACILITY 55152,A000000,01800,0000,01800NURSING FACILITY 55152,A000000,01810,0000,01810ICF/MR 55152,A000000,02100,0000,02100RADIOLOGY 55152,A000000,02200,0000,02200LABORATORY 55152,A000000,02300,0000,02300INTRAVENOUS THERAPY 55152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55152,A000000,02500,0000,02500PHYSICAL THERAPY 55152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55152,A000000,02700,0000,02700SPEECH PATHOLOGY 55152,A000000,02800,0000,02800ELECTROCARDIOLOGY 55152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55152,A000000,03550,0000,03550FQHC 55152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55152,A000000,05000,0000,05000CORF 55152,A000000,05010,0000,05010CMHC 55152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55152,A000000,05300,0000,05300INTEREST EXPENSE 55152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55152,B100000,00000,0100,00000SQUARE FEET 55152,B100000,00000,0200,00000SQUARE FEET 55152,B100000,00000,0300,00000GROSS SALARIES 55152,B100000,00000,0400,00000ACCUM. COST 55152,B100000,00000,0500,00000SQUARE FEET 55152,B100000,00000,0600,00000POUNDS OF LAUNDRY 55152,B100000,00000,0700,00000SQUARE FEET 55152,B100000,00000,0800,00000MEALS SERVED 55152,B100000,00000,0900,00000RESIDENT DAYS 55152,B100000,00000,1000,00000RESIDENT DAYS 55152,B100000,00000,1100,00000RESIDENT DAYS 55152,B100000,00000,1200,00000RESIDENT DAYS 55152,B100000,00000,1300,00000RESIDENT DAYS 55152,B100000,00000,1350,00000RESIDENT DAYS 55152,B100000,00000,1400,00000RESIDENT DAYS 55152,E10A180,00501,0100,12/05/2000 55152,E10A180,00550,0300,12/05/2000 55152,S000000,00100,0200,11/29/2000 55152,S200000,00100,0100,685 ANGELA DRIVE 55152,S200000,00200,0100,GREENSBURG 55152,S200000,00200,0200,PA 55152,S200000,00200,0300,15601 55152,S200000,00400,0100,ST ANNE HOME 55152,S200000,00400,0200,395539 55152,S200000,00400,0300,01/01/1982 55152,S200000,00400,0500,P 55152,S200000,01600,0100,Y 55159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55159,A000000,00300,0000,00300EMPLOYEE BENEFITS 55159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55159,A000000,00700,0000,00700HOUSEKEEPING 55159,A000000,00800,0000,00800DIETARY 55159,A000000,00900,0000,00900NURSING ADMINISTRATION 55159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55159,A000000,01100,0000,01100PHARMACY 55159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55159,A000000,01300,0000,01300SOCIAL SERVICE 55159,A000000,01301,0000,01301ACTIVITES 55159,A000000,01350,0000,01500OTHER GENERAL SERVICES 55159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55159,A000000,01600,0000,01600SKILLED NURSING FACILITY 55159,A000000,01800,0000,01800NURSING FACILITY 55159,A000000,01900,0000,01900OTHER LONG TERM CARE 55159,A000000,02100,0000,02100RADIOLOGY 55159,A000000,02200,0000,02200LABORATORY 55159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55159,A000000,02500,0000,02500PHYSICAL THERAPY 55159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55159,A000000,02700,0000,02700SPEECH PATHOLOGY 55159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55159,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55159,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55159,A000000,03550,0000,03550FQHC 55159,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55159,A000000,05000,0000,05000CORF 55159,A000000,05010,0000,05010CMHC 55159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55159,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55159,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55159,A81000A,00100,0100,Y 55159,A81000B,00100,0300,RENT 55159,A81000C,00100,0100,A 55159,A81000C,00100,0200,CHARLOTTE DAVIS 55159,A81000C,00100,0400,DAVIS REALTY 55159,A81000C,00100,0600,REAL ESTATE 55159,B100000,00000,0100,00000SQUARE FEET 55159,B100000,00000,0200,00000SQUARE FEET 55159,B100000,00000,0300,00000GROSS SALARIES 55159,B100000,00000,0400,00000ACCUM. COST 55159,B100000,00000,0500,00000SQUARE FEET 55159,B100000,00000,0600,00000PATIENT DAYS 55159,B100000,00000,0700,00000SQUARE FEET 55159,B100000,00000,0800,00000MEALS SERVED 55159,B100000,00000,0900,00000DIRECT NRSING HRS 55159,B100000,00000,1000,00000PATIENT DAYS 55159,B100000,00000,1100,00000PATIENT DAYS 55159,B100000,00000,1200,00000PATIENT DAYS 55159,B100000,00000,1300,00000PATIENT DAYS 55159,B100000,00000,1301,00000 55159,B100000,00000,1350,00000 55159,B100000,00000,1400,00000ASSIGNED TIME 55159,E10A180,00501,0100,12/20/2000 55159,E10A180,00501,0300,12/20/2000 55159,S000000,00100,0200,12/06/2000 55159,S200000,00100,0100,185 S. MOUNTAIN BLVD. 55159,S200000,00200,0100,MOUNTAINTOP 55159,S200000,00200,0200,PA 55159,S200000,00200,0300,18707 55159,S200000,00300,0100,L 55159,S200000,00400,0100,DAVIS NURSING HOME 55159,S200000,00400,0200,395542 55159,S200000,00400,0300,07/01/1985 55159,S200000,00400,0500,P 55159,S200000,01600,0100,Y 55169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55169,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55169,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55169,A000000,00300,0000,00300EMPLOYEE BENEFITS 55169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55169,A000000,00700,0000,00700HOUSEKEEPING 55169,A000000,00800,0000,00800DIETARY 55169,A000000,00801,0000,00801CAFETERIA 55169,A000000,00900,0000,00900NURSING ADMINISTRATION 55169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55169,A000000,01100,0000,01100PHARMACY 55169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55169,A000000,01300,0000,01300SOCIAL SERVICE 55169,A000000,01350,0000,01500REC. THERAPY 55169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55169,A000000,01600,0000,01600SKILLED NURSING FACILITY 55169,A000000,01800,0000,01800NURSING FACILITY 55169,A000000,01810,0000,01810ICF/MR 55169,A000000,02100,0000,02100RADIOLOGY 55169,A000000,02200,0000,02200LABORATORY 55169,A000000,02300,0000,02300INTRAVENOUS THERAPY 55169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55169,A000000,02500,0000,02500PHYSICAL THERAPY 55169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55169,A000000,02700,0000,02700SPEECH PATHOLOGY 55169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55169,A000000,03050,0000,03300PEN THERAPY 55169,A000000,03051,0000,03301FEE SCREENING 55169,A000000,03052,0000,03302OTHER ANCILLARY III 55169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55169,A000000,03550,0000,03550FQHC 55169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55169,A000000,05000,0000,05000CORF I 55169,A000000,05010,0000,05010CMHC I 55169,A000000,05020,0000,05020OPT I 55169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55169,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 55169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55169,A81000A,00100,0100,Y 55169,A81000B,00100,0300,HOME OFFICE 55169,A81000B,00200,0300,HOME OFFICE CAPITAL 55169,A81000B,00300,0300,HOME OFFICE INTEREST 55169,A81000B,00400,0300,AS ATTACHED 55169,A81000C,00100,0100,B 55169,A81000C,00100,0400,GHV INC 55169,A81000C,00100,0600,HOME OFFICE 55169,A81000C,00200,0100,B 55169,A81000C,00200,0400,GHV INC 55169,A81000C,00200,0600,HOME OFFICE 55169,A81000C,00300,0100,B 55169,A81000C,00300,0400,GHV INC 55169,A81000C,00300,0600,HOME OFFICE 55169,A81000C,00400,0100,B 55169,A81000C,00400,0400,AS ATTACHED 55169,A81000C,00400,0600,VARIOUS 55169,B100000,00000,0100,00000(SQUARE FEET) 55169,B100000,00000,0101,00000(SQUARE FEET) 55169,B100000,00000,0200,00000(SQUARE FEET) 55169,B100000,00000,0201,00000(SQUARE FEET) 55169,B100000,00000,0300,00000(GROSS SALARIES) 55169,B100000,00000,0400,00000(ACCUM. COST) 55169,B100000,00000,0500,00000(SQUARE FEET) 55169,B100000,00000,0600,00000(PATIENT DAYS) 55169,B100000,00000,0700,00000(SQUARE FEET) 55169,B100000,00000,0800,00000(MEALS SERVED) 55169,B100000,00000,0801,00000(MEALS SERVED) 55169,B100000,00000,0900,00000(NURSING SALARIES) 55169,B100000,00000,1000,00000(PATIENT DAYS) 55169,B100000,00000,1100,00000(PATIENT DAYS) 55169,B100000,00000,1200,00000(PATIENT DAYS) 55169,B100000,00000,1300,00000(PATIENT DAYS) 55169,B100000,00000,1350,00000(PATIENT DAYS) 55169,B100000,00000,1400,00000PAT. DAYS 55169,E10A180,00501,0100,03/24/2000 55169,E10A180,00501,0300,03/24/2000 55169,S000000,00100,0200,02/28/2000 55169,S200000,00100,0100,850 PAPERMILL ROAD 55169,S200000,00200,0100,GLENSIDE 55169,S200000,00200,0200,PA 55169,S200000,00200,0300,19038 55169,S200000,00300,0100,MONTGOMERY 55169,S200000,00400,0100,FAIRVIEW CARE CENTER OF PAPERMILL RD 55169,S200000,00400,0200,395545 55169,S200000,00400,0300,01/01/1980 55169,S200000,00400,0500,P 55169,S200000,01600,0100,Y 55169,S200000,02200,0100,Y 55181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55181,A000000,00101,0000,00101CAP REL COSTS - MEDICAL CENTER 55181,A000000,00102,0000,00102CAP REL COSTS - COMMUNITY CENTE 55181,A000000,00103,0000,00103CAP REL COSTS - RESIDENTIAL 55181,A000000,00104,0000,00104CAP REL COSTS - COMBINED 55181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55181,A000000,00300,0000,00300EMPLOYEE BENEFITS 55181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55181,A000000,00700,0000,00700HOUSEKEEPING 55181,A000000,00701,0000,00701HOUSEKEEPING - MEDICAL CENTER 55181,A000000,00702,0000,00702HOUSEKEEPING - COMMUNITY CENTER 55181,A000000,00703,0000,00703HOUSEKEEPING - RESIDENTIAL 55181,A000000,00704,0000,00704HOUSEKEEPING - COMBINED 55181,A000000,00800,0000,00800DIETARY 55181,A000000,00900,0000,00900NURSING ADMINISTRATION 55181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55181,A000000,01100,0000,01100PHARMACY 55181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55181,A000000,01300,0000,01300SOCIAL SERVICE 55181,A000000,01350,0000,01500PATIENT ACTIVITIES 55181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55181,A000000,01600,0000,01600SKILLED NURSING FACILITY 55181,A000000,01810,0000,01810ICF/MR 55181,A000000,01900,0000,01900OTHER LONG TERM CARE 55181,A000000,02100,0000,02100RADIOLOGY 55181,A000000,02200,0000,02200LABORATORY 55181,A000000,02500,0000,02500PHYSICAL THERAPY 55181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55181,A000000,02700,0000,02700SPEECH PATHOLOGY 55181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55181,A000000,02901,0000,02901CLINITRON BEDS 55181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55181,A000000,03400,0000,03400CLINIC 55181,A000000,03550,0000,03550FQHC 55181,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55181,A000000,05000,0000,05000CORF 55181,A000000,05010,0000,05010CMHC 55181,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55181,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55181,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55181,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55181,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55181,A81000A,00100,0100,Y 55181,A81000B,00100,0300,PHYSICAL THERAPY 55181,A81000B,00200,0300,OCCUPATIONAL THERAPY 55181,A81000B,00300,0300,SPEECH THERAPY 55181,A81000B,00400,0300,PAYROLL 55181,A81000B,00500,0300,INSURANCE 55181,A81000B,00600,0300,WORKERS COMP 55181,A81000B,00700,0300,LABORATORY 55181,A81000B,00800,0300,MEDICAL DIRECTOR 55181,A81000B,00900,0300,PSYCHIATRIC PHYSICIAN 55181,A81000C,00100,0100,G 55181,A81000C,00100,0400,CORE REHAB SERVICES 55181,A81000C,00100,0600,THERAPY 55181,A81000C,00200,0100,G 55181,A81000C,00200,0400,CORE REHAB SERVICES 55181,A81000C,00200,0600,THERAPY 55181,A81000C,00300,0100,G 55181,A81000C,00300,0400,CORE REHAB SERVICES 55181,A81000C,00300,0600,THERAPY 55181,A81000C,00400,0100,G 55181,A81000C,00400,0400,UPMC PASSAVANT 55181,A81000C,00400,0600,HOSPITAL 55181,A81000C,00500,0100,G 55181,A81000C,00500,0400,UPMC PASSAVANT 55181,A81000C,00500,0600,HOSPITAL 55181,A81000C,00600,0100,G 55181,A81000C,00600,0400,UPMC PASSAVANT 55181,A81000C,00600,0600,HOSPITAL 55181,A81000C,00700,0100,G 55181,A81000C,00700,0400,QUEST DIAGNOSTICS 55181,A81000C,00700,0600,LABORATORY 55181,A81000C,00800,0100,G 55181,A81000C,00800,0400,UPMC PHYSICIANS 55181,A81000C,00800,0600,PHYSICIAN 55181,A81000C,00900,0100,G 55181,A81000C,00900,0400,UPMC PHYSICIANS 55181,A81000C,00900,0600,PHYSICIAN 55181,A81000C,01000,0100,G 55181,B100000,00000,0100,00000SQ FT COMBINED 55181,B100000,00000,0101,00000SQ FT MED CENTER 55181,B100000,00000,0102,00000SQ FT COMM CTR 55181,B100000,00000,0103,00000SQ FT RESIDENTAI 55181,B100000,00000,0104,00000SQ FT COMBINED 55181,B100000,00000,0200,00000SQ FT COMBINED 55181,B100000,00000,0300,00000GROSS SALARIES 55181,B100000,00000,0400,00000ACCUM. COST 55181,B100000,00000,0500,00000SQ FT COMBINED 55181,B100000,00000,0600,00000POUNDS OF LAUNDRY 55181,B100000,00000,0700,00000SQ FT ENTIREEXCL 55181,B100000,00000,0701,00000SQ FT MED CTEXCL DIE 55181,B100000,00000,0702,00000SQ FT COMM EXCL 55181,B100000,00000,0703,00000SQ FT RES EXCL DIETA 55181,B100000,00000,0704,00000SQ FT ENTIREEXCL 55181,B100000,00000,0800,00000MEALS SERVED 55181,B100000,00000,0900,00000DIRECT NRSG HRS 55181,B100000,00000,1000,00000COSTED REQUIS 55181,B100000,00000,1100,00000COSTED REQUIS 55181,B100000,00000,1200,00000TIME SPENT 55181,B100000,00000,1300,00000SNF PATIENT DA 55181,B100000,00000,1350,00000SNF/ACLF PATIENT DA 55181,B100000,00000,1400,00000ASSIGNED TIME 55181,E10A180,00501,0100,12/04/2000 55181,E10A180,00501,0300,12/04/2000 55181,S000000,00100,0200,11/29/2000 55181,S200000,00100,0100,100 NORMAN DRIVE 55181,S200000,00200,0100,CRANBERRY TOWNSHIP 55181,S200000,00200,0200,PA 55181,S200000,00200,0300,16066 55181,S200000,00300,0100,BUTLER 55181,S200000,00400,0100,SHERWOOD OAKS 55181,S200000,00400,0200,395549 55181,S200000,00400,0300,10/22/1982 55181,S200000,00400,0500,P 55181,S200000,01700,0100,Y 55181,S200000,01900,0100,501 (C) (3) 55181,S200000,04300,0100,Y 55192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55192,A000000,00101,0000,00101CAP REL COSTS - NEW BLDGS & FIX 55192,A000000,00102,0000,00102CAP REL COSTS - COMBINED 55192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55192,A000000,00300,0000,00300EMPLOYEE BENEFITS 55192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55192,A000000,00700,0000,00700HOUSEKEEPING 55192,A000000,00800,0000,00800DIETARY 55192,A000000,00900,0000,00900NURSING ADMINISTRATION 55192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55192,A000000,01100,0000,01100PHARMACY 55192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55192,A000000,01300,0000,01300SOCIAL SERVICE 55192,A000000,01350,0000,01500RESIDENT ACTIVITIES 55192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55192,A000000,01600,0000,01600SKILLED NURSING FACILITY 55192,A000000,01800,0000,01800NURSING FACILITY 55192,A000000,01810,0000,01810ICF/MR 55192,A000000,02100,0000,02100RADIOLOGY 55192,A000000,02200,0000,02200LABORATORY 55192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55192,A000000,02500,0000,02500PHYSICAL THERAPY 55192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55192,A000000,02700,0000,02700SPEECH PATHOLOGY 55192,A000000,02800,0000,02800ELECTROCARDIOLOGY 55192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55192,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55192,A000000,03550,0000,03550FQHC 55192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55192,A000000,05000,0000,05000CORF 55192,A000000,05010,0000,05010CMHC 55192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55192,A000000,05300,0000,05300INTEREST EXPENSE 55192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55192,A81000A,00100,0100,Y 55192,A81000B,00100,0300,MANAGEMENT EXPENSE 55192,A81000B,00200,0300,BUILDING / CAPITAL HOME OFFICE 55192,A81000B,00300,0300,RENT TRAINING ROOM 55192,A81000B,00400,0300,CONTRACTED HSKP LABOR 55192,A81000B,00500,0300,CONTRACTED MAINT LABOR 55192,A81000C,00100,0100,B 55192,A81000C,00100,0400,WRC COMMUNITY HEALTH SVS 55192,A81000C,00100,0600,HOME OFFICE MANAGEMENT 55192,A81000C,00200,0100,B 55192,A81000C,00200,0400,WRC COMMUNITY HEALTH SVS 55192,A81000C,00200,0600,HOME OFFICE MANAGEMENT 55192,A81000C,00300,0100,G 55192,A81000C,00300,0400,PHILIP TAYLOR HOUSE 55192,A81000C,00300,0600,SISTER AFFILIATED P/C 55192,A81000C,00400,0100,G 55192,A81000C,00400,0400,PHILIP TAYLOR HOUSE 55192,A81000C,00400,0600,SISTER AFFILIATED P/C 55192,A81000C,00500,0100,G 55192,A81000C,00500,0400,PHILIP TAYLOR HOUSE 55192,A81000C,00500,0600,SISTER AFFILIATED P/C 55192,A81000C,00600,0100,G 55192,A81000C,00600,0400,PHILIP TAYLOR HOUSE 55192,A81000C,00600,0600,SISTER AFFILIATED P/C 55192,B100000,00000,0100,00000SQUARE FEET 55192,B100000,00000,0101,00000SQUARE FEET 55192,B100000,00000,0102,00000SQ FEET COMBINED 55192,B100000,00000,0200,00000DOLLAR VALUE 55192,B100000,00000,0300,00000GROSS SALARIES 55192,B100000,00000,0400,00000ACCUM. COST 55192,B100000,00000,0500,00000SQ FEET COMBINED 55192,B100000,00000,0600,00000POUNDS OF LAUNDRY 55192,B100000,00000,0700,00000HOURS OF SERVICE 55192,B100000,00000,0800,00000MEALS SERVED 55192,B100000,00000,0900,00000HOURS OF SERVICE 55192,B100000,00000,1000,00000PATIENT DAYS 55192,B100000,00000,1100,00000PATIENT DAYS 55192,B100000,00000,1200,00000PATIENT DAYS 55192,B100000,00000,1300,00000PATIENT DAYS 55192,B100000,00000,1350,00000PATIENT DAYS 55192,B100000,00000,1400,00000ASSIGNED TIME 55192,E10A180,00501,0100,12/06/2000 55192,E10A180,00501,0300,12/06/2000 55192,S000000,00100,0200,11/29/2000 55192,S200000,00100,0100,51 EUCLID AVENUE 55192,S200000,00200,0100,BROOKVILLE 55192,S200000,00200,0200,PA 55192,S200000,00200,0300,15825 55192,S200000,00300,0100,J 55192,S200000,00400,0100,PENNSYLVANIA MEMORIAL HOME 55192,S200000,00400,0200,395550 55192,S200000,00400,0300,01/01/1993 55192,S200000,00400,0500,P 55192,S200000,01600,0100,Y 55209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55209,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55209,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55209,A000000,00300,0000,00300EMPLOYEE BENEFITS 55209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55209,A000000,00700,0000,00700HOUSEKEEPING 55209,A000000,00800,0000,00800DIETARY 55209,A000000,00801,0000,00801CAFETERIA 55209,A000000,00900,0000,00900NURSING ADMINISTRATION 55209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55209,A000000,01100,0000,01100PHARMACY 55209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55209,A000000,01300,0000,01300SOCIAL SERVICE 55209,A000000,01350,0000,01500REC. THERAPY 55209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55209,A000000,01600,0000,01600SKILLED NURSING FACILITY 55209,A000000,01800,0000,01800NURSING FACILITY 55209,A000000,01810,0000,01810ICF/MR 55209,A000000,02100,0000,02100RADIOLOGY 55209,A000000,02200,0000,02200LABORATORY 55209,A000000,02500,0000,02500PHYSICAL THERAPY 55209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55209,A000000,02700,0000,02700SPEECH PATHOLOGY 55209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55209,A000000,03050,0000,03300PEN THERAPY 55209,A000000,03051,0000,03301FEE SCREENING 55209,A000000,03052,0000,03302OTHER ANCILLARY III 55209,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55209,A000000,03550,0000,03550FQHC 55209,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55209,A000000,05000,0000,05000CORF I 55209,A000000,05010,0000,05010CMHC I 55209,A000000,05020,0000,05020OPT I 55209,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55209,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55209,A000000,05300,0000,05300INTEREST EXPENSE 55209,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55209,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55209,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55209,A81000A,00100,0100,Y 55209,A81000B,00100,0300,CROZER MEDICAL CENTER 55209,A81000B,00200,0300,AS ATTACHED 55209,A81000C,00100,0100,B 55209,A81000C,00100,0400,CROZER KEYSTONE 55209,A81000C,00100,0600,MANAGEMENT 55209,A81000C,00200,0100,B 55209,A81000C,00200,0400,GHV INC 55209,A81000C,00200,0600,VARIOUS 55209,B100000,00000,0100,00000(SQUARE FEET) 55209,B100000,00000,0101,00000(SQUARE FEET) 55209,B100000,00000,0200,00000(SQUARE FEET) 55209,B100000,00000,0201,00000(SQUARE FEET) 55209,B100000,00000,0300,00000(GROSS SALARIES) 55209,B100000,00000,0400,00000(ACCUM. COST) 55209,B100000,00000,0500,00000(SQUARE FEET) 55209,B100000,00000,0600,00000(PATIENT DAYS) 55209,B100000,00000,0700,00000(SQUARE FEET) 55209,B100000,00000,0800,00000(MEALS SERVED) 55209,B100000,00000,0801,00000(MEALS SERVED) 55209,B100000,00000,0900,00000(NURSING SALARIES) 55209,B100000,00000,1000,00000COST REQ 55209,B100000,00000,1100,00000(COSTED REQUIS.) 55209,B100000,00000,1200,00000(PATIENT DAYS) 55209,B100000,00000,1300,00000(PATIENT DAYS) 55209,B100000,00000,1350,00000(PATIENT DAYS) 55209,B100000,00000,1400,00000PAT. DAYS 55209,E10A180,00350,0300,12/16/1999 55209,E10A180,00501,0100,03/23/2000 55209,E10A180,00501,0300,03/23/2000 55209,S000000,00100,0200,02/28/2000 55209,S200000,00100,0100,530 MACOBY STREET 55209,S200000,00200,0100,PENNSBURG 55209,S200000,00200,0200,PA 55209,S200000,00200,0300,18073 55209,S200000,00300,0100,MONTGOMERY 55209,S200000,00400,0100,PENNSBURG MANOR 55209,S200000,00400,0200,395555 55209,S200000,00400,0300,02/08/1989 55209,S200000,00400,0500,P 55209,S200000,01600,0100,Y 55209,S200000,02200,0100,Y 55219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55219,A000000,00300,0000,00300EMPLOYEE BENEFITS 55219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55219,A000000,00700,0000,00700HOUSEKEEPING 55219,A000000,00800,0000,00800DIETARY 55219,A000000,00900,0000,00900NURSING ADMINISTRATION 55219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55219,A000000,01100,0000,01100PHARMACY 55219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55219,A000000,01300,0000,01300SOCIAL SERVICE 55219,A000000,01350,0000,01500PATIENT ACTIVITES 55219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55219,A000000,01600,0000,01600SKILLED NURSING FACILITY 55219,A000000,01800,0000,01800NURSING FACILITY 55219,A000000,01810,0000,01810ICF/MR 55219,A000000,01900,0000,01900OTHER LONG TERM CARE 55219,A000000,02200,0000,02200LABORATORY 55219,A000000,02500,0000,02500PHYSICAL THERAPY 55219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55219,A000000,02700,0000,02700SPEECH PATHOLOGY 55219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55219,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55219,A000000,03550,0000,03550FQHC 55219,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55219,A000000,05000,0000,05000CORF 55219,A000000,05010,0000,05010CMHC 55219,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55219,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55219,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55219,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55219,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55219,A000000,06200,0000,06200PATIENTS LAUNDRY 55219,A81000A,00100,0100,Y 55219,A81000B,00100,0300,LEGAL FEES 55219,A81000C,00100,0100,D 55219,A81000C,00100,0200,JAMES THOMAS 55219,A81000C,00100,0400,BLAKINGER BYLER THOMAS 55219,A81000C,00100,0600,LAW FIRM 55219,B100000,00000,0100,00000SQUARE FEET 55219,B100000,00000,0200,00000NO STATISTICS 55219,B100000,00000,0300,00000NO STATISTICS 55219,B100000,00000,0400,00000ACCUM. COST 55219,B100000,00000,0500,00000SQUARE FEET 55219,B100000,00000,0600,00000POUNDS OF LAUNDRY 55219,B100000,00000,0700,00000SQ FT EXCL D 55219,B100000,00000,0800,00000MEALS SERVED 55219,B100000,00000,0900,00000PATIENT DAYS 55219,B100000,00000,1000,00000PATIENT DAYS 55219,B100000,00000,1100,00000PATIENT DAYS 55219,B100000,00000,1200,00000PATIENT DAYS 55219,B100000,00000,1300,00000PATIENT DAYS 55219,B100000,00000,1350,00000PATIENT DAYS 55219,B100000,00000,1400,00000NO STATISTICS 55219,E10A180,00501,0100,12/22/2000 55219,E10A180,00501,0300,12/22/2000 55219,S000000,00100,0200,11/30/2000 55219,S200000,00100,0100,1520 HARRISBURG PIKE 55219,S200000,00200,0100,LANCASTER 55219,S200000,00200,0200,PA 55219,S200000,00200,0300,17601 55219,S200000,00300,0100,L 55219,S200000,00400,0100,MENNONITE HOME INC. 55219,S200000,00400,0200,395559 55219,S200000,00400,0300,04/01/1983 55219,S200000,00400,0500,P 55219,S200000,01600,0100,Y 55219,S200000,02800,0100,Y 55227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55227,A000000,00101,0000,00101CAPITAL RELATED COSTS - SKILLED 55227,A000000,00102,0000,00102CAPITAL RELATED COSTS - HCC 55227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55227,A000000,00300,0000,00300EMPLOYEE BENEFITS 55227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55227,A000000,00501,0000,00501PLANT OPERATIONS - HCC 55227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55227,A000000,00700,0000,00700HOUSEKEEPING 55227,A000000,00701,0000,00701HOUSEKEEPING - HCC 55227,A000000,00702,0000,00702HOUSEKEEPING - SKILLED 55227,A000000,00800,0000,00800DIETARY 55227,A000000,00900,0000,00900NURSING ADMINISTRATION 55227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55227,A000000,01100,0000,01100PHARMACY 55227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55227,A000000,01300,0000,01300SOCIAL SERVICE 55227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55227,A000000,01600,0000,01600SKILLED NURSING FACILITY 55227,A000000,01800,0000,01800NURSING FACILITY 55227,A000000,01810,0000,01810ICF/MR 55227,A000000,02100,0000,02100RADIOLOGY 55227,A000000,02200,0000,02200LABORATORY 55227,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55227,A000000,02500,0000,02500PHYSICAL THERAPY 55227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55227,A000000,02700,0000,02700SPEECH PATHOLOGY 55227,A000000,02800,0000,02800ELECTROCARDIOLOGY 55227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55227,A000000,03050,0000,03300HOUSE PHYSICIANS 55227,A000000,03400,0000,03400CLINIC 55227,A000000,03550,0000,03550FQHC 55227,A000000,05000,0000,05000CORF 55227,A000000,05010,0000,05010CMHC 55227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55227,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENT 55227,A000000,06151,0000,06302INDEPENDENT LIVING APARTMENTS 55227,A000000,06152,0000,06304CHILDRENS HOME 55227,A000000,06153,0000,06303RESIDENTIAL 55227,A000000,06154,0000,06301INDEPENDENT LIVING COMMUNITY 55227,A000000,06155,0000,06305ADULT DAILY LIVING CENTER 55227,A000000,06156,0000,06306OUTREACH 55227,A000000,06157,0000,06307FARM 55227,A000000,06158,0000,06308OTHER NONALLOWABLE 55227,A000000,06159,0000,06309WELLNESS CENTER 55227,A000000,06161,0000,06310EXPENSE ADJUSTMENTS 55227,B100000,00000,0100,00010SQUARE FEET 55227,B100000,00000,0101,00010DOLLAR VALUE 55227,B100000,00000,0102,00010DOLLAR VALUE 55227,B100000,00000,0200,00010SQUARE FEET 55227,B100000,00000,0300,00010GROSS SALARIES 55227,B100000,00000,0400,00010ACCUM COST 55227,B100000,00000,0500,00010SQUARE FEET 55227,B100000,00000,0501,00010 55227,B100000,00000,0600,00010POUNDS OF LAUNDRY 55227,B100000,00000,0700,00010SQUARE FOOTAGE 55227,B100000,00000,0701,00010SQUARE FOOTAGE 55227,B100000,00000,0702,00010SQUARE FOOTAGE 55227,B100000,00000,0800,00010MEALS SERVED 55227,B100000,00000,0900,00010DIRECT NRSG HRS 55227,B100000,00000,1000,00010COSTED REQUIS 55227,B100000,00000,1100,00010COSTED REQUIS 55227,B100000,00000,1200,00010GROSS REVENUE 55227,B100000,00000,1300,00010TIME SPENT 55227,B100000,00000,1400,00010ASSIGNED TIME 55227,E10A180,00501,0100,07/12/2000 55227,E10A180,00501,0300,07/12/2000 55227,S000000,00100,0200,05/30/2000 55227,S200000,00100,0100,ONE MASONIC DRIVE 55227,S200000,00200,0100,ELIZABETHTOWN 55227,S200000,00200,0200,PA 55227,S200000,00200,0300,17022 55227,S200000,00300,0100,LANCASTER 55227,S200000,00400,0100,MASONIC HOMES 55227,S200000,00400,0200,395560 55227,S200000,00400,0300,01/01/1983 55227,S200000,00400,0500,P 55227,S200000,01600,0100,Y 55227,S200000,01900,0100,FRATERNAL 55227,S200000,02800,0100,Y 55234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55234,A000000,00300,0000,00300EMPLOYEE BENEFITS 55234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55234,A000000,00700,0000,00700HOUSEKEEPING 55234,A000000,00800,0000,00800DIETARY 55234,A000000,00900,0000,00900NURSING ADMINISTRATION 55234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55234,A000000,01100,0000,01100PHARMACY 55234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55234,A000000,01300,0000,01300SOCIAL SERVICE 55234,A000000,01350,0000,01500RESIDENT ACTIVITIES 55234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55234,A000000,01600,0000,01600SKILLED NURSING FACILITY 55234,A000000,01810,0000,01810ICF/MR 55234,A000000,01900,0000,01900OTHER LONG TERM CARE 55234,A000000,02100,0000,02100RADIOLOGY 55234,A000000,02200,0000,02200LABORATORY 55234,A000000,02500,0000,02500PHYSICAL THERAPY 55234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55234,A000000,02700,0000,02700SPEECH PATHOLOGY 55234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55234,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55234,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55234,A000000,03550,0000,03550FQHC 55234,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55234,A000000,04800,0000,04800AMBULANCE 55234,A000000,05000,0000,05000CORF 55234,A000000,05010,0000,05010CMHC 55234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55234,A000000,05300,0000,05300INTEREST EXPENSE 55234,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55234,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55234,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55234,B100000,00000,0100,00000SQUARE FEET 55234,B100000,00000,0200,00000SQUARE FEET 55234,B100000,00000,0300,00000GROSS SALARIES 55234,B100000,00000,0400,00000ACCUM. COST 55234,B100000,00000,0500,00000SQUARE FEET 55234,B100000,00000,0600,00000POUNDS OF LAUNDRY 55234,B100000,00000,0700,00000SQUARE FEET 55234,B100000,00000,0800,00000MEALS SERVED 55234,B100000,00000,0900,00000TIME SPENT 55234,B100000,00000,1000,00000COSTED REQUIS. 55234,B100000,00000,1100,00000COSTED REQUIS. 55234,B100000,00000,1200,00000TIME SPENT 55234,B100000,00000,1300,00000TIME SPENT 55234,B100000,00000,1350,00000TIME SPENT 55234,B100000,00000,1400,00000ASSIGNED TIME 55234,S000000,00100,0200,05/30/2000 55234,S200000,00100,0100,2344 PERRYSVILLE AVE 55234,S200000,00200,0100,PITTSBURGH 55234,S200000,00200,0200,PA 55234,S200000,00300,0100,ALLEGHENY 55234,S200000,00400,0100,REFORMED PRESBYTERIAN HOME 55234,S200000,00400,0200,395561 55234,S200000,00400,0300,02/16/1983 55234,S200000,00400,0500,P 55234,S200000,01500,0100,Y 55234,S200000,02800,0100,Y 55243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55243,A000000,00300,0000,00300EMPLOYEE BENEFITS 55243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55243,A000000,00700,0000,00700HOUSEKEEPING 55243,A000000,00800,0000,00800DIETARY 55243,A000000,00900,0000,00900NURSING ADMINISTRATION 55243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55243,A000000,01100,0000,01100PHARMACY 55243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55243,A000000,01300,0000,01300SOCIAL SERVICE 55243,A000000,01350,0000,01500OTHER GENERAL SERVICES 55243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55243,A000000,01600,0000,01600SKILLED NURSING FACILITY 55243,A000000,01800,0000,01800NURSING FACILITY 55243,A000000,01810,0000,01810ICF/MR 55243,A000000,01900,0000,01900OTHER LONG TERM CARE 55243,A000000,02100,0000,02100RADIOLOGY 55243,A000000,02200,0000,02200LABORATORY 55243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55243,A000000,02500,0000,02500PHYSICAL THERAPY 55243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55243,A000000,02700,0000,02700SPEECH PATHOLOGY 55243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55243,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55243,A000000,03550,0000,03550FQHC 55243,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55243,A000000,05000,0000,05000CORF 55243,A000000,05010,0000,05010CMHC 55243,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55243,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55243,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55243,A000000,06100,0000,06100NONPAID WORKERS 55243,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55243,A000000,06200,0000,06200PATIENTS LAUNDRY 55243,B100000,00000,0100,00000SQUARE FEET 55243,B100000,00000,0200,00000SQUARE FEET 55243,B100000,00000,0300,00000GROSS SALARIES 55243,B100000,00000,0400,00000ACCUM. COST 55243,B100000,00000,0500,00000SQUARE FEET 55243,B100000,00000,0600,00000POUNDS OF LAUNDRY 55243,B100000,00000,0700,00000HOURS OF SERVICE 55243,B100000,00000,0800,00000MEALS SERVED 55243,B100000,00000,0900,00000DIRECT NRSING HRS 55243,B100000,00000,1000,00000NO STATISTICS 55243,B100000,00000,1100,00000NO STATISTICS 55243,B100000,00000,1200,00000PATIENT DAYS 55243,B100000,00000,1300,00000PATIENT DAYS 55243,B100000,00000,1350,00000PATIENT DAYS 55243,B100000,00000,1400,00000NO STATISTICS 55243,S000000,00100,0200,04/27/2000 55243,S200000,00100,0100,429 SOUTH MARKET STREET 55243,S200000,00200,0100,MARTINSBURG 55243,S200000,00200,0200,PA 55243,S200000,00300,0100,BLAIR 55243,S200000,00400,0100,MORRISONS COVE HOME 55243,S200000,00400,0200,395563 55243,S200000,00400,0300,01/01/1983 55243,S200000,00400,0500,P 55243,S200000,01600,0100,Y 55251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55251,A000000,00300,0000,00300EMPLOYEE BENEFITS 55251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55251,A000000,00700,0000,00700HOUSEKEEPING 55251,A000000,00800,0000,00800DIETARY 55251,A000000,00900,0000,00900NURSING ADMINISTRATION 55251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55251,A000000,01100,0000,01100PHARMACY 55251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55251,A000000,01300,0000,01300SOCIAL SERVICE 55251,A000000,01350,0000,01500OTHER GENERAL SERVICES 55251,A000000,01351,0000,01501PATIENT ACTIVITIES 55251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55251,A000000,01600,0000,01600SKILLED NURSING FACILITY 55251,A000000,01810,0000,01810ICF/MR 55251,A000000,02500,0000,02500PHYSICAL THERAPY 55251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55251,A000000,02700,0000,02700SPEECH PATHOLOGY 55251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55251,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55251,A000000,03550,0000,03550FQHC 55251,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55251,A000000,05000,0000,05000CORF 55251,A000000,05010,0000,05010CMHC 55251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55251,A000000,06151,0000,06301DAY CARE CENTER 55251,A81000A,00100,0100,Y 55251,A81000B,00100,0300,DEPRECIATION 55251,A81000B,00200,0300,FLOWERS 55251,A81000C,00100,0100,E 55251,A81000C,00100,0200,RICHARD OSTROSKI 55251,A81000C,00100,0400,AMERICAN ROOFING SYSTEMS 55251,A81000C,00100,0600,ROOFING/CONSTRUCTION 55251,A81000C,00200,0100,D 55251,A81000C,00200,0200,HELEN JONES 55251,A81000C,00200,0400,WILLIAM JONES AND SON 55251,A81000C,00200,0600,FLORIST 55251,B100000,00000,0100,00001SQUARE FEET 55251,B100000,00000,0200,00001SQUARE FEET 55251,B100000,00000,0300,00001GROSS SALARIES 55251,B100000,00000,0400,00001ACCUM. COST 55251,B100000,00000,0500,00001SQUARE FEET 55251,B100000,00000,0600,00001POUNDS OF LAUNDRY 55251,B100000,00000,0700,00001SQUARE FEET 55251,B100000,00000,0800,00001MEALS SERVED 55251,B100000,00000,0900,00001PATIENT DAYS 55251,B100000,00000,1000,00001PATIENT DAYS 55251,B100000,00000,1100,00001COSTED REQUIS. 55251,B100000,00000,1200,00001TIME SPENT 55251,B100000,00000,1300,00001PATIENT DAYS 55251,B100000,00000,1350,00001PATIENT DAYS 55251,B100000,00000,1351,00001PATIENT DAYS 55251,B100000,00000,1400,00001ASSIGNED TIME 55251,E10A180,00501,0100,01/11/2001 55251,E10A180,00501,0300,01/11/2001 55251,S000000,00100,0200,12/14/2000 55251,S200000,00100,0100,500 W. HOSPITAL STREET 55251,S200000,00200,0100,TAYLOR 55251,S200000,00200,0200,PA 55251,S200000,00300,0100,L 55251,S200000,00400,0100,TAYLOR NURSING AND REHAB CENTER 55251,S200000,00400,0200,395564 55251,S200000,00400,0300,01/17/1983 55251,S200000,00400,0500,P 55251,S200000,01500,0100,Y 55259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55259,A000000,00300,0000,00300EMPLOYEE BENEFITS 55259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55259,A000000,00700,0000,00700HOUSEKEEPING 55259,A000000,00800,0000,00800DIETARY 55259,A000000,00900,0000,00900NURSING ADMINISTRATION 55259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55259,A000000,01100,0000,01100PHARMACY 55259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55259,A000000,01300,0000,01300SOCIAL SERVICE 55259,A000000,01350,0000,01500ACTIVITIES 55259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55259,A000000,01600,0000,01600SKILLED NURSING FACILITY 55259,A000000,01800,0000,01800NURSING FACILITY 55259,A000000,01810,0000,01810ICF/MR 55259,A000000,02100,0000,02100RADIOLOGY 55259,A000000,02200,0000,02200LABORATORY 55259,A000000,02500,0000,02500PHYSICAL THERAPY 55259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55259,A000000,02700,0000,02700SPEECH PATHOLOGY 55259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55259,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 55259,A000000,03550,0000,03550FQHC 55259,A000000,05000,0000,05000CORF 55259,A000000,05010,0000,05010CMHC 55259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55259,A000000,05300,0000,05300INTEREST EXPENSE 55259,A000000,06150,0000,06300RESIDENTIAL 55259,B100000,00000,0100,00000PATIENT DAYS 55259,B100000,00000,0200,00000PATIENT DAYS 55259,B100000,00000,0300,00000GROSS SALARIES 55259,B100000,00000,0400,00000ACCUM. COST 55259,B100000,00000,0500,00000PATIENT DAYS 55259,B100000,00000,0600,00000POUNDS OF LAUNDRY 55259,B100000,00000,0700,00000PATIENT DAYS 55259,B100000,00000,0800,00000MEALS SERVED 55259,B100000,00000,0900,00000DIRECT NRSING HRS 55259,B100000,00000,1000,00000PATIENT DAYS 55259,B100000,00000,1100,00000PATIENT DAYS 55259,B100000,00000,1200,00000PATIENT DAYS 55259,B100000,00000,1300,00000TIME SPENT 55259,B100000,00000,1350,00000TIME SPENT 55259,B100000,00000,1400,00000ASSIGNED TIME 55259,E10A180,00501,0100,12/07/2000 55259,S000000,00100,0200,11/24/2000 55259,S200000,00100,0100,SMITH AND MILL STREETS 55259,S200000,00200,0100,DUNMORE 55259,S200000,00200,0200,PA 55259,S200000,00200,0300,18512 55259,S200000,00300,0100,LACKAWANNA 55259,S200000,00400,0100,LAUREL HILL NURSING HOME 55259,S200000,00400,0200,395567 55259,S200000,00400,0300,03/01/1983 55259,S200000,00400,0500,P 55259,S200000,01600,0100,Y 55259,S200000,02200,0100,Y 55259,S200000,04700,0100,Y 55259,S200000,04700,0200,Y 55268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55268,A000000,00300,0000,00300EMPLOYEE BENEFITS 55268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55268,A000000,00700,0000,00700HOUSEKEEPING 55268,A000000,00800,0000,00800DIETARY 55268,A000000,00900,0000,00900NURSING ADMINISTRATION 55268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55268,A000000,01100,0000,01100PHARMACY 55268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55268,A000000,01300,0000,01300SOCIAL SERVICE 55268,A000000,01350,0000,01500PATIENT ACTIVITIES 55268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55268,A000000,01600,0000,01600SKILLED NURSING FACILITY 55268,A000000,01800,0000,01800NURSING FACILITY 55268,A000000,01810,0000,01810ICF/MR 55268,A000000,02100,0000,02100RADIOLOGY 55268,A000000,02200,0000,02200LABORATORY 55268,A000000,02300,0000,02300INTRAVENOUS THERAPY 55268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55268,A000000,02500,0000,02500PHYSICAL THERAPY 55268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55268,A000000,02700,0000,02700SPEECH PATHOLOGY 55268,A000000,02800,0000,02800ELECTROCARDIOLOGY 55268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55268,A000000,03550,0000,03550FQHC 55268,A000000,05000,0000,05000CORF 55268,A000000,05010,0000,05010CMHC 55268,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55268,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55268,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55268,A000000,06150,0000,06300RESIDENTIAL 55268,A81000A,00100,0100,Y 55268,A81000B,00100,0300,MANAGEMENT SUPPORT 55268,A81000B,00200,0300,MANAGEMENT SUPPORT 55268,A81000B,00300,0300,MANAGEMENT SUPPORT 55268,A81000B,00400,0300,DATA PROCESSING 55268,A81000B,00500,0300,DATA PROCESSING 55268,A81000B,00600,0300,DATA PROCESSING 55268,A81000B,00700,0300,WORKING CAP INT EXP 55268,A81000B,00800,0300,WORKING CAP INT EXP 55268,A81000C,00100,0100,B 55268,A81000C,00100,0400,PHI INC. 55268,A81000C,00100,0600,MANAGEMENT SUPP 55268,A81000C,00200,0100,B 55268,A81000C,00200,0400,PRELUDE SYSTEMS 55268,A81000C,00200,0600,INFORMATION SYS 55268,A81000C,00300,0400,CONTINUING CARE 55268,A81000C,00300,0600,PHARMACEUTICALS 55268,B100000,00000,0100,00000SQUARE FEET 55268,B100000,00000,0200,00000SQUARE FEET 55268,B100000,00000,0300,00000GROSS SALARIES 55268,B100000,00000,0400,00000ACCUM COST 55268,B100000,00000,0500,00000SQUARE FEET 55268,B100000,00000,0600,00000POUNDS OF LAUNDRY 55268,B100000,00000,0700,00000SQ FT EXCL KTCHN 55268,B100000,00000,0800,00000MEALS SERVED 55268,B100000,00000,0900,00000DIRECT NRSG HRS 55268,B100000,00000,1000,00000COSTED REQUIS 55268,B100000,00000,1100,00000COSTED REQUIS 55268,B100000,00000,1200,00000PATIENT DAYS 55268,B100000,00000,1300,00000PATIENT DAYS 55268,B100000,00000,1350,00000TIME SPENT 55268,B100000,00000,1400,00000ASSIGNED TIME 55268,S000000,00100,0200,06/01/2000 55268,S200000,00100,0100,1155 INDIAN SPRINGS ROAD 55268,S200000,00200,0100,INDIANA 55268,S200000,00200,0200,PA 55268,S200000,00200,0300,15701 55268,S200000,00300,0100,INDIANA 55268,S200000,00400,0100,JULIA POUND CARE CENTER 55268,S200000,00400,0200,395568 55268,S200000,00400,0300,01/01/1983 55268,S200000,00400,0500,P 55268,S200000,00600,0200,395568 55268,S200000,00600,0300,01/01/1983 55268,S200000,00600,0600,P 55268,S200000,01600,0100,Y 55284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55284,A000000,00300,0000,00300EMPLOYEE BENEFITS 55284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55284,A000000,00700,0000,00700HOUSEKEEPING 55284,A000000,00800,0000,00800DIETARY 55284,A000000,00900,0000,00900NURSING ADMINISTRATION 55284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55284,A000000,01100,0000,01100PHARMACY 55284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55284,A000000,01300,0000,01300SOCIAL SERVICE 55284,A000000,01350,0000,01500PATIENT ACTIVITIES 55284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55284,A000000,01600,0000,01600SKILLED NURSING FACILITY 55284,A000000,01810,0000,01810ICF/MR 55284,A000000,02100,0000,02100RADIOLOGY 55284,A000000,02200,0000,02200LABORATORY 55284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55284,A000000,02500,0000,02500PHYSICAL THERAPY 55284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55284,A000000,02700,0000,02700SPEECH PATHOLOGY 55284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55284,A000000,02901,0000,02901CLINITRON BEDS 55284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55284,A000000,03550,0000,03550FQHC 55284,A000000,05000,0000,05000CORF 55284,A000000,05010,0000,05010CMHC 55284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55284,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55284,A81000A,00100,0100,Y 55284,A81000B,00100,0300,H.O. COSTS - OPERATING 55284,A81000B,00200,0300,H.O. COSTS - CAPITAL 55284,A81000B,00300,0300,ADMINISTRATIVE MINOR 55284,A81000B,00400,0300,MOVEABLE EQUIPMENT 55284,A81000B,00500,0300,EMPLOYEE BENEFITS 55284,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 55284,A81000B,00700,0300,PLANT OPER MAINT AND REPAIR 55284,A81000B,00800,0300,HOUSEKEEPING 55284,A81000B,00900,0300,DIETARY 55284,A81000B,01000,0300,CENTRAL SERVICES 55284,A81000B,01100,0300,PHARMACY 55284,A81000B,01200,0300,MEDICAL RECORDS 55284,A81000B,01300,0300,OXYGEN 55284,A81000B,01400,0300,PHYSICAL THERAPY 55284,A81000B,01500,0300,MEDICAL SUPPLIES 55284,A81000B,01600,0300,COMPLEX MEDICAL EQUIPMENT 55284,A81000B,01700,0300,DRUGS 55284,A81000C,00100,0100,B 55284,A81000C,00100,0400,HCF INC. 55284,A81000C,00100,0600,HOME OFFICE 55284,A81000C,00200,0100,B 55284,A81000C,00200,0400,HCF INC. 55284,A81000C,00200,0600,HOME OFFICE 55284,A81000C,00300,0100,A 55284,A81000C,00300,0200,JEFFREY L. UNVERFERTH 55284,A81000C,00300,0400,UNVERFERTH INTERIORS 55284,A81000C,00300,0600,INTERIOR DESIGN 55284,A81000C,00400,0100,A 55284,A81000C,00400,0200,UNVERFERTH FAMILY 55284,A81000C,00400,0400,ICP INC. 55284,A81000C,00400,0600,INSTITUTIONAL PHARMACY 55284,A81000C,00500,0100,A 55284,A81000C,00500,0200,UNVERFERTH FAMILY 55284,A81000C,00500,0400,ICP INC. 55284,A81000C,00500,0600,INSTITUTIONAL PHARMACY 55284,A81000C,00600,0100,A 55284,A81000C,00600,0200,UNVERFERTH FAMILY 55284,A81000C,00600,0400,ICP INC. 55284,A81000C,00600,0600,INSTITUTIONAL PHARMACY 55284,A81000C,00700,0100,A 55284,A81000C,00700,0200,UNVERFERTH FAMILY 55284,A81000C,00700,0400,ICP INC. 55284,A81000C,00700,0600,INSTITUTIONAL PHARMACY 55284,A81000C,00800,0100,A 55284,A81000C,00800,0200,UNVERFERTH FAMILY 55284,A81000C,00800,0400,ICP INC. 55284,A81000C,00800,0600,INSTITUTIONAL PHARMACY 55284,A81000C,00900,0100,A 55284,A81000C,00900,0200,UNVERFERTH FAMILY 55284,A81000C,00900,0400,ICP INC. 55284,A81000C,00900,0600,INSTITUTIONAL PHARMACY 55284,B100000,00000,0100,00000SQUARE FEET 55284,B100000,00000,0200,00000SQUARE FEET 55284,B100000,00000,0300,00000GROSS SALARIES 55284,B100000,00000,0400,00000ACCUM. COST 55284,B100000,00000,0500,00000SQUARE FEET 55284,B100000,00000,0600,00000POUNDS OF LAUNDRY 55284,B100000,00000,0700,00000SQFT EXCL DIETARY 55284,B100000,00000,0800,00000MEALS SERVED 55284,B100000,00000,0900,00000NURSING SALARIES 55284,B100000,00000,1000,00000PATIENT DAYS 55284,B100000,00000,1100,00000COSTED REQUIS. 55284,B100000,00000,1200,00000PATIENT DAYS 55284,B100000,00000,1300,00000TIME SPENT 55284,B100000,00000,1350,00000TIME SPENT 55284,B100000,00000,1400,00000NO STATISTICS 55284,E10A180,00501,0100,06/13/2000 55284,E10A180,00501,0300,06/13/2000 55284,S000000,00100,0200,05/24/2000 55284,S200000,00100,0100,900 MANCHESTER ROAD 55284,S200000,00200,0100,FAIRVIEW 55284,S200000,00200,0200,PA 55284,S200000,00300,0100,ERIE 55284,S200000,00400,0100,FAIRVIEW MANOR 55284,S200000,00400,0200,395572 55284,S200000,00400,0300,04/27/1983 55284,S200000,00400,0500,P 55284,S200000,01500,0100,Y 55284,S200000,04700,0100,Y 55287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55287,A000000,00300,0000,00300EMPLOYEE BENEFITS 55287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55287,A000000,00700,0000,00700HOUSEKEEPING 55287,A000000,00800,0000,00800DIETARY 55287,A000000,00900,0000,00900NURSING ADMINISTRATION 55287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55287,A000000,01100,0000,01100PHARMACY 55287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55287,A000000,01300,0000,01300SOCIAL SERVICE 55287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55287,A000000,01600,0000,01600SKILLED NURSING FACILITY 55287,A000000,01800,0000,01800NURSING FACILITY 55287,A000000,01810,0000,01810ICF/MR 55287,A000000,02100,0000,02100RADIOLOGY 55287,A000000,02200,0000,02200LABORATORY 55287,A000000,02300,0000,02300INTRAVENOUS THERAPY 55287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55287,A000000,02500,0000,02500PHYSICAL THERAPY 55287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55287,A000000,02700,0000,02700SPEECH PATHOLOGY 55287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55287,A000000,03550,0000,03550FQHC 55287,A000000,05000,0000,05000CORF 55287,A000000,05010,0000,05010CMHC 55287,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55287,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55287,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55287,A000000,05300,0000,05300INTEREST EXPENSE 55287,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55287,A000000,06100,0000,06100NONPAID WORKERS 55287,A000000,06150,0000,06300ADULT DAY CARE 55287,A81000A,00100,0100,Y 55287,A81000B,00100,0300,ADMIN SALARY-KLINGER 55287,A81000B,00200,0300,ADV/PERSONNEL 55287,A81000B,00300,0300,AUDIT FEES 55287,A81000B,00400,0300,CAP INTEREST 55287,A81000B,00500,0300,EMPLOYEE PHYSICALS 55287,A81000B,00600,0300,EMPLOYEE PHYSICALS 55287,A81000B,00700,0300,GENERAL LIAB INS 55287,A81000B,00800,0300,HEALTH INSURANCE 55287,A81000B,00900,0300,I/S CONSULTING FEES 55287,A81000B,01000,0300,I/S PROGRAMMING SVCS 55287,A81000B,01100,0300,LEGAL FEES 55287,A81000B,01200,0300,MED MALPRACTICE INS 55287,A81000B,01300,0300,MEDICARE PART A LAB 55287,A81000B,01400,0300,MEDICARE PART A XRAY 55287,A81000B,01500,0300,PARKING (THERAPY) 55287,A81000B,01600,0300,PERSONNEL ADVERTISIN 55287,A81000B,01700,0300,PHYSIATRIST FEES-PRK 55287,A81000B,01800,0300,PROPERTY INSURANCE 55287,A81000B,01900,0300,PURCHASED SERVICES 55287,A81000B,02000,0300,SHUTTLE 55287,A81000B,02100,0300,TIAA/PENSION 55287,A81000B,02200,0300,WORKERS COMP 55287,A81000B,02300,0300,TUHS MANAGEMENT FEE 55287,A81000B,02400,0300,HOME OFFICE CAPITAL 55287,A81000B,02500,0300,HOME OFFICE CAPITAL 55287,A81000C,00100,0100,B 55287,A81000C,00100,0200,TEMPLE UNIV HOS 55287,A81000C,00100,0400,T.U. HEALTH SYS 55287,A81000C,00100,0600,HEALTH SYSTEM 55287,B100000,00000,0100,00000SQUARE FEET 55287,B100000,00000,0200,00000SQUARE FEET 55287,B100000,00000,0300,00000GROSS SALARIES 55287,B100000,00000,0400,00000ACCUM COST 55287,B100000,00000,0500,00000SQUARE FEET 55287,B100000,00000,0600,00000POUNDS OF LAUNDRY 55287,B100000,00000,0700,00000HOURS OF SERVICE 55287,B100000,00000,0800,00000MEALS SERVED 55287,B100000,00000,0900,00000DIRECT NRSG HRS 55287,B100000,00000,1000,00000COSTED REQUIS 55287,B100000,00000,1100,00000COSTED REQUIS 55287,B100000,00000,1200,00000TIME SPENT 55287,B100000,00000,1300,00000TIME SPENT 55287,B100000,00000,1400,00000ASSIGNED TIME 55287,E10A180,00501,0100,01/18/2001 55287,E10A180,00501,0300,01/18/2001 55287,S000000,00100,0200,12/11/2000 55287,S200000,00100,0100,5301 OLD YORK ROAD 55287,S200000,00200,0100,PHILADELPHIA 55287,S200000,00200,0200,PA 55287,S200000,00200,0300,19141 55287,S200000,00300,0100,P 55287,S200000,00400,0100,TEMPLE CONTINUING CARE CTR. 55287,S200000,00400,0200,395573 55287,S200000,00400,0300,08/15/1983 55287,S200000,00400,0500,P 55287,S200000,00400,0600,O 55287,S200000,01600,0100,Y 55287,S200000,01900,0100,UNIVERSITY 55287,S200000,02200,0100,Y 55296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55296,A000000,00300,0000,00300EMPLOYEE BENEFITS 55296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55296,A000000,00700,0000,00700HOUSEKEEPING 55296,A000000,00800,0000,00800DIETARY 55296,A000000,00900,0000,00900NURSING ADMINISTRATION 55296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55296,A000000,01100,0000,01100PHARMACY 55296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55296,A000000,01300,0000,01300SOCIAL SERVICE 55296,A000000,01350,0000,01500RECREATIONAL THERAPY 55296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55296,A000000,01600,0000,01600SKILLED NURSING FACILITY 55296,A000000,01800,0000,01800NURSING FACILITY 55296,A000000,01810,0000,01810ICF/MR 55296,A000000,01900,0000,01900OTHER LONG TERM CARE 55296,A000000,02100,0000,02100RADIOLOGY 55296,A000000,02200,0000,02200LABORATORY 55296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55296,A000000,02500,0000,02500PHYSICAL THERAPY 55296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55296,A000000,02700,0000,02700SPEECH PATHOLOGY 55296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55296,A000000,03550,0000,03550FQHC 55296,A000000,05000,0000,05000CORF 55296,A000000,05010,0000,05010CMHC 55296,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55296,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55296,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55296,A000000,06150,0000,06300OTHER NONREIMBURSABLE 55296,A81000A,00100,0100,Y 55296,A81000B,00100,0300,MANAGEMENT FEES 55296,A81000C,00100,0100,A 55296,A81000C,00100,0200,FRANKHAYMAN 55296,A81000C,00100,0400,PENN MED 55296,A81000C,00100,0600,HOME OFFICE 55296,A81000C,00200,0100,A 55296,A81000C,00200,0200,JOHN HAYMAN 55296,A81000C,00200,0400,PENN MED 55296,A81000C,00200,0600,HOME OFFICE 55296,A81000C,00300,0100,A 55296,A81000C,00300,0200,D. GALLAGHER 55296,A81000C,00300,0400,PENN MED 55296,A81000C,00300,0600,HOME OFFICE 55296,B100000,00000,0100,00000SQUARE FEET 55296,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 55296,B100000,00000,0300,00000GROSS SALARIES 55296,B100000,00000,0400,00000ACCUMULA- TED COST 55296,B100000,00000,0500,00000SQUARE FEET 55296,B100000,00000,0600,00000POUNDS OF LAUNDRY 55296,B100000,00000,0700,00000SQUARE FEET 55296,B100000,00000,0800,00000MEALS SERVED 55296,B100000,00000,0900,00000DIRECT HOU OF SERVICE 55296,B100000,00000,1000,00000PATIENT DAYS 55296,B100000,00000,1100,00000PATIENT DAYS 55296,B100000,00000,1200,00000PATIENT DAYS 55296,B100000,00000,1300,00000PATIENT DAYS 55296,B100000,00000,1350,00000PATIENT DAYS 55296,B100000,00000,1400,00000ASSIGNED TIME 55296,E10A180,00501,0100,07/12/2000 55296,E10A180,00501,0300,07/12/2000 55296,E10A180,00502,0100,04/20/2001 55296,E10A180,00502,0300,07/12/2000 55296,S000000,00100,0200,05/30/2000 55296,S200000,00100,0100,400 LANCASTER 55296,S200000,00200,0100,STEVENS 55296,S200000,00200,0200,PA 55296,S200000,00200,0300,17578 55296,S200000,00300,0100,LANCASTER 55296,S200000,00400,0100,DENVER NURSING HOME 55296,S200000,00400,0200,395575 55296,S200000,00400,0300,01/01/1985 55296,S200000,00400,0500,P 55296,S200000,00600,0200,395575 55296,S200000,00600,0300,01/01/1985 55296,S200000,00600,0600,P 55296,S200000,01600,0100,Y 55296,S200000,02200,0100,Y 55296,S200000,04700,0100,Y 55306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55306,A000000,00300,0000,00300EMPLOYEE BENEFITS 55306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55306,A000000,00700,0000,00700HOUSEKEEPING 55306,A000000,00800,0000,00800DIETARY 55306,A000000,00900,0000,00900NURSING ADMINISTRATION 55306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55306,A000000,01100,0000,01100PHARMACY 55306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55306,A000000,01300,0000,01300SOCIAL SERVICE 55306,A000000,01350,0000,01500OTHER GENERAL SERVICES 55306,A000000,01351,0000,01501PATIENT ACTIVITIES 55306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55306,A000000,01600,0000,01600SKILLED NURSING FACILITY 55306,A000000,01800,0000,01800NURSING FACILITY 55306,A000000,01810,0000,01810ICF/MR 55306,A000000,02500,0000,02500PHYSICAL THERAPY 55306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55306,A000000,02700,0000,02700SPEECH PATHOLOGY 55306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55306,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55306,A000000,03051,0000,03301AIR FLUIDIZED BED THERAPY 55306,A000000,03052,0000,03302AMBULANCE SERVICE-PART A 55306,A000000,03053,0000,03303X-RAY SERVICES-PART A 55306,A000000,03054,0000,03304MEDICAL SUPPLIES-PART A 55306,A000000,03055,0000,03305LABS-PART A 55306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55306,A000000,03451,0000,03601OTHER OUTPATNT SERVICE-FLUSHOT 55306,A000000,03452,0000,03602GLUCOMETER READINGS-LAB 55306,A000000,03550,0000,03550FQHC 55306,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55306,A000000,05000,0000,05000CORF 55306,A000000,05010,0000,05010CMHC 55306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55306,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55306,A000000,06151,0000,06301ADULT DAY CARE 55306,A000000,06152,0000,06302BASEMENT STORAGE 55306,B100000,00000,0100,00002SQUARE FEET 55306,B100000,00000,0200,00002SQUARE FEET 55306,B100000,00000,0300,00002GROSS SALARIES 55306,B100000,00000,0400,00002ACCUM. COST 55306,B100000,00000,0500,00002SQUARE FEET 55306,B100000,00000,0600,00002POUNDS OF LAUNDRY 55306,B100000,00000,0700,00002HOURS OF SERVICE 55306,B100000,00000,0800,00002MEALS SERVED 55306,B100000,00000,0900,00002DIRECT NRSING HRS 55306,B100000,00000,1000,00002COSTED REQUIS. 55306,B100000,00000,1100,00002COSTED REQUIS. 55306,B100000,00000,1200,00002TIME SPENT 55306,B100000,00000,1300,00002TIME SPENT 55306,B100000,00000,1350,00002NO STATISTICS 55306,B100000,00000,1351,00002TIME SPENT 55306,B100000,00000,1400,00002ASSIGNED TIME 55306,E10A180,00301,0100,12/31/1999 55306,S000000,00100,0200,06/01/2000 55306,S200000,00100,0100,36 OLD HICKORY RIDGE ROAD 55306,S200000,00200,0100,WASHINGTON 55306,S200000,00200,0200,PA 55306,S200000,00300,0100,WASHINGTON 55306,S200000,00400,0100,WASHINGTON COUNTY HEALTH CTR 55306,S200000,00400,0200,395577 55306,S200000,00400,0300,08/08/1983 55306,S200000,00400,0500,P 55306,S200000,01600,0100,Y 55306,S200000,02200,0100,Y 55306,S200000,02800,0100,Y 55306,S200000,04300,0100,Y 55315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55315,A000000,00300,0000,00300EMPLOYEE BENEFITS 55315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55315,A000000,00700,0000,00700HOUSEKEEPING 55315,A000000,00800,0000,00800DIETARY 55315,A000000,00900,0000,00900NURSING ADMINISTRATION 55315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55315,A000000,01100,0000,01100PHARMACY 55315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55315,A000000,01300,0000,01300SOCIAL SERVICE 55315,A000000,01350,0000,01500ACTIVITIES 55315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55315,A000000,01600,0000,01600SKILLED NURSING FACILITY 55315,A000000,01810,0000,01810ICF/MR 55315,A000000,01900,0000,01900OTHER LONG TERM CARE 55315,A000000,02100,0000,02100RADIOLOGY 55315,A000000,02200,0000,02200LABORATORY 55315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55315,A000000,02500,0000,02500PHYSICAL THERAPY 55315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55315,A000000,02700,0000,02700SPEECH PATHOLOGY 55315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55315,A000000,03550,0000,03550FQHC 55315,A000000,05000,0000,05000CORF 55315,A000000,05010,0000,05010CMHC 55315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55315,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 55315,A000000,06150,0000,06300RESIDENTIAL-WVM 55315,A000000,06151,0000,06301NON-ALLOW MEALS/LAUNDRY 55315,A000000,06152,0000,06302APARTMENTS 55315,A81000A,00100,0100,Y 55315,A81000B,00100,0300,PHYSICAL THERAPY SERVICES 55315,A81000B,00200,0300,OCCUP. THERAPY SERVICES 55315,A81000B,00300,0300,SPEECH THERAPY SERVICES 55315,A81000B,00400,0300,HOME OFFICE COSTS 55315,A81000B,00500,0300,DRUGS 55315,A81000B,00600,0300,OTC DRUGS 55315,A81000B,00700,0300,PHARMACY CONSULTING 55315,A81000B,00800,0300,LAB 55315,A81000B,00900,0300,MEDICAL DIRECTOR 55315,A81000C,00100,0100,B 55315,A81000C,00100,0200,WVHCS 55315,A81000C,00100,0400,WVHCS 55315,A81000C,00100,0600,HEALTH SYSTEM 55315,A81000C,00200,0100,B 55315,A81000C,00200,0200,WVHCS 55315,A81000C,00200,0400,WVHCS 55315,A81000C,00200,0600,HEALTH SYSTEM 55315,A81000C,00300,0100,B 55315,A81000C,00300,0200,WVHCS 55315,A81000C,00300,0400,WVHCS 55315,A81000C,00300,0600,HEALTH SYSTEM 55315,A81000C,00400,0100,B 55315,A81000C,00400,0200,WVHCS 55315,A81000C,00400,0400,WVHCS 55315,A81000C,00400,0600,HEALTH SYSTEM 55315,B100000,00000,0100,00002SQUARE FEET 55315,B100000,00000,0200,00002DOLLAR VAL OR SQ.FEET 55315,B100000,00000,0300,00002GROSS SALARIES 55315,B100000,00000,0400,00002ACCUMULA- TED COST 55315,B100000,00000,0500,00002SQUARE FEET 55315,B100000,00000,0600,00002POUNDS OF LAUNDRY 55315,B100000,00000,0700,00002SQUARE FEET 55315,B100000,00000,0800,00002MEALS SERVED 55315,B100000,00000,0900,00002DIRECT HOU OF SERVICE 55315,B100000,00000,1000,00002COSTED REQUIS 55315,B100000,00000,1100,00002COSTED REQUIS 55315,B100000,00000,1200,00002TIME SPENT 55315,B100000,00000,1300,00002TIME SPENT 55315,B100000,00000,1350,00002OTHER 55315,B100000,00000,1400,00002ASSIGNED TIME 55315,E10A180,00550,0300,11/30/2000 55315,S000000,00100,0200,11/30/2000 55315,S200000,00100,0100,80 EAST NORTHAMPTON STREET 55315,S200000,00200,0100,WILKES BARRE 55315,S200000,00200,0200,PA 55315,S200000,00200,0300,18701 55315,S200000,00300,0100,L 55315,S200000,00400,0100,HERITAGE HOUSE 55315,S200000,00400,0200,395581 55315,S200000,00400,0300,11/16/1983 55315,S200000,00400,0500,P 55315,S200000,01500,0100,Y 55315,S200000,01900,0100,CORPORATION 55315,S200000,02800,0100,Y 55324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55324,A000000,00300,0000,00300EMPLOYEE BENEFITS 55324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55324,A000000,00700,0000,00700HOUSEKEEPING 55324,A000000,00800,0000,00800DIETARY 55324,A000000,00900,0000,00900NURSING ADMINISTRATION 55324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55324,A000000,01100,0000,01100PHARMACY 55324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55324,A000000,01300,0000,01300SOCIAL SERVICE 55324,A000000,01350,0000,01500PATIENT ACTIVITIES 55324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55324,A000000,01600,0000,01600SKILLED NURSING FACILITY 55324,A000000,01800,0000,01800NURSING FACILITY 55324,A000000,01810,0000,01810ICF/MR 55324,A000000,02200,0000,02200LABORATORY 55324,A000000,02300,0000,02300INTRAVENOUS THERAPY 55324,A000000,02500,0000,02500PHYSICAL THERAPY 55324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55324,A000000,02700,0000,02700SPEECH PATHOLOGY 55324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55324,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55324,A000000,03550,0000,03550FQHC 55324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55324,A000000,04800,0000,04800AMBULANCE 55324,A000000,05000,0000,05000CORF 55324,A000000,05010,0000,05010CMHC 55324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55324,A81000A,00100,0100,Y 55324,A81000B,00100,0300,MANAGEMENT FEES 55324,A81000B,00200,0300,HOME OFFICE - CAPITAL 55324,A81000C,00100,0100,B 55324,A81000C,00100,0200,ABS CAPITAL PARTNERS 55324,A81000C,00100,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00100,0600,MANAGEMENT COMPANY 55324,A81000C,00200,0100,B 55324,A81000C,00200,0200,JOSEPH A. WILLIAMSON 55324,A81000C,00200,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00200,0600,MANAGEMENT COMPANY 55324,A81000C,00300,0100,B 55324,A81000C,00300,0200,GROTECH CAPITAL GROUP 55324,A81000C,00300,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00300,0600,MANAGEMENT COMPANY 55324,A81000C,00400,0100,B 55324,A81000C,00400,0200,PHILADELPHIA LIFE INS. CO 55324,A81000C,00400,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00400,0600,MANAGEMENT FEES 55324,A81000C,00500,0100,B 55324,A81000C,00500,0200,AMERICAN LIFE & CASUALTY 55324,A81000C,00500,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00500,0600,MANAGEMENT FEES 55324,A81000C,00600,0100,B 55324,A81000C,00600,0200,MINORITY INTEREST 55324,A81000C,00600,0400,BRANDYWINE SENIOR CARE 55324,A81000C,00600,0600,MANAGEMENT FEES 55324,B100000,00000,0100,00000SQUARE FEET 55324,B100000,00000,0200,00000SQUARE FEET 55324,B100000,00000,0300,00000GROSS SALARIES 55324,B100000,00000,0400,00000ACCUM. COST 55324,B100000,00000,0500,00000SQUARE FEET 55324,B100000,00000,0600,00000PATIENT DAYS 55324,B100000,00000,0700,00000SQUARE FEET 55324,B100000,00000,0800,00000MEALS SERVED 55324,B100000,00000,0900,00000HOURS WORKED 55324,B100000,00000,1000,00000COSTED REQUIS. 55324,B100000,00000,1100,00000COSTED REQUIS. 55324,B100000,00000,1200,00000GROSS CHARGES 55324,B100000,00000,1300,00000PATIENT DAYS 55324,B100000,00000,1350,00000PATIENT DAYS 55324,B100000,00000,1400,00000NO STATISTICS 55324,E10A180,00301,0100,12/10/1999 55324,E10A180,00301,0300,12/10/1999 55324,E10A180,00302,0100,01/28/2000 55324,E10A180,00302,0300,01/28/2000 55324,E10A180,00501,0100,06/19/2000 55324,E10A180,00501,0300,06/19/2000 55324,S000000,00100,0200,05/30/2000 55324,S200000,00100,0100,1000 WEST 27TH STREET 55324,S200000,00200,0100,HAZELTON 55324,S200000,00200,0200,PA 55324,S200000,00300,0100,LUZERNE 55324,S200000,00400,0100,MOUNTAIN CITY NURSING & REHAB 55324,S200000,00400,0200,395582 55324,S200000,00400,0300,06/01/1983 55324,S200000,00400,0500,P 55324,S200000,00400,0600,P 55324,S200000,00600,0200,395582 55324,S200000,00600,0300,06/01/1983 55324,S200000,00600,0600,O 55324,S200000,01600,0100,Y 55344,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55344,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55344,A000000,00300,0000,00300EMPLOYEE BENEFITS 55344,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55344,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55344,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55344,A000000,00700,0000,00700HOUSEKEEPING 55344,A000000,00800,0000,00800DIETARY 55344,A000000,00900,0000,00900NURSING ADMINISTRATION 55344,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55344,A000000,01100,0000,01100PHARMACY 55344,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55344,A000000,01300,0000,01300SOCIAL SERVICE 55344,A000000,01350,0000,01500OTHER GENERAL SERVICES 55344,A000000,01351,0000,01501ACTIVITIES 55344,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55344,A000000,01600,0000,01600SKILLED NURSING FACILITY 55344,A000000,01800,0000,01800NURSING FACILITY 55344,A000000,01810,0000,01810ICF/MR 55344,A000000,02100,0000,02100RADIOLOGY 55344,A000000,02200,0000,02200LABORATORY 55344,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55344,A000000,02500,0000,02500PHYSICAL THERAPY 55344,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55344,A000000,02700,0000,02700SPEECH PATHOLOGY 55344,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55344,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55344,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55344,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55344,A000000,03550,0000,03550FQHC 55344,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55344,A000000,05000,0000,05000CORF 55344,A000000,05010,0000,05010CMHC 55344,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55344,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55344,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55344,A000000,05300,0000,05300INTEREST EXPENSE 55344,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55344,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55344,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55344,B100000,00000,0100,00000(SQUARE FEET) 55344,B100000,00000,0200,00000(SQUARE FEET) 55344,B100000,00000,0300,00000(GROSS SALARIES) 55344,B100000,00000,0400,00000(ACCUM. COST) 55344,B100000,00000,0500,00000(SQUARE FEET) 55344,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 55344,B100000,00000,0700,00000(HOURS OF SERVICE) 55344,B100000,00000,0800,00000(MEALS SERVED) 55344,B100000,00000,0900,00000(DIRECT NRSG HRS) 55344,B100000,00000,1000,00000(COSTED REQUIS.) 55344,B100000,00000,1100,00000(COSTED REQUIS.) 55344,B100000,00000,1200,00000(TIME SPENT) 55344,B100000,00000,1300,00000(TIME SPENT) 55344,B100000,00000,1350,00000NO STATISTICS 55344,B100000,00000,1351,00000(TIME SPENT) 55344,B100000,00000,1400,00000(ASSIGNED TIME) 55344,E10A180,00501,0100,12/01/2000 55344,E10A180,00501,0300,12/01/2000 55344,S000000,00100,0200,11/17/2000 55344,S200000,00100,0100,8850 BARNES LAKE ROAD 55344,S200000,00200,0100,NORTH HUNTINGDON TWP 55344,S200000,00200,0200,PA 55344,S200000,00200,0300,15642 55344,S200000,00400,0100,BALDOCK HEALTH CARE CENTER 55344,S200000,00400,0200,395585 55344,S200000,00400,0300,08/01/1993 55344,S200000,00400,0500,P 55344,S200000,01600,0100,Y 55344,S200000,02100,0100,A 55353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55353,A000000,00300,0000,00300EMPLOYEE BENEFITS 55353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55353,A000000,00700,0000,00700HOUSEKEEPING 55353,A000000,00800,0000,00800DIETARY 55353,A000000,00900,0000,00900NURSING ADMINISTRATION 55353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55353,A000000,01100,0000,01100PHARMACY 55353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55353,A000000,01300,0000,01300SOCIAL SERVICE 55353,A000000,01301,0000,01301ACTIVITIES 55353,A000000,01350,0000,01500OTHER GENERAL SERVICES 55353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55353,A000000,01600,0000,01600SKILLED NURSING FACILITY 55353,A000000,01800,0000,01800NURSING FACILITY 55353,A000000,01810,0000,01810ICF/MR 55353,A000000,02500,0000,02500PHYSICAL THERAPY 55353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55353,A000000,02700,0000,02700SPEECH PATHOLOGY 55353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55353,A000000,03550,0000,03550FQHC 55353,A000000,05000,0000,05000CORF 55353,A000000,05010,0000,05010CMHC 55353,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55353,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55353,B100000,00000,0100,00000SQUARE FEET 55353,B100000,00000,0200,00000DOLLAR VALUE 55353,B100000,00000,0300,00000GROSS SALARIES 55353,B100000,00000,0400,00000ACCUM. COST 55353,B100000,00000,0500,00000SQUARE FEET 55353,B100000,00000,0600,00000POUNDS OF LAUNDRY 55353,B100000,00000,0700,00000SQUARE FEET 55353,B100000,00000,0800,00000MEALS SERVED 55353,B100000,00000,0900,00000DIRECT NRSING HRS 55353,B100000,00000,1000,00000COSTED REQUIS. 55353,B100000,00000,1100,00000COSTED REQUIS. 55353,B100000,00000,1200,00000TIME SPENT 55353,B100000,00000,1300,00000TIME SPENT 55353,B100000,00000,1301,00000TIME SPENT 55353,B100000,00000,1350,00000TIME SPENT 55353,B100000,00000,1400,00000TIME SPENT 55353,E10A180,00501,0100,07/18/2000 55353,E10A180,00501,0300,07/18/2000 55353,S000000,00100,0200,05/26/2000 55353,S200000,00100,0100,US ROUTE 6 55353,S200000,00100,0300,322 55353,S200000,00200,0100,TROY 55353,S200000,00200,0200,PA 55353,S200000,00300,0100,BRADFORD 55353,S200000,00400,0100,BRADFORD COUNTY MANOR 55353,S200000,00400,0200,395586 55353,S200000,00400,0300,09/01/1983 55353,S200000,00400,0500,P 55353,S200000,01600,0100,Y 55367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55367,A000000,00300,0000,00300EMPLOYEE BENEFITS 55367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55367,A000000,00700,0000,00700HOUSEKEEPING 55367,A000000,00800,0000,00800DIETARY 55367,A000000,00900,0000,00900NURSING ADMINISTRATION 55367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55367,A000000,01100,0000,01100PHARMACY 55367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55367,A000000,01300,0000,01300SOCIAL SERVICE 55367,A000000,01350,0000,01500ACTIVITIES 55367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55367,A000000,01600,0000,01600SKILLED NURSING FACILITY 55367,A000000,01810,0000,01810ICF/MR 55367,A000000,02100,0000,02100RADIOLOGY 55367,A000000,02200,0000,02200LABORATORY 55367,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55367,A000000,02500,0000,02500PHYSICAL THERAPY 55367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55367,A000000,02700,0000,02700SPEECH PATHOLOGY 55367,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55367,A000000,03550,0000,03550FQHC 55367,A000000,05000,0000,05000CORF 55367,A000000,05010,0000,05010CMHC 55367,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55367,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55367,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55367,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55367,A81000A,00100,0100,Y 55367,A81000B,00100,0300,MANAGEMENT FEES 55367,A81000B,00400,0300,LAUNDRY SERVICE 55367,A81000C,00100,0100,A 55367,A81000C,00100,0200,FRANCIS HAYMAN 55367,A81000C,00100,0400,PENN MED 55367,A81000C,00100,0600,HOME OFFICE 55367,A81000C,00200,0100,A 55367,A81000C,00200,0200,DRURY GALLAGHER 55367,A81000C,00200,0400,PENN MED 55367,A81000C,00200,0600,HOME OFFICE 55367,A81000C,00300,0100,A 55367,A81000C,00300,0200,JOHN HAYMAN 55367,A81000C,00300,0400,PENN MED 55367,A81000C,00300,0600,HOME OFFICE 55367,A81000C,00400,0100,A 55367,A81000C,00400,0200,FRANCIS HAYMAN 55367,A81000C,00400,0400,PALMYRA NURSING 55367,A81000C,00400,0600,NURSING HOME 55367,A81000C,00500,0100,A 55367,A81000C,00500,0200,DRURY GALLAGHER 55367,A81000C,00500,0400,PALMYRA NURSING 55367,A81000C,00500,0600,NURSING HOME 55367,A81000C,00600,0100,A 55367,A81000C,00600,0200,JOHN HAYMAN 55367,A81000C,00600,0400,PALMYRA NURSING 55367,A81000C,00600,0600,NURSING HOME 55367,B100000,00000,0100,00000SQUARE FEET 55367,B100000,00000,0200,00000DOLLAR VALUE 55367,B100000,00000,0300,00000GROSS SALARIES 55367,B100000,00000,0400,00000ACCUM. COST 55367,B100000,00000,0500,00000SQUARE FEET 55367,B100000,00000,0600,00000POUNDS OF LAUNDRY 55367,B100000,00000,0700,00000SQUARE FEET 55367,B100000,00000,0800,00000MEALS SERVED 55367,B100000,00000,0900,00000DIRECT NRSING HRS 55367,B100000,00000,1000,00000COSTED REQUIS. 55367,B100000,00000,1100,00000PATIENT DAYS 55367,B100000,00000,1200,00000TIME SPENT 55367,B100000,00000,1300,00000PATIENT DAYS 55367,B100000,00000,1350,00000PATIENT DAYS 55367,B100000,00000,1400,00000ASSIGNED TIME 55367,E10A180,00501,0100,07/12/2000 55367,E10A180,00501,0300,07/12/2000 55367,E10A180,00550,0100,05/16/2001 55367,S000000,00100,0200,05/30/2000 55367,S200000,00100,0100,125 SOUTH BROAD STREET 55367,S200000,00200,0100,LITITZ 55367,S200000,00200,0200,PA 55367,S200000,00200,0300,17543 55367,S200000,00300,0100,LANCASTER 55367,S200000,00400,0100,AUDUBON VILLA 55367,S200000,00400,0200,395590 55367,S200000,00400,0300,07/01/1993 55367,S200000,00400,0500,P 55367,S200000,01500,0100,Y 55367,S200000,02200,0100,Y 55367,S200000,04700,0100,Y 55376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55376,A000000,00300,0000,00300EMPLOYEE BENEFITS 55376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55376,A000000,00700,0000,00700HOUSEKEEPING 55376,A000000,00800,0000,00800DIETARY 55376,A000000,00900,0000,00900NURSING ADMINISTRATION 55376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55376,A000000,01100,0000,01100PHARMACY 55376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55376,A000000,01300,0000,01300SOCIAL SERVICE 55376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55376,A000000,01600,0000,01600SKILLED NURSING FACILITY 55376,A000000,01810,0000,01810ICF/MR 55376,A000000,02100,0000,02100RADIOLOGY 55376,A000000,02500,0000,02500PHYSICAL THERAPY 55376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55376,A000000,02700,0000,02700SPEECH PATHOLOGY 55376,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55376,A000000,03550,0000,03550FQHC 55376,A000000,05000,0000,05000CORF 55376,A000000,05010,0000,05010CMHC 55376,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55376,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55376,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55376,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 55376,A81000A,00100,0100,Y 55376,A81000B,00100,0300,MANAGEMENT 55376,A81000C,00100,0100,G 55376,A81000C,00100,0200,LUTHERAN SERVIC 55376,A81000C,00100,0400,COMPONENTS 55376,A81000C,00100,0600,FIFNACIAL 55376,B100000,00000,0100,00000SQUARE FEET 55376,B100000,00000,0200,00000SQUARE FEET 55376,B100000,00000,0300,00000GROSS SALARIES 55376,B100000,00000,0400,00000ACCUM COST 55376,B100000,00000,0500,00000SQUARE FEET 55376,B100000,00000,0600,00000POUNDS OF LAUNDRY 55376,B100000,00000,0700,00000HOURS OF SERVICE 55376,B100000,00000,0800,00000MEALS SERVED 55376,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 55376,B100000,00000,1000,00000COSTED REQUISITIO 55376,B100000,00000,1100,00000COSTED REQUIS 55376,B100000,00000,1200,00000TIME SPENT 55376,B100000,00000,1300,00000TIME SPENT 55376,B100000,00000,1400,00000ASSIGNED TIME 55376,E10A180,00501,0300,07/19/2000 55376,S000000,00100,0200,05/31/2000 55376,S200000,00100,0100,800 HOUSMAN RD 55376,S200000,00200,0100,ALLENTOWN 55376,S200000,00200,0200,PA 55376,S200000,00200,0300,18103 55376,S200000,00300,0100,LEHIGH 55376,S200000,00400,0100,LUTHER CREST NURSING FACILITY 55376,S200000,00400,0200,395591 55376,S200000,00400,0300,10/13/1983 55376,S200000,00400,0500,P 55376,S200000,01500,0100,Y 55376,S200000,02800,0100,Y 55386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55386,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55386,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55386,A000000,00300,0000,00300EMPLOYEE BENEFITS 55386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55386,A000000,00700,0000,00700HOUSEKEEPING 55386,A000000,00800,0000,00800DIETARY 55386,A000000,00801,0000,00801CAFETERIA 55386,A000000,00900,0000,00900NURSING ADMINISTRATION 55386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55386,A000000,01100,0000,01100PHARMACY 55386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55386,A000000,01300,0000,01300SOCIAL SERVICE 55386,A000000,01350,0000,01500RECREATION 55386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55386,A000000,01600,0000,01600SKILLED NURSING FACILITY 55386,A000000,01800,0000,01800NURSING FACILITY 55386,A000000,01810,0000,01810ICF/MR 55386,A000000,02100,0000,02100RADIOLOGY 55386,A000000,02200,0000,02200LABORATORY 55386,A000000,02300,0000,02300INTRAVENOUS THERAPY 55386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55386,A000000,02500,0000,02500PHYSICAL THERAPY 55386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55386,A000000,02700,0000,02700SPEECH PATHOLOGY 55386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55386,A000000,03050,0000,03300PEN THERAPY 55386,A000000,03051,0000,03301OTHER ANCILLARY II 55386,A000000,03052,0000,03302AMBULANCE 55386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55386,A000000,03550,0000,03550FQHC 55386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55386,A000000,05000,0000,05000CORF I 55386,A000000,05010,0000,05010CMHC I 55386,A000000,05020,0000,05020OPT I 55386,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55386,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55386,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55386,A81000A,00100,0100,Y 55386,A81000B,00100,0300,HOME OFFICE 55386,A81000B,00200,0300,HOME OFFICE CAPITAL 55386,A81000B,00300,0300,AS ATTACHED 55386,A81000C,00100,0100,B 55386,A81000C,00100,0400,GEN HLTH VEN 55386,A81000C,00100,0600,HOME OFFICE 55386,A81000C,00200,0100,B 55386,A81000C,00200,0400,GEN HLTH VEN 55386,A81000C,00200,0600,HOME OFFICE 55386,A81000C,00300,0100,B 55386,A81000C,00300,0400,AS ATTACHED 55386,A81000C,00300,0600,VARIOUS 55386,B100000,00000,0100,00000(SQUARE FEET) 55386,B100000,00000,0101,00000(SQUARE FEET) 55386,B100000,00000,0200,00000(SQUARE FEET) 55386,B100000,00000,0201,00000(SQUARE FEET) 55386,B100000,00000,0300,00000(GROSS SALARIES) 55386,B100000,00000,0400,00000(ACCUM. COST) 55386,B100000,00000,0500,00000(SQUARE FEET) 55386,B100000,00000,0600,00000(PATIENT DAYS) 55386,B100000,00000,0700,00000(SQUARE FEET) 55386,B100000,00000,0800,00000(MEALS SERVED) 55386,B100000,00000,0801,00000(MEALS SERVED) 55386,B100000,00000,0900,00000(NURSING SALARIES) 55386,B100000,00000,1000,00000(PATIENT DAYS) 55386,B100000,00000,1100,00000(PATIENT DAYS) 55386,B100000,00000,1200,00000(PATIENT DAYS) 55386,B100000,00000,1300,00000(PATIENT DAYS) 55386,B100000,00000,1350,00000(PATIENT DAYS) 55386,B100000,00000,1400,00000(ASSIGNED TIME) 55386,E10A180,00501,0300,12/07/2000 55386,S000000,00100,0200,11/29/2000 55386,S200000,00100,0100,400 HILLCREST AVE. 55386,S200000,00200,0100,GROVE CITY 55386,S200000,00200,0200,PA 55386,S200000,00200,0300,16177 55386,S200000,00300,0100,M 55386,S200000,00400,0100,BUCHANAN COMMONS 55386,S200000,00400,0200,395593 55386,S200000,00400,0300,09/15/1983 55386,S200000,00400,0500,P 55386,S200000,01600,0100,Y 55386,S200000,02200,0100,Y 55397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55397,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55397,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55397,A000000,00300,0000,00300EMPLOYEE BENEFITS 55397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55397,A000000,00700,0000,00700HOUSEKEEPING 55397,A000000,00800,0000,00800DIETARY 55397,A000000,00801,0000,00801CAFETERIA 55397,A000000,00900,0000,00900NURSING ADMINISTRATION 55397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55397,A000000,01100,0000,01100PHARMACY 55397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55397,A000000,01300,0000,01300SOCIAL SERVICE 55397,A000000,01350,0000,01500RECREATION 55397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55397,A000000,01600,0000,01600SKILLED NURSING FACILITY 55397,A000000,01800,0000,01800NURSING FACILITY 55397,A000000,01810,0000,01810ICF/MR 55397,A000000,02100,0000,02100RADIOLOGY 55397,A000000,02200,0000,02200LABORATORY 55397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55397,A000000,02500,0000,02500PHYSICAL THERAPY 55397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55397,A000000,02700,0000,02700SPEECH PATHOLOGY 55397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55397,A000000,03050,0000,03300PEN THERAPY 55397,A000000,03051,0000,03301FEE SCREENING 55397,A000000,03052,0000,03302OTHER ANCILLARY III 55397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55397,A000000,03550,0000,03550FQHC 55397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55397,A000000,04800,0000,04800AMBULANCE 55397,A000000,05000,0000,05000CORF I 55397,A000000,05010,0000,05010CMHC I 55397,A000000,05020,0000,05020OPT I 55397,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55397,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55397,A000000,05300,0000,05300INTEREST EXPENSE 55397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55397,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55397,A81000A,00100,0100,Y 55397,A81000B,00100,0300,AS ATTACHED 55397,A81000B,00200,0300,AS ATTACHED 55397,A81000B,00300,0300,AS ATTACHED 55397,A81000C,00100,0100,B 55397,A81000C,00100,0400,CROZERKEYSTONE 55397,A81000C,00100,0600,MANAGEMENT 55397,A81000C,00200,0100,B 55397,A81000C,00200,0400,CROZERMEDICAL 55397,A81000C,00200,0600,VARIOUS 55397,A81000C,00300,0100,B 55397,A81000C,00300,0400,GENESIS HEALTH 55397,A81000C,00300,0600,VARIOUS 55397,B100000,00000,0100,00000(SQUARE FEET) 55397,B100000,00000,0101,00000(SQUARE FEET) 55397,B100000,00000,0200,00000(SQUARE FEET) 55397,B100000,00000,0201,00000(SQUARE FEET) 55397,B100000,00000,0300,00000(GROSS SALARIES) 55397,B100000,00000,0400,00000(ACCUM. COST) 55397,B100000,00000,0500,00000(SQUARE FEET) 55397,B100000,00000,0600,00000(PATIENT DAYS) 55397,B100000,00000,0700,00000(SQUARE FEET) 55397,B100000,00000,0800,00000(MEALS SERVED) 55397,B100000,00000,0801,00000(MEALS SERVED) 55397,B100000,00000,0900,00000(NURSING SALARIES) 55397,B100000,00000,1000,00000(PATIENT DAYS) 55397,B100000,00000,1100,00000(COSTED REQUIS.) 55397,B100000,00000,1200,00000(PATIENT DAYS) 55397,B100000,00000,1300,00000(PATIENT DAYS) 55397,B100000,00000,1350,00000(PATIENT DAYS) 55397,B100000,00000,1400,00000(ASSIGNED TIME) 55397,E10A180,00550,0300,02/29/2000 55397,S000000,00100,0200,02/29/2000 55397,S200000,00100,0100,2507 CHESTNUT STREET 55397,S200000,00200,0100,CHESTER 55397,S200000,00200,0200,PA 55397,S200000,00200,0300,19013 55397,S200000,00300,0100,DELAWARE 55397,S200000,00400,0100,BELVEDERE 55397,S200000,00400,0200,395595 55397,S200000,00400,0300,05/09/1988 55397,S200000,00400,0500,P 55397,S200000,01600,0100,Y 55397,S200000,01900,0100,OTHER 55397,S200000,02200,0100,Y 55397,S200000,04700,0100,Y 55397,S200000,04700,0200,Y 55397,S200000,04900,0100,Y 55406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55406,A000000,00300,0000,00300EMPLOYEE BENEFITS 55406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55406,A000000,00700,0000,00700HOUSEKEEPING 55406,A000000,00800,0000,00800DIETARY 55406,A000000,00900,0000,00900NURSING ADMINISTRATION 55406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55406,A000000,01100,0000,01100PHARMACY 55406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55406,A000000,01300,0000,01300SOCIAL SERVICE 55406,A000000,01350,0000,01500PATIENT ACTIVITIES 55406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55406,A000000,01600,0000,01600SKILLED NURSING FACILITY 55406,A000000,01800,0000,01800NURSING FACILITY 55406,A000000,01810,0000,01810ICF/MR 55406,A000000,02100,0000,02100RADIOLOGY 55406,A000000,02200,0000,02200LABORATORY 55406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55406,A000000,02500,0000,02500PHYSICAL THERAPY 55406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55406,A000000,02700,0000,02700SPEECH PATHOLOGY 55406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55406,A000000,03550,0000,03550FQHC 55406,A000000,05000,0000,05000CORF 55406,A000000,05010,0000,05010CMHC 55406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55406,A000000,05300,0000,05300INTEREST EXPENSE 55406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55406,A000000,06150,0000,06300DENTAL 55406,A000000,06151,0000,06301MARKETING 55406,A81000A,00100,0100,Y 55406,A81000B,00100,0300,H.O COST ALLOCATION 55406,A81000C,00100,0100,B 55406,A81000C,00100,0200,GEORGE M LEADER 55406,A81000C,00200,0100,B 55406,A81000C,00200,0200,PRV PLC OF S HI 55406,A81000C,00300,0100,B 55406,A81000C,00300,0200,PRV PLC PTSVLL 55406,A81000C,00400,0100,B 55406,A81000C,00400,0200,PRV PLC HZLETN 55406,A81000C,00500,0100,A 55406,A81000C,00500,0200,MICHARL LEADER 55406,B100000,00000,0100,00001SQUARE FEET 55406,B100000,00000,0200,00001SQUARE FEET 55406,B100000,00000,0300,00001GROSS SALARIES 55406,B100000,00000,0400,00001ACCUM COST 55406,B100000,00000,0500,00001SQUARE FEET 55406,B100000,00000,0600,00001POUNDS OF LAUNDRY 55406,B100000,00000,0700,00001SQ FT W/O KITCHEN 55406,B100000,00000,0800,00001MEALS SERVED 55406,B100000,00000,0900,00001DIRECT NRSG HRS 55406,B100000,00000,1000,00001COSTED REQUIS 55406,B100000,00000,1100,00001COSTED REQUIS 55406,B100000,00000,1200,00001TIME SPENT 55406,B100000,00000,1300,00001TIME SPENT 55406,B100000,00000,1350,00001TIME SPENT 55406,B100000,00000,1400,00001ASSIGNED TIME 55406,E10A180,00501,0300,06/12/2000 55406,S000000,00100,0200,05/19/2000 55406,S200000,00100,0100,3590 WASHINGTON PIKE 55406,S200000,00200,0100,BRIDGEVILLE 55406,S200000,00200,0200,PA 55406,S200000,00200,0300,15017 55406,S200000,00300,0100,ALLEGEHENY 55406,S200000,00400,0100,COUNTRY MEADOWS OF SOUTH HILLS 55406,S200000,00400,0200,395596 55406,S200000,00400,0300,11/01/1983 55406,S200000,00400,0500,P 55406,S200000,01600,0100,Y 55406,S200000,02800,0100,Y 55415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55415,A000000,00300,0000,00300EMPLOYEE BENEFITS 55415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55415,A000000,00700,0000,00700HOUSEKEEPING 55415,A000000,00800,0000,00800DIETARY 55415,A000000,00900,0000,00900NURSING ADMINISTRATION 55415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55415,A000000,01100,0000,01100PHARMACY 55415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55415,A000000,01300,0000,01300SOCIAL SERVICE 55415,A000000,01301,0000,01301PATIENT ACTIVITIES 55415,A000000,01350,0000,01500OTHER GENERAL SERVICES 55415,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55415,A000000,01600,0000,01600SKILLED NURSING FACILITY 55415,A000000,01810,0000,01810ICF/MR 55415,A000000,02100,0000,02100RADIOLOGY 55415,A000000,02200,0000,02200LABORATORY 55415,A000000,02500,0000,02500PHYSICAL THERAPY 55415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55415,A000000,02700,0000,02700SPEECH PATHOLOGY 55415,A000000,02800,0000,02800ELECTROCARDIOLOGY 55415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55415,A000000,03550,0000,03550FQHC 55415,A000000,04750,0000,05100ENTERAL 55415,A000000,04800,0000,04800AMBULANCE 55415,A000000,05000,0000,05000CORF 55415,A000000,05010,0000,05010CMHC 55415,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55415,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55415,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55415,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55415,A000000,06101,0000,06101COTTAGES/APTS/THEATRE 55415,A000000,06102,0000,06102NONPAID WORKERS 55415,A000000,06103,0000,06103NONPAID WORKERS 55415,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55415,A000000,06151,0000,06301PERSONAL CARE UNIT 55415,B100000,00000,0100,00001SQUARE FEET 55415,B100000,00000,0200,00001SQUARE FEET 55415,B100000,00000,0300,00001GROSS SALARIES 55415,B100000,00000,0400,00001ACCUM. COST 55415,B100000,00000,0500,00001SQUARE FEET 55415,B100000,00000,0600,00001POUNDS OF LAUNDRY 55415,B100000,00000,0700,00001SQUARE FEET 55415,B100000,00000,0800,00001MEALS SERVED 55415,B100000,00000,0900,00001PATIENT DAYS 55415,B100000,00000,1000,00001COSTED REQUIS. 55415,B100000,00000,1100,00001COSTED REQUIS. 55415,B100000,00000,1200,00001TIME SPENT 55415,B100000,00000,1300,00001TIME SPENT 55415,B100000,00000,1301,00001TIME SPENT 55415,B100000,00000,1350,00001PATIENT DAYS 55415,B100000,00000,1400,00001ASSIGNED TIME 55415,E10A180,00501,0100,12/13/2000 55415,E10A180,00501,0300,12/13/2000 55415,S000000,00100,0200,11/22/2000 55415,S200000,00100,0100,226 N. LINCOLN AVE 55415,S200000,00200,0100,NEWTOWN 55415,S200000,00200,0200,PA 55415,S200000,00200,0300,18940 55415,S200000,00300,0100,PHILADELPHIA 55415,S200000,00400,0100,PICKERING MANOR HOME 55415,S200000,00400,0200,395597 55415,S200000,00400,0300,07/01/1990 55415,S200000,00400,0500,P 55415,S200000,01500,0100,Y 55423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55423,A000000,00300,0000,00300EMPLOYEE BENEFITS 55423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55423,A000000,00700,0000,00700HOUSEKEEPING 55423,A000000,00800,0000,00800DIETARY 55423,A000000,00900,0000,00900NURSING ADMINISTRATION 55423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55423,A000000,01100,0000,01100PHARMACY 55423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55423,A000000,01300,0000,01300SOCIAL SERVICE 55423,A000000,01350,0000,01500ACTIVITIES 55423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55423,A000000,01600,0000,01600SKILLED NURSING FACILITY 55423,A000000,01800,0000,01800NURSING FACILITY 55423,A000000,01810,0000,01810ICF/MR 55423,A000000,02100,0000,02100RADIOLOGY 55423,A000000,02200,0000,02200LABORATORY 55423,A000000,02500,0000,02500PHYSICAL THERAPY 55423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55423,A000000,02700,0000,02700SPEECH PATHOLOGY 55423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55423,A000000,03550,0000,03550FQHC 55423,A000000,05000,0000,05000CORF 55423,A000000,05010,0000,05010CMHC 55423,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55423,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55423,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55423,A000000,05300,0000,05300INTEREST EXPENSE 55423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55423,B100000,00000,0100,00000SQUARE FEET 55423,B100000,00000,0200,00000DOLLAR VALUE 55423,B100000,00000,0300,00000GROSS SALARIES 55423,B100000,00000,0400,00000ACCUM. COST 55423,B100000,00000,0500,00000SQUARE FEET 55423,B100000,00000,0600,00000POUNDS OF LAUNDRY 55423,B100000,00000,0700,00000HOURS OF SERVICE 55423,B100000,00000,0800,00000MEALS SERVED 55423,B100000,00000,0900,00000DIRECT NRSING HRS 55423,B100000,00000,1000,00000COSTED REQUIS. 55423,B100000,00000,1100,00000COSTED REQUIS. 55423,B100000,00000,1200,00000TIME SPENT 55423,B100000,00000,1300,00000TIME SPENT 55423,B100000,00000,1350,00000PATIENT DAYS 55423,B100000,00000,1400,00000ASSIGNED TIME 55423,E10A180,00550,0100,02/09/2000 55423,S000000,00100,0200,01/10/2000 55423,S200000,00100,0100,211 EAST FIRST STREET 55423,S200000,00200,0100,BLOOMSBURG 55423,S200000,00200,0200,PA 55423,S200000,00200,0300,17815 55423,S200000,00300,0100,COLUMBIA 55423,S200000,00400,0100,BLOOMSBURG HEALTH CARE CENTER 55423,S200000,00400,0200,395598 55423,S200000,00400,0300,09/30/1983 55423,S200000,00400,0500,P 55423,S200000,00600,0200,395598 55423,S200000,00600,0300,09/30/1983 55423,S200000,00600,0600,P 55423,S200000,01600,0100,Y 55423,S200000,02800,0100,Y 55423,S200000,03100,0100,Y 55441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55441,A000000,00300,0000,00300EMPLOYEE BENEFITS 55441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55441,A000000,00700,0000,00700HOUSEKEEPING 55441,A000000,00800,0000,00800DIETARY 55441,A000000,00900,0000,00900NURSING ADMINISTRATION 55441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55441,A000000,01100,0000,01100PHARMACY 55441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55441,A000000,01300,0000,01300SOCIAL SERVICE 55441,A000000,01350,0000,01500RECREATIONAL THERAPY 55441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55441,A000000,01600,0000,01600SKILLED NURSING FACILITY 55441,A000000,01800,0000,01800NURSING FACILITY 55441,A000000,01810,0000,01810ICF/MR 55441,A000000,02100,0000,02100RADIOLOGY 55441,A000000,02200,0000,02200LABORATORY 55441,A000000,02500,0000,02500PHYSICAL THERAPY 55441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55441,A000000,02700,0000,02700SPEECH PATHOLOGY 55441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55441,A000000,03550,0000,03550FQHC 55441,A000000,04800,0000,04800AMBULANCE 55441,A000000,05000,0000,05000CORF 55441,A000000,05010,0000,05010CMHC 55441,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55441,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55441,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55441,A000000,05300,0000,05300INTEREST EXPENSE 55441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55441,A000000,06150,0000,06300RESIDENTIAL 55441,A000000,06151,0000,06301CHAPLAIN 55441,A81000A,00100,0100,Y 55441,A81000B,00100,0300,HOME OFFICE COSTS 55441,A81000C,00100,0100,A 55441,A81000C,00100,0200,WESLEY VILLAGE 55441,A81000C,00100,0400,METHODIST HOMES 55441,A81000C,00100,0600,CORP.ADMIN.OFF. 55441,B100000,00000,0100,00001SQUARE FEET 55441,B100000,00000,0200,00001DOLLAR VALUE 55441,B100000,00000,0300,00001GROSS SALARIES 55441,B100000,00000,0400,00001ACCUM. COST 55441,B100000,00000,0500,00001SQUARE FEET 55441,B100000,00000,0600,00001POUNDS OF LAUNDRY 55441,B100000,00000,0700,00001SQUARE FEET 55441,B100000,00000,0800,00001MEALS SERVED 55441,B100000,00000,0900,00001DIRECT NRSING HRS 55441,B100000,00000,1000,00001COSTED REQUIS. 55441,B100000,00000,1100,00001COSTED REQUIS. 55441,B100000,00000,1200,00001TIME SPENT 55441,B100000,00000,1300,00001TIME SPENT 55441,B100000,00000,1350,00001TIME SPENT 55441,B100000,00000,1400,00001ASSIGNED TIME 55441,E10A180,00501,0100,07/19/2000 55441,E10A180,00501,0300,07/19/2000 55441,S000000,00100,0200,05/30/2000 55441,S200000,00100,0100,209 ROBERTS ROAD 55441,S200000,00200,0100,PITTSTON 55441,S200000,00200,0200,PA 55441,S200000,00200,0300,18640 55441,S200000,00300,0100,LUZERNE 55441,S200000,00400,0100,THE WESLEY VILLAGE 55441,S200000,00400,0200,395602 55441,S200000,00400,0300,01/01/1984 55441,S200000,00400,0500,P 55441,S200000,01600,0100,Y 55441,S200000,01900,0100,NOT-FOR-PROFIT CORPORATION 55441,S200000,02200,0100,Y 55441,S200000,02800,0100,Y 55441,S200000,04600,0100,Y 55441,S200000,04700,0100,Y 55441,S200000,04700,0200,Y 55450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55450,A000000,00300,0000,00300EMPLOYEE BENEFITS 55450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55450,A000000,00700,0000,00700HOUSEKEEPING 55450,A000000,00800,0000,00800DIETARY 55450,A000000,00900,0000,00900NURSING ADMINISTRATION 55450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55450,A000000,01100,0000,01100PHARMACY 55450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55450,A000000,01300,0000,01300SOCIAL SERVICE 55450,A000000,01350,0000,01500OTHER GENERAL SERVICES 55450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55450,A000000,01600,0000,01600SKILLED NURSING FACILITY 55450,A000000,01800,0000,01800NURSING FACILITY 55450,A000000,01810,0000,01810ICF/MR 55450,A000000,02100,0000,02100RADIOLOGY 55450,A000000,02200,0000,02200LABORATORY 55450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55450,A000000,02500,0000,02500PHYSICAL THERAPY 55450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55450,A000000,02700,0000,02700SPEECH PATHOLOGY 55450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55450,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55450,A000000,03550,0000,03550FQHC 55450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55450,A000000,05000,0000,05000CORF 55450,A000000,05010,0000,05010CMHC 55450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55450,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 55450,A000000,05300,0000,05300INTEREST EXPENSE 55450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55450,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55450,A81000A,00100,0100,Y 55450,A81000B,00100,0300,BUILDING DEPRECIATION 55450,A81000B,00200,0300,BOND ISSUE EXPENSE 55450,A81000B,00300,0300,PROPERTY TAXES 55450,A81000B,00400,0300,PROPERTY INSURANCE 55450,A81000B,00500,0300,PROPERTY INSURANCE 55450,A81000B,00700,0300,MOVABLE EQUIPMENT 55450,A81000B,00800,0300,ADMIN GEN 55450,A81000C,00100,0100,A 55450,A81000C,00100,0200,ROBERT P LASNER 55450,A81000C,00100,0400,L/G REALTY 55450,A81000C,00100,0600,REALTY 55450,A81000C,00200,0100,E 55450,A81000C,00200,0200,MELBA L. GALONIS 55450,A81000C,00200,0400,L/G REALTY 55450,A81000C,00200,0600,REALTY 55450,B100000,00000,0100,00000SQUARE FEET 55450,B100000,00000,0200,00000SQUARE FEET 55450,B100000,00000,0300,00000GROSS SALARIES 55450,B100000,00000,0400,00000ACCUM. COST 55450,B100000,00000,0500,00000SQUARE FEET 55450,B100000,00000,0600,00000POUNDS OF LAUNDRY 55450,B100000,00000,0700,00000SQUARE FEET 55450,B100000,00000,0800,00000MEALS SERVED 55450,B100000,00000,0900,00000NURSING HOURS 55450,B100000,00000,1000,00000NO STATISTICS 55450,B100000,00000,1100,00000COSTED REQUIS. 55450,B100000,00000,1200,00000TIME SPENT 55450,B100000,00000,1300,00000TIME SPENT 55450,B100000,00000,1350,00000NO STATISTICS 55450,B100000,00000,1400,00000ASSIGNED TIME 55450,E10A180,00501,0300,06/09/2000 55450,S000000,00100,0200,05/25/2000 55450,S200000,00100,0100,DONAHOE & LUXOR ROADS 55450,S200000,00100,0300,956 55450,S200000,00200,0100,GREENSBURG 55450,S200000,00200,0200,PA 55450,S200000,00300,0100,WESTMORELAND 55450,S200000,00400,0100,GREENSBURG NURSING & CONV CE 55450,S200000,00400,0200,395604 55450,S200000,00400,0300,01/01/1983 55450,S200000,00400,0500,P 55450,S200000,01600,0100,Y 55461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55461,A000000,00101,0000,00101CAP REL COSTS - OLD WING 55461,A000000,00102,0000,00102CAP REL COSTS - NEW WING 55461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55461,A000000,00300,0000,00300EMPLOYEE BENEFITS 55461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55461,A000000,00700,0000,00700HOUSEKEEPING 55461,A000000,00800,0000,00800DIETARY 55461,A000000,00900,0000,00900NURSING ADMINISTRATION 55461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55461,A000000,01100,0000,01100PHARMACY 55461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55461,A000000,01300,0000,01300SOCIAL SERVICE 55461,A000000,01301,0000,01301ADMISSIONS 55461,A000000,01302,0000,01302CHAPLAIN 55461,A000000,01350,0000,01500OTHER GENERAL SERVICES 55461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55461,A000000,01600,0000,01600SKILLED NURSING FACILITY 55461,A000000,01800,0000,01800NURSING FACILITY 55461,A000000,01810,0000,01810ICF/MR 55461,A000000,02100,0000,02100RADIOLOGY 55461,A000000,02200,0000,02200LABORATORY 55461,A000000,02300,0000,02300INTRAVENOUS THERAPY 55461,A000000,02500,0000,02500PHYSICAL THERAPY 55461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55461,A000000,02700,0000,02700SPEECH PATHOLOGY 55461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55461,A000000,03550,0000,03550FQHC 55461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55461,A000000,05000,0000,05000CORF 55461,A000000,05010,0000,05010CMHC 55461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55461,A81000A,00100,0100,Y 55461,A81000B,00100,0300,ADMINISTRATIVE / GENERAL 55461,A81000B,00200,0300,ADMINISTRATIVE / GENERAL 55461,A81000C,00100,0100,E 55461,A81000C,00100,0200,WILLIAM V. DAY 55461,A81000C,00100,0400,ST BARNABAS HEALTH SYS. 55461,A81000C,00100,0600,PARENT CORPORTION 55461,A81000C,00200,0100,E 55461,A81000C,00200,0200,JOSEPH R HLINKA 55461,A81000C,00200,0400,ST BARNABAS HEALTH SYS. 55461,A81000C,00200,0600,PARENT CORPORATION 55461,A81000C,00300,0100,E 55461,A81000C,00300,0200,JUDITH WAGNER 55461,A81000C,00300,0400,ST BARNABAS HEALTH SYS. 55461,A81000C,00300,0600,PARENT ORPORATION 55461,A81000C,00400,0100,E 55461,A81000C,00400,0200,DOUGLAS W DAY 55461,A81000C,00400,0400,ST BARNABAS MEDICAL CTR 55461,A81000C,00400,0600,SISTER CORPORATION 55461,B100000,00000,0100,00000SQUARE FEET 55461,B100000,00000,0101,00000SQUARE FEET 55461,B100000,00000,0102,00000SQUARE FEET 55461,B100000,00000,0200,00000SQUARE FEET 55461,B100000,00000,0300,00000GROSS SALARIES 55461,B100000,00000,0400,00000ACCUM. COST 55461,B100000,00000,0500,00000SQUARE FEET 55461,B100000,00000,0600,00000POUNDS OF LAUNDRY 55461,B100000,00000,0700,00000HOURS OF SERVICE 55461,B100000,00000,0800,00000MEALS SERVED 55461,B100000,00000,0900,00000DIRECT NRSING HRS 55461,B100000,00000,1000,00000RESIDENT DAYS 55461,B100000,00000,1100,00000COSTED REQUIS. 55461,B100000,00000,1200,00000RESIDENT DAYS 55461,B100000,00000,1300,00000TIME SPENT 55461,B100000,00000,1301,00000TIME SPENT 55461,B100000,00000,1302,00000RESIDENT DAYS 55461,B100000,00000,1350,00000RESIDENT DAYS 55461,B100000,00000,1400,00000ASSIGNED TIME 55461,E10A180,00501,0100,06/10/2000 55461,E10A180,00501,0300,06/10/2000 55461,S000000,00100,0200,05/25/2000 55461,S200000,00100,0100,5850 MERIDIAN ROAD 55461,S200000,00200,0100,GIBSONIA 55461,S200000,00200,0200,PA 55461,S200000,00300,0100,ALLEGHENY 55461,S200000,00400,0100,ST. BARNABAS INC. 55461,S200000,00400,0200,395605 55461,S200000,00400,0300,01/01/1984 55461,S200000,00400,0500,P 55461,S200000,01600,0100,Y 55472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55472,A000000,00300,0000,00300EMPLOYEE BENEFITS 55472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55472,A000000,00700,0000,00700HOUSEKEEPING 55472,A000000,00800,0000,00800DIETARY 55472,A000000,00900,0000,00900NURSING ADMINISTRATION 55472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55472,A000000,01100,0000,01100PHARMACY 55472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55472,A000000,01300,0000,01300SOCIAL SERVICE 55472,A000000,01350,0000,01500ACTIVITIES 55472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55472,A000000,01600,0000,01600SKILLED NURSING FACILITY 55472,A000000,01810,0000,01810ICF/MR 55472,A000000,01900,0000,01900OTHER LONG TERM CARE 55472,A000000,02100,0000,02100RADIOLOGY 55472,A000000,02200,0000,02200LABORATORY 55472,A000000,02500,0000,02500PHYSICAL THERAPY 55472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55472,A000000,02700,0000,02700SPEECH PATHOLOGY 55472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55472,A000000,03050,0000,03300DME-SPECIAL BEDS/MATTRESSES 55472,A000000,03051,0000,03310AMBULANCE SERVICES 55472,A000000,03052,0000,03320PHARMACY-CENTRAL 55472,A000000,03400,0000,03400CLINIC 55472,A000000,03550,0000,03550FQHC 55472,A000000,05000,0000,05000CORF 55472,A000000,05010,0000,05010CMHC 55472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55472,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55472,B100000,00000,0100,00000SQUARE FEET 55472,B100000,00000,0200,00000SQUARE FEET 55472,B100000,00000,0300,00000GROSS SALARIES 55472,B100000,00000,0400,00000ACCUM COST 55472,B100000,00000,0500,00000SQUARE FEET 55472,B100000,00000,0600,00000POUNDS OF LAUNDRY 55472,B100000,00000,0700,00000HOURS OF SERVICE 55472,B100000,00000,0800,00000MEALS SERVED 55472,B100000,00000,0900,00000DIRECT NRSG HRS 55472,B100000,00000,1000,00000COSTED REQUIS 55472,B100000,00000,1100,00000COSTED REQUIS 55472,B100000,00000,1200,00000TIME SPENT 55472,B100000,00000,1300,00000TIME SPENT 55472,B100000,00000,1350,00000TIME SPENT 55472,B100000,00000,1400,00000ASSIGNED TIME 55472,S000000,00100,0200,05/30/2000 55472,S200000,00100,0100,110 MCINTYRE ROAD 55472,S200000,00200,0100,PITTSBURGH 55472,S200000,00200,0200,PA 55472,S200000,00200,0300,15237 55472,S200000,00300,0100,ALLEGHENY 55472,S200000,00400,0100,ROSS 55472,S200000,00400,0200,395606 55472,S200000,00400,0300,10/28/1983 55472,S200000,00400,0500,P 55472,S200000,01500,0100,Y 55472,S200000,02800,0100,Y 55479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55479,A000000,00300,0000,00300EMPLOYEE BENEFITS 55479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55479,A000000,00700,0000,00700HOUSEKEEPING 55479,A000000,00800,0000,00800DIETARY 55479,A000000,00900,0000,00900NURSING ADMINISTRATION 55479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55479,A000000,01100,0000,01100PHARMACY 55479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55479,A000000,01300,0000,01300SOCIAL SERVICE 55479,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 55479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55479,A000000,01600,0000,01600SKILLED NURSING FACILITY 55479,A000000,01800,0000,01800NURSING FACILITY 55479,A000000,02100,0000,02100RADIOLOGY 55479,A000000,02200,0000,02200LABORATORY 55479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55479,A000000,02500,0000,02500PHYSICAL THERAPY 55479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55479,A000000,02700,0000,02700SPEECH PATHOLOGY 55479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55479,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55479,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55479,A000000,03550,0000,03550FQHC 55479,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55479,A000000,05000,0000,05000CORF 55479,A000000,05010,0000,05010CMHC 55479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55479,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 55479,A000000,05300,0000,05300INTEREST EXPENSE 55479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55479,B100000,00000,0100,00000(SQUARE FEET) 55479,B100000,00000,0200,00000(SQUARE FEET) 55479,B100000,00000,0300,00000(GROSS SALARIES) 55479,B100000,00000,0400,00000ACCUM. COST 55479,B100000,00000,0500,00000(SQUARE FEET) 55479,B100000,00000,0600,00000(POUNDS OF LAUN 55479,B100000,00000,0700,00000(HOURS OF SERVICE) 55479,B100000,00000,0800,00000(MEALS SERVED) 55479,B100000,00000,0900,00000(DIRECT NRSING HRS 55479,B100000,00000,1000,00000(COSTED REQUIS.) 55479,B100000,00000,1100,00000(COSTED REQUIS.) 55479,B100000,00000,1200,00000(TIME SPENT) 55479,B100000,00000,1300,00000(TIME SPENT) 55479,B100000,00000,1350,00000(HOURS OF SERVICE) 55479,B100000,00000,1400,00000(ASSIGNED TIME) 55479,S000000,00100,0200,05/30/2000 55479,S200000,00100,0100,701 ROUSE AVENUE 55479,S200000,00200,0100,YOUNGSVILLE 55479,S200000,00200,0200,PA 55479,S200000,00300,0100,WARREN 55479,S200000,00400,0100,ROUSE WARREN COUNTY HOME 55479,S200000,00400,0200,395609 55479,S200000,00400,0300,01/01/1984 55479,S200000,00400,0500,P 55479,S200000,01600,0100,Y 55479,S200000,02200,0100,Y 55479,S200000,02800,0100,Y 55479,S200000,04600,0100,Y 55483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55483,A000000,00300,0000,00300EMPLOYEE BENEFITS 55483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55483,A000000,00700,0000,00700HOUSEKEEPING 55483,A000000,00800,0000,00800DIETARY 55483,A000000,00900,0000,00900NURSING ADMINISTRATION 55483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55483,A000000,01100,0000,01100PHARMACY 55483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55483,A000000,01300,0000,01300SOCIAL SERVICE 55483,A000000,01350,0000,01500OTHER GENERAL SERVICES 55483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55483,A000000,01600,0000,01600SKILLED NURSING FACILITY 55483,A000000,01810,0000,01810ICF/MR 55483,A000000,02300,0000,02300INTRAVENOUS THERAPY 55483,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55483,A000000,02500,0000,02500PHYSICAL THERAPY 55483,A000000,02700,0000,02700SPEECH PATHOLOGY 55483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55483,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55483,A000000,03550,0000,03550FQHC 55483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55483,A000000,05000,0000,05000CORF 55483,A000000,05010,0000,05010CMHC 55483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55483,A000000,05300,0000,05300INTEREST EXPENSE 55483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55483,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55483,B100000,00000,0100,00000SQUARE FEET 55483,B100000,00000,0200,00000SQUARE FEET 55483,B100000,00000,0300,00000GROSS SALARIES 55483,B100000,00000,0400,00000ACCUM. COST 55483,B100000,00000,0500,00000SQUARE FEET 55483,B100000,00000,0600,00000POUNDS OF LAUNDRY 55483,B100000,00000,0700,00000SQUARE FEET 55483,B100000,00000,0800,00000MEALS SERVED 55483,B100000,00000,0900,00000PATIENT DAYS 55483,B100000,00000,1000,00000NO STATISTICS 55483,B100000,00000,1100,00000NO STATISTICS 55483,B100000,00000,1200,00000NO STATISTICS 55483,B100000,00000,1300,00000NO STATISTICS 55483,B100000,00000,1350,00000PATIENT DAYS 55483,B100000,00000,1400,00000NO STATISTICS 55483,E10A180,00501,0100,07/06/2000 55483,E10A180,00501,0300,07/06/2000 55483,S000000,00100,0200,05/26/2000 55483,S200000,00100,0100,RD # 1 BOX 109 55483,S200000,00200,0100,THOMPSONTOWN 55483,S200000,00200,0200,PA 55483,S200000,00300,0100,JUNIATA 55483,S200000,00400,0100,MEDA NIPPLE CONVALESCENT HOME 55483,S200000,00400,0200,395611 55483,S200000,00400,0300,01/01/1989 55483,S200000,00400,0500,P 55483,S200000,01500,0100,Y 55491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55491,A000000,00300,0000,00300EMPLOYEE BENEFITS 55491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55491,A000000,00700,0000,00700HOUSEKEEPING 55491,A000000,00800,0000,00800DIETARY 55491,A000000,00900,0000,00900NURSING ADMINISTRATION 55491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55491,A000000,01100,0000,01100PHARMACY 55491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55491,A000000,01300,0000,01300SOCIAL SERVICE 55491,A000000,01301,0000,01301ACTIVITIES 55491,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55491,A000000,01600,0000,01600SKILLED NURSING FACILITY 55491,A000000,01800,0000,01800NURSING FACILITY 55491,A000000,01810,0000,01810ICF/MR 55491,A000000,02100,0000,02100RADIOLOGY 55491,A000000,02200,0000,02200LABORATORY 55491,A000000,02300,0000,02300INTRAVENOUS THERAPY 55491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55491,A000000,02500,0000,02500PHYSICAL THERAPY 55491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55491,A000000,02700,0000,02700SPEECH PATHOLOGY 55491,A000000,02800,0000,02800ELECTROCARDIOLOGY 55491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55491,A000000,03201,0000,03201PNEUMOCOCCAL VACINE 55491,A000000,03202,0000,03202PULSE OXIMETRY 55491,A000000,03550,0000,03550FQHC 55491,A000000,05000,0000,05000CORF 55491,A000000,05010,0000,05010CMHC 55491,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55491,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55491,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55491,A000000,05300,0000,05300INTEREST EXPENSE 55491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55491,A000000,06201,0000,06201RESIDENTIAL LIVING 55491,A81000A,00100,0100,Y 55491,A81000B,00100,0300,MANAGEMENT FEE 55491,A81000C,00100,0100,B 55491,A81000C,00100,0200,YORK LUTHERAN H 55491,A81000C,00100,0400,LSS-SCPA 55491,A81000C,00100,0600,MANAGEMENT 55491,B100000,00000,0100,00001SQUARE FEET 55491,B100000,00000,0200,00001SQUARE FEET 55491,B100000,00000,0300,00001GROSS SALARIES 55491,B100000,00000,0400,00001ACCUMULA- TED COST 55491,B100000,00000,0500,00001SQUARE FEET 55491,B100000,00000,0600,00001POUNDS OF LAUNDRY 55491,B100000,00000,0700,00001HOURS OF SERVICE 55491,B100000,00000,0800,00001MEALS SERVED 55491,B100000,00000,0900,00001DIRECT HOU OF SERVICE 55491,B100000,00000,1000,00001COSTED REQUIS 55491,B100000,00000,1100,00001COSTED REQUIS 55491,B100000,00000,1200,00001TIME SPENT 55491,B100000,00000,1300,00001TIME SPENT 55491,B100000,00000,1301,00001 55491,B100000,00000,1400,00001ASSIGNED TIME 55491,E10A180,00501,0100,06/15/2000 55491,E10A180,00501,0300,06/15/2000 55491,E10A180,00502,0100,08/17/2001 55491,E10A180,00550,0300,08/17/2001 55491,S000000,00100,0200,05/23/2000 55491,S200000,00100,0100,1801 FOLKEMER CIRCLE 55491,S200000,00200,0100,YORK 55491,S200000,00200,0200,PA 55491,S200000,00200,0300,17404 55491,S200000,00300,0100,YORK 55491,S200000,00400,0100,YORK LUTHERAN HOME 55491,S200000,00400,0200,395612 55491,S200000,00400,0300,01/01/1984 55491,S200000,00400,0500,P 55491,S200000,00600,0200,395612 55491,S200000,00600,0300,01/01/1984 55491,S200000,00600,0600,P 55491,S200000,01500,0100,Y 55491,S200000,02800,0100,Y 55491,S200000,04700,0100,Y 55491,S200000,04700,0200,Y 55503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55503,A000000,00300,0000,00300EMPLOYEE BENEFITS 55503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55503,A000000,00700,0000,00700HOUSEKEEPING 55503,A000000,00800,0000,00800DIETARY 55503,A000000,00900,0000,00900NURSING ADMINISTRATION 55503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55503,A000000,01100,0000,01100PHARMACY 55503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55503,A000000,01300,0000,01300SOCIAL SERVICE 55503,A000000,01350,0000,01500OTHER GENERAL SERVICES 55503,A000000,01351,0000,01501PATIENT ACTIVITIES 55503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55503,A000000,01600,0000,01600SKILLED NURSING FACILITY 55503,A000000,01800,0000,01800NURSING FACILITY 55503,A000000,01810,0000,01810ICF/MR 55503,A000000,02100,0000,02100RADIOLOGY 55503,A000000,02200,0000,02200LABORATORY 55503,A000000,02300,0000,02300INTRAVENOUS THERAPY 55503,A000000,02500,0000,02500PHYSICAL THERAPY 55503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55503,A000000,02700,0000,02700SPEECH PATHOLOGY 55503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55503,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55503,A000000,03550,0000,03550FQHC 55503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55503,A000000,04800,0000,04800AMBULANCE 55503,A000000,05000,0000,05000CORF 55503,A000000,05010,0000,05010CMHC 55503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55503,B100000,00000,0100,00000SQUARE FEET 55503,B100000,00000,0200,00000SQUARE FEET 55503,B100000,00000,0300,00000GROSS SALARIES 55503,B100000,00000,0400,00000ACCUM. COST 55503,B100000,00000,0500,00000SQUARE FEET 55503,B100000,00000,0600,00000PATIENT DAYS 55503,B100000,00000,0700,00000SQUARE FT(EXC DI 55503,B100000,00000,0800,00000PATIENT DAYS 55503,B100000,00000,0900,00000PATIENT DAYS 55503,B100000,00000,1000,00000PATIENT DAYS 55503,B100000,00000,1100,00000COSTED REQUIS. 55503,B100000,00000,1200,00000PATIENT DAYS 55503,B100000,00000,1300,00000PATIENT DAYS 55503,B100000,00000,1350,00000NO STATISTICS 55503,B100000,00000,1351,00000PATIENT DAYS 55503,B100000,00000,1400,00000ASSIGNED TIME 55503,E10A180,00501,0100,07/28/2000 55503,E10A180,00501,0300,07/28/2000 55503,S000000,00100,0200,05/31/2000 55503,S200000,00100,0100,201 FRANKLIN FARM LANE 55503,S200000,00200,0100,CHAMBERSBURG 55503,S200000,00200,0200,PA 55503,S200000,00300,0100,FRANKLIN 55503,S200000,00400,0100,FALLING SPRING NURSING & REHAB 55503,S200000,00400,0200,395613 55503,S200000,00400,0300,01/01/1976 55503,S200000,00400,0500,P 55503,S200000,01600,0100,Y 55520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55520,A000000,00300,0000,00300EMPLOYEE BENEFITS 55520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55520,A000000,00700,0000,00700HOUSEKEEPING 55520,A000000,00800,0000,00800DIETARY 55520,A000000,00900,0000,00900NURSING ADMINISTRATION 55520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55520,A000000,01100,0000,01100PHARMACY 55520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55520,A000000,01300,0000,01300SOCIAL SERVICE 55520,A000000,01301,0000,01301RESIDENT ACTIVITIES 55520,A000000,01350,0000,01500OTHER GENERAL SERVICES 55520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55520,A000000,01600,0000,01600SKILLED NURSING FACILITY 55520,A000000,01810,0000,01810ICF/MR 55520,A000000,02100,0000,02100RADIOLOGY 55520,A000000,02200,0000,02200LABORATORY 55520,A000000,02500,0000,02500PHYSICAL THERAPY 55520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55520,A000000,02700,0000,02700SPEECH PATHOLOGY 55520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55520,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55520,A000000,03550,0000,03550FQHC 55520,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55520,A000000,05000,0000,05000CORF 55520,A000000,05010,0000,05010CMHC 55520,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55520,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55520,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55520,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55520,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55520,B100000,00000,0100,00000SQUARE FEET 55520,B100000,00000,0200,00000DOLLAR VALUE 55520,B100000,00000,0300,00000GROSS SALARIES 55520,B100000,00000,0400,00000ACCUM. COST 55520,B100000,00000,0500,00000SQUARE FEET 55520,B100000,00000,0600,00000POUNDS OF LAUNDRY 55520,B100000,00000,0700,00000SQUARE FEET 55520,B100000,00000,0800,00000MEALS SERVED 55520,B100000,00000,0900,00000DIRECT NRSING HRS 55520,B100000,00000,1000,00000COSTED REQUIS. 55520,B100000,00000,1100,00000COSTED REQUIS. 55520,B100000,00000,1200,00000TIME SPENT 55520,B100000,00000,1300,00000TIME SPENT 55520,B100000,00000,1301,00000TIME SPENT 55520,B100000,00000,1350,00000TIME SPENT 55520,B100000,00000,1400,00000ASSIGNED TIME 55520,E10A180,00501,0100,06/21/2000 55520,E10A180,00501,0300,06/21/2000 55520,S000000,00100,0200,05/30/2000 55520,S200000,00100,0100,22 CREE DRIVE 55520,S200000,00200,0100,LOCK HAVEN 55520,S200000,00200,0200,PA 55520,S200000,00300,0100,CLINTON 55520,S200000,00400,0100,SUSQUE VIEW NURSING HOME 55520,S200000,00400,0200,395616 55520,S200000,00400,0300,01/01/1982 55520,S200000,00400,0500,P 55520,S200000,01500,0100,Y 55530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55530,A000000,00300,0000,00300EMPLOYEE BENEFITS 55530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55530,A000000,00700,0000,00700HOUSEKEEPING 55530,A000000,00800,0000,00800DIETARY 55530,A000000,00900,0000,00900NURSING ADMINISTRATION 55530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55530,A000000,01100,0000,01100PHARMACY 55530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55530,A000000,01300,0000,01300SOCIAL SERVICE 55530,A000000,01350,0000,01500ACTIVITIES 55530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55530,A000000,01600,0000,01600SKILLED NURSING FACILITY 55530,A000000,01810,0000,01810ICF/MR 55530,A000000,01900,0000,01900OTHER LONG TERM CARE 55530,A000000,02100,0000,02100RADIOLOGY 55530,A000000,02200,0000,02200LABORATORY 55530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55530,A000000,02500,0000,02500PHYSICAL THERAPY 55530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55530,A000000,02700,0000,02700SPEECH PATHOLOGY 55530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55530,A000000,03050,0000,03300DME-SPECIAL BEDS & MATTRESSES 55530,A000000,03051,0000,03320PHARMACY-CENTRAL 55530,A000000,03052,0000,03310AMBULANCE SERVICES 55530,A000000,03400,0000,03400CLINIC 55530,A000000,03550,0000,03550FQHC 55530,A000000,05000,0000,05000CORF 55530,A000000,05010,0000,05010CMHC 55530,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55530,B100000,00000,0100,00000SQUARE FEET 55530,B100000,00000,0200,00000SQUARE FEET 55530,B100000,00000,0300,00000GROSS SALARIES 55530,B100000,00000,0400,00000ACCUM COST 55530,B100000,00000,0500,00000SQUARE FEET 55530,B100000,00000,0600,00000POUNDS OF LAUNDRY 55530,B100000,00000,0700,00000HOURS OF SERVICE 55530,B100000,00000,0800,00000MEALS SERVED 55530,B100000,00000,0900,00000DIRECT NRSG HRS 55530,B100000,00000,1000,00000COSTED REQUIS 55530,B100000,00000,1100,00000COSTED REQUIS 55530,B100000,00000,1200,00000TIME SPENT 55530,B100000,00000,1300,00000TIME SPENT 55530,B100000,00000,1350,00000TIME SPENT 55530,B100000,00000,1400,00000ASSIGNED TIME 55530,E10A180,00501,0100,06/19/2000 55530,E10A180,00501,0300,06/19/2000 55530,S000000,00100,0200,05/30/2000 55530,S200000,00100,0100,300 KANE BOULEVARD 55530,S200000,00200,0100,PITTSBURGH 55530,S200000,00200,0200,PA 55530,S200000,00200,0300,15243 55530,S200000,00300,0100,ALLEGHENY 55530,S200000,00400,0100,SCOTT 55530,S200000,00400,0200,395617 55530,S200000,00400,0300,12/09/1983 55530,S200000,00400,0500,P 55530,S200000,01500,0100,Y 55530,S200000,02800,0100,Y 55539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55539,A000000,00300,0000,00300EMPLOYEE BENEFITS 55539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55539,A000000,00700,0000,00700HOUSEKEEPING 55539,A000000,00800,0000,00800DIETARY 55539,A000000,00900,0000,00900NURSING ADMINISTRATION 55539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55539,A000000,01100,0000,01100PHARMACY 55539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55539,A000000,01300,0000,01300SOCIAL SERVICE 55539,A000000,01350,0000,01500ACTIVITIES 55539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55539,A000000,01600,0000,01600SKILLED NURSING FACILITY 55539,A000000,01810,0000,01810ICF/MR 55539,A000000,02200,0000,02200LABORATORY 55539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55539,A000000,02500,0000,02500PHYSICAL THERAPY 55539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55539,A000000,02700,0000,02700SPEECH PATHOLOGY 55539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55539,A000000,03550,0000,03550FQHC 55539,A000000,05000,0000,05000CORF 55539,A000000,05010,0000,05010CMHC 55539,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55539,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55539,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55539,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55539,A000000,06151,0000,06301ASSISTED LIVING 55539,A81000A,00100,0100,Y 55539,A81000B,00100,0300,HOME OFFICE COSTS 55539,A81000B,00200,0300,WORKING CAPITAL INTE 55539,A81000B,00300,0300,CAPITAL INTERESTES 55539,A81000C,00100,0100,A 55539,A81000C,00100,0200,FRANK VARISCHETTI 55539,A81000C,00100,0400,GUARDIAN ELDER CARE 55539,A81000C,00100,0600,HOME OFFICE 55539,A81000C,00200,0100,A 55539,A81000C,00200,0200,FRANK A VARISCHETTI 55539,A81000C,00200,0400,GUARDIAN ELDER CARE 55539,A81000C,00200,0600,HOME OFFICE 55539,A81000C,00300,0100,A 55539,A81000C,00300,0200,STEVEN R. VARISCHETT 55539,A81000C,00300,0400,GUARDIAN ELDER CARE 55539,A81000C,00300,0600,HOME OFFICE 55539,A81000C,00400,0100,A 55539,A81000C,00400,0200,PETER C. VARISCHETTI 55539,A81000C,00400,0400,GUARDIAN ELDER CARE 55539,A81000C,00400,0600,HOME OFFICE 55539,A81000C,00500,0100,A 55539,A81000C,00500,0200,RAYMOND L. CALHOUN 55539,A81000C,00500,0400,GUARDIAN ELDER CARE 55539,A81000C,00500,0600,HOME OFFICE 55539,A81000C,00600,0100,A 55539,A81000C,00600,0200,FRANK VARISCHETTI 55539,A81000C,00600,0400,VSI DBA PUBLIC CRED 55539,A81000C,00600,0600,COMMERCIAL LENDING 55539,A81000C,00700,0100,A 55539,A81000C,00700,0200,FRANK A VARISCHETTI 55539,A81000C,00700,0600,COMMERCIAL LENDING 55539,A81000C,00800,0100,A 55539,A81000C,00800,0200,STEVEN R. VARISCHETT 55539,A81000C,00800,0400,VSI DBA UBLIC CREDI 55539,A81000C,00800,0600,COMMERCIAL LENDING 55539,A81000C,00900,0100,A 55539,A81000C,00900,0200,PETER R. VARISCHETTI 55539,A81000C,00900,0400,VSI DBA PUBLIC CRED 55539,A81000C,00900,0600,COMMERCIAL LENDING 55539,B100000,00000,0100,00001SQUARE FEET 55539,B100000,00000,0200,00001SQUARE FEET 55539,B100000,00000,0300,00001GROSS SALARIES 55539,B100000,00000,0400,00001ACCUM COST 55539,B100000,00000,0500,00001SQUARE FEET 55539,B100000,00000,0600,00001POUNDS OF LAUNDRY 55539,B100000,00000,0700,00001HOURS OF SERVICE 55539,B100000,00000,0800,00001MEALS SERVED 55539,B100000,00000,0900,00001DIRECT NRSG HRS 55539,B100000,00000,1000,00001COSTED REQUIS 55539,B100000,00000,1100,00001COSTED REQUIS 55539,B100000,00000,1200,00001TIME SPENT 55539,B100000,00000,1300,00001TIME SPENT 55539,B100000,00000,1350,00001 55539,B100000,00000,1400,00001ASSIGNED TIME 55539,S000000,00100,0200,08/13/1999 55539,S200000,00100,0100,407 MULBERRY SQUARE 55539,S200000,00200,0100,PUNXSUTAWNEY 55539,S200000,00200,0200,PA 55539,S200000,00200,0300,15767 55539,S200000,00300,0100,JEFFERSON 55539,S200000,00400,0100,MULBERRY SQUARE 55539,S200000,00400,0200,395618 55539,S200000,00400,0300,01/01/1984 55539,S200000,00400,0500,P 55539,S200000,01500,0100,Y 55540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55540,A000000,00300,0000,00300EMPLOYEE BENEFITS 55540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55540,A000000,00700,0000,00700HOUSEKEEPING 55540,A000000,00800,0000,00800DIETARY 55540,A000000,00900,0000,00900NURSING ADMINISTRATION 55540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55540,A000000,01100,0000,01100PHARMACY 55540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55540,A000000,01300,0000,01300SOCIAL SERVICE 55540,A000000,01350,0000,01500ACTIVITIES 55540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55540,A000000,01600,0000,01600SKILLED NURSING FACILITY 55540,A000000,01810,0000,01810ICF/MR 55540,A000000,02100,0000,02100RADIOLOGY 55540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55540,A000000,02500,0000,02500PHYSICAL THERAPY 55540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55540,A000000,02700,0000,02700SPEECH PATHOLOGY 55540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55540,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55540,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55540,A000000,03550,0000,03550FQHC 55540,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55540,A000000,05000,0000,05000CORF 55540,A000000,05010,0000,05010CMHC 55540,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55540,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55540,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55540,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55540,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55540,A000000,06151,0000,06301ASSISTED LIVING 55540,A81000A,00100,0100,Y 55540,A81000B,00100,0300,MANAGEMENT 55540,A81000B,00200,0300,LEASE EXPENSE 55540,A81000C,00100,0100,A 55540,A81000C,00100,0200,FRANK VARISCHETTI 55540,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 55540,A81000C,00100,0600,MANAGEMENT/LESSOR 55540,A81000C,00200,0100,A 55540,A81000C,00200,0200,FRANK A VARISCHETTI 55540,A81000C,00200,0400,GUARDIAN ELDER CARE INC 55540,A81000C,00200,0600,MANAGEMENT/LESSOR 55540,A81000C,00300,0100,A 55540,A81000C,00300,0200,STEVE R VARISCHETTI 55540,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 55540,A81000C,00300,0600,MANAGEMENT/LESSOR 55540,A81000C,00400,0100,A 55540,A81000C,00400,0200,PETER C VARISCHETTI 55540,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 55540,A81000C,00400,0600,MANAGEMENT/LESSOR 55540,A81000C,00500,0100,A 55540,A81000C,00500,0200,RAYMOND L CALHOUN 55540,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 55540,A81000C,00500,0600,MANAGEMENT/LESSOR 55540,A81000C,00600,0100,A 55540,B100000,00000,0100,00001SQUARE FEET 55540,B100000,00000,0200,00001DOLLAR VALUE 55540,B100000,00000,0300,00001GROSS SALARIES 55540,B100000,00000,0400,00001ACCUM. COST 55540,B100000,00000,0500,00001SQUARE FEET 55540,B100000,00000,0600,00001ALL PATIENT 55540,B100000,00000,0700,00001SQUARE FEET 55540,B100000,00000,0800,00001ALL PATIENT 55540,B100000,00000,0900,00001NF PATIENT 55540,B100000,00000,1000,00001NF PATIENT 55540,B100000,00000,1100,00001COSTED REQUIS. 55540,B100000,00000,1200,00001TIME SPENT 55540,B100000,00000,1300,00001ALL PATIENT 55540,B100000,00000,1350,00001NF PATIENT 55540,B100000,00000,1400,00001ASSIGNED TIME 55540,E10A180,00501,0100,11/23/1999 55540,E10A180,00501,0300,11/23/1999 55540,S000000,00100,0200,09/27/1999 55540,S200000,00100,0100,407 MULBERRY SQUARE 55540,S200000,00200,0100,PUNXSUTAWNEY 55540,S200000,00200,0200,PA 55540,S200000,00300,0100,JEFFERSON 55540,S200000,00400,0100,MULBERRY SQUARE 55540,S200000,00400,0200,395618 55540,S200000,00400,0300,01/01/1984 55540,S200000,00400,0500,P 55540,S200000,01500,0100,Y 55542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55542,A000000,00300,0000,00300EMPLOYEE BENEFITS 55542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55542,A000000,00700,0000,00700HOUSEKEEPING 55542,A000000,00800,0000,00800DIETARY 55542,A000000,00900,0000,00900NURSING ADMINISTRATION 55542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55542,A000000,01100,0000,01100PHARMACY 55542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55542,A000000,01300,0000,01300SOCIAL SERVICE 55542,A000000,01350,0000,01500ACTIVITIES 55542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55542,A000000,01600,0000,01600SKILLED NURSING FACILITY 55542,A000000,01810,0000,01810ICF/MR 55542,A000000,02100,0000,02100RADIOLOGY 55542,A000000,02200,0000,02200LABORATORY 55542,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55542,A000000,02500,0000,02500PHYSICAL THERAPY 55542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55542,A000000,02700,0000,02700SPEECH PATHOLOGY 55542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55542,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55542,A000000,03550,0000,03550FQHC 55542,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55542,A000000,05000,0000,05000CORF 55542,A000000,05010,0000,05010CMHC 55542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55542,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55542,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55542,A000000,06151,0000,06301ASSISTED LIVING 55542,A81000A,00100,0100,Y 55542,A81000B,00100,0300,HOME OFFICE COSTS 55542,A81000B,00200,0300,LEASE EXPENSE 55542,A81000B,00300,0300,REGIONAL MANAGER AT HOME OFFIC 55542,A81000C,00100,0100,A 55542,A81000C,00100,0200,FRANK VARISCHETTI 55542,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 55542,A81000C,00100,0600,MANAGEMENT/LESSOR 55542,A81000C,00200,0100,A 55542,A81000C,00200,0200,FRANK A VARISCHETTI 55542,A81000C,00200,0400,GUARDIAN ELDER CARE INC 55542,A81000C,00200,0600,MANAGEMENT/LESSOR 55542,A81000C,00300,0100,A 55542,A81000C,00300,0200,STEVE R VARISCHETTI 55542,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 55542,A81000C,00300,0600,MANAGEMENT/LESSOR 55542,A81000C,00400,0100,A 55542,A81000C,00400,0200,PETER C VARISCHETTI 55542,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 55542,A81000C,00400,0600,MANAGEMENT/LESSOR 55542,A81000C,00500,0100,A 55542,A81000C,00500,0200,RAYMOND L CALHOUN 55542,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 55542,A81000C,00500,0600,MANAGEMENT/LESSOR 55542,A81000C,00600,0100,A 55542,B100000,00000,0100,00001SQUARE FEET 55542,B100000,00000,0200,00001DOLLAR VALUE 55542,B100000,00000,0300,00001GROSS SALARIES 55542,B100000,00000,0400,00001ACCUM. COST 55542,B100000,00000,0500,00001SQUARE FEET 55542,B100000,00000,0600,00001ALL PATIENT 55542,B100000,00000,0700,00001SQUARE FEET 55542,B100000,00000,0800,00001ALL PATIENT 55542,B100000,00000,0900,00001NF PATIENT 55542,B100000,00000,1000,00001NF PATIENT 55542,B100000,00000,1100,00001COSTED REQUIS. 55542,B100000,00000,1200,00001TIME SPENT 55542,B100000,00000,1300,00001ALL PATIENT 55542,B100000,00000,1350,00001NF PATIENT 55542,B100000,00000,1400,00001ASSIGNED TIME 55542,E10A180,00501,0100,10/20/2000 55542,E10A180,00502,0300,10/20/2000 55542,S000000,00100,0200,08/28/2000 55542,S200000,00100,0100,407 MULBERRY SQUARE 55542,S200000,00200,0100,PUNXSUTAWNEY 55542,S200000,00200,0200,PA 55542,S200000,00200,0300,15767 55542,S200000,00300,0100,J 55542,S200000,00400,0100,MULBERRY SQUARE 55542,S200000,00400,0200,395618 55542,S200000,00400,0300,01/01/1984 55542,S200000,00400,0500,P 55542,S200000,01500,0100,Y 55551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55551,A000000,00300,0000,00300EMPLOYEE BENEFITS 55551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55551,A000000,00700,0000,00700HOUSEKEEPING 55551,A000000,00800,0000,00800DIETARY 55551,A000000,00900,0000,00900NURSING ADMINISTRATION 55551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55551,A000000,01100,0000,01100PHARMACY 55551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55551,A000000,01300,0000,01300SOCIAL SERVICE 55551,A000000,01350,0000,01500OTHER GENERAL SERVICES 55551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55551,A000000,01600,0000,01600SKILLED NURSING FACILITY 55551,A000000,01800,0000,01800NURSING FACILITY 55551,A000000,01810,0000,01810ICF/MR 55551,A000000,02100,0000,02100RADIOLOGY 55551,A000000,02200,0000,02200LABORATORY 55551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55551,A000000,02500,0000,02500PHYSICAL THERAPY 55551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55551,A000000,02700,0000,02700SPEECH PATHOLOGY 55551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55551,A000000,03550,0000,03550FQHC 55551,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55551,A000000,05000,0000,05000CORF 55551,A000000,05010,0000,05010CMHC 55551,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55551,A81000A,00100,0100,Y 55551,A81000B,00100,0300,MANAGEMENT FEES 55551,A81000C,00100,0100,A 55551,A81000C,00100,0200,DOUG BRAHAM/KIM MOODY 55551,A81000C,00100,0400,BCP MANAGEMENT 55551,A81000C,00100,0600,MANAGEMENT COMPANY 55551,B100000,00000,0100,00000SQUARE FEET 55551,B100000,00000,0200,00000SQUARE FEET 55551,B100000,00000,0300,00000GROSS SALARIES 55551,B100000,00000,0400,00000ACCUM. COST 55551,B100000,00000,0500,00000SQUARE FEET 55551,B100000,00000,0600,00000POUNDS OF LAUNDRY 55551,B100000,00000,0700,00000HOURS OF SERVICE 55551,B100000,00000,0800,00000MEALS SERVED 55551,B100000,00000,0900,00000DIRECT NRSING HRS 55551,B100000,00000,1000,00000COSTED REQUIS. 55551,B100000,00000,1100,00000COSTED REQUIS 55551,B100000,00000,1200,00000TIME SPENT 55551,B100000,00000,1300,00000TIME SPENT 55551,B100000,00000,1350,00000 55551,B100000,00000,1400,00000ASSIGNED TIME 55551,E10A180,00301,0100,12/10/1999 55551,E10A180,00302,0100,12/22/1999 55551,E10A180,00501,0100,06/13/2000 55551,E10A180,00501,0300,06/13/2000 55551,S000000,00100,0200,05/26/2000 55551,S200000,00100,0100,9108 STATE HIGHWAY 198 55551,S200000,00200,0100,CONNEAUTVILLE 55551,S200000,00200,0200,PA 55551,S200000,00300,0100,CRAWFORD 55551,S200000,00400,0100,ROLLING FIELDS INC. 55551,S200000,00400,0200,395619 55551,S200000,00400,0300,01/01/1984 55551,S200000,00400,0500,P 55551,S200000,01600,0100,Y 55551,S200000,02200,0100,Y 55561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55561,A000000,00300,0000,00300EMPLOYEE BENEFITS 55561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55561,A000000,00700,0000,00700HOUSEKEEPING 55561,A000000,00800,0000,00800DIETARY 55561,A000000,00900,0000,00900NURSING ADMINISTRATION 55561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55561,A000000,01100,0000,01100PHARMACY 55561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55561,A000000,01300,0000,01300SOCIAL SERVICE 55561,A000000,01301,0000,01301PATIENT ACTIVITIES 55561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55561,A000000,01600,0000,01600SKILLED NURSING FACILITY 55561,A000000,01800,0000,01800NURSING FACILITY 55561,A000000,01810,0000,01810ICF/MR 55561,A000000,02100,0000,02100RADIOLOGY 55561,A000000,02200,0000,02200LABORATORY 55561,A000000,02300,0000,02300INTRAVENOUS THERAPY 55561,A000000,02500,0000,02500PHYSICAL THERAPY 55561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55561,A000000,02700,0000,02700SPEECH PATHOLOGY 55561,A000000,02701,0000,02701CLINITRON THERAPY 55561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55561,A000000,03001,0000,03001ENTERAL THERAPY 55561,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55561,A000000,03550,0000,03550FQHC 55561,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55561,A000000,05000,0000,05000CORF 55561,A000000,05010,0000,05010CMHC 55561,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55561,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55561,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55561,A000000,06201,0000,06201RECTORY 55561,A81000A,00100,0100,Y 55561,A81000B,00100,0300,ADMIN/ACCOUNTING/FINANCE 55561,A81000C,00100,0100,G 55561,A81000C,00100,0400,CATH HEALTH/ARCH PHILA 55561,A81000C,00100,0600,CHURCH OPERATED 55561,B100000,00000,0100,00000SQUARE FEET 55561,B100000,00000,0200,00000SQUARE FEET 55561,B100000,00000,0300,00000GROSS SALARIES 55561,B100000,00000,0400,00000ACCUM. COST 55561,B100000,00000,0500,00000SQUARE FEET 55561,B100000,00000,0600,00000POUNDS OF LAUNDRY 55561,B100000,00000,0700,00000HOURS OF SERVICE 55561,B100000,00000,0800,00000MEALS SERVED 55561,B100000,00000,0900,00000DIRECT NRSING HRS 55561,B100000,00000,1000,00000COSTED REQUIS 55561,B100000,00000,1100,00000COSTED REQUIS 55561,B100000,00000,1200,00000TIME SPENT 55561,B100000,00000,1300,00000TIME SPENT 55561,B100000,00000,1301,00000ASSIGNED TIME 55561,B100000,00000,1400,00000ASSIGNED TIME 55561,E10A180,00501,0100,11/27/2000 55561,E10A180,00501,0300,11/27/2000 55561,S000000,00100,0200,11/08/2000 55561,S200000,00100,0100,701 LANSDALE AVENUE 55561,S200000,00200,0100,LANSDALE 55561,S200000,00200,0200,PA 55561,S200000,00200,0300,19446 55561,S200000,00300,0100,PHILADELPHIA 55561,S200000,00400,0100,ST. MARY MANOR 55561,S200000,00400,0200,395621 55561,S200000,00400,0300,01/01/1984 55561,S200000,00400,0500,P 55561,S200000,01600,0100,Y 55561,S200000,02800,0100,Y 55570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55570,A000000,00300,0000,00300EMPLOYEE BENEFITS 55570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55570,A000000,00700,0000,00700HOUSEKEEPING 55570,A000000,00800,0000,00800DIETARY 55570,A000000,00900,0000,00900NURSING ADMINISTRATION 55570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55570,A000000,01100,0000,01100PHARMACY 55570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55570,A000000,01300,0000,01300SOCIAL SERVICE 55570,A000000,01350,0000,01500RESIDENT ACTIVITIES 55570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55570,A000000,01600,0000,01600SKILLED NURSING FACILITY 55570,A000000,01800,0000,01800NURSING FACILITY 55570,A000000,01810,0000,01810ICF/MR 55570,A000000,02100,0000,02100RADIOLOGY 55570,A000000,02200,0000,02200LABORATORY 55570,A000000,02500,0000,02500PHYSICAL THERAPY 55570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55570,A000000,02700,0000,02700SPEECH PATHOLOGY 55570,A000000,02800,0000,02800ELECTROCARDIOLOGY 55570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55570,A000000,03550,0000,03550FQHC 55570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55570,A000000,05000,0000,05000CORF 55570,A000000,05010,0000,05010CMHC 55570,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55570,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55570,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55570,A000000,05300,0000,05300INTEREST EXPENSE 55570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55570,A000000,06150,0000,06300ADULT DAY CARE 55570,A81000A,00100,0100,Y 55570,A81000B,00100,0300,MANAGEMENT SERVICES 55570,A81000C,00100,0100,B 55570,A81000C,00100,0400,VINCENTIAN COLLABORATIVE 55570,A81000C,00100,0600,MANAGEMENT SERVICE 55570,B100000,00000,0100,00000SQUARE FEET 55570,B100000,00000,0200,00000SQUARE FEET 55570,B100000,00000,0300,00000GROSS SALARIES 55570,B100000,00000,0400,00000ACCUM. COST 55570,B100000,00000,0500,00000SQUARE FEET 55570,B100000,00000,0600,00000POUNDS OF LAUNDRY 55570,B100000,00000,0700,00000SQUARE FEETEXCL D 55570,B100000,00000,0800,00000MEALS SERVED 55570,B100000,00000,0900,00000PATIENT DAYS 55570,B100000,00000,1000,00000PATIENT DAYS 55570,B100000,00000,1100,00000PATIENT DAYS 55570,B100000,00000,1200,00000PATIENT DAYS 55570,B100000,00000,1300,00000PATIENT DAYS 55570,B100000,00000,1350,00000PATIENT DAYS 55570,B100000,00000,1400,00000PATIENT DAYS 55570,E10A180,00501,0100,12/06/2000 55570,E10A180,00501,0300,12/06/2000 55570,S000000,00100,0200,11/29/2000 55570,S200000,00100,0100,9399 BABCOCK BOULEVARD 55570,S200000,00200,0100,ALLISON PARK 55570,S200000,00200,0200,PA 55570,S200000,00200,0300,15101 55570,S200000,00300,0100,A 55570,S200000,00400,0100,VINCENTIAN REGENCY 55570,S200000,00400,0200,395622 55570,S200000,00400,0300,01/01/1984 55570,S200000,00400,0500,P 55570,S200000,01600,0100,Y 55577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55577,A000000,00300,0000,00300EMPLOYEE BENEFITS 55577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55577,A000000,00700,0000,00700HOUSEKEEPING 55577,A000000,00800,0000,00800DIETARY 55577,A000000,00900,0000,00900NURSING ADMINISTRATION 55577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55577,A000000,01100,0000,01100PHARMACY 55577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55577,A000000,01300,0000,01300SOCIAL SERVICE 55577,A000000,01350,0000,01500ACTIVITIES 55577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55577,A000000,01600,0000,01600SKILLED NURSING FACILITY 55577,A000000,01800,0000,01800NURSING FACILITY 55577,A000000,01810,0000,01810ICF/MR 55577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55577,A000000,02500,0000,02500PHYSICAL THERAPY 55577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55577,A000000,02700,0000,02700SPEECH PATHOLOGY 55577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55577,A000000,03550,0000,03550FQHC 55577,A000000,05000,0000,05000CORF 55577,A000000,05010,0000,05010CMHC 55577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55577,A000000,05300,0000,05300INTEREST EXPENSE 55577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55577,A000000,06201,0000,06201ADULT DAY CARE 55577,A000000,06202,0000,06202NU-HEALTH AMBULANCE 55577,A000000,06203,0000,06203PHARMACY 55577,A000000,06204,0000,06204COMMERCIAL LAUNDRY 55577,A81000A,00100,0100,Y 55577,A81000B,00100,0300,MANAGEMENT FEE 55577,A81000B,00200,0300,DRUGS CHARGED TO PATIENTS 55577,A81000B,00300,0300,OTC DRUGS 55577,A81000B,00400,0300,OTC DRUGS 55577,A81000B,00500,0300,THERAPY SERVICE 55577,A81000B,00600,0300,THERAPY SERVICE 55577,A81000B,00700,0300,THERAPY SERVICE 55577,A81000C,00100,0100,A 55577,A81000C,00100,0200,JERRY BOONE 55577,A81000C,00100,0400,VALLEY MGMT 55577,A81000C,00100,0600,MGMT SERVICES 55577,A81000C,00200,0100,A 55577,A81000C,00200,0200,JERRY BOONE 55577,A81000C,00200,0400,SYNERGY - GV 55577,A81000C,00200,0600,PHARMACY 55577,A81000C,00300,0100,A 55577,A81000C,00300,0200,JERRY BOONE 55577,A81000C,00300,0400,SYNERGY - GV 55577,A81000C,00300,0600,PHARMACY 55577,A81000C,00400,0100,A 55577,A81000C,00400,0200,JERRY BOONE 55577,A81000C,00400,0400,SYNERGY - GV 55577,A81000C,00400,0600,PHARMACY 55577,A81000C,00500,0100,A 55577,A81000C,00500,0200,MICHELLE BOONE 55577,A81000C,00500,0400,PROS REHAB INC 55577,A81000C,00500,0600,THERAPY SERVICE 55577,A81000C,00600,0100,A 55577,A81000C,00600,0200,MICHELLE BOONE 55577,A81000C,00600,0400,PROS REHAB INC 55577,A81000C,00600,0600,THERAPY SERVICE 55577,A81000C,00700,0100,A 55577,A81000C,00700,0200,MICHELLE BOONE 55577,A81000C,00700,0400,PROS REHAB INC 55577,A81000C,00700,0600,THERAPY SERVICE 55577,B100000,00000,0100,00004SQUARE FEET 55577,B100000,00000,0200,00004SQUARE FEET 55577,B100000,00000,0300,00004GROSS SALARIES 55577,B100000,00000,0400,00004ACCUM. COST 55577,B100000,00000,0500,00004SQUARE FEET 55577,B100000,00000,0600,00004POUNDS OF LAUNDRY 55577,B100000,00000,0700,00004SQUARE FEET 55577,B100000,00000,0800,00004MEALS SERVED 55577,B100000,00000,0900,00004DIRECT NRSING HRS 55577,B100000,00000,1000,00004COSTED REQUIS. 55577,B100000,00000,1100,00004COSTED REQUIS. 55577,B100000,00000,1200,00004TIME SPENT 55577,B100000,00000,1300,00004TIME SPENT 55577,B100000,00000,1350,00004OTHER 55577,B100000,00000,1400,00004ASSIGNED TIME 55577,E10A180,00501,0100,12/07/2000 55577,S000000,00100,0200,11/22/2000 55577,S200000,00100,0100,49 WOODBINE LANE 55577,S200000,00200,0100,DANVILLE 55577,S200000,00200,0200,PA 55577,S200000,00200,0300,17821 55577,S200000,00300,0100,MONTOUR 55577,S200000,00400,0100,GRANDVIEW HEALTH HOMES INC.-GV HOME 55577,S200000,00400,0200,395623 55577,S200000,00400,0300,01/04/1984 55577,S200000,00400,0500,P 55577,S200000,01600,0100,Y 55577,S200000,02200,0100,Y 55585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55585,A000000,00300,0000,00300EMPLOYEE BENEFITS 55585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55585,A000000,00700,0000,00700HOUSEKEEPING 55585,A000000,00800,0000,00800DIETARY 55585,A000000,00900,0000,00900NURSING ADMINISTRATION 55585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55585,A000000,01100,0000,01100PHARMACY 55585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55585,A000000,01300,0000,01300SOCIAL SERVICE 55585,A000000,01350,0000,01500PATIENT ACTIVITIES 55585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55585,A000000,01600,0000,01600SKILLED NURSING FACILITY 55585,A000000,01800,0000,01800NURSING FACILITY 55585,A000000,01810,0000,01810ICF/MR 55585,A000000,02100,0000,02100RADIOLOGY 55585,A000000,02200,0000,02200LABORATORY 55585,A000000,02300,0000,02300INTRAVENOUS THERAPY 55585,A000000,02500,0000,02500PHYSICAL THERAPY 55585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55585,A000000,02700,0000,02700SPEECH PATHOLOGY 55585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55585,A000000,03200,0000,03200SUPPORT SURFACES 55585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55585,A000000,03550,0000,03550FQHC 55585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55585,A000000,05000,0000,05000CORF 55585,A000000,05010,0000,05010CMHC 55585,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55585,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55585,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55585,A81000A,00100,0100,Y 55585,A81000B,00100,0300,HOME OFFICE FEES 55585,A81000B,00200,0300,HOME OFFICE CAPITAL 55585,A81000B,00300,0300,HOME OFFICE NON-CAPITAL 55585,A81000C,00100,0100,A 55585,A81000C,00100,0200,GUARDIAN FOUNDATION 55585,A81000C,00100,0400,GUARDIAN FOUNDATION 55585,A81000C,00100,0600,HOME OFFICE 55585,B100000,00000,0100,00000SQUARE FEET 55585,B100000,00000,0200,00000NO STATISTICS 55585,B100000,00000,0300,00000GROSS SALARIES 55585,B100000,00000,0400,00000ACCUM. COST 55585,B100000,00000,0500,00000SQUARE FEET 55585,B100000,00000,0600,00000POUNDS OF LAUNDRY 55585,B100000,00000,0700,00000SQU FT EXCL 55585,B100000,00000,0800,00000PATIENT DAYS 55585,B100000,00000,0900,00000PATIENT DAYS 55585,B100000,00000,1000,00000PATIENT DAYS 55585,B100000,00000,1100,00000PATIENT DAYS 55585,B100000,00000,1200,00000PATIENT DAYS 55585,B100000,00000,1300,00000PATIENT DAYS 55585,B100000,00000,1350,00000PATIENT DAYS 55585,B100000,00000,1400,00000NO STATISTICS 55585,E10A180,00501,0100,06/15/2000 55585,E10A180,00501,0300,06/15/2000 55585,S000000,00100,0200,05/31/2000 55585,S200000,00100,0100,ROAD # 2 BOX 60 55585,S200000,00200,0100,WAYNESBURG 55585,S200000,00200,0200,PA 55585,S200000,00300,0100,GREENE 55585,S200000,00400,0100,ROLLING MEADOWS 55585,S200000,00400,0200,395624 55585,S200000,00400,0300,01/27/1995 55585,S200000,00400,0500,P 55585,S200000,01600,0100,Y 55594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55594,A000000,00300,0000,00300EMPLOYEE BENEFITS 55594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55594,A000000,00700,0000,00700HOUSEKEEPING 55594,A000000,00800,0000,00800DIETARY 55594,A000000,00900,0000,00900NURSING ADMINISTRATION 55594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55594,A000000,01100,0000,01100PHARMACY 55594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55594,A000000,01300,0000,01300SOCIAL SERVICE 55594,A000000,01350,0000,01500OTHER GENERAL SERVICES 55594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55594,A000000,01600,0000,01600SKILLED NURSING FACILITY 55594,A000000,01810,0000,01810ICF/MR 55594,A000000,02500,0000,02500PHYSICAL THERAPY 55594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55594,A000000,02700,0000,02700SPEECH PATHOLOGY 55594,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55594,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55594,A000000,03550,0000,03550FQHC 55594,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55594,A000000,05000,0000,05000CORF 55594,A000000,05010,0000,05010CMHC 55594,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55594,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55594,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55594,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55594,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55594,A000000,06100,0000,06100NONPAID WORKERS 55594,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55594,B100000,00000,0100,00000SQUARE FEET 55594,B100000,00000,0200,00000SQUARE FEET 55594,B100000,00000,0300,00000GROSS SALARIES 55594,B100000,00000,0400,00000ACCUM. COST 55594,B100000,00000,0500,00000SQUARE FEET 55594,B100000,00000,0600,00000POUNDS OF LAUNDRY 55594,B100000,00000,0700,00000SQUARE FEET 55594,B100000,00000,0800,00000MEALS SERVED 55594,B100000,00000,0900,00000TIME SPENT 55594,B100000,00000,1000,00000NO STATISTICS 55594,B100000,00000,1100,00000NO STATISTICS 55594,B100000,00000,1200,00000NO STATISTICS 55594,B100000,00000,1300,00000TIME SPENT 55594,B100000,00000,1350,00000NO STATISTICS 55594,B100000,00000,1400,00000NO STATISTICS 55594,E10A180,00501,0100,06/15/2000 55594,E10A180,00501,0300,06/15/2000 55594,S000000,00100,0200,05/25/2000 55594,S200000,00100,0100,2500 ADAMS AVENUE 55594,S200000,00200,0100,SCRANTON 55594,S200000,00200,0200,PA 55594,S200000,00300,0100,LACKAWANNA 55594,S200000,00400,0100,HOLY FAMILY RESIDENCE 55594,S200000,00400,0200,395625 55594,S200000,00400,0300,01/01/1977 55594,S200000,00400,0500,P 55594,S200000,01500,0100,Y 55602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55602,A000000,00300,0000,00300EMPLOYEE BENEFITS 55602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55602,A000000,00700,0000,00700HOUSEKEEPING 55602,A000000,00800,0000,00800DIETARY 55602,A000000,00900,0000,00900NURSING ADMINISTRATION 55602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55602,A000000,01100,0000,01100PHARMACY 55602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55602,A000000,01300,0000,01300SOCIAL SERVICE 55602,A000000,01350,0000,01500PATIENT ACTIVITIES 55602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55602,A000000,01600,0000,01600SKILLED NURSING FACILITY 55602,A000000,01800,0000,01800NURSING FACILITY 55602,A000000,01810,0000,01810ICF/MR 55602,A000000,02100,0000,02100RADIOLOGY 55602,A000000,02200,0000,02200LABORATORY 55602,A000000,02300,0000,02300INTRAVENOUS THERAPY 55602,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55602,A000000,02500,0000,02500PHYSICAL THERAPY 55602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55602,A000000,02700,0000,02700SPEECH PATHOLOGY 55602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55602,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55602,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55602,A000000,03550,0000,03550FQHC 55602,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55602,A000000,05000,0000,05000CORF 55602,A000000,05010,0000,05010CMHC 55602,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55602,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55602,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55602,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55602,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55602,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 55602,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55602,B100000,00000,0100,00000SQUARE FEET 55602,B100000,00000,0200,00000DOLLAR VALUE 55602,B100000,00000,0300,00000GROSS SALARIES 55602,B100000,00000,0400,00000ACCUM. COST 55602,B100000,00000,0500,00000SQUARE FEET 55602,B100000,00000,0600,00000POUNDS OF LAUNDRY 55602,B100000,00000,0700,00000SQ FT EXCL DIET 55602,B100000,00000,0800,00000PATIENT DAYS 55602,B100000,00000,0900,00000PATIENT DAYS 55602,B100000,00000,1000,00000PATIENT DAYS 55602,B100000,00000,1100,00000PATIENT DAYS 55602,B100000,00000,1200,00000PATIENT DAYS 55602,B100000,00000,1300,00000PATIENT DAYS 55602,B100000,00000,1350,00000PATIENT DAYS 55602,B100000,00000,1400,00000ASSIGNED TIME 55602,E10A180,00501,0100,06/15/2000 55602,E10A180,00501,0300,06/15/2000 55602,S000000,00100,0200,05/30/2000 55602,S200000,00100,0100,R.D. #5 55602,S200000,00200,0100,BROOKVILLE 55602,S200000,00200,0200,PA 55602,S200000,00300,0100,JEFFERSON 55602,S200000,00400,0100,JEFFERSON MANOR HEALTH CENTER 55602,S200000,00400,0200,395626 55602,S200000,00400,0300,11/08/1986 55602,S200000,00400,0500,P 55602,S200000,01600,0100,Y 55614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55614,A000000,00300,0000,00300EMPLOYEE BENEFITS 55614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55614,A000000,00700,0000,00700HOUSEKEEPING 55614,A000000,00800,0000,00800DIETARY 55614,A000000,00900,0000,00900NURSING ADMINISTRATION 55614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55614,A000000,01100,0000,01100PHARMACY 55614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55614,A000000,01300,0000,01300SOCIAL SERVICE 55614,A000000,01350,0000,01500ACTIVITIES 55614,A000000,01351,0000,01501TRANSPORTATION 55614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55614,A000000,01600,0000,01600SKILLED NURSING FACILITY 55614,A000000,01810,0000,01810ICF/MR 55614,A000000,01900,0000,01900OTHER LONG TERM CARE 55614,A000000,02100,0000,02100RADIOLOGY 55614,A000000,02200,0000,02200LABORATORY 55614,A000000,02500,0000,02500PHYSICAL THERAPY 55614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55614,A000000,02700,0000,02700SPEECH PATHOLOGY 55614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55614,A000000,03550,0000,03550FQHC 55614,A000000,05000,0000,05000CORF 55614,A000000,05010,0000,05010CMHC 55614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55614,A000000,06201,0000,06201COTTAGES & APARTMENTS 55614,A000000,06202,0000,06202RENTAL PROPERTIES 55614,B100000,00000,0100,00002SQUARE FEET 55614,B100000,00000,0200,00002DOLLAR VALUE 55614,B100000,00000,0300,00002GROSS SALARIES 55614,B100000,00000,0400,00002ACCUM. COST 55614,B100000,00000,0500,00002SQUARE FEET 55614,B100000,00000,0600,00002POUNDS OF LAUNDRY 55614,B100000,00000,0700,00002HOURS OF SERVICE 55614,B100000,00000,0800,00002MEALS SERVED 55614,B100000,00000,0900,00002DIRECT NRSING HRS 55614,B100000,00000,1000,00002COSTED REQUIS. 55614,B100000,00000,1100,00002COSTED REQUIS. 55614,B100000,00000,1200,00002NURSING HOURS 55614,B100000,00000,1300,00002PATIENT DAYS 55614,B100000,00000,1350,00002PATIENT DAYS 55614,B100000,00000,1351,00002TIME SPENT 55614,B100000,00000,1400,00002ASSIGNED TIME 55614,E10A180,00501,0300,05/26/2000 55614,S000000,00100,0200,05/12/2000 55614,S200000,00100,0100,722 FURNACE HILLS PIKE 55614,S200000,00200,0100,LITITZ 55614,S200000,00200,0200,PA 55614,S200000,00200,0300,17543 55614,S200000,00300,0100,LANCASTER 55614,S200000,00400,0100,UNITED ZION RETIREMENT COMMUNITY 55614,S200000,00400,0200,395631 55614,S200000,00400,0300,02/01/1984 55614,S200000,00400,0500,P 55614,S200000,01500,0100,Y 55614,S200000,01900,0100,CORPORATION 55614,S200000,02200,0100,Y 55614,S200000,02800,0100,Y 55614,S200000,04700,0100,Y 55623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55623,A000000,00300,0000,00300EMPLOYEE BENEFITS 55623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55623,A000000,00700,0000,00700HOUSEKEEPING 55623,A000000,00800,0000,00800DIETARY 55623,A000000,00900,0000,00900NURSING ADMINISTRATION 55623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55623,A000000,01100,0000,01100PHARMACY 55623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55623,A000000,01300,0000,01300SOCIAL SERVICE 55623,A000000,01350,0000,01500PATIENT ACTIVITIES 55623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55623,A000000,01600,0000,01600SKILLED NURSING FACILITY 55623,A000000,01810,0000,01810ICF/MR 55623,A000000,01900,0000,01900OTHER LONG TERM CARE 55623,A000000,02100,0000,02100RADIOLOGY 55623,A000000,02500,0000,02500PHYSICAL THERAPY 55623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55623,A000000,02700,0000,02700SPEECH PATHOLOGY 55623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55623,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55623,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55623,A000000,03550,0000,03550FQHC 55623,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55623,A000000,05000,0000,05000CORF 55623,A000000,05010,0000,05010CMHC 55623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55623,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55623,B100000,00000,0100,00000SQUARE FEET 55623,B100000,00000,0200,00000NO STATISTICS 55623,B100000,00000,0300,00000GROSS SALARIES 55623,B100000,00000,0400,00000ACCUM. COST 55623,B100000,00000,0500,00000SQUARE FEET 55623,B100000,00000,0600,00000LBS OF LAUNDRY 55623,B100000,00000,0700,00000SQU FT EXCL D 55623,B100000,00000,0800,00000MEALS SERVED 55623,B100000,00000,0900,00000TIME SPENT 55623,B100000,00000,1000,00000PATIENT DAYS 55623,B100000,00000,1100,00000NO STATISTICS 55623,B100000,00000,1200,00000PATIENT DAYS 55623,B100000,00000,1300,00000NO STATISTICS 55623,B100000,00000,1350,00000TIME SPENT 55623,B100000,00000,1400,00000NO STATISTICS 55623,E10A180,00501,0100,12/06/2000 55623,E10A180,00501,0300,12/06/2000 55623,S000000,00100,0200,11/24/2000 55623,S200000,00100,0100,207 WEST SUMMIT STREET 55623,S200000,00200,0100,SOUDERTON 55623,S200000,00200,0200,PA 55623,S200000,00200,0300,18964 55623,S200000,00300,0100,MONTGOMERY 55623,S200000,00400,0100,SOUDERTON MENNONITE HOMES 55623,S200000,00400,0200,395634 55623,S200000,00400,0300,04/01/1984 55623,S200000,00400,0500,P 55623,S200000,01500,0100,Y 55623,S200000,02800,0100,Y 55631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55631,A000000,00300,0000,00300EMPLOYEE BENEFITS 55631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55631,A000000,00700,0000,00700HOUSEKEEPING 55631,A000000,00800,0000,00800DIETARY 55631,A000000,00900,0000,00900NURSING ADMINISTRATION 55631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55631,A000000,01100,0000,01100PHARMACY 55631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55631,A000000,01300,0000,01300SOCIAL SERVICE 55631,A000000,01350,0000,01500RECREATIONAL THERAPY 55631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55631,A000000,01600,0000,01600SKILLED NURSING FACILITY 55631,A000000,01810,0000,01810ICF/MR 55631,A000000,02100,0000,02100RADIOLOGY 55631,A000000,02200,0000,02200LABORATORY 55631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55631,A000000,02500,0000,02500PHYSICAL THERAPY 55631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55631,A000000,02700,0000,02700SPEECH PATHOLOGY 55631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55631,A000000,03200,0000,03200SUPPORT SURFACES 55631,A000000,03550,0000,03550FQHC 55631,A000000,05000,0000,05000CORF 55631,A000000,05010,0000,05010CMHC 55631,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55631,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55631,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55631,A000000,06150,0000,06300OTHER NONREIMBURSABLE 55631,A81000A,00100,0100,Y 55631,A81000B,00100,0300,MANAGEMENT FEES 55631,A81000B,00300,0300,CENTRAL MGMT 55631,A81000C,00100,0100,B 55631,A81000C,00100,0200,ST. LUKE MANOR 55631,A81000C,00100,0400,LUTHERAN SER- 55631,A81000C,00100,0600,MANAGEMENT SVCS 55631,A81000C,00200,0400,VICES NORTHEAST 55631,A81000C,00300,0100,B 55631,A81000C,00300,0200,ST. LUKE MANOR 55631,A81000C,00300,0400,LUTHERAN WEL- 55631,A81000C,00300,0600,MANAGEMENT SVC. 55631,A81000C,00400,0400,FARE SERVICES 55631,B100000,00000,0100,00000SQUARE FEET 55631,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 55631,B100000,00000,0300,00000GROSS SALARIES 55631,B100000,00000,0400,00000ACCUMULA- TED COST 55631,B100000,00000,0500,00000SQUARE FEET 55631,B100000,00000,0600,00000PATIENT DA 55631,B100000,00000,0700,00000SQUARE FEE SERVICE 55631,B100000,00000,0800,00000MEALS SERVED 55631,B100000,00000,0900,00000DIRECT HOU OF SERVICE 55631,B100000,00000,1000,00000COSTED REQUIS 55631,B100000,00000,1100,00000COSTED REQUIS 55631,B100000,00000,1200,00000PATIENT DA 55631,B100000,00000,1300,00000TIME SPENT 55631,B100000,00000,1350,00000TIME SPENT 55631,B100000,00000,1400,00000ASSIGNED TIME 55631,E10A180,00501,0100,06/23/2000 55631,S000000,00100,0200,05/30/2000 55631,S200000,00100,0100,1911 EAST BROAD STREET 55631,S200000,00200,0100,HAZLETON 55631,S200000,00200,0200,PA 55631,S200000,00200,0300,18201 55631,S200000,00300,0100,LUZERNE 55631,S200000,00400,0100,LWS ST. LUKE MANOR 55631,S200000,00400,0200,395636 55631,S200000,00400,0300,08/01/1984 55631,S200000,00400,0500,P 55631,S200000,01500,0100,Y 55631,S200000,02200,0100,Y 55631,S200000,04700,0100,Y 55631,S200000,04700,0200,Y 55643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55643,A000000,00300,0000,00300EMPLOYEE BENEFITS 55643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55643,A000000,00700,0000,00700HOUSEKEEPING 55643,A000000,00800,0000,00800DIETARY 55643,A000000,00900,0000,00900NURSING ADMINISTRATION 55643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55643,A000000,01100,0000,01100PHARMACY 55643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55643,A000000,01300,0000,01300SOCIAL SERVICE 55643,A000000,01350,0000,01500RESIDENT ACTIVITIES 55643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55643,A000000,01600,0000,01600SKILLED NURSING FACILITY 55643,A000000,01800,0000,01800NURSING FACILITY 55643,A000000,01810,0000,01810ICF/MR 55643,A000000,02100,0000,02100RADIOLOGY 55643,A000000,02200,0000,02200LABORATORY 55643,A000000,02300,0000,02300INTRAVENOUS THERAPY 55643,A000000,02500,0000,02500PHYSICAL THERAPY 55643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55643,A000000,02700,0000,02700SPEECH PATHOLOGY 55643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55643,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55643,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55643,A000000,03550,0000,03550FQHC 55643,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55643,A000000,05000,0000,05000CORF 55643,A000000,05010,0000,05010CMHC 55643,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55643,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55643,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55643,A000000,05300,0000,05300INTEREST EXPENSE 55643,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55643,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55643,A81000A,00100,0100,Y 55643,A81000B,00100,0300,PARENT OFFICE MGMT FEE 55643,A81000C,00100,0100,B 55643,A81000C,00100,0400,MASONIC HOMES 55643,A81000C,00100,0600,PARENT COMPANY 55643,B100000,00000,0100,00000SQUARE FEET 55643,B100000,00000,0200,00000SQUARE FEET 55643,B100000,00000,0300,00000GROSS SALARIES 55643,B100000,00000,0400,00000ACCUM. COST 55643,B100000,00000,0500,00000SQUARE FEET 55643,B100000,00000,0600,00000POUNDS OF LAUNDRY 55643,B100000,00000,0700,00000SQ. FEET EXCL.KITCH 55643,B100000,00000,0800,00000MEALS SERVED 55643,B100000,00000,0900,00000FTES 55643,B100000,00000,1000,00000COSTED REQUIS. 55643,B100000,00000,1100,00000COSTED REQUIS. 55643,B100000,00000,1200,00000GROSS CHARGES 55643,B100000,00000,1300,00000TIME SPENT 55643,B100000,00000,1350,00000PATIENT DAYS 55643,B100000,00000,1400,00000ASSIGNED TIME 55643,E10A180,00501,0100,06/23/2000 55643,E10A180,00501,0300,06/23/2000 55643,S000000,00100,0200,05/30/2000 55643,S200000,00100,0100,1190 MERRIMAN ROAD 55643,S200000,00200,0100,SEWICKLEY 55643,S200000,00200,0200,PA 55643,S200000,00300,0100,ALLEGHENY 55643,S200000,00400,0100,VALLEY CARE MASONIC CENTER 55643,S200000,00400,0200,395638 55643,S200000,00400,0300,03/09/1984 55643,S200000,00400,0500,P 55643,S200000,01600,0100,Y 55643,S200000,02800,0100,Y 55654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55654,A000000,00300,0000,00300EMPLOYEE BENEFITS 55654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55654,A000000,00700,0000,00700HOUSEKEEPING 55654,A000000,00800,0000,00800DIETARY 55654,A000000,00900,0000,00900NURSING ADMINISTRATION 55654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55654,A000000,01100,0000,01100PHARMACY 55654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55654,A000000,01300,0000,01300SOCIAL SERVICE 55654,A000000,01350,0000,01500ACTIVITIES 55654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55654,A000000,01600,0000,01600SKILLED NURSING FACILITY 55654,A000000,01810,0000,01810ICF/MR 55654,A000000,02100,0000,02100RADIOLOGY 55654,A000000,02200,0000,02200LABORATORY 55654,A000000,02500,0000,02500PHYSICAL THERAPY 55654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55654,A000000,02700,0000,02700SPEECH PATHOLOGY 55654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55654,A000000,03050,0000,03300DME-SPECIAL BEDS & MATTRESSES 55654,A000000,03051,0000,03320PHARMACY-CENTRAL 55654,A000000,03052,0000,03310AMBULANCE SERVICES 55654,A000000,03400,0000,03400CLINIC 55654,A000000,03550,0000,03550FQHC 55654,A000000,05000,0000,05000CORF 55654,A000000,05010,0000,05010CMHC 55654,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55654,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55654,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55654,B100000,00000,0100,00000SQUARE FEET 55654,B100000,00000,0200,00000SQUARE FEET 55654,B100000,00000,0300,00000GROSS SALARIES 55654,B100000,00000,0400,00000ACCUM COST 55654,B100000,00000,0500,00000SQUARE FEET 55654,B100000,00000,0600,00000POUNDS OF LAUNDRY 55654,B100000,00000,0700,00000HOURS OF SERVICE 55654,B100000,00000,0800,00000MEALS SERVED 55654,B100000,00000,0900,00000DIRECT NRSG HRS 55654,B100000,00000,1000,00000COSTED REQUIS 55654,B100000,00000,1100,00000COSTED REQUIS 55654,B100000,00000,1200,00000TIME SPENT 55654,B100000,00000,1300,00000TIME SPENT 55654,B100000,00000,1350,00000TIME SPENT 55654,B100000,00000,1400,00000ASSIGNED TIME 55654,E10A180,00501,0100,06/16/2000 55654,E10A180,00501,0300,06/16/2000 55654,S000000,00100,0200,05/30/2000 55654,S200000,00100,0100,100 NINTH AVENUE 55654,S200000,00200,0100,MCKEESPORT 55654,S200000,00200,0200,PA 55654,S200000,00200,0300,15132 55654,S200000,00300,0100,ALLEGHENY 55654,S200000,00400,0100,MCKEESPORT 55654,S200000,00400,0200,395640 55654,S200000,00400,0300,01/27/1984 55654,S200000,00400,0500,P 55654,S200000,01500,0100,Y 55654,S200000,02800,0100,Y 55666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55666,A000000,00300,0000,00300EMPLOYEE BENEFITS 55666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55666,A000000,00700,0000,00700HOUSEKEEPING 55666,A000000,00800,0000,00800DIETARY 55666,A000000,00900,0000,00900NURSING ADMINISTRATION 55666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55666,A000000,01100,0000,01100PHARMACY 55666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55666,A000000,01300,0000,01300SOCIAL SERVICE 55666,A000000,01350,0000,01500ACTIVITIES 55666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55666,A000000,01600,0000,01600SKILLED NURSING FACILITY 55666,A000000,01800,0000,01800NURSING FACILITY 55666,A000000,01810,0000,01810ICF/MR 55666,A000000,01900,0000,01900OTHER LONG TERM CARE 55666,A000000,02100,0000,02100RADIOLOGY 55666,A000000,02200,0000,02200LABORATORY 55666,A000000,02500,0000,02500PHYSICAL THERAPY 55666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55666,A000000,02700,0000,02700SPEECH PATHOLOGY 55666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55666,A000000,03050,0000,03300DME-SPECIAL BEDS & MATTRESSES 55666,A000000,03051,0000,03320PHARMACY-CENTRAL 55666,A000000,03052,0000,03310AMBULANCE SERVICES 55666,A000000,03400,0000,03400CLINIC 55666,A000000,03550,0000,03550FQHC 55666,A000000,05000,0000,05000CORF 55666,A000000,05010,0000,05010CMHC 55666,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55666,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55666,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55666,B100000,00000,0100,00000SQUARE FEET 55666,B100000,00000,0200,00000SQUARE FEET 55666,B100000,00000,0300,00000GROSS SALARIES 55666,B100000,00000,0400,00000ACCUM COST 55666,B100000,00000,0500,00000SQUARE FEET 55666,B100000,00000,0600,00000POUNDS OF LAUNDRY 55666,B100000,00000,0700,00000HOURS OF SERVICE 55666,B100000,00000,0800,00000MEALS SERVED 55666,B100000,00000,0900,00000DIRECT NRSG HRS 55666,B100000,00000,1000,00000COSTED REQUIS 55666,B100000,00000,1100,00000COSTED REQUIS 55666,B100000,00000,1200,00000TIME SPENT 55666,B100000,00000,1300,00000TIME SPENT 55666,B100000,00000,1350,00000TIME SPENT 55666,B100000,00000,1400,00000ASSIGNED TIME 55666,E10A180,00501,0100,06/14/2000 55666,E10A180,00501,0300,06/14/2000 55666,S000000,00100,0200,05/30/2000 55666,S200000,00100,0100,955 RIVERMONT DRIVE 55666,S200000,00200,0100,PITTSBURGH 55666,S200000,00200,0200,PA 55666,S200000,00200,0300,15207 55666,S200000,00300,0100,ALLEGHENY 55666,S200000,00400,0100,GLEN HAZEL 55666,S200000,00400,0200,395643 55666,S200000,00400,0300,02/15/1984 55666,S200000,00400,0500,P 55666,S200000,01500,0100,Y 55666,S200000,02800,0100,Y 55676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55676,A000000,00300,0000,00300EMPLOYEE BENEFITS 55676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55676,A000000,00700,0000,00700HOUSEKEEPING 55676,A000000,00800,0000,00800DIETARY 55676,A000000,00900,0000,00900NURSING ADMINISTRATION 55676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55676,A000000,01100,0000,01100PHARMACY 55676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55676,A000000,01300,0000,01300SOCIAL SERVICE 55676,A000000,01301,0000,01301RESIDENT SERVICES 55676,A000000,01350,0000,01500OTHER GENERAL SERVICES 55676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55676,A000000,01600,0000,01600SKILLED NURSING FACILITY 55676,A000000,01810,0000,01810ICF/MR 55676,A000000,02100,0000,02100RADIOLOGY 55676,A000000,02200,0000,02200LABORATORY 55676,A000000,02500,0000,02500PHYSICAL THERAPY 55676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55676,A000000,02700,0000,02700SPEECH PATHOLOGY 55676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55676,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55676,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55676,A000000,03550,0000,03550FQHC 55676,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55676,A000000,05000,0000,05000CORF 55676,A000000,05010,0000,05010CMHC 55676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55676,A000000,05300,0000,05300INTEREST EXPENSE 55676,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55676,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55676,A81000A,00100,0100,Y 55676,A81000B,00100,0300,MANAGEMENT FEES 55676,A81000B,00200,0300,HOME OFFICE OPERATING 55676,A81000B,00300,0300,HOME OFFICE CAPITAL 55676,A81000C,00100,0100,B 55676,A81000C,00100,0400,BALANCED CARE CORPORATION 55676,A81000C,00100,0600,HEALTHCARE 55676,B100000,00000,0100,00000SQUARE FEET 55676,B100000,00000,0200,00000SQUARE FEET 55676,B100000,00000,0300,00000GROSS SALARIES 55676,B100000,00000,0400,00000ACCUM. COST 55676,B100000,00000,0500,00000SQUARE FEET 55676,B100000,00000,0600,00000PATIENT DAYS 55676,B100000,00000,0700,00000SQUARE FEET 55676,B100000,00000,0800,00000MEALS SERVED 55676,B100000,00000,0900,00000DIRECT NRSING HRS 55676,B100000,00000,1000,00000COSTED REQUIS. 55676,B100000,00000,1100,00000PATIENT DAYS 55676,B100000,00000,1200,00000TIME SPENT 55676,B100000,00000,1300,00000TIME SPENT 55676,B100000,00000,1301,00000PATIENT DAYS 55676,B100000,00000,1350,00000TIME SPENT 55676,B100000,00000,1400,00000PATIENT DAYS 55676,E10A180,00501,0100,12/22/2000 55676,E10A180,00501,0300,12/22/2000 55676,S000000,00100,0200,11/29/2000 55676,S200000,00100,0100,STURGES ROAD 55676,S200000,00100,0300,160 55676,S200000,00200,0100,PECKVILLE 55676,S200000,00200,0200,PA 55676,S200000,00200,0300,18452 55676,S200000,00300,0100,L 55676,S200000,00400,0100,BALANCED CARE MID VALLEY 55676,S200000,00400,0200,395644 55676,S200000,00400,0300,03/20/1992 55676,S200000,00400,0500,P 55676,S200000,01500,0100,Y 55684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55684,A000000,00300,0000,00300EMPLOYEE BENEFITS 55684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55684,A000000,00700,0000,00700HOUSEKEEPING 55684,A000000,00800,0000,00800DIETARY 55684,A000000,00900,0000,00900NURSING ADMINISTRATION 55684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55684,A000000,01100,0000,01100PHARMACY 55684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55684,A000000,01300,0000,01300SOCIAL SERVICE 55684,A000000,01350,0000,01500PATIENT ACTIVITIES 55684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55684,A000000,01600,0000,01600SKILLED NURSING FACILITY 55684,A000000,01810,0000,01810ICF/MR 55684,A000000,02100,0000,02100RADIOLOGY 55684,A000000,02200,0000,02200LABORATORY 55684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55684,A000000,02500,0000,02500PHYSICAL THERAPY 55684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55684,A000000,02700,0000,02700SPEECH PATHOLOGY 55684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55684,A000000,02901,0000,02901CLINITRON BEDS 55684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55684,A000000,03550,0000,03550FQHC 55684,A000000,05000,0000,05000CORF 55684,A000000,05010,0000,05010CMHC 55684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55684,A81000A,00100,0100,Y 55684,A81000B,00100,0300,H.O. COSTS - OPERATING 55684,A81000B,00200,0300,H.O. COSTS - CAPITAL 55684,A81000B,00300,0300,ADMINISTRATIVE MINOR 55684,A81000B,00400,0300,MOVEABLE EQUIPMENT 55684,A81000B,00500,0300,EMPLOYEE BENEFITS 55684,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 55684,A81000B,00700,0300,HOUSEKEEPING 55684,A81000B,00800,0300,DIETARY 55684,A81000B,00900,0300,CENTRAL SERVICE 55684,A81000B,01000,0300,PHARMACY 55684,A81000B,01100,0300,MEDICAL RECORDS 55684,A81000B,01200,0300,OXYGEN 55684,A81000B,01300,0300,PHYSICAL THERAPY 55684,A81000B,01400,0300,MEDICAL SUPPLIES 55684,A81000B,01500,0300,COMPLEX MEDICAL EQUIPMENT 55684,A81000B,01600,0300,DRUGS 55684,A81000C,00100,0100,B 55684,A81000C,00100,0400,HCF INC. 55684,A81000C,00100,0600,HOME OFFICE 55684,A81000C,00200,0100,B 55684,A81000C,00200,0400,HCF INC. 55684,A81000C,00200,0600,HOME OFFICE 55684,A81000C,00300,0100,A 55684,A81000C,00300,0200,JEFFREY L. UNVERFERTH 55684,A81000C,00300,0400,UNVERFERTH INTERIORS 55684,A81000C,00300,0600,INTERIOR DESIGN 55684,A81000C,00400,0100,A 55684,A81000C,00400,0200,UNVERFERTH FAMILY 55684,A81000C,00400,0400,ICP INC. 55684,A81000C,00400,0600,INSTITUTIONAL PHARMACY 55684,A81000C,00500,0100,A 55684,A81000C,00500,0200,UNVERFERTH FAMILY 55684,A81000C,00500,0400,ICP INC. 55684,A81000C,00500,0600,INSTITUTIONAL PHARMACY 55684,A81000C,00600,0100,A 55684,A81000C,00600,0200,UNVERFERTH FAMILY 55684,A81000C,00600,0400,ICP INC. 55684,A81000C,00600,0600,INSTITUTIONAL PHARMACY 55684,A81000C,00700,0100,A 55684,A81000C,00700,0200,UNVERFERTH FAMILY 55684,A81000C,00700,0400,ICP INC. 55684,A81000C,00700,0600,INSTITUTIONAL PHARMACY 55684,A81000C,00800,0100,A 55684,A81000C,00800,0200,UNVERFERTH FAMILY 55684,A81000C,00800,0400,ICP INC. 55684,A81000C,00800,0600,INSTITUTIONAL PHARMACY 55684,A81000C,00900,0100,A 55684,A81000C,00900,0200,UNVERFERTH FAMILY 55684,A81000C,00900,0400,ICP INC. 55684,A81000C,00900,0600,INSTITUTIONAL PHARMACY 55684,B100000,00000,0100,00000SQUARE FEET 55684,B100000,00000,0200,00000SQUARE FEET 55684,B100000,00000,0300,00000GROSS SALARIES 55684,B100000,00000,0400,00000ACCUM. COST 55684,B100000,00000,0500,00000SQUARE FEET 55684,B100000,00000,0600,00000PATIENT DAYS 55684,B100000,00000,0700,00000SQFT EXCL DIETARY 55684,B100000,00000,0800,00000PATIENT DAYS 55684,B100000,00000,0900,00000NURSING SALARIES 55684,B100000,00000,1000,00000COSTED REQUIS. 55684,B100000,00000,1100,00000COSTED REQUIS. 55684,B100000,00000,1200,00000TIME SPENT 55684,B100000,00000,1300,00000TIME SPENT 55684,B100000,00000,1350,00000TIME SPENT 55684,B100000,00000,1400,00000NO STATISTICS 55684,E10A180,00501,0100,06/23/2000 55684,E10A180,00502,0300,06/23/2000 55684,S000000,00100,0200,05/24/2000 55684,S200000,00100,0100,419 WATERFORD STREET 55684,S200000,00200,0100,EDINBORO 55684,S200000,00200,0200,PA 55684,S200000,00300,0100,ERIE 55684,S200000,00400,0100,EDINBORO 55684,S200000,00400,0200,395645 55684,S200000,00400,0300,03/27/1984 55684,S200000,00400,0500,P 55684,S200000,01500,0100,Y 55684,S200000,04700,0100,Y 55693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55693,A000000,00300,0000,00300EMPLOYEE BENEFITS 55693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55693,A000000,00700,0000,00700HOUSEKEEPING 55693,A000000,00800,0000,00800DIETARY 55693,A000000,00900,0000,00900NURSING ADMINISTRATION 55693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55693,A000000,01100,0000,01100PHARMACY 55693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55693,A000000,01300,0000,01300SOCIAL SERVICE 55693,A000000,01301,0000,01301ACTIVITIES 55693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55693,A000000,01600,0000,01600SKILLED NURSING FACILITY 55693,A000000,01800,0000,01800NURSING FACILITY 55693,A000000,01810,0000,01810ICF/MR 55693,A000000,02100,0000,02100RADIOLOGY 55693,A000000,02200,0000,02200LABORATORY 55693,A000000,02300,0000,02300INTRAVENOUS THERAPY 55693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55693,A000000,02500,0000,02500PHYSICAL THERAPY 55693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55693,A000000,02700,0000,02700SPEECH PATHOLOGY 55693,A000000,02800,0000,02800ELECTROCARDIOLOGY 55693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55693,A000000,03001,0000,03001PNEUMOCCAL 55693,A000000,03002,0000,03002BLOOD PRODUCTS 55693,A000000,03003,0000,03003CHEMOTHERAPY 55693,A000000,03004,0000,03004OTHER DIAGNOSTIC 55693,A000000,03005,0000,03005EMERGENCY ROOM 55693,A000000,03006,0000,03006NUCLEAR MEDICINE 55693,A000000,03550,0000,03550FQHC 55693,A000000,05000,0000,05000CORF 55693,A000000,05010,0000,05010CMHC 55693,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55693,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55693,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55693,A000000,05300,0000,05300INTEREST EXPENSE 55693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55693,A000000,06101,0000,06101RESIDENTIAL LIVING 55693,A000000,06102,0000,06102LEARNING TREE 55693,A000000,06103,0000,06103ST NON REIM 55693,A81000A,00100,0100,Y 55693,A81000B,00100,0300,MANAGEMENT FEES 55693,A81000C,00100,0100,B 55693,A81000C,00100,0200,GETTYSBURG LUTH 55693,A81000C,00100,0400,LSS-SCPA 55693,A81000C,00100,0600,MANAGEMENT SERV 55693,B100000,00000,0100,00003SQUARE FEET 55693,B100000,00000,0200,00003SQUARE FEET 55693,B100000,00000,0300,00003GROSS SALARIES 55693,B100000,00000,0400,00003ACCUMULA- TED COST 55693,B100000,00000,0500,00003SQUARE FEET 55693,B100000,00000,0600,00003POUNDS OF LAUNDRY 55693,B100000,00000,0700,00003HOURS OF SERVICE 55693,B100000,00000,0800,00003MEALS SERVED 55693,B100000,00000,0900,00003DIRECT HOU OF SERVICE 55693,B100000,00000,1000,00003COSTED REQUIS 55693,B100000,00000,1100,00003COSTED REQUIS 55693,B100000,00000,1200,00003TIME SPENT 55693,B100000,00000,1300,00003TIME SPENT 55693,B100000,00000,1301,00003TIME SPENT 55693,B100000,00000,1400,00003ASSIGNED TIME 55693,E10A180,00501,0100,06/12/2000 55693,E10A180,00503,0300,06/12/2000 55693,S000000,00100,0200,05/24/2000 55693,S200000,00100,0100,1075 OLD GETTYSBURG ROAD 55693,S200000,00200,0100,GETTYSBURG 55693,S200000,00200,0200,PA 55693,S200000,00200,0300,17325 55693,S200000,00300,0100,ADAMS 55693,S200000,00400,0100,GETTYSBURG LUTHERAN RETIREMENT VILLA 55693,S200000,00400,0200,395647 55693,S200000,00400,0300,06/01/1984 55693,S200000,00400,0500,P 55693,S200000,01500,0100,Y 55693,S200000,01700,0100,Y 55693,S200000,02800,0100,Y 55693,S200000,04700,0100,Y 55698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55698,A000000,00300,0000,00300EMPLOYEE BENEFITS 55698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55698,A000000,00700,0000,00700HOUSEKEEPING 55698,A000000,00800,0000,00800DIETARY 55698,A000000,00900,0000,00900NURSING ADMINISTRATION 55698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55698,A000000,01100,0000,01100PHARMACY 55698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55698,A000000,01300,0000,01300SOCIAL SERVICE 55698,A000000,01301,0000,01301RESIDENT ACTIVITIES 55698,A000000,01350,0000,01500OTHER GENERAL SERVICES 55698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55698,A000000,01600,0000,01600SKILLED NURSING FACILITY 55698,A000000,01810,0000,01810ICF/MR 55698,A000000,01900,0000,01900OTHER LONG TERM CARE 55698,A000000,02100,0000,02100RADIOLOGY 55698,A000000,02200,0000,02200LABORATORY 55698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55698,A000000,02500,0000,02500PHYSICAL THERAPY 55698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55698,A000000,02700,0000,02700SPEECH PATHOLOGY 55698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55698,A000000,03550,0000,03550FQHC 55698,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55698,A000000,05000,0000,05000CORF 55698,A000000,05010,0000,05010CMHC 55698,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55698,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55698,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55698,A000000,05300,0000,05300INTEREST EXPENSE 55698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55698,B100000,00000,0100,00000SQUARE FEET 55698,B100000,00000,0200,00000SQUARE FEET 55698,B100000,00000,0300,00000GROSS SALARIES 55698,B100000,00000,0400,00000ACCUM. COST 55698,B100000,00000,0500,00000SQUARE FEET 55698,B100000,00000,0600,00000POUNDS OF LAUNDRY 55698,B100000,00000,0700,00000HOURS OF SERVICE 55698,B100000,00000,0800,00000MEALS SERVED 55698,B100000,00000,0900,00000PATIENT DAYS 55698,B100000,00000,1000,00000COSTED REQUIS. 55698,B100000,00000,1100,00000COSTED REQUIS. 55698,B100000,00000,1200,00000TIME SPENT 55698,B100000,00000,1300,00000PATIENT DAYS 55698,B100000,00000,1301,00000PATIENT DAYS 55698,B100000,00000,1350,00000TIME SPENT 55698,B100000,00000,1400,00000ASSIGNED TIME 55698,E10A180,00501,0100,12/29/2000 55698,E10A180,00501,0300,12/29/2000 55698,S000000,00100,0200,11/29/2000 55698,S200000,00100,0100,800 MAPLE STREET 55698,S200000,00200,0100,HARLEYSVILLE 55698,S200000,00200,0200,PA 55698,S200000,00200,0300,19438 55698,S200000,00300,0100,M 55698,S200000,00400,0100,PETER BECKER COMMUNITY 55698,S200000,00400,0200,395648 55698,S200000,00400,0300,07/01/1984 55698,S200000,00400,0500,P 55698,S200000,01500,0100,Y 55707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55707,A000000,00300,0000,00300EMPLOYEE BENEFITS 55707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55707,A000000,00700,0000,00700HOUSEKEEPING 55707,A000000,00800,0000,00800DIETARY 55707,A000000,00900,0000,00900NURSING ADMINISTRATION 55707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55707,A000000,01100,0000,01100PHARMACY 55707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55707,A000000,01300,0000,01300SOCIAL SERVICE 55707,A000000,01350,0000,01500PATIENT ACTIVITIES 55707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55707,A000000,01600,0000,01600SKILLED NURSING FACILITY 55707,A000000,01810,0000,01810ICF/MR 55707,A000000,02100,0000,02100RADIOLOGY 55707,A000000,02200,0000,02200LABORATORY 55707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55707,A000000,02500,0000,02500PHYSICAL THERAPY 55707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55707,A000000,02700,0000,02700SPEECH PATHOLOGY 55707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55707,A000000,02901,0000,02901CLINITRON BEDS 55707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55707,A000000,03550,0000,03550FQHC 55707,A000000,05000,0000,05000CORF 55707,A000000,05010,0000,05010CMHC 55707,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55707,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55707,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55707,A000000,06200,0000,06200PATIENTS LAUNDRY 55707,A000000,06201,0000,06201SODA SHOP 55707,A81000A,00100,0100,Y 55707,A81000B,00100,0300,H.O. COSTS - OPERATING 55707,A81000B,00200,0300,H.O. COSTS - CAPITAL 55707,A81000B,00300,0300,MOVEABLE EQUIPMENT 55707,A81000B,00400,0300,EMPLOYEE BENEFITS 55707,A81000B,00500,0300,GENERAL & ADMINISTRATIVE 55707,A81000B,00600,0300,HOUSEKEEPING 55707,A81000B,00700,0300,DIETARY 55707,A81000B,00800,0300,CENTRAL SERVICES 55707,A81000B,00900,0300,PHARMACY 55707,A81000B,01000,0300,MEDICAL EQUIPMENT 55707,A81000B,01100,0300,OXYGEN 55707,A81000B,01200,0300,PHYSICAL THERAPY 55707,A81000B,01300,0300,MEDICAL SUPPLIES 55707,A81000B,01400,0300,CLINITRON THERAPY 55707,A81000B,01500,0300,DRUGS 55707,A81000C,00100,0100,B 55707,A81000C,00100,0400,HCF INC. 55707,A81000C,00100,0600,HOME OFFICE 55707,A81000C,00200,0100,B 55707,A81000C,00200,0400,HCF INC. 55707,A81000C,00200,0600,HOME OFFICE 55707,A81000C,00300,0100,A 55707,A81000C,00300,0200,UNVERFERTH FAMILY 55707,A81000C,00300,0400,ICP INC. 55707,A81000C,00300,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00400,0100,A 55707,A81000C,00400,0200,UNVERFERTH FAMILY 55707,A81000C,00400,0400,ICP INC. 55707,A81000C,00400,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00500,0100,A 55707,A81000C,00500,0200,UNVERFERTH FAMILY 55707,A81000C,00500,0400,ICP INC. 55707,A81000C,00500,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00600,0100,A 55707,A81000C,00600,0200,UNVERFERTH FAMILY 55707,A81000C,00600,0400,ICP INC. 55707,A81000C,00600,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00700,0100,A 55707,A81000C,00700,0200,UNVERFERTH FAMILY 55707,A81000C,00700,0400,ICP INC. 55707,A81000C,00700,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00800,0100,A 55707,A81000C,00800,0200,UNVERFERTH FAMILY 55707,A81000C,00800,0400,ICP INC. 55707,A81000C,00800,0600,INSTITUTIONAL PHARMACY 55707,A81000C,00900,0100,A 55707,A81000C,00900,0200,UNVERFERTH FAMILY 55707,A81000C,00900,0400,ICP INC. 55707,A81000C,00900,0600,INSTITUTIONAL PHARMACY 55707,B100000,00000,0100,00000SQUARE FEET 55707,B100000,00000,0200,00000SQUARE FEET 55707,B100000,00000,0300,00000GROSS SALARIES 55707,B100000,00000,0400,00000ACCUM. COST 55707,B100000,00000,0500,00000SQUARE FEET 55707,B100000,00000,0600,00000POUNDS OF LAUNDRY 55707,B100000,00000,0700,00000SQFT EXCL DIETARY 55707,B100000,00000,0800,00000MEALS SERVED 55707,B100000,00000,0900,00000NURSING SALARIES 55707,B100000,00000,1000,00000PATIENT DAYS 55707,B100000,00000,1100,00000COSTED REQUIS. 55707,B100000,00000,1200,00000TIME SPENT 55707,B100000,00000,1300,00000TIME SPENT 55707,B100000,00000,1350,00000TIME SPENT 55707,B100000,00000,1400,00000NO STATISTICS 55707,E10A180,00501,0100,06/06/2000 55707,E10A180,00501,0300,06/06/2000 55707,S000000,00100,0200,05/24/2000 55707,S200000,00100,0100,682 PLEASANT DRIVE 55707,S200000,00200,0100,WARREN 55707,S200000,00200,0200,PA 55707,S200000,00300,0100,WARREN 55707,S200000,00400,0100,WARREN MANOR 55707,S200000,00400,0200,395650 55707,S200000,00400,0300,04/18/1984 55707,S200000,00400,0500,P 55707,S200000,01500,0100,Y 55707,S200000,04700,0100,Y 55719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55719,A000000,00300,0000,00300EMPLOYEE BENEFITS 55719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55719,A000000,00700,0000,00700HOUSEKEEPING 55719,A000000,00800,0000,00800DIETARY 55719,A000000,00900,0000,00900NURSING ADMINISTRATION 55719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55719,A000000,01100,0000,01100PHARMACY 55719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55719,A000000,01300,0000,01300SOCIAL SERVICE 55719,A000000,01350,0000,01500PATIENT ACTIVITIES 55719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55719,A000000,01600,0000,01600SKILLED NURSING FACILITY 55719,A000000,01800,0000,01800NURSING FACILITY 55719,A000000,01810,0000,01810ICF/MR 55719,A000000,02100,0000,02100RADIOLOGY 55719,A000000,02200,0000,02200LABORATORY 55719,A000000,02300,0000,02300INTRAVENOUS THERAPY 55719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55719,A000000,02500,0000,02500PHYSICAL THERAPY 55719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55719,A000000,02700,0000,02700SPEECH PATHOLOGY 55719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55719,A000000,03550,0000,03550FQHC 55719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55719,A000000,05000,0000,05000CORF 55719,A000000,05010,0000,05010CMHC 55719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55719,A81000A,00100,0100,Y 55719,A81000B,00100,0300,MANAGEMENT FEE 55719,A81000B,00200,0300,INTEREST LTD 55719,A81000B,00300,0300,GENERAL PARTNER FEES 55719,A81000B,00400,0300,INTEREST EXPENSE 55719,A81000B,00500,0300,OFFICE EXPENSE 55719,A81000C,00100,0100,A 55719,A81000C,00100,0200,GERALD SWENDSEN 55719,A81000C,00100,0400,ENTRO CORP 55719,A81000C,00200,0100,A 55719,A81000C,00200,0200,MARILYN SWENDSEN 55719,A81000C,00200,0400,ENTRO CORP 55719,A81000C,00300,0100,A 55719,A81000C,00300,0200,GERALD SWENDSEN 55719,A81000C,00300,0400,GENERAL PARTNER 55719,A81000C,00400,0100,A 55719,A81000C,00400,0200,MARILYN SWENDSEN 55719,A81000C,00400,0400,GENERAL PARTNER 55719,A81000C,00500,0100,A 55719,A81000C,00500,0200,MELVIN SWENDSEN 55719,A81000C,00500,0400,GERERAL PARTNER 55719,A81000C,00600,0100,B 55719,A81000C,00600,0200,BIRCHWOOD CARE CORP 55719,A81000C,00600,0400,GENERAL PARTNER 55719,A81000C,00700,0100,A 55719,A81000C,00700,0200,GERALD SWENDSEN 55719,A81000C,00700,0400,SWENDSEN ENGINEERING 55719,A81000C,00800,0100,A 55719,B100000,00000,0100,00000SQUARE FEET 55719,B100000,00000,0200,00000DOLLAR VALUE 55719,B100000,00000,0300,00000GROSS SALARIES 55719,B100000,00000,0400,00000ACCUM. COST 55719,B100000,00000,0500,00000SQUARE FEET 55719,B100000,00000,0600,00000POUNDS OF LAUNDRY 55719,B100000,00000,0700,00000SQUARE FT EXCL DIET 55719,B100000,00000,0800,00000MEALS SERVED 55719,B100000,00000,0900,00000PATIENT DAYS 55719,B100000,00000,1000,00000PATIENT DAYS 55719,B100000,00000,1100,00000PATIENT DAYS 55719,B100000,00000,1200,00000PATIENT DAYS 55719,B100000,00000,1300,00000PATIENT DAYS 55719,B100000,00000,1350,00000PATIENT DAYS 55719,B100000,00000,1400,00000ASSIGNED TIME 55719,E10A180,00501,0100,05/08/2000 55719,E10A180,00501,0300,05/08/2000 55719,S000000,00100,0200,05/01/2000 55719,S200000,00100,0100,395 EAST MIDDLE ROAD 55719,S200000,00200,0100,NANTICOKE 55719,S200000,00200,0200,PA 55719,S200000,00300,0100,LUZERNE 55719,S200000,00400,0100,BIRCHWOOD NURSING AND REHAB CENTER 55719,S200000,00400,0200,395651 55719,S200000,00400,0300,07/01/1989 55719,S200000,00400,0500,P 55719,S200000,01600,0100,Y 55727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55727,A000000,00300,0000,00300EMPLOYEE BENEFITS 55727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55727,A000000,00700,0000,00700HOUSEKEEPING 55727,A000000,00800,0000,00800DIETARY 55727,A000000,00900,0000,00900NURSING ADMINISTRATION 55727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55727,A000000,01100,0000,01100PHARMACY 55727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55727,A000000,01300,0000,01300SOCIAL SERVICE 55727,A000000,01350,0000,01500ACTIVITIES 55727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55727,A000000,01600,0000,01600SKILLED NURSING FACILITY 55727,A000000,02100,0000,02100RADIOLOGY 55727,A000000,02200,0000,02200LABORATORY 55727,A000000,02500,0000,02500PHYSICAL THERAPY 55727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55727,A000000,02700,0000,02700SPEECH PATHOLOGY 55727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55727,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55727,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55727,A000000,03550,0000,03550FQHC 55727,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55727,A000000,05000,0000,05000CORF 55727,A000000,05010,0000,05010CMHC 55727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55727,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55727,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55727,A81000A,00100,0100,Y 55727,A81000B,00100,0300,MANAGEMENT SERVICESS 55727,A81000B,00200,0300,INTERESTDE NURSING SERVICE 55727,A81000B,00300,0300,MEDICAL SUPPLIES 55727,A81000B,00400,0300,STORAGE RENTAL 55727,A81000B,00500,0300,SUPPLIES 55727,A81000B,00600,0300,SUPPLIES 55727,A81000B,00700,0300,SUPPLIES 55727,A81000B,00800,0300,MANAGEMENT 55727,A81000C,00100,0100,A 55727,A81000C,00100,0200,GUARDIAN ELDER CARETH COR 55727,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 55727,A81000C,00100,0600,MANAGEMENTP 55727,A81000C,00200,0100,A 55727,A81000C,00200,0200,PUBLIC CREDIT COMPANY 55727,A81000C,00200,0400,PUBLIC CREDIT COMPANY 55727,A81000C,00200,0600,COMMERCIAL LENDER 55727,A81000C,00300,0100,A 55727,A81000C,00300,0200,MAURICE LEZZER 55727,A81000C,00300,0400,LEZZER LUMBER 55727,A81000C,00300,0600,LUMBER/MAINTENANCE SUPPLY 55727,A81000C,00400,0100,A 55727,A81000C,00400,0200,JOHN F BEARD 55727,A81000C,00400,0400,U STORE IT 55727,A81000C,00400,0600,STORAGE RENTAL 55727,A81000C,00500,0100,A 55727,A81000C,00500,0200,GUARDIAN ELDER CARE 55727,A81000C,00500,0400,GUARDIAN ELDER CARE 55727,A81000C,00500,0600,MANAGEMENT 55727,B100000,00000,0100,00000SQUARE FEET 55727,B100000,00000,0200,00000NO STATISTICS 55727,B100000,00000,0300,00000GROSS SALARIES 55727,B100000,00000,0400,00000ACCUM. COST 55727,B100000,00000,0500,00000SQUARE FEET 55727,B100000,00000,0600,00000PATIENT DAYS 55727,B100000,00000,0700,00000SQUARE FEET 55727,B100000,00000,0800,00000PATIENT DAYS 55727,B100000,00000,0900,00000PATIENT DAYS 55727,B100000,00000,1000,00000PATIENT DAYS 55727,B100000,00000,1100,00000NO STATISTICS 55727,B100000,00000,1200,00000PATIENT DAYS 55727,B100000,00000,1300,00000PATIENT DAYS 55727,B100000,00000,1350,00000PATIENT DAYS 55727,B100000,00000,1400,00000NO STATISTICS 55727,S000000,00100,0200,08/28/1999 55727,S200000,00100,0100,MCNAUL STREET 55727,S200000,00200,0100,CURWENSVILLE 55727,S200000,00200,0200,PA 55727,S200000,00300,0100,CLEARFIELD 55727,S200000,00400,0100,RIDGEVIEW ELDER CARE REHAB CENTER 55727,S200000,00400,0200,395652 55727,S200000,00400,0300,05/07/1984 55727,S200000,00400,0500,P 55727,S200000,01500,0100,Y 55728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55728,A000000,00300,0000,00300EMPLOYEE BENEFITS 55728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55728,A000000,00700,0000,00700HOUSEKEEPING 55728,A000000,00800,0000,00800DIETARY 55728,A000000,00900,0000,00900NURSING ADMINISTRATION 55728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55728,A000000,01100,0000,01100PHARMACY 55728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55728,A000000,01300,0000,01300SOCIAL SERVICE 55728,A000000,01350,0000,01500ACTIVITIES 55728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55728,A000000,01600,0000,01600SKILLED NURSING FACILITY 55728,A000000,01810,0000,01810ICF/MR 55728,A000000,02100,0000,02100RADIOLOGY 55728,A000000,02500,0000,02500PHYSICAL THERAPY 55728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55728,A000000,02700,0000,02700SPEECH PATHOLOGY 55728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55728,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55728,A000000,03550,0000,03550FQHC 55728,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55728,A000000,05000,0000,05000CORF 55728,A000000,05010,0000,05010CMHC 55728,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55728,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55728,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55728,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55728,A81000A,00100,0100,Y 55728,A81000B,00100,0300,MANAGEMENT SERVICES 55728,A81000B,00200,0300,LEASE EXPENSE 55728,A81000C,00100,0100,A 55728,A81000C,00100,0200,RAY CALHOUN 55728,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 55728,A81000C,00100,0600,MANAGEMENT/LESSOR 55728,A81000C,00200,0100,A 55728,A81000C,00200,0200,FRANK VARISCHETTI 55728,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 55728,A81000C,00200,0600,MANAGEMENT/LESSOR 55728,A81000C,00300,0100,A 55728,A81000C,00300,0200,FRANK A VARISCHETTI 55728,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 55728,A81000C,00300,0600,MANAGEMENT/LESSOR 55728,A81000C,00400,0100,A 55728,A81000C,00400,0200,STEVE R VARISCHETTI 55728,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 55728,A81000C,00400,0600,MANAGEMENT/LESSOR 55728,A81000C,00500,0100,A 55728,A81000C,00500,0200,PETER C VARISCHETTI 55728,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 55728,A81000C,00500,0600,MANAGEMENT/LESSOR 55728,B100000,00000,0100,00000SQUARE FEET 55728,B100000,00000,0200,00000NO STATISTICS 55728,B100000,00000,0300,00000GROSS SALARIES 55728,B100000,00000,0400,00000ACCUM. COST 55728,B100000,00000,0500,00000SQUARE FEET 55728,B100000,00000,0600,00000PATIENT DAYS 55728,B100000,00000,0700,00000SQUARE FEET 55728,B100000,00000,0800,00000PATIENT DAYS 55728,B100000,00000,0900,00000PATIENT DAYS 55728,B100000,00000,1000,00000PATIENT DAYS 55728,B100000,00000,1100,00000NO STATISTICS 55728,B100000,00000,1200,00000PATIENT DAYS 55728,B100000,00000,1300,00000PATIENT DAYS 55728,B100000,00000,1350,00000PATIENT DAYS 55728,B100000,00000,1400,00000NO STATISTICS 55728,E10A180,00501,0100,10/20/1999 55728,E10A180,00501,0300,10/20/1999 55728,S000000,00100,0200,08/27/1999 55728,S200000,00100,0100,MCNAUL STREET 55728,S200000,00200,0100,CURWENSVILLE 55728,S200000,00200,0200,PA 55728,S200000,00300,0100,CLEARFIELD 55728,S200000,00400,0100,RIDGEVIEW ELDER CARE REHAB CENTER 55728,S200000,00400,0200,395652 55728,S200000,00400,0300,05/07/1984 55728,S200000,00400,0500,P 55728,S200000,01500,0100,Y 55730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55730,A000000,00300,0000,00300EMPLOYEE BENEFITS 55730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55730,A000000,00700,0000,00700HOUSEKEEPING 55730,A000000,00800,0000,00800DIETARY 55730,A000000,00900,0000,00900NURSING ADMINISTRATION 55730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55730,A000000,01100,0000,01100PHARMACY 55730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55730,A000000,01300,0000,01300SOCIAL SERVICE 55730,A000000,01350,0000,01500ACTIVITIES 55730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55730,A000000,01600,0000,01600SKILLED NURSING FACILITY 55730,A000000,01810,0000,01810ICF/MR 55730,A000000,02100,0000,02100RADIOLOGY 55730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55730,A000000,02500,0000,02500PHYSICAL THERAPY 55730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55730,A000000,02700,0000,02700SPEECH PATHOLOGY 55730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55730,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55730,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55730,A000000,03550,0000,03550FQHC 55730,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55730,A000000,05000,0000,05000CORF 55730,A000000,05010,0000,05010CMHC 55730,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55730,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55730,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55730,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55730,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55730,A81000A,00100,0100,Y 55730,A81000B,00100,0300,MANAGEMENT SERVICES 55730,A81000B,00200,0300,LEASE EXPENSE 55730,A81000C,00100,0100,A 55730,A81000C,00100,0200,RAY CALHOUN 55730,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 55730,A81000C,00100,0600,MANAGEMENT/LESSOR 55730,A81000C,00200,0100,A 55730,A81000C,00200,0200,FRANK VARISCHETTI 55730,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 55730,A81000C,00200,0600,MANAGEMENT/LESSOR 55730,A81000C,00300,0100,A 55730,A81000C,00300,0200,FRANK A VARISCHETTI 55730,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 55730,A81000C,00300,0600,MANAGEMENT/LESSOR 55730,A81000C,00400,0100,A 55730,A81000C,00400,0200,STEVE R VARISCHETTI 55730,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 55730,A81000C,00400,0600,MANAGEMENT/LESSOR 55730,A81000C,00500,0100,A 55730,A81000C,00500,0200,PETER C VARISCHETTI 55730,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 55730,A81000C,00500,0600,MANAGEMENT/LESSOR 55730,B100000,00000,0100,00000SQUARE FEET 55730,B100000,00000,0200,00000NO STATISTICS 55730,B100000,00000,0300,00000GROSS SALARIES 55730,B100000,00000,0400,00000ACCUM. COST 55730,B100000,00000,0500,00000SQUARE FEET 55730,B100000,00000,0600,00000PATIENT DAYS 55730,B100000,00000,0700,00000SQUARE FEET 55730,B100000,00000,0800,00000PATIENT DAYS 55730,B100000,00000,0900,00000PATIENT DAYS 55730,B100000,00000,1000,00000PATIENT DAYS 55730,B100000,00000,1100,00000NO STATISTICS 55730,B100000,00000,1200,00000PATIENT DAYS 55730,B100000,00000,1300,00000PATIENT DAYS 55730,B100000,00000,1350,00000PATIENT DAYS 55730,B100000,00000,1400,00000NO STATISTICS 55730,E10A180,00501,0100,10/25/2000 55730,E10A180,00501,0300,10/25/2000 55730,S000000,00100,0200,08/29/2000 55730,S200000,00100,0100,MCNAUL STREET 55730,S200000,00200,0100,CURWENSVILLE 55730,S200000,00200,0200,PA 55730,S200000,00200,0300,16833 55730,S200000,00300,0100,C 55730,S200000,00400,0100,RIDGEVIEW ELDER CARE REHAB CENTER 55730,S200000,00400,0200,395652 55730,S200000,00400,0300,05/07/1984 55730,S200000,00400,0500,P 55730,S200000,01500,0100,Y 55741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55741,A000000,00300,0000,00300EMPLOYEE BENEFITS 55741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55741,A000000,00700,0000,00700HOUSEKEEPING 55741,A000000,00800,0000,00800DIETARY 55741,A000000,00900,0000,00900NURSING ADMINISTRATION 55741,A000000,00901,0000,00901ADMISSIONS 55741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55741,A000000,01100,0000,01100PHARMACY 55741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55741,A000000,01300,0000,01300SOCIAL SERVICE 55741,A000000,01350,0000,01500ACTIVITIES 55741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55741,A000000,01600,0000,01600SKILLED NURSING FACILITY 55741,A000000,01800,0000,01800NURSING FACILITY 55741,A000000,01810,0000,01810ICF/MR 55741,A000000,02100,0000,02100RADIOLOGY 55741,A000000,02200,0000,02200LABORATORY 55741,A000000,02300,0000,02300INTRAVENOUS THERAPY 55741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55741,A000000,02500,0000,02500PHYSICAL THERAPY 55741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55741,A000000,02700,0000,02700SPEECH PATHOLOGY 55741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55741,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 55741,A000000,03550,0000,03550FQHC 55741,A000000,05000,0000,05000CORF 55741,A000000,05010,0000,05010CMHC 55741,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55741,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55741,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55741,A81000A,00100,0100,Y 55741,A81000B,00100,0300,HOME OFFICE COSTS 55741,A81000B,00200,0300,PHYSICAL THERAPY 55741,A81000B,00300,0300,OCCUPATIONAL THERAPY 55741,A81000B,00400,0300,SPEECH THERAPY 55741,A81000B,00500,0300,PRESCRIPTION DRUGS 55741,A81000B,00600,0300,OVER-THE-COUNTER DRUGS 55741,A81000B,00700,0300,NURSING SUPPLIES 55741,A81000B,00800,0300,DRUGS CONSULTING 55741,A81000B,00900,0300,HOUSEKEEPING 55741,A81000B,01000,0300,INTRAVENOUS THERAPY 55741,A81000B,01100,0300,CENTRAL SUPPLIES 55741,A81000B,01200,0300,ADMIN SUPPLIES 55741,A81000B,01300,0300,PT SUPPLIES 55741,A81000B,01400,0300,RT SUPPLIES 55741,A81000B,01500,0300,OT SUPPLIES 55741,A81000B,01600,0300,ST SUPPLIES 55741,A81000B,01700,0300,NSG ADMIN 55741,A81000B,01800,0300,PHARMACY SUPPLIES 55741,A81000B,01900,0300,DIETARY SUPPLIES 55741,A81000B,02000,0300,LAUNDRY SUPPLIES 55741,A81000B,02100,0300,SS SUPLIES 55741,A81000B,02200,0300,ACTIVITY SUPPLIES 55741,A81000B,02300,0300,PLANT SUPPLIES 55741,A81000B,02400,0300,MEDICAL SUPPLIES 55741,A81000C,00100,0100,A 55741,A81000C,00100,0200,RICHARD 55741,A81000C,00100,0400,GRANE 55741,A81000C,00100,0600,HEALTHCARE MGMT 55741,A81000C,00200,0200,GRACIANO SR. 55741,A81000C,00200,0400,HEALTHCARE 55741,A81000C,00300,0100,A 55741,A81000C,00300,0200,RICHARD 55741,A81000C,00300,0400,GRANE 55741,A81000C,00300,0600,HEALTHCARE MGMT 55741,A81000C,00400,0200,GRACIANO SR. 55741,A81000C,00400,0400,HEALTHCARE 55741,A81000C,00500,0100,A 55741,A81000C,00500,0200,DAVID GRACIANO 55741,A81000C,00500,0400,GRANE 55741,A81000C,00500,0600,HEALTHCARE MGMT 55741,A81000C,00600,0400,HEALTHCARE 55741,A81000C,00700,0100,A 55741,A81000C,00700,0200,ROSS NESE 55741,A81000C,00700,0400,GRANE 55741,A81000C,00700,0600,HEALTHCARE MGMT 55741,A81000C,00800,0400,HEALTHCARE 55741,A81000C,00900,0100,A 55741,A81000C,00900,0200,RICHARD 55741,A81000C,00900,0400,GMS CORP 55741,A81000C,00900,0600,ADMIN SERVICES 55741,A81000C,01000,0200,GRACIANO JR. 55741,A81000C,01100,0100,A 55741,A81000C,01100,0200,DAVID GRACIANO 55741,A81000C,01100,0400,GMS CORP 55741,A81000C,01100,0600,ADMIN SERVICES 55741,A81000C,01200,0100,A 55741,A81000C,01200,0200,SAME AS GRANE 55741,A81000C,01200,0400,GRANE ASSOC D/B 55741,A81000C,01200,0600,PLANT EXP/RENOV 55741,A81000C,01300,0100,A 55741,A81000C,01300,0200,HEALTHCARE 55741,A81000C,01300,0400,TRADE CONSTRUCT 55741,A81000C,01400,0100,A 55741,A81000C,01400,0200,SAME AS GRANE 55741,A81000C,01400,0400,GRANE ASSOC 55741,A81000C,01400,0600,ADMIN SERVICES 55741,A81000C,01500,0100,A 55741,A81000C,01500,0200,HEALTHCARE 55741,A81000C,01600,0100,A 55741,A81000C,01600,0200,SAME AS GRANE 55741,A81000C,01600,0400,GRANE SUPPLY 55741,A81000C,01600,0600,DRUGS/MED SUPP/ 55741,A81000C,01700,0100,A 55741,A81000C,01700,0200,HEALTHCARE 55741,A81000C,01700,0600,HOUSEKEEPING 55741,A81000C,01800,0100,A 55741,A81000C,01800,0200,RICHARD 55741,A81000C,01800,0400,GRANE REHAB 55741,A81000C,01800,0600,REHAB 55741,A81000C,01900,0100,A 55741,A81000C,01900,0200,GRACIANO SR. 55741,A81000C,01900,0600,(PT ST OT) 55741,A81000C,02100,0100,A 55741,A81000C,02100,0200,RICHARD 55741,A81000C,02100,0400,GRANE REHAB 55741,A81000C,02100,0600,REHAB 55741,A81000C,02200,0100,A 55741,A81000C,02200,0200,GRACIANO JR. 55741,A81000C,02200,0600,(PT ST OT) 55741,A81000C,02300,0100,A 55741,A81000C,02300,0200,DAVID GRACIANO 55741,A81000C,02300,0400,GRANE REHAB 55741,A81000C,02300,0600,REHAB 55741,A81000C,02400,0100,A 55741,A81000C,02400,0600,(PT ST OT) 55741,A81000C,02500,0100,A 55741,A81000C,02500,0200,ROSS NESE 55741,A81000C,02500,0400,GRANE REHAB 55741,A81000C,02500,0600,REHAB 55741,A81000C,02600,0100,A 55741,A81000C,02600,0600,(PT ST OT) 55741,A81000C,02700,0100,A 55741,A81000C,02700,0200,GRANE REHAB 55741,A81000C,02700,0400,GRANE REHAB 55741,A81000C,02700,0600,REHAB 55741,A81000C,02800,0100,A 55741,A81000C,02800,0200,INC. 55741,A81000C,02800,0600,(PT ST OT) 55741,B100000,00000,0100,00000SQUARE FEET 55741,B100000,00000,0200,00000SQUARE FEET 55741,B100000,00000,0300,00000GROSS SALARIES 55741,B100000,00000,0400,00000ACCUM. COST 55741,B100000,00000,0500,00000SQUARE FEET 55741,B100000,00000,0600,00000POUNDS OF LAUNDRY 55741,B100000,00000,0700,00000SQUARE FEET 55741,B100000,00000,0800,00000MEALS SERVED 55741,B100000,00000,0900,00000DIRECT NRSING HRS 55741,B100000,00000,0901,00000NUMBER OF ADMISSI 55741,B100000,00000,1000,00000COSTED REQUIS. 55741,B100000,00000,1100,00000COSTED REQUIS. 55741,B100000,00000,1200,00000TIME SPENT 55741,B100000,00000,1300,00000TIME RESIDENT D 55741,B100000,00000,1350,00000 RESIDENT D 55741,B100000,00000,1400,00000ASSIGNED TIME 55741,S000000,00100,0200,05/25/2000 55741,S200000,00100,0100,2400 MCGINLEY ROAD 55741,S200000,00200,0100,MONROEVILLE 55741,S200000,00200,0200,PA 55741,S200000,00200,0300,15146 55741,S200000,00300,0100,ALLEGHENY 55741,S200000,00400,0100,WOODHAVEN CARE CENTER 55741,S200000,00400,0200,395653 55741,S200000,00400,0300,07/01/1996 55741,S200000,00400,0500,P 55741,S200000,00600,0200,395653 55741,S200000,00600,0300,07/01/1996 55741,S200000,00600,0600,P 55741,S200000,01600,0100,Y 55741,S200000,02200,0100,Y 55741,S200000,04700,0100,Y 55749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55749,A000000,00300,0000,00300EMPLOYEE BENEFITS 55749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55749,A000000,00700,0000,00700HOUSEKEEPING 55749,A000000,00800,0000,00800DIETARY 55749,A000000,00900,0000,00900NURSING ADMINISTRATION 55749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55749,A000000,01100,0000,01100PHARMACY 55749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55749,A000000,01300,0000,01300SOCIAL SERVICE 55749,A000000,01301,0000,01301CHAPLAIN 55749,A000000,01350,0000,01500RECREATIONAL THERAPY 55749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55749,A000000,01600,0000,01600SKILLED NURSING FACILITY 55749,A000000,01810,0000,01810ICF/MR 55749,A000000,02100,0000,02100RADIOLOGY 55749,A000000,02500,0000,02500PHYSICAL THERAPY 55749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55749,A000000,02700,0000,02700SPEECH PATHOLOGY 55749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55749,A000000,03550,0000,03550FQHC 55749,A000000,05000,0000,05000CORF 55749,A000000,05010,0000,05010CMHC 55749,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55749,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55749,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55749,A000000,05300,0000,05300INTEREST EXPENSE 55749,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55749,A000000,06150,0000,06300OTHER NONREIMBURSABLE 55749,A000000,06201,0000,06201RESIDENTIAL 55749,A81000A,00100,0100,Y 55749,A81000B,00100,0300,LEGAL SERVICES 55749,A81000B,00300,0300,CONSTRUCTION 55749,A81000C,00100,0100,D 55749,A81000C,00100,0200,R. ROSENBERG 55749,A81000C,00100,0400,S. ROSENBERG 55749,A81000C,00100,0600,LAW FIRM 55749,A81000C,00300,0100,D 55749,A81000C,00300,0200,R. MUSSELMAN 55749,A81000C,00300,0400,R. MUSSELMAN 55749,A81000C,00300,0600,CONSTRUCTION 55749,B100000,00000,0100,00000(SQUARE FEET) 55749,B100000,00000,0200,00000(DOLLAR VA OR SQ FT) 55749,B100000,00000,0300,00000(GROSS SALARIES) 55749,B100000,00000,0400,00000(ACCUM. COST) 55749,B100000,00000,0500,00000(SQUARE FEET) 55749,B100000,00000,0600,00000(PATIENT DAYS) 55749,B100000,00000,0700,00000(SQUARE FEET) 55749,B100000,00000,0800,00000(MEALS SERVED) 55749,B100000,00000,0900,00000(DIRECT HR OF SERV) 55749,B100000,00000,1000,00000(COSTED REQUIS) 55749,B100000,00000,1100,00000(COSTED REQUIS) 55749,B100000,00000,1200,00000(TIME SPENT) 55749,B100000,00000,1300,00000(PATIENT DAYS) 55749,B100000,00000,1301,00000(TIME SPENT) 55749,B100000,00000,1350,00000(PATIENT DAYS) 55749,B100000,00000,1400,00000(ASSIGNED TIME) 55749,E10A180,00501,0100,07/06/2000 55749,E10A180,00501,0300,07/06/2000 55749,S000000,00100,0200,05/31/2000 55749,S200000,00100,0100,PO BOX 98 55749,S200000,00200,0100,FREDERICK 55749,S200000,00200,0200,PA 55749,S200000,00200,0300,19435 55749,S200000,00300,0100,MONTGOMERY 55749,S200000,00400,0100,FREDERICK MENNONITE COMMUNITY 55749,S200000,00400,0200,395656 55749,S200000,00400,0300,01/01/1989 55749,S200000,00400,0500,P 55749,S200000,01500,0100,Y 55749,S200000,02200,0100,Y 55757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55757,A000000,00300,0000,00300EMPLOYEE BENEFITS 55757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55757,A000000,00700,0000,00700HOUSEKEEPING 55757,A000000,00800,0000,00800DIETARY 55757,A000000,00900,0000,00900NURSING ADMINISTRATION 55757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55757,A000000,01100,0000,01100PHARMACY 55757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55757,A000000,01300,0000,01300SOCIAL SERVICE 55757,A000000,01350,0000,01500PATIENT ACTIVITIES 55757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55757,A000000,01600,0000,01600SKILLED NURSING FACILITY 55757,A000000,01800,0000,01800NURSING FACILITY 55757,A000000,01810,0000,01810ICF/MR 55757,A000000,02100,0000,02100RADIOLOGY 55757,A000000,02200,0000,02200LABORATORY 55757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55757,A000000,02500,0000,02500PHYSICAL THERAPY 55757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55757,A000000,02700,0000,02700SPEECH PATHOLOGY 55757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55757,A000000,03550,0000,03550FQHC 55757,A000000,05000,0000,05000CORF 55757,A000000,05010,0000,05010CMHC 55757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55757,A000000,05300,0000,05300INTEREST EXPENSE 55757,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55757,B100000,00000,0100,00000SQUARE FEET 55757,B100000,00000,0200,00000SQUARE FEET 55757,B100000,00000,0300,00000GROSS SALARIES 55757,B100000,00000,0400,00000ACCUM COST 55757,B100000,00000,0500,00000SQUARE FEET 55757,B100000,00000,0600,00000POUNDS OF LAUNDRY 55757,B100000,00000,0700,00000SQUARE FEET 55757,B100000,00000,0800,00000MEALS SERVED 55757,B100000,00000,0900,00000DIRECT NRSG HRS 55757,B100000,00000,1000,00000COSTED REQUIS 55757,B100000,00000,1100,00000COSTED REQUIS 55757,B100000,00000,1200,00000TIME SPENT 55757,B100000,00000,1300,00000TIME SPENT 55757,B100000,00000,1350,00000TIME SPENT 55757,B100000,00000,1400,00000ASSIGNED TIME 55757,S000000,00100,0200,05/30/2000 55757,S200000,00100,0100,375 CLAREMONT DERIVE 55757,S200000,00200,0100,CARLISLE 55757,S200000,00200,0200,PA 55757,S200000,00200,0300,17013 55757,S200000,00300,0100,CUMBERLAND 55757,S200000,00400,0100,CLAREMONT NURSING & REHAB. CENTER 55757,S200000,00400,0200,395660 55757,S200000,00400,0300,08/01/1984 55757,S200000,00400,0500,P 55757,S200000,00400,0600,O 55757,S200000,01600,0100,Y 55757,S200000,02800,0100,Y 55765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55765,A000000,00300,0000,00300EMPLOYEE BENEFITS 55765,A000000,00401,0000,00401ADMIN & GENERAL 55765,A000000,00402,0000,00402HEALTH CARE A & G 55765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55765,A000000,00700,0000,00700HOUSEKEEPING 55765,A000000,00800,0000,00800DIETARY 55765,A000000,00900,0000,00900NURSING ADMINISTRATION 55765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55765,A000000,01100,0000,01100PHARMACY 55765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55765,A000000,01300,0000,01300SOCIAL SERVICE 55765,A000000,01350,0000,01500PATIENT ACTIVITIES 55765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55765,A000000,01600,0000,01600SKILLED NURSING FACILITY 55765,A000000,01810,0000,01810ICF/MR 55765,A000000,01900,0000,01900OTHER LONG TERM CARE 55765,A000000,02100,0000,02100RADIOLOGY 55765,A000000,02500,0000,02500PHYSICAL THERAPY 55765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55765,A000000,02700,0000,02700SPEECH PATHOLOGY 55765,A000000,02800,0000,02800ELECTROCARDIOLOGY 55765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55765,A000000,03550,0000,03550FQHC 55765,A000000,05000,0000,05000CORF 55765,A000000,05010,0000,05010CMHC 55765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55765,A000000,05300,0000,05300INTEREST EXPENSE 55765,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 55765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55765,A000000,06150,0000,06300AIL/RESIDENTIAL 55765,A000000,06151,0000,06301MARKETING 55765,B100000,00000,0100,00001SQUARE FEET 55765,B100000,00000,0200,00001SQUARE FEET 55765,B100000,00000,0300,00001GROSS SALARIES 55765,B100000,00000,0401,00001ACCUM COST 55765,B100000,00000,0402,00001ACCUM COST 55765,B100000,00000,0500,00001SQUARE FEET 55765,B100000,00000,0600,00001POUNDS OF LAUNDRY 55765,B100000,00000,0700,00001HOURS OF SERVICE 55765,B100000,00000,0800,00001MEALS SERVED 55765,B100000,00000,0900,00001DIRECT NRSG HRS 55765,B100000,00000,1000,00001COSTED REQUIS 55765,B100000,00000,1100,00001COSTED REQUIS 55765,B100000,00000,1200,00001TIME SPENT 55765,B100000,00000,1300,00001TIME SPENT 55765,B100000,00000,1350,00001TIME SPENT 55765,B100000,00000,1400,00001ASSIGNED TIME 55765,E10A180,00501,0100,12/10/1999 55765,E10A180,00502,0300,12/20/1999 55765,E10A180,00550,0300,12/10/1999 55765,S000000,00100,0200,11/29/1999 55765,S200000,00100,0100,TWO FRANKLINTOWN BLVD 55765,S200000,00200,0100,PHILADELPHIA 55765,S200000,00200,0200,PA 55765,S200000,00200,0300,19103 55765,S200000,00300,0100,PHILADELPHIA 55765,S200000,00400,0100,LOGAN SQUARE EAST 55765,S200000,00400,0200,395662 55765,S200000,00400,0300,06/28/1984 55765,S200000,00400,0500,P 55765,S200000,00400,0600,O 55765,S200000,01500,0100,Y 55765,S200000,01900,0100,NON-PROFIT CORPORATION 55765,S200000,02800,0100,Y 55765,S200000,03100,0100,Y 55767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55767,A000000,00300,0000,00300EMPLOYEE BENEFITS 55767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55767,A000000,00700,0000,00700HOUSEKEEPING 55767,A000000,00800,0000,00800DIETARY 55767,A000000,00900,0000,00900NURSING ADMINISTRATION 55767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55767,A000000,01100,0000,01100PHARMACY 55767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55767,A000000,01300,0000,01300SOCIAL SERVICE 55767,A000000,01350,0000,01500ACTIVITIES 55767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55767,A000000,01600,0000,01600SKILLED NURSING FACILITY 55767,A000000,01800,0000,01800NURSING FACILITY 55767,A000000,01810,0000,01810ICF/MR 55767,A000000,02100,0000,02100RADIOLOGY 55767,A000000,02500,0000,02500PHYSICAL THERAPY 55767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55767,A000000,02700,0000,02700SPEECH PATHOLOGY 55767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55767,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55767,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55767,A000000,03550,0000,03550FQHC 55767,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55767,A000000,04800,0000,04800AMBULANCE 55767,A000000,05000,0000,05000CORF 55767,A000000,05010,0000,05010CMHC 55767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55767,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55767,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55767,A81000A,00100,0100,Y 55767,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 55767,A81000C,00100,0100,B 55767,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 55767,B100000,00000,0100,00000SQUARE FEET 55767,B100000,00000,0200,00000SQUARE FEET 55767,B100000,00000,0300,00000GROSS SALARIES 55767,B100000,00000,0400,00000ACCUM. COST 55767,B100000,00000,0500,00000SQUARE FEET 55767,B100000,00000,0600,00000PATIENT DAYS 55767,B100000,00000,0700,00000PATIENT DAYS 55767,B100000,00000,0800,00000MEALS SERVED 55767,B100000,00000,0900,00000DIRECT NURSING DL 55767,B100000,00000,1000,00000COSTED REQUIS. 55767,B100000,00000,1100,00000COSTED REQUIS. 55767,B100000,00000,1200,00000PATIENT DAYS 55767,B100000,00000,1300,00000PATIENT DAYS 55767,B100000,00000,1350,00000PATIENT DAYS 55767,B100000,00000,1400,00000ASSIGNED TIME 55767,E10A180,00501,0100,12/29/2000 55767,E10A180,00550,0300,12/29/2000 55767,S000000,00100,0200,11/30/2000 55767,S200000,00100,0100,TWO FRANKLIN TOWN BLVD 55767,S200000,00200,0100,PHILADELPHIA 55767,S200000,00200,0200,PA 55767,S200000,00200,0300,19103 55767,S200000,00300,0100,P 55767,S200000,00400,0100,THE SPRINGS AT THE FOUNTAINS 55767,S200000,00400,0200,395662 55767,S200000,00400,0300,02/08/1984 55767,S200000,00400,0500,P 55767,S200000,01500,0100,Y 55777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55777,A000000,00300,0000,00300EMPLOYEE BENEFITS 55777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55777,A000000,00700,0000,00700HOUSEKEEPING 55777,A000000,00800,0000,00800DIETARY 55777,A000000,00900,0000,00900NURSING ADMINISTRATION 55777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55777,A000000,01100,0000,01100PHARMACY 55777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55777,A000000,01300,0000,01300SOCIAL SERVICE 55777,A000000,01350,0000,01500PATIENT ACTIVITIES 55777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55777,A000000,01600,0000,01600SKILLED NURSING FACILITY 55777,A000000,01810,0000,01810ICF/MR 55777,A000000,02100,0000,02100RADIOLOGY 55777,A000000,02200,0000,02200LABORATORY 55777,A000000,02300,0000,02300INTRAVENOUS THERAPY 55777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55777,A000000,02500,0000,02500PHYSICAL THERAPY 55777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55777,A000000,02700,0000,02700SPEECH PATHOLOGY 55777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55777,A000000,03550,0000,03550FQHC 55777,A000000,05000,0000,05000CORF 55777,A000000,05010,0000,05010CMHC 55777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55777,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55777,A000000,06150,0000,06300NONREIMBURSABLE 55777,A81000A,00100,0100,Y 55777,A81000B,00100,0300,HOME OFFICE 55777,A81000B,00200,0300,HOME OFFICE CAPITAL 55777,A81000C,00100,0100,B 55777,A81000C,00100,0200,ACTS INC 55777,A81000C,00100,0600,HOME OFFICE 55777,A81000C,00200,0600,0 55777,B100000,00000,0100,00000SQUARE FEET 55777,B100000,00000,0200,00000SQUARE FEET 55777,B100000,00000,0300,00000GROSS SALARIES 55777,B100000,00000,0400,00000ACCUM COST 55777,B100000,00000,0500,00000SQUARE FEET 55777,B100000,00000,0600,00000POUNDS OF LAUNDRY 55777,B100000,00000,0700,00000SQUARE FEET 55777,B100000,00000,0800,00000MEALS SERVED 55777,B100000,00000,0900,00000PATIENT DAYS 55777,B100000,00000,1000,00000COSTED REQUIS 55777,B100000,00000,1100,00000PATIENT DAYS 55777,B100000,00000,1200,00000PATIENT DAYS 55777,B100000,00000,1300,00000PATIENT DAYS 55777,B100000,00000,1350,00000PATIENT DAYS 55777,B100000,00000,1400,00000ASSIGNED TIME 55777,S000000,00100,0200,05/31/2000 55777,S200000,00100,0100,9000 TWIN SILO DRIVE 55777,S200000,00200,0100,BLUE BELL 55777,S200000,00200,0200,PA 55777,S200000,00200,0300,19422 55777,S200000,00300,0100,MONTGOMERY 55777,S200000,00400,0100,NORMANDY FARM ESTATES 55777,S200000,00400,0200,395665 55777,S200000,00400,0300,05/23/1985 55777,S200000,00400,0500,P 55777,S200000,00400,0600,O 55777,S200000,01500,0100,Y 55777,S200000,02200,0100,Y 55777,S200000,02800,0100,Y 55785,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55785,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55785,A000000,00300,0000,00300EMPLOYEE BENEFITS 55785,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55785,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55785,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55785,A000000,00700,0000,00700HOUSEKEEPING 55785,A000000,00800,0000,00800DIETARY 55785,A000000,00900,0000,00900NURSING ADMINISTRATION 55785,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55785,A000000,01100,0000,01100PHARMACY 55785,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55785,A000000,01300,0000,01300SOCIAL SERVICE 55785,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55785,A000000,01600,0000,01600SKILLED NURSING FACILITY 55785,A000000,01800,0000,01800NURSING FACILITY 55785,A000000,01810,0000,01810ICF/MR 55785,A000000,02500,0000,02500PHYSICAL THERAPY 55785,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55785,A000000,02700,0000,02700SPEECH PATHOLOGY 55785,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55785,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55785,A000000,03550,0000,03550FQHC 55785,A000000,05000,0000,05000CORF 55785,A000000,05010,0000,05010CMHC 55785,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55785,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55785,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55785,A000000,05300,0000,05300INTEREST EXPENSE 55785,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55785,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55785,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 55785,A81000A,00100,0100,Y 55785,A81000B,00100,0300,DRUGS 55785,A81000C,00100,0100,B 55785,A81000C,00100,0200,PRESBY SENIORCA 55785,A81000C,00100,0400,SAME 55785,A81000C,00100,0600,PHARMACY 55785,B100000,00000,0100,00000SQUARE FEET 55785,B100000,00000,0200,00000SQUARE FEET 55785,B100000,00000,0300,00000GROSS SALARIES 55785,B100000,00000,0400,00000ACCUM COST 55785,B100000,00000,0500,00000SQUARE FEET 55785,B100000,00000,0600,00000POUNDS OF LAUNDRY 55785,B100000,00000,0700,00000HOURS OF SERVICE 55785,B100000,00000,0800,00000MEALS SERVED 55785,B100000,00000,0900,00000DIRECT NRSG HRS 55785,B100000,00000,1000,00000COSTED REQUIS 55785,B100000,00000,1100,00000COSTED REQUIS 55785,B100000,00000,1200,00000TIME SPENT 55785,B100000,00000,1300,00000TIME SPENT 55785,B100000,00000,1400,00000ASSIGNED TIME 55785,E10A180,00501,0100,06/09/2000 55785,S000000,00100,0200,06/02/2000 55785,S200000,00100,0100,835 SOUTH MAIN STREET 55785,S200000,00200,0100,WASHINGTON 55785,S200000,00200,0200,PA 55785,S200000,00200,0300,15301 55785,S200000,00300,0100,WASHINGTON 55785,S200000,00400,0100,PRESBYTERIAN MED CTR OF WASHINGTON 55785,S200000,00400,0200,395671 55785,S200000,00400,0300,06/01/1984 55785,S200000,00400,0500,P 55785,S200000,00600,0200,974489 55785,S200000,00600,0300,06/01/1984 55785,S200000,01600,0100,Y 55785,S200000,01900,0100,BOARD OF DIRECTORS 55785,S200000,02200,0100,Y 55793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55793,A000000,00300,0000,00300EMPLOYEE BENEFITS 55793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55793,A000000,00700,0000,00700HOUSEKEEPING 55793,A000000,00800,0000,00800DIETARY 55793,A000000,00900,0000,00900NURSING ADMINISTRATION 55793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55793,A000000,01100,0000,01100PHARMACY 55793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55793,A000000,01300,0000,01300SOCIAL SERVICE 55793,A000000,01350,0000,01500ACTIVITIES SERVICES 55793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55793,A000000,01600,0000,01600SKILLED NURSING FACILITY 55793,A000000,01800,0000,01800NURSING FACILITY 55793,A000000,01810,0000,01810ICF/MR 55793,A000000,01900,0000,01900OTHER LONG TERM CARE 55793,A000000,02100,0000,02100RADIOLOGY 55793,A000000,02200,0000,02200LABORATORY 55793,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55793,A000000,02500,0000,02500PHYSICAL THERAPY 55793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55793,A000000,02700,0000,02700SPEECH PATHOLOGY 55793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55793,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55793,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55793,A000000,03550,0000,03550FQHC 55793,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55793,A000000,05000,0000,05000CORF 55793,A000000,05010,0000,05010CMHC 55793,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55793,A000000,05300,0000,05300INTEREST EXPENSE 55793,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55793,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55793,B100000,00000,0100,00000SQUARE FEET 55793,B100000,00000,0200,00000SQUARE FEET 55793,B100000,00000,0300,00000GROSS SALARIES 55793,B100000,00000,0400,00000ACCUM. COST 55793,B100000,00000,0500,00000SQUARE FEET 55793,B100000,00000,0600,00000POUNDS OF LAUNDRY 55793,B100000,00000,0700,00000SQUARE FEET 55793,B100000,00000,0800,00000MEALS SERVED 55793,B100000,00000,0900,00000HOURS OF SERVICE 55793,B100000,00000,1000,00000COSTED REQUIS. 55793,B100000,00000,1100,00000COSTED REQUIS. 55793,B100000,00000,1200,00000TIME SPENT 55793,B100000,00000,1300,00000PATIENT DAYS 55793,B100000,00000,1350,00000PATIENT DAYS 55793,B100000,00000,1400,00000ASSIGNED TIME 55793,E10A180,00501,0100,06/12/2000 55793,E10A180,00501,0300,06/12/2000 55793,S000000,00100,0200,05/30/2000 55793,S200000,00100,0100,149 WEST 22ND STREET 55793,S200000,00200,0100,ERIE 55793,S200000,00200,0200,PA 55793,S200000,00300,0100,ERIE 55793,S200000,00400,0100,LUTHERAN HOME FOR THE AGED 55793,S200000,00400,0200,395672 55793,S200000,00400,0300,07/16/1984 55793,S200000,00400,0500,P 55793,S200000,01600,0100,Y 55801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55801,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55801,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55801,A000000,00300,0000,00300EMPLOYEE BENEFITS 55801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55801,A000000,00700,0000,00700HOUSEKEEPING 55801,A000000,00800,0000,00800DIETARY 55801,A000000,00801,0000,00801CAFETERIA 55801,A000000,00900,0000,00900NURSING ADMINISTRATION 55801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55801,A000000,01100,0000,01100PHARMACY 55801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55801,A000000,01300,0000,01300SOCIAL SERVICE 55801,A000000,01350,0000,01500REC THERAPY 55801,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55801,A000000,01600,0000,01600SKILLED NURSING FACILITY 55801,A000000,01800,0000,01800NURSING FACILITY 55801,A000000,01810,0000,01810ICF/MR 55801,A000000,02100,0000,02100RADIOLOGY 55801,A000000,02200,0000,02200LABORATORY 55801,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55801,A000000,02500,0000,02500PHYSICAL THERAPY 55801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55801,A000000,02700,0000,02700SPEECH PATHOLOGY 55801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55801,A000000,03050,0000,03300PEN THERAPY 55801,A000000,03051,0000,03301FEE SCREENING 55801,A000000,03052,0000,03302OTHER ANCILLARY III 55801,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55801,A000000,03550,0000,03550FQHC 55801,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55801,A000000,05000,0000,05000CORF I 55801,A000000,05010,0000,05010CMHC I 55801,A000000,05020,0000,05020OPT I 55801,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55801,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55801,A000000,05300,0000,05300INTEREST EXPENSE 55801,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55801,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55801,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55801,B100000,00000,0100,00000(SQUARE FEET) 55801,B100000,00000,0101,00000(SQUARE FEET) 55801,B100000,00000,0200,00000(SQUARE FEET) 55801,B100000,00000,0201,00000(SQUARE FEET) 55801,B100000,00000,0300,00000(GROSS SALARIES) 55801,B100000,00000,0400,00000(ACCUM. COST) 55801,B100000,00000,0500,00000(SQUARE FEET) 55801,B100000,00000,0600,00000(PATIENT DAYS) 55801,B100000,00000,0700,00000(SQUARE FEET) 55801,B100000,00000,0800,00000(MEALS SERVED) 55801,B100000,00000,0801,00000(MEALS SERVED) 55801,B100000,00000,0900,00000(NURSING SALARIES) 55801,B100000,00000,1000,00000COST REQ 55801,B100000,00000,1100,00000(PATIENT DAYS) 55801,B100000,00000,1200,00000(PATIENT DAYS) 55801,B100000,00000,1300,00000(PATIENT DAYS) 55801,B100000,00000,1350,00000(PATIENT DAYS) 55801,B100000,00000,1400,00000(ASSIGNED TIME) 55801,S000000,00100,0200,05/30/2000 55801,S200000,00100,0100,1909 N. FRONT STREET 55801,S200000,00200,0100,HARRISBURG 55801,S200000,00200,0200,PA 55801,S200000,00300,0100,DAUPHIN 55801,S200000,00400,0100,SUSQUEHANNA CENTER 55801,S200000,00400,0200,395673 55801,S200000,00400,0300,08/02/1994 55801,S200000,00400,0500,P 55801,S200000,01600,0100,Y 55801,S200000,02200,0100,Y 55810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55810,A000000,00300,0000,00300EMPLOYEE BENEFITS 55810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55810,A000000,00700,0000,00700HOUSEKEEPING 55810,A000000,00800,0000,00800DIETARY 55810,A000000,00900,0000,00900NURSING ADMINISTRATION 55810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55810,A000000,01100,0000,01100PHARMACY 55810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55810,A000000,01300,0000,01300SOCIAL SERVICE 55810,A000000,01350,0000,01500OTHER GENERAL SERVICES 55810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55810,A000000,01600,0000,01600SKILLED NURSING FACILITY 55810,A000000,01810,0000,01810ICF/MR 55810,A000000,02500,0000,02500PHYSICAL THERAPY 55810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55810,A000000,02700,0000,02700SPEECH PATHOLOGY 55810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55810,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55810,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55810,A000000,03550,0000,03550FQHC 55810,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55810,A000000,05000,0000,05000CORF 55810,A000000,05010,0000,05010CMHC 55810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55810,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55810,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55810,A81000A,00100,0100,Y 55810,A81000B,00100,0300,CENTRAL ADMINISTRATION 55810,A81000B,00200,0300,CAPITAL RELATED HCFA-287 55810,A81000C,00100,0100,G 55810,A81000C,00100,0200,UNITED CHURCH OF CHST HMS 55810,A81000C,00100,0400,UCCH INC 55810,A81000C,00100,0600,CHURCH RELATED 55810,B100000,00000,0100,00000SQUARE FEET 55810,B100000,00000,0200,00000DOLLAR VALUE 55810,B100000,00000,0300,00000GROSS SALARIES 55810,B100000,00000,0400,00000ACCUM. COST 55810,B100000,00000,0500,00000SQUARE FEET 55810,B100000,00000,0600,00000POUNDS OF LAUNDRY 55810,B100000,00000,0700,00000PERCENT OF SE 55810,B100000,00000,0800,00000MEALS SERVED 55810,B100000,00000,0900,00000PERCENT NRSING HRS 55810,B100000,00000,1000,00000COSTED REQUIS 55810,B100000,00000,1100,00000COSTED REQUIS 55810,B100000,00000,1200,00000PERCENT TIME SPENT 55810,B100000,00000,1300,00000PERCENT TIME SPENT 55810,B100000,00000,1350,00000PERCENT TIME SPENT 55810,B100000,00000,1400,00000ASSIGNED TIME 55810,E10A180,00501,0100,05/31/2000 55810,E10A180,00550,0300,05/31/2000 55810,S000000,00100,0200,05/31/2000 55810,S200000,00100,0100,100 WEST SOUTH STREET 55810,S200000,00200,0100,CARLISLE 55810,S200000,00200,0200,PA 55810,S200000,00300,0100,CUMBERLAND 55810,S200000,00400,0100,SARAH TODD MEMORIAL HOME 55810,S200000,00400,0200,395677 55810,S200000,00400,0300,11/15/1984 55810,S200000,00400,0500,P 55810,S200000,01500,0100,Y 55810,S200000,02200,0100,Y 55819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55819,A000000,00300,0000,00300EMPLOYEE BENEFITS 55819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55819,A000000,00501,0000,00501PLANT SAL. & BEN. - SNF 55819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55819,A000000,00700,0000,00700HOUSEKEEPING 55819,A000000,00701,0000,00701HOUSEKEEPING SAL & BEN - SNF 55819,A000000,00800,0000,00800DIETARY 55819,A000000,00900,0000,00900NURSING ADMINISTRATION 55819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55819,A000000,01100,0000,01100PHARMACY 55819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55819,A000000,01300,0000,01300SOCIAL SERVICE 55819,A000000,01350,0000,01500ACTIVITIES 55819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55819,A000000,01600,0000,01600SKILLED NURSING FACILITY 55819,A000000,01810,0000,01810ICF/MR 55819,A000000,02100,0000,02100RADIOLOGY 55819,A000000,02200,0000,02200LABORATORY 55819,A000000,02500,0000,02500PHYSICAL THERAPY 55819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55819,A000000,02700,0000,02700SPEECH PATHOLOGY 55819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55819,A000000,03550,0000,03550FQHC 55819,A000000,05000,0000,05000CORF 55819,A000000,05010,0000,05010CMHC 55819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55819,A000000,05300,0000,05300INTEREST EXPENSE 55819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55819,A000000,06150,0000,06300APARTMENTS/ASSIST. LVNG 55819,A000000,06151,0000,06301NON ALLOWABLE MEALS 55819,B100000,00000,0100,00001SQUARE FEET 55819,B100000,00000,0200,00001SQUARE FEET 55819,B100000,00000,0300,00001GROSS SALARIES 55819,B100000,00000,0400,00001ACCUM COST 55819,B100000,00000,0500,00001SQUARE FEET 55819,B100000,00000,0501,00001(SQUARE FEET) 55819,B100000,00000,0600,00001POUNDS OF LAUNDRY 55819,B100000,00000,0700,00001HOURS OF SERVICE 55819,B100000,00000,0701,00001(HOURS OF SERVICE) 55819,B100000,00000,0800,00001MEALS SERVED 55819,B100000,00000,0900,00001DIRECT NRSG HRS 55819,B100000,00000,1000,00001COSTED REQUIS 55819,B100000,00000,1100,00001COSTED REQUIS 55819,B100000,00000,1200,00001TIME SPENT 55819,B100000,00000,1300,00001TIME SPENT 55819,B100000,00000,1350,00001(OTHER) 55819,B100000,00000,1400,00001ASSIGNED TIME 55819,E10A180,00501,0300,07/28/2000 55819,S000000,00100,0200,05/30/2000 55819,S200000,00100,0100,1900 RAVINE ROAD 55819,S200000,00200,0100,WILLIAMSPORT 55819,S200000,00200,0200,PA 55819,S200000,00200,0300,17701 55819,S200000,00300,0100,LYCOMING 55819,S200000,00400,0100,THE WILLIAMSPORT HOME 55819,S200000,00400,0200,395678 55819,S200000,00400,0300,01/01/1984 55819,S200000,00400,0500,P 55819,S200000,01500,0100,Y 55819,S200000,01900,0100,CORPORATION 55819,S200000,02200,0100,Y 55829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55829,A000000,00300,0000,00300EMPLOYEE BENEFITS 55829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55829,A000000,00700,0000,00700HOUSEKEEPING 55829,A000000,00800,0000,00800DIETARY 55829,A000000,00900,0000,00900NURSING ADMINISTRATION 55829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55829,A000000,01100,0000,01100PHARMACY 55829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55829,A000000,01300,0000,01300SOCIAL SERVICE 55829,A000000,01350,0000,01500ACTIVITIES 55829,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55829,A000000,01600,0000,01600SKILLED NURSING FACILITY 55829,A000000,01800,0000,01800NURSING FACILITY 55829,A000000,01810,0000,01810ICF/MR 55829,A000000,02100,0000,02100RADIOLOGY 55829,A000000,02200,0000,02200LABORATORY 55829,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55829,A000000,02500,0000,02500PHYSICAL THERAPY 55829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55829,A000000,02700,0000,02700SPEECH PATHOLOGY 55829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55829,A000000,03550,0000,03550FQHC 55829,A000000,05000,0000,05000CORF 55829,A000000,05010,0000,05010CMHC 55829,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55829,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55829,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55829,A81000A,00100,0100,Y 55829,A81000B,00100,0300,MANAGEMENT FEES 55829,A81000C,00100,0100,A 55829,A81000C,00100,0200,FRANCIS HAYMAN 55829,A81000C,00100,0400,PENN MED 55829,A81000C,00100,0600,HOME OFFICE 55829,A81000C,00200,0100,A 55829,A81000C,00200,0200,DRURY GALLAGHER 55829,A81000C,00200,0400,PENN MED 55829,A81000C,00200,0600,HOME OFFICE 55829,A81000C,00300,0100,A 55829,A81000C,00300,0200,JOHN HAYMAN 55829,A81000C,00300,0400,PENN MED 55829,A81000C,00300,0600,HOME OFFICE 55829,B100000,00000,0100,00000SQUARE FEET 55829,B100000,00000,0200,00000DOLLAR VALUE 55829,B100000,00000,0300,00000GROSS SALARIES 55829,B100000,00000,0400,00000ACCUM. COST 55829,B100000,00000,0500,00000SQUARE FEET 55829,B100000,00000,0600,00000POUNDS OF LAUNDRY 55829,B100000,00000,0700,00000SQUARE FEET 55829,B100000,00000,0800,00000MEALS SERVED 55829,B100000,00000,0900,00000DIRECT NRSING HRS 55829,B100000,00000,1000,00000PATIENT DAYS 55829,B100000,00000,1100,00000PATIENT DAYS 55829,B100000,00000,1200,00000PATIENT DAYS 55829,B100000,00000,1300,00000PATIENT DAYS 55829,B100000,00000,1350,00000PATIENT DAYS 55829,B100000,00000,1400,00000ASSIGNED TIME 55829,E10A180,00501,0100,06/22/2000 55829,E10A180,00501,0300,06/22/2000 55829,S000000,00100,0200,05/30/2000 55829,S200000,00100,0100,1198 W WYLE AVE 55829,S200000,00100,0300,1100 55829,S200000,00200,0100,WASHINGTON 55829,S200000,00200,0200,PA 55829,S200000,00200,0300,15301 55829,S200000,00300,0100,WASHINGTON 55829,S200000,00400,0100,KADE NURSING HOME 55829,S200000,00400,0200,395679 55829,S200000,00400,0300,09/01/1984 55829,S200000,00400,0500,P 55829,S200000,00600,0200,395679 55829,S200000,00600,0300,09/01/1984 55829,S200000,00600,0600,P 55829,S200000,01600,0100,Y 55829,S200000,02200,0100,Y 55829,S200000,04700,0100,Y 55835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55835,A000000,00300,0000,00300EMPLOYEE BENEFITS 55835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55835,A000000,00700,0000,00700HOUSEKEEPING 55835,A000000,00800,0000,00800DIETARY 55835,A000000,00900,0000,00900NURSING ADMINISTRATION 55835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55835,A000000,01100,0000,01100PHARMACY 55835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55835,A000000,01300,0000,01300SOCIAL SERVICE 55835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55835,A000000,01600,0000,01600SKILLED NURSING FACILITY 55835,A000000,01810,0000,01810ICF/MR 55835,A000000,01900,0000,01900OTHER LONG TERM CARE 55835,A000000,02100,0000,02100RADIOLOGY 55835,A000000,02200,0000,02200LABORATORY 55835,A000000,02500,0000,02500PHYSICAL THERAPY 55835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55835,A000000,02700,0000,02700SPEECH PATHOLOGY 55835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55835,A000000,03550,0000,03550FQHC 55835,A000000,05000,0000,05000CORF 55835,A000000,05010,0000,05010CMHC 55835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55835,A000000,05300,0000,05300INTEREST EXPENSE 55835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55835,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55835,A000000,06200,0000,06200PATIENTS LAUNDRY 55835,B100000,00000,0100,00000SQUARE FEET 55835,B100000,00000,0200,00000SQUARE FEET 55835,B100000,00000,0300,00000GROSS SALARIES 55835,B100000,00000,0400,00000ACCUM COST 55835,B100000,00000,0500,00000SQUARE FEET 55835,B100000,00000,0600,00000POUNDS OF LAUNDRY 55835,B100000,00000,0700,00000HOURS OF SERVICE 55835,B100000,00000,0800,00000MEALS SERVED 55835,B100000,00000,0900,00000DIRECT NRSG HRS 55835,B100000,00000,1000,00000COSTED REQUIS 55835,B100000,00000,1100,00000COSTED REQUIS 55835,B100000,00000,1200,00000TIME SPENT 55835,B100000,00000,1300,00000TIME SPENT 55835,B100000,00000,1400,00000ASSIGNED TIME 55835,S000000,00100,0200,04/10/2000 55835,S200000,00100,0100,ROAD #1 55835,S200000,00100,0300,626 55835,S200000,00200,0100,ANNVILLE 55835,S200000,00200,0200,PA 55835,S200000,00200,0300,17003 55835,S200000,00300,0100,LEBANON 55835,S200000,00400,0100,UNITED CHRISTIAN CHURCH HOME 55835,S200000,00400,0200,395681 55835,S200000,00400,0300,11/18/1984 55835,S200000,00400,0500,P 55835,S200000,01500,0100,Y 55843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55843,A000000,00300,0000,00300EMPLOYEE BENEFITS 55843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55843,A000000,00700,0000,00700HOUSEKEEPING 55843,A000000,00800,0000,00800DIETARY 55843,A000000,00900,0000,00900NURSING ADMINISTRATION 55843,A000000,00901,0000,00901ADMISSIONS 55843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55843,A000000,01100,0000,01100PHARMACY 55843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55843,A000000,01300,0000,01300SOCIAL SERVICE 55843,A000000,01350,0000,01500ACTIVITIES 55843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55843,A000000,01600,0000,01600SKILLED NURSING FACILITY 55843,A000000,01800,0000,01800NURSING FACILITY 55843,A000000,01810,0000,01810ICF/MR 55843,A000000,02100,0000,02100RADIOLOGY 55843,A000000,02200,0000,02200LABORATORY 55843,A000000,02300,0000,02300INTRAVENOUS THERAPY 55843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55843,A000000,02500,0000,02500PHYSICAL THERAPY 55843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55843,A000000,02700,0000,02700SPEECH PATHOLOGY 55843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55843,A000000,03550,0000,03550FQHC 55843,A000000,05000,0000,05000CORF 55843,A000000,05010,0000,05010CMHC 55843,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55843,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55843,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55843,A81000A,00100,0100,Y 55843,A81000B,00100,0300,HOME OFFICE COSTS 55843,A81000B,00200,0300,PHYSICAL THERAPY 55843,A81000B,00300,0300,OCCUPATIONAL THERAPY 55843,A81000B,00400,0300,SPEECH THERAPY 55843,A81000B,00500,0300,PRESCRIPTION DRUGS 55843,A81000B,00600,0300,OVER-THE-COUNTER DRUGS 55843,A81000B,00700,0300,PHARMACY SUPPLIES 55843,A81000B,00800,0300,DRUGS - CONSULTING 55843,A81000B,00900,0300,HOUSEKEEPING 55843,A81000B,01000,0300,INTRAVENOUS THERAPY 55843,A81000B,01100,0300,CENTRAL SUPPLY 55843,A81000B,01200,0300,SUPPLIES 55843,A81000B,01300,0300,SUPPLIES 55843,A81000B,01400,0300,SUPPLIES 55843,A81000B,01500,0300,SUPPLIES 55843,A81000B,01600,0300,SUPPLIES 55843,A81000B,01700,0300,SUPPLIES 55843,A81000B,01800,0300,SUPPLIES 55843,A81000B,01900,0300,SUPPLIES 55843,A81000B,02000,0300,SUPPLIES 55843,A81000C,00100,0100,A 55843,A81000C,00100,0200,ROSS NESE 55843,A81000C,00100,0400,GRANE HEALTH- 55843,A81000C,00100,0600,MANAGEMENT 55843,A81000C,00200,0400,CARE 55843,A81000C,00200,0600,COMPANY 55843,A81000C,00300,0100,A 55843,A81000C,00300,0200,RICHARD GRAC- 55843,A81000C,00400,0200,IANO SR. 55843,A81000C,00500,0100,A 55843,A81000C,00500,0200,RICHARD GRAC- 55843,A81000C,00600,0200,IANO JR. 55843,A81000C,00700,0100,A 55843,A81000C,00700,0200,DAVID GRAC- 55843,A81000C,00800,0200,IANO 55843,A81000C,01000,0100,A 55843,A81000C,01000,0200,SAME AS GRANE 55843,A81000C,01000,0400,GRANE SUPPLY 55843,A81000C,01000,0600,DRUGS & MED SUP 55843,A81000C,01100,0100,A 55843,A81000C,01100,0200,HEALTHCARE 55843,A81000C,01200,0100,A 55843,A81000C,01200,0200,RICHARD 55843,A81000C,01200,0400,GMS CORP 55843,A81000C,01200,0600,ADMIN SVCS 55843,A81000C,01300,0100,A 55843,A81000C,01300,0200,GRACIANO JR. 55843,A81000C,01400,0100,A 55843,A81000C,01400,0200,DAVID GRACIANO 55843,A81000C,01400,0400,GMS CORP 55843,A81000C,01400,0600,ADMIN SVCS 55843,A81000C,01500,0100,A 55843,A81000C,01500,0200,SAME AS GRANE 55843,A81000C,01500,0400,GRANE ASSOC 55843,A81000C,01500,0600,LEGAL FEES 55843,A81000C,01600,0100,A 55843,A81000C,01600,0200,HEALTHCARE 55843,A81000C,01700,0100,A 55843,A81000C,01700,0200,RICHARD 55843,A81000C,01700,0400,GRANE REHAB 55843,A81000C,01700,0600,REHAB 55843,A81000C,01800,0100,A 55843,A81000C,01800,0200,GRACIANO SR. 55843,A81000C,01800,0600,(PT ST OT) 55843,A81000C,01900,0100,A 55843,A81000C,01900,0200,RICHARD 55843,A81000C,01900,0400,GRANE REHAB 55843,A81000C,01900,0600,REHAB 55843,A81000C,02000,0100,A 55843,A81000C,02000,0200,GRACIANO JR. 55843,A81000C,02000,0600,(PT ST OT) 55843,A81000C,02100,0100,A 55843,A81000C,02100,0200,DAVID GRACIANO 55843,A81000C,02100,0400,GRANE REHAB 55843,A81000C,02100,0600,REHAB 55843,A81000C,02200,0100,A 55843,A81000C,02200,0600,(PT ST OT) 55843,A81000C,02300,0100,A 55843,A81000C,02300,0200,ROSS NESE 55843,A81000C,02300,0400,GRANE REHAB 55843,A81000C,02300,0600,REHAB 55843,A81000C,02400,0100,A 55843,A81000C,02400,0600,(PT ST OT) 55843,A81000C,02500,0100,A 55843,A81000C,02500,0200,GRANE REHAB 55843,A81000C,02500,0400,GRANE REHAB 55843,A81000C,02500,0600,REHAB 55843,A81000C,02600,0100,A 55843,A81000C,02600,0200,INC. 55843,A81000C,02600,0600,(PT ST OT) 55843,A81000C,02700,0100,A 55843,A81000C,02700,0200,SAME AS GRANE 55843,A81000C,02700,0400,TRADE CONSTRUCT 55843,A81000C,02700,0600,BUILDING IMP 55843,A81000C,02800,0100,A 55843,A81000C,02800,0200,HEALTHCARE 55843,B100000,00000,0100,00000SQUARE FEET 55843,B100000,00000,0200,00000SQUARE FEET 55843,B100000,00000,0300,00000GROSS SALARIES 55843,B100000,00000,0400,00000ACCUM. COST 55843,B100000,00000,0500,00000SQUARE FEET 55843,B100000,00000,0600,00000POUNDS OF LAUNDRY 55843,B100000,00000,0700,00000SQUARE FEET 55843,B100000,00000,0800,00000MEALS SERVED 55843,B100000,00000,0900,00000DIRECT NRSING HRS 55843,B100000,00000,0901,00000ADMISSIONS 55843,B100000,00000,1000,00000COSTED REQUIS. 55843,B100000,00000,1100,00000COSTED REQUIS. 55843,B100000,00000,1200,00000DIRECT NUR HOURS 55843,B100000,00000,1300,00000PATIENT DA 55843,B100000,00000,1350,00000OTHER 55843,B100000,00000,1400,00000ASSIGNED TIME 55843,E10A180,00301,0100,03/27/2000 55843,E10A180,00301,0300,03/27/2000 55843,E10A180,00501,0100,06/19/2000 55843,E10A180,00501,0300,06/19/2000 55843,S000000,00100,0200,05/25/2000 55843,S200000,00100,0100,900 THIRD AVENUE 55843,S200000,00200,0100,BEAVER FALLS 55843,S200000,00200,0200,PA 55843,S200000,00200,0300,15010 55843,S200000,00300,0100,BEAVER 55843,S200000,00400,0100,PROVIDENCE HEALTH CARE CENTER 55843,S200000,00400,0200,395682 55843,S200000,00400,0300,11/30/1990 55843,S200000,00400,0500,P 55843,S200000,00600,0200,395682 55843,S200000,00600,0300,11/30/1990 55843,S200000,00600,0600,P 55843,S200000,01600,0100,Y 55843,S200000,02200,0100,Y 55843,S200000,04700,0100,Y 55853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55853,A000000,00300,0000,00300EMPLOYEE BENEFITS 55853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55853,A000000,00700,0000,00700HOUSEKEEPING 55853,A000000,00800,0000,00800DIETARY 55853,A000000,00900,0000,00900NURSING ADMINISTRATION 55853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55853,A000000,01100,0000,01100PHARMACY 55853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55853,A000000,01300,0000,01300SOCIAL SERVICE 55853,A000000,01350,0000,01500PATIENT ACTIVITIES 55853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55853,A000000,01600,0000,01600SKILLED NURSING FACILITY 55853,A000000,01800,0000,01800NURSING FACILITY 55853,A000000,01810,0000,01810ICF/MR 55853,A000000,02500,0000,02500PHYSICAL THERAPY 55853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55853,A000000,02700,0000,02700SPEECH PATHOLOGY 55853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55853,A000000,03550,0000,03550FQHC 55853,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55853,A000000,05000,0000,05000CORF 55853,A000000,05010,0000,05010CMHC 55853,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55853,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55853,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55853,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 55853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55853,A81000A,00100,0100,Y 55853,A81000B,00100,0300,MANAGEMENT FEES 55853,A81000C,00100,0100,A 55853,A81000C,00100,0200,AMCARE MANAGMENT SERVICES 55853,A81000C,00100,0400,AMCARE MANAGEMENT SERVICE 55853,A81000C,00100,0600,MANAGEMENT COMPANY 55853,B100000,00000,0100,00000SQUARE FEET 55853,B100000,00000,0200,00000DOLLAR VALUE 55853,B100000,00000,0300,00000GROSS SALARIES 55853,B100000,00000,0400,00000ACCUM. COST 55853,B100000,00000,0500,00000SQUARE FEET 55853,B100000,00000,0600,00000PATIENT DAYS 55853,B100000,00000,0700,00000SQ FT EXCL 55853,B100000,00000,0800,00000MEALS SERVED 55853,B100000,00000,0900,00000PATIENT DAYS 55853,B100000,00000,1000,00000PATIENT DAYS 55853,B100000,00000,1100,00000PATIENT DAYS 55853,B100000,00000,1200,00000TIME SPENT 55853,B100000,00000,1300,00000PATIENT DAYS 55853,B100000,00000,1350,00000PATIENT DAYS 55853,B100000,00000,1400,00000ASSIGNED TIME 55853,E10A180,00301,0100,06/12/1998 55853,E10A180,00301,0300,06/12/1998 55853,E10A180,00501,0300,06/30/1999 55853,E10A180,00550,0100,06/30/1999 55853,S000000,00100,0200,06/30/1999 55853,S200000,00100,0100,MAIN STREET 55853,S200000,00100,0300,10 55853,S200000,00200,0100,LAPORTE 55853,S200000,00200,0200,PA 55853,S200000,00200,0300,18626 55853,S200000,00300,0100,SULLIVAN 55853,S200000,00400,0100,THE HIGHLANDS CARE CENTER 55853,S200000,00400,0200,395683 55853,S200000,00400,0300,01/01/1986 55853,S200000,00400,0500,P 55853,S200000,01600,0100,Y 55863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55863,A000000,00300,0000,00300EMPLOYEE BENEFITS 55863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55863,A000000,00700,0000,00700HOUSEKEEPING 55863,A000000,00800,0000,00800DIETARY 55863,A000000,00900,0000,00900NURSING ADMINISTRATION 55863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55863,A000000,01100,0000,01100PHARMACY 55863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55863,A000000,01300,0000,01300SOCIAL SERVICE 55863,A000000,01350,0000,01500OTHER GENERAL SERVICES 55863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55863,A000000,01600,0000,01600SKILLED NURSING FACILITY 55863,A000000,01810,0000,01810ICF/MR 55863,A000000,01900,0000,01900OTHER LONG TERM CARE 55863,A000000,02100,0000,02100RADIOLOGY 55863,A000000,02200,0000,02200LABORATORY 55863,A000000,02300,0000,02300INTRAVENOUS THERAPY 55863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55863,A000000,02500,0000,02500PHYSICAL THERAPY 55863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55863,A000000,02700,0000,02700SPEECH PATHOLOGY 55863,A000000,02800,0000,02800ELECTROCARDIOLOGY 55863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55863,A000000,03550,0000,03550FQHC 55863,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 55863,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 55863,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 55863,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 55863,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 55863,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 55863,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 55863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55863,A000000,05000,0000,05000CORF 55863,A000000,05010,0000,05010CMHC 55863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55863,B100000,00000,0100,00000SQUARE FEET 55863,B100000,00000,0200,00000NO STATISTICS 55863,B100000,00000,0300,00000GROSS SALARIES 55863,B100000,00000,0400,00000ACCUM. COST 55863,B100000,00000,0500,00000SQUARE FEET 55863,B100000,00000,0600,00000POUNDS OF LAUNDRY 55863,B100000,00000,0700,00000SQUARE FEET 55863,B100000,00000,0800,00000MEALS SERVED 55863,B100000,00000,0900,00000DIRECT NRSG HRS 55863,B100000,00000,1000,00000NO STATISTICS 55863,B100000,00000,1100,00000NO STATISTICS 55863,B100000,00000,1200,00000TIME SPENT 55863,B100000,00000,1300,00000TIME SPENT 55863,B100000,00000,1350,00000TIME SPENT 55863,B100000,00000,1400,00000TIME SPENT 55863,E10A180,00501,0100,12/08/2000 55863,E10A180,00501,0300,12/08/2000 55863,H510100,00000,0000,6280 55863,H510100,02400,0000,6280 55863,S000000,00100,0200,11/30/2000 55863,S200000,00100,0100,615 NORTH PIKE ROAD 55863,S200000,00200,0100,CABOT 55863,S200000,00200,0200,PA 55863,S200000,00200,0300,16023 55863,S200000,00400,0100,CONCORDIA LUTHERAN MINISTRIES 55863,S200000,00400,0200,395684 55863,S200000,00400,0300,01/01/1966 55863,S200000,00400,0500,P 55863,S200000,00800,0200,397717 55863,S200000,00800,0300,05/28/1998 55863,S200000,00800,0500,P 55863,S200000,01020,0200,396756 55863,S200000,01020,0300,05/01/1998 55863,S200000,01020,0500,O 55863,S200000,01500,0100,Y 55863,S200000,01700,0100,Y 55863,S200000,02200,0100,Y 55863,S200000,02800,0100,Y 55871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55871,A000000,00300,0000,00300EMPLOYEE BENEFITS 55871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55871,A000000,00700,0000,00700HOUSEKEEPING 55871,A000000,00800,0000,00800DIETARY 55871,A000000,00900,0000,00900NURSING ADMINISTRATION 55871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55871,A000000,01100,0000,01100PHARMACY 55871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55871,A000000,01300,0000,01300SOCIAL SERVICE 55871,A000000,01350,0000,01500OTHER GENERAL SERVICES 55871,A000000,01351,0000,01501PASTORAL CARE 55871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55871,A000000,01600,0000,01600SKILLED NURSING FACILITY 55871,A000000,01800,0000,01800NURSING FACILITY 55871,A000000,01810,0000,01810ICF/MR 55871,A000000,02100,0000,02100RADIOLOGY 55871,A000000,02200,0000,02200LABORATORY 55871,A000000,02500,0000,02500PHYSICAL THERAPY 55871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55871,A000000,02700,0000,02700SPEECH PATHOLOGY 55871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55871,A000000,03051,0000,03301ENTERAL FEEDING COSTS 55871,A000000,03200,0000,03200SUPPORT SURFACES 55871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55871,A000000,03550,0000,03550FQHC 55871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55871,A000000,05000,0000,05000CORF 55871,A000000,05010,0000,05010CMHC 55871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55871,A000000,06151,0000,06301DEVELOPMENT OFFICE/NONREIMBURSE 55871,A81000A,00100,0100,Y 55871,A81000B,00100,0300,SALARIES 55871,A81000B,00200,0300,SALARIES 55871,A81000B,00300,0300,SALARIES 55871,A81000B,00400,0300,SALARIES 55871,A81000B,00500,0300,SALARIES 55871,A81000C,00100,0100,G 55871,A81000C,00100,0200,FELICIAN SISTERS 55871,A81000C,00100,0400,CONGRGATION OF SISTERS OF 55871,A81000C,00200,0100,G 55871,A81000C,00200,0400,ST. FELIX 55871,B100000,00000,0100,00001SQUARE FEET 55871,B100000,00000,0200,00001SQUARE FEET 55871,B100000,00000,0300,00001GROSS SALARIES 55871,B100000,00000,0400,00001ACCUM. COST 55871,B100000,00000,0500,00001SQUARE FEET 55871,B100000,00000,0600,00001POUNDS OF LAUNDRY 55871,B100000,00000,0700,00001HOURS OF SERVICE 55871,B100000,00000,0800,00001MEALS SERVED 55871,B100000,00000,0900,00001DIRECT NRSING HRS 55871,B100000,00000,1000,00001COSTED REQUIS. 55871,B100000,00000,1100,00001COSTED REQUIS. 55871,B100000,00000,1200,00001TIME SPENT 55871,B100000,00000,1300,00001TIME SPENT 55871,B100000,00000,1350,00001NO STATISTICS 55871,B100000,00000,1351,00001PATIENT DAYS 55871,B100000,00000,1400,00001ASSIGNED TIME 55871,E10A180,00301,0100,08/02/2000 55871,E10A180,00501,0100,12/29/2000 55871,S000000,00100,0200,11/28/2000 55871,S200000,00100,0100,4401 HAVERFORD AVENUE 55871,S200000,00200,0100,PHILADELPHIA 55871,S200000,00200,0200,PA 55871,S200000,00200,0300,19104 55871,S200000,00300,0100,P 55871,S200000,00400,0100,ST. IGNATIUS NURSING HOME 55871,S200000,00400,0200,395686 55871,S200000,00400,0300,12/18/1994 55871,S200000,00400,0500,P 55871,S200000,01600,0100,Y 55892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55892,A000000,00101,0000,00101CAP REL COSTS - EAST WING 55892,A000000,00102,0000,00102CAP REL COSTS - NORTH/SOUTH/CEN 55892,A000000,00103,0000,00103CAP REL COSTS - ENTIRE 55892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55892,A000000,00300,0000,00300EMPLOYEE BENEFITS 55892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55892,A000000,00700,0000,00700HOUSEKEEPING 55892,A000000,00800,0000,00800DIETARY 55892,A000000,00900,0000,00900NURSING ADMINISTRATION 55892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55892,A000000,01100,0000,01100PHARMACY 55892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55892,A000000,01300,0000,01300SOCIAL SERVICE 55892,A000000,01350,0000,01500PATIENT ACTIVITIES 55892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55892,A000000,01600,0000,01600SKILLED NURSING FACILITY 55892,A000000,01810,0000,01810ICF/MR 55892,A000000,02100,0000,02100RADIOLOGY 55892,A000000,02200,0000,02200LABORATORY 55892,A000000,02300,0000,02300INTRAVENOUS THERAPY 55892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55892,A000000,02500,0000,02500PHYSICAL THERAPY 55892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55892,A000000,02700,0000,02700SPEECH PATHOLOGY 55892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55892,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 55892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55892,A000000,03550,0000,03550FQHC 55892,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55892,A000000,05000,0000,05000CORF 55892,A000000,05010,0000,05010CMHC 55892,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55892,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55892,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55892,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55892,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 55892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55892,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55892,A81000A,00100,0100,Y 55892,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 55892,A81000C,00100,0100,A 55892,A81000C,00100,0200,HARDIE A. BELOFF 55892,A81000C,00100,0400,SPROUL MANOR PRTSHP 55892,A81000C,00100,0600,RE PRTSHP 55892,A81000C,00200,0100,A 55892,A81000C,00200,0200,LELAND BELOFF 55892,A81000C,00200,0400,SAME AS 1 55892,A81000C,00200,0600,SAME AS 1 55892,B100000,00000,0100,00000SQ FT ENTIRE 55892,B100000,00000,0101,00000SQ FT EAST WING 55892,B100000,00000,0102,00000SQ FT N/S CENTRA 55892,B100000,00000,0103,00000SQ FT ENTIRE 55892,B100000,00000,0200,00000SQ FT ENTIRE 55892,B100000,00000,0300,00000GROSS SALARIES 55892,B100000,00000,0400,00000ACCUM. COST 55892,B100000,00000,0500,00000SQ FT ENTIRE 55892,B100000,00000,0600,00000POUNDS OF LAUNDRY 55892,B100000,00000,0700,00000SQ FT EXCL DIETA 55892,B100000,00000,0800,00000MEALS SERVED 55892,B100000,00000,0900,00000TIME SPENT 55892,B100000,00000,1000,00000COSTED REQUIS. 55892,B100000,00000,1100,00000COSTED REQUIS. 55892,B100000,00000,1200,00000GROSS REVENUE 55892,B100000,00000,1300,00000TIME SPENT 55892,B100000,00000,1350,00000TIME SPENT 55892,B100000,00000,1400,00000ASSIGNED TIME 55892,E10A180,00501,0100,12/13/2000 55892,E10A180,00501,0300,12/13/2000 55892,S000000,00100,0200,11/29/2000 55892,S200000,00100,0100,463 W. SPROUL ROAD 55892,S200000,00200,0100,SPRINGFIELD 55892,S200000,00200,0200,PA 55892,S200000,00200,0300,19064 55892,S200000,00300,0100,DELAWARE 55892,S200000,00400,0100,HARLEE MANOR 55892,S200000,00400,0200,395690 55892,S200000,00400,0300,01/15/1985 55892,S200000,00400,0500,P 55892,S200000,01500,0100,Y 55892,S200000,04300,0100,Y 55902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55902,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 55902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55902,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 55902,A000000,00300,0000,00300EMPLOYEE BENEFITS 55902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55902,A000000,00700,0000,00700HOUSEKEEPING 55902,A000000,00800,0000,00800DIETARY 55902,A000000,00801,0000,00801CAFETERIA 55902,A000000,00900,0000,00900NURSING ADMINISTRATION 55902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55902,A000000,01100,0000,01100PHARMACY 55902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55902,A000000,01300,0000,01300SOCIAL SERVICE 55902,A000000,01350,0000,01500REC THERAPY 55902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55902,A000000,01600,0000,01600SKILLED NURSING FACILITY 55902,A000000,01800,0000,01800NURSING FACILITY 55902,A000000,01810,0000,01810ICF/MR 55902,A000000,02100,0000,02100RADIOLOGY 55902,A000000,02200,0000,02200LABORATORY 55902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55902,A000000,02500,0000,02500PHYSICAL THERAPY 55902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55902,A000000,02700,0000,02700SPEECH PATHOLOGY 55902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55902,A000000,03050,0000,03300PEN THERAPY 55902,A000000,03051,0000,03301FEE SCREENING 55902,A000000,03052,0000,03302OTHER ANCILLARY III 55902,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 55902,A000000,03550,0000,03550FQHC 55902,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55902,A000000,04800,0000,04800AMBULANCE 55902,A000000,05000,0000,05000CORF I 55902,A000000,05010,0000,05010CMHC I 55902,A000000,05020,0000,05020OPT I 55902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55902,A000000,05300,0000,05300INTEREST EXPENSE 55902,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 55902,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 55902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55902,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55902,A81000A,00100,0100,Y 55902,A81000B,00100,0300,HOME OFFICE 55902,A81000B,00200,0300,HOME OFFICE-CAPITAL 55902,A81000B,00300,0300,AS ATTACHED 55902,A81000C,00100,0100,B 55902,A81000C,00100,0200,GENESIS HEALTH 55902,A81000C,00200,0100,B 55902,A81000C,00200,0200,GENESIS HEALTH 55902,A81000C,00300,0100,B 55902,A81000C,00300,0400,AS ATTACHED 55902,A81000C,00300,0600,VARIOUS 55902,B100000,00000,0100,00000(SQUARE FEET) 55902,B100000,00000,0101,00000(SQUARE FEET) 55902,B100000,00000,0200,00000(SQUARE FEET) 55902,B100000,00000,0201,00000(SQUARE FEET) 55902,B100000,00000,0300,00000(GROSS SALARIES) 55902,B100000,00000,0400,00000(ACCUM. COST) 55902,B100000,00000,0500,00000(SQUARE FEET) 55902,B100000,00000,0600,00000(PATIENT DAYS) 55902,B100000,00000,0700,00000(SQUARE FEET) 55902,B100000,00000,0800,00000(MEALS SERVED) 55902,B100000,00000,0801,00000(MEALS SERVED) 55902,B100000,00000,0900,00000(NURSING SALARIES) 55902,B100000,00000,1000,00000(PATIENT DAYS) 55902,B100000,00000,1100,00000(PATIENT DAYS) 55902,B100000,00000,1200,00000(PATIENT DAYS) 55902,B100000,00000,1300,00000(PATIENT DAYS) 55902,B100000,00000,1350,00000(PATIENT DAYS) 55902,B100000,00000,1400,00000(ASSIGNED TIME) 55902,E10A180,00501,0100,03/21/2000 55902,E10A180,00501,0300,03/21/2000 55902,S000000,00100,0200,02/28/2000 55902,S200000,00100,0100,440 NORTH RIVER STREET 55902,S200000,00200,0100,WILKES-BARRE 55902,S200000,00200,0200,PA 55902,S200000,00300,0100,LUZERNE 55902,S200000,00400,0100,RIVERSTREET MANOR 55902,S200000,00400,0200,395691 55902,S200000,00400,0300,06/01/1986 55902,S200000,00400,0500,P 55902,S200000,01600,0100,Y 55902,S200000,02200,0100,Y 55902,S200000,04700,0100,Y 55913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55913,A000000,00300,0000,00300EMPLOYEE BENEFITS 55913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55913,A000000,00700,0000,00700HOUSEKEEPING 55913,A000000,00800,0000,00800DIETARY 55913,A000000,00900,0000,00900NURSING ADMINISTRATION 55913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55913,A000000,01100,0000,01100PHARMACY 55913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55913,A000000,01300,0000,01300SOCIAL SERVICE 55913,A000000,01350,0000,01500OTHER GENERAL SERVICES 55913,A000000,01351,0000,01501ACTIVITIES 55913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55913,A000000,01600,0000,01600SKILLED NURSING FACILITY 55913,A000000,01800,0000,01800NURSING FACILITY 55913,A000000,01810,0000,01810ICF/MR 55913,A000000,01900,0000,01900OTHER LONG TERM CARE 55913,A000000,02100,0000,02100RADIOLOGY 55913,A000000,02200,0000,02200LABORATORY 55913,A000000,02500,0000,02500PHYSICAL THERAPY 55913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55913,A000000,02700,0000,02700SPEECH PATHOLOGY 55913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55913,A000000,03550,0000,03550FQHC 55913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55913,A000000,05000,0000,05000CORF 55913,A000000,05010,0000,05010CMHC 55913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55913,A000000,05300,0000,05300INTEREST EXPENSE 55913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55913,B100000,00000,0100,00000(SQUARE FEET) 55913,B100000,00000,0200,00000(SQUARE FEET) 55913,B100000,00000,0300,00000(GROSS SALARIES) 55913,B100000,00000,0400,00000(ACCUM. COST) 55913,B100000,00000,0500,00000(SQUARE FEET) 55913,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 55913,B100000,00000,0700,00000(SQUARE FEET) 55913,B100000,00000,0800,00000(MEALS SERVED) 55913,B100000,00000,0900,00000(PATIENT DAYS) 55913,B100000,00000,1000,00000(COSTED REQUIS.) 55913,B100000,00000,1100,00000(COSTED REQUIS.) 55913,B100000,00000,1200,00000(PATIENT DAYS) 55913,B100000,00000,1300,00000(PATIENT DAYS) 55913,B100000,00000,1350,00000NO STATISTICS 55913,B100000,00000,1351,00000(PATIENT DAYS) 55913,B100000,00000,1400,00000(ASSIGNED TIME) 55913,E10A180,00501,0100,12/01/2000 55913,E10A180,00502,0300,12/01/2000 55913,S000000,00100,0200,11/20/2000 55913,S200000,00100,0100,90 HUMBERT LANE 55913,S200000,00200,0100,WASHINGTON 55913,S200000,00200,0200,PA 55913,S200000,00200,0300,15301 55913,S200000,00400,0100,HUMBERT LANE HEALTH CARE 55913,S200000,00400,0200,395692 55913,S200000,00400,0300,08/01/1983 55913,S200000,00400,0500,P 55913,S200000,01600,0100,Y 55922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55922,A000000,00300,0000,00300EMPLOYEE BENEFITS 55922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55922,A000000,00700,0000,00700HOUSEKEEPING 55922,A000000,00800,0000,00800DIETARY 55922,A000000,00900,0000,00900NURSING ADMINISTRATION 55922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55922,A000000,01100,0000,01100PHARMACY 55922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55922,A000000,01300,0000,01300SOCIAL SERVICE 55922,A000000,01301,0000,01301PATIENT ACTIVITIES 55922,A000000,01350,0000,01500OTHER GENERAL SERVICES 55922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55922,A000000,01600,0000,01600SKILLED NURSING FACILITY 55922,A000000,01810,0000,01810ICF/MR 55922,A000000,02100,0000,02100RADIOLOGY 55922,A000000,02200,0000,02200LABORATORY 55922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55922,A000000,02500,0000,02500PHYSICAL THERAPY 55922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55922,A000000,02700,0000,02700SPEECH PATHOLOGY 55922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55922,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 55922,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55922,A000000,03550,0000,03550FQHC 55922,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55922,A000000,05000,0000,05000CORF 55922,A000000,05010,0000,05010CMHC 55922,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55922,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55922,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55922,A000000,05300,0000,05300INTEREST EXPENSE 55922,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55922,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55922,A81000A,00100,0100,Y 55922,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 55922,A81000C,00100,0100,C 55922,A81000C,00100,0200,WOODLAND RETIREMENT CTR 55922,A81000C,00100,0400,PH OF THE PRESBYTERY OF 55922,A81000C,00100,0600,HOME OFFICE 55922,A81000C,00200,0400,HUNTINGDON COUNTY 55922,B100000,00000,0100,00000SQUARE FEET 55922,B100000,00000,0200,00000SQUARE FEET 55922,B100000,00000,0300,00000ACCUM. COST 55922,B100000,00000,0400,00000ACCUM. COST 55922,B100000,00000,0500,00000SQUARE FEET 55922,B100000,00000,0600,00000POUNDS OF LAUNDRY 55922,B100000,00000,0700,00000HOURS OF SERVICE 55922,B100000,00000,0800,00000MEALS SERVED 55922,B100000,00000,0900,00000DIRECT NRSING HRS 55922,B100000,00000,1000,00000COSTED REQUIS. 55922,B100000,00000,1100,00000COSTED REQUIS. 55922,B100000,00000,1200,00000DIRECT NRSING HRS 55922,B100000,00000,1300,00000PATIENT DAYS 55922,B100000,00000,1301,00000PATIENT DAYS 55922,B100000,00000,1350,00000PATIENT DAYS 55922,B100000,00000,1400,00000PATIENT DAYS 55922,E10A180,00501,0100,04/25/2000 55922,E10A180,00502,0300,10/12/2001 55922,E10A180,00550,0100,10/12/2001 55922,S000000,00100,0200,04/18/2000 55922,S200000,00100,0300,280 55922,S200000,00200,0100,ORBISONIA 55922,S200000,00200,0200,PA 55922,S200000,00300,0100,HUNTINGTON 55922,S200000,00400,0100,WOODLAND RETIREMENT CENTER 55922,S200000,00400,0200,395697 55922,S200000,00400,0300,04/14/1985 55922,S200000,00400,0500,P 55922,S200000,01500,0100,Y 55931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55931,A000000,00300,0000,00300EMPLOYEE BENEFITS 55931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55931,A000000,00700,0000,00700HOUSEKEEPING 55931,A000000,00800,0000,00800DIETARY 55931,A000000,00900,0000,00900NURSING ADMINISTRATION 55931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55931,A000000,01100,0000,01100PHARMACY 55931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55931,A000000,01300,0000,01300SOCIAL SERVICE 55931,A000000,01350,0000,01500PATIENT ACTIVITIES 55931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55931,A000000,01600,0000,01600SKILLED NURSING FACILITY 55931,A000000,01810,0000,01810ICF/MR 55931,A000000,02100,0000,02100RADIOLOGY 55931,A000000,02200,0000,02200LABORATORY 55931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55931,A000000,02500,0000,02500PHYSICAL THERAPY 55931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55931,A000000,02700,0000,02700SPEECH PATHOLOGY 55931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55931,A000000,02901,0000,02901CLINITRON BEDS 55931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55931,A000000,03550,0000,03550FQHC 55931,A000000,05000,0000,05000CORF 55931,A000000,05010,0000,05010CMHC 55931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55931,A81000A,00100,0100,Y 55931,A81000B,00100,0300,H.O. COSTS - OPERATING 55931,A81000B,00200,0300,H.O. COSTS - CAPITAL 55931,A81000B,00300,0300,MOVEABLE EQUIPMENT 55931,A81000B,00400,0300,EMPLOYEE BENEFITS 55931,A81000B,00500,0300,GENERAL & ADMINISTRATIVE 55931,A81000B,00600,0300,PLANT OPER MAINT AND REPAIR 55931,A81000B,00700,0300,HOUSEKEEPING 55931,A81000B,00800,0300,DIETARY 55931,A81000B,00900,0300,CENTRAL SERVICES 55931,A81000B,01000,0300,PHARMACY 55931,A81000B,01100,0300,MEDICAL RECORDS 55931,A81000B,01200,0300,OXYGEN 55931,A81000B,01300,0300,PHYSICAL THERAPY 55931,A81000B,01400,0300,MEDICAL SUPPLIES 55931,A81000B,01500,0300,DRUGS 55931,A81000C,00100,0100,B 55931,A81000C,00100,0400,HCF INC. 55931,A81000C,00100,0600,HOME OFFICE 55931,A81000C,00200,0100,B 55931,A81000C,00200,0400,HCF INC. 55931,A81000C,00200,0600,HOME OFFICE 55931,A81000C,00300,0100,A 55931,A81000C,00300,0200,UNVERFERTH FAMILY 55931,A81000C,00300,0400,ICP INC. 55931,A81000C,00300,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00400,0100,A 55931,A81000C,00400,0200,UNVERFERTH FAMILY 55931,A81000C,00400,0400,ICP INC. 55931,A81000C,00400,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00500,0100,A 55931,A81000C,00500,0200,UNVERFERTH FAMILY 55931,A81000C,00500,0400,ICP INC. 55931,A81000C,00500,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00600,0100,A 55931,A81000C,00600,0200,UNVERFERTH FAMILY 55931,A81000C,00600,0400,ICP INC. 55931,A81000C,00600,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00700,0100,A 55931,A81000C,00700,0200,UNVERFERTH FAMILY 55931,A81000C,00700,0400,ICP INC. 55931,A81000C,00700,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00800,0100,A 55931,A81000C,00800,0200,UNVERFERTH FAMILY 55931,A81000C,00800,0400,ICP INC. 55931,A81000C,00800,0600,INSTITUTIONAL PHARMACY 55931,A81000C,00900,0100,A 55931,A81000C,00900,0200,UNVERFERTH FAMILY 55931,A81000C,00900,0400,ICP INC. 55931,A81000C,00900,0600,INSTITUTIONAL PHARMACY 55931,B100000,00000,0100,00000SQUARE FEET 55931,B100000,00000,0200,00000SQUARE FEET 55931,B100000,00000,0300,00000GROSS SALARIES 55931,B100000,00000,0400,00000ACCUM. COST 55931,B100000,00000,0500,00000SQUARE FEET 55931,B100000,00000,0600,00000PATIENT DAYS 55931,B100000,00000,0700,00000SQFT EXCL DIETARY 55931,B100000,00000,0800,00000MEALS SERVED 55931,B100000,00000,0900,00000NURSING SALARIES 55931,B100000,00000,1000,00000COSTED REQUIS. 55931,B100000,00000,1100,00000COSTED REQUIS. 55931,B100000,00000,1200,00000PATIENT DAYS 55931,B100000,00000,1300,00000PATIENT DAYS 55931,B100000,00000,1350,00000PATIENT DAYS 55931,B100000,00000,1400,00000NO STATISTICS 55931,E10A180,00501,0100,06/05/2000 55931,E10A180,00501,0300,06/05/2000 55931,S000000,00100,0200,05/24/2000 55931,S200000,00100,0100,1028 EAST SECOND STREET 55931,S200000,00200,0100,COUDERSPORT 55931,S200000,00200,0200,PA 55931,S200000,00300,0100,POTTER 55931,S200000,00400,0100,SWEDEN VALLEY MANOR 55931,S200000,00400,0200,395699 55931,S200000,00400,0300,05/01/1985 55931,S200000,00400,0500,P 55931,S200000,01500,0100,Y 55931,S200000,04700,0100,Y 55940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55940,A000000,00300,0000,00300EMPLOYEE BENEFITS 55940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55940,A000000,00700,0000,00700HOUSEKEEPING 55940,A000000,00800,0000,00800DIETARY 55940,A000000,00900,0000,00900NURSING ADMINISTRATION 55940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55940,A000000,01100,0000,01100PHARMACY 55940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55940,A000000,01300,0000,01300SOCIAL SERVICE 55940,A000000,01350,0000,01500PATIENT ACTIVITIES 55940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55940,A000000,01600,0000,01600SKILLED NURSING FACILITY 55940,A000000,01810,0000,01810ICF/MR 55940,A000000,02100,0000,02100RADIOLOGY 55940,A000000,02200,0000,02200LABORATORY 55940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55940,A000000,02500,0000,02500PHYSICAL THERAPY 55940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55940,A000000,02700,0000,02700SPEECH PATHOLOGY 55940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55940,A000000,02901,0000,02901CLINITRON BEDS 55940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55940,A000000,03550,0000,03550FQHC 55940,A000000,05000,0000,05000CORF 55940,A000000,05010,0000,05010CMHC 55940,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55940,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55940,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55940,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55940,A81000A,00100,0100,Y 55940,A81000B,00100,0300,H.O. COSTS - OPERATING 55940,A81000B,00200,0300,H.O. COSTS - CAPITAL 55940,A81000B,00300,0300,MOVEABLE EQUIPMENT 55940,A81000B,00400,0300,EMPLOYEE BENEFITS 55940,A81000B,00500,0300,GENERAL & ADMINISTRATIVE 55940,A81000B,00600,0300,PLANT OPER MAINT AND REPAIRS 55940,A81000B,00700,0300,HOUSEKEEPING 55940,A81000B,00800,0300,DIETARY 55940,A81000B,00900,0300,CENTRAL SERVICES 55940,A81000B,01000,0300,PHARMACY 55940,A81000B,01100,0300,MEDICAL RECORDS 55940,A81000B,01200,0300,OXYGEN 55940,A81000B,01300,0300,PHYSICAL THERAPY 55940,A81000B,01400,0300,MEDICAL SUPPLIES 55940,A81000B,01500,0300,COMPLEX MEDICAL EQUIPMENT 55940,A81000B,01600,0300,DRUGS 55940,A81000C,00100,0100,B 55940,A81000C,00100,0400,HCF INC. 55940,A81000C,00100,0600,HOME OFFICE 55940,A81000C,00200,0100,B 55940,A81000C,00200,0400,HCF INC. 55940,A81000C,00200,0600,HOME OFFICE 55940,A81000C,00300,0100,A 55940,A81000C,00300,0200,UNVERFERTH FAMILY 55940,A81000C,00300,0400,ICP INC. 55940,A81000C,00300,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00400,0100,A 55940,A81000C,00400,0200,UNVERFERTH FAMILY 55940,A81000C,00400,0400,ICP INC. 55940,A81000C,00400,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00500,0100,A 55940,A81000C,00500,0200,UNVERFERTH FAMILY 55940,A81000C,00500,0400,ICP INC. 55940,A81000C,00500,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00600,0100,A 55940,A81000C,00600,0200,UNVERFERTH FAMILY 55940,A81000C,00600,0400,ICP INC. 55940,A81000C,00600,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00700,0100,A 55940,A81000C,00700,0200,UNVERFERTH FAMILY 55940,A81000C,00700,0400,ICP INC. 55940,A81000C,00700,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00800,0100,A 55940,A81000C,00800,0200,UNVERFERTH FAMILY 55940,A81000C,00800,0400,ICP INC. 55940,A81000C,00800,0600,INSTITUTIONAL PHARMACY 55940,A81000C,00900,0100,A 55940,A81000C,00900,0200,UNVERFERTH FAMILY 55940,A81000C,00900,0400,ICP INC. 55940,A81000C,00900,0600,INSTITUTIONAL PHARMACY 55940,B100000,00000,0100,00000SQUARE FEET 55940,B100000,00000,0200,00000SQUARE FEET 55940,B100000,00000,0300,00000GROSS SALARIES 55940,B100000,00000,0400,00000ACCUM. COST 55940,B100000,00000,0500,00000SQUARE FEET 55940,B100000,00000,0600,00000POUNDS OF LAUNDRY 55940,B100000,00000,0700,00000SQFT EXCL DIETARY 55940,B100000,00000,0800,00000MEALS SERVED 55940,B100000,00000,0900,00000NURSING SALARIES 55940,B100000,00000,1000,00000PATIENT DAYS 55940,B100000,00000,1100,00000COSTED REQUIS. 55940,B100000,00000,1200,00000TIME SPENT 55940,B100000,00000,1300,00000TIME SPENT 55940,B100000,00000,1350,00000TIME SPENT 55940,B100000,00000,1400,00000NO STATISTICS 55940,S000000,00100,0200,05/24/2000 55940,S200000,00100,0100,50 LANGMAID LANE 55940,S200000,00200,0100,BRADFORD 55940,S200000,00200,0200,PA 55940,S200000,00300,0100,MCKEAN 55940,S200000,00400,0100,BRADFORD MANOR 55940,S200000,00400,0200,395700 55940,S200000,00400,0300,08/01/1976 55940,S200000,00400,0500,P 55940,S200000,01500,0100,Y 55940,S200000,04700,0100,Y 55957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55957,A000000,00300,0000,00300EMPLOYEE BENEFITS 55957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55957,A000000,00700,0000,00700HOUSEKEEPING 55957,A000000,00800,0000,00800DIETARY 55957,A000000,00900,0000,00900NURSING ADMINISTRATION 55957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55957,A000000,01100,0000,01100PHARMACY 55957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55957,A000000,01300,0000,01300SOCIAL SERVICE 55957,A000000,01301,0000,01301RESIDENT ACTIVITIES 55957,A000000,01350,0000,01500OTHER GENERAL SERVICES 55957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55957,A000000,01600,0000,01600SKILLED NURSING FACILITY 55957,A000000,01800,0000,01800NURSING FACILITY 55957,A000000,01810,0000,01810ICF/MR 55957,A000000,02100,0000,02100RADIOLOGY 55957,A000000,02200,0000,02200LABORATORY 55957,A000000,02500,0000,02500PHYSICAL THERAPY 55957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55957,A000000,02700,0000,02700SPEECH PATHOLOGY 55957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55957,A000000,03050,0000,03300EQUIPMENT RENTAL 55957,A000000,03051,0000,03301ENTERALS 55957,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 55957,A000000,03550,0000,03550FQHC 55957,A000000,04750,0000,05100OTHER REIMBURSABLE COST 55957,A000000,05000,0000,05000CORF 55957,A000000,05010,0000,05010CMHC 55957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55957,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55957,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55957,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 55957,B100000,00000,0100,00000SQUARE FEET 55957,B100000,00000,0200,00000DOLLAR VALUE 55957,B100000,00000,0300,00000GROSS SALARIES 55957,B100000,00000,0400,00000ACCUM. COST 55957,B100000,00000,0500,00000SQUARE FEET 55957,B100000,00000,0600,00000POUNDS OF LAUNDRY 55957,B100000,00000,0700,00000SQUARE FEET 55957,B100000,00000,0800,00000MEALS SERVED 55957,B100000,00000,0900,00000DIRECT NRSING HRS 55957,B100000,00000,1000,00000COSTED REQUIS. 55957,B100000,00000,1100,00000COSTED REQUIS. 55957,B100000,00000,1200,00000TIME SPENT 55957,B100000,00000,1300,00000TIME SPENT 55957,B100000,00000,1301,00000RESIDENT DAYS 55957,B100000,00000,1350,00000NO STATISTICS 55957,B100000,00000,1400,00000ASSIGNED TIME 55957,E10A180,00501,0100,06/02/2000 55957,E10A180,00501,0300,06/02/2000 55957,E10A180,00550,0300,06/02/2000 55957,S000000,00100,0200,05/19/2000 55957,S200000,00100,0100,1575 WAYNE AVENUE 55957,S200000,00200,0100,INDIANA 55957,S200000,00200,0200,PA 55957,S200000,00200,0300,15701 55957,S200000,00300,0100,INDIANA 55957,S200000,00400,0100,BEACON MANOR 55957,S200000,00400,0200,395702 55957,S200000,00400,0300,05/17/1989 55957,S200000,00400,0500,P 55957,S200000,01600,0100,Y 55957,S200000,02800,0100,Y 55969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55969,A000000,00300,0000,00300EMPLOYEE BENEFITS 55969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55969,A000000,00700,0000,00700HOUSEKEEPING 55969,A000000,00800,0000,00800DIETARY 55969,A000000,00900,0000,00900NURSING ADMINISTRATION 55969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55969,A000000,01100,0000,01100PHARMACY 55969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55969,A000000,01300,0000,01300SOCIAL SERVICE 55969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55969,A000000,01600,0000,01600SKILLED NURSING FACILITY 55969,A000000,01810,0000,01810ICF/MR 55969,A000000,01900,0000,01900OTHER LONG TERM CARE 55969,A000000,02200,0000,02200LABORATORY 55969,A000000,02500,0000,02500PHYSICAL THERAPY 55969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55969,A000000,02700,0000,02700SPEECH PATHOLOGY 55969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55969,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 55969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 55969,A000000,03550,0000,03550FQHC 55969,A000000,05000,0000,05000CORF 55969,A000000,05010,0000,05010CMHC 55969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55969,A000000,05300,0000,05300INTEREST EXPENSE 55969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 55969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55969,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 55969,A81000A,00100,0100,Y 55969,A81000B,00200,0300,CORF--PT 55969,A81000B,00300,0300,CORF--OT 55969,A81000B,00400,0300,CORF--ST 55969,A81000B,00500,0300,CORP ALLOCATION 55969,A81000B,00600,0300,INTEREST EXP 55969,A81000B,00700,0300,LAB CHARGES 55969,A81000C,00100,0100,B 55969,A81000C,00100,0400,HRHS 55969,A81000C,00100,0600,HEALTH SYSTEM 55969,B100000,00000,0100,00000SQUARE FEET 55969,B100000,00000,0200,00000SQUARE FEET 55969,B100000,00000,0300,00000GROSS SALARIES 55969,B100000,00000,0400,00000ACCUM COST 55969,B100000,00000,0500,00000SQUARE FEET 55969,B100000,00000,0600,00000POUNDS OF LAUNDRY 55969,B100000,00000,0700,00000HOURS OF SERVICE 55969,B100000,00000,0800,00000MEALS SERVED 55969,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 55969,B100000,00000,1000,00000COSTED REQUISITIO 55969,B100000,00000,1100,00000COSTED REQUISITIO 55969,B100000,00000,1200,00000TIME SPENT 55969,B100000,00000,1300,00000TIME SPENT 55969,B100000,00000,1400,00000ASSIGNED TIME 55969,E10A180,00550,0300,11/30/2000 55969,S000000,00100,0200,11/22/2000 55969,S200000,00100,0100,8580 VERREE ROAD 55969,S200000,00200,0100,PHILADELPHIA 55969,S200000,00200,0200,PA 55969,S200000,00200,0300,19111 55969,S200000,00300,0100,PHILADELPHIA 55969,S200000,00400,0100,THE LAFAYETTE REDEEMER 55969,S200000,00400,0200,395704 55969,S200000,00400,0300,03/25/1992 55969,S200000,00400,0500,P 55969,S200000,01500,0100,Y 55985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55985,A000000,00300,0000,00300EMPLOYEE BENEFITS 55985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55985,A000000,00700,0000,00700HOUSEKEEPING 55985,A000000,00800,0000,00800DIETARY 55985,A000000,00900,0000,00900NURSING ADMINISTRATION 55985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55985,A000000,01100,0000,01100PHARMACY 55985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55985,A000000,01300,0000,01300SOCIAL SERVICE 55985,A000000,01350,0000,01500ACTIVITIES 55985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55985,A000000,01600,0000,01600SKILLED NURSING FACILITY 55985,A000000,01800,0000,01800NURSING FACILITY 55985,A000000,01810,0000,01810ICF/MR 55985,A000000,02100,0000,02100RADIOLOGY 55985,A000000,02200,0000,02200LABORATORY 55985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 55985,A000000,02500,0000,02500PHYSICAL THERAPY 55985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55985,A000000,02700,0000,02700SPEECH PATHOLOGY 55985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55985,A000000,03550,0000,03550FQHC 55985,A000000,05000,0000,05000CORF 55985,A000000,05010,0000,05010CMHC 55985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55985,A81000A,00100,0100,Y 55985,A81000B,00100,0300,MANAGEMENT FEES 55985,A81000C,00100,0100,A 55985,A81000C,00100,0200,FRANCIS HAYMAN 55985,A81000C,00100,0400,PENN MED 55985,A81000C,00100,0600,HOME OFFICE 55985,A81000C,00200,0100,A 55985,A81000C,00200,0200,DRURY GALLAGHER 55985,A81000C,00200,0400,PENN MED 55985,A81000C,00200,0600,HOME OFFICE 55985,A81000C,00300,0100,A 55985,A81000C,00300,0200,JOHN HAYMAN 55985,A81000C,00300,0400,PENN MED 55985,A81000C,00300,0600,HOME OFFICE 55985,B100000,00000,0100,00000SQUARE FEET 55985,B100000,00000,0200,00000SQUARE FEET 55985,B100000,00000,0300,00000GROSS SALARIES 55985,B100000,00000,0400,00000ACCUM. COST 55985,B100000,00000,0500,00000SQUARE FEET 55985,B100000,00000,0600,00000POUNDS OF LAUNDRY 55985,B100000,00000,0700,00000SQUARE FEET 55985,B100000,00000,0800,00000MEALS SERVED 55985,B100000,00000,0900,00000DIRECT NRSING HRS 55985,B100000,00000,1000,00000PATIENT DAYS 55985,B100000,00000,1100,00000PATIENT DAYS 55985,B100000,00000,1200,00000TIME SPENT 55985,B100000,00000,1300,00000PATIENT DAYS 55985,B100000,00000,1350,00000PATIENT DAYS 55985,B100000,00000,1400,00000ASSIGNED TIME 55985,E10A180,00501,0100,07/12/2000 55985,E10A180,00501,0300,07/12/2000 55985,E10A180,00502,0100,04/18/2001 55985,E10A180,00550,0100,03/09/2001 55985,E10A180,00550,0300,03/09/2001 55985,S000000,00100,0200,05/30/2000 55985,S200000,00100,0100,500 WASHINGTON STREET 55985,S200000,00200,0100,EASTON 55985,S200000,00200,0200,PA 55985,S200000,00200,0300,18042 55985,S200000,00300,0100,NORTHAMPTON 55985,S200000,00400,0100,PRAXIS NURSING CENTER 55985,S200000,00400,0200,395708 55985,S200000,00400,0300,01/01/1985 55985,S200000,00400,0500,P 55985,S200000,00600,0200,395708 55985,S200000,00600,0300,01/01/1985 55985,S200000,00600,0600,P 55985,S200000,01600,0100,Y 55985,S200000,02200,0100,Y 55985,S200000,04700,0100,Y 55996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 55996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 55996,A000000,00300,0000,00300EMPLOYEE BENEFITS 55996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 55996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 55996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 55996,A000000,00700,0000,00700HOUSEKEEPING 55996,A000000,00800,0000,00800DIETARY 55996,A000000,00900,0000,00900NURSING ADMINISTRATION 55996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 55996,A000000,01100,0000,01100PHARMACY 55996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 55996,A000000,01300,0000,01300SOCIAL SERVICE 55996,A000000,01350,0000,01500PATIENT ACTIVITIES 55996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 55996,A000000,01600,0000,01600SKILLED NURSING FACILITY 55996,A000000,01800,0000,01800NURSING FACILITY 55996,A000000,01810,0000,01810ICF/MR 55996,A000000,02100,0000,02100RADIOLOGY 55996,A000000,02200,0000,02200LABORATORY 55996,A000000,02500,0000,02500PHYSICAL THERAPY 55996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 55996,A000000,02700,0000,02700SPEECH PATHOLOGY 55996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 55996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 55996,A000000,03550,0000,03550FQHC 55996,A000000,05000,0000,05000CORF 55996,A000000,05010,0000,05010CMHC 55996,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 55996,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 55996,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 55996,A000000,05300,0000,05300INTEREST EXPENSE 55996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 55996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 55996,A81000A,00100,0100,Y 55996,A81000B,00100,0300,RX DRUGS 55996,A81000B,00200,0300,OTC DRUGS 55996,A81000B,00300,0300,ROUTINE MEDICAL SUPP 55996,A81000B,00400,0300,ANCILLARY MEDICAL SU 55996,A81000B,00500,0300,GENERAL NURSING SUPP 55996,A81000B,00600,0300,THERAPY SUPPLIES 55996,A81000B,00700,0300,PHARMACY DIRECTOR 55996,A81000B,00800,0300,EMPLOYEE BENEFITS 55996,A81000B,00900,0300,INTEREST/SERVICE CHG 55996,A81000B,01000,0300,SUPPLIES 55996,A81000B,01100,0300,MANAGEMENT FEES 55996,A81000C,00100,0100,B 55996,A81000C,00100,0200,WILMAC CORPORAT 55996,A81000C,00100,0400,BROCKIE HEALTHC 55996,A81000C,00100,0600,PHARMACY 55996,A81000C,00200,0100,B 55996,A81000C,00200,0400,WILMAC CORPORAT 55996,A81000C,00200,0600,MANAGEMENT 55996,B100000,00000,0100,00000SQUARE FEET 55996,B100000,00000,0200,00000SQUARE FEET 55996,B100000,00000,0300,00000GROSS SALARIES 55996,B100000,00000,0400,00000ACCUM COST 55996,B100000,00000,0500,00000SQUARE FEET 55996,B100000,00000,0600,00000POUNDS OF LAUNDRY 55996,B100000,00000,0700,00000SQ. FT. W/O KITCHE 55996,B100000,00000,0800,00000MEALS SERVED 55996,B100000,00000,0900,00000DIRECT NRSG HRS 55996,B100000,00000,1000,00000COSTED REQUIS 55996,B100000,00000,1100,00000COSTED REQUIS 55996,B100000,00000,1200,00000GROSS CHARGES 55996,B100000,00000,1300,00000TIME SPENT 55996,B100000,00000,1350,00000PATIENT DAYS 55996,B100000,00000,1400,00000ASSIGNED TIME 55996,S000000,00100,0200,06/20/2000 55996,S200000,00100,0100,300 EAST WINCHESTER AVENUE 55996,S200000,00200,0100,LANGHORNE 55996,S200000,00200,0200,PA 55996,S200000,00200,0300,19047 55996,S200000,00300,0100,BUCKS 55996,S200000,00400,0100,ATTLEBORO NURSING & REHAB CENTER 55996,S200000,00400,0200,395710 55996,S200000,00400,0300,04/01/1985 55996,S200000,00400,0500,P 55996,S200000,00400,0600,O 55996,S200000,01600,0100,Y 55996,S200000,02200,0100,Y 55996,S200000,02800,0100,Y 56004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56004,A000000,00300,0000,00300EMPLOYEE BENEFITS 56004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56004,A000000,00700,0000,00700HOUSEKEEPING 56004,A000000,00800,0000,00800DIETARY 56004,A000000,00900,0000,00900NURSING ADMINISTRATION 56004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56004,A000000,01100,0000,01100PHARMACY 56004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56004,A000000,01300,0000,01300SOCIAL SERVICE 56004,A000000,01350,0000,01500ACTIVITIES 56004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56004,A000000,01600,0000,01600SKILLED NURSING FACILITY 56004,A000000,02100,0000,02100RADIOLOGY 56004,A000000,02500,0000,02500PHYSICAL THERAPY 56004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56004,A000000,02700,0000,02700SPEECH PATHOLOGY 56004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56004,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56004,A000000,03550,0000,03550FQHC 56004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56004,A000000,05000,0000,05000CORF 56004,A000000,05010,0000,05010CMHC 56004,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56004,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56004,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56004,A000000,06150,0000,06300RESIDENTIAL LIVING SPACE 56004,A81000A,00100,0100,Y 56004,A81000B,00100,0300,HOME OFFICE ALLOCATION 56004,A81000B,00200,0300,WORKING CAPITAL INTEREST 56004,A81000B,00300,0300,CAPITAL INTEREST 56004,A81000C,00100,0100,A 56004,A81000C,00100,0200,FRANK VARISCHETTI 56004,A81000C,00100,0400,GUARDIAN ELDER CARE INC. 56004,A81000C,00100,0600,HOME OFFICE 56004,A81000C,00200,0100,A 56004,A81000C,00200,0200,FRANK A VARISCHETTI 56004,A81000C,00200,0400,GUARDIAN ELDER CARE INC. 56004,A81000C,00200,0600,HOME OFFICE 56004,A81000C,00300,0100,A 56004,A81000C,00300,0200,STEVEN R VARISCHETTI 56004,A81000C,00300,0400,GUARDIAN ELDER CARE INC. 56004,A81000C,00300,0600,HOME OFFICE 56004,A81000C,00400,0100,A 56004,A81000C,00400,0200,PETER C VARISCHETTI 56004,A81000C,00400,0400,GUARDIAN ELDER CARE INC. 56004,A81000C,00400,0600,HOME OFFICE 56004,A81000C,00500,0100,A 56004,A81000C,00500,0200,RAYMOND L CALHOUN 56004,A81000C,00500,0400,GUARDIAN ELDER CARE INC. 56004,A81000C,00500,0600,HOME OFFICE 56004,A81000C,00600,0100,A 56004,A81000C,00600,0200,FRANK VARISCHETTI 56004,A81000C,00600,0400,PUBLIC CREDIT LLC 56004,A81000C,00600,0600,COMMERCIAL LENDING 56004,A81000C,00700,0100,A 56004,A81000C,00700,0200,FRANK A VARISCHETTI 56004,A81000C,00700,0400,PUBLIC CREDIT LLC 56004,A81000C,00700,0600,COMMERCIAL LENDING 56004,A81000C,00800,0100,A 56004,A81000C,00800,0200,STEVEN R VARISCHETTI 56004,A81000C,00800,0400,PUBLIC CREDIT LLC 56004,A81000C,00800,0600,COMMERCIAL LENDING 56004,A81000C,00900,0100,A 56004,A81000C,00900,0200,PETER C VARISCHETTI 56004,A81000C,00900,0400,PUBLIC CREDIT LLC 56004,A81000C,00900,0600,COMMERCIAL LENDING 56004,A81000C,01000,0100,D 56004,A81000C,01000,0200,NICHOLAS VARISCHETTI 56004,A81000C,01000,0400,PUBLIC CREDIT LLC 56004,A81000C,01000,0600,COMMERCIAL LENDING 56004,B100000,00000,0100,00000SQUARE FEET 56004,B100000,00000,0200,00000DOLLAR VALUE 56004,B100000,00000,0300,00000GROSS SALARIES 56004,B100000,00000,0400,00000ACCUM. COST 56004,B100000,00000,0500,00000SQUARE FEET 56004,B100000,00000,0600,00000PATIENT DAYS 56004,B100000,00000,0700,00000SQUARE FEET 56004,B100000,00000,0800,00000PATIENT DAYS 56004,B100000,00000,0900,00000PATIENT DAYS 56004,B100000,00000,1000,00000PATIENT DAYS 56004,B100000,00000,1100,00000COSTED REQUIS. 56004,B100000,00000,1200,00000TIME SPENT 56004,B100000,00000,1300,00000PATIENT DAYS 56004,B100000,00000,1350,00000PATIENT DAYS 56004,B100000,00000,1400,00000ASSIGNED TIME 56004,E10A180,00501,0300,07/12/2000 56004,S000000,00100,0200,05/31/2000 56004,S200000,00100,0100,10 WEST AVENUE 56004,S200000,00200,0100,WELLSBORO 56004,S200000,00200,0200,PA 56004,S200000,00300,0100,TIOGA 56004,S200000,00400,0100,CARLETON SENIOR CARE 56004,S200000,00400,0200,395712 56004,S200000,00400,0300,03/01/1986 56004,S200000,00400,0500,P 56004,S200000,01500,0100,Y 56014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56014,A000000,00300,0000,00300EMPLOYEE BENEFITS 56014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56014,A000000,00700,0000,00700HOUSEKEEPING 56014,A000000,00800,0000,00800DIETARY 56014,A000000,00900,0000,00900NURSING ADMINISTRATION 56014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56014,A000000,01100,0000,01100PHARMACY 56014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56014,A000000,01300,0000,01300SOCIAL SERVICE 56014,A000000,01301,0000,01301ACTIVITIES & RECREATION 56014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56014,A000000,01600,0000,01600SKILLED NURSING FACILITY 56014,A000000,01800,0000,01800NURSING FACILITY 56014,A000000,01810,0000,01810ICF/MR 56014,A000000,02200,0000,02200LABORATORY 56014,A000000,02500,0000,02500PHYSICAL THERAPY 56014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56014,A000000,02700,0000,02700SPEECH PATHOLOGY 56014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56014,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 56014,A000000,03550,0000,03550FQHC 56014,A000000,04800,0000,04800AMBULANCE 56014,A000000,05000,0000,05000CORF 56014,A000000,05010,0000,05010CMHC 56014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56014,A000000,05300,0000,05300INTEREST EXPENSE 56014,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56014,A000000,06101,0000,06110REHABILITION 56014,A81000A,00100,0100,Y 56014,A81000B,00100,0300,DRUGS 56014,A81000B,00200,0300,LAUNDRY & LINEN SERV 56014,A81000B,00300,0300,PURCH/PERSONNEL SERV 56014,A81000B,00400,0300,MANAGEMENT FEE 56014,A81000C,00100,0100,B 56014,A81000C,00100,0200,PRESBY MED CTR 56014,A81000C,00100,0400,PRESBY SENIORCA 56014,A81000C,00100,0600,ELDERLY CARE 56014,B100000,00000,0100,00010SQUARE FEET 56014,B100000,00000,0200,00010SQUARE FEET 56014,B100000,00000,0300,00010GROSS SALARIES 56014,B100000,00000,0400,00010ACCUM COST 56014,B100000,00000,0500,00010SQUARE FEET 56014,B100000,00000,0600,00010POUNDS OF LAUNDRY 56014,B100000,00000,0700,00010HOURS OF SERVICE 56014,B100000,00000,0800,00010MEALS SERVED 56014,B100000,00000,0900,00010DIRECT NRSG HRS 56014,B100000,00000,1000,00010COSTED REQUIS 56014,B100000,00000,1100,00010COSTED REQUIS 56014,B100000,00000,1200,00010TIME SPENT 56014,B100000,00000,1300,00010TIME SPENT 56014,B100000,00000,1301,00010PATIENT DAYS 56014,B100000,00000,1400,00010ASSIGNED TIME 56014,S000000,00100,0200,05/30/2000 56014,S200000,00100,0100,1205 HULTON ROAD 56014,S200000,00200,0100,OAKMONT 56014,S200000,00200,0200,PA 56014,S200000,00200,0300,15139 56014,S200000,00300,0100,ALLEGHENY 56014,S200000,00400,0100,PRESBYTERIAN MED CTR OF OAKMONT INC 56014,S200000,00400,0200,395713 56014,S200000,00400,0300,01/07/1986 56014,S200000,00400,0500,P 56014,S200000,01600,0100,Y 56014,S200000,01900,0100,NON-PROFIT CORPORATION 56014,S200000,02200,0100,Y 56014,S200000,04700,0100,Y 56014,S200000,04700,0200,Y 56025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56025,A000000,00300,0000,00300EMPLOYEE BENEFITS 56025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56025,A000000,00700,0000,00700HOUSEKEEPING 56025,A000000,00800,0000,00800DIETARY 56025,A000000,00900,0000,00900NURSING ADMINISTRATION 56025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56025,A000000,01100,0000,01100PHARMACY 56025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56025,A000000,01300,0000,01300SOCIAL SERVICE 56025,A000000,01350,0000,01500PATIENT ACTIVITIES 56025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56025,A000000,01600,0000,01600SKILLED NURSING FACILITY 56025,A000000,01810,0000,01810ICF/MR 56025,A000000,02100,0000,02100RADIOLOGY 56025,A000000,02200,0000,02200LABORATORY 56025,A000000,02500,0000,02500PHYSICAL THERAPY 56025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56025,A000000,02700,0000,02700SPEECH PATHOLOGY 56025,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56025,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56025,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56025,A000000,03550,0000,03550FQHC 56025,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56025,A000000,05000,0000,05000CORF 56025,A000000,05010,0000,05010CMHC 56025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56025,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56025,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56025,B100000,00000,0100,00000SQUARE FEET 56025,B100000,00000,0200,00000NO STATISTICS 56025,B100000,00000,0300,00000NO STATISTICS 56025,B100000,00000,0400,00000GROSS SALARIES 56025,B100000,00000,0500,00000SQUARE FEET 56025,B100000,00000,0600,00000POUNDS OF LAUNDRY 56025,B100000,00000,0700,00000SQ FT EXCL DIET 56025,B100000,00000,0800,00000MEALS SERVED 56025,B100000,00000,0900,00000DIRECT NRSING HRS 56025,B100000,00000,1000,00000PATIENT DAYS 56025,B100000,00000,1100,00000NO STATISTICS 56025,B100000,00000,1200,00000TIME SPENT 56025,B100000,00000,1300,00000TIME SPENT 56025,B100000,00000,1350,00000TIME SPENT 56025,B100000,00000,1400,00000NO STATISTICS 56025,E10A180,00501,0100,11/20/2000 56025,E10A180,00550,0300,11/20/2000 56025,S000000,00100,0200,10/16/2000 56025,S200000,00100,0100,6300 GREENE STREET 56025,S200000,00200,0100,PHILADELPHIA 56025,S200000,00200,0200,PA 56025,S200000,00200,0300,19114 56025,S200000,00300,0100,PHILADELPHIA 56025,S200000,00400,0100,STAPELEY IN GERMANTOWN 56025,S200000,00400,0200,395715 56025,S200000,00400,0300,07/01/1970 56025,S200000,00400,0500,P 56025,S200000,01500,0100,Y 56044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56044,A000000,00300,0000,00300EMPLOYEE BENEFITS 56044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56044,A000000,00700,0000,00700HOUSEKEEPING 56044,A000000,00800,0000,00800DIETARY 56044,A000000,00900,0000,00900NURSING ADMINISTRATION 56044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56044,A000000,01100,0000,01100PHARMACY 56044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56044,A000000,01300,0000,01300SOCIAL SERVICE 56044,A000000,01350,0000,01500PATIENT ACTIVITIES 56044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56044,A000000,01600,0000,01600SKILLED NURSING FACILITY 56044,A000000,01800,0000,01800NURSING FACILITY 56044,A000000,01810,0000,01810ICF/MR 56044,A000000,02100,0000,02100RADIOLOGY 56044,A000000,02200,0000,02200LABORATORY 56044,A000000,02500,0000,02500PHYSICAL THERAPY 56044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56044,A000000,02700,0000,02700SPEECH PATHOLOGY 56044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56044,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56044,A000000,03550,0000,03550FQHC 56044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56044,A000000,05000,0000,05000CORF 56044,A000000,05010,0000,05010CMHC 56044,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56044,A81000A,00100,0100,Y 56044,A81000B,00100,0300,HOME OFFICE FEES 56044,A81000C,00100,0100,B 56044,A81000C,00100,0200,GUARDIAN FOUNDATION 56044,A81000C,00100,0400,GUARDIAN FOUNDATION 56044,A81000C,00100,0600,HOME OFFICE 56044,B100000,00000,0100,00000SQUARE FEET 56044,B100000,00000,0200,00000SQUARE FEET 56044,B100000,00000,0300,00000GROSS SALARIES 56044,B100000,00000,0400,00000ACCUM. COST 56044,B100000,00000,0500,00000SQUARE FEET 56044,B100000,00000,0600,00000PATIENT DAYS 56044,B100000,00000,0700,00000SQUARE FEET 56044,B100000,00000,0800,00000MEALS SERVED 56044,B100000,00000,0900,00000NURSING HOURS 56044,B100000,00000,1000,00000COSTED REQUIS. 56044,B100000,00000,1100,00000COSTED REQUIS. 56044,B100000,00000,1200,00000GROSS CHARGES 56044,B100000,00000,1300,00000PATIENT DAYS 56044,B100000,00000,1350,00000PATIENT DAYS 56044,B100000,00000,1400,00000ASSIGNED TIME 56044,E10A180,00501,0100,01/08/2001 56044,E10A180,00501,0300,01/08/2001 56044,S000000,00100,0200,11/30/2000 56044,S200000,00100,0100,650 NORTH MAIN STREET 56044,S200000,00200,0100,TAYLOR 56044,S200000,00200,0200,PA 56044,S200000,00200,0300,18517 56044,S200000,00300,0100,L 56044,S200000,00400,0100,MOUNTAIN REST NURSING HOME 56044,S200000,00400,0200,395717 56044,S200000,00400,0300,11/01/1984 56044,S200000,00400,0500,P 56044,S200000,01600,0100,Y 56053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56053,A000000,00101,0000,00101CAP REL COSTS - SNF 56053,A000000,00102,0000,00102CAP REL COSTS - RES & AL 56053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56053,A000000,00300,0000,00300EMPLOYEE BENEFITS 56053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56053,A000000,00700,0000,00700HOUSEKEEPING 56053,A000000,00800,0000,00800DIETARY 56053,A000000,00900,0000,00900NURSING ADMINISTRATION 56053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56053,A000000,01100,0000,01100PHARMACY 56053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56053,A000000,01300,0000,01300SOCIAL SERVICE 56053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56053,A000000,01600,0000,01600SKILLED NURSING FACILITY 56053,A000000,01810,0000,01810ICF/MR 56053,A000000,02100,0000,02100RADIOLOGY 56053,A000000,02200,0000,02200LABORATORY 56053,A000000,02500,0000,02500PHYSICAL THERAPY 56053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56053,A000000,02700,0000,02700SPEECH PATHOLOGY 56053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56053,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56053,A000000,03400,0000,03400CLINIC 56053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56053,A000000,03550,0000,03550FQHC 56053,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56053,A000000,05000,0000,05000CORF 56053,A000000,05010,0000,05010CMHC 56053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56053,A000000,06150,0000,06300RESIDENTIAL & ASST LIVING 56053,B100000,00000,0100,00000SQUARE FEET 56053,B100000,00000,0101,00000SQUARE FEET 56053,B100000,00000,0102,00000SQUARE FEET 56053,B100000,00000,0200,00000SQUARE FEET 56053,B100000,00000,0300,00000GROSS SALARIES 56053,B100000,00000,0400,00000ACCUM. COST 56053,B100000,00000,0500,00000SQUARE FEET 56053,B100000,00000,0600,00000POUNDS OF LAUNDRY 56053,B100000,00000,0700,00000HLTHCARE SQ FT 56053,B100000,00000,0800,00000MEALS SERVED 56053,B100000,00000,0900,00000DIRECT NRSG HRS 56053,B100000,00000,1000,00000COSTED REQUIS 56053,B100000,00000,1100,00000COSTED REQUIS 56053,B100000,00000,1200,00000TIME SPENT 56053,B100000,00000,1300,00000TIME SPENT 56053,B100000,00000,1400,00000ASSIGNED TIME 56053,S000000,00100,0200,05/30/2000 56053,S200000,00100,0100,1400 WAVERLY ROAD 56053,S200000,00200,0100,GLADWYNE 56053,S200000,00200,0200,PA 56053,S200000,00300,0100,MONTGOMERY 56053,S200000,00400,0100,WAVERLY HEIGHTS LTD. 56053,S200000,00400,0200,395718 56053,S200000,00400,0300,07/01/1986 56053,S200000,00400,0500,P 56053,S200000,01500,0100,Y 56061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56061,A000000,00300,0000,00300EMPLOYEE BENEFITS 56061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56061,A000000,00700,0000,00700HOUSEKEEPING 56061,A000000,00800,0000,00800DIETARY 56061,A000000,00900,0000,00900NURSING ADMINISTRATION 56061,A000000,00901,0000,00901ADMISSIONS 56061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56061,A000000,01100,0000,01100PHARMACY 56061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56061,A000000,01300,0000,01300SOCIAL SERVICE 56061,A000000,01350,0000,01500ACTIVITIES 56061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56061,A000000,01600,0000,01600SKILLED NURSING FACILITY 56061,A000000,01800,0000,01800NURSING FACILITY 56061,A000000,01810,0000,01810ICF/MR 56061,A000000,02100,0000,02100RADIOLOGY 56061,A000000,02200,0000,02200LABORATORY 56061,A000000,02300,0000,02300INTRAVENOUS THERAPY 56061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56061,A000000,02500,0000,02500PHYSICAL THERAPY 56061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56061,A000000,02700,0000,02700SPEECH PATHOLOGY 56061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56061,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 56061,A000000,03550,0000,03550FQHC 56061,A000000,04800,0000,04800AMBULANCE 56061,A000000,05000,0000,05000CORF 56061,A000000,05010,0000,05010CMHC 56061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56061,A81000A,00100,0100,Y 56061,A81000B,00100,0300,HOME OFFICE COSTS 56061,A81000B,00200,0300,PHYSICAL THERAPY 56061,A81000B,00300,0300,OCCUPATIONAL THERAPY 56061,A81000B,00400,0300,SPEECH THERAPY 56061,A81000B,00500,0300,PRESCRIPTION DRUGS 56061,A81000B,00600,0300,OVER-THE-COUNTER DRUGS - SNF 56061,A81000B,00700,0300,PHARMACY SUPPLIES 56061,A81000B,00800,0300,DRUGS CONSULTING 56061,A81000B,00900,0300,HOUSEKEEPING 56061,A81000B,01000,0300,IV DRUGS 56061,A81000B,01100,0300,CENTRAL SUPPLIES 56061,A81000B,01200,0300,RT SUPPLIES 56061,A81000B,01300,0300,PT SUPPLIES 56061,A81000B,01400,0300,OT SUPPLIES 56061,A81000B,01500,0300,ADMIN SUPPLIES 56061,A81000B,01600,0300,DIETARY SUPPLIES 56061,A81000B,01700,0300,LAUNDRY SUPPLIES 56061,A81000B,01800,0300,PLANT SUPPLIES 56061,A81000B,01900,0300,PT MANAGEMENT FEE 56061,A81000C,00100,0100,A 56061,A81000C,00100,0200,RICHARD 56061,A81000C,00100,0400,GRANE 56061,A81000C,00100,0600,HEALTHCARE MGMT 56061,A81000C,00200,0200,GRACIANO SR. 56061,A81000C,00200,0400,HEALTHCARE 56061,A81000C,00300,0100,A 56061,A81000C,00300,0200,RICHARD 56061,A81000C,00300,0400,GRANE 56061,A81000C,00300,0600,HEALTHCARE MGMT 56061,A81000C,00400,0200,GRACIANO JR. 56061,A81000C,00400,0400,HEALTHCARE 56061,A81000C,00500,0100,A 56061,A81000C,00500,0200,DAVID GRACIANO 56061,A81000C,00500,0400,GRANE 56061,A81000C,00500,0600,HEALTHCARE MGMT 56061,A81000C,00600,0400,HEALTHCARE 56061,A81000C,00700,0100,A 56061,A81000C,00700,0200,ROSS NESE 56061,A81000C,00700,0400,GRANE 56061,A81000C,00700,0600,HEALTHCARE MGMT 56061,A81000C,00800,0400,HEALTHCARE 56061,A81000C,00900,0100,A 56061,A81000C,00900,0200,RICHARD 56061,A81000C,00900,0400,GMS CORP 56061,A81000C,00900,0600,ADMIN SERVICES 56061,A81000C,01000,0200,GRACIANO JR. 56061,A81000C,01100,0100,A 56061,A81000C,01100,0200,DAVID GRACIANO 56061,A81000C,01100,0400,GMS CORP 56061,A81000C,01100,0600,ADMIN SERVICES 56061,A81000C,01200,0100,A 56061,A81000C,01200,0200,SAME AS GRANE 56061,A81000C,01200,0400,GRANE ASSOC D/B 56061,A81000C,01200,0600,PLANT EXP/RENOV 56061,A81000C,01300,0100,A 56061,A81000C,01300,0200,HEALTHCARE 56061,A81000C,01300,0400,TRADE CONSTRUCT 56061,A81000C,01400,0100,A 56061,A81000C,01400,0200,SAME AS GRANE 56061,A81000C,01400,0400,GRANE ASSOC 56061,A81000C,01400,0600,ADMIN SERVICES 56061,A81000C,01500,0100,A 56061,A81000C,01500,0200,HEALTHCARE 56061,A81000C,01600,0100,A 56061,A81000C,01600,0200,RICHARD 56061,A81000C,01600,0400,GRANE REHAB 56061,A81000C,01600,0600,REHAB(PT OT ST) 56061,A81000C,01700,0100,A 56061,A81000C,01700,0200,GRACIANO 56061,A81000C,01800,0100,A 56061,A81000C,01800,0200,RICHARD 56061,A81000C,01800,0400,GRANE REHAB 56061,A81000C,01800,0600,REHAB(PT OT ST) 56061,A81000C,01900,0100,A 56061,A81000C,01900,0200,GRACIANO JR. 56061,A81000C,02000,0100,A 56061,A81000C,02000,0200,DAVID GRACIANO 56061,A81000C,02000,0400,GRANE REHAB 56061,A81000C,02000,0600,REHAB(PT OT ST) 56061,A81000C,02100,0100,A 56061,A81000C,02100,0200,ROSS NESE 56061,A81000C,02100,0400,GRANE REHAB 56061,A81000C,02100,0600,REHAB(PT OT ST) 56061,A81000C,02200,0100,A 56061,A81000C,02200,0200,GRANE REHAB INC 56061,A81000C,02200,0400,GRANE SUPPLY 56061,A81000C,02200,0600,REHAB(PT OT ST) 56061,A81000C,02300,0100,A 56061,A81000C,02300,0200,SAME AS GRANE 56061,A81000C,02300,0400,GRANE SUPPLY 56061,A81000C,02300,0600,DRUGS/MED SUPP/ 56061,A81000C,02400,0100,A 56061,A81000C,02400,0200,HEALTHCARE 56061,A81000C,02400,0600,HOUSEKEEPING 56061,B100000,00000,0100,00000SQUARE FEET 56061,B100000,00000,0200,00000SQUARE FEET 56061,B100000,00000,0300,00000GROSS SALARIES 56061,B100000,00000,0400,00000ACCUM. COST 56061,B100000,00000,0500,00000SQUARE FEET 56061,B100000,00000,0600,00000POUNDS OF LAUNDRY 56061,B100000,00000,0700,00000SQUARE FEET 56061,B100000,00000,0800,00000MEALS SERVED 56061,B100000,00000,0900,00000DIRECT NRSING HRS 56061,B100000,00000,0901,00000 56061,B100000,00000,1000,00000COSTED REQUIS. 56061,B100000,00000,1100,00000COSTED REQUIS. 56061,B100000,00000,1200,00000DIRECT NUR HOURS 56061,B100000,00000,1300,00000RESIDENT D 56061,B100000,00000,1350,00000RESIDENT D 56061,B100000,00000,1400,00000ASSIGNED TIME 56061,E10A180,00501,0100,06/09/2000 56061,E10A180,00501,0300,06/09/2000 56061,S000000,00100,0200,05/25/2000 56061,S200000,00100,0100,100 EIGHTH AVENUE 56061,S200000,00200,0100,MCKEESPORT 56061,S200000,00200,0200,PA 56061,S200000,00200,0300,15132 56061,S200000,00300,0100,ALLEGHENY 56061,S200000,00400,0100,RIVERSIDE NURSING CENTER INC. 56061,S200000,00400,0200,395719 56061,S200000,00400,0300,08/12/1986 56061,S200000,00400,0500,P 56061,S200000,00600,0200,395719 56061,S200000,00600,0300,08/12/1986 56061,S200000,00600,0600,P 56061,S200000,01600,0100,Y 56061,S200000,02200,0100,Y 56061,S200000,04700,0100,Y 56061,S200000,04700,0200,Y 56085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56085,A000000,00300,0000,00300EMPLOYEE BENEFITS 56085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56085,A000000,00700,0000,00700HOUSEKEEPING 56085,A000000,00800,0000,00800DIETARY 56085,A000000,00900,0000,00900NURSING ADMINISTRATION 56085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56085,A000000,01100,0000,01100PHARMACY 56085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56085,A000000,01300,0000,01300SOCIAL SERVICE 56085,A000000,01350,0000,01500PATIENT ACTIVITIES 56085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56085,A000000,01600,0000,01600SKILLED NURSING FACILITY 56085,A000000,01810,0000,01810ICF/MR 56085,A000000,01900,0000,01900OTHER LONG TERM CARE 56085,A000000,02200,0000,02200LABORATORY 56085,A000000,02300,0000,02300INTRAVENOUS THERAPY 56085,A000000,02500,0000,02500PHYSICAL THERAPY 56085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56085,A000000,02700,0000,02700SPEECH PATHOLOGY 56085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56085,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56085,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56085,A000000,03550,0000,03550FQHC 56085,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56085,A000000,04800,0000,04800AMBULANCE 56085,A000000,05000,0000,05000CORF 56085,A000000,05010,0000,05010CMHC 56085,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56085,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56085,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56085,A000000,05300,0000,05300INTEREST EXPENSE 56085,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56085,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56085,B100000,00000,0100,00000SQUARE FEET 56085,B100000,00000,0200,00000SQUARE FEET 56085,B100000,00000,0300,00000TOTAL SALARIES 56085,B100000,00000,0400,00000ACCUM. COST 56085,B100000,00000,0500,00000SQUARE FEET 56085,B100000,00000,0600,00000POUNDS OF LAURDRY 56085,B100000,00000,0700,00000SQUARE FEET 56085,B100000,00000,0800,00000MEALS SERVED 56085,B100000,00000,0900,00000ACTUAL COSTS 56085,B100000,00000,1000,00000NO STATISTICS 56085,B100000,00000,1100,00000NO STATISTICS 56085,B100000,00000,1200,00000PATIENT DAYS 56085,B100000,00000,1300,00000PATIENT DAYS 56085,B100000,00000,1350,00000PATIENT DAYS 56085,B100000,00000,1400,00000NO STATISTICS 56085,E10A180,00501,0100,12/15/2000 56085,E10A180,00501,0300,12/15/2000 56085,S000000,00100,0200,11/17/2000 56085,S200000,00100,0100,6375 CHAMBERSBURG RD. 56085,S200000,00200,0100,FAYETTEVILLE 56085,S200000,00200,0200,PA 56085,S200000,00200,0300,17222 56085,S200000,00300,0100,ADAMS 56085,S200000,00400,0100,PINEY MOUNTAIN HOME 56085,S200000,00400,0200,395721 56085,S200000,00400,0300,01/01/1985 56085,S200000,00400,0500,P 56085,S200000,01500,0100,Y 56096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56096,A000000,00300,0000,00300EMPLOYEE BENEFITS 56096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56096,A000000,00700,0000,00700HOUSEKEEPING 56096,A000000,00800,0000,00800DIETARY 56096,A000000,00900,0000,00900NURSING ADMINISTRATION 56096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56096,A000000,01100,0000,01100PHARMACY 56096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56096,A000000,01300,0000,01300SOCIAL SERVICE 56096,A000000,01350,0000,01500ACTIVITIES 56096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56096,A000000,01600,0000,01600SKILLED NURSING FACILITY 56096,A000000,01800,0000,01800NURSING FACILITY 56096,A000000,01810,0000,01810ICF/MR 56096,A000000,02100,0000,02100RADIOLOGY 56096,A000000,02500,0000,02500PHYSICAL THERAPY 56096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56096,A000000,02700,0000,02700SPEECH PATHOLOGY 56096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56096,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56096,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56096,A000000,03550,0000,03550FQHC 56096,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56096,A000000,05000,0000,05000CORF 56096,A000000,05010,0000,05010CMHC 56096,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56096,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56096,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56096,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56096,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56096,B100000,00000,0100,00000SQUARE FEET 56096,B100000,00000,0200,00000SQUARE FEET 56096,B100000,00000,0300,00000GROSS SALARIES 56096,B100000,00000,0400,00000ACCUM. COST 56096,B100000,00000,0500,00000SQUARE FEET 56096,B100000,00000,0600,00000PATIENT DAYS 56096,B100000,00000,0700,00000SQUARE FEET 56096,B100000,00000,0800,00000MEALS SERVED 56096,B100000,00000,0900,00000NURSING SALARIES 56096,B100000,00000,1000,00000PATIENT DAYS 56096,B100000,00000,1100,00000PATIENT DAYS 56096,B100000,00000,1200,00000GROSS CHARGES 56096,B100000,00000,1300,00000PATIENT DAYS 56096,B100000,00000,1350,00000PATIENT DAYS 56096,B100000,00000,1400,00000ASSIGNED TIME 56096,E10A180,00501,0100,12/20/2000 56096,S000000,00100,0200,11/30/2000 56096,S200000,00100,0100,3609 CHESNUT STREET 56096,S200000,00200,0100,PHILADELPHIA 56096,S200000,00200,0200,PA 56096,S200000,00200,0300,19104 56096,S200000,00400,0100,PENN CENTER 56096,S200000,00400,0200,395722 56096,S200000,00400,0300,07/01/1986 56096,S200000,00400,0500,P 56096,S200000,01600,0100,Y 56112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56112,A000000,00101,0000,00101CAP REL CSTS - NURSING 56112,A000000,00102,0000,00102CAP REL CSTS - PC 56112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56112,A000000,00201,0000,00201CAP REL-MOV EQUIP NUR 56112,A000000,00202,0000,00202CAP REL-MOV EQUIP PC 56112,A000000,00300,0000,00300EMPLOYEE BENEFITS 56112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56112,A000000,00501,0000,00501PLANT OPER-NURSING 56112,A000000,00502,0000,00502PLANT OPER-PC 56112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56112,A000000,00700,0000,00700HOUSEKEEPING 56112,A000000,00800,0000,00800DIETARY 56112,A000000,00900,0000,00900NURSING ADMINISTRATION 56112,A000000,00901,0000,00901ADMISSIONS 56112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56112,A000000,01100,0000,01100PHARMACY 56112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56112,A000000,01300,0000,01300SOCIAL SERVICE 56112,A000000,01350,0000,01500ACTIVITIES 56112,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56112,A000000,01600,0000,01600SKILLED NURSING FACILITY 56112,A000000,01800,0000,01800NURSING FACILITY 56112,A000000,01810,0000,01810ICF/MR 56112,A000000,01900,0000,01900OTHER LONG TERM CARE 56112,A000000,02100,0000,02100RADIOLOGY 56112,A000000,02200,0000,02200LABORATORY 56112,A000000,02300,0000,02300INTRAVENOUS THERAPY 56112,A000000,02500,0000,02500PHYSICAL THERAPY 56112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56112,A000000,02700,0000,02700SPEECH PATHOLOGY 56112,A000000,02800,0000,02800ELECTROCARDIOLOGY 56112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56112,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 56112,A000000,03550,0000,03550FQHC 56112,A000000,05000,0000,05000CORF 56112,A000000,05010,0000,05010CMHC 56112,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56112,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56112,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56112,A000000,06150,0000,06300OTHER NONREIMBURSABLE 56112,A81000A,00100,0100,Y 56112,A81000B,00100,0300,HOME OFFICE COSTS 56112,A81000B,00200,0300,PHYSICAL THERAPY 56112,A81000B,00300,0300,OCCUPATIONAL THERAPY 56112,A81000B,00400,0300,SPEECH THERAPY 56112,A81000B,00500,0300,PRESCRIPTION DRUGS 56112,A81000B,00600,0300,OVER-THE-COUNTER DRUGS - SNF 56112,A81000B,00700,0300,IV DRUGS 56112,A81000B,00800,0300,DRUGS CONSULTING 56112,A81000B,00900,0300,CENTRAL SUPPLIES 56112,A81000B,01000,0300,MEDICAL SUPPLIES 56112,A81000B,01100,0300,HOUSEKEEPING 56112,A81000B,01200,0300,PT SUPPLIES 56112,A81000B,01300,0300,OT SUPPLIES 56112,A81000B,01400,0300,SUPPLIES 56112,A81000B,01500,0300,SUPPLIES 56112,A81000B,01600,0300,SUPPLIES 56112,A81000B,01700,0300,DIETARY SUPPLIES 56112,A81000B,01800,0300,LAUNDRY SUPPLIES 56112,A81000B,01900,0300,PLANT SUPPLIES 56112,A81000C,00100,0100,A 56112,A81000C,00100,0200,RICHARD 56112,A81000C,00100,0400,GRANE 56112,A81000C,00100,0600,HEALTHCARE MGMT 56112,A81000C,00200,0200,GRACIANO SR. 56112,A81000C,00200,0400,HEALTHCARE 56112,A81000C,00300,0100,A 56112,A81000C,00300,0200,RICHARD 56112,A81000C,00300,0400,GRANE 56112,A81000C,00300,0600,HEALTHCARE MGMT 56112,A81000C,00400,0200,GRACIANO JR. 56112,A81000C,00400,0400,HEALTHCARE 56112,A81000C,00500,0100,A 56112,A81000C,00500,0200,DAVID GRACIANO 56112,A81000C,00500,0400,GRANE 56112,A81000C,00500,0600,HEALTHCARE MGMT 56112,A81000C,00600,0400,HEALTHCARE 56112,A81000C,00700,0100,A 56112,A81000C,00700,0200,ROSS NESE 56112,A81000C,00700,0400,GRANE 56112,A81000C,00700,0600,HEALTHCARE MGMT 56112,A81000C,00800,0400,HEALTHCARE 56112,A81000C,00900,0100,A 56112,A81000C,00900,0200,RICHARD 56112,A81000C,00900,0400,GMS CORP 56112,A81000C,00900,0600,ADMIN SERVICES 56112,A81000C,01000,0200,GRACIANO JR. 56112,A81000C,01100,0100,A 56112,A81000C,01100,0200,DAVID GRACIANO 56112,A81000C,01100,0400,GMS CORP 56112,A81000C,01100,0600,ADMIN SERVICES 56112,A81000C,01200,0100,A 56112,A81000C,01200,0200,SAME AS GRANE 56112,A81000C,01200,0400,GRANE ASSOC D/B 56112,A81000C,01200,0600,PLANT EXP/RENOV 56112,A81000C,01300,0100,A 56112,A81000C,01300,0200,HEALTHCARE 56112,A81000C,01300,0400,TRADE CONSTRUCT 56112,A81000C,01400,0100,A 56112,A81000C,01400,0200,SAME AS GRANE 56112,A81000C,01400,0400,GRANE ASSOC 56112,A81000C,01400,0600,ADMIN SERVICES 56112,A81000C,01500,0100,A 56112,A81000C,01500,0200,HEALTHCARE 56112,A81000C,01600,0100,A 56112,A81000C,01600,0200,SAME AS GRANE 56112,A81000C,01600,0400,GRANE REHAB 56112,A81000C,01600,0600,REHAB 56112,A81000C,01700,0100,A 56112,A81000C,01700,0200,HEALTHCARE 56112,A81000C,01700,0600,(PT ST OT) 56112,A81000C,01800,0100,A 56112,A81000C,01800,0200,SAME AS GRANE 56112,A81000C,01800,0400,GRANE SUPPLY 56112,A81000C,01800,0600,DRUGS/MED SUPP 56112,A81000C,01900,0100,A 56112,A81000C,01900,0200,HEALTHCARE 56112,A81000C,01900,0600,HOUSEKEEPING 56112,B100000,00000,0100,00000SQUARE FEET 56112,B100000,00000,0101,00000SQUARE FEET 56112,B100000,00000,0102,00000SQUARE FEET 56112,B100000,00000,0200,00000SQUARE FEET 56112,B100000,00000,0201,00000SQUARE FEET 56112,B100000,00000,0202,00000SQUARE FEET 56112,B100000,00000,0300,00000GROSS SALARIES 56112,B100000,00000,0400,00000ACCUM. COST 56112,B100000,00000,0500,00000SQUARE FEET 56112,B100000,00000,0501,00000SQUARE FEET 56112,B100000,00000,0502,00000SQUARE FEET 56112,B100000,00000,0600,00000POUNDS OF LAUNDRY 56112,B100000,00000,0700,00000SQUARE FEET 56112,B100000,00000,0800,00000MEALS SERVED 56112,B100000,00000,0900,00000DIRECT NRSING HRS 56112,B100000,00000,0901,00000NUMBER OF ADMISSIONS 56112,B100000,00000,1000,00000COSTED REQUIS. 56112,B100000,00000,1100,00000COSTED REQUIS. 56112,B100000,00000,1200,00000DIRECT NUR HOURS 56112,B100000,00000,1300,00000PATIENT DA 56112,B100000,00000,1350,00000 56112,B100000,00000,1400,00000ASSIGNED TIME 56112,E10A180,00501,0100,06/22/2000 56112,E10A180,00501,0300,06/22/2000 56112,S000000,00100,0200,05/25/2000 56112,S200000,00100,0100,601 SOUTH CHURCH STREET 56112,S200000,00200,0100,MT PLEASANT 56112,S200000,00200,0200,PA 56112,S200000,00200,0300,15666 56112,S200000,00300,0100,WESTMORELAND 56112,S200000,00400,0100,HARMON HOUSE CONVALESCENT CENTER 56112,S200000,00400,0200,395726 56112,S200000,00400,0300,01/26/1987 56112,S200000,00400,0500,P 56112,S200000,00600,0200,395726 56112,S200000,00600,0300,01/26/1987 56112,S200000,00600,0600,P 56112,S200000,01600,0100,Y 56112,S200000,02200,0100,Y 56112,S200000,04700,0100,Y 56128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56128,A000000,00300,0000,00300EMPLOYEE BENEFITS 56128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56128,A000000,00700,0000,00700HOUSEKEEPING 56128,A000000,00800,0000,00800DIETARY 56128,A000000,00900,0000,00900NURSING ADMINISTRATION 56128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56128,A000000,01100,0000,01100PHARMACY 56128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56128,A000000,01300,0000,01300SOCIAL SERVICE 56128,A000000,01350,0000,01500ACTIVITIES 56128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56128,A000000,01600,0000,01600SKILLED NURSING FACILITY 56128,A000000,01800,0000,01800NURSING FACILITY 56128,A000000,01810,0000,01810ICF/MR 56128,A000000,02100,0000,02100RADIOLOGY 56128,A000000,02200,0000,02200LABORATORY 56128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56128,A000000,02500,0000,02500PHYSICAL THERAPY 56128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56128,A000000,02700,0000,02700SPEECH PATHOLOGY 56128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56128,A000000,03550,0000,03550FQHC 56128,A000000,05000,0000,05000CORF 56128,A000000,05010,0000,05010CMHC 56128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56128,A000000,05801,0000,05801GUEST MEALS 56128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56128,A81000A,00100,0100,Y 56128,A81000B,00100,0300,MANAGEMENT FEES 56128,A81000C,00100,0100,A 56128,A81000C,00100,0200,FRANCIS HAYMAN 56128,A81000C,00100,0400,PENNMED 56128,A81000C,00100,0600,HOME OFFICE 56128,A81000C,00200,0100,A 56128,A81000C,00200,0200,DRURY GALLAGHER 56128,A81000C,00200,0400,PENNMED 56128,A81000C,00200,0600,HOME OFFICE 56128,A81000C,00300,0100,A 56128,A81000C,00300,0200,JOHN HAYMAN 56128,A81000C,00300,0400,PENNMED 56128,A81000C,00300,0600,HOME OFFICE 56128,B100000,00000,0100,00000SQUARE FEET 56128,B100000,00000,0200,00000SQUARE FEET 56128,B100000,00000,0300,00000GROSS SALARIES 56128,B100000,00000,0400,00000ACCUM. COST 56128,B100000,00000,0500,00000SQUARE FEET 56128,B100000,00000,0600,00000POUNDS OF LAUNDRY 56128,B100000,00000,0700,00000SQUARE FEET 56128,B100000,00000,0800,00000MEALS SERVED 56128,B100000,00000,0900,00000PATIENT DAYS 56128,B100000,00000,1000,00000COSTED REQUIS. 56128,B100000,00000,1100,00000PATIENT DAYS 56128,B100000,00000,1200,00000TIME SPENT 56128,B100000,00000,1300,00000PATIENT DAYS 56128,B100000,00000,1350,00000PATIENT DAYS 56128,B100000,00000,1400,00000ASSIGNED TIME 56128,E10A180,00501,0100,06/15/2000 56128,E10A180,00501,0300,06/15/2000 56128,E10A180,00550,0100,02/09/2001 56128,S000000,00100,0200,05/30/2000 56128,S200000,00100,0100,498 WASHINGTON STREET 56128,S200000,00200,0100,EASTON 56128,S200000,00200,0200,PA 56128,S200000,00200,0300,18042 56128,S200000,00300,0100,NORTHAMPTON 56128,S200000,00400,0100,EASTON NURSING CENTER 56128,S200000,00400,0200,395729 56128,S200000,00400,0300,01/01/1985 56128,S200000,00400,0500,P 56128,S200000,00600,0200,395729 56128,S200000,00600,0300,01/01/1985 56128,S200000,00600,0600,P 56128,S200000,01600,0100,Y 56128,S200000,02200,0100,Y 56128,S200000,04700,0100,Y 56137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56137,A000000,00300,0000,00300EMPLOYEE BENEFITS 56137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56137,A000000,00700,0000,00700HOUSEKEEPING 56137,A000000,00800,0000,00800DIETARY 56137,A000000,00900,0000,00900NURSING ADMINISTRATION 56137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56137,A000000,01100,0000,01100PHARMACY 56137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56137,A000000,01300,0000,01300SOCIAL SERVICE 56137,A000000,01350,0000,01500ACTIVITIES 56137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56137,A000000,01600,0000,01600SKILLED NURSING FACILITY 56137,A000000,01810,0000,01810ICF/MR 56137,A000000,02100,0000,02100RADIOLOGY 56137,A000000,02200,0000,02200LABORATORY 56137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56137,A000000,02500,0000,02500PHYSICAL THERAPY 56137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56137,A000000,02700,0000,02700SPEECH PATHOLOGY 56137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56137,A000000,03550,0000,03550FQHC 56137,A000000,05000,0000,05000CORF 56137,A000000,05010,0000,05010CMHC 56137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56137,A000000,05801,0000,05801EMPLOYEE / GUEST MEALS 56137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56137,A81000A,00100,0100,Y 56137,A81000B,00100,0300,MANAGEMENT FEES 56137,A81000C,00100,0100,A 56137,A81000C,00100,0200,FRANK HAYMAN 56137,A81000C,00100,0400,PENNMED 56137,A81000C,00100,0600,HOME OFFICE 56137,A81000C,00200,0100,A 56137,A81000C,00200,0200,JOHN HAYMAN 56137,A81000C,00200,0400,PENNMED 56137,A81000C,00200,0600,HOME OFFICE 56137,A81000C,00300,0100,A 56137,A81000C,00300,0200,DRURY GALLAGHER 56137,A81000C,00300,0400,PENNMED 56137,A81000C,00300,0600,HOME OFFICE 56137,B100000,00000,0100,00000SQUARE FEET 56137,B100000,00000,0200,00000DOLLAR VALUE 56137,B100000,00000,0300,00000GROSS SALARIES 56137,B100000,00000,0400,00000ACCUM. COST 56137,B100000,00000,0500,00000SQUARE FEET 56137,B100000,00000,0600,00000POUNDS OF LAUNDRY 56137,B100000,00000,0700,00000SQUARE FEET 56137,B100000,00000,0800,00000MEALS SERVED 56137,B100000,00000,0900,00000PATIENT DAYS 56137,B100000,00000,1000,00000PATIENT DAYS 56137,B100000,00000,1100,00000PATIENT DAYS 56137,B100000,00000,1200,00000TIME SPENT 56137,B100000,00000,1300,00000PATIENT DAYS 56137,B100000,00000,1350,00000PATIENT DAYS 56137,B100000,00000,1400,00000ASSIGNED TIME 56137,E10A180,00501,0100,07/12/2000 56137,E10A180,00501,0300,07/12/2000 56137,S000000,00100,0200,05/30/2000 56137,S200000,00100,0100,RD # 4 56137,S200000,00100,0300,357 56137,S200000,00200,0100,DALLAS 56137,S200000,00200,0200,PA 56137,S200000,00200,0300,18612 56137,S200000,00300,0100,LUZERNE 56137,S200000,00400,0100,LAKESIDE NURSING CENTER 56137,S200000,00400,0200,395730 56137,S200000,00400,0300,07/01/1984 56137,S200000,00400,0500,P 56137,S200000,01500,0100,Y 56137,S200000,02200,0100,Y 56137,S200000,04700,0100,Y 56149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56149,A000000,00300,0000,00300EMPLOYEE BENEFITS 56149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56149,A000000,00700,0000,00700HOUSEKEEPING 56149,A000000,00800,0000,00800DIETARY 56149,A000000,00900,0000,00900NURSING ADMINISTRATION 56149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56149,A000000,01100,0000,01100PHARMACY 56149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56149,A000000,01300,0000,01300SOCIAL SERVICE 56149,A000000,01301,0000,01301RESIDENT ACTIVITIES 56149,A000000,01350,0000,01500OTHER GENERAL SERVICES 56149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56149,A000000,01600,0000,01600SKILLED NURSING FACILITY 56149,A000000,01800,0000,01800NURSING FACILITY 56149,A000000,01810,0000,01810ICF/MR 56149,A000000,02100,0000,02100RADIOLOGY 56149,A000000,02200,0000,02200LABORATORY 56149,A000000,02500,0000,02500PHYSICAL THERAPY 56149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56149,A000000,02700,0000,02700SPEECH PATHOLOGY 56149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56149,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56149,A000000,03550,0000,03550FQHC 56149,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56149,A000000,05000,0000,05000CORF 56149,A000000,05010,0000,05010CMHC 56149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56149,B100000,00000,0100,00000SQUARE FEET 56149,B100000,00000,0200,00000DOLLAR VALUE 56149,B100000,00000,0300,00000GROSS SALARIES 56149,B100000,00000,0400,00000ACCUM. COST 56149,B100000,00000,0500,00000SQUARE FEET 56149,B100000,00000,0600,00000POUNDS OF LAUNDRY 56149,B100000,00000,0700,00000SQUARE FEET 56149,B100000,00000,0800,00000MEALS SERVED 56149,B100000,00000,0900,00000DIRECT NRSING HRS 56149,B100000,00000,1000,00000COSTED REQUIS. 56149,B100000,00000,1100,00000COSTED REQUIS. 56149,B100000,00000,1200,00000TIME SPENT 56149,B100000,00000,1300,00000TIME SPENT 56149,B100000,00000,1301,00000RESIDENT DAYS 56149,B100000,00000,1350,00000RESIDE DAYS 56149,B100000,00000,1400,00000ASSIGNED TIME 56149,E10A180,00501,0100,06/15/2000 56149,E10A180,00501,0300,06/15/2000 56149,S000000,00100,0200,05/24/2000 56149,S200000,00100,0100,867 YORK ROAD 56149,S200000,00200,0100,GETTYSBURG 56149,S200000,00200,0200,PA 56149,S200000,00300,0100,YORK 56149,S200000,00400,0100,SHEPHERDS CHOICE OF GETTYSBURG 56149,S200000,00400,0200,395733 56149,S200000,00400,0300,07/07/1987 56149,S200000,00400,0500,P 56149,S200000,01600,0100,Y 56149,S200000,02200,0100,Y 56157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56157,A000000,00300,0000,00300EMPLOYEE BENEFITS 56157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56157,A000000,00700,0000,00700HOUSEKEEPING 56157,A000000,00800,0000,00800DIETARY 56157,A000000,00900,0000,00900NURSING ADMINISTRATION 56157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56157,A000000,01100,0000,01100PHARMACY 56157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56157,A000000,01300,0000,01300SOCIAL SERVICE 56157,A000000,01350,0000,01500ACTIVITIES 56157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56157,A000000,01600,0000,01600SKILLED NURSING FACILITY 56157,A000000,01800,0000,01800NURSING FACILITY 56157,A000000,01810,0000,01810ICF/MR 56157,A000000,02100,0000,02100RADIOLOGY 56157,A000000,02200,0000,02200LABORATORY 56157,A000000,02300,0000,02300INTRAVENOUS THERAPY 56157,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56157,A000000,02500,0000,02500PHYSICAL THERAPY 56157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56157,A000000,02700,0000,02700SPEECH PATHOLOGY 56157,A000000,02800,0000,02800ELECTROCARDIOLOGY 56157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56157,A000000,03550,0000,03550FQHC 56157,A000000,05000,0000,05000CORF 56157,A000000,05010,0000,05010CMHC 56157,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56157,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56157,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56157,A81000A,00100,0100,Y 56157,A81000B,00100,0300,ADMINISTRATIVE SERVICES 56157,A81000B,00200,0300,PLANT SERVICES 56157,A81000B,00300,0300,LAUNDRY SERVICES 56157,A81000B,00400,0300,HOUSEKEEPING SERVICES 56157,A81000C,00100,0100,B 56157,A81000C,00100,0200,LIFEQUEST 56157,A81000C,00100,0400,LIFEQUEST 56157,A81000C,00100,0600,ADMINISTRATIVE 56157,B100000,00000,0100,00040SQUARE FEET 56157,B100000,00000,0200,00040SQUARE FEET 56157,B100000,00000,0300,00040GROSS SALARIES 56157,B100000,00000,0400,00040ACCUM. COST 56157,B100000,00000,0500,00040SQUARE FEET 56157,B100000,00000,0600,00040POUNDS OF LAUNDRY 56157,B100000,00000,0700,00040SQUARE FEET 56157,B100000,00000,0800,00040MEALS SERVED 56157,B100000,00000,0900,00040DIRECT NRSING HRS 56157,B100000,00000,1000,00040PATIENT DA 56157,B100000,00000,1100,00040COSTED REQUIS. 56157,B100000,00000,1200,00040PATIENT DA 56157,B100000,00000,1300,00040PATIENT DA 56157,B100000,00000,1350,00040PATIENT DA 56157,B100000,00000,1400,00040ASSIGNED TIME 56157,E10A180,00550,0300,11/30/2000 56157,S000000,00100,0200,11/30/2000 56157,S200000,00100,0100,2450 ROUTE 663 56157,S200000,00200,0100,QUAKERTOWN 56157,S200000,00200,0200,PA 56157,S200000,00300,0100,B 56157,S200000,00400,0100,LIFEQUEST NURSING CENTER 56157,S200000,00400,0200,395735 56157,S200000,00400,0300,07/01/1987 56157,S200000,00400,0500,P 56157,S200000,01600,0100,Y 56157,S200000,02200,0100,Y 56166,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56166,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56166,A000000,00300,0000,00300EMPLOYEE BENEFITS 56166,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56166,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56166,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56166,A000000,00700,0000,00700HOUSEKEEPING 56166,A000000,00800,0000,00800DIETARY 56166,A000000,00900,0000,00900NURSING ADMINISTRATION 56166,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56166,A000000,01100,0000,01100PHARMACY 56166,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56166,A000000,01300,0000,01300SOCIAL SERVICE 56166,A000000,01350,0000,01500PATIENT ACTIVITIES 56166,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56166,A000000,01600,0000,01600SKILLED NURSING FACILITY 56166,A000000,01810,0000,01810ICF/MR 56166,A000000,02100,0000,02100RADIOLOGY 56166,A000000,02200,0000,02200LABORATORY 56166,A000000,02300,0000,02300INTRAVENOUS THERAPY 56166,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56166,A000000,02500,0000,02500PHYSICAL THERAPY 56166,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56166,A000000,02700,0000,02700SPEECH PATHOLOGY 56166,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56166,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56166,A000000,03550,0000,03550FQHC 56166,A000000,05000,0000,05000CORF 56166,A000000,05010,0000,05010CMHC 56166,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56166,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56166,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56166,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56166,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56166,A000000,06150,0000,06300NONREIMBURSABLE 56166,A81000A,00100,0100,Y 56166,A81000B,00100,0300,HOME OFFICE 56166,A81000B,00200,0300,HOME OFFICE CAPITAL 56166,A81000C,00100,0100,A 56166,A81000C,00100,0200,ACTS RETIREMENT 56166,A81000C,00100,0600,HOME OFFICE 56166,A81000C,00200,0100,B 56166,A81000C,00200,0200,ACTS RETIREMENT 56166,A81000C,00200,0600,HOME OFFICE 56166,B100000,00000,0100,00000SQUARE FEET 56166,B100000,00000,0200,00000SQUARE FEET 56166,B100000,00000,0300,00000GROSS SALARIES 56166,B100000,00000,0400,00000ACCUM COST 56166,B100000,00000,0500,00000SQUARE FEET 56166,B100000,00000,0600,00000POUNDS OF LAUNDRY 56166,B100000,00000,0700,00000HOURS OF SERVICE 56166,B100000,00000,0800,00000MEALS SERVED 56166,B100000,00000,0900,00000DIRECT NRSG HRS 56166,B100000,00000,1000,00000COSTED REQUIS 56166,B100000,00000,1100,00000COSTED REQUIS 56166,B100000,00000,1200,00000TIME SPENT 56166,B100000,00000,1300,00000TIME SPENT 56166,B100000,00000,1350,00000PATIENT DAYS 56166,B100000,00000,1400,00000ASSIGNED TIME 56166,E10A180,00501,0100,07/06/2000 56166,E10A180,00501,0300,07/06/2000 56166,S000000,00100,0200,05/31/2000 56166,S200000,00100,0100,1343 WEST BALTIMORE PIKE 56166,S200000,00200,0100,MEDIA 56166,S200000,00200,0200,PA 56166,S200000,00300,0100,DELAWARE 56166,S200000,00400,0100,GRANITE FARMS ESTATES 56166,S200000,00400,0200,395736 56166,S200000,00400,0300,07/17/1987 56166,S200000,00400,0500,P 56166,S200000,01500,0100,Y 56166,S200000,01900,0100,503C 56166,S200000,02800,0100,Y 56175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56175,A000000,00300,0000,00300EMPLOYEE BENEFITS 56175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56175,A000000,00700,0000,00700HOUSEKEEPING 56175,A000000,00800,0000,00800DIETARY 56175,A000000,00900,0000,00900NURSING ADMINISTRATION 56175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56175,A000000,01100,0000,01100PHARMACY 56175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56175,A000000,01300,0000,01300SOCIAL SERVICE 56175,A000000,01350,0000,01500RESIDENT ACTIVITIES 56175,A000000,01351,0000,01510MCR/IF 56175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56175,A000000,01600,0000,01600SKILLED NURSING FACILITY 56175,A000000,01800,0000,01800NURSING FACILITY 56175,A000000,01810,0000,01810ICF/MR 56175,A000000,02100,0000,02100RADIOLOGY 56175,A000000,02200,0000,02200LABORATORY 56175,A000000,02300,0000,02300INTRAVENOUS THERAPY 56175,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56175,A000000,02500,0000,02500PHYSICAL THERAPY 56175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56175,A000000,02700,0000,02700SPEECH PATHOLOGY 56175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56175,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56175,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56175,A000000,03550,0000,03550FQHC 56175,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56175,A000000,04800,0000,04800AMBULANCE 56175,A000000,05000,0000,05000CORF 56175,A000000,05010,0000,05010CMHC 56175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56175,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56175,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56175,B100000,00000,0100,00000SQUARE FEET 56175,B100000,00000,0200,00000SQUARE FEET 56175,B100000,00000,0300,00000GROSS SALARIES 56175,B100000,00000,0400,00000ACCUM. COST 56175,B100000,00000,0500,00000SQUARE FEET 56175,B100000,00000,0600,00000PATIENT DAYS 56175,B100000,00000,0700,00000SQ FT EXCL D 56175,B100000,00000,0800,00000MEALS SERVED 56175,B100000,00000,0900,00000PATIENT DAYS 56175,B100000,00000,1000,00000PATIENT DAYS 56175,B100000,00000,1100,00000PATIENT DAYS 56175,B100000,00000,1200,00000PATIENT DAYS 56175,B100000,00000,1300,00000PATIENT DAYS 56175,B100000,00000,1350,00000PATIENT DAYS 56175,B100000,00000,1360,00000 56175,B100000,00000,1400,00000NO STATISTICS 56175,E10A180,00501,0100,11/27/2000 56175,S000000,00100,0200,11/10/2000 56175,S200000,00100,0100,780 WOODLAND AVENUE 56175,S200000,00200,0100,LEWISBERRY 56175,S200000,00200,0200,PA 56175,S200000,00200,0300,17339 56175,S200000,00300,0100,YORK 56175,S200000,00400,0100,WOODLAND CENTER FOR NURSING 56175,S200000,00400,0200,395737 56175,S200000,00400,0300,07/23/1987 56175,S200000,00400,0500,P 56175,S200000,01600,0100,Y 56183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56183,A000000,00300,0000,00300EMPLOYEE BENEFITS 56183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56183,A000000,00700,0000,00700HOUSEKEEPING 56183,A000000,00800,0000,00800DIETARY 56183,A000000,00900,0000,00900NURSING ADMINISTRATION 56183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56183,A000000,01100,0000,01100PHARMACY 56183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56183,A000000,01300,0000,01300SOCIAL SERVICE 56183,A000000,01350,0000,01500PATIENT ACTIVITIES 56183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56183,A000000,01600,0000,01600SKILLED NURSING FACILITY 56183,A000000,01810,0000,01810ICF/MR 56183,A000000,02100,0000,02100RADIOLOGY 56183,A000000,02200,0000,02200LABORATORY 56183,A000000,02300,0000,02300INTRAVENOUS THERAPY 56183,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56183,A000000,02500,0000,02500PHYSICAL THERAPY 56183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56183,A000000,02700,0000,02700SPEECH PATHOLOGY 56183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56183,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56183,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56183,A000000,03550,0000,03550FQHC 56183,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56183,A000000,05000,0000,05000CORF 56183,A000000,05010,0000,05010CMHC 56183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56183,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56183,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56183,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 56183,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56183,B100000,00000,0100,00000SQUARE FEET 56183,B100000,00000,0200,00000NO STATISTICS 56183,B100000,00000,0300,00000GROSS SALARIES 56183,B100000,00000,0400,00000ACCUM. COST 56183,B100000,00000,0500,00000SQUARE FEET 56183,B100000,00000,0600,00000POUNDS OF LAUNDRY 56183,B100000,00000,0700,00000SQ FT EXCL 56183,B100000,00000,0800,00000MEALS SERVED 56183,B100000,00000,0900,00000PATIENT DAYS 56183,B100000,00000,1000,00000PATIENT DAYS 56183,B100000,00000,1100,00000PATIENT DAYS 56183,B100000,00000,1200,00000NO STATISTICS 56183,B100000,00000,1300,00000PATIENT DAYS 56183,B100000,00000,1350,00000PATIENT DAYS 56183,B100000,00000,1400,00000NO STATISTICS 56183,E10A180,00350,0300,12/31/1999 56183,S000000,00100,0200,05/30/2000 56183,S200000,00100,0100,9896 BUSTLETON AVENUE 56183,S200000,00200,0100,PHILADELPHIA 56183,S200000,00200,0200,PA 56183,S200000,00300,0100,PHILADELPHIA 56183,S200000,00400,0100,PAULS RUN 56183,S200000,00400,0200,395738 56183,S200000,00400,0300,08/01/1987 56183,S200000,00400,0500,P 56183,S200000,01500,0100,Y 56183,S200000,02800,0100,Y 56192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56192,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 56192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56192,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 56192,A000000,00300,0000,00300EMPLOYEE BENEFITS 56192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56192,A000000,00700,0000,00700HOUSEKEEPING 56192,A000000,00800,0000,00800DIETARY 56192,A000000,00801,0000,00801CAFETERIA 56192,A000000,00900,0000,00900NURSING ADMINISTRATION 56192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56192,A000000,01100,0000,01100PHARMACY 56192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56192,A000000,01300,0000,01300SOCIAL SERVICE 56192,A000000,01350,0000,01500RECREATION 56192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56192,A000000,01600,0000,01600SKILLED NURSING FACILITY 56192,A000000,01800,0000,01800NURSING FACILITY 56192,A000000,01810,0000,01810ICF/MR 56192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56192,A000000,02500,0000,02500PHYSICAL THERAPY 56192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56192,A000000,02700,0000,02700SPEECH PATHOLOGY 56192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56192,A000000,03050,0000,03300PEN THERAPY 56192,A000000,03051,0000,03301FEE SCREENING 56192,A000000,03052,0000,03302OTHER ANCILLARY III 56192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 56192,A000000,03550,0000,03550FQHC 56192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56192,A000000,05000,0000,05000CORF I 56192,A000000,05010,0000,05010CMHC I 56192,A000000,05020,0000,05020OPT I 56192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 56192,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 56192,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 56192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56192,A81000A,00100,0100,Y 56192,A81000B,00100,0300,HOME OFFICE INTEREST 56192,A81000B,00200,0300,HOME OFFICE ADM. 56192,A81000B,00300,0300,HOME OFFICE CAPITAL 56192,A81000B,00400,0300,AS ATTACHED 56192,A81000C,00100,0100,B 56192,A81000C,00100,0400,GENESIS HEALTH 56192,A81000C,00100,0600,MANAGEMENT 56192,A81000C,00200,0100,B 56192,A81000C,00200,0400,GENESIS HEALTH 56192,A81000C,00200,0600,MANAGEMENT 56192,A81000C,00300,0100,B 56192,A81000C,00300,0400,GENESIS HEALTH 56192,A81000C,00300,0600,MANAGEMENT 56192,A81000C,00400,0100,B 56192,A81000C,00400,0400,AS ATTACHED 56192,A81000C,00400,0600,VARIOUS 56192,B100000,00000,0100,00000(SQUARE FEET) 56192,B100000,00000,0101,00000(SQUARE FEET) 56192,B100000,00000,0200,00000(SQUARE FEET) 56192,B100000,00000,0201,00000(SQUARE FEET) 56192,B100000,00000,0300,00000(GROSS SALARIES) 56192,B100000,00000,0400,00000(ACCUM. COST) 56192,B100000,00000,0500,00000(SQUARE FEET) 56192,B100000,00000,0600,00000(PATIENT DAYS) 56192,B100000,00000,0700,00000(SQUARE FEET) 56192,B100000,00000,0800,00000(MEALS SERVED) 56192,B100000,00000,0801,00000(MEALS SERVED) 56192,B100000,00000,0900,00000(NURSING SALARIES) 56192,B100000,00000,1000,00000(PATIENT DAYS) 56192,B100000,00000,1100,00000PAT. DAYS 56192,B100000,00000,1200,00000(PATIENT DAYS) 56192,B100000,00000,1300,00000(PATIENT DAYS) 56192,B100000,00000,1350,00000(PATIENT DAYS) 56192,B100000,00000,1400,00000(ASSIGNED TIME) 56192,E10A180,00501,0100,04/12/2000 56192,E10A180,00501,0300,04/12/2000 56192,S000000,00100,0200,02/28/2000 56192,S200000,00100,0100,800 W. MINER ST. 56192,S200000,00200,0100,WEST CHESTER 56192,S200000,00200,0200,PA 56192,S200000,00200,0300,19382 56192,S200000,00300,0100,CHESTER 56192,S200000,00400,0100,BRANDYWINE HALL 56192,S200000,00400,0200,395740 56192,S200000,00400,0300,07/31/1987 56192,S200000,00400,0500,P 56192,S200000,01600,0100,Y 56192,S200000,02200,0100,Y 56202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56202,A000000,00300,0000,00300EMPLOYEE BENEFITS 56202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56202,A000000,00700,0000,00700HOUSEKEEPING 56202,A000000,00800,0000,00800DIETARY 56202,A000000,00900,0000,00900NURSING ADMINISTRATION 56202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56202,A000000,01100,0000,01100PHARMACY 56202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56202,A000000,01300,0000,01300SOCIAL SERVICE 56202,A000000,01350,0000,01500PATIENT ACTIVITIES 56202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56202,A000000,01600,0000,01600SKILLED NURSING FACILITY 56202,A000000,01800,0000,01800NURSING FACILITY 56202,A000000,01810,0000,01810ICF/MR 56202,A000000,02100,0000,02100RADIOLOGY 56202,A000000,02200,0000,02200LABORATORY 56202,A000000,02500,0000,02500PHYSICAL THERAPY 56202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56202,A000000,02700,0000,02700SPEECH PATHOLOGY 56202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56202,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMEN 56202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56202,A000000,03550,0000,03550FQHC 56202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56202,A000000,05000,0000,05000CORF 56202,A000000,05010,0000,05010CMHC 56202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56202,A000000,05300,0000,05300INTEREST EXPENSE 56202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56202,A81000A,00100,0100,Y 56202,A81000B,00100,0300,MEDICAL DIRECTORS FEE 56202,A81000B,00200,0300,RENT EXPENSE 56202,A81000B,00300,0300,TELEPHONE EXPENSE 56202,A81000B,00400,0300,STORAGE 56202,A81000B,00500,0300,ADVERTISING 56202,A81000C,00100,0100,A 56202,A81000C,00100,0200,PHILIP P RIPEPI 56202,A81000C,00100,0600,MEDICAL DIRECTOR 56202,A81000C,00200,0100,D 56202,A81000C,00200,0200,SEE ATTACHED LISTING 56202,A81000C,00200,0400,SOUTHWESTERN HEALTH CTR 56202,A81000C,00200,0600,LANDLORD 56202,A81000C,00300,0100,D 56202,A81000C,00300,0200,SAME AS 2 56202,A81000C,00300,0400,SAME AS 2 56202,A81000C,00300,0600,SAME AS 2 56202,A81000C,00400,0100,D 56202,A81000C,00400,0200,SAME AS 2 56202,A81000C,00400,0400,SAME AS 2 56202,A81000C,00400,0600,SAME AS 2 56202,A81000C,00500,0100,D 56202,A81000C,00500,0200,SAME AS 2 56202,A81000C,00500,0400,SAME AS 2 56202,A81000C,00500,0600,SAME AS 2 56202,B100000,00000,0100,00000(SQUARE FEET) 56202,B100000,00000,0200,00000(SQUARE FEET) 56202,B100000,00000,0300,00000(GROSS SALARIES) 56202,B100000,00000,0400,00000(ACCUM. COST) 56202,B100000,00000,0500,00000(SQUARE FEET) 56202,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 56202,B100000,00000,0700,00000(SQUARE FEET) 56202,B100000,00000,0800,00000(PATIENT DAYS) 56202,B100000,00000,0900,00000(NURSING SALARIES) 56202,B100000,00000,1000,00000(COSTED REQUIS.) 56202,B100000,00000,1100,00000(COSTED REQUIS.) 56202,B100000,00000,1200,00000(GROSS REVENUES) 56202,B100000,00000,1300,00000(GROSS REVENUES) 56202,B100000,00000,1350,00000(PATIENT DAYS) 56202,B100000,00000,1400,00000(ASSIGNED TIME) 56202,E10A180,00501,0300,06/06/2000 56202,S000000,00100,0200,05/25/2000 56202,S200000,00100,0100,500 N. LEWIS RUN ROAD 56202,S200000,00200,0100,PITTSBURGH 56202,S200000,00200,0200,PA 56202,S200000,00300,0100,ALLEGHENY 56202,S200000,00400,0100,SOUTHWESTERN NURSING HM & REHAB CTR 56202,S200000,00400,0200,395742 56202,S200000,00400,0300,09/22/1987 56202,S200000,00400,0500,P 56202,S200000,01600,0100,Y 56223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56223,A000000,00300,0000,00300EMPLOYEE BENEFITS 56223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56223,A000000,00700,0000,00700HOUSEKEEPING 56223,A000000,00800,0000,00800DIETARY 56223,A000000,00900,0000,00900NURSING ADMINISTRATION 56223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56223,A000000,01100,0000,01100PHARMACY 56223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56223,A000000,01300,0000,01300SOCIAL SERVICE 56223,A000000,01350,0000,01500PATIENT ACTIVITIES 56223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56223,A000000,01600,0000,01600SKILLED NURSING FACILITY 56223,A000000,01800,0000,01800NURSING FACILITY 56223,A000000,01810,0000,01810ICF/MR 56223,A000000,02100,0000,02100RADIOLOGY 56223,A000000,02200,0000,02200LABORATORY 56223,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56223,A000000,02500,0000,02500PHYSICAL THERAPY 56223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56223,A000000,02700,0000,02700SPEECH PATHOLOGY 56223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56223,A000000,03550,0000,03550FQHC 56223,A000000,05000,0000,05000CORF 56223,A000000,05010,0000,05010CMHC 56223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56223,A000000,05300,0000,05300INTEREST EXPENSE 56223,A000000,05350,0000,05600MEDICAL DIRECTOR 56223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56223,A000000,06200,0000,06200PATIENTS LAUNDRY 56223,A81000A,00100,0100,Y 56223,A81000B,00100,0300,MANAGEMENT FEE 56223,A81000C,00100,0100,A 56223,A81000C,00100,0200,ROBERT KOPSACK 56223,A81000C,00100,0400,RENAISSANCE HEA 56223,A81000C,00100,0600,NRSG. HOME MGMT 56223,B100000,00000,0100,00000SQUARE FEET 56223,B100000,00000,0200,00000SQUARE FEET 56223,B100000,00000,0300,00000GROSS SALARIES 56223,B100000,00000,0400,00000ACCUM COST 56223,B100000,00000,0500,00000SQUARE FEET 56223,B100000,00000,0600,00000POUNDS OF LAUNDRY 56223,B100000,00000,0700,00000HOURS OF SERVICE 56223,B100000,00000,0800,00000MEALS SERVED 56223,B100000,00000,0900,00000DIRECT NRSG HRS 56223,B100000,00000,1000,00000COSTED REQUIS 56223,B100000,00000,1100,00000COSTED REQUIS 56223,B100000,00000,1200,00000TIME SPENT 56223,B100000,00000,1300,00000TIME SPENT 56223,B100000,00000,1350,00000TIME SPENT 56223,B100000,00000,1400,00000ASSIGNED TIME 56223,E10A180,00501,0100,06/16/2000 56223,E10A180,00550,0300,06/16/2000 56223,S000000,00100,0200,05/30/2000 56223,S200000,00100,0100,174 VIRGINIA AVENUE 56223,S200000,00200,0100,ROCHESTER 56223,S200000,00200,0200,PA 56223,S200000,00200,0300,15074 56223,S200000,00300,0100,BEAVER 56223,S200000,00400,0100,ROCHESTER MANOR 56223,S200000,00400,0200,395751 56223,S200000,00400,0300,07/16/1990 56223,S200000,00400,0500,P 56223,S200000,00600,0200,395751 56223,S200000,00600,0300,07/16/1990 56223,S200000,00600,0600,P 56223,S200000,01600,0100,Y 56223,S200000,02200,0100,Y 56223,S200000,04700,0100,Y 56236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56236,A000000,00300,0000,00300EMPLOYEE BENEFITS 56236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56236,A000000,00700,0000,00700HOUSEKEEPING 56236,A000000,00800,0000,00800DIETARY 56236,A000000,00900,0000,00900NURSING ADMINISTRATION 56236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56236,A000000,01100,0000,01100PHARMACY 56236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56236,A000000,01300,0000,01300SOCIAL SERVICE 56236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56236,A000000,01600,0000,01600SKILLED NURSING FACILITY 56236,A000000,01810,0000,01810ICF/MR 56236,A000000,01900,0000,01900OTHER LONG TERM CARE 56236,A000000,02500,0000,02500PHYSICAL THERAPY 56236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56236,A000000,02700,0000,02700SPEECH PATHOLOGY 56236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56236,A000000,03400,0000,03400CLINIC 56236,A000000,03550,0000,03550FQHC 56236,A000000,05000,0000,05000CORF 56236,A000000,05010,0000,05010CMHC 56236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56236,A81000A,00100,0100,Y 56236,A81000B,00100,0300,CAPITAL 56236,A81000B,00200,0300,ADMIN 56236,A81000B,00300,0300,UTILITY 56236,A81000C,00100,0100,B 56236,A81000C,00100,0200,B R COMMUNITY 56236,A81000C,00100,0400,B R COMMUNITY 56236,A81000C,00100,0600,HOUSING 56236,B100000,00000,0100,00040SQUARE FEET 56236,B100000,00000,0200,00040SQUARE FEET 56236,B100000,00000,0300,00040GROSS SALARIES 56236,B100000,00000,0400,00040ACCUM COST 56236,B100000,00000,0500,00040SQUARE FEET 56236,B100000,00000,0600,00040POUNDS OF LAUNDRY 56236,B100000,00000,0700,00040HOURS OF SERVICE 56236,B100000,00000,0800,00040MEALS SERVED 56236,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 56236,B100000,00000,1000,00040COSTED REQUIS 56236,B100000,00000,1100,00040COSTED REQUIS 56236,B100000,00000,1200,00040TIME SPENT 56236,B100000,00000,1300,00040TIME SPENT 56236,B100000,00000,1400,00040ASSIGNED TIME 56236,E10A180,00501,0100,07/06/2000 56236,E10A180,00501,0300,07/06/2000 56236,S000000,00100,0200,05/26/2000 56236,S200000,00100,0100,601 N. ITHAN ZVE. 56236,S200000,00200,0100,BRYN MAWR 56236,S200000,00200,0200,PA 56236,S200000,00200,0300,19010 56236,S200000,00300,0100,MONTGOMERY 56236,S200000,00400,0100,BEAUMONT RETIREMENT SERVICES 56236,S200000,00400,0200,395753 56236,S200000,00400,0300,01/01/1988 56236,S200000,00400,0500,P 56236,S200000,01500,0100,Y 56236,S200000,04300,0100,Y 56244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56244,A000000,00300,0000,00300EMPLOYEE BENEFITS 56244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56244,A000000,00700,0000,00700HOUSEKEEPING 56244,A000000,00800,0000,00800DIETARY 56244,A000000,00900,0000,00900NURSING ADMINISTRATION 56244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56244,A000000,01100,0000,01100PHARMACY 56244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56244,A000000,01300,0000,01300SOCIAL SERVICE 56244,A000000,01350,0000,01500PATIENT ACTIVITIES 56244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56244,A000000,01600,0000,01600SKILLED NURSING FACILITY 56244,A000000,01800,0000,01800NURSING FACILITY 56244,A000000,01810,0000,01810ICF/MR 56244,A000000,02100,0000,02100RADIOLOGY 56244,A000000,02200,0000,02200LABORATORY 56244,A000000,02300,0000,02300INTRAVENOUS THERAPY 56244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56244,A000000,02500,0000,02500PHYSICAL THERAPY 56244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56244,A000000,02700,0000,02700SPEECH PATHOLOGY 56244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56244,A000000,03550,0000,03550FQHC 56244,A000000,05000,0000,05000CORF 56244,A000000,05010,0000,05010CMHC 56244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56244,A000000,05300,0000,05300INTEREST EXPENSE 56244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56244,A81000A,00100,0100,Y 56244,A81000B,00100,0300,MANAGEMENT FEES 56244,A81000C,00100,0100,F 56244,A81000C,00100,0200,CLIFFORD R. COL 56244,A81000C,00100,0400,COLDREN ASSOCIA 56244,A81000C,00100,0600,MANAGEMENT SERV 56244,B100000,00000,0100,00000SQUARE FEET 56244,B100000,00000,0200,00000SQUARE FEET 56244,B100000,00000,0300,00000GROSS SALARIES 56244,B100000,00000,0400,00000ACCUM COST 56244,B100000,00000,0500,00000SQUARE FEET 56244,B100000,00000,0600,00000POUNDS OF LAUNDRY 56244,B100000,00000,0700,00000SQUARE FT NET OF KIT 56244,B100000,00000,0800,00000MEALS SERVED 56244,B100000,00000,0900,00000DIRECT NRSG HRS 56244,B100000,00000,1000,00000COSTED REQUIS 56244,B100000,00000,1100,00000PATIENT DAYS 56244,B100000,00000,1200,00000PATIENT DAYS 56244,B100000,00000,1300,00000TIME SPENT 56244,B100000,00000,1350,00000PATIENT DAYS 56244,B100000,00000,1400,00000ASSIGNED TIME 56244,E10A180,00501,0100,05/31/2000 56244,E10A180,00550,0300,05/31/2000 56244,S000000,00100,0200,05/26/2000 56244,S200000,00100,0100,1950 CLIFFSIDE DRIVE 56244,S200000,00200,0100,STATE COLLEGE 56244,S200000,00200,0200,PA 56244,S200000,00200,0300,16801 56244,S200000,00300,0100,CENTRE 56244,S200000,00400,0100,FAIRWAYS AT BROOKLINE 56244,S200000,00400,0200,395756 56244,S200000,00400,0300,05/19/1989 56244,S200000,00400,0500,P 56244,S200000,01600,0100,Y 56244,S200000,02800,0100,Y 56254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56254,A000000,00300,0000,00300EMPLOYEE BENEFITS 56254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56254,A000000,00700,0000,00700HOUSEKEEPING 56254,A000000,00800,0000,00800DIETARY 56254,A000000,00900,0000,00900NURSING ADMINISTRATION 56254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56254,A000000,01100,0000,01100PHARMACY 56254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56254,A000000,01300,0000,01300SOCIAL SERVICE 56254,A000000,01350,0000,01500OTHER GENERAL SERVICES 56254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56254,A000000,01600,0000,01600SKILLED NURSING FACILITY 56254,A000000,01800,0000,01800NURSING FACILITY 56254,A000000,01810,0000,01810ICF/MR 56254,A000000,02100,0000,02100RADIOLOGY 56254,A000000,02200,0000,02200LABORATORY 56254,A000000,02300,0000,02300INTRAVENOUS THERAPY 56254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56254,A000000,02500,0000,02500PHYSICAL THERAPY 56254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56254,A000000,02700,0000,02700SPEECH PATHOLOGY 56254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56254,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56254,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56254,A000000,03550,0000,03550FQHC 56254,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56254,A000000,05000,0000,05000CORF 56254,A000000,05010,0000,05010CMHC 56254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56254,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56254,A81000A,00100,0100,Y 56254,A81000B,00100,0300,HOME OFFICE FEES 56254,A81000C,00100,0100,B 56254,A81000C,00100,0200,GUARDIAN FOUNDATION 56254,A81000C,00100,0400,GUARDIAN FOUNDATION 56254,A81000C,00100,0600,HOME OFFICE FEES 56254,B100000,00000,0100,00000SQUARE FEET 56254,B100000,00000,0200,00000SQUARE FEET 56254,B100000,00000,0300,00000GROSS SALARIES 56254,B100000,00000,0400,00000ACCUM. COST 56254,B100000,00000,0500,00000SQUARE FEET 56254,B100000,00000,0600,00000PATIENT DAYS 56254,B100000,00000,0700,00000SQUARE FEET 56254,B100000,00000,0800,00000MEALS SERVED 56254,B100000,00000,0900,00000DIRECT NRSING HRS 56254,B100000,00000,1000,00000COSTED REQUIS. 56254,B100000,00000,1100,00000COSTED REQUIS. 56254,B100000,00000,1200,00000GROSS SALARIES 56254,B100000,00000,1300,00000PATIENT DAYS 56254,B100000,00000,1350,00000PATIENT DAYS 56254,B100000,00000,1400,00000ASSIGNED TIME 56254,E10A180,00501,0100,12/29/2000 56254,E10A180,00501,0300,12/29/2000 56254,S000000,00100,0200,12/01/2000 56254,S200000,00100,0100,146 EDGEHILL ROAD 56254,S200000,00200,0100,GLENSIDE 56254,S200000,00200,0200,PA 56254,S200000,00200,0300,19038 56254,S200000,00300,0100,M 56254,S200000,00400,0100,EDGEHILL NURSING & REHAB CENTER 56254,S200000,00400,0200,395757 56254,S200000,00400,0300,08/04/1988 56254,S200000,00400,0500,P 56254,S200000,01600,0100,Y 56264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56264,A000000,00300,0000,00300EMPLOYEE BENEFITS 56264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56264,A000000,00700,0000,00700HOUSEKEEPING 56264,A000000,00800,0000,00800DIETARY 56264,A000000,00900,0000,00900NURSING ADMINISTRATION 56264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56264,A000000,01100,0000,01100PHARMACY 56264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56264,A000000,01300,0000,01300SOCIAL SERVICE 56264,A000000,01350,0000,01500ACTIVITIES 56264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56264,A000000,01600,0000,01600SKILLED NURSING FACILITY 56264,A000000,01800,0000,01800NURSING FACILITY 56264,A000000,01810,0000,01810ICF/MR 56264,A000000,01900,0000,01900OTHER LONG TERM CARE 56264,A000000,02100,0000,02100RADIOLOGY 56264,A000000,02200,0000,02200LABORATORY 56264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56264,A000000,02500,0000,02500PHYSICAL THERAPY 56264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56264,A000000,02700,0000,02700SPEECH PATHOLOGY 56264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56264,A000000,03550,0000,03550FQHC 56264,A000000,05000,0000,05000CORF 56264,A000000,05010,0000,05010CMHC 56264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56264,A81000A,00100,0100,Y 56264,A81000B,00100,0300,MANAGEMENT FEE 56264,A81000C,00100,0100,A 56264,A81000C,00100,0200,FRANK HAYMAN 56264,A81000C,00100,0400,PENN MED 56264,A81000C,00100,0600,HOME OFFICE 56264,A81000C,00200,0100,A 56264,A81000C,00200,0200,JOHN HAYMAN 56264,A81000C,00200,0400,PENN MED 56264,A81000C,00200,0600,HOME OFFICE 56264,A81000C,00300,0100,A 56264,A81000C,00300,0200,DRURY GALLAGHER 56264,A81000C,00300,0400,PENN MED 56264,A81000C,00300,0600,HOME OFFICE 56264,B100000,00000,0100,00000SQUARE FEET 56264,B100000,00000,0200,00000DOLLAR VALUE 56264,B100000,00000,0300,00000GROSS SALARIES 56264,B100000,00000,0400,00000ACCUM. COST 56264,B100000,00000,0500,00000SQUARE FEET 56264,B100000,00000,0600,00000POUNDS OF LAUNDRY 56264,B100000,00000,0700,00000SQUARE FEET 56264,B100000,00000,0800,00000MEALS SERVED 56264,B100000,00000,0900,00000DIRECT NRSING HRS 56264,B100000,00000,1000,00000COSTED REQUIS. 56264,B100000,00000,1100,00000PATIENT DAYS 56264,B100000,00000,1200,00000TIME SPENT 56264,B100000,00000,1300,00000PATIENT DAYS 56264,B100000,00000,1350,00000PATIENT DAYS 56264,B100000,00000,1400,00000ASSIGNED TIME 56264,E10A180,00501,0100,06/15/2000 56264,E10A180,00501,0300,06/15/2000 56264,S000000,00100,0200,05/30/2000 56264,S200000,00100,0100,191 EVERGREEN MILL ROAD 56264,S200000,00200,0100,HARMONY 56264,S200000,00200,0200,PA 56264,S200000,00200,0300,16037 56264,S200000,00300,0100,BUTLER 56264,S200000,00400,0100,EVERGREEN NURSING CENTER 56264,S200000,00400,0200,395758 56264,S200000,00400,0300,01/01/1985 56264,S200000,00400,0500,P 56264,S200000,00600,0200,395758 56264,S200000,00600,0300,01/01/1985 56264,S200000,00600,0600,P 56264,S200000,01600,0100,Y 56264,S200000,02200,0100,Y 56264,S200000,04700,0100,Y 56273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56273,A000000,00300,0000,00300EMPLOYEE BENEFITS 56273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56273,A000000,00700,0000,00700HOUSEKEEPING 56273,A000000,00800,0000,00800DIETARY 56273,A000000,00900,0000,00900NURSING ADMINISTRATION 56273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56273,A000000,01100,0000,01100PHARMACY 56273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56273,A000000,01300,0000,01300SOCIAL SERVICE 56273,A000000,01350,0000,01500PATIENT ACTIVITIES 56273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56273,A000000,01600,0000,01600SKILLED NURSING FACILITY 56273,A000000,01810,0000,01810ICF/MR 56273,A000000,02100,0000,02100RADIOLOGY 56273,A000000,02200,0000,02200LABORATORY 56273,A000000,02300,0000,02300INTRAVENOUS THERAPY 56273,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56273,A000000,02500,0000,02500PHYSICAL THERAPY 56273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56273,A000000,02700,0000,02700SPEECH PATHOLOGY 56273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56273,A000000,03550,0000,03550FQHC 56273,A000000,05000,0000,05000CORF 56273,A000000,05010,0000,05010CMHC 56273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56273,A000000,06150,0000,06300NON-REIMBURSABLE 56273,A81000A,00100,0100,Y 56273,A81000B,00100,0300,HOME OFFICE A&G 56273,A81000B,00200,0300,HOME OFFICE CAPITAL 56273,A81000C,00100,0100,B 56273,A81000C,00100,0200,ACTS INC. 56273,A81000C,00100,0400,ACTS INC. 56273,A81000C,00100,0600,HOME OFFICE 56273,B100000,00000,0100,00000SQUARE FEET 56273,B100000,00000,0200,00000SQUARE FEET 56273,B100000,00000,0300,00000GROSS SALARIES 56273,B100000,00000,0400,00000ACCUM COST 56273,B100000,00000,0500,00000SQUARE FEET 56273,B100000,00000,0600,00000POUNDS OF LAUNDRY 56273,B100000,00000,0700,00000SQUARE FEET 56273,B100000,00000,0800,00000MEALS SERVED 56273,B100000,00000,0900,00000DIRECT NRSG HRS 56273,B100000,00000,1000,00000COSTED REQUIS 56273,B100000,00000,1100,00000COSTED REQUIS 56273,B100000,00000,1200,00000PATIENT DAYS 56273,B100000,00000,1300,00000PATIENT DAYS 56273,B100000,00000,1350,00000PATIENT DAYS 56273,B100000,00000,1400,00000ASSIGNED TIME 56273,E10A180,00501,0100,07/06/2000 56273,E10A180,00501,0300,07/06/2000 56273,S000000,00100,0200,05/31/2000 56273,S200000,00100,0100,1001 VALLEY FORGE ROAD 56273,S200000,00200,0100,LANSDALE 56273,S200000,00200,0200,PA 56273,S200000,00300,0100,MONTGOMERY 56273,S200000,00400,0100,BRITTANY POINTE ESTATES 56273,S200000,00400,0200,395762 56273,S200000,00400,0300,08/18/1992 56273,S200000,00400,0500,P 56273,S200000,00400,0600,O 56273,S200000,01500,0100,Y 56273,S200000,02200,0100,Y 56292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56292,A000000,00300,0000,00300EMPLOYEE BENEFITS 56292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56292,A000000,00700,0000,00700HOUSEKEEPING 56292,A000000,00800,0000,00800DIETARY 56292,A000000,00900,0000,00900NURSING ADMINISTRATION 56292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56292,A000000,01100,0000,01100PHARMACY 56292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56292,A000000,01300,0000,01300SOCIAL SERVICE 56292,A000000,01350,0000,01500RESIDENT ACTIVITIES 56292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56292,A000000,01600,0000,01600SKILLED NURSING FACILITY 56292,A000000,01800,0000,01800NURSING FACILITY 56292,A000000,01810,0000,01810ICF/MR 56292,A000000,01900,0000,01900OTHER LONG TERM CARE 56292,A000000,02200,0000,02200LABORATORY 56292,A000000,02500,0000,02500PHYSICAL THERAPY 56292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56292,A000000,02700,0000,02700SPEECH PATHOLOGY 56292,A000000,02800,0000,02800ELECTROCARDIOLOGY 56292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56292,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56292,A000000,03550,0000,03550FQHC 56292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56292,A000000,05000,0000,05000CORF 56292,A000000,05010,0000,05010CMHC 56292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56292,A000000,05300,0000,05300INTEREST EXPENSE 56292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56292,A81000A,00100,0100,Y 56292,A81000B,00100,0300,INTEREST EXPENSE 56292,A81000B,00200,0300,INTEREST EXPENSE 56292,A81000C,00100,0100,G 56292,A81000C,00100,0400,SISTERS OFTHE HOLY SPIRIT 56292,A81000C,00100,0600,MOTHERHOUSE 56292,A81000C,00200,0100,G 56292,A81000C,00200,0400,SISTERS OFTHE HOLY SPIRIT 56292,A81000C,00200,0600,MOTHERHOUSE 56292,B100000,00000,0100,00000SQUARE FEET 56292,B100000,00000,0200,00000SQUARE FEET 56292,B100000,00000,0300,00000GROSS SALARIES 56292,B100000,00000,0400,00000ACCUM. COST 56292,B100000,00000,0500,00000SQUARE FEET 56292,B100000,00000,0600,00000POUNDS OF LAUNDRY 56292,B100000,00000,0700,00000SQUARE FEET 56292,B100000,00000,0800,00000MEALS SERVED 56292,B100000,00000,0900,00000HOURS OF SERVICE 56292,B100000,00000,1000,00000RESIDENTDA AYS-NURSIN 56292,B100000,00000,1100,00000RESIDENTDA AYS-NURSIN 56292,B100000,00000,1200,00000TIME SPENT 56292,B100000,00000,1300,00000TIME SPENT 56292,B100000,00000,1350,00000TIME SPENT 56292,B100000,00000,1400,00000ASSIGNED TIME 56292,E10A180,00501,0100,12/05/2000 56292,E10A180,00550,0300,12/05/2000 56292,S000000,00100,0200,11/28/2000 56292,S200000,00100,0100,2695 WINCHESTER DRIVE 56292,S200000,00200,0100,PITTSBURGH 56292,S200000,00200,0200,PA 56292,S200000,00400,0100,MARIAN MANOR CORPORATION 56292,S200000,00400,0200,395765 56292,S200000,00400,0300,10/01/1988 56292,S200000,00400,0500,P 56292,S200000,01600,0100,Y 56300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56300,A000000,00300,0000,00300EMPLOYEE BENEFITS 56300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56300,A000000,00700,0000,00700HOUSEKEEPING 56300,A000000,00800,0000,00800DIETARY 56300,A000000,00900,0000,00900NURSING ADMINISTRATION 56300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56300,A000000,01100,0000,01100PHARMACY 56300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56300,A000000,01300,0000,01300SOCIAL SERVICE 56300,A000000,01350,0000,01500PATIENT ACTIVITIES 56300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56300,A000000,01600,0000,01600SKILLED NURSING FACILITY 56300,A000000,01810,0000,01810ICF/MR 56300,A000000,02100,0000,02100RADIOLOGY 56300,A000000,02200,0000,02200LABORATORY 56300,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56300,A000000,02500,0000,02500PHYSICAL THERAPY 56300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56300,A000000,02700,0000,02700SPEECH PATHOLOGY 56300,A000000,02800,0000,02800ELECTROCARDIOLOGY 56300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56300,A000000,02901,0000,02901CLINITRON BEDS 56300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56300,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56300,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56300,A000000,03550,0000,03550FQHC 56300,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 56300,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 56300,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 56300,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 56300,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 56300,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 56300,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 56300,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56300,A000000,05000,0000,05000CORF 56300,A000000,05010,0000,05010CMHC 56300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56300,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56300,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56300,A000000,06150,0000,06300RESIDENTIAL / PERSONAL CARE 56300,B100000,00000,0100,00000SQUARE FEET 56300,B100000,00000,0200,00000SQUARE FEET 56300,B100000,00000,0300,00000GROSS SALARIES 56300,B100000,00000,0400,00000ACCUM. COST 56300,B100000,00000,0500,00000SQUARE FEET 56300,B100000,00000,0600,00000POUNDS OF LAUNDRY 56300,B100000,00000,0700,00000SQUARE FEET EXCL 56300,B100000,00000,0800,00000MEALS SERVED 56300,B100000,00000,0900,00000HOURS OF SERVICE 56300,B100000,00000,1000,00000COSTED REQUIS. 56300,B100000,00000,1100,00000COSTED REQUIS. 56300,B100000,00000,1200,00000TIME SPENT 56300,B100000,00000,1300,00000TIME SPENT 56300,B100000,00000,1350,00000TIME SPENT 56300,B100000,00000,1400,00000ASSIGNED TIME 56300,E10A180,00501,0300,07/17/2000 56300,H510100,00000,0000,6160 56300,H510100,02400,0000,6160 56300,H710000,00301,0100,03/22/2000 56300,S000000,00100,0200,05/31/2000 56300,S200000,00100,0100,3205 SKIPPACK PIKE 56300,S200000,00100,0300,670 56300,S200000,00200,0100,WORCESTER 56300,S200000,00200,0200,PA 56300,S200000,00300,0100,MONTGOMERY 56300,S200000,00400,0100,MEADOWOOD NURSING CENTER 56300,S200000,00400,0200,395768 56300,S200000,00400,0300,10/26/1988 56300,S200000,00400,0500,P 56300,S200000,00800,0200,397711 56300,S200000,00800,0300,07/22/1997 56300,S200000,00800,0500,P 56300,S200000,01500,0100,Y 56300,S200000,01700,0100,Y 56300,S200000,01900,0100,501 (C) (3) 56302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56302,A000000,00300,0000,00300EMPLOYEE BENEFITS 56302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56302,A000000,00700,0000,00700HOUSEKEEPING 56302,A000000,00800,0000,00800DIETARY 56302,A000000,00900,0000,00900NURSING ADMINISTRATION 56302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56302,A000000,01100,0000,01100PHARMACY 56302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56302,A000000,01300,0000,01300SOCIAL SERVICE 56302,A000000,01350,0000,01500ACTIVITIES 56302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56302,A000000,01600,0000,01600SKILLED NURSING FACILITY 56302,A000000,01810,0000,01810ICF/MR 56302,A000000,01900,0000,01900OTHER LONG TERM CARE 56302,A000000,02100,0000,02100RADIOLOGY 56302,A000000,02200,0000,02200LABORATORY 56302,A000000,02300,0000,02300INTRAVENOUS THERAPY 56302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56302,A000000,02500,0000,02500PHYSICAL THERAPY 56302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56302,A000000,02700,0000,02700SPEECH PATHOLOGY 56302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56302,A000000,03550,0000,03550FQHC 56302,A000000,05000,0000,05000CORF 56302,A000000,05010,0000,05010CMHC 56302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56302,A000000,06150,0000,06300NON-REIMBURSABLE 56302,A81000A,00100,0100,Y 56302,A81000B,00100,0300,MEDICAL DIRECTOR FEE 56302,A81000C,00100,0100,E 56302,A81000C,00100,0200,DR. J. DONALD K 56302,A81000C,00100,0400,DR. J. DONALD K 56302,A81000C,00100,0600,MEDICAL DIRECTO 56302,B100000,00000,0100,00000PATIENT DAYS 56302,B100000,00000,0200,00000PATIENT DAYS 56302,B100000,00000,0300,00000GROSS SALARIES 56302,B100000,00000,0400,00000ACCUM COST 56302,B100000,00000,0500,00000PATIENT DAYS 56302,B100000,00000,0600,00000POUNDS OF LAUNDRY 56302,B100000,00000,0700,00000PATIENT DAYS 56302,B100000,00000,0800,00000MEALS SERVED 56302,B100000,00000,0900,00000DIRECT NRSG HRS 56302,B100000,00000,1000,00000COSTED REQUIS 56302,B100000,00000,1100,00000COSTED REQUIS 56302,B100000,00000,1200,00000TIME SPENT 56302,B100000,00000,1300,00000TIME SPENT 56302,B100000,00000,1350,00000SNF/ALF PAT DAYS 56302,B100000,00000,1400,00000ASSIGNED TIME 56302,E10A180,00501,0100,07/28/2000 56302,E10A180,00501,0300,07/28/2000 56302,S000000,00100,0200,05/31/2000 56302,S200000,00100,0100,300 WILLOW VALLEY LAKES DRIVE 56302,S200000,00200,0100,LANCASTER 56302,S200000,00200,0200,PA 56302,S200000,00200,0300,17584 56302,S200000,00300,0100,LANCASTER 56302,S200000,00400,0100,LAKESIDE AT WILLOW VALLEY 56302,S200000,00400,0200,395771 56302,S200000,00400,0300,01/01/1989 56302,S200000,00400,0500,P 56302,S200000,01500,0100,Y 56302,S200000,01700,0100,Y 56302,S200000,01900,0100,501 (C) (3) 56302,S200000,02800,0100,Y 56311,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56311,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56311,A000000,00300,0000,00300EMPLOYEE BENEFITS 56311,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56311,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56311,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56311,A000000,00700,0000,00700HOUSEKEEPING 56311,A000000,00800,0000,00800DIETARY 56311,A000000,00900,0000,00900NURSING ADMINISTRATION 56311,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56311,A000000,01100,0000,01100PHARMACY 56311,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56311,A000000,01300,0000,01300SOCIAL SERVICE 56311,A000000,01301,0000,01301RESIDENT ACTIVITIES 56311,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56311,A000000,01600,0000,01600SKILLED NURSING FACILITY 56311,A000000,01800,0000,01800NURSING FACILITY 56311,A000000,01810,0000,01810ICF/MR 56311,A000000,02100,0000,02100RADIOLOGY 56311,A000000,02200,0000,02200LABORATORY 56311,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56311,A000000,02500,0000,02500PHYSICAL THERAPY 56311,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56311,A000000,02700,0000,02700SPEECH PATHOLOGY 56311,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56311,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56311,A000000,03550,0000,03550FQHC 56311,A000000,05000,0000,05000CORF 56311,A000000,05010,0000,05010CMHC 56311,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56311,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56311,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56311,A000000,05300,0000,05300INTEREST EXPENSE 56311,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56311,B100000,00000,0100,00000SQUARE FEET 56311,B100000,00000,0200,00000DOLLAR VALUE 56311,B100000,00000,0300,00000GROSS SALARIES 56311,B100000,00000,0400,00000ACCUM. COST 56311,B100000,00000,0500,00000SQUARE FEET 56311,B100000,00000,0600,00000POUNDS OF LAUNDRY 56311,B100000,00000,0700,00000HOURS OF SERVICE 56311,B100000,00000,0800,00000MEALS SERVED 56311,B100000,00000,0900,00000DIRECT NRSING HRS 56311,B100000,00000,1000,00000COSTED REQUIS. 56311,B100000,00000,1100,00000COSTED REQUIS. 56311,B100000,00000,1200,00000TIME SPENT 56311,B100000,00000,1300,00000TIME SPENT 56311,B100000,00000,1301,00000 56311,B100000,00000,1400,00000ASSIGNED TIME 56311,E10A180,00501,0100,11/30/2000 56311,S000000,00100,0200,11/22/2000 56311,S200000,00100,0100,745 NORTH HIGHLAND AVE. 56311,S200000,00200,0100,PITTSBURGH 56311,S200000,00200,0200,PA 56311,S200000,00200,0300,15206 56311,S200000,00300,0100,ALLEGHENY 56311,S200000,00400,0100,ST. FRANCIS NURSING CENTER - EAST 56311,S200000,00400,0200,395773 56311,S200000,00400,0300,12/29/1988 56311,S200000,00400,0500,P 56311,S200000,01600,0100,Y 56321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56321,A000000,00300,0000,00300EMPLOYEE BENEFITS 56321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56321,A000000,00700,0000,00700HOUSEKEEPING 56321,A000000,00800,0000,00800DIETARY 56321,A000000,00900,0000,00900NURSING ADMINISTRATION 56321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56321,A000000,01100,0000,01100PHARMACY 56321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56321,A000000,01300,0000,01300SOCIAL SERVICE 56321,A000000,01350,0000,01500RECREATIONAL THERAPY 56321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56321,A000000,01600,0000,01600SKILLED NURSING FACILITY 56321,A000000,01800,0000,01800NURSING FACILITY 56321,A000000,01810,0000,01810ICF/MR 56321,A000000,02100,0000,02100RADIOLOGY 56321,A000000,02200,0000,02200LABORATORY 56321,A000000,02300,0000,02300INTRAVENOUS THERAPY 56321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56321,A000000,02500,0000,02500PHYSICAL THERAPY 56321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56321,A000000,02700,0000,02700SPEECH PATHOLOGY 56321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56321,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56321,A000000,03550,0000,03550FQHC 56321,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56321,A000000,05000,0000,05000CORF 56321,A000000,05010,0000,05010CMHC 56321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56321,A000000,06200,0000,06200PATIENTS LAUNDRY 56321,B100000,00000,0100,00000SQUARE FEET 56321,B100000,00000,0200,00000SQUARE FEET 56321,B100000,00000,0300,00000GROSS SALARIES 56321,B100000,00000,0400,00000ACCUM. COST 56321,B100000,00000,0500,00000SQUARE FEET 56321,B100000,00000,0600,00000POUNDS OF LAUNDRY 56321,B100000,00000,0700,00000SQUARE FEET 56321,B100000,00000,0800,00000MEALS SERVED 56321,B100000,00000,0900,00000PATIENT DAYS 56321,B100000,00000,1000,00000PATIENT DAYS 56321,B100000,00000,1100,00000PATIENT DAYS 56321,B100000,00000,1200,00000PATIENT DAYS 56321,B100000,00000,1300,00000PATIENT DAYS 56321,B100000,00000,1350,00000PATIENT DAYS 56321,B100000,00000,1400,00000ASSIGNED TIME 56321,E10A180,00501,0100,06/15/2000 56321,E10A180,00501,0300,06/15/2000 56321,S000000,00100,0200,05/25/2000 56321,S200000,00100,0100,900 EAST KING STREET 56321,S200000,00200,0100,LANCASTER 56321,S200000,00200,0200,PA 56321,S200000,00300,0100,LANCASTER 56321,S200000,00400,0100,CONESTOGA VIEW 56321,S200000,00400,0200,395774 56321,S200000,00400,0300,01/01/1989 56321,S200000,00400,0500,P 56321,S200000,01600,0100,Y 56321,S200000,04100,0100,Y 56321,S200000,04200,0100,Y 56330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56330,A000000,00300,0000,00300EMPLOYEE BENEFITS 56330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56330,A000000,00700,0000,00700HOUSEKEEPING 56330,A000000,00800,0000,00800DIETARY 56330,A000000,00900,0000,00900NURSING ADMINISTRATION 56330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56330,A000000,01100,0000,01100PHARMACY 56330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56330,A000000,01300,0000,01300SOCIAL SERVICE 56330,A000000,01301,0000,01301RESISDENT ACTIVITIES 56330,A000000,01350,0000,01500OTHER GENERAL SERVICES 56330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56330,A000000,01600,0000,01600SKILLED NURSING FACILITY 56330,A000000,01800,0000,01800NURSING FACILITY 56330,A000000,01810,0000,01810ICF/MR 56330,A000000,02100,0000,02100RADIOLOGY 56330,A000000,02200,0000,02200LABORATORY 56330,A000000,02500,0000,02500PHYSICAL THERAPY 56330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56330,A000000,02700,0000,02700SPEECH PATHOLOGY 56330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56330,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56330,A000000,03550,0000,03550FQHC 56330,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56330,A000000,05000,0000,05000CORF 56330,A000000,05010,0000,05010CMHC 56330,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56330,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56330,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56330,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56330,B100000,00000,0100,00000SQUARE FEET 56330,B100000,00000,0200,00000SQUARE FEET 56330,B100000,00000,0300,00000GROSS SALARIES 56330,B100000,00000,0400,00000ACCUM. COST 56330,B100000,00000,0500,00000SQUARE FEET 56330,B100000,00000,0600,00000POUNDS OF LAUNDRY 56330,B100000,00000,0700,00000SQUARE FEET 56330,B100000,00000,0800,00000MEALS SERVED 56330,B100000,00000,0900,00000DIRECT NRSING HRS 56330,B100000,00000,1000,00000COSTED REQUIS. 56330,B100000,00000,1100,00000COSTED REQUIS. 56330,B100000,00000,1200,00000TIME SPENT 56330,B100000,00000,1300,00000TIME SPENT 56330,B100000,00000,1301,00000RES. DAYS 56330,B100000,00000,1350,00000TIME SPENT 56330,B100000,00000,1400,00000RES. DAYS 56330,E10A180,00501,0100,06/05/2000 56330,E10A180,00501,0300,06/05/2000 56330,S000000,00100,0200,05/25/2000 56330,S200000,00100,0300,3307 56330,S200000,00200,0100,SMETHPORT 56330,S200000,00200,0200,PA 56330,S200000,00300,0100,MC KEAN 56330,S200000,00400,0100,SENA KEAN MANOR 56330,S200000,00400,0200,395775 56330,S200000,00400,0300,01/01/1989 56330,S200000,00400,0500,P 56330,S200000,01600,0100,Y 56330,S200000,02800,0100,Y 56342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56342,A000000,00300,0000,00300EMPLOYEE BENEFITS 56342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56342,A000000,00700,0000,00700HOUSEKEEPING 56342,A000000,00800,0000,00800DIETARY 56342,A000000,00900,0000,00900NURSING ADMINISTRATION 56342,A000000,00901,0000,00901ADMISSIONS 56342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56342,A000000,01100,0000,01100PHARMACY 56342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56342,A000000,01300,0000,01300SOCIAL SERVICE 56342,A000000,01350,0000,01500RESIDENT 56342,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56342,A000000,01600,0000,01600SKILLED NURSING FACILITY 56342,A000000,01800,0000,01800NURSING FACILITY 56342,A000000,01810,0000,01810ICF/MR 56342,A000000,02100,0000,02100RADIOLOGY 56342,A000000,02200,0000,02200LABORATORY 56342,A000000,02300,0000,02300INTRAVENOUS THERAPY 56342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56342,A000000,02500,0000,02500PHYSICAL THERAPY 56342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56342,A000000,02700,0000,02700SPEECH PATHOLOGY 56342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56342,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 56342,A000000,03550,0000,03550FQHC 56342,A000000,04800,0000,04800AMBULANCE 56342,A000000,05000,0000,05000CORF 56342,A000000,05010,0000,05010CMHC 56342,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56342,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56342,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56342,A000000,06150,0000,06300OTHER NONREIMBURSABLE 56342,A81000A,00100,0100,Y 56342,A81000B,00100,0300,HOME OFFICE COSTS 56342,A81000B,00200,0300,PHYSICAL THERAPY 56342,A81000B,00300,0300,OCCUPATIONAL THERAPY 56342,A81000B,00400,0300,SPEECH THERAPY 56342,A81000B,00500,0300,PRESCRIPTION DRUGS 56342,A81000B,00600,0300,OVER-THE-COUNTER DRUGS 56342,A81000B,00700,0300,PHARMACY SUPPLIES 56342,A81000B,00800,0300,DRUGS - CONSULTING 56342,A81000B,00900,0300,HOUSEKEEPING 56342,A81000B,01000,0300,IV THERAPY 56342,A81000B,01100,0300,CENTRAL SUPPLIES 56342,A81000B,01200,0300,SUPPLIES 56342,A81000B,01300,0300,SUPPLIES 56342,A81000B,01400,0300,SUPPLIES 56342,A81000B,01500,0300,SUPPLIES 56342,A81000B,01600,0300,SUPPLIES 56342,A81000B,01700,0300,SUPPLIES 56342,A81000B,01800,0300,SUPPLIES 56342,A81000B,01900,0300,SUPPLIES 56342,A81000B,02000,0300,SUPPLIES 56342,A81000B,02100,0300,SUPPLIES 56342,A81000C,00100,0100,A 56342,A81000C,00100,0200,ROSS NESE 56342,A81000C,00100,0400,GRANE HEALTH- 56342,A81000C,00100,0600,MANAGEMENT 56342,A81000C,00200,0400,CARE 56342,A81000C,00200,0600,COMPANY 56342,A81000C,00300,0100,A 56342,A81000C,00300,0200,RICHARD GRAC- 56342,A81000C,00400,0200,IANO SR. 56342,A81000C,00500,0100,A 56342,A81000C,00500,0200,RICHARD GRAC- 56342,A81000C,00600,0200,IANO JR. 56342,A81000C,00700,0100,A 56342,A81000C,00700,0200,DAVID GRAC- 56342,A81000C,00800,0200,IANO 56342,A81000C,01000,0100,A 56342,A81000C,01000,0200,SAME AS GRANE 56342,A81000C,01000,0400,GRANE SUPPLY 56342,A81000C,01000,0600,DRUGS & MED SUP 56342,A81000C,01100,0100,A 56342,A81000C,01100,0200,HEALTHCARE 56342,A81000C,01200,0100,A 56342,A81000C,01200,0200,RICHARD 56342,A81000C,01200,0400,GMS CORP 56342,A81000C,01200,0600,ADMIN SVCS 56342,A81000C,01300,0100,A 56342,A81000C,01300,0200,GRACIANO JR. 56342,A81000C,01400,0100,A 56342,A81000C,01400,0200,DAVID GRACIANO 56342,A81000C,01400,0400,GMS CORP 56342,A81000C,01400,0600,ADMIN SVCS 56342,A81000C,01500,0100,A 56342,A81000C,01500,0200,SAME AS GRANE 56342,A81000C,01500,0400,GRANE ASSOC 56342,A81000C,01500,0600,ADMIN SVCS 56342,A81000C,01600,0100,A 56342,A81000C,01600,0200,HEALTHCARE 56342,A81000C,01700,0100,A 56342,A81000C,01700,0200,RICHARD 56342,A81000C,01700,0400,GRANE REHAB 56342,A81000C,01700,0600,REHAB 56342,A81000C,01800,0100,A 56342,A81000C,01800,0200,GRACIANO SR 56342,A81000C,01800,0600,(PT ST OT) 56342,A81000C,01900,0100,A 56342,A81000C,01900,0200,RICHARD 56342,A81000C,01900,0400,GRANE REHAB 56342,A81000C,01900,0600,REHAB 56342,A81000C,02000,0100,A 56342,A81000C,02000,0200,GRACIANO JR. 56342,A81000C,02000,0600,(PT ST OT) 56342,A81000C,02100,0100,A 56342,A81000C,02100,0200,DAVID GRACIANO 56342,A81000C,02100,0400,GRANE REHAB 56342,A81000C,02100,0600,REHAB 56342,A81000C,02200,0100,A 56342,A81000C,02200,0600,(PT ST OT) 56342,A81000C,02300,0100,A 56342,A81000C,02300,0200,ROSS NESE 56342,A81000C,02300,0400,GRANE REHAB 56342,A81000C,02300,0600,REHAB 56342,A81000C,02400,0100,A 56342,A81000C,02400,0600,(PT ST OT) 56342,B100000,00000,0100,00000SQUARE FEET 56342,B100000,00000,0200,00000SQUARE FEET 56342,B100000,00000,0300,00000GROSS SALARIES 56342,B100000,00000,0400,00000ACCUM. COST 56342,B100000,00000,0500,00000SQUARE FEET 56342,B100000,00000,0600,00000POUNDS OF LAUNDRY 56342,B100000,00000,0700,00000SQUARE FEET 56342,B100000,00000,0800,00000MEALS SERVED 56342,B100000,00000,0900,00000DIRECT NRSING HRS 56342,B100000,00000,0901,00000ADMISSIONS 56342,B100000,00000,1000,00000COSTED REQUIS. 56342,B100000,00000,1100,00000COSTED REQUIS. 56342,B100000,00000,1200,00000DIRECT NUR HOURS 56342,B100000,00000,1300,00000PATIENT DA 56342,B100000,00000,1350,00000OTHER 56342,B100000,00000,1400,00000ASSIGNED TIME 56342,E10A180,00301,0100,03/30/2000 56342,E10A180,00301,0300,03/30/2000 56342,E10A180,00501,0100,06/23/2000 56342,E10A180,00501,0300,06/23/2000 56342,E10A180,00502,0100,04/18/2001 56342,E10A180,00550,0300,04/18/2001 56342,S000000,00100,0200,05/25/2000 56342,S200000,00100,0100,2112 SIDNEY STREET 56342,S200000,00200,0100,PITTSBURGH 56342,S200000,00200,0200,PA 56342,S200000,00200,0300,15203 56342,S200000,00300,0100,ALLEGHENY 56342,S200000,00400,0100,SIDNEY SQUARE 56342,S200000,00400,0200,395776 56342,S200000,00400,0300,01/11/1989 56342,S200000,00400,0500,P 56342,S200000,00600,0200,395776 56342,S200000,00600,0300,01/11/1989 56342,S200000,00600,0600,P 56342,S200000,01600,0100,Y 56342,S200000,02200,0100,Y 56352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56352,A000000,00300,0000,00300EMPLOYEE BENEFITS 56352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56352,A000000,00700,0000,00700HOUSEKEEPING 56352,A000000,00800,0000,00800DIETARY 56352,A000000,00900,0000,00900NURSING ADMINISTRATION 56352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56352,A000000,01100,0000,01100PHARMACY 56352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56352,A000000,01300,0000,01300SOCIAL SERVICE 56352,A000000,01350,0000,01500OTHER GENERAL SERVICES 56352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56352,A000000,01600,0000,01600SKILLED NURSING FACILITY 56352,A000000,01800,0000,01800NURSING FACILITY 56352,A000000,01810,0000,01810ICF/MR 56352,A000000,02200,0000,02200LABORATORY 56352,A000000,02500,0000,02500PHYSICAL THERAPY 56352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56352,A000000,02700,0000,02700SPEECH PATHOLOGY 56352,A000000,02800,0000,02800ELECTROCARDIOLOGY 56352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56352,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56352,A000000,03550,0000,03550FQHC 56352,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56352,A000000,05000,0000,05000CORF 56352,A000000,05010,0000,05010CMHC 56352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56352,A81000A,00100,0100,Y 56352,A81000B,00100,0300,MANAGEMENT FEES 56352,A81000B,00200,0300,DRUGS 56352,A81000B,00300,0300,SUPPLIES 56352,A81000B,00400,0300,SUPPLIES 56352,A81000B,00500,0300,THERAPY FEES 56352,A81000B,00600,0300,THERAPY FEES 56352,A81000B,00700,0300,DIETARY & FOOD FEES 56352,A81000B,00800,0300,TEMPORARY SERVICES 56352,A81000B,00900,0300,INTEREST EXPENSE 56352,A81000C,00100,0100,G 56352,A81000C,00100,0400,VNA OF VENANGO COUNTY 56352,A81000C,00100,0600,MANAGEMENT 56352,A81000C,00200,0100,G 56352,A81000C,00200,0400,COMMUNITY DRUGS CO. 56352,A81000C,00200,0600,DRUGS 56352,A81000C,00300,0100,G 56352,A81000C,00300,0400,COMMUNITY DRUGS CO. 56352,A81000C,00300,0600,DRUGS 56352,A81000C,00400,0100,G 56352,A81000C,00400,0400,COMMUNITY DRUGS CO. 56352,A81000C,00400,0600,DRUGS 56352,A81000C,00500,0100,G 56352,A81000C,00500,0400,NORTHWEST MEDICAL CENTER 56352,A81000C,00500,0600,THERAPY 56352,A81000C,00600,0100,G 56352,A81000C,00600,0400,NORTHWEST MEDICAL CENTER 56352,A81000C,00600,0600,THERAPY 56352,A81000C,00700,0100,G 56352,A81000C,00700,0400,NORTHWEST MEDICAL CENTER 56352,A81000C,00700,0600,DIETARY & FOOD 56352,A81000C,00800,0100,G 56352,A81000C,00800,0400,NORTHWEST MEDICAL CENTER 56352,A81000C,00800,0600,TEMPORARY SERVICES 56352,A81000C,00900,0100,G 56352,A81000C,00900,0400,NORTHWEST MEDICAL CENTER 56352,A81000C,00900,0600,INTEREST 56352,B100000,00000,0100,00000(SQUARE FEET) 56352,B100000,00000,0200,00000(SQUARE FEET) 56352,B100000,00000,0300,00000(GROSS SALARIES) 56352,B100000,00000,0400,00000ACCUM. COST 56352,B100000,00000,0500,00000(SQUARE FEET) 56352,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 56352,B100000,00000,0700,00000(HOURS OF SERVICE) 56352,B100000,00000,0800,00000(MEALS SERVED) 56352,B100000,00000,0900,00000(DIRECT NRSING HRS 56352,B100000,00000,1000,00000(COSTED REQUIS.) 56352,B100000,00000,1100,00000(COSTED REQUIS.) 56352,B100000,00000,1200,00000(TIME SPENT) 56352,B100000,00000,1300,00000(TIME SPENT) 56352,B100000,00000,1350,00000NO STATISTICS 56352,B100000,00000,1400,00000(ASSIGNED TIME) 56352,E10A180,00501,0100,06/02/2000 56352,E10A180,00501,0300,06/02/2000 56352,S000000,00100,0200,04/27/2000 56352,S200000,00100,0100,R.D. #3 56352,S200000,00100,0300,BOX 29 56352,S200000,00200,0100,FRANKLIN 56352,S200000,00200,0200,PA 56352,S200000,00300,0100,VENANGO 56352,S200000,00400,0100,SUGAR CREEK STATION 56352,S200000,00400,0200,395777 56352,S200000,00400,0300,01/01/1989 56352,S200000,00400,0500,P 56352,S200000,01600,0100,Y 56361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56361,A000000,00300,0000,00300EMPLOYEE BENEFITS 56361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56361,A000000,00700,0000,00700HOUSEKEEPING 56361,A000000,00800,0000,00800DIETARY 56361,A000000,00900,0000,00900NURSING ADMINISTRATION 56361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56361,A000000,01100,0000,01100PHARMACY 56361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56361,A000000,01300,0000,01300SOCIAL SERVICE 56361,A000000,01301,0000,01301RESIDENT ACTIVITIES 56361,A000000,01350,0000,01500OTHER GENERAL SERVICES 56361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56361,A000000,01600,0000,01600SKILLED NURSING FACILITY 56361,A000000,01800,0000,01800NURSING FACILITY 56361,A000000,01810,0000,01810ICF/MR 56361,A000000,02100,0000,02100RADIOLOGY 56361,A000000,02200,0000,02200LABORATORY 56361,A000000,02500,0000,02500PHYSICAL THERAPY 56361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56361,A000000,02700,0000,02700SPEECH PATHOLOGY 56361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56361,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56361,A000000,03051,0000,03301EQUIPMENT RENTAL 56361,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56361,A000000,03550,0000,03550FQHC 56361,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56361,A000000,05000,0000,05000CORF 56361,A000000,05010,0000,05010CMHC 56361,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56361,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56361,B100000,00000,0100,00000SQUARE FEET 56361,B100000,00000,0200,00000DOLLAR VALUE 56361,B100000,00000,0300,00000GROSS SALARIES 56361,B100000,00000,0400,00000ACCUM. COST 56361,B100000,00000,0500,00000SQUARE FEET 56361,B100000,00000,0600,00000POUNDS OF LAUNDRY 56361,B100000,00000,0700,00000SQUARE FEET 56361,B100000,00000,0800,00000MEALS SERVED 56361,B100000,00000,0900,00000DIRECT NRSING HRS 56361,B100000,00000,1000,00000COSTED REQUIS. 56361,B100000,00000,1100,00000COSTED REQUIS. 56361,B100000,00000,1200,00000TIME SPENT 56361,B100000,00000,1300,00000TIME SPENT 56361,B100000,00000,1301,00000RESIDENT DAYS 56361,B100000,00000,1350,00000NO STATISTICS 56361,B100000,00000,1400,00000RESIDENT DAYS 56361,E10A180,00501,0100,06/12/2000 56361,E10A180,00550,0300,06/12/2000 56361,S000000,00100,0200,05/26/2000 56361,S200000,00100,0100,1675 SALTSBURG AVENUE 56361,S200000,00200,0100,INDIANA 56361,S200000,00200,0200,PA 56361,S200000,00300,0100,INDIANA 56361,S200000,00400,0100,INDIAN HAVEN NURSING CENTER 56361,S200000,00400,0200,395778 56361,S200000,00400,0300,12/18/1988 56361,S200000,00400,0500,P 56361,S200000,01600,0100,Y 56361,S200000,02800,0100,Y 56371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56371,A000000,00300,0000,00300EMPLOYEE BENEFITS 56371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56371,A000000,00700,0000,00700HOUSEKEEPING 56371,A000000,00800,0000,00800DIETARY 56371,A000000,00900,0000,00900NURSING ADMINISTRATION 56371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56371,A000000,01100,0000,01100PHARMACY 56371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56371,A000000,01300,0000,01300SOCIAL SERVICE 56371,A000000,01350,0000,01500RECREATION THERAPY 56371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56371,A000000,01600,0000,01600SKILLED NURSING FACILITY 56371,A000000,01800,0000,01800NURSING FACILITY 56371,A000000,01810,0000,01810ICF/MR 56371,A000000,02100,0000,02100RADIOLOGY 56371,A000000,02500,0000,02500PHYSICAL THERAPY 56371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56371,A000000,02700,0000,02700SPEECH PATHOLOGY 56371,A000000,02800,0000,02800ELECTROCARDIOLOGY 56371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56371,A000000,03200,0000,03200SUPPORT SURFACES 56371,A000000,03550,0000,03550FQHC 56371,A000000,05000,0000,05000CORF 56371,A000000,05010,0000,05010CMHC 56371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56371,A000000,05300,0000,05300INTEREST EXPENSE 56371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56371,A000000,06150,0000,06300SHARE & CARE 56371,A000000,06151,0000,06301PRISON 56371,B100000,00000,0100,00001SQUARE FEET 56371,B100000,00000,0200,00001DOLLAR VAL OR SQ.FEET 56371,B100000,00000,0300,00001GROSS SALARIES 56371,B100000,00000,0400,00001ACCUMULA- TED COST 56371,B100000,00000,0500,00001SQUARE FEET 56371,B100000,00000,0600,00001POUNDS OF LAUNDRY 56371,B100000,00000,0700,00001SQUARE FEE SQUARE FEE 56371,B100000,00000,0800,00001MEALS SERVED 56371,B100000,00000,0900,00001DIRECT HOU OF SERVICE 56371,B100000,00000,1000,00001PATIENT DA PATIENT DA 56371,B100000,00000,1100,00001PATIENT DA PATIENT DA 56371,B100000,00000,1200,00001TIME SPENT 56371,B100000,00000,1300,00001TIME SPENT 56371,B100000,00000,1350,00001TIME SPENT TIME SPENT 56371,B100000,00000,1400,00001ASSIGNED TIME 56371,E10A180,00501,0100,05/26/2000 56371,E10A180,00550,0300,05/26/2000 56371,S000000,00100,0200,05/16/2000 56371,S200000,00100,0100,502 EAST HOWARD STREET 56371,S200000,00200,0100,BELLEFONTE 56371,S200000,00200,0200,PA 56371,S200000,00200,0300,16823 56371,S200000,00300,0100,CENTRE 56371,S200000,00400,0100,CENTRE CREST 56371,S200000,00400,0200,395779 56371,S200000,00400,0300,01/01/1989 56371,S200000,00400,0500,P 56371,S200000,00600,0200,395779 56371,S200000,00600,0300,01/01/1989 56371,S200000,00600,0600,P 56371,S200000,01600,0100,Y 56371,S200000,02200,0100,Y 56371,S200000,02800,0100,Y 56380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56380,A000000,00300,0000,00300EMPLOYEE BENEFITS 56380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56380,A000000,00700,0000,00700HOUSEKEEPING 56380,A000000,00800,0000,00800DIETARY 56380,A000000,00900,0000,00900NURSING ADMINISTRATION 56380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56380,A000000,01100,0000,01100PHARMACY 56380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56380,A000000,01300,0000,01300SOCIAL SERVICE 56380,A000000,01301,0000,01301THERAPEUTIC ACTIVITIES 56380,A000000,01350,0000,01500OTHER GENERAL SERVICES 56380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56380,A000000,01600,0000,01600SKILLED NURSING FACILITY 56380,A000000,01800,0000,01800NURSING FACILITY 56380,A000000,01810,0000,01810ICF/MR 56380,A000000,02200,0000,02200LABORATORY 56380,A000000,02500,0000,02500PHYSICAL THERAPY 56380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56380,A000000,02700,0000,02700SPEECH PATHOLOGY 56380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56380,A000000,03001,0000,03001SPECIALTY BEDS 56380,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56380,A000000,03550,0000,03550FQHC 56380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56380,A000000,05000,0000,05000CORF 56380,A000000,05010,0000,05010CMHC 56380,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56380,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56380,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56380,A000000,05300,0000,05300INTEREST EXPENSE 56380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 56380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56380,A000000,06101,0000,06101GUEST ACCOUNTS 56380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56380,B100000,00000,0100,00000SQUARE FEET 56380,B100000,00000,0200,00000SQUARE FEET 56380,B100000,00000,0300,00000GROSS SALARIES 56380,B100000,00000,0400,00000ACCUM. COST 56380,B100000,00000,0500,00000SQUARE FEET 56380,B100000,00000,0600,00000POUNDS OF LAUNDRY 56380,B100000,00000,0700,00000SQUARE FEET 56380,B100000,00000,0800,00000MEALS SERVED 56380,B100000,00000,0900,00000NURSING SALARIES 56380,B100000,00000,1000,00000COSTED REQUIS. 56380,B100000,00000,1100,00000COSTED REQUIS. 56380,B100000,00000,1200,00000TIME SPENT 56380,B100000,00000,1300,00000TIME SPENT 56380,B100000,00000,1301,00000PATIENT DAYS 56380,B100000,00000,1350,00000NO STATISTICS 56380,B100000,00000,1400,00000ASSIGNED TIME 56380,E10A180,00501,0100,07/10/2000 56380,S000000,00100,0200,05/30/2000 56380,S200000,00100,0100,MIDDLETOWN ROAD 56380,S200000,00100,0300,496 56380,S200000,00200,0100,LIMA 56380,S200000,00200,0200,PA 56380,S200000,00300,0100,DELAWARE 56380,S200000,00400,0100,FAIR ACRES GERIATRIC CENTER 56380,S200000,00400,0200,395780 56380,S200000,00400,0300,02/01/1989 56380,S200000,00400,0500,P 56380,S200000,01600,0100,Y 56380,S200000,02800,0100,Y 56390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56390,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 56390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56390,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 56390,A000000,00300,0000,00300EMPLOYEE BENEFITS 56390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56390,A000000,00700,0000,00700HOUSEKEEPING 56390,A000000,00800,0000,00800DIETARY 56390,A000000,00801,0000,00801CAFETERIA 56390,A000000,00900,0000,00900NURSING ADMINISTRATION 56390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56390,A000000,01100,0000,01100PHARMACY 56390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56390,A000000,01300,0000,01300SOCIAL SERVICE 56390,A000000,01350,0000,01500RECREATION 56390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56390,A000000,01600,0000,01600SKILLED NURSING FACILITY 56390,A000000,01800,0000,01800NURSING FACILITY 56390,A000000,01810,0000,01810ICF/MR 56390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56390,A000000,02500,0000,02500PHYSICAL THERAPY 56390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56390,A000000,02700,0000,02700SPEECH PATHOLOGY 56390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56390,A000000,03050,0000,03300PEN THERAPY 56390,A000000,03051,0000,03301FEE SCREENING 56390,A000000,03052,0000,03302OTHER ANCILLARY III 56390,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 56390,A000000,03550,0000,03550FQHC 56390,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56390,A000000,05000,0000,05000CORF I 56390,A000000,05010,0000,05010CMHC I 56390,A000000,05020,0000,05020OPT I 56390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56390,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 56390,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 56390,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 56390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56390,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56390,A81000A,00100,0100,Y 56390,A81000B,00100,0300,HOME OFFICE ADM. 56390,A81000B,00200,0300,HOME OFFICE CAPITAL 56390,A81000B,00300,0300,HOME OFFICE INTEREST 56390,A81000B,00400,0300,AS ATTACHED 56390,A81000B,00500,0300,HOME OFFICE DIETARY 56390,A81000B,00600,0300,HOME OFFICE LAUNDRY 56390,A81000B,00700,0300,HOME OFFICE HSKP 56390,A81000B,00800,0300,HOME OFFICE-RT 56390,A81000B,00900,0300,HOME OFFICE OXYGEN 56390,A81000C,00100,0100,A 56390,A81000C,00100,0200,GENESIS HEALTH 56390,A81000C,00200,0100,A 56390,A81000C,00200,0200,GENESIS HEALTH 56390,A81000C,00300,0100,B 56390,A81000C,00300,0200,GENESIS HEALTH 56390,A81000C,00400,0100,B 56390,A81000C,00400,0200,GENESIS HEALTH 56390,A81000C,00400,0400,AS ATTACHED 56390,A81000C,00400,0600,AS ATTACHED 56390,B100000,00000,0100,00000(SQUARE FEET) 56390,B100000,00000,0101,00000(SQUARE FEET) 56390,B100000,00000,0200,00000(SQUARE FEET) 56390,B100000,00000,0201,00000(SQUARE FEET) 56390,B100000,00000,0300,00000(GROSS SALARIES) 56390,B100000,00000,0400,00000(ACCUM. COST) 56390,B100000,00000,0500,00000(SQUARE FEET) 56390,B100000,00000,0600,00000(PATIENT DAYS) 56390,B100000,00000,0700,00000(SQUARE FEET) 56390,B100000,00000,0800,00000(MEALS SERVED) 56390,B100000,00000,0801,00000(MEALS SERVED) 56390,B100000,00000,0900,00000(NURSING SALARIES) 56390,B100000,00000,1000,00000(PATIENT DAYS) 56390,B100000,00000,1100,00000(COSTED REQUIS.) 56390,B100000,00000,1200,00000(PATIENT DAYS) 56390,B100000,00000,1300,00000(PATIENT DAYS) 56390,B100000,00000,1350,00000(PATIENT DAYS) 56390,B100000,00000,1400,00000(ASSIGNED TIME) 56390,E10A180,00501,0100,03/20/2000 56390,E10A180,00501,0300,03/20/2000 56390,S000000,00100,0200,02/28/2000 56390,S200000,00100,0100,184 BETHLEHEM PIKE 56390,S200000,00200,0100,PHILADELPHIA 56390,S200000,00200,0200,PA 56390,S200000,00200,0300,19118 56390,S200000,00300,0100,PHILADELPHIA 56390,S200000,00400,0100,FAIRVIEW CC BETHLEHEM PIKE 56390,S200000,00400,0200,395782 56390,S200000,00400,0300,03/02/1989 56390,S200000,00400,0500,P 56390,S200000,01600,0100,Y 56390,S200000,02200,0100,Y 56399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56399,A000000,00300,0000,00300EMPLOYEE BENEFITS 56399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56399,A000000,00700,0000,00700HOUSEKEEPING 56399,A000000,00800,0000,00800DIETARY 56399,A000000,00900,0000,00900NURSING ADMINISTRATION 56399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56399,A000000,01100,0000,01100PHARMACY 56399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56399,A000000,01300,0000,01300SOCIAL SERVICE 56399,A000000,01350,0000,01500OTHER GENERAL SERVICES 56399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56399,A000000,01600,0000,01600SKILLED NURSING FACILITY 56399,A000000,01810,0000,01810ICF/MR 56399,A000000,01900,0000,01900OTHER LONG TERM CARE 56399,A000000,02100,0000,02100RADIOLOGY 56399,A000000,02200,0000,02200LABORATORY 56399,A000000,02300,0000,02300INTRAVENOUS THERAPY 56399,A000000,02500,0000,02500PHYSICAL THERAPY 56399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56399,A000000,02700,0000,02700SPEECH PATHOLOGY 56399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56399,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56399,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56399,A000000,03550,0000,03550FQHC 56399,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56399,A000000,05000,0000,05000CORF 56399,A000000,05010,0000,05010CMHC 56399,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56399,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56399,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56399,A000000,05300,0000,05300INTEREST EXPENSE 56399,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56399,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56399,B100000,00000,0100,00000SQUARE FEET 56399,B100000,00000,0200,00000SQUARE FEET 56399,B100000,00000,0300,00000GROSS SALARIES 56399,B100000,00000,0400,00000ACCUM. COST 56399,B100000,00000,0500,00000SQUARE FEET 56399,B100000,00000,0600,00000POUNDS OF LAUNDRY 56399,B100000,00000,0700,00000SALARY 56399,B100000,00000,0800,00000MEALS SERVED 56399,B100000,00000,0900,00000NURSING SALARIES 56399,B100000,00000,1000,00000NO STATISTICS 56399,B100000,00000,1100,00000NO STATISTICS 56399,B100000,00000,1200,00000NO STATISTICS 56399,B100000,00000,1300,00000PATIENT DAYS 56399,B100000,00000,1350,00000PATIENT DAYS 56399,B100000,00000,1400,00000NO STATISTICS 56399,E10A180,00503,0300,05/31/2000 56399,E10A180,00550,0300,05/31/2000 56399,S000000,00100,0200,05/19/2000 56399,S200000,00100,0100,801 NORTH HANOVER STREET 56399,S200000,00200,0100,CARLISLE 56399,S200000,00200,0200,PA 56399,S200000,00300,0100,CUMBERLAND 56399,S200000,00400,0100,CHURCH OF GOD HOME INC. 56399,S200000,00400,0200,395784 56399,S200000,00400,0300,04/01/1989 56399,S200000,00400,0500,P 56399,S200000,00400,0600,O 56399,S200000,01500,0100,Y 56407,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56407,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56407,A000000,00300,0000,00300EMPLOYEE BENEFITS 56407,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56407,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56407,A000000,00501,0000,00501UTILITIES 56407,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56407,A000000,00700,0000,00700HOUSEKEEPING 56407,A000000,00701,0000,00701FLOOR CARE 56407,A000000,00800,0000,00800DIETARY 56407,A000000,00900,0000,00900NURSING ADMINISTRATION 56407,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56407,A000000,01100,0000,01100PHARMACY 56407,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56407,A000000,01300,0000,01300SOCIAL SERVICE 56407,A000000,01350,0000,01500PATIENT ACTIVITIES 56407,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56407,A000000,01600,0000,01600SKILLED NURSING FACILITY 56407,A000000,01800,0000,01800NURSING FACILITY 56407,A000000,01810,0000,01810ICF/MR 56407,A000000,01900,0000,01900OTHER LONG TERM CARE 56407,A000000,02100,0000,02100RADIOLOGY 56407,A000000,02200,0000,02200LABORATORY 56407,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56407,A000000,02500,0000,02500PHYSICAL THERAPY 56407,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56407,A000000,02700,0000,02700SPEECH PATHOLOGY 56407,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56407,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56407,A000000,03550,0000,03550FQHC 56407,A000000,05000,0000,05000CORF 56407,A000000,05010,0000,05010CMHC 56407,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56407,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56407,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56407,A000000,05300,0000,05300INTEREST EXPENSE 56407,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56407,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56407,A000000,06150,0000,06300OTHER NONREIMBURSABLE COSTS 56407,B100000,00000,0100,00000SQUARE FEET 56407,B100000,00000,0200,00000SQUARE FEET 56407,B100000,00000,0300,00000GROSS SALARIES 56407,B100000,00000,0400,00000ACCUM COST 56407,B100000,00000,0500,00000SQUARE FEET 56407,B100000,00000,0501,00000 56407,B100000,00000,0600,00000POUNDS OF LAUNDRY 56407,B100000,00000,0700,00000HOURS OF SERVICE 56407,B100000,00000,0701,00000 56407,B100000,00000,0800,00000MEALS SERVED 56407,B100000,00000,0900,00000DIRECT NRSG HRS 56407,B100000,00000,1000,00000COSTED REQUIS 56407,B100000,00000,1100,00000COSTED REQUIS 56407,B100000,00000,1200,00000TIME SPENT 56407,B100000,00000,1300,00000TIME SPENT 56407,B100000,00000,1350,00000PATIENT DAYS 56407,B100000,00000,1400,00000ASSIGNED TIME 56407,E10A180,00501,0100,06/12/2000 56407,E10A180,00550,0300,06/12/2000 56407,S000000,00100,0200,05/09/2000 56407,S200000,00100,0100,544 VORTH PENRYN ROAD 56407,S200000,00200,0100,MANHEIM 56407,S200000,00200,0200,PA 56407,S200000,00200,0300,17545 56407,S200000,00400,0100,PLEASANT VIEW RETIREMENT COMMUNITY 56407,S200000,00400,0200,395786 56407,S200000,00400,0300,09/21/1989 56407,S200000,00400,0500,P 56407,S200000,01600,0100,Y 56407,S200000,02800,0100,Y 56414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56414,A000000,00300,0000,00300EMPLOYEE BENEFITS 56414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56414,A000000,00700,0000,00700HOUSEKEEPING 56414,A000000,00800,0000,00800DIETARY 56414,A000000,00900,0000,00900NURSING ADMINISTRATION 56414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56414,A000000,01100,0000,01100PHARMACY 56414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56414,A000000,01300,0000,01300SOCIAL SERVICE 56414,A000000,01350,0000,01500ACTIVITIES 56414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56414,A000000,01600,0000,01600SKILLED NURSING FACILITY 56414,A000000,01810,0000,01810ICF/MR 56414,A000000,02100,0000,02100RADIOLOGY 56414,A000000,02200,0000,02200LABORATORY 56414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56414,A000000,02500,0000,02500PHYSICAL THERAPY 56414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56414,A000000,02700,0000,02700SPEECH PATHOLOGY 56414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56414,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 56414,A000000,03550,0000,03550FQHC 56414,A000000,05000,0000,05000CORF 56414,A000000,05010,0000,05010CMHC 56414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56414,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56414,A000000,06150,0000,06300RESIDENTIAL 56414,B100000,00000,0100,00000SQUARE FEET 56414,B100000,00000,0200,00000SQUARE FEET 56414,B100000,00000,0300,00000GROSS SALARIES 56414,B100000,00000,0400,00000ACCUM. COST 56414,B100000,00000,0500,00000SQUARE FEET 56414,B100000,00000,0600,00000POUNDS OF LAUNDRY 56414,B100000,00000,0700,00000SQUARE FEET 56414,B100000,00000,0800,00000MEALS SERVED 56414,B100000,00000,0900,00000DIRECT NRSING HRS 56414,B100000,00000,1000,00000COSTED REQUIS. 56414,B100000,00000,1100,00000COSTED REQUIS. 56414,B100000,00000,1200,00000TIME SPENT 56414,B100000,00000,1300,00000PATIENT DAYS 56414,B100000,00000,1350,00000PATIENT DAYS 56414,B100000,00000,1400,00000ASSIGNED TIME 56414,E10A180,00501,0100,06/12/2000 56414,E10A180,00501,0300,06/12/2000 56414,S000000,00100,0200,05/24/2000 56414,S200000,00100,0100,4702 EAST MAIN STREET 56414,S200000,00200,0100,BELLEVILLE 56414,S200000,00200,0200,PA 56414,S200000,00200,0300,17004 56414,S200000,00300,0100,MIFFLIN 56414,S200000,00400,0100,VALLEY VIEW HAVEN 56414,S200000,00400,0200,395787 56414,S200000,00400,0300,04/01/1989 56414,S200000,00400,0500,P 56414,S200000,01500,0100,Y 56414,S200000,01900,0100,RELIGIOUS AFFILIATION 56414,S200000,02200,0100,Y 56414,S200000,02800,0100,Y 56423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56423,A000000,00300,0000,00300EMPLOYEE BENEFITS 56423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56423,A000000,00700,0000,00700HOUSEKEEPING 56423,A000000,00800,0000,00800DIETARY 56423,A000000,00900,0000,00900NURSING ADMINISTRATION 56423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56423,A000000,01100,0000,01100PHARMACY 56423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56423,A000000,01300,0000,01300SOCIAL SERVICE 56423,A000000,01350,0000,01500OTHER GENERAL SERVICES 56423,A000000,01351,0000,01501RESIDENT ACTIVITIES COST 56423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56423,A000000,01600,0000,01600SKILLED NURSING FACILITY 56423,A000000,01810,0000,01810ICF/MR 56423,A000000,02100,0000,02100RADIOLOGY 56423,A000000,02200,0000,02200LABORATORY 56423,A000000,02300,0000,02300INTRAVENOUS THERAPY 56423,A000000,02500,0000,02500PHYSICAL THERAPY 56423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56423,A000000,02700,0000,02700SPEECH PATHOLOGY 56423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56423,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56423,A000000,03550,0000,03550FQHC 56423,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56423,A000000,04800,0000,04800AMBULANCE 56423,A000000,05000,0000,05000CORF 56423,A000000,05010,0000,05010CMHC 56423,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56423,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56423,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56423,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56423,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56423,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 56423,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56423,B100000,00000,0100,00000SQUARE FEET 56423,B100000,00000,0200,00000DOLLAR VALUE 56423,B100000,00000,0300,00000GROSS SALARIES 56423,B100000,00000,0400,00000ACCUM. COST 56423,B100000,00000,0500,00000SQUARE FEET 56423,B100000,00000,0600,00000POUNDS OF LAUNDRY 56423,B100000,00000,0700,00000SQUARE FEET 56423,B100000,00000,0800,00000MEALS SERVED 56423,B100000,00000,0900,00000DIRECT NRSING HRS 56423,B100000,00000,1000,00000COSTED REQUIS. 56423,B100000,00000,1100,00000COSTED REQUIS. 56423,B100000,00000,1200,00000TIME SPENT 56423,B100000,00000,1300,00000TIME SPENT 56423,B100000,00000,1350,00000NO STATISTICS 56423,B100000,00000,1351,00000TIME SPENT 56423,B100000,00000,1400,00000ASSIGNED TIME 56423,E10A180,00501,0100,06/22/2000 56423,E10A180,00501,0300,06/22/2000 56423,S000000,00100,0200,05/30/2000 56423,S200000,00100,0100,107 SUNNYVIEW CIRCLE 56423,S200000,00200,0100,BUTLER 56423,S200000,00200,0200,PA 56423,S200000,00300,0100,BUTLER 56423,S200000,00400,0100,SUNNYVIEW HOME 56423,S200000,00400,0200,395788 56423,S200000,00400,0300,03/01/1989 56423,S200000,00400,0500,P 56423,S200000,01500,0100,Y 56434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56434,A000000,00300,0000,00300EMPLOYEE BENEFITS 56434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56434,A000000,00700,0000,00700HOUSEKEEPING 56434,A000000,00800,0000,00800DIETARY 56434,A000000,00900,0000,00900NURSING ADMINISTRATION 56434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56434,A000000,01100,0000,01100PHARMACY 56434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56434,A000000,01300,0000,01300SOCIAL SERVICE 56434,A000000,01350,0000,01500OTHER GENERAL SERVICES 56434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56434,A000000,01401,0000,01401INTERNS & RESIDENTS (APPRVD PRO 56434,A000000,01600,0000,01600SKILLED NURSING FACILITY 56434,A000000,01800,0000,01800NURSING FACILITY 56434,A000000,01810,0000,01810ICF/MR 56434,A000000,02100,0000,02100RADIOLOGY 56434,A000000,02200,0000,02200LABORATORY 56434,A000000,02300,0000,02300INTRAVENOUS THERAPY 56434,A000000,02500,0000,02500PHYSICAL THERAPY 56434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56434,A000000,02700,0000,02700SPEECH PATHOLOGY 56434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56434,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56434,A000000,03200,0000,03200SUPPORT SURFACES 56434,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56434,A000000,03550,0000,03550FQHC 56434,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56434,A000000,05000,0000,05000CORF 56434,A000000,05010,0000,05010CMHC 56434,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56434,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56434,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56434,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56434,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56434,A81000A,00100,0100,Y 56434,A81000B,00100,0300,MANAGEMENT FEE 56434,A81000C,00100,0100,A 56434,A81000C,00100,0200,THOMAS E. KALKHOF 56434,A81000C,00100,0400,TE KALKHOF & ASSOCIATES 56434,A81000C,00100,0600,MANAGEMENT FEE 56434,A81000C,00200,0100,A 56434,B100000,00000,0100,00000SQUARE FEET 56434,B100000,00000,0200,00000SQUARE FEET 56434,B100000,00000,0300,00000GROSS SALARIES 56434,B100000,00000,0400,00000ACCUM. COST 56434,B100000,00000,0500,00000SQUARE FEET 56434,B100000,00000,0600,00000POUNDS OF LAUNDRY 56434,B100000,00000,0700,00000HOURS OF SERVICE 56434,B100000,00000,0800,00000MEALS SERVED 56434,B100000,00000,0900,00000DIRECT NRSING HRS 56434,B100000,00000,1000,00000COSTED REQUIS. 56434,B100000,00000,1100,00000COSTED REQUIS. 56434,B100000,00000,1200,00000TIME SPENT 56434,B100000,00000,1300,00000TIME SPENT 56434,B100000,00000,1350,00000NO STATISTICS 56434,B100000,00000,1400,00000ASSIGNED TIME 56434,B100000,00000,1401,00000ASSIGNED TIME 56434,E10A180,00302,0100,06/30/1999 56434,S000000,00100,0200,05/26/2000 56434,S200000,00100,0100,5511 BAUM BOULEVARD 56434,S200000,00200,0100,PITTSBURGH 56434,S200000,00200,0200,PA 56434,S200000,00300,0100,ALLEGHENY 56434,S200000,00400,0100,COLLINS HEALTH CENTER 56434,S200000,00400,0200,395789 56434,S200000,00400,0300,07/01/1989 56434,S200000,00400,0500,P 56434,S200000,01600,0100,Y 56434,S200000,02200,0100,Y 56444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56444,A000000,00300,0000,00300EMPLOYEE BENEFITS 56444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56444,A000000,00700,0000,00700HOUSEKEEPING 56444,A000000,00800,0000,00800DIETARY 56444,A000000,00900,0000,00900NURSING ADMINISTRATION 56444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56444,A000000,01100,0000,01100PHARMACY 56444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56444,A000000,01300,0000,01300SOCIAL SERVICE 56444,A000000,01350,0000,01500GENERAL 56444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56444,A000000,01600,0000,01600SKILLED NURSING FACILITY 56444,A000000,01800,0000,01800NURSING FACILITY 56444,A000000,01810,0000,01810ICF/MR 56444,A000000,01900,0000,01900OTHER LONG TERM CARE 56444,A000000,02100,0000,02100RADIOLOGY 56444,A000000,02200,0000,02200LABORATORY 56444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56444,A000000,02500,0000,02500PHYSICAL THERAPY 56444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56444,A000000,02700,0000,02700SPEECH PATHOLOGY 56444,A000000,02800,0000,02800ELECTROCARDIOLOGY 56444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56444,A000000,03550,0000,03550FQHC 56444,A000000,05000,0000,05000CORF 56444,A000000,05010,0000,05010CMHC 56444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56444,A000000,05300,0000,05300INTEREST EXPENSE 56444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56444,A81000A,00100,0100,Y 56444,A81000B,00100,0300,MAINTENANCE SERVICES 56444,A81000B,00200,0300,LAUNDRY SERVICES 56444,A81000B,00300,0300,PHARMACEUTICALS 56444,A81000B,00400,0300,ADMINISTRATIVE FEES 56444,A81000B,00600,0300,THERAPY SERVICES 56444,A81000B,00700,0300,THERAPY SERVICES 56444,A81000C,00100,0100,B 56444,A81000C,00100,0200,UPMC ST MARGARE 56444,A81000C,00100,0400,UPMC ST MARGARE 56444,A81000C,00100,0600,HOSPITAL 56444,B100000,00000,0100,00000SQUARE FEET 56444,B100000,00000,0200,00000SQUARE FEET 56444,B100000,00000,0300,00000GROSS SALARIES 56444,B100000,00000,0400,00000ACCUM COST 56444,B100000,00000,0500,00000SQUARE FEET 56444,B100000,00000,0600,00000POUNDS OF LAUNDRY 56444,B100000,00000,0700,00000HOURS OF SERVICE 56444,B100000,00000,0800,00000MEALS SERVED 56444,B100000,00000,0900,00000DIRECT NRSG HRS 56444,B100000,00000,1000,00000COSTED REQUIS 56444,B100000,00000,1100,00000COSTED REQUIS 56444,B100000,00000,1200,00000TIME SPENT 56444,B100000,00000,1300,00000TIME SPENT 56444,B100000,00000,1350,00000ACTIVITIES 56444,B100000,00000,1400,00000ASSIGNED TIME 56444,E10A180,00501,0100,12/06/2000 56444,S000000,00100,0200,11/30/2000 56444,S200000,00100,0100,5360 SALTSBURG ROAD 56444,S200000,00200,0100,VERONA 56444,S200000,00200,0200,PA 56444,S200000,00200,0300,15147 56444,S200000,00300,0100,A 56444,S200000,00400,0100,ST. MARGARET SENECA PLACE 56444,S200000,00400,0200,395790 56444,S200000,00400,0300,05/01/1989 56444,S200000,00400,0500,P 56444,S200000,01600,0100,Y 56452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56452,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 56452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56452,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 56452,A000000,00300,0000,00300EMPLOYEE BENEFITS 56452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56452,A000000,00700,0000,00700HOUSEKEEPING 56452,A000000,00800,0000,00800DIETARY 56452,A000000,00801,0000,00801CAFETERIA 56452,A000000,00900,0000,00900NURSING ADMINISTRATION 56452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56452,A000000,01100,0000,01100PHARMACY 56452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56452,A000000,01300,0000,01300SOCIAL SERVICE 56452,A000000,01350,0000,01500RECREATION THERAPY 56452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56452,A000000,01600,0000,01600SKILLED NURSING FACILITY 56452,A000000,01800,0000,01800NURSING FACILITY 56452,A000000,01810,0000,01810ICF/MR 56452,A000000,02100,0000,02100RADIOLOGY 56452,A000000,02200,0000,02200LABORATORY 56452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56452,A000000,02500,0000,02500PHYSICAL THERAPY 56452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56452,A000000,02700,0000,02700SPEECH PATHOLOGY 56452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56452,A000000,03050,0000,03300PEN THERAPY 56452,A000000,03051,0000,03301FEE SCREENING 56452,A000000,03052,0000,03302OTHER ANCILLARY III 56452,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 56452,A000000,03550,0000,03550FQHC 56452,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56452,A000000,04800,0000,04800AMBULANCE 56452,A000000,05000,0000,05000CORF I 56452,A000000,05010,0000,05010CMHC I 56452,A000000,05020,0000,05020OPT I 56452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56452,A000000,05300,0000,05300INTEREST EXPENSE 56452,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 56452,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 56452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56452,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56452,A81000A,00100,0100,Y 56452,A81000B,00100,0300,AS ATTACHED 56452,A81000B,00200,0300,AS ATTACHED 56452,A81000C,00100,0100,B 56452,A81000C,00100,0400,GENESIS HEALTH 56452,A81000C,00100,0600,VARIOUS 56452,A81000C,00200,0100,B 56452,A81000C,00200,0400,CROZER KEYSTONE 56452,A81000C,00200,0600,MANAGEMENT 56452,B100000,00000,0100,00000(SQUARE FEET) 56452,B100000,00000,0101,00000(SQUARE FEET) 56452,B100000,00000,0200,00000(SQUARE FEET) 56452,B100000,00000,0201,00000(SQUARE FEET) 56452,B100000,00000,0300,00000(GROSS SALARIES) 56452,B100000,00000,0400,00000(ACCUM. COST) 56452,B100000,00000,0500,00000(SQUARE FEET) 56452,B100000,00000,0600,00000(PATIENT DAYS) 56452,B100000,00000,0700,00000(SQUARE FEET) 56452,B100000,00000,0800,00000(MEALS SERVED) 56452,B100000,00000,0801,00000(MEALS SERVED) 56452,B100000,00000,0900,00000(NURSING SALARIES) 56452,B100000,00000,1000,00000COST. REQ. 56452,B100000,00000,1100,00000(PATIENT DAYS) 56452,B100000,00000,1200,00000(PATIENT DAYS) 56452,B100000,00000,1300,00000(PATIENT DAYS) 56452,B100000,00000,1350,00000(PATIENT DAYS) 56452,B100000,00000,1400,00000(ASSIGNED TIME) 56452,E10A180,00551,0300,02/29/2000 56452,S000000,00100,0200,02/28/2000 56452,S200000,00100,0100,520 HAWS LANE 56452,S200000,00200,0100,FLOURTOWN 56452,S200000,00200,0200,PA 56452,S200000,00200,0300,19031 56452,S200000,00300,0100,MONTGOMERY 56452,S200000,00400,0100,HARSTON HALL 56452,S200000,00400,0200,395791 56452,S200000,00400,0300,06/01/1989 56452,S200000,00400,0500,P 56452,S200000,01600,0100,Y 56452,S200000,02200,0100,Y 56452,S200000,04900,0100,Y 56464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56464,A000000,00300,0000,00300EMPLOYEE BENEFITS 56464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56464,A000000,00700,0000,00700HOUSEKEEPING 56464,A000000,00800,0000,00800DIETARY 56464,A000000,00900,0000,00900NURSING ADMINISTRATION 56464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56464,A000000,01100,0000,01100PHARMACY 56464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56464,A000000,01300,0000,01300SOCIAL SERVICE 56464,A000000,01350,0000,01500OTHER GENERAL SERVICES 56464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56464,A000000,01600,0000,01600SKILLED NURSING FACILITY 56464,A000000,01800,0000,01800NURSING FACILITY 56464,A000000,01810,0000,01810ICF/MR 56464,A000000,02100,0000,02100RADIOLOGY 56464,A000000,02200,0000,02200LABORATORY 56464,A000000,02500,0000,02500PHYSICAL THERAPY 56464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56464,A000000,02700,0000,02700SPEECH PATHOLOGY 56464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56464,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56464,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56464,A000000,03550,0000,03550FQHC 56464,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56464,A000000,05000,0000,05000CORF 56464,A000000,05010,0000,05010CMHC 56464,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56464,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56464,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56464,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56464,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56464,B100000,00000,0100,00000SQUARE FEET 56464,B100000,00000,0200,00000SQUARE FEET 56464,B100000,00000,0300,00000GROSS SALARIES 56464,B100000,00000,0400,00000ACCUM. COST 56464,B100000,00000,0500,00000SQUARE FEET 56464,B100000,00000,0600,00000POUNDS OF LAUNDRY 56464,B100000,00000,0700,00000HOURS OF SERVICE 56464,B100000,00000,0800,00000MEALS SERVED 56464,B100000,00000,0900,00000HOURS OF SERVICE 56464,B100000,00000,1000,00000COSTED REQUIS 56464,B100000,00000,1100,00000COSTED REQUIS 56464,B100000,00000,1200,00000TIME SPENT 56464,B100000,00000,1300,00000HOURS OF SERVICE 56464,B100000,00000,1350,00000NO STATISTICS 56464,B100000,00000,1400,00000ASSIGNED TIME 56464,E10A180,00501,0100,12/06/2000 56464,E10A180,00501,0300,12/06/2000 56464,S000000,00100,0200,11/30/2000 56464,S200000,00100,0100,20 ORCHARD DRIVE 56464,S200000,00200,0100,GROVE CITY 56464,S200000,00200,0200,PA 56464,S200000,00300,0100,M 56464,S200000,00400,0100,ORCHARD MANOR INC. 56464,S200000,00400,0200,395793 56464,S200000,00400,0300,07/01/1989 56464,S200000,00400,0500,P 56464,S200000,01600,0100,Y 56464,S200000,02200,0100,Y 56464,S200000,02800,0100,Y 56473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56473,A000000,00300,0000,00300EMPLOYEE BENEFITS 56473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56473,A000000,00700,0000,00700HOUSEKEEPING 56473,A000000,00800,0000,00800DIETARY 56473,A000000,00900,0000,00900NURSING ADMINISTRATION 56473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56473,A000000,01100,0000,01100PHARMACY 56473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56473,A000000,01300,0000,01300SOCIAL SERVICE 56473,A000000,01350,0000,01500PATIENT ACTIVITIES 56473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56473,A000000,01600,0000,01600SKILLED NURSING FACILITY 56473,A000000,01800,0000,01800NURSING FACILITY 56473,A000000,01810,0000,01810ICF/MR 56473,A000000,01900,0000,01900OTHER LONG TERM CARE 56473,A000000,02100,0000,02100RADIOLOGY 56473,A000000,02200,0000,02200LABORATORY 56473,A000000,02500,0000,02500PHYSICAL THERAPY 56473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56473,A000000,02700,0000,02700SPEECH PATHOLOGY 56473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56473,A000000,02901,0000,02901CLINITRON BEDS 56473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56473,A000000,03550,0000,03550FQHC 56473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56473,A000000,05000,0000,05000CORF 56473,A000000,05010,0000,05010CMHC 56473,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56473,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56473,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56473,A000000,06150,0000,06300RESIDENTIAL APARTMENTS 56473,A81000A,00100,0100,Y 56473,A81000B,00100,0300,INSURANCE 56473,A81000B,00200,0300,CONSTRUCTION 56473,A81000C,00100,0100,B 56473,A81000C,00100,0400,DIOCESE OF ERIE 56473,A81000C,00100,0600,CHURCH 56473,A81000C,00200,0100,D 56473,A81000C,00200,0200,JOE MCLAUGHLIN 56473,A81000C,00200,0400,H.H.S.D.R. 56473,A81000C,00200,0600,CONSTRUCTION 56473,B100000,00000,0100,00000SQUARE FEET 56473,B100000,00000,0200,00000SQUARE FEET 56473,B100000,00000,0300,00000GROSS SALARIES 56473,B100000,00000,0400,00000ACCUM. COST 56473,B100000,00000,0500,00000SQUARE FEET 56473,B100000,00000,0600,00000POUNDS OF LAUNDRY 56473,B100000,00000,0700,00000SQUARE FEET EXCL 56473,B100000,00000,0800,00000MEALS SERVED 56473,B100000,00000,0900,00000TIME SPENT 56473,B100000,00000,1000,00000COSTED REQUIS. 56473,B100000,00000,1100,00000COSTED REQUIS. 56473,B100000,00000,1200,00000TIME SPENT 56473,B100000,00000,1300,00000TIME SPENT 56473,B100000,00000,1350,00000TIME SPENT 56473,B100000,00000,1400,00000ASSIGNED TIME 56473,E10A180,00501,0300,06/05/2000 56473,S000000,00100,0200,05/24/2000 56473,S200000,00100,0100,2250 SHENANGO VALLEY FREEWAY 56473,S200000,00200,0100,HERMITAGE 56473,S200000,00200,0200,PA 56473,S200000,00300,0100,MERCER 56473,S200000,00400,0100,JOHN XXIII HOME 56473,S200000,00400,0200,395794 56473,S200000,00400,0300,07/01/1989 56473,S200000,00400,0500,P 56473,S200000,01600,0100,Y 56473,S200000,04700,0100,Y 56483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56483,A000000,00300,0000,00300EMPLOYEE BENEFITS 56483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56483,A000000,00700,0000,00700HOUSEKEEPING 56483,A000000,00800,0000,00800DIETARY 56483,A000000,00900,0000,00900NURSING ADMINISTRATION 56483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56483,A000000,01100,0000,01100PHARMACY 56483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56483,A000000,01300,0000,01300SOCIAL SERVICE 56483,A000000,01350,0000,01500OTHER GENERAL SERVICES 56483,A000000,01351,0000,01501THERAPEUTIC ACTIVITIES 56483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56483,A000000,01600,0000,01600SKILLED NURSING FACILITY 56483,A000000,01810,0000,01810ICF/MR 56483,A000000,02100,0000,02100RADIOLOGY 56483,A000000,02200,0000,02200LABORATORY 56483,A000000,02300,0000,02300INTRAVENOUS THERAPY 56483,A000000,02500,0000,02500PHYSICAL THERAPY 56483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56483,A000000,02700,0000,02700SPEECH PATHOLOGY 56483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56483,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56483,A000000,03550,0000,03550FQHC 56483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56483,A000000,05000,0000,05000CORF 56483,A000000,05010,0000,05010CMHC 56483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56483,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56483,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56483,B100000,00000,0100,00000SQUARE FEET 56483,B100000,00000,0200,00000SQUARE FEET 56483,B100000,00000,0300,00000GROSS SALARIES 56483,B100000,00000,0400,00000ACCUM. COST 56483,B100000,00000,0500,00000SQUARE FEET 56483,B100000,00000,0600,00000POUNDS OF LAUNDRY 56483,B100000,00000,0700,00000SQUARE FEET 56483,B100000,00000,0800,00000MEALS SERVED 56483,B100000,00000,0900,00000DIRECT NRSING HRS 56483,B100000,00000,1000,00000RESIDENT DAYS 56483,B100000,00000,1100,00000COSTED REQUIS. 56483,B100000,00000,1200,00000TIME SPENT 56483,B100000,00000,1300,00000TIME SPENT 56483,B100000,00000,1350,00000NO STATISTICS 56483,B100000,00000,1351,00000RESIDENT DAYS 56483,B100000,00000,1400,00000ASSIGNED TIME 56483,E10A180,00301,0300,12/31/1999 56483,S000000,00100,0200,05/26/2000 56483,S200000,00100,0100,120 OLD NEW SALEM ROAD 56483,S200000,00200,0100,UNIONTOWN 56483,S200000,00200,0200,PA 56483,S200000,00300,0100,FAYETTE 56483,S200000,00400,0100,LAFAYETTE MANOR INC. 56483,S200000,00400,0200,395795 56483,S200000,00400,0300,06/01/1989 56483,S200000,00400,0500,P 56483,S200000,01500,0100,Y 56483,S200000,04300,0100,Y 56489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56489,A000000,00300,0000,00300EMPLOYEE BENEFITS 56489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56489,A000000,00700,0000,00700HOUSEKEEPING 56489,A000000,00800,0000,00800DIETARY 56489,A000000,00900,0000,00900NURSING ADMINISTRATION 56489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56489,A000000,01100,0000,01100PHARMACY 56489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56489,A000000,01300,0000,01300SOCIAL SERVICE 56489,A000000,01350,0000,01500PATIENT ACTIVITIES 56489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56489,A000000,01600,0000,01600SKILLED NURSING FACILITY 56489,A000000,01800,0000,01800NURSING FACILITY 56489,A000000,01810,0000,01810ICF/MR 56489,A000000,01900,0000,01900OTHER LONG TERM CARE 56489,A000000,02100,0000,02100RADIOLOGY 56489,A000000,02200,0000,02200LABORATORY 56489,A000000,02500,0000,02500PHYSICAL THERAPY 56489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56489,A000000,02700,0000,02700SPEECH PATHOLOGY 56489,A000000,02800,0000,02800ELECTROCARDIOLOGY 56489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56489,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56489,A000000,03550,0000,03550FQHC 56489,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56489,A000000,05000,0000,05000CORF 56489,A000000,05010,0000,05010CMHC 56489,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56489,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56489,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56489,A81000A,00100,0100,Y 56489,A81000B,00100,0300,INVESTMENT MGMT FEE 56489,A81000C,00100,0100,E 56489,A81000C,00100,0200,GLENN WEAVER 56489,A81000C,00100,0400,BLUE BALL NATIONAL BANK 56489,A81000C,00100,0600,BANK 56489,B100000,00000,0100,00000SQUARE FEET 56489,B100000,00000,0200,00000NO STATISTICS 56489,B100000,00000,0300,00000GROSS SALARIES 56489,B100000,00000,0400,00000ACCUM. COST 56489,B100000,00000,0500,00000SQUARE FEET 56489,B100000,00000,0600,00000POUNDS OF LAUNDRY 56489,B100000,00000,0700,00000SQU FT EXCL D 56489,B100000,00000,0800,00000MEALS SERVED 56489,B100000,00000,0900,00000TIME SPENT 56489,B100000,00000,1000,00000PATIENT DAYS 56489,B100000,00000,1100,00000PATIENT DAYS 56489,B100000,00000,1200,00000PATIENT DAYS 56489,B100000,00000,1300,00000TIME SPENT 56489,B100000,00000,1350,00000PATIENT DAYS 56489,B100000,00000,1400,00000NO STATISTICS 56489,E10A180,00501,0300,12/15/2000 56489,S000000,00100,0200,11/24/2000 56489,S200000,00100,0100,1001 EAST OREGON RD 56489,S200000,00200,0100,LITITZ 56489,S200000,00200,0200,PA 56489,S200000,00200,0300,17543 56489,S200000,00300,0100,LANCASTER 56489,S200000,00400,0100,LANDIS HOMES RETIREMENT COMMUNITY 56489,S200000,00400,0200,395797 56489,S200000,00400,0300,07/01/1989 56489,S200000,00400,0500,P 56489,S200000,01600,0100,Y 56498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56498,A000000,00300,0000,00300EMPLOYEE BENEFITS 56498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56498,A000000,00700,0000,00700HOUSEKEEPING 56498,A000000,00800,0000,00800DIETARY 56498,A000000,00900,0000,00900NURSING ADMINISTRATION 56498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56498,A000000,01100,0000,01100PHARMACY 56498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56498,A000000,01300,0000,01300SOCIAL SERVICE 56498,A000000,01350,0000,01500RESIDENT ACTIVITIES 56498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56498,A000000,01600,0000,01600SKILLED NURSING FACILITY 56498,A000000,01800,0000,01800NURSING FACILITY 56498,A000000,01810,0000,01810ICF/MR 56498,A000000,02100,0000,02100RADIOLOGY 56498,A000000,02200,0000,02200LABORATORY 56498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56498,A000000,02500,0000,02500PHYSICAL THERAPY 56498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56498,A000000,02700,0000,02700SPEECH PATHOLOGY 56498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56498,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56498,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56498,A000000,03550,0000,03550FQHC 56498,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56498,A000000,05000,0000,05000CORF 56498,A000000,05010,0000,05010CMHC 56498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56498,A000000,05300,0000,05300INTEREST EXPENSE 56498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56498,B100000,00000,0100,00000SQUARE FEET 56498,B100000,00000,0200,00000SQUARE FEET 56498,B100000,00000,0300,00000GROSS SALARIES 56498,B100000,00000,0400,00000ACCUM. COST 56498,B100000,00000,0500,00000SQUARE FEET 56498,B100000,00000,0600,00000POUNDS OF LAUNDRY 56498,B100000,00000,0700,00000SQUARE FEET 56498,B100000,00000,0800,00000MEALS SERVED 56498,B100000,00000,0900,00000HOURS OF SERVICE 56498,B100000,00000,1000,00000PATIENT DAYS 56498,B100000,00000,1100,00000PATIENT DAYS 56498,B100000,00000,1200,00000TIME SPENT 56498,B100000,00000,1300,00000TIME SPENT 56498,B100000,00000,1350,00000TIME SPENT 56498,B100000,00000,1400,00000ASSIGNED TIME 56498,E10A180,00501,0100,12/07/2000 56498,S000000,00100,0200,11/30/2000 56498,S200000,00100,0100,1625 LINCOLN AVENUE 56498,S200000,00200,0100,PITTSBURGH 56498,S200000,00200,0200,PA 56498,S200000,00200,0300,15206 56498,S200000,00300,0100,A 56498,S200000,00400,0100,LEMINGTON CENTER 56498,S200000,00400,0200,395799 56498,S200000,00400,0300,08/10/1989 56498,S200000,00400,0500,P 56498,S200000,01600,0100,Y 56498,S200000,04300,0100,Y 56507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56507,A000000,00300,0000,00300EMPLOYEE BENEFITS 56507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56507,A000000,00700,0000,00700HOUSEKEEPING 56507,A000000,00800,0000,00800DIETARY 56507,A000000,00900,0000,00900NURSING ADMINISTRATION 56507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56507,A000000,01100,0000,01100PHARMACY 56507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56507,A000000,01300,0000,01300SOCIAL SERVICE 56507,A000000,01350,0000,01500ACTIVITIES 56507,A000000,01351,0000,01501HEALTH & WELLNESS 56507,A000000,01352,0000,01502TRANSPORTATION 56507,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56507,A000000,01600,0000,01600SKILLED NURSING FACILITY 56507,A000000,01810,0000,01810ICF/MR 56507,A000000,01900,0000,01900OTHER LONG TERM CARE 56507,A000000,02100,0000,02100RADIOLOGY 56507,A000000,02200,0000,02200LABORATORY 56507,A000000,02500,0000,02500PHYSICAL THERAPY 56507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56507,A000000,02700,0000,02700SPEECH PATHOLOGY 56507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56507,A000000,03550,0000,03550FQHC 56507,A000000,05000,0000,05000CORF 56507,A000000,05010,0000,05010CMHC 56507,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56507,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56507,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56507,A000000,05300,0000,05300INTEREST EXPENSE 56507,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56507,A000000,06150,0000,06300MARKETING 56507,A000000,06151,0000,06301RENTAL PROPERTY EXPENSE 56507,A81000A,00100,0100,Y 56507,A81000B,00100,0300,PAYROLL PREP 56507,A81000B,00200,0300,IMS 56507,A81000B,00300,0300,BOND GUARANTY 56507,A81000B,00400,0300,LAUNDRY 56507,A81000B,00500,0300,EMPLOYEE ASSISTANCE 56507,A81000C,00100,0100,B 56507,A81000C,00100,0200,THE HIGHLANDS 56507,A81000C,00100,0400,THE READING 56507,A81000C,00100,0600,HEALTHCARE 56507,A81000C,00200,0200,AT WYOMISSING 56507,A81000C,00200,0400,HOSPITAL 56507,A81000C,00500,0100,B 56507,A81000C,00500,0200,THE HIGHLANDS 56507,A81000C,00500,0400,LUTHERAN HOME 56507,A81000C,00500,0600,HEALTHCARE 56507,A81000C,00600,0200,AT WYOMISSING 56507,A81000C,00600,0400,AT TOPTON 56507,B100000,00000,0100,00001SQUARE FEET 56507,B100000,00000,0200,00001DOLLAR VALUE 56507,B100000,00000,0300,00001GROSS SALARIES 56507,B100000,00000,0400,00001ACCUM. COST 56507,B100000,00000,0500,00001SQUARE FEET 56507,B100000,00000,0600,00001POUNDS OF LAUNDRY 56507,B100000,00000,0700,00001SQUARE FEET 56507,B100000,00000,0800,00001ACTUAL COS 56507,B100000,00000,0900,00001DIRECT NRSING HRS 56507,B100000,00000,1000,00001COSTED REQUIS. 56507,B100000,00000,1100,00001COSTED REQUIS. 56507,B100000,00000,1200,00001TIME SPENT 56507,B100000,00000,1300,00001ACTUAL COS 56507,B100000,00000,1350,00001OTHER 56507,B100000,00000,1351,00001ACTUAL COS 56507,B100000,00000,1352,00001NUMBER OF 56507,B100000,00000,1400,00001ASSIGNED TIME 56507,E10A180,00501,0100,12/22/2000 56507,E10A180,00501,0300,12/22/2000 56507,S000000,00100,0200,11/29/2000 56507,S200000,00100,0100,2000 CAMBRIDGE AVENUE 56507,S200000,00200,0100,WYOMISSING 56507,S200000,00200,0200,PA 56507,S200000,00300,0100,B 56507,S200000,00400,0100,THE HIGHLANDS AT WYOMISSING 56507,S200000,00400,0200,395800 56507,S200000,00400,0300,07/11/1989 56507,S200000,00400,0500,P 56507,S200000,01500,0100,Y 56507,S200000,01700,0100,Y 56507,S200000,02200,0100,Y 56507,S200000,02800,0100,Y 56520,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56520,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56520,A000000,00300,0000,00300EMPLOYEE BENEFITS 56520,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56520,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56520,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56520,A000000,00700,0000,00700HOUSEKEEPING 56520,A000000,00800,0000,00800DIETARY 56520,A000000,00900,0000,00900NURSING ADMINISTRATION 56520,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56520,A000000,01100,0000,01100PHARMACY 56520,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56520,A000000,01300,0000,01300SOCIAL SERVICE 56520,A000000,01350,0000,01500OTHER GENERAL SERVICES 56520,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56520,A000000,01600,0000,01600SKILLED NURSING FACILITY 56520,A000000,01810,0000,01810ICF/MR 56520,A000000,01900,0000,01900OTHER LONG TERM CARE 56520,A000000,02500,0000,02500PHYSICAL THERAPY 56520,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56520,A000000,02700,0000,02700SPEECH PATHOLOGY 56520,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56520,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56520,A000000,03550,0000,03550FQHC 56520,A000000,05000,0000,05000CORF 56520,A000000,05010,0000,05010CMHC 56520,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56520,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56520,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56520,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56520,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56520,A81000A,00100,0100,Y 56520,A81000B,00100,0300,CENTRAL ADMIN. 56520,A81000B,00200,0300,CAP. RELATED HCFA287 56520,A81000C,00100,0100,G 56520,A81000C,00100,0200,UNITED CHURCH OF CHR 56520,A81000C,00100,0400,UCCH INC. 56520,A81000C,00100,0600,CHURCH RELATED 56520,B100000,00000,0100,00000SQUARE FEET 56520,B100000,00000,0200,00000SQUARE FEET 56520,B100000,00000,0300,00000GROSS SALARIES 56520,B100000,00000,0400,00000ACCUM COST 56520,B100000,00000,0500,00000SQUARE FEET 56520,B100000,00000,0600,00000POUNDS OF LAUNDRY 56520,B100000,00000,0700,00000HOURS OF SERVICE 56520,B100000,00000,0800,00000MEALS SERVED 56520,B100000,00000,0900,00000DIRECT NRSG HRS 56520,B100000,00000,1000,00000COSTED REQUIS 56520,B100000,00000,1100,00000COSTED REQUIS 56520,B100000,00000,1200,00000TIME SPENT 56520,B100000,00000,1300,00000TIME SPENT 56520,B100000,00000,1350,00000(TIME SPENT) 56520,B100000,00000,1400,00000ASSIGNED TIME 56520,E10A180,00550,0300,05/31/2000 56520,S000000,00100,0200,05/31/2000 56520,S200000,00100,0100,442 WALNUT BOTTOM RD. 56520,S200000,00200,0100,CARLISLE 56520,S200000,00200,0200,PA 56520,S200000,00200,0300,17013 56520,S200000,00300,0100,CUMBERLAND 56520,S200000,00400,0100,THORNWALD HOME 56520,S200000,00400,0200,395802 56520,S200000,00400,0300,09/01/1989 56520,S200000,00400,0500,P 56520,S200000,01500,0100,Y 56520,S200000,02200,0100,Y 56529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56529,A000000,00300,0000,00300EMPLOYEE BENEFITS 56529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56529,A000000,00700,0000,00700HOUSEKEEPING 56529,A000000,00800,0000,00800DIETARY 56529,A000000,00900,0000,00900NURSING ADMINISTRATION 56529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56529,A000000,01100,0000,01100PHARMACY 56529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56529,A000000,01300,0000,01300SOCIAL SERVICE 56529,A000000,01350,0000,01500PATIENT ACTIVITIES 56529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56529,A000000,01600,0000,01600SKILLED NURSING FACILITY 56529,A000000,01800,0000,01800NURSING FACILITY 56529,A000000,01810,0000,01810ICF/MR 56529,A000000,02200,0000,02200LABORATORY 56529,A000000,02500,0000,02500PHYSICAL THERAPY 56529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56529,A000000,02700,0000,02700SPEECH PATHOLOGY 56529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56529,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56529,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56529,A000000,03550,0000,03550FQHC 56529,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56529,A000000,05000,0000,05000CORF 56529,A000000,05010,0000,05010CMHC 56529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56529,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56529,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 56529,A000000,06150,0000,06300PERSONAL CARE 56529,A81000A,00100,0100,Y 56529,A81000B,00100,0300,LAND LEASE 56529,A81000C,00100,0100,B 56529,A81000C,00100,0200,ST. JOSEPH CONVENT 56529,A81000C,00100,0400,ST. JOSEPH CONVENT 56529,A81000C,00100,0600,CONVENT 56529,B100000,00000,0100,00000SQUARE FEET 56529,B100000,00000,0200,00000NO STATISTICS 56529,B100000,00000,0300,00000GROSS SALARIES 56529,B100000,00000,0400,00000ACCUM. COST 56529,B100000,00000,0500,00000SQUARE FEET 56529,B100000,00000,0600,00000POUNDS OF LAUNDRY 56529,B100000,00000,0700,00000SQ FT EXCL DIET 56529,B100000,00000,0800,00000MEALS SERVED 56529,B100000,00000,0900,00000PATIENT DAYS 56529,B100000,00000,1000,00000PATIENT DAYS 56529,B100000,00000,1100,00000NO STATISTICS 56529,B100000,00000,1200,00000NO STATISTICS 56529,B100000,00000,1300,00000PATIENT DAYS 56529,B100000,00000,1350,00000PATIENT DAYS 56529,B100000,00000,1400,00000NO STATISTICS 56529,E10A180,00501,0100,12/22/2000 56529,E10A180,00501,0300,12/22/2000 56529,S000000,00100,0200,11/30/2000 56529,S200000,00100,0100,3952 COLUMBIA AVENUE 56529,S200000,00200,0100,COLUMBIA 56529,S200000,00200,0200,PA 56529,S200000,00300,0100,L 56529,S200000,00400,0100,ST. ANNES HOME FOR THE AGED INC 56529,S200000,00400,0200,395806 56529,S200000,00400,0300,10/01/1989 56529,S200000,00400,0500,P 56529,S200000,01600,0100,Y 56529,S200000,02800,0100,Y 56540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56540,A000000,00101,0000,00101CAPITAL BLDG/FIX-CONV CT 56540,A000000,00103,0000,00102CAPITAL BLDG/FIX-PC 56540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56540,A000000,00300,0000,00300EMPLOYEE BENEFITS 56540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56540,A000000,00700,0000,00700HOUSEKEEPING 56540,A000000,00800,0000,00800DIETARY 56540,A000000,00900,0000,00900NURSING ADMINISTRATION 56540,A000000,00901,0000,00901ADMISSIONS 56540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56540,A000000,01100,0000,01100PHARMACY 56540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56540,A000000,01300,0000,01300SOCIAL SERVICE 56540,A000000,01350,0000,01500ACTIVITIES 56540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56540,A000000,01600,0000,01600SKILLED NURSING FACILITY 56540,A000000,01800,0000,01800NURSING FACILITY 56540,A000000,01810,0000,01810ICF/MR 56540,A000000,01900,0000,01900OTHER LONG TERM CARE 56540,A000000,02100,0000,02100RADIOLOGY 56540,A000000,02200,0000,02200LABORATORY 56540,A000000,02300,0000,02300INTRAVENOUS THERAPY 56540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56540,A000000,02500,0000,02500PHYSICAL THERAPY 56540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56540,A000000,02700,0000,02700SPEECH PATHOLOGY 56540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56540,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 56540,A000000,03550,0000,03550FQHC 56540,A000000,05000,0000,05000CORF 56540,A000000,05010,0000,05010CMHC 56540,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56540,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56540,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56540,A81000A,00100,0100,Y 56540,A81000B,00100,0300,IV DRUGS 56540,A81000B,00200,0300,DRUGS CONSULTING 56540,A81000B,00300,0300,PRESCRIPTION DRUGS 56540,A81000B,00400,0300,HOUSEKEEPING SUPPLIES 56540,A81000B,00500,0300,PHARMACY SUPPLIES 56540,A81000B,00600,0300,OCCUPATIONAL THERAPY 56540,A81000B,00700,0300,MEDICAL SUPPLIES 56540,A81000B,00800,0300,CENTRAL SUPPLIES 56540,A81000B,00900,0300,SPEECH THERAPY 56540,A81000B,01000,0300,OVER-THE-COUNTER SNF 56540,A81000B,01100,0300,PT SUPPLIES 56540,A81000B,01200,0300,ADMIN SUPPLIES 56540,A81000B,01300,0300,HOME OFFICE COST 56540,A81000B,01400,0300,DIETARY SUPPLIES 56540,A81000B,01500,0300,LAUNDRY SUPPLIES 56540,A81000B,01600,0300,PLANT SUPPLIES 56540,A81000B,01700,0300,PHYSICAL THERAPY 56540,A81000B,01800,0300,LEASE 56540,A81000B,01900,0300,INT INC RFR 56540,A81000B,02000,0300,ADMIN FEES 56540,A81000B,02100,0300,PROPERTY INS 56540,A81000B,02200,0300,MORTGAGE INT 56540,A81000B,02300,0300,MIP MORTGAGE 56540,A81000B,02400,0300,MORTGAGE FEES 56540,A81000B,02500,0300,REAL ESTATE TAXES 56540,A81000B,02600,0300,DEPRECIATION COMMON 56540,A81000B,02700,0300,DEPRECIATION PH I 56540,A81000B,02800,0300,DEPRECIATION PH II 56540,A81000B,02900,0300,AMOR FINANCE FEES 56540,A81000C,00100,0100,A 56540,A81000C,00100,0200,R. GRACIANO SR 56540,A81000C,00100,0400,GRANE HEALTHCAR 56540,A81000C,00100,0600,HEALTHCARE MGMT 56540,A81000C,00300,0100,A 56540,A81000C,00300,0200,R. GRACIANO JR 56540,A81000C,00300,0400,GRANE HEALTHCAR 56540,A81000C,00300,0600,HEALTHCARE MGMT 56540,A81000C,00400,0100,A 56540,A81000C,00400,0200,DAVID GRACIANO 56540,A81000C,00400,0400,GRANE HEALTHCAR 56540,A81000C,00400,0600,HEALTHCARE MGMT 56540,A81000C,00500,0100,A 56540,A81000C,00500,0200,ROSS NESE 56540,A81000C,00500,0400,GRANE HEALTHCAR 56540,A81000C,00500,0600,HEALTHCARE MGMT 56540,A81000C,00600,0100,A 56540,A81000C,00600,0200,SAME AS GRANE H 56540,A81000C,00600,0400,GRANE SUPPLY 56540,A81000C,00600,0600,DRUGS & MED SUP 56540,A81000C,00700,0100,A 56540,A81000C,00700,0200,HEALTHCARE 56540,A81000C,00800,0100,A 56540,A81000C,00800,0200,SAME AS GRANE 56540,A81000C,00800,0400,GRANE REHAB- 56540,A81000C,00800,0600,REHAB COMPANY 56540,A81000C,00900,0200,HEALTHCARE 56540,A81000C,00900,0400,ILITATION THER- 56540,A81000C,01000,0100,A 56540,A81000C,01000,0400,IES 56540,A81000C,01100,0100,A 56540,A81000C,01100,0200,R.GRACIANO JR. 56540,A81000C,01100,0400,GMS 56540,A81000C,01100,0600,ACCTG 56540,A81000C,01200,0100,A 56540,A81000C,01200,0200,D GRACIANO 56540,A81000C,01200,0400,GMS 56540,A81000C,01300,0100,A 56540,A81000C,01300,0200,LAUREL WOOD 56540,A81000C,01300,0400,LAUREL WOOD 56540,A81000C,01300,0600,REAL ESTATE 56540,B100000,00000,0100,00000SQUARE FEET 56540,B100000,00000,0101,00000SQUARE FEET 56540,B100000,00000,0102,00000SQUARE FEET 56540,B100000,00000,0200,00000SQUARE FEET 56540,B100000,00000,0300,00000GROSS SALARIES 56540,B100000,00000,0400,00000ACCUM. COST 56540,B100000,00000,0500,00000SQUARE FEET 56540,B100000,00000,0600,00000POUNDS OF LAUNDRY 56540,B100000,00000,0700,00000SQUARE FEET 56540,B100000,00000,0800,00000MEALS SERVED 56540,B100000,00000,0900,00000DIRECT NRSING HRS 56540,B100000,00000,0901,00000DIRECT NRSING HRS 56540,B100000,00000,1000,00000COSTED REQUIS. 56540,B100000,00000,1100,00000COSTED REQUIS. 56540,B100000,00000,1200,00000DIRECT NUR HOURS 56540,B100000,00000,1300,00000TIME SPENT 56540,B100000,00000,1350,00000PATIENT DAYS 56540,B100000,00000,1400,00000ASSIGNED TIME 56540,E10A180,00301,0100,03/22/2000 56540,E10A180,00301,0300,03/22/2000 56540,E10A180,00501,0300,06/02/2000 56540,S000000,00100,0200,05/25/2000 56540,S200000,00100,0100,100 WOODMONT ROAD 56540,S200000,00200,0100,JOHNSTOWN 56540,S200000,00200,0200,PA 56540,S200000,00200,0300,15905 56540,S200000,00300,0100,CAMBRIA 56540,S200000,00400,0100,LAUREL WOOD CONVALESCENT CENTER 56540,S200000,00400,0200,395812 56540,S200000,00400,0300,11/13/1989 56540,S200000,00400,0500,P 56540,S200000,00600,0200,395812 56540,S200000,00600,0300,11/13/1989 56540,S200000,00600,0600,P 56540,S200000,01600,0100,Y 56540,S200000,02200,0100,Y 56550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56550,A000000,00300,0000,00300EMPLOYEE BENEFITS 56550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56550,A000000,00700,0000,00700HOUSEKEEPING 56550,A000000,00800,0000,00800DIETARY 56550,A000000,00900,0000,00900NURSING ADMINISTRATION 56550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56550,A000000,01100,0000,01100PHARMACY 56550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56550,A000000,01300,0000,01300SOCIAL SERVICE 56550,A000000,01350,0000,01500PATIENT ACTIVITIES 56550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56550,A000000,01600,0000,01600SKILLED NURSING FACILITY 56550,A000000,01800,0000,01800NURSING FACILITY 56550,A000000,01810,0000,01810ICF/MR 56550,A000000,02100,0000,02100RADIOLOGY 56550,A000000,02200,0000,02200LABORATORY 56550,A000000,02500,0000,02500PHYSICAL THERAPY 56550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56550,A000000,02700,0000,02700SPEECH PATHOLOGY 56550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56550,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56550,A000000,03200,0000,03200SUPPORT SURFACES 56550,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56550,A000000,03550,0000,03550FQHC 56550,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56550,A000000,05000,0000,05000CORF 56550,A000000,05010,0000,05010CMHC 56550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56550,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56550,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56550,A81000A,00100,0100,Y 56550,A81000B,00100,0300,MANAGEMENT FEES 56550,A81000C,00100,0100,B 56550,A81000C,00100,0200,PHILIP MILLER 56550,A81000C,00100,0400,MDC ASSET MANAGEMENT 56550,A81000C,00100,0600,MANAGEMENT COMPANY 56550,A81000C,00200,0100,B 56550,A81000C,00200,0200,DAVID MILLER 56550,A81000C,00200,0400,MDC ASSET MANAGEMENT 56550,A81000C,00200,0600,MANAGEMENT COMPANY 56550,A81000C,00300,0100,B 56550,A81000C,00300,0200,STEPHANIE M. MILLER 56550,A81000C,00300,0400,MDC ASSET MANAGEMENT 56550,A81000C,00300,0600,MANAGEMENT COMPANY 56550,A81000C,00400,0100,B 56550,A81000C,00400,0200,ROBERT MILLER 56550,A81000C,00400,0400,MDC ASSET MANAGEMENT 56550,A81000C,00400,0600,MANAGEMENT COMPANY 56550,A81000C,00500,0100,B 56550,A81000C,00500,0200,MICHAEL MILLER 56550,A81000C,00500,0400,MDC ASSET MANAGEMENT 56550,A81000C,00500,0600,MANAGEMENT COMPANY 56550,B100000,00000,0100,00000SQUARE FEET 56550,B100000,00000,0200,00000SQUARE FEET 56550,B100000,00000,0300,00000GROSS SALARIES 56550,B100000,00000,0400,00000ACCUM. COST 56550,B100000,00000,0500,00000SQUARE FEET 56550,B100000,00000,0600,00000PATIENT DAYS 56550,B100000,00000,0700,00000SQ FEET(EX DI 56550,B100000,00000,0800,00000MEALS SERVED 56550,B100000,00000,0900,00000HOURS WORKED 56550,B100000,00000,1000,00000COSTED REQUIS. 56550,B100000,00000,1100,00000PATIENT DAYS 56550,B100000,00000,1200,00000GROSS CHARGES 56550,B100000,00000,1300,00000PATIENT DAYS 56550,B100000,00000,1350,00000PATIENT DAYS 56550,B100000,00000,1400,00000ASSIGNED TIME 56550,E10A180,00501,0100,07/31/2000 56550,E10A180,00501,0300,07/31/2000 56550,S000000,00100,0200,05/31/2000 56550,S200000,00100,0100,4001 FORD ROAD 56550,S200000,00200,0100,PHILADELPHIA 56550,S200000,00200,0200,PA 56550,S200000,00300,0100,PHILADELPHIA 56550,S200000,00400,0100,BALA NURSING & RETIREMENT CENTER 56550,S200000,00400,0200,395814 56550,S200000,00400,0300,02/09/1990 56550,S200000,00400,0500,P 56550,S200000,00400,0600,P 56550,S200000,01600,0100,Y 56559,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56559,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56559,A000000,00300,0000,00300EMPLOYEE BENEFITS 56559,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56559,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56559,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56559,A000000,00700,0000,00700HOUSEKEEPING 56559,A000000,00800,0000,00800DIETARY 56559,A000000,00900,0000,00900NURSING ADMINISTRATION 56559,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56559,A000000,01100,0000,01100PHARMACY 56559,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56559,A000000,01300,0000,01300SOCIAL SERVICE 56559,A000000,01301,0000,01301PATIENT ACTIVITIES 56559,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56559,A000000,01600,0000,01600SKILLED NURSING FACILITY 56559,A000000,01800,0000,01800NURSING FACILITY 56559,A000000,01810,0000,01810ICF/MR 56559,A000000,02100,0000,02100RADIOLOGY 56559,A000000,02200,0000,02200LABORATORY 56559,A000000,02300,0000,02300INTRAVENOUS THERAPY 56559,A000000,02500,0000,02500PHYSICAL THERAPY 56559,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56559,A000000,02700,0000,02700SPEECH PATHOLOGY 56559,A000000,02701,0000,02701CLINITRON THERAPY 56559,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56559,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56559,A000000,03001,0000,03001ENTERAL THERAPY 56559,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56559,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56559,A000000,03550,0000,03550FQHC 56559,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56559,A000000,05000,0000,05000CORF 56559,A000000,05010,0000,05010CMHC 56559,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56559,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56559,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56559,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56559,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56559,A000000,05901,0000,05901MANOR HOUSE 56559,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56559,A81000A,00100,0100,Y 56559,A81000B,00100,0300,ADMIN/ACCOUNTING/FINANCE 56559,A81000C,00100,0100,G 56559,A81000C,00100,0400,ARCH PHILA/CATH HEALTH 56559,A81000C,00100,0600,CHURCH OPERATED 56559,B100000,00000,0100,00000SQUARE FEET 56559,B100000,00000,0200,00000SQUARE FEET 56559,B100000,00000,0300,00000GROSS SALARIES 56559,B100000,00000,0400,00000ACCUM. COST 56559,B100000,00000,0500,00000SQUARE FEET 56559,B100000,00000,0600,00000POUNDS OF LAUNDRY 56559,B100000,00000,0700,00000HOURS OF SERVICE 56559,B100000,00000,0800,00000MEALS SERVED 56559,B100000,00000,0900,00000DIRECT NRSING HRS 56559,B100000,00000,1000,00000COSTED REQUIS 56559,B100000,00000,1100,00000COSTED REQUIS 56559,B100000,00000,1200,00000TIME SPENT 56559,B100000,00000,1300,00000TIME SPENT 56559,B100000,00000,1301,00000PATIENT DAYS 56559,B100000,00000,1400,00000ASSIGNED TIME 56559,E10A180,00501,0300,12/06/2000 56559,S000000,00100,0200,11/16/2000 56559,S200000,00100,0100,470 MANOR ROAD 56559,S200000,00200,0100,DOWNINGTOWN 56559,S200000,00200,0200,PA 56559,S200000,00200,0300,19335 56559,S200000,00300,0100,PHLADELPHIA 56559,S200000,00400,0100,ST. MARTHA MANOR 56559,S200000,00400,0200,395815 56559,S200000,00400,0300,12/19/1989 56559,S200000,00400,0500,P 56559,S200000,01600,0100,Y 56559,S200000,02800,0100,Y 56568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56568,A000000,00300,0000,00300EMPLOYEE BENEFITS 56568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56568,A000000,00700,0000,00700HOUSEKEEPING 56568,A000000,00800,0000,00800DIETARY 56568,A000000,00900,0000,00900NURSING ADMINISTRATION 56568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56568,A000000,01100,0000,01100PHARMACY 56568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56568,A000000,01300,0000,01300SOCIAL SERVICE 56568,A000000,01350,0000,01500PATIENT ACTIVITIES 56568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56568,A000000,01600,0000,01600SKILLED NURSING FACILITY 56568,A000000,01810,0000,01810ICF/MR 56568,A000000,02100,0000,02100RADIOLOGY 56568,A000000,02200,0000,02200LABORATORY 56568,A000000,02500,0000,02500PHYSICAL THERAPY 56568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56568,A000000,02700,0000,02700SPEECH PATHOLOGY 56568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56568,A000000,03550,0000,03550FQHC 56568,A000000,05000,0000,05000CORF 56568,A000000,05010,0000,05010CMHC 56568,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56568,A000000,05300,0000,05300INTEREST EXPENSE 56568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56568,A000000,06150,0000,06300T.V. CABLE 56568,A000000,06200,0000,06200PATIENTS LAUNDRY 56568,B100000,00000,0100,00000SQUARE FEET 56568,B100000,00000,0200,00000SQUARE FEET 56568,B100000,00000,0300,00000GROSS SALARIES 56568,B100000,00000,0400,00000ACCUM COST 56568,B100000,00000,0500,00000SQUARE FEET 56568,B100000,00000,0600,00000POUNDS OF LAUNDRY 56568,B100000,00000,0700,00000HOURS OF SERVICE 56568,B100000,00000,0800,00000MEALS SERVED 56568,B100000,00000,0900,00000DIRECT NRSG HRS 56568,B100000,00000,1000,00000COSTED REQUIS 56568,B100000,00000,1100,00000COSTED REQUIS 56568,B100000,00000,1200,00000TIME SPENT 56568,B100000,00000,1300,00000TIME SPENT 56568,B100000,00000,1350,00000TIME SPENT 56568,B100000,00000,1400,00000ASSIGNED TIME 56568,E10A180,00501,0100,06/12/2000 56568,E10A180,00550,0300,06/12/2000 56568,S000000,00100,0200,05/26/2000 56568,S200000,00100,0100,RR #1 BOX 92AA 56568,S200000,00200,0100,KANE 56568,S200000,00200,0200,PA 56568,S200000,00300,0100,MCKEAN 56568,S200000,00400,0100,LUTHERAN HOME AT KANE 56568,S200000,00400,0200,395816 56568,S200000,00400,0300,01/01/1990 56568,S200000,00400,0500,P 56568,S200000,01500,0100,Y 56568,S200000,02200,0100,Y 56568,S200000,02800,0100,Y 56577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56577,A000000,00300,0000,00300EMPLOYEE BENEFITS 56577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56577,A000000,00700,0000,00700HOUSEKEEPING 56577,A000000,00800,0000,00800DIETARY 56577,A000000,00900,0000,00900NURSING ADMINISTRATION 56577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56577,A000000,01100,0000,01100PHARMACY 56577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56577,A000000,01300,0000,01300SOCIAL SERVICE 56577,A000000,01301,0000,01350RECREATION THERAPY 56577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56577,A000000,01600,0000,01600SKILLED NURSING FACILITY 56577,A000000,01800,0000,01800NURSING FACILITY 56577,A000000,01810,0000,01810ICF/MR 56577,A000000,01900,0000,01900OTHER LONG TERM CARE 56577,A000000,02100,0000,02100RADIOLOGY 56577,A000000,02500,0000,02500PHYSICAL THERAPY 56577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56577,A000000,02700,0000,02700SPEECH PATHOLOGY 56577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56577,A000000,03400,0000,03400CLINIC 56577,A000000,03550,0000,03550FQHC 56577,A000000,05000,0000,05000CORF 56577,A000000,05010,0000,05010CMHC 56577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56577,A000000,05300,0000,05300INTEREST EXPENSE 56577,A000000,06201,0000,06210MARKETING 56577,B100000,00000,0100,00010(SQUARE FEET) 56577,B100000,00000,0200,00010(SQUARE FEET) 56577,B100000,00000,0300,00010(GROSS SALARIES) 56577,B100000,00000,0400,00010(ACCUM COST) 56577,B100000,00000,0500,00010(SQUARE FEET) 56577,B100000,00000,0600,00010(POUNDS OF LAUNDRY) 56577,B100000,00000,0700,00010(SQUARE FEET) 56577,B100000,00000,0800,00010(MEALS SERVED) 56577,B100000,00000,0900,00010(DIRECT NRSG SAL) 56577,B100000,00000,1000,00010(PATIENT DAYS) 56577,B100000,00000,1100,00010(PATIENT DAYS 56577,B100000,00000,1200,00010(PATIENT DAYS) 56577,B100000,00000,1300,00010(PATIENT DAYS) 56577,B100000,00000,1350,00010(PATIENT DAYS) 56577,B100000,00000,1400,00010(ASSIGNED TIME) 56577,E10A180,00501,0100,06/19/2000 56577,E10A180,00501,0300,06/19/2000 56577,S000000,00100,0200,06/01/2000 56577,S200000,00100,0100,801 RIDGE PIKE 56577,S200000,00200,0100,LAFAYETTE HILL 56577,S200000,00200,0200,PA 56577,S200000,00300,0100,MONTGOMERY 56577,S200000,00400,0100,MASONIC HOME OF PA 56577,S200000,00400,0200,395818 56577,S200000,00400,0300,03/01/1990 56577,S200000,00400,0500,P 56577,S200000,00600,0200,747874 56577,S200000,00600,0300,03/01/1990 56577,S200000,00600,0600,O 56577,S200000,01600,0100,Y 56577,S200000,01900,0100,501 (C) (3) 56586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56586,A000000,00300,0000,00300EMPLOYEE BENEFITS 56586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56586,A000000,00700,0000,00700HOUSEKEEPING 56586,A000000,00800,0000,00800DIETARY 56586,A000000,00900,0000,00900NURSING ADMINISTRATION 56586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56586,A000000,01100,0000,01100PHARMACY 56586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56586,A000000,01300,0000,01300SOCIAL SERVICE 56586,A000000,01350,0000,01500PATIENT ACTIVITIES 56586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56586,A000000,01600,0000,01600SKILLED NURSING FACILITY 56586,A000000,01810,0000,01810ICF/MR 56586,A000000,01900,0000,01900OTHER LONG TERM CARE 56586,A000000,02500,0000,02500PHYSICAL THERAPY 56586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56586,A000000,02700,0000,02700SPEECH PATHOLOGY 56586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56586,A000000,03550,0000,03550FQHC 56586,A000000,05000,0000,05000CORF 56586,A000000,05010,0000,05010CMHC 56586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56586,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56586,A000000,06150,0000,06300INDEPENDENT LIVING FACILITY 56586,A81000A,00100,0100,Y 56586,A81000B,00100,0300,MORTGAGE INTEREST 56586,A81000B,00200,0300,MORTGAGE INTERESTILF 56586,A81000B,00300,0300,HOUSEKEEPING 56586,A81000B,00400,0300,COS PATIENT ACTIVITI 56586,A81000C,00100,0100,A 56586,A81000C,00100,0400,CARMELITE SISTERS 56586,A81000C,00100,0600,MOTHERHOUSE 56586,B100000,00000,0100,00000SQUARE FEET 56586,B100000,00000,0200,00000SQUARE FEET 56586,B100000,00000,0300,00000GROSS SALARIES 56586,B100000,00000,0400,00000ACCUM COST 56586,B100000,00000,0500,00000SQUARE FEET 56586,B100000,00000,0600,00000POUNDS OF LAUNDRY 56586,B100000,00000,0700,00000HOURS OF SERVICE 56586,B100000,00000,0800,00000MEALS SERVED 56586,B100000,00000,0900,00000DIRECT NRSG HRS 56586,B100000,00000,1000,00000COSTED REQUIS 56586,B100000,00000,1100,00000PATIENT DAYS 56586,B100000,00000,1200,00000TIME SPENT 56586,B100000,00000,1300,00000TIME SPENT 56586,B100000,00000,1350,00000PATIENT DAYS 56586,B100000,00000,1400,00000ASSIGNED TIME 56586,E10A180,00502,0100,07/28/2000 56586,E10A180,00502,0300,07/28/2000 56586,S000000,00100,0200,05/31/2000 56586,S200000,00100,0100,6445 GERMANTOWN AVENUE 56586,S200000,00200,0100,PHILADELPHIA 56586,S200000,00200,0200,PA 56586,S200000,00200,0300,19119 56586,S200000,00300,0100,PHILADELPHIA 56586,S200000,00400,0100,SACRED HEART MANOR 56586,S200000,00400,0200,395819 56586,S200000,00400,0300,02/01/1990 56586,S200000,00400,0500,P 56586,S200000,01500,0100,Y 56593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56593,A000000,00300,0000,00300EMPLOYEE BENEFITS 56593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56593,A000000,00700,0000,00700HOUSEKEEPING 56593,A000000,00800,0000,00800DIETARY 56593,A000000,00900,0000,00900NURSING ADMINISTRATION 56593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56593,A000000,01100,0000,01100PHARMACY 56593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56593,A000000,01300,0000,01300SOCIAL SERVICE 56593,A000000,01350,0000,01500PATIENT ACTIVITIES 56593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56593,A000000,01600,0000,01600SKILLED NURSING FACILITY 56593,A000000,01810,0000,01810ICF/MR 56593,A000000,02200,0000,02200LABORATORY 56593,A000000,02500,0000,02500PHYSICAL THERAPY 56593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56593,A000000,02700,0000,02700SPEECH PATHOLOGY 56593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56593,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56593,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56593,A000000,03550,0000,03550FQHC 56593,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56593,A000000,05000,0000,05000CORF 56593,A000000,05010,0000,05010CMHC 56593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56593,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56593,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56593,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56593,A81000A,00100,0100,Y 56593,A81000B,00100,0300,SERVICES - SISTERS 56593,A81000C,00100,0100,B 56593,A81000C,00100,0200,SISTERS OF THE DIV REDEEM 56593,A81000C,00100,0400,SISTERS OF THE DIV REDEEM 56593,A81000C,00100,0600,SISTER SERVICES 56593,B100000,00000,0100,00000SQUARE FEET 56593,B100000,00000,0200,00000NO STATISTICS 56593,B100000,00000,0300,00000GROSS SALARIES 56593,B100000,00000,0400,00000ACCUM. COST 56593,B100000,00000,0500,00000SQUARE FEET 56593,B100000,00000,0600,00000PATIENT DAYS 56593,B100000,00000,0700,00000SQU FT EXCL D 56593,B100000,00000,0800,00000PATIENT DAYS 56593,B100000,00000,0900,00000PATIENT DAYS 56593,B100000,00000,1000,00000PATIENT DAYS 56593,B100000,00000,1100,00000NO STATISTICS 56593,B100000,00000,1200,00000PATIENT DAYS 56593,B100000,00000,1300,00000PATIENT DAYS 56593,B100000,00000,1350,00000PATIENT DAYS 56593,B100000,00000,1400,00000NO STATISTICS 56593,E10A180,00501,0300,12/04/2000 56593,S000000,00100,0200,11/29/2000 56593,S200000,00100,0100,1201 SPRINGFIELD RD 56593,S200000,00200,0100,DARBY 56593,S200000,00200,0200,PA 56593,S200000,00200,0300,19023 56593,S200000,00300,0100,DELAWARE 56593,S200000,00400,0100,LITTLE FLOWER MANOR 56593,S200000,00400,0200,395821 56593,S200000,00400,0300,01/01/1990 56593,S200000,00400,0500,P 56593,S200000,01500,0100,Y 56602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56602,A000000,00300,0000,00300EMPLOYEE BENEFITS 56602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56602,A000000,00700,0000,00700HOUSEKEEPING 56602,A000000,00800,0000,00800DIETARY 56602,A000000,00900,0000,00900NURSING ADMINISTRATION 56602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56602,A000000,01100,0000,01100PHARMACY 56602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56602,A000000,01300,0000,01300SOCIAL SERVICE 56602,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 56602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56602,A000000,01600,0000,01600SKILLED NURSING FACILITY 56602,A000000,01800,0000,01800NURSING FACILITY 56602,A000000,01810,0000,01810ICF/MR 56602,A000000,02200,0000,02200LABORATORY 56602,A000000,02500,0000,02500PHYSICAL THERAPY 56602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56602,A000000,02700,0000,02700SPEECH PATHOLOGY 56602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56602,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 56602,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 56602,A000000,03550,0000,03550FQHC 56602,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 56602,A000000,05000,0000,05000CORF 56602,A000000,05010,0000,05010CMHC 56602,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56602,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56602,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56602,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 56602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56602,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56602,A81000A,00100,0100,Y 56602,A81000B,00100,0300,VCR LEASE-TRAINING 56602,A81000B,00200,0300,VCR LEASE-TRAINING 56602,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 56602,A81000B,00400,0300,MEDICAL SUPPLIES 56602,A81000B,00500,0300,ROUTINE MEDICAL SUPPLIES 56602,A81000B,00600,0300,ROUTINE MEDICAL SUPPLIES 56602,A81000B,00700,0300,OVER THE COUNTER DRUGS 56602,A81000B,00800,0300,OVER THE COUNTER DRUGS 56602,A81000B,00900,0300,EMPLOYEE VACCINES 56602,A81000B,01000,0300,RESIDENT TRANSPORTATION 56602,A81000B,01100,0300,RESIDENT TRANSPORTATION 56602,A81000B,01200,0300,ADMIN & GENERAL 56602,A81000B,01300,0300,NURSE AIDE TRAINING TRANS 56602,A81000B,01400,0300,SPEECH THERAPY 56602,A81000B,01500,0300,PHYSICAL THERAPY 56602,A81000B,01600,0300,OCCUPATIONAL THERAPY 56602,A81000B,01700,0300,PLANT OPERATION MAINT & REPAI 56602,A81000C,00100,0100,A 56602,A81000C,00100,0200,WMS WBS WMS JR 56602,A81000C,00100,0400,MARTIN DRUGS INC 56602,A81000C,00100,0600,PHARMACY 56602,A81000C,00200,0100,A 56602,A81000C,00200,0200,WMS WBS WMS JR 56602,A81000C,00200,0400,JACKSON HOUSE LEASING 56602,A81000C,00200,0600,EQUIPMENT LEASING 56602,A81000C,00300,0100,A 56602,A81000C,00300,0200,WMS WBS WMS JR 56602,A81000C,00300,0400,ROCKWELL PRODUCTIONS 56602,A81000C,00300,0600,THEATRE 56602,A81000C,00400,0100,A 56602,A81000C,00400,0200,WMS WBS WMS JR 56602,A81000C,00400,0400,KEYSTONE QUALITY TRANSPOR 56602,A81000C,00400,0600,TRANSPORTATION 56602,A81000C,00500,0100,A 56602,A81000C,00500,0200,WMS WBS WMS JR 56602,A81000C,00500,0400,KEYSTONE CARE THERAPIES 56602,A81000C,00500,0600,THERAPY 56602,A81000C,00600,0100,A 56602,A81000C,00600,0200,WMS WBS WMS JR 56602,A81000C,00600,0400,COMMONWEALTH REAL ESTATE 56602,A81000C,00600,0600,MAINTENANCE 56602,B100000,00000,0100,00000SQUARE FEET 56602,B100000,00000,0200,00000SQUARE FEET 56602,B100000,00000,0300,00000GROSS SALARIES 56602,B100000,00000,0400,00000ACCUM. COST 56602,B100000,00000,0500,00000SQUARE FEET 56602,B100000,00000,0600,00000PATIENT DAYS 56602,B100000,00000,0700,00000SQUARE FEET 56602,B100000,00000,0800,00000PATIENT DAYS 56602,B100000,00000,0900,00000NURSING HOURS 56602,B100000,00000,1000,00000NO STATISTICS 56602,B100000,00000,1100,00000COSTED REQUIS. 56602,B100000,00000,1200,00000PATIENT DAYS 56602,B100000,00000,1300,00000PATIENT DAYS 56602,B100000,00000,1350,00000NO STATISTICS 56602,B100000,00000,1400,00000NO STATISTICS 56602,S000000,00100,0200,12/01/2000 56602,S200000,00100,0100,300 W STATE STREET 56602,S200000,00200,0100,MEDIA 56602,S200000,00200,0200,PA 56602,S200000,00200,0300,19063 56602,S200000,00300,0100,D 56602,S200000,00400,0100,THE BISHOP NURSING HOME 56602,S200000,00400,0200,395822 56602,S200000,00400,0300,07/01/1990 56602,S200000,00400,0500,P 56602,S200000,00400,0600,O 56602,S200000,01600,0100,Y 56610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56610,A000000,00300,0000,00300EMPLOYEE BENEFITS 56610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56610,A000000,00700,0000,00700HOUSEKEEPING 56610,A000000,00800,0000,00800DIETARY 56610,A000000,00900,0000,00900NURSING ADMINISTRATION 56610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56610,A000000,01100,0000,01100PHARMACY 56610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56610,A000000,01300,0000,01300SOCIAL SERVICE 56610,A000000,01350,0000,01500PATIENT ACTIVITIES 56610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56610,A000000,01600,0000,01600SKILLED NURSING FACILITY 56610,A000000,01800,0000,01800NURSING FACILITY 56610,A000000,01810,0000,01810ICF/MR 56610,A000000,02100,0000,02100RADIOLOGY 56610,A000000,02200,0000,02200LABORATORY 56610,A000000,02500,0000,02500PHYSICAL THERAPY 56610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56610,A000000,02700,0000,02700SPEECH PATHOLOGY 56610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56610,A000000,02901,0000,02901CLINITRON BEDS 56610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56610,A000000,03550,0000,03550FQHC 56610,A000000,05000,0000,05000CORF 56610,A000000,05010,0000,05010CMHC 56610,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56610,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56610,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56610,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 56610,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56610,A81000A,00100,0100,Y 56610,A81000B,00100,0300,RLTD PARTY - COMPENSATION 56610,A81000B,00300,0300,RENT - CAPITAL RELATED 56610,A81000B,00400,0300,RENT - OTHER 56610,A81000C,00100,0100,A 56610,A81000C,00100,0200,RALPH MCBRIDE 56610,A81000C,00200,0100,A 56610,A81000C,00200,0200,JAMES MCCARTHY 56610,A81000C,00300,0100,A 56610,A81000C,00300,0200,SAME AS 1 & 2 56610,A81000C,00300,0400,HORIZON HOUSE ASSOCIATES 56610,A81000C,00400,0100,A 56610,A81000C,00400,0200,SAME AS 1 & 2 56610,A81000C,00400,0400,HORIZON HOUSE ASSOCIATES 56610,B100000,00000,0100,00000SQUARE FEET 56610,B100000,00000,0200,00000SQUARE FEET 56610,B100000,00000,0300,00000GROSS SALARIES 56610,B100000,00000,0400,00000ACCUM. COST 56610,B100000,00000,0500,00000SQUARE FEET 56610,B100000,00000,0600,00000PATIENT DAYS 56610,B100000,00000,0700,00000SQUARE FEET EXCL 56610,B100000,00000,0800,00000PATIENT DAYS 56610,B100000,00000,0900,00000NURSING SALARIES 56610,B100000,00000,1000,00000COSTED REQUIS. 56610,B100000,00000,1100,00000COSTED REQUIS. 56610,B100000,00000,1200,00000GROSS REVENUES 56610,B100000,00000,1300,00000PATIENT DAYS 56610,B100000,00000,1350,00000PATIENT DAYS 56610,B100000,00000,1400,00000ASSIGNED TIME 56610,E10A180,00501,0100,06/01/2000 56610,E10A180,00501,0300,06/01/2000 56610,S000000,00100,0200,05/10/2000 56610,S200000,00100,0100,300 BARR STREET 56610,S200000,00200,0100,HORIZON SENIOR CARE 56610,S200000,00300,0100,WASHINGTON 56610,S200000,00400,0100,HORIZON SENIOR CARE 56610,S200000,00400,0200,395823 56610,S200000,00400,0300,03/01/1990 56610,S200000,00400,0500,P 56610,S200000,01600,0100,Y 56610,S200000,04300,0100,Y 56610,S200000,04700,0100,Y 56627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56627,A000000,00300,0000,00300EMPLOYEE BENEFITS 56627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56627,A000000,00700,0000,00700HOUSEKEEPING 56627,A000000,00800,0000,00800DIETARY 56627,A000000,00900,0000,00900NURSING ADMINISTRATION 56627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56627,A000000,01100,0000,01100PHARMACY 56627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56627,A000000,01300,0000,01300SOCIAL SERVICE 56627,A000000,01350,0000,01500ACTIVITIES 56627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56627,A000000,01600,0000,01600SKILLED NURSING FACILITY 56627,A000000,01810,0000,01810ICF/MR 56627,A000000,02100,0000,02100RADIOLOGY 56627,A000000,02200,0000,02200LABORATORY 56627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56627,A000000,02500,0000,02500PHYSICAL THERAPY 56627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56627,A000000,02700,0000,02700SPEECH PATHOLOGY 56627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56627,A000000,03550,0000,03550FQHC 56627,A000000,05000,0000,05000CORF 56627,A000000,05010,0000,05010CMHC 56627,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56627,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56627,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56627,A000000,06150,0000,06300MEALS ON WHEELS 56627,A81000A,00100,0100,Y 56627,A81000B,00100,0300,MANAGEMENT FEES 56627,A81000B,00400,0300,LAUNDRY SERVICE 56627,A81000C,00100,0100,A 56627,A81000C,00100,0200,FRANCIS HAYMAN 56627,A81000C,00100,0400,PENN MED 56627,A81000C,00100,0600,HOME OFFICE 56627,A81000C,00200,0100,A 56627,A81000C,00200,0200,DRURY GALLAGHER 56627,A81000C,00200,0400,PENN MED 56627,A81000C,00200,0600,HOME OFFICE 56627,A81000C,00300,0100,A 56627,A81000C,00300,0200,JOHN HAYMAN 56627,A81000C,00300,0400,PENN MED 56627,A81000C,00300,0600,HOME OFFICE 56627,A81000C,00400,0100,A 56627,A81000C,00400,0200,FRANCIS HAYMAN 56627,A81000C,00400,0400,PALMYRA NURSING 56627,A81000C,00400,0600,NURSING HOME 56627,A81000C,00500,0100,A 56627,A81000C,00500,0200,DRURY GALLAGHER 56627,A81000C,00500,0400,PALMYRA NURSING 56627,A81000C,00500,0600,NURSING HOME 56627,A81000C,00600,0100,A 56627,A81000C,00600,0200,JOHN HAYMAN 56627,A81000C,00600,0400,PALMYRA NURSING 56627,A81000C,00600,0600,NURSING HOME 56627,B100000,00000,0100,00000SQUARE FEET 56627,B100000,00000,0200,00000DOLLAR VALUE 56627,B100000,00000,0300,00000GROSS SALARIES 56627,B100000,00000,0400,00000ACCUM. COST 56627,B100000,00000,0500,00000SQUARE FEET 56627,B100000,00000,0600,00000POUNDS OF LAUNDRY 56627,B100000,00000,0700,00000SQUARE FEET 56627,B100000,00000,0800,00000MEALS SERVED 56627,B100000,00000,0900,00000DIRECT NRSING HRS 56627,B100000,00000,1000,00000COSTED REQUIS. 56627,B100000,00000,1100,00000PATIENT DAYS 56627,B100000,00000,1200,00000TIME SPENT 56627,B100000,00000,1300,00000PATIENT DAYS 56627,B100000,00000,1350,00000 56627,B100000,00000,1400,00000ASSIGNED TIME 56627,E10A180,00501,0100,07/19/2000 56627,E10A180,00501,0300,07/19/2000 56627,S000000,00100,0200,05/30/2000 56627,S200000,00100,0100,3301 CHESTNUT HILL ROAD 56627,S200000,00200,0100,POTTSTOWN 56627,S200000,00200,0200,PA 56627,S200000,00200,0300,19465 56627,S200000,00300,0100,CHESTER 56627,S200000,00400,0100,COVENTRY MANOR NURSING HOME 56627,S200000,00400,0200,395827 56627,S200000,00400,0300,01/01/1984 56627,S200000,00400,0500,P 56627,S200000,01500,0100,Y 56627,S200000,02200,0100,Y 56627,S200000,04700,0100,Y 56636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56636,A000000,00300,0000,00300EMPLOYEE BENEFITS 56636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56636,A000000,00700,0000,00700HOUSEKEEPING 56636,A000000,00800,0000,00800DIETARY 56636,A000000,00900,0000,00900NURSING ADMINISTRATION 56636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56636,A000000,01100,0000,01100PHARMACY 56636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56636,A000000,01300,0000,01300SOCIAL SERVICE 56636,A000000,01350,0000,01500OTHER GENERAL SERVICES 56636,A000000,01351,0000,01501THERAPEUTIC ACTIVITIES 56636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56636,A000000,01600,0000,01600SKILLED NURSING FACILITY 56636,A000000,01800,0000,01800NURSING FACILITY 56636,A000000,01810,0000,01810ICF/MR 56636,A000000,02100,0000,02100RADIOLOGY 56636,A000000,02200,0000,02200LABORATORY 56636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56636,A000000,02500,0000,02500PHYSICAL THERAPY 56636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56636,A000000,02700,0000,02700SPEECH PATHOLOGY 56636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56636,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56636,A000000,03051,0000,03301AIR FLOATATION BEDS 56636,A000000,03201,0000,03201EMERGENCY MEDICAL TRANSPORTATIO 56636,A000000,03400,0000,03400CLINIC 56636,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56636,A000000,03550,0000,03550FQHC 56636,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56636,A000000,04800,0000,04800AMBULANCE 56636,A000000,05000,0000,05000CORF 56636,A000000,05010,0000,05010CMHC 56636,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56636,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56636,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56636,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56636,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56636,A000000,06151,0000,06301DAYCARE CENTER 56636,A000000,06152,0000,06302DENTAL CLINIC 56636,A000000,06153,0000,06303CCAP DOWNSIZING PROJECT 56636,A000000,06154,0000,06304DIALYSIS CENTER 56636,A000000,06200,0000,06200PATIENTS LAUNDRY 56636,B100000,00000,0100,00004SQUARE FEET 56636,B100000,00000,0200,00004SQUARE FEET 56636,B100000,00000,0300,00004GROSS SALARIES 56636,B100000,00000,0400,00004ACCUM. COST 56636,B100000,00000,0500,00004SQUARE FEET 56636,B100000,00000,0600,00004POUNDS OF LAUNDRY 56636,B100000,00000,0700,00004SQUARE FEET 56636,B100000,00000,0800,00004MEALS SERVED 56636,B100000,00000,0900,00004HOURS OF SERVICE 56636,B100000,00000,1000,00004COSTED REQUIS. 56636,B100000,00000,1100,00004COSTED REQUIS. 56636,B100000,00000,1200,00004TOT.PAT. REVENUE 56636,B100000,00000,1300,00004TIME SPENT 56636,B100000,00000,1350,00004TIME SPENT 56636,B100000,00000,1351,00004TIME SPENT 56636,B100000,00000,1400,00004ASSIGNED TIME 56636,E10A180,00301,0100,12/31/1999 56636,E10A180,00501,0100,06/15/2000 56636,E10A180,00501,0300,06/15/2000 56636,S000000,00100,0200,05/30/2000 56636,S200000,00100,0100,429 MANOR DRIVE 56636,S200000,00200,0100,EBENSBURG 56636,S200000,00200,0200,PA 56636,S200000,00300,0100,CAMBRIA 56636,S200000,00400,0100,LAUREL CREST REHAB. & SPEC. CARE CTR 56636,S200000,00400,0200,395828 56636,S200000,00400,0300,06/21/1983 56636,S200000,00400,0500,P 56636,S200000,01600,0100,Y 56636,S200000,02200,0100,Y 56636,S200000,02800,0100,Y 56636,S200000,04700,0100,Y 56636,S200000,04700,0200,Y 56646,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56646,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56646,A000000,00300,0000,00300EMPLOYEE BENEFITS 56646,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56646,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56646,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56646,A000000,00700,0000,00700HOUSEKEEPING 56646,A000000,00800,0000,00800DIETARY 56646,A000000,00900,0000,00900NURSING ADMINISTRATION 56646,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56646,A000000,01100,0000,01100PHARMACY 56646,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56646,A000000,01300,0000,01300SOCIAL SERVICE 56646,A000000,01350,0000,01500OTHER GENERAL SERVICES 56646,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56646,A000000,01600,0000,01600SKILLED NURSING FACILITY 56646,A000000,01800,0000,01800NURSING FACILITY 56646,A000000,01810,0000,01810ICF/MR 56646,A000000,02200,0000,02200LABORATORY 56646,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56646,A000000,02500,0000,02500PHYSICAL THERAPY 56646,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56646,A000000,02700,0000,02700SPEECH PATHOLOGY 56646,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56646,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56646,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56646,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56646,A000000,03550,0000,03550FQHC 56646,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56646,A000000,05000,0000,05000CORF 56646,A000000,05010,0000,05010CMHC 56646,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56646,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56646,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56646,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56646,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56646,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56646,A81000A,00100,0100,Y 56646,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 56646,A81000B,00400,0300,ROUTINE MED SUPPLIES 56646,A81000B,00500,0300,ROUTINE MED SUPPLIES 56646,A81000B,00600,0300,EMPLOYEE VACCINES 56646,A81000B,00700,0300,OVER-THE-COUNTER DRUGS 56646,A81000B,00800,0300,OVER-THE-COUNTER DRUGS 56646,A81000B,00900,0300,RESPIRATORY THER SUPPLIES 56646,A81000B,01000,0300,RESIDENT TRANSPORTATION 56646,A81000B,01100,0300,RESIDENT TRANSPORTATION 56646,A81000B,01300,0300,NURSE AIDE TRAINING 56646,A81000B,01400,0300,NURSE AIDE TRAINING 56646,A81000B,01500,0300,PHYSICAL THERAPY 56646,A81000B,01600,0300,OCCUPATIONAL THERAPY 56646,A81000B,01700,0300,SPEECH THERAPY 56646,A81000B,01800,0300,OXYGEN THERAPY 56646,A81000B,01900,0300,MAINTENANCE 56646,A81000C,00100,0100,A 56646,A81000C,00100,0200,WMS WBS WMS JR 56646,A81000C,00100,0400,MARTIN DRUGS INC 56646,A81000C,00100,0600,PHARMACY 56646,A81000C,00200,0100,A 56646,A81000C,00200,0200,WMS WBS WMS JR 56646,A81000C,00200,0400,JACKSON HOUSE FINANCIAL 56646,A81000C,00200,0600,EQUIPMENT LEASING 56646,A81000C,00300,0100,A 56646,A81000C,00300,0200,WMS WBS WMS JR 56646,A81000C,00300,0400,ROCKWELL PRODUCTION 56646,A81000C,00300,0600,THEATRE 56646,A81000C,00400,0100,A 56646,A81000C,00400,0200,WMS WBS WMS JR 56646,A81000C,00400,0400,KEYSTONE QUALITY TRANSPRT 56646,A81000C,00400,0600,TRANSPORTATION 56646,A81000C,00500,0100,A 56646,A81000C,00500,0200,WMS WBS WMS JR 56646,A81000C,00500,0400,KEYSTONE CARE THERAPIES 56646,A81000C,00500,0600,THERAPY 56646,A81000C,00600,0100,A 56646,A81000C,00600,0200,WMS WBS WMS JR 56646,A81000C,00600,0400,COMMONWEALTH REAL ESTATE 56646,A81000C,00600,0600,MAINTENANCE 56646,B100000,00000,0100,00000SQUARE FEET 56646,B100000,00000,0200,00000SQUARE FEET 56646,B100000,00000,0300,00000GROSS SALARIES 56646,B100000,00000,0400,00000ACCUM. COST 56646,B100000,00000,0500,00000SQUARE FEET 56646,B100000,00000,0600,00000PATIENT DAYS 56646,B100000,00000,0700,00000SQUARE FEET 56646,B100000,00000,0800,00000PATIENT DAYS 56646,B100000,00000,0900,00000DIRECT NRSING HRS 56646,B100000,00000,1000,00000COSTED REQUIS. 56646,B100000,00000,1100,00000COSTED REQUIS. 56646,B100000,00000,1200,00000PATIENT DAYS 56646,B100000,00000,1300,00000PATIENT DAYS 56646,B100000,00000,1350,00000NO STATISTICS 56646,B100000,00000,1400,00000NO STATISTICS 56646,E10A180,00501,0100,12/07/2000 56646,E10A180,00501,0300,12/07/2000 56646,S000000,00100,0200,11/30/2000 56646,S200000,00100,0100,15TH & SHAW TERRACE 56646,S200000,00200,0100,CHESTER 56646,S200000,00200,0200,PA 56646,S200000,00200,0300,19013 56646,S200000,00300,0100,D 56646,S200000,00400,0100,CHESTER CARE CENTER 56646,S200000,00400,0200,395829 56646,S200000,00400,0300,10/01/1990 56646,S200000,00400,0500,P 56646,S200000,01600,0100,Y 56646,S200000,04300,0100,Y 56655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56655,A000000,00300,0000,00300EMPLOYEE BENEFITS 56655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56655,A000000,00700,0000,00700HOUSEKEEPING 56655,A000000,00800,0000,00800DIETARY 56655,A000000,00900,0000,00900NURSING ADMINISTRATION 56655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56655,A000000,01100,0000,01100PHARMACY 56655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56655,A000000,01300,0000,01300SOCIAL SERVICE 56655,A000000,01350,0000,01500PATIENT ACTIVITIES 56655,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENT 56655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56655,A000000,01600,0000,01600SKILLED NURSING FACILITY 56655,A000000,01800,0000,01800NURSING FACILITY 56655,A000000,01810,0000,01810ICF/MR 56655,A000000,02100,0000,02100RADIOLOGY 56655,A000000,02200,0000,02200LABORATORY 56655,A000000,02300,0000,02300INTRAVENOUS THERAPY 56655,A000000,02500,0000,02500PHYSICAL THERAPY 56655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56655,A000000,02700,0000,02700SPEECH PATHOLOGY 56655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56655,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56655,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56655,A000000,03550,0000,03550FQHC 56655,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56655,A000000,05000,0000,05000CORF 56655,A000000,05010,0000,05010CMHC 56655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56655,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56655,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56655,A000000,06200,0000,06200PATIENTS LAUNDRY 56655,A81000A,00100,0100,Y 56655,A81000B,00100,0300,HOME OFFICE FEES 56655,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 56655,A81000B,00300,0300,HOME OFFICE CAPITAL 56655,A81000C,00100,0100,A 56655,A81000C,00100,0200,GUARDIAN FOUNDATION 56655,A81000C,00100,0400,GUARDIAN FOUNDATION 56655,A81000C,00100,0600,HOME OFFICE 56655,B100000,00000,0100,00000SQUARE FEET 56655,B100000,00000,0200,00000SQUARE FEET 56655,B100000,00000,0300,00000GROSS SALARIES 56655,B100000,00000,0400,00000ACCUM. COST 56655,B100000,00000,0500,00000SQUARE FEET 56655,B100000,00000,0600,00000POUNDS OF LAUNDRY 56655,B100000,00000,0700,00000SQ FT (EXC DIET) 56655,B100000,00000,0800,00000MEALS SERVED 56655,B100000,00000,0900,00000HOURS OF SERVICE 56655,B100000,00000,1000,00000PATIENT DAYS 56655,B100000,00000,1100,00000PATIENT DAYS 56655,B100000,00000,1200,00000PATIENT DAYS 56655,B100000,00000,1300,00000PATIENT DAYS 56655,B100000,00000,1350,00000PATIENT DAYS 56655,B100000,00000,1351,00000NO STATISTICS 56655,B100000,00000,1400,00000NO STATISTICS 56655,S000000,00100,0200,05/31/2000 56655,S200000,00100,0100,RD #3 BOX 63 AA 56655,S200000,00200,0100,BERLIN 56655,S200000,00200,0200,PA 56655,S200000,00300,0100,SOMERSET 56655,S200000,00400,0100,MEADOW VIEW NURSING CENTER 56655,S200000,00400,0200,395830 56655,S200000,00400,0300,05/03/1990 56655,S200000,00400,0500,P 56655,S200000,01600,0100,Y 56662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56662,A000000,00300,0000,00300EMPLOYEE BENEFITS 56662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56662,A000000,00700,0000,00700HOUSEKEEPING 56662,A000000,00800,0000,00800DIETARY 56662,A000000,00900,0000,00900NURSING ADMINISTRATION 56662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56662,A000000,01100,0000,01100PHARMACY 56662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56662,A000000,01300,0000,01300SOCIAL SERVICE 56662,A000000,01350,0000,01500OTHER GENERAL SERVICES 56662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56662,A000000,01600,0000,01600SKILLED NURSING FACILITY 56662,A000000,01810,0000,01810ICF/MR 56662,A000000,01900,0000,01900OTHER LONG TERM CARE 56662,A000000,02500,0000,02500PHYSICAL THERAPY 56662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56662,A000000,02700,0000,02700SPEECH PATHOLOGY 56662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56662,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56662,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56662,A000000,03550,0000,03550FQHC 56662,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56662,A000000,05000,0000,05000CORF 56662,A000000,05010,0000,05010CMHC 56662,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56662,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56662,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56662,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56662,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56662,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56662,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56662,A81000A,00100,0100,Y 56662,A81000B,00100,0300,CENTRAL ADMIN 56662,A81000B,00200,0300,CAPITAL RELATED 56662,A81000C,00100,0100,G 56662,A81000C,00100,0200,UNITED CHURCH OF CHST HMS 56662,A81000C,00100,0400,UCCH INC 56662,A81000C,00100,0600,CHURCH RELATED 56662,B100000,00000,0100,00000SQUARE FEET 56662,B100000,00000,0200,00000SQUARE FEET 56662,B100000,00000,0300,00000GROSS SALARIES 56662,B100000,00000,0400,00000ACCUM. COST 56662,B100000,00000,0500,00000SQUARE FEET 56662,B100000,00000,0600,00000LBS LAUNDRY 56662,B100000,00000,0700,00000HRS OF SERVICE 56662,B100000,00000,0800,00000MEALS SERVED 56662,B100000,00000,0900,00000DIRECT NRSING HRS 56662,B100000,00000,1000,00000COSTED REQUIS 56662,B100000,00000,1100,00000COSTED REQUIS 56662,B100000,00000,1200,00000TIME SPENT 56662,B100000,00000,1300,00000TIME SPENT 56662,B100000,00000,1350,00000TIME SPENT 56662,B100000,00000,1400,00000ASSIGNED TIME 56662,E10A180,00301,0100,08/10/1999 56662,E10A180,00501,0300,07/31/2000 56662,S000000,00100,0200,05/31/2000 56662,S200000,00100,0100,550 EAST MAIN ST 56662,S200000,00200,0100,ANNVILLE 56662,S200000,00200,0200,PA 56662,S200000,00300,0100,LEBANON 56662,S200000,00400,0100,THE LEBANON VALLEY HOME 56662,S200000,00400,0200,395832 56662,S200000,00400,0300,09/01/1990 56662,S200000,00400,0500,P 56662,S200000,01500,0100,Y 56662,S200000,02200,0100,Y 56662,S200000,02800,0100,Y 56670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56670,A000000,00300,0000,00300EMPLOYEE BENEFITS 56670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56670,A000000,00700,0000,00700HOUSEKEEPING 56670,A000000,00800,0000,00800DIETARY 56670,A000000,00900,0000,00900NURSING ADMINISTRATION 56670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56670,A000000,01100,0000,01100PHARMACY 56670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56670,A000000,01300,0000,01300SOCIAL SERVICE 56670,A000000,01350,0000,01500ACTIVITIES 56670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56670,A000000,01600,0000,01600SKILLED NURSING FACILITY 56670,A000000,01800,0000,01800NURSING FACILITY 56670,A000000,01810,0000,01810ICF/MR 56670,A000000,01900,0000,01900OTHER LONG TERM CARE 56670,A000000,02100,0000,02100RADIOLOGY 56670,A000000,02200,0000,02200LABORATORY 56670,A000000,02500,0000,02500PHYSICAL THERAPY 56670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56670,A000000,02700,0000,02700SPEECH PATHOLOGY 56670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56670,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56670,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56670,A000000,03550,0000,03550FQHC 56670,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56670,A000000,05000,0000,05000CORF 56670,A000000,05010,0000,05010CMHC 56670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56670,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56670,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56670,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56670,B100000,00000,0100,00000SQUARE FEET 56670,B100000,00000,0200,00000DOLLAR VALUE 56670,B100000,00000,0300,00000GROSS SALARIES 56670,B100000,00000,0400,00000ACCUM. COST 56670,B100000,00000,0500,00000SQUARE FEET 56670,B100000,00000,0600,00000POUNDS OF LAUNDRY 56670,B100000,00000,0700,00000SQUARE FEET 56670,B100000,00000,0800,00000MEALS SERVED 56670,B100000,00000,0900,00000DIRECT NRSING HRS 56670,B100000,00000,1000,00000COSTED REQUIS. 56670,B100000,00000,1100,00000COSTED REQUIS. 56670,B100000,00000,1200,00000TIME SPENT 56670,B100000,00000,1300,00000TIME SPENT 56670,B100000,00000,1350,00000PATIENT DAYS 56670,B100000,00000,1400,00000ASSIGNED TIME 56670,S000000,00100,0200,05/10/2000 56670,S200000,00100,0100,535 GRADYVILLE RD. 56670,S200000,00200,0100,NEWTOWN SQUARE 56670,S200000,00200,0200,PA 56670,S200000,00300,0100,DELAWARE 56670,S200000,00400,0100,H.C.C. OF WHITE HORSE VILLAGE 56670,S200000,00400,0200,395833 56670,S200000,00400,0300,06/30/1993 56670,S200000,00400,0500,P 56670,S200000,01600,0100,Y 56670,S200000,04300,0100,Y 56688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56688,A000000,00300,0000,00300EMPLOYEE BENEFITS 56688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56688,A000000,00501,0000,00501UTILITIES 56688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56688,A000000,00700,0000,00700HOUSEKEEPING 56688,A000000,00800,0000,00800DIETARY 56688,A000000,00900,0000,00900NURSING ADMINISTRATION 56688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56688,A000000,01100,0000,01100PHARMACY 56688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56688,A000000,01300,0000,01300SOCIAL SERVICE 56688,A000000,01301,0000,01301PATIENT ACTIVITIES 56688,A000000,01350,0000,01500OTHER GENERAL SERVICES 56688,A000000,01351,0000,01510ICF/MR 56688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56688,A000000,01600,0000,01600SKILLED NURSING FACILITY 56688,A000000,01810,0000,01810ICF/MR 56688,A000000,01900,0000,01900OTHER LONG TERM CARE 56688,A000000,02200,0000,02200LABORATORY 56688,A000000,02500,0000,02500PHYSICAL THERAPY 56688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56688,A000000,02700,0000,02700SPEECH PATHOLOGY 56688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56688,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56688,A000000,03400,0000,03400CLINIC 56688,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56688,A000000,03550,0000,03550FQHC 56688,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56688,A000000,05000,0000,05000CORF 56688,A000000,05010,0000,05010CMHC 56688,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56688,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56688,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56688,A000000,05300,0000,05300INTEREST EXPENSE 56688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56688,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56688,A000000,06151,0000,06301MARKETING EXPENSE 56688,A000000,06152,0000,06302GUEST ROOMS 56688,A000000,06153,0000,06303OTHER NONREIMBURSABLE COST 56688,A81000A,00100,0100,Y 56688,A81000B,00100,0300,LEGAL COUNSEL 56688,A81000C,00100,0100,D 56688,A81000C,00100,0200,AMOS GOODALL 56688,A81000C,00100,0400,GOODALL & ASSOCIATES 56688,A81000C,00100,0600,LAW FIRM 56688,B100000,00000,0100,00003SQUARE FEET 56688,B100000,00000,0200,00003SQUARE FEET 56688,B100000,00000,0300,00003GROSS SALARIES 56688,B100000,00000,0400,00003ACCUM. COST 56688,B100000,00000,0500,00003SQUARE FEET 56688,B100000,00000,0501,00003NO STATISTICS 56688,B100000,00000,0600,00003PATIENT DAYS 56688,B100000,00000,0700,00003SQUARE FEET 56688,B100000,00000,0800,00003MEALS SERVED 56688,B100000,00000,0900,00003DIRECT NRSING HRS 56688,B100000,00000,1000,00003COSTED REQUIS. 56688,B100000,00000,1100,00003COSTED REQUIS. 56688,B100000,00000,1200,00003DIRECT NURSING HR 56688,B100000,00000,1300,00003TIME SPENT 56688,B100000,00000,1301,00003ASSIGNED TIME 56688,B100000,00000,1350,00003NO STATISTICS 56688,B100000,00000,1360,00003 56688,B100000,00000,1400,00003ASSIGNED TIME 56688,E10A180,00501,0100,11/27/2000 56688,E10A180,00501,0300,11/27/2000 56688,S000000,00100,0200,11/13/2000 56688,S200000,00100,0100,500 EAST MARLYN AVENUE 56688,S200000,00200,0100,STATE COLLEGE 56688,S200000,00200,0200,PA 56688,S200000,00200,0300,16801 56688,S200000,00400,0100,FOXDALE VILLAGE 56688,S200000,00400,0200,395838 56688,S200000,00400,0300,09/19/1990 56688,S200000,00400,0500,P 56688,S200000,01500,0100,Y 56696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56696,A000000,00300,0000,00300EMPLOYEE BENEFITS 56696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56696,A000000,00700,0000,00700HOUSEKEEPING 56696,A000000,00800,0000,00800DIETARY 56696,A000000,00900,0000,00900NURSING ADMINISTRATION 56696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56696,A000000,01100,0000,01100PHARMACY 56696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56696,A000000,01300,0000,01300SOCIAL SERVICE 56696,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 56696,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56696,A000000,01600,0000,01600SKILLED NURSING FACILITY 56696,A000000,01800,0000,01800NURSING FACILITY 56696,A000000,01810,0000,01810ICF/MR 56696,A000000,02200,0000,02200LABORATORY 56696,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56696,A000000,02500,0000,02500PHYSICAL THERAPY 56696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56696,A000000,02700,0000,02700SPEECH PATHOLOGY 56696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56696,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 56696,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 56696,A000000,03550,0000,03550FQHC 56696,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 56696,A000000,05000,0000,05000CORF 56696,A000000,05010,0000,05010CMHC 56696,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56696,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56696,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56696,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 56696,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56696,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56696,A81000A,00100,0100,Y 56696,A81000B,00100,0300,RESIDENT TRANSPORTATION 56696,A81000B,00200,0300,RESIDENT TRANSPORTATION 56696,A81000B,00300,0300,RESPIRATORY THERAPY 56696,A81000B,00400,0300,SPEECH THERAPY 56696,A81000B,00500,0300,PHYSICAL THERAPY 56696,A81000B,00600,0300,OCCUPATIONAL THERAPY 56696,A81000B,00800,0300,NURSE AIDE TRAINING 56696,A81000B,00900,0300,NURSE AIDE TRAINING 56696,A81000B,01000,0300,OVER THE COUNTER MEDS 56696,A81000B,01100,0300,OVER THE COUNTER MEDS 56696,A81000B,01200,0300,MEDICAL SUPPLIES 56696,A81000B,01300,0300,MEDICAL SUPPLIES 56696,A81000B,01400,0300,MEDICAL SUPPLIES 56696,A81000B,01500,0300,PHARMACY 56696,A81000B,01600,0300,RESP THERAPY SUPPLIES 56696,A81000B,01800,0300,EMPLOYEE VACCINES 56696,A81000B,01900,0300,EMPLOYEE VACCINES 56696,A81000B,02000,0300,EMPLOYEE VACCINES 56696,A81000B,02100,0300,EMPLOYEE VACCINES 56696,A81000B,02200,0300,EMPLOYEE VACCINES 56696,A81000B,02300,0300,EMPLOYEE VACCINES 56696,A81000B,02400,0300,MAINTENANCE 56696,A81000C,00100,0100,A 56696,A81000C,00100,0200,WMS WBS WMS JR 56696,A81000C,00100,0400,MARTIN DRUGS INC 56696,A81000C,00100,0600,PHARMACY 56696,A81000C,00200,0100,A 56696,A81000C,00200,0200,WMS WBS WMS JR 56696,A81000C,00200,0400,KEYSTONE QUALITY TRANSPOR 56696,A81000C,00200,0600,TRANSPORTATION 56696,A81000C,00300,0100,A 56696,A81000C,00300,0200,WMS WBS WMS JR 56696,A81000C,00300,0400,KEYSTONE CARE THERAPIES 56696,A81000C,00300,0600,THERAPY 56696,A81000C,00400,0100,A 56696,A81000C,00400,0200,WMS WBS WMS JR 56696,A81000C,00400,0400,ROCKWELL PORDUCTIONS 56696,A81000C,00400,0600,PROMOTION 56696,A81000C,00500,0100,A 56696,A81000C,00500,0200,WMS WBS WMS JR 56696,A81000C,00500,0400,JACKSON HOUSE 56696,A81000C,00500,0600,EQUIPMENT REPAIR 56696,A81000C,00600,0100,A 56696,A81000C,00600,0200,WMS WBS WMS JR 56696,A81000C,00600,0400,COMMONWEALTH REAL ESTATE 56696,A81000C,00600,0600,MAINTENANCE 56696,B100000,00000,0100,00000SQUARE FEET 56696,B100000,00000,0200,00000SQUARE FEET 56696,B100000,00000,0300,00000GROSS SALARIES 56696,B100000,00000,0400,00000ACCUM. COST 56696,B100000,00000,0500,00000SQUARE FEET 56696,B100000,00000,0600,00000PATIENT DAYS 56696,B100000,00000,0700,00000SQUARE FEET 56696,B100000,00000,0800,00000PATIENT DAYS 56696,B100000,00000,0900,00000DIRECT NRSING HRS 56696,B100000,00000,1000,00000COSTED REQUIS. 56696,B100000,00000,1100,00000COSTED REQUIS. 56696,B100000,00000,1200,00000PATIENTS DAYS 56696,B100000,00000,1300,00000PATIENTS DAYS 56696,B100000,00000,1350,00000GENERAL SERVICES 56696,B100000,00000,1400,00000ASSIGNED TIME 56696,E10A180,00501,0100,01/08/2001 56696,E10A180,00501,0300,01/08/2001 56696,S000000,00100,0200,11/30/2000 56696,S200000,00100,0100,3503 RHOADS AVENUE 56696,S200000,00200,0100,NEWTOWN SQUARE 56696,S200000,00200,0200,PA 56696,S200000,00200,0300,19073 56696,S200000,00300,0100,D 56696,S200000,00400,0100,DOWDEN NURSING HOME 56696,S200000,00400,0200,395839 56696,S200000,00400,0300,09/21/1990 56696,S200000,00400,0500,P 56696,S200000,01600,0100,Y 56696,S200000,03100,0100,Y 56703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56703,A000000,00300,0000,00300EMPLOYEE BENEFITS 56703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56703,A000000,00700,0000,00700HOUSEKEEPING 56703,A000000,00800,0000,00800DIETARY 56703,A000000,00900,0000,00900NURSING ADMINISTRATION 56703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56703,A000000,01100,0000,01100PHARMACY 56703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56703,A000000,01300,0000,01300SOCIAL SERVICE 56703,A000000,01301,0000,01301RESIDENT ACTIVITIES 56703,A000000,01350,0000,01500OTHER GENERAL SERVICES 56703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56703,A000000,01600,0000,01600SKILLED NURSING FACILITY 56703,A000000,01800,0000,01800NURSING FACILITY 56703,A000000,01810,0000,01810ICF/MR 56703,A000000,01900,0000,01900OTHER LONG TERM CARE 56703,A000000,02100,0000,02100RADIOLOGY 56703,A000000,02200,0000,02200LABORATORY 56703,A000000,02500,0000,02500PHYSICAL THERAPY 56703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56703,A000000,02700,0000,02700SPEECH PATHOLOGY 56703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56703,A000000,03051,0000,03301EQUIPMENT RENTAL 56703,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56703,A000000,03550,0000,03550FQHC 56703,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56703,A000000,05000,0000,05000CORF 56703,A000000,05010,0000,05010CMHC 56703,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56703,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56703,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56703,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56703,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56703,B100000,00000,0100,00000SQUARE FEET 56703,B100000,00000,0200,00000DOLLAR VALUE 56703,B100000,00000,0300,00000GROSS SALARIES 56703,B100000,00000,0400,00000ACCUM. COST 56703,B100000,00000,0500,00000SQUARE FEET 56703,B100000,00000,0600,00000POUNDS OF LAUNDRY 56703,B100000,00000,0700,00000SQUARE FT 56703,B100000,00000,0800,00000MEALS SERVED 56703,B100000,00000,0900,00000DIRECT NRSING HRS 56703,B100000,00000,1000,00000COSTED REQUIS. 56703,B100000,00000,1100,00000COSTED REQUIS. 56703,B100000,00000,1200,00000TIME SPENT 56703,B100000,00000,1300,00000TIME SPENT 56703,B100000,00000,1301,00000TIME SPENT 56703,B100000,00000,1350,00000NO STATISTICS 56703,B100000,00000,1400,00000TIME SPENT 56703,E10A180,00501,0100,06/09/2000 56703,E10A180,00501,0300,06/09/2000 56703,S000000,00100,0200,05/23/2000 56703,S200000,00100,0100,495 WEST PATRIOT STREET 56703,S200000,00200,0100,SOMERSET 56703,S200000,00200,0200,PA 56703,S200000,00300,0100,SOMERSET 56703,S200000,00400,0100,SOMERSET PATRIOT MANOR 56703,S200000,00400,0200,395840 56703,S200000,00400,0300,09/08/1990 56703,S200000,00400,0500,P 56703,S200000,01600,0100,Y 56703,S200000,02200,0100,Y 56713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56713,A000000,00300,0000,00300EMPLOYEE BENEFITS 56713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56713,A000000,00700,0000,00700HOUSEKEEPING 56713,A000000,00800,0000,00800DIETARY 56713,A000000,00900,0000,00900NURSING ADMINISTRATION 56713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56713,A000000,01100,0000,01100PHARMACY 56713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56713,A000000,01300,0000,01300SOCIAL SERVICE 56713,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 56713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56713,A000000,01600,0000,01600SKILLED NURSING FACILITY 56713,A000000,01800,0000,01800NURSING FACILITY 56713,A000000,01810,0000,01810ICF/MR 56713,A000000,02200,0000,02200LABORATORY 56713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56713,A000000,02500,0000,02500PHYSICAL THERAPY 56713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56713,A000000,02700,0000,02700SPEECH PATHOLOGY 56713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56713,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 56713,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 56713,A000000,03550,0000,03550FQHC 56713,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 56713,A000000,05000,0000,05000CORF 56713,A000000,05010,0000,05010CMHC 56713,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56713,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56713,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56713,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 56713,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56713,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56713,A81000A,00100,0100,Y 56713,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 56713,A81000B,00400,0300,MEDICAL SUPPLIES CHARGED 56713,A81000B,00500,0300,ROUTINE MEDICAL SUPPLIES 56713,A81000B,00600,0300,ROUTINE MEDICAL SUPPLIES 56713,A81000B,00700,0300,OVER-THE-COUNTER DRUGS 56713,A81000B,00800,0300,OVER-THE-COUNTER DRUGS 56713,A81000B,01000,0300,EMPLOYEE VACCINES 56713,A81000B,01300,0300,RESIDENT TRANSPORTATION 56713,A81000B,01400,0300,RESIDENT TRANSPORTATION 56713,A81000B,01500,0300,PROMOTIONAL EXPENSE 56713,A81000B,01600,0300,NURSE AIDE TRAINING 56713,A81000B,01700,0300,NURSE AIDE TRAINING 56713,A81000B,01800,0300,OXYGEN THERAPY 56713,A81000B,01900,0300,PHYSICAL THERAPY 56713,A81000B,02000,0300,OCCUPATIONAL THERAPY 56713,A81000B,02100,0300,SPEECH THERAPY 56713,A81000B,02200,0300,PLANT MAINTENANCE 56713,A81000C,00100,0100,A 56713,A81000C,00100,0200,WMS WBS WMS JR 56713,A81000C,00100,0400,MARTIN DRUGS 56713,A81000C,00100,0600,PHARMACY 56713,A81000C,00200,0100,A 56713,A81000C,00200,0200,WMS WBS WMS JR 56713,A81000C,00200,0400,JACKSON HOUSE FINANCIAL 56713,A81000C,00200,0600,EQUIPMENT LEASING 56713,A81000C,00300,0100,A 56713,A81000C,00300,0200,WMS WBS WMS JR 56713,A81000C,00300,0400,ROCKWELL PRODUCTIONS 56713,A81000C,00300,0600,THEATRE 56713,A81000C,00400,0100,A 56713,A81000C,00400,0200,WMS WBS WMS JR 56713,A81000C,00400,0400,KEYSTONE QUALITY TRANSPOR 56713,A81000C,00400,0600,TRANSPORTATION 56713,A81000C,00500,0100,A 56713,A81000C,00500,0200,WMS WBS WMS JR 56713,A81000C,00500,0400,KEYSTONE CARE THERAPY 56713,A81000C,00500,0600,THERAPY 56713,A81000C,00600,0100,A 56713,A81000C,00600,0200,WMS WBS WMS JR 56713,A81000C,00600,0400,COMMONWEALTH REAL ESTATE 56713,A81000C,00600,0600,MAINTENANCE 56713,B100000,00000,0100,00000(SQUARE FEET) 56713,B100000,00000,0200,00000(SQUARE FEET) 56713,B100000,00000,0300,00000(GROSS SALARIES) 56713,B100000,00000,0400,00000(ACCUM. COST) 56713,B100000,00000,0500,00000(SQUARE FEET) 56713,B100000,00000,0600,00000(PATIENT DAYS) 56713,B100000,00000,0700,00000(SQUARE FEET) 56713,B100000,00000,0800,00000(PATIENT DAYS) 56713,B100000,00000,0900,00000(HOURS OF SERVICE) 56713,B100000,00000,1000,00000NO STATISTICS 56713,B100000,00000,1100,00000(COSTED REQUIS.) 56713,B100000,00000,1200,00000(PATIENT DAYS) 56713,B100000,00000,1300,00000(PATIENT DAYS) 56713,B100000,00000,1350,00000NO STATISTICS 56713,B100000,00000,1400,00000NO STATISTICS 56713,E10A180,00501,0100,10/26/2000 56713,E10A180,00501,0300,10/26/2000 56713,S000000,00100,0200,09/01/2000 56713,S200000,00100,0100,411 MANCHESTER AVENUE 56713,S200000,00200,0100,MEDIA 56713,S200000,00200,0200,PA 56713,S200000,00200,0300,19063 56713,S200000,00300,0100,DELAWARE 56713,S200000,00400,0100,MANCHESTER HOUSE NSG & CONV CENTER 56713,S200000,00400,0200,395841 56713,S200000,00400,0300,10/05/1990 56713,S200000,00400,0500,P 56713,S200000,01600,0100,Y 56713,S200000,03100,0100,Y 56713,S200000,04300,0100,Y 56718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56718,A000000,00300,0000,00300EMPLOYEE BENEFITS 56718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56718,A000000,00700,0000,00700HOUSEKEEPING 56718,A000000,00800,0000,00800DIETARY 56718,A000000,00900,0000,00900NURSING ADMINISTRATION 56718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56718,A000000,01100,0000,01100PHARMACY 56718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56718,A000000,01300,0000,01300SOCIAL SERVICE 56718,A000000,01350,0000,01500RESIDENT ACTIVITIES 56718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56718,A000000,01600,0000,01600SKILLED NURSING FACILITY 56718,A000000,01800,0000,01800NURSING FACILITY 56718,A000000,01810,0000,01810ICF/MR 56718,A000000,02100,0000,02100RADIOLOGY 56718,A000000,02200,0000,02200LABORATORY 56718,A000000,02300,0000,02300INTRAVENOUS THERAPY 56718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56718,A000000,02500,0000,02500PHYSICAL THERAPY 56718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56718,A000000,02700,0000,02700SPEECH PATHOLOGY 56718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56718,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56718,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56718,A000000,03550,0000,03550FQHC 56718,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56718,A000000,05000,0000,05000CORF 56718,A000000,05010,0000,05010CMHC 56718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56718,A000000,05300,0000,05300INTEREST EXPENSE 56718,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56718,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56718,A81000A,00100,0100,Y 56718,A81000B,00100,0300,MANAGEMENT SERVICES 56718,A81000C,00100,0100,B 56718,A81000C,00100,0400,VINCENTIAN COLLABORATIVE 56718,A81000C,00100,0600,MANAGEMENT OVERSIGHT 56718,B100000,00000,0100,00000SQUARE FEET 56718,B100000,00000,0200,00000SQUARE FEET 56718,B100000,00000,0300,00000GROSS SALARIES 56718,B100000,00000,0400,00000ACCUM. COST 56718,B100000,00000,0500,00000SQUARE FEET 56718,B100000,00000,0600,00000POUNDS OF LAUNDRY 56718,B100000,00000,0700,00000SQUARE FEET 56718,B100000,00000,0800,00000MEALS SERVED 56718,B100000,00000,0900,00000PATIENT DAYS 56718,B100000,00000,1000,00000PATIENT DAYS 56718,B100000,00000,1100,00000PATIENT DAYS 56718,B100000,00000,1200,00000PATIENT DAYS 56718,B100000,00000,1300,00000PATIENT DAYS 56718,B100000,00000,1350,00000PATIENT DAYS 56718,B100000,00000,1400,00000ASSIGNED TIME 56718,E10A180,00501,0100,12/04/2000 56718,E10A180,00501,0300,12/04/2000 56718,S000000,00100,0200,11/30/2000 56718,S200000,00100,0100,5300 STANTON AVENUE 56718,S200000,00200,0100,PITTSBURGH 56718,S200000,00200,0200,PA 56718,S200000,00200,0300,15206 56718,S200000,00400,0100,VINCENTIAN DEMARILLAC 56718,S200000,00400,0200,395842 56718,S200000,00400,0300,02/01/1991 56718,S200000,00400,0500,P 56718,S200000,01600,0100,Y 56727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56727,A000000,00300,0000,00300EMPLOYEE BENEFITS 56727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56727,A000000,00700,0000,00700HOUSEKEEPING 56727,A000000,00800,0000,00800DIETARY 56727,A000000,00900,0000,00900NURSING ADMINISTRATION 56727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56727,A000000,01100,0000,01100PHARMACY 56727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56727,A000000,01300,0000,01300SOCIAL SERVICE 56727,A000000,01301,0000,01301RECREATIONAL THERAPY 56727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56727,A000000,01600,0000,01600SKILLED NURSING FACILITY 56727,A000000,01800,0000,01800NURSING FACILITY 56727,A000000,01810,0000,01810ICF/MR 56727,A000000,02100,0000,02100RADIOLOGY 56727,A000000,02200,0000,02200LABORATORY 56727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56727,A000000,02500,0000,02500PHYSICAL THERAPY 56727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56727,A000000,02700,0000,02700SPEECH PATHOLOGY 56727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56727,A000000,03550,0000,03550FQHC 56727,A000000,05000,0000,05000CORF 56727,A000000,05010,0000,05010CMHC 56727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56727,A81000A,00100,0100,Y 56727,A81000B,00100,0300,MANAGEMENT FEE 56727,A81000C,00100,0100,A 56727,A81000C,00100,0200,PETER DEPAUL 56727,A81000C,00100,0400,DEPAUL HEALTH 56727,A81000C,00100,0600,MANAGEMENT SERV 56727,B100000,00000,0100,00000(SQUARE FEET) 56727,B100000,00000,0200,00000(SQUARE FEET) 56727,B100000,00000,0300,00000(GROSS SALARIES) 56727,B100000,00000,0400,00000(ACCUM COST) 56727,B100000,00000,0500,00000(SQUARE FEET) 56727,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 56727,B100000,00000,0700,00000(SQUARE FEET) 56727,B100000,00000,0800,00000(MEALS SERVED) 56727,B100000,00000,0900,00000(NURSING HOURS ) 56727,B100000,00000,1000,00000(REQUISIT COSTS) 56727,B100000,00000,1100,00000(PATIENT DAYS) 56727,B100000,00000,1200,00000( TIME SPENT) 56727,B100000,00000,1300,00000(TIME SPENT) 56727,B100000,00000,1301,00000 56727,B100000,00000,1400,00000(ASSIGNED TIME) 56727,E10A180,00501,0100,07/10/2000 56727,E10A180,00501,0300,07/10/2000 56727,S000000,00100,0200,05/31/2000 56727,S200000,00100,0100,9501 STATE ROAD 56727,S200000,00200,0100,PHILADELPHIA 56727,S200000,00200,0200,PA 56727,S200000,00200,0300,19114 56727,S200000,00300,0100,PHILADELPHIA 56727,S200000,00400,0100,RIVERS EDGE NURSING & REHAB CTR. 56727,S200000,00400,0200,395843 56727,S200000,00400,0300,07/19/1985 56727,S200000,00400,0500,P 56727,S200000,00600,0200,993831 56727,S200000,00600,0300,07/19/1985 56727,S200000,00600,0600,O 56727,S200000,01600,0100,Y 56727,S200000,01900,0100,501 (C) (3) 56727,S200000,04300,0100,Y 56735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56735,A000000,00300,0000,00300EMPLOYEE BENEFITS 56735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56735,A000000,00700,0000,00700HOUSEKEEPING 56735,A000000,00800,0000,00800DIETARY 56735,A000000,00900,0000,00900NURSING ADMINISTRATION 56735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56735,A000000,01100,0000,01100PHARMACY 56735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56735,A000000,01300,0000,01300SOCIAL SERVICE 56735,A000000,01350,0000,01500PATIENT ACTIVITIES 56735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56735,A000000,01600,0000,01600SKILLED NURSING FACILITY 56735,A000000,01810,0000,01810ICF/MR 56735,A000000,01900,0000,01900OTHER LONG TERM CARE 56735,A000000,02100,0000,02100RADIOLOGY 56735,A000000,02200,0000,02200LABORATORY 56735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56735,A000000,02500,0000,02500PHYSICAL THERAPY 56735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56735,A000000,02700,0000,02700SPEECH PATHOLOGY 56735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56735,A000000,03550,0000,03550FQHC 56735,A000000,05000,0000,05000CORF 56735,A000000,05010,0000,05010CMHC 56735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56735,A000000,05300,0000,05300INTEREST EXPENSE 56735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56735,A000000,06200,0000,06200PATIENTS LAUNDRY 56735,B100000,00000,0100,00000SQUARE FEET 56735,B100000,00000,0200,00000SQUARE FEET 56735,B100000,00000,0300,00000GROSS SALARIES 56735,B100000,00000,0400,00000ACCUM COST 56735,B100000,00000,0500,00000SQUARE FEET 56735,B100000,00000,0600,00000POUNDS OF LAUNDRY 56735,B100000,00000,0700,00000SQUARE FEET 56735,B100000,00000,0800,00000MEALS SERVED 56735,B100000,00000,0900,00000DIRECT NRSG HRS 56735,B100000,00000,1000,00000PATIENT DAYS 56735,B100000,00000,1100,00000COSTED REQUIS 56735,B100000,00000,1200,00000TIME SPENT 56735,B100000,00000,1300,00000TIME SPENT 56735,B100000,00000,1350,00000TIME SPENT 56735,B100000,00000,1400,00000ASSIGNED TIME 56735,S000000,00100,0200,05/30/2000 56735,S200000,00100,0100,BROAD AND HEISEY STREETS 56735,S200000,00100,0300,8 56735,S200000,00200,0100,RHEEMS 56735,S200000,00200,0200,PA 56735,S200000,00200,0300,17570 56735,S200000,00300,0100,LANCASTER 56735,S200000,00400,0100,RHEEMS NURSING CENTER 56735,S200000,00400,0200,395844 56735,S200000,00400,0300,03/01/1991 56735,S200000,00400,0500,P 56735,S200000,00400,0600,O 56735,S200000,01500,0100,Y 56749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56749,A000000,00300,0000,00300EMPLOYEE BENEFITS 56749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56749,A000000,00700,0000,00700HOUSEKEEPING 56749,A000000,00800,0000,00800DIETARY 56749,A000000,00900,0000,00900NURSING ADMINISTRATION 56749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56749,A000000,01100,0000,01100PHARMACY 56749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56749,A000000,01300,0000,01300SOCIAL SERVICE 56749,A000000,01350,0000,01500ACTIVITIES 56749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56749,A000000,01600,0000,01600SKILLED NURSING FACILITY 56749,A000000,01810,0000,01810ICF/MR 56749,A000000,01900,0000,01900OTHER LONG TERM CARE 56749,A000000,02100,0000,02100RADIOLOGY 56749,A000000,02200,0000,02200LABORATORY 56749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56749,A000000,02500,0000,02500PHYSICAL THERAPY 56749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56749,A000000,02700,0000,02700SPEECH PATHOLOGY 56749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56749,A000000,03550,0000,03550FQHC 56749,A000000,05000,0000,05000CORF 56749,A000000,05010,0000,05010CMHC 56749,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56749,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56749,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56749,A81000A,00100,0100,Y 56749,A81000B,00100,0300,MANAGEMENT FEES 56749,A81000B,00400,0300,LAUNDRY SERVICE 56749,A81000C,00100,0100,A 56749,A81000C,00100,0200,FRANCIS HAYMAN 56749,A81000C,00100,0400,PENN MED 56749,A81000C,00100,0600,HOME OFFICE 56749,A81000C,00200,0100,A 56749,A81000C,00200,0200,JOHN HAYMAN 56749,A81000C,00200,0400,PENN MED 56749,A81000C,00200,0600,HOME OFFICE 56749,A81000C,00300,0100,A 56749,A81000C,00300,0200,DRURY GALLAGHER 56749,A81000C,00300,0400,PENN MED 56749,A81000C,00300,0600,HOME OFFICE 56749,A81000C,00400,0100,A 56749,A81000C,00400,0200,FRANCIS HAYMAN 56749,A81000C,00400,0400,PALMYRA NURSING 56749,A81000C,00400,0600,NURSING HOME 56749,A81000C,00500,0100,A 56749,A81000C,00500,0200,DRURY GALLAGHER 56749,A81000C,00500,0400,PALMYRA NURSING 56749,A81000C,00500,0600,NURSING HOME 56749,A81000C,00600,0100,A 56749,A81000C,00600,0200,JOHN HAYMAN 56749,A81000C,00600,0400,PALMYRA NURSING 56749,A81000C,00600,0600,NURSING HOME 56749,B100000,00000,0100,00000SQUARE FEET 56749,B100000,00000,0200,00000DOLLAR VALUE 56749,B100000,00000,0300,00000GROSS SALARIES 56749,B100000,00000,0400,00000ACCUM. COST 56749,B100000,00000,0500,00000SQUARE FEET 56749,B100000,00000,0600,00000POUNDS OF LAUNDRY 56749,B100000,00000,0700,00000SQUARE FEET 56749,B100000,00000,0800,00000MEALS SERVED 56749,B100000,00000,0900,00000DIRECT NRSING HRS 56749,B100000,00000,1000,00000PATIENT DAYS 56749,B100000,00000,1100,00000PATIENT DAYS 56749,B100000,00000,1200,00000TIME SPENT 56749,B100000,00000,1300,00000PATIENT DAYS 56749,B100000,00000,1350,00000PATIENT DAYS 56749,B100000,00000,1400,00000ASSIGNED TIME 56749,S000000,00100,0200,05/30/2000 56749,S200000,00100,0100,90 WEST MAIN STREET 56749,S200000,00200,0100,CAMPBELLTOWN 56749,S200000,00200,0200,PA 56749,S200000,00200,0300,17010 56749,S200000,00300,0100,LEBANON 56749,S200000,00400,0100,TWIN OAKS NURSING HOME 56749,S200000,00400,0200,395846 56749,S200000,00400,0300,01/01/1991 56749,S200000,00400,0500,P 56749,S200000,01500,0100,Y 56749,S200000,02200,0100,Y 56749,S200000,04700,0100,Y 56756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56756,A000000,00300,0000,00300EMPLOYEE BENEFITS 56756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56756,A000000,00700,0000,00700HOUSEKEEPING 56756,A000000,00800,0000,00800DIETARY 56756,A000000,00900,0000,00900NURSING ADMINISTRATION 56756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56756,A000000,01100,0000,01100PHARMACY 56756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56756,A000000,01300,0000,01300SOCIAL SERVICE 56756,A000000,01350,0000,01500PATIENT ACTIVITIES 56756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56756,A000000,01600,0000,01600SKILLED NURSING FACILITY 56756,A000000,01810,0000,01810ICF/MR 56756,A000000,01900,0000,01900OTHER LONG TERM CARE 56756,A000000,02200,0000,02200LABORATORY 56756,A000000,02500,0000,02500PHYSICAL THERAPY 56756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56756,A000000,02700,0000,02700SPEECH PATHOLOGY 56756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56756,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56756,A000000,03550,0000,03550FQHC 56756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56756,A000000,05000,0000,05000CORF 56756,A000000,05010,0000,05010CMHC 56756,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56756,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56756,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56756,A81000A,00100,0100,Y 56756,A81000B,00100,0300,HOME OFFICE CAPITAL 56756,A81000B,00200,0300,HOME OFFICE A&G 56756,A81000C,00100,0100,B 56756,A81000C,00100,0400,KENDALL CORPORATION 56756,A81000C,00100,0600,PARENT COMPANY 56756,B100000,00000,0100,00000SQUARE FEET 56756,B100000,00000,0200,00000NO STATISTICS 56756,B100000,00000,0300,00000GROSS SALARIES 56756,B100000,00000,0400,00000ACCUM. COST 56756,B100000,00000,0500,00000SQUARE FEET 56756,B100000,00000,0600,00000PATIENT DAYS 56756,B100000,00000,0700,00000SQ FEET EXCL DIET 56756,B100000,00000,0800,00000PATIENT DAYS 56756,B100000,00000,0900,00000NO STATISTICS 56756,B100000,00000,1000,00000PATIENT DAYS 56756,B100000,00000,1100,00000PATIENT DAYS 56756,B100000,00000,1200,00000NO STATISTICS 56756,B100000,00000,1300,00000NO STATISTICS 56756,B100000,00000,1350,00000PATIENT DAYS 56756,B100000,00000,1400,00000NO STATISTICS 56756,S000000,00100,0200,05/30/2000 56756,S200000,00100,0100,700 NORTH FRANKLIN STREET 56756,S200000,00200,0100,WEST CHESTER 56756,S200000,00200,0200,PA 56756,S200000,00300,0100,CHESTER 56756,S200000,00400,0100,BARCLAY FRIENDS 56756,S200000,00400,0200,395848 56756,S200000,00400,0300,04/22/1991 56756,S200000,00400,0500,P 56756,S200000,01600,0100,Y 56764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56764,A000000,00300,0000,00300EMPLOYEE BENEFITS 56764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56764,A000000,00700,0000,00700HOUSEKEEPING 56764,A000000,00800,0000,00800DIETARY 56764,A000000,00900,0000,00900NURSING ADMINISTRATION 56764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56764,A000000,01100,0000,01100PHARMACY 56764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56764,A000000,01300,0000,01300SOCIAL SERVICE 56764,A000000,01350,0000,01500ACTIVITIES 56764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56764,A000000,01600,0000,01600SKILLED NURSING FACILITY 56764,A000000,01810,0000,01810ICF/MR 56764,A000000,01900,0000,01900OTHER LONG TERM CARE 56764,A000000,02100,0000,02100RADIOLOGY 56764,A000000,02200,0000,02200LABORATORY 56764,A000000,02500,0000,02500PHYSICAL THERAPY 56764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56764,A000000,02700,0000,02700SPEECH PATHOLOGY 56764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56764,A000000,03200,0000,03200SUPPORT SURFACES 56764,A000000,03550,0000,03550FQHC 56764,A000000,05000,0000,05000CORF 56764,A000000,05010,0000,05010CMHC 56764,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56764,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56764,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56764,A000000,06150,0000,06300CHAPLAIN 56764,A81000A,00100,0100,Y 56764,A81000B,00100,0300,FACILITY RENT 56764,A81000B,00200,0300,MANAGEMENT FEE 56764,A81000C,00100,0100,B 56764,A81000C,00100,0200,MERCY CENTER 56764,A81000C,00100,0400,SISTERS OF 56764,A81000C,00100,0600,NUN ORDER 56764,A81000C,00200,0200,NURSING UNIT 56764,A81000C,00200,0400,MERCY 56764,B100000,00000,0100,00000SQUARE FEET 56764,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 56764,B100000,00000,0300,00000GROSS SALARIES 56764,B100000,00000,0400,00000ACCUMULA- TED COST 56764,B100000,00000,0500,00000SQUARE FEET 56764,B100000,00000,0600,00000POUNDS OF LAUNDRY 56764,B100000,00000,0700,00000SQUARE FEET 56764,B100000,00000,0800,00000MEALS SERVED 56764,B100000,00000,0900,00000DIRECT HOU OF SERVICE 56764,B100000,00000,1000,00000COSTED REQUIS 56764,B100000,00000,1100,00000COSTED REQUIS 56764,B100000,00000,1200,00000TIME SPENT 56764,B100000,00000,1300,00000TIME SPENT 56764,B100000,00000,1350,00000OTHER 56764,B100000,00000,1400,00000ASSIGNED TIME 56764,E10A180,00501,0100,07/31/2000 56764,E10A180,00501,0300,07/31/2000 56764,E10A180,00502,0100,08/14/2000 56764,E10A180,00502,0300,08/14/2000 56764,E10A180,00503,0300,08/22/2000 56764,E10A180,00550,0100,08/22/2000 56764,S000000,00100,0200,05/31/2000 56764,S200000,00100,0100,LAKE STREET 56764,S200000,00100,0300,370 56764,S200000,00200,0100,DALLAS 56764,S200000,00200,0200,PA 56764,S200000,00200,0300,18612 56764,S200000,00300,0100,LUZERNE 56764,S200000,00400,0100,MERCY CENTER NURSING UNIT INC. 56764,S200000,00400,0200,395850 56764,S200000,00400,0300,05/09/1991 56764,S200000,00400,0500,P 56764,S200000,01500,0100,Y 56764,S200000,01900,0100,CORPORATION 56764,S200000,04700,0100,Y 56764,S200000,04700,0200,Y 56774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56774,A000000,00300,0000,00300EMPLOYEE BENEFITS 56774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56774,A000000,00700,0000,00700HOUSEKEEPING 56774,A000000,00800,0000,00800DIETARY 56774,A000000,00900,0000,00900NURSING ADMINISTRATION 56774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56774,A000000,01100,0000,01100PHARMACY 56774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56774,A000000,01300,0000,01300SOCIAL SERVICE 56774,A000000,01350,0000,01500ACTIVITIES 56774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56774,A000000,01600,0000,01600SKILLED NURSING FACILITY 56774,A000000,01800,0000,01800NURSING FACILITY 56774,A000000,01810,0000,01810ICF/MR 56774,A000000,02100,0000,02100RADIOLOGY 56774,A000000,02500,0000,02500PHYSICAL THERAPY 56774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56774,A000000,02700,0000,02700SPEECH PATHOLOGY 56774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56774,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56774,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56774,A000000,03550,0000,03550FQHC 56774,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56774,A000000,05000,0000,05000CORF 56774,A000000,05010,0000,05010CMHC 56774,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56774,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56774,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56774,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56774,A81000A,00100,0100,Y 56774,A81000B,00100,0300,MANAGEMENT FEES 56774,A81000B,00200,0300,CAPITAL EXPENSE 56774,A81000C,00100,0100,B 56774,A81000C,00100,0200,COURTLAND HEALTHCARE INC. 56774,A81000C,00100,0400,COURTLAND HEALTHCARE INC. 56774,A81000C,00100,0600,HOME OFFICE 56774,B100000,00000,0100,00000SQUARE FEET 56774,B100000,00000,0200,00000SQUARE FEET 56774,B100000,00000,0300,00000GROSS SALARIES 56774,B100000,00000,0400,00000ACCUM. COST 56774,B100000,00000,0500,00000SQUARE FEET 56774,B100000,00000,0600,00000PATIENT DAYS 56774,B100000,00000,0700,00000SQUARE FEET 56774,B100000,00000,0800,00000MEALS SERVED 56774,B100000,00000,0900,00000NURSING SALARIES 56774,B100000,00000,1000,00000PATIENT DAYS 56774,B100000,00000,1100,00000PATIENT DAYS 56774,B100000,00000,1200,00000GROSS CHARGES 56774,B100000,00000,1300,00000PATIENT DAYS 56774,B100000,00000,1350,00000PATIENT DAYS 56774,B100000,00000,1400,00000ASSIGNED TIME 56774,E10A180,00501,0100,01/25/2001 56774,E10A180,00501,0300,01/25/2001 56774,S000000,00100,0200,11/30/2000 56774,S200000,00100,0100,6400 GREEN STREET 56774,S200000,00200,0100,PHILADELPHIA 56774,S200000,00200,0200,PA 56774,S200000,00200,0300,19119 56774,S200000,00300,0100,PHILADELPHIA 56774,S200000,00400,0100,CLIVEDEN CONVALESCENT CENTER 56774,S200000,00400,0200,395852 56774,S200000,00400,0300,01/07/1991 56774,S200000,00400,0500,P 56774,S200000,01600,0100,Y 56784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56784,A000000,00300,0000,00300EMPLOYEE BENEFITS 56784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56784,A000000,00700,0000,00700HOUSEKEEPING 56784,A000000,00800,0000,00800DIETARY 56784,A000000,00900,0000,00900NURSING ADMINISTRATION 56784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56784,A000000,01100,0000,01100PHARMACY 56784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56784,A000000,01300,0000,01300SOCIAL SERVICE 56784,A000000,01350,0000,01500ACTIVITIES 56784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56784,A000000,01600,0000,01600SKILLED NURSING FACILITY 56784,A000000,01800,0000,01800NURSING FACILITY 56784,A000000,01810,0000,01810ICF/MR 56784,A000000,02100,0000,02100RADIOLOGY 56784,A000000,02200,0000,02200LABORATORY 56784,A000000,02300,0000,02300INTRAVENOUS THERAPY 56784,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56784,A000000,02500,0000,02500PHYSICAL THERAPY 56784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56784,A000000,02700,0000,02700SPEECH PATHOLOGY 56784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56784,A000000,03550,0000,03550FQHC 56784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56784,A000000,05000,0000,05000CORF 56784,A000000,05010,0000,05010CMHC 56784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56784,A000000,05300,0000,05300INTEREST EXPENSE 56784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56784,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56784,B100000,00000,0100,00000SQUARE FEET 56784,B100000,00000,0200,00000SQUARE FEET 56784,B100000,00000,0300,00000GROSS SALARIES 56784,B100000,00000,0400,00000ACCUM. COST 56784,B100000,00000,0500,00000SQUARE FEET 56784,B100000,00000,0600,00000POUNDS OF LAUNDRY 56784,B100000,00000,0700,00000SQUARE FEET 56784,B100000,00000,0800,00000MEALS SERVED 56784,B100000,00000,0900,00000TIME SPENT 56784,B100000,00000,1000,00000PATIENT DAYS 56784,B100000,00000,1100,00000PATIENT DAYS 56784,B100000,00000,1200,00000TIME SPENT 56784,B100000,00000,1300,00000TIME SPENT 56784,B100000,00000,1350,00000TIME SPENT 56784,B100000,00000,1400,00000ASSIGNED TIME 56784,E10A180,00501,0100,06/01/2000 56784,E10A180,00501,0300,06/01/2000 56784,S000000,00100,0200,05/02/2000 56784,S200000,00100,0100,20881 STATE HWY 198 56784,S200000,00200,0100,SAEGERTOWN 56784,S200000,00200,0200,PA 56784,S200000,00300,0100,CRAWFORD 56784,S200000,00400,0100,CRAWFORD COUNTY CARE CENTER 56784,S200000,00400,0200,395853 56784,S200000,00400,0300,06/01/1991 56784,S200000,00400,0500,P 56784,S200000,01600,0100,Y 56795,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56795,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56795,A000000,00300,0000,00300EMPLOYEE BENEFITS 56795,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56795,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56795,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56795,A000000,00700,0000,00700HOUSEKEEPING 56795,A000000,00800,0000,00800DIETARY 56795,A000000,00900,0000,00900NURSING ADMINISTRATION 56795,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56795,A000000,01100,0000,01100PHARMACY 56795,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56795,A000000,01300,0000,01300SOCIAL SERVICE 56795,A000000,01350,0000,01500ACTIVITIES 56795,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56795,A000000,01600,0000,01600SKILLED NURSING FACILITY 56795,A000000,01800,0000,01800NURSING FACILITY 56795,A000000,01810,0000,01810ICF/MR 56795,A000000,02100,0000,02100RADIOLOGY 56795,A000000,02200,0000,02200LABORATORY 56795,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56795,A000000,02500,0000,02500PHYSICAL THERAPY 56795,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56795,A000000,02700,0000,02700SPEECH PATHOLOGY 56795,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56795,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56795,A000000,03050,0000,03300PSYCHOLOGY 56795,A000000,03550,0000,03550FQHC 56795,A000000,05000,0000,05000CORF 56795,A000000,05010,0000,05010CMHC 56795,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56795,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56795,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56795,A000000,05300,0000,05300INTEREST EXPENSE 56795,A000000,06150,0000,06300PSYCHOLOGY 56795,A81000A,00100,0100,Y 56795,A81000B,00100,0300,MRC LAND LEASE PAYMENT 56795,A81000B,00200,0300,CONTRACT SERVICES LABOR 56795,A81000B,00300,0300,CONTRACT SERVICES 56795,A81000B,00400,0300,LABORATORY TESTS 56795,A81000B,00500,0300,CONTRACT SERVICES 56795,A81000B,00600,0300,DRUG AND IV SOLUTIONS 56795,A81000B,00700,0300,HEALTH INSURANCE 56795,A81000C,00100,0100,G 56795,A81000C,00100,0200,MUHLENBERG 56795,A81000C,00100,0400,MUHLENBERG HOSP 56795,A81000C,00100,0600,HOSPITAL 56795,A81000C,00200,0200,REHAB CENTER 56795,A81000C,00200,0400,ITAL CORP 56795,A81000C,00300,0100,G 56795,A81000C,00300,0200,MUHLENBERG 56795,A81000C,00300,0400,MUHLENBERG REAL 56795,A81000C,00300,0600,REALTY GROUP 56795,A81000C,00400,0200,REHAB CENTER 56795,A81000C,00400,0400,TY CORP 56795,A81000C,00500,0100,G 56795,A81000C,00500,0200,MUHLENBERG 56795,A81000C,00500,0400,LEHIGH VALLEY 56795,A81000C,00500,0600,HOSPITAL 56795,A81000C,00600,0200,REHAB CENTER 56795,A81000C,00600,0400,HOSPITAL 56795,B100000,00000,0100,00000SQUARE FEET 56795,B100000,00000,0200,00000DOLLAR VALUE 56795,B100000,00000,0300,00000GROSS SALARIES 56795,B100000,00000,0400,00000ACCUM. COST 56795,B100000,00000,0500,00000SQUARE FEET 56795,B100000,00000,0600,00000POUNDS OF LAUNDRY 56795,B100000,00000,0700,00000HOURS OF SERVICE 56795,B100000,00000,0800,00000MEALS SERVED 56795,B100000,00000,0900,00000DIRECT NRSING HRS 56795,B100000,00000,1000,00000COSTED REQUIS. 56795,B100000,00000,1100,00000COSTED REQUIS. 56795,B100000,00000,1200,00000TIME SPENT 56795,B100000,00000,1300,00000TIME SPENT 56795,B100000,00000,1350,00000PATIENT DAYS 56795,B100000,00000,1400,00000ASSIGNED TIME 56795,S000000,00100,0200,01/10/2000 56795,S200000,00100,0100,2855 SCHOENERSVILLE ROAD 56795,S200000,00200,0100,BETHLEHEM 56795,S200000,00200,0200,PA 56795,S200000,00200,0300,18017 56795,S200000,00300,0100,LEHIGH 56795,S200000,00400,0100,MUHLENBERG REHAB CARE CENTER 56795,S200000,00400,0200,395854 56795,S200000,00400,0300,06/26/1991 56795,S200000,00400,0500,P 56795,S200000,00600,0200,395854 56795,S200000,00600,0300,06/26/1991 56795,S200000,00600,0600,P 56795,S200000,01600,0100,Y 56795,S200000,01900,0100,FREESTANDING SKILLED NURSING FACILIT 56795,S200000,02200,0100,Y 56795,S200000,02800,0100,Y 56795,S200000,03100,0100,Y 56805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56805,A000000,00300,0000,00300EMPLOYEE BENEFITS 56805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56805,A000000,00700,0000,00700HOUSEKEEPING 56805,A000000,00800,0000,00800DIETARY 56805,A000000,00900,0000,00900NURSING ADMINISTRATION 56805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56805,A000000,01100,0000,01100PHARMACY 56805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56805,A000000,01300,0000,01300SOCIAL SERVICE 56805,A000000,01350,0000,01500PATIENT ACTIVITIES 56805,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENT 56805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56805,A000000,01600,0000,01600SKILLED NURSING FACILITY 56805,A000000,01800,0000,01800NURSING FACILITY 56805,A000000,02100,0000,02100RADIOLOGY 56805,A000000,02200,0000,02200LABORATORY 56805,A000000,02500,0000,02500PHYSICAL THERAPY 56805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56805,A000000,02700,0000,02700SPEECH PATHOLOGY 56805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56805,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56805,A000000,03550,0000,03550FQHC 56805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56805,A000000,05000,0000,05000CORF 56805,A000000,05010,0000,05010CMHC 56805,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56805,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56805,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56805,A000000,06200,0000,06200PATIENTS LAUNDRY 56805,B100000,00000,0100,00000SQUARE FEET 56805,B100000,00000,0200,00000SQUARE FEET 56805,B100000,00000,0300,00000GROSS SALARIES 56805,B100000,00000,0400,00000ACCUM. COST 56805,B100000,00000,0500,00000SQUARE FEET 56805,B100000,00000,0600,00000POUNDS OF LAUNDRY 56805,B100000,00000,0700,00000SQUARE FEET 56805,B100000,00000,0800,00000MEALS SERVED 56805,B100000,00000,0900,00000DIRECT NRSING HRS 56805,B100000,00000,1000,00000PATIENT DAYS 56805,B100000,00000,1100,00000PATIENT DAYS 56805,B100000,00000,1200,00000TIME SPENT 56805,B100000,00000,1300,00000TIME SPENT 56805,B100000,00000,1350,00000PATIENT DAYS 56805,B100000,00000,1351,00000PATIENT DAYS 56805,B100000,00000,1400,00000ASSIGNED TIME 56805,S000000,00100,0200,05/26/2000 56805,S200000,00100,0100,2801 ELLWOOD ROAD 56805,S200000,00200,0100,NEW CASTLE 56805,S200000,00200,0200,PA 56805,S200000,00300,0100,LAWRENCE 56805,S200000,00400,0100,HILL VIEW MANOR 56805,S200000,00400,0200,395855 56805,S200000,00400,0300,09/01/1991 56805,S200000,00400,0500,P 56805,S200000,01600,0100,Y 56814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56814,A000000,00300,0000,00300EMPLOYEE BENEFITS 56814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56814,A000000,00700,0000,00700HOUSEKEEPING 56814,A000000,00800,0000,00800DIETARY 56814,A000000,00900,0000,00900NURSING ADMINISTRATION 56814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56814,A000000,01100,0000,01100PHARMACY 56814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56814,A000000,01300,0000,01300SOCIAL SERVICE 56814,A000000,01350,0000,01500OTHER GENERAL SERVICES 56814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56814,A000000,01600,0000,01600SKILLED NURSING FACILITY 56814,A000000,01810,0000,01810ICF/MR 56814,A000000,01900,0000,01900OTHER LONG TERM CARE 56814,A000000,02500,0000,02500PHYSICAL THERAPY 56814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56814,A000000,02700,0000,02700SPEECH PATHOLOGY 56814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56814,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56814,A000000,03550,0000,03550FQHC 56814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56814,A000000,05000,0000,05000CORF 56814,A000000,05010,0000,05010CMHC 56814,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56814,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56814,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56814,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56814,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 56814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56814,A81000A,00100,0100,Y 56814,A81000B,00100,0300,CENTRAL ADMINISTRATION 56814,A81000B,00200,0300,CAPITAL RELATED HCFA-287 56814,A81000C,00100,0100,G 56814,A81000C,00100,0200,UNITED CHURCH OF CHST HMS 56814,A81000C,00100,0400,UCCH INC 56814,A81000C,00100,0600,CHURCH RELATED 56814,B100000,00000,0100,00000SQUARE FEET 56814,B100000,00000,0200,00000MOVE EQUIP 56814,B100000,00000,0300,00000GROSS SALARIES 56814,B100000,00000,0400,00000ACCUM. COST 56814,B100000,00000,0500,00000SQUARE FEET 56814,B100000,00000,0600,00000POUNDS OF LAUNDRY 56814,B100000,00000,0700,00000HOURS OF SERVICE 56814,B100000,00000,0800,00000MEALS SERVED 56814,B100000,00000,0900,00000NURSING HOURS 56814,B100000,00000,1000,00000COSTED REQUIS 56814,B100000,00000,1100,00000COSTED REQUIS 56814,B100000,00000,1200,00000HOURS OF SERVICE 56814,B100000,00000,1300,00000HOURS OF SERVICE 56814,B100000,00000,1350,00000HOURS OF SERVICE 56814,B100000,00000,1400,00000ASSIGNED TIME 56814,E10A180,00501,0100,07/31/2000 56814,E10A180,00501,0300,07/31/2000 56814,S000000,00100,0200,05/31/2000 56814,S200000,00100,0100,99 BETHANY ROAD 56814,S200000,00200,0100,EPHRATA 56814,S200000,00200,0200,PA 56814,S200000,00300,0100,LANCASTER 56814,S200000,00400,0100,EPHRATA MANOR 56814,S200000,00400,0200,395857 56814,S200000,00400,0300,08/07/1991 56814,S200000,00400,0500,P 56814,S200000,01500,0100,Y 56814,S200000,02200,0100,Y 56814,S200000,02800,0100,Y 56823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56823,A000000,00300,0000,00300EMPLOYEE BENEFITS 56823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56823,A000000,00700,0000,00700HOUSEKEEPING 56823,A000000,00800,0000,00800DIETARY 56823,A000000,00900,0000,00900NURSING ADMINISTRATION 56823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56823,A000000,01100,0000,01100PHARMACY 56823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56823,A000000,01300,0000,01300SOCIAL SERVICE 56823,A000000,01301,0000,01301ACTIVITIES/RECREATION 56823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56823,A000000,01600,0000,01600SKILLED NURSING FACILITY 56823,A000000,01800,0000,01800NURSING FACILITY 56823,A000000,01810,0000,01810ICF/MR 56823,A000000,02200,0000,02200LABORATORY 56823,A000000,02300,0000,02300INTRAVENOUS THERAPY 56823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56823,A000000,02500,0000,02500PHYSICAL THERAPY 56823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56823,A000000,02700,0000,02700SPEECH PATHOLOGY 56823,A000000,02800,0000,02800ELECTROCARDIOLOGY 56823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56823,A000000,03550,0000,03550FQHC 56823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56823,A000000,05000,0000,05000CORF 56823,A000000,05010,0000,05010CMHC 56823,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56823,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56823,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56823,A000000,05300,0000,05300INTEREST EXPENSE 56823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56823,A81000A,00100,0100,Y 56823,A81000B,00100,0300,ADMINISTRATIVE&GENERAL 56823,A81000B,00200,0300,DIETARY 56823,A81000B,00300,0300,HOUSEKEEPING 56823,A81000B,00400,0300,LAUNDRY & LINEN SERVICE 56823,A81000B,00500,0300,PLANT OPERATIONS 56823,A81000B,00600,0300,PHYSICAL THERAPY 56823,A81000B,00700,0300,ELECTROCARDIOLOGY 56823,A81000B,00800,0300,ADMINISTRATIVE & GENERAL 56823,A81000C,00100,0100,B 56823,A81000C,00100,0200,QUEST HC DEVELPOMENT 56823,A81000C,00100,0400,OPTIMA 56823,A81000C,00100,0600,MGMT SERVICES 56823,A81000C,00200,0100,B 56823,A81000C,00200,0200,D. WUKICH 56823,A81000C,00200,0400,A LA CARTE 56823,A81000C,00200,0600,DIET HSK LDY MN 56823,A81000C,00300,0100,B 56823,A81000C,00300,0200,N. AMOROSE 56823,A81000C,00300,0400,A LA CARTE 56823,A81000C,00300,0600,DIET HSK LDY MN 56823,A81000C,00400,0100,B 56823,A81000C,00400,0200,D. WUKICH 56823,A81000C,00400,0400,ALLSERVE 56823,A81000C,00400,0600,PHY OT ST THERAPY SVCS 56823,A81000C,00500,0100,B 56823,A81000C,00500,0200,AMERICAN PORTABLE 56823,A81000C,00500,0400,D. WUKICH 56823,A81000C,00500,0600,EKG/X-RAY 56823,A81000C,00600,0100,B 56823,A81000C,00600,0200,DANIEL WUKICH 56823,A81000C,00600,0400,HEALTH CARE REVENUE MGMT 56823,A81000C,00600,0600,BOOKEEPING/ACCOUNTING SV 56823,A81000C,00700,0100,B 56823,A81000C,00700,0200,WILLIAM S. FERRORO 56823,A81000C,00700,0400,A LA CARTE 56823,A81000C,00700,0600,DIET HSK MAINT LAUNDRY 56823,B100000,00000,0100,00000SQUARE FEET 56823,B100000,00000,0200,00000SQUARE FEET 56823,B100000,00000,0300,00000GROSS SALARIES 56823,B100000,00000,0400,00000ACCUM. COST 56823,B100000,00000,0500,00000SQUARE FEET 56823,B100000,00000,0600,00000POUNDS OF LAUNDRY 56823,B100000,00000,0700,00000SQUARE FEET 56823,B100000,00000,0800,00000MEALS SERVED 56823,B100000,00000,0900,00000TIME SPENT 56823,B100000,00000,1000,00000CHARGES 56823,B100000,00000,1100,00000COSTED REQUIS 56823,B100000,00000,1200,00000CHARGES 56823,B100000,00000,1300,00000TIME SPENT 56823,B100000,00000,1301,00000TIME SPENT 56823,B100000,00000,1400,00000ASSIGNED TIME 56823,S000000,00100,0200,05/30/2000 56823,S200000,00100,0100,LIGONIER STREET EXTENSION R. R. #2 56823,S200000,00100,0300,14 56823,S200000,00200,0100,LATROBE 56823,S200000,00200,0200,PA 56823,S200000,00300,0100,WESTMORELAND 56823,S200000,00400,0100,LOYALHANNA CARE CENTER 56823,S200000,00400,0200,395860 56823,S200000,00400,0300,09/23/1991 56823,S200000,00400,0500,P 56823,S200000,01600,0100,Y 56831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56831,A000000,00300,0000,00300EMPLOYEE BENEFITS 56831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56831,A000000,00700,0000,00700HOUSEKEEPING 56831,A000000,00800,0000,00800DIETARY 56831,A000000,00900,0000,00900NURSING ADMINISTRATION 56831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56831,A000000,01100,0000,01100PHARMACY 56831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56831,A000000,01300,0000,01300SOCIAL SERVICE 56831,A000000,01350,0000,01500PATIENT ACTIVITIES 56831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56831,A000000,01600,0000,01600SKILLED NURSING FACILITY 56831,A000000,01800,0000,01800NURSING FACILITY 56831,A000000,01810,0000,01810ICF/MR 56831,A000000,02100,0000,02100RADIOLOGY 56831,A000000,02500,0000,02500PHYSICAL THERAPY 56831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56831,A000000,02700,0000,02700SPEECH PATHOLOGY 56831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56831,A000000,03550,0000,03550FQHC 56831,A000000,05000,0000,05000CORF 56831,A000000,05010,0000,05010CMHC 56831,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56831,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56831,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56831,A000000,05300,0000,05300INTEREST EXPENSE 56831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56831,B100000,00000,0100,00000SQUARE FEET 56831,B100000,00000,0200,00000SQUARE FEET 56831,B100000,00000,0300,00000GROSS SALARIES 56831,B100000,00000,0400,00000ACCUM COST 56831,B100000,00000,0500,00000SQUARE FEET 56831,B100000,00000,0600,00000POUNDS OF LAUNDRY 56831,B100000,00000,0700,00000SQ. FT W/O KIT 56831,B100000,00000,0800,00000MEALS SERVED 56831,B100000,00000,0900,00000DIRECT NRSG HRS 56831,B100000,00000,1000,00000COST OF REQUISIT 56831,B100000,00000,1100,00000COST OF REQUISIT 56831,B100000,00000,1200,00000PATIENT DAYS 56831,B100000,00000,1300,00000PATIENT DAYS 56831,B100000,00000,1350,00000PATIENT DAYS 56831,B100000,00000,1400,00000ASSIGNED TIME 56831,E10A180,00501,0100,07/31/2000 56831,E10A180,00501,0300,07/31/2000 56831,S000000,00100,0200,05/31/2000 56831,S200000,00100,0100,4621 CASTOR AVENUE 56831,S200000,00200,0100,PHILADELPHIA 56831,S200000,00200,0200,PA 56831,S200000,00200,0300,19124 56831,S200000,00300,0100,PHILADELPHIA 56831,S200000,00400,0100,NORTHWOOD NURSING CENTER 56831,S200000,00400,0200,395863 56831,S200000,00400,0300,09/01/1991 56831,S200000,00400,0500,P 56831,S200000,00400,0600,O 56831,S200000,01600,0100,Y 56831,S200000,02200,0100,Y 56831,S200000,02800,0100,Y 56839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56839,A000000,00300,0000,00300EMPLOYEE BENEFITS 56839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56839,A000000,00700,0000,00700HOUSEKEEPING 56839,A000000,00800,0000,00800DIETARY 56839,A000000,00900,0000,00900NURSING ADMINISTRATION 56839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56839,A000000,01100,0000,01100PHARMACY 56839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56839,A000000,01300,0000,01300SOCIAL SERVICE 56839,A000000,01350,0000,01500PATIENT ACTIVITIES 56839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56839,A000000,01600,0000,01600SKILLED NURSING FACILITY 56839,A000000,01810,0000,01810ICF/MR 56839,A000000,02100,0000,02100RADIOLOGY 56839,A000000,02200,0000,02200LABORATORY 56839,A000000,02500,0000,02500PHYSICAL THERAPY 56839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56839,A000000,02700,0000,02700SPEECH PATHOLOGY 56839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56839,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56839,A000000,03550,0000,03550FQHC 56839,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56839,A000000,05000,0000,05000CORF 56839,A000000,05010,0000,05010CMHC 56839,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56839,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56839,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56839,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56839,A81000A,00100,0100,Y 56839,A81000B,00100,0300,MANAGEMENT FEES 56839,A81000B,00200,0300,LEGAL CONSULTANT 56839,A81000B,00300,0300,INTERIOR DESIGN CONSULTANT 56839,A81000C,00100,0100,A 56839,A81000C,00100,0200,JOHN H. DURHAM 56839,A81000C,00100,0400,COMPLETE CARE SERVICES 56839,A81000C,00100,0600,MANAGEMENT COMPANY 56839,A81000C,00200,0100,A 56839,A81000C,00200,0200,JOHN P. DURHAM 56839,A81000C,00300,0100,A 56839,A81000C,00300,0200,CHRISTINE BORGRETTE 56839,B100000,00000,0100,00000SQUARE FEET 56839,B100000,00000,0200,00000DOLLAR VALUE 56839,B100000,00000,0300,00000GROSS SALARIES 56839,B100000,00000,0400,00000ACCUM. COST 56839,B100000,00000,0500,00000SQUARE FEET 56839,B100000,00000,0600,00000PATIENT DAYS 56839,B100000,00000,0700,00000SQUARE FEET 56839,B100000,00000,0800,00000MEALS SERVED 56839,B100000,00000,0900,00000DIRECT NRSING HRS 56839,B100000,00000,1000,00000COSTED REQUIS. 56839,B100000,00000,1100,00000COSTED REQUIS. 56839,B100000,00000,1200,00000GROSS CHARGES 56839,B100000,00000,1300,00000PATIENT DAYS 56839,B100000,00000,1350,00000PATIENT DAYS 56839,B100000,00000,1400,00000ASSIGNED TIME 56839,E10A180,00501,0100,07/10/2000 56839,E10A180,00501,0300,07/10/2000 56839,S000000,00100,0200,05/30/2000 56839,S200000,00100,0100,3200 BENSALEM BOULEVARD 56839,S200000,00200,0100,BENSALEM 56839,S200000,00200,0200,PA 56839,S200000,00300,0100,BUCKS 56839,S200000,00400,0100,WOOD RIVER VILLAGE NRSG CNTR 56839,S200000,00400,0200,395864 56839,S200000,00400,0300,05/06/1991 56839,S200000,00400,0500,P 56839,S200000,01500,0100,Y 56839,S200000,04600,0100,Y 56847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56847,A000000,00300,0000,00300EMPLOYEE BENEFITS 56847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56847,A000000,00700,0000,00700HOUSEKEEPING 56847,A000000,00800,0000,00800DIETARY 56847,A000000,00900,0000,00900NURSING ADMINISTRATION 56847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56847,A000000,01100,0000,01100PHARMACY 56847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56847,A000000,01300,0000,01300SOCIAL SERVICE 56847,A000000,01350,0000,01500ACTIVITIES 56847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56847,A000000,01600,0000,01600SKILLED NURSING FACILITY 56847,A000000,01800,0000,01800NURSING FACILITY 56847,A000000,01810,0000,01810ICF/MR 56847,A000000,02100,0000,02100RADIOLOGY 56847,A000000,02500,0000,02500PHYSICAL THERAPY 56847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56847,A000000,02700,0000,02700SPEECH PATHOLOGY 56847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56847,A000000,03550,0000,03550FQHC 56847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56847,A000000,05000,0000,05000CORF 56847,A000000,05010,0000,05010CMHC 56847,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56847,A81000A,00100,0100,Y 56847,A81000B,00100,0300,HOME OFFICE 56847,A81000B,00200,0300,CAPITAL EXPENSE 56847,A81000C,00100,0100,B 56847,A81000C,00100,0200,COURTLAND HEALTHCARE INC 56847,A81000C,00100,0400,COURTLAND HEALTHCARE INC 56847,A81000C,00100,0600,HOME OFFICE 56847,B100000,00000,0100,00000SQUARE FEET 56847,B100000,00000,0200,00000SQUARE FEET 56847,B100000,00000,0300,00000GROSS SALARIES 56847,B100000,00000,0400,00000ACCUM. COST 56847,B100000,00000,0500,00000SQUARE FEET 56847,B100000,00000,0600,00000PATIENT DAYS 56847,B100000,00000,0700,00000SQUARE FEET 56847,B100000,00000,0800,00000MEALS SERVED 56847,B100000,00000,0900,00000NURSING SALARIES 56847,B100000,00000,1000,00000PATIENT DAYS 56847,B100000,00000,1100,00000PATIENT DAYS 56847,B100000,00000,1200,00000GROSS CHARGES 56847,B100000,00000,1300,00000PATIENT DAYS 56847,B100000,00000,1350,00000PATIENT DAYS 56847,B100000,00000,1400,00000ASSIGNED TIME 56847,E10A180,00501,0100,01/18/2001 56847,E10A180,00501,0300,01/18/2001 56847,S000000,00100,0200,11/30/2000 56847,S200000,00100,0100,125 W SCHOOL HOUSE LANE 56847,S200000,00200,0100,PHILADELPHIA 56847,S200000,00200,0200,PA 56847,S200000,00200,0300,19144 56847,S200000,00400,0100,MAPLEWOOD CONV CENTER 56847,S200000,00400,0200,395865 56847,S200000,00400,0300,07/01/1992 56847,S200000,00400,0500,P 56847,S200000,01600,0100,Y 56860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56860,A000000,00101,0000,00101CAP REL COSTS - SHARED PC AND S 56860,A000000,00102,0000,00102CAP REL COSTS - PERSONAL CARE 56860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56860,A000000,00300,0000,00300EMPLOYEE BENEFITS 56860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56860,A000000,00700,0000,00700HOUSEKEEPING 56860,A000000,00800,0000,00800DIETARY 56860,A000000,00900,0000,00900NURSING ADMINISTRATION 56860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56860,A000000,01100,0000,01100PHARMACY 56860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56860,A000000,01300,0000,01300SOCIAL SERVICE 56860,A000000,01350,0000,01500ACTIVITIES 56860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56860,A000000,01600,0000,01600SKILLED NURSING FACILITY 56860,A000000,01810,0000,01810ICF/MR 56860,A000000,02100,0000,02100RADIOLOGY 56860,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56860,A000000,02500,0000,02500PHYSICAL THERAPY 56860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56860,A000000,02700,0000,02700SPEECH PATHOLOGY 56860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56860,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56860,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56860,A000000,03550,0000,03550FQHC 56860,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56860,A000000,05000,0000,05000CORF 56860,A000000,05010,0000,05010CMHC 56860,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56860,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56860,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56860,A000000,06150,0000,06300ASSISTED LIVING 56860,A000000,06151,0000,06301RESIDENTIAL RENTAL 56860,A000000,06201,0000,06201PATIENTS LAUNDRY 56860,A81000A,00100,0100,Y 56860,A81000B,00100,0300,HOME OFFICE 56860,A81000B,00200,0300,INTEREST EXPENSE 56860,A81000C,00100,0100,A 56860,A81000C,00100,0200,FRANK VARISCHETTI 56860,A81000C,00100,0400,GUARDIAN ELDER CARE 56860,A81000C,00100,0600,HOME OFFICE 56860,A81000C,00200,0100,A 56860,A81000C,00200,0200,FRANK A VARISCHETTI 56860,A81000C,00200,0400,GUARDIAN ELDER CARE 56860,A81000C,00200,0600,HOME OFFICE 56860,A81000C,00300,0100,A 56860,A81000C,00300,0200,STEVEN R VARISCHETTI 56860,A81000C,00300,0400,GUARDIAN ELDER CARE 56860,A81000C,00300,0600,HOME OFFICE 56860,A81000C,00400,0100,A 56860,A81000C,00400,0200,PETER C VARISCHETTI 56860,A81000C,00400,0400,GUARDIAN ELDER CARE 56860,A81000C,00400,0600,HOME OFFICE 56860,A81000C,00500,0100,A 56860,A81000C,00500,0200,RAYMOND L CALHOUN 56860,A81000C,00500,0400,GUARDIAN ELDER CARE 56860,A81000C,00500,0600,HOME OFFICE 56860,A81000C,00600,0100,A 56860,A81000C,00600,0200,FRANK VARISCHETTI 56860,A81000C,00600,0400,PUBLIC CREDIT LLC 56860,A81000C,00600,0600,COMMERCIAL LENDING 56860,A81000C,00700,0100,A 56860,A81000C,00700,0200,FRANK A VARISCHETTI 56860,A81000C,00700,0400,PUBLIC CREDIT LLC 56860,A81000C,00700,0600,COMMERCIAL LENDING 56860,A81000C,00800,0100,A 56860,A81000C,00800,0200,STEVEN R VARISCHETTI 56860,A81000C,00800,0400,PUBLIC CREDIT LLC 56860,A81000C,00800,0600,COMMERCIAL LENDING 56860,A81000C,00900,0100,A 56860,A81000C,00900,0200,PETER C VARISCHETTI 56860,A81000C,00900,0400,PUBLIC CREDIT LLC 56860,A81000C,00900,0600,COMMERCIAL LENDING 56860,A81000C,01000,0100,D 56860,A81000C,01000,0200,NICHOLAS VARISCHETTI 56860,A81000C,01000,0400,PUBLIC CREDIT LLC 56860,A81000C,01000,0600,COMMERCIAL LENDING 56860,B100000,00000,0100,00001SQUARE FEET 56860,B100000,00000,0101,00001SQUARE FEET 56860,B100000,00000,0102,00001SQUARE FEET 56860,B100000,00000,0200,00001SQUARE FEET 56860,B100000,00000,0300,00001GROSS SALARIES 56860,B100000,00000,0400,00001ACCUM. COST 56860,B100000,00000,0500,00001SQUARE FEET 56860,B100000,00000,0600,00001PATIENT DAYS 56860,B100000,00000,0700,00001SQUARE FEET 56860,B100000,00000,0800,00001PATIENT DAYS 56860,B100000,00000,0900,00001PATIENT DAYS 56860,B100000,00000,1000,00001PATIENT DAYS 56860,B100000,00000,1100,00001COSTED REQUIS. 56860,B100000,00000,1200,00001TIME SPENT 56860,B100000,00000,1300,00001PATIENT DAYS W/PC 56860,B100000,00000,1350,00001PATIENT DAYS W/PC 56860,B100000,00000,1400,00001TIME SPENT 56860,E10A180,00501,0100,06/12/2000 56860,E10A180,00550,0300,06/12/2000 56860,S000000,00100,0200,05/31/2000 56860,S200000,00100,0100,15 WEST WILLOW STREET 56860,S200000,00200,0100,SMETHPORT 56860,S200000,00200,0200,PA 56860,S200000,00300,0100,MCKEAN 56860,S200000,00400,0100,LAKEVIEW SENIOR CARE & LIVING CENTER 56860,S200000,00400,0200,395867 56860,S200000,00400,0300,11/30/1991 56860,S200000,00400,0500,P 56860,S200000,01500,0100,Y 56875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56875,A000000,00300,0000,00300EMPLOYEE BENEFITS 56875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56875,A000000,00700,0000,00700HOUSEKEEPING 56875,A000000,00800,0000,00800DIETARY 56875,A000000,00900,0000,00900NURSING ADMINISTRATION 56875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56875,A000000,01100,0000,01100PHARMACY 56875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56875,A000000,01300,0000,01300SOCIAL SERVICE 56875,A000000,01350,0000,01500PATIENT ACTIVITIES 56875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56875,A000000,01600,0000,01600SKILLED NURSING FACILITY 56875,A000000,01800,0000,01800NURSING FACILITY 56875,A000000,01810,0000,01810ICF/MR 56875,A000000,02100,0000,02100RADIOLOGY 56875,A000000,02200,0000,02200LABORATORY 56875,A000000,02500,0000,02500PHYSICAL THERAPY 56875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56875,A000000,02700,0000,02700SPEECH PATHOLOGY 56875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56875,A000000,03550,0000,03550FQHC 56875,A000000,05000,0000,05000CORF 56875,A000000,05010,0000,05010CMHC 56875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56875,A000000,05300,0000,05300INTEREST EXPENSE 56875,A000000,05350,0000,05600MEDICAL DIRECTOR 56875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56875,A81000A,00100,0100,Y 56875,A81000B,00100,0300,ACCOUNTING FEES 56875,A81000B,00200,0300,INT ON OPER. DEBT 56875,A81000B,00300,0300,NURSE CONSULTING 56875,A81000B,00400,0300,INT ON CAP DEBT 56875,A81000C,00100,0100,A 56875,A81000C,00100,0200,DAVID A. SMITH 56875,A81000C,00100,0400,DAVID A. SMITH 56875,A81000C,00100,0600,ACCTG FIRM 56875,A81000C,00200,0100,A 56875,A81000C,00200,0200,ALEXANDER KROT 56875,A81000C,00200,0400,ALEXANDER KROT 56875,A81000C,00200,0600,PERSONAL LOAN 56875,A81000C,00300,0100,A 56875,A81000C,00300,0200,DAVID A. SMITH 56875,A81000C,00300,0400,DAVID A. SMITH 56875,A81000C,00300,0600,PERSONAL LOAN 56875,A81000C,00400,0100,E 56875,A81000C,00400,0200,ALEXANDER KROT 56875,A81000C,00400,0400,SOUTH WINDS MGM 56875,A81000C,00400,0600,NURSE CONSULTIN 56875,A81000C,00500,0100,E 56875,A81000C,00500,0200,DAVID A. SMITH 56875,A81000C,00500,0400,SOUTH WINDS MGM 56875,A81000C,00500,0600,NURSE CONSULTIN 56875,A81000C,00600,0100,A 56875,A81000C,00600,0200,ALEXANDER KROT 56875,A81000C,00600,0400,ALEXANDER KROT 56875,A81000C,00600,0600,PERSONAL LOAN 56875,B100000,00000,0100,00000SQUARE FEET 56875,B100000,00000,0200,00000SQUARE FEET 56875,B100000,00000,0300,00000GROSS SALARIES 56875,B100000,00000,0400,00000ACCUM COST 56875,B100000,00000,0500,00000SQUARE FEET 56875,B100000,00000,0600,00000POUNDS OF LAUNDRY 56875,B100000,00000,0700,00000HOURS OF SERVICE 56875,B100000,00000,0800,00000MEALS SERVED 56875,B100000,00000,0900,00000DIRECT NRSG HRS 56875,B100000,00000,1000,00000COSTED REQUIS 56875,B100000,00000,1100,00000COSTED REQUIS 56875,B100000,00000,1200,00000PATIENT DAYS 56875,B100000,00000,1300,00000PATIENT DAYS 56875,B100000,00000,1350,00000PATIENT DAYS 56875,B100000,00000,1400,00000ASSIGNED TIME 56875,E10A180,00501,0100,12/04/2000 56875,E10A180,00501,0300,12/04/2000 56875,S000000,00100,0200,10/19/2000 56875,S200000,00100,0300,298 56875,S200000,00200,0100,MARKLEYSBURG 56875,S200000,00200,0200,PA 56875,S200000,00200,0300,15459 56875,S200000,00300,0100,FAYETTE 56875,S200000,00400,0100,SOUTH FAYETTE NURSING CENTER 56875,S200000,00400,0200,395870 56875,S200000,00400,0300,04/01/1994 56875,S200000,00400,0500,P 56875,S200000,01600,0100,Y 56875,S200000,02200,0100,Y 56875,S200000,02800,0100,Y 56886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56886,A000000,00300,0000,00300EMPLOYEE BENEFITS 56886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56886,A000000,00700,0000,00700HOUSEKEEPING 56886,A000000,00800,0000,00800DIETARY 56886,A000000,00900,0000,00900NURSING ADMINISTRATION 56886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56886,A000000,01100,0000,01100PHARMACY 56886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56886,A000000,01300,0000,01300SOCIAL SERVICE 56886,A000000,01350,0000,01500RECREATIONAL THERAPY 56886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56886,A000000,01600,0000,01600SKILLED NURSING FACILITY 56886,A000000,01800,0000,01800NURSING FACILITY 56886,A000000,01810,0000,01810ICF/MR 56886,A000000,02100,0000,02100RADIOLOGY 56886,A000000,02200,0000,02200LABORATORY 56886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56886,A000000,02500,0000,02500PHYSICAL THERAPY 56886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56886,A000000,02700,0000,02700SPEECH PATHOLOGY 56886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56886,A000000,03550,0000,03550FQHC 56886,A000000,05000,0000,05000CORF 56886,A000000,05010,0000,05010CMHC 56886,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56886,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56886,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56886,A000000,06150,0000,06300OTHER NONREIMBURSABLE 56886,A81000A,00100,0100,Y 56886,A81000B,00100,0300,MANAGEMENT FEES 56886,A81000C,00100,0100,A 56886,A81000C,00100,0200,FRANK HAYMAN 56886,A81000C,00100,0400,PENN MED 56886,A81000C,00100,0600,HOME OFFICE 56886,A81000C,00200,0100,A 56886,A81000C,00200,0200,JOHN HAYMAN 56886,A81000C,00200,0400,PENN MED 56886,A81000C,00200,0600,HOME OFFICE 56886,A81000C,00300,0100,A 56886,A81000C,00300,0200,D. GALLAGHER 56886,A81000C,00300,0400,PENN MED 56886,A81000C,00300,0600,HOME OFFICE 56886,B100000,00000,0100,00000SQUARE FEET 56886,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 56886,B100000,00000,0300,00000GROSS SALARIES 56886,B100000,00000,0400,00000ACCUMULA- TED COST 56886,B100000,00000,0500,00000SQUARE FEET 56886,B100000,00000,0600,00000POUNDS OF LAUNDRY 56886,B100000,00000,0700,00000HOURS OF SERVICE 56886,B100000,00000,0800,00000MEALS SERVED 56886,B100000,00000,0900,00000HOURS OF SERVICE 56886,B100000,00000,1000,00000PATIENT DAYS 56886,B100000,00000,1100,00000PATIENT DAYS 56886,B100000,00000,1200,00000PATIENT DAYS 56886,B100000,00000,1300,00000PATIENT DAYS 56886,B100000,00000,1350,00000PATIENT DAYS 56886,B100000,00000,1400,00000ASSIGNED TIME 56886,E10A180,00501,0100,07/06/2000 56886,E10A180,00501,0300,07/06/2000 56886,S000000,00100,0200,05/30/2000 56886,S200000,00100,0100,P.O. BOX 320 56886,S200000,00100,0300,P.O. BOX 56886,S200000,00200,0100,MILLVILLE 56886,S200000,00200,0200,PA 56886,S200000,00200,0300,17846 56886,S200000,00300,0100,COLUMBIA 56886,S200000,00400,0100,MILLVILLE HEALTH CENTER 56886,S200000,00400,0200,395872 56886,S200000,00400,0300,01/01/1975 56886,S200000,00400,0500,P 56886,S200000,00600,0200,395872 56886,S200000,00600,0300,01/01/1975 56886,S200000,00600,0600,P 56886,S200000,01600,0100,Y 56886,S200000,02200,0100,Y 56886,S200000,04700,0100,Y 56895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56895,A000000,00300,0000,00300EMPLOYEE BENEFITS 56895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56895,A000000,00700,0000,00700HOUSEKEEPING 56895,A000000,00800,0000,00800DIETARY 56895,A000000,00900,0000,00900NURSING ADMINISTRATION 56895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56895,A000000,01100,0000,01100PHARMACY 56895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56895,A000000,01300,0000,01300SOCIAL SERVICE 56895,A000000,01350,0000,01500OTHER GENERAL SERVICES 56895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56895,A000000,01600,0000,01600SKILLED NURSING FACILITY 56895,A000000,01800,0000,01800NURSING FACILITY 56895,A000000,01810,0000,01810ICF/MR 56895,A000000,02100,0000,02100RADIOLOGY 56895,A000000,02200,0000,02200LABORATORY 56895,A000000,02500,0000,02500PHYSICAL THERAPY 56895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56895,A000000,02700,0000,02700SPEECH PATHOLOGY 56895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56895,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56895,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56895,A000000,03550,0000,03550FQHC 56895,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56895,A000000,05000,0000,05000CORF 56895,A000000,05010,0000,05010CMHC 56895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56895,A81000A,00100,0100,Y 56895,A81000B,00100,0300,INTEREST EXPENSE 56895,A81000C,00100,0100,G 56895,A81000C,00100,0400,LADIES G.A.R. HOME 56895,A81000C,00100,0600,ASSISTED LIVING FACILITY 56895,B100000,00000,0100,00000SQUARE FEET 56895,B100000,00000,0200,00000SQUARE FEET 56895,B100000,00000,0300,00000GROSS SALARIES 56895,B100000,00000,0400,00000ACCUM. COST 56895,B100000,00000,0500,00000SQUARE FEET 56895,B100000,00000,0600,00000POUNDS OF LAUNDRY 56895,B100000,00000,0700,00000HOURS OF SERVICE 56895,B100000,00000,0800,00000MEALS SERVED 56895,B100000,00000,0900,00000DIRECT NRSING HRS 56895,B100000,00000,1000,00000COSTED REQUIS. 56895,B100000,00000,1100,00000COSTED REQUIS. 56895,B100000,00000,1200,00000TIME SPENT 56895,B100000,00000,1300,00000TIME SPENT 56895,B100000,00000,1350,00000NO STATISTICS 56895,B100000,00000,1400,00000ASSIGNED TIME 56895,E10A180,00501,0100,06/12/2000 56895,E10A180,00501,0300,06/12/2000 56895,S000000,00100,0200,05/30/2000 56895,S200000,00100,0100,800 ELSIE STREET 56895,S200000,00200,0100,TURTLE CREEK 56895,S200000,00200,0200,PA 56895,S200000,00300,0100,ALLEGHENY 56895,S200000,00400,0100,LGAR HEALTH & REHABILITATION CENTER 56895,S200000,00400,0200,395873 56895,S200000,00400,0300,01/01/1992 56895,S200000,00400,0500,P 56895,S200000,01600,0100,Y 56895,S200000,02200,0100,Y 56904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56904,A000000,00300,0000,00300EMPLOYEE BENEFITS 56904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56904,A000000,00700,0000,00700HOUSEKEEPING 56904,A000000,00800,0000,00800DIETARY 56904,A000000,00900,0000,00900NURSING ADMINISTRATION 56904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56904,A000000,01100,0000,01100PHARMACY 56904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56904,A000000,01300,0000,01300SOCIAL SERVICE 56904,A000000,01350,0000,01500PASTORAL SERVICES 56904,A000000,01351,0000,01501RESIDENT ACTIVITIES 56904,A000000,01352,0000,01502TRANSPORTATION 56904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56904,A000000,01600,0000,01600SKILLED NURSING FACILITY 56904,A000000,01800,0000,01800NURSING FACILITY 56904,A000000,01810,0000,01810ICF/MR 56904,A000000,01900,0000,01900OTHER LONG TERM CARE 56904,A000000,02100,0000,02100RADIOLOGY 56904,A000000,02200,0000,02200LABORATORY 56904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56904,A000000,02500,0000,02500PHYSICAL THERAPY 56904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56904,A000000,02700,0000,02700SPEECH PATHOLOGY 56904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56904,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56904,A000000,03550,0000,03550FQHC 56904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56904,A000000,05000,0000,05000CORF 56904,A000000,05010,0000,05010CMHC 56904,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56904,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56904,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56904,A000000,05300,0000,05300INTEREST EXPENSE 56904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56904,A81000A,00100,0100,Y 56904,A81000B,00100,0300,ADMIN & GENERAL COSTS 56904,A81000B,00200,0300,CAPITAL COSTS 56904,A81000B,00300,0300,CAPITAL COSTS 56904,A81000C,00100,0100,B 56904,A81000C,00100,0200,CARLISLE HOSP & HEALTH SV 56904,A81000C,00100,0400,CARLISLE HOSP & HEALTH SV 56904,A81000C,00100,0600,HEALTHCARE 56904,B100000,00000,0100,00000SQUARE FEET 56904,B100000,00000,0200,00000SQUARE FEET 56904,B100000,00000,0300,00000GROSS SALARIES 56904,B100000,00000,0400,00000ACCUM. COST 56904,B100000,00000,0500,00000TOTAL COST 56904,B100000,00000,0600,00000POUNDS OF LAUNDRY 56904,B100000,00000,0700,00000HOURS OF SERVICE 56904,B100000,00000,0800,00000MEALS SERVED 56904,B100000,00000,0900,00000NO STATISTICS 56904,B100000,00000,1000,00000NO STATISTICS 56904,B100000,00000,1100,00000NO STATISTICS 56904,B100000,00000,1200,00000NO STATISTICS 56904,B100000,00000,1300,00000TIME SPENT 56904,B100000,00000,1350,00000PATIEN DAYS 56904,B100000,00000,1351,00000PATIEN DAYS 56904,B100000,00000,1352,00000ACTUAL COSTS 56904,B100000,00000,1400,00000NO STATISTICS 56904,E10A180,00501,0100,11/30/2000 56904,E10A180,00550,0300,11/30/2000 56904,S000000,00100,0200,11/30/2000 56904,S200000,00100,0100,1 LONGSDORF WAY 56904,S200000,00200,0100,CARLISLE 56904,S200000,00200,0200,PA 56904,S200000,00200,0300,17103 56904,S200000,00300,0100,CUMBERLAND 56904,S200000,00400,0100,CUMBERLAND CROSSINGS 56904,S200000,00400,0200,395876 56904,S200000,00400,0300,05/08/1992 56904,S200000,00400,0500,P 56904,S200000,01500,0100,Y 56913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56913,A000000,00300,0000,00300EMPLOYEE BENEFITS 56913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56913,A000000,00700,0000,00700HOUSEKEEPING 56913,A000000,00800,0000,00800DIETARY 56913,A000000,00900,0000,00900NURSING ADMINISTRATION 56913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56913,A000000,01100,0000,01100PHARMACY 56913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56913,A000000,01300,0000,01300SOCIAL SERVICE 56913,A000000,01350,0000,01500PATIENT ACTIVITIES 56913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56913,A000000,01600,0000,01600SKILLED NURSING FACILITY 56913,A000000,01800,0000,01800NURSING FACILITY 56913,A000000,01810,0000,01810ICF/MR 56913,A000000,02100,0000,02100RADIOLOGY 56913,A000000,02200,0000,02200LABORATORY 56913,A000000,02500,0000,02500PHYSICAL THERAPY 56913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56913,A000000,02700,0000,02700SPEECH PATHOLOGY 56913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56913,A000000,03550,0000,03550FQHC 56913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56913,A000000,05000,0000,05000CORF 56913,A000000,05010,0000,05010CMHC 56913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56913,A000000,05300,0000,05300INTEREST EXPENSE 56913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56913,A81000A,00100,0100,Y 56913,A81000B,00100,0300,MANAGEMENT EXP - HOME OFFICE 56913,A81000B,00200,0300,CAPITAL COSTS - HOME OFFICE 56913,A81000C,00100,0100,B 56913,A81000C,00100,0400,WRC COMMUNITY HEALTH SVC 56913,A81000C,00100,0600,HOME OFFICE MANAGEMENT 56913,A81000C,00200,0100,B 56913,A81000C,00200,0400,WRC COMMUNITY HEALTH SVC 56913,A81000C,00200,0600,HOME OFFICE MANAGEMENT 56913,B100000,00000,0100,00000SQUARE FEET 56913,B100000,00000,0200,00000SQUARE FEET 56913,B100000,00000,0300,00000GROSS SALARIES 56913,B100000,00000,0400,00000ACCUM. COST 56913,B100000,00000,0500,00000SQUARE FEET 56913,B100000,00000,0600,00000POUNDS OF LAUNDRY 56913,B100000,00000,0700,00000HOURS OF SERVICE 56913,B100000,00000,0800,00000MEALS SERVED 56913,B100000,00000,0900,00000DIRECT NRSING HRS 56913,B100000,00000,1000,00000PATIENT DAYS 56913,B100000,00000,1100,00000PATIENT DAYS 56913,B100000,00000,1200,00000PATIENT DAYS 56913,B100000,00000,1300,00000PATIENT DAYS 56913,B100000,00000,1350,00000PATIENT DAYS 56913,B100000,00000,1400,00000ASSIGNED TIME 56913,E10A180,00501,0100,12/05/2000 56913,E10A180,00501,0300,12/05/2000 56913,S000000,00100,0200,11/29/2000 56913,S200000,00100,0100,90 MAIN STREET 56913,S200000,00200,0100,BROCKWAY 56913,S200000,00200,0200,PA 56913,S200000,00200,0300,15824 56913,S200000,00400,0100,HIGHLAND VIEW HEALTH CARE 56913,S200000,00400,0200,395877 56913,S200000,00400,0300,04/24/1992 56913,S200000,00400,0500,P 56913,S200000,01600,0100,Y 56921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56921,A000000,00300,0000,00300EMPLOYEE BENEFITS 56921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56921,A000000,00700,0000,00700HOUSEKEEPING 56921,A000000,00800,0000,00800DIETARY 56921,A000000,00900,0000,00900NURSING ADMINISTRATION 56921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56921,A000000,01100,0000,01100PHARMACY 56921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56921,A000000,01300,0000,01300SOCIAL SERVICE 56921,A000000,01350,0000,01500OTHER GENERAL SERVICES 56921,A000000,01351,0000,01501MCF/MR 56921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56921,A000000,01600,0000,01600SKILLED NURSING FACILITY 56921,A000000,01810,0000,01810ICF/MR 56921,A000000,01900,0000,01900OTHER LONG TERM CARE 56921,A000000,02100,0000,02100RADIOLOGY 56921,A000000,02200,0000,02200LABORATORY 56921,A000000,02500,0000,02500PHYSICAL THERAPY 56921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56921,A000000,02700,0000,02700SPEECH PATHOLOGY 56921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56921,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56921,A000000,03051,0000,03301RESPIRATORY THERAPY 56921,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56921,A000000,03550,0000,03550FQHC 56921,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56921,A000000,05000,0000,05000CORF 56921,A000000,05010,0000,05010CMHC 56921,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56921,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56921,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56921,A81000A,00100,0100,Y 56921,A81000B,00100,0300,INTEREST EXPENSE 56921,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 56921,A81000B,00300,0300,SOCIAL SERVICE 56921,A81000B,00400,0300,PLANT OPERATION & MAINTENANCE 56921,A81000C,00100,0100,B 56921,A81000C,00100,0400,SUGAR CREEK INC. 56921,A81000C,00100,0600,MANAGEMENT SERVICES & INT 56921,A81000C,00200,0100,A 56921,A81000C,00200,0200,KENNETH R. TACK JR. 56921,A81000C,00200,0600,MANAGEMENT SERVICES & INT 56921,A81000C,00300,0100,A 56921,A81000C,00300,0200,PHILLIP E. TACK 56921,A81000C,00300,0600,MANAGEMENT SERVICES & INT 56921,A81000C,00400,0100,A 56921,A81000C,00400,0200,MATTHEW P. TACK 56921,A81000C,00400,0600,MANAGEMENT SERVICES & INT 56921,A81000C,00500,0100,A 56921,A81000C,00500,0200,STEVEN D. TACK 56921,A81000C,00500,0600,MANAGEMENT SERVICES & INT 56921,B100000,00000,0100,00000COSTED REQUIS. 56921,B100000,00000,0200,00000SQUARE FEET 56921,B100000,00000,0300,00000GROSS SALARIES 56921,B100000,00000,0400,00000ACCUM. COST 56921,B100000,00000,0500,00000SQUARE FEET 56921,B100000,00000,0600,00000POUNDS OF LAUNDRY 56921,B100000,00000,0700,00000HOURS OF SERVICES 56921,B100000,00000,0800,00000MEALS SERVED 56921,B100000,00000,0900,00000DIRECT NRSING HRS 56921,B100000,00000,1000,00000COSTED REQUIS. 56921,B100000,00000,1100,00000COSTED REQUIS. 56921,B100000,00000,1200,00000COSTED REQUIS. 56921,B100000,00000,1300,00000TIME SPENT 56921,B100000,00000,1350,00000NO STATISTICS 56921,B100000,00000,1351,00000 56921,B100000,00000,1400,00000ASSIGNED TIME 56921,E10A180,00501,0100,11/30/2000 56921,E10A180,00501,0300,11/30/2000 56921,S000000,00100,0200,11/28/2000 56921,S200000,00100,0100,8221 LAMOR ROAD 56921,S200000,00200,0100,MERCER 56921,S200000,00200,0200,PA 56921,S200000,00200,0300,16137 56921,S200000,00400,0100,COUNTRYSIDE CONVALESCENT HOME 56921,S200000,00400,0200,395879 56921,S200000,00400,0300,09/11/1992 56921,S200000,00400,0500,P 56921,S200000,01500,0100,Y 56930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56930,A000000,00300,0000,00300EMPLOYEE BENEFITS 56930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56930,A000000,00700,0000,00700HOUSEKEEPING 56930,A000000,00800,0000,00800DIETARY 56930,A000000,00900,0000,00900NURSING ADMINISTRATION 56930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56930,A000000,01100,0000,01100PHARMACY 56930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56930,A000000,01300,0000,01300SOCIAL SERVICE 56930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56930,A000000,01600,0000,01600SKILLED NURSING FACILITY 56930,A000000,01810,0000,01810ICF/MR 56930,A000000,02100,0000,02100RADIOLOGY 56930,A000000,02200,0000,02200LABORATORY 56930,A000000,02500,0000,02500PHYSICAL THERAPY 56930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56930,A000000,02700,0000,02700SPEECH PATHOLOGY 56930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56930,A000000,03550,0000,03550FQHC 56930,A000000,05000,0000,05000CORF 56930,A000000,05010,0000,05010CMHC 56930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56930,A81000A,00100,0100,Y 56930,A81000B,00100,0300,MANAGEMENT FEES 56930,A81000B,00200,0300,COMMUMICATIONS REVENUE 56930,A81000B,00300,0300,PHARMACY REVENUE 56930,A81000C,00100,0100,G 56930,A81000C,00100,0200,PHOEBE SERVICES 56930,A81000C,00100,0400,PHOEBE-DEVITT H 56930,A81000C,00200,0100,G 56930,A81000C,00200,0200,PHOEBE SERVICES 56930,A81000C,00200,0400,PHOEBE-DEVITT H 56930,A81000C,00300,0100,G 56930,A81000C,00300,0200,PHOEBE SERVICES 56930,A81000C,00300,0400,PHOEBE-DEVITT H 56930,B100000,00000,0100,00000SQUARE FEET 56930,B100000,00000,0200,00000SQUARE FEET 56930,B100000,00000,0300,00000GROSS SALARIES 56930,B100000,00000,0400,00000ACCUM COST 56930,B100000,00000,0500,00000SQUARE FEET 56930,B100000,00000,0600,00000POUNDS OF LAUNDRY 56930,B100000,00000,0700,00000HOURS OF SERVICE 56930,B100000,00000,0800,00000MEALS SERVED 56930,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 56930,B100000,00000,1000,00000COSTED REQUISITIO 56930,B100000,00000,1100,00000COSTED REQUISITIO 56930,B100000,00000,1200,00000TIME SPENT 56930,B100000,00000,1300,00000TIME SPENT 56930,B100000,00000,1400,00000ASSIGNED TIME 56930,E10A180,00501,0300,01/18/2001 56930,S000000,00100,0200,11/30/2000 56930,S200000,00100,0100,1 HEIDLEBERG DRIVE 56930,S200000,00200,0100,WERNERSVILLE 56930,S200000,00200,0200,PA 56930,S200000,00200,0300,19565 56930,S200000,00300,0100,B 56930,S200000,00400,0100,PHOEBE BERKS HEALTH CARE CENTER 56930,S200000,00400,0200,395880 56930,S200000,00400,0300,09/22/1992 56930,S200000,00400,0500,P 56930,S200000,01500,0100,Y 56938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56938,A000000,00300,0000,00300EMPLOYEE BENEFITS 56938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56938,A000000,00700,0000,00700HOUSEKEEPING 56938,A000000,00800,0000,00800DIETARY 56938,A000000,00900,0000,00900NURSING ADMINISTRATION 56938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56938,A000000,01100,0000,01100PHARMACY 56938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56938,A000000,01300,0000,01300SOCIAL SERVICE 56938,A000000,01301,0000,01301ACTIVITIES 56938,A000000,01350,0000,01500OTHER GENERAL SERVICES 56938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56938,A000000,01600,0000,01600SKILLED NURSING FACILITY 56938,A000000,01800,0000,01800NURSING FACILITY 56938,A000000,01810,0000,01810ICF/MR 56938,A000000,02100,0000,02100RADIOLOGY 56938,A000000,02200,0000,02200LABORATORY 56938,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56938,A000000,02500,0000,02500PHYSICAL THERAPY 56938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56938,A000000,02700,0000,02700SPEECH PATHOLOGY 56938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56938,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56938,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56938,A000000,03550,0000,03550FQHC 56938,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56938,A000000,05000,0000,05000CORF 56938,A000000,05010,0000,05010CMHC 56938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56938,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56938,A81000A,00100,0100,Y 56938,A81000B,00100,0300,LAND RENTAL 56938,A81000B,00200,0300,FINANCIAL SERVICES 56938,A81000B,00300,0300,LABORATORY 56938,A81000B,00400,0300,PHYSICAL THERAPY 56938,A81000B,00500,0300,OCCUPATIONAL THERAPY 56938,A81000B,00600,0300,SPEECH THERAPY 56938,A81000C,00100,0100,B 56938,A81000C,00100,0200,COMMUNITY MEDICAL CENTER 56938,B100000,00000,0100,00000SQUARE FEET 56938,B100000,00000,0200,00000DEPRECIA TION 56938,B100000,00000,0300,00000GROSS SALARIES 56938,B100000,00000,0400,00000ACCUM. COST 56938,B100000,00000,0500,00000SQUARE FEET 56938,B100000,00000,0600,00000PATIENT DAYS 56938,B100000,00000,0700,00000SQUARE FT 56938,B100000,00000,0800,00000MEALS SERVED 56938,B100000,00000,0900,00000PATIENT DAYS 56938,B100000,00000,1000,00000PATIENT DAYS 56938,B100000,00000,1100,00000PATIENT DAYS 56938,B100000,00000,1200,00000PATIENT DAYS 56938,B100000,00000,1300,00000PATIENT DAYS 56938,B100000,00000,1301,00000PATIENT DAYS 56938,B100000,00000,1350,00000TIME SPENT 56938,B100000,00000,1400,00000ASSIGNED TIME 56938,E10A180,00501,0100,12/13/2000 56938,E10A180,00501,0300,12/13/2000 56938,S000000,00100,0200,11/29/2000 56938,S200000,00100,0100,2309 STAFFORD AVENUE 56938,S200000,00200,0100,SCRANTON 56938,S200000,00200,0200,PA 56938,S200000,00200,0300,18505 56938,S200000,00300,0100,SCRANTON 56938,S200000,00400,0100,MOUTAINVIEW CARE CENTER 56938,S200000,00400,0200,395881 56938,S200000,00400,0300,11/05/1992 56938,S200000,00400,0500,P 56938,S200000,01600,0100,Y 56946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56946,A000000,00300,0000,00300EMPLOYEE BENEFITS 56946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56946,A000000,00700,0000,00700HOUSEKEEPING 56946,A000000,00800,0000,00800DIETARY 56946,A000000,00900,0000,00900NURSING ADMINISTRATION 56946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56946,A000000,01100,0000,01100PHARMACY 56946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56946,A000000,01300,0000,01300SOCIAL SERVICE 56946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56946,A000000,01600,0000,01600SKILLED NURSING FACILITY 56946,A000000,01810,0000,01810ICF/MR 56946,A000000,01900,0000,01900OTHER LONG TERM CARE 56946,A000000,02100,0000,02100RADIOLOGY 56946,A000000,02200,0000,02200LABORATORY 56946,A000000,02500,0000,02500PHYSICAL THERAPY 56946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56946,A000000,02700,0000,02700SPEECH PATHOLOGY 56946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56946,A000000,03550,0000,03550FQHC 56946,A000000,05000,0000,05000CORF 56946,A000000,05010,0000,05010CMHC 56946,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56946,A000000,05300,0000,05300INTEREST EXPENSE 56946,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56946,A81000A,00100,0100,Y 56946,A81000C,00100,0100,G 56946,A81000C,00100,0400,PRESBY SENIORCA 56946,A81000C,00100,0600,CARE OF ELDERLY 56946,B100000,00000,0100,00000SQUARE FEET 56946,B100000,00000,0200,00000SQUARE FEET 56946,B100000,00000,0300,00000GROSS SALARIES 56946,B100000,00000,0400,00000ACCUM COST 56946,B100000,00000,0500,00000SQUARE FEET 56946,B100000,00000,0600,00000POUNDS OF LAUNDRY 56946,B100000,00000,0700,00000HOURS OF SERVICE 56946,B100000,00000,0800,00000MEALS SERVED 56946,B100000,00000,0900,00000DIRECT NRSG HRS 56946,B100000,00000,1000,00000COSTED REQUIS 56946,B100000,00000,1100,00000COSTED REQUIS 56946,B100000,00000,1200,00000TIME SPENT 56946,B100000,00000,1300,00000TIME SPENT 56946,B100000,00000,1400,00000ASSIGNED TIME 56946,S000000,00100,0200,05/31/2000 56946,S200000,00100,0100,500 ROUTE 909 56946,S200000,00200,0100,VERONA 56946,S200000,00200,0200,PA 56946,S200000,00200,0300,15147 56946,S200000,00300,0100,ALLEGHENY 56946,S200000,00400,0100,LONGWOOD AT OAKMONT INC. 56946,S200000,00400,0200,395882 56946,S200000,00400,0300,10/26/1992 56946,S200000,00400,0500,P 56946,S200000,01500,0100,Y 56946,S200000,01800,0100,Y 56946,S200000,01900,0100,501(C)(3) 56953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56953,A000000,00300,0000,00300EMPLOYEE BENEFITS 56953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56953,A000000,00700,0000,00700HOUSEKEEPING 56953,A000000,00800,0000,00800DIETARY 56953,A000000,00900,0000,00900NURSING ADMINISTRATION 56953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56953,A000000,01100,0000,01100PHARMACY 56953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56953,A000000,01300,0000,01300SOCIAL SERVICE 56953,A000000,01350,0000,01500RESIDENT ACTIVITIES 56953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56953,A000000,01600,0000,01600SKILLED NURSING FACILITY 56953,A000000,01800,0000,01800NURSING FACILITY 56953,A000000,01810,0000,01810ICF/MR 56953,A000000,01900,0000,01900OTHER LONG TERM CARE 56953,A000000,02100,0000,02100RADIOLOGY 56953,A000000,02200,0000,02200LABORATORY 56953,A000000,02300,0000,02300INTRAVENOUS THERAPY 56953,A000000,02500,0000,02500PHYSICAL THERAPY 56953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56953,A000000,02700,0000,02700SPEECH PATHOLOGY 56953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56953,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56953,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56953,A000000,03550,0000,03550FQHC 56953,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56953,A000000,05000,0000,05000CORF 56953,A000000,05010,0000,05010CMHC 56953,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56953,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56953,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56953,A000000,05300,0000,05300INTEREST EXPENSE 56953,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56953,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56953,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56953,B100000,00000,0100,00000SQUARE FEET 56953,B100000,00000,0200,00000SQUARE FEET 56953,B100000,00000,0300,00000GROSS SALARIES 56953,B100000,00000,0400,00000ACCUM. COST 56953,B100000,00000,0500,00000SQUARE FEET 56953,B100000,00000,0600,00000POUNDS OF LAUNDRY 56953,B100000,00000,0700,00000SQUARE FT XCL DIETAR 56953,B100000,00000,0800,00000MEALS SERVED 56953,B100000,00000,0900,00000HOURS OF SERVICE 56953,B100000,00000,1000,00000COSTED REQUIS. 56953,B100000,00000,1100,00000COSTED REQUIS. 56953,B100000,00000,1200,00000TIME SPENT 56953,B100000,00000,1300,00000TIME SPENT 56953,B100000,00000,1350,00000TIME SPENT 56953,B100000,00000,1400,00000ASSIGNED TIME 56953,E10A180,00501,0100,06/15/2000 56953,E10A180,00501,0300,06/15/2000 56953,S000000,00100,0200,05/30/2000 56953,S200000,00100,0100,909 WEST STREET 56953,S200000,00200,0100,PITTSBURGH 56953,S200000,00200,0200,PA 56953,S200000,00300,0100,ALLEGHENY 56953,S200000,00400,0100,WILKINS HOUSE 56953,S200000,00400,0200,395883 56953,S200000,00400,0300,11/01/1992 56953,S200000,00400,0500,P 56953,S200000,01600,0100,Y 56969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56969,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 56969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56969,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 56969,A000000,00300,0000,00300EMPLOYEE BENEFITS 56969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56969,A000000,00700,0000,00700HOUSEKEEPING 56969,A000000,00800,0000,00800DIETARY 56969,A000000,00801,0000,00801CAFETERIA 56969,A000000,00900,0000,00900NURSING ADMINISTRATION 56969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56969,A000000,01100,0000,01100PHARMACY 56969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56969,A000000,01300,0000,01300SOCIAL SERVICE 56969,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 56969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56969,A000000,01600,0000,01600SKILLED NURSING FACILITY 56969,A000000,01810,0000,01810ICF/MR 56969,A000000,01900,0000,01900OTHER LONG TERM CARE 56969,A000000,02100,0000,02100RADIOLOGY 56969,A000000,02200,0000,02200LABORATORY 56969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 56969,A000000,02500,0000,02500PHYSICAL THERAPY 56969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56969,A000000,02700,0000,02700SPEECH PATHOLOGY 56969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56969,A000000,03050,0000,03300OTHER ANCILLARY 56969,A000000,03051,0000,03301OTHER ANCILLARY II 56969,A000000,03052,0000,03302OTHER ANCILLARY III 56969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 56969,A000000,03550,0000,03550FQHC 56969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56969,A000000,05000,0000,05000CORF I 56969,A000000,05010,0000,05010CMHC I 56969,A000000,05020,0000,05020OPT I 56969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56969,A000000,05300,0000,05300INTEREST EXPENSE 56969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 56969,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 56969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56969,B100000,00000,0100,00000(SQUARE FEET) 56969,B100000,00000,0101,00000(SQUARE FEET) 56969,B100000,00000,0200,00000(SQUARE FEET) 56969,B100000,00000,0201,00000(SQUARE FEET) 56969,B100000,00000,0300,00000(GROSS SALARIES) 56969,B100000,00000,0400,00000(ACCUM. COST) 56969,B100000,00000,0500,00000(SQUARE FEET) 56969,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 56969,B100000,00000,0700,00000(HOURS OF SERVICE) 56969,B100000,00000,0800,00000(MEALS SERVED) 56969,B100000,00000,0801,00000(MEALS SERVED) 56969,B100000,00000,0900,00000(DIRECT NRSING HRS 56969,B100000,00000,1000,00000(COSTED REQUIS.) 56969,B100000,00000,1100,00000(COSTED REQUIS.) 56969,B100000,00000,1200,00000(TIME SPENT) 56969,B100000,00000,1300,00000(TIME SPENT) 56969,B100000,00000,1350,00000PATIENT DAYS 56969,B100000,00000,1400,00000(ASSIGNED TIME) 56969,E10A180,00501,0300,12/07/2000 56969,S000000,00100,0200,12/06/2000 56969,S200000,00100,0100,2000 CAMBRIDGE 56969,S200000,00200,0100,DAVIDSVILLE 56969,S200000,00200,0200,PA 56969,S200000,00200,0300,15928 56969,S200000,00300,0100,S 56969,S200000,00400,0100,LAUREL VIEW VILLAGE 56969,S200000,00400,0200,395891 56969,S200000,00400,0300,01/21/1993 56969,S200000,00400,0500,P 56969,S200000,01500,0100,Y 56977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56977,A000000,00300,0000,00300EMPLOYEE BENEFITS 56977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56977,A000000,00700,0000,00700HOUSEKEEPING 56977,A000000,00800,0000,00800DIETARY 56977,A000000,00900,0000,00900NURSING ADMINISTRATION 56977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56977,A000000,01100,0000,01100PHARMACY 56977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56977,A000000,01300,0000,01300SOCIAL SERVICE 56977,A000000,01350,0000,01500ACTIVITIES 56977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56977,A000000,01600,0000,01600SKILLED NURSING FACILITY 56977,A000000,01800,0000,01800NURSING FACILITY 56977,A000000,01810,0000,01810ICF/MR 56977,A000000,02100,0000,02100RADIOLOGY 56977,A000000,02200,0000,02200LABORATORY 56977,A000000,02500,0000,02500PHYSICAL THERAPY 56977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56977,A000000,02700,0000,02700SPEECH PATHOLOGY 56977,A000000,02800,0000,02800ELECTROCARDIOLOGY 56977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56977,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56977,A000000,03550,0000,03550FQHC 56977,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56977,A000000,05000,0000,05000CORF 56977,A000000,05010,0000,05010CMHC 56977,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56977,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56977,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56977,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56977,A000000,06151,0000,06301DME SUPPLIES 56977,B100000,00000,0100,00001SQUARE FEET 56977,B100000,00000,0200,00001DOLLAR VALUE 56977,B100000,00000,0300,00001GROSS SALARIES 56977,B100000,00000,0400,00001ACCUM. COST 56977,B100000,00000,0500,00001SQUARE FEET 56977,B100000,00000,0600,00001POUNDS OF LAUNDRY 56977,B100000,00000,0700,00001SQUARE FEET 56977,B100000,00000,0800,00001MEALS SERVED 56977,B100000,00000,0900,00001NURSING SALARIES 56977,B100000,00000,1000,00001COSTED REQUIS. 56977,B100000,00000,1100,00001COSTED REQUIS. 56977,B100000,00000,1200,00001GROSS SALARIES 56977,B100000,00000,1300,00001PATIENT DAYS 56977,B100000,00000,1350,00001PATIENT DAYS 56977,B100000,00000,1400,00001PATIENT DAYS 56977,E10A180,00301,0100,12/31/1999 56977,E10A180,00301,0300,12/31/1999 56977,E10A180,00302,0100,12/31/1999 56977,E10A180,00350,0300,12/31/1999 56977,S000000,00100,0200,05/31/2000 56977,S200000,00100,0100,2140 WARRENSVILLE ROAD 56977,S200000,00200,0100,MONTOURSVILLE 56977,S200000,00200,0200,PA 56977,S200000,00300,0100,LYCOMING 56977,S200000,00400,0100,VALLEY VIEW NURSING CENTER 56977,S200000,00400,0200,395895 56977,S200000,00400,0300,04/23/1993 56977,S200000,00400,0500,P 56977,S200000,01600,0100,Y 56984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56984,A000000,00300,0000,00300EMPLOYEE BENEFITS 56984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56984,A000000,00700,0000,00700HOUSEKEEPING 56984,A000000,00800,0000,00800DIETARY 56984,A000000,00900,0000,00900NURSING ADMINISTRATION 56984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56984,A000000,01100,0000,01100PHARMACY 56984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56984,A000000,01300,0000,01300SOCIAL SERVICE 56984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56984,A000000,01600,0000,01600SKILLED NURSING FACILITY 56984,A000000,01810,0000,01810ICF/MR 56984,A000000,01900,0000,01900OTHER LONG TERM CARE 56984,A000000,02100,0000,02100RADIOLOGY 56984,A000000,02200,0000,02200LABORATORY 56984,A000000,02500,0000,02500PHYSICAL THERAPY 56984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56984,A000000,02700,0000,02700SPEECH PATHOLOGY 56984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56984,A000000,03550,0000,03550FQHC 56984,A000000,05000,0000,05000CORF 56984,A000000,05010,0000,05010CMHC 56984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56984,A000000,05300,0000,05300INTEREST EXPENSE 56984,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56984,A000000,06150,0000,06300COMMUNITY 56984,A000000,06200,0000,06200PATIENTS LAUNDRY 56984,A81000A,00100,0100,Y 56984,A81000B,00100,0300,HOME OFFICE COST 56984,A81000C,00100,0100,B 56984,A81000C,00100,0200,HOMEWOOD RETIREMENT CENTE 56984,A81000C,00100,0600,HEALTHCARE 56984,B100000,00000,0100,00000(SQUARE FEET) 56984,B100000,00000,0200,00000(SQUARE FEET) 56984,B100000,00000,0300,00000(GROSS SALARIES) 56984,B100000,00000,0400,00000(ACCUM. COST) 56984,B100000,00000,0500,00000(SQUARE FEET) 56984,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 56984,B100000,00000,0700,00000(HOURS OF SERVICE) 56984,B100000,00000,0800,00000(MEALS SERVED) 56984,B100000,00000,0900,00000(DIRECT NRSG HRS) 56984,B100000,00000,1000,00000(COSTED REQUIS.) 56984,B100000,00000,1100,00000(COSTED REQUIS.) 56984,B100000,00000,1200,00000(TIME SPENT) 56984,B100000,00000,1300,00000(TIME SPENT) 56984,B100000,00000,1400,00000ASSIGNED TIME 56984,E10A180,00501,0100,07/10/2000 56984,E10A180,00501,0300,07/10/2000 56984,S000000,00100,0200,05/24/2000 56984,S200000,00100,0100,430 SOUTH MARKET STREET 56984,S200000,00200,0100,MARTINSBURG 56984,S200000,00200,0200,WV 56984,S200000,00300,0100,BLAIR 56984,S200000,00400,0100,HOMEWOOD AT MARTINSBURG 56984,S200000,00400,0200,395896 56984,S200000,00400,0300,06/01/1993 56984,S200000,00400,0500,P 56984,S200000,01600,0100,Y 56984,S200000,02200,0100,Y 56992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 56992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 56992,A000000,00300,0000,00300EMPLOYEE BENEFITS 56992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 56992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 56992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 56992,A000000,00700,0000,00700HOUSEKEEPING 56992,A000000,00800,0000,00800DIETARY 56992,A000000,00900,0000,00900NURSING ADMINISTRATION 56992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 56992,A000000,01100,0000,01100PHARMACY 56992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 56992,A000000,01300,0000,01300SOCIAL SERVICE 56992,A000000,01350,0000,01500OTHER GENERAL SERVICES 56992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 56992,A000000,01600,0000,01600SKILLED NURSING FACILITY 56992,A000000,01800,0000,01800NURSING FACILITY 56992,A000000,01810,0000,01810ICF/MR 56992,A000000,01900,0000,01900OTHER LONG TERM CARE 56992,A000000,02100,0000,02100RADIOLOGY 56992,A000000,02200,0000,02200LABORATORY 56992,A000000,02500,0000,02500PHYSICAL THERAPY 56992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 56992,A000000,02700,0000,02700SPEECH PATHOLOGY 56992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 56992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 56992,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 56992,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 56992,A000000,03550,0000,03550FQHC 56992,A000000,04750,0000,05100OTHER REIMBURSABLE COST 56992,A000000,05000,0000,05000CORF 56992,A000000,05010,0000,05010CMHC 56992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 56992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 56992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 56992,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 56992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 56992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 56992,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 56992,A000000,06151,0000,06301RETIREMENT COMMUNITY 56992,A81000A,00100,0100,Y 56992,A81000B,00100,0300,HOME OFFICE EXPENSE 56992,A81000C,00100,0100,B 56992,A81000C,00100,0200,HOMEWOOD RETIREMENT CTR 56992,A81000C,00100,0600,HEALTHCARE 56992,B100000,00000,0100,00001SQUARE FOOTAGE 56992,B100000,00000,0200,00001SQUARE FOOTAGE 56992,B100000,00000,0300,00001GROSS SALARIES 56992,B100000,00000,0400,00001ACCUM. COST 56992,B100000,00000,0500,00001SQUARE FOOTAGE 56992,B100000,00000,0600,00001POUNDS OF LAUNDRY 56992,B100000,00000,0700,00001HOURS OF SERVICE 56992,B100000,00000,0800,00001MEALS SERVED 56992,B100000,00000,0900,00001HOURS OF SERVICE 56992,B100000,00000,1000,00001COSTED REQUISTION 56992,B100000,00000,1100,00001PATIENT DAYS 56992,B100000,00000,1200,00001PATIENT DAYS 56992,B100000,00000,1300,00001HOURS OF SERVICE 56992,B100000,00000,1350,00001NO STATISTICS 56992,B100000,00000,1400,00001NO STATISTICS 56992,E10A180,00550,0300,05/31/2000 56992,S000000,00100,0200,05/24/2000 56992,S200000,00100,0100,425 WESTMINSTER AVE 56992,S200000,00200,0100,HANOVER 56992,S200000,00200,0200,PA 56992,S200000,00300,0100,YORK 56992,S200000,00400,0100,HOMEWOOD AT PLUM CREEK 56992,S200000,00400,0200,395898 56992,S200000,00400,0300,04/10/1993 56992,S200000,00400,0500,P 56992,S200000,01600,0100,Y 56992,S200000,02200,0100,Y 57002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57002,A000000,00300,0000,00300EMPLOYEE BENEFITS 57002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57002,A000000,00700,0000,00700HOUSEKEEPING 57002,A000000,00800,0000,00800DIETARY 57002,A000000,00900,0000,00900NURSING ADMINISTRATION 57002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57002,A000000,01100,0000,01100PHARMACY 57002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57002,A000000,01300,0000,01300SOCIAL SERVICE 57002,A000000,01350,0000,01500ACTIVITIES 57002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57002,A000000,01600,0000,01600SKILLED NURSING FACILITY 57002,A000000,01800,0000,01800NURSING FACILITY 57002,A000000,01810,0000,01810ICF/MR 57002,A000000,02100,0000,02100RADIOLOGY 57002,A000000,02200,0000,02200LABORATORY 57002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57002,A000000,02500,0000,02500PHYSICAL THERAPY 57002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57002,A000000,02700,0000,02700SPEECH PATHOLOGY 57002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57002,A000000,03550,0000,03550FQHC 57002,A000000,05000,0000,05000CORF 57002,A000000,05010,0000,05010CMHC 57002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57002,A81000A,00100,0100,Y 57002,A81000B,00100,0300,MANAGEMENT FEES 57002,A81000C,00100,0100,A 57002,A81000C,00100,0200,FRANCIS HAYMAN 57002,A81000C,00100,0400,PENNMED 57002,A81000C,00100,0600,HOME OFFICE 57002,A81000C,00200,0100,A 57002,A81000C,00200,0200,DRURY GALLAGHER 57002,A81000C,00200,0400,PENNMED 57002,A81000C,00200,0600,HOME OFFICE 57002,A81000C,00300,0100,A 57002,A81000C,00300,0200,JOHN HAYMAN 57002,A81000C,00300,0400,PENNMED 57002,A81000C,00300,0600,HOME OFFICE 57002,B100000,00000,0100,00000SQUARE FEET 57002,B100000,00000,0200,00000SQUARE FEET 57002,B100000,00000,0300,00000GROSS SALARIES 57002,B100000,00000,0400,00000ACCUM. COST 57002,B100000,00000,0500,00000SQUARE FEET 57002,B100000,00000,0600,00000POUNDS OF LAUNDRY 57002,B100000,00000,0700,00000SQUARE FEET 57002,B100000,00000,0800,00000MEALS SERVED 57002,B100000,00000,0900,00000DIRECT NRSING HRS 57002,B100000,00000,1000,00000COSTED REQUIS. 57002,B100000,00000,1100,00000PATIENT DAYS 57002,B100000,00000,1200,00000TIME SPENT 57002,B100000,00000,1300,00000PATIENT DAYS 57002,B100000,00000,1350,00000PATIENT DAYS 57002,B100000,00000,1400,00000ASSIGNED TIME 57002,E10A180,00501,0100,07/12/2000 57002,E10A180,00501,0300,07/12/2000 57002,E10A180,00550,0100,03/05/2001 57002,S000000,00100,0200,05/30/2000 57002,S200000,00100,0100,RD #2 57002,S200000,00100,0300,A-1 57002,S200000,00200,0100,ORANGEVILLE 57002,S200000,00200,0200,PA 57002,S200000,00200,0300,17859 57002,S200000,00300,0100,COLUMBIA 57002,S200000,00400,0100,ORANGEVILLE NURSING CENTER 57002,S200000,00400,0200,395899 57002,S200000,00400,0300,01/01/1975 57002,S200000,00400,0500,P 57002,S200000,00600,0200,395899 57002,S200000,00600,0300,01/01/1975 57002,S200000,00600,0600,P 57002,S200000,01600,0100,Y 57002,S200000,02200,0100,Y 57002,S200000,04700,0100,Y 57011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57011,A000000,00300,0000,00300EMPLOYEE BENEFITS 57011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57011,A000000,00700,0000,00700HOUSEKEEPING 57011,A000000,00800,0000,00800DIETARY 57011,A000000,00900,0000,00900NURSING ADMINISTRATION 57011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57011,A000000,01100,0000,01100PHARMACY 57011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57011,A000000,01300,0000,01300SOCIAL SERVICE 57011,A000000,01350,0000,01500ACTIVITIES 57011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57011,A000000,01600,0000,01600SKILLED NURSING FACILITY 57011,A000000,01810,0000,01810ICF/MR 57011,A000000,02100,0000,02100RADIOLOGY 57011,A000000,02200,0000,02200LABORATORY 57011,A000000,02300,0000,02300INTRAVENOUS THERAPY 57011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57011,A000000,02500,0000,02500PHYSICAL THERAPY 57011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57011,A000000,02700,0000,02700SPEECH PATHOLOGY 57011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57011,A000000,03550,0000,03550FQHC 57011,A000000,05000,0000,05000CORF 57011,A000000,05010,0000,05010CMHC 57011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57011,A000000,06150,0000,06300NON ALLOWABLE SQ FT 57011,A81000A,00100,0100,Y 57011,A81000B,00100,0300,HOME OFFICE COSTS 57011,A81000B,00400,0300,DRUGS 57011,A81000B,00500,0300,OTC DRUGS 57011,A81000B,00700,0300,PT SERVICES 57011,A81000B,00800,0300,OT SERVICES 57011,A81000B,00900,0300,ST SERVICES 57011,A81000C,00100,0100,B 57011,A81000C,00100,0200,NORMANDIE RIDGE 57011,A81000C,00100,0400,ALBRIGHT CARE 57011,A81000C,00100,0600,HOME OFFICE 57011,A81000C,00200,0400,SERVICES 57011,A81000C,00400,0100,A 57011,A81000C,00400,0200,NORMANDIE RIDGE 57011,A81000C,00400,0400,ALBRIGHT COMMUN 57011,A81000C,00400,0600,PHARMACY 57011,A81000C,00500,0400,ITY SVCS LTD. 57011,A81000C,00700,0100,A 57011,A81000C,00700,0200,NORMANDIE RIDGE 57011,A81000C,00700,0400,ALBRIGHT CARE 57011,A81000C,00700,0600,REHAB SERVICES 57011,A81000C,00800,0400,SERVICES 57011,B100000,00000,0100,00000SQUARE FEET 57011,B100000,00000,0200,00000DOLLAR VALUE 57011,B100000,00000,0300,00000GROSS SALARIES 57011,B100000,00000,0400,00000ACCUM. COST 57011,B100000,00000,0500,00000SQUARE FEET 57011,B100000,00000,0600,00000POUNDS OF LAUNDRY 57011,B100000,00000,0700,00000HOURS OF SERVICE 57011,B100000,00000,0800,00000MEALS SERVED 57011,B100000,00000,0900,00000DIRECT NRSING HRS 57011,B100000,00000,1000,00000COSTED REQUIS. 57011,B100000,00000,1100,00000COSTED REQUIS. 57011,B100000,00000,1200,00000TIME SPENT 57011,B100000,00000,1300,00000TIME SPENT 57011,B100000,00000,1350,00000OTHER 57011,B100000,00000,1400,00000ASSIGNED TIME 57011,E10A180,00501,0100,07/28/2000 57011,E10A180,00501,0300,07/28/2000 57011,S000000,00100,0200,05/31/2000 57011,S200000,00100,0100,1700 NORMANDIE DRIVE 57011,S200000,00200,0100,YORK 57011,S200000,00200,0200,PA 57011,S200000,00200,0300,17404 57011,S200000,00300,0100,YORK 57011,S200000,00400,0100,NORMANDIE RIDGE NURSING CARE CENTER 57011,S200000,00400,0200,395902 57011,S200000,00400,0300,07/02/1993 57011,S200000,00400,0500,P 57011,S200000,01500,0100,Y 57011,S200000,01700,0100,Y 57011,S200000,01900,0100,CORPORATION 57011,S200000,02200,0100,Y 57029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57029,A000000,00300,0000,00300EMPLOYEE BENEFITS 57029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57029,A000000,00700,0000,00700HOUSEKEEPING 57029,A000000,00800,0000,00800DIETARY 57029,A000000,00900,0000,00900NURSING ADMINISTRATION 57029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57029,A000000,01100,0000,01100PHARMACY 57029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57029,A000000,01300,0000,01300SOCIAL SERVICE 57029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57029,A000000,01600,0000,01600SKILLED NURSING FACILITY 57029,A000000,01810,0000,01810ICF/MR 57029,A000000,02100,0000,02100RADIOLOGY 57029,A000000,02200,0000,02200LABORATORY 57029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57029,A000000,02500,0000,02500PHYSICAL THERAPY 57029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57029,A000000,02700,0000,02700SPEECH PATHOLOGY 57029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57029,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 57029,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 57029,A000000,03550,0000,03550FQHC 57029,A000000,05000,0000,05000CORF 57029,A000000,05010,0000,05010CMHC 57029,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57029,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57029,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57029,A000000,05300,0000,05300INTEREST EXPENSE 57029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57029,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 57029,A000000,06200,0000,06200PATIENTS LAUNDRY 57029,B100000,00000,0100,00000SQUARE FEET 57029,B100000,00000,0200,00000SQUARE FEET 57029,B100000,00000,0300,00000GROSS SALARIES 57029,B100000,00000,0400,00000ACCUM COST 57029,B100000,00000,0500,00000SQUARE FEET 57029,B100000,00000,0600,00000POUNDS OF LAUNDRY 57029,B100000,00000,0700,00000HOURS OF SERVICE 57029,B100000,00000,0800,00000MEALS SERVED 57029,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 57029,B100000,00000,1000,00000COSTED REQUISITIO 57029,B100000,00000,1100,00000COSTED REQUISITIO 57029,B100000,00000,1200,00000TIME SPENT 57029,B100000,00000,1300,00000TIME SPENT 57029,B100000,00000,1400,00000ASSIGNED TIME 57029,E10A180,00550,0300,11/30/2000 57029,S000000,00100,0200,11/13/2000 57029,S200000,00100,0100,2301 EDINBORO ROAD 57029,S200000,00200,0100,ERIE 57029,S200000,00200,0200,PA 57029,S200000,00200,0300,16509 57029,S200000,00300,0100,ERIE 57029,S200000,00400,0100,FOREST VIEW SKILLED NURSING CENTER 57029,S200000,00400,0200,395907 57029,S200000,00400,0300,07/08/1993 57029,S200000,00400,0500,P 57029,S200000,01500,0100,Y 57033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57033,A000000,00300,0000,00300EMPLOYEE BENEFITS 57033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57033,A000000,00700,0000,00700HOUSEKEEPING 57033,A000000,00800,0000,00800DIETARY 57033,A000000,00900,0000,00900NURSING ADMINISTRATION 57033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57033,A000000,01100,0000,01100PHARMACY 57033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57033,A000000,01300,0000,01300SOCIAL SERVICE 57033,A000000,01350,0000,01500ACTIVITIES 57033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57033,A000000,01600,0000,01600SKILLED NURSING FACILITY 57033,A000000,01810,0000,01810ICF/MR 57033,A000000,02100,0000,02100RADIOLOGY 57033,A000000,02200,0000,02200LABORATORY 57033,A000000,02500,0000,02500PHYSICAL THERAPY 57033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57033,A000000,02700,0000,02700SPEECH PATHOLOGY 57033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57033,A000000,03550,0000,03550FQHC 57033,A000000,05000,0000,05000CORF 57033,A000000,05010,0000,05010CMHC 57033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57033,A000000,05300,0000,05300INTEREST EXPENSE 57033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57033,B100000,00000,0100,00000SQUARE FEET 57033,B100000,00000,0200,00000SQUARE FEET 57033,B100000,00000,0300,00000GROSS SALARIES 57033,B100000,00000,0400,00000ACCUM COST 57033,B100000,00000,0500,00000SQUARE FEET 57033,B100000,00000,0600,00000POUNDS OF LAUNDRY 57033,B100000,00000,0700,00000HOURS OF SERVICE 57033,B100000,00000,0800,00000MEALS SERVED 57033,B100000,00000,0900,00000DIRECT NRSG HRS 57033,B100000,00000,1000,00000COSTED REQUIS 57033,B100000,00000,1100,00000COSTED REQUIS 57033,B100000,00000,1200,00000TIME SPENT 57033,B100000,00000,1300,00000TIME SPENT 57033,B100000,00000,1350,00000PATIENT DAYS 57033,B100000,00000,1400,00000ASSIGNED TIME 57033,E10A180,00501,0100,06/09/2000 57033,E10A180,00501,0300,06/09/2000 57033,S000000,00100,0200,05/27/2000 57033,S200000,00100,0100,100 ST. FRANCIS DRIVE 57033,S200000,00200,0100,BRADFORD 57033,S200000,00200,0200,PA 57033,S200000,00200,0300,16701 57033,S200000,00300,0100,MCKEAN 57033,S200000,00400,0100,BRADFORD ECUMENICAL HOME 57033,S200000,00400,0200,395908 57033,S200000,00400,0300,01/01/1994 57033,S200000,00400,0500,P 57033,S200000,01500,0100,Y 57033,S200000,04300,0100,Y 57041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57041,A000000,00300,0000,00300EMPLOYEE BENEFITS 57041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57041,A000000,00700,0000,00700HOUSEKEEPING 57041,A000000,00800,0000,00800DIETARY 57041,A000000,00900,0000,00900NURSING ADMINISTRATION 57041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57041,A000000,01100,0000,01100PHARMACY 57041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57041,A000000,01300,0000,01300SOCIAL SERVICE 57041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57041,A000000,01600,0000,01600SKILLED NURSING FACILITY 57041,A000000,01810,0000,01810ICF/MR 57041,A000000,02100,0000,02100RADIOLOGY 57041,A000000,02200,0000,02200LABORATORY 57041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57041,A000000,02500,0000,02500PHYSICAL THERAPY 57041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57041,A000000,02700,0000,02700SPEECH PATHOLOGY 57041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57041,A000000,03550,0000,03550FQHC 57041,A000000,04800,0000,04800AMBULANCE 57041,A000000,05000,0000,05000CORF 57041,A000000,05010,0000,05010CMHC 57041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57041,A000000,05300,0000,05300INTEREST EXPENSE 57041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57041,A81000A,00100,0100,Y 57041,A81000B,01000,0300,MANAGEMENT FEE 57041,A81000B,01100,0300,PHYSICAL THERAPY 57041,A81000B,01200,0300,OCCUPATIONAL THERAPY 57041,A81000B,01300,0300,SPEECH THERAPY 57041,A81000B,01400,0300,ADMINISTRATIVE ALLOCATION 57041,A81000B,01500,0300,MEDICAL SUPPLIES 57041,A81000B,01600,0300,AMBULANCE SERVICES 57041,A81000B,01700,0300,BOOKS & SUBSCRIPTIONS 57041,A81000B,01800,0300,NURSING SERVICES 57041,A81000B,01900,0300,COMPUTER SERVICES 57041,A81000B,02000,0300,COMMUNICATION SERVICES 57041,A81000B,02100,0300,DRUGS 57041,A81000B,02200,0300,OFFICE SUPPLIES 57041,A81000B,02300,0300,DISH GLASS PAPER 57041,A81000B,02400,0300,OXYGEN 57041,A81000C,01100,0100,B 57041,A81000C,01100,0200,GUTHRIE HEALTHC 57041,A81000C,01100,0400,GUTHRIE HEALTHC 57041,A81000C,01100,0600,HEALTHCARE 57041,B100000,00000,0100,00000SQUARE FEET 57041,B100000,00000,0200,00000DOLLAR VALUE 57041,B100000,00000,0300,00000GROSS SALARIES 57041,B100000,00000,0400,00000ACCUM. COST 57041,B100000,00000,0500,00000SQUARE FEET 57041,B100000,00000,0600,00000POUNDS OF LAUNDRY 57041,B100000,00000,0700,00000HOURS OF SERVICE 57041,B100000,00000,0800,00000MEALS SERVED 57041,B100000,00000,0900,00000DIRECT NRSING HRS 57041,B100000,00000,1000,00000COSTED REQUIS. 57041,B100000,00000,1100,00000COSTED REQUIS. 57041,B100000,00000,1200,00000TIME SPENT 57041,B100000,00000,1300,00000TIME SPENT 57041,B100000,00000,1400,00000ASSIGNED TIME 57041,E10A180,00501,0300,11/30/2000 57041,E10A180,00550,0100,11/30/2000 57041,S000000,00100,0200,12/04/2000 57041,S200000,00100,0100,RD #1 BOX 1116 57041,S200000,00200,0100,FORKSVILLE 57041,S200000,00200,0200,PA 57041,S200000,00200,0300,18616 57041,S200000,00300,0100,S 57041,S200000,00400,0100,DARWAY NURSING HOME 57041,S200000,00400,0200,395909 57041,S200000,00400,0300,09/01/1993 57041,S200000,00400,0500,P 57041,S200000,01900,0100,FREESTANDING SKILLED NURSING FACILIT 57050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57050,A000000,00300,0000,00300EMPLOYEE BENEFITS 57050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57050,A000000,00700,0000,00700HOUSEKEEPING 57050,A000000,00800,0000,00800DIETARY 57050,A000000,00900,0000,00900NURSING ADMINISTRATION 57050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57050,A000000,01100,0000,01100PHARMACY 57050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57050,A000000,01300,0000,01300SOCIAL SERVICE 57050,A000000,01350,0000,01500PATIENT ACTIVITIES 57050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57050,A000000,01600,0000,01600SKILLED NURSING FACILITY 57050,A000000,01800,0000,01800NURSING FACILITY 57050,A000000,01810,0000,01810ICF/MR 57050,A000000,02100,0000,02100RADIOLOGY 57050,A000000,02200,0000,02200LABORATORY 57050,A000000,02500,0000,02500PHYSICAL THERAPY 57050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57050,A000000,02700,0000,02700SPEECH PATHOLOGY 57050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57050,A000000,03550,0000,03550FQHC 57050,A000000,05000,0000,05000CORF 57050,A000000,05010,0000,05010CMHC 57050,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57050,A000000,05300,0000,05300INTEREST EXPENSE 57050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57050,A000000,06200,0000,06200PATIENTS LAUNDRY 57050,A81000A,00100,0100,Y 57050,A81000B,00100,0300,SALARIES 57050,A81000B,00200,0300,INFOMATION SYSTEMS 57050,A81000B,00300,0300,DISABILITY INSURANCE 57050,A81000B,00400,0300,UNEMPLOYMENT COMPENS 57050,A81000B,00500,0300,FICA MC & SS 57050,A81000B,00600,0300,MED DIR SALARY 57050,A81000B,00700,0300,PGC LEASED EMPLOYEE 57050,A81000B,00800,0300,PHYSICAL THERAPY 57050,A81000B,00900,0300,OFFICE SUPPLIES 57050,A81000B,00901,0300,WORKERC COMP 57050,A81000B,00902,0300,MEDICAL MALPRACTICE 57050,A81000B,00903,0300,GENERAL LIABILITY 57050,A81000B,00904,0300,UNEMPLOYMENT COMPENS 57050,A81000B,00905,0300,PROPERTY INSURANCE 57050,A81000B,00906,0300,TU PHONE 57050,A81000B,00907,0300,TU MEMORY UPGRADE 57050,A81000B,00908,0300,AUDIT FEES 57050,A81000B,00909,0300,LEGAL FEES 57050,A81000B,00910,0300,IN-HOUSE PAGERS 57050,A81000B,00911,0300,BANK FEES 57050,A81000B,00912,0300,INVENTORY 57050,A81000B,00913,0300,LAB BILLINGS 57050,A81000B,00914,0300,PURCHASED SERVICES 57050,A81000B,00915,0300,GRANT INCOME 57050,A81000B,00916,0300,TIAA CREF 57050,A81000B,00917,0300,EMPLOYEE PHYSICALS 57050,A81000B,00918,0300,MANAGEMENT FEES 57050,A81000B,00919,0300,CAPITAL INTEREST 57050,A81000B,00920,0300,INT-MME 57050,A81000B,01000,0300,CONFERENCES & MEETIN 57050,A81000B,01100,0300,TRAVEL 57050,A81000B,01200,0300,MILEAGE 57050,A81000B,01300,0300,ADVERTISING 57050,A81000B,01400,0300,SUBSCRIPTIONS 57050,A81000B,01500,0300,GROUP ACTIVITIES 57050,A81000B,01600,0300,FEDEX/COURIER 57050,A81000B,01700,0300,TELEPHONE EXPENSE 57050,A81000B,01800,0300,CAPITAL LEASE 57050,A81000B,01900,0300,CATERING 57050,A81000B,02000,0300,CONSULTING FEES 57050,A81000B,02100,0300,AUDIT FEES 57050,A81000B,02200,0300,AGENCY FEES 57050,A81000B,02300,0300,FB DISTRIBUTION 57050,A81000B,02400,0300,GROUP HEALTH INSURAN 57050,A81000B,02500,0300,LIFE INSURANCE 57050,A81000B,02600,0300,OFFSET EMPLOYEE DED 57050,A81000B,02700,0300,PENSION COSTS 57050,A81000B,02800,0300,PRESCRIPTION PLAN 57050,A81000B,02900,0300,WITHHOLDING ADJUST 57050,A81000C,00100,0100,B 57050,A81000C,00100,0200,TEMPLE CONT CAR 57050,A81000C,00100,0400,T.U. HEALTH SYS 57050,A81000C,00100,0600,HEALTH SYSTEM 57050,A81000C,00200,0100,B 57050,A81000C,00200,0200,TEMPLE UNIV HOS 57050,A81000C,00200,0400,T.U. HEALTH SYS 57050,A81000C,00200,0600,KEALTH SYSTEM 57050,A81000C,00300,0100,B 57050,A81000C,00300,0200,T.U. HEALTH SYS 57050,B100000,00000,0100,00000SQUARE FEET 57050,B100000,00000,0200,00000SQUARE FEET 57050,B100000,00000,0300,00000GROSS SALARIES 57050,B100000,00000,0400,00000ACCUM COST 57050,B100000,00000,0500,00000SQUARE FEET 57050,B100000,00000,0600,00000POUNDS OF LAUNDRY 57050,B100000,00000,0700,00000HOURS OF SERVICE 57050,B100000,00000,0800,00000MEALS SERVED 57050,B100000,00000,0900,00000DIRECT NRSG HRS 57050,B100000,00000,1000,00000COSTED REQUIS 57050,B100000,00000,1100,00000COSTED REQUIS 57050,B100000,00000,1200,00000TIME SPENT 57050,B100000,00000,1300,00000TIME SPENT 57050,B100000,00000,1350,00000TIME SPENT 57050,B100000,00000,1400,00000ASSIGNED TIME 57050,E10A180,00501,0100,01/18/2001 57050,E10A180,00501,0300,01/18/2001 57050,S000000,00100,0200,11/30/2000 57050,S200000,00100,0100,1500-14 NORTH 15TH STREET 57050,S200000,00200,0100,PHILADELPHIA 57050,S200000,00200,0200,PA 57050,S200000,00200,0300,19121 57050,S200000,00300,0100,PHILADELPHIA 57050,S200000,00400,0100,ELMIRA JEFFRIES MEMORIAL HOME 57050,S200000,00400,0200,395914 57050,S200000,00400,0300,01/01/1994 57050,S200000,00400,0500,P 57050,S200000,00400,0600,O 57050,S200000,01600,0100,Y 57050,S200000,01900,0100,UNIVERSITY 57050,S200000,02200,0100,Y 57057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57057,A000000,00300,0000,00300EMPLOYEE BENEFITS 57057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57057,A000000,00700,0000,00700HOUSEKEEPING 57057,A000000,00800,0000,00800DIETARY 57057,A000000,00900,0000,00900NURSING ADMINISTRATION 57057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57057,A000000,01100,0000,01100PHARMACY 57057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57057,A000000,01300,0000,01300SOCIAL SERVICE 57057,A000000,01301,0000,01301RESIDENT ACTIVITIES 57057,A000000,01350,0000,01500OTHER GENERAL SERVICES 57057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57057,A000000,01600,0000,01600SKILLED NURSING FACILITY 57057,A000000,01810,0000,01810ICF/MR 57057,A000000,01900,0000,01900OTHER LONG TERM CARE 57057,A000000,02100,0000,02100RADIOLOGY 57057,A000000,02200,0000,02200LABORATORY 57057,A000000,02300,0000,02300INTRAVENOUS THERAPY 57057,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57057,A000000,02500,0000,02500PHYSICAL THERAPY 57057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57057,A000000,02700,0000,02700SPEECH PATHOLOGY 57057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57057,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57057,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57057,A000000,03550,0000,03550FQHC 57057,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57057,A000000,05000,0000,05000CORF 57057,A000000,05010,0000,05010CMHC 57057,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57057,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57057,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57057,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57057,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57057,A81000A,00100,0100,Y 57057,A81000B,00100,0300,INTEREST EXPENSE-PYTHIAS 57057,A81000B,00200,0300,FLOWERS 57057,A81000C,00100,0100,E 57057,A81000C,00100,0200,GRAND LODGE-KNIGHTS OF PY 57057,A81000C,00100,0400,KNIGHTS OF PYTHIAS 57057,A81000C,00100,0600,FATERNAL 57057,A81000C,00200,0100,E 57057,A81000C,00200,0200,MICHAEL HYNUM 57057,A81000C,00200,0400,H Y FRYE INC 57057,A81000C,00200,0600,FLOWER SHOP 57057,B100000,00000,0100,00000SQUARE FEET 57057,B100000,00000,0200,00000SQUARE FEET 57057,B100000,00000,0300,00000GROSS SALARIES 57057,B100000,00000,0400,00000ACCUM. COST 57057,B100000,00000,0500,00000SQUARE FEET 57057,B100000,00000,0600,00000POUNDS OF LAUNDRY 57057,B100000,00000,0700,00000SQUARE FEET 57057,B100000,00000,0800,00000MEALS SERVED 57057,B100000,00000,0900,00000PATIENT DAYS 57057,B100000,00000,1000,00000NO STATISTICS 57057,B100000,00000,1100,00000NO STATISTICS 57057,B100000,00000,1200,00000NO STATISTICS 57057,B100000,00000,1300,00000PATIENT DAYS 57057,B100000,00000,1301,00000PATIENT DAYS 57057,B100000,00000,1350,00000TIME SPENT 57057,B100000,00000,1400,00000PATIENT DAYS 57057,E10A180,00501,0100,11/22/2000 57057,E10A180,00550,0300,11/22/2000 57057,S000000,00100,0200,11/07/2000 57057,S200000,00100,0100,25 COVE ROAD 57057,S200000,00200,0100,DUNCANNON 57057,S200000,00200,0200,PA 57057,S200000,00200,0300,17020 57057,S200000,00300,0100,PERRY 57057,S200000,00400,0100,KINKORA PYTHIAN HOME 57057,S200000,00400,0200,395915 57057,S200000,00400,0300,12/08/1993 57057,S200000,00400,0500,P 57057,S200000,01500,0100,Y 57065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57065,A000000,00300,0000,00300EMPLOYEE BENEFITS 57065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57065,A000000,00700,0000,00700HOUSEKEEPING 57065,A000000,00800,0000,00800DIETARY 57065,A000000,00900,0000,00900NURSING ADMINISTRATION 57065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57065,A000000,01100,0000,01100PHARMACY 57065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57065,A000000,01300,0000,01300SOCIAL SERVICE 57065,A000000,01350,0000,01500PATIENT ACTIVITIES 57065,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57065,A000000,01600,0000,01600SKILLED NURSING FACILITY 57065,A000000,01810,0000,01810ICF/MR 57065,A000000,02100,0000,02100RADIOLOGY 57065,A000000,02200,0000,02200LABORATORY 57065,A000000,02300,0000,02300INTRAVENOUS THERAPY 57065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57065,A000000,02500,0000,02500PHYSICAL THERAPY 57065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57065,A000000,02700,0000,02700SPEECH PATHOLOGY 57065,A000000,02800,0000,02800ELECTROCARDIOLOGY 57065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57065,A000000,03550,0000,03550FQHC 57065,A000000,05000,0000,05000CORF 57065,A000000,05010,0000,05010CMHC 57065,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57065,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57065,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57065,A000000,06150,0000,06300RESIDENTIAL 57065,A81000A,00100,0100,Y 57065,A81000B,00100,0300,MANAGEMENT SUPPORT 57065,A81000B,00200,0300,MANAGEMENT SUPPORT 57065,A81000B,00300,0300,MANAGEMENT SUPPORT 57065,A81000B,00400,0300,DATA PROCESSING 57065,A81000B,00500,0300,DATA PROCESSING 57065,A81000B,00600,0300,DATA PROCESSING 57065,A81000B,00700,0300,PHARMACY 57065,A81000B,00800,0300,OTC DRUGS 57065,A81000B,00900,0300,MEDICAL SUPPLIES 57065,A81000B,01000,0300,MEDICAL SUPPLIES 57065,A81000B,01100,0300,MEDICAL SUPPLIES 57065,A81000B,01200,0300,PHARMACY SUPPLIES 57065,A81000B,01300,0300,PHARMACY 57065,A81000B,01400,0300,PHARMACY (CAPITAL) 57065,A81000C,00100,0100,B 57065,A81000C,00100,0400,PHI INC. 57065,A81000C,00100,0600,MANAGEMENT SUPP 57065,A81000C,00200,0100,B 57065,A81000C,00200,0400,PRELUDE SYSTEMS 57065,A81000C,00200,0600,INFORMATION SYS 57065,A81000C,00300,0100,B 57065,A81000C,00300,0400,CONTINUING CARE 57065,A81000C,00300,0600,PHARMACEUTICALS 57065,B100000,00000,0100,00000SQUARE FEET 57065,B100000,00000,0200,00000SQUARE FEET 57065,B100000,00000,0300,00000GROSS SALARIES 57065,B100000,00000,0400,00000ACCUM COST 57065,B100000,00000,0500,00000SQUARE FEET 57065,B100000,00000,0600,00000POUNDS OF LAUNDRY 57065,B100000,00000,0700,00000SQ FT EX KITCHEN 57065,B100000,00000,0800,00000MEALS SERVED 57065,B100000,00000,0900,00000DIRECT NRSG HRS 57065,B100000,00000,1000,00000COSTED REQUIS 57065,B100000,00000,1100,00000COSTED REQUIS 57065,B100000,00000,1200,00000PATIENT DAYS 57065,B100000,00000,1300,00000PATIENT DAYS 57065,B100000,00000,1350,00000PATIENT DAYS 57065,B100000,00000,1400,00000ASSIGNED TIME 57065,E10A180,00550,0100,05/31/2000 57065,E10A180,00550,0300,05/31/2000 57065,S000000,00100,0200,05/31/2000 57065,S200000,00100,0100,1 KIRKLAND VILLAGE CIRCLE 57065,S200000,00200,0100,BETHLEHEM 57065,S200000,00200,0200,PA 57065,S200000,00200,0300,18017 57065,S200000,00300,0100,NORTHAMPTON 57065,S200000,00400,0100,KIRKLAND VILLAGE 57065,S200000,00400,0200,395916 57065,S200000,00400,0300,01/06/1994 57065,S200000,00400,0500,P 57065,S200000,01500,0100,Y 57081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57081,A000000,00300,0000,00300EMPLOYEE BENEFITS 57081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57081,A000000,00700,0000,00700HOUSEKEEPING 57081,A000000,00800,0000,00800DIETARY 57081,A000000,00900,0000,00900NURSING ADMINISTRATION 57081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57081,A000000,01100,0000,01100PHARMACY 57081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57081,A000000,01300,0000,01300SOCIAL SERVICE 57081,A000000,01350,0000,01500OTHER GENERAL SERVICES 57081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57081,A000000,01600,0000,01600SKILLED NURSING FACILITY 57081,A000000,01810,0000,01810ICF/MR 57081,A000000,01900,0000,01900OTHER LONG TERM CARE 57081,A000000,02100,0000,02100RADIOLOGY 57081,A000000,02200,0000,02200LABORATORY 57081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57081,A000000,02500,0000,02500PHYSICAL THERAPY 57081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57081,A000000,02700,0000,02700SPEECH PATHOLOGY 57081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57081,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57081,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57081,A000000,03550,0000,03550FQHC 57081,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57081,A000000,05000,0000,05000CORF 57081,A000000,05010,0000,05010CMHC 57081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57081,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57081,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57081,A81000A,00100,0100,Y 57081,A81000B,00100,0300,LEGAL FEES 57081,A81000B,00200,0300,COMPUTER EQUIP/SUPPORT 57081,A81000B,00300,0300,401K PLAN TRUSTEE/INVESTMENTS 57081,A81000C,00100,0100,D 57081,A81000C,00100,0200,GEORGE GLEN 57081,A81000C,00100,0400,GLEN AND GLEN 57081,A81000C,00100,0600,LAW FIRM 57081,A81000C,00200,0100,D 57081,A81000C,00200,0200,CHERYL STEARN 57081,A81000C,00200,0400,SUNRISE ELECTRONIC DISTR 57081,A81000C,00200,0600,COMPUTER CONSULTANT 57081,A81000C,00300,0100,D 57081,A81000C,00300,0200,CHUCK NELSON/ ED HECKMAN 57081,A81000C,00300,0400,SENTRY TRUST COMPANY 57081,A81000C,00300,0600,TRUST COMPANY 57081,B100000,00000,0100,00000SQUARE FEET 57081,B100000,00000,0200,00000SQUARE FEET 57081,B100000,00000,0300,00000GROSS SALARIES 57081,B100000,00000,0400,00000ACCUM. COST 57081,B100000,00000,0500,00000SQUARE FEET 57081,B100000,00000,0600,00000PATIENT DAYS 57081,B100000,00000,0700,00000SQUARE FEET 57081,B100000,00000,0800,00000MEALS SERVED 57081,B100000,00000,0900,00000NURSING SALARIES 57081,B100000,00000,1000,00000NO STATISTICS 57081,B100000,00000,1100,00000NO STATISTICS 57081,B100000,00000,1200,00000PATIENT DAYS 57081,B100000,00000,1300,00000PATIENT DAYS 57081,B100000,00000,1350,00000PATIENT DAYS 57081,B100000,00000,1400,00000NO STATISTICS 57081,E10A180,00501,0100,06/15/2000 57081,E10A180,00550,0300,06/15/2000 57081,E10A180,00551,0100,08/30/2001 57081,E10A180,00551,0300,08/30/2001 57081,S000000,00100,0200,05/25/2000 57081,S200000,00100,0100,55 SOUTH SECOND STREET 57081,S200000,00200,0100,CHAMBERSBURG 57081,S200000,00200,0200,PA 57081,S200000,00300,0100,FRANKLIN 57081,S200000,00400,0100,THE SHOOK HOME 57081,S200000,00400,0200,395918 57081,S200000,00400,0300,12/13/1993 57081,S200000,00400,0500,P 57081,S200000,01500,0100,Y 57089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57089,A000000,00300,0000,00300EMPLOYEE BENEFITS 57089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57089,A000000,00700,0000,00700HOUSEKEEPING 57089,A000000,00800,0000,00800DIETARY 57089,A000000,00900,0000,00900NURSING ADMINISTRATION 57089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57089,A000000,01100,0000,01100PHARMACY 57089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57089,A000000,01300,0000,01300SOCIAL SERVICE 57089,A000000,01350,0000,01500PATIENT ACTIVITIES 57089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57089,A000000,01600,0000,01600SKILLED NURSING FACILITY 57089,A000000,01810,0000,01810ICF/MR 57089,A000000,02100,0000,02100RADIOLOGY 57089,A000000,02200,0000,02200LABORATORY 57089,A000000,02300,0000,02300INTRAVENOUS THERAPY 57089,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57089,A000000,02500,0000,02500PHYSICAL THERAPY 57089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57089,A000000,02700,0000,02700SPEECH PATHOLOGY 57089,A000000,02701,0000,02701SPECIALTY BEDS 57089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57089,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57089,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57089,A000000,03550,0000,03550FQHC 57089,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57089,A000000,05000,0000,05000CORF 57089,A000000,05010,0000,05010CMHC 57089,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57089,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57089,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57089,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57089,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57089,A000000,06150,0000,06300PERSONAL CARE 57089,A000000,06151,0000,06301BECOMING CENTER 57089,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 57089,A81000A,00100,0100,Y 57089,A81000B,00100,0300,MANAGEMENT FEE 57089,A81000C,00100,0100,B 57089,A81000C,00100,0200,ARTMAN FOUNDATION 57089,A81000C,00100,0400,ARTMAN FOUNDATION 57089,A81000C,00100,0600,MANAGEMENT 57089,B100000,00000,0100,00002SQUARE FEET 57089,B100000,00000,0200,00002NO STATISTICS 57089,B100000,00000,0300,00002GROSS SALARIES 57089,B100000,00000,0400,00002ACCUM. COST 57089,B100000,00000,0500,00002SQUARE FEET 57089,B100000,00000,0600,00002POUNDS OF LAUNDRY 57089,B100000,00000,0700,00002SQ FT EXCL DIE 57089,B100000,00000,0800,00002MEALS SERVED 57089,B100000,00000,0900,00002PATIENT DAYS 57089,B100000,00000,1000,00002PATIENT DAYS 57089,B100000,00000,1100,00002NO STATISTICS 57089,B100000,00000,1200,00002TIME SPENT 57089,B100000,00000,1300,00002TIME SPENT 57089,B100000,00000,1350,00002TIME SPENT 57089,B100000,00000,1400,00002NO STATISTICS 57089,E10A180,00550,0300,12/04/2000 57089,S000000,00100,0200,11/24/2000 57089,S200000,00100,0100,250 NORTH BETHLEHEM PIKE 57089,S200000,00200,0100,AMBLER 57089,S200000,00200,0200,PA 57089,S200000,00200,0300,19002 57089,S200000,00300,0100,MONTGOMERY 57089,S200000,00400,0100,ARTMAN LUTHERAN HOME 57089,S200000,00400,0200,395922 57089,S200000,00400,0300,03/04/1994 57089,S200000,00400,0500,P 57089,S200000,01500,0100,Y 57092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57092,A000000,00300,0000,00300EMPLOYEE BENEFITS 57092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57092,A000000,00700,0000,00700HOUSEKEEPING 57092,A000000,00800,0000,00800DIETARY 57092,A000000,00900,0000,00900NURSING ADMINISTRATION 57092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57092,A000000,01100,0000,01100PHARMACY 57092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57092,A000000,01300,0000,01300SOCIAL SERVICE 57092,A000000,01301,0000,01301RESIDENT ACTIVITIES 57092,A000000,01350,0000,01500OTHER GENERAL SERVICES 57092,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57092,A000000,01600,0000,01600SKILLED NURSING FACILITY 57092,A000000,01810,0000,01810ICF/MR 57092,A000000,01900,0000,01900OTHER LONG TERM CARE 57092,A000000,02100,0000,02100RADIOLOGY 57092,A000000,02200,0000,02200LABORATORY 57092,A000000,02300,0000,02300INTRAVENOUS THERAPY 57092,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57092,A000000,02500,0000,02500PHYSICAL THERAPY 57092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57092,A000000,02700,0000,02700SPEECH PATHOLOGY 57092,A000000,02800,0000,02800ELECTROCARDIOLOGY 57092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57092,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57092,A000000,03550,0000,03550FQHC 57092,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57092,A000000,05000,0000,05000CORF 57092,A000000,05010,0000,05010CMHC 57092,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57092,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57092,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57092,A000000,05300,0000,05300INTEREST EXPENSE 57092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57092,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57092,B100000,00000,0100,00000SQUARE FEET 57092,B100000,00000,0200,00000DOLLAR VALUE 57092,B100000,00000,0300,00000GROSS SALARIES 57092,B100000,00000,0400,00000ACCUM. COST 57092,B100000,00000,0500,00000ACTUAL COSTS 57092,B100000,00000,0600,00000POUNDS OF LAUNDRY 57092,B100000,00000,0700,00000HOURS OF SERVICE 57092,B100000,00000,0800,00000MEALS SERVED 57092,B100000,00000,0900,00000NURSING SALARIES 57092,B100000,00000,1000,00000COSTED REQUIS. 57092,B100000,00000,1100,00000COSTED REQUIS. 57092,B100000,00000,1200,00000TIME SPENT 57092,B100000,00000,1300,00000PATIENT DAYS 57092,B100000,00000,1301,00000PATIENT DAYS 57092,B100000,00000,1350,00000TIME SPENT 57092,B100000,00000,1400,00000ASSIGNED TIME 57092,E10A180,00501,0100,06/01/2000 57092,S000000,00100,0200,04/28/2000 57092,S200000,00100,0100,770 SOUTH HANOVER STREET 57092,S200000,00200,0100,CARLISLE 57092,S200000,00200,0200,PA 57092,S200000,00300,0100,CUMBERLAND 57092,S200000,00400,0100,CHAPEL POINTE AT CARLISLE 57092,S200000,00400,0200,395923 57092,S200000,00400,0300,02/01/1994 57092,S200000,00400,0500,P 57092,S200000,01500,0100,Y 57092,S200000,02800,0100,Y 57101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57101,A000000,00300,0000,00300EMPLOYEE BENEFITS 57101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57101,A000000,00700,0000,00700HOUSEKEEPING 57101,A000000,00800,0000,00800DIETARY 57101,A000000,00900,0000,00900NURSING ADMINISTRATION 57101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57101,A000000,01100,0000,01100PHARMACY 57101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57101,A000000,01300,0000,01300SOCIAL SERVICE 57101,A000000,01350,0000,01500ACTIVITIES 57101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57101,A000000,01600,0000,01600SKILLED NURSING FACILITY 57101,A000000,01800,0000,01800NURSING FACILITY 57101,A000000,01810,0000,01810ICF/MR 57101,A000000,01900,0000,01900OTHER LONG TERM CARE 57101,A000000,02100,0000,02100RADIOLOGY 57101,A000000,02200,0000,02200LABORATORY 57101,A000000,02500,0000,02500PHYSICAL THERAPY 57101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57101,A000000,02700,0000,02700SPEECH PATHOLOGY 57101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57101,A000000,03550,0000,03550FQHC 57101,A000000,04800,0000,04800AMBULANCE 57101,A000000,05000,0000,05000CORF 57101,A000000,05010,0000,05010CMHC 57101,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57101,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57101,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57101,A000000,06150,0000,06300RESIDENTIAL 57101,B100000,00000,0100,00000SQUARE FEET 57101,B100000,00000,0200,00000DOLLAR VALUE 57101,B100000,00000,0300,00000GROSS SALARIES 57101,B100000,00000,0400,00000ACCUM. COST 57101,B100000,00000,0500,00000SQUARE FEET 57101,B100000,00000,0600,00000POUNDS OF LAUNDRY 57101,B100000,00000,0700,00000HOURS OF SERVICE 57101,B100000,00000,0800,00000MEALS SERVED 57101,B100000,00000,0900,00000DIRECT NRSING HRS 57101,B100000,00000,1000,00000COSTED REQUIS. 57101,B100000,00000,1100,00000COSTED REQUIS. 57101,B100000,00000,1200,00000PATIENT DAYS 57101,B100000,00000,1300,00000PATIENT DAYS 57101,B100000,00000,1350,00000PATIENT DAYS 57101,B100000,00000,1400,00000PATIENT DAYS 57101,E10A180,00501,0100,06/12/2000 57101,E10A180,00501,0300,06/12/2000 57101,S000000,00100,0200,05/24/2000 57101,S200000,00100,0100,450 EAST LINCOLN AVE 57101,S200000,00200,0100,MYERSTOWN 57101,S200000,00200,0200,PA 57101,S200000,00300,0100,LEBANON 57101,S200000,00400,0100,GRACE COMMUNITY HCC 57101,S200000,00400,0200,395927 57101,S200000,00400,0300,02/23/1994 57101,S200000,00400,0500,P 57101,S200000,01600,0100,Y 57114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57114,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIPME 57114,A000000,00300,0000,00300EMPLOYEE BENEFITS 57114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57114,A000000,00700,0000,00700HOUSEKEEPING 57114,A000000,00800,0000,00800DIETARY 57114,A000000,00900,0000,00900NURSING ADMINISTRATION 57114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57114,A000000,01100,0000,01100PHARMACY 57114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57114,A000000,01300,0000,01300SOCIAL SERVICE 57114,A000000,01350,0000,01500OTHER GENERAL SERVICES 57114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57114,A000000,01600,0000,01600SKILLED NURSING FACILITY 57114,A000000,01810,0000,01810ICF/MR 57114,A000000,02300,0000,02300INTRAVENOUS THERAPY 57114,A000000,02500,0000,02500PHYSICAL THERAPY 57114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57114,A000000,02700,0000,02700SPEECH PATHOLOGY 57114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57114,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57114,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57114,A000000,03550,0000,03550FQHC 57114,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57114,A000000,05000,0000,05000CORF 57114,A000000,05010,0000,05010CMHC 57114,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57114,A000000,05300,0000,05300INTEREST EXPENSE 57114,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57114,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57114,B100000,00000,0100,00000SQ FEET 57114,B100000,00000,0200,00000NO STATISTICS 57114,B100000,00000,0201,00000NO STATISTICS 57114,B100000,00000,0300,00000GROSS SALARIES 57114,B100000,00000,0400,00000ACCUM. COST 57114,B100000,00000,0500,00000SQ FEET 57114,B100000,00000,0600,00000PATIENT DAYS 57114,B100000,00000,0700,00000SQ FEET 57114,B100000,00000,0800,00000MEALS SERVED 57114,B100000,00000,0900,00000HOURS WORKED 57114,B100000,00000,1000,00000PATIENT DAYS 57114,B100000,00000,1100,00000PATIENT DAYS 57114,B100000,00000,1200,00000NO STATISTICS 57114,B100000,00000,1300,00000PATIENT DAYS 57114,B100000,00000,1350,00000NO STATISTICS 57114,B100000,00000,1400,00000NO STATISTICS 57114,S000000,00100,0200,05/31/2000 57114,S200000,00100,0100,PENNSLVANIA AVENUE 57114,S200000,00200,0100,SHENADOAH 57114,S200000,00200,0200,PA 57114,S200000,00300,0100,SCHUYKILL 57114,S200000,00400,0100,HEIGHTS NURSING HOME 57114,S200000,00400,0200,395929 57114,S200000,00400,0300,06/01/1997 57114,S200000,00400,0500,P 57114,S200000,01600,0100,Y 57124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57124,A000000,00300,0000,00300EMPLOYEE BENEFITS 57124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57124,A000000,00700,0000,00700HOUSEKEEPING 57124,A000000,00800,0000,00800DIETARY 57124,A000000,00900,0000,00900NURSING ADMINISTRATION 57124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57124,A000000,01100,0000,01100PHARMACY 57124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57124,A000000,01300,0000,01300SOCIAL SERVICE 57124,A000000,01350,0000,01500PATIENT ACTIVITIES 57124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57124,A000000,01600,0000,01600SKILLED NURSING FACILITY 57124,A000000,01800,0000,01800NURSING FACILITY 57124,A000000,01810,0000,01810ICF/MR 57124,A000000,02100,0000,02100RADIOLOGY 57124,A000000,02200,0000,02200LABORATORY 57124,A000000,02500,0000,02500PHYSICAL THERAPY 57124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57124,A000000,02700,0000,02700SPEECH PATHOLOGY 57124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57124,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57124,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57124,A000000,03550,0000,03550FQHC 57124,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57124,A000000,05000,0000,05000CORF 57124,A000000,05010,0000,05010CMHC 57124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57124,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57124,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57124,A81000A,00100,0100,Y 57124,A81000B,00100,0300,PT 57124,A81000B,00200,0300,OT 57124,A81000B,00300,0300,ST 57124,A81000B,00400,0300,LAB 57124,A81000B,00500,0300,RADIOLOGY 57124,A81000B,00600,0300,MANAGEMENT FEE 57124,A81000C,00100,0100,G 57124,A81000C,00100,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00100,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00100,0600,HOSPITAL 57124,A81000C,00200,0100,G 57124,A81000C,00200,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00200,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00200,0600,HOSPITAL 57124,A81000C,00300,0100,G 57124,A81000C,00300,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00300,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00300,0600,HOSPITAL 57124,A81000C,00400,0100,G 57124,A81000C,00400,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00400,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00400,0600,HOSPITAL 57124,A81000C,00500,0100,G 57124,A81000C,00500,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00500,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00500,0600,HOSPITAL 57124,A81000C,00600,0100,G 57124,A81000C,00600,0200,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00600,0400,WAYNE MEMORIAL HOSPITAL 57124,A81000C,00600,0600,HOSPITAL 57124,A81000C,00700,0100,G 57124,B100000,00000,0100,00000SQUARE FEET 57124,B100000,00000,0200,00000NO STATISTICS 57124,B100000,00000,0300,00000GROSS SALARIES 57124,B100000,00000,0400,00000ACCUM. COST 57124,B100000,00000,0500,00000SQUARE FEET 57124,B100000,00000,0600,00000POUNDS OF LAUNDRY 57124,B100000,00000,0700,00000SQU FT EXCL D 57124,B100000,00000,0800,00000PATIENT DAYS 57124,B100000,00000,0900,00000PATIENT DAYS 57124,B100000,00000,1000,00000PATIENT DAYS 57124,B100000,00000,1100,00000PATIENT DAYS 57124,B100000,00000,1200,00000PATIENT DAYS 57124,B100000,00000,1300,00000PATIENT DAYS 57124,B100000,00000,1350,00000PATIENT DAYS 57124,B100000,00000,1400,00000NO STATISTICS 57124,E10A180,00350,0100,12/16/1999 57124,E10A180,00501,0100,07/12/2000 57124,E10A180,00501,0300,07/12/2000 57124,S000000,00100,0200,05/31/2000 57124,S200000,00100,0100,295 SOUTH STREET 57124,S200000,00200,0100,WAYMART 57124,S200000,00200,0200,PA 57124,S200000,00300,0100,WAYNE 57124,S200000,00400,0100,WAYNE WOODLANDS MANOR 57124,S200000,00400,0200,395936 57124,S200000,00400,0300,09/22/1994 57124,S200000,00400,0500,P 57124,S200000,01600,0100,Y 57124,S200000,02800,0100,Y 57133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57133,A000000,00300,0000,00300EMPLOYEE BENEFITS 57133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57133,A000000,00700,0000,00700HOUSEKEEPING 57133,A000000,00800,0000,00800DIETARY 57133,A000000,00900,0000,00900NURSING ADMINISTRATION 57133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57133,A000000,01100,0000,01100PHARMACY 57133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57133,A000000,01300,0000,01300SOCIAL SERVICE 57133,A000000,01350,0000,01500OTHER GENERAL SERVICES 57133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57133,A000000,01600,0000,01600SKILLED NURSING FACILITY 57133,A000000,01810,0000,01810ICF/MR 57133,A000000,02100,0000,02100RADIOLOGY 57133,A000000,02200,0000,02200LABORATORY 57133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57133,A000000,02500,0000,02500PHYSICAL THERAPY 57133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57133,A000000,02700,0000,02700SPEECH PATHOLOGY 57133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57133,A000000,03550,0000,03550FQHC 57133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57133,A000000,05000,0000,05000CORF 57133,A000000,05010,0000,05010CMHC 57133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57133,A000000,05300,0000,05300INTEREST EXPENSE 57133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57133,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57133,A81000A,00100,0100,Y 57133,A81000B,00100,0300,PLANT OPERATION/MAINT 57133,A81000B,00200,0300,PLANT OPERATION/MAINT 57133,A81000C,00100,0100,D 57133,A81000C,00100,0200,DALE CLUGSTON 57133,A81000C,00100,0400,CLUGSTON AG & TURF 57133,A81000C,00100,0600,GROUNDS 57133,A81000C,00200,0100,D 57133,A81000C,00200,0200,CHARLES DILLER 57133,A81000C,00200,0400,DILLER PLUMBING & HEATING 57133,A81000C,00200,0600,PLUMBING 57133,B100000,00000,0100,00000SQUARE FEET 57133,B100000,00000,0200,00000SQUARE FEET 57133,B100000,00000,0300,00000GROSS SALARIES 57133,B100000,00000,0400,00000ACCUM. COST 57133,B100000,00000,0500,00000SQUARE FEET 57133,B100000,00000,0600,00000POUNDS OF LAUNDRY 57133,B100000,00000,0700,00000HOURS OF SERVICE 57133,B100000,00000,0800,00000MEALS SERVED 57133,B100000,00000,0900,00000DIRECT NRSING HRS 57133,B100000,00000,1000,00000COSTED REQUIS. 57133,B100000,00000,1100,00000COSTED REQUIS. 57133,B100000,00000,1200,00000TIME SPENT 57133,B100000,00000,1300,00000TIME SPENT 57133,B100000,00000,1350,00000NO STATISTICS 57133,B100000,00000,1400,00000ASSIGNED TIME 57133,E10A180,00501,0100,06/14/2000 57133,S000000,00100,0200,05/18/2000 57133,S200000,00100,0100,1425 PHILADELPHIA AVENUE 57133,S200000,00200,0100,CHAMBERSBURG 57133,S200000,00200,0200,PA 57133,S200000,00300,0100,FRANKLIN 57133,S200000,00400,0100,MENNO-HAVEN PENN HALL INC. 57133,S200000,00400,0200,395944 57133,S200000,00400,0300,12/29/1994 57133,S200000,00400,0500,P 57133,S200000,00400,0600,O 57133,S200000,01500,0100,Y 57141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57141,A000000,00300,0000,00300EMPLOYEE BENEFITS 57141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57141,A000000,00700,0000,00700HOUSEKEEPING 57141,A000000,00800,0000,00800DIETARY 57141,A000000,00900,0000,00900NURSING ADMINISTRATION 57141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57141,A000000,01100,0000,01100PHARMACY 57141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57141,A000000,01300,0000,01300SOCIAL SERVICE 57141,A000000,01350,0000,01500OTHER GENERAL SERVICES 57141,A000000,01351,0000,01501RESIDENT ACTIVITIES 57141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57141,A000000,01600,0000,01600SKILLED NURSING FACILITY 57141,A000000,01810,0000,01810ICF/MR 57141,A000000,02200,0000,02200LABORATORY 57141,A000000,02300,0000,02300INTRAVENOUS THERAPY 57141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57141,A000000,02500,0000,02500PHYSICAL THERAPY 57141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57141,A000000,02700,0000,02700SPEECH PATHOLOGY 57141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57141,A000000,03550,0000,03550FQHC 57141,A000000,05000,0000,05000CORF 57141,A000000,05010,0000,05010CMHC 57141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57141,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57141,A000000,06200,0000,06200PATIENTS LAUNDRY 57141,B100000,00000,0100,00000SQUARE FEET 57141,B100000,00000,0200,00000SQUARE FEET 57141,B100000,00000,0300,00000GROSS SALARIES 57141,B100000,00000,0400,00000ACCUM COST 57141,B100000,00000,0500,00000SQUARE FEET 57141,B100000,00000,0600,00000POUNDS OF LAUNDRY 57141,B100000,00000,0700,00000HOURS OF SERVICE 57141,B100000,00000,0800,00000MEALS SERVED 57141,B100000,00000,0900,00000DIRECT NRSG HRS 57141,B100000,00000,1000,00000COSTED REQUIS 57141,B100000,00000,1100,00000COSTED REQUIS 57141,B100000,00000,1200,00000TIME SPENT 57141,B100000,00000,1300,00000TIME SPENT 57141,B100000,00000,1350,00000 57141,B100000,00000,1351,00000 57141,B100000,00000,1400,00000ASSIGNED TIME 57141,S000000,00100,0200,04/03/2000 57141,S200000,00100,0100,540 COAL VALLEY ROAD 57141,S200000,00200,0100,CLAIRTON 57141,S200000,00200,0200,PA 57141,S200000,00200,0300,15025 57141,S200000,00300,0100,ALLEGHENY 57141,S200000,00400,0100,LAWSON NURSING HOME INC. 57141,S200000,00400,0200,395948 57141,S200000,00400,0300,02/21/1995 57141,S200000,00400,0500,P 57141,S200000,01500,0100,Y 57149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57149,A000000,00300,0000,00300EMPLOYEE BENEFITS 57149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57149,A000000,00700,0000,00700HOUSEKEEPING 57149,A000000,00800,0000,00800DIETARY 57149,A000000,00900,0000,00900NURSING ADMINISTRATION 57149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57149,A000000,01100,0000,01100PHARMACY 57149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57149,A000000,01300,0000,01300SOCIAL SERVICE 57149,A000000,01350,0000,01500OTHER GENERAL SERVICES 57149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57149,A000000,01600,0000,01600SKILLED NURSING FACILITY 57149,A000000,01800,0000,01800NURSING FACILITY 57149,A000000,01810,0000,01810ICF/MR 57149,A000000,02100,0000,02100RADIOLOGY 57149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57149,A000000,02500,0000,02500PHYSICAL THERAPY 57149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57149,A000000,02700,0000,02700SPEECH PATHOLOGY 57149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57149,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57149,A000000,03550,0000,03550FQHC 57149,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57149,A000000,05000,0000,05000CORF 57149,A000000,05010,0000,05010CMHC 57149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57149,A81000A,00100,0100,Y 57149,A81000B,00100,0300,MANAGEMENT FEES 57149,A81000B,00200,0300,STORAGE FEES 57149,A81000B,00300,0300,HUMAN RESOURCES 57149,A81000B,00400,0300,HUMAN RESOURCES 57149,A81000B,00500,0300,HUMAN RESOURCES 57149,A81000B,00600,0300,HUMAN RESOURCES 57149,A81000B,00700,0300,HUMAN RESOURCES 57149,A81000B,00800,0300,HUMAN RESOURCES 57149,A81000B,00900,0300,HUMAN RESOURCES 57149,A81000B,01000,0300,HUMAN RESOURCES 57149,A81000B,01100,0300,LEGAL FEES 57149,A81000B,01200,0300,NURSING CONSULTANT 57149,A81000B,01300,0300,PSYCHOLOGIST SERVICES 57149,A81000B,01400,0300,CASUAL LABOR 57149,A81000B,01500,0300,COMPUTER CONSULTING 57149,A81000B,01600,0300,HUMAN RESOURCES 57149,A81000C,00100,0100,B 57149,A81000C,00100,0200,MDHS AFFILIATE 57149,A81000C,00100,0400,MDHS AFFILIATE 57149,A81000C,00100,0600,MANAGEMENT/ACCOUNTING SVC 57149,A81000C,00200,0100,B 57149,A81000C,00200,0200,MD PRIMARY HEALTH CARE 57149,A81000C,00200,0400,MD PRIMARY HEALTH CARE 57149,A81000C,00200,0600,HEALTH SERVICES 57149,A81000C,00300,0100,B 57149,A81000C,00300,0200,MERCY DOUGLASS HUMAN SVCS 57149,A81000C,00300,0400,MERCY DOUGLASS HUMAN SVCS 57149,A81000C,00300,0600,CONSULTANT/ACCOUNTING 57149,A81000C,00400,0100,D 57149,A81000C,00400,0200,JCW COMPUTER CONSULTING 57149,A81000C,00400,0400,JCW COMPUTER CONSULTING 57149,A81000C,00400,0600,COMPUTER CONSULTANTS 57149,B100000,00000,0100,00000SQUARE FEET 57149,B100000,00000,0200,00000SQUARE FEET 57149,B100000,00000,0300,00000GROSS SALARIES 57149,B100000,00000,0400,00000ACCUM. COST 57149,B100000,00000,0500,00000SQUARE FEET 57149,B100000,00000,0600,00000RESIDENT DAYS 57149,B100000,00000,0700,00000SQUARE FEET 57149,B100000,00000,0800,00000RESIDENT DAYS 57149,B100000,00000,0900,00000RESIDENT DAYS 57149,B100000,00000,1000,00000RESIDENT DAYS 57149,B100000,00000,1100,00000RESIDENT DAYS 57149,B100000,00000,1200,00000NO STATISTICS 57149,B100000,00000,1300,00000RESIDENT DAYS 57149,B100000,00000,1350,00000RESIDENT DAYS 57149,B100000,00000,1400,00000RESIDENT DAYS 57149,E10A180,00501,0100,12/29/2000 57149,S000000,00100,0200,11/30/2000 57149,S200000,00100,0100,4400 WEST GIRARD AVENUE SUITE 207 57149,S200000,00200,0100,PHILADELPHIA 57149,S200000,00200,0200,PA 57149,S200000,00200,0300,19104 57149,S200000,00300,0100,P 57149,S200000,00400,0100,STEPHEN SMITH HOME FOR THE AGED 57149,S200000,00400,0200,395950 57149,S200000,00400,0300,03/02/1995 57149,S200000,00400,0500,P 57149,S200000,01600,0100,Y 57161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57161,A000000,00300,0000,00300EMPLOYEE BENEFITS 57161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57161,A000000,00700,0000,00700HOUSEKEEPING 57161,A000000,00800,0000,00800DIETARY 57161,A000000,00900,0000,00900NURSING ADMINISTRATION 57161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57161,A000000,01100,0000,01100PHARMACY 57161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57161,A000000,01300,0000,01300SOCIAL SERVICE 57161,A000000,01350,0000,01500PATIENT ACTIVITIES 57161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57161,A000000,01600,0000,01600SKILLED NURSING FACILITY 57161,A000000,01800,0000,01800NURSING FACILITY 57161,A000000,01810,0000,01810ICF/MR 57161,A000000,02100,0000,02100RADIOLOGY 57161,A000000,02500,0000,02500PHYSICAL THERAPY 57161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57161,A000000,02700,0000,02700SPEECH PATHOLOGY 57161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57161,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57161,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57161,A000000,03550,0000,03550FQHC 57161,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57161,A000000,05000,0000,05000CORF 57161,A000000,05010,0000,05010CMHC 57161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57161,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57161,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57161,A81000A,00100,0100,Y 57161,A81000B,00100,0300,HOME OFFICE 57161,A81000C,00100,0100,B 57161,A81000C,00100,0200,GUARDIAN FOUNDATION 57161,A81000C,00100,0400,GUARDIAN FOUNDATION 57161,A81000C,00100,0600,HOME OFFICE 57161,B100000,00000,0100,00000(SQUARE FEET) 57161,B100000,00000,0200,00000(SQUARE FEET) 57161,B100000,00000,0300,00000(GROSS SALARIES) 57161,B100000,00000,0400,00000(ACCUM. COST) 57161,B100000,00000,0500,00000(SQUARE FEET) 57161,B100000,00000,0600,00000(PATIENT DAYS) 57161,B100000,00000,0700,00000(SQ. EX DIET) 57161,B100000,00000,0800,00000(PATIENT DAYS) 57161,B100000,00000,0900,00000(PATIENT DAYS) 57161,B100000,00000,1000,00000(PATIENT DAYS) 57161,B100000,00000,1100,00000NO STATISTICS 57161,B100000,00000,1200,00000(PATIENT DAYS) 57161,B100000,00000,1300,00000(PATIENT DAYS) 57161,B100000,00000,1350,00000(PATIENT DAYS) 57161,B100000,00000,1400,00000NO STATISTICS 57161,E10A180,00501,0100,12/07/2000 57161,E10A180,00501,0300,12/07/2000 57161,S000000,00100,0200,11/21/2000 57161,S200000,00100,0100,1194 NAAMANS CREEK RD 57161,S200000,00200,0100,BOOTHWYN 57161,S200000,00200,0200,PA 57161,S200000,00200,0300,19061 57161,S200000,00300,0100,DELAWARE 57161,S200000,00400,0100,NAAMANS CREEK COUNTRY MANOR 57161,S200000,00400,0200,395952 57161,S200000,00400,0300,05/04/1995 57161,S200000,00400,0500,P 57161,S200000,01500,0100,Y 57171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57171,A000000,00300,0000,00300EMPLOYEE BENEFITS 57171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57171,A000000,00700,0000,00700HOUSEKEEPING 57171,A000000,00800,0000,00800DIETARY 57171,A000000,00900,0000,00900NURSING ADMINISTRATION 57171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57171,A000000,01100,0000,01100PHARMACY 57171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57171,A000000,01300,0000,01300SOCIAL SERVICE 57171,A000000,01301,0000,01301RESIDENT SERVICES 57171,A000000,01350,0000,01500OTHER GENERAL SERVICES 57171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57171,A000000,01600,0000,01600SKILLED NURSING FACILITY 57171,A000000,01800,0000,01800NURSING FACILITY 57171,A000000,01810,0000,01810ICF/MR 57171,A000000,02100,0000,02100RADIOLOGY 57171,A000000,02200,0000,02200LABORATORY 57171,A000000,02500,0000,02500PHYSICAL THERAPY 57171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57171,A000000,02700,0000,02700SPEECH PATHOLOGY 57171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57171,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57171,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57171,A000000,03550,0000,03550FQHC 57171,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57171,A000000,04800,0000,04800AMBULANCE 57171,A000000,05000,0000,05000CORF 57171,A000000,05010,0000,05010CMHC 57171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57171,A000000,05300,0000,05300INTEREST EXPENSE 57171,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57171,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57171,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57171,A81000A,00100,0100,Y 57171,A81000B,00100,0300,MANAGEMENT FEES 57171,A81000B,00200,0300,MANAGEMENT FEES-SUB OPS BLOOM 57171,A81000B,00300,0300,HOME OFFICE-OPERATING 57171,A81000B,00400,0300,HOME OFFICE-CAPITAL 57171,A81000C,00100,0100,B 57171,A81000C,00100,0200,BALANCED CARE CORPOR 57171,A81000C,00100,0400,BALANCED CARE CORPAR 57171,A81000C,00100,0600,HEALTHCARE 57171,B100000,00000,0100,00000SQUARE FEET 57171,B100000,00000,0200,00000SQUARE FEET 57171,B100000,00000,0300,00000GROSS SALARIES 57171,B100000,00000,0400,00000ACCUM. COST 57171,B100000,00000,0500,00000SQUARE FEET 57171,B100000,00000,0600,00000PATIENT DAYS 57171,B100000,00000,0700,00000SQUARE FEET 57171,B100000,00000,0800,00000MEALS SERVED 57171,B100000,00000,0900,00000DIRECT NRSING HRS 57171,B100000,00000,1000,00000COSTED REQUIS. 57171,B100000,00000,1100,00000PATIENT DAYS 57171,B100000,00000,1200,00000PATIENT DAYS 57171,B100000,00000,1300,00000PATIENT DAYS 57171,B100000,00000,1301,00000PATIENT DAYS 57171,B100000,00000,1350,00000TIME SPENT 57171,B100000,00000,1400,00000PATIENT DAYS 57171,E10A180,00501,0100,12/22/2000 57171,E10A180,00501,0300,12/22/2000 57171,S000000,00100,0200,11/30/2000 57171,S200000,00100,0100,3298 RIDGE ROAD 57171,S200000,00200,0100,BLOOMSBURG 57171,S200000,00200,0200,PA 57171,S200000,00200,0300,17815 57171,S200000,00300,0100,C 57171,S200000,00400,0100,BALANCED CARE BLOOMSBURG 57171,S200000,00400,0200,395953 57171,S200000,00400,0300,06/30/1995 57171,S200000,00400,0500,P 57171,S200000,01600,0100,Y 57179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57179,A000000,00300,0000,00300EMPLOYEE BENEFITS 57179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57179,A000000,00700,0000,00700HOUSEKEEPING 57179,A000000,00800,0000,00800DIETARY 57179,A000000,00900,0000,00900NURSING ADMINISTRATION 57179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57179,A000000,01100,0000,01100PHARMACY 57179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57179,A000000,01300,0000,01300SOCIAL SERVICE 57179,A000000,01350,0000,01500ACTIVITIES 57179,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57179,A000000,01600,0000,01600SKILLED NURSING FACILITY 57179,A000000,01810,0000,01810ICF/MR 57179,A000000,01900,0000,01900OTHER LONG TERM CARE 57179,A000000,02100,0000,02100RADIOLOGY 57179,A000000,02300,0000,02300INTRAVENOUS THERAPY 57179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57179,A000000,02500,0000,02500PHYSICAL THERAPY 57179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57179,A000000,02700,0000,02700SPEECH PATHOLOGY 57179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57179,A000000,03550,0000,03550FQHC 57179,A000000,05000,0000,05000CORF 57179,A000000,05010,0000,05010CMHC 57179,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57179,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57179,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57179,A000000,06150,0000,06300NON-REIMBURSABLE 57179,A000000,06151,0000,06301MARKETING 57179,A81000A,00100,0100,Y 57179,A81000B,00100,0300,MEDICAL DIRECTOR FEE 57179,A81000C,00100,0100,E 57179,A81000C,00100,0200,DR. J. DONALD K 57179,A81000C,00100,0400,DR. J. DONALD K 57179,A81000C,00100,0600,MEDICAL DIRECTO 57179,B100000,00000,0100,00001PATIENT DAYS 57179,B100000,00000,0200,00001PATIENT DAYS 57179,B100000,00000,0300,00001GROSS SALARIES 57179,B100000,00000,0400,00001ACCUM COST 57179,B100000,00000,0500,00001PATIENT DAYS 57179,B100000,00000,0600,00001POUNDS OF LAUNDRY 57179,B100000,00000,0700,00001PATIENT DAYS 57179,B100000,00000,0800,00001MEALS SERVED 57179,B100000,00000,0900,00001DIRECT NRSG HRS 57179,B100000,00000,1000,00001COSTED REQUIS 57179,B100000,00000,1100,00001COSTED REQUIS 57179,B100000,00000,1200,00001TIME SPENT 57179,B100000,00000,1300,00001TIME SPENT 57179,B100000,00000,1350,00001PATIENT DAYS 57179,B100000,00000,1400,00001ASSIGNED TIME 57179,E10A180,00501,0300,07/31/2000 57179,S000000,00100,0200,05/31/2000 57179,S200000,00100,0100,675 WILLOW VALLEY SQUARE 57179,S200000,00200,0100,LANCASTER 57179,S200000,00200,0200,PA 57179,S200000,00200,0300,17602 57179,S200000,00300,0100,LANCASTER 57179,S200000,00400,0100,THE GLEN AT WILLOW VALLEY 57179,S200000,00400,0200,395956 57179,S200000,00400,0300,07/20/1995 57179,S200000,00400,0500,P 57179,S200000,01500,0100,Y 57179,S200000,01700,0100,Y 57179,S200000,01900,0100,501 (C) (3) 57194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57194,A000000,00300,0000,00300EMPLOYEE BENEFITS 57194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57194,A000000,00700,0000,00700HOUSEKEEPING 57194,A000000,00800,0000,00800DIETARY 57194,A000000,00900,0000,00900NURSING ADMINISTRATION 57194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57194,A000000,01100,0000,01100PHARMACY 57194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57194,A000000,01300,0000,01300SOCIAL SERVICE 57194,A000000,01301,0000,01301CHAPLAIN 57194,A000000,01350,0000,01500ACTIVITIES 57194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57194,A000000,01600,0000,01600SKILLED NURSING FACILITY 57194,A000000,01810,0000,01810ICF/MR 57194,A000000,01900,0000,01900OTHER LONG TERM CARE 57194,A000000,02100,0000,02100RADIOLOGY 57194,A000000,02200,0000,02200LABORATORY 57194,A000000,02500,0000,02500PHYSICAL THERAPY 57194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57194,A000000,02700,0000,02700SPEECH PATHOLOGY 57194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57194,A000000,03550,0000,03550FQHC 57194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57194,A000000,05000,0000,05000CORF 57194,A000000,05010,0000,05010CMHC 57194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57194,A000000,05300,0000,05300INTEREST EXPENSE 57194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57194,A000000,06150,0000,06300RESIDENTIAL 57194,A000000,06151,0000,06301CHAPLAIN 57194,A000000,06152,0000,06302CLINIC 57194,A000000,06153,0000,06303NON-ALL MEALS 57194,A000000,06154,0000,06304HOME HLTH POST. CERT. 57194,B100000,00000,0100,00004(SQUARE FEET) 57194,B100000,00000,0200,00004(DOLLAR VA SQ FT) 57194,B100000,00000,0300,00004(GROSS SALARIES) 57194,B100000,00000,0400,00004(ACCUM COST) 57194,B100000,00000,0500,00004(SQUARE FEET) 57194,B100000,00000,0600,00004(POUNDS OF LAUNDRY) 57194,B100000,00000,0700,00004(HOURS OF SERVICE) 57194,B100000,00000,0800,00004(MEALS SERVED) 57194,B100000,00000,0900,00004(DIRECT HR OF SRV) 57194,B100000,00000,1000,00004(COSTED REQUIS) 57194,B100000,00000,1100,00004(COSTED REQUIS) 57194,B100000,00000,1200,00004(TIME SPENT) 57194,B100000,00000,1300,00004(TIME SPENT) 57194,B100000,00000,1301,00004(TIME SPENT) 57194,B100000,00000,1350,00004(OTHER) 57194,B100000,00000,1400,00004(ASSIGNED TIME) 57194,E10A180,00501,0100,07/28/2000 57194,H510100,00000,0000,6160 57194,H510100,02400,0000,6160 57194,H710000,00301,0100,03/24/2000 57194,H710000,00301,0300,03/27/2000 57194,S000000,00100,0200,05/31/2000 57194,S200000,00100,0100,6500 TABOR ROAD 57194,S200000,00200,0100,PHILADELPHIA 57194,S200000,00200,0200,PA 57194,S200000,00200,0300,19111 57194,S200000,00300,0100,PHILADELPHIA 57194,S200000,00400,0100,PHILADELPHIA PROTESTANT HOME 57194,S200000,00400,0200,395961 57194,S200000,00400,0300,09/20/1995 57194,S200000,00400,0500,P 57194,S200000,00800,0200,397692 57194,S200000,00800,0300,09/13/1996 57194,S200000,00800,0500,P 57194,S200000,01500,0100,Y 57194,S200000,02200,0100,Y 57194,S200000,02800,0100,Y 57194,S200000,04700,0100,Y 57194,S200000,04700,0200,Y 57204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57204,A000000,00300,0000,00300EMPLOYEE BENEFITS 57204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57204,A000000,00700,0000,00700HOUSEKEEPING 57204,A000000,00800,0000,00800DIETARY 57204,A000000,00900,0000,00900NURSING ADMINISTRATION 57204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57204,A000000,01100,0000,01100PHARMACY 57204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57204,A000000,01300,0000,01300SOCIAL SERVICE 57204,A000000,01350,0000,01500RESIDENT ACTIVITIES 57204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57204,A000000,01600,0000,01600SKILLED NURSING FACILITY 57204,A000000,01800,0000,01800NURSING FACILITY 57204,A000000,01900,0000,01900OTHER LONG TERM CARE 57204,A000000,02100,0000,02100RADIOLOGY 57204,A000000,02200,0000,02200LABORATORY 57204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57204,A000000,02500,0000,02500PHYSICAL THERAPY 57204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57204,A000000,02700,0000,02700SPEECH PATHOLOGY 57204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57204,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57204,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57204,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57204,A000000,03550,0000,03550FQHC 57204,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57204,A000000,05000,0000,05000CORF 57204,A000000,05010,0000,05010CMHC 57204,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57204,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57204,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57204,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57204,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57204,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57204,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57204,A000000,06200,0000,06200PATIENTS LAUNDRY 57204,A81000A,00100,0100,Y 57204,A81000B,00100,0300,OXYGEN (INHALATION) THERAPY 57204,A81000B,00200,0300,PHYSICAL THERAPY 57204,A81000B,00300,0300,OCCUPATIONAL THERAPY 57204,A81000B,00400,0300,SPEECH PATHOLOGY 57204,A81000B,00500,0300,BLDGS & FIX RENTAL OF FACILITY 57204,A81000B,00600,0300,BLDGS & FIX DEPRECIATION OF 57204,A81000B,00700,0300,BLDGS & FIX INTEREST ON FAC 57204,A81000B,00800,0300,INTERST ON WORKING CAPITAL 57204,A81000C,00100,0100,C 57204,A81000C,00100,0400,GERIATRICS HLTHCARE ASSOC 57204,A81000C,00100,0600,THERAPY 57204,A81000C,00200,0100,C 57204,A81000C,00200,0400,GERIATRICS HLTHCARE ASSOC 57204,A81000C,00200,0600,THERAPY 57204,A81000C,00300,0100,C 57204,A81000C,00300,0400,GERIATRICS HLTHCARE ASSOC 57204,A81000C,00300,0600,THERAPY 57204,A81000C,00400,0100,C 57204,A81000C,00400,0400,GERIATRICS HLTHCARE ASSOC 57204,A81000C,00400,0600,THERAPY 57204,A81000C,00500,0100,B 57204,A81000C,00500,0400,ALZHEIMERS DIS ALLIANCE 57204,A81000C,00500,0600,HEALTHCARE CORPORATION 57204,A81000C,00600,0100,B 57204,A81000C,00600,0400,ALZHEIMERS DIS ALLIANCE 57204,A81000C,00600,0600,HEALTHCARE CORPORATION 57204,A81000C,00700,0100,B 57204,A81000C,00700,0400,ALZHEIMERS DIS ALLIANCE 57204,A81000C,00700,0600,HEALTHCARE CORPORATION 57204,A81000C,00800,0100,B 57204,A81000C,00800,0400,ALZHEIMERS DIS ALLIANCE 57204,A81000C,00800,0600,HEALTHCARE CORPORATION 57204,B100000,00000,0100,00000SQUARE FEET 57204,B100000,00000,0200,00000SQUARE FEET 57204,B100000,00000,0300,00000GROSS SALARIES 57204,B100000,00000,0400,00000ACCUM. COST 57204,B100000,00000,0500,00000SQUARE FEET 57204,B100000,00000,0600,00000POUNDS OF LAUNDRY 57204,B100000,00000,0700,00000HOURS OF SERVICE 57204,B100000,00000,0800,00000MEALS SERVED 57204,B100000,00000,0900,00000HOURS OF SERVICE 57204,B100000,00000,1000,00000PATIENT DAYS 57204,B100000,00000,1100,00000PATIENT DAYS 57204,B100000,00000,1200,00000TIME SPENT 57204,B100000,00000,1300,00000TIME SPENT 57204,B100000,00000,1350,00000PATIENT DAYS 57204,B100000,00000,1400,00000ASSIGNED TIME 57204,E10A180,00501,0100,06/09/2000 57204,E10A180,00501,0300,06/09/2000 57204,S000000,00100,0200,05/31/2000 57204,S200000,00100,0100,5180 CAMPBELLS RUN ROAD 57204,S200000,00200,0100,PITTSBURGH 57204,S200000,00200,0200,PA 57204,S200000,00300,0100,ALLEGHENY 57204,S200000,00400,0100,ATRIUM I NURSING & REHAB CENTER INC 57204,S200000,00400,0200,395971 57204,S200000,00400,0300,11/21/1995 57204,S200000,00400,0500,P 57204,S200000,01600,0100,Y 57213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57213,A000000,00300,0000,00300EMPLOYEE BENEFITS 57213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57213,A000000,00700,0000,00700HOUSEKEEPING 57213,A000000,00800,0000,00800DIETARY 57213,A000000,00900,0000,00900NURSING ADMINISTRATION 57213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57213,A000000,01100,0000,01100PHARMACY 57213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57213,A000000,01300,0000,01300SOCIAL SERVICE 57213,A000000,01350,0000,01500ACTIVITIES 57213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57213,A000000,01600,0000,01600SKILLED NURSING FACILITY 57213,A000000,01800,0000,01800NURSING FACILITY 57213,A000000,01810,0000,01810ICF/MR 57213,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57213,A000000,02500,0000,02500PHYSICAL THERAPY 57213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57213,A000000,02700,0000,02700SPEECH PATHOLOGY 57213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57213,A000000,03550,0000,03550FQHC 57213,A000000,05000,0000,05000CORF 57213,A000000,05010,0000,05010CMHC 57213,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57213,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57213,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57213,A000000,05300,0000,05300INTEREST EXPENSE 57213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57213,A81000A,00100,0100,Y 57213,A81000B,00100,0300,MANAGEMENT FEE 57213,A81000B,00300,0300,DRUGS 57213,A81000B,00400,0300,OTC SNF 57213,A81000B,00500,0300,OTC NF 57213,A81000B,00700,0300,THERAPY SERVICE 57213,A81000B,00800,0300,THERAPY SERVICE 57213,A81000B,00900,0300,THERAPY SERVICE 57213,A81000C,00100,0100,A 57213,A81000C,00100,0200,JERRY BOONE 57213,A81000C,00100,0400,VALLEY MGMT 57213,A81000C,00100,0600,MGMT SERVICES 57213,A81000C,00300,0100,A 57213,A81000C,00300,0200,JERRY BOONE 57213,A81000C,00300,0400,SYNERGY - GV 57213,A81000C,00300,0600,PHARMACY 57213,A81000C,00400,0100,A 57213,A81000C,00400,0200,JERRY BOONE 57213,A81000C,00400,0400,SYNERGY - GV 57213,A81000C,00400,0600,PHARMACY 57213,A81000C,00500,0100,A 57213,A81000C,00500,0200,JERRY BOONE 57213,A81000C,00500,0400,SYNERGY - GV 57213,A81000C,00500,0600,PHARMACY 57213,A81000C,00700,0100,A 57213,A81000C,00700,0200,MICHELLE BOONE 57213,A81000C,00700,0400,PROS REHAB INC 57213,A81000C,00700,0600,THERAPY SERVICE 57213,A81000C,00800,0100,A 57213,A81000C,00800,0200,MICHELLE BOONE 57213,A81000C,00800,0400,PROS REHAB INC 57213,A81000C,00800,0600,THERAPY SERVICE 57213,A81000C,00900,0100,A 57213,A81000C,00900,0200,MICHELLE BOONE 57213,A81000C,00900,0400,PROS REHAB INC 57213,A81000C,00900,0600,THERAPY SERVICE 57213,B100000,00000,0100,00000(SQUARE FEET) 57213,B100000,00000,0200,00000(DOLLAR VA OR SQ FT) 57213,B100000,00000,0300,00000(GROSS SALARIES) 57213,B100000,00000,0400,00000(ACCUMULA- TED COST) 57213,B100000,00000,0500,00000(SQUARE FEET) 57213,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 57213,B100000,00000,0700,00000(HOURS OF SERVICE) 57213,B100000,00000,0800,00000(MEALS SERVED) 57213,B100000,00000,0900,00000(DIRECT HR OF SERV) 57213,B100000,00000,1000,00000(COSTED REQUIS) 57213,B100000,00000,1100,00000(COSTED REQUIS) 57213,B100000,00000,1200,00000(TIME SPENT) 57213,B100000,00000,1300,00000(TIME SPENT) 57213,B100000,00000,1350,00000(OTHER) 57213,B100000,00000,1400,00000(ASSIGNED TIME) 57213,E10A180,00501,0100,12/07/2000 57213,S000000,00100,0200,11/27/2000 57213,S200000,00100,0100,303 SCHOOLHOUSE ROAD 57213,S200000,00200,0100,DANVILLE 57213,S200000,00200,0200,PA 57213,S200000,00200,0300,17871 57213,S200000,00300,0100,MONTOUR 57213,S200000,00400,0100,GOLDSTAR NURSING HOME 57213,S200000,00400,0200,395973 57213,S200000,00400,0300,01/01/1996 57213,S200000,00400,0500,P 57213,S200000,01600,0100,Y 57213,S200000,02200,0100,Y 57222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57222,A000000,00300,0000,00300EMPLOYEE BENEFITS 57222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57222,A000000,00700,0000,00700HOUSEKEEPING 57222,A000000,00800,0000,00800DIETARY 57222,A000000,00900,0000,00900NURSING ADMINISTRATION 57222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57222,A000000,01100,0000,01100PHARMACY 57222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57222,A000000,01300,0000,01300SOCIAL SERVICE 57222,A000000,01350,0000,01500OTHER GENERAL SERVICES 57222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57222,A000000,01600,0000,01600SKILLED NURSING FACILITY 57222,A000000,01800,0000,01800NURSING FACILITY 57222,A000000,01810,0000,01810ICF/MR 57222,A000000,02100,0000,02100RADIOLOGY 57222,A000000,02200,0000,02200LABORATORY 57222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57222,A000000,02500,0000,02500PHYSICAL THERAPY 57222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57222,A000000,02700,0000,02700SPEECH PATHOLOGY 57222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57222,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57222,A000000,03550,0000,03550FQHC 57222,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57222,A000000,04800,0000,04800AMBULANCE 57222,A000000,05000,0000,05000CORF 57222,A000000,05010,0000,05010CMHC 57222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57222,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57222,A81000A,00100,0100,Y 57222,A81000B,00100,0300,MEDICAL DIRECTOR 57222,A81000B,00200,0300,MEDICAL DIRECTOR 57222,A81000B,00300,0300,MANAGEMENT FEES 57222,A81000B,00400,0300,INTEREST EXP-SHAREHOLDER 57222,A81000C,00100,0100,D 57222,A81000C,00100,0200,DR. KISHOR JOSHI 57222,A81000C,00100,0400,MOUNTNVW. MED. ASSOC. 57222,A81000C,00100,0600,MEDICAL PRACTICE 57222,A81000C,00200,0100,D 57222,A81000C,00200,0200,DR. KISHOR JOSHI 57222,A81000C,00200,0400,MOUNTNVW. MED. ASSOC. 57222,A81000C,00200,0600,MEDICAL PRACTICE 57222,A81000C,00300,0100,D 57222,A81000C,00300,0200,DR. KISHOR JOSHI 57222,A81000C,00300,0400,MEDSERV MANAGEMENT 57222,A81000C,00300,0600,MEDICAL PRACTICE MGMT. 57222,A81000C,00400,0100,A 57222,A81000C,00400,0200,DR. KISHOR JOSHI 57222,B100000,00000,0100,00000SQUARE FEET 57222,B100000,00000,0200,00000SQUARE FEET 57222,B100000,00000,0300,00000GROSS SALARIES 57222,B100000,00000,0400,00000ACCUM. COST 57222,B100000,00000,0500,00000SQUARE FEET 57222,B100000,00000,0600,00000POUNDS OF LAUNDRY 57222,B100000,00000,0700,00000HOURS OF SERVICE 57222,B100000,00000,0800,00000MEALS SERVED 57222,B100000,00000,0900,00000HOURS OF SERVICE 57222,B100000,00000,1000,00000COSTED REQUIS. 57222,B100000,00000,1100,00000PATIENT DAYS 57222,B100000,00000,1200,00000HOURS OF SERVICE 57222,B100000,00000,1300,00000HOURS OF SERVICE 57222,B100000,00000,1350,00000NO STATISTICS 57222,B100000,00000,1400,00000ASSIGNED TIME 57222,E10A180,00501,0100,06/15/2000 57222,E10A180,00501,0300,06/15/2000 57222,S000000,00100,0200,05/31/2000 57222,S200000,00100,0100,410 TERRACE DRIVE 57222,S200000,00200,0100,UNIONTOWN 57222,S200000,00200,0200,PA 57222,S200000,00300,0100,FAYETTE 57222,S200000,00400,0100,CHERRY TREE NURSING CENTER 57222,S200000,00400,0200,395977 57222,S200000,00400,0300,12/19/1995 57222,S200000,00400,0500,P 57222,S200000,01600,0100,Y 57222,S200000,02200,0100,Y 57231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57231,A000000,00300,0000,00300EMPLOYEE BENEFITS 57231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57231,A000000,00700,0000,00700HOUSEKEEPING 57231,A000000,00800,0000,00800DIETARY 57231,A000000,00900,0000,00900NURSING ADMINISTRATION 57231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57231,A000000,01100,0000,01100PHARMACY 57231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57231,A000000,01300,0000,01300SOCIAL SERVICE 57231,A000000,01350,0000,01500PATIENT ACTIVITES 57231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57231,A000000,01600,0000,01600SKILLED NURSING FACILITY 57231,A000000,01800,0000,01800NURSING FACILITY 57231,A000000,01810,0000,01810ICF/MR 57231,A000000,01900,0000,01900OTHER LONG TERM CARE 57231,A000000,02500,0000,02500PHYSICAL THERAPY 57231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57231,A000000,02700,0000,02700SPEECH PATHOLOGY 57231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57231,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57231,A000000,03550,0000,03550FQHC 57231,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57231,A000000,05000,0000,05000CORF 57231,A000000,05010,0000,05010CMHC 57231,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57231,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57231,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57231,B100000,00000,0100,00000SQUARE FEET 57231,B100000,00000,0200,00000NO STATISTICS 57231,B100000,00000,0300,00000GROSS SALARIES 57231,B100000,00000,0400,00000ACCUM. COST 57231,B100000,00000,0500,00000SQUARE FEET 57231,B100000,00000,0600,00000SQUARE FEET 57231,B100000,00000,0700,00000SQUARE FEET 57231,B100000,00000,0800,00000MEALS SERVED 57231,B100000,00000,0900,00000NO STATISTICS 57231,B100000,00000,1000,00000SQUARE FEET 57231,B100000,00000,1100,00000NO STATISTICS 57231,B100000,00000,1200,00000NO STATISTICS 57231,B100000,00000,1300,00000NO STATISTICS 57231,B100000,00000,1350,00000HOURS OF SERVICE 57231,B100000,00000,1400,00000NO STATISTICS 57231,E10A180,00501,0300,06/15/2000 57231,S000000,00100,0200,05/26/2000 57231,S200000,00100,0100,224 WEST TUPLEHOCKEN STREET 57231,S200000,00200,0100,PHILADELPHIA 57231,S200000,00200,0200,PA 57231,S200000,00300,0100,PHILADELPHIA 57231,S200000,00400,0100,UNITARIAN UNIVERSALIST HOUSE 57231,S200000,00400,0200,395980 57231,S200000,00400,0300,01/05/1996 57231,S200000,00400,0500,P 57231,S200000,01500,0100,Y 57238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57238,A000000,00300,0000,00300EMPLOYEE BENEFITS 57238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57238,A000000,00700,0000,00700HOUSEKEEPING 57238,A000000,00800,0000,00800DIETARY 57238,A000000,00900,0000,00900NURSING ADMINISTRATION 57238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57238,A000000,01100,0000,01100PHARMACY 57238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57238,A000000,01300,0000,01300SOCIAL SERVICE 57238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57238,A000000,01600,0000,01600SKILLED NURSING FACILITY 57238,A000000,01800,0000,01800NURSING FACILITY 57238,A000000,01810,0000,01810ICF/MR 57238,A000000,02100,0000,02100RADIOLOGY 57238,A000000,02200,0000,02200LABORATORY 57238,A000000,02500,0000,02500PHYSICAL THERAPY 57238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57238,A000000,02700,0000,02700SPEECH PATHOLOGY 57238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57238,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 57238,A000000,03550,0000,03550FQHC 57238,A000000,05000,0000,05000CORF 57238,A000000,05010,0000,05010CMHC 57238,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57238,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57238,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57238,B100000,00000,0100,00000SQUARE FEET 57238,B100000,00000,0200,00000SQUARE FEET 57238,B100000,00000,0300,00000GROSS SALARIES 57238,B100000,00000,0400,00000ACCUM COST 57238,B100000,00000,0500,00000SQUARE FEET 57238,B100000,00000,0600,00000POUNDS OF LAUNDRY 57238,B100000,00000,0700,00000SQUARE FEET 57238,B100000,00000,0800,00000MEALS SERVED 57238,B100000,00000,0900,00000PATIENT DAYS 57238,B100000,00000,1000,00000COSTED REQUIS 57238,B100000,00000,1100,00000COSTED REQUIS 57238,B100000,00000,1200,00000TIME SPENT 57238,B100000,00000,1300,00000PATIENT DAYS 57238,B100000,00000,1400,00000ASSIGNED TIME 57238,E10A180,00501,0100,01/05/2001 57238,E10A180,00501,0300,01/05/2001 57238,S000000,00100,0200,11/30/2000 57238,S200000,00100,0100,ROUTE 115 57238,S200000,00100,0300,58 57238,S200000,00200,0100,BEAR CREEK 57238,S200000,00200,0200,PA 57238,S200000,00200,0300,18602 57238,S200000,00300,0100,L 57238,S200000,00400,0100,BEAR CREEK HEALTH CARE CENTER INC. 57238,S200000,00400,0200,395981 57238,S200000,00400,0300,07/01/1996 57238,S200000,00400,0500,P 57238,S200000,01600,0100,Y 57246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57246,A000000,00300,0000,00300EMPLOYEE BENEFITS 57246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57246,A000000,00700,0000,00700HOUSEKEEPING 57246,A000000,00800,0000,00800DIETARY 57246,A000000,00801,0000,00801CAFE 57246,A000000,00900,0000,00900NURSING ADMINISTRATION 57246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57246,A000000,01100,0000,01100PHARMACY 57246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57246,A000000,01300,0000,01300SOCIAL SERVICE 57246,A000000,01301,0000,01301START UP COSTS 57246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57246,A000000,01600,0000,01600SKILLED NURSING FACILITY 57246,A000000,01810,0000,01810ICF/MR 57246,A000000,02100,0000,02100RADIOLOGY 57246,A000000,02101,0000,02101RADIATION THERAPY 1 57246,A000000,02102,0000,02102NUCLEAR MEDICINE 2 57246,A000000,02103,0000,02103MRI 3 57246,A000000,02200,0000,02200LABORATORY 57246,A000000,02201,0000,02201BLOOD BANK 57246,A000000,02202,0000,02202VASCULAR LAB 57246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57246,A000000,02500,0000,02500PHYSICAL THERAPY 57246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57246,A000000,02800,0000,02800ELECTROCARDIOLOGY 57246,A000000,02801,0000,02801EEG 57246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57246,A000000,03200,0000,03200SUPPORT SURFACES 57246,A000000,03201,0000,03201DIETARY EDUCATION 57246,A000000,03550,0000,03550FQHC 57246,A000000,05000,0000,05000CORF 57246,A000000,05010,0000,05010CMHC 57246,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57246,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57246,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57246,A81000A,00100,0100,Y 57246,A81000B,00100,0300,HOME OFFICE COST 57246,A81000B,00200,0300,HOME OFFICE COST 57246,A81000B,00300,0300,CONTRACTED COSTS 57246,A81000B,00400,0300,HOME OFFICE COSTS 57246,A81000B,00500,0300,CONTRACTED COSTS 57246,A81000B,00600,0300,CONTRACTED COSTS 57246,A81000B,00700,0300,CONTRACTED COSTS 57246,A81000B,00800,0300,CONTRACTED COSTS 57246,A81000B,00900,0300,CONTRACTED COSTS 57246,A81000B,00901,0300,DEPRECIATION 57246,A81000B,00902,0300,CONTRACTED 57246,A81000B,00904,0300,CONTRACTED COSTS 57246,A81000B,01000,0300,CONTRACTED COSTS 57246,A81000B,01100,0300,CONTRACTED COSTS 57246,A81000B,01200,0300,CONTRACTED COSTS 57246,A81000B,01300,0300,HOME OFFICE 57246,A81000B,01400,0300,CONTRACTED COSTS 57246,A81000B,01500,0300,CONTRACTED COSTS 57246,A81000B,01600,0300,CONTRACTED COSTS 57246,A81000B,01700,0300,CONTRACTED COSTS 57246,A81000B,01800,0300,CONTRACTED COSTS 57246,A81000B,02000,0300,CONTRACTED COSTS 57246,A81000B,02100,0300,CONTRACTED COSTS 57246,A81000B,02200,0300,CONTRACTED COSTS 57246,A81000B,02300,0300,CONTRACTED COSTS 57246,A81000B,02400,0300,CONTRACTED COSTS 57246,A81000B,02500,0300,CONTRACTED COSTS 57246,A81000B,02600,0300,CONTRACTED COSTS 57246,A81000B,02700,0300,CONTRACTED COSTS 57246,A81000B,02800,0300,CONTRACTED COSTS 57246,A81000B,02900,0300,CONTRACTED COSTS 57246,A81000C,01100,0100,B 57246,A81000C,01100,0200,MERCY HEALTH CP 57246,B100000,00000,0100,00040SQUARE FEET 57246,B100000,00000,0200,00040DOLLAR VAL OR SQ.FEET 57246,B100000,00000,0300,00040GROSS SALARIES 57246,B100000,00000,0400,00040ACCUMULA- TED COST 57246,B100000,00000,0500,00040SQUARE FEET 57246,B100000,00000,0600,00040POUNDS OF LAUNDRY 57246,B100000,00000,0700,00040HOURS OF SERVICE 57246,B100000,00000,0800,00040MEALS SERVED 57246,B100000,00000,0801,00040 57246,B100000,00000,0900,00040DIRECT HOU OF SERVICE 57246,B100000,00000,1000,00040COSTED REQUIS 57246,B100000,00000,1100,00040COSTED REQUIS 57246,B100000,00000,1200,00040TIME SPENT 57246,B100000,00000,1300,00040TIME SPENT 57246,B100000,00000,1301,00040 57246,B100000,00000,1400,00040ASSIGNED TIME 57246,E10A180,00501,0100,07/19/2000 57246,E10A180,00501,0300,07/19/2000 57246,S000000,00100,0200,05/31/2000 57246,S200000,00100,0100,53TH & CEDAR AVE. 57246,S200000,00200,0100,PHILADELPHIA 57246,S200000,00200,0200,PA 57246,S200000,00300,0100,19143 USA 57246,S200000,00400,0100,MERCY ADULT SERVICES 57246,S200000,00400,0200,395982 57246,S200000,00400,0300,05/02/1996 57246,S200000,00400,0500,P 57246,S200000,02200,0100,Y 57253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57253,A000000,00300,0000,00300EMPLOYEE BENEFITS 57253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57253,A000000,00700,0000,00700HOUSEKEEPING 57253,A000000,00800,0000,00800DIETARY 57253,A000000,00900,0000,00900NURSING ADMINISTRATION 57253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57253,A000000,01100,0000,01100PHARMACY 57253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57253,A000000,01300,0000,01300SOCIAL SERVICE 57253,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57253,A000000,01600,0000,01600SKILLED NURSING FACILITY 57253,A000000,01810,0000,01810ICF/MR 57253,A000000,02500,0000,02500PHYSICAL THERAPY 57253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57253,A000000,02700,0000,02700SPEECH PATHOLOGY 57253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57253,A000000,03550,0000,03550FQHC 57253,A000000,05000,0000,05000CORF 57253,A000000,05010,0000,05010CMHC 57253,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57253,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57253,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57253,B100000,00000,0100,00040SQUARE FEET 57253,B100000,00000,0200,00040SQUARE FEET 57253,B100000,00000,0300,00040GROSS SALARIES 57253,B100000,00000,0400,00040ACCUM COST 57253,B100000,00000,0500,00040SQUARE FEET 57253,B100000,00000,0600,00040POUNDS OF LAUNDRY 57253,B100000,00000,0700,00040HOURS OF SERVICE 57253,B100000,00000,0800,00040MEALS SERVED 57253,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 57253,B100000,00000,1000,00040COSTED REQUIS 57253,B100000,00000,1100,00040COSTED REQUIS 57253,B100000,00000,1200,00040TIME SPENT 57253,B100000,00000,1300,00040TIME SPENT 57253,B100000,00000,1400,00040ASSIGNED TIME 57253,E10A180,00501,0100,01/18/2001 57253,S000000,00100,0200,11/30/2000 57253,S200000,00100,0100,2100 N. 49TH STREET 57253,S200000,00200,0100,PHILADELPHIA 57253,S200000,00200,0200,PA 57253,S200000,00200,0300,19131 57253,S200000,00300,0100,P 57253,S200000,00400,0100,KEARSLEY RETIREMENT COMMUNITY 57253,S200000,00400,0200,395983 57253,S200000,00400,0300,04/10/1996 57253,S200000,00400,0500,P 57253,S200000,01500,0100,Y 57253,S200000,04300,0100,Y 57271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57271,A000000,00300,0000,00300EMPLOYEE BENEFITS 57271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57271,A000000,00700,0000,00700HOUSEKEEPING 57271,A000000,00800,0000,00800DIETARY 57271,A000000,00900,0000,00900NURSING ADMINISTRATION 57271,A000000,00901,0000,00901ADMISSIONS 57271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57271,A000000,01100,0000,01100PHARMACY 57271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57271,A000000,01300,0000,01300SOCIAL SERVICE 57271,A000000,01350,0000,01500ACTIVITIES 57271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57271,A000000,01600,0000,01600SKILLED NURSING FACILITY 57271,A000000,01800,0000,01800NURSING FACILITY 57271,A000000,01810,0000,01810ICF/MR 57271,A000000,01900,0000,01900OTHER LONG TERM CARE 57271,A000000,02100,0000,02100RADIOLOGY 57271,A000000,02200,0000,02200LABORATORY 57271,A000000,02300,0000,02300INTRAVENOUS THERAPY 57271,A000000,02500,0000,02500PHYSICAL THERAPY 57271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57271,A000000,02700,0000,02700SPEECH PATHOLOGY 57271,A000000,02800,0000,02800ELECTROCARDIOLOGY 57271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57271,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 57271,A000000,03550,0000,03550FQHC 57271,A000000,05000,0000,05000CORF 57271,A000000,05010,0000,05010CMHC 57271,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57271,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57271,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57271,A000000,06150,0000,06300NON-ALLOWABLE MEALS 57271,A81000A,00100,0100,Y 57271,A81000B,00100,0300,HOME OFFICE COSTS 57271,A81000B,00200,0300,CENTRAL SUPPLIES 57271,A81000B,00300,0300,ADMIN SUPPLIES 57271,A81000B,00400,0300,INTEREST INCOME ESCROW 57271,A81000B,00500,0300,MISCELLANEOUS 57271,A81000B,00600,0300,AMORTIZATION OF FINANCE COSTS 57271,A81000B,00700,0300,MORTGAGE FEES 57271,A81000B,01000,0300,LEASE EXPENSE 57271,A81000B,01100,0300,INTEREST INCOME 57271,A81000B,01200,0300,ACCTG/AUDIT/PROF/SUPPLIES 57271,A81000B,01300,0300,MORTGAGE 57271,A81000B,01400,0300,MIP 57271,A81000B,01600,0300,REAL ESTATE TAXES 57271,A81000B,01700,0300,DEPRECIATION 57271,A81000B,01800,0300,AMORTIZATION OF FINANCING COST 57271,A81000C,00200,0100,A 57271,A81000C,00200,0200,R. GRACIANO SR 57271,A81000C,00200,0400,GRANE HEALTHCAR 57271,A81000C,00200,0600,HEALTHCARE MGMT 57271,A81000C,00300,0100,A 57271,A81000C,00300,0200,R. GRACIANO JR 57271,A81000C,00300,0400,GRANE HEALTHCAR 57271,A81000C,00300,0600,HEALTHCARE MGMT 57271,A81000C,00400,0100,A 57271,A81000C,00400,0200,D. GRACIANO 57271,A81000C,00500,0100,A 57271,A81000C,00500,0200,R. NESE 57271,A81000C,01000,0100,A 57271,A81000C,01000,0200,ALTOONA HOSPIT. 57271,A81000C,01000,0400,LEX SCRIPT 57271,A81000C,01000,0600,DRUG & SUPPLY 57271,A81000C,01100,0100,A 57271,A81000C,01100,0200,SEE GHC ENTRY 57271,A81000C,01100,0600,HEALTHCARE MGMT 57271,A81000C,01200,0100,A 57271,A81000C,01200,0200,R.GRACIANO JR. 57271,A81000C,01200,0400,GMS CORPORATION 57271,A81000C,01200,0600,CORP.OFF. 57271,A81000C,01300,0100,A 57271,A81000C,01300,0200,D.GRACIANO 57271,A81000C,01300,0400,GMS CORP. 57271,A81000C,01300,0600,CORP.OFF. 57271,A81000C,01400,0100,A 57271,A81000C,01400,0200,SAME AS GRANE 57271,A81000C,01400,0600,HEALTHCARE MGMT 57271,A81000C,01500,0100,A 57271,A81000C,01500,0200,R.GRACIANO SR. 57271,A81000C,01500,0400,TRADE CONSTR 57271,A81000C,01500,0600,CONSTRUCTION 57271,A81000C,01600,0100,A 57271,A81000C,01600,0200,R.GRACIANO JR. 57271,A81000C,01600,0400,TRADE CONSTR. 57271,A81000C,01600,0600,CONSTRUCTION 57271,A81000C,01700,0100,A 57271,A81000C,01700,0200,D.GRACIANO 57271,A81000C,01700,0400,TRADE CONSTR. 57271,A81000C,01700,0600,CONSTRUCTION 57271,A81000C,01800,0100,A 57271,A81000C,01800,0200,R.NESE 57271,A81000C,01800,0400,TRADE CONSTR. 57271,A81000C,01800,0600,CONSTRUCTION 57271,A81000C,01900,0100,A 57271,A81000C,01900,0200,SEE GHC ENTRY 57271,A81000C,02000,0100,A 57271,A81000C,02000,0200,SEE TRADE ENTRY 57271,A81000C,02000,0600,CONSTRUCTION 57271,A81000C,02100,0100,A 57271,A81000C,02100,0200,SEE GHC ENTRY 57271,A81000C,02100,0600,THERAPY SVCS 57271,A81000C,02200,0100,A 57271,A81000C,02200,0200,BLAIR MED ASSOC 57271,A81000C,02200,0400,LEXINGTON FOUR 57271,A81000C,02200,0600,MED SUPPLY 57271,A81000C,02300,0100,A 57271,A81000C,02300,0200,LEX SCRIPT/KOPP 57271,A81000C,02300,0400,MED SCRIP RX SV 57271,A81000C,02300,0600,RX DRUGS 57271,A81000C,02400,0100,A 57271,A81000C,02400,0200,LEX/SCRIPT/KOPP 57271,A81000C,02400,0400,LEXINGTON TWO 57271,A81000C,02400,0600,RX DRUGS 57271,A81000C,02500,0100,A 57271,A81000C,02500,0200,HNA RESOURCES 57271,A81000C,02500,0400,LEXINGTON TWO 57271,A81000C,02500,0600,MED SUPPLY 57271,A81000C,02600,0100,A 57271,A81000C,02600,0200,SEE ALT.HOSP. 57271,A81000C,02600,0400,CEN.PA.HTH.SVCS 57271,A81000C,02600,0600,MED SERVICES 57271,B100000,00000,0100,00000SQUARE FEET 57271,B100000,00000,0200,00000SQUARE FEET 57271,B100000,00000,0300,00000GROSS SALARIES 57271,B100000,00000,0400,00000ACCUM. COST 57271,B100000,00000,0500,00000SQUARE FEET 57271,B100000,00000,0600,00000POUNDS OF LAUNDRY 57271,B100000,00000,0700,00000SQUARE FEET 57271,B100000,00000,0800,00000MEALS SERVED 57271,B100000,00000,0900,00000DIRECT NRSING HRS 57271,B100000,00000,0901,00000NUMBER OF ADMISSIONS 57271,B100000,00000,1000,00000COSTED REQUIS. 57271,B100000,00000,1100,00000COSTED REQUIS. 57271,B100000,00000,1200,00000DIRECT NUR HOURS 57271,B100000,00000,1300,00000RESIDENT D 57271,B100000,00000,1350,00000PATIENT DAYS 57271,B100000,00000,1400,00000ASSIGNED TIME 57271,E10A180,00301,0100,03/27/2000 57271,E10A180,00301,0300,03/27/2000 57271,E10A180,00501,0300,06/09/2000 57271,E10A180,00550,0100,06/09/2000 57271,S000000,00100,0200,05/25/2000 57271,S200000,00100,0100,1020 GREEN AVENUE 57271,S200000,00200,0100,ALTOONA 57271,S200000,00200,0200,PA 57271,S200000,00200,0300,16601 57271,S200000,00300,0100,BLAIR 57271,S200000,00400,0100,ALTOONA HOSPITAL CENTER FOR NURSING 57271,S200000,00400,0200,395985 57271,S200000,00400,0300,04/12/1996 57271,S200000,00400,0500,P 57271,S200000,00600,0200,395985 57271,S200000,00600,0300,04/12/1996 57271,S200000,00600,0600,P 57271,S200000,01600,0100,Y 57271,S200000,02200,0100,Y 57271,S200000,04100,0100,Y 57271,S200000,04700,0100,Y 57281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57281,A000000,00300,0000,00300EMPLOYEE BENEFITS 57281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57281,A000000,00700,0000,00700HOUSEKEEPING 57281,A000000,00800,0000,00800DIETARY 57281,A000000,00900,0000,00900NURSING ADMINISTRATION 57281,A000000,00901,0000,00901ADMISSIONS 57281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57281,A000000,01100,0000,01100PHARMACY 57281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57281,A000000,01300,0000,01300SOCIAL SERVICE 57281,A000000,01350,0000,01500ACTIVITIES 57281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57281,A000000,01600,0000,01600SKILLED NURSING FACILITY 57281,A000000,01800,0000,01800NURSING FACILITY 57281,A000000,01810,0000,01810ICF/MR 57281,A000000,02100,0000,02100RADIOLOGY 57281,A000000,02200,0000,02200LABORATORY 57281,A000000,02300,0000,02300INTRAVENOUS THERAPY 57281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57281,A000000,02500,0000,02500PHYSICAL THERAPY 57281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57281,A000000,02700,0000,02700SPEECH PATHOLOGY 57281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57281,A000000,03050,0000,03300COMPLEX MEDICAL SUPPLY 57281,A000000,03550,0000,03550FQHC 57281,A000000,05000,0000,05000CORF 57281,A000000,05010,0000,05010CMHC 57281,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57281,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57281,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57281,A81000A,00100,0100,Y 57281,A81000B,00100,0300,HOME OFFICE COSTS 57281,A81000B,00200,0300,PHYSICAL THERAPY 57281,A81000B,00300,0300,OCCUPATIONAL THERAPY 57281,A81000B,00400,0300,SPEECH THERAPY 57281,A81000B,00500,0300,PRESCRIPTION DRUGS 57281,A81000B,00600,0300,OVER-THE-COUNTER 57281,A81000B,00700,0300,NURSING SUPPLIES 57281,A81000B,00800,0300,DRUGS CONSULTING 57281,A81000B,00900,0300,HOUSEKEEPING 57281,A81000B,01000,0300,INTRAVENOUS THERAPY 57281,A81000B,01100,0300,CENTRAL SUPPLIES 57281,A81000B,01200,0300,SUPPLIES 57281,A81000B,01300,0300,OT SUPPLIES 57281,A81000B,01400,0300,MEDICAL SUPPLIES 57281,A81000B,01500,0300,ST SUPPLIES 57281,A81000B,01600,0300,ADMIN SUPPLIES 57281,A81000B,01700,0300,NURSING ADMIN SUPPLIES 57281,A81000B,01800,0300,DIETARY SUPPLIES 57281,A81000B,01900,0300,LAUNDRY SUPPLIES 57281,A81000B,02000,0300,ACTIVITY SUPPLIES 57281,A81000B,02100,0300,PLANT SUPPLIES 57281,A81000B,02200,0300,PHARMACY SUPPLIES 57281,A81000B,02300,0300,BLDGS & FIXTURES - H 57281,A81000B,02400,0300,MOVABLE EQ. - HO 57281,A81000C,00100,0100,A 57281,A81000C,00100,0200,RICHARD 57281,A81000C,00100,0400,GRANE 57281,A81000C,00100,0600,HEALTHCARE MGMT 57281,A81000C,00200,0200,GRACIANO SR. 57281,A81000C,00200,0400,HEALTHCARE 57281,A81000C,00300,0100,A 57281,A81000C,00300,0200,RICHARD 57281,A81000C,00300,0400,GRANE 57281,A81000C,00300,0600,HEALTHCARE MGMT 57281,A81000C,00400,0200,GRACIANO JR. 57281,A81000C,00400,0400,HEALTHCARE 57281,A81000C,00500,0100,A 57281,A81000C,00500,0200,DAVID GRACIANO 57281,A81000C,00500,0400,GRANE 57281,A81000C,00500,0600,HEALTHCARE MGMT 57281,A81000C,00600,0400,HEALTHCARE 57281,A81000C,00700,0100,A 57281,A81000C,00700,0200,ROSS NESE 57281,A81000C,00700,0400,GRANE 57281,A81000C,00700,0600,HEALTHCARE MGMT 57281,A81000C,00800,0400,HEALTHCARE 57281,A81000C,00900,0100,A 57281,A81000C,00900,0200,RICHARD 57281,A81000C,00900,0400,GMS CORP 57281,A81000C,00900,0600,ADMIN SEVICES 57281,A81000C,01000,0200,GRACIANO JR. 57281,A81000C,01100,0100,A 57281,A81000C,01100,0200,DAVID GRACIANO 57281,A81000C,01100,0400,GMS CORP 57281,A81000C,01100,0600,ADMIN SERVICES 57281,A81000C,01200,0100,A 57281,A81000C,01200,0200,SAME AS GRANE 57281,A81000C,01200,0400,GRANE ASSOC D/B 57281,A81000C,01200,0600,PLANT EXP/RENOV 57281,A81000C,01300,0100,A 57281,A81000C,01300,0200,HEALTHCARE 57281,A81000C,01300,0400,TRADE CONSTRUCT 57281,A81000C,01400,0100,A 57281,A81000C,01400,0200,SAME AS GRANE 57281,A81000C,01400,0400,GRANE ASSOC 57281,A81000C,01400,0600,ADMIN SERVICES 57281,A81000C,01500,0100,A 57281,A81000C,01500,0200,HEALTHCARE 57281,A81000C,01600,0100,A 57281,A81000C,01600,0200,SAME AS GRANE 57281,A81000C,01600,0400,GRANE SUPPLY 57281,A81000C,01600,0600,DRUGS/MED SUPP/ 57281,A81000C,01700,0100,A 57281,A81000C,01700,0200,HEALTHCARE 57281,A81000C,01700,0600,HOUSEKEEPING 57281,A81000C,01800,0100,A 57281,A81000C,01800,0200,RICHARD 57281,A81000C,01800,0400,GRANE REHAB 57281,A81000C,01800,0600,REHAB 57281,A81000C,01900,0100,A 57281,A81000C,01900,0200,GRACIANO SR. 57281,A81000C,01900,0600,(PT ST OT) 57281,A81000C,02000,0100,A 57281,A81000C,02000,0200,RICHARD 57281,A81000C,02000,0400,GRANE REHAB 57281,A81000C,02000,0600,REHAB 57281,A81000C,02100,0100,A 57281,A81000C,02100,0200,GRACIANO JR. 57281,A81000C,02100,0600,(PT ST OT) 57281,A81000C,02200,0100,A 57281,A81000C,02200,0200,DAVID GRACIANO 57281,A81000C,02200,0400,GRANE REHAB 57281,A81000C,02200,0600,REHAB 57281,A81000C,02300,0100,A 57281,A81000C,02300,0600,(PT ST OT) 57281,A81000C,02400,0100,A 57281,A81000C,02400,0200,ROSS NESE 57281,A81000C,02400,0400,GRANE REHAB 57281,A81000C,02400,0600,REHAB 57281,A81000C,02500,0100,A 57281,A81000C,02500,0600,(PT ST OT) 57281,A81000C,02600,0100,A 57281,A81000C,02600,0200,GRANE REHAB 57281,A81000C,02600,0400,GRANE REHAB 57281,A81000C,02600,0600,REHAB 57281,A81000C,02700,0100,A 57281,A81000C,02700,0200,INC. 57281,A81000C,02700,0600,(PT ST OT) 57281,B100000,00000,0100,00000SQUARE FEET 57281,B100000,00000,0200,00000SQUARE FEET 57281,B100000,00000,0300,00000GROSS SALARIES 57281,B100000,00000,0400,00000ACCUM. COST 57281,B100000,00000,0500,00000SQUARE FEET 57281,B100000,00000,0600,00000POUNDS OF LAUNDRY 57281,B100000,00000,0700,00000SQUARE FEET 57281,B100000,00000,0800,00000MEALS SERVED 57281,B100000,00000,0900,00000DIRECT NRSING HRS 57281,B100000,00000,0901,00000COSTED REQUIS. 57281,B100000,00000,1000,00000COSTED REQUIS. 57281,B100000,00000,1100,00000COSTED REQUIS. 57281,B100000,00000,1200,00000DIRECT NUR HOURS 57281,B100000,00000,1300,00000RESIDENT DAYS 57281,B100000,00000,1350,00000OTHER 57281,B100000,00000,1400,00000ASSIGNED TIME 57281,E10A180,00301,0100,03/29/2000 57281,E10A180,00301,0300,03/29/2000 57281,E10A180,00501,0100,06/08/2000 57281,E10A180,00501,0300,06/08/2000 57281,S000000,00100,0200,05/25/2000 57281,S200000,00100,0100,R.D. #1 ROUTE 422 EAST 57281,S200000,00200,0100,KITTANNING 57281,S200000,00200,0200,PA 57281,S200000,00200,0300,16201 57281,S200000,00300,0100,ARMSTRONG 57281,S200000,00400,0100,KITTANNING CARE CENTER 57281,S200000,00400,0200,395986 57281,S200000,00400,0300,06/25/1996 57281,S200000,00400,0500,P 57281,S200000,00600,0200,395986 57281,S200000,00600,0300,06/25/1996 57281,S200000,00600,0600,P 57281,S200000,01600,0100,Y 57281,S200000,02200,0100,Y 57281,S200000,04700,0100,Y 57288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57288,A000000,00300,0000,00300EMPLOYEE BENEFITS 57288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57288,A000000,00700,0000,00700HOUSEKEEPING 57288,A000000,00800,0000,00800DIETARY 57288,A000000,00900,0000,00900NURSING ADMINISTRATION 57288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57288,A000000,01100,0000,01100PHARMACY 57288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57288,A000000,01300,0000,01300SOCIAL SERVICE 57288,A000000,01350,0000,01500PATIENT ACTIVITIES 57288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57288,A000000,01600,0000,01600SKILLED NURSING FACILITY 57288,A000000,01810,0000,01810ICF/MR 57288,A000000,02100,0000,02100RADIOLOGY 57288,A000000,02200,0000,02200LABORATORY 57288,A000000,02300,0000,02300INTRAVENOUS THERAPY 57288,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57288,A000000,02500,0000,02500PHYSICAL THERAPY 57288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57288,A000000,02700,0000,02700SPEECH PATHOLOGY 57288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57288,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57288,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57288,A000000,03550,0000,03550FQHC 57288,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57288,A000000,05000,0000,05000CORF 57288,A000000,05010,0000,05010CMHC 57288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57288,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57288,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57288,B100000,00000,0100,00000SQUARE FEET 57288,B100000,00000,0200,00000NO STATISTICS 57288,B100000,00000,0300,00000NO STATISTICS 57288,B100000,00000,0400,00000ACCUM. COST 57288,B100000,00000,0500,00000SQUARE FEET 57288,B100000,00000,0600,00000SQUARE FEET 57288,B100000,00000,0700,00000SQU FT EXCL D 57288,B100000,00000,0800,00000PATIENT DAYS 57288,B100000,00000,0900,00000PATIENT DAYS 57288,B100000,00000,1000,00000PATIENT DAYS 57288,B100000,00000,1100,00000PATIENT DAYS 57288,B100000,00000,1200,00000PATIENT DAYS 57288,B100000,00000,1300,00000PATIENT DAYS 57288,B100000,00000,1350,00000PATIENT DAYS 57288,B100000,00000,1400,00000NO STATISTICS 57288,E10A180,00501,0100,07/12/2000 57288,E10A180,00501,0300,07/12/2000 57288,S000000,00100,0200,05/30/2000 57288,S200000,00100,0100,8TH STREET @ GIRARD AVE 4TH FL 57288,S200000,00200,0100,PHILADELPHIA 57288,S200000,00200,0200,PA 57288,S200000,00300,0100,PHILADELPHIA 57288,S200000,00400,0100,CONTINUING CARE NURSING & REHAB CRT 57288,S200000,00400,0200,395988 57288,S200000,00400,0300,12/31/1997 57288,S200000,00400,0500,P 57288,S200000,01500,0100,Y 57297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57297,A000000,00300,0000,00300EMPLOYEE BENEFITS 57297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57297,A000000,00700,0000,00700HOUSEKEEPING 57297,A000000,00800,0000,00800DIETARY 57297,A000000,00900,0000,00900NURSING ADMINISTRATION 57297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57297,A000000,01100,0000,01100PHARMACY 57297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57297,A000000,01300,0000,01300SOCIAL SERVICE 57297,A000000,01350,0000,01500PATIENT ACTIVITIES 57297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57297,A000000,01600,0000,01600SKILLED NURSING FACILITY 57297,A000000,01810,0000,01810ICF/MR 57297,A000000,02100,0000,02100RADIOLOGY 57297,A000000,02200,0000,02200LABORATORY 57297,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57297,A000000,02500,0000,02500PHYSICAL THERAPY 57297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57297,A000000,02700,0000,02700SPEECH PATHOLOGY 57297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57297,A000000,03550,0000,03550FQHC 57297,A000000,04800,0000,04800AMBULANCE 57297,A000000,05000,0000,05000CORF 57297,A000000,05010,0000,05010CMHC 57297,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57297,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57297,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57297,A000000,05300,0000,05300INTEREST EXPENSE 57297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57297,A000000,06150,0000,06300NON-REIMBURSABLE 57297,A81000A,00100,0100,Y 57297,A81000B,00100,0300,NON-CAP HOME OFFICE COSTS 57297,A81000B,00200,0300,CONTRACT THERAPY 57297,A81000B,00300,0300,CONTRACT THERAPY 57297,A81000B,00400,0300,CONTRACT THERAPY 57297,A81000B,00500,0300,CAP HOME OFF. CO 57297,A81000C,00100,0100,B 57297,A81000C,00100,0200,PRESBYTERIAN HO 57297,A81000C,00100,0600,HOME OFFICE 57297,A81000C,00200,0200,IN THE PRESBYTE 57297,A81000C,00200,0600,MANAGEMENT 57297,A81000C,00300,0200,OF LAKE ERIE 57297,A81000C,00500,0100,G 57297,A81000C,00500,0200,PRESBYTERIAN HO 57297,A81000C,00500,0400,HVA THERAPY LL 57297,A81000C,00500,0600,THERAPY SERVICE 57297,A81000C,00600,0200,IS 1/3 OWNER OF 57297,A81000C,00600,0600,PROVIDER 57297,B100000,00000,0100,00000SQUARE FEET 57297,B100000,00000,0200,00000DOLLAR VALUE 57297,B100000,00000,0300,00000GROSS SALARIES 57297,B100000,00000,0400,00000ACCUM COST 57297,B100000,00000,0500,00000SQUARE FEET 57297,B100000,00000,0600,00000POUNDS OF LAUNDRY 57297,B100000,00000,0700,00000SQ FT W/O KIT 57297,B100000,00000,0800,00000MEALS SERVED 57297,B100000,00000,0900,00000DIRECT NRSG HRS 57297,B100000,00000,1000,00000COSTED REQUIS 57297,B100000,00000,1100,00000COSTED REQUIS 57297,B100000,00000,1200,00000GROSS CHARGES 57297,B100000,00000,1300,00000TIME SPENT 57297,B100000,00000,1350,00000TIME SPENT 57297,B100000,00000,1400,00000ASSIGNED TIME 57297,E10A180,00501,0100,06/13/2000 57297,E10A180,00550,0300,06/13/2000 57297,S000000,00100,0200,05/30/2000 57297,S200000,00100,0100,6531 WEST LAKE ROAD 57297,S200000,00200,0100,ERIE 57297,S200000,00200,0200,PA 57297,S200000,00200,0300,16505 57297,S200000,00300,0100,ERIE 57297,S200000,00400,0100,MANCHESTER PRESBYTERIAN LODGE 57297,S200000,00400,0200,395996 57297,S200000,00400,0300,08/13/1996 57297,S200000,00400,0500,P 57297,S200000,00400,0600,O 57297,S200000,01500,0100,Y 57297,S200000,02800,0100,Y 57297,S200000,04600,0100,Y 57297,S200000,04700,0100,Y 57297,S200000,04700,0200,Y 57304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57304,A000000,00300,0000,00300EMPLOYEE BENEFITS 57304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57304,A000000,00700,0000,00700HOUSEKEEPING 57304,A000000,00800,0000,00800DIETARY 57304,A000000,00900,0000,00900NURSING ADMINISTRATION 57304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57304,A000000,01100,0000,01100PHARMACY 57304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57304,A000000,01300,0000,01300SOCIAL SERVICE 57304,A000000,01350,0000,01500ACTIVITIES 57304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57304,A000000,01600,0000,01600SKILLED NURSING FACILITY 57304,A000000,01810,0000,01810ICF/MR 57304,A000000,02100,0000,02100RADIOLOGY 57304,A000000,02200,0000,02200LABORATORY 57304,A000000,02500,0000,02500PHYSICAL THERAPY 57304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57304,A000000,02700,0000,02700SPEECH PATHOLOGY 57304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57304,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57304,A000000,03550,0000,03550FQHC 57304,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57304,A000000,05000,0000,05000CORF 57304,A000000,05010,0000,05010CMHC 57304,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57304,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57304,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57304,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57304,B100000,00000,0100,00000SQUARE FEET 57304,B100000,00000,0200,00000DOLLAR VALUE 57304,B100000,00000,0300,00000GROSS SALARIES 57304,B100000,00000,0400,00000ACCUM. COST 57304,B100000,00000,0500,00000SQUARE FEET 57304,B100000,00000,0600,00000PATIENT DAYS 57304,B100000,00000,0700,00000SQUARE FEET 57304,B100000,00000,0800,00000MEALS SERVED 57304,B100000,00000,0900,00000DIRECT NRSING HRS 57304,B100000,00000,1000,00000PATIENT DAYS 57304,B100000,00000,1100,00000COSTED REQUIS. 57304,B100000,00000,1200,00000TIME SPENT 57304,B100000,00000,1300,00000PATIENT DAYS 57304,B100000,00000,1350,00000PATIENT DAYS 57304,B100000,00000,1400,00000ASSIGNED TIME 57304,E10A180,00501,0100,10/18/2000 57304,E10A180,00501,0300,10/18/2000 57304,E10A180,00550,0100,04/05/2001 57304,E10A180,00550,0300,04/05/2001 57304,S000000,00100,0200,08/18/2000 57304,S200000,00100,0100,998 S. RUSSELL ST. 57304,S200000,00200,0100,YORK 57304,S200000,00200,0200,PA 57304,S200000,00300,0100,YORK 57304,S200000,00400,0100,MISERICORDIA CONVALESCENT HOME 57304,S200000,00400,0200,395998 57304,S200000,00400,0300,12/01/1996 57304,S200000,00400,0500,P 57304,S200000,01500,0100,Y 57304,S200000,04300,0100,Y 57313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57313,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 57313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57313,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 57313,A000000,00300,0000,00300EMPLOYEE BENEFITS 57313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57313,A000000,00700,0000,00700HOUSEKEEPING 57313,A000000,00800,0000,00800DIETARY 57313,A000000,00801,0000,00801CAFETERIA 57313,A000000,00900,0000,00900NURSING ADMINISTRATION 57313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57313,A000000,01100,0000,01100PHARMACY 57313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57313,A000000,01300,0000,01300SOCIAL SERVICE 57313,A000000,01350,0000,01500REC THERAPY 57313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57313,A000000,01600,0000,01600SKILLED NURSING FACILITY 57313,A000000,01800,0000,01800NURSING FACILITY 57313,A000000,01810,0000,01810ICF/MR 57313,A000000,02100,0000,02100RADIOLOGY 57313,A000000,02200,0000,02200LABORATORY 57313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57313,A000000,02500,0000,02500PHYSICAL THERAPY 57313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57313,A000000,02700,0000,02700SPEECH PATHOLOGY 57313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57313,A000000,03050,0000,03300PEN THERAPY 57313,A000000,03051,0000,03301FEE SCREENING 57313,A000000,03052,0000,03302OTHER ANCILLARY III 57313,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57313,A000000,03550,0000,03550FQHC 57313,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57313,A000000,05000,0000,05000CORF I 57313,A000000,05010,0000,05010CMHC I 57313,A000000,05020,0000,05020OPT I 57313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57313,A000000,05300,0000,05300INTEREST EXPENSE 57313,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57313,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57313,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57313,A81000A,00100,0100,Y 57313,A81000B,00100,0300,HOME OFFICE 57313,A81000B,00200,0300,HOME OFFICE CAPITAL 57313,A81000B,00300,0300,AS ATTACHED 57313,A81000C,00100,0100,B 57313,A81000C,00100,0400,GENESIS HV 57313,A81000C,00100,0600,HOME OFFICE 57313,A81000C,00200,0100,B 57313,A81000C,00200,0400,GENESIS HV 57313,A81000C,00200,0600,HOME OFFICE 57313,A81000C,00300,0100,B 57313,A81000C,00300,0400,AS ATTACHED 57313,A81000C,00300,0600,VARIOUS 57313,B100000,00000,0100,00000(SQUARE FEET) 57313,B100000,00000,0101,00000(SQUARE FEET) 57313,B100000,00000,0200,00000(SQUARE FEET) 57313,B100000,00000,0201,00000(SQUARE FEET) 57313,B100000,00000,0300,00000(GROSS SALARIES) 57313,B100000,00000,0400,00000(ACCUM. COST) 57313,B100000,00000,0500,00000(SQUARE FEET) 57313,B100000,00000,0600,00000(PATIENT DAYS) 57313,B100000,00000,0700,00000(SQUARE FEET) 57313,B100000,00000,0800,00000(MEALS SERVED) 57313,B100000,00000,0801,00000(MEALS SERVED) 57313,B100000,00000,0900,00000(NURSING SALARIES) 57313,B100000,00000,1000,00000(PATIENT DAYS) 57313,B100000,00000,1100,00000(COSTED REQUIS.) 57313,B100000,00000,1200,00000(PATIENT DAYS) 57313,B100000,00000,1300,00000(PATIENT DAYS) 57313,B100000,00000,1350,00000(PATIENT DAYS) 57313,B100000,00000,1400,00000(ASSIGNED TIME) 57313,E10A180,00501,0100,03/06/2000 57313,E10A180,00550,0300,03/06/2000 57313,S000000,00100,0200,02/28/2000 57313,S200000,00100,0100,1700 PINE STREET 57313,S200000,00200,0100,NORRISTOWN 57313,S200000,00200,0200,PA 57313,S200000,00200,0300,19401 57313,S200000,00300,0100,MONTGOMERY 57313,S200000,00400,0100,RITTENHOUSE PINE 57313,S200000,00400,0200,396009 57313,S200000,00400,0300,09/10/1996 57313,S200000,00400,0500,P 57313,S200000,01600,0100,Y 57313,S200000,02200,0100,Y 57320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57320,A000000,00300,0000,00300EMPLOYEE BENEFITS 57320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57320,A000000,00700,0000,00700HOUSEKEEPING 57320,A000000,00800,0000,00800DIETARY 57320,A000000,00900,0000,00900NURSING ADMINISTRATION 57320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57320,A000000,01100,0000,01100PHARMACY 57320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57320,A000000,01300,0000,01300SOCIAL SERVICE 57320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57320,A000000,01600,0000,01600SKILLED NURSING FACILITY 57320,A000000,01810,0000,01810ICF/MR 57320,A000000,02100,0000,02100RADIOLOGY 57320,A000000,02200,0000,02200LABORATORY 57320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57320,A000000,02500,0000,02500PHYSICAL THERAPY 57320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57320,A000000,02700,0000,02700SPEECH PATHOLOGY 57320,A000000,02800,0000,02800ELECTROCARDIOLOGY 57320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57320,A000000,03400,0000,03400CLINIC 57320,A000000,03550,0000,03550FQHC 57320,A000000,05000,0000,05000CORF 57320,A000000,05010,0000,05010CMHC 57320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57320,A81000A,00100,0100,Y 57320,A81000B,00100,0300,NE-A&G 57320,A81000B,00200,0300,TUHS-ADMIN 57320,A81000B,00300,0300,NE-BUSINESS OFFICE 57320,A81000B,00400,0300,NE-LAUNDRY 57320,A81000B,00500,0300,NE-DIETARY 57320,A81000B,00600,0300,NE-MEDICAL RECORDS 57320,A81000B,00700,0300,NE-RENTAL 57320,A81000B,00800,0300,NE-RADIOLOGY 57320,A81000B,00900,0300,NE-LAB 57320,A81000B,01000,0300,NE-RESPIRATORY 57320,A81000B,01100,0300,NE-PHYSICAL THERAPY 57320,A81000B,01200,0300,NE- OCCUPATIONAL THE 57320,A81000B,01300,0300,NE-EKG 57320,A81000B,01400,0300,NE-MEDICAL SUPPLIES 57320,A81000B,01500,0300,NE-DRUGS 57320,A81000C,00100,0100,B 57320,A81000C,00100,0200,NORTHEASTERN HO 57320,A81000C,00100,0400,NORTHEASTERN HO 57320,A81000C,00100,0600,HOSPITAL 57320,A81000C,00200,0100,B 57320,A81000C,00200,0200,TEMPLE UNIV HEA 57320,A81000C,00200,0400,TEMPLE UNIV HEA 57320,A81000C,00200,0600,HOSPITAL 57320,B100000,00000,0100,00040SQUARE FEET 57320,B100000,00000,0200,00040SQUARE FEET 57320,B100000,00000,0300,00040GROSS SALARIES 57320,B100000,00000,0400,00040ACCUM COST 57320,B100000,00000,0500,00040SQUARE FEET 57320,B100000,00000,0600,00040POUNDS OF LAUNDRY 57320,B100000,00000,0700,00040HOURS OF SERVICE 57320,B100000,00000,0800,00040MEALS SERVED 57320,B100000,00000,0900,00040DIRECT NRSG HRS 57320,B100000,00000,1000,00040COSTED REQUIS 57320,B100000,00000,1100,00040COSTED REQUIS 57320,B100000,00000,1200,00040TIME SPENT 57320,B100000,00000,1300,00040TIME SPENT 57320,B100000,00000,1400,00040ASSIGNED TIME 57320,S000000,00100,0200,11/23/1999 57320,S200000,00100,0100,2301 E. ALLEGHENY AVENUE 57320,S200000,00200,0100,PHILADELPHIA 57320,S200000,00200,0200,PA 57320,S200000,00200,0300,19134 57320,S200000,00300,0100,PHILADELPHIA 57320,S200000,00400,0100,NORTHEASTERN HOSPT. SKILLED CARE CT 57320,S200000,00400,0200,396013 57320,S200000,00400,0300,11/06/1998 57320,S200000,00400,0500,P 57320,S200000,01500,0100,Y 57320,S200000,01900,0100,HOSPITAL BASED 57320,S200000,02200,0100,Y 57325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57325,A000000,00300,0000,00300EMPLOYEE BENEFITS 57325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57325,A000000,00700,0000,00700HOUSEKEEPING 57325,A000000,00800,0000,00800DIETARY 57325,A000000,00900,0000,00900NURSING ADMINISTRATION 57325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57325,A000000,01100,0000,01100PHARMACY 57325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57325,A000000,01300,0000,01300SOCIAL SERVICE 57325,A000000,01301,0000,01301PATIENT ACTIVITIES 57325,A000000,01350,0000,01500OTHER GENERAL SERVICES 57325,A000000,01600,0000,01600SKILLED NURSING FACILITY 57325,A000000,01810,0000,01810ICF/MR 57325,A000000,02100,0000,02100RADIOLOGY 57325,A000000,02200,0000,02200LABORATORY 57325,A000000,02300,0000,02300INTRAVENOUS THERAPY 57325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57325,A000000,02500,0000,02500PHYSICAL THERAPY 57325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57325,A000000,02700,0000,02700SPEECH PATHOLOGY 57325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57325,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57325,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57325,A000000,03550,0000,03550FQHC 57325,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57325,A000000,05000,0000,05000CORF 57325,A000000,05010,0000,05010CMHC 57325,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57325,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57325,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57325,A000000,05300,0000,05300INTEREST EXPENSE 57325,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57325,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57325,A000000,06151,0000,06301APARTMENTS 57325,A000000,06152,0000,06302HOUSES 57325,A000000,06153,0000,06303ASSISTED LIVING 57325,A000000,06154,0000,06304COMMON AREA 57325,A000000,06155,0000,06305MARKETING 57325,A000000,06156,0000,06306IN HOME SERVICES 57325,A81000A,00100,0100,Y 57325,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 57325,A81000C,00100,0100,C 57325,A81000C,00100,0200,WESTMINSTER WOODS 57325,A81000C,00100,0400,PH OF THE PRESBYTERY OF 57325,A81000C,00100,0600,HOME OFFICE 57325,A81000C,00200,0400,HUNTINGDON COUNTY 57325,B100000,00000,0100,00006SQUARE FEET 57325,B100000,00000,0200,00006DOLLAR VALUE 57325,B100000,00000,0300,00006GROSS SALARIES 57325,B100000,00000,0400,00006ACCUM. COST 57325,B100000,00000,0500,00006SQUARE FEET 57325,B100000,00000,0600,00006TOTAL COST 57325,B100000,00000,0700,00006TOTAL COST 57325,B100000,00000,0800,00006MEALS SERVED 57325,B100000,00000,0900,00006TOTAL COST 57325,B100000,00000,1000,00006COSTED REQUIS. 57325,B100000,00000,1100,00006COSTED REQUIS. 57325,B100000,00000,1200,00006PATIENT DAYS 57325,B100000,00000,1300,00006TOTAL COST 57325,B100000,00000,1301,00006PATIENT ACTIVITIES 57325,B100000,00000,1350,00006 57325,E10A180,00501,0100,05/02/2000 57325,E10A180,00550,0300,05/02/2000 57325,S000000,00100,0200,04/18/2000 57325,S200000,00100,0100,360 WESTMINSTER DRIVE 57325,S200000,00200,0100,HUNTINGDON 57325,S200000,00200,0200,PA 57325,S200000,00300,0100,HUNTINGDON 57325,S200000,00400,0100,WESTMINSTER WOODS AT HUNTINGDON 57325,S200000,00400,0200,396015 57325,S200000,00400,0300,12/11/1996 57325,S200000,00400,0500,P 57325,S200000,01500,0100,Y 57332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57332,A000000,00300,0000,00300EMPLOYEE BENEFITS 57332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57332,A000000,00700,0000,00700HOUSEKEEPING 57332,A000000,00800,0000,00800DIETARY 57332,A000000,00900,0000,00900NURSING ADMINISTRATION 57332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57332,A000000,01100,0000,01100PHARMACY 57332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57332,A000000,01300,0000,01300SOCIAL SERVICE 57332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57332,A000000,01600,0000,01600SKILLED NURSING FACILITY 57332,A000000,01800,0000,01800NURSING FACILITY 57332,A000000,01810,0000,01810ICF/MR 57332,A000000,02100,0000,02100RADIOLOGY 57332,A000000,02200,0000,02200LABORATORY 57332,A000000,02500,0000,02500PHYSICAL THERAPY 57332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57332,A000000,02700,0000,02700SPEECH PATHOLOGY 57332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57332,A000000,03550,0000,03550FQHC 57332,A000000,05000,0000,05000CORF 57332,A000000,05010,0000,05010CMHC 57332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57332,A000000,05300,0000,05300INTEREST EXPENSE 57332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57332,B100000,00000,0100,00000SQUARE FEET 57332,B100000,00000,0200,00000SQUARE FEET 57332,B100000,00000,0300,00000GROSS SALARIES 57332,B100000,00000,0400,00000ACCUM COST 57332,B100000,00000,0500,00000SQUARE FEET 57332,B100000,00000,0600,00000POUNDS OF LAUNDRY 57332,B100000,00000,0700,00000SQUARE FEET 57332,B100000,00000,0800,00000MEALS SERVED 57332,B100000,00000,0900,00000DIRECT NRSG HRS 57332,B100000,00000,1000,00000COSTED REQUIS 57332,B100000,00000,1100,00000COSTED REQUIS 57332,B100000,00000,1200,00000TIME SPENT 57332,B100000,00000,1300,00000TIME SPENT 57332,B100000,00000,1400,00000ASSIGNED TIME 57332,S000000,00100,0200,11/20/2000 57332,S200000,00100,0100,6 GARDEN CENTER DRIVE 57332,S200000,00200,0100,GREENSBURG 57332,S200000,00200,0200,PA 57332,S200000,00200,0300,15601 57332,S200000,00300,0100,WESTMORELAND 57332,S200000,00400,0100,REDSTONE HIGHLANDS HEALTHCARE CTR. 57332,S200000,00400,0200,396021 57332,S200000,00400,0300,02/03/1997 57332,S200000,00400,0500,P 57332,S200000,00600,0200,757511 57332,S200000,00600,0300,01/01/1980 57332,S200000,01600,0100,Y 57332,S200000,01900,0100,501(C)(3) CORPORATION 57339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57339,A000000,00300,0000,00300EMPLOYEE BENEFITS 57339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57339,A000000,00700,0000,00700HOUSEKEEPING 57339,A000000,00800,0000,00800DIETARY 57339,A000000,00900,0000,00900NURSING ADMINISTRATION 57339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57339,A000000,01100,0000,01100PHARMACY 57339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57339,A000000,01300,0000,01300SOCIAL SERVICE 57339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57339,A000000,01810,0000,01810ICF/MR 57339,A000000,03550,0000,03550FQHC 57339,A000000,05000,0000,05000CORF 57339,A000000,05010,0000,05010CMHC 57339,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57339,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57339,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57339,B100000,00000,0100,00040SQUARE FEET 57339,B100000,00000,0200,00040SQUARE FEET 57339,B100000,00000,0300,00040GROSS SALARIES 57339,B100000,00000,0400,00040ACCUM COST 57339,B100000,00000,0500,00040SQUARE FEET 57339,B100000,00000,0600,00040POUNDS OF LAUNDRY 57339,B100000,00000,0700,00040HOURS OF SERVICE 57339,B100000,00000,0800,00040MEALS SERVED 57339,B100000,00000,0900,00040DIRECT NRSG HRS 57339,B100000,00000,1000,00040COSTED REQUIS 57339,B100000,00000,1100,00040COSTED REQUIS 57339,B100000,00000,1200,00040TIME SPENT 57339,B100000,00000,1300,00040TIME SPENT 57339,B100000,00000,1400,00040ASSIGNED TIME 57339,S000000,00100,0200,05/26/2000 57339,S200000,00100,0100,238 BELMONT AVENUE 57339,S200000,00200,0100,BALA CYNWYD 57339,S200000,00200,0200,PA 57339,S200000,00200,0300,19004 57339,S200000,00300,0100,DELAWARE 57339,S200000,00400,0100,THE MARY J. DREXEL HOME 57339,S200000,00400,0200,396023 57339,S200000,00400,0300,03/01/1997 57339,S200000,00400,0500,P 57339,S200000,01500,0100,Y 57339,S200000,01900,0100,OTHER 57346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57346,A000000,00300,0000,00300EMPLOYEE BENEFITS 57346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57346,A000000,00700,0000,00700HOUSEKEEPING 57346,A000000,00800,0000,00800DIETARY 57346,A000000,00900,0000,00900NURSING ADMINISTRATION 57346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57346,A000000,01100,0000,01100PHARMACY 57346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57346,A000000,01300,0000,01300SOCIAL SERVICE 57346,A000000,01350,0000,01500PATIENT ACTIVITIES 57346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57346,A000000,01600,0000,01600SKILLED NURSING FACILITY 57346,A000000,01800,0000,01800NURSING FACILITY 57346,A000000,01810,0000,01810ICF/MR 57346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57346,A000000,02500,0000,02500PHYSICAL THERAPY 57346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57346,A000000,02700,0000,02700SPEECH PATHOLOGY 57346,A000000,03050,0000,03300OTHER ANCILLARY 57346,A000000,03200,0000,03200SUPPORT SURFACES 57346,A000000,03550,0000,03550FQHC 57346,A000000,05000,0000,05000CORF 57346,A000000,05010,0000,05010CMHC 57346,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57346,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57346,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57346,A000000,06200,0000,06200PATIENTS LAUNDRY 57346,A81000A,00100,0100,Y 57346,A81000B,00100,0300,RENT 57346,A81000C,00100,0100,A 57346,A81000C,00100,0200,HAROLD & NANCY 57346,A81000C,00100,0400,HAROLD & NANCY 57346,A81000C,00100,0600,REAL ESTATE 57346,B100000,00000,0100,00000SQUARE FEET 57346,B100000,00000,0200,00000SQUARE FEET 57346,B100000,00000,0300,00000GROSS SALARIES 57346,B100000,00000,0400,00000ACCUM COST 57346,B100000,00000,0500,00000SQUARE FEET 57346,B100000,00000,0600,00000POUNDS OF LAUNDRY 57346,B100000,00000,0700,00000HOURS OF SERVICE 57346,B100000,00000,0800,00000MEALS SERVED 57346,B100000,00000,0900,00000DIRECT NRSG HRS 57346,B100000,00000,1000,00000COSTED REQUIS 57346,B100000,00000,1100,00000COSTED REQUIS 57346,B100000,00000,1200,00000TIME SPENT 57346,B100000,00000,1300,00000TIME SPENT 57346,B100000,00000,1350,00000PATIENT DAYS 57346,B100000,00000,1400,00000ASSIGNED TIME 57346,E10A180,00550,0100,11/08/2000 57346,E10A180,00550,0300,11/08/2000 57346,S000000,00100,0200,10/26/2000 57346,S200000,00100,0100,1896 LEITHSVILLE ROAD 57346,S200000,00200,0100,HELLERTOWN 57346,S200000,00200,0200,PA 57346,S200000,00200,0300,18055 57346,S200000,00300,0100,NORTHAMPTON 57346,S200000,00400,0100,MARY ELLEN CONVALESCENT HOME INC. 57346,S200000,00400,0200,396024 57346,S200000,00400,0300,05/01/1997 57346,S200000,00400,0500,P 57346,S200000,01600,0100,Y 57346,S200000,01700,0100,Y 57346,S200000,02800,0100,Y 57353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57353,A000000,00300,0000,00300EMPLOYEE BENEFITS 57353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57353,A000000,00700,0000,00700HOUSEKEEPING 57353,A000000,00800,0000,00800DIETARY 57353,A000000,00900,0000,00900NURSING ADMINISTRATION 57353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57353,A000000,01100,0000,01100PHARMACY 57353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57353,A000000,01300,0000,01300SOCIAL SERVICE 57353,A000000,01301,0000,01301ACTIVITIES & RECREATION 57353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57353,A000000,01600,0000,01600SKILLED NURSING FACILITY 57353,A000000,01800,0000,01800NURSING FACILITY 57353,A000000,01810,0000,01810ICF/MR 57353,A000000,02100,0000,02100RADIOLOGY 57353,A000000,02200,0000,02200LABORATORY 57353,A000000,02500,0000,02500PHYSICAL THERAPY 57353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57353,A000000,02700,0000,02700SPEECH PATHOLOGY 57353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57353,A000000,03200,0000,03200SUPPORT SURFACES 57353,A000000,03550,0000,03550FQHC 57353,A000000,04800,0000,04800AMBULANCE 57353,A000000,05000,0000,05000CORF 57353,A000000,05010,0000,05010CMHC 57353,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57353,A000000,05300,0000,05300INTEREST EXPENSE 57353,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57353,B100000,00000,0100,00000SQUARE FEET 57353,B100000,00000,0200,00000SQUARE FEET 57353,B100000,00000,0300,00000GROSS SALARIES 57353,B100000,00000,0400,00000ACCUM COST 57353,B100000,00000,0500,00000SQUARE FEET 57353,B100000,00000,0600,00000POUNDS OF LAUNDRY 57353,B100000,00000,0700,00000HOURS OF SERVICE 57353,B100000,00000,0800,00000MEALS SERVED 57353,B100000,00000,0900,00000DIRECT NRSG HRS 57353,B100000,00000,1000,00000COSTED REQUIS 57353,B100000,00000,1100,00000COSTED REQUIS 57353,B100000,00000,1200,00000TIME SPENT 57353,B100000,00000,1300,00000TIME SPENT 57353,B100000,00000,1301,00000ACTIVITIES RECREATION 57353,B100000,00000,1400,00000ASSIGNED TIME 57353,E10A180,00501,0100,12/01/2000 57353,E10A180,00501,0300,12/01/2000 57353,S000000,00100,0200,11/28/2000 57353,S200000,00100,0100,1030 STATE STREET 57353,S200000,00200,0100,BADEN 57353,S200000,00200,0200,PA 57353,S200000,00200,0300,15005 57353,S200000,00300,0100,BEAVER 57353,S200000,00400,0100,VILLA ST JOSEPH OF BADEN INC. 57353,S200000,00400,0200,396026 57353,S200000,00400,0300,02/27/1997 57353,S200000,00400,0500,P 57353,S200000,01600,0100,Y 57353,S200000,01900,0100,NONPROFIT CORPORATION 57353,S200000,02200,0100,Y 57353,S200000,04700,0100,Y 57353,S200000,04700,0200,Y 57360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57360,A000000,00300,0000,00300EMPLOYEE BENEFITS 57360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57360,A000000,00700,0000,00700HOUSEKEEPING 57360,A000000,00800,0000,00800DIETARY 57360,A000000,00900,0000,00900NURSING ADMINISTRATION 57360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57360,A000000,01100,0000,01100PHARMACY 57360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57360,A000000,01300,0000,01300SOCIAL SERVICE 57360,A000000,01301,0000,01350ACTIVITIES & RECREATION 57360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57360,A000000,01600,0000,01600SKILLED NURSING FACILITY 57360,A000000,01810,0000,01810ICF/MR 57360,A000000,01900,0000,01900OTHER LONG TERM CARE 57360,A000000,02200,0000,02200LABORATORY 57360,A000000,02500,0000,02500PHYSICAL THERAPY 57360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57360,A000000,02700,0000,02700SPEECH PATHOLOGY 57360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57360,A000000,03550,0000,03550FQHC 57360,A000000,05000,0000,05000CORF 57360,A000000,05010,0000,05010CMHC 57360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57360,B100000,00000,0100,00000SQUARE FEET 57360,B100000,00000,0200,00000SQUARE FEET 57360,B100000,00000,0300,00000GROSS SALARIES 57360,B100000,00000,0400,00000ACCUM COST 57360,B100000,00000,0500,00000SQUARE FEET 57360,B100000,00000,0600,00000POUNDS OF LAUNDRY 57360,B100000,00000,0700,00000HOURS OF SERVICE 57360,B100000,00000,0800,00000MEALS SERVED 57360,B100000,00000,0900,00000DIRECT NRSG HRS 57360,B100000,00000,1000,00000COSTED REQUIS 57360,B100000,00000,1100,00000COSTED REQUIS 57360,B100000,00000,1200,00000TIME SPENT 57360,B100000,00000,1300,00000TIME SPENT 57360,B100000,00000,1350,00000PATIENT DAYS 57360,B100000,00000,1400,00000ASSIGNED TIME 57360,E10A180,00501,0100,06/23/2000 57360,E10A180,00501,0300,06/23/2000 57360,S000000,00100,0200,05/30/2000 57360,S200000,00100,0100,306 PENN AVENUE 57360,S200000,00200,0100,PITTSBURGH 57360,S200000,00200,0200,PA 57360,S200000,00200,0300,15221 57360,S200000,00300,0100,ALLEGHENY 57360,S200000,00400,0100,THE WOODWELL 57360,S200000,00400,0200,396028 57360,S200000,00400,0300,06/01/1997 57360,S200000,00400,0500,P 57360,S200000,01500,0100,Y 57360,S200000,01900,0100,NON-PROFIT CORPORATION 57360,S200000,02200,0100,Y 57367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57367,A000000,00300,0000,00300EMPLOYEE BENEFITS 57367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57367,A000000,00700,0000,00700HOUSEKEEPING 57367,A000000,00800,0000,00800DIETARY 57367,A000000,00900,0000,00900NURSING ADMINISTRATION 57367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57367,A000000,01100,0000,01100PHARMACY 57367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57367,A000000,01300,0000,01300SOCIAL SERVICE 57367,A000000,01350,0000,01500ACTIVITIES 57367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57367,A000000,01600,0000,01600SKILLED NURSING FACILITY 57367,A000000,01810,0000,01810ICF/MR 57367,A000000,01900,0000,01900OTHER LONG TERM CARE 57367,A000000,02100,0000,02100RADIOLOGY 57367,A000000,02200,0000,02200LABORATORY 57367,A000000,02300,0000,02300INTRAVENOUS THERAPY 57367,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57367,A000000,02500,0000,02500PHYSICAL THERAPY 57367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57367,A000000,02700,0000,02700SPEECH PATHOLOGY 57367,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57367,A000000,03550,0000,03550FQHC 57367,A000000,05000,0000,05000CORF 57367,A000000,05010,0000,05010CMHC 57367,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57367,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57367,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57367,A000000,06150,0000,06300NON-REIMBURSABLE 57367,A81000A,00100,0100,Y 57367,A81000B,00100,0300,MEDICAL DIRECTOR FEE 57367,A81000C,00100,0100,E 57367,A81000C,00100,0200,DR. J. DONALD K 57367,A81000C,00100,0400,DR. J. DONALD K 57367,A81000C,00100,0600,MEDICAL DIRECTO 57367,B100000,00000,0100,00000PATIENT DAYS 57367,B100000,00000,0200,00000PATIENT DAYS 57367,B100000,00000,0300,00000GROSS SALARIES 57367,B100000,00000,0400,00000ACCUM COST 57367,B100000,00000,0500,00000PATIENT DAYS 57367,B100000,00000,0600,00000POUNDS OF LAUNDRY 57367,B100000,00000,0700,00000PATIENT DAYS 57367,B100000,00000,0800,00000MEALS SERVED 57367,B100000,00000,0900,00000DIRECT NRSG HRS 57367,B100000,00000,1000,00000COSTED REQUIS 57367,B100000,00000,1100,00000PATIENT DAYS 57367,B100000,00000,1200,00000SNF DAYS 57367,B100000,00000,1300,00000TIME SPENT 57367,B100000,00000,1350,00000PATIENT DAYS 57367,B100000,00000,1400,00000ASSIGNED TIME 57367,E10A180,00501,0300,07/28/2000 57367,S000000,00100,0200,05/31/2000 57367,S200000,00100,0100,211 WILLOW VALLEY SQUARE 57367,S200000,00200,0100,LANCASTER 57367,S200000,00200,0200,PA 57367,S200000,00200,0300,17602 57367,S200000,00300,0100,LANCASTER 57367,S200000,00400,0100,ARBOR VIEW AT WILLOW VALLEY 57367,S200000,00400,0200,396031 57367,S200000,00400,0300,07/23/1997 57367,S200000,00400,0500,P 57367,S200000,01500,0100,Y 57367,S200000,01700,0100,Y 57367,S200000,01900,0100,501 (C) (3) 57367,S200000,02800,0100,Y 57375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57375,A000000,00300,0000,00300EMPLOYEE BENEFITS 57375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57375,A000000,00700,0000,00700HOUSEKEEPING 57375,A000000,00800,0000,00800DIETARY 57375,A000000,00900,0000,00900NURSING ADMINISTRATION 57375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57375,A000000,01100,0000,01100PHARMACY 57375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57375,A000000,01300,0000,01300SOCIAL SERVICE 57375,A000000,01350,0000,01500PATIENT ACTIVITIES 57375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57375,A000000,01600,0000,01600SKILLED NURSING FACILITY 57375,A000000,01800,0000,01800NURSING FACILITY 57375,A000000,01810,0000,01810ICF/MR 57375,A000000,02100,0000,02100RADIOLOGY 57375,A000000,02200,0000,02200LABORATORY 57375,A000000,02300,0000,02300INTRAVENOUS THERAPY 57375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57375,A000000,02500,0000,02500PHYSICAL THERAPY 57375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57375,A000000,02700,0000,02700SPEECH PATHOLOGY 57375,A000000,02800,0000,02800ELECTROCARDIOLOGY 57375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57375,A000000,03550,0000,03550FQHC 57375,A000000,05000,0000,05000CORF 57375,A000000,05010,0000,05010CMHC 57375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57375,A81000A,00100,0100,Y 57375,A81000B,00100,0300,MANAGEMENT SUPPORT 57375,A81000B,00200,0300,DATA PROCESSING SVCS 57375,A81000B,00300,0300,MEDICAL SUPPLIES 57375,A81000B,00400,0300,PHARMACY 57375,A81000B,00500,0300,IV THERAPY SUPPLIES 57375,A81000B,00700,0300,MGNT SUPPORT (CAP) 57375,A81000B,00800,0300,DATA PROC (CAP) 57375,A81000B,00900,0300,PHARMACY (CAP) 57375,A81000C,00100,0100,B 57375,A81000C,00100,0400,PHI INC. 57375,A81000C,00100,0600,MANAGEMENT SUPP 57375,A81000C,00200,0100,B 57375,A81000C,00200,0200,PHI INC. 57375,A81000C,00200,0400,CONTINUING CARE 57375,A81000C,00200,0600,PHARMACEUTICALS 57375,A81000C,00300,0100,B 57375,A81000C,00300,0200,PHI INC. 57375,A81000C,00300,0400,PRELUDE SYSTEMS 57375,A81000C,00300,0600,INFORMATION SYS 57375,B100000,00000,0100,00000SQUARE FEET 57375,B100000,00000,0200,00000SQUARE FEET 57375,B100000,00000,0300,00000GROSS SALARIES 57375,B100000,00000,0400,00000ACCUM COST 57375,B100000,00000,0500,00000SQUARE FEET 57375,B100000,00000,0600,00000POUNDS OF LAUNDRY 57375,B100000,00000,0700,00000SQ FT EXCL KTCHN 57375,B100000,00000,0800,00000MEALS SERVED 57375,B100000,00000,0900,00000DIRECT NRSG HRS 57375,B100000,00000,1000,00000COSTED REQUIS 57375,B100000,00000,1100,00000COSTED REQUIS 57375,B100000,00000,1200,00000PATIENT DAYS 57375,B100000,00000,1300,00000TIME SPENT 57375,B100000,00000,1350,00000PATIENT DAYS 57375,B100000,00000,1400,00000ASSIGNED TIME 57375,E10A180,00550,0300,05/31/2000 57375,S000000,00100,0200,05/31/2000 57375,S200000,00100,0100,400 EAST MARSHALL STREET 57375,S200000,00200,0100,WEST CHESTER 57375,S200000,00200,0200,PA 57375,S200000,00200,0300,19380 57375,S200000,00300,0100,CHESTER 57375,S200000,00400,0100,PRESBYTERIAN HLTH CTR.-WEST CHESTER 57375,S200000,00400,0200,396034 57375,S200000,00400,0300,08/04/1997 57375,S200000,00400,0500,P 57375,S200000,01600,0100,Y 57383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57383,A000000,00300,0000,00300EMPLOYEE BENEFITS 57383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57383,A000000,00700,0000,00700HOUSEKEEPING 57383,A000000,00800,0000,00800DIETARY 57383,A000000,00900,0000,00900NURSING ADMINISTRATION 57383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57383,A000000,01100,0000,01100PHARMACY 57383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57383,A000000,01300,0000,01300SOCIAL SERVICE 57383,A000000,01350,0000,01500ACTIVITIES 57383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57383,A000000,01600,0000,01600SKILLED NURSING FACILITY 57383,A000000,01810,0000,01810ICF/MR 57383,A000000,02100,0000,02100RADIOLOGY 57383,A000000,02200,0000,02200LABORATORY 57383,A000000,02500,0000,02500PHYSICAL THERAPY 57383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57383,A000000,02700,0000,02700SPEECH PATHOLOGY 57383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57383,A000000,03550,0000,03550FQHC 57383,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57383,A000000,05000,0000,05000CORF 57383,A000000,05010,0000,05010CMHC 57383,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57383,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57383,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57383,A000000,06150,0000,06300PERSONAL CARE/ASSISSTED LIVING 57383,A81000A,00100,0100,Y 57383,A81000B,00100,0300,HOME OFFICE 57383,A81000B,00200,0300,RELATED PARTY INTEREST 57383,A81000C,00100,0100,A 57383,A81000C,00100,0200,FRANK VARISCHETTI 57383,A81000C,00100,0400,GUARDIAN ELDER CARE 57383,A81000C,00100,0600,HOME OFFICE 57383,A81000C,00200,0100,A 57383,A81000C,00200,0200,FRANK A VARISCHETTI 57383,A81000C,00200,0400,GUARDIAN ELDER CARE 57383,A81000C,00200,0600,HOME OFFICE 57383,A81000C,00300,0100,A 57383,A81000C,00300,0200,STEVEN R VARISCHETTI 57383,A81000C,00300,0400,GUARDIAN ELDER CARE 57383,A81000C,00300,0600,HOME OFFICE 57383,A81000C,00400,0100,A 57383,A81000C,00400,0200,PETER C VARISCHETTI 57383,A81000C,00400,0400,GUARDIAN ELDER CARE 57383,A81000C,00400,0600,HOME OFFICE 57383,A81000C,00500,0100,A 57383,A81000C,00500,0200,RAYMOND L CALHOUN 57383,A81000C,00500,0400,GUARDIAN ELDER CARE 57383,A81000C,00500,0600,HOME OFFICE 57383,A81000C,00600,0100,A 57383,A81000C,00600,0200,FRANK VARISCHETTI 57383,A81000C,00600,0400,PUBLIC CREDIT LLC 57383,A81000C,00600,0600,COMMERCIAL LENDING 57383,A81000C,00700,0100,A 57383,A81000C,00700,0200,FRANK A VARISCHETTI 57383,A81000C,00700,0400,PUBLIC CREDIT LLC 57383,A81000C,00700,0600,COMMERCIAL LENDING 57383,A81000C,00800,0100,A 57383,A81000C,00800,0200,STEVEN R VARISCHETTI 57383,A81000C,00800,0400,PUBLIC CREDIT LLC 57383,A81000C,00800,0600,COMMERCIAL LENDING 57383,A81000C,00900,0100,A 57383,A81000C,00900,0200,PETER C VARISCHETTI 57383,A81000C,00900,0400,PUBLIC CREDIT LLC 57383,A81000C,00900,0600,COMMERCIAL LENDING 57383,A81000C,01000,0100,D 57383,A81000C,01000,0200,NICHOLAS VARISCHETTI 57383,A81000C,01000,0400,PUBLIC CREDIT LLC 57383,A81000C,01000,0600,COMMERCIAL LENDING 57383,B100000,00000,0100,00000(SQUARE FEET) 57383,B100000,00000,0200,00000NO STATISTICS 57383,B100000,00000,0300,00000(GROSS SALARIES) 57383,B100000,00000,0400,00000(ACCUM. COST) 57383,B100000,00000,0500,00000(SQ. FT. EXCL PC) 57383,B100000,00000,0600,00000(PATIENT DAYS) 57383,B100000,00000,0700,00000(SQ. FT. EXCL. PC) 57383,B100000,00000,0800,00000(PATIENT DAYS) 57383,B100000,00000,0900,00000(PATIENT DAYS) 57383,B100000,00000,1000,00000(PATIENT DAYS) 57383,B100000,00000,1100,00000NO STATISTICS 57383,B100000,00000,1200,00000NO STATISTICS 57383,B100000,00000,1300,00000(PATIENT DAYS) 57383,B100000,00000,1350,00000(PATIENT DAYS) 57383,B100000,00000,1400,00000NO STATISTICS 57383,E10A180,00501,0100,06/12/2000 57383,S000000,00100,0200,05/31/2000 57383,S200000,00100,0100,900 PORTER AVENUE 57383,S200000,00200,0100,SCOTTDALE 57383,S200000,00200,0200,PA 57383,S200000,00300,0100,WESTMORELAND 57383,S200000,00400,0100,SCOTTDALE MANOR REHABILATION CENTER 57383,S200000,00400,0200,396035 57383,S200000,00400,0300,09/11/1997 57383,S200000,00400,0500,P 57383,S200000,01500,0100,Y 57393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57393,A000000,00300,0000,00300EMPLOYEE BENEFITS 57393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57393,A000000,00700,0000,00700HOUSEKEEPING 57393,A000000,00701,0000,00701HOUSEKEEPING - PC 57393,A000000,00702,0000,00702HOUSEKEEPING - COM RENTAL 57393,A000000,00800,0000,00800DIETARY 57393,A000000,00900,0000,00900NURSING ADMINISTRATION 57393,A000000,00901,0000,00901ADMISSIONS 57393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57393,A000000,01100,0000,01100PHARMACY 57393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57393,A000000,01300,0000,01300SOCIAL SERVICE 57393,A000000,01350,0000,01500ACTIVITIES 57393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57393,A000000,01600,0000,01600SKILLED NURSING FACILITY 57393,A000000,01800,0000,01800NURSING FACILITY 57393,A000000,01810,0000,01810ICF/MR 57393,A000000,01900,0000,01900OTHER LONG TERM CARE 57393,A000000,02100,0000,02100RADIOLOGY 57393,A000000,02200,0000,02200LABORATORY 57393,A000000,02300,0000,02300INTRAVENOUS THERAPY 57393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57393,A000000,02500,0000,02500PHYSICAL THERAPY 57393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57393,A000000,02700,0000,02700SPEECH PATHOLOGY 57393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57393,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 57393,A000000,03550,0000,03550FQHC 57393,A000000,05000,0000,05000CORF 57393,A000000,05010,0000,05010CMHC 57393,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57393,A000000,06150,0000,06300COMMERCIAL RENTAL 57393,A81000A,00100,0100,Y 57393,A81000B,00100,0300,HOME OFFICE COSTS 57393,A81000B,00200,0300,PHYSICAL THERAPY 57393,A81000B,00300,0300,OCCUPATIONAL THERAPY 57393,A81000B,00400,0300,SPEECH THERAPY 57393,A81000B,00500,0300,PRESCRIPTION DRUGS 57393,A81000B,00600,0300,OVER-THE-COUNTER DRUGS - SNF 57393,A81000B,00700,0300,DRUGS CONSULTING 57393,A81000B,00800,0300,HOUSEKEEPING 57393,A81000B,00900,0300,IV DRUGS 57393,A81000B,01000,0300,CENTRAL SUPPLY 57393,A81000B,01100,0300,ADMIN SUPPLIES 57393,A81000B,01200,0300,NSG ADMIN SUPPLIES 57393,A81000B,01300,0300,PHARMACY SUPPLIES 57393,A81000B,01400,0300,WELLNESS 57393,A81000B,01500,0300,PT SUPPLIES 57393,A81000B,01600,0300,DIETARY SUPPLIES 57393,A81000B,01700,0300,LAUNDRY SUPPLIES 57393,A81000B,01800,0300,SOCIAL SERVICE SUPPLIES 57393,A81000B,01900,0300,PLANT SUPPLIES 57393,A81000C,00100,0100,A 57393,A81000C,00100,0200,RICHARD 57393,A81000C,00100,0400,GRANE 57393,A81000C,00100,0600,HEALTHCARE MGMT 57393,A81000C,00200,0200,GRACIANO SR. 57393,A81000C,00200,0400,HEALTHCARE 57393,A81000C,00300,0100,A 57393,A81000C,00300,0200,RICHARD 57393,A81000C,00300,0400,GRANE 57393,A81000C,00300,0600,HEALTHCARE MGMT 57393,A81000C,00400,0200,GRACIANO JR. 57393,A81000C,00400,0400,HEALTHCARE 57393,A81000C,00500,0100,A 57393,A81000C,00500,0200,DAVID GRACIANO 57393,A81000C,00500,0400,GRANE 57393,A81000C,00500,0600,HEALTHCARE MGMT 57393,A81000C,00600,0400,HEALTHCARE 57393,A81000C,00700,0100,A 57393,A81000C,00700,0200,ROSS NESE 57393,A81000C,00700,0400,GRANE 57393,A81000C,00700,0600,HEALTHCARE MGMT 57393,A81000C,00800,0400,HEALTHCARE 57393,A81000C,00900,0100,A 57393,A81000C,00900,0200,RICHARD 57393,A81000C,00900,0400,GMS CORP 57393,A81000C,00900,0600,ADMIN SERVICES 57393,A81000C,01000,0200,GRACIANO JR. 57393,A81000C,01100,0100,A 57393,A81000C,01100,0200,DAVID GRACIANO 57393,A81000C,01100,0400,GMS CORP 57393,A81000C,01100,0600,ADMIN SERVICES 57393,A81000C,01200,0100,A 57393,A81000C,01200,0200,SAME AS GRANE 57393,A81000C,01200,0400,GRANE ASSOC D/B 57393,A81000C,01200,0600,PLANT EXP/RENOV 57393,A81000C,01300,0100,A 57393,A81000C,01300,0200,HEALTHCARE 57393,A81000C,01300,0400,TRADE CONSTRUCT 57393,A81000C,01400,0100,A 57393,A81000C,01400,0200,SAME AS GRANE 57393,A81000C,01400,0400,GRANE ASSOC 57393,A81000C,01400,0600,ADMIN SERVICES 57393,A81000C,01500,0100,A 57393,A81000C,01500,0200,HEALTHCARE 57393,A81000C,01600,0100,A 57393,A81000C,01600,0200,SAME AS GRANE 57393,A81000C,01600,0400,GRANE REHAB 57393,A81000C,01600,0600,REHAB 57393,A81000C,01700,0100,A 57393,A81000C,01700,0200,HEALTHCARE 57393,A81000C,01700,0600,(PT OT ST) 57393,A81000C,01800,0100,A 57393,A81000C,01800,0200,SAME AS GRANE 57393,A81000C,01800,0400,GRANE SUPPLY 57393,A81000C,01800,0600,DRUGS/MED SUPP 57393,A81000C,01900,0100,A 57393,A81000C,01900,0200,HEALTHCARE 57393,A81000C,01900,0600,HOUSEKEEPING 57393,B100000,00000,0100,00000SQUARE FEET 57393,B100000,00000,0200,00000DOLLAR VALUE 57393,B100000,00000,0300,00000GROSS SALARIES 57393,B100000,00000,0400,00000ACCUM. COST 57393,B100000,00000,0500,00000SQUARE FEET 57393,B100000,00000,0600,00000POUNDS OF LAUNDRY 57393,B100000,00000,0700,00000SQUARE FEET 57393,B100000,00000,0701,00000SQUARE FEET 57393,B100000,00000,0702,00000SQUARE FEET 57393,B100000,00000,0800,00000MEALS SERVED 57393,B100000,00000,0900,00000DIRECT NRSING HRS 57393,B100000,00000,0901,00000ADMISSIONS 57393,B100000,00000,1000,00000COSTED REQUIS. 57393,B100000,00000,1100,00000COSTED REQUIS. 57393,B100000,00000,1200,00000TIME SPENT 57393,B100000,00000,1300,00000PATIENT DA 57393,B100000,00000,1350,00000PATIENT DA 57393,B100000,00000,1400,00000ASSIGNED TIME 57393,E10A180,00301,0100,03/29/2000 57393,E10A180,00301,0300,03/29/2000 57393,E10A180,00501,0100,05/31/2000 57393,E10A180,00501,0300,05/31/2000 57393,S000000,00100,0200,05/25/2000 57393,S200000,00100,0100,715 FREEPORT ROAD 57393,S200000,00200,0100,CHESWICK 57393,S200000,00200,0200,PA 57393,S200000,00200,0300,15024 57393,S200000,00300,0100,ALLEGHENY 57393,S200000,00400,0100,HARMARVILLAGE CARE CENTER 57393,S200000,00400,0200,396048 57393,S200000,00400,0300,09/22/1997 57393,S200000,00400,0500,P 57393,S200000,00600,0200,396048 57393,S200000,00600,0300,09/22/1997 57393,S200000,00600,0600,P 57393,S200000,01600,0100,Y 57393,S200000,02200,0100,Y 57393,S200000,02800,0100,Y 57393,S200000,04100,0100,Y 57393,S200000,04700,0100,Y 57393,S200000,04700,0200,Y 57399,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57399,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57399,A000000,00300,0000,00300EMPLOYEE BENEFITS 57399,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57399,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57399,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57399,A000000,00700,0000,00700HOUSEKEEPING 57399,A000000,00800,0000,00800DIETARY 57399,A000000,00900,0000,00900NURSING ADMINISTRATION 57399,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57399,A000000,01100,0000,01100PHARMACY 57399,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57399,A000000,01300,0000,01300SOCIAL SERVICE 57399,A000000,01350,0000,01500RECREATIONAL THERAPY 57399,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57399,A000000,01600,0000,01600SKILLED NURSING FACILITY 57399,A000000,01810,0000,01810ICF/MR 57399,A000000,02100,0000,02100RADIOLOGY 57399,A000000,02200,0000,02200LABORATORY 57399,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57399,A000000,02500,0000,02500PHYSICAL THERAPY 57399,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57399,A000000,02700,0000,02700SPEECH PATHOLOGY 57399,A000000,02800,0000,02800ELECTROCARDIOLOGY 57399,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57399,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57399,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57399,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57399,A000000,03550,0000,03550FQHC 57399,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57399,A000000,05000,0000,05000CORF 57399,A000000,05010,0000,05010CMHC 57399,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57399,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57399,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57399,A000000,05300,0000,05300INTEREST EXPENSE 57399,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57399,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57399,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57399,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57399,A81000A,00100,0100,Y 57399,A81000B,00100,0300,NURSING SALARIES 57399,A81000B,00200,0300,PHARMACY SALARIES 57399,A81000B,00300,0300,PHYSICAL THERAPY SALARIES 57399,A81000B,00400,0300,SPEECH THERAPY SALARIES 57399,A81000B,00500,0300,OCCUPATIONAL THERAPY SALARIES 57399,A81000B,00600,0300,SOCIAL SERVICE SALARIES 57399,A81000B,00700,0300,MEDICAL RECORDS SALARIES 57399,A81000B,00800,0300,NUTRITIONAL SERVICES SALARIES 57399,A81000B,00900,0300,HOUSKEEPING SALARIES 57399,A81000B,01000,0300,A&G SALARIES 57399,A81000C,00100,0100,G 57399,A81000C,00100,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00100,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00100,0600,HOSPITAL 57399,A81000C,00200,0100,G 57399,A81000C,00200,0200,J-HEALTH VENTURES INC. 57399,A81000C,00200,0400,J-HEALTH VENTURES INC. 57399,A81000C,00200,0600,PHARMACY 57399,A81000C,00300,0100,G 57399,A81000C,00300,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00300,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00300,0600,HOSPITAL 57399,A81000C,00400,0100,G 57399,A81000C,00400,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00400,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00400,0600,HOSPITAL 57399,A81000C,00500,0100,G 57399,A81000C,00500,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00500,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00500,0600,HOSPITAL 57399,A81000C,00600,0100,G 57399,A81000C,00600,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00600,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00600,0600,HOSPITAL 57399,A81000C,00700,0100,G 57399,A81000C,00700,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00700,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00700,0600,HOSPITAL 57399,A81000C,00800,0100,G 57399,A81000C,00800,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00800,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00800,0600,HOSPITAL 57399,A81000C,00900,0100,G 57399,A81000C,00900,0200,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00900,0400,JAMESON MEMORIAL HOSPITAL 57399,A81000C,00900,0600,HOSPITAL 57399,B100000,00000,0100,00000SQUARE FEET 57399,B100000,00000,0200,00000SQUARE FEET 57399,B100000,00000,0300,00000GROSS SALARIES 57399,B100000,00000,0400,00000ACCUM. COST 57399,B100000,00000,0500,00000SQUARE FEET 57399,B100000,00000,0600,00000POUNDS OF LAUNDRY 57399,B100000,00000,0700,00000SQUARE FEET 57399,B100000,00000,0800,00000MEALS SERVED 57399,B100000,00000,0900,00000GROSS SALARIES 57399,B100000,00000,1000,00000COSTED REQUIS. 57399,B100000,00000,1100,00000COSTED REQUIS. 57399,B100000,00000,1200,00000GROSS REVENUE 57399,B100000,00000,1300,00000TIME SPENT 57399,B100000,00000,1350,00000TIME SPENT 57399,B100000,00000,1400,00000ASSIGNED TIME 57399,E10A180,00550,0100,05/31/2000 57399,S000000,00100,0200,05/05/2000 57399,S200000,00100,0100,3349 WILMINGTON AVENUE 57399,S200000,00200,0100,NEW CASTLE 57399,S200000,00200,0200,PA 57399,S200000,00300,0100,LAWRENCE 57399,S200000,00400,0100,JAMESON CARE CENTER INC. 57399,S200000,00400,0200,396049 57399,S200000,00400,0300,03/13/1998 57399,S200000,00400,0500,P 57399,S200000,01500,0100,Y 57406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57406,A000000,00300,0000,00300EMPLOYEE BENEFITS 57406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57406,A000000,00700,0000,00700HOUSEKEEPING 57406,A000000,00800,0000,00800DIETARY 57406,A000000,00900,0000,00900NURSING ADMINISTRATION 57406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57406,A000000,01100,0000,01100PHARMACY 57406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57406,A000000,01300,0000,01300SOCIAL SERVICE 57406,A000000,01350,0000,01500PATIENT ACTIVITIES 57406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57406,A000000,01600,0000,01600SKILLED NURSING FACILITY 57406,A000000,01810,0000,01810ICF/MR 57406,A000000,02100,0000,02100RADIOLOGY 57406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57406,A000000,02500,0000,02500PHYSICAL THERAPY 57406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57406,A000000,02700,0000,02700SPEECH PATHOLOGY 57406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57406,A000000,03550,0000,03550FQHC 57406,A000000,05000,0000,05000CORF 57406,A000000,05010,0000,05010CMHC 57406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57406,A000000,05300,0000,05300INTEREST EXPENSE 57406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57406,A000000,06101,0000,06101MARKETING 57406,A81000A,00100,0100,Y 57406,A81000B,00100,0300,H.O COST ALLOCATION 57406,A81000C,00100,0100,B 57406,A81000C,00100,0200,GMLF CORP. 57406,A81000C,00200,0100,A 57406,A81000C,00200,0200,G. MICHAEL LEAD 57406,A81000C,00200,0400,GMLFC 57406,A81000C,00200,0600,MANAGEMENT 57406,A81000C,00300,0100,A 57406,A81000C,00300,0200,TED JANECZEK 57406,A81000C,00300,0400,GMLFC 57406,A81000C,00300,0600,MANAGEMENT 57406,A81000C,00400,0100,A 57406,A81000C,00400,0200,FRED LEADER 57406,A81000C,00400,0400,GMLFC 57406,A81000C,00400,0600,MANAGEMENT 57406,B100000,00000,0100,00001SQUARE FEET 57406,B100000,00000,0200,00001SQUARE FEET 57406,B100000,00000,0300,00001GROSS SALARIES 57406,B100000,00000,0400,00001ACCUM COST 57406,B100000,00000,0500,00001SQUARE FEET 57406,B100000,00000,0600,00001POUNDS OF LAUNDRY 57406,B100000,00000,0700,00001SG FT W/O KITCHEN 57406,B100000,00000,0800,00001MEALS SERVED 57406,B100000,00000,0900,00001DIRECT NRSG HRS 57406,B100000,00000,1000,00001COSTED REQUIS 57406,B100000,00000,1100,00001COSTED REQUIS 57406,B100000,00000,1200,00001TIME SPENT 57406,B100000,00000,1300,00001TIME SPENT 57406,B100000,00000,1350,00001TIME SPENT 57406,B100000,00000,1400,00001ASSIGNED TIME 57406,E10A180,00351,0100,07/05/2000 57406,E10A180,00351,0300,07/05/2000 57406,E10A180,00501,0100,07/10/2000 57406,E10A180,00501,0300,07/10/2000 57406,E10A180,00551,0100,07/05/2000 57406,E10A180,00551,0300,07/05/2000 57406,S000000,00100,0200,05/19/2000 57406,S200000,00100,0100,4025 GREEN POND ROAD 57406,S200000,00200,0100,BETHLEHEM 57406,S200000,00200,0200,PA 57406,S200000,00200,0300,18020 57406,S200000,00300,0100,NORTHAMPTON 57406,S200000,00400,0100,COUNTRY MEADOWS OF BETHLEHEM 57406,S200000,00400,0200,396053 57406,S200000,00400,0300,06/04/1998 57406,S200000,00400,0500,P 57406,S200000,01500,0100,Y 57406,S200000,02800,0100,Y 57408,S000000,00100,0200,06/29/1999 57410,S000000,00100,0200,05/19/2000 57416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57416,A000000,00300,0000,00300EMPLOYEE BENEFITS 57416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57416,A000000,00700,0000,00700HOUSEKEEPING 57416,A000000,00800,0000,00800DIETARY 57416,A000000,00900,0000,00900NURSING ADMINISTRATION 57416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57416,A000000,01100,0000,01100PHARMACY 57416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57416,A000000,01300,0000,01300SOCIAL SERVICE 57416,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57416,A000000,01600,0000,01600SKILLED NURSING FACILITY 57416,A000000,01810,0000,01810ICF/MR 57416,A000000,01900,0000,01900OTHER LONG TERM CARE 57416,A000000,02200,0000,02200LABORATORY 57416,A000000,02300,0000,02300INTRAVENOUS THERAPY 57416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57416,A000000,02500,0000,02500PHYSICAL THERAPY 57416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57416,A000000,02700,0000,02700SPEECH PATHOLOGY 57416,A000000,02800,0000,02800ELECTROCARDIOLOGY 57416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57416,A000000,03550,0000,03550FQHC 57416,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57416,A000000,05000,0000,05000CORF 57416,A000000,05010,0000,05010CMHC 57416,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57416,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57416,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57416,A000000,05300,0000,05300INTEREST EXPENSE 57416,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57416,A000000,06150,0000,06300DAYCARE CENTER 57416,A81000A,00100,0100,Y 57416,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 57416,A81000B,00200,0300,DIETARY 57416,A81000B,00300,0300,HOUSEKEEPING 57416,A81000B,00400,0300,LAUNDRY & LINEN SERVICE 57416,A81000B,00500,0300,PLANT OPERATION MAINT 57416,A81000B,00600,0300,PHYSICAL THERAPY 57416,A81000B,00700,0300,OCCUPATIONAL THERAPY 57416,A81000B,00800,0300,SPEECH PATHOLOGY 57416,A81000B,00900,0300,ELECTROCARDIOLOGY 57416,A81000B,01000,0300,ADMINISTRATIVE & GENERAL 57416,A81000C,00100,0100,B 57416,A81000C,00100,0200,DANIEL WUKICH 57416,A81000C,00100,0400,OPTIMA 57416,A81000C,00100,0600,MGMT SERVICES 57416,A81000C,00200,0100,B 57416,A81000C,00200,0200,DANIEL WUKICH 57416,A81000C,00200,0400,AMERICAN PORTABLE 57416,A81000C,00200,0600,EKG/X-RAY SERVICES 57416,A81000C,00300,0100,B 57416,A81000C,00300,0200,DANIEL WUKICH 57416,A81000C,00300,0400,HEALTH CARE REVENUE MGMT 57416,A81000C,00300,0600,BOOKEEPING/ACCOUNTING SER 57416,A81000C,00400,0100,B 57416,A81000C,00400,0200,DANIEL WUKICH 57416,A81000C,00400,0400,ALLSERVE THERAPY 57416,A81000C,00400,0600,THERAPY 57416,A81000C,00500,0100,B 57416,A81000C,00500,0200,DANIEL WUKICH 57416,A81000C,00500,0400,A LA CARTE 57416,A81000C,00500,0600,DIET HSK MAINT LAUNDRY 57416,A81000C,00600,0100,B 57416,A81000C,00600,0200,NANCY AMOROSE 57416,A81000C,00600,0400,A LA CARTE 57416,A81000C,00600,0600,DIET HSK MAINT LAUNDRY 57416,A81000C,00700,0100,B 57416,A81000C,00700,0200,WILLIAM S. FERRARO 57416,A81000C,00700,0400,A LA CARTE 57416,A81000C,00700,0600,DIET HSK MAINT LAUNDRY 57416,A81000C,00800,0100,B 57416,A81000C,00800,0200,DALE HOHMAN 57416,A81000C,00800,0400,A LA CARTE 57416,A81000C,00800,0600,DIET HSK MAINT LAUNDRY 57416,A81000C,00900,0100,B 57416,A81000C,00900,0200,DANIEL P. WUKICH 57416,A81000C,00900,0400,AMERICAN PORTABLE 57416,A81000C,00900,0600,EKG/XRAY SERVICES 57416,A81000C,01000,0100,B 57416,A81000C,01000,0200,NANCY AMOROSE 57416,A81000C,01000,0400,OPTIMA 57416,A81000C,01000,0600,MGMT SERVICES 57416,B100000,00000,0100,00000(SQUARE FEET) 57416,B100000,00000,0200,00000(SQUARE FEET) 57416,B100000,00000,0300,00000(GROSS SALARIES) 57416,B100000,00000,0400,00000(ACCUM. COST) 57416,B100000,00000,0500,00000(SQUARE FEET) 57416,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 57416,B100000,00000,0700,00000(SQUARE FEET) 57416,B100000,00000,0800,00000(MEALS SERVED) 57416,B100000,00000,0900,00000(TIME SPENT) 57416,B100000,00000,1000,00000(DIRECT COSTS) 57416,B100000,00000,1100,00000(COSTED REQUIS) 57416,B100000,00000,1200,00000(CHARGES) 57416,B100000,00000,1300,00000(TIME SPENT) 57416,B100000,00000,1400,00000ASSIGNED TIME 57416,E10A180,00501,0100,06/16/2000 57416,E10A180,00501,0300,06/16/2000 57416,S000000,00100,0200,05/30/2000 57416,S200000,00100,0100,2020 ADER ROAD 57416,S200000,00200,0100,JEANNETTE 57416,S200000,00200,0200,PA 57416,S200000,00300,0100,WESTMORELAND 57416,S200000,00400,0100,WILLIAM PENN CARE CENTER 57416,S200000,00400,0200,396056 57416,S200000,00400,0300,06/01/1998 57416,S200000,00400,0500,P 57416,S200000,01500,0100,Y 57416,S200000,04100,0100,Y 57419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57419,A000000,00300,0000,00300EMPLOYEE BENEFITS 57419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57419,A000000,00700,0000,00700HOUSEKEEPING 57419,A000000,00800,0000,00800DIETARY 57419,A000000,00900,0000,00900NURSING ADMINISTRATION 57419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57419,A000000,01100,0000,01100PHARMACY 57419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57419,A000000,01300,0000,01300SOCIAL SERVICE 57419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57419,A000000,01600,0000,01600SKILLED NURSING FACILITY 57419,A000000,01800,0000,01800NURSING FACILITY 57419,A000000,01810,0000,01810ICF/MR 57419,A000000,01900,0000,01900OTHER LONG TERM CARE 57419,A000000,02100,0000,02100RADIOLOGY 57419,A000000,02200,0000,02200LABORATORY 57419,A000000,02500,0000,02500PHYSICAL THERAPY 57419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57419,A000000,02700,0000,02700SPEECH PATHOLOGY 57419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57419,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57419,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57419,A000000,03550,0000,03550FQHC 57419,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57419,A000000,04800,0000,04800AMBULANCE 57419,A000000,05000,0000,05000CORF 57419,A000000,05010,0000,05010CMHC 57419,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57419,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57419,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57419,A000000,05300,0000,05300INTEREST EXPENSE 57419,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57419,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57419,B100000,00000,0100,00000SQUARE FEET 57419,B100000,00000,0200,00000SQUARE FEET 57419,B100000,00000,0300,00000GROSS SALARIES 57419,B100000,00000,0400,00000ACCUM. COST 57419,B100000,00000,0500,00000SQUARE FEET 57419,B100000,00000,0600,00000POUNDS OF LAUNDRY 57419,B100000,00000,0700,00000HOURS OF SERVICE 57419,B100000,00000,0800,00000MEALS SERVED 57419,B100000,00000,0900,00000HOURS OF SERVICE 57419,B100000,00000,1000,00000NO STATISTICS 57419,B100000,00000,1100,00000NO STATISTICS 57419,B100000,00000,1200,00000NO STATISTICS 57419,B100000,00000,1300,00000HOURS OF SERVICE 57419,B100000,00000,1400,00000NO STATISTICS 57419,E10A180,00501,0100,07/21/1999 57419,S000000,00100,0200,07/07/1999 57419,S200000,00100,0100,745 GREENVILLE ROAD 57419,S200000,00200,0100,MERCER 57419,S200000,00200,0200,PA 57419,S200000,00200,0300,16137 57419,S200000,00300,0100,MERCER 57419,S200000,00400,0100,WOODLAND PLACE 57419,S200000,00400,0200,396058 57419,S200000,00400,0300,10/27/1998 57419,S200000,00400,0500,O 57419,S200000,01600,0100,Y 57421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57421,A000000,00300,0000,00300EMPLOYEE BENEFITS 57421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57421,A000000,00700,0000,00700HOUSEKEEPING 57421,A000000,00800,0000,00800DIETARY 57421,A000000,00900,0000,00900NURSING ADMINISTRATION 57421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57421,A000000,01100,0000,01100PHARMACY 57421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57421,A000000,01300,0000,01300SOCIAL SERVICE 57421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57421,A000000,01600,0000,01600SKILLED NURSING FACILITY 57421,A000000,01800,0000,01800NURSING FACILITY 57421,A000000,01810,0000,01810ICF/MR 57421,A000000,01900,0000,01900OTHER LONG TERM CARE 57421,A000000,02100,0000,02100RADIOLOGY 57421,A000000,02200,0000,02200LABORATORY 57421,A000000,02300,0000,02300INTRAVENOUS THERAPY 57421,A000000,02500,0000,02500PHYSICAL THERAPY 57421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57421,A000000,02700,0000,02700SPEECH PATHOLOGY 57421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57421,A000000,03550,0000,03550FQHC 57421,A000000,05000,0000,05000CORF 57421,A000000,05010,0000,05010CMHC 57421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57421,A000000,06150,0000,06300DAY CARE CENTER 57421,B100000,00000,0100,00000SQUARE FEET 57421,B100000,00000,0200,00000SQUARE FEET 57421,B100000,00000,0300,00000GROSS SALARIES 57421,B100000,00000,0400,00000ACCUM COST 57421,B100000,00000,0500,00000SQUARE FEET 57421,B100000,00000,0600,00000POUNDS OF LAUNDRY 57421,B100000,00000,0700,00000HOURS OF SERVICE 57421,B100000,00000,0800,00000MEALS SERVED 57421,B100000,00000,0900,00000DIRECT NRSG HRS 57421,B100000,00000,1000,00000COSTED REQUIS 57421,B100000,00000,1100,00000COSTED REQUIS 57421,B100000,00000,1200,00000TIME SPENT 57421,B100000,00000,1300,00000TIME SPENT 57421,B100000,00000,1400,00000ASSIGNED TIME 57421,E10A180,00301,0100,08/27/1999 57421,E10A180,00301,0300,08/27/1999 57421,E10A180,00302,0100,12/10/1999 57421,E10A180,00302,0300,12/10/1999 57421,E10A180,00303,0100,03/08/2000 57421,E10A180,00303,0300,03/08/2000 57421,E10A180,00501,0100,06/14/2000 57421,E10A180,00501,0300,06/14/2000 57421,S000000,00100,0200,05/23/2000 57421,S200000,00100,0100,745 GREENVILLE ROAD 57421,S200000,00200,0100,MERCER 57421,S200000,00200,0200,PA 57421,S200000,00200,0300,16137 57421,S200000,00300,0100,MERCER 57421,S200000,00400,0100,WOODLAND PLACE 57421,S200000,00400,0200,396058 57421,S200000,00400,0300,10/27/1998 57421,S200000,00400,0500,P 57421,S200000,01600,0100,Y 57425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57425,A000000,00300,0000,00300EMPLOYEE BENEFITS 57425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57425,A000000,00700,0000,00700HOUSEKEEPING 57425,A000000,00800,0000,00800DIETARY 57425,A000000,00900,0000,00900NURSING ADMINISTRATION 57425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57425,A000000,01100,0000,01100PHARMACY 57425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57425,A000000,01300,0000,01300SOCIAL SERVICE 57425,A000000,01350,0000,01500ACTIVITIES 57425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57425,A000000,01600,0000,01600SKILLED NURSING FACILITY 57425,A000000,01800,0000,01800NURSING FACILITY 57425,A000000,01810,0000,01810ICF/MR 57425,A000000,01900,0000,01900OTHER LONG TERM CARE 57425,A000000,02100,0000,02100RADIOLOGY 57425,A000000,02200,0000,02200LABORATORY 57425,A000000,02300,0000,02300INTRAVENOUS THERAPY 57425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57425,A000000,02500,0000,02500PHYSICAL THERAPY 57425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57425,A000000,02700,0000,02700SPEECH PATHOLOGY 57425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57425,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57425,A000000,03550,0000,03550FQHC 57425,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57425,A000000,04800,0000,04800AMBULANCE 57425,A000000,05000,0000,05000CORF 57425,A000000,05010,0000,05010CMHC 57425,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57425,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57425,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57425,A000000,05300,0000,05300INTEREST EXPENSE 57425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57425,B100000,00000,0100,00000SQUARE FEET 57425,B100000,00000,0200,00000SQUARE FEET 57425,B100000,00000,0300,00000GROSS SALARIES 57425,B100000,00000,0400,00000ACCUM. COST 57425,B100000,00000,0500,00000SQUARE FEET 57425,B100000,00000,0600,00000POUNDS OF LAUNDRY 57425,B100000,00000,0700,00000HOURS OF SERVICE 57425,B100000,00000,0800,00000MEALS SERVED 57425,B100000,00000,0900,00000DIRECT NRSING HRS 57425,B100000,00000,1000,00000COSTED REQUIS. 57425,B100000,00000,1100,00000COSTED REQUIS. 57425,B100000,00000,1200,00000PATIENT DAYS 57425,B100000,00000,1300,00000TIME SPENT 57425,B100000,00000,1350,00000TIME SPENT 57425,B100000,00000,1400,00000ASSIGNED TIME 57425,S000000,00100,0200,05/26/2000 57425,S200000,00100,0100,4363 NORTHERN PIKE 57425,S200000,00200,0100,MONROEVILLE 57425,S200000,00200,0200,PA 57425,S200000,00300,0100,ALLEGHENY 57425,S200000,00400,0100,THE CEDARS OF MONROEVILLE 57425,S200000,00400,0200,396059 57425,S200000,00400,0300,09/15/1998 57425,S200000,00400,0500,P 57425,S200000,01500,0100,Y 57427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57427,A000000,00300,0000,00300EMPLOYEE BENEFITS 57427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57427,A000000,00700,0000,00700HOUSEKEEPING 57427,A000000,00800,0000,00800DIETARY 57427,A000000,00900,0000,00900NURSING ADMINISTRATION 57427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57427,A000000,01100,0000,01100PHARMACY 57427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57427,A000000,01300,0000,01300SOCIAL SERVICE 57427,A000000,01350,0000,01500ACTIVITIES 57427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57427,A000000,01600,0000,01600SKILLED NURSING FACILITY 57427,A000000,01800,0000,01800NURSING FACILITY 57427,A000000,01810,0000,01810ICF/MR 57427,A000000,01900,0000,01900OTHER LONG TERM CARE 57427,A000000,02200,0000,02200LABORATORY 57427,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57427,A000000,02500,0000,02500PHYSICAL THERAPY 57427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57427,A000000,02700,0000,02700SPEECH PATHOLOGY 57427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57427,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57427,A000000,03550,0000,03550FQHC 57427,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57427,A000000,05000,0000,05000CORF 57427,A000000,05010,0000,05010CMHC 57427,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57427,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57427,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57427,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57427,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57427,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57427,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57427,B100000,00000,0100,00000SQUARE FEET 57427,B100000,00000,0200,00000NO STATISTICS 57427,B100000,00000,0300,00000GROSS SALARIES 57427,B100000,00000,0400,00000ACCUM. COST 57427,B100000,00000,0500,00000SQUARE FEET 57427,B100000,00000,0600,00000PATIENT DAYS 57427,B100000,00000,0700,00000SQUARE FEET 57427,B100000,00000,0800,00000PATIENT DAYS 57427,B100000,00000,0900,00000NURSING SALARIES 57427,B100000,00000,1000,00000PATIENT DAYS 57427,B100000,00000,1100,00000NO STATISTICS 57427,B100000,00000,1200,00000PATIENT DAYS 57427,B100000,00000,1300,00000PATIENT DAYS 57427,B100000,00000,1350,00000PATIENT DAYS 57427,B100000,00000,1400,00000NO STATISTICS 57427,S000000,00100,0200,05/31/2000 57427,S200000,00100,0100,15 FREEDOM BLVD. 57427,S200000,00200,0100,WEST BRANDYWINE 57427,S200000,00200,0200,PA 57427,S200000,00300,0100,CHESTER 57427,S200000,00400,0100,THE INN AT FREEDOM VILLAGE 57427,S200000,00400,0200,396062 57427,S200000,00400,0300,12/24/1998 57427,S200000,00400,0500,P 57427,S200000,01600,0100,Y 57432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57432,A000000,00300,0000,00300EMPLOYEE BENEFITS 57432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57432,A000000,00700,0000,00700HOUSEKEEPING 57432,A000000,00800,0000,00800DIETARY 57432,A000000,00900,0000,00900NURSING ADMINISTRATION 57432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57432,A000000,01100,0000,01100PHARMACY 57432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57432,A000000,01300,0000,01300SOCIAL SERVICE 57432,A000000,01350,0000,01500OTHER GENERAL SERVICES 57432,A000000,01351,0000,01501MEDICAL DIRECTOR 57432,A000000,01352,0000,01502RESIDENT ACTIVITIES 57432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57432,A000000,01600,0000,01600SKILLED NURSING FACILITY 57432,A000000,01810,0000,01810ICF/MR 57432,A000000,02100,0000,02100RADIOLOGY 57432,A000000,02200,0000,02200LABORATORY 57432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57432,A000000,02500,0000,02500PHYSICAL THERAPY 57432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57432,A000000,02700,0000,02700SPEECH PATHOLOGY 57432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57432,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57432,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57432,A000000,03550,0000,03550FQHC 57432,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57432,A000000,04800,0000,04800AMBULANCE 57432,A000000,05000,0000,05000CORF 57432,A000000,05010,0000,05010CMHC 57432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57432,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57432,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57432,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57432,A000000,06200,0000,06200PATIENTS LAUNDRY 57432,B100000,00000,0100,00000SQUARE FEET 57432,B100000,00000,0200,00000SQUARE FEET 57432,B100000,00000,0300,00000GROSS SALARIES 57432,B100000,00000,0400,00000ACCUM. COST 57432,B100000,00000,0500,00000SQUARE FEET 57432,B100000,00000,0600,00000POUNDS OF LAUNDRY 57432,B100000,00000,0700,00000SQUARE FEET 57432,B100000,00000,0800,00000MEALS SERVED 57432,B100000,00000,0900,00000DIR NURSING 57432,B100000,00000,1000,00000COSTEDREQU UISITIONS 57432,B100000,00000,1100,00000COSTEDREQU UISITIONS 57432,B100000,00000,1200,00000TIME SPENT 57432,B100000,00000,1300,00000TIME SPENT 57432,B100000,00000,1350,00000TIME SPENT 57432,B100000,00000,1351,00000TIME SPENT 57432,B100000,00000,1352,00000TIME SPENT 57432,B100000,00000,1400,00000ASSIGNED TIME 57432,E10A180,00501,0100,12/20/1999 57432,E10A180,00501,0300,12/20/1999 57432,S000000,00100,0200,11/30/1999 57432,S200000,00100,0100,1000 SETON DRIVE 57432,S200000,00200,0100,ORWIGSBURG 57432,S200000,00200,0200,PA 57432,S200000,00200,0300,17961 57432,S200000,00300,0100,S 57432,S200000,00400,0100,SETON MANOR INC. 57432,S200000,00400,0200,396063 57432,S200000,00400,0300,02/12/1999 57432,S200000,00400,0500,P 57432,S200000,01500,0100,Y 57434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57434,A000000,00300,0000,00300EMPLOYEE BENEFITS 57434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57434,A000000,00700,0000,00700HOUSEKEEPING 57434,A000000,00800,0000,00800DIETARY 57434,A000000,00900,0000,00900NURSING ADMINISTRATION 57434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57434,A000000,01100,0000,01100PHARMACY 57434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57434,A000000,01300,0000,01300SOCIAL SERVICE 57434,A000000,01350,0000,01500OTHER GENERAL SERVICES 57434,A000000,01351,0000,01501MEDICAL DIRECTOR 57434,A000000,01352,0000,01502RESIDENT ACTIVITIES 57434,A000000,01353,0000,01510ICF\MR 57434,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57434,A000000,01600,0000,01600SKILLED NURSING FACILITY 57434,A000000,01810,0000,01810ICF/MR 57434,A000000,02100,0000,02100RADIOLOGY 57434,A000000,02200,0000,02200LABORATORY 57434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57434,A000000,02500,0000,02500PHYSICAL THERAPY 57434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57434,A000000,02700,0000,02700SPEECH PATHOLOGY 57434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57434,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57434,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57434,A000000,03550,0000,03550FQHC 57434,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57434,A000000,04800,0000,04800AMBULANCE 57434,A000000,05000,0000,05000CORF 57434,A000000,05010,0000,05010CMHC 57434,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57434,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57434,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57434,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 57434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57434,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57434,A000000,06200,0000,06200PATIENTS LAUNDRY 57434,B100000,00000,0100,00000SQUARE FEET 57434,B100000,00000,0200,00000SQUARE FEET 57434,B100000,00000,0300,00000GROSS SALARIES 57434,B100000,00000,0400,00000ACCUM. COST 57434,B100000,00000,0500,00000SQUARE FEET 57434,B100000,00000,0600,00000POUNDS OF LAUNDRY 57434,B100000,00000,0700,00000SQUARE FEET 57434,B100000,00000,0800,00000MEALS SERVED 57434,B100000,00000,0900,00000DIRECT NRSING HRS 57434,B100000,00000,1000,00000COSTED REQUIS. 57434,B100000,00000,1100,00000COSTED REQUIS. 57434,B100000,00000,1200,00000TIME SPENT 57434,B100000,00000,1300,00000TIME SPENT 57434,B100000,00000,1350,00000NO STATISTICS 57434,B100000,00000,1351,00000TIME SPENT 57434,B100000,00000,1352,00000TIME SPENT 57434,B100000,00000,1360,00000 57434,B100000,00000,1400,00000ASSIGNED TIME 57434,E10A180,00501,0300,12/15/2000 57434,S000000,00100,0200,11/09/2000 57434,S200000,00100,0100,1000 SETON DRIVE 57434,S200000,00200,0100,ORWIGSBURG 57434,S200000,00200,0200,PA 57434,S200000,00200,0300,17961 57434,S200000,00400,0100,SETON MANOR INC 57434,S200000,00400,0200,396063 57434,S200000,00400,0300,02/12/1999 57434,S200000,00400,0500,P 57434,S200000,01500,0100,Y 57437,S000000,00100,0200,06/19/2001 57481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57481,A000000,00300,0000,00300EMPLOYEE BENEFITS 57481,A000000,00301,0000,00301STAFF DEVELOPMENT 57481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57481,A000000,00700,0000,00700HOUSEKEEPING 57481,A000000,00800,0000,00800DIETARY 57481,A000000,00900,0000,00900NURSING ADMINISTRATION 57481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57481,A000000,01100,0000,01100PHARMACY 57481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57481,A000000,01300,0000,01300SOCIAL SERVICE 57481,A000000,01350,0000,01500PATIENT ACTIVITIES 57481,A000000,01351,0000,01501EQUIPMENT RENTAL 57481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57481,A000000,01600,0000,01600SKILLED NURSING FACILITY 57481,A000000,01800,0000,01800NURSING FACILITY 57481,A000000,01810,0000,01810ICF/MR 57481,A000000,01900,0000,01900OTHER LONG TERM CARE 57481,A000000,02100,0000,02100RADIOLOGY 57481,A000000,02200,0000,02200LABORATORY 57481,A000000,02300,0000,02300INTRAVENOUS THERAPY 57481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57481,A000000,02500,0000,02500PHYSICAL THERAPY 57481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57481,A000000,02700,0000,02700SPEECH PATHOLOGY 57481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57481,A000000,03050,0000,03300ENTERAL FORMULAE 57481,A000000,03051,0000,03303PHYSICIAN SERVICE 57481,A000000,03052,0000,03304OTHER MEDICAL SERVICES 57481,A000000,03053,0000,03305CARRIER SERVICE 57481,A000000,03200,0000,03200SUPPORT SURFACES 57481,A000000,03550,0000,03550FQHC 57481,A000000,04800,0000,04800AMBULANCE 57481,A000000,05000,0000,05000CORF 57481,A000000,05010,0000,05010CMHC 57481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57481,B100000,00000,0100,00000SQUARE FEET 57481,B100000,00000,0200,00000SQUARE FEET 57481,B100000,00000,0300,00000GROSS SALARIES 57481,B100000,00000,0301,00000GROSS SALARIES 57481,B100000,00000,0400,00000ACCUM COST 57481,B100000,00000,0500,00000SQUARE FEET 57481,B100000,00000,0600,00000POUNDS OF LAUNDRY 57481,B100000,00000,0700,00000HOURS OF SERVICE 57481,B100000,00000,0800,00000MEALS SERVED 57481,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 57481,B100000,00000,1000,00000COSTED REQUISITIO 57481,B100000,00000,1100,00000COSTED REQUISITIO 57481,B100000,00000,1200,00000TIME SPENT 57481,B100000,00000,1300,00000TIME SPENT 57481,B100000,00000,1350,00000TIME SPENT 57481,B100000,00000,1351,00000GROSS REVENUE 57481,B100000,00000,1400,00000ASSIGNED TIME 57481,E10A180,00501,0100,07/17/2000 57481,S000000,00100,0200,05/31/2000 57481,S200000,00100,0100,8000 OLIOFF DRIVE 57481,S200000,00200,0100,DUNN LORING 57481,S200000,00200,0200,VIRGINIA 57481,S200000,00200,0300,22027 57481,S200000,00300,0100,FAIRFAX 57481,S200000,00400,0100,ILIFF NURSING AND REHAB CENTER 57481,S200000,00400,0200,495205 57481,S200000,00400,0300,11/20/1989 57481,S200000,00400,0500,P 57481,S200000,01600,0100,Y 57481,S200000,04700,0100,Y 57481,S200000,04700,0200,Y 57494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57494,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 57494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57494,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 57494,A000000,00300,0000,00300EMPLOYEE BENEFITS 57494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57494,A000000,00700,0000,00700HOUSEKEEPING 57494,A000000,00800,0000,00800DIETARY 57494,A000000,00801,0000,00801CAFETERIA 57494,A000000,00900,0000,00900NURSING ADMINISTRATION 57494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57494,A000000,01100,0000,01100PHARMACY 57494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57494,A000000,01300,0000,01300SOCIAL SERVICE 57494,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 57494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57494,A000000,01600,0000,01600SKILLED NURSING FACILITY 57494,A000000,01800,0000,01800NURSING FACILITY 57494,A000000,01810,0000,01810ICF/MR 57494,A000000,02100,0000,02100RADIOLOGY 57494,A000000,02200,0000,02200LABORATORY 57494,A000000,02300,0000,02300INTRAVENOUS THERAPY 57494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57494,A000000,02500,0000,02500PHYSICAL THERAPY 57494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57494,A000000,02700,0000,02700SPEECH PATHOLOGY 57494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57494,A000000,03050,0000,03300PEN PART B 57494,A000000,03051,0000,03301FEE SCREENING 57494,A000000,03052,0000,03302OTHER ANCILLARY III 57494,A000000,03200,0000,03200SUPPORT SURFACES 57494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57494,A000000,03550,0000,03550FQHC 57494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57494,A000000,05000,0000,05000CORF I 57494,A000000,05010,0000,05010CMHC I 57494,A000000,05020,0000,05020OPT I 57494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57494,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57494,A81000A,00100,0100,Y 57494,A81000B,00100,0300,HOME OFFICE 57494,A81000B,00200,0300,PHYSICAL THERAPY 57494,A81000B,00300,0300,OCCUPATIONAL THERAPY 57494,A81000B,00400,0300,SPEECH THERAPY 57494,A81000B,00500,0300,CENTRAL SUPPLY 57494,A81000B,00600,0300,MS CHARGED 57494,A81000B,00700,0300,DRUGS CHARGED 57494,A81000B,00800,0300,CLINITRON 57494,A81000B,00900,0300,HOME OFFICE 57494,A81000C,00100,0100,B 57494,A81000C,00100,0200,GENESIS ELDER 57494,A81000C,00100,0600,MGMNT 57494,A81000C,00200,0100,B 57494,A81000C,00200,0200,NEIGHBORCARE 57494,A81000C,00200,0600,PHARMACY 57494,A81000C,00300,0100,B 57494,A81000C,00300,0200,GENESIS SERVICE 57494,A81000C,00300,0600,THERAPY 57494,A81000C,00400,0100,B 57494,A81000C,00400,0200,GENE PHYS SERV 57494,A81000C,00400,0600,CASE MGMNT 57494,B100000,00000,0100,00000(SQUARE FEET) 57494,B100000,00000,0101,00000(SQUARE FEET) 57494,B100000,00000,0200,00000(SQUARE FEET) 57494,B100000,00000,0201,00000(SQUARE FEET) 57494,B100000,00000,0300,00000(GROSS SALARIES) 57494,B100000,00000,0400,00000(ACCUM. COST) 57494,B100000,00000,0500,00000(SQUARE FEET) 57494,B100000,00000,0600,00000(PATIENT DAYS) 57494,B100000,00000,0700,00000(SQUARE FEET) 57494,B100000,00000,0800,00000(MEALS SERVED) 57494,B100000,00000,0801,00000(MEALS SERVED) 57494,B100000,00000,0900,00000(PATIENT DAYS) 57494,B100000,00000,1000,00000(COSTED REQUIS.) 57494,B100000,00000,1100,00000(PATIENT DAYS) 57494,B100000,00000,1200,00000(GROSS CHARGES) 57494,B100000,00000,1300,00000(PATIENT DAYS) 57494,B100000,00000,1350,00000(PATIENT DAYS) 57494,B100000,00000,1400,00000(ASSIGNED TIME) 57494,E10A180,00501,0100,03/03/2000 57494,E10A180,00550,0300,03/03/2000 57494,S000000,00100,0200,02/29/2000 57494,S200000,00100,0100,1235 MOUNT VERNON AVE 57494,S200000,00200,0100,WILLIAMSBURG 57494,S200000,00200,0200,VA 57494,S200000,00200,0300,22903 57494,S200000,00400,0100,WILLIAMSBURG CENTER 57494,S200000,00400,0200,495235 57494,S200000,00400,0300,10/01/1987 57494,S200000,00400,0500,P 57494,S200000,01600,0100,Y 57494,S200000,02200,0100,Y 57504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57504,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 57504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57504,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 57504,A000000,00300,0000,00300EMPLOYEE BENEFITS 57504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57504,A000000,00700,0000,00700HOUSEKEEPING 57504,A000000,00800,0000,00800DIETARY 57504,A000000,00801,0000,00801CAFETERIA 57504,A000000,00900,0000,00900NURSING ADMINISTRATION 57504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57504,A000000,01100,0000,01100PHARMACY 57504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57504,A000000,01300,0000,01300SOCIAL SERVICE 57504,A000000,01350,0000,01500ACTIVITIES 57504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57504,A000000,01600,0000,01600SKILLED NURSING FACILITY 57504,A000000,01800,0000,01800NURSING FACILITY 57504,A000000,01810,0000,01810ICF/MR 57504,A000000,01900,0000,01900OTHER LONG TERM CARE 57504,A000000,02100,0000,02100RADIOLOGY 57504,A000000,02200,0000,02200LABORATORY 57504,A000000,02300,0000,02300INTRAVENOUS THERAPY 57504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57504,A000000,02500,0000,02500PHYSICAL THERAPY 57504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57504,A000000,02700,0000,02700SPEECH PATHOLOGY 57504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57504,A000000,03050,0000,03300PEN PART B 57504,A000000,03051,0000,03301FEE SCREENING 57504,A000000,03052,0000,03302OTHER ANCILLARY III 57504,A000000,03200,0000,03200SUPPORT SURFACES 57504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57504,A000000,03550,0000,03550FQHC 57504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57504,A000000,05000,0000,05000CORF I 57504,A000000,05010,0000,05010CMHC I 57504,A000000,05020,0000,05020OPT I 57504,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57504,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57504,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57504,A81000A,00100,0100,Y 57504,A81000B,00100,0300,HOME OFFICE ALLOCATION 57504,A81000B,00200,0300,PT 57504,A81000B,00300,0300,OT 57504,A81000B,00400,0300,ST 57504,A81000B,00500,0300,SUPPLIES 57504,A81000B,00600,0300,OXYGEN 57504,A81000B,00700,0300,MEDICAL SUPPLIES 57504,A81000B,00800,0300,PRESCRIPTION 57504,A81000B,00900,0300,H.O. CAP REL. 57504,A81000C,00100,0100,B 57504,A81000C,00100,0200,GENESIS ELDERC 57504,A81000C,00100,0600,MGMT CO 57504,A81000C,00200,0100,B 57504,A81000C,00200,0200,NEIGHBORCARE 57504,A81000C,00200,0600,PHARMACY 57504,A81000C,00300,0100,B 57504,A81000C,00300,0200,GENESIS SERVICE 57504,A81000C,00300,0600,THERAPY SERVICE 57504,A81000C,00400,0100,B 57504,A81000C,00400,0200,GENE PHYS SERV 57504,A81000C,00400,0600,CASE MGMT 57504,A81000C,00500,0100,B 57504,A81000C,00500,0200,RESP. HEALTH 57504,A81000C,00500,0600,RT 57504,B100000,00000,0100,00000(SQUARE FEET) 57504,B100000,00000,0101,00000(SQUARE FEET) 57504,B100000,00000,0200,00000(SQUARE FEET) 57504,B100000,00000,0201,00000(SQUARE FEET) 57504,B100000,00000,0300,00000(GROSS SALARIES) 57504,B100000,00000,0400,00000(ACCUM. COST) 57504,B100000,00000,0500,00000(SQUARE FEET) 57504,B100000,00000,0600,00000(PATIENT DAYS) 57504,B100000,00000,0700,00000(SQUARE FEET) 57504,B100000,00000,0800,00000(MEALS SERVED) 57504,B100000,00000,0801,00000(MEALS SERVED) 57504,B100000,00000,0900,00000(NURSING SALARIES) 57504,B100000,00000,1000,00000(COSTED REQUIS.) 57504,B100000,00000,1100,00000(COSTED REQUIS.) 57504,B100000,00000,1200,00000(GROSS CHARGES) 57504,B100000,00000,1300,00000(PATIENT DAYS) 57504,B100000,00000,1350,00000(PATIENT DAYS) 57504,B100000,00000,1400,00000(ASSIGNED TIME) 57504,S000000,00100,0200,02/29/2000 57504,S200000,00100,0100,1214 JEFFERSON AVENUE 57504,S200000,00200,0100,CHARLOTTESVILLE 57504,S200000,00200,0200,VA 57504,S200000,00200,0300,22903 57504,S200000,00300,0100,CHARLOTTESVILLE 57504,S200000,00400,0100,JEFFERSON PARK 57504,S200000,00400,0200,495239 57504,S200000,00400,0300,08/01/1987 57504,S200000,00400,0500,P 57504,S200000,01600,0100,Y 57504,S200000,02200,0100,Y 57504,S200000,04600,0100,Y 57512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57512,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 57512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57512,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 57512,A000000,00300,0000,00300EMPLOYEE BENEFITS 57512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57512,A000000,00700,0000,00700HOUSEKEEPING 57512,A000000,00800,0000,00800DIETARY 57512,A000000,00801,0000,00801CAFETERIA 57512,A000000,00900,0000,00900NURSING ADMINISTRATION 57512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57512,A000000,01100,0000,01100PHARMACY 57512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57512,A000000,01300,0000,01300SOCIAL SERVICE 57512,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 57512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57512,A000000,01600,0000,01600SKILLED NURSING FACILITY 57512,A000000,01800,0000,01800NURSING FACILITY 57512,A000000,01810,0000,01810ICF/MR 57512,A000000,01900,0000,01900OTHER LONG TERM CARE 57512,A000000,02100,0000,02100RADIOLOGY 57512,A000000,02200,0000,02200LABORATORY 57512,A000000,02300,0000,02300INTRAVENOUS THERAPY 57512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57512,A000000,02500,0000,02500PHYSICAL THERAPY 57512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57512,A000000,02700,0000,02700SPEECH PATHOLOGY 57512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57512,A000000,03050,0000,03300OTHER ANCILLARY 57512,A000000,03051,0000,03301OTHER ANCILLARY II 57512,A000000,03052,0000,03302OTHER ANCILLARY III 57512,A000000,03200,0000,03200SUPPORT SURFACES 57512,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57512,A000000,03550,0000,03550FQHC 57512,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57512,A000000,05000,0000,05000CORF I 57512,A000000,05010,0000,05010CMHC I 57512,A000000,05020,0000,05020OPT I 57512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57512,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57512,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57512,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57512,A81000A,00100,0100,Y 57512,A81000B,00100,0300,HOME OFFICE ALLOCATION 57512,A81000B,00200,0300,PT 57512,A81000B,00300,0300,OT 57512,A81000B,00400,0300,ST 57512,A81000B,00500,0300,CENTRAL SUPPLY 57512,A81000B,00600,0300,MED SUPP CHARGED 57512,A81000B,00700,0300,CLINITRON 57512,A81000B,00800,0300,DRUGS CHARGED 57512,A81000B,00900,0300,H.O. CAP RELATED 57512,A81000C,00100,0100,B 57512,A81000C,00100,0200,GENESIS ELDERCE 57512,A81000C,00100,0600,MGMT CO 57512,A81000C,00200,0100,B 57512,A81000C,00200,0200,NEIGHBORCARE 57512,A81000C,00200,0600,PHARMACY 57512,A81000C,00300,0100,B 57512,A81000C,00300,0200,GENESIS SCVS 57512,A81000C,00300,0600,REHAB 57512,A81000C,00400,0100,B 57512,A81000C,00400,0200,GEN PHY SCVS 57512,A81000C,00400,0600,CASE MGMT 57512,A81000C,00500,0100,B 57512,A81000C,00500,0200,GENESIS REHAB 57512,A81000C,00500,0600,RT 57512,B100000,00000,0100,00000(SQUARE FEET) 57512,B100000,00000,0101,00000(SQUARE FEET) 57512,B100000,00000,0200,00000(SQUARE FEET) 57512,B100000,00000,0201,00000(SQUARE FEET) 57512,B100000,00000,0300,00000(GROSS SALARIES) 57512,B100000,00000,0400,00000(ACCUM. COST) 57512,B100000,00000,0500,00000(SQUARE FEET) 57512,B100000,00000,0600,00000(PATIENT DAYS) 57512,B100000,00000,0700,00000(SQUARE FEET) 57512,B100000,00000,0800,00000(MEALS SERVED) 57512,B100000,00000,0801,00000(MEALS SERVED) 57512,B100000,00000,0900,00000(NURSING SALARIES) 57512,B100000,00000,1000,00000(PATIENT DAYS) 57512,B100000,00000,1100,00000(PATIENT DAYS) 57512,B100000,00000,1200,00000(GROSS CHARGES) 57512,B100000,00000,1300,00000(PATIENT DAYS) 57512,B100000,00000,1350,00000(PATIENT DAYS) 57512,B100000,00000,1400,00000(ASSIGNED TIME) 57512,E10A180,00501,0100,03/22/2000 57512,E10A180,00502,0100,04/02/2001 57512,E10A180,00550,0300,03/22/2000 57512,E10A180,00551,0300,04/02/2001 57512,S000000,00100,0200,02/29/2000 57512,S200000,00100,0100,512 HOUSTON ST. 57512,S200000,00200,0100,STAUNTON 57512,S200000,00200,0200,VA 57512,S200000,00200,0300,22401 57512,S200000,00300,0100,AUGUSTA 57512,S200000,00400,0100,OAKHILL 57512,S200000,00400,0200,495243 57512,S200000,00400,0300,07/17/1987 57512,S200000,00400,0500,P 57512,S200000,00400,0600,O 57512,S200000,00600,0200,495243 57512,S200000,00600,0300,07/17/1987 57512,S200000,00600,0600,P 57512,S200000,01600,0100,Y 57512,S200000,02200,0100,Y 57523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57523,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 57523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57523,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 57523,A000000,00300,0000,00300EMPLOYEE BENEFITS 57523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57523,A000000,00700,0000,00700HOUSEKEEPING 57523,A000000,00800,0000,00800DIETARY 57523,A000000,00801,0000,00801CAFETERIA 57523,A000000,00900,0000,00900NURSING ADMINISTRATION 57523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57523,A000000,01100,0000,01100PHARMACY 57523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57523,A000000,01300,0000,01300SOCIAL SERVICE 57523,A000000,01350,0000,01500ACTIVITIES 57523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57523,A000000,01600,0000,01600SKILLED NURSING FACILITY 57523,A000000,01800,0000,01800NURSING FACILITY 57523,A000000,01810,0000,01810ICF/MR 57523,A000000,02300,0000,02300INTRAVENOUS THERAPY 57523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57523,A000000,02500,0000,02500PHYSICAL THERAPY 57523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57523,A000000,02700,0000,02700SPEECH PATHOLOGY 57523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57523,A000000,03050,0000,03300PEN PART B 57523,A000000,03051,0000,03301OTHER ANCILLARY II 57523,A000000,03052,0000,03302OTHER ANCILLARY III 57523,A000000,03200,0000,03200SUPPORT SURFACES 57523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57523,A000000,03550,0000,03550FQHC 57523,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57523,A000000,05000,0000,05000CORF I 57523,A000000,05010,0000,05010CMHC I 57523,A000000,05020,0000,05020OPT I 57523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57523,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57523,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57523,A81000A,00100,0100,Y 57523,A81000B,00100,0300,HOME OFFICE 57523,A81000B,00200,0300,PT 57523,A81000B,00300,0300,OT 57523,A81000B,00400,0300,ST 57523,A81000B,00500,0300,CAPITAL 57523,A81000B,00600,0300,MED SUPPLIES 57523,A81000B,00700,0300,DRUGS 57523,A81000B,00800,0300,CLINITRON 57523,A81000B,00900,0300,RT 57523,A81000C,00100,0100,B 57523,A81000C,00100,0200,GENESIS ELDER 57523,A81000C,00100,0600,MGMT CO 57523,A81000C,00200,0100,B 57523,A81000C,00200,0200,NEIGHBORCARE 57523,A81000C,00200,0600,PHARMACY 57523,A81000C,00300,0100,B 57523,A81000C,00300,0200,GENE PHYS SERV 57523,A81000C,00300,0600,CASE MGMT 57523,A81000C,00400,0100,B 57523,A81000C,00400,0200,GENE SERVICES 57523,A81000C,00400,0600,REHAB 57523,A81000C,00500,0100,B 57523,A81000C,00500,0200,RESP HLTH SERV 57523,A81000C,00500,0600,RT 57523,B100000,00000,0100,00000(SQUARE FEET) 57523,B100000,00000,0101,00000(SQUARE FEET) 57523,B100000,00000,0200,00000(SQUARE FEET) 57523,B100000,00000,0201,00000(SQUARE FEET) 57523,B100000,00000,0300,00000(GROSS SALARIES) 57523,B100000,00000,0400,00000(ACCUM. COST) 57523,B100000,00000,0500,00000(SQUARE FEET) 57523,B100000,00000,0600,00000(PATIENT DAYS) 57523,B100000,00000,0700,00000(SQUARE FEET) 57523,B100000,00000,0800,00000(MEALS SERVED) 57523,B100000,00000,0801,00000(MEALS SERVED) 57523,B100000,00000,0900,00000(PATIENT DAYS) 57523,B100000,00000,1000,00000(COSTED REQUIS.) 57523,B100000,00000,1100,00000(COSTED REQUIS.) 57523,B100000,00000,1200,00000(GROSS CHARGES) 57523,B100000,00000,1300,00000(PATIENT DAYS) 57523,B100000,00000,1350,00000(PATIENT DAYS) 57523,B100000,00000,1400,00000(ASSIGNED TIME) 57523,E10A180,00501,0100,03/02/2000 57523,E10A180,00501,0300,03/02/2000 57523,S000000,00100,0200,02/29/2000 57523,S200000,00100,0100,11 DAIRY LANE 57523,S200000,00200,0100,FREDERICKSBURG 57523,S200000,00200,0200,VA 57523,S200000,00200,0300,22404 57523,S200000,00300,0100,STAFORD 57523,S200000,00400,0100,WOODMONT CENTER 57523,S200000,00400,0200,495246 57523,S200000,00400,0300,01/01/1988 57523,S200000,00400,0500,P 57523,S200000,01600,0100,Y 57523,S200000,01800,0100,Y 57523,S200000,02200,0100,Y 57523,S200000,04600,0100,Y 57531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57531,A000000,00300,0000,00300EMPLOYEE BENEFITS 57531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57531,A000000,00700,0000,00700HOUSEKEEPING 57531,A000000,00800,0000,00800DIETARY 57531,A000000,00900,0000,00900NURSING ADMINISTRATION 57531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57531,A000000,01100,0000,01100PHARMACY 57531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57531,A000000,01300,0000,01300SOCIAL SERVICE 57531,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57531,A000000,01600,0000,01600SKILLED NURSING FACILITY 57531,A000000,01810,0000,01810ICF/MR 57531,A000000,02500,0000,02500PHYSICAL THERAPY 57531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57531,A000000,02700,0000,02700SPEECH PATHOLOGY 57531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57531,A000000,03550,0000,03550FQHC 57531,A000000,05000,0000,05000CORF 57531,A000000,05010,0000,05010CMHC 57531,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57531,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57531,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57531,A000000,05300,0000,05300INTEREST EXPENSE 57531,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57531,A000000,06200,0000,06200PATIENTS LAUNDRY 57531,A81000A,00100,0100,Y 57531,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 57531,A81000C,00100,0100,B 57531,A81000C,00100,0200,HOMEWOOD RETIREMENT CENTE 57531,A81000C,00100,0600,HEALTHCARE 57531,B100000,00000,0100,00000SQUARE FEET 57531,B100000,00000,0200,00000SQUARE FEET 57531,B100000,00000,0300,00000GROSS SALARIES 57531,B100000,00000,0400,00000ACCUM. COST 57531,B100000,00000,0500,00000SQUARE FEET 57531,B100000,00000,0600,00000POUNDS OF LAUNDRY 57531,B100000,00000,0700,00000HOURS OF SERVICE 57531,B100000,00000,0800,00000MEALS SERVED 57531,B100000,00000,0900,00000DIRECT NRSING HRS 57531,B100000,00000,1000,00000COSTED REQUIS. 57531,B100000,00000,1100,00000COSTED REQUIS. 57531,B100000,00000,1200,00000TIME SPENT 57531,B100000,00000,1300,00000TIME SPENT 57531,B100000,00000,1400,00000ASSIGNED TIME 57531,E10A180,00501,0100,07/10/2000 57531,E10A180,00501,0300,07/10/2000 57531,S000000,00100,0200,05/24/2000 57531,S200000,00100,0100,118 N. MUHLENBERG STREET 57531,S200000,00200,0100,WOODSTOCK 57531,S200000,00200,0200,VA 57531,S200000,00300,0100,SHENANDOAH 57531,S200000,00400,0100,HOMEWOOD IN THE SHENANDOAH VALLEY 57531,S200000,00400,0200,495315 57531,S200000,00400,0300,02/17/1997 57531,S200000,00400,0500,P 57531,S200000,01500,0100,Y 57531,S200000,02200,0100,Y 57556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 57556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 57556,A000000,00300,0000,00300EMPLOYEE BENEFITS 57556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 57556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57556,A000000,00700,0000,00700HOUSEKEEPING 57556,A000000,00800,0000,00800DIETARY 57556,A000000,00900,0000,00900NURSING ADMINISTRATION 57556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57556,A000000,01100,0000,01100PHARMACY 57556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57556,A000000,01300,0000,01300SOCIAL SERVICE 57556,A000000,01350,0000,01500RESIDENT ACTIVITIES 57556,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 57556,A000000,01600,0000,01600SKILLED NURSING FACILITY 57556,A000000,01800,0000,01800NURSING FACILITY 57556,A000000,01810,0000,01810ICF/MR 57556,A000000,02100,0000,02100RADIOLOGY 57556,A000000,02200,0000,02200LABORATORY 57556,A000000,02300,0000,02300INTRAVENOUS THERAPY 57556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57556,A000000,02500,0000,02500PHYSICAL THERAPY 57556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57556,A000000,02700,0000,02700SPEECH PATHOLOGY 57556,A000000,02800,0000,02800ELECTROCARDIOLOGY 57556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 57556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57556,A000000,03050,0000,03300ENTERAL NUTRIITON 57556,A000000,03051,0000,03350OTHER ANCILLARY 57556,A000000,03200,0000,03200SUPPORT SURFACES 57556,A000000,03550,0000,03550FQHC 57556,A000000,05000,0000,05000CORF 57556,A000000,05010,0000,05010CMHC 57556,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 57556,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 57556,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 57556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57556,A000000,06150,0000,06300NON-HEALTH CARE REV/EXP 57556,A81000A,00100,0100,Y 57556,A81000B,00100,0300,HO COSTS-CAPITAL 57556,A81000B,00200,0300,HO COSTS-NON CAPITAL 57556,A81000C,00100,0100,B 57556,A81000C,00100,0200,MERITCARE INC. 57556,A81000C,00100,0400,MERITCARE INC. 57556,A81000C,00100,0600,NURSING HOMES 57556,B100000,00000,0100,00000SQUARE FEET 57556,B100000,00000,0200,00000SQUARE FEET 57556,B100000,00000,0300,00000GROSS SALARIES 57556,B100000,00000,0400,00000ACCUM COST 57556,B100000,00000,0500,00000SQUARE FEET 57556,B100000,00000,0600,00000PATIENT DAYS 57556,B100000,00000,0700,00000SQUARE FEET 57556,B100000,00000,0800,00000PATIENT DAYS 57556,B100000,00000,0900,00000DIRECT NRSG HRS 57556,B100000,00000,1000,00000PATIENT DAYS 57556,B100000,00000,1100,00000COSTED REQUIS 57556,B100000,00000,1200,00000PATIENT DAYS 57556,B100000,00000,1300,00000PATIENT DAYS 57556,B100000,00000,1350,00000PATIENT DAYS 57556,B100000,00000,1400,00000ASSIGNED TIME 57556,E10A180,00550,0300,11/30/2000 57556,S000000,00100,0200,11/28/2000 57556,S200000,00100,0100,11900 ARTESIA BLVD 57556,S200000,00200,0100,ARTESIA 57556,S200000,00200,0200,CA 57556,S200000,00300,0100,LOS ANGELES 57556,S200000,00400,0100,TWIN PALMS CARE CENTER 57556,S200000,00400,0200,555565 57556,S200000,00400,0300,07/01/1988 57556,S200000,00400,0500,P 57556,S200000,01600,0100,Y 57556,S200000,02200,0100,Y 57556,S200000,02800,0100,Y 57563,S000000,00100,0200,05/30/2000 57576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57576,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 57576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57576,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 57576,A000000,00300,0000,00300EMPLOYEE BENEFITS 57576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57576,A000000,00700,0000,00700HOUSEKEEPING 57576,A000000,00800,0000,00800DIETARY 57576,A000000,00801,0000,00801CAFETERIA 57576,A000000,00900,0000,00900NURSING ADMINISTRATION 57576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57576,A000000,01100,0000,01100PHARMACY 57576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57576,A000000,01300,0000,01300SOCIAL SERVICE 57576,A000000,01350,0000,01500ACTIVITIES 57576,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57576,A000000,01600,0000,01600SKILLED NURSING FACILITY 57576,A000000,01800,0000,01800NURSING FACILITY 57576,A000000,01900,0000,01900OTHER LONG TERM CARE 57576,A000000,02100,0000,02100RADIOLOGY 57576,A000000,02200,0000,02200LABORATORY 57576,A000000,02300,0000,02300INTRAVENOUS THERAPY 57576,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57576,A000000,02500,0000,02500PHYSICAL THERAPY 57576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57576,A000000,02700,0000,02700SPEECH PATHOLOGY 57576,A000000,02800,0000,02800ELECTROCARDIOLOGY 57576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57576,A000000,03050,0000,03300DME 57576,A000000,03051,0000,03301ORTHOTICS 57576,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 57576,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57576,A000000,03200,0000,03200SUPPORT SURFACES 57576,A000000,03400,0000,03400CLINIC 57576,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57576,A000000,03500,0000,03500RURAL HEALTH CLINIC 57576,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57576,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57576,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57576,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57576,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57576,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57576,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57576,A000000,04400,0000,04400DME RENTED - HHA 57576,A000000,04500,0000,04500DME SOLD - HHA 57576,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57576,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57576,A000000,04750,0000,05100OSP 57576,A000000,04800,0000,04800AMBULANCE 57576,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57576,A000000,05000,0000,05000CORF 57576,A000000,05010,0000,05010CMHC I 57576,A000000,05020,0000,05020OPT I 57576,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57576,A000000,05300,0000,05300INTEREST EXPENSE 57576,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57576,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57576,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57576,A000000,05500,0000,05500HOSPICE 57576,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57576,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57576,A000000,06100,0000,06100NONPAID WORKERS 57576,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57576,A000000,06200,0000,06200PATIENTS LAUNDRY 57576,A81000A,00100,0100,Y 57576,A81000B,00100,0300,HOME OFFICE ALLOCATION 57576,A81000B,00200,0300,THERACOR ACTUAL COSTS 57576,A81000B,00300,0300,THERACOR ACTUAL COSTS 57576,A81000B,00400,0300,THERACOR ACTUAL COSTS 57576,A81000C,00100,0100,B 57576,A81000C,00100,0200,HARBORSIDE 57576,A81000C,00200,0200,HEALTHCARE 57576,A81000C,00300,0200,LIMITED PSHIP 57576,A81000C,00300,0600,MANAGEMENT CO 57576,A81000C,00500,0100,B 57576,A81000C,00500,0200,HARBORSIDE 57576,A81000C,00600,0200,REHABILITITAION 57576,A81000C,00700,0200,LIMITED PSHIP 57576,A81000C,00700,0600,THERAPY 57576,A81000C,00800,0600,SERVICE AND 57576,A81000C,00900,0600,MANAGEMENT CO 57576,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 57576,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 57576,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 57576,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 57576,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 57576,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57576,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 57576,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 57576,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 57576,B100000,00000,0800,00000(MEALS SERVED)DIETARY 57576,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 57576,B100000,00000,0900,00000(NURSING HOURS)NURSING ADMINISTRAT 57576,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 57576,B100000,00000,1100,00000(PATIENT DAYS)PHARMACY 57576,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 57576,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 57576,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 57576,B100000,00000,1500,00000(PATIENT DAYS)ACTIVITIES 57576,S000000,00100,0200,06/02/2000 57576,S200000,00100,0100,1139 MAIN AVE 57576,S200000,00200,0100,WARWICK 57576,S200000,00200,0200,RI 57576,S200000,00200,0300,02886 57576,S200000,00300,0100,KENT 57576,S200000,00300,0300,U 57576,S200000,00400,0100,HHC - GREENWOOD 57576,S200000,00400,0200,415008 57576,S200000,00400,0300,05/08/1998 57576,S200000,00400,0500,P 57576,S200000,01600,0100,Y 57576,S200000,01900,0100,N 57576,S200000,02200,0100,Y 57576,S200000,04700,0100,Y 57576,S200000,04700,0200,Y 57576,S700003,00000,0100,1 57587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57587,A000000,00300,0000,00300EMPLOYEE BENEFITS 57587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57587,A000000,00700,0000,00700HOUSEKEEPING 57587,A000000,00800,0000,00800DIETARY 57587,A000000,00900,0000,00900NURSING ADMINISTRATION 57587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57587,A000000,01100,0000,01100PHARMACY 57587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57587,A000000,01300,0000,01300SOCIAL SERVICE 57587,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57587,A000000,01600,0000,01600SKILLED NURSING FACILITY 57587,A000000,01800,0000,01800NURSING FACILITY 57587,A000000,02100,0000,02100RADIOLOGY 57587,A000000,02200,0000,02200LABORATORY 57587,A000000,02300,0000,02300INTRAVENOUS THERAPY 57587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57587,A000000,02500,0000,02500PHYSICAL THERAPY 57587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57587,A000000,02700,0000,02700SPEECH PATHOLOGY 57587,A000000,02800,0000,02800ELECTROCARDIOLOGY 57587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57587,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57587,A000000,03200,0000,03200SUPPORT SURFACES 57587,A000000,03400,0000,03400CLINIC 57587,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57587,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57587,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57587,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57587,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57587,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57587,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57587,A000000,04400,0000,04400DME RENTED - HHA 57587,A000000,04500,0000,04500DME SOLD - HHA 57587,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57587,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57587,A000000,04800,0000,04800AMBULANCE 57587,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57587,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57587,A000000,05300,0000,05300INTEREST EXPENSE 57587,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57587,A000000,05500,0000,05500HOSPICE 57587,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57587,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57587,A000000,06100,0000,06100NONPAID WORKERS 57587,A000000,06200,0000,06200PATIENTS LAUNDRY 57587,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57587,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57587,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57587,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57587,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57587,B100000,00000,0600,00000LAUNDRY POUNDS LAUNDRY & LINEN 57587,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57587,B100000,00000,0800,00000MEALS SERVED DIETARY 57587,B100000,00000,0900,00000DIRECT NURSING HO NURSING ADM 57587,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57587,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57587,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57587,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 57587,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 57587,S000000,00100,0200,05/23/2000 57587,S200000,00100,0100,49 OLD POCASSET ROAD 57587,S200000,00200,0100,JOHNSTON 57587,S200000,00200,0200,RI 57587,S200000,00200,0300,02919 57587,S200000,00300,0100,PROVIDENCE 57587,S200000,00400,0100,MEDICAL HOMES OF RHODE ISLAND 57587,S200000,00400,0200,415012 57587,S200000,00400,0300,01/01/1967 57587,S200000,00400,0500,P 57587,S200000,01600,0100,Y 57587,S200000,04300,0100,Y 57587,S700003,00000,0100,X 57594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57594,A000000,00300,0000,00300EMPLOYEE BENEFITS 57594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57594,A000000,00700,0000,00700HOUSEKEEPING 57594,A000000,00800,0000,00800DIETARY 57594,A000000,00900,0000,00900NURSING ADMINISTRATION 57594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57594,A000000,01100,0000,01100PHARMACY 57594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57594,A000000,01300,0000,01300SOCIAL SERVICE 57594,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57594,A000000,01600,0000,01600SKILLED NURSING FACILITY 57594,A000000,01800,0000,01800NURSING FACILITY 57594,A000000,02100,0000,02100RADIOLOGY 57594,A000000,02200,0000,02200LABORATORY 57594,A000000,02300,0000,02300INTRAVENOUS THERAPY 57594,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57594,A000000,02500,0000,02500PHYSICAL THERAPY 57594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57594,A000000,02700,0000,02700SPEECH PATHOLOGY 57594,A000000,02800,0000,02800ELECTROCARDIOLOGY 57594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57594,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57594,A000000,03200,0000,03200SUPPORT SURFACES 57594,A000000,03400,0000,03400CLINIC 57594,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57594,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57594,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57594,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57594,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57594,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57594,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57594,A000000,04400,0000,04400DME RENTED - HHA 57594,A000000,04500,0000,04500DME SOLD - HHA 57594,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57594,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57594,A000000,04800,0000,04800AMBULANCE 57594,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57594,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57594,A000000,05300,0000,05300INTEREST EXPENSE 57594,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57594,A000000,05500,0000,05500HOSPICE 57594,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57594,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57594,A000000,06100,0000,06100NONPAID WORKERS 57594,A000000,06200,0000,06200PATIENTS LAUNDRY 57594,A81000A,00100,0100,Y 57594,A81000B,00100,0300,RENT 57594,A81000B,00200,0300,DEPRECIATION 57594,A81000B,00300,0300,INTEREST 57594,A81000B,00400,0300,PERSONAL PROPERTY TAXES 57594,A81000B,00500,0300,ACCOUNTING 57594,A81000B,00600,0300,AMORTIZATION 57594,A81000C,00100,0100,A 57594,A81000C,00100,0200,BRIAN FOLEY 57594,A81000C,00100,0400,WATCH HILL REAL 57594,A81000C,00100,0600,R/E RENTAL 57594,A81000C,00200,0100,A 57594,A81000C,00200,0200,BRIAN FOLEY 57594,A81000C,00200,0400,APPLE HEALTH CR 57594,A81000C,00200,0600,ACCTING & MGT 57594,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57594,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57594,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57594,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57594,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57594,B100000,00000,0600,00000PATIENT DAYS LAUNDRY & LINEN S 57594,B100000,00000,0700,00000PATIENT DAYS HOUSEKEEPING 57594,B100000,00000,0800,00000MEALS SERVED DIETARY 57594,B100000,00000,0900,00000NURSING SALARIES NURSING ADMIN 57594,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57594,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57594,B100000,00000,1200,00000PATIENT DAYS MEDICAL RECORDS & 57594,B100000,00000,1300,00000PATIENT DAYS SOCIAL SERVICE 57594,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 57594,S000000,00100,0200,05/31/2000 57594,S200000,00100,0100,79 WATCH HILL ROAD 57594,S200000,00200,0100,WESTERLY 57594,S200000,00200,0200,RI 57594,S200000,00200,0300,02891 57594,S200000,00300,0100,WASHINGTON 57594,S200000,00300,0200,U 57594,S200000,00400,0100,WATCH HILLL MANOR LTD. 57594,S200000,00400,0200,415015 57594,S200000,00400,0300,09/28/1967 57594,S200000,00400,0500,P 57594,S200000,01600,0100,Y 57594,S200000,04300,0100,Y 57594,S700003,00000,0100,X 57604,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57604,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 57604,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57604,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 57604,A000000,00300,0000,00300EMPLOYEE BENEFITS 57604,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57604,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57604,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57604,A000000,00700,0000,00700HOUSEKEEPING 57604,A000000,00800,0000,00800DIETARY 57604,A000000,00801,0000,00801CAFETERIA 57604,A000000,00900,0000,00900NURSING ADMINISTRATION 57604,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57604,A000000,01100,0000,01100PHARMACY 57604,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57604,A000000,01300,0000,01300SOCIAL SERVICE 57604,A000000,01350,0000,01500ACTIVITIES 57604,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57604,A000000,01600,0000,01600SKILLED NURSING FACILITY 57604,A000000,01800,0000,01800NURSING FACILITY 57604,A000000,01900,0000,01900OTHER LONG TERM CARE 57604,A000000,02100,0000,02100RADIOLOGY 57604,A000000,02200,0000,02200LABORATORY 57604,A000000,02300,0000,02300INTRAVENOUS THERAPY 57604,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57604,A000000,02500,0000,02500PHYSICAL THERAPY 57604,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57604,A000000,02700,0000,02700SPEECH PATHOLOGY 57604,A000000,02800,0000,02800ELECTROCARDIOLOGY 57604,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57604,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57604,A000000,03050,0000,03300DME 57604,A000000,03051,0000,03301ORTHOTICS 57604,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 57604,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57604,A000000,03200,0000,03200SUPPORT SURFACES 57604,A000000,03400,0000,03400CLINIC 57604,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57604,A000000,03500,0000,03500RURAL HEALTH CLINIC 57604,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57604,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57604,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57604,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57604,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57604,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57604,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57604,A000000,04400,0000,04400DME RENTED - HHA 57604,A000000,04500,0000,04500DME SOLD - HHA 57604,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57604,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57604,A000000,04750,0000,05100OSP 57604,A000000,04800,0000,04800AMBULANCE 57604,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57604,A000000,05000,0000,05000CORF 57604,A000000,05010,0000,05010CMHC I 57604,A000000,05020,0000,05020OPT I 57604,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57604,A000000,05300,0000,05300INTEREST EXPENSE 57604,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57604,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57604,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57604,A000000,05500,0000,05500HOSPICE 57604,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57604,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57604,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57604,A000000,06100,0000,06100NONPAID WORKERS 57604,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57604,A000000,06200,0000,06200PATIENTS LAUNDRY 57604,A81000A,00100,0100,Y 57604,A81000B,00100,0300,HOME OFFICE ALLOCATION 57604,A81000B,00200,0300,THERACOR ACTUAL COSTS 57604,A81000B,00300,0300,THERACOR ACTUAL COSTS 57604,A81000B,00400,0300,THERACOR ACTUAL COSTS 57604,A81000C,00100,0100,B 57604,A81000C,00100,0200,HARBORSIDE 57604,A81000C,00200,0200,HEALTHCARE 57604,A81000C,00300,0200,LIMITED PSHIP 57604,A81000C,00300,0600,MANAGEMENT CO 57604,A81000C,00500,0100,B 57604,A81000C,00500,0200,HARBORSIDE 57604,A81000C,00600,0200,REHABILITITAION 57604,A81000C,00700,0200,LIMITED PSHIP 57604,A81000C,00700,0600,THERAPY 57604,A81000C,00800,0600,SERVICE AND 57604,A81000C,00900,0600,MANAGEMENT CO 57604,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 57604,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 57604,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 57604,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 57604,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 57604,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57604,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 57604,B100000,00000,0600,00000(PATIENT DAYS)LAUNDRY & LINEN SERV 57604,B100000,00000,0700,00000(SQUARE FEET)HOUSEKEEPING 57604,B100000,00000,0800,00000(MEALS SERVED)DIETARY 57604,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 57604,B100000,00000,0900,00000(DIRECT NURS HOURS)NURSING ADMINIST 57604,B100000,00000,1000,00000(PATIENT DAYS)CENTRAL SERVICES & S 57604,B100000,00000,1100,00000(PATIENT DAYS)PHARMACY 57604,B100000,00000,1200,00000(PATIENT DAYS)MEDICAL RECORDS & LI 57604,B100000,00000,1300,00000(PATIENT DAYS)SOCIAL SERVICE 57604,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 57604,B100000,00000,1500,00000(PATIENT DAYS)ACTIVITIES 57604,S000000,00100,0200,06/02/2000 57604,S200000,00100,0100,270 POST ROAD 57604,S200000,00200,0100,WARWICK 57604,S200000,00200,0200,RI 57604,S200000,00200,0300,02888 57604,S200000,00300,0100,PROVIDENCE 57604,S200000,00300,0300,U 57604,S200000,00400,0100,HHC - PAWTUXET VILLAGE 57604,S200000,00400,0200,415022 57604,S200000,00400,0300,05/08/1998 57604,S200000,00400,0500,P 57604,S200000,01600,0100,Y 57604,S200000,01900,0100,N 57604,S200000,02200,0100,Y 57604,S200000,04700,0100,Y 57604,S200000,04700,0200,Y 57604,S700003,00000,0100,1 57612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57612,A000000,00300,0000,00300EMPLOYEE BENEFITS 57612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57612,A000000,00700,0000,00700HOUSEKEEPING 57612,A000000,00800,0000,00800DIETARY 57612,A000000,00900,0000,00900NURSING ADMINISTRATION 57612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57612,A000000,01100,0000,01100PHARMACY 57612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57612,A000000,01300,0000,01300SOCIAL SERVICE 57612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57612,A000000,01600,0000,01600SKILLED NURSING FACILITY 57612,A000000,01900,0000,01900OTHER LONG TERM CARE 57612,A000000,02100,0000,02100RADIOLOGY 57612,A000000,02200,0000,02200LABORATORY 57612,A000000,02300,0000,02300INTRAVENOUS THERAPY 57612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57612,A000000,02500,0000,02500PHYSICAL THERAPY 57612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57612,A000000,02700,0000,02700SPEECH PATHOLOGY 57612,A000000,02800,0000,02800ELECTROCARDIOLOGY 57612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57612,A000000,03200,0000,03200SUPPORT SURFACES 57612,A000000,03400,0000,03400CLINIC 57612,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57612,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57612,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57612,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57612,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57612,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57612,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57612,A000000,04400,0000,04400DME RENTED - HHA 57612,A000000,04500,0000,04500DME SOLD - HHA 57612,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57612,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57612,A000000,04800,0000,04800AMBULANCE 57612,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57612,A000000,05300,0000,05300INTEREST EXPENSE 57612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57612,A000000,05500,0000,05500HOSPICE 57612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57612,A000000,06100,0000,06100NONPAID WORKERS 57612,A000000,06200,0000,06200PATIENTS LAUNDRY 57612,A81000A,00100,0100,Y 57612,A81000B,00100,0300,RENT 57612,A81000B,00200,0300,MORTGAGE INTEREST 57612,A81000B,00300,0300,IMPUTED INTEREST INCOME 57612,A81000B,00400,0300,WORKING CAPITAL INTEREST 57612,A81000B,00500,0300,BLDG DEPR 57612,A81000B,00600,0300,BLDG IMPR DEPR 57612,A81000B,00700,0300,ADMINISTATORS SALARY 57612,A81000C,00100,0100,A 57612,A81000C,00100,0200,LEO DELISI 57612,A81000C,00100,0600,R/E RENTAL 57612,A81000C,00200,0100,A 57612,A81000C,00200,0200,LEO DELISI 57612,A81000C,00200,0600,LENDOR 57612,B100000,00000,0100,00000SQUARE FTCAP REL COSTS - BLDGS & FI 57612,B100000,00000,0200,00000SQUARE FTCAP REL COSTS - MOVABLE EQ 57612,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 57612,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57612,B100000,00000,0500,00000SQUARE FTPLANT OPERATION MAINT. & 57612,B100000,00000,0650,00000PAT DAYSLAUNDRY & LINEN SERVICE 57612,B100000,00000,0750,00000SQUARE FTHOUSEKEEPING 57612,B100000,00000,0850,00000PAT DAYSDIETARY 57612,B100000,00000,0900,00000HOURSNURSING ADMINISTRATION 57612,B100000,00000,1000,00000BLANKCENTRAL SERVICES & SUPPLY 57612,B100000,00000,1100,00000BLANKPHARMACY 57612,B100000,00000,1250,00000PAT DAYSMEDICAL RECORDS & LIBRARY 57612,B100000,00000,1300,00000SS HOURSSOCIAL SERVICE 57612,B100000,00000,1400,00000BLANKINTERNS & RESIDENTS (APPRVD PR 57612,S000000,00100,0200,05/16/2000 57612,S200000,00100,0100,107 WEST SHORE ROAD 57612,S200000,00200,0100,WARWICK 57612,S200000,00200,0200,RI 57612,S200000,00200,0300,02889 57612,S200000,00300,0100,KENT 57612,S200000,00400,0100,CAPITAL VENTURES LTD 57612,S200000,00400,0200,415028 57612,S200000,00400,0300,06/01/1974 57612,S200000,00400,0500,P 57612,S200000,01500,0100,Y 57612,S200000,03100,0100,Y 57612,S200000,04300,0100,Y 57612,S700003,00000,0100,1 57626,S000000,00100,0200,05/16/2000 57642,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57642,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57642,A000000,00300,0000,00300EMPLOYEE BENEFITS 57642,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57642,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57642,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57642,A000000,00700,0000,00700HOUSEKEEPING 57642,A000000,00800,0000,00800DIETARY 57642,A000000,00900,0000,00900NURSING ADMINISTRATION 57642,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57642,A000000,01100,0000,01100PHARMACY 57642,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57642,A000000,01300,0000,01300SOCIAL SERVICE 57642,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57642,A000000,01600,0000,01600SKILLED NURSING FACILITY 57642,A000000,01800,0000,01800NURSING FACILITY 57642,A000000,02100,0000,02100RADIOLOGY 57642,A000000,02200,0000,02200LABORATORY 57642,A000000,02300,0000,02300INTRAVENOUS THERAPY 57642,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57642,A000000,02500,0000,02500PHYSICAL THERAPY 57642,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57642,A000000,02700,0000,02700SPEECH PATHOLOGY 57642,A000000,02800,0000,02800ELECTROCARDIOLOGY 57642,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57642,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57642,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 57642,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57642,A000000,03200,0000,03200SUPPORT SURFACES 57642,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57642,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57642,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57642,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57642,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57642,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57642,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57642,A000000,04400,0000,04400DME RENTED - HHA 57642,A000000,04500,0000,04500DME SOLD - HHA 57642,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57642,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57642,A000000,04800,0000,04800AMBULANCE 57642,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57642,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57642,A000000,05300,0000,05300INTEREST EXPENSE 57642,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57642,A000000,05500,0000,05500HOSPICE 57642,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57642,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57642,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57642,A000000,06100,0000,06100NONPAID WORKERS 57642,A000000,06200,0000,06200PATIENTS LAUNDRY 57642,A81000A,00100,0100,Y 57642,A81000B,00100,0300,MANAGEMENT FEES 57642,A81000B,00200,0300,HOME OFFICE COST REPORT 57642,A81000B,00300,0300,HOME OFFICE COST REPORT 57642,A81000B,00400,0300,HOME OFFICE COST REPORT 57642,A81000C,00100,0100,A 57642,A81000C,00100,0200,DONALD E WOODS 57642,A81000C,00100,0400,HMS OF NEWPORT 57642,A81000C,00100,0600,OVERSEES OPERAT 57642,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57642,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57642,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57642,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57642,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57642,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 57642,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57642,B100000,00000,0800,00000PATIENT DAYSDIETARY 57642,B100000,00000,0900,00000DIRECT NURSING HONURSING ADMINIS 57642,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 57642,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 57642,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 57642,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57642,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 57642,E10A180,00301,0100,02/24/2000 57642,E10A180,00601,0100,10/31/2000 57642,S000000,00100,0200,05/25/2000 57642,S200000,00100,0100,398 BELLEVUE AVENUE 57642,S200000,00200,0100,NEWPORT 57642,S200000,00200,0200,RI 02840 57642,S200000,00200,0300,02840 57642,S200000,00300,0100,NEWPORT 57642,S200000,00400,0100,HEATHERWOOD NURSING & SUBACUTE CTR 57642,S200000,00400,0200,415033 57642,S200000,00400,0300,01/01/1975 57642,S200000,00400,0500,P 57642,S200000,01500,0100,Y 57642,S200000,04300,0100,Y 57642,S700003,00000,0100,1 57652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57652,A000000,00300,0000,00300EMPLOYEE BENEFITS 57652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57652,A000000,00700,0000,00700HOUSEKEEPING 57652,A000000,00800,0000,00800DIETARY 57652,A000000,00900,0000,00900NURSING ADMINISTRATION 57652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57652,A000000,01300,0000,01300SOCIAL SERVICE 57652,A000000,01600,0000,01600SKILLED NURSING FACILITY 57652,A000000,01800,0000,01800NURSING FACILITY 57652,A000000,02100,0000,02100RADIOLOGY 57652,A000000,02200,0000,02200LABORATORY 57652,A000000,02500,0000,02500PHYSICAL THERAPY 57652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57652,A000000,02700,0000,02700SPEECH PATHOLOGY 57652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57652,A000000,03200,0000,03200SUPPORT SURFACES 57652,A000000,03201,0000,03201DMEC SUPPLIES 57652,A000000,03202,0000,03202FOOD PUMPS 57652,A000000,04800,0000,04800AMBULANCE 57652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57652,A000000,05300,0000,05300INTEREST EXPENSE 57652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57652,A81000A,00100,0100,Y 57652,A81000B,00100,0300,MANAGEMENT FEE 57652,A81000B,00200,0300,LEGAL FEES 57652,A81000B,00300,0300,PARTNERSHIP COSTS 57652,A81000B,00400,0300, 57652,A81000B,00500,0300, 57652,A81000B,00600,0300, 57652,A81000B,00700,0300,M & M DEPRECIATION 57652,A81000C,00100,0100,A 57652,A81000C,00100,0200,GATES ROBIDOUX 57652,A81000C,00100,0400,HEALTH MGT. CO 57652,A81000C,00100,0600,MGT CO 57652,A81000C,00200,0100,A 57652,A81000C,00200,0200,L. GATES 57652,A81000C,00200,0400,L.S. GATES INC. 57652,A81000C,00200,0600,LEGAL FIRM 57652,A81000C,00300,0100,A 57652,A81000C,00300,0200,GATES ROBIDOUX 57652,A81000C,00300,0400,HOPKINS HEALTH 57652,A81000C,00300,0600,PARTNERSHIP 57652,A81000C,00400,0100,A 57652,A81000C,00400,0200,FORCIER 57652,A81000C,00400,0400, 57652,A81000C,00500,0100,A 57652,A81000C,00500,0200, 57652,A81000C,00600,0100,A 57652,A81000C,00600,0200, 57652,A81000C,00600,0400, 57652,A81000C,00700,0100,D 57652,A81000C,00700,0200,M. ROBIDOUX 57652,A81000C,00700,0400,M & M IMPROVEME 57652,A81000C,00700,0600,CONSTRUCTION 57652,B100000,00000,1000,00000SQUARE FEETCAP REL COSTS - BLDGS 57652,B100000,00000,1100,00000SQUARE FEETCAP REL COSTS - MOVAB 57652,B100000,00000,1200,00000GROSS SALARIESEMPLOYEE BENEFITS 57652,B100000,00000,1300,00000ACC COSTADMINISTRATIVE & GENERAL 57652,B100000,00000,1400,00000SQUARE FEETPLANT OPERATION MAIN 57652,B100000,00000,1500,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57652,B100000,00000,1600,00000SQUARE FEETHOUSEKEEPING 57652,B100000,00000,1700,00000MEALS SERVEDDIETARY 57652,B100000,00000,1800,00000DIR NURSINHRS OF SVCNURSING ADMINIS 57652,S000000,00100,0200,05/30/2000 57652,S200000,00100,0100,610 SMITHFIELD RD 57652,S200000,00200,0100,NO. PROVIDENCE 57652,S200000,00200,0200,RI 57652,S200000,00200,0300,02904 57652,S200000,00300,0100,PROVIDENCE 57652,S200000,00300,0300,U 57652,S200000,00400,0100,HOPKINS MANOR LTD. 57652,S200000,00400,0200,415035 57652,S200000,00400,0300,02/17/1975 57652,S200000,00400,0500,P 57652,S200000,01600,0100,Y 57652,S700003,00000,0100,1 57662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57662,A000000,00300,0000,00300EMPLOYEE BENEFITS 57662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57662,A000000,00700,0000,00700HOUSEKEEPING 57662,A000000,00800,0000,00800DIETARY 57662,A000000,00900,0000,00900NURSING ADMINISTRATION 57662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57662,A000000,01300,0000,01300SOCIAL SERVICE 57662,A000000,01600,0000,01600SKILLED NURSING FACILITY 57662,A000000,01800,0000,01800NURSING FACILITY 57662,A000000,02100,0000,02100RADIOLOGY 57662,A000000,02200,0000,02200LABORATORY 57662,A000000,02500,0000,02500PHYSICAL THERAPY 57662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57662,A000000,02700,0000,02700SPEECH PATHOLOGY 57662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57662,A000000,03001,0000,03001DMERC SUPPLIES 57662,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57662,A000000,04800,0000,04800AMBULANCE 57662,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57662,A000000,05300,0000,05300INTEREST EXPENSE 57662,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57662,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 57662,A81000A,00100,0100,Y 57662,A81000B,00100,0300,OWNER INTEREST 57662,A81000B,00200,0300,LEGAL 57662,A81000B,00300,0300,PARTNERSHIP COSTS 57662,A81000B,00400,0300,PARTNESHIP COSTS 57662,A81000B,00500,0300,PARTNERSHIP COSTS 57662,A81000B,00600,0300,M&M DEPRECIATION 57662,A81000C,00100,0100,G 57662,A81000C,00100,0200,GATES LEEDER 57662,A81000C,00100,0400,OWNERS 57662,A81000C,00100,0600,N/A 57662,A81000C,00200,0100,A 57662,A81000C,00200,0200,GATES 57662,A81000C,00200,0400,L.S.GATES INC 57662,A81000C,00200,0600,LEGAL FIRM 57662,A81000C,00300,0100,A 57662,A81000C,00300,0200,GATES ROBIDOUX 57662,A81000C,00300,0400,WAYLAND HEALTH 57662,A81000C,00300,0600,REAL ESTATE 57662,A81000C,00400,0100,A 57662,A81000C,00400,0200,LEEDER RUBIEN 57662,A81000C,00400,0400,WAYLAND HEALTH 57662,A81000C,00400,0600,REAL ESTATE 57662,A81000C,00500,0100,A 57662,A81000C,00500,0200,GATES ROBIDOUX 57662,A81000C,00500,0400,WAYLAND HEALTH 57662,A81000C,00500,0600,REAL ESTATE 57662,A81000C,00600,0100,D 57662,A81000C,00600,0200,MARK ROBIDOUX 57662,A81000C,00600,0400,M&M CONSTRUCTIO 57662,A81000C,00600,0600,CONTRACTOR 57662,A81000C,03100,0000,GATES LEEDER 57662,S000000,00100,0200,05/31/2000 57662,S200000,00100,0100,140 PITMAN STREET 57662,S200000,00200,0100,PROVIDENCE 57662,S200000,00200,0200,RI 57662,S200000,00200,0300,02906 57662,S200000,00300,0100,PROVIDENCE 57662,S200000,00300,0300,U 57662,S200000,00400,0100,ROSEWOOD MANOR LTD. 57662,S200000,00400,0200,415037 57662,S200000,00400,0300,05/01/1975 57662,S200000,00400,0500,P 57662,S200000,01600,0100,Y 57662,S700003,00000,0100,1 57670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57670,A000000,00300,0000,00300EMPLOYEE BENEFITS 57670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57670,A000000,00700,0000,00700HOUSEKEEPING 57670,A000000,00800,0000,00800DIETARY 57670,A000000,00900,0000,00900NURSING ADMINISTRATION 57670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57670,A000000,01100,0000,01100PHARMACY 57670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57670,A000000,01300,0000,01300SOCIAL SERVICE 57670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57670,A000000,01600,0000,01600SKILLED NURSING FACILITY 57670,A000000,01800,0000,01800NURSING FACILITY 57670,A000000,02100,0000,02100RADIOLOGY 57670,A000000,02200,0000,02200LABORATORY 57670,A000000,02300,0000,02300INTRAVENOUS THERAPY 57670,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57670,A000000,02500,0000,02500PHYSICAL THERAPY 57670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57670,A000000,02700,0000,02700SPEECH PATHOLOGY 57670,A000000,02800,0000,02800ELECTROCARDIOLOGY 57670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57670,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57670,A000000,03200,0000,03200SUPPORT SURFACES 57670,A000000,03400,0000,03400CLINIC 57670,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57670,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57670,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57670,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57670,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57670,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57670,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57670,A000000,04400,0000,04400DME RENTED - HHA 57670,A000000,04500,0000,04500DME SOLD - HHA 57670,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57670,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57670,A000000,04800,0000,04800AMBULANCE 57670,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57670,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57670,A000000,05300,0000,05300INTEREST EXPENSE 57670,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57670,A000000,05500,0000,05500HOSPICE 57670,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57670,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57670,A000000,06100,0000,06100NONPAID WORKERS 57670,A000000,06150,0000,06300CHAPEL AND RELATED 57670,A000000,06200,0000,06200PATIENTS LAUNDRY 57670,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57670,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57670,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 57670,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57670,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57670,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 57670,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57670,B100000,00000,0800,00000PATIENT DAYSDIETARY 57670,B100000,00000,0900,00000DIRECT NURSING HONURSING ADMINIS 57670,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 57670,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 57670,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 57670,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 57670,B100000,00000,1400,00000BLANKINTERNS & RESIDENTS (APPRVD PR 57670,S000000,00100,0200,05/26/2000 57670,S200000,00100,0100,135 DODGE STREET 57670,S200000,00200,0100,PROVIDENCE 57670,S200000,00200,0200,RI 57670,S200000,00200,0300,02907 57670,S200000,00300,0100,PROVIDENCE 57670,S200000,00400,0100,BANNISTER NURSING CARE 57670,S200000,00400,0200,415038 57670,S200000,00400,0300,01/01/1975 57670,S200000,00400,0500,P 57670,S200000,01600,0100,Y 57670,S200000,01900,0100,NON PROFIT 57670,S200000,02200,0100,Y 57670,S700003,00000,0100,1 57679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57679,A000000,00300,0000,00300EMPLOYEE BENEFITS 57679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57679,A000000,00700,0000,00700HOUSEKEEPING 57679,A000000,00800,0000,00800DIETARY 57679,A000000,00900,0000,00900NURSING ADMINISTRATION 57679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57679,A000000,01100,0000,01100PHARMACY 57679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57679,A000000,01300,0000,01300SOCIAL SERVICE 57679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57679,A000000,01600,0000,01600SKILLED NURSING FACILITY 57679,A000000,01800,0000,01800NURSING FACILITY 57679,A000000,02100,0000,02100RADIOLOGY 57679,A000000,02200,0000,02200LABORATORY 57679,A000000,02300,0000,02300INTRAVENOUS THERAPY 57679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57679,A000000,02500,0000,02500PHYSICAL THERAPY 57679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57679,A000000,02700,0000,02700SPEECH PATHOLOGY 57679,A000000,02800,0000,02800ELECTROCARDIOLOGY 57679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57679,A000000,03200,0000,03200SUPPORT SURFACES 57679,A000000,03400,0000,03400CLINIC 57679,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57679,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57679,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57679,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57679,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57679,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57679,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57679,A000000,04400,0000,04400DME RENTED - HHA 57679,A000000,04500,0000,04500DME SOLD - HHA 57679,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57679,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57679,A000000,04800,0000,04800AMBULANCE 57679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57679,A000000,05300,0000,05300INTEREST EXPENSE 57679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57679,A000000,05500,0000,05500HOSPICE 57679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57679,A000000,06100,0000,06100NONPAID WORKERS 57679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 57679,A000000,06200,0000,06200PATIENTS LAUNDRY 57679,A81000A,00100,0100,Y 57679,A81000B,00100,0300,RENT 57679,A81000B,00200,0300,DEPRECIATION 57679,A81000B,00300,0300,ADMIN & ASST ADMIN 57679,A81000C,00100,0100,A 57679,A81000C,00100,0200,JOHN SORMANTI 57679,A81000C,00100,0400,JOHN SORMANTI 57679,A81000C,00100,0600,REAL ESTATE 57679,B100000,00000,0100,00000SQUARE FOOTAGECAP REL COSTS - BL 57679,B100000,00000,0200,00000SQUARE FOOTAGECAP REL COSTS - MO 57679,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 57679,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57679,B100000,00000,0500,00000SQUARE FOOTAGEPLANT OPERATION M 57679,B100000,00000,0600,00000LAUNDRY POUNDSLAUNDRY & LINEN SER 57679,B100000,00000,0700,00000SQUARE FOOTAGEHOUSEKEEPING 57679,B100000,00000,0800,00000MEALSDIETARY 57679,B100000,00000,0900,00000NURSING HOURSNURSING ADMINISTRATI 57679,B100000,00000,1000,00000BLANKCENTRAL SERVICES & SUPPLY 57679,B100000,00000,1100,00000BLANKPHARMACY 57679,B100000,00000,1200,00000BLANKMEDICAL RECORDS & LIBRARY 57679,B100000,00000,1300,00000SOCIAL WKR HOURSSOCIAL SERVICE 57679,B100000,00000,1400,00000BLANKINTERNS & RESIDENTS (APPRVD PR 57679,S000000,00100,0200,05/12/2000 57679,S200000,00100,0100,80 DOUGLAS PIKE 57679,S200000,00200,0100,SMITHFIELD 57679,S200000,00200,0200,RI 57679,S200000,00200,0300,02917 57679,S200000,00300,0100,PROVIDENCE 57679,S200000,00400,0100,HERITAGE HILLS NURSING CENTRE 57679,S200000,00400,0200,415039 57679,S200000,00400,0300,11/01/1975 57679,S200000,00400,0500,P 57679,S200000,01500,0100,Y 57679,S200000,04300,0100,Y 57679,S700003,00000,0100,1 57697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57697,A000000,00300,0000,00300EMPLOYEE BENEFITS 57697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57697,A000000,00700,0000,00700HOUSEKEEPING 57697,A000000,00800,0000,00800DIETARY 57697,A000000,00900,0000,00900NURSING ADMINISTRATION 57697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57697,A000000,01100,0000,01100PHARMACY 57697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57697,A000000,01300,0000,01300SOCIAL SERVICE 57697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57697,A000000,01600,0000,01600SKILLED NURSING FACILITY 57697,A000000,01800,0000,01800NURSING FACILITY 57697,A000000,02100,0000,02100RADIOLOGY 57697,A000000,02200,0000,02200LABORATORY 57697,A000000,02300,0000,02300INTRAVENOUS THERAPY 57697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57697,A000000,02500,0000,02500PHYSICAL THERAPY 57697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57697,A000000,02700,0000,02700SPEECH PATHOLOGY 57697,A000000,02800,0000,02800ELECTROCARDIOLOGY 57697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57697,A000000,03200,0000,03200SUPPORT SURFACES 57697,A000000,03400,0000,03400CLINIC 57697,A000000,04800,0000,04800AMBULANCE 57697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57697,A000000,05300,0000,05300INTEREST EXPENSE 57697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57697,A000000,06100,0000,06100NONPAID WORKERS 57697,A000000,06200,0000,06200PATIENTS LAUNDRY 57697,A81000A,00100,0100,Y 57697,A81000B,00100,0300,BUILDING DEPRECIATION 57697,A81000B,00200,0300,OWNER SALARY 57697,A81000B,00300,0300,OFFICE SALARY 57697,A81000B,00400,0300,ASSISTANT DIRECTOR OF NURSING 57697,A81000B,00500,0300,OWNERS BENEFITS 57697,A81000B,00600,0300,BUILDING RENT 57697,A81000B,00700,0300,INSURANCE 57697,A81000B,00800,0300,INSURANCE 57697,A81000B,00900,0300,REAL ESTATE & PROPERTY TAXES 57697,A81000B,00901,0300,REAL ESTATE & PROPERTY TXAES 57697,A81000B,00902,0300,MORTGAGE INTEREST 57697,A81000B,00903,0300,MORTGAGE INTEREST 57697,A81000B,00904,0300,PARTNERS INTEREST 57697,A81000C,00100,0100,A 57697,A81000C,00100,0200,M MONTELEONE 57697,A81000C,00100,0400,VILLA ASSOC 57697,A81000C,00100,0600,RENTAL BUILDING 57697,A81000C,00200,0100,D 57697,A81000C,00200,0200,S MONTELEONE 57697,A81000C,00200,0400,VILLA ASSOC 57697,A81000C,00200,0600,RENTAL BUILDING 57697,A81000C,00300,0100,D 57697,A81000C,00300,0200,L WEINSTEIN 57697,A81000C,00300,0400,VILLA ASSOC 57697,A81000C,00300,0600,RENTAL BUILDING 57697,A81000C,00400,0100,D 57697,A81000C,00400,0200,LISA SCHWARTZ 57697,A81000C,00400,0400,VILLA ASSOC 57697,A81000C,00400,0600,RENTAL BUILDING 57697,B100000,00000,0100,00000SQ FEETCAP REL COSTS - BLDGS & FIXT 57697,B100000,00000,0200,00000SQ FEETCAP REL COSTS - MOVABLE EQUI 57697,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57697,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57697,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57697,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57697,B100000,00000,0700,00000SQ FEETHOUSEKEEPING 57697,B100000,00000,0800,00000MEALS SERVEDDIETARY 57697,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINIS 57697,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 57697,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 57697,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57697,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57697,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 57697,S000000,00100,0200,05/31/2000 57697,S200000,00100,0100,1275 SOUTH BROADWAY 57697,S200000,00200,0100,EAST PROVIDENCE 57697,S200000,00200,0200,RI 57697,S200000,00200,0300,02914 57697,S200000,00300,0100,PROVIDENCE 57697,S200000,00300,0300,U 57697,S200000,00400,0100,WATERVIEW VILLA INC. 57697,S200000,00400,0200,415042 57697,S200000,00400,0300,04/06/1976 57697,S200000,00400,0500,P 57697,S200000,00600,0200,415042 57697,S200000,00600,0300,04/06/1976 57697,S200000,00600,0600,P 57697,S200000,01500,0100,Y 57697,S700003,00000,0100,1 57702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57702,A000000,00300,0000,00300EMPLOYEE BENEFITS 57702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57702,A000000,00700,0000,00700HOUSEKEEPING 57702,A000000,00800,0000,00800DIETARY 57702,A000000,00900,0000,00900NURSING ADMINISTRATION 57702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57702,A000000,01100,0000,01100PHARMACY 57702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57702,A000000,01300,0000,01300SOCIAL SERVICE 57702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57702,A000000,01600,0000,01600SKILLED NURSING FACILITY 57702,A000000,01800,0000,01800NURSING FACILITY 57702,A000000,02100,0000,02100RADIOLOGY 57702,A000000,02200,0000,02200LABORATORY 57702,A000000,02300,0000,02300INTRAVENOUS THERAPY 57702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57702,A000000,02500,0000,02500PHYSICAL THERAPY 57702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57702,A000000,02700,0000,02700SPEECH PATHOLOGY 57702,A000000,02800,0000,02800ELECTROCARDIOLOGY 57702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57702,A000000,03050,0000,03300AMBULANCE 57702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57702,A000000,03200,0000,03200SUPPORT SURFACES 57702,A000000,03400,0000,03400CLINIC 57702,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57702,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57702,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57702,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57702,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57702,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57702,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57702,A000000,04400,0000,04400DME RENTED - HHA 57702,A000000,04500,0000,04500DME SOLD - HHA 57702,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57702,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57702,A000000,04800,0000,04800AMBULANCE 57702,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57702,A000000,05300,0000,05300INTEREST EXPENSE 57702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57702,A000000,05500,0000,05500HOSPICE 57702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57702,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57702,A000000,06100,0000,06100NONPAID WORKERS 57702,A000000,06200,0000,06200PATIENTS LAUNDRY 57702,A81000A,00100,0100,Y 57702,A81000B,00100,0300,MANAGEMENT FEES 57702,A81000B,00200,0300,SALARY 57702,A81000B,00300,0300,PAYROLL TAXES 57702,A81000B,00400,0300,PAYROLL ADMIN FEE 57702,A81000C,00100,0100,D 57702,A81000C,00100,0200,NATIONAL INVESS 57702,A81000C,00100,0400,ALFRED CARPIONA 57702,A81000C,00100,0600,MANAGEMENT CO. 57702,A81000C,00200,0100,D 57702,A81000C,00200,0200,JOHN KOKOT 57702,A81000C,00200,0400,NATIONAL INV. 57702,A81000C,00200,0600,EMPLOYEE OF MGT 57702,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57702,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57702,B100000,00000,0300,00000GROSS SAL EMPLOYEE BENEFITS 57702,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57702,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57702,B100000,00000,0600,00000LAUNDRY POUNDS LAUNDRY & LINEN 57702,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57702,B100000,00000,0800,00000MEALS SERVED DIETARY 57702,B100000,00000,0900,00000NURSING HOURS NURSING ADMINIST 57702,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57702,B100000,00000,1100,00000BLANK PHARMACY 57702,B100000,00000,1200,00000PAT DAYS MEDICAL RECORDS & LIBRA 57702,B100000,00000,1300,00000PAT DAYS SOCIAL SERVICE 57702,B100000,00000,1400,00000BLANK INTERNS & RESIDENTS (APPRV 57702,S000000,00100,0200,05/16/2000 57702,S200000,00100,0100,21 LINCOLN AVENUE 57702,S200000,00200,0100,CENTRAL FALLS 57702,S200000,00200,0200,RI 57702,S200000,00200,0300,02863 57702,S200000,00300,0100,PROVIDENCE 57702,S200000,00400,0100,CARTIES HEALTH CENTER 57702,S200000,00400,0200,415043 57702,S200000,00400,0300,07/01/1976 57702,S200000,00400,0500,P 57702,S200000,01600,0100,Y 57702,S200000,02200,0100,Y 57702,S200000,04300,0100,Y 57702,S700003,00000,0100,X 57710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57710,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 57710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57710,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 57710,A000000,00300,0000,00300EMPLOYEE BENEFITS 57710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57710,A000000,00700,0000,00700HOUSEKEEPING 57710,A000000,00800,0000,00800DIETARY 57710,A000000,00801,0000,00801CAFETERIA 57710,A000000,00900,0000,00900NURSING ADMINISTRATION 57710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57710,A000000,01100,0000,01100PHARMACY 57710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57710,A000000,01300,0000,01300SOCIAL SERVICE 57710,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 57710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57710,A000000,01600,0000,01600SKILLED NURSING FACILITY 57710,A000000,01800,0000,01800NURSING FACILITY 57710,A000000,01900,0000,01900OTHER LONG TERM CARE 57710,A000000,02100,0000,02100RADIOLOGY 57710,A000000,02200,0000,02200LABORATORY 57710,A000000,02300,0000,02300INTRAVENOUS THERAPY 57710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57710,A000000,02500,0000,02500PHYSICAL THERAPY 57710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57710,A000000,02700,0000,02700SPEECH PATHOLOGY 57710,A000000,02800,0000,02800ELECTROCARDIOLOGY 57710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57710,A000000,03050,0000,03300OTHER ANCILLARY 57710,A000000,03051,0000,03301OTHER ANCILLARY II 57710,A000000,03052,0000,03302OTHER ANCILLARY III 57710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57710,A000000,03200,0000,03200SUPPORT SURFACES 57710,A000000,03400,0000,03400CLINIC 57710,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 57710,A000000,03500,0000,03500RURAL HEALTH CLINIC 57710,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57710,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57710,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57710,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57710,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57710,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57710,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57710,A000000,04400,0000,04400DME RENTED - HHA 57710,A000000,04500,0000,04500DME SOLD - HHA 57710,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57710,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57710,A000000,04750,0000,05100OSP 57710,A000000,04800,0000,04800AMBULANCE 57710,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57710,A000000,05000,0000,05000CORF 57710,A000000,05010,0000,05010CMHC I 57710,A000000,05020,0000,05020OPT I 57710,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57710,A000000,05300,0000,05300INTEREST EXPENSE 57710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 57710,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 57710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57710,A000000,05500,0000,05500HOSPICE 57710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57710,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57710,A000000,06100,0000,06100NONPAID WORKERS 57710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57710,A000000,06200,0000,06200PATIENTS LAUNDRY 57710,A81000A,00100,0100,Y 57710,A81000B,00100,0300,DEPR BLDG 57710,A81000B,00200,0300,MTG - INTEREST 57710,A81000B,00300,0300,REAL ESTATE TAXES 57710,A81000B,00400,0300,INSURANCE 57710,A81000B,00500,0300,MGT FEE 57710,A81000B,00600,0300,ACCOUNTING FEE 57710,A81000B,00700,0300,AMORTIZATION 57710,A81000B,00800,0300,LEGAL 57710,A81000C,00100,0100,A 57710,A81000C,00100,0200,K. EPP 57710,A81000C,00100,0400,FRIENDLY ASSOC 57710,A81000C,00100,0600,RENTAL BLDG 57710,A81000C,00200,0100,A 57710,A81000C,00200,0200,E. REILLY 57710,A81000C,00200,0400,FRIENDLY ASSOC 57710,A81000C,00200,0600,RENTAL BLDG 57710,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 57710,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 57710,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 57710,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 57710,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 57710,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57710,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 57710,B100000,00000,0600,00000(POUNDS OFLAUNDRY)LAUNDRY & LINEN S 57710,B100000,00000,0700,00000(HOURS OF SERVICE)HOUSEKEEPING 57710,B100000,00000,0800,00000(MEALS SERVED)DIETARY 57710,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 57710,B100000,00000,0900,00000(DIRECT NRSING HRSNURSING ADMINIS 57710,B100000,00000,1000,00000(COSTED REQUIS.)CENTRAL SERVICES 57710,B100000,00000,1100,00000(COSTED REQUIS.)PHARMACY 57710,B100000,00000,1200,00000(TIME SPENT)MEDICAL RECORDS & L 57710,B100000,00000,1300,00000(TIME SPENT)SOCIAL SERVICE 57710,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 57710,B100000,00000,1500,00000BLANKOTHER GENERAL SERVICE COST 57710,S000000,00100,0200,05/31/2000 57710,S200000,00100,0100,303 RHODES AVENUE 57710,S200000,00200,0100,WOONSOCKET 57710,S200000,00200,0200,RHODE ISLAND 57710,S200000,00200,0300,02895 57710,S200000,00300,0100,PROVIDENCE 57710,S200000,00400,0100,THE FRIENDLY HOME INC. 57710,S200000,00400,0200,415044 57710,S200000,00400,0300,05/19/1977 57710,S200000,00400,0500,P 57710,S200000,01600,0100,Y 57710,S200000,01900,0100,N 57710,S200000,02800,0100,Y 57710,S200000,03300,0100,Y 57710,S700003,00000,0100,1 57729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57729,A000000,00300,0000,00300EMPLOYEE BENEFITS 57729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57729,A000000,00700,0000,00700HOUSEKEEPING 57729,A000000,00800,0000,00800DIETARY 57729,A000000,00900,0000,00900NURSING ADMINISTRATION 57729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57729,A000000,01300,0000,01300SOCIAL SERVICE 57729,A000000,01600,0000,01600SKILLED NURSING FACILITY 57729,A000000,01800,0000,01800NURSING FACILITY 57729,A000000,02100,0000,02100RADIOLOGY 57729,A000000,02200,0000,02200LABORATORY 57729,A000000,02300,0000,02300INTRAVENOUS THERAPY 57729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57729,A000000,02500,0000,02500PHYSICAL THERAPY 57729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57729,A000000,02700,0000,02700SPEECH PATHOLOGY 57729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57729,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 57729,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57729,A000000,05300,0000,05300INTEREST EXPENSE 57729,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57729,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 57729,A81000A,00100,0100,Y 57729,A81000B,00100,0300,SALARIES 57729,A81000B,00200,0300,P/R TAXES AND BENEFITS 57729,A81000B,00300,0300,SALARIES 57729,A81000B,00400,0300,SALARIES 57729,A81000B,00500,0300,NURSE LIASON 57729,A81000B,00600,0300,SHARED COMMON EE 57729,A81000B,00700,0300,SHARED COMMON EE 57729,A81000B,00800,0300,SHARED COMMON EE 57729,A81000B,00900,0300,SHARED COMMON EE 57729,A81000C,00100,0100,B 57729,A81000C,00100,0400,ST. ELIZABETH 57729,A81000C,00100,0600,NURSING FAC. 57729,A81000C,00200,0100,B 57729,A81000C,00200,0400,ST. ELIZABETH 57729,A81000C,00200,0600,NURSING FAC. 57729,A81000C,00300,0100,B 57729,A81000C,00300,0400,ST. ELIZABETH 57729,A81000C,00300,0600,NURSING FAC. 57729,A81000C,00400,0100,B 57729,A81000C,00400,0400,ST. ELIZABETH C 57729,A81000C,00400,0600,SUPPORT 57729,A81000C,00500,0100,C 57729,A81000C,00500,0200,CARELINK INC. 57729,A81000C,00500,0400,SEE ATTACHMENT 57729,A81000C,00500,0600,MGMNT SERVCS 57729,A81000C,00600,0100,C 57729,A81000C,00600,0200,CARELINK INC. 57729,A81000C,00600,0400,SEE ATTACHMENT 57729,A81000C,00600,0600,MGMNT SERVCS 57729,A81000C,00700,0100,C 57729,A81000C,00700,0200,CARELINK INC. 57729,A81000C,00700,0400,SEE ATTACHMENT 57729,A81000C,00700,0600,MGMNT SERVCS 57729,A81000C,00800,0100,C 57729,A81000C,00800,0200,CARELINK INC. 57729,A81000C,00800,0400,SEE ATTACHMENT 57729,A81000C,00800,0600,MGMNT SERVCS 57729,A81000C,00900,0100,C 57729,A81000C,00900,0200,CARELINK INC. 57729,A81000C,00900,0400,SEE ATTACHMENT 57729,A81000C,00900,0600,MGMNT SERVCS 57729,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57729,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57729,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57729,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57729,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57729,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57729,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57729,B100000,00000,0800,00000MEALS SERVEDDIETARY 57729,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 57729,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57729,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57729,S000000,00100,0200,05/31/2000 57729,S200000,00100,0100,ONE DAWN HILL ROAD 57729,S200000,00200,0100,BRISTOL 57729,S200000,00200,0200,RI 57729,S200000,00200,0300,02809 57729,S200000,00300,0100,BRISTOL 57729,S200000,00300,0300,R 57729,S200000,00400,0100,METACOM MANOR HEALTH CENTER 57729,S200000,00400,0200,415050 57729,S200000,00400,0300,12/28/1990 57729,S200000,00400,0500,P 57729,S200000,01600,0100,Y 57729,S200000,02200,0100,Y 57729,S200000,04300,0100,Y 57729,S700003,00000,0100,1 57737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57737,A000000,00300,0000,00300EMPLOYEE BENEFITS 57737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57737,A000000,00700,0000,00700HOUSEKEEPING 57737,A000000,00800,0000,00800DIETARY 57737,A000000,00900,0000,00900NURSING ADMINISTRATION 57737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57737,A000000,01300,0000,01300SOCIAL SERVICE 57737,A000000,01600,0000,01600SKILLED NURSING FACILITY 57737,A000000,01800,0000,01800NURSING FACILITY 57737,A000000,02100,0000,02100RADIOLOGY 57737,A000000,02200,0000,02200LABORATORY 57737,A000000,02300,0000,02300INTRAVENOUS THERAPY 57737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57737,A000000,02500,0000,02500PHYSICAL THERAPY 57737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57737,A000000,02700,0000,02700SPEECH PATHOLOGY 57737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57737,A000000,03200,0000,03200AMBULANCE 57737,A000000,04800,0000,04800AMBULANCE 57737,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57737,A000000,05300,0000,05300INTEREST EXPENSE 57737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57737,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 57737,A000000,06200,0000,06200PATIENTS LAUNDRY 57737,A000000,06201,0000,06201VENDING 57737,A81000A,00100,0100,Y 57737,A81000B,00100,0300,WORKING CAPITAL ADV. 57737,A81000B,00200,0300,N/PS ROOF REPAIRS 57737,A81000B,00300,0300,MANAGEMENT FEES 57737,A81000B,00400,0300,COMMON AREA MAINT. 57737,A81000C,00100,0100,A 57737,A81000C,00100,0200,DAVENPORT ASSOC 57737,A81000C,00100,0400,DAVENPORT ASSOC 57737,A81000C,00100,0600,MANAGEMENT 57737,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57737,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57737,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57737,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57737,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57737,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57737,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57737,B100000,00000,0800,00000MEALS SERVEDDIETARY 57737,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 57737,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57737,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57737,S000000,00100,0200,06/06/2000 57737,S200000,00100,0100,100 RANDALL STREET 57737,S200000,00200,0100,PROVIDENCE 57737,S200000,00200,0200,RI 57737,S200000,00200,0300,02904 57737,S200000,00300,0100,PROVIDENCE 57737,S200000,00300,0300,U 57737,S200000,00400,0100,CHARLESGATE NURSING CENTER 57737,S200000,00400,0200,415052 57737,S200000,00400,0300,09/01/1977 57737,S200000,00400,0500,P 57737,S200000,01600,0100,Y 57737,S200000,02200,0100,Y 57737,S200000,04300,0100,Y 57737,S200000,04700,0100,Y 57737,S200000,04700,0200,Y 57737,S700003,00000,0100,1 57745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57745,A000000,00300,0000,00300EMPLOYEE BENEFITS 57745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57745,A000000,00700,0000,00700HOUSEKEEPING 57745,A000000,00800,0000,00800DIETARY 57745,A000000,00900,0000,00900NURSING ADMINISTRATION 57745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57745,A000000,01100,0000,01100PHARMACY 57745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57745,A000000,01300,0000,01300SOCIAL SERVICE 57745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57745,A000000,01600,0000,01600SKILLED NURSING FACILITY 57745,A000000,01800,0000,01800NURSING FACILITY 57745,A000000,02100,0000,02100RADIOLOGY 57745,A000000,02200,0000,02200LABORATORY 57745,A000000,02300,0000,02300INTRAVENOUS THERAPY 57745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57745,A000000,02500,0000,02500PHYSICAL THERAPY 57745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57745,A000000,02700,0000,02700SPEECH PATHOLOGY 57745,A000000,02800,0000,02800ELECTROCARDIOLOGY 57745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57745,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57745,A000000,03200,0000,03200SUPPORT SURFACES 57745,A000000,03400,0000,03400CLINIC 57745,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57745,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57745,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57745,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57745,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57745,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57745,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57745,A000000,04400,0000,04400DME RENTED - HHA 57745,A000000,04500,0000,04500DME SOLD - HHA 57745,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57745,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57745,A000000,04800,0000,04800AMBULANCE 57745,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57745,A000000,05300,0000,05300INTEREST EXPENSE 57745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57745,A000000,05500,0000,05500HOSPICE 57745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57745,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57745,A000000,06100,0000,06100NONPAID WORKERS 57745,A000000,06200,0000,06200PATIENTS LAUNDRY 57745,A81000A,00100,0100,Y 57745,A81000B,00100,0300,RENT 57745,A81000B,00200,0300,BLDG DEPR 57745,A81000B,00300,0300,INTEREST 57745,A81000C,00100,0100,A 57745,A81000C,00100,0200,LEO DELISI 57745,A81000C,00100,0400,DELISI ASSOC 57745,A81000C,00100,0600,REAL ESTATE RNT 57745,A81000C,00200,0100,A 57745,A81000C,00200,0200,LEO DELISI 57745,A81000C,00200,0400,LEO DELISI 57745,A81000C,00200,0600,WORK CAPITAL 57745,B100000,00000,0100,00000SQUARE FOOTAGE CAP REL COSTS 57745,B100000,00000,0200,00000SQUARE FOOTAGE CAP REL COSTS 57745,B100000,00000,0300,00000GROSS SAL EMPLOYEE BENEFITS 57745,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57745,B100000,00000,0500,00000SQUARE FOOTAGE PLANT OPERATIO 57745,B100000,00000,0600,00000PAT DAYS LAUNDRY & LINEN SERVICE 57745,B100000,00000,0700,00000SQUARE FOOTAGE HOUSEKEEPING 57745,B100000,00000,0800,00000MEALS DIETARY 57745,B100000,00000,0900,00000PAT DAYS NURSING ADMINISTRATION 57745,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57745,B100000,00000,1100,00000BLANK PHARMACY 57745,B100000,00000,1200,00000PAT DAYS MEDICAL RECORDS & LIBRA 57745,B100000,00000,1300,00000PAT DAYS SOCIAL SERVICE 57745,B100000,00000,1400,00000BLANK INTERNS & RESIDENTS (APPRV 57745,S000000,00100,0200,05/16/2000 57745,S200000,00100,0100,2115 SOUTH COUNTY TRAIL 57745,S200000,00200,0100,WEST KINGSTON 57745,S200000,00200,0200,RI 57745,S200000,00200,0300,02892 57745,S200000,00300,0100,WASHINGTON 57745,S200000,00400,0100,ALLENS HEALTH CENTRE 57745,S200000,00400,0200,415054 57745,S200000,00400,0300,07/01/1975 57745,S200000,00400,0500,P 57745,S200000,01600,0100,Y 57745,S200000,04300,0100,Y 57745,S700003,00000,0100,X 57753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57753,A000000,00300,0000,00300EMPLOYEE BENEFITS 57753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57753,A000000,00700,0000,00700HOUSEKEEPING 57753,A000000,00800,0000,00800DIETARY 57753,A000000,00900,0000,00900NURSING ADMINISTRATION 57753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57753,A000000,01100,0000,01100PHARMACY 57753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57753,A000000,01300,0000,01300SOCIAL SERVICE 57753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57753,A000000,01600,0000,01600SKILLED NURSING FACILITY 57753,A000000,01800,0000,01800NURSING FACILITY 57753,A000000,02100,0000,02100RADIOLOGY 57753,A000000,02200,0000,02200LABORATORY 57753,A000000,02300,0000,02300INTRAVENOUS THERAPY 57753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57753,A000000,02500,0000,02500PHYSICAL THERAPY 57753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57753,A000000,02700,0000,02700SPEECH PATHOLOGY 57753,A000000,02800,0000,02800ELECTROCARDIOLOGY 57753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57753,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57753,A000000,03200,0000,03200SUPPORT SURFACES 57753,A000000,03400,0000,03400CLINIC 57753,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57753,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57753,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57753,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57753,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57753,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57753,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57753,A000000,04400,0000,04400DME RENTED - HHA 57753,A000000,04500,0000,04500DME SOLD - HHA 57753,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57753,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57753,A000000,04800,0000,04800AMBULANCE 57753,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57753,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57753,A000000,05300,0000,05300INTEREST EXPENSE 57753,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57753,A000000,05500,0000,05500HOSPICE 57753,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57753,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57753,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57753,A000000,06100,0000,06100NONPAID WORKERS 57753,A000000,06200,0000,06200PATIENTS LAUNDRY 57753,A81000A,00100,0100,Y 57753,A81000B,00100,0300,RENT 57753,A81000B,00200,0300,EMPLOYEE BENEFITS 57753,A81000B,00300,0300,ADMINISTRATORS SALARY 57753,A81000B,00400,0300,ADMINISTRATIVE SALARY 57753,A81000B,00500,0300,RN SALARY 57753,A81000C,00100,0100,A 57753,A81000C,00100,0200,NEIL MAHONEY 57753,A81000C,00100,0600,LEASE LAND 57753,A81000C,00200,0100,A 57753,A81000C,00200,0200,COLLEEN MAHONEY 57753,A81000C,00200,0600,CHILD DAY CARE 57753,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57753,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57753,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57753,B100000,00000,0400,00000GROSS SALARIES ADMINISTRATIV 57753,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57753,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 57753,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 57753,B100000,00000,0800,00000MEALS SERVCED DIETARY 57753,B100000,00000,0900,00000DIRECT NURSING HO NURSING ADM 57753,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57753,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57753,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57753,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 57753,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 57753,S000000,00100,0200,05/02/2000 57753,S200000,00100,0100,981 KINGSTOWN ROAD 57753,S200000,00200,0100,PEACE DALE 57753,S200000,00200,0200,RI 57753,S200000,00200,0300,02883 57753,S200000,00300,0100,WASHINGTON 57753,S200000,00400,0100,SCALLOP SHELL NURSING HOME 57753,S200000,00400,0200,415057 57753,S200000,00400,0300,07/01/1978 57753,S200000,00400,0500,P 57753,S200000,01500,0100,Y 57753,S200000,02200,0100,Y 57753,S200000,04300,0100,Y 57753,S700003,00000,0100,X 57761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57761,A000000,00300,0000,00300EMPLOYEE BENEFITS 57761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57761,A000000,00700,0000,00700HOUSEKEEPING 57761,A000000,00800,0000,00800DIETARY 57761,A000000,00900,0000,00900NURSING ADMINISTRATION 57761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57761,A000000,01100,0000,01100PHARMACY 57761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57761,A000000,01300,0000,01300SOCIAL SERVICE 57761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57761,A000000,01600,0000,01600SKILLED NURSING FACILITY 57761,A000000,01900,0000,01900OTHER LONG TERM CARE 57761,A000000,02100,0000,02100RADIOLOGY 57761,A000000,02200,0000,02200LABORATORY 57761,A000000,02300,0000,02300INTRAVENOUS THERAPY 57761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57761,A000000,02500,0000,02500PHYSICAL THERAPY 57761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57761,A000000,02700,0000,02700SPEECH PATHOLOGY 57761,A000000,02800,0000,02800ELECTROCARDIOLOGY 57761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57761,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57761,A000000,03200,0000,03200SUPPORT SURFACES 57761,A000000,03400,0000,03400CLINIC 57761,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57761,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57761,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57761,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57761,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57761,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57761,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57761,A000000,04400,0000,04400DME RENTED - HHA 57761,A000000,04500,0000,04500DME SOLD - HHA 57761,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57761,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57761,A000000,04800,0000,04800AMBULANCE 57761,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57761,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57761,A000000,05300,0000,05300INTEREST EXPENSE 57761,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57761,A000000,05500,0000,05500HOSPICE 57761,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57761,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57761,A000000,06100,0000,06100NONPAID WORKERS 57761,A000000,06200,0000,06200PATIENTS LAUNDRY 57761,A81000A,00100,0100,Y 57761,A81000B,00100,0300,MANAGEMENT FEES 57761,A81000B,00200,0300,NON-CAPITAL 57761,A81000B,00300,0300,CAPITAL 57761,A81000B,00400,0300,CAPITAL 57761,A81000C,00100,0100,A 57761,A81000C,00100,0200,DONALD E. WOODS 57761,A81000C,00100,0400,HMS OF NEWPORT 57761,A81000C,00100,0600,NURSING HOMES 57761,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57761,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57761,B100000,00000,0300,00000GROSS SAL EMPLOYEE BENEFITS 57761,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57761,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57761,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 57761,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57761,B100000,00000,0800,00000MEALS SERVED DIETARY 57761,B100000,00000,0900,00000DIRECT NURSING HO NURSING ADM 57761,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57761,B100000,00000,1100,00000BLANK PHARMACY 57761,B100000,00000,1200,00000BLANK MEDICAL RECORDS & LIBRARY 57761,B100000,00000,1300,00000PAT DAYS SOCIAL SERVICE 57761,B100000,00000,1400,00000BLANK INTERNS & RESIDENTS (APPRV 57761,E10A180,00301,0100,02/18/2000 57761,S000000,00100,0200,05/03/2000 57761,S200000,00100,0100,691 TEN ROD ROAD 57761,S200000,00200,0100,NORTH KINGSTOWN 57761,S200000,00200,0200,RI 57761,S200000,00200,0300,02852 57761,S200000,00300,0100,WASHINGTON 57761,S200000,00400,0100,LAFAYETTE NURSING & REHABILITATION C 57761,S200000,00400,0200,415058 57761,S200000,00400,0300,07/01/1978 57761,S200000,00400,0500,P 57761,S200000,01500,0100,Y 57761,S200000,02200,0100,Y 57761,S700003,00000,0100,X 57771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57771,A000000,00300,0000,00300EMPLOYEE BENEFITS 57771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57771,A000000,00700,0000,00700HOUSEKEEPING 57771,A000000,00800,0000,00800DIETARY 57771,A000000,00900,0000,00900NURSING ADMINISTRATION 57771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57771,A000000,01100,0000,01100PHARMACY 57771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57771,A000000,01300,0000,01300SOCIAL SERVICE 57771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57771,A000000,01600,0000,01600SKILLED NURSING FACILITY 57771,A000000,01900,0000,01900OTHER LONG TERM CARE 57771,A000000,02100,0000,02100RADIOLOGY 57771,A000000,02200,0000,02200LABORATORY 57771,A000000,02300,0000,02300INTRAVENOUS THERAPY 57771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57771,A000000,02500,0000,02500PHYSICAL THERAPY 57771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57771,A000000,02700,0000,02700SPEECH PATHOLOGY 57771,A000000,02800,0000,02800ELECTROCARDIOLOGY 57771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57771,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 57771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57771,A000000,03200,0000,03200SUPPORT SURFACES 57771,A000000,03400,0000,03400CLINIC 57771,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57771,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57771,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57771,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57771,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57771,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57771,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57771,A000000,04400,0000,04400DME RENTED - HHA 57771,A000000,04500,0000,04500DME SOLD - HHA 57771,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57771,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57771,A000000,04800,0000,04800AMBULANCE 57771,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57771,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57771,A000000,05300,0000,05300INTEREST EXPENSE 57771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57771,A000000,05500,0000,05500HOSPICE 57771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57771,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57771,A000000,06100,0000,06100NONPAID WORKERS 57771,A000000,06200,0000,06200PATIENTS LAUNDRY 57771,A81000A,00100,0100,Y 57771,A81000B,00100,0300,MANAGEMENT FEES 57771,A81000B,00200,0300,ADMINISTRATORS SALARY 57771,A81000B,00300,0300,ADMINISTRATORS FRINGE 57771,A81000C,00100,0100,F 57771,A81000C,00100,0200,MICHAEL MARRA 57771,A81000C,00100,0400,MANOR HEALTHCAE 57771,A81000C,00100,0600,MANAGEMENT CO. 57771,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57771,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57771,B100000,00000,0300,00000GROSS SAL EMPLOYEE BENEFITS 57771,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57771,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57771,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 57771,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57771,B100000,00000,0800,00000MEALS SERVED DIETARY 57771,B100000,00000,0900,00000NURSING HOURS NURSING ADMINIST 57771,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57771,B100000,00000,1100,00000BLANK PHARMACY 57771,B100000,00000,1200,00000BLANK MEDICAL RECORDS & LIBRARY 57771,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 57771,B100000,00000,1400,00000BLANK INTERNS & RESIDENTS (APPRV 57771,S000000,00100,0200,05/17/2000 57771,S200000,00100,0100,135 TRIPPS LANE 57771,S200000,00200,0100,EAST PROVIDENCE 57771,S200000,00200,0200,RI 57771,S200000,00200,0300,02914 57771,S200000,00300,0100,PROVIDENCE 57771,S200000,00400,0100,ORCHARD VIEW MANOR INC. 57771,S200000,00400,0200,415059 57771,S200000,00400,0300,07/01/1977 57771,S200000,00400,0500,P 57771,S200000,01600,0100,Y 57771,S200000,02200,0100,Y 57771,S200000,02800,0100,Y 57771,S200000,04300,0100,Y 57771,S700003,00000,0100,X 57782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57782,A000000,00300,0000,00300EMPLOYEE BENEFITS 57782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57782,A000000,00700,0000,00700HOUSEKEEPING 57782,A000000,00800,0000,00800DIETARY 57782,A000000,00900,0000,00900NURSING ADMINISTRATION 57782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57782,A000000,01100,0000,01100PHARMACY 57782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57782,A000000,01300,0000,01300SOCIAL SERVICE 57782,A000000,01350,0000,01500OTHER GENERAL SERVICES 57782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57782,A000000,01600,0000,01600SKILLED NURSING FACILITY 57782,A000000,01800,0000,01800NURSING FACILITY 57782,A000000,01900,0000,01900OTHER LONG TERM CARE 57782,A000000,02100,0000,02100RADIOLOGY 57782,A000000,02200,0000,02200LABORATORY 57782,A000000,02300,0000,02300INTRAVENOUS THERAPY 57782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57782,A000000,02500,0000,02500PHYSICAL THERAPY 57782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57782,A000000,02700,0000,02700SPEECH PATHOLOGY 57782,A000000,02800,0000,02800ELECTROCARDIOLOGY 57782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57782,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57782,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57782,A000000,03200,0000,03200SUPPORT SURFACES 57782,A000000,03400,0000,03400CLINIC 57782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57782,A000000,03500,0000,03500RURAL HEALTH CLINIC 57782,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57782,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57782,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57782,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57782,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57782,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57782,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57782,A000000,04400,0000,04400DME RENTED - HHA 57782,A000000,04500,0000,04500DME SOLD - HHA 57782,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57782,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57782,A000000,04750,0000,05100OSP 57782,A000000,04800,0000,04800AMBULANCE 57782,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57782,A000000,05000,0000,05000CORF 57782,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57782,A000000,05300,0000,05300INTEREST EXPENSE 57782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57782,A000000,05500,0000,05500HOSPICE 57782,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57782,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57782,A000000,06100,0000,06100NONPAID WORKERS 57782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57782,A000000,06200,0000,06200PATIENTS LAUNDRY 57782,A81000A,00100,0100,Y 57782,A81000B,00100,0300,HOME OFFICE 57782,A81000B,00200,0300,HOME OFFICE CAPITAL RELATED 57782,A81000B,00300,0300,RENTAL EXPENSE 57782,A81000B,00400,0300,HOME OFFICE CAPITAL RELATED 57782,A81000C,00100,0100,A 57782,A81000C,00100,0200,DAVID M & SALLY 57782,A81000C,00100,0400,HEALTH CONCEPTS 57782,A81000C,00100,0600,HOME OFFICE 57782,A81000C,00200,0100,B 57782,A81000C,00200,0200,DAVID M RYAN 57782,A81000C,00200,0400,MORGAN NURSING 57782,A81000C,00200,0600,RENTAL EXPENSE 57782,A81000C,00300,0100,B 57782,A81000C,00300,0200,AF & AL LUSI 57782,A81000C,00300,0400,MORGAN NURSING 57782,A81000C,00300,0600,RENTAL EXPENSE 57782,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57782,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57782,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57782,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57782,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57782,B100000,00000,0600,00000POUNDS LAUNDRYLAUNDRY & LINEN SE 57782,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57782,B100000,00000,0800,00000MEALS SERVEDDIETARY 57782,B100000,00000,0900,00000HOURS WORKEDNURSING ADMINISTRAT 57782,B100000,00000,1000,00000NO STATISTICSCENTRAL SERVICE 57782,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 57782,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57782,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57782,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 57782,B100000,00000,1500,00000NO STATISTICSOTHER GENERAL S 57782,E10A180,00301,0100,01/01/1999 57782,E10A180,00301,0300,01/01/1999 57782,S000000,00100,0200,06/02/2000 57782,S200000,00100,0100,80 MORGAN AVE. 57782,S200000,00200,0100,JOHNSTON 57782,S200000,00200,0200,RI 57782,S200000,00200,0300,02919- 57782,S200000,00300,0100,PROVIDENCE 57782,S200000,00300,0300,U 57782,S200000,00400,0100,MORGAN HEALTH CENTER 57782,S200000,00400,0200,415062 57782,S200000,00400,0300,02/01/1978 57782,S200000,00400,0500,P 57782,S200000,01600,0100,Y 57782,S200000,01900,0100,N 57782,S700003,00000,0100,1 57793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57793,A000000,00300,0000,00300EMPLOYEE BENEFITS 57793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57793,A000000,00700,0000,00700HOUSEKEEPING 57793,A000000,00800,0000,00800DIETARY 57793,A000000,00900,0000,00900NURSING ADMINISTRATION 57793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57793,A000000,01300,0000,01300SOCIAL SERVICE 57793,A000000,01600,0000,01600SKILLED NURSING FACILITY 57793,A000000,01800,0000,01800NURSING FACILITY 57793,A000000,02100,0000,02100RADIOLOGY 57793,A000000,02200,0000,02200LABORATORY 57793,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57793,A000000,02500,0000,02500PHYSICAL THERAPY 57793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57793,A000000,02700,0000,02700SPEECH PATHOLOGY 57793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57793,A000000,03001,0000,03001FLU 57793,A000000,04800,0000,04800AMBULANCE 57793,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57793,A000000,05300,0000,05300INTEREST EXPENSE 57793,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57793,A000000,05801,0000,05801VENDING 57793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57793,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 57793,A81000A,00100,0100,Y 57793,A81000B,00100,0300,DEPRECIATION 57793,A81000B,00200,0300,DEPRECIATION 57793,A81000B,00300,0300,INTEREST 57793,A81000B,00400,0300,AMORTIZATION - FIN & MTG FEES 57793,A81000B,00500,0300,MORTGAGE INSURANCE 57793,A81000B,00600,0300,PROPERTY INSURANCE 57793,A81000B,00700,0300,PROPERTY INSURANCE 57793,A81000B,00800,0300,BANK SERVICE FEES 57793,A81000B,00900,0300,AMORTIZATION - FINANCE FEES 57793,A81000B,00901,0300,PROPERTY INSURANCE 57793,A81000C,00100,0100,G 57793,A81000C,00100,0200,SCALABRINI VILL 57793,A81000C,00100,0400,PIOUS SOCIETY 57793,A81000C,00100,0600,REAL ESTATE 57793,A81000C,03100,0000,SCALABRINI VILLA 57793,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57793,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57793,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57793,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57793,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57793,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57793,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57793,B100000,00000,0800,00000MEALS SERVEDDIETARY 57793,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 57793,B100000,00000,1000,00000TIME SPENTMEDICAL RECORDS & LI 57793,B100000,00000,1100,00000TIME SPENTSOCIAL SERVICE 57793,S000000,00100,0200,05/31/2000 57793,S200000,00100,0100,860 NORTH QUIDNESSETT ROAD 57793,S200000,00200,0100,NORTH KINGSTOWN 57793,S200000,00200,0200,RI 57793,S200000,00200,0300,02852 57793,S200000,00300,0100,WASHINGTON 57793,S200000,00300,0300,R 57793,S200000,00400,0100,SCALABRINI VILLA 57793,S200000,00400,0200,415063 57793,S200000,00400,0300,07/01/1978 57793,S200000,00400,0500,P 57793,S200000,01500,0100,Y 57793,S200000,02800,0100,Y 57793,S200000,04300,0100,Y 57793,S200000,04700,0100,Y 57793,S200000,04700,0200,Y 57793,S700003,00000,0100,1 57808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57808,A000000,00300,0000,00300EMPLOYEE BENEFITS 57808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57808,A000000,00700,0000,00700HOUSEKEEPING 57808,A000000,00800,0000,00800DIETARY 57808,A000000,00900,0000,00900NURSING ADMINISTRATION 57808,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57808,A000000,01100,0000,01100PHARMACY 57808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57808,A000000,01300,0000,01300SOCIAL SERVICE 57808,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57808,A000000,01600,0000,01600SKILLED NURSING FACILITY 57808,A000000,01800,0000,01800NURSING FACILITY 57808,A000000,02100,0000,02100RADIOLOGY 57808,A000000,02200,0000,02200LABORATORY 57808,A000000,02300,0000,02300INTRAVENOUS THERAPY 57808,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57808,A000000,02500,0000,02500PHYSICAL THERAPY 57808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57808,A000000,02700,0000,02700SPEECH PATHOLOGY 57808,A000000,02800,0000,02800ELECTROCARDIOLOGY 57808,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57808,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57808,A000000,03200,0000,03200SUPPORT SURFACES 57808,A000000,03400,0000,03400CLINIC 57808,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57808,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57808,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57808,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57808,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57808,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57808,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57808,A000000,04400,0000,04400DME RENTED - HHA 57808,A000000,04500,0000,04500DME SOLD - HHA 57808,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57808,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57808,A000000,04800,0000,04800AMBULANCE 57808,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57808,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57808,A000000,05300,0000,05300INTEREST EXPENSE 57808,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57808,A000000,05500,0000,05500HOSPICE 57808,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57808,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57808,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57808,A000000,06100,0000,06100NONPAID WORKERS 57808,A000000,06200,0000,06200PATIENTS LAUNDRY 57808,A81000A,00100,0100,Y 57808,A81000B,00100,0300,RENT 57808,A81000B,00200,0300,ADMIN SALARIES 57808,A81000B,00300,0300,NURSING SALARIES 57808,A81000B,00400,0300,ASSIST ADMINISTRATOR 57808,A81000B,00500,0300,MEDICAL SECRETARY 57808,A81000B,00600,0300,MEDICAL SECRETARY 57808,A81000B,00700,0300,RECPTIONIST 57808,A81000B,00800,0300,OFFICE MANANGER 57808,A81000C,00100,0100,A 57808,A81000C,00100,0200,LEONARD LAMPHER 57808,B100000,00000,0100,00000SQUARE FOOTAGE CAP REL COSTS 57808,B100000,00000,0200,00000SQUARE FOOTAGE CAP REL COSTS 57808,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57808,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57808,B100000,00000,0500,00000SQUARE FOOTAGE PLANT OPERATIO 57808,B100000,00000,0600,00000LAUNDRY POUNDS LAUNDRY & LINEN 57808,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57808,B100000,00000,0800,00000PATIENT DAYS DIETARY 57808,B100000,00000,0900,00000PATIENT DAYS NURSING ADMINISTR 57808,B100000,00000,1000,00000COST REQ CENTRAL SERVICES & SUPP 57808,B100000,00000,1100,00000COST REQ PHARMACY 57808,B100000,00000,1200,00000PATIENT DAYS MEDICAL RECORDS & 57808,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 57808,B100000,00000,1400,00000ASSINGED TIME INTERNS & RESIDEN 57808,S000000,00100,0200,05/30/2000 57808,S200000,00100,0100,151 HUNT STREET 57808,S200000,00200,0100,CENTRAL FALLS 57808,S200000,00200,0200,63 57808,S200000,00200,0300,02863 57808,S200000,00300,0100,PROVIDENCE 57808,S200000,00400,0100,ROSE COTTAGE HEALTH CARE 57808,S200000,00400,0200,415065 57808,S200000,00400,0300,07/01/1978 57808,S200000,00400,0500,P 57808,S200000,01600,0100,Y 57808,S200000,02200,0100,Y 57808,S200000,04300,0100,Y 57808,S700003,00000,0100,X 57820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57820,A000000,00300,0000,00300EMPLOYEE BENEFITS 57820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57820,A000000,00700,0000,00700HOUSEKEEPING 57820,A000000,00800,0000,00800DIETARY 57820,A000000,00900,0000,00900NURSING ADMINISTRATION 57820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57820,A000000,01100,0000,01100PHARMACY 57820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57820,A000000,01300,0000,01300SOCIAL SERVICE 57820,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57820,A000000,01600,0000,01600SKILLED NURSING FACILITY 57820,A000000,01800,0000,01800NURSING FACILITY 57820,A000000,02100,0000,02100RADIOLOGY 57820,A000000,02200,0000,02200LABORATORY 57820,A000000,02300,0000,02300INTRAVENOUS THERAPY 57820,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57820,A000000,02500,0000,02500PHYSICAL THERAPY 57820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57820,A000000,02700,0000,02700SPEECH PATHOLOGY 57820,A000000,02800,0000,02800ELECTROCARDIOLOGY 57820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57820,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57820,A000000,03200,0000,03200SUPPORT SURFACES 57820,A000000,03400,0000,03400CLINIC 57820,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57820,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57820,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57820,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57820,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57820,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57820,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57820,A000000,04400,0000,04400DME RENTED - HHA 57820,A000000,04500,0000,04500DME SOLD - HHA 57820,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57820,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57820,A000000,04800,0000,04800AMBULANCE 57820,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57820,A000000,05300,0000,05300INTEREST EXPENSE 57820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57820,A000000,05500,0000,05500HOSPICE 57820,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57820,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57820,A000000,06100,0000,06100NONPAID WORKERS 57820,A000000,06150,0000,06300VENDING 57820,A000000,06200,0000,06200PATIENTS LAUNDRY 57820,A81000A,00100,0100,Y 57820,A81000B,00100,0300,RENT 57820,A81000B,00200,0300,INTEREST 57820,A81000B,00300,0300,REAL ESTATE TAXES 57820,A81000B,00400,0300,MANAGEMENT FEES 57820,A81000B,00500,0300,INSURANCE 57820,A81000B,00600,0300,REAL ESTATE TAXES - SEWER 57820,A81000B,00700,0300,INTEREST - REPLACE RESERVE 57820,A81000C,00100,0100,A 57820,A81000C,00100,0200,A & M GUERRA 57820,A81000C,00100,0400,QUAKER ASSOC 57820,A81000C,00100,0600,R/E RENTAL 57820,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57820,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57820,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57820,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57820,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57820,B100000,00000,0600,00000POUNDS OF LAUNDRY LAUNDRY & LINE 57820,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57820,B100000,00000,0800,00000MEALS SERVED DIETARY 57820,B100000,00000,0900,00000DIRECT NURSING HO NURSING ADM 57820,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57820,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57820,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57820,B100000,00000,1300,00000CENSUS SOCIAL SERVICE 57820,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 57820,S000000,00100,0200,05/12/2000 57820,S200000,00100,0100,239 LEGRIS AVENUE 57820,S200000,00200,0100,WEST WARWICK 57820,S200000,00200,0200,RI 57820,S200000,00200,0300,02893 57820,S200000,00300,0100,KENT 57820,S200000,00300,0200,6483 57820,S200000,00400,0100,WEST VIEW NURSING HOME 57820,S200000,00400,0200,415067 57820,S200000,00400,0300,09/27/1978 57820,S200000,00400,0500,P 57820,S200000,01600,0100,Y 57820,S200000,02200,0100,Y 57820,S200000,02800,0100,Y 57820,S200000,04300,0100,Y 57820,S700003,00000,0100,X 57833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57833,A000000,00300,0000,00300EMPLOYEE BENEFITS 57833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57833,A000000,00700,0000,00700HOUSEKEEPING 57833,A000000,00800,0000,00800DIETARY 57833,A000000,00900,0000,00900NURSING ADMINISTRATION 57833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57833,A000000,01100,0000,01100PHARMACY 57833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57833,A000000,01300,0000,01300SOCIAL SERVICE 57833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57833,A000000,01600,0000,01600SKILLED NURSING FACILITY 57833,A000000,01800,0000,01800NURSING FACILITY 57833,A000000,02100,0000,02100RADIOLOGY 57833,A000000,02200,0000,02200LABORATORY 57833,A000000,02300,0000,02300INTRAVENOUS THERAPY 57833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57833,A000000,02500,0000,02500PHYSICAL THERAPY 57833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57833,A000000,02700,0000,02700SPEECH PATHOLOGY 57833,A000000,02800,0000,02800ELECTROCARDIOLOGY 57833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57833,A000000,03200,0000,03200SUPPORT SURFACES 57833,A000000,03400,0000,03400CLINIC 57833,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57833,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57833,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57833,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57833,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57833,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57833,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57833,A000000,04400,0000,04400DME RENTED - HHA 57833,A000000,04500,0000,04500DME SOLD - HHA 57833,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57833,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57833,A000000,04800,0000,04800AMBULANCE 57833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57833,A000000,05300,0000,05300INTEREST EXPENSE 57833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57833,A000000,05500,0000,05500HOSPICE 57833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57833,A000000,06100,0000,06100NONPAID WORKERS 57833,A000000,06200,0000,06200PATIENTS LAUNDRY 57833,A81000A,00100,0100,Y 57833,A81000C,00100,0100,A 57833,A81000C,00100,0200,DONALD E. WOODS 57833,A81000C,00100,0400,HMS OF NEWPORT 57833,A81000C,00100,0600,NURSING HOMES 57833,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57833,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57833,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57833,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57833,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57833,B100000,00000,0600,00000PRIOR PERCENTAGELAUNDRY & LINEN 57833,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57833,B100000,00000,0800,00000MEALS SERVEDDIETARY 57833,B100000,00000,0900,00000DIRECT NURSING HONURSING ADMINIS 57833,B100000,00000,1000,00000COST REQUISCENTRAL SERVICES & 57833,B100000,00000,1100,00000COST REQUISPHARMACY 57833,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LIBRARY 57833,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57833,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 57833,S000000,00100,0200,05/25/2000 57833,S200000,00100,0100,RT 4 & OAK HILL ROAD 57833,S200000,00200,0100,NORTH KINGSTOWN 57833,S200000,00200,0200,RI 57833,S200000,00200,0300,02852 57833,S200000,00300,0100,WASHINGTON 57833,S200000,00400,0100,SOUTH COUNTY NURSING & SUBACUTE CTR. 57833,S200000,00400,0200,415071 57833,S200000,00400,0300,12/11/1978 57833,S200000,00400,0500,P 57833,S200000,01500,0100,Y 57833,S200000,04300,0100,Y 57833,S700003,00000,0100,1 57843,S000000,00100,0200,06/02/2000 57855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57855,A000000,00300,0000,00300EMPLOYEE BENEFITS 57855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57855,A000000,00700,0000,00700HOUSEKEEPING 57855,A000000,00800,0000,00800DIETARY 57855,A000000,00900,0000,00900NURSING ADMINISTRATION 57855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57855,A000000,01100,0000,01100PHARMACY 57855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57855,A000000,01300,0000,01300SOCIAL SERVICE 57855,A000000,01600,0000,01600SKILLED NURSING FACILITY 57855,A000000,01800,0000,01800NURSING FACILITY 57855,A000000,01900,0000,01900OTHER LONG TERM CARE 57855,A000000,02100,0000,02100RADIOLOGY 57855,A000000,02200,0000,02200LABORATORY 57855,A000000,02300,0000,02300INTRAVENOUS THERAPY 57855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57855,A000000,02500,0000,02500PHYSICAL THERAPY 57855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57855,A000000,02700,0000,02700SPEECH PATHOLOGY 57855,A000000,02800,0000,02800ELECTROCARDIOLOGY 57855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57855,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 57855,A000000,03400,0000,03400CLINIC 57855,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57855,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57855,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57855,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57855,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57855,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57855,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57855,A000000,04400,0000,04400DME RENTED - HHA 57855,A000000,04500,0000,04500DME SOLD - HHA 57855,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57855,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57855,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57855,A000000,05001,0000,05001CORF 57855,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57855,A000000,05300,0000,05300INTEREST EXPENSE 57855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57855,A000000,05500,0000,05500HOSPICE 57855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57855,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57855,A000000,06100,0000,06100NONPAID WORKERS 57855,A000000,06200,0000,06200PATIENTS LAUNDRY 57855,A81000A,00100,0100,Y 57855,A81000B,00100,0300,A&G MANAGMENT SERVICES 57855,A81000C,00100,0100,A 57855,A81000C,00100,0200,RAYMOND ROY 57855,A81000C,00200,0100,A 57855,A81000C,00200,0200,JEANNE ROY 57855,A81000C,00300,0100,A 57855,A81000C,00300,0200,DONALD ROY 57855,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57855,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57855,B100000,00000,0300,00000GROSS SALARY EMPLOYEE BENEFI 57855,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57855,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57855,B100000,00000,0600,00000LBS. OF LAUNDRY LAUNDRY & LINE 57855,B100000,00000,0700,00000ACTUAL HOURS HOUSEKEEPING 57855,B100000,00000,0800,00000MEALS SERVED DIETARY 57855,B100000,00000,0900,00000DIR NURS HOURS NURSING ADMINIST 57855,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57855,B100000,00000,1100,00000BLANK PHARMACY 57855,B100000,00000,1200,00000BLANK MEDICAL RECORDS & LIBRARY 57855,B100000,00000,1300,00000ACTUAL HOURS SOCIAL SERVICE 57855,S000000,00100,0200,06/07/2000 57855,S200000,00100,0100,SAYLES HILL ROAD 57855,S200000,00200,0100,MANVILLE 57855,S200000,00200,0200,RI 57855,S200000,00200,0300,02838 57855,S200000,00300,0100,PROVIDENCE 57855,S200000,00400,0100,HOLIDAY RETIREMENT HOME INC. 57855,S200000,00400,0200,415075 57855,S200000,00400,0300,09/01/1980 57855,S200000,00400,0500,P 57855,S200000,00600,0200,000588 57855,S200000,00600,0300,10/19/1971 57855,S200000,00600,0600,P 57855,S200000,01600,0100,Y 57855,S200000,02200,0100,Y 57855,S200000,04300,0100,Y 57855,S700003,00000,0100,X 57865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57865,A000000,00300,0000,00300EMPLOYEE BENEFITS 57865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57865,A000000,00700,0000,00700HOUSEKEEPING 57865,A000000,00800,0000,00800DIETARY 57865,A000000,00900,0000,00900NURSING ADMINISTRATION 57865,A000000,01300,0000,01300SOCIAL SERVICE 57865,A000000,01600,0000,01600SKILLED NURSING FACILITY 57865,A000000,01800,0000,01800NURSING FACILITY 57865,A000000,01900,0000,01900OTHER LONG TERM CARE 57865,A000000,02100,0000,02100RADIOLOGY 57865,A000000,02200,0000,02200LABORATORY 57865,A000000,02300,0000,02300INTRAVENOUS THERAPY 57865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57865,A000000,02500,0000,02500PHYSICAL THERAPY 57865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57865,A000000,02700,0000,02700SPEECH PATHOLOGY 57865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57865,A000000,04800,0000,04800AMBULANCE 57865,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57865,A000000,05300,0000,05300INTEREST EXPENSE 57865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57865,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 57865,A000000,06151,0000,06301TAVARES PED. 57865,A81000A,00100,0100,Y 57865,A81000B,00100,0300,MANAGEMENT FEE 57865,A81000C,00100,0100,A 57865,A81000C,00100,0200,A. KOOLOIAN 57865,A81000C,00100,0400,KOOLOIAN CONSTR 57865,A81000C,00100,0600,CONSTRUCTION 57865,B100000,00000,0100,00001SQUARE FEET CAP REL COSTS - B 57865,B100000,00000,0200,00001SQUARE FEET CAP REL COSTS - M 57865,B100000,00000,0300,00001GROSS SALARIES EMPLOYEE BENE 57865,B100000,00000,0400,00001ACCUM. COST ADMINISTRATIVE & 57865,B100000,00000,0500,00001SQUARE FEET PLANT OPERATION 57865,B100000,00000,0600,00001POUNDS OF LAUNDRY LAUNDRY & LINE 57865,B100000,00000,0700,00001HOURS OF SERVICE HOUSEKEEPING 57865,B100000,00000,0800,00001MEALS SERVED DIETARY 57865,B100000,00000,0900,00001DIR NURSINHRS NURSING ADMI 57865,B100000,00000,1300,00001TIME SPENT SOCIAL SERVICE 57865,S000000,00100,0200,05/31/2000 57865,S200000,00200,0100,PROVIDENCE 57865,S200000,00200,0200,RI 57865,S200000,00200,0300,02903 57865,S200000,00300,0100,PROVIDENCE 57865,S200000,00300,0200,6483 57865,S200000,00300,0300,U 57865,S200000,00400,0100,BAY TOWER NURSING CENTRE 57865,S200000,00400,0200,415077 57865,S200000,00400,0300,11/29/1982 57865,S200000,00400,0500,P 57865,S200000,01600,0100,Y 57865,S200000,02200,0100,Y 57865,S200000,04300,0100,Y 57865,S700003,00000,0100,X 57881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57881,A000000,00300,0000,00300EMPLOYEE BENEFITS 57881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57881,A000000,00700,0000,00700HOUSEKEEPING 57881,A000000,00800,0000,00800DIETARY 57881,A000000,00900,0000,00900NURSING ADMINISTRATION 57881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57881,A000000,01300,0000,01300SOCIAL SERVICE 57881,A000000,01600,0000,01600SKILLED NURSING FACILITY 57881,A000000,01800,0000,01800NURSING FACILITY 57881,A000000,02100,0000,02100RADIOLOGY 57881,A000000,02200,0000,02200LABORATORY 57881,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57881,A000000,02500,0000,02500PHYSICAL THERAPY 57881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57881,A000000,02700,0000,02700SPEECH PATHOLOGY 57881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57881,A000000,04800,0000,04800AMBULANCE 57881,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57881,A000000,05300,0000,05300INTEREST EXPENSE 57881,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57881,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57881,A81000A,00100,0100,Y 57881,A81000B,00100,0300,MGMT FEE - LTD PARTNER 57881,A81000B,00200,0300,GENERAL PARTNER FEE 57881,A81000B,00300,0300,CONSTRUCTION SOFTWARE 57881,A81000B,00400,0300,MGMT FEE - STERLING 57881,A81000B,00500,0300,DEVELOPER NOTE 57881,A81000B,00600,0300,SHC WORK CAP INT 57881,A81000B,00700,0300,SMAI SERVICE FEE 57881,A81000B,00800,0300,SMAI SERVICE FEE 57881,A81000B,00900,0300,GREGORY BLDG FEES 57881,A81000B,00901,0300,SHC HOME OFFICE CAP 57881,A81000B,00902,0300,FINANCE FEES - CI 57881,A81000B,00903,0300,MY PLACE FEES 57881,A81000C,00100,0100,B 57881,A81000C,00100,0200,HEALTH FAC 57881,A81000C,00100,0400,HEALTH FAC 57881,A81000C,00100,0600,INVESTOR 57881,A81000C,00200,0100,A 57881,A81000C,00200,0200,A. GIORDANO 57881,A81000C,00200,0400,A. GIORDANO 57881,A81000C,00200,0600,N/A 57881,A81000C,00300,0100,A 57881,A81000C,00300,0200,A. GIORDANO 57881,A81000C,00300,0400,CONST. SOFTWARE 57881,A81000C,00300,0600,CONSULT 57881,A81000C,00400,0100,F 57881,A81000C,00400,0200,GIORDANO FAMILY 57881,A81000C,00400,0400,STERLING HC 57881,A81000C,00400,0600,NH MGMT 57881,A81000C,00500,0100,A 57881,A81000C,00500,0200,A. GIORDANO 57881,A81000C,00500,0400,MAST CONSTRUCTI 57881,A81000C,00500,0600,CONSTRUCT 57881,A81000C,00600,0100,F 57881,A81000C,00600,0200,GIORDANO FAMILY 57881,A81000C,00600,0400,GREGORY BLDG 57881,A81000C,00600,0600,PAINT/LAND 57881,A81000C,00700,0100,A 57881,A81000C,00700,0200,A. GIORDANO 57881,A81000C,00700,0400,SUBURBAN MTGE 57881,A81000C,00700,0600,MTGE SERV 57881,A81000C,00800,0100,F 57881,A81000C,00800,0200,M. GENTILI 57881,A81000C,00800,0400,MY PLACE 57881,A81000C,00800,0600,CONSULT 57881,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57881,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57881,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57881,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57881,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57881,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57881,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57881,B100000,00000,0800,00000MEALS SERVEDDIETARY 57881,B100000,00000,0900,00000DIR NURSINHRS OF SVCNURSING ADMINIS 57881,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57881,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57881,S000000,00100,0200,06/07/2000 57881,S200000,00100,0100,4 ST. JOSEPH ST. 57881,S200000,00200,0100,WOONSOCKET 57881,S200000,00200,0200,RI 57881,S200000,00200,0300,02895 57881,S200000,00300,0100,PROVIDENCE 57881,S200000,00300,0300,U 57881,S200000,00400,0100,MT. ST. FRANCIS ASSOCIATES 57881,S200000,00400,0200,415079 57881,S200000,00400,0300,03/20/1985 57881,S200000,00400,0500,P 57881,S200000,01600,0100,Y 57881,S200000,02200,0100,Y 57881,S200000,04300,0100,Y 57881,S700003,00000,0100,1 57889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57889,A000000,00300,0000,00300EMPLOYEE BENEFITS 57889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57889,A000000,00700,0000,00700HOUSEKEEPING 57889,A000000,00800,0000,00800DIETARY 57889,A000000,00900,0000,00900NURSING ADMINISTRATION 57889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57889,A000000,01100,0000,01100PHARMACY 57889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57889,A000000,01300,0000,01300SOCIAL SERVICE 57889,A000000,01350,0000,01500OTHER GENERAL SERVICES 57889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57889,A000000,01600,0000,01600SKILLED NURSING FACILITY 57889,A000000,01800,0000,01800NURSING FACILITY 57889,A000000,01900,0000,01900OTHER LONG TERM CARE 57889,A000000,02100,0000,02100RADIOLOGY 57889,A000000,02200,0000,02200LABORATORY 57889,A000000,02300,0000,02300INTRAVENOUS THERAPY 57889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57889,A000000,02500,0000,02500PHYSICAL THERAPY 57889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57889,A000000,02700,0000,02700SPEECH PATHOLOGY 57889,A000000,02800,0000,02800ELECTROCARDIOLOGY 57889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57889,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57889,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57889,A000000,03200,0000,03200SUPPORT SURFACES 57889,A000000,03400,0000,03400CLINIC 57889,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57889,A000000,03500,0000,03500RURAL HEALTH CLINIC 57889,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57889,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57889,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57889,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57889,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57889,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57889,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57889,A000000,04400,0000,04400DME RENTED - HHA 57889,A000000,04500,0000,04500DME SOLD - HHA 57889,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57889,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57889,A000000,04750,0000,05100OSP 57889,A000000,04800,0000,04800AMBULANCE 57889,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57889,A000000,05000,0000,05000CORF 57889,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57889,A000000,05300,0000,05300INTEREST EXPENSE 57889,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57889,A000000,05500,0000,05500HOSPICE 57889,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57889,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57889,A000000,06100,0000,06100NONPAID WORKERS 57889,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST-ENTERALS 57889,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST-VENDING 57889,A000000,06200,0000,06200PATIENTS LAUNDRY 57889,A81000A,00100,0100,Y 57889,A81000B,00100,0300,HOME OFFICE 57889,A81000B,00200,0300,HOME OFFICE CAPITAL RELATED 57889,A81000B,00300,0300,MANAGEMENT FEES 57889,A81000B,00400,0300,INCENTIVE MGT FEES 57889,A81000B,00500,0300,HOME OFFICE CAPITAL RELATED 57889,A81000C,00100,0100,A 57889,A81000C,00100,0200,DAVID M. RYAN 57889,A81000C,00100,0400,HEALTH CONCEPTS 57889,A81000C,00100,0600,HOME OFFICE 57889,A81000C,00200,0100,A 57889,A81000C,00200,0200,DAVID M. RYAN 57889,A81000C,00200,0400,HEALTH FACILITI 57889,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 57889,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 57889,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 57889,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 57889,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 57889,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57889,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 57889,B100000,00000,0800,00001MEALS SERVEDDIETARY 57889,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 57889,B100000,00000,1000,00001COSTED REQUISITONCENTRAL SERVICE 57889,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 57889,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 57889,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 57889,B100000,00000,1400,00001TIME SPENTINTERNS & RESIDENTS 57889,B100000,00000,1500,00001NO STATISTICSOTHER GENERAL S 57889,S000000,00100,0200,05/31/2000 57889,S200000,00100,0100,181 DAVIS DRIVE 57889,S200000,00200,0100,PASCOAG 57889,S200000,00200,0200,RI 57889,S200000,00200,0300,02859- 57889,S200000,00300,0100,PROVIDENCE 57889,S200000,00400,0100,BAYBERRY COMMONS 57889,S200000,00400,0200,415080 57889,S200000,00400,0300,02/14/1985 57889,S200000,00400,0500,P 57889,S200000,01600,0100,Y 57889,S200000,01900,0100,N 57889,S700003,00000,0100,1 57897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57897,A000000,00300,0000,00300EMPLOYEE BENEFITS 57897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57897,A000000,00700,0000,00700HOUSEKEEPING 57897,A000000,00800,0000,00800DIETARY 57897,A000000,00900,0000,00900NURSING ADMINISTRATION 57897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57897,A000000,01100,0000,01100PHARMACY 57897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57897,A000000,01300,0000,01300SOCIAL SERVICE 57897,A000000,01350,0000,01500OTHER GENERAL SERVICES 57897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57897,A000000,01600,0000,01600SKILLED NURSING FACILITY 57897,A000000,01800,0000,01800NURSING FACILITY 57897,A000000,01900,0000,01900OTHER LONG TERM CARE 57897,A000000,02100,0000,02100RADIOLOGY 57897,A000000,02200,0000,02200LABORATORY 57897,A000000,02300,0000,02300INTRAVENOUS THERAPY 57897,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57897,A000000,02500,0000,02500PHYSICAL THERAPY 57897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57897,A000000,02700,0000,02700SPEECH PATHOLOGY 57897,A000000,02800,0000,02800ELECTROCARDIOLOGY 57897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57897,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57897,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57897,A000000,03200,0000,03200SUPPORT SURFACES 57897,A000000,03400,0000,03400CLINIC 57897,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57897,A000000,03500,0000,03500RURAL HEALTH CLINIC 57897,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57897,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57897,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57897,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57897,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57897,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57897,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57897,A000000,04400,0000,04400DME RENTED - HHA 57897,A000000,04500,0000,04500DME SOLD - HHA 57897,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57897,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57897,A000000,04750,0000,05100OTHER REIMBURSABLE COST 57897,A000000,04800,0000,04800AMBULANCE 57897,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57897,A000000,05000,0000,05000CORF 57897,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57897,A000000,05300,0000,05300INTEREST EXPENSE 57897,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57897,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57897,A000000,05500,0000,05500HOSPICE 57897,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57897,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57897,A000000,06100,0000,06100NONPAID WORKERS 57897,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57897,A000000,06200,0000,06200PATIENTS LAUNDRY 57897,A81000A,00100,0100,Y 57897,A81000B,00100,0300,HOME OFFICE 57897,A81000B,00200,0300,HOME OFFICE CAPITAL RELATED 57897,A81000B,00300,0300,SERVICE FEE 57897,A81000B,00400,0300,INCENTIVE MANAGEMENT FEE 57897,A81000B,00500,0300,HOME OFFICE CAPITAL RELATED 57897,A81000C,00100,0100,A 57897,A81000C,00100,0200,DAVID M RYAN 57897,A81000C,00100,0400,HEALTH CONCEPTS 57897,A81000C,00100,0600,HOME OFFICE 57897,A81000C,00200,0100,A 57897,A81000C,00200,0200,DAVID M RYAN 57897,A81000C,00200,0400,HEALTH FACILITI 57897,A81000C,00200,0600,LIMITED PARTNER 57897,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 57897,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 57897,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 57897,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57897,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 57897,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57897,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 57897,B100000,00000,0800,00000MEALS SERVEDDIETARY 57897,B100000,00000,0900,00000HOURS OF SERVICENURSING ADMINISTRA 57897,B100000,00000,1000,00000HOURS OF SERVICECENTRAL SERVICES & 57897,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 57897,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 57897,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57897,B100000,00000,1400,00000TIME SPENTINTERNS & RESIDENTS 57897,B100000,00000,1500,00000NO STATISTICSOTHER GENERAL S 57897,E10A180,00301,0100,01/01/1999 57897,E10A180,00301,0300,01/01/1999 57897,S000000,00100,0200,05/31/2000 57897,S200000,00100,0100,RR4 BOX 81A 57897,S200000,00200,0100,WESTERLY 57897,S200000,00200,0200,RI 57897,S200000,00200,0300,02891- 57897,S200000,00300,0100,SOUTH 57897,S200000,00400,0100,WESTERLY HEALTH CENTER ASSOCIATES 57897,S200000,00400,0200,415081 57897,S200000,00400,0300,03/11/1985 57897,S200000,00400,0500,P 57897,S200000,01600,0100,Y 57897,S200000,01900,0100,N 57897,S700003,00000,0100,1 57903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57903,A000000,00300,0000,00300EMPLOYEE BENEFITS 57903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57903,A000000,00700,0000,00700HOUSEKEEPING 57903,A000000,00800,0000,00800DIETARY 57903,A000000,00900,0000,00900NURSING ADMINISTRATION 57903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57903,A000000,01100,0000,01100PHARMACY 57903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57903,A000000,01300,0000,01300SOCIAL SERVICE 57903,A000000,01350,0000,01500OTHER GENERAL SERVICES 57903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57903,A000000,01600,0000,01600SKILLED NURSING FACILITY 57903,A000000,01800,0000,01800NURSING FACILITY 57903,A000000,01900,0000,01900OTHER LONG TERM CARE 57903,A000000,02100,0000,02100RADIOLOGY 57903,A000000,02200,0000,02200LABORATORY 57903,A000000,02300,0000,02300INTRAVENOUS THERAPY 57903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57903,A000000,02500,0000,02500PHYSICAL THERAPY 57903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57903,A000000,02700,0000,02700SPEECH PATHOLOGY 57903,A000000,02800,0000,02800ELECTROCARDIOLOGY 57903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57903,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 57903,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57903,A000000,03200,0000,03200SUPPORT SURFACES 57903,A000000,03400,0000,03400CLINIC 57903,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57903,A000000,03500,0000,03500RURAL HEALTH CLINIC 57903,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57903,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57903,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57903,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57903,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57903,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57903,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57903,A000000,04400,0000,04400DME RENTED - HHA 57903,A000000,04500,0000,04500DME SOLD - HHA 57903,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57903,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57903,A000000,04750,0000,05100OSP 57903,A000000,04800,0000,04800AMBULANCE 57903,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57903,A000000,05000,0000,05000CORF 57903,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57903,A000000,05300,0000,05300INTEREST EXPENSE 57903,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57903,A000000,05500,0000,05500HOSPICE 57903,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57903,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57903,A000000,06100,0000,06100NONPAID WORKERS 57903,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 57903,A000000,06151,0000,06301ASSISTED LIVING 57903,A000000,06200,0000,06200PATIENTS LAUNDRY 57903,A81000A,00100,0100,Y 57903,A81000B,00100,0300,HOME OFFICE 57903,A81000B,00200,0300,HOME OFFICE CAP RELATED 57903,A81000B,00300,0300,HOME OFFICE CAP RELATED 57903,A81000C,00100,0100,A 57903,A81000C,00100,0200,DAVID M & SALLY 57903,A81000C,00100,0400,HEALTH CONCEPTS 57903,A81000C,00100,0600,HOME OFFICE 57903,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 57903,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 57903,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 57903,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 57903,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 57903,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57903,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 57903,B100000,00000,0800,00001MEALS SERVEDDIETARY 57903,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 57903,B100000,00000,1000,00001HOURS OF SERVICECENTRAL SERVICES & 57903,B100000,00000,1100,00001COSTED REQUIS.PHARMACY 57903,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 57903,B100000,00000,1300,00001TIME SPENTSOCIAL SERVICE 57903,B100000,00000,1400,00001TIME SPENTINTERNS & RESIDENTS 57903,B100000,00000,1500,00001NO STATISTICSOTHER GENERAL S 57903,S000000,00100,0200,05/31/2001 57903,S200000,00100,0100,546 MAIN STREET 57903,S200000,00200,0100,COVENTRY 57903,S200000,00200,0200,RI 57903,S200000,00200,0300,02816- 57903,S200000,00300,0100,KENT 57903,S200000,00400,0100,RIVERVIEW NURSING HOME 57903,S200000,00400,0200,415082 57903,S200000,00400,0300,01/01/1986 57903,S200000,00400,0500,P 57903,S200000,01600,0100,Y 57903,S200000,01900,0100,N 57903,S700003,00000,0100,1 57910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57910,A000000,00300,0000,00300EMPLOYEE BENEFITS 57910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57910,A000000,00700,0000,00700HOUSEKEEPING 57910,A000000,00800,0000,00800DIETARY 57910,A000000,00900,0000,00900NURSING ADMINISTRATION 57910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57910,A000000,01100,0000,01100PHARMACY 57910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57910,A000000,01300,0000,01300SOCIAL SERVICE 57910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57910,A000000,01600,0000,01600SKILLED NURSING FACILITY 57910,A000000,01800,0000,01800NURSING FACILITY 57910,A000000,01900,0000,01900OTHER LONG TERM CARE 57910,A000000,02100,0000,02100RADIOLOGY 57910,A000000,02200,0000,02200LABORATORY 57910,A000000,02300,0000,02300INTRAVENOUS THERAPY 57910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57910,A000000,02500,0000,02500PHYSICAL THERAPY 57910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57910,A000000,02700,0000,02700SPEECH PATHOLOGY 57910,A000000,02800,0000,02800ELECTROCARDIOLOGY 57910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57910,A000000,03200,0000,03200SUPPORT SURFACES 57910,A000000,03400,0000,03400CLINIC 57910,A000000,03500,0000,03500RURAL HEALTH CLINIC 57910,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57910,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57910,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57910,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57910,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57910,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57910,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57910,A000000,04400,0000,04400DME RENTED - HHA 57910,A000000,04500,0000,04500DME SOLD - HHA 57910,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57910,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57910,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57910,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57910,A000000,05300,0000,05300INTEREST EXPENSE 57910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57910,A000000,05500,0000,05500HOSPICE 57910,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57910,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57910,A000000,06100,0000,06100NONPAID WORKERS 57910,A000000,06150,0000,06300CANDY & BARBER SHOP 57910,A000000,06200,0000,06200PATIENTS LAUNDRY 57910,B100000,00000,0100,00000SQUARE FOOTCAP REL COSTS - BLDGS 57910,B100000,00000,0200,00000SQUARE FOOTCAP REL COSTS - MOVAB 57910,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 57910,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57910,B100000,00000,0500,00000SQUARE FOOTPLANT OPERATION MAIN 57910,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57910,B100000,00000,0700,00000HOURSHOUSEKEEPING 57910,B100000,00000,0800,00000MEALS SERVEDDIETARY 57910,B100000,00000,0900,00000NURSING HOURSNURSING ADMINISTRATI 57910,B100000,00000,1000,00000PAT DAYSCENTRAL SERVICES & SUPPLY 57910,B100000,00000,1100,00000PAT DAYSPHARMACY 57910,B100000,00000,1200,00000PAT DAYSMEDICAL RECORDS & LIBRARY 57910,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 57910,B100000,00000,1400,00000PAT DAYSINTERNS & RESIDENTS (APPRVD 57910,S000000,00100,0200,05/30/2000 57910,S200000,00100,0100,198 WATERMAN AVENUE 57910,S200000,00200,0100,EAST PROVIDENCE 57910,S200000,00200,0200,RI 57910,S200000,00200,0300,02914 57910,S200000,00300,0100,PROVIDENCE 57910,S200000,00400,0100,EASTGATE NURSING & RECOVERY CENTER 57910,S200000,00400,0200,415083 57910,S200000,00400,0300,09/02/1988 57910,S200000,00400,0500,P 57910,S200000,01500,0100,Y 57910,S200000,02200,0100,Y 57910,S200000,02800,0100,Y 57910,S700003,00000,0100,1 57931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57931,A000000,00300,0000,00300EMPLOYEE BENEFITS 57931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57931,A000000,00700,0000,00700HOUSEKEEPING 57931,A000000,00800,0000,00800DIETARY 57931,A000000,00900,0000,00900NURSING ADMINISTRATION 57931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57931,A000000,01100,0000,01100PHARMACY 57931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57931,A000000,01300,0000,01300SOCIAL SERVICE 57931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57931,A000000,01600,0000,01600SKILLED NURSING FACILITY 57931,A000000,01800,0000,01800NURSING FACILITY 57931,A000000,02100,0000,02100RADIOLOGY 57931,A000000,02200,0000,02200LABORATORY 57931,A000000,02300,0000,02300INTRAVENOUS THERAPY 57931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57931,A000000,02500,0000,02500PHYSICAL THERAPY 57931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57931,A000000,02700,0000,02700SPEECH PATHOLOGY 57931,A000000,02800,0000,02800ELECTROCARDIOLOGY 57931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57931,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57931,A000000,03200,0000,03200SUPPORT SURFACES 57931,A000000,03400,0000,03400CLINIC 57931,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57931,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57931,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57931,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57931,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57931,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57931,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57931,A000000,04400,0000,04400DME RENTED - HHA 57931,A000000,04500,0000,04500DME SOLD - HHA 57931,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57931,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57931,A000000,04800,0000,04800AMBULANCE 57931,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57931,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57931,A000000,05300,0000,05300INTEREST EXPENSE 57931,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57931,A000000,05500,0000,05500HOSPICE 57931,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57931,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57931,A000000,06100,0000,06100NONPAID WORKERS 57931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 57931,A000000,06200,0000,06200PATIENTS LAUNDRY 57931,A81000A,00100,0100,Y 57931,A81000B,00100,0300,MANAGEMENT FEES 57931,A81000B,00200,0300,OWNERS SALARY 57931,A81000C,00100,0100,A 57931,A81000C,00100,0200,CLAIRE THIBEAUT 57931,A81000C,00100,0600,OWNER 57931,B100000,00000,0100,00000SQUARE FOOTAGE CAP REL COSTS 57931,B100000,00000,0200,00000SQUARE FOOTAGE CAP REL COSTS 57931,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57931,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57931,B100000,00000,0500,00000SQUARE FOOTAGE PLANT OPERATIO 57931,B100000,00000,0600,00000LAUNDRY PUNDS LAUNDRY & LINEN 57931,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57931,B100000,00000,0800,00000MEALS SERVED DIETARY 57931,B100000,00000,0900,00000DIRECT NURSING HO NURSING ADM 57931,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57931,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57931,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57931,B100000,00000,1300,00000HOURS OF SERVICE SOCIAL SERVICE 57931,B100000,00000,1400,00000ASSIGNED TIME INTERNS & RESIDEN 57931,E10A180,00301,0100,09/14/2000 57931,S000000,00100,0200,05/31/2000 57931,S200000,00100,0100,RT 44 PUTNAM PIKE 57931,S200000,00200,0100,GREENVILLE 57931,S200000,00200,0200,RI 57931,S200000,00200,0300,02828 57931,S200000,00300,0100,PROVIDENCE 57931,S200000,00300,0200,6483 57931,S200000,00400,0100,WILDFLOWERS HEALTH CARE 57931,S200000,00400,0200,415087 57931,S200000,00400,0300,10/01/1990 57931,S200000,00400,0500,P 57931,S200000,01600,0100,Y 57931,S200000,02200,0100,Y 57931,S200000,04300,0100,Y 57931,S700003,00000,0100,X 57942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57942,A000000,00300,0000,00300EMPLOYEE BENEFITS 57942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57942,A000000,00700,0000,00700HOUSEKEEPING 57942,A000000,00800,0000,00800DIETARY 57942,A000000,00900,0000,00900NURSING ADMINISTRATION 57942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57942,A000000,01100,0000,01100PHARMACY 57942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57942,A000000,01300,0000,01300SOCIAL SERVICE 57942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57942,A000000,01600,0000,01600SKILLED NURSING FACILITY 57942,A000000,01800,0000,01800NURSING FACILITY 57942,A000000,02100,0000,02100RADIOLOGY 57942,A000000,02200,0000,02200LABORATORY 57942,A000000,02300,0000,02300INTRAVENOUS THERAPY 57942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57942,A000000,02500,0000,02500PHYSICAL THERAPY 57942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57942,A000000,02700,0000,02700SPEECH PATHOLOGY 57942,A000000,02800,0000,02800ELECTROCARDIOLOGY 57942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57942,A000000,03200,0000,03200SUPPORT SURFACES 57942,A000000,03400,0000,03400CLINIC 57942,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57942,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57942,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57942,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57942,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57942,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57942,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57942,A000000,04400,0000,04400DME RENTED - HHA 57942,A000000,04500,0000,04500DME SOLD - HHA 57942,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57942,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57942,A000000,04800,0000,04800AMBULANCE 57942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57942,A000000,05300,0000,05300INTEREST EXPENSE 57942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57942,A000000,05500,0000,05500HOSPICE 57942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57942,A000000,06100,0000,06100NONPAID WORKERS 57942,A000000,06200,0000,06200PATIENTS LAUNDRY 57942,A81000A,00100,0100,Y 57942,A81000B,00100,0300,GENL FUND LOAN INTEREST 57942,A81000C,00100,0100,G 57942,A81000C,00100,0200,U.M.E.C. 57942,A81000C,00100,0400,GENL FUND 57942,A81000C,00100,0600,SUPPLEMENT OPS 57942,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57942,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57942,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57942,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & 57942,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57942,B100000,00000,0600,00000POUND OF LAUNDRY LAUNDRY & LINE 57942,B100000,00000,0700,00000SQUARE FEET HOUSEKEEPING 57942,B100000,00000,0800,00000MEALS SERVED DIETARY 57942,B100000,00000,0900,00000NURSING SALARIES NURSING ADMIN 57942,B100000,00000,1000,00000COSTED REQUIS. CENTRAL SERVIC 57942,B100000,00000,1100,00000COSTED REQUIS. PHARMACY 57942,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57942,B100000,00000,1300,00000PATIENT CENSUS SOCIAL SERVICE 57942,B100000,00000,1400,00000TIME ASSIGNED INTERNS & RES 57942,S000000,00100,0200,05/31/2000 57942,S200000,00100,0100,30 ALEXANDER AVENUE 57942,S200000,00200,0100,EAST PROVIDENCE 57942,S200000,00200,0200,RI 57942,S200000,00200,0300,02914 57942,S200000,00300,0100,PROVIDENCE 57942,S200000,00400,0100,UNITED METHODIST HEALTH CARE CENTER 57942,S200000,00400,0200,415090 57942,S200000,00400,0300,05/01/1991 57942,S200000,00400,0500,P 57942,S200000,01600,0100,Y 57942,S200000,02200,0100,Y 57942,S200000,04300,0100,Y 57942,S700003,00000,0100,X 57950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57950,A000000,00300,0000,00300EMPLOYEE BENEFITS 57950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57950,A000000,00700,0000,00700HOUSEKEEPING 57950,A000000,00800,0000,00800DIETARY 57950,A000000,00900,0000,00900NURSING ADMINISTRATION 57950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57950,A000000,01100,0000,01100PHARMACY 57950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57950,A000000,01300,0000,01300SOCIAL SERVICE 57950,A000000,01350,0000,01500ACTIVITIES 57950,A000000,01351,0000,01501INDIRECT CONSULTANTS 57950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57950,A000000,01600,0000,01600SKILLED NURSING FACILITY 57950,A000000,01800,0000,01800NURSING FACILITY 57950,A000000,01810,0000,01801ICF/MR 57950,A000000,01900,0000,01900OTHER LONG TERM CARE 57950,A000000,02100,0000,02100RADIOLOGY 57950,A000000,02200,0000,02200LABORATORY 57950,A000000,02300,0000,02300INTRAVENOUS THERAPY 57950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57950,A000000,02500,0000,02500PHYSICAL THERAPY 57950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57950,A000000,02700,0000,02700SPEECH PATHOLOGY 57950,A000000,02800,0000,02800ELECTROCARDIOLOGY 57950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57950,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 57950,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 57950,A000000,03052,0000,03302AMBULANCE 57950,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57950,A000000,03200,0000,03200SUPPORT SURFACES 57950,A000000,03400,0000,03400CLINIC 57950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 57950,A000000,03500,0000,03500RURAL HEALTH CLINIC 57950,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57950,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57950,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57950,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57950,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57950,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57950,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57950,A000000,04400,0000,04400DME RENTED - HHA 57950,A000000,04500,0000,04500DME SOLD - HHA 57950,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57950,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57950,A000000,04750,0000,05100OSP 57950,A000000,04800,0000,04800AMBULANCE 57950,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57950,A000000,05000,0000,05000CORF 57950,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57950,A000000,05300,0000,05300INTEREST EXPENSE 57950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 57950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57950,A000000,05500,0000,05500HOSPICE 57950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57950,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57950,A000000,06100,0000,06100NONPAID WORKERS 57950,A000000,06150,0000,06300ASSISTED LIVING DIRECT COSTS 57950,A000000,06151,0000,06301FUND RAISING 57950,A000000,06200,0000,06200PATIENTS LAUNDRY 57950,A81000A,00100,0100,Y 57950,A81000B,00100,0300,NON PROGRAM EXPENSES 57950,A81000C,00100,0100,G 57950,A81000C,00100,0200,METACOM MANOR 57950,A81000C,00100,0400,CARELINK INC. 57950,A81000C,00100,0600,SHARED SERVICES 57950,A81000C,00200,0100,C 57950,A81000C,00200,0200,CARELINK INC. 57950,A81000C,00200,0600,SHARED SERVICES 57950,A81000C,00300,0100,C 57950,A81000C,00300,0200,CARELINK INC. 57950,A81000C,00300,0600,SHARED SERVICES 57950,A81000C,00400,0100,C 57950,A81000C,00400,0200,CARELINK INC. 57950,A81000C,00400,0600,SHARED SERVICES 57950,A81000C,00500,0100,C 57950,A81000C,00500,0200,CARELINK INC. 57950,A81000C,00500,0600,SHARED SERVICES 57950,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 57950,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 57950,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 57950,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 57950,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 57950,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 57950,B100000,00000,0700,00001SQUARE FEETHOUSEKEEPING 57950,B100000,00000,0800,00001MEALS SERVEDDIETARY 57950,B100000,00000,0900,00001HOURS OF SERVICENURSING ADMINISTRA 57950,B100000,00000,1000,00001COSTED REQUIS.CENTRAL SERVICES & 57950,B100000,00000,1100,00001N/APHARMACY 57950,B100000,00000,1200,00001TIME SPENTMEDICAL RECORDS & LI 57950,B100000,00000,1300,00001ACTUAL DOLLARSSOCIAL SERVICE 57950,B100000,00000,1400,00001N/AINTERNS & RESIDENTS (APPRVD PROG 57950,B100000,00000,1500,00001PATIENT DAYSACTIVITIES 57950,S000000,00100,0200,06/02/2000 57950,S200000,00100,0100,100 BORDEN STREET 57950,S200000,00200,0100,PROVIDENCE 57950,S200000,00200,0200,RI 57950,S200000,00200,0300,02903- 57950,S200000,00300,0100,PROVIDENCE 57950,S200000,00300,0300,U 57950,S200000,00400,0100,STEERE HOUSE 57950,S200000,00400,0200,415091 57950,S200000,00400,0300,03/21/1991 57950,S200000,00400,0500,P 57950,S200000,00400,0600,P 57950,S200000,01600,0100,Y 57950,S200000,01900,0100,N 57950,S700003,00000,0100,1 57960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57960,A000000,00300,0000,00300EMPLOYEE BENEFITS 57960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57960,A000000,00700,0000,00700HOUSEKEEPING 57960,A000000,00800,0000,00800DIETARY 57960,A000000,00900,0000,00900NURSING ADMINISTRATION 57960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57960,A000000,01100,0000,01100PHARMACY 57960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57960,A000000,01300,0000,01300SOCIAL SERVICE 57960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57960,A000000,01600,0000,01600SKILLED NURSING FACILITY 57960,A000000,01800,0000,01800NURSING FACILITY 57960,A000000,02100,0000,02100RADIOLOGY 57960,A000000,02200,0000,02200LABORATORY 57960,A000000,02300,0000,02300INTRAVENOUS THERAPY 57960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57960,A000000,02500,0000,02500PHYSICAL THERAPY 57960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57960,A000000,02700,0000,02700SPEECH PATHOLOGY 57960,A000000,02800,0000,02800ELECTROCARDIOLOGY 57960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57960,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57960,A000000,03200,0000,03200SUPPORT SURFACES 57960,A000000,03400,0000,03400CLINIC 57960,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57960,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57960,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57960,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57960,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57960,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57960,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57960,A000000,04400,0000,04400DME RENTED - HHA 57960,A000000,04500,0000,04500DME SOLD - HHA 57960,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57960,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57960,A000000,04800,0000,04800AMBULANCE 57960,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57960,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57960,A000000,05300,0000,05300INTEREST EXPENSE 57960,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57960,A000000,05500,0000,05500HOSPICE 57960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57960,A000000,06100,0000,06100NONPAID WORKERS 57960,A000000,06200,0000,06200PATIENTS LAUNDRY 57960,A81000A,00100,0100,Y 57960,A81000B,00100,0300,LEGAL SERVICES 57960,A81000C,00100,0100,G 57960,A81000C,00100,0200,DAVIS KILMARX 57960,A81000C,00100,0400,BETHANY HOME 57960,A81000C,00100,0600,NONPROFIT 57960,B100000,00000,0100,00000SQUARE FEET CAP REL COSTS - B 57960,B100000,00000,0200,00000SQUARE FEET CAP REL COSTS - M 57960,B100000,00000,0300,00000GROSS SALARIES EMPLOYEE BENE 57960,B100000,00000,0400,00000ACCUM. COST ADMINISTRATIVE & GEN 57960,B100000,00000,0500,00000SQUARE FEET PLANT OPERATION 57960,B100000,00000,0600,00000LAUNDRY POUNDS LAUNDRY & LINEN 57960,B100000,00000,0700,00000HOURS OF SERVICE HOUSEKEEPING 57960,B100000,00000,0800,00000MEALS SERVED DIETARY 57960,B100000,00000,0900,00000DIRECT NURSING HOURS NURSING ADM 57960,B100000,00000,1000,00000BLANK CENTRAL SERVICES & SUPPLY 57960,B100000,00000,1100,00000BLANK PHARMACY 57960,B100000,00000,1200,00000TIME SPENT MEDICAL RECORDS 57960,B100000,00000,1300,00000TIME SPENT SOCIAL SERVICE 57960,B100000,00000,1400,00000TIME SPENT INTERNS & RESIDE 57960,S000000,00100,0200,04/25/2000 57960,S200000,00100,0100,111 SOUTH ANGELL STREET 57960,S200000,00200,0100,PROVIDENCE 57960,S200000,00200,0200,RI 57960,S200000,00200,0300,02906 57960,S200000,00300,0100,PROVIDENCE 57960,S200000,00400,0100,BETHANY HOME OF RHODE ISLAND 57960,S200000,00400,0200,415096 57960,S200000,00400,0300,05/21/1991 57960,S200000,00400,0500,P 57960,S200000,01500,0100,Y 57960,S200000,04300,0100,Y 57960,S700003,00000,0100,X 57968,S000000,00100,0200,05/31/2000 57986,S000000,00100,0200,06/06/2000 57992,S000000,00100,0200,05/25/2000 57999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 57999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 57999,A000000,00300,0000,00300EMPLOYEE BENEFITS 57999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 57999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 57999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 57999,A000000,00700,0000,00700HOUSEKEEPING 57999,A000000,00800,0000,00800DIETARY 57999,A000000,00900,0000,00900NURSING ADMINISTRATION 57999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 57999,A000000,01100,0000,01100PHARMACY 57999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 57999,A000000,01300,0000,01300SOCIAL SERVICE 57999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 57999,A000000,01600,0000,01600SKILLED NURSING FACILITY 57999,A000000,01800,0000,01800NURSING FACILITY 57999,A000000,02100,0000,02100RADIOLOGY 57999,A000000,02200,0000,02200LABORATORY 57999,A000000,02300,0000,02300INTRAVENOUS THERAPY 57999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 57999,A000000,02500,0000,02500PHYSICAL THERAPY 57999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 57999,A000000,02700,0000,02700SPEECH PATHOLOGY 57999,A000000,02800,0000,02800ELECTROCARDIOLOGY 57999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 57999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 57999,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 57999,A000000,03200,0000,03200SUPPORT SURFACES 57999,A000000,03400,0000,03400CLINIC 57999,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 57999,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 57999,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 57999,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 57999,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 57999,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 57999,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 57999,A000000,04400,0000,04400DME RENTED - HHA 57999,A000000,04500,0000,04500DME SOLD - HHA 57999,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 57999,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 57999,A000000,04800,0000,04800AMBULANCE 57999,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 57999,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 57999,A000000,05300,0000,05300INTEREST EXPENSE 57999,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 57999,A000000,05500,0000,05500HOSPICE 57999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 57999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 57999,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 57999,A000000,06100,0000,06100NONPAID WORKERS 57999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 57999,A000000,06200,0000,06200PATIENTS LAUNDRY 57999,A81000A,00100,0100,Y 57999,A81000B,00100,0300,MGT CONSULTANT 57999,A81000B,00200,0300,CARELINK PURCH SVS PT 57999,A81000B,00300,0300,PT SALARIES SVS TO OTHER PROVIDERS 57999,A81000B,00400,0300,CARELINK PURCH SVS OT 57999,A81000B,00500,0300,OT SALAIES TO OTHER PROVIDERS 57999,A81000C,00100,0100,G 57999,A81000C,00100,0200,CARELINK 57999,A81000C,00200,0100,G 57999,A81000C,00200,0200,DIOCESE OF PROV 57999,A81000C,03100,0000,PROVIDER IS A MEMBER OF CARELINK A 57999,B100000,00000,0100,00000SQUARE FTCAP REL COSTS - BLDGS & FI 57999,B100000,00000,0200,00000SQUARE FTCAP REL COSTS - MOVABLE EQ 57999,B100000,00000,0300,00000GROSS SALEMPLOYEE BENEFITS 57999,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 57999,B100000,00000,0500,00000SQUARE FTPLANT OPERATION MAINT. & 57999,B100000,00000,0600,00000POUNDSLAUNDRY & LINEN SERVICE 57999,B100000,00000,0700,00000SQUARE FTHOUSEKEEPING 57999,B100000,00000,0800,00000MEALSDIETARY 57999,B100000,00000,0900,00000NURS HRSNURSING ADMINISTRATION 57999,B100000,00000,1000,00000BLANKCENTRAL SERVICES & SUPPLY 57999,B100000,00000,1100,00000BLANKPHARMACY 57999,B100000,00000,1200,00000CENSUSMEDICAL RECORDS & LIBRARY 57999,B100000,00000,1300,00000CENSUSSOCIAL SERVICE 57999,B100000,00000,1400,00000BLANKINTERNS & RESIDENTS (APPRVD PR 57999,S000000,00100,0200,05/25/2000 57999,S200000,00100,0100,400 MENDON ROAD 57999,S200000,00200,0100,NO. SMITHFIELD 57999,S200000,00200,0200,RI 57999,S200000,00200,0300,02895 57999,S200000,00300,0100,PROVIDENCE 57999,S200000,00400,0100,ST. ANTOINE RESIDENCE 57999,S200000,00400,0200,415106 57999,S200000,00400,0300,01/01/1992 57999,S200000,00400,0500,P 57999,S200000,01600,0100,Y 57999,S200000,01900,0100,NON-PROFIT SNF 57999,S200000,02200,0100,Y 57999,S200000,04300,0100,Y 57999,S700003,00000,0100,1 58015,S000000,00100,0200,05/30/2000 58032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 58032,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 58032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 58032,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 58032,A000000,00300,0000,00300EMPLOYEE BENEFITS 58032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 58032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58032,A000000,00700,0000,00700HOUSEKEEPING 58032,A000000,00800,0000,00800DIETARY 58032,A000000,00801,0000,00801CAFETERIA 58032,A000000,00900,0000,00900NURSING ADMINISTRATION 58032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58032,A000000,01100,0000,01100PHARMACY 58032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58032,A000000,01300,0000,01300SOCIAL SERVICE 58032,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 58032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 58032,A000000,01600,0000,01600SKILLED NURSING FACILITY 58032,A000000,01800,0000,01800NURSING FACILITY 58032,A000000,01900,0000,01900OTHER LONG TERM CARE 58032,A000000,02100,0000,02100RADIOLOGY 58032,A000000,02200,0000,02200LABORATORY 58032,A000000,02300,0000,02300INTRAVENOUS THERAPY 58032,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58032,A000000,02500,0000,02500PHYSICAL THERAPY 58032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58032,A000000,02700,0000,02700SPEECH PATHOLOGY 58032,A000000,02800,0000,02800ELECTROCARDIOLOGY 58032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 58032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58032,A000000,03050,0000,03300OTHER ANCILLARY 58032,A000000,03051,0000,03301OTHER ANCILLARY II 58032,A000000,03052,0000,03302OTHER ANCILLARY III 58032,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 58032,A000000,03200,0000,03200SUPPORT SURFACES 58032,A000000,03400,0000,03400CLINIC 58032,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58032,A000000,03500,0000,03500RURAL HEALTH CLINIC 58032,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 58032,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 58032,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 58032,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 58032,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 58032,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 58032,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 58032,A000000,04400,0000,04400DME RENTED - HHA 58032,A000000,04500,0000,04500DME SOLD - HHA 58032,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 58032,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 58032,A000000,04750,0000,05100OSP 58032,A000000,04800,0000,04800AMBULANCE 58032,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 58032,A000000,05000,0000,05000CORF 58032,A000000,05010,0000,05010CMHC I 58032,A000000,05020,0000,05020OPT I 58032,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 58032,A000000,05300,0000,05300INTEREST EXPENSE 58032,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58032,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58032,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58032,A000000,05500,0000,05500HOSPICE 58032,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 58032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58032,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58032,A000000,06100,0000,06100NONPAID WORKERS 58032,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58032,A000000,06200,0000,06200PATIENTS LAUNDRY 58032,A81000A,00100,0100,Y 58032,A81000B,00100,0300,GUARANTEE PAYMENT 58032,A81000B,00200,0300,PROFESSIONAL FEES 58032,A81000B,00300,0300,INSURANCE 58032,A81000B,00400,0300,REAL ESTATE TAX 58032,A81000B,00500,0300,MTG INTEREST 58032,A81000B,00600,0300,BANK CHARGES 58032,A81000B,00700,0300,DEPRECIAITON 58032,A81000B,00800,0300,DEPRECIATION 58032,A81000C,00100,0100,A 58032,A81000C,00100,0200,A. ROTELLA 58032,A81000C,00100,0400,BERKSHIRE PLACE 58032,A81000C,00100,0600,RENTAL BLDG 58032,A81000C,00200,0100,A 58032,A81000C,00200,0200,C. DONATELLI 58032,A81000C,00200,0400,BERKSHIRE PLACE 58032,A81000C,00200,0600,RENTAL BLDG 58032,A81000C,00300,0100,A 58032,A81000C,00300,0200,E. DONATELLI 58032,A81000C,00300,0400,BERKSHIRE PLACE 58032,A81000C,00300,0600,RENTAL BLDG 58032,A81000C,00400,0100,A 58032,A81000C,00400,0200,C. CATALANO 58032,A81000C,00400,0400,BERKSHIRE PLACE 58032,A81000C,00400,0600,RENTAL BLDG 58032,B100000,00000,0100,00000(SQUARE FEET)CAP REL COSTS - BLDG 58032,B100000,00000,0101,00000(SQUARE FEET)CAP REL COSTS - BLDG 58032,B100000,00000,0200,00000(SQUARE FEET)CAP REL COSTS - MOVA 58032,B100000,00000,0201,00000(SQUARE FEET)CAP REL COSTS - MOVA 58032,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFIT 58032,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 58032,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAI 58032,B100000,00000,0600,00000(POUNDS OFLAUNDRY)LAUNDRY & LINEN S 58032,B100000,00000,0700,00000(HOURS OF SERVICE)HOUSEKEEPING 58032,B100000,00000,0800,00000(MEALS SERVED)DIETARY 58032,B100000,00000,0801,00000(MEALS SERVED)CAFETERIA 58032,B100000,00000,0900,00000(DIRECT NRSING HRSNURSING ADMINIS 58032,B100000,00000,1000,00000(COSTED REQUIS.)CENTRAL SERVICES 58032,B100000,00000,1100,00000(COSTED REQUIS.)PHARMACY 58032,B100000,00000,1200,00000(TIME SPENT)MEDICAL RECORDS & L 58032,B100000,00000,1300,00000(TIME SPENT)SOCIAL SERVICE 58032,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 58032,B100000,00000,1500,00000BLANKOTHER GENERAL SERVICE COST 58032,S000000,00100,0200,05/31/2000 58032,S200000,00100,0100,455 DOUGLAS AVENUE 58032,S200000,00200,0100,PROVIDENCE 58032,S200000,00200,0200,RHODE ISLAND 58032,S200000,00200,0300,02908 58032,S200000,00300,0100,PROVIDENCE 58032,S200000,00400,0100,BERKSHIRE PLACE NURSING CENTER 58032,S200000,00400,0200,415119 58032,S200000,00400,0300,05/03/1995 58032,S200000,00400,0500,P 58032,S200000,01600,0100,Y 58032,S200000,01900,0100,N 58032,S200000,02800,0100,Y 58032,S700003,00000,0100,1 58041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 58041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 58041,A000000,00300,0000,00300EMPLOYEE BENEFITS 58041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 58041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58041,A000000,00700,0000,00700HOUSEKEEPING 58041,A000000,00800,0000,00800DIETARY 58041,A000000,00900,0000,00900NURSING ADMINISTRATION 58041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58041,A000000,01100,0000,01100PHARMACY 58041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58041,A000000,01300,0000,01300SOCIAL SERVICE 58041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 58041,A000000,01600,0000,01600SKILLED NURSING FACILITY 58041,A000000,01800,0000,01800NURSING FACILITY 58041,A000000,02100,0000,02100RADIOLOGY 58041,A000000,02200,0000,02200LABORATORY 58041,A000000,02300,0000,02300INTRAVENOUS THERAPY 58041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58041,A000000,02500,0000,02500PHYSICAL THERAPY 58041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58041,A000000,02700,0000,02700SPEECH PATHOLOGY 58041,A000000,02800,0000,02800ELECTROCARDIOLOGY 58041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 58041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58041,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 58041,A000000,03200,0000,03200SUPPORT SURFACES 58041,A000000,03400,0000,03400CLINIC 58041,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 58041,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 58041,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 58041,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 58041,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 58041,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 58041,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 58041,A000000,04400,0000,04400DME RENTED - HHA 58041,A000000,04500,0000,04500DME SOLD - HHA 58041,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 58041,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 58041,A000000,04800,0000,04800AMBULANCE 58041,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 58041,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 58041,A000000,05300,0000,05300INTEREST EXPENSE 58041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58041,A000000,05500,0000,05500HOSPICE 58041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 58041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58041,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58041,A000000,06100,0000,06100NONPAID WORKERS 58041,A000000,06200,0000,06200PATIENTS LAUNDRY 58041,A81000A,00100,0100,Y 58041,A81000B,00100,0300,INTEREST 58041,A81000B,00200,0300,RENT 58041,A81000B,00300,0300,DEPRECIATION - BUILDING 58041,A81000B,00400,0300,ACCOUNTING AND MANAGEMENT 58041,A81000B,00500,0300,HOME OFFICE COSTS 58041,A81000B,00600,0300,START-UP MORTGAGE 58041,A81000B,00700,0300,INTEREST 58041,A81000B,00800,0300,INTEREST 58041,A81000C,00100,0100,A 58041,A81000C,00100,0200,BRIAN FOLEY 58041,A81000C,00100,0400,CLIPPER REALTY 58041,A81000C,00100,0600,R/E RENTAL 58041,A81000C,00200,0100,A 58041,A81000C,00200,0200,BRIAN FOLEY 58041,A81000C,00200,0400,APPLE HEALTH CR 58041,A81000C,00200,0600,ACCT & MANAGEMT 58041,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 58041,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 58041,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 58041,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 58041,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 58041,B100000,00000,0600,00000PATIENT DAYSLAUNDRY & LINEN SERVI 58041,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 58041,B100000,00000,0800,00000MEALS SERVEDDIETARY 58041,B100000,00000,0900,00000DIRECT NURSING HONURSING ADMINIS 58041,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 58041,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 58041,B100000,00000,1200,00000PATIENT DAYSMEDICAL RECORDS & LIB 58041,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 58041,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 58041,S000000,00100,0200,05/31/2000 58041,S200000,00100,0100,161 POST ROAD 58041,S200000,00200,0100,WESTERLY 58041,S200000,00200,0200,RI 58041,S200000,00200,0300,02891-2625 58041,S200000,00300,0100,WASHINGTON 58041,S200000,00400,0100,THE CLIPPER HOME 58041,S200000,00400,0200,415120 58041,S200000,00400,0300,03/05/1996 58041,S200000,00400,0500,P 58041,S200000,01600,0100,Y 58041,S200000,04100,0100,Y 58041,S200000,04300,0100,Y 58041,S700003,00000,0400,4 58057,S000000,00100,0200,07/23/1999 58058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 58058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 58058,A000000,00300,0000,00300EMPLOYEE BENEFITS 58058,A000000,00401,0000,00401ADMINISTRATIVE AND GENERAL 58058,A000000,00402,0000,00402PROVIDER TAX ASSESSMENT 58058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 58058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58058,A000000,00700,0000,00700HOUSEKEEPING 58058,A000000,00800,0000,00800DIETARY 58058,A000000,00900,0000,00900NURSING ADMINISTRATION 58058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58058,A000000,01300,0000,01300SOCIAL SERVICE 58058,A000000,01600,0000,01600SKILLED NURSING FACILITY 58058,A000000,01800,0000,01800NURSING FACILITY 58058,A000000,02100,0000,02100RADIOLOGY 58058,A000000,02200,0000,02200LABORATORY 58058,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58058,A000000,02500,0000,02500PHYSICAL THERAPY 58058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58058,A000000,02700,0000,02700SPEECH PATHOLOGY 58058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 58058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58058,A000000,04800,0000,04800AMBULANCE 58058,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 58058,A000000,05300,0000,05300INTEREST EXPENSE 58058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58058,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 58058,A000000,06151,0000,06301ASSISTED LIVING 58058,A000000,06152,0000,06302MARKETING 58058,A81000A,00100,0100,Y 58058,A81000B,00100,0300,MANAGEMENT FEES 58058,A81000B,00200,0300,CHS LOAN INTEREST 58058,A81000B,00300,0300,GUARANTEE FEES 58058,A81000B,00400,0300,GUARANTEE FEES 58058,A81000C,00100,0100,B 58058,A81000C,00100,0200,CONSTELL HEALTH 58058,A81000C,00100,0400,CONSTELL REAL E 58058,A81000C,00100,0600,MGMT 58058,B100000,00000,0100,00002SQUARE FEET CAP REL COSTS - B 58058,B100000,00000,0200,00002SQUARE FEET CAP REL COSTS - M 58058,B100000,00000,0300,00002GROSS SALARIES EMPLOYEE BENE 58058,B100000,00000,0401,00002ACCUM. COST ADMINISTRATIVE AN 58058,B100000,00000,0402,00002ACCUM. COST PROVIDER TAX ASSE 58058,B100000,00000,0500,00002SQUARE FEET PLANT OPERATION 58058,B100000,00000,0600,00002POUNDS OF LAUNDRY LAUNDRY & LINE 58058,B100000,00000,0700,00002SQUARE FEET HOUSEKEEPING 58058,B100000,00000,0800,00002MEALS SERVED DIETARY 58058,B100000,00000,0900,00002DIR NURSINHRS NURSING ADMI 58058,B100000,00000,1200,00002TIME SPENT MEDICAL RECORDS 58058,B100000,00000,1300,00002TIME SPENT SOCIAL SERVICE 58058,S000000,00100,0200,05/31/2000 58058,S200000,00100,0100,353 BLACKSTONE BLVD 58058,S200000,00200,0100,PROVIDENCE 58058,S200000,00200,0200,RI 58058,S200000,00200,0300,02906 58058,S200000,00300,0100,PROVIDENCE 58058,S200000,00400,0100,BEECHWOOD AT LAURELMEAD 58058,S200000,00400,0200,415126 58058,S200000,00400,0300,01/21/1998 58058,S200000,00400,0500,P 58058,S200000,01500,0100,Y 58058,S200000,02200,0100,Y 58058,S200000,02800,0100,Y 58058,S200000,04300,0100,Y 58058,S700003,00000,0400,X 58068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58068,A000000,00300,0000,00300EMPLOYEE BENEFITS 58068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58068,A000000,00700,0000,00700HOUSEKEEPING 58068,A000000,00800,0000,00800DIETARY 58068,A000000,00801,0000,00801CAFETERIA 58068,A000000,00900,0000,00900NURSING ADMINISTRATION 58068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58068,A000000,01100,0000,01100PHARMACY 58068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58068,A000000,01300,0000,01300SOCIAL SERVICE 58068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58068,A000000,01600,0000,01600SKILLED NURSING FACILITY 58068,A000000,01810,0000,01810ICF/MR 58068,A000000,02100,0000,02100RADIOLOGY 58068,A000000,02200,0000,02200LABORATORY 58068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58068,A000000,02500,0000,02500PHYSICAL THERAPY 58068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58068,A000000,02700,0000,02700SPEECH PATHOLOGY 58068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58068,A000000,03050,0000,03300OPERATING ROOM 58068,A000000,03550,0000,03550FQHC 58068,A000000,05000,0000,05000CORF 58068,A000000,05010,0000,05010CMHC 58068,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58068,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58068,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58068,A000000,05300,0000,05300INTEREST EXPENSE 58068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58068,A000000,06150,0000,06300ALLEN BENNETT 58068,A000000,06151,0000,06301NONALLOWABLE 58068,A000000,06152,0000,06302ALLEN BENNETT SUBACUTE 58068,A81000A,00100,0100,Y 58068,A81000B,00100,0300,SYSTEM ALLOCATION 58068,A81000B,00200,0300,DIAG RADIOLOGY 58068,A81000C,00100,0100,E 58068,A81000C,00100,0200,HOME OFFICE 58068,A81000C,00100,0400,GHS 58068,A81000C,00100,0600,HOME OFFICE 58068,B100000,00000,0100,00002SQUARE FEET 58068,B100000,00000,0250,00002ACTUAL DOLLARS 58068,B100000,00000,0300,00002GROSS SALARIES 58068,B100000,00000,0400,00002ACCUM COST 58068,B100000,00000,0500,00002SQUARE FEET 58068,B100000,00000,0600,00002LAUNDRY LBS 58068,B100000,00000,0750,00002SQUARE FEET 58068,B100000,00000,0800,00002MEALS SERVED 58068,B100000,00000,0851,00002FTES 58068,B100000,00000,0900,00002HRS OF SERVICE 58068,B100000,00000,1000,00002COSTED REQUIS 58068,B100000,00000,1100,00002COSTED REQUIS 58068,B100000,00000,1200,00002TIME SPENT 58068,B100000,00000,1300,00002TIME SPENT 58068,B100000,00000,1400,00002ASSIGNED TIME 58068,E10A180,00550,0300,03/29/2000 58068,S000000,00100,0200,03/29/2000 58068,S200000,00100,0100,313 MEMORIAL DRIVE 58068,S200000,00200,0100,GREER 58068,S200000,00200,0200,SC 58068,S200000,00200,0300,29652 58068,S200000,00400,0100,ROGER HUNTINGTON NURSING CENTER 58068,S200000,00400,0200,425004 58068,S200000,00400,0300,10/01/1994 58068,S200000,00400,0500,P 58068,S200000,01500,0100,Y 58068,S200000,02200,0100,Y 58068,S200000,02900,0100,Y 58076,S000000,00100,0200,04/04/2000 58084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58084,A000000,00300,0000,00300EMPLOYEE BENEFITS 58084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58084,A000000,00700,0000,00700HOUSEKEEPING 58084,A000000,00800,0000,00800DIETARY 58084,A000000,00900,0000,00900NURSING ADMINISTRATION 58084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58084,A000000,01100,0000,01100PHARMACY 58084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58084,A000000,01300,0000,01300SOCIAL SERVICE 58084,A000000,01301,0000,01301ACTIVITES 58084,A000000,01350,0000,01500REHABILITATION 58084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58084,A000000,01600,0000,01600SKILLED NURSING FACILITY 58084,A000000,01800,0000,01800NURSING FACILITY 58084,A000000,01810,0000,01810ICF/MR 58084,A000000,02200,0000,02200LABORATORY 58084,A000000,02300,0000,02300INTRAVENOUS THERAPY 58084,A000000,02500,0000,02500PHYSICAL THERAPY 58084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58084,A000000,02700,0000,02700SPEECH PATHOLOGY 58084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58084,A000000,03050,0000,03300EQUIPMENT RENTAL 58084,A000000,03051,0000,03301PEN THERAPY 58084,A000000,03550,0000,03550FQHC 58084,A000000,05000,0000,05000CORF 58084,A000000,05010,0000,05010CMHC 58084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58084,A000000,06150,0000,06300VENDING 58084,A000000,06151,0000,06301STAND-BY 58084,A000000,06200,0000,06200PATIENTS LAUNDRY 58084,A81000A,00100,0100,Y 58084,A81000B,00100,0300,HOME OFFICE COST 58084,A81000B,00200,0300,MEDICAL SUPPLIES 58084,A81000B,00300,0300,HOME OFFICE INTEREST 58084,A81000B,00400,0300,EQUIPMENT REPLACEMENT 58084,A81000B,00500,0300,PHYSICAL THERAPY 58084,A81000B,00600,0300,OCCUPATIONAL THERAPY 58084,A81000B,00700,0300,SPEECH THERAPY 58084,A81000B,00800,0300,CENTRAL SUPPLY 58084,A81000C,00100,0100,B 58084,A81000C,00100,0200,FAITH HEALTHCAR 58084,A81000C,00100,0400,MARINER PAN 58084,A81000C,00100,0600,NURSING HOMES 58084,A81000C,00200,0100,G 58084,A81000C,00200,0200,MARINER PAN 58084,A81000C,00200,0400,AMER PHARM SVCS 58084,A81000C,00200,0600,PHARMACEUTICALS 58084,A81000C,00300,0100,G 58084,A81000C,00300,0200,MARINER PAN 58084,A81000C,00300,0400,PRISM-ATS-ARS-T 58084,A81000C,00300,0600,THERAPIES 58084,B100000,00000,0100,00001SQUARE FEET 58084,B100000,00000,0200,00001SQUARE FEET 58084,B100000,00000,0300,00001GROSS SALARIES 58084,B100000,00000,0400,00001ACCUM COST 58084,B100000,00000,0500,00001SQUARE FEET 58084,B100000,00000,0650,00001PATIENT DAYS 58084,B100000,00000,0750,00001SQUARE FEET 58084,B100000,00000,0800,00001MEALS SERVED 58084,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58084,B100000,00000,1000,00001COSTED REQUISITIO 58084,B100000,00000,1100,00001COSTED REQUIS 58084,B100000,00000,1250,00001PATIENT DAYS 58084,B100000,00000,1330,00001PATIENT DAYS 58084,B100000,00000,1331,00001PATIENT DAYS 58084,B100000,00000,1350,00001UNITS OF SERVICE 58084,B100000,00000,1400,00001ASSIGNED TIME 58084,E10A180,00501,0100,03/07/2001 58084,S000000,00100,0200,06/16/2000 58084,S200000,00100,0100,617 W. MARION STREET 58084,S200000,00200,0100,FLORENCE 58084,S200000,00200,0200,SC 58084,S200000,00200,0300,29501 58084,S200000,00300,0100,FLORENCE 58084,S200000,00400,0100,FAITH HEALTHCARE CENTER 58084,S200000,00400,0200,425009 58084,S200000,00400,0300,09/30/1994 58084,S200000,00400,0500,P 58084,S200000,01600,0100,Y 58084,S200000,02200,0100,Y 58094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58094,A000000,00300,0000,00300EMPLOYEE BENEFITS 58094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58094,A000000,00700,0000,00700HOUSEKEEPING 58094,A000000,00800,0000,00800DIETARY 58094,A000000,00900,0000,00900NURSING ADMINISTRATION 58094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58094,A000000,01100,0000,01100PHARMACY 58094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58094,A000000,01300,0000,01300SOCIAL SERVICE 58094,A000000,01350,0000,01500ACTIVITIES 58094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58094,A000000,01600,0000,01600SKILLED NURSING FACILITY 58094,A000000,01810,0000,01810ICF/MR 58094,A000000,01900,0000,01900OTHER LONG TERM CARE 58094,A000000,02100,0000,02100RADIOLOGY 58094,A000000,02200,0000,02200LABORATORY 58094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58094,A000000,02500,0000,02500PHYSICAL THERAPY 58094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58094,A000000,02700,0000,02700SPEECH PATHOLOGY 58094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58094,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58094,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58094,A000000,03550,0000,03550FQHC 58094,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58094,A000000,05000,0000,05000CORF 58094,A000000,05010,0000,05010CMHC 58094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58094,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58094,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58094,A81000A,00100,0100,Y 58094,A81000B,00100,0300,MANAGEMENT FEE 58094,A81000B,00200,0300,SOCIAL SERVICES CONSULTANT 58094,A81000B,00300,0300,LAUNDRY 58094,A81000B,00400,0300,DIETARY 58094,A81000C,00100,0100,G 58094,A81000C,00100,0200,WALLACE THOMAS HOSP 58094,A81000C,00100,0400,UNION COUNTY 58094,A81000C,00100,0600,MUNICIPALITY 58094,B100000,00000,0100,00000SQUARE FEET 58094,B100000,00000,0200,00000SQUARE FEET 58094,B100000,00000,0300,00000GROSS SALARIES 58094,B100000,00000,0400,00000ACCUM. COST 58094,B100000,00000,0500,00000SQUARE FEET 58094,B100000,00000,0600,00000LAUNDRY POUNDS 58094,B100000,00000,0750,00000SQ FEET EXCL DIET 58094,B100000,00000,0800,00000MEALS SERVED 58094,B100000,00000,0950,00000PATIENT DAYS 58094,B100000,00000,1050,00000PATIENT DAYS 58094,B100000,00000,1150,00000PATIENT DAYS 58094,B100000,00000,1250,00000PATIENT DAYS 58094,B100000,00000,1330,00000PATIENT DAYS 58094,B100000,00000,1350,00000PATIENT DAYS 58094,B100000,00000,1400,00000ASSIGNED TIME 58094,E10A180,00301,0100,08/19/1999 58094,E10A180,00301,0300,08/19/1999 58094,E10A180,00501,0100,04/12/2000 58094,E10A180,00550,0300,04/12/2000 58094,S000000,00100,0200,04/12/2000 58094,S200000,00100,0100,1817 JONESVILLE HIGHWAY 58094,S200000,00200,0100,UNION 58094,S200000,00200,0200,SC 58094,S200000,00300,0100,UNION 58094,S200000,00400,0100,ELLEN SAGAR NURSING HOME 58094,S200000,00400,0200,425012 58094,S200000,00400,0300,08/01/1965 58094,S200000,00400,0500,P 58094,S200000,01500,0100,Y 58103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58103,A000000,00300,0000,00300EMPLOYEE BENEFITS 58103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58103,A000000,00700,0000,00700HOUSEKEEPING 58103,A000000,00800,0000,00800DIETARY 58103,A000000,00900,0000,00900NURSING ADMINISTRATION 58103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58103,A000000,01100,0000,01100PHARMACY 58103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58103,A000000,01300,0000,01300SOCIAL SERVICE 58103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58103,A000000,01600,0000,01600SKILLED NURSING FACILITY 58103,A000000,01810,0000,01810ICF/MR 58103,A000000,02500,0000,02500PHYSICAL THERAPY 58103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58103,A000000,02700,0000,02700SPEECH PATHOLOGY 58103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58103,A000000,03550,0000,03550FQHC 58103,A000000,05000,0000,05000CORF 58103,A000000,05010,0000,05010CMHC 58103,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58103,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58103,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58103,A000000,05300,0000,05300INTEREST EXPENSE 58103,A000000,06201,0000,06220PEN THERAPY 58103,B100000,00000,0100,00020SQUARE FEET 58103,B100000,00000,0200,00020SQUARE FEET 58103,B100000,00000,0300,00020GROSS SALARIES 58103,B100000,00000,0400,00020ACCUM COST 58103,B100000,00000,0500,00020SQUARE FEET 58103,B100000,00000,0600,00020POUNDS OF LAUNDRY 58103,B100000,00000,0700,00020HOURS OF SERVICE 58103,B100000,00000,0800,00020MEALS SERVED 58103,B100000,00000,0900,00020DIRECT NRSG HRS 58103,B100000,00000,1000,00020COSTED REQUIS 58103,B100000,00000,1100,00020COSTED REQUIS 58103,B100000,00000,1200,00020TIME SPENT 58103,B100000,00000,1300,00020TIME SPENT 58103,B100000,00000,1400,00020ASSIGNED TIME 58103,E10A180,00301,0100,06/04/1999 58103,E10A180,00351,0300,06/04/1999 58103,E10A180,00501,0300,05/30/2000 58103,E10A180,00550,0100,05/30/2000 58103,S000000,00100,0200,02/29/2000 58103,S200000,00100,0100,HIGHWAY 501 58103,S200000,00100,0300,1106 58103,S200000,00200,0100,MARION 58103,S200000,00200,0200,SC 58103,S200000,00200,0300,29571 58103,S200000,00300,0100,MARION 58103,S200000,00400,0100,MARION NURSING CENTER INC. 58103,S200000,00400,0200,425015 58103,S200000,00400,0300,10/01/1975 58103,S200000,00400,0500,P 58103,S200000,01500,0100,Y 58103,S200000,02800,0100,Y 58113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58113,A000000,00300,0000,00300EMPLOYEE BENEFITS 58113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58113,A000000,00700,0000,00700HOUSEKEEPING 58113,A000000,00800,0000,00800DIETARY 58113,A000000,00900,0000,00900NURSING ADMINISTRATION 58113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58113,A000000,01100,0000,01100PHARMACY 58113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58113,A000000,01300,0000,01300SOCIAL SERVICE 58113,A000000,01350,0000,01500ACTIVITIES 58113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58113,A000000,01600,0000,01600SKILLED NURSING FACILITY 58113,A000000,01810,0000,01810ICF/MR 58113,A000000,02100,0000,02100RADIOLOGY 58113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58113,A000000,02500,0000,02500PHYSICAL THERAPY 58113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58113,A000000,02700,0000,02700SPEECH PATHOLOGY 58113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58113,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58113,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58113,A000000,03550,0000,03550FQHC 58113,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58113,A000000,04800,0000,04800AMBULANCE 58113,A000000,05000,0000,05000CORF 58113,A000000,05010,0000,05010CMHC 58113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58113,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58113,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58113,A81000A,00100,0100,Y 58113,A81000B,00100,0300,MANAGEMENT FEES 58113,A81000B,00200,0300,MANAGEMENT FEES 58113,A81000B,00300,0300,MANAGEMENT FEES 58113,A81000B,00400,0300,MANAGEMENT FEES 58113,A81000B,00600,0300,MANAGEMENT FEES 58113,A81000B,00700,0300,LAUNDRY SERVICE 58113,A81000B,00800,0300,LAUNDRY SERVICE 58113,A81000B,00900,0300,LAUNDRY SERVICE 58113,A81000B,01000,0300,LAUNDRY SERVICE 58113,A81000B,01100,0300,LAUNDRY SERVICE 58113,A81000B,01200,0300,PHYSICAL THERAPY 58113,A81000B,01300,0300,OCCUPATIONAL THERAPY 58113,A81000B,01400,0300,SPEECH THERAPY 58113,A81000B,01600,0300,HISTORICAL COSTS 58113,A81000C,00100,0100,A 58113,A81000C,00100,0200,MICHAEL H. MCBRIDE 58113,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58113,A81000C,00100,0600,HOME OFFICE 58113,A81000C,00200,0100,A 58113,A81000C,00200,0200,T. EDWARD CHILDRESS 58113,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58113,A81000C,00200,0600,HOME OFFICE 58113,A81000C,00300,0100,A 58113,A81000C,00300,0200,JOHN P. OBRIEN 58113,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58113,A81000C,00300,0600,HOME OFFICE 58113,A81000C,00400,0100,A 58113,A81000C,00400,0200,MICHAEL H. MCBRIDE 58113,A81000C,00400,0400,CENTRAL SUPPORT 58113,A81000C,00400,0600,LAUNDRY 58113,A81000C,00500,0100,A 58113,A81000C,00500,0200,T. EDWARD CHILDRESS 58113,A81000C,00500,0400,CENTRAL SUPPORT 58113,A81000C,00500,0600,LAUNDRY 58113,A81000C,00600,0100,A 58113,A81000C,00600,0200,JOHN P. OBRIEN 58113,A81000C,00600,0400,CENTRAL SUPPORT 58113,A81000C,00600,0600,LAUNDRY 58113,A81000C,00700,0100,A 58113,A81000C,00700,0200,T. EDWARD CHILDRESS 58113,A81000C,00700,0400,ADVANTAGE REHAB INC. 58113,A81000C,00700,0600,THERAPY 58113,A81000C,00800,0100,A 58113,A81000C,00800,0200,JOHN P. OBRIEN 58113,A81000C,00800,0400,ADVANTAGE REHAB INC. 58113,A81000C,00800,0600,THERAPY 58113,A81000C,00900,0100,A 58113,A81000C,00900,0200,MICHAEL H. MCBRIDE 58113,A81000C,00900,0400,ADVANTAGE REHAB INC. 58113,A81000C,00900,0600,THERAPY 58113,A81000C,01000,0100,A 58113,A81000C,01000,0200,T. EDWARD CHILDRESS 58113,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58113,A81000C,01000,0600,RENTAL LEASING 58113,A81000C,01100,0100,A 58113,A81000C,01100,0200,JOHN P. OBRIEN 58113,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58113,A81000C,01100,0600,RENTAL LEASING 58113,A81000C,01200,0100,A 58113,A81000C,01200,0200,MICHAEL H. MCBRIDE 58113,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58113,A81000C,01200,0600,RENTAL LEASING 58113,B100000,00000,0100,00000SQUARE FEET 58113,B100000,00000,0200,00000SQUARE FEET 58113,B100000,00000,0300,00000GROSS SALARIES 58113,B100000,00000,0400,00000ACCUM. COST 58113,B100000,00000,0500,00000SQUARE FEET 58113,B100000,00000,0600,00000POUNDS OF LAUNDRY 58113,B100000,00000,0750,00000SQUARE FEET 58113,B100000,00000,0800,00000MEALS SERVED 58113,B100000,00000,0900,00000NSG LABOR HOURS 58113,B100000,00000,1050,00000PATIENT DAYS 58113,B100000,00000,1150,00000PATIENT DAYS 58113,B100000,00000,1250,00000PATIENT DAYS 58113,B100000,00000,1330,00000PATIENT DAYS 58113,B100000,00000,1350,00000PATIENT DAYS 58113,B100000,00000,1400,00000ASSIGNED TIME 58113,E10A180,00301,0100,06/08/1999 58113,E10A180,00350,0300,06/08/1999 58113,S000000,00100,0200,04/14/2000 58113,S200000,00100,0100,208 JAMES STREET 58113,S200000,00200,0100,ANDERSON 58113,S200000,00200,0200,SC 58113,S200000,00300,0100,ANDERSON 58113,S200000,00400,0100,BROOKSIDE NURSING CENTER INC. 58113,S200000,00400,0200,425016 58113,S200000,00400,0300,01/01/1998 58113,S200000,00400,0500,P 58113,S200000,01500,0100,Y 58124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58124,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58124,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58124,A000000,00300,0000,00300EMPLOYEE BENEFITS 58124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58124,A000000,00700,0000,00700HOUSEKEEPING 58124,A000000,00800,0000,00800DIETARY 58124,A000000,00801,0000,00801CAFETERIA 58124,A000000,00900,0000,00900NURSING ADMINISTRATION 58124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58124,A000000,01100,0000,01100PHARMACY 58124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58124,A000000,01300,0000,01300SOCIAL SERVICE 58124,A000000,01350,0000,01500ACTIVITIES 58124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58124,A000000,01600,0000,01600SKILLED NURSING FACILITY 58124,A000000,01800,0000,01800NURSING FACILITY 58124,A000000,01810,0000,01810ICF/MR 58124,A000000,02100,0000,02100RADIOLOGY 58124,A000000,02200,0000,02200LABORATORY 58124,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58124,A000000,02500,0000,02500PHYSICAL THERAPY 58124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58124,A000000,02700,0000,02700SPEECH PATHOLOGY 58124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58124,A000000,03050,0000,03300PEN THERAPY 58124,A000000,03051,0000,03301PROSTHETICS 58124,A000000,03052,0000,03302WOUND CARE 58124,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58124,A000000,03550,0000,03550FQHC 58124,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58124,A000000,04800,0000,04800AMBULANCE 58124,A000000,05000,0000,05000CORF I 58124,A000000,05010,0000,05010CMHC I 58124,A000000,05020,0000,05020OPT I 58124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58124,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58124,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58124,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58124,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58124,A81000A,00100,0100,Y 58124,A81000B,00100,0300,MANAGEMENT FEES 58124,A81000B,00200,0300,NURSING SUPPLIES 58124,A81000B,00300,0300,LEGEND DRUGS 58124,A81000B,00400,0300,OTC 58124,A81000B,00500,0300,MEDICAL SUPPLIES 58124,A81000B,00600,0300,PHARMACY CONSULTANT 58124,A81000C,00100,0100,B 58124,A81000C,00100,0400,WHITE OAK MANOR 58124,A81000C,00100,0600,NSG HOME CHAIN 58124,A81000C,00200,0100,B 58124,A81000C,00200,0400,WHITE OAK MANOR 58124,A81000C,00200,0600,PHARMACY 58124,B100000,00000,0100,00000(SQUARE FEET) 58124,B100000,00000,0101,00000(SQUARE FEET) 58124,B100000,00000,0200,00000(SQUARE FEET) 58124,B100000,00000,0201,00000(SQUARE FEET) 58124,B100000,00000,0300,00000(GROSS SALARIES) 58124,B100000,00000,0400,00000(ACCUM. COST) 58124,B100000,00000,0500,00000(SQUARE FEET) 58124,B100000,00000,0650,00000(PATIENT DAYS) 58124,B100000,00000,0750,00000(SQUARE FEET) 58124,B100000,00000,0800,00000(MEALS SERVED) 58124,B100000,00000,0801,00000(MEALS SERVED) 58124,B100000,00000,0950,00000(PATIENT DAYS) 58124,B100000,00000,1050,00000(PATIENT DAYS) 58124,B100000,00000,1150,00000(PATIENT DAYS) 58124,B100000,00000,1250,00000(PATIENT DAYS) 58124,B100000,00000,1330,00000(PATIENT DAYS) 58124,B100000,00000,1350,00000(PATIENT DAYS) 58124,B100000,00000,1400,00000(ASSIGNED TIME) 58124,E10A180,00301,0100,08/27/1999 58124,E10A180,00501,0300,02/24/2000 58124,E10A180,00550,0100,02/24/2000 58124,S000000,00100,0200,02/24/2000 58124,S200000,00100,0100,2407 S. PINE ST 58124,S200000,00100,0300,3347 58124,S200000,00200,0100,SPARTANBURG 58124,S200000,00200,0200,SC 58124,S200000,00200,0300,29304 58124,S200000,00300,0100,SPARTANBURG 58124,S200000,00400,0100,WHITE OAK MANOR-LANCASTER 58124,S200000,00400,0200,425017 58124,S200000,00400,0300,06/15/1991 58124,S200000,00400,0500,P 58124,S200000,01500,0100,Y 58124,S200000,02200,0100,Y 58135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58135,A000000,00300,0000,00300EMPLOYEE BENEFITS 58135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58135,A000000,00700,0000,00700HOUSEKEEPING 58135,A000000,00800,0000,00800DIETARY 58135,A000000,00900,0000,00900NURSING ADMINISTRATION 58135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58135,A000000,01100,0000,01100PHARMACY 58135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58135,A000000,01300,0000,01300SOCIAL SERVICE 58135,A000000,01350,0000,01500ACTIVITIES 58135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58135,A000000,01600,0000,01600SKILLED NURSING FACILITY 58135,A000000,01810,0000,01810ICF/MR 58135,A000000,02100,0000,02100RADIOLOGY 58135,A000000,02200,0000,02200LABORATORY 58135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58135,A000000,02500,0000,02500PHYSICAL THERAPY 58135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58135,A000000,02700,0000,02700SPEECH PATHOLOGY 58135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58135,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58135,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58135,A000000,03550,0000,03550FQHC 58135,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58135,A000000,04800,0000,04800AMBULANCE 58135,A000000,05000,0000,05000CORF 58135,A000000,05010,0000,05010CMHC 58135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58135,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58135,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58135,A81000A,00100,0100,Y 58135,A81000B,00100,0300,MANAGEMENT FEES 58135,A81000B,00200,0300,MANAGEMENT FEES 58135,A81000B,00300,0300,MANAGEMENT FEES 58135,A81000B,00400,0300,MANAGEMENT FEES 58135,A81000B,00600,0300,MANAGEMENT FEES 58135,A81000B,00700,0300,LAUNDRY SERVICE 58135,A81000B,00800,0300,LAUNDRY SERVICE 58135,A81000B,00900,0300,LAUNDRY SERVICE 58135,A81000B,01000,0300,LAUNDRY SERVICE 58135,A81000B,01100,0300,LAUNDRY SERVICE 58135,A81000B,01200,0300,PHYSICAL THERAPY 58135,A81000B,01300,0300,OCCUPATIONAL THERAPY 58135,A81000B,01400,0300,SPEECH THERAPY 58135,A81000B,01500,0300,SHAREHOLDER INTEREST 58135,A81000B,01600,0300,HISTORICAL COSTS 58135,A81000C,00100,0100,A 58135,A81000C,00100,0200,MICHAEL H. MCBRIDE 58135,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58135,A81000C,00100,0600,HOME OFFICE 58135,A81000C,00200,0100,A 58135,A81000C,00200,0200,T. EDWARD CHILDRESS 58135,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58135,A81000C,00200,0600,HOME OFFICE 58135,A81000C,00300,0100,A 58135,A81000C,00300,0200,JOHN P. OBRIEN 58135,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58135,A81000C,00300,0600,HOME OFFICE 58135,A81000C,00400,0100,A 58135,A81000C,00400,0200,MICHAEL H. MCBRIDE 58135,A81000C,00400,0400,CENTRAL SUPPORT 58135,A81000C,00400,0600,LAUNDRY 58135,A81000C,00500,0100,A 58135,A81000C,00500,0200,T. EDWARD CHILDRESS 58135,A81000C,00500,0400,CENTRAL SUPPORT 58135,A81000C,00500,0600,LAUNDRY 58135,A81000C,00600,0100,A 58135,A81000C,00600,0200,JOHN P. OBRIEN 58135,A81000C,00600,0400,CENTRAL SUPPORT 58135,A81000C,00600,0600,LAUNDRY 58135,A81000C,00700,0100,A 58135,A81000C,00700,0200,T. EDWARD CHILDRESS 58135,A81000C,00700,0400,ADVANTAGE REHAB INC. 58135,A81000C,00700,0600,THERAPY 58135,A81000C,00800,0100,A 58135,A81000C,00800,0200,JOHN P. OBRIEN 58135,A81000C,00800,0400,ADVANTAGE REHAB INC. 58135,A81000C,00800,0600,THERAPY 58135,A81000C,00900,0100,A 58135,A81000C,00900,0200,MICHAEL H. MCBRIDE 58135,A81000C,00900,0400,ADVANTAGE REHAB INC. 58135,A81000C,00900,0600,THERAPY 58135,A81000C,01000,0100,A 58135,A81000C,01000,0200,T. EDWARD CHILDRESS 58135,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58135,A81000C,01000,0600,RENTAL LEASING 58135,A81000C,01100,0100,A 58135,A81000C,01100,0200,JOHN P. OBRIEN 58135,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58135,A81000C,01100,0600,RENTAL LEASING 58135,A81000C,01200,0100,A 58135,A81000C,01200,0200,MICHAEL H. MCBRIDE 58135,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58135,A81000C,01200,0600,RENTAL LEASING 58135,B100000,00000,0100,00000SQUARE FEET 58135,B100000,00000,0200,00000SQUARE FEET 58135,B100000,00000,0300,00000GROSS SALARIES 58135,B100000,00000,0400,00000ACCUM. COST 58135,B100000,00000,0500,00000SQUARE FEET 58135,B100000,00000,0600,00000POUNDS OF LAUNDRY 58135,B100000,00000,0750,00000SQUARE FEET 58135,B100000,00000,0800,00000MEALS SERVED 58135,B100000,00000,0900,00000NSG LABOR HOURS 58135,B100000,00000,1050,00000PATIENT DAYS 58135,B100000,00000,1150,00000PATIENT DAYS 58135,B100000,00000,1250,00000PATIENT DAYS 58135,B100000,00000,1330,00000PATIENT DAYS 58135,B100000,00000,1350,00000PATIENT DAYS 58135,B100000,00000,1400,00000ASSIGNED TIME 58135,E10A180,00501,0100,04/25/2000 58135,E10A180,00550,0100,06/15/2000 58135,E10A180,00550,0300,04/25/2000 58135,S000000,00100,0200,04/14/2000 58135,S200000,00100,0100,200 ANNE DRIVE 58135,S200000,00200,0100,EASLEY 58135,S200000,00200,0200,SC 58135,S200000,00200,0300,29640 58135,S200000,00300,0100,PICKENS 58135,S200000,00400,0100,EASLEY NURSING CENTER INC. 58135,S200000,00400,0200,425018 58135,S200000,00400,0300,01/01/1988 58135,S200000,00400,0500,P 58135,S200000,01500,0100,Y 58148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58148,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58148,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58148,A000000,00300,0000,00300EMPLOYEE BENEFITS 58148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58148,A000000,00700,0000,00700HOUSEKEEPING 58148,A000000,00800,0000,00800DIETARY 58148,A000000,00801,0000,00801CAFETERIA 58148,A000000,00900,0000,00900NURSING ADMINISTRATION 58148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58148,A000000,01100,0000,01100PHARMACY 58148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58148,A000000,01300,0000,01300SOCIAL SERVICE 58148,A000000,01350,0000,01500ACTIVITIES 58148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58148,A000000,01600,0000,01600SKILLED NURSING FACILITY 58148,A000000,01800,0000,01800NURSING FACILITY 58148,A000000,01810,0000,01810ICF/MR 58148,A000000,02100,0000,02100RADIOLOGY 58148,A000000,02200,0000,02200LABORATORY 58148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58148,A000000,02500,0000,02500PHYSICAL THERAPY 58148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58148,A000000,02700,0000,02700SPEECH PATHOLOGY 58148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58148,A000000,03050,0000,03300PEN THERAPY 58148,A000000,03051,0000,03301PROSTHETICS 58148,A000000,03052,0000,03302WOUND CARE 58148,A000000,03200,0000,03200SUPPORT SURFACES 58148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58148,A000000,03550,0000,03550FQHC 58148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58148,A000000,04800,0000,04800AMBULANCE 58148,A000000,05000,0000,05000CORF I 58148,A000000,05010,0000,05010CMHC I 58148,A000000,05020,0000,05020OPT I 58148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58148,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58148,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58148,A81000A,00100,0100,Y 58148,A81000B,00100,0300,MANAGEMENT FEES 58148,A81000B,00200,0300,NURSING SUPPLIES 58148,A81000B,00300,0300,LEGEND DRUGS 58148,A81000B,00400,0300,OTC 58148,A81000B,00500,0300,MEDICAL SUPPLIES 58148,A81000B,00600,0300,PHARMACY CONSULTANT 58148,A81000C,00100,0100,B 58148,A81000C,00100,0400,WHITE OAK MANOR 58148,A81000C,00100,0600,NSG HOME CHAIN 58148,A81000C,00200,0100,B 58148,A81000C,00200,0400,WHITE OAK MANOR 58148,A81000C,00200,0600,PHARMACY 58148,B100000,00000,0100,00000(SQUARE FEET) 58148,B100000,00000,0101,00000(SQUARE FEET) 58148,B100000,00000,0200,00000(SQUARE FEET) 58148,B100000,00000,0201,00000(SQUARE FEET) 58148,B100000,00000,0300,00000(GROSS SALARIES) 58148,B100000,00000,0400,00000(ACCUM. COST) 58148,B100000,00000,0500,00000(SQUARE FEET) 58148,B100000,00000,0650,00000(PATIENT DAYS) 58148,B100000,00000,0750,00000(SQUARE FEET) 58148,B100000,00000,0800,00000(MEALS SERVED) 58148,B100000,00000,0801,00000(MEALS SERVED) 58148,B100000,00000,0950,00000(PATIENT DAYS) 58148,B100000,00000,1050,00000(PATIENT DAYS) 58148,B100000,00000,1150,00000(PATIENT DAYS) 58148,B100000,00000,1250,00000(PATIENT DAYS) 58148,B100000,00000,1330,00000(PATIENT DAYS) 58148,B100000,00000,1350,00000(PATIENT DAYS) 58148,B100000,00000,1400,00000(ASSIGNED TIME) 58148,E10A180,00301,0100,09/30/1999 58148,E10A180,00350,0300,09/30/1999 58148,E10A180,00501,0300,02/24/2000 58148,E10A180,00550,0100,02/24/2000 58148,S000000,00100,0200,02/24/2000 58148,S200000,00100,0100,2407 S. PINE ST 58148,S200000,00100,0300,3347 58148,S200000,00200,0100,SPARTANBURG 58148,S200000,00200,0200,SC 58148,S200000,00200,0300,29304 58148,S200000,00300,0100,SPARTANBURG 58148,S200000,00400,0100,WHITE OAK MANOR-SPARTANBURG 58148,S200000,00400,0200,425024 58148,S200000,00400,0300,09/30/1967 58148,S200000,00400,0500,P 58148,S200000,01600,0100,Y 58148,S200000,01900,0100,HOSPITAL OWNED 58148,S200000,02200,0100,Y 58158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58158,A000000,00300,0000,00300EMPLOYEE BENEFITS 58158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58158,A000000,00700,0000,00700HOUSEKEEPING 58158,A000000,00800,0000,00800DIETARY 58158,A000000,00900,0000,00900NURSING ADMINISTRATION 58158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58158,A000000,01100,0000,01100PHARMACY 58158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58158,A000000,01300,0000,01300SOCIAL SERVICE 58158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58158,A000000,01600,0000,01600SKILLED NURSING FACILITY 58158,A000000,01810,0000,01810ICF/MR 58158,A000000,02500,0000,02500PHYSICAL THERAPY 58158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58158,A000000,02700,0000,02700SPEECH PATHOLOGY 58158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58158,A000000,03200,0000,03200SUPPORT SURFACES 58158,A000000,03550,0000,03550FQHC 58158,A000000,05000,0000,05000CORF 58158,A000000,05010,0000,05010CMHC 58158,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58158,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58158,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58158,A000000,06150,0000,06300DAYCARE 58158,A81000A,00100,0100,Y 58158,A81000B,00100,0300,DEPRECIATION EXPENSE 58158,A81000C,00100,0100,B 58158,A81000C,00100,0200,SPARTANBURG COU 58158,A81000C,00100,0400,SPARTANBURG COU 58158,A81000C,00100,0600,FACILITY RENT 58158,B100000,00000,0100,00000SQUARE FEET 58158,B100000,00000,0200,00000SQUARE FEET 58158,B100000,00000,0300,00000GROSS SALARIES 58158,B100000,00000,0400,00000ACCUM COST 58158,B100000,00000,0500,00000SQUARE FEET 58158,B100000,00000,0600,00000POUNDS OF LAUNDRY 58158,B100000,00000,0700,00000HOURS OF SERVICE 58158,B100000,00000,0800,00000MEALS SERVED 58158,B100000,00000,0900,00000DIRECT NRSG HRS 58158,B100000,00000,1000,00000COSTED REQUIS 58158,B100000,00000,1100,00000COSTED REQUIS 58158,B100000,00000,1200,00000TIME SPENT 58158,B100000,00000,1300,00000TIME SPENT 58158,B100000,00000,1400,00000ASSIGNED TIME 58158,E10A180,00501,0100,02/13/2001 58158,E10A180,00501,0300,02/13/2001 58158,S000000,00100,0200,10/12/2000 58158,S200000,00100,0100,340 CEDAR SPRINGS ROAD 58158,S200000,00200,0100,SPARTANBURG 58158,S200000,00200,0200,SC 58158,S200000,00200,0300,29302 58158,S200000,00300,0100,SPARTANBURG 58158,S200000,00400,0100,MOUNTAINVIEW NURSING HOME 58158,S200000,00400,0200,425027 58158,S200000,00400,0300,10/01/1970 58158,S200000,00400,0500,P 58158,S200000,01500,0100,Y 58158,S200000,01900,0100,HOSPITAL 58173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58173,A000000,00300,0000,00300EMPLOYEE BENEFITS 58173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58173,A000000,00700,0000,00700HOUSEKEEPING 58173,A000000,00800,0000,00800DIETARY 58173,A000000,00900,0000,00900NURSING ADMINISTRATION 58173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58173,A000000,01100,0000,01100PHARMACY 58173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58173,A000000,01300,0000,01300SOCIAL SERVICE 58173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58173,A000000,01600,0000,01600SKILLED NURSING FACILITY 58173,A000000,01810,0000,01810ICF/MR 58173,A000000,02100,0000,02100RADIOLOGY 58173,A000000,02200,0000,02200LABORATORY 58173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58173,A000000,02500,0000,02500PHYSICAL THERAPY 58173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58173,A000000,02700,0000,02700SPEECH PATHOLOGY 58173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58173,A000000,03550,0000,03550FQHC 58173,A000000,05000,0000,05000CORF 58173,A000000,05010,0000,05010CMHC 58173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58173,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58173,B100000,00000,0100,00000SQUARE FEET 58173,B100000,00000,0200,00000SQUARE FEET 58173,B100000,00000,0300,00000GROSS SALARIES 58173,B100000,00000,0400,00000ACCUM. COST 58173,B100000,00000,0500,00000SQUARE FEET 58173,B100000,00000,0650,00000PATIENT DAYS 58173,B100000,00000,0750,00000SQUARE FEET 58173,B100000,00000,0800,00000MEALS SERVED 58173,B100000,00000,0900,00000DIRECT NRSG HRS 58173,B100000,00000,1050,00000PATIENT DAYS 58173,B100000,00000,1100,00000COSTED REQUIS 58173,B100000,00000,1250,00000PATIENT DAYS 58173,B100000,00000,1330,00000PATIENT DAYS 58173,B100000,00000,1400,00000ASSIGNED TIME 58173,S000000,00100,0200,04/04/2000 58173,S200000,00100,0100,1330 KINARD STREET 58173,S200000,00200,0100,NEWBERRY 58173,S200000,00200,0200,SC 58173,S200000,00300,0100,NEWBERRY 58173,S200000,00400,0100,J.F. HAWKINS NURSING HOME 58173,S200000,00400,0200,425035 58173,S200000,00400,0300,10/01/1966 58173,S200000,00400,0500,P 58173,S200000,00400,0600,P 58173,S200000,01500,0100,Y 58173,S200000,04600,0100,Y 58182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58182,A000000,00300,0000,00300EMPLOYEE BENEFITS 58182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58182,A000000,00700,0000,00700HOUSEKEEPING 58182,A000000,00800,0000,00800DIETARY 58182,A000000,00900,0000,00900NURSING ADMINISTRATION 58182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58182,A000000,01100,0000,01100PHARMACY 58182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58182,A000000,01300,0000,01300SOCIAL SERVICE 58182,A000000,01350,0000,01500PATIENT ACTIVITIES 58182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58182,A000000,01600,0000,01600SKILLED NURSING FACILITY 58182,A000000,01800,0000,01800NURSING FACILITY 58182,A000000,01810,0000,01810ICF/MR 58182,A000000,02100,0000,02100RADIOLOGY 58182,A000000,02200,0000,02200LABORATORY 58182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58182,A000000,02500,0000,02500PHYSICAL THERAPY 58182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58182,A000000,02700,0000,02700SPEECH PATHOLOGY 58182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58182,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 58182,A000000,03550,0000,03550FQHC 58182,A000000,05000,0000,05000CORF 58182,A000000,05010,0000,05010CMHC 58182,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58182,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58182,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58182,A000000,06200,0000,06200PATIENTS LAUNDRY 58182,B100000,00000,0100,00000SQUARE FEET 58182,B100000,00000,0200,00000DOLLAR VALUE 58182,B100000,00000,0300,00000GROSS SALARIES 58182,B100000,00000,0400,00000ACCUM. COST 58182,B100000,00000,0500,00000SQUARE FEET 58182,B100000,00000,0600,00000POUNDS OF LAUNDRY 58182,B100000,00000,0700,00000HOURS OF SERVICE 58182,B100000,00000,0800,00000MEALS SERVED 58182,B100000,00000,0900,00000DIRECT NRSING HRS 58182,B100000,00000,1050,00000PATIENT DAYS 58182,B100000,00000,1100,00000COSTED REQUIS 58182,B100000,00000,1200,00000TIME SPENT 58182,B100000,00000,1300,00000TIME SPENT 58182,B100000,00000,1350,00000PATIENT DAYS 58182,B100000,00000,1400,00000ASSIGNED TIME 58182,E10A180,00301,0100,03/30/1999 58182,E10A180,00501,0300,05/15/2000 58182,S000000,00100,0200,04/07/2000 58182,S200000,00100,0100,661 RUTHERFORD ROAD 58182,S200000,00200,0100,GREENVILLE 58182,S200000,00200,0200,SC 58182,S200000,00300,0100,GREENVILLE 58182,S200000,00400,0100,GRADY H. HIPP NURSING CENTER 58182,S200000,00400,0200,425042 58182,S200000,00400,0300,01/04/1967 58182,S200000,00400,0500,P 58182,S200000,01600,0100,Y 58182,S200000,01900,0100,HOSPITAL OWNED 58193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58193,A000000,00300,0000,00300EMPLOYEE BENEFITS 58193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58193,A000000,00700,0000,00700HOUSEKEEPING 58193,A000000,00800,0000,00800DIETARY 58193,A000000,00900,0000,00900NURSING ADMINISTRATION 58193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58193,A000000,01100,0000,01100PHARMACY 58193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58193,A000000,01300,0000,01300SOCIAL SERVICE 58193,A000000,01350,0000,01500OTHER GENERAL SERVICES-ACTIVITI 58193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58193,A000000,01600,0000,01600SKILLED NURSING FACILITY 58193,A000000,01810,0000,01810ICF/MR 58193,A000000,02100,0000,02100RADIOLOGY 58193,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58193,A000000,02500,0000,02500PHYSICAL THERAPY 58193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58193,A000000,02700,0000,02700SPEECH PATHOLOGY 58193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58193,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58193,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58193,A000000,03550,0000,03550FQHC 58193,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58193,A000000,05000,0000,05000CORF 58193,A000000,05010,0000,05010CMHC 58193,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58193,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58193,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58193,A000000,05300,0000,05300INTEREST EXPENSE 58193,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58193,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58193,A81000A,00100,0100,Y 58193,A81000B,00100,0300,CAP REL COSTS-BLDGS & F CAPITA 58193,A81000C,00100,0100,E 58193,A81000C,00100,0200,LYNDON ELLENBURG 58193,A81000C,00100,0400,J & L PARTNERSHIP 58193,A81000C,00100,0600,STORAGE SPACE LEASE 58193,A81000C,00200,0100,E 58193,A81000C,00200,0200,JANET E STEWART 58193,A81000C,00200,0400,J & L PARTNERSHIP 58193,A81000C,00200,0600,STORAGE SPACE LEASE 58193,B100000,00000,0100,00000SQUARE FEET 58193,B100000,00000,0200,00000SQUARE FEET 58193,B100000,00000,0300,00000GROSS SALARIES 58193,B100000,00000,0400,00000ACCUM. COST 58193,B100000,00000,0500,00000SQUARE FEET 58193,B100000,00000,0650,00000PATIENT DAYS 58193,B100000,00000,0750,00000PATIENT DAYS 58193,B100000,00000,0800,00000MEALS SERVED 58193,B100000,00000,0950,00000PATIENT DAYS 58193,B100000,00000,1050,00000PATIENT DAYS 58193,B100000,00000,1150,00000PATIENT DAYS 58193,B100000,00000,1250,00000PATIENT DAYS 58193,B100000,00000,1330,00000PATIENT DAYS 58193,B100000,00000,1350,00000PATIENT DAYS 58193,B100000,00000,1400,00000NO STATISTICS 58193,E10A180,00301,0100,08/19/1999 58193,E10A180,00301,0300,08/19/1999 58193,E10A180,00550,0100,04/03/2000 58193,E10A180,00550,0300,04/03/2000 58193,S000000,00100,0200,04/03/2000 58193,S200000,00100,0100,611 E. HAMPTON STREET 58193,S200000,00200,0100,ANDERSON 58193,S200000,00200,0200,SC 58193,S200000,00300,0100,ANDERSON 58193,S200000,00400,0100,ELLENBURG NURSING CENTER INC. 58193,S200000,00400,0200,425047 58193,S200000,00400,0300,02/09/1966 58193,S200000,00400,0500,P 58193,S200000,01500,0100,Y 58193,S200000,02200,0100,Y 58193,S200000,02800,0100,Y 58193,S200000,04300,0100,Y 58205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58205,A000000,00300,0000,00300EMPLOYEE BENEFITS 58205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58205,A000000,00700,0000,00700HOUSEKEEPING 58205,A000000,00800,0000,00800DIETARY 58205,A000000,00900,0000,00900NURSING ADMINISTRATION 58205,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58205,A000000,01100,0000,01100PHARMACY 58205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58205,A000000,01300,0000,01300SOCIAL SERVICE 58205,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58205,A000000,01600,0000,01600SKILLED NURSING FACILITY 58205,A000000,01810,0000,01810ICF/MR 58205,A000000,02200,0000,02200LABORATORY 58205,A000000,02300,0000,02300INTRAVENOUS THERAPY 58205,A000000,02500,0000,02500PHYSICAL THERAPY 58205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58205,A000000,02700,0000,02700SPEECH PATHOLOGY 58205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58205,A000000,03200,0000,03200SUPPORT SURFACES 58205,A000000,03550,0000,03550FQHC 58205,A000000,04800,0000,04800AMBULANCE 58205,A000000,05000,0000,05000CORF 58205,A000000,05010,0000,05010CMHC 58205,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58205,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58205,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58205,A81000A,00100,0100,Y 58205,A81000B,00100,0300,LAUNDRY SERVICE 58205,A81000B,00200,0300,LAWN CARE 58205,A81000B,00300,0300,MANAGEMENT FEES 58205,A81000B,00400,0300,NURSING SUPPLIES 58205,A81000C,00100,0100,B 58205,A81000C,00100,0400,MANOR HOUSE-GTW 58205,A81000C,00100,0600,ASSTD LINING FA 58205,A81000C,00200,0100,B 58205,A81000C,00200,0400,PALMETTO LANDSC 58205,A81000C,00200,0600,LANDSCAPING CO. 58205,A81000C,00300,0100,B 58205,A81000C,00300,0400,QUALITY CARE MN 58205,A81000C,00300,0600,PAYROLL/BOOKKEE 58205,A81000C,00400,0100,B 58205,A81000C,00400,0400,WINYAH DISPENSA 58205,A81000C,00400,0600,MED & NURSING S 58205,B100000,00000,0100,00000SQUARE FEET 58205,B100000,00000,0200,00000SQUARE FEET 58205,B100000,00000,0300,00000GROSS SALARIES 58205,B100000,00000,0400,00000ACCUM COST 58205,B100000,00000,0500,00000SQUARE FEET 58205,B100000,00000,0600,00000POUNDS OF LAUNDRY 58205,B100000,00000,0700,00000HOURS OF SERVICE 58205,B100000,00000,0800,00000MEALS SERVED 58205,B100000,00000,0900,00000DIRECT NRSG HRS 58205,B100000,00000,1000,00000COSTED REQUIS 58205,B100000,00000,1100,00000COSTED REQUIS 58205,B100000,00000,1200,00000TIME SPENT 58205,B100000,00000,1300,00000TIME SPENT 58205,B100000,00000,1400,00000ASSIGNED TIME 58205,E10A180,00302,0100,06/08/1999 58205,E10A180,00350,0300,06/08/1999 58205,S000000,00100,0200,04/04/2000 58205,S200000,00100,0100,2715 SOUTH ISLAND ROAD 58205,S200000,00200,0100,GEORGETOWN 58205,S200000,00200,0200,SC 58205,S200000,00200,0300,29440 58205,S200000,00300,0100,GEORGETOWN 58205,S200000,00400,0100,WINYAH CONVALESCENT CENTER INC. 58205,S200000,00400,0200,425048 58205,S200000,00400,0300,01/01/1970 58205,S200000,00400,0500,P 58205,S200000,01500,0100,Y 58215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58215,A000000,00300,0000,00300EMPLOYEE BENEFITS 58215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58215,A000000,00700,0000,00700HOUSEKEEPING 58215,A000000,00800,0000,00800DIETARY 58215,A000000,00900,0000,00900NURSING ADMINISTRATION 58215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58215,A000000,01100,0000,01100PHARMACY 58215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58215,A000000,01300,0000,01300SOCIAL SERVICE 58215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58215,A000000,01600,0000,01600SKILLED NURSING FACILITY 58215,A000000,01800,0000,01800NURSING FACILITY 58215,A000000,01810,0000,01810ICF/MR 58215,A000000,02100,0000,02100RADIOLOGY 58215,A000000,02200,0000,02200LABORATORY 58215,A000000,02300,0000,02300INTRAVENOUS THERAPY 58215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58215,A000000,02500,0000,02500PHYSICAL THERAPY 58215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58215,A000000,02700,0000,02700SPEECH PATHOLOGY 58215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58215,A000000,03200,0000,03200SUPPORT SURFACES 58215,A000000,03550,0000,03550FQHC 58215,A000000,04800,0000,04800AMBULANCE 58215,A000000,05000,0000,05000CORF 58215,A000000,05010,0000,05010CMHC 58215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58215,A000000,05300,0000,05300INTEREST EXPENSE 58215,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58215,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58215,A81000A,00100,0100,Y 58215,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 58215,A81000B,00300,0300,HEALTH INSURANCE 58215,A81000B,00400,0300,RETIREMENT 58215,A81000B,00600,0300,PHS - NURSING 58215,A81000B,00700,0300,PHS - SOCIAL WORK 58215,A81000B,00800,0300,PHS - OCC THERAPY 58215,A81000B,00900,0300,PHS - SPEECH THERAPY 58215,A81000B,01000,0300,PHS - PHYS THERAPY 58215,A81000B,01100,0300,PHS - DIETARY 58215,A81000B,01200,0300,PHS - MED RECORDS 58215,A81000B,01300,0300,PHS - ADMINISTRATIVE 58215,A81000C,00100,0100,B 58215,A81000C,00100,0200,NATIONAL HEALTH 58215,A81000C,00100,0400,PROF HEALTH SER 58215,A81000C,00100,0600,HEALTHCARE 58215,A81000C,00200,0200,CARE CORPORATIO 58215,B100000,00000,0100,00000(SQUARE FEET) 58215,B100000,00000,0200,00000(SQUARE FEET) 58215,B100000,00000,0300,00000(GROSS SALARIES) 58215,B100000,00000,0400,00000(ACCUM COST) 58215,B100000,00000,0500,00000(SQUARE FEET) 58215,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 58215,B100000,00000,0750,00000(SQUARE FEET) 58215,B100000,00000,0800,00000(MEALS SERVED) 58215,B100000,00000,0900,00000(DIRECT NRSG HRS) 58215,B100000,00000,1000,00000(COSTED REQUIS) 58215,B100000,00000,1100,00000(COSTED REQUIS) 58215,B100000,00000,1200,00000(TIME SPENT) 58215,B100000,00000,1300,00000(TIME SPENT) 58215,B100000,00000,1400,00000ASSIGNED TIME 58215,E10A180,00301,0100,02/18/2000 58215,E10A180,00350,0300,02/18/2000 58215,E10A180,00501,0300,05/08/2000 58215,S000000,00100,0200,03/23/2000 58215,S200000,00100,0100,1501 EAST GREENVILLE 58215,S200000,00100,0300,1327 58215,S200000,00200,0100,ANDERSON 58215,S200000,00200,0200,SC 58215,S200000,00200,0300,29622 58215,S200000,00400,0100,NHC HEALTHCARE ANDERSON 58215,S200000,00400,0200,425052 58215,S200000,00400,0300,10/01/1973 58215,S200000,00400,0500,P 58215,S200000,00600,0200,425052 58215,S200000,00600,0300,10/01/1973 58215,S200000,00600,0600,P 58215,S200000,01600,0100,Y 58225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58225,A000000,00300,0000,00300EMPLOYEE BENEFITS 58225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58225,A000000,00700,0000,00700HOUSEKEEPING 58225,A000000,00800,0000,00800DIETARY 58225,A000000,00900,0000,00900NURSING ADMINISTRATION 58225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58225,A000000,01100,0000,01100PHARMACY 58225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58225,A000000,01300,0000,01300SOCIAL SERVICE 58225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58225,A000000,01600,0000,01600SKILLED NURSING FACILITY 58225,A000000,01800,0000,01800NURSING FACILITY 58225,A000000,01810,0000,01810ICF/MR 58225,A000000,02100,0000,02100RADIOLOGY 58225,A000000,02200,0000,02200LABORATORY 58225,A000000,02300,0000,02300INTRAVENOUS THERAPY 58225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58225,A000000,02500,0000,02500PHYSICAL THERAPY 58225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58225,A000000,02700,0000,02700SPEECH PATHOLOGY 58225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58225,A000000,03550,0000,03550FQHC 58225,A000000,05000,0000,05000CORF 58225,A000000,05010,0000,05010CMHC 58225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58225,A000000,05300,0000,05300INTEREST EXPENSE 58225,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58225,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58225,A81000A,00100,0100,Y 58225,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 58225,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 58225,A81000B,00300,0300,HEALTH INSURANCE 58225,A81000B,00400,0300,RETIREMENT 58225,A81000B,00600,0300,PHS - NURSING 58225,A81000B,00700,0300,PHS - SOCIAL WORK 58225,A81000B,00800,0300,PHS - OCC THERAPY 58225,A81000B,00900,0300,PHS - SPEECH THERAPY 58225,A81000B,01000,0300,PHS - PHYS THERAPY 58225,A81000B,01100,0300,PHS - DIETARY 58225,A81000B,01200,0300,PHS - MED RECORDS 58225,A81000B,01300,0300,PHS - ADMINISTRATIVE 58225,A81000C,00100,0100,B 58225,A81000C,00100,0200,NATIONAL HEALTH 58225,A81000C,00100,0400,PROF HEALTH SER 58225,A81000C,00100,0600,HEALTHCARE 58225,A81000C,00200,0200,CARE CORPORATIO 58225,B100000,00000,0100,00000(SQUARE FEET) 58225,B100000,00000,0200,00000(SQUARE FEET) 58225,B100000,00000,0300,00000(GROSS SALARIES) 58225,B100000,00000,0400,00000(ACCUM COST) 58225,B100000,00000,0500,00000(SQUARE FEET) 58225,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 58225,B100000,00000,0750,00000(SQUARE FEET) 58225,B100000,00000,0800,00000(MEALS SERVED) 58225,B100000,00000,0900,00000(DIRECT NRSG HRS) 58225,B100000,00000,1000,00000(COSTED REQUIS) 58225,B100000,00000,1100,00000(COSTED REQUIS) 58225,B100000,00000,1200,00000(TIME SPENT) 58225,B100000,00000,1300,00000(TIME SPENT) 58225,B100000,00000,1400,00000ASSIGNED TIME 58225,E10A180,00301,0100,02/25/2000 58225,E10A180,00301,0300,02/25/2000 58225,S000000,00100,0200,03/23/2000 58225,S200000,00100,0100,301 PINEHAVEN ST. EXT. 58225,S200000,00100,0300,ER 1259 58225,S200000,00200,0100,LAURENS 58225,S200000,00200,0200,SC 58225,S200000,00200,0300,29360 58225,S200000,00400,0100,NHC HEALTHCARE LAURENS 58225,S200000,00400,0200,425054 58225,S200000,00400,0300,10/01/1973 58225,S200000,00400,0500,P 58225,S200000,00600,0200,425054 58225,S200000,00600,0300,10/01/1973 58225,S200000,00600,0600,P 58236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58236,A000000,00300,0000,00300EMPLOYEE BENEFITS 58236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58236,A000000,00700,0000,00700HOUSEKEEPING 58236,A000000,00800,0000,00800DIETARY 58236,A000000,00900,0000,00900NURSING ADMINISTRATION 58236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58236,A000000,01100,0000,01100PHARMACY 58236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58236,A000000,01300,0000,01300SOCIAL SERVICE 58236,A000000,01301,0000,01301ACTIVITIES 58236,A000000,01350,0000,01500REHABILITATION 58236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58236,A000000,01600,0000,01600SKILLED NURSING FACILITY 58236,A000000,01810,0000,01810ICF/MR 58236,A000000,02100,0000,02100RADIOLOGY 58236,A000000,02200,0000,02200LABORATORY 58236,A000000,02500,0000,02500PHYSICAL THERAPY 58236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58236,A000000,02700,0000,02700SPEECH PATHOLOGY 58236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58236,A000000,03050,0000,03300EQUIPMENT RENTAL 58236,A000000,03051,0000,03301PEN THERAPY 58236,A000000,03200,0000,03200SUPPORT SURFACES 58236,A000000,03550,0000,03550FQHC 58236,A000000,05000,0000,05000CORF 58236,A000000,05010,0000,05010CMHC 58236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58236,A000000,06150,0000,06300VENDING 58236,A000000,06151,0000,06301STAND-BY 58236,A81000A,00100,0100,Y 58236,A81000B,00100,0300,HOME OFFICE COST 58236,A81000B,00200,0300,ANCILLARY EQMNT RNTL 58236,A81000B,00300,0300,HOME OFFICE INTEREST 58236,A81000B,00400,0300,PHYSICAL THERAPY 58236,A81000B,00500,0300,OCCUPATIONAL THERAPY 58236,A81000B,00600,0300,SPEECH THERAPY 58236,A81000C,00100,0100,B 58236,A81000C,00100,0200,JOLLEY ACRES HC 58236,A81000C,00100,0400,MARINER PAN 58236,A81000C,00100,0600,NURSING HOMES 58236,A81000C,00200,0100,G 58236,A81000C,00200,0200,MARINER PAN 58236,A81000C,00200,0400,AMER PHARM SVCS 58236,A81000C,00200,0600,PHARMACEUTICALS 58236,A81000C,00300,0100,G 58236,A81000C,00300,0200,MARINER PAN 58236,A81000C,00300,0400,PRISM-ATS-ARS-T 58236,A81000C,00300,0600,THERAPIES 58236,B100000,00000,0100,00001SQUARE FEET 58236,B100000,00000,0200,00001SQUARE FEET 58236,B100000,00000,0300,00001GROSS SALARIES 58236,B100000,00000,0400,00001ACCUM COST 58236,B100000,00000,0500,00001SQUARE FEET 58236,B100000,00000,0650,00001PATIENT DAYS 58236,B100000,00000,0750,00001SQUARE FEET 58236,B100000,00000,0800,00001MEALS SERVED 58236,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58236,B100000,00000,1000,00001COSTED REQUISITIO 58236,B100000,00000,1100,00001COSTED REQUIS 58236,B100000,00000,1250,00001PATIENT DAYS 58236,B100000,00000,1330,00001PATIENT DAYS 58236,B100000,00000,1331,00001PATIENT DAYS 58236,B100000,00000,1350,00001UNITS OF SERVICE 58236,B100000,00000,1400,00001ASSIGNED TIME 58236,S000000,00100,0200,06/16/2000 58236,S200000,00100,0100,1180 WOLFE TRAIL SW 58236,S200000,00200,0100,ORANGEBURG 58236,S200000,00200,0200,SC 58236,S200000,00200,0300,29115 58236,S200000,00300,0100,ORANGEBURG 58236,S200000,00400,0100,JOLLEY ACRES HEALTHCARE CTR 58236,S200000,00400,0200,425055 58236,S200000,00400,0300,09/30/1994 58236,S200000,00400,0500,P 58236,S200000,01600,0100,Y 58236,S200000,02200,0100,Y 58246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58246,A000000,00300,0000,00300EMPLOYEE BENEFITS 58246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58246,A000000,00700,0000,00700HOUSEKEEPING 58246,A000000,00800,0000,00800DIETARY 58246,A000000,00900,0000,00900NURSING ADMINISTRATION 58246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58246,A000000,01100,0000,01100PHARMACY 58246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58246,A000000,01300,0000,01300SOCIAL SERVICE 58246,A000000,01350,0000,01500OTHER GENERAL SERVICES 58246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58246,A000000,01600,0000,01600SKILLED NURSING FACILITY 58246,A000000,01810,0000,01810ICF/MR 58246,A000000,02100,0000,02100RADIOLOGY 58246,A000000,02200,0000,02200LABORATORY 58246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58246,A000000,02500,0000,02500PHYSICAL THERAPY 58246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58246,A000000,02700,0000,02700SPEECH PATHOLOGY 58246,A000000,02800,0000,02800ELECTROCARDIOLOGY 58246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58246,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58246,A000000,03200,0000,03200SUPPORT SURFACES 58246,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58246,A000000,03550,0000,03550FQHC 58246,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58246,A000000,05000,0000,05000CORF 58246,A000000,05010,0000,05010CMHC 58246,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58246,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58246,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58246,A000000,05300,0000,05300INTEREST EXPENSE 58246,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58246,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58246,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58246,A000000,06200,0000,06200PATIENTS LAUNDRY 58246,B100000,00000,0100,00000SQUARE FEET 58246,B100000,00000,0200,00000SQUARE FEET 58246,B100000,00000,0300,00000GROSS SALARIES 58246,B100000,00000,0400,00000ACCUM. COST 58246,B100000,00000,0500,00000SQUARE FEET 58246,B100000,00000,0600,00000POUNDS OF LAUNDRY 58246,B100000,00000,0750,00000SQUARE FEET 58246,B100000,00000,0800,00000MEALS SERVED 58246,B100000,00000,0900,00000DIRECT NRSG HRS 58246,B100000,00000,1000,00000COSTED REQUIS 58246,B100000,00000,1100,00000COSTED REQUIS 58246,B100000,00000,1200,00000TIME SPENT 58246,B100000,00000,1300,00000TIME SPENT 58246,B100000,00000,1350,00000NO STATISTICS 58246,B100000,00000,1400,00000ASSIGNED TIME 58246,E10A180,00501,0100,03/08/2000 58246,S000000,00100,0200,01/31/2000 58246,S200000,00100,0300,190 58246,S200000,00200,0100,ABBEVILLE 58246,S200000,00200,0200,SC 58246,S200000,00300,0100,ABBEVILLE 58246,S200000,00400,0100,ABBEVILLE NURSING HOME 58246,S200000,00400,0200,425057 58246,S200000,00400,0300,10/01/1983 58246,S200000,00400,0500,P 58246,S200000,01500,0100,Y 58246,S200000,01900,0100,HOSPITAL OWNED 58246,S200000,02800,0100,Y 58255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58255,A000000,00300,0000,00300EMPLOYEE BENEFITS 58255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58255,A000000,00700,0000,00700HOUSEKEEPING 58255,A000000,00800,0000,00800DIETARY 58255,A000000,00900,0000,00900NURSING ADMINISTRATION 58255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58255,A000000,01100,0000,01100PHARMACY 58255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58255,A000000,01300,0000,01300SOCIAL SERVICE 58255,A000000,01350,0000,01500ACTIVITIES 58255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58255,A000000,01600,0000,01600SKILLED NURSING FACILITY 58255,A000000,01810,0000,01810ICF/MR 58255,A000000,02100,0000,02100RADIOLOGY 58255,A000000,02200,0000,02200LABORATORY 58255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58255,A000000,02500,0000,02500PHYSICAL THERAPY 58255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58255,A000000,02700,0000,02700SPEECH PATHOLOGY 58255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58255,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58255,A000000,03550,0000,03550FQHC 58255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58255,A000000,04800,0000,04800AMBULANCE 58255,A000000,05000,0000,05000CORF 58255,A000000,05010,0000,05010CMHC 58255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58255,A81000A,00100,0100,Y 58255,A81000B,00100,0300,MANAGEMENT FEES 58255,A81000B,00200,0300,MANAGEMENT FEES 58255,A81000B,00300,0300,MANAGEMENT FEES 58255,A81000B,00400,0300,MANAGEMENT FEES 58255,A81000B,00600,0300,MANAGEMENT FEES 58255,A81000B,00700,0300,LAUNDRY SERVICE 58255,A81000B,00800,0300,LAUNDRY SERVICE 58255,A81000B,00900,0300,LAUNDRY SERVICE 58255,A81000B,01000,0300,LAUNDRY SERVICE 58255,A81000B,01100,0300,LAUNDRY SERVICE 58255,A81000B,01200,0300,PHYSICAL THERAPY 58255,A81000B,01300,0300,OCCUPATIONAL THERAPY 58255,A81000B,01400,0300,SPEECH THERAPY 58255,A81000B,01500,0300,SHAREHOLDER INTEREST 58255,A81000B,01600,0300,HISTORICAL COSTS 58255,A81000C,00100,0100,A 58255,A81000C,00100,0200,MICHAEL H. MCBRIDE 58255,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58255,A81000C,00100,0600,HOME OFFICE 58255,A81000C,00200,0100,A 58255,A81000C,00200,0200,T. EDWARD CHILDRESS 58255,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58255,A81000C,00200,0600,HOME OFFICE 58255,A81000C,00300,0100,A 58255,A81000C,00300,0200,JOHN P. OBRIEN 58255,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58255,A81000C,00300,0600,HOME OFFICE 58255,A81000C,00400,0100,A 58255,A81000C,00400,0200,MICHAEL H. MCBRIDE 58255,A81000C,00400,0400,CENTRAL SUPPORT 58255,A81000C,00400,0600,LAUNDRY 58255,A81000C,00500,0100,A 58255,A81000C,00500,0200,T. EDWARD CHILDRESS 58255,A81000C,00500,0400,CENTRAL SUPPORT 58255,A81000C,00500,0600,LAUNDRY 58255,A81000C,00600,0100,A 58255,A81000C,00600,0200,JOHN P. OBRIEN 58255,A81000C,00600,0400,CENTRAL SUPPORT 58255,A81000C,00600,0600,LAUNDRY 58255,A81000C,00700,0100,A 58255,A81000C,00700,0200,T. EDWARD CHILDRESS 58255,A81000C,00700,0400,ADVANTAGE REHAB INC. 58255,A81000C,00700,0600,THERAPY 58255,A81000C,00800,0100,A 58255,A81000C,00800,0200,JOHN P. OBRIEN 58255,A81000C,00800,0400,ADVANTAGE REHAB INC. 58255,A81000C,00800,0600,THERAPY 58255,A81000C,00900,0100,A 58255,A81000C,00900,0200,MICHAEL H. MCBRIDE 58255,A81000C,00900,0400,ADVANTAGE REHAB INC. 58255,A81000C,00900,0600,THERAPY 58255,A81000C,01000,0100,A 58255,A81000C,01000,0200,T. EDWARD CHILDRESS 58255,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58255,A81000C,01000,0600,RENTAL/LEASING 58255,A81000C,01100,0100,A 58255,A81000C,01100,0200,JOHN P. OBRIEN 58255,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58255,A81000C,01100,0600,RENTAL/LEASING 58255,A81000C,01200,0100,A 58255,A81000C,01200,0200,MICHAEL H. MCBRIDE 58255,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58255,A81000C,01200,0600,RENTAL/LEASING 58255,B100000,00000,0100,00000SQUARE FEET 58255,B100000,00000,0200,00000SQUARE FEET 58255,B100000,00000,0300,00000GROSS SALARIES 58255,B100000,00000,0400,00000ACCUM. COST 58255,B100000,00000,0500,00000SQUARE FEET 58255,B100000,00000,0600,00000POUNDS OF LAUNDRY 58255,B100000,00000,0750,00000SQUARE FEET 58255,B100000,00000,0800,00000MEALS SERVED 58255,B100000,00000,0900,00000NSG LABOR HOURS 58255,B100000,00000,1050,00000PATIENT DAYS 58255,B100000,00000,1150,00000PATIENT DAYS 58255,B100000,00000,1250,00000PATIENT DAYS 58255,B100000,00000,1330,00000PATIENT DAYS 58255,B100000,00000,1350,00000PATIENT DAYS 58255,B100000,00000,1400,00000ASSIGNED TIME 58255,E10A180,00301,0100,06/08/1999 58255,E10A180,00550,0100,04/05/2000 58255,E10A180,00550,0300,04/05/2000 58255,S000000,00100,0200,04/14/2000 58255,S200000,00100,0100,809 LAURENS ROAD 58255,S200000,00200,0100,GREENVILLE 58255,S200000,00200,0200,SC 58255,S200000,00300,0100,GREENVILLE 58255,S200000,00400,0100,GREENVILLE NURSING CENTER INC. 58255,S200000,00400,0200,425060 58255,S200000,00400,0300,01/01/1988 58255,S200000,00400,0500,P 58255,S200000,01500,0100,Y 58265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58265,A000000,00300,0000,00300EMPLOYEE BENEFITS 58265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58265,A000000,00700,0000,00700HOUSEKEEPING 58265,A000000,00800,0000,00800DIETARY 58265,A000000,00900,0000,00900NURSING ADMINISTRATION 58265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58265,A000000,01100,0000,01100PHARMACY 58265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58265,A000000,01300,0000,01300SOCIAL SERVICE 58265,A000000,01301,0000,01301ACTIVITIES 58265,A000000,01350,0000,01500REHABILITATION 58265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58265,A000000,01600,0000,01600SKILLED NURSING FACILITY 58265,A000000,01800,0000,01800NURSING FACILITY 58265,A000000,01810,0000,01810ICF/MR 58265,A000000,02100,0000,02100RADIOLOGY 58265,A000000,02200,0000,02200LABORATORY 58265,A000000,02300,0000,02300INTRAVENOUS THERAPY 58265,A000000,02500,0000,02500PHYSICAL THERAPY 58265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58265,A000000,02700,0000,02700SPEECH PATHOLOGY 58265,A000000,02800,0000,02800ELECTROCARDIOLOGY 58265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58265,A000000,03050,0000,03300EQUIPMENT RENTAL 58265,A000000,03051,0000,03301PEN THERAPY 58265,A000000,03550,0000,03550FQHC 58265,A000000,04800,0000,04800AMBULANCE 58265,A000000,05000,0000,05000CORF 58265,A000000,05010,0000,05010CMHC 58265,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58265,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58265,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58265,A000000,06150,0000,06300VENDING 58265,A000000,06151,0000,06301STAND-BY 58265,A81000A,00100,0100,Y 58265,A81000B,00100,0300,HOME OFFICE COST 58265,A81000B,00200,0300,LEASE EXP/EQMT RNTL 58265,A81000B,00300,0300,MEDICAL SUPPLIES 58265,A81000B,00400,0300,HOME OFFICE INTEREST 58265,A81000B,00500,0300,THERAPY CONSULTING 58265,A81000B,00600,0300,PHYSICAL THERAPY 58265,A81000B,00700,0300,OCCUPATIONAL THERAPY 58265,A81000B,00800,0300,SPEECH THERAPY 58265,A81000C,00100,0100,B 58265,A81000C,00100,0200,BROOKVIEW HCC 58265,A81000C,00100,0400,MARINER PAN 58265,A81000C,00100,0600,NURSING HOMES 58265,A81000C,00200,0100,G 58265,A81000C,00200,0200,MARINER PAN 58265,A81000C,00200,0400,AMER PHARM SVCS 58265,A81000C,00200,0600,PHARMACEUTICALS 58265,A81000C,00300,0100,G 58265,A81000C,00300,0200,MARINER PAN 58265,A81000C,00300,0400,PRISM-ATS-ARS-T 58265,A81000C,00300,0600,THERAPIES 58265,B100000,00000,0100,00001SQUARE FEET 58265,B100000,00000,0200,00001SQUARE FEET 58265,B100000,00000,0300,00001GROSS SALARIES 58265,B100000,00000,0400,00001ACCUM COST 58265,B100000,00000,0500,00001SQUARE FEET 58265,B100000,00000,0650,00001PATIENT DAYS 58265,B100000,00000,0750,00001SQUARE FEET 58265,B100000,00000,0800,00001MEALS SERVED 58265,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58265,B100000,00000,1000,00001COSTED REQUISITIO 58265,B100000,00000,1100,00001COSTED REQUIS 58265,B100000,00000,1250,00001PATIENT DAYS 58265,B100000,00000,1330,00001PATIENT DAYS 58265,B100000,00000,1331,00001PATIENT DAYS 58265,B100000,00000,1350,00001UNITS OF SERVICE 58265,B100000,00000,1400,00001ASSIGNED TIME 58265,S000000,00100,0200,06/16/2000 58265,S200000,00100,0100,510 THOMPSON STREET 58265,S200000,00200,0100,GAFFNEY 58265,S200000,00200,0200,SC 58265,S200000,00200,0300,29340 58265,S200000,00300,0100,CHEROKEE 58265,S200000,00400,0100,BROOKVIEW HEALTHCARE CENTER 58265,S200000,00400,0200,425062 58265,S200000,00400,0300,09/26/1996 58265,S200000,00400,0500,P 58265,S200000,01600,0100,Y 58265,S200000,02200,0100,Y 58275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58275,A000000,00300,0000,00300EMPLOYEE BENEFITS 58275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58275,A000000,00700,0000,00700HOUSEKEEPING 58275,A000000,00800,0000,00800DIETARY 58275,A000000,00900,0000,00900NURSING ADMINISTRATION 58275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58275,A000000,01100,0000,01100PHARMACY 58275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58275,A000000,01300,0000,01300SOCIAL SERVICE 58275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58275,A000000,01600,0000,01600SKILLED NURSING FACILITY 58275,A000000,01800,0000,01800NURSING FACILITY 58275,A000000,01810,0000,01810ICF/MR 58275,A000000,02100,0000,02100RADIOLOGY 58275,A000000,02200,0000,02200LABORATORY 58275,A000000,02300,0000,02300INTRAVENOUS THERAPY 58275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58275,A000000,02500,0000,02500PHYSICAL THERAPY 58275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58275,A000000,02700,0000,02700SPEECH PATHOLOGY 58275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58275,A000000,03550,0000,03550FQHC 58275,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 58275,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 58275,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 58275,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 58275,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 58275,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 58275,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 58275,A000000,04400,0000,04400DME RENTED - HHA 58275,A000000,04500,0000,04500DME SOLD - HHA 58275,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 58275,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 58275,A000000,04800,0000,04800AMBULANCE 58275,A000000,05000,0000,05000CORF 58275,A000000,05010,0000,05010CMHC 58275,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58275,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58275,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58275,A000000,05300,0000,05300INTEREST EXPENSE 58275,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58275,A81000A,00100,0100,Y 58275,A81000B,00100,0300,ADJUST HOME OFFICE 58275,A81000B,00200,0300,ADJUST HOME OFFICE 58275,A81000B,00300,0300,HEALTH INSURANCE 58275,A81000B,00400,0300,RETIREMENT 58275,A81000B,00600,0300,PHS - NURSING 58275,A81000B,00700,0300,PHS - SOCIAL SERVICE 58275,A81000B,00800,0300,PHS - OCC THERAPY 58275,A81000B,00900,0300,PHS - SPEECH THERAPY 58275,A81000B,01000,0300,PHS - PHYS THERAPY 58275,A81000B,01100,0300,PHS - DIETARY 58275,A81000B,01200,0300,PHS - MED RECORDS 58275,A81000B,01300,0300,PHS - ADMINISTRATIVE 58275,A81000B,01500,0300,HHA HEALTH INSURANCE 58275,A81000B,01600,0300,ADJUST HOME OFFICE 58275,A81000B,01700,0300,ADJUST HOME OFFICE 58275,A81000B,01800,0300,HHA RETIREMENT 58275,A81000B,01900,0300,PHS ADJUSTMENT 58275,A81000B,02000,0300,PHS ADJUSTMENT 58275,A81000B,02100,0300,PHS ADJUSTMENT 58275,A81000B,02200,0300,PHS ADJUSTMENT 58275,A81000C,00100,0100,B 58275,A81000C,00100,0200,NATIONAL HEALTH 58275,A81000C,00100,0600,HOME OFFCIE 58275,A81000C,00200,0200,CARE L.P. 58275,A81000C,00300,0100,B 58275,A81000C,00300,0200,PROFESSONAL HE 58275,A81000C,00300,0600,SPECIALIZED PE 58275,A81000C,00400,0200,SEIRVICES CORP 58275,B100000,00000,0100,00000SQUARE FEET 58275,B100000,00000,0200,00000(SQUARE FEET) 58275,B100000,00000,0300,00000(GROSS SALARIES) 58275,B100000,00000,0400,00000(ACCUM COST) 58275,B100000,00000,0500,00000(SQUARE FEET) 58275,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 58275,B100000,00000,0750,00000(SQUARE FEET) 58275,B100000,00000,0800,00000(MEALS SERVED) 58275,B100000,00000,0900,00000(DIRECT NRSG HRS) 58275,B100000,00000,1000,00000(COSTED REQUIS) 58275,B100000,00000,1100,00000(COSTED REQUIS) 58275,B100000,00000,1200,00000(TIME SPENT) 58275,B100000,00000,1300,00000(TIME SPENT) 58275,B100000,00000,1400,00000ASSIGNED TIME 58275,E10A180,00301,0100,03/29/1999 58275,E10A180,00301,0300,02/25/2000 58275,E10A180,00302,0100,11/05/1999 58275,E10A180,00302,0300,06/30/2000 58275,E10A180,00303,0100,12/07/1999 58275,E10A180,00304,0100,12/20/1999 58275,E10A180,00305,0100,12/31/1999 58275,E10A180,00306,0100,02/25/2000 58275,E10A180,00350,0100,06/30/2000 58275,H510100,00000,0000,9942 58275,H510100,02400,0000,9942 58275,H710000,00350,0300,03/29/2000 58275,S000000,00100,0200,11/03/2000 58275,S200000,00100,0100,437 EAST CAMBRIDGE AVENUE 58275,S200000,00100,0300,3109 58275,S200000,00200,0100,GREENWOOD 58275,S200000,00200,0200,SC 58275,S200000,00200,0300,29646 58275,S200000,00300,0100,GREENWOOD 58275,S200000,00400,0100,NHC HEALTHCARE GREENWOOD 58275,S200000,00400,0200,425063 58275,S200000,00400,0300,10/01/1973 58275,S200000,00400,0500,P 58275,S200000,00600,0200,425063 58275,S200000,00600,0300,10/01/1973 58275,S200000,00600,0600,P 58275,S200000,00800,0200,427075 58275,S200000,00800,0300,12/29/1995 58275,S200000,00800,0500,P 58275,S200000,01600,0100,Y 58283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58283,A000000,00300,0000,00300EMPLOYEE BENEFITS 58283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58283,A000000,00700,0000,00700HOUSEKEEPING 58283,A000000,00800,0000,00800DIETARY 58283,A000000,00900,0000,00900NURSING ADMINISTRATION 58283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58283,A000000,01100,0000,01100PHARMACY 58283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58283,A000000,01300,0000,01300SOCIAL SERVICE 58283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58283,A000000,01600,0000,01600SKILLED NURSING FACILITY 58283,A000000,01810,0000,01810ICF/MR 58283,A000000,02300,0000,02300INTRAVENOUS THERAPY 58283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58283,A000000,02500,0000,02500PHYSICAL THERAPY 58283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58283,A000000,02700,0000,02700SPEECH PATHOLOGY 58283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58283,A000000,03550,0000,03550FQHC 58283,A000000,05000,0000,05000CORF 58283,A000000,05010,0000,05010CMHC 58283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58283,A000000,05300,0000,05300INTEREST EXPENSE 58283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58283,A81000A,00100,0100,Y 58283,A81000B,00100,0300,HOME OFFICE ADMIN 58283,A81000B,00200,0300,HOME OFFICE LAUNDRY 58283,A81000B,00300,0300,HOME OFFICE CAPITAL 58283,A81000C,00100,0100,G 58283,A81000C,00100,0200,WILSON GROUP INC. 58283,B100000,00000,0100,00000SQUARE FEET 58283,B100000,00000,0200,00000SQUARE FEET 58283,B100000,00000,0300,00000GROSS SALARIES 58283,B100000,00000,0400,00000ACCUM COST 58283,B100000,00000,0500,00000SQUARE FEET 58283,B100000,00000,0600,00000POUNDS OF LAUNDRY 58283,B100000,00000,0700,00000HOURS OF SERVICE 58283,B100000,00000,0800,00000MEALS SERVED 58283,B100000,00000,0900,00000DIRECT NRSG HRS 58283,B100000,00000,1000,00000COSTED REQUIS 58283,B100000,00000,1100,00000COSTED REQUIS 58283,B100000,00000,1200,00000TIME SPENT 58283,B100000,00000,1300,00000TIME SPENT 58283,B100000,00000,1400,00000ASSIGNED TIME 58283,E10A180,00301,0100,08/27/1999 58283,E10A180,00501,0100,06/21/2000 58283,E10A180,00501,0300,01/18/2001 58283,S000000,00100,0200,12/13/2000 58283,S200000,00100,0300,516 58283,S200000,00200,0100,DARLINGTON 58283,S200000,00200,0200,SC 58283,S200000,00200,0300,29532 58283,S200000,00300,0100,DARLINGTON 58283,S200000,00400,0100,OAKHAVEN INC. 58283,S200000,00400,0200,425064 58283,S200000,00400,0300,10/01/1995 58283,S200000,00400,0500,P 58283,S200000,01500,0100,Y 58283,S200000,01900,0100,N 58293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58293,A000000,00300,0000,00300EMPLOYEE BENEFITS 58293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58293,A000000,00700,0000,00700HOUSEKEEPING 58293,A000000,00800,0000,00800DIETARY 58293,A000000,00900,0000,00900NURSING ADMINISTRATION 58293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58293,A000000,01100,0000,01100PHARMACY 58293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58293,A000000,01300,0000,01300SOCIAL SERVICE 58293,A000000,01350,0000,01500OTHER GENERAL SERVICES 58293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58293,A000000,01600,0000,01600SKILLED NURSING FACILITY 58293,A000000,01800,0000,01800NURSING FACILITY 58293,A000000,01810,0000,01810ICF/MR 58293,A000000,02200,0000,02200LABORATORY 58293,A000000,02300,0000,02300INTRAVENOUS THERAPY 58293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58293,A000000,02500,0000,02500PHYSICAL THERAPY 58293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58293,A000000,02700,0000,02700SPEECH PATHOLOGY 58293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58293,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58293,A000000,03550,0000,03550FQHC 58293,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58293,A000000,05000,0000,05000CORF 58293,A000000,05010,0000,05010CMHC 58293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58293,A81000A,00100,0100,Y 58293,A81000B,00100,0300,ADJUST HOME OFFICE 58293,A81000B,00200,0300,ADJUST HOME OFFICE 58293,A81000B,00300,0300,ADJUST HOME OFFICE 58293,A81000B,00400,0300,MINI STORAGE 58293,A81000C,00100,0100,A 58293,A81000C,00100,0200,JAMES B CONNELLY 58293,A81000C,00100,0400,CONNELLY MGT. INC. 58293,A81000C,00100,0600,MANAGEMENT CO. 58293,A81000C,00200,0100,A 58293,A81000C,00200,0200,JAMES B CONNELLY 58293,A81000C,00200,0400,CONNELLY MGT. INC. 58293,A81000C,00200,0600,MANAGEMENT CO. 58293,A81000C,00300,0100,A 58293,A81000C,00300,0200,JAMES B CONNELLY 58293,A81000C,00300,0400,CONNELLY MGT. INC. 58293,A81000C,00300,0600,MANAGEMENT CO. 58293,A81000C,00400,0100,A 58293,A81000C,00400,0200,JAMES B CONNELLY 58293,A81000C,00400,0400,SENTINEL SELF STORAGE 58293,A81000C,00400,0600,MINI - WAREHOUSE 58293,B100000,00000,0100,00000SQUARE FEET 58293,B100000,00000,0200,00000SQUARE FEET 58293,B100000,00000,0300,00000GROSS SALARIES 58293,B100000,00000,0400,00000ACCUM. COST 58293,B100000,00000,0500,00000SQUARE FEET 58293,B100000,00000,0650,00000PATIENT DAYS 58293,B100000,00000,0750,00000SQUARE FEET 58293,B100000,00000,0800,00000MEALS 58293,B100000,00000,0950,00000PATIENT DAYS 58293,B100000,00000,1050,00000PATIENT DAYS 58293,B100000,00000,1100,00000COSTED REQUIS 58293,B100000,00000,1250,00000PATIENT DAYS 58293,B100000,00000,1330,00000PATIENT DAYS 58293,B100000,00000,1350,00000 58293,B100000,00000,1400,00000ASSIGNED TIME 58293,E10A180,00301,0100,06/08/1999 58293,E10A180,00301,0300,06/08/1999 58293,E10A180,00501,0100,05/31/2000 58293,E10A180,00550,0100,03/31/2000 58293,E10A180,00550,0300,05/31/2000 58293,E10A180,00551,0300,03/31/2000 58293,S000000,00100,0200,03/31/2000 58293,S200000,00100,0100,SOUTH TODD DRIVE 58293,S200000,00100,0300,1103 58293,S200000,00200,0100,BEAUFORT 58293,S200000,00200,0200,SC 58293,S200000,00300,0100,BEAUFORT 58293,S200000,00400,0100,BAY VIEW NURSING CENTER 58293,S200000,00400,0200,425067 58293,S200000,00400,0300,03/16/1994 58293,S200000,00400,0500,P 58293,S200000,00400,0600,P 58293,S200000,00600,0200,425067 58293,S200000,00600,0300,02/02/1970 58293,S200000,00600,0600,O 58293,S200000,01600,0100,Y 58293,S200000,04300,0100,Y 58304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58304,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58304,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58304,A000000,00300,0000,00300EMPLOYEE BENEFITS 58304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58304,A000000,00700,0000,00700HOUSEKEEPING 58304,A000000,00800,0000,00800DIETARY 58304,A000000,00801,0000,00801CAFETERIA 58304,A000000,00900,0000,00900NURSING ADMINISTRATION 58304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58304,A000000,01100,0000,01100PHARMACY 58304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58304,A000000,01300,0000,01300SOCIAL SERVICE 58304,A000000,01350,0000,01500ACTIVITIES 58304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58304,A000000,01600,0000,01600SKILLED NURSING FACILITY 58304,A000000,01800,0000,01800NURSING FACILITY 58304,A000000,01810,0000,01810ICF/MR 58304,A000000,02100,0000,02100RADIOLOGY 58304,A000000,02200,0000,02200LABORATORY 58304,A000000,02500,0000,02500PHYSICAL THERAPY 58304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58304,A000000,02700,0000,02700SPEECH PATHOLOGY 58304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58304,A000000,03050,0000,03300PEN THERAPY 58304,A000000,03051,0000,03301PROSTHETICS 58304,A000000,03052,0000,03302WOUND CARE 58304,A000000,03200,0000,03200SUPPORT SURFACES 58304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58304,A000000,03550,0000,03550FQHC 58304,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58304,A000000,04800,0000,04800AMBULANCE 58304,A000000,05000,0000,05000CORF I 58304,A000000,05010,0000,05010CMHC I 58304,A000000,05020,0000,05020OPT I 58304,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58304,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58304,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58304,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58304,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58304,A81000A,00100,0100,Y 58304,A81000B,00100,0300,MANAGEMENT FEES 58304,A81000B,00200,0300,NURSING SUPPLIES 58304,A81000B,00300,0300,LEGEND DRUGS 58304,A81000B,00400,0300,OTC 58304,A81000B,00500,0300,MEDICAL SUPPLIES 58304,A81000B,00600,0300,PHARMACY CONSULTANT 58304,A81000C,00100,0100,B 58304,A81000C,00100,0400,WHITE OAK MANOR 58304,A81000C,00100,0600,NSG HOME CHAIN 58304,A81000C,00200,0100,B 58304,A81000C,00200,0400,WHITE OAK MANOR 58304,A81000C,00200,0600,PHARMACY 58304,B100000,00000,0100,00000(SQUARE FEET) 58304,B100000,00000,0101,00000(SQUARE FEET) 58304,B100000,00000,0200,00000(SQUARE FEET) 58304,B100000,00000,0201,00000(SQUARE FEET) 58304,B100000,00000,0300,00000(GROSS SALARIES) 58304,B100000,00000,0400,00000(ACCUM. COST) 58304,B100000,00000,0500,00000(SQUARE FEET) 58304,B100000,00000,0650,00000(PATIENT DAYS) 58304,B100000,00000,0750,00000(SQUARE FEET) 58304,B100000,00000,0800,00000(MEALS SERVED) 58304,B100000,00000,0801,00000(MEALS SERVED) 58304,B100000,00000,0950,00000(PATIENT DAYS) 58304,B100000,00000,1050,00000(PATIENT DAYS) 58304,B100000,00000,1150,00000(PATIENT DAYS) 58304,B100000,00000,1250,00000(PATIENT DAYS) 58304,B100000,00000,1330,00000(PATIENT DAYS) 58304,B100000,00000,1350,00000(PATIENT DAYS) 58304,B100000,00000,1400,00000(ASSIGNED TIME) 58304,E10A180,00301,0100,06/07/1999 58304,E10A180,00350,0300,06/07/1999 58304,E10A180,00501,0300,06/21/2000 58304,S000000,00100,0200,02/24/2000 58304,S200000,00100,0100,2407 S. PINE ST 58304,S200000,00100,0300,3347 58304,S200000,00200,0100,SPARTANBURG 58304,S200000,00200,0200,SC 58304,S200000,00200,0300,29304 58304,S200000,00300,0100,SPARTANBURG 58304,S200000,00400,0100,WHITE OAK MANOR-COLUMBIA 58304,S200000,00400,0200,425068 58304,S200000,00400,0300,09/30/1970 58304,S200000,00400,0500,P 58304,S200000,01600,0100,Y 58304,S200000,02200,0100,Y 58317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58317,A000000,00300,0000,00300EMPLOYEE BENEFITS 58317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58317,A000000,00700,0000,00700HOUSEKEEPING 58317,A000000,00800,0000,00800DIETARY 58317,A000000,00900,0000,00900NURSING ADMINISTRATION 58317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58317,A000000,01100,0000,01100PHARMACY 58317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58317,A000000,01300,0000,01300SOCIAL SERVICE 58317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58317,A000000,01600,0000,01600SKILLED NURSING FACILITY 58317,A000000,01800,0000,01800NURSING FACILITY 58317,A000000,01810,0000,01810ICF/MR 58317,A000000,02100,0000,02100RADIOLOGY 58317,A000000,02200,0000,02200LABORATORY 58317,A000000,02300,0000,02300INTRAVENOUS THERAPY 58317,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58317,A000000,02500,0000,02500PHYSICAL THERAPY 58317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58317,A000000,02700,0000,02700SPEECH PATHOLOGY 58317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58317,A000000,03550,0000,03550FQHC 58317,A000000,04800,0000,04800AMBULANCE 58317,A000000,05000,0000,05000CORF 58317,A000000,05010,0000,05010CMHC 58317,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58317,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58317,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58317,A000000,05300,0000,05300INTEREST EXPENSE 58317,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58317,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58317,A81000A,00100,0100,Y 58317,A81000B,00100,0300,HOME OFFICE COST 58317,A81000B,00200,0300,HOME OFFICE COST 58317,A81000B,00300,0300,HEALTH INSURANCE 58317,A81000B,00400,0300,HOME OFFICE COST 58317,A81000B,00600,0300,PHS COST 58317,A81000B,00700,0300,PHS COST 58317,A81000B,00800,0300,PHS COST 58317,A81000B,00900,0300,PHS COST 58317,A81000B,01000,0300,PHS COST 58317,A81000B,01100,0300,PHS COST 58317,A81000B,01200,0300,PHS COST 58317,A81000B,01300,0300,PHS COST 58317,A81000C,00100,0100,B 58317,A81000C,00100,0200,NATIONAL HEALTH 58317,A81000C,00100,0600,HOME OFFICE 58317,A81000C,00200,0200,CARE CORPORATIO 58317,A81000C,00300,0100,B 58317,A81000C,00300,0200,PROFESSIONAL H 58317,A81000C,00300,0600,SPECIALIZED PE 58317,B100000,00000,0100,00000(SQUARE FEET) 58317,B100000,00000,0200,00000(SQUARE FEET) 58317,B100000,00000,0300,00000(GROSS SALARIES) 58317,B100000,00000,0400,00000(ACCUM COST) 58317,B100000,00000,0500,00000(SQUARE FEET) 58317,B100000,00000,0600,00000POUNDS OF LAUNDRY 58317,B100000,00000,0750,00000(SQUARE FEET) 58317,B100000,00000,0800,00000(MEALS SERVED) 58317,B100000,00000,0900,00000(DIRECT NRSG HRS) 58317,B100000,00000,1000,00000(COSTED REQUIS) 58317,B100000,00000,1100,00000(COSTED REQUIS) 58317,B100000,00000,1200,00000(TIME SPENT) 58317,B100000,00000,1300,00000(TIME SPENT) 58317,B100000,00000,1400,00000ASSIGNED TIME 58317,E10A180,00301,0100,03/29/1999 58317,E10A180,00301,0300,02/25/2000 58317,E10A180,00306,0100,02/25/2000 58317,S000000,00100,0200,03/23/2000 58317,S200000,00100,0100,304 JACOBS HIGHWAY 58317,S200000,00100,0300,727 58317,S200000,00200,0100,CLINTON 58317,S200000,00200,0200,SC 58317,S200000,00200,0300,29325 58317,S200000,00400,0100,NHC HEALTHCARE CLINTON 58317,S200000,00400,0200,425071 58317,S200000,00400,0300,10/01/1973 58317,S200000,00400,0500,P 58317,S200000,00600,0200,425071 58317,S200000,00600,0300,10/01/1973 58317,S200000,00600,0600,P 58317,S200000,01600,0100,Y 58328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58328,A000000,00300,0000,00300EMPLOYEE BENEFITS 58328,A000000,00301,0000,00310SECURITY 58328,A000000,00302,0000,00315EMPLOYEE CLINIC 58328,A000000,00303,0000,01210GENERAL PATIENT CARE 58328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58328,A000000,00700,0000,00700HOUSEKEEPING 58328,A000000,00800,0000,00800DIETARY 58328,A000000,00900,0000,00900NURSING ADMINISTRATION 58328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58328,A000000,01100,0000,01100PHARMACY 58328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58328,A000000,01300,0000,01300SOCIAL SERVICE 58328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58328,A000000,01600,0000,01600SKILLED NURSING FACILITY 58328,A000000,01810,0000,01810ICF/MR 58328,A000000,02100,0000,02100RADIOLOGY 58328,A000000,02200,0000,02200LABORATORY 58328,A000000,02201,0000,02210OUTSIDE LAB 58328,A000000,02500,0000,02500PHYSICAL THERAPY 58328,A000000,02800,0000,02800ELECTROCARDIOLOGY 58328,A000000,03101,0000,03110EMERGENCY ROOM 58328,A000000,03550,0000,03550FQHC 58328,A000000,05000,0000,05000CORF 58328,A000000,05010,0000,05010CMHC 58328,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58328,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58328,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58328,A81000A,00100,0100,Y 58328,A81000C,00100,0100,G 58328,A81000C,00100,0200,OTHER SCDMH DIV 58328,A81000C,00100,0400,SCDMH 58328,A81000C,00100,0600,STATE AGENCY 58328,B100000,00000,0150,00040ACT BUILD DEP $ AMT 58328,B100000,00000,0250,00040ACT EQUIP DEP $ AMT 58328,B100000,00000,0300,00040GROSS SALARIES 58328,B100000,00000,0350,00040SQUARE FEET 58328,B100000,00000,0351,00040FTES 58328,B100000,00000,0400,00040ACCUM COST 58328,B100000,00000,0500,00040SQUARE FEET 58328,B100000,00000,0650,00040PATIENT DAYS 58328,B100000,00000,0750,00040FACILITY SQ FT 58328,B100000,00000,0800,00040MEALS SERVED 58328,B100000,00000,0950,00040PATIENT DAYS 58328,B100000,00000,1000,00040COSTED REQUIS 58328,B100000,00000,1150,00040PHARMACY ISSUES 58328,B100000,00000,1250,00040PATIENT DAYS 58328,B100000,00000,1251,00040PATIENT DAYS 58328,B100000,00000,1300,00040TIME SPENT 58328,B100000,00000,1400,00040ASSIGNED TIME 58328,E10A180,00550,0100,12/12/2000 58328,S000000,00100,0200,12/12/2000 58328,S200000,00100,0100,2414 BULL STREER 58328,S200000,00100,0300,485 58328,S200000,00200,0100,COLUMBIA 58328,S200000,00200,0200,SC 58328,S200000,00200,0300,29202 58328,S200000,00300,0100,RICHLAND 58328,S200000,00400,0100,C.M. TUCKER JR.HUMAN RESOURCE CENTE 58328,S200000,00400,0200,425074 58328,S200000,00400,0300,09/25/1970 58328,S200000,00400,0500,P 58328,S200000,01500,0100,Y 58328,S200000,02800,0100,Y 58328,S200000,03300,0100,Y 58328,S200000,03300,0200,Y 58337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58337,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58337,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58337,A000000,00300,0000,00300EMPLOYEE BENEFITS 58337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58337,A000000,00700,0000,00700HOUSEKEEPING 58337,A000000,00800,0000,00800DIETARY 58337,A000000,00801,0000,00801CAFETERIA 58337,A000000,00900,0000,00900NURSING ADMINISTRATION 58337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58337,A000000,01100,0000,01100PHARMACY 58337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58337,A000000,01300,0000,01300SOCIAL SERVICE 58337,A000000,01350,0000,01500ACTIVITIES 58337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58337,A000000,01600,0000,01600SKILLED NURSING FACILITY 58337,A000000,01800,0000,01800NURSING FACILITY 58337,A000000,01810,0000,01810ICF/MR 58337,A000000,02100,0000,02100RADIOLOGY 58337,A000000,02200,0000,02200LABORATORY 58337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58337,A000000,02500,0000,02500PHYSICAL THERAPY 58337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58337,A000000,02700,0000,02700SPEECH PATHOLOGY 58337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58337,A000000,03050,0000,03300PEN THERAPY 58337,A000000,03051,0000,03301PROSTHETICS 58337,A000000,03052,0000,03302WOUND CARE 58337,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58337,A000000,03550,0000,03550FQHC 58337,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58337,A000000,05000,0000,05000CORF I 58337,A000000,05010,0000,05010CMHC I 58337,A000000,05020,0000,05020OPT I 58337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58337,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58337,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58337,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58337,A81000A,00100,0100,Y 58337,A81000B,00100,0300,MANAGEMENT FEES 58337,A81000B,00200,0300,NURSING SUPPLIES 58337,A81000B,00300,0300,LEGEND DRUGS 58337,A81000B,00400,0300,OTC 58337,A81000B,00500,0300,MEDICAL SUPPLIES 58337,A81000B,00600,0300,PHARMACY CONSULTANT 58337,A81000C,00100,0100,B 58337,A81000C,00100,0400,WHITE OAK MANOR 58337,A81000C,00100,0600,NSG HOME CHAIN 58337,A81000C,00200,0100,B 58337,A81000C,00200,0400,WHITE OAK MANOR 58337,A81000C,00200,0600,PHARMACY 58337,B100000,00000,0100,00000(SQUARE FEET) 58337,B100000,00000,0101,00000(SQUARE FEET) 58337,B100000,00000,0200,00000(SQUARE FEET) 58337,B100000,00000,0201,00000(SQUARE FEET) 58337,B100000,00000,0300,00000(GROSS SALARIES) 58337,B100000,00000,0400,00000(ACCUM. COST) 58337,B100000,00000,0500,00000(SQUARE FEET) 58337,B100000,00000,0650,00000(PATIENT DAYS) 58337,B100000,00000,0750,00000(SQUARE FEET) 58337,B100000,00000,0800,00000(MEALS SERVED) 58337,B100000,00000,0801,00000(MEALS SERVED) 58337,B100000,00000,0950,00000(PATIENT DAYS) 58337,B100000,00000,1050,00000(PATIENT DAYS) 58337,B100000,00000,1150,00000(PATIENT DAYS) 58337,B100000,00000,1250,00000(PATIENT DAYS) 58337,B100000,00000,1330,00000(PATIENT DAYS) 58337,B100000,00000,1350,00000(PATIENT DAYS) 58337,B100000,00000,1400,00000(ASSIGNED TIME) 58337,E10A180,00301,0100,06/07/1999 58337,E10A180,00350,0300,06/07/1999 58337,E10A180,00501,0300,06/19/2000 58337,S000000,00100,0200,02/24/2000 58337,S200000,00100,0100,2407 S. PINE ST 58337,S200000,00100,0300,3347 58337,S200000,00200,0100,SPARTANBURG 58337,S200000,00200,0200,SC 58337,S200000,00200,0300,29304 58337,S200000,00300,0100,SPARTANBURG 58337,S200000,00400,0100,WHITE OAK MANOR-NEWBERRY 58337,S200000,00400,0200,425077 58337,S200000,00400,0300,09/30/1971 58337,S200000,00400,0500,P 58337,S200000,01500,0100,Y 58337,S200000,01900,0100,HOSPITAL OWNED 58337,S200000,02200,0100,Y 58347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58347,A000000,00300,0000,00300EMPLOYEE BENEFITS 58347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58347,A000000,00700,0000,00700HOUSEKEEPING 58347,A000000,00800,0000,00800DIETARY 58347,A000000,00900,0000,00900NURSING ADMINISTRATION 58347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58347,A000000,01100,0000,01100PHARMACY 58347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58347,A000000,01300,0000,01300SOCIAL SERVICE 58347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58347,A000000,01600,0000,01600SKILLED NURSING FACILITY 58347,A000000,01810,0000,01810ICF/MR 58347,A000000,02100,0000,02100RADIOLOGY 58347,A000000,02200,0000,02200LABORATORY 58347,A000000,02300,0000,02300INTRAVENOUS THERAPY 58347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58347,A000000,02500,0000,02500PHYSICAL THERAPY 58347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58347,A000000,02700,0000,02700SPEECH PATHOLOGY 58347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58347,A000000,03550,0000,03550FQHC 58347,A000000,05000,0000,05000CORF 58347,A000000,05010,0000,05010CMHC 58347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58347,B100000,00000,0100,00000SQUARE FEET 58347,B100000,00000,0200,00000SQUARE FEET 58347,B100000,00000,0300,00000GROSS SALARIES 58347,B100000,00000,0400,00000ACCUM COST 58347,B100000,00000,0500,00000SQUARE FEET 58347,B100000,00000,0600,00000POUNDS OF LAUNDRY 58347,B100000,00000,0700,00000HOURS OF SERVICE 58347,B100000,00000,0800,00000MEALS SERVED 58347,B100000,00000,0900,00000DIRECT NRSG HRS 58347,B100000,00000,1000,00000COSTED REQUIS 58347,B100000,00000,1100,00000COSTED REQUIS 58347,B100000,00000,1200,00000TIME SPENT 58347,B100000,00000,1300,00000TIME SPENT 58347,B100000,00000,1400,00000ASSIGNED TIME 58347,E10A180,00301,0100,06/08/1999 58347,E10A180,00350,0300,06/08/1999 58347,S000000,00100,0200,04/04/2000 58347,S200000,00100,0100,1110 MARSHELL ROAD 58347,S200000,00200,0100,GREENWOOD 58347,S200000,00200,0200,SC 58347,S200000,00200,0300,29646 58347,S200000,00300,0100,GREENWOOD 58347,S200000,00400,0100,WESLEY COMMONS 58347,S200000,00400,0200,425078 58347,S200000,00400,0300,01/01/1971 58347,S200000,00400,0500,P 58347,S200000,01500,0100,Y 58347,S200000,04300,0100,Y 58357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58357,A000000,00300,0000,00300EMPLOYEE BENEFITS 58357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58357,A000000,00700,0000,00700HOUSEKEEPING 58357,A000000,00800,0000,00800DIETARY 58357,A000000,00900,0000,00900NURSING ADMINISTRATION 58357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58357,A000000,01100,0000,01100PHARMACY 58357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58357,A000000,01300,0000,01300SOCIAL SERVICE 58357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58357,A000000,01600,0000,01600SKILLED NURSING FACILITY 58357,A000000,01810,0000,01810ICF/MR 58357,A000000,02100,0000,02100RADIOLOGY 58357,A000000,02200,0000,02200LABORATORY 58357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58357,A000000,02500,0000,02500PHYSICAL THERAPY 58357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58357,A000000,02700,0000,02700SPEECH PATHOLOGY 58357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58357,A000000,03550,0000,03550FQHC 58357,A000000,04800,0000,04800AMBULANCE 58357,A000000,05000,0000,05000CORF 58357,A000000,05010,0000,05010CMHC 58357,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58357,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58357,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58357,B100000,00000,0100,00000SQUARE FEET 58357,B100000,00000,0200,00000SQUARE FEET 58357,B100000,00000,0300,00000GROSS SALARIES 58357,B100000,00000,0400,00000ACCUM COST 58357,B100000,00000,0500,00000SQUARE FEET 58357,B100000,00000,0600,00000POUNDS OF LAUNDRY 58357,B100000,00000,0700,00000HOURS OF SERVICE 58357,B100000,00000,0800,00000MEALS SERVED 58357,B100000,00000,0900,00000DIRECT NRSG HRS 58357,B100000,00000,1000,00000COSTED REQUIS 58357,B100000,00000,1100,00000COSTED REQUIS 58357,B100000,00000,1200,00000TIME SPENT 58357,B100000,00000,1300,00000TIME SPENT 58357,B100000,00000,1400,00000ASSIGNED TIME 58357,E10A180,00301,0100,03/16/1999 58357,E10A180,00351,0300,03/16/1999 58357,E10A180,00501,0100,03/13/2000 58357,S000000,00100,0200,02/28/2000 58357,S200000,00100,0300,398 58357,S200000,00200,0100,SALUDA 58357,S200000,00200,0200,SC 58357,S200000,00200,0300,29138 58357,S200000,00300,0100,SALUDA 58357,S200000,00400,0100,SALUDA NURSING CENTER 58357,S200000,00400,0200,425081 58357,S200000,00400,0300,05/01/1974 58357,S200000,00400,0500,P 58357,S200000,01500,0100,Y 58357,S200000,04300,0100,Y 58357,S200000,04700,0100,Y 58366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58366,A000000,00300,0000,00300EMPLOYEE BENEFITS 58366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58366,A000000,00700,0000,00700HOUSEKEEPING 58366,A000000,00800,0000,00800DIETARY 58366,A000000,00900,0000,00900NURSING ADMINISTRATION 58366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58366,A000000,01100,0000,01100PHARMACY 58366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58366,A000000,01300,0000,01300SOCIAL SERVICE 58366,A000000,01350,0000,01500ACTIVITIES 58366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58366,A000000,01600,0000,01600SKILLED NURSING FACILITY 58366,A000000,01810,0000,01810ICF/MR 58366,A000000,02100,0000,02100RADIOLOGY 58366,A000000,02200,0000,02200LABORATORY 58366,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58366,A000000,02500,0000,02500PHYSICAL THERAPY 58366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58366,A000000,02700,0000,02700SPEECH PATHOLOGY 58366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58366,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58366,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58366,A000000,03550,0000,03550FQHC 58366,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58366,A000000,04800,0000,04800AMBULANCE 58366,A000000,05000,0000,05000CORF 58366,A000000,05010,0000,05010CMHC 58366,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58366,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58366,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58366,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58366,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58366,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58366,A81000A,00100,0100,Y 58366,A81000B,00100,0300,MANAGEMENT FEES 58366,A81000B,00200,0300,MANAGEMENT FEES 58366,A81000B,00300,0300,MANAGEMENT FEES 58366,A81000B,00400,0300,MANAGEMENT FEES 58366,A81000B,00600,0300,MANAGEMENT FEES 58366,A81000B,00700,0300,LAUNDRY SERVICE 58366,A81000B,00800,0300,LAUNDRY SERVICE 58366,A81000B,00900,0300,LAUNDRY SERVICE 58366,A81000B,01000,0300,LAUNDRY SERVICE 58366,A81000B,01100,0300,LAUNDRY SERVICE 58366,A81000B,01200,0300,PHYSICAL THERAPY 58366,A81000B,01300,0300,OCCUPATIONAL THERAPY 58366,A81000B,01400,0300,SPEECH THERAPY 58366,A81000B,01600,0300,HISTORICAL COSTS 58366,A81000C,00100,0100,A 58366,A81000C,00100,0200,MICHAEL H. MCBRIDE 58366,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58366,A81000C,00100,0600,HOME OFFICE 58366,A81000C,00200,0100,A 58366,A81000C,00200,0200,T. EDWARD CHILDRESS 58366,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58366,A81000C,00200,0600,HOME OFFICE 58366,A81000C,00300,0100,A 58366,A81000C,00300,0200,JOHN P. OBRIEN 58366,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58366,A81000C,00300,0600,HOME OFFICE 58366,A81000C,00400,0100,A 58366,A81000C,00400,0200,MICHAEL H. MCBRIDE 58366,A81000C,00400,0400,CENTRAL SUPPORT 58366,A81000C,00400,0600,LAUNDRY 58366,A81000C,00500,0100,A 58366,A81000C,00500,0200,T. EDWARD CHILDRESS 58366,A81000C,00500,0400,CENTRAL SUPPORT 58366,A81000C,00500,0600,LAUNDRY 58366,A81000C,00600,0100,A 58366,A81000C,00600,0200,JOHN P. OBRIEN 58366,A81000C,00600,0400,CENTRAL SUPPORT 58366,A81000C,00600,0600,LAUNDRY 58366,A81000C,00700,0100,A 58366,A81000C,00700,0200,T. EDWARD CHILDRESS 58366,A81000C,00700,0400,ADVANTAGE REHAB INC. 58366,A81000C,00700,0600,THERAPY 58366,A81000C,00800,0100,A 58366,A81000C,00800,0200,JOHN P. OBRIEN 58366,A81000C,00800,0400,ADVANTAGE REHAB INC. 58366,A81000C,00800,0600,THERAPY 58366,A81000C,00900,0100,A 58366,A81000C,00900,0200,MICHAEL H. MCBRIDE 58366,A81000C,00900,0400,ADVANTAGE REHAB INC. 58366,A81000C,00900,0600,THERAPY 58366,A81000C,01000,0100,A 58366,A81000C,01000,0200,T. EDWARD CHILDRESS 58366,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58366,A81000C,01000,0600,RENTAL LEASING 58366,A81000C,01100,0100,A 58366,A81000C,01100,0200,JOHN P. OBRIEN 58366,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58366,A81000C,01100,0600,RENTAL LEASING 58366,A81000C,01200,0100,A 58366,A81000C,01200,0200,MICHAEL H. MCBRIDE 58366,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58366,A81000C,01200,0600,RENTAL LEASING 58366,B100000,00000,0100,00000SQUARE FEET 58366,B100000,00000,0200,00000SQUARE FEET 58366,B100000,00000,0300,00000GROSS SALARIES 58366,B100000,00000,0400,00000ACCUM. COST 58366,B100000,00000,0500,00000SQUARE FEET 58366,B100000,00000,0600,00000POUNDS OF LAUNDRY 58366,B100000,00000,0750,00000SQUARE FEET 58366,B100000,00000,0800,00000MEALS SERVED 58366,B100000,00000,0900,00000NSG LABOR HOURS 58366,B100000,00000,1050,00000PATIENT DAYS 58366,B100000,00000,1150,00000PATIENT DAYS 58366,B100000,00000,1250,00000PATIENT DAYS 58366,B100000,00000,1330,00000PATIENT DAYS 58366,B100000,00000,1350,00000PATIENT DAYS 58366,B100000,00000,1400,00000ASSIGNED TIME 58366,E10A180,00301,0100,06/08/1999 58366,E10A180,00350,0300,06/08/1999 58366,S000000,00100,0200,04/03/2000 58366,S200000,00100,0100,716 EAST CEDAR ROCK STREET 58366,S200000,00200,0100,PICKENS 58366,S200000,00200,0200,SC 58366,S200000,00300,0100,PICKENS 58366,S200000,00400,0100,LAUREL HILL INC. 58366,S200000,00400,0200,425084 58366,S200000,00400,0300,01/01/1988 58366,S200000,00400,0500,P 58366,S200000,01500,0100,Y 58375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58375,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58375,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58375,A000000,00300,0000,00300EMPLOYEE BENEFITS 58375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58375,A000000,00700,0000,00700HOUSEKEEPING 58375,A000000,00800,0000,00800DIETARY 58375,A000000,00801,0000,00801CAFETERIA 58375,A000000,00900,0000,00900NURSING ADMINISTRATION 58375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58375,A000000,01100,0000,01100PHARMACY 58375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58375,A000000,01300,0000,01300SOCIAL SERVICE 58375,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 58375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58375,A000000,01600,0000,01600SKILLED NURSING FACILITY 58375,A000000,01810,0000,01810ICF/MR 58375,A000000,02200,0000,02200LABORATORY 58375,A000000,02500,0000,02500PHYSICAL THERAPY 58375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58375,A000000,02700,0000,02700SPEECH PATHOLOGY 58375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58375,A000000,03050,0000,03300OTHER ANCILLARY 58375,A000000,03051,0000,03301OTHER ANCILLARY II 58375,A000000,03052,0000,03302OTHER ANCILLARY III 58375,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58375,A000000,03550,0000,03550FQHC 58375,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58375,A000000,05000,0000,05000CORF I 58375,A000000,05010,0000,05010CMHC I 58375,A000000,05020,0000,05020OPT I 58375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58375,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58375,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58375,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58375,A81000A,00100,0100,Y 58375,A81000B,00100,0300,MGT FEES 58375,A81000C,00100,0100,A 58375,A81000C,00100,0200,THELMA R. ALLGD 58375,A81000C,00100,0400,ALLGOOD HC 58375,A81000C,00100,0600,MGT CO 58375,B100000,00000,0100,00000(SQUARE FEET) 58375,B100000,00000,0101,00000(SQUARE FEET) 58375,B100000,00000,0200,00000(SQUARE FEET) 58375,B100000,00000,0201,00000(SQUARE FEET) 58375,B100000,00000,0300,00000(GROSS SALARIES) 58375,B100000,00000,0400,00000(ACCUM. COST) 58375,B100000,00000,0500,00000(SQUARE FEET) 58375,B100000,00000,0650,00000(PATIENT DAYS) 58375,B100000,00000,0750,00000(SQUARE FEET) 58375,B100000,00000,0800,00000(MEALS SERVED) 58375,B100000,00000,0801,00000(MEALS SERVED) 58375,B100000,00000,0900,00000(DIRECT NRSING HRS 58375,B100000,00000,1000,00000(COSTED REQUIS.) 58375,B100000,00000,1150,00000(PATIENT DAYS) 58375,B100000,00000,1250,00000(PATIENT DAYS) 58375,B100000,00000,1330,00000(PATIENT DAYS) 58375,B100000,00000,1350,00000 58375,B100000,00000,1400,00000(ASSIGNED TIME) 58375,E10A180,00350,0300,09/02/1999 58375,E10A180,00550,0100,10/18/2000 58375,S000000,00100,0200,04/07/2000 58375,S200000,00100,0100,755 WHITMAN STREET 58375,S200000,00200,0100,ORANGEBURG 58375,S200000,00200,0200,SC 58375,S200000,00200,0300,29115 58375,S200000,00300,0100,ORANGEBURG 58375,S200000,00400,0100,ORANGEBURG NURSING HOME 58375,S200000,00400,0200,425085 58375,S200000,00400,0300,10/27/1993 58375,S200000,00400,0500,P 58375,S200000,01500,0100,Y 58375,S200000,01900,0100,HOSPITAL OWNED 58385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58385,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58385,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58385,A000000,00300,0000,00300EMPLOYEE BENEFITS 58385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58385,A000000,00700,0000,00700HOUSEKEEPING 58385,A000000,00800,0000,00800DIETARY 58385,A000000,00801,0000,00801CAFETERIA 58385,A000000,00900,0000,00900NURSING ADMINISTRATION 58385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58385,A000000,01100,0000,01100PHARMACY 58385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58385,A000000,01300,0000,01300SOCIAL SERVICE 58385,A000000,01350,0000,01500ACTIVITIES 58385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58385,A000000,01600,0000,01600SKILLED NURSING FACILITY 58385,A000000,01800,0000,01800NURSING FACILITY 58385,A000000,01810,0000,01810ICF/MR 58385,A000000,02100,0000,02100RADIOLOGY 58385,A000000,02200,0000,02200LABORATORY 58385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58385,A000000,02500,0000,02500PHYSICAL THERAPY 58385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58385,A000000,02700,0000,02700SPEECH PATHOLOGY 58385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58385,A000000,03050,0000,03300PEN THERAPY 58385,A000000,03051,0000,03301PROSTHETICS 58385,A000000,03052,0000,03302WOUND CARE 58385,A000000,03200,0000,03200SUPPORT SURFACES 58385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58385,A000000,03550,0000,03550FQHC 58385,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58385,A000000,05000,0000,05000CORF I 58385,A000000,05010,0000,05010CMHC I 58385,A000000,05020,0000,05020OPT I 58385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58385,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58385,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58385,A81000A,00100,0100,Y 58385,A81000B,00100,0300,MANAGEMENT FEES 58385,A81000B,00200,0300,NURSING SUPPLIES 58385,A81000B,00300,0300,LEGEND DRUGS 58385,A81000B,00400,0300,OTC 58385,A81000B,00500,0300,MEDICAL SUPPLIES 58385,A81000B,00600,0300,PHARMACY CONSULTANT 58385,A81000C,00100,0100,B 58385,A81000C,00100,0400,WHITE OAK MANOR 58385,A81000C,00100,0600,NSG HOME CHAIN 58385,A81000C,00200,0100,B 58385,A81000C,00200,0400,WHITE OAK MANOR 58385,A81000C,00200,0600,PHARMACY 58385,B100000,00000,0100,00000(SQUARE FEET) 58385,B100000,00000,0101,00000(SQUARE FEET) 58385,B100000,00000,0200,00000(SQUARE FEET) 58385,B100000,00000,0201,00000(SQUARE FEET) 58385,B100000,00000,0300,00000(GROSS SALARIES) 58385,B100000,00000,0400,00000(ACCUM. COST) 58385,B100000,00000,0500,00000(SQUARE FEET) 58385,B100000,00000,0650,00000(PATIENT DAYS) 58385,B100000,00000,0750,00000(SQUARE FEET) 58385,B100000,00000,0800,00000(MEALS SERVED) 58385,B100000,00000,0801,00000(MEALS SERVED) 58385,B100000,00000,0950,00000(PATIENT DAYS) 58385,B100000,00000,1050,00000(PATIENT DAYS) 58385,B100000,00000,1150,00000(PATIENT DAYS) 58385,B100000,00000,1250,00000(PATIENT DAYS) 58385,B100000,00000,1330,00000(PATIENT DAYS) 58385,B100000,00000,1350,00000(PATIENT DAYS) 58385,B100000,00000,1400,00000(ASSIGNED TIME) 58385,E10A180,00301,0100,09/30/1999 58385,E10A180,00350,0300,06/15/1999 58385,E10A180,00501,0300,06/21/2000 58385,S000000,00100,0200,02/24/2000 58385,S200000,00100,0100,2407 S. PINE ST 58385,S200000,00100,0300,3347 58385,S200000,00200,0100,SPARTANBURG 58385,S200000,00200,0200,SC 58385,S200000,00200,0300,29304 58385,S200000,00300,0100,SPARTANBURG 58385,S200000,00400,0100,WHITE OAK MANOR-ROCK HILL 58385,S200000,00400,0200,425088 58385,S200000,00400,0300,09/30/1972 58385,S200000,00400,0500,P 58385,S200000,01500,0100,Y 58385,S200000,01900,0100,HOSPITAL OWNED 58385,S200000,02200,0100,Y 58397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58397,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58397,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58397,A000000,00300,0000,00300EMPLOYEE BENEFITS 58397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58397,A000000,00700,0000,00700HOUSEKEEPING 58397,A000000,00800,0000,00800DIETARY 58397,A000000,00801,0000,00801CAFETERIA 58397,A000000,00900,0000,00900NURSING ADMINISTRATION 58397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58397,A000000,01100,0000,01100PHARMACY 58397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58397,A000000,01300,0000,01300SOCIAL SERVICE 58397,A000000,01350,0000,01500ACTIVITIES 58397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58397,A000000,01600,0000,01600SKILLED NURSING FACILITY 58397,A000000,01800,0000,01800NURSING FACILITY 58397,A000000,01810,0000,01810ICF/MR 58397,A000000,02100,0000,02100RADIOLOGY 58397,A000000,02200,0000,02200LABORATORY 58397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58397,A000000,02500,0000,02500PHYSICAL THERAPY 58397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58397,A000000,02700,0000,02700SPEECH PATHOLOGY 58397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58397,A000000,03050,0000,03300PEN THERAPY 58397,A000000,03051,0000,03301PROSTHETICS 58397,A000000,03052,0000,03302WOUND CARE 58397,A000000,03200,0000,03200SUPPORT SURFACES 58397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58397,A000000,03550,0000,03550FQHC 58397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58397,A000000,04800,0000,04800AMBULANCE 58397,A000000,05000,0000,05000CORF I 58397,A000000,05010,0000,05010CMHC I 58397,A000000,05020,0000,05020OPT I 58397,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58397,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58397,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58397,A81000A,00100,0100,Y 58397,A81000B,00100,0300,MANAGEMENT FEES 58397,A81000B,00200,0300,NURSING SUPPLIES 58397,A81000B,00300,0300,LEGEND DRUGS 58397,A81000B,00400,0300,OTC 58397,A81000B,00500,0300,MEDICAL SUPPLIES 58397,A81000B,00600,0300,PHARMACY CONSULTANT 58397,A81000C,00100,0100,B 58397,A81000C,00100,0400,WHITE OAK MANOR 58397,A81000C,00100,0600,NSG HOME CHAIN 58397,A81000C,00200,0100,B 58397,A81000C,00200,0400,WHITE OAK MANOR 58397,A81000C,00200,0600,PHARMACY 58397,B100000,00000,0100,00000(SQUARE FEET) 58397,B100000,00000,0101,00000(SQUARE FEET) 58397,B100000,00000,0200,00000(SQUARE FEET) 58397,B100000,00000,0201,00000(SQUARE FEET) 58397,B100000,00000,0300,00000(GROSS SALARIES) 58397,B100000,00000,0400,00000(ACCUM. COST) 58397,B100000,00000,0500,00000(SQUARE FEET) 58397,B100000,00000,0650,00000(PATIENT DAYS) 58397,B100000,00000,0750,00000(SQUARE FEET) 58397,B100000,00000,0800,00000(MEALS SERVED) 58397,B100000,00000,0801,00000(MEALS SERVED) 58397,B100000,00000,0950,00000(PATIENT DAYS) 58397,B100000,00000,1050,00000(PATIENT DAYS) 58397,B100000,00000,1150,00000(PATIENT DAYS) 58397,B100000,00000,1250,00000(PATIENT DAYS) 58397,B100000,00000,1330,00000(PATIENT DAYS) 58397,B100000,00000,1350,00000(PATIENT DAYS) 58397,B100000,00000,1400,00000(ASSIGNED TIME) 58397,E10A180,00301,0100,09/30/1999 58397,E10A180,00350,0300,06/07/1999 58397,E10A180,00501,0300,09/06/2000 58397,S000000,00100,0200,02/24/2000 58397,S200000,00100,0100,2407 S. PINE ST 58397,S200000,00100,0300,3347 58397,S200000,00200,0100,SPARTANBURG 58397,S200000,00200,0200,SC 58397,S200000,00200,0300,29304 58397,S200000,00300,0100,SPARTANBURG 58397,S200000,00400,0100,WHITE OAK MANOR-YORK 58397,S200000,00400,0200,425089 58397,S200000,00400,0300,12/03/1991 58397,S200000,00400,0500,P 58397,S200000,01500,0100,Y 58397,S200000,01900,0100,HOSPITAL OWNED 58397,S200000,02200,0100,Y 58420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58420,A000000,00300,0000,00300EMPLOYEE BENEFITS 58420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58420,A000000,00700,0000,00700HOUSEKEEPING 58420,A000000,00800,0000,00800DIETARY 58420,A000000,00900,0000,00900NURSING ADMINISTRATION 58420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58420,A000000,01100,0000,01100PHARMACY 58420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58420,A000000,01300,0000,01300SOCIAL SERVICE 58420,A000000,01350,0000,01500ACTIVITIES 58420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58420,A000000,01600,0000,01600SKILLED NURSING FACILITY 58420,A000000,01810,0000,01810ICF/MR 58420,A000000,02100,0000,02100RADIOLOGY 58420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58420,A000000,02500,0000,02500PHYSICAL THERAPY 58420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58420,A000000,02700,0000,02700SPEECH PATHOLOGY 58420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58420,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58420,A000000,03550,0000,03550FQHC 58420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58420,A000000,04800,0000,04800AMBULANCE 58420,A000000,05000,0000,05000CORF 58420,A000000,05010,0000,05010CMHC 58420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58420,B100000,00000,0100,00000SQUARE FEET 58420,B100000,00000,0200,00000SQUARE FEET 58420,B100000,00000,0300,00000GROSS SALARIES 58420,B100000,00000,0400,00000ACCUM. COST 58420,B100000,00000,0500,00000SQUARE FEET 58420,B100000,00000,0650,00000PATIENT DAYS 58420,B100000,00000,0750,00000SQUARE FEET 58420,B100000,00000,0800,00000MEALS SERVED 58420,B100000,00000,0900,00000NSG LABOR HOURS 58420,B100000,00000,1050,00000PATIENT DAYS 58420,B100000,00000,1150,00000PATIENT DAYS 58420,B100000,00000,1250,00000PATIENT DAYS 58420,B100000,00000,1330,00000PATIENT DAYS 58420,B100000,00000,1350,00000PATIENT DAYS 58420,B100000,00000,1400,00000ASSIGNED TIME 58420,E10A180,00301,0100,06/08/1999 58420,E10A180,00350,0300,06/08/1999 58420,E10A180,00501,0100,04/03/2000 58420,E10A180,00550,0300,04/03/2000 58420,S000000,00100,0200,04/03/2000 58420,S200000,00100,0100,1727 BUCK SWAMP ROAD 58420,S200000,00200,0100,FORK 58420,S200000,00200,0200,SC 58420,S200000,00300,0100,DILLON 58420,S200000,00400,0100,SUNNY ACRES INC. 58420,S200000,00400,0200,425093 58420,S200000,00400,0300,11/01/1972 58420,S200000,00400,0500,P 58420,S200000,01500,0100,Y 58431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58431,A000000,00300,0000,00300EMPLOYEE BENEFITS 58431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58431,A000000,00700,0000,00700HOUSEKEEPING 58431,A000000,00800,0000,00800DIETARY 58431,A000000,00900,0000,00900NURSING ADMINISTRATION 58431,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58431,A000000,01100,0000,01100PHARMACY 58431,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58431,A000000,01300,0000,01300SOCIAL SERVICE 58431,A000000,01350,0000,01500OTHER GENERAL SERVICES 58431,A000000,01351,0000,01501PATIENT ACTIVITIES 58431,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58431,A000000,01600,0000,01600SKILLED NURSING FACILITY 58431,A000000,01810,0000,01810ICF/MR 58431,A000000,01900,0000,01900OTHER LONG TERM CARE 58431,A000000,02100,0000,02100RADIOLOGY 58431,A000000,02200,0000,02200LABORATORY 58431,A000000,02300,0000,02300INTRAVENOUS THERAPY 58431,A000000,02500,0000,02500PHYSICAL THERAPY 58431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58431,A000000,02700,0000,02700SPEECH PATHOLOGY 58431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58431,A000000,03201,0000,03201COMPLEX MEDICAL EQUIPMENT 58431,A000000,03550,0000,03550FQHC 58431,A000000,05000,0000,05000CORF 58431,A000000,05010,0000,05010CMHC 58431,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58431,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58431,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58431,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58431,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58431,A000000,06151,0000,06301COUNTY OFFICES 58431,B100000,00000,0100,00001SQUARE FEET 58431,B100000,00000,0200,00001SQUARE FEET 58431,B100000,00000,0300,00001GROSS SALARIES 58431,B100000,00000,0400,00001ACCUM. COST 58431,B100000,00000,0500,00001SQUARE FEET 58431,B100000,00000,0600,00001POUNDS OF LAUNDRY 58431,B100000,00000,0700,00001HOURS OF SERVICE 58431,B100000,00000,0800,00001MEALS SERVED 58431,B100000,00000,0950,00001NURSING PERCENT 58431,B100000,00000,1050,00001HOURS OF SERVICE 58431,B100000,00000,1100,00001COSTED REQUIS 58431,B100000,00000,1250,00001HOURS OF SERVICE 58431,B100000,00000,1330,00001HOURS OF SERVICE 58431,B100000,00000,1350,00001NO STATISTICS 58431,B100000,00000,1351,00001HOURS OF SERVICE 58431,B100000,00000,1400,00001ASSIGNED TIME 58431,E10A180,00301,0100,10/19/2000 58431,E10A180,00350,0100,09/22/2000 58431,E10A180,00350,0300,09/22/2000 58431,E10A180,00501,0300,01/19/2001 58431,S000000,00100,0200,12/01/2000 58431,S200000,00100,0100,1434 N. LIMESTONE STREET 58431,S200000,00200,0100,GAFFNEY 58431,S200000,00200,0200,SC 58431,S200000,00200,0300,29340 58431,S200000,00300,0100,CHEROKEE 58431,S200000,00400,0100,CHEROKEE COUNTY LTC FACILITY 58431,S200000,00400,0200,425095 58431,S200000,00400,0300,01/25/1993 58431,S200000,00400,0500,P 58431,S200000,01600,0100,Y 58438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58438,A000000,00300,0000,00300EMPLOYEE BENEFITS 58438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58438,A000000,00700,0000,00700HOUSEKEEPING 58438,A000000,00800,0000,00800DIETARY 58438,A000000,00900,0000,00900NURSING ADMINISTRATION 58438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58438,A000000,01100,0000,01100PHARMACY 58438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58438,A000000,01300,0000,01300SOCIAL SERVICE 58438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58438,A000000,01600,0000,01600SKILLED NURSING FACILITY 58438,A000000,01810,0000,01810ICF/MR 58438,A000000,02100,0000,02100RADIOLOGY 58438,A000000,02200,0000,02200LABORATORY 58438,A000000,02300,0000,02300INTRAVENOUS THERAPY 58438,A000000,02500,0000,02500PHYSICAL THERAPY 58438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58438,A000000,02700,0000,02700SPEECH PATHOLOGY 58438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58438,A000000,03200,0000,03200SUPPORT SURFACES 58438,A000000,03550,0000,03550FQHC 58438,A000000,04800,0000,04800AMBULANCE 58438,A000000,05000,0000,05000CORF 58438,A000000,05010,0000,05010CMHC 58438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58438,A000000,05300,0000,05300INTEREST EXPENSE 58438,A81000A,00100,0100,Y 58438,A81000B,00100,0300,ADJ HOME OFFICE COST 58438,A81000B,00200,0300,ADJ HOME OFFICE COST 58438,A81000B,00300,0300,ADJ HOME OFFICE COST 58438,A81000C,00100,0100,F 58438,A81000C,00100,0200,DAVID W. CECIL 58438,A81000C,00100,0400,HEALTH CARE COR 58438,A81000C,00100,0600,MANAGEMENT H O 58438,A81000C,00200,0100,F 58438,A81000C,00200,0200,DAVID W. CECIL 58438,A81000C,00200,0400,HEALTH CARE COR 58438,A81000C,00200,0600,MANAGEMENT H O 58438,A81000C,00300,0100,F 58438,A81000C,00300,0200,DAVID W. CECIL 58438,A81000C,00300,0400,HEALTH CARE COR 58438,A81000C,00300,0600,MANAGEMENT H O 58438,B100000,00000,0100,00000SQUARE FEET 58438,B100000,00000,0200,00000SQUARE FEET 58438,B100000,00000,0300,00000GROSS SALARIES 58438,B100000,00000,0400,00000ACCUM COST 58438,B100000,00000,0500,00000SQUARE FEET 58438,B100000,00000,0600,00000POUNDS OF LAUNDRY 58438,B100000,00000,0700,00000HOURS OF SERVICE 58438,B100000,00000,0800,00000MEALS SERVED 58438,B100000,00000,0900,00000DIRECT NRSG HRS 58438,B100000,00000,1000,00000COSTED REQUIS 58438,B100000,00000,1100,00000COSTED REQUIS 58438,B100000,00000,1200,00000TIME SPENT 58438,B100000,00000,1300,00000TIME SPENT 58438,B100000,00000,1400,00000ASSIGNED TIME 58438,E10A180,00501,0100,05/30/2000 58438,S000000,00100,0200,03/07/2000 58438,S200000,00100,0100,400 LUCOST GROVE ROAD 58438,S200000,00200,0100,SPARTANBURG 58438,S200000,00200,0200,SC 58438,S200000,00200,0300,29303 58438,S200000,00400,0100,VALLEY FALLS TERRACE INC. 58438,S200000,00400,0200,425096 58438,S200000,00400,0300,09/30/1973 58438,S200000,00400,0500,P 58438,S200000,01500,0100,Y 58438,S200000,02800,0100,Y 58447,S000000,00100,0200,04/04/2000 58457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58457,A000000,00300,0000,00300EMPLOYEE BENEFITS 58457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58457,A000000,00700,0000,00700HOUSEKEEPING 58457,A000000,00800,0000,00800DIETARY 58457,A000000,00900,0000,00900NURSING ADMINISTRATION 58457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58457,A000000,01100,0000,01100PHARMACY 58457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58457,A000000,01300,0000,01300SOCIAL SERVICE 58457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58457,A000000,01600,0000,01600SKILLED NURSING FACILITY 58457,A000000,01810,0000,01810ICF/MR 58457,A000000,02100,0000,02100RADIOLOGY 58457,A000000,02200,0000,02200LABORATORY 58457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58457,A000000,02500,0000,02500PHYSICAL THERAPY 58457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58457,A000000,02700,0000,02700SPEECH PATHOLOGY 58457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58457,A000000,03550,0000,03550FQHC 58457,A000000,05000,0000,05000CORF 58457,A000000,05010,0000,05010CMHC 58457,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58457,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58457,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58457,A81000A,00100,0100,Y 58457,A81000B,00100,0300,MANAGEMENT FEES 58457,A81000B,00200,0300,HOME OFFICE COSTS 58457,A81000B,00300,0300,HOME OFFICE COSTS 58457,A81000B,00400,0300,HOME OFFICE COSTS 58457,A81000B,00500,0300,SNF 58457,A81000C,00100,0100,B 58457,A81000C,00100,0200,LUTHERAN HOMES OF SC 58457,A81000C,00100,0600,MANAGEMENT COMPANY 58457,B100000,00000,0100,00000square feet 58457,B100000,00000,0200,00000square feet 58457,B100000,00000,0300,00000gross salaries 58457,B100000,00000,0400,00000ACCUM. COST 58457,B100000,00000,0500,00000square feet 58457,B100000,00000,0600,00000pounds of laundry 58457,B100000,00000,0700,00000hours of service 58457,B100000,00000,0800,00000meals served 58457,B100000,00000,0900,00000direct nsg hrs of srvc 58457,B100000,00000,1000,00000costed requiS 58457,B100000,00000,1100,00000COSTED REQUIS 58457,B100000,00000,1200,00000time spent 58457,B100000,00000,1300,00000time spent 58457,B100000,00000,1400,00000ASSIGNED TIME 58457,E10A180,00301,0100,08/19/1999 58457,E10A180,00301,0300,08/15/1999 58457,E10A180,00501,0100,05/24/2000 58457,E10A180,00501,0300,05/24/2000 58457,S000000,00100,0200,05/11/2000 58457,S200000,00100,0100,300 MINISTRY DR. 58457,S200000,00200,0100,WHITE ROCK 58457,S200000,00200,0200,SC 58457,S200000,00300,0100,RICHLAND 58457,S200000,00400,0100,LOWMAN HOME NURSING CENTER 58457,S200000,00400,0200,425100 58457,S200000,00400,0300,10/01/1987 58457,S200000,00400,0500,P 58457,S200000,00400,0600,O 58457,S200000,01500,0100,Y 58457,S200000,04300,0100,Y 58466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58466,A000000,00300,0000,00300EMPLOYEE BENEFITS 58466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58466,A000000,00700,0000,00700HOUSEKEEPING 58466,A000000,00800,0000,00800DIETARY 58466,A000000,00900,0000,00900NURSING ADMINISTRATION 58466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58466,A000000,01100,0000,01100PHARMACY 58466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58466,A000000,01300,0000,01300SOCIAL SERVICE 58466,A000000,01350,0000,01500ACTIVITIES 58466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58466,A000000,01600,0000,01600SKILLED NURSING FACILITY 58466,A000000,01810,0000,01810ICF/MR 58466,A000000,02100,0000,02100RADIOLOGY 58466,A000000,02200,0000,02200LABORATORY 58466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58466,A000000,02500,0000,02500PHYSICAL THERAPY 58466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58466,A000000,02700,0000,02700SPEECH PATHOLOGY 58466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58466,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58466,A000000,03550,0000,03550FQHC 58466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58466,A000000,04800,0000,04800AMBULANCE 58466,A000000,05000,0000,05000CORF 58466,A000000,05010,0000,05010CMHC 58466,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58466,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58466,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58466,A81000A,00100,0100,Y 58466,A81000B,00100,0300,MANAGEMENT FEES 58466,A81000B,00200,0300,MANAGEMENT FEES 58466,A81000B,00300,0300,MANAGEMENT FEES 58466,A81000B,00400,0300,MANAGEMENT FEES 58466,A81000B,00600,0300,MANAGEMENT FEES 58466,A81000B,00700,0300,LAUNDRY SERVICE 58466,A81000B,00800,0300,LAUNDRY SERVICE 58466,A81000B,00900,0300,LAUNDRY SERVICE 58466,A81000B,01000,0300,LAUNDRY SERVICE 58466,A81000B,01100,0300,LAUNDRY SERVICE 58466,A81000B,01200,0300,PHYSICAL THERAPY 58466,A81000B,01300,0300,OCCUPATIONAL THERAPY 58466,A81000B,01400,0300,SPEECH THERAPY 58466,A81000B,01500,0300,SHAREHOLDER INTEREST 58466,A81000B,01600,0300,HISTORICAL COSTS 58466,A81000C,00100,0100,A 58466,A81000C,00100,0200,MICHAEL H. MCBRIDE 58466,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58466,A81000C,00100,0600,HOME OFFICE 58466,A81000C,00200,0100,A 58466,A81000C,00200,0200,T. EDWARD CHILDRESS 58466,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58466,A81000C,00200,0600,HOME OFFICE 58466,A81000C,00300,0100,A 58466,A81000C,00300,0200,JOHN P. OBRIEN 58466,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58466,A81000C,00300,0600,HOME OFFICE 58466,A81000C,00400,0100,A 58466,A81000C,00400,0200,MICHAEL H. MCBRIDE 58466,A81000C,00400,0400,CENTRAL SUPPORT 58466,A81000C,00400,0600,LAUNDRY 58466,A81000C,00500,0100,A 58466,A81000C,00500,0200,T. EDWARD CHILDRESS 58466,A81000C,00500,0400,CENTRAL SUPPORT 58466,A81000C,00500,0600,LAUNDRY 58466,A81000C,00600,0100,A 58466,A81000C,00600,0200,JOHN P. OBRIEN 58466,A81000C,00600,0400,CENTRAL SUPPORT 58466,A81000C,00600,0600,LAUNDRY 58466,A81000C,00700,0100,A 58466,A81000C,00700,0200,T. EDWARD CHILDRESS 58466,A81000C,00700,0400,ADVANTAGE REHAB INC. 58466,A81000C,00700,0600,THERAPY 58466,A81000C,00800,0100,A 58466,A81000C,00800,0200,JOHN P. OBRIEN 58466,A81000C,00800,0400,ADVANTAGE REHAB INC. 58466,A81000C,00800,0600,THERAPY 58466,A81000C,00900,0100,A 58466,A81000C,00900,0200,MICHAEL H. MCBRIDE 58466,A81000C,00900,0400,ADVANTAGE REHAB INC. 58466,A81000C,00900,0600,THERAPY 58466,A81000C,01000,0100,A 58466,A81000C,01000,0200,T. EDWARD CHILDRESS 58466,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58466,A81000C,01000,0600,RENTAL LEASING 58466,A81000C,01100,0100,A 58466,A81000C,01100,0200,JOHN P. OBRIEN 58466,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58466,A81000C,01100,0600,RENTAL LEASING 58466,A81000C,01200,0100,A 58466,A81000C,01200,0200,MICHAEL H. MCBRIDE 58466,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58466,A81000C,01200,0600,RENTAL LEASING 58466,B100000,00000,0100,00000SQUARE FEET 58466,B100000,00000,0200,00000SQUARE FEET 58466,B100000,00000,0300,00000GROSS SALARIES 58466,B100000,00000,0400,00000ACCUM. COST 58466,B100000,00000,0500,00000SQUARE FEET 58466,B100000,00000,0600,00000POUNDS OF LAUNDRY 58466,B100000,00000,0750,00000SQUARE FEET 58466,B100000,00000,0800,00000MEALS SERVED 58466,B100000,00000,0900,00000NSG LABOR HOURS 58466,B100000,00000,1050,00000PATIENT DAYS 58466,B100000,00000,1150,00000PATIENT DAYS 58466,B100000,00000,1250,00000PATIENT DAYS 58466,B100000,00000,1330,00000PATIENT DAYS 58466,B100000,00000,1350,00000PATIENT DAYS 58466,B100000,00000,1400,00000ASSIGNED TIME 58466,E10A180,00501,0100,06/02/2000 58466,S000000,00100,0200,04/03/2000 58466,S200000,00100,0100,8 NORTH TEXAS AVE 58466,S200000,00200,0100,GREENVILLE 58466,S200000,00200,0200,SC 58466,S200000,00300,0100,GREENVILLE 58466,S200000,00400,0100,WESTSIDE NURSING CENTER INC 58466,S200000,00400,0200,425102 58466,S200000,00400,0300,01/01/1988 58466,S200000,00400,0500,P 58466,S200000,01500,0100,Y 58466,S200000,01900,0100,HOSPITAL OWNED 58476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58476,A000000,00300,0000,00300EMPLOYEE BENEFITS 58476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58476,A000000,00700,0000,00700HOUSEKEEPING 58476,A000000,00800,0000,00800DIETARY 58476,A000000,00900,0000,00900NURSING ADMINISTRATION 58476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58476,A000000,01100,0000,01100PHARMACY 58476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58476,A000000,01300,0000,01300SOCIAL SERVICE 58476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58476,A000000,01600,0000,01600SKILLED NURSING FACILITY 58476,A000000,01800,0000,01800NURSING FACILITY 58476,A000000,01810,0000,01810ICF/MR 58476,A000000,02100,0000,02100RADIOLOGY 58476,A000000,02200,0000,02200LABORATORY 58476,A000000,02300,0000,02300INTRAVENOUS THERAPY 58476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58476,A000000,02500,0000,02500PHYSICAL THERAPY 58476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58476,A000000,02700,0000,02700SPEECH PATHOLOGY 58476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58476,A000000,03550,0000,03550FQHC 58476,A000000,04800,0000,04800AMBULANCE 58476,A000000,05000,0000,05000CORF 58476,A000000,05010,0000,05010CMHC 58476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58476,A000000,05300,0000,05300INTEREST EXPENSE 58476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58476,A81000A,00100,0100,Y 58476,A81000B,00100,0300,ADJUST HOME OFFICE COST 58476,A81000B,00200,0300,ADJUST HOME OFFICE COST 58476,A81000B,00300,0300,HEALTH INSURANCE 58476,A81000B,00400,0300,ADJUST HOME OFFICE COST 58476,A81000B,00500,0300,DATA PROCESSING COST 58476,A81000B,00700,0300,PHS - NURSING 58476,A81000B,00800,0300,PHS - SOCIAL WORK 58476,A81000B,00900,0300,PHS - OCC THERAPY 58476,A81000B,01000,0300,PHS - SPEECH THERAPY 58476,A81000B,01100,0300,PHS - PHYS THERAPY 58476,A81000B,01200,0300,PHS - DIETARY 58476,A81000B,01300,0300,PHS - MED RECORDS 58476,A81000B,01400,0300,PHS - ADMINISTRATIVE 58476,A81000B,01600,0300,MGT FEE-PHY TH 58476,A81000B,01700,0300,MGT FEE- PLANT OP 58476,A81000B,01800,0300,MGT FEE- LAUNDRY 58476,A81000B,01900,0300,MGT FEE-- HSKG 58476,A81000B,02000,0300,MGT FEE- DIETARY 58476,A81000B,02100,0300,MGT FEE- NSG ADMIN 58476,A81000B,02200,0300,MGT FEE -MED RECO 58476,A81000B,02300,0300,MGT FEE --SOC WK & 58476,A81000C,00100,0100,B 58476,A81000C,00100,0200,NATIONAL HEALTH 58476,A81000C,00100,0600,HOME OFFCIE 58476,A81000C,00200,0200,CORPORATION 58476,A81000C,00300,0100,B 58476,A81000C,00300,0200,PROFESSIONAL H 58476,A81000C,00300,0600,SPECILIZED PER 58476,A81000C,00400,0200,SERVCIES CORP. 58476,B100000,00000,0100,00000(SQUARE FEET) 58476,B100000,00000,0200,00000(SQUARE FEET) 58476,B100000,00000,0300,00000(GROSS SALARIES) 58476,B100000,00000,0400,00000(ACCUM COST) 58476,B100000,00000,0500,00000(SQUARE FEET) 58476,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 58476,B100000,00000,0750,00000(SQUARE FEET) 58476,B100000,00000,0800,00000(MEALS SERVED) 58476,B100000,00000,0900,00000(DIRECT NRSG HRS) 58476,B100000,00000,1000,00000(COSTED REQUIS) 58476,B100000,00000,1100,00000(COSTED REQUIS) 58476,B100000,00000,1200,00000(TIME SPENT) 58476,B100000,00000,1300,00000(TIME SPENT) 58476,B100000,00000,1400,00000ASSIGNED TIME 58476,E10A180,00301,0100,03/31/1999 58476,E10A180,00301,0300,02/25/2000 58476,E10A180,00305,0100,02/25/2000 58476,E10A180,00550,0100,10/05/2000 58476,S000000,00100,0200,05/31/2000 58476,S200000,00100,0100,1018 N. GUIGNARD DR. 58476,S200000,00100,0300,1524 58476,S200000,00200,0100,SUMTER 58476,S200000,00200,0200,SC 58476,S200000,00200,0300,29150 58476,S200000,00400,0100,NHC HEALTHCARE SUMTER 58476,S200000,00400,0200,425109 58476,S200000,00400,0300,01/01/1985 58476,S200000,00400,0500,P 58476,S200000,00600,0200,425109 58476,S200000,00600,0300,01/01/1985 58476,S200000,00600,0600,P 58476,S200000,01600,0100,Y 58492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58492,A000000,00300,0000,00300EMPLOYEE BENEFITS 58492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58492,A000000,00700,0000,00700HOUSEKEEPING 58492,A000000,00800,0000,00800DIETARY 58492,A000000,00900,0000,00900NURSING ADMINISTRATION 58492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58492,A000000,01100,0000,01100PHARMACY 58492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58492,A000000,01300,0000,01300SOCIAL SERVICE 58492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58492,A000000,01600,0000,01600SKILLED NURSING FACILITY 58492,A000000,01810,0000,01810ICF/MR 58492,A000000,02100,0000,02100RADIOLOGY 58492,A000000,02300,0000,02300INTRAVENOUS THERAPY 58492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58492,A000000,02500,0000,02500PHYSICAL THERAPY 58492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58492,A000000,02700,0000,02700SPEECH PATHOLOGY 58492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58492,A000000,03550,0000,03550FQHC 58492,A000000,05000,0000,05000CORF 58492,A000000,05010,0000,05010CMHC 58492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58492,A000000,05300,0000,05300INTEREST EXPENSE 58492,A81000A,00100,0100,Y 58492,A81000B,00100,0300,ADJ HOME OFFICE COST 58492,A81000B,00200,0300,HOME OFFICE LAUNDRY 58492,A81000B,00300,0300,ADJ HOME OFFICE COST 58492,A81000C,00100,0100,A 58492,A81000C,00100,0200,WILSON GROUP INC. 58492,B100000,00000,0100,00000SQUARE FEET 58492,B100000,00000,0200,00000SQUARE FEET 58492,B100000,00000,0300,00000GROSS SALARIES 58492,B100000,00000,0400,00000ACCUM COST 58492,B100000,00000,0500,00000SQUARE FEET 58492,B100000,00000,0600,00000POUNDS OF LAUNDRY 58492,B100000,00000,0700,00000HOURS OF SERVICE 58492,B100000,00000,0800,00000MEALS SERVED 58492,B100000,00000,0900,00000DIRECT NRSG HRS 58492,B100000,00000,1000,00000COSTED REQUIS 58492,B100000,00000,1100,00000COSTED REQUIS 58492,B100000,00000,1200,00000TIME SPENT 58492,B100000,00000,1300,00000TIME SPENT 58492,B100000,00000,1400,00000ASSIGNED TIME 58492,E10A180,00350,0300,09/27/1999 58492,E10A180,00501,0100,09/07/2000 58492,E10A180,00501,0300,01/18/2001 58492,S000000,00100,0200,02/29/2000 58492,S200000,00100,0300,1318 58492,S200000,00200,0100,DARLINGTON 58492,S200000,00200,0200,SC 58492,S200000,00200,0300,29532 58492,S200000,00300,0100,DARLINGTON 58492,S200000,00400,0100,MORRELL MEM CONV. CENTER 58492,S200000,00400,0200,425111 58492,S200000,00400,0300,10/01/1983 58492,S200000,00400,0500,P 58492,S200000,01500,0100,Y 58501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58501,A000000,00300,0000,00300EMPLOYEE BENEFITS 58501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58501,A000000,00700,0000,00700HOUSEKEEPING 58501,A000000,00800,0000,00800DIETARY 58501,A000000,00900,0000,00900NURSING ADMINISTRATION 58501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58501,A000000,01100,0000,01100PHARMACY 58501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58501,A000000,01300,0000,01300SOCIAL SERVICE 58501,A000000,01350,0000,01500ACTIVITIES 58501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58501,A000000,01600,0000,01600SKILLED NURSING FACILITY 58501,A000000,01810,0000,01810ICF/MR 58501,A000000,02100,0000,02100RADIOLOGY 58501,A000000,02200,0000,02200LABORATORY 58501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58501,A000000,02500,0000,02500PHYSICAL THERAPY 58501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58501,A000000,02700,0000,02700SPEECH PATHOLOGY 58501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58501,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58501,A000000,03550,0000,03550FQHC 58501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58501,A000000,04800,0000,04800AMBULANCE 58501,A000000,05000,0000,05000CORF 58501,A000000,05010,0000,05010CMHC 58501,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58501,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58501,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58501,A81000A,00100,0100,Y 58501,A81000B,00100,0300,MANAGEMENT FEES 58501,A81000B,00200,0300,MANAGEMENT FEES 58501,A81000B,00300,0300,MANAGEMENT FEES 58501,A81000B,00400,0300,MANAGEMENT FEES 58501,A81000B,00500,0300,MANAGEMENT FEES 58501,A81000B,00600,0300,LAUNDRY SERVICE 58501,A81000B,00700,0300,LAUNDRY SERVICE 58501,A81000B,00800,0300,LAUNDRY SERVICE 58501,A81000B,00900,0300,LAUNDRY SERVICE 58501,A81000B,01000,0300,LAUNDRY SERVICE 58501,A81000B,01100,0300,PHYSICAL THERAPY 58501,A81000B,01200,0300,OCCUPATIONAL THERAPY 58501,A81000B,01300,0300,SPEECH THERAPY 58501,A81000B,01400,0300,SHAREHOLDER INTEREST 58501,A81000B,01500,0300,HISTORICAL COSTS 58501,A81000C,00100,0100,A 58501,A81000C,00100,0200,MICHAEL H. MCBRIDE 58501,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58501,A81000C,00100,0600,HOME OFFICE 58501,A81000C,00200,0100,A 58501,A81000C,00200,0200,T. EDWARD CHILDRESS 58501,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58501,A81000C,00200,0600,HOME OFFICE 58501,A81000C,00300,0100,A 58501,A81000C,00300,0200,JOHN P. OBRIEN 58501,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58501,A81000C,00300,0600,HOME OFFICE 58501,A81000C,00400,0100,A 58501,A81000C,00400,0200,MICHAEL H. MCBRIDE 58501,A81000C,00400,0400,CENTRAL SUPPORT 58501,A81000C,00400,0600,LAUNDRY 58501,A81000C,00500,0100,A 58501,A81000C,00500,0200,T. EDWARD CHILDRESS 58501,A81000C,00500,0400,CENTRAL SUPPORT 58501,A81000C,00500,0600,LAUNDRY 58501,A81000C,00600,0100,A 58501,A81000C,00600,0200,JOHN P. OBRIEN 58501,A81000C,00600,0400,CENTRAL SUPPORT 58501,A81000C,00600,0600,LAUNDRY 58501,A81000C,00700,0100,A 58501,A81000C,00700,0200,T. EDWARD CHILDRESS 58501,A81000C,00700,0400,CARDINAL HEALTH GROUP LLC 58501,A81000C,00700,0600,RENTAL LEASING 58501,A81000C,00800,0100,A 58501,A81000C,00800,0200,JOHN P. OBRIEN 58501,A81000C,00800,0400,CARDINAL HEALTH GROUP LLC 58501,A81000C,00800,0600,RENTAL LEASING 58501,A81000C,00900,0100,A 58501,A81000C,00900,0200,MICHAEL H. MCBRIDE 58501,A81000C,00900,0400,CARDINAL HEALTH GROUP LLC 58501,A81000C,00900,0600,RENTAL LEASING 58501,A81000C,01000,0100,A 58501,A81000C,01000,0200,T. EDWARD CHILDRESS 58501,A81000C,01000,0400,ADVANTAGE REHAB 58501,A81000C,01000,0600,THERAPY 58501,A81000C,01100,0100,A 58501,A81000C,01100,0200,JOHN P. OBRIEN 58501,A81000C,01100,0400,ADVANTAGE REHAB 58501,A81000C,01100,0600,THERAPY 58501,A81000C,01200,0100,A 58501,A81000C,01200,0200,MICHAEL H. MCBRIDE 58501,A81000C,01200,0400,ADVANTAGE REHAB 58501,A81000C,01200,0600,THERAPY 58501,B100000,00000,0100,00000SQUARE FEET 58501,B100000,00000,0200,00000SQUARE FEET 58501,B100000,00000,0300,00000GROSS SALARIES 58501,B100000,00000,0400,00000ACCUM. COST 58501,B100000,00000,0500,00000SQUARE FEET 58501,B100000,00000,0600,00000POUNDS OF LAUNDRY 58501,B100000,00000,0750,00000SQUARE FEET 58501,B100000,00000,0800,00000MEALS SERVED 58501,B100000,00000,0900,00000NSG LABOR HOURS 58501,B100000,00000,1050,00000PATIENT DAYS 58501,B100000,00000,1150,00000PATIENT DAYS 58501,B100000,00000,1250,00000PATIENT DAYS 58501,B100000,00000,1330,00000PATIENT DAYS 58501,B100000,00000,1350,00000PATIENT DAYS 58501,B100000,00000,1400,00000ASSIGNED TIME 58501,E10A180,00501,0100,04/03/2000 58501,E10A180,00550,0300,04/03/2000 58501,S000000,00100,0200,04/03/2000 58501,S200000,00100,0100,807 SOUTH EAST MAIN STREET 58501,S200000,00200,0100,SIMPSONVILLE 58501,S200000,00200,0200,SC 58501,S200000,00300,0100,GREENVILLE 58501,S200000,00400,0100,SUMMIT PLACE INC 58501,S200000,00400,0200,425112 58501,S200000,00400,0300,01/01/1988 58501,S200000,00400,0500,P 58501,S200000,01500,0100,Y 58512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58512,A000000,00300,0000,00300EMPLOYEE BENEFITS 58512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58512,A000000,00700,0000,00700HOUSEKEEPING 58512,A000000,00800,0000,00800DIETARY 58512,A000000,00900,0000,00900NURSING ADMINISTRATION 58512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58512,A000000,01100,0000,01100PHARMACY 58512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58512,A000000,01300,0000,01300SOCIAL SERVICE 58512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58512,A000000,01600,0000,01600SKILLED NURSING FACILITY 58512,A000000,01800,0000,01800NURSING FACILITY 58512,A000000,01810,0000,01810ICF/MR 58512,A000000,02200,0000,02200LABORATORY 58512,A000000,02500,0000,02500PHYSICAL THERAPY 58512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58512,A000000,02700,0000,02700SPEECH PATHOLOGY 58512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58512,A000000,03200,0000,03200SUPPORT SURFACES 58512,A000000,03550,0000,03550FQHC 58512,A000000,05000,0000,05000CORF 58512,A000000,05010,0000,05010CMHC 58512,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58512,B100000,00000,0100,00040SQUARE FEET 58512,B100000,00000,0200,00040SQUARE FEET 58512,B100000,00000,0300,00040GROSS SALARIES 58512,B100000,00000,0400,00040ACCUM COST 58512,B100000,00000,0500,00040SQUARE FEET 58512,B100000,00000,0650,00040PATIENT DAYS 58512,B100000,00000,0750,00040SQUARE FEET 58512,B100000,00000,0850,00040PATIENT DAYS 58512,B100000,00000,0900,00040DIRECT NRSG HRS 58512,B100000,00000,1000,00040COSTED REQUIS 58512,B100000,00000,1100,00040COSTED REQUIS 58512,B100000,00000,1250,00040TOTAL CHARGES 58512,B100000,00000,1330,00040PATIENT DAYS 58512,B100000,00000,1400,00040ASSIGNED TIME 58512,E10A180,00301,0100,08/18/1999 58512,E10A180,00350,0300,08/18/1999 58512,E10A180,00501,0300,10/02/2000 58512,E10A180,00550,0100,10/02/2000 58512,S000000,00100,0200,04/04/2000 58512,S200000,00100,0300,1230 58512,S200000,00200,0100,SUMMERTON 58512,S200000,00200,0200,SC 58512,S200000,00200,0300,29120 58512,S200000,00300,0100,CLARENDON 58512,S200000,00400,0100,WINDSOR MANOR INC. 58512,S200000,00400,0200,425114 58512,S200000,00400,0300,12/01/1992 58512,S200000,00400,0500,P 58512,S200000,00600,0200,425114 58512,S200000,00600,0300,12/01/1992 58512,S200000,00600,0600,P 58512,S200000,01600,0100,Y 58512,S200000,01900,0100,HOSPITAL OWNED 58512,S200000,02200,0100,Y 58512,S200000,04300,0100,Y 58523,S000000,00100,0200,02/23/2000 58545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58545,A000000,00300,0000,00300EMPLOYEE BENEFITS 58545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58545,A000000,00700,0000,00700HOUSEKEEPING 58545,A000000,00800,0000,00800DIETARY 58545,A000000,00900,0000,00900NURSING ADMINISTRATION 58545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58545,A000000,01100,0000,01100PHARMACY 58545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58545,A000000,01300,0000,01300SOCIAL SERVICE 58545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58545,A000000,01600,0000,01600SKILLED NURSING FACILITY 58545,A000000,01800,0000,01800NURSING FACILITY 58545,A000000,01810,0000,01810ICF/MR 58545,A000000,02100,0000,02100RADIOLOGY 58545,A000000,02200,0000,02200LABORATORY 58545,A000000,02500,0000,02500PHYSICAL THERAPY 58545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58545,A000000,02700,0000,02700SPEECH PATHOLOGY 58545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58545,A000000,03550,0000,03550FQHC 58545,A000000,04800,0000,04800AMBULANCE 58545,A000000,05000,0000,05000CORF 58545,A000000,05010,0000,05010CMHC 58545,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58545,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58545,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58545,A81000A,00100,0100,Y 58545,A81000B,00100,0300,RECLASS HOME OFFICE 58545,A81000B,00200,0300,RECLASS HOME OFFICE 58545,A81000B,00300,0300,RECLASS HOME OFFICE 58545,A81000C,00100,0100,A 58545,A81000C,00100,0200,RICHARD C COOKE 58545,A81000C,00100,0400,COOKE MANAGEMEN 58545,A81000C,00100,0600,MANAGEMENT CO 58545,A81000C,00200,0100,A 58545,A81000C,00200,0200,CARLYLE COOKE 58545,A81000C,00200,0400,COOKE MANAGEMEN 58545,A81000C,00200,0600,MANAGEMENT CO 58545,B100000,00000,0100,00000SQUARE FEET 58545,B100000,00000,0200,00000SQUARE FEET 58545,B100000,00000,0300,00000GROSS SALARIES 58545,B100000,00000,0400,00000ACCUM COST 58545,B100000,00000,0500,00000SQUARE FEET 58545,B100000,00000,0600,00000POUNDS OF LAUNDRY 58545,B100000,00000,0700,00000HOURS OF SERVICE 58545,B100000,00000,0800,00000MEALS SERVED 58545,B100000,00000,0900,00000DIRECT NRSG HRS 58545,B100000,00000,1000,00000COSTED REQUIS 58545,B100000,00000,1100,00000COSTED REQUIS 58545,B100000,00000,1200,00000TIME SPENT 58545,B100000,00000,1300,00000TIME SPENT 58545,B100000,00000,1400,00000ASSIGNED TIME 58545,E10A180,00501,0100,06/14/2000 58545,E10A180,00501,0300,06/14/2000 58545,S000000,00100,0200,04/14/2000 58545,S200000,00100,0100,110 MILL STREET 58545,S200000,00100,0300,359 58545,S200000,00200,0100,KINGSTREE 58545,S200000,00200,0200,SC 58545,S200000,00200,0300,29556 58545,S200000,00300,0100,WILLIAMSBURG 58545,S200000,00400,0100,KINGSTREE NURSING FACILITY INC 58545,S200000,00400,0200,425117 58545,S200000,00400,0300,07/01/1978 58545,S200000,00400,0500,P 58545,S200000,00400,0600,O 58545,S200000,00600,0200,425117 58545,S200000,00600,0300,07/01/1978 58545,S200000,00600,0600,P 58545,S200000,01600,0100,Y 58553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58553,A000000,00300,0000,00300EMPLOYEE BENEFITS 58553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58553,A000000,00700,0000,00700HOUSEKEEPING 58553,A000000,00800,0000,00800DIETARY 58553,A000000,00900,0000,00900NURSING ADMINISTRATION 58553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58553,A000000,01100,0000,01100PHARMACY 58553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58553,A000000,01300,0000,01300SOCIAL SERVICE 58553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58553,A000000,01600,0000,01600SKILLED NURSING FACILITY 58553,A000000,01800,0000,01800NURSING FACILITY 58553,A000000,01810,0000,01810ICF/MR 58553,A000000,02100,0000,02100RADIOLOGY 58553,A000000,02200,0000,02200LABORATORY 58553,A000000,02300,0000,02300INTRAVENOUS THERAPY 58553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58553,A000000,02500,0000,02500PHYSICAL THERAPY 58553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58553,A000000,02700,0000,02700SPEECH PATHOLOGY 58553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58553,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58553,A000000,03550,0000,03550FQHC 58553,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58553,A000000,04800,0000,04800AMBULANCE 58553,A000000,05000,0000,05000CORF 58553,A000000,05010,0000,05010CMHC 58553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58553,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58553,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58553,A81000A,00100,0100,Y 58553,A81000B,00100,0300,REMOVE CAP RELATED COST 58553,A81000B,00200,0300,RENTAL EXPENSE 58553,A81000B,00300,0300,DEPRECIATION 58553,A81000B,00400,0300,AMORT OF LOAN COSTS 58553,A81000B,00500,0300,INTEREST 58553,A81000B,00600,0300,REMOVE CAP RELATED COST 58553,A81000B,00700,0300,ADD TO A & G COST 58553,A81000C,00100,0100,A 58553,A81000C,00100,0200,JAMES B. CONNELLY 58553,A81000C,00100,0400,CHARLESTON NURSING CENTER 58553,A81000C,00100,0600,NURSING HOME 58553,A81000C,00200,0100,A 58553,A81000C,00200,0200,JAMES B. CONNELLY 58553,A81000C,00200,0400,CONNELLY MANAGEMENT INC. 58553,A81000C,00200,0600,MANAGEMENT COMPANY 58553,B100000,00000,0100,00000SQUARE FEET 58553,B100000,00000,0200,00000SQUARE FEET 58553,B100000,00000,0300,00000GROSS SALARIES 58553,B100000,00000,0400,00000ACCUM. COST 58553,B100000,00000,0500,00000SQUARE FEET 58553,B100000,00000,0650,00000PATIENT DAYS 58553,B100000,00000,0750,00000SQUARE FEET 58553,B100000,00000,0850,00000PATIENT DAYS 58553,B100000,00000,0950,00000PATIENT DAYS 58553,B100000,00000,1050,00000CHARGES 58553,B100000,00000,1100,00000COSTED REQUISIT 58553,B100000,00000,1250,00000PATIENT DAYS 58553,B100000,00000,1330,00000PATIENT DAYS 58553,B100000,00000,1400,00000ASSIGNED TIME 58553,E10A180,00301,0300,10/01/1998 58553,E10A180,00302,0100,06/29/1999 58553,E10A180,00501,0100,05/31/2000 58553,S000000,00100,0200,03/31/2000 58553,S200000,00100,0100,HIGHWAY 401 BYPASS 58553,S200000,00200,0100,BENNETTSVILLE 58553,S200000,00200,0200,SC 58553,S200000,00300,0100,MARLBORO 58553,S200000,00400,0100,DUNDEE NURSING HOME 58553,S200000,00400,0200,425118 58553,S200000,00400,0300,06/01/1992 58553,S200000,00400,0500,P 58553,S200000,00400,0600,O 58553,S200000,00600,0200,425118 58553,S200000,00600,0300,03/01/1981 58553,S200000,00600,0600,P 58553,S200000,01600,0100,Y 58553,S200000,02800,0100,Y 58553,S200000,04300,0100,Y 58564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58564,A000000,00300,0000,00300EMPLOYEE BENEFITS 58564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58564,A000000,00700,0000,00700HOUSEKEEPING 58564,A000000,00800,0000,00800DIETARY 58564,A000000,00900,0000,00900NURSING ADMINISTRATION 58564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58564,A000000,01100,0000,01100PHARMACY 58564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58564,A000000,01300,0000,01300SOCIAL SERVICE 58564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58564,A000000,01600,0000,01600SKILLED NURSING FACILITY 58564,A000000,01810,0000,01810ICF/MR 58564,A000000,02100,0000,02100RADIOLOGY 58564,A000000,02200,0000,02200LABORATORY 58564,A000000,02300,0000,02300INTRAVENOUS THERAPY 58564,A000000,02500,0000,02500PHYSICAL THERAPY 58564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58564,A000000,02700,0000,02700SPEECH PATHOLOGY 58564,A000000,02800,0000,02800ELECTROCARDIOLOGY 58564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58564,A000000,03550,0000,03550FQHC 58564,A000000,04800,0000,04800AMBULANCE 58564,A000000,05000,0000,05000CORF 58564,A000000,05010,0000,05010CMHC 58564,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58564,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58564,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58564,A81000A,00100,0100,Y 58564,A81000B,00100,0300,LAUNDRY 58564,A81000C,00100,0100,B 58564,A81000C,00100,0200,COMMANDER N/C 58564,A81000C,00100,0400,SOUTHLAND HCC 58564,B100000,00000,0100,00000SQUARE FEET 58564,B100000,00000,0200,00000SQUARE FEET 58564,B100000,00000,0300,00000GROSS SALARIES 58564,B100000,00000,0400,00000ACCUM COST 58564,B100000,00000,0500,00000SQUARE FEET 58564,B100000,00000,0600,00000POUNDS OF LAUNDRY 58564,B100000,00000,0700,00000HOURS OF SERVICE 58564,B100000,00000,0800,00000MEALS SERVED 58564,B100000,00000,0900,00000DIRECT NRSG HRS 58564,B100000,00000,1000,00000COSTED REQUIS 58564,B100000,00000,1100,00000COSTED REQUIS 58564,B100000,00000,1200,00000TIME SPENT 58564,B100000,00000,1300,00000TIME SPENT 58564,B100000,00000,1400,00000ASSIGNED TIME 58564,E10A180,00301,0100,03/26/1999 58564,E10A180,00501,0100,05/01/2000 58564,E10A180,00501,0300,05/01/2000 58564,S000000,00100,0200,03/28/2000 58564,S200000,00100,0100,4438 PAMPLICO HIGHWAY 58564,S200000,00100,0300,12656 58564,S200000,00200,0100,FLORENCE 58564,S200000,00200,0200,SC 58564,S200000,00200,0300,29504 58564,S200000,00300,0100,FLORENCE 58564,S200000,00400,0100,COMMANDER NURSING CENTER 58564,S200000,00400,0200,425119 58564,S200000,00400,0300,07/01/1978 58564,S200000,00400,0500,P 58564,S200000,01500,0100,Y 58564,S200000,04700,0100,Y 58564,S200000,04900,0100,Y 58573,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58573,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58573,A000000,00300,0000,00300EMPLOYEE BENEFITS 58573,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58573,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58573,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58573,A000000,00700,0000,00700HOUSEKEEPING 58573,A000000,00800,0000,00800DIETARY 58573,A000000,00900,0000,00900NURSING ADMINISTRATION 58573,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58573,A000000,01100,0000,01100PHARMACY 58573,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58573,A000000,01300,0000,01300SOCIAL SERVICE 58573,A000000,01350,0000,01500OTHER GENERAL SERVICES 58573,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58573,A000000,01600,0000,01600SKILLED NURSING FACILITY 58573,A000000,01800,0000,01800NURSING FACILITY 58573,A000000,01810,0000,01810ICF/MR 58573,A000000,02100,0000,02100RADIOLOGY 58573,A000000,02200,0000,02200LABORATORY 58573,A000000,02300,0000,02300INTRAVENOUS THERAPY 58573,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58573,A000000,02500,0000,02500PHYSICAL THERAPY 58573,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58573,A000000,02700,0000,02700SPEECH PATHOLOGY 58573,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58573,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58573,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58573,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58573,A000000,03550,0000,03550FQHC 58573,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58573,A000000,05000,0000,05000CORF 58573,A000000,05010,0000,05010CMHC 58573,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58573,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58573,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58573,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58573,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58573,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58573,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58573,A81000A,00100,0100,Y 58573,A81000B,00100,0300,MANAGEMENT FEES 58573,A81000B,00200,0300,MANAGEMENT FEES 58573,A81000B,00300,0300,EQUIPMENT 58573,A81000B,00400,0300,STORAGE RENT 58573,A81000C,00100,0100,A 58573,A81000C,00100,0200,JAMES B. CONNELLY 58573,A81000C,00100,0400,CONNELLY MANAGEMENT INC 58573,A81000C,00100,0600,MANAGEEMENT COMPANY 58573,A81000C,00200,0100,B 58573,A81000C,00200,0200,JAMES B. CONNELLY 58573,A81000C,00200,0400,CONWAY MINI STORAGE 58573,A81000C,00200,0600,STORAGE UNITS 58573,B100000,00000,0100,00000SQUARE FEET 58573,B100000,00000,0200,00000SQUARE FEET 58573,B100000,00000,0300,00000GROSS SALARIES 58573,B100000,00000,0400,00000ACCUM. COST 58573,B100000,00000,0500,00000SQUARE FEET 58573,B100000,00000,0650,00000PATIENT DAYS 58573,B100000,00000,0750,00000SQUARE FEET 58573,B100000,00000,0850,00000PATIENT DAYS 58573,B100000,00000,0950,00000PATIENT DAYS 58573,B100000,00000,1050,00000CHARGES 58573,B100000,00000,1150,00000PATIENT DAYS 58573,B100000,00000,1250,00000PATIENT DAYS 58573,B100000,00000,1330,00000PATIENT DAYS 58573,B100000,00000,1350,00000NO STATISTICS 58573,B100000,00000,1400,00000ASSIGNED TIME 58573,E10A180,00301,0100,03/12/1999 58573,E10A180,00301,0300,03/03/1999 58573,E10A180,00501,0100,05/10/2000 58573,E10A180,00550,0300,05/10/2000 58573,S000000,00100,0200,03/31/2000 58573,S200000,00100,0100,2200 FOURTH AVENUE 58573,S200000,00200,0100,CONWAY 58573,S200000,00200,0200,SC 58573,S200000,00300,0100,HORRY 58573,S200000,00400,0100,CONWAY NURSING CENTER 58573,S200000,00400,0200,425121 58573,S200000,00400,0300,06/01/1992 58573,S200000,00400,0500,P 58573,S200000,00400,0600,O 58573,S200000,00600,0200,425121 58573,S200000,00600,0300,07/01/1978 58573,S200000,01600,0100,Y 58573,S200000,02800,0100,Y 58573,S200000,04300,0100,Y 58590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58590,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58590,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58590,A000000,00300,0000,00300EMPLOYEE BENEFITS 58590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58590,A000000,00700,0000,00700HOUSEKEEPING 58590,A000000,00800,0000,00800DIETARY 58590,A000000,00801,0000,00801CAFETERIA 58590,A000000,00900,0000,00900NURSING ADMINISTRATION 58590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58590,A000000,01100,0000,01100PHARMACY 58590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58590,A000000,01300,0000,01300SOCIAL SERVICE 58590,A000000,01350,0000,01500ACTIVITIES 58590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58590,A000000,01600,0000,01600SKILLED NURSING FACILITY 58590,A000000,01800,0000,01800NURSING FACILITY 58590,A000000,01810,0000,01810ICF/MR 58590,A000000,02100,0000,02100RADIOLOGY 58590,A000000,02200,0000,02200LABORATORY 58590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58590,A000000,02500,0000,02500PHYSICAL THERAPY 58590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58590,A000000,02700,0000,02700SPEECH PATHOLOGY 58590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58590,A000000,03050,0000,03300PEN THERAPY 58590,A000000,03051,0000,03301PROSTHETICS 58590,A000000,03052,0000,03302WOUND CARE 58590,A000000,03200,0000,03200SUPPORT SURFACES 58590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58590,A000000,03550,0000,03550FQHC 58590,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58590,A000000,04800,0000,04800AMBULANCE 58590,A000000,05000,0000,05000CORF I 58590,A000000,05010,0000,05010CMHC I 58590,A000000,05020,0000,05020OPT I 58590,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58590,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58590,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58590,A81000A,00100,0100,Y 58590,A81000B,00100,0300,MANAGEMENT FEES 58590,A81000B,00200,0300,NURSING SUPPLIES 58590,A81000B,00300,0300,LEGEND DRUGS 58590,A81000B,00400,0300,OTC 58590,A81000B,00500,0300,MEDICAL SUPPLIES 58590,A81000B,00600,0300,PHARMACY CONSULTANT 58590,A81000C,00100,0100,B 58590,A81000C,00100,0400,WHITE OAK MANOR 58590,A81000C,00100,0600,NSG HOME CHAIN 58590,A81000C,00200,0400,WHITE OAK MANOR 58590,A81000C,00200,0600,PHARMACY 58590,B100000,00000,0100,00000(SQUARE FEET) 58590,B100000,00000,0101,00000(SQUARE FEET) 58590,B100000,00000,0200,00000(SQUARE FEET) 58590,B100000,00000,0201,00000(SQUARE FEET) 58590,B100000,00000,0300,00000(GROSS SALARIES) 58590,B100000,00000,0400,00000(ACCUM. COST) 58590,B100000,00000,0500,00000(SQUARE FEET) 58590,B100000,00000,0650,00000(PATIENT DAYS) 58590,B100000,00000,0750,00000(SQUARE FEET) 58590,B100000,00000,0800,00000(MEALS SERVED) 58590,B100000,00000,0801,00000(MEALS SERVED) 58590,B100000,00000,0950,00000(PATIENT DAYS) 58590,B100000,00000,1050,00000(PATIENT DAYS) 58590,B100000,00000,1150,00000(PATIENT DAYS) 58590,B100000,00000,1250,00000(PATIENT DAYS) 58590,B100000,00000,1330,00000(PATIENT DAYS) 58590,B100000,00000,1350,00000(PATIENT DAYS) 58590,B100000,00000,1400,00000(ASSIGNED TIME) 58590,E10A180,00301,0100,09/30/1999 58590,E10A180,00350,0300,06/07/1999 58590,E10A180,00550,0300,09/06/2000 58590,S000000,00100,0200,02/24/2000 58590,S200000,00100,0100,2407 S. PINE ST 58590,S200000,00100,0300,3347 58590,S200000,00200,0100,SPARTANBURG 58590,S200000,00200,0200,SC 58590,S200000,00200,0300,29304 58590,S200000,00300,0100,SPARTANBURG 58590,S200000,00400,0100,WHITE OAK MANOR-CHARLESTON 58590,S200000,00400,0200,425128 58590,S200000,00400,0300,09/30/1979 58590,S200000,00400,0500,P 58590,S200000,01500,0100,Y 58590,S200000,01900,0100,HOSPITAL OWNED 58590,S200000,02200,0100,Y 58600,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58600,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58600,A000000,00300,0000,00300EMPLOYEE BENEFITS 58600,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58600,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58600,A000000,00501,0000,00550PLANT OPER MAINT & REPAIRS-NON 58600,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58600,A000000,00700,0000,00700HOUSEKEEPING 58600,A000000,00800,0000,00800DIETARY 58600,A000000,00900,0000,00900NURSING ADMINISTRATION 58600,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58600,A000000,01100,0000,01100PHARMACY 58600,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58600,A000000,01300,0000,01300SOCIAL SERVICE 58600,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58600,A000000,01600,0000,01600SKILLED NURSING FACILITY 58600,A000000,01800,0000,01800NURSING FACILITY 58600,A000000,01810,0000,01810ICF/MR 58600,A000000,01900,0000,01900OTHER LONG TERM CARE 58600,A000000,02200,0000,02200LABORATORY 58600,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58600,A000000,02500,0000,02500PHYSICAL THERAPY 58600,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58600,A000000,02700,0000,02700SPEECH PATHOLOGY 58600,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58600,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58600,A000000,03200,0000,03200SUPPORT SURFACES 58600,A000000,03550,0000,03550FQHC 58600,A000000,05000,0000,05000CORF 58600,A000000,05010,0000,05010CMHC 58600,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58600,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58600,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58600,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58600,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 58600,A000000,06150,0000,06300PHARMACY 58600,A000000,06151,0000,06350ANCILLARY 58600,A000000,06200,0000,06200PATIENTS LAUNDRY 58600,B100000,00000,0100,00050SQUARE FEET 58600,B100000,00000,0200,00050SQUARE FEET 58600,B100000,00000,0300,00050GROSS SALARIES 58600,B100000,00000,0400,00050ACCUM COST 58600,B100000,00000,0500,00050SQUARE FEET 58600,B100000,00000,0501,00050(SQUARE FEET) 58600,B100000,00000,0600,00050POUNDS OF LAUNDRY 58600,B100000,00000,0700,00050HOURS OF SERVICE 58600,B100000,00000,0800,00050MEALS SERVED 58600,B100000,00000,0900,00050DIRECT NRSG HRS 58600,B100000,00000,1000,00050COSTED REQUIS 58600,B100000,00000,1100,00050COSTED REQUIS 58600,B100000,00000,1200,00050TIME SPENT 58600,B100000,00000,1300,00050TIME SPENT 58600,B100000,00000,1400,00050ASSIGNED TIME 58600,E10A180,00301,0100,08/19/1999 58600,E10A180,00301,0300,08/19/1999 58600,S000000,00100,0200,03/20/2000 58600,S200000,00100,0300,327 58600,S200000,00200,0100,ORANGEBURG 58600,S200000,00200,0200,SC 58600,S200000,00200,0300,29116 58600,S200000,00300,0100,ORANGEBURG 58600,S200000,00400,0100,THE METHODIST OAKS 58600,S200000,00400,0200,425131 58600,S200000,00400,0300,01/01/1968 58600,S200000,00400,0500,P 58600,S200000,00600,0200,425131 58600,S200000,00600,0300,01/01/1968 58600,S200000,00600,0600,P 58600,S200000,01600,0100,Y 58609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58609,A000000,00300,0000,00300EMPLOYEE BENEFITS 58609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58609,A000000,00700,0000,00700HOUSEKEEPING 58609,A000000,00800,0000,00800DIETARY 58609,A000000,00900,0000,00900NURSING ADMINISTRATION 58609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58609,A000000,01100,0000,01100PHARMACY 58609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58609,A000000,01300,0000,01300SOCIAL SERVICE 58609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58609,A000000,01600,0000,01600SKILLED NURSING FACILITY 58609,A000000,01810,0000,01810ICF/MR 58609,A000000,02500,0000,02500PHYSICAL THERAPY 58609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58609,A000000,02700,0000,02700SPEECH PATHOLOGY 58609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58609,A000000,03200,0000,03200SUPPORT SURFACES 58609,A000000,03550,0000,03550FQHC 58609,A000000,05000,0000,05000CORF 58609,A000000,05010,0000,05010CMHC 58609,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58609,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58609,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58609,A000000,05300,0000,05300INTEREST EXPENSE 58609,A000000,06150,0000,06300RENTAL SPACE 58609,A81000A,00100,0100,Y 58609,A81000B,00100,0300,REMOVE HOME OFFICE COSTS 58609,A81000C,00100,0100,A 58609,A81000C,00100,0200,HARVE BAUGUESS 58609,A81000C,00100,0400,A & B MANAGMENT 58609,A81000C,00100,0600,MGMT CO. 58609,B100000,00000,0100,00000SQUARE FEET 58609,B100000,00000,0200,00000SQUARE FEET 58609,B100000,00000,0300,00000GROSS SALARIES 58609,B100000,00000,0400,00000ACCUM COST 58609,B100000,00000,0500,00000SQUARE FEET 58609,B100000,00000,0600,00000POUNDS OF LAUNDRY 58609,B100000,00000,0700,00000HOURS OF SERVICE 58609,B100000,00000,0800,00000MEALS SERVED 58609,B100000,00000,0900,00000DIRECT NRSG HRS 58609,B100000,00000,1000,00000COSTED REQUIS 58609,B100000,00000,1100,00000COSTED REQUIS 58609,B100000,00000,1200,00000TIME SPENT 58609,B100000,00000,1300,00000TIME SPENT 58609,B100000,00000,1400,00000ASSIGNED TIME 58609,E10A180,00301,0100,03/16/1999 58609,E10A180,00501,0100,05/15/2000 58609,S000000,00100,0200,03/29/2000 58609,S200000,00100,0100,HIGHWAY 78 58609,S200000,00100,0300,1570 58609,S200000,00200,0100,RIDGELAND 58609,S200000,00200,0200,SC 58609,S200000,00200,0300,29936 58609,S200000,00300,0100,JASPER 58609,S200000,00400,0100,RIDGELAND NURSING CENTER INC. 58609,S200000,00400,0200,425132 58609,S200000,00400,0300,11/11/1989 58609,S200000,00400,0500,P 58609,S200000,01500,0100,Y 58609,S200000,02800,0100,Y 58633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58633,A000000,00300,0000,00300EMPLOYEE BENEFITS 58633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58633,A000000,00700,0000,00700HOUSEKEEPING 58633,A000000,00800,0000,00800DIETARY 58633,A000000,00900,0000,00900NURSING ADMINISTRATION 58633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58633,A000000,01100,0000,01100PHARMACY 58633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58633,A000000,01300,0000,01300SOCIAL SERVICE 58633,A000000,01350,0000,01500ACTIVITIES 58633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58633,A000000,01600,0000,01600SKILLED NURSING FACILITY 58633,A000000,01810,0000,01810ICF/MR 58633,A000000,02100,0000,02100RADIOLOGY 58633,A000000,02200,0000,02200LABORATORY 58633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58633,A000000,02500,0000,02500PHYSICAL THERAPY 58633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58633,A000000,02700,0000,02700SPEECH PATHOLOGY 58633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58633,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58633,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58633,A000000,03550,0000,03550FQHC 58633,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58633,A000000,04800,0000,04800AMBULANCE 58633,A000000,05000,0000,05000CORF 58633,A000000,05010,0000,05010CMHC 58633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58633,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58633,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58633,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58633,A81000A,00100,0100,Y 58633,A81000B,00100,0300,MANAGEMENT FEES 58633,A81000B,00200,0300,MANAGEMENT FEES 58633,A81000B,00300,0300,MANAGEMENT FEES 58633,A81000B,00400,0300,MANAGEMENT FEES 58633,A81000B,00600,0300,MANAGEMENT FEES 58633,A81000B,00700,0300,LAUNDRY SERVICE 58633,A81000B,00800,0300,LAUNDRY SERVICE 58633,A81000B,00900,0300,LAUNDRY SERVICE 58633,A81000B,01000,0300,LAUNDRY SERVICE 58633,A81000B,01100,0300,LAUNDRY SERVICE 58633,A81000B,01200,0300,PHYSICAL THERAPY 58633,A81000B,01300,0300,OCCUPATIONAL THERAPY 58633,A81000B,01400,0300,SPEECH THERAPY 58633,A81000B,01600,0300,HISTORICAL COSTS 58633,A81000C,00100,0100,A 58633,A81000C,00100,0200,MICHAEL H. MCBRIDE 58633,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58633,A81000C,00100,0600,HOME OFFICE 58633,A81000C,00200,0100,A 58633,A81000C,00200,0200,T. EDWARD CHILDRESS 58633,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58633,A81000C,00200,0600,HOME OFFICE 58633,A81000C,00300,0100,A 58633,A81000C,00300,0200,JOHN P. OBRIEN 58633,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58633,A81000C,00300,0600,HOME OFFICE 58633,A81000C,00400,0100,A 58633,A81000C,00400,0200,MICHAEL H. MCBRIDE 58633,A81000C,00400,0400,CENTRAL SUPPORT 58633,A81000C,00400,0600,LAUNDRY 58633,A81000C,00500,0100,A 58633,A81000C,00500,0200,T. EDWARD CHILDRESS 58633,A81000C,00500,0400,CENTRAL SUPPORT 58633,A81000C,00500,0600,LAUNDRY 58633,A81000C,00600,0100,A 58633,A81000C,00600,0200,JOHN P. OBRIEN 58633,A81000C,00600,0400,CENTRAL SUPPORT 58633,A81000C,00600,0600,LAUNDRY 58633,A81000C,00700,0100,A 58633,A81000C,00700,0200,T. EDWARD CHILDRESS 58633,A81000C,00700,0400,ADVANTAGE REHAB INC. 58633,A81000C,00700,0600,THERAPY 58633,A81000C,00800,0100,A 58633,A81000C,00800,0200,JOHN P. OBRIEN 58633,A81000C,00800,0400,ADVANTAGE REHAB INC. 58633,A81000C,00800,0600,THERAPY 58633,A81000C,00900,0100,A 58633,A81000C,00900,0200,MICHAEL H. MCBRIDE 58633,A81000C,00900,0400,ADVANTAGE REHAB INC. 58633,A81000C,00900,0600,THERAPY 58633,A81000C,01000,0100,A 58633,A81000C,01000,0200,T. EDWARD CHILDRESS 58633,A81000C,01000,0400,HMR PIEDMONT LLC 58633,A81000C,01000,0600,RENTAL/LEASING 58633,A81000C,01100,0100,A 58633,A81000C,01100,0200,JOHN P. OBRIEN 58633,A81000C,01100,0400,HMR PIEDMONT LLC 58633,A81000C,01100,0600,RENTAL/LEASING 58633,A81000C,01200,0100,A 58633,A81000C,01200,0200,MICHAEL H. MCBRIDE 58633,A81000C,01200,0400,HMR PIEDMONT LLC 58633,A81000C,01200,0600,RENTAL/LEASING 58633,B100000,00000,0100,00000SQUARE FEET 58633,B100000,00000,0200,00000SQUARE FEET 58633,B100000,00000,0300,00000GROSS SALARIES 58633,B100000,00000,0400,00000ACCUM. COST 58633,B100000,00000,0500,00000SQUARE FEET 58633,B100000,00000,0650,00000PATIENT DAYS 58633,B100000,00000,0750,00000SQUARE FEET 58633,B100000,00000,0800,00000MEALS SERVED 58633,B100000,00000,0950,00000NSG LABOR HOURS 58633,B100000,00000,1050,00000PATIENT DAYS 58633,B100000,00000,1150,00000PATIENT DAYS 58633,B100000,00000,1250,00000PATIENT DAYS 58633,B100000,00000,1330,00000PATIENT DAYS 58633,B100000,00000,1350,00000PATIENT DAYS 58633,B100000,00000,1400,00000ASSIGNED TIME 58633,E10A180,00301,0100,03/26/1999 58633,E10A180,00501,0100,06/14/2000 58633,S000000,00100,0200,04/03/2000 58633,S200000,00100,0100,401 CHANDLER ROAD 58633,S200000,00200,0100,GREER 58633,S200000,00200,0200,SC 58633,S200000,00300,0100,GREENVILLE 58633,S200000,00400,0100,PIEDMONT NURSING CENTER INC. 58633,S200000,00400,0200,425138 58633,S200000,00400,0300,12/01/1997 58633,S200000,00400,0500,P 58633,S200000,01500,0100,Y 58647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58647,A000000,00300,0000,00300EMPLOYEE BENEFITS 58647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58647,A000000,00700,0000,00700HOUSEKEEPING 58647,A000000,00800,0000,00800DIETARY 58647,A000000,00900,0000,00900NURSING ADMINISTRATION 58647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58647,A000000,01100,0000,01100PHARMACY 58647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58647,A000000,01300,0000,01300SOCIAL SERVICE 58647,A000000,01301,0000,01301ACTIVITIES 58647,A000000,01350,0000,01500REHAB 58647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58647,A000000,01600,0000,01600SKILLED NURSING FACILITY 58647,A000000,01800,0000,01800NURSING FACILITY 58647,A000000,01810,0000,01810ICF/MR 58647,A000000,02200,0000,02200LABORATORY 58647,A000000,02300,0000,02300INTRAVENOUS THERAPY 58647,A000000,02500,0000,02500PHYSICAL THERAPY 58647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58647,A000000,02700,0000,02700SPEECH PATHOLOGY 58647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58647,A000000,03050,0000,03300EQUIPMENT RENTAL 58647,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 58647,A000000,03550,0000,03550FQHC 58647,A000000,04800,0000,04800AMBULANCE 58647,A000000,05000,0000,05000CORF 58647,A000000,05010,0000,05010CMHC 58647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58647,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58647,A000000,06150,0000,06300VENDING 58647,A000000,06152,0000,06301ASSISTED LIVING 58647,A81000A,00100,0100,Y 58647,A81000B,00100,0300,BLDG CAPITAL 58647,A81000B,00200,0300,ADMIN & GENERAL 58647,A81000B,00300,0300,MEDICAL SUPPLIES 58647,A81000B,00400,0300,EQUIPMENT RENTAL 58647,A81000B,00500,0300,PT 58647,A81000B,00600,0300,OT 58647,A81000B,00700,0300,ST 58647,A81000C,00100,0100,B 58647,A81000C,00100,0200,ST. GEORGE PS# 58647,A81000C,00100,0400,MARINER PAN 58647,A81000C,00100,0600,NURSING HOMES 58647,A81000C,00200,0100,G 58647,A81000C,00200,0200,MARINER PAN 58647,A81000C,00200,0400,AMER. PHAR SVCS 58647,A81000C,00200,0600,PHARMACEUTICALS 58647,A81000C,00300,0100,G 58647,A81000C,00300,0200,MAINER PAN 58647,A81000C,00300,0400,PRISM-ATS-ARS-T 58647,A81000C,00300,0600,THERAPIES 58647,B100000,00000,0100,00001SQUARE FEET 58647,B100000,00000,0200,00001SQUARE FEET 58647,B100000,00000,0300,00001GROSS SALARIES 58647,B100000,00000,0400,00001ACCUM COST 58647,B100000,00000,0500,00001SQUARE FEET 58647,B100000,00000,0600,00001POUNDS OF LAUNDRY 58647,B100000,00000,0750,00001SQUARE FEET 58647,B100000,00000,0800,00001MEALS SERVED 58647,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58647,B100000,00000,1050,00001PATIENT DAYS 58647,B100000,00000,1100,00001COSTED REQUIS 58647,B100000,00000,1250,00001PATIENT DAYS 58647,B100000,00000,1330,00001PATIENT DAYS 58647,B100000,00000,1331,00001PATIENT DAYS 58647,B100000,00000,1350,00001UNITS OF SERVICE 58647,B100000,00000,1400,00001ASSIGNED TIME 58647,E10A180,00501,0100,03/07/2001 58647,S000000,00100,0200,06/16/2000 58647,S200000,00100,0100,905 DUKE ST. 58647,S200000,00200,0100,SAINT GEORGE 58647,S200000,00200,0200,SC 58647,S200000,00200,0300,29477 58647,S200000,00300,0100,DORCHESTER 58647,S200000,00400,0100,ST. GEORGE 58647,S200000,00400,0200,425143 58647,S200000,00400,0300,07/25/1994 58647,S200000,00400,0500,P 58657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58657,A000000,00300,0000,00300EMPLOYEE BENEFITS 58657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58657,A000000,00700,0000,00700HOUSEKEEPING 58657,A000000,00800,0000,00800DIETARY 58657,A000000,00900,0000,00900NURSING ADMINISTRATION 58657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58657,A000000,01100,0000,01100PHARMACY 58657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58657,A000000,01300,0000,01300SOCIAL SERVICE 58657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58657,A000000,01600,0000,01600SKILLED NURSING FACILITY 58657,A000000,01800,0000,01800NURSING FACILITY 58657,A000000,01810,0000,01810ICF/MR 58657,A000000,02100,0000,02100RADIOLOGY 58657,A000000,02200,0000,02200LABORATORY 58657,A000000,02300,0000,02300INTRAVENOUS THERAPY 58657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58657,A000000,02500,0000,02500PHYSICAL THERAPY 58657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58657,A000000,02700,0000,02700SPEECH PATHOLOGY 58657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58657,A000000,03550,0000,03550FQHC 58657,A000000,04800,0000,04800AMBULANCE 58657,A000000,05000,0000,05000CORF 58657,A000000,05010,0000,05010CMHC 58657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58657,A000000,05300,0000,05300INTEREST EXPENSE 58657,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58657,B100000,00000,0100,00000(SQUARE FEET) 58657,B100000,00000,0200,00000(SQUARE FEET) 58657,B100000,00000,0300,00000(GROSS SALARIES) 58657,B100000,00000,0400,00000(ACCUM COST) 58657,B100000,00000,0500,00000(SQUARE FEET) 58657,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 58657,B100000,00000,0750,00000(SQUARE FEET) 58657,B100000,00000,0800,00000(MEALS SERVED) 58657,B100000,00000,0900,00000(DIRECT NRSG HRS) 58657,B100000,00000,1000,00000(COSTED REQUIS) 58657,B100000,00000,1100,00000(COSTED REQUIS) 58657,B100000,00000,1200,00000(TIME SPENT) 58657,B100000,00000,1300,00000(TIME SPENT) 58657,B100000,00000,1400,00000(ASSIGNED TIME) 58657,E10A180,00301,0100,11/05/1999 58657,E10A180,00302,0100,11/19/1999 58657,E10A180,00303,0100,12/09/1999 58657,E10A180,00304,0100,12/20/1999 58657,E10A180,00305,0100,12/31/1999 58657,S000000,00100,0200,01/31/2000 58657,S200000,00100,0100,830 LAURENS STREET NORTH 58657,S200000,00100,0300,475 58657,S200000,00200,0100,AIKEN 58657,S200000,00200,0200,SC 58657,S200000,00200,0300,29802 58657,S200000,00400,0100,MATTIE C. HALL 58657,S200000,00400,0200,425145 58657,S200000,00400,0300,04/06/1982 58657,S200000,00400,0500,P 58657,S200000,00600,0200,425145 58657,S200000,00600,0300,04/06/1982 58657,S200000,00600,0600,P 58657,S200000,01600,0100,Y 58665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58665,A000000,00300,0000,00300EMPLOYEE BENEFITS 58665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58665,A000000,00700,0000,00700HOUSEKEEPING 58665,A000000,00800,0000,00800DIETARY 58665,A000000,00900,0000,00900NURSING ADMINISTRATION 58665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58665,A000000,01100,0000,01100PHARMACY 58665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58665,A000000,01300,0000,01300SOCIAL SERVICE 58665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58665,A000000,01600,0000,01600SKILLED NURSING FACILITY 58665,A000000,01800,0000,01800NURSING FACILITY 58665,A000000,01810,0000,01810ICF/MR 58665,A000000,02100,0000,02100RADIOLOGY 58665,A000000,02200,0000,02200LABORATORY 58665,A000000,02300,0000,02300INTRAVENOUS THERAPY 58665,A000000,02500,0000,02500PHYSICAL THERAPY 58665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58665,A000000,02700,0000,02700SPEECH PATHOLOGY 58665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58665,A000000,03550,0000,03550FQHC 58665,A000000,04800,0000,04800AMBULANCE 58665,A000000,05000,0000,05000CORF 58665,A000000,05010,0000,05010CMHC 58665,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58665,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58665,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58665,A000000,05300,0000,05300INTEREST EXPENSE 58665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58665,B100000,00000,0100,00000SQUARE FEET 58665,B100000,00000,0200,00000SQUARE FEET 58665,B100000,00000,0300,00000GROSS SALARIES 58665,B100000,00000,0400,00000ACCUM COST 58665,B100000,00000,0500,00000SQUARE FEET 58665,B100000,00000,0600,00000POUNDS OF LAUNDRY 58665,B100000,00000,0700,00000HOURS OF SERVICE 58665,B100000,00000,0800,00000MEALS SERVED 58665,B100000,00000,0900,00000DIRECT NRSG HRS 58665,B100000,00000,1000,00000COSTED REQUIS 58665,B100000,00000,1100,00000COSTED REQUIS 58665,B100000,00000,1200,00000TIME SPENT 58665,B100000,00000,1300,00000TIME SPENT 58665,B100000,00000,1400,00000ASSIGNED TIME 58665,E10A180,00501,0100,03/13/2000 58665,E10A180,00502,0100,05/20/2000 58665,S000000,00100,0200,02/24/2000 58665,S200000,00100,0100,1409 ANNA KNAPP BLVD 58665,S200000,00200,0100,MT. PLEASANT 58665,S200000,00200,0200,SC 58665,S200000,00200,0300,29464 58665,S200000,00300,0100,CHARLESTON 58665,S200000,00400,0100,SANDPIPER CONVALESCENT CENTER 58665,S200000,00400,0200,425146 58665,S200000,00400,0300,02/11/1991 58665,S200000,00400,0500,P 58665,S200000,00600,0200,425146 58665,S200000,00600,0300,02/11/1991 58665,S200000,00600,0600,P 58665,S200000,01600,0100,Y 58665,S200000,02200,0100,Y 58665,S200000,02800,0100,Y 58682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58682,A000000,00300,0000,00300EMPLOYEE BENEFITS 58682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58682,A000000,00700,0000,00700HOUSEKEEPING 58682,A000000,00800,0000,00800DIETARY 58682,A000000,00900,0000,00900NURSING ADMINISTRATION 58682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58682,A000000,01100,0000,01100PHARMACY 58682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58682,A000000,01300,0000,01300SOCIAL SERVICE 58682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58682,A000000,01600,0000,01600SKILLED NURSING FACILITY 58682,A000000,01810,0000,01810ICF/MR 58682,A000000,02500,0000,02500PHYSICAL THERAPY 58682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58682,A000000,02700,0000,02700SPEECH PATHOLOGY 58682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58682,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 58682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 58682,A000000,03550,0000,03550FQHC 58682,A000000,05000,0000,05000CORF 58682,A000000,05010,0000,05010CMHC 58682,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58682,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58682,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58682,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 58682,B100000,00000,0100,00000SQUARE FEET 58682,B100000,00000,0200,00000SQUARE FEET 58682,B100000,00000,0300,00000GROSS SALARIES 58682,B100000,00000,0400,00000ACCUM COST 58682,B100000,00000,0500,00000SQUARE FEET 58682,B100000,00000,0600,00000POUNDS OF LAUNDRY 58682,B100000,00000,0700,00000HOURS OF SERVICE 58682,B100000,00000,0800,00000MEALS SERVED 58682,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 58682,B100000,00000,1000,00000COSTED REQUISITIO 58682,B100000,00000,1100,00000COSTED REQUISITIO 58682,B100000,00000,1200,00000TIME SPENT 58682,B100000,00000,1300,00000TIME SPENT 58682,B100000,00000,1400,00000ASSIGNED TIME 58682,S000000,00100,0200,05/30/2000 58682,S200000,00100,0100,300 WOODHAVEN DRIVE 58682,S200000,00200,0100,HILTON HEAD SC 29928 58682,S200000,00200,0200,425150 58682,S200000,00300,0100,BEAUFORT 58682,S200000,00400,0100,THE SEABROOK OF HILTON HEAD INC. 58682,S200000,00400,0200,425150 58682,S200000,00400,0300,11/23/1983 58682,S200000,00400,0500,P 58682,S200000,01500,0100,Y 58682,S200000,02200,0100,Y 58692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58692,A000000,00300,0000,00300EMPLOYEE BENEFITS 58692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58692,A000000,00700,0000,00700HOUSEKEEPING 58692,A000000,00800,0000,00800DIETARY 58692,A000000,00900,0000,00900NURSING ADMINISTRATION 58692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58692,A000000,01100,0000,01100PHARMACY 58692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58692,A000000,01300,0000,01300SOCIAL SERVICE 58692,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58692,A000000,01600,0000,01600SKILLED NURSING FACILITY 58692,A000000,01810,0000,01810ICF/MR 58692,A000000,02100,0000,02100RADIOLOGY 58692,A000000,02200,0000,02200LABORATORY 58692,A000000,02500,0000,02500PHYSICAL THERAPY 58692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58692,A000000,02700,0000,02700SPEECH PATHOLOGY 58692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58692,A000000,03550,0000,03550FQHC 58692,A000000,05000,0000,05000CORF 58692,A000000,05010,0000,05010CMHC 58692,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58692,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58692,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58692,B100000,00000,0100,00040(SQUARE FEET) 58692,B100000,00000,0200,00040(SQUARE FEET) 58692,B100000,00000,0300,00040(GROSS SALARIES) 58692,B100000,00000,0400,00040(ACCUM COST) 58692,B100000,00000,0500,00040(SQUARE FEET) 58692,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 58692,B100000,00000,0750,00040(SQUARE FEET) 58692,B100000,00000,0800,00040(MEALS SERVED) 58692,B100000,00000,0900,00040DIRECT NRSG HRS 58692,B100000,00000,1000,00040COSTED REQUIS 58692,B100000,00000,1100,00040(COSTED REQUIS) 58692,B100000,00000,1200,00040(TIME SPENT) 58692,B100000,00000,1300,00040(TIME SPENT) 58692,B100000,00000,1400,00040ASSIGNED TIME 58692,S000000,00100,0200,04/04/2000 58692,S200000,00100,0100,515 SOUTH WARLEY ST 58692,S200000,00200,0100,FLORENCE 58692,S200000,00200,0200,SC 58692,S200000,00200,0300,29501 58692,S200000,00300,0100,FLORENCE 58692,S200000,00400,0100,HERITAGE HOME OF FLORENCE 58692,S200000,00400,0200,425154 58692,S200000,00400,0300,09/01/1978 58692,S200000,00400,0500,P 58692,S200000,00400,0600,O 58692,S200000,01500,0100,Y 58702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58702,A000000,00300,0000,00300EMPLOYEE BENEFITS 58702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58702,A000000,00700,0000,00700HOUSEKEEPING 58702,A000000,00800,0000,00800DIETARY 58702,A000000,00900,0000,00900NURSING ADMINISTRATION 58702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58702,A000000,01100,0000,01100PHARMACY 58702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58702,A000000,01300,0000,01300SOCIAL SERVICE 58702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58702,A000000,01600,0000,01600SKILLED NURSING FACILITY 58702,A000000,01810,0000,01810ICF/MR 58702,A000000,02100,0000,02100RADIOLOGY 58702,A000000,02200,0000,02200LABORATORY 58702,A000000,02300,0000,02300INTRAVENOUS THERAPY 58702,A000000,02500,0000,02500PHYSICAL THERAPY 58702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58702,A000000,02700,0000,02700SPEECH PATHOLOGY 58702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58702,A000000,03200,0000,03200SUPPORT SURFACES 58702,A000000,03550,0000,03550FQHC 58702,A000000,04800,0000,04800AMBULANCE 58702,A000000,05000,0000,05000CORF 58702,A000000,05010,0000,05010CMHC 58702,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58702,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58702,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58702,A000000,05300,0000,05300INTEREST EXPENSE 58702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58702,A000000,05901,0000,05910NON-CERTIFIED AREA 58702,A81000A,00100,0100,Y 58702,A81000B,00100,0300,ADJ HOME OFFICE COST 58702,A81000B,00200,0300,ADJ HOME OFFICE COST 58702,A81000B,00300,0300,ADJ HOME OFFICE COST 58702,A81000C,00100,0100,F 58702,A81000C,00100,0200,DAVID W. CECIL 58702,A81000C,00100,0400,HEALTH CARE COR 58702,A81000C,00100,0600,MANAGEMENT HOME 58702,A81000C,00200,0100,F 58702,A81000C,00200,0200,DAVID W. CECIL 58702,A81000C,00200,0400,HEALTH CARE COR 58702,A81000C,00200,0600,MANAGEMENT HOME 58702,A81000C,00300,0100,F 58702,A81000C,00300,0200,DAVID W. CECIL 58702,A81000C,00300,0400,HEALTH CARE COR 58702,A81000C,00300,0600,MANAGEMENT HOME 58702,B100000,00000,0100,00010SQUARE FEET 58702,B100000,00000,0200,00010SQUARE FEET 58702,B100000,00000,0300,00010GROSS SALARIES 58702,B100000,00000,0400,00010ACCUM COST 58702,B100000,00000,0500,00010SQUARE FEET 58702,B100000,00000,0600,00010POUNDS OF LAUNDRY 58702,B100000,00000,0700,00010HOURS OF SERVICE 58702,B100000,00000,0800,00010MEALS SERVED 58702,B100000,00000,0900,00010DIRECT NRSG HRS 58702,B100000,00000,1000,00010COSTED REQUIS 58702,B100000,00000,1100,00010COSTED REQUIS 58702,B100000,00000,1200,00010TIME SPENT 58702,B100000,00000,1300,00010TIME SPENT 58702,B100000,00000,1400,00010ASSIGNED TIME 58702,E10A180,00301,0100,08/16/1999 58702,E10A180,00350,0300,08/16/1999 58702,E10A180,00501,0300,07/05/2000 58702,S000000,00100,0200,03/07/2000 58702,S200000,00100,0100,ROUTE 10 58702,S200000,00200,0100,LANCASTER 58702,S200000,00200,0200,SC 58702,S200000,00200,0300,29720 58702,S200000,00300,0100,LANCASTER 58702,S200000,00400,0100,LANCASTER CONVALESCENT CENTER INC. 58702,S200000,00400,0200,425155 58702,S200000,00400,0300,03/01/1991 58702,S200000,00400,0500,P 58702,S200000,00400,0600,O 58702,S200000,01500,0100,Y 58702,S200000,01700,0100,Y 58702,S200000,02200,0100,Y 58702,S200000,02800,0100,Y 58702,S200000,04700,0100,Y 58711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58711,A000000,00300,0000,00300EMPLOYEE BENEFITS 58711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58711,A000000,00700,0000,00700HOUSEKEEPING 58711,A000000,00800,0000,00800DIETARY 58711,A000000,00900,0000,00900NURSING ADMINISTRATION 58711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58711,A000000,01100,0000,01100PHARMACY 58711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58711,A000000,01300,0000,01300SOCIAL SERVICE 58711,A000000,01301,0000,01301ACTIVITES 58711,A000000,01350,0000,01500REHABILITATION 58711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58711,A000000,01600,0000,01600SKILLED NURSING FACILITY 58711,A000000,01800,0000,01800NURSING FACILITY 58711,A000000,01810,0000,01810ICF/MR 58711,A000000,02100,0000,02100RADIOLOGY 58711,A000000,02200,0000,02200LABORATORY 58711,A000000,02300,0000,02300INTRAVENOUS THERAPY 58711,A000000,02500,0000,02500PHYSICAL THERAPY 58711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58711,A000000,02700,0000,02700SPEECH PATHOLOGY 58711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58711,A000000,03050,0000,03300EQUIPMENT RENTAL 58711,A000000,03051,0000,03301PEN THERAPY 58711,A000000,03550,0000,03550FQHC 58711,A000000,04800,0000,04800AMBULANCE 58711,A000000,05000,0000,05000CORF 58711,A000000,05010,0000,05010CMHC 58711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58711,A000000,06150,0000,06300VENDING 58711,A000000,06151,0000,06301STAND-BY 58711,A81000A,00100,0100,Y 58711,A81000B,00100,0300,HOME OFFICE COST 58711,A81000B,00500,0300,MEDICAL SUPPLIES 58711,A81000B,00700,0300,HOME OFFICE CAPITAL 58711,A81000B,01100,0300,PHYSICAL THERAPY 58711,A81000B,01200,0300,OCCUPATIONAL THERAPY 58711,A81000B,01300,0300,SPEECH THERAPY 58711,A81000B,01400,0300,ANC EQUIP RENTAL 58711,A81000C,00100,0100,B 58711,A81000C,00100,0200,OAKBROOK PS3 13 58711,A81000C,00100,0400,MARINER PAN 58711,A81000C,00100,0600,NURSING HOMES 58711,A81000C,00200,0100,G 58711,A81000C,00200,0200,MARINER PAN 58711,A81000C,00200,0400,AMER PHARM SVCS 58711,A81000C,00200,0600,PHARMACEUTICALS 58711,A81000C,00300,0100,G 58711,A81000C,00300,0200,MARINER PAN 58711,A81000C,00300,0400,PRISM-ATS-ARS-T 58711,A81000C,00300,0600,THERAPIES 58711,B100000,00000,0100,00001SQUARE FEET 58711,B100000,00000,0200,00001SQUARE FEET 58711,B100000,00000,0300,00001GROSS SALARIES 58711,B100000,00000,0400,00001ACCUM COST 58711,B100000,00000,0500,00001SQUARE FEET 58711,B100000,00000,0650,00001PATIENT DAYS 58711,B100000,00000,0750,00001SQUARE FEET 58711,B100000,00000,0800,00001MEALS SERVED 58711,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58711,B100000,00000,1000,00001COSTED REQUIS 58711,B100000,00000,1100,00001COSTED REQUIS 58711,B100000,00000,1250,00001PATIENT DAYS 58711,B100000,00000,1330,00001PATIENT DAYS 58711,B100000,00000,1331,00001PATIENT DAYS 58711,B100000,00000,1350,00001UNITS OF SERVICE 58711,B100000,00000,1400,00001ASSIGNED TIME 58711,E10A180,00501,0100,11/10/2000 58711,S000000,00100,0200,06/16/2000 58711,S200000,00100,0100,920 TRAVLERS BLVD. 58711,S200000,00200,0100,SUMMERVILLE 58711,S200000,00200,0200,SC 58711,S200000,00200,0300,29485 58711,S200000,00300,0100,DORCHESTER 58711,S200000,00400,0100,OAKBROOK HEALTH & REHAB CENTER 58711,S200000,00400,0200,425156 58711,S200000,00400,0300,07/25/1994 58711,S200000,00400,0500,P 58711,S200000,01600,0100,Y 58711,S200000,01900,0100,HOSPITAL OWNED 58711,S200000,02200,0100,Y 58718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58718,A000000,00300,0000,00300EMPLOYEE BENEFITS 58718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58718,A000000,00700,0000,00700HOUSEKEEPING 58718,A000000,00800,0000,00800DIETARY 58718,A000000,00900,0000,00900NURSING ADMINISTRATION 58718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58718,A000000,01100,0000,01100PHARMACY 58718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58718,A000000,01300,0000,01300SOCIAL SERVICE 58718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58718,A000000,01600,0000,01600SKILLED NURSING FACILITY 58718,A000000,01810,0000,01810ICF/MR 58718,A000000,02100,0000,02100RADIOLOGY 58718,A000000,02200,0000,02200LABORATORY 58718,A000000,02500,0000,02500PHYSICAL THERAPY 58718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58718,A000000,02700,0000,02700SPEECH PATHOLOGY 58718,A000000,02800,0000,02800ELECTROCARDIOLOGY 58718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58718,A000000,03550,0000,03550FQHC 58718,A000000,04800,0000,04800AMBULANCE 58718,A000000,05000,0000,05000CORF 58718,A000000,05010,0000,05010CMHC 58718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58718,A000000,05801,0000,05801LAUNDRY - OTHER NF 58718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58718,B100000,00000,0100,00000SQUARE FEET 58718,B100000,00000,0200,00000SQUARE FEET 58718,B100000,00000,0300,00000GROSS SALARIES 58718,B100000,00000,0400,00000ACCUM COST 58718,B100000,00000,0500,00000SQUARE FEET 58718,B100000,00000,0600,00000POUNDS OF LAUNDRY 58718,B100000,00000,0700,00000HOURS OF SERVICE 58718,B100000,00000,0800,00000MEALS SERVED 58718,B100000,00000,0900,00000DIRECT NRSG HRS 58718,B100000,00000,1000,00000COSTED REQUIS 58718,B100000,00000,1100,00000COSTED REQUIS 58718,B100000,00000,1200,00000TIME SPENT 58718,B100000,00000,1300,00000TIME SPENT 58718,B100000,00000,1400,00000ASSIGNED TIME 58718,E10A180,00301,0100,07/02/1999 58718,E10A180,00350,0300,07/02/1999 58718,E10A180,00501,0100,08/03/2000 58718,E10A180,00501,0300,08/03/2000 58718,S000000,00100,0200,03/24/2000 58718,S200000,00100,0100,722 S. DARGAN STREET 58718,S200000,00100,0300,12712 58718,S200000,00200,0100,FLORENCE 58718,S200000,00200,0200,SC 58718,S200000,00200,0300,29504 58718,S200000,00300,0100,FLORENCE 58718,S200000,00400,0100,SOUTHLAND HEALTH CARE CENTER 58718,S200000,00400,0200,425157 58718,S200000,00400,0300,09/05/1986 58718,S200000,00400,0500,P 58718,S200000,01500,0100,Y 58718,S200000,04700,0100,Y 58718,S200000,04900,0100,Y 58726,S000000,00100,0200,12/14/1999 58727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58727,A000000,00300,0000,00300EMPLOYEE BENEFITS 58727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58727,A000000,00700,0000,00700HOUSEKEEPING 58727,A000000,00800,0000,00800DIETARY 58727,A000000,00900,0000,00900NURSING ADMINISTRATION 58727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58727,A000000,01100,0000,01100PHARMACY 58727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58727,A000000,01300,0000,01300SOCIAL SERVICE 58727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58727,A000000,01600,0000,01600SKILLED NURSING FACILITY 58727,A000000,01810,0000,01810ICF/MR 58727,A000000,02500,0000,02500PHYSICAL THERAPY 58727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58727,A000000,02700,0000,02700SPEECH PATHOLOGY 58727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58727,A000000,03200,0000,03200SUPPORT SURFACES 58727,A000000,03550,0000,03550FQHC 58727,A000000,05000,0000,05000CORF 58727,A000000,05010,0000,05010CMHC 58727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58727,A81000A,00100,0100,Y 58727,A81000B,00100,0300,CORPORATE CHARGE 58727,A81000B,00200,0300,CORPORATE CHARGE 58727,A81000B,00300,0300,CORPORATE CHARGE 58727,A81000C,00100,0100,F 58727,A81000C,00100,0200,DENNIS WHEELER 58727,A81000C,00100,0400,LAUREL BAYE H/C 58727,A81000C,00100,0600,HOME OFFICE 58727,A81000C,00200,0100,F 58727,A81000C,00200,0200,DENNIS WHEELER 58727,A81000C,00200,0400,LAUREL BAYE H/C 58727,A81000C,00200,0600,HOME OFFICE 58727,A81000C,00300,0100,F 58727,A81000C,00300,0200,DENNIS WHEELER 58727,A81000C,00300,0400,LAUREL BAYE H/C 58727,A81000C,00300,0600,HOME OFFICE 58727,B100000,00000,0100,00000SQUARE FEET 58727,B100000,00000,0200,00000SQUARE FEET 58727,B100000,00000,0300,00000GROSS SALARIES 58727,B100000,00000,0400,00000ACCUM COST 58727,B100000,00000,0500,00000SQUARE FEET 58727,B100000,00000,0600,00000POUNDS OF LAUNDRY 58727,B100000,00000,0700,00000HOURS OF SERVICE 58727,B100000,00000,0800,00000MEALS SERVED 58727,B100000,00000,0900,00000DIRECT NRSG HRS 58727,B100000,00000,1000,00000COSTED REQUIS 58727,B100000,00000,1100,00000COSTED REQUIS 58727,B100000,00000,1200,00000TIME SPENT 58727,B100000,00000,1300,00000TIME SPENT 58727,B100000,00000,1400,00000ASSIGNED TIME 58727,S000000,00100,0200,03/20/2000 58727,S200000,00100,0300,70 58727,S200000,00200,0100,RIDGEWAY 58727,S200000,00200,0200,SC 58727,S200000,00200,0300,29130 58727,S200000,00300,0100,FAIRFIELD 58727,S200000,00400,0100,FAIRFIELD HOME HEALTHCARE CNT LLC 58727,S200000,00400,0200,425158 58727,S200000,00400,0300,04/01/1999 58727,S200000,00400,0500,P 58727,S200000,01500,0100,Y 58727,S200000,02200,0100,Y 58727,S200000,04300,0100,Y 58736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58736,A000000,00300,0000,00300EMPLOYEE BENEFITS 58736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58736,A000000,00700,0000,00700HOUSEKEEPING 58736,A000000,00800,0000,00800DIETARY 58736,A000000,00900,0000,00900NURSING ADMINISTRATION 58736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58736,A000000,01100,0000,01100PHARMACY 58736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58736,A000000,01300,0000,01300SOCIAL SERVICE 58736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58736,A000000,01600,0000,01600SKILLED NURSING FACILITY 58736,A000000,01810,0000,01810ICF/MR 58736,A000000,02100,0000,02100RADIOLOGY 58736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58736,A000000,02500,0000,02500PHYSICAL THERAPY 58736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58736,A000000,02700,0000,02700SPEECH PATHOLOGY 58736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58736,A000000,03050,0000,03300OTHER ANCILLARY 58736,A000000,03200,0000,03200SUPPORT SURFACES 58736,A000000,03550,0000,03550FQHC 58736,A000000,05000,0000,05000CORF 58736,A000000,05010,0000,05010CMHC 58736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58736,B100000,00000,0100,00040SQUARE FEET 58736,B100000,00000,0200,00040DOLLAR VALUE 58736,B100000,00000,0300,00040GROSS SALARIES 58736,B100000,00000,0400,00040ACCUM. COST 58736,B100000,00000,0500,00040SQUARE FEET 58736,B100000,00000,0600,00040POUNDS OF LAUNDRY 58736,B100000,00000,0700,00040HOURS OF SERVICE 58736,B100000,00000,0800,00040MEALS SERVED 58736,B100000,00000,0900,00040DIRECT NRSG HRS 58736,B100000,00000,1000,00040COSTED REQUIS 58736,B100000,00000,1100,00040COSTED REQUIS 58736,B100000,00000,1200,00040TIME SPENT 58736,B100000,00000,1300,00040TIME SPENT 58736,B100000,00000,1400,00040ASSIGNED TIME 58736,S000000,00100,0200,03/28/2000 58736,S200000,00100,0100,111 SEDGEWOOD DR 58736,S200000,00200,0100,ROCK HILL 58736,S200000,00200,0200,SC 58736,S200000,00300,0100,YORK 58736,S200000,00400,0100,EBENEZER SENIOR SERVICES 58736,S200000,00400,0200,425159 58736,S200000,00400,0300,04/22/1987 58736,S200000,00400,0500,P 58736,S200000,00400,0600,O 58736,S200000,01500,0100,Y 58736,S200000,01900,0100,OTHER 501 (C) 3 58736,S200000,04300,0100,Y 58745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58745,A000000,00300,0000,00300EMPLOYEE BENEFITS 58745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58745,A000000,00700,0000,00700HOUSEKEEPING 58745,A000000,00800,0000,00800DIETARY 58745,A000000,00900,0000,00900NURSING ADMINISTRATION 58745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58745,A000000,01100,0000,01100PHARMACY 58745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58745,A000000,01300,0000,01300SOCIAL SERVICE 58745,A000000,01350,0000,01500OTHER GENERAL SERVICES 58745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58745,A000000,01600,0000,01600SKILLED NURSING FACILITY 58745,A000000,01810,0000,01810ICF/MR 58745,A000000,02100,0000,02100RADIOLOGY 58745,A000000,02200,0000,02200LABORATORY 58745,A000000,02500,0000,02500PHYSICAL THERAPY 58745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58745,A000000,02700,0000,02700SPEECH PATHOLOGY 58745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58745,A000000,03550,0000,03550FQHC 58745,A000000,05000,0000,05000CORF 58745,A000000,05010,0000,05010CMHC 58745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58745,A000000,06201,0000,06201RESIDENTIAL SERVICES 58745,A000000,06202,0000,06202PERSONAL CARE 58745,A000000,06203,0000,06203ALZHEIMERS UNIT 58745,B100000,00000,0100,00000SQUARE FEET 58745,B100000,00000,0200,00000SQUARE FEET 58745,B100000,00000,0300,00000GROSS SALARIES 58745,B100000,00000,0400,00000ACCUM. COST 58745,B100000,00000,0500,00000SQUARE FEET 58745,B100000,00000,0600,00000POUNDS OF LAUNDRY 58745,B100000,00000,0700,00000HOURS OF SERVICE 58745,B100000,00000,0800,00000MEALS SERVED 58745,B100000,00000,0900,00000DIRECT NRSING HRS 58745,B100000,00000,1000,00000COSTED REQUIS. 58745,B100000,00000,1100,00000COSTED REQUIS. 58745,B100000,00000,1200,00000TIME SPENT 58745,B100000,00000,1300,00000TIME SPENT 58745,B100000,00000,1350,00000NO STATISTICS 58745,B100000,00000,1400,00000ASSIGNED TIME 58745,E10A180,00501,0300,08/31/2001 58745,S000000,00100,0200,12/01/2000 58745,S200000,00100,0100,1 HOKE SMITH BLVD 58745,S200000,00200,0100,GREENVILLE 58745,S200000,00200,0200,SC 58745,S200000,00300,0100,GREENVILLE 58745,S200000,00400,0100,ROLLING GREEN VILLAGE HEALTH 58745,S200000,00400,0200,425160 58745,S200000,00400,0300,12/12/1986 58745,S200000,00400,0500,P 58745,S200000,01500,0100,Y 58745,S200000,01900,0100,OTHER 501 (C) 3 58753,S000000,00100,0200,02/24/2000 58768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58768,A000000,00300,0000,00300EMPLOYEE BENEFITS 58768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58768,A000000,00700,0000,00700HOUSEKEEPING 58768,A000000,00800,0000,00800DIETARY 58768,A000000,00900,0000,00900NURSING ADMINISTRATION 58768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58768,A000000,01100,0000,01100PHARMACY 58768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58768,A000000,01300,0000,01300SOCIAL SERVICE 58768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58768,A000000,01600,0000,01600SKILLED NURSING FACILITY 58768,A000000,01810,0000,01810ICF/MR 58768,A000000,02100,0000,02100RADIOLOGY 58768,A000000,02500,0000,02500PHYSICAL THERAPY 58768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58768,A000000,02700,0000,02700SPEECH PATHOLOGY 58768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58768,A000000,03550,0000,03550FQHC 58768,A000000,05000,0000,05000CORF 58768,A000000,05010,0000,05010CMHC 58768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58768,A81000A,00100,0100,Y 58768,A81000B,00100,0300,MANAGEMENT FEES 58768,B100000,00000,0100,00000SQUARE FEET 58768,B100000,00000,0200,00000SQUARE FEET 58768,B100000,00000,0300,00000GROSS SALARIES 58768,B100000,00000,0400,00000ACCUM COST 58768,B100000,00000,0500,00000SQUARE FEET 58768,B100000,00000,0600,00000POUNDS OF LAUNDRY 58768,B100000,00000,0700,00000HOURS OF SERVICE 58768,B100000,00000,0800,00000MEALS SERVED 58768,B100000,00000,0900,00000DIRECT NRSG HRS 58768,B100000,00000,1000,00000COSTED REQUIS 58768,B100000,00000,1100,00000COSTED REQUIS 58768,B100000,00000,1200,00000TIME SPENT 58768,B100000,00000,1300,00000TIME SPENT 58768,B100000,00000,1400,00000ASSIGNED TIME 58768,S000000,00100,0200,04/18/2000 58768,S200000,00100,0300,67 58768,S200000,00200,0100,FOUNTAIN INN 58768,S200000,00200,0200,SC 58768,S200000,00200,0300,29644 58768,S200000,00300,0100,GREENVILLE 58768,S200000,00400,0100,FOUNTAIN INN NURSING HOME INC 58768,S200000,00400,0200,425168 58768,S200000,00400,0300,10/01/1988 58768,S200000,00400,0500,P 58768,S200000,01500,0100,Y 58768,S200000,01900,0100,HOSPITAL 58777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58777,A000000,00300,0000,00300EMPLOYEE BENEFITS 58777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58777,A000000,00700,0000,00700HOUSEKEEPING 58777,A000000,00800,0000,00800DIETARY 58777,A000000,00900,0000,00900NURSING ADMINISTRATION 58777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58777,A000000,01100,0000,01100PHARMACY 58777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58777,A000000,01300,0000,01300SOCIAL SERVICE 58777,A000000,01301,0000,01301ACTIVITES 58777,A000000,01350,0000,01500REHABILITATION 58777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58777,A000000,01600,0000,01600SKILLED NURSING FACILITY 58777,A000000,01800,0000,01800NURSING FACILITY 58777,A000000,01810,0000,01810ICF/MR 58777,A000000,02200,0000,02200LABORATORY 58777,A000000,02300,0000,02300INTRAVENOUS THERAPY 58777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58777,A000000,02500,0000,02500PHYSICAL THERAPY 58777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58777,A000000,02700,0000,02700SPEECH PATHOLOGY 58777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58777,A000000,03050,0000,03300EQUIPMENT RENTAL 58777,A000000,03051,0000,03301PEN THERAPY 58777,A000000,03550,0000,03550FQHC 58777,A000000,04800,0000,04800AMBULANCE 58777,A000000,05000,0000,05000CORF 58777,A000000,05010,0000,05010CMHC 58777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58777,A000000,06150,0000,06300VENDING 58777,A000000,06151,0000,06301STAND-BY 58777,A81000A,00100,0100,Y 58777,A81000B,00100,0300,HOME OFFICE COST 58777,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 58777,A81000B,00500,0300,MEDICAL SUPPLIES 58777,A81000B,01000,0300,THERAPY CONSULTING 58777,A81000B,01100,0300,PHYSICAL THERAPY 58777,A81000B,01200,0300,OCCUPATIONAL THERAPY 58777,A81000B,01300,0300,SPEECH THERAPY 58777,A81000B,01400,0300,ANC EQUIP RENTAL 58777,A81000B,01500,0300,DURABLE MEDICAL EQUIPMENT 58777,A81000C,00100,0100,B 58777,A81000C,00100,0200,SPRINGDALE VILL 58777,A81000C,00100,0400,MARINER PAN 58777,A81000C,00100,0600,NURSING HOMES 58777,A81000C,00200,0200,MARINER PAN 58777,A81000C,00200,0400,AMER PHARM SVCS 58777,A81000C,00200,0600,PHARMACEUTICALS 58777,A81000C,00300,0100,G 58777,A81000C,00300,0200,MARINER PAN 58777,A81000C,00300,0400,PRISM-ATS-ARS-T 58777,A81000C,00300,0600,THERAPIES 58777,B100000,00000,0100,00001SQUARE FEET 58777,B100000,00000,0200,00001SQUARE FEET 58777,B100000,00000,0300,00001GROSS SALARIES 58777,B100000,00000,0400,00001ACCUM COST 58777,B100000,00000,0500,00001SQUARE FEET 58777,B100000,00000,0650,00001PATIENT DAYS 58777,B100000,00000,0750,00001SQUARE FEET 58777,B100000,00000,0800,00001MEALS SERVED 58777,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58777,B100000,00000,1050,00001PATIENT DAYS 58777,B100000,00000,1100,00001COSTED REQUIS 58777,B100000,00000,1250,00001PATIENT DAYS 58777,B100000,00000,1330,00001PATIENT DAYS 58777,B100000,00000,1331,00001PATIENT DAYS 58777,B100000,00000,1350,00001UNITS OF SERVICE 58777,B100000,00000,1400,00001ASSIGNED TIME 58777,E10A180,00501,0100,11/10/2000 58777,S000000,00100,0200,06/16/2000 58777,S200000,00100,0100,146 BATTLESHIP ROAD 58777,S200000,00200,0100,CAMDEN 58777,S200000,00200,0200,SC 58777,S200000,00200,0300,29020 58777,S200000,00300,0100,KERSHAW 58777,S200000,00400,0100,SPRINGDALE HEALTHCARE CENTER 58777,S200000,00400,0200,425169 58777,S200000,00400,0300,09/30/1994 58777,S200000,00400,0500,P 58777,S200000,00400,0600,O 58777,S200000,01600,0100,Y 58777,S200000,02200,0100,Y 58786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58786,A000000,00300,0000,00300EMPLOYEE BENEFITS 58786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58786,A000000,00700,0000,00700HOUSEKEEPING 58786,A000000,00800,0000,00800DIETARY 58786,A000000,00900,0000,00900NURSING ADMINISTRATION 58786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58786,A000000,01100,0000,01100PHARMACY 58786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58786,A000000,01300,0000,01300SOCIAL SERVICE 58786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58786,A000000,01600,0000,01600SKILLED NURSING FACILITY 58786,A000000,01810,0000,01810ICF/MR 58786,A000000,02100,0000,02100RADIOLOGY 58786,A000000,02200,0000,02200LABORATORY 58786,A000000,02300,0000,02300INTRAVENOUS THERAPY 58786,A000000,02500,0000,02500PHYSICAL THERAPY 58786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58786,A000000,02700,0000,02700SPEECH PATHOLOGY 58786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58786,A000000,03200,0000,03200SUPPORT SURFACES 58786,A000000,03550,0000,03550FQHC 58786,A000000,05000,0000,05000CORF 58786,A000000,05010,0000,05010CMHC 58786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58786,A000000,05300,0000,05300INTEREST EXPENSE 58786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58786,A81000A,00100,0100,Y 58786,A81000B,00100,0300,MANAGEMENT FEES 58786,A81000B,00200,0300,MANAGEMENT FEES 58786,A81000B,00300,0300,MANAGEMENT FEES 58786,A81000C,00100,0100,F 58786,A81000C,00100,0200,DAVID W. CECIL 58786,A81000C,00100,0400,HEALTH CARE COR 58786,A81000C,00100,0600,MANAGEMENT H O 58786,A81000C,00200,0100,F 58786,A81000C,00200,0200,DAVID W. CECIL 58786,A81000C,00200,0400,HEALTH CARE COR 58786,A81000C,00200,0600,MANAGEMENT H O 58786,A81000C,00300,0100,F 58786,A81000C,00300,0200,DAVID W. CECIL 58786,A81000C,00300,0400,HEALTH CARE COR 58786,A81000C,00300,0600,MANAGEMENT H O 58786,B100000,00000,0100,00000SQUARE FEET 58786,B100000,00000,0200,00000SQUARE FEET 58786,B100000,00000,0300,00000GROSS SALARIES 58786,B100000,00000,0400,00000ACCUM COST 58786,B100000,00000,0500,00000SQUARE FEET 58786,B100000,00000,0600,00000POUNDS OF LAUNDRY 58786,B100000,00000,0700,00000HOURS OF SERVICE 58786,B100000,00000,0800,00000MEALS SERVED 58786,B100000,00000,0900,00000DIRECT NRSG HRS 58786,B100000,00000,1000,00000COSTED REQUIS 58786,B100000,00000,1100,00000COSTED REQUIS 58786,B100000,00000,1200,00000TIME SPENT 58786,B100000,00000,1300,00000TIME SPENT 58786,B100000,00000,1400,00000ASSIGNED TIME 58786,E10A180,00301,0100,09/02/1999 58786,E10A180,00350,0300,09/02/1999 58786,E10A180,00501,0300,03/07/2000 58786,E10A180,00550,0100,03/07/2000 58786,S000000,00100,0200,03/07/2000 58786,S200000,00100,0100,601 DANTZLER STREET 58786,S200000,00200,0100,ST. MATTHEWS 58786,S200000,00200,0200,SC 58786,S200000,00300,0100,CALHOUN 58786,S200000,00400,0100,CALHOUN CONVALESCENT CTR. INC. 58786,S200000,00400,0200,425170 58786,S200000,00400,0300,01/23/1989 58786,S200000,00400,0500,P 58786,S200000,01500,0100,Y 58798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58798,A000000,00300,0000,00300EMPLOYEE BENEFITS 58798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58798,A000000,00700,0000,00700HOUSEKEEPING 58798,A000000,00800,0000,00800DIETARY 58798,A000000,00900,0000,00900NURSING ADMINISTRATION 58798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58798,A000000,01100,0000,01100PHARMACY 58798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58798,A000000,01300,0000,01300SOCIAL SERVICE 58798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58798,A000000,01600,0000,01600SKILLED NURSING FACILITY 58798,A000000,01810,0000,01810ICF/MR 58798,A000000,02100,0000,02100RADIOLOGY 58798,A000000,02200,0000,02200LABORATORY 58798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58798,A000000,02500,0000,02500PHYSICAL THERAPY 58798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58798,A000000,02700,0000,02700SPEECH PATHOLOGY 58798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58798,A000000,03550,0000,03550FQHC 58798,A000000,04800,0000,04800AMBULANCE 58798,A000000,05000,0000,05000CORF 58798,A000000,05010,0000,05010CMHC 58798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58798,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58798,B100000,00000,0100,00000SQUARE FEET 58798,B100000,00000,0200,00000SQUARE FEET 58798,B100000,00000,0300,00000GROSS SALARIES 58798,B100000,00000,0400,00000ACCUM COST 58798,B100000,00000,0500,00000SQUARE FEET 58798,B100000,00000,0600,00000POUNDS OF LAUNDRY 58798,B100000,00000,0700,00000HOURS OF SERVICE 58798,B100000,00000,0800,00000MEALS SERVED 58798,B100000,00000,0900,00000DIRECT NRSG HRS 58798,B100000,00000,1000,00000COSTED REQUIS 58798,B100000,00000,1100,00000COSTED REQUIS 58798,B100000,00000,1200,00000TIME SPENT 58798,B100000,00000,1300,00000TIME SPENT 58798,B100000,00000,1400,00000ASSIGNED TIME 58798,E10A180,00350,0100,10/19/2000 58798,S000000,00100,0200,12/28/2000 58798,S200000,00100,0100,ONE HOLIDAY ROAD 58798,S200000,00200,0100,MCCORMICK 58798,S200000,00200,0200,SC 58798,S200000,00200,0300,29835 58798,S200000,00300,0100,MCCORMICK 58798,S200000,00400,0100,MCCORMICK HEALTH CARE CENTER INC 58798,S200000,00400,0200,425171 58798,S200000,00400,0300,08/01/1989 58798,S200000,00400,0500,P 58798,S200000,00400,0600,O 58798,S200000,01500,0100,Y 58798,S200000,04600,0100,Y 58798,S200000,04700,0100,Y 58811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58811,A000000,00300,0000,00300EMPLOYEE BENEFITS 58811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58811,A000000,00700,0000,00700HOUSEKEEPING 58811,A000000,00800,0000,00800DIETARY 58811,A000000,00900,0000,00900NURSING ADMINISTRATION 58811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58811,A000000,01100,0000,01100PHARMACY 58811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58811,A000000,01300,0000,01300SOCIAL SERVICE 58811,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58811,A000000,01600,0000,01600SKILLED NURSING FACILITY 58811,A000000,01800,0000,01800NURSING FACILITY 58811,A000000,01810,0000,01810ICF/MR 58811,A000000,02100,0000,02100RADIOLOGY 58811,A000000,02200,0000,02200LABORATORY 58811,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58811,A000000,02500,0000,02500PHYSICAL THERAPY 58811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58811,A000000,02700,0000,02700SPEECH PATHOLOGY 58811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58811,A000000,03550,0000,03550FQHC 58811,A000000,04800,0000,04800AMBULANCE 58811,A000000,05000,0000,05000CORF 58811,A000000,05010,0000,05010CMHC 58811,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58811,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58811,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58811,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58811,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 58811,A000000,06150,0000,06300NON-ALLOWABLE SALARIES 58811,A000000,06151,0000,06310OFFICERS LIFE INSURANCE 58811,A000000,06152,0000,06320INCOME TAXES 58811,A81000A,00100,0100,Y 58811,A81000B,00100,0300,HOME OFFICE COSTS 58811,A81000B,00200,0300,HOME OFFICE COSTS 58811,A81000B,00300,0300,HOME OFFICE COSTS 58811,A81000C,00100,0100,A 58811,A81000C,00100,0200,RICHARD C COOKE 58811,A81000C,00100,0400,COOKE MANAGEMEN 58811,A81000C,00100,0600,MANAGEMENT CO 58811,A81000C,00200,0100,A 58811,A81000C,00200,0200,CARLYLE COOKE 58811,A81000C,00200,0400,COOKE MANAGEMEN 58811,A81000C,00200,0600,MANAGEMENT CO 58811,B100000,00000,0100,00020SQUARE FEET 58811,B100000,00000,0200,00020SQUARE FEET 58811,B100000,00000,0300,00020GROSS SALARIES 58811,B100000,00000,0400,00020ACCUM COST 58811,B100000,00000,0500,00020SQUARE FEET 58811,B100000,00000,0600,00020POUNDS OF LAUNDRY 58811,B100000,00000,0700,00020HOURS OF SERVICE 58811,B100000,00000,0800,00020MEALS SERVED 58811,B100000,00000,0900,00020DIRECT NRSG HRS 58811,B100000,00000,1000,00020COSTED REQUIS 58811,B100000,00000,1100,00020COSTED REQUIS 58811,B100000,00000,1200,00020TIME SPENT 58811,B100000,00000,1300,00020TIME SPENT 58811,B100000,00000,1400,00020ASSIGNED TIME 58811,E10A180,00501,0100,06/15/2000 58811,E10A180,00501,0300,06/15/2000 58811,S000000,00100,0200,04/14/2000 58811,S200000,00100,0100,207 CHAPPELLE 58811,S200000,00200,0100,BISHOPVILLE 58811,S200000,00200,0200,SC 58811,S200000,00200,0300,29010 58811,S200000,00300,0100,LEE 58811,S200000,00400,0100,MCCOY MEMORIAL NURSING CENTER INC 58811,S200000,00400,0200,425174 58811,S200000,00400,0300,07/01/1990 58811,S200000,00400,0500,P 58811,S200000,00400,0600,O 58811,S200000,00600,0200,425174 58811,S200000,00600,0300,07/01/1990 58811,S200000,00600,0600,P 58827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58827,A000000,00300,0000,00300EMPLOYEE BENEFITS 58827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58827,A000000,00700,0000,00700HOUSEKEEPING 58827,A000000,00800,0000,00800DIETARY 58827,A000000,00900,0000,00900NURSING ADMINISTRATION 58827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58827,A000000,01100,0000,01100PHARMACY 58827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58827,A000000,01300,0000,01300SOCIAL SERVICE 58827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58827,A000000,01600,0000,01600SKILLED NURSING FACILITY 58827,A000000,01810,0000,01810ICF/MR 58827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58827,A000000,02500,0000,02500PHYSICAL THERAPY 58827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58827,A000000,02700,0000,02700SPEECH PATHOLOGY 58827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58827,A000000,03550,0000,03550FQHC 58827,A000000,05000,0000,05000CORF 58827,A000000,05010,0000,05010CMHC 58827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58827,A000000,05300,0000,05300INTEREST EXPENSE 58827,A000000,06150,0000,06300ADULT DAY CARE 58827,A81000A,00100,0100,Y 58827,A81000B,00100,0300,ADJ HOME OFFICE COST 58827,A81000B,00200,0300,HOME OFFICE LAUNDRY 58827,A81000C,00100,0100,A 58827,A81000C,00100,0200,WILSON GROUP INC. 58827,B100000,00000,0150,00000HOURS OF SERVICE 58827,B100000,00000,0250,00000HOURS OF SERVICE 58827,B100000,00000,0300,00000GROSS SALARIES 58827,B100000,00000,0400,00000ACCUM COST 58827,B100000,00000,0550,00000HOURS OF SERVICE 58827,B100000,00000,0650,00000HOURS OF SERVICE 58827,B100000,00000,0700,00000HOURS OF SERVICE 58827,B100000,00000,0800,00000MEALS SERVED 58827,B100000,00000,0900,00000DIRECT NRSG HRS 58827,B100000,00000,1000,00000COSTED REQUIS 58827,B100000,00000,1100,00000COSTED REQUIS 58827,B100000,00000,1200,00000TIME SPENT 58827,B100000,00000,1300,00000TIME SPENT 58827,B100000,00000,1400,00000ASSIGNED TIME 58827,E10A180,00301,0300,08/30/1999 58827,E10A180,00501,0100,09/07/2000 58827,E10A180,00501,0300,01/18/2001 58827,E10A180,00550,0300,09/07/2000 58827,S000000,00100,0200,12/11/2000 58827,S200000,00100,0100,105 MEDFORD DRIVE 58827,S200000,00200,0100,DARLINGTON 58827,S200000,00200,0200,SC 58827,S200000,00200,0300,29532 58827,S200000,00300,0100,DARLINGTON 58827,S200000,00400,0100,MEDFORD PLACE 58827,S200000,00400,0200,425176 58827,S200000,00400,0300,10/01/1985 58827,S200000,00400,0500,P 58827,S200000,01500,0100,Y 58827,S200000,02800,0100,Y 58848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58848,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58848,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58848,A000000,00300,0000,00300EMPLOYEE BENEFITS 58848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58848,A000000,00700,0000,00700HOUSEKEEPING 58848,A000000,00800,0000,00800DIETARY 58848,A000000,00801,0000,00801CAFETERIA 58848,A000000,00900,0000,00900NURSING ADMINISTRATION 58848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58848,A000000,01100,0000,01100PHARMACY 58848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58848,A000000,01300,0000,01300SOCIAL SERVICE 58848,A000000,01350,0000,01500ACTIVITIES 58848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58848,A000000,01600,0000,01600SKILLED NURSING FACILITY 58848,A000000,01800,0000,01800NURSING FACILITY 58848,A000000,01810,0000,01810ICF/MR 58848,A000000,02100,0000,02100RADIOLOGY 58848,A000000,02200,0000,02200LABORATORY 58848,A000000,02500,0000,02500PHYSICAL THERAPY 58848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58848,A000000,02700,0000,02700SPEECH PATHOLOGY 58848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58848,A000000,03050,0000,03300PEN THERAPY 58848,A000000,03051,0000,03301PROSTHETICS 58848,A000000,03052,0000,03302WOUND CARE 58848,A000000,03200,0000,03200SUPPORT SURFACES 58848,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58848,A000000,03550,0000,03550FQHC 58848,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58848,A000000,04800,0000,04800AMBULANCE 58848,A000000,05000,0000,05000CORF I 58848,A000000,05010,0000,05010CMHC I 58848,A000000,05020,0000,05020OPT I 58848,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58848,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58848,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58848,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58848,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58848,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58848,A81000A,00100,0100,Y 58848,A81000B,00100,0300,MANAGEMENT FEES 58848,A81000B,00200,0300,NURSING SUPPLIES 58848,A81000B,00300,0300,LEGEND DRUGS 58848,A81000B,00400,0300,OTC 58848,A81000B,00500,0300,MEDICAL SUPPLIES 58848,A81000B,00600,0300,PHARMACY CONSULTANT 58848,A81000C,00100,0100,B 58848,A81000C,00100,0400,WHITE OAK MANOR 58848,A81000C,00100,0600,NSG HOME CHAIN 58848,A81000C,00200,0100,B 58848,A81000C,00200,0400,WHITE OAK MANOR 58848,A81000C,00200,0600,PHARMACY 58848,B100000,00000,0100,00000(SQUARE FEET) 58848,B100000,00000,0101,00000(SQUARE FEET) 58848,B100000,00000,0200,00000(SQUARE FEET) 58848,B100000,00000,0201,00000(SQUARE FEET) 58848,B100000,00000,0300,00000(GROSS SALARIES) 58848,B100000,00000,0400,00000(ACCUM. COST) 58848,B100000,00000,0500,00000(SQUARE FEET) 58848,B100000,00000,0650,00000(PATIENT DAYS) 58848,B100000,00000,0750,00000(SQUARE FEET) 58848,B100000,00000,0800,00000(MEALS SERVED) 58848,B100000,00000,0801,00000(MEALS SERVED) 58848,B100000,00000,0950,00000(PATIENT DAYS) 58848,B100000,00000,1050,00000(PATIENT DAYS) 58848,B100000,00000,1150,00000(PATIENT DAYS) 58848,B100000,00000,1250,00000(PATIENT DAYS) 58848,B100000,00000,1330,00000(PATIENT DAYS) 58848,B100000,00000,1350,00000(PATIENT DAYS) 58848,B100000,00000,1400,00000(ASSIGNED TIME) 58848,E10A180,00301,0100,08/16/1999 58848,E10A180,00350,0300,08/16/1999 58848,E10A180,00501,0300,08/29/2000 58848,S000000,00100,0200,02/24/2000 58848,S200000,00100,0100,2407 S. PINE ST 58848,S200000,00100,0300,3347 58848,S200000,00200,0100,SPARTANBURG 58848,S200000,00200,0200,SC 58848,S200000,00200,0300,29304 58848,S200000,00300,0100,SPARTANBURG 58848,S200000,00400,0100,WHITE OAK ESTATES 58848,S200000,00400,0200,425290 58848,S200000,00400,0300,09/30/1990 58848,S200000,00400,0500,P 58848,S200000,01600,0100,Y 58848,S200000,01900,0100,HOSPITAL OWNED 58848,S200000,02200,0100,Y 58865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58865,A000000,00300,0000,00300EMPLOYEE BENEFITS 58865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58865,A000000,00700,0000,00700HOUSEKEEPING 58865,A000000,00800,0000,00800DIETARY 58865,A000000,00900,0000,00900NURSING ADMINISTRATION 58865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58865,A000000,01100,0000,01100PHARMACY 58865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58865,A000000,01300,0000,01300SOCIAL SERVICE 58865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58865,A000000,01600,0000,01600SKILLED NURSING FACILITY 58865,A000000,01810,0000,01810ICF/MR 58865,A000000,02100,0000,02100RADIOLOGY 58865,A000000,02200,0000,02200LABORATORY 58865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58865,A000000,02500,0000,02500PHYSICAL THERAPY 58865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58865,A000000,02700,0000,02700SPEECH PATHOLOGY 58865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58865,A000000,03550,0000,03550FQHC 58865,A000000,05000,0000,05000CORF 58865,A000000,05010,0000,05010CMHC 58865,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58865,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58865,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58865,B100000,00000,0100,00000SQUARE FEET 58865,B100000,00000,0200,00000SQUARE FEET 58865,B100000,00000,0300,00000GROSS SALARIES 58865,B100000,00000,0400,00000ACCUM COST 58865,B100000,00000,0500,00000SQUARE FEET 58865,B100000,00000,0600,00000POUNDS OF LAUNDRY 58865,B100000,00000,0700,00000HOURS OF SERVICE 58865,B100000,00000,0800,00000MEALS SERVED 58865,B100000,00000,0900,00000DIRECT NRSG HRS 58865,B100000,00000,1000,00000COSTED REQUIS 58865,B100000,00000,1100,00000COSTED REQUIS 58865,B100000,00000,1200,00000TIME SPENT 58865,B100000,00000,1300,00000TIME SPENT 58865,B100000,00000,1400,00000ASSIGNED TIME 58865,E10A180,00302,0100,09/08/1999 58865,E10A180,00550,0100,10/02/2000 58865,S000000,00100,0200,05/31/2000 58865,S200000,00100,0100,1 WEST A. REEL DR 58865,S200000,00200,0100,EDGEFIELD 58865,S200000,00200,0200,SC 58865,S200000,00200,0300,29824 58865,S200000,00300,0100,EDGEFIELD 58865,S200000,00400,0100,EDGEFIELD HEALTHCARE CENTER 58865,S200000,00400,0200,425293 58865,S200000,00400,0300,09/12/1990 58865,S200000,00400,0500,P 58865,S200000,01600,0100,Y 58870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58870,A000000,00300,0000,00300EMPLOYEE BENEFITS 58870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58870,A000000,00700,0000,00700HOUSEKEEPING 58870,A000000,00800,0000,00800DIETARY 58870,A000000,00900,0000,00900NURSING ADMINISTRATION 58870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58870,A000000,01100,0000,01100PHARMACY 58870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58870,A000000,01300,0000,01300SOCIAL SERVICE 58870,A000000,01301,0000,01301ACTIVITES 58870,A000000,01350,0000,01500REHABILITATION 58870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58870,A000000,01600,0000,01600SKILLED NURSING FACILITY 58870,A000000,01800,0000,01800NURSING FACILITY 58870,A000000,01810,0000,01810ICF/MR 58870,A000000,02200,0000,02200LABORATORY 58870,A000000,02300,0000,02300INTRAVENOUS THERAPY 58870,A000000,02500,0000,02500PHYSICAL THERAPY 58870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58870,A000000,02700,0000,02700SPEECH PATHOLOGY 58870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58870,A000000,03050,0000,03300EQUIPMENT RENTAL 58870,A000000,03051,0000,03301PEN THERAPY 58870,A000000,03550,0000,03550FQHC 58870,A000000,05000,0000,05000CORF 58870,A000000,05010,0000,05010CMHC 58870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58870,A000000,05300,0000,05300INTEREST EXPENSE 58870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58870,A000000,06150,0000,06300VENDING 58870,A000000,06151,0000,06301STAND-BY 58870,A81000A,00100,0100,Y 58870,A81000B,00100,0300,HOME OFFICE COST 58870,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 58870,A81000B,00500,0300,MEDICAL SUPPLIES 58870,A81000B,01100,0300,PHYSICAL THERAPY 58870,A81000B,01200,0300,OCCUPATIONAL THERAPY 58870,A81000B,01300,0300,SPEECH THERAPY 58870,A81000B,01500,0300,REHAB 58870,A81000C,00100,0100,B 58870,A81000C,00100,0200,PRINCE GEORGE P 58870,A81000C,00100,0400,MARINER PAN 58870,A81000C,00100,0600,NURSING HOMES 58870,A81000C,00200,0100,G 58870,A81000C,00200,0200,MARINER PAN 58870,A81000C,00200,0400,AMER PHARM SVCS 58870,A81000C,00200,0600,PHARMACEUTICALS 58870,A81000C,00300,0100,G 58870,A81000C,00300,0200,MARINER PAN 58870,A81000C,00300,0400,PRISM-ATS-ARS-T 58870,A81000C,00300,0600,THERAPIES 58870,B100000,00000,0100,00001SQUARE FEET 58870,B100000,00000,0200,00001SQUARE FEET 58870,B100000,00000,0300,00001GROSS SALARIES 58870,B100000,00000,0400,00001ACCUM COST 58870,B100000,00000,0500,00001SQUARE FEET 58870,B100000,00000,0650,00001PATIENT DAYS 58870,B100000,00000,0750,00001SQUARE FEET 58870,B100000,00000,0800,00001MEALS SERVED 58870,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 58870,B100000,00000,1050,00001PATIENT DAYS 58870,B100000,00000,1100,00001COSTED REQUIS 58870,B100000,00000,1250,00001PATIENT DAYS 58870,B100000,00000,1330,00001PATIENT DAYS 58870,B100000,00000,1331,00001PATIENT DAYS 58870,B100000,00000,1350,00001UNITS OF SERVICE 58870,B100000,00000,1400,00001ASSIGNED TIME 58870,E10A180,00501,0100,10/17/2000 58870,S000000,00100,0200,06/16/2000 58870,S200000,00100,0100,901 MAPLE ST. 58870,S200000,00200,0100,GEORGETOWN 58870,S200000,00200,0200,SC 58870,S200000,00200,0300,29440 58870,S200000,00300,0100,GEORGE TOWN 58870,S200000,00400,0100,PRINCE GEORGE HEALTHCARE CENTER 58870,S200000,00400,0200,425295 58870,S200000,00400,0300,09/30/1994 58870,S200000,00400,0500,P 58870,S200000,01600,0100,Y 58870,S200000,02200,0100,Y 58888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58888,A000000,00300,0000,00300EMPLOYEE BENEFITS 58888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58888,A000000,00700,0000,00700HOUSEKEEPING 58888,A000000,00800,0000,00800DIETARY 58888,A000000,00900,0000,00900NURSING ADMINISTRATION 58888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58888,A000000,01100,0000,01100PHARMACY 58888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58888,A000000,01300,0000,01300SOCIAL SERVICE 58888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58888,A000000,01600,0000,01600SKILLED NURSING FACILITY 58888,A000000,01810,0000,01810ICF/MR 58888,A000000,02200,0000,02200LABORATORY 58888,A000000,02500,0000,02500PHYSICAL THERAPY 58888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58888,A000000,02700,0000,02700SPEECH PATHOLOGY 58888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58888,A000000,03200,0000,03200SUPPORT SURFACES 58888,A000000,03550,0000,03550FQHC 58888,A000000,05000,0000,05000CORF 58888,A000000,05010,0000,05010CMHC 58888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58888,A81000A,00100,0100,Y 58888,A81000B,00100,0300,CORPORATE CHARGE 58888,A81000B,00200,0300,CORPORATE CHARGE 58888,A81000B,00300,0300,CORPORATE CHARGE 58888,A81000C,00100,0100,F 58888,A81000C,00100,0200,DENNIS WHEELER 58888,A81000C,00100,0400,LAUREL BAYE H/C 58888,A81000C,00100,0600,HOME OFFICE 58888,A81000C,00200,0100,F 58888,A81000C,00200,0200,DENNIS WHEELER 58888,A81000C,00200,0400,LAUREL BAYE H/C 58888,A81000C,00200,0600,HOME OFFICE 58888,A81000C,00300,0100,F 58888,A81000C,00300,0200,DENNIS WHEELER 58888,A81000C,00300,0400,LAUREL BAYE H/C 58888,A81000C,00300,0600,HOME OFFICE 58888,B100000,00000,0100,00000SQUARE FEET 58888,B100000,00000,0200,00000SQUARE FEET 58888,B100000,00000,0300,00000GROSS SALARIES 58888,B100000,00000,0400,00000ACCUM COST 58888,B100000,00000,0500,00000SQUARE FEET 58888,B100000,00000,0600,00000POUNDS OF LAUNDRY 58888,B100000,00000,0700,00000HOURS OF SERVICE 58888,B100000,00000,0800,00000MEALS SERVED 58888,B100000,00000,0900,00000DIRECT NRSG HRS 58888,B100000,00000,1000,00000COSTED REQUIS 58888,B100000,00000,1100,00000COSTED REQUIS 58888,B100000,00000,1200,00000TIME SPENT 58888,B100000,00000,1300,00000TIME SPENT 58888,B100000,00000,1400,00000ASSIGNED TIME 58888,E10A180,00501,0100,09/07/2000 58888,E10A180,00501,0300,09/07/2000 58888,S000000,00100,0200,03/31/2000 58888,S200000,00100,0100,HIGHWAY 39 58888,S200000,00200,0100,WILLISTON 58888,S200000,00200,0200,SC 58888,S200000,00200,0300,29853 58888,S200000,00300,0100,BARNWELL 58888,S200000,00400,0100,SILVER SPRINGS HEALTHCARE LLC 58888,S200000,00400,0200,425297 58888,S200000,00400,0300,03/12/1991 58888,S200000,00400,0500,P 58888,S200000,01500,0100,Y 58888,S200000,02200,0100,Y 58888,S200000,04300,0100,Y 58900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58900,A000000,00300,0000,00300EMPLOYEE BENEFITS 58900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58900,A000000,00700,0000,00700HOUSEKEEPING 58900,A000000,00800,0000,00800DIETARY 58900,A000000,00900,0000,00900NURSING ADMINISTRATION 58900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58900,A000000,01100,0000,01100PHARMACY 58900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58900,A000000,01300,0000,01300SOCIAL SERVICE 58900,A000000,01350,0000,01500ACTIVITIES 58900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58900,A000000,01600,0000,01600SKILLED NURSING FACILITY 58900,A000000,01810,0000,01810ICF/MR 58900,A000000,02100,0000,02100RADIOLOGY 58900,A000000,02500,0000,02500PHYSICAL THERAPY 58900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58900,A000000,02700,0000,02700SPEECH PATHOLOGY 58900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58900,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58900,A000000,03200,0000,03200SUPPORT SURFACES 58900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58900,A000000,03550,0000,03550FQHC 58900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58900,A000000,05000,0000,05000CORF 58900,A000000,05010,0000,05010CMHC 58900,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58900,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58900,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58900,A81000A,00100,0100,Y 58900,A81000B,00100,0300,MANAGEMENT FEES 58900,A81000B,00200,0300,MANAGEMENT FEES 58900,A81000B,00300,0300,MANAGEMENT FEES 58900,A81000B,00400,0300,MANAGEMENT FEES 58900,A81000B,00600,0300,MANAGEMENT FEES 58900,A81000B,00700,0300,LAUNDRY SERVICE 58900,A81000B,00800,0300,LAUNDRY SERVICE 58900,A81000B,00900,0300,LAUNDRY SERVICE 58900,A81000B,01000,0300,LAUNDRY SERVICE 58900,A81000B,01100,0300,LAUNDRY SERVICE 58900,A81000B,01200,0300,PHYSICAL THERAPY 58900,A81000B,01300,0300,OCCUPATIONAL THERAPY 58900,A81000B,01400,0300,SPEECH THERAPY 58900,A81000B,01600,0300,HISTORICAL COSTS 58900,A81000C,00100,0100,A 58900,A81000C,00100,0200,MICHAEL H. MCBRIDE 58900,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58900,A81000C,00100,0600,HOME OFFICE 58900,A81000C,00200,0100,A 58900,A81000C,00200,0200,T. EDWARD CHILDRESS 58900,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58900,A81000C,00200,0600,HOME OFFICE 58900,A81000C,00300,0100,A 58900,A81000C,00300,0200,JOHN P. OBRIEN 58900,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58900,A81000C,00300,0600,HOME OFFICE 58900,A81000C,00400,0100,A 58900,A81000C,00400,0200,MICHAEL H. MCBRIDE 58900,A81000C,00400,0400,CENTRAL SUPPORT 58900,A81000C,00400,0600,LAUNDRY 58900,A81000C,00500,0100,A 58900,A81000C,00500,0200,T. EDWARD CHILDRESS 58900,A81000C,00500,0400,CENTRAL SUPPORT 58900,A81000C,00500,0600,LAUNDRY 58900,A81000C,00600,0100,A 58900,A81000C,00600,0200,JOHN P. OBRIEN 58900,A81000C,00600,0400,CENTRAL SUPPORT 58900,A81000C,00600,0600,LAUNDRY 58900,A81000C,00700,0100,A 58900,A81000C,00700,0200,T. EDWARD CHILDRESS 58900,A81000C,00700,0400,ADVANTAGE REHAB INC. 58900,A81000C,00700,0600,THERAPY 58900,A81000C,00800,0100,A 58900,A81000C,00800,0200,JOHN P. OBRIEN 58900,A81000C,00800,0400,ADVANTAGE REHAB INC. 58900,A81000C,00800,0600,THERAPY 58900,A81000C,00900,0100,A 58900,A81000C,00900,0200,MICHAEL H. MCBRIDE 58900,A81000C,00900,0400,ADVANTAGE REHAB INC. 58900,A81000C,00900,0600,THERAPY 58900,A81000C,01000,0100,A 58900,A81000C,01000,0200,T. EDWARD CHILDRESS 58900,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58900,A81000C,01000,0600,RENTAL LEASING 58900,A81000C,01100,0100,A 58900,A81000C,01100,0200,JOHN P. OBRIEN 58900,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58900,A81000C,01100,0600,RENTAL LEASING 58900,A81000C,01200,0100,A 58900,A81000C,01200,0200,MICHAEL H. MCBRIDE 58900,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58900,A81000C,01200,0600,RENTAL LEASING 58900,B100000,00000,0100,00000SQUARE FEET 58900,B100000,00000,0200,00000SQUARE FEET 58900,B100000,00000,0300,00000GROSS SALARIES 58900,B100000,00000,0400,00000ACCUM. COST 58900,B100000,00000,0500,00000SQUARE FEET 58900,B100000,00000,0600,00000POUNDS OF LAUNDRY 58900,B100000,00000,0750,00000SQUARE FEET 58900,B100000,00000,0800,00000MEALS SERVED 58900,B100000,00000,0900,00000NSG LABOR HOURS 58900,B100000,00000,1050,00000PATIENT DAYS 58900,B100000,00000,1150,00000PATIENT DAYS 58900,B100000,00000,1250,00000PATIENT DAYS 58900,B100000,00000,1330,00000PATIENT DAYS 58900,B100000,00000,1350,00000PATIENT DAYS 58900,B100000,00000,1400,00000ASSIGNED TIME 58900,E10A180,00501,0100,04/12/2000 58900,E10A180,00550,0300,04/12/2000 58900,S000000,00100,0200,04/14/2000 58900,S200000,00100,0100,1850 CRESTVIEW ROAD 58900,S200000,00200,0100,EASLEY 58900,S200000,00200,0200,SC 58900,S200000,00300,0100,PICKENS 58900,S200000,00400,0100,BLUE RIDGE NURSING CENTER INC. 58900,S200000,00400,0200,425298 58900,S200000,00400,0300,07/01/1993 58900,S200000,00400,0500,P 58900,S200000,01500,0100,Y 58911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58911,A000000,00300,0000,00300EMPLOYEE BENEFITS 58911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58911,A000000,00700,0000,00700HOUSEKEEPING 58911,A000000,00800,0000,00800DIETARY 58911,A000000,00900,0000,00900NURSING ADMINISTRATION 58911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58911,A000000,01100,0000,01100PHARMACY 58911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58911,A000000,01300,0000,01300SOCIAL SERVICE 58911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58911,A000000,01600,0000,01600SKILLED NURSING FACILITY 58911,A000000,01800,0000,01800NURSING FACILITY 58911,A000000,01810,0000,01810ICF/MR 58911,A000000,02200,0000,02200LABORATORY 58911,A000000,02500,0000,02500PHYSICAL THERAPY 58911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58911,A000000,02700,0000,02700SPEECH PATHOLOGY 58911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58911,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 58911,A000000,03200,0000,03200SUPPORT SURFACES 58911,A000000,03550,0000,03550FQHC 58911,A000000,05000,0000,05000CORF 58911,A000000,05010,0000,05010CMHC 58911,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58911,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58911,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58911,B100000,00000,0100,00000SQUARE FEET 58911,B100000,00000,0200,00000SQUARE FEET 58911,B100000,00000,0300,00000GROSS SALARIES 58911,B100000,00000,0400,00000ACCUM COST 58911,B100000,00000,0500,00000SQUARE FEET 58911,B100000,00000,0650,00000PATIENT DAYS 58911,B100000,00000,0750,00000SQUARE FEET 58911,B100000,00000,0850,00000PATIENT DAYS 58911,B100000,00000,0950,00000DIRECT SALARIES 58911,B100000,00000,1000,00000COSTED REQUIS 58911,B100000,00000,1100,00000COSTED REQUIS 58911,B100000,00000,1250,00000TOTAL CHARGES 58911,B100000,00000,1330,00000PATIENT DAYS 58911,B100000,00000,1400,00000ASSIGNED TIME 58911,E10A180,00501,0100,05/16/2000 58911,E10A180,00501,0300,05/16/2000 58911,S000000,00100,0200,04/04/2000 58911,S200000,00100,0100,GIBSON STREET 58911,S200000,00100,0300,940 58911,S200000,00200,0100,SUMMERTON 58911,S200000,00200,0200,SC 58911,S200000,00200,0300,29148 58911,S200000,00300,0100,CLARENDON 58911,S200000,00400,0100,LAKE MARION NURSING FAC 58911,S200000,00400,0200,425300 58911,S200000,00400,0300,05/01/1995 58911,S200000,00400,0500,P 58911,S200000,00600,0200,425300 58911,S200000,00600,0300,05/01/1995 58911,S200000,00600,0600,P 58911,S200000,01600,0100,Y 58911,S200000,01900,0100,HOSPITAL OWNED 58911,S200000,02200,0100,Y 58911,S200000,04300,0100,Y 58920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58920,A000000,00300,0000,00300EMPLOYEE BENEFITS 58920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58920,A000000,00700,0000,00700HOUSEKEEPING 58920,A000000,00800,0000,00800DIETARY 58920,A000000,00900,0000,00900NURSING ADMINISTRATION 58920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58920,A000000,01100,0000,01100PHARMACY 58920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58920,A000000,01300,0000,01300SOCIAL SERVICE 58920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58920,A000000,01600,0000,01600SKILLED NURSING FACILITY 58920,A000000,01810,0000,01810ICF/MR 58920,A000000,02500,0000,02500PHYSICAL THERAPY 58920,A000000,03550,0000,03550FQHC 58920,A000000,05000,0000,05000CORF 58920,A000000,05010,0000,05010CMHC 58920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58920,A81000A,00100,0100,Y 58920,A81000B,00100,0300,AGENCYWIDE A&G 58920,A81000C,00100,0100,G 58920,A81000C,00100,0200,OTHER SCDMH DIV 58920,A81000C,00100,0400,SCDMH 58920,A81000C,00100,0600,STATE AGENCY 58920,B100000,00000,0150,00040ACT BUILD DEP $ AMT 58920,B100000,00000,0250,00040ACT EQUIP DEP $ AMT 58920,B100000,00000,0300,00040GROSS SALARIES 58920,B100000,00000,0400,00040ACCUM COST 58920,B100000,00000,0500,00040SQUARE FEET 58920,B100000,00000,0600,00040POUNDS OF LAUNDRY 58920,B100000,00000,0700,00040HOURS OF SERVICE 58920,B100000,00000,0800,00040MEALS SERVED 58920,B100000,00000,0900,00040DIRECT NRSG HRS 58920,B100000,00000,1000,00040COSTED REQUIS 58920,B100000,00000,1100,00040COSTED REQUIS 58920,B100000,00000,1200,00040TIME SPENT 58920,B100000,00000,1300,00040TIME SPENT 58920,B100000,00000,1400,00040ASSIGNED TIME 58920,S000000,00100,0200,12/12/2000 58920,S200000,00100,0100,2414 BULL STREET 58920,S200000,00100,0300,485 58920,S200000,00200,0100,COLUMBIA 58920,S200000,00200,0200,SC 58920,S200000,00200,0300,29202 58920,S200000,00300,0100,RICHLAND 58920,S200000,00400,0100,RICHARD M. CAMPBELL VETERANS NRS HM 58920,S200000,00400,0200,425301 58920,S200000,00400,0300,03/31/1999 58920,S200000,00400,0500,P 58920,S200000,01500,0100,Y 58920,S200000,02800,0100,Y 58920,S200000,03300,0100,Y 58920,S200000,03300,0200,Y 58928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58928,A000000,00300,0000,00300EMPLOYEE BENEFITS 58928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58928,A000000,00700,0000,00700HOUSEKEEPING 58928,A000000,00800,0000,00800DIETARY 58928,A000000,00900,0000,00900NURSING ADMINISTRATION 58928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58928,A000000,01100,0000,01100PHARMACY 58928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58928,A000000,01300,0000,01300SOCIAL SERVICE 58928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58928,A000000,01600,0000,01600SKILLED NURSING FACILITY 58928,A000000,01810,0000,01810ICF/MR 58928,A000000,02100,0000,02100RADIOLOGY 58928,A000000,02200,0000,02200LABORATORY 58928,A000000,02500,0000,02500PHYSICAL THERAPY 58928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58928,A000000,02700,0000,02700SPEECH PATHOLOGY 58928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58928,A000000,03200,0000,03200SUPPORT SURFACES 58928,A000000,03550,0000,03550FQHC 58928,A000000,04800,0000,04800AMBULANCE 58928,A000000,05000,0000,05000CORF 58928,A000000,05010,0000,05010CMHC 58928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58928,A000000,05300,0000,05300INTEREST EXPENSE 58928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58928,A000000,06150,0000,06300THERAPY RENTAL 58928,A81000A,00100,0100,Y 58928,A81000B,00100,0300,ADJ HOME OFFICE COST 58928,A81000B,00200,0300,ADJ HOME OFFICE COST 58928,A81000B,00300,0300,ADJ HOME OFFICE COST 58928,A81000C,00100,0100,F 58928,A81000C,00100,0200,DAVID W. CECIL 58928,A81000C,00100,0400,HEALTH CARE COR 58928,A81000C,00100,0600,MANAGEMENT H O 58928,A81000C,00200,0100,F 58928,A81000C,00200,0200,DAVID W. CECIL 58928,A81000C,00200,0400,HEALTH CARE COR 58928,A81000C,00200,0600,MANAGEMENT H O 58928,A81000C,00300,0100,F 58928,A81000C,00300,0200,DAVID W. CECIL 58928,A81000C,00300,0400,HEALTH CARE COR 58928,A81000C,00300,0600,MANAGEMENT H O 58928,B100000,00000,0100,00000SQUARE FEET 58928,B100000,00000,0200,00000SQUARE FEET 58928,B100000,00000,0300,00000GROSS SALARIES 58928,B100000,00000,0400,00000ACCUM COST 58928,B100000,00000,0500,00000SQUARE FEET 58928,B100000,00000,0600,00000POUNDS OF LAUNDRY 58928,B100000,00000,0700,00000HOURS OF SERVICE 58928,B100000,00000,0800,00000MEALS SERVED 58928,B100000,00000,0900,00000DIRECT NRSG HRS 58928,B100000,00000,1000,00000COSTED REQUIS 58928,B100000,00000,1100,00000COSTED REQUIS 58928,B100000,00000,1200,00000TIME SPENT 58928,B100000,00000,1300,00000TIME SPENT 58928,B100000,00000,1400,00000ASSIGNED TIME 58928,E10A180,00301,0100,09/16/1999 58928,E10A180,00501,0300,10/11/2000 58928,S000000,00100,0200,03/06/2000 58928,S200000,00100,0100,1450 STATE ROAD 58928,S200000,00200,0100,CHERAW 58928,S200000,00200,0200,SC 58928,S200000,00200,0300,29520 58928,S200000,00300,0100,CHESTERFIELD 58928,S200000,00400,0100,CHESTERFIELD CONVALESCENT CTR INC. 58928,S200000,00400,0200,425302 58928,S200000,00400,0300,03/22/1991 58928,S200000,00400,0500,P 58928,S200000,01500,0100,Y 58928,S200000,02200,0100,Y 58928,S200000,02800,0100,Y 58943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58943,A000000,00300,0000,00300EMPLOYEE BENEFITS 58943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58943,A000000,00700,0000,00700HOUSEKEEPING 58943,A000000,00800,0000,00800DIETARY 58943,A000000,00900,0000,00900NURSING ADMINISTRATION 58943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58943,A000000,01100,0000,01100PHARMACY 58943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58943,A000000,01300,0000,01300SOCIAL SERVICE 58943,A000000,01350,0000,01500ACTIVITIES 58943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58943,A000000,01600,0000,01600SKILLED NURSING FACILITY 58943,A000000,01810,0000,01810ICF/MR 58943,A000000,02100,0000,02100RADIOLOGY 58943,A000000,02200,0000,02200LABORATORY 58943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58943,A000000,02500,0000,02500PHYSICAL THERAPY 58943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58943,A000000,02700,0000,02700SPEECH PATHOLOGY 58943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58943,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58943,A000000,03550,0000,03550FQHC 58943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58943,A000000,04800,0000,04800AMBULANCE 58943,A000000,05000,0000,05000CORF 58943,A000000,05010,0000,05010CMHC 58943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58943,A81000A,00100,0100,Y 58943,A81000B,00100,0300,REMOVE CAP RELATED 58943,A81000B,00200,0300,ADJUST HOME OFFICE 58943,A81000B,00300,0300,MANAGEMENT FEES 58943,A81000B,00400,0300,MANAGEMENT FEES 58943,A81000B,00500,0300,MANAGEMENT FEES 58943,A81000B,00600,0300,MANAGEMENT FEES 58943,A81000B,00700,0300,LAUNDRY SERVICE 58943,A81000B,00800,0300,LAUNDRY SERVICE 58943,A81000B,00900,0300,LAUNDRY SERVICE 58943,A81000B,01000,0300,LAUNDRY SERVICE 58943,A81000B,01100,0300,LAUNDRY SERVICE 58943,A81000B,01200,0300,PHYSICAL THERAPY 58943,A81000B,01300,0300,OCCUPATIONAL THERAPY 58943,A81000B,01400,0300,SPEECH THERAPY 58943,A81000B,01500,0300,SHAREHOLDER INTEREST 58943,A81000B,01600,0300,HISTORICAL COSTS 58943,A81000C,00100,0100,A 58943,A81000C,00100,0200,MICHAEL H. MCBRIDE 58943,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58943,A81000C,00100,0600,HOME OFFICE 58943,A81000C,00200,0100,A 58943,A81000C,00200,0200,T. EDWARD CHILDRESS 58943,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58943,A81000C,00200,0600,HOME OFFICE 58943,A81000C,00300,0100,A 58943,A81000C,00300,0200,JOHN P. OBRIEN 58943,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58943,A81000C,00300,0600,HOME OFFICE 58943,A81000C,00400,0100,A 58943,A81000C,00400,0200,MICHAEL H. MCBRIDE 58943,A81000C,00400,0400,CENTRAL SUPPORT 58943,A81000C,00400,0600,LAUNDRY 58943,A81000C,00500,0100,A 58943,A81000C,00500,0200,T. EDWARD CHILDRESS 58943,A81000C,00500,0400,CENTRAL SUPPORT 58943,A81000C,00500,0600,LAUNDRY 58943,A81000C,00600,0100,A 58943,A81000C,00600,0200,JOHN P. OBRIEN 58943,A81000C,00600,0400,CENTRAL SUPPORT 58943,A81000C,00600,0600,LAUNDRY 58943,A81000C,00700,0100,A 58943,A81000C,00700,0200,T. EDWARD CHILDRESS 58943,A81000C,00700,0400,ADVANTAGE REHAB INC. 58943,A81000C,00700,0600,THERAPY 58943,A81000C,00800,0100,A 58943,A81000C,00800,0200,JOHN P. OBRIEN 58943,A81000C,00800,0400,ADVANTAGE REHAB INC. 58943,A81000C,00800,0600,THERAPY 58943,A81000C,00900,0100,A 58943,A81000C,00900,0200,MICHAEL H. MCBRIDE 58943,A81000C,00900,0400,ADVANTAGE REHAB INC. 58943,A81000C,00900,0600,THERAPY 58943,A81000C,01000,0100,A 58943,A81000C,01000,0200,T. EDWARD CHILDRESS 58943,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 58943,A81000C,01000,0600,RENTAL LEASING 58943,A81000C,01100,0100,A 58943,A81000C,01100,0200,JOHN P. OBRIEN 58943,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 58943,A81000C,01100,0600,RENTAL LEASING 58943,A81000C,01200,0100,A 58943,A81000C,01200,0200,MICHAEL H. MCBRIDE 58943,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 58943,A81000C,01200,0600,RENTAL LEASING 58943,B100000,00000,0100,00000SQUARE FEET 58943,B100000,00000,0200,00000SQUARE FEET 58943,B100000,00000,0300,00000GROSS SALARIES 58943,B100000,00000,0400,00000ACCUM. COST 58943,B100000,00000,0500,00000SQUARE FEET 58943,B100000,00000,0600,00000POUNDS OF LAUNDRY 58943,B100000,00000,0750,00000SQUARE FEET 58943,B100000,00000,0800,00000MEALS SERVED 58943,B100000,00000,0900,00000NSG LABOR HOURS 58943,B100000,00000,1050,00000PATIENT DAYS 58943,B100000,00000,1150,00000PATIENT DAYS 58943,B100000,00000,1250,00000PATIENT DAYS 58943,B100000,00000,1330,00000PATIENT DAYS 58943,B100000,00000,1350,00000PATIENT DAYS 58943,B100000,00000,1400,00000ASSIGNED TIME 58943,E10A180,00301,0100,06/16/1999 58943,E10A180,00350,0300,06/16/1999 58943,E10A180,00501,0100,04/05/2000 58943,E10A180,00550,0300,04/05/2000 58943,S000000,00100,0200,04/16/2000 58943,S200000,00100,0100,721 WEST CURTIS STREET 58943,S200000,00200,0100,SIMPSONVILLE 58943,S200000,00200,0200,SC 58943,S200000,00200,0300,29681 58943,S200000,00300,0100,GREENVILLE 58943,S200000,00400,0100,BRIARWOOD NURSING CENTER INC 58943,S200000,00400,0200,425305 58943,S200000,00400,0300,04/01/1994 58943,S200000,00400,0500,P 58943,S200000,01500,0100,Y 58965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58965,A000000,00300,0000,00300EMPLOYEE BENEFITS 58965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58965,A000000,00700,0000,00700HOUSEKEEPING 58965,A000000,00800,0000,00800DIETARY 58965,A000000,00900,0000,00900NURSING ADMINISTRATION 58965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58965,A000000,01100,0000,01100PHARMACY 58965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58965,A000000,01300,0000,01300SOCIAL SERVICE 58965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58965,A000000,01600,0000,01600SKILLED NURSING FACILITY 58965,A000000,01800,0000,01800NURSING FACILITY 58965,A000000,01810,0000,01810ICF/MR 58965,A000000,02100,0000,02100RADIOLOGY 58965,A000000,02200,0000,02200LABORATORY 58965,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58965,A000000,02500,0000,02500PHYSICAL THERAPY 58965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58965,A000000,02700,0000,02700SPEECH PATHOLOGY 58965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58965,A000000,03200,0000,03200SUPPORT SURFACES 58965,A000000,03550,0000,03550FQHC 58965,A000000,05000,0000,05000CORF 58965,A000000,05010,0000,05010CMHC 58965,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58965,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58965,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58965,A000000,05300,0000,05300INTEREST EXPENSE 58965,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58965,B100000,00000,0100,00000SQUARE FEET 58965,B100000,00000,0200,00000SQUARE FEET 58965,B100000,00000,0300,00000GROSS SALARIES 58965,B100000,00000,0400,00000ACCUM COST 58965,B100000,00000,0500,00000SQUARE FEET 58965,B100000,00000,0600,00000POUNDS OF LAUNDRY 58965,B100000,00000,0700,00000HOURS OF SERVICE 58965,B100000,00000,0800,00000MEALS SERVED 58965,B100000,00000,0900,00000DIRECT NRSG HRS 58965,B100000,00000,1000,00000COSTED REQUIS 58965,B100000,00000,1100,00000COSTED REQUIS 58965,B100000,00000,1200,00000TIME SPENT 58965,B100000,00000,1300,00000TIME SPENT 58965,B100000,00000,1400,00000ASSIGNED TIME 58965,E10A180,00501,0100,03/06/2000 58965,E10A180,00550,0300,03/06/2000 58965,S000000,00100,0200,03/06/2000 58965,S200000,00100,0100,3525 AUGUSTUS ROAD 58965,S200000,00200,0100,AIKEN 58965,S200000,00200,0200,SC 58965,S200000,00200,0300,29801 58965,S200000,00300,0100,AIKEN 58965,S200000,00400,0100,PEPPER HILL NURSING CENTER INC. 58965,S200000,00400,0200,425308 58965,S200000,00400,0300,05/23/1991 58965,S200000,00400,0500,P 58965,S200000,00600,0200,425308 58965,S200000,00600,0300,05/23/1991 58965,S200000,00600,0600,P 58965,S200000,01600,0100,Y 58965,S200000,02200,0100,Y 58965,S200000,02800,0100,Y 58975,S000000,00100,0200,02/29/2000 58984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58984,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 58984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58984,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 58984,A000000,00300,0000,00300EMPLOYEE BENEFITS 58984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58984,A000000,00700,0000,00700HOUSEKEEPING 58984,A000000,00800,0000,00800DIETARY 58984,A000000,00801,0000,00801CAFETERIA 58984,A000000,00900,0000,00900NURSING ADMINISTRATION 58984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58984,A000000,01100,0000,01100PHARMACY 58984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58984,A000000,01300,0000,01300SOCIAL SERVICE 58984,A000000,01350,0000,01500ACTIVITIES 58984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58984,A000000,01600,0000,01600SKILLED NURSING FACILITY 58984,A000000,01800,0000,01800NURSING FACILITY 58984,A000000,01810,0000,01810ICF/MR 58984,A000000,02100,0000,02100RADIOLOGY 58984,A000000,02200,0000,02200LABORATORY 58984,A000000,02500,0000,02500PHYSICAL THERAPY 58984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58984,A000000,02700,0000,02700SPEECH PATHOLOGY 58984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58984,A000000,03050,0000,03300OTHER ANCILLARY 58984,A000000,03051,0000,03301OTHER ANCILLARY II 58984,A000000,03052,0000,03302OTHER ANCILLARY III 58984,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 58984,A000000,03550,0000,03550FQHC 58984,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 58984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58984,A000000,05000,0000,05000CORF I 58984,A000000,05010,0000,05010CMHC I 58984,A000000,05020,0000,05020OPT I 58984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 58984,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 58984,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 58984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58984,A81000A,00100,0100,Y 58984,A81000B,00200,0300,A&G 58984,A81000B,00300,0300,A&G 58984,A81000B,00400,0300,A&G 58984,A81000B,00500,0300,DIETARY 58984,A81000B,00600,0300,MEDICAL SUPPLIES 58984,A81000B,00700,0300,MEDICAL SUPPLIES 58984,A81000C,00100,0100,B 58984,A81000C,00100,0200,DOUG MITTLEIDER 58984,A81000C,00100,0600,LTC MGMT 58984,A81000C,00200,0100,B 58984,A81000C,00200,0200,MIKE FOXWORTHY 58984,A81000C,00200,0600,LTC MGMT 58984,B100000,00000,0100,00000(SQUARE FEET) 58984,B100000,00000,0101,00000(SQUARE FEET) 58984,B100000,00000,0200,00000(SQUARE FEET) 58984,B100000,00000,0201,00000(SQUARE FEET) 58984,B100000,00000,0300,00000(GROSS SALARIES) 58984,B100000,00000,0400,00000(ACCUM. COST) 58984,B100000,00000,0500,00000(SQUARE FEET) 58984,B100000,00000,0650,00000(PATIENT DAYS) 58984,B100000,00000,0750,00000(SQUARE FEET) 58984,B100000,00000,0800,00000(MEALS SERVED) 58984,B100000,00000,0801,00000(MEALS SERVED) 58984,B100000,00000,0950,00000(PATIENT DAYS) 58984,B100000,00000,1050,00000(PATIENT DAYS) 58984,B100000,00000,1150,00000(PATIENT DAYS) 58984,B100000,00000,1250,00000(PATIENT DAYS) 58984,B100000,00000,1330,00000(PATIENT DAYS) 58984,B100000,00000,1350,00000(PATIENT DAYS) 58984,B100000,00000,1400,00000(ASSIGNED TIME) 58984,S000000,00100,0200,06/09/2000 58984,S200000,00100,0100,1761 PINEWOOD RD 58984,S200000,00200,0100,SUMTER 58984,S200000,00200,0200,SC 58984,S200000,00200,0300,29151 58984,S200000,00300,0100,SUMTER 58984,S200000,00400,0100,HOPEWELL HEALTHCARE 58984,S200000,00400,0200,425310 58984,S200000,00400,0300,12/01/1997 58984,S200000,00400,0500,P 58984,S200000,01600,0100,Y 58984,S200000,02200,0100,Y 58993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 58993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 58993,A000000,00300,0000,00300EMPLOYEE BENEFITS 58993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 58993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 58993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 58993,A000000,00700,0000,00700HOUSEKEEPING 58993,A000000,00800,0000,00800DIETARY 58993,A000000,00900,0000,00900NURSING ADMINISTRATION 58993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 58993,A000000,01100,0000,01100PHARMACY 58993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 58993,A000000,01300,0000,01300SOCIAL SERVICE 58993,A000000,01350,0000,01500ACTIVITIES 58993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 58993,A000000,01600,0000,01600SKILLED NURSING FACILITY 58993,A000000,01810,0000,01810ICF/MR 58993,A000000,02100,0000,02100RADIOLOGY 58993,A000000,02200,0000,02200LABORATORY 58993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 58993,A000000,02500,0000,02500PHYSICAL THERAPY 58993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 58993,A000000,02700,0000,02700SPEECH PATHOLOGY 58993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 58993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 58993,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 58993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 58993,A000000,03550,0000,03550FQHC 58993,A000000,04750,0000,05100OTHER REIMBURSABLE COST 58993,A000000,04800,0000,04800AMBULANCE 58993,A000000,05000,0000,05000CORF 58993,A000000,05010,0000,05010CMHC 58993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 58993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 58993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 58993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 58993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 58993,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 58993,A81000A,00100,0100,Y 58993,A81000B,00100,0300,MANAGEMENT FEES 58993,A81000B,00200,0300,MANAGEMENT FEES 58993,A81000B,00300,0300,MANAGEMENT FEES 58993,A81000B,00400,0300,MANAGEMENT FEES 58993,A81000B,00600,0300,LAUNDRY SERVICE 58993,A81000B,00700,0300,LAUNDRY SERVICE 58993,A81000B,00800,0300,LAUNDRY SERVICE 58993,A81000B,00900,0300,LAUNDRY SERVICE 58993,A81000B,01000,0300,LAUNDRY SERVICE 58993,A81000B,01100,0300,PHYSICAL THERAPY 58993,A81000B,01200,0300,OCCUPATIONAL THERAPY 58993,A81000B,01300,0300,SPEECH THERAPY 58993,A81000B,01400,0300,SHAREHOLDER INTEREST 58993,A81000B,01500,0300,HISTORICAL COSTS 58993,A81000C,00100,0100,A 58993,A81000C,00100,0200,MICHAEL H. MCBRIDE 58993,A81000C,00100,0400,HLTH MGMT RESOURCES INC 58993,A81000C,00100,0600,HOME OFFICE 58993,A81000C,00200,0100,A 58993,A81000C,00200,0200,T. EDWARD CHILDRESS 58993,A81000C,00200,0400,HLTH MGMT RESOURCES INC 58993,A81000C,00200,0600,HOME OFFICE 58993,A81000C,00300,0100,A 58993,A81000C,00300,0200,JOHN P. OBRIEN 58993,A81000C,00300,0400,HLTH MGMT RESOURCES INC 58993,A81000C,00300,0600,HOME OFFICE 58993,A81000C,00400,0100,A 58993,A81000C,00400,0200,MICHAEL H. MCBRIDE 58993,A81000C,00400,0400,CENTRAL SUPPORT 58993,A81000C,00400,0600,LAUNDRY 58993,A81000C,00500,0100,A 58993,A81000C,00500,0200,T. EDWARD CHILDRESS 58993,A81000C,00500,0400,CENTRAL SUPPORT 58993,A81000C,00500,0600,LAUNDRY 58993,A81000C,00600,0100,A 58993,A81000C,00600,0200,JOHN P. OBRIEN 58993,A81000C,00600,0400,CENTRAL SUPPORT 58993,A81000C,00600,0600,LAUNDRY 58993,A81000C,00700,0100,A 58993,A81000C,00700,0200,T. EDWARD CHILDRESS 58993,A81000C,00700,0400,CARRIAGE HILLS LLC 58993,A81000C,00700,0600,RENTAL LEASING 58993,A81000C,00800,0100,A 58993,A81000C,00800,0200,JOHN P. OBRIEN 58993,A81000C,00800,0400,CARRIAGE HILLS LLC 58993,A81000C,00800,0600,RENTAL LEASING 58993,A81000C,00900,0100,A 58993,A81000C,00900,0200,MICHAEL H. MCBRIDE 58993,A81000C,00900,0400,CARRIAGE HILLS LLC 58993,A81000C,00900,0600,RENTAL LEASING 58993,A81000C,01000,0100,A 58993,A81000C,01000,0200,T. EDWARD CHILDRESS 58993,A81000C,01000,0400,ADVANTAGE REHAB INC. 58993,A81000C,01000,0600,THERAPY 58993,A81000C,01100,0100,A 58993,A81000C,01100,0200,JOHN P. OBRIEN 58993,A81000C,01100,0400,ADVANTAGE REHAB INC. 58993,A81000C,01100,0600,THERAPY 58993,A81000C,01200,0100,A 58993,A81000C,01200,0200,MICHAEL H. MCBRIDE 58993,A81000C,01200,0400,ADVANTAGE REHAB INC. 58993,A81000C,01200,0600,THERAPY 58993,B100000,00000,0100,00000SQUARE FEET 58993,B100000,00000,0200,00000SQUARE FEET 58993,B100000,00000,0300,00000GROSS SALARIES 58993,B100000,00000,0400,00000ACCUM. COST 58993,B100000,00000,0500,00000SQUARE FEET 58993,B100000,00000,0600,00000POUNDS OF LAUNDRY 58993,B100000,00000,0750,00000SQUARE FEET 58993,B100000,00000,0800,00000MEALS SERVED 58993,B100000,00000,0900,00000NSG LABOR HOURS 58993,B100000,00000,1050,00000PATIENT DAYS 58993,B100000,00000,1150,00000PATIENT DAYS 58993,B100000,00000,1250,00000PATIENT DAYS 58993,B100000,00000,1330,00000PATIENT DAYS 58993,B100000,00000,1350,00000PATIENT DAYS 58993,B100000,00000,1400,00000ASSIGNED TIME 58993,E10A180,00501,0100,04/05/2000 58993,E10A180,00550,0300,04/05/2000 58993,S000000,00100,0200,04/14/2000 58993,S200000,00100,0100,412 MAIN STREET 58993,S200000,00100,0300,502 58993,S200000,00200,0100,NEW ELLENTON 58993,S200000,00200,0200,SC 58993,S200000,00300,0100,AIKEN 58993,S200000,00400,0100,CARRIAGE HILLS NURSING AND REHAB 58993,S200000,00400,0200,425311 58993,S200000,00400,0300,01/01/1996 58993,S200000,00400,0500,P 58993,S200000,01500,0100,Y 59002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59002,A000000,00300,0000,00300EMPLOYEE BENEFITS 59002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59002,A000000,00700,0000,00700HOUSEKEEPING 59002,A000000,00800,0000,00800DIETARY 59002,A000000,00900,0000,00900NURSING ADMINISTRATION 59002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59002,A000000,01100,0000,01100PHARMACY 59002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59002,A000000,01300,0000,01300SOCIAL SERVICE 59002,A000000,01350,0000,01500ACTIVITIES 59002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59002,A000000,01600,0000,01600SKILLED NURSING FACILITY 59002,A000000,01810,0000,01810ICF/MR 59002,A000000,02100,0000,02100RADIOLOGY 59002,A000000,02200,0000,02200LABORATORY 59002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59002,A000000,02500,0000,02500PHYSICAL THERAPY 59002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59002,A000000,02700,0000,02700SPEECH PATHOLOGY 59002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59002,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 59002,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59002,A000000,03550,0000,03550FQHC 59002,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59002,A000000,04800,0000,04800AMBULANCE 59002,A000000,05000,0000,05000CORF 59002,A000000,05010,0000,05010CMHC 59002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59002,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59002,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59002,A81000A,00100,0100,Y 59002,A81000B,00100,0300,TO ADJUST HOME OFFICE COST 59002,A81000B,00200,0300,TO ADJUST HOME OFFICE COST 59002,A81000B,00300,0300,MANAGEMENT FEES 59002,A81000B,00400,0300,MANAGEMENT FEES 59002,A81000B,00500,0300,MANAGEMENT FEES 59002,A81000B,00600,0300,MANAGEMENT FEES 59002,A81000B,00700,0300,LAUNDRY SERVICE 59002,A81000B,00800,0300,LAUNDRY SERVICE 59002,A81000B,00900,0300,LAUNDRY SERVICE 59002,A81000B,01000,0300,LAUNDRY SERVICE 59002,A81000B,01100,0300,LAUNDRY SERVICE 59002,A81000B,01200,0300,PHYSICAL THERAPY 59002,A81000B,01300,0300,OCCUPATIONAL THERAPY 59002,A81000B,01400,0300,SPEECH THERAPY 59002,A81000B,01500,0300,SHAREHOLDER INTEREST 59002,A81000B,01600,0300,HISTORICAL COSTS 59002,A81000C,00100,0100,A 59002,A81000C,00100,0200,MICHAEL H. MCBRIDE 59002,A81000C,00100,0400,HLTH MGMT RESOURCES INC 59002,A81000C,00100,0600,HOME OFFICE 59002,A81000C,00200,0100,A 59002,A81000C,00200,0200,T. EDWARD CHILDRESS 59002,A81000C,00200,0400,HLTH MGMT RESOURCES INC 59002,A81000C,00200,0600,HOME OFFICE 59002,A81000C,00300,0100,A 59002,A81000C,00300,0200,JOHN P. OBRIEN 59002,A81000C,00300,0400,HLTH MGMT RESOURCES INC 59002,A81000C,00300,0600,HOME OFFICE 59002,A81000C,00400,0100,A 59002,A81000C,00400,0200,MICHAEL H. MCBRIDE 59002,A81000C,00400,0400,CENTRAL SUPPORT 59002,A81000C,00400,0600,LAUNDRY 59002,A81000C,00500,0100,A 59002,A81000C,00500,0200,T. EDWARD CHILDRESS 59002,A81000C,00500,0400,CENTRAL SUPPORT 59002,A81000C,00500,0600,LAUNDRY 59002,A81000C,00600,0100,A 59002,A81000C,00600,0200,JOHN P. OBRIEN 59002,A81000C,00600,0400,CENTRAL SUPPORT 59002,A81000C,00600,0600,LAUNDRY 59002,A81000C,00700,0100,A 59002,A81000C,00700,0200,T. EDWARD CHILDRESS 59002,A81000C,00700,0400,ADVANTAGE REHAB INC. 59002,A81000C,00700,0600,THERAPY 59002,A81000C,00800,0100,A 59002,A81000C,00800,0200,JOHN P. OBRIEN 59002,A81000C,00800,0400,ADVANTAGE REHAB INC. 59002,A81000C,00800,0600,THERAPY 59002,A81000C,00900,0100,A 59002,A81000C,00900,0200,MICHAEL H. MCBRIDE 59002,A81000C,00900,0400,ADVANTAGE REHAB INC. 59002,A81000C,00900,0600,THERAPY 59002,A81000C,01000,0100,A 59002,A81000C,01000,0200,T. EDWARD CHILDRESS 59002,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 59002,A81000C,01000,0600,RENTAL/LEASING 59002,A81000C,01100,0100,A 59002,A81000C,01100,0200,JOHN P. OBRIEN 59002,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 59002,A81000C,01100,0600,RENTAL/LEASING 59002,A81000C,01200,0100,A 59002,A81000C,01200,0200,MICHAEL H. MCBRIDE 59002,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 59002,A81000C,01200,0600,RENTAL/LEASING 59002,B100000,00000,0100,00000SQUARE FEET 59002,B100000,00000,0200,00000SQUARE FEET 59002,B100000,00000,0300,00000GROSS SALARIES 59002,B100000,00000,0400,00000ACCUM. COST 59002,B100000,00000,0500,00000SQUARE FEET 59002,B100000,00000,0600,00000POUNDS OF LAUNDRY 59002,B100000,00000,0750,00000SQUARE FEET 59002,B100000,00000,0800,00000MEALS SERVED 59002,B100000,00000,0900,00000NSG LABOR HOURS 59002,B100000,00000,1050,00000PATIENT DAYS 59002,B100000,00000,1150,00000PATIENT DAYS 59002,B100000,00000,1250,00000PATIENT DAYS 59002,B100000,00000,1330,00000PATIENT DAYS 59002,B100000,00000,1350,00000PATIENT DAYS 59002,B100000,00000,1400,00000ASSIGNED TIME 59002,E10A180,00301,0100,06/22/1999 59002,E10A180,00350,0300,06/22/1999 59002,E10A180,00501,0100,04/03/2000 59002,E10A180,00550,0300,04/03/2000 59002,S000000,00100,0200,04/03/2000 59002,S200000,00100,0100,109 BENTZ ROAD 59002,S200000,00200,0100,PIEDMONT 59002,S200000,00200,0200,SC 59002,S200000,00300,0100,ANDERSON 59002,S200000,00400,0100,RIVERSIDE NURSING CENTER INC. 59002,S200000,00400,0200,425314 59002,S200000,00400,0300,07/01/1993 59002,S200000,00400,0500,P 59002,S200000,01500,0100,Y 59011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59011,A000000,00300,0000,00300EMPLOYEE BENEFITS 59011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59011,A000000,00700,0000,00700HOUSEKEEPING 59011,A000000,00800,0000,00800DIETARY 59011,A000000,00900,0000,00900NURSING ADMINISTRATION 59011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59011,A000000,01100,0000,01100PHARMACY 59011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59011,A000000,01300,0000,01300SOCIAL SERVICE 59011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59011,A000000,01600,0000,01600SKILLED NURSING FACILITY 59011,A000000,01800,0000,01800NURSING FACILITY 59011,A000000,01810,0000,01810ICF/MR 59011,A000000,02200,0000,02200LABORATORY 59011,A000000,02500,0000,02500PHYSICAL THERAPY 59011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59011,A000000,02700,0000,02700SPEECH PATHOLOGY 59011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59011,A000000,03050,0000,03300ENTERALS 59011,A000000,03550,0000,03550FQHC 59011,A000000,05000,0000,05000CORF 59011,A000000,05010,0000,05010CMHC 59011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59011,B100000,00000,0100,00000SQUARE FEET 59011,B100000,00000,0200,00000SQUARE FEET 59011,B100000,00000,0300,00000GROSS SALARIES 59011,B100000,00000,0400,00000ACCUM COST 59011,B100000,00000,0500,00000SQUARE FEET 59011,B100000,00000,0650,00000PATIENT DAYS 59011,B100000,00000,0750,00000SQUARE FEET 59011,B100000,00000,0850,00000PATIENT DAYS 59011,B100000,00000,0900,00000DIRECT NRSG HRS 59011,B100000,00000,1000,00000COSTED REQUIS 59011,B100000,00000,1100,00000COSTED REQUIS 59011,B100000,00000,1250,00000TOTAL CHARGES 59011,B100000,00000,1330,00000PATIENT DAYS 59011,B100000,00000,1400,00000ASSIGNED TIME 59011,E10A180,00501,0100,05/15/2000 59011,E10A180,00501,0300,05/15/2000 59011,S000000,00100,0200,04/07/2000 59011,S200000,00100,0100,301 S. LIBERTY STREET 59011,S200000,00100,0300,386 59011,S200000,00200,0100,ESTILL 59011,S200000,00200,0200,SC 59011,S200000,00200,0300,29918 59011,S200000,00300,0100,HAMPTON 59011,S200000,00400,0100,HARPER NURSING FACILITY 59011,S200000,00400,0200,425315 59011,S200000,00400,0300,10/13/1992 59011,S200000,00400,0500,P 59011,S200000,00600,0200,425315 59011,S200000,00600,0300,10/13/1992 59011,S200000,00600,0600,P 59011,S200000,01600,0100,Y 59011,S200000,01900,0100,HOSPITAL OWNED 59011,S200000,02200,0100,Y 59011,S200000,04300,0100,Y 59023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59023,A000000,00300,0000,00300EMPLOYEE BENEFITS 59023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59023,A000000,00700,0000,00700HOUSEKEEPING 59023,A000000,00800,0000,00800DIETARY 59023,A000000,00900,0000,00900NURSING ADMINISTRATION 59023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59023,A000000,01100,0000,01100PHARMACY 59023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59023,A000000,01300,0000,01300SOCIAL SERVICE 59023,A000000,01350,0000,01500ACTIVITIES 59023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59023,A000000,01600,0000,01600SKILLED NURSING FACILITY 59023,A000000,01810,0000,01810ICF/MR 59023,A000000,02100,0000,02100RADIOLOGY 59023,A000000,02200,0000,02200LABORATORY 59023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59023,A000000,02500,0000,02500PHYSICAL THERAPY 59023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59023,A000000,02700,0000,02700SPEECH PATHOLOGY 59023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59023,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 59023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59023,A000000,03550,0000,03550FQHC 59023,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59023,A000000,04800,0000,04800AMBULANCE 59023,A000000,05000,0000,05000CORF 59023,A000000,05010,0000,05010CMHC 59023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59023,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59023,A81000A,00100,0100,Y 59023,A81000B,00100,0300,ADJUST HOME OFFICE COST 59023,A81000B,00200,0300,ADJUST HOME OFFICE COST 59023,A81000B,00300,0300,MANAGEMENT FEES 59023,A81000B,00400,0300,MANAGEMENT FEES 59023,A81000B,00600,0300,MANAGEMENT FEES 59023,A81000B,00700,0300,LAUNDRY SERVICE 59023,A81000B,00800,0300,LAUNDRY SERVICE 59023,A81000B,00900,0300,LAUNDRY SERVICE 59023,A81000B,01000,0300,LAUNDRY SERVICE 59023,A81000B,01100,0300,LAUNDRY SERVICE 59023,A81000B,01200,0300,PHYSICAL THERAPY 59023,A81000B,01300,0300,OCCUPATIONAL THERAPY 59023,A81000B,01400,0300,SPEECH THERAPY 59023,A81000B,01600,0300,HISTORICAL COSTS 59023,A81000C,00100,0100,A 59023,A81000C,00100,0200,MICHAEL H. MCBRIDE 59023,A81000C,00100,0400,HLTH MGMT RESOURCES INC 59023,A81000C,00100,0600,HOME OFFICE 59023,A81000C,00200,0100,A 59023,A81000C,00200,0200,T. EDWARD CHILDRESS 59023,A81000C,00200,0400,HLTH MGMT RESOURCES INC 59023,A81000C,00200,0600,HOME OFFICE 59023,A81000C,00300,0100,A 59023,A81000C,00300,0200,JOHN P. OBRIEN 59023,A81000C,00300,0400,HLTH MGMT RESOURCES INC 59023,A81000C,00300,0600,HOME OFFICE 59023,A81000C,00400,0100,A 59023,A81000C,00400,0200,MICHAEL H. MCBRIDE 59023,A81000C,00400,0400,CENTRAL SUPPORT 59023,A81000C,00400,0600,LAUNDRY 59023,A81000C,00500,0100,A 59023,A81000C,00500,0200,T. EDWARD CHILDRESS 59023,A81000C,00500,0400,CENTRAL SUPPORT 59023,A81000C,00500,0600,LAUNDRY 59023,A81000C,00600,0100,A 59023,A81000C,00600,0200,JOHN P. OBRIEN 59023,A81000C,00600,0400,CENTRAL SUPPORT 59023,A81000C,00600,0600,LAUNDRY 59023,A81000C,00700,0100,A 59023,A81000C,00700,0200,T. EDWARD CHILDRESS 59023,A81000C,00700,0400,ADVANTAGE REHAB INC. 59023,A81000C,00700,0600,THERAPY 59023,A81000C,00800,0100,A 59023,A81000C,00800,0200,JOHN P. OBRIEN 59023,A81000C,00800,0400,ADVANTAGE REHAB INC. 59023,A81000C,00800,0600,THERAPY 59023,A81000C,00900,0100,A 59023,A81000C,00900,0200,MICHAEL H. MCBRIDE 59023,A81000C,00900,0400,ADVANTAGE REHAB INC. 59023,A81000C,00900,0600,THERAPY 59023,A81000C,01000,0100,A 59023,A81000C,01000,0200,T. EDWARD CHILDRESS 59023,A81000C,01000,0400,CARDINAL HEALTH GROUP LLC 59023,A81000C,01000,0600,RENTAL/LEASING 59023,A81000C,01100,0100,A 59023,A81000C,01100,0200,JOHN P. OBRIEN 59023,A81000C,01100,0400,CARDINAL HEALTH GROUP LLC 59023,A81000C,01100,0600,RENTAL/LEASING 59023,A81000C,01200,0100,A 59023,A81000C,01200,0200,MICHAEL H. MCBRIDE 59023,A81000C,01200,0400,CARDINAL HEALTH GROUP LLC 59023,A81000C,01200,0600,RENTAL/LEASING 59023,B100000,00000,0100,00000SQUARE FEET 59023,B100000,00000,0200,00000SQUARE FEET 59023,B100000,00000,0300,00000GROSS SALARIES 59023,B100000,00000,0400,00000ACCUM. COST 59023,B100000,00000,0500,00000SQUARE FEET 59023,B100000,00000,0600,00000POUNDS OF LAUNDRY 59023,B100000,00000,0750,00000SQUARE FEET 59023,B100000,00000,0800,00000MEALS SERVED 59023,B100000,00000,0900,00000NSG LABOR HOURS 59023,B100000,00000,1050,00000PATIENT DAYS 59023,B100000,00000,1150,00000PATIENT DAYS 59023,B100000,00000,1250,00000PATIENT DAYS 59023,B100000,00000,1330,00000PATIENT DAYS 59023,B100000,00000,1350,00000PATIENT DAYS 59023,B100000,00000,1400,00000ASSIGNED TIME 59023,E10A180,00501,0100,04/05/2000 59023,E10A180,00550,0300,04/05/2000 59023,S000000,00100,0200,04/03/2000 59023,S200000,00100,0100,406 WEST BROAD STREET 59023,S200000,00200,0100,IVA 59023,S200000,00200,0200,SC 59023,S200000,00300,0100,ANDERSON 59023,S200000,00400,0100,WILLOW CREEK NURSING CENTER 59023,S200000,00400,0200,425317 59023,S200000,00400,0300,06/01/1995 59023,S200000,00400,0500,P 59023,S200000,01500,0100,Y 59033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59033,A000000,00300,0000,00300EMPLOYEE BENEFITS 59033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59033,A000000,00700,0000,00700HOUSEKEEPING 59033,A000000,00800,0000,00800DIETARY 59033,A000000,00900,0000,00900NURSING ADMINISTRATION 59033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59033,A000000,01100,0000,01100PHARMACY 59033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59033,A000000,01300,0000,01300SOCIAL SERVICE 59033,A000000,01350,0000,01500ACTIVITIES 59033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59033,A000000,01600,0000,01600SKILLED NURSING FACILITY 59033,A000000,01810,0000,01810ICF/MR 59033,A000000,02100,0000,02100RADIOLOGY 59033,A000000,02500,0000,02500PHYSICAL THERAPY 59033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59033,A000000,02700,0000,02700SPEECH PATHOLOGY 59033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59033,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 59033,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59033,A000000,03550,0000,03550FQHC 59033,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59033,A000000,04800,0000,04800AMBULANCE 59033,A000000,05000,0000,05000CORF 59033,A000000,05010,0000,05010CMHC 59033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59033,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59033,A81000A,00100,0100,Y 59033,A81000B,00100,0300,MANAGEMENT FEES 59033,A81000B,00200,0300,MANAGEMENT FEES 59033,A81000B,00300,0300,MANAGEMENT FEES 59033,A81000B,00400,0300,MANAGEMENT FEES 59033,A81000B,00600,0300,MANAGEMENT FEES 59033,A81000B,00700,0300,LAUNDRY SERVICE 59033,A81000B,00800,0300,LAUNDRY SERVICE 59033,A81000B,00900,0300,LAUNDRY SERVICE 59033,A81000B,01000,0300,LAUNDRY SERVICE 59033,A81000B,01100,0300,LAUNDRY SERVICE 59033,A81000B,01200,0300,PHYSICAL THERAPY 59033,A81000B,01300,0300,OCCUPATIONAL THERAPY 59033,A81000B,01400,0300,SPEECH THERAPY 59033,A81000B,01600,0300,HISTORICAL COSTS 59033,A81000C,00100,0100,A 59033,A81000C,00100,0200,MICHAEL H. MCBRIDE 59033,A81000C,00100,0400,HLTH MGMT RESOURCES INC 59033,A81000C,00100,0600,HOME OFFICE 59033,A81000C,00200,0100,A 59033,A81000C,00200,0200,T. EDWARD CHILDRESS 59033,A81000C,00200,0400,HLTH MGMT RESOURCES INC 59033,A81000C,00200,0600,HOME OFFICE 59033,A81000C,00300,0100,A 59033,A81000C,00300,0200,JOHN P. OBRIEN 59033,A81000C,00300,0400,HLTH MGMT RESOURCES INC 59033,A81000C,00300,0600,HOME OFFICE 59033,A81000C,00400,0100,A 59033,A81000C,00400,0200,MICHAEL H. MCBRIDE 59033,A81000C,00400,0400,CENTRAL SUPPORT 59033,A81000C,00400,0600,LAUNDRY 59033,A81000C,00500,0100,A 59033,A81000C,00500,0200,T. EDWARD CHILDRESS 59033,A81000C,00500,0400,CENTRAL SUPPORT 59033,A81000C,00500,0600,LAUNDRY 59033,A81000C,00600,0100,A 59033,A81000C,00600,0200,JOHN P. OBRIEN 59033,A81000C,00600,0400,CENTRAL SUPPORT 59033,A81000C,00600,0600,LAUNDRY 59033,A81000C,00700,0100,A 59033,A81000C,00700,0200,T. EDWARD CHILDRESS 59033,A81000C,00700,0400,ADVANTAGE REHAB INC. 59033,A81000C,00700,0600,THERAPY 59033,A81000C,00800,0100,A 59033,A81000C,00800,0200,JOHN P. OBRIEN 59033,A81000C,00800,0400,ADVANTAGE REHAB INC. 59033,A81000C,00800,0600,THERAPY 59033,A81000C,00900,0100,A 59033,A81000C,00900,0200,MICHAEL H. MCBRIDE 59033,A81000C,00900,0400,ADVANTAGE REHAB INC. 59033,A81000C,00900,0600,THERAPY 59033,A81000C,01000,0100,A 59033,A81000C,01000,0200,T. EDWARD CHILDRESS 59033,A81000C,01000,0400,ROSEMOND LLC 59033,A81000C,01000,0600,RENTAL LEASING 59033,A81000C,01100,0100,A 59033,A81000C,01100,0200,JOHN P. OBRIEN 59033,A81000C,01100,0400,ROSEMOND LLC 59033,A81000C,01100,0600,RENTAL LEASING 59033,A81000C,01200,0100,A 59033,A81000C,01200,0200,MICHAEL H. MCBRIDE 59033,A81000C,01200,0400,ROSEMOND LLC 59033,A81000C,01200,0600,RENTAL LEASING 59033,B100000,00000,0100,00000SQUARE FEET 59033,B100000,00000,0200,00000SQUARE FEET 59033,B100000,00000,0300,00000GROSS SALARIES 59033,B100000,00000,0400,00000ACCUM. COST 59033,B100000,00000,0500,00000SQUARE FEET 59033,B100000,00000,0600,00000POUNDS OF LAUNDRY 59033,B100000,00000,0750,00000SQUARE FEET 59033,B100000,00000,0800,00000MEALS SERVED 59033,B100000,00000,0900,00000NSG LABOR HOURS 59033,B100000,00000,1050,00000PATIENT DAYS 59033,B100000,00000,1150,00000PATIENT DAYS 59033,B100000,00000,1250,00000PATIENT DAYS 59033,B100000,00000,1330,00000PATIENT DAYS 59033,B100000,00000,1350,00000PATIENT DAYS 59033,B100000,00000,1400,00000ASSIGNED TIME 59033,S000000,00100,0200,04/03/2000 59033,S200000,00100,0100,138 ROSEMOND STREET 59033,S200000,00200,0100,PICKENS 59033,S200000,00200,0200,SC 59033,S200000,00300,0100,PICKENS 59033,S200000,00400,0100,ROSEMOND NURSING CENTER INC 59033,S200000,00400,0200,425318 59033,S200000,00400,0300,01/26/1994 59033,S200000,00400,0500,P 59033,S200000,01500,0100,Y 59042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59042,A000000,00300,0000,00300EMPLOYEE BENEFITS 59042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59042,A000000,00700,0000,00700HOUSEKEEPING 59042,A000000,00800,0000,00800DIETARY 59042,A000000,00900,0000,00900NURSING ADMINISTRATION 59042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59042,A000000,01100,0000,01100PHARMACY 59042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59042,A000000,01300,0000,01300SOCIAL SERVICE 59042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59042,A000000,01600,0000,01600SKILLED NURSING FACILITY 59042,A000000,01810,0000,01810ICF/MR 59042,A000000,02200,0000,02200LABORATORY 59042,A000000,02500,0000,02500PHYSICAL THERAPY 59042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59042,A000000,02700,0000,02700SPEECH PATHOLOGY 59042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59042,A000000,03200,0000,03200SUPPORT SURFACES 59042,A000000,03550,0000,03550FQHC 59042,A000000,05000,0000,05000CORF 59042,A000000,05010,0000,05010CMHC 59042,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59042,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59042,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59042,A000000,05300,0000,05300INTEREST EXPENSE 59042,A81000A,00100,0100,Y 59042,A81000B,00100,0300,CORPORATE CHARGE 59042,A81000B,00200,0300,CORPORATE CHARGE 59042,A81000B,00300,0300,CORPORATE CHARGE 59042,A81000C,00100,0100,F 59042,A81000C,00100,0200,DENNIS WHEELER 59042,A81000C,00100,0400,LAUREL BAYE H/C 59042,A81000C,00100,0600,HOME OFFICE 59042,A81000C,00200,0100,F 59042,A81000C,00200,0200,DENNIS WHEELER 59042,A81000C,00200,0400,LAUREL BAYE H/C 59042,A81000C,00200,0600,HOME OFFICE 59042,A81000C,00300,0100,F 59042,A81000C,00300,0200,DENNIS WHEELER 59042,A81000C,00300,0400,LAUREL BAYE H/C 59042,A81000C,00300,0600,HOME OFFICE 59042,B100000,00000,0100,00000SQUARE FEET 59042,B100000,00000,0200,00000SQUARE FEET 59042,B100000,00000,0300,00000GROSS SALARIES 59042,B100000,00000,0400,00000ACCUM COST 59042,B100000,00000,0500,00000SQUARE FEET 59042,B100000,00000,0600,00000POUNDS OF LAUNDRY 59042,B100000,00000,0700,00000HOURS OF SERVICE 59042,B100000,00000,0800,00000MEALS SERVED 59042,B100000,00000,0900,00000DIRECT NRSG HRS 59042,B100000,00000,1000,00000COSTED REQUIS 59042,B100000,00000,1100,00000COSTED REQUIS 59042,B100000,00000,1200,00000TIME SPENT 59042,B100000,00000,1300,00000TIME SPENT 59042,B100000,00000,1400,00000ASSIGNED TIME 59042,E10A180,00501,0300,05/31/2000 59042,S000000,00100,0200,03/31/2000 59042,S200000,00100,0300,33 59042,S200000,00200,0100,BLACKVILLE 59042,S200000,00200,0200,SC 59042,S200000,00200,0300,29817 59042,S200000,00300,0100,BARNWELL 59042,S200000,00400,0100,MEADOW BROOK HEALTHCARE LLC 59042,S200000,00400,0200,425319 59042,S200000,00400,0300,01/01/1993 59042,S200000,00400,0500,P 59042,S200000,01500,0100,Y 59042,S200000,02200,0100,Y 59042,S200000,04300,0100,Y 59052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59052,A000000,00300,0000,00300EMPLOYEE BENEFITS 59052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59052,A000000,00700,0000,00700HOUSEKEEPING 59052,A000000,00800,0000,00800DIETARY 59052,A000000,00900,0000,00900NURSING ADMINISTRATION 59052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59052,A000000,01100,0000,01100PHARMACY 59052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59052,A000000,01300,0000,01300SOCIAL SERVICE 59052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59052,A000000,01600,0000,01600SKILLED NURSING FACILITY 59052,A000000,01800,0000,01800NURSING FACILITY 59052,A000000,01810,0000,01810ICF/MR 59052,A000000,02100,0000,02100RADIOLOGY 59052,A000000,02200,0000,02200LABORATORY 59052,A000000,02300,0000,02300INTRAVENOUS THERAPY 59052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59052,A000000,02500,0000,02500PHYSICAL THERAPY 59052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59052,A000000,02700,0000,02700SPEECH PATHOLOGY 59052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59052,A000000,03550,0000,03550FQHC 59052,A000000,04800,0000,04800AMBULANCE 59052,A000000,05000,0000,05000CORF 59052,A000000,05010,0000,05010CMHC 59052,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59052,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59052,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59052,A000000,05300,0000,05300INTEREST EXPENSE 59052,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59052,A81000A,00100,0100,Y 59052,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59052,A81000B,00300,0300,HEALTH INSURANCE 59052,A81000B,00400,0300,RETIREMENT 59052,A81000B,00600,0300,PHS - NURSING 59052,A81000B,00700,0300,PHS - SOCIAL WORK 59052,A81000B,00800,0300,PHS - OCC THERAPY 59052,A81000B,00900,0300,PHS - SPEECH THERAPY 59052,A81000B,01000,0300,PHS - PHYS THERAPY 59052,A81000B,01100,0300,PHS - DIETARY 59052,A81000B,01200,0300,PHS - MED RECORDS 59052,A81000B,01300,0300,PHS - ADMINISTRATIVE 59052,A81000C,00100,0100,B 59052,A81000C,00100,0200,NATIONAL HEALTH 59052,A81000C,00100,0600,HOME OFFICE 59052,A81000C,00200,0200,CARE CORPORATIO 59052,A81000C,00300,0100,B 59052,A81000C,00300,0200,PROFESSIONAL H 59052,A81000C,00300,0600,SPECIALIZED PE 59052,A81000C,00400,0200,SERVCIES CORP. 59052,B100000,00000,0100,00000(SQUARE FEET) 59052,B100000,00000,0200,00000(SQUARE FEET) 59052,B100000,00000,0300,00000(GROSS SALARIES) 59052,B100000,00000,0400,00000(ACCUM COST) 59052,B100000,00000,0500,00000(SQUARE FEET) 59052,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59052,B100000,00000,0750,00000(SQUARE FEET) 59052,B100000,00000,0800,00000(MEALS SERVED) 59052,B100000,00000,0900,00000(DIRECT NRSG HRS) 59052,B100000,00000,1000,00000(COSTED REQUIS) 59052,B100000,00000,1100,00000(COSTED REQUIS) 59052,B100000,00000,1200,00000(TIME SPENT) 59052,B100000,00000,1300,00000(TIME SPENT) 59052,B100000,00000,1400,00000ASSIGNED TIME 59052,E10A180,00301,0100,03/31/1999 59052,E10A180,00301,0300,02/25/2000 59052,E10A180,00302,0100,11/30/1999 59052,E10A180,00303,0100,12/09/1999 59052,E10A180,00304,0100,02/25/2000 59052,E10A180,00305,0100,01/28/2000 59052,S000000,00100,0200,05/31/2000 59052,S200000,00100,0100,200 AUSTIN GRAYBILL ROAD 59052,S200000,00100,0300,7979 59052,S200000,00200,0100,NORTH AUGUSTA 59052,S200000,00200,0200,SC 59052,S200000,00200,0300,29841 59052,S200000,00300,0100,AIKEN 59052,S200000,00400,0100,NHC HEALTHCARE NORTH AUGUSTA 59052,S200000,00400,0200,425320 59052,S200000,00400,0300,01/01/1991 59052,S200000,00400,0500,P 59052,S200000,00600,0200,425320 59052,S200000,00600,0300,01/01/1991 59052,S200000,00600,0600,P 59052,S200000,01600,0100,Y 59063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59063,A000000,00300,0000,00300EMPLOYEE BENEFITS 59063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59063,A000000,00700,0000,00700HOUSEKEEPING 59063,A000000,00800,0000,00800DIETARY 59063,A000000,00900,0000,00900NURSING ADMINISTRATION 59063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59063,A000000,01100,0000,01100PHARMACY 59063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59063,A000000,01300,0000,01300SOCIAL SERVICE 59063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59063,A000000,01600,0000,01600SKILLED NURSING FACILITY 59063,A000000,01800,0000,01800NURSING FACILITY 59063,A000000,01810,0000,01810ICF/MR 59063,A000000,02100,0000,02100RADIOLOGY 59063,A000000,02200,0000,02200LABORATORY 59063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59063,A000000,02500,0000,02500PHYSICAL THERAPY 59063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59063,A000000,02700,0000,02700SPEECH PATHOLOGY 59063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59063,A000000,03050,0000,03300PEN THERAPY 59063,A000000,03200,0000,03200SUPPORT SURFACES 59063,A000000,03550,0000,03550FQHC 59063,A000000,04800,0000,04800AMBULANCE 59063,A000000,05000,0000,05000CORF 59063,A000000,05010,0000,05010CMHC 59063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59063,A000000,05300,0000,05300INTEREST EXPENSE 59063,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59063,A000000,06201,0000,06210PHYSICIAN BILLING 59063,A81000A,00100,0100,Y 59063,A81000B,00100,0300,ADMIN. EXPENSES 59063,A81000B,00200,0300,HUMAN RESOURCES 59063,A81000B,00300,0300,RT SERVICES 59063,A81000B,00400,0300,REHAB MANAGER 59063,A81000B,00500,0300,PHARMACY / VACCINE 59063,A81000B,00600,0300,AUTO INSURANCE 59063,A81000B,00700,0300,LAUNDRY SERVICES 59063,A81000B,00800,0300,MEDICAL DIRECTOR 59063,A81000B,00900,0300,MEDICAL RECORDS SUPP 59063,A81000B,01000,0300,OTC DRUGS 59063,A81000B,01100,0300,OTC DRUGS 59063,A81000B,01200,0300,PHARMACY CONSULTANT 59063,A81000B,01300,0300,PRESCRIPTION DRUGS 59063,A81000B,01400,0300,RENT EXPENSE 59063,A81000B,01500,0300,LINEN REPLACEMENT 59063,A81000C,00100,0100,B 59063,A81000C,00100,0200,LEXINGTON MED C 59063,A81000C,00100,0400,LEXINGTON MED C 59063,A81000C,00100,0600,HOSPITAL 59063,A81000C,00200,0100,B 59063,A81000C,00200,0200,LEXINGTON MED C 59063,A81000C,00200,0400,LEXINGTON MED C 59063,A81000C,00200,0600,HOSPITAL 59063,A81000C,00300,0100,B 59063,A81000C,00300,0200,LEXINGTON MED C 59063,A81000C,00300,0400,LEXINGTON MED C 59063,A81000C,00300,0600,HOSPITAL 59063,A81000C,00400,0100,B 59063,A81000C,00400,0200,LEXINGTON MED C 59063,A81000C,00400,0400,LEXINGTON MED C 59063,A81000C,00400,0600,HOSPITAL 59063,A81000C,00500,0100,B 59063,A81000C,00500,0200,LEXINGTON MED C 59063,A81000C,00500,0400,LEXINGTON MED C 59063,A81000C,00500,0600,HOSPITAL 59063,A81000C,00600,0100,B 59063,A81000C,00600,0200,LEXINGTON MED C 59063,A81000C,00600,0400,LEXINGTON MED C 59063,A81000C,00600,0600,HOSPITAL 59063,A81000C,00700,0100,B 59063,A81000C,00700,0200,LEXINGTON MED C 59063,A81000C,00700,0400,HOSPITAL SERVIC 59063,A81000C,00700,0600,HOSPITAL 59063,A81000C,00800,0100,B 59063,A81000C,00800,0200,LEXINGTON MED C 59063,A81000C,00800,0400,INTERNAL MED AS 59063,A81000C,00800,0600,HOSPITAL 59063,A81000C,00900,0100,B 59063,A81000C,00900,0200,LEXINGTON MED C 59063,A81000C,00900,0400,LEXINGTON MED C 59063,A81000C,00900,0600,HOSPITAL 59063,A81000C,01000,0100,B 59063,A81000C,01000,0200,LEXINGTON MED C 59063,A81000C,01000,0400,LEXINGTON MED C 59063,A81000C,01000,0600,HOSPITAL 59063,A81000C,01100,0100,B 59063,A81000C,01100,0200,LEXINGTON MED C 59063,A81000C,01100,0400,LEXINGTON MED C 59063,A81000C,01100,0600,HOSPITAL 59063,A81000C,01200,0100,B 59063,A81000C,01200,0200,LEXINGTON MED C 59063,A81000C,01200,0400,LEXINGTON MED C 59063,A81000C,01200,0600,HOSPITAL 59063,A81000C,01300,0100,B 59063,A81000C,01300,0200,LEXINGTON MED C 59063,A81000C,01300,0400,LEXINGTON MED C 59063,A81000C,01300,0600,HOSPITAL 59063,A81000C,01400,0100,B 59063,A81000C,01400,0200,LEXINGTON MED C 59063,A81000C,01400,0400,LEXINGTON MED C 59063,A81000C,01400,0600,HOSPITAL 59063,A81000C,01500,0100,B 59063,A81000C,01500,0200,LEXINGTON MED C 59063,A81000C,01500,0400,HOSPITAL SERVIC 59063,A81000C,01500,0600,HOSPITAL 59063,B100000,00000,0100,00010SQUARE FEET 59063,B100000,00000,0200,00010SQUARE FEET 59063,B100000,00000,0300,00010GROSS SALARIES 59063,B100000,00000,0400,00010ACCUM COST 59063,B100000,00000,0500,00010SQUARE FEET 59063,B100000,00000,0600,00010POUNDS OF LAUNDRY 59063,B100000,00000,0700,00010HOURS OF SERVICE 59063,B100000,00000,0800,00010MEALS SERVED 59063,B100000,00000,0900,00010DIRECT NRSG HRS 59063,B100000,00000,1000,00010COSTED REQUIS 59063,B100000,00000,1100,00010COSTED REQUIS 59063,B100000,00000,1200,00010TIME SPENT 59063,B100000,00000,1300,00010TIME SPENT 59063,B100000,00000,1400,00010ASSIGNED TIME 59063,E10A180,00351,0300,07/02/1999 59063,E10A180,00501,0300,09/07/2000 59063,S000000,00100,0200,04/04/2000 59063,S200000,00100,0100,815 OLD CHEROKEE ROAD 59063,S200000,00200,0100,LEXINGTON 59063,S200000,00200,0200,SC 59063,S200000,00200,0300,29072 59063,S200000,00300,0100,LEXINGTON 59063,S200000,00400,0100,LEXINGTON MEDICAL CENTER EXT. CARE 59063,S200000,00400,0200,425321 59063,S200000,00400,0300,12/17/1991 59063,S200000,00400,0500,P 59063,S200000,00600,0200,425321 59063,S200000,00600,0300,12/17/1991 59063,S200000,00600,0600,P 59063,S200000,01600,0100,Y 59063,S200000,04700,0100,Y 59063,S200000,04900,0100,Y 59071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59071,A000000,00300,0000,00300EMPLOYEE BENEFITS 59071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59071,A000000,00700,0000,00700HOUSEKEEPING 59071,A000000,00800,0000,00800DIETARY 59071,A000000,00900,0000,00900NURSING ADMINISTRATION 59071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59071,A000000,01100,0000,01100PHARMACY 59071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59071,A000000,01300,0000,01300SOCIAL SERVICE 59071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59071,A000000,01600,0000,01600SKILLED NURSING FACILITY 59071,A000000,01800,0000,01800NURSING FACILITY 59071,A000000,01810,0000,01810ICF/MR 59071,A000000,02100,0000,02100RADIOLOGY 59071,A000000,02200,0000,02200LABORATORY 59071,A000000,02300,0000,02300INTRAVENOUS THERAPY 59071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59071,A000000,02500,0000,02500PHYSICAL THERAPY 59071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59071,A000000,02700,0000,02700SPEECH PATHOLOGY 59071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59071,A000000,03550,0000,03550FQHC 59071,A000000,04800,0000,04800AMBULANCE 59071,A000000,05000,0000,05000CORF 59071,A000000,05010,0000,05010CMHC 59071,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59071,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59071,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59071,A000000,05300,0000,05300INTEREST EXPENSE 59071,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59071,A81000A,00100,0100,Y 59071,A81000B,00100,0300,ADJUST HOME OFFICE 59071,A81000B,00200,0300,ADJUST HOME OFFICE 59071,A81000B,00300,0300,HEALTH INSURANCE 59071,A81000B,00400,0300,ADJUST HOME OFFICE 59071,A81000B,00600,0300,PHS - NURSING 59071,A81000B,00700,0300,PHS - SOCIAL WORK 59071,A81000B,00800,0300,PHS - OCC THERAPY 59071,A81000B,00900,0300,PHS - SPEECH THERAPY 59071,A81000B,01000,0300,PHS - PHYS THERAPY 59071,A81000B,01100,0300,PHS - DIETARY 59071,A81000B,01200,0300,PHS - MED RECORDS 59071,A81000B,01300,0300,PHS - ADMINISTRATIVE 59071,A81000B,01400,0300,DATA PROCESSING 59071,A81000B,01500,0300,DATA PROCESSING 59071,A81000C,00100,0100,B 59071,A81000C,00100,0200,NATIONAL HEALTH 59071,A81000C,00100,0400,PROF HEALTH SER 59071,A81000C,00100,0600,HEALTHCARE 59071,A81000C,00200,0200,CARE CORPORATIO 59071,B100000,00000,0100,00000(SQUARE FEET) 59071,B100000,00000,0200,00000(SQUARE FEET) 59071,B100000,00000,0300,00000(GROSS SALARIES) 59071,B100000,00000,0400,00000(ACCUM COST) 59071,B100000,00000,0500,00000(SQUARE FEET) 59071,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59071,B100000,00000,0750,00000(SQUARE FEET) 59071,B100000,00000,0800,00000(MEALS SERVED) 59071,B100000,00000,0900,00000(DIRECT NRSG HRS) 59071,B100000,00000,1000,00000(COSTED REQUIS) 59071,B100000,00000,1100,00000(COSTED REQUIS) 59071,B100000,00000,1200,00000(TIME SPENT) 59071,B100000,00000,1300,00000(TIME SPENT) 59071,B100000,00000,1400,00000ASSIGNED TIME 59071,E10A180,00351,0300,02/25/2000 59071,S000000,00100,0200,03/23/2000 59071,S200000,00100,0100,1305 BOILING SPRINGS ROAD 59071,S200000,00100,0300,26748 59071,S200000,00200,0100,GREER 59071,S200000,00200,0200,SC 59071,S200000,00200,0300,29650 59071,S200000,00400,0100,NHC HEALTHCARE GREENVILLE 59071,S200000,00400,0200,425322 59071,S200000,00400,0300,02/12/1992 59071,S200000,00400,0500,P 59071,S200000,00600,0200,425322 59071,S200000,00600,0300,02/12/1992 59071,S200000,00600,0600,P 59071,S200000,01600,0100,Y 59082,S000000,00100,0200,02/25/2000 59088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59088,A000000,00300,0000,00300EMPLOYEE BENEFITS 59088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59088,A000000,00700,0000,00700HOUSEKEEPING 59088,A000000,00800,0000,00800DIETARY 59088,A000000,00900,0000,00900NURSING ADMINISTRATION 59088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59088,A000000,01100,0000,01100PHARMACY 59088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59088,A000000,01300,0000,01300SOCIAL SERVICE 59088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59088,A000000,01600,0000,01600SKILLED NURSING FACILITY 59088,A000000,01800,0000,01800NURSING FACILITY 59088,A000000,01810,0000,01810ICF/MR 59088,A000000,02100,0000,02100RADIOLOGY 59088,A000000,02200,0000,02200LABORATORY 59088,A000000,02300,0000,02300INTRAVENOUS THERAPY 59088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59088,A000000,02500,0000,02500PHYSICAL THERAPY 59088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59088,A000000,02700,0000,02700SPEECH PATHOLOGY 59088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59088,A000000,03550,0000,03550FQHC 59088,A000000,04800,0000,04800AMBULANCE 59088,A000000,05000,0000,05000CORF 59088,A000000,05010,0000,05010CMHC 59088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59088,A000000,05300,0000,05300INTEREST EXPENSE 59088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59088,A81000A,00100,0100,Y 59088,A81000B,00100,0300,MGMT FEE H/O COST 59088,A81000B,00300,0300,HEALTH INSURANCE 59088,A81000B,00400,0300,RETIREMENT 59088,A81000B,00800,0300,PHS NURSING 59088,A81000B,00900,0300,PHS-SOCIAL WORK 59088,A81000B,01000,0300,PHS-OCC THERAPY 59088,A81000B,01100,0300,PHS-SPEECH THERAPY 59088,A81000B,01200,0300,PHS-PHYS THERAPY 59088,A81000B,01300,0300,PHS-DIETARY 59088,A81000B,01400,0300,PHS-MED RECORDS 59088,A81000B,01500,0300,PHS-ADMINISTRATIVE 59088,A81000C,00100,0100,B 59088,A81000C,00100,0200,NATIONAL HLTHCARE LP 59088,A81000C,00100,0400,PROF HEALTH SERVICES 59088,A81000C,00100,0600,HEALTHCARE 59088,B100000,00000,0100,00000SQUARE FEET 59088,B100000,00000,0200,00000SQUARE FEET 59088,B100000,00000,0300,00000GROSS SALARIES 59088,B100000,00000,0400,00000ACCUM COST 59088,B100000,00000,0500,00000SQUARE FEET 59088,B100000,00000,0600,00000POUNDS OF LAUNDRY 59088,B100000,00000,0700,00000HOURS OF SERVICE 59088,B100000,00000,0800,00000MEALS SERVED 59088,B100000,00000,0900,00000DIRECT NRSG HRS 59088,B100000,00000,1000,00000COSTED REQUIS 59088,B100000,00000,1100,00000COSTED REQUIS 59088,B100000,00000,1200,00000TIME SPENT 59088,B100000,00000,1300,00000TIME SPENT 59088,B100000,00000,1400,00000ASSIGNED TIME 59088,E10A180,00301,0100,03/30/1999 59088,E10A180,00307,0100,02/25/2000 59088,S000000,00100,0200,03/23/2000 59088,S200000,00100,0100,9405 HIGHWAY 17 BYPASS 59088,S200000,00100,0300,ER 309 59088,S200000,00200,0100,MURRELLS INLET 59088,S200000,00200,0200,SC 59088,S200000,00200,0300,29576 59088,S200000,00300,0100,GEORGETOWN 59088,S200000,00400,0100,NHC HEALTHCARE GARDEN CITY 59088,S200000,00400,0200,425324 59088,S200000,00400,0300,01/01/1992 59088,S200000,00400,0500,P 59088,S200000,00600,0200,425324 59088,S200000,00600,0300,01/01/1992 59088,S200000,00600,0600,P 59088,S200000,01600,0100,Y 59097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59097,A000000,00300,0000,00300EMPLOYEE BENEFITS 59097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59097,A000000,00700,0000,00700HOUSEKEEPING 59097,A000000,00800,0000,00800DIETARY 59097,A000000,00900,0000,00900NURSING ADMINISTRATION 59097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59097,A000000,01100,0000,01100PHARMACY 59097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59097,A000000,01300,0000,01300SOCIAL SERVICE 59097,A000000,01301,0000,01301ACTIVITES 59097,A000000,01350,0000,01500REHABILITATION 59097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59097,A000000,01600,0000,01600SKILLED NURSING FACILITY 59097,A000000,01800,0000,01800NURSING FACILITY 59097,A000000,01810,0000,01810ICF/MR 59097,A000000,02100,0000,02100RADIOLOGY 59097,A000000,02200,0000,02200LABORATORY 59097,A000000,02300,0000,02300INTRAVENOUS THERAPY 59097,A000000,02500,0000,02500PHYSICAL THERAPY 59097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59097,A000000,02700,0000,02700SPEECH PATHOLOGY 59097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59097,A000000,03050,0000,03300EQUIPMENT RENTAL 59097,A000000,03051,0000,03301PEN THERAPY 59097,A000000,03550,0000,03550FQHC 59097,A000000,04800,0000,04800AMBULANCE 59097,A000000,05000,0000,05000CORF 59097,A000000,05010,0000,05010CMHC 59097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59097,A000000,06150,0000,06300VENDING 59097,A000000,06151,0000,06301STAND-BY 59097,A81000A,00100,0100,Y 59097,A81000B,00100,0300,HOME OFFICE COST 59097,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 59097,A81000B,00500,0300,MEDICAL SUPPLIES 59097,A81000B,00700,0300,HOME OFFICE CAPITAL 59097,A81000B,01000,0300,THERAPY CONSULTING 59097,A81000B,01100,0300,PHYSICAL THERAPY 59097,A81000B,01200,0300,OCCUPATIONAL THERAPY 59097,A81000B,01300,0300,SPEECH THERAPY 59097,A81000B,01500,0300,NURSING ADMIN 59097,A81000C,00100,0100,B 59097,A81000C,00100,0200,HALLMARK PS# 13 59097,A81000C,00100,0400,MARINER PAN 59097,A81000C,00100,0600,NURSING HOMES 59097,A81000C,00200,0100,G 59097,A81000C,00200,0200,MARINER PAN 59097,A81000C,00200,0400,AMER PHARM SVCS 59097,A81000C,00200,0600,PHARMACEUTICALS 59097,A81000C,00300,0100,G 59097,A81000C,00300,0200,MARINER PAN 59097,A81000C,00300,0400,PRISM-ATS-ARS-T 59097,A81000C,00300,0600,THERAPIES 59097,B100000,00000,0100,00001SQUARE FEET 59097,B100000,00000,0200,00001SQUARE FEET 59097,B100000,00000,0300,00001GROSS SALARIES 59097,B100000,00000,0400,00001ACCUM COST 59097,B100000,00000,0500,00001SQUARE FEET 59097,B100000,00000,0650,00001PATIENT DAYS 59097,B100000,00000,0750,00001SQUARE FEET 59097,B100000,00000,0800,00001MEALS SERVED 59097,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 59097,B100000,00000,1000,00001COSTED REQUIS 59097,B100000,00000,1100,00001COSTED REQUIS 59097,B100000,00000,1250,00001PATIENT DAYS 59097,B100000,00000,1330,00001PATIENT DAYS 59097,B100000,00000,1331,00001PATIENT DAYS 59097,B100000,00000,1350,00001UNITS OF SERVICE 59097,B100000,00000,1400,00001ASSIGNED TIME 59097,E10A180,00501,0100,03/07/2001 59097,S000000,00100,0200,06/16/2000 59097,S200000,00100,0100,255 MIDLAND PKWY 59097,S200000,00200,0100,SUMMERVILLE 59097,S200000,00200,0200,SC 59097,S200000,00200,0300,29485 59097,S200000,00300,0100,DORCHESTER 59097,S200000,00400,0100,HALLMARK HEALTHCARE CENTER 59097,S200000,00400,0200,425326 59097,S200000,00400,0300,06/03/1996 59097,S200000,00400,0500,P 59097,S200000,01600,0100,Y 59097,S200000,02200,0100,Y 59103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59103,A000000,00300,0000,00300EMPLOYEE BENEFITS 59103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59103,A000000,00700,0000,00700HOUSEKEEPING 59103,A000000,00800,0000,00800DIETARY 59103,A000000,00900,0000,00900NURSING ADMINISTRATION 59103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59103,A000000,01100,0000,01100PHARMACY 59103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59103,A000000,01300,0000,01300SOCIAL SERVICE 59103,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59103,A000000,01600,0000,01600SKILLED NURSING FACILITY 59103,A000000,01800,0000,01800NURSING FACILITY 59103,A000000,01810,0000,01810ICF/MR 59103,A000000,02100,0000,02100RADIOLOGY 59103,A000000,02200,0000,02200LABORATORY 59103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59103,A000000,02500,0000,02500PHYSICAL THERAPY 59103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59103,A000000,02700,0000,02700SPEECH PATHOLOGY 59103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59103,A000000,03050,0000,03300AIR FLIDIZED THERAPY 59103,A000000,03550,0000,03550FQHC 59103,A000000,05000,0000,05000CORF 59103,A000000,05010,0000,05010CMHC 59103,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59103,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59103,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59103,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59103,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 59103,A81000A,00100,0100,Y 59103,A81000B,00100,0300,HOME OFFICE COST 59103,A81000C,00100,0100,A 59103,A81000C,00100,0200,LTC FOUNDATION 59103,A81000C,00100,0600,HOME OFFICE 59103,B100000,00000,0100,00000SQUARE FEET 59103,B100000,00000,0200,00000SQUARE FEET 59103,B100000,00000,0300,00000GROSS SALARIES 59103,B100000,00000,0400,00000ACCUM COST 59103,B100000,00000,0500,00000SQUARE FEET 59103,B100000,00000,0600,00000POUNDS OF LAUNDRY 59103,B100000,00000,0700,00000HOURS OF SERVICE 59103,B100000,00000,0800,00000MEALS SERVED 59103,B100000,00000,0900,00000DIRECT NRSG HRS 59103,B100000,00000,1000,00000COSTED REQUIS 59103,B100000,00000,1100,00000COSTED REQUIS 59103,B100000,00000,1200,00000TIME SPENT 59103,B100000,00000,1300,00000TIME SPENT 59103,B100000,00000,1400,00000ASSIGNED TIME 59103,S000000,00100,0200,08/07/2000 59103,S200000,00100,0100,2230 ASHLEY CROSSING DR. 59103,S200000,00200,0100,CHARLESTION 59103,S200000,00200,0200,SC 59103,S200000,00200,0300,29414 59103,S200000,00300,0100,CHARLESTON 59103,S200000,00400,0100,ASHLEY CROSSING REHAB & NURSING CTR. 59103,S200000,00400,0200,425328 59103,S200000,00400,0300,03/17/1993 59103,S200000,00400,0500,P 59103,S200000,01600,0100,Y 59103,S200000,01900,0100,FREESTANDING 59110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59110,A000000,00300,0000,00300EMPLOYEE BENEFITS 59110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59110,A000000,00700,0000,00700HOUSEKEEPING 59110,A000000,00800,0000,00800DIETARY 59110,A000000,00900,0000,00900NURSING ADMINISTRATION 59110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59110,A000000,01100,0000,01100PHARMACY 59110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59110,A000000,01300,0000,01300SOCIAL SERVICE 59110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59110,A000000,01600,0000,01600SKILLED NURSING FACILITY 59110,A000000,01800,0000,01800NURSING FACILITY 59110,A000000,01810,0000,01810ICF/MR 59110,A000000,02100,0000,02100RADIOLOGY 59110,A000000,02200,0000,02200LABORATORY 59110,A000000,02300,0000,02300INTRAVENOUS THERAPY 59110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59110,A000000,02500,0000,02500PHYSICAL THERAPY 59110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59110,A000000,02700,0000,02700SPEECH PATHOLOGY 59110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59110,A000000,03550,0000,03550FQHC 59110,A000000,04800,0000,04800AMBULANCE 59110,A000000,05000,0000,05000CORF 59110,A000000,05010,0000,05010CMHC 59110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59110,A000000,05300,0000,05300INTEREST EXPENSE 59110,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59110,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59110,A81000A,00100,0100,Y 59110,A81000B,00100,0300,ADJUST HOME OFFICE COST REPOR 59110,A81000B,00200,0300,ADJUST HOME OFFICE COST REPOR 59110,A81000B,00300,0300,HEALTH INSURANCE 59110,A81000B,00400,0300,RETIREMENT 59110,A81000B,00600,0300,PHS - NURSING 59110,A81000B,00700,0300,PHS - SOCIAL WORK 59110,A81000B,00800,0300,PHS - OCC THERAPY 59110,A81000B,00900,0300,PHS - SPEECH THERAPY 59110,A81000B,01000,0300,PHS - PHYS THERAPY 59110,A81000B,01100,0300,PHS - DIETARY 59110,A81000B,01200,0300,PHS - MED RECORDS 59110,A81000B,01300,0300,PHS - ADMINISTRATIVE 59110,A81000C,00100,0100,B 59110,A81000C,00100,0200,NATIONAL HEALTH 59110,A81000C,00100,0400,PROF HEALTH SER 59110,A81000C,00100,0600,HEALTHCARE 59110,A81000C,00200,0200,CARE CORPORATIO 59110,B100000,00000,0100,00000(SQUARE FEET) 59110,B100000,00000,0200,00000(SQUARE FEET) 59110,B100000,00000,0300,00000(GROSS SALARIES) 59110,B100000,00000,0400,00000(ACCUM COST) 59110,B100000,00000,0500,00000(SQUARE FEET) 59110,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59110,B100000,00000,0750,00000(SQUARE FEET) 59110,B100000,00000,0800,00000(MEALS SERVED) 59110,B100000,00000,0900,00000(DIRECT NRSG HRS) 59110,B100000,00000,1000,00000(COSTED REQUIS) 59110,B100000,00000,1100,00000(COSTED REQUIS) 59110,B100000,00000,1200,00000(TIME SPENT) 59110,B100000,00000,1300,00000(TIME SPENT) 59110,B100000,00000,1400,00000ASSIGNED TIME 59110,E10A180,00301,0100,03/30/1999 59110,E10A180,00301,0300,02/25/2000 59110,E10A180,00302,0100,11/05/1999 59110,E10A180,00303,0100,11/11/1999 59110,E10A180,00304,0100,12/03/1999 59110,E10A180,00305,0100,12/17/1999 59110,E10A180,00306,0100,12/30/1999 59110,E10A180,00307,0100,02/25/2000 59110,S000000,00100,0200,03/23/2000 59110,S200000,00100,0100,2993 SUNSET BLVD. 59110,S200000,00100,0300,2957 59110,S200000,00200,0100,WEST COLUMBIA 59110,S200000,00200,0200,SC 59110,S200000,00200,0300,29169 59110,S200000,00400,0100,NHC HEALTHCARE LEXINGTON 59110,S200000,00400,0200,425333 59110,S200000,00400,0300,03/11/1994 59110,S200000,00400,0500,P 59110,S200000,00600,0200,425333 59110,S200000,00600,0300,03/11/1994 59110,S200000,00600,0600,P 59110,S200000,01600,0100,Y 59122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59122,A000000,00300,0000,00300EMPLOYEE BENEFITS 59122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59122,A000000,00700,0000,00700HOUSEKEEPING 59122,A000000,00800,0000,00800DIETARY 59122,A000000,00900,0000,00900NURSING ADMINISTRATION 59122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59122,A000000,01100,0000,01100PHARMACY 59122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59122,A000000,01300,0000,01300SOCIAL SERVICE 59122,A000000,01350,0000,01500ACTIVITIES 59122,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59122,A000000,01600,0000,01600SKILLED NURSING FACILITY 59122,A000000,01800,0000,01800NURSING FACILITY 59122,A000000,01810,0000,01810ICF/MR 59122,A000000,01900,0000,01900OTHER LONG TERM CARE 59122,A000000,02100,0000,02100RADIOLOGY 59122,A000000,02200,0000,02200LABORATORY 59122,A000000,02300,0000,02300INTRAVENOUS THERAPY 59122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59122,A000000,02500,0000,02500PHYSICAL THERAPY 59122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59122,A000000,02700,0000,02700SPEECH PATHOLOGY 59122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59122,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 59122,A000000,03200,0000,03200SUPPORT SURFACES 59122,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59122,A000000,03550,0000,03550FQHC 59122,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59122,A000000,05000,0000,05000CORF 59122,A000000,05010,0000,05010CMHC 59122,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59122,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59122,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59122,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59122,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59122,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59122,A81000A,00100,0100,Y 59122,A81000B,00100,0300,MANAGEMENT FEES 59122,A81000B,00200,0300,MANAGEMENT FEES 59122,A81000C,00100,0100,B 59122,A81000C,00100,0200,SC BAPTIST MINISTRIES 59122,A81000C,00100,0400,SC BAPTIST MINISTRIES 59122,A81000C,00100,0600,NONPROFIT CHRISTIAN ORG. 59122,B100000,00000,0100,00000SQUARE FEET 59122,B100000,00000,0200,00000SQUARE FEET 59122,B100000,00000,0300,00000GROSS SALARIES 59122,B100000,00000,0400,00000ACCUM. COST 59122,B100000,00000,0500,00000SQUARE FEET 59122,B100000,00000,0650,00000PATIENT DAYS 59122,B100000,00000,0750,00000SQUARE FEET 59122,B100000,00000,0800,00000MEALS SERVED 59122,B100000,00000,0900,00000NSG LABOR HOURS 59122,B100000,00000,1050,00000TIME SPENT 59122,B100000,00000,1150,00000PATIENT DAYS 59122,B100000,00000,1250,00000PATIENT DAYS 59122,B100000,00000,1300,00000TIME SPENT 59122,B100000,00000,1350,00000TIME SPENT 59122,B100000,00000,1400,00000ASSIGNED TIME 59122,E10A180,00301,0100,08/18/1999 59122,E10A180,00301,0300,08/18/1999 59122,S000000,00100,0200,04/03/2000 59122,S200000,00100,0100,1 MARTHA FRANKS DRIVE 59122,S200000,00200,0100,LAURENS 59122,S200000,00200,0200,SC 59122,S200000,00300,0100,LAURENS 59122,S200000,00400,0100,MARTHA FRANKS BAPTIST RETIREMENT CTR 59122,S200000,00400,0200,425334 59122,S200000,00400,0300,10/01/1994 59122,S200000,00400,0500,P 59122,S200000,01500,0100,Y 59147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59147,A000000,00300,0000,00300EMPLOYEE BENEFITS 59147,A000000,00351,0000,00310SECURITY 59147,A000000,00352,0000,00315EMPLOYEE CLINIC 59147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59147,A000000,00700,0000,00700HOUSEKEEPING 59147,A000000,00800,0000,00800DIETARY 59147,A000000,00900,0000,00900NURSING ADMINISTRATION 59147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59147,A000000,01100,0000,01100PHARMACY 59147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59147,A000000,01251,0000,01210GENERAL PATIENT CARE 59147,A000000,01300,0000,01300SOCIAL SERVICE 59147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59147,A000000,01600,0000,01600SKILLED NURSING FACILITY 59147,A000000,01810,0000,01810ICF/MR 59147,A000000,02100,0000,02100RADIOLOGY 59147,A000000,02200,0000,02200LABORATORY 59147,A000000,02201,0000,02210OUTSIDE LAB 59147,A000000,02500,0000,02500PHYSICAL THERAPY 59147,A000000,03101,0000,03110EMERGENCY 59147,A000000,03550,0000,03550FQHC 59147,A000000,05000,0000,05000CORF 59147,A000000,05010,0000,05010CMHC 59147,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59147,A81000A,00100,0100,Y 59147,A81000B,00100,0300,AGENCYWIDE A&G 59147,A81000B,00500,0300,NE SECURITY 59147,A81000B,01000,0300,EMPLOYEE CLINIC 59147,A81000B,01100,0300,XRAY 59147,A81000B,01200,0300,LAB 59147,A81000B,01300,0300,PURCHASED LAB 59147,A81000B,01400,0300,ER 59147,A81000C,00100,0100,G 59147,A81000C,00100,0200,OTHER SCDMH DIV 59147,A81000C,00100,0400,SCDMH 59147,A81000C,00100,0600,STATE AGENCY 59147,B100000,00000,0150,00040ACT BUILD DEP $ AMT 59147,B100000,00000,0250,00040ACT EQUIP DEP $ AMT 59147,B100000,00000,0350,00040FTES 59147,B100000,00000,0351,00040SQUARE FEET 59147,B100000,00000,0352,00040FTES 59147,B100000,00000,0400,00040ACCUM COST 59147,B100000,00000,0500,00040SQUARE FEET 59147,B100000,00000,0650,00040PATIENT DAYS 59147,B100000,00000,0750,00040SQUARE FEET 59147,B100000,00000,0800,00040MEALS SERVED 59147,B100000,00000,0950,00040PATIENT DAYS 59147,B100000,00000,1000,00040COSTED REQUIS 59147,B100000,00000,1150,00040PHARMACY ISSUES 59147,B100000,00000,1250,00040PATIENT DAYS 59147,B100000,00000,1251,00040PATIENT DAYS 59147,B100000,00000,1300,00040TIME SPENT 59147,B100000,00000,1400,00040ASSIGNED TIME 59147,S000000,00100,0200,07/31/2000 59147,S200000,00100,0100,2414 BULL STREET 59147,S200000,00100,0300,485 59147,S200000,00200,0100,COLUMBIA 59147,S200000,00200,0200,SC 59147,S200000,00200,0300,29202 59147,S200000,00300,0100,RICHLAND 59147,S200000,00400,0100,DOWDY-GARDNER NRS CTR FARMER BLDG 59147,S200000,00400,0200,425342 59147,S200000,00400,0300,09/01/1995 59147,S200000,00400,0500,P 59147,S200000,01500,0100,Y 59147,S200000,02800,0100,Y 59147,S200000,03300,0100,Y 59147,S200000,03300,0200,Y 59153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59153,A000000,00300,0000,00300EMPLOYEE BENEFITS 59153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59153,A000000,00700,0000,00700HOUSEKEEPING 59153,A000000,00800,0000,00800DIETARY 59153,A000000,00900,0000,00900NURSING ADMINISTRATION 59153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59153,A000000,01100,0000,01100PHARMACY 59153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59153,A000000,01300,0000,01300SOCIAL SERVICE 59153,A000000,01350,0000,01500ACTIVITIES 59153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59153,A000000,01600,0000,01600SKILLED NURSING FACILITY 59153,A000000,01800,0000,01800NURSING FACILITY 59153,A000000,01810,0000,01810ICF/MR 59153,A000000,01900,0000,01900OTHER LONG TERM CARE 59153,A000000,02100,0000,02100RADIOLOGY 59153,A000000,02200,0000,02200LABORATORY 59153,A000000,02500,0000,02500PHYSICAL THERAPY 59153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59153,A000000,02700,0000,02700SPEECH PATHOLOGY 59153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59153,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 59153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59153,A000000,03550,0000,03550FQHC 59153,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59153,A000000,05000,0000,05000CORF 59153,A000000,05010,0000,05010CMHC 59153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59153,A000000,06150,0000,06300DEVELOPEMENT AND CONSTRUCTION 59153,A000000,06151,0000,06301CARE CENTER 59153,A81000A,00100,0100,Y 59153,A81000B,00100,0300,MANAGEMENT FEES 59153,A81000C,00100,0100,B 59153,A81000C,00100,0400,CC HILTON HEAD 59153,A81000C,00100,0600,CCRC CO. 59153,A81000C,00200,0100,B 59153,A81000C,00200,0400,CLASSIC RES BY HYATT 59153,A81000C,00200,0600,MGMT CO. 59153,B100000,00000,0100,00001SQUARE FEET 59153,B100000,00000,0200,00001SQUARE FEET 59153,B100000,00000,0300,00001GROSS SALARIES 59153,B100000,00000,0400,00001ACCUM. COST 59153,B100000,00000,0500,00001SQUARE FEET 59153,B100000,00000,0650,00001PATIENT DAYS 59153,B100000,00000,0750,00001SQ. FEET EXCL. DIET 59153,B100000,00000,0800,00001MEALS SERVED 59153,B100000,00000,0900,00001NSG LABOR HOURS 59153,B100000,00000,1050,00001PATIENT DAYS 59153,B100000,00000,1100,00001COSTED REQUIS 59153,B100000,00000,1250,00001PATIENT DAYS 59153,B100000,00000,1330,00001PATIENT DAYS 59153,B100000,00000,1350,00001PATIENT DAYS 59153,B100000,00000,1400,00001ASSIGNED TIME 59153,E10A180,00501,0100,09/07/2000 59153,S000000,00100,0200,06/30/2000 59153,S200000,00100,0100,700 TIDEPOINTE WAY 59153,S200000,00200,0100,HILTON HEAD 59153,S200000,00200,0200,SC 59153,S200000,00200,0300,29928 59153,S200000,00300,0100,B 59153,S200000,00400,0100,BROAD CREEK CLASSIC RESIDENCE 59153,S200000,00400,0200,425351 59153,S200000,00400,0300,06/03/1997 59153,S200000,00400,0500,P 59153,S200000,01600,0100,Y 59159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59159,A000000,00300,0000,00300EMPLOYEE BENEFITS 59159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59159,A000000,00700,0000,00700HOUSEKEEPING 59159,A000000,00800,0000,00800DIETARY 59159,A000000,00900,0000,00900NURSING ADMINISTRATION 59159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59159,A000000,01100,0000,01100PHARMACY 59159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59159,A000000,01300,0000,01300SOCIAL SERVICE 59159,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59159,A000000,01600,0000,01600SKILLED NURSING FACILITY 59159,A000000,01800,0000,01800NURSING FACILITY 59159,A000000,01810,0000,01810ICF/MR 59159,A000000,02100,0000,02100RADIOLOGY 59159,A000000,02200,0000,02200LABORATORY 59159,A000000,02300,0000,02300INTRAVENOUS THERAPY 59159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59159,A000000,02500,0000,02500PHYSICAL THERAPY 59159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59159,A000000,02700,0000,02700SPEECH PATHOLOGY 59159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59159,A000000,03550,0000,03550FQHC 59159,A000000,04800,0000,04800AMBULANCE 59159,A000000,05000,0000,05000CORF 59159,A000000,05010,0000,05010CMHC 59159,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59159,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59159,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59159,A000000,05300,0000,05300INTEREST EXPENSE 59159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59159,A81000A,00100,0100,Y 59159,A81000B,00100,0300,ADJUST HOME OFFICE COST 59159,A81000B,00200,0300,ADJUST HOME OFFICE COST 59159,A81000B,00300,0300,HEALTH INSURANCE 59159,A81000B,00400,0300,RETIREMENT 59159,A81000B,00600,0300,PHS COSTS 59159,A81000B,00700,0300,PHS COSTS 59159,A81000B,00800,0300,PHS COSTS 59159,A81000B,00900,0300,PHS COSTS 59159,A81000B,01000,0300,PHS COSTS 59159,A81000B,01100,0300,PHS COSTS 59159,A81000B,01200,0300,PHS COSTS 59159,A81000B,01300,0300,PHS COSTS 59159,A81000C,00100,0100,B 59159,A81000C,00100,0200,NATIONAL HEALTH 59159,A81000C,00100,0600,HOME OFFICE 59159,A81000C,00200,0200,CARE CORPORATIO 59159,A81000C,00300,0100,B 59159,A81000C,00300,0200,PROFESSIONAL H 59159,A81000C,00300,0600,SPECIALIZED PE 59159,A81000C,00400,0200,SERVICES CORP. 59159,B100000,00000,0100,00000(SQUARE FEET) 59159,B100000,00000,0200,00000(SQUARE FEET) 59159,B100000,00000,0300,00000(GROSS SALARIES) 59159,B100000,00000,0400,00000(ACCUM COST) 59159,B100000,00000,0500,00000(SQUARE FEET) 59159,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59159,B100000,00000,0750,00000(SQUARE FEET) 59159,B100000,00000,0800,00000(MEALS SERVED) 59159,B100000,00000,0900,00000(DIRECT NRSG HRS) 59159,B100000,00000,1000,00000(COSTED REQUIS) 59159,B100000,00000,1100,00000(COSTED REQUIS) 59159,B100000,00000,1200,00000(TIME SPENT) 59159,B100000,00000,1300,00000(TIME SPENT) 59159,B100000,00000,1400,00000ASSIGNED TIME 59159,E10A180,00301,0100,02/25/2000 59159,E10A180,00301,0300,02/25/2000 59159,S000000,00100,0200,03/23/2000 59159,S200000,00100,0100,7601 PARKLANE ROAD 59159,S200000,00100,0300,25548 59159,S200000,00200,0100,COLUMBIA 59159,S200000,00200,0200,SC 59159,S200000,00200,0300,29223 59159,S200000,00400,0100,NHC HEALTHCARE PARKLANE 59159,S200000,00400,0200,425352 59159,S200000,00400,0300,05/12/1997 59159,S200000,00400,0500,P 59159,S200000,00600,0200,425352 59159,S200000,00600,0300,05/05/1997 59159,S200000,00600,0600,P 59159,S200000,01600,0100,Y 59168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59168,A000000,00300,0000,00300EMPLOYEE BENEFITS 59168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59168,A000000,00700,0000,00700HOUSEKEEPING 59168,A000000,00800,0000,00800DIETARY 59168,A000000,00900,0000,00900NURSING ADMINISTRATION 59168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59168,A000000,01100,0000,01100PHARMACY 59168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59168,A000000,01300,0000,01300SOCIAL SERVICE 59168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59168,A000000,01600,0000,01600SKILLED NURSING FACILITY 59168,A000000,01800,0000,01800NURSING FACILITY 59168,A000000,01810,0000,01810ICF/MR 59168,A000000,02100,0000,02100RADIOLOGY 59168,A000000,02200,0000,02200LABORATORY 59168,A000000,02300,0000,02300INTRAVENOUS THERAPY 59168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59168,A000000,02500,0000,02500PHYSICAL THERAPY 59168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59168,A000000,02700,0000,02700SPEECH PATHOLOGY 59168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59168,A000000,03550,0000,03550FQHC 59168,A000000,04800,0000,04800AMBULANCE 59168,A000000,05000,0000,05000CORF 59168,A000000,05010,0000,05010CMHC 59168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59168,A000000,05300,0000,05300INTEREST EXPENSE 59168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59168,A81000A,00100,0100,Y 59168,A81000B,00100,0300,ADJUST HOME OFFICE COST 59168,A81000B,00200,0300,ADJUST HOME OFFICE COST 59168,A81000B,00300,0300,HEALTH INSURANCE 59168,A81000B,00400,0300,RETIREMENT 59168,A81000B,00600,0300,PHS COST 59168,A81000B,00700,0300,PHS COST 59168,A81000B,00800,0300,PHS COST 59168,A81000B,00900,0300,PHS COST 59168,A81000B,01000,0300,PHS COST 59168,A81000B,01100,0300,PHS COST 59168,A81000B,01200,0300,PHS COST 59168,A81000B,01300,0300,PHS COST 59168,A81000C,00100,0100,B 59168,A81000C,00100,0200,NATIONAL HEALTH 59168,A81000C,00100,0600,HOME OFFICE 59168,A81000C,00200,0200,CARE CORPORATIO 59168,A81000C,00300,0100,B 59168,A81000C,00300,0200,PROFESSIONAL H 59168,A81000C,00300,0600,SPECIALIZED PE 59168,A81000C,00400,0200,SERVCIES CORP. 59168,B100000,00000,0100,00000(SQUARE FEET) 59168,B100000,00000,0200,00000(SQUARE FEET) 59168,B100000,00000,0300,00000(GROSS SALARIES) 59168,B100000,00000,0400,00000(ACCUM COST) 59168,B100000,00000,0500,00000(SQUARE FEET) 59168,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59168,B100000,00000,0750,00000(SQUARE FEET) 59168,B100000,00000,0800,00000(MEALS SERVED) 59168,B100000,00000,0900,00000(DIRECT NRSG HRS) 59168,B100000,00000,1000,00000(COSTED REQUIS) 59168,B100000,00000,1100,00000(COSTED REQUIS) 59168,B100000,00000,1200,00000(TIME SPENT) 59168,B100000,00000,1300,00000(TIME SPENT) 59168,B100000,00000,1400,00000ASSIGNED TIME 59168,E10A180,00301,0100,02/25/2000 59168,E10A180,00301,0300,02/25/2000 59168,S000000,00100,0200,03/23/2000 59168,S200000,00100,0100,850 EAST BUTLER ROAD 59168,S200000,00100,0300,568 59168,S200000,00200,0100,MAULDIN 59168,S200000,00200,0200,SC 59168,S200000,00200,0300,29662 59168,S200000,00400,0100,NHC HEALTHCARE MAULDIN 59168,S200000,00400,0200,425359 59168,S200000,00400,0300,10/09/1997 59168,S200000,00400,0500,P 59168,S200000,00600,0200,425359 59168,S200000,00600,0300,10/09/1997 59168,S200000,00600,0600,P 59168,S200000,01600,0100,Y 59177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59177,A000000,00300,0000,00300EMPLOYEE BENEFITS 59177,A000000,00301,0000,00310SECURITY 59177,A000000,00302,0000,00315EMPLOYEE CLINIC 59177,A000000,00303,0000,01210GENERAL PATIENT CARE 59177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59177,A000000,00700,0000,00700HOUSEKEEPING 59177,A000000,00800,0000,00800DIETARY 59177,A000000,00900,0000,00900NURSING ADMINISTRATION 59177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59177,A000000,01100,0000,01100PHARMACY 59177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59177,A000000,01300,0000,01300SOCIAL SERVICE 59177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59177,A000000,01600,0000,01600SKILLED NURSING FACILITY 59177,A000000,01810,0000,01810ICF/MR 59177,A000000,02100,0000,02100RADIOLOGY 59177,A000000,02200,0000,02200LABORATORY 59177,A000000,02201,0000,02210OUTSIDE LAB 59177,A000000,02500,0000,02500PHYSICAL THERAPY 59177,A000000,03550,0000,03550FQHC 59177,A000000,05000,0000,05000CORF 59177,A000000,05010,0000,05010CMHC 59177,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59177,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59177,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59177,A81000A,00100,0100,Y 59177,A81000B,00100,0300,AGENCYWIDE A&G 59177,A81000B,00200,0300,MH MANAGED A&G 59177,A81000B,00300,0300,HO BUILD & LI DEP 59177,A81000B,00400,0300,HO EQUIP DEP 59177,A81000B,00500,0300,CENT DIST SECURITY 59177,A81000B,00600,0300,PURCH & WAREHOUSING 59177,A81000B,00700,0300,COLA CLUST MAINT 59177,A81000B,00800,0300,FORMS & PRINTING 59177,A81000B,00900,0300,NUTRTIONAL SERVICES 59177,A81000B,01000,0300,FOOD SERVING 59177,A81000B,01100,0300,EMPLOYEE CLINIC 59177,A81000C,00100,0100,G 59177,A81000C,00100,0200,OTHER SCMDH DIV 59177,A81000C,00100,0400,SCDMH 59177,A81000C,00100,0600,STATE AGENCY 59177,B100000,00000,0150,00040ACT BUILD DEP $ AMT 59177,B100000,00000,0250,00040ACT EQUIP DEP $ AMT 59177,B100000,00000,0300,00040GROSS SALARIES 59177,B100000,00000,0351,00040FACILITY SQ FT 59177,B100000,00000,0352,00040FTES 59177,B100000,00000,0400,00040ACCUM COST 59177,B100000,00000,0500,00040SQUARE FEET 59177,B100000,00000,0650,00040PATIENT DAYS 59177,B100000,00000,0750,00040FACILITY SQ FT 59177,B100000,00000,0800,00040MEALS SERVED 59177,B100000,00000,0950,00040PATIENT DAYS 59177,B100000,00000,1000,00040COSTED REQUIS 59177,B100000,00000,1150,00040PHARMACY ISSUES 59177,B100000,00000,1250,00040PATIENT DAYS 59177,B100000,00000,1251,00040PATIENT DAYS 59177,B100000,00000,1330,00040TIME SPENT 59177,B100000,00000,1400,00040ASSIGNED TIME 59177,E10A180,00550,0100,12/12/2000 59177,S000000,00100,0200,12/12/2000 59177,S200000,00100,0100,2414 BULL STREET 59177,S200000,00100,0300,485 59177,S200000,00200,0100,COLUMBIA 59177,S200000,00200,0200,SC 59177,S200000,00200,0300,29202 59177,S200000,00300,0100,RICHLAND 59177,S200000,00400,0100,CMT/DGNCC RODDEY PAVILLION 59177,S200000,00400,0200,425360 59177,S200000,00400,0300,10/03/1997 59177,S200000,00400,0500,P 59177,S200000,01500,0100,Y 59177,S200000,02800,0100,Y 59177,S200000,03300,0100,Y 59177,S200000,03300,0200,Y 59198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59198,A000000,00300,0000,00300EMPLOYEE BENEFITS 59198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59198,A000000,00700,0000,00700HOUSEKEEPING 59198,A000000,00800,0000,00800DIETARY 59198,A000000,00900,0000,00900NURSING ADMINISTRATION 59198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59198,A000000,01100,0000,01100PHARMACY 59198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59198,A000000,01300,0000,01300SOCIAL SERVICE 59198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59198,A000000,01600,0000,01600SKILLED NURSING FACILITY 59198,A000000,01800,0000,01800NURSING FACILITY 59198,A000000,01810,0000,01810ICF/MR 59198,A000000,02100,0000,02100RADIOLOGY 59198,A000000,02200,0000,02200LABORATORY 59198,A000000,02300,0000,02300INTRAVENOUS THERAPY 59198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59198,A000000,02500,0000,02500PHYSICAL THERAPY 59198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59198,A000000,02700,0000,02700SPEECH PATHOLOGY 59198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59198,A000000,03550,0000,03550FQHC 59198,A000000,05000,0000,05000CORF 59198,A000000,05010,0000,05010CMHC 59198,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59198,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59198,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59198,A000000,05300,0000,05300INTEREST EXPENSE 59198,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59198,A81000A,00100,0100,Y 59198,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59198,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 59198,A81000B,00300,0300,HEALTH INSURANCE 59198,A81000B,00400,0300,RETIREMENT 59198,A81000B,00600,0300,PHS - NURSING 59198,A81000B,00700,0300,PHS - SOCIAL WORK 59198,A81000B,00800,0300,PHS - SPEECH THERAPY 59198,A81000B,00900,0300,PHS - ACTIVITIES 59198,A81000B,01000,0300,PHS -DIETARY 59198,A81000B,01100,0300,PHS - MED RECORDS 59198,A81000B,01200,0300,PHS - ADMINISTRATIVE 59198,A81000C,00100,0100,B 59198,A81000C,00100,0200,NATIONAL HEALTH 59198,A81000C,00100,0400,PROF HEALTH SER 59198,A81000C,00100,0600,HEALTHCARE 59198,A81000C,00200,0200,CARE CORPORATIO 59198,B100000,00000,0100,00000(SQUARE FEET) 59198,B100000,00000,0200,00000(SQUARE FEET) 59198,B100000,00000,0300,00000(GROSS SALARIES) 59198,B100000,00000,0400,00000(ACCUM COST) 59198,B100000,00000,0500,00000(SQUARE FEET) 59198,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59198,B100000,00000,0700,00000(SQUARE FEET) 59198,B100000,00000,0800,00000(MEALS SERVED) 59198,B100000,00000,0900,00000(DIRECT NRSG HRS) 59198,B100000,00000,1000,00000(COSTED REQUIS) 59198,B100000,00000,1100,00000(COSTED REQUIS) 59198,B100000,00000,1200,00000(TIME SPENT) 59198,B100000,00000,1300,00000(TIME SPENT) 59198,B100000,00000,1400,00000ASSIGNED TIME 59198,E10A180,00501,0100,04/17/2000 59198,E10A180,00550,0300,04/17/2000 59198,S000000,00100,0200,03/22/2000 59198,S200000,00100,0100,2300 COLEMAN ROAD 59198,S200000,00100,0300,3911 59198,S200000,00200,0100,ANNISTON 59198,S200000,00200,0200,AL 59198,S200000,00200,0300,36207 59198,S200000,00300,0100,CALHOUN 59198,S200000,00400,0100,NHC HEALTHCARE ANNISTON 59198,S200000,00400,0200,015120 59198,S200000,00400,0300,10/01/1973 59198,S200000,00400,0500,P 59198,S200000,00600,0200,015120 59198,S200000,00600,0300,10/01/1973 59198,S200000,00600,0600,P 59198,S200000,01600,0100,Y 59198,S200000,01900,0100,NON PROFIT 501C 59208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59208,A000000,00300,0000,00300EMPLOYEE BENEFITS 59208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59208,A000000,00700,0000,00700HOUSEKEEPING 59208,A000000,00800,0000,00800DIETARY 59208,A000000,00900,0000,00900NURSING ADMINISTRATION 59208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59208,A000000,01100,0000,01100PHARMACY 59208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59208,A000000,01300,0000,01300SOCIAL SERVICE 59208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59208,A000000,01600,0000,01600SKILLED NURSING FACILITY 59208,A000000,01800,0000,01800NURSING FACILITY 59208,A000000,01810,0000,01810ICF/MR 59208,A000000,02100,0000,02100RADIOLOGY 59208,A000000,02200,0000,02200LABORATORY 59208,A000000,02300,0000,02300INTRAVENOUS THERAPY 59208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59208,A000000,02500,0000,02500PHYSICAL THERAPY 59208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59208,A000000,02700,0000,02700SPEECH PATHOLOGY 59208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59208,A000000,03550,0000,03550FQHC 59208,A000000,05000,0000,05000CORF 59208,A000000,05010,0000,05010CMHC 59208,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59208,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59208,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59208,A000000,05300,0000,05300INTEREST EXPENSE 59208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59208,A81000A,00100,0100,Y 59208,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59208,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 59208,A81000B,00300,0300,HEALTH INSURANCE 59208,A81000B,00400,0300,RETIREMENT 59208,A81000B,00500,0300,PHS - ADMIN 59208,A81000B,00600,0300,PHS - MED RECORDS 59208,A81000B,00700,0300,PHS - DIETARY 59208,A81000B,00800,0300,PHS - SOCIAL SERVICE 59208,A81000B,00900,0300,PHS - ACTIVITIES 59208,A81000B,01000,0300,PHS - NURSING 59208,A81000B,01200,0300,PHS - OT 59208,A81000B,01300,0300,PHS - PT 59208,A81000C,00100,0100,B 59208,A81000C,00100,0200,NATIONAL HEALTH 59208,A81000C,00100,0600,HOME OFFICE 59208,A81000C,00200,0200,CARE CORPORATIO 59208,A81000C,00300,0100,B 59208,A81000C,00300,0200,PROFESSIONAL H 59208,A81000C,00300,0600,SPECIALIZED PE 59208,A81000C,00400,0200,SERVICES CORP. 59208,B100000,00000,0100,00000(SQUARE FEET) 59208,B100000,00000,0200,00000(SQUARE FEET) 59208,B100000,00000,0300,00000(GROSS SALARIES) 59208,B100000,00000,0400,00000(ACCUM COST) 59208,B100000,00000,0500,00000(SQUARE FEET) 59208,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59208,B100000,00000,0700,00000(SQUARE FEET) 59208,B100000,00000,0800,00000(MEALS SERVED) 59208,B100000,00000,0900,00000(DIRECT NRSG HRS) 59208,B100000,00000,1000,00000(COSTED REQUIS) 59208,B100000,00000,1100,00000(COSTED REQUIS) 59208,B100000,00000,1200,00000(TIME SPENT) 59208,B100000,00000,1300,00000(TIME SPENT) 59208,B100000,00000,1400,00000ASSIGNED TIME 59208,S000000,00100,0200,03/22/2000 59208,S200000,00100,0100,300 HOSPITAL STREET 59208,S200000,00100,0300,339 59208,S200000,00200,0100,MOULTON 59208,S200000,00200,0200,AL 59208,S200000,00200,0300,35650 59208,S200000,00300,0100,LAWRENCE 59208,S200000,00400,0100,NHC HEALTHCARE MOULTON 59208,S200000,00400,0200,015128 59208,S200000,00400,0300,09/01/1977 59208,S200000,00400,0500,P 59208,S200000,00600,0200,015128 59208,S200000,00600,0300,09/01/1977 59208,S200000,00600,0600,P 59208,S200000,01600,0100,Y 59208,S200000,01900,0100,NON PROFIT 501C 59226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59226,A000000,00300,0000,00300EMPLOYEE BENEFITS 59226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59226,A000000,00700,0000,00700HOUSEKEEPING 59226,A000000,00800,0000,00800DIETARY 59226,A000000,00900,0000,00900NURSING ADMINISTRATION 59226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59226,A000000,01100,0000,01100PHARMACY 59226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59226,A000000,01300,0000,01300SOCIAL SERVICE 59226,A000000,01350,0000,01500ACTIVITIES 59226,A000000,01600,0000,01600SKILLED NURSING FACILITY 59226,A000000,01800,0000,01800NURSING FACILITY 59226,A000000,02100,0000,02100RADIOLOGY 59226,A000000,02200,0000,02200LABORATORY 59226,A000000,02300,0000,02300INTRAVENOUS THERAPY 59226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59226,A000000,02500,0000,02500PHYSICAL THERAPY 59226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59226,A000000,02700,0000,02700SPEECH PATHOLOGY 59226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59226,A000000,02901,0000,02901PEN THERAPY 59226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59226,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59226,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59226,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59226,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59226,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59226,A81000A,00100,0100,Y 59226,A81000B,00100,0300,MANAGEMENT FEES 59226,A81000B,00200,0300,ALLOCATED FEES 59226,A81000B,00300,0300,ALLOCATED FEES 59226,A81000B,00400,0300,ALLOCATED FEES 59226,A81000B,00500,0300,MEDILIFE 59226,A81000B,00600,0300,MEDILIFE 59226,A81000B,00700,0300,LCCA INTEREST 59226,A81000B,00800,0300,LCCA Y2K PROJECT 59226,A81000C,00100,0100,A 59226,A81000C,00100,0200,FORREST PRESTON 59226,A81000C,00100,0400,LIFE CARE CTRS 59226,A81000C,00100,0600,MANAGMENT COMPA 59226,A81000C,00200,0100,A 59226,A81000C,00200,0200,FORREST PRESTON 59226,A81000C,00200,0400,MEDILIFE 59226,A81000C,00200,0600,PHARMACY 59226,B100000,00000,0100,00000(SQUARE FEET) 59226,B100000,00000,0200,00000(SQUARE FEET) 59226,B100000,00000,0300,00000(GROSS SALARIES) 59226,B100000,00000,0400,00000(ACCUM COST) 59226,B100000,00000,0500,00000(SQUARE FEET) 59226,B100000,00000,0600,00000PATIENT DAYS 59226,B100000,00000,0700,00000(SQUARE FEET) 59226,B100000,00000,0800,00000(MEALS SERVED) 59226,B100000,00000,0900,00000DIRECT NRSG HOURS 59226,B100000,00000,1000,00000(COSTED REQUIS) 59226,B100000,00000,1100,00000(COSTED REQUIS) 59226,B100000,00000,1200,00000GROSS REVENUES 59226,B100000,00000,1300,00000PATIENT DAYS 59226,B100000,00000,1350,00000PATIENT DAYS 59226,S000000,00100,0200,05/16/2000 59226,S200000,00100,0100,1750 WEST FRYE ROAD 59226,S200000,00200,0100,CHANDLER 59226,S200000,00200,0200,AZ 59226,S200000,00200,0300,85224 59226,S200000,00300,0100,MARICOPA 59226,S200000,00400,0100,DESERT COVE NURSING CENTER 59226,S200000,00400,0200,035095 59226,S200000,00400,0300,12/03/1984 59226,S200000,00400,0500,P 59226,S200000,01600,0100,Y 59226,S200000,02200,0100,Y 59236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59236,A000000,00300,0000,00300EMPLOYEE BENEFITS 59236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59236,A000000,00700,0000,00700HOUSEKEEPING 59236,A000000,00800,0000,00800DIETARY 59236,A000000,00900,0000,00900NURSING ADMINISTRATION 59236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59236,A000000,01100,0000,01100PHARMACY 59236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59236,A000000,01300,0000,01300SOCIAL SERVICE 59236,A000000,01350,0000,01500ACTIVITIES 59236,A000000,01600,0000,01600SKILLED NURSING FACILITY 59236,A000000,01800,0000,01800NURSING FACILITY 59236,A000000,02100,0000,02100RADIOLOGY 59236,A000000,02200,0000,02200LABORATORY 59236,A000000,02300,0000,02300INTRAVENOUS THERAPY 59236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59236,A000000,02500,0000,02500PHYSICAL THERAPY 59236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59236,A000000,02700,0000,02700SPEECH PATHOLOGY 59236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59236,A000000,02901,0000,02901PEN THERAPY 59236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59236,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59236,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59236,A81000A,00100,0100,Y 59236,A81000B,00100,0300,MANAGEMENT FEES 59236,A81000B,00200,0300,ALLOCATED FEES 59236,A81000B,00300,0300,ALLOCATED FEES 59236,A81000B,00400,0300,ALLOCATED FEES 59236,A81000B,00500,0300,LCPSI 59236,A81000B,00600,0300,LCPSI 59236,A81000B,00700,0300,LCPSI 59236,A81000B,00800,0300,LCPSI 59236,A81000B,00900,0300,MEDILIFE 59236,A81000B,01000,0300,LCCA Y2K PROJECT 59236,A81000B,01100,0300,HCE LEASING DEPREC 59236,A81000B,01200,0300,HCE LEASING DEPREC 59236,A81000B,01300,0300,LLCA INTEREST 59236,A81000B,01400,0300,LIFE CARE DESIGN 59236,A81000B,01500,0300,PLANNING & DEVELOPMENT 59236,A81000B,01600,0300,PLANNING & DEVELOPMENT 59236,A81000C,00100,0100,A 59236,A81000C,00100,0200,FORREST PRESTON 59236,A81000C,00100,0400,LIFE CARE CTR O 59236,A81000C,00100,0600,MANAGEMENT FEES 59236,A81000C,00200,0100,A 59236,A81000C,00200,0200,FORREST PRESTON 59236,A81000C,00200,0400,LCPSI 59236,A81000C,00200,0600,PHARMACY 59236,A81000C,00300,0100,A 59236,A81000C,00300,0200,FORREST PRESTON 59236,A81000C,00300,0400,MEDILIFE 59236,A81000C,00300,0600,PHARMACY 59236,A81000C,00400,0100,A 59236,A81000C,00400,0200,FORREST PRESTON 59236,A81000C,00400,0400,HCE LEASING 59236,A81000C,00400,0600,EQUIPMENT LEASE 59236,A81000C,00500,0100,A 59236,A81000C,00500,0200,FORREST PRESTON 59236,A81000C,00500,0400,LIFE CARE DESIG 59236,A81000C,00500,0600,INTERIOR DESIGN 59236,B100000,00000,0100,00000(SQUARE FEET) 59236,B100000,00000,0200,00000(SQUARE FEET) 59236,B100000,00000,0300,00000(GROSS SALARIES) 59236,B100000,00000,0400,00000(ACCUM COST) 59236,B100000,00000,0500,00000(SQUARE FEET) 59236,B100000,00000,0600,00000PATIENT DAYS 59236,B100000,00000,0700,00000(SQUARE FEET) 59236,B100000,00000,0800,00000(MEALS SERVED) 59236,B100000,00000,0900,00000DIRECT NRSG HOURS 59236,B100000,00000,1000,00000(COSTED REQUIS) 59236,B100000,00000,1100,00000(COSTED REQUIS) 59236,B100000,00000,1200,00000GROSS REVENUES 59236,B100000,00000,1300,00000PATIENT DAYS 59236,B100000,00000,1350,00000PATIENT DAYS 59236,S000000,00100,0200,05/16/2000 59236,S200000,00100,0100,5121 EAST BROADWAY ROAD 59236,S200000,00200,0100,MESA 59236,S200000,00200,0200,AZ 59236,S200000,00200,0300,85206 59236,S200000,00300,0100,MARICOPA 59236,S200000,00400,0100,CITADEL CARE CENTER 59236,S200000,00400,0200,035103 59236,S200000,00400,0300,02/01/1985 59236,S200000,00400,0500,P 59236,S200000,01600,0100,Y 59236,S200000,02200,0100,Y 59245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59245,A000000,00300,0000,00300EMPLOYEE BENEFITS 59245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59245,A000000,00700,0000,00700HOUSEKEEPING 59245,A000000,00800,0000,00800DIETARY 59245,A000000,00900,0000,00900NURSING ADMINISTRATION 59245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59245,A000000,01100,0000,01100PHARMACY 59245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59245,A000000,01300,0000,01300SOCIAL SERVICE 59245,A000000,01350,0000,01500ACTIVITIES 59245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59245,A000000,01600,0000,01600SKILLED NURSING FACILITY 59245,A000000,01800,0000,01800NURSING FACILITY 59245,A000000,01810,0000,01810ICF/MR 59245,A000000,02100,0000,02100RADIOLOGY 59245,A000000,02200,0000,02200LABORATORY 59245,A000000,02300,0000,02300INTRAVENOUS THERAPY 59245,A000000,02500,0000,02500PHYSICAL THERAPY 59245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59245,A000000,02700,0000,02700SPEECH PATHOLOGY 59245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59245,A000000,02901,0000,02901PEN THERAPY 59245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59245,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59245,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59245,A000000,03550,0000,03550FQHC 59245,A000000,05000,0000,05000CORF 59245,A000000,05010,0000,05010CMHC 59245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59245,A81000A,00100,0100,Y 59245,A81000B,00100,0300,LCCA MANAGEMENT FEES 59245,A81000B,00200,0300,LCCA ALLOCATED FEES 59245,A81000B,00300,0300,LCCA ALLOCATED FEES 59245,A81000B,00400,0300,LCCA ALLOCATED FEES 59245,A81000B,00500,0300,LCPSI PHARMACY 59245,A81000B,00600,0300,LCPSI RX CONSULTANT 59245,A81000B,00700,0300,LCPSI IV SUPPLIES 59245,A81000B,00800,0300,LCPSI NURSING SUPPLY 59245,A81000B,00900,0300,MEDILIFE MED SUPPLY 59245,A81000B,01000,0300,MEDILFIE NRSG SUPPLY 59245,A81000B,01100,0300,LCCA INTEREST 59245,A81000B,01200,0300,LIFE CARE DESIGN1999 59245,A81000B,01300,0300,LIFE CARE DESIGN1998 59245,A81000B,01400,0300,LCCA Y2K PROJECT 59245,A81000C,00100,0100,A 59245,A81000C,00100,0200,FORREST PRESTON 59245,A81000C,00100,0400,LIFE CARE CTR O 59245,A81000C,00100,0600,MANAGEMENT FEES 59245,A81000C,00200,0100,A 59245,A81000C,00200,0200,FORREST PRESTON 59245,A81000C,00200,0400,LCPSI 59245,A81000C,00200,0600,PHARMACY 59245,A81000C,00300,0100,A 59245,A81000C,00300,0200,FORREST PRESTON 59245,A81000C,00300,0400,MEDILIFE 59245,A81000C,00300,0600,PHARMACY 59245,A81000C,00400,0100,A 59245,A81000C,00400,0200,FORREST PRESTON 59245,A81000C,00400,0400,LIFE CARE DESIG 59245,A81000C,00400,0600,INTERIOR DESIGN 59245,B100000,00000,0100,00000(SQUARE FEET) 59245,B100000,00000,0200,00000(SQUARE FEET) 59245,B100000,00000,0300,00000(GROSS SALARIES) 59245,B100000,00000,0400,00000(ACCUM COST) 59245,B100000,00000,0500,00000(SQUARE FEET) 59245,B100000,00000,0600,00000PATIENT DAYS 59245,B100000,00000,0700,00000(SQUARE FEET) 59245,B100000,00000,0800,00000(MEALS SERVED) 59245,B100000,00000,0900,00000DIRECT NRSG HOURS 59245,B100000,00000,1000,00000(COSTED REQUIS) 59245,B100000,00000,1100,00000(COSTED REQUIS) 59245,B100000,00000,1200,00000GROSS REVENUES 59245,B100000,00000,1300,00000PATIENT DAYS 59245,B100000,00000,1350,00000PATIENT DAYS 59245,B100000,00000,1400,00000ASSIGNED TIME 59245,E10A180,00301,0100,02/09/2000 59245,E10A180,00302,0100,08/16/1999 59245,S000000,00100,0200,05/17/2000 59245,S200000,00100,0100,20625 NORTH LAKE PLEASANT DRIVE 59245,S200000,00200,0100,PEORIA 59245,S200000,00200,0200,AZ 59245,S200000,00200,0300,85382 59245,S200000,00300,0100,MARICOPA 59245,S200000,00400,0100,SUN GROVE VILLAGE CARE CTR 59245,S200000,00400,0200,035111 59245,S200000,00400,0300,08/01/1989 59245,S200000,00400,0500,P 59245,S200000,01600,0100,Y 59245,S200000,02200,0100,Y 59253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59253,A000000,00300,0000,00300EMPLOYEE BENEFITS 59253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59253,A000000,00700,0000,00700HOUSEKEEPING 59253,A000000,00800,0000,00800DIETARY 59253,A000000,00900,0000,00900NURSING ADMINISTRATION 59253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59253,A000000,01100,0000,01100PHARMACY 59253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59253,A000000,01300,0000,01300SOCIAL SERVICE 59253,A000000,01350,0000,01500ACTIVITIES 59253,A000000,01600,0000,01600SKILLED NURSING FACILITY 59253,A000000,01800,0000,01800NURSING FACILITY 59253,A000000,02200,0000,02200LABORATORY 59253,A000000,02300,0000,02300INTRAVENOUS THERAPY 59253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59253,A000000,02500,0000,02500PHYSICAL THERAPY 59253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59253,A000000,02700,0000,02700SPEECH PATHOLOGY 59253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59253,A000000,02901,0000,02901PEN THERAPY 59253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59253,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59253,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59253,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59253,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59253,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59253,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59253,A81000A,00100,0100,Y 59253,A81000B,00100,0300,MANAGEMENT FEES 59253,A81000B,00200,0300,ALLOCATED FEES 59253,A81000B,00300,0300,ALLOCATED FEES 59253,A81000B,00400,0300,ALLOCATED FEES 59253,A81000B,00500,0300,LCPSI 59253,A81000B,00600,0300,LCPSI 59253,A81000B,00700,0300,LCPSI 59253,A81000B,00800,0300,LCPSI 59253,A81000B,00900,0300,LCPSI 59253,A81000B,01000,0300,MEDILIFE 59253,A81000B,01100,0300,MEDILIFE 59253,A81000B,01200,0300,MEDILIFE 59253,A81000B,01300,0300,LCCA INTEREST 59253,A81000B,01400,0300,LCCA Y2K PROJECT 59253,A81000B,01500,0300,LCCA INTEREST 59253,A81000C,00100,0100,A 59253,A81000C,00100,0200,FORREST PRESTON 59253,A81000C,00100,0400,LIFE CARE CTR O 59253,A81000C,00100,0600,MANAGEMENT COMP 59253,A81000C,00200,0100,A 59253,A81000C,00200,0200,FORREST PRESTON 59253,A81000C,00200,0400,LCPSI 59253,A81000C,00200,0600,PHARMACY 59253,A81000C,00300,0100,A 59253,A81000C,00300,0200,FORREST PRESTON 59253,A81000C,00300,0400,MEDILIFE 59253,A81000C,00300,0600,PHARMACY 59253,A81000C,00400,0100,A 59253,B100000,00000,0100,00000(SQUARE FEET) 59253,B100000,00000,0200,00000(SQUARE FEET) 59253,B100000,00000,0300,00000(GROSS SALARIES) 59253,B100000,00000,0400,00000(ACCUM COST) 59253,B100000,00000,0500,00000(SQUARE FEET) 59253,B100000,00000,0600,00000PATIENT DAYS 59253,B100000,00000,0700,00000(SQUARE FEET) 59253,B100000,00000,0800,00000(MEALS SERVED) 59253,B100000,00000,0900,00000DIRECT NRSG HOURS 59253,B100000,00000,1000,00000(COSTED REQUIS) 59253,B100000,00000,1100,00000(COSTED REQUIS) 59253,B100000,00000,1200,00000GROSS REVENUES 59253,B100000,00000,1300,00000PATIENT DAYS 59253,B100000,00000,1350,00000PATIENT DAYS 59253,E10A180,00501,0100,05/26/2000 59253,E10A180,00550,0300,05/26/2000 59253,S000000,00100,0200,05/24/2000 59253,S200000,00100,0100,107 EAST LONE PINE DRIVE 59253,S200000,00200,0100,PAYSON 59253,S200000,00200,0200,AZ 59253,S200000,00200,0300,85541 59253,S200000,00300,0100,GILA 59253,S200000,00400,0100,PAYSON CARE CENTER 59253,S200000,00400,0200,035117 59253,S200000,00400,0300,09/01/1985 59253,S200000,00400,0500,P 59253,S200000,01600,0100,Y 59253,S200000,02200,0100,Y 59262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59262,A000000,00300,0000,00300EMPLOYEE BENEFITS 59262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59262,A000000,00700,0000,00700HOUSEKEEPING 59262,A000000,00800,0000,00800DIETARY 59262,A000000,00900,0000,00900NURSING ADMINISTRATION 59262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59262,A000000,01100,0000,01100PHARMACY 59262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59262,A000000,01300,0000,01300SOCIAL SERVICE 59262,A000000,01350,0000,01500ACTIVITIES 59262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59262,A000000,01600,0000,01600SKILLED NURSING FACILITY 59262,A000000,01800,0000,01800NURSING FACILITY 59262,A000000,01810,0000,01810ICF/MR 59262,A000000,02100,0000,02100RADIOLOGY 59262,A000000,02200,0000,02200LABORATORY 59262,A000000,02300,0000,02300INTRAVENOUS THERAPY 59262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59262,A000000,02500,0000,02500PHYSICAL THERAPY 59262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59262,A000000,02700,0000,02700SPEECH PATHOLOGY 59262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59262,A000000,02901,0000,02901PEN THERAPY 59262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59262,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59262,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59262,A000000,03550,0000,03550FQHC 59262,A000000,05000,0000,05000CORF 59262,A000000,05010,0000,05010CMHC 59262,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59262,A81000A,00100,0100,Y 59262,A81000B,00100,0300,LCCA MANAGEMENT FEES 59262,A81000B,00200,0300,LCCA ALLOCATED FEES 59262,A81000B,00300,0300,LCCA ALLOCATED FEES 59262,A81000B,00400,0300,LCCA ALLOCATED FEES 59262,A81000B,00500,0300,LCPSI - RX 59262,A81000B,00600,0300,LCPSI - RX CONSULT 59262,A81000B,00700,0300,LCPSI 59262,A81000B,00800,0300,LCPSI 59262,A81000B,00900,0300,LCPSI NRSG SPLY 59262,A81000B,01000,0300,MEDILIFE 59262,A81000B,01100,0300,MEDILIFE NRSG SPLY 59262,A81000B,01200,0300,LCCA INTEREST 59262,A81000B,01300,0300,LCCA INTEREST 59262,A81000B,01400,0300,LCCA Y2K 59262,A81000C,00100,0100,A 59262,A81000C,00100,0200,FORREST PRESTON 59262,A81000C,00100,0400,LIFE CARE CTR O 59262,A81000C,00100,0600,MANAGEMENT COMP 59262,A81000C,00200,0100,A 59262,A81000C,00200,0200,FORREST PRESTON 59262,A81000C,00200,0400,LCPSI 59262,A81000C,00200,0600,PHARMACY 59262,A81000C,00300,0100,A 59262,A81000C,00300,0200,FORREST PRESTON 59262,A81000C,00300,0400,MEDILIFE 59262,A81000C,00300,0600,PHARMACY 59262,B100000,00000,0100,00000(SQUARE FEET) 59262,B100000,00000,0200,00000(SQUARE FEET) 59262,B100000,00000,0300,00000(GROSS SALARIES) 59262,B100000,00000,0400,00000(ACCUM COST) 59262,B100000,00000,0500,00000(SQUARE FEET) 59262,B100000,00000,0600,00000PATIENT DAYS 59262,B100000,00000,0700,00000(SQUARE FEET) 59262,B100000,00000,0800,00000(MEALS SERVED) 59262,B100000,00000,0900,00000DIRECT NRSG HOURS 59262,B100000,00000,1000,00000(COSTED REQUIS) 59262,B100000,00000,1100,00000(COSTED REQUIS) 59262,B100000,00000,1200,00000GROSS REVENUES 59262,B100000,00000,1300,00000PATIENT DAYS 59262,B100000,00000,1350,00000PATIENT DAYS 59262,B100000,00000,1400,00000ASSIGNED TIME 59262,S000000,00100,0200,05/17/2000 59262,S200000,00100,0100,330 SOUTH PINNULE CIRCLE 59262,S200000,00200,0100,MESA 59262,S200000,00200,0200,AZ 59262,S200000,00200,0300,85206 59262,S200000,00300,0100,MARICOPA 59262,S200000,00400,0100,MI CASA NURSING CENTER 59262,S200000,00400,0200,035120 59262,S200000,00400,0300,11/27/1985 59262,S200000,00400,0500,P 59262,S200000,01600,0100,Y 59262,S200000,02200,0100,Y 59272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59272,A000000,00300,0000,00300EMPLOYEE BENEFITS 59272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59272,A000000,00700,0000,00700HOUSEKEEPING 59272,A000000,00800,0000,00800DIETARY 59272,A000000,00900,0000,00900NURSING ADMINISTRATION 59272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59272,A000000,01100,0000,01100PHARMACY 59272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59272,A000000,01300,0000,01300SOCIAL SERVICE 59272,A000000,01350,0000,01500ACTIVITIES 59272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59272,A000000,01600,0000,01600SKILLED NURSING FACILITY 59272,A000000,01800,0000,01800NURSING FACILITY 59272,A000000,01810,0000,01810ICF/MR 59272,A000000,02100,0000,02100RADIOLOGY 59272,A000000,02200,0000,02200LABORATORY 59272,A000000,02300,0000,02300INTRAVENOUS THERAPY 59272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59272,A000000,02500,0000,02500PHYSICAL THERAPY 59272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59272,A000000,02700,0000,02700SPEECH PATHOLOGY 59272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59272,A000000,02901,0000,02901PEN THERAPY 59272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59272,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59272,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59272,A000000,03550,0000,03550FQHC 59272,A000000,05000,0000,05000CORF 59272,A000000,05010,0000,05010CMHC 59272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59272,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59272,A81000A,00100,0100,Y 59272,A81000B,00100,0300,MANAGEMENT FEES 59272,A81000B,00200,0300,ALLOCATED FEES 59272,A81000B,00300,0300,ALLOCATED FEES 59272,A81000B,00400,0300,ALLOCATED FEES 59272,A81000B,00500,0300,LCPSI 59272,A81000B,00600,0300,LCPSI 59272,A81000B,00700,0300,LCPSI 59272,A81000B,00800,0300,LCPSI 59272,A81000B,00900,0300,MEDILIFE 59272,A81000B,01000,0300,LCCA METLIFE INT 59272,A81000B,01100,0300,LCCA INTEREST 59272,A81000B,01200,0300,LCCA INTEREST 59272,A81000B,01300,0300,LCCA INTEREST 59272,A81000B,01400,0300,LCCA Y2K PROJECT 59272,A81000C,00100,0100,A 59272,A81000C,00100,0200,FORREST PRESTON 59272,A81000C,00100,0400,LIFE CARE CENTE 59272,A81000C,00100,0600,MANAGEMENT COMP 59272,A81000C,00200,0400,AMERICA IN 59272,A81000C,00300,0100,A 59272,A81000C,00300,0200,FORREST PRESTON 59272,A81000C,00300,0400,LIFE CARE PHARM 59272,A81000C,00300,0600,PHARMACY 59272,A81000C,00400,0400,SERVICES I 59272,A81000C,00500,0100,A 59272,A81000C,00500,0200,FORREST PRESTON 59272,A81000C,00500,0400,MEDILIFE 59272,A81000C,00500,0600,PHARMACY 59272,B100000,00000,0100,00000(SQUARE FEET) 59272,B100000,00000,0200,00000(SQUARE FEET) 59272,B100000,00000,0300,00000(GROSS SALARIES) 59272,B100000,00000,0400,00000(ACCUM COST) 59272,B100000,00000,0500,00000(SQUARE FEET) 59272,B100000,00000,0600,00000PATIENT DAYS 59272,B100000,00000,0700,00000(SQUARE FEET) 59272,B100000,00000,0800,00000(MEALS SERVED) 59272,B100000,00000,0900,00000DIRECT NRSG HRS 59272,B100000,00000,1000,00000(COSTED REQUIS) 59272,B100000,00000,1100,00000(COSTED REQUIS) 59272,B100000,00000,1200,00000GROSS REVENUES 59272,B100000,00000,1300,00000PATIENT DAYS 59272,B100000,00000,1350,00000PATIENT DAYS 59272,B100000,00000,1400,00000ASSIGNED TIME 59272,E10A180,00301,0100,02/09/2000 59272,S000000,00100,0200,05/25/2000 59272,S200000,00100,0100,13620 NORTH 55TH AVENUE 59272,S200000,00200,0100,GLENDALE 59272,S200000,00200,0200,AZ 59272,S200000,00200,0300,85304 59272,S200000,00300,0100,MARICOPA 59272,S200000,00400,0100,LCC NORTH GLENDALE 59272,S200000,00400,0200,035126 59272,S200000,00400,0300,04/10/1986 59272,S200000,00400,0500,P 59272,S200000,01600,0100,Y 59272,S200000,02200,0100,Y 59281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59281,A000000,00300,0000,00300EMPLOYEE BENEFITS 59281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59281,A000000,00700,0000,00700HOUSEKEEPING 59281,A000000,00800,0000,00800DIETARY 59281,A000000,00900,0000,00900NURSING ADMINISTRATION 59281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59281,A000000,01100,0000,01100PHARMACY 59281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59281,A000000,01300,0000,01300SOCIAL SERVICE 59281,A000000,01350,0000,01500ACTIVITIES 59281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59281,A000000,01600,0000,01600SKILLED NURSING FACILITY 59281,A000000,01800,0000,01800NURSING FACILITY 59281,A000000,01810,0000,01810ICF/MR 59281,A000000,02100,0000,02100RADIOLOGY 59281,A000000,02200,0000,02200LABORATORY 59281,A000000,02300,0000,02300INTRAVENOUS THERAPY 59281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59281,A000000,02500,0000,02500PHYSICAL THERAPY 59281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59281,A000000,02700,0000,02700SPEECH PATHOLOGY 59281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59281,A000000,02901,0000,02901PEN THERAPY 59281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59281,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59281,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59281,A000000,03550,0000,03550FQHC 59281,A000000,05000,0000,05000CORF 59281,A000000,05010,0000,05010CMHC 59281,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59281,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59281,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59281,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59281,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59281,A000000,06150,0000,06300MARKETING 59281,A81000A,00100,0100,Y 59281,A81000B,00100,0300,LCCA MANAGEMENT FEES 59281,A81000B,00200,0300,ALLOCATED FEES 59281,A81000B,00300,0300,ALLOCATED FEES 59281,A81000B,00400,0300,ALLOCATED FEES 59281,A81000B,00500,0300,LCPSI 59281,A81000B,00600,0300,LCPSI 59281,A81000B,00700,0300,LCPSI 59281,A81000B,00800,0300,LCPSI 59281,A81000B,00900,0300,LCPSI 59281,A81000B,01000,0300,MEDILIFE 59281,A81000B,01100,0300,MEDLIFE 59281,A81000B,01200,0300,LCCA INTEREST 59281,A81000B,01300,0300,LCCA Y2K PROJECT 59281,A81000B,01400,0300,HCE VAN DEPRECIATION 59281,A81000B,01500,0300,LCCA INTEREST 59281,A81000C,00100,0100,A 59281,A81000C,00100,0200,FORREST PRESTON 59281,A81000C,00100,0400,LIFE CARE CTR O 59281,A81000C,00100,0600,MANAGEMENT COMP 59281,A81000C,00200,0100,A 59281,A81000C,00200,0200,FORREST PRESTON 59281,A81000C,00200,0400,LCPSI 59281,A81000C,00200,0600,PHARMACY 59281,A81000C,00300,0100,A 59281,A81000C,00300,0200,FORREST PRESTON 59281,A81000C,00300,0400,MEDILIFE 59281,A81000C,00300,0600,PHARMACY 59281,A81000C,00400,0100,A 59281,A81000C,00400,0200,FORREST PRESTON 59281,A81000C,00400,0400,HCE LEASING 59281,A81000C,00400,0600,EQUIPMENT LEASI 59281,B100000,00000,0100,00000(SQUARE FEET) 59281,B100000,00000,0200,00000(SQUARE FEET) 59281,B100000,00000,0300,00000(GROSS SALARIES) 59281,B100000,00000,0400,00000(ACCUM COST) 59281,B100000,00000,0500,00000(SQUARE FEET) 59281,B100000,00000,0600,00000PATIENT DAYS 59281,B100000,00000,0700,00000(SQUARE FEET) 59281,B100000,00000,0800,00000(MEALS SERVED) 59281,B100000,00000,0900,00000DIRECT NRSG HOURS 59281,B100000,00000,1000,00000(COSTED REQUIS) 59281,B100000,00000,1100,00000(COSTED REQUIS) 59281,B100000,00000,1200,00000GROSS REVENUES 59281,B100000,00000,1300,00000PATIENT DAYS 59281,B100000,00000,1350,00000PATIENT DAYS 59281,B100000,00000,1400,00000ASSIGNED TIME 59281,E10A180,00501,0100,07/06/2000 59281,E10A180,00550,0300,07/06/2000 59281,S000000,00100,0200,05/17/2000 59281,S200000,00100,0100,1045 SCOTT DRIVE 59281,S200000,00200,0100,PRESCOTT 59281,S200000,00200,0200,AZ 59281,S200000,00200,0300,86301 59281,S200000,00300,0100,YAVAPAI 59281,S200000,00400,0100,LAS FUENTES CARE CENTER 59281,S200000,00400,0200,035131 59281,S200000,00400,0300,07/31/1986 59281,S200000,00400,0500,P 59281,S200000,01600,0100,Y 59281,S200000,02200,0100,Y 59292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59292,A000000,00300,0000,00300EMPLOYEE BENEFITS 59292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59292,A000000,00700,0000,00700HOUSEKEEPING 59292,A000000,00800,0000,00800DIETARY 59292,A000000,00900,0000,00900NURSING ADMINISTRATION 59292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59292,A000000,01100,0000,01100PHARMACY 59292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59292,A000000,01300,0000,01300SOCIAL SERVICE 59292,A000000,01350,0000,01500ACTIVITIES 59292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59292,A000000,01600,0000,01600SKILLED NURSING FACILITY 59292,A000000,01800,0000,01800NURSING FACILITY 59292,A000000,01810,0000,01810ICF/MR 59292,A000000,02100,0000,02100RADIOLOGY 59292,A000000,02200,0000,02200LABORATORY 59292,A000000,02300,0000,02300INTRAVENOUS THERAPY 59292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59292,A000000,02500,0000,02500PHYSICAL THERAPY 59292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59292,A000000,02700,0000,02700SPEECH PATHOLOGY 59292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59292,A000000,02901,0000,02901PEN THERAPY 59292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59292,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59292,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59292,A000000,03550,0000,03550FQHC 59292,A000000,05000,0000,05000CORF 59292,A000000,05010,0000,05010CMHC 59292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59292,A81000A,00100,0100,Y 59292,A81000B,00100,0300,MANAGEMENT FEES 59292,A81000B,00200,0300,ALLOCATED FEEES 59292,A81000B,00300,0300,ALLOCATED FEES 59292,A81000B,00400,0300,ALLOCATED FEES 59292,A81000B,00500,0300,MEDILIFE PHARMACY 59292,A81000B,00600,0300,MEDILIFE PHARMACY 59292,A81000B,00700,0300,LCCA INTEREST 59292,A81000B,00800,0300,LIFE CARE DESIGN 59292,A81000B,00900,0300,LCCA Y2K PROJECT 59292,A81000C,00100,0100,A 59292,A81000C,00100,0200,FORREST PRESTON 59292,A81000C,00100,0400,LIFE CARE CENTE 59292,A81000C,00100,0600,MANAGEMENT COMP 59292,A81000C,00200,0400,OF AMERICA 59292,A81000C,00300,0100,A 59292,A81000C,00300,0200,FORREST PRESTON 59292,A81000C,00300,0400,LIFE CARE DESIG 59292,A81000C,00300,0600,INTERIOR DESIGN 59292,A81000C,00400,0100,A 59292,A81000C,00400,0200,FORREST PRESTON 59292,A81000C,00400,0400,MEDILIFE PHARMA 59292,A81000C,00400,0600,PHARMACY 59292,B100000,00000,0100,00000(SQUARE FEET) 59292,B100000,00000,0200,00000(SQUARE FEET) 59292,B100000,00000,0300,00000(GROSS SALARIES) 59292,B100000,00000,0400,00000(ACCUM COST) 59292,B100000,00000,0500,00000(SQUARE FEET) 59292,B100000,00000,0600,00000PATIENT DAYS 59292,B100000,00000,0700,00000(SQUARE FEET) 59292,B100000,00000,0800,00000(MEALS SERVED) 59292,B100000,00000,0900,00000DIRECT NRSG HRS 59292,B100000,00000,1000,00000(COSTED REQUIS) 59292,B100000,00000,1100,00000(COSTED REQUIS) 59292,B100000,00000,1200,00000GROSS REVENUES 59292,B100000,00000,1300,00000PATIENT DAYS 59292,B100000,00000,1350,00000PATIENT DAYS 59292,B100000,00000,1400,00000ASSIGNED TIME 59292,E10A180,00501,0100,06/22/2000 59292,E10A180,00550,0300,06/22/2000 59292,S000000,00100,0200,05/17/2000 59292,S200000,00100,0100,2450 SOUTH 19TH AVENUE 59292,S200000,00200,0100,YUMA 59292,S200000,00200,0200,AZ 59292,S200000,00200,0300,85364 59292,S200000,00300,0100,YUMA 59292,S200000,00400,0100,LCC YUMA 59292,S200000,00400,0200,035133 59292,S200000,00400,0300,08/01/1986 59292,S200000,00400,0500,P 59292,S200000,01600,0100,Y 59292,S200000,02200,0100,Y 59302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59302,A000000,00300,0000,00300EMPLOYEE BENEFITS 59302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59302,A000000,00700,0000,00700HOUSEKEEPING 59302,A000000,00800,0000,00800DIETARY 59302,A000000,00900,0000,00900NURSING ADMINISTRATION 59302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59302,A000000,01100,0000,01100PHARMACY 59302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59302,A000000,01300,0000,01300SOCIAL SERVICE 59302,A000000,01350,0000,01500ACTIVITIES 59302,A000000,01600,0000,01600SKILLED NURSING FACILITY 59302,A000000,01800,0000,01800NURSING FACILITY 59302,A000000,02200,0000,02200LABORATORY 59302,A000000,02300,0000,02300INTRAVENOUS THERAPY 59302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59302,A000000,02500,0000,02500PHYSICAL THERAPY 59302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59302,A000000,02700,0000,02700SPEECH PATHOLOGY 59302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59302,A000000,02901,0000,02901PEN THERAPY 59302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59302,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59302,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59302,A81000A,00100,0100,Y 59302,A81000B,00100,0300,MANAGEMENT FEES 59302,A81000B,00200,0300,ALLOCATED FEES 59302,A81000B,00300,0300,ALLOCATED FEES 59302,A81000B,00400,0300,ALLOCATED FEES 59302,A81000B,00500,0300,MEDILIFE 59302,A81000B,00600,0300,MEDILIFE 59302,A81000B,00700,0300,LCPSI 59302,A81000B,00800,0300,LCPSI 59302,A81000B,00900,0300,LCPSI 59302,A81000B,01000,0300,LCPSI 59302,A81000B,01100,0300,LCCA INTEREST 59302,A81000B,01200,0300,HCE LEASE INTEREST 59302,A81000B,01300,0300,HCE LEASE DEPREC 59302,A81000B,01400,0300,LCCA Y2K PROJECT 59302,A81000C,00100,0100,A 59302,A81000C,00100,0200,FORREST PRESTON 59302,A81000C,00100,0400,LIFE CARE CTR O 59302,A81000C,00100,0600,MANAGEMENT COMP 59302,A81000C,00200,0100,A 59302,A81000C,00200,0200,FORREST PRESTON 59302,A81000C,00200,0400,MEDILIFE 59302,A81000C,00200,0600,PHARMACY 59302,A81000C,00300,0100,A 59302,A81000C,00300,0200,FORREST PRESTON 59302,A81000C,00300,0400,LCPSI 59302,A81000C,00300,0600,PHARMACY 59302,A81000C,00400,0100,A 59302,A81000C,00400,0200,FORREST PRESTON 59302,A81000C,00400,0400,HCE LEASING 59302,A81000C,00400,0600,EQPT LEASING 59302,B100000,00000,0100,00000(SQUARE FEET) 59302,B100000,00000,0200,00000(SQUARE FEET) 59302,B100000,00000,0300,00000(GROSS SALARIES) 59302,B100000,00000,0400,00000(ACCUM COST) 59302,B100000,00000,0500,00000(SQUARE FEET) 59302,B100000,00000,0600,00000PATIENT DAYS 59302,B100000,00000,0700,00000(SQUARE FEET) 59302,B100000,00000,0800,00000(MEALS SERVED) 59302,B100000,00000,0900,00000DIRECT NRSG HOURS 59302,B100000,00000,1000,00000(COSTED REQUIS) 59302,B100000,00000,1100,00000(COSTED REQUIS) 59302,B100000,00000,1200,00000GROSS REVENUES 59302,B100000,00000,1300,00000PATIENT DAYS 59302,B100000,00000,1350,00000PATIENT DAYS 59302,E10A180,00301,0100,02/09/2000 59302,S000000,00100,0200,05/30/2000 59302,S200000,00100,0100,2305 EAST WILCOX DRIVE 59302,S200000,00200,0100,SIERRA VISTA 59302,S200000,00200,0200,AZ 59302,S200000,00200,0300,85635 59302,S200000,00300,0100,COCHISE 59302,S200000,00400,0100,LCC SIERRA VISTA 59302,S200000,00400,0200,035136 59302,S200000,00400,0300,10/02/1986 59302,S200000,00400,0500,P 59302,S200000,01600,0100,Y 59302,S200000,02200,0100,Y 59312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59312,A000000,00300,0000,00300EMPLOYEE BENEFITS 59312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59312,A000000,00700,0000,00700HOUSEKEEPING 59312,A000000,00800,0000,00800DIETARY 59312,A000000,00900,0000,00900NURSING ADMINISTRATION 59312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59312,A000000,01100,0000,01100PHARMACY 59312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59312,A000000,01300,0000,01300SOCIAL SERVICE 59312,A000000,01350,0000,01500ACTIVITIES 59312,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59312,A000000,01600,0000,01600SKILLED NURSING FACILITY 59312,A000000,01800,0000,01800NURSING FACILITY 59312,A000000,01810,0000,01810ICF/MR 59312,A000000,01900,0000,01900OTHER LONG TERM CARE 59312,A000000,02100,0000,02100RADIOLOGY 59312,A000000,02200,0000,02200LABORATORY 59312,A000000,02300,0000,02300INTRAVENOUS THERAPY 59312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59312,A000000,02500,0000,02500PHYSICAL THERAPY 59312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59312,A000000,02700,0000,02700SPEECH PATHOLOGY 59312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59312,A000000,02901,0000,02901PEN THERAPY 59312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59312,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59312,A000000,03051,0000,03301AMBULANCE SERVICES 59312,A000000,03550,0000,03550FQHC 59312,A000000,05000,0000,05000CORF 59312,A000000,05010,0000,05010CMHC 59312,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59312,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59312,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59312,A000000,06150,0000,06300MARKETING 59312,A81000A,00100,0100,Y 59312,A81000B,00100,0300,MANAGEMENT FEES 59312,A81000B,00200,0300,ALLOCATED FEES 59312,A81000B,00300,0300,ALLOCATED FEES 59312,A81000B,00400,0300,ALLOCATED FEES 59312,A81000B,00500,0300,LCPSI 59312,A81000B,00600,0300,LCPSI 59312,A81000B,00700,0300,LCPSI 59312,A81000B,00800,0300,MEDILIFE 59312,A81000B,00900,0300,MEDILIFE 59312,A81000B,01000,0300,LCCA INTEREST 59312,A81000B,01100,0300,LIFE CARE DESIGN 59312,A81000B,01200,0300,LCCA Y2K PROJECT 59312,A81000C,00100,0100,A 59312,A81000C,00100,0200,FORREST PRESTON 59312,A81000C,00100,0400,LIFE CARE CTR O 59312,A81000C,00100,0600,MANAGEMENT COMP 59312,A81000C,00200,0100,A 59312,A81000C,00200,0200,FORREST PRESTON 59312,A81000C,00200,0400,LCPSI 59312,A81000C,00200,0600,PHARMACY 59312,A81000C,00300,0100,A 59312,A81000C,00300,0200,FORREST PRESTON 59312,A81000C,00300,0400,MEDILIFE 59312,A81000C,00300,0600,PHARMACY 59312,A81000C,00400,0100,A 59312,A81000C,00400,0200,FORREST PRESTON 59312,A81000C,00400,0400,LIFE CARE DESIG 59312,A81000C,00400,0600,INTERIOR DESIGN 59312,B100000,00000,0100,00000(SQUARE FEET) 59312,B100000,00000,0200,00000(SQUARE FEET) 59312,B100000,00000,0300,00000(GROSS SALARIES) 59312,B100000,00000,0400,00000(ACCUM COST) 59312,B100000,00000,0500,00000(SQUARE FEET) 59312,B100000,00000,0600,00000PATIENT DAYS 59312,B100000,00000,0700,00000(SQUARE FEET) 59312,B100000,00000,0800,00000(MEALS SERVED) 59312,B100000,00000,0900,00000DIRECT NRSG HOURS 59312,B100000,00000,1000,00000(COSTED REQUIS) 59312,B100000,00000,1100,00000(COSTED REQUIS) 59312,B100000,00000,1200,00000GROSS REVENUES 59312,B100000,00000,1300,00000PATIENT DAYS 59312,B100000,00000,1350,00000PATIENT DAYS 59312,B100000,00000,1400,00000ASSIGNED TIME 59312,E10A180,00501,0100,07/24/2000 59312,E10A180,00550,0300,07/24/2000 59312,S000000,00100,0200,05/30/2000 59312,S200000,00100,0100,6211 NORTH LACHOLLA BOULEVARD 59312,S200000,00200,0100,TUCSON 59312,S200000,00200,0200,AZ 59312,S200000,00200,0300,85741 59312,S200000,00300,0100,PIMA 59312,S200000,00400,0100,LCC TUCSON 59312,S200000,00400,0200,035140 59312,S200000,00400,0300,01/01/1987 59312,S200000,00400,0500,P 59312,S200000,01600,0100,Y 59312,S200000,02200,0100,Y 59323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59323,A000000,00300,0000,00300EMPLOYEE BENEFITS 59323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59323,A000000,00700,0000,00700HOUSEKEEPING 59323,A000000,00800,0000,00800DIETARY 59323,A000000,00900,0000,00900NURSING ADMINISTRATION 59323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59323,A000000,01100,0000,01100PHARMACY 59323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59323,A000000,01300,0000,01300SOCIAL SERVICE 59323,A000000,01350,0000,01500ACTIVITIES 59323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59323,A000000,01600,0000,01600SKILLED NURSING FACILITY 59323,A000000,01800,0000,01800NURSING FACILITY 59323,A000000,01810,0000,01810ICF/MR 59323,A000000,02100,0000,02100RADIOLOGY 59323,A000000,02200,0000,02200LABORATORY 59323,A000000,02300,0000,02300INTRAVENOUS THERAPY 59323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59323,A000000,02500,0000,02500PHYSICAL THERAPY 59323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59323,A000000,02700,0000,02700SPEECH PATHOLOGY 59323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59323,A000000,02901,0000,02901PEN THERAPY 59323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59323,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59323,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59323,A000000,03550,0000,03550FQHC 59323,A000000,05000,0000,05000CORF 59323,A000000,05010,0000,05010CMHC 59323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59323,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59323,A81000A,00100,0100,Y 59323,A81000B,00100,0300,MANAGEMENT FEES 59323,A81000B,00200,0300,ALLOCATED FEES 59323,A81000B,00300,0300,ALLOCATED FEES 59323,A81000B,00400,0300,ALLOCATED FEES 59323,A81000B,00500,0300,LCPSI 59323,A81000B,00600,0300,LCPSI 59323,A81000B,00700,0300,LCPSI 59323,A81000B,00800,0300,LCPSI 59323,A81000B,00900,0300,MEDILIFE 59323,A81000B,01000,0300,LCCA Y2K PROJECT 59323,A81000B,01100,0300,LIFE CARE DESIGNS 59323,A81000C,00100,0100,A 59323,A81000C,00100,0200,FORREST PRESTON 59323,A81000C,00100,0400,LIFE CARE CTR O 59323,A81000C,00100,0600,MANAGEMENT COMP 59323,A81000C,00200,0100,A 59323,A81000C,00200,0200,FORREST PRESTON 59323,A81000C,00200,0400,LCPSI 59323,A81000C,00200,0600,PHARMACY 59323,A81000C,00300,0100,A 59323,A81000C,00300,0200,FORREST PRESTON 59323,A81000C,00300,0400,MEDILIFE 59323,A81000C,00300,0600,PHARMACY 59323,A81000C,00400,0100,A 59323,A81000C,00400,0200,FORREST PRESTON 59323,A81000C,00400,0400,LIFE CARE DESIG 59323,A81000C,00400,0600,INTERIOR DESIGN 59323,B100000,00000,0100,00000(SQUARE FEET) 59323,B100000,00000,0200,00000(SQUARE FEET) 59323,B100000,00000,0300,00000(GROSS SALARIES) 59323,B100000,00000,0400,00000(ACCUM COST) 59323,B100000,00000,0500,00000(SQUARE FEET) 59323,B100000,00000,0600,00000PATIENT DAYS 59323,B100000,00000,0700,00000(SQUARE FEET) 59323,B100000,00000,0800,00000(MEALS SERVED) 59323,B100000,00000,0900,00000DIRECT NRSG HOURS 59323,B100000,00000,1000,00000(COSTED REQUIS) 59323,B100000,00000,1100,00000(COSTED REQUIS) 59323,B100000,00000,1200,00000GROSS REVENUES 59323,B100000,00000,1300,00000PATIENT DAYS 59323,B100000,00000,1350,00000PATIENT DAYS 59323,B100000,00000,1400,00000ASSIGNED TIME 59323,E10A180,00301,0100,02/09/2000 59323,E10A180,00302,0100,08/16/1999 59323,E10A180,00303,0100,12/02/1999 59323,S000000,00100,0200,05/30/2000 59323,S200000,00100,0100,1300 SOUTH STREET 59323,S200000,00200,0100,GLOBE 59323,S200000,00200,0200,AZ 59323,S200000,00200,0300,85501 59323,S200000,00300,0100,GILA 59323,S200000,00400,0100,HERITAGE HLTH CARE CTR 59323,S200000,00400,0200,035141 59323,S200000,00400,0300,11/01/1991 59323,S200000,00400,0500,P 59323,S200000,01600,0100,Y 59323,S200000,02200,0100,Y 59333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59333,A000000,00300,0000,00300EMPLOYEE BENEFITS 59333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59333,A000000,00700,0000,00700HOUSEKEEPING 59333,A000000,00800,0000,00800DIETARY 59333,A000000,00900,0000,00900NURSING ADMINISTRATION 59333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59333,A000000,01100,0000,01100PHARMACY 59333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59333,A000000,01300,0000,01300SOCIAL SERVICE 59333,A000000,01350,0000,01500ACTIVITIES 59333,A000000,01600,0000,01600SKILLED NURSING FACILITY 59333,A000000,01800,0000,01800NURSING FACILITY 59333,A000000,02100,0000,02100RADIOLOGY 59333,A000000,02200,0000,02200LABORATORY 59333,A000000,02300,0000,02300INTRAVENOUS THERAPY 59333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59333,A000000,02500,0000,02500PHYSICAL THERAPY 59333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59333,A000000,02700,0000,02700SPEECH PATHOLOGY 59333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59333,A000000,02901,0000,02901PEN THERAPY 59333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59333,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59333,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59333,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59333,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59333,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59333,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59333,A000000,06150,0000,06300MARKETING 59333,A81000A,00100,0100,Y 59333,A81000B,00100,0300,MANAGEMENT FEES 59333,A81000B,00200,0300,LCPSI 59333,A81000B,00300,0300,LCPSI 59333,A81000B,00400,0300,LCPSI 59333,A81000B,00500,0300,LCPSI 59333,A81000B,00600,0300,MEDILIFE 59333,A81000B,00700,0300,LCCA Y2K PROJECT 59333,A81000B,00800,0300,HCE LEASE INTEREST 59333,A81000B,00900,0300,LCCA INTEREST 59333,A81000B,01000,0300,LCCA INTEREST 59333,A81000C,00100,0100,A 59333,A81000C,00100,0200,FORREST PRESTON 59333,A81000C,00100,0400,LIFE CARE CTR O 59333,A81000C,00100,0600,MANAGEMENT COMP 59333,A81000C,00200,0100,A 59333,A81000C,00200,0200,FORREST PRESTON 59333,A81000C,00200,0400,LCPSI 59333,A81000C,00200,0600,PHARMACY 59333,A81000C,00300,0100,A 59333,A81000C,00300,0200,FORREST PRESTON 59333,A81000C,00300,0400,MEDILIFE 59333,A81000C,00300,0600,PHARMACY 59333,A81000C,00400,0100,A 59333,A81000C,00400,0200,FORREST PRESTON 59333,A81000C,00400,0400,HCE LEASING 59333,A81000C,00400,0600,VEHICLE LEASING 59333,B100000,00000,0100,00000(SQUARE FEET) 59333,B100000,00000,0200,00000(SQUARE FEET) 59333,B100000,00000,0300,00000(GROSS SALARIES) 59333,B100000,00000,0400,00000(ACCUM COST) 59333,B100000,00000,0500,00000(SQUARE FEET) 59333,B100000,00000,0600,00000PATIENT DAYS 59333,B100000,00000,0700,00000(SQUARE FEET) 59333,B100000,00000,0800,00000(MEALS SERVED) 59333,B100000,00000,0900,00000DIRECT NRSG HOURS 59333,B100000,00000,1000,00000(COSTED REQUIS) 59333,B100000,00000,1100,00000(COSTED REQUIS) 59333,B100000,00000,1200,00000GROSS REVENUES 59333,B100000,00000,1300,00000PATIENT DAYS 59333,B100000,00000,1350,00000PATIENT DAYS 59333,E10A180,00301,0100,02/09/2000 59333,E10A180,00302,0100,08/16/1999 59333,E10A180,00501,0100,06/23/2000 59333,E10A180,00550,0300,06/23/2000 59333,S000000,00100,0200,05/17/2000 59333,S200000,00100,0100,9494 EAST BECKER LANE 59333,S200000,00200,0100,SCOTTSDALE 59333,S200000,00200,0200,AZ 59333,S200000,00200,0300,85260 59333,S200000,00300,0100,MARICOPA 59333,S200000,00400,0100,LCC SCOTTSDALE 59333,S200000,00400,0200,035143 59333,S200000,00400,0300,04/30/1987 59333,S200000,00400,0500,P 59333,S200000,01600,0100,Y 59333,S200000,02200,0100,Y 59341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59341,A000000,00300,0000,00300EMPLOYEE BENEFITS 59341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59341,A000000,00700,0000,00700HOUSEKEEPING 59341,A000000,00800,0000,00800DIETARY 59341,A000000,00900,0000,00900NURSING ADMINISTRATION 59341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59341,A000000,01100,0000,01100PHARMACY 59341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59341,A000000,01300,0000,01300SOCIAL SERVICE 59341,A000000,01350,0000,01500ACTIVITIES 59341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59341,A000000,01600,0000,01600SKILLED NURSING FACILITY 59341,A000000,01800,0000,01800NURSING FACILITY 59341,A000000,01810,0000,01810ICF/MR 59341,A000000,02100,0000,02100RADIOLOGY 59341,A000000,02200,0000,02200LABORATORY 59341,A000000,02300,0000,02300INTRAVENOUS THERAPY 59341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59341,A000000,02500,0000,02500PHYSICAL THERAPY 59341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59341,A000000,02700,0000,02700SPEECH PATHOLOGY 59341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59341,A000000,02901,0000,02901PEN THERAPY 59341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59341,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59341,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59341,A000000,03550,0000,03550FQHC 59341,A000000,05000,0000,05000CORF 59341,A000000,05010,0000,05010CMHC 59341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59341,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59341,A000000,06150,0000,06300MARKETING 59341,A81000A,00100,0100,Y 59341,A81000B,00100,0300,MANAGEMENT FEES 59341,A81000B,00200,0300,ALLOCATED FEES 59341,A81000B,00300,0300,ALLOCATED FEES 59341,A81000B,00400,0300,ALLOCATED FEES 59341,A81000B,00500,0300,LCPSI 59341,A81000B,00600,0300,LCPSI 59341,A81000B,00700,0300,LCPSI 59341,A81000B,00800,0300,LCPSI 59341,A81000B,00900,0300,LCPSI 59341,A81000B,01000,0300,MEDILIFE 59341,A81000B,01100,0300,LCCA INTEREST 59341,A81000B,01200,0300,LCCA Y2K PROJECT 59341,A81000C,00100,0100,A 59341,A81000C,00100,0200,FORREST PRESTON 59341,A81000C,00100,0400,LIFE CARE CTR O 59341,A81000C,00100,0600,MANAGEMENT COMP 59341,A81000C,00200,0100,A 59341,A81000C,00200,0200,FORREST PRESTON 59341,A81000C,00200,0400,LIFE CARE PHARM 59341,A81000C,00200,0600,PHARMACY 59341,A81000C,00300,0100,A 59341,A81000C,00300,0200,FORREST PRESTON 59341,A81000C,00300,0400,MEDILIFE 59341,A81000C,00300,0600,PHARMACY 59341,B100000,00000,0100,00000(SQUARE FEET) 59341,B100000,00000,0200,00000(SQUARE FEET) 59341,B100000,00000,0300,00000(GROSS SALARIES) 59341,B100000,00000,0400,00000(ACCUM COST) 59341,B100000,00000,0500,00000(SQUARE FEET) 59341,B100000,00000,0600,00000PATIENT DAYS 59341,B100000,00000,0700,00000(SQUARE FEET) 59341,B100000,00000,0800,00000(MEALS SERVED) 59341,B100000,00000,0900,00000DIRECT NRSG HOURS 59341,B100000,00000,1000,00000(COSTED REQUIS) 59341,B100000,00000,1100,00000(COSTED REQUIS) 59341,B100000,00000,1200,00000GROSS REVENUES 59341,B100000,00000,1300,00000PATIENT DAYS 59341,B100000,00000,1350,00000PATIENT DAYS 59341,B100000,00000,1400,00000ASSIGNED TIME 59341,E10A180,00301,0100,08/16/1999 59341,S000000,00100,0200,05/17/2000 59341,S200000,00100,0100,4065 EAST BELL ROAD 59341,S200000,00200,0100,PHOENIX 59341,S200000,00200,0200,AZ 59341,S200000,00200,0300,85032 59341,S200000,00300,0100,MARICOPA 59341,S200000,00400,0100,LCC PARADISE VALLEY (AZ) 59341,S200000,00400,0200,035146 59341,S200000,00400,0300,11/02/1987 59341,S200000,00400,0500,P 59341,S200000,01600,0100,Y 59341,S200000,02200,0100,Y 59351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59351,A000000,00300,0000,00300EMPLOYEE BENEFITS 59351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59351,A000000,00700,0000,00700HOUSEKEEPING 59351,A000000,00800,0000,00800DIETARY 59351,A000000,00900,0000,00900NURSING ADMINISTRATION 59351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59351,A000000,01100,0000,01100PHARMACY 59351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59351,A000000,01300,0000,01300SOCIAL SERVICE 59351,A000000,01350,0000,01500ACTIVITIES 59351,A000000,01600,0000,01600SKILLED NURSING FACILITY 59351,A000000,01800,0000,01800NURSING FACILITY 59351,A000000,02100,0000,02100RADIOLOGY 59351,A000000,02200,0000,02200LABORATORY 59351,A000000,02300,0000,02300INTRAVENOUS THERAPY 59351,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59351,A000000,02401,0000,02401VENTILATOR UNIT 59351,A000000,02500,0000,02500PHYSICAL THERAPY 59351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59351,A000000,02700,0000,02700SPEECH PATHOLOGY 59351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59351,A000000,02901,0000,02901PEN THERAPY 59351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59351,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59351,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59351,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59351,A81000A,00100,0100,Y 59351,A81000B,00100,0300,MANAGEMENT FEES 59351,A81000B,00200,0300,ALLOCATED FEES 59351,A81000B,00300,0300,ALLOCATED FEES 59351,A81000B,00400,0300,ALLOCATED FEES 59351,A81000B,00500,0300,LCPSI 59351,A81000B,00600,0300,LCPSI 59351,A81000B,00700,0300,LCPSI 59351,A81000B,00800,0300,LCPSI 59351,A81000B,00900,0300,MEDILIFE 59351,A81000B,01000,0300,LCCA INTEREST 59351,A81000B,01100,0300,LCCA Y2K PROJECT 59351,A81000B,01200,0300,LIFE CARE DESIGN 59351,A81000C,00100,0100,A 59351,A81000C,00100,0200,FORREST PRESTON 59351,A81000C,00100,0400,LIFE CARE CTR O 59351,A81000C,00100,0600,MANAGEMENT COMP 59351,A81000C,00200,0100,A 59351,A81000C,00200,0200,FORREST PRESTON 59351,A81000C,00200,0400,LCPSI 59351,A81000C,00200,0600,PHARMACY 59351,A81000C,00300,0100,A 59351,A81000C,00300,0200,FORREST PRESTON 59351,A81000C,00300,0400,MEDILIFE 59351,A81000C,00300,0600,PHARMACY 59351,A81000C,00400,0100,A 59351,A81000C,00400,0200,FORREST PRESTON 59351,A81000C,00400,0400,LIFE CARE DESIG 59351,A81000C,00400,0600,INTERIOR DESIGN 59351,B100000,00000,0100,00000(SQUARE FEET) 59351,B100000,00000,0200,00000(SQUARE FEET) 59351,B100000,00000,0300,00000(GROSS SALARIES) 59351,B100000,00000,0400,00000(ACCUM COST) 59351,B100000,00000,0500,00000(SQUARE FEET) 59351,B100000,00000,0600,00000PATIENT DAYS 59351,B100000,00000,0700,00000(SQUARE FEET) 59351,B100000,00000,0800,00000(MEALS SERVED) 59351,B100000,00000,0900,00000DIRECT NRSG HRS 59351,B100000,00000,1000,00000(COSTED REQUIS) 59351,B100000,00000,1100,00000(COSTED REQUIS) 59351,B100000,00000,1200,00000GROSS REVENUES 59351,B100000,00000,1300,00000PATIENT DAYS 59351,B100000,00000,1350,00000PATIENT DAYS 59351,E10A180,00301,0100,08/16/1999 59351,S000000,00100,0200,05/17/2000 59351,S200000,00100,0100,4704 WEST DIANA AVENUE 59351,S200000,00200,0100,GLENDALE 59351,S200000,00200,0200,AZ 59351,S200000,00200,0300,85302 59351,S200000,00300,0100,MARICOPA 59351,S200000,00400,0100,GLENDALE CARE CENTER 59351,S200000,00400,0200,035159 59351,S200000,00400,0300,08/01/1989 59351,S200000,00400,0500,P 59351,S200000,01600,0100,Y 59351,S200000,02200,0100,Y 59359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59359,A000000,00300,0000,00300EMPLOYEE BENEFITS 59359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59359,A000000,00700,0000,00700HOUSEKEEPING 59359,A000000,00800,0000,00800DIETARY 59359,A000000,00900,0000,00900NURSING ADMINISTRATION 59359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59359,A000000,01100,0000,01100PHARMACY 59359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59359,A000000,01300,0000,01300SOCIAL SERVICE 59359,A000000,01350,0000,01500ACTIVITIES 59359,A000000,01600,0000,01600SKILLED NURSING FACILITY 59359,A000000,01800,0000,01800NURSING FACILITY 59359,A000000,02200,0000,02200LABORATORY 59359,A000000,02300,0000,02300INTRAVENOUS THERAPY 59359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59359,A000000,02500,0000,02500PHYSICAL THERAPY 59359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59359,A000000,02700,0000,02700SPEECH PATHOLOGY 59359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59359,A000000,02901,0000,02901PEN THERAPY 59359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59359,A000000,03050,0000,03300OTHER ANCILLARY 59359,A000000,03051,0000,03301ROUTINE TRANSPORTATION 59359,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59359,A81000A,00100,0100,Y 59359,A81000B,00100,0300,LCCA MANAGEMENT FEES 59359,A81000B,00200,0300,ALLOCATED FEES 59359,A81000B,00300,0300,ALLOCATED FEES 59359,A81000B,00400,0300,ALLOCATED FEES 59359,A81000B,00500,0300,LCCA Y2K PROJECT 59359,A81000B,00600,0300,LCPSI 59359,A81000B,00700,0300,LCPSI 59359,A81000B,00800,0300,LCPSI 59359,A81000B,00900,0300,LCPSI 59359,A81000B,01000,0300,MEDILIFE 59359,A81000B,01100,0300,MEDILIFE 59359,A81000B,01200,0300,LCCA INTEREST 59359,A81000B,01300,0300,HCE LEASE DEPREC 59359,A81000C,00100,0100,A 59359,A81000C,00100,0200,FORREST PRESTON 59359,A81000C,00100,0400,LIFE CARE CTR O 59359,A81000C,00100,0600,MANAGEMENT FEES 59359,A81000C,00200,0100,A 59359,A81000C,00200,0200,FORREST PRESTON 59359,A81000C,00200,0400,LCPSI 59359,A81000C,00200,0600,PHARMACY 59359,A81000C,00300,0100,A 59359,A81000C,00300,0200,FORREST PRESTON 59359,A81000C,00300,0400,MEDILIFE 59359,A81000C,00300,0600,PHARMACY 59359,A81000C,00400,0100,A 59359,A81000C,00400,0200,FORREST PRESTON 59359,A81000C,00400,0400,HCE LEASING 59359,A81000C,00400,0600,EQUIPMENT LEASI 59359,B100000,00000,0100,00000(SQUARE FEET) 59359,B100000,00000,0200,00000(SQUARE FEET) 59359,B100000,00000,0300,00000(GROSS SALARIES) 59359,B100000,00000,0400,00000(ACCUM COST) 59359,B100000,00000,0500,00000(SQUARE FEET) 59359,B100000,00000,0600,00000PATIENT DAYS 59359,B100000,00000,0700,00000(SQUARE FEET) 59359,B100000,00000,0800,00000(MEALS SERVED) 59359,B100000,00000,0900,00000DIRECT NRSG HOURS 59359,B100000,00000,1000,00000(COSTED REQUIS) 59359,B100000,00000,1100,00000(COSTED REQUIS) 59359,B100000,00000,1200,00000GROSS REVENUES 59359,B100000,00000,1300,00000PATIENT DAYS 59359,B100000,00000,1350,00000PATIENT DAYS 59359,E10A180,00301,0100,08/16/1999 59359,E10A180,00501,0100,05/26/2000 59359,E10A180,00550,0300,05/26/2000 59359,S000000,00100,0200,05/24/2000 59359,S200000,00100,0100,7970 NORTH LA CANADA DRIVE 59359,S200000,00200,0100,TUCSON 59359,S200000,00200,0200,AZ 59359,S200000,00200,0300,85704 59359,S200000,00300,0100,PIMA 59359,S200000,00400,0100,LA CANADA CARE CENTER 59359,S200000,00400,0200,035189 59359,S200000,00400,0300,08/01/1989 59359,S200000,00400,0500,P 59359,S200000,01600,0100,Y 59359,S200000,02200,0100,Y 59367,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59367,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59367,A000000,00300,0000,00300EMPLOYEE BENEFITS 59367,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59367,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59367,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59367,A000000,00700,0000,00700HOUSEKEEPING 59367,A000000,00800,0000,00800DIETARY 59367,A000000,00900,0000,00900NURSING ADMINISTRATION 59367,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59367,A000000,01100,0000,01100PHARMACY 59367,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59367,A000000,01300,0000,01300SOCIAL SERVICE 59367,A000000,01350,0000,01500ACTIVITIES 59367,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59367,A000000,01600,0000,01600SKILLED NURSING FACILITY 59367,A000000,01800,0000,01800NURSING FACILITY 59367,A000000,01810,0000,01810ICF/MR 59367,A000000,02100,0000,02100RADIOLOGY 59367,A000000,02200,0000,02200LABORATORY 59367,A000000,02300,0000,02300INTRAVENOUS THERAPY 59367,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59367,A000000,02500,0000,02500PHYSICAL THERAPY 59367,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59367,A000000,02700,0000,02700SPEECH PATHOLOGY 59367,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59367,A000000,02901,0000,02901PEN THERAPY 59367,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59367,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59367,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59367,A000000,03550,0000,03550FQHC 59367,A000000,05000,0000,05000CORF 59367,A000000,05010,0000,05010CMHC 59367,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59367,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59367,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59367,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59367,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59367,A81000A,00100,0100,Y 59367,A81000B,00100,0300,LCCA MANAGEMENT FEES 59367,A81000B,00200,0300,ALLOCATED FEES 59367,A81000B,00300,0300,ALLOCATED FEES 59367,A81000B,00400,0300,ALLOCATED FEES 59367,A81000B,00500,0300,ALLOCATED FEES 59367,A81000B,00600,0300,LCPSI 59367,A81000B,00700,0300,LCPSI 59367,A81000B,00800,0300,LCPSI 59367,A81000B,00900,0300,LCPSI 59367,A81000B,01000,0300,LCPSI 59367,A81000B,01100,0300,MEDI LIFE PHARMACY 59367,A81000B,01200,0300,MEDI LIFE PHARMACY 59367,A81000B,01300,0300,MEDI LIFE PHARMACY 59367,A81000B,01400,0300,LCCA PROJECT Y2K 59367,A81000B,01500,0300,LCCA INTEREST 59367,A81000C,00100,0100,A 59367,A81000C,00100,0200,FORREST PRESTON 59367,A81000C,00100,0400,LIFE CARE CTR A 59367,A81000C,00100,0600,MANAGEMENT COMP 59367,A81000C,00200,0100,A 59367,A81000C,00200,0200,FORREST PRESTON 59367,A81000C,00200,0400,LCPSI 59367,A81000C,00200,0600,PHARMACY 59367,A81000C,00300,0100,A 59367,A81000C,00300,0200,FORREST PRESTON 59367,A81000C,00300,0400,MEDI LIFE 59367,A81000C,00300,0600,PHARMACY 59367,B100000,00000,0100,00000(SQUARE FEET) 59367,B100000,00000,0200,00000(SQUARE FEET) 59367,B100000,00000,0300,00000(GROSS SALARIES) 59367,B100000,00000,0400,00000(ACCUM COST) 59367,B100000,00000,0500,00000(SQUARE FEET) 59367,B100000,00000,0600,00000PATIENT DAYS 59367,B100000,00000,0700,00000(SQUARE FEET) 59367,B100000,00000,0800,00000(MEALS SERVED) 59367,B100000,00000,0900,00000DIRECT NRSG HOURS 59367,B100000,00000,1000,00000(COSTED REQUIS) 59367,B100000,00000,1100,00000(COSTED REQUIS) 59367,B100000,00000,1200,00000GROSS REVENUES 59367,B100000,00000,1300,00000PATIENT DAYS 59367,B100000,00000,1350,00000PATIENT DAYS 59367,B100000,00000,1400,00000ASSIGNED TIME 59367,E10A180,00301,0100,02/09/2000 59367,S000000,00100,0200,08/28/2000 59367,S200000,00100,0100,1313 WEST MAGEE ROAD 59367,S200000,00200,0100,TUCSON 59367,S200000,00200,0200,AZ 59367,S200000,00200,0300,85704 59367,S200000,00300,0100,PIMA 59367,S200000,00400,0100,MOUNTAIN VIEW CARE CENTER 59367,S200000,00400,0200,035232 59367,S200000,00400,0300,05/23/1995 59367,S200000,00400,0500,P 59367,S200000,01600,0100,Y 59367,S200000,02200,0100,Y 59374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59374,A000000,00300,0000,00300EMPLOYEE BENEFITS 59374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59374,A000000,00700,0000,00700HOUSEKEEPING 59374,A000000,00800,0000,00800DIETARY 59374,A000000,00900,0000,00900NURSING ADMINISTRATION 59374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59374,A000000,01100,0000,01100PHARMACY 59374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59374,A000000,01300,0000,01300SOCIAL SERVICE 59374,A000000,01350,0000,01500ACTIVITIES 59374,A000000,01600,0000,01600SKILLED NURSING FACILITY 59374,A000000,01800,0000,01800NURSING FACILITY 59374,A000000,02100,0000,02100RADIOLOGY 59374,A000000,02200,0000,02200LABORATORY 59374,A000000,02300,0000,02300INTRAVENOUS THERAPY 59374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59374,A000000,02500,0000,02500PHYSICAL THERAPY 59374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59374,A000000,02700,0000,02700SPEECH PATHOLOGY 59374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59374,A000000,02901,0000,02901PEN THERAPY 59374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59374,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59374,A000000,03051,0000,03301ROUTINE TRANSPORTATION 59374,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59374,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59374,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59374,A81000A,00100,0100,Y 59374,A81000B,00100,0300,LCCA MANAGEMENT FEES 59374,A81000B,00200,0300,LCCA ALLOCATED FEES 59374,A81000B,00300,0300,LCCA ALLOCATED FEES 59374,A81000B,00400,0300,LCCA ALLOCATED FEES 59374,A81000B,00500,0300,LCPSI PHARMACY 59374,A81000B,00600,0300,LCPSI RX CONSULTANT 59374,A81000B,00700,0300,LCPSI IV SUPPLIES 59374,A81000B,00800,0300,LCPSI MED SUPPLIES 59374,A81000B,00900,0300,LCPSI SUPPLIES 59374,A81000B,01000,0300,MEDILIFE SUPPLIES 59374,A81000B,01100,0300,HCE VAN INTEREST 59374,A81000B,01200,0300,HCE VAN DEPRECIATION 59374,A81000B,01300,0300,GE CAPITAL INTEREST 59374,A81000B,01400,0300,LCCA INTEREST 59374,A81000B,01500,0300,LCCA Y2K PROJECT 59374,A81000B,01600,0300,LIFE CARE DESIGNS 59374,A81000C,00100,0100,A 59374,A81000C,00100,0200,FORREST PRESTON 59374,A81000C,00100,0400,LIFE CARE CTR O 59374,A81000C,00100,0600,MANAGEMENT COMP 59374,A81000C,00200,0100,A 59374,A81000C,00200,0200,FORREST PRESTON 59374,A81000C,00200,0400,LCPSI 59374,A81000C,00200,0600,PHARMACY 59374,A81000C,00300,0100,A 59374,A81000C,00300,0200,FORREST PRESTON 59374,A81000C,00300,0400,MEDILIFE 59374,A81000C,00300,0600,PHARMACY 59374,A81000C,00400,0100,A 59374,A81000C,00400,0200,FORREST PRESTON 59374,A81000C,00400,0400,HCE LEASING 59374,A81000C,00400,0600,EQUIPMENT LEASI 59374,A81000C,00500,0100,A 59374,A81000C,00500,0200,FORREST PRESTON 59374,A81000C,00500,0400,GE CAPITAL 59374,A81000C,00500,0600,EQUIPMENT FINAN 59374,A81000C,00600,0100,A 59374,A81000C,00600,0200,FORREST PRESTON 59374,A81000C,00600,0400,LIFE CARE DESIG 59374,A81000C,00600,0600,INTERIOR DESIGN 59374,B100000,00000,0100,00000(SQUARE FEET) 59374,B100000,00000,0200,00000(SQUARE FEET) 59374,B100000,00000,0300,00000(GROSS SALARIES) 59374,B100000,00000,0400,00000(ACCUM COST) 59374,B100000,00000,0500,00000(SQUARE FEET) 59374,B100000,00000,0600,00000PATIENT DAYS 59374,B100000,00000,0700,00000(SQUARE FEET) 59374,B100000,00000,0800,00000(MEALS SERVED) 59374,B100000,00000,0900,00000DIRECT NRSG HOURS 59374,B100000,00000,1000,00000(COSTED REQUIS) 59374,B100000,00000,1100,00000(COSTED REQUIS) 59374,B100000,00000,1200,00000GROSS REVENUES 59374,B100000,00000,1300,00000PATIENT DAYS 59374,B100000,00000,1350,00000PATIENT DAYS 59374,E10A180,00301,0100,02/09/2000 59374,S000000,00100,0200,05/25/2000 59374,S200000,00100,0100,8008 SOUTH JESSE OWENS PARKWAY 59374,S200000,00200,0100,PHOENIX 59374,S200000,00200,0200,AZ 59374,S200000,00200,0300,85040 59374,S200000,00300,0100,MARICOPA 59374,S200000,00400,0100,LCCA AT SOUTH MOUNTAIN 59374,S200000,00400,0200,035241 59374,S200000,00400,0300,03/25/1997 59374,S200000,00400,0500,P 59374,S200000,01600,0100,Y 59374,S200000,02200,0100,Y 59374,S200000,04100,0100,Y 59382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59382,A000000,00300,0000,00300EMPLOYEE BENEFITS 59382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59382,A000000,00700,0000,00700HOUSEKEEPING 59382,A000000,00800,0000,00800DIETARY 59382,A000000,00900,0000,00900NURSING ADMINISTRATION 59382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59382,A000000,01100,0000,01100PHARMACY 59382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59382,A000000,01300,0000,01300SOCIAL SERVICE 59382,A000000,01350,0000,01500ACTIVITIES 59382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59382,A000000,01600,0000,01600SKILLED NURSING FACILITY 59382,A000000,01800,0000,01800NURSING FACILITY 59382,A000000,01810,0000,01810ICF/MR 59382,A000000,02100,0000,02100RADIOLOGY 59382,A000000,02200,0000,02200LABORATORY 59382,A000000,02300,0000,02300INTRAVENOUS THERAPY 59382,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59382,A000000,02500,0000,02500PHYSICAL THERAPY 59382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59382,A000000,02700,0000,02700SPEECH PATHOLOGY 59382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59382,A000000,02901,0000,02901PEN THERAPY 59382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59382,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59382,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59382,A000000,03550,0000,03550FQHC 59382,A000000,05000,0000,05000CORF 59382,A000000,05010,0000,05010CMHC 59382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59382,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59382,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59382,A000000,06150,0000,06300MARKETING 59382,A81000A,00100,0100,Y 59382,A81000B,00100,0300,MANAGEMENT FEES 59382,A81000B,00200,0300,ALLOCATED COSTS 59382,A81000B,00300,0300,ALLOCATED COSTS 59382,A81000B,00400,0300,ALLOCATED COSTS 59382,A81000B,00500,0300,MEDILIFE NRSG SUPPLY 59382,A81000B,00600,0300,MEDILIFE MED SUPPLY 59382,A81000B,00700,0300,HCE INTEREST 59382,A81000B,00800,0300,HCE DEPRECIATION 59382,A81000B,00900,0300,MEDIA RESOURCE 59382,A81000B,01000,0300,LCCA INTEREST 59382,A81000B,01100,0300,LIFE CARE DESIGNS 59382,A81000B,01200,0300,LCCA Y2K PROJECT 59382,A81000C,00100,0100,A 59382,A81000C,00100,0200,FORREST PRESTON 59382,A81000C,00100,0400,LIFE CARE CENTE 59382,A81000C,00100,0600,MANAGEMENT COMP 59382,A81000C,00200,0100,A 59382,A81000C,00200,0200,FORREST PRESTON 59382,A81000C,00200,0400,MEDILIFE PHARMA 59382,A81000C,00200,0600,PHARMACY 59382,A81000C,00300,0100,A 59382,A81000C,00300,0200,FORREST PRESTON 59382,A81000C,00300,0400,HCE LEASING 59382,A81000C,00300,0600,EQUIPMENT LEASI 59382,A81000C,00400,0100,A 59382,A81000C,00400,0200,FORREST PRESTON 59382,A81000C,00400,0400,MEDIA RESOURCE 59382,A81000C,00400,0600,MEDIA PRESENTAT 59382,A81000C,00500,0100,A 59382,A81000C,00500,0200,FORREST PRESTON 59382,A81000C,00500,0400,LIFE CARE DESIG 59382,A81000C,00500,0600,INTERIOR DESIGN 59382,B100000,00000,0100,00000(SQUARE FEET) 59382,B100000,00000,0200,00000(SQUARE FEET) 59382,B100000,00000,0300,00000(GROSS SALARIES) 59382,B100000,00000,0400,00000(ACCUM COST) 59382,B100000,00000,0500,00000(SQUARE FEET) 59382,B100000,00000,0600,00000PATIENT DAYS 59382,B100000,00000,0700,00000(SQUARE FEET) 59382,B100000,00000,0800,00000(MEALS SERVED) 59382,B100000,00000,0900,00000DIRECT NRSG HOURS 59382,B100000,00000,1000,00000(COSTED REQUIS) 59382,B100000,00000,1100,00000(COSTED REQUIS) 59382,B100000,00000,1200,00000GROSS REVENUES 59382,B100000,00000,1300,00000PATIENT DAYS 59382,B100000,00000,1350,00000PATIENT DAYS 59382,B100000,00000,1400,00000ASSIGNED TIME 59382,E10A180,00301,0100,02/09/2000 59382,E10A180,00501,0100,07/19/2000 59382,E10A180,00550,0300,07/19/2000 59382,S000000,00100,0200,05/25/2000 59382,S200000,00100,0100,909 WEST SANTA ANITA AVENUE 59382,S200000,00200,0100,SAN GABRIEL 59382,S200000,00200,0200,CA 59382,S200000,00200,0300,91776 59382,S200000,00300,0100,LOS ANGELES 59382,S200000,00400,0100,LCC SAN GABRIEL 59382,S200000,00400,0200,055105 59382,S200000,00400,0300,11/16/1988 59382,S200000,00400,0500,P 59382,S200000,01600,0100,Y 59382,S200000,02200,0100,Y 59391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59391,A000000,00300,0000,00300EMPLOYEE BENEFITS 59391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59391,A000000,00700,0000,00700HOUSEKEEPING 59391,A000000,00800,0000,00800DIETARY 59391,A000000,00900,0000,00900NURSING ADMINISTRATION 59391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59391,A000000,01100,0000,01100PHARMACY 59391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59391,A000000,01300,0000,01300SOCIAL SERVICE 59391,A000000,01350,0000,01500ACTIVITIES 59391,A000000,01600,0000,01600SKILLED NURSING FACILITY 59391,A000000,01800,0000,01800NURSING FACILITY 59391,A000000,02100,0000,02100RADIOLOGY 59391,A000000,02200,0000,02200LABORATORY 59391,A000000,02300,0000,02300INTRAVENOUS THERAPY 59391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59391,A000000,02500,0000,02500PHYSICAL THERAPY 59391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59391,A000000,02700,0000,02700SPEECH PATHOLOGY 59391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59391,A000000,02901,0000,02901PEN THERAPY 59391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59391,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59391,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59391,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59391,A81000A,00100,0100,Y 59391,A81000B,00100,0300,LCCA MANAGEMENT FEES 59391,A81000B,00200,0300,ALLOCATED FEES 59391,A81000B,00300,0300,ALLOCATED FEES 59391,A81000B,00400,0300,ALLOCATED FEES 59391,A81000B,00500,0300,MEDILIFE 59391,A81000B,00600,0300,MEDILIFE 59391,A81000B,00700,0300,LCCA INTEREST 59391,A81000B,00800,0300,LCCA Y2K PROJECT 59391,A81000B,00900,0300,MIRADA HILLS 59391,A81000C,00100,0100,A 59391,A81000C,00100,0200,FORREST PRESTON 59391,A81000C,00100,0400,LIFE CARE CNTR 59391,A81000C,00100,0600,MANGEMENT COMPA 59391,A81000C,00200,0100,A 59391,A81000C,00200,0200,FORREST PRESTON 59391,A81000C,00200,0400,MEDILIFE 59391,A81000C,00200,0600,PHARMACY 59391,A81000C,00300,0100,A 59391,A81000C,00300,0200,FORREST PRESTON 59391,A81000C,00300,0400,MIRADA HILLS SN 59391,A81000C,00300,0600,SKILLED NRSG HO 59391,B100000,00000,0100,00000(SQUARE FEET) 59391,B100000,00000,0200,00000(SQUARE FEET) 59391,B100000,00000,0300,00000(GROSS SALARIES) 59391,B100000,00000,0400,00000(ACCUM COST) 59391,B100000,00000,0500,00000(SQUARE FEET) 59391,B100000,00000,0600,00000PATIENT DAYS 59391,B100000,00000,0700,00000(SQUARE FEET) 59391,B100000,00000,0800,00000(MEALS SERVED) 59391,B100000,00000,0900,00000DIRECT NRSG HOURS 59391,B100000,00000,1000,00000(COSTED REQUIS) 59391,B100000,00000,1100,00000(COSTED REQUIS) 59391,B100000,00000,1200,00000GROSS REVENUES 59391,B100000,00000,1300,00000PATIENT DAYS 59391,B100000,00000,1350,00000PATIENT DAYS 59391,E10A180,00301,0100,08/16/1999 59391,E10A180,00501,0100,07/06/2000 59391,E10A180,00550,0300,07/06/2000 59391,S000000,00100,0200,05/18/2000 59391,S200000,00100,0100,1233 WEST LA HABRA BLVD 59391,S200000,00200,0100,LA HABRA 59391,S200000,00200,0200,CA 59391,S200000,00200,0300,90631 59391,S200000,00300,0100,ORANGE 59391,S200000,00400,0100,LA HABRA CONV HOSPITAL 59391,S200000,00400,0200,055622 59391,S200000,00400,0300,01/01/1976 59391,S200000,00400,0500,P 59391,S200000,01600,0100,Y 59391,S200000,02200,0100,Y 59400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59400,A000000,00300,0000,00300EMPLOYEE BENEFITS 59400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59400,A000000,00700,0000,00700HOUSEKEEPING 59400,A000000,00800,0000,00800DIETARY 59400,A000000,00900,0000,00900NURSING ADMINISTRATION 59400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59400,A000000,01100,0000,01100PHARMACY 59400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59400,A000000,01300,0000,01300SOCIAL SERVICE 59400,A000000,01350,0000,01500ACTIVITIES 59400,A000000,01600,0000,01600SKILLED NURSING FACILITY 59400,A000000,01800,0000,01800NURSING FACILITY 59400,A000000,02100,0000,02100RADIOLOGY 59400,A000000,02200,0000,02200LABORATORY 59400,A000000,02300,0000,02300INTRAVENOUS THERAPY 59400,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59400,A000000,02500,0000,02500PHYSICAL THERAPY 59400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59400,A000000,02700,0000,02700SPEECH PATHOLOGY 59400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59400,A000000,02901,0000,02901PEN THERAPY 59400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59400,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59400,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59400,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59400,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59400,A81000A,00100,0100,Y 59400,A81000B,00100,0300,MANAGEMENT FEES 59400,A81000B,00200,0300,ALLOCATED FEES 59400,A81000B,00300,0300,ALLOCATED FEES 59400,A81000B,00400,0300,ALLOCATED FEES 59400,A81000B,00500,0300,MEDILIFE 59400,A81000B,00600,0300,MEDILIFE 59400,A81000B,00700,0300,LCCA INTEREST 59400,A81000B,00800,0300,LIFE CARE DESIGN 59400,A81000B,00900,0300,LCCA Y2K PROJECT 59400,A81000B,01000,0300,HCE LEASING 59400,A81000C,00100,0100,A 59400,A81000C,00100,0200,FORREST PRESTON 59400,A81000C,00100,0400,LIFE CARE CTRS 59400,A81000C,00100,0600,MANAGEMENT COMP 59400,A81000C,00200,0100,A 59400,A81000C,00200,0200,FORREST PRESTON 59400,A81000C,00200,0400,MEDILIFE 59400,A81000C,00200,0600,PHARMACY 59400,A81000C,00300,0100,A 59400,A81000C,00300,0200,FORREST PRESTON 59400,A81000C,00300,0400,LIFE CARE DESIG 59400,A81000C,00300,0600,INTERIOR DESIGN 59400,A81000C,00400,0100,A 59400,A81000C,00400,0200,FORREST PRESTON 59400,A81000C,00400,0400,HCE LEASING 59400,A81000C,00400,0600,EQUIPMENT LEASI 59400,B100000,00000,0100,00000(SQUARE FEET) 59400,B100000,00000,0200,00000(SQUARE FEET) 59400,B100000,00000,0300,00000(GROSS SALARIES) 59400,B100000,00000,0400,00000(ACCUM COST) 59400,B100000,00000,0500,00000(SQUARE FEET) 59400,B100000,00000,0600,00000PATIENT DAYS 59400,B100000,00000,0700,00000(SQUARE FEET) 59400,B100000,00000,0800,00000(MEALS SERVED) 59400,B100000,00000,0900,00000DIRECT NRSG HOURS 59400,B100000,00000,1000,00000(COSTED REQUIS) 59400,B100000,00000,1100,00000(COSTED REQUIS) 59400,B100000,00000,1200,00000GROSS REVENUES 59400,B100000,00000,1300,00000PATIENT DAYS 59400,B100000,00000,1350,00000PATIENT DAYS 59400,E10A180,00301,0100,02/09/2000 59400,E10A180,00302,0100,08/16/1999 59400,E10A180,00501,0100,07/20/2000 59400,E10A180,00550,0300,07/20/2000 59400,S000000,00100,0200,05/26/2000 59400,S200000,00100,0100,12200 SOUTH LA MIRADA BLVD 59400,S200000,00200,0100,LA MIRADA 59400,S200000,00200,0200,CA 59400,S200000,00200,0300,90638 59400,S200000,00300,0100,LOS ANGELES 59400,S200000,00400,0100,MIRADA HILLS REHAB HOSP 59400,S200000,00400,0200,055737 59400,S200000,00400,0300,11/16/1979 59400,S200000,00400,0500,P 59400,S200000,01600,0100,Y 59400,S200000,02200,0100,Y 59408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59408,A000000,00300,0000,00300EMPLOYEE BENEFITS 59408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59408,A000000,00700,0000,00700HOUSEKEEPING 59408,A000000,00800,0000,00800DIETARY 59408,A000000,00900,0000,00900NURSING ADMINISTRATION 59408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59408,A000000,01100,0000,01100PHARMACY 59408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59408,A000000,01300,0000,01300SOCIAL SERVICE 59408,A000000,01350,0000,01500ACTIVITIES 59408,A000000,01600,0000,01600SKILLED NURSING FACILITY 59408,A000000,01800,0000,01800NURSING FACILITY 59408,A000000,02100,0000,02100RADIOLOGY 59408,A000000,02200,0000,02200LABORATORY 59408,A000000,02300,0000,02300INTRAVENOUS THERAPY 59408,A000000,02500,0000,02500PHYSICAL THERAPY 59408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59408,A000000,02700,0000,02700SPEECH PATHOLOGY 59408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59408,A000000,02901,0000,02901PEN THERAPY 59408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59408,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59408,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59408,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59408,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59408,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59408,A81000A,00100,0100,Y 59408,A81000B,00100,0300,MANAGEMENT FEES 59408,A81000B,00200,0300,ALLOCATED FEES 59408,A81000B,00300,0300,ALLOCATED FEES 59408,A81000B,00400,0300,ALLOCATED FEES 59408,A81000B,00500,0300,MEDILIFE 59408,A81000B,00600,0300,MEDILIFE 59408,A81000B,00700,0300,LCCA INTEREST 59408,A81000B,00800,0300,LCCA Y2K PROJECT 59408,A81000B,00900,0300,MIRADA HILLS 59408,A81000C,00100,0100,A 59408,A81000C,00100,0200,FORREST PRESTON 59408,A81000C,00100,0400,LIFE CARE CTR O 59408,A81000C,00100,0600,MANAGEMENT COMP 59408,A81000C,00200,0100,A 59408,A81000C,00200,0200,FORREST PRESTON 59408,A81000C,00200,0400,MEDILIFE 59408,A81000C,00200,0600,PHARMACY 59408,A81000C,00300,0100,A 59408,A81000C,00300,0200,FORREST PRESTON 59408,A81000C,00300,0400,MIRADA HILLS 59408,A81000C,00300,0600,SKILLED NRSG FA 59408,B100000,00000,0100,00000(SQUARE FEET) 59408,B100000,00000,0200,00000(SQUARE FEET) 59408,B100000,00000,0300,00000(GROSS SALARIES) 59408,B100000,00000,0400,00000(ACCUM COST) 59408,B100000,00000,0500,00000(SQUARE FEET) 59408,B100000,00000,0600,00000PATIENT DAYS 59408,B100000,00000,0700,00000(SQUARE FEET) 59408,B100000,00000,0800,00000(MEALS SERVED) 59408,B100000,00000,0900,00000DIRECT NRSG HOURS 59408,B100000,00000,1000,00000(COSTED REQUIS) 59408,B100000,00000,1100,00000(COSTED REQUIS) 59408,B100000,00000,1200,00000GROSS REVENUES 59408,B100000,00000,1300,00000PATIENT DAYS 59408,B100000,00000,1350,00000PATIENT DAYS 59408,E10A180,00501,0100,06/05/2000 59408,E10A180,00550,0300,06/05/2000 59408,S000000,00100,0200,05/31/2000 59408,S200000,00100,0100,12350 ROSECRANS AVENUE 59408,S200000,00200,0100,NORWALK 59408,S200000,00200,0200,CA 59408,S200000,00200,0300,90650 59408,S200000,00300,0100,LOS ANGELES 59408,S200000,00400,0100,NORTH WALK VILLA CONV HOSP 59408,S200000,00400,0200,055758 59408,S200000,00400,0300,01/01/1979 59408,S200000,00400,0500,P 59408,S200000,01600,0100,Y 59408,S200000,02200,0100,Y 59417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59417,A000000,00300,0000,00300EMPLOYEE BENEFITS 59417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59417,A000000,00700,0000,00700HOUSEKEEPING 59417,A000000,00800,0000,00800DIETARY 59417,A000000,00900,0000,00900NURSING ADMINISTRATION 59417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59417,A000000,01100,0000,01100PHARMACY 59417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59417,A000000,01300,0000,01300SOCIAL SERVICE 59417,A000000,01350,0000,01500ACTIVITIES 59417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59417,A000000,01600,0000,01600SKILLED NURSING FACILITY 59417,A000000,01800,0000,01800NURSING FACILITY 59417,A000000,01810,0000,01810ICF/MR 59417,A000000,02100,0000,02100RADIOLOGY 59417,A000000,02200,0000,02200LABORATORY 59417,A000000,02300,0000,02300INTRAVENOUS THERAPY 59417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59417,A000000,02500,0000,02500PHYSICAL THERAPY 59417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59417,A000000,02700,0000,02700SPEECH PATHOLOGY 59417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59417,A000000,02901,0000,02901PEN THERAPY 59417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59417,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59417,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59417,A000000,03550,0000,03550FQHC 59417,A000000,05000,0000,05000CORF 59417,A000000,05010,0000,05010CMHC 59417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59417,A81000A,00100,0100,Y 59417,A81000B,00100,0300,MANAGEMENT FEES 59417,A81000B,00200,0300,ALLOCATED FEES 59417,A81000B,00300,0300,ALLOCATED FEES 59417,A81000B,00400,0300,ALLOCATED FEES 59417,A81000B,00500,0300,ALLOCATED FEES 59417,A81000B,00600,0300,MEDILIFE 59417,A81000B,00700,0300,MEDILIFE 59417,A81000B,00800,0300,LCCA INTEREST 59417,A81000B,00900,0300,LCCA Y2K PROJECT 59417,A81000B,01000,0300,MIRADA HILLS SNF 59417,A81000C,00100,0100,A 59417,A81000C,00100,0200,FORREST PRESTON 59417,A81000C,00100,0400,LIFE CARE CTR O 59417,A81000C,00100,0600,MANAGEMENT COMP 59417,A81000C,00200,0100,A 59417,A81000C,00200,0200,FORREST PRESTON 59417,A81000C,00200,0400,MEDILIFE 59417,A81000C,00200,0600,PHARMACY 59417,A81000C,00300,0100,A 59417,A81000C,00300,0200,FORREST PRESTON 59417,A81000C,00300,0400,MIRADA HILLS 59417,A81000C,00300,0600,SKILLED NSF 59417,B100000,00000,0100,00000(SQUARE FEET) 59417,B100000,00000,0200,00000(SQUARE FEET) 59417,B100000,00000,0300,00000(GROSS SALARIES) 59417,B100000,00000,0400,00000(ACCUM COST) 59417,B100000,00000,0500,00000(SQUARE FEET) 59417,B100000,00000,0600,00000PATIENT DAYS 59417,B100000,00000,0700,00000(SQUARE FEET) 59417,B100000,00000,0800,00000(MEALS SERVED) 59417,B100000,00000,0900,00000DIRECT NRSG HOURS 59417,B100000,00000,1000,00000(COSTED REQUIS) 59417,B100000,00000,1100,00000(COSTED REQUIS) 59417,B100000,00000,1200,00000GROSS REVENUES 59417,B100000,00000,1300,00000PATIENT DAYS 59417,B100000,00000,1350,00000PATIENT DAYS 59417,B100000,00000,1400,00000ASSIGNED TIME 59417,E10A180,00501,0100,05/26/2000 59417,E10A180,00550,0300,05/26/2000 59417,S000000,00100,0200,05/24/2000 59417,S200000,00100,0100,16910 WOODRUFF AVENUE 59417,S200000,00200,0100,BELLFLOWER 59417,S200000,00200,0200,CA 59417,S200000,00200,0300,90706 59417,S200000,00300,0100,LOS ANGELES 59417,S200000,00400,0100,BEL TOOREN VILLA CONV HOSP 59417,S200000,00400,0200,055918 59417,S200000,00400,0300,01/01/1985 59417,S200000,00400,0500,P 59417,S200000,01600,0100,Y 59417,S200000,02200,0100,Y 59426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59426,A000000,00300,0000,00300EMPLOYEE BENEFITS 59426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59426,A000000,00700,0000,00700HOUSEKEEPING 59426,A000000,00800,0000,00800DIETARY 59426,A000000,00900,0000,00900NURSING ADMINISTRATION 59426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59426,A000000,01100,0000,01100PHARMACY 59426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59426,A000000,01300,0000,01300SOCIAL SERVICE 59426,A000000,01350,0000,01500ACTIVITIES 59426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59426,A000000,01600,0000,01600SKILLED NURSING FACILITY 59426,A000000,01800,0000,01800NURSING FACILITY 59426,A000000,01810,0000,01810ICF/MR 59426,A000000,02100,0000,02100RADIOLOGY 59426,A000000,02200,0000,02200LABORATORY 59426,A000000,02300,0000,02300INTRAVENOUS THERAPY 59426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59426,A000000,02500,0000,02500PHYSICAL THERAPY 59426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59426,A000000,02700,0000,02700SPEECH PATHOLOGY 59426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59426,A000000,02901,0000,02901PEN THERAPY 59426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59426,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59426,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59426,A000000,03550,0000,03550FQHC 59426,A000000,05000,0000,05000CORF 59426,A000000,05010,0000,05010CMHC 59426,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59426,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59426,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59426,A81000A,00100,0100,Y 59426,A81000B,00100,0300,MANAGEMENT FEES 59426,A81000B,00200,0300,ALLOCATED FEES 59426,A81000B,00300,0300,ALLOCATED FEES 59426,A81000B,00400,0300,ALLOCATED FEES 59426,A81000B,00500,0300,MEDILIFE 59426,A81000B,00600,0300,LCCA INTEREST 59426,A81000B,00700,0300,MIRADA CONTRACT 59426,A81000B,00800,0300,LCCA Y2K PROJECT 59426,A81000B,00900,0300,LCCA INTEREST 59426,A81000C,00100,0100,A 59426,A81000C,00100,0200,FORREST PRESTON 59426,A81000C,00100,0400,LIFE CARE CENTE 59426,A81000C,00100,0600,MANAGEMENT FEES 59426,A81000C,00200,0100,A 59426,A81000C,00200,0200,FORREST PRESTON 59426,A81000C,00200,0400,MIRADA HILLS 59426,A81000C,00200,0600,NURSING HOME 59426,A81000C,00300,0100,A 59426,A81000C,00300,0200,FORREST PRESTON 59426,A81000C,00300,0400,MEDILIFE 59426,A81000C,00300,0600,PHARMACY 59426,B100000,00000,0100,00000(SQUARE FEET) 59426,B100000,00000,0200,00000(SQUARE FEET) 59426,B100000,00000,0300,00000(GROSS SALARIES) 59426,B100000,00000,0400,00000(ACCUM COST) 59426,B100000,00000,0500,00000(SQUARE FEET) 59426,B100000,00000,0600,00000PATIENT DAYS 59426,B100000,00000,0700,00000(SQUARE FEET) 59426,B100000,00000,0800,00000(MEALS SERVED) 59426,B100000,00000,0900,00000DIRECT NRSG HOURS 59426,B100000,00000,1000,00000(COSTED REQUIS) 59426,B100000,00000,1100,00000(COSTED REQUIS) 59426,B100000,00000,1200,00000GROSS REVENUES 59426,B100000,00000,1300,00000PATIENT DAYS 59426,B100000,00000,1350,00000PATIENT DAYS 59426,B100000,00000,1400,00000ASSIGNED TIME 59426,E10A180,00501,0100,05/26/2000 59426,E10A180,00550,0300,05/26/2000 59426,S000000,00100,0200,05/24/2000 59426,S200000,00100,0100,11926 SOUTH LA MIRADA BOULEVARD 59426,S200000,00200,0100,LA MIRADA 59426,S200000,00200,0200,CA 59426,S200000,00200,0300,90638 59426,S200000,00300,0100,LOS ANGELES 59426,S200000,00400,0100,IMPERIAL CONVALESCENT HOSP 59426,S200000,00400,0200,056115 59426,S200000,00400,0300,11/16/1979 59426,S200000,00400,0500,P 59426,S200000,01600,0100,Y 59426,S200000,02200,0100,Y 59435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59435,A000000,00300,0000,00300EMPLOYEE BENEFITS 59435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59435,A000000,00700,0000,00700HOUSEKEEPING 59435,A000000,00800,0000,00800DIETARY 59435,A000000,00900,0000,00900NURSING ADMINISTRATION 59435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59435,A000000,01100,0000,01100PHARMACY 59435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59435,A000000,01300,0000,01300SOCIAL SERVICE 59435,A000000,01350,0000,01500ACTIVITIES 59435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59435,A000000,01600,0000,01600SKILLED NURSING FACILITY 59435,A000000,01800,0000,01800NURSING FACILITY 59435,A000000,01810,0000,01810ICF/MR 59435,A000000,02100,0000,02100RADIOLOGY 59435,A000000,02200,0000,02200LABORATORY 59435,A000000,02300,0000,02300INTRAVENOUS THERAPY 59435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59435,A000000,02500,0000,02500PHYSICAL THERAPY 59435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59435,A000000,02700,0000,02700SPEECH PATHOLOGY 59435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59435,A000000,02901,0000,02901PEN THERAPY 59435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59435,A000000,03550,0000,03550FQHC 59435,A000000,05000,0000,05000CORF 59435,A000000,05010,0000,05010CMHC 59435,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59435,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59435,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59435,A000000,06150,0000,06300COMMUNICATIONS 59435,A81000A,00100,0100,Y 59435,A81000B,00100,0300,MANAGEMENT FEES 59435,A81000B,00200,0300,ALLOCATED FEES 59435,A81000B,00300,0300,ALLOCATED FEES 59435,A81000B,00400,0300,ALLOCATED FEES 59435,A81000B,00500,0300,MEDILIFE 59435,A81000B,00600,0300,MEDILIFE 59435,A81000B,00700,0300,LCCA INTEREST 59435,A81000B,00800,0300,LIFE CARE DESIGNS 59435,A81000B,00900,0300,LCCA Y2K PROJECT 59435,A81000C,00100,0100,A 59435,A81000C,00100,0200,FORREST PRESTON 59435,A81000C,00100,0400,LIFE CARE CTRS 59435,A81000C,00100,0600,MANAGEMENT COMP 59435,A81000C,00200,0100,A 59435,A81000C,00200,0200,FORREST PRESTON 59435,A81000C,00200,0400,MEDILIFE 59435,A81000C,00200,0600,PHARMACY 59435,A81000C,00300,0100,A 59435,A81000C,00300,0200,FORREST PRESTON 59435,A81000C,00300,0400,LIFE CARE DESIG 59435,A81000C,00300,0600,INTERIOR DESIGN 59435,A81000C,00400,0100,A 59435,B100000,00000,0100,00000(SQUARE FEET) 59435,B100000,00000,0200,00000(SQUARE FEET) 59435,B100000,00000,0300,00000(GROSS SALARIES) 59435,B100000,00000,0400,00000(ACCUM COST) 59435,B100000,00000,0500,00000(SQUARE FEET) 59435,B100000,00000,0600,00000PATIENT DAYS 59435,B100000,00000,0700,00000(SQUARE FEET) 59435,B100000,00000,0800,00000(MEALS SERVED) 59435,B100000,00000,0900,00000DIRECT NRSG HOURS 59435,B100000,00000,1000,00000(COSTED REQUIS) 59435,B100000,00000,1100,00000(COSTED REQUIS) 59435,B100000,00000,1200,00000GROSS REVENUES 59435,B100000,00000,1300,00000PATIENT DAYS 59435,B100000,00000,1350,00000PATIENT DAYS 59435,B100000,00000,1400,00000ASSIGNED TIME 59435,E10A180,00501,0100,06/22/2000 59435,E10A180,00550,0300,06/22/2000 59435,S000000,00100,0200,05/17/2000 59435,S200000,00100,0100,27600 ENCANTO DRIVE 59435,S200000,00200,0100,SUN CITY 59435,S200000,00200,0200,CA 59435,S200000,00200,0300,92586 59435,S200000,00300,0100,RIVERSIDE 59435,S200000,00400,0100,SUN CITY CONVALESCENT CTR 59435,S200000,00400,0200,056185 59435,S200000,00400,0300,10/01/1978 59435,S200000,00400,0500,P 59435,S200000,01600,0100,Y 59435,S200000,02200,0100,Y 59444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59444,A000000,00300,0000,00300EMPLOYEE BENEFITS 59444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59444,A000000,00700,0000,00700HOUSEKEEPING 59444,A000000,00800,0000,00800DIETARY 59444,A000000,00900,0000,00900NURSING ADMINISTRATION 59444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59444,A000000,01100,0000,01100PHARMACY 59444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59444,A000000,01300,0000,01300SOCIAL SERVICE 59444,A000000,01350,0000,01500ACTIVITIES 59444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59444,A000000,01600,0000,01600SKILLED NURSING FACILITY 59444,A000000,01800,0000,01800NURSING FACILITY 59444,A000000,01810,0000,01810ICF/MR 59444,A000000,02100,0000,02100RADIOLOGY 59444,A000000,02200,0000,02200LABORATORY 59444,A000000,02300,0000,02300INTRAVENOUS THERAPY 59444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59444,A000000,02500,0000,02500PHYSICAL THERAPY 59444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59444,A000000,02700,0000,02700SPEECH PATHOLOGY 59444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59444,A000000,03550,0000,03550FQHC 59444,A000000,05000,0000,05000CORF 59444,A000000,05010,0000,05010CMHC 59444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59444,A81000A,00100,0100,Y 59444,A81000B,00100,0300,HOME OFFICE COSTS 59444,A81000B,00200,0300,H.O. COSTS - CAPITAL 59444,A81000B,00300,0300,Y2K COMP. DEPREC. 99 59444,A81000B,00400,0300,RELATED PARTY INT. 59444,A81000B,00500,0300,METLIFE INTEREST 59444,A81000B,00600,0300,INTERIOR DECORATING 59444,A81000B,00700,0300,REHAB ALLOC - PT 59444,A81000B,00800,0300,REHAB ALLOC - OT 59444,A81000B,00900,0300,REHAB ALLOC - ST 59444,A81000B,01000,0300,PHARM. CONT. SRVS. 59444,A81000B,01100,0300,PHARMACEUTICALS 59444,A81000B,01200,0300,ROUTINE SUPPLIES 59444,A81000C,00100,0100,B 59444,A81000C,00100,0200,FORREST PRESTON 59444,A81000C,00100,0400,LIFE CARE CENTE 59444,A81000C,00100,0600,NRSG HOME OWNER 59444,A81000C,00200,0100,B 59444,A81000C,00200,0200,FORREST PRESTON 59444,A81000C,00200,0400,LIFE CARE CENTE 59444,A81000C,00200,0600,NRSG HOME OWNER 59444,A81000C,00300,0100,B 59444,A81000C,00300,0200,FORREST PRESTON 59444,A81000C,00300,0400,LIFE CARE CENTE 59444,A81000C,00300,0600,NRSG HOME OWNER 59444,A81000C,00400,0100,B 59444,A81000C,00400,0200,FORREST PRESTON 59444,A81000C,00400,0400,LIFE CARE CENTE 59444,A81000C,00400,0600,NRSG HOME OWNER 59444,A81000C,00500,0100,B 59444,A81000C,00500,0200,FORREST PRESTON 59444,A81000C,00500,0400,METLIFE 59444,A81000C,00500,0600,COMPUTER LEASE 59444,A81000C,00600,0100,B 59444,A81000C,00600,0200,FORREST PRESTON 59444,A81000C,00600,0400,LIFE CARE DESIG 59444,A81000C,00600,0600,INTERIOR DESIGN 59444,A81000C,00700,0100,B 59444,A81000C,00700,0200,FORREST PRESTON 59444,A81000C,00700,0400,REHAB SUPPORT S 59444,A81000C,00700,0600,REHAB SERVICES 59444,A81000C,00800,0100,B 59444,A81000C,00800,0200,FORREST PRESTON 59444,A81000C,00800,0400,REHAB SUPPORT S 59444,A81000C,00800,0600,REHAB SERVICES 59444,A81000C,00900,0100,B 59444,A81000C,00900,0200,FORREST PRESTON 59444,A81000C,00900,0400,REHAB SUPPORT S 59444,A81000C,00900,0600,REHAB SERVICES 59444,A81000C,01000,0100,B 59444,A81000C,01000,0200,FORREST PRESTON 59444,A81000C,01000,0400,MEDILIFE 59444,A81000C,01000,0600,PHARMACY 59444,A81000C,01100,0100,B 59444,A81000C,01100,0200,FORREST PRESTON 59444,A81000C,01100,0400,MEDILIFE 59444,A81000C,01100,0600,PHARMACY 59444,A81000C,01200,0100,B 59444,A81000C,01200,0200,FORREST PRESTON 59444,A81000C,01200,0400,MEDILIFE 59444,A81000C,01200,0600,PHARMACY 59444,B100000,00000,0100,00000(SQUARE FEET) 59444,B100000,00000,0200,00000(SQUARE FEET) 59444,B100000,00000,0300,00000(GROSS SALARIES) 59444,B100000,00000,0400,00000(ACCUM COST) 59444,B100000,00000,0500,00000(SQUARE FEET) 59444,B100000,00000,0600,00000PATIENT DAYS 59444,B100000,00000,0700,00000(SQUARE FEET) 59444,B100000,00000,0800,00000(MEALS SERVED) 59444,B100000,00000,0900,00000DIR NRSG HOURS 59444,B100000,00000,1000,00000(COSTED REQUIS) 59444,B100000,00000,1100,00000COSTED REQUIS 59444,B100000,00000,1200,00000GROSS REVENUES 59444,B100000,00000,1300,00000PATIENT DAYS 59444,B100000,00000,1350,00000PATIENT DAYS 59444,B100000,00000,1400,00000ASSIGNED TIME 59444,E10A180,00301,0100,08/17/1999 59444,S000000,00100,0200,05/17/2000 59444,S200000,00100,0100,7950 WEST MISSISSIPPI AVENUE 59444,S200000,00200,0100,LAKEWOOD 59444,S200000,00200,0200,CO 59444,S200000,00200,0300,80226 59444,S200000,00300,0100,JEFFERSON 59444,S200000,00400,0100,VILLA MANOR CARE CENTER 59444,S200000,00400,0200,065092 59444,S200000,00400,0300,01/04/1971 59444,S200000,00400,0500,P 59444,S200000,00600,0200,065092 59444,S200000,00600,0300,01/04/1971 59444,S200000,00600,0600,P 59444,S200000,01600,0100,Y 59444,S200000,02200,0100,Y 59452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59452,A000000,00300,0000,00300EMPLOYEE BENEFITS 59452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59452,A000000,00700,0000,00700HOUSEKEEPING 59452,A000000,00800,0000,00800DIETARY 59452,A000000,00900,0000,00900NURSING ADMINISTRATION 59452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59452,A000000,01300,0000,01300SOCIAL SERVICE 59452,A000000,01350,0000,01500ACTIVITIES 59452,A000000,01600,0000,01600SKILLED NURSING FACILITY 59452,A000000,01800,0000,01800NURSING FACILITY 59452,A000000,02100,0000,02100RADIOLOGY 59452,A000000,02200,0000,02200LABORATORY 59452,A000000,02300,0000,02300INTRAVENOUS THERAPY 59452,A000000,02500,0000,02500PHYSICAL THERAPY 59452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59452,A000000,02700,0000,02700SPEECH PATHOLOGY 59452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59452,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59452,A81000A,00100,0100,Y 59452,A81000B,00100,0300,HOME OFFICE COSTS 59452,A81000B,00200,0300,H.O. COSTS - CAPITAL 59452,A81000B,00300,0300,RELATED PARTY INT 59452,A81000B,00400,0300,Y2K COMP. DEPR. 99 59452,A81000B,00500,0300,INTERIOR DESIGN - 96 59452,A81000B,00600,0300,INTERIOR DESIGN - 97 59452,A81000B,00700,0300,INTERIOR DESIGN - 99 59452,A81000B,00800,0300,REHAB ALLOC - PT 59452,A81000B,00900,0300,REHAB ALLOC - OT 59452,A81000B,01000,0300,REHAB ALLOC - ST 59452,A81000B,01100,0300,PHARMACEUTICALS 59452,A81000B,01200,0300,PHARM. CONTR. SRVS. 59452,A81000B,01300,0300,MED/SURG. SUPPLIES 59452,A81000B,01400,0300,ROUTINE SUPPLIES 59452,A81000C,00100,0100,B 59452,A81000C,00100,0200,FORREST PRESTON 59452,A81000C,00100,0400,LIFE CARE CENTE 59452,A81000C,00100,0600,NRSG HOME OWNER 59452,A81000C,00200,0100,B 59452,A81000C,00200,0200,FORREST PRESTON 59452,A81000C,00200,0400,LIFE CARE CENTE 59452,A81000C,00200,0600,NRSG HOME OWNER 59452,A81000C,00300,0100,B 59452,A81000C,00300,0200,FORREST PRESTON 59452,A81000C,00300,0400,LIFE CARE CENTE 59452,A81000C,00300,0600,NRSG HOME OWNER 59452,A81000C,00400,0100,B 59452,A81000C,00400,0200,FORREST PRESTON 59452,A81000C,00400,0400,LIFE CARE CENTE 59452,A81000C,00400,0600,NRSG HOME OWNER 59452,A81000C,00500,0100,B 59452,A81000C,00500,0200,FORREST PRESTON 59452,A81000C,00500,0400,LIFE CARE DESIG 59452,A81000C,00500,0600,INTERIOR DESIGN 59452,A81000C,00600,0100,B 59452,A81000C,00600,0200,FORREST PRESTON 59452,A81000C,00600,0400,LIFE CARE DESIG 59452,A81000C,00600,0600,INTERIOR DESIGN 59452,A81000C,00700,0100,B 59452,A81000C,00700,0200,FORREST PRESTON 59452,A81000C,00700,0400,LIFE CARE DESIG 59452,A81000C,00700,0600,INTERIOR DESIGN 59452,A81000C,00800,0100,B 59452,A81000C,00800,0200,FORREST PRESTON 59452,A81000C,00800,0400,REHAB SUPPORT S 59452,A81000C,00800,0600,REHAB SERVICES 59452,A81000C,00900,0100,B 59452,A81000C,00900,0200,FORREST PRESTON 59452,A81000C,00900,0400,REHAB SUPPORT S 59452,A81000C,00900,0600,REHAB SERVICES 59452,A81000C,01000,0100,B 59452,A81000C,01000,0200,FORREST PRESTON 59452,A81000C,01000,0400,REHAB SUPPORT S 59452,A81000C,01000,0600,REHAB SERVICES 59452,A81000C,01100,0100,B 59452,A81000C,01100,0200,FORREST PRESTON 59452,A81000C,01100,0400,MEDILIFE 59452,A81000C,01100,0600,PHARMACY 59452,A81000C,01200,0100,B 59452,A81000C,01200,0200,FORREST PRESTON 59452,A81000C,01200,0400,MEDILIFE 59452,A81000C,01200,0600,PHARMACY 59452,A81000C,01300,0100,B 59452,A81000C,01300,0200,FORREST PRESTON 59452,A81000C,01300,0400,MEDILIFE 59452,A81000C,01300,0600,PHARMACY 59452,A81000C,01400,0100,B 59452,A81000C,01400,0200,FORREST PRESTON 59452,A81000C,01400,0400,MEDILIFE 59452,A81000C,01400,0600,PHARMACY 59452,B100000,00000,0100,00000(SQUARE FEET) 59452,B100000,00000,0200,00000(SQUARE FEET) 59452,B100000,00000,0300,00000(GROSS SALARIES) 59452,B100000,00000,0400,00000(ACCUM COST) 59452,B100000,00000,0500,00000(SQUARE FEET) 59452,B100000,00000,0600,00000PATIENT DAYS 59452,B100000,00000,0700,00000(SQUARE FEET) 59452,B100000,00000,0800,00000(MEALS SERVED) 59452,B100000,00000,0900,00000DIR NRSG HOURS 59452,B100000,00000,1000,00000(COSTED REQUIS) 59452,B100000,00000,1200,00000GROSS REVENUES 59452,B100000,00000,1300,00000PATIENT DAYS 59452,B100000,00000,1350,00000PATIENT DAYS 59452,E10A180,00301,0100,02/07/2000 59452,S000000,00100,0200,05/17/2000 59452,S200000,00100,0100,815 FREEMONT AVENUE 59452,S200000,00200,0100,FORT MORGAN 59452,S200000,00200,0200,CO 59452,S200000,00200,0300,80701 59452,S200000,00300,0100,MORGAN 59452,S200000,00400,0100,VALLEY VIEW VILLA 59452,S200000,00400,0200,065181 59452,S200000,00400,0300,04/02/1987 59452,S200000,00400,0500,P 59452,S200000,00600,0200,065181 59452,S200000,00600,0300,04/02/1987 59452,S200000,00600,0600,P 59452,S200000,01600,0100,Y 59452,S200000,02200,0100,Y 59460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59460,A000000,00300,0000,00300EMPLOYEE BENEFITS 59460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59460,A000000,00700,0000,00700HOUSEKEEPING 59460,A000000,00800,0000,00800DIETARY 59460,A000000,00900,0000,00900NURSING ADMINISTRATION 59460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59460,A000000,01100,0000,01100PHARMACY 59460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59460,A000000,01300,0000,01300SOCIAL SERVICE 59460,A000000,01350,0000,01500ACTIVITIES 59460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59460,A000000,01600,0000,01600SKILLED NURSING FACILITY 59460,A000000,01800,0000,01800NURSING FACILITY 59460,A000000,01810,0000,01810ICF/MR 59460,A000000,02100,0000,02100RADIOLOGY 59460,A000000,02200,0000,02200LABORATORY 59460,A000000,02300,0000,02300INTRAVENOUS THERAPY 59460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59460,A000000,02500,0000,02500PHYSICAL THERAPY 59460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59460,A000000,02700,0000,02700SPEECH PATHOLOGY 59460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59460,A000000,02901,0000,02901PEN THERAPY 59460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59460,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 59460,A000000,03051,0000,03301OTHER ANCILLARY SERVICE 59460,A000000,03550,0000,03550FQHC 59460,A000000,05000,0000,05000CORF 59460,A000000,05010,0000,05010CMHC 59460,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59460,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59460,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59460,A81000A,00100,0100,Y 59460,A81000B,00100,0300,HOME OFFICE COSTS 59460,A81000B,00200,0300,H.O. COSTS - CAPITAL 59460,A81000B,00300,0300,METLIFE INTEREST 59460,A81000B,00400,0300,RELATED PARTY INT. 59460,A81000B,00500,0300,RELATED PARTY INT. 59460,A81000B,00600,0300,Y2K COMPUTER DEPR 99 59460,A81000B,00700,0300,RELATED PARTY LEASE 59460,A81000B,00800,0300,LIFE CARE DESIGNS 96 59460,A81000B,00900,0300,LIFE CARE DESIGNS 97 59460,A81000B,01000,0300,LIFE CARE DESIGNS 98 59460,A81000B,01100,0300,REHAB ALLOC - PT 59460,A81000B,01200,0300,REHAB ALLOC - OT 59460,A81000B,01300,0300,REHAB ALLOC - ST 59460,A81000B,01400,0300,IV THERAPY 59460,A81000B,01500,0300,PHARM. CONT. SRVS. 59460,A81000B,01600,0300,PHARMACEUTICALS 59460,A81000B,01700,0300,MED/SURG SUPPLIES 59460,A81000B,01800,0300,ROUTINE SUPPLIES 59460,A81000C,00100,0100,B 59460,A81000C,00100,0200,LIFE CARE CENTE 59460,A81000C,00100,0400,LIFE CARE CENTE 59460,A81000C,00100,0600,NRSG HOME MGMT 59460,A81000C,00200,0100,B 59460,A81000C,00200,0200,LIFE CARE CENTE 59460,A81000C,00200,0400,LIFE CARE CENTE 59460,A81000C,00200,0600,NRSG HOME MGMT 59460,A81000C,00300,0100,B 59460,A81000C,00300,0200,LIFE CARE CENTE 59460,A81000C,00300,0400,METLIFE 59460,A81000C,00300,0600,COMPUTER FINANC 59460,A81000C,00400,0100,B 59460,A81000C,00400,0200,LIFE CARE CENTE 59460,A81000C,00400,0400,LIFE CARE CENTE 59460,A81000C,00400,0600,NRSG HOME MGMT 59460,A81000C,00500,0100,B 59460,A81000C,00500,0200,LIFE CARE CENTE 59460,A81000C,00500,0400,LIFE CARE CENTE 59460,A81000C,00500,0600,NRSG HOME MGMT 59460,A81000C,00600,0100,B 59460,A81000C,00600,0200,LIFE CARE CENTE 59460,A81000C,00600,0400,LIFE CARE CENTE 59460,A81000C,00600,0600,NRSG HOME MGMT 59460,A81000C,00700,0100,F 59460,A81000C,00700,0200,LIFE CARE CENTE 59460,A81000C,00700,0400,WEST DENVER MED 59460,A81000C,00700,0600,LESSOR 59460,A81000C,00800,0100,B 59460,A81000C,00800,0200,LIFE CARE CENTE 59460,A81000C,00800,0400,LIFE CARE DESIG 59460,A81000C,00800,0600,INTERIOR DESIGN 59460,A81000C,00900,0100,B 59460,A81000C,00900,0200,LIFE CARE CENTE 59460,A81000C,00900,0400,LIFE CARE DESIG 59460,A81000C,00900,0600,INTERIOR DESIGN 59460,A81000C,01000,0100,B 59460,A81000C,01000,0200,LIFE CARE CENTE 59460,A81000C,01000,0400,LIFE CARE DESIG 59460,A81000C,01000,0600,INTERIOR DESIGN 59460,A81000C,01100,0100,B 59460,A81000C,01100,0200,LIFE CARE CENTE 59460,A81000C,01100,0400,REHAB SUPPORT S 59460,A81000C,01100,0600,REHAB SERVICES 59460,A81000C,01200,0100,B 59460,A81000C,01200,0200,LIFE CARE CENTE 59460,A81000C,01200,0400,REHAB SUPPORT S 59460,A81000C,01200,0600,REHAB SERVICES 59460,A81000C,01300,0100,B 59460,A81000C,01300,0200,LIFE CARE CENTE 59460,A81000C,01300,0400,REHAB SUPPORT S 59460,A81000C,01300,0600,REHAB SERVICES 59460,A81000C,01400,0100,B 59460,A81000C,01400,0200,LIFE CARE CENTE 59460,A81000C,01400,0400,MEDILIFE 59460,A81000C,01400,0600,PHARMACY 59460,A81000C,01500,0100,B 59460,A81000C,01500,0200,LIFE CARE CENTE 59460,A81000C,01500,0400,MEDILIFE 59460,A81000C,01500,0600,PHARMACY 59460,A81000C,01600,0100,B 59460,A81000C,01600,0200,LIFE CARE CENTE 59460,A81000C,01600,0400,MEDILIFE 59460,A81000C,01600,0600,PHARMACY 59460,A81000C,01700,0100,B 59460,A81000C,01700,0200,LIFE CARE CENTE 59460,A81000C,01700,0400,MEDILIFE 59460,A81000C,01700,0600,PHARMACY 59460,A81000C,01800,0100,B 59460,A81000C,01800,0200,LIFE CARE CENTE 59460,A81000C,01800,0400,MEDILIFE 59460,A81000C,01800,0600,PHARMACY 59460,B100000,00000,0100,00000(SQUARE FEET) 59460,B100000,00000,0200,00000(SQUARE FEET) 59460,B100000,00000,0300,00000(GROSS SALARIES) 59460,B100000,00000,0400,00000(ACCUM COST) 59460,B100000,00000,0500,00000(SQUARE FEET) 59460,B100000,00000,0600,00000PATIENT DAYS 59460,B100000,00000,0700,00000(SQUARE FEET) 59460,B100000,00000,0800,00000(MEALS SERVED) 59460,B100000,00000,0900,00000DIR NRSG HOURS 59460,B100000,00000,1000,00000(COSTED REQUIS) 59460,B100000,00000,1100,00000COSTED REQUIS 59460,B100000,00000,1200,00000GROSS REVENUES 59460,B100000,00000,1300,00000PATIENT DAYS 59460,B100000,00000,1350,00000PATIENT DAYS 59460,B100000,00000,1400,00000ASSIGNED TIME 59460,S000000,00100,0200,05/25/2000 59460,S200000,00100,0100,1625 CARR STREET 59460,S200000,00200,0100,LAKEWOOD 59460,S200000,00200,0200,CO 59460,S200000,00200,0300,80215 59460,S200000,00300,0100,JEFFERSON 59460,S200000,00400,0100,WESTERN HILLS HEALTH CARE CENTER 59460,S200000,00400,0200,065209 59460,S200000,00400,0300,04/18/1985 59460,S200000,00400,0500,P 59460,S200000,00600,0200,065209 59460,S200000,00600,0300,04/18/1985 59460,S200000,00600,0600,P 59460,S200000,01600,0100,Y 59460,S200000,02200,0100,Y 59460,S200000,04700,0100,Y 59460,S200000,04700,0200,Y 59469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59469,A000000,00300,0000,00300EMPLOYEE BENEFITS 59469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59469,A000000,00700,0000,00700HOUSEKEEPING 59469,A000000,00800,0000,00800DIETARY 59469,A000000,00900,0000,00900NURSING ADMINISTRATION 59469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59469,A000000,01100,0000,01100PHARMACY 59469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59469,A000000,01300,0000,01300SOCIAL SERVICE 59469,A000000,01350,0000,01500ACTIVITIES 59469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59469,A000000,01600,0000,01600SKILLED NURSING FACILITY 59469,A000000,01800,0000,01800NURSING FACILITY 59469,A000000,01810,0000,01810ICF/MR 59469,A000000,01900,0000,01900OTHER LONG TERM CARE 59469,A000000,02100,0000,02100RADIOLOGY 59469,A000000,02200,0000,02200LABORATORY 59469,A000000,02500,0000,02500PHYSICAL THERAPY 59469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59469,A000000,02700,0000,02700SPEECH PATHOLOGY 59469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59469,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59469,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59469,A000000,03550,0000,03550FQHC 59469,A000000,05000,0000,05000CORF 59469,A000000,05010,0000,05010CMHC 59469,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59469,A81000A,00100,0100,Y 59469,A81000B,00100,0300,HOME OFFICE COSTS 59469,A81000B,00200,0300,H.O. CAPITAL COSTS 59469,A81000B,00300,0300,CO MEDICAL INVESTORS 59469,A81000B,00400,0300,METLIFE PC INTEREST 59469,A81000B,00500,0300,REHAB ALLOC - PT 59469,A81000B,00600,0300,REHAB ALLOC - OT 59469,A81000B,00700,0300,REHAB ALLOC - ST 59469,A81000B,00800,0300,COMPUTER DEPREC - 99 59469,A81000C,00100,0100,A 59469,A81000C,00100,0200,FORREST PRESTON 59469,A81000C,00100,0400,LIFE CARE CENTE 59469,A81000C,00100,0600,NRSG HOME MGMT 59469,A81000C,00200,0100,A 59469,A81000C,00200,0200,FORREST PRESTON 59469,A81000C,00200,0400,LIFE CARE CENTE 59469,A81000C,00200,0600,NRSG HOME MGMT 59469,A81000C,00300,0100,A 59469,A81000C,00300,0200,FORREST PRESTON 59469,A81000C,00300,0400,CO MEDICAL INVE 59469,A81000C,00300,0600,NRSG HOME OWNER 59469,A81000C,00400,0100,A 59469,A81000C,00400,0200,FORREST PRESTON 59469,A81000C,00400,0400,METLIFE 59469,A81000C,00400,0600,COMPUTER FINANC 59469,A81000C,00500,0100,A 59469,A81000C,00500,0200,FORREST PRESTON 59469,A81000C,00500,0400,REHAB SUPPORT S 59469,A81000C,00500,0600,REHAB SERVICES 59469,A81000C,00600,0100,A 59469,A81000C,00600,0200,FORREST PRESTON 59469,A81000C,00600,0400,REHAB SUPPORT S 59469,A81000C,00600,0600,REHAB SERVICES 59469,A81000C,00700,0100,A 59469,A81000C,00700,0200,FORREST PRESTON 59469,A81000C,00700,0400,REHAB SUPPORT S 59469,A81000C,00700,0600,REHAB SERVICES 59469,A81000C,00800,0100,A 59469,A81000C,00800,0200,FORREST PRESTON 59469,A81000C,00800,0400,LIFE CARE CENTE 59469,A81000C,00800,0600,NRSG HOME MGMT 59469,B100000,00000,0100,00000(SQUARE FEET) 59469,B100000,00000,0200,00000(SQUARE FEET) 59469,B100000,00000,0300,00000(GROSS SALARIES) 59469,B100000,00000,0400,00000(ACCUM COST) 59469,B100000,00000,0500,00000(SQUARE FEET) 59469,B100000,00000,0600,00000PATIENT DAYS 59469,B100000,00000,0700,00000(SQUARE FEET) 59469,B100000,00000,0800,00000(MEALS SERVED) 59469,B100000,00000,0900,00000HOURS SUPERVISED 59469,B100000,00000,1000,00000COSTED REQUIS 59469,B100000,00000,1100,00000COSTED REQUIS 59469,B100000,00000,1200,00000GROSS REVENUES 59469,B100000,00000,1300,00000PATIENT DAYS 59469,B100000,00000,1350,00000PATIENT DAYS 59469,B100000,00000,1400,00000ASSIGNED TIME 59469,E10A180,00501,0100,07/05/2000 59469,E10A180,00550,0300,07/05/2000 59469,S000000,00100,0200,05/17/2000 59469,S200000,00100,0100,905 HARDING AVENUE 59469,S200000,00200,0100,CANON CITY 59469,S200000,00200,0200,CO 59469,S200000,00200,0300,81212 59469,S200000,00300,0100,FREMONT 59469,S200000,00400,0100,CANON LODGE CARE CENTER 59469,S200000,00400,0200,065217 59469,S200000,00400,0300,09/01/1985 59469,S200000,00400,0500,P 59469,S200000,01500,0100,Y 59469,S200000,02200,0100,Y 59477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59477,A000000,00300,0000,00300EMPLOYEE BENEFITS 59477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59477,A000000,00700,0000,00700HOUSEKEEPING 59477,A000000,00800,0000,00800DIETARY 59477,A000000,00900,0000,00900NURSING ADMINISTRATION 59477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59477,A000000,01100,0000,01100PHARMACY 59477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59477,A000000,01300,0000,01300SOCIAL SERVICE 59477,A000000,01350,0000,01500ACTIVITIES 59477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59477,A000000,01600,0000,01600SKILLED NURSING FACILITY 59477,A000000,01800,0000,01800NURSING FACILITY 59477,A000000,01810,0000,01810ICF/MR 59477,A000000,02100,0000,02100RADIOLOGY 59477,A000000,02200,0000,02200LABORATORY 59477,A000000,02300,0000,02300INTRAVENOUS THERAPY 59477,A000000,02500,0000,02500PHYSICAL THERAPY 59477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59477,A000000,02700,0000,02700SPEECH PATHOLOGY 59477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59477,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59477,A000000,03051,0000,03301AMBULANCE SERVICES 59477,A000000,03550,0000,03550FQHC 59477,A000000,05000,0000,05000CORF 59477,A000000,05010,0000,05010CMHC 59477,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59477,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59477,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59477,A81000A,00100,0100,Y 59477,A81000B,00100,0300,HOME OFFICE COSTS 59477,A81000B,00200,0300,H.O. COSTS - CAPITAL 59477,A81000B,00300,0300,RELATED PARTY INT. 59477,A81000B,00400,0300,METLIFE INTEREST 59477,A81000B,00500,0300,INTERIOR DESIGN - 96 59477,A81000B,00600,0300,INTERIOR DESIGN - 97 59477,A81000B,00700,0300,METLIFE DEPRECIATION 59477,A81000B,00800,0300,REHAB ALLOC - PT 59477,A81000B,00900,0300,REHAB ALLOC - OT 59477,A81000B,01000,0300,REHAB ALLOC - ST 59477,A81000B,01100,0300,COMPUTER DEPREC - 99 59477,A81000B,01200,0300,MEDILIFE EQUIP. RENT 59477,A81000B,01300,0300,MEDILIFE ROUT. SUPPL 59477,A81000C,00100,0100,B 59477,A81000C,00100,0200,LIFE CARE CENTE 59477,A81000C,00100,0400,LIFE CARE CENTE 59477,A81000C,00100,0600,NRSG HOME MGMT 59477,A81000C,00200,0100,B 59477,A81000C,00200,0200,LIFE CARE CENTE 59477,A81000C,00200,0400,LIFE CARE CENTE 59477,A81000C,00200,0600,NRSG HOME MGMT 59477,A81000C,00300,0100,B 59477,A81000C,00300,0200,LIFE CARE CENTE 59477,A81000C,00300,0400,LIFE CARE CENTE 59477,A81000C,00300,0600,NRSG HOME MGMT 59477,A81000C,00400,0100,B 59477,A81000C,00400,0200,LIFE CARE CENTE 59477,A81000C,00400,0400,METLIFE 59477,A81000C,00400,0600,COMPUTER LEASIN 59477,A81000C,00500,0100,B 59477,A81000C,00500,0200,LIFE CARE CENTE 59477,A81000C,00500,0400,LIFE CARE DESIG 59477,A81000C,00500,0600,INTERIOR DESIGN 59477,A81000C,00600,0100,B 59477,A81000C,00600,0200,LIFE CARE CENTE 59477,A81000C,00600,0400,LIFE CARE DESIG 59477,A81000C,00600,0600,INTERIOR DESIGN 59477,A81000C,00700,0100,B 59477,A81000C,00700,0200,LIFE CARE CENTE 59477,A81000C,00700,0400,METLIFE 59477,A81000C,00700,0600,COMPUTER LEASIN 59477,A81000C,00800,0100,B 59477,A81000C,00800,0200,LIFE CARE CENTE 59477,A81000C,00800,0400,REHAB SUPPORT S 59477,A81000C,00800,0600,REHAB SERVICES 59477,A81000C,00900,0100,B 59477,A81000C,00900,0200,LIFE CARE CENTE 59477,A81000C,00900,0400,REHAB SUPPORT S 59477,A81000C,00900,0600,REHAB SERVICES 59477,A81000C,01000,0100,B 59477,A81000C,01000,0200,LIFE CARE CENTE 59477,A81000C,01000,0400,REHAB SUPPORT S 59477,A81000C,01000,0600,REHAB SERVICES 59477,A81000C,01100,0100,B 59477,A81000C,01100,0200,LIFE CARE CENTE 59477,A81000C,01100,0400,LIFE CARE CENTE 59477,A81000C,01100,0600,NRSG HOME MGMT 59477,A81000C,01200,0100,B 59477,A81000C,01200,0200,LIFE CARE CENTE 59477,A81000C,01200,0400,MEDILIFE PHARMA 59477,A81000C,01200,0600,PHARMACY SRVS. 59477,A81000C,01300,0100,B 59477,A81000C,01300,0200,LIFE CARE CENTE 59477,A81000C,01300,0400,MEDILIFE PHARMA 59477,A81000C,01300,0600,PHARMACY SRVS. 59477,B100000,00000,0100,00000(SQUARE FEET) 59477,B100000,00000,0200,00000(SQUARE FEET) 59477,B100000,00000,0300,00000(GROSS SALARIES) 59477,B100000,00000,0400,00000(ACCUM COST) 59477,B100000,00000,0500,00000(SQUARE FEET) 59477,B100000,00000,0600,00000PATIENT DAYS 59477,B100000,00000,0700,00000(SQUARE FEET) 59477,B100000,00000,0800,00000(MEALS SERVED) 59477,B100000,00000,0900,00000DIR NRSG HOURS 59477,B100000,00000,1000,00000(COSTED REQUIS) 59477,B100000,00000,1100,00000COSTED REQUIS 59477,B100000,00000,1200,00000GROSS REVENUES 59477,B100000,00000,1300,00000PATIENT DAYS 59477,B100000,00000,1350,00000PATIENT DAYS 59477,B100000,00000,1400,00000ASSIGNED TIME 59477,E10A180,00301,0100,08/17/1999 59477,E10A180,00302,0100,02/07/2000 59477,S000000,00100,0200,05/11/2000 59477,S200000,00100,0100,530 WEST 16TH STREET 59477,S200000,00200,0100,SALIDA 59477,S200000,00200,0200,CO 59477,S200000,00200,0300,81201 59477,S200000,00300,0100,CHAFFEE 59477,S200000,00400,0100,COLUMBINE MANOR 59477,S200000,00400,0200,065220 59477,S200000,00400,0300,08/01/1985 59477,S200000,00400,0500,P 59477,S200000,00600,0200,065220 59477,S200000,00600,0300,08/01/1985 59477,S200000,00600,0600,P 59477,S200000,01600,0100,Y 59477,S200000,02200,0100,Y 59477,S200000,04700,0100,Y 59477,S200000,04700,0200,Y 59484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59484,A000000,00300,0000,00300EMPLOYEE BENEFITS 59484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59484,A000000,00700,0000,00700HOUSEKEEPING 59484,A000000,00800,0000,00800DIETARY 59484,A000000,00900,0000,00900NURSING ADMINISTRATION 59484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59484,A000000,01100,0000,01100PHARMACY 59484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59484,A000000,01300,0000,01300SOCIAL SERVICE 59484,A000000,01350,0000,01500ACTIVITIES 59484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59484,A000000,01600,0000,01600SKILLED NURSING FACILITY 59484,A000000,01800,0000,01800NURSING FACILITY 59484,A000000,01810,0000,01810ICF/MR 59484,A000000,02100,0000,02100RADIOLOGY 59484,A000000,02200,0000,02200LABORATORY 59484,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59484,A000000,02500,0000,02500PHYSICAL THERAPY 59484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59484,A000000,02700,0000,02700SPEECH PATHOLOGY 59484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59484,A000000,02901,0000,02901PEN THERAPY 59484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59484,A000000,03550,0000,03550FQHC 59484,A000000,05000,0000,05000CORF 59484,A000000,05010,0000,05010CMHC 59484,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59484,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59484,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59484,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59484,A81000A,00100,0100,Y 59484,A81000B,00100,0300,HOME OFFICE COSTS 59484,A81000B,00200,0300,H.O. COSTS - CAPITAL 59484,A81000B,00300,0300,RELATED PARTY INT. 59484,A81000B,00400,0300,INTERIOR DECOR-95 59484,A81000B,00500,0300,REHAB ALLOC - PT 59484,A81000B,00600,0300,REHAB ALLOC - OT 59484,A81000B,00700,0300,REHAB ALLOC - ST 59484,A81000B,00800,0300,PHARM CONT SRVS 59484,A81000B,00900,0300,PHARMACY 59484,A81000B,01000,0300,ROUTINE SUPPLIES 59484,A81000B,01100,0300,99 COMPUTER INSTALL 59484,A81000C,00100,0100,B 59484,A81000C,00100,0200,FORREST PRESTON 59484,A81000C,00100,0400,LIFE CARE CENTE 59484,A81000C,00100,0600,NRSG HOME OWNER 59484,A81000C,00200,0100,B 59484,A81000C,00200,0200,FORREST PRESTON 59484,A81000C,00200,0400,LIFE CARE CENTE 59484,A81000C,00200,0600,NRSG HOME OWNER 59484,A81000C,00300,0100,B 59484,A81000C,00300,0200,FORREST PRESTON 59484,A81000C,00300,0400,METLIFE 59484,A81000C,00300,0600,COMPUTER LEASES 59484,A81000C,00400,0100,B 59484,A81000C,00400,0200,FORREST PRESTON 59484,A81000C,00400,0400,LIFE CARE DESIG 59484,A81000C,00400,0600,INTERIOR DESIGN 59484,A81000C,00500,0100,B 59484,A81000C,00500,0200,FORREST PRESTON 59484,A81000C,00500,0400,REHAB SUPPORT S 59484,A81000C,00500,0600,REHAB SERVICES 59484,A81000C,00600,0100,B 59484,A81000C,00600,0200,FORREST PRESTON 59484,A81000C,00600,0400,REHAB SUPPORT S 59484,A81000C,00600,0600,REHAB SERVICES 59484,A81000C,00700,0100,B 59484,A81000C,00700,0200,FORREST PRESTON 59484,A81000C,00700,0400,REHAB SUPPORT S 59484,A81000C,00700,0600,REHAB SERVICES 59484,A81000C,00800,0100,B 59484,A81000C,00800,0200,FORREST PRESTON 59484,A81000C,00800,0400,MEDILIFE PHARMA 59484,A81000C,00800,0600,PHARMACY SERVIC 59484,A81000C,00900,0100,B 59484,A81000C,00900,0200,FORREST PRESTON 59484,A81000C,00900,0400,MEDILIFE PHARMA 59484,A81000C,00900,0600,PHARMACY SERVIC 59484,A81000C,01000,0100,B 59484,A81000C,01000,0200,FORREST PRESTON 59484,A81000C,01000,0400,MEDILIFE PHARMA 59484,A81000C,01000,0600,PHARMACY SERVIC 59484,A81000C,01100,0100,B 59484,A81000C,01100,0200,FORREST PRESTON 59484,A81000C,01100,0400,LIFE CARE CENTE 59484,A81000C,01100,0600,NRSG HOME 0WNER 59484,B100000,00000,0100,00000(SQUARE FEET) 59484,B100000,00000,0200,00000(SQUARE FEET) 59484,B100000,00000,0300,00000(GROSS SALARIES) 59484,B100000,00000,0400,00000(ACCUM COST) 59484,B100000,00000,0500,00000(SQUARE FEET) 59484,B100000,00000,0600,00000PATIENT DAYS 59484,B100000,00000,0700,00000(SQUARE FEET) 59484,B100000,00000,0800,00000(MEALS SERVED) 59484,B100000,00000,0900,00000DIR. NRSG. HOURS 59484,B100000,00000,1000,00000(COSTED REQUIS) 59484,B100000,00000,1100,00000COSTED REQUIS 59484,B100000,00000,1200,00000GROSS REVENUES 59484,B100000,00000,1300,00000PATIENT DAYS 59484,B100000,00000,1350,00000PATIENT DAYS 59484,B100000,00000,1400,00000ASSIGNED TIME 59484,S000000,00100,0200,05/11/2000 59484,S200000,00100,0100,735 SOUTH LOCUST STREET 59484,S200000,00200,0100,DENVER 59484,S200000,00200,0200,CO 59484,S200000,00200,0300,80224 59484,S200000,00300,0100,DENVER 59484,S200000,00400,0100,BERKLEY MANOR CARE CENTER 59484,S200000,00400,0200,065223 59484,S200000,00400,0300,01/16/1986 59484,S200000,00400,0500,P 59484,S200000,00600,0200,065223 59484,S200000,00600,0300,01/16/1986 59484,S200000,00600,0600,P 59484,S200000,01600,0100,Y 59484,S200000,02200,0100,Y 59492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59492,A000000,00300,0000,00300EMPLOYEE BENEFITS 59492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59492,A000000,00700,0000,00700HOUSEKEEPING 59492,A000000,00800,0000,00800DIETARY 59492,A000000,00900,0000,00900NURSING ADMINISTRATION 59492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59492,A000000,01100,0000,01100PHARMACY 59492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59492,A000000,01300,0000,01300SOCIAL SERVICE 59492,A000000,01350,0000,01500ACTIVITIES 59492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59492,A000000,01600,0000,01600SKILLED NURSING FACILITY 59492,A000000,01800,0000,01800NURSING FACILITY 59492,A000000,01810,0000,01810ICF/MR 59492,A000000,02100,0000,02100RADIOLOGY 59492,A000000,02200,0000,02200LABORATORY 59492,A000000,02300,0000,02300INTRAVENOUS THERAPY 59492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59492,A000000,02500,0000,02500PHYSICAL THERAPY 59492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59492,A000000,02700,0000,02700SPEECH PATHOLOGY 59492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59492,A000000,03550,0000,03550FQHC 59492,A000000,05000,0000,05000CORF 59492,A000000,05010,0000,05010CMHC 59492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59492,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59492,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59492,A81000A,00100,0100,Y 59492,A81000B,00100,0300,HOME OFFICE COSTS 59492,A81000B,00200,0300,H.O. COSTS - CAPITAL 59492,A81000B,00300,0300,RELATED PARTY INT 59492,A81000B,00400,0300,HCE DEPRECIATION 59492,A81000B,00500,0300,HCE INTEREST 59492,A81000B,00600,0300,Y2K COMP. DEPR. - 99 59492,A81000B,00700,0300,LIFE CARE DESIGN 97 59492,A81000B,00800,0300,LIFE CARE DESIGN 99 59492,A81000B,00900,0300,REHAB ALLOC - PT 59492,A81000B,01000,0300,REHAB ALLOC - OT 59492,A81000B,01100,0300,REHAB ALLOC - ST 59492,A81000B,01200,0300,IV THER. SUPPLIES 59492,A81000B,01300,0300,PHARM. CONT. SRVS. 59492,A81000B,01400,0300,PHARMACEUTICALS 59492,A81000B,01500,0300,ROUTINE SUPPLIES 59492,A81000C,00100,0100,B 59492,A81000C,00100,0200,FORREST PRESTON 59492,A81000C,00100,0400,LIFE CARE CENTE 59492,A81000C,00100,0600,NRSG HOME OWNER 59492,A81000C,00200,0100,B 59492,A81000C,00200,0200,FORREST PRESTON 59492,A81000C,00200,0400,LIFE CARE CENTE 59492,A81000C,00200,0600,NRSG HOME OWNER 59492,A81000C,00300,0100,B 59492,A81000C,00300,0200,FORREST PRESTON 59492,A81000C,00300,0400,METLIFE 59492,A81000C,00300,0600,COMPUTER FINANC 59492,A81000C,00400,0100,B 59492,A81000C,00400,0200,FORREST PRESTON 59492,A81000C,00400,0400,HCE 59492,A81000C,00400,0600,LEASING COMPANY 59492,A81000C,00500,0100,B 59492,A81000C,00500,0200,FORREST PRESTON 59492,A81000C,00500,0400,HCE 59492,A81000C,00500,0600,LEASING COMPANY 59492,A81000C,00600,0100,B 59492,A81000C,00600,0200,FORREST PRESTON 59492,A81000C,00600,0400,LIFE CARE CENTE 59492,A81000C,00600,0600,NRSG HOME OWNER 59492,A81000C,00700,0100,B 59492,A81000C,00700,0200,FORREST PRESTON 59492,A81000C,00700,0400,LIFE CARE DESIG 59492,A81000C,00700,0600,INTERIOR DESIGN 59492,A81000C,00800,0100,B 59492,A81000C,00800,0200,FORREST PRESTON 59492,A81000C,00800,0400,LIFE CARE DESIG 59492,A81000C,00800,0600,INTERIOR DESIGN 59492,A81000C,00900,0100,B 59492,A81000C,00900,0200,FORREST PRESTON 59492,A81000C,00900,0400,REHAB SUPPORT S 59492,A81000C,00900,0600,REHAB SERVICES 59492,A81000C,01000,0100,B 59492,A81000C,01000,0200,FORREST PRESTON 59492,A81000C,01000,0400,REHAB SUPPORT S 59492,A81000C,01000,0600,REHAB SERVICES 59492,A81000C,01100,0100,B 59492,A81000C,01100,0200,FORREST PRESTON 59492,A81000C,01100,0400,REHAB SUPPORT S 59492,A81000C,01100,0600,REHAB SERVICES 59492,A81000C,01200,0100,B 59492,A81000C,01200,0200,FORREST PRESTON 59492,A81000C,01200,0400,MEDILIFE 59492,A81000C,01200,0600,PHARMACY SERVIC 59492,A81000C,01300,0100,B 59492,A81000C,01300,0200,FORREST PRESTON 59492,A81000C,01300,0400,MEDILIFE 59492,A81000C,01300,0600,PHARMACY SERVIC 59492,A81000C,01400,0100,B 59492,A81000C,01400,0200,FORREST PRESTON 59492,A81000C,01400,0400,MEDILIFE 59492,A81000C,01400,0600,PHARMACY SERVIC 59492,A81000C,01500,0100,B 59492,A81000C,01500,0200,FORREST PRESTON 59492,A81000C,01500,0400,MEDILIFE 59492,A81000C,01500,0600,PHARMACY SERVIC 59492,B100000,00000,0100,00000(SQUARE FEET) 59492,B100000,00000,0200,00000(SQUARE FEET) 59492,B100000,00000,0300,00000(GROSS SALARIES) 59492,B100000,00000,0400,00000(ACCUM COST) 59492,B100000,00000,0500,00000(SQUARE FEET) 59492,B100000,00000,0600,00000PATIENT DAYS 59492,B100000,00000,0700,00000(SQUARE FEET) 59492,B100000,00000,0800,00000(MEALS SERVED) 59492,B100000,00000,0900,00000DIR NRSG HOURS 59492,B100000,00000,1000,00000(COSTED REQUIS) 59492,B100000,00000,1100,00000COSTED REQUIS 59492,B100000,00000,1200,00000GROSS REVENUES 59492,B100000,00000,1300,00000PATIENT DAYS 59492,B100000,00000,1350,00000PATIENT DAYS 59492,B100000,00000,1400,00000ASSIGNED TIME 59492,E10A180,00301,0100,08/17/1999 59492,E10A180,00302,0100,02/07/2000 59492,S000000,00100,0200,05/17/2000 59492,S200000,00100,0100,945 DESERT FLOWER BOULEVARD 59492,S200000,00200,0100,PUEBLO 59492,S200000,00200,0200,CO 59492,S200000,00200,0300,81005 59492,S200000,00300,0100,PUEBLO 59492,S200000,00400,0100,UNIVERSITY PARK CARE CENTER 59492,S200000,00400,0200,065231 59492,S200000,00400,0300,02/20/1986 59492,S200000,00400,0500,P 59492,S200000,00600,0200,065231 59492,S200000,00600,0300,02/20/1986 59492,S200000,00600,0600,P 59492,S200000,01600,0100,Y 59492,S200000,02200,0100,Y 59500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59500,A000000,00300,0000,00300EMPLOYEE BENEFITS 59500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59500,A000000,00700,0000,00700HOUSEKEEPING 59500,A000000,00800,0000,00800DIETARY 59500,A000000,00900,0000,00900NURSING ADMINISTRATION 59500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59500,A000000,01300,0000,01300SOCIAL SERVICE 59500,A000000,01350,0000,01500ACTIVITIES 59500,A000000,01600,0000,01600SKILLED NURSING FACILITY 59500,A000000,01800,0000,01800NURSING FACILITY 59500,A000000,01900,0000,01900OTHER LONG TERM CARE 59500,A000000,02100,0000,02100RADIOLOGY 59500,A000000,02200,0000,02200LABORATORY 59500,A000000,02300,0000,02300INTRAVENOUS THERAPY 59500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59500,A000000,02500,0000,02500PHYSICAL THERAPY 59500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59500,A000000,02700,0000,02700SPEECH PATHOLOGY 59500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59500,A000000,02901,0000,02901PEN THERAPY 59500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59500,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59500,A000000,03051,0000,03301AMBULANCE SERVICES 59500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59500,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59500,A81000A,00100,0100,Y 59500,A81000B,00100,0300,HOME OFFICE COSTS 59500,A81000B,00200,0300,H.O. COSTS - CAPITAL 59500,A81000B,00300,0300,RELATED PARTY INT. 59500,A81000B,00400,0300,Y2K COMPUTERS - 99 59500,A81000B,00500,0300,L.C. DESIGNS - 96 59500,A81000B,00600,0300,L.C. DESIGNS - 99 59500,A81000B,00700,0300,REHAB ALLOC - PT 59500,A81000B,00800,0300,REHAB ALLOC - OT 59500,A81000B,00900,0300,REHAB ALLOC - ST 59500,A81000B,01000,0300,PHARM. CONT. SRVS. 59500,A81000B,01100,0300,IV THERAPY 59500,A81000B,01200,0300,PHARMACEUTICALS 59500,A81000B,01300,0300,ROUTINE SUPPLIES 59500,A81000C,00100,0100,B 59500,A81000C,00100,0200,FORREST PRESTON 59500,A81000C,00100,0400,LIFE CARE CENTE 59500,A81000C,00100,0600,NRSG HOME OWNER 59500,A81000C,00200,0100,B 59500,A81000C,00200,0200,FORREST PRESTON 59500,A81000C,00200,0400,LIFE CARE CENTE 59500,A81000C,00200,0600,NRSG HOME OWNER 59500,A81000C,00300,0100,B 59500,A81000C,00300,0200,FORREST PRESTON 59500,A81000C,00300,0400,LIFE CARE CENTE 59500,A81000C,00300,0600,NRSG HOME OWNER 59500,A81000C,00400,0100,B 59500,A81000C,00400,0200,FORREST PRESTON 59500,A81000C,00400,0400,LIFE CARE CENTE 59500,A81000C,00400,0600,NRSG HOME OWNER 59500,A81000C,00500,0100,B 59500,A81000C,00500,0200,FORREST PRESTON 59500,A81000C,00500,0400,LIFE CARE DESIG 59500,A81000C,00500,0600,INTERIOR DESIGN 59500,A81000C,00600,0100,B 59500,A81000C,00600,0200,FORREST PRESTON 59500,A81000C,00600,0400,LIFE CARE DESIG 59500,A81000C,00600,0600,INTERIOR DESIGN 59500,A81000C,00700,0100,B 59500,A81000C,00700,0200,FORREST PRESTON 59500,A81000C,00700,0400,REHAB SUPPORT S 59500,A81000C,00700,0600,REHAB SERVICES 59500,A81000C,00800,0100,B 59500,A81000C,00800,0200,FORREST PRESTON 59500,A81000C,00800,0400,REHAB SUPPORT S 59500,A81000C,00800,0600,REHAB SERVICES 59500,A81000C,00900,0100,B 59500,A81000C,00900,0200,FORREST PRESTON 59500,A81000C,00900,0400,REHAB SUPPORT S 59500,A81000C,00900,0600,REHAB SERVICES 59500,A81000C,01000,0100,B 59500,A81000C,01000,0200,FORREST PRESTON 59500,A81000C,01000,0400,MEDILIFE 59500,A81000C,01000,0600,PHARMACY SERVIC 59500,A81000C,01100,0100,B 59500,A81000C,01100,0200,FORREST PRESTON 59500,A81000C,01100,0400,MEDILIFE 59500,A81000C,01100,0600,PHARMACY SERVIC 59500,A81000C,01200,0100,B 59500,A81000C,01200,0200,FORREST PRESTON 59500,A81000C,01200,0400,MEDILIFE 59500,A81000C,01200,0600,PHARMACY SERVIC 59500,A81000C,01300,0100,B 59500,A81000C,01300,0200,FORREST PRESTON 59500,A81000C,01300,0400,MEDILIFE 59500,A81000C,01300,0600,PHARMACY SERVIC 59500,B100000,00000,0100,00000(SQUARE FEET) 59500,B100000,00000,0200,00000(SQUARE FEET) 59500,B100000,00000,0300,00000(GROSS SALARIES) 59500,B100000,00000,0400,00000(ACCUM COST) 59500,B100000,00000,0500,00000(SQUARE FEET) 59500,B100000,00000,0600,00000PATIENT DAYS 59500,B100000,00000,0700,00000(SQUARE FEET) 59500,B100000,00000,0800,00000(MEALS SERVED) 59500,B100000,00000,0900,00000DIR NRSG HOURS 59500,B100000,00000,1000,00000(COSTED REQUIS) 59500,B100000,00000,1200,00000GROSS REVENUES 59500,B100000,00000,1300,00000PATIENT DAYS 59500,B100000,00000,1350,00000PATIENT DAYS 59500,S000000,00100,0200,05/16/2000 59500,S200000,00100,0100,3701 WEST RADCLIFF AVENUE 59500,S200000,00200,0100,DENVER 59500,S200000,00200,0200,CO 59500,S200000,00200,0300,80236 59500,S200000,00300,0100,DENVER 59500,S200000,00400,0100,HALLMARK NURSING CENTER 59500,S200000,00400,0200,065233 59500,S200000,00400,0300,07/17/1986 59500,S200000,00400,0500,P 59500,S200000,00600,0200,065233 59500,S200000,00600,0300,07/17/1986 59500,S200000,00600,0600,P 59500,S200000,01600,0100,Y 59500,S200000,02200,0100,Y 59500,S200000,04700,0100,Y 59500,S200000,04700,0200,Y 59509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59509,A000000,00300,0000,00300EMPLOYEE BENEFITS 59509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59509,A000000,00700,0000,00700HOUSEKEEPING 59509,A000000,00800,0000,00800DIETARY 59509,A000000,00900,0000,00900NURSING ADMINISTRATION 59509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59509,A000000,01100,0000,01100PHARMACY 59509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59509,A000000,01300,0000,01300SOCIAL SERVICE 59509,A000000,01350,0000,01500ACTIVITIES 59509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59509,A000000,01600,0000,01600SKILLED NURSING FACILITY 59509,A000000,01800,0000,01800NURSING FACILITY 59509,A000000,01810,0000,01810ICF/MR 59509,A000000,02100,0000,02100RADIOLOGY 59509,A000000,02200,0000,02200LABORATORY 59509,A000000,02300,0000,02300INTRAVENOUS THERAPY 59509,A000000,02500,0000,02500PHYSICAL THERAPY 59509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59509,A000000,02700,0000,02700SPEECH PATHOLOGY 59509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59509,A000000,03550,0000,03550FQHC 59509,A000000,05000,0000,05000CORF 59509,A000000,05010,0000,05010CMHC 59509,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59509,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59509,A81000A,00100,0100,Y 59509,A81000B,00100,0300,HOME OFFICE COSTS 59509,A81000B,00200,0300,H.O. COSTS - CAPITAL 59509,A81000B,00300,0300,RELATED PARTY INT. 59509,A81000B,00400,0300,METLIFE 59509,A81000B,00500,0300,COMPUTER DEPREC - 99 59509,A81000B,00600,0300,REHAB ADJUST - PT 59509,A81000B,00700,0300,REHAB ADJUST - OT 59509,A81000B,00800,0300,REHAB ADJUST - ST 59509,A81000C,00100,0100,B 59509,A81000C,00100,0200,FORREST PRESTON 59509,A81000C,00100,0400,LIFE CARE CENTE 59509,A81000C,00100,0600,NRSG HOME MGMT 59509,A81000C,00200,0100,B 59509,A81000C,00200,0200,FORREST PRESTON 59509,A81000C,00200,0400,LIFE CARE CENTE 59509,A81000C,00200,0600,NRSG HOME MGMT 59509,A81000C,00300,0100,B 59509,A81000C,00300,0200,FORREST PRESTON 59509,A81000C,00300,0400,LIFE CARE CENTE 59509,A81000C,00300,0600,NRSG HOME MGMT 59509,A81000C,00400,0100,B 59509,A81000C,00400,0200,FORREST PRESTON 59509,A81000C,00400,0400,METLIFE 59509,A81000C,00400,0600,COMPUTER LEASIN 59509,A81000C,00500,0100,B 59509,A81000C,00500,0200,FORREST PRESTON 59509,A81000C,00500,0400,LIFE CARE CENTE 59509,A81000C,00500,0600,NRSG HOME MGMT 59509,A81000C,00600,0100,B 59509,A81000C,00600,0200,FORREST PRESTON 59509,A81000C,00600,0400,REHAB SUPPORT S 59509,A81000C,00600,0600,REHAB SERVICES 59509,A81000C,00700,0100,B 59509,A81000C,00700,0200,FORREST PRESTON 59509,A81000C,00700,0400,REHAB SUPPORT S 59509,A81000C,00700,0600,REHAB SERVICES 59509,A81000C,00800,0100,B 59509,A81000C,00800,0200,FORREST PRESTON 59509,A81000C,00800,0400,REHAB SUPPORT S 59509,A81000C,00800,0600,REHAB SERVICES 59509,B100000,00000,0100,00000(SQUARE FEET) 59509,B100000,00000,0200,00000(SQUARE FEET) 59509,B100000,00000,0300,00000(GROSS SALARIES) 59509,B100000,00000,0400,00000(ACCUM COST) 59509,B100000,00000,0500,00000(SQUARE FEET) 59509,B100000,00000,0600,00000PATIENT DAYS 59509,B100000,00000,0700,00000(SQUARE FEET) 59509,B100000,00000,0800,00000(MEALS SERVED) 59509,B100000,00000,0900,00000DIR NRSG HOURS 59509,B100000,00000,1000,00000(COSTED REQUIS) 59509,B100000,00000,1100,00000COSTED REQUIS 59509,B100000,00000,1200,00000GROSS REVENUES 59509,B100000,00000,1300,00000PATIENT DAYS 59509,B100000,00000,1350,00000PATIENT DAYS 59509,B100000,00000,1400,00000ASSIGNED TIME 59509,E10A180,00301,0100,02/07/2000 59509,S000000,00100,0200,05/11/2000 59509,S200000,00100,0100,1991 CARROLL AVENUE 59509,S200000,00200,0100,ALAMOSA 59509,S200000,00200,0200,CO 59509,S200000,00200,0300,81101 59509,S200000,00300,0100,ALAMOSA 59509,S200000,00400,0100,EVERGREEN NURSING HOME 59509,S200000,00400,0200,065234 59509,S200000,00400,0300,01/01/1987 59509,S200000,00400,0500,P 59509,S200000,00600,0200,065234 59509,S200000,00600,0300,01/01/1987 59509,S200000,00600,0600,P 59509,S200000,01500,0100,Y 59509,S200000,02200,0100,Y 59518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59518,A000000,00300,0000,00300EMPLOYEE BENEFITS 59518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59518,A000000,00700,0000,00700HOUSEKEEPING 59518,A000000,00800,0000,00800DIETARY 59518,A000000,00900,0000,00900NURSING ADMINISTRATION 59518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59518,A000000,01100,0000,01100PHARMACY 59518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59518,A000000,01300,0000,01300SOCIAL SERVICE 59518,A000000,01350,0000,01500ACTIVITIES 59518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59518,A000000,01600,0000,01600SKILLED NURSING FACILITY 59518,A000000,01800,0000,01800NURSING FACILITY 59518,A000000,01810,0000,01810ICF/MR 59518,A000000,01900,0000,01900OTHER LONG TERM CARE 59518,A000000,02100,0000,02100RADIOLOGY 59518,A000000,02200,0000,02200LABORATORY 59518,A000000,02300,0000,02300INTRAVENOUS THERAPY 59518,A000000,02500,0000,02500PHYSICAL THERAPY 59518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59518,A000000,02700,0000,02700SPEECH PATHOLOGY 59518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59518,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59518,A000000,03550,0000,03550FQHC 59518,A000000,05000,0000,05000CORF 59518,A000000,05010,0000,05010CMHC 59518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59518,A81000A,00100,0100,Y 59518,A81000B,00100,0300,HOME OFFICE COSTS 59518,A81000B,00200,0300,H.O. COSTS - CAPITAL 59518,A81000B,00300,0300,GLENWOOD INTEREST 59518,A81000B,00400,0300,CO MEDICAL INTEREST 59518,A81000B,00500,0300,FLP INTEREST 59518,A81000B,00600,0300,METLIFE PC INTEREST 59518,A81000B,00700,0300,Y2K COMPUTER DEP-99 59518,A81000B,00800,0300,PLAN & DEVELOPMENT 59518,A81000B,00900,0300,PLAN & DEVELOPMENT 59518,A81000B,01000,0300,REHAB ALLOC - PT 59518,A81000B,01100,0300,REHAB ALLOC - OT 59518,A81000B,01200,0300,REHAB ALLOC - ST 59518,A81000B,01300,0300,PHARMACEUTICALS 59518,A81000B,01400,0300,MED/SURG SUPPLIES 59518,A81000B,01500,0300,PHARM. CONT. SRVS. 59518,A81000B,01600,0300,IV THER. SUPPLIES 59518,A81000B,01700,0300,ROUTINE SUPPLIES 59518,A81000C,00100,0100,A 59518,A81000C,00100,0200,FORREST PRESTON 59518,A81000C,00100,0400,LIFE CARE CENTE 59518,A81000C,00100,0600,NRSG HOME MGMT 59518,A81000C,00200,0100,A 59518,A81000C,00200,0200,FORREST PRESTON 59518,A81000C,00200,0400,LIFE CARE CENTE 59518,A81000C,00200,0600,NRSG HOME MGMT 59518,A81000C,00300,0100,G 59518,A81000C,00300,0200,DON KIRKMAN 59518,A81000C,00300,0400,GLENWOOD MEDICA 59518,A81000C,00300,0600,FORMER OWNER 59518,A81000C,00400,0100,A 59518,A81000C,00400,0200,FORREST PRESTON 59518,A81000C,00400,0400,CO MEDICAL INVE 59518,A81000C,00400,0600,NRSG HOME OWNER 59518,A81000C,00500,0100,A 59518,A81000C,00500,0200,FORREST PRESTON 59518,A81000C,00500,0400,LIFE CARE CENTE 59518,A81000C,00500,0600,NRSG HOME MGMT 59518,A81000C,00600,0100,A 59518,A81000C,00600,0200,FORREST PRESTON 59518,A81000C,00600,0400,METLIFE 59518,A81000C,00600,0600,COMPUTER FINANC 59518,A81000C,00700,0100,A 59518,A81000C,00700,0200,FORREST PRESTON 59518,A81000C,00700,0400,LIFE CARE CENTE 59518,A81000C,00700,0600,NRSG HOME MGMT 59518,A81000C,00800,0100,A 59518,A81000C,00800,0200,FORREST PRESTON 59518,A81000C,00800,0400,LIFE CARE CENTE 59518,A81000C,00800,0600,DEVELOPMENT 59518,A81000C,00900,0100,A 59518,A81000C,00900,0200,FORREST PRESTON 59518,A81000C,00900,0400,LIFE CARE CENTE 59518,A81000C,00900,0600,DEVELOPMENT 59518,A81000C,01000,0100,A 59518,A81000C,01000,0200,FORREST PRESTON 59518,A81000C,01000,0400,REHAB SUPPORT S 59518,A81000C,01000,0600,REHAB SERVICES 59518,A81000C,01100,0100,A 59518,A81000C,01100,0200,FORREST PRESTON 59518,A81000C,01100,0400,REHAB SUPPORT S 59518,A81000C,01100,0600,REHAB SERVICES 59518,A81000C,01200,0100,A 59518,A81000C,01200,0200,FORREST PRESTON 59518,A81000C,01200,0400,REHAB SUPPORT S 59518,A81000C,01200,0600,REHAB SERVICES 59518,A81000C,01300,0100,A 59518,A81000C,01300,0200,FORREST PRESTON 59518,A81000C,01300,0400,MEDILIFE PHARMA 59518,A81000C,01300,0600,PHARMACY SERVIC 59518,A81000C,01400,0100,A 59518,A81000C,01400,0200,FORREST PRESTON 59518,A81000C,01400,0400,MEDILIFE PHARMA 59518,A81000C,01400,0600,PHARMACY SERVIC 59518,A81000C,01500,0100,A 59518,A81000C,01500,0200,FORREST PRESTON 59518,A81000C,01500,0400,MEDILIFE PHARMA 59518,A81000C,01500,0600,PHARMACY SERVIC 59518,A81000C,01600,0100,A 59518,A81000C,01600,0200,FORREST PRESTON 59518,A81000C,01600,0400,MEDILIFE PHARMA 59518,A81000C,01600,0600,PHARMACY SERVIC 59518,A81000C,01700,0100,A 59518,A81000C,01700,0200,FORREST PRESTON 59518,A81000C,01700,0400,MEDILIFE PHARMA 59518,A81000C,01700,0600,PHARMACY SERVIC 59518,B100000,00000,0100,00000(SQUARE FEET) 59518,B100000,00000,0200,00000(SQUARE FEET) 59518,B100000,00000,0300,00000(GROSS SALARIES) 59518,B100000,00000,0400,00000(ACCUM COST) 59518,B100000,00000,0500,00000(SQUARE FEET) 59518,B100000,00000,0600,00000PATIENT DAYS 59518,B100000,00000,0700,00000(SQUARE FEET) 59518,B100000,00000,0800,00000(MEALS SERVED) 59518,B100000,00000,0900,00000DIR NRSG HOURS 59518,B100000,00000,1000,00000(COSTED REQUIS) 59518,B100000,00000,1100,00000COSTED REQUIS 59518,B100000,00000,1200,00000GROSS REVENUES 59518,B100000,00000,1300,00000PATIENT DAYS 59518,B100000,00000,1350,00000PATIENT DAYS 59518,B100000,00000,1400,00000ASSIGNED TIME 59518,E10A180,00301,0100,08/17/1999 59518,E10A180,00501,0100,07/05/2000 59518,E10A180,00550,0300,07/05/2000 59518,S000000,00100,0200,05/17/2000 59518,S200000,00100,0100,1200 VILLAGE ROAD 59518,S200000,00200,0100,CARBONDALE 59518,S200000,00200,0200,CO 59518,S200000,00200,0300,81623 59518,S200000,00300,0100,GARFIELD 59518,S200000,00400,0100,HERITAGE PARK CARE CENTER 59518,S200000,00400,0200,065237 59518,S200000,00400,0300,12/01/1987 59518,S200000,00400,0500,P 59518,S200000,00600,0200,065237 59518,S200000,00600,0300,12/01/1987 59518,S200000,00600,0600,P 59518,S200000,01600,0100,Y 59518,S200000,02200,0100,Y 59526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59526,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59526,A000000,00300,0000,00300EMPLOYEE BENEFITS 59526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59526,A000000,00700,0000,00700HOUSEKEEPING 59526,A000000,00800,0000,00800DIETARY 59526,A000000,00900,0000,00900NURSING ADMINISTRATION 59526,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59526,A000000,01300,0000,01300SOCIAL SERVICE 59526,A000000,01350,0000,01500ACTIVITIES 59526,A000000,01600,0000,01600SKILLED NURSING FACILITY 59526,A000000,01800,0000,01800NURSING FACILITY 59526,A000000,01900,0000,01900OTHER LONG TERM CARE 59526,A000000,02100,0000,02100RADIOLOGY 59526,A000000,02200,0000,02200LABORATORY 59526,A000000,02300,0000,02300INTRAVENOUS THERAPY 59526,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59526,A000000,02500,0000,02500PHYSICAL THERAPY 59526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59526,A000000,02700,0000,02700SPEECH PATHOLOGY 59526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59526,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59526,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59526,A81000A,00100,0100,Y 59526,A81000B,00100,0300,HOME OFFICE COSTS 59526,A81000B,00200,0300,H.O. COSTS - CAPITAL 59526,A81000B,00300,0300,METLIFE PC INTEREST 59526,A81000B,00400,0300,Y2K COMPUTER DEPREC 59526,A81000B,00500,0300,HCE DEPRECIATION 59526,A81000B,00600,0300,HCE INTEREST 59526,A81000B,00700,0300,LIFE CARE DESIGNS 59526,A81000B,00800,0300,REHAB ALLOC - ST 59526,A81000B,00900,0300,REHAB ALLOC - PT 59526,A81000B,01000,0300,REHAB ALLOC - OT 59526,A81000C,00100,0100,A 59526,A81000C,00100,0200,FORREST PRESTON 59526,A81000C,00100,0400,LIFE CARE CENTE 59526,A81000C,00100,0600,NRSG HOME MGMT 59526,A81000C,00200,0100,A 59526,A81000C,00200,0200,FORREST PRESTON 59526,A81000C,00200,0400,LIFE CARE CENTE 59526,A81000C,00200,0600,NRSG HOME MGMT 59526,A81000C,00300,0100,A 59526,A81000C,00300,0200,FORREST PRESTON 59526,A81000C,00300,0400,METLIFE 59526,A81000C,00300,0600,COMPUTER FINANC 59526,A81000C,00400,0100,A 59526,A81000C,00400,0200,FORREST PRESTON 59526,A81000C,00400,0400,LIFE CARE CENTE 59526,A81000C,00400,0600,NRSG HOME MGMT 59526,A81000C,00500,0100,A 59526,A81000C,00500,0200,FORREST PRESTON 59526,A81000C,00500,0400,HCE LEASING 59526,A81000C,00500,0600,LEASING COMPANY 59526,A81000C,00600,0100,A 59526,A81000C,00600,0200,FORREST PRESTON 59526,A81000C,00600,0400,HCE LEASING 59526,A81000C,00600,0600,LEASING COMPANY 59526,A81000C,00700,0100,A 59526,A81000C,00700,0200,FORREST PRESTON 59526,A81000C,00700,0400,LIFE CARE DESIG 59526,A81000C,00700,0600,INTERIOR DESIGN 59526,A81000C,00800,0100,A 59526,A81000C,00800,0200,FORREST PRESTON 59526,A81000C,00800,0400,REHAB SUPPORT S 59526,A81000C,00800,0600,REHAB SERVICES 59526,A81000C,00900,0100,A 59526,A81000C,00900,0200,FORREST PRESTON 59526,A81000C,00900,0400,REHAB SUPPORT S 59526,A81000C,00900,0600,REHAB SERVICES 59526,A81000C,01000,0100,A 59526,A81000C,01000,0200,FORREST PRESTON 59526,A81000C,01000,0400,REHAB SUPPORT S 59526,A81000C,01000,0600,REHAB SERVICES 59526,B100000,00000,0100,00000(SQUARE FEET) 59526,B100000,00000,0200,00000(SQUARE FEET) 59526,B100000,00000,0300,00000(GROSS SALARIES) 59526,B100000,00000,0400,00000(ACCUM COST) 59526,B100000,00000,0500,00000(SQUARE FEET) 59526,B100000,00000,0600,00000PATIENT DAYS 59526,B100000,00000,0700,00000(SQUARE FEET) 59526,B100000,00000,0800,00000(MEALS SERVED) 59526,B100000,00000,0900,00000DIR. NRSG. HOURS 59526,B100000,00000,1000,00000(COSTED REQUIS) 59526,B100000,00000,1200,00000GROSS REVENUES 59526,B100000,00000,1300,00000PATIENT DAYS 59526,B100000,00000,1350,00000PATIENT DAYS 59526,E10A180,00301,0100,02/07/2000 59526,S000000,00100,0200,05/16/2000 59526,S200000,00100,0100,240 CRAFT DRIVE 59526,S200000,00200,0100,ALAMOSA 59526,S200000,00200,0200,CO 59526,S200000,00200,0300,81101 59526,S200000,00300,0100,ALAMOSA 59526,S200000,00400,0100,SAN LUIS CARE CENTER 59526,S200000,00400,0200,065239 59526,S200000,00400,0300,01/01/1989 59526,S200000,00400,0500,P 59526,S200000,01500,0100,Y 59526,S200000,02200,0100,Y 59534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59534,A000000,00300,0000,00300EMPLOYEE BENEFITS 59534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59534,A000000,00700,0000,00700HOUSEKEEPING 59534,A000000,00800,0000,00800DIETARY 59534,A000000,00900,0000,00900NURSING ADMINISTRATION 59534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59534,A000000,01100,0000,01100PHARMACY 59534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59534,A000000,01300,0000,01300SOCIAL SERVICE 59534,A000000,01350,0000,01500ACTIVITIES 59534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59534,A000000,01600,0000,01600SKILLED NURSING FACILITY 59534,A000000,01800,0000,01800NURSING FACILITY 59534,A000000,01810,0000,01810ICF/MR 59534,A000000,02100,0000,02100RADIOLOGY 59534,A000000,02200,0000,02200LABORATORY 59534,A000000,02300,0000,02300INTRAVENOUS THERAPY 59534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59534,A000000,02500,0000,02500PHYSICAL THERAPY 59534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59534,A000000,02700,0000,02700SPEECH PATHOLOGY 59534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59534,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59534,A000000,03550,0000,03550FQHC 59534,A000000,05000,0000,05000CORF 59534,A000000,05010,0000,05010CMHC 59534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59534,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59534,A000000,06150,0000,06300ICE CREAM PARLOR 59534,A81000A,00100,0100,Y 59534,A81000B,00100,0300,HOME OFFICE COSTS 59534,A81000B,00200,0300,H.O. COSTS - CAPITAL 59534,A81000B,00300,0300,RELATED PARTY INT. 59534,A81000B,00400,0300,METLIFE INTEREST 59534,A81000B,00500,0300,HCE INTEREST 59534,A81000B,00600,0300,HCE DEPRECIATION 59534,A81000B,00700,0300,REL PARTY BLDG LEASE 59534,A81000B,00800,0300,LIFE CARE DESIGNS 59534,A81000B,00900,0300,REHAB ADJUST - PT 59534,A81000B,01000,0300,REHAB ADJUST - OT 59534,A81000B,01100,0300,REHAB ADJUST - ST 59534,A81000B,01200,0300,COMPUTER DEPR - 99 59534,A81000B,01300,0300,PHARM CONTR. SRVS 59534,A81000B,01400,0300,IV THERAPY 59534,A81000B,01500,0300,PRESCRIPTIONS 59534,A81000B,01600,0300,ROUTINE SUPPLIES 59534,A81000C,00100,0100,B 59534,A81000C,00100,0200,LIFE CARE CENTE 59534,A81000C,00100,0400,LIFE CARE CENTE 59534,A81000C,00100,0600,NRSG HOME MGMT 59534,A81000C,00200,0100,B 59534,A81000C,00200,0200,LIFE CARE CENTE 59534,A81000C,00200,0400,LIFE CARE CENTE 59534,A81000C,00200,0600,NRSG HOME MGMT 59534,A81000C,00300,0100,B 59534,A81000C,00300,0200,LIFE CARE CENTE 59534,A81000C,00300,0400,LIFE CARE CENTE 59534,A81000C,00300,0600,NRSG HOME MGMT 59534,A81000C,00400,0100,B 59534,A81000C,00400,0200,LIFE CARE CENTE 59534,A81000C,00400,0400,METLIFE 59534,A81000C,00400,0600,COMPUTER FINANC 59534,A81000C,00500,0100,B 59534,A81000C,00500,0200,LIFE CARE CENTE 59534,A81000C,00500,0400,HCE LEASING 59534,A81000C,00500,0600,LEASING COMPANY 59534,A81000C,00600,0100,B 59534,A81000C,00600,0200,LIFE CARE CENTE 59534,A81000C,00600,0400,HCE LEASING 59534,A81000C,00600,0600,LEASING COMPANY 59534,A81000C,00700,0100,B 59534,A81000C,00700,0200,LIFE CARE CENTE 59534,A81000C,00700,0400,BRIARWOOD HEALT 59534,A81000C,00700,0600,LESSOR 59534,A81000C,00800,0100,B 59534,A81000C,00800,0200,LIFE CARE CENTE 59534,A81000C,00800,0400,LIFE CARE DESIG 59534,A81000C,00800,0600,INTERIOR DESIGN 59534,A81000C,00900,0100,B 59534,A81000C,00900,0200,LIFE CARE CENTE 59534,A81000C,00900,0400,REHAB SUPPORT S 59534,A81000C,00900,0600,REHAB SERVICES 59534,A81000C,01000,0100,B 59534,A81000C,01000,0200,LIFE CARE CENTE 59534,A81000C,01000,0400,REHAB SUPPORT S 59534,A81000C,01000,0600,REHAB SERVICES 59534,A81000C,01100,0100,B 59534,A81000C,01100,0200,LIFE CARE CENTE 59534,A81000C,01100,0400,REHAB SUPPORT S 59534,A81000C,01100,0600,REHAB SERVICES 59534,A81000C,01200,0100,B 59534,A81000C,01200,0200,LIFE CARE CENTE 59534,A81000C,01200,0400,LIFE CARE CENTE 59534,A81000C,01200,0600,NRSG HOME MGMT 59534,A81000C,01300,0100,B 59534,A81000C,01300,0200,LIFE CARE CENTE 59534,A81000C,01300,0400,MEDILIFE 59534,A81000C,01300,0600,PHARMACY SRVS 59534,A81000C,01400,0100,B 59534,A81000C,01400,0200,LIFE CARE CENTE 59534,A81000C,01400,0400,MEDILIFE 59534,A81000C,01400,0600,PHARMACY SRVS 59534,A81000C,01500,0100,B 59534,A81000C,01500,0200,LIFE CARE CENTE 59534,A81000C,01500,0400,MEDILIFE 59534,A81000C,01500,0600,PHARMACY SRVS 59534,A81000C,01600,0100,B 59534,A81000C,01600,0200,LIFE CARE CENTE 59534,A81000C,01600,0400,MEDILIFE 59534,A81000C,01600,0600,PHARMACY SRVS 59534,B100000,00000,0100,00000(SQUARE FEET) 59534,B100000,00000,0200,00000(SQUARE FEET) 59534,B100000,00000,0300,00000(GROSS SALARIES) 59534,B100000,00000,0400,00000(ACCUM COST) 59534,B100000,00000,0500,00000(SQUARE FEET) 59534,B100000,00000,0600,00000PATIENT DAYS 59534,B100000,00000,0700,00000(SQUARE FEET) 59534,B100000,00000,0800,00000(MEALS SERVED) 59534,B100000,00000,0900,00000DIR NRSG HOURS 59534,B100000,00000,1000,00000(COSTED REQUIS) 59534,B100000,00000,1100,00000COSTED REQUIS 59534,B100000,00000,1200,00000GROSS REVENUES 59534,B100000,00000,1300,00000PATIENT DAYS 59534,B100000,00000,1350,00000PATIENT DAYS 59534,B100000,00000,1400,00000ASSIGNED TIME 59534,E10A180,00301,0100,08/17/1999 59534,E10A180,00302,0100,12/02/1999 59534,E10A180,00303,0100,02/07/2000 59534,S000000,00100,0200,05/11/2000 59534,S200000,00100,0100,1440 VINE STREET 59534,S200000,00200,0100,DENVER 59534,S200000,00200,0200,CO 59534,S200000,00200,0300,80206 59534,S200000,00300,0100,DENVER 59534,S200000,00400,0100,BRIARWOOD HEALTH CARE CENTER 59534,S200000,00400,0200,065255 59534,S200000,00400,0300,02/17/1989 59534,S200000,00400,0500,P 59534,S200000,00600,0200,065255 59534,S200000,00600,0300,02/17/1989 59534,S200000,00600,0600,P 59534,S200000,01600,0100,Y 59534,S200000,02200,0100,Y 59562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59562,A000000,00300,0000,00300EMPLOYEE BENEFITS 59562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59562,A000000,00700,0000,00700HOUSEKEEPING 59562,A000000,00800,0000,00800DIETARY 59562,A000000,00900,0000,00900NURSING ADMINISTRATION 59562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59562,A000000,01100,0000,01100PHARMACY 59562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59562,A000000,01300,0000,01300SOCIAL SERVICE 59562,A000000,01350,0000,01500ACTIVITIES 59562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59562,A000000,01600,0000,01600SKILLED NURSING FACILITY 59562,A000000,01800,0000,01800NURSING FACILITY 59562,A000000,01810,0000,01810ICF/MR 59562,A000000,02100,0000,02100RADIOLOGY 59562,A000000,02200,0000,02200LABORATORY 59562,A000000,02300,0000,02300INTRAVENOUS THERAPY 59562,A000000,02500,0000,02500PHYSICAL THERAPY 59562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59562,A000000,02700,0000,02700SPEECH PATHOLOGY 59562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59562,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59562,A000000,03051,0000,03301AMBULANCE SERVICES 59562,A000000,03550,0000,03550FQHC 59562,A000000,05000,0000,05000CORF 59562,A000000,05010,0000,05010CMHC 59562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59562,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59562,A81000A,00100,0100,Y 59562,A81000B,00100,0300,HOME OFFICE COSTS 59562,A81000B,00200,0300,H.O. COSTS - CAPITAL 59562,A81000B,00300,0300,RELATED PARTY INT. 59562,A81000B,00400,0300,RELATED PARTY INT. 59562,A81000B,00500,0300,METLIFE INT-97 FIN. 59562,A81000B,00600,0300,ROUTINE SUPPLIES 59562,A81000B,00700,0300,RELATED PARTY INT. 59562,A81000B,00800,0300,VAN LEASE - INT. 59562,A81000B,00900,0300,VAN LEASE - DEPREC 59562,A81000B,01000,0300,COMPUTERS - 99 59562,A81000B,01100,0300,INTERIOR DECOR - 99 59562,A81000B,01200,0300,INTERIOR DECOR - 98 59562,A81000B,01300,0300,REHAB ALLOC - PT 59562,A81000B,01400,0300,REHAB ALLOC - OT 59562,A81000B,01500,0300,REHAB ALLOC - ST 59562,A81000B,01600,0300,IV THERAPY 59562,A81000B,01700,0300,PHARM CONT. SRVS. 59562,A81000B,01800,0300,PHARMACEUTICALS 59562,A81000C,00100,0100,B 59562,A81000C,00100,0200,FORREST PRESTON 59562,A81000C,00100,0400,LIFE CARE CENTE 59562,A81000C,00100,0600,NRSG HOME OWNER 59562,A81000C,00200,0100,B 59562,A81000C,00200,0200,FORREST PRESTON 59562,A81000C,00200,0400,LIFE CARE CENTE 59562,A81000C,00200,0600,NRSG HOME OWNER 59562,A81000C,00300,0100,B 59562,A81000C,00300,0200,FORREST PRESTON 59562,A81000C,00300,0400,LIFE CARE CENTE 59562,A81000C,00300,0600,NRSG HOME OWNER 59562,A81000C,00400,0100,B 59562,A81000C,00400,0200,FORREST PRESTON 59562,A81000C,00400,0400,LIFE CARE CENTE 59562,A81000C,00400,0600,NRSG HOME OWNER 59562,A81000C,00500,0100,B 59562,A81000C,00500,0200,FORREST PRESTON 59562,A81000C,00500,0400,METLIFE 59562,A81000C,00500,0600,COMPUTER LEASIN 59562,A81000C,00600,0100,B 59562,A81000C,00600,0200,FORREST PRESTON 59562,A81000C,00600,0400,MEDILIFE 59562,A81000C,00600,0600,PHARMACY 59562,A81000C,00700,0100,B 59562,A81000C,00700,0200,FORREST PRESTON 59562,A81000C,00700,0400,LIFE CARE CENTE 59562,A81000C,00700,0600,NRSG HOME OWNER 59562,A81000C,00800,0100,B 59562,A81000C,00800,0200,FORREST PRESTON 59562,A81000C,00800,0400,HCE LEASING 59562,A81000C,00800,0600,LEASING COMPANY 59562,A81000C,00900,0100,B 59562,A81000C,00900,0200,FORREST PRESTON 59562,A81000C,00900,0400,HCE LEASING 59562,A81000C,00900,0600,LEASING COMPANY 59562,A81000C,01000,0100,B 59562,A81000C,01000,0200,FORREST PRESTON 59562,A81000C,01000,0400,LIFE CARE CENTE 59562,A81000C,01000,0600,NRSG HOME OWNER 59562,A81000C,01100,0100,B 59562,A81000C,01100,0200,FORREST PRESTON 59562,A81000C,01100,0400,LIFE CARE DESIG 59562,A81000C,01100,0600,INTERIOR DESIGN 59562,A81000C,01200,0100,B 59562,A81000C,01200,0200,FORREST PRESTON 59562,A81000C,01200,0400,LIFE CARE DESIG 59562,A81000C,01200,0600,INTERIOR DESIGN 59562,A81000C,01300,0100,B 59562,A81000C,01300,0200,FORREST PRESTON 59562,A81000C,01300,0400,REHAB SUPPORT S 59562,A81000C,01300,0600,REHAB SERVICES 59562,A81000C,01400,0100,B 59562,A81000C,01400,0200,FORREST PRESTON 59562,A81000C,01400,0400,REHAB SUPPORT S 59562,A81000C,01400,0600,REHAB SERVICES 59562,A81000C,01500,0100,B 59562,A81000C,01500,0200,FORREST PRESTON 59562,A81000C,01500,0400,REHAB SUPPORT S 59562,A81000C,01500,0600,REHAB SERVICES 59562,A81000C,01600,0100,B 59562,A81000C,01600,0200,FORREST PRESTON 59562,A81000C,01600,0400,MEDILIFE 59562,A81000C,01600,0600,PHARMACY 59562,A81000C,01700,0100,B 59562,A81000C,01700,0200,FORREST PRESTON 59562,A81000C,01700,0400,MEDILIFE 59562,A81000C,01700,0600,PHARMACY 59562,A81000C,01800,0100,B 59562,A81000C,01800,0200,FORREST PRESTON 59562,A81000C,01800,0400,MEDILIFE 59562,A81000C,01800,0600,PHARMACY 59562,B100000,00000,0100,00000(SQUARE FEET) 59562,B100000,00000,0200,00000(SQUARE FEET) 59562,B100000,00000,0300,00000(GROSS SALARIES) 59562,B100000,00000,0400,00000(ACCUM COST) 59562,B100000,00000,0500,00000(SQUARE FEET) 59562,B100000,00000,0600,00000PATIENT DAYS 59562,B100000,00000,0700,00000(SQUARE FEET) 59562,B100000,00000,0800,00000(MEALS SERVED) 59562,B100000,00000,0900,00000DIR NRSG HOURS 59562,B100000,00000,1000,00000(COSTED REQUIS) 59562,B100000,00000,1100,00000COSTED REQUIS 59562,B100000,00000,1200,00000GROSS REVENUES 59562,B100000,00000,1300,00000PATIENT DAYS 59562,B100000,00000,1350,00000PATIENT DAYS 59562,B100000,00000,1400,00000ASSIGNED TIME 59562,E10A180,00301,0100,08/17/1999 59562,S000000,00100,0200,05/17/2000 59562,S200000,00100,0100,2987 EVERGREEN PARKWAY 59562,S200000,00200,0100,EVERGREEN 59562,S200000,00200,0200,CO 59562,S200000,00200,0300,80439 59562,S200000,00300,0100,JEFFERSON 59562,S200000,00400,0100,LIFE CARE CENTER OF EVERGREEN 59562,S200000,00400,0200,065276 59562,S200000,00400,0300,04/30/1990 59562,S200000,00400,0500,P 59562,S200000,00600,0200,065276 59562,S200000,00600,0300,04/30/1990 59562,S200000,00600,0600,P 59562,S200000,01600,0100,Y 59562,S200000,02200,0100,Y 59562,S200000,04700,0100,Y 59562,S200000,04700,0200,Y 59581,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59581,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59581,A000000,00300,0000,00300EMPLOYEE BENEFITS 59581,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59581,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59581,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59581,A000000,00700,0000,00700HOUSEKEEPING 59581,A000000,00800,0000,00800DIETARY 59581,A000000,00900,0000,00900NURSING ADMINISTRATION 59581,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59581,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59581,A000000,01300,0000,01300SOCIAL SERVICE 59581,A000000,01350,0000,01500ACTIVITIES 59581,A000000,01600,0000,01600SKILLED NURSING FACILITY 59581,A000000,01800,0000,01800NURSING FACILITY 59581,A000000,02100,0000,02100RADIOLOGY 59581,A000000,02200,0000,02200LABORATORY 59581,A000000,02300,0000,02300INTRAVENOUS THERAPY 59581,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59581,A000000,02500,0000,02500PHYSICAL THERAPY 59581,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59581,A000000,02700,0000,02700SPEECH PATHOLOGY 59581,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59581,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59581,A000000,03050,0000,03300AMBULANCE 59581,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59581,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59581,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59581,A000000,06150,0000,06300COMMUNICATIONS 59581,A81000A,00100,0100,Y 59581,A81000B,00100,0300,HOME OFFICE COSTS 59581,A81000B,00200,0300,H.O. COSTS - CAPITAL 59581,A81000B,00300,0300,RELATED PARTY INT. 59581,A81000B,00400,0300,METLIFE INTEREST 59581,A81000B,00500,0300,METLIFE DEPRECIATION 59581,A81000B,00600,0300,RELATED PARTY INT. 59581,A81000B,00700,0300,Y2K COMPUTER DEPREC 59581,A81000B,00800,0300,HCE DEPRECAITION 59581,A81000B,00900,0300,REHAB ADJUSTMENT 59581,A81000B,01000,0300,REHAB ADJUSTMENT 59581,A81000B,01100,0300,REHAB ADJUSTMENT 59581,A81000C,00100,0100,A 59581,A81000C,00100,0200,FORREST PRESTON 59581,A81000C,00100,0400,LIFE CARE CENTE 59581,A81000C,00100,0600,NRSG HOME MGMT 59581,A81000C,00200,0100,A 59581,A81000C,00200,0200,FORREST PRESTON 59581,A81000C,00200,0400,LIFE CARE CENTE 59581,A81000C,00200,0600,NRSG HOME MGMT 59581,A81000C,00300,0100,A 59581,A81000C,00300,0200,FORREST PRESTON 59581,A81000C,00300,0400,LIFE CARE CENTE 59581,A81000C,00300,0600,NRSG HOME MGMT 59581,A81000C,00400,0100,A 59581,A81000C,00400,0200,FORREST PRESTON 59581,A81000C,00400,0400,METLIFE 59581,A81000C,00400,0600,FINANCING COMPA 59581,A81000C,00500,0100,A 59581,A81000C,00500,0200,FORREST PRESTON 59581,A81000C,00500,0400,METLIFE 59581,A81000C,00500,0600,FINANCING COMPA 59581,A81000C,00600,0100,A 59581,A81000C,00600,0200,FORREST PRESTON 59581,A81000C,00600,0400,LIFE CARE CENTE 59581,A81000C,00600,0600,NRSG HOME MGMT 59581,A81000C,00700,0100,A 59581,A81000C,00700,0200,FORREST PRESTON 59581,A81000C,00700,0400,LIFE CARE CENTE 59581,A81000C,00700,0600,NRSG HOME MGMT 59581,A81000C,00800,0100,A 59581,A81000C,00800,0200,FORREST PRESTON 59581,A81000C,00800,0400,HCE 59581,A81000C,00800,0600,LEASING COMPANY 59581,A81000C,00900,0100,A 59581,A81000C,00900,0200,FORREST PRESTON 59581,A81000C,00900,0400,REHAB SERVICES 59581,A81000C,00900,0600,REHAB SUPPORT S 59581,A81000C,01000,0100,A 59581,A81000C,01000,0200,FORREST PRESTON 59581,A81000C,01000,0400,REHAB SERVICES 59581,A81000C,01000,0600,REHAB SUPPORT S 59581,A81000C,01100,0100,A 59581,A81000C,01100,0200,FORREST PRESTON 59581,A81000C,01100,0400,REHAB SERVICES 59581,A81000C,01100,0600,REHAB SUPPORT S 59581,B100000,00000,0100,00000(SQUARE FEET) 59581,B100000,00000,0200,00000(SQUARE FEET) 59581,B100000,00000,0300,00000(GROSS SALARIES) 59581,B100000,00000,0400,00000(ACCUM COST) 59581,B100000,00000,0500,00000(SQUARE FEET) 59581,B100000,00000,0600,00000PATIENT DAYS 59581,B100000,00000,0700,00000(SQUARE FEET) 59581,B100000,00000,0800,00000(MEALS SERVED) 59581,B100000,00000,0900,00000DIR NRSG HOURS 59581,B100000,00000,1000,00000(COSTED REQUIS) 59581,B100000,00000,1200,00000GROSS REVENUES 59581,B100000,00000,1300,00000PATIENT DAYS 59581,B100000,00000,1350,00000PATIENT DAYS 59581,S000000,00100,0200,01/29/2001 59581,S200000,00100,0100,14101 EAST EVANS AVENUE 59581,S200000,00200,0100,AURORA 59581,S200000,00200,0200,CO 59581,S200000,00200,0300,80014 59581,S200000,00300,0100,A 59581,S200000,00400,0100,LIFE CARE CENTER OF AURORA 59581,S200000,00400,0200,065332 59581,S200000,00400,0300,11/11/1994 59581,S200000,00400,0500,P 59581,S200000,00600,0200,065332 59581,S200000,00600,0300,11/11/1994 59581,S200000,00600,0600,O 59581,S200000,01600,0100,Y 59581,S200000,02200,0100,Y 59588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59588,A000000,00300,0000,00300EMPLOYEE BENEFITS 59588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59588,A000000,00700,0000,00700HOUSEKEEPING 59588,A000000,00800,0000,00800DIETARY 59588,A000000,00900,0000,00900NURSING ADMINISTRATION 59588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59588,A000000,01100,0000,01100PHARMACY 59588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59588,A000000,01300,0000,01300SOCIAL SERVICE 59588,A000000,01350,0000,01500ACTIVITIES 59588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59588,A000000,01600,0000,01600SKILLED NURSING FACILITY 59588,A000000,01800,0000,01800NURSING FACILITY 59588,A000000,01810,0000,01810ICF/MR 59588,A000000,02100,0000,02100RADIOLOGY 59588,A000000,02200,0000,02200LABORATORY 59588,A000000,02300,0000,02300INTRAVENOUS THERAPY 59588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59588,A000000,02500,0000,02500PHYSICAL THERAPY 59588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59588,A000000,02700,0000,02700SPEECH PATHOLOGY 59588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59588,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59588,A000000,03051,0000,03301AMBULANCE SERVICES 59588,A000000,03550,0000,03550FQHC 59588,A000000,05000,0000,05000CORF 59588,A000000,05010,0000,05010CMHC 59588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59588,A81000A,00100,0100,Y 59588,A81000B,00100,0300,HOME OFFICE COSTS 59588,A81000B,00200,0300,H.O. COSTS - CAPITAL 59588,A81000B,00300,0300,RELATED PARTY INT. 59588,A81000B,00400,0300,RELATED PARTY INT. 59588,A81000B,00500,0300,VAN LEASE - DEPREC 59588,A81000B,00600,0300,VAN LEASE - INTEREST 59588,A81000B,00700,0300,INTERIOR DEISGN - 96 59588,A81000B,00800,0300,INTERIOR DESIGN - 99 59588,A81000B,00900,0300,REHAB ALLOC - PT 59588,A81000B,01000,0300,REHAB ALLOC - OT 59588,A81000B,01100,0300,REHAB ALLOC - ST 59588,A81000B,01200,0300,COMPUTER DEPREC - 99 59588,A81000B,01300,0300,IV THERAPY SUPPLIES 59588,A81000B,01400,0300,PHARM CONTR. SRVS. 59588,A81000B,01500,0300,PHARMACEUTICALS 59588,A81000B,01600,0300,ROUTINE SUPPLIES 59588,A81000B,01700,0300,H/O 1996 P&D COSTS 59588,A81000B,01800,0300,H/O 1996 P&D COSTS 59588,A81000C,00100,0100,B 59588,A81000C,00100,0200,FORREST PRESTON 59588,A81000C,00100,0400,LIFE CARE CENTE 59588,A81000C,00100,0600,NRSG HOME OWNER 59588,A81000C,00200,0100,B 59588,A81000C,00200,0200,FORREST PRESTON 59588,A81000C,00200,0400,LIFE CARE CENTE 59588,A81000C,00200,0600,NRSG HOME OWNER 59588,A81000C,00300,0100,B 59588,A81000C,00300,0200,FORREST PRESTON 59588,A81000C,00300,0400,LIFE CARE CENTE 59588,A81000C,00300,0600,NRSG HOME OWNER 59588,A81000C,00400,0100,B 59588,A81000C,00400,0200,FORREST PRESTON 59588,A81000C,00400,0400,LIFE CARE CENTE 59588,A81000C,00400,0600,NRSG HOME OWNER 59588,A81000C,00500,0100,B 59588,A81000C,00500,0200,FORREST PRESTON 59588,A81000C,00500,0400,HCE LEASING 59588,A81000C,00500,0600,LEASING COMPANY 59588,A81000C,00600,0100,B 59588,A81000C,00600,0200,FORREST PRESTON 59588,A81000C,00600,0400,HCE LEASING 59588,A81000C,00600,0600,LEASING COMPANY 59588,A81000C,00700,0100,B 59588,A81000C,00700,0200,FORREST PRESTON 59588,A81000C,00700,0400,LIFE CARE DESIG 59588,A81000C,00700,0600,INTERIOR DESIGN 59588,A81000C,00800,0100,B 59588,A81000C,00800,0200,FORREST PRESTON 59588,A81000C,00800,0400,LIFE CARE DESIG 59588,A81000C,00800,0600,INTERIOR DESIGN 59588,A81000C,00900,0100,B 59588,A81000C,00900,0200,FORREST PRESTON 59588,A81000C,00900,0400,REHAB SUPPORT S 59588,A81000C,00900,0600,REHAB SERVICES 59588,A81000C,01000,0100,B 59588,A81000C,01000,0200,FORREST PRESTON 59588,A81000C,01000,0400,REHAB SUPPORT S 59588,A81000C,01000,0600,REHAB SERVICES 59588,A81000C,01100,0100,B 59588,A81000C,01100,0200,FORREST PRESTON 59588,A81000C,01100,0400,REHAB SUPPORT S 59588,A81000C,01100,0600,REHAB SERVICES 59588,A81000C,01200,0100,B 59588,A81000C,01200,0200,FORREST PRESTON 59588,A81000C,01200,0400,LIFE CARE CENTE 59588,A81000C,01200,0600,NRSG HOME OWNER 59588,A81000C,01300,0100,B 59588,A81000C,01300,0200,FORREST PRESTON 59588,A81000C,01300,0400,MEDILIFE PHARMA 59588,A81000C,01300,0600,PHARMACY SRVS 59588,A81000C,01400,0100,B 59588,A81000C,01400,0200,FORREST PRESTON 59588,A81000C,01400,0400,MEDILIFE PHARMA 59588,A81000C,01400,0600,PHARMACY SRVS 59588,A81000C,01500,0100,B 59588,A81000C,01500,0200,FORREST PRESTON 59588,A81000C,01500,0400,MEDILIFE PHARMA 59588,A81000C,01500,0600,PHARMACY SRVS 59588,A81000C,01600,0100,B 59588,A81000C,01600,0200,FORREST PRESTON 59588,A81000C,01600,0400,MEDILIFE PHARMA 59588,A81000C,01600,0600,PHARMACY SRVS 59588,B100000,00000,0100,00000(SQUARE FEET) 59588,B100000,00000,0200,00000(SQUARE FEET) 59588,B100000,00000,0300,00000(GROSS SALARIES) 59588,B100000,00000,0400,00000(ACCUM COST) 59588,B100000,00000,0500,00000(SQUARE FEET) 59588,B100000,00000,0600,00000PATIENT DAYS 59588,B100000,00000,0700,00000(SQUARE FEET) 59588,B100000,00000,0800,00000(MEALS SERVED) 59588,B100000,00000,0900,00000DIR NRSG HOURS 59588,B100000,00000,1000,00000(COSTED REQUIS) 59588,B100000,00000,1100,00000COSTED REQUIS 59588,B100000,00000,1200,00000GROSS REVENUES 59588,B100000,00000,1300,00000PATIENT DAYS 59588,B100000,00000,1350,00000PATIENT DAYS 59588,B100000,00000,1400,00000ASSIGNED TIME 59588,E10A180,00301,0100,08/17/1999 59588,S000000,00100,0200,05/11/2000 59588,S200000,00100,0100,2490 INTERNATIONAL CIRCLE 59588,S200000,00200,0100,COLORADO SPRINGS 59588,S200000,00200,0200,CO 59588,S200000,00200,0300,80910 59588,S200000,00300,0100,EL PASO 59588,S200000,00400,0100,LCC OF COLORADO SPRINGS 59588,S200000,00400,0200,065356 59588,S200000,00400,0300,01/08/1997 59588,S200000,00400,0500,P 59588,S200000,00600,0200,065356 59588,S200000,00600,0300,01/08/1997 59588,S200000,00600,0600,P 59588,S200000,01600,0100,Y 59588,S200000,02200,0100,Y 59588,S200000,04100,0100,Y 59588,S200000,04200,0100,Y 59595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59595,A000000,00300,0000,00300EMPLOYEE BENEFITS 59595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59595,A000000,00700,0000,00700HOUSEKEEPING 59595,A000000,00800,0000,00800DIETARY 59595,A000000,00900,0000,00900NURSING ADMINISTRATION 59595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59595,A000000,01100,0000,01100PHARMACY 59595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59595,A000000,01300,0000,01300SOCIAL SERVICE 59595,A000000,01350,0000,01500ACTIVITIES 59595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59595,A000000,01600,0000,01600SKILLED NURSING FACILITY 59595,A000000,01800,0000,01800NURSING FACILITY 59595,A000000,01810,0000,01810ICF/MR 59595,A000000,02100,0000,02100RADIOLOGY 59595,A000000,02200,0000,02200LABORATORY 59595,A000000,02300,0000,02300INTRAVENOUS THERAPY 59595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59595,A000000,02500,0000,02500PHYSICAL THERAPY 59595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59595,A000000,02700,0000,02700SPEECH PATHOLOGY 59595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59595,A000000,03051,0000,03301AMBULANCE 59595,A000000,03550,0000,03550FQHC 59595,A000000,05000,0000,05000CORF 59595,A000000,05010,0000,05010CMHC 59595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59595,A000000,06149,0000,06149ADULT DAY CARE 59595,A81000A,00100,0100,Y 59595,A81000B,00100,0300,HOME OFFICE COSTS 59595,A81000B,00200,0300,H.O. COSTS - CAPITAL 59595,A81000B,00300,0300,REL PARTY INTEREST 59595,A81000B,00400,0300,HCE INTEREST 59595,A81000B,00500,0300,HCE DEPRECIATION 59595,A81000B,00600,0300,CONSTRUCTIONS COSTS 59595,A81000B,00700,0300,LIFE CARE DESIGNS 97 59595,A81000B,00800,0300,LIFE CARE DESIGNS 99 59595,A81000B,00900,0300,REHAB ADJUST - PT 59595,A81000B,01000,0300,REHAB ADJUST - OT 59595,A81000B,01100,0300,REHAB ADJUST - ST 59595,A81000B,01200,0300,Y2K COMP. DEPREC. 59595,A81000B,01300,0300,PHARMACEUTICALS 59595,A81000B,01400,0300,PHARM. CONT. SRVS. 59595,A81000B,01500,0300,IV THERAPY 59595,A81000B,01600,0300,PEN THERAPY 59595,A81000B,01700,0300,ROUTINE SUPPLIES 59595,A81000B,01800,0300,H/O PLAN & DEVELOP COST 59595,A81000B,01900,0300,H/O PLAN & DEVELOP COST 59595,A81000C,00100,0100,B 59595,A81000C,00100,0200,FORREST PRESTON 59595,A81000C,00100,0400,LIFE CARE CENTE 59595,A81000C,00100,0600,NURSING HOME MG 59595,A81000C,00200,0100,B 59595,A81000C,00200,0200,FORREST PRESTON 59595,A81000C,00200,0400,LIFE CARE CENTE 59595,A81000C,00200,0600,NURSING HOME MG 59595,A81000C,00300,0100,B 59595,A81000C,00300,0200,FORREST PRESTON 59595,A81000C,00300,0400,LIFE CARE CENTE 59595,A81000C,00300,0600,NURSING HOME MG 59595,A81000C,00400,0100,B 59595,A81000C,00400,0200,FORREST PRESTON 59595,A81000C,00400,0400,HCE LEASING 59595,A81000C,00400,0600,VEHICLE LEASE 59595,A81000C,00500,0100,B 59595,A81000C,00500,0200,FORREST PRESTON 59595,A81000C,00500,0400,HCE LEASING 59595,A81000C,00500,0600,VEHICLE LEASE 59595,A81000C,00600,0100,B 59595,A81000C,00600,0200,FORREST PRESTON 59595,A81000C,00600,0400,L.C. CONSTRUCTI 59595,A81000C,00600,0600,CONSTRUCTION CO 59595,A81000C,00700,0100,B 59595,A81000C,00700,0200,FORREST PRESTON 59595,A81000C,00700,0400,LIFE CARE DESIG 59595,A81000C,00700,0600,INTERIOR DESIGN 59595,A81000C,00800,0100,B 59595,A81000C,00800,0200,FORREST PRESTON 59595,A81000C,00800,0400,LIFE CARE DESIG 59595,A81000C,00800,0600,INTERIOR DESIGN 59595,A81000C,00900,0100,B 59595,A81000C,00900,0200,FORREST PRESTON 59595,A81000C,00900,0400,REHAB SUPPORT S 59595,A81000C,00900,0600,REHAB SERVICES 59595,A81000C,01000,0100,B 59595,A81000C,01000,0200,FORREST PRESTON 59595,A81000C,01000,0400,REHAB SUPPORT S 59595,A81000C,01000,0600,REHAB SERVICES 59595,A81000C,01100,0100,B 59595,A81000C,01100,0200,FORREST PRESTON 59595,A81000C,01100,0400,REHAB SUPPORT S 59595,A81000C,01100,0600,REHAB SERVICES 59595,A81000C,01200,0100,B 59595,A81000C,01200,0200,FORREST PRESTON 59595,A81000C,01200,0400,LIFE CARE CENTE 59595,A81000C,01200,0600,NURSING HOME MG 59595,A81000C,01300,0100,B 59595,A81000C,01300,0200,FORREST PRESTON 59595,A81000C,01300,0400,MEDILIFE 59595,A81000C,01300,0600,PHARMACY 59595,A81000C,01400,0100,B 59595,A81000C,01400,0200,FORREST PRESTON 59595,A81000C,01400,0400,MEDILIFE 59595,A81000C,01400,0600,PHARMACY 59595,A81000C,01500,0100,B 59595,A81000C,01500,0200,FORREST PRESTON 59595,A81000C,01500,0400,MEDILIFE 59595,A81000C,01500,0600,PHARMACY 59595,A81000C,01600,0100,B 59595,A81000C,01600,0200,FORREST PRESTON 59595,A81000C,01600,0400,MEDILIFE 59595,A81000C,01600,0600,PHARMACY 59595,A81000C,01700,0100,B 59595,A81000C,01700,0200,FORREST PRESTON 59595,A81000C,01700,0400,MEDILIFE 59595,A81000C,01700,0600,PHARMACY 59595,B100000,00000,0100,00049(SQUARE FEET) 59595,B100000,00000,0200,00049(SQUARE FEET) 59595,B100000,00000,0300,00049(GROSS SALARIES) 59595,B100000,00000,0400,00049(ACCUM COST) 59595,B100000,00000,0500,00049(SQUARE FEET) 59595,B100000,00000,0600,00049PATIENT DAYS 59595,B100000,00000,0700,00049(SQUARE FEET) 59595,B100000,00000,0800,00049(MEALS SERVED) 59595,B100000,00000,0900,00049DIR NRSG HOURS 59595,B100000,00000,1000,00049(COSTED REQUIS) 59595,B100000,00000,1100,00049COSTED REQUIS 59595,B100000,00000,1200,00049GROSS REVENUES 59595,B100000,00000,1300,00049PATIENT DAYS 59595,B100000,00000,1350,00049PATIENT DAYS 59595,B100000,00000,1400,00049ASSIGNED TIME 59595,S000000,00100,0200,08/21/2000 59595,S200000,00100,0100,7751 ZENOBIA COURT 59595,S200000,00200,0100,WESTMINSTER 59595,S200000,00200,0200,CO 59595,S200000,00200,0300,80030 59595,S200000,00300,0100,ADAMS 59595,S200000,00400,0100,LCC WESTMINSTER 59595,S200000,00400,0200,065358 59595,S200000,00400,0300,05/20/1997 59595,S200000,00400,0500,P 59595,S200000,00600,0200,065358 59595,S200000,00600,0300,05/20/1997 59595,S200000,00600,0600,P 59595,S200000,01600,0100,Y 59595,S200000,02200,0100,Y 59595,S200000,04700,0100,Y 59595,S200000,04700,0200,Y 59606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59606,A000000,00300,0000,00300EMPLOYEE BENEFITS 59606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59606,A000000,00700,0000,00700HOUSEKEEPING 59606,A000000,00800,0000,00800DIETARY 59606,A000000,00900,0000,00900NURSING ADMINISTRATION 59606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59606,A000000,01300,0000,01300SOCIAL SERVICE 59606,A000000,01350,0000,01500ACTIVITIES 59606,A000000,01600,0000,01600SKILLED NURSING FACILITY 59606,A000000,01800,0000,01800NURSING FACILITY 59606,A000000,02100,0000,02100RADIOLOGY 59606,A000000,02200,0000,02200LABORATORY 59606,A000000,02300,0000,02300INTRAVENOUS THERAPY 59606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59606,A000000,02500,0000,02500PHYSICAL THERAPY 59606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59606,A000000,02700,0000,02700SPEECH PATHOLOGY 59606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59606,A000000,02901,0000,02901PEN THERAPY 59606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59606,A000000,03050,0000,03300AMBULANCE 59606,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59606,A81000A,00100,0100,Y 59606,A81000B,00100,0300,HOME OFFICE COSTS 59606,A81000B,00200,0300,H.O. COSTS - CAPITAL 59606,A81000B,00300,0300,RELATED PARTY INT. 59606,A81000B,00400,0300,RELATED PARTY INT. 59606,A81000B,00500,0300,MEDIA RESOURCE GROUP 59606,A81000B,00600,0300,REHAB ALLOC. - PT 59606,A81000B,00700,0300,REHAB ALLOC. - OT 59606,A81000B,00800,0300,REHAB ALLOC. - ST 59606,A81000B,00900,0300,HCE INTEREST 59606,A81000B,01000,0300,HCE DEPRECIATION 59606,A81000B,01100,0300,Y2K COMPUTER DEPREC. 59606,A81000C,00100,0100,B 59606,A81000C,00100,0200,FORREST PRESTON 59606,A81000C,00100,0400,LIFE CARE CENTE 59606,A81000C,00100,0600,NRSG. HOME OWNE 59606,A81000C,00200,0100,B 59606,A81000C,00200,0200,FORREST PRESTON 59606,A81000C,00200,0400,LIFE CARE CENTE 59606,A81000C,00200,0600,NRSG. HOME OWNE 59606,A81000C,00300,0100,B 59606,A81000C,00300,0200,FORREST PRESTON 59606,A81000C,00300,0400,LIFE CARE CENTE 59606,A81000C,00300,0600,NRSG. HOME OWNE 59606,A81000C,00400,0100,B 59606,A81000C,00400,0200,FORREST PRESTON 59606,A81000C,00400,0400,LIFE CARE CENTE 59606,A81000C,00400,0600,NRSG. HOME OWNE 59606,A81000C,00500,0100,B 59606,A81000C,00500,0200,FORREST PRESTON 59606,A81000C,00500,0400,MEDIA RESOURCES 59606,A81000C,00500,0600,MARKETING/MEDIA 59606,A81000C,00600,0100,B 59606,A81000C,00600,0200,FORREST PRESTON 59606,A81000C,00600,0400,REHAB SUPPORT S 59606,A81000C,00600,0600,REHAB SERVICES 59606,A81000C,00700,0100,B 59606,A81000C,00700,0200,FORREST PRESTON 59606,A81000C,00700,0400,REHAB SUPPORT S 59606,A81000C,00700,0600,REHAB SERVICES 59606,A81000C,00800,0100,B 59606,A81000C,00800,0200,FORREST PRESTON 59606,A81000C,00800,0400,REHAB SUPPORT S 59606,A81000C,00800,0600,REHAB SERVICES 59606,A81000C,00900,0100,B 59606,A81000C,00900,0200,FORREST PRESTON 59606,A81000C,00900,0400,HCE LEASING 59606,A81000C,00900,0600,LEASING CO. 59606,A81000C,01000,0100,B 59606,A81000C,01000,0200,FORREST PRESTON 59606,A81000C,01000,0400,HCE LEASING 59606,A81000C,01000,0600,LEASING CO. 59606,A81000C,01100,0100,B 59606,A81000C,01100,0200,FORREST PRESTON 59606,A81000C,01100,0400,LIFE CARE CENTE 59606,A81000C,01100,0600,NRSG. HOME OWNE 59606,B100000,00000,0100,00000(SQUARE FEET) 59606,B100000,00000,0200,00000(SQUARE FEET) 59606,B100000,00000,0300,00000(GROSS SALARIES) 59606,B100000,00000,0400,00000(ACCUM COST) 59606,B100000,00000,0500,00000(SQUARE FEET) 59606,B100000,00000,0600,00000PATIENT DAYS 59606,B100000,00000,0700,00000(SQUARE FEET) 59606,B100000,00000,0800,00000(MEALS SERVED) 59606,B100000,00000,0900,00000DIR NRSG HOURS 59606,B100000,00000,1000,00000(COSTED REQUIS) 59606,B100000,00000,1200,00000GROSS REVENUES 59606,B100000,00000,1300,00000PATIENT DAYS 59606,B100000,00000,1350,00000PATIENT DAYS 59606,S000000,00100,0200,10/26/2000 59606,S200000,00100,0100,1500 WEST MINERAL AVENUE 59606,S200000,00200,0100,LITTLETON 59606,S200000,00200,0200,CO 59606,S200000,00200,0300,80120 59606,S200000,00300,0100,ARAPAHOE 59606,S200000,00400,0100,LIFE CARE CENTER OF LITTLETON 59606,S200000,00400,0200,065370 59606,S200000,00400,0300,06/11/1998 59606,S200000,00400,0500,P 59606,S200000,00600,0200,065370 59606,S200000,00600,0300,06/11/1998 59606,S200000,00600,0600,P 59606,S200000,01600,0100,Y 59606,S200000,02200,0100,Y 59606,S200000,04100,0100,Y 59610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59610,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59610,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59610,A000000,00300,0000,00300EMPLOYEE BENEFITS 59610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59610,A000000,00700,0000,00700HOUSEKEEPING 59610,A000000,00800,0000,00800DIETARY 59610,A000000,00801,0000,00801CAFETERIA 59610,A000000,00900,0000,00900NURSING ADMINISTRATION 59610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59610,A000000,01100,0000,01100PHARMACY 59610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59610,A000000,01300,0000,01300SOCIAL SERVICE 59610,A000000,01350,0000,01500ACTIVITIES 59610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59610,A000000,01600,0000,01600SKILLED NURSING FACILITY 59610,A000000,01800,0000,01800NURSING FACILITY 59610,A000000,01810,0000,01810ICF/MR 59610,A000000,01900,0000,01900OTHER LONG TERM CARE 59610,A000000,02500,0000,02500PHYSICAL THERAPY 59610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59610,A000000,02700,0000,02700SPEECH PATHOLOGY 59610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59610,A000000,03050,0000,03300PEN THERAPY 59610,A000000,03051,0000,03301FEE SCREENING 59610,A000000,03052,0000,03302OTHER ANCILLARY III 59610,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59610,A000000,03550,0000,03550FQHC 59610,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59610,A000000,05000,0000,05000CORF I 59610,A000000,05010,0000,05010CMHC I 59610,A000000,05020,0000,05020OPT I 59610,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59610,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59610,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59610,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59610,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59610,A81000A,00100,0100,Y 59610,A81000B,00100,0300,HOME OFFICE ALLOCATION 59610,A81000B,00200,0300,HOME OFFICE ALLOCATION 59610,A81000B,00300,0300,CAPITAL INTEREST 59610,A81000B,00400,0300,SEE ATTACHED 59610,A81000C,00100,0100,B 59610,A81000C,00100,0400,GENESIS HEALTH 59610,A81000C,00100,0600,HOME OFFICE 59610,A81000C,00200,0100,B 59610,A81000C,00200,0400,GENESIS HEALTH 59610,A81000C,00200,0600,HOME OFFICE 59610,A81000C,00300,0100,B 59610,A81000C,00300,0400,GENESIS HEALTH 59610,A81000C,00300,0600,HOME OFFICE 59610,A81000C,00400,0100,B 59610,A81000C,00400,0400,SEE ATTACHED 59610,A81000C,00400,0600,VARIOUS 59610,B100000,00000,0100,00000(SQUARE FEET) 59610,B100000,00000,0101,00000(SQUARE FEET) 59610,B100000,00000,0200,00000(SQUARE FEET) 59610,B100000,00000,0201,00000(SQUARE FEET) 59610,B100000,00000,0300,00000(GROSS SALARIES) 59610,B100000,00000,0400,00000(ACCUM. COST) 59610,B100000,00000,0500,00000(SQUARE FEET) 59610,B100000,00000,0600,00000(PATIENT DAYS) 59610,B100000,00000,0700,00000(SQUARE FEET) 59610,B100000,00000,0800,00000(MEALS SERVED) 59610,B100000,00000,0801,00000(MEALS SERVED) 59610,B100000,00000,0900,00000(NURSING SALARIES) 59610,B100000,00000,1000,00000(COSTED REQUIS.) 59610,B100000,00000,1100,00000(COSTED REQUIS.) 59610,B100000,00000,1200,00000(GROSS CHARGES) 59610,B100000,00000,1300,00000(PATIENT DAYS) 59610,B100000,00000,1350,00000(PATIENT DAYS) 59610,B100000,00000,1400,00000(ASSIGNED TIME) 59610,S000000,00100,0200,05/26/2000 59610,S200000,00100,0100,MARC DRIVE 59610,S200000,00200,0100,WALLINGFORD 59610,S200000,00200,0200,CT 59610,S200000,00200,0300,06492 59610,S200000,00300,0100,NEW HAVEN 59610,S200000,00400,0100,SKYVIEW 59610,S200000,00400,0200,075057 59610,S200000,00400,0300,01/01/1967 59610,S200000,00400,0500,P 59610,S200000,01600,0100,Y 59610,S200000,02200,0100,Y 59614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59614,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59614,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59614,A000000,00300,0000,00300EMPLOYEE BENEFITS 59614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59614,A000000,00700,0000,00700HOUSEKEEPING 59614,A000000,00800,0000,00800DIETARY 59614,A000000,00801,0000,00801CAFETERIA 59614,A000000,00900,0000,00900NURSING ADMINISTRATION 59614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59614,A000000,01100,0000,01100PHARMACY 59614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59614,A000000,01300,0000,01300SOCIAL SERVICE 59614,A000000,01350,0000,01500ACTIVITIES 59614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59614,A000000,01600,0000,01600SKILLED NURSING FACILITY 59614,A000000,01810,0000,01810ICF/MR 59614,A000000,02100,0000,02100RADIOLOGY 59614,A000000,02200,0000,02200LABORATORY 59614,A000000,02300,0000,02300INTRAVENOUS THERAPY 59614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59614,A000000,02500,0000,02500PHYSICAL THERAPY 59614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59614,A000000,02700,0000,02700SPEECH PATHOLOGY 59614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59614,A000000,03050,0000,03300PEN THERAPY 59614,A000000,03051,0000,03301OTHER ANCILLARY II 59614,A000000,03052,0000,03302OTHER ANCILLARY III 59614,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59614,A000000,03550,0000,03550FQHC 59614,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59614,A000000,05000,0000,05000CORF I 59614,A000000,05010,0000,05010CMHC I 59614,A000000,05020,0000,05020OPT I 59614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59614,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59614,A81000A,00100,0100,Y 59614,A81000B,00100,0300,HOME OFFICE ALLOCATION 59614,A81000B,00200,0300,CAPITAL INTEREST 59614,A81000B,00300,0300,HOME OFFICE ALLOCATION 59614,A81000B,00400,0300,SEE ATTACHED 59614,A81000C,00100,0100,B 59614,A81000C,00100,0400,GHV 59614,A81000C,00100,0600,HOME OFFICE 59614,A81000C,00200,0100,B 59614,A81000C,00200,0400,GHV 59614,A81000C,00200,0600,HOME OFFICE 59614,A81000C,00300,0100,B 59614,A81000C,00300,0400,GHV 59614,A81000C,00300,0600,HOME OFFICE 59614,A81000C,00400,0100,B 59614,A81000C,00400,0400,SEE ATTACHED 59614,A81000C,00400,0600,VARIOUS 59614,B100000,00000,0100,00000(SQUARE FEET) 59614,B100000,00000,0101,00000(SQUARE FEET) 59614,B100000,00000,0200,00000(SQUARE FEET) 59614,B100000,00000,0201,00000(SQUARE FEET) 59614,B100000,00000,0300,00000(GROSS SALARIES) 59614,B100000,00000,0400,00000(ACCUM. COST) 59614,B100000,00000,0500,00000(SQUARE FEET) 59614,B100000,00000,0600,00000(PATIENT DAYS) 59614,B100000,00000,0700,00000(SQUARE FEET) 59614,B100000,00000,0800,00000(MEALS SERVED) 59614,B100000,00000,0801,00000(MEALS SERVED) 59614,B100000,00000,0900,00000(NURSING SALARIES) 59614,B100000,00000,1000,00000(COSTED REQUIS.) 59614,B100000,00000,1100,00000(COSTED REQUIS.) 59614,B100000,00000,1200,00000(GROSS CHARGES) 59614,B100000,00000,1300,00000(PATIENT DAYS) 59614,B100000,00000,1350,00000(PATIENT DAYS) 59614,B100000,00000,1400,00000(ASSIGNED TIME) 59614,S000000,00100,0200,05/26/2000 59614,S200000,00100,0100,72 SALMON BROOK DR. 59614,S200000,00200,0100,GLASTONBURY 59614,S200000,00200,0200,CT 59614,S200000,00200,0300,06033 59614,S200000,00300,0100,NEW HARTFORD 59614,S200000,00400,0100,SALMON BROOK 59614,S200000,00400,0200,075060 59614,S200000,00400,0300,01/01/1967 59614,S200000,00400,0500,P 59614,S200000,01500,0100,Y 59617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59617,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59617,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59617,A000000,00300,0000,00300EMPLOYEE BENEFITS 59617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59617,A000000,00700,0000,00700HOUSEKEEPING 59617,A000000,00800,0000,00800DIETARY 59617,A000000,00801,0000,00801CAFETERIA 59617,A000000,00900,0000,00900NURSING ADMINISTRATION 59617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59617,A000000,01100,0000,01100PHARMACY 59617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59617,A000000,01300,0000,01300SOCIAL SERVICE 59617,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 59617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59617,A000000,01600,0000,01600SKILLED NURSING FACILITY 59617,A000000,01800,0000,01800NURSING FACILITY 59617,A000000,01810,0000,01810ICF/MR 59617,A000000,01900,0000,01900OTHER LONG TERM CARE 59617,A000000,02100,0000,02100RADIOLOGY 59617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59617,A000000,02500,0000,02500PHYSICAL THERAPY 59617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59617,A000000,02700,0000,02700SPEECH PATHOLOGY 59617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59617,A000000,03050,0000,03300PEN THERAPY 59617,A000000,03051,0000,03301FEE SCREENING 59617,A000000,03052,0000,03302OTHER ANCILLARY III 59617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59617,A000000,03550,0000,03550FQHC 59617,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59617,A000000,05000,0000,05000CORF I 59617,A000000,05010,0000,05010CMHC I 59617,A000000,05020,0000,05020OPT I 59617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59617,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59617,A81000A,00100,0100,Y 59617,A81000B,00100,0300,HOME OFFICE ALLOCATION 59617,A81000B,00200,0300,INTEREST ALLOCATION 59617,A81000C,00100,0100,G 59617,A81000C,00100,0200,GENESIS HEALTH 59617,A81000C,00100,0600,HOME OFFICE 59617,B100000,00000,0100,00000(SQUARE FEET) 59617,B100000,00000,0101,00000(SQUARE FEET) 59617,B100000,00000,0200,00000(SQUARE FEET) 59617,B100000,00000,0201,00000(SQUARE FEET) 59617,B100000,00000,0300,00000(GROSS SALARIES) 59617,B100000,00000,0400,00000(ACCUM. COST) 59617,B100000,00000,0500,00000(SQUARE FEET) 59617,B100000,00000,0600,00000(PATIENT DAYS) 59617,B100000,00000,0700,00000(SQUARE FEET) 59617,B100000,00000,0800,00000(MEALS SERVED) 59617,B100000,00000,0801,00000(MEALS SERVED) 59617,B100000,00000,0900,00000(NURSING SALARIES) 59617,B100000,00000,1000,00000(COSTED REQUIS.) 59617,B100000,00000,1100,00000(COSTED REQUIS.) 59617,B100000,00000,1200,00000(PATIENT DAYS) 59617,B100000,00000,1300,00000(PATIENT DAYS) 59617,B100000,00000,1350,00000(PATIENT DAYS) 59617,B100000,00000,1400,00000(ASSIGNED TIME) 59617,S000000,00100,0200,05/26/2000 59617,S200000,00100,0100,22 SOUTH STREET 59617,S200000,00200,0100,ROCKVILLE 59617,S200000,00200,0200,CT 59617,S200000,00200,0300,06066 59617,S200000,00300,0100,TOLLAND 59617,S200000,00400,0100,FOX HILL CENTER 59617,S200000,00400,0200,075183 59617,S200000,00400,0300,04/20/1967 59617,S200000,00400,0500,P 59617,S200000,01600,0100,Y 59617,S200000,02200,0100,Y 59617,S200000,04700,0100,Y 59617,S200000,04700,0200,Y 59620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59620,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59620,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59620,A000000,00300,0000,00300EMPLOYEE BENEFITS 59620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59620,A000000,00700,0000,00700HOUSEKEEPING 59620,A000000,00800,0000,00800DIETARY 59620,A000000,00801,0000,00801CAFETERIA 59620,A000000,00900,0000,00900NURSING ADMINISTRATION 59620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59620,A000000,01100,0000,01100PHARMACY 59620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59620,A000000,01300,0000,01300SOCIAL SERVICE 59620,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 59620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59620,A000000,01600,0000,01600SKILLED NURSING FACILITY 59620,A000000,01800,0000,01800NURSING FACILITY 59620,A000000,01810,0000,01810ICF/MR 59620,A000000,02100,0000,02100RADIOLOGY 59620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59620,A000000,02500,0000,02500PHYSICAL THERAPY 59620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59620,A000000,02700,0000,02700SPEECH PATHOLOGY 59620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59620,A000000,03050,0000,03300PEN THERAPY 59620,A000000,03051,0000,03301FEE SCREENING 59620,A000000,03052,0000,03302OTHER ANCILLARY III 59620,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59620,A000000,03550,0000,03550FQHC 59620,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59620,A000000,05000,0000,05000CORF I 59620,A000000,05010,0000,05010CMHC I 59620,A000000,05020,0000,05020OPT I 59620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59620,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59620,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59620,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59620,A81000A,00100,0100,Y 59620,A81000B,00100,0300,HOME OFFICE ALLOCATION 59620,A81000B,00200,0300,INTEREST ALLOCATION 59620,A81000B,00700,0300,SEE ATTACHED 59620,A81000C,00100,0100,G 59620,A81000C,00100,0200,GENESIS 59620,A81000C,00100,0600,HOME OFFICE 59620,B100000,00000,0100,00000(SQUARE FEET) 59620,B100000,00000,0101,00000(SQUARE FEET) 59620,B100000,00000,0200,00000(SQUARE FEET) 59620,B100000,00000,0201,00000(SQUARE FEET) 59620,B100000,00000,0300,00000(GROSS SALARIES) 59620,B100000,00000,0400,00000(ACCUM. COST) 59620,B100000,00000,0500,00000(SQUARE FEET) 59620,B100000,00000,0600,00000(PATIENT DAYS) 59620,B100000,00000,0700,00000(SQUARE FEET) 59620,B100000,00000,0800,00000(MEALS SERVED) 59620,B100000,00000,0801,00000(MEALS SERVED) 59620,B100000,00000,0900,00000(NURSING SALARIES) 59620,B100000,00000,1000,00000(COSTED REQUIS.) 59620,B100000,00000,1100,00000(COSTED REQUIS.) 59620,B100000,00000,1200,00000(PATIENT DAYS) 59620,B100000,00000,1300,00000(PATIENT DAYS) 59620,B100000,00000,1350,00000(PATIENT DAYS) 59620,B100000,00000,1400,00000(ASSIGNED TIME) 59620,S000000,00100,0200,05/26/2000 59620,S200000,00100,0100,845 PADDOCK AVE. 59620,S200000,00200,0100,MERIDEN 59620,S200000,00200,0200,CT 59620,S200000,00200,0300,06450 59620,S200000,00300,0100,NEW HAVEN 59620,S200000,00400,0100,MERIDEN 59620,S200000,00400,0200,075192 59620,S200000,00400,0300,03/01/1972 59620,S200000,00400,0500,P 59620,S200000,01600,0100,Y 59620,S200000,02200,0100,Y 59623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59623,A000000,00300,0000,00300EMPLOYEE BENEFITS 59623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59623,A000000,00700,0000,00700HOUSEKEEPING 59623,A000000,00800,0000,00800DIETARY 59623,A000000,00900,0000,00900NURSING ADMINISTRATION 59623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59623,A000000,01100,0000,01100PHARMACY 59623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59623,A000000,01300,0000,01300SOCIAL SERVICE 59623,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 59623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59623,A000000,01600,0000,01600SKILLED NURSING FACILITY 59623,A000000,01800,0000,01800NURSING FACILITY 59623,A000000,01810,0000,01810ICF/MR 59623,A000000,02100,0000,02100RADIOLOGY 59623,A000000,02200,0000,02200LABORATORY 59623,A000000,02300,0000,02300INTRAVENOUS THERAPY 59623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59623,A000000,02500,0000,02500PHYSICAL THERAPY 59623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59623,A000000,02700,0000,02700SPEECH PATHOLOGY 59623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59623,A000000,03050,0000,03300PEN THERAPY 59623,A000000,03051,0000,03301FEE SCREENING 59623,A000000,03550,0000,03550FQHC 59623,A000000,05000,0000,05000CORF 59623,A000000,05010,0000,05010CMHC 59623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59623,A81000A,00100,0100,Y 59623,A81000B,00100,0300,HOME OFFICE ALLOCATI 59623,A81000B,00200,0300,INTEREST ALLOCATION 59623,A81000C,00100,0100,G 59623,A81000C,00100,0200,2 59623,A81000C,00100,0400,GENESIS 59623,A81000C,00100,0600,HOME OFFICE 59623,B100000,00000,0100,00040SQUARE FEET 59623,B100000,00000,0200,00040SQUARE FEET 59623,B100000,00000,0300,00040GROSS SALARIES 59623,B100000,00000,0400,00040ACCUM COST 59623,B100000,00000,0500,00040SQUARE FEET 59623,B100000,00000,0600,00040PATIENT DAYS 59623,B100000,00000,0700,00040SQUARE FEET 59623,B100000,00000,0800,00040MEALS SERVED 59623,B100000,00000,0900,00040NURSING SALARIES 59623,B100000,00000,1000,00040COSTED REQUIS 59623,B100000,00000,1100,00040COSTED REQUIS 59623,B100000,00000,1200,00040PATIENT DAYS 59623,B100000,00000,1300,00040PATIENT DAYS 59623,B100000,00000,1350,00040(PATIENT DAYS) 59623,B100000,00000,1400,00040ASSIGNED TIME 59623,S000000,00100,0200,05/26/2000 59623,S200000,00100,0100,59 HARRINGTON COURT 59623,S200000,00200,0100,COLCHESTER 59623,S200000,00200,0200,CT 59623,S200000,00200,0300,06415 59623,S200000,00300,0100,NEW LONDON 59623,S200000,00400,0100,HARRINGTON COURT 59623,S200000,00400,0200,075253 59623,S200000,00400,0300,11/02/1975 59623,S200000,00400,0500,P 59623,S200000,01600,0100,Y 59623,S200000,02200,0100,Y 59626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59626,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59626,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59626,A000000,00300,0000,00300EMPLOYEE BENEFITS 59626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59626,A000000,00700,0000,00700HOUSEKEEPING 59626,A000000,00800,0000,00800DIETARY 59626,A000000,00801,0000,00801CAFETERIA 59626,A000000,00900,0000,00900NURSING ADMINISTRATION 59626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59626,A000000,01100,0000,01100PHARMACY 59626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59626,A000000,01300,0000,01300SOCIAL SERVICE 59626,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 59626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59626,A000000,01600,0000,01600SKILLED NURSING FACILITY 59626,A000000,01800,0000,01800NURSING FACILITY 59626,A000000,01810,0000,01810ICF/MR 59626,A000000,01900,0000,01900OTHER LONG TERM CARE 59626,A000000,02100,0000,02100RADIOLOGY 59626,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59626,A000000,02500,0000,02500PHYSICAL THERAPY 59626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59626,A000000,02700,0000,02700SPEECH PATHOLOGY 59626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59626,A000000,03050,0000,03300PEN THERAPY 59626,A000000,03051,0000,03301FEE SCREENING 59626,A000000,03052,0000,03302OTHER ANCILLARY III 59626,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59626,A000000,03550,0000,03550FQHC 59626,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59626,A000000,05000,0000,05000CORF I 59626,A000000,05010,0000,05010CMHC I 59626,A000000,05020,0000,05020OPT I 59626,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59626,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59626,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59626,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59626,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59626,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59626,A81000A,00100,0100,Y 59626,A81000B,00100,0300,HOME OFFICE ALLOCATION 59626,A81000B,00200,0300,INTEREST ALLOCATION 59626,A81000B,00600,0300,SEE ATTACHED 59626,A81000C,00100,0100,G 59626,A81000C,00100,0400,GENESIS 59626,A81000C,00100,0600,HOME OFFICE 59626,B100000,00000,0100,00000(SQUARE FEET) 59626,B100000,00000,0101,00000(SQUARE FEET) 59626,B100000,00000,0200,00000(SQUARE FEET) 59626,B100000,00000,0201,00000(SQUARE FEET) 59626,B100000,00000,0300,00000(GROSS SALARIES) 59626,B100000,00000,0400,00000(ACCUM. COST) 59626,B100000,00000,0500,00000(SQUARE FEET) 59626,B100000,00000,0600,00000(PATIENT DAYS) 59626,B100000,00000,0700,00000(SQUARE FEET) 59626,B100000,00000,0800,00000(MEALS SERVED) 59626,B100000,00000,0801,00000(MEALS SERVED) 59626,B100000,00000,0900,00000(NURSING SALARIES) 59626,B100000,00000,1000,00000(COSTED REQUIS.) 59626,B100000,00000,1100,00000(PATIENT DAYS) 59626,B100000,00000,1200,00000(GROSS CHARGES) 59626,B100000,00000,1300,00000(PATIENT DAYS) 59626,B100000,00000,1350,00000(PATIENT DAYS) 59626,B100000,00000,1400,00000(ASSIGNED TIME) 59626,S000000,00100,0200,05/26/2000 59626,S200000,00100,0100,1145 POQUONOCK ROAD 59626,S200000,00200,0100,GROTON 59626,S200000,00200,0200,CT 59626,S200000,00200,0300,06340 59626,S200000,00300,0100,NEW LONDON 59626,S200000,00400,0100,GROTON NURSING & REHAB 59626,S200000,00400,0200,075270 59626,S200000,00400,0300,07/26/1976 59626,S200000,00400,0500,P 59626,S200000,01600,0100,Y 59626,S200000,02200,0100,Y 59629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59629,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59629,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59629,A000000,00300,0000,00300EMPLOYEE BENEFITS 59629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59629,A000000,00700,0000,00700HOUSEKEEPING 59629,A000000,00800,0000,00800DIETARY 59629,A000000,00801,0000,00801CAFETERIA 59629,A000000,00900,0000,00900NURSING ADMINISTRATION 59629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59629,A000000,01100,0000,01100PHARMACY 59629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59629,A000000,01300,0000,01300SOCIAL SERVICE 59629,A000000,01350,0000,01500ACTIVITIES 59629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59629,A000000,01600,0000,01600SKILLED NURSING FACILITY 59629,A000000,01800,0000,01800NURSING FACILITY 59629,A000000,01810,0000,01810ICF/MR 59629,A000000,02100,0000,02100RADIOLOGY 59629,A000000,02200,0000,02200LABORATORY 59629,A000000,02300,0000,02300INTRAVENOUS THERAPY 59629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59629,A000000,02500,0000,02500PHYSICAL THERAPY 59629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59629,A000000,02700,0000,02700SPEECH PATHOLOGY 59629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59629,A000000,03050,0000,03300PENN THERAPY 59629,A000000,03051,0000,03301FEE SCREENING 59629,A000000,03052,0000,03302OTHER ANCILLARY III 59629,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59629,A000000,03550,0000,03550FQHC 59629,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59629,A000000,05000,0000,05000CORF I 59629,A000000,05010,0000,05010CMHC I 59629,A000000,05020,0000,05020OPT I 59629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59629,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59629,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59629,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59629,A81000A,00100,0100,Y 59629,A81000B,00100,0300,HOME OFFICE ALLOCATION 59629,A81000B,00200,0300,HOME OFFICE ALLOCATION 59629,A81000B,00300,0300,INTEREST ALLOCATION 59629,A81000B,00400,0300,SEE ATTACHED 59629,A81000C,00100,0100,B 59629,A81000C,00100,0400,GENESIS HEALTH 59629,A81000C,00100,0600,HOME OFFICE 59629,A81000C,00200,0100,B 59629,A81000C,00200,0400,GENESIS HEALTH 59629,A81000C,00200,0600,HOME OFFICE 59629,A81000C,00300,0100,B 59629,A81000C,00300,0400,GENESIS HEALTH 59629,A81000C,00300,0600,HOME OFFICE 59629,A81000C,00400,0100,B 59629,A81000C,00400,0400,SEE ATTACHED 59629,A81000C,00400,0600,VARIOUS 59629,B100000,00000,0100,00000(SQUARE FEET) 59629,B100000,00000,0101,00000(SQUARE FEET) 59629,B100000,00000,0200,00000(SQUARE FEET) 59629,B100000,00000,0201,00000(SQUARE FEET) 59629,B100000,00000,0300,00000(GROSS SALARIES) 59629,B100000,00000,0400,00000(ACCUM. COST) 59629,B100000,00000,0500,00000(SQUARE FEET) 59629,B100000,00000,0600,00000(PATIENT DAYS) 59629,B100000,00000,0700,00000(SQUARE FEET) 59629,B100000,00000,0800,00000(MEALS SERVED) 59629,B100000,00000,0801,00000(MEALS SERVED) 59629,B100000,00000,0900,00000(NURSING SALARIES) 59629,B100000,00000,1000,00000(COSTED REQUIS.) 59629,B100000,00000,1100,00000(PATIENT DAYS) 59629,B100000,00000,1200,00000(GROSS CHARGES) 59629,B100000,00000,1300,00000(PATIENT DAYS) 59629,B100000,00000,1350,00000(PATIENT DAYS) 59629,B100000,00000,1400,00000(ASSIGNED TIME) 59629,S000000,00100,0200,05/26/2000 59629,S200000,00100,0100,73 STRAWBERRY HILL AVE 59629,S200000,00200,0100,NORWALK 59629,S200000,00200,0200,CT 59629,S200000,00200,0300,06855 59629,S200000,00300,0100,FAIRFIELD 59629,S200000,00400,0100,NORWALK CARE & REHAB 59629,S200000,00400,0200,075302 59629,S200000,00400,0300,08/02/1984 59629,S200000,00400,0500,P 59629,S200000,01600,0100,Y 59629,S200000,02200,0100,Y 59635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59635,A000000,00300,0000,00300EMPLOYEE BENEFITS 59635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59635,A000000,00700,0000,00700HOUSEKEEPING 59635,A000000,00800,0000,00800DIETARY 59635,A000000,00900,0000,00900NURSING ADMINISTRATION 59635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59635,A000000,01100,0000,01100PHARMACY 59635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59635,A000000,01300,0000,01300SOCIAL SERVICE 59635,A000000,01350,0000,01500PATIENT ACTIVITIES 59635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59635,A000000,01600,0000,01600SKILLED NURSING FACILITY 59635,A000000,01800,0000,01800NURSING FACILITY 59635,A000000,01810,0000,01810ICF/MR 59635,A000000,02100,0000,02100RADIOLOGY 59635,A000000,02300,0000,02300INTRAVENOUS THERAPY 59635,A000000,02500,0000,02500PHYSICAL THERAPY 59635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59635,A000000,02700,0000,02700SPEECH PATHOLOGY 59635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59635,A000000,03050,0000,03300RESPIRATORY THERAPY 59635,A000000,03200,0000,03200SUPPORT SURFACES 59635,A000000,03550,0000,03550FQHC 59635,A000000,05000,0000,05000CORF 59635,A000000,05010,0000,05010CMHC 59635,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59635,A000000,06150,0000,06300DAY CARE 59635,A81000A,00100,0100,Y 59635,A81000B,00100,0300,MGMNT FEES HOME OFC 59635,A81000B,00200,0300,CAP REL HOME OFFICE 59635,A81000B,00300,0300,DISP DIAPERS 59635,A81000B,00400,0300,MEDICAL SUPPLIES 59635,A81000B,00500,0300,MED SUP NON BILL 59635,A81000B,00600,0300,MED SUP NON BILL 59635,A81000C,00100,0100,A 59635,A81000C,00100,0200,STEPHEN LAZOVIT 59635,A81000C,00100,0400,SENIORS MANAGEM 59635,A81000C,00100,0600,HOME OFFICE 59635,A81000C,00200,0100,B 59635,A81000C,00200,0200,SENIORS MGMNT 59635,A81000C,00200,0400,EASTERN MEDICAL 59635,A81000C,00200,0600,MEDICAL SUPPLIE 59635,B100000,00000,0100,00000SQUARE FEET 59635,B100000,00000,0200,00000SQUARE FEET 59635,B100000,00000,0300,00000GROSS SALARIES 59635,B100000,00000,0400,00000ACCUM COST 59635,B100000,00000,0500,00000SQUARE FEET 59635,B100000,00000,0600,00000PATIENT DAYS 59635,B100000,00000,0700,00000SQUARE FEET 59635,B100000,00000,0800,00000PATIENT DAYS 59635,B100000,00000,0900,00000NURSING SALARIES 59635,B100000,00000,1000,00000COSTED REQUIS 59635,B100000,00000,1100,00000PATIENT DAYS 59635,B100000,00000,1200,00000TIME SPENT 59635,B100000,00000,1300,00000PATIENT DAYS 59635,B100000,00000,1350,00000PATIENT DAYS 59635,B100000,00000,1400,00000ASSIGNED TIME 59635,S000000,00100,0200,05/30/2000 59635,S200000,00100,0100,2425 25TH STREET 59635,S200000,00200,0100,WASHINGTON 59635,S200000,00200,0200,DC 59635,S200000,00200,0300,20020 59635,S200000,00300,0100,DISTRICT OF COLUMBIA 59635,S200000,00400,0100,WASHINGTON NURSING FACILITY 59635,S200000,00400,0200,095022 59635,S200000,00400,0300,06/22/1989 59635,S200000,00400,0500,P 59635,S200000,00400,0600,O 59635,S200000,00600,0200,095022 59635,S200000,00600,0300,06/22/1989 59635,S200000,00600,0600,P 59635,S200000,01600,0100,Y 59635,S200000,02200,0100,Y 59642,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59642,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59642,A000000,00300,0000,00300EMPLOYEE BENEFITS 59642,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59642,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59642,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59642,A000000,00700,0000,00700HOUSEKEEPING 59642,A000000,00800,0000,00800DIETARY 59642,A000000,00900,0000,00900NURSING ADMINISTRATION 59642,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59642,A000000,01100,0000,01100PHARMACY 59642,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59642,A000000,01300,0000,01300SOCIAL SERVICE 59642,A000000,01350,0000,01500ACTIVITIES 59642,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59642,A000000,01600,0000,01600SKILLED NURSING FACILITY 59642,A000000,01800,0000,01800NURSING FACILITY 59642,A000000,01810,0000,01810ICF/MR 59642,A000000,02100,0000,02100RADIOLOGY 59642,A000000,02200,0000,02200LABORATORY 59642,A000000,02300,0000,02300INTRAVENOUS THERAPY 59642,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59642,A000000,02500,0000,02500PHYSICAL THERAPY 59642,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59642,A000000,02700,0000,02700SPEECH PATHOLOGY 59642,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59642,A000000,02901,0000,02901PEN THERAPY 59642,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59642,A000000,03050,0000,03300OTHER ANCILLARY 59642,A000000,03051,0000,03301AMBULANCE 59642,A000000,03550,0000,03550FQHC 59642,A000000,05000,0000,05000CORF 59642,A000000,05010,0000,05010CMHC 59642,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59642,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59642,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59642,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59642,A81000A,00100,0100,Y 59642,A81000B,00100,0300,HOME OFFICE COSTS 59642,A81000B,00200,0300,DESIGN SUPPLIES 59642,A81000B,00300,0300,REL PARTY INTEREST 59642,A81000B,00400,0300,REHAB ALLOCATION 59642,A81000B,00500,0300,REHAB ALLOCATION 59642,A81000B,00600,0300,REHAB ALLOCATION 59642,A81000B,00700,0300,COMPUTER INSTALLATIO 59642,A81000B,00800,0300,INTEREST 59642,A81000B,00900,0300,SUPPLIES 59642,A81000B,01000,0300,DEPRECIATION 59642,A81000C,00100,0100,A 59642,A81000C,00100,0200,FORREST PRESTON 59642,A81000C,00100,0400,LCCA 59642,A81000C,00100,0600,NSG HOME MANAG 59642,A81000C,00200,0100,A 59642,A81000C,00200,0200,FORREST PRESTON 59642,A81000C,00200,0400,LIFE CARE DESIG 59642,A81000C,00200,0600,INTERIOR DESIGN 59642,A81000C,00300,0100,A 59642,A81000C,00300,0200,FORREST PRESTON 59642,A81000C,00300,0400,LCCA 59642,A81000C,00300,0600,NSG HOME MANAG 59642,A81000C,00400,0100,A 59642,A81000C,00400,0200,FORREST PRESTON 59642,A81000C,00400,0400,LCCA 59642,A81000C,00400,0600,NSG HOME MANAG 59642,A81000C,00500,0100,A 59642,A81000C,00500,0200,FORREST PRESTON 59642,A81000C,00500,0400,LCCA 59642,A81000C,00500,0600,NSG HOME MANAG 59642,A81000C,00600,0100,A 59642,A81000C,00600,0200,FORREST PRESTON 59642,A81000C,00600,0400,LCCA 59642,A81000C,00600,0600,NSG HOME MANAG 59642,A81000C,00700,0100,A 59642,A81000C,00700,0200,FORREST PRESTON 59642,A81000C,00700,0400,LCCA 59642,A81000C,00700,0600,NSG HOME MANAG 59642,A81000C,00800,0100,A 59642,A81000C,00800,0200,FORREST PRESTON 59642,A81000C,00800,0400,HCE LEASING 59642,A81000C,00800,0600,EQUIPMENT LEASI 59642,A81000C,00900,0100,A 59642,A81000C,00900,0200,LIFE CARE PHARM 59642,A81000C,00900,0400,MEDILIFE 59642,A81000C,00900,0600,PHARMACY 59642,A81000C,01000,0100,A 59642,A81000C,01000,0200,FORREST PRESTON 59642,A81000C,01000,0400,HCE LEASING 59642,A81000C,01000,0600,EQUIPMENT LEASI 59642,B100000,00000,0100,00000(SQUARE FEET) 59642,B100000,00000,0200,00000(SQUARE FEET) 59642,B100000,00000,0300,00000(GROSS SALARIES) 59642,B100000,00000,0400,00000(ACCUM COST) 59642,B100000,00000,0500,00000(SQUARE FEET) 59642,B100000,00000,0600,00000PATIENT DAYS 59642,B100000,00000,0700,00000(SQUARE FEET) 59642,B100000,00000,0800,00000(MEALS SERVED) 59642,B100000,00000,0900,00000HOURS OF SERVICE 59642,B100000,00000,1000,00000(COSTED REQUIS) 59642,B100000,00000,1100,00000(COSTED REQUIS) 59642,B100000,00000,1200,00000GROSS REVENUES 59642,B100000,00000,1300,00000PATIENT DAYS 59642,B100000,00000,1350,00000PATIENT DAYS 59642,B100000,00000,1400,00000(ASSIGNED TIME) 59642,S000000,00100,0200,05/16/2000 59642,S200000,00100,0100,2501 AUSTRALIAN AVENUE 59642,S200000,00200,0100,WEST PALM BEACH 59642,S200000,00200,0200,FL 59642,S200000,00200,0300,33407 59642,S200000,00300,0100,PALM BEACH 59642,S200000,00400,0100,LAKESIDE HEALTH CENTER 59642,S200000,00400,0200,105268 59642,S200000,00400,0300,07/01/1987 59642,S200000,00400,0500,P 59642,S200000,00600,0200,105268 59642,S200000,00600,0300,07/01/1987 59642,S200000,00600,0600,P 59642,S200000,01600,0100,Y 59642,S200000,02200,0100,Y 59651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59651,A000000,00300,0000,00300EMPLOYEE BENEFITS 59651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59651,A000000,00700,0000,00700HOUSEKEEPING 59651,A000000,00800,0000,00800DIETARY 59651,A000000,00900,0000,00900NURSING ADMINISTRATION 59651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59651,A000000,01100,0000,01100PHARMACY 59651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59651,A000000,01300,0000,01300SOCIAL SERVICE 59651,A000000,01350,0000,01500ACTIVITIES 59651,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59651,A000000,01600,0000,01600SKILLED NURSING FACILITY 59651,A000000,01800,0000,01800NURSING FACILITY 59651,A000000,01810,0000,01810ICF/MR 59651,A000000,02100,0000,02100RADIOLOGY 59651,A000000,02200,0000,02200LABORATORY 59651,A000000,02300,0000,02300INTRAVENOUS THERAPY 59651,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59651,A000000,02500,0000,02500PHYSICAL THERAPY 59651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59651,A000000,02700,0000,02700SPEECH PATHOLOGY 59651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59651,A000000,02901,0000,02901PEN THERAPY 59651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59651,A000000,03050,0000,03300OTHER ANCILLARIES 59651,A000000,03051,0000,03301AMBULANCE 59651,A000000,03550,0000,03550FQHC 59651,A000000,05000,0000,05000CORF 59651,A000000,05010,0000,05010CMHC 59651,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59651,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59651,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59651,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59651,A000000,05901,0000,05901REGIONAL REHAB DIRECTOR OFFICE 59651,A81000A,00100,0100,Y 59651,A81000B,00100,0300,HOME OFFICE COSTS 59651,A81000B,00200,0300,DESIGN SUPPLIES 59651,A81000B,00300,0300,REL PARTY INTEREST 59651,A81000B,00400,0300,REHAB ALLOCATION 59651,A81000B,00500,0300,REHAB ALLOCATION 59651,A81000B,00600,0300,REHAB ALLOCATION 59651,A81000B,00700,0300,COMPUTER INSTALLATIO 59651,A81000B,00800,0300,SUPPLIES 59651,A81000C,00100,0100,A 59651,A81000C,00100,0200,FORREST PRESTON 59651,A81000C,00100,0400,LCCA 59651,A81000C,00100,0600,NSG HOME MANAG 59651,A81000C,00200,0100,A 59651,A81000C,00200,0200,FORREST PRESTON 59651,A81000C,00200,0400,LIFE CARE DESIG 59651,A81000C,00200,0600,INTERIOR DESIGN 59651,A81000C,00300,0100,A 59651,A81000C,00300,0200,FORREST PRESTON 59651,A81000C,00300,0400,LCCA 59651,A81000C,00300,0600,NSG HOME MANAG 59651,A81000C,00400,0100,A 59651,A81000C,00400,0200,FORREST PRESTON 59651,A81000C,00400,0400,LCCA 59651,A81000C,00400,0600,NSG HOME MANAG 59651,A81000C,00500,0100,A 59651,A81000C,00500,0200,FORREST PRESTON 59651,A81000C,00500,0400,LCCA 59651,A81000C,00500,0600,NSG HOME MANAG 59651,A81000C,00600,0100,A 59651,A81000C,00600,0200,FORREST PRESTON 59651,A81000C,00600,0400,LCCA 59651,A81000C,00600,0600,NSG HOME MANAG 59651,A81000C,00700,0100,A 59651,A81000C,00700,0200,FORREST PRESTON 59651,A81000C,00700,0400,LCCA 59651,A81000C,00700,0600,NSG HOME MANAG 59651,A81000C,00800,0100,G 59651,A81000C,00800,0200,LIFE CARE PHARM 59651,A81000C,00800,0400,MEDILIFE 59651,A81000C,00800,0600,PHARMACY 59651,B100000,00000,0100,00001(SQUARE FEET) 59651,B100000,00000,0200,00001(SQUARE FEET) 59651,B100000,00000,0300,00001(GROSS SALARIES) 59651,B100000,00000,0400,00001(ACCUM COST) 59651,B100000,00000,0500,00001(SQUARE FEET) 59651,B100000,00000,0600,00001PATIENT DAYS 59651,B100000,00000,0700,00001(SQUARE FEET) 59651,B100000,00000,0800,00001(MEALS SERVED) 59651,B100000,00000,0900,00001HOURS OF SERVICE 59651,B100000,00000,1000,00001(COSTED REQUIS) 59651,B100000,00000,1100,00001(COSTED REQUIS) 59651,B100000,00000,1200,00001GROSS REVENUES 59651,B100000,00000,1300,00001PATIENT DAYS 59651,B100000,00000,1350,00001PATIENT DAYS 59651,B100000,00000,1400,00001(ASSIGNED TIME) 59651,E10A180,00301,0100,08/17/1999 59651,E10A180,00302,0100,02/08/2000 59651,S000000,00100,0200,05/26/2000 59651,S200000,00100,0100,450 SHREVE STREET 59651,S200000,00200,0100,PUNTA GORDA 59651,S200000,00200,0200,FL 59651,S200000,00200,0300,33950 59651,S200000,00300,0100,CHARLOTTE 59651,S200000,00400,0100,LCC OF PUNTA GORDA 59651,S200000,00400,0200,105289 59651,S200000,00400,0300,01/01/1988 59651,S200000,00400,0500,P 59651,S200000,00600,0200,105289 59651,S200000,00600,0300,01/01/1988 59651,S200000,00600,0600,P 59651,S200000,01600,0100,Y 59651,S200000,02200,0100,Y 59667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59667,A000000,00300,0000,00300EMPLOYEE BENEFITS 59667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59667,A000000,00700,0000,00700HOUSEKEEPING 59667,A000000,00800,0000,00800DIETARY 59667,A000000,00900,0000,00900NURSING ADMINISTRATION 59667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59667,A000000,01100,0000,01100PHARMACY 59667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59667,A000000,01300,0000,01300SOCIAL SERVICE 59667,A000000,01350,0000,01500PATIENT ACTIVITIES 59667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59667,A000000,01600,0000,01600SKILLED NURSING FACILITY 59667,A000000,01800,0000,01800NURSING FACILITY 59667,A000000,01810,0000,01810ICF/MR 59667,A000000,02100,0000,02100RADIOLOGY 59667,A000000,02300,0000,02300INTRAVENOUS THERAPY 59667,A000000,02500,0000,02500PHYSICAL THERAPY 59667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59667,A000000,02700,0000,02700SPEECH PATHOLOGY 59667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59667,A000000,03050,0000,03300RESPIRATORY THERAPY 59667,A000000,03200,0000,03200SUPPORT SURFACES 59667,A000000,03400,0000,03400CLINIC 59667,A000000,03550,0000,03550FQHC 59667,A000000,05000,0000,05000CORF 59667,A000000,05010,0000,05010CMHC 59667,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59667,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59667,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59667,A81000A,00100,0100,Y 59667,A81000B,00100,0300,MGMNT FEES HOME OFFI 59667,A81000B,00200,0300,CAP REL HOME OFFICE 59667,A81000B,00300,0300,FACILITY RENTAL 59667,A81000C,00100,0100,A 59667,A81000C,00100,0200,STEPHEN LAZOVIT 59667,A81000C,00100,0400,SENIORS MGMNT 59667,A81000C,00100,0600,HOME OFFICE 59667,B100000,00000,0100,00000SQUARE FEET 59667,B100000,00000,0200,00000SQUARE FEET 59667,B100000,00000,0300,00000GROSS SALARIES 59667,B100000,00000,0400,00000ACCUM COST 59667,B100000,00000,0500,00000SQUARE FEET 59667,B100000,00000,0600,00000PATIENT DAYS 59667,B100000,00000,0700,00000SQUARE FEET 59667,B100000,00000,0800,00000PATIENT DAYS 59667,B100000,00000,0900,00000NRSG SALARIES 59667,B100000,00000,1000,00000COSTED REQUIS 59667,B100000,00000,1100,00000PATIENT DAYS 59667,B100000,00000,1200,00000TIME SPENT 59667,B100000,00000,1300,00000PATIENT DAYS 59667,B100000,00000,1350,00000PATIENT DAYS 59667,B100000,00000,1400,00000ASSIGNED TIME 59667,E10A180,00501,0100,07/11/2000 59667,S000000,00100,0200,05/25/2000 59667,S200000,00100,0100,220 SIERRA DRIVE 59667,S200000,00200,0100,NORTH MIAMI 59667,S200000,00200,0200,FL 59667,S200000,00200,0300,33179 59667,S200000,00300,0100,DADE 59667,S200000,00400,0100,FLORIDA CLUB CARE CENTER 59667,S200000,00400,0200,105469 59667,S200000,00400,0300,09/06/1984 59667,S200000,00400,0500,P 59667,S200000,00400,0600,O 59667,S200000,00600,0200,105469 59667,S200000,00600,0300,09/06/1984 59667,S200000,00600,0600,P 59667,S200000,01600,0100,Y 59667,S200000,02200,0100,Y 59672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59672,A000000,00300,0000,00300EMPLOYEE BENEFITS 59672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59672,A000000,00700,0000,00700HOUSEKEEPING 59672,A000000,00800,0000,00800DIETARY 59672,A000000,00900,0000,00900NURSING ADMINISTRATION 59672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59672,A000000,01100,0000,01100PHARMACY 59672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59672,A000000,01300,0000,01300SOCIAL SERVICE 59672,A000000,01350,0000,01500PATIENT ACTIVITIES 59672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59672,A000000,01600,0000,01600SKILLED NURSING FACILITY 59672,A000000,01800,0000,01800NURSING FACILITY 59672,A000000,01810,0000,01810ICF/MR 59672,A000000,02100,0000,02100RADIOLOGY 59672,A000000,02300,0000,02300INTRAVENOUS THERAPY 59672,A000000,02500,0000,02500PHYSICAL THERAPY 59672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59672,A000000,02700,0000,02700SPEECH PATHOLOGY 59672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59672,A000000,03050,0000,03300RESPIRATORY THERAPY 59672,A000000,03200,0000,03200SUPPORT SURFACES 59672,A000000,03550,0000,03550FQHC 59672,A000000,05000,0000,05000CORF 59672,A000000,05010,0000,05010CMHC 59672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59672,A81000A,00100,0100,Y 59672,A81000B,00100,0300,MGMNT FEES HOME OFFI 59672,A81000B,00200,0300,CAP REL HOME OFFICE 59672,A81000B,00300,0300,FACILITY RENTAL 59672,A81000C,00100,0100,A 59672,A81000C,00100,0200,STEPHEN LAZOVIT 59672,A81000C,00100,0400,SENIORS MGMNT 59672,A81000C,00100,0600,HOME OFFICE 59672,B100000,00000,0100,00000SQUARE FEET 59672,B100000,00000,0200,00000SQUARE FEET 59672,B100000,00000,0300,00000GROSS SALARIES 59672,B100000,00000,0400,00000ACCUM COST 59672,B100000,00000,0500,00000SQUARE FEET 59672,B100000,00000,0600,00000POUNDS OF LAUNDRY 59672,B100000,00000,0700,00000HOURS OF SERVICE 59672,B100000,00000,0800,00000MEALS SERVED 59672,B100000,00000,0900,00000DIRECT NRSG HRS 59672,B100000,00000,1000,00000COSTED REQUIS 59672,B100000,00000,1100,00000COSTED REQUIS 59672,B100000,00000,1200,00000TIME SPENT 59672,B100000,00000,1300,00000TIME SPENT 59672,B100000,00000,1350,00000PATIENT DAYS 59672,B100000,00000,1400,00000ASSIGNED TIME 59672,S000000,00100,0200,05/25/2000 59672,S200000,00100,0100,17475 S. DIXIE HIGHWAY 59672,S200000,00200,0100,MIAMI 59672,S200000,00200,0200,FL 59672,S200000,00200,0300,33157 59672,S200000,00300,0100,DADE 59672,S200000,00400,0100,GRAMERCY PARK NURSING CENTER 59672,S200000,00400,0200,105500 59672,S200000,00400,0300,05/15/1985 59672,S200000,00400,0500,P 59672,S200000,00400,0600,O 59672,S200000,00600,0200,105500 59672,S200000,00600,0300,05/15/1985 59672,S200000,00600,0600,P 59672,S200000,01600,0100,Y 59672,S200000,02200,0100,Y 59678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59678,A000000,00300,0000,00300EMPLOYEE BENEFITS 59678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59678,A000000,00700,0000,00700HOUSEKEEPING 59678,A000000,00800,0000,00800DIETARY 59678,A000000,00900,0000,00900NURSING ADMINISTRATION 59678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59678,A000000,01100,0000,01100PHARMACY 59678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59678,A000000,01300,0000,01300SOCIAL SERVICE 59678,A000000,01350,0000,01500ACTIVITIES 59678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59678,A000000,01600,0000,01600SKILLED NURSING FACILITY 59678,A000000,01800,0000,01800NURSING FACILITY 59678,A000000,01810,0000,01810ICF/MR 59678,A000000,02100,0000,02100RADIOLOGY 59678,A000000,02200,0000,02200LABORATORY 59678,A000000,02300,0000,02300INTRAVENOUS THERAPY 59678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59678,A000000,02500,0000,02500PHYSICAL THERAPY 59678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59678,A000000,02700,0000,02700SPEECH PATHOLOGY 59678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59678,A000000,02901,0000,02901PEN THERAPY 59678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59678,A000000,03050,0000,03300OTHER ANCILLARIES 59678,A000000,03051,0000,03301AMBULANCE 59678,A000000,03550,0000,03550FQHC 59678,A000000,05000,0000,05000CORF 59678,A000000,05010,0000,05010CMHC 59678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59678,A81000A,00100,0100,Y 59678,A81000B,00100,0300,HOME OFFICE COSTS 59678,A81000B,00200,0300,DESIGN SUPPLIES 59678,A81000B,00300,0300,REL PARTY INTEREST 59678,A81000B,00400,0300,REHAB ALLOCATION 59678,A81000B,00500,0300,REHAB ALLOCATION 59678,A81000B,00600,0300,REHAB ALLOCATION 59678,A81000B,00700,0300,INTEREST 59678,A81000B,00800,0300,DEPRECIATION 59678,A81000B,00900,0300,COMPUTER INSTALLATIO 59678,A81000C,00100,0100,A 59678,A81000C,00100,0200,FORREST PRESTON 59678,A81000C,00100,0400,LCCA 59678,A81000C,00100,0600,NSG HOME MANAG 59678,A81000C,00200,0100,A 59678,A81000C,00200,0200,FORREST PRESTON 59678,A81000C,00200,0400,LIFE CARE DESIG 59678,A81000C,00200,0600,INTERIOR DESIGN 59678,A81000C,00300,0100,A 59678,A81000C,00300,0200,FORREST PRESTON 59678,A81000C,00300,0400,LCCA 59678,A81000C,00300,0600,NSG HOME MANAG 59678,A81000C,00400,0100,A 59678,A81000C,00400,0200,FORREST PRESTON 59678,A81000C,00400,0400,LCCA 59678,A81000C,00400,0600,NSG HOME MANAG 59678,A81000C,00500,0100,A 59678,A81000C,00500,0200,FORREST PRESTON 59678,A81000C,00500,0400,LCCA 59678,A81000C,00500,0600,NSG HOME MANAG 59678,A81000C,00600,0100,A 59678,A81000C,00600,0200,FORREST PRESTON 59678,A81000C,00600,0400,LCCA 59678,A81000C,00600,0600,NSG HOME MAMAG 59678,A81000C,00700,0100,A 59678,A81000C,00700,0200,FORREST PRESTON 59678,A81000C,00700,0400,HCE LEASING 59678,A81000C,00700,0600,EQUIPMENT LEASI 59678,A81000C,00800,0100,A 59678,A81000C,00800,0200,FORREST PRESTON 59678,A81000C,00800,0400,HCE LEASING 59678,A81000C,00800,0600,EQUIPMENT LEASI 59678,A81000C,00900,0100,A 59678,A81000C,00900,0200,FORREST PRESTON 59678,A81000C,00900,0400,LCCA 59678,A81000C,00900,0600,NSG HOME MANAG 59678,B100000,00000,0100,00000(SQUARE FEET) 59678,B100000,00000,0200,00000(SQUARE FEET) 59678,B100000,00000,0300,00000(GROSS SALARIES) 59678,B100000,00000,0400,00000(ACCUM COST) 59678,B100000,00000,0500,00000(SQUARE FEET) 59678,B100000,00000,0600,00000PATIENT DAYS 59678,B100000,00000,0700,00000(SQUARE FEET) 59678,B100000,00000,0800,00000(MEALS SERVED) 59678,B100000,00000,0900,00000HOURS OF SERVICE 59678,B100000,00000,1000,00000(COSTED REQUIS) 59678,B100000,00000,1100,00000(COSTED REQUIS) 59678,B100000,00000,1200,00000GROSS REVENUES 59678,B100000,00000,1300,00000PATIENT DAYS 59678,B100000,00000,1350,00000PATIENT DAYS 59678,B100000,00000,1400,00000(ASSIGNED TIME) 59678,E10A180,00301,0100,02/08/2000 59678,S000000,00100,0200,05/26/2000 59678,S200000,00100,0100,2170 PALM BEACH LAKES BLVD 59678,S200000,00200,0100,WEST PALM BEACH 59678,S200000,00200,0200,FL 59678,S200000,00200,0300,33409 59678,S200000,00300,0100,PALM BEACH 59678,S200000,00400,0100,DARCY HALL OF LIFE CARE 59678,S200000,00400,0200,105516 59678,S200000,00400,0300,04/27/1987 59678,S200000,00400,0500,P 59678,S200000,00600,0200,105516 59678,S200000,00600,0300,04/27/1987 59678,S200000,00600,0600,P 59678,S200000,01600,0100,Y 59678,S200000,02200,0100,Y 59685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59685,A000000,00300,0000,00300EMPLOYEE BENEFITS 59685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59685,A000000,00700,0000,00700HOUSEKEEPING 59685,A000000,00800,0000,00800DIETARY 59685,A000000,00900,0000,00900NURSING ADMINISTRATION 59685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59685,A000000,01100,0000,01100PHARMACY 59685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59685,A000000,01300,0000,01300SOCIAL SERVICE 59685,A000000,01350,0000,01500PATIENT ACTIVITIES 59685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59685,A000000,01600,0000,01600SKILLED NURSING FACILITY 59685,A000000,01800,0000,01800NURSING FACILITY 59685,A000000,01810,0000,01810ICF/MR 59685,A000000,02100,0000,02100RADIOLOGY 59685,A000000,02300,0000,02300INTRAVENOUS THERAPY 59685,A000000,02500,0000,02500PHYSICAL THERAPY 59685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59685,A000000,02700,0000,02700SPEECH PATHOLOGY 59685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59685,A000000,03200,0000,03200SUPPORT SURFACES 59685,A000000,03550,0000,03550FQHC 59685,A000000,05000,0000,05000CORF 59685,A000000,05010,0000,05010CMHC 59685,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59685,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59685,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59685,A81000A,00100,0100,Y 59685,A81000B,00100,0300,MGMNT FEES HOME OFC 59685,A81000B,00200,0300,CAP REL HOME OFFICE 59685,A81000B,00300,0300,FACILITY RENTAL 59685,A81000B,00400,0300,MEDICAL SUPPLIES 59685,A81000C,00100,0100,A 59685,A81000C,00100,0200,STEPHEN LAZOVIT 59685,A81000C,00100,0400,SENIORS MANAGEM 59685,A81000C,00100,0600,HOME OFFICE 59685,A81000C,00200,0100,B 59685,A81000C,00200,0200,SENIORS MANAGEM 59685,A81000C,00200,0400,EASTERN MEDICAL 59685,A81000C,00200,0600,MEDICAL SUPPLIE 59685,B100000,00000,0100,00040SQUARE FEET 59685,B100000,00000,0200,00040SQUARE FEET 59685,B100000,00000,0300,00040GROSS SALARIES 59685,B100000,00000,0400,00040ACCUM COST 59685,B100000,00000,0500,00040SQUARE FEET 59685,B100000,00000,0600,00040POUNDS OF LAUNDRY 59685,B100000,00000,0700,00040HOURS OF SERVICE 59685,B100000,00000,0800,00040MEALS SERVED 59685,B100000,00000,0900,00040DIRECT NRSG HRS 59685,B100000,00000,1000,00040COSTED REQUIS 59685,B100000,00000,1100,00040COSTED REQUIS 59685,B100000,00000,1200,00040TIME SPENT 59685,B100000,00000,1300,00040TIME SPENT 59685,B100000,00000,1350,00040PATIENT DAYS 59685,B100000,00000,1400,00040ASSIGNED TIME 59685,E10A180,00501,0100,06/27/2000 59685,S000000,00100,0200,05/25/2000 59685,S200000,00100,0100,3930 E. SILVER SPRING BLVD 59685,S200000,00200,0100,OCALA 59685,S200000,00200,0200,FL 59685,S200000,00200,0300,32670 59685,S200000,00300,0100,MARION 59685,S200000,00400,0100,MARION HOUSE HEALTH CARE CENTER 59685,S200000,00400,0200,105724 59685,S200000,00400,0300,04/18/1991 59685,S200000,00400,0500,P 59685,S200000,00400,0600,O 59685,S200000,00600,0200,105724 59685,S200000,00600,0300,04/18/1991 59685,S200000,00600,0600,P 59685,S200000,01600,0100,Y 59685,S200000,02200,0100,Y 59687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59687,A000000,00300,0000,00300EMPLOYEE BENEFITS 59687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59687,A000000,00700,0000,00700HOUSEKEEPING 59687,A000000,00800,0000,00800DIETARY 59687,A000000,00900,0000,00900NURSING ADMINISTRATION 59687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59687,A000000,01100,0000,01100PHARMACY 59687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59687,A000000,01300,0000,01300SOCIAL SERVICE 59687,A000000,01350,0000,01500ACTIVITIES 59687,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59687,A000000,01600,0000,01600SKILLED NURSING FACILITY 59687,A000000,01800,0000,01800NURSING FACILITY 59687,A000000,01810,0000,01810ICF/MR 59687,A000000,02100,0000,02100RADIOLOGY 59687,A000000,02200,0000,02200LABORATORY 59687,A000000,02300,0000,02300INTRAVENOUS THERAPY 59687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59687,A000000,02500,0000,02500PHYSICAL THERAPY 59687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59687,A000000,02700,0000,02700SPEECH PATHOLOGY 59687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59687,A000000,02901,0000,02901PEN THERAPY 59687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59687,A000000,03050,0000,03300OTHER ANCILLARIES 59687,A000000,03051,0000,03301AMBULANCE 59687,A000000,03550,0000,03550FQHC 59687,A000000,05000,0000,05000CORF 59687,A000000,05010,0000,05010CMHC 59687,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59687,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59687,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59687,A81000A,00100,0100,Y 59687,A81000B,00100,0300,HOME OFFICE COSTS 59687,A81000B,00200,0300,COMPUTER INSTALLATIO 59687,A81000B,00300,0300,REL PARTY INTEREST 59687,A81000B,00400,0300,REHAB ALLOCATION 59687,A81000B,00500,0300,REHAB ALLOCATION 59687,A81000B,00600,0300,REHAB ALLOCATION 59687,A81000C,00100,0100,A 59687,A81000C,00100,0200,FORREST PRESTON 59687,A81000C,00100,0400,LCCA 59687,A81000C,00100,0600,NSG HOME MANAG 59687,A81000C,00200,0100,A 59687,A81000C,00200,0200,FORREST PRESTON 59687,A81000C,00200,0400,LCCA 59687,A81000C,00200,0600,HSG HOME MANAG 59687,A81000C,00300,0100,A 59687,A81000C,00300,0200,FORREST PRESTON 59687,A81000C,00300,0400,LCCA 59687,A81000C,00300,0600,NSG HOME MANAG 59687,A81000C,00400,0100,A 59687,A81000C,00400,0200,FORREST PRESTON 59687,A81000C,00400,0400,LCCA 59687,A81000C,00400,0600,NSG HOME MANAG 59687,A81000C,00500,0100,A 59687,A81000C,00500,0200,FORREST PRESTON 59687,A81000C,00500,0400,LCCA 59687,A81000C,00500,0600,NSG HOME MANAG 59687,A81000C,00600,0100,A 59687,A81000C,00600,0200,FORREST PRESTON 59687,A81000C,00600,0400,LCCA 59687,A81000C,00600,0600,NSG HOME MANAG 59687,B100000,00000,0100,00000(SQUARE FEET) 59687,B100000,00000,0200,00000(SQUARE FEET) 59687,B100000,00000,0300,00000(GROSS SALARIES) 59687,B100000,00000,0400,00000(ACCUM COST) 59687,B100000,00000,0500,00000(SQUARE FEET) 59687,B100000,00000,0600,00000PATIENT DAYS 59687,B100000,00000,0700,00000(SQUARE FEET) 59687,B100000,00000,0800,00000(MEALS SERVED) 59687,B100000,00000,0900,00000HOURS OF SERVICE 59687,B100000,00000,1000,00000(COSTED REQUIS) 59687,B100000,00000,1100,00000(COSTED REQUIS) 59687,B100000,00000,1200,00000GROSS REVENUES 59687,B100000,00000,1300,00000PATIENT DAYS 59687,B100000,00000,1350,00000PATIENT DAYS 59687,B100000,00000,1400,00000(ASSIGNED TIME) 59687,S000000,00100,0200,05/30/2000 59687,S200000,00100,0100,7911 WEST THIRD STREET 59687,S200000,00200,0100,HILLIARD 59687,S200000,00200,0200,FL 59687,S200000,00200,0300,32046 59687,S200000,00300,0100,NASSAU 59687,S200000,00400,0100,LIFE CARE CENTER OF HILLIARD 59687,S200000,00400,0200,105756 59687,S200000,00400,0300,02/01/1992 59687,S200000,00400,0500,P 59687,S200000,00600,0200,105756 59687,S200000,00600,0300,02/01/1992 59687,S200000,00600,0600,P 59687,S200000,01600,0100,Y 59687,S200000,02200,0100,Y 59695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59695,A000000,00300,0000,00300EMPLOYEE BENEFITS 59695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59695,A000000,00700,0000,00700HOUSEKEEPING 59695,A000000,00800,0000,00800DIETARY 59695,A000000,00900,0000,00900NURSING ADMINISTRATION 59695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59695,A000000,01100,0000,01100PHARMACY 59695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59695,A000000,01300,0000,01300SOCIAL SERVICE 59695,A000000,01350,0000,01500ACTIVITIES 59695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59695,A000000,01600,0000,01600SKILLED NURSING FACILITY 59695,A000000,01800,0000,01800NURSING FACILITY 59695,A000000,01810,0000,01810ICF/MR 59695,A000000,02100,0000,02100RADIOLOGY 59695,A000000,02200,0000,02200LABORATORY 59695,A000000,02300,0000,02300INTRAVENOUS THERAPY 59695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59695,A000000,02500,0000,02500PHYSICAL THERAPY 59695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59695,A000000,02700,0000,02700SPEECH PATHOLOGY 59695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59695,A000000,02901,0000,02901PEN THERAPY 59695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59695,A000000,03050,0000,03300OTHER ANCILLARY 59695,A000000,03051,0000,03301AMBULANCE 59695,A000000,03550,0000,03550FQHC 59695,A000000,05000,0000,05000CORF 59695,A000000,05010,0000,05010CMHC 59695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59695,A000000,06150,0000,06300MARKETING 59695,A81000A,00100,0100,Y 59695,A81000B,00100,0300,HOME OFFICE COSTS 59695,A81000B,00200,0300,COMPUTER INSTALLATIO 59695,A81000B,00300,0300,REL PARTY INTEREST 59695,A81000B,00400,0300,REHAB ALLOCATION 59695,A81000B,00500,0300,REHAB ALLOCATION 59695,A81000B,00600,0300,REHAB ALLOCATION 59695,A81000B,00700,0300,SUPPLIES 59695,A81000B,00800,0300,DEVELOPMENT COSTS 59695,A81000B,00900,0300,REL PARTY INTEREST 59695,A81000B,01000,0300,HCE DEPRECIATION 59695,A81000B,01100,0300,HCE INTEREST 59695,A81000B,01200,0300,INTERIOR DESIGN 59695,A81000C,00100,0100,A 59695,A81000C,00100,0200,FORREST PRESTON 59695,A81000C,00100,0400,LCCA 59695,A81000C,00100,0600,NSG HOME MANAG 59695,A81000C,00200,0100,A 59695,A81000C,00200,0200,FORREST PRESTON 59695,A81000C,00200,0400,LCCA 59695,A81000C,00200,0600,NSG HOME MANAG 59695,A81000C,00300,0100,A 59695,A81000C,00300,0200,FORREST PRESTON 59695,A81000C,00300,0400,LCCA 59695,A81000C,00300,0600,NSG HOME MANAG 59695,A81000C,00400,0100,A 59695,A81000C,00400,0200,FORREST PRESTON 59695,A81000C,00400,0400,LCCA 59695,A81000C,00400,0600,NSG HOME MANAG 59695,A81000C,00500,0100,A 59695,A81000C,00500,0200,FORREST PRESTON 59695,A81000C,00500,0400,LCCA 59695,A81000C,00500,0600,NSG HOME NANAG 59695,A81000C,00600,0100,A 59695,A81000C,00600,0200,FORREST PRESTON 59695,A81000C,00600,0400,LCCA 59695,A81000C,00600,0600,NSG HOME MANAG 59695,A81000C,00700,0100,G 59695,A81000C,00700,0200,LIFE CARE PHARM 59695,A81000C,00700,0400,MEDILIFE 59695,A81000C,00700,0600,PHARMACY 59695,A81000C,00800,0100,A 59695,A81000C,00800,0200,FORREST PRESTON 59695,A81000C,00800,0400,DEVELOPMENT ENT 59695,A81000C,00800,0600,DEVELOPMENT COS 59695,A81000C,00900,0100,A 59695,A81000C,00900,0200,FORREST PRESTON 59695,A81000C,00900,0400,LCCA 59695,A81000C,00900,0600,NSG HOME MANAG 59695,A81000C,01000,0100,A 59695,A81000C,01000,0200,FORREST PRESTON 59695,A81000C,01000,0400,HCE LEASING 59695,A81000C,01000,0600,EQUIPMENT LEASI 59695,A81000C,01100,0100,A 59695,A81000C,01100,0200,FORREST PRESTON 59695,A81000C,01100,0400,HCE LEASING 59695,A81000C,01100,0600,EQUIPMENT LEASI 59695,A81000C,01200,0100,A 59695,A81000C,01200,0200,FORREST PRESTON 59695,A81000C,01200,0400,LIFE CARE DESIG 59695,A81000C,01200,0600,INTERIOR DESIGN 59695,B100000,00000,0100,00000(SQUARE FEET) 59695,B100000,00000,0200,00000(SQUARE FEET) 59695,B100000,00000,0300,00000(GROSS SALARIES) 59695,B100000,00000,0400,00000(ACCUM COST) 59695,B100000,00000,0500,00000(SQUARE FEET) 59695,B100000,00000,0600,00000PATIENT DAYS 59695,B100000,00000,0700,00000(SQUARE FEET) 59695,B100000,00000,0800,00000(MEALS SERVED) 59695,B100000,00000,0900,00000HOURS OF SERVICE 59695,B100000,00000,1000,00000(COSTED REQUIS) 59695,B100000,00000,1100,00000(COSTED REQUIS) 59695,B100000,00000,1200,00000GROSS REVENUES 59695,B100000,00000,1300,00000PATIENT DAYS 59695,B100000,00000,1350,00000PATIENT DAYS 59695,B100000,00000,1400,00000(ASSIGNED TIME) 59695,S000000,00100,0200,05/31/2000 59695,S200000,00100,0100,1510 CYPRESS GARDENS BOULEVARD 59695,S200000,00200,0100,WINTER HAVEN 59695,S200000,00200,0200,FL 59695,S200000,00200,0300,33884 59695,S200000,00300,0100,POLK 59695,S200000,00400,0100,LAHCC/LCC OF WINTER HAVEN 59695,S200000,00400,0200,105792 59695,S200000,00400,0300,02/28/1995 59695,S200000,00400,0500,P 59695,S200000,01500,0100,Y 59695,S200000,02200,0100,Y 59695,S200000,02800,0100,Y 59719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59719,A000000,00300,0000,00300EMPLOYEE BENEFITS 59719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59719,A000000,00700,0000,00700HOUSEKEEPING 59719,A000000,00800,0000,00800DIETARY 59719,A000000,00900,0000,00900NURSING ADMINISTRATION 59719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59719,A000000,01100,0000,01100PHARMACY 59719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59719,A000000,01300,0000,01300SOCIAL SERVICE 59719,A000000,01350,0000,01500ACTIVITIES 59719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59719,A000000,01600,0000,01600SKILLED NURSING FACILITY 59719,A000000,01800,0000,01800NURSING FACILITY 59719,A000000,01810,0000,01810ICF/MR 59719,A000000,02100,0000,02100RADIOLOGY 59719,A000000,02200,0000,02200LABORATORY 59719,A000000,02300,0000,02300INTRAVENOUS THERAPY 59719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59719,A000000,02500,0000,02500PHYSICAL THERAPY 59719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59719,A000000,02700,0000,02700SPEECH PATHOLOGY 59719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59719,A000000,02901,0000,02901PEN THERAPY 59719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59719,A000000,03050,0000,03300OTHER ANCILLARY 59719,A000000,03051,0000,03301AMBULANCE 59719,A000000,03550,0000,03550FQHC 59719,A000000,05000,0000,05000CORF 59719,A000000,05010,0000,05010CMHC 59719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59719,A81000A,00100,0100,Y 59719,A81000B,00100,0300,HOME OFFICE COSTS 59719,A81000B,00200,0300,CONSTRUCTION 59719,A81000B,00300,0300,REL PARTY INTEREST 59719,A81000B,00400,0300,REHAB ALLOCATION 59719,A81000B,00500,0300,REHAB ALLOCATION 59719,A81000B,00600,0300,REHAB ALLOCATION 59719,A81000B,00700,0300,INTERIOR DESIGN 59719,A81000B,00800,0300,HCE INTEREST 59719,A81000B,00900,0300,HCE DEPRECIATION 59719,A81000B,01000,0300,DEVELOPMENT 59719,A81000B,01100,0300,COMPUTER INSTALLATIO 59719,A81000C,00100,0100,A 59719,A81000C,00100,0200,FORREST PRESTON 59719,A81000C,00100,0400,LCCA 59719,A81000C,00100,0600,NSG HOME MANAG 59719,A81000C,00200,0100,A 59719,A81000C,00200,0200,FORREST PRESTON 59719,A81000C,00200,0400,CONSTRUCTION EN 59719,A81000C,00200,0600,CONSTRUCTION 59719,A81000C,00300,0100,A 59719,A81000C,00300,0200,FORREST PRESTON 59719,A81000C,00300,0400,LCCA 59719,A81000C,00300,0600,NSG HOME MANAG 59719,A81000C,00400,0100,A 59719,A81000C,00400,0200,FORREST PRESTON 59719,A81000C,00400,0400,LCCA 59719,A81000C,00400,0600,NSG HOME MANAG 59719,A81000C,00500,0100,A 59719,A81000C,00500,0200,FORREST PRESTON 59719,A81000C,00500,0400,LCCA 59719,A81000C,00500,0600,NSG HOME MANAG 59719,A81000C,00600,0100,A 59719,A81000C,00600,0200,FORREST PRESTON 59719,A81000C,00600,0400,LCCA 59719,A81000C,00600,0600,NSG HOME MANAG 59719,A81000C,00700,0100,A 59719,A81000C,00700,0200,FORREST PRESTON 59719,A81000C,00700,0400,LIFE CARE DESIG 59719,A81000C,00700,0600,INTERIOR DESIGN 59719,A81000C,00800,0100,A 59719,A81000C,00800,0200,FORREST PRESTON 59719,A81000C,00800,0400,HCE LEASING 59719,A81000C,00800,0600,EQUIPMENT LEASI 59719,A81000C,00900,0100,A 59719,A81000C,00900,0200,FORREST PRESTON 59719,A81000C,00900,0400,HCE LEASING 59719,A81000C,00900,0600,EQUIPMENT LEASI 59719,A81000C,01000,0100,A 59719,A81000C,01000,0200,FORREST PRESTON 59719,A81000C,01000,0400,DEVELOPMENT ENT 59719,A81000C,01000,0600,DEVELOPMENT 59719,A81000C,01100,0100,A 59719,A81000C,01100,0200,FORREST PRESTON 59719,A81000C,01100,0400,LCCA 59719,A81000C,01100,0600,NSG HOME MANAG 59719,B100000,00000,0100,00000(SQUARE FEET) 59719,B100000,00000,0200,00000(SQUARE FEET) 59719,B100000,00000,0300,00000(GROSS SALARIES) 59719,B100000,00000,0400,00000(ACCUM COST) 59719,B100000,00000,0500,00000(SQUARE FEET) 59719,B100000,00000,0600,00000PATIENT DAYS 59719,B100000,00000,0700,00000(SQUARE FEET) 59719,B100000,00000,0800,00000(MEALS SERVED) 59719,B100000,00000,0900,00000HOURS OF SERVICE 59719,B100000,00000,1000,00000(COSTED REQUIS) 59719,B100000,00000,1100,00000(COSTED REQUIS) 59719,B100000,00000,1200,00000GROSS REVENUES 59719,B100000,00000,1300,00000PATIENT DAYS 59719,B100000,00000,1350,00000PATIENT DAYS 59719,B100000,00000,1400,00000(ASSIGNED TIME) 59719,S000000,00100,0200,12/27/2000 59719,S200000,00100,0100,2145 KINGSLEY AVENUE 59719,S200000,00200,0100,ORANGE PARK 59719,S200000,00200,0200,FL 59719,S200000,00200,0300,32073 59719,S200000,00300,0100,C 59719,S200000,00400,0100,LCC OF ORANGE PARK 59719,S200000,00400,0200,105928 59719,S200000,00400,0300,09/19/1996 59719,S200000,00400,0500,P 59719,S200000,00600,0200,105928 59719,S200000,00600,0300,09/19/1996 59719,S200000,00600,0600,P 59719,S200000,01600,0100,Y 59719,S200000,02200,0100,Y 59726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59726,A000000,00300,0000,00300EMPLOYEE BENEFITS 59726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59726,A000000,00700,0000,00700HOUSEKEEPING 59726,A000000,00800,0000,00800DIETARY 59726,A000000,00900,0000,00900NURSING ADMINISTRATION 59726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59726,A000000,01100,0000,01100PHARMACY 59726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59726,A000000,01300,0000,01300SOCIAL SERVICE 59726,A000000,01350,0000,01500ACTIVITIES 59726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59726,A000000,01600,0000,01600SKILLED NURSING FACILITY 59726,A000000,01800,0000,01800NURSING FACILITY 59726,A000000,01810,0000,01810ICF/MR 59726,A000000,02100,0000,02100RADIOLOGY 59726,A000000,02200,0000,02200LABORATORY 59726,A000000,02300,0000,02300INTRAVENOUS THERAPY 59726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59726,A000000,02500,0000,02500PHYSICAL THERAPY 59726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59726,A000000,02700,0000,02700SPEECH PATHOLOGY 59726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59726,A000000,02901,0000,02901PEN THERAPY 59726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59726,A000000,03050,0000,03300OTHER ANCILLARIES 59726,A000000,03051,0000,03301AMBULANCE 59726,A000000,03550,0000,03550FQHC 59726,A000000,05000,0000,05000CORF 59726,A000000,05010,0000,05010CMHC 59726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59726,A000000,05901,0000,05901REGIONAL OFFICES 59726,A81000A,00100,0100,Y 59726,A81000B,00100,0300,HOME OFFICE COSTS 59726,A81000B,00200,0300,REL PARTY INTEREST 59726,A81000B,00300,0300,REL PARTY INTEREST 59726,A81000B,00400,0300,REHAB ALLOCATION 59726,A81000B,00500,0300,REHAB ALLOCATION 59726,A81000B,00600,0300,REHAB ALLOCATION 59726,A81000B,00700,0300,INTERIOR DESIGN 59726,A81000B,00800,0300,DEVELOPMENT COST 59726,A81000B,00900,0300,HCE INTEREST 59726,A81000B,01000,0300,HCE DEPRECIATION 59726,A81000B,01100,0300,CONSTRUCTION COSTS 59726,A81000B,01200,0300,COMPUTER INSTALLATIO 59726,A81000C,00100,0100,A 59726,A81000C,00100,0200,FORREST PRESTON 59726,A81000C,00100,0400,LIFE CARE CENTE 59726,A81000C,00100,0600,NSG HOME MANAG 59726,A81000C,00200,0100,A 59726,A81000C,00200,0200,FORREST PRESTON 59726,A81000C,00200,0400,LIFE CARE CENTE 59726,A81000C,00200,0600,NSG HOME MANAG 59726,A81000C,00300,0100,A 59726,A81000C,00300,0200,FORREST PRESTON 59726,A81000C,00300,0400,LIFE CARE CENTE 59726,A81000C,00300,0600,NSG HOME MANAG 59726,A81000C,00400,0100,A 59726,A81000C,00400,0200,FORREST PRESTON 59726,A81000C,00400,0400,LIFE CARE CENTE 59726,A81000C,00400,0600,NSG HOME MANAG 59726,A81000C,00500,0100,A 59726,A81000C,00500,0200,FORREST PRESTON 59726,A81000C,00500,0400,LIFE CARE CENTE 59726,A81000C,00500,0600,NSG HOME MANAG 59726,A81000C,00600,0100,A 59726,A81000C,00600,0200,FORREST PRESTON 59726,A81000C,00600,0400,LIFE CARE CENTE 59726,A81000C,00600,0600,NSG HOME MANAG 59726,A81000C,00700,0100,A 59726,A81000C,00700,0200,FORREST PRESTON 59726,A81000C,00700,0400,LIFE CARE DESIG 59726,A81000C,00700,0600,INTERIOR DESIGN 59726,A81000C,00800,0100,A 59726,A81000C,00800,0200,FORREST PRESTON 59726,A81000C,00800,0400,DEVELOPMENT ENT 59726,A81000C,00800,0600,DEVELOPMENT AND 59726,A81000C,00900,0100,A 59726,A81000C,00900,0200,FORREST PRESTON 59726,A81000C,00900,0400,HCE LEASING 59726,A81000C,00900,0600,EQUIPMENT LEASI 59726,A81000C,01000,0100,A 59726,A81000C,01000,0200,FORREST PRESTON 59726,A81000C,01000,0400,HCE LEASING 59726,A81000C,01000,0600,EQUIPMENT LEASI 59726,A81000C,01100,0100,A 59726,A81000C,01100,0200,FORREST PRESTON 59726,A81000C,01100,0400,CONSTRUCTION EN 59726,A81000C,01100,0600,CONSTRUCTION 59726,A81000C,01200,0100,A 59726,A81000C,01200,0200,FORREST PRESTON 59726,A81000C,01200,0400,LIFE CARE CENTE 59726,A81000C,01200,0600,NSG HOME MANAG 59726,B100000,00000,0100,00001(SQUARE FEET) 59726,B100000,00000,0200,00001(SQUARE FEET) 59726,B100000,00000,0300,00001(GROSS SALARIES) 59726,B100000,00000,0400,00001(ACCUM COST) 59726,B100000,00000,0500,00001(SQUARE FEET) 59726,B100000,00000,0600,00001PATIENT DAYS 59726,B100000,00000,0700,00001(SQUARE FEET) 59726,B100000,00000,0800,00001(MEALS SERVED) 59726,B100000,00000,0900,00001HOURS OF SERVICE 59726,B100000,00000,1000,00001(COSTED REQUIS) 59726,B100000,00000,1100,00001(COSTED REQUIS) 59726,B100000,00000,1200,00001GROSS REVENUES 59726,B100000,00000,1300,00001PATIENT DAYS 59726,B100000,00000,1350,00001PATIENT DAYS 59726,B100000,00000,1400,00001(ASSIGNED TIME) 59726,S000000,00100,0200,10/31/2000 59726,S200000,00100,0100,355 CROSSING BOULEVARD 59726,S200000,00200,0100,ORANGE PARK 59726,S200000,00200,0200,FL 59726,S200000,00200,0300,32073 59726,S200000,00300,0100,CLAY 59726,S200000,00400,0100,LCC AT WELLS CROSSING 59726,S200000,00400,0200,105962 59726,S200000,00400,0300,07/23/1997 59726,S200000,00400,0500,P 59726,S200000,00600,0200,105962 59726,S200000,00600,0300,07/23/1997 59726,S200000,00600,0600,P 59726,S200000,01600,0100,Y 59726,S200000,02200,0100,Y 59732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59732,A000000,00300,0000,00300EMPLOYEE BENEFITS 59732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59732,A000000,00700,0000,00700HOUSEKEEPING 59732,A000000,00800,0000,00800DIETARY 59732,A000000,00900,0000,00900NURSING ADMINISTRATION 59732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59732,A000000,01100,0000,01100PHARMACY 59732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59732,A000000,01300,0000,01300SOCIAL SERVICE 59732,A000000,01350,0000,01500ACTIVITIES 59732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59732,A000000,01600,0000,01600SKILLED NURSING FACILITY 59732,A000000,01800,0000,01800NURSING FACILITY 59732,A000000,01810,0000,01810ICF/MR 59732,A000000,02100,0000,02100RADIOLOGY 59732,A000000,02200,0000,02200LABORATORY 59732,A000000,02300,0000,02300INTRAVENOUS THERAPY 59732,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59732,A000000,02500,0000,02500PHYSICAL THERAPY 59732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59732,A000000,02700,0000,02700SPEECH PATHOLOGY 59732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59732,A000000,02901,0000,02901PEN THERAPY 59732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59732,A000000,03050,0000,03300OTHER ANCILLARIES 59732,A000000,03051,0000,03301AMBULANCE 59732,A000000,03550,0000,03550FQHC 59732,A000000,05000,0000,05000CORF 59732,A000000,05010,0000,05010CMHC 59732,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59732,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59732,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59732,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59732,A81000A,00100,0100,Y 59732,A81000B,00100,0300,HOME OFFICE COSTS 59732,A81000B,00200,0300,COMPUTER INSTALLATIO 59732,A81000B,00300,0300,REL PARTY INTEREST 59732,A81000B,00400,0300,REHAB ALLOCATION 59732,A81000B,00500,0300,REHAB ALLOCATION 59732,A81000B,00600,0300,REHAB ALLOCATION 59732,A81000B,00700,0300,HCE INTEREST 59732,A81000B,00800,0300,HCE DEPRECIATION 59732,A81000B,00900,0300,INTERIOR DESIGNS 59732,A81000C,00100,0100,A 59732,A81000C,00100,0200,FORREST PRESTON 59732,A81000C,00100,0400,LIFE CARE CENTE 59732,A81000C,00100,0600,NSG HOME MANAG 59732,A81000C,00200,0100,A 59732,A81000C,00200,0200,FORREST PRESTON 59732,A81000C,00200,0400,LIFE CARE CENTE 59732,A81000C,00200,0600,NSG HOME MANAG 59732,A81000C,00300,0100,A 59732,A81000C,00300,0200,FORREST PRESTON 59732,A81000C,00300,0400,LIFE CARE CENTE 59732,A81000C,00300,0600,NSG HOME MANAG 59732,A81000C,00400,0100,A 59732,A81000C,00400,0200,FORREST PRESTON 59732,A81000C,00400,0400,LIFE CARE CENTE 59732,A81000C,00400,0600,NSG HOME MANAG 59732,A81000C,00500,0100,A 59732,A81000C,00500,0200,FORREST PRESTON 59732,A81000C,00500,0400,LIFE CARE CENTE 59732,A81000C,00500,0600,NSG HOME MANAG 59732,A81000C,00600,0100,A 59732,A81000C,00600,0200,FORREST PRESTON 59732,A81000C,00600,0400,LIFE CARE CENTE 59732,A81000C,00600,0600,NSG HOME MANAG 59732,A81000C,00700,0100,A 59732,A81000C,00700,0200,FORREST PRESTON 59732,A81000C,00700,0400,HCE LEASING 59732,A81000C,00700,0600,EQUIPMENT LEASI 59732,A81000C,00800,0100,A 59732,A81000C,00800,0200,FORREST PRESTON 59732,A81000C,00800,0400,HCE LEASING 59732,A81000C,00800,0600,EQUIPMENT LEASI 59732,A81000C,00900,0100,A 59732,A81000C,00900,0200,FORREST PRESTON 59732,A81000C,00900,0400,LIFE CARE DESIG 59732,A81000C,00900,0600,INTERIOR DESIGN 59732,B100000,00000,0100,00000(SQUARE FEET) 59732,B100000,00000,0200,00000(SQUARE FEET) 59732,B100000,00000,0300,00000(GROSS SALARIES) 59732,B100000,00000,0400,00000(ACCUM COST) 59732,B100000,00000,0500,00000(SQUARE FEET) 59732,B100000,00000,0600,00000PATIENT DAYS 59732,B100000,00000,0700,00000(SQUARE FEET) 59732,B100000,00000,0800,00000(MEALS SERVED) 59732,B100000,00000,0900,00000HOURS OF SERVICE 59732,B100000,00000,1000,00000(COSTED REQUIS) 59732,B100000,00000,1100,00000(COSTED REQUIS) 59732,B100000,00000,1200,00000GROSS REVENUES 59732,B100000,00000,1300,00000PATIENT DAYS 59732,B100000,00000,1350,00000PATIENT DAYS 59732,B100000,00000,1400,00000(ASSIGNED TIME) 59732,E10A180,00301,0100,02/08/2000 59732,E10A180,00302,0100,04/12/2000 59732,E10A180,00501,0300,11/07/2000 59732,E10A180,00550,0100,11/07/2000 59732,S000000,00100,0200,10/26/2000 59732,S200000,00100,0100,3211 ROUSE ROAD 59732,S200000,00200,0100,ORLANDO 59732,S200000,00200,0200,FL 59732,S200000,00200,0300,32817 59732,S200000,00300,0100,ORANGE 59732,S200000,00400,0100,LCC OF ORLANDO 59732,S200000,00400,0200,105974 59732,S200000,00400,0300,10/10/1997 59732,S200000,00400,0500,P 59732,S200000,00600,0200,105974 59732,S200000,00600,0300,10/10/1997 59732,S200000,00600,0600,P 59732,S200000,01500,0100,Y 59732,S200000,02200,0100,Y 59735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59735,A000000,00300,0000,00300EMPLOYEE BENEFITS 59735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59735,A000000,00700,0000,00700HOUSEKEEPING 59735,A000000,00800,0000,00800DIETARY 59735,A000000,00900,0000,00900NURSING ADMINISTRATION 59735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59735,A000000,01100,0000,01100PHARMACY 59735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59735,A000000,01300,0000,01300SOCIAL SERVICE 59735,A000000,01350,0000,01500ACTIVITIES 59735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59735,A000000,01600,0000,01600SKILLED NURSING FACILITY 59735,A000000,01800,0000,01800NURSING FACILITY 59735,A000000,01810,0000,01810ICF/MR 59735,A000000,02100,0000,02100RADIOLOGY 59735,A000000,02200,0000,02200LABORATORY 59735,A000000,02300,0000,02300INTRAVENOUS THERAPY 59735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59735,A000000,02500,0000,02500PHYSICAL THERAPY 59735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59735,A000000,02700,0000,02700SPEECH PATHOLOGY 59735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59735,A000000,02901,0000,02901PEN THERAPY 59735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59735,A000000,03050,0000,03300OTHER ANCILLARY 59735,A000000,03051,0000,03301AMBULANCE 59735,A000000,03550,0000,03550FQHC 59735,A000000,05000,0000,05000CORF 59735,A000000,05010,0000,05010CMHC 59735,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59735,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59735,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59735,A81000A,00100,0100,Y 59735,A81000B,00100,0300,HOME OFFICE COSTS 59735,A81000B,00200,0300,DESIGN SUPPLIES 59735,A81000B,00300,0300,REL PARTY INTEREST 59735,A81000B,00400,0300,REHAB ALLOCATION 59735,A81000B,00500,0300,REHAB ALLOCATION 59735,A81000B,00600,0300,REHAB ALLOCATION 59735,A81000B,00700,0300,COMPUTER INSTALLATIO 59735,A81000B,00800,0300,CONSTRUCTION COSTS 59735,A81000B,00900,0300,REL PARTY INTEREST 59735,A81000B,01000,0300,DEPRECIATION & INTER 59735,A81000C,00100,0100,A 59735,A81000C,00100,0200,FORREST PRESTON 59735,A81000C,00100,0400,LCCA 59735,A81000C,00100,0600,NSG HOME MANAG 59735,A81000C,00200,0100,A 59735,A81000C,00200,0200,FORREST PRESTON 59735,A81000C,00200,0400,LIFE CARE DESIG 59735,A81000C,00200,0600,INTERIOR DESIGN 59735,A81000C,00300,0100,A 59735,A81000C,00300,0200,FORREST PRESTON 59735,A81000C,00300,0400,LCCA 59735,A81000C,00300,0600,NSG HOME MANAG 59735,A81000C,00400,0100,A 59735,A81000C,00400,0200,FORREST PRESTON 59735,A81000C,00400,0400,LCCA 59735,A81000C,00400,0600,NSG HOME MANAG 59735,A81000C,00500,0100,A 59735,A81000C,00500,0200,FORREST PRESTON 59735,A81000C,00500,0400,LCCA 59735,A81000C,00500,0600,NSG HOME MANAG 59735,A81000C,00600,0100,A 59735,A81000C,00600,0200,FORREST PRESTON 59735,A81000C,00600,0400,LCCA 59735,A81000C,00600,0600,NSG HOME MANAG 59735,A81000C,00700,0100,A 59735,A81000C,00700,0200,FORREST PRESTON 59735,A81000C,00700,0400,LCCA 59735,A81000C,00700,0600,NSG HOME MANAG 59735,A81000C,00800,0100,A 59735,A81000C,00800,0200,FORREST PRESTON 59735,A81000C,00800,0400,CONSTRUCTION EN 59735,A81000C,00800,0600,CONSTRUCTION 59735,A81000C,00900,0100,A 59735,A81000C,00900,0200,FORREST PRESTON 59735,A81000C,00900,0400,LCCA 59735,A81000C,00900,0600,NSG HOME MANAG 59735,A81000C,01000,0100,A 59735,A81000C,01000,0200,FORREST PRESTON 59735,A81000C,01000,0400,HCE LEASING 59735,A81000C,01000,0600,EQUIPMENT LEASI 59735,B100000,00000,0100,00000(SQUARE FEET) 59735,B100000,00000,0200,00000(SQUARE FEET) 59735,B100000,00000,0300,00000(ADJ GROSS SALARIES) 59735,B100000,00000,0400,00000(ACCUM COST) 59735,B100000,00000,0500,00000(SQUARE FEET) 59735,B100000,00000,0600,00000PATIENT DAYS 59735,B100000,00000,0700,00000(SQUARE FEET) 59735,B100000,00000,0800,00000(MEALS SERVED) 59735,B100000,00000,0900,00000HOURS OF SERVICE 59735,B100000,00000,1000,00000(COSTED REQUIS) 59735,B100000,00000,1100,00000(COSTED REQUIS) 59735,B100000,00000,1200,00000GROSS REVENUES 59735,B100000,00000,1300,00000PATIENT DAYS 59735,B100000,00000,1350,00000PATIENT DAYS 59735,B100000,00000,1400,00000(ASSIGNED TIME) 59735,S000000,00100,0200,05/31/2000 59735,S200000,00100,0100,2800 SOUTHWEST 41ST STREET 59735,S200000,00200,0100,OCALA 59735,S200000,00200,0200,FL 59735,S200000,00200,0300,34474 59735,S200000,00300,0100,MARION 59735,S200000,00400,0100,LIFE CARE CENTER OF OCALA 59735,S200000,00400,0200,105999 59735,S200000,00400,0300,02/05/1999 59735,S200000,00400,0500,P 59735,S200000,00600,0200,105999 59735,S200000,00600,0300,02/05/1999 59735,S200000,00600,0600,P 59735,S200000,01500,0100,Y 59735,S200000,02200,0100,Y 59739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59739,A000000,00300,0000,00300EMPLOYEE BENEFITS 59739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59739,A000000,00700,0000,00700HOUSEKEEPING 59739,A000000,00800,0000,00800DIETARY 59739,A000000,00900,0000,00900NURSING ADMINISTRATION 59739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59739,A000000,01100,0000,01100PHARMACY 59739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59739,A000000,01300,0000,01300SOCIAL SERVICE 59739,A000000,01350,0000,01500ACTIVITIES 59739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59739,A000000,01600,0000,01600SKILLED NURSING FACILITY 59739,A000000,01800,0000,01800NURSING FACILITY 59739,A000000,01810,0000,01810ICF/MR 59739,A000000,02100,0000,02100RADIOLOGY 59739,A000000,02200,0000,02200LABORATORY 59739,A000000,02300,0000,02300INTRAVENOUS THERAPY 59739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59739,A000000,02500,0000,02500PHYSICAL THERAPY 59739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59739,A000000,02700,0000,02700SPEECH PATHOLOGY 59739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59739,A000000,02901,0000,02901PEN THERAPY 59739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59739,A000000,03050,0000,03300OTHER ANCILLARY 59739,A000000,03051,0000,03301AMBULANCE 59739,A000000,03550,0000,03550FQHC 59739,A000000,05000,0000,05000CORF 59739,A000000,05010,0000,05010CMHC 59739,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59739,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59739,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59739,A81000A,00100,0100,Y 59739,A81000B,00100,0300,HOME OFFICE COSTS 59739,A81000B,00200,0300,REL PARTY INTEREST 59739,A81000B,00300,0300,REL PARTY INTEREST 59739,A81000B,00400,0300,REHAB ALLOCATION 59739,A81000B,00500,0300,REHAB ALLOCATION 59739,A81000B,00600,0300,REHAB ALLOCATION 59739,A81000B,00700,0300,HCE INTEREST 59739,A81000B,00800,0300,HCE DEPRECIATION 59739,A81000B,00900,0300,FURNITURE & FIXTURES 59739,A81000B,01000,0300,COMPUTER INSTALLATIO 59739,A81000C,00100,0100,A 59739,A81000C,00100,0200,FORREST PRESTON 59739,A81000C,00100,0400,LCCA 59739,A81000C,00100,0600,NSG HOME MANAG 59739,A81000C,00200,0100,A 59739,A81000C,00200,0200,FORREST PRESTON 59739,A81000C,00200,0400,LCCA 59739,A81000C,00200,0600,NSG HOME MANAG 59739,A81000C,00300,0100,A 59739,A81000C,00300,0200,FORREST PRESTON 59739,A81000C,00300,0400,LCCA 59739,A81000C,00300,0600,NSG HOME MANAG 59739,A81000C,00400,0100,A 59739,A81000C,00400,0200,FORREST PRESTON 59739,A81000C,00400,0400,LCCA 59739,A81000C,00400,0600,NSG HOME MANAG 59739,A81000C,00500,0100,A 59739,A81000C,00500,0200,FORREST PRESTON 59739,A81000C,00500,0400,LCCA 59739,A81000C,00500,0600,NSG HOME MANAG 59739,A81000C,00600,0100,A 59739,A81000C,00600,0200,FORREST PRESTON 59739,A81000C,00600,0400,LCCA 59739,A81000C,00600,0600,NSG HOME MANAG 59739,A81000C,00700,0100,A 59739,A81000C,00700,0200,FORREST PRESTON 59739,A81000C,00700,0400,HCE LEASING 59739,A81000C,00700,0600,EQUIPMENT LEASI 59739,A81000C,00800,0100,A 59739,A81000C,00800,0200,FORREST PRESTON 59739,A81000C,00800,0400,HCE LEASING 59739,A81000C,00800,0600,EQUIPMENT LEASI 59739,A81000C,00900,0100,A 59739,A81000C,00900,0200,FORREST PRESTON 59739,A81000C,00900,0400,LIFE CARE DESIG 59739,A81000C,00900,0600,INTERIOR DESIGN 59739,A81000C,01000,0100,A 59739,A81000C,01000,0200,FORREST PRESTON 59739,A81000C,01000,0400,LCCA 59739,A81000C,01000,0600,NSG HOME MANAG 59739,B100000,00000,0100,00000(SQUARE FEET) 59739,B100000,00000,0200,00000(SQUARE FEET) 59739,B100000,00000,0300,00000(GROSS SALARIES) 59739,B100000,00000,0400,00000(ACCUM COST) 59739,B100000,00000,0500,00000(SQUARE FEET) 59739,B100000,00000,0600,00000PATIENT DAYS 59739,B100000,00000,0700,00000(SQUARE FEET) 59739,B100000,00000,0800,00000(MEALS SERVED) 59739,B100000,00000,0900,00000HOURS OF SERVICE 59739,B100000,00000,1000,00000(COSTED REQUIS) 59739,B100000,00000,1100,00000(COSTED REQUIS) 59739,B100000,00000,1200,00000GROSS REVENUES 59739,B100000,00000,1300,00000PATIENT DAYS 59739,B100000,00000,1350,00000 59739,B100000,00000,1400,00000(ASSIGNED TIME) 59739,S000000,00100,0200,12/29/2000 59739,S200000,00100,0100,3720 SOUTHEAST JENNINGS ROAD 59739,S200000,00200,0100,PORT ST. LUCIE 59739,S200000,00200,0200,FL 59739,S200000,00200,0300,34952 59739,S200000,00300,0100,S 59739,S200000,00400,0100,LCC OF PORT ST. LUCIE 59739,S200000,00400,0200,106012 59739,S200000,00400,0300,09/09/1999 59739,S200000,00400,0500,P 59739,S200000,00600,0200,106012 59739,S200000,00600,0300,09/09/1999 59739,S200000,00600,0600,P 59739,S200000,01600,0100,Y 59739,S200000,02200,0100,Y 59749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59749,A000000,00300,0000,00300EMPLOYEE BENEFITS 59749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59749,A000000,00700,0000,00700HOUSEKEEPING 59749,A000000,00800,0000,00800DIETARY 59749,A000000,00900,0000,00900NURSING ADMINISTRATION 59749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59749,A000000,01100,0000,01100PHARMACY 59749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59749,A000000,01300,0000,01300SOCIAL SERVICE 59749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59749,A000000,01600,0000,01600SKILLED NURSING FACILITY 59749,A000000,01800,0000,01800NURSING FACILITY 59749,A000000,01810,0000,01810ICF/MR 59749,A000000,02100,0000,02100RADIOLOGY 59749,A000000,02200,0000,02200LABORATORY 59749,A000000,02300,0000,02300INTRAVENOUS THERAPY 59749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59749,A000000,02500,0000,02500PHYSICAL THERAPY 59749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59749,A000000,02700,0000,02700SPEECH PATHOLOGY 59749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59749,A000000,03550,0000,03550FQHC 59749,A000000,05000,0000,05000CORF 59749,A000000,05010,0000,05010CMHC 59749,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59749,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59749,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59749,A000000,05300,0000,05300INTEREST EXPENSE 59749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59749,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59749,A81000A,00100,0100,Y 59749,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59749,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 59749,A81000B,00300,0300,HEALTH INSURANCE 59749,A81000B,00400,0300,RETIREMENT 59749,A81000B,00500,0300,PHS - ADMIN 59749,A81000B,00600,0300,PHS - MEDICAL RECORD 59749,A81000B,00700,0300,PHS - DIETARY 59749,A81000B,00800,0300,PHS - NURSING 59749,A81000B,00900,0300,PHS - SOCIAL SERVICE 59749,A81000B,01000,0300,PHS - PT 59749,A81000B,01100,0300,PHS - OT 59749,A81000B,01200,0300,PHS - ST 59749,A81000C,00100,0100,B 59749,A81000C,00100,0200,NATIONAL HEALTH 59749,A81000C,00100,0600,HOME OFFICE 59749,A81000C,00200,0200,CARE CORPORATIO 59749,A81000C,00300,0100,B 59749,A81000C,00300,0200,PROFESSIONAL H 59749,A81000C,00300,0600,SPECIALIZED PE 59749,A81000C,00400,0200,SERVICES CORP. 59749,B100000,00000,0100,00000(SQUARE FEET) 59749,B100000,00000,0200,00000(SQUARE FEET) 59749,B100000,00000,0300,00000(GROSS SALARIES) 59749,B100000,00000,0400,00000(ACCUM COST) 59749,B100000,00000,0500,00000(SQUARE FEET) 59749,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59749,B100000,00000,0700,00000(SQUARE FEET) 59749,B100000,00000,0800,00000(MEALS SERVED) 59749,B100000,00000,0900,00000(DIRECT NRSG HRS) 59749,B100000,00000,1000,00000(COSTED REQUIS) 59749,B100000,00000,1100,00000(COSTED REQUIS) 59749,B100000,00000,1200,00000(TIME SPENT) 59749,B100000,00000,1300,00000(TIME SPENT) 59749,B100000,00000,1400,00000ASSIGNED TIME 59749,E10A180,00301,0300,12/31/1999 59749,E10A180,00550,0100,05/31/2000 59749,E10A180,00550,0300,05/31/2000 59749,S000000,00100,0200,05/26/2000 59749,S200000,00100,0100,1425 MCFARLAND AVENUE 59749,S200000,00100,0300,756 59749,S200000,00200,0100,ROSSVILLE 59749,S200000,00200,0200,GA 59749,S200000,00200,0300,30741 59749,S200000,00300,0100,WALKER 59749,S200000,00400,0100,NHC HEALTHCARE ROSSVILLE 59749,S200000,00400,0200,115104 59749,S200000,00400,0300,06/09/1969 59749,S200000,00400,0500,P 59749,S200000,00600,0200,115104 59749,S200000,00600,0300,06/09/1969 59749,S200000,00600,0600,P 59749,S200000,01600,0100,Y 59757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59757,A000000,00300,0000,00300EMPLOYEE BENEFITS 59757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59757,A000000,00700,0000,00700HOUSEKEEPING 59757,A000000,00800,0000,00800DIETARY 59757,A000000,00900,0000,00900NURSING ADMINISTRATION 59757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59757,A000000,01100,0000,01100PHARMACY 59757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59757,A000000,01300,0000,01300SOCIAL SERVICE 59757,A000000,01350,0000,01500ACTIVITIES 59757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59757,A000000,01600,0000,01600SKILLED NURSING FACILITY 59757,A000000,01800,0000,01800NURSING FACILITY 59757,A000000,01810,0000,01810ICF/MR 59757,A000000,02100,0000,02100RADIOLOGY 59757,A000000,02200,0000,02200LABORATORY 59757,A000000,02300,0000,02300INTRAVENOUS THERAPY 59757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59757,A000000,02500,0000,02500PHYSICAL THERAPY 59757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59757,A000000,02700,0000,02700SPEECH PATHOLOGY 59757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59757,A000000,02901,0000,02901PEN THERAPY 59757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59757,A000000,03050,0000,03300OTHER ANCILLARY 59757,A000000,03051,0000,03301AMBULANCE 59757,A000000,03550,0000,03550FQHC 59757,A000000,05000,0000,05000CORF 59757,A000000,05010,0000,05010CMHC 59757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59757,A81000A,00100,0100,Y 59757,A81000B,00100,0300,HOME OFFICE COSTS 59757,A81000B,00200,0300,INTERIOR DESIGN 59757,A81000B,00300,0300,REL PARTY INTEREST 59757,A81000B,00400,0300,REHAB ALLOCATION 59757,A81000B,00500,0300,REHAB ALLOCATION 59757,A81000B,00600,0300,REHAB ALLOCATION 59757,A81000B,00700,0300,LEASE INTEREST 59757,A81000B,00800,0300,LEASE DEPRECIATION 59757,A81000B,00900,0300,COMPUTER INSTALLATIO 59757,A81000C,00100,0100,A 59757,A81000C,00100,0200,FORREST PRESTON 59757,A81000C,00100,0400,LCCA 59757,A81000C,00100,0600,NSG HOME MANAG 59757,A81000C,00200,0100,A 59757,A81000C,00200,0200,FORREST PRESTON 59757,A81000C,00200,0400,LIFE CARE DESIG 59757,A81000C,00200,0600,INTERIOR DESIGN 59757,A81000C,00300,0100,A 59757,A81000C,00300,0200,FORREST PRESTON 59757,A81000C,00300,0400,LCCA 59757,A81000C,00300,0600,NSG HOME MANAG 59757,A81000C,00400,0100,A 59757,A81000C,00400,0200,FORREST PRESTON 59757,A81000C,00400,0400,LCCA 59757,A81000C,00400,0600,NSG HOME MANAG 59757,A81000C,00500,0100,A 59757,A81000C,00500,0200,FORREST PRESTON 59757,A81000C,00500,0400,LCCA 59757,A81000C,00500,0600,NSG HOME MANAG 59757,A81000C,00600,0100,A 59757,A81000C,00600,0200,FORREST PRESTON 59757,A81000C,00600,0400,LCCA 59757,A81000C,00600,0600,NSG HOME MANAG 59757,A81000C,00700,0100,A 59757,A81000C,00700,0200,FORREST PRESTON 59757,A81000C,00700,0400,HCE LEASING 59757,A81000C,00700,0600,EQUIPMENT LEASI 59757,A81000C,00800,0100,A 59757,A81000C,00800,0200,FORREST PRESTON 59757,A81000C,00800,0400,HCE LEASING 59757,A81000C,00800,0600,EQUIPMENT LEASI 59757,A81000C,00900,0100,A 59757,A81000C,00900,0200,FORREST PRESTON 59757,A81000C,00900,0400,LCCA 59757,A81000C,00900,0600,NSG HOME MANAG 59757,B100000,00000,0100,00000(SQUARE FEET) 59757,B100000,00000,0200,00000(SQUARE FEET) 59757,B100000,00000,0300,00000(GROSS SALARIES) 59757,B100000,00000,0400,00000(ACCUM COST) 59757,B100000,00000,0500,00000(SQUARE FEET) 59757,B100000,00000,0600,00000PATIENT DAYS 59757,B100000,00000,0700,00000(SQUARE FEET) 59757,B100000,00000,0800,00000(MEALS SERVED) 59757,B100000,00000,0900,00000HOURS OF SERVICE 59757,B100000,00000,1000,00000(COSTED REQUIS) 59757,B100000,00000,1100,00000(COSTED REQUIS) 59757,B100000,00000,1200,00000GROSS REVENUES 59757,B100000,00000,1300,00000PATIENT DAYS 59757,B100000,00000,1350,00000PATIENT DAYS 59757,B100000,00000,1400,00000(ASSIGNED TIME) 59757,E10A180,00301,0100,02/08/2000 59757,E10A180,00302,0100,04/12/2000 59757,E10A180,00303,0100,08/01/2000 59757,S000000,00100,0200,11/22/2000 59757,S200000,00100,0100,3850 SAFEHAVEN DRIVE 59757,S200000,00200,0100,LAWRENCEVILLE 59757,S200000,00200,0200,GA 59757,S200000,00200,0300,30244 59757,S200000,00300,0100,GWINNETT 59757,S200000,00400,0100,LCC OF GWINNETT 59757,S200000,00400,0200,115347 59757,S200000,00400,0300,08/03/1988 59757,S200000,00400,0500,P 59757,S200000,00600,0200,115347 59757,S200000,00600,0300,08/03/1988 59757,S200000,00600,0600,P 59757,S200000,01600,0100,Y 59757,S200000,02200,0100,Y 59767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59767,A000000,00300,0000,00300EMPLOYEE BENEFITS 59767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59767,A000000,00700,0000,00700HOUSEKEEPING 59767,A000000,00800,0000,00800DIETARY 59767,A000000,00900,0000,00900NURSING ADMINISTRATION 59767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59767,A000000,01100,0000,01100PHARMACY 59767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59767,A000000,01300,0000,01300SOCIAL SERVICE 59767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59767,A000000,01600,0000,01600SKILLED NURSING FACILITY 59767,A000000,01800,0000,01800NURSING FACILITY 59767,A000000,01810,0000,01810ICF/MR 59767,A000000,02100,0000,02100RADIOLOGY 59767,A000000,02200,0000,02200LABORATORY 59767,A000000,02300,0000,02300INTRAVENOUS THERAPY 59767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59767,A000000,02500,0000,02500PHYSICAL THERAPY 59767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59767,A000000,02700,0000,02700SPEECH PATHOLOGY 59767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59767,A000000,03550,0000,03550FQHC 59767,A000000,05000,0000,05000CORF 59767,A000000,05010,0000,05010CMHC 59767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59767,A000000,05300,0000,05300INTEREST EXPENSE 59767,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59767,A81000A,00100,0100,Y 59767,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59767,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 59767,A81000B,00300,0300,HEALTH INSURANCE 59767,A81000B,00400,0300,RETIREMENT 59767,A81000B,00500,0300,MGMT FEE - HOME OFFI 59767,A81000B,00600,0300,MGMT FEE - HOME OFF 59767,A81000B,00700,0300,MGMT FEE - HOME OFF 59767,A81000B,00800,0300,MGMT FEE - HOME OFF 59767,A81000B,00900,0300,MGMT FEE - HOME OFF 59767,A81000B,01000,0300,MGMT FEE - HOME OFF 59767,A81000B,01100,0300,MGMT FEE - HOME OFF 59767,A81000B,01200,0300,PHS - NURSING 59767,A81000B,01300,0300,PHS - SOCIAL SERVICE 59767,A81000B,01400,0300,PHS - OT 59767,A81000B,01500,0300,PHS - ST 59767,A81000B,01600,0300,PH S- PT 59767,A81000B,01700,0300,PHS - DIETARY 59767,A81000B,01800,0300,PHS - ADMINISTRATIVE 59767,A81000B,01900,0300,PHS - MED RECORDS 59767,A81000B,02000,0300,MGMT FEE - ST 59767,A81000C,00100,0100,B 59767,A81000C,00100,0200,NATIONAL HEALTH 59767,A81000C,00100,0600,HOME OFFICE 59767,A81000C,00200,0200,CARE CORPORATIO 59767,A81000C,00300,0100,B 59767,A81000C,00300,0200,PROFESSIONAL H 59767,A81000C,00300,0600,SPECIALIZED PE 59767,A81000C,00400,0200,SERVICES CORP. 59767,B100000,00000,0100,00000(SQUARE FEET) 59767,B100000,00000,0200,00000(SQUARE FEET) 59767,B100000,00000,0300,00000(GROSS SALARIES) 59767,B100000,00000,0400,00000(ACCUM COST) 59767,B100000,00000,0500,00000(SQUARE FEET) 59767,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59767,B100000,00000,0700,00000(SQUARE FEET) 59767,B100000,00000,0800,00000(MEALS SERVED) 59767,B100000,00000,0900,00000(DIRECT NRSG HRS) 59767,B100000,00000,1000,00000(COSTED REQUIS) 59767,B100000,00000,1100,00000(COSTED REQUIS) 59767,B100000,00000,1200,00000(GROSS REV CHARGES) 59767,B100000,00000,1300,00000(TIME SPENT) 59767,B100000,00000,1400,00000ASSIGNED TIME 59767,E10A180,00301,0100,12/03/1999 59767,E10A180,00550,0100,05/31/2000 59767,S000000,00100,0200,05/26/2000 59767,S200000,00100,0100,2403 BATTLEFIELD PARKWAY 59767,S200000,00100,0300,5737 59767,S200000,00200,0100,FORT OGLETHORPE 59767,S200000,00200,0200,GA 59767,S200000,00200,0300,30742 59767,S200000,00300,0100,CATOOSA 59767,S200000,00400,0100,NHC HEALTHCARE FT OGLETHORPE 59767,S200000,00400,0200,115492 59767,S200000,00400,0300,01/01/1987 59767,S200000,00400,0500,P 59767,S200000,00600,0200,115492 59767,S200000,00600,0300,01/01/1987 59767,S200000,00600,0600,P 59767,S200000,01600,0100,Y 59777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59777,A000000,00300,0000,00300EMPLOYEE BENEFITS 59777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59777,A000000,00700,0000,00700HOUSEKEEPING 59777,A000000,00800,0000,00800DIETARY 59777,A000000,00900,0000,00900NURSING ADMINISTRATION 59777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59777,A000000,01100,0000,01100PHARMACY 59777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59777,A000000,01300,0000,01300SOCIAL SERVICE 59777,A000000,01350,0000,01500ACTIVITIES 59777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59777,A000000,01600,0000,01600SKILLED NURSING FACILITY 59777,A000000,01800,0000,01800NURSING FACILITY 59777,A000000,02100,0000,02100RADIOLOGY 59777,A000000,02200,0000,02200LABORATORY 59777,A000000,02300,0000,02300INTRAVENOUS THERAPY 59777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59777,A000000,02500,0000,02500PHYSICAL THERAPY 59777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59777,A000000,02700,0000,02700SPEECH PATHOLOGY 59777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59777,A000000,02901,0000,02901PEN THERAPY 59777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59777,A000000,03050,0000,03300OTHER ANCILLARY 59777,A000000,03051,0000,03301OTHER ANCILLARY 59777,A000000,03550,0000,03550FQHC 59777,A000000,05000,0000,05000CORF 59777,A000000,05010,0000,05010CMHC 59777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59777,A81000A,00100,0100,Y 59777,A81000B,00100,0300,HOME OFFICE COSTS 59777,A81000B,00200,0300,INTERIOR DESIGN 59777,A81000B,00300,0300,REL PARTY INTEREST 59777,A81000B,00400,0300,REHAB ALLOCATION 59777,A81000B,00500,0300,REHAB ALLOCATION 59777,A81000B,00600,0300,REHAB ALLOCATION 59777,A81000B,00700,0300,DRUGS 59777,A81000B,00800,0300,CONTRACT SERVICES 59777,A81000B,00900,0300,SUPPLIES 59777,A81000B,01000,0300,SUPPLIES 59777,A81000B,01100,0300,SUPPLIES 59777,A81000B,01200,0300,DEVELOPMENT COSTS 59777,A81000B,01300,0300,HCE INTEREST 59777,A81000B,01400,0300,MEDIA SUPPLIES 59777,A81000B,01500,0300,HCE DEPRECIATION 59777,A81000C,00100,0100,A 59777,A81000C,00100,0200,FORREST PRESTON 59777,A81000C,00100,0400,LIFE CARE CENTE 59777,A81000C,00100,0600,NSG HOME MANAG 59777,A81000C,00200,0100,A 59777,A81000C,00200,0200,FORREST PRESTON 59777,A81000C,00200,0400,LIFE CARE DESIG 59777,A81000C,00200,0600,INTERIOR DESIGN 59777,A81000C,00300,0100,A 59777,A81000C,00300,0200,FORREST PRESTON 59777,A81000C,00300,0400,LIFE CARE CENTE 59777,A81000C,00300,0600,NSG HOME MANAG 59777,A81000C,00400,0100,A 59777,A81000C,00400,0200,FORREST PRESTON 59777,A81000C,00400,0400,LIFE CARE CENTE 59777,A81000C,00400,0600,NSG HOME MANAG 59777,A81000C,00500,0100,A 59777,A81000C,00500,0200,FORREST PRESTON 59777,A81000C,00500,0400,LIFE CARE CENTE 59777,A81000C,00500,0600,NSG HOME MANAG 59777,A81000C,00600,0100,A 59777,A81000C,00600,0200,FORREST PRESTON 59777,A81000C,00600,0400,LIFE CARE CENTE 59777,A81000C,00600,0600,NSG HOME MANAG 59777,A81000C,00700,0100,A 59777,A81000C,00700,0200,LIFE CARE PHARM 59777,A81000C,00700,0400,MEDILIFE 59777,A81000C,00700,0600,PHARMACY 59777,A81000C,00800,0100,A 59777,A81000C,00800,0200,LIFE CARE PHARM 59777,A81000C,00800,0400,MEDILIFE 59777,A81000C,00800,0600,PHARMACY 59777,A81000C,00900,0100,A 59777,A81000C,00900,0200,LIFE CARE PHARM 59777,A81000C,00900,0400,MEDILIFE 59777,A81000C,00900,0600,PHARMACY 59777,A81000C,01000,0100,A 59777,A81000C,01000,0200,LIFE CARE PHARM 59777,A81000C,01000,0400,MEDILIFE 59777,A81000C,01000,0600,PHARMACY 59777,A81000C,01100,0100,A 59777,A81000C,01100,0200,LIFE CARE PHARM 59777,A81000C,01100,0400,MEDILIFE 59777,A81000C,01100,0600,PHARMACY 59777,A81000C,01200,0100,A 59777,A81000C,01200,0200,FORREST PRESTON 59777,A81000C,01200,0400,DEVELOPMENT ENT 59777,A81000C,01200,0600,DEVELOPMENT 59777,A81000C,01300,0100,A 59777,A81000C,01300,0200,FORREST PRESTON 59777,A81000C,01300,0400,HCE LEASING 59777,A81000C,01300,0600,EQUIPMENT LEASI 59777,A81000C,01400,0100,A 59777,A81000C,01400,0200,FORREST PRESTON 59777,A81000C,01400,0400,MEDIA RESOURSES 59777,A81000C,01400,0600,SUPPLIES 59777,A81000C,01500,0100,A 59777,A81000C,01500,0200,FORREST PRESTON 59777,A81000C,01500,0400,HCE LEASING 59777,A81000C,01500,0600,EQUIPMENT LEASI 59777,B100000,00000,0100,00000(SQUARE FEET) 59777,B100000,00000,0200,00000(SQUARE FEET) 59777,B100000,00000,0300,00000(GROSS SALARIES) 59777,B100000,00000,0400,00000(ACCUM COST) 59777,B100000,00000,0500,00000(SQUARE FEET) 59777,B100000,00000,0600,00000PATIENT DAYS 59777,B100000,00000,0700,00000(SQUARE FEET) 59777,B100000,00000,0800,00000(MEALS SERVED) 59777,B100000,00000,0900,00000HOURS OF SERVICE 59777,B100000,00000,1000,00000(COSTED REQUIS) 59777,B100000,00000,1100,00000(COSTED REQUIS) 59777,B100000,00000,1200,00000GROSS REVENUES 59777,B100000,00000,1300,00000PATIENT DAYS 59777,B100000,00000,1350,00000PATIENT DAYS 59777,B100000,00000,1400,00000(ASSIGNED TIME) 59777,S000000,00100,0200,12/10/1999 59777,S200000,00100,0100,210 COLLINS INDUSTRIAL WAY 59777,S200000,00200,0100,LAWRENCEVILLE 59777,S200000,00200,0200,GA 59777,S200000,00200,0300,30045 59777,S200000,00300,0100,GWINNETT 59777,S200000,00400,0100,LCC OF LAWRENCEVILLE 59777,S200000,00400,0200,115659 59777,S200000,00400,0300,02/12/1999 59777,S200000,00400,0500,P 59777,S200000,00600,0200,115659 59777,S200000,00600,0300,02/12/1999 59777,S200000,00600,0600,P 59777,S200000,01600,0100,Y 59777,S200000,02200,0100,Y 59779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59779,A000000,00300,0000,00300EMPLOYEE BENEFITS 59779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59779,A000000,00700,0000,00700HOUSEKEEPING 59779,A000000,00800,0000,00800DIETARY 59779,A000000,00900,0000,00900NURSING ADMINISTRATION 59779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59779,A000000,01100,0000,01100PHARMACY 59779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59779,A000000,01300,0000,01300SOCIAL SERVICE 59779,A000000,01350,0000,01500ACTIVITIES 59779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59779,A000000,01600,0000,01600SKILLED NURSING FACILITY 59779,A000000,01800,0000,01800NURSING FACILITY 59779,A000000,01810,0000,01810ICF/MR 59779,A000000,02100,0000,02100RADIOLOGY 59779,A000000,02200,0000,02200LABORATORY 59779,A000000,02300,0000,02300INTRAVENOUS THERAPY 59779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59779,A000000,02500,0000,02500PHYSICAL THERAPY 59779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59779,A000000,02700,0000,02700SPEECH PATHOLOGY 59779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59779,A000000,02901,0000,02901PEN THERAPY 59779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59779,A000000,03050,0000,03300OTHER ANCILLARY 59779,A000000,03051,0000,03301AMBULANCE 59779,A000000,03550,0000,03550FQHC 59779,A000000,05000,0000,05000CORF 59779,A000000,05010,0000,05010CMHC 59779,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59779,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59779,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59779,A81000A,00100,0100,Y 59779,A81000B,00100,0300,HOME OFFICE COSTS 59779,A81000B,00200,0300,REL PARTY INTEREST 59779,A81000B,00300,0300,REL PARTY INTEREST 59779,A81000B,00400,0300,REHAB ALLOCATION 59779,A81000B,00500,0300,REHAB ALLOCATION 59779,A81000B,00600,0300,REHAB ALLOCATION 59779,A81000B,00700,0300,HCE INTEREST 59779,A81000B,00800,0300,HCE DEPRECIATION 59779,A81000B,00900,0300,DESIGN SUPPLIES 59779,A81000B,01000,0300,COMPUTER INSTALLATIO 59779,A81000C,00100,0100,A 59779,A81000C,00100,0200,FORREST PRESTON 59779,A81000C,00100,0400,LCCA 59779,A81000C,00100,0600,NSG HOME MANAG 59779,A81000C,00200,0100,A 59779,A81000C,00200,0200,FORREST PRESTON 59779,A81000C,00200,0400,LCCA 59779,A81000C,00200,0600,NSG HOME MANAG 59779,A81000C,00300,0100,A 59779,A81000C,00300,0200,FORREST PRESTON 59779,A81000C,00300,0400,LCCA 59779,A81000C,00300,0600,NSG HOME MANAG 59779,A81000C,00400,0100,A 59779,A81000C,00400,0200,FORREST PRESTON 59779,A81000C,00400,0400,LCCA 59779,A81000C,00400,0600,NSG HOME MANAG 59779,A81000C,00500,0100,A 59779,A81000C,00500,0200,FORREST PRESTON 59779,A81000C,00500,0400,LCCA 59779,A81000C,00500,0600,NSG HOME MANAG 59779,A81000C,00600,0100,A 59779,A81000C,00600,0200,FORREST PRESTON 59779,A81000C,00600,0400,LCCA 59779,A81000C,00600,0600,NSG HOME MANAG 59779,A81000C,00700,0100,A 59779,A81000C,00700,0200,FORREST PRESTON 59779,A81000C,00700,0400,HCE LEASING 59779,A81000C,00700,0600,EQUIPMENT LEASI 59779,A81000C,00800,0100,A 59779,A81000C,00800,0200,FORREST PRESTON 59779,A81000C,00800,0400,HCE LEASING 59779,A81000C,00800,0600,EQUIPMENT LEASI 59779,A81000C,00900,0100,A 59779,A81000C,00900,0200,FORREST PRESTON 59779,A81000C,00900,0400,LIFE CARE DESIG 59779,A81000C,00900,0600,INTERIOR DESIGN 59779,A81000C,01000,0100,A 59779,A81000C,01000,0200,FORREST PRESTON 59779,A81000C,01000,0400,LCCA 59779,A81000C,01000,0600,NSG HOME MANAG 59779,B100000,00000,0100,00000(SQUARE FEET) 59779,B100000,00000,0200,00000(SQUARE FEET) 59779,B100000,00000,0300,00000(GROSS SALARIES) 59779,B100000,00000,0400,00000(ACCUM COST) 59779,B100000,00000,0500,00000(SQUARE FEET) 59779,B100000,00000,0600,00000PATIENT DAYS 59779,B100000,00000,0700,00000(SQUARE FEET) 59779,B100000,00000,0800,00000(MEALS SERVED) 59779,B100000,00000,0900,00000HOURS OF SERVICE 59779,B100000,00000,1000,00000(COSTED REQUIS) 59779,B100000,00000,1100,00000(COSTED REQUIS) 59779,B100000,00000,1200,00000GROSS REVENUES 59779,B100000,00000,1300,00000PATIENT DAYS 59779,B100000,00000,1350,00000PATIENT DAYS 59779,B100000,00000,1400,00000(ASSIGNED TIME) 59779,E10A180,00301,0100,08/01/2000 59779,S000000,00100,0200,11/21/2000 59779,S200000,00100,0100,210 COLLINS INDUSTRIAL WAY 59779,S200000,00200,0100,LAWRENCEVILLE 59779,S200000,00200,0200,GA 59779,S200000,00200,0300,30045 59779,S200000,00300,0100,GWINNETT 59779,S200000,00400,0100,LCC OF LAWRENCEVILLE 59779,S200000,00400,0200,115659 59779,S200000,00400,0300,02/12/1999 59779,S200000,00400,0500,P 59779,S200000,00600,0200,115659 59779,S200000,00600,0300,02/12/1999 59779,S200000,00600,0600,P 59779,S200000,01600,0100,Y 59779,S200000,02200,0100,Y 59787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59787,A000000,00300,0000,00300EMPLOYEE BENEFITS 59787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59787,A000000,00700,0000,00700HOUSEKEEPING 59787,A000000,00800,0000,00800DIETARY 59787,A000000,00900,0000,00900NURSING ADMINISTRATION 59787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59787,A000000,01100,0000,01100PHARMACY 59787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59787,A000000,01300,0000,01300SOCIAL SERVICE 59787,A000000,01350,0000,01500ACTIVITIES 59787,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59787,A000000,01600,0000,01600SKILLED NURSING FACILITY 59787,A000000,01800,0000,01800NURSING FACILITY 59787,A000000,01810,0000,01810ICF/MR 59787,A000000,02300,0000,02300INTRAVENOUS THERAPY 59787,A000000,02500,0000,02500PHYSICAL THERAPY 59787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59787,A000000,02700,0000,02700SPEECH PATHOLOGY 59787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59787,A000000,03050,0000,03300OTHER ANCILLARY 59787,A000000,03550,0000,03550FQHC 59787,A000000,05000,0000,05000CORF 59787,A000000,05010,0000,05010CMHC 59787,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59787,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59787,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59787,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59787,A81000A,00100,0100,Y 59787,A81000B,00100,0300,INTEREST GUARANTEE 59787,A81000B,00200,0300,ADMINISTRATIVE FEES 59787,A81000C,00100,0100,F 59787,A81000C,00100,0200,SAM KELLETT 59787,A81000C,00100,0400,LCC OF HILO 59787,A81000C,00100,0600,NURSING HOME 59787,A81000C,00200,0100,A 59787,A81000C,00200,0200,SAM KELLETT 59787,A81000C,00200,0400,HILO MEDICAL IN 59787,A81000C,00200,0600,NRSG HOME OWNER 59787,B100000,00000,0100,00000(SQUARE FEET) 59787,B100000,00000,0200,00000(SQUARE FEET) 59787,B100000,00000,0300,00000(GROSS SALARIES) 59787,B100000,00000,0400,00000(ACCUM COST) 59787,B100000,00000,0500,00000(SQUARE FEET) 59787,B100000,00000,0600,00000PATIENT DAYS 59787,B100000,00000,0700,00000(SQUARE FEET) 59787,B100000,00000,0800,00000(MEALS SERVED) 59787,B100000,00000,0900,00000DIR NRSG HOURS 59787,B100000,00000,1000,00000(COSTED REQUIS) 59787,B100000,00000,1100,00000COSTED REQUIS 59787,B100000,00000,1200,00000GROSS REVENUES 59787,B100000,00000,1300,00000PATIENT DAYS 59787,B100000,00000,1350,00000PATIENT DAYS 59787,B100000,00000,1400,00000ASSIGNED TIME 59787,E10A180,00501,0100,06/20/2000 59787,E10A180,00550,0300,06/20/2000 59787,S000000,00100,0200,05/08/2000 59787,S200000,00100,0100,944 WEST KAWAILANI 59787,S200000,00200,0100,HILO 59787,S200000,00200,0200,HI 59787,S200000,00200,0300,96720 59787,S200000,00300,0100,HAWAII 59787,S200000,00400,0100,LIFE CARE CENTER OF HILO 59787,S200000,00400,0200,125040 59787,S200000,00400,0300,06/01/1993 59787,S200000,00400,0500,P 59787,S200000,00600,0200,125040 59787,S200000,00600,0300,06/01/1993 59787,S200000,00600,0600,P 59787,S200000,01600,0100,Y 59787,S200000,02200,0100,Y 59787,S200000,04300,0100,Y 59798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59798,A000000,00300,0000,00300EMPLOYEE BENEFITS 59798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59798,A000000,00700,0000,00700HOUSEKEEPING 59798,A000000,00800,0000,00800DIETARY 59798,A000000,00900,0000,00900NURSING ADMINISTRATION 59798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59798,A000000,01100,0000,01100PHARMACY 59798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59798,A000000,01300,0000,01300SOCIAL SERVICE 59798,A000000,01350,0000,01500ACTIVITIES 59798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59798,A000000,01600,0000,01600SKILLED NURSING FACILITY 59798,A000000,01800,0000,01800NURSING FACILITY 59798,A000000,01810,0000,01810ICF/MR 59798,A000000,02200,0000,02200LABORATORY 59798,A000000,02300,0000,02300INTRAVENOUS THERAPY 59798,A000000,02500,0000,02500PHYSICAL THERAPY 59798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59798,A000000,02700,0000,02700SPEECH PATHOLOGY 59798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59798,A000000,03550,0000,03550FQHC 59798,A000000,05000,0000,05000CORF 59798,A000000,05010,0000,05010CMHC 59798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59798,A81000A,00100,0100,Y 59798,A81000B,00100,0300,INTEREST GUARANTEE 59798,A81000C,00100,0100,F 59798,A81000C,00100,0200,SAM KELLETT 59798,A81000C,00100,0400,HALE ANUENUE 59798,A81000C,00100,0600,NURSING HOME 59798,B100000,00000,0100,00000(SQUARE FEET) 59798,B100000,00000,0200,00000(SQUARE FEET) 59798,B100000,00000,0300,00000(GROSS SALARIES) 59798,B100000,00000,0400,00000(ACCUM COST) 59798,B100000,00000,0500,00000(SQUARE FEET) 59798,B100000,00000,0600,00000PATIENT DAYS 59798,B100000,00000,0700,00000(SQUARE FEET) 59798,B100000,00000,0800,00000(MEALS SERVED) 59798,B100000,00000,0900,00000DIR. NRSG. HOURS 59798,B100000,00000,1000,00000(COSTED REQUIS) 59798,B100000,00000,1100,00000COSTED REQUIS 59798,B100000,00000,1200,00000GROSS REVENUES 59798,B100000,00000,1300,00000PATIENT DAYS 59798,B100000,00000,1350,00000PATIENT DAYS 59798,B100000,00000,1400,00000ASSIGNED TIME 59798,S000000,00100,0200,08/21/2000 59798,S200000,00100,0100,1333 WAIANUENUE AVENUE 59798,S200000,00200,0100,HILO 59798,S200000,00200,0200,HI 59798,S200000,00200,0300,96720 59798,S200000,00300,0100,HAWAII 59798,S200000,00400,0100,HALE ANUENUE 59798,S200000,00400,0200,125045 59798,S200000,00400,0300,05/24/1996 59798,S200000,00400,0500,P 59798,S200000,00600,0200,125045 59798,S200000,00600,0300,05/24/1996 59798,S200000,00600,0600,P 59798,S200000,01600,0100,Y 59798,S200000,02200,0100,Y 59807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59807,A000000,00300,0000,00300EMPLOYEE BENEFITS 59807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59807,A000000,00700,0000,00700HOUSEKEEPING 59807,A000000,00800,0000,00800DIETARY 59807,A000000,00900,0000,00900NURSING ADMINISTRATION 59807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59807,A000000,01100,0000,01100PHARMACY 59807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59807,A000000,01300,0000,01300SOCIAL SERVICE 59807,A000000,01350,0000,01500ACTIVITIES 59807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59807,A000000,01600,0000,01600SKILLED NURSING FACILITY 59807,A000000,01810,0000,01810ICF/MR 59807,A000000,02100,0000,02100RADIOLOGY 59807,A000000,02200,0000,02200LABORATORY 59807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59807,A000000,02500,0000,02500PHYSICAL THERAPY 59807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59807,A000000,02700,0000,02700SPEECH PATHOLOGY 59807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59807,A000000,03550,0000,03550FQHC 59807,A000000,05000,0000,05000CORF 59807,A000000,05010,0000,05010CMHC 59807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59807,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59807,A81000A,00100,0100,Y 59807,A81000B,00100,0300,HOME OFFICE FEES 59807,A81000B,00200,0300,RELATED PARTY INT 59807,A81000B,00300,0300,Y2K COMP CONVERS 59807,A81000B,00400,0300,HO ALLOCATION 59807,A81000B,00500,0300,HO ALLOCATION 59807,A81000B,00600,0300,HO ALLOCATION 59807,A81000B,00700,0300,AUDIO/VIDEO PROD 59807,A81000B,00800,0300,INTERIOR DESIGN-1999 59807,A81000B,00900,0300,INTERIOR DESIGN-1998 59807,A81000B,01000,0300,DEVELOPMENT COSTS 59807,A81000C,00100,0100,A 59807,A81000C,00100,0200,FORREST PRESTON 59807,A81000C,00100,0400,LIFE CARE CENTE 59807,A81000C,00100,0600,NRSG HOME MGT 59807,A81000C,00200,0100,A 59807,A81000C,00200,0200,FORREST PRESTON 59807,A81000C,00200,0400,LIFE CARE DESIG 59807,A81000C,00200,0600,FURNITURE/FIXTU 59807,A81000C,00300,0100,A 59807,A81000C,00300,0200,FORREST PRESTON 59807,A81000C,00300,0400,MEDIA RESOURCES 59807,A81000C,00300,0600,AUDIO/VIDEO PRO 59807,B100000,00000,0100,00000SQUARE FEET 59807,B100000,00000,0200,00000SQUARE FEET 59807,B100000,00000,0300,00000GROSS SALARIES 59807,B100000,00000,0400,00000ACCUM COST 59807,B100000,00000,0500,00000SQUARE FEET 59807,B100000,00000,0600,00000PATIENT DAYS 59807,B100000,00000,0700,00000SQUARE FEET 59807,B100000,00000,0800,00000MEALS SERVED 59807,B100000,00000,0900,00000DIRECT NRSG HRS 59807,B100000,00000,1000,00000COSTED REQUIS 59807,B100000,00000,1100,00000COSTED REQUIS 59807,B100000,00000,1200,00000GROSS REVENUE 59807,B100000,00000,1300,00000PATIENT DAYS 59807,B100000,00000,1350,00000PATIENT DAYS 59807,B100000,00000,1400,00000ASSIGNED TIME 59807,E10A180,00301,0100,08/17/1999 59807,E10A180,00302,0100,02/07/2000 59807,S000000,00100,0200,05/31/2000 59807,S200000,00100,0100,808 NORTH CURTIS ROAD 59807,S200000,00200,0100,BOISE 59807,S200000,00200,0200,ID 59807,S200000,00200,0300,83706 59807,S200000,00300,0100,ADA 59807,S200000,00400,0100,LIFE CARE CENTER OF BOISE 59807,S200000,00400,0200,135038 59807,S200000,00400,0300,03/01/1983 59807,S200000,00400,0500,P 59807,S200000,01500,0100,Y 59807,S200000,04300,0100,Y 59816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59816,A000000,00300,0000,00300EMPLOYEE BENEFITS 59816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59816,A000000,00700,0000,00700HOUSEKEEPING 59816,A000000,00800,0000,00800DIETARY 59816,A000000,00900,0000,00900NURSING ADMINISTRATION 59816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59816,A000000,01300,0000,01300SOCIAL SERVICE 59816,A000000,01350,0000,01500ACTIVITIES 59816,A000000,01600,0000,01600SKILLED NURSING FACILITY 59816,A000000,02200,0000,02200LABORATORY 59816,A000000,02300,0000,02300INTRAVENOUS THERAPY 59816,A000000,02500,0000,02500PHYSICAL THERAPY 59816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59816,A000000,02700,0000,02700SPEECH PATHOLOGY 59816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59816,A000000,03050,0000,03300AMBULANCE 59816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59816,A000000,06150,0000,06300NON REIMBURSABLE COSTS 59816,A81000A,00100,0100,Y 59816,A81000B,00100,0300,MANAGEMENT FEES 59816,A81000B,00200,0300,REL PARTY INTEREST 59816,A81000B,00300,0300,Y2K CONVERSION 59816,A81000B,00400,0300,PT ALLOCATION 59816,A81000B,00500,0300,OT ALLOCATION 59816,A81000B,00600,0300,SLP ALLOCATION 59816,A81000B,00700,0300,LC DESIGNS - 1998 59816,A81000B,00800,0300,LC DESIGNS - 1999 59816,A81000B,00900,0300,MED SUPPLIES 59816,A81000B,01000,0300,EQUIP RENT 59816,A81000C,00100,0100,A 59816,A81000C,00100,0200,FORREST PRESTON 59816,A81000C,00100,0400,LIFE CARE CENTE 59816,A81000C,00100,0600,NURSING HOME MG 59816,A81000C,00200,0100,A 59816,A81000C,00200,0200,FORREST PRESTON 59816,A81000C,00200,0400,LIFE CARE DESIG 59816,A81000C,00200,0600,FURNITURE FIXTU 59816,A81000C,00300,0100,A 59816,A81000C,00300,0200,FORREST PRESTON 59816,A81000C,00300,0400,MEDILIFE PHARMA 59816,A81000C,00300,0600,PHARMACY 59816,B100000,00000,0100,00000SQUARE FEET 59816,B100000,00000,0200,00000SQUARE FEET 59816,B100000,00000,0300,00000GROSS SALARIES 59816,B100000,00000,0400,00000ACCUM COST 59816,B100000,00000,0500,00000SQUARE FEET 59816,B100000,00000,0600,00000PATIENT DAYS 59816,B100000,00000,0700,00000SQUARE FEET 59816,B100000,00000,0800,00000MEALS SERVED 59816,B100000,00000,0900,00000HOURS SUPERVISED 59816,B100000,00000,1000,00000COSTED REQUIS 59816,B100000,00000,1200,00000GROSS REVENUES 59816,B100000,00000,1300,00000PATIENT DAYS 59816,B100000,00000,1350,00000PATIENT DAYS 59816,E10A180,00550,0300,06/02/2000 59816,S000000,00100,0200,05/12/2000 59816,S200000,00100,0100,2725 E. 17TH STREET 59816,S200000,00200,0100,IDAHO FALLS 59816,S200000,00200,0200,ID 59816,S200000,00200,0300,83406 59816,S200000,00300,0100,BONNEVILLE 59816,S200000,00400,0100,LIFE CARE CENTER OF IDAHO FALLS 59816,S200000,00400,0200,135091 59816,S200000,00400,0300,10/01/1994 59816,S200000,00400,0500,P 59816,S200000,01500,0100,Y 59816,S200000,04300,0100,Y 59816,S200000,04700,0100,Y 59816,S200000,04700,0200,Y 59822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59822,A000000,00300,0000,00300EMPLOYEE BENEFITS 59822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59822,A000000,00700,0000,00700HOUSEKEEPING 59822,A000000,00800,0000,00800DIETARY 59822,A000000,00900,0000,00900NURSING ADMINISTRATION 59822,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59822,A000000,01100,0000,01100PHARMACY 59822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59822,A000000,01300,0000,01300SOCIAL SERVICE 59822,A000000,01350,0000,01500ACTIVITIES 59822,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59822,A000000,01600,0000,01600SKILLED NURSING FACILITY 59822,A000000,01810,0000,01810ICF/MR 59822,A000000,02100,0000,02100RADIOLOGY 59822,A000000,02200,0000,02200LABORATORY 59822,A000000,02300,0000,02300INTRAVENOUS THERAPY 59822,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59822,A000000,02500,0000,02500PHYSICAL THERAPY 59822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59822,A000000,02700,0000,02700SPEECH PATHOLOGY 59822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59822,A000000,03050,0000,03300AMBULANCE 59822,A000000,03051,0000,03310OTHER ANCILLARY 59822,A000000,03550,0000,03550FQHC 59822,A000000,05000,0000,05000CORF 59822,A000000,05010,0000,05010CMHC 59822,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59822,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59822,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59822,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59822,A000000,06150,0000,06300MARKETING 59822,A000000,06152,0000,06301APTS/ASSISTED LIVING 59822,A81000A,00100,0100,Y 59822,A81000B,00100,0300,HOME OFFICE FEES 59822,A81000B,00200,0300,RELATED PARTY INT 59822,A81000B,00300,0300,Y2K COMPT CONVERS 59822,A81000B,00400,0300,INTERIOR DESIGN-1999 59822,A81000B,00500,0300,PHARMACY COSTS 59822,A81000C,00100,0100,A 59822,A81000C,00100,0200,FORREST PRESTON 59822,A81000C,00100,0400,LIFE CARE CENTE 59822,A81000C,00100,0600,NURSING HOME MG 59822,A81000C,00200,0100,A 59822,A81000C,00200,0200,FORREST PRESTON 59822,A81000C,00200,0400,LIFE CARE DESIG 59822,A81000C,00200,0600,FURNITURE/FIXTU 59822,A81000C,00300,0100,A 59822,A81000C,00300,0200,FORREST PRESTON 59822,A81000C,00300,0400,MEDILIFE PHARMA 59822,A81000C,00300,0600,PHARMACY 59822,B100000,00000,0100,00001SQUARE FEET 59822,B100000,00000,0200,00001SQUARE FEET 59822,B100000,00000,0300,00001GROSS SALARIES 59822,B100000,00000,0400,00001ACCUM COST 59822,B100000,00000,0500,00001SQUARE FEET 59822,B100000,00000,0600,00001PATIENT DAYS 59822,B100000,00000,0700,00001SQUARE FEET 59822,B100000,00000,0800,00001MEALS SERVED 59822,B100000,00000,0900,00001DIRECT NRSG HRS 59822,B100000,00000,1000,00001COSTED REQUIS 59822,B100000,00000,1100,00001COSTED REQUIS 59822,B100000,00000,1200,00001GROSS REVENUE 59822,B100000,00000,1300,00001PATIENT DAYS 59822,B100000,00000,1350,00001PATIENT DAYS 59822,B100000,00000,1400,00001ASSIGNED TIME 59822,E10A180,00301,0100,05/11/1999 59822,S000000,00100,0200,05/30/2000 59822,S200000,00100,0100,1130 NORTH ALLUMBAUGH STREET 59822,S200000,00200,0100,BOISE 59822,S200000,00200,0200,ID 59822,S200000,00200,0300,83704 59822,S200000,00300,0100,ADA 59822,S200000,00400,0100,VALLEY VIEW RETIREMENT CENTER 59822,S200000,00400,0200,135098 59822,S200000,00400,0300,05/31/1986 59822,S200000,00400,0500,P 59822,S200000,01500,0100,Y 59822,S200000,04300,0100,Y 59831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59831,A000000,00300,0000,00300EMPLOYEE BENEFITS 59831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59831,A000000,00700,0000,00700HOUSEKEEPING 59831,A000000,00800,0000,00800DIETARY 59831,A000000,00900,0000,00900NURSING ADMINISTRATION 59831,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59831,A000000,01100,0000,01100PHARMACY 59831,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59831,A000000,01300,0000,01300SOCIAL SERVICE 59831,A000000,01350,0000,01500ACTIVITIES 59831,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59831,A000000,01600,0000,01600SKILLED NURSING FACILITY 59831,A000000,01810,0000,01810ICF/MR 59831,A000000,02100,0000,02100RADIOLOGY 59831,A000000,02200,0000,02200LABORATORY 59831,A000000,02300,0000,02300INTRAVENOUS THERAPY 59831,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59831,A000000,02500,0000,02500PHYSICAL THERAPY 59831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59831,A000000,02700,0000,02700SPEECH PATHOLOGY 59831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59831,A000000,03550,0000,03550FQHC 59831,A000000,05000,0000,05000CORF 59831,A000000,05010,0000,05010CMHC 59831,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59831,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59831,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59831,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59831,A000000,06150,0000,06300DAYCARE 59831,A000000,06152,0000,06301APARTMENT/RETIREMENT CENTER 59831,A81000A,00100,0100,Y 59831,A81000B,00100,0300,LEASE 59831,A81000C,00100,0100,A 59831,A81000C,00100,0200,CARL CAMPBELL 59831,A81000C,00100,0400,DEV. ENTERPRISE 59831,A81000C,00100,0600,LESSOR 59831,B100000,00000,0100,00001SQUARE FEET 59831,B100000,00000,0200,00001SQUARE FEET 59831,B100000,00000,0300,00001GROSS SALARIES 59831,B100000,00000,0400,00001ACCUM COST 59831,B100000,00000,0500,00001SQUARE FEET 59831,B100000,00000,0600,00001PATIENT DAYS 59831,B100000,00000,0700,00001SQUARE FEET 59831,B100000,00000,0800,00001MEALS SERVED 59831,B100000,00000,0900,00001DIRECT NRSG HRS 59831,B100000,00000,1000,00001COSTED REQUIS 59831,B100000,00000,1100,00001COSTED REQUIS 59831,B100000,00000,1200,00001GROSS REVENUE 59831,B100000,00000,1300,00001PATIENT DAYS 59831,B100000,00000,1350,00001PATIENT DAYS 59831,B100000,00000,1400,00001ASSIGNED TIME 59831,E10A180,00501,0100,11/20/2000 59831,E10A180,00550,0300,11/20/2000 59831,S000000,00100,0200,09/29/2000 59831,S200000,00100,0100,1127 CALDWELL BOULEVARD 59831,S200000,00200,0100,NAMPA 59831,S200000,00200,0200,ID 59831,S200000,00200,0300,83651 59831,S200000,00300,0100,CANYON 59831,S200000,00400,0100,KARCHER ESTATES 59831,S200000,00400,0200,135110 59831,S200000,00400,0300,01/03/1990 59831,S200000,00400,0500,P 59831,S200000,01500,0100,Y 59831,S200000,01900,0100,501[C]3 59831,S200000,04300,0100,Y 59840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59840,A000000,00300,0000,00300EMPLOYEE BENEFITS 59840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59840,A000000,00700,0000,00700HOUSEKEEPING 59840,A000000,00800,0000,00800DIETARY 59840,A000000,00900,0000,00900NURSING ADMINISTRATION 59840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59840,A000000,01100,0000,01100PHARMACY 59840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59840,A000000,01300,0000,01300SOCIAL SERVICE 59840,A000000,01350,0000,01500ACTIVITIES 59840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59840,A000000,01600,0000,01600SKILLED NURSING FACILITY 59840,A000000,01800,0000,01800NURSING FACILITY 59840,A000000,01810,0000,01810ICF/MR 59840,A000000,02100,0000,02100RADIOLOGY 59840,A000000,02200,0000,02200LABORATORY 59840,A000000,02300,0000,02300INTRAVENOUS THERAPY 59840,A000000,02500,0000,02500PHYSICAL THERAPY 59840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59840,A000000,02700,0000,02700SPEECH PATHOLOGY 59840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59840,A000000,03550,0000,03550FQHC 59840,A000000,05000,0000,05000CORF 59840,A000000,05010,0000,05010CMHC 59840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59840,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59840,A81000A,00100,0100,Y 59840,A81000B,00100,0300,HOME OFFICE COSTS 59840,A81000B,00200,0300,INTEREST 59840,A81000B,00300,0300,Y2K CONVERSION 59840,A81000B,00400,0300,DEBT FORGIVENESS 59840,A81000B,00500,0300,PT ALLOCATION 59840,A81000B,00600,0300,OT ALLOCATION 59840,A81000B,00700,0300,ST ALLOCATION 59840,A81000B,00800,0300,EQUIPMENT LEASING 59840,A81000B,00900,0300,INTERIOR DESIGN - 97 59840,A81000B,01000,0300,INTERIOR DESIGN - 99 59840,A81000B,01100,0300,PLANNNG AND DEVELOP 59840,A81000B,01200,0300,PLANNING AND DEVELOP 59840,A81000C,00100,0100,A 59840,A81000C,00100,0200,FORREST PRESTON 59840,A81000C,00100,0400,LIFE CARE CENTE 59840,A81000C,00100,0600,NURSING HOME MA 59840,A81000C,00200,0100,A 59840,A81000C,00200,0200,FORREST PRESTON 59840,A81000C,00200,0400,LIFE CARE DESIG 59840,A81000C,00200,0600,FURNITURE/FIXTU 59840,A81000C,00300,0100,A 59840,A81000C,00300,0200,FORREST PRESTON 59840,A81000C,00300,0400,HCE LEASING 59840,A81000C,00300,0600,VEH/COMP LEASIN 59840,B100000,00000,0100,00000SQUARE FEET 59840,B100000,00000,0200,00000SQUARE FEET 59840,B100000,00000,0300,00000GROSS SALARIES 59840,B100000,00000,0400,00000ACCUM COST 59840,B100000,00000,0500,00000SQUARE FEET 59840,B100000,00000,0600,00000PATIENT DAYS 59840,B100000,00000,0700,00000SQUARE FEET 59840,B100000,00000,0800,00000MEALS SERVED 59840,B100000,00000,0900,00000DIRECT NRSG HRS 59840,B100000,00000,1000,00000COSTED REQUIS 59840,B100000,00000,1100,00000COSTED REQUIS 59840,B100000,00000,1200,00000GROSS REVENUE 59840,B100000,00000,1300,00000PATIENT DAYS 59840,B100000,00000,1350,00000PATIENT DAYS 59840,B100000,00000,1400,00000ASSIGNED TIME 59840,S000000,00100,0200,12/29/2000 59840,S200000,00100,0100,500 WEST AQUA AVENUE 59840,S200000,00200,0100,COEUR DALENE 59840,S200000,00200,0200,ID 59840,S200000,00200,0300,83815 59840,S200000,00300,0100,K 59840,S200000,00400,0100,LIFE CARE CENTER OF COEUR DALENE 59840,S200000,00400,0200,135122 59840,S200000,00400,0300,08/27/1996 59840,S200000,00400,0500,P 59840,S200000,01500,0100,Y 59840,S200000,04300,0100,Y 59847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59847,A000000,00300,0000,00300EMPLOYEE BENEFITS 59847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59847,A000000,00700,0000,00700HOUSEKEEPING 59847,A000000,00800,0000,00800DIETARY 59847,A000000,00900,0000,00900NURSING ADMINISTRATION 59847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59847,A000000,01300,0000,01300SOCIAL SERVICE 59847,A000000,01350,0000,01500ACTIVITIES 59847,A000000,01600,0000,01600SKILLED NURSING FACILITY 59847,A000000,02100,0000,02100RADIOLOGY 59847,A000000,02200,0000,02200LABORATORY 59847,A000000,02300,0000,02300INTRAVENOUS THERAPY 59847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59847,A000000,02500,0000,02500PHYSICAL THERAPY 59847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59847,A000000,02700,0000,02700SPEECH PATHOLOGY 59847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59847,A000000,03050,0000,03300AMBULANCE SERVICES 59847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59847,A81000A,00100,0100,Y 59847,A81000B,00100,0300,MANAGEMENT FEES 59847,A81000B,00200,0300,INTEREST EXPENSE 59847,A81000B,00300,0300,PT ALLOCATION 59847,A81000B,00400,0300,OT ALLOCATION 59847,A81000B,00500,0300,ST ALLOCATION 59847,A81000B,00600,0300,EQUIPMENT LEASING 59847,A81000B,00700,0300,EQUIPMENT LEASING 59847,A81000B,00800,0300,DEVELOPMENT 95/96 59847,A81000B,00900,0300,INTERIOR DESIGN 1998 59847,A81000B,01000,0300,VIDEO PRODUCTION 59847,A81000C,00100,0100,A 59847,A81000C,00100,0200,FORREST PRESTON 59847,A81000C,00100,0400,LIFE CARE CENTE 59847,A81000C,00100,0600,NURSING HOME MG 59847,A81000C,00200,0100,A 59847,A81000C,00200,0200,FORREST PRESTON 59847,A81000C,00200,0400,LIFE CARE DESIG 59847,A81000C,00200,0600,FURNITURE/FIXTU 59847,A81000C,00300,0100,A 59847,A81000C,00300,0200,FORREST PRESTON 59847,A81000C,00300,0400,HCE LEASING 59847,A81000C,00300,0600,VEH/COMPUTER LE 59847,A81000C,00400,0100,A 59847,A81000C,00400,0200,FORREST PRESTON 59847,A81000C,00400,0400,MEDIA RESOURCE 59847,A81000C,00400,0600,AUDIO/VISUAL PR 59847,B100000,00000,0100,00000SQUARE FEET 59847,B100000,00000,0200,00000SQUARE FEET 59847,B100000,00000,0300,00000GROSS SALARIES 59847,B100000,00000,0400,00000ACCUM COST 59847,B100000,00000,0500,00000SQUARE FEET 59847,B100000,00000,0600,00000PATIENT DAYS 59847,B100000,00000,0700,00000SQUARE FEET 59847,B100000,00000,0800,00000MEALS SERVED 59847,B100000,00000,0900,00000DIRECT NRSG HRS 59847,B100000,00000,1000,00000COSTED REQUIS 59847,B100000,00000,1200,00000GROSS REVENUE 59847,B100000,00000,1300,00000PATIENT DAYS 59847,B100000,00000,1350,00000PATIENT DAYS 59847,E10A180,00302,0100,08/17/1999 59847,E10A180,00501,0100,02/22/2000 59847,E10A180,00550,0300,02/22/2000 59847,S000000,00100,0200,02/07/2000 59847,S200000,00100,0100,502 NORTH KIMBALL PLACE 59847,S200000,00200,0100,BOISE 59847,S200000,00200,0200,ID 59847,S200000,00200,0300,83704 59847,S200000,00300,0100,ADA 59847,S200000,00400,0100,LIFE CARE CENTER OF TREASURE VALLEY 59847,S200000,00400,0200,135123 59847,S200000,00400,0300,11/26/1996 59847,S200000,00400,0500,P 59847,S200000,01500,0100,Y 59847,S200000,04100,0100,Y 59847,S200000,04300,0100,Y 59847,S200000,04700,0100,Y 59847,S200000,04900,0100,Y 59856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59856,A000000,00300,0000,00300EMPLOYEE BENEFITS 59856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59856,A000000,00700,0000,00700HOUSEKEEPING 59856,A000000,00800,0000,00800DIETARY 59856,A000000,00900,0000,00900NURSING ADMINISTRATION 59856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59856,A000000,01300,0000,01300SOCIAL SERVICE 59856,A000000,01350,0000,01500ACTIVITIES 59856,A000000,01600,0000,01600SKILLED NURSING FACILITY 59856,A000000,02300,0000,02300INTRAVENOUS THERAPY 59856,A000000,02500,0000,02500PHYSICAL THERAPY 59856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59856,A000000,02700,0000,02700SPEECH PATHOLOGY 59856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59856,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59856,A81000A,00100,0100,Y 59856,A81000B,00100,0300,HOME OFFICE COSTS 59856,A81000B,00200,0300,INTEREST 59856,A81000B,00300,0300,Y2K CONVERSION 59856,A81000B,00400,0300,PT ALLOCATION 59856,A81000B,00500,0300,OT ALLOCATION 59856,A81000B,00600,0300,ST ALLOCATION 59856,A81000B,00700,0300,EQUIPMENT LEASING 59856,A81000B,00800,0300,INTERIOR DESIGN 59856,A81000B,00900,0300,EQUIPMENT LEASING 59856,A81000C,00100,0100,A 59856,A81000C,00100,0200,FORREST PRESTON 59856,A81000C,00100,0400,LIFE CARE CENTE 59856,A81000C,00100,0600,NURSING HOME MN 59856,A81000C,00200,0100,A 59856,A81000C,00200,0200,FORREST PRESTON 59856,A81000C,00200,0400,LIFE CARE DESIG 59856,A81000C,00200,0600,FURNITURE/FIXTU 59856,A81000C,00300,0100,A 59856,A81000C,00300,0200,FORREST PRESTON 59856,A81000C,00300,0400,HCE LEASING 59856,A81000C,00300,0600,VEH/COMPUTER LE 59856,B100000,00000,0100,00000SQUARE FEET 59856,B100000,00000,0200,00000SQUARE FEET 59856,B100000,00000,0300,00000GROSS SALARIES 59856,B100000,00000,0400,00000ACCUM COST 59856,B100000,00000,0500,00000SQUARE FEET 59856,B100000,00000,0600,00000PATIENT DAYS 59856,B100000,00000,0700,00000HOURS OF SERVICE 59856,B100000,00000,0800,00000MEALS SERVED 59856,B100000,00000,0900,00000DIRECT NRSG HRS 59856,B100000,00000,1000,00000COSTED REQUIS 59856,B100000,00000,1200,00000GROSS REVENUE 59856,B100000,00000,1300,00000PATIENT DAYS 59856,B100000,00000,1350,00000PATIENT DAYS 59856,S000000,00100,0200,10/31/2000 59856,S200000,00100,0100,1125 NORTH DIVISION STREET 59856,S200000,00200,0100,SANDPOINT 59856,S200000,00200,0200,ID 59856,S200000,00200,0300,83864 59856,S200000,00300,0100,BONNER 59856,S200000,00400,0100,LIFE CARE CENTER OF SANDPOINT 59856,S200000,00400,0200,135127 59856,S200000,00400,0300,09/22/1997 59856,S200000,00400,0500,P 59856,S200000,01500,0100,Y 59856,S200000,04100,0100,Y 59856,S200000,04300,0100,Y 59863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59863,A000000,00300,0000,00300EMPLOYEE BENEFITS 59863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59863,A000000,00700,0000,00700HOUSEKEEPING 59863,A000000,00800,0000,00800DIETARY 59863,A000000,00900,0000,00900NURSING ADMINISTRATION 59863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59863,A000000,01100,0000,01100PHARMACY 59863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59863,A000000,01300,0000,01300SOCIAL SERVICE 59863,A000000,01350,0000,01500ACTIVITIES 59863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59863,A000000,01600,0000,01600SKILLED NURSING FACILITY 59863,A000000,01810,0000,01810ICF/MR 59863,A000000,02100,0000,02100RADIOLOGY 59863,A000000,02200,0000,02200LABORATORY 59863,A000000,02300,0000,02300INTRAVENOUS THERAPY 59863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59863,A000000,02500,0000,02500PHYSICAL THERAPY 59863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59863,A000000,02700,0000,02700SPEECH PATHOLOGY 59863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59863,A000000,03550,0000,03550FQHC 59863,A000000,05000,0000,05000CORF 59863,A000000,05010,0000,05010CMHC 59863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 59863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59863,A000000,06150,0000,06300DAY CARE 59863,A81000A,00100,0100,Y 59863,A81000B,00100,0300,HOME OFFICE COSTS 59863,A81000B,00200,0300,INTEREST 59863,A81000B,00300,0300,Y2K CONVERSION 59863,A81000B,00400,0300,PT ALLOCATION 59863,A81000B,00500,0300,OT ALLOCATION 59863,A81000B,00600,0300,ST ALLOCATION 59863,A81000B,00700,0300,HCE BUS LEASE 59863,A81000B,00800,0300,HCE BUS LEASE 59863,A81000B,00900,0300,INTERIOR DESIGN - 98 59863,A81000B,01000,0300,INTERIOR DESIGN - 99 59863,A81000B,01100,0300,CONSTRUCTION COST 59863,A81000C,00100,0100,A 59863,A81000C,00100,0200,FORREST PRESTON 59863,A81000C,00100,0400,LIFE CARE CENTE 59863,A81000C,00100,0600,NURSING HOME MG 59863,A81000C,00200,0100,A 59863,A81000C,00200,0200,FORREST PRESTON 59863,A81000C,00200,0400,LIFE CARE DESIG 59863,A81000C,00200,0600,FURNITURE/FIXTU 59863,A81000C,00300,0100,A 59863,A81000C,00300,0200,FORREST PRESTON 59863,A81000C,00300,0400,HCE LEASING 59863,A81000C,00300,0600,VEH/COMP LEASIN 59863,A81000C,00400,0100,A 59863,A81000C,00400,0200,FORREST PRESTON 59863,A81000C,00400,0400,CONSTRUCTION EN 59863,A81000C,00400,0600,NURSING HOME CO 59863,B100000,00000,0100,00000SQUARE FEET 59863,B100000,00000,0200,00000SQUARE FEET 59863,B100000,00000,0300,00000GROSS SALARIES 59863,B100000,00000,0400,00000ACCUM COST 59863,B100000,00000,0500,00000SQUARE FEET 59863,B100000,00000,0600,00000PATIENT DAYS 59863,B100000,00000,0700,00000SQUARE FEET 59863,B100000,00000,0800,00000MEALS SERVED 59863,B100000,00000,0900,00000DIRECT NRSG HRS 59863,B100000,00000,1000,00000COSTED REQUIS 59863,B100000,00000,1100,00000COSTED REQUIS 59863,B100000,00000,1200,00000GROSS REVENUE 59863,B100000,00000,1300,00000PATIENT DAYS 59863,B100000,00000,1350,00000PATIENT DAYS 59863,B100000,00000,1400,00000ASSIGNED TIME 59863,S000000,00100,0200,10/31/2000 59863,S200000,00100,0100,325 WARNER DRIVE 59863,S200000,00200,0100,LEWISTON 59863,S200000,00200,0200,ID 59863,S200000,00200,0300,83501 59863,S200000,00300,0100,NEZ PERCE 59863,S200000,00400,0100,LIFE CARE CENTER OF LEWISTON 59863,S200000,00400,0200,135128 59863,S200000,00400,0300,10/15/1997 59863,S200000,00400,0500,P 59863,S200000,01500,0100,Y 59863,S200000,04100,0100,Y 59863,S200000,04300,0100,Y 59867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59867,A000000,00300,0000,00300EMPLOYEE BENEFITS 59867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59867,A000000,00700,0000,00700HOUSEKEEPING 59867,A000000,00800,0000,00800DIETARY 59867,A000000,00900,0000,00900NURSING ADMINISTRATION 59867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59867,A000000,01100,0000,01100PHARMACY 59867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59867,A000000,01300,0000,01300SOCIAL SERVICE 59867,A000000,01301,0000,01301ACTIVITIES 59867,A000000,01350,0000,01500OTHER GENERAL SERVICES 59867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59867,A000000,01600,0000,01600SKILLED NURSING FACILITY 59867,A000000,01800,0000,01800NURSING FACILITY 59867,A000000,01810,0000,01810ICF/MR 59867,A000000,02100,0000,02100RADIOLOGY 59867,A000000,02200,0000,02200LABORATORY 59867,A000000,02300,0000,02300INTRAVENOUS THERAPY 59867,A000000,02500,0000,02500PHYSICAL THERAPY 59867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59867,A000000,02700,0000,02700SPEECH PATHOLOGY 59867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59867,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59867,A000000,03201,0000,03201PART B SERVICES 59867,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59867,A000000,03550,0000,03550FQHC 59867,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59867,A000000,05000,0000,05000CORF 59867,A000000,05010,0000,05010CMHC 59867,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59867,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59867,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59867,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59867,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59867,A81000A,00100,0100,Y 59867,A81000B,00100,0300,BUILDING DEPRECIATION 59867,A81000B,00200,0300,MISCELLANEOUS TAXES 59867,A81000B,00300,0300,DEBT SERVICE INTEREST 59867,A81000B,00400,0300,DEBT SERVICE INTEREST 59867,A81000B,00500,0300,CAPITAL RELATED - HOME OFFICE 59867,A81000B,00600,0300,ADMINISTRATIVE - HOME OFFICE 59867,A81000C,00100,0100,B 59867,A81000C,00100,0200,RSN INC. 59867,A81000C,00100,0400,GENESIS HEALTH VENTURES 59867,A81000C,00100,0600,PROPERTY OWNER 59867,A81000C,00200,0100,B 59867,A81000C,00200,0200,RSN INC. 59867,A81000C,00200,0400,GENESIS HEALTH VENTURES 59867,A81000C,00200,0600,PROPERTY OWNER 59867,A81000C,00300,0100,B 59867,A81000C,00300,0200,RSN INC. 59867,A81000C,00300,0400,GENESIS HEALTH VENTURES 59867,A81000C,00300,0600,PROPERTY OWNER 59867,A81000C,00400,0100,B 59867,A81000C,00400,0200,GENESIS HEALTH VENTURES 59867,A81000C,00400,0400,GENESIS HEALTH VENTURES 59867,A81000C,00400,0600,MANAGEMENT COMPANY 59867,A81000C,00500,0100,B 59867,A81000C,00500,0200,GENESIS HEALTH VENTURES 59867,A81000C,00500,0400,GENESIS HEALTH VENTURES 59867,A81000C,00500,0600,MANAGEMENT COMPANY 59867,A81000C,00600,0100,B 59867,A81000C,00600,0200,GENESIS HEALTH VENTURE 59867,A81000C,00600,0400,GENESIS HEALTH VENTURES 59867,A81000C,00600,0600,MANAGEMENT COMPANY 59867,B100000,00000,0100,00000SQUARE FEET 59867,B100000,00000,0200,00000SQUARE FEET 59867,B100000,00000,0300,00000GROSS SALARIES 59867,B100000,00000,0400,00000ACCUM. COST 59867,B100000,00000,0500,00000SQUARE FEET 59867,B100000,00000,0600,00000PATIENT DAYS 59867,B100000,00000,0700,00000SQUARE FEET 59867,B100000,00000,0800,00000MEALS SERVED 59867,B100000,00000,0900,00000DIRECT NRSING HRS 59867,B100000,00000,1000,00000PATIENT DAYS 59867,B100000,00000,1100,00000COSTED REQUIS. 59867,B100000,00000,1200,00000PATIENT DAYS 59867,B100000,00000,1300,00000PATIENT DAYS 59867,B100000,00000,1301,00000PATIENT DAYS 59867,B100000,00000,1350,00000TIME SPENT 59867,B100000,00000,1400,00000PATIENT DAYS 59867,E10A180,00501,0300,07/03/2000 59867,S000000,00100,0200,06/07/2000 59867,S200000,00100,0100,578 WEST COMMERCIAL STREET 59867,S200000,00200,0100,MARSEILLES 59867,S200000,00200,0200,IL 59867,S200000,00200,0300,61341 59867,S200000,00300,0100,LASALLE 59867,S200000,00400,0100,RIVERSHORES CENTERS 59867,S200000,00400,0200,145295 59867,S200000,00400,0300,06/27/1975 59867,S200000,00400,0500,P 59867,S200000,01600,0100,Y 59870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59870,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59870,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59870,A000000,00300,0000,00300EMPLOYEE BENEFITS 59870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59870,A000000,00700,0000,00700HOUSEKEEPING 59870,A000000,00800,0000,00800DIETARY 59870,A000000,00801,0000,00801CAFETERIA 59870,A000000,00900,0000,00900NURSING ADMINISTRATION 59870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59870,A000000,01100,0000,01100PHARMACY 59870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59870,A000000,01300,0000,01300SOCIAL SERVICE 59870,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 59870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59870,A000000,01600,0000,01600SKILLED NURSING FACILITY 59870,A000000,01800,0000,01800NURSING FACILITY 59870,A000000,01810,0000,01810ICF/MR 59870,A000000,02200,0000,02200LABORATORY 59870,A000000,02300,0000,02300INTRAVENOUS THERAPY 59870,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59870,A000000,02500,0000,02500PHYSICAL THERAPY 59870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59870,A000000,02700,0000,02700SPEECH PATHOLOGY 59870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59870,A000000,03050,0000,03300PART B SERVICES 59870,A000000,03051,0000,03301OTHER ANCILLARY II 59870,A000000,03052,0000,03302OTHER ANCILLARY III 59870,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59870,A000000,03550,0000,03550FQHC 59870,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59870,A000000,05000,0000,05000CORF I 59870,A000000,05010,0000,05010CMHC I 59870,A000000,05020,0000,05020OPT I 59870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59870,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59870,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59870,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59870,A81000A,00100,0100,Y 59870,A81000B,00100,0300,HOME OFFICE CAP DEB 59870,A81000B,00200,0300,HOME OFFICE ADMINIS 59870,A81000C,00100,0100,B 59870,A81000C,00100,0400,GENESIS HEALTH 59870,A81000C,00100,0600,MANAGEMENT CO 59870,A81000C,00200,0100,B 59870,A81000C,00200,0400,GENESIS HEALTH 59870,A81000C,00200,0600,MANAGEMENT CO 59870,B100000,00000,0100,00000(SQUARE FEET) 59870,B100000,00000,0101,00000(SQUARE FEET) 59870,B100000,00000,0200,00000(DOLLAR VALUE) 59870,B100000,00000,0201,00000(SQUARE FEET) 59870,B100000,00000,0300,00000(GROSS SALARIES) 59870,B100000,00000,0400,00000(ACCUM. COST) 59870,B100000,00000,0500,00000(SQUARE FEET) 59870,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59870,B100000,00000,0700,00000(HOURS OF SERVICE) 59870,B100000,00000,0800,00000(MEALS SERVED) 59870,B100000,00000,0801,00000(MEALS SERVED) 59870,B100000,00000,0900,00000(DIRECT NRSING HRS 59870,B100000,00000,1000,00000(COSTED REQUIS.) 59870,B100000,00000,1100,00000(COSTED REQUIS.) 59870,B100000,00000,1200,00000(TIME SPENT) 59870,B100000,00000,1300,00000(TIME SPENT) 59870,B100000,00000,1350,00000TIME SPENT 59870,B100000,00000,1400,00000(ASSIGNED TIME) 59870,S000000,00100,0200,06/07/2000 59870,S200000,00100,0100,701 SOUTH MAIN STREET 59870,S200000,00200,0100,FARMINGTON 59870,S200000,00200,0200,IL 59870,S200000,00200,0300,61531 59870,S200000,00300,0100,FULTON 59870,S200000,00400,0100,FARMINGTON CENTER 59870,S200000,00400,0200,145404 59870,S200000,00400,0300,07/01/1985 59870,S200000,00400,0500,P 59870,S200000,01600,0100,Y 59872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59872,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59872,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59872,A000000,00300,0000,00300EMPLOYEE BENEFITS 59872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59872,A000000,00700,0000,00700HOUSEKEEPING 59872,A000000,00800,0000,00800DIETARY 59872,A000000,00801,0000,00801CAFETERIA 59872,A000000,00900,0000,00900NURSING ADMINISTRATION 59872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59872,A000000,01100,0000,01100PHARMACY 59872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59872,A000000,01300,0000,01300SOCIAL SERVICE 59872,A000000,01350,0000,01500ACTIVITIES 59872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59872,A000000,01600,0000,01600SKILLED NURSING FACILITY 59872,A000000,01800,0000,01800NURSING FACILITY 59872,A000000,01810,0000,01810ICF/MR 59872,A000000,02100,0000,02100RADIOLOGY 59872,A000000,02200,0000,02200LABORATORY 59872,A000000,02300,0000,02300INTRAVENOUS THERAPY 59872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59872,A000000,02500,0000,02500PHYSICAL THERAPY 59872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59872,A000000,02700,0000,02700SPEECH PATHOLOGY 59872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59872,A000000,03050,0000,03300OTHER ANCILLARY 59872,A000000,03051,0000,03301OTHER ANCILLARY II 59872,A000000,03052,0000,03302OTHER ANCILLARY III 59872,A000000,03200,0000,03200SUPPORT SURFACES 59872,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59872,A000000,03550,0000,03550FQHC 59872,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59872,A000000,05000,0000,05000CORF I 59872,A000000,05010,0000,05010CMHC I 59872,A000000,05020,0000,05020OPT I 59872,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59872,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59872,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59872,A81000A,00100,0100,Y 59872,A81000B,00100,0300,REAL ESTATE TAXES 59872,A81000B,00200,0300,DEPRECIATION 59872,A81000B,00300,0300,A&G COSTS 59872,A81000B,00400,0300,DEBT SERVICE INTEREST 59872,A81000B,00500,0300,H.O. CAP. INTEREST 59872,A81000B,00600,0300,H.O. - ADMIN. 59872,A81000C,00100,0100,B 59872,A81000C,00100,0200,CHNR-1 INC. 59872,A81000C,00100,0400,MULTICARE 59872,A81000C,00100,0600,PROPERTY OWNER 59872,A81000C,00200,0100,B 59872,A81000C,00200,0200,CHNR-1 INC. 59872,A81000C,00200,0400,MULTICARE 59872,A81000C,00200,0600,PROPERTY OWNER 59872,A81000C,00300,0100,B 59872,A81000C,00300,0200,CHNR-1 INC. 59872,A81000C,00300,0400,MULTICARE 59872,A81000C,00300,0600,PROPERTY OWNER 59872,A81000C,00400,0100,B 59872,A81000C,00400,0400,GHV 59872,A81000C,00400,0600,MANAGEMENT CO. 59872,A81000C,00500,0100,B 59872,A81000C,00500,0400,GHV 59872,A81000C,00500,0600,MANAGEMENT CO. 59872,A81000C,00600,0100,B 59872,A81000C,00600,0400,GHV 59872,A81000C,00600,0600,MANAGEMENT CO. 59872,B100000,00000,0100,00000(SQUARE FEET) 59872,B100000,00000,0101,00000(SQUARE FEET) 59872,B100000,00000,0200,00000(DOLLAR VALUE) 59872,B100000,00000,0201,00000(SQUARE FEET) 59872,B100000,00000,0300,00000(GROSS SALARIES) 59872,B100000,00000,0400,00000(ACCUM. COST) 59872,B100000,00000,0500,00000(SQUARE FEET) 59872,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59872,B100000,00000,0700,00000(HOURS OF SERVICE) 59872,B100000,00000,0800,00000(MEALS SERVED) 59872,B100000,00000,0801,00000(MEALS SERVED) 59872,B100000,00000,0900,00000(NURSING SALARIES) 59872,B100000,00000,1000,00000(COSTED REQUIS.) 59872,B100000,00000,1100,00000(COSTED REQUIS.) 59872,B100000,00000,1200,00000(TIME SPENT) 59872,B100000,00000,1300,00000(TIME SPENT) 59872,B100000,00000,1350,00000ASSIGNED TIME 59872,B100000,00000,1400,00000(ASSIGNED TIME) 59872,S000000,00100,0200,06/07/2000 59872,S200000,00100,0100,515 S. 6TH ST. 59872,S200000,00200,0100,PRINCETON 59872,S200000,00200,0200,IL 59872,S200000,00200,0300,61356 59872,S200000,00300,0100,BUREAU 59872,S200000,00400,0100,COLONIAL HALL CENTER 59872,S200000,00400,0200,145437 59872,S200000,00400,0300,01/28/1982 59872,S200000,00400,0500,P 59872,S200000,01600,0100,Y 59875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59875,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 59875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59875,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 59875,A000000,00300,0000,00300EMPLOYEE BENEFITS 59875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59875,A000000,00700,0000,00700HOUSEKEEPING 59875,A000000,00800,0000,00800DIETARY 59875,A000000,00801,0000,00801CAFETERIA 59875,A000000,00900,0000,00900NURSING ADMINISTRATION 59875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59875,A000000,01100,0000,01100PHARMACY 59875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59875,A000000,01300,0000,01300SOCIAL SERVICE 59875,A000000,01350,0000,01500ACTIVITIES 59875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59875,A000000,01600,0000,01600SKILLED NURSING FACILITY 59875,A000000,01800,0000,01800NURSING FACILITY 59875,A000000,01810,0000,01810ICF/MR 59875,A000000,02100,0000,02100RADIOLOGY 59875,A000000,02200,0000,02200LABORATORY 59875,A000000,02300,0000,02300INTRAVENOUS THERAPY 59875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59875,A000000,02500,0000,02500PHYSICAL THERAPY 59875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59875,A000000,02700,0000,02700SPEECH PATHOLOGY 59875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59875,A000000,03050,0000,03300PART B SERVICES 59875,A000000,03051,0000,03301OTHER ANCILLARY II 59875,A000000,03052,0000,03302OTHER ANCILLARY III 59875,A000000,03200,0000,03200SUPPORT SURFACES 59875,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 59875,A000000,03550,0000,03550FQHC 59875,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59875,A000000,05000,0000,05000CORF I 59875,A000000,05010,0000,05010CMHC I 59875,A000000,05020,0000,05020OPT I 59875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59875,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 59875,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 59875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59875,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59875,A81000A,00100,0100,Y 59875,A81000B,00100,0300,DEBT SERV INTEREST 59875,A81000B,00200,0300,HOME OFF CAP INTEREST 59875,A81000B,00300,0300,HOME OFF ADMIN 59875,A81000B,00400,0300,BUILDING DEPREC 59875,A81000B,00500,0300,A&G EXPENSE 59875,A81000C,00100,0100,B 59875,A81000C,00100,0400,GENESIS HEALTH 59875,A81000C,00100,0600,MANAGEMENT CO 59875,A81000C,00200,0100,B 59875,A81000C,00200,0400,GENESIS HEALTH 59875,A81000C,00200,0600,MANAGEMENT CO 59875,A81000C,00300,0100,B 59875,A81000C,00300,0400,GENESIS HEALTH 59875,A81000C,00300,0600,MANAGEMENT CO 59875,A81000C,00400,0100,B 59875,A81000C,00400,0200,CVNR INC. 59875,A81000C,00400,0400,MULTICARE 59875,A81000C,00400,0600,PROPERTY OWNER 59875,A81000C,00500,0100,B 59875,A81000C,00500,0200,CVNR INC. 59875,A81000C,00500,0400,MULTICARE 59875,A81000C,00500,0600,PROPERTY OWNER 59875,B100000,00000,0100,00000(SQUARE FEET) 59875,B100000,00000,0101,00000(SQUARE FEET) 59875,B100000,00000,0200,00000(DOLLAR VALUE) 59875,B100000,00000,0201,00000(SQUARE FEET) 59875,B100000,00000,0300,00000(GROSS SALARIES) 59875,B100000,00000,0400,00000(ACCUM. COST) 59875,B100000,00000,0500,00000(SQUARE FEET) 59875,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59875,B100000,00000,0700,00000(HOURS OF SERVICE) 59875,B100000,00000,0800,00000(MEALS SERVED) 59875,B100000,00000,0801,00000(MEALS SERVED) 59875,B100000,00000,0900,00000(DIRECT NRSING HRS 59875,B100000,00000,1000,00000(COSTED REQUIS.) 59875,B100000,00000,1100,00000(COSTED REQUIS.) 59875,B100000,00000,1200,00000(TIME SPENT) 59875,B100000,00000,1300,00000(TIME SPENT) 59875,B100000,00000,1350,00000ASSIGNED TIME 59875,B100000,00000,1400,00000(ASSIGNED TIME) 59875,S000000,00100,0200,06/07/2000 59875,S200000,00100,0100,7050 MADISON STREET 59875,S200000,00200,0100,WILLOWBROOK 59875,S200000,00200,0200,IL 59875,S200000,00200,0300,60521 59875,S200000,00300,0100,DUPAGE 59875,S200000,00400,0100,CHATEAU CENTER 59875,S200000,00400,0200,145614 59875,S200000,00400,0300,06/06/1989 59875,S200000,00400,0500,P 59875,S200000,01600,0100,Y 59878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59878,A000000,00300,0000,00300EMPLOYEE BENEFITS 59878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59878,A000000,00700,0000,00700HOUSEKEEPING 59878,A000000,00800,0000,00800DIETARY 59878,A000000,00900,0000,00900NURSING ADMINISTRATION 59878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59878,A000000,01100,0000,01100PHARMACY 59878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59878,A000000,01300,0000,01300SOCIAL SERVICE 59878,A000000,01301,0000,01301ACTIVITIES 59878,A000000,01350,0000,01500OTHER GENERAL SERVICES 59878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59878,A000000,01600,0000,01600SKILLED NURSING FACILITY 59878,A000000,01800,0000,01800NURSING FACILITY 59878,A000000,01810,0000,01810ICF/MR 59878,A000000,02100,0000,02100RADIOLOGY 59878,A000000,02200,0000,02200LABORATORY 59878,A000000,02300,0000,02300INTRAVENOUS THERAPY 59878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59878,A000000,02500,0000,02500PHYSICAL THERAPY 59878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59878,A000000,02700,0000,02700SPEECH PATHOLOGY 59878,A000000,02800,0000,02800ELECTROCARDIOLOGY 59878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59878,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59878,A000000,03201,0000,03201PART B SERVICES 59878,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59878,A000000,03550,0000,03550FQHC 59878,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59878,A000000,05000,0000,05000CORF 59878,A000000,05010,0000,05010CMHC 59878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59878,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59878,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59878,A81000A,00100,0100,Y 59878,A81000B,00100,0300,BUILDING EXPENSES 59878,A81000B,00200,0300,MISC TAXES 59878,A81000B,00300,0300,DEBT SERVICE INTEREST 59878,A81000B,00400,0300,HOME OFF CAP INTEREST 59878,A81000B,00500,0300,HOME OFF ADMIN COSTS 59878,A81000C,00100,0100,B 59878,A81000C,00100,0200,ENR INC 59878,A81000C,00100,0400,MULTICARE 59878,A81000C,00100,0600,PROPERTY OWNER 59878,A81000C,00200,0100,B 59878,A81000C,00200,0200,ENR INC 59878,A81000C,00200,0400,MULTICARE 59878,A81000C,00200,0600,PROPERTY OWNER 59878,A81000C,00300,0100,B 59878,A81000C,00300,0400,GENESIS HEALTH VENTURES 59878,A81000C,00300,0600,MANAGEMENT COMPANY 59878,A81000C,00400,0100,B 59878,A81000C,00400,0400,GENESIS HEALTH VENTURES 59878,A81000C,00400,0600,MANAGEMENT COMPANY 59878,A81000C,00500,0100,B 59878,A81000C,00500,0400,GENESIS HEALTH VENTURES 59878,A81000C,00500,0600,MANAGEMENT COMPANY 59878,B100000,00000,0100,00000SQUARE FEET 59878,B100000,00000,0200,00000DOLLAR VALUE 59878,B100000,00000,0300,00000GROSS SALARIES 59878,B100000,00000,0400,00000ACCUM. COST 59878,B100000,00000,0500,00000SQUARE FEET 59878,B100000,00000,0600,00000POUNDS OF LAUNDRY 59878,B100000,00000,0700,00000HOURS OF SERVICE 59878,B100000,00000,0800,00000MEALS SERVED 59878,B100000,00000,0900,00000DIRECT NRSING HRS 59878,B100000,00000,1000,00000COSTED REQUIS. 59878,B100000,00000,1100,00000COSTED REQUIS. 59878,B100000,00000,1200,00000TIME SPENT 59878,B100000,00000,1300,00000TIME SPENT 59878,B100000,00000,1301,00000PATIENT DAYS 59878,B100000,00000,1350,00000NO STATISTICS 59878,B100000,00000,1400,00000PATIENT DAYS 59878,S000000,00100,0200,06/07/2000 59878,S200000,00100,0100,1017 WEST GALENA BLVD 59878,S200000,00200,0100,AURORA 59878,S200000,00200,0200,IL 59878,S200000,00200,0300,60506 59878,S200000,00300,0100,KANE 59878,S200000,00400,0100,ELMWOOD CENTER 59878,S200000,00400,0200,145663 59878,S200000,00400,0300,01/01/1990 59878,S200000,00400,0500,P 59878,S200000,01600,0100,Y 59881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59881,A000000,00300,0000,00300EMPLOYEE BENEFITS 59881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59881,A000000,00700,0000,00700HOUSEKEEPING 59881,A000000,00800,0000,00800DIETARY 59881,A000000,00900,0000,00900NURSING ADMINISTRATION 59881,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59881,A000000,01100,0000,01100PHARMACY 59881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59881,A000000,01300,0000,01300SOCIAL SERVICE 59881,A000000,01301,0000,01301ACTIVITIES 59881,A000000,01350,0000,01500OTHER GENERAL SERVICES 59881,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59881,A000000,01600,0000,01600SKILLED NURSING FACILITY 59881,A000000,01800,0000,01800NURSING FACILITY 59881,A000000,01810,0000,01810ICF/MR 59881,A000000,02100,0000,02100RADIOLOGY 59881,A000000,02200,0000,02200LABORATORY 59881,A000000,02300,0000,02300INTRAVENOUS THERAPY 59881,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59881,A000000,02500,0000,02500PHYSICAL THERAPY 59881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59881,A000000,02700,0000,02700SPEECH PATHOLOGY 59881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59881,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59881,A000000,03201,0000,03201PART B SERVICES 59881,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59881,A000000,03550,0000,03550FQHC 59881,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59881,A000000,05000,0000,05000CORF 59881,A000000,05010,0000,05010CMHC 59881,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59881,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59881,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59881,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59881,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59881,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59881,A81000A,00100,0100,Y 59881,A81000B,00100,0300,DEBT SERVICE INTEREST 59881,A81000B,00200,0300,HOME OFF CAP INTEREST 59881,A81000B,00300,0300,HOME OFF ADMIN EXP 59881,A81000B,00400,0300,BUILDING DEPN 59881,A81000B,00500,0300,A & G COSTS 59881,A81000C,00100,0100,B 59881,A81000C,00100,0400,GENESIS HEALTH VENTURES 59881,A81000C,00100,0600,MANAGEMENT COMPANY 59881,A81000C,00200,0100,B 59881,A81000C,00200,0400,GENESIS HEALTH VENTURES 59881,A81000C,00200,0600,MANAGEMENT COMPANY 59881,A81000C,00300,0100,B 59881,A81000C,00300,0400,GENESIS HEALTH VENTURES 59881,A81000C,00300,0600,MANAGEMENT COMPANY 59881,A81000C,00400,0100,B 59881,A81000C,00400,0200,SVNR INC. 59881,A81000C,00400,0400,MULTICARE 59881,A81000C,00400,0600,PROPERTY OWNER 59881,A81000C,00500,0100,B 59881,A81000C,00500,0200,SVNR INC.\ 59881,A81000C,00500,0400,MULTICARE 59881,A81000C,00500,0600,PROPERTY OWNER 59881,B100000,00000,0100,00000SQUARE FEET 59881,B100000,00000,0200,00000DOLLAR VALUE 59881,B100000,00000,0300,00000GROSS SALARIES 59881,B100000,00000,0400,00000ACCUM. COST 59881,B100000,00000,0500,00000SQUARE FEET 59881,B100000,00000,0600,00000POUNDS OF LAUNDRY 59881,B100000,00000,0700,00000HOURS OF SERVICE 59881,B100000,00000,0800,00000MEALS SERVED 59881,B100000,00000,0900,00000DIRECT NRSING HRS 59881,B100000,00000,1000,00000COSTED REQUIS. 59881,B100000,00000,1100,00000COSTED REQUIS. 59881,B100000,00000,1200,00000TIME SPENT 59881,B100000,00000,1300,00000TIME SPENT 59881,B100000,00000,1301,00000PATIENT DAYS 59881,B100000,00000,1350,00000NO STATISTICS 59881,B100000,00000,1400,00000PATIENT DAYS 59881,S000000,00100,0200,06/07/2000 59881,S200000,00100,0100,5000 LINCOLN AVENUE 59881,S200000,00200,0100,LISLE 59881,S200000,00200,0200,IL 59881,S200000,00200,0300,60532 59881,S200000,00300,0100,DUPAGE 59881,S200000,00400,0100,SNOW VALLEY CENTER 59881,S200000,00400,0200,145754 59881,S200000,00400,0300,05/24/1993 59881,S200000,00400,0500,P 59881,S200000,01600,0100,Y 59884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59884,A000000,00300,0000,00300EMPLOYEE BENEFITS 59884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59884,A000000,00700,0000,00700HOUSEKEEPING 59884,A000000,00800,0000,00800DIETARY 59884,A000000,00900,0000,00900NURSING ADMINISTRATION 59884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59884,A000000,01100,0000,01100PHARMACY 59884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59884,A000000,01300,0000,01300SOCIAL SERVICE 59884,A000000,01301,0000,01301ACTIVITIES 59884,A000000,01350,0000,01500OTHER GENERAL SERVICES 59884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59884,A000000,01600,0000,01600SKILLED NURSING FACILITY 59884,A000000,01800,0000,01800NURSING FACILITY 59884,A000000,01810,0000,01810ICF/MR 59884,A000000,02100,0000,02100RADIOLOGY 59884,A000000,02200,0000,02200LABORATORY 59884,A000000,02300,0000,02300INTRAVENOUS THERAPY 59884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59884,A000000,02500,0000,02500PHYSICAL THERAPY 59884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59884,A000000,02700,0000,02700SPEECH PATHOLOGY 59884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59884,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59884,A000000,03201,0000,03201PART B SERVICES 59884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59884,A000000,03550,0000,03550FQHC 59884,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59884,A000000,05000,0000,05000CORF 59884,A000000,05010,0000,05010CMHC 59884,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59884,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59884,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59884,A81000A,00100,0100,Y 59884,A81000B,00100,0300,BUILDING EXPENSES 59884,A81000B,00200,0300,A & G EXPENSES 59884,A81000B,00300,0300,DEBT SERVICE INTEREST 59884,A81000B,00400,0300,HOME OFF CAP INTEREST 59884,A81000B,00500,0300,HOME OFF ADMINISTRATIVE 59884,A81000C,00100,0100,B 59884,A81000C,00100,0200,LWNR INC. 59884,A81000C,00100,0400,MULTICARE 59884,A81000C,00100,0600,PROPERTY OWNER 59884,A81000C,00200,0100,B 59884,A81000C,00200,0200,LWNR INC. 59884,A81000C,00200,0400,MULTICARE 59884,A81000C,00200,0600,PROPERTY OWNER 59884,A81000C,00300,0100,B 59884,A81000C,00300,0400,GENESIS HEALTH VENTURES 59884,A81000C,00300,0600,MANAGEMENT COMPANY 59884,A81000C,00400,0100,B 59884,A81000C,00400,0400,GENESIS HEALTH VENTURES 59884,A81000C,00400,0600,MANAGEMENT COMPANY 59884,A81000C,00500,0100,B 59884,A81000C,00500,0400,GENESIS HEALTH VENTURES 59884,A81000C,00500,0600,MANAGEMENT COMPANY 59884,B100000,00000,0100,00000SQUARE FEET 59884,B100000,00000,0200,00000DOLLAR VALUE 59884,B100000,00000,0300,00000GROSS SALARIES 59884,B100000,00000,0400,00000ACCUM. COST 59884,B100000,00000,0500,00000SQUARE FEET 59884,B100000,00000,0600,00000POUNDS OF LAUNDRY 59884,B100000,00000,0700,00000HOURS OF SERVICE 59884,B100000,00000,0800,00000MEALS SERVED 59884,B100000,00000,0900,00000DIRECT NRSING HRS 59884,B100000,00000,1000,00000COSTED REQUIS. 59884,B100000,00000,1100,00000COSTED REQUIS. 59884,B100000,00000,1200,00000TIME SPENT 59884,B100000,00000,1300,00000TIME SPENT 59884,B100000,00000,1301,00000PATIENT DAYS 59884,B100000,00000,1350,00000NO STATISTICS 59884,B100000,00000,1400,00000PATIENT DAYS 59884,S000000,00100,0200,06/07/2000 59884,S200000,00100,0100,1112 NORTH EASTERN AVE 59884,S200000,00200,0100,PLAINFIELD 59884,S200000,00200,0200,IL 59884,S200000,00200,0300,60544 59884,S200000,00300,0100,WILL 59884,S200000,00400,0100,LAKEWOOD CENTER 59884,S200000,00400,0200,145761 59884,S200000,00400,0300,07/07/1993 59884,S200000,00400,0500,P 59884,S200000,01600,0100,Y 59887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59887,A000000,00300,0000,00300EMPLOYEE BENEFITS 59887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59887,A000000,00700,0000,00700HOUSEKEEPING 59887,A000000,00800,0000,00800DIETARY 59887,A000000,00900,0000,00900NURSING ADMINISTRATION 59887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59887,A000000,01100,0000,01100PHARMACY 59887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59887,A000000,01300,0000,01300SOCIAL SERVICE 59887,A000000,01301,0000,01301ACTIVITIES 59887,A000000,01350,0000,01500OTHER GENERAL SERVICES 59887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59887,A000000,01600,0000,01600SKILLED NURSING FACILITY 59887,A000000,01800,0000,01800NURSING FACILITY 59887,A000000,01810,0000,01810ICF/MR 59887,A000000,02100,0000,02100RADIOLOGY 59887,A000000,02200,0000,02200LABORATORY 59887,A000000,02300,0000,02300INTRAVENOUS THERAPY 59887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59887,A000000,02500,0000,02500PHYSICAL THERAPY 59887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59887,A000000,02700,0000,02700SPEECH PATHOLOGY 59887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59887,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59887,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59887,A000000,03550,0000,03550FQHC 59887,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59887,A000000,05000,0000,05000CORF 59887,A000000,05010,0000,05010CMHC 59887,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59887,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59887,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59887,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59887,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59887,A81000A,00100,0100,Y 59887,B100000,00000,0100,00000SQUARE FEET 59887,B100000,00000,0200,00000SQUARE FEET 59887,B100000,00000,0300,00000GROSS SALARIES 59887,B100000,00000,0400,00000ACCUM. COST 59887,B100000,00000,0500,00000SQUARE FEET 59887,B100000,00000,0600,00000POUNDS OF LAUNDRY 59887,B100000,00000,0700,00000SQUARE FEET 59887,B100000,00000,0800,00000MEALS SERVED 59887,B100000,00000,0900,00000DIRECT NRSING HRS 59887,B100000,00000,1000,00000COSTED REQUIS. 59887,B100000,00000,1100,00000COSTED REQUIS. 59887,B100000,00000,1200,00000TIME SPENT 59887,B100000,00000,1300,00000TIME SPENT 59887,B100000,00000,1301,00000PATIENT DAYS 59887,B100000,00000,1350,00000TIME SPENT 59887,B100000,00000,1400,00000ASSIGNED TIME 59887,S000000,00100,0200,06/07/2000 59887,S200000,00100,0100,12550 S RIDGELAND AVE 59887,S200000,00200,0100,PALOS HEIGHT 59887,S200000,00200,0200,IL 59887,S200000,00200,0300,60463 59887,S200000,00300,0100,COOK 59887,S200000,00400,0100,RIDGELAND CENTER 59887,S200000,00400,0200,145779 59887,S200000,00400,0300,08/26/1993 59887,S200000,00400,0500,P 59887,S200000,01600,0100,Y 59890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59890,A000000,00300,0000,00300EMPLOYEE BENEFITS 59890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59890,A000000,00700,0000,00700HOUSEKEEPING 59890,A000000,00800,0000,00800DIETARY 59890,A000000,00900,0000,00900NURSING ADMINISTRATION 59890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59890,A000000,01100,0000,01100PHARMACY 59890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59890,A000000,01300,0000,01300SOCIAL SERVICE 59890,A000000,01301,0000,01301ACTIVITIES 59890,A000000,01350,0000,01500OTHER GENERAL SERVICES 59890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59890,A000000,01600,0000,01600SKILLED NURSING FACILITY 59890,A000000,01800,0000,01800NURSING FACILITY 59890,A000000,01810,0000,01810ICF/MR 59890,A000000,01900,0000,01900OTHER LONG TERM CARE 59890,A000000,02100,0000,02100RADIOLOGY 59890,A000000,02200,0000,02200LABORATORY 59890,A000000,02300,0000,02300INTRAVENOUS THERAPY 59890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59890,A000000,02500,0000,02500PHYSICAL THERAPY 59890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59890,A000000,02700,0000,02700SPEECH PATHOLOGY 59890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59890,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59890,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59890,A000000,03550,0000,03550FQHC 59890,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59890,A000000,05000,0000,05000CORF 59890,A000000,05010,0000,05010CMHC 59890,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59890,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59890,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59890,B100000,00000,0100,00000SQUARE FEET 59890,B100000,00000,0200,00000SQUARE FEET 59890,B100000,00000,0300,00000GROSS SALARIES 59890,B100000,00000,0400,00000ACCUM. COST 59890,B100000,00000,0500,00000SQUARE FEET 59890,B100000,00000,0600,00000POUNDS OF LAUNDRY 59890,B100000,00000,0700,00000SQUARE FEET 59890,B100000,00000,0800,00000MEALS SERVED 59890,B100000,00000,0900,00000DIRECT NRSING HRS 59890,B100000,00000,1000,00000COSTED REQUIS. 59890,B100000,00000,1100,00000PATIENT DAYS 59890,B100000,00000,1200,00000TIME SPENT 59890,B100000,00000,1300,00000TIME SPENT 59890,B100000,00000,1301,00000TIME SPENT 59890,B100000,00000,1350,00000TIME SPENT 59890,B100000,00000,1400,00000ASSIGNED TIME 59890,S000000,00100,0200,06/07/2000 59890,S200000,00100,0100,21020 KOSTNER AVENUE 59890,S200000,00200,0100,MATTESON 59890,S200000,00200,0200,IL 59890,S200000,00200,0300,60443 59890,S200000,00300,0100,COOK 59890,S200000,00400,0100,APPLEWOOD CENTER 59890,S200000,00400,0200,145781 59890,S200000,00400,0300,12/29/1993 59890,S200000,00400,0500,P 59890,S200000,01600,0100,Y 59893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59893,A000000,00300,0000,00300EMPLOYEE BENEFITS 59893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59893,A000000,00700,0000,00700HOUSEKEEPING 59893,A000000,00800,0000,00800DIETARY 59893,A000000,00900,0000,00900NURSING ADMINISTRATION 59893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59893,A000000,01100,0000,01100PHARMACY 59893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59893,A000000,01300,0000,01300SOCIAL SERVICE 59893,A000000,01301,0000,01301ACTIVITIES 59893,A000000,01350,0000,01500OTHER GENERAL SERVICES 59893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59893,A000000,01600,0000,01600SKILLED NURSING FACILITY 59893,A000000,01800,0000,01800NURSING FACILITY 59893,A000000,01810,0000,01810ICF/MR 59893,A000000,02100,0000,02100RADIOLOGY 59893,A000000,02200,0000,02200LABORATORY 59893,A000000,02300,0000,02300INTRAVENOUS THERAPY 59893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59893,A000000,02500,0000,02500PHYSICAL THERAPY 59893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59893,A000000,02700,0000,02700SPEECH PATHOLOGY 59893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59893,A000000,03001,0000,03001AIR FLUID THERAPY BEDS 59893,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 59893,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 59893,A000000,03550,0000,03550FQHC 59893,A000000,04750,0000,05100OTHER REIMBURSABLE COST 59893,A000000,05000,0000,05000CORF 59893,A000000,05010,0000,05010CMHC 59893,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59893,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59893,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59893,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 59893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59893,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 59893,A81000A,00100,0100,Y 59893,B100000,00000,0100,00000SQUARE FEET 59893,B100000,00000,0200,00000SQUARE FEET 59893,B100000,00000,0300,00000GROSS SALARIES 59893,B100000,00000,0400,00000ACCUM. COST 59893,B100000,00000,0500,00000SQUARE FEET 59893,B100000,00000,0600,00000POUNDS OF LAUNDRY 59893,B100000,00000,0700,00000SQUARE FEET 59893,B100000,00000,0800,00000MEALS SERVED 59893,B100000,00000,0900,00000GROSS SALARIES 59893,B100000,00000,1000,00000COSTED REQUIS. 59893,B100000,00000,1100,00000PATIENT DAYS 59893,B100000,00000,1200,00000TIME SPENT 59893,B100000,00000,1300,00000TIME SPENT 59893,B100000,00000,1301,00000TIME SPENT 59893,B100000,00000,1350,00000NO STATISTICS 59893,B100000,00000,1400,00000TIME SPENT 59893,S000000,00100,0200,06/07/2000 59893,S200000,00100,0100,12450 WALKER ROAD 59893,S200000,00200,0100,LEMONT 59893,S200000,00200,0200,IL 59893,S200000,00200,0300,60439 59893,S200000,00300,0100,COOK 59893,S200000,00400,0100,LEMONT CENTER 59893,S200000,00400,0200,145901 59893,S200000,00400,0300,05/31/1996 59893,S200000,00400,0500,P 59893,S200000,01600,0100,Y 59900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59900,A000000,00300,0000,00300EMPLOYEE BENEFITS 59900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59900,A000000,00700,0000,00700HOUSEKEEPING 59900,A000000,00800,0000,00800DIETARY 59900,A000000,00900,0000,00900NURSING ADMINISTRATION 59900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59900,A000000,01100,0000,01100PHARMACY 59900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59900,A000000,01300,0000,01300SOCIAL SERVICE 59900,A000000,01350,0000,01500ACTIVITIES 59900,A000000,01600,0000,01600SKILLED NURSING FACILITY 59900,A000000,01800,0000,01800NURSING FACILITY 59900,A000000,01810,0000,01810ICF/MR 59900,A000000,01900,0000,01900OTHER LONG TERM CARE 59900,A000000,02100,0000,02100RADIOLOGY 59900,A000000,02200,0000,02200LABORATORY 59900,A000000,02300,0000,02300INTRAVENOUS THERAPY 59900,A000000,02500,0000,02500PHYSICAL THERAPY 59900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59900,A000000,02700,0000,02700SPEECH PATHOLOGY 59900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59900,A000000,02901,0000,02901PEN THERAPY 59900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59900,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59900,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59900,A000000,03550,0000,03550FQHC 59900,A000000,05000,0000,05000CORF 59900,A000000,05010,0000,05010CMHC 59900,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59900,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59900,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59900,A81000A,00100,0100,Y 59900,A81000B,00100,0300,HOME OFFICE ALLOCATI 59900,A81000B,00200,0300,HOME OFFICE ALLOCATI 59900,A81000B,00300,0300,HOME OFFICE ALLOCATI 59900,A81000B,00400,0300,HOME OFFICE ALLOCATI 59900,A81000B,00500,0300,LIFE CARE DESIGN 59900,A81000B,00600,0300,INTEREST 59900,A81000B,00700,0300,DEPRECIATION 59900,A81000B,00800,0300,PHARMACY EXPENSE 59900,A81000B,00900,0300,PHARMACY C/S 59900,A81000B,01000,0300,DEPRECIATION 59900,A81000C,00100,0100,A 59900,A81000C,00100,0200,FORREST PRESTON 59900,A81000C,00100,0400,LCCA 59900,A81000C,00100,0600,HEALTH CARE MGM 59900,A81000C,00200,0100,A 59900,A81000C,00200,0200,FORREST PRESTON 59900,A81000C,00200,0400,LCCA 59900,A81000C,00200,0600,HEALTH CARE MGM 59900,A81000C,00300,0100,A 59900,A81000C,00300,0200,FORREST PRESTON 59900,A81000C,00300,0400,LCCA 59900,A81000C,00300,0600,HEALTH CARE MGM 59900,A81000C,00400,0100,A 59900,A81000C,00400,0200,FORREST PRESTON 59900,A81000C,00400,0400,LCCA 59900,A81000C,00400,0600,HEALTH CARE MGM 59900,A81000C,00500,0100,B 59900,A81000C,00500,0200,LCCA 59900,A81000C,00500,0400,LIFE CARE DESIG 59900,A81000C,00500,0600,FURNITURE & FIX 59900,A81000C,00600,0100,B 59900,A81000C,00600,0200,LCCA 59900,A81000C,00600,0400,INTEREST 59900,A81000C,00600,0600,COMPUTER LEASIN 59900,A81000C,00700,0100,A 59900,A81000C,00700,0200,FORREST PRESTON 59900,A81000C,00700,0400,LCCA 59900,A81000C,00700,0600,HEALTH CARE MGM 59900,A81000C,00800,0100,A 59900,A81000C,00800,0200,LCPSI 59900,A81000C,00800,0400,MEDILIFE 59900,A81000C,00800,0600,PHARMACY SERVIC 59900,A81000C,00900,0100,A 59900,A81000C,00900,0200,LCPSI 59900,A81000C,00900,0400,MEDILIFE 59900,A81000C,00900,0600,PHARMACY SERVIC 59900,A81000C,01000,0100,A 59900,A81000C,01000,0200,LCCA 59900,A81000C,01000,0400,HCE LEASING 59900,A81000C,01000,0600,EQUIPMENT LEASI 59900,B100000,00000,0100,00000(SQUARE FEET) 59900,B100000,00000,0200,00000(SQUARE FEET) 59900,B100000,00000,0300,00000(GROSS SALARIES) 59900,B100000,00000,0400,00000(ACCUM COST) 59900,B100000,00000,0500,00000(SQUARE FEET) 59900,B100000,00000,0600,00000PATIENT DAYS 59900,B100000,00000,0700,00000(SQUARE FEET) 59900,B100000,00000,0800,00000(MEALS SERVED) 59900,B100000,00000,0900,00000DIRECT NRSG HOURS 59900,B100000,00000,1000,00000(COSTED REQUIS) 59900,B100000,00000,1100,00000(COSTED REQUIS) 59900,B100000,00000,1200,00000GROSS REVENUES 59900,B100000,00000,1300,00000PATIENT DAYS 59900,B100000,00000,1350,00000PATIENT DAYS 59900,S000000,00100,0200,05/11/2000 59900,S200000,00100,0100,3118 GREEN VALLEY ROAD 59900,S200000,00200,0100,NEW ALBANY 59900,S200000,00200,0200,IN 59900,S200000,00200,0300,47150 59900,S200000,00300,0100,FLOYD 59900,S200000,00400,0100,GREEN VALLEY CARE CENTER 59900,S200000,00400,0200,155070 59900,S200000,00400,0300,04/09/1968 59900,S200000,00400,0500,P 59900,S200000,00400,0600,O 59900,S200000,01600,0100,Y 59900,S200000,02800,0100,Y 59900,S200000,04700,0100,Y 59900,S200000,04700,0200,Y 59909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59909,A000000,00300,0000,00300EMPLOYEE BENEFITS 59909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59909,A000000,00700,0000,00700HOUSEKEEPING 59909,A000000,00800,0000,00800DIETARY 59909,A000000,00900,0000,00900NURSING ADMINISTRATION 59909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59909,A000000,01100,0000,01100PHARMACY 59909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59909,A000000,01300,0000,01300SOCIAL SERVICE 59909,A000000,01350,0000,01500ACTIVITIES 59909,A000000,01600,0000,01600SKILLED NURSING FACILITY 59909,A000000,01800,0000,01800NURSING FACILITY 59909,A000000,01810,0000,01810ICF/MR 59909,A000000,02100,0000,02100RADIOLOGY 59909,A000000,02200,0000,02200LABORATORY 59909,A000000,02300,0000,02300INTRAVENOUS THERAPY 59909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59909,A000000,02500,0000,02500PHYSICAL THERAPY 59909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59909,A000000,02700,0000,02700SPEECH PATHOLOGY 59909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59909,A000000,02901,0000,02901PEN THERAPY 59909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59909,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59909,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59909,A81000A,00100,0100,Y 59909,A81000B,00100,0300,HOME OFFICE ALLOCATI 59909,A81000B,00200,0300,HOME OFFICE ALLOCATI 59909,A81000B,00300,0300,HOME OFFICE ALLOCATI 59909,A81000B,00400,0300,HOME OFFICE ALLOCATI 59909,A81000B,00500,0300,HCE 59909,A81000B,00600,0300,HCE 59909,A81000B,00700,0300,PHARMACY 59909,A81000B,00800,0300,PHARMACY C/S 59909,A81000B,00900,0300,LIFE CARE DESIGNS 59909,A81000B,01000,0300,INTEREST 59909,A81000B,01100,0300,DEPRECIATION 59909,A81000C,00100,0100,A 59909,A81000C,00100,0200,FORREST PRESTON 59909,A81000C,00100,0400,LCCA 59909,A81000C,00100,0600,HEALTH CARE MGM 59909,A81000C,00200,0100,A 59909,A81000C,00200,0200,FORREST PRESTON 59909,A81000C,00200,0400,LCCA 59909,A81000C,00200,0600,HEALTH CARE MGM 59909,A81000C,00300,0100,A 59909,A81000C,00300,0200,FORREST PRESTON 59909,A81000C,00300,0400,LCCA 59909,A81000C,00300,0600,HEALTH CARE MGM 59909,A81000C,00400,0100,A 59909,A81000C,00400,0200,FORREST PRESTON 59909,A81000C,00400,0400,LCCA 59909,A81000C,00400,0600,HEALTH CARE MGM 59909,A81000C,00500,0100,A 59909,A81000C,00500,0200,FORREST PRESTON 59909,A81000C,00500,0400,HCE LEASING 59909,A81000C,00500,0600,VEH/COMPUTER LE 59909,A81000C,00600,0100,A 59909,A81000C,00600,0200,FORREST PRESTON 59909,A81000C,00600,0400,HCE LEASING 59909,A81000C,00600,0600,VEH/COMPUTER LE 59909,A81000C,00700,0100,B 59909,A81000C,00700,0200,LCPSI 59909,A81000C,00700,0400,MEDILIFE 59909,A81000C,00700,0600,PHARMACY 59909,A81000C,00800,0100,B 59909,A81000C,00800,0200,LCPSI 59909,A81000C,00800,0400,MEDILIFE 59909,A81000C,00800,0600,PHARMACY 59909,A81000C,00900,0100,A 59909,A81000C,00900,0200,FORREST PRESTON 59909,A81000C,00900,0400,LCCA 59909,A81000C,00900,0600,HEALTH CARE MGM 59909,A81000C,01000,0100,A 59909,A81000C,01000,0200,FORREST PRESTON 59909,A81000C,01000,0400,LCCA 59909,A81000C,01000,0600,HEALTH CARE MGM 59909,A81000C,01100,0100,A 59909,A81000C,01100,0200,FORREST PRESTON 59909,A81000C,01100,0400,LCCA 59909,A81000C,01100,0600,HEALTH CARE MGM 59909,B100000,00000,0100,00000(SQUARE FEET) 59909,B100000,00000,0200,00000(SQUARE FEET) 59909,B100000,00000,0300,00000(GROSS SALARIES) 59909,B100000,00000,0400,00000(ACCUM COST) 59909,B100000,00000,0500,00000(SQUARE FEET) 59909,B100000,00000,0600,00000PATIENT DAYS 59909,B100000,00000,0700,00000(SQUARE FEET) 59909,B100000,00000,0800,00000(MEALS SERVED) 59909,B100000,00000,0900,00000DIRECT NRSG HOURS 59909,B100000,00000,1000,00000(COSTED REQUIS) 59909,B100000,00000,1100,00000(COSTED REQUIS) 59909,B100000,00000,1200,00000GROSS REVENUES 59909,B100000,00000,1300,00000PATIENT DAYS 59909,B100000,00000,1350,00000PATIENT DAYS 59909,S000000,00100,0200,05/18/2000 59909,S200000,00100,0100,1000 ELIZABETH STREET 59909,S200000,00200,0100,VALPARAISO 59909,S200000,00200,0200,IN 59909,S200000,00200,0300,46383 59909,S200000,00300,0100,PORTER 59909,S200000,00400,0100,THE WILLOWS 59909,S200000,00400,0200,155158 59909,S200000,00400,0300,04/01/1974 59909,S200000,00400,0500,P 59909,S200000,00400,0600,O 59909,S200000,01600,0100,Y 59919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59919,A000000,00300,0000,00300EMPLOYEE BENEFITS 59919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59919,A000000,00700,0000,00700HOUSEKEEPING 59919,A000000,00800,0000,00800DIETARY 59919,A000000,00900,0000,00900NURSING ADMINISTRATION 59919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59919,A000000,01100,0000,01100PHARMACY 59919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59919,A000000,01300,0000,01300SOCIAL SERVICE 59919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59919,A000000,01600,0000,01600SKILLED NURSING FACILITY 59919,A000000,01800,0000,01800NURSING FACILITY 59919,A000000,01810,0000,01810ICF/MR 59919,A000000,02100,0000,02100RADIOLOGY 59919,A000000,02200,0000,02200LABORATORY 59919,A000000,02300,0000,02300INTRAVENOUS THERAPY 59919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59919,A000000,02500,0000,02500PHYSICAL THERAPY 59919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59919,A000000,02700,0000,02700SPEECH PATHOLOGY 59919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59919,A000000,03550,0000,03550FQHC 59919,A000000,05000,0000,05000CORF 59919,A000000,05010,0000,05010CMHC 59919,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59919,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59919,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59919,A000000,05300,0000,05300INTEREST EXPENSE 59919,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59919,A81000A,00100,0100,Y 59919,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59919,A81000B,00200,0300,OFFSET EXCESS INTEREST INCOME 59919,A81000C,00100,0100,B 59919,A81000C,00100,0200,AMERICAN HEALTH 59919,A81000C,00200,0200,CENTERS 59919,B100000,00000,0100,00000(SQUARE FEET) 59919,B100000,00000,0200,00000(SQUARE FEET) 59919,B100000,00000,0300,00000(GROSS SALARIES) 59919,B100000,00000,0400,00000(ACCUM COST) 59919,B100000,00000,0500,00000(SQUARE FEET) 59919,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59919,B100000,00000,0700,00000(SQUARE FEET) 59919,B100000,00000,0800,00000(MEALS SERVED) 59919,B100000,00000,0900,00000(DIRECT NRSG HRS) 59919,B100000,00000,1000,00000(COSTED REQUIS) 59919,B100000,00000,1100,00000(COSTED REQUIS) 59919,B100000,00000,1200,00000(TIME SPENT) 59919,B100000,00000,1300,00000(TIME SPENT) 59919,B100000,00000,1400,00000ASSIGNED TIME 59919,S000000,00100,0200,03/23/2000 59919,S200000,00100,0100,1010 HORNADAY ROAD 59919,S200000,00100,0300,810 59919,S200000,00200,0100,BROWNSBURG 59919,S200000,00200,0200,IN 59919,S200000,00200,0300,46112 59919,S200000,00300,0100,HENDRICKS 59919,S200000,00400,0100,BROWNSBURG HEALTH CARE CENTER 59919,S200000,00400,0200,155206 59919,S200000,00400,0300,10/01/1973 59919,S200000,00400,0500,P 59919,S200000,00600,0200,155206 59919,S200000,00600,0300,10/01/1973 59919,S200000,00600,0600,P 59919,S200000,01600,0100,Y 59919,S200000,01900,0100,NON PROFIT 501C 59928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59928,A000000,00300,0000,00300EMPLOYEE BENEFITS 59928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59928,A000000,00700,0000,00700HOUSEKEEPING 59928,A000000,00800,0000,00800DIETARY 59928,A000000,00900,0000,00900NURSING ADMINISTRATION 59928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59928,A000000,01100,0000,01100PHARMACY 59928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59928,A000000,01300,0000,01300SOCIAL SERVICE 59928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59928,A000000,01600,0000,01600SKILLED NURSING FACILITY 59928,A000000,01800,0000,01800NURSING FACILITY 59928,A000000,01810,0000,01810ICF/MR 59928,A000000,02100,0000,02100RADIOLOGY 59928,A000000,02200,0000,02200LABORATORY 59928,A000000,02300,0000,02300INTRAVENOUS THERAPY 59928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59928,A000000,02500,0000,02500PHYSICAL THERAPY 59928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59928,A000000,02700,0000,02700SPEECH PATHOLOGY 59928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59928,A000000,03550,0000,03550FQHC 59928,A000000,05000,0000,05000CORF 59928,A000000,05010,0000,05010CMHC 59928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59928,A000000,05300,0000,05300INTEREST EXPENSE 59928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59928,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59928,A81000A,00100,0100,Y 59928,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 59928,A81000B,00200,0300,OFFSET EXCESS INTEREST INCOME 59928,A81000C,00100,0100,B 59928,A81000C,00100,0200,AMERICAN HEALTH 59928,A81000C,00200,0200,CENTERS INC. 59928,B100000,00000,0100,00000(SQUARE FEET) 59928,B100000,00000,0200,00000(SQUARE FEET) 59928,B100000,00000,0300,00000(GROSS SALARIES) 59928,B100000,00000,0400,00000(ACCUM COST) 59928,B100000,00000,0500,00000(SQUARE FEET) 59928,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59928,B100000,00000,0700,00000(SQUARE FEET) 59928,B100000,00000,0800,00000(MEALS SERVED) 59928,B100000,00000,0900,00000(DIRECT NRSG HRS) 59928,B100000,00000,1000,00000(COSTED REQUIS) 59928,B100000,00000,1100,00000(COSTED REQUIS) 59928,B100000,00000,1200,00000(TIME SPENT) 59928,B100000,00000,1300,00000(TIME SPENT) 59928,B100000,00000,1400,00000ASSIGNED TIME 59928,S000000,00100,0200,03/23/2000 59928,S200000,00100,0100,3700 CLARKS CREEK ROAD 59928,S200000,00100,0300,7 59928,S200000,00200,0100,PLAINFIELD 59928,S200000,00200,0200,IN 59928,S200000,00200,0300,46168 59928,S200000,00300,0100,HENDRICKS 59928,S200000,00400,0100,PLAINFIELD HEALTH CARE CENTER 59928,S200000,00400,0200,155215 59928,S200000,00400,0300,10/01/1973 59928,S200000,00400,0500,P 59928,S200000,00600,0200,155215 59928,S200000,00600,0300,10/01/1973 59928,S200000,00600,0600,P 59928,S200000,01600,0100,Y 59928,S200000,01900,0100,NON PROFIT 501C 59936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59936,A000000,00300,0000,00300EMPLOYEE BENEFITS 59936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59936,A000000,00700,0000,00700HOUSEKEEPING 59936,A000000,00800,0000,00800DIETARY 59936,A000000,00900,0000,00900NURSING ADMINISTRATION 59936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59936,A000000,01100,0000,01100PHARMACY 59936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59936,A000000,01300,0000,01300SOCIAL SERVICE 59936,A000000,01350,0000,01500ACTIVITIES 59936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59936,A000000,01600,0000,01600SKILLED NURSING FACILITY 59936,A000000,01800,0000,01800NURSING FACILITY 59936,A000000,01810,0000,01810ICF/MR 59936,A000000,02200,0000,02200LABORATORY 59936,A000000,02300,0000,02300INTRAVENOUS THERAPY 59936,A000000,02500,0000,02500PHYSICAL THERAPY 59936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59936,A000000,02700,0000,02700SPEECH PATHOLOGY 59936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59936,A000000,02901,0000,02901PEN THERAPY 59936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59936,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59936,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59936,A000000,03550,0000,03550FQHC 59936,A000000,05000,0000,05000CORF 59936,A000000,05010,0000,05010CMHC 59936,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59936,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59936,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59936,A81000A,00100,0100,Y 59936,A81000B,00100,0300,HOME OFFICE ALLOCATI 59936,A81000B,00200,0300,HOME OFFICE ALLOCATI 59936,A81000B,00300,0300,HOME OFFICE ALLOCATI 59936,A81000B,00400,0300,HOME OFFICE ALLOCATI 59936,A81000B,00500,0300,DEPRECIATION 59936,A81000B,00600,0300,LIFE CARE DESIGNS 59936,A81000B,00700,0300,HOME OFFICE INTEREST 59936,A81000B,00800,0300,PHARMACY EXPENSE 59936,A81000B,00900,0300,PHARMACY C/S 59936,A81000B,01000,0300,DEPRECIATION 59936,A81000C,00100,0100,A 59936,A81000C,00100,0200,FORREST PRESTON 59936,A81000C,00100,0400,LCCA 59936,A81000C,00100,0600,HEALTH CARE MGM 59936,A81000C,00200,0100,A 59936,A81000C,00200,0200,FORREST PRESTON 59936,A81000C,00200,0400,LCCA 59936,A81000C,00200,0600,HEALTH CARE MGM 59936,A81000C,00300,0100,A 59936,A81000C,00300,0200,FORREST PRESTON 59936,A81000C,00300,0400,LCCA 59936,A81000C,00300,0600,HEALTH CARE MGM 59936,A81000C,00400,0100,A 59936,A81000C,00400,0200,FORREST PRESTON 59936,A81000C,00400,0400,LCCA 59936,A81000C,00400,0600,HEALTH CARE MGM 59936,A81000C,00500,0100,A 59936,A81000C,00500,0200,FORREST PRESTON 59936,A81000C,00500,0400,HCE LEASING 59936,A81000C,00500,0600,VEH/COMPUTER LE 59936,A81000C,00600,0100,B 59936,A81000C,00600,0200,LCCA 59936,A81000C,00600,0400,LIFE CARE DESIG 59936,A81000C,00600,0600,FURNITURE & FIX 59936,A81000C,00700,0100,A 59936,A81000C,00700,0200,FORREST PRESTON 59936,A81000C,00700,0400,LCCA 59936,A81000C,00700,0600,HEALTH CARE MGM 59936,A81000C,00800,0100,B 59936,A81000C,00800,0200,LCPSI 59936,A81000C,00800,0400,MEDILIFE 59936,A81000C,00800,0600,PHARMACY SERVIC 59936,A81000C,00900,0100,B 59936,A81000C,00900,0200,LCPSI 59936,A81000C,00900,0400,MEDILIFE 59936,A81000C,00900,0600,PHARMACY SERVIC 59936,A81000C,01000,0100,A 59936,A81000C,01000,0200,FORREST PRESTON 59936,A81000C,01000,0400,LCCA 59936,A81000C,01000,0600,HEALTH CARE MGM 59936,B100000,00000,0100,00000(SQUARE FEET) 59936,B100000,00000,0200,00000(SQUARE FEET) 59936,B100000,00000,0300,00000(GROSS SALARIES) 59936,B100000,00000,0400,00000(ACCUM COST) 59936,B100000,00000,0500,00000(SQUARE FEET) 59936,B100000,00000,0600,00000PATIENT DAYS 59936,B100000,00000,0700,00000(SQUARE FEET) 59936,B100000,00000,0800,00000(MEALS SERVED) 59936,B100000,00000,0900,00000DIRECT NRSG HOURS 59936,B100000,00000,1000,00000(COSTED REQUIS) 59936,B100000,00000,1100,00000(COSTED REQUIS) 59936,B100000,00000,1200,00000GROSS REVENUES 59936,B100000,00000,1300,00000PATIENT DAYS 59936,B100000,00000,1350,00000PATIENT DAYS 59936,B100000,00000,1400,00000ASSIGNED TIME 59936,S000000,00100,0200,05/18/2000 59936,S200000,00100,0100,3820 WEST JACKSON 59936,S200000,00200,0100,MUNCIE 59936,S200000,00200,0200,IN 59936,S200000,00200,0300,47304 59936,S200000,00300,0100,DELAWARE 59936,S200000,00400,0100,THE WOODLANDS 59936,S200000,00400,0200,155229 59936,S200000,00400,0300,12/01/1983 59936,S200000,00400,0500,P 59936,S200000,00400,0600,O 59936,S200000,01600,0100,Y 59936,S200000,04700,0100,Y 59936,S200000,04700,0200,Y 59944,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59944,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59944,A000000,00300,0000,00300EMPLOYEE BENEFITS 59944,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59944,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59944,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59944,A000000,00700,0000,00700HOUSEKEEPING 59944,A000000,00800,0000,00800DIETARY 59944,A000000,00900,0000,00900NURSING ADMINISTRATION 59944,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59944,A000000,01100,0000,01100PHARMACY 59944,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59944,A000000,01300,0000,01300SOCIAL SERVICE 59944,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59944,A000000,01600,0000,01600SKILLED NURSING FACILITY 59944,A000000,01800,0000,01800NURSING FACILITY 59944,A000000,01810,0000,01810ICF/MR 59944,A000000,02100,0000,02100RADIOLOGY 59944,A000000,02200,0000,02200LABORATORY 59944,A000000,02300,0000,02300INTRAVENOUS THERAPY 59944,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59944,A000000,02500,0000,02500PHYSICAL THERAPY 59944,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59944,A000000,02700,0000,02700SPEECH PATHOLOGY 59944,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59944,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59944,A000000,03550,0000,03550FQHC 59944,A000000,05000,0000,05000CORF 59944,A000000,05010,0000,05010CMHC 59944,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59944,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59944,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59944,A000000,05300,0000,05300INTEREST EXPENSE 59944,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59944,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59944,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 59944,A81000A,00100,0100,Y 59944,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59944,A81000B,00200,0300,OFFSET EXCESS INTEREST INCOME 59944,A81000C,00100,0100,B 59944,A81000C,00100,0200,AMERICAN HEALTH 59944,A81000C,00200,0200,CENTERS INC. 59944,B100000,00000,0100,00000(SQUARE FEET) 59944,B100000,00000,0200,00000(SQUARE FEET) 59944,B100000,00000,0300,00000(GROSS SALARIES) 59944,B100000,00000,0400,00000(ACCUM COST) 59944,B100000,00000,0500,00000(SQUARE FEET) 59944,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59944,B100000,00000,0700,00000(SQUARE FEET) 59944,B100000,00000,0800,00000(MEALS SERVED) 59944,B100000,00000,0900,00000(DIRECT NRSG HRS) 59944,B100000,00000,1000,00000(COSTED REQUIS) 59944,B100000,00000,1100,00000(COSTED REQUIS) 59944,B100000,00000,1200,00000(TIME SPENT) 59944,B100000,00000,1300,00000(TIME SPENT) 59944,B100000,00000,1400,00000ASSIGNED TIME 59944,S000000,00100,0200,03/23/2000 59944,S200000,00100,0100,7630 EAST 86TH STREET 59944,S200000,00100,0300,501488 59944,S200000,00200,0100,INDIANAPOLIS 59944,S200000,00200,0200,IN 59944,S200000,00200,0300,46256 59944,S200000,00300,0100,MARION 59944,S200000,00400,0100,CASTLETON HEALTH CARE CENTER 59944,S200000,00400,0200,155245 59944,S200000,00400,0300,10/01/1973 59944,S200000,00400,0500,P 59944,S200000,00600,0200,155245 59944,S200000,00600,0300,10/01/1973 59944,S200000,00600,0600,P 59944,S200000,01600,0100,Y 59944,S200000,01900,0100,NON PROFIT 501C 59951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59951,A000000,00300,0000,00300EMPLOYEE BENEFITS 59951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59951,A000000,00700,0000,00700HOUSEKEEPING 59951,A000000,00800,0000,00800DIETARY 59951,A000000,00900,0000,00900NURSING ADMINISTRATION 59951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59951,A000000,01100,0000,01100PHARMACY 59951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59951,A000000,01300,0000,01300SOCIAL SERVICE 59951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59951,A000000,01600,0000,01600SKILLED NURSING FACILITY 59951,A000000,01800,0000,01800NURSING FACILITY 59951,A000000,01810,0000,01810ICF/MR 59951,A000000,02100,0000,02100RADIOLOGY 59951,A000000,02200,0000,02200LABORATORY 59951,A000000,02300,0000,02300INTRAVENOUS THERAPY 59951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59951,A000000,02500,0000,02500PHYSICAL THERAPY 59951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59951,A000000,02700,0000,02700SPEECH PATHOLOGY 59951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59951,A000000,03550,0000,03550FQHC 59951,A000000,05000,0000,05000CORF 59951,A000000,05010,0000,05010CMHC 59951,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59951,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59951,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59951,A000000,05300,0000,05300INTEREST EXPENSE 59951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59951,A81000A,00100,0100,Y 59951,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 59951,A81000B,00200,0300,OFFSET EXCESS INTEREST INCOME 59951,A81000C,00100,0100,B 59951,A81000C,00100,0200,AMERICAN HEALTH 59951,A81000C,00200,0200,CENTERS INC. 59951,B100000,00000,0100,00000(SQUARE FEET) 59951,B100000,00000,0200,00000(SQUARE FEET) 59951,B100000,00000,0300,00000(GROSS SALARIES) 59951,B100000,00000,0400,00000(ACCUM COST) 59951,B100000,00000,0500,00000(SQUARE FEET) 59951,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 59951,B100000,00000,0700,00000(SQUARE FEET) 59951,B100000,00000,0800,00000(MEALS SERVED) 59951,B100000,00000,0900,00000(DIRECT NRSG HRS) 59951,B100000,00000,1000,00000(COSTED REQUIS) 59951,B100000,00000,1100,00000(COSTED REQUIS) 59951,B100000,00000,1200,00000(TIME SPENT) 59951,B100000,00000,1300,00000(TIME SPENT) 59951,B100000,00000,1400,00000ASSIGNED TIME 59951,S000000,00100,0200,03/23/2000 59951,S200000,00100,0100,1001 EAST MAIN STREET 59951,S200000,00100,0300,98 59951,S200000,00200,0100,LADOGA 59951,S200000,00200,0200,IN 59951,S200000,00200,0300,47954 59951,S200000,00300,0100,MONTGOMERY 59951,S200000,00400,0100,LADOGA HEALTH CARE CENTER 59951,S200000,00400,0200,155256 59951,S200000,00400,0300,10/01/1973 59951,S200000,00400,0500,P 59951,S200000,00600,0200,155256 59951,S200000,00600,0300,10/01/1973 59951,S200000,00600,0600,P 59951,S200000,01600,0100,Y 59951,S200000,01900,0100,NON PROFIT 501C 59960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59960,A000000,00300,0000,00300EMPLOYEE BENEFITS 59960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59960,A000000,00700,0000,00700HOUSEKEEPING 59960,A000000,00800,0000,00800DIETARY 59960,A000000,00900,0000,00900NURSING ADMINISTRATION 59960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59960,A000000,01100,0000,01100PHARMACY 59960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59960,A000000,01300,0000,01300SOCIAL SERVICE 59960,A000000,01350,0000,01500ACTIVITIES 59960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59960,A000000,01600,0000,01600SKILLED NURSING FACILITY 59960,A000000,01800,0000,01800NURSING FACILITY 59960,A000000,01810,0000,01810ICF/MR 59960,A000000,02100,0000,02100RADIOLOGY 59960,A000000,02200,0000,02200LABORATORY 59960,A000000,02300,0000,02300INTRAVENOUS THERAPY 59960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59960,A000000,02500,0000,02500PHYSICAL THERAPY 59960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59960,A000000,02700,0000,02700SPEECH PATHOLOGY 59960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59960,A000000,02901,0000,02901PEN THERAPY 59960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59960,A000000,03550,0000,03550FQHC 59960,A000000,05000,0000,05000CORF 59960,A000000,05010,0000,05010CMHC 59960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59960,A81000A,00100,0100,Y 59960,A81000B,00100,0300,HOME OFFICE ALLOCATI 59960,A81000B,00200,0300,HOME OFFICE ALLOCATI 59960,A81000B,00300,0300,HOME OFFICE ALLOCATI 59960,A81000B,00400,0300,HOME OFFICE ALLOCATI 59960,A81000B,00500,0300,HCE 59960,A81000B,00600,0300,DEPRECIATION 59960,A81000B,00700,0300,MEDILIFE 59960,A81000B,00800,0300,MEDILIFE 59960,A81000B,00900,0300,HOME OFFICE INTEREST 59960,A81000B,01000,0300,LEASE EXPENSE 59960,A81000C,00100,0100,A 59960,A81000C,00100,0200,FORREST PRESTON 59960,A81000C,00100,0400,LCCA 59960,A81000C,00100,0600,HEALTH CARE MGM 59960,A81000C,00200,0100,A 59960,A81000C,00200,0200,FORREST PRESTON 59960,A81000C,00200,0400,LCCA 59960,A81000C,00200,0600,HEALTH CARE MGM 59960,A81000C,00300,0100,A 59960,A81000C,00300,0200,FORREST PRESTON 59960,A81000C,00300,0400,LCCA 59960,A81000C,00300,0600,HEALTH CARE MGM 59960,A81000C,00400,0100,A 59960,A81000C,00400,0200,FORREST PRESTON 59960,A81000C,00400,0400,LCCA 59960,A81000C,00400,0600,HEALTH CARE MGM 59960,A81000C,00500,0100,A 59960,A81000C,00500,0200,FORREST PRESTON 59960,A81000C,00500,0400,HCE LEASING 59960,A81000C,00500,0600,VEH/COMPUTER LE 59960,A81000C,00600,0100,A 59960,A81000C,00600,0200,FORREST PRESTON 59960,A81000C,00600,0400,LCCA 59960,A81000C,00600,0600,HEALTH CARE MGM 59960,A81000C,00700,0100,B 59960,A81000C,00700,0200,LCPSI 59960,A81000C,00700,0400,MEDILIFE 59960,A81000C,00700,0600,PHARMACY SERVIC 59960,A81000C,00800,0100,B 59960,A81000C,00800,0200,LCPSI 59960,A81000C,00800,0400,MEDILIFE 59960,A81000C,00800,0600,PHARMACY SERVIC 59960,A81000C,00900,0100,A 59960,A81000C,00900,0200,FORREST PRESTON 59960,A81000C,00900,0400,LCCA 59960,A81000C,00900,0600,HEALTH CARE MGM 59960,A81000C,01000,0100,A 59960,A81000C,01000,0200,FORREST PRESTON 59960,A81000C,01000,0400,LAWTON MEDICAL 59960,A81000C,01000,0600,REAL ESTATE 59960,B100000,00000,0100,00000(SQUARE FEET) 59960,B100000,00000,0200,00000(SQUARE FEET) 59960,B100000,00000,0300,00000(GROSS SALARIES) 59960,B100000,00000,0400,00000(ACCUM COST) 59960,B100000,00000,0500,00000(SQUARE FEET) 59960,B100000,00000,0600,00000PATIENT DAYS 59960,B100000,00000,0700,00000(SQUARE FEET) 59960,B100000,00000,0800,00000(MEALS SERVED) 59960,B100000,00000,0900,00000DIRECT NRSG HOURS 59960,B100000,00000,1000,00000(COSTED REQUIS) 59960,B100000,00000,1100,00000(COSTED REQUIS) 59960,B100000,00000,1200,00000GROSS REVENUES 59960,B100000,00000,1300,00000PATIENT DAYS 59960,B100000,00000,1350,00000PATIENT DAYS 59960,B100000,00000,1400,00000ASSIGNED TIME 59960,E10A180,00301,0100,12/01/1999 59960,S000000,00100,0200,05/12/2000 59960,S200000,00100,0100,1649 SPY RUN AVENUE 59960,S200000,00200,0100,FORT WAYNE 59960,S200000,00200,0200,IN 59960,S200000,00200,0300,46805 59960,S200000,00300,0100,ALLEN 59960,S200000,00400,0100,LIFE CARE CENTER OF FORT WAYNE 59960,S200000,00400,0200,155266 59960,S200000,00400,0300,10/01/1985 59960,S200000,00400,0500,P 59960,S200000,00400,0600,O 59960,S200000,01600,0100,Y 59960,S200000,02800,0100,Y 59969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59969,A000000,00300,0000,00300EMPLOYEE BENEFITS 59969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59969,A000000,00700,0000,00700HOUSEKEEPING 59969,A000000,00800,0000,00800DIETARY 59969,A000000,00900,0000,00900NURSING ADMINISTRATION 59969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59969,A000000,01100,0000,01100PHARMACY 59969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59969,A000000,01300,0000,01300SOCIAL SERVICE 59969,A000000,01350,0000,01500ACTIVITIES 59969,A000000,01600,0000,01600SKILLED NURSING FACILITY 59969,A000000,01800,0000,01800NURSING FACILITY 59969,A000000,01810,0000,01810ICF/MR 59969,A000000,02100,0000,02100RADIOLOGY 59969,A000000,02200,0000,02200LABORATORY 59969,A000000,02300,0000,02300INTRAVENOUS THERAPY 59969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59969,A000000,02500,0000,02500PHYSICAL THERAPY 59969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59969,A000000,02700,0000,02700SPEECH PATHOLOGY 59969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59969,A000000,02901,0000,02901PEN THERAPY 59969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59969,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59969,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59969,A81000A,00100,0100,Y 59969,A81000B,00100,0300,HOME OFF ALLOC 59969,A81000B,00200,0300,HOME OFF ALLOC 59969,A81000B,00300,0300,HOME OFF ALLOC 59969,A81000B,00400,0300,HOME OFF ALLOC 59969,A81000B,00500,0300,HCE LEASING 59969,A81000B,00600,0300,COMP INSTALL/DEPR 59969,A81000B,00700,0300,INTEREST 59969,A81000B,00800,0300,PHARMACY 59969,A81000B,00900,0300,PHARMACY C/S 59969,A81000B,01000,0300,LIFE CARE DESIGNS 59969,A81000C,00100,0100,A 59969,A81000C,00100,0200,FORREST PRESTON 59969,A81000C,00100,0400,LCCA 59969,A81000C,00100,0600,HEALTH CARE MGM 59969,A81000C,00200,0100,A 59969,A81000C,00200,0200,FORREST PRESTON 59969,A81000C,00200,0400,LCCA 59969,A81000C,00200,0600,HEALTH CARE MGM 59969,A81000C,00300,0100,A 59969,A81000C,00300,0200,FORREST PRESTON 59969,A81000C,00300,0400,LCCA 59969,A81000C,00300,0600,HEALTH CARE MGM 59969,A81000C,00400,0100,A 59969,A81000C,00400,0200,FORREST PRESTON 59969,A81000C,00400,0400,LCCA 59969,A81000C,00400,0600,HEALTH CARE MGM 59969,A81000C,00500,0100,A 59969,A81000C,00500,0200,FORREST PRESTON 59969,A81000C,00500,0400,HCE LEASING 59969,A81000C,00500,0600,VEHICLE & COMP 59969,A81000C,00600,0100,A 59969,A81000C,00600,0200,FORREST PRESTON 59969,A81000C,00600,0400,LCCA 59969,A81000C,00600,0600,HEALTH CARE MGM 59969,A81000C,00700,0100,A 59969,A81000C,00700,0200,FORREST PRESTON 59969,A81000C,00700,0400,LCCA 59969,A81000C,00700,0600,HEALTH CARE MGM 59969,A81000C,00800,0100,B 59969,A81000C,00800,0200,LCPSI 59969,A81000C,00800,0400,MEDILIFE 59969,A81000C,00800,0600,PHARMACY 59969,A81000C,00900,0100,B 59969,A81000C,00900,0200,LCPSI 59969,A81000C,00900,0400,MEDILIFE 59969,A81000C,00900,0600,PHARMACY 59969,A81000C,01000,0100,A 59969,A81000C,01000,0200,FORREST PRESTON 59969,A81000C,01000,0400,LCCA 59969,A81000C,01000,0600,HEALTH CARE MGM 59969,B100000,00000,0100,00000(SQUARE FEET) 59969,B100000,00000,0200,00000(SQUARE FEET) 59969,B100000,00000,0300,00000(GROSS SALARIES) 59969,B100000,00000,0400,00000(ACCUM COST) 59969,B100000,00000,0500,00000(SQUARE FEET) 59969,B100000,00000,0600,00000PATIENT DAYS 59969,B100000,00000,0700,00000(SQUARE FEET) 59969,B100000,00000,0800,00000(MEALS SERVED) 59969,B100000,00000,0900,00000DIRECT NRSG HRS 59969,B100000,00000,1000,00000(COSTED REQUIS) 59969,B100000,00000,1100,00000(COSTED REQUIS) 59969,B100000,00000,1200,00000GROSS REVENUES 59969,B100000,00000,1300,00000PATIENT DAYS 59969,B100000,00000,1350,00000PATIENT DAYS 59969,S000000,00100,0200,05/24/2000 59969,S200000,00100,0100,1309 EAST GRACE STREET 59969,S200000,00200,0100,RENSSELAER 59969,S200000,00200,0200,IN 59969,S200000,00200,0300,47978 59969,S200000,00300,0100,JASPER 59969,S200000,00400,0100,RENSSELAER CARE CENTER 59969,S200000,00400,0200,155287 59969,S200000,00400,0300,08/15/1986 59969,S200000,00400,0500,P 59969,S200000,00400,0600,O 59969,S200000,01600,0100,Y 59969,S200000,02800,0100,Y 59969,S200000,04700,0100,Y 59969,S200000,04700,0200,Y 59979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59979,A000000,00300,0000,00300EMPLOYEE BENEFITS 59979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59979,A000000,00700,0000,00700HOUSEKEEPING 59979,A000000,00800,0000,00800DIETARY 59979,A000000,00900,0000,00900NURSING ADMINISTRATION 59979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59979,A000000,01100,0000,01100PHARMACY 59979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59979,A000000,01300,0000,01300SOCIAL SERVICE 59979,A000000,01350,0000,01500ACTIVITIES 59979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59979,A000000,01600,0000,01600SKILLED NURSING FACILITY 59979,A000000,01800,0000,01800NURSING FACILITY 59979,A000000,01810,0000,01810ICF/MR 59979,A000000,02100,0000,02100RADIOLOGY 59979,A000000,02200,0000,02200LABORATORY 59979,A000000,02300,0000,02300INTRAVENOUS THERAPY 59979,A000000,02500,0000,02500PHYSICAL THERAPY 59979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59979,A000000,02700,0000,02700SPEECH PATHOLOGY 59979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59979,A000000,02901,0000,02901PEN THERAPY 59979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59979,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59979,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59979,A000000,03550,0000,03550FQHC 59979,A000000,05000,0000,05000CORF 59979,A000000,05010,0000,05010CMHC 59979,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59979,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59979,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59979,A000000,06150,0000,06300OUTSIDE CONTRACT THERAPY EXPENS 59979,A81000A,00100,0100,Y 59979,A81000B,00100,0300,HOME OFFICE ALLOCATI 59979,A81000B,00200,0300,HOME OFFICE ALLOCATI 59979,A81000B,00300,0300,HOME OFFICE ALLOCATI 59979,A81000B,00400,0300,HOME OFFICE ALLOCATI 59979,A81000B,00500,0300,LIFE CARE DESIGNS 59979,A81000B,00600,0300,INTEREST/DEPRECIATIO 59979,A81000B,00700,0300,HOME OFFICE INTEREST 59979,A81000B,00800,0300,PHARMACY EXPENSE 59979,A81000B,00900,0300,DEPRECIATION 59979,A81000C,00100,0100,A 59979,A81000C,00100,0200,FORREST PRESTON 59979,A81000C,00100,0400,LCCA 59979,A81000C,00100,0600,HEALTH CARE MGM 59979,A81000C,00200,0100,A 59979,A81000C,00200,0200,FORREST PRESTON 59979,A81000C,00200,0400,LCCA 59979,A81000C,00200,0600,HEALTH CARE MGM 59979,A81000C,00300,0100,A 59979,A81000C,00300,0200,FORREST PRESTON 59979,A81000C,00300,0400,LCCA 59979,A81000C,00300,0600,HEALTH CARE MGM 59979,A81000C,00400,0100,A 59979,A81000C,00400,0200,FORREST PRESTON 59979,A81000C,00400,0400,LCCA 59979,A81000C,00400,0600,HEALTH CARE MGM 59979,A81000C,00500,0100,B 59979,A81000C,00500,0200,LCCA 59979,A81000C,00500,0400,LIFE CARE DESIG 59979,A81000C,00500,0600,FURNITURE & FIX 59979,A81000C,00600,0100,A 59979,A81000C,00600,0200,FORREST PRESTON 59979,A81000C,00600,0400,HCE LEASING 59979,A81000C,00600,0600,VEH/COMPUTER LE 59979,A81000C,00700,0100,A 59979,A81000C,00700,0200,FORREST PRESTON 59979,A81000C,00700,0400,LCCA 59979,A81000C,00700,0600,HEALTH CARE MGM 59979,A81000C,00800,0100,B 59979,A81000C,00800,0200,LCPSI 59979,A81000C,00800,0400,MEDILIFE 59979,A81000C,00800,0600,PHARMACY SERVIC 59979,A81000C,00900,0100,A 59979,A81000C,00900,0200,FORREST PRESTON 59979,A81000C,00900,0400,LCCA 59979,A81000C,00900,0600,HEALTH CARE MGM 59979,B100000,00000,0100,00000(SQUARE FEET) 59979,B100000,00000,0200,00000(SQUARE FEET) 59979,B100000,00000,0300,00000(GROSS SALARIES) 59979,B100000,00000,0400,00000(ACCUM COST) 59979,B100000,00000,0500,00000(SQUARE FEET) 59979,B100000,00000,0600,00000PATIENT DAYS 59979,B100000,00000,0700,00000(SQUARE FEET) 59979,B100000,00000,0800,00000(MEALS SERVED) 59979,B100000,00000,0900,00000DIRECT NRSG HOURS 59979,B100000,00000,1000,00000(COSTED REQUIS) 59979,B100000,00000,1100,00000(COSTED REQUIS) 59979,B100000,00000,1200,00000GROSS REVENUES 59979,B100000,00000,1300,00000PATIENT DAYS 59979,B100000,00000,1350,00000PATIENT DAYS 59979,B100000,00000,1400,00000ASSIGNED TIME 59979,E10A180,00301,0100,02/25/2000 59979,E10A180,00302,0100,12/02/1999 59979,S000000,00100,0200,05/11/2000 59979,S200000,00100,0100,HIGHWAY #37 AT HIGHWAY 60 59979,S200000,00100,0300,338 59979,S200000,00200,0100,MITCHELL 59979,S200000,00200,0200,IN 59979,S200000,00200,0300,47446 59979,S200000,00300,0100,LAWRENCE 59979,S200000,00400,0100,MITCHELL MANOR 59979,S200000,00400,0200,155324 59979,S200000,00400,0300,09/11/1988 59979,S200000,00400,0500,P 59979,S200000,00400,0600,O 59979,S200000,01600,0100,Y 59979,S200000,02800,0100,Y 59979,S200000,04700,0100,Y 59979,S200000,04700,0200,Y 59988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59988,A000000,00300,0000,00300EMPLOYEE BENEFITS 59988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59988,A000000,00700,0000,00700HOUSEKEEPING 59988,A000000,00800,0000,00800DIETARY 59988,A000000,00900,0000,00900NURSING ADMINISTRATION 59988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59988,A000000,01100,0000,01100PHARMACY 59988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59988,A000000,01300,0000,01300SOCIAL SERVICE 59988,A000000,01350,0000,01500ACTIVITIES 59988,A000000,01600,0000,01600SKILLED NURSING FACILITY 59988,A000000,01800,0000,01800NURSING FACILITY 59988,A000000,01810,0000,01810ICF/MR 59988,A000000,02200,0000,02200LABORATORY 59988,A000000,02300,0000,02300INTRAVENOUS THERAPY 59988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 59988,A000000,02500,0000,02500PHYSICAL THERAPY 59988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59988,A000000,02700,0000,02700SPEECH PATHOLOGY 59988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59988,A000000,02901,0000,02901PEN THERAPY 59988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59988,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59988,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 59988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59988,A81000A,00100,0100,Y 59988,A81000B,00100,0300,HOME OFF ALLOC 59988,A81000B,00200,0300,HOME OFF ALLOC 59988,A81000B,00300,0300,HOME OFF ALLOC 59988,A81000B,00400,0300,HOME OFF ALLOC 59988,A81000B,00500,0300,HCE LEASING 59988,A81000B,00600,0300,INTEREST 59988,A81000B,00700,0300,PHARMACY EXPENSE 59988,A81000B,00800,0300,PHARMACY C/S 59988,A81000B,00900,0300,COMP INSTALL/DEPR 59988,A81000C,00100,0100,A 59988,A81000C,00100,0200,FORREST PRESTON 59988,A81000C,00100,0400,LCCA 59988,A81000C,00100,0600,HEALTH CARE MGM 59988,A81000C,00200,0100,A 59988,A81000C,00200,0200,FORREST PRESTON 59988,A81000C,00200,0400,LCCA 59988,A81000C,00200,0600,HEALTH CARE MGM 59988,A81000C,00300,0100,A 59988,A81000C,00300,0200,FORREST PRESTON 59988,A81000C,00300,0400,LCCA 59988,A81000C,00300,0600,HEALTH CARE MGM 59988,A81000C,00400,0100,A 59988,A81000C,00400,0200,FORREST PRESTON 59988,A81000C,00400,0400,LCCA 59988,A81000C,00400,0600,HEALTH CARE MGM 59988,A81000C,00500,0100,A 59988,A81000C,00500,0200,FORREST PRESTON 59988,A81000C,00500,0400,HCE LEASING 59988,A81000C,00500,0600,VEHICLE & COMP 59988,A81000C,00600,0100,A 59988,A81000C,00600,0200,FORREST PRESTON 59988,A81000C,00600,0400,LCCA 59988,A81000C,00600,0600,HEALTH CARE MGM 59988,A81000C,00700,0100,B 59988,A81000C,00700,0200,LCPSI 59988,A81000C,00700,0400,MEDILIFE 59988,A81000C,00700,0600,PHARMACY 59988,A81000C,00800,0100,B 59988,A81000C,00800,0200,LCPSI 59988,A81000C,00800,0400,MEDILIFE 59988,A81000C,00800,0600,PHARMACY 59988,A81000C,00900,0100,A 59988,A81000C,00900,0200,FORREST PRESTON 59988,A81000C,00900,0400,LCCA 59988,A81000C,00900,0600,HEALTH CARE MGM 59988,B100000,00000,0100,00000(SQUARE FEET) 59988,B100000,00000,0200,00000(SQUARE FEET) 59988,B100000,00000,0300,00000(GROSS SALARIES) 59988,B100000,00000,0400,00000(ACCUM COST) 59988,B100000,00000,0500,00000(SQUARE FEET) 59988,B100000,00000,0600,00000PATIENT DAYS 59988,B100000,00000,0700,00000(SQUARE FEET) 59988,B100000,00000,0800,00000(MEALS SERVED) 59988,B100000,00000,0900,00000DIRECT NRSG HOURS 59988,B100000,00000,1000,00000(COSTED REQUIS) 59988,B100000,00000,1100,00000(COSTED REQUIS) 59988,B100000,00000,1200,00000GROSS REVENUES 59988,B100000,00000,1300,00000PATIENT DAYS 59988,B100000,00000,1350,00000PATIENT DAYS 59988,E10A180,00301,0100,02/25/2000 59988,S000000,00100,0200,05/24/2000 59988,S200000,00100,0100,3405 NORTH CAMPBELL ROAD 59988,S200000,00200,0100,VALPARAISO 59988,S200000,00200,0200,IN 59988,S200000,00200,0300,46383 59988,S200000,00300,0100,PORTER 59988,S200000,00400,0100,LIFE CARE CENTER OF VALPARAISO 59988,S200000,00400,0200,155331 59988,S200000,00400,0300,03/17/1989 59988,S200000,00400,0500,P 59988,S200000,00400,0600,O 59988,S200000,01600,0100,Y 59999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 59999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 59999,A000000,00300,0000,00300EMPLOYEE BENEFITS 59999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 59999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 59999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 59999,A000000,00700,0000,00700HOUSEKEEPING 59999,A000000,00800,0000,00800DIETARY 59999,A000000,00900,0000,00900NURSING ADMINISTRATION 59999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 59999,A000000,01100,0000,01100PHARMACY 59999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 59999,A000000,01300,0000,01300SOCIAL SERVICE 59999,A000000,01350,0000,01500ACTIVITIES 59999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 59999,A000000,01600,0000,01600SKILLED NURSING FACILITY 59999,A000000,01800,0000,01800NURSING FACILITY 59999,A000000,01810,0000,01810ICF/MR 59999,A000000,02100,0000,02100RADIOLOGY 59999,A000000,02200,0000,02200LABORATORY 59999,A000000,02300,0000,02300INTRAVENOUS THERAPY 59999,A000000,02500,0000,02500PHYSICAL THERAPY 59999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 59999,A000000,02700,0000,02700SPEECH PATHOLOGY 59999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 59999,A000000,02901,0000,02901PEN THERAPY 59999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 59999,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 59999,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 59999,A000000,03550,0000,03550FQHC 59999,A000000,05000,0000,05000CORF 59999,A000000,05010,0000,05010CMHC 59999,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 59999,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 59999,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 59999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 59999,A81000A,00100,0100,Y 59999,A81000B,00100,0300,HOME OFF ALLOC 59999,A81000B,00200,0300,HOME OFF ALLOC 59999,A81000B,00300,0300,HOME OFF ALLOC 59999,A81000B,00400,0300,HOME OFF ALLOC 59999,A81000B,00500,0300,COMP INSTALL/DEPR 59999,A81000B,00600,0300,INTEREST/DEPREC 59999,A81000B,00700,0300,HOME OFF INTEREST 59999,A81000B,00800,0300,PHARMACY EXPENSE 59999,A81000B,00900,0300,PHARMACY C/S 59999,A81000C,00100,0100,A 59999,A81000C,00100,0200,FORREST PRESTON 59999,A81000C,00100,0400,LCCA 59999,A81000C,00100,0600,HEALTH CARE MGM 59999,A81000C,00200,0100,A 59999,A81000C,00200,0200,FORREST PRESTON 59999,A81000C,00200,0400,LCCA 59999,A81000C,00200,0600,HEALTH CARE MGM 59999,A81000C,00300,0100,A 59999,A81000C,00300,0200,FORREST PRESTON 59999,A81000C,00300,0400,LCCA 59999,A81000C,00300,0600,HEALTH CARE MGM 59999,A81000C,00400,0100,A 59999,A81000C,00400,0200,FORREST PRESTON 59999,A81000C,00400,0400,LCCA 59999,A81000C,00400,0600,HEALTH CARE MGM 59999,A81000C,00500,0100,A 59999,A81000C,00500,0200,FORREST PRESTON 59999,A81000C,00500,0400,LCCA 59999,A81000C,00500,0600,HEALTH CARE MGM 59999,A81000C,00600,0100,A 59999,A81000C,00600,0200,FORREST PRESTON 59999,A81000C,00600,0400,HCE LEASING 59999,A81000C,00600,0600,VEHICLE & COMP 59999,A81000C,00700,0100,A 59999,A81000C,00700,0200,FORREST PRESTON 59999,A81000C,00700,0400,LCCA 59999,A81000C,00700,0600,HEALTH CARE MGM 59999,A81000C,00800,0100,B 59999,A81000C,00800,0200,LCPS INC. 59999,A81000C,00800,0400,MEDILIFE 59999,A81000C,00800,0600,PHARMACY SERVIC 59999,A81000C,00900,0100,B 59999,A81000C,00900,0200,LCPS INC. 59999,A81000C,00900,0400,MEDILIFE 59999,A81000C,00900,0600,PHARMACY SERVIC 59999,B100000,00000,0100,00000(SQUARE FEET) 59999,B100000,00000,0200,00000(SQUARE FEET) 59999,B100000,00000,0300,00000(GROSS SALARIES) 59999,B100000,00000,0400,00000(ACCUM COST) 59999,B100000,00000,0500,00000(SQUARE FEET) 59999,B100000,00000,0600,00000PATIENT DAYS 59999,B100000,00000,0700,00000(SQUARE FEET) 59999,B100000,00000,0800,00000(MEALS SERVED) 59999,B100000,00000,0900,00000DIRECT NRSG HOURS 59999,B100000,00000,1000,00000(COSTED REQUIS) 59999,B100000,00000,1100,00000(COSTED REQUIS) 59999,B100000,00000,1200,00000GROSS REVENUES 59999,B100000,00000,1300,00000PATIENT DAYS 59999,B100000,00000,1350,00000PATIENT DAYS 59999,B100000,00000,1400,00000ASSIGNED TIME 59999,S000000,00100,0200,05/16/2000 59999,S200000,00100,0100,COUNTY ROAD 75 EAST AT NURSERY ST. 59999,S200000,00200,0100,LAGRANGE 59999,S200000,00200,0200,IN 59999,S200000,00200,0300,46761 59999,S200000,00300,0100,LAGRANGE 59999,S200000,00400,0100,LIFE CARE CENTER OF LAGRANGE 59999,S200000,00400,0200,155343 59999,S200000,00400,0300,11/13/1989 59999,S200000,00400,0500,P 59999,S200000,00400,0600,O 59999,S200000,01600,0100,Y 59999,S200000,02800,0100,Y 60008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60008,A000000,00300,0000,00300EMPLOYEE BENEFITS 60008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60008,A000000,00700,0000,00700HOUSEKEEPING 60008,A000000,00800,0000,00800DIETARY 60008,A000000,00900,0000,00900NURSING ADMINISTRATION 60008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60008,A000000,01100,0000,01100PHARMACY 60008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60008,A000000,01300,0000,01300SOCIAL SERVICE 60008,A000000,01350,0000,01500ACTIVITIES 60008,A000000,01600,0000,01600SKILLED NURSING FACILITY 60008,A000000,01800,0000,01800NURSING FACILITY 60008,A000000,01810,0000,01810ICF/MR 60008,A000000,02100,0000,02100RADIOLOGY 60008,A000000,02200,0000,02200LABORATORY 60008,A000000,02300,0000,02300INTRAVENOUS THERAPY 60008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60008,A000000,02500,0000,02500PHYSICAL THERAPY 60008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60008,A000000,02700,0000,02700SPEECH PATHOLOGY 60008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60008,A000000,02901,0000,02901PEN THERAPY 60008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60008,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60008,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60008,A81000A,00100,0100,Y 60008,A81000B,00100,0300,HOME OFFICE ALLOCATI 60008,A81000B,00200,0300,HOME OFFICE ALLOCATI 60008,A81000B,00300,0300,HOME OFFICE ALLOCATI 60008,A81000B,00400,0300,HOME OFFICE ALLOCATI 60008,A81000B,00500,0300,DEPRECIATION 60008,A81000B,00600,0300,INTEREST 60008,A81000B,00700,0300,PHARMACY C/S 60008,A81000B,00800,0300,PHARMACY EXPENSE 60008,A81000B,00900,0300,LIFE CARE DESIGNS 60008,A81000C,00100,0100,A 60008,A81000C,00100,0200,FORREST PRESTON 60008,A81000C,00100,0400,LCCA 60008,A81000C,00100,0600,HEALTH CARE MGM 60008,A81000C,00200,0100,A 60008,A81000C,00200,0200,FORREST PRESTON 60008,A81000C,00200,0400,LCCA 60008,A81000C,00200,0600,HEALTH CARE MGM 60008,A81000C,00300,0100,A 60008,A81000C,00300,0200,FORREST PRESTON 60008,A81000C,00300,0400,LCCA 60008,A81000C,00300,0600,HEALTH CARE MGM 60008,A81000C,00400,0100,A 60008,A81000C,00400,0200,FORREST PRESTON 60008,A81000C,00400,0400,LCCA 60008,A81000C,00400,0600,HEALTH CARE MGM 60008,A81000C,00500,0100,A 60008,A81000C,00500,0200,FORREST PRESTON 60008,A81000C,00500,0400,LCCA 60008,A81000C,00500,0600,HEALTH CARE MGM 60008,A81000C,00600,0100,A 60008,A81000C,00600,0200,FORREST PRESTON 60008,A81000C,00600,0400,LCCA 60008,A81000C,00600,0600,HEALTH CARE MGM 60008,A81000C,00700,0100,B 60008,A81000C,00700,0200,LCPSI 60008,A81000C,00700,0400,MEDILIFE 60008,A81000C,00700,0600,PHARMACY 60008,A81000C,00800,0100,B 60008,A81000C,00800,0200,LCPSI 60008,A81000C,00800,0400,MEDILIFE 60008,A81000C,00800,0600,PHARMACY 60008,A81000C,00900,0100,B 60008,A81000C,00900,0200,LCCA 60008,A81000C,00900,0400,LIFE CARE DESIG 60008,A81000C,00900,0600,INTERIOR DESIGN 60008,B100000,00000,0100,00000(SQUARE FEET) 60008,B100000,00000,0200,00000(SQUARE FEET) 60008,B100000,00000,0300,00000(GROSS SALARIES) 60008,B100000,00000,0400,00000(ACCUM COST) 60008,B100000,00000,0500,00000(SQUARE FEET) 60008,B100000,00000,0600,00000PATIENT DAYS 60008,B100000,00000,0700,00000(SQUARE FEET) 60008,B100000,00000,0800,00000(MEALS SERVED) 60008,B100000,00000,0900,00000DIRECT NRSG HOURS 60008,B100000,00000,1000,00000(COSTED REQUIS) 60008,B100000,00000,1100,00000(COSTED REQUIS) 60008,B100000,00000,1200,00000GROSS REVENUES 60008,B100000,00000,1300,00000PATIENT DAYS 60008,B100000,00000,1350,00000PATIENT DAYS 60008,S000000,00100,0200,05/16/2000 60008,S200000,00100,0100,802 U.S. HIGHWAY 20 EAST 60008,S200000,00200,0100,MICHIGAN CITY 60008,S200000,00200,0200,IN 60008,S200000,00200,0300,46360 60008,S200000,00300,0100,LAPORTE 60008,S200000,00400,0100,LIFE CARE CENTER OF MICHIGAN CITY 60008,S200000,00400,0200,155344 60008,S200000,00400,0300,11/18/1989 60008,S200000,00400,0500,P 60008,S200000,00400,0600,O 60008,S200000,01600,0100,Y 60008,S200000,04700,0100,Y 60008,S200000,04700,0200,Y 60017,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60017,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60017,A000000,00300,0000,00300EMPLOYEE BENEFITS 60017,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60017,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60017,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60017,A000000,00700,0000,00700HOUSEKEEPING 60017,A000000,00800,0000,00800DIETARY 60017,A000000,00900,0000,00900NURSING ADMINISTRATION 60017,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60017,A000000,01100,0000,01100PHARMACY 60017,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60017,A000000,01300,0000,01300SOCIAL SERVICE 60017,A000000,01350,0000,01500ACTIVITIES 60017,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60017,A000000,01600,0000,01600SKILLED NURSING FACILITY 60017,A000000,01800,0000,01800NURSING FACILITY 60017,A000000,01810,0000,01810ICF/MR 60017,A000000,01900,0000,01900OTHER LONG TERM CARE 60017,A000000,02100,0000,02100RADIOLOGY 60017,A000000,02200,0000,02200LABORATORY 60017,A000000,02300,0000,02300INTRAVENOUS THERAPY 60017,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60017,A000000,02500,0000,02500PHYSICAL THERAPY 60017,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60017,A000000,02700,0000,02700SPEECH PATHOLOGY 60017,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60017,A000000,02901,0000,02901PEN THERAPY 60017,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60017,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60017,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60017,A000000,03550,0000,03550FQHC 60017,A000000,05000,0000,05000CORF 60017,A000000,05010,0000,05010CMHC 60017,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60017,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60017,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60017,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60017,A81000A,00100,0100,Y 60017,A81000B,00100,0300,HOME OFFICE ALLOCATI 60017,A81000B,00200,0300,HOME OFFICE ALLOCATI 60017,A81000B,00300,0300,HOME OFFICE ALLOCATI 60017,A81000B,00400,0300,HOME OFFICE ALLOCATI 60017,A81000B,00500,0300,LIFE CARE DESIGNS 60017,A81000B,00600,0300,HCE LEASING 60017,A81000B,00700,0300,HOME OFFICE INTEREST 60017,A81000B,00800,0300,PHARMACY EXPENSE 60017,A81000B,00900,0300,PHARMACY C/S 60017,A81000B,01000,0300,AUDIO/VISUAL PRODUCT 60017,A81000B,01100,0300,HOME OFFICE DEPRECIA 60017,A81000C,00100,0100,A 60017,A81000C,00100,0200,FORREST PRESTON 60017,A81000C,00100,0400,LCCA 60017,A81000C,00100,0600,HEALTH CARE MGM 60017,A81000C,00200,0100,A 60017,A81000C,00200,0200,FORREST PRESTON 60017,A81000C,00200,0400,LCCA 60017,A81000C,00200,0600,HEALTH CARE MGM 60017,A81000C,00300,0100,A 60017,A81000C,00300,0200,FORREST PRESTON 60017,A81000C,00300,0400,LCCA 60017,A81000C,00300,0600,HEALTH CARE MGM 60017,A81000C,00400,0100,A 60017,A81000C,00400,0200,FORREST PRESTON 60017,A81000C,00400,0400,LCCA 60017,A81000C,00400,0600,HEALTH CARE MGM 60017,A81000C,00500,0100,B 60017,A81000C,00500,0200,LCCA 60017,A81000C,00500,0400,LIFE CARE DESIG 60017,A81000C,00500,0600,FURNITURE & FIX 60017,A81000C,00600,0100,A 60017,A81000C,00600,0200,FORREST PRESTON 60017,A81000C,00600,0400,HCE LEASING 60017,A81000C,00600,0600,VEH/COMPUTER LE 60017,A81000C,00700,0100,A 60017,A81000C,00700,0200,FORREST PRESTON 60017,A81000C,00700,0400,LCCA 60017,A81000C,00700,0600,HEALTH CARE MGM 60017,A81000C,00800,0100,B 60017,A81000C,00800,0200,LCPSI 60017,A81000C,00800,0400,MEDILIFE 60017,A81000C,00800,0600,PHARMACY SERVIC 60017,A81000C,00900,0100,B 60017,A81000C,00900,0200,LCPSI 60017,A81000C,00900,0400,MEDILIFE 60017,A81000C,00900,0600,PHARMACY SERVIC 60017,A81000C,01000,0100,A 60017,A81000C,01000,0200,FORREST PRESTON 60017,A81000C,01000,0400,MEDIA RESOURCE 60017,A81000C,01000,0600,AUDIO/VISUAL PR 60017,A81000C,01100,0100,A 60017,A81000C,01100,0200,FORREST PRESTON 60017,A81000C,01100,0400,LCCA 60017,A81000C,01100,0600,HEALTH CARE MGM 60017,B100000,00000,0100,00000(SQUARE FEET) 60017,B100000,00000,0200,00000(SQUARE FEET) 60017,B100000,00000,0300,00000(GROSS SALARIES) 60017,B100000,00000,0400,00000(ACCUM COST) 60017,B100000,00000,0500,00000(SQUARE FEET) 60017,B100000,00000,0600,00000PATIENT DAYS 60017,B100000,00000,0700,00000(SQUARE FEET) 60017,B100000,00000,0800,00000(MEALS SERVED) 60017,B100000,00000,0900,00000DIRECT NRSG HOURS 60017,B100000,00000,1000,00000(COSTED REQUIS) 60017,B100000,00000,1100,00000(COSTED REQUIS) 60017,B100000,00000,1200,00000GROSS REVENUES 60017,B100000,00000,1300,00000PATIENT DAYS 60017,B100000,00000,1350,00000PATIENT DAYS 60017,B100000,00000,1400,00000ASSIGNED TIME 60017,S000000,00100,0200,05/11/2000 60017,S200000,00100,0100,2819 N. ST. JOSEPH AVE. 60017,S200000,00200,0100,EVANSVILLE 60017,S200000,00200,0200,IN 60017,S200000,00200,0300,47720 60017,S200000,00300,0100,VANDERBURGH 60017,S200000,00400,0100,PARKVIEW CARE CENTER 60017,S200000,00400,0200,155348 60017,S200000,00400,0300,01/01/1990 60017,S200000,00400,0500,P 60017,S200000,00400,0600,O 60017,S200000,01600,0100,Y 60027,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60027,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60027,A000000,00300,0000,00300EMPLOYEE BENEFITS 60027,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60027,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60027,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60027,A000000,00700,0000,00700HOUSEKEEPING 60027,A000000,00800,0000,00800DIETARY 60027,A000000,00900,0000,00900NURSING ADMINISTRATION 60027,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60027,A000000,01100,0000,01100PHARMACY 60027,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60027,A000000,01300,0000,01300SOCIAL SERVICE 60027,A000000,01350,0000,01500ACTIVITIES 60027,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60027,A000000,01600,0000,01600SKILLED NURSING FACILITY 60027,A000000,01800,0000,01800NURSING FACILITY 60027,A000000,01810,0000,01810ICF/MR 60027,A000000,02100,0000,02100RADIOLOGY 60027,A000000,02200,0000,02200LABORATORY 60027,A000000,02300,0000,02300INTRAVENOUS THERAPY 60027,A000000,02500,0000,02500PHYSICAL THERAPY 60027,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60027,A000000,02700,0000,02700SPEECH PATHOLOGY 60027,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60027,A000000,02901,0000,02901PEN THERAPY 60027,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60027,A000000,03550,0000,03550FQHC 60027,A000000,05000,0000,05000CORF 60027,A000000,05010,0000,05010CMHC 60027,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60027,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60027,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60027,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60027,A81000A,00100,0100,Y 60027,A81000B,00100,0300,HOME OFFICE ALLOCATI 60027,A81000B,00200,0300,HOME OFFICE ALLOCATI 60027,A81000B,00300,0300,HOME OFFICE ALLOCATI 60027,A81000B,00400,0300,HOME OFFICE ALLOCATI 60027,A81000B,00500,0300,HCE 60027,A81000B,00600,0300,INTEREST 60027,A81000B,00700,0300,PHARMACY 60027,A81000B,00800,0300,PHARMACY C/S 60027,A81000B,00900,0300,LIFE CARE DESIGNS 60027,A81000B,01000,0300,DEPRECIATION 60027,A81000C,00100,0100,A 60027,A81000C,00100,0200,FORREST PRESTON 60027,A81000C,00100,0400,LCCA 60027,A81000C,00100,0600,HEALTH CARE MGM 60027,A81000C,00200,0100,A 60027,A81000C,00200,0200,FORREST PRESTON 60027,A81000C,00200,0400,LCCA 60027,A81000C,00200,0600,HEALTH CARE MGM 60027,A81000C,00300,0100,A 60027,A81000C,00300,0200,FORREST PRESTON 60027,A81000C,00300,0400,LCCA 60027,A81000C,00300,0600,HEALTH CARE MGM 60027,A81000C,00400,0100,A 60027,A81000C,00400,0200,FORREST PRESTON 60027,A81000C,00400,0400,LCCA 60027,A81000C,00400,0600,HEALTH CARE MGM 60027,A81000C,00500,0100,A 60027,A81000C,00500,0200,FORREST PRESTON 60027,A81000C,00500,0400,HCE LEASING 60027,A81000C,00500,0600,VEH/COMPUTER LE 60027,A81000C,00600,0100,A 60027,A81000C,00600,0200,FORREST PRESTON 60027,A81000C,00600,0400,LCCA 60027,A81000C,00600,0600,HEALTH CARE MGM 60027,A81000C,00700,0100,B 60027,A81000C,00700,0200,LCPSI 60027,A81000C,00700,0400,MEDILIFE 60027,A81000C,00700,0600,PHARMACY 60027,A81000C,00800,0100,B 60027,A81000C,00800,0200,LCPSI 60027,A81000C,00800,0400,MEDILIFE 60027,A81000C,00800,0600,PHARMACY 60027,A81000C,00900,0100,A 60027,A81000C,00900,0200,FORREST PRESTON 60027,A81000C,00900,0400,LCCA 60027,A81000C,00900,0600,HEALTH CARE MGM 60027,A81000C,01000,0100,A 60027,A81000C,01000,0200,FORREST PRESTON 60027,A81000C,01000,0400,LCCA 60027,A81000C,01000,0600,HEALTH CARE MGM 60027,B100000,00000,0100,00000(SQUARE FEET) 60027,B100000,00000,0200,00000(SQUARE FEET) 60027,B100000,00000,0300,00000(GROSS SALARIES) 60027,B100000,00000,0400,00000(ACCUM COST) 60027,B100000,00000,0500,00000(SQUARE FEET) 60027,B100000,00000,0600,00000PATIENT DAYS 60027,B100000,00000,0700,00000(SQUARE FEET) 60027,B100000,00000,0800,00000(MEALS SERVED) 60027,B100000,00000,0900,00000DIRECT NRSG HOURS 60027,B100000,00000,1000,00000(COSTED REQUIS) 60027,B100000,00000,1100,00000(COSTED REQUIS) 60027,B100000,00000,1200,00000GROSS REVENUES 60027,B100000,00000,1300,00000PATIENT DAYS 60027,B100000,00000,1350,00000PATIENT DAYS 60027,B100000,00000,1400,00000ASSIGNED TIME 60027,S000000,00100,0200,05/16/2000 60027,S200000,00100,0100,827 WEST 13TH STREET 60027,S200000,00200,0100,ROCHESTER 60027,S200000,00200,0200,IN 60027,S200000,00200,0300,46975 60027,S200000,00300,0100,FULTON 60027,S200000,00400,0100,LIFE CARE CENTER OF ROCHESTER 60027,S200000,00400,0200,155379 60027,S200000,00400,0300,06/21/1991 60027,S200000,00400,0500,P 60027,S200000,00400,0600,O 60027,S200000,01600,0100,Y 60027,S200000,02800,0100,Y 60036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60036,A000000,00300,0000,00300EMPLOYEE BENEFITS 60036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60036,A000000,00700,0000,00700HOUSEKEEPING 60036,A000000,00800,0000,00800DIETARY 60036,A000000,00900,0000,00900NURSING ADMINISTRATION 60036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60036,A000000,01100,0000,01100PHARMACY 60036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60036,A000000,01300,0000,01300SOCIAL SERVICE 60036,A000000,01350,0000,01500ACTIVITIES 60036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60036,A000000,01600,0000,01600SKILLED NURSING FACILITY 60036,A000000,01800,0000,01800NURSING FACILITY 60036,A000000,01810,0000,01810ICF/MR 60036,A000000,02200,0000,02200LABORATORY 60036,A000000,02300,0000,02300INTRAVENOUS THERAPY 60036,A000000,02500,0000,02500PHYSICAL THERAPY 60036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60036,A000000,02700,0000,02700SPEECH PATHOLOGY 60036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60036,A000000,02901,0000,02901PEN THERAPY 60036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60036,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60036,A000000,03550,0000,03550FQHC 60036,A000000,05000,0000,05000CORF 60036,A000000,05010,0000,05010CMHC 60036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60036,A81000A,00100,0100,Y 60036,A81000B,00100,0300,HOME OFF ALLOC 60036,A81000B,00200,0300,HOME OFF ALLOC 60036,A81000B,00300,0300,HOME OFF ALLOC 60036,A81000B,00400,0300,HOME OFF ALLOC 60036,A81000B,00500,0300,INTEREST/DEPREC 60036,A81000B,00600,0300,PHARMACY EXPENSE 60036,A81000B,00700,0300,PHARMACY C/S 60036,A81000B,00800,0300,COMP INSTALL/DEPR 60036,A81000B,00900,0300,HOME OFF ALLOC 60036,A81000B,01000,0300,LIFE CARE DESIGNS 60036,A81000C,00100,0100,A 60036,A81000C,00100,0200,FORREST PRESTON 60036,A81000C,00100,0400,LCCA 60036,A81000C,00100,0600,HEALTH CARE MGM 60036,A81000C,00200,0100,A 60036,A81000C,00200,0200,FORREST PRESTON 60036,A81000C,00200,0400,LCCA 60036,A81000C,00200,0600,HEALTH CARE MGM 60036,A81000C,00300,0100,A 60036,A81000C,00300,0200,FORREST PRESTON 60036,A81000C,00300,0400,LCCA 60036,A81000C,00300,0600,HEALTH CARE MGM 60036,A81000C,00400,0100,A 60036,A81000C,00400,0200,FORREST PRESTON 60036,A81000C,00400,0400,LCCA 60036,A81000C,00400,0600,HEALTH CARE MGM 60036,A81000C,00500,0100,A 60036,A81000C,00500,0200,FORREST PRESTON 60036,A81000C,00500,0400,HCE LEASING 60036,A81000C,00500,0600,VEHICLE & COMP 60036,A81000C,00600,0100,B 60036,A81000C,00600,0200,LCPS INC. 60036,A81000C,00600,0400,MEDILIFE 60036,A81000C,00600,0600,PHARMACY SERVIC 60036,A81000C,00700,0100,B 60036,A81000C,00700,0200,LCPS INC. 60036,A81000C,00700,0400,MEDILIFE 60036,A81000C,00700,0600,PHARMACY SERVIC 60036,A81000C,00800,0100,A 60036,A81000C,00800,0200,FORREST PRESTON 60036,A81000C,00800,0400,LCCA 60036,A81000C,00800,0600,HEALTH CARE MGM 60036,A81000C,00900,0100,A 60036,A81000C,00900,0200,FORREST PRESTON 60036,A81000C,00900,0400,LCCA 60036,A81000C,00900,0600,HEALTH CARE MGM 60036,A81000C,01000,0100,B 60036,A81000C,01000,0200,LCCA 60036,A81000C,01000,0400,LIFE CARE DESIG 60036,A81000C,01000,0600,FURNITURE & FIX 60036,B100000,00000,0100,00000(SQUARE FEET) 60036,B100000,00000,0200,00000(SQUARE FEET) 60036,B100000,00000,0300,00000(GROSS SALARIES) 60036,B100000,00000,0400,00000(ACCUM COST) 60036,B100000,00000,0500,00000(SQUARE FEET) 60036,B100000,00000,0600,00000PATIENT DAYS 60036,B100000,00000,0700,00000(SQUARE FEET) 60036,B100000,00000,0800,00000(MEALS SERVED) 60036,B100000,00000,0900,00000DIRECT NRSG HOURS 60036,B100000,00000,1000,00000(COSTED REQUIS) 60036,B100000,00000,1100,00000(COSTED REQUIS) 60036,B100000,00000,1200,00000GROSS REVENUES 60036,B100000,00000,1300,00000PATIENT DAYS 60036,B100000,00000,1350,00000PATIENT DAYS 60036,B100000,00000,1400,00000ASSIGNED TIME 60036,S000000,00100,0200,05/12/2000 60036,S200000,00100,0100,3401 SOLDIERS HOME ROAD 60036,S200000,00200,0100,WEST LAFAYETTE 60036,S200000,00200,0200,IN 60036,S200000,00200,0300,47906 60036,S200000,00300,0100,TIPPECANOE 60036,S200000,00400,0100,HERITAGE HEALTHCARE 60036,S200000,00400,0200,155402 60036,S200000,00400,0300,08/18/1989 60036,S200000,00400,0500,P 60036,S200000,00400,0600,O 60036,S200000,01600,0100,Y 60045,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60045,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60045,A000000,00300,0000,00300EMPLOYEE BENEFITS 60045,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60045,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60045,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60045,A000000,00700,0000,00700HOUSEKEEPING 60045,A000000,00800,0000,00800DIETARY 60045,A000000,00900,0000,00900NURSING ADMINISTRATION 60045,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60045,A000000,01100,0000,01100PHARMACY 60045,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60045,A000000,01300,0000,01300SOCIAL SERVICE 60045,A000000,01350,0000,01500ACTIVITIES 60045,A000000,01600,0000,01600SKILLED NURSING FACILITY 60045,A000000,01800,0000,01800NURSING FACILITY 60045,A000000,01810,0000,01810ICF/MR 60045,A000000,02200,0000,02200LABORATORY 60045,A000000,02300,0000,02300INTRAVENOUS THERAPY 60045,A000000,02500,0000,02500PHYSICAL THERAPY 60045,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60045,A000000,02700,0000,02700SPEECH PATHOLOGY 60045,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60045,A000000,02901,0000,02901PEN THERAPY 60045,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60045,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60045,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60045,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60045,A81000A,00100,0100,Y 60045,A81000B,00100,0300,HOME OFFICE ALLOCATI 60045,A81000B,00200,0300,HOME OFFICE ALLOCATI 60045,A81000B,00300,0300,HOME OFFICE ALLOCATI 60045,A81000B,00400,0300,HOME OFFICE ALLOCATI 60045,A81000B,00500,0300,DEPRECIATION - HCE 60045,A81000B,00600,0300,INTEREST 60045,A81000B,00700,0300,PHARMACY 60045,A81000B,00800,0300,PHARMACY C/S 60045,A81000C,00100,0100,A 60045,A81000C,00100,0200,FORREST PRESTON 60045,A81000C,00100,0400,LCCA 60045,A81000C,00100,0600,HEALTH CARE MGM 60045,A81000C,00200,0100,A 60045,A81000C,00200,0200,FORREST PRESTON 60045,A81000C,00200,0400,LCCA 60045,A81000C,00200,0600,HEALTH CARE MGM 60045,A81000C,00300,0100,A 60045,A81000C,00300,0200,FORREST PRESTON 60045,A81000C,00300,0400,LCCA 60045,A81000C,00300,0600,HEALTH CARE MGM 60045,A81000C,00400,0100,A 60045,A81000C,00400,0200,FORREST PRESTON 60045,A81000C,00400,0400,LCCA 60045,A81000C,00400,0600,HEALTH CARE MGM 60045,A81000C,00500,0100,A 60045,A81000C,00500,0200,FORREST PRESTON 60045,A81000C,00500,0400,LCCA 60045,A81000C,00500,0600,HEALTH CARE MGM 60045,A81000C,00600,0100,A 60045,A81000C,00600,0200,FORREST PRESTON 60045,A81000C,00600,0400,LCCA 60045,A81000C,00600,0600,HEALTH CARE MGT 60045,A81000C,00700,0100,B 60045,A81000C,00700,0200,LCPSI 60045,A81000C,00700,0400,MEDILIFE 60045,A81000C,00700,0600,PHARMACY 60045,A81000C,00800,0100,B 60045,A81000C,00800,0200,LCPSI 60045,A81000C,00800,0400,MEDILIFE 60045,A81000C,00800,0600,PHARMACY 60045,B100000,00000,0100,00000(SQUARE FEET) 60045,B100000,00000,0200,00000(SQUARE FEET) 60045,B100000,00000,0300,00000(GROSS SALARIES) 60045,B100000,00000,0400,00000(ACCUM COST) 60045,B100000,00000,0500,00000(SQUARE FEET) 60045,B100000,00000,0600,00000PATIENT DAYS 60045,B100000,00000,0700,00000(SQUARE FEET) 60045,B100000,00000,0800,00000(MEALS SERVED) 60045,B100000,00000,0900,00000DIRECT NRSG HOURS 60045,B100000,00000,1000,00000(COSTED REQUIS) 60045,B100000,00000,1100,00000(COSTED REQUIS) 60045,B100000,00000,1200,00000GROSS REVENUES 60045,B100000,00000,1300,00000PATIENT DAYS 60045,B100000,00000,1350,00000PATIENT DAYS 60045,S000000,00100,0200,05/12/2000 60045,S200000,00100,0100,1000 14TH STREET 60045,S200000,00200,0100,WHITING 60045,S200000,00200,0200,IN 60045,S200000,00200,0300,46394 60045,S200000,00300,0100,LAKE 60045,S200000,00400,0100,HAMMOND-WHITING CONVALESCENT 60045,S200000,00400,0200,155423 60045,S200000,00400,0300,12/09/1991 60045,S200000,00400,0500,P 60045,S200000,00400,0600,O 60045,S200000,01600,0100,Y 60053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60053,A000000,00300,0000,00300EMPLOYEE BENEFITS 60053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60053,A000000,00700,0000,00700HOUSEKEEPING 60053,A000000,00800,0000,00800DIETARY 60053,A000000,00900,0000,00900NURSING ADMINISTRATION 60053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60053,A000000,01100,0000,01100PHARMACY 60053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60053,A000000,01300,0000,01300SOCIAL SERVICE 60053,A000000,01350,0000,01500ACTIVITIES 60053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60053,A000000,01600,0000,01600SKILLED NURSING FACILITY 60053,A000000,01800,0000,01800NURSING FACILITY 60053,A000000,01810,0000,01810ICF/MR 60053,A000000,02100,0000,02100RADIOLOGY 60053,A000000,02200,0000,02200LABORATORY 60053,A000000,02300,0000,02300INTRAVENOUS THERAPY 60053,A000000,02500,0000,02500PHYSICAL THERAPY 60053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60053,A000000,02700,0000,02700SPEECH PATHOLOGY 60053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60053,A000000,02901,0000,02901PEN THERAPY 60053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60053,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60053,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60053,A000000,03550,0000,03550FQHC 60053,A000000,05000,0000,05000CORF 60053,A000000,05010,0000,05010CMHC 60053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60053,A81000A,00100,0100,Y 60053,A81000B,00100,0300,HOME OFF ALLOC 60053,A81000B,00200,0300,HOME OFF ALLOC 60053,A81000B,00300,0300,HOME OFF ALLOC 60053,A81000B,00400,0300,HOME OFF ALLOC 60053,A81000B,00500,0300,LIFE CARE DESIGN 60053,A81000B,00600,0300,PHARMACY EXPENSE 60053,A81000B,00700,0300,PHARMACY C/S 60053,A81000B,00800,0300,INTEREST 60053,A81000B,00900,0300,COMP INSTALL/DEPR 60053,A81000C,00100,0100,A 60053,A81000C,00100,0200,FORREST PRESTON 60053,A81000C,00100,0400,LCCA 60053,A81000C,00100,0600,HEALTH CARE MGM 60053,A81000C,00200,0100,A 60053,A81000C,00200,0200,FORREST PRESTON 60053,A81000C,00200,0400,LCCA 60053,A81000C,00200,0600,HEALTH CARE MGM 60053,A81000C,00300,0100,A 60053,A81000C,00300,0200,FORREST PRESTON 60053,A81000C,00300,0400,LCCA 60053,A81000C,00300,0600,HEALTH CARE MGM 60053,A81000C,00400,0100,A 60053,A81000C,00400,0200,FORREST PRESTON 60053,A81000C,00400,0400,LCCA 60053,A81000C,00400,0600,HEALTH CARE MGM 60053,A81000C,00500,0100,A 60053,A81000C,00500,0200,LCCA 60053,A81000C,00500,0400,LIFE CARE DESIG 60053,A81000C,00500,0600,FURN & FIXTURES 60053,A81000C,00600,0100,B 60053,A81000C,00600,0200,LCPSI 60053,A81000C,00600,0400,MEDILIFE PHARMA 60053,A81000C,00600,0600,PHARMACY 60053,A81000C,00700,0100,B 60053,A81000C,00700,0200,LCPSI 60053,A81000C,00700,0400,MEDILIFE PHARMA 60053,A81000C,00700,0600,PHARMACY 60053,A81000C,00800,0100,A 60053,A81000C,00800,0200,FORREST PRESTON 60053,A81000C,00800,0400,LCCA 60053,A81000C,00800,0600,HEALTH CARE MGM 60053,A81000C,00900,0100,A 60053,A81000C,00900,0200,FORREST PRESTON 60053,A81000C,00900,0400,LCCA 60053,A81000C,00900,0600,HEALTH CARE MGM 60053,B100000,00000,0100,00000(SQUARE FEET) 60053,B100000,00000,0200,00000(SQUARE FEET) 60053,B100000,00000,0300,00000(GROSS SALARIES) 60053,B100000,00000,0400,00000(ACCUM COST) 60053,B100000,00000,0500,00000(SQUARE FEET) 60053,B100000,00000,0600,00000PATIENT DAYS 60053,B100000,00000,0700,00000(SQUARE FEET) 60053,B100000,00000,0800,00000(MEALS SERVED) 60053,B100000,00000,0900,00000DIRECT NRSG HOURS 60053,B100000,00000,1000,00000(COSTED REQUIS) 60053,B100000,00000,1100,00000(COSTED REQUIS) 60053,B100000,00000,1200,00000GROSS REVENUES 60053,B100000,00000,1300,00000PATIENT DAYS 60053,B100000,00000,1350,00000PATIENT DAYS 60053,B100000,00000,1400,00000ASSIGNED TIME 60053,S000000,00100,0200,05/11/2000 60053,S200000,00100,0100,1000 LANE AVENUE 60053,S200000,00200,0100,CRAWFORDSVILLE 60053,S200000,00200,0200,IN 60053,S200000,00200,0300,47933 60053,S200000,00300,0100,MONTGOMERY 60053,S200000,00400,0100,THE LANE HOUSE 60053,S200000,00400,0200,155477 60053,S200000,00400,0300,12/01/1992 60053,S200000,00400,0500,P 60053,S200000,00400,0600,O 60053,S200000,01600,0100,Y 60053,S200000,04700,0100,Y 60053,S200000,04700,0200,Y 60061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60061,A000000,00300,0000,00300EMPLOYEE BENEFITS 60061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60061,A000000,00700,0000,00700HOUSEKEEPING 60061,A000000,00800,0000,00800DIETARY 60061,A000000,00900,0000,00900NURSING ADMINISTRATION 60061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60061,A000000,01100,0000,01100PHARMACY 60061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60061,A000000,01300,0000,01300SOCIAL SERVICE 60061,A000000,01350,0000,01500ACTIVITIES 60061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60061,A000000,01600,0000,01600SKILLED NURSING FACILITY 60061,A000000,01800,0000,01800NURSING FACILITY 60061,A000000,01810,0000,01810ICF/MR 60061,A000000,02500,0000,02500PHYSICAL THERAPY 60061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60061,A000000,02700,0000,02700SPEECH PATHOLOGY 60061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60061,A000000,02901,0000,02901PEN THERAPY 60061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60061,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60061,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60061,A000000,03550,0000,03550FQHC 60061,A000000,05000,0000,05000CORF 60061,A000000,05010,0000,05010CMHC 60061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60061,A000000,06150,0000,06300ASSISTED/RETIREMENT LIVING 60061,A81000A,00100,0100,Y 60061,A81000B,00100,0300,HOME OFFICE ALLOC 60061,A81000B,00200,0300,INTEREST/DEPREC 60061,A81000B,00300,0300,PHARMACY EXPENSE 60061,A81000B,00400,0300,PHARMACY C/S 60061,A81000B,00500,0300,HOME OFFICE INTEREST 60061,A81000B,00600,0300,COMP INSTALL/DEPR 60061,A81000C,00100,0100,A 60061,A81000C,00100,0200,FORREST PRESTON 60061,A81000C,00100,0400,LCCA 60061,A81000C,00100,0600,HEALTH CARE MGM 60061,A81000C,00200,0100,A 60061,A81000C,00200,0200,FORREST PRESTON 60061,A81000C,00200,0400,HCE LEASING 60061,A81000C,00200,0600,VEHICLE & COMP 60061,A81000C,00300,0100,B 60061,A81000C,00300,0200,LCPS INC. 60061,A81000C,00300,0400,MEDILIFE 60061,A81000C,00300,0600,PHARMACY SERVIC 60061,A81000C,00400,0100,B 60061,A81000C,00400,0200,LCPS INC. 60061,A81000C,00400,0400,MEDILIFE 60061,A81000C,00400,0600,PHARMACY SERVIC 60061,A81000C,00500,0100,A 60061,A81000C,00500,0200,FORREST PRESTON 60061,A81000C,00500,0400,LCCA 60061,A81000C,00500,0600,HEALTH CARE MGM 60061,A81000C,00600,0100,A 60061,A81000C,00600,0200,FORREST PRESTON 60061,A81000C,00600,0400,LCCA 60061,A81000C,00600,0600,HEALTH CARE MGM 60061,B100000,00000,0100,00000(SQUARE FEET) 60061,B100000,00000,0200,00000(SQUARE FEET) 60061,B100000,00000,0300,00000(GROSS SALARIES) 60061,B100000,00000,0400,00000(ACCUM COST) 60061,B100000,00000,0500,00000(SQUARE FEET) 60061,B100000,00000,0600,00000PATIENT DAYS 60061,B100000,00000,0700,00000(SQUARE FEET) 60061,B100000,00000,0800,00000(MEALS SERVED) 60061,B100000,00000,0900,00000DIRECT NRSG HOURS 60061,B100000,00000,1000,00000(COSTED REQUIS) 60061,B100000,00000,1100,00000(COSTED REQUIS) 60061,B100000,00000,1200,00000GROSS REVENUES 60061,B100000,00000,1300,00000PATIENT DAYS 60061,B100000,00000,1350,00000PATIENT DAYS 60061,B100000,00000,1400,00000ASSIGNED TIME 60061,S000000,00100,0200,05/11/2000 60061,S200000,00100,0100,8616 WEST TENTH STREET 60061,S200000,00200,0100,INDIANAPOLIS 60061,S200000,00200,0200,IN 60061,S200000,00200,0300,46234 60061,S200000,00300,0100,MARION 60061,S200000,00400,0100,WESTSIDE RETIREMENT VILLAGE 60061,S200000,00400,0200,155606 60061,S200000,00400,0300,01/01/1997 60061,S200000,00400,0500,P 60061,S200000,00400,0600,O 60061,S200000,01600,0100,Y 60061,S200000,02800,0100,Y 60070,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60070,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60070,A000000,00300,0000,00300EMPLOYEE BENEFITS 60070,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60070,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60070,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60070,A000000,00700,0000,00700HOUSEKEEPING 60070,A000000,00800,0000,00800DIETARY 60070,A000000,00900,0000,00900NURSING ADMINISTRATION 60070,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60070,A000000,01100,0000,01100PHARMACY 60070,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60070,A000000,01300,0000,01300SOCIAL SERVICE 60070,A000000,01350,0000,01500ACTIVITIES 60070,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60070,A000000,01600,0000,01600SKILLED NURSING FACILITY 60070,A000000,01800,0000,01800NURSING FACILITY 60070,A000000,01810,0000,01810ICF/MR 60070,A000000,02100,0000,02100RADIOLOGY 60070,A000000,02200,0000,02200LABORATORY 60070,A000000,02300,0000,02300INTRAVENOUS THERAPY 60070,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60070,A000000,02500,0000,02500PHYSICAL THERAPY 60070,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60070,A000000,02700,0000,02700SPEECH PATHOLOGY 60070,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60070,A000000,02901,0000,02901PEN THERAPY 60070,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60070,A000000,03050,0000,03300OTHER ANCILLARY COSTS 60070,A000000,03051,0000,03301OTHER ANCILLARY COSTS 60070,A000000,03550,0000,03550FQHC 60070,A000000,05000,0000,05000CORF 60070,A000000,05010,0000,05010CMHC 60070,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60070,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60070,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60070,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60070,A81000A,00100,0100,Y 60070,A81000B,00100,0300,HOME OFFICE ALLOC 60070,A81000B,00200,0300,HOME OFFICE ALLOC 60070,A81000B,00300,0300,HOME OFFICE ALLOC 60070,A81000B,00400,0300,HOME OFFICE ALLOC 60070,A81000B,00500,0300,COMP INSTALL/DEPR 60070,A81000B,00600,0300,INTEREST 60070,A81000B,00700,0300,PHARMACY 60070,A81000B,00800,0300,PHARMACY C/S 60070,A81000C,00100,0100,A 60070,A81000C,00100,0200,FORREST PRESTON 60070,A81000C,00100,0400,LCCA 60070,A81000C,00100,0600,HEALTH CARE MGM 60070,A81000C,00200,0100,A 60070,A81000C,00200,0200,FORREST PRESTON 60070,A81000C,00200,0400,LCCA 60070,A81000C,00200,0600,HEALTH CARE MGM 60070,A81000C,00300,0100,A 60070,A81000C,00300,0200,FORREST PRESTON 60070,A81000C,00300,0400,LCCA 60070,A81000C,00300,0600,HEALTH CARE MGM 60070,A81000C,00400,0100,A 60070,A81000C,00400,0200,FORREST PRESTON 60070,A81000C,00400,0400,LCCA 60070,A81000C,00400,0600,HEALTH CARE MGM 60070,A81000C,00500,0100,A 60070,A81000C,00500,0200,FORREST PRESTON 60070,A81000C,00500,0400,LCCA 60070,A81000C,00500,0600,HEALTH CARE MGM 60070,A81000C,00600,0100,A 60070,A81000C,00600,0200,FORREST PRESTON 60070,A81000C,00600,0400,LCCA 60070,A81000C,00600,0600,HEALTH CARE MGM 60070,A81000C,00700,0100,B 60070,A81000C,00700,0200,LCPSI 60070,A81000C,00700,0400,MEDILIFE 60070,A81000C,00700,0600,PHARMACY 60070,A81000C,00800,0100,B 60070,A81000C,00800,0200,LCPSI 60070,A81000C,00800,0400,MEDILIFE 60070,A81000C,00800,0600,PHARMACY 60070,B100000,00000,0100,00000(SQUARE FEET) 60070,B100000,00000,0200,00000(SQUARE FEET) 60070,B100000,00000,0300,00000(GROSS SALARIES) 60070,B100000,00000,0400,00000(ACCUM COST) 60070,B100000,00000,0500,00000(SQUARE FEET) 60070,B100000,00000,0600,00000PATIENT DAYS 60070,B100000,00000,0700,00000(SQUARE FEET) 60070,B100000,00000,0800,00000(MEALS SERVED) 60070,B100000,00000,0900,00000DIRECT NRSG HOURS 60070,B100000,00000,1000,00000(COSTED REQUIS) 60070,B100000,00000,1100,00000(COSTED REQUIS) 60070,B100000,00000,1200,00000GROSS REVENUES 60070,B100000,00000,1300,00000PATIENT DAYS 60070,B100000,00000,1350,00000PATIENT DAYS 60070,B100000,00000,1400,00000ASSIGNED TIME 60070,E10A180,00301,0100,08/17/1999 60070,E10A180,00302,0100,02/07/2000 60070,E10A180,00302,0300,02/07/2000 60070,E10A180,00303,0100,09/30/1999 60070,E10A180,00304,0100,12/07/1999 60070,S000000,00100,0200,05/25/2000 60070,S200000,00100,0100,1615 PARKER STREET 60070,S200000,00200,0100,OSAWATOMIE 60070,S200000,00200,0200,KS 60070,S200000,00200,0300,66064 60070,S200000,00300,0100,MIAMI 60070,S200000,00400,0100,HERITAGE MANOR OF OSAWATOMIE 60070,S200000,00400,0200,175077 60070,S200000,00400,0300,12/14/1987 60070,S200000,00400,0500,P 60070,S200000,00400,0600,O 60070,S200000,01600,0100,Y 60070,S200000,02200,0100,Y 60070,S200000,04300,0100,Y 60077,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60077,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60077,A000000,00300,0000,00300EMPLOYEE BENEFITS 60077,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60077,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60077,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60077,A000000,00700,0000,00700HOUSEKEEPING 60077,A000000,00800,0000,00800DIETARY 60077,A000000,00900,0000,00900NURSING ADMINISTRATION 60077,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60077,A000000,01100,0000,01100PHARMACY 60077,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60077,A000000,01300,0000,01300SOCIAL SERVICE 60077,A000000,01350,0000,01500ACTIVITIES 60077,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60077,A000000,01600,0000,01600SKILLED NURSING FACILITY 60077,A000000,01800,0000,01800NURSING FACILITY 60077,A000000,01810,0000,01810ICF/MR 60077,A000000,02100,0000,02100RADIOLOGY 60077,A000000,02200,0000,02200LABORATORY 60077,A000000,02300,0000,02300INTRAVENOUS THERAPY 60077,A000000,02500,0000,02500PHYSICAL THERAPY 60077,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60077,A000000,02700,0000,02700SPEECH PATHOLOGY 60077,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60077,A000000,02901,0000,02901PEN THERAPY 60077,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60077,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60077,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60077,A000000,03550,0000,03550FQHC 60077,A000000,05000,0000,05000CORF 60077,A000000,05010,0000,05010CMHC 60077,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60077,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60077,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60077,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60077,A81000A,00100,0100,Y 60077,A81000B,00100,0300,HOME OFFICE ALLOC 60077,A81000B,00200,0300,HOME OFFICE ALLOC 60077,A81000B,00300,0300,HOME OFFICE ALLOC 60077,A81000B,00400,0300,HOME OFFICE ALLOC 60077,A81000B,00500,0300,RELATED PTY DEPR 60077,A81000B,00600,0300,RELATED PTY INTEREST 60077,A81000B,00700,0300,PHARMACY 60077,A81000B,00800,0300,PHARMACY C/S 60077,A81000B,00900,0300,1997 DEV COSTS 60077,A81000B,01000,0300,H/O PLANNING & DEVELOPMENT 60077,A81000C,00100,0100,A 60077,A81000C,00100,0200,FORREST PRESTON 60077,A81000C,00100,0400,LCCA 60077,A81000C,00100,0600,HEALTH CARE MGM 60077,A81000C,00200,0100,A 60077,A81000C,00200,0200,FORREST PRESTON 60077,A81000C,00200,0400,LCCA 60077,A81000C,00200,0600,HEALTH CARE MGM 60077,A81000C,00300,0100,A 60077,A81000C,00300,0200,FORREST PRESTON 60077,A81000C,00300,0400,LCCA 60077,A81000C,00300,0600,HEALTH CARE MGM 60077,A81000C,00400,0100,A 60077,A81000C,00400,0200,FORREST PRESTON 60077,A81000C,00400,0400,LCCA 60077,A81000C,00400,0600,HEALTH CARE MGM 60077,A81000C,00500,0100,A 60077,A81000C,00500,0200,FORREST PRESTON 60077,A81000C,00500,0400,LCCA 60077,A81000C,00500,0600,HEALTH CARE MGM 60077,A81000C,00600,0100,A 60077,A81000C,00600,0200,FORREST PRESTON 60077,A81000C,00600,0400,LCCA 60077,A81000C,00600,0600,HEALTH CARE MGM 60077,A81000C,00700,0100,A 60077,A81000C,00700,0200,FORREST PRESTON 60077,A81000C,00700,0400,MEDILIFE 60077,A81000C,00700,0600,PHARMACY 60077,A81000C,00800,0100,A 60077,A81000C,00800,0200,FORREST PRESTON 60077,A81000C,00800,0400,MEDILIFE 60077,A81000C,00800,0600,PHARMACY 60077,A81000C,00900,0100,A 60077,A81000C,00900,0200,FORREST PRESTON 60077,A81000C,00900,0400,LCCA 60077,A81000C,00900,0600,HEALTH CARE MGM 60077,B100000,00000,0100,00000(SQUARE FEET) 60077,B100000,00000,0200,00000(SQUARE FEET) 60077,B100000,00000,0300,00000(GROSS SALARIES) 60077,B100000,00000,0400,00000(ACCUM COST) 60077,B100000,00000,0500,00000(SQUARE FEET) 60077,B100000,00000,0600,00000PATIENT DAYS 60077,B100000,00000,0700,00000(SQUARE FEET) 60077,B100000,00000,0800,00000(MEALS SERVED) 60077,B100000,00000,0900,00000NRSG HOURS 60077,B100000,00000,1000,00000(COSTED REQUIS) 60077,B100000,00000,1100,00000(COSTED REQUIS) 60077,B100000,00000,1200,00000GROSS REVENUES 60077,B100000,00000,1300,00000PATIENT DAYS 60077,B100000,00000,1350,00000PATIENT DAYS 60077,B100000,00000,1400,00000ASSIGNED TIME 60077,E10A180,00301,0100,02/07/2000 60077,E10A180,00301,0300,02/07/2000 60077,S000000,00100,0200,05/10/2000 60077,S200000,00100,0100,621 W. 21ST STREET 60077,S200000,00200,0100,ANDOVER 60077,S200000,00200,0200,KS 60077,S200000,00200,0300,67002 60077,S200000,00300,0100,BUTLER 60077,S200000,00400,0100,ANDOVER HEALTH CARE CENTER 60077,S200000,00400,0200,175157 60077,S200000,00400,0300,11/01/1986 60077,S200000,00400,0500,P 60077,S200000,00400,0600,O 60077,S200000,01600,0100,Y 60077,S200000,02200,0100,Y 60077,S200000,04300,0100,Y 60077,S200000,04700,0100,Y 60077,S200000,04700,0200,Y 60087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60087,A000000,00300,0000,00300EMPLOYEE BENEFITS 60087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60087,A000000,00700,0000,00700HOUSEKEEPING 60087,A000000,00800,0000,00800DIETARY 60087,A000000,00900,0000,00900NURSING ADMINISTRATION 60087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60087,A000000,01100,0000,01100PHARMACY 60087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60087,A000000,01300,0000,01300SOCIAL SERVICE 60087,A000000,01350,0000,01500ACTIVITIES 60087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60087,A000000,01600,0000,01600SKILLED NURSING FACILITY 60087,A000000,01800,0000,01800NURSING FACILITY 60087,A000000,01810,0000,01810ICF/MR 60087,A000000,02100,0000,02100RADIOLOGY 60087,A000000,02200,0000,02200LABORATORY 60087,A000000,02300,0000,02300INTRAVENOUS THERAPY 60087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60087,A000000,02500,0000,02500PHYSICAL THERAPY 60087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60087,A000000,02700,0000,02700SPEECH PATHOLOGY 60087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60087,A000000,02901,0000,02901PEN THERAPY 60087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60087,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60087,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60087,A000000,03550,0000,03550FQHC 60087,A000000,05000,0000,05000CORF 60087,A000000,05010,0000,05010CMHC 60087,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60087,A81000A,00100,0100,Y 60087,A81000B,00100,0300,H.O. ALLOCATION 60087,A81000B,00200,0300,H.O. ALLOCATION 60087,A81000B,00300,0300,H.O. ALLOCATION 60087,A81000B,00400,0300,H.O. ALLOCATION 60087,A81000B,00500,0300,RELATED PTY DEPR 60087,A81000B,00600,0300,RELATED PTY INTEREST 60087,A81000B,00700,0300,LIFE CARE DESIGN 60087,A81000B,00800,0300,MEDILIFE RX 60087,A81000C,00100,0100,A 60087,A81000C,00100,0200,FORREST PRESTON 60087,A81000C,00100,0400,LCCA 60087,A81000C,00100,0600,HEALTH CARE MGM 60087,A81000C,00200,0100,A 60087,A81000C,00200,0200,FORREST PRESTON 60087,A81000C,00200,0400,LCCA 60087,A81000C,00200,0600,HEALTH CARE MGM 60087,A81000C,00300,0100,A 60087,A81000C,00300,0200,FORREST PRESTON 60087,A81000C,00300,0400,LCCA 60087,A81000C,00300,0600,HEALTH CARE MGM 60087,A81000C,00400,0100,A 60087,A81000C,00400,0200,FORREST PRESTON 60087,A81000C,00400,0400,LCCA 60087,A81000C,00400,0600,HEALTH CARE MGM 60087,A81000C,00500,0100,A 60087,A81000C,00500,0200,FORREST PRESTON 60087,A81000C,00500,0400,LCCA 60087,A81000C,00500,0600,HEALTH CARE MGM 60087,A81000C,00600,0100,A 60087,A81000C,00600,0200,FORREST PRESTON 60087,A81000C,00600,0400,LCCA 60087,A81000C,00600,0600,HEALTH CARE MGM 60087,A81000C,00700,0100,B 60087,A81000C,00700,0200,LCCA 60087,A81000C,00700,0400,LIFE CARE DESIG 60087,A81000C,00700,0600,FURNITURE & FIX 60087,A81000C,00800,0100,A 60087,A81000C,00800,0200,LCPS INC. 60087,A81000C,00800,0400,MEDILIFE PHARMA 60087,A81000C,00800,0600,PHARMACY SERVIC 60087,B100000,00000,0100,00000(SQUARE FEET) 60087,B100000,00000,0200,00000(SQUARE FEET) 60087,B100000,00000,0300,00000(GROSS SALARIES) 60087,B100000,00000,0400,00000(ACCUM COST) 60087,B100000,00000,0500,00000(SQUARE FEET) 60087,B100000,00000,0600,00000PATIENT DAYS 60087,B100000,00000,0700,00000(SQUARE FEET) 60087,B100000,00000,0800,00000(MEALS SERVED) 60087,B100000,00000,0900,00000NURSING HOURS 60087,B100000,00000,1000,00000(COSTED REQUIS) 60087,B100000,00000,1100,00000(COSTED REQUIS) 60087,B100000,00000,1200,00000GROSS REVENUES 60087,B100000,00000,1300,00000PATIENT DAYS 60087,B100000,00000,1350,00000PATIENT DAYS 60087,B100000,00000,1400,00000ASSIGNED TIME 60087,S000000,00100,0200,05/18/2000 60087,S200000,00100,0100,7541 SWITZER ROAD 60087,S200000,00200,0100,OVERLAND PARK 60087,S200000,00200,0200,KS 60087,S200000,00200,0300,66214 60087,S200000,00300,0100,JOHNSON 60087,S200000,00400,0100,LCC OF OVERLAND PARK 60087,S200000,00400,0200,175158 60087,S200000,00400,0300,03/19/1987 60087,S200000,00400,0500,P 60087,S200000,01600,0100,Y 60087,S200000,02200,0100,Y 60087,S200000,04300,0100,Y 60105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60105,A000000,00300,0000,00300EMPLOYEE BENEFITS 60105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60105,A000000,00700,0000,00700HOUSEKEEPING 60105,A000000,00800,0000,00800DIETARY 60105,A000000,00900,0000,00900NURSING ADMINISTRATION 60105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60105,A000000,01100,0000,01100PHARMACY 60105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60105,A000000,01300,0000,01300SOCIAL SERVICE 60105,A000000,01350,0000,01500ACTIVITIES 60105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60105,A000000,01600,0000,01600SKILLED NURSING FACILITY 60105,A000000,01800,0000,01800NURSING FACILITY 60105,A000000,01810,0000,01810ICF/MR 60105,A000000,02500,0000,02500PHYSICAL THERAPY 60105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60105,A000000,02700,0000,02700SPEECH PATHOLOGY 60105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60105,A000000,02901,0000,02901PEN THERAPY 60105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60105,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60105,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60105,A000000,03550,0000,03550FQHC 60105,A000000,05000,0000,05000CORF 60105,A000000,05010,0000,05010CMHC 60105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60105,A81000A,00100,0100,Y 60105,A81000B,00100,0300,HOME OFFICE ALLOCATI 60105,A81000B,00200,0300,HOME OFFICE ALLOCATI 60105,A81000B,00300,0300,HOME OFFICE ALLOCATI 60105,A81000B,00400,0300,HOME OFFICE ALLOCATI 60105,A81000B,00500,0300,DEPRECIATION 60105,A81000B,00600,0300,INTEREST 60105,A81000B,00700,0300,PHARMACY C/S 60105,A81000B,00800,0300,DEVELOPMENT COSTS 60105,A81000C,00100,0100,A 60105,A81000C,00100,0200,FORREST PRESTON 60105,A81000C,00100,0400,LCCA 60105,A81000C,00100,0600,HEALTH CARE MGM 60105,A81000C,00200,0100,A 60105,A81000C,00200,0200,FORREST PRESTON 60105,A81000C,00200,0400,LCCA 60105,A81000C,00200,0600,HEALTH CARE MGM 60105,A81000C,00300,0100,A 60105,A81000C,00300,0200,FORREST PRESTON 60105,A81000C,00300,0400,LCCA 60105,A81000C,00300,0600,HEALTH CARE MGM 60105,A81000C,00400,0100,A 60105,A81000C,00400,0200,FORREST PRESTON 60105,A81000C,00400,0400,LCCA 60105,A81000C,00400,0600,HEALTH CARE MGM 60105,A81000C,00500,0100,A 60105,A81000C,00500,0200,FORREST PRESTON 60105,A81000C,00500,0400,LCCA 60105,A81000C,00500,0600,HEALTH CARE MGM 60105,A81000C,00600,0100,A 60105,A81000C,00600,0200,FORREST PRESTON 60105,A81000C,00600,0400,LCCA 60105,A81000C,00600,0600,HEALTH CARE MGM 60105,A81000C,00700,0100,B 60105,A81000C,00700,0200,LCPSI 60105,A81000C,00700,0400,MEDILIFE 60105,A81000C,00700,0600,PHARMACY SERVIC 60105,A81000C,00800,0100,A 60105,A81000C,00800,0200,FORREST PRESTON 60105,A81000C,00800,0400,DEVELOPMENT ENT 60105,A81000C,00800,0600,DEVELOPMENT/ACQ 60105,B100000,00000,0100,00000(SQUARE FEET) 60105,B100000,00000,0200,00000(SQUARE FEET) 60105,B100000,00000,0300,00000(GROSS SALARIES) 60105,B100000,00000,0400,00000(ACCUM COST) 60105,B100000,00000,0500,00000(SQUARE FEET) 60105,B100000,00000,0600,00000PATIENT DAYS 60105,B100000,00000,0700,00000(SQUARE FEET) 60105,B100000,00000,0800,00000(MEALS SERVED) 60105,B100000,00000,0900,00000DIRECT NRSG HOURS 60105,B100000,00000,1000,00000(COSTED REQUIS) 60105,B100000,00000,1100,00000(COSTED REQUIS) 60105,B100000,00000,1200,00000GROSS REVENUES 60105,B100000,00000,1300,00000PATIENT DAYS 60105,B100000,00000,1350,00000PATIENT DAYS 60105,B100000,00000,1400,00000ASSIGNED TIME 60105,E10A180,00301,0100,02/04/2000 60105,S000000,00100,0200,05/25/2000 60105,S200000,00100,0100,601 CROSS STREET 60105,S200000,00200,0100,BURLINGTON 60105,S200000,00200,0200,KS 60105,S200000,00200,0300,66839 60105,S200000,00300,0100,COFFEY 60105,S200000,00400,0100,LIFE CARE CENTER OF BURLINGTON 60105,S200000,00400,0200,175373 60105,S200000,00400,0300,11/01/1997 60105,S200000,00400,0500,P 60105,S200000,00400,0600,O 60105,S200000,01600,0100,Y 60105,S200000,02200,0100,Y 60105,S200000,04300,0100,Y 60116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60116,A000000,00300,0000,00300EMPLOYEE BENEFITS 60116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60116,A000000,00700,0000,00700HOUSEKEEPING 60116,A000000,00800,0000,00800DIETARY 60116,A000000,00900,0000,00900NURSING ADMINISTRATION 60116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60116,A000000,01100,0000,01100PHARMACY 60116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60116,A000000,01300,0000,01300SOCIAL SERVICE 60116,A000000,01350,0000,01500ACTIVITIES 60116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60116,A000000,01600,0000,01600SKILLED NURSING FACILITY 60116,A000000,01800,0000,01800NURSING FACILITY 60116,A000000,01810,0000,01810ICF/MR 60116,A000000,01900,0000,01900OTHER LONG TERM CARE 60116,A000000,02100,0000,02100RADIOLOGY 60116,A000000,02200,0000,02200LABORATORY 60116,A000000,02300,0000,02300INTRAVENOUS THERAPY 60116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60116,A000000,02500,0000,02500PHYSICAL THERAPY 60116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60116,A000000,02700,0000,02700SPEECH PATHOLOGY 60116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60116,A000000,02901,0000,02901PEN THERAPY 60116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60116,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60116,A000000,03051,0000,03301AMBULANCE 60116,A000000,03550,0000,03550FQHC 60116,A000000,05000,0000,05000CORF 60116,A000000,05010,0000,05010CMHC 60116,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60116,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60116,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60116,A81000A,00100,0100,Y 60116,A81000B,00100,0300,HOME OFFICE COSTS 60116,A81000B,00200,0300,ALLOCATED COSTS 60116,A81000B,00300,0300,ALLOCATED COSTS 60116,A81000B,00400,0300,ALLOCATED COSTS 60116,A81000B,00500,0300,ALLOCATED COSTS 60116,A81000B,00600,0300,MEDICAL SUPPLIES 60116,A81000B,00700,0300,NURSING SUPPLIES 60116,A81000B,00800,0300,DRUGS 60116,A81000B,00900,0300,SUPPLIES 60116,A81000B,01000,0300,PHARMACIST CONSULT. 60116,A81000B,01100,0300,INTEREST 60116,A81000B,01200,0300,FURNISHINGS & EQUIP. 60116,A81000B,01300,0300,INTEREST 60116,A81000B,01400,0300,DEPRECIATION 60116,A81000B,01500,0300,INTEREST 60116,A81000B,01600,0300,DEVELOPMENT COSTS 60116,A81000B,01700,0300,DEVELOPMENT COSTS 60116,A81000B,01800,0300,INTEREST 60116,A81000C,00100,0100,A 60116,A81000C,00100,0200,FORREST PRESTON 60116,A81000C,00100,0400,LIFE CARE CENTE 60116,A81000C,00100,0600,MANAGEMENT COMP 60116,A81000C,00200,0100,A 60116,A81000C,00200,0200,FORREST PRESTON 60116,A81000C,00200,0400,LIFE CARE DESIG 60116,A81000C,00200,0600,FURNISHINGS & E 60116,A81000C,00300,0100,A 60116,A81000C,00300,0200,FORREST PRESTON 60116,A81000C,00300,0400,MEDILIFE 60116,A81000C,00300,0600,PHARMACY & SUPP 60116,A81000C,00400,0100,A 60116,A81000C,00400,0200,FORREST PRESTON 60116,A81000C,00400,0400,HCE LEASING 60116,A81000C,00400,0600,VEHICLE LEASING 60116,B100000,00000,0100,00000(SQUARE FEET) 60116,B100000,00000,0200,00000(SQUARE FEET) 60116,B100000,00000,0300,00000(GROSS SALARIES) 60116,B100000,00000,0400,00000(ACCUM COST) 60116,B100000,00000,0500,00000(SQUARE FEET) 60116,B100000,00000,0600,00000PATIENT DAYS 60116,B100000,00000,0700,00000(SQUARE FEET) 60116,B100000,00000,0800,00000(MEALS SERVED) 60116,B100000,00000,0900,00000HOURS SUPERVISED 60116,B100000,00000,1000,00000(COSTED REQUIS) 60116,B100000,00000,1100,00000(COSTED REQUIS) 60116,B100000,00000,1200,00000GROSS REVENUES 60116,B100000,00000,1300,00000PATIENT DAYS 60116,B100000,00000,1350,00000PATIENT DAYS 60116,B100000,00000,1400,00000(ASSIGNED TIME) 60116,E10A180,00301,0100,08/17/1999 60116,E10A180,00501,0300,02/17/2000 60116,E10A180,00550,0100,02/17/2000 60116,S000000,00100,0200,02/07/2000 60116,S200000,00100,0100,622 N EDGEMOOR STREET 60116,S200000,00200,0100,WICHITA 60116,S200000,00200,0200,KS 60116,S200000,00200,0300,67208 60116,S200000,00300,0100,SEDGEWICK 60116,S200000,00400,0100,LIFE CARE CENTER OF WICHITA 60116,S200000,00400,0200,175407 60116,S200000,00400,0300,12/20/1996 60116,S200000,00400,0500,P 60116,S200000,00400,0600,O 60116,S200000,00600,0200,175407 60116,S200000,00600,0300,12/20/1996 60116,S200000,00600,0600,P 60116,S200000,01600,0100,Y 60116,S200000,02200,0100,Y 60116,S200000,04300,0100,Y 60116,S200000,04700,0100,Y 60116,S200000,04900,0100,Y 60123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60123,A000000,00300,0000,00300EMPLOYEE BENEFITS 60123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60123,A000000,00700,0000,00700HOUSEKEEPING 60123,A000000,00800,0000,00800DIETARY 60123,A000000,00900,0000,00900NURSING ADMINISTRATION 60123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60123,A000000,01100,0000,01100PHARMACY 60123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60123,A000000,01300,0000,01300SOCIAL SERVICE 60123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60123,A000000,01600,0000,01600SKILLED NURSING FACILITY 60123,A000000,01800,0000,01800NURSING FACILITY 60123,A000000,01810,0000,01810ICF/MR 60123,A000000,02100,0000,02100RADIOLOGY 60123,A000000,02200,0000,02200LABORATORY 60123,A000000,02300,0000,02300INTRAVENOUS THERAPY 60123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60123,A000000,02500,0000,02500PHYSICAL THERAPY 60123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60123,A000000,02700,0000,02700SPEECH PATHOLOGY 60123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60123,A000000,03550,0000,03550FQHC 60123,A000000,04800,0000,04800AMBULANCE 60123,A000000,05000,0000,05000CORF 60123,A000000,05010,0000,05010CMHC 60123,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60123,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60123,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60123,A000000,05300,0000,05300INTEREST EXPENSE 60123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60123,A81000A,00100,0100,Y 60123,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60123,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60123,A81000B,00300,0300,HEALTH INSURANCE 60123,A81000B,00400,0300,RETIREMENT 60123,A81000B,00500,0300,PHS COST 60123,A81000B,00600,0300,PHS COST 60123,A81000B,00700,0300,PHS COST 60123,A81000B,00800,0300,PHS COST 60123,A81000B,00900,0300,PHS COST 60123,A81000B,01000,0300,PHS COST 60123,A81000B,01100,0300,PHS COST 60123,A81000B,01200,0300,PHS COST 60123,A81000C,00100,0100,B 60123,A81000C,00100,0200,NATIONAL HEALTH 60123,A81000C,00100,0400,PROF. HEALTH SE 60123,A81000C,00100,0600,THERAPY & CONSU 60123,A81000C,00200,0200,CARE CORPORATIO 60123,B100000,00000,0100,00000(SQUARE FEET) 60123,B100000,00000,0200,00000(SQUARE FEET) 60123,B100000,00000,0300,00000(GROSS SALARIES) 60123,B100000,00000,0400,00000(ACCUM COST) 60123,B100000,00000,0500,00000(SQUARE FEET) 60123,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60123,B100000,00000,0700,00000(SQUARE FEET) 60123,B100000,00000,0800,00000(MEALS SERVED) 60123,B100000,00000,0900,00000(DIRECT NRSG HRS) 60123,B100000,00000,1000,00000(COSTED REQUIS) 60123,B100000,00000,1100,00000(COSTED REQUIS) 60123,B100000,00000,1200,00000(TIME SPENT) 60123,B100000,00000,1300,00000(TIME SPENT) 60123,B100000,00000,1400,00000ASSIGNED TIME 60123,E10A180,00501,0100,05/30/2000 60123,E10A180,00550,0300,05/30/2000 60123,S000000,00100,0200,05/26/2000 60123,S200000,00100,0100,419 NORTH SEMINARY STREET 60123,S200000,00100,0300,751 60123,S200000,00200,0100,MADISONVILLE 60123,S200000,00200,0200,KY 60123,S200000,00200,0300,42431 60123,S200000,00300,0100,HOPKINS 60123,S200000,00400,0100,NHC HEALTHCARE MADISONVILLE 60123,S200000,00400,0200,185015 60123,S200000,00400,0300,01/01/1967 60123,S200000,00400,0500,P 60123,S200000,00600,0200,185015 60123,S200000,00600,0300,01/01/1967 60123,S200000,00600,0600,P 60123,S200000,01600,0100,Y 60123,S200000,01900,0100,NON PROFIT 501C 60133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60133,A000000,00300,0000,00300EMPLOYEE BENEFITS 60133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60133,A000000,00700,0000,00700HOUSEKEEPING 60133,A000000,00800,0000,00800DIETARY 60133,A000000,00900,0000,00900NURSING ADMINISTRATION 60133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60133,A000000,01100,0000,01100PHARMACY 60133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60133,A000000,01300,0000,01300SOCIAL SERVICE 60133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60133,A000000,01600,0000,01600SKILLED NURSING FACILITY 60133,A000000,01800,0000,01800NURSING FACILITY 60133,A000000,01810,0000,01810ICF/MR 60133,A000000,02100,0000,02100RADIOLOGY 60133,A000000,02200,0000,02200LABORATORY 60133,A000000,02300,0000,02300INTRAVENOUS THERAPY 60133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60133,A000000,02500,0000,02500PHYSICAL THERAPY 60133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60133,A000000,02700,0000,02700SPEECH PATHOLOGY 60133,A000000,02800,0000,02800ELECTROCARDIOLOGY 60133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60133,A000000,03550,0000,03550FQHC 60133,A000000,04800,0000,04800AMBULANCE 60133,A000000,05000,0000,05000CORF 60133,A000000,05010,0000,05010CMHC 60133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60133,A000000,05300,0000,05300INTEREST EXPENSE 60133,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60133,A81000A,00100,0100,Y 60133,A81000B,00500,0300,PHS ADJUSTMENT 60133,A81000B,00600,0300,PHS ADJUSTMENT 60133,A81000B,00700,0300,PHS ADJUSTMENT 60133,A81000B,00800,0300,PHS ADJUSTMENT 60133,A81000B,00900,0300,PHS ADJUSTMENT 60133,A81000B,01000,0300,PHS ADJUSTMENT 60133,A81000B,01100,0300,PHS ADJUSTMENT 60133,A81000B,01200,0300,PHS ADJUSTMENT 60133,A81000C,00100,0100,B 60133,A81000C,00100,0200,NATIONAL HEALTH 60133,A81000C,00200,0200,CARE CORPORATIO 60133,A81000C,00300,0100,B 60133,A81000C,00300,0200,PROFESSIONAL HE 60133,A81000C,00300,0600,THERAPY PERSONN 60133,A81000C,00400,0200,SERVICES 60133,B100000,00000,0100,00000(SQUARE FEET) 60133,B100000,00000,0200,00000(SQUARE FEET) 60133,B100000,00000,0300,00000(GROSS SALARIES) 60133,B100000,00000,0400,00000(ACCUM COST) 60133,B100000,00000,0500,00000(SQUARE FEET) 60133,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60133,B100000,00000,0700,00000(SQUARE FEET) 60133,B100000,00000,0800,00000(MEALS SERVED) 60133,B100000,00000,0900,00000(DIRECT NRSG HRS) 60133,B100000,00000,1000,00000(COSTED REQUIS) 60133,B100000,00000,1100,00000(COSTED REQUIS) 60133,B100000,00000,1200,00000(TIME SPENT) 60133,B100000,00000,1300,00000(TIME SPENT) 60133,B100000,00000,1400,00000ASSIGNED TIME 60133,E10A180,00501,0100,06/06/2000 60133,E10A180,00550,0300,06/06/2000 60133,S000000,00100,0200,05/26/2000 60133,S200000,00100,0100,HOMEWOOD BOULEVARD 60133,S200000,00100,0300,247 60133,S200000,00200,0100,GLASGOW 60133,S200000,00200,0200,KY 60133,S200000,00200,0300,42142 60133,S200000,00300,0100,BARREN 60133,S200000,00400,0100,NHC HEALTHCARE GLASGOW 60133,S200000,00400,0200,185093 60133,S200000,00400,0300,03/18/1970 60133,S200000,00400,0500,P 60133,S200000,00600,0200,185093 60133,S200000,00600,0300,03/18/1970 60133,S200000,00600,0600,P 60133,S200000,01600,0100,Y 60133,S200000,01900,0100,NON PROFIT 501C 60142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60142,A000000,00300,0000,00300EMPLOYEE BENEFITS 60142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60142,A000000,00700,0000,00700HOUSEKEEPING 60142,A000000,00800,0000,00800DIETARY 60142,A000000,00900,0000,00900NURSING ADMINISTRATION 60142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60142,A000000,01100,0000,01100PHARMACY 60142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60142,A000000,01300,0000,01300SOCIAL SERVICE 60142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60142,A000000,01600,0000,01600SKILLED NURSING FACILITY 60142,A000000,01800,0000,01800NURSING FACILITY 60142,A000000,01810,0000,01810ICF/MR 60142,A000000,02200,0000,02200LABORATORY 60142,A000000,02300,0000,02300INTRAVENOUS THERAPY 60142,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60142,A000000,02500,0000,02500PHYSICAL THERAPY 60142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60142,A000000,02700,0000,02700SPEECH PATHOLOGY 60142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60142,A000000,03550,0000,03550FQHC 60142,A000000,05000,0000,05000CORF 60142,A000000,05010,0000,05010CMHC 60142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60142,A000000,05300,0000,05300INTEREST EXPENSE 60142,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60142,A81000A,00100,0100,Y 60142,A81000B,00100,0300,ADJUST HOME OFFICE COSTS 60142,A81000B,00200,0300,ADJUST HOME OFFICE COSTS 60142,A81000B,00300,0300,ADJUST HOME OFFICE COSTS 60142,A81000B,00400,0300,ADJUST HOME OFFICE COSTS 60142,A81000B,00600,0300,PHS - NURSING 60142,A81000B,00700,0300,PHS - SOCIAL WORK 60142,A81000B,00800,0300,PHS - OCC THERAPY 60142,A81000B,00900,0300,PHS - SPEECH THERAPY 60142,A81000B,01000,0300,PHS - PHYS THERAPY 60142,A81000B,01100,0300,PHS - DIETARY 60142,A81000B,01200,0300,PHS - MED RECORDS 60142,A81000B,01300,0300,PHS - ADMINISTRATIVE 60142,A81000C,00100,0100,B 60142,A81000C,00100,0200,NATIONAL HEALTH 60142,A81000C,00100,0400,PROF HEALTH SER 60142,A81000C,00100,0600,HEALTHCARE 60142,A81000C,00200,0200,CARE CORPORATIO 60142,B100000,00000,0100,00000(SQUARE FEET) 60142,B100000,00000,0200,00000(SQUARE FEET) 60142,B100000,00000,0300,00000(GROSS SALARIES) 60142,B100000,00000,0400,00000(ACCUM COST) 60142,B100000,00000,0500,00000(SQUARE FEET) 60142,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60142,B100000,00000,0700,00000(SQUARE FEET) 60142,B100000,00000,0800,00000(MEALS SERVED) 60142,B100000,00000,0900,00000(DIRECT NRSG HRS) 60142,B100000,00000,1000,00000(COSTED REQUIS) 60142,B100000,00000,1100,00000(COSTED REQUIS) 60142,B100000,00000,1200,00000(TIME SPENT) 60142,B100000,00000,1300,00000(TIME SPENT) 60142,B100000,00000,1400,00000ASSIGNED TIME 60142,E10A180,00501,0100,05/30/2000 60142,E10A180,00550,0300,05/30/2000 60142,S000000,00100,0200,05/26/2000 60142,S200000,00100,0100,100 WEST RAMSEY STREET 60142,S200000,00100,0300,249 60142,S200000,00200,0100,DAWSONS CREEK 60142,S200000,00200,0200,KY 60142,S200000,00200,0300,42408 60142,S200000,00300,0100,HOPKINS 60142,S200000,00400,0100,NHC HEALTHCARE DAWSON SPRINGS 60142,S200000,00400,0200,185133 60142,S200000,00400,0300,07/21/1975 60142,S200000,00400,0500,P 60142,S200000,00600,0200,185133 60142,S200000,00600,0300,07/21/1975 60142,S200000,00600,0600,P 60142,S200000,01600,0100,Y 60142,S200000,01900,0100,NON PROFIT 501C 60151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60151,A000000,00300,0000,00300EMPLOYEE BENEFITS 60151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60151,A000000,00700,0000,00700HOUSEKEEPING 60151,A000000,00800,0000,00800DIETARY 60151,A000000,00900,0000,00900NURSING ADMINISTRATION 60151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60151,A000000,01100,0000,01100PHARMACY 60151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60151,A000000,01300,0000,01300SOCIAL SERVICE 60151,A000000,01350,0000,01500ACTIVITIES 60151,A000000,01600,0000,01600SKILLED NURSING FACILITY 60151,A000000,01800,0000,01800NURSING FACILITY 60151,A000000,01810,0000,01810ICF/MR 60151,A000000,01900,0000,01900OTHER LONG TERM CARE 60151,A000000,02100,0000,02100RADIOLOGY 60151,A000000,02200,0000,02200LABORATORY 60151,A000000,02300,0000,02300INTRAVENOUS THERAPY 60151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60151,A000000,02500,0000,02500PHYSICAL THERAPY 60151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60151,A000000,02700,0000,02700SPEECH PATHOLOGY 60151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60151,A000000,02901,0000,02901PEN THERAPY 60151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60151,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60151,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60151,A81000A,00100,0100,Y 60151,A81000B,00100,0300,HOME OFF ALLOC 60151,A81000B,00200,0300,HOME OFF ALLOC 60151,A81000B,00300,0300,HOME OFF ALLOC 60151,A81000B,00400,0300,HOME OFF ALLOC 60151,A81000B,00500,0300,INTEREST & DEPR 60151,A81000B,00600,0300,INTERIOR DESIGNS 60151,A81000B,00700,0300,COMP INSTALL DEPR 60151,A81000B,00800,0300,INTEREST 60151,A81000B,00900,0300,H/O PLANNING & DEVELOPMENT 60151,A81000B,01000,0300,H/O PLANNING & DEVELOPMENT 60151,A81000C,00100,0100,A 60151,A81000C,00100,0200,FORREST PRESTON 60151,A81000C,00100,0400,LCCA 60151,A81000C,00100,0600,HEALTH CARE MGM 60151,A81000C,00200,0100,A 60151,A81000C,00200,0200,FORREST PRESTON 60151,A81000C,00200,0400,LCCA 60151,A81000C,00200,0600,HEALTH CARE MGM 60151,A81000C,00300,0100,A 60151,A81000C,00300,0200,FORREST PRESTON 60151,A81000C,00300,0400,LCCA 60151,A81000C,00300,0600,HEALTH CARE MGM 60151,A81000C,00400,0100,A 60151,A81000C,00400,0200,FORREST PRESTON 60151,A81000C,00400,0400,LCCA 60151,A81000C,00400,0600,HEALTH CARE MGM 60151,A81000C,00500,0100,A 60151,A81000C,00500,0200,FORREST PRESTON 60151,A81000C,00500,0400,HCE LEASING 60151,A81000C,00500,0600,VEHICLE & COMP 60151,A81000C,00600,0100,B 60151,A81000C,00600,0200,LCCA 60151,A81000C,00600,0400,LIFE CARE DESIG 60151,A81000C,00600,0600,FURN & FIXTURES 60151,A81000C,00700,0100,A 60151,A81000C,00700,0200,FORREST PRESTON 60151,A81000C,00700,0400,LCCA 60151,A81000C,00700,0600,HEALTH CARE MGM 60151,A81000C,00800,0100,A 60151,A81000C,00800,0200,FORREST PRESTON 60151,A81000C,00800,0400,LCCA 60151,A81000C,00800,0600,HEALTH CARE MGM 60151,B100000,00000,0100,00000(SQUARE FEET) 60151,B100000,00000,0200,00000(SQUARE FEET) 60151,B100000,00000,0300,00000(GROSS SALARIES) 60151,B100000,00000,0400,00000(ACCUM COST) 60151,B100000,00000,0500,00000(SQUARE FEET) 60151,B100000,00000,0600,00000PATIENT DAYS 60151,B100000,00000,0700,00000(SQUARE FEET) 60151,B100000,00000,0800,00000(MEALS SERVED) 60151,B100000,00000,0900,00000DIRECT NRSG HRS 60151,B100000,00000,1000,00000(COSTED REQUIS) 60151,B100000,00000,1100,00000(COSTED REQUIS) 60151,B100000,00000,1200,00000GROSS REVENUES 60151,B100000,00000,1300,00000PATIENT DAYS 60151,B100000,00000,1350,00000PATIENT DAYS 60151,E10A180,00550,0300,05/31/2000 60151,S000000,00100,0200,05/25/2000 60151,S200000,00100,0300,884 60151,S200000,00200,0100,MOREHEAD 60151,S200000,00200,0200,KY 60151,S200000,00200,0300,40351 60151,S200000,00300,0100,ROWAN 60151,S200000,00400,0100,LIFE CARE CENTER OF MOREHEAD 60151,S200000,00400,0200,185155 60151,S200000,00400,0300,01/01/1991 60151,S200000,00400,0500,P 60151,S200000,00400,0600,O 60151,S200000,01600,0100,Y 60160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60160,A000000,00300,0000,00300EMPLOYEE BENEFITS 60160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60160,A000000,00700,0000,00700HOUSEKEEPING 60160,A000000,00800,0000,00800DIETARY 60160,A000000,00900,0000,00900NURSING ADMINISTRATION 60160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60160,A000000,01100,0000,01100PHARMACY 60160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60160,A000000,01300,0000,01300SOCIAL SERVICE 60160,A000000,01350,0000,01500ACTIVITIES 60160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60160,A000000,01600,0000,01600SKILLED NURSING FACILITY 60160,A000000,01800,0000,01800NURSING FACILITY 60160,A000000,01810,0000,01810ICF/MR 60160,A000000,02100,0000,02100RADIOLOGY 60160,A000000,02200,0000,02200LABORATORY 60160,A000000,02300,0000,02300INTRAVENOUS THERAPY 60160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60160,A000000,02500,0000,02500PHYSICAL THERAPY 60160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60160,A000000,02700,0000,02700SPEECH PATHOLOGY 60160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60160,A000000,02901,0000,02901PEN THERAPY 60160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60160,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60160,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60160,A000000,03550,0000,03550FQHC 60160,A000000,05000,0000,05000CORF 60160,A000000,05010,0000,05010CMHC 60160,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60160,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60160,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60160,A81000A,00100,0100,Y 60160,A81000B,00100,0300,HOME OFFICE ALLOC 60160,A81000B,00200,0300,HOME OFFICE ALLOC 60160,A81000B,00300,0300,HOME OFFICE ALLOC 60160,A81000B,00400,0300,HOME OFFICE ALLOC 60160,A81000B,00500,0300,LIFE CARE DESIGNS 60160,A81000B,00600,0300,CONTRUCT ENTERPRISES 60160,A81000B,00700,0300,INSTALL COSTS/DEPR 60160,A81000B,00800,0300,PHARMACY EXPENSE 60160,A81000B,00900,0300,INTEREST 60160,A81000B,01000,0300,PLANNING & DEVELOPMENT COST 60160,A81000B,01100,0300,PLANNING & DEVELOPMENT COST 60160,A81000C,00100,0100,A 60160,A81000C,00100,0200,FORREST PRESTON 60160,A81000C,00100,0400,LCCA 60160,A81000C,00100,0600,HEALTH CARE MGM 60160,A81000C,00200,0100,A 60160,A81000C,00200,0200,FORREST PRESTON 60160,A81000C,00200,0400,LCCA 60160,A81000C,00200,0600,HEALTH CARE MGM 60160,A81000C,00300,0100,A 60160,A81000C,00300,0200,FORREST PRESTON 60160,A81000C,00300,0400,LCCA 60160,A81000C,00300,0600,HEALTH CARE MGM 60160,A81000C,00400,0100,A 60160,A81000C,00400,0200,FORREST PRESTON 60160,A81000C,00400,0400,LCCA 60160,A81000C,00400,0600,HEALTH CARE MGM 60160,A81000C,00500,0100,B 60160,A81000C,00500,0200,LCCA 60160,A81000C,00500,0400,LIFE CARE DESIG 60160,A81000C,00500,0600,FURNITURE & FIX 60160,A81000C,00600,0100,A 60160,A81000C,00600,0200,FORREST PRESTON 60160,A81000C,00600,0400,CONSTRUCT ENTER 60160,A81000C,00600,0600,CONSTRUCTION CO 60160,A81000C,00700,0100,A 60160,A81000C,00700,0200,FORREST PRESTON 60160,A81000C,00700,0400,LCCA 60160,A81000C,00700,0600,HEALTH CARE MGM 60160,A81000C,00800,0100,A 60160,A81000C,00800,0200,LCPS INC. 60160,A81000C,00800,0400,MEDILIFE 60160,A81000C,00800,0600,PHARMACY SERVIC 60160,A81000C,00900,0100,A 60160,A81000C,00900,0200,FORREST PRESTON 60160,A81000C,00900,0400,LCCA 60160,A81000C,00900,0600,HEALTH CARE MGM 60160,B100000,00000,0100,00000(SQUARE FEET) 60160,B100000,00000,0200,00000(SQUARE FEET) 60160,B100000,00000,0300,00000(GROSS SALARIES) 60160,B100000,00000,0400,00000(ACCUM COST) 60160,B100000,00000,0500,00000(SQUARE FEET) 60160,B100000,00000,0600,00000PATIENT DAYS 60160,B100000,00000,0700,00000(SQUARE FEET) 60160,B100000,00000,0800,00000(MEALS SERVED) 60160,B100000,00000,0900,00000DIRECT NRSG HOURS 60160,B100000,00000,1000,00000(COSTED REQUIS) 60160,B100000,00000,1100,00000(COSTED REQUIS) 60160,B100000,00000,1200,00000GROSS REVENUES 60160,B100000,00000,1300,00000PATIENT DAYS 60160,B100000,00000,1350,00000PATIENT DAYS 60160,B100000,00000,1400,00000ASSIGNED TIME 60160,S000000,00100,0200,05/11/2000 60160,S200000,00100,0100,544 LONE OAK ROAD 60160,S200000,00200,0100,PADUCAH 60160,S200000,00200,0200,KY 60160,S200000,00200,0300,42003 60160,S200000,00300,0100,MCCRACKEN 60160,S200000,00400,0100,PARKVIEW NRSG & REHAB CENTER 60160,S200000,00400,0200,185171 60160,S200000,00400,0300,10/13/1983 60160,S200000,00400,0500,P 60160,S200000,00400,0600,O 60160,S200000,01600,0100,Y 60168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60168,A000000,00300,0000,00300EMPLOYEE BENEFITS 60168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60168,A000000,00700,0000,00700HOUSEKEEPING 60168,A000000,00800,0000,00800DIETARY 60168,A000000,00900,0000,00900NURSING ADMINISTRATION 60168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60168,A000000,01100,0000,01100PHARMACY 60168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60168,A000000,01300,0000,01300SOCIAL SERVICE 60168,A000000,01350,0000,01500ACTIVITIES 60168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60168,A000000,01600,0000,01600SKILLED NURSING FACILITY 60168,A000000,01800,0000,01800NURSING FACILITY 60168,A000000,01810,0000,01810ICF/MR 60168,A000000,02100,0000,02100RADIOLOGY 60168,A000000,02200,0000,02200LABORATORY 60168,A000000,02300,0000,02300INTRAVENOUS THERAPY 60168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60168,A000000,02500,0000,02500PHYSICAL THERAPY 60168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60168,A000000,02700,0000,02700SPEECH PATHOLOGY 60168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60168,A000000,02901,0000,02901PEN THERAPY 60168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60168,A000000,03550,0000,03550FQHC 60168,A000000,05000,0000,05000CORF 60168,A000000,05010,0000,05010CMHC 60168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60168,A81000A,00100,0100,Y 60168,A81000B,00100,0300,HOME OFF ALLOC 60168,A81000B,00200,0300,INTEREST/DEPREC 60168,A81000B,00300,0300,HOME OFF ALLOC 60168,A81000B,00400,0300,HOME OFF ALLOC 60168,A81000B,00500,0300,HOME OFF ALLOC 60168,A81000B,00600,0300,MEDIA RESOURCES 60168,A81000B,00700,0300,INSTALLATION/DEPREC 60168,A81000B,00800,0300,AMORT OF H/O PLAN & DEVELOP 60168,A81000C,00100,0100,A 60168,A81000C,00100,0200,FORREST PRESTON 60168,A81000C,00100,0400,LCCA 60168,A81000C,00100,0600,HEALTH CARE MGM 60168,A81000C,00200,0100,A 60168,A81000C,00200,0200,FORREST PRESTON 60168,A81000C,00200,0400,HCE LEASING 60168,A81000C,00200,0600,VEHICLE & COMP 60168,A81000C,00300,0100,A 60168,A81000C,00300,0200,FORREST PRESTON 60168,A81000C,00300,0400,LCCA 60168,A81000C,00300,0600,HEALTH CARE MGM 60168,A81000C,00400,0100,A 60168,A81000C,00400,0200,FORREST PRESTON 60168,A81000C,00400,0400,LCCA 60168,A81000C,00400,0600,HEALTH CARE MGM 60168,A81000C,00500,0100,A 60168,A81000C,00500,0200,FORREST PRESTON 60168,A81000C,00500,0400,LCCA 60168,A81000C,00500,0600,HEALTH CARE MGM 60168,A81000C,00600,0100,A 60168,A81000C,00600,0200,FORREST PRESTON 60168,A81000C,00600,0400,LCCA 60168,A81000C,00600,0600,AUDIO/VISUAL PR 60168,A81000C,00700,0100,A 60168,A81000C,00700,0200,FORREST PRESTON 60168,A81000C,00700,0400,LCCA 60168,A81000C,00700,0600,HEALTH CARE MGM 60168,B100000,00000,0100,00000(SQUARE FEET) 60168,B100000,00000,0200,00000(SQUARE FEET) 60168,B100000,00000,0300,00000(GROSS SALARIES) 60168,B100000,00000,0400,00000(ACCUM COST) 60168,B100000,00000,0500,00000(SQUARE FEET) 60168,B100000,00000,0600,00000PATIENT DAYS 60168,B100000,00000,0700,00000(SQUARE FEET) 60168,B100000,00000,0800,00000(MEALS SERVED) 60168,B100000,00000,0900,00000DIRECT NRSG HOURS 60168,B100000,00000,1000,00000(COSTED REQUIS) 60168,B100000,00000,1100,00000(COSTED REQUIS) 60168,B100000,00000,1200,00000GROSS REVENUES 60168,B100000,00000,1300,00000PATIENT DAYS 60168,B100000,00000,1350,00000PATIENT DAYS 60168,B100000,00000,1400,00000ASSIGNED TIME 60168,S000000,00100,0200,05/24/2000 60168,S200000,00100,0300,269 60168,S200000,00200,0100,LACENTER 60168,S200000,00200,0200,KY 60168,S200000,00200,0300,42056 60168,S200000,00300,0100,BALLARD 60168,S200000,00400,0100,LIFE CARE CENTER OF LACENTER 60168,S200000,00400,0200,185320 60168,S200000,00400,0300,02/01/1992 60168,S200000,00400,0500,P 60168,S200000,00400,0600,O 60168,S200000,01600,0100,Y 60174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60174,A000000,00101,0000,00101NEW ADDITION CAPITAL 60174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60174,A000000,00300,0000,00300EMPLOYEE BENEFITS 60174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60174,A000000,00700,0000,00700HOUSEKEEPING 60174,A000000,00800,0000,00800DIETARY 60174,A000000,00900,0000,00900NURSING ADMINISTRATION 60174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60174,A000000,01100,0000,01100PHARMACY 60174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60174,A000000,01300,0000,01300SOCIAL SERVICE 60174,A000000,01350,0000,01500ACTIVITIES 60174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60174,A000000,01600,0000,01600SKILLED NURSING FACILITY 60174,A000000,01800,0000,01800NURSING FACILITY 60174,A000000,01810,0000,01810ICF/MR 60174,A000000,02100,0000,02100RADIOLOGY 60174,A000000,02200,0000,02200LABORATORY 60174,A000000,02300,0000,02300INTRAVENOUS THERAPY 60174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60174,A000000,02500,0000,02500PHYSICAL THERAPY 60174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60174,A000000,02700,0000,02700SPEECH PATHOLOGY 60174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60174,A000000,02901,0000,02901PEN THERAPY 60174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60174,A000000,03550,0000,03550FQHC 60174,A000000,05000,0000,05000CORF 60174,A000000,05010,0000,05010CMHC 60174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60174,A81000A,00100,0100,Y 60174,A81000B,00100,0300,POOLED CAPITAL 60174,A81000B,00200,0300,POOLED OPERATING 60174,A81000B,00300,0300,LCCA-METLIFE#1 60174,A81000B,00400,0300,LCCA-METLIFE#2 60174,A81000B,00500,0300,LCCA INTEREST 60174,A81000B,00600,0300,MEDILIFE 60174,A81000B,00700,0300,LCCA REHAB ALLOC 60174,A81000B,00800,0300,LCCA REHAB ALLOC 60174,A81000B,00900,0300,LCCA REHAB ALLOC 60174,A81000B,01000,0300,DEVELOPMENT ALLOC 60174,A81000B,01100,0300,LIFE CARE DESIGN 60174,A81000B,01200,0300,LCCA PROJECT 2000 60174,A81000C,00100,0100,A 60174,A81000C,00100,0200,FORREST PRESTON 60174,A81000C,00100,0400,LCCA 60174,A81000C,00100,0600,MGMT CO. 60174,A81000C,00200,0100,A 60174,A81000C,00200,0200,FORREST PRESTON 60174,A81000C,00200,0400,LCCA 60174,A81000C,00200,0600,MGMT CO. 60174,A81000C,00300,0100,A 60174,A81000C,00300,0200,FORREST PRESTON 60174,A81000C,00300,0400,LCCA 60174,A81000C,00300,0600,MGMT CO. 60174,A81000C,00400,0100,A 60174,A81000C,00400,0200,FORREST PRESTON 60174,A81000C,00400,0400,LCCA 60174,A81000C,00400,0600,MGMT CO. 60174,A81000C,00500,0100,A 60174,A81000C,00500,0200,FORREST PRESTON 60174,A81000C,00500,0400,LCCA 60174,A81000C,00500,0600,MGMT CO. 60174,A81000C,00600,0100,A 60174,A81000C,00600,0200,FORREST PRESTON 60174,A81000C,00600,0400,MEDILIFE 60174,A81000C,00600,0600,PHARMACY 60174,A81000C,00700,0100,A 60174,A81000C,00700,0200,FORREST PRESTON 60174,A81000C,00700,0400,LCCA 60174,A81000C,00700,0600,MGMT CO. 60174,A81000C,00800,0100,A 60174,A81000C,00800,0200,FORREST PRESTON 60174,A81000C,00800,0400,LCCA 60174,A81000C,00800,0600,MGMT CO. 60174,A81000C,00900,0100,A 60174,A81000C,00900,0200,FORREST PRESTON 60174,A81000C,00900,0400,LCCA 60174,A81000C,00900,0600,MGMT CO. 60174,A81000C,01000,0100,A 60174,A81000C,01000,0200,FORREST PRESTON 60174,A81000C,01000,0400,LCCA 60174,A81000C,01000,0600,MGMT CO. 60174,A81000C,01100,0100,A 60174,A81000C,01100,0200,FORREST PRESTON 60174,A81000C,01100,0400,LIFE CARE DESIG 60174,A81000C,01100,0600,F&F 60174,A81000C,01200,0100,A 60174,A81000C,01200,0200,FORREST PRESTON 60174,A81000C,01200,0400,LCCA 60174,A81000C,01200,0600,MGMT CO. 60174,B100000,00000,0100,00000(SQUARE FEET) 60174,B100000,00000,0101,00000(SQUARE FEET) 60174,B100000,00000,0200,00000(SQUARE FEET) 60174,B100000,00000,0300,00000(GROSS SALARIES) 60174,B100000,00000,0400,00000(ACCUM COST) 60174,B100000,00000,0500,00000(SQUARE FEET) 60174,B100000,00000,0600,00000PATIENT DAYS 60174,B100000,00000,0700,00000(SQUARE FEET) 60174,B100000,00000,0800,00000(MEALS SERVED) 60174,B100000,00000,0900,00000DIRECT HOURS 60174,B100000,00000,1000,00000(COSTED REQUIS) 60174,B100000,00000,1100,00000(COSTED REQUIS) 60174,B100000,00000,1200,00000GROSS REVENUES 60174,B100000,00000,1300,00000PATIENT DAYS 60174,B100000,00000,1350,00000PATIENT DAYS 60174,B100000,00000,1400,00000(ASSIGNED TIME) 60174,S000000,00100,0200,05/30/2000 60174,S200000,00100,0100,ONE GREAT RD. 60174,S200000,00200,0100,ACTON 60174,S200000,00200,0200,MA 60174,S200000,00200,0300,01720 60174,S200000,00300,0100,MIDDLESEX 60174,S200000,00400,0100,SUBURBAN MANOR 60174,S200000,00400,0200,225191 60174,S200000,00400,0300,10/27/1969 60174,S200000,00400,0500,P 60174,S200000,00400,0600,O 60174,S200000,01600,0100,Y 60174,S200000,02200,0100,Y 60174,S200000,04300,0100,Y 60183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60183,A000000,00300,0000,00300EMPLOYEE BENEFITS 60183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60183,A000000,00700,0000,00700HOUSEKEEPING 60183,A000000,00800,0000,00800DIETARY 60183,A000000,00900,0000,00900NURSING ADMINISTRATION 60183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60183,A000000,01100,0000,01100PHARMACY 60183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60183,A000000,01300,0000,01300SOCIAL SERVICE 60183,A000000,01350,0000,01500ACTIVITIES 60183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60183,A000000,01600,0000,01600SKILLED NURSING FACILITY 60183,A000000,01800,0000,01800NURSING FACILITY 60183,A000000,01810,0000,01810ICF/MR 60183,A000000,02100,0000,02100RADIOLOGY 60183,A000000,02200,0000,02200LABORATORY 60183,A000000,02300,0000,02300INTRAVENOUS THERAPY 60183,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60183,A000000,02500,0000,02500PHYSICAL THERAPY 60183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60183,A000000,02700,0000,02700SPEECH PATHOLOGY 60183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60183,A000000,02901,0000,02901PEN THERAPY 60183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60183,A000000,03050,0000,03300OTHER ANCILL-AMBULANCE SERV 60183,A000000,03550,0000,03550FQHC 60183,A000000,05000,0000,05000CORF 60183,A000000,05010,0000,05010CMHC 60183,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60183,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60183,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60183,A81000A,00100,0100,Y 60183,A81000B,00100,0300,POOLED CAPITAL 60183,A81000B,00200,0300,MGMT FEE 60183,A81000B,00300,0300,INTEREST - METLIFE # 60183,A81000B,00400,0300,INTEREST - LCCA 60183,A81000B,00500,0300,METLIFE #1 FINAN. 60183,A81000B,00600,0300,IMPROV (95) 60183,A81000B,00700,0300,FURNISHINGS (95) 60183,A81000B,00800,0300,DRUGS MED/SUPP 60183,A81000B,00900,0300,REHAB ALLOC. 60183,A81000B,01000,0300,REHAB ALLOC. 60183,A81000B,01100,0300,REHAB ALLOC. 60183,A81000B,01200,0300,PROJECT 2000 INSTALL 60183,A81000C,00100,0100,A 60183,A81000C,00100,0200,FORREST PRESTON 60183,A81000C,00100,0400,LCCA 60183,A81000C,00100,0600,MGMT CO 60183,A81000C,00200,0100,A 60183,A81000C,00200,0200,FORREST PRESTON 60183,A81000C,00200,0400,LCCA 60183,A81000C,00200,0600,MGMT CO 60183,A81000C,00300,0100,A 60183,A81000C,00300,0200,FORREST PRESTON 60183,A81000C,00300,0400,LCCA - METLIFE 60183,A81000C,00300,0600,MGMT CO 60183,A81000C,00400,0100,A 60183,A81000C,00400,0200,FORREST PRESTON 60183,A81000C,00400,0400,LCCA 60183,A81000C,00400,0600,MGMT CO.-RELATE 60183,A81000C,00500,0100,A 60183,A81000C,00500,0200,FORREST PRESTON 60183,A81000C,00500,0400,LCCA 60183,A81000C,00500,0600,MGMT CO 60183,A81000C,00600,0100,A 60183,A81000C,00600,0200,FORREST PRESTON 60183,A81000C,00600,0400,LCC CONSTRUCT E 60183,A81000C,00600,0600,CONSTRUCT CO 60183,A81000C,00700,0100,A 60183,A81000C,00700,0200,FORREST PRESTON 60183,A81000C,00700,0400,LCC DESIGNS 60183,A81000C,00700,0600,F&F 60183,A81000C,00800,0100,A 60183,A81000C,00800,0200,FORREST PRESTON 60183,A81000C,00800,0400,MEDILIFE 60183,A81000C,00800,0600,PHARMACY 60183,A81000C,00900,0100,A 60183,A81000C,00900,0200,FORREST PRESTON 60183,A81000C,00900,0400,LCCA 60183,A81000C,00900,0600,MGMT CO 60183,A81000C,01000,0100,A 60183,A81000C,01000,0200,FORREST PRESTON 60183,A81000C,01000,0400,LCCA 60183,A81000C,01000,0600,MGMT CO 60183,A81000C,01100,0100,A 60183,A81000C,01100,0200,FORREST PRESTON 60183,A81000C,01100,0400,LCCA 60183,A81000C,01100,0600,MGMT CO 60183,A81000C,01200,0100,A 60183,A81000C,01200,0200,FORREST PRESTON 60183,A81000C,01200,0400,LCCA 60183,A81000C,01200,0600,MGMT CO 60183,B100000,00000,0100,00000(SQUARE FEET) 60183,B100000,00000,0200,00000(SQUARE FEET) 60183,B100000,00000,0300,00000(GROSS SALARIES) 60183,B100000,00000,0400,00000(ACCUM COST) 60183,B100000,00000,0500,00000(SQUARE FEET) 60183,B100000,00000,0600,00000PATIENT DAYS 60183,B100000,00000,0700,00000(SQUARE FEET) 60183,B100000,00000,0800,00000(MEALS SERVED) 60183,B100000,00000,0900,00000DIRECT HOURS 60183,B100000,00000,1000,00000(COSTED REQUIS) 60183,B100000,00000,1100,00000(COSTED REQUIS) 60183,B100000,00000,1200,00000GROSS REVENUES 60183,B100000,00000,1300,00000PATIENT DAYS 60183,B100000,00000,1350,00000PATIENT DAYS 60183,B100000,00000,1400,00000(ASSIGNED TIME) 60183,S000000,00100,0200,05/25/2000 60183,S200000,00100,0100,309 DRIFTWAY 60183,S200000,00200,0100,SCITUATE 60183,S200000,00200,0200,MA 60183,S200000,00200,0300,02066 60183,S200000,00300,0100,PLYMOUTH 60183,S200000,00400,0100,LCC OF SOUTH SHORE 60183,S200000,00400,0200,225282 60183,S200000,00400,0300,06/17/1985 60183,S200000,00400,0500,P 60183,S200000,00400,0600,O 60183,S200000,01600,0100,Y 60183,S200000,02200,0100,Y 60183,S200000,04300,0100,Y 60183,S200000,04700,0100,Y 60183,S200000,04700,0200,Y 60194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60194,A000000,00300,0000,00300EMPLOYEE BENEFITS 60194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60194,A000000,00700,0000,00700HOUSEKEEPING 60194,A000000,00800,0000,00800DIETARY 60194,A000000,00900,0000,00900NURSING ADMINISTRATION 60194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60194,A000000,01100,0000,01100PHARMACY 60194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60194,A000000,01300,0000,01300SOCIAL SERVICE 60194,A000000,01350,0000,01500ACTIVITIES 60194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60194,A000000,01600,0000,01600SKILLED NURSING FACILITY 60194,A000000,01800,0000,01800NURSING FACILITY 60194,A000000,01810,0000,01810ICF/MR 60194,A000000,02100,0000,02100RADIOLOGY 60194,A000000,02200,0000,02200LABORATORY 60194,A000000,02300,0000,02300INTRAVENOUS THERAPY 60194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60194,A000000,02500,0000,02500PHYSICAL THERAPY 60194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60194,A000000,02700,0000,02700SPEECH PATHOLOGY 60194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60194,A000000,02901,0000,02901PEN THERAPY 60194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60194,A000000,03050,0000,03300AMBULANCE SERVICES 60194,A000000,03550,0000,03550FQHC 60194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60194,A81000A,00100,0100,Y 60194,A81000B,00100,0300,LAND LEASE 60194,A81000B,00200,0300,REGISTERED DIETICIAN 60194,A81000B,00300,0300,MSW 60194,A81000C,00100,0100,B 60194,A81000C,00100,0200,SOUTHCOAST HLTH 60194,A81000C,00100,0400,ST. LUKES HOSP 60194,A81000C,00100,0600,HEALTH CARE 60194,A81000C,00200,0100,B 60194,A81000C,00200,0200,SOUTHCOAST HLTH 60194,A81000C,00200,0400,ST. LUKES HOSP 60194,A81000C,00200,0600,HEALTH CARE 60194,A81000C,00300,0100,B 60194,A81000C,00300,0200,SOUTHCOAST HLTH 60194,A81000C,00300,0400,ST. LUKES HOSP 60194,A81000C,00300,0600,HEALTH CARE 60194,B100000,00000,0100,00000(SQUARE FEET) 60194,B100000,00000,0200,00000(SQUARE FEET) 60194,B100000,00000,0300,00000(GROSS SALARIES) 60194,B100000,00000,0400,00000(ACCUM COST) 60194,B100000,00000,0500,00000(SQUARE FEET) 60194,B100000,00000,0600,00000PATIENT DAYS 60194,B100000,00000,0700,00000(SQUARE FEET) 60194,B100000,00000,0800,00000(MEALS SERVED) 60194,B100000,00000,0900,00000DIRECT HOURS 60194,B100000,00000,1000,00000(COSTED REQUIS) 60194,B100000,00000,1100,00000(COSTED REQUIS) 60194,B100000,00000,1200,00000GROSS REVENUES 60194,B100000,00000,1300,00000PATIENT DAYS 60194,B100000,00000,1350,00000PATIENT DAYS 60194,B100000,00000,1400,00000(ASSIGNED TIME) 60194,E10A180,00301,0100,08/18/2000 60194,S000000,00100,0200,11/21/2000 60194,S200000,00100,0100,4525 ACUSHNET AVENUE 60194,S200000,00200,0100,NEW BEDFORD 60194,S200000,00200,0200,MA 60194,S200000,00200,0300,02745 60194,S200000,00300,0100,BRISTOL 60194,S200000,00400,0100,THE OAKS LTC FACILITY 60194,S200000,00400,0200,225328 60194,S200000,00400,0300,10/10/1989 60194,S200000,00400,0500,P 60194,S200000,00600,0200,919284 60194,S200000,00600,0300,07/10/1989 60194,S200000,00600,0600,P 60194,S200000,01600,0100,Y 60194,S200000,02200,0100,Y 60194,S200000,04300,0100,Y 60202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60202,A000000,00300,0000,00300EMPLOYEE BENEFITS 60202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60202,A000000,00700,0000,00700HOUSEKEEPING 60202,A000000,00800,0000,00800DIETARY 60202,A000000,00900,0000,00900NURSING ADMINISTRATION 60202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60202,A000000,01100,0000,01100PHARMACY 60202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60202,A000000,01300,0000,01300SOCIAL SERVICE 60202,A000000,01350,0000,01500ACTIVITIES 60202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60202,A000000,01600,0000,01600SKILLED NURSING FACILITY 60202,A000000,01800,0000,01800NURSING FACILITY 60202,A000000,01810,0000,01810ICF/MR 60202,A000000,02100,0000,02100RADIOLOGY 60202,A000000,02200,0000,02200LABORATORY 60202,A000000,02300,0000,02300INTRAVENOUS THERAPY 60202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60202,A000000,02500,0000,02500PHYSICAL THERAPY 60202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60202,A000000,02700,0000,02700SPEECH PATHOLOGY 60202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60202,A000000,02901,0000,02901PEN THERAPY 60202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60202,A000000,03550,0000,03550FQHC 60202,A000000,05000,0000,05000CORF 60202,A000000,05010,0000,05010CMHC 60202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60202,A81000A,00100,0100,Y 60202,A81000B,00100,0300,POOLED CAPITAL 60202,A81000B,00200,0300,POOLED OPERATING 60202,A81000B,00300,0300,HCE LEASING 60202,A81000B,00400,0300,HCE LEASING 60202,A81000B,00500,0300,LCCA-INT-METLIFE 60202,A81000B,00600,0300,LCCA-PRTNSHP 60202,A81000B,00700,0300,PC #3 INTERCO FLP 60202,A81000B,00800,0300,PC #3 INTERCO FLP 60202,A81000B,00900,0300,FLP DEPREC-BUILDING 60202,A81000B,01000,0300,LC CONST. DEPREC-BUI 60202,A81000B,01100,0300,LC AFFL. DEPREC-BUIL 60202,A81000B,01200,0300,LCCA DEPREC-BUILD 60202,A81000B,01300,0300,LC DESIGNS DEPR-EQUI 60202,A81000B,01400,0300,LIFE CARE DESIGN 60202,A81000B,01500,0300,MEDILIFE 60202,A81000B,01700,0300,LCCA 60202,A81000B,01800,0300,LCCA 60202,A81000B,01900,0300,LCCA 60202,A81000B,02000,0300,LCCA 60202,A81000C,00100,0100,A 60202,A81000C,00100,0200,FORREST PRESTON 60202,A81000C,00100,0400,LCCA 60202,A81000C,00100,0600,MGMT CO 60202,A81000C,00200,0100,A 60202,A81000C,00200,0200,FORREST PRESTON 60202,A81000C,00200,0400,LCCA 60202,A81000C,00200,0600,MGMT CO 60202,A81000C,00300,0100,A 60202,A81000C,00300,0200,FORREST PRESTON 60202,A81000C,00300,0400,HCE LEASING 60202,A81000C,00300,0600,EQUIP LEASING 60202,A81000C,00400,0100,A 60202,A81000C,00400,0200,FORREST PRESTON 60202,A81000C,00400,0400,HCE LEASING 60202,A81000C,00400,0600,EQUIP LEASING 60202,A81000C,00500,0100,A 60202,A81000C,00500,0200,FORREST PRESTON 60202,A81000C,00500,0400,LCCA 60202,A81000C,00500,0600,MGMT CO 60202,A81000C,00600,0100,A 60202,A81000C,00600,0200,FORREST PRESTON 60202,A81000C,00600,0400,FLP 60202,A81000C,00600,0600,PARTNER 60202,A81000C,00700,0100,A 60202,A81000C,00700,0200,FORREST PRESTON 60202,A81000C,00700,0400,LCCA 60202,A81000C,00700,0600,MGMT CO 60202,A81000C,00800,0100,A 60202,A81000C,00800,0200,FORREST PRESTON 60202,A81000C,00800,0400,FLP 60202,A81000C,00800,0600,OWNER 60202,A81000C,00900,0100,A 60202,A81000C,00900,0200,FORREST PRESTON 60202,A81000C,00900,0400,FLP 60202,A81000C,00900,0600,OWNER 60202,A81000C,01000,0100,A 60202,A81000C,01000,0200,FORREST PRESTON 60202,A81000C,01000,0400,LC CONSTRUCT 60202,A81000C,01000,0600,CONSTRUCT 60202,A81000C,01100,0100,A 60202,A81000C,01100,0200,FORREST PRESTON 60202,A81000C,01100,0400,LCA 60202,A81000C,01100,0600,OWNER 60202,A81000C,01200,0100,A 60202,A81000C,01200,0200,FORREST PRESTON 60202,A81000C,01200,0400,LCCA 60202,A81000C,01200,0600,MGMT CO 60202,A81000C,01300,0100,A 60202,A81000C,01300,0200,FORREST PRESTON 60202,A81000C,01300,0400,LC DESIGN 60202,A81000C,01300,0600,F & F 60202,A81000C,01400,0100,A 60202,A81000C,01400,0200,FORREST PRESTON 60202,A81000C,01400,0400,LC DESIGN 60202,A81000C,01400,0600,F&F 60202,A81000C,01500,0100,A 60202,A81000C,01500,0200,FORREST PRESTON 60202,A81000C,01500,0400,MEDILIFE 60202,A81000C,01500,0600,PHARMACY 60202,A81000C,01600,0100,A 60202,A81000C,01600,0200,FORREST PRESTON 60202,A81000C,01600,0400,LCCA 60202,A81000C,01600,0600,MGMT CO 60202,A81000C,01700,0100,A 60202,A81000C,01700,0200,FORREST PRESTON 60202,A81000C,01700,0400,LCCA 60202,A81000C,01700,0600,MGMT CO 60202,A81000C,01800,0100,A 60202,A81000C,01800,0200,FORREST PRESTON 60202,A81000C,01800,0400,LCCA 60202,A81000C,01800,0600,MGMT CO 60202,A81000C,01900,0100,A 60202,A81000C,01900,0200,FORREST PRESTON 60202,A81000C,01900,0400,LCCA 60202,A81000C,01900,0600,MGMT CO 60202,B100000,00000,0100,00000(SQUARE FEET) 60202,B100000,00000,0200,00000(SQUARE FEET) 60202,B100000,00000,0300,00000(GROSS SALARIES) 60202,B100000,00000,0400,00000(ACCUM COST) 60202,B100000,00000,0500,00000(SQUARE FEET) 60202,B100000,00000,0600,00000PATIENT DAYS 60202,B100000,00000,0700,00000(SQUARE FEET) 60202,B100000,00000,0800,00000(MEALS SERVED) 60202,B100000,00000,0900,00000DIRECT HOURS 60202,B100000,00000,1000,00000(COSTED REQUIS) 60202,B100000,00000,1100,00000(COSTED REQUIS) 60202,B100000,00000,1200,00000GROSS REVENUES 60202,B100000,00000,1300,00000PATIENT DAYS 60202,B100000,00000,1350,00000PATIENT DAYS 60202,B100000,00000,1400,00000(ASSIGNED TIME) 60202,S000000,00100,0200,05/25/2000 60202,S200000,00100,0100,111 BIRCH ST. 60202,S200000,00200,0100,LYNN 60202,S200000,00200,0200,MA 60202,S200000,00200,0300,01902 60202,S200000,00300,0100,ESSEX 60202,S200000,00400,0100,NORTH SHORE 60202,S200000,00400,0200,225529 60202,S200000,00400,0300,12/06/1990 60202,S200000,00400,0500,P 60202,S200000,00400,0600,O 60202,S200000,01600,0100,Y 60202,S200000,02200,0100,Y 60202,S200000,04300,0100,Y 60219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60219,A000000,00300,0000,00300EMPLOYEE BENEFITS 60219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60219,A000000,00700,0000,00700HOUSEKEEPING 60219,A000000,00800,0000,00800DIETARY 60219,A000000,00900,0000,00900NURSING ADMINISTRATION 60219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60219,A000000,01100,0000,01100PHARMACY 60219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60219,A000000,01300,0000,01300SOCIAL SERVICE 60219,A000000,01350,0000,01500ACTIVITIES 60219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60219,A000000,01600,0000,01600SKILLED NURSING FACILITY 60219,A000000,01800,0000,01800NURSING FACILITY 60219,A000000,01810,0000,01810ICF/MR 60219,A000000,02100,0000,02100RADIOLOGY 60219,A000000,02200,0000,02200LABORATORY 60219,A000000,02300,0000,02300INTRAVENOUS THERAPY 60219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60219,A000000,02500,0000,02500PHYSICAL THERAPY 60219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60219,A000000,02700,0000,02700SPEECH PATHOLOGY 60219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60219,A000000,02901,0000,02901PEN THERAPY 60219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60219,A000000,03550,0000,03550FQHC 60219,A000000,05000,0000,05000CORF 60219,A000000,05010,0000,05010CMHC 60219,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60219,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60219,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60219,A81000A,00100,0100,Y 60219,A81000B,00100,0300,HOME OFFICE COSTS 60219,A81000B,00200,0300,HOME OFFICE COSTS 60219,A81000B,00300,0300,LCCA INT-METLIFE#1 60219,A81000B,00400,0300,LCCA INT-METLIFE#2 60219,A81000B,00500,0300,REL PARTY INTEREST 60219,A81000B,00600,0300,DRUGS MED SPLY 60219,A81000B,00700,0300,REHAB ALLOCATION 60219,A81000B,00800,0300,REHAB ALLOCATION 60219,A81000B,00900,0300,REHAB ALLOCATION 60219,A81000B,01000,0300,LCCA-PROJECT 2000 60219,A81000B,01100,0300,LCCA DESIGNS - F&F 60219,A81000C,00100,0100,A 60219,A81000C,00100,0200,FORREST PRESTON 60219,A81000C,00100,0400,LCCA 60219,A81000C,00100,0600,MGMT CO. 60219,A81000C,00200,0100,A 60219,A81000C,00200,0200,FORREST PRESTON 60219,A81000C,00200,0400,LCCA 60219,A81000C,00200,0600,MGMT CO. 60219,A81000C,00300,0100,A 60219,A81000C,00300,0200,FORREST PRESTON 60219,A81000C,00300,0400,LCCA 60219,A81000C,00300,0600,MGMT CO. 60219,A81000C,00400,0100,A 60219,A81000C,00400,0200,FORREST PRESTON 60219,A81000C,00400,0400,LCCA 60219,A81000C,00400,0600,MGMT CO. 60219,A81000C,00500,0100,A 60219,A81000C,00500,0200,FORREST PRESTON 60219,A81000C,00500,0400,LCCA 60219,A81000C,00500,0600,MGMT CO. 60219,A81000C,00600,0100,A 60219,A81000C,00600,0200,FORREST PRESTON 60219,A81000C,00600,0400,MEDILIFE 60219,A81000C,00600,0600,PHARMACY 60219,A81000C,00700,0100,A 60219,A81000C,00700,0200,FORREST PRESTON 60219,A81000C,00700,0400,LCCA 60219,A81000C,00700,0600,REHAB ALLOCATIO 60219,A81000C,00800,0100,A 60219,A81000C,00800,0200,FORREST PRESTON 60219,A81000C,00800,0400,LCCA 60219,A81000C,00800,0600,REHAB ALLOCATIO 60219,A81000C,00900,0100,A 60219,A81000C,00900,0200,FORREST PRESTON 60219,A81000C,00900,0400,LCCA 60219,A81000C,00900,0600,REHAB ALLOCATIO 60219,A81000C,01000,0100,A 60219,A81000C,01000,0200,FORREST PRESTON 60219,A81000C,01000,0400,LCCA 60219,A81000C,01000,0600,MGMT CO. 60219,A81000C,01100,0100,A 60219,A81000C,01100,0200,FORREST PRESTON 60219,A81000C,01100,0400,LIFE CARE DESIG 60219,A81000C,01100,0600,FURN & FIXTURES 60219,B100000,00000,0100,00000(SQUARE FEET) 60219,B100000,00000,0200,00000(SQUARE FEET) 60219,B100000,00000,0300,00000(GROSS SALARIES) 60219,B100000,00000,0400,00000(ACCUM COST) 60219,B100000,00000,0500,00000(SQUARE FEET) 60219,B100000,00000,0600,00000PATIENT DAYS 60219,B100000,00000,0700,00000(SQUARE FEET) 60219,B100000,00000,0800,00000(MEALS SERVED) 60219,B100000,00000,0900,00000DIRECT HOURS 60219,B100000,00000,1000,00000(COSTED REQUIS) 60219,B100000,00000,1100,00000(COSTED REQUIS) 60219,B100000,00000,1200,00000GROSS REVENUES 60219,B100000,00000,1300,00000PATIENT DAYS 60219,B100000,00000,1350,00000PATIENT DAYS 60219,B100000,00000,1400,00000(ASSIGNED TIME) 60219,S000000,00100,0200,08/28/2000 60219,S200000,00100,0100,80 BOSTON ROAD ROUTE 3A 60219,S200000,00200,0100,NORTH BILLERICA 60219,S200000,00200,0200,MA 60219,S200000,00200,0300,01862 60219,S200000,00300,0100,BOSTON / MIDDLESEX 60219,S200000,00400,0100,LCC OF MERRIMACK VALLEY 60219,S200000,00400,0200,225546 60219,S200000,00400,0300,03/15/1992 60219,S200000,00400,0500,P 60219,S200000,00600,0200,923095 60219,S200000,00600,0300,10/01/1985 60219,S200000,00600,0600,P 60219,S200000,01600,0100,Y 60219,S200000,02200,0100,Y 60219,S200000,04300,0100,Y 60226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60226,A000000,00300,0000,00300EMPLOYEE BENEFITS 60226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60226,A000000,00700,0000,00700HOUSEKEEPING 60226,A000000,00800,0000,00800DIETARY 60226,A000000,00900,0000,00900NURSING ADMINISTRATION 60226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60226,A000000,01100,0000,01100PHARMACY 60226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60226,A000000,01300,0000,01300SOCIAL SERVICE 60226,A000000,01350,0000,01500ACTIVITIES 60226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60226,A000000,01600,0000,01600SKILLED NURSING FACILITY 60226,A000000,01800,0000,01800NURSING FACILITY 60226,A000000,01810,0000,01810ICF/MR 60226,A000000,02100,0000,02100RADIOLOGY 60226,A000000,02200,0000,02200LABORATORY 60226,A000000,02300,0000,02300INTRAVENOUS THERAPY 60226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60226,A000000,02500,0000,02500PHYSICAL THERAPY 60226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60226,A000000,02700,0000,02700SPEECH PATHOLOGY 60226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60226,A000000,02901,0000,02901PEN THERAPY 60226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60226,A000000,03050,0000,03300OTHER ANCILL-AMBUL SERVICES 60226,A000000,03550,0000,03550FQHC 60226,A000000,05000,0000,05000CORF 60226,A000000,05010,0000,05010CMHC 60226,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60226,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60226,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60226,A81000A,00100,0100,Y 60226,A81000B,00100,0300,POOLED CAPITAL 60226,A81000B,00200,0300,POOLED OPERATING 60226,A81000B,00300,0300,METLIFE #1 60226,A81000B,00400,0300,METLIFE #2 3-HO 60226,A81000B,00500,0300,LCCA-INTERCO INT 60226,A81000B,00600,0300,FLP-INTEREST 60226,A81000B,00700,0300,REHAB ALLOC 60226,A81000B,00800,0300,REHAB ALLOC 60226,A81000B,00900,0300,REHAB ALLOC 60226,A81000B,01000,0300,REHAB ALLOC 60226,A81000B,01100,0300,DRUG AND MED SUPPL 60226,A81000B,01200,0300,PROJECT 2000 INSTALL 60226,A81000B,01300,0300,F&F LC DESIGNS 60226,A81000C,00100,0100,A 60226,A81000C,00100,0200,FORREST PRESTON 60226,A81000C,00100,0400,LCCA 60226,A81000C,00100,0600,MGMT CO 60226,A81000C,00200,0100,A 60226,A81000C,00200,0200,FORREST PRESTON 60226,A81000C,00200,0400,LCCA 60226,A81000C,00200,0600,MGMT CO 60226,A81000C,00300,0100,A 60226,A81000C,00300,0200,FORREST PRESTON 60226,A81000C,00300,0400,LCCA 60226,A81000C,00300,0600,MGMT CO 60226,A81000C,00400,0100,A 60226,A81000C,00400,0200,FORREST PRESTON 60226,A81000C,00400,0400,LCCA 60226,A81000C,00400,0600,MGMT CO 60226,A81000C,00500,0100,A 60226,A81000C,00500,0200,FORREST PRESTON 60226,A81000C,00500,0400,LCCA 60226,A81000C,00500,0600,MGMT CO 60226,A81000C,00600,0100,A 60226,A81000C,00600,0200,FORREST PRESTON 60226,A81000C,00600,0400,LCCA-FLP 60226,A81000C,00600,0600,FLP 60226,A81000C,00700,0100,A 60226,A81000C,00700,0200,FORREST PRESTON 60226,A81000C,00700,0400,LCCA-REHAB ALLO 60226,A81000C,00700,0600,MGMT CO 60226,A81000C,00800,0100,A 60226,A81000C,00800,0200,FORREST PRESTON 60226,A81000C,00800,0400,LCCA-REHAB ALLO 60226,A81000C,00800,0600,MGMT CO 60226,A81000C,00900,0100,A 60226,A81000C,00900,0200,FORREST PRESTON 60226,A81000C,00900,0400,LCCA-REHAB ALLO 60226,A81000C,00900,0600,MGMT CO 60226,A81000C,01000,0100,A 60226,A81000C,01000,0200,FORREST PRESTON 60226,A81000C,01000,0400,LCCA-REHAB ALL 60226,A81000C,01000,0600,MGMT CO 60226,A81000C,01100,0100,A 60226,A81000C,01100,0200,FORREST PRESTON 60226,A81000C,01100,0400,MEDILIFE 60226,A81000C,01100,0600,PHARMACY 60226,A81000C,01200,0100,A 60226,A81000C,01200,0200,FORREST PRESTON 60226,A81000C,01200,0400,LCCA 60226,A81000C,01200,0600,MGMT CO 60226,A81000C,01300,0100,A 60226,A81000C,01300,0200,FORREST PRESTON 60226,A81000C,01300,0400,LCC DEISGNS 60226,A81000C,01300,0600,INTERIOR DESIGN 60226,B100000,00000,0100,00000(SQUARE FEET) 60226,B100000,00000,0200,00000(SQUARE FEET) 60226,B100000,00000,0300,00000(GROSS SALARIES) 60226,B100000,00000,0400,00000(ACCUM COST) 60226,B100000,00000,0500,00000(SQUARE FEET) 60226,B100000,00000,0600,00000PATIENT DAYS 60226,B100000,00000,0700,00000(SQUARE FEET) 60226,B100000,00000,0800,00000(MEALS SERVED) 60226,B100000,00000,0900,00000DIRECT HOURS 60226,B100000,00000,1000,00000(COSTED REQUIS) 60226,B100000,00000,1100,00000(COSTED REQUIS) 60226,B100000,00000,1200,00000GROSS REVENUES 60226,B100000,00000,1300,00000PATIENT DAYS 60226,B100000,00000,1350,00000PATIENT DAYS 60226,B100000,00000,1400,00000(ASSIGNED TIME) 60226,S000000,00100,0200,05/01/2000 60226,S200000,00100,0100,969 PARK STREET 60226,S200000,00200,0100,ATTLEBORO 60226,S200000,00200,0200,MA 60226,S200000,00200,0300,02703 60226,S200000,00300,0100,BRISTOL 60226,S200000,00400,0100,LCC OF ATTLEBORO 60226,S200000,00400,0200,225564 60226,S200000,00400,0300,12/04/1992 60226,S200000,00400,0500,P 60226,S200000,00400,0600,O 60226,S200000,01600,0100,Y 60226,S200000,02200,0100,Y 60226,S200000,04300,0100,Y 60226,S200000,04700,0100,Y 60234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60234,A000000,00300,0000,00300EMPLOYEE BENEFITS 60234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60234,A000000,00700,0000,00700HOUSEKEEPING 60234,A000000,00800,0000,00800DIETARY 60234,A000000,00900,0000,00900NURSING ADMINISTRATION 60234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60234,A000000,01100,0000,01100PHARMACY 60234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60234,A000000,01300,0000,01300SOCIAL SERVICE 60234,A000000,01350,0000,01500ACTIVITIES 60234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60234,A000000,01600,0000,01600SKILLED NURSING FACILITY 60234,A000000,01800,0000,01800NURSING FACILITY 60234,A000000,01810,0000,01810ICF/MR 60234,A000000,02100,0000,02100RADIOLOGY 60234,A000000,02200,0000,02200LABORATORY 60234,A000000,02300,0000,02300INTRAVENOUS THERAPY 60234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60234,A000000,02500,0000,02500PHYSICAL THERAPY 60234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60234,A000000,02700,0000,02700SPEECH PATHOLOGY 60234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60234,A000000,02901,0000,02901PEN THERAPY 60234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60234,A000000,03050,0000,03300OTHER ANCILL-AMBULANCE 60234,A000000,03550,0000,03550FQHC 60234,A000000,05000,0000,05000CORF 60234,A000000,05010,0000,05010CMHC 60234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60234,A81000A,00100,0100,Y 60234,A81000B,00100,0300,POOLED CAPITAL 60234,A81000B,00200,0300,MGMT FEE 60234,A81000B,00300,0300,METLIFE #1 60234,A81000B,00400,0300,METLIFE #2-HO 60234,A81000B,00500,0300,LCCA 60234,A81000B,00600,0300,DRUGS MED/SUPP 60234,A81000B,00700,0300,REHAB ALLOC 60234,A81000B,00800,0300,REHAB ALLOC 60234,A81000B,00900,0300,REHAB ALLOC 60234,A81000B,01000,0300,DEVELOP ALLOC 60234,A81000B,01100,0300,PROJECT 2000 INSTALL 60234,A81000B,01200,0300,F&F - 99 AMORT 60234,A81000C,00100,0100,A 60234,A81000C,00100,0200,FORREST PRESTON 60234,A81000C,00100,0400,LCCA 60234,A81000C,00100,0600,MGMT CO 60234,A81000C,00200,0100,A 60234,A81000C,00200,0200,FORREST PRESTON 60234,A81000C,00200,0400,LCCA 60234,A81000C,00200,0600,MGMT CO 60234,A81000C,00300,0100,A 60234,A81000C,00300,0200,FORREST PRESTON 60234,A81000C,00300,0400,LCCA 60234,A81000C,00300,0600,MGMT CO 60234,A81000C,00400,0100,A 60234,A81000C,00400,0200,FORREST PRESTON 60234,A81000C,00400,0400,LCCA 60234,A81000C,00400,0600,MGMT CO 60234,A81000C,00500,0100,A 60234,A81000C,00500,0200,FORREST PRESTON 60234,A81000C,00500,0400,LCCA 60234,A81000C,00500,0600,MGMT CO 60234,A81000C,00600,0100,A 60234,A81000C,00600,0200,FORREST PRESTON 60234,A81000C,00600,0400,MEDILIFE 60234,A81000C,00600,0600,PHARMACY 60234,A81000C,00700,0100,A 60234,A81000C,00700,0200,FORREST PRESTON 60234,A81000C,00700,0400,LCCA 60234,A81000C,00700,0600,MGMT CO 60234,A81000C,00800,0100,A 60234,A81000C,00800,0200,FORREST PRESTON 60234,A81000C,00800,0400,LCCA 60234,A81000C,00800,0600,MGMT CO 60234,A81000C,00900,0100,A 60234,A81000C,00900,0200,FORREST PRESTON 60234,A81000C,00900,0400,LCCA 60234,A81000C,00900,0600,MGMT CO 60234,A81000C,01000,0100,A 60234,A81000C,01000,0200,FORREST PRESTON 60234,A81000C,01000,0400,LCCA 60234,A81000C,01000,0600,MGMT CO 60234,A81000C,01100,0100,A 60234,A81000C,01100,0200,FORREST PRESTON 60234,A81000C,01100,0400,LCCA 60234,A81000C,01100,0600,MGMT CO 60234,A81000C,01200,0100,A 60234,A81000C,01200,0200,FORREST PRESTON 60234,A81000C,01200,0400,LIFE CARE DESIG 60234,A81000C,01200,0600,F&F 60234,B100000,00000,0100,00000(SQUARE FEET) 60234,B100000,00000,0200,00000(SQUARE FEET) 60234,B100000,00000,0300,00000(GROSS SALARIES) 60234,B100000,00000,0400,00000(ACCUM COST) 60234,B100000,00000,0500,00000(SQUARE FEET) 60234,B100000,00000,0600,00000PATIENT DAYS 60234,B100000,00000,0700,00000(SQUARE FEET) 60234,B100000,00000,0800,00000(MEALS SERVED) 60234,B100000,00000,0900,00000DIRECT HOURS 60234,B100000,00000,1000,00000(COSTED REQUIS) 60234,B100000,00000,1100,00000(COSTED REQUIS) 60234,B100000,00000,1200,00000GROSS REVENUES 60234,B100000,00000,1300,00000PATIENT DAYS 60234,B100000,00000,1350,00000PATIENT DAYS 60234,B100000,00000,1400,00000(ASSIGNED TIME) 60234,S000000,00100,0200,05/25/2000 60234,S200000,00100,0100,191 FOSTER ST. 60234,S200000,00200,0100,LITTLETON 60234,S200000,00200,0200,MA 60234,S200000,00200,0300,01460 60234,S200000,00300,0100,MIDDLESEX 60234,S200000,00400,0100,LCC OF NASHOBA VALLEY 60234,S200000,00400,0200,225569 60234,S200000,00400,0300,01/02/1993 60234,S200000,00400,0500,P 60234,S200000,00400,0600,O 60234,S200000,01600,0100,Y 60234,S200000,02200,0100,Y 60234,S200000,04300,0100,Y 60244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60244,A000000,00300,0000,00300EMPLOYEE BENEFITS 60244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60244,A000000,00700,0000,00700HOUSEKEEPING 60244,A000000,00800,0000,00800DIETARY 60244,A000000,00900,0000,00900NURSING ADMINISTRATION 60244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60244,A000000,01100,0000,01100PHARMACY 60244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60244,A000000,01300,0000,01300SOCIAL SERVICE 60244,A000000,01350,0000,01500ACTIVITIES 60244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60244,A000000,01600,0000,01600SKILLED NURSING FACILITY 60244,A000000,01800,0000,01800NURSING FACILITY 60244,A000000,01810,0000,01810ICF/MR 60244,A000000,02200,0000,02200LABORATORY 60244,A000000,02300,0000,02300INTRAVENOUS THERAPY 60244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60244,A000000,02500,0000,02500PHYSICAL THERAPY 60244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60244,A000000,02700,0000,02700SPEECH PATHOLOGY 60244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60244,A000000,02901,0000,02901PEN THERAPY 60244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60244,A000000,03050,0000,03300OTHER ANCILL-AMBUL.SERVICES 60244,A000000,03550,0000,03550FQHC 60244,A000000,05000,0000,05000CORF 60244,A000000,05010,0000,05010CMHC 60244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60244,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60244,A81000A,00100,0100,Y 60244,A81000B,00100,0300,POOLED CAPITAL 60244,A81000B,00200,0300,POOLED OEPRATING 60244,A81000B,00300,0300,METLIFE PC #1 60244,A81000B,00400,0300,INTEREST-FLP 60244,A81000B,00500,0300,METLIFE #2 3 60244,A81000B,00600,0300,INTERCO INTEREST 60244,A81000B,00700,0300,DEVLOP ALLOC 94-96 60244,A81000B,00800,0300,REHAB ALLOC 60244,A81000B,00900,0300,REHAB ALLOC 60244,A81000B,01000,0300,REHAB ALLOC 60244,A81000B,01100,0300,REHAB ALLOC 60244,A81000B,01200,0300,MEDILIFE 60244,A81000B,01300,0300,PROJECT 2000 INSTALL 60244,A81000C,00100,0100,A 60244,A81000C,00100,0200,FORREST PRESTON 60244,A81000C,00100,0400,LCCA 60244,A81000C,00100,0600,MGMT CO 60244,A81000C,00200,0100,A 60244,A81000C,00200,0200,FORREST PRESTON 60244,A81000C,00200,0400,LCCA 60244,A81000C,00200,0600,MGMT CO 60244,A81000C,00300,0100,A 60244,A81000C,00300,0200,FORREST PRESTON 60244,A81000C,00300,0400,LCCA 60244,A81000C,00300,0600,MGMT CO 60244,A81000C,00400,0100,A 60244,A81000C,00400,0200,FORREST PRESTON 60244,A81000C,00400,0400,LCCA 60244,A81000C,00400,0600,MGMT CO 60244,A81000C,00500,0100,A 60244,A81000C,00500,0200,FORREST PRESTON 60244,A81000C,00500,0400,LCCA 60244,A81000C,00500,0600,MGMT CO 60244,A81000C,00600,0100,A 60244,A81000C,00600,0200,FORREST PRESTON 60244,A81000C,00600,0400,LCCA 60244,A81000C,00600,0600,MGMT CO 60244,A81000C,00700,0100,A 60244,A81000C,00700,0200,FORREST PRESTON 60244,A81000C,00700,0400,LCCA 60244,A81000C,00700,0600,MGMT CO 60244,A81000C,00800,0100,A 60244,A81000C,00800,0200,FORREST PRESTON 60244,A81000C,00800,0400,LCCA 60244,A81000C,00800,0600,MGMT CO 60244,A81000C,00900,0100,A 60244,A81000C,00900,0200,FORREST PRESTON 60244,A81000C,00900,0400,LCCA 60244,A81000C,00900,0600,MGMT CO 60244,A81000C,01000,0100,A 60244,A81000C,01000,0200,FORREST PRESTON 60244,A81000C,01000,0400,LCCA 60244,A81000C,01000,0600,MGMT CO 60244,A81000C,01100,0100,A 60244,A81000C,01100,0200,FORREST PRSETON 60244,A81000C,01100,0400,LCCA 60244,A81000C,01100,0600,MGMT CO 60244,A81000C,01200,0100,A 60244,A81000C,01200,0200,FORREST PRESTON 60244,A81000C,01200,0400,MEDILIFE 60244,A81000C,01200,0600,PHARMACY 60244,A81000C,01300,0100,A 60244,A81000C,01300,0200,FORREST PRESTON 60244,A81000C,01300,0400,LCCA 60244,A81000C,01300,0600,MGMT CO 60244,B100000,00000,0100,00000(SQUARE FEET) 60244,B100000,00000,0200,00000(SQUARE FEET) 60244,B100000,00000,0300,00000(GROSS SALARIES) 60244,B100000,00000,0400,00000(ACCUM COST) 60244,B100000,00000,0500,00000(SQUARE FEET) 60244,B100000,00000,0600,00000PATIENT DAYS 60244,B100000,00000,0700,00000(SQUARE FEET) 60244,B100000,00000,0800,00000(MEALS SERVED) 60244,B100000,00000,0900,00000DIRECT HOURS 60244,B100000,00000,1000,00000(COSTED REQUIS) 60244,B100000,00000,1100,00000(COSTED REQUIS) 60244,B100000,00000,1200,00000GROSS REVENUES 60244,B100000,00000,1300,00000PATIENT DAYS 60244,B100000,00000,1350,00000PATIENT DAYS 60244,B100000,00000,1400,00000(ASSIGNED TIME) 60244,S000000,00100,0200,05/01/2000 60244,S200000,00100,0100,546 SOUTH STREET EAST 60244,S200000,00200,0100,RAYNHAM 60244,S200000,00200,0200,MA 60244,S200000,00200,0300,02767 60244,S200000,00300,0100,BRISTOL 60244,S200000,00400,0100,LCC OF RAYNHAM 60244,S200000,00400,0200,225655 60244,S200000,00400,0300,12/21/1994 60244,S200000,00400,0500,P 60244,S200000,00400,0600,O 60244,S200000,01600,0100,Y 60244,S200000,02200,0100,Y 60244,S200000,04300,0100,Y 60253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60253,A000000,00300,0000,00300EMPLOYEE BENEFITS 60253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60253,A000000,00700,0000,00700HOUSEKEEPING 60253,A000000,00800,0000,00800DIETARY 60253,A000000,00900,0000,00900NURSING ADMINISTRATION 60253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60253,A000000,01100,0000,01100PHARMACY 60253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60253,A000000,01300,0000,01300SOCIAL SERVICE 60253,A000000,01350,0000,01500ACTIVITIES 60253,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60253,A000000,01600,0000,01600SKILLED NURSING FACILITY 60253,A000000,01800,0000,01800NURSING FACILITY 60253,A000000,01810,0000,01810ICF/MR 60253,A000000,02100,0000,02100RADIOLOGY 60253,A000000,02200,0000,02200LABORATORY 60253,A000000,02300,0000,02300INTRAVENOUS THERAPY 60253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60253,A000000,02500,0000,02500PHYSICAL THERAPY 60253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60253,A000000,02700,0000,02700SPEECH PATHOLOGY 60253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60253,A000000,02901,0000,02901PEN THERAPY 60253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60253,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60253,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60253,A000000,03550,0000,03550FQHC 60253,A000000,05000,0000,05000CORF 60253,A000000,05010,0000,05010CMHC 60253,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60253,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60253,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60253,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60253,A81000A,00100,0100,Y 60253,A81000B,00100,0300,HO POOLED CAPITAL 60253,A81000B,00200,0300,HO POOLED OPERATING 60253,A81000B,00300,0300,HCE LEASING -VAN 60253,A81000B,00400,0300,HCE LEASING-INTEREST 60253,A81000B,00500,0300,INTEREST-METLIFE 1 60253,A81000B,00600,0300,INTEREST-METLIFE 2 60253,A81000B,00700,0300,INTEREST-LCCA 60253,A81000B,00800,0300,INTEREST -FLP 60253,A81000B,00900,0300,LC DESIGNS -94 60253,A81000B,01000,0300,MEDILIFE-DRUGS SUPP 60253,A81000B,01100,0300,REHAB ALLOC 60253,A81000B,01200,0300,REHAB ALLOC 60253,A81000B,01300,0300,REHAB ALLOC 60253,A81000B,01400,0300,REHAB ALLOC 60253,A81000B,01500,0300,LCCA-DEVELOP 94-96 60253,A81000C,00100,0100,A 60253,A81000C,00100,0200,FORREST PRESTON 60253,A81000C,00100,0400,LCCA 60253,A81000C,00100,0600,MGMT CO 60253,A81000C,00200,0100,A 60253,A81000C,00200,0200,FORREST PRESTON 60253,A81000C,00200,0400,LCCA 60253,A81000C,00200,0600,MGMT CO 60253,A81000C,00300,0100,A 60253,A81000C,00300,0200,FORREST PRESTON 60253,A81000C,00300,0400,HCE LEASING 60253,A81000C,00300,0600,EQUIP LEASING 60253,A81000C,00400,0100,A 60253,A81000C,00400,0200,FORREST PRESTON 60253,A81000C,00400,0400,HCE LEASING 60253,A81000C,00400,0600,EQUIP LEASING 60253,A81000C,00500,0100,A 60253,A81000C,00500,0200,FORREST PRESTON 60253,A81000C,00500,0400,LCCA-METLIFE PC 60253,A81000C,00500,0600,MGMT CO 60253,A81000C,00600,0100,A 60253,A81000C,00600,0200,FORREST PRESTON 60253,A81000C,00600,0400,LCCA-METLIFE PC 60253,A81000C,00600,0600,MGMT CO 60253,A81000C,00700,0100,A 60253,A81000C,00700,0200,FORREST PRESTON 60253,A81000C,00700,0400,LCCA-INTERCO IN 60253,A81000C,00700,0600,MGMT CO 60253,A81000C,00800,0100,A 60253,A81000C,00800,0200,FORREST PRESTON 60253,A81000C,00800,0400,LCCA-FLP 60253,A81000C,00800,0600,MGMT CO 60253,A81000C,00900,0100,A 60253,A81000C,00900,0200,FORREST PRESTON 60253,A81000C,00900,0400,LC DESIGNS 60253,A81000C,00900,0600,INTERIOR DESIGN 60253,A81000C,01000,0100,A 60253,A81000C,01000,0200,FORREST PRESTON 60253,A81000C,01000,0400,MEDILIFE 60253,A81000C,01000,0600,PHARMACY 60253,A81000C,01100,0100,A 60253,A81000C,01100,0200,FORREST PRESTON 60253,A81000C,01100,0400,LCCA 60253,A81000C,01100,0600,MGMT CO 60253,A81000C,01200,0100,A 60253,A81000C,01200,0200,FORREST PRESTON 60253,A81000C,01200,0400,LCCA 60253,A81000C,01200,0600,MGMT CO 60253,A81000C,01300,0100,A 60253,A81000C,01300,0200,FORREST PRESTON 60253,A81000C,01300,0400,LCCA 60253,A81000C,01300,0600,MGMT CO 60253,A81000C,01400,0100,A 60253,A81000C,01400,0200,FORREST PRESTON 60253,A81000C,01400,0400,LCCA 60253,A81000C,01400,0600,MGMT CO 60253,A81000C,01500,0100,A 60253,A81000C,01500,0200,FORREST PRESTON 60253,A81000C,01500,0400,LCCA-DEVELOP 60253,A81000C,01500,0600,MGMT CO 60253,B100000,00000,0100,00000(SQUARE FEET) 60253,B100000,00000,0200,00000(SQUARE FEET) 60253,B100000,00000,0300,00000(GROSS SALARIES) 60253,B100000,00000,0400,00000(ACCUM COST) 60253,B100000,00000,0500,00000(SQUARE FEET) 60253,B100000,00000,0600,00000PATIENT DAYS 60253,B100000,00000,0700,00000(SQUARE FEET) 60253,B100000,00000,0800,00000(MEALS SERVED) 60253,B100000,00000,0900,00000DIRECT HOURS 60253,B100000,00000,1000,00000(COSTED REQUIS) 60253,B100000,00000,1100,00000(COSTED REQUIS) 60253,B100000,00000,1200,00000GROSS REVENUES 60253,B100000,00000,1300,00000PATIENT DAYS 60253,B100000,00000,1350,00000PATIENT DAYS 60253,B100000,00000,1400,00000(ASSIGNED TIME) 60253,E10A180,00301,0100,09/30/1999 60253,S000000,00100,0200,03/31/2000 60253,S200000,00100,0100,14 MASONIC CIRCLE 60253,S200000,00200,0100,AUBURN 60253,S200000,00200,0200,MA 60253,S200000,00200,0300,01501 60253,S200000,00300,0100,WORCESTER 60253,S200000,00400,0100,LIFE CARE CENTER OF AUBURN 60253,S200000,00400,0200,225661 60253,S200000,00400,0300,12/01/1994 60253,S200000,00400,0500,P 60253,S200000,00400,0600,O 60253,S200000,01600,0100,Y 60253,S200000,02200,0100,Y 60253,S200000,04300,0100,Y 60261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60261,A000000,00300,0000,00300EMPLOYEE BENEFITS 60261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60261,A000000,00700,0000,00700HOUSEKEEPING 60261,A000000,00800,0000,00800DIETARY 60261,A000000,00900,0000,00900NURSING ADMINISTRATION 60261,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60261,A000000,01100,0000,01100PHARMACY 60261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60261,A000000,01300,0000,01300SOCIAL SERVICE 60261,A000000,01350,0000,01500ACTIVITIES 60261,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60261,A000000,01600,0000,01600SKILLED NURSING FACILITY 60261,A000000,01800,0000,01800NURSING FACILITY 60261,A000000,01810,0000,01810ICF/MR 60261,A000000,02100,0000,02100RADIOLOGY 60261,A000000,02200,0000,02200LABORATORY 60261,A000000,02300,0000,02300INTRAVENOUS THERAPY 60261,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60261,A000000,02500,0000,02500PHYSICAL THERAPY 60261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60261,A000000,02700,0000,02700SPEECH PATHOLOGY 60261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60261,A000000,02901,0000,02901PEN THERAPY 60261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60261,A000000,03050,0000,03300OTHER ANCILL-AMBULANCE SERV 60261,A000000,03550,0000,03550FQHC 60261,A000000,05000,0000,05000CORF 60261,A000000,05010,0000,05010CMHC 60261,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60261,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60261,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60261,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60261,A81000A,00100,0100,Y 60261,A81000B,00100,0300,POOLED CAPITAL 60261,A81000B,00200,0300,MGMT FEE 60261,A81000B,00300,0300,METLIFE 1 60261,A81000B,00400,0300,METLIFE 2 60261,A81000B,00500,0300,LCCA - INTEREST 60261,A81000B,00600,0300,FLP INTEREST 60261,A81000B,00700,0300,VAN AMORT 60261,A81000B,00800,0300,HCE LEASING - INT 60261,A81000B,00900,0300,MEDILIFE-DRUGS SUPP 60261,A81000B,01000,0300,REHAB ALLOC 60261,A81000B,01100,0300,REHAB ALLOC 60261,A81000B,01200,0300,REHAB ALLOC 60261,A81000B,01300,0300,DEVELOP ALLOC 94-95 60261,A81000B,01400,0300,PROJECT 2000-INSTALL 60261,A81000C,00100,0100,A 60261,A81000C,00100,0200,FORREST PRESTON 60261,A81000C,00100,0400,LCCA 60261,A81000C,00100,0600,MGMT CO 60261,A81000C,00200,0100,A 60261,A81000C,00200,0200,FORREST PRESTON 60261,A81000C,00200,0400,LCCA 60261,A81000C,00200,0600,MGMT CO 60261,A81000C,00300,0100,A 60261,A81000C,00300,0200,FORREST PRESTON 60261,A81000C,00300,0400,LCCA 60261,A81000C,00300,0600,MGMT CO 60261,A81000C,00400,0100,A 60261,A81000C,00400,0200,FORREST PRESTON 60261,A81000C,00400,0400,LCCA 60261,A81000C,00400,0600,MGMT CO 60261,A81000C,00500,0100,A 60261,A81000C,00500,0200,FORREST PRESTON 60261,A81000C,00500,0400,LCCA 60261,A81000C,00500,0600,MGMT CO 60261,A81000C,00600,0100,A 60261,A81000C,00600,0200,FORREST PRESTON 60261,A81000C,00600,0400,FORREST L PREST 60261,A81000C,00600,0600,PARTNER 60261,A81000C,00700,0100,A 60261,A81000C,00700,0200,FORREST PRESTON 60261,A81000C,00700,0400,HCE LEASING 60261,A81000C,00700,0600,EQUIP LEASING 60261,A81000C,00800,0100,A 60261,A81000C,00800,0200,FORREST PRESTON 60261,A81000C,00800,0400,MEDILIFE 60261,A81000C,00800,0600,PHARMACY 60261,A81000C,00900,0100,A 60261,A81000C,00900,0200,FORREST PRESTON 60261,A81000C,00900,0400,LCCA 60261,A81000C,00900,0600,MGMT CO 60261,A81000C,01000,0100,A 60261,A81000C,01000,0200,FORREST PRESTON 60261,A81000C,01000,0400,LCCA 60261,A81000C,01000,0600,MGMT CO 60261,A81000C,01100,0100,A 60261,A81000C,01100,0200,FORREST PRESTON 60261,A81000C,01100,0400,LCCA 60261,A81000C,01100,0600,MGMT CO 60261,A81000C,01200,0100,A 60261,A81000C,01200,0200,FORREST PRESTON 60261,A81000C,01200,0400,LCCA 60261,A81000C,01200,0600,MGMT CO 60261,A81000C,01300,0100,A 60261,A81000C,01300,0200,FORREST PRESTON 60261,A81000C,01300,0400,LCCA 60261,A81000C,01300,0600,MGMT CO 60261,B100000,00000,0100,00000(SQUARE FEET) 60261,B100000,00000,0200,00000(SQUARE FEET) 60261,B100000,00000,0300,00000(GROSS SALARIES) 60261,B100000,00000,0400,00000(ACCUM COST) 60261,B100000,00000,0500,00000(SQUARE FEET) 60261,B100000,00000,0600,00000PATIENT DAYS 60261,B100000,00000,0700,00000(SQUARE FEET) 60261,B100000,00000,0800,00000(MEALS SERVED) 60261,B100000,00000,0900,00000PATIENT DAYS 60261,B100000,00000,1000,00000(COSTED REQUIS) 60261,B100000,00000,1100,00000(COSTED REQUIS) 60261,B100000,00000,1200,00000GROSS REVENUES 60261,B100000,00000,1300,00000PATIENT DAYS 60261,B100000,00000,1350,00000PATIENT DAYS 60261,B100000,00000,1400,00000(ASSIGNED TIME) 60261,E10A180,00501,0100,07/25/2000 60261,E10A180,00550,0300,07/25/2000 60261,S000000,00100,0200,05/30/2000 60261,S200000,00100,0100,94 OBREY STREET 60261,S200000,00200,0100,PLYMOUTH 60261,S200000,00200,0200,MA 60261,S200000,00200,0300,02360 60261,S200000,00300,0100,PLYMOUTH 60261,S200000,00400,0100,LCC OF PLYMOUTH 60261,S200000,00400,0200,225666 60261,S200000,00400,0300,02/10/1995 60261,S200000,00400,0500,P 60261,S200000,00400,0600,O 60261,S200000,01600,0100,Y 60261,S200000,02200,0100,Y 60261,S200000,04300,0100,Y 60261,S200000,04700,0100,Y 60261,S200000,04700,0200,Y 60269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60269,A000000,00300,0000,00300EMPLOYEE BENEFITS 60269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60269,A000000,00700,0000,00700HOUSEKEEPING 60269,A000000,00800,0000,00800DIETARY 60269,A000000,00900,0000,00900NURSING ADMINISTRATION 60269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60269,A000000,01100,0000,01100PHARMACY 60269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60269,A000000,01300,0000,01300SOCIAL SERVICE 60269,A000000,01350,0000,01500ACTIVITIES 60269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60269,A000000,01600,0000,01600SKILLED NURSING FACILITY 60269,A000000,01800,0000,01800NURSING FACILITY 60269,A000000,01810,0000,01810ICF/MR 60269,A000000,02100,0000,02100RADIOLOGY 60269,A000000,02200,0000,02200LABORATORY 60269,A000000,02300,0000,02300INTRAVENOUS THERAPY 60269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60269,A000000,02500,0000,02500PHYSICAL THERAPY 60269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60269,A000000,02700,0000,02700SPEECH PATHOLOGY 60269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60269,A000000,02901,0000,02901PEN THERAPY 60269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60269,A000000,03050,0000,03300OTHER ANCILLARY-AMBULANCE SERVI 60269,A000000,03550,0000,03550FQHC 60269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60269,A81000A,00100,0100,Y 60269,A81000B,00100,0300,HOME OFFICE COSTS 60269,A81000B,00200,0300,HOME OFFICE COSTS 60269,A81000B,00300,0300,HCE LEASING 60269,A81000B,00400,0300,REL PARTY INTEREST 60269,A81000B,00500,0300,METLIFE #1 60269,A81000B,00600,0300,METLIFE #2 60269,A81000B,00700,0300,METLIFE #3 60269,A81000B,00800,0300,MEDILIFE DRUGS/SUPPL 60269,A81000B,00900,0300,LCCA-REHAB ALLOC 60269,A81000B,01000,0300,LCCA-REHAB ALLOC 60269,A81000B,01100,0300,LCCA-REHAB ALLOC 60269,A81000B,01200,0300,LCCA DEVELOP-BLDG 60269,A81000B,01300,0300,LCCA DEVELOP-EQUIP 60269,A81000B,01400,0300,LIFE CARE DESIGNS 60269,A81000C,00100,0100,A 60269,A81000C,00100,0200,FORREST PRESTON 60269,A81000C,00100,0400,LCCA 60269,A81000C,00100,0600,MGMT CO. 60269,A81000C,00200,0100,A 60269,A81000C,00200,0200,FORREST PRESTON 60269,A81000C,00200,0400,LCCA 60269,A81000C,00200,0600,MGMT CO. 60269,A81000C,00300,0100,A 60269,A81000C,00300,0200,FORREST PRESTON 60269,A81000C,00300,0400,HCE LEASING 60269,A81000C,00300,0600,EQUIPMENT LEASI 60269,A81000C,00400,0100,A 60269,A81000C,00400,0200,FORREST PRESTON 60269,A81000C,00400,0400,LCCA 60269,A81000C,00400,0600,MGMT CO. 60269,A81000C,00500,0100,A 60269,A81000C,00500,0200,FORREST PRESTON 60269,A81000C,00500,0400,METLIFE #1 60269,A81000C,00500,0600,MGMT CO. 60269,A81000C,00600,0100,A 60269,A81000C,00600,0200,FORRST PRESTON 60269,A81000C,00600,0400,METLIFE #2 60269,A81000C,00600,0600,MGMT CO. 60269,A81000C,00700,0100,A 60269,A81000C,00700,0200,FORREST PRESTON 60269,A81000C,00700,0400,METLIFE #3 60269,A81000C,00700,0600,MGMT CO. 60269,A81000C,00800,0100,A 60269,A81000C,00800,0200,FORREST PRESTON 60269,A81000C,00800,0400,MEDILIFE 60269,A81000C,00800,0600,PHARMACY 60269,A81000C,00900,0100,A 60269,A81000C,00900,0200,FORREST PRESTON 60269,A81000C,00900,0400,LCCA 60269,A81000C,00900,0600,REHAB ALLOCATIO 60269,A81000C,01000,0100,A 60269,A81000C,01000,0200,FORREST PRESTON 60269,A81000C,01000,0400,LCCA 60269,A81000C,01000,0600,REHAB ALLOCATIO 60269,A81000C,01100,0100,A 60269,A81000C,01100,0200,FORREST PRESTON 60269,A81000C,01100,0400,LCCA 60269,A81000C,01100,0600,REHAB ALLOCATIO 60269,A81000C,01200,0100,A 60269,A81000C,01200,0200,FORREST PRESTON 60269,A81000C,01200,0400,LCCA 60269,A81000C,01200,0600,DEVELOPMENT ALL 60269,A81000C,01300,0100,A 60269,A81000C,01300,0200,FORREST PRESTON 60269,A81000C,01300,0400,LCCA 60269,A81000C,01300,0600,DEVELOPMENT ALL 60269,A81000C,01400,0100,A 60269,A81000C,01400,0200,FORREST PRESTON 60269,A81000C,01400,0400,LIFE CARE DESIG 60269,A81000C,01400,0600,FURN & FIXTURES 60269,B100000,00000,0100,00000(SQUARE FEET) 60269,B100000,00000,0200,00000(SQUARE FEET) 60269,B100000,00000,0300,00000(GROSS SALARIES) 60269,B100000,00000,0400,00000(ACCUM COST) 60269,B100000,00000,0500,00000(SQUARE FEET) 60269,B100000,00000,0600,00000PATIENT DAYS 60269,B100000,00000,0700,00000(SQUARE FEET) 60269,B100000,00000,0800,00000(MEALS SERVED) 60269,B100000,00000,0900,00000DIRECT NRSG HOURS 60269,B100000,00000,1000,00000(COSTED REQUIS) 60269,B100000,00000,1100,00000(COSTED REQUIS) 60269,B100000,00000,1200,00000GROSS REVENUES 60269,B100000,00000,1300,00000PATIENT DAYS 60269,B100000,00000,1350,00000PATIENT DAYS 60269,B100000,00000,1400,00000(ASSIGNED TIME) 60269,S000000,00100,0200,08/28/2000 60269,S200000,00100,0100,765 WEST CENTER STREET 60269,S200000,00200,0100,WEST BRIDGEWATER 60269,S200000,00200,0200,MA 60269,S200000,00200,0300,02379 60269,S200000,00300,0100,PLYMOUTH 60269,S200000,00400,0100,LCC OF WEST BRIDGEWATER 60269,S200000,00400,0200,225704 60269,S200000,00400,0300,05/24/1996 60269,S200000,00400,0500,P 60269,S200000,00600,0200,922803 60269,S200000,00600,0300,05/20/1996 60269,S200000,00600,0600,P 60269,S200000,01600,0100,Y 60269,S200000,02200,0100,Y 60269,S200000,02800,0100,Y 60269,S200000,04300,0100,Y 60276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60276,A000000,00300,0000,00300EMPLOYEE BENEFITS 60276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60276,A000000,00700,0000,00700HOUSEKEEPING 60276,A000000,00800,0000,00800DIETARY 60276,A000000,00900,0000,00900NURSING ADMINISTRATION 60276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60276,A000000,01100,0000,01100PHARMACY 60276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60276,A000000,01300,0000,01300SOCIAL SERVICE 60276,A000000,01350,0000,01500ACTIVITIES 60276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60276,A000000,01600,0000,01600SKILLED NURSING FACILITY 60276,A000000,01800,0000,01800NURSING FACILITY 60276,A000000,01810,0000,01810ICF/MR 60276,A000000,01900,0000,01900OTHER LONG TERM CARE 60276,A000000,02100,0000,02100RADIOLOGY 60276,A000000,02200,0000,02200LABORATORY 60276,A000000,02300,0000,02300INTRAVENOUS THERAPY 60276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60276,A000000,02500,0000,02500PHYSICAL THERAPY 60276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60276,A000000,02700,0000,02700SPEECH PATHOLOGY 60276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60276,A000000,02901,0000,02901PEN THERAPY 60276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60276,A000000,03550,0000,03550FQHC 60276,A000000,05000,0000,05000CORF 60276,A000000,05010,0000,05010CMHC 60276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60276,A81000A,00100,0100,Y 60276,A81000B,00100,0300,HOME OFFICE COSTS 60276,A81000B,00200,0300,HOME OFFICE COSTS 60276,A81000B,00300,0300,VAN AMORT EXPENSE 60276,A81000B,00400,0300,INTEREST VAN LEASE 60276,A81000B,00500,0300,INTEREST-LCA 60276,A81000B,00600,0300,INTEREST-METLIFE #2 60276,A81000B,00700,0300,INTEREST-LCCA 60276,A81000B,00800,0300,INTEREST-FLP 60276,A81000B,00900,0300,PROJECT 2000 60276,A81000B,01000,0300,LCCA REHAB ALLOC 60276,A81000B,01100,0300,LCCA REHAB ALLOC 60276,A81000B,01200,0300,LCCA REHAB ALLOC 60276,A81000B,01300,0300,LIFE CARE DESIGN-F&F 60276,A81000B,01400,0300,CONSTRUCT ENTER-DEPR 60276,A81000C,00100,0100,A 60276,A81000C,00100,0200,FORREST PRESTON 60276,A81000C,00100,0400,LCCA 60276,A81000C,00100,0600,MGMT CO. 60276,A81000C,00200,0100,A 60276,A81000C,00200,0200,FORREST PRESTON 60276,A81000C,00200,0400,LCCA 60276,A81000C,00200,0600,MGMT CO. 60276,A81000C,00300,0100,A 60276,A81000C,00300,0200,FORREST PRESTON 60276,A81000C,00300,0400,HCE LEASING 60276,A81000C,00300,0600,EQUIP LEASING 60276,A81000C,00400,0100,A 60276,A81000C,00400,0200,FORREST PRESTON 60276,A81000C,00400,0400,HCE LEASING 60276,A81000C,00400,0600,EQUIP LEASING 60276,A81000C,00500,0100,A 60276,A81000C,00500,0200,FORREST PRESTON 60276,A81000C,00500,0400,LCCA 60276,A81000C,00500,0600,MGMT CO. 60276,A81000C,00600,0100,A 60276,A81000C,00600,0200,FORREST PRESTON 60276,A81000C,00600,0400,LCCA 60276,A81000C,00600,0600,MGMT CO. 60276,A81000C,00700,0100,A 60276,A81000C,00700,0200,FORREST PRESTON 60276,A81000C,00700,0400,LCCA 60276,A81000C,00700,0600,MGMT CO. 60276,A81000C,00800,0100,A 60276,A81000C,00800,0200,FORREST PRESTON 60276,A81000C,00800,0400,FORREST PRESTON 60276,A81000C,00800,0600,OWNER 60276,A81000C,00900,0100,A 60276,A81000C,00900,0200,FORREST PRESTON 60276,A81000C,00900,0400,LCCA 60276,A81000C,00900,0600,MGMT CO. 60276,A81000C,01000,0100,A 60276,A81000C,01000,0200,FORREST PRESTON 60276,A81000C,01000,0400,LCCA 60276,A81000C,01000,0600,MGMT CO.-REHAB 60276,A81000C,01100,0100,A 60276,A81000C,01100,0200,FORREST PRESTON 60276,A81000C,01100,0400,LCCA 60276,A81000C,01100,0600,MGMT CO.-REHAB 60276,A81000C,01200,0100,A 60276,A81000C,01200,0200,FORREST PRESTON 60276,A81000C,01200,0400,LCCA 60276,A81000C,01200,0600,MGMT CO.-REHAB 60276,A81000C,01300,0100,A 60276,A81000C,01300,0200,FORREST PRESTON 60276,A81000C,01300,0400,LIFE CARE DESIG 60276,A81000C,01300,0600,F&F 60276,A81000C,01400,0100,A 60276,A81000C,01400,0200,FORREST PRESTON 60276,A81000C,01400,0400,CONSTRUCT ENTER 60276,A81000C,01400,0600,CONSTRUCTION 60276,B100000,00000,0100,00000(SQUARE FEET) 60276,B100000,00000,0200,00000(SQUARE FEET) 60276,B100000,00000,0300,00000(GROSS SALARIES) 60276,B100000,00000,0400,00000(ACCUM COST) 60276,B100000,00000,0500,00000(SQUARE FEET) 60276,B100000,00000,0600,00000PATIENT DAYS 60276,B100000,00000,0700,00000(SQUARE FEET) 60276,B100000,00000,0800,00000(MEALS SERVED) 60276,B100000,00000,0900,00000DIRECT HOURS 60276,B100000,00000,1000,00000(COSTED REQUIS) 60276,B100000,00000,1100,00000(COSTED REQUIS) 60276,B100000,00000,1200,00000GROSS REVENUES 60276,B100000,00000,1300,00000PATIENT DAYS 60276,B100000,00000,1350,00000PATIENT DAYS 60276,B100000,00000,1400,00000(ASSIGNED TIME) 60276,S000000,00100,0200,10/31/2000 60276,S200000,00100,0100,25 WOODLAND ROAD 60276,S200000,00200,0100,STONEHAM 60276,S200000,00200,0200,MA 60276,S200000,00300,0100,MIDDLESEX 60276,S200000,00400,0100,LIFE CARE CENTER OF STONEHAM 60276,S200000,00400,0200,225732 60276,S200000,00400,0300,08/12/1997 60276,S200000,00400,0500,P 60276,S200000,00600,0200,923885 60276,S200000,00600,0300,07/28/1997 60276,S200000,00600,0600,P 60276,S200000,01600,0100,Y 60276,S200000,02200,0100,Y 60276,S200000,04200,0100,Y 60276,S200000,04300,0100,Y 60284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60284,A000000,00300,0000,00300EMPLOYEE BENEFITS 60284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60284,A000000,00700,0000,00700HOUSEKEEPING 60284,A000000,00800,0000,00800DIETARY 60284,A000000,00900,0000,00900NURSING ADMINISTRATION 60284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60284,A000000,01100,0000,01100PHARMACY 60284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60284,A000000,01300,0000,01300SOCIAL SERVICE 60284,A000000,01350,0000,01500ACTIVITIES 60284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60284,A000000,01600,0000,01600SKILLED NURSING FACILITY 60284,A000000,01800,0000,01800NURSING FACILITY 60284,A000000,01810,0000,01810ICF/MR 60284,A000000,02100,0000,02100RADIOLOGY 60284,A000000,02200,0000,02200LABORATORY 60284,A000000,02300,0000,02300INTRAVENOUS THERAPY 60284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60284,A000000,02500,0000,02500PHYSICAL THERAPY 60284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60284,A000000,02700,0000,02700SPEECH PATHOLOGY 60284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60284,A000000,02901,0000,02901PEN THERAPY 60284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60284,A000000,03550,0000,03550FQHC 60284,A000000,05000,0000,05000CORF 60284,A000000,05010,0000,05010CMHC 60284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60284,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60284,A81000A,00100,0100,Y 60284,A81000B,00100,0300,POOLED CAPITAL 60284,A81000B,00200,0300,MGMT FEE 60284,A81000B,00300,0300,INTEREST - METLIFE#1 60284,A81000B,00400,0300,INTEREST - METLIFE#3 60284,A81000B,00500,0300,DEPREC 60284,A81000B,00600,0300,INTEREST - HCE 60284,A81000B,00700,0300,RENTAL INCOME OFFSET 60284,A81000B,00800,0300,SUPPLIES 60284,A81000B,00900,0300,PHARMACIST/MISC 60284,A81000B,01000,0300,SUPPLIES 60284,A81000B,01100,0300,DRUGS MED/SUPP 60284,A81000B,01200,0300,REHAB ALLOC 60284,A81000B,01300,0300,REHAB ALLOC 60284,A81000B,01400,0300,REHAB ALLOC 60284,A81000B,01500,0300,PROJECT 2000 INSTALL 60284,A81000B,01600,0300,FURNISHINGS 60284,A81000C,00100,0100,A 60284,A81000C,00100,0200,FORREST PRESTON 60284,A81000C,00100,0400,LCCA 60284,A81000C,00100,0600,MGMT CO 60284,A81000C,00200,0100,A 60284,A81000C,00200,0200,FORREST PRESTON 60284,A81000C,00200,0400,LCCA 60284,A81000C,00200,0600,MGMT CO 60284,A81000C,00300,0100,A 60284,A81000C,00300,0200,FORREST PRESTON 60284,A81000C,00300,0400,LCCA 60284,A81000C,00300,0600,MGMT CO 60284,A81000C,00400,0100,A 60284,A81000C,00400,0200,FORREST PRESTON 60284,A81000C,00400,0400,LCCA 60284,A81000C,00400,0600,MGMT CO 60284,A81000C,00500,0100,A 60284,A81000C,00500,0200,FORREST PRESTON 60284,A81000C,00500,0400,HCE LEASING 60284,A81000C,00500,0600,EQUIPMENT LEASI 60284,A81000C,00600,0100,A 60284,A81000C,00600,0200,FORREST PRESTON 60284,A81000C,00600,0400,HCE LEASING 60284,A81000C,00600,0600,EQUIPMENT LEASI 60284,A81000C,00700,0100,A 60284,A81000C,00700,0200,FORREST PRESTON 60284,A81000C,00700,0400,LCPSI 60284,A81000C,00700,0600,PHARMACY SERVIC 60284,A81000C,00800,0100,A 60284,A81000C,00800,0200,FORREST PRESTON 60284,A81000C,00800,0400,LCPSI 60284,A81000C,00800,0600,PHARMACY SERVIC 60284,A81000C,00900,0100,A 60284,A81000C,00900,0200,FORREST PRESTON 60284,A81000C,00900,0400,LCPSI 60284,A81000C,00900,0600,PHARMACY SERVIC 60284,A81000C,01000,0100,A 60284,A81000C,01000,0200,FORREST PRESTON 60284,A81000C,01000,0400,LCPSI 60284,A81000C,01000,0600,PHARMACY SERVIC 60284,A81000C,01100,0100,A 60284,A81000C,01100,0200,FORREST PRESTON 60284,A81000C,01100,0400,LCPSI 60284,A81000C,01100,0600,PHARMACY SERVIC 60284,A81000C,01200,0100,A 60284,A81000C,01200,0200,FORREST PRESTON 60284,A81000C,01200,0400,LCCA 60284,A81000C,01200,0600,MGMT CO 60284,A81000C,01300,0100,A 60284,A81000C,01300,0200,FORREST PRESTON 60284,A81000C,01300,0400,LCCA 60284,A81000C,01300,0600,MGMT CO 60284,A81000C,01400,0100,A 60284,A81000C,01400,0200,FORREST PRESTON 60284,A81000C,01400,0400,LCCA 60284,A81000C,01400,0600,MGMT CO 60284,A81000C,01500,0100,A 60284,A81000C,01500,0200,FORREST PRESTON 60284,A81000C,01500,0400,LCCA 60284,A81000C,01500,0600,MGMT CO 60284,A81000C,01600,0100,A 60284,A81000C,01600,0200,FORREST PRESTON 60284,A81000C,01600,0400,LIFE CARE DESIG 60284,A81000C,01600,0600,F&F 60284,B100000,00000,0100,00000(SQUARE FEET) 60284,B100000,00000,0200,00000(SQUARE FEET) 60284,B100000,00000,0300,00000(GROSS SALARIES) 60284,B100000,00000,0400,00000(ACCUM COST) 60284,B100000,00000,0500,00000(SQUARE FEET) 60284,B100000,00000,0600,00000PATIENT DAYS 60284,B100000,00000,0700,00000(SQUARE FEET) 60284,B100000,00000,0800,00000(MEALS SERVED) 60284,B100000,00000,0900,00000DIRECT HOURS 60284,B100000,00000,1000,00000(COSTED REQUIS) 60284,B100000,00000,1100,00000(COSTED REQUIS) 60284,B100000,00000,1200,00000GROSS REVENUES 60284,B100000,00000,1300,00000PATIENT DAYS 60284,B100000,00000,1350,00000PATIENT DAYS 60284,B100000,00000,1400,00000(ASSIGNED TIME) 60284,E10A180,00301,0100,08/13/1999 60284,E10A180,00550,0300,06/01/2000 60284,S000000,00100,0200,05/26/2000 60284,S200000,00100,0100,14041 PENNSYLVANIA RD. 60284,S200000,00200,0100,RIVERVIEW 60284,S200000,00200,0200,MI 60284,S200000,00200,0300,48192 60284,S200000,00300,0100,WAYNE 60284,S200000,00400,0100,RIVERGATE CONV 60284,S200000,00400,0200,235297 60284,S200000,00400,0300,09/01/1998 60284,S200000,00400,0500,P 60284,S200000,00400,0600,O 60284,S200000,01600,0100,Y 60284,S200000,02200,0100,Y 60284,S200000,02800,0100,Y 60292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60292,A000000,00300,0000,00300EMPLOYEE BENEFITS 60292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60292,A000000,00700,0000,00700HOUSEKEEPING 60292,A000000,00800,0000,00800DIETARY 60292,A000000,00900,0000,00900NURSING ADMINISTRATION 60292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60292,A000000,01100,0000,01100PHARMACY 60292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60292,A000000,01300,0000,01300SOCIAL SERVICE 60292,A000000,01350,0000,01500ACTIVITIES 60292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60292,A000000,01600,0000,01600SKILLED NURSING FACILITY 60292,A000000,01800,0000,01800NURSING FACILITY 60292,A000000,01810,0000,01810ICF/MR 60292,A000000,02100,0000,02100RADIOLOGY 60292,A000000,02200,0000,02200LABORATORY 60292,A000000,02300,0000,02300INTRAVENOUS THERAPY 60292,A000000,02500,0000,02500PHYSICAL THERAPY 60292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60292,A000000,02700,0000,02700SPEECH PATHOLOGY 60292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60292,A000000,02901,0000,02901PEN THERAPY 60292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60292,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60292,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60292,A000000,03550,0000,03550FQHC 60292,A000000,05000,0000,05000CORF 60292,A000000,05010,0000,05010CMHC 60292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60292,A81000A,00100,0100,Y 60292,A81000B,00100,0300,HOME OFF ALLOC 60292,A81000B,00200,0300,HOME OFF ALLOC 60292,A81000B,00300,0300,HOME OFF ALLOC 60292,A81000B,00400,0300,HOME OFF ALLOC 60292,A81000B,00500,0300,HOME OFF INTEREST 60292,A81000B,00600,0300,LCPSI 60292,A81000B,00700,0300,COMP INSTALL/DEPR 60292,A81000B,00800,0300,INTEREST/DEPR 60292,A81000B,00900,0300,LIFE CARE DESIGNS 60292,A81000B,01000,0300,HCE LEASING DEPRECIATION 60292,A81000C,00100,0100,A 60292,A81000C,00100,0200,FORREST PRESTON 60292,A81000C,00100,0400,LCCA 60292,A81000C,00100,0600,HEALTH CARE MGM 60292,A81000C,00200,0100,A 60292,A81000C,00200,0200,FORREST PRESTON 60292,A81000C,00200,0400,LCCA 60292,A81000C,00200,0600,HEALTH CARE MGM 60292,A81000C,00300,0100,A 60292,A81000C,00300,0200,FORREST PRESTON 60292,A81000C,00300,0400,LCCA 60292,A81000C,00300,0600,HEALTH CARE MGM 60292,A81000C,00400,0100,A 60292,A81000C,00400,0200,FORREST PRESTON 60292,A81000C,00400,0400,LCCA 60292,A81000C,00400,0600,HEALTH CARE MGM 60292,A81000C,00500,0100,A 60292,A81000C,00500,0200,FORREST PRESTON 60292,A81000C,00500,0400,LCCA 60292,A81000C,00500,0600,HEALTH CARE MGM 60292,A81000C,00600,0100,A 60292,A81000C,00600,0200,FORREST PRESTON 60292,A81000C,00600,0400,LCPSI 60292,A81000C,00600,0600,PHARMACY EXPENS 60292,A81000C,00700,0100,A 60292,A81000C,00700,0200,FORREST PRESTON 60292,A81000C,00700,0400,HCE LEASING 60292,A81000C,00700,0600,VEHICLE & COMP 60292,A81000C,00800,0100,B 60292,A81000C,00800,0200,LCCA 60292,A81000C,00800,0400,LIFE CARE DESIG 60292,A81000C,00800,0600,FURNITURE & FIX 60292,B100000,00000,0100,00000(SQUARE FEET) 60292,B100000,00000,0200,00000(SQUARE FEET) 60292,B100000,00000,0300,00000(GROSS SALARIES) 60292,B100000,00000,0400,00000(ACCUM COST) 60292,B100000,00000,0500,00000(SQUARE FEET) 60292,B100000,00000,0600,00000PATIENT DAYS 60292,B100000,00000,0700,00000(SQUARE FEET) 60292,B100000,00000,0800,00000(MEALS SERVED) 60292,B100000,00000,0900,00000DIRECT NRSG HOURS 60292,B100000,00000,1000,00000(COSTED REQUIS) 60292,B100000,00000,1100,00000(COSTED REQUIS) 60292,B100000,00000,1200,00000GROSS REVENUES 60292,B100000,00000,1300,00000PATIENT DAYS 60292,B100000,00000,1350,00000PATIENT DAYS 60292,B100000,00000,1400,00000ASSIGNED TIME 60292,E10A180,00301,0100,02/25/2000 60292,E10A180,00301,0300,02/25/2000 60292,S000000,00100,0200,05/16/2000 60292,S200000,00100,0100,320 BRIGHAM STREET 60292,S200000,00200,0100,PLAINWELL 60292,S200000,00200,0200,MI 60292,S200000,00200,0300,49080 60292,S200000,00300,0100,ALLEGAN 60292,S200000,00400,0100,LIFE CARE CENTER OF PLAINWELL 60292,S200000,00400,0200,235471 60292,S200000,00400,0300,05/05/1988 60292,S200000,00400,0500,P 60292,S200000,00400,0600,O 60292,S200000,01600,0100,Y 60292,S200000,04700,0100,Y 60292,S200000,04700,0200,Y 60300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60300,A000000,00300,0000,00300EMPLOYEE BENEFITS 60300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60300,A000000,00700,0000,00700HOUSEKEEPING 60300,A000000,00800,0000,00800DIETARY 60300,A000000,00900,0000,00900NURSING ADMINISTRATION 60300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60300,A000000,01100,0000,01100PHARMACY 60300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60300,A000000,01300,0000,01300SOCIAL SERVICE 60300,A000000,01350,0000,01500ACTIVITIES 60300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60300,A000000,01600,0000,01600SKILLED NURSING FACILITY 60300,A000000,01800,0000,01800NURSING FACILITY 60300,A000000,01810,0000,01810ICF/MR 60300,A000000,02100,0000,02100RADIOLOGY 60300,A000000,02200,0000,02200LABORATORY 60300,A000000,02300,0000,02300INTRAVENOUS THERAPY 60300,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60300,A000000,02500,0000,02500PHYSICAL THERAPY 60300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60300,A000000,02700,0000,02700SPEECH PATHOLOGY 60300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60300,A000000,02901,0000,02901PEN THERAPY 60300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60300,A000000,03550,0000,03550FQHC 60300,A000000,05000,0000,05000CORF 60300,A000000,05010,0000,05010CMHC 60300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60300,A81000A,00100,0100,Y 60300,A81000B,00100,0300,POOLED CAPITAL 60300,A81000B,00200,0300,POOLED OPERATING 60300,A81000B,00300,0300,LCCA-METLIFE #1 60300,A81000B,00400,0300,LCCA-METLIFE #3 HO 60300,A81000B,00500,0300,HCE 60300,A81000B,00600,0300,BUS-DEPREC 60300,A81000B,00700,0300,LCPSI-MISC 60300,A81000B,00800,0300,LCPSI-ROUTINE SPL 60300,A81000B,00900,0300,LCPSI-IV SPLY 60300,A81000B,01000,0300,LCPSI-MED SPLY 60300,A81000B,01100,0300,LCPSI-DRUGS 60300,A81000B,01200,0300,HOME OFFICE ALLOC 60300,A81000B,01300,0300,HOME OFFICE ALLOC 60300,A81000B,01400,0300,HOME OFFICE ALLOC 60300,A81000B,01500,0300,LIFE CARE DESIGN 60300,A81000B,01600,0300,LCCA-PROJECT 2000 60300,A81000C,00100,0100,A 60300,A81000C,00100,0200,FORREST PRESTON 60300,A81000C,00100,0400,LCCA 60300,A81000C,00100,0600,MGMT CO. 60300,A81000C,00200,0100,A 60300,A81000C,00200,0200,FORREST PRESTON 60300,A81000C,00200,0400,LCCA 60300,A81000C,00200,0600,MGMT CO. 60300,A81000C,00300,0100,A 60300,A81000C,00300,0200,FORREST PRESTON 60300,A81000C,00300,0400,LCCA 60300,A81000C,00300,0600,MGMT CO. 60300,A81000C,00400,0100,A 60300,A81000C,00400,0200,FORREST PRESTON 60300,A81000C,00400,0400,LCCA 60300,A81000C,00400,0600,MGMT CO. 60300,A81000C,00500,0100,A 60300,A81000C,00500,0200,FORREST PRESTON 60300,A81000C,00500,0400,LCCA 60300,A81000C,00500,0600,MGMT CO. 60300,A81000C,00600,0100,A 60300,A81000C,00600,0200,FORREST PRESTON 60300,A81000C,00600,0400,LCCA 60300,A81000C,00600,0600,MGMT CO. 60300,A81000C,00700,0100,A 60300,A81000C,00700,0200,FORREST PRESTON 60300,A81000C,00700,0400,LCPSI 60300,A81000C,00700,0600,PHARMACY 60300,A81000C,00800,0100,A 60300,A81000C,00800,0200,FORREST PRESTON 60300,A81000C,00800,0400,LCPSI 60300,A81000C,00800,0600,PHARMACY 60300,A81000C,00900,0100,A 60300,A81000C,00900,0200,FORREST PRESTON 60300,A81000C,00900,0400,LCPSI 60300,A81000C,00900,0600,PHARMACY 60300,A81000C,01000,0100,A 60300,A81000C,01000,0200,FORREST PRESTON 60300,A81000C,01000,0400,LCPSI 60300,A81000C,01000,0600,PHARMACY 60300,A81000C,01100,0100,A 60300,A81000C,01100,0200,FORREST PRESTON 60300,A81000C,01100,0400,LCPSI 60300,A81000C,01100,0600,PHARMACY 60300,A81000C,01200,0100,A 60300,A81000C,01200,0200,FORREST PRESTON 60300,A81000C,01200,0400,LCCA-REHAB ALLO 60300,A81000C,01200,0600,MGMT CO. 60300,A81000C,01300,0100,A 60300,A81000C,01300,0200,FORREST PRESTON 60300,A81000C,01300,0400,LCCA-REHAB ALLO 60300,A81000C,01300,0600,MGMT CO. 60300,A81000C,01400,0100,A 60300,A81000C,01400,0200,FORREST PRESTON 60300,A81000C,01400,0400,LCCA-REHAB ALLO 60300,A81000C,01400,0600,MGMT CO. 60300,A81000C,01500,0100,A 60300,A81000C,01500,0200,FORREST PRESTON 60300,A81000C,01500,0400,LCC DESIGNS 60300,A81000C,01500,0600,INTERIOR DESIGN 60300,A81000C,01600,0100,A 60300,A81000C,01600,0200,FORREST PRESTON 60300,A81000C,01600,0400,LCCA 60300,A81000C,01600,0600,MGMT CO. 60300,B100000,00000,0100,00000(SQUARE FEET) 60300,B100000,00000,0200,00000(SQUARE FEET) 60300,B100000,00000,0300,00000(GROSS SALARIES) 60300,B100000,00000,0400,00000(ACCUM COST) 60300,B100000,00000,0500,00000(SQUARE FEET) 60300,B100000,00000,0600,00000PATIENT DAYS 60300,B100000,00000,0700,00000(SQUARE FEET) 60300,B100000,00000,0800,00000(MEALS SERVED) 60300,B100000,00000,0900,00000DIRECT HOURS 60300,B100000,00000,1000,00000(COSTED REQUIS) 60300,B100000,00000,1100,00000(COSTED REQUIS) 60300,B100000,00000,1200,00000GROSS REVENUES 60300,B100000,00000,1300,00000PATIENT DAYS 60300,B100000,00000,1350,00000PATIENT DAYS 60300,B100000,00000,1400,00000(ASSIGNED TIME) 60300,E10A180,00301,0100,08/13/1999 60300,E10A180,00302,0300,08/26/2000 60300,S000000,00100,0200,05/25/2000 60300,S200000,00100,0100,14141 PENNSYLVANIA RD. 60300,S200000,00200,0100,RIVERVIEW 60300,S200000,00200,0200,MI 60300,S200000,00200,0300,48192 60300,S200000,00300,0100,WAYNE 60300,S200000,00400,0100,RIVERGATE TERRACE 60300,S200000,00400,0200,235516 60300,S200000,00400,0300,05/01/1992 60300,S200000,00400,0500,P 60300,S200000,00400,0600,O 60300,S200000,01600,0100,Y 60300,S200000,02200,0100,Y 60300,S200000,02800,0100,Y 60314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60314,A000000,00300,0000,00300EMPLOYEE BENEFITS 60314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60314,A000000,00700,0000,00700HOUSEKEEPING 60314,A000000,00800,0000,00800DIETARY 60314,A000000,00900,0000,00900NURSING ADMINISTRATION 60314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60314,A000000,01100,0000,01100PHARMACY 60314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60314,A000000,01300,0000,01300SOCIAL SERVICE 60314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60314,A000000,01600,0000,01600SKILLED NURSING FACILITY 60314,A000000,01800,0000,01800NURSING FACILITY 60314,A000000,01810,0000,01810ICF/MR 60314,A000000,02200,0000,02200LABORATORY 60314,A000000,02300,0000,02300INTRAVENOUS THERAPY 60314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60314,A000000,02500,0000,02500PHYSICAL THERAPY 60314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60314,A000000,02700,0000,02700SPEECH PATHOLOGY 60314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60314,A000000,03550,0000,03550FQHC 60314,A000000,05000,0000,05000CORF 60314,A000000,05010,0000,05010CMHC 60314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60314,A000000,05300,0000,05300INTEREST EXPENSE 60314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60314,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60314,A81000A,00100,0100,Y 60314,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60314,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60314,A81000B,00300,0300,HEALTH INSURANCE 60314,A81000B,00400,0300,RETIREMENT 60314,A81000B,00500,0300,PHS - NURSING 60314,A81000B,00600,0300,PHS - OT 60314,A81000B,00700,0300,PHS - ST 60314,A81000B,00800,0300,PHS - ADMIN 60314,A81000B,00900,0300,PHS - MEDICAL RECORD 60314,A81000B,01000,0300,PHS - SOCIAL SERVICE 60314,A81000B,01100,0300,PHS - ACTIVITIES 60314,A81000B,01200,0300,PHS - DIETARY 60314,A81000B,01300,0300,PHS-PHYSICAL TH 60314,A81000C,00100,0100,B 60314,A81000C,00100,0200,NATIONAL HEALTH 60314,A81000C,00100,0600,HOME OFFICE 60314,A81000C,00200,0200,CARE CORPORATIO 60314,A81000C,00300,0100,B 60314,A81000C,00300,0200,PROFESSIONAL H 60314,A81000C,00300,0600,SPECIALIZED PE 60314,A81000C,00400,0200,SERVCIES CORP. 60314,B100000,00000,0100,00000(SQUARE FEET) 60314,B100000,00000,0200,00000(SQUARE FEET) 60314,B100000,00000,0300,00000(GROSS SALARIES) 60314,B100000,00000,0400,00000(ACCUM COST) 60314,B100000,00000,0500,00000(SQUARE FEET) 60314,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60314,B100000,00000,0700,00000(SQUARE FEET) 60314,B100000,00000,0800,00000(MEALS SERVED) 60314,B100000,00000,0900,00000(DIRECT NRSG HRS) 60314,B100000,00000,1000,00000(COSTED REQUIS) 60314,B100000,00000,1100,00000(COSTED REQUIS) 60314,B100000,00000,1200,00000(TIME SPENT) 60314,B100000,00000,1300,00000(TIME SPENT) 60314,B100000,00000,1400,00000ASSIGNED TIME 60314,S000000,00100,0200,03/23/2000 60314,S200000,00100,0100,211 DAVIS DRIVE 60314,S200000,00100,0300,497 60314,S200000,00200,0100,WEST PLAINS 60314,S200000,00200,0200,MO 60314,S200000,00200,0300,65775 60314,S200000,00300,0100,HOWELL 60314,S200000,00400,0100,NHC HEALTHCARE WEST PLAINS 60314,S200000,00400,0200,265155 60314,S200000,00400,0300,01/01/1982 60314,S200000,00400,0500,P 60314,S200000,00600,0200,265155 60314,S200000,00600,0300,01/01/1982 60314,S200000,00600,0600,P 60314,S200000,01600,0100,Y 60314,S200000,01900,0100,NON PROFIT 501C 60324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60324,A000000,00300,0000,00300EMPLOYEE BENEFITS 60324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60324,A000000,00700,0000,00700HOUSEKEEPING 60324,A000000,00800,0000,00800DIETARY 60324,A000000,00900,0000,00900NURSING ADMINISTRATION 60324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60324,A000000,01100,0000,01100PHARMACY 60324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60324,A000000,01300,0000,01300SOCIAL SERVICE 60324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60324,A000000,01600,0000,01600SKILLED NURSING FACILITY 60324,A000000,01800,0000,01800NURSING FACILITY 60324,A000000,01810,0000,01810ICF/MR 60324,A000000,02100,0000,02100RADIOLOGY 60324,A000000,02200,0000,02200LABORATORY 60324,A000000,02300,0000,02300INTRAVENOUS THERAPY 60324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60324,A000000,02500,0000,02500PHYSICAL THERAPY 60324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60324,A000000,02700,0000,02700SPEECH PATHOLOGY 60324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60324,A000000,03550,0000,03550FQHC 60324,A000000,05000,0000,05000CORF 60324,A000000,05010,0000,05010CMHC 60324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60324,A000000,05300,0000,05300INTEREST EXPENSE 60324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60324,A81000A,00100,0100,Y 60324,A81000B,00100,0300,INTEREST 60324,A81000C,00100,0100,B 60324,A81000C,00100,0200,SKILLED HEALTH 60324,A81000C,00200,0200,FACILTY OF 60324,A81000C,00300,0200,SPRINGFIELD 60324,B100000,00000,0100,00000(SQUARE FEET) 60324,B100000,00000,0200,00000(SQUARE FEET) 60324,B100000,00000,0300,00000(GROSS SALARIES) 60324,B100000,00000,0400,00000(ACCUM COST) 60324,B100000,00000,0500,00000(SQUARE FEET) 60324,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60324,B100000,00000,0700,00000(SQUARE FEET) 60324,B100000,00000,0800,00000(MEALS SERVED) 60324,B100000,00000,0900,00000(DIRECT NRSG HRS) 60324,B100000,00000,1000,00000(COSTED REQUIS) 60324,B100000,00000,1100,00000(COSTED REQUIS) 60324,B100000,00000,1200,00000(TIME SPENT) 60324,B100000,00000,1300,00000(TIME SPENT) 60324,B100000,00000,1400,00000ASSIGNED TIME 60324,S000000,00100,0200,05/22/2000 60324,S200000,00100,0100,2800 SOUTH FORT STREET 60324,S200000,00100,0300,3438 GS 60324,S200000,00200,0100,SPRINGFIELD 60324,S200000,00200,0200,MO 60324,S200000,00200,0300,65807 60324,S200000,00300,0100,GREENE 60324,S200000,00400,0100,SPRINGFIELD HEALTH CARE CENTER 60324,S200000,00400,0200,265157 60324,S200000,00400,0300,04/01/1981 60324,S200000,00400,0500,P 60324,S200000,00600,0200,265157 60324,S200000,00600,0300,04/01/1981 60324,S200000,00600,0600,P 60324,S200000,01600,0100,Y 60337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60337,A000000,00300,0000,00300EMPLOYEE BENEFITS 60337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60337,A000000,00700,0000,00700HOUSEKEEPING 60337,A000000,00800,0000,00800DIETARY 60337,A000000,00900,0000,00900NURSING ADMINISTRATION 60337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60337,A000000,01100,0000,01100PHARMACY 60337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60337,A000000,01300,0000,01300SOCIAL SERVICE 60337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60337,A000000,01600,0000,01600SKILLED NURSING FACILITY 60337,A000000,01800,0000,01800NURSING FACILITY 60337,A000000,01810,0000,01810ICF/MR 60337,A000000,02100,0000,02100RADIOLOGY 60337,A000000,02200,0000,02200LABORATORY 60337,A000000,02300,0000,02300INTRAVENOUS THERAPY 60337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60337,A000000,02500,0000,02500PHYSICAL THERAPY 60337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60337,A000000,02700,0000,02700SPEECH PATHOLOGY 60337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60337,A000000,03550,0000,03550FQHC 60337,A000000,05000,0000,05000CORF 60337,A000000,05010,0000,05010CMHC 60337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60337,A000000,05300,0000,05300INTEREST EXPENSE 60337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60337,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60337,A81000A,00100,0100,Y 60337,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60337,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60337,A81000B,00300,0300,HEALTH INSURANCE 60337,A81000B,00400,0300,RETIREMENT 60337,A81000B,00500,0300,PHS - PT 60337,A81000B,00600,0300,PHS - OT 60337,A81000B,00700,0300,PHS - ST 60337,A81000B,00800,0300,PHS - NURSING 60337,A81000B,00900,0300,PHS - SOCIAL SERVICE 60337,A81000B,01000,0300,PHS - ACTIVITIES 60337,A81000B,01100,0300,PHS - DIETARY 60337,A81000B,01200,0300,PHS - MED RECORDS 60337,A81000B,01300,0300,PHS - ADMINISTRATIVE 60337,A81000C,00100,0100,B 60337,A81000C,00100,0200,NATIONAL HEALTH 60337,A81000C,00200,0200,CARE CORPORATIO 60337,A81000C,00300,0100,B 60337,A81000C,00300,0200,PHS 60337,B100000,00000,0100,00000(SQUARE FEET) 60337,B100000,00000,0200,00000(SQUARE FEET) 60337,B100000,00000,0300,00000(GROSS SALARIES) 60337,B100000,00000,0400,00000(ACCUM COST) 60337,B100000,00000,0500,00000(SQUARE FEET) 60337,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60337,B100000,00000,0700,00000(SQUARE FEET) 60337,B100000,00000,0800,00000(MEALS SERVED) 60337,B100000,00000,0900,00000(DIRECT NRSG HRS) 60337,B100000,00000,1000,00000(COSTED REQUIS) 60337,B100000,00000,1100,00000(COSTED REQUIS) 60337,B100000,00000,1200,00000(TIME SPENT) 60337,B100000,00000,1300,00000(TIME SPENT) 60337,B100000,00000,1400,00000ASSIGNED TIME 60337,S000000,00100,0200,03/22/2000 60337,S200000,00100,0100,801 BRIM STREET 60337,S200000,00100,0300,AA 60337,S200000,00200,0100,DESLOGE 60337,S200000,00200,0200,MO 60337,S200000,00200,0300,63601 60337,S200000,00300,0100,ST. FRANCOIS 60337,S200000,00400,0100,NHC HEALTHCARE DESLOGE 60337,S200000,00400,0200,265158 60337,S200000,00400,0300,01/01/1982 60337,S200000,00400,0500,P 60337,S200000,00600,0200,265158 60337,S200000,00600,0300,01/01/1982 60337,S200000,00600,0600,P 60337,S200000,01600,0100,Y 60337,S200000,01900,0100,NON PROFIT 501C 60347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60347,A000000,00300,0000,00300EMPLOYEE BENEFITS 60347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60347,A000000,00700,0000,00700HOUSEKEEPING 60347,A000000,00800,0000,00800DIETARY 60347,A000000,00900,0000,00900NURSING ADMINISTRATION 60347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60347,A000000,01100,0000,01100PHARMACY 60347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60347,A000000,01300,0000,01300SOCIAL SERVICE 60347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60347,A000000,01600,0000,01600SKILLED NURSING FACILITY 60347,A000000,01800,0000,01800NURSING FACILITY 60347,A000000,01810,0000,01810ICF/MR 60347,A000000,02100,0000,02100RADIOLOGY 60347,A000000,02200,0000,02200LABORATORY 60347,A000000,02300,0000,02300INTRAVENOUS THERAPY 60347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60347,A000000,02500,0000,02500PHYSICAL THERAPY 60347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60347,A000000,02700,0000,02700SPEECH PATHOLOGY 60347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60347,A000000,03550,0000,03550FQHC 60347,A000000,05000,0000,05000CORF 60347,A000000,05010,0000,05010CMHC 60347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60347,A000000,05300,0000,05300INTEREST EXPENSE 60347,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60347,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60347,A81000A,00100,0100,Y 60347,A81000B,00100,0300,EXCL RELATED PARTY INTEREST 60347,A81000C,00100,0100,B 60347,A81000C,00100,0200,MEDICAL MANAGEM 60347,A81000C,00200,0200,OF MACON 60347,B100000,00000,0100,00000(SQUARE FEET) 60347,B100000,00000,0200,00000(SQUARE FEET) 60347,B100000,00000,0300,00000(GROSS SALARIES) 60347,B100000,00000,0400,00000(ACCUM COST) 60347,B100000,00000,0500,00000(SQUARE FEET) 60347,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60347,B100000,00000,0700,00000(SQUARE FEET) 60347,B100000,00000,0800,00000(MEALS SERVED) 60347,B100000,00000,0900,00000(DIRECT NRSG HRS) 60347,B100000,00000,1000,00000(COSTED REQUIS) 60347,B100000,00000,1100,00000(COSTED REQUIS) 60347,B100000,00000,1200,00000(TIME SPENT) 60347,B100000,00000,1300,00000(TIME SPENT) 60347,B100000,00000,1400,00000ASSIGNED TIME 60347,S000000,00100,0200,05/22/2000 60347,S200000,00100,0100,HIGHWAY 36E 60347,S200000,00100,0300,465 60347,S200000,00200,0100,MACON 60347,S200000,00200,0200,MO 60347,S200000,00200,0300,63552 60347,S200000,00300,0100,MACON 60347,S200000,00400,0100,MACON HEALTH CARE CENTER 60347,S200000,00400,0200,265163 60347,S200000,00400,0300,07/01/1982 60347,S200000,00400,0500,P 60347,S200000,00600,0200,265163 60347,S200000,00600,0300,07/01/1982 60347,S200000,00600,0600,P 60347,S200000,01600,0100,Y 60357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60357,A000000,00300,0000,00300EMPLOYEE BENEFITS 60357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60357,A000000,00700,0000,00700HOUSEKEEPING 60357,A000000,00800,0000,00800DIETARY 60357,A000000,00900,0000,00900NURSING ADMINISTRATION 60357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60357,A000000,01100,0000,01100PHARMACY 60357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60357,A000000,01300,0000,01300SOCIAL SERVICE 60357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60357,A000000,01600,0000,01600SKILLED NURSING FACILITY 60357,A000000,01800,0000,01800NURSING FACILITY 60357,A000000,01810,0000,01810ICF/MR 60357,A000000,02100,0000,02100RADIOLOGY 60357,A000000,02200,0000,02200LABORATORY 60357,A000000,02300,0000,02300INTRAVENOUS THERAPY 60357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60357,A000000,02500,0000,02500PHYSICAL THERAPY 60357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60357,A000000,02700,0000,02700SPEECH PATHOLOGY 60357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60357,A000000,03550,0000,03550FQHC 60357,A000000,05000,0000,05000CORF 60357,A000000,05010,0000,05010CMHC 60357,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60357,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60357,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60357,A000000,05300,0000,05300INTEREST EXPENSE 60357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60357,A81000A,00100,0100,Y 60357,A81000B,00600,0300,PHS- OCCUP TH. 60357,A81000B,00700,0300,PHS- PHYSICAL TH. 60357,A81000B,00800,0300,PHS- SPEECH TH. 60357,A81000B,00900,0300,PHS- NURSING ADMIN. 60357,A81000B,01000,0300,PHS- ACTIVITIES 60357,A81000B,01100,0300,PHS- SOCIAL WORK 60357,A81000B,01200,0300,PHS-DIETARY 60357,A81000B,01300,0300,PHS-MEDICAL RECORDS 60357,A81000B,01400,0300,PHS- ADMINISTRATIVE 60357,A81000C,00100,0100,B 60357,A81000C,00100,0200,NATIONAL HEALTH 60357,A81000C,00100,0600,HOME OFFICE 60357,A81000C,00200,0200,CARE CORPORATIO 60357,A81000C,00300,0100,B 60357,A81000C,00300,0200,PROFESSIONAL H 60357,A81000C,00300,0600,SPECIIALIZED P 60357,A81000C,00400,0200,SERVICES CORP. 60357,B100000,00000,0100,00000(SQUARE FEET) 60357,B100000,00000,0200,00000(SQUARE FEET) 60357,B100000,00000,0300,00000(GROSS SALARIES) 60357,B100000,00000,0400,00000(ACCUM COST) 60357,B100000,00000,0500,00000(SQUARE FEET) 60357,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60357,B100000,00000,0700,00000(SQUARE FEET) 60357,B100000,00000,0800,00000(MEALS SERVED) 60357,B100000,00000,0900,00000(DIRECT NRSG HRS) 60357,B100000,00000,1000,00000(COSTED REQUIS) 60357,B100000,00000,1100,00000(COSTED REQUIS) 60357,B100000,00000,1200,00000(TIME SPENT) 60357,B100000,00000,1300,00000(TIME SPENT) 60357,B100000,00000,1400,00000ASSIGNED TIME 60357,S000000,00100,0200,03/23/2000 60357,S200000,00100,0100,35 SUGAR MAPLE LANE 60357,S200000,00100,0300,1230 60357,S200000,00200,0100,ST. CHARLES 60357,S200000,00200,0200,MO 60357,S200000,00200,0300,63302 60357,S200000,00300,0100,ST. CHARLES 60357,S200000,00400,0100,NHC HEALTHCARE ST. CHARLES 60357,S200000,00400,0200,265166 60357,S200000,00400,0300,01/01/1982 60357,S200000,00400,0500,P 60357,S200000,00600,0200,265166 60357,S200000,00600,0300,01/01/1982 60357,S200000,00600,0600,P 60357,S200000,01600,0100,Y 60357,S200000,01900,0100,NON PROFIT 501C 60370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60370,A000000,00300,0000,00300EMPLOYEE BENEFITS 60370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60370,A000000,00700,0000,00700HOUSEKEEPING 60370,A000000,00800,0000,00800DIETARY 60370,A000000,00900,0000,00900NURSING ADMINISTRATION 60370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60370,A000000,01100,0000,01100PHARMACY 60370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60370,A000000,01300,0000,01300SOCIAL SERVICE 60370,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60370,A000000,01600,0000,01600SKILLED NURSING FACILITY 60370,A000000,01800,0000,01800NURSING FACILITY 60370,A000000,01810,0000,01810ICF/MR 60370,A000000,02100,0000,02100RADIOLOGY 60370,A000000,02200,0000,02200LABORATORY 60370,A000000,02300,0000,02300INTRAVENOUS THERAPY 60370,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60370,A000000,02500,0000,02500PHYSICAL THERAPY 60370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60370,A000000,02700,0000,02700SPEECH PATHOLOGY 60370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60370,A000000,03550,0000,03550FQHC 60370,A000000,05000,0000,05000CORF 60370,A000000,05010,0000,05010CMHC 60370,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60370,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60370,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60370,A000000,05300,0000,05300INTEREST EXPENSE 60370,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60370,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60370,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60370,A81000A,00100,0100,Y 60370,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60370,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60370,A81000B,00300,0300,HEALTH INSURANCE 60370,A81000B,00400,0300,RETIREMENT 60370,A81000B,00500,0300,PHS - ADMINISTRATIVE 60370,A81000B,00600,0300,PHS - MEDICAL RECORD 60370,A81000B,00700,0300,PHS - NURSING 60370,A81000B,00800,0300,PHS - ACTIVITIES 60370,A81000B,00900,0300,PHS - SOCIAL SERVICE 60370,A81000B,01000,0300,PHS - DIETARY 60370,A81000B,01100,0300,PHS - ST 60370,A81000B,01200,0300,PHS-OCCUP TH 60370,A81000C,00100,0100,B 60370,A81000C,00100,0200,NATIONAL HEALTH 60370,A81000C,00200,0200,CARE CORPORATIO 60370,A81000C,00300,0100,B 60370,A81000C,00300,0200,PHS 60370,B100000,00000,0100,00000(SQUARE FEET) 60370,B100000,00000,0200,00000(SQUARE FEET) 60370,B100000,00000,0300,00000(GROSS SALARIES) 60370,B100000,00000,0400,00000(ACCUM COST) 60370,B100000,00000,0500,00000(SQUARE FEET) 60370,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60370,B100000,00000,0700,00000(SQUARE FEET) 60370,B100000,00000,0800,00000(MEALS SERVED) 60370,B100000,00000,0900,00000(DIRECT NRSG HRS) 60370,B100000,00000,1000,00000(COSTED REQUIS) 60370,B100000,00000,1100,00000(COSTED REQUIS) 60370,B100000,00000,1200,00000(TIME SPENT) 60370,B100000,00000,1300,00000(TIME SPENT) 60370,B100000,00000,1400,00000ASSIGNED TIME 60370,E10A180,00501,0100,06/06/2000 60370,E10A180,00550,0300,06/06/2000 60370,S000000,00100,0200,05/26/2000 60370,S200000,00100,0100,ROUTE 1 SOUTH BYPASS 60370,S200000,00100,0300,696 60370,S200000,00200,0100,KENNETT 60370,S200000,00200,0200,MO 60370,S200000,00200,0300,63857 60370,S200000,00300,0100,DUNKLIN 60370,S200000,00400,0100,NHC HEALTHCARE KENNETT 60370,S200000,00400,0200,265168 60370,S200000,00400,0300,01/01/1982 60370,S200000,00400,0500,P 60370,S200000,00600,0200,265168 60370,S200000,00600,0300,01/01/1982 60370,S200000,00600,0600,P 60370,S200000,01600,0100,Y 60370,S200000,01900,0100,NON PROFIT 501C 60381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60381,A000000,00300,0000,00300EMPLOYEE BENEFITS 60381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60381,A000000,00700,0000,00700HOUSEKEEPING 60381,A000000,00800,0000,00800DIETARY 60381,A000000,00900,0000,00900NURSING ADMINISTRATION 60381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60381,A000000,01100,0000,01100PHARMACY 60381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60381,A000000,01300,0000,01300SOCIAL SERVICE 60381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60381,A000000,01600,0000,01600SKILLED NURSING FACILITY 60381,A000000,01800,0000,01800NURSING FACILITY 60381,A000000,01810,0000,01810ICF/MR 60381,A000000,02100,0000,02100RADIOLOGY 60381,A000000,02200,0000,02200LABORATORY 60381,A000000,02300,0000,02300INTRAVENOUS THERAPY 60381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60381,A000000,02500,0000,02500PHYSICAL THERAPY 60381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60381,A000000,02700,0000,02700SPEECH PATHOLOGY 60381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60381,A000000,03550,0000,03550FQHC 60381,A000000,05000,0000,05000CORF 60381,A000000,05010,0000,05010CMHC 60381,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60381,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60381,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60381,A000000,05300,0000,05300INTEREST EXPENSE 60381,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60381,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60381,A81000A,00100,0100,Y 60381,A81000B,00100,0300,INTEREST 60381,A81000C,00100,0100,B 60381,A81000C,00100,0200,SKILLED HEALTH 60381,B100000,00000,0100,00000(SQUARE FEET) 60381,B100000,00000,0200,00000(SQUARE FEET) 60381,B100000,00000,0300,00000(GROSS SALARIES) 60381,B100000,00000,0400,00000(ACCUM COST) 60381,B100000,00000,0500,00000(SQUARE FEET) 60381,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60381,B100000,00000,0700,00000(SQUARE FEET) 60381,B100000,00000,0800,00000(MEALS SERVED) 60381,B100000,00000,0900,00000(DIRECT NRSG HRS) 60381,B100000,00000,1000,00000(COSTED REQUIS) 60381,B100000,00000,1100,00000(COSTED REQUIS) 60381,B100000,00000,1200,00000(TIME SPENT) 60381,B100000,00000,1300,00000(TIME SPENT) 60381,B100000,00000,1400,00000ASSIGNED TIME 60381,S000000,00100,0200,05/22/2000 60381,S200000,00100,0100,LAKE ROAD 54-29 60381,S200000,00100,0300,659 60381,S200000,00200,0100,OSAGE BEACH 60381,S200000,00200,0200,MO 60381,S200000,00200,0300,65065 60381,S200000,00300,0100,CAMDEN 60381,S200000,00400,0100,OSAGE BEACH HEALTH CARE CENTER 60381,S200000,00400,0200,265171 60381,S200000,00400,0300,04/01/1981 60381,S200000,00400,0500,P 60381,S200000,00600,0200,265171 60381,S200000,00600,0300,04/01/1981 60381,S200000,00600,0600,P 60381,S200000,01600,0100,Y 60393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60393,A000000,00300,0000,00300EMPLOYEE BENEFITS 60393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60393,A000000,00700,0000,00700HOUSEKEEPING 60393,A000000,00800,0000,00800DIETARY 60393,A000000,00900,0000,00900NURSING ADMINISTRATION 60393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60393,A000000,01100,0000,01100PHARMACY 60393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60393,A000000,01300,0000,01300SOCIAL SERVICE 60393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60393,A000000,01600,0000,01600SKILLED NURSING FACILITY 60393,A000000,01800,0000,01800NURSING FACILITY 60393,A000000,01810,0000,01810ICF/MR 60393,A000000,02100,0000,02100RADIOLOGY 60393,A000000,02200,0000,02200LABORATORY 60393,A000000,02300,0000,02300INTRAVENOUS THERAPY 60393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60393,A000000,02500,0000,02500PHYSICAL THERAPY 60393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60393,A000000,02700,0000,02700SPEECH PATHOLOGY 60393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60393,A000000,03550,0000,03550FQHC 60393,A000000,05000,0000,05000CORF 60393,A000000,05010,0000,05010CMHC 60393,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60393,A000000,05300,0000,05300INTEREST EXPENSE 60393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60393,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60393,A81000A,00100,0100,Y 60393,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60393,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60393,A81000B,00300,0300,HEALTH INSURANCE 60393,A81000B,00400,0300,RETIREMENT 60393,A81000B,00600,0300,PHS COST 60393,A81000B,00700,0300,PHS COST 60393,A81000B,00800,0300,PHS COST 60393,A81000B,00900,0300,PHS COST 60393,A81000B,01000,0300,PHS COST 60393,A81000B,01100,0300,PHS COST 60393,A81000B,01200,0300,PHS COST 60393,A81000B,01300,0300,PHS COST 60393,A81000B,01400,0300,PHS COST 60393,A81000C,00100,0100,B 60393,A81000C,00100,0200,NATIONAL HEALTH 60393,A81000C,00100,0600,HOME OFFICE 60393,A81000C,00200,0200,CARE CORPORATIO 60393,A81000C,00300,0100,B 60393,A81000C,00300,0200,PROFESSIONAL H 60393,A81000C,00300,0600,SPECIALIZED PE 60393,A81000C,00400,0200,SERVICES CORP. 60393,B100000,00000,0100,00000(SQUARE FEET) 60393,B100000,00000,0200,00000(SQUARE FEET) 60393,B100000,00000,0300,00000(GROSS SALARIES) 60393,B100000,00000,0400,00000(ACCUM COST) 60393,B100000,00000,0500,00000(SQUARE FEET) 60393,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60393,B100000,00000,0700,00000(SQUARE FEET) 60393,B100000,00000,0800,00000(MEALS SERVED) 60393,B100000,00000,0900,00000(DIRECT NRSG HRS) 60393,B100000,00000,1000,00000(COSTED REQUIS) 60393,B100000,00000,1100,00000(COSTED REQUIS) 60393,B100000,00000,1200,00000(TIME SPENT) 60393,B100000,00000,1300,00000(TIME SPENT) 60393,B100000,00000,1400,00000ASSIGNED TIME 60393,S000000,00100,0200,03/22/2000 60393,S200000,00100,0100,2700 EAST 34TH STREET 60393,S200000,00100,0300,2877 60393,S200000,00200,0100,JOPLIN 60393,S200000,00200,0200,MO 60393,S200000,00200,0300,64803 60393,S200000,00300,0100,JASPER 60393,S200000,00400,0100,NHC HEALTHCARE JOPLIN 60393,S200000,00400,0200,265175 60393,S200000,00400,0300,01/01/1982 60393,S200000,00400,0500,P 60393,S200000,00600,0200,265175 60393,S200000,00600,0300,01/01/1982 60393,S200000,00600,0600,P 60393,S200000,01600,0100,Y 60393,S200000,01900,0100,NON PROFIT 501C 60408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60408,A000000,00300,0000,00300EMPLOYEE BENEFITS 60408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60408,A000000,00700,0000,00700HOUSEKEEPING 60408,A000000,00800,0000,00800DIETARY 60408,A000000,00900,0000,00900NURSING ADMINISTRATION 60408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60408,A000000,01100,0000,01100PHARMACY 60408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60408,A000000,01300,0000,01300SOCIAL SERVICE 60408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60408,A000000,01600,0000,01600SKILLED NURSING FACILITY 60408,A000000,01800,0000,01800NURSING FACILITY 60408,A000000,01810,0000,01810ICF/MR 60408,A000000,02100,0000,02100RADIOLOGY 60408,A000000,02200,0000,02200LABORATORY 60408,A000000,02300,0000,02300INTRAVENOUS THERAPY 60408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60408,A000000,02500,0000,02500PHYSICAL THERAPY 60408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60408,A000000,02700,0000,02700SPEECH PATHOLOGY 60408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60408,A000000,03550,0000,03550FQHC 60408,A000000,05000,0000,05000CORF 60408,A000000,05010,0000,05010CMHC 60408,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60408,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60408,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60408,A000000,05300,0000,05300INTEREST EXPENSE 60408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60408,A81000A,00100,0100,Y 60408,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 60408,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 60408,A81000B,00300,0300,HEALTH INSURANCE 60408,A81000B,00400,0300,RETIREMENT 60408,A81000B,00600,0300,PHS - NURSING 60408,A81000B,00700,0300,PHS - SOCIAL WORK 60408,A81000B,00800,0300,PHS - OCC THERAPY 60408,A81000B,00900,0300,PHS - SPEECH THERAPY 60408,A81000B,01000,0300,PHS - PHYS THERAPY 60408,A81000B,01100,0300,PHS - ACTIVITIES 60408,A81000B,01200,0300,PHS - DIETARY 60408,A81000B,01300,0300,PHS - MED RECORDS 60408,A81000B,01400,0300,PHS - ADMINISTRATIVE 60408,A81000C,00100,0100,B 60408,A81000C,00100,0200,NATIONAL HEALTH 60408,A81000C,00100,0400,PROF HEALTH SER 60408,A81000C,00100,0600,HEALTHCARE 60408,A81000C,00200,0200,CARE CORPORATIO 60408,B100000,00000,0100,00000(SQUARE FEET) 60408,B100000,00000,0200,00000(SQUARE FEET) 60408,B100000,00000,0300,00000(GROSS SALARIES) 60408,B100000,00000,0400,00000(ACCUM COST) 60408,B100000,00000,0500,00000(SQUARE FEET) 60408,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60408,B100000,00000,0700,00000(SQUARE FEET) 60408,B100000,00000,0800,00000(MEALS SERVED) 60408,B100000,00000,0900,00000(DIRECT NRSG HRS) 60408,B100000,00000,1000,00000(COSTED REQUIS) 60408,B100000,00000,1100,00000(COSTED REQUIS) 60408,B100000,00000,1200,00000(TIME SPENT) 60408,B100000,00000,1300,00000(TIME SPENT) 60408,B100000,00000,1400,00000ASSIGNED TIME 60408,E10A180,00301,0100,12/03/1999 60408,S000000,00100,0200,03/23/2000 60408,S200000,00100,0100,2920 FEE FEE ROAD 60408,S200000,00100,0300,2244 60408,S200000,00200,0100,MARYLAND HEIGHTS 60408,S200000,00200,0200,MO 60408,S200000,00200,0300,63043 60408,S200000,00300,0100,ST. LOUIS 60408,S200000,00400,0100,NHC HEALTHCARE MD HEIGHTS 60408,S200000,00400,0200,265318 60408,S200000,00400,0300,10/01/1973 60408,S200000,00400,0500,P 60408,S200000,00600,0200,265318 60408,S200000,00600,0300,10/01/1973 60408,S200000,00600,0600,P 60408,S200000,01600,0100,Y 60408,S200000,01900,0100,NON PROFIT 501C 60418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60418,A000000,00300,0000,00300EMPLOYEE BENEFITS 60418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60418,A000000,00700,0000,00700HOUSEKEEPING 60418,A000000,00800,0000,00800DIETARY 60418,A000000,00900,0000,00900NURSING ADMINISTRATION 60418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60418,A000000,01100,0000,01100PHARMACY 60418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60418,A000000,01300,0000,01300SOCIAL SERVICE 60418,A000000,01350,0000,01500ACTIVITIES 60418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60418,A000000,01600,0000,01600SKILLED NURSING FACILITY 60418,A000000,01800,0000,01800NURSING FACILITY 60418,A000000,01810,0000,01810ICF/MR 60418,A000000,02100,0000,02100RADIOLOGY 60418,A000000,02200,0000,02200LABORATORY 60418,A000000,02300,0000,02300INTRAVENOUS THERAPY 60418,A000000,02500,0000,02500PHYSICAL THERAPY 60418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60418,A000000,02700,0000,02700SPEECH PATHOLOGY 60418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60418,A000000,02901,0000,02901PEN THERAPY 60418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60418,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60418,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60418,A000000,03550,0000,03550FQHC 60418,A000000,05000,0000,05000CORF 60418,A000000,05010,0000,05010CMHC 60418,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60418,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60418,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60418,A81000A,00100,0100,Y 60418,A81000B,00100,0300,HOME OFFICE ALLOCATI 60418,A81000B,00200,0300,HOME OFFICE ALLOCATI 60418,A81000B,00300,0300,HOME OFFICE ALLOCATI 60418,A81000B,00400,0300,HOME OFFICE ALLOCATI 60418,A81000B,00500,0300,DEPRECIATION 60418,A81000B,00600,0300,INTEREST/DEPRECIATIO 60418,A81000B,00700,0300,FURNITURE 60418,A81000B,00800,0300,PHARMACY 60418,A81000B,00900,0300,PHARMACY C/S 60418,A81000B,01000,0300,PLANNING & DEVELOPMENT COSTS 60418,A81000B,01100,0300,INTEREST 60418,A81000B,01200,0300,PLANNING & DEVELOPMENT COSTS 60418,A81000C,00100,0100,A 60418,A81000C,00100,0200,FORREST PRESTON 60418,A81000C,00100,0400,LCCA 60418,A81000C,00100,0600,HEALTH CARE MGM 60418,A81000C,00200,0100,A 60418,A81000C,00200,0200,FORREST PRESTON 60418,A81000C,00200,0400,LCCA 60418,A81000C,00200,0600,HEALTH CARE MGM 60418,A81000C,00300,0100,A 60418,A81000C,00300,0200,FORREST PRESTON 60418,A81000C,00300,0400,LCCA 60418,A81000C,00300,0600,HEALTH CARE MGM 60418,A81000C,00400,0100,A 60418,A81000C,00400,0200,FORREST PRESTON 60418,A81000C,00400,0400,LCCA 60418,A81000C,00400,0600,HEALTH CARE MGM 60418,A81000C,00500,0100,A 60418,A81000C,00500,0200,FORREST PRESTON 60418,A81000C,00500,0400,LCCA 60418,A81000C,00500,0600,HEALTH CARE MGM 60418,A81000C,00600,0100,A 60418,A81000C,00600,0200,FORREST PRESTON 60418,A81000C,00600,0400,HCE LEASING 60418,A81000C,00600,0600,VEHICLE LEASES 60418,A81000C,00700,0100,A 60418,A81000C,00700,0200,FORREST PRESTON 60418,A81000C,00700,0400,LC CONSTR/DESIG 60418,A81000C,00700,0600,FURNITURE/FIXTU 60418,A81000C,00800,0100,A 60418,A81000C,00800,0200,FORREST PRESTON 60418,A81000C,00800,0400,MEDILIFE 60418,A81000C,00800,0600,PHARMACY 60418,A81000C,00900,0100,A 60418,A81000C,00900,0200,FORREST PRESTON 60418,A81000C,00900,0400,MEDILIFE 60418,A81000C,00900,0600,PHARMACY 60418,A81000C,01000,0100,A 60418,A81000C,01000,0200,FORREST PRESTON 60418,A81000C,01000,0400,DEVELOP ENTERPR 60418,A81000C,01000,0600,DEVELOP/ACQUIST 60418,B100000,00000,0100,00000(SQUARE FEET) 60418,B100000,00000,0200,00000(SQUARE FEET) 60418,B100000,00000,0300,00000(GROSS SALARIES) 60418,B100000,00000,0400,00000(ACCUM COST) 60418,B100000,00000,0500,00000(SQUARE FEET) 60418,B100000,00000,0600,00000PATIENT DAYS 60418,B100000,00000,0700,00000(SQUARE FEET) 60418,B100000,00000,0800,00000(MEALS SERVED) 60418,B100000,00000,0900,00000DIRECT NRSG HOURS 60418,B100000,00000,1000,00000(COSTED REQUIS) 60418,B100000,00000,1100,00000(COSTED REQUIS) 60418,B100000,00000,1200,00000GROSS REVENUES 60418,B100000,00000,1300,00000PATIENT DAYS 60418,B100000,00000,1350,00000PATIENT DAYS 60418,B100000,00000,1400,00000ASSIGNED TIME 60418,S000000,00100,0200,05/18/2000 60418,S200000,00100,0100,550 WHITE ROAD 60418,S200000,00200,0100,CHESTERFIELD 60418,S200000,00200,0200,MO 60418,S200000,00200,0300,63017 60418,S200000,00300,0100,ST. LOUIS 60418,S200000,00400,0100,THE WESTCHESTER HOUSE 60418,S200000,00400,0200,265338 60418,S200000,00400,0300,04/01/1989 60418,S200000,00400,0500,P 60418,S200000,00400,0600,O 60418,S200000,01600,0100,Y 60418,S200000,02200,0100,Y 60418,S200000,04300,0100,Y 60429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60429,A000000,00101,0000,00101CAPITAL COSTS - ADDITION 60429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60429,A000000,00201,0000,00201EQUIP COST - ADDITION 60429,A000000,00300,0000,00300EMPLOYEE BENEFITS 60429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60429,A000000,00700,0000,00700HOUSEKEEPING 60429,A000000,00800,0000,00800DIETARY 60429,A000000,00900,0000,00900NURSING ADMINISTRATION 60429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60429,A000000,01100,0000,01100PHARMACY 60429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60429,A000000,01300,0000,01300SOCIAL SERVICE 60429,A000000,01350,0000,01500ACTIVITIES 60429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60429,A000000,01600,0000,01600SKILLED NURSING FACILITY 60429,A000000,01800,0000,01800NURSING FACILITY 60429,A000000,01810,0000,01810ICF/MR 60429,A000000,02100,0000,02100RADIOLOGY 60429,A000000,02200,0000,02200LABORATORY 60429,A000000,02300,0000,02300INTRAVENOUS THERAPY 60429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60429,A000000,02500,0000,02500PHYSICAL THERAPY 60429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60429,A000000,02700,0000,02700SPEECH PATHOLOGY 60429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60429,A000000,02901,0000,02901PEN THERAPY 60429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60429,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60429,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60429,A000000,03550,0000,03550FQHC 60429,A000000,05000,0000,05000CORF 60429,A000000,05010,0000,05010CMHC 60429,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60429,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60429,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60429,A81000A,00100,0100,Y 60429,A81000B,00100,0300,HOME OFFICE ALLOCATI 60429,A81000B,00200,0300,HOME OFFICE ALLOCATI 60429,A81000B,00300,0300,HOME OFFICE ALLOCATI 60429,A81000B,00400,0300,HOME OFFICE ALLOCATI 60429,A81000B,00500,0300,INTEREST 60429,A81000B,00600,0300,RELATED PARTY INTERE 60429,A81000B,00700,0300,INTEREST/DEPRECIATIO 60429,A81000B,00800,0300,FURNITURE 60429,A81000B,00900,0300,DEPRECIATION 60429,A81000B,01000,0300,PHARMACY 60429,A81000B,01100,0300,PHARMACY C/S 60429,A81000B,01200,0300,RELATED PARTY DEPREC 60429,A81000B,01300,0300,DEVELOPMENT COSTS 60429,A81000C,00100,0100,A 60429,A81000C,00100,0200,FORREST PRESTON 60429,A81000C,00100,0400,LCCA 60429,A81000C,00100,0600,HEALTH CARE MGM 60429,A81000C,00200,0100,A 60429,A81000C,00200,0200,FORREST PRESTON 60429,A81000C,00200,0400,LCCA 60429,A81000C,00200,0600,HEALTH CARE MGM 60429,A81000C,00300,0100,A 60429,A81000C,00300,0200,FORREST PRESTON 60429,A81000C,00300,0400,LCCA 60429,A81000C,00300,0600,HEALTH CARE MGM 60429,A81000C,00400,0100,A 60429,A81000C,00400,0200,FORREST PRESTON 60429,A81000C,00400,0400,LCCA 60429,A81000C,00400,0600,HEALTH CARE MGM 60429,A81000C,00500,0100,A 60429,A81000C,00500,0200,FORREST PRESTON 60429,A81000C,00500,0400,LCCA 60429,A81000C,00500,0600,HEALTH CARE MGM 60429,A81000C,00600,0100,A 60429,A81000C,00600,0200,FORREST PRESTON 60429,A81000C,00600,0400,LCCA 60429,A81000C,00600,0600,HEALTH CARE MGM 60429,A81000C,00700,0100,A 60429,A81000C,00700,0200,FORREST PRESTON 60429,A81000C,00700,0400,HCE LEASING 60429,A81000C,00700,0600,VEHICLE LEASES 60429,A81000C,00800,0100,A 60429,A81000C,00800,0200,FORREST PRESTON 60429,A81000C,00800,0400,LC CONST/DESIGN 60429,A81000C,00800,0600,FURNITURE & FIX 60429,A81000C,00900,0100,A 60429,A81000C,00900,0200,FORREST PRESTON 60429,A81000C,00900,0400,CONSTRUCTION EN 60429,A81000C,00900,0600,CONSTRUCTION CO 60429,A81000C,01000,0100,A 60429,A81000C,01000,0200,FORREST PRESTON 60429,A81000C,01000,0400,MEDILIFE 60429,A81000C,01000,0600,PHARMACY 60429,A81000C,01100,0100,A 60429,A81000C,01100,0200,FORREST PRESTON 60429,A81000C,01100,0400,MEDILIFE 60429,A81000C,01100,0600,PHARMACY 60429,A81000C,01200,0100,A 60429,A81000C,01200,0200,FORREST PRESTON 60429,A81000C,01200,0400,LCCA 60429,A81000C,01200,0600,HEALTH CARE MGM 60429,A81000C,01300,0100,A 60429,A81000C,01300,0200,FORREST PRESTON 60429,A81000C,01300,0400,DEVELOPMENT ENT 60429,A81000C,01300,0600,DEVELOPMENT/ACQ 60429,B100000,00000,0100,00000(SQUARE FEET) 60429,B100000,00000,0101,00000SQ FEET 60429,B100000,00000,0200,00000(SQUARE FEET) 60429,B100000,00000,0201,00000SQ FEET 60429,B100000,00000,0300,00000(GROSS SALARIES) 60429,B100000,00000,0400,00000(ACCUM COST) 60429,B100000,00000,0500,00000(SQUARE FEET) 60429,B100000,00000,0600,00000PATIENT DAYS 60429,B100000,00000,0700,00000(SQUARE FEET) 60429,B100000,00000,0800,00000(MEALS SERVED) 60429,B100000,00000,0900,00000DIRECT NRSG HOURS 60429,B100000,00000,1000,00000(COSTED REQUIS) 60429,B100000,00000,1100,00000(COSTED REQUIS) 60429,B100000,00000,1200,00000GROSS REVENUES 60429,B100000,00000,1300,00000PATIENT DAYS 60429,B100000,00000,1350,00000PATIENT DAYS 60429,B100000,00000,1400,00000ASSIGNED TIME 60429,S000000,00100,0200,05/10/2000 60429,S200000,00100,0100,6301 E. 125 STREET 60429,S200000,00200,0100,GRANDVIEW 60429,S200000,00200,0200,MO 60429,S200000,00200,0300,64030 60429,S200000,00300,0100,JACKSON 60429,S200000,00400,0100,LIFE CARE CTR - GRANDVIEW 60429,S200000,00400,0200,265355 60429,S200000,00400,0300,03/01/1989 60429,S200000,00400,0500,P 60429,S200000,00400,0600,O 60429,S200000,01600,0100,Y 60429,S200000,02200,0100,Y 60429,S200000,04300,0100,Y 60438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60438,A000000,00300,0000,00300EMPLOYEE BENEFITS 60438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60438,A000000,00700,0000,00700HOUSEKEEPING 60438,A000000,00800,0000,00800DIETARY 60438,A000000,00900,0000,00900NURSING ADMINISTRATION 60438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60438,A000000,01100,0000,01100PHARMACY 60438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60438,A000000,01300,0000,01300SOCIAL SERVICE 60438,A000000,01350,0000,01500ACTIVITIES 60438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60438,A000000,01600,0000,01600SKILLED NURSING FACILITY 60438,A000000,01800,0000,01800NURSING FACILITY 60438,A000000,01810,0000,01810ICF/MR 60438,A000000,02100,0000,02100RADIOLOGY 60438,A000000,02200,0000,02200LABORATORY 60438,A000000,02300,0000,02300INTRAVENOUS THERAPY 60438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60438,A000000,02500,0000,02500PHYSICAL THERAPY 60438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60438,A000000,02700,0000,02700SPEECH PATHOLOGY 60438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60438,A000000,02901,0000,02901PEN THERAPY 60438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60438,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60438,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60438,A000000,03550,0000,03550FQHC 60438,A000000,05000,0000,05000CORF 60438,A000000,05010,0000,05010CMHC 60438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60438,A81000A,00100,0100,Y 60438,A81000B,00100,0300,HOME OFF ALLOC 60438,A81000B,00200,0300,HOME OFF ALLOC 60438,A81000B,00300,0300,HOME OFF ALLOC 60438,A81000B,00400,0300,HOME OFF ALLOC 60438,A81000B,00500,0300,RELATED PTY DEPR 60438,A81000B,00600,0300,RELATED PTY INTEREST 60438,A81000B,00700,0300,LIFE CARE DESIGNS 60438,A81000B,00800,0300,DRUGS 60438,A81000B,00900,0300,PHARMACY CONSULTANT 60438,A81000C,00100,0100,A 60438,A81000C,00100,0200,FORREST PRESTON 60438,A81000C,00100,0400,LCCA 60438,A81000C,00100,0600,HEALTH CARE MGM 60438,A81000C,00200,0100,A 60438,A81000C,00200,0200,FORREST PRESTON 60438,A81000C,00200,0400,LCCA 60438,A81000C,00200,0600,HEALTH CARE MGM 60438,A81000C,00300,0100,A 60438,A81000C,00300,0200,FORREST PRESTON 60438,A81000C,00300,0400,LCCA 60438,A81000C,00300,0600,HEALTH CARE MGM 60438,A81000C,00400,0100,A 60438,A81000C,00400,0200,FORREST PRESTON 60438,A81000C,00400,0400,LCCA 60438,A81000C,00400,0600,HEALTH CARE MGM 60438,A81000C,00500,0100,A 60438,A81000C,00500,0200,FORREST PRESTON 60438,A81000C,00500,0400,LCCA 60438,A81000C,00500,0600,HEALTH CARE MGM 60438,A81000C,00600,0100,A 60438,A81000C,00600,0200,FORREST PRESTON 60438,A81000C,00600,0400,LCCA 60438,A81000C,00600,0600,HEALTH CARE MGM 60438,A81000C,00700,0100,A 60438,A81000C,00700,0200,FORREST PRESTON 60438,A81000C,00700,0400,LCCA 60438,A81000C,00700,0600,LIFE CARE DESIG 60438,A81000C,00800,0100,A 60438,A81000C,00800,0200,FORREST PRESTON 60438,A81000C,00800,0400,MEDILIFE 60438,A81000C,00800,0600,PHARMACY 60438,A81000C,00900,0100,A 60438,A81000C,00900,0200,FORREST PRESTON 60438,A81000C,00900,0400,MEDILIFE 60438,A81000C,00900,0600,PHARMACY 60438,B100000,00000,0100,00000(SQUARE FEET) 60438,B100000,00000,0200,00000(SQUARE FEET) 60438,B100000,00000,0300,00000(GROSS SALARIES) 60438,B100000,00000,0400,00000(ACCUM COST) 60438,B100000,00000,0500,00000(SQUARE FEET) 60438,B100000,00000,0600,00000PATIENT DAYS 60438,B100000,00000,0700,00000(SQUARE FEET) 60438,B100000,00000,0800,00000(MEALS SERVED) 60438,B100000,00000,0900,00000NRSG HOURS 60438,B100000,00000,1000,00000(COSTED REQUIS) 60438,B100000,00000,1100,00000(COSTED REQUIS) 60438,B100000,00000,1200,00000GROSS REVENUES 60438,B100000,00000,1300,00000PATIENT DAYS 60438,B100000,00000,1350,00000PATIENT DAYS 60438,B100000,00000,1400,00000ASSIGNED TIME 60438,S000000,00100,0200,05/10/2000 60438,S200000,00100,0100,700 BIRCH LANE 60438,S200000,00200,0100,LCC WAYNESVILLE 60438,S200000,00200,0200,265373 60438,S200000,00200,0300,65583 60438,S200000,00300,0100,PULASKI 60438,S200000,00400,0100,LCC WAYNESVILLE 60438,S200000,00400,0200,265373 60438,S200000,00400,0300,07/01/1989 60438,S200000,00400,0500,P 60438,S200000,00400,0600,O 60438,S200000,01500,0100,Y 60438,S200000,02200,0100,Y 60438,S200000,04300,0100,Y 60450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60450,A000000,00300,0000,00300EMPLOYEE BENEFITS 60450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60450,A000000,00700,0000,00700HOUSEKEEPING 60450,A000000,00800,0000,00800DIETARY 60450,A000000,00900,0000,00900NURSING ADMINISTRATION 60450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60450,A000000,01100,0000,01100PHARMACY 60450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60450,A000000,01300,0000,01300SOCIAL SERVICE 60450,A000000,01350,0000,01500ACTIVITIES 60450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60450,A000000,01600,0000,01600SKILLED NURSING FACILITY 60450,A000000,01800,0000,01800NURSING FACILITY 60450,A000000,01810,0000,01810ICF/MR 60450,A000000,02100,0000,02100RADIOLOGY 60450,A000000,02200,0000,02200LABORATORY 60450,A000000,02300,0000,02300INTRAVENOUS THERAPY 60450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60450,A000000,02500,0000,02500PHYSICAL THERAPY 60450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60450,A000000,02700,0000,02700SPEECH PATHOLOGY 60450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60450,A000000,02901,0000,02901PEN THERAPY 60450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60450,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60450,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60450,A000000,03550,0000,03550FQHC 60450,A000000,05000,0000,05000CORF 60450,A000000,05010,0000,05010CMHC 60450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60450,A81000A,00100,0100,Y 60450,A81000B,00100,0300,HOME OFFICE ALLOCATI 60450,A81000B,00200,0300,HOME OFFICE ALLOCATI 60450,A81000B,00300,0300,HOME OFFICE ALLOCATI 60450,A81000B,00400,0300,HOME OFFICE ALLOCATI 60450,A81000B,00500,0300,RELATED PARTY DEPREC 60450,A81000B,00600,0300,RELATED PARTY INTERE 60450,A81000C,00100,0100,A 60450,A81000C,00100,0200,FORREST PRESTON 60450,A81000C,00100,0400,LCCA 60450,A81000C,00100,0600,HEALTH CARE MGM 60450,A81000C,00200,0100,A 60450,A81000C,00200,0200,FORREST PRESTON 60450,A81000C,00200,0400,LCCA 60450,A81000C,00200,0600,HEALTH CARE MGM 60450,A81000C,00300,0100,A 60450,A81000C,00300,0200,FORREST PRESTON 60450,A81000C,00300,0400,LCCA 60450,A81000C,00300,0600,HEALTH CARE MGM 60450,A81000C,00400,0100,A 60450,A81000C,00400,0200,FORREST PRESTON 60450,A81000C,00400,0400,LCCA 60450,A81000C,00400,0600,HEALTH CARE MGM 60450,A81000C,00500,0100,A 60450,A81000C,00500,0200,FORREST PRESTON 60450,A81000C,00500,0400,LCCA 60450,A81000C,00500,0600,HEALTH CARE MGM 60450,A81000C,00600,0100,A 60450,A81000C,00600,0200,FORREST PRESTON 60450,A81000C,00600,0400,LCCA 60450,A81000C,00600,0600,HEALTH CARE MGM 60450,B100000,00000,0100,00000(SQUARE FEET) 60450,B100000,00000,0200,00000(SQUARE FEET) 60450,B100000,00000,0300,00000(GROSS SALARIES) 60450,B100000,00000,0400,00000(ACCUM COST) 60450,B100000,00000,0500,00000(SQUARE FEET) 60450,B100000,00000,0600,00000PATIENT DAYS 60450,B100000,00000,0700,00000(SQUARE FEET) 60450,B100000,00000,0800,00000(MEALS SERVED) 60450,B100000,00000,0900,00000DIRECT NRSG. HOUR 60450,B100000,00000,1000,00000(COSTED REQUIS) 60450,B100000,00000,1100,00000(COSTED REQUIS) 60450,B100000,00000,1200,00000GROSS REVENUES 60450,B100000,00000,1300,00000PATIENT DAYS 60450,B100000,00000,1350,00000PATIENT DAYS 60450,B100000,00000,1400,00000ASSIGNED TIME 60450,S000000,00100,0200,05/10/2000 60450,S200000,00100,0100,315 HUNT STREET 60450,S200000,00200,0100,BROOKFIELD 60450,S200000,00200,0200,MO 60450,S200000,00200,0300,64628 60450,S200000,00300,0100,LINN 60450,S200000,00400,0100,LCC OF BROOKFIELD 60450,S200000,00400,0200,265405 60450,S200000,00400,0300,12/01/1989 60450,S200000,00400,0500,P 60450,S200000,01500,0100,Y 60450,S200000,02200,0100,Y 60450,S200000,04300,0100,Y 60459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60459,A000000,00300,0000,00300EMPLOYEE BENEFITS 60459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60459,A000000,00700,0000,00700HOUSEKEEPING 60459,A000000,00800,0000,00800DIETARY 60459,A000000,00900,0000,00900NURSING ADMINISTRATION 60459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60459,A000000,01100,0000,01100PHARMACY 60459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60459,A000000,01300,0000,01300SOCIAL SERVICE 60459,A000000,01350,0000,01500ACTIVITIES 60459,A000000,01600,0000,01600SKILLED NURSING FACILITY 60459,A000000,01800,0000,01800NURSING FACILITY 60459,A000000,02100,0000,02100RADIOLOGY 60459,A000000,02200,0000,02200LABORATORY 60459,A000000,02300,0000,02300INTRAVENOUS THERAPY 60459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60459,A000000,02500,0000,02500PHYSICAL THERAPY 60459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60459,A000000,02700,0000,02700SPEECH PATHOLOGY 60459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60459,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60459,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60459,A81000A,00100,0100,Y 60459,A81000B,00100,0300,HOME OFFICE ALLOCATI 60459,A81000B,00200,0300,HOME OFFICE ALLOCATI 60459,A81000B,00300,0300,HOME OFFICE ALLOCATI 60459,A81000B,00400,0300,HOME OFFICE ALLOCATI 60459,A81000B,00500,0300,INTEREST 60459,A81000B,00600,0300,INTEREST 60459,A81000B,00700,0300,INTEREST/DEPRECIATIO 60459,A81000B,00800,0300,FURNITURE 60459,A81000B,00900,0300,PROFIT - BUILDING 60459,A81000B,01000,0300,PHARMACY 60459,A81000B,01100,0300,PHARMACY C/S 60459,A81000B,01200,0300,PROFIT - FURNITURE 60459,A81000B,01300,0300,H. O. DEPRECIATION 60459,A81000B,01400,0300,PLANNING & DEVELOPMENT 60459,A81000C,00100,0100,A 60459,A81000C,00100,0200,FORREST PRESTON 60459,A81000C,00100,0400,LCCA 60459,A81000C,00100,0600,HEALTH CARE MGM 60459,A81000C,00200,0100,A 60459,A81000C,00200,0200,FORREST PRESTON 60459,A81000C,00200,0400,LCCA 60459,A81000C,00200,0600,HEALTH CARE MGM 60459,A81000C,00300,0100,A 60459,A81000C,00300,0200,FORREST PRESTON 60459,A81000C,00300,0400,LCCA 60459,A81000C,00300,0600,HEALTH CARE MGM 60459,A81000C,00400,0100,A 60459,A81000C,00400,0200,FORREST PRESTON 60459,A81000C,00400,0400,LCCA 60459,A81000C,00400,0600,HEALTH CARE MGM 60459,A81000C,00500,0100,A 60459,A81000C,00500,0200,FORREST PRESTON 60459,A81000C,00500,0400,LCCA 60459,A81000C,00500,0600,HEALTH CARE MGM 60459,A81000C,00600,0100,A 60459,A81000C,00600,0200,FORREST PRESTON 60459,A81000C,00600,0400,LCCA 60459,A81000C,00600,0600,HEALTH CARE MGM 60459,A81000C,00700,0100,A 60459,A81000C,00700,0200,FORREST PRESTON 60459,A81000C,00700,0400,HCE LEASING 60459,A81000C,00700,0600,VEHICLE LEASES 60459,A81000C,00800,0100,A 60459,A81000C,00800,0200,FORREST PRESTON 60459,A81000C,00800,0400,LC CONSTR/DESIG 60459,A81000C,00800,0600,FURNITURE/FIXTU 60459,A81000C,00900,0100,A 60459,A81000C,00900,0200,FORREST PRESTON 60459,A81000C,00900,0400,LC CONSTR/DESIG 60459,A81000C,00900,0600,FURNITURE/FIXTU 60459,A81000C,01000,0100,A 60459,A81000C,01000,0200,FORREST PRESTON 60459,A81000C,01000,0400,MEDILIFE 60459,A81000C,01000,0600,PHARMACY 60459,A81000C,01100,0100,A 60459,A81000C,01100,0200,FORREST PRESTON 60459,A81000C,01100,0400,MEDILIFE 60459,A81000C,01100,0600,PHARMACY 60459,A81000C,01200,0100,A 60459,A81000C,01200,0200,FORREST PRESTON 60459,A81000C,01200,0400,LC CONSTR/DESIG 60459,A81000C,01200,0600,FURNITURE/FIXTU 60459,A81000C,01300,0100,A 60459,A81000C,01300,0200,FORREST PRESTON 60459,A81000C,01300,0400,LCCA 60459,A81000C,01300,0600,HEALTH CARE MGM 60459,B100000,00000,0100,00000(SQUARE FEET) 60459,B100000,00000,0200,00000(SQUARE FEET) 60459,B100000,00000,0300,00000(GROSS SALARIES) 60459,B100000,00000,0400,00000(ACCUM COST) 60459,B100000,00000,0500,00000(SQUARE FEET) 60459,B100000,00000,0600,00000PATIENT DAYS 60459,B100000,00000,0700,00000(SQUARE FEET) 60459,B100000,00000,0800,00000(MEALS SERVED) 60459,B100000,00000,0900,00000DIRECT NRSG HOURS 60459,B100000,00000,1000,00000(COSTED REQUIS) 60459,B100000,00000,1100,00000(COSTED REQUIS) 60459,B100000,00000,1200,00000GROSS REVENUES 60459,B100000,00000,1300,00000PATIENT DAYS 60459,B100000,00000,1350,00000PATIENT DAYS 60459,E10A180,00301,0100,08/01/1999 60459,E10A180,00302,0100,02/07/2000 60459,E10A180,00303,0100,05/01/2000 60459,E10A180,00550,0100,08/03/2000 60459,S000000,00100,0200,07/31/2000 60459,S200000,00100,0100,3520 CHOUTEAU 60459,S200000,00200,0100,SAINT LOUIS 60459,S200000,00200,0200,MO 60459,S200000,00200,0300,63103 60459,S200000,00300,0100,SAINT LOUIS 60459,S200000,00400,0100,LIFE CARE CENTER OF ST. LOUIS 60459,S200000,00400,0200,265610 60459,S200000,00400,0300,04/06/1995 60459,S200000,00400,0500,P 60459,S200000,00400,0600,O 60459,S200000,01600,0100,Y 60459,S200000,04300,0100,Y 60459,S200000,04700,0100,Y 60459,S200000,04700,0200,Y 60476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60476,A000000,00300,0000,00300EMPLOYEE BENEFITS 60476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60476,A000000,00700,0000,00700HOUSEKEEPING 60476,A000000,00800,0000,00800DIETARY 60476,A000000,00900,0000,00900NURSING ADMINISTRATION 60476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60476,A000000,01100,0000,01100PHARMACY 60476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60476,A000000,01300,0000,01300SOCIAL SERVICE 60476,A000000,01350,0000,01500ACTIVITIES 60476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60476,A000000,01600,0000,01600SKILLED NURSING FACILITY 60476,A000000,01800,0000,01800NURSING FACILITY 60476,A000000,01810,0000,01810ICF/MR 60476,A000000,02100,0000,02100RADIOLOGY 60476,A000000,02200,0000,02200LABORATORY 60476,A000000,02300,0000,02300INTRAVENOUS THERAPY 60476,A000000,02500,0000,02500PHYSICAL THERAPY 60476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60476,A000000,02700,0000,02700SPEECH PATHOLOGY 60476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60476,A000000,02901,0000,02901PEN THERAPY 60476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60476,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60476,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60476,A000000,03550,0000,03550FQHC 60476,A000000,05000,0000,05000CORF 60476,A000000,05010,0000,05010CMHC 60476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60476,A81000A,00100,0100,Y 60476,A81000B,00100,0300,HOME OFFICE ALLOCATI 60476,A81000B,00200,0300,HOME OFFICE ALLOCATI 60476,A81000B,00300,0300,HOME OFFICE ALLOCATI 60476,A81000B,00400,0300,HOME OFFICE ALLOCATI 60476,A81000B,00500,0300,INTEREST 60476,A81000B,00600,0300,LIFE CARE DESIGNS 60476,A81000B,00700,0300,HOME OFFICE DEPRECIA 60476,A81000C,00100,0100,A 60476,A81000C,00100,0200,FORREST PRESTON 60476,A81000C,00100,0400,LCCA 60476,A81000C,00100,0600,HEALTH CARE MGM 60476,A81000C,00200,0100,A 60476,A81000C,00200,0200,FORREST PRESTON 60476,A81000C,00200,0400,LCCA 60476,A81000C,00200,0600,HEALTH CARE MGM 60476,A81000C,00300,0100,A 60476,A81000C,00300,0200,FORREST PRESTON 60476,A81000C,00300,0400,LCCA 60476,A81000C,00300,0600,HEALTH CARE MGM 60476,A81000C,00400,0100,A 60476,A81000C,00400,0200,FORREST PRESTON 60476,A81000C,00400,0400,LCCA 60476,A81000C,00400,0600,HEALTH CARE MGM 60476,A81000C,00500,0100,A 60476,A81000C,00500,0200,FORREST PRESTON 60476,A81000C,00500,0400,LCCA 60476,A81000C,00500,0600,HEALTH CARE MGM 60476,A81000C,00600,0100,A 60476,A81000C,00600,0200,FORREST PRESTON 60476,A81000C,00600,0400,LC CONSTR/DESIG 60476,A81000C,00600,0600,FURNITURE/FIXTU 60476,A81000C,00700,0100,A 60476,A81000C,00700,0200,FORREST PRESTON 60476,A81000C,00700,0400,LCCA 60476,A81000C,00700,0600,HEALTH CARE MGM 60476,B100000,00000,0100,00000(SQUARE FEET) 60476,B100000,00000,0200,00000(SQUARE FEET) 60476,B100000,00000,0300,00000(GROSS SALARIES) 60476,B100000,00000,0400,00000(ACCUM COST) 60476,B100000,00000,0500,00000(SQUARE FEET) 60476,B100000,00000,0600,00000PATIENT DAYS 60476,B100000,00000,0700,00000(SQUARE FEET) 60476,B100000,00000,0800,00000(MEALS SERVED) 60476,B100000,00000,0900,00000DIRECT NRSG HOURS 60476,B100000,00000,1000,00000(COSTED REQUIS) 60476,B100000,00000,1100,00000(COSTED REQUIS) 60476,B100000,00000,1200,00000GROSS REVENUES 60476,B100000,00000,1300,00000PATIENT DAYS 60476,B100000,00000,1350,00000PATIENT DAYS 60476,B100000,00000,1400,00000ASSIGNED TIME 60476,S000000,00100,0200,11/17/2000 60476,S200000,00100,0100,6032 VILLE DE SANTE DRIVE 60476,S200000,00200,0100,OMAHA 60476,S200000,00200,0200,NE 60476,S200000,00200,0300,68104 60476,S200000,00300,0100,DOUGLAS 60476,S200000,00400,0100,LIFE CARE CENTER OF OMAHA 60476,S200000,00400,0200,285137 60476,S200000,00400,0300,12/01/1993 60476,S200000,00400,0500,P 60476,S200000,00400,0600,O 60476,S200000,01600,0100,Y 60476,S200000,02800,0100,Y 60476,S200000,04300,0100,Y 60485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60485,A000000,00300,0000,00300EMPLOYEE BENEFITS 60485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60485,A000000,00700,0000,00700HOUSEKEEPING 60485,A000000,00800,0000,00800DIETARY 60485,A000000,00900,0000,00900NURSING ADMINISTRATION 60485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60485,A000000,01100,0000,01100PHARMACY 60485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60485,A000000,01300,0000,01300SOCIAL SERVICE 60485,A000000,01350,0000,01500ACTIVITIES 60485,A000000,01600,0000,01600SKILLED NURSING FACILITY 60485,A000000,01800,0000,01800NURSING FACILITY 60485,A000000,01900,0000,01900OTHER LONG TERM CARE 60485,A000000,02100,0000,02100RADIOLOGY 60485,A000000,02200,0000,02200LABORATORY 60485,A000000,02300,0000,02300INTRAVENOUS THERAPY 60485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60485,A000000,02500,0000,02500PHYSICAL THERAPY 60485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60485,A000000,02700,0000,02700SPEECH PATHOLOGY 60485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60485,A000000,02901,0000,02901PEN THERAPY 60485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60485,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60485,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 60485,A000000,03550,0000,03550FQHC 60485,A000000,05010,0000,05010CMHC 60485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60485,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60485,A81000A,00100,0100,Y 60485,A81000B,00100,0300,MANAGMENT FEES 60485,A81000B,00200,0300,ALLOCATED FEES 60485,A81000B,00300,0300,ALLOCATED FEES 60485,A81000B,00400,0300,ALLOCATED FEES 60485,A81000B,00500,0300,ALLOCATED FEES 60485,A81000B,00600,0300,MEDILIFE 60485,A81000B,00700,0300,MEDILIFE 60485,A81000B,00800,0300,LCCA Y2K PROJECT 60485,A81000B,00900,0300,LIFE CARE DESIGN 60485,A81000B,01000,0300,LCCA INTEREST 60485,A81000B,01100,0300,LCCA INTEREST 60485,A81000C,00100,0100,A 60485,A81000C,00100,0200,FORREST PRESTON 60485,A81000C,00100,0400,LIFE CARE CTR O 60485,A81000C,00100,0600,MANAGEMENT COMP 60485,A81000C,00200,0100,A 60485,A81000C,00200,0200,FORREST PRESTON 60485,A81000C,00200,0400,MEDILIFE 60485,A81000C,00200,0600,PHARMACY 60485,A81000C,00300,0100,A 60485,A81000C,00300,0200,FORREST PRESTON 60485,A81000C,00300,0400,LIFE CARE DESIG 60485,A81000C,00300,0600,INTERIOR DESIGN 60485,B100000,00000,0100,00000(SQUARE FEET) 60485,B100000,00000,0200,00000(SQUARE FEET) 60485,B100000,00000,0300,00000(GROSS SALARIES) 60485,B100000,00000,0400,00000(ACCUM COST) 60485,B100000,00000,0500,00000(SQUARE FEET) 60485,B100000,00000,0600,00000PATIENT DAYS 60485,B100000,00000,0700,00000(SQUARE FEET) 60485,B100000,00000,0800,00000(MEALS SERVED) 60485,B100000,00000,0900,00000DIRECT NRSG HOURS 60485,B100000,00000,1000,00000(COSTED REQUIS) 60485,B100000,00000,1100,00000(COSTED REQUIS) 60485,B100000,00000,1200,00000GROSS REVENUES 60485,B100000,00000,1300,00000PATIENT DAYS 60485,B100000,00000,1350,00000PATIENT DAYS 60485,E10A180,00301,0100,08/16/1999 60485,E10A180,00501,0100,06/05/2000 60485,E10A180,00550,0300,06/05/2000 60485,S000000,00100,0200,05/31/2000 60485,S200000,00100,0100,445 WEST HOLCOMB LANE 60485,S200000,00200,0100,RENO 60485,S200000,00200,0200,NV 60485,S200000,00200,0300,89511 60485,S200000,00300,0100,WASHOE 60485,S200000,00400,0100,LCC RENO 60485,S200000,00400,0200,295050 60485,S200000,00400,0300,06/01/1991 60485,S200000,00400,0500,P 60485,S200000,01600,0100,Y 60485,S200000,02200,0100,Y 60493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60493,A000000,00300,0000,00300EMPLOYEE BENEFITS 60493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60493,A000000,00700,0000,00700HOUSEKEEPING 60493,A000000,00800,0000,00800DIETARY 60493,A000000,00900,0000,00900NURSING ADMINISTRATION 60493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60493,A000000,01100,0000,01100PHARMACY 60493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60493,A000000,01300,0000,01300SOCIAL SERVICE 60493,A000000,01350,0000,01500ACTIVITIES 60493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60493,A000000,01600,0000,01600SKILLED NURSING FACILITY 60493,A000000,01800,0000,01800NURSING FACILITY 60493,A000000,01810,0000,01810ICF/MR 60493,A000000,02100,0000,02100RADIOLOGY 60493,A000000,02200,0000,02200LABORATORY 60493,A000000,02300,0000,02300INTRAVENOUS THERAPY 60493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60493,A000000,02500,0000,02500PHYSICAL THERAPY 60493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60493,A000000,02700,0000,02700SPEECH PATHOLOGY 60493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60493,A000000,02901,0000,02901PEN THERAPY 60493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60493,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 60493,A000000,03051,0000,03301ROUTINE TRANSPORTATION 60493,A000000,03550,0000,03550FQHC 60493,A000000,05000,0000,05000CORF 60493,A000000,05010,0000,05010CMHC 60493,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60493,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60493,A000000,06150,0000,06300COMMUNICATIONS 60493,A81000A,00100,0100,Y 60493,A81000B,00100,0300,MANAGEMENT FEES 60493,A81000B,00200,0300,MEDILIFE 60493,A81000B,00300,0300,MEDILIFE 60493,A81000B,00400,0300,LCCA INTEREST 60493,A81000B,00500,0300,LIFE CARE DESIGN 60493,A81000B,00600,0300,LCCA Y2K PROJECT 60493,A81000B,00700,0300,LCCA INTEREST 60493,A81000C,00100,0100,A 60493,A81000C,00100,0200,FORREST PRESTON 60493,A81000C,00100,0400,LIFE CARE CTR A 60493,A81000C,00100,0600,MANAGEMENT COMP 60493,A81000C,00200,0100,A 60493,A81000C,00200,0200,FORREST PRESTON 60493,A81000C,00200,0400,MEDILIFE 60493,A81000C,00200,0600,PHARMACY 60493,A81000C,00300,0100,A 60493,A81000C,00300,0200,FORREST PRESTON 60493,A81000C,00300,0400,LIFE CARE DESIG 60493,A81000C,00300,0600,INTERIOR DESIGN 60493,B100000,00000,0100,00000(SQUARE FEET) 60493,B100000,00000,0200,00000(SQUARE FEET) 60493,B100000,00000,0300,00000(GROSS SALARIES) 60493,B100000,00000,0400,00000(ACCUM COST) 60493,B100000,00000,0500,00000(SQUARE FEET) 60493,B100000,00000,0600,00000PATIENT DAYS 60493,B100000,00000,0700,00000(SQUARE FEET) 60493,B100000,00000,0800,00000(MEALS SERVED) 60493,B100000,00000,0900,00000DIRECT NRSG HOURS 60493,B100000,00000,1000,00000(COSTED REQUIS) 60493,B100000,00000,1100,00000(COSTED REQUIS) 60493,B100000,00000,1200,00000GROSS REVENUES 60493,B100000,00000,1300,00000PATIENT DAYS 60493,B100000,00000,1350,00000PATIENT DAYS 60493,B100000,00000,1400,00000ASSIGNED TIME 60493,E10A180,00301,0100,02/09/2000 60493,S000000,00100,0200,05/30/2000 60493,S200000,00100,0100,6151 VEGAS DRIVE 60493,S200000,00200,0100,LAS VEGAS 60493,S200000,00200,0200,NV 60493,S200000,00200,0300,89108 60493,S200000,00300,0100,CLARK 60493,S200000,00400,0100,LCC OF LAS VEGAS 60493,S200000,00400,0200,295052 60493,S200000,00400,0300,01/17/1993 60493,S200000,00400,0500,P 60493,S200000,01600,0100,Y 60493,S200000,02200,0100,Y 60498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60498,A000000,00300,0000,00300EMPLOYEE BENEFITS 60498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60498,A000000,00700,0000,00700HOUSEKEEPING 60498,A000000,00800,0000,00800DIETARY 60498,A000000,00900,0000,00900NURSING ADMINISTRATION 60498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60498,A000000,01100,0000,01100PHARMACY 60498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60498,A000000,01300,0000,01300SOCIAL SERVICE 60498,A000000,01350,0000,01500ACTIVITIES 60498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60498,A000000,01600,0000,01600SKILLED NURSING FACILITY 60498,A000000,01800,0000,01800NURSING FACILITY 60498,A000000,01810,0000,01810ICF/MR 60498,A000000,01900,0000,01900OTHER LONG TERM CARE 60498,A000000,02100,0000,02100RADIOLOGY 60498,A000000,02200,0000,02200LABORATORY 60498,A000000,02300,0000,02300INTRAVENOUS THERAPY 60498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60498,A000000,02500,0000,02500PHYSICAL THERAPY 60498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60498,A000000,02700,0000,02700SPEECH PATHOLOGY 60498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60498,A000000,03550,0000,03550FQHC 60498,A000000,05000,0000,05000CORF 60498,A000000,05010,0000,05010CMHC 60498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60498,A81000A,00100,0100,Y 60498,A81000B,00100,0300,HOME OFFICE COSTS 60498,A81000B,00200,0300,REL PARTY INTEREST 60498,A81000B,00300,0300,HCE LEASING- VAN 60498,A81000B,00400,0300,HCE LEASING - COMPU 60498,A81000B,00500,0300,MEDIA RESOURCE 60498,A81000B,00600,0300,CORP ALLOC - PT 60498,A81000B,00700,0300,CORP ALLOC - OT 60498,A81000B,00800,0300,CORP ALLOC - ST 60498,A81000B,00900,0300,CONSTRUCTION ENTERPRISE 60498,A81000C,00100,0100,A 60498,A81000C,00100,0200,FORREST PRESTON 60498,A81000C,00100,0400,LCCA 60498,A81000C,00100,0600,MANAGEMENT CO 60498,A81000C,00200,0100,A 60498,A81000C,00200,0200,FORREST PRESTON 60498,A81000C,00200,0400,LCCA 60498,A81000C,00200,0600,INVESTMENT 60498,A81000C,00300,0100,A 60498,A81000C,00300,0200,FORREST PRESTON 60498,A81000C,00300,0400,HCE LEASING 60498,A81000C,00300,0600,EQUIP LEASING 60498,A81000C,00400,0100,A 60498,A81000C,00400,0200,FORREST PRESTON 60498,A81000C,00400,0400,HCE LEASING 60498,A81000C,00400,0600,EQUIP LEASING 60498,A81000C,00500,0100,A 60498,A81000C,00500,0200,FORREST PRESTON 60498,A81000C,00500,0400,MEDIA RESOURCE 60498,A81000C,00500,0600,MEDIA EQUIP 60498,A81000C,00600,0100,A 60498,A81000C,00600,0200,FORREST PRESTON 60498,A81000C,00600,0400,LCCA 60498,A81000C,00600,0600,MANAGEMENT CO 60498,A81000C,00700,0100,A 60498,A81000C,00700,0200,FORREST PRESTON 60498,A81000C,00700,0400,LCCA 60498,A81000C,00700,0600,MANAGEMENT CO 60498,A81000C,00800,0100,A 60498,A81000C,00800,0200,FORREST PRESTON 60498,A81000C,00800,0400,LCCA 60498,A81000C,00800,0600,MANAGEMENT CO 60498,B100000,00000,0100,00000(SQUARE FEET) 60498,B100000,00000,0200,00000(SQUARE FEET) 60498,B100000,00000,0300,00000(GROSS SALARIES) 60498,B100000,00000,0400,00000(ACCUM COST) 60498,B100000,00000,0500,00000(SQUARE FEET) 60498,B100000,00000,0600,00000PATIENT DAYS 60498,B100000,00000,0700,00000(SQUARE FEET) 60498,B100000,00000,0800,00000(MEALS SERVED) 60498,B100000,00000,0900,00000DIR NURSIN HOURS 60498,B100000,00000,1000,00000(COSTED REQUIS) 60498,B100000,00000,1100,00000(COSTED REQUIS) 60498,B100000,00000,1200,00000GROSS REVENUES 60498,B100000,00000,1300,00000PATIENT DAYS 60498,B100000,00000,1350,00000PATIENT DAYS 60498,B100000,00000,1400,00000(ASSIGNED TIME) 60498,S000000,00100,0200,01/28/2000 60498,S200000,00100,0100,2325 E. HARMON AVENUE 60498,S200000,00200,0100,LAS VEGAS 60498,S200000,00200,0200,NV 60498,S200000,00200,0300,89119 60498,S200000,00300,0100,CLARK 60498,S200000,00400,0100,LCC OF PARADISE VALLEY NV 60498,S200000,00400,0200,295065 60498,S200000,00400,0300,05/29/1998 60498,S200000,00400,0500,P 60498,S200000,01600,0100,Y 60498,S200000,03100,0100,Y 60503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60503,A000000,00300,0000,00300EMPLOYEE BENEFITS 60503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60503,A000000,00700,0000,00700HOUSEKEEPING 60503,A000000,00800,0000,00800DIETARY 60503,A000000,00900,0000,00900NURSING ADMINISTRATION 60503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60503,A000000,01100,0000,01100PHARMACY 60503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60503,A000000,01300,0000,01300SOCIAL SERVICE 60503,A000000,01350,0000,01500RECREATION 60503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60503,A000000,01600,0000,01600SKILLED NURSING FACILITY 60503,A000000,01800,0000,01800NURSING FACILITY 60503,A000000,01810,0000,01810ICF/MR 60503,A000000,02100,0000,02100RADIOLOGY 60503,A000000,02200,0000,02200LABORATORY 60503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60503,A000000,02500,0000,02500PHYSICAL THERAPY 60503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60503,A000000,02700,0000,02700SPEECH PATHOLOGY 60503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60503,A000000,03200,0000,03200SUPPORT SURFACES 60503,A000000,03550,0000,03550FQHC 60503,A000000,04800,0000,04800AMBULANCE 60503,A000000,05000,0000,05000CORF 60503,A000000,05010,0000,05010CMHC 60503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60503,A81000A,00100,0100,Y 60503,A81000B,00100,0300,BUS MNGRS COMP 60503,A81000B,00200,0300,BUS MNGRS FRINGES 60503,A81000B,00300,0300,FRINGES SHARED SERVI 60503,A81000B,00400,0300,OFFICERS COMP 60503,A81000B,00500,0300,OFFICERS BENEFITS 60503,A81000B,00600,0300,BUSINESS OF. PERSONN 60503,A81000B,00700,0300,FRINGES ON BUS. OFFI 60503,A81000C,00100,0100,A 60503,A81000C,00100,0200,P. ZIRBSER SR. 60503,A81000C,00100,0400,GREEENBRIAR DEP 60503,A81000C,00100,0600,SNF 60503,A81000C,00200,0100,A 60503,A81000C,00200,0200,P. ZIRBSER SR. 60503,A81000C,00200,0400,GREENBRIAR HAMM 60503,A81000C,00200,0600,SNF 60503,A81000C,00300,0100,A 60503,A81000C,00300,0200,E. ZIRBSER SR 60503,A81000C,00300,0400,GREENBRIAR DEPT 60503,A81000C,00300,0600,SNF 60503,A81000C,00400,0100,A 60503,A81000C,00400,0200,E. ZIRBSER SR 60503,A81000C,00400,0400,GREENBRIAR HAMM 60503,A81000C,00400,0600,SNF 60503,B100000,00000,0100,00000(SQUARE FEET) 60503,B100000,00000,0200,00000SQUARE FEET 60503,B100000,00000,0300,00000(GROSS SALARIES) 60503,B100000,00000,0400,00000(ACCUM COST) 60503,B100000,00000,0500,00000(SQUARE FEET) 60503,B100000,00000,0600,00000PATIENT DAYS 60503,B100000,00000,0700,00000SQUARE FEET 60503,B100000,00000,0800,00000(MEALS SERVED) 60503,B100000,00000,0900,00000(DIRECT NRSG HRS) 60503,B100000,00000,1000,00000CENSUS 60503,B100000,00000,1100,00000COSTED REQUIS 60503,B100000,00000,1200,00000CENSUS 60503,B100000,00000,1300,00000PATIENT DAYS 60503,B100000,00000,1350,00000CENSUS 60503,B100000,00000,1400,00000ASSIGNED TIME 60503,E10A180,00501,0100,07/06/2000 60503,E10A180,00501,0300,07/06/2000 60503,S000000,00100,0200,05/12/2000 60503,S200000,00100,0100,190 N. EVERGREEN 60503,S200000,00200,0100,WOODBURY 60503,S200000,00200,0200,NJ 60503,S200000,00200,0300,08096 60503,S200000,00300,0100,GLOUCESTER 60503,S200000,00400,0100,GREENBRIAR NRSG. & CONVAL/CENTER 60503,S200000,00400,0200,315007 60503,S200000,00400,0300,01/01/1967 60503,S200000,00400,0500,P 60503,S200000,01600,0100,Y 60503,S200000,04300,0100,Y 60506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60506,A000000,00300,0000,00300EMPLOYEE BENEFITS 60506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60506,A000000,00700,0000,00700HOUSEKEEPING 60506,A000000,00800,0000,00800DIETARY 60506,A000000,00900,0000,00900NURSING ADMINISTRATION 60506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60506,A000000,01100,0000,01100PHARMACY 60506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60506,A000000,01300,0000,01300SOCIAL SERVICE 60506,A000000,01350,0000,01500PATIENT ACTIVITIES 60506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60506,A000000,01600,0000,01600SKILLED NURSING FACILITY 60506,A000000,01800,0000,01800NURSING FACILITY 60506,A000000,01810,0000,01810ICF/MR 60506,A000000,02100,0000,02100RADIOLOGY 60506,A000000,02200,0000,02200LABORATORY 60506,A000000,02300,0000,02300INTRAVENOUS THERAPY 60506,A000000,02500,0000,02500PHYSICAL THERAPY 60506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60506,A000000,02700,0000,02700SPEECH PATHOLOGY 60506,A000000,02800,0000,02800ELECTROCARDIOLOGY 60506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60506,A000000,03550,0000,03550FQHC 60506,A000000,04800,0000,04800AMBULANCE 60506,A000000,05000,0000,05000CORF 60506,A000000,05010,0000,05010CMHC 60506,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60506,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60506,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60506,A000000,05300,0000,05300INTEREST EXPENSE 60506,B100000,00000,0100,00000SQUARE FEET 60506,B100000,00000,0200,00000SQUARE FEET 60506,B100000,00000,0300,00000GROSS SALARIES 60506,B100000,00000,0400,00000ACCUM COST 60506,B100000,00000,0500,00000SQUARE FEET 60506,B100000,00000,0600,00000POUNDS OF LAUNDRY 60506,B100000,00000,0700,00000HOURS OF SERVICE 60506,B100000,00000,0800,00000MEALS SERVED 60506,B100000,00000,0900,00000DIRECT NRSG HRS 60506,B100000,00000,1000,00000COSTED REQUIS 60506,B100000,00000,1100,00000COSTED REQUIS 60506,B100000,00000,1200,00000TIME SPENT 60506,B100000,00000,1300,00000TIME SPENT 60506,B100000,00000,1350,00000CENSUS DAYS 60506,B100000,00000,1400,00000ASSIGNED TIME 60506,E10A180,00550,0100,07/25/2000 60506,S000000,00100,0200,06/01/2000 60506,S200000,00100,0100,LAUREL & WARWICK ROADS 60506,S200000,00200,0100,STRATFORD 60506,S200000,00200,0200,NJ 60506,S200000,00200,0300,08084 60506,S200000,00300,0100,CAMDEN 60506,S200000,00400,0100,STRATFORD NURSING & CONV. CENTER 60506,S200000,00400,0200,315008 60506,S200000,00400,0300,01/01/1969 60506,S200000,00400,0500,P 60506,S200000,01600,0100,Y 60506,S200000,04300,0100,Y 60506,S200000,04700,0100,Y 60506,S200000,04700,0200,Y 60509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60509,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60509,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60509,A000000,00300,0000,00300EMPLOYEE BENEFITS 60509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60509,A000000,00700,0000,00700HOUSEKEEPING 60509,A000000,00800,0000,00800DIETARY 60509,A000000,00801,0000,00801CAFETERIA 60509,A000000,00900,0000,00900NURSING ADMINISTRATION 60509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60509,A000000,01100,0000,01100PHARMACY 60509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60509,A000000,01300,0000,01300SOCIAL SERVICE 60509,A000000,01350,0000,01500RECT THERAPY 60509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60509,A000000,01600,0000,01600SKILLED NURSING FACILITY 60509,A000000,01800,0000,01800NURSING FACILITY 60509,A000000,01810,0000,01810ICF/MR 60509,A000000,02100,0000,02100RADIOLOGY 60509,A000000,02200,0000,02200LABORATORY 60509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60509,A000000,02500,0000,02500PHYSICAL THERAPY 60509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60509,A000000,02700,0000,02700SPEECH PATHOLOGY 60509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60509,A000000,03050,0000,03300PEN THERAPY 60509,A000000,03051,0000,03301FEE SCREENING 60509,A000000,03052,0000,03302OTHER ANCILLARY III 60509,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60509,A000000,03550,0000,03550FQHC 60509,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60509,A000000,05000,0000,05000CORF I 60509,A000000,05010,0000,05010CMHC I 60509,A000000,05020,0000,05020OPT I 60509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60509,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60509,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60509,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60509,A81000A,00100,0100,Y 60509,A81000B,00100,0300,SEE ATTACHED 60509,A81000B,00200,0300,HOME OFFICE 60509,A81000B,00300,0300,HOME OFFICE 60509,A81000B,00400,0300,CAPITAL INTEREST 60509,A81000C,00100,0100,B 60509,A81000C,00100,0400,AS ATTACHED 60509,A81000C,00100,0600,VARIOUS 60509,A81000C,00200,0100,B 60509,A81000C,00200,0400,GHV 60509,A81000C,00200,0600,LONG TERM CARE 60509,A81000C,00300,0100,B 60509,A81000C,00300,0400,GHV 60509,A81000C,00300,0600,LONG TERM CARE 60509,A81000C,00400,0100,B 60509,A81000C,00400,0400,GHV 60509,A81000C,00400,0600,LONG TERM CARE 60509,B100000,00000,0100,00000(SQUARE FEET) 60509,B100000,00000,0101,00000(SQUARE FEET) 60509,B100000,00000,0200,00000(SQUARE FEET) 60509,B100000,00000,0201,00000(SQUARE FEET) 60509,B100000,00000,0300,00000(GROSS SALARIES) 60509,B100000,00000,0400,00000(ACCUM. COST) 60509,B100000,00000,0500,00000(SQUARE FEET) 60509,B100000,00000,0600,00000(PATIENT DAYS) 60509,B100000,00000,0700,00000(SQUARE FEET) 60509,B100000,00000,0800,00000(MEALS SERVED) 60509,B100000,00000,0801,00000(MEALS SERVED) 60509,B100000,00000,0900,00000(NURSING SALARIES) 60509,B100000,00000,1000,00000CST REQ 60509,B100000,00000,1100,00000(PATIENT DAYS) 60509,B100000,00000,1200,00000(PATIENT DAYS) 60509,B100000,00000,1300,00000(PATIENT DAYS) 60509,B100000,00000,1350,00000(PATIENT DAYS) 60509,B100000,00000,1400,00000(ASSIGNED TIME) 60509,E10A180,00301,0100,01/05/2000 60509,S000000,00100,0200,05/31/2000 60509,S200000,00100,0100,849 BIG OAK ROAD 60509,S200000,00200,0100,PITTSGROVE 60509,S200000,00200,0200,NJ 60509,S200000,00200,0300,08318 60509,S200000,00300,0100,SALEM 60509,S200000,00400,0100,RAINBOW CENTER 60509,S200000,00400,0200,315014 60509,S200000,00400,0300,01/01/1967 60509,S200000,00400,0500,P 60509,S200000,01600,0100,Y 60509,S200000,02200,0100,Y 60512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60512,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60512,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60512,A000000,00300,0000,00300EMPLOYEE BENEFITS 60512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60512,A000000,00700,0000,00700HOUSEKEEPING 60512,A000000,00800,0000,00800DIETARY 60512,A000000,00801,0000,00801CAFETERIA 60512,A000000,00900,0000,00900NURSING ADMINISTRATION 60512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60512,A000000,01100,0000,01100PHARMACY 60512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60512,A000000,01300,0000,01300SOCIAL SERVICE 60512,A000000,01350,0000,01500REC THERAPY 60512,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60512,A000000,01600,0000,01600SKILLED NURSING FACILITY 60512,A000000,01800,0000,01800NURSING FACILITY 60512,A000000,01810,0000,01810ICF/MR 60512,A000000,02100,0000,02100RADIOLOGY 60512,A000000,02200,0000,02200LABORATORY 60512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60512,A000000,02500,0000,02500PHYSICAL THERAPY 60512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60512,A000000,02700,0000,02700SPEECH PATHOLOGY 60512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60512,A000000,03050,0000,03300PEN. THERAPY 60512,A000000,03051,0000,03301FEE SCREENING 60512,A000000,03052,0000,03302OTHER ANCILLARY III 60512,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60512,A000000,03550,0000,03550FQHC 60512,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60512,A000000,05000,0000,05000CORF I 60512,A000000,05010,0000,05010CMHC I 60512,A000000,05020,0000,05020OPT I 60512,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60512,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60512,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60512,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60512,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60512,A81000A,00100,0100,Y 60512,A81000B,00100,0300,AS ATTACHED 60512,A81000B,00200,0300,ADMIN & GENERAL 60512,A81000B,00300,0300,CAPITAL & RELATED COSTS 60512,A81000B,00400,0300,CAPITAL & RELATED COSTS 60512,A81000C,00100,0100,B 60512,A81000C,00100,0400,AS ATTACHED 60512,A81000C,00100,0600,AS ATTACHED 60512,A81000C,00200,0100,B 60512,A81000C,00200,0400,GEN. HLTH VEN. 60512,A81000C,00200,0600,LONG TERM CARE 60512,A81000C,00300,0100,B 60512,A81000C,00300,0400,GEN. HLTH VEN. 60512,A81000C,00300,0600,LONG TERM CARE 60512,A81000C,00400,0100,B 60512,A81000C,00400,0400,GEN. HLTH VEN. 60512,A81000C,00400,0600,LONG TERM CARE 60512,B100000,00000,0100,00000(SQUARE FEET) 60512,B100000,00000,0101,00000(SQUARE FEET) 60512,B100000,00000,0200,00000(SQUARE FEET) 60512,B100000,00000,0201,00000(SQUARE FEET) 60512,B100000,00000,0300,00000(GROSS SALARIES) 60512,B100000,00000,0400,00000(ACCUM. COST) 60512,B100000,00000,0500,00000(SQUARE FEET) 60512,B100000,00000,0600,00000(PATIENT DAYS) 60512,B100000,00000,0700,00000(SQUARE FEET) 60512,B100000,00000,0800,00000(MEALS SERVED) 60512,B100000,00000,0801,00000(MEALS SERVED) 60512,B100000,00000,0900,00000(NURSING SALARIES) 60512,B100000,00000,1000,00000COST REQ. 60512,B100000,00000,1100,00000(PATIENT DAYS) 60512,B100000,00000,1200,00000(PATIENT DAYS) 60512,B100000,00000,1300,00000(PATIENT DAYS) 60512,B100000,00000,1350,00000(PATIENT DAYS) 60512,B100000,00000,1400,00000(ASSIGNED TIME) 60512,S000000,00100,0200,05/31/2000 60512,S200000,00100,0100,4 HIGHWAY 34 60512,S200000,00200,0100,MATAWAN 60512,S200000,00200,0200,NJ 60512,S200000,00200,0300,07747 60512,S200000,00300,0100,MIDDLESEX 60512,S200000,00400,0100,MADISON CENTER 60512,S200000,00400,0200,315015 60512,S200000,00400,0300,01/01/1995 60512,S200000,00400,0500,P 60512,S200000,01600,0100,Y 60512,S200000,02200,0100,Y 60514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60514,A000000,00300,0000,00300EMPLOYEE BENEFITS 60514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60514,A000000,00700,0000,00700HOUSEKEEPING 60514,A000000,00800,0000,00800DIETARY 60514,A000000,00900,0000,00900NURSING ADMINISTRATION 60514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60514,A000000,01100,0000,01100PHARMACY 60514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60514,A000000,01300,0000,01300SOCIAL SERVICE 60514,A000000,01350,0000,01500PATIENT ACTIVITIES 60514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60514,A000000,01600,0000,01600SKILLED NURSING FACILITY 60514,A000000,01810,0000,01810ICF/MR 60514,A000000,02100,0000,02100RADIOLOGY 60514,A000000,02200,0000,02200LABORATORY 60514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60514,A000000,02500,0000,02500PHYSICAL THERAPY 60514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60514,A000000,02700,0000,02700SPEECH PATHOLOGY 60514,A000000,02800,0000,02800ELECTROCARDIOLOGY 60514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60514,A000000,03550,0000,03550FQHC 60514,A000000,04800,0000,04800AMBULANCE 60514,A000000,05000,0000,05000CORF 60514,A000000,05010,0000,05010CMHC 60514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60514,A000000,06150,0000,06300WORKSHOP 60514,A000000,06151,0000,06310DAY CARE 60514,A000000,06152,0000,06320COMMUNITY RELATIONS 60514,A000000,06153,0000,06330WORKSHOP 60514,B100000,00000,0100,00030(SQUARE FEET) 60514,B100000,00000,0200,00030SQUARE FEET 60514,B100000,00000,0300,00030(GROSS SALARIES) 60514,B100000,00000,0400,00030(ACCUM COST) 60514,B100000,00000,0500,00030(SQUARE FEET) 60514,B100000,00000,0600,00030(PATIENT DAYS) 60514,B100000,00000,0700,00030(SQUARE FEET) 60514,B100000,00000,0800,00030(MEALS SERVED) 60514,B100000,00000,0900,00030(PATIENT DAYS) 60514,B100000,00000,1000,00030(PATIENT DAYS) 60514,B100000,00000,1100,00030COSTED REQUIS 60514,B100000,00000,1200,00030(PATIENT DAYS) 60514,B100000,00000,1300,00030(PATIENT DAYS) 60514,B100000,00000,1350,00030(PATIENT DAYS) 60514,B100000,00000,1400,00030ASSIGNED TIME 60514,E10A180,00501,0300,07/07/2000 60514,E10A180,00550,0100,07/07/2000 60514,S000000,00100,0200,05/31/2000 60514,S200000,00100,0100,155 HAZEL STREET 60514,S200000,00200,0100,DAUGHTERS OF MIRIAM CTR FOR/AGED 60514,S200000,00200,0200,315021 60514,S200000,00200,0300,07015 60514,S200000,00300,0100,PASSAIC 60514,S200000,00400,0100,DAUGHTERS OF MIRIAM CTR FOR/AGED 60514,S200000,00400,0200,315021 60514,S200000,00400,0300,01/01/1967 60514,S200000,00400,0500,P 60514,S200000,01500,0100,Y 60514,S200000,04300,0100,Y 60514,S200000,04700,0100,Y 60514,S200000,04700,0200,Y 60519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60519,A000000,00300,0000,00300EMPLOYEE BENEFITS 60519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60519,A000000,00700,0000,00700HOUSEKEEPING 60519,A000000,00701,0000,00701HOUSEKEEPING - RESIDENTIAL 60519,A000000,00702,0000,00702HOUSEKEEPING - MEDICAL 60519,A000000,00800,0000,00800DIETARY 60519,A000000,00900,0000,00900NURSING ADMINISTRATION 60519,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60519,A000000,01100,0000,01100PHARMACY 60519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60519,A000000,01300,0000,01300SOCIAL SERVICE 60519,A000000,01350,0000,01500PATIENT ACTIVITIES 60519,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60519,A000000,01600,0000,01600SKILLED NURSING FACILITY 60519,A000000,01810,0000,01810ICF/MR 60519,A000000,02200,0000,02200LABORATORY 60519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60519,A000000,02500,0000,02500PHYSICAL THERAPY 60519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60519,A000000,02700,0000,02700SPEECH PATHOLOGY 60519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60519,A000000,02901,0000,02901CLINITRON BEDS 60519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60519,A000000,03550,0000,03550FQHC 60519,A000000,05000,0000,05000CORF 60519,A000000,05010,0000,05010CMHC 60519,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60519,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60519,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60519,A000000,06150,0000,06300RESIDENTIAL 60519,A000000,06151,0000,06301CLINIC 60519,A81000A,00100,0100,Y 60519,A81000B,00100,0300,HOME OFFICE COSTS - A&G 60519,A81000B,00200,0300,HOME OFFICE COST - CAPITAL 60519,A81000C,00100,0100,B 60519,A81000C,00100,0400,PRES HOMES & SVCS INC. 60519,A81000C,00100,0600,MGT PARENT CO 60519,A81000C,00200,0100,B 60519,A81000C,00200,0400,PRES HOMES & SVCS INC. 60519,A81000C,00200,0600,MGT PARENT CO 60519,B100000,00000,0100,00001SQUARE FEET 60519,B100000,00000,0200,00001SQUARE FEET 60519,B100000,00000,0300,00001GROSS SALARIES 60519,B100000,00000,0400,00001ACCUM. COST 60519,B100000,00000,0500,00001SQUARE FEET 60519,B100000,00000,0600,00001PATIENT DAYS 60519,B100000,00000,0700,00001SQUARE FEET 60519,B100000,00000,0701,00001SQUARE FEET RESID 60519,B100000,00000,0702,00001SQUARE FEET MEDIC 60519,B100000,00000,0800,00001MEALS SERVED 60519,B100000,00000,0900,00001PATIENT DAYS 60519,B100000,00000,1000,00001COSTED REQUIS. 60519,B100000,00000,1100,00001COSTED REQUIS. 60519,B100000,00000,1200,00001PATIENT DAYS 60519,B100000,00000,1300,00001PATIENT DAYS 60519,B100000,00000,1350,00001PATIENT DAYS 60519,B100000,00000,1400,00001ASSIGNED TIME 60519,S000000,00100,0200,05/26/2000 60519,S200000,00100,0100,200 ETRA ROAD 60519,S200000,00200,0100,HIGHTSTOWN 60519,S200000,00200,0200,NJ 60519,S200000,00200,0300,08520 60519,S200000,00300,0100,MERCER 60519,S200000,00400,0100,MEADOW LAKES 60519,S200000,00400,0200,315022 60519,S200000,00400,0300,01/01/1967 60519,S200000,00400,0500,P 60519,S200000,01700,0100,Y 60519,S200000,01900,0100,501 (C) (3) 60519,S200000,04300,0100,Y 60522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60522,A000000,00300,0000,00300EMPLOYEE BENEFITS 60522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60522,A000000,00700,0000,00700HOUSEKEEPING 60522,A000000,00800,0000,00800DIETARY 60522,A000000,00900,0000,00900NURSING ADMINISTRATION 60522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60522,A000000,01100,0000,01100PHARMACY 60522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60522,A000000,01300,0000,01300SOCIAL SERVICE 60522,A000000,01301,0000,01350PATIENT ACTIVITIES 60522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60522,A000000,01600,0000,01600SKILLED NURSING FACILITY 60522,A000000,01810,0000,01810ICF/MR 60522,A000000,02200,0000,02200LABORATORY 60522,A000000,02500,0000,02500PHYSICAL THERAPY 60522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60522,A000000,02700,0000,02700SPEECH PATHOLOGY 60522,A000000,02800,0000,02800ELECTROCARDIOLOGY 60522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60522,A000000,03200,0000,03200SUPPORT SURFACES 60522,A000000,03550,0000,03550FQHC 60522,A000000,04800,0000,04800AMBULANCE 60522,A000000,05000,0000,05000CORF 60522,A000000,05010,0000,05010CMHC 60522,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60522,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60522,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60522,A000000,06100,0000,06100NONPAID WORKERS 60522,B100000,00000,0100,00000SQUARE FEET 60522,B100000,00000,0200,00000SQUARE FEET 60522,B100000,00000,0300,00000GROSS SALARIES 60522,B100000,00000,0400,00000ACCUM COST 60522,B100000,00000,0500,00000SQUARE FEET 60522,B100000,00000,0600,00000POUNDS OF LAUNDRY 60522,B100000,00000,0700,00000HOURS OF SERVICE 60522,B100000,00000,0800,00000MEALS SERVED 60522,B100000,00000,0900,00000DIRECT NRSG HRS 60522,B100000,00000,1000,00000COSTED REQUIS 60522,B100000,00000,1100,00000COSTED REQUIS 60522,B100000,00000,1200,00000TIME SPENT 60522,B100000,00000,1300,00000TIME SPENT 60522,B100000,00000,1350,00000 60522,B100000,00000,1400,00000ASSIGNED TIME 60522,E10A180,00501,0100,07/24/2000 60522,E10A180,00501,0300,07/24/2000 60522,S000000,00100,0200,06/06/2000 60522,S200000,00100,0100,1156 PLEASANT VALLEY WAY 60522,S200000,00200,0100,WEST ORANGE 60522,S200000,00200,0200,NJ 60522,S200000,00200,0300,07052 60522,S200000,00400,0100,DAUGHTERS OF ISRAEL GERIATRIC CENTER 60522,S200000,00400,0200,315029 60522,S200000,00400,0300,01/01/1967 60522,S200000,00400,0500,P 60522,S200000,01500,0100,Y 60522,S200000,01900,0100,NON-PROFIT 60524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60524,A000000,00300,0000,00300EMPLOYEE BENEFITS 60524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60524,A000000,00700,0000,00700HOUSEKEEPING 60524,A000000,00800,0000,00800DIETARY 60524,A000000,00900,0000,00900NURSING ADMINISTRATION 60524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60524,A000000,01100,0000,01100PHARMACY 60524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60524,A000000,01300,0000,01300SOCIAL SERVICE 60524,A000000,01350,0000,01500PATIENT ACTIVITIES 60524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60524,A000000,01600,0000,01600SKILLED NURSING FACILITY 60524,A000000,01800,0000,01800NURSING FACILITY 60524,A000000,01810,0000,01810ICF/MR 60524,A000000,02100,0000,02100RADIOLOGY 60524,A000000,02200,0000,02200LABORATORY 60524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60524,A000000,02500,0000,02500PHYSICAL THERAPY 60524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60524,A000000,02700,0000,02700SPEECH PATHOLOGY 60524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60524,A000000,03200,0000,03200SUPPORT SURFACES 60524,A000000,03550,0000,03550FQHC 60524,A000000,04800,0000,04800AMBULANCE 60524,A000000,05000,0000,05000CORF 60524,A000000,05010,0000,05010CMHC 60524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60524,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60524,A000000,06150,0000,06300CCDC 60524,A81000A,00100,0100,Y 60524,A81000B,00100,0300,MANAGEMENT FEES 60524,A81000B,00200,0300,MANAGEMENT FEES 60524,A81000B,00300,0300,MANAGEMENT FEES 60524,A81000B,00400,0300,MANAGEMENT FEES 60524,A81000B,00500,0300,MANAGEMENT FEES 60524,A81000B,00600,0300,MANAGEMENT FEES 60524,A81000B,00700,0300,MANAGEMENT FEES 60524,A81000B,00800,0300,MANAGMENT FEES 60524,A81000B,00900,0300,MANAGEMENT FEES 60524,A81000C,00100,0200,D. VELORIC 60524,A81000C,00100,0400,TOMAHAWK MT LAU 60524,A81000C,00100,0600,MANAGEMENT SERV 60524,B100000,00000,0100,00000(SQUARE FEET) 60524,B100000,00000,0200,00000SQUARE FEET 60524,B100000,00000,0300,00000(GROSS SALARIES) 60524,B100000,00000,0400,00000(ACCUM COST) 60524,B100000,00000,0500,00000(SQUARE FEET) 60524,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60524,B100000,00000,0700,00000(SQUARE FEET) 60524,B100000,00000,0800,00000(MEALS SERVED) 60524,B100000,00000,0900,00000(TIME SPENT) 60524,B100000,00000,1000,00000(COSTED REQUISTNS) 60524,B100000,00000,1100,00000COSTED REQUIS 60524,B100000,00000,1200,00000(TIME SPENT) 60524,B100000,00000,1300,00000(TIME SPENT) 60524,B100000,00000,1350,00000(PATIENT CENSUS) 60524,B100000,00000,1400,00000ASSIGNED TIME 60524,E10A180,00501,0100,07/11/2000 60524,E10A180,00501,0300,07/11/2000 60524,S000000,00100,0200,05/31/2000 60524,S200000,00100,0100,3706 CHURCH ROAD 60524,S200000,00200,0100,MT. LAUREL 60524,S200000,00200,0200,NJ 60524,S200000,00200,0300,08054 60524,S200000,00300,0100,BURLINGTON 60524,S200000,00400,0100,MT. LAUREL CONVALESCENT CENTER 60524,S200000,00400,0200,315032 60524,S200000,00400,0300,09/01/1985 60524,S200000,00400,0500,P 60524,S200000,01600,0100,Y 60524,S200000,02200,0100,Y 60524,S200000,04300,0100,Y 60524,S200000,04700,0100,Y 60524,S200000,04700,0200,Y 60527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60527,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60527,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60527,A000000,00300,0000,00300EMPLOYEE BENEFITS 60527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60527,A000000,00700,0000,00700HOUSEKEEPING 60527,A000000,00800,0000,00800DIETARY 60527,A000000,00801,0000,00801CAFETERIA 60527,A000000,00900,0000,00900NURSING ADMINISTRATION 60527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60527,A000000,01100,0000,01100PHARMACY 60527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60527,A000000,01300,0000,01300SOCIAL SERVICE 60527,A000000,01350,0000,01500RECREATION 60527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60527,A000000,01600,0000,01600SKILLED NURSING FACILITY 60527,A000000,01800,0000,01800NURSING FACILITY 60527,A000000,01810,0000,01810ICF/MR 60527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60527,A000000,02500,0000,02500PHYSICAL THERAPY 60527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60527,A000000,02700,0000,02700SPEECH PATHOLOGY 60527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60527,A000000,03050,0000,03300PEN THERAPY 60527,A000000,03051,0000,03301FEE SCREENING 60527,A000000,03052,0000,03302OTHER ANCILLARY III 60527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60527,A000000,03550,0000,03550FQHC 60527,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60527,A000000,05000,0000,05000CORF I 60527,A000000,05010,0000,05010CMHC I 60527,A000000,05020,0000,05020OPT I 60527,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60527,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60527,A000000,05300,0000,05300INTEREST EXPENSE 60527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60527,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60527,A81000A,00100,0100,Y 60527,A81000B,00100,0300,HOME OFFICE 60527,A81000B,00200,0300,CAPITAL INTEREST 60527,A81000B,00300,0300,AS ATTACHED 60527,A81000B,00400,0300,CAPITAL INT. 60527,A81000C,00100,0100,B 60527,A81000C,00100,0400,GEN. HLTH VEN 60527,A81000C,00100,0600,HOME OFFICE 60527,A81000C,00200,0100,B 60527,A81000C,00200,0400,GEN. HLTH VEN 60527,A81000C,00200,0600,HOME OFFICE 60527,A81000C,00300,0400,AS ATTACHED 60527,A81000C,00400,0100,B 60527,A81000C,00400,0400,GEN HLTH VEN 60527,A81000C,00400,0600,HOME OFFICE 60527,B100000,00000,0100,00000(SQUARE FEET) 60527,B100000,00000,0101,00000(SQUARE FEET) 60527,B100000,00000,0200,00000(SQUARE FEET) 60527,B100000,00000,0201,00000(SQUARE FEET) 60527,B100000,00000,0300,00000(GROSS SALARIES) 60527,B100000,00000,0400,00000(ACCUM. COST) 60527,B100000,00000,0500,00000(SQUARE FEET) 60527,B100000,00000,0600,00000(PATIENT DAYS) 60527,B100000,00000,0700,00000(SQUARE FEET) 60527,B100000,00000,0800,00000(MEALS SERVED) 60527,B100000,00000,0801,00000(MEALS SERVED) 60527,B100000,00000,0900,00000(NURSING SALARIES) 60527,B100000,00000,1000,00000(COSTED REQUIS.) 60527,B100000,00000,1100,00000PAT. DAYS 60527,B100000,00000,1200,00000(PATIENT DAYS) 60527,B100000,00000,1300,00000(PATIENT DAYS) 60527,B100000,00000,1350,00000(PATIENT DAYS) 60527,B100000,00000,1400,00000(ASSIGNED TIME) 60527,E10A180,00301,0100,01/05/2000 60527,E10A180,00501,0300,06/23/2000 60527,E10A180,00550,0100,06/23/2000 60527,S000000,00100,0200,05/31/2000 60527,S200000,00100,0100,POMPTON AVE & LINDSLEY 60527,S200000,00200,0100,CEDAR GROVE 60527,S200000,00200,0200,NJ 60527,S200000,00200,0300,07009 60527,S200000,00300,0100,ESSEX 60527,S200000,00400,0100,ARBOR GLEN CENTER 60527,S200000,00400,0200,315036 60527,S200000,00400,0300,07/01/1985 60527,S200000,00400,0500,P 60527,S200000,01600,0100,Y 60527,S200000,02200,0100,Y 60530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60530,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60530,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60530,A000000,00300,0000,00300EMPLOYEE BENEFITS 60530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60530,A000000,00700,0000,00700HOUSEKEEPING 60530,A000000,00800,0000,00800DIETARY 60530,A000000,00801,0000,00801CAFETERIA 60530,A000000,00900,0000,00900NURSING ADMINISTRATION 60530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60530,A000000,01100,0000,01100PHARMACY 60530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60530,A000000,01300,0000,01300SOCIAL SERVICE 60530,A000000,01350,0000,01500REC THERAPY 60530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60530,A000000,01600,0000,01600SKILLED NURSING FACILITY 60530,A000000,01800,0000,01800NURSING FACILITY 60530,A000000,01810,0000,01810ICF/MR 60530,A000000,02100,0000,02100RADIOLOGY 60530,A000000,02200,0000,02200LABORATORY 60530,A000000,02300,0000,02300INTRAVENOUS THERAPY 60530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60530,A000000,02500,0000,02500PHYSICAL THERAPY 60530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60530,A000000,02700,0000,02700SPEECH PATHOLOGY 60530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60530,A000000,03050,0000,03300PEN THERAPY 60530,A000000,03051,0000,03301FEE SCREENING 60530,A000000,03052,0000,03302OTHER ANCILLARY III 60530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60530,A000000,03550,0000,03550FQHC 60530,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60530,A000000,05000,0000,05000CORF I 60530,A000000,05010,0000,05010CMHC I 60530,A000000,05020,0000,05020OPT I 60530,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60530,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60530,A000000,05300,0000,05300INTEREST EXPENSE 60530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60530,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60530,A81000A,00100,0100,Y 60530,A81000B,00100,0300,HOME OFFICE 60530,A81000B,00200,0300,INTEREST 60530,A81000B,00300,0300,VARIOUS 60530,A81000B,00400,0300,HOME OFFICE CAPITAL 60530,A81000C,00100,0100,B 60530,A81000C,00100,0400,GHV 60530,A81000C,00100,0600,LONG TERM CARE 60530,A81000C,00200,0100,B 60530,A81000C,00200,0400,GHV 60530,A81000C,00200,0600,LONG TERM CARE 60530,A81000C,00300,0100,B 60530,A81000C,00300,0400,GHV 60530,A81000C,00300,0600,VARIOUS 60530,B100000,00000,0100,00000(SQUARE FEET) 60530,B100000,00000,0101,00000(SQUARE FEET) 60530,B100000,00000,0200,00000(SQUARE FEET) 60530,B100000,00000,0201,00000(SQUARE FEET) 60530,B100000,00000,0300,00000(GROSS SALARIES) 60530,B100000,00000,0400,00000(ACCUM. COST) 60530,B100000,00000,0500,00000(SQUARE FEET) 60530,B100000,00000,0600,00000(PATIENT DAYS) 60530,B100000,00000,0700,00000(SQUARE FEET) 60530,B100000,00000,0800,00000(MEALS SERVED) 60530,B100000,00000,0801,00000(MEALS SERVED) 60530,B100000,00000,0900,00000(NURSING SALARIES) 60530,B100000,00000,1000,00000COSTED REQ 60530,B100000,00000,1100,00000(COSTED REQUIS.) 60530,B100000,00000,1200,00000(PATIENT DAYS) 60530,B100000,00000,1300,00000(PATIENT DAYS) 60530,B100000,00000,1350,00000(PATIENT DAYS) 60530,B100000,00000,1400,00000(ASSIGNED TIME) 60530,E10A180,00301,0100,01/05/2000 60530,S000000,00100,0200,05/31/2000 60530,S200000,00100,0100,20 SUMMIT STREET 60530,S200000,00200,0100,WEST ORANGE 60530,S200000,00200,0200,NJ 60530,S200000,00200,0300,07052 60530,S200000,00300,0100,ESSEX 60530,S200000,00400,0100,SUMMIT RIDGE 60530,S200000,00400,0200,315038 60530,S200000,00400,0300,07/01/1976 60530,S200000,00400,0500,P 60530,S200000,01600,0100,Y 60530,S200000,02200,0100,Y 60533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60533,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60533,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60533,A000000,00300,0000,00300EMPLOYEE BENEFITS 60533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60533,A000000,00700,0000,00700HOUSEKEEPING 60533,A000000,00800,0000,00800DIETARY 60533,A000000,00801,0000,00801CAFETERIA 60533,A000000,00900,0000,00900NURSING ADMINISTRATION 60533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60533,A000000,01100,0000,01100PHARMACY 60533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60533,A000000,01300,0000,01300SOCIAL SERVICE 60533,A000000,01350,0000,01500RECREATION 60533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60533,A000000,01600,0000,01600SKILLED NURSING FACILITY 60533,A000000,01800,0000,01800NURSING FACILITY 60533,A000000,01810,0000,01810ICF/MR 60533,A000000,02100,0000,02100RADIOLOGY 60533,A000000,02200,0000,02200LABORATORY 60533,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60533,A000000,02500,0000,02500PHYSICAL THERAPY 60533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60533,A000000,02700,0000,02700SPEECH PATHOLOGY 60533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60533,A000000,03050,0000,03300PEN THERAPY 60533,A000000,03051,0000,03301FEE SCREENING 60533,A000000,03052,0000,03302OTHER ANCILLARY III 60533,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60533,A000000,03550,0000,03550FQHC 60533,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60533,A000000,05000,0000,05000CORF I 60533,A000000,05010,0000,05010CMHC I 60533,A000000,05020,0000,05020OPT I 60533,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60533,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60533,A000000,05300,0000,05300INTEREST EXPENSE 60533,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60533,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60533,A81000A,00100,0100,Y 60533,A81000B,00100,0300,ADMIN & GEN ALLOWABLE COSTS 60533,A81000B,00200,0300,CAP RELATED COSTS-ALLOWABLE 60533,A81000B,00300,0300,AS ATTACHED 60533,A81000B,00400,0300,CAP RELATED COSTS-ALLOWABLE 60533,A81000C,00100,0100,B 60533,A81000C,00100,0400,GEN HLTH VEN 60533,A81000C,00100,0600,HOME OFFICE 60533,A81000C,00200,0100,B 60533,A81000C,00200,0400,GEN HLTH VEN 60533,A81000C,00200,0600,HOME OFFICE 60533,A81000C,00300,0100,B 60533,A81000C,00300,0400,AS ATTACHED 60533,A81000C,00300,0600,VARIOUS 60533,A81000C,00400,0100,B 60533,A81000C,00400,0400,GEN HLTH VEN 60533,A81000C,00400,0600,HOME OFFICE 60533,B100000,00000,0100,00000(SQUARE FEET) 60533,B100000,00000,0101,00000(SQUARE FEET) 60533,B100000,00000,0200,00000(SQUARE FEET) 60533,B100000,00000,0201,00000(SQUARE FEET) 60533,B100000,00000,0300,00000(GROSS SALARIES) 60533,B100000,00000,0400,00000(ACCUM. COST) 60533,B100000,00000,0500,00000(SQUARE FEET) 60533,B100000,00000,0600,00000(PATIENT DAYS) 60533,B100000,00000,0700,00000(SQUARE FEET) 60533,B100000,00000,0800,00000(MEALS SERVED) 60533,B100000,00000,0801,00000(MEALS SERVED) 60533,B100000,00000,0900,00000(NURSING SALARIES) 60533,B100000,00000,1000,00000(COSTED REQUIS.) 60533,B100000,00000,1100,00000(COSTED REQUIS.) 60533,B100000,00000,1200,00000(PATIENT DAYS) 60533,B100000,00000,1300,00000(PATIENT DAYS) 60533,B100000,00000,1350,00000(PATIENT DAYS) 60533,B100000,00000,1400,00000(ASSIGNED TIME) 60533,E10A180,00301,0100,01/05/2000 60533,S000000,00100,0200,05/31/2000 60533,S200000,00100,0100,1700 WYNWOOD DRIVE 60533,S200000,00200,0100,CINNAMINSON 60533,S200000,00200,0200,NJ 60533,S200000,00300,0100,BURLINGTON 60533,S200000,00400,0100,CINNIMINSON 60533,S200000,00400,0200,315047 60533,S200000,00400,0300,01/01/1967 60533,S200000,00400,0500,P 60533,S200000,01600,0100,Y 60533,S200000,02200,0100,Y 60536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60536,A000000,00300,0000,00300EMPLOYEE BENEFITS 60536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60536,A000000,00700,0000,00700HOUSEKEEPING 60536,A000000,00800,0000,00800DIETARY 60536,A000000,00900,0000,00900NURSING ADMINISTRATION 60536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60536,A000000,01100,0000,01100PHARMACY 60536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60536,A000000,01300,0000,01300SOCIAL SERVICE 60536,A000000,01350,0000,01500RECREATIONAL THERAPY 60536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60536,A000000,01600,0000,01600SKILLED NURSING FACILITY 60536,A000000,01810,0000,01810ICF/MR 60536,A000000,02100,0000,02100RADIOLOGY 60536,A000000,02500,0000,02500PHYSICAL THERAPY 60536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60536,A000000,02700,0000,02700SPEECH PATHOLOGY 60536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60536,A000000,03550,0000,03550FQHC 60536,A000000,05000,0000,05000CORF 60536,A000000,05010,0000,05010CMHC 60536,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60536,A000000,06150,0000,06300OTHER NONREIMBURSABLE 60536,A81000A,00100,0100,Y 60536,A81000B,00100,0300,LONG TERM CARE FEES 60536,A81000B,00200,0300,VICARIATE OFFICE 60536,A81000B,00300,0300,LIABILITY INSURANCE 60536,A81000B,00400,0300,WORKERS COMPENSATION INSURANCE 60536,A81000B,00500,0300,BOILER INSURANCE 60536,A81000B,00600,0300,AUTO INSURANCE 60536,A81000C,00100,0100,B 60536,A81000C,00100,0200,DIOCESE-CAMDEN 60536,A81000C,00100,0400,OUR LADYS RES. 60536,A81000C,00100,0600,HOME OFFICE 60536,A81000C,00200,0100,B 60536,A81000C,00200,0200,DIOCESE-CAMDEN 60536,A81000C,00200,0400,OUR LADYS RES. 60536,A81000C,00200,0600,HOME OFFICE 60536,A81000C,00300,0100,B 60536,A81000C,00300,0200,DIOCESE-CAMDEN 60536,A81000C,00300,0400,OUR LADYS RES. 60536,A81000C,00300,0600,HOME OFFICE 60536,A81000C,00400,0100,B 60536,A81000C,00400,0200,DIOCESE-CAMDEN 60536,A81000C,00400,0400,OUR LADYS RES. 60536,A81000C,00400,0600,HOME OFFICE 60536,A81000C,00500,0100,B 60536,A81000C,00500,0200,DIOCESE-CAMDEN 60536,A81000C,00500,0400,OUR LADYS RES. 60536,A81000C,00500,0600,HOME OFFICE 60536,A81000C,00600,0100,B 60536,A81000C,00600,0200,DIOCESE-CAMDEN 60536,A81000C,00600,0400,OUR LADYS RES. 60536,A81000C,00600,0600,HOME OFFICE 60536,B100000,00000,0100,00000SQUARE FEET 60536,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 60536,B100000,00000,0300,00000GROSS SALARIES 60536,B100000,00000,0400,00000ACCUMULA- TED COST 60536,B100000,00000,0500,00000SQUARE FEET 60536,B100000,00000,0600,00000PATIENT DAYS 60536,B100000,00000,0700,00000SQUARE FEET 60536,B100000,00000,0800,00000MEALS SERVED 60536,B100000,00000,0900,00000HOURS OF SERVICE 60536,B100000,00000,1000,00000COSTED REQUIS 60536,B100000,00000,1100,00000COSTED REQUIS 60536,B100000,00000,1200,00000HOURS OF SERVICE 60536,B100000,00000,1300,00000HOURS OF SERVICE 60536,B100000,00000,1350,00000HOURS OF SERVICE 60536,B100000,00000,1400,00000ASSIGNED TIME 60536,S000000,00100,0200,05/31/2000 60536,S200000,00100,0100,1100 CLEMATIS AVENUE 60536,S200000,00200,0100,PLEASANTVILLE 60536,S200000,00200,0200,NJ 60536,S200000,00200,0300,08232 60536,S200000,00300,0100,ATLANTIC 60536,S200000,00400,0100,OUR LADYS RESIDENCE 60536,S200000,00400,0200,315054 60536,S200000,00400,0300,01/01/1967 60536,S200000,00400,0500,P 60536,S200000,01500,0100,Y 60536,S200000,02200,0100,Y 60538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60538,A000000,00300,0000,00300EMPLOYEE BENEFITS 60538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60538,A000000,00700,0000,00700HOUSEKEEPING 60538,A000000,00800,0000,00800DIETARY 60538,A000000,00900,0000,00900NURSING ADMINISTRATION 60538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60538,A000000,01100,0000,01100PHARMACY 60538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60538,A000000,01300,0000,01300SOCIAL SERVICE 60538,A000000,01350,0000,01500PATIENT ACTIVITIES 60538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60538,A000000,01600,0000,01600SKILLED NURSING FACILITY 60538,A000000,01800,0000,01800NURSING FACILITY 60538,A000000,01810,0000,01810ICF/MR 60538,A000000,02100,0000,02100RADIOLOGY 60538,A000000,02200,0000,02200LABORATORY 60538,A000000,02300,0000,02300INTRAVENOUS THERAPY 60538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60538,A000000,02500,0000,02500PHYSICAL THERAPY 60538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60538,A000000,02700,0000,02700SPEECH PATHOLOGY 60538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60538,A000000,03200,0000,03200SUPPORT SURFACES 60538,A000000,03550,0000,03550FQHC 60538,A000000,04800,0000,04800AMBULANCE 60538,A000000,05000,0000,05000CORF 60538,A000000,05010,0000,05010CMHC 60538,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60538,A81000A,00100,0100,Y 60538,A81000B,00100,0300,MGMT FEE/HOME OFFICE 60538,A81000C,00100,0100,A 60538,A81000C,00100,0200,BRANDYWINE SENI 60538,A81000C,00100,0400,BRANDYWINE SENI 60538,A81000C,00100,0600,HOME OFFICE 60538,B100000,00000,0100,00000(SQUARE FEET) 60538,B100000,00000,0200,00000SQUARE FEET 60538,B100000,00000,0300,00000(GROSS SALARIES) 60538,B100000,00000,0400,00000(ACCUM COST) 60538,B100000,00000,0500,00000(SQUARE FEET) 60538,B100000,00000,0600,00000(PATIENT CENSUS) 60538,B100000,00000,0700,00000(SQUARE FOOTAGE) 60538,B100000,00000,0800,00000(MEALS SERVED) 60538,B100000,00000,0900,00000(DIRECT NRSG HRS) 60538,B100000,00000,1000,00000COSTED REQUIS 60538,B100000,00000,1100,00000COSTED REQUIS 60538,B100000,00000,1200,00000TIME SPENT 60538,B100000,00000,1300,00000(PATIENT CENSUS) 60538,B100000,00000,1350,00000(PATIENT CENSUS) 60538,B100000,00000,1400,00000ASSIGNED TIME 60538,E10A180,00550,0100,07/04/2000 60538,S000000,00100,0200,05/31/2000 60538,S200000,00100,0100,101 WALNUT STREET 60538,S200000,00200,0100,NEPTUNE 60538,S200000,00200,0200,NJ 60538,S200000,00200,0300,07753 60538,S200000,00300,0100,MONMOUTH 60538,S200000,00400,0100,NEPTUNE CONVACENTER 60538,S200000,00400,0200,315056 60538,S200000,00400,0300,01/31/1967 60538,S200000,00400,0500,P 60538,S200000,01500,0100,Y 60538,S200000,04300,0100,Y 60538,S200000,04700,0100,Y 60538,S200000,04700,0200,Y 60540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60540,A000000,00300,0000,00300EMPLOYEE BENEFITS 60540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60540,A000000,00700,0000,00700HOUSEKEEPING 60540,A000000,00800,0000,00800DIETARY 60540,A000000,00900,0000,00900NURSING ADMINISTRATION 60540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60540,A000000,01100,0000,01100PHARMACY 60540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60540,A000000,01300,0000,01300SOCIAL SERVICE 60540,A000000,01350,0000,01500PATIENT ACTIVITIES 60540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60540,A000000,01600,0000,01600SKILLED NURSING FACILITY 60540,A000000,01800,0000,01800NURSING FACILITY 60540,A000000,01810,0000,01810ICF/MR 60540,A000000,02100,0000,02100RADIOLOGY 60540,A000000,02200,0000,02200LABORATORY 60540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60540,A000000,02500,0000,02500PHYSICAL THERAPY 60540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60540,A000000,02700,0000,02700SPEECH PATHOLOGY 60540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60540,A000000,03550,0000,03550FQHC 60540,A000000,04800,0000,04800AMBULANCE 60540,A000000,05000,0000,05000CORF 60540,A000000,05010,0000,05010CMHC 60540,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60540,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60540,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60540,B100000,00000,0100,00000SQUARE FEET 60540,B100000,00000,0200,00000SQUARE FEET 60540,B100000,00000,0300,00000GROSS SALARIES 60540,B100000,00000,0400,00000ACCUM COST 60540,B100000,00000,0500,00000SQUARE FEET 60540,B100000,00000,0600,00000PATIENT DAYS 60540,B100000,00000,0700,00000SQUARE FEET 60540,B100000,00000,0800,00000MEALS SERVED 60540,B100000,00000,0900,00000DIRECT NRSG HRS 60540,B100000,00000,1000,00000COSTED REQUIS 60540,B100000,00000,1100,00000COSTED REQUIS 60540,B100000,00000,1200,00000TIME SPENT 60540,B100000,00000,1300,00000PATIENT DAYS 60540,B100000,00000,1350,00000PATIENT DAYS 60540,B100000,00000,1400,00000ASSIGNED TIME 60540,E10A180,00501,0100,06/30/2000 60540,S000000,00100,0200,05/08/2000 60540,S200000,00100,0100,200 ROUTE 10 60540,S200000,00200,0100,SUCCASUNNA 60540,S200000,00200,0200,NJ 60540,S200000,00200,0300,07876 60540,S200000,00300,0100,MORRIS 60540,S200000,00400,0100,MERRY HEART 60540,S200000,00400,0200,315057 60540,S200000,00400,0300,01/01/1967 60540,S200000,00400,0500,P 60540,S200000,01600,0100,Y 60540,S200000,04300,0100,Y 60540,S200000,04700,0100,Y 60545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60545,A000000,00300,0000,00300EMPLOYEE BENEFITS 60545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60545,A000000,00700,0000,00700HOUSEKEEPING 60545,A000000,00800,0000,00800DIETARY 60545,A000000,00900,0000,00900NURSING ADMINISTRATION 60545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60545,A000000,01100,0000,01100PHARMACY 60545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60545,A000000,01300,0000,01300SOCIAL SERVICE 60545,A000000,01350,0000,01500PATIENT ACTIVITIES 60545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60545,A000000,01600,0000,01600SKILLED NURSING FACILITY 60545,A000000,02100,0000,02100RADIOLOGY 60545,A000000,02500,0000,02500PHYSICAL THERAPY 60545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60545,A000000,02700,0000,02700SPEECH PATHOLOGY 60545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60545,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60545,A000000,03550,0000,03550FQHC 60545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60545,A000000,05000,0000,05000CORF 60545,A000000,05010,0000,05010CMHC 60545,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60545,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60545,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60545,B100000,00000,0100,00000SQUARE FEET 60545,B100000,00000,0200,00000DOLLAR VALUE 60545,B100000,00000,0300,00000GROSS SALARIES 60545,B100000,00000,0400,00000ACCUM. COST 60545,B100000,00000,0500,00000SQUARE FEET 60545,B100000,00000,0600,00000PATIENT DAYS 60545,B100000,00000,0700,00000SQUARE FEET 60545,B100000,00000,0800,00000PATIENT DAYS 60545,B100000,00000,0900,00000PATIENT DAYS 60545,B100000,00000,1000,00000PATIENT DAYS 60545,B100000,00000,1100,00000PATIENT DAYS 60545,B100000,00000,1200,00000PATIENT DAYS 60545,B100000,00000,1300,00000PATIENT DAYS 60545,B100000,00000,1350,00000PATIENT DAYS 60545,B100000,00000,1400,00000ASSIGNED TIME 60545,S000000,00100,0200,05/25/2000 60545,S200000,00100,0100,436 WOODSTOWN ROAD 60545,S200000,00200,0100,SALEM 60545,S200000,00200,0200,NJ 60545,S200000,00300,0100,SALEM 60545,S200000,00400,0100,SALEM COUNTY NURSING HOME 60545,S200000,00400,0200,315058 60545,S200000,00400,0300,02/26/1968 60545,S200000,00400,0500,P 60545,S200000,01500,0100,Y 60548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60548,A000000,00300,0000,00300EMPLOYEE BENEFITS 60548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60548,A000000,00700,0000,00700HOUSEKEEPING 60548,A000000,00800,0000,00800DIETARY 60548,A000000,00900,0000,00900NURSING ADMINISTRATION 60548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60548,A000000,01100,0000,01100PHARMACY 60548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60548,A000000,01300,0000,01300SOCIAL SERVICE 60548,A000000,01350,0000,01500RECREATIONAL THERAPY 60548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60548,A000000,01600,0000,01600SKILLED NURSING FACILITY 60548,A000000,01810,0000,01810ICF/MR 60548,A000000,01900,0000,01900OTHER LONG TERM CARE 60548,A000000,02100,0000,02100RADIOLOGY 60548,A000000,02200,0000,02200LABORATORY 60548,A000000,02500,0000,02500PHYSICAL THERAPY 60548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60548,A000000,02700,0000,02700SPEECH PATHOLOGY 60548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60548,A000000,03550,0000,03550FQHC 60548,A000000,05000,0000,05000CORF 60548,A000000,05010,0000,05010CMHC 60548,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60548,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60548,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60548,A000000,06150,0000,06300OTHER NONREIMBURSABLE 60548,A000000,06201,0000,06201RESIDENTIAL 60548,A000000,06202,0000,06203VOLUNTEERS 60548,A81000A,00100,0100,Y 60548,A81000B,00100,0300,LONG TERM CARE FEE 60548,A81000B,00200,0300,VICARIATE OFFICE 60548,A81000B,00300,0300,LIABILITY INSURANCE 60548,A81000B,00400,0300,WORKERS COMPENSATION INSURANC 60548,A81000B,00500,0300,BOILER INSURANCE 60548,A81000B,00600,0300,AUTO INSURANCE 60548,A81000C,00100,0100,B 60548,A81000C,00100,0200,DIOCESE-CAMDEN 60548,A81000C,00100,0400,ST MARYS CH 60548,A81000C,00100,0600,HOME OFFICE 60548,A81000C,00200,0100,B 60548,A81000C,00200,0200,DIOCESE-CAMDEN 60548,A81000C,00200,0400,ST MARYS CH 60548,A81000C,00200,0600,HOME OFFICE 60548,A81000C,00300,0100,B 60548,A81000C,00300,0200,DIOCESE-CAMDEN 60548,A81000C,00300,0400,ST MARYS CH 60548,A81000C,00300,0600,HOME OFFICE 60548,A81000C,00400,0100,B 60548,A81000C,00400,0200,DIOCESE-CAMDEN 60548,A81000C,00400,0400,ST MARYS CH 60548,A81000C,00400,0600,HOME OFFICE 60548,A81000C,00500,0100,B 60548,A81000C,00500,0200,DIOCESE-CAMDEN 60548,A81000C,00500,0400,ST MARYS CH 60548,A81000C,00500,0600,HOME OFFICE 60548,A81000C,00600,0100,B 60548,A81000C,00600,0200,DIOCESE-CAMDEN 60548,A81000C,00600,0400,ST MARYS CH 60548,A81000C,00600,0600,HOME OFFICE 60548,B100000,00000,0100,00000SQUARE FEET 60548,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 60548,B100000,00000,0300,00000GROSS SALARIES 60548,B100000,00000,0400,00000ACCUMULA- TED COST 60548,B100000,00000,0500,00000SQUARE FEET 60548,B100000,00000,0600,00000PATIENT DAYS 60548,B100000,00000,0700,00000SQUARE FEET 60548,B100000,00000,0800,00000MEALS SERVED 60548,B100000,00000,0900,00000PATIENT DAYS 60548,B100000,00000,1000,00000COSTED REQUIS 60548,B100000,00000,1100,00000COSTED REQUIS 60548,B100000,00000,1200,00000HOURS OF SERVICE 60548,B100000,00000,1300,00000HOURS OF SERVICE 60548,B100000,00000,1350,00000HOURS OF SERVICE 60548,B100000,00000,1400,00000ASSIGNED TIME 60548,S000000,00100,0200,05/31/2000 60548,S200000,00100,0100,1730 KRESSON ROAD 60548,S200000,00200,0100,CHERRY HILL 60548,S200000,00200,0200,NJ 60548,S200000,00200,0300,08003 60548,S200000,00300,0100,CAMDEN 60548,S200000,00400,0100,ST MARYS CATHOLIC HOME 60548,S200000,00400,0200,315060 60548,S200000,00400,0300,01/01/1967 60548,S200000,00400,0500,P 60548,S200000,01500,0100,Y 60548,S200000,02200,0100,Y 60550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60550,A000000,00300,0000,00300EMPLOYEE BENEFITS 60550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60550,A000000,00700,0000,00700HOUSEKEEPING 60550,A000000,00800,0000,00800DIETARY 60550,A000000,00900,0000,00900NURSING ADMINISTRATION 60550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60550,A000000,01100,0000,01100PHARMACY 60550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60550,A000000,01300,0000,01300SOCIAL SERVICE 60550,A000000,01350,0000,01500PATIENT ACTIVITIES 60550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60550,A000000,01600,0000,01600SKILLED NURSING FACILITY 60550,A000000,01800,0000,01800NURSING FACILITY 60550,A000000,01810,0000,01810ICF/MR 60550,A000000,02100,0000,02100RADIOLOGY 60550,A000000,02200,0000,02200LABORATORY 60550,A000000,02300,0000,02300INTRAVENOUS THERAPY 60550,A000000,02500,0000,02500PHYSICAL THERAPY 60550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60550,A000000,02700,0000,02700SPEECH PATHOLOGY 60550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60550,A000000,03200,0000,03200SUPPORT SURFACES 60550,A000000,03550,0000,03550FQHC 60550,A000000,04800,0000,04800AMBULANCE 60550,A000000,05000,0000,05000CORF 60550,A000000,05010,0000,05010CMHC 60550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60550,A81000A,00100,0100,Y 60550,A81000B,00100,0300,HELP WANTED ADS 60550,A81000B,00200,0300,THERAPY SERVICES 60550,A81000B,00300,0300,THERAPY SERVICES 60550,A81000B,00400,0300,THERAPY SERVICES 60550,A81000B,00500,0300,FIN & MGMT SERVICES 60550,A81000B,00600,0300,FIN & MGMT SERVICES 60550,A81000C,00100,0100,B 60550,A81000C,00100,0200,MEGA CARE 60550,A81000C,00100,0400,HUMAN CONCEPTS 60550,A81000C,00100,0600,ADVERTISING 60550,A81000C,00200,0100,G 60550,A81000C,00200,0200,ST. BARNABAS HO 60550,A81000C,00200,0400,CARELINC 60550,A81000C,00200,0600,THERAPY 60550,A81000C,00300,0100,G 60550,A81000C,00300,0200,ST. BARNABAS HO 60550,A81000C,00300,0400,CARELINC 60550,A81000C,00300,0600,THERAPY 60550,A81000C,00400,0100,G 60550,A81000C,00400,0200,ST. BARNABAS HO 60550,A81000C,00400,0400,CARELINC 60550,A81000C,00400,0600,THERAPY 60550,A81000C,00500,0100,B 60550,A81000C,00500,0200,MEGA CARE 60550,A81000C,00500,0400,MEGA CARE 60550,A81000C,00500,0600,MANAGEMENT 60550,A81000C,00600,0100,B 60550,A81000C,00600,0200,ST. BARNABAS HO 60550,A81000C,00600,0400,ST. BARNABAS HO 60550,A81000C,00600,0600,MANAGEMENT 60550,B100000,00000,0100,00000(SQUARE FEET) 60550,B100000,00000,0200,00000SQUARE FEET 60550,B100000,00000,0300,00000(GROSS SALARIES) 60550,B100000,00000,0400,00000(ACCUM COST) 60550,B100000,00000,0500,00000(SQUARE FEET) 60550,B100000,00000,0600,00000(PATIENT CENSUS) 60550,B100000,00000,0700,00000(SQUARE FEET) 60550,B100000,00000,0800,00000(MEALS SERVED) 60550,B100000,00000,0900,00000(DIRECT NRSG HRS) 60550,B100000,00000,1000,00000COSTED REQUIS 60550,B100000,00000,1100,00000COSTED REQUIS 60550,B100000,00000,1200,00000(PATIENT CENSUS) 60550,B100000,00000,1300,00000(PATIENT CENSUS) 60550,B100000,00000,1350,00000(PATIENT CENSUS) 60550,B100000,00000,1400,00000ASSIGNED TIME 60550,E10A180,00501,0300,06/29/2000 60550,E10A180,00550,0100,06/29/2000 60550,S000000,00100,0200,05/30/2000 60550,S200000,00100,0100,1610 RARITAN ROAD 60550,S200000,00200,0100,SCOTCH PLAINS 60550,S200000,00200,0200,NJ 60550,S200000,00200,0300,07076 60550,S200000,00300,0100,UNION 60550,S200000,00400,0100,ASHBROOK NURSING HOME 60550,S200000,00400,0200,315064 60550,S200000,00400,0300,06/01/1985 60550,S200000,00400,0500,P 60550,S200000,01600,0100,Y 60550,S200000,04300,0100,Y 60550,S200000,04700,0100,Y 60550,S200000,04700,0200,Y 60553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60553,A000000,00300,0000,00300EMPLOYEE BENEFITS 60553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60553,A000000,00700,0000,00700HOUSEKEEPING 60553,A000000,00800,0000,00800DIETARY 60553,A000000,00900,0000,00900NURSING ADMINISTRATION 60553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60553,A000000,01100,0000,01100PHARMACY 60553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60553,A000000,01300,0000,01300SOCIAL SERVICE 60553,A000000,01350,0000,01500PATIENT ACTIVITIES 60553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60553,A000000,01600,0000,01600SKILLED NURSING FACILITY 60553,A000000,01800,0000,01800NURSING FACILITY 60553,A000000,01810,0000,01810ICF/MR 60553,A000000,02100,0000,02100RADIOLOGY 60553,A000000,02200,0000,02200LABORATORY 60553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60553,A000000,02500,0000,02500PHYSICAL THERAPY 60553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60553,A000000,02700,0000,02700SPEECH PATHOLOGY 60553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60553,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60553,A000000,03550,0000,03550FQHC 60553,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60553,A000000,05000,0000,05000CORF 60553,A000000,05010,0000,05010CMHC 60553,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60553,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60553,A81000A,00100,0100,Y 60553,A81000B,00100,0300,HOME OFFICE 60553,A81000B,00200,0300,MGT FEE - CHA 60553,A81000C,00100,0100,G 60553,A81000C,00100,0200,CONTINENTAL 60553,A81000C,00100,0600,MANAGEMENT 60553,A81000C,00200,0100,G 60553,A81000C,00200,0200,CONTINENTAL 60553,A81000C,00200,0600,MANAGEMENT 60553,B100000,00000,0100,00000SQUARE FEET 60553,B100000,00000,0200,00000NO STATISTICS 60553,B100000,00000,0300,00000GROSS SALARIES 60553,B100000,00000,0400,00000ACCUM. COST 60553,B100000,00000,0500,00000SQUARE FEET 60553,B100000,00000,0600,00000PATIENT DAYS 60553,B100000,00000,0700,00000SQUARE FEET 60553,B100000,00000,0800,00000PATIENT DAYS 60553,B100000,00000,0900,00000DIRECT NURS S 60553,B100000,00000,1000,00000PATIENT DAYS 60553,B100000,00000,1100,00000PATIENT DAYS 60553,B100000,00000,1200,00000PATIENT DAYS 60553,B100000,00000,1300,00000PATIENT DAYS 60553,B100000,00000,1350,00000PATIENT DAYS 60553,B100000,00000,1400,00000ASSIGNED TIME 60553,E10A180,00501,0100,09/22/2000 60553,E10A180,00502,0100,09/22/2000 60553,S000000,00100,0200,07/22/2000 60553,S200000,00100,0100,777 NORTHFIELD AVENUE 60553,S200000,00200,0100,WEST ORANGE 60553,S200000,00200,0200,NJ 60553,S200000,00300,0100,ESSEX 60553,S200000,00400,0100,NORTHFIELD MANOR CC 60553,S200000,00400,0200,315066 60553,S200000,00400,0300,01/25/1976 60553,S200000,00400,0500,P 60553,S200000,01600,0100,Y 60557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60557,A000000,00300,0000,00300EMPLOYEE BENEFITS 60557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60557,A000000,00700,0000,00700HOUSEKEEPING 60557,A000000,00800,0000,00800DIETARY 60557,A000000,00900,0000,00900NURSING ADMINISTRATION 60557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60557,A000000,01100,0000,01100PHARMACY 60557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60557,A000000,01300,0000,01300SOCIAL SERVICE 60557,A000000,01350,0000,01500PATIENT ACTIVITIES 60557,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60557,A000000,01600,0000,01600SKILLED NURSING FACILITY 60557,A000000,01810,0000,01810ICF/MR 60557,A000000,02100,0000,02100RADIOLOGY 60557,A000000,02200,0000,02200LABORATORY 60557,A000000,02500,0000,02500PHYSICAL THERAPY 60557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60557,A000000,02700,0000,02700SPEECH PATHOLOGY 60557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60557,A000000,03550,0000,03550FQHC 60557,A000000,05000,0000,05000CORF 60557,A000000,05010,0000,05010CMHC 60557,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60557,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60557,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60557,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60557,A000000,06150,0000,06300NON REIMBUSABLE 60557,B100000,00000,0100,00000SQUARE FEET 60557,B100000,00000,0200,00000SQUARE FEET 60557,B100000,00000,0300,00000GROSS SALARIES 60557,B100000,00000,0400,00000ACCUM COST 60557,B100000,00000,0500,00000SQUARE FEET 60557,B100000,00000,0600,00000POUNDS OF LAUNDRY 60557,B100000,00000,0700,00000HOURS OF SERVICE 60557,B100000,00000,0800,00000MEALS SERVED 60557,B100000,00000,0900,00000DIRECT NRSG HRS 60557,B100000,00000,1000,00000COSTED REQUIS 60557,B100000,00000,1100,00000COSTED REQUIS 60557,B100000,00000,1200,00000TIME SPENT 60557,B100000,00000,1300,00000TIME SPENT 60557,B100000,00000,1350,00000CENSUS 60557,B100000,00000,1400,00000ASSIGNED TIME 60557,S000000,00100,0200,05/30/2000 60557,S200000,00100,0100,3025 WEST CHAPEL AVENUE 60557,S200000,00200,0100,CHERRY HILL 60557,S200000,00200,0200,NJ 60557,S200000,00200,0300,08002 60557,S200000,00300,0100,CAMDEN 60557,S200000,00400,0100,JEWISH GERIATRIC HOME 60557,S200000,00400,0200,315068 60557,S200000,00400,0300,01/01/1974 60557,S200000,00400,0500,P 60557,S200000,01500,0100,Y 60557,S200000,04300,0100,Y 60560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60560,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60560,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60560,A000000,00300,0000,00300EMPLOYEE BENEFITS 60560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60560,A000000,00700,0000,00700HOUSEKEEPING 60560,A000000,00800,0000,00800DIETARY 60560,A000000,00801,0000,00801CAFETERIA 60560,A000000,00900,0000,00900NURSING ADMINISTRATION 60560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60560,A000000,01100,0000,01100PHARMACY 60560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60560,A000000,01300,0000,01300SOCIAL SERVICE 60560,A000000,01350,0000,01500RECREATION 60560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60560,A000000,01600,0000,01600SKILLED NURSING FACILITY 60560,A000000,01800,0000,01800NURSING FACILITY 60560,A000000,01810,0000,01810ICF/MR 60560,A000000,02100,0000,02100RADIOLOGY 60560,A000000,02200,0000,02200LABORATORY 60560,A000000,02300,0000,02300INTRAVENOUS THERAPY 60560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60560,A000000,02500,0000,02500PHYSICAL THERAPY 60560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60560,A000000,02700,0000,02700SPEECH PATHOLOGY 60560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60560,A000000,03050,0000,03300PEN THERAPY 60560,A000000,03051,0000,03301FEE SCREENING 60560,A000000,03052,0000,03302OTHER ANCILLARY III 60560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60560,A000000,03550,0000,03550FQHC 60560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60560,A000000,05000,0000,05000CORF I 60560,A000000,05010,0000,05010CMHC I 60560,A000000,05020,0000,05020OPT I 60560,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60560,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60560,A000000,05300,0000,05300INTEREST EXPENSE 60560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60560,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60560,A81000A,00100,0100,Y 60560,A81000B,00100,0300,HOME OFFICE 60560,A81000B,00200,0300,HOME OFFICE CAPITAL 60560,A81000B,00300,0300,AS ATTACHED 60560,A81000B,00400,0300,HOME OFFICE CAPITAL 60560,A81000C,00100,0100,B 60560,A81000C,00100,0400,GEN HLTH VEN 60560,A81000C,00100,0600,HOME OFFICE 60560,A81000C,00200,0100,B 60560,A81000C,00200,0400,GEN HLTH VEN 60560,A81000C,00200,0600,HOME OFFICE 60560,A81000C,00300,0100,B 60560,A81000C,00300,0400,AS ATTACHED 60560,A81000C,00300,0600,VARIOUS 60560,A81000C,00400,0100,B 60560,A81000C,00400,0400,GEN HLTH VEN 60560,A81000C,00400,0600,HOME OFFICE 60560,B100000,00000,0100,00000(SQUARE FEET) 60560,B100000,00000,0101,00000(SQUARE FEET) 60560,B100000,00000,0200,00000(SQUARE FEET) 60560,B100000,00000,0201,00000(SQUARE FEET) 60560,B100000,00000,0300,00000(GROSS SALARIES) 60560,B100000,00000,0400,00000(ACCUM. COST) 60560,B100000,00000,0500,00000(SQUARE FEET) 60560,B100000,00000,0600,00000(PATIENT DAYS) 60560,B100000,00000,0700,00000(SQUARE FEET) 60560,B100000,00000,0800,00000(MEALS SERVED) 60560,B100000,00000,0801,00000(MEALS SERVED) 60560,B100000,00000,0900,00000(NURSING SALARIES) 60560,B100000,00000,1000,00000(COSTED REQUIS.) 60560,B100000,00000,1100,00000(COSTED REQUIS.) 60560,B100000,00000,1200,00000(PATIENT DAYS) 60560,B100000,00000,1300,00000(PATIENT DAYS) 60560,B100000,00000,1350,00000(PATIENT DAYS) 60560,B100000,00000,1400,00000(ASSIGNED TIME) 60560,E10A180,00301,0100,01/05/2000 60560,S000000,00100,0200,05/31/2000 60560,S200000,00100,0100,1201 PARKWAY AVE. 60560,S200000,00200,0100,TRENTON 60560,S200000,00200,0200,NJ 60560,S200000,00200,0300,08628 60560,S200000,00300,0100,MERCER 60560,S200000,00400,0100,EWING CENTER 60560,S200000,00400,0200,315075 60560,S200000,00400,0300,09/01/1967 60560,S200000,00400,0500,P 60560,S200000,01600,0100,Y 60560,S200000,02200,0100,Y 60562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60562,A000000,00300,0000,00300EMPLOYEE BENEFITS 60562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60562,A000000,00700,0000,00700HOUSEKEEPING 60562,A000000,00800,0000,00800DIETARY 60562,A000000,00900,0000,00900NURSING ADMINISTRATION 60562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60562,A000000,01100,0000,01100PHARMACY 60562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60562,A000000,01300,0000,01300SOCIAL SERVICE 60562,A000000,01350,0000,01500ACTIVITIES 60562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60562,A000000,01600,0000,01600SKILLED NURSING FACILITY 60562,A000000,01810,0000,01810ICF/MR 60562,A000000,01900,0000,01900OTHER LONG TERM CARE 60562,A000000,02100,0000,02100RADIOLOGY 60562,A000000,02200,0000,02200LABORATORY 60562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60562,A000000,02500,0000,02500PHYSICAL THERAPY 60562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60562,A000000,02700,0000,02700SPEECH PATHOLOGY 60562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60562,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60562,A000000,03550,0000,03550FQHC 60562,A000000,04800,0000,04800AMBULANCE 60562,A000000,05000,0000,05000CORF 60562,A000000,05010,0000,05010CMHC 60562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60562,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60562,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60562,B100000,00000,0100,00000SQUARE FEET 60562,B100000,00000,0200,00000SQUARE FEET 60562,B100000,00000,0300,00000GROSS SALARIES 60562,B100000,00000,0400,00000ACCUM COST 60562,B100000,00000,0500,00000SQUARE FEET 60562,B100000,00000,0600,00000POUNDS OF LAUNDRY 60562,B100000,00000,0700,00000SQUARE FEET 60562,B100000,00000,0800,00000MEALS SERVED 60562,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60562,B100000,00000,1000,00000COSTED REQUISITIO 60562,B100000,00000,1100,00000COSTED REQUISITIO 60562,B100000,00000,1200,00000TIME SPENT 60562,B100000,00000,1300,00000TIME SPENT 60562,B100000,00000,1350,00000PATIENT DAYS 60562,B100000,00000,1400,00000ASSIGNED TIME 60562,S000000,00100,0200,06/06/2000 60562,S200000,00100,0100,309 BRIDGEBORO RD 60562,S200000,00200,0100,MOORESTOWN 60562,S200000,00200,0200,NJ 60562,S200000,00200,0300,08057 60562,S200000,00300,0100,BURLINGTON 60562,S200000,00400,0100,THE EVERGREENS 60562,S200000,00400,0200,315077 60562,S200000,00400,0300,01/01/1968 60562,S200000,00400,0500,P 60562,S200000,01600,0100,Y 60565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60565,A000000,00300,0000,00300EMPLOYEE BENEFITS 60565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60565,A000000,00700,0000,00700HOUSEKEEPING 60565,A000000,00800,0000,00800DIETARY 60565,A000000,00900,0000,00900NURSING ADMINISTRATION 60565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60565,A000000,01100,0000,01100PHARMACY 60565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60565,A000000,01300,0000,01300SOCIAL SERVICE 60565,A000000,01350,0000,01500ACTIVITIES 60565,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60565,A000000,01600,0000,01600SKILLED NURSING FACILITY 60565,A000000,01800,0000,01800NURSING FACILITY 60565,A000000,01810,0000,01810ICF/MR 60565,A000000,02100,0000,02100RADIOLOGY 60565,A000000,02200,0000,02200LABORATORY 60565,A000000,02500,0000,02500PHYSICAL THERAPY 60565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60565,A000000,02700,0000,02700SPEECH PATHOLOGY 60565,A000000,02800,0000,02800ELECTROCARDIOLOGY 60565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60565,A000000,03200,0000,03200SUPPORT SURFACES 60565,A000000,03550,0000,03550FQHC 60565,A000000,05000,0000,05000CORF 60565,A000000,05010,0000,05010CMHC 60565,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60565,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60565,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60565,A000000,06150,0000,06300DENTAL 60565,A000000,06151,0000,06301CLINIC 60565,A000000,06152,0000,06302ADULT DAY CARE 60565,A000000,06153,0000,06303ALZHEIMERS 60565,B100000,00000,0100,00003SQUARE FEET 60565,B100000,00000,0200,00003SQUARE FEET 60565,B100000,00000,0300,00003GROSS SALARIES 60565,B100000,00000,0400,00003ACCUM COST 60565,B100000,00000,0500,00003SQUARE FEET 60565,B100000,00000,0600,00003PATIENT DAYS 60565,B100000,00000,0700,00003SQUARE FEET 60565,B100000,00000,0800,00003MEALS SERVED 60565,B100000,00000,0900,00003DIR NURSIN HRS OF SVC 60565,B100000,00000,1000,00003PATIENT DAYS 60565,B100000,00000,1100,00003PATIENT DAYS 60565,B100000,00000,1200,00003PATIENT DAYS 60565,B100000,00000,1300,00003PATIENT DAYS 60565,B100000,00000,1350,00003PATIENT DAYS 60565,B100000,00000,1400,00003ASSIGNED TIME 60565,E10A180,00501,0100,07/18/2000 60565,S000000,00100,0200,06/01/2000 60565,S200000,00100,0100,128 STEVENS ST 60565,S200000,00200,0100,JERSEY CITY 60565,S200000,00200,0200,NJ 60565,S200000,00200,0300,07305 60565,S200000,00300,0100,HUDSON 60565,S200000,00400,0100,FRANCISCAN HEALTH SYSTEMS OF NJ 60565,S200000,00400,0200,315083 60565,S200000,00400,0300,01/01/1967 60565,S200000,00400,0500,P 60565,S200000,01600,0100,Y 60567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60567,A000000,00300,0000,00300EMPLOYEE BENEFITS 60567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60567,A000000,00700,0000,00700HOUSEKEEPING 60567,A000000,00800,0000,00800DIETARY 60567,A000000,00900,0000,00900NURSING ADMINISTRATION 60567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60567,A000000,01100,0000,01100PHARMACY 60567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60567,A000000,01300,0000,01300SOCIAL SERVICE 60567,A000000,01350,0000,01500RECREATION 60567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60567,A000000,01600,0000,01600SKILLED NURSING FACILITY 60567,A000000,01810,0000,01810ICF/MR 60567,A000000,01900,0000,01900OTHER LONG TERM CARE 60567,A000000,02100,0000,02100RADIOLOGY 60567,A000000,02200,0000,02200LABORATORY 60567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60567,A000000,02500,0000,02500PHYSICAL THERAPY 60567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60567,A000000,02700,0000,02700SPEECH PATHOLOGY 60567,A000000,02800,0000,02800ELECTROCARDIOLOGY 60567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60567,A000000,03200,0000,03200SUPPORT SURFACES 60567,A000000,03550,0000,03550FQHC 60567,A000000,05000,0000,05000CORF 60567,A000000,05010,0000,05010CMHC 60567,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60567,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60567,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60567,B100000,00000,0100,00000(SQUARE FEET) 60567,B100000,00000,0200,00000SQUARE FEET 60567,B100000,00000,0300,00000(GROSS SALARIES) 60567,B100000,00000,0400,00000(ACCUM COST) 60567,B100000,00000,0500,00000(SQUARE FEET) 60567,B100000,00000,0600,00000ACTUAL COST 60567,B100000,00000,0700,00000SQUARE FEET 60567,B100000,00000,0800,00000(MEALS SERVED) 60567,B100000,00000,0900,00000(DIRECT NRSG HRS) 60567,B100000,00000,1000,00000(COSTED REQUIS) 60567,B100000,00000,1100,00000(COSTED REQUIS) 60567,B100000,00000,1200,00000CENSUS 60567,B100000,00000,1300,00000CENSUS 60567,B100000,00000,1350,00000CENSUS 60567,B100000,00000,1400,00000ASSIGNED TIME 60567,E10A180,00501,0300,06/27/2000 60567,E10A180,00550,0100,06/27/2000 60567,S000000,00100,0200,06/01/2000 60567,S200000,00100,0100,360 CHESTNUT STREET 60567,S200000,00200,0100,PASSAIC 60567,S200000,00200,0200,NJ 60567,S200000,00200,0300,07055 60567,S200000,00300,0100,PASSAIC 60567,S200000,00400,0100,CHESTNUT HILL CONVALESCENT CTR. 60567,S200000,00400,0200,315085 60567,S200000,00400,0300,04/01/1968 60567,S200000,00400,0500,P 60567,S200000,01500,0100,Y 60571,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60571,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60571,A000000,00300,0000,00300EMPLOYEE BENEFITS 60571,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60571,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60571,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60571,A000000,00700,0000,00700HOUSEKEEPING 60571,A000000,00800,0000,00800DIETARY 60571,A000000,00900,0000,00900NURSING ADMINISTRATION 60571,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60571,A000000,01100,0000,01100PHARMACY 60571,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60571,A000000,01300,0000,01300SOCIAL SERVICE 60571,A000000,01350,0000,01500ACTIVITIES 60571,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60571,A000000,01600,0000,01600SKILLED NURSING FACILITY 60571,A000000,01810,0000,01810ICF/MR 60571,A000000,02100,0000,02100RADIOLOGY 60571,A000000,02200,0000,02200LABORATORY 60571,A000000,02500,0000,02500PHYSICAL THERAPY 60571,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60571,A000000,02700,0000,02700SPEECH PATHOLOGY 60571,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60571,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60571,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60571,A000000,03550,0000,03550FQHC 60571,A000000,04800,0000,04800AMBULANCE 60571,A000000,05000,0000,05000CORF 60571,A000000,05010,0000,05010CMHC 60571,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60571,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60571,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60571,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60571,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60571,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60571,B100000,00000,0100,00000SQUARE FEET 60571,B100000,00000,0200,00000SQUARE FEET 60571,B100000,00000,0300,00000GROSS SALARIES 60571,B100000,00000,0400,00000ACCUM COST 60571,B100000,00000,0500,00000SQUARE FEET 60571,B100000,00000,0600,00000POUNDS OF LAUNDRY 60571,B100000,00000,0700,00000HOURS OF SERVICE 60571,B100000,00000,0800,00000MEALS SERVED 60571,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60571,B100000,00000,1000,00000COSTED REQUISITIO 60571,B100000,00000,1100,00000COSTED REQUISITIO 60571,B100000,00000,1200,00000TIME SPENT 60571,B100000,00000,1300,00000TIME SPENT 60571,B100000,00000,1350,00000PATIENT DAYS 60571,B100000,00000,1400,00000ASSIGNED TIME 60571,E10A180,00301,0100,10/31/1999 60571,E10A180,00302,0100,12/31/1999 60571,E10A180,00501,0100,07/20/2000 60571,S000000,00100,0200,05/26/2000 60571,S200000,00100,0100,400 STATE HIGHWAY 36 60571,S200000,00200,0100,NAVESINK 60571,S200000,00200,0200,NJ 60571,S200000,00200,0300,07752 60571,S200000,00300,0100,MONMOUTH 60571,S200000,00400,0100,KING JAMES CENTER OF MIDDLETOWN 60571,S200000,00400,0200,315087 60571,S200000,00400,0300,06/11/1968 60571,S200000,00400,0500,P 60571,S200000,01500,0100,Y 60574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60574,A000000,00300,0000,00300EMPLOYEE BENEFITS 60574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60574,A000000,00700,0000,00700HOUSEKEEPING 60574,A000000,00800,0000,00800DIETARY 60574,A000000,00900,0000,00900NURSING ADMINISTRATION 60574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60574,A000000,01100,0000,01100PHARMACY 60574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60574,A000000,01300,0000,01300SOCIAL SERVICE 60574,A000000,01350,0000,01500PATIENT ACTIVITIES 60574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60574,A000000,01600,0000,01600SKILLED NURSING FACILITY 60574,A000000,01800,0000,01800NURSING FACILITY 60574,A000000,01810,0000,01810ICF/MR 60574,A000000,02100,0000,02100RADIOLOGY 60574,A000000,02200,0000,02200LABORATORY 60574,A000000,02500,0000,02500PHYSICAL THERAPY 60574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60574,A000000,02700,0000,02700SPEECH PATHOLOGY 60574,A000000,02800,0000,02800ELECTROCARDIOLOGY 60574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60574,A000000,03550,0000,03550FQHC 60574,A000000,05000,0000,05000CORF 60574,A000000,05010,0000,05010CMHC 60574,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60574,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60574,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60574,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60574,A81000A,00100,0100,Y 60574,A81000B,00100,0300,SAL-EXEC MANAGER-D.G. 60574,A81000B,00200,0300,EXEC. ADMINISTRATOR 60574,A81000B,00300,0300,SAL-EXEC. MANAG-M.G. 60574,A81000B,00400,0300,INTEREST EXP-STOCKHOLDERS 60574,A81000C,00100,0100,A 60574,A81000C,00100,0200,DORIS GREENBERG 60574,A81000C,00100,0400,MANAGEMENT 60574,A81000C,00200,0100,A 60574,A81000C,00200,0200,SEYMOUR GREENBERG 60574,A81000C,00200,0400,MANAGEMENT 60574,A81000C,00300,0100,A 60574,A81000C,00300,0200,MICHAEL GREENBERG 60574,A81000C,00300,0400,MANAGEMENT 60574,B100000,00000,0100,00000SQUARE FEET 60574,B100000,00000,0200,00000SQUARE FEET 60574,B100000,00000,0300,00000GROSS SALARIES 60574,B100000,00000,0400,00000ACCUM. COST 60574,B100000,00000,0500,00000SQUARE FEET 60574,B100000,00000,0600,00000POUNDS OF LAUNDRY 60574,B100000,00000,0700,00000SQ FT EXC. KIT. 60574,B100000,00000,0800,00000MEALS SERVED 60574,B100000,00000,0900,00000PATIENT DAYS 60574,B100000,00000,1000,00000PATIENT DAYS 60574,B100000,00000,1100,00000PATIENT DAYS 60574,B100000,00000,1200,00000PATIENT DAYS 60574,B100000,00000,1300,00000PATIENT DAYS 60574,B100000,00000,1350,00000PATIENT DAYS 60574,B100000,00000,1400,00000ASSIGNED TIME 60574,E10A180,00501,0100,01/18/2001 60574,E10A180,00501,0300,01/18/2001 60574,S000000,00100,0200,11/24/2000 60574,S200000,00100,0100,105 BIRTHWOOD AVENUE 60574,S200000,00200,0100,CRANFORD 60574,S200000,00200,0200,NJ 60574,S200000,00200,0300,07016 60574,S200000,00300,0100,U 60574,S200000,00400,0100,CRANFORD HEALTH ECC 60574,S200000,00400,0200,315091 60574,S200000,00400,0300,09/01/1967 60574,S200000,00400,0500,P 60574,S200000,01600,0100,Y 60578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60578,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60578,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60578,A000000,00300,0000,00300EMPLOYEE BENEFITS 60578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60578,A000000,00700,0000,00700HOUSEKEEPING 60578,A000000,00800,0000,00800DIETARY 60578,A000000,00801,0000,00801CAFETERIA 60578,A000000,00900,0000,00900NURSING ADMINISTRATION 60578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60578,A000000,01100,0000,01100PHARMACY 60578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60578,A000000,01300,0000,01300SOCIAL SERVICE 60578,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 60578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60578,A000000,01600,0000,01600SKILLED NURSING FACILITY 60578,A000000,01800,0000,01800NURSING FACILITY 60578,A000000,01810,0000,01810ICF/MR 60578,A000000,02100,0000,02100RADIOLOGY 60578,A000000,02200,0000,02200LABORATORY 60578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60578,A000000,02500,0000,02500PHYSICAL THERAPY 60578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60578,A000000,02700,0000,02700SPEECH PATHOLOGY 60578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60578,A000000,03050,0000,03300PEN THERAPY 60578,A000000,03051,0000,03301FEE SCREENING 60578,A000000,03052,0000,03302OTHER ANCILLARY III 60578,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60578,A000000,03550,0000,03550FQHC 60578,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60578,A000000,05000,0000,05000CORF I 60578,A000000,05010,0000,05010CMHC I 60578,A000000,05020,0000,05020OPT I 60578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60578,A000000,05300,0000,05300INTEREST EXPENSE 60578,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60578,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60578,A81000A,00100,0100,Y 60578,A81000B,00100,0300,SEE ATTACHED 60578,A81000B,00200,0300,HOME OFFICE 60578,A81000B,00300,0300,HOME OFFICE 60578,A81000B,00400,0300,CAPITAL INTEREST 60578,A81000C,00100,0100,B 60578,A81000C,00100,0400,AS ATTACHED 60578,A81000C,00100,0600,VARIOUS 60578,A81000C,00200,0100,B 60578,A81000C,00200,0400,GHV 60578,A81000C,00200,0600,LONG TERM CARE 60578,A81000C,00300,0100,B 60578,A81000C,00300,0400,GHV 60578,A81000C,00300,0600,LONG TERM CARE 60578,A81000C,00400,0100,B 60578,A81000C,00400,0400,GHV 60578,A81000C,00400,0600,LONG TERM CARE 60578,B100000,00000,0100,00000(SQUARE FEET) 60578,B100000,00000,0101,00000(SQUARE FEET) 60578,B100000,00000,0200,00000(SQUARE FEET) 60578,B100000,00000,0201,00000(SQUARE FEET) 60578,B100000,00000,0300,00000(GROSS SALARIES) 60578,B100000,00000,0400,00000(ACCUM. COST) 60578,B100000,00000,0500,00000(SQUARE FEET) 60578,B100000,00000,0600,00000(PATIENT DAYS) 60578,B100000,00000,0700,00000(SQUARE FEET) 60578,B100000,00000,0800,00000(MEALS SERVED) 60578,B100000,00000,0801,00000(MEALS SERVED) 60578,B100000,00000,0900,00000(NURSING SALARIES) 60578,B100000,00000,1000,00000COST REQ 60578,B100000,00000,1100,00000(PATIENT DAYS) 60578,B100000,00000,1200,00000(PATIENT DAYS) 60578,B100000,00000,1300,00000(PATIENT DAYS) 60578,B100000,00000,1350,00000(PATIENT DAYS) 60578,B100000,00000,1400,00000(ASSIGNED TIME) 60578,E10A180,00301,0100,01/05/2000 60578,S000000,00100,0200,05/31/2000 60578,S200000,00100,0100,2240 WHITEHORSE-MERCERVILLE RD 60578,S200000,00200,0100,MERCERVILLE 60578,S200000,00200,0200,NJ 60578,S200000,00200,0300,08619 60578,S200000,00300,0100,MERCER 60578,S200000,00400,0100,MERCERVILLE 60578,S200000,00400,0200,315094 60578,S200000,00400,0300,01/01/1994 60578,S200000,00400,0500,P 60578,S200000,01600,0100,Y 60578,S200000,02200,0100,Y 60580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60580,A000000,00300,0000,00300EMPLOYEE BENEFITS 60580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60580,A000000,00700,0000,00700HOUSEKEEPING 60580,A000000,00800,0000,00800DIETARY 60580,A000000,00900,0000,00900NURSING ADMINISTRATION 60580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60580,A000000,01100,0000,01100PHARMACY 60580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60580,A000000,01300,0000,01300SOCIAL SERVICE 60580,A000000,01350,0000,01500PATIENT ACTIVITIES 60580,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60580,A000000,01600,0000,01600SKILLED NURSING FACILITY 60580,A000000,01810,0000,01810ICF/MR 60580,A000000,02100,0000,02100RADIOLOGY 60580,A000000,02500,0000,02500PHYSICAL THERAPY 60580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60580,A000000,03550,0000,03550FQHC 60580,A000000,05000,0000,05000CORF 60580,A000000,05010,0000,05010CMHC 60580,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60580,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60580,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60580,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60580,B100000,00000,0100,00000SQUARE FEET 60580,B100000,00000,0200,00000SQUARE FEET 60580,B100000,00000,0300,00000GROSS SALARIES 60580,B100000,00000,0400,00000ACCUM COST 60580,B100000,00000,0500,00000SQUARE FEET 60580,B100000,00000,0600,00000POUNDS OF LAUNDRY 60580,B100000,00000,0700,00000HOURS OF SERVICE 60580,B100000,00000,0800,00000MEALS SERVED 60580,B100000,00000,0900,00000DIRECT NRSG HRS 60580,B100000,00000,1000,00000COSTED REQUIS 60580,B100000,00000,1100,00000COSTED REQUIS 60580,B100000,00000,1200,00000TIME SPENT 60580,B100000,00000,1300,00000TIME SPENT 60580,B100000,00000,1350,00000(PATIENT CENSUS) 60580,B100000,00000,1400,00000ASSIGNED TIME 60580,E10A180,00501,0100,02/17/2000 60580,E10A180,00501,0300,02/17/2000 60580,S000000,00100,0200,02/03/2000 60580,S200000,00100,0100,59 BIRCH 60580,S200000,00200,0100,PATERSON 60580,S200000,00200,0200,NJ 60580,S200000,00200,0300,07502 60580,S200000,00300,0100,PASSAIC 60580,S200000,00400,0100,WHITE BIRCH NURSING HOME 60580,S200000,00400,0200,315096 60580,S200000,00400,0300,01/01/1967 60580,S200000,00400,0500,P 60580,S200000,01500,0100,Y 60580,S200000,04300,0100,Y 60584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60584,A000000,00300,0000,00300EMPLOYEE BENEFITS 60584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60584,A000000,00700,0000,00700HOUSEKEEPING 60584,A000000,00800,0000,00800DIETARY 60584,A000000,00900,0000,00900NURSING ADMINISTRATION 60584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60584,A000000,01100,0000,01100PHARMACY 60584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60584,A000000,01300,0000,01300SOCIAL SERVICE 60584,A000000,01350,0000,01500PATIENT ACTIVITIES 60584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60584,A000000,01600,0000,01600SKILLED NURSING FACILITY 60584,A000000,01800,0000,01800NURSING FACILITY 60584,A000000,01810,0000,01810ICF/MR 60584,A000000,02200,0000,02200LABORATORY 60584,A000000,02300,0000,02300INTRAVENOUS THERAPY 60584,A000000,02500,0000,02500PHYSICAL THERAPY 60584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60584,A000000,02700,0000,02700SPEECH PATHOLOGY 60584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60584,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60584,A000000,03200,0000,03200SUPPORT SURFACES 60584,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60584,A000000,03550,0000,03550FQHC 60584,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60584,A000000,05000,0000,05000CORF 60584,A000000,05010,0000,05010CMHC 60584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60584,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60584,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60584,A81000A,00100,0100,Y 60584,A81000B,00100,0300,PT SALARY & FRINGES 60584,A81000B,00200,0300,OT SALARY & FRINGES 60584,A81000B,00300,0300,ST SALARY & FRINGES 60584,A81000B,00400,0300,ADMINISTRATIVE SALARY & FRG 60584,A81000B,00500,0300,PERSONNEL SALARY & FRINGES 60584,A81000B,00600,0300,ORG/PROF/DEV SALARY & FRINGE 60584,A81000B,00700,0300,ACCTING SALARY & FRINGES 60584,A81000B,00800,0300,MAINTENANCE SALARY & FRINGES 60584,A81000B,00900,0300,MEDICAL DIRECTOR 60584,A81000B,01000,0300,MGT PURCHASE SERVICES 60584,A81000B,01100,0300,DEPRECIATION 4TH FLOOR 60584,A81000B,01200,0300,SUPPLIES 60584,A81000B,01300,0300,LEGAL 60584,A81000B,01400,0300,INSURANCE - VEHICLES 60584,A81000B,01500,0300,INSURANCE LIABILITY 60584,A81000B,01600,0300,WORKERS COMP 60584,A81000B,01700,0300,HEALTH INSURANCE PREMIUMS 60584,A81000C,00100,0100,B 60584,A81000C,00100,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,00200,0100,B 60584,A81000C,00200,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,00300,0100,B 60584,A81000C,00300,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,00400,0100,B 60584,A81000C,00400,0400,HARTWYCK AT OAKTREE/EDISO 60584,A81000C,00500,0100,B 60584,A81000C,00500,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,00600,0100,B 60584,A81000C,00600,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,00700,0100,B 60584,A81000C,00700,0400,HARTWYCK AT OAKTREE/EDISO 60584,A81000C,00800,0100,B 60584,A81000C,00800,0400,HARTWYCK AT OAKTREE 60584,A81000C,00900,0100,B 60584,A81000C,00900,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,01000,0100,B 60584,A81000C,01000,0400,JFK SOLARIS HEALTH SYSTEM 60584,A81000C,01100,0100,B 60584,A81000C,01100,0400,JFK SOLARIS HEALTH SYSTEM 60584,A81000C,01200,0100,B 60584,A81000C,01200,0400,JFK SOLARIS HEALTH SYSTEM 60584,A81000C,01300,0100,B 60584,A81000C,01300,0400,JFK SOLARIS HEALTHSYSTEM 60584,A81000C,01400,0100,B 60584,A81000C,01400,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,01500,0100,B 60584,A81000C,01500,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,01600,0100,B 60584,A81000C,01600,0400,COMMUNITY HOSPITAL GROUP 60584,A81000C,01700,0100,B 60584,A81000C,01700,0400,COMMUNITY HOSPITAL GROUP 60584,B100000,00000,0100,00000SQUARE FEET 60584,B100000,00000,0200,00000NO STATISTICS 60584,B100000,00000,0300,00000GROSS SALARIES 60584,B100000,00000,0400,00000ACCUM. COST 60584,B100000,00000,0500,00000SQUARE FEET 60584,B100000,00000,0600,00000PATIENT DAYS 60584,B100000,00000,0700,00000SQUARE FEET 60584,B100000,00000,0800,00000PATIENT DAYS 60584,B100000,00000,0900,00000DIRECT NRSING HRS 60584,B100000,00000,1000,00000PATIENT DAYS 60584,B100000,00000,1100,00000PATIENT DAYS 60584,B100000,00000,1200,00000PATIENT DAYS 60584,B100000,00000,1300,00000PATIENT DAYS 60584,B100000,00000,1350,00000PATIENT DAYS 60584,B100000,00000,1400,00000ASSIGNED TIME 60584,E10A180,00501,0100,07/10/2000 60584,S000000,00100,0200,06/05/2000 60584,S200000,00100,0100,1340 PARK AVENUE 60584,S200000,00200,0100,PLAINFIELD 60584,S200000,00200,0200,NJ 60584,S200000,00200,0300,07060 60584,S200000,00300,0100,UNION 60584,S200000,00400,0100,HARTWYCK AT PLAINFIELD 60584,S200000,00400,0200,315101 60584,S200000,00400,0300,01/01/1973 60584,S200000,00400,0500,P 60584,S200000,01600,0100,Y 60586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60586,A000000,00300,0000,00300EMPLOYEE BENEFITS 60586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60586,A000000,00700,0000,00700HOUSEKEEPING 60586,A000000,00800,0000,00800DIETARY 60586,A000000,00900,0000,00900NURSING ADMINISTRATION 60586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60586,A000000,01100,0000,01100PHARMACY 60586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60586,A000000,01300,0000,01300SOCIAL SERVICE 60586,A000000,01350,0000,01500PATIENT ACTIVITIES 60586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60586,A000000,01600,0000,01600SKILLED NURSING FACILITY 60586,A000000,01810,0000,01810ICF/MR 60586,A000000,02100,0000,02100RADIOLOGY 60586,A000000,02200,0000,02200LABORATORY 60586,A000000,02300,0000,02300INTRAVENOUS THERAPY 60586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60586,A000000,02500,0000,02500PHYSICAL THERAPY 60586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60586,A000000,02700,0000,02700SPEECH PATHOLOGY 60586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60586,A000000,03200,0000,03200SUPPORT SURFACES 60586,A000000,03550,0000,03550FQHC 60586,A000000,05000,0000,05000CORF 60586,A000000,05010,0000,05010CMHC 60586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60586,A81000A,00100,0100,Y 60586,A81000B,00100,0300,RENT 60586,A81000B,00200,0300,PROF & BANK FEES 60586,A81000B,00300,0300,INTEREST 60586,A81000B,00400,0300,DEPRECIATION 60586,A81000B,00500,0300,MORTGAGE COST 60586,A81000C,00100,0100,A 60586,A81000C,00100,0200,D. GROSS 60586,A81000C,00100,0400,296 HAMBURG 60586,A81000C,00100,0600,REALTY 60586,B100000,00000,0100,00000(SQUARE FEET) 60586,B100000,00000,0200,00000SQUARE FEET 60586,B100000,00000,0300,00000(GROSS SALARIES) 60586,B100000,00000,0400,00000(ACCUM COST) 60586,B100000,00000,0500,00000(SQUARE FEET) 60586,B100000,00000,0600,00000(PATIENT CENSUS) 60586,B100000,00000,0700,00000(SQUARE FEET) 60586,B100000,00000,0800,00000(MEALS SERVED) 60586,B100000,00000,0900,00000(PATIENT CENSUS) 60586,B100000,00000,1000,00000COSTED REQUIS 60586,B100000,00000,1100,00000COSTED REQUIS 60586,B100000,00000,1200,00000(PATIENT CENSUS) 60586,B100000,00000,1300,00000(PATIENT CENSUS_ 60586,B100000,00000,1350,00000(PATIENT CENSUS) 60586,B100000,00000,1400,00000ASSIGNED TIME 60586,E10A180,00501,0100,07/18/2000 60586,E10A180,00501,0300,07/18/2000 60586,S000000,00100,0200,05/30/2000 60586,S200000,00100,0100,296 HAMBURG TURNPIKE 60586,S200000,00200,0100,REGENCY GARDENS NURSING CENTER 60586,S200000,00200,0200,315103 60586,S200000,00200,0300,07470 60586,S200000,00300,0100,PASSAIC 60586,S200000,00400,0100,REGENCY GARDENS NURSING CENTER 60586,S200000,00400,0200,315103 60586,S200000,00400,0300,07/01/1969 60586,S200000,00400,0500,P 60586,S200000,01500,0100,Y 60586,S200000,01900,0100,LLC 60586,S200000,03300,0100,Y 60586,S200000,03300,0200,Y 60586,S200000,04300,0100,Y 60588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60588,A000000,00300,0000,00300EMPLOYEE BENEFITS 60588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60588,A000000,00700,0000,00700HOUSEKEEPING 60588,A000000,00800,0000,00800DIETARY 60588,A000000,00900,0000,00900NURSING ADMINISTRATION 60588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60588,A000000,01100,0000,01100PHARMACY 60588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60588,A000000,01300,0000,01300SOCIAL SERVICE 60588,A000000,01350,0000,01500PATIENT ACTIVITIES 60588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60588,A000000,01600,0000,01600SKILLED NURSING FACILITY 60588,A000000,01800,0000,01800NURSING FACILITY 60588,A000000,01810,0000,01810ICF/MR 60588,A000000,02100,0000,02100RADIOLOGY 60588,A000000,02200,0000,02200LABORATORY 60588,A000000,02300,0000,02300INTRAVENOUS THERAPY 60588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60588,A000000,02500,0000,02500PHYSICAL THERAPY 60588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60588,A000000,02700,0000,02700SPEECH PATHOLOGY 60588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60588,A000000,03200,0000,03200SUPPORT SURFACES 60588,A000000,03550,0000,03550FQHC 60588,A000000,04800,0000,04800AMBULANCE 60588,A000000,05000,0000,05000CORF 60588,A000000,05010,0000,05010CMHC 60588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60588,A81000A,00100,0100,Y 60588,A81000B,00100,0300,HELP WANTED ADS 60588,A81000B,00200,0300,THERAPY SERVICES 60588,A81000B,00300,0300,THERAPY SERVICES 60588,A81000B,00400,0300,THERAPY SERVICES 60588,A81000B,00500,0300,MANAGEMENT SERVICES 60588,A81000B,00600,0300,MGMT & SUPPORT SERV 60588,A81000B,00700,0300,VARIOUS PERSONNEL 60588,A81000C,00100,0100,G 60588,A81000C,00100,0200,MEGA CARE 60588,A81000C,00100,0400,HUMAN CONCEPTS 60588,A81000C,00100,0600,ADVERTISING 60588,A81000C,00200,0100,G 60588,A81000C,00200,0200,ST. BARN. HOSP 60588,A81000C,00200,0400,CARELINC 60588,A81000C,00200,0600,THERAPY 60588,A81000C,00300,0100,G 60588,A81000C,00300,0200,ST. BARN HOSP 60588,A81000C,00300,0400,CARELINC 60588,A81000C,00300,0600,THERAPY 60588,A81000C,00400,0100,G 60588,A81000C,00400,0200,ST. BARN. HOSP 60588,A81000C,00400,0400,CARELINC 60588,A81000C,00400,0600,THERAPY 60588,A81000C,00500,0100,G 60588,A81000C,00500,0200,MEGA CARE 60588,A81000C,00500,0400,MEGA CARE 60588,A81000C,00500,0600,MANAGEMENT SERV 60588,A81000C,00600,0100,G 60588,A81000C,00600,0200,ST. BARN HOSP 60588,A81000C,00600,0400,ST. BARN HOSP 60588,A81000C,00600,0600,ADMIN SUPPORT 60588,A81000C,00700,0100,G 60588,A81000C,00700,0200,ST. BARN HOSP 60588,A81000C,00700,0400,ST. BARN HOSP 60588,A81000C,00700,0600,ADMINISTRATIVE 60588,B100000,00000,0100,00000(SQUARE FEET) 60588,B100000,00000,0200,00000SQUARE FEET 60588,B100000,00000,0300,00000(GROSS SALARIES) 60588,B100000,00000,0400,00000(ACCUM COST) 60588,B100000,00000,0500,00000(SQUARE FEET) 60588,B100000,00000,0600,00000(PATIENT CENSUS) 60588,B100000,00000,0700,00000(SQUARE FEET) 60588,B100000,00000,0800,00000(MEALS SERVED) 60588,B100000,00000,0900,00000(DIRECT NRSG HRS) 60588,B100000,00000,1000,00000COSTED REQUIS 60588,B100000,00000,1100,00000COSTED REQUIS 60588,B100000,00000,1200,00000TIME SPENT 60588,B100000,00000,1300,00000(PATIENT CENSUS) 60588,B100000,00000,1350,00000(PATIENT CENSUS) 60588,B100000,00000,1400,00000ASSIGNED TIME 60588,E10A180,00550,0100,06/30/2000 60588,E10A180,00550,0300,06/30/2000 60588,S000000,00100,0200,05/16/2000 60588,S200000,00100,0100,234 CHESTNUT STREET 60588,S200000,00200,0100,UNION 60588,S200000,00200,0200,NJ 60588,S200000,00200,0300,07083 60588,S200000,00300,0100,UNION 60588,S200000,00400,0100,CORNELL HALL CONVALESCENT CENTER 60588,S200000,00400,0200,315104 60588,S200000,00400,0300,06/28/1969 60588,S200000,00400,0500,P 60588,S200000,01600,0100,Y 60588,S200000,02200,0100,Y 60588,S200000,04300,0100,Y 60588,S200000,04700,0100,Y 60588,S200000,04700,0200,Y 60591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60591,A000000,00300,0000,00300EMPLOYEE BENEFITS 60591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60591,A000000,00700,0000,00700HOUSEKEEPING 60591,A000000,00800,0000,00800DIETARY 60591,A000000,00900,0000,00900NURSING ADMINISTRATION 60591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60591,A000000,01100,0000,01100PHARMACY 60591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60591,A000000,01300,0000,01300SOCIAL SERVICE 60591,A000000,01350,0000,01500RECREATION 60591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60591,A000000,01600,0000,01600SKILLED NURSING FACILITY 60591,A000000,01810,0000,01810ICF/MR 60591,A000000,02100,0000,02100RADIOLOGY 60591,A000000,02200,0000,02200LABORATORY 60591,A000000,02500,0000,02500PHYSICAL THERAPY 60591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60591,A000000,02700,0000,02700SPEECH PATHOLOGY 60591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60591,A000000,03550,0000,03550FQHC 60591,A000000,04800,0000,04800AMBULANCE 60591,A000000,05000,0000,05000CORF 60591,A000000,05010,0000,05010CMHC 60591,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60591,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60591,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60591,B100000,00000,0100,00040(SQUARE FEET) 60591,B100000,00000,0200,00040SQUARE FEET 60591,B100000,00000,0300,00040(GROSS SALARIES) 60591,B100000,00000,0400,00040(ACCUM COST) 60591,B100000,00000,0500,00040(SQUARE FEET) 60591,B100000,00000,0600,00040CENSUS 60591,B100000,00000,0700,00040SQUARE FEET 60591,B100000,00000,0800,00040(MEALS SERVED) 60591,B100000,00000,0900,00040DIRECT NRSG HRS 60591,B100000,00000,1000,00040CENSUS 60591,B100000,00000,1100,00040COSTED REQUIS 60591,B100000,00000,1200,00040TIME SPENT 60591,B100000,00000,1300,00040CENSUS 60591,B100000,00000,1350,00040CENSUS 60591,B100000,00000,1400,00040ASSIGNED TIME 60591,E10A180,00501,0100,07/11/2000 60591,E10A180,00501,0300,07/11/2000 60591,S000000,00100,0200,05/24/2000 60591,S200000,00100,0100,1048 GROVE STREET 60591,S200000,00200,0100,ELIZABETH NURSING HOME 60591,S200000,00200,0200,315106 60591,S200000,00200,0300,07202 60591,S200000,00300,0100,UNION 60591,S200000,00400,0100,ELIZABETH NURSING HOME 60591,S200000,00400,0200,315106 60591,S200000,00400,0300,01/01/1969 60591,S200000,00400,0500,P 60591,S200000,01500,0100,Y 60591,S200000,04300,0100,Y 60595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60595,A000000,00300,0000,00300EMPLOYEE BENEFITS 60595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60595,A000000,00700,0000,00700HOUSEKEEPING 60595,A000000,00800,0000,00800DIETARY 60595,A000000,00900,0000,00900NURSING ADMINISTRATION 60595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60595,A000000,01100,0000,01100PHARMACY 60595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60595,A000000,01300,0000,01300SOCIAL SERVICE 60595,A000000,01350,0000,01500PATIENT ACTIVITIES 60595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60595,A000000,01600,0000,01600SKILLED NURSING FACILITY 60595,A000000,01810,0000,01810ICF/MR 60595,A000000,02100,0000,02100RADIOLOGY 60595,A000000,02200,0000,02200LABORATORY 60595,A000000,02300,0000,02300INTRAVENOUS THERAPY 60595,A000000,02500,0000,02500PHYSICAL THERAPY 60595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60595,A000000,02700,0000,02700SPEECH PATHOLOGY 60595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60595,A000000,03550,0000,03550FQHC 60595,A000000,04800,0000,04800AMBULANCE 60595,A000000,05000,0000,05000CORF 60595,A000000,05010,0000,05010CMHC 60595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60595,B100000,00000,0100,00000(SQUARE FEET) 60595,B100000,00000,0200,00000SQUARE FEET 60595,B100000,00000,0300,00000(GROSS SALARIES) 60595,B100000,00000,0400,00000(ACCUM COST) 60595,B100000,00000,0500,00000(SQUARE FEET) 60595,B100000,00000,0600,00000(PATIENT DAYS) 60595,B100000,00000,0700,00000(SQUARE FEET) 60595,B100000,00000,0800,00000(MEALS SERVED) 60595,B100000,00000,0900,00000(DIRECT NRSG HRS) 60595,B100000,00000,1000,00000COSTED REQUIS 60595,B100000,00000,1100,00000COSTED REQUIS 60595,B100000,00000,1200,00000TIME SPENT 60595,B100000,00000,1300,00000(PATIENT DAYS) 60595,B100000,00000,1350,00000(PATIENT DAYS) 60595,B100000,00000,1400,00000ASSIGNED TIME 60595,E10A180,00301,0100,01/05/2000 60595,E10A180,00501,0100,07/21/2000 60595,E10A180,00501,0300,07/21/2000 60595,S000000,00100,0200,05/03/2000 60595,S200000,00100,0100,35 QUARRY STREET 60595,S200000,00200,0100,PRINCETON 60595,S200000,00200,0200,NJ 60595,S200000,00200,0300,08540 60595,S200000,00300,0100,MERCER 60595,S200000,00400,0100,PRINCETON NURSING HOME 60595,S200000,00400,0200,315108 60595,S200000,00400,0300,01/01/1967 60595,S200000,00400,0500,P 60595,S200000,01500,0100,Y 60595,S200000,04300,0100,Y 60595,S200000,04900,0100,Y 60599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60599,A000000,00300,0000,00300EMPLOYEE BENEFITS 60599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60599,A000000,00700,0000,00700HOUSEKEEPING 60599,A000000,00800,0000,00800DIETARY 60599,A000000,00900,0000,00900NURSING ADMINISTRATION 60599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60599,A000000,01100,0000,01100PHARMACY 60599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60599,A000000,01300,0000,01300SOCIAL SERVICE 60599,A000000,01350,0000,01500PATIENT ACTIVITIES 60599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60599,A000000,01600,0000,01600SKILLED NURSING FACILITY 60599,A000000,01800,0000,01800NURSING FACILITY 60599,A000000,01810,0000,01810ICF/MR 60599,A000000,02200,0000,02200LABORATORY 60599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60599,A000000,02500,0000,02500PHYSICAL THERAPY 60599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60599,A000000,02700,0000,02700SPEECH PATHOLOGY 60599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60599,A000000,03550,0000,03550FQHC 60599,A000000,05000,0000,05000CORF 60599,A000000,05010,0000,05010CMHC 60599,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60599,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60599,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60599,A81000A,00100,0100,Y 60599,A81000B,00100,0300,RENT 60599,A81000B,00200,0300,R. E. TAXES 60599,A81000B,00300,0300,DEPRECIATION 60599,A81000B,00400,0300,INTEREST 60599,A81000B,00500,0300,AMORTIZATION 60599,A81000C,00100,0100,A 60599,A81000C,00100,0200,R. F. GROSSO S 60599,A81000C,00100,0400,R. F. GROSSO S 60599,A81000C,00100,0600,REALTY 60599,B100000,00000,0100,00000(SQUARE FEET) 60599,B100000,00000,0200,00000SQUARE FEET 60599,B100000,00000,0300,00000(GROSS SALARIES) 60599,B100000,00000,0400,00000(ACCUM COST) 60599,B100000,00000,0500,00000(SQUARE FEET) 60599,B100000,00000,0600,00000(PATIENT DAYS) 60599,B100000,00000,0700,00000(SQUARE FEET) 60599,B100000,00000,0800,00000(MEALS SERVED) 60599,B100000,00000,0900,00000(DIRECT HOURS) 60599,B100000,00000,1000,00000(PATIENT DAYS) 60599,B100000,00000,1100,00000COSTED REQUIS 60599,B100000,00000,1200,00000(PATIENT DAYS) 60599,B100000,00000,1300,00000(PATIENT DAYS) 60599,B100000,00000,1350,00000(PATIENT DAYS) 60599,B100000,00000,1400,00000ASSIGNED TIME 60599,S000000,00100,0200,01/02/2001 60599,S200000,00100,0100,130 TERHUNE DRIVE 60599,S200000,00200,0100,WAYNE 60599,S200000,00200,0200,NJ 60599,S200000,00200,0300,07470 60599,S200000,00300,0100,P 60599,S200000,00400,0100,LAKEVIEW SUBACUTE CARE CENTER 60599,S200000,00400,0200,315110 60599,S200000,00400,0300,09/23/1969 60599,S200000,00400,0500,P 60599,S200000,01600,0100,Y 60599,S200000,04300,0100,Y 60602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60602,A000000,00300,0000,00300EMPLOYEE BENEFITS 60602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60602,A000000,00700,0000,00700HOUSEKEEPING 60602,A000000,00800,0000,00800DIETARY 60602,A000000,00900,0000,00900NURSING ADMINISTRATION 60602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60602,A000000,01100,0000,01100PHARMACY 60602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60602,A000000,01300,0000,01300SOCIAL SERVICE 60602,A000000,01350,0000,01500ACTIVITIES 60602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60602,A000000,01600,0000,01600SKILLED NURSING FACILITY 60602,A000000,01800,0000,01800NURSING FACILITY 60602,A000000,01810,0000,01810ICF/MR 60602,A000000,02500,0000,02500PHYSICAL THERAPY 60602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60602,A000000,02700,0000,02700SPEECH PATHOLOGY 60602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60602,A000000,03550,0000,03550FQHC 60602,A000000,05000,0000,05000CORF 60602,A000000,05010,0000,05010CMHC 60602,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60602,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60602,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60602,B100000,00000,0100,00040(SQUARE FEET) 60602,B100000,00000,0200,00040(SQUARE FEET) 60602,B100000,00000,0300,00040(GROSS SALARIES) 60602,B100000,00000,0400,00040(ACCUM COST) 60602,B100000,00000,0500,00040(SQUARE FEET) 60602,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 60602,B100000,00000,0700,00040(HOURS OF SERVICE) 60602,B100000,00000,0800,00040(MEALS SERVED) 60602,B100000,00000,0900,00040(DIRECT NRSG HRS) 60602,B100000,00000,1000,00040(COSTED REQUIS) 60602,B100000,00000,1100,00040(COSTED REQUIS) 60602,B100000,00000,1200,00040(TIME SPENT) 60602,B100000,00000,1300,00040(TIME SPENT) 60602,B100000,00000,1350,00040PAT. DAYS 60602,B100000,00000,1400,00040(ASSIGNED TIME) 60602,E10A180,00501,0100,07/19/2000 60602,S000000,00100,0200,06/12/2000 60602,S200000,00100,0100,1501 STATE HWY 33 60602,S200000,00200,0100,TRENTON 60602,S200000,00200,0200,NJ 60602,S200000,00200,0300,08690 60602,S200000,00300,0100,MERCER 60602,S200000,00400,0100,ARCADIA NURSING & REHAB. CENTER 60602,S200000,00400,0200,315111 60602,S200000,00400,0300,11/01/1988 60602,S200000,00400,0500,P 60602,S200000,01600,0100,Y 60602,S200000,01900,0100,NON-PROFIT ORGANIZATION 60602,S200000,02200,0100,Y 60602,S200000,03100,0100,Y 60605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60605,A000000,00300,0000,00300EMPLOYEE BENEFITS 60605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60605,A000000,00700,0000,00700HOUSEKEEPING 60605,A000000,00800,0000,00800DIETARY 60605,A000000,00900,0000,00900NURSING ADMINISTRATION 60605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60605,A000000,01100,0000,01100PHARMACY 60605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60605,A000000,01300,0000,01300SOCIAL SERVICE 60605,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 60605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60605,A000000,01600,0000,01600SKILLED NURSING FACILITY 60605,A000000,01800,0000,01800NURSING FACILITY 60605,A000000,01810,0000,01810ICF/MR 60605,A000000,02100,0000,02100RADIOLOGY 60605,A000000,02200,0000,02200LABORATORY 60605,A000000,02500,0000,02500PHYSICAL THERAPY 60605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60605,A000000,02700,0000,02700SPEECH PATHOLOGY 60605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60605,A000000,03200,0000,03200SUPPORT SURFACES 60605,A000000,03550,0000,03550FQHC 60605,A000000,04800,0000,04800AMBULANCE 60605,A000000,05000,0000,05000CORF 60605,A000000,05010,0000,05010CMHC 60605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60605,A000000,06150,0000,06300ROOMS RENTED TO THERAPIST 60605,B100000,00000,0100,00000(SQUARE FEET) 60605,B100000,00000,0200,00000SQUARE FEET 60605,B100000,00000,0300,00000(GROSS SALARIES) 60605,B100000,00000,0400,00000(ACCUM COST) 60605,B100000,00000,0500,00000(SQUARE FEET) 60605,B100000,00000,0600,00000(PATIENT CENSUS) 60605,B100000,00000,0700,00000(SQUARE FEET) 60605,B100000,00000,0800,00000(MEALS SERVED) 60605,B100000,00000,0900,00000(DIRECT NRSG HRS) 60605,B100000,00000,1000,00000COSTED REQUIS 60605,B100000,00000,1100,00000COSTED REQUIS 60605,B100000,00000,1200,00000(PATIENT CENSUS) 60605,B100000,00000,1300,00000(TIME SPENT) 60605,B100000,00000,1350,00000(PATIENT CENSUS) 60605,B100000,00000,1400,00000ASSIGNED TIME 60605,E10A180,00551,0100,09/11/2000 60605,S000000,00100,0200,08/29/2000 60605,S200000,00100,0100,622 SOUTH LAUREL AVENUE 60605,S200000,00200,0100,HAZLET 60605,S200000,00200,0200,NJ 60605,S200000,00200,0300,07730 60605,S200000,00300,0100,MONMOUTH 60605,S200000,00400,0100,ARNOLD WALTER NURSING HOME 60605,S200000,00400,0200,315119 60605,S200000,00400,0300,09/19/1970 60605,S200000,00400,0500,P 60605,S200000,01600,0100,Y 60605,S200000,04300,0100,Y 60611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60611,A000000,00300,0000,00300EMPLOYEE BENEFITS 60611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60611,A000000,00700,0000,00700HOUSEKEEPING 60611,A000000,00800,0000,00800DIETARY 60611,A000000,00900,0000,00900NURSING ADMINISTRATION 60611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60611,A000000,01100,0000,01100PHARMACY 60611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60611,A000000,01300,0000,01300SOCIAL SERVICE 60611,A000000,01350,0000,01500ACTIVITIES 60611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60611,A000000,01600,0000,01600SKILLED NURSING FACILITY 60611,A000000,01800,0000,01800NURSING FACILITY 60611,A000000,01810,0000,01810ICF/MR 60611,A000000,02100,0000,02100RADIOLOGY 60611,A000000,02200,0000,02200LABORATORY 60611,A000000,02300,0000,02300INTRAVENOUS THERAPY 60611,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60611,A000000,02500,0000,02500PHYSICAL THERAPY 60611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60611,A000000,02700,0000,02700SPEECH PATHOLOGY 60611,A000000,02800,0000,02800ELECTROCARDIOLOGY 60611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60611,A000000,03200,0000,03200SUPPORT SURFACES 60611,A000000,03550,0000,03550FQHC 60611,A000000,04800,0000,04800AMBULANCE 60611,A000000,05000,0000,05000CORF 60611,A000000,05010,0000,05010CMHC 60611,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60611,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60611,B100000,00000,0100,00000SQUARE FEET 60611,B100000,00000,0200,00000SQUARE FEET 60611,B100000,00000,0300,00000GROSS SALARIES 60611,B100000,00000,0400,00000ACCUM COST 60611,B100000,00000,0500,00000SQUARE FEET 60611,B100000,00000,0600,00000POUNDS OF LAUNDRY 60611,B100000,00000,0700,00000SQUARE FEET 60611,B100000,00000,0800,00000MEALS SERVED 60611,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60611,B100000,00000,1000,00000PATIENT DAYS 60611,B100000,00000,1100,00000PATIENT DAYS 60611,B100000,00000,1200,00000TIME SPENT 60611,B100000,00000,1300,00000TIME SPENT 60611,B100000,00000,1350,00000TIME SPENT 60611,B100000,00000,1400,00000ASSIGNED TIME 60611,E10A180,00301,0100,12/22/1999 60611,S000000,00100,0200,05/24/2000 60611,S200000,00100,0100,415 SOUTHERN BLVD. 60611,S200000,00200,0100,CHATHAM 60611,S200000,00200,0200,NJ 60611,S200000,00200,0300,07928 60611,S200000,00300,0100,MORRIS 60611,S200000,00400,0100,KING JAMES CARE CENTER OF CHATHAM 60611,S200000,00400,0200,315120 60611,S200000,00400,0300,08/04/1970 60611,S200000,00400,0500,P 60611,S200000,01600,0100,Y 60611,S200000,02800,0100,Y 60611,S200000,02900,0100,Y 60611,S200000,03000,0100,Y 60611,S200000,04700,0100,Y 60611,S200000,04700,0200,Y 60614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60614,A000000,00300,0000,00300EMPLOYEE BENEFITS 60614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60614,A000000,00700,0000,00700HOUSEKEEPING 60614,A000000,00800,0000,00800DIETARY 60614,A000000,00900,0000,00900NURSING ADMINISTRATION 60614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60614,A000000,01100,0000,01100PHARMACY 60614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60614,A000000,01300,0000,01300SOCIAL SERVICE 60614,A000000,01350,0000,01500ACTIVITIES 60614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60614,A000000,01600,0000,01600SKILLED NURSING FACILITY 60614,A000000,01800,0000,01800NURSING FACILITY 60614,A000000,01810,0000,01810ICF/MR 60614,A000000,02100,0000,02100RADIOLOGY 60614,A000000,02200,0000,02200LABORATORY 60614,A000000,02300,0000,02300INTRAVENOUS THERAPY 60614,A000000,02500,0000,02500PHYSICAL THERAPY 60614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60614,A000000,02700,0000,02700SPEECH PATHOLOGY 60614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60614,A000000,03550,0000,03550FQHC 60614,A000000,05000,0000,05000CORF 60614,A000000,05010,0000,05010CMHC 60614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60614,B100000,00000,0100,00000SQUARE FEET 60614,B100000,00000,0200,00000SQUARE FEET 60614,B100000,00000,0300,00000GROSS SALARIES 60614,B100000,00000,0400,00000ACCUM COST 60614,B100000,00000,0500,00000SQUARE FEET 60614,B100000,00000,0600,00000PATIENT DAYS 60614,B100000,00000,0700,00000SQUARE FEET 60614,B100000,00000,0800,00000MEALS SERVED 60614,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60614,B100000,00000,1000,00000PATIENT DAYS 60614,B100000,00000,1100,00000PATIENT DAYS 60614,B100000,00000,1200,00000PATIENT DAYS 60614,B100000,00000,1300,00000PATIENT DAYS 60614,B100000,00000,1350,00000PATIENT DAYS 60614,B100000,00000,1400,00000ASSIGNED TIME 60614,E10A180,00501,0100,07/03/2000 60614,E10A180,00501,0300,07/03/2000 60614,S000000,00100,0200,06/06/2000 60614,S200000,00100,0100,LAKESIDE BOULEVARD 60614,S200000,00200,0100,BAYVILLE 60614,S200000,00200,0200,NJ 60614,S200000,00200,0300,08721 60614,S200000,00300,0100,OCEAN 60614,S200000,00400,0100,CRYSTAL LAKE HEALTH CARE & REHAB 60614,S200000,00400,0200,315125 60614,S200000,00400,0300,05/09/1971 60614,S200000,00400,0500,P 60614,S200000,01600,0100,Y 60617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60617,A000000,00300,0000,00300EMPLOYEE BENEFITS 60617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60617,A000000,00700,0000,00700HOUSEKEEPING 60617,A000000,00800,0000,00800DIETARY 60617,A000000,00900,0000,00900NURSING ADMINISTRATION 60617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60617,A000000,01100,0000,01100PHARMACY 60617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60617,A000000,01300,0000,01300SOCIAL SERVICE 60617,A000000,01350,0000,01500RECREATIONAL THERAPY 60617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60617,A000000,01600,0000,01600SKILLED NURSING FACILITY 60617,A000000,01810,0000,01810ICF/MR 60617,A000000,02100,0000,02100RADIOLOGY 60617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60617,A000000,02500,0000,02500PHYSICAL THERAPY 60617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60617,A000000,02700,0000,02700SPEECH PATHOLOGY 60617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60617,A000000,03550,0000,03550FQHC 60617,A000000,05000,0000,05000CORF 60617,A000000,05010,0000,05010CMHC 60617,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60617,A000000,06150,0000,06300OTHER NONREIMBURSABLE 60617,A000000,06201,0000,06201RESIDENTIAL 60617,A000000,06202,0000,06203VOLUNTEERS 60617,A81000A,00100,0100,Y 60617,A81000B,00100,0300,LONG TERM CARE FEE 60617,A81000B,00200,0300,VICARIATE OFFICE 60617,A81000B,00300,0300,LIABILITY INSURANCE 60617,A81000B,00400,0300,WORKERS COMPENSATION INSURANC 60617,A81000B,00500,0300,BOILER INSURANCE 60617,A81000B,00600,0300,AUTO INSURANCE 60617,A81000C,00100,0100,B 60617,A81000C,00100,0200,DIOCESE-CAMDEN 60617,A81000C,00100,0400,BISHOP MCCARTHY 60617,A81000C,00100,0600,HOME OFFICE 60617,A81000C,00200,0100,B 60617,A81000C,00200,0200,DIOCESE-CAMDEN 60617,A81000C,00200,0400,BISHOP MCCARTHY 60617,A81000C,00200,0600,HOME OFFICE 60617,A81000C,00300,0100,B 60617,A81000C,00300,0200,DIOCESE-CAMDEN 60617,A81000C,00300,0400,BISHOP MCCARTHY 60617,A81000C,00300,0600,HOME OFFICE 60617,A81000C,00400,0100,B 60617,A81000C,00400,0200,DIOCESE-CAMDEN 60617,A81000C,00400,0400,BISHOP MCCARTHY 60617,A81000C,00400,0600,HOME OFFICE 60617,A81000C,00500,0100,B 60617,A81000C,00500,0200,DIOCESE-CAMDEN 60617,A81000C,00500,0400,BISHOP MCCARTHY 60617,A81000C,00500,0600,HOME OFFICE 60617,A81000C,00600,0100,B 60617,A81000C,00600,0200,DIOCESE-CAMDEN 60617,A81000C,00600,0400,BISHOP MCCARTHY 60617,A81000C,00600,0600,HOME OFFICE 60617,B100000,00000,0100,00000SQUARE FEET 60617,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET 60617,B100000,00000,0300,00000GROSS SALARIES 60617,B100000,00000,0400,00000ACCUMULAT ED COST 60617,B100000,00000,0500,00000SQUARE FEET 60617,B100000,00000,0600,00000POUNDS OF LAUNDRY 60617,B100000,00000,0700,00000SQUARE FEET 60617,B100000,00000,0800,00000MEALS SERVED 60617,B100000,00000,0900,00000DIRECT NRSING HRS 60617,B100000,00000,1000,00000COSTED REQUISITIO 60617,B100000,00000,1100,00000COSTED REQUISITIO 60617,B100000,00000,1200,00000TIME SPENT 60617,B100000,00000,1300,00000TIME SPENT 60617,B100000,00000,1350,00000HOURS OF SERVICE 60617,B100000,00000,1400,00000ASSIGNED TIME 60617,S000000,00100,0200,06/05/2000 60617,S200000,00100,0100,1045 EAST CHESNUT AVENUE 60617,S200000,00200,0100,VINELAND 60617,S200000,00200,0200,NJ 60617,S200000,00200,0300,08360 60617,S200000,00300,0100,CUMBERLAND 60617,S200000,00400,0100,BISHOP MCCARTHY 60617,S200000,00400,0200,315126 60617,S200000,00400,0300,01/01/1975 60617,S200000,00400,0500,P 60617,S200000,01500,0100,Y 60617,S200000,02200,0100,Y 60620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60620,A000000,00300,0000,00300EMPLOYEE BENEFITS 60620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60620,A000000,00700,0000,00700HOUSEKEEPING 60620,A000000,00800,0000,00800DIETARY 60620,A000000,00900,0000,00900NURSING ADMINISTRATION 60620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60620,A000000,01100,0000,01100PHARMACY 60620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60620,A000000,01300,0000,01300SOCIAL SERVICE 60620,A000000,01350,0000,01500ACTIVITIES 60620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60620,A000000,01600,0000,01600SKILLED NURSING FACILITY 60620,A000000,01800,0000,01800NURSING FACILITY 60620,A000000,01810,0000,01810ICF/MR 60620,A000000,02100,0000,02100RADIOLOGY 60620,A000000,02200,0000,02200LABORATORY 60620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60620,A000000,02500,0000,02500PHYSICAL THERAPY 60620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60620,A000000,02700,0000,02700SPEECH PATHOLOGY 60620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60620,A000000,03550,0000,03550FQHC 60620,A000000,05000,0000,05000CORF 60620,A000000,05010,0000,05010CMHC 60620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60620,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60620,A81000A,00100,0100,Y 60620,A81000B,00100,0300,HOME OFFICE COSTS 60620,A81000C,00100,0100,A 60620,A81000C,00100,0200,MEMORIAL HEALTH ALLIANCE- VIRT 60620,B100000,00000,0100,00000SQUARE FEET 60620,B100000,00000,0200,00000SQUARE FEET 60620,B100000,00000,0300,00000GROSS SALARIES 60620,B100000,00000,0400,00000ACCUM COST 60620,B100000,00000,0500,00000SQUARE FEET 60620,B100000,00000,0600,00000POUNDS OF LAUNDRY 60620,B100000,00000,0700,00000HOURS OF SERVICE 60620,B100000,00000,0800,00000MEALS SERVED 60620,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60620,B100000,00000,1000,00000COSTED REQUISITIO 60620,B100000,00000,1100,00000COSTED REQUISITIO 60620,B100000,00000,1200,00000TIME SPENT 60620,B100000,00000,1300,00000TIME SPENT 60620,B100000,00000,1350,00000TIME SPENT 60620,B100000,00000,1400,00000ASSIGNED TIME 60620,E10A180,00502,0300,09/14/2001 60620,E10A180,00551,0100,07/07/2000 60620,E10A180,00551,0300,07/07/2000 60620,E10A180,00552,0100,09/14/2001 60620,S000000,00100,0200,05/31/2000 60620,S200000,00100,0100,62 RICHMOND AVENUE 60620,S200000,00200,0100,MOUNT HOLLY 60620,S200000,00200,0200,NJ 60620,S200000,00200,0300,08060 60620,S200000,00300,0100,BURLINGTON 60620,S200000,00400,0100,VIRTUA HEALTH AT MOUNT HOLLY 60620,S200000,00400,0200,315128 60620,S200000,00400,0300,04/30/1982 60620,S200000,00400,0500,P 60620,S200000,01600,0100,Y 60623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60623,A000000,00300,0000,00300EMPLOYEE BENEFITS 60623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60623,A000000,00700,0000,00700HOUSEKEEPING 60623,A000000,00800,0000,00800DIETARY 60623,A000000,00900,0000,00900NURSING ADMINISTRATION 60623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60623,A000000,01100,0000,01100PHARMACY 60623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60623,A000000,01300,0000,01300SOCIAL SERVICE 60623,A000000,01350,0000,01500ACTIVITIES 60623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60623,A000000,01600,0000,01600SKILLED NURSING FACILITY 60623,A000000,01800,0000,01800NURSING FACILITY 60623,A000000,01810,0000,01810ICF/MR 60623,A000000,02100,0000,02100RADIOLOGY 60623,A000000,02200,0000,02200LABORATORY 60623,A000000,02300,0000,02300INTRAVENOUS THERAPY 60623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60623,A000000,02500,0000,02500PHYSICAL THERAPY 60623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60623,A000000,02700,0000,02700SPEECH PATHOLOGY 60623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60623,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60623,A000000,03200,0000,03200SUPPORT SURFACES 60623,A000000,03550,0000,03550FQHC 60623,A000000,05000,0000,05000CORF 60623,A000000,05010,0000,05010CMHC 60623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60623,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60623,A81000A,00100,0100,Y 60623,A81000B,00100,0300,MANAGEMENT SERVICES 60623,A81000C,00100,0100,A 60623,B100000,00000,0100,00000SQUARE FEET 60623,B100000,00000,0200,00000SQUARE FEET 60623,B100000,00000,0300,00000GROSS SALARIES 60623,B100000,00000,0400,00000ACCUM COST 60623,B100000,00000,0500,00000SQUARE FEET 60623,B100000,00000,0600,00000POUNDS OF LAUNDRY 60623,B100000,00000,0700,00000SQUARE FEET 60623,B100000,00000,0800,00000MEALS SERVED 60623,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60623,B100000,00000,1000,00000PATIENT DAYS 60623,B100000,00000,1100,00000PATIENT DAYS 60623,B100000,00000,1200,00000TIME SPENT 60623,B100000,00000,1300,00000TIME SPENT 60623,B100000,00000,1350,00000PATIENT DAYS 60623,B100000,00000,1400,00000ASSIGNED TIME 60623,E10A180,00501,0100,07/11/2000 60623,E10A180,00550,0300,07/11/2000 60623,S000000,00100,0200,05/31/2000 60623,S200000,00300,0100,BERGEN 60623,S200000,00400,0100,DELLRIDGE CARE CENTER 60623,S200000,00400,0200,315129 60623,S200000,00400,0300,07/09/1971 60623,S200000,00400,0500,P 60623,S200000,01600,0100,Y 60630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60630,A000000,00300,0000,00300EMPLOYEE BENEFITS 60630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60630,A000000,00700,0000,00700HOUSEKEEPING 60630,A000000,00800,0000,00800DIETARY 60630,A000000,00900,0000,00900NURSING ADMINISTRATION 60630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60630,A000000,01100,0000,01100PHARMACY 60630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60630,A000000,01300,0000,01300SOCIAL SERVICE 60630,A000000,01350,0000,01500ACTIVITIES 60630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60630,A000000,01600,0000,01600SKILLED NURSING FACILITY 60630,A000000,01800,0000,01800NURSING FACILITY 60630,A000000,01810,0000,01810ICF/MR 60630,A000000,02100,0000,02100RADIOLOGY 60630,A000000,02200,0000,02200LABORATORY 60630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60630,A000000,02500,0000,02500PHYSICAL THERAPY 60630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60630,A000000,02700,0000,02700SPEECH PATHOLOGY 60630,A000000,02800,0000,02800ELECTROCARDIOLOGY 60630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60630,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60630,A000000,03200,0000,03200SUPPORT SURFACES 60630,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 60630,A000000,03550,0000,03550FQHC 60630,A000000,05000,0000,05000CORF 60630,A000000,05010,0000,05010CMHC 60630,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60630,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60630,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60630,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60630,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60630,B100000,00000,0100,00000SQUARE FEET 60630,B100000,00000,0200,00000SQUARE FEET 60630,B100000,00000,0300,00000GROSS SALARIES 60630,B100000,00000,0400,00000ACCUM COST 60630,B100000,00000,0500,00000SQUARE FEET 60630,B100000,00000,0600,00000POUNDS OF LAUNDRY 60630,B100000,00000,0700,00000SQUARE FEET 60630,B100000,00000,0800,00000MEALS SERVED 60630,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60630,B100000,00000,1000,00000PATIENT DAYS 60630,B100000,00000,1100,00000PATIENT DAYS 60630,B100000,00000,1200,00000TIME SPENT 60630,B100000,00000,1300,00000TIME SPENT 60630,B100000,00000,1350,00000PATIENT DAYS 60630,B100000,00000,1400,00000ASSIGNED TIME 60630,E10A180,00501,0100,07/24/2000 60630,E10A180,00551,0300,07/24/2000 60630,S000000,00100,0200,05/31/2000 60630,S200000,00100,0100,555 CHESTNUT RIDGE ROAD 60630,S200000,00200,0100,WOODCLIFF LAKE 60630,S200000,00200,0200,NJ 60630,S200000,00200,0300,07675 60630,S200000,00300,0100,BERGEN 60630,S200000,00400,0100,WOODCLIFF LAKE MANOR CARE CENTER 60630,S200000,00400,0200,315133 60630,S200000,00400,0300,11/12/1985 60630,S200000,00400,0500,P 60630,S200000,01600,0100,Y 60630,S200000,04300,0100,Y 60635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60635,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60635,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60635,A000000,00300,0000,00300EMPLOYEE BENEFITS 60635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60635,A000000,00700,0000,00700HOUSEKEEPING 60635,A000000,00800,0000,00800DIETARY 60635,A000000,00801,0000,00801CAFETERIA 60635,A000000,00900,0000,00900NURSING ADMINISTRATION 60635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60635,A000000,01100,0000,01100PHARMACY 60635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60635,A000000,01300,0000,01300SOCIAL SERVICE 60635,A000000,01350,0000,01500ACTIVITIES 60635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60635,A000000,01600,0000,01600SKILLED NURSING FACILITY 60635,A000000,01800,0000,01800NURSING FACILITY 60635,A000000,01810,0000,01810ICF/MR 60635,A000000,02100,0000,02100RADIOLOGY 60635,A000000,02200,0000,02200LABORATORY 60635,A000000,02300,0000,02300INTRAVENOUS THERAPY 60635,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60635,A000000,02500,0000,02500PHYSICAL THERAPY 60635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60635,A000000,02700,0000,02700SPEECH PATHOLOGY 60635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60635,A000000,03050,0000,03300DME 60635,A000000,03051,0000,03301ORTHOTICS 60635,A000000,03052,0000,03302PSYCH/NON-PHYSICIAN DIAG 60635,A000000,03200,0000,03200SUPPORT SURFACES 60635,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60635,A000000,03550,0000,03550FQHC 60635,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60635,A000000,04800,0000,04800AMBULANCE 60635,A000000,05000,0000,05000CORF I 60635,A000000,05010,0000,05010CMHC I 60635,A000000,05020,0000,05020OPT I 60635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60635,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60635,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60635,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60635,A81000A,00100,0100,Y 60635,A81000B,00100,0300,HOME OFFICE ALLOCATION 60635,A81000B,00200,0300,THERACOR ACTUAL COSTS 60635,A81000B,00300,0300,THERACOR ACTUAL COSTS 60635,A81000B,00400,0300,THERACOR ACTUAL COSTS 60635,A81000C,00100,0100,B 60635,A81000C,00100,0200,HARBORSIDE 60635,A81000C,00200,0200,HEALTHCARE 60635,A81000C,00300,0200,LIMITED PSHIP 60635,A81000C,00300,0600,MANAGEMENT CO 60635,A81000C,00500,0100,B 60635,A81000C,00500,0200,HARBORSIDE 60635,A81000C,00600,0200,REHABILITITAION 60635,A81000C,00700,0200,LIMITED PSHIP 60635,A81000C,00700,0600,THERAPY 60635,A81000C,00800,0600,SERVICE AND 60635,A81000C,00900,0600,MANAGEMENT CO 60635,B100000,00000,0100,00000(SQUARE FEET) 60635,B100000,00000,0101,00000(SQUARE FEET) 60635,B100000,00000,0200,00000(SQUARE FEET) 60635,B100000,00000,0201,00000(SQUARE FEET) 60635,B100000,00000,0300,00000(GROSS SALARIES) 60635,B100000,00000,0400,00000(ACCUM. COST) 60635,B100000,00000,0500,00000(SQUARE FEET) 60635,B100000,00000,0600,00000(PATIENT DAYS) 60635,B100000,00000,0700,00000(SQUARE FEET) 60635,B100000,00000,0800,00000(MEALS SERVED) 60635,B100000,00000,0801,00000(MEALS SERVED) 60635,B100000,00000,0900,00000(NURSING SALARIES) 60635,B100000,00000,1000,00000(PATIENT DAYS) 60635,B100000,00000,1100,00000(PATIENT DAYS) 60635,B100000,00000,1200,00000(PATIENT DAYS) 60635,B100000,00000,1300,00000(PATIENT DAYS) 60635,B100000,00000,1350,00000(PATIENT DAYS) 60635,B100000,00000,1400,00000(ASSIGNED TIME) 60635,E10A180,00501,0100,07/18/2000 60635,E10A180,00551,0300,07/18/2000 60635,S000000,00100,0200,06/01/2000 60635,S200000,00100,0100,875 ROUTE 202/206 NORTH 60635,S200000,00200,0100,BRIDGEWATER 60635,S200000,00200,0200,NJ 60635,S200000,00300,0100,SOMERSET 60635,S200000,00400,0100,HHC - WOODS EDGE 60635,S200000,00400,0200,315134 60635,S200000,00400,0300,07/01/1988 60635,S200000,00400,0500,P 60635,S200000,01600,0100,Y 60635,S200000,02200,0100,Y 60635,S200000,04700,0100,Y 60635,S200000,04700,0200,Y 60638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60638,A000000,00300,0000,00300EMPLOYEE BENEFITS 60638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60638,A000000,00700,0000,00700HOUSEKEEPING 60638,A000000,00800,0000,00800DIETARY 60638,A000000,00900,0000,00900NURSING ADMINISTRATION 60638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60638,A000000,01100,0000,01100PHARMACY 60638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60638,A000000,01300,0000,01300SOCIAL SERVICE 60638,A000000,01350,0000,01500ACTIVITIES 60638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60638,A000000,01600,0000,01600SKILLED NURSING FACILITY 60638,A000000,01800,0000,01800NURSING FACILITY 60638,A000000,01810,0000,01810ICF/MR 60638,A000000,02100,0000,02100RADIOLOGY 60638,A000000,02200,0000,02200LABORATORY 60638,A000000,02300,0000,02300INTRAVENOUS THERAPY 60638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60638,A000000,02500,0000,02500PHYSICAL THERAPY 60638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60638,A000000,02700,0000,02700SPEECH PATHOLOGY 60638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60638,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60638,A000000,03200,0000,03200SUPPORT SURFACES 60638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 60638,A000000,03550,0000,03550FQHC 60638,A000000,04800,0000,04800AMBULANCE 60638,A000000,05000,0000,05000CORF 60638,A000000,05010,0000,05010CMHC 60638,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60638,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60638,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60638,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60638,A81000A,00100,0100,Y 60638,A81000B,00100,0300,H/O COSTS NON CAPITAL 60638,A81000B,00200,0300,H/O COSTS CAPITAL 60638,A81000C,00100,0100,B 60638,A81000C,00100,0200,MERIDIAN HEALTH 60638,A81000C,00100,0400,MERIDIAN HEALTH 60638,A81000C,00100,0600,HEALTHCARE 60638,A81000C,00200,0100,B 60638,A81000C,00200,0200,MERIDIAN HEALTH 60638,A81000C,00200,0400,MERIDIAN HEALTH 60638,A81000C,00200,0600,HEALTHCARE 60638,B100000,00000,0100,00000SQUARE FEET 60638,B100000,00000,0200,00000SQUARE FEET 60638,B100000,00000,0300,00000GROSS SALARIES 60638,B100000,00000,0400,00000ACCUM COST 60638,B100000,00000,0500,00000SQUARE FEET 60638,B100000,00000,0600,00000PATIENT DAYS 60638,B100000,00000,0700,00000SQUARE FEET 60638,B100000,00000,0800,00000MEALS SERVED 60638,B100000,00000,0900,00000GROSS SALARIES 60638,B100000,00000,1000,00000PATIENT DAYS 60638,B100000,00000,1100,00000PATIENT DAYS 60638,B100000,00000,1200,00000PATIENT DAYS 60638,B100000,00000,1300,00000PATIENT DAYS 60638,B100000,00000,1350,00000PATIENT DAYS 60638,B100000,00000,1400,00000ASSIGNED TIME 60638,E10A180,00501,0100,07/24/2000 60638,E10A180,00551,0300,07/24/2000 60638,S000000,00100,0200,05/30/2000 60638,S200000,00100,0100,55 WEST FRONT STREET 60638,S200000,00200,0100,RED BANK 60638,S200000,00200,0200,NJ 60638,S200000,00200,0300,07701 60638,S200000,00300,0100,OCEAN 60638,S200000,00400,0100,MERIDIAN NRSNG & REHAB AT RED BANK 60638,S200000,00400,0200,315136 60638,S200000,00400,0300,01/01/1967 60638,S200000,00400,0500,P 60638,S200000,01600,0100,Y 60638,S200000,04300,0100,Y 60638,S200000,04700,0100,Y 60638,S200000,04700,0200,Y 60641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60641,A000000,00300,0000,00300EMPLOYEE BENEFITS 60641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60641,A000000,00700,0000,00700HOUSEKEEPING 60641,A000000,00800,0000,00800DIETARY 60641,A000000,00900,0000,00900NURSING ADMINISTRATION 60641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60641,A000000,01100,0000,01100PHARMACY 60641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60641,A000000,01300,0000,01300SOCIAL SERVICE 60641,A000000,01350,0000,01500PATIENT ACTIVITIES 60641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60641,A000000,01600,0000,01600SKILLED NURSING FACILITY 60641,A000000,01800,0000,01800NURSING FACILITY 60641,A000000,01810,0000,01810ICF/MR 60641,A000000,02100,0000,02100RADIOLOGY 60641,A000000,02200,0000,02200LABORATORY 60641,A000000,02500,0000,02500PHYSICAL THERAPY 60641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60641,A000000,02700,0000,02700SPEECH PATHOLOGY 60641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60641,A000000,03550,0000,03550FQHC 60641,A000000,04800,0000,04800AMBULANCE 60641,A000000,05000,0000,05000CORF 60641,A000000,05010,0000,05010CMHC 60641,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60641,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60641,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60641,B100000,00000,0100,00000(SQUARE FEET) 60641,B100000,00000,0200,00000SQUARE FEET 60641,B100000,00000,0300,00000(GROSS SALARIES) 60641,B100000,00000,0400,00000(ACCUM COST) 60641,B100000,00000,0500,00000(SQUARE FEET) 60641,B100000,00000,0600,00000(PATIENT DAYS) 60641,B100000,00000,0700,00000(SQUARE FEET) 60641,B100000,00000,0800,00000(MEALS SERVED) 60641,B100000,00000,0900,00000DIRECT NRSG HRS 60641,B100000,00000,1000,00000COSTED REQUIS 60641,B100000,00000,1100,00000COSTED REQUIS 60641,B100000,00000,1200,00000(PATIENT DAYS) 60641,B100000,00000,1300,00000(PATIENT DAYS) 60641,B100000,00000,1350,00000(PATIENT DAYS) 60641,B100000,00000,1400,00000ASSIGNED TIME 60641,E10A180,00501,0100,07/25/2000 60641,E10A180,00501,0300,07/25/2000 60641,S000000,00100,0200,05/22/2000 60641,S200000,00100,0100,249 HIGH STREET 60641,S200000,00200,0100,NEWTON 60641,S200000,00200,0200,NJ 60641,S200000,00200,0300,07860 60641,S200000,00300,0100,SUSSEX 60641,S200000,00400,0100,BARN HILL CARE CENTER 60641,S200000,00400,0200,315137 60641,S200000,00400,0300,01/01/1967 60641,S200000,00400,0500,P 60641,S200000,01600,0100,Y 60644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60644,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60644,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60644,A000000,00300,0000,00300EMPLOYEE BENEFITS 60644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60644,A000000,00700,0000,00700HOUSEKEEPING 60644,A000000,00800,0000,00800DIETARY 60644,A000000,00801,0000,00801CAFETERIA 60644,A000000,00900,0000,00900NURSING ADMINISTRATION 60644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60644,A000000,01100,0000,01100PHARMACY 60644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60644,A000000,01300,0000,01300SOCIAL SERVICE 60644,A000000,01350,0000,01500REC THERAPY 60644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60644,A000000,01600,0000,01600SKILLED NURSING FACILITY 60644,A000000,01800,0000,01800NURSING FACILITY 60644,A000000,01810,0000,01810ICF/MR 60644,A000000,02100,0000,02100RADIOLOGY 60644,A000000,02200,0000,02200LABORATORY 60644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60644,A000000,02500,0000,02500PHYSICAL THERAPY 60644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60644,A000000,02700,0000,02700SPEECH PATHOLOGY 60644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60644,A000000,03050,0000,03300PEN THERAPY 60644,A000000,03051,0000,03301FEE SCREENING 60644,A000000,03052,0000,03302OTHER ANCILLARY III 60644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60644,A000000,03550,0000,03550FQHC 60644,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60644,A000000,05000,0000,05000CORF I 60644,A000000,05010,0000,05010CMHC I 60644,A000000,05020,0000,05020OPT I 60644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60644,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60644,A81000A,00100,0100,Y 60644,A81000B,00100,0300,A&G 60644,A81000B,00200,0300,CAP RELATED BULDING & FIX 60644,A81000B,00300,0300,VARIOUS 60644,A81000B,00400,0300,CAP RELATED BULDING & FIX 60644,A81000C,00100,0100,B 60644,A81000C,00100,0400,GHV 60644,A81000C,00100,0600,LONG TERM CARE 60644,A81000C,00200,0100,B 60644,A81000C,00200,0400,GHV 60644,A81000C,00200,0600,LONG TERM CARE 60644,A81000C,00300,0100,B 60644,A81000C,00300,0400,AS ATTACHED 60644,A81000C,00300,0600,VARIOUS 60644,A81000C,00400,0100,B 60644,A81000C,00400,0400,GHV 60644,A81000C,00400,0600,HOME OFFICE INT 60644,B100000,00000,0100,00000(SQUARE FEET) 60644,B100000,00000,0101,00000(SQUARE FEET) 60644,B100000,00000,0200,00000(SQUARE FEET) 60644,B100000,00000,0201,00000(SQUARE FEET) 60644,B100000,00000,0300,00000(GROSS SALARIES) 60644,B100000,00000,0400,00000(ACCUM. COST) 60644,B100000,00000,0500,00000(SQUARE FEET) 60644,B100000,00000,0600,00000(PATIENT DAYS) 60644,B100000,00000,0700,00000(SQUARE FEET) 60644,B100000,00000,0800,00000(MEALS SERVED) 60644,B100000,00000,0801,00000(MEALS SERVED) 60644,B100000,00000,0900,00000(NURSING SALARIES) 60644,B100000,00000,1000,00000COSTED REQ 60644,B100000,00000,1100,00000(PATIENT DAYS) 60644,B100000,00000,1200,00000(PATIENT DAYS) 60644,B100000,00000,1300,00000(PATIENT DAYS) 60644,B100000,00000,1350,00000(PATIENT DAYS) 60644,B100000,00000,1400,00000(ASSIGNED TIME) 60644,E10A180,00301,0100,01/05/2000 60644,S000000,00100,0200,05/31/2000 60644,S200000,00100,0100,200 REYNOLDS AVE 60644,S200000,00200,0100,PARSIPPANY 60644,S200000,00200,0200,NJ 60644,S200000,00200,0300,07054 60644,S200000,00300,0100,MORRIS 60644,S200000,00400,0100,TROY HILLS 60644,S200000,00400,0200,315138 60644,S200000,00400,0300,06/12/1972 60644,S200000,00400,0500,P 60644,S200000,01600,0100,Y 60644,S200000,02200,0100,Y 60646,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60646,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60646,A000000,00300,0000,00300EMPLOYEE BENEFITS 60646,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60646,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60646,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60646,A000000,00700,0000,00700HOUSEKEEPING 60646,A000000,00800,0000,00800DIETARY 60646,A000000,00900,0000,00900NURSING ADMINISTRATION 60646,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60646,A000000,01100,0000,01100PHARMACY 60646,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60646,A000000,01300,0000,01300SOCIAL SERVICE 60646,A000000,01350,0000,01500PATIENT ACTIVITIES 60646,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60646,A000000,01600,0000,01600SKILLED NURSING FACILITY 60646,A000000,01800,0000,01800NURSING FACILITY 60646,A000000,01810,0000,01810ICF/MR 60646,A000000,02100,0000,02100RADIOLOGY 60646,A000000,02200,0000,02200LABORATORY 60646,A000000,02300,0000,02300INTRAVENOUS THERAPY 60646,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60646,A000000,02500,0000,02500PHYSICAL THERAPY 60646,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60646,A000000,02700,0000,02700SPEECH PATHOLOGY 60646,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60646,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60646,A000000,03200,0000,03200SUPPORT SURFACES 60646,A000000,03550,0000,03550FQHC 60646,A000000,04800,0000,04800AMBULANCE 60646,A000000,05000,0000,05000CORF 60646,A000000,05010,0000,05010CMHC 60646,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60646,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60646,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60646,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60646,A000000,06150,0000,06300CHILDRENS DAY CARE 60646,A81000A,00100,0100,Y 60646,A81000B,00100,0300,PERSONNEL 60646,A81000B,00200,0300,THERAPY SERVICES 60646,A81000B,00300,0300,THERAPY SERVICES 60646,A81000B,00400,0300,THERAPY SERVICES 60646,A81000B,00500,0300,ALLOCATION OF HOME OFFICE COS 60646,A81000B,00600,0300,FIN & MGMT SERVICES 60646,A81000C,00100,0100,G 60646,A81000C,00100,0200,ST. BARNABAS HE 60646,A81000C,00100,0400,ST. BARNABAS HE 60646,A81000C,00100,0600,PAYROLL 60646,A81000C,00200,0100,G 60646,A81000C,00200,0200,ST. BARNABAS HO 60646,A81000C,00200,0400,CARELINC 60646,A81000C,00200,0600,THERAPY 60646,A81000C,00300,0100,G 60646,A81000C,00300,0200,ST. BARNABAS HO 60646,A81000C,00300,0400,CARELINC 60646,A81000C,00300,0600,THERAPY 60646,A81000C,00400,0100,G 60646,A81000C,00400,0200,ST. BARNABAS HO 60646,A81000C,00400,0400,CARELINC 60646,A81000C,00400,0600,THERAPY 60646,A81000C,00500,0100,G 60646,A81000C,00500,0200,ST. BARNABAS HO 60646,A81000C,00500,0400,ST. BARNABAS HO 60646,A81000C,00500,0600,MANAGMENT 60646,A81000C,00600,0100,B 60646,A81000C,00600,0200,MEGA CARE 60646,A81000C,00600,0400,MEGA CARE 60646,A81000C,00600,0600,MANAGEMENT 60646,B100000,00000,0100,00000(SQUARE FEET) 60646,B100000,00000,0200,00000SQUARE FEET 60646,B100000,00000,0300,00000(GROSS SALARIES) 60646,B100000,00000,0400,00000(ACCUM COST) 60646,B100000,00000,0500,00000(SQUARE FEET) 60646,B100000,00000,0600,00000(PATIENT CENSUS) 60646,B100000,00000,0700,00000(SQUARE FEET) 60646,B100000,00000,0800,00000(MEALS SERVED) 60646,B100000,00000,0900,00000(DIRECT NRSG HRS) 60646,B100000,00000,1000,00000COSTED REQUIS 60646,B100000,00000,1100,00000COSTED REQUIS 60646,B100000,00000,1200,00000(PATIENT CENSUS) 60646,B100000,00000,1300,00000(PATIENT CENSUS) 60646,B100000,00000,1350,00000(PATIENT CENSUS) 60646,B100000,00000,1400,00000ASSIGNED TIME 60646,E10A180,00501,0100,06/29/2000 60646,E10A180,00501,0300,06/29/2000 60646,S000000,00100,0200,05/18/2000 60646,S200000,00100,0100,303 ROCK AVENUE 60646,S200000,00200,0100,GREENBROOK 60646,S200000,00200,0200,NJ 60646,S200000,00200,0300,08812 60646,S200000,00300,0100,SOMERSET 60646,S200000,00400,0100,GREENBROOK MANOR NURSING HOME 60646,S200000,00400,0200,315141 60646,S200000,00400,0300,12/01/1988 60646,S200000,00400,0500,P 60646,S200000,01600,0100,Y 60650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60650,A000000,00300,0000,00300EMPLOYEE BENEFITS 60650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60650,A000000,00700,0000,00700HOUSEKEEPING 60650,A000000,00800,0000,00800DIETARY 60650,A000000,00900,0000,00900NURSING ADMINISTRATION 60650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60650,A000000,01100,0000,01100PHARMACY 60650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60650,A000000,01300,0000,01300SOCIAL SERVICE 60650,A000000,01350,0000,01500PATIENT ACTIVITIES 60650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60650,A000000,01600,0000,01600SKILLED NURSING FACILITY 60650,A000000,01800,0000,01800NURSING FACILITY 60650,A000000,01810,0000,01810ICF/MR 60650,A000000,02100,0000,02100RADIOLOGY 60650,A000000,02200,0000,02200LABORATORY 60650,A000000,02300,0000,02300INTRAVENOUS THERAPY 60650,A000000,02500,0000,02500PHYSICAL THERAPY 60650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60650,A000000,02700,0000,02700SPEECH PATHOLOGY 60650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60650,A000000,03200,0000,03200SUPPORT SURFACES 60650,A000000,03550,0000,03550FQHC 60650,A000000,04800,0000,04800AMBULANCE 60650,A000000,05000,0000,05000CORF 60650,A000000,05010,0000,05010CMHC 60650,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60650,A81000A,00100,0100,Y 60650,A81000B,00100,0300,HELP WANTED ADS 60650,A81000B,00200,0300,THERAPY SERVICES 60650,A81000B,00300,0300,THERAPY SERVICES 60650,A81000B,00400,0300,THERAPY SERVICES 60650,A81000B,00500,0300,FIN & MGMT SERVICES 60650,A81000B,00600,0300,ALLOCATION OF HOME OFFICE COS 60650,A81000B,00700,0300,VARIOUS PERSONNEL 60650,A81000C,00100,0100,A 60650,A81000C,00100,0200,MEGA CARE 60650,A81000C,00100,0400,HUMAN CONCEPTS 60650,A81000C,00100,0600,ADVERTISING 60650,A81000C,00200,0100,G 60650,A81000C,00200,0200,ST. BARNABAS HO 60650,A81000C,00200,0400,CARELINC 60650,A81000C,00200,0600,THERAPY 60650,A81000C,00300,0100,G 60650,A81000C,00300,0200,ST. BARNABAS HO 60650,A81000C,00300,0400,CARELINC 60650,A81000C,00300,0600,THERAPY 60650,A81000C,00400,0100,G 60650,A81000C,00400,0200,ST. BARNABAS HO 60650,A81000C,00400,0400,CARELINC 60650,A81000C,00400,0600,THERAPY 60650,A81000C,00500,0100,A 60650,A81000C,00500,0200,MEGA CARE 60650,A81000C,00500,0400,MEGA CARE 60650,A81000C,00500,0600,FIN & MGMT SUPP 60650,A81000C,00600,0100,G 60650,A81000C,00600,0200,ST. BARNABAS HO 60650,A81000C,00600,0400,ST. BARNABAS HO 60650,A81000C,00600,0600,FIN & MGMT SUPP 60650,A81000C,00700,0100,G 60650,A81000C,00700,0200,ST. BARNABAS HO 60650,A81000C,00700,0400,ST. BARNABAS HO 60650,A81000C,00700,0600,CORP PAYROLL 60650,B100000,00000,0100,00000(SQUARE FEET) 60650,B100000,00000,0200,00000SQUARE FEET 60650,B100000,00000,0300,00000(GROSS SALARIES) 60650,B100000,00000,0400,00000(ACCUM COST) 60650,B100000,00000,0500,00000(SQUARE FEET) 60650,B100000,00000,0600,00000(PATIENT CENSUS) 60650,B100000,00000,0700,00000(SQUARE FEET) 60650,B100000,00000,0800,00000(MEALS SERVED) 60650,B100000,00000,0900,00000(DIRECT NRSG HRS) 60650,B100000,00000,1000,00000COSTED REQUIS 60650,B100000,00000,1100,00000COSTED REQUIS 60650,B100000,00000,1200,00000(PATIENT CENSUS) 60650,B100000,00000,1300,00000(PATIENT CENSUS) 60650,B100000,00000,1350,00000(PATIENT CENSUS) 60650,B100000,00000,1400,00000ASSIGNED TIME 60650,E10A180,00501,0100,06/02/2000 60650,S000000,00100,0200,05/10/2000 60650,S200000,00100,0100,1140 BLACK OAK RIDGE ROAD 60650,S200000,00200,0100,WAYNE 60650,S200000,00200,0200,NJ 60650,S200000,00200,0300,07470 60650,S200000,00300,0100,PASSAIC 60650,S200000,00400,0100,LLANFAIR HOUSE 60650,S200000,00400,0200,315142 60650,S200000,00400,0300,01/01/1967 60650,S200000,00400,0500,P 60650,S200000,01600,0100,Y 60650,S200000,04300,0100,Y 60650,S200000,04700,0100,Y 60650,S200000,04700,0200,Y 60653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60653,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60653,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60653,A000000,00300,0000,00300EMPLOYEE BENEFITS 60653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60653,A000000,00700,0000,00700HOUSEKEEPING 60653,A000000,00800,0000,00800DIETARY 60653,A000000,00801,0000,00801CAFETERIA 60653,A000000,00900,0000,00900NURSING ADMINISTRATION 60653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60653,A000000,01100,0000,01100PHARMACY 60653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60653,A000000,01300,0000,01300SOCIAL SERVICE 60653,A000000,01350,0000,01500RECREATION 60653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60653,A000000,01600,0000,01600SKILLED NURSING FACILITY 60653,A000000,01800,0000,01800NURSING FACILITY 60653,A000000,01810,0000,01810ICF/MR 60653,A000000,02200,0000,02200LABORATORY 60653,A000000,02300,0000,02300INTRAVENOUS THERAPY 60653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60653,A000000,02500,0000,02500PHYSICAL THERAPY 60653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60653,A000000,02700,0000,02700SPEECH PATHOLOGY 60653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60653,A000000,03050,0000,03300PEN THERAPY 60653,A000000,03051,0000,03301FEE SCREENING 60653,A000000,03052,0000,03302OTHER ANCILLARY III 60653,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60653,A000000,03550,0000,03550FQHC 60653,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60653,A000000,05000,0000,05000CORF I 60653,A000000,05010,0000,05010CMHC I 60653,A000000,05020,0000,05020OPT I 60653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60653,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60653,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60653,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60653,A81000A,00100,0100,Y 60653,A81000B,00100,0300,HOME OFFICE 60653,A81000B,00200,0300,HOME OFFICE CAPITAL 60653,A81000B,00300,0300,AS ATTACHED 60653,A81000B,00400,0300,HOME OFFICE CAPITAL 60653,A81000C,00100,0100,B 60653,A81000C,00100,0400,GEN HLTH VEN 60653,A81000C,00100,0600,HOME OFFICE 60653,A81000C,00200,0100,B 60653,A81000C,00200,0400,GEN HLTH VEN 60653,A81000C,00200,0600,HOME OFFICE 60653,A81000C,00300,0100,B 60653,A81000C,00300,0400,AS ATTACHED 60653,A81000C,00300,0600,VARIOUS 60653,B100000,00000,0100,00000(SQUARE FEET) 60653,B100000,00000,0101,00000(SQUARE FEET) 60653,B100000,00000,0200,00000(SQUARE FEET) 60653,B100000,00000,0201,00000(SQUARE FEET) 60653,B100000,00000,0300,00000(GROSS SALARIES) 60653,B100000,00000,0400,00000(ACCUM. COST) 60653,B100000,00000,0500,00000(SQUARE FEET) 60653,B100000,00000,0600,00000(PATIENT DAYS) 60653,B100000,00000,0700,00000(SQUARE FEET) 60653,B100000,00000,0800,00000(MEALS SERVED) 60653,B100000,00000,0801,00000(MEALS SERVED) 60653,B100000,00000,0900,00000(NURSING SALARIES) 60653,B100000,00000,1000,00000(COSTED REQUIS.) 60653,B100000,00000,1100,00000(PATIENT DAYS) 60653,B100000,00000,1200,00000(PATIENT DAYS) 60653,B100000,00000,1300,00000(PATIENT DAYS) 60653,B100000,00000,1350,00000(PATIENT DAYS) 60653,B100000,00000,1400,00000(ASSIGNED TIME) 60653,S000000,00100,0200,05/31/2000 60653,S200000,00100,0100,84 COLD HILL RD. 60653,S200000,00200,0100,MENDHAM 60653,S200000,00200,0200,NJ 60653,S200000,00200,0300,07945 60653,S200000,00300,0100,MORRIS 60653,S200000,00400,0100,HOLLY MANOR 60653,S200000,00400,0200,315143 60653,S200000,00400,0300,01/01/1976 60653,S200000,00400,0500,P 60653,S200000,01600,0100,Y 60653,S200000,02200,0100,Y 60656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60656,A000000,00300,0000,00300EMPLOYEE BENEFITS 60656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60656,A000000,00700,0000,00700HOUSEKEEPING 60656,A000000,00800,0000,00800DIETARY 60656,A000000,00900,0000,00900NURSING ADMINISTRATION 60656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60656,A000000,01100,0000,01100PHARMACY 60656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60656,A000000,01300,0000,01300SOCIAL SERVICE 60656,A000000,01350,0000,01500ACTIVITIES 60656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60656,A000000,01600,0000,01600SKILLED NURSING FACILITY 60656,A000000,01810,0000,01810ICF/MR 60656,A000000,01900,0000,01900OTHER LONG TERM CARE 60656,A000000,02500,0000,02500PHYSICAL THERAPY 60656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60656,A000000,02700,0000,02700SPEECH PATHOLOGY 60656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60656,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60656,A000000,03550,0000,03550FQHC 60656,A000000,05000,0000,05000CORF 60656,A000000,05010,0000,05010CMHC 60656,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60656,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60656,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60656,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60656,A000000,06150,0000,06300RESIDENTIAL HOUSING 60656,A000000,06151,0000,06301HEALTH CENTER 60656,B100000,00000,0100,00001SQUARE FEET 60656,B100000,00000,0200,00001SQUARE FEET 60656,B100000,00000,0300,00001GROSS SALARIES 60656,B100000,00000,0400,00001ACCUM COST 60656,B100000,00000,0500,00001SQUARE FEET 60656,B100000,00000,0600,00001POUNDS OF LAUNDRY 60656,B100000,00000,0700,00001HOURS OF SERVICE 60656,B100000,00000,0800,00001MEALS SERVED 60656,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 60656,B100000,00000,1000,00001COSTED REQUISITIO 60656,B100000,00000,1100,00001COSTED REQUISITIO 60656,B100000,00000,1200,00001TIME SPENT 60656,B100000,00000,1300,00001TIME SPENT 60656,B100000,00000,1350,00001# OF PARTICIPAN 60656,B100000,00000,1400,00001ASSIGNED TIME 60656,S000000,00100,0200,08/31/2000 60656,S200000,00100,0100,ROUTE 70 60656,S200000,00200,0100,MEDFORD 60656,S200000,00200,0200,NJ 60656,S200000,00200,0300,08055 60656,S200000,00300,0100,BURLINGTON 60656,S200000,00400,0100,MEDFORD LEAS HEALTH CENTER 60656,S200000,00400,0200,315144 60656,S200000,00400,0300,04/01/1973 60656,S200000,00400,0500,P 60656,S200000,01500,0100,Y 60660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60660,A000000,00300,0000,00300EMPLOYEE BENEFITS 60660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60660,A000000,00700,0000,00700HOUSEKEEPING 60660,A000000,00800,0000,00800DIETARY 60660,A000000,00900,0000,00900NURSING ADMINISTRATION 60660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60660,A000000,01100,0000,01100PHARMACY 60660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60660,A000000,01300,0000,01300SOCIAL SERVICE 60660,A000000,01350,0000,01500RECREATION 60660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60660,A000000,01600,0000,01600SKILLED NURSING FACILITY 60660,A000000,01810,0000,01810ICF/MR 60660,A000000,02100,0000,02100RADIOLOGY 60660,A000000,02200,0000,02200LABORATORY 60660,A000000,02500,0000,02500PHYSICAL THERAPY 60660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60660,A000000,02700,0000,02700SPEECH PATHOLOGY 60660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60660,A000000,03200,0000,03200SUPPORT SURFACES 60660,A000000,03550,0000,03550FQHC 60660,A000000,04800,0000,04800AMBULANCE 60660,A000000,05000,0000,05000CORF 60660,A000000,05010,0000,05010CMHC 60660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60660,A81000A,00100,0100,Y 60660,A81000B,00100,0300,INTEREST 60660,A81000B,00200,0300,A/C 383110342 60660,A81000C,00100,0100,B 60660,A81000C,00100,0400,CARECO INC 60660,A81000C,00100,0600,HOSPITAL 60660,B100000,00000,0100,00000SQUARE FEET 60660,B100000,00000,0200,00000SQUARE FEET 60660,B100000,00000,0300,00000GROSS SALARIES 60660,B100000,00000,0400,00000ACCUM COST 60660,B100000,00000,0500,00000SQUARE FEET 60660,B100000,00000,0600,00000CENSUS 60660,B100000,00000,0700,00000HOURS OF SERVICE 60660,B100000,00000,0800,00000MEALS SERVED 60660,B100000,00000,0900,00000DIRECT NRSG HRS 60660,B100000,00000,1000,00000COSTED REQUIS 60660,B100000,00000,1100,00000COSTED REQUIS 60660,B100000,00000,1200,00000TIME SPENT 60660,B100000,00000,1300,00000CENSUS 60660,B100000,00000,1350,00000CENSUS 60660,B100000,00000,1400,00000ASSIGNED TIME 60660,E10A180,00301,0100,01/05/2000 60660,S000000,00100,0200,05/17/2000 60660,S200000,00100,0100,555 BAY AVENUE 60660,S200000,00200,0100,SOMERS POINT 60660,S200000,00200,0200,NJ 60660,S200000,00200,0300,08244 60660,S200000,00300,0100,ATLANTIC 60660,S200000,00400,0100,OCEAN POINT 60660,S200000,00400,0200,315150 60660,S200000,00400,0300,06/01/1989 60660,S200000,00400,0500,P 60660,S200000,01500,0100,Y 60660,S200000,04700,0100,Y 60660,S200000,04700,0200,Y 60663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60663,A000000,00300,0000,00300EMPLOYEE BENEFITS 60663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60663,A000000,00700,0000,00700HOUSEKEEPING 60663,A000000,00800,0000,00800DIETARY 60663,A000000,00900,0000,00900NURSING ADMINISTRATION 60663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60663,A000000,01100,0000,01100PHARMACY 60663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60663,A000000,01300,0000,01300SOCIAL SERVICE 60663,A000000,01350,0000,01500PATIENT ACTIVITIES 60663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60663,A000000,01600,0000,01600SKILLED NURSING FACILITY 60663,A000000,01810,0000,01810ICF/MR 60663,A000000,02100,0000,02100RADIOLOGY 60663,A000000,02200,0000,02200LABORATORY 60663,A000000,02300,0000,02300INTRAVENOUS THERAPY 60663,A000000,02500,0000,02500PHYSICAL THERAPY 60663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60663,A000000,02700,0000,02700SPEECH PATHOLOGY 60663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60663,A000000,03200,0000,03200SUPPORT SURFACES 60663,A000000,03550,0000,03550FQHC 60663,A000000,04800,0000,04800AMBULANCE 60663,A000000,05000,0000,05000CORF 60663,A000000,05010,0000,05010CMHC 60663,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60663,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60663,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60663,A81000A,00100,0100,Y 60663,A81000B,00100,0300,AIR FLUIDIZED BEDS 60663,A81000B,00200,0300,FOOD SUPPLEMENT 60663,A81000B,00300,0300,MEDICAL SUPPLIES 60663,A81000B,00400,0300,REHAB SUPPLIES 60663,A81000B,00500,0300,MAINTENANCE SUPPLIES 60663,A81000B,00600,0300,DIETARY SUPPLIES 60663,A81000C,00100,0100,G 60663,A81000C,00100,0200,R. PINELES 60663,A81000C,00100,0400,NJ HEALTH CARE 60663,A81000C,00100,0600,DME SUPPLIES 60663,A81000C,00200,0200,R. PINELES 60663,A81000C,00200,0400,NJ HEALTH CARE 60663,A81000C,00200,0600,FOOD SUPPLEMENT 60663,A81000C,00300,0200,R. PINELES 60663,A81000C,00300,0400,NJ HEALTH CARE 60663,A81000C,00300,0600,FOOD SUPPLEMENT 60663,A81000C,00400,0200,R. PINELES 60663,A81000C,00400,0400,NJ HEALTH CARE 60663,A81000C,00400,0600,MEDICAL SUPPLIE 60663,A81000C,00500,0200,R. PINELES 60663,A81000C,00500,0400,NJ HEALTH CARE 60663,A81000C,00500,0600,MANAGEMENT CO 60663,A81000C,00600,0200,R. PINELES 60663,A81000C,00600,0400,NJ HEALTH CARE 60663,A81000C,00600,0600,MANAGEMENT CO. 60663,B100000,00000,0100,00000(SQUARE FEET) 60663,B100000,00000,0200,00000SQUARE FEET 60663,B100000,00000,0300,00000(GROSS SALARIES) 60663,B100000,00000,0400,00000(ACCUM COST) 60663,B100000,00000,0500,00000(SQUARE FEET) 60663,B100000,00000,0600,00000(PATIENT CENSUS) 60663,B100000,00000,0700,00000(SQUARE FEET) 60663,B100000,00000,0800,00000(MEALS SERVED) 60663,B100000,00000,0900,00000(TIME SPENT_ 60663,B100000,00000,1000,00000COSTED REQUIS 60663,B100000,00000,1100,00000COSTED REQUIS 60663,B100000,00000,1200,00000(PATIENT CENSUS0 60663,B100000,00000,1300,00000(TIME SPENT) 60663,B100000,00000,1350,00000(PATIENT CENSUS) 60663,B100000,00000,1400,00000ASSIGNED TIME 60663,E10A180,00501,0300,07/04/2000 60663,E10A180,00550,0100,07/04/2000 60663,S000000,00100,0200,05/26/2000 60663,S200000,00100,0100,3371 ROUTE 27 60663,S200000,00200,0100,FRANKLIN PARK 60663,S200000,00200,0200,NJ 60663,S200000,00200,0300,08823 60663,S200000,00300,0100,SOMERSET 60663,S200000,00400,0100,FRANKLIN CONVALESCENT CENTER 60663,S200000,00400,0200,315151 60663,S200000,00400,0300,01/01/1967 60663,S200000,00400,0500,P 60663,S200000,01600,0100,Y 60663,S200000,04300,0100,Y 60663,S200000,04700,0100,Y 60663,S200000,04700,0200,Y 60667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60667,A000000,00300,0000,00300EMPLOYEE BENEFITS 60667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60667,A000000,00700,0000,00700HOUSEKEEPING 60667,A000000,00800,0000,00800DIETARY 60667,A000000,00900,0000,00900NURSING ADMINISTRATION 60667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60667,A000000,01100,0000,01100PHARMACY 60667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60667,A000000,01300,0000,01300SOCIAL SERVICE 60667,A000000,01350,0000,01500ACTIVITIES 60667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60667,A000000,01600,0000,01600SKILLED NURSING FACILITY 60667,A000000,01800,0000,01800NURSING FACILITY 60667,A000000,01810,0000,01810ICF/MR 60667,A000000,02100,0000,02100RADIOLOGY 60667,A000000,02200,0000,02200LABORATORY 60667,A000000,02300,0000,02300INTRAVENOUS THERAPY 60667,A000000,02500,0000,02500PHYSICAL THERAPY 60667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60667,A000000,02700,0000,02700SPEECH PATHOLOGY 60667,A000000,02800,0000,02800ELECTROCARDIOLOGY 60667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60667,A000000,03050,0000,03300CLINITRON 60667,A000000,03052,0000,03301COMPLEX MEDICAL EQUIPMENT 60667,A000000,03550,0000,03550FQHC 60667,A000000,04800,0000,04800AMBULANCE 60667,A000000,05000,0000,05000CORF 60667,A000000,05010,0000,05010CMHC 60667,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60667,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60667,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60667,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60667,A000000,06150,0000,06300GUEST MEALS 60667,A000000,06151,0000,06301PSYCHOLOGICAL THERAPY 60667,A000000,06152,0000,06302PODIATRY 60667,A000000,06153,0000,06303DENTAL CARE 60667,A000000,06200,0000,06200PATIENTS LAUNDRY 60667,A81000A,00100,0100,Y 60667,A81000B,00100,0300,RENT 60667,A81000B,00200,0300,BUILDING DEPRECIATIO 60667,A81000B,00300,0300,MORTGAGE COSTS 60667,A81000B,00400,0300,PROFESSIONAL FEES 60667,A81000B,00500,0300,MORTGAGE INTEREST 60667,A81000B,00600,0300,RENT 60667,A81000B,00700,0300,DEPRECIATION 60667,A81000B,00800,0300,REAL ESTATE TAXES 60667,A81000B,00900,0300,STORAGE 60667,A81000B,01000,0300,COMMON AREA MAINT. 60667,A81000B,01100,0300,PROFESSIONAL FEES 60667,A81000B,01200,0300,UTILITIES 60667,A81000B,01300,0300,INSURANCE 60667,A81000B,01400,0300,GENERAL MAINT. 60667,A81000B,01500,0300,BUILDING MAINT. 60667,A81000B,01600,0300,OFFICE SUPPLIES 60667,A81000B,01700,0300,PROMOTIONAL ITEMS 60667,A81000B,01800,0300,RENT 60667,A81000B,01900,0300,MAINTENANCE 60667,A81000B,02000,0300,SALARIES 60667,A81000B,02100,0300,SALARIES 60667,A81000B,02200,0300,SALARIES 60667,A81000B,02300,0300,SALARIES 60667,A81000B,02400,0300,SALARIES 60667,A81000B,02500,0300,SALARIES 60667,A81000C,00100,0100,A 60667,A81000C,00100,0200,RONALD J. SQUIL 60667,A81000C,00100,0400,HOURGLASS LLC 60667,A81000C,00100,0600,REAL ESTATE OWN 60667,A81000C,00200,0100,A 60667,A81000C,00200,0200,RONALD J. SQUIL 60667,A81000C,00200,0400,RJS REALTY LLC 60667,A81000C,00200,0600,REAL ESTATE OWN 60667,A81000C,00300,0100,A 60667,A81000C,00300,0200,RONALD J. SQUIL 60667,A81000C,00300,0400,SHADOWRIDGE CON 60667,A81000C,00300,0600,CATALOG SALES/C 60667,A81000C,00400,0100,A 60667,A81000C,00400,0200,RONALD J. SQUIL 60667,A81000C,00400,0400,RJS ENTERPRISES 60667,A81000C,00400,0600,MANAGEMENT COMP 60667,A81000C,00500,0100,A 60667,A81000C,00500,0200,RONALD J. SQUIL 60667,A81000C,00500,0400,LRS REALTY 60667,A81000C,00500,0600,REAL ESTATE OWN 60667,A81000C,00600,0100,A 60667,A81000C,00600,0200,RONALD J. SQUIL 60667,A81000C,00600,0400,HEALTHCARE CTRS 60667,A81000C,00600,0600,ASSISTED LIVING 60667,B100000,00000,0100,00003SQUARE FEET 60667,B100000,00000,0200,00003SQUARE FEET 60667,B100000,00000,0300,00003GROSS SALARIES 60667,B100000,00000,0400,00003ACCUM COST 60667,B100000,00000,0500,00003SQUARE FEET 60667,B100000,00000,0600,00003POUNDS OF LAUNDRY 60667,B100000,00000,0700,00003HOURS OF SERVICE 60667,B100000,00000,0800,00003MEALS SERVED 60667,B100000,00000,0900,00003DIRECT NRSG HRS 60667,B100000,00000,1000,00003COSTED REQUIS 60667,B100000,00000,1100,00003COSTED REQUIS 60667,B100000,00000,1200,00003PATIENT DAYS 60667,B100000,00000,1300,00003ADMISSIONS & DISCHRGS 60667,B100000,00000,1350,00003PATIENT DAYS 60667,B100000,00000,1400,00003ASSIGNED TIME 60667,E10A180,00501,0100,07/19/2000 60667,E10A180,00501,0300,07/19/2000 60667,S000000,00100,0200,06/28/2000 60667,S200000,00100,0100,301 UNION STREET 60667,S200000,00200,0100,HACKENSACK 60667,S200000,00200,0200,NJ 60667,S200000,00200,0300,07601 60667,S200000,00300,0100,BERGEN 60667,S200000,00400,0100,WELLINGTON HALL NURSING HOME 60667,S200000,00400,0200,315152 60667,S200000,00400,0300,04/15/1974 60667,S200000,00400,0500,P 60667,S200000,00600,0200,315152 60667,S200000,00600,0300,04/15/1974 60667,S200000,01600,0100,Y 60667,S200000,02200,0100,Y 60667,S200000,02800,0100,Y 60667,S200000,04700,0100,Y 60667,S200000,04700,0200,Y 60670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60670,A000000,00300,0000,00300EMPLOYEE BENEFITS 60670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60670,A000000,00700,0000,00700HOUSEKEEPING 60670,A000000,00800,0000,00800DIETARY 60670,A000000,00900,0000,00900NURSING ADMINISTRATION 60670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60670,A000000,01100,0000,01100PHARMACY 60670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60670,A000000,01300,0000,01300SOCIAL SERVICE 60670,A000000,01350,0000,01500ACTIVITIES 60670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60670,A000000,01600,0000,01600SKILLED NURSING FACILITY 60670,A000000,01810,0000,01810ICF/MR 60670,A000000,02100,0000,02100RADIOLOGY 60670,A000000,02200,0000,02200LABORATORY 60670,A000000,02500,0000,02500PHYSICAL THERAPY 60670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60670,A000000,02700,0000,02700SPEECH PATHOLOGY 60670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60670,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60670,A000000,03200,0000,03200SUPPORT SURFACES 60670,A000000,03550,0000,03550FQHC 60670,A000000,04800,0000,04800AMBULANCE 60670,A000000,05000,0000,05000CORF 60670,A000000,05010,0000,05010CMHC 60670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60670,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60670,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60670,A81000A,00100,0100,Y 60670,A81000B,00100,0300,CORPORATE DIRECT EXPENSE 60670,A81000B,00200,0300,EMPLOYEE BENEFITS 60670,A81000B,00300,0300,MEDICAL SUPPLIES 60670,A81000B,00400,0300,INSURANCE 60670,A81000B,00500,0300,PRINTING 60670,A81000B,00600,0300,LEASE EXPENSE 60670,A81000C,00100,0100,B 60670,A81000C,00100,0200,CENTRA STATE MC 60670,A81000C,00100,0400,PARENT COMP 60670,A81000C,00100,0600,HOSPITAL 60670,B100000,00000,0100,00000SQUARE FEET 60670,B100000,00000,0200,00000SQUARE FEET 60670,B100000,00000,0300,00000GROSS SALARIES 60670,B100000,00000,0400,00000ACCUM COST 60670,B100000,00000,0500,00000SQUARE FEET 60670,B100000,00000,0600,00000PATIENT DAYS 60670,B100000,00000,0700,00000SQUARE FEET 60670,B100000,00000,0800,00000MEALS SERVED 60670,B100000,00000,0900,00000PATIENT DAYS 60670,B100000,00000,1000,00000PATIENT DAYS 60670,B100000,00000,1100,00000PATIENT DAYS 60670,B100000,00000,1200,00000PATIENT DAYS 60670,B100000,00000,1300,00000PATIENT DAYS 60670,B100000,00000,1350,00000PATIENT DAYS 60670,B100000,00000,1400,00000ASSIGNED TIME 60670,E10A180,00501,0100,07/03/2000 60670,S000000,00100,0200,05/30/2000 60670,S200000,00100,0100,689 WEST MAIN ST 60670,S200000,00200,0100,FREEHOLD 60670,S200000,00200,0200,NJ 60670,S200000,00200,0300,07728 60670,S200000,00300,0100,MONMOUTH 60670,S200000,00400,0100,THE MANOR 60670,S200000,00400,0200,315153 60670,S200000,00400,0300,02/10/1974 60670,S200000,00400,0500,P 60670,S200000,01500,0100,Y 60670,S200000,04700,0100,Y 60670,S200000,04700,0200,Y 60673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60673,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60673,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60673,A000000,00300,0000,00300EMPLOYEE BENEFITS 60673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60673,A000000,00700,0000,00700HOUSEKEEPING 60673,A000000,00800,0000,00800DIETARY 60673,A000000,00801,0000,00801CAFETERIA 60673,A000000,00900,0000,00900NURSING ADMINISTRATION 60673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60673,A000000,01100,0000,01100PHARMACY 60673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60673,A000000,01300,0000,01300SOCIAL SERVICE 60673,A000000,01350,0000,01500RECT THERAPY 60673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60673,A000000,01600,0000,01600SKILLED NURSING FACILITY 60673,A000000,01800,0000,01800NURSING FACILITY 60673,A000000,01810,0000,01810ICF/MR 60673,A000000,02100,0000,02100RADIOLOGY 60673,A000000,02200,0000,02200LABORATORY 60673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60673,A000000,02500,0000,02500PHYSICAL THERAPY 60673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60673,A000000,02700,0000,02700SPEECH PATHOLOGY 60673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60673,A000000,03050,0000,03300PEN THERAPY 60673,A000000,03051,0000,03301FEE SCREENING 60673,A000000,03052,0000,03302OTHER ANCILLARY III 60673,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60673,A000000,03550,0000,03550FQHC 60673,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60673,A000000,05000,0000,05000CORF I 60673,A000000,05010,0000,05010CMHC I 60673,A000000,05020,0000,05020OPT I 60673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60673,A000000,05300,0000,05300INTEREST EXPENSE 60673,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60673,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60673,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60673,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60673,A81000A,00100,0100,Y 60673,A81000B,00100,0300,VARIOUS 60673,A81000B,00200,0300,HOME OFFICE 60673,A81000B,00300,0300,HOME OFFICE 60673,A81000B,00400,0300,CAPITAL INTEREST 60673,A81000C,00100,0100,B 60673,A81000C,00100,0400,AS ATTACHED 60673,A81000C,00100,0600,VARIOUS 60673,A81000C,00200,0100,B 60673,A81000C,00200,0400,GHV 60673,A81000C,00200,0600,LONG TERM CARE 60673,A81000C,00300,0100,B 60673,A81000C,00300,0400,GHV 60673,A81000C,00300,0600,LONG TERM CARE 60673,A81000C,00400,0100,B 60673,A81000C,00400,0400,GHV 60673,A81000C,00400,0600,LONG TERM CARE 60673,B100000,00000,0100,00000(SQUARE FEET) 60673,B100000,00000,0101,00000(SQUARE FEET) 60673,B100000,00000,0200,00000(SQUARE FEET) 60673,B100000,00000,0201,00000(SQUARE FEET) 60673,B100000,00000,0300,00000(GROSS SALARIES) 60673,B100000,00000,0400,00000(ACCUM. COST) 60673,B100000,00000,0500,00000(SQUARE FEET) 60673,B100000,00000,0600,00000(PATIENT DAYS) 60673,B100000,00000,0700,00000(SQUARE FEET) 60673,B100000,00000,0800,00000(MEALS SERVED) 60673,B100000,00000,0801,00000(MEALS SERVED) 60673,B100000,00000,0900,00000(NURSING SALARIES) 60673,B100000,00000,1000,00000CST REQ 60673,B100000,00000,1100,00000(PATIENT DAYS) 60673,B100000,00000,1200,00000(PATIENT DAYS) 60673,B100000,00000,1300,00000(PATIENT DAYS) 60673,B100000,00000,1350,00000(PATIENT DAYS) 60673,B100000,00000,1400,00000(ASSIGNED TIME) 60673,E10A180,00301,0100,01/05/2000 60673,S000000,00100,0200,05/31/2000 60673,S200000,00100,0100,77 MADISON AVE 60673,S200000,00200,0100,MORRISTOWN 60673,S200000,00200,0200,NJ 60673,S200000,00200,0300,07960 60673,S200000,00300,0100,MORRIS 60673,S200000,00400,0100,MORRIS HILLS 60673,S200000,00400,0200,315157 60673,S200000,00400,0300,11/20/1992 60673,S200000,00400,0500,P 60673,S200000,01600,0100,Y 60673,S200000,02200,0100,Y 60676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60676,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60676,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60676,A000000,00300,0000,00300EMPLOYEE BENEFITS 60676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60676,A000000,00700,0000,00700HOUSEKEEPING 60676,A000000,00800,0000,00800DIETARY 60676,A000000,00801,0000,00801CAFETERIA 60676,A000000,00900,0000,00900NURSING ADMINISTRATION 60676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60676,A000000,01100,0000,01100PHARMACY 60676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60676,A000000,01300,0000,01300SOCIAL SERVICE 60676,A000000,01350,0000,01500REC THERAPY 60676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60676,A000000,01600,0000,01600SKILLED NURSING FACILITY 60676,A000000,01800,0000,01800NURSING FACILITY 60676,A000000,01810,0000,01810ICF/MR 60676,A000000,02100,0000,02100RADIOLOGY 60676,A000000,02200,0000,02200LABORATORY 60676,A000000,02500,0000,02500PHYSICAL THERAPY 60676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60676,A000000,02700,0000,02700SPEECH PATHOLOGY 60676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60676,A000000,03050,0000,03300PEN THERAPY 60676,A000000,03051,0000,03301FEE SCREENING 60676,A000000,03052,0000,03302OTHER ANCILLARY III 60676,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60676,A000000,03550,0000,03550FQHC 60676,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60676,A000000,05000,0000,05000CORF I 60676,A000000,05010,0000,05010CMHC I 60676,A000000,05020,0000,05020OPT I 60676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60676,A000000,05300,0000,05300INTEREST EXPENSE 60676,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60676,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60676,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60676,A81000A,00100,0100,Y 60676,A81000B,00100,0300,VARIOUS 60676,A81000B,00200,0300,HOME OFFICE 60676,A81000B,00300,0300,CAPITAL INTEREST 60676,A81000B,00400,0300,HOME OFFICE INTEREST 60676,A81000C,00100,0100,B 60676,A81000C,00100,0400,GHV 60676,A81000C,00100,0600,VARIOUS 60676,A81000C,00200,0100,B 60676,A81000C,00200,0400,GHV 60676,A81000C,00200,0600,HOME OFFICE 60676,A81000C,00300,0100,B 60676,A81000C,00300,0400,GHV 60676,A81000C,00300,0600,HOME OFFICE 60676,A81000C,00400,0100,B 60676,A81000C,00400,0400,GHV 60676,A81000C,00400,0600,HOME OFFICE 60676,B100000,00000,0100,00000(SQUARE FEET) 60676,B100000,00000,0101,00000(SQUARE FEET) 60676,B100000,00000,0200,00000(SQUARE FEET) 60676,B100000,00000,0201,00000(SQUARE FEET) 60676,B100000,00000,0300,00000(GROSS SALARIES) 60676,B100000,00000,0400,00000(ACCUM. COST) 60676,B100000,00000,0500,00000(SQUARE FEET) 60676,B100000,00000,0600,00000(PATIENT DAYS) 60676,B100000,00000,0700,00000(SQUARE FEET) 60676,B100000,00000,0800,00000(MEALS SERVED) 60676,B100000,00000,0801,00000(MEALS SERVED) 60676,B100000,00000,0900,00000(NURSING SALARIES) 60676,B100000,00000,1000,00000COSTED RE 60676,B100000,00000,1100,00000(PATIENT DAYS) 60676,B100000,00000,1200,00000(PATIENT DAYS) 60676,B100000,00000,1300,00000(PATIENT DAYS) 60676,B100000,00000,1350,00000(PATIENT DAYS) 60676,B100000,00000,1400,00000(ASSIGNED TIME) 60676,E10A180,00301,0100,01/05/2000 60676,S000000,00100,0200,05/31/2000 60676,S200000,00100,0100,330 FRANKLIN TURNPIKE 60676,S200000,00200,0100,RIDGEWOOD 60676,S200000,00200,0200,NJ 60676,S200000,00200,0300,07450 60676,S200000,00300,0100,BERGEN 60676,S200000,00400,0100,RIDGEWOOD MANOR 60676,S200000,00400,0200,315158 60676,S200000,00400,0300,06/04/1975 60676,S200000,00400,0500,P 60676,S200000,01600,0100,Y 60676,S200000,02200,0100,Y 60678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60678,A000000,00300,0000,00300EMPLOYEE BENEFITS 60678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60678,A000000,00700,0000,00700HOUSEKEEPING 60678,A000000,00800,0000,00800DIETARY 60678,A000000,00900,0000,00900NURSING ADMINISTRATION 60678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60678,A000000,01100,0000,01100PHARMACY 60678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60678,A000000,01300,0000,01300SOCIAL SERVICE 60678,A000000,01350,0000,01500PATIENT ACTIVITIES 60678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60678,A000000,01600,0000,01600SKILLED NURSING FACILITY 60678,A000000,01800,0000,01800NURSING FACILITY 60678,A000000,01810,0000,01810ICF/MR 60678,A000000,02100,0000,02100RADIOLOGY 60678,A000000,02200,0000,02200LABORATORY 60678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60678,A000000,02500,0000,02500PHYSICAL THERAPY 60678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60678,A000000,02700,0000,02700SPEECH PATHOLOGY 60678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60678,A000000,03550,0000,03550FQHC 60678,A000000,04800,0000,04800AMBULANCE 60678,A000000,05000,0000,05000CORF 60678,A000000,05010,0000,05010CMHC 60678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60678,A81000A,00100,0100,Y 60678,A81000B,00100,0300,RENT 60678,A81000B,00200,0300,FEES 60678,A81000B,00300,0300,PROPERTY TAXES 60678,A81000B,00400,0300,OFFICE EXPENSE 60678,A81000B,00500,0300,DEPRECIATION 60678,A81000B,00600,0300,INTEREST 60678,A81000B,00700,0300,REPAIRS 60678,A81000C,00100,0100,A 60678,A81000C,00100,0200,NARY ASSOCIATES 60678,A81000C,00100,0400,NARY ASSOCIATES 60678,A81000C,00100,0600,REALTY 60678,B100000,00000,0100,00000SQUARE FEET 60678,B100000,00000,0200,00000SQUARE FEET 60678,B100000,00000,0300,00000GROSS SALARIES 60678,B100000,00000,0400,00000ACCUM COST 60678,B100000,00000,0500,00000SQUARE FEET 60678,B100000,00000,0600,00000PATIENT DAYS 60678,B100000,00000,0700,00000SQUARE FEET 60678,B100000,00000,0800,00000MEALS SERVED 60678,B100000,00000,0900,00000DIRECT NRSG HRS 60678,B100000,00000,1000,00000COSTED REQUIS 60678,B100000,00000,1100,00000COSTED REQUIS 60678,B100000,00000,1200,00000TIME SPENT 60678,B100000,00000,1300,00000PATIENT DAYS 60678,B100000,00000,1350,00000PATIENT DAYS 60678,B100000,00000,1400,00000ASSIGNED TIME 60678,S000000,00100,0200,05/16/2000 60678,S200000,00100,0100,133 COUNTY ROAD 60678,S200000,00200,0100,TENAFLY 60678,S200000,00200,0200,NJ 60678,S200000,00200,0300,07670 60678,S200000,00300,0100,BERGEN 60678,S200000,00400,0100,COUNTY MANOR NURSING HOME 60678,S200000,00400,0200,315164 60678,S200000,00400,0300,01/01/1976 60678,S200000,00400,0500,P 60678,S200000,01600,0100,Y 60678,S200000,04300,0100,Y 60678,S200000,04700,0100,Y 60678,S200000,04700,0200,Y 60680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60680,A000000,00300,0000,00300EMPLOYEE BENEFITS 60680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60680,A000000,00700,0000,00700HOUSEKEEPING 60680,A000000,00701,0000,00701HOUSEKEEPING 60680,A000000,00702,0000,00702HOUSEKEEPING 60680,A000000,00800,0000,00800DIETARY 60680,A000000,00900,0000,00900NURSING ADMINISTRATION 60680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60680,A000000,01100,0000,01100PHARMACY 60680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60680,A000000,01300,0000,01300SOCIAL SERVICE 60680,A000000,01350,0000,01500PATIENT ACTIVITIES 60680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60680,A000000,01600,0000,01600SKILLED NURSING FACILITY 60680,A000000,01800,0000,01800NURSING FACILITY 60680,A000000,01810,0000,01810ICF/MR 60680,A000000,01900,0000,01900OTHER LONG TERM CARE 60680,A000000,02200,0000,02200LABORATORY 60680,A000000,02500,0000,02500PHYSICAL THERAPY 60680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60680,A000000,02700,0000,02700SPEECH PATHOLOGY 60680,A000000,02800,0000,02800ELECTROCARDIOLOGY 60680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60680,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60680,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60680,A000000,03550,0000,03550FQHC 60680,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60680,A000000,05000,0000,05000CORF 60680,A000000,05010,0000,05010CMHC 60680,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60680,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60680,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60680,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60680,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60680,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60680,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60680,B100000,00000,0100,00000SQUARE FEET 60680,B100000,00000,0200,00000SQUARE FEET 60680,B100000,00000,0300,00000GROSS SALARIES 60680,B100000,00000,0400,00000ACCUM. COST 60680,B100000,00000,0500,00000SQUARE FEET 60680,B100000,00000,0600,00000POUNDS OF LAUNDRY 60680,B100000,00000,0700,00000DEPARTMENT T SALARI 60680,B100000,00000,0701,00000SQ.FT. (MED) EXC 60680,B100000,00000,0702,00000SQ.FT RESEXCLUD 60680,B100000,00000,0800,00000MEALS SERVED 60680,B100000,00000,0900,00000DIRECT NRSING SAL 60680,B100000,00000,1000,00000COSTED REQUIS. 60680,B100000,00000,1100,00000COSTED REQUIS. 60680,B100000,00000,1200,00000PATIENT DAYS 60680,B100000,00000,1300,00000PATIENT DAYS 60680,B100000,00000,1350,00000PATIENT DAYS 60680,B100000,00000,1400,00000ASSIGNED TIME 60680,E10A180,00501,0100,07/18/2000 60680,E10A180,00501,0300,07/18/2000 60680,S000000,00100,0200,06/01/2000 60680,S200000,00100,0100,902 JACKSONVILLE ROAD 60680,S200000,00200,0100,BURLINGTON 60680,S200000,00200,0200,NJ 60680,S200000,00200,0300,08016 60680,S200000,00300,0100,BURLINGTON 60680,S200000,00400,0100,MASONIC HOME OF NJ 60680,S200000,00400,0200,315166 60680,S200000,00400,0300,01/01/1980 60680,S200000,00400,0500,P 60680,S200000,01500,0100,Y 60683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60683,A000000,00300,0000,00300EMPLOYEE BENEFITS 60683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60683,A000000,00700,0000,00700HOUSEKEEPING 60683,A000000,00800,0000,00800DIETARY 60683,A000000,00900,0000,00900NURSING ADMINISTRATION 60683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60683,A000000,01100,0000,01100PHARMACY 60683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60683,A000000,01300,0000,01300SOCIAL SERVICE 60683,A000000,01350,0000,01500PATIENT ACTIVITIES 60683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60683,A000000,01600,0000,01600SKILLED NURSING FACILITY 60683,A000000,01800,0000,01800NURSING FACILITY 60683,A000000,01810,0000,01810ICF/MR 60683,A000000,02100,0000,02100RADIOLOGY 60683,A000000,02200,0000,02200LABORATORY 60683,A000000,02300,0000,02300INTRAVENOUS THERAPY 60683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60683,A000000,02500,0000,02500PHYSICAL THERAPY 60683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60683,A000000,02700,0000,02700SPEECH PATHOLOGY 60683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60683,A000000,03200,0000,03200SUPPORT SURFACES 60683,A000000,03550,0000,03550FQHC 60683,A000000,04800,0000,04800AMBULANCE 60683,A000000,05000,0000,05000CORF 60683,A000000,05010,0000,05010CMHC 60683,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60683,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60683,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60683,A000000,06150,0000,06300RMS RENT TO THERAPIST (PT YEAR) 60683,A81000A,00100,0100,Y 60683,A81000B,00100,0300,RENT 60683,A81000B,00200,0300,INTEREST/AMORT FIN C 60683,A81000B,00300,0300,DEPRECIATION 60683,A81000B,00400,0300,REAL ESTATE TAXES 60683,A81000C,00100,0100,A 60683,A81000C,00100,0200,B. SCHACHTER 60683,A81000C,00100,0400,OAKLAND CARE CE 60683,A81000C,00100,0600,REALTY 60683,A81000C,00200,0100,A 60683,A81000C,00200,0200,H. GOTTLIEB 60683,A81000C,00200,0400,OAKLAND CARE CE 60683,A81000C,00200,0600,REALTY 60683,B100000,00000,0100,00000(SQUARE FEET) 60683,B100000,00000,0200,00000SQUARE FEET 60683,B100000,00000,0300,00000(GROSS SALARIES) 60683,B100000,00000,0400,00000(ACCUM COST) 60683,B100000,00000,0500,00000(SQUARE FEET) 60683,B100000,00000,0600,00000(PATIENT CENSUS) 60683,B100000,00000,0700,00000(SQUARE FOOTAGE) 60683,B100000,00000,0800,00000(MEALS SERVED) 60683,B100000,00000,0900,00000(DIRECT NRSG HRS) 60683,B100000,00000,1000,00000(COSTED REQUIS) 60683,B100000,00000,1100,00000COSTED REQUIS 60683,B100000,00000,1200,00000(TIME SPENT) 60683,B100000,00000,1300,00000(TIME SPENT) 60683,B100000,00000,1350,00000(PATIENT CENSUS) 60683,B100000,00000,1400,00000ASSIGNED TIME 60683,E10A180,00501,0100,07/11/2000 60683,E10A180,00501,0300,07/11/2000 60683,S000000,00100,0200,05/31/2000 60683,S200000,00100,0100,20 BREAKNECK ROAD 60683,S200000,00200,0100,OAKLAND 60683,S200000,00200,0200,NJ 60683,S200000,00200,0300,07436 60683,S200000,00300,0100,BERGEN 60683,S200000,00400,0100,OAKLAND CARE CENTER 60683,S200000,00400,0200,315171 60683,S200000,00400,0300,01/07/1980 60683,S200000,00400,0500,P 60683,S200000,01600,0100,Y 60683,S200000,04300,0100,Y 60683,S200000,04700,0100,Y 60685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60685,A000000,00300,0000,00300EMPLOYEE BENEFITS 60685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60685,A000000,00700,0000,00700HOUSEKEEPING 60685,A000000,00800,0000,00800DIETARY 60685,A000000,00900,0000,00900NURSING ADMINISTRATION 60685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60685,A000000,01100,0000,01100PHARMACY 60685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60685,A000000,01300,0000,01300SOCIAL SERVICE 60685,A000000,01350,0000,01500RECREATION 60685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60685,A000000,01600,0000,01600SKILLED NURSING FACILITY 60685,A000000,01800,0000,01800NURSING FACILITY 60685,A000000,01810,0000,01810ICF/MR 60685,A000000,02200,0000,02200LABORATORY 60685,A000000,02500,0000,02500PHYSICAL THERAPY 60685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60685,A000000,02700,0000,02700SPEECH PATHOLOGY 60685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60685,A000000,03200,0000,03200SUPPORT SURFACES 60685,A000000,03550,0000,03550FQHC 60685,A000000,05000,0000,05000CORF 60685,A000000,05010,0000,05010CMHC 60685,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60685,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60685,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60685,B100000,00000,0100,00000SQUARE FEET 60685,B100000,00000,0200,00000SQUARE FEET 60685,B100000,00000,0300,00000GROSS SALARIES 60685,B100000,00000,0400,00000ACCUM COST 60685,B100000,00000,0500,00000SQUARE FEET 60685,B100000,00000,0600,00000CENSUS 60685,B100000,00000,0700,00000HOURS OF SERVICE 60685,B100000,00000,0800,00000MEALS SERVED 60685,B100000,00000,0900,00000DIRECT NRSG HRS 60685,B100000,00000,1000,00000CENSUS 60685,B100000,00000,1100,00000COSTED REQUIS 60685,B100000,00000,1200,00000TIME SPENT 60685,B100000,00000,1300,00000CENSUS 60685,B100000,00000,1350,00000CENSUS 60685,B100000,00000,1400,00000ASSIGNED TIME 60685,E10A180,00501,0100,06/27/2000 60685,E10A180,00501,0300,06/27/2000 60685,S000000,00100,0200,05/24/2000 60685,S200000,00100,0100,456 RAHWAY AVENUE 60685,S200000,00200,0100,ELIZABETH 60685,S200000,00200,0200,NJ 60685,S200000,00200,0300,07202 60685,S200000,00300,0100,HUDSON 60685,S200000,00400,0100,PLAZA NURSING AND CONVALESCENT CENTER 60685,S200000,00400,0200,315172 60685,S200000,00400,0300,01/01/1980 60685,S200000,00400,0500,P 60685,S200000,01600,0100,Y 60688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60688,A000000,00300,0000,00300EMPLOYEE BENEFITS 60688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60688,A000000,00700,0000,00700HOUSEKEEPING 60688,A000000,00800,0000,00800DIETARY 60688,A000000,00900,0000,00900NURSING ADMINISTRATION 60688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60688,A000000,01100,0000,01100PHARMACY 60688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60688,A000000,01300,0000,01300SOCIAL SERVICE 60688,A000000,01350,0000,01500RECREATION 60688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60688,A000000,01600,0000,01600SKILLED NURSING FACILITY 60688,A000000,01800,0000,01800NURSING FACILITY 60688,A000000,01810,0000,01810ICF/MR 60688,A000000,02100,0000,02100RADIOLOGY 60688,A000000,02200,0000,02200LABORATORY 60688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60688,A000000,02500,0000,02500PHYSICAL THERAPY 60688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60688,A000000,02700,0000,02700SPEECH PATHOLOGY 60688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60688,A000000,03200,0000,03200SUPPORT SURFACES 60688,A000000,03550,0000,03550FQHC 60688,A000000,04800,0000,04800AMBULANCE 60688,A000000,05000,0000,05000CORF 60688,A000000,05010,0000,05010CMHC 60688,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60688,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60688,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60688,A81000A,00100,0100,Y 60688,A81000B,00100,0300,BUSINESS MNGR ON WOO 60688,A81000B,00200,0300,OFFICERS SALARY TO 60688,A81000B,00300,0300,PR TAX ON OFFICERS 60688,A81000B,00400,0300,FRINGES ON SHARED EM 60688,A81000B,00500,0300,WOODBURY BO 60688,A81000C,00100,0100,A 60688,A81000C,00100,0200,P ZIRBSER SR 60688,A81000C,00100,0400,GREENBRIAR-HAMM 60688,A81000C,00100,0600,SNF 60688,A81000C,00200,0100,A 60688,A81000C,00200,0200,E ZIRBSER SR 60688,A81000C,00200,0400,GREENBRIAR-HAMM 60688,A81000C,00200,0600,SNF 60688,A81000C,00300,0100,A 60688,A81000C,00300,0200,P ZIRBSER SR 60688,A81000C,00300,0400,GREENBRIAR-WOOD 60688,A81000C,00300,0600,SNF 60688,A81000C,00400,0100,A 60688,A81000C,00400,0200,E ZIRBSER SR 60688,A81000C,00400,0400,GREENBRIAR-WOOD 60688,A81000C,00400,0600,SNF 60688,B100000,00000,0100,00000SQUARE FEET 60688,B100000,00000,0200,00000SQUARE FEET 60688,B100000,00000,0300,00000GROSS SALARIES 60688,B100000,00000,0400,00000ACCUM COST 60688,B100000,00000,0500,00000SQUARE FEET 60688,B100000,00000,0600,00000PATIENT DAYS 60688,B100000,00000,0700,00000SQUARE FEET 60688,B100000,00000,0800,00000MEALS SERVED 60688,B100000,00000,0900,00000DIRECT NRSG HRS 60688,B100000,00000,1000,00000COSTED REQUIS 60688,B100000,00000,1100,00000COSTED REQUIS 60688,B100000,00000,1200,00000PATIENT DAYS 60688,B100000,00000,1300,00000PATIENT DAYS 60688,B100000,00000,1350,00000PATIENT DAYS 60688,B100000,00000,1400,00000ASSIGNED TIME 60688,E10A180,00501,0100,06/23/2000 60688,E10A180,00501,0300,06/23/2000 60688,S000000,00100,0200,05/12/2000 60688,S200000,00100,0100,1511 CLEMENTS BRIDGE ROAD 60688,S200000,00200,0100,DEPTFORD 60688,S200000,00200,0200,NJ 60688,S200000,00200,0300,08096 60688,S200000,00300,0100,GLOUCESTER 60688,S200000,00400,0100,GREENBRIAR NRSG. CTR. OF DEPTFORD 60688,S200000,00400,0200,315174 60688,S200000,00400,0300,02/21/1980 60688,S200000,00400,0500,P 60688,S200000,01600,0100,Y 60691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60691,A000000,00300,0000,00300EMPLOYEE BENEFITS 60691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60691,A000000,00700,0000,00700HOUSEKEEPING 60691,A000000,00800,0000,00800DIETARY 60691,A000000,00900,0000,00900NURSING ADMINISTRATION 60691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60691,A000000,01100,0000,01100PHARMACY 60691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60691,A000000,01300,0000,01300SOCIAL SERVICE 60691,A000000,01350,0000,01500PATIENT ACTIVITIES 60691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60691,A000000,01600,0000,01600SKILLED NURSING FACILITY 60691,A000000,01810,0000,01810ICF/MR 60691,A000000,02100,0000,02100RADIOLOGY 60691,A000000,02200,0000,02200LABORATORY 60691,A000000,02300,0000,02300INTRAVENOUS THERAPY 60691,A000000,02500,0000,02500PHYSICAL THERAPY 60691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60691,A000000,02700,0000,02700SPEECH PATHOLOGY 60691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60691,A000000,03200,0000,03200SUPPORT SURFACES 60691,A000000,03550,0000,03550FQHC 60691,A000000,04800,0000,04800AMBULANCE 60691,A000000,05000,0000,05000CORF 60691,A000000,05010,0000,05010CMHC 60691,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60691,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60691,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60691,A81000A,00100,0100,Y 60691,A81000B,00100,0300,REHAB SUPPLIES 60691,A81000B,00200,0300,MAINTENANCE SUPPLIES 60691,A81000B,00300,0300,EDUCATIONAL SUPPLIES 60691,A81000B,00400,0300,DIETARY SUPPLIES 60691,A81000B,00500,0300,ENTERALS & SUPPLIES 60691,A81000B,00600,0300,SUPPLIES 60691,A81000B,00700,0300,AIR FLUIDIZED BEDS 60691,A81000C,00100,0100,A 60691,A81000C,00100,0200,J. PINELES 60691,A81000C,00100,0400,JERSEY HC RESOU 60691,A81000C,00100,0600,MANAGEMENT 60691,A81000C,00200,0100,A 60691,A81000C,00200,0200,J. PINELES 60691,A81000C,00200,0400,JERSEY HC RESOU 60691,A81000C,00200,0600,MANAGEMENT 60691,A81000C,00300,0100,A 60691,A81000C,00300,0200,J PINELES 60691,A81000C,00300,0400,JERSEY HC RESOU 60691,A81000C,00300,0600,MANAGEMENT 60691,A81000C,00400,0100,A 60691,A81000C,00400,0200,J PINELES 60691,A81000C,00400,0400,JERSEY HC RESOU 60691,A81000C,00400,0600,MANAGEMENT 60691,A81000C,00500,0100,A 60691,A81000C,00500,0200,J PINELES 60691,A81000C,00500,0400,JERSEY HC RESOU 60691,A81000C,00500,0600,FOOD SUPPLEMENT 60691,A81000C,00600,0100,A 60691,A81000C,00600,0200,J PINELES 60691,A81000C,00600,0400,JERSEY HC RESOU 60691,A81000C,00600,0600,FOOD SUPPLEMENT 60691,A81000C,00700,0100,A 60691,A81000C,00700,0200,J PINELES 60691,A81000C,00700,0400,JERSEY HC RESOU 60691,A81000C,00700,0600,DME SUPPLIER 60691,B100000,00000,0100,00000SQUARE FEET 60691,B100000,00000,0200,00000SQUARE FEET 60691,B100000,00000,0300,00000GROSS SALARIES 60691,B100000,00000,0400,00000ACCUM COST 60691,B100000,00000,0500,00000SQUARE FEET 60691,B100000,00000,0600,00000POUNDS OF LAUNDRY 60691,B100000,00000,0700,00000HOURS OF SERVICE 60691,B100000,00000,0800,00000MEALS SERVED 60691,B100000,00000,0900,00000DIRECT NRSG HRS 60691,B100000,00000,1000,00000COSTED REQUIS 60691,B100000,00000,1100,00000COSTED REQUIS 60691,B100000,00000,1200,00000TIME SPENT 60691,B100000,00000,1300,00000TIME SPENT 60691,B100000,00000,1350,00000CENSUS 60691,B100000,00000,1400,00000ASSIGNED TIME 60691,E10A180,00501,0300,07/11/2000 60691,E10A180,00550,0100,07/11/2000 60691,S000000,00100,0200,05/30/2000 60691,S200000,00100,0100,185 TUCKERTON ROAD 60691,S200000,00200,0100,MEDFORD 60691,S200000,00200,0200,NJ 60691,S200000,00200,0300,08055 60691,S200000,00300,0100,BURLINGTON 60691,S200000,00400,0100,MEDFORD NRSG. & CONVALESCENT CTR. 60691,S200000,00400,0200,315176 60691,S200000,00400,0300,07/01/1980 60691,S200000,00400,0500,P 60691,S200000,01600,0100,Y 60691,S200000,04300,0100,Y 60691,S200000,04700,0100,Y 60691,S200000,04700,0200,Y 60696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60696,A000000,00300,0000,00300EMPLOYEE BENEFITS 60696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60696,A000000,00700,0000,00700HOUSEKEEPING 60696,A000000,00800,0000,00800DIETARY 60696,A000000,00900,0000,00900NURSING ADMINISTRATION 60696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60696,A000000,01100,0000,01100PHARMACY 60696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60696,A000000,01300,0000,01300SOCIAL SERVICE 60696,A000000,01301,0000,01350RECREATIONAL THERAPY 60696,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60696,A000000,01600,0000,01600SKILLED NURSING FACILITY 60696,A000000,01800,0000,01800NURSING FACILITY 60696,A000000,01810,0000,01810ICF/MR 60696,A000000,02100,0000,02100RADIOLOGY 60696,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60696,A000000,02500,0000,02500PHYSICAL THERAPY 60696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60696,A000000,02700,0000,02700SPEECH PATHOLOGY 60696,A000000,02800,0000,02800ELECTROCARDIOLOGY 60696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60696,A000000,03550,0000,03550FQHC 60696,A000000,05000,0000,05000CORF 60696,A000000,05010,0000,05010CMHC 60696,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60696,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60696,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60696,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60696,A000000,06150,0000,06300RENTAL EXPENSE 60696,A81000A,00100,0100,Y 60696,A81000B,00200,0300,ADMIN CONSUL FEE 60696,A81000B,00300,0300,INTEREST EXPENSE 60696,A81000B,00400,0300,NURSING COST 60696,A81000B,00500,0300,FACILITY RENTAL 60696,A81000B,00600,0300,ETOWN ASSOC-OLD BLD 60696,A81000B,00700,0300,ETOWN ASSOC-NEW BLD 60696,A81000B,00800,0300,ETOWN ASSOC-WC 60696,A81000B,00900,0300,DEPRECIATION 60696,A81000B,01000,0300,DEPRECIATION 60696,A81000C,00100,0100,A 60696,A81000C,00100,0200,STEVEN GOLDBERG 60696,A81000C,00100,0400,EATONTOWN ASSOC 60696,A81000C,00100,0600,REAL ESTATE 60696,A81000C,00200,0100,A 60696,A81000C,00200,0200,ALLEN HARBERG 60696,A81000C,00200,0400,EATONTOWN ASSOC 60696,A81000C,00200,0600,REAL ESTATE 60696,A81000C,00300,0100,A 60696,A81000C,00300,0200,STEVEN GOLDBERG 60696,A81000C,00300,0400,TOWNCO CONSUL I 60696,A81000C,00300,0600,CONSULTING 60696,A81000C,00400,0100,A 60696,A81000C,00400,0200,STEVEN GOLDBERG 60696,A81000C,00400,0400,NURSE CONNECTIO 60696,A81000C,00400,0600,TEMP HELP AGENC 60696,A81000C,00500,0100,G 60696,A81000C,00500,0200,MA RESOURCE IN 60696,A81000C,00500,0400,EATONOWN ASSOC. 60696,A81000C,00500,0600,HEALTH CARE 60696,B100000,00000,0100,00000(SQUARE FEET) 60696,B100000,00000,0200,00000(SQUARE FEET) 60696,B100000,00000,0300,00000(GROSS SALARIES) 60696,B100000,00000,0400,00000(ACCUM COST) 60696,B100000,00000,0500,00000(SQUARE FEET) 60696,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60696,B100000,00000,0700,00000(SQUARE FEET) 60696,B100000,00000,0800,00000(MEALS SERVED) 60696,B100000,00000,0900,00000(DIRECT NRSG HRS) 60696,B100000,00000,1000,00000(COSTED REQUIS) 60696,B100000,00000,1100,00000(PATIENT DAYS) 60696,B100000,00000,1200,00000(TIME SPENT) 60696,B100000,00000,1300,00000(TIME SPENT) 60696,B100000,00000,1350,00000 60696,B100000,00000,1400,00000(ASSIGNED TIME) 60696,E10A180,00501,0300,07/11/2000 60696,E10A180,00550,0100,07/11/2000 60696,S000000,00100,0200,06/06/2000 60696,S200000,00100,0100,139 GRANT AVENUE 60696,S200000,00200,0100,EATONTOWN 60696,S200000,00200,0200,NJ 60696,S200000,00200,0300,07724 60696,S200000,00400,0100,EATONTOWN CONVALESCENT CENTER 60696,S200000,00400,0200,315177 60696,S200000,00400,0300,01/01/1987 60696,S200000,00400,0500,P 60696,S200000,01600,0100,Y 60696,S200000,01900,0100,501 (C) (3) 60699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60699,A000000,00300,0000,00300EMPLOYEE BENEFITS 60699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60699,A000000,00700,0000,00700HOUSEKEEPING 60699,A000000,00800,0000,00800DIETARY 60699,A000000,00900,0000,00900NURSING ADMINISTRATION 60699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60699,A000000,01100,0000,01100PHARMACY 60699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60699,A000000,01300,0000,01300SOCIAL SERVICE 60699,A000000,01350,0000,01500RECREATION 60699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60699,A000000,01600,0000,01600SKILLED NURSING FACILITY 60699,A000000,01800,0000,01800NURSING FACILITY 60699,A000000,01810,0000,01810ICF/MR 60699,A000000,02100,0000,02100RADIOLOGY 60699,A000000,02500,0000,02500PHYSICAL THERAPY 60699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60699,A000000,02700,0000,02700SPEECH PATHOLOGY 60699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60699,A000000,03200,0000,03200SUPPORT SURFACES 60699,A000000,03550,0000,03550FQHC 60699,A000000,05000,0000,05000CORF 60699,A000000,05010,0000,05010CMHC 60699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60699,A000000,06150,0000,06300RESIDENTIAL 60699,A81000A,00100,0100,Y 60699,A81000B,00100,0300,AFFILIATION FEE 60699,A81000C,00100,0100,B 60699,A81000C,00100,0400,LUTHERAN SOCIAL 60699,B100000,00000,0100,00000SQUARE FEET 60699,B100000,00000,0200,00000SQUARE FEET 60699,B100000,00000,0300,00000GROSS SALARIES 60699,B100000,00000,0400,00000ACCUM COST 60699,B100000,00000,0500,00000SQUARE FEET 60699,B100000,00000,0600,00000PATIENT DAYS 60699,B100000,00000,0700,00000SQUARE FEET 60699,B100000,00000,0800,00000MEALS SERVED 60699,B100000,00000,0900,00000DIRECT NRSG HRS 60699,B100000,00000,1000,00000PATIENT DAYS 60699,B100000,00000,1100,00000COSTED REQUIS 60699,B100000,00000,1200,00000PATIENT DAYS 60699,B100000,00000,1300,00000PATIENT DAYS 60699,B100000,00000,1350,00000PATIENT DAYS 60699,B100000,00000,1400,00000ASSIGNED TIME 60699,E10A180,00501,0300,07/04/2000 60699,E10A180,00550,0100,07/04/2000 60699,S000000,00100,0200,05/24/2000 60699,S200000,00100,0100,2721 ROUTE 9 60699,S200000,00200,0100,OCEAN VIEW 60699,S200000,00200,0200,NJ 60699,S200000,00200,0300,08230 60699,S200000,00300,0100,CAPE MAY 60699,S200000,00400,0100,LUTHERAN HOME AT OCEAN VIEW 60699,S200000,00400,0200,315179 60699,S200000,00400,0300,09/15/1980 60699,S200000,00400,0500,P 60699,S200000,01600,0100,Y 60702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60702,A000000,00300,0000,00300EMPLOYEE BENEFITS 60702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60702,A000000,00700,0000,00700HOUSEKEEPING 60702,A000000,00800,0000,00800DIETARY 60702,A000000,00900,0000,00900NURSING ADMINISTRATION 60702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60702,A000000,01100,0000,01100PHARMACY 60702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60702,A000000,01300,0000,01300SOCIAL SERVICE 60702,A000000,01350,0000,01500ACTIVITIES 60702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60702,A000000,01600,0000,01600SKILLED NURSING FACILITY 60702,A000000,01810,0000,01810ICF/MR 60702,A000000,02100,0000,02100RADIOLOGY 60702,A000000,02200,0000,02200LABORATORY 60702,A000000,02300,0000,02300INTRAVENOUS THERAPY 60702,A000000,02500,0000,02500PHYSICAL THERAPY 60702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60702,A000000,02700,0000,02700SPEECH PATHOLOGY 60702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60702,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60702,A000000,03550,0000,03550FQHC 60702,A000000,04800,0000,04800AMBULANCE 60702,A000000,05000,0000,05000CORF 60702,A000000,05010,0000,05010CMHC 60702,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60702,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60702,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60702,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60702,B100000,00000,0100,00000SQUARE FEET 60702,B100000,00000,0200,00000SQUARE FEET 60702,B100000,00000,0300,00000GROSS SALARIES 60702,B100000,00000,0400,00000ACCUM COST 60702,B100000,00000,0500,00000SQUARE FEET 60702,B100000,00000,0600,00000POUNDS OF LAUNDRY 60702,B100000,00000,0700,00000SQUARE FEET 60702,B100000,00000,0800,00000MEALS SERVED 60702,B100000,00000,0900,00000DIR NURSIN SALARIES 60702,B100000,00000,1000,00000PATIENT DAYS 60702,B100000,00000,1100,00000PATIENT DAYS 60702,B100000,00000,1200,00000PATIENT DAYS 60702,B100000,00000,1300,00000PATIENT DAYS 60702,B100000,00000,1350,00000PATIENT DAYS 60702,B100000,00000,1400,00000ASSIGNED TIME 60702,E10A180,00551,0100,01/31/2001 60702,S000000,00100,0200,01/30/2001 60702,S200000,00100,0100,270 ROUTE 28 60702,S200000,00200,0100,BRIDGEWATER 60702,S200000,00200,0200,NJ 60702,S200000,00200,0300,08807 60702,S200000,00300,0100,S 60702,S200000,00400,0100,BRIDGEWAY CARE CENTER 60702,S200000,00400,0200,315182 60702,S200000,00400,0300,08/01/1981 60702,S200000,00400,0500,P 60702,S200000,01500,0100,Y 60704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60704,A000000,00101,0000,00101CAP REL COSTS - RESIDENTIAL 60704,A000000,00102,0000,00102CAP REL COSTS - HEALTH CTR 60704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60704,A000000,00300,0000,00300EMPLOYEE BENEFITS 60704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60704,A000000,00700,0000,00700HOUSEKEEPING 60704,A000000,00701,0000,00701HOUSEKEEPING - HEALTH CTR 60704,A000000,00702,0000,00702HOUSEKEEPING - RESIDENTIAL 60704,A000000,00800,0000,00800DIETARY 60704,A000000,00900,0000,00900NURSING ADMINISTRATION 60704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60704,A000000,01100,0000,01100PHARMACY 60704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60704,A000000,01300,0000,01300SOCIAL SERVICE 60704,A000000,01350,0000,01500PATIENT ACTIVITIES 60704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60704,A000000,01600,0000,01600SKILLED NURSING FACILITY 60704,A000000,01810,0000,01810ICF/MR 60704,A000000,02100,0000,02100RADIOLOGY 60704,A000000,02200,0000,02200LABORATORY 60704,A000000,02500,0000,02500PHYSICAL THERAPY 60704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60704,A000000,02700,0000,02700SPEECH PATHOLOGY 60704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60704,A000000,02901,0000,02901CLINITRON BEDS 60704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60704,A000000,03550,0000,03550FQHC 60704,A000000,05000,0000,05000CORF 60704,A000000,05010,0000,05010CMHC 60704,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60704,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60704,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60704,A000000,06150,0000,06300RESIDENTIAL / NONREIMBURSABLE 60704,A000000,06151,0000,06301CLINIC 60704,B100000,00000,0100,00001SQUARE FEET CO 60704,B100000,00000,0101,00001SQUARE FEET RESI 60704,B100000,00000,0102,00001SQUARE FEET HEA 60704,B100000,00000,0200,00001SQUARE FEET CO 60704,B100000,00000,0300,00001GROSS SALARIES 60704,B100000,00000,0400,00001ACCUM. COST 60704,B100000,00000,0500,00001SQUARE FEET CO 60704,B100000,00000,0600,00001POUNDS OF LAUNDRY 60704,B100000,00000,0700,00001SQ FT COMB EXC 60704,B100000,00000,0701,00001SQ FT SNF EXCL DIET 60704,B100000,00000,0702,00001SQ FT RES EXCL DIET 60704,B100000,00000,0800,00001MEALS SERVED 60704,B100000,00000,0900,00001PATIENT DAYS 60704,B100000,00000,1000,00001COSTED REQUIS. 60704,B100000,00000,1100,00001COSTED REQUIS. 60704,B100000,00000,1200,00001TIME SPENT 60704,B100000,00000,1300,00001PATIENT DAYS 60704,B100000,00000,1350,00001PATIENT DAYS 60704,B100000,00000,1400,00001ASSIGNED TIME 60704,E10A180,00501,0100,10/30/2000 60704,S000000,00100,0200,08/30/2000 60704,S200000,00100,0100,2150 ROUTE 38 60704,S200000,00200,0100,CHARLOTTE D. NELSON HEALT 60704,S200000,00200,0200,315183 60704,S200000,00200,0300,08002 60704,S200000,00300,0100,CAMDEN 60704,S200000,00400,0100,CHARLOTTE D. NELSON HEALTH CARE CENTER 60704,S200000,00400,0200,315183 60704,S200000,00400,0300,06/26/1981 60704,S200000,00400,0500,P 60704,S200000,01500,0100,Y 60708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60708,A000000,00300,0000,00300EMPLOYEE BENEFITS 60708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60708,A000000,00700,0000,00700HOUSEKEEPING 60708,A000000,00800,0000,00800DIETARY 60708,A000000,00900,0000,00900NURSING ADMINISTRATION 60708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60708,A000000,01100,0000,01100PHARMACY 60708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60708,A000000,01300,0000,01300SOCIAL SERVICE 60708,A000000,01350,0000,01500PATIENT ACTIVITIES 60708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60708,A000000,01600,0000,01600SKILLED NURSING FACILITY 60708,A000000,01800,0000,01800NURSING FACILITY 60708,A000000,01810,0000,01810ICF/MR 60708,A000000,02100,0000,02100RADIOLOGY 60708,A000000,02200,0000,02200LABORATORY 60708,A000000,02300,0000,02300INTRAVENOUS THERAPY 60708,A000000,02500,0000,02500PHYSICAL THERAPY 60708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60708,A000000,02700,0000,02700SPEECH PATHOLOGY 60708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60708,A000000,03200,0000,03200SUPPORT SURFACES 60708,A000000,03550,0000,03550FQHC 60708,A000000,04800,0000,04800AMBULANCE 60708,A000000,05000,0000,05000CORF 60708,A000000,05010,0000,05010CMHC 60708,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60708,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60708,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60708,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60708,A81000A,00100,0100,Y 60708,A81000B,00100,0300,HOME OFFICE COSTS 60708,A81000C,00100,0200,BRANDYWINE SEN. 60708,A81000C,00100,0400,BRANDYWINE SEN. 60708,A81000C,00100,0600,HOME OFFICE 60708,B100000,00000,0100,00000(SQUARE FEET) 60708,B100000,00000,0200,00000SQUARE FEET 60708,B100000,00000,0300,00000(GROSS SALARIES) 60708,B100000,00000,0400,00000(ACCUM COST) 60708,B100000,00000,0500,00000(SQUARE FEET) 60708,B100000,00000,0600,00000(PATIENT DAYS) 60708,B100000,00000,0700,00000(SQUARE FEET) 60708,B100000,00000,0800,00000(PATIENT DAYS) 60708,B100000,00000,0900,00000DIRECT NRSG HRS 60708,B100000,00000,1000,00000COSTED REQUIS 60708,B100000,00000,1100,00000COSTED REQUIS 60708,B100000,00000,1200,00000(PATIENT DAYS) 60708,B100000,00000,1300,00000(PATIENT DAYS) 60708,B100000,00000,1350,00000(PATIENT DAYS) 60708,B100000,00000,1400,00000ASSIGNED TIME 60708,S000000,00100,0200,08/30/2000 60708,S200000,00100,0100,NEW ROAD & CENTRAL AVENUE 60708,S200000,00200,0100,LINWOOD 60708,S200000,00200,0200,NJ 60708,S200000,00200,0300,08221 60708,S200000,00300,0100,ATLANTIC 60708,S200000,00400,0100,LINWOOD CONVALESCENT CENTER 60708,S200000,00400,0200,315185 60708,S200000,00400,0300,12/01/1972 60708,S200000,00400,0500,P 60708,S200000,01500,0100,Y 60708,S200000,04700,0100,Y 60708,S200000,04700,0200,Y 60714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60714,A000000,00300,0000,00300EMPLOYEE BENEFITS 60714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60714,A000000,00700,0000,00700HOUSEKEEPING 60714,A000000,00800,0000,00800DIETARY 60714,A000000,00900,0000,00900NURSING ADMINISTRATION 60714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60714,A000000,01100,0000,01100PHARMACY 60714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60714,A000000,01300,0000,01300SOCIAL SERVICE 60714,A000000,01350,0000,01500PATIENT ACTIVITIES 60714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60714,A000000,01600,0000,01600SKILLED NURSING FACILITY 60714,A000000,01800,0000,01800NURSING FACILITY 60714,A000000,01810,0000,01810ICF/MR 60714,A000000,02100,0000,02100RADIOLOGY 60714,A000000,02300,0000,02300INTRAVENOUS THERAPY 60714,A000000,02500,0000,02500PHYSICAL THERAPY 60714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60714,A000000,02700,0000,02700SPEECH PATHOLOGY 60714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60714,A000000,03200,0000,03200SUPPORT SURFACES 60714,A000000,03550,0000,03550FQHC 60714,A000000,05000,0000,05000CORF 60714,A000000,05010,0000,05010CMHC 60714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60714,A81000A,00100,0100,Y 60714,A81000B,00100,0300,MGMNT FEES HOME OFC 60714,A81000B,00200,0300,CAP REL HOME OFFICE 60714,A81000B,00300,0300,DIETARY SUPPLIES 60714,A81000B,00400,0300,MEDICAL SUPPLIES 60714,A81000B,00500,0300,MED SUP NON BILL 60714,A81000C,00100,0100,A 60714,A81000C,00100,0200,STEPHEN LAZOVIT 60714,A81000C,00100,0400,SENIORS MGMNT 60714,A81000C,00100,0600,HOME OFFICE 60714,A81000C,00200,0100,B 60714,A81000C,00200,0200,SENIORS MANAGEM 60714,A81000C,00200,0400,EASTERN MEDICAL 60714,A81000C,00200,0600,MEDICAL SUPPLIE 60714,B100000,00000,0100,00040SQUARE FEET 60714,B100000,00000,0200,00040SQUARE FEET 60714,B100000,00000,0300,00040GROSS SALARIES 60714,B100000,00000,0400,00040ACCUM COST 60714,B100000,00000,0500,00040SQUARE FEET 60714,B100000,00000,0600,00040POUNDS OF LAUNDRY 60714,B100000,00000,0700,00040HOURS OF SERVICE 60714,B100000,00000,0800,00040MEALS SERVED 60714,B100000,00000,0900,00040DIRECT NRSG HRS 60714,B100000,00000,1000,00040COSTED REQUIS 60714,B100000,00000,1100,00040COSTED REQUIS 60714,B100000,00000,1200,00040TIME SPENT 60714,B100000,00000,1300,00040TIME SPENT 60714,B100000,00000,1350,00040PATIENT DAYS 60714,B100000,00000,1400,00040ASSIGNED TIME 60714,S000000,00100,0200,07/10/2001 60714,S200000,00100,0100,1302 LAUREL OAK ROAD 60714,S200000,00200,0100,VOORHEES 60714,S200000,00200,0200,NJ 60714,S200000,00200,0300,08043 60714,S200000,00300,0100,CAMDEN 60714,S200000,00400,0100,LAKEWOOD OF VOORHEES 60714,S200000,00400,0200,315187 60714,S200000,00400,0300,10/01/1981 60714,S200000,00400,0500,P 60714,S200000,00400,0600,O 60714,S200000,00600,0200,315187 60714,S200000,00600,0300,10/01/1981 60714,S200000,00600,0600,P 60714,S200000,01600,0100,Y 60714,S200000,02200,0100,Y 60716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60716,A000000,00300,0000,00300EMPLOYEE BENEFITS 60716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60716,A000000,00700,0000,00700HOUSEKEEPING 60716,A000000,00800,0000,00800DIETARY 60716,A000000,00900,0000,00900NURSING ADMINISTRATION 60716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60716,A000000,01100,0000,01100PHARMACY 60716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60716,A000000,01300,0000,01300SOCIAL SERVICE 60716,A000000,01350,0000,01500PATIENT ACTIVITIES 60716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60716,A000000,01600,0000,01600SKILLED NURSING FACILITY 60716,A000000,01800,0000,01800NURSING FACILITY 60716,A000000,01810,0000,01810ICF/MR 60716,A000000,02100,0000,02100RADIOLOGY 60716,A000000,02300,0000,02300INTRAVENOUS THERAPY 60716,A000000,02500,0000,02500PHYSICAL THERAPY 60716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60716,A000000,02700,0000,02700SPEECH PATHOLOGY 60716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60716,A000000,03200,0000,03200SUPPORT SURFACES 60716,A000000,03550,0000,03550FQHC 60716,A000000,05000,0000,05000CORF 60716,A000000,05010,0000,05010CMHC 60716,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60716,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60716,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60716,A81000A,00100,0100,Y 60716,A81000B,00100,0300,MGMNT FEES HOME OFC 60716,A81000B,00200,0300,CAP REL HOME OFFICE 60716,A81000B,00300,0300,DIETARY SUPPLIES 60716,A81000B,00400,0300,MEDICAL SUPPLIES 60716,A81000B,00500,0300,MED SUP NON BILL 60716,A81000C,00100,0100,A 60716,A81000C,00100,0200,STEPHEN LAZOVIT 60716,A81000C,00100,0400,SENIORS MANAGEM 60716,A81000C,00100,0600,HOME OFFICE 60716,A81000C,00200,0100,B 60716,A81000C,00200,0200,SENIORS MANAGEM 60716,A81000C,00200,0400,EASTERN MEDICAL 60716,A81000C,00200,0600,MEDICAL SUPPLIE 60716,B100000,00000,0100,00040SQUARE FEET 60716,B100000,00000,0200,00040SQUARE FEET 60716,B100000,00000,0300,00040GROSS SALARIES 60716,B100000,00000,0400,00040ACCUM COST 60716,B100000,00000,0500,00040SQUARE FEET 60716,B100000,00000,0600,00040POUNDS OF LAUNDRY 60716,B100000,00000,0700,00040HOURS OF SERVICE 60716,B100000,00000,0800,00040MEALS SERVED 60716,B100000,00000,0900,00040DIRECT NRSG HRS 60716,B100000,00000,1000,00040COSTED REQUIS 60716,B100000,00000,1100,00040COSTED REQUIS 60716,B100000,00000,1200,00040TIME SPENT 60716,B100000,00000,1300,00040TIME SPENT 60716,B100000,00000,1350,00040PATIENT DAYS 60716,B100000,00000,1400,00040ASSIGNED TIME 60716,E10A180,00501,0100,07/11/2000 60716,S000000,00100,0200,05/25/2000 60716,S200000,00100,0100,1302 LAUREL OAK ROAD 60716,S200000,00200,0100,VOORHEES 60716,S200000,00200,0200,NJ 60716,S200000,00200,0300,08043 60716,S200000,00300,0100,CAMDEN 60716,S200000,00400,0100,LAKEWOOD OF VOORHEES 60716,S200000,00400,0200,315187 60716,S200000,00400,0300,10/01/1981 60716,S200000,00400,0500,P 60716,S200000,00400,0600,O 60716,S200000,00600,0200,315187 60716,S200000,00600,0300,10/01/1981 60716,S200000,00600,0600,P 60716,S200000,01600,0100,Y 60716,S200000,02200,0100,Y 60719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60719,A000000,00300,0000,00300EMPLOYEE BENEFITS 60719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60719,A000000,00700,0000,00700HOUSEKEEPING 60719,A000000,00800,0000,00800DIETARY 60719,A000000,00900,0000,00900NURSING ADMINISTRATION 60719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60719,A000000,01100,0000,01100PHARMACY 60719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60719,A000000,01300,0000,01300SOCIAL SERVICE 60719,A000000,01350,0000,01500ACTIVITIES 60719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60719,A000000,01600,0000,01600SKILLED NURSING FACILITY 60719,A000000,01800,0000,01800NURSING FACILITY 60719,A000000,01810,0000,01810ICF/MR 60719,A000000,02100,0000,02100RADIOLOGY 60719,A000000,02200,0000,02200LABORATORY 60719,A000000,02300,0000,02300INTRAVENOUS THERAPY 60719,A000000,02500,0000,02500PHYSICAL THERAPY 60719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60719,A000000,02700,0000,02700SPEECH PATHOLOGY 60719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60719,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60719,A000000,03200,0000,03200SUPPORT SURFACES 60719,A000000,03550,0000,03550FQHC 60719,A000000,05000,0000,05000CORF 60719,A000000,05010,0000,05010CMHC 60719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60719,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60719,A81000A,00100,0100,Y 60719,A81000B,00100,0300,RENT 60719,A81000B,00200,0300,MORTGAGE INT 60719,A81000B,00300,0300,DEPRECIATION 60719,A81000C,00100,0100,A 60719,A81000C,00100,0200,J RAMRAS 60719,A81000C,00100,0400,RAR ASSOCIATES 60719,A81000C,00100,0600,REALTY 60719,A81000C,00200,0100,A 60719,A81000C,00200,0200,M ROSENBAUM 60719,A81000C,00200,0400,RAR ASSOCIATES 60719,A81000C,00200,0600,REALTY 60719,A81000C,00300,0100,A 60719,A81000C,00300,0200,ATLAS ESTATE 60719,A81000C,00300,0400,RAR ASSOCIATES 60719,A81000C,00300,0600,REALTY 60719,B100000,00000,0100,00000SQUARE FEET 60719,B100000,00000,0200,00000SQUARE FEET 60719,B100000,00000,0300,00000GROSS SALARIES 60719,B100000,00000,0400,00000ACCUM COST 60719,B100000,00000,0500,00000SQUARE FEET 60719,B100000,00000,0600,00000PATIENT DAYS 60719,B100000,00000,0700,00000SQUARE FEET 60719,B100000,00000,0800,00000MEALS SERVED 60719,B100000,00000,0900,00000PATIENT DAYS 60719,B100000,00000,1000,00000PATIENT DAYS 60719,B100000,00000,1100,00000PATIENT DAYS 60719,B100000,00000,1200,00000PATIENT DAYS 60719,B100000,00000,1300,00000PATIENT DAYS 60719,B100000,00000,1350,00000PATIENT DAYS 60719,B100000,00000,1400,00000ASSIGNED TIME 60719,E10A180,00301,0100,10/27/1999 60719,E10A180,00501,0100,08/23/2000 60719,E10A180,00501,0300,08/23/2000 60719,S000000,00100,0200,07/27/2000 60719,S200000,00100,0100,962 RIVER AVENUE 60719,S200000,00200,0100,LAKEWOOD 60719,S200000,00200,0200,NJ 60719,S200000,00200,0300,08701 60719,S200000,00300,0100,OCEAN 60719,S200000,00400,0100,LEISURE CHATEAU CARE CENTER 60719,S200000,00400,0200,315190 60719,S200000,00400,0300,05/28/1982 60719,S200000,00400,0500,P 60719,S200000,01600,0100,Y 60722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60722,A000000,00300,0000,00300EMPLOYEE BENEFITS 60722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60722,A000000,00700,0000,00700HOUSEKEEPING 60722,A000000,00800,0000,00800DIETARY 60722,A000000,00900,0000,00900NURSING ADMINISTRATION 60722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60722,A000000,01100,0000,01100PHARMACY 60722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60722,A000000,01300,0000,01300SOCIAL SERVICE 60722,A000000,01350,0000,01500PATIENT ACTIVITIES 60722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60722,A000000,01600,0000,01600SKILLED NURSING FACILITY 60722,A000000,01800,0000,01800NURSING FACILITY 60722,A000000,01810,0000,01810ICF/MR 60722,A000000,02100,0000,02100RADIOLOGY 60722,A000000,02300,0000,02300INTRAVENOUS THERAPY 60722,A000000,02500,0000,02500PHYSICAL THERAPY 60722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60722,A000000,02700,0000,02700SPEECH PATHOLOGY 60722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60722,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60722,A000000,03200,0000,03200SUPPORT SURFACES 60722,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60722,A000000,03550,0000,03550FQHC 60722,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60722,A000000,04800,0000,04800AMBULANCE 60722,A000000,05000,0000,05000CORF 60722,A000000,05010,0000,05010CMHC 60722,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60722,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60722,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60722,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60722,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60722,A81000A,00100,0100,Y 60722,A81000B,00100,0300,MANAGEMENT FEE 60722,A81000B,00200,0300,MEDICAL SUPPLIES 60722,A81000B,00300,0300,MANAGEMENT FEE 60722,A81000C,00100,0100,G 60722,A81000C,00100,0200,CONTINENTAL 60722,A81000C,00100,0400,CONTINENTAL 60722,A81000C,00100,0600,MANAGEMENT 60722,A81000C,00200,0100,G 60722,A81000C,00200,0200,CONTINENTAL 60722,A81000C,00200,0400,CONTINENTAL 60722,A81000C,00200,0600,MEDICAL SUPPLIES 60722,A81000C,00300,0100,G 60722,A81000C,00300,0200,CONTINENTAL 60722,A81000C,00300,0400,CONTINENTAL 60722,A81000C,00300,0600,MANAGEMENT 60722,B100000,00000,0100,00000SQUARE FEET 60722,B100000,00000,0200,00000NO STATISTICS 60722,B100000,00000,0300,00000GROSS SALARIES 60722,B100000,00000,0400,00000ACCUM. COST 60722,B100000,00000,0500,00000SQUARE FEET 60722,B100000,00000,0600,00000PATIENT DAYS 60722,B100000,00000,0700,00000SQUARE FEET 60722,B100000,00000,0800,00000PATIENT DAYS 60722,B100000,00000,0900,00000DIRECT NRS SALARI 60722,B100000,00000,1000,00000PATIENT DAYS 60722,B100000,00000,1100,00000PATIENT DAYS 60722,B100000,00000,1200,00000PATIENT DAYS 60722,B100000,00000,1300,00000PATIENT DAYS 60722,B100000,00000,1350,00000PATIENT DAYS 60722,B100000,00000,1400,00000ASSIGNED TIME 60722,S000000,00100,0200,07/31/2000 60722,S200000,00100,0100,502 ROUTE 9 NORTH 60722,S200000,00200,0100,CAPE MAY COURT HOUSE 60722,S200000,00200,0200,NJ 60722,S200000,00200,0300,08210 60722,S200000,00300,0100,CAPE MAY 60722,S200000,00400,0100,CAPE MAY CARE CENTER 60722,S200000,00400,0200,315193 60722,S200000,00400,0300,04/01/1983 60722,S200000,00400,0500,P 60722,S200000,01600,0100,Y 60726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60726,A000000,00300,0000,00300EMPLOYEE BENEFITS 60726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60726,A000000,00700,0000,00700HOUSEKEEPING 60726,A000000,00800,0000,00800DIETARY 60726,A000000,00900,0000,00900NURSING ADMINISTRATION 60726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60726,A000000,01100,0000,01100PHARMACY 60726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60726,A000000,01300,0000,01300SOCIAL SERVICE 60726,A000000,01350,0000,01500PATIENT ACTIVITIES 60726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60726,A000000,01600,0000,01600SKILLED NURSING FACILITY 60726,A000000,01810,0000,01810ICF/MR 60726,A000000,02200,0000,02200LABORATORY 60726,A000000,02500,0000,02500PHYSICAL THERAPY 60726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60726,A000000,02700,0000,02700SPEECH PATHOLOGY 60726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60726,A000000,03550,0000,03550FQHC 60726,A000000,05000,0000,05000CORF 60726,A000000,05010,0000,05010CMHC 60726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60726,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60726,A000000,06150,0000,06300DAY CARE 60726,B100000,00000,0100,00000SQUARE FEET 60726,B100000,00000,0200,00000SQUARE FEET 60726,B100000,00000,0300,00000GROSS SALARIES 60726,B100000,00000,0400,00000ACCUM COST 60726,B100000,00000,0500,00000SQUARE FEET 60726,B100000,00000,0600,00000(PATIENT DAYS) 60726,B100000,00000,0700,00000(SQUARE FEET) 60726,B100000,00000,0800,00000MEALS SERVED 60726,B100000,00000,0900,00000DIRECT NRSG HRS 60726,B100000,00000,1000,00000COSTED REQUIS 60726,B100000,00000,1100,00000COSTED REQUIS 60726,B100000,00000,1200,00000TIME SPENT 60726,B100000,00000,1300,00000(PATIENT DAYS) 60726,B100000,00000,1350,00000(PATIENT DAYS) 60726,B100000,00000,1400,00000ASSIGNED TIME 60726,S000000,00100,0200,05/04/2000 60726,S200000,00100,0100,45 ELM STREET 60726,S200000,00200,0100,MONTCLAIR 60726,S200000,00200,0200,NJ 60726,S200000,00200,0300,07042 60726,S200000,00300,0100,ESSEX 60726,S200000,00400,0100,ST. VINCENTS NURSING HOME 60726,S200000,00400,0200,315194 60726,S200000,00400,0300,12/01/1982 60726,S200000,00400,0500,P 60726,S200000,01500,0100,Y 60726,S200000,04300,0100,Y 60729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60729,A000000,00300,0000,00300EMPLOYEE BENEFITS 60729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60729,A000000,00700,0000,00700HOUSEKEEPING 60729,A000000,00800,0000,00800DIETARY 60729,A000000,00900,0000,00900NURSING ADMINISTRATION 60729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60729,A000000,01100,0000,01100PHARMACY 60729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60729,A000000,01300,0000,01300SOCIAL SERVICE 60729,A000000,01350,0000,01500PATIENT ACTIVITIES 60729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60729,A000000,01600,0000,01600SKILLED NURSING FACILITY 60729,A000000,01800,0000,01800NURSING FACILITY 60729,A000000,01810,0000,01810ICF/MR 60729,A000000,02100,0000,02100RADIOLOGY 60729,A000000,02200,0000,02200LABORATORY 60729,A000000,02500,0000,02500PHYSICAL THERAPY 60729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60729,A000000,02700,0000,02700SPEECH PATHOLOGY 60729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60729,A000000,03200,0000,03200SUPPORT SURFACES 60729,A000000,03550,0000,03550FQHC 60729,A000000,04800,0000,04800AMBULANCE 60729,A000000,05000,0000,05000CORF 60729,A000000,05010,0000,05010CMHC 60729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60729,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60729,A81000A,00100,0100,Y 60729,A81000B,00100,0300,FINANCIAL SERVICES 60729,A81000C,00100,0100,G 60729,A81000C,00100,0200,OVERLOOK HOSPIT 60729,A81000C,00100,0400,OVERLOOK HOSPIT 60729,A81000C,00100,0600,HEALTH CARE 60729,B100000,00000,0100,00000(SQUARE FEET) 60729,B100000,00000,0200,00000SQUARE FEET 60729,B100000,00000,0300,00000(GROSS SALARIES) 60729,B100000,00000,0400,00000(ACCUM COST) 60729,B100000,00000,0500,00000(SQUARE FEET) 60729,B100000,00000,0600,00000(PATIENT CENSUS) 60729,B100000,00000,0700,00000(SQUARE FEET) 60729,B100000,00000,0800,00000(MEALS SERVED) 60729,B100000,00000,0900,00000(DIRECT NRSG HRS) 60729,B100000,00000,1000,00000COSTED REQUIS 60729,B100000,00000,1100,00000COSTED REQUIS 60729,B100000,00000,1200,00000(TIME SPENT) 60729,B100000,00000,1300,00000(PATIENT CENSUS) 60729,B100000,00000,1350,00000(PATIENT CENSUS) 60729,B100000,00000,1400,00000ASSIGNED TIME 60729,E10A180,00305,0100,01/05/2000 60729,S000000,00100,0200,05/31/2000 60729,S200000,00100,0100,35 COTTAGE STREET 60729,S200000,00200,0100,BERKELEY HEIGHTS 60729,S200000,00200,0200,NJ 60729,S200000,00200,0300,07922 60729,S200000,00300,0100,UNION 60729,S200000,00400,0100,BERKELEY HEIGHTS CONVALESCENT CTR. 60729,S200000,00400,0200,315195 60729,S200000,00400,0300,01/01/1982 60729,S200000,00400,0500,P 60729,S200000,01600,0100,Y 60729,S200000,02200,0100,Y 60729,S200000,04300,0100,Y 60729,S200000,04700,0100,Y 60729,S200000,04700,0200,Y 60734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60734,A000000,00300,0000,00300EMPLOYEE BENEFITS 60734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60734,A000000,00700,0000,00700HOUSEKEEPING 60734,A000000,00800,0000,00800DIETARY 60734,A000000,00900,0000,00900NURSING ADMINISTRATION 60734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60734,A000000,01100,0000,01100PHARMACY 60734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60734,A000000,01300,0000,01300SOCIAL SERVICE 60734,A000000,01350,0000,01500PATIENT ACTIVITIES 60734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60734,A000000,01600,0000,01600SKILLED NURSING FACILITY 60734,A000000,01800,0000,01800NURSING FACILITY 60734,A000000,01810,0000,01810ICF/MR 60734,A000000,02100,0000,02100RADIOLOGY 60734,A000000,02300,0000,02300INTRAVENOUS THERAPY 60734,A000000,02500,0000,02500PHYSICAL THERAPY 60734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60734,A000000,02700,0000,02700SPEECH PATHOLOGY 60734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60734,A000000,03200,0000,03200SUPPORT SURFACES 60734,A000000,03550,0000,03550FQHC 60734,A000000,05000,0000,05000CORF 60734,A000000,05010,0000,05010CMHC 60734,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60734,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60734,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60734,A81000A,00100,0100,Y 60734,A81000B,00100,0300,MGMNT FEES HOME OFC 60734,A81000B,00200,0300,CAP REL HOME OFFICE 60734,A81000B,00300,0300,FACILITY RENTAL 60734,A81000B,00400,0300,MED SUP NON BILL 60734,A81000B,00500,0300,MED SUP NON BILL 60734,A81000B,00600,0300,DISP DIAPERS 60734,A81000C,00100,0100,A 60734,A81000C,00100,0200,STEPHEN LAZOVIT 60734,A81000C,00100,0400,SENIORS MANAGEM 60734,A81000C,00100,0600,HOME OFFICE 60734,A81000C,00200,0100,B 60734,A81000C,00200,0200,SENIORS MANAGEM 60734,A81000C,00200,0400,EASTERN MEDICAL 60734,A81000C,00200,0600,MEDICAL SUPPLIE 60734,B100000,00000,0100,00040SQUARE FEET 60734,B100000,00000,0200,00040SQUARE FEET 60734,B100000,00000,0300,00040GROSS SALARIES 60734,B100000,00000,0400,00040ACCUM COST 60734,B100000,00000,0500,00040SQUARE FEET 60734,B100000,00000,0600,00040POUNDS OF LAUNDRY 60734,B100000,00000,0700,00040HOURS OF SERVICE 60734,B100000,00000,0800,00040MEALS SERVED 60734,B100000,00000,0900,00040DIRECT NRSG HRS 60734,B100000,00000,1000,00040COSTED REQUIS 60734,B100000,00000,1100,00040COSTED REQUIS 60734,B100000,00000,1200,00040TIME SPENT 60734,B100000,00000,1300,00040TIME SPENT 60734,B100000,00000,1350,00040PATIENT DAYS 60734,B100000,00000,1400,00040ASSIGNED TIME 60734,E10A180,00501,0100,06/27/2000 60734,S000000,00100,0200,05/30/2000 60734,S200000,00100,0100,101 STATE HIGHWAY #70 60734,S200000,00200,0100,LAKEHURST 60734,S200000,00200,0200,NJ 60734,S200000,00200,0300,08733 60734,S200000,00300,0100,OCEAN 60734,S200000,00400,0100,MANCHESTER MANOR NURSING HOME 60734,S200000,00400,0200,315196 60734,S200000,00400,0300,10/31/1983 60734,S200000,00400,0500,P 60734,S200000,00400,0600,O 60734,S200000,00600,0200,315196 60734,S200000,00600,0300,10/31/1983 60734,S200000,00600,0600,P 60734,S200000,01600,0100,Y 60734,S200000,02200,0100,Y 60736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60736,A000000,00300,0000,00300EMPLOYEE BENEFITS 60736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60736,A000000,00700,0000,00700HOUSEKEEPING 60736,A000000,00800,0000,00800DIETARY 60736,A000000,00900,0000,00900NURSING ADMINISTRATION 60736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60736,A000000,01100,0000,01100PHARMACY 60736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60736,A000000,01300,0000,01300SOCIAL SERVICE 60736,A000000,01350,0000,01500PATIENT ACTIVITIES 60736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60736,A000000,01600,0000,01600SKILLED NURSING FACILITY 60736,A000000,01810,0000,01810ICF/MR 60736,A000000,02100,0000,02100RADIOLOGY 60736,A000000,02200,0000,02200LABORATORY 60736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60736,A000000,02500,0000,02500PHYSICAL THERAPY 60736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60736,A000000,02700,0000,02700SPEECH PATHOLOGY 60736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60736,A000000,03200,0000,03200SUPPORT SURFACES 60736,A000000,03550,0000,03550FQHC 60736,A000000,05000,0000,05000CORF 60736,A000000,05010,0000,05010CMHC 60736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60736,A81000A,00100,0100,Y 60736,A81000B,00100,0300,HOME OFFICE/PROF FEE 60736,A81000C,00100,0100,B 60736,A81000C,00100,0200,CASCADE/NORTHWE 60736,A81000C,00100,0400,NORTHWEST RESOU 60736,A81000C,00100,0600,HOME OFFICE 60736,B100000,00000,0100,00000(SQUARE FEET) 60736,B100000,00000,0200,00000SQUARE FEET 60736,B100000,00000,0300,00000(GROSS SALARIES) 60736,B100000,00000,0400,00000(ACCUM COST) 60736,B100000,00000,0500,00000(SQUARE FEET) 60736,B100000,00000,0600,00000(PATIENT CENSUS) 60736,B100000,00000,0700,00000(SQUARE FEET) 60736,B100000,00000,0800,00000(MEALS SERVED) 60736,B100000,00000,0900,00000(DIRECT NRSG HRS) 60736,B100000,00000,1000,00000COSTED REQUIS 60736,B100000,00000,1100,00000COSTED REQUIS 60736,B100000,00000,1200,00000(PATIENT CENSUS) 60736,B100000,00000,1300,00000(PATIENT CENSUS) 60736,B100000,00000,1350,00000(PATIENT CENSUS) 60736,B100000,00000,1400,00000ASSIGNED TIME 60736,E10A180,00501,0100,07/11/2000 60736,E10A180,00501,0300,07/11/2000 60736,S000000,00100,0200,05/16/2000 60736,S200000,00100,0100,R.D. #3 60736,S200000,00100,0300,223C 60736,S200000,00200,0100,EASTERN SHORE NRSG. & CONVAL/CTR. 60736,S200000,00200,0200,315197 60736,S200000,00200,0300,08210 60736,S200000,00300,0100,CAPE MAY 60736,S200000,00400,0100,EASTERN SHORE NRSG. & CONVAL/CTR. 60736,S200000,00400,0200,315197 60736,S200000,00400,0300,09/20/1983 60736,S200000,00400,0500,P 60736,S200000,01600,0100,Y 60736,S200000,04300,0100,Y 60739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60739,A000000,00300,0000,00300EMPLOYEE BENEFITS 60739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60739,A000000,00700,0000,00700HOUSEKEEPING 60739,A000000,00800,0000,00800DIETARY 60739,A000000,00900,0000,00900NURSING ADMINISTRATION 60739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60739,A000000,01100,0000,01100PHARMACY 60739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60739,A000000,01300,0000,01300SOCIAL SERVICE 60739,A000000,01350,0000,01500PATIENT ACTIVITIES 60739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60739,A000000,01600,0000,01600SKILLED NURSING FACILITY 60739,A000000,01800,0000,01800NURSING FACILITY 60739,A000000,01810,0000,01810ICF/MR 60739,A000000,02100,0000,02100RADIOLOGY 60739,A000000,02500,0000,02500PHYSICAL THERAPY 60739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60739,A000000,02700,0000,02700SPEECH PATHOLOGY 60739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60739,A000000,03550,0000,03550FQHC 60739,A000000,05000,0000,05000CORF 60739,A000000,05010,0000,05010CMHC 60739,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60739,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60739,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60739,A81000A,00100,0100,Y 60739,A81000B,00100,0300,HOME OFFICE COSTS - A&G 60739,A81000B,00200,0300,HOME OFFICE COSTS - CAPITAL 60739,A81000C,00100,0100,B 60739,A81000C,00100,0400,PRES HOMES & SVCS INC. 60739,A81000C,00100,0600,HOME OFFICE 60739,A81000C,00200,0100,B 60739,A81000C,00200,0400,PRES HOMES & SVCS INC. 60739,A81000C,00200,0600,HOME OFFICE 60739,B100000,00000,0100,00000SQUARE FEET 60739,B100000,00000,0200,00000SQUARE FEET 60739,B100000,00000,0300,00000GROSS SALARIES 60739,B100000,00000,0400,00000ACCUM. COST 60739,B100000,00000,0500,00000SQUARE FEET 60739,B100000,00000,0600,00000PATIENT DAYS 60739,B100000,00000,0700,00000SQUARE FEET EXCL 60739,B100000,00000,0800,00000MEALS SERVED 60739,B100000,00000,0900,00000NURSING SALARIES 60739,B100000,00000,1000,00000COSTED REQUIS. 60739,B100000,00000,1100,00000COSTED REQUIS. 60739,B100000,00000,1200,00000PATIENT DAYS 60739,B100000,00000,1300,00000PATIENT DAYS 60739,B100000,00000,1350,00000PATIENT DAYS 60739,B100000,00000,1400,00000ASSIGNED TIME 60739,S000000,00100,0200,06/29/1999 60739,S200000,00100,0100,919 GREEN GROVE RD 60739,S200000,00200,0100,NEPTUNE 60739,S200000,00200,0200,NJ 60739,S200000,00200,0300,07753 60739,S200000,00300,0100,MONMOUTH 60739,S200000,00400,0100,THE GROVE HEALTH CARE CENTER 60739,S200000,00400,0200,315199 60739,S200000,00400,0300,03/01/1984 60739,S200000,00400,0500,P 60739,S200000,01600,0100,Y 60739,S200000,02800,0100,Y 60740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60740,A000000,00300,0000,00300EMPLOYEE BENEFITS 60740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60740,A000000,00700,0000,00700HOUSEKEEPING 60740,A000000,00800,0000,00800DIETARY 60740,A000000,00900,0000,00900NURSING ADMINISTRATION 60740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60740,A000000,01100,0000,01100PHARMACY 60740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60740,A000000,01300,0000,01300SOCIAL SERVICE 60740,A000000,01350,0000,01500ACTIVITIES 60740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60740,A000000,01600,0000,01600SKILLED NURSING FACILITY 60740,A000000,01800,0000,01800NURSING FACILITY 60740,A000000,01810,0000,01810ICF/MR 60740,A000000,02100,0000,02100RADIOLOGY 60740,A000000,02200,0000,02200LABORATORY 60740,A000000,02500,0000,02500PHYSICAL THERAPY 60740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60740,A000000,02700,0000,02700SPEECH PATHOLOGY 60740,A000000,02800,0000,02800ELECTROCARDIOLOGY 60740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60740,A000000,03050,0000,03300ULTRASOUND 60740,A000000,03200,0000,03200SUPPORT SURFACES 60740,A000000,03550,0000,03550FQHC 60740,A000000,04800,0000,04800AMBULANCE 60740,A000000,05000,0000,05000CORF 60740,A000000,05010,0000,05010CMHC 60740,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60740,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60740,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60740,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60740,A81000A,00100,0100,Y 60740,A81000B,00100,0300,BUILDING RENT 60740,A81000B,00200,0300,FURNITURE RENT 60740,A81000B,00300,0300,BANK CHARGES 60740,A81000C,00100,0100,A 60740,A81000C,00100,0200,JACOB FROMMER 60740,A81000C,00100,0400,GROVE REALTY 60740,A81000C,00100,0600,REALTY 60740,A81000C,00200,0100,A 60740,A81000C,00200,0200,PERMA LTD 60740,A81000C,00200,0400,GROVE REALTY 60740,A81000C,00200,0600,REALTY 60740,B100000,00000,0100,00000SQUARE FEET 60740,B100000,00000,0200,00000SQUARE FEET 60740,B100000,00000,0300,00000GROSS SALARIES 60740,B100000,00000,0400,00000ACCUM COST 60740,B100000,00000,0500,00000SQUARE FEET 60740,B100000,00000,0600,00000PATIENT DAYS 60740,B100000,00000,0700,00000SQUARE FEET 60740,B100000,00000,0800,00000MEALS SERVED 60740,B100000,00000,0900,00000DIR NURSIN SALARIES 60740,B100000,00000,1000,00000COSTED REQUISITIO 60740,B100000,00000,1100,00000COSTED REQUISITIO 60740,B100000,00000,1200,00000PATIENT DAYS 60740,B100000,00000,1300,00000PATIENT DAYS 60740,B100000,00000,1350,00000PATIENT DAYS 60740,B100000,00000,1400,00000ASSIGNED TIME 60740,E10A180,00301,0100,11/03/1999 60740,E10A180,00302,0100,11/12/1999 60740,E10A180,00303,0100,11/24/1999 60740,E10A180,00304,0100,12/08/1999 60740,E10A180,00305,0100,12/22/1999 60740,E10A180,00501,0100,07/04/2000 60740,E10A180,00550,0300,07/04/2000 60740,S000000,00100,0200,05/31/2000 60740,S200000,00100,0100,919 GREEN GROVE ROAD 60740,S200000,00200,0100,NEPTUNE 60740,S200000,00200,0200,NJ 60740,S200000,00200,0300,07753 60740,S200000,00300,0100,MONMOUTH 60740,S200000,00400,0100,IMPERIAL CARE CENTER 60740,S200000,00400,0200,315199 60740,S200000,00400,0300,03/01/1984 60740,S200000,00400,0500,P 60740,S200000,01600,0100,Y 60743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60743,A000000,00300,0000,00300EMPLOYEE BENEFITS 60743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60743,A000000,00700,0000,00700HOUSEKEEPING 60743,A000000,00800,0000,00800DIETARY 60743,A000000,00900,0000,00900NURSING ADMINISTRATION 60743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60743,A000000,01100,0000,01100PHARMACY 60743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60743,A000000,01300,0000,01300SOCIAL SERVICE 60743,A000000,01350,0000,01500PATIENT ACTIVITIES 60743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60743,A000000,01600,0000,01600SKILLED NURSING FACILITY 60743,A000000,01800,0000,01800NURSING FACILITY 60743,A000000,01810,0000,01810ICF/MR 60743,A000000,01900,0000,01900OTHER LONG TERM CARE 60743,A000000,02100,0000,02100RADIOLOGY 60743,A000000,02200,0000,02200LABORATORY 60743,A000000,02500,0000,02500PHYSICAL THERAPY 60743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60743,A000000,02700,0000,02700SPEECH PATHOLOGY 60743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60743,A000000,03200,0000,03200SUPPORT SURFACES 60743,A000000,03550,0000,03550FQHC 60743,A000000,04800,0000,04800AMBULANCE 60743,A000000,05000,0000,05000CORF 60743,A000000,05010,0000,05010CMHC 60743,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60743,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60743,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60743,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 60743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60743,A81000A,00100,0100,Y 60743,A81000B,00100,0300,FINANCIAL SERVICES 60743,A81000C,00100,0100,G 60743,A81000C,00100,0200,OVERLOOK HOSPIT 60743,A81000C,00100,0400,OVERLOOK HOSPIT 60743,A81000C,00100,0600,HEALTH CARE 60743,B100000,00000,0100,00000(SQUARE FEET) 60743,B100000,00000,0200,00000SQUARE FEET 60743,B100000,00000,0300,00000(GROSS SALARIES) 60743,B100000,00000,0400,00000(ACCUM COST) 60743,B100000,00000,0500,00000(SQUARE FEET) 60743,B100000,00000,0600,00000(PATIENT CENSUS) 60743,B100000,00000,0700,00000(SQUARE FEET) 60743,B100000,00000,0800,00000(MEALS SERVED) 60743,B100000,00000,0900,00000(DIRECT NRSG HRS) 60743,B100000,00000,1000,00000COSTED REQUIS 60743,B100000,00000,1100,00000COSTED REQUIS 60743,B100000,00000,1200,00000(PATIENT CENSUS) 60743,B100000,00000,1300,00000(PATIENT CENSUS) 60743,B100000,00000,1350,00000(PATIENT CENSUS) 60743,B100000,00000,1400,00000ASSIGNED TIME 60743,E10A180,00301,0100,01/05/2000 60743,E10A180,00501,0300,06/20/2000 60743,E10A180,00550,0100,06/20/2000 60743,S000000,00100,0200,05/25/2000 60743,S200000,00100,0100,400 WEST STIMPSON AVENUE 60743,S200000,00200,0100,LINDEN 60743,S200000,00200,0200,NJ 60743,S200000,00200,0300,07036 60743,S200000,00300,0100,UNION 60743,S200000,00400,0100,DELAIRE NURSING & CONVALESCENT CTR 60743,S200000,00400,0200,315200 60743,S200000,00400,0300,02/24/1984 60743,S200000,00400,0500,P 60743,S200000,01600,0100,Y 60743,S200000,04300,0100,Y 60743,S200000,04700,0100,Y 60743,S200000,04700,0200,Y 60745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60745,A000000,00300,0000,00300EMPLOYEE BENEFITS 60745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60745,A000000,00700,0000,00700HOUSEKEEPING 60745,A000000,00800,0000,00800DIETARY 60745,A000000,00900,0000,00900NURSING ADMINISTRATION 60745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60745,A000000,01100,0000,01100PHARMACY 60745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60745,A000000,01300,0000,01300SOCIAL SERVICE 60745,A000000,01350,0000,01500RECREATION 60745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60745,A000000,01600,0000,01600SKILLED NURSING FACILITY 60745,A000000,01800,0000,01800NURSING FACILITY 60745,A000000,01810,0000,01810ICF/MR 60745,A000000,01900,0000,01900OTHER LONG TERM CARE 60745,A000000,02500,0000,02500PHYSICAL THERAPY 60745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60745,A000000,02700,0000,02700SPEECH PATHOLOGY 60745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60745,A000000,03550,0000,03550FQHC 60745,A000000,05000,0000,05000CORF 60745,A000000,05010,0000,05010CMHC 60745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60745,A000000,05901,0000,05901INTERFAITH/CONTACT 60745,A81000A,00100,0100,Y 60745,A81000B,00100,0300,LSM MANAGEMENT 60745,A81000C,00100,0100,G 60745,A81000C,00100,0200,LSM 60745,A81000C,00100,0400,LSM MANGEMENT 60745,A81000C,00100,0600,MANAGEMENT 60745,B100000,00000,0100,00001SQUARE FEET 60745,B100000,00000,0200,00001SQUARE FEET 60745,B100000,00000,0300,00001GROSS SALARIES 60745,B100000,00000,0400,00001ACCUM COST 60745,B100000,00000,0500,00001SQUARE FEET 60745,B100000,00000,0600,00001CENSUS 60745,B100000,00000,0700,00001HOURS OF SERVICE 60745,B100000,00000,0800,00001MEALS SERVED 60745,B100000,00000,0900,00001DIRECT NRSG HRS 60745,B100000,00000,1000,00001CENSUS 60745,B100000,00000,1100,00001COSTED REQUIS 60745,B100000,00000,1200,00001CENSUS 60745,B100000,00000,1300,00001CENSUS 60745,B100000,00000,1350,00001CENSUS 60745,B100000,00000,1400,00001ASSIGNED TIME 60745,E10A180,00501,0100,07/18/2000 60745,E10A180,00501,0300,07/18/2000 60745,S000000,00100,0200,06/07/2000 60745,S200000,00100,0100,255 E. MAIN STREET 60745,S200000,00200,0100,MOORESTOWN 60745,S200000,00200,0200,NJ 60745,S200000,00200,0300,08057 60745,S200000,00300,0100,BURLINGTON 60745,S200000,00400,0100,LUTHERAN HOME AT MOORESTOWN 60745,S200000,00400,0200,315201 60745,S200000,00400,0300,01/17/1984 60745,S200000,00400,0500,P 60745,S200000,01600,0100,Y 60745,S200000,01900,0100,LLC 60748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60748,A000000,00300,0000,00300EMPLOYEE BENEFITS 60748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60748,A000000,00700,0000,00700HOUSEKEEPING 60748,A000000,00800,0000,00800DIETARY 60748,A000000,00900,0000,00900NURSING ADMINISTRATION 60748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60748,A000000,01100,0000,01100PHARMACY 60748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60748,A000000,01300,0000,01300SOCIAL SERVICE 60748,A000000,01350,0000,01500PATIENT ACTIVITIES 60748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60748,A000000,01600,0000,01600SKILLED NURSING FACILITY 60748,A000000,01800,0000,01800NURSING FACILITY 60748,A000000,01810,0000,01810ICF/MR 60748,A000000,02300,0000,02300INTRAVENOUS THERAPY 60748,A000000,02500,0000,02500PHYSICAL THERAPY 60748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60748,A000000,02700,0000,02700SPEECH PATHOLOGY 60748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60748,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60748,A000000,03550,0000,03550FQHC 60748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60748,A000000,05000,0000,05000CORF 60748,A000000,05010,0000,05010CMHC 60748,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60748,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60748,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60748,A81000A,00100,0100,Y 60748,A81000B,00100,0300,MEDICAL SUPPLIES 60748,A81000B,00200,0300,HOME OFFICE 60748,A81000C,00100,0100,G 60748,A81000C,00100,0200,CONTINENTAL 60748,A81000C,00100,0400,INTRX 60748,A81000C,00100,0600,MEDICAL SUPPLIER 60748,A81000C,00200,0100,G 60748,A81000C,00200,0200,CONTINENTAL 60748,A81000C,00200,0400,TNS 60748,A81000C,00200,0600,MANAGEMENT COMPANY 60748,B100000,00000,0100,00000SQUARE FEET 60748,B100000,00000,0200,00000NO STATISTICS 60748,B100000,00000,0300,00000GROSS SALARIES 60748,B100000,00000,0400,00000ACCUM. COST 60748,B100000,00000,0500,00000SQUARE FEET 60748,B100000,00000,0600,00000PATIENT DAYS 60748,B100000,00000,0700,00000SQUARE FEET 60748,B100000,00000,0800,00000PATIENT DAYS 60748,B100000,00000,0900,00000DIR NURS SALARIES 60748,B100000,00000,1000,00000PATIENT DAYS 60748,B100000,00000,1100,00000PATIENT DAYS 60748,B100000,00000,1200,00000PATIENT DAYS 60748,B100000,00000,1300,00000PATIENT DAYS 60748,B100000,00000,1350,00000PATIENT DAYS 60748,B100000,00000,1400,00000NO STATISTICS 60748,E10A180,00501,0100,08/28/2000 60748,E10A180,00501,0300,08/28/2000 60748,S000000,00100,0200,07/22/2000 60748,S200000,00100,0100,398 POMPTON AVENUE 60748,S200000,00200,0100,CEDAR GROVE 60748,S200000,00200,0200,NJ 60748,S200000,00300,0100,ESSEX 60748,S200000,00400,0100,CEDAR GROVE MANOR 60748,S200000,00400,0200,315204 60748,S200000,00400,0300,06/18/1984 60748,S200000,00400,0500,P 60748,S200000,01600,0100,Y 60752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60752,A000000,00300,0000,00300EMPLOYEE BENEFITS 60752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60752,A000000,00700,0000,00700HOUSEKEEPING 60752,A000000,00800,0000,00800DIETARY 60752,A000000,00900,0000,00900NURSING ADMINISTRATION 60752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60752,A000000,01100,0000,01100PHARMACY 60752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60752,A000000,01300,0000,01300SOCIAL SERVICE 60752,A000000,01350,0000,01500RECREATION 60752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60752,A000000,01600,0000,01600SKILLED NURSING FACILITY 60752,A000000,01800,0000,01800NURSING FACILITY 60752,A000000,01810,0000,01810ICF/MR 60752,A000000,02100,0000,02100RADIOLOGY 60752,A000000,02200,0000,02200LABORATORY 60752,A000000,02500,0000,02500PHYSICAL THERAPY 60752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60752,A000000,02700,0000,02700SPEECH PATHOLOGY 60752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60752,A000000,03200,0000,03200SUPPORT SURFACES 60752,A000000,03550,0000,03550FQHC 60752,A000000,04800,0000,04800AMBULANCE 60752,A000000,05000,0000,05000CORF 60752,A000000,05010,0000,05010CMHC 60752,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60752,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60752,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60752,A81000A,00100,0100,Y 60752,A81000B,00100,0300,OFFICE MANAGERS COMP 60752,A81000B,00200,0300,P/R OFFICERS 60752,A81000B,00300,0300,FRINGES SHARED EMPLO 60752,A81000C,00100,0100,A 60752,A81000C,00100,0200,P ZIRBSER SR 60752,A81000C,00100,0400,GREENBRIAR WOOD 60752,A81000C,00100,0600,NURSING HOME 60752,A81000C,00200,0100,A 60752,A81000C,00200,0200,E ZIRBSER SR 60752,A81000C,00200,0400,GREENBRIAR WOOD 60752,A81000C,00200,0600,NURSING HOME 60752,A81000C,00300,0100,A 60752,A81000C,00300,0200,P ZIRBSER SR 60752,A81000C,00300,0400,GREENBRIAR DEPT 60752,A81000C,00300,0600,NURSING HOME 60752,A81000C,00400,0100,A 60752,A81000C,00400,0200,E ZIRBSER SR 60752,A81000C,00400,0400,GREENBRIAR DEPT 60752,A81000C,00400,0600,NURSING HOME 60752,B100000,00000,0100,00000(SQUARE FEET) 60752,B100000,00000,0200,00000SQUARE FEET 60752,B100000,00000,0300,00000(GROSS SALARIES) 60752,B100000,00000,0400,00000(ACCUM COST) 60752,B100000,00000,0500,00000(SQUARE FEET) 60752,B100000,00000,0600,00000CENSUS 60752,B100000,00000,0700,00000SQUARE FEET 60752,B100000,00000,0800,00000(MEALS SERVED) 60752,B100000,00000,0900,00000(DIRECT NRSG HRS) 60752,B100000,00000,1000,00000CENSUS 60752,B100000,00000,1100,00000COSTED REQUIS 60752,B100000,00000,1200,00000(TIME SPENT) 60752,B100000,00000,1300,00000(TIME SPENT) 60752,B100000,00000,1350,00000TIME SPENT 60752,B100000,00000,1400,00000ASSIGNED TIME 60752,E10A180,00501,0100,06/27/2000 60752,E10A180,00501,0300,06/27/2000 60752,S000000,00100,0200,05/26/2000 60752,S200000,00100,0100,43 N. WHITEHORSE PIKE 60752,S200000,00200,0100,HAMMONTON 60752,S200000,00200,0200,NJ 60752,S200000,00200,0300,08037 60752,S200000,00300,0100,ATLANTIC 60752,S200000,00400,0100,GREENBRIAR NRSG. CTR. OF HAMMONTON 60752,S200000,00400,0200,315209 60752,S200000,00400,0300,10/17/1984 60752,S200000,00400,0500,P 60752,S200000,01500,0100,Y 60752,S200000,04300,0100,Y 60752,S200000,04700,0100,Y 60752,S200000,04700,0200,Y 60756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60756,A000000,00300,0000,00300EMPLOYEE BENEFITS 60756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60756,A000000,00700,0000,00700HOUSEKEEPING 60756,A000000,00800,0000,00800DIETARY 60756,A000000,00900,0000,00900NURSING ADMINISTRATION 60756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60756,A000000,01100,0000,01100PHARMACY 60756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60756,A000000,01300,0000,01300SOCIAL SERVICE 60756,A000000,01350,0000,01500PATIENT ACTIVITIES 60756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60756,A000000,01600,0000,01600SKILLED NURSING FACILITY 60756,A000000,01800,0000,01800NURSING FACILITY 60756,A000000,01810,0000,01810ICF/MR 60756,A000000,02100,0000,02100RADIOLOGY 60756,A000000,02300,0000,02300INTRAVENOUS THERAPY 60756,A000000,02500,0000,02500PHYSICAL THERAPY 60756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60756,A000000,02700,0000,02700SPEECH PATHOLOGY 60756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60756,A000000,03200,0000,03200SUPPORT SURFACES 60756,A000000,03550,0000,03550FQHC 60756,A000000,05000,0000,05000CORF 60756,A000000,05010,0000,05010CMHC 60756,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60756,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60756,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60756,A81000A,00100,0100,Y 60756,A81000B,00100,0300,MGMNT FEES HOME OFC 60756,A81000B,00200,0300,CAP REL HOME OFFICE 60756,A81000B,00300,0300,FACILITY RENTAL 60756,A81000B,00400,0300,DISPOSABLE DIAPERS 60756,A81000B,00500,0300,MINOR EQUIPMENT 60756,A81000B,00600,0300,MEDICAL SUPPLIES 60756,A81000B,00700,0300,NON BILL MED SUP 60756,A81000B,00800,0300,NON BILL MED SUP 60756,A81000C,00100,0100,A 60756,A81000C,00100,0200,STEPHEN LAZOVIT 60756,A81000C,00100,0400,SENIORS MANAGEM 60756,A81000C,00100,0600,HOME OFFICE 60756,A81000C,00200,0100,B 60756,A81000C,00200,0200,SENIORS MGMNT 60756,A81000C,00200,0400,EASTERN MEDICA 60756,A81000C,00200,0600,MEDICAL SUPPLIE 60756,B100000,00000,0100,00040SQUARE FEET 60756,B100000,00000,0200,00040SQUARE FEET 60756,B100000,00000,0300,00040GROSS SALARIES 60756,B100000,00000,0400,00040ACCUM COST 60756,B100000,00000,0500,00040SQUARE FEET 60756,B100000,00000,0600,00040POUNDS OF LAUNDRY 60756,B100000,00000,0700,00040HOURS OF SERVICE 60756,B100000,00000,0800,00040MEALS SERVED 60756,B100000,00000,0900,00040DIRECT NRSG HRS 60756,B100000,00000,1000,00040COSTED REQUIS 60756,B100000,00000,1100,00040COSTED REQUIS 60756,B100000,00000,1200,00040TIME SPENT 60756,B100000,00000,1300,00040TIME SPENT 60756,B100000,00000,1350,00040PATIENT DAYS 60756,B100000,00000,1400,00040ASSIGNED TIME 60756,E10A180,00501,0100,06/27/2000 60756,S000000,00100,0200,06/01/2000 60756,S200000,00100,0100,66 WEST JIMMIE LEEDS ROAD 60756,S200000,00200,0100,ABSECON 60756,S200000,00200,0200,NJ 60756,S200000,00200,0300,08201 60756,S200000,00300,0100,ATLANTIC 60756,S200000,00400,0100,THE HEALTH CTR AT GALLOWAY 60756,S200000,00400,0200,315210 60756,S200000,00400,0300,12/01/1984 60756,S200000,00400,0500,P 60756,S200000,00400,0600,O 60756,S200000,00600,0200,315210 60756,S200000,00600,0300,12/01/1984 60756,S200000,00600,0600,P 60756,S200000,01600,0100,Y 60756,S200000,02200,0100,Y 60759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60759,A000000,00300,0000,00300EMPLOYEE BENEFITS 60759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60759,A000000,00700,0000,00700HOUSEKEEPING 60759,A000000,00800,0000,00800DIETARY 60759,A000000,00900,0000,00900NURSING ADMINISTRATION 60759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60759,A000000,01100,0000,01100PHARMACY 60759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60759,A000000,01300,0000,01300SOCIAL SERVICE 60759,A000000,01310,0000,01310RECREATIONAL THERAPY 60759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60759,A000000,01600,0000,01600SKILLED NURSING FACILITY 60759,A000000,01800,0000,01800NURSING FACILITY 60759,A000000,01810,0000,01810ICF/MR 60759,A000000,02100,0000,02100RADIOLOGY 60759,A000000,02200,0000,02200LABORATORY 60759,A000000,02500,0000,02500PHYSICAL THERAPY 60759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60759,A000000,02700,0000,02700SPEECH PATHOLOGY 60759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60759,A000000,03550,0000,03550FQHC 60759,A000000,04800,0000,04800AMBULANCE 60759,A000000,05000,0000,05000CORF 60759,A000000,05010,0000,05010CMHC 60759,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60759,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60759,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60759,A000000,05300,0000,05300INTEREST EXPENSE 60759,A000000,06210,0000,06210MARKETING 60759,A81000A,00100,0100,Y 60759,A81000B,00100,0300,MANAGEMENT FEE 60759,A81000B,00200,0300,WORKING CAP INTEREST 60759,A81000C,00100,0200,PETER DEPAUL 60759,A81000C,00100,0400,DEPAUL HEALTH 60759,A81000C,00100,0600,MANAGE. SERVICE 60759,B100000,00000,0100,00010(SQUARE FEET) 60759,B100000,00000,0200,00010(SQUARE FEET) 60759,B100000,00000,0300,00010(GROSS SALARIES) 60759,B100000,00000,0400,00010(ACCUM COST) 60759,B100000,00000,0500,00010(SQUARE FEET) 60759,B100000,00000,0600,00010(POUNDS OF LAUNDRY) 60759,B100000,00000,0700,00010(SQUARE FEET) 60759,B100000,00000,0800,00010(MEALS SERVED) 60759,B100000,00000,0900,00010(DIRECT NRSG HRS) 60759,B100000,00000,1000,00010(COSTED REQUIS) 60759,B100000,00000,1100,00010(PATIENT DAYS) 60759,B100000,00000,1200,00010(TIME SPENT) 60759,B100000,00000,1300,00010(TIME SPENT) 60759,B100000,00000,1310,00010(PATIENT DAYS) 60759,B100000,00000,1400,00010(ASSIGNED TIME) 60759,E10A180,00501,0300,07/04/2000 60759,E10A180,00550,0100,07/04/2000 60759,E10A180,00551,0100,09/24/2001 60759,E10A180,00551,0300,09/24/2001 60759,S000000,00100,0200,06/06/2000 60759,S200000,00100,0100,JOHN HENRY ALLEN AND CHURCH LANE 60759,S200000,00200,0100,PLEASANTVILLE 60759,S200000,00200,0200,NJ 60759,S200000,00200,0300,08232 60759,S200000,00300,0100,ATLANTIC 60759,S200000,00400,0100,MAINLAND MANOR NURSING & REHAB CTR. 60759,S200000,00400,0200,315212 60759,S200000,00400,0300,11/30/1984 60759,S200000,00400,0500,P 60759,S200000,00600,0200,001230 60759,S200000,00600,0300,11/30/1984 60759,S200000,00600,0600,O 60759,S200000,01600,0100,Y 60759,S200000,01900,0100,501 C(3) 60763,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60763,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60763,A000000,00300,0000,00300EMPLOYEE BENEFITS 60763,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60763,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60763,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60763,A000000,00700,0000,00700HOUSEKEEPING 60763,A000000,00800,0000,00800DIETARY 60763,A000000,00900,0000,00900NURSING ADMINISTRATION 60763,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60763,A000000,01100,0000,01100PHARMACY 60763,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60763,A000000,01300,0000,01300SOCIAL SERVICE 60763,A000000,01350,0000,01500RECREATION 60763,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60763,A000000,01600,0000,01600SKILLED NURSING FACILITY 60763,A000000,01800,0000,01800NURSING FACILITY 60763,A000000,01810,0000,01810ICF/MR 60763,A000000,02100,0000,02100RADIOLOGY 60763,A000000,02200,0000,02200LABORATORY 60763,A000000,02500,0000,02500PHYSICAL THERAPY 60763,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60763,A000000,02700,0000,02700SPEECH PATHOLOGY 60763,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60763,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60763,A000000,03200,0000,03200SUPPORT SURFACES 60763,A000000,03550,0000,03550FQHC 60763,A000000,05000,0000,05000CORF 60763,A000000,05010,0000,05010CMHC 60763,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60763,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60763,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60763,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60763,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 60763,A81000A,00100,0100,Y 60763,A81000B,00100,0300,BUILDING RENT 60763,A81000B,00200,0300,DEPRECIATION 60763,A81000B,00300,0300,RE TAXES 60763,A81000B,00400,0300,INTEREST 60763,A81000B,00500,0300,AMORTIZATION 60763,A81000C,00100,0100,D 60763,A81000C,00100,0200,J SCHWARTZ 60763,A81000C,00100,0400,DURHAM REALTY 60763,A81000C,00100,0600,LANDLORD 60763,A81000C,00200,0100,D 60763,A81000C,00200,0200,A LOWINGER 60763,A81000C,00200,0400,DURHAM REALTY 60763,A81000C,00200,0600,LANDLORD 60763,A81000C,00300,0100,D 60763,A81000C,00300,0200,S WEISEL 60763,A81000C,00300,0400,DURHAM REALTY 60763,A81000C,00300,0600,LANDLORD 60763,A81000C,00400,0100,D 60763,A81000C,00400,0200,E LOWINGER 60763,A81000C,00400,0400,DURHAM REALTY 60763,A81000C,00400,0600,LANDLORD 60763,A81000C,00500,0100,D 60763,A81000C,00500,0200,I LEFKOVITS 60763,A81000C,00500,0400,DURHAM REALTY 60763,A81000C,00500,0600,LANDLORD 60763,B100000,00000,0100,00000SQUARE FEET 60763,B100000,00000,0200,00000SQUARE FEET 60763,B100000,00000,0300,00000GROSS SALARIES 60763,B100000,00000,0400,00000ACCUM COST 60763,B100000,00000,0500,00000SQUARE FEET 60763,B100000,00000,0600,00000CENSUS 60763,B100000,00000,0700,00000HOURS OF SERVICE 60763,B100000,00000,0800,00000MEALS SERVED 60763,B100000,00000,0900,00000DIRECT NRSG HRS 60763,B100000,00000,1000,00000COST REQUIS 60763,B100000,00000,1100,00000COSTED REQUIS 60763,B100000,00000,1200,00000TIME SPENT 60763,B100000,00000,1300,00000TIME SPENT 60763,B100000,00000,1350,00000CENSUS 60763,B100000,00000,1400,00000ASSIGNED TIME 60763,E10A180,00501,0100,07/25/2000 60763,E10A180,00501,0300,07/25/2000 60763,S000000,00100,0200,07/24/2000 60763,S200000,00100,0100,1311 DURHAM AVENUE 60763,S200000,00200,0100,SOUTH PLAINFIELD 60763,S200000,00200,0200,NJ 60763,S200000,00200,0300,07080 60763,S200000,00300,0100,MIDDLESEX 60763,S200000,00400,0100,CEDAR OAKS CARE CENTER 60763,S200000,00400,0200,315214 60763,S200000,00400,0300,01/01/1985 60763,S200000,00400,0500,P 60763,S200000,01600,0100,Y 60767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60767,A000000,00300,0000,00300EMPLOYEE BENEFITS 60767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60767,A000000,00700,0000,00700HOUSEKEEPING 60767,A000000,00800,0000,00800DIETARY 60767,A000000,00900,0000,00900NURSING ADMINISTRATION 60767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60767,A000000,01100,0000,01100PHARMACY 60767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60767,A000000,01300,0000,01300SOCIAL SERVICE 60767,A000000,01350,0000,01500RECREATION THERAPY 60767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60767,A000000,01600,0000,01600SKILLED NURSING FACILITY 60767,A000000,01810,0000,01810ICF/MR 60767,A000000,02100,0000,02100RADIOLOGY 60767,A000000,02500,0000,02500PHYSICAL THERAPY 60767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60767,A000000,02700,0000,02700SPEECH PATHOLOGY 60767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60767,A000000,03550,0000,03550FQHC 60767,A000000,05000,0000,05000CORF 60767,A000000,05010,0000,05010CMHC 60767,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60767,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60767,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60767,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60767,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60767,A000000,06150,0000,06300DEVELOPMENT OFFICE 60767,B100000,00000,0100,00000(SQUARE FEET) 60767,B100000,00000,0200,00000(SQUARE FEET) 60767,B100000,00000,0300,00000(GROSS SALARIES) 60767,B100000,00000,0400,00000(ACCUM COST) 60767,B100000,00000,0500,00000(SQUARE FEET) 60767,B100000,00000,0600,00000(POUNDS OF LAUNDY) 60767,B100000,00000,0700,00000(SQUARE FEET) 60767,B100000,00000,0800,00000(MEALS SERVED) 60767,B100000,00000,0900,00000(DIRECT NRSG HRS) 60767,B100000,00000,1000,00000(TIME SPENT) 60767,B100000,00000,1100,00000(COSTED REQUIS) 60767,B100000,00000,1200,00000(TIME SPENT) 60767,B100000,00000,1300,00000(TIME SPENT) 60767,B100000,00000,1350,00000 60767,B100000,00000,1400,00000(ASSIGNED TIME) 60767,E10A180,00501,0100,01/10/2001 60767,E10A180,00501,0300,01/10/2001 60767,S000000,00100,0200,12/01/2000 60767,S200000,00100,0100,53 WALTER STREET 60767,S200000,00200,0100,EWING 60767,S200000,00200,0200,NJ 60767,S200000,00300,0100,M 60767,S200000,00400,0100,GREENWOOD HOUSE HOME FOR THE AGED 60767,S200000,00400,0200,315215 60767,S200000,00400,0300,02/01/1985 60767,S200000,00400,0500,P 60767,S200000,01500,0100,Y 60771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60771,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60771,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60771,A000000,00300,0000,00300EMPLOYEE BENEFITS 60771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60771,A000000,00700,0000,00700HOUSEKEEPING 60771,A000000,00800,0000,00800DIETARY 60771,A000000,00801,0000,00801CAFETERIA 60771,A000000,00900,0000,00900NURSING ADMINISTRATION 60771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60771,A000000,01100,0000,01100PHARMACY 60771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60771,A000000,01300,0000,01300SOCIAL SERVICE 60771,A000000,01350,0000,01500REC THERAPY 60771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60771,A000000,01600,0000,01600SKILLED NURSING FACILITY 60771,A000000,01800,0000,01800NURSING FACILITY 60771,A000000,01810,0000,01810ICF/MR 60771,A000000,01900,0000,01900OTHER LONG TERM CARE 60771,A000000,02100,0000,02100RADIOLOGY 60771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60771,A000000,02500,0000,02500PHYSICAL THERAPY 60771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60771,A000000,02700,0000,02700SPEECH PATHOLOGY 60771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60771,A000000,03050,0000,03300PEN THERAPY 60771,A000000,03051,0000,03301FEE SCREENING 60771,A000000,03052,0000,03302OTHER ANCILLARY III 60771,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60771,A000000,03550,0000,03550FQHC 60771,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60771,A000000,05000,0000,05000CORF I 60771,A000000,05010,0000,05010CMHC I 60771,A000000,05020,0000,05020OPT I 60771,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60771,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60771,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60771,A81000A,00100,0100,Y 60771,A81000B,00100,0300,AS ATTACHED 60771,A81000B,00200,0300,HOME OFFICE 60771,A81000B,00300,0300,CAPITAL INTEREST 60771,A81000B,00400,0300,HOME OFFICE INTEREST 60771,A81000C,00100,0100,B 60771,A81000C,00100,0400,VARIOUS 60771,A81000C,00100,0600,VARIOUS 60771,A81000C,00200,0100,B 60771,A81000C,00200,0400,GHV 60771,A81000C,00200,0600,HOME OFFICE 60771,A81000C,00300,0100,B 60771,A81000C,00300,0400,GHV 60771,A81000C,00300,0600,HOME OFF. INT. 60771,A81000C,00400,0100,B 60771,A81000C,00400,0400,GHV 60771,A81000C,00400,0600,HOME OFFICE CA 60771,B100000,00000,0100,00000(SQUARE FEET) 60771,B100000,00000,0101,00000(SQUARE FEET) 60771,B100000,00000,0200,00000(SQUARE FEET) 60771,B100000,00000,0201,00000(SQUARE FEET) 60771,B100000,00000,0300,00000(GROSS SALARIES) 60771,B100000,00000,0400,00000(ACCUM. COST) 60771,B100000,00000,0500,00000(SQUARE FEET) 60771,B100000,00000,0600,00000(PATIENT DAYS) 60771,B100000,00000,0700,00000(SQUARE FEET) 60771,B100000,00000,0800,00000(MEALS SERVED) 60771,B100000,00000,0801,00000(MEALS SERVED) 60771,B100000,00000,0900,00000(NURSING SALARIES) 60771,B100000,00000,1000,00000COSTED REQ 60771,B100000,00000,1100,00000(PATIENT DAYS) 60771,B100000,00000,1200,00000(PATIENT DAYS) 60771,B100000,00000,1300,00000(PATIENT DAYS) 60771,B100000,00000,1350,00000(PATIENT DAYS) 60771,B100000,00000,1400,00000(ASSIGNED TIME) 60771,E10A180,00501,0100,06/23/2000 60771,E10A180,00501,0300,06/23/2000 60771,S000000,00100,0200,05/31/2000 60771,S200000,00100,0100,536 RIDGE ROASD 60771,S200000,00200,0100,CEDAR GROVE 60771,S200000,00200,0200,NJ 60771,S200000,00200,0300,07009 60771,S200000,00300,0100,ESSEX 60771,S200000,00400,0100,WATERVIEW NURSING CENTER 60771,S200000,00400,0200,315216 60771,S200000,00400,0300,01/11/1985 60771,S200000,00400,0500,P 60771,S200000,01600,0100,Y 60771,S200000,02200,0100,Y 60774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60774,A000000,00300,0000,00300EMPLOYEE BENEFITS 60774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60774,A000000,00700,0000,00700HOUSEKEEPING 60774,A000000,00800,0000,00800DIETARY 60774,A000000,00900,0000,00900NURSING ADMINISTRATION 60774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60774,A000000,01100,0000,01100PHARMACY 60774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60774,A000000,01300,0000,01300SOCIAL SERVICE 60774,A000000,01350,0000,01500PATIENT ACTIVITIES 60774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60774,A000000,01600,0000,01600SKILLED NURSING FACILITY 60774,A000000,01800,0000,01800NURSING FACILITY 60774,A000000,01810,0000,01810ICF/MR 60774,A000000,02100,0000,02100RADIOLOGY 60774,A000000,02200,0000,02200LABORATORY 60774,A000000,02500,0000,02500PHYSICAL THERAPY 60774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60774,A000000,02700,0000,02700SPEECH PATHOLOGY 60774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60774,A000000,02901,0000,02901CLINITRON BEDS 60774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60774,A000000,03550,0000,03550FQHC 60774,A000000,05000,0000,05000CORF 60774,A000000,05010,0000,05010CMHC 60774,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60774,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60774,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60774,A81000A,00100,0100,Y 60774,A81000B,00100,0300,HOME OFFICE COST - A&G 60774,A81000B,00200,0300,HOME OFFICE COST - CAPITAL 60774,A81000C,00100,0100,B 60774,A81000C,00100,0400,PRES HOMES & SRVCS INC. 60774,A81000C,00100,0600,HOME OFFICE 60774,A81000C,00200,0100,B 60774,A81000C,00200,0400,PRES HOMES & SRVCS INC. 60774,A81000C,00200,0600,HOME OFFICE 60774,B100000,00000,0100,00000SQUARE FEET 60774,B100000,00000,0200,00000SQUARE FEET 60774,B100000,00000,0300,00000GROSS SALARIES 60774,B100000,00000,0400,00000ACCUM. COST 60774,B100000,00000,0500,00000SQUARE FEET 60774,B100000,00000,0600,00000PATIENT DAYS 60774,B100000,00000,0700,00000SQFT EXCL DIETARY 60774,B100000,00000,0800,00000MEALS SERVED 60774,B100000,00000,0900,00000PATIENT DAYS 60774,B100000,00000,1000,00000COSTED REQUIS. 60774,B100000,00000,1100,00000COSTED REQUIS. 60774,B100000,00000,1200,00000PATIENT DAYS 60774,B100000,00000,1300,00000PATIENT DAYS 60774,B100000,00000,1350,00000PATIENT DAYS 60774,B100000,00000,1400,00000NO STATISTICS 60774,E10A180,00501,0100,06/20/2000 60774,E10A180,00501,0300,06/20/2000 60774,S000000,00100,0200,05/26/2000 60774,S200000,00100,0100,40-44 NORWOOD AVENUE 60774,S200000,00200,0100,PLAINFIELD 60774,S200000,00200,0200,NJ 60774,S200000,00200,0300,07060 60774,S200000,00300,0100,UNION 60774,S200000,00400,0100,ROBERT WOOD JOHNSON JR. HCC 60774,S200000,00400,0200,315217 60774,S200000,00400,0300,09/10/1985 60774,S200000,00400,0500,P 60774,S200000,01600,0100,Y 60777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60777,A000000,00300,0000,00300EMPLOYEE BENEFITS 60777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60777,A000000,00700,0000,00700HOUSEKEEPING 60777,A000000,00800,0000,00800DIETARY 60777,A000000,00900,0000,00900NURSING ADMINISTRATION 60777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60777,A000000,01100,0000,01100PHARMACY 60777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60777,A000000,01300,0000,01300SOCIAL SERVICE 60777,A000000,01350,0000,01500PATIENT ACTIVITIES 60777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60777,A000000,01600,0000,01600SKILLED NURSING FACILITY 60777,A000000,01800,0000,01800NURSING FACILITY 60777,A000000,01810,0000,01810ICF/MR 60777,A000000,02100,0000,02100RADIOLOGY 60777,A000000,02200,0000,02200LABORATORY 60777,A000000,02500,0000,02500PHYSICAL THERAPY 60777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60777,A000000,02700,0000,02700SPEECH PATHOLOGY 60777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60777,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60777,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60777,A000000,03550,0000,03550FQHC 60777,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60777,A000000,05000,0000,05000CORF 60777,A000000,05010,0000,05010CMHC 60777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60777,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60777,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60777,A81000A,00100,0100,Y 60777,A81000B,00100,0300,MANAGEMENT FEES 60777,A81000B,00200,0300,DIRECTORS FEES 60777,A81000B,00300,0300,RENT EXPENSE 60777,A81000C,00100,0100,B 60777,A81000C,00100,0200,BRIAN HOLLOWAY 60777,A81000C,00100,0400,PMH LLC 60777,A81000C,00100,0600,ADMINISTRATOR/OWNER 60777,A81000C,00200,0100,B 60777,A81000C,00200,0200,HOLLOWAY HOLDING CORP 60777,A81000C,00200,0400,MYSTIC SHORES INC. 60777,A81000C,00200,0600,CORPORATION 60777,A81000C,00300,0100,E 60777,A81000C,00300,0200,LIMITED PARTNERS 60777,A81000C,00300,0400,MYSTIC PARTNERS L.P. 60777,A81000C,00300,0600,REAL ESTATE COMPANY 60777,B100000,00000,0100,00000SQUARE FEET 60777,B100000,00000,0200,00000DOLLAR VALUE 60777,B100000,00000,0300,00000GROSS SALARIES 60777,B100000,00000,0400,00000ACCUM. COST 60777,B100000,00000,0500,00000SQUARE FEET 60777,B100000,00000,0600,00000PATIENT DAYS 60777,B100000,00000,0700,00000SQUARE FEET 60777,B100000,00000,0800,00000PATIENT DAYS 60777,B100000,00000,0900,00000DIRECT NRSING HRS 60777,B100000,00000,1000,00000COSTED REQUIS. 60777,B100000,00000,1100,00000PATIENT DAYS 60777,B100000,00000,1200,00000PATIENT DAYS 60777,B100000,00000,1300,00000PATIENT DAYS 60777,B100000,00000,1350,00000PATIENT DAYS 60777,B100000,00000,1400,00000ASSIGNED TIME 60777,E10A180,00501,0100,07/11/2000 60777,E10A180,00501,0300,07/11/2000 60777,S000000,00100,0200,05/31/2000 60777,S200000,00100,0100,1001 CENTER STREET 60777,S200000,00200,0100,TUCKERTON 60777,S200000,00200,0200,NJ 60777,S200000,00200,0300,08087 60777,S200000,00300,0100,OCEAN 60777,S200000,00400,0100,SEACREST VILLAGE 60777,S200000,00400,0200,315218 60777,S200000,00400,0300,01/06/1986 60777,S200000,00400,0500,P 60777,S200000,01600,0100,Y 60783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60783,A000000,00300,0000,00300EMPLOYEE BENEFITS 60783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60783,A000000,00700,0000,00700HOUSEKEEPING 60783,A000000,00800,0000,00800DIETARY 60783,A000000,00900,0000,00900NURSING ADMINISTRATION 60783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60783,A000000,01100,0000,01100PHARMACY 60783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60783,A000000,01300,0000,01300SOCIAL SERVICE 60783,A000000,01350,0000,01500PATIENT ACTIVITIES 60783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60783,A000000,01600,0000,01600SKILLED NURSING FACILITY 60783,A000000,01800,0000,01800NURSING FACILITY 60783,A000000,01810,0000,01810ICF/MR 60783,A000000,02100,0000,02100RADIOLOGY 60783,A000000,02200,0000,02200LABORATORY 60783,A000000,02300,0000,02300INTRAVENOUS THERAPY 60783,A000000,02500,0000,02500PHYSICAL THERAPY 60783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60783,A000000,02700,0000,02700SPEECH PATHOLOGY 60783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60783,A000000,03550,0000,03550FQHC 60783,A000000,05000,0000,05000CORF 60783,A000000,05010,0000,05010CMHC 60783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60783,A81000A,00100,0100,Y 60783,A81000B,00100,0300,MGMNT FEES HOME OFC 60783,A81000B,00200,0300,CAP REL HOME OFFICE 60783,A81000B,00300,0300,FACILITY RENTAL 60783,A81000B,00400,0300,MEDICAL SUPPLIES 60783,A81000C,00100,0100,A 60783,A81000C,00100,0200,SENIORS MANAGEM 60783,A81000C,00100,0400,EASTERN MEDICAL 60783,A81000C,00100,0600,MEDICAL SUPPLIE 60783,B100000,00000,0100,00000SQUARE FEET 60783,B100000,00000,0200,00000SQUARE FEET 60783,B100000,00000,0300,00000GROSS SALARIES 60783,B100000,00000,0400,00000ACCUM COST 60783,B100000,00000,0500,00000SQUARE FEET 60783,B100000,00000,0600,00000POUNDS OF LAUNDRY 60783,B100000,00000,0700,00000HOURS OF SERVICE 60783,B100000,00000,0800,00000MEALS SERVED 60783,B100000,00000,0900,00000DIRECT NRSG HRS 60783,B100000,00000,1000,00000COSTED REQUIS 60783,B100000,00000,1100,00000COSTED REQUIS 60783,B100000,00000,1200,00000TIME SPENT 60783,B100000,00000,1300,00000TIME SPENT 60783,B100000,00000,1350,00000PATIENT DAYS 60783,B100000,00000,1400,00000ASSIGNED TIME 60783,E10A180,00501,0100,06/30/2000 60783,E10A180,00501,0300,06/30/2000 60783,S000000,00100,0200,05/25/2000 60783,S200000,00100,0100,857 WEST BAY AVENUE 60783,S200000,00200,0100,BARNEGAT 60783,S200000,00200,0200,NJ 60783,S200000,00200,0300,08005 60783,S200000,00300,0100,OCEAN 60783,S200000,00400,0100,BARNEGAT NURSING CENTER 60783,S200000,00400,0200,315222 60783,S200000,00400,0300,03/19/1986 60783,S200000,00400,0500,P 60783,S200000,00400,0600,O 60783,S200000,00600,0200,315222 60783,S200000,00600,0300,03/19/1986 60783,S200000,00600,0600,P 60783,S200000,01600,0100,Y 60783,S200000,02200,0100,Y 60786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60786,A000000,00300,0000,00300EMPLOYEE BENEFITS 60786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60786,A000000,00700,0000,00700HOUSEKEEPING 60786,A000000,00800,0000,00800DIETARY 60786,A000000,00900,0000,00900NURSING ADMINISTRATION 60786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60786,A000000,01100,0000,01100PHARMACY 60786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60786,A000000,01300,0000,01300SOCIAL SERVICE 60786,A000000,01350,0000,01500RECREATION 60786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60786,A000000,01600,0000,01600SKILLED NURSING FACILITY 60786,A000000,01800,0000,01800NURSING FACILITY 60786,A000000,01810,0000,01810ICF/MR 60786,A000000,01900,0000,01900OTHER LONG TERM CARE 60786,A000000,02100,0000,02100RADIOLOGY 60786,A000000,02200,0000,02200LABORATORY 60786,A000000,02300,0000,02300INTRAVENOUS THERAPY 60786,A000000,02500,0000,02500PHYSICAL THERAPY 60786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60786,A000000,02700,0000,02700SPEECH PATHOLOGY 60786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60786,A000000,03200,0000,03200SUPPORT SURFACES 60786,A000000,03550,0000,03550FQHC 60786,A000000,05000,0000,05000CORF 60786,A000000,05010,0000,05010CMHC 60786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60786,A81000A,00100,0100,Y 60786,A81000B,00100,0300,ACCOUNTING & COMPUTE 60786,A81000B,00200,0300,EMPLOYEE PHYSICALS 60786,A81000C,00100,0100,B 60786,A81000C,00100,0400,HAMILTON HOSPIT 60786,A81000C,00100,0600,HOSPITAL 60786,B100000,00000,0100,00000(SQUARE FEET) 60786,B100000,00000,0200,00000SQUARE FEET 60786,B100000,00000,0300,00000(GROSS SALARIES) 60786,B100000,00000,0400,00000(ACCUM COST) 60786,B100000,00000,0500,00000(SQUARE FEET) 60786,B100000,00000,0600,00000CENSUS 60786,B100000,00000,0700,00000SQUARE FEET 60786,B100000,00000,0800,00000(MEALS SERVED) 60786,B100000,00000,0900,00000DIRECT NRSG HRS 60786,B100000,00000,1000,00000CENSUS 60786,B100000,00000,1100,00000COSTED REQUIS 60786,B100000,00000,1200,00000CENSUS 60786,B100000,00000,1300,00000CENSUS 60786,B100000,00000,1350,00000CENSUS 60786,B100000,00000,1400,00000ASSIGNED TIME 60786,E10A180,00501,0100,06/26/2000 60786,E10A180,00501,0300,06/26/2000 60786,S000000,00100,0200,05/31/2000 60786,S200000,00100,0100,1059 EDINBURGH ROAD 60786,S200000,00200,0100,HAMILTON SQUARE 60786,S200000,00200,0200,NJ 60786,S200000,00200,0300,08690 60786,S200000,00300,0100,MERCER 60786,S200000,00400,0100,HAMILTON CONTINUING CARE CENTER 60786,S200000,00400,0200,315223 60786,S200000,00400,0300,02/26/1986 60786,S200000,00400,0500,P 60786,S200000,01500,0100,Y 60786,S200000,04300,0100,Y 60790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60790,A000000,00300,0000,00300EMPLOYEE BENEFITS 60790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60790,A000000,00700,0000,00700HOUSEKEEPING 60790,A000000,00800,0000,00800DIETARY 60790,A000000,00900,0000,00900NURSING ADMINISTRATION 60790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60790,A000000,01100,0000,01100PHARMACY 60790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60790,A000000,01300,0000,01300SOCIAL SERVICE 60790,A000000,01350,0000,01500PATIENT ACTIVITIES 60790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60790,A000000,01600,0000,01600SKILLED NURSING FACILITY 60790,A000000,01810,0000,01810ICF/MR 60790,A000000,02100,0000,02100RADIOLOGY 60790,A000000,02200,0000,02200LABORATORY 60790,A000000,02500,0000,02500PHYSICAL THERAPY 60790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60790,A000000,02700,0000,02700SPEECH PATHOLOGY 60790,A000000,02800,0000,02800ELECTROCARDIOLOGY 60790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60790,A000000,03200,0000,03200SUPPORT SURFACES 60790,A000000,03550,0000,03550FQHC 60790,A000000,05000,0000,05000CORF 60790,A000000,05010,0000,05010CMHC 60790,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60790,B100000,00000,0100,00000(SQUARE FEET) 60790,B100000,00000,0200,00000SQUARE FEET 60790,B100000,00000,0300,00000(GROSS SALARIES) 60790,B100000,00000,0400,00000(ACCUM COST) 60790,B100000,00000,0500,00000(SQUARE FEET) 60790,B100000,00000,0600,00000(PATIENT CENSUS) 60790,B100000,00000,0700,00000(HOURS OF SERVICE) 60790,B100000,00000,0800,00000(MEALS SERVED) 60790,B100000,00000,0900,00000(DIRECT NRSG HRS) 60790,B100000,00000,1000,00000COSTED REQUIS 60790,B100000,00000,1100,00000COSTED REQUIS 60790,B100000,00000,1200,00000TIME SPENT 60790,B100000,00000,1300,00000(TIME SPENT) 60790,B100000,00000,1350,00000(PATIENT CENSUS) 60790,B100000,00000,1400,00000ASSIGNED TIME 60790,E10A180,00501,0100,01/19/2001 60790,E10A180,00550,0300,01/19/2001 60790,S000000,00100,0200,11/20/2000 60790,S200000,00100,0100,145 STATE PARK ROAD 60790,S200000,00100,0300,283 60790,S200000,00200,0100,HOPE 60790,S200000,00200,0200,NJ 60790,S200000,00200,0300,07844 60790,S200000,00300,0100,WARREN 60790,S200000,00400,0100,FOREST MANOR HLTH CARE CENTER 60790,S200000,00400,0200,315224 60790,S200000,00400,0300,03/12/1986 60790,S200000,00400,0500,P 60790,S200000,01500,0100,Y 60790,S200000,04300,0100,Y 60794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60794,A000000,00300,0000,00300EMPLOYEE BENEFITS 60794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60794,A000000,00700,0000,00700HOUSEKEEPING 60794,A000000,00800,0000,00800DIETARY 60794,A000000,00900,0000,00900NURSING ADMINISTRATION 60794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60794,A000000,01100,0000,01100PHARMACY 60794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60794,A000000,01300,0000,01300SOCIAL SERVICE 60794,A000000,01350,0000,01500PATIENT ACTIVITIES 60794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60794,A000000,01600,0000,01600SKILLED NURSING FACILITY 60794,A000000,01800,0000,01800NURSING FACILITY 60794,A000000,01810,0000,01810ICF/MR 60794,A000000,02100,0000,02100RADIOLOGY 60794,A000000,02200,0000,02200LABORATORY 60794,A000000,02500,0000,02500PHYSICAL THERAPY 60794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60794,A000000,02700,0000,02700SPEECH PATHOLOGY 60794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60794,A000000,03200,0000,03200SUPPORT SURFACES 60794,A000000,03550,0000,03550FQHC 60794,A000000,04800,0000,04800AMBULANCE 60794,A000000,05000,0000,05000CORF 60794,A000000,05010,0000,05010CMHC 60794,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60794,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60794,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60794,B100000,00000,0100,00000(SQUARE FEET) 60794,B100000,00000,0200,00000SQUARE FEET 60794,B100000,00000,0300,00000(GROSS SALARIES) 60794,B100000,00000,0400,00000(ACCUM COST) 60794,B100000,00000,0500,00000(SQUARE FEET) 60794,B100000,00000,0600,00000(PATIENT CENSUS_ 60794,B100000,00000,0700,00000(SQUARE FEET) 60794,B100000,00000,0800,00000(MEALS SERVED) 60794,B100000,00000,0900,00000(DIRECT NRSG HRS) 60794,B100000,00000,1000,00000COSTED REQUIS 60794,B100000,00000,1100,00000COSTED REQUIS 60794,B100000,00000,1200,00000(TIME SPENT) 60794,B100000,00000,1300,00000(TIME SPENT) 60794,B100000,00000,1350,00000(PATIENT CENSUS) 60794,B100000,00000,1400,00000ASSIGNED TIME 60794,E10A180,00301,0100,01/05/2000 60794,E10A180,00501,0100,06/27/2000 60794,E10A180,00501,0300,06/27/2000 60794,S000000,00100,0200,06/01/2000 60794,S200000,00100,0100,1 LEISURE COURT 60794,S200000,00200,0100,FLEMINGTON 60794,S200000,00200,0200,NJ 60794,S200000,00200,0300,08822 60794,S200000,00300,0100,HUNTERDON 60794,S200000,00400,0100,HUNTERDON CARE CENTER 60794,S200000,00400,0200,315226 60794,S200000,00400,0300,03/20/1986 60794,S200000,00400,0500,P 60794,S200000,01600,0100,Y 60794,S200000,04300,0100,Y 60794,S200000,04700,0100,Y 60794,S200000,04700,0200,Y 60797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60797,A000000,00300,0000,00300EMPLOYEE BENEFITS 60797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60797,A000000,00700,0000,00700HOUSEKEEPING 60797,A000000,00800,0000,00800DIETARY 60797,A000000,00900,0000,00900NURSING ADMINISTRATION 60797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60797,A000000,01100,0000,01100PHARMACY 60797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60797,A000000,01300,0000,01300SOCIAL SERVICE 60797,A000000,01350,0000,01500PATIENT ACTIVITIES 60797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60797,A000000,01600,0000,01600SKILLED NURSING FACILITY 60797,A000000,01810,0000,01810ICF/MR 60797,A000000,02100,0000,02100RADIOLOGY 60797,A000000,02200,0000,02200LABORATORY 60797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60797,A000000,02500,0000,02500PHYSICAL THERAPY 60797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60797,A000000,02700,0000,02700SPEECH PATHOLOGY 60797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60797,A000000,03200,0000,03200SUPPORT SURFACES 60797,A000000,03550,0000,03550FQHC 60797,A000000,05000,0000,05000CORF 60797,A000000,05010,0000,05010CMHC 60797,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60797,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60797,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60797,A000000,06150,0000,06300MEDICAL DAY CARE 60797,A81000A,00100,0100,Y 60797,A81000B,00100,0300,HOME OFFICE/PROF FEE 60797,A81000C,00100,0100,A 60797,A81000C,00100,0200,CASCADE/NORTHWE 60797,A81000C,00100,0400,NORTHWEST RESOU 60797,A81000C,00100,0600,HOME OFFICE 60797,B100000,00000,0100,00000(SQUARE FEET) 60797,B100000,00000,0200,00000SQUARE FEET 60797,B100000,00000,0300,00000(GROSS SALARIES) 60797,B100000,00000,0400,00000(ACCUM COST) 60797,B100000,00000,0500,00000(SQUARE FEET) 60797,B100000,00000,0600,00000(PATIENT CENSUS) 60797,B100000,00000,0700,00000(HOURS OF SERVICE) 60797,B100000,00000,0800,00000(MEALS SERVED) 60797,B100000,00000,0900,00000(DIRECT NRSG HRS) 60797,B100000,00000,1000,00000COSTED REQUIS 60797,B100000,00000,1100,00000COSTED REQUIS 60797,B100000,00000,1200,00000(PATIENT CENSUS) 60797,B100000,00000,1300,00000(PATIENT CENSUS) 60797,B100000,00000,1350,00000(PATIENT CENSUS) 60797,B100000,00000,1400,00000ASSIGNED TIME 60797,E10A180,00501,0300,07/04/2000 60797,E10A180,00550,0100,07/04/2000 60797,S000000,00100,0200,05/22/2000 60797,S200000,00100,0100,144 MAGNOLIA DRIVE 60797,S200000,00200,0100,CAPE MAY COURT HOUSE 60797,S200000,00200,0200,NJ 60797,S200000,00200,0300,08210 60797,S200000,00300,0100,CAPE MAY 60797,S200000,00400,0100,COURTHOUSE CONVALESCENT CENTER 60797,S200000,00400,0200,315228 60797,S200000,00400,0300,01/11/1986 60797,S200000,00400,0500,P 60797,S200000,01600,0100,Y 60797,S200000,04300,0100,Y 60802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60802,A000000,00300,0000,00300EMPLOYEE BENEFITS 60802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60802,A000000,00700,0000,00700HOUSEKEEPING 60802,A000000,00800,0000,00800DIETARY 60802,A000000,00900,0000,00900NURSING ADMINISTRATION 60802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60802,A000000,01100,0000,01100PHARMACY 60802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60802,A000000,01300,0000,01300SOCIAL SERVICE 60802,A000000,01350,0000,01500PATIENT ACTIVITIES 60802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60802,A000000,01600,0000,01600SKILLED NURSING FACILITY 60802,A000000,01800,0000,01800NURSING FACILITY 60802,A000000,01810,0000,01810ICF/MR 60802,A000000,02100,0000,02100RADIOLOGY 60802,A000000,02300,0000,02300INTRAVENOUS THERAPY 60802,A000000,02500,0000,02500PHYSICAL THERAPY 60802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60802,A000000,02700,0000,02700SPEECH PATHOLOGY 60802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60802,A000000,03050,0000,03300RESPIRATORY THERAPY 60802,A000000,03200,0000,03200SUPPORT SURFACES 60802,A000000,03550,0000,03550FQHC 60802,A000000,05000,0000,05000CORF 60802,A000000,05010,0000,05010CMHC 60802,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60802,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60802,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60802,A81000A,00100,0100,Y 60802,A81000B,00100,0300,MGMNT FEES HOME OFC 60802,A81000B,00200,0300,CAP REL HOME OFFICE 60802,A81000B,00300,0300,FACILITY RENTAL 60802,A81000B,00400,0300,MEDICAL SUPPLIES 60802,A81000B,00500,0300,RESPIRATORY SUPPLIES 60802,A81000B,00600,0300,MED SUP NON BILL 60802,A81000B,00700,0300,MED SUP NON BILL 60802,A81000B,00800,0300,HSKP SUPPLIES 60802,A81000C,00100,0100,A 60802,A81000C,00100,0200,STEPHEN LAZOVIT 60802,A81000C,00100,0400,SENIORS MANAGEM 60802,A81000C,00100,0600,HOME OFFICE 60802,A81000C,00200,0100,B 60802,A81000C,00200,0200,SENIORS MANAGEM 60802,A81000C,00200,0400,EASTERN MEDICAL 60802,A81000C,00200,0600,MEDICAL SUPPLIE 60802,B100000,00000,0100,00040SQUARE FEET 60802,B100000,00000,0200,00040SQUARE FEET 60802,B100000,00000,0300,00040GROSS SALARIES 60802,B100000,00000,0400,00040ACCUM COST 60802,B100000,00000,0500,00040SQUARE FEET 60802,B100000,00000,0600,00040PATIENT DAYS 60802,B100000,00000,0700,00040SQUARE FEET 60802,B100000,00000,0800,00040PATIENT DAYS 60802,B100000,00000,0900,00040NURSING SALARIES 60802,B100000,00000,1000,00040COSTED REQUIS 60802,B100000,00000,1100,00040PATIENT DAYS 60802,B100000,00000,1200,00040TIME SPENT 60802,B100000,00000,1300,00040PATIENT DAYS 60802,B100000,00000,1350,00040PATIENT DAYS 60802,B100000,00000,1400,00040ASSIGNED TIME 60802,E10A180,00501,0100,06/27/2000 60802,S000000,00100,0200,05/30/2000 60802,S200000,00100,0100,1433 RINGWOOD AVENUE 60802,S200000,00200,0100,HASKELL 60802,S200000,00200,0200,NJ 60802,S200000,00200,0300,07420 60802,S200000,00300,0100,PASSAIC 60802,S200000,00400,0100,THE WANAQUE CENTER 60802,S200000,00400,0200,315229 60802,S200000,00400,0300,05/27/1986 60802,S200000,00400,0500,P 60802,S200000,00400,0600,O 60802,S200000,00600,0200,315229 60802,S200000,00600,0300,05/27/1986 60802,S200000,00600,0600,P 60802,S200000,01600,0100,Y 60802,S200000,02200,0100,Y 60805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60805,A000000,00300,0000,00300EMPLOYEE BENEFITS 60805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60805,A000000,00700,0000,00700HOUSEKEEPING 60805,A000000,00800,0000,00800DIETARY 60805,A000000,00900,0000,00900NURSING ADMINISTRATION 60805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60805,A000000,01100,0000,01100PHARMACY 60805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60805,A000000,01300,0000,01300SOCIAL SERVICE 60805,A000000,01350,0000,01500ACTIVITIES 60805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60805,A000000,01600,0000,01600SKILLED NURSING FACILITY 60805,A000000,01810,0000,01810ICF/MR 60805,A000000,02100,0000,02100RADIOLOGY 60805,A000000,02200,0000,02200LABORATORY 60805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60805,A000000,02500,0000,02500PHYSICAL THERAPY 60805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60805,A000000,02700,0000,02700SPEECH PATHOLOGY 60805,A000000,02800,0000,02800ELECTROCARDIOLOGY 60805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 60805,A000000,03550,0000,03550FQHC 60805,A000000,04800,0000,04800AMBULANCE 60805,A000000,05000,0000,05000CORF 60805,A000000,05010,0000,05010CMHC 60805,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60805,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60805,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60805,A000000,05300,0000,05300INTEREST EXPENSE 60805,A000000,05350,0000,05600BAD DEBTS 60805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60805,A000000,06150,0000,06300NON ALLOWABLE ADVERTISING 60805,A81000A,00100,0100,Y 60805,A81000B,00100,0300,ACCOUNTING SERVICES 60805,A81000B,00200,0300,HUMAN RESOURCES 60805,A81000B,00300,0300,EQUIPMENT RENTAL 60805,A81000B,00400,0300,ADMINISTRATIVE SERVI 60805,A81000B,00500,0300,HEALTH INSURANCE 60805,A81000C,00100,0100,B 60805,A81000C,00100,0200,KENNEDY HEALTH 60805,A81000C,00100,0400,KENNEDY MEMORIA 60805,A81000C,00100,0600,HOSPITAL 60805,A81000C,00200,0100,B 60805,A81000C,00200,0200,KENNEDY HEALTH 60805,A81000C,00200,0400,KENNEDY MEMORIA 60805,A81000C,00200,0600,HOSPITAL 60805,A81000C,00300,0100,B 60805,A81000C,00300,0200,KENNEDY HEALTH 60805,A81000C,00300,0400,KENNEDY MEMORIA 60805,A81000C,00300,0600,HOSPITAL 60805,A81000C,00400,0100,B 60805,A81000C,00400,0200,KENNEDY HEALTH 60805,A81000C,00400,0400,KENNEDY MEMORIA 60805,A81000C,00400,0600,HOSPITAL 60805,A81000C,00500,0100,B 60805,A81000C,00500,0200,KENNEDY HEALTH 60805,A81000C,00500,0400,KENNEDY MEMORIA 60805,A81000C,00500,0600,HOSPITAL 60805,B100000,00000,0100,00000SQUARE FEET 60805,B100000,00000,0200,00000SQUARE FEET 60805,B100000,00000,0300,00000GROSS SALARIES 60805,B100000,00000,0400,00000ACCUM COST 60805,B100000,00000,0500,00000SQUARE FEET 60805,B100000,00000,0600,00000POUNDS OF LAUNDRY 60805,B100000,00000,0700,00000HOURS OF SERVICE 60805,B100000,00000,0800,00000MEALS SERVED 60805,B100000,00000,0900,00000DIRECT NRSG HRS 60805,B100000,00000,1000,00000COSTED REQUIS 60805,B100000,00000,1100,00000COSTED REQUIS 60805,B100000,00000,1200,00000TIME SPENT 60805,B100000,00000,1300,00000TIME SPENT 60805,B100000,00000,1350,00000 60805,B100000,00000,1400,00000ASSIGNED TIME 60805,E10A180,00501,0100,06/19/2001 60805,S000000,00100,0200,05/31/2000 60805,S200000,00100,0100,535 EGG HARBOR ROAD 60805,S200000,00200,0100,SEWELL 60805,S200000,00200,0200,NJ 60805,S200000,00200,0300,08080 60805,S200000,00300,0100,GLOUCESTER 60805,S200000,00400,0100,KENNEDY HEALTH FACILITIES INC. 60805,S200000,00400,0200,315231 60805,S200000,00400,0300,06/25/1986 60805,S200000,00400,0500,P 60805,S200000,01500,0100,Y 60805,S200000,01900,0100,501 C(3) CORP 60805,S200000,02800,0100,Y 60807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60807,A000000,00300,0000,00300EMPLOYEE BENEFITS 60807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60807,A000000,00700,0000,00700HOUSEKEEPING 60807,A000000,00800,0000,00800DIETARY 60807,A000000,00900,0000,00900NURSING ADMINISTRATION 60807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60807,A000000,01100,0000,01100PHARMACY 60807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60807,A000000,01300,0000,01300SOCIAL SERVICE 60807,A000000,01350,0000,01500PATIENT ACTIVITIES 60807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60807,A000000,01600,0000,01600SKILLED NURSING FACILITY 60807,A000000,01800,0000,01800NURSING FACILITY 60807,A000000,01810,0000,01810ICF/MR 60807,A000000,02100,0000,02100RADIOLOGY 60807,A000000,02300,0000,02300INTRAVENOUS THERAPY 60807,A000000,02500,0000,02500PHYSICAL THERAPY 60807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60807,A000000,02700,0000,02700SPEECH PATHOLOGY 60807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60807,A000000,03200,0000,03200SUPPORT SURFACES 60807,A000000,03550,0000,03550FQHC 60807,A000000,05000,0000,05000CORF 60807,A000000,05010,0000,05010CMHC 60807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60807,A81000A,00100,0100,Y 60807,A81000B,00100,0300,MGMNT FEES HOME OFC 60807,A81000B,00200,0300,CAP REL HOME OFFICE 60807,A81000B,00300,0300,FACILITY RENTAL 60807,A81000B,00400,0300,LINEN SUPPLIES 60807,A81000B,00500,0300,DIETARY SUPPLIES 60807,A81000B,00600,0300,MEDICAL SUPPLIES 60807,A81000B,00700,0300,MED SUP NON BILL 60807,A81000B,00800,0300,MED SUP NON BILL 60807,A81000C,00100,0100,A 60807,A81000C,00100,0200,STEPHEN LAZOVIT 60807,A81000C,00100,0400,SENIORS MANAGEM 60807,A81000C,00100,0600,HOME OFFICE 60807,A81000C,00200,0100,B 60807,A81000C,00200,0200,SENIORS MANAGEM 60807,A81000C,00200,0400,EASTERN MEDICAL 60807,A81000C,00200,0600,MEDICAL SUPPLIE 60807,B100000,00000,0100,00040SQUARE FEET 60807,B100000,00000,0200,00040SQUARE FEET 60807,B100000,00000,0300,00040GROSS SALARIES 60807,B100000,00000,0400,00040ACCUM COST 60807,B100000,00000,0500,00040SQUARE FEET 60807,B100000,00000,0600,00040POUNDS OF LAUNDRY 60807,B100000,00000,0700,00040HOURS OF SERVICE 60807,B100000,00000,0800,00040MEALS SERVED 60807,B100000,00000,0900,00040DIRECT NRSG HRS 60807,B100000,00000,1000,00040COSTED REQUIS 60807,B100000,00000,1100,00040COSTED REQUIS 60807,B100000,00000,1200,00040TIME SPENT 60807,B100000,00000,1300,00040TIME SPENT 60807,B100000,00000,1350,00040PATIENT DAYS 60807,B100000,00000,1400,00040ASSIGNED TIME 60807,E10A180,00550,0100,07/11/2000 60807,S000000,00100,0200,05/30/2000 60807,S200000,00100,0100,325 JERSEY STREET 60807,S200000,00200,0100,THE MILLHOUSE 60807,S200000,00200,0200,315235 60807,S200000,00200,0300,08611 60807,S200000,00300,0100,MERCER 60807,S200000,00400,0100,THE MILLHOUSE 60807,S200000,00400,0200,315235 60807,S200000,00400,0300,09/26/1986 60807,S200000,00400,0500,P 60807,S200000,00400,0600,O 60807,S200000,00600,0200,315235 60807,S200000,00600,0300,09/26/1986 60807,S200000,00600,0600,P 60807,S200000,01600,0100,Y 60807,S200000,02200,0100,Y 60810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60810,A000000,00300,0000,00300EMPLOYEE BENEFITS 60810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60810,A000000,00700,0000,00700HOUSEKEEPING 60810,A000000,00800,0000,00800DIETARY 60810,A000000,00900,0000,00900NURSING ADMINISTRATION 60810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60810,A000000,01100,0000,01100PHARMACY 60810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60810,A000000,01300,0000,01300SOCIAL SERVICE 60810,A000000,01350,0000,01500RECREATIONAL THERAPY 60810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60810,A000000,01600,0000,01600SKILLED NURSING FACILITY 60810,A000000,01800,0000,01800NURSING FACILITY 60810,A000000,01810,0000,01810ICF/MR 60810,A000000,02100,0000,02100RADIOLOGY 60810,A000000,02200,0000,02200LABORATORY 60810,A000000,02500,0000,02500PHYSICAL THERAPY 60810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60810,A000000,02700,0000,02700SPEECH PATHOLOGY 60810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60810,A000000,03550,0000,03550FQHC 60810,A000000,05000,0000,05000CORF 60810,A000000,05010,0000,05010CMHC 60810,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60810,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60810,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60810,A000000,05300,0000,05300INTEREST EXPENSE 60810,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60810,A000000,06150,0000,06300NON-REIMBURSEABLE COST 60810,A81000A,00100,0100,Y 60810,A81000B,00100,0300,DIETARY SERVICE 60810,A81000C,00100,0100,A 60810,B100000,00000,0100,00000(SQUARE FEET) 60810,B100000,00000,0200,00000(SQUARE FEET) 60810,B100000,00000,0300,00000(GROSS SALARIES) 60810,B100000,00000,0400,00000(ACCUM COST) 60810,B100000,00000,0500,00000(SQUARE FEET) 60810,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60810,B100000,00000,0700,00000(SQUARE FEET) 60810,B100000,00000,0800,00000(MEALS SERVED) 60810,B100000,00000,0900,00000(DIRECT NRSG HOUR) 60810,B100000,00000,1000,00000((COSTED REQS) 60810,B100000,00000,1100,00000(PATIENT DAYS) 60810,B100000,00000,1200,00000(TIME SPENT) 60810,B100000,00000,1300,00000(TIME SPENT) 60810,B100000,00000,1350,00000PATIENT DAYS 60810,B100000,00000,1400,00000(ASSIGNED TIME) 60810,E10A180,00501,0100,07/18/2000 60810,E10A180,00501,0300,07/18/2000 60810,S000000,00100,0200,05/31/2000 60810,S200000,00100,0100,307B PENNSVILLE-AUBURN ROAD 60810,S200000,00200,0100,SOUTHGATE HEALTH CARE CENTER 60810,S200000,00200,0200,315237 60810,S200000,00200,0300,08069 60810,S200000,00300,0100,SALEM 60810,S200000,00400,0100,SOUTHGATE HEALTH CARE CENTER 60810,S200000,00400,0200,315237 60810,S200000,00400,0300,01/19/1986 60810,S200000,00400,0500,P 60810,S200000,00600,0200,017120 60810,S200000,00600,0300,01/19/1986 60810,S200000,00600,0600,O 60810,S200000,01600,0100,Y 60810,S200000,01900,0100,501 C(3) 60810,S200000,02200,0100,Y 60810,S200000,04300,0100,Y 60813,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60813,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60813,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60813,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60813,A000000,00300,0000,00300EMPLOYEE BENEFITS 60813,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60813,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60813,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60813,A000000,00700,0000,00700HOUSEKEEPING 60813,A000000,00800,0000,00800DIETARY 60813,A000000,00801,0000,00801CAFETERIA 60813,A000000,00900,0000,00900NURSING ADMINISTRATION 60813,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60813,A000000,01100,0000,01100PHARMACY 60813,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60813,A000000,01300,0000,01300SOCIAL SERVICE 60813,A000000,01350,0000,01500REC THERAPY 60813,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60813,A000000,01600,0000,01600SKILLED NURSING FACILITY 60813,A000000,01800,0000,01800NURSING FACILITY 60813,A000000,01810,0000,01810ICF/MR 60813,A000000,02100,0000,02100RADIOLOGY 60813,A000000,02200,0000,02200LABORATORY 60813,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60813,A000000,02500,0000,02500PHYSICAL THERAPY 60813,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60813,A000000,02700,0000,02700SPEECH PATHOLOGY 60813,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60813,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60813,A000000,03050,0000,03300PEN THERAPY 60813,A000000,03051,0000,03301FEE SCREENING 60813,A000000,03052,0000,03302OTHER ANCILLARY III 60813,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60813,A000000,03550,0000,03550FQHC 60813,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60813,A000000,05000,0000,05000CORF I 60813,A000000,05010,0000,05010CMHC I 60813,A000000,05020,0000,05020OPT I 60813,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60813,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60813,A000000,05300,0000,05300INTEREST EXPENSE 60813,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60813,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60813,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60813,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60813,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60813,A81000A,00100,0100,Y 60813,A81000B,00100,0300,AS ATTACHED 60813,A81000B,00200,0300,HOME OFFICE 60813,A81000B,00300,0300,CAPITAL INTEREST 60813,A81000B,00400,0300,HOME OFFICE 60813,A81000C,00100,0100,B 60813,A81000C,00100,0400,AS ATTACHED 60813,A81000C,00100,0600,AS ATTACHED 60813,A81000C,00200,0100,B 60813,A81000C,00200,0400,GEN. HLTH VEN. 60813,A81000C,00200,0600,LONG TERM CARE 60813,A81000C,00300,0100,B 60813,A81000C,00300,0400,GEN. HLTH VEN. 60813,A81000C,00300,0600,LONG TERM CARE 60813,A81000C,00400,0100,B 60813,A81000C,00400,0400,GEN. HLTH VEN. 60813,A81000C,00400,0600,LONG TERM CARE 60813,B100000,00000,0100,00000(SQUARE FEET) 60813,B100000,00000,0101,00000(SQUARE FEET) 60813,B100000,00000,0200,00000(SQUARE FEET) 60813,B100000,00000,0201,00000(SQUARE FEET) 60813,B100000,00000,0300,00000(GROSS SALARIES) 60813,B100000,00000,0400,00000(ACCUM. COST) 60813,B100000,00000,0500,00000(SQUARE FEET) 60813,B100000,00000,0600,00000(PATIENT DAYS) 60813,B100000,00000,0700,00000(SQUARE FEET) 60813,B100000,00000,0800,00000(MEALS SERVED) 60813,B100000,00000,0801,00000(MEALS SERVED) 60813,B100000,00000,0900,00000(NURSING SALARIES) 60813,B100000,00000,1000,00000COSTS REQ 60813,B100000,00000,1100,00000(PATIENT DAYS) 60813,B100000,00000,1200,00000(PATIENT DAYS) 60813,B100000,00000,1300,00000(PATIENT DAYS) 60813,B100000,00000,1350,00000(PATIENT DAYS) 60813,B100000,00000,1400,00000(ASSIGNED TIME) 60813,E10A180,00301,0100,01/05/2000 60813,S000000,00100,0200,05/31/2000 60813,S200000,00100,0100,11 HISTORY LANE 60813,S200000,00200,0100,JACKSON 60813,S200000,00200,0200,NJ 60813,S200000,00200,0300,08527 60813,S200000,00300,0100,OCEAN 60813,S200000,00400,0100,JACKSON CENTER 60813,S200000,00400,0200,315240 60813,S200000,00400,0300,10/31/1986 60813,S200000,00400,0500,P 60813,S200000,01600,0100,Y 60813,S200000,02200,0100,Y 60816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60816,A000000,00300,0000,00300EMPLOYEE BENEFITS 60816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60816,A000000,00700,0000,00700HOUSEKEEPING 60816,A000000,00800,0000,00800DIETARY 60816,A000000,00900,0000,00900NURSING ADMINISTRATION 60816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60816,A000000,01100,0000,01100PHARMACY 60816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60816,A000000,01300,0000,01300SOCIAL SERVICE 60816,A000000,01310,0000,01310RECREATIONAL THERAPY 60816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60816,A000000,01600,0000,01600SKILLED NURSING FACILITY 60816,A000000,01800,0000,01800NURSING FACILITY 60816,A000000,01810,0000,01810ICF/MR 60816,A000000,02100,0000,02100RADIOLOGY 60816,A000000,02200,0000,02200LABORATORY 60816,A000000,02500,0000,02500PHYSICAL THERAPY 60816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60816,A000000,02700,0000,02700SPEECH PATHOLOGY 60816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60816,A000000,03550,0000,03550FQHC 60816,A000000,04800,0000,04800AMBULANCE 60816,A000000,05000,0000,05000CORF 60816,A000000,05010,0000,05010CMHC 60816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60816,A81000A,00100,0100,Y 60816,A81000B,00100,0300,MANAGEMENT FEE 60816,A81000C,00100,0100,0 60816,A81000C,00100,0200,PETER DEPAUL 60816,A81000C,00100,0400,DEPAUL HEALTHCA 60816,A81000C,00100,0600,MANAGEMENT SERV 60816,B100000,00000,0100,00040(SQUARE FEET) 60816,B100000,00000,0200,00040(SQUARE FEET) 60816,B100000,00000,0300,00040(GROSS SALARIES) 60816,B100000,00000,0400,00040(ACCUM COST) 60816,B100000,00000,0500,00040(SQUARE FEET) 60816,B100000,00000,0600,00040(LBS OF LAUNDRY) 60816,B100000,00000,0700,00040(SQUARE FEET) 60816,B100000,00000,0800,00040(MEALS SERVED) 60816,B100000,00000,0900,00040(ACTUAL HOURS) 60816,B100000,00000,1000,00040(COST) 60816,B100000,00000,1100,00040(PATIENT DAYS) 60816,B100000,00000,1200,00040(TIME SPENT) 60816,B100000,00000,1300,00040(TIME SPENT) 60816,B100000,00000,1310,00040(PATIENT DAYS) 60816,B100000,00000,1400,00040(ASSIGNED TIME) 60816,E10A180,00301,0100,01/05/2000 60816,E10A180,00501,0300,06/29/2000 60816,E10A180,00550,0100,06/29/2000 60816,S000000,00100,0200,06/06/2000 60816,S200000,00100,0100,1020 PITNEY ROAD 60816,S200000,00200,0100,ABSECON 60816,S200000,00200,0200,NJ 60816,S200000,00200,0300,08201 60816,S200000,00300,0100,ATLANTIC 60816,S200000,00400,0100,ABSECON MANOR NURSING & REHAB 60816,S200000,00400,0200,315244 60816,S200000,00400,0300,05/20/1987 60816,S200000,00400,0500,P 60816,S200000,00600,0200,001270 60816,S200000,00600,0300,05/20/1987 60816,S200000,00600,0600,O 60816,S200000,01600,0100,Y 60816,S200000,01900,0100,501 C(3) 60819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60819,A000000,00300,0000,00300EMPLOYEE BENEFITS 60819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60819,A000000,00700,0000,00700HOUSEKEEPING 60819,A000000,00800,0000,00800DIETARY 60819,A000000,00900,0000,00900NURSING ADMINISTRATION 60819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60819,A000000,01100,0000,01100PHARMACY 60819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60819,A000000,01300,0000,01300SOCIAL SERVICE 60819,A000000,01350,0000,01500PATIENT ACTIVITIES 60819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60819,A000000,01600,0000,01600SKILLED NURSING FACILITY 60819,A000000,01810,0000,01810ICF/MR 60819,A000000,02100,0000,02100RADIOLOGY 60819,A000000,02200,0000,02200LABORATORY 60819,A000000,02300,0000,02300INTRAVENOUS THERAPY 60819,A000000,02500,0000,02500PHYSICAL THERAPY 60819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60819,A000000,02700,0000,02700SPEECH PATHOLOGY 60819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60819,A000000,03200,0000,03200SUPPORT SURFACES 60819,A000000,03550,0000,03550FQHC 60819,A000000,04800,0000,04800AMBULANCE 60819,A000000,05000,0000,05000CORF 60819,A000000,05010,0000,05010CMHC 60819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60819,A81000A,00100,0100,Y 60819,A81000B,00100,0300,AIR FLUIDIZED BEDS 60819,A81000B,00200,0300,FOOD SUPPLEMENT 60819,A81000B,00300,0300,MEDICAL SUPPLIES 60819,A81000B,00400,0300,REHAB SUPPLIES 60819,A81000B,00500,0300,MAINTENANCE SUPPLIES 60819,A81000B,00600,0300,EDUCATIONAL SUPPLIES 60819,A81000B,00700,0300,DIETARY SUPPLIES 60819,A81000C,00100,0100,G 60819,A81000C,00100,0200,R. PINELES 60819,A81000C,00100,0400,NJ HEALTH CARE 60819,A81000C,00100,0600,DME SUPPLIER 60819,A81000C,00200,0200,R. PINELES 60819,A81000C,00200,0400,NJ HEALTH CARE 60819,A81000C,00200,0600,FOOD SUPPLEMENT 60819,A81000C,00300,0200,R. PINELES 60819,A81000C,00300,0400,NJ HEALTH CARE 60819,A81000C,00300,0600,MEDICAL SUPPLIE 60819,A81000C,00400,0200,R. PINELES 60819,A81000C,00400,0400,NJ HEALTH CARE 60819,A81000C,00400,0600,MEDICAL SUPPLIE 60819,A81000C,00500,0200,R. PINELES 60819,A81000C,00500,0400,TANDEM MANAGEME 60819,A81000C,00500,0600,MANAGEMENT 60819,A81000C,00600,0200,R. PINELES 60819,A81000C,00600,0400,TANDEM MANAGEME 60819,A81000C,00600,0600,MANAGEMENT 60819,A81000C,00700,0200,R. PINELES 60819,A81000C,00700,0400,TANDEM MANAGEME 60819,A81000C,00700,0600,MANAGEMENT 60819,B100000,00000,0100,00000(SQUARE FEET) 60819,B100000,00000,0200,00000SQUARE FEET 60819,B100000,00000,0300,00000(GROSS SALARIES) 60819,B100000,00000,0400,00000(ACCUM COST) 60819,B100000,00000,0500,00000(SQUARE FEET) 60819,B100000,00000,0600,00000(PATIENT CENSUS) 60819,B100000,00000,0700,00000(SQUARE FEET) 60819,B100000,00000,0800,00000(MEALS SERVED) 60819,B100000,00000,0900,00000(TIME SPENT) 60819,B100000,00000,1000,00000COSTED REQUIS 60819,B100000,00000,1100,00000COSTED REQUIS 60819,B100000,00000,1200,00000(TIME STUDY) 60819,B100000,00000,1300,00000(TIME SPENT) 60819,B100000,00000,1350,00000(PATIENT CENSUS) 60819,B100000,00000,1400,00000ASSIGNED TIME 60819,E10A180,00501,0100,06/30/2000 60819,E10A180,00501,0300,06/30/2000 60819,S000000,00100,0200,05/23/2000 60819,S200000,00100,0100,106 FAIRFIELD AVENUE 60819,S200000,00200,0100,WEST CALDWELL 60819,S200000,00200,0200,NJ 60819,S200000,00200,0300,07006 60819,S200000,00300,0100,ESSEX 60819,S200000,00400,0100,WEST CALDWELL CARE CENTER 60819,S200000,00400,0200,315247 60819,S200000,00400,0300,07/09/1987 60819,S200000,00400,0500,P 60819,S200000,01600,0100,Y 60819,S200000,01900,0100,LLC 60819,S200000,04300,0100,Y 60822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60822,A000000,00300,0000,00300EMPLOYEE BENEFITS 60822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60822,A000000,00700,0000,00700HOUSEKEEPING 60822,A000000,00800,0000,00800DIETARY 60822,A000000,00900,0000,00900NURSING ADMINISTRATION 60822,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60822,A000000,01100,0000,01100PHARMACY 60822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60822,A000000,01300,0000,01300SOCIAL SERVICE 60822,A000000,01350,0000,01500RECREATION 60822,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60822,A000000,01600,0000,01600SKILLED NURSING FACILITY 60822,A000000,01800,0000,01800NURSING FACILITY 60822,A000000,01810,0000,01810ICF/MR 60822,A000000,02100,0000,02100RADIOLOGY 60822,A000000,02200,0000,02200LABORATORY 60822,A000000,02300,0000,02300INTRAVENOUS THERAPY 60822,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60822,A000000,02500,0000,02500PHYSICAL THERAPY 60822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60822,A000000,02700,0000,02700SPEECH PATHOLOGY 60822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60822,A000000,03200,0000,03200SUPPORT SURFACES 60822,A000000,03550,0000,03550FQHC 60822,A000000,04800,0000,04800AMBULANCE 60822,A000000,05000,0000,05000CORF 60822,A000000,05010,0000,05010CMHC 60822,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60822,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60822,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60822,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60822,A000000,06150,0000,06300MEDICAL DAY CARE 60822,A81000A,00100,0100,Y 60822,A81000B,00100,0300,BLDG RENT 60822,A81000B,00200,0300,CAPITAL COST 60822,A81000B,00300,0300,HOSPITAL 60822,A81000B,00500,0300,CONTRACTED SERVICES 60822,A81000B,00600,0300,A & G 60822,A81000B,00700,0300,PASTORAL EDUCATION 60822,A81000B,00800,0300,EXPENSE 60822,A81000B,00900,0300,COPORATE ALLOCATION 60822,A81000B,01000,0300,EXPENSE 60822,A81000C,00100,0100,A 60822,A81000C,00100,0200,C. MAASS HOSPIT 60822,A81000C,00100,0400,C MAASS HOSPITA 60822,A81000C,00100,0600,HOSPITAL 60822,A81000C,00200,0100,G 60822,A81000C,00200,0200,ST. BARNABAS HO 60822,A81000C,00200,0600,ADMIN SUPPORT 60822,B100000,00000,0100,00000(SQUARE FEET) 60822,B100000,00000,0200,00000SQUARE FEET 60822,B100000,00000,0300,00000(GROSS SALARIES) 60822,B100000,00000,0400,00000(ACCUM COST) 60822,B100000,00000,0500,00000(SQUARE FEET) 60822,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60822,B100000,00000,0700,00000CENSUS 60822,B100000,00000,0800,00000(MEALS SERVED) 60822,B100000,00000,0900,00000(DIRECT NRSG HRS) 60822,B100000,00000,1000,00000CENSUS 60822,B100000,00000,1100,00000COSTED REQUIS 60822,B100000,00000,1200,00000CENSUS 60822,B100000,00000,1300,00000CENSUS 60822,B100000,00000,1350,00000CENSUS 60822,B100000,00000,1400,00000ASSIGNED TIME 60822,E10A180,00301,0100,10/07/1998 60822,E10A180,00501,0100,07/11/2000 60822,E10A180,00501,0300,07/11/2000 60822,S000000,00100,0200,06/01/2000 60822,S200000,00100,0100,ONE CLARA MAASS DRIVE 60822,S200000,00200,0100,BELLEVILLE 60822,S200000,00200,0200,NJ 60822,S200000,00200,0300,07109 60822,S200000,00300,0100,ESSEX 60822,S200000,00400,0100,CLARA MAASS CONTINUING CARE CTR. 60822,S200000,00400,0200,315250 60822,S200000,00400,0300,01/01/1990 60822,S200000,00400,0500,P 60822,S200000,01600,0100,Y 60822,S200000,04700,0100,Y 60822,S200000,04700,0200,Y 60825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60825,A000000,00300,0000,00300EMPLOYEE BENEFITS 60825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60825,A000000,00700,0000,00700HOUSEKEEPING 60825,A000000,00800,0000,00800DIETARY 60825,A000000,00900,0000,00900NURSING ADMINISTRATION 60825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60825,A000000,01100,0000,01100PHARMACY 60825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60825,A000000,01300,0000,01300SOCIAL SERVICE 60825,A000000,01350,0000,01500OTHER GENERAL SERVICES 60825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60825,A000000,01600,0000,01600SKILLED NURSING FACILITY 60825,A000000,01800,0000,01800NURSING FACILITY 60825,A000000,01810,0000,01810ICF/MR 60825,A000000,02200,0000,02200LABORATORY 60825,A000000,02300,0000,02300INTRAVENOUS THERAPY 60825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60825,A000000,02500,0000,02500PHYSICAL THERAPY 60825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60825,A000000,02700,0000,02700SPEECH PATHOLOGY 60825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60825,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60825,A000000,03200,0000,03200SUPPORT SURFACES 60825,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60825,A000000,03550,0000,03550FQHC 60825,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60825,A000000,05000,0000,05000CORF 60825,A000000,05010,0000,05010CMHC 60825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60825,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60825,A000000,06150,0000,06300RESIDENTIAL 60825,A000000,06151,0000,06301ADC/LIFESTYLE BLDG. 60825,A81000A,00100,0100,Y 60825,A81000B,00100,0300,PT SAL & BENEFITS 60825,A81000B,00200,0300,OT SALARY & BENEFITS 60825,A81000B,00300,0300,ERU PT SAL & BENEFITS 60825,A81000B,00400,0300,ERU OT SAL & BENEFITS 60825,A81000B,00500,0300,ERU PATIENT ACTIVITIES 60825,A81000B,00600,0300,ERU ST THERAPY 60825,A81000B,00700,0300,SOC SERVICE SAL & BENEFITS 60825,A81000B,00800,0300,ERU - ADMINISTRATIVE 60825,A81000B,00900,0300,COG REHAB RESIDENTIAL 60825,A81000B,01000,0300,SOC SERV SAL 60825,A81000B,01100,0300,ADMINISTRATIVE SAL & BENEFITS 60825,A81000B,01200,0300,PERSONNEL SAL. & BENEFITS 60825,A81000B,01300,0300,ORG/PROF DEV SAL & BENEFITS 60825,A81000B,01400,0300,ACCOUNTING SAL & BENEFITS 60825,A81000B,01500,0300,MAINTENANCE SAL & BENEFITS 60825,A81000B,01600,0300,MEDICAL DIRECTOR 60825,A81000B,01700,0300,MGT PURCHASE SERVICE 60825,A81000B,01800,0300,DEPRECIATION 4TH FLOOR 60825,A81000B,01900,0300,SUPPLIES 60825,A81000B,02000,0300,INSURANCE 60825,A81000B,02100,0300,ADVERTISING 60825,A81000B,02200,0300,MORTGAGE INTEREST 60825,A81000C,00100,0100,B 60825,A81000C,00100,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00200,0100,B 60825,A81000C,00200,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00300,0100,B 60825,A81000C,00300,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00400,0100,B 60825,A81000C,00400,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00500,0100,B 60825,A81000C,00500,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00600,0100,B 60825,A81000C,00600,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00700,0100,B 60825,A81000C,00700,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00800,0100,B 60825,A81000C,00800,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,00900,0100,B 60825,A81000C,00900,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,01000,0100,B 60825,A81000C,01000,0400,HARTWYCK AT PLAINFIELD 60825,A81000C,01100,0100,B 60825,A81000C,01100,0400,HARTWYCK AT EDISON 60825,A81000C,01200,0100,B 60825,A81000C,01200,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,01300,0100,B 60825,A81000C,01300,0400,HARTWYCK AT EDISON 60825,A81000C,01400,0100,B 60825,A81000C,01400,0400,HARTWYCK AT EDISON 60825,A81000C,01500,0100,B 60825,A81000C,01500,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,01600,0100,B 60825,A81000C,01600,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,01700,0100,B 60825,A81000C,01700,0400,JFK SOLARIS HEALTH SYSTEM 60825,A81000C,01800,0100,B 60825,A81000C,01800,0400,JFK SOLARIS HEALTH SYSTEM 60825,A81000C,01900,0100,B 60825,A81000C,01900,0400,JFK SOLARIS HEALTH SYSTEM 60825,A81000C,02000,0100,B 60825,A81000C,02000,0400,COMMUNITY HOSPITAL GROUP 60825,A81000C,02100,0100,B 60825,A81000C,02100,0400,COMMUNITY HOSPITAL GROUP 60825,B100000,00000,0100,00001SQUARE FEET 60825,B100000,00000,0200,00001NO STATISTICS 60825,B100000,00000,0300,00001GROSS SALARIES 60825,B100000,00000,0400,00001ACCUM. COST 60825,B100000,00000,0500,00001SQUARE FEET 60825,B100000,00000,0600,00001PATIENT DAYS 60825,B100000,00000,0700,00001SQUARE FEET 60825,B100000,00000,0800,00001PATIENT DAYS 60825,B100000,00000,0900,00001DIRECT NRSING HRS 60825,B100000,00000,1000,00001PATIENT DAYS 60825,B100000,00000,1100,00001PATIENT DAYS 60825,B100000,00000,1200,00001PATIENT DAYS 60825,B100000,00000,1300,00001PATIENT DAYS 60825,B100000,00000,1350,00001PATIENT DAYS 60825,B100000,00000,1400,00001ASSIGNED TIME 60825,E10A180,00501,0100,07/03/2000 60825,S000000,00100,0200,06/05/2000 60825,S200000,00100,0100,2048 OAK TREE ROAD 60825,S200000,00200,0100,EDISON 60825,S200000,00200,0200,NJ 60825,S200000,00200,0300,08820 60825,S200000,00300,0100,MIDDLESEX 60825,S200000,00400,0100,HARTWYCK AT OAK TREE 60825,S200000,00400,0200,315251 60825,S200000,00400,0300,01/01/1988 60825,S200000,00400,0500,P 60825,S200000,01600,0100,Y 60827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60827,A000000,00300,0000,00300EMPLOYEE BENEFITS 60827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60827,A000000,00700,0000,00700HOUSEKEEPING 60827,A000000,00800,0000,00800DIETARY 60827,A000000,00900,0000,00900NURSING ADMINISTRATION 60827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60827,A000000,01100,0000,01100PHARMACY 60827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60827,A000000,01300,0000,01300SOCIAL SERVICE 60827,A000000,01350,0000,01500PATIENT ACTIVITIES 60827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60827,A000000,01600,0000,01600SKILLED NURSING FACILITY 60827,A000000,01800,0000,01800NURSING FACILITY 60827,A000000,01810,0000,01810ICF/MR 60827,A000000,01900,0000,01900OTHER LONG TERM CARE 60827,A000000,02200,0000,02200LABORATORY 60827,A000000,02300,0000,02300INTRAVENOUS THERAPY 60827,A000000,02500,0000,02500PHYSICAL THERAPY 60827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60827,A000000,02700,0000,02700SPEECH PATHOLOGY 60827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60827,A000000,03200,0000,03200SUPPORT SURFACES 60827,A000000,03550,0000,03550FQHC 60827,A000000,04800,0000,04800AMBULANCE 60827,A000000,05000,0000,05000CORF 60827,A000000,05010,0000,05010CMHC 60827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60827,A000000,06150,0000,06300VENTILATOR UNIT (OFF-SITE) 60827,A000000,06151,0000,06310ASSISTED LIVING FACILITY 60827,A81000A,00100,0100,Y 60827,A81000B,00100,0300,FINANCIAL SERVICES 60827,A81000B,00200,0300,MAINTENANCE 60827,A81000B,00300,0300,OCCUPATIONAL THERAPY 60827,A81000B,00400,0300,PHYSICAL THERAPY 60827,A81000B,00500,0300,SPEECH THERAPY 60827,A81000B,00600,0300,SECURITY 60827,A81000C,00100,0100,G 60827,A81000C,00100,0200,BAYSHORE COMM H 60827,A81000C,00100,0400,BAYSHORE H.C.C. 60827,A81000C,00100,0600,HEALTH CARE 60827,A81000C,00200,0100,G 60827,A81000C,00200,0200,BAYSHORE COMM H 60827,A81000C,00200,0400,BAYSHORE H.C.C. 60827,A81000C,00200,0600,HEALTH CARE 60827,A81000C,00300,0100,G 60827,A81000C,00300,0200,BAYSHORE COMM H 60827,A81000C,00300,0400,BAYSHORE REHAB 60827,A81000C,00300,0600,THERAPY SERVICE 60827,A81000C,00400,0100,G 60827,A81000C,00400,0200,BAYSHORE COMM H 60827,A81000C,00400,0400,BAYSHORE REHAB 60827,A81000C,00400,0600,THERAPY SERVICE 60827,A81000C,00500,0100,G 60827,A81000C,00500,0200,BAYSHORE COMM H 60827,A81000C,00500,0400,BAYSHORE HCC 60827,A81000C,00500,0600,THERAPY SERVICE 60827,A81000C,00600,0100,G 60827,A81000C,00600,0200,BAYSHORE COMM H 60827,A81000C,00600,0400,BAYSHORE HCC 60827,A81000C,00600,0600,HEALTH CARE 60827,B100000,00000,0100,00010(SQUARE FEET) 60827,B100000,00000,0200,00010SQUARE FEET 60827,B100000,00000,0300,00010(GROSS SALARIES) 60827,B100000,00000,0400,00010(ACCUM COST) 60827,B100000,00000,0500,00010(SQUARE FEET) 60827,B100000,00000,0600,00010(PATIENT CENSUS) 60827,B100000,00000,0700,00010(SQUARE FEET) 60827,B100000,00000,0800,00010(MEALS SERVED) 60827,B100000,00000,0900,00010(DIRECT NRSG HRS) 60827,B100000,00000,1000,00010COSTED REQUIS 60827,B100000,00000,1100,00010COSTED REQUIS 60827,B100000,00000,1200,00010(PATIENT CENSUS) 60827,B100000,00000,1300,00010(PATIENT CENSUS) 60827,B100000,00000,1350,00010(PATIENT CENSUS) 60827,B100000,00000,1400,00010ASSIGNED TIME 60827,E10A180,00501,0300,07/11/2000 60827,E10A180,00550,0100,07/11/2000 60827,S000000,00100,0200,05/25/2000 60827,S200000,00100,0100,715 NORTH BEERS STREET 60827,S200000,00200,0100,BAYSHORE HEALTH CARE CENTER 60827,S200000,00200,0200,315252 60827,S200000,00200,0300,07733 60827,S200000,00300,0100,MONMOUTH 60827,S200000,00400,0100,BAYSHORE HEALTH CARE CENTER 60827,S200000,00400,0200,315252 60827,S200000,00400,0300,01/01/1988 60827,S200000,00400,0500,P 60827,S200000,01600,0100,Y 60827,S200000,04300,0100,Y 60829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60829,A000000,00300,0000,00300EMPLOYEE BENEFITS 60829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60829,A000000,00700,0000,00700HOUSEKEEPING 60829,A000000,00800,0000,00800DIETARY 60829,A000000,00900,0000,00900NURSING ADMINISTRATION 60829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60829,A000000,01100,0000,01100PHARMACY 60829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60829,A000000,01300,0000,01300SOCIAL SERVICE 60829,A000000,01350,0000,01500PATIENT ACTIVITIES 60829,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60829,A000000,01600,0000,01600SKILLED NURSING FACILITY 60829,A000000,01810,0000,01810ICF/MR 60829,A000000,02100,0000,02100RADIOLOGY 60829,A000000,02200,0000,02200LABORATORY 60829,A000000,02500,0000,02500PHYSICAL THERAPY 60829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60829,A000000,02700,0000,02700SPEECH PATHOLOGY 60829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60829,A000000,03550,0000,03550FQHC 60829,A000000,04800,0000,04800AMBULANCE 60829,A000000,05000,0000,05000CORF 60829,A000000,05010,0000,05010CMHC 60829,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60829,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60829,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60829,A000000,06150,0000,06300DAY CARE 60829,B100000,00000,0100,00000SQUARE FEET 60829,B100000,00000,0200,00000SQUARE FEET 60829,B100000,00000,0300,00000GROSS SALARIES 60829,B100000,00000,0400,00000ACCUM COST 60829,B100000,00000,0500,00000SQUARE FEET 60829,B100000,00000,0600,00000PATIENT DAYS 60829,B100000,00000,0700,00000SQUARE FEET 60829,B100000,00000,0800,00000MEALS SERVED 60829,B100000,00000,0900,00000DIRECT NRSG HRS 60829,B100000,00000,1000,00000COSTED REQUIS 60829,B100000,00000,1100,00000COSTED REQUIS 60829,B100000,00000,1200,00000TIME SPENT 60829,B100000,00000,1300,00000PATIENT DAYS 60829,B100000,00000,1350,00000PATIENT DAYS 60829,B100000,00000,1400,00000ASSIGNED TIME 60829,S000000,00100,0200,05/26/2000 60829,S200000,00100,0100,15 DELLWOOD LANE 60829,S200000,00200,0100,SOMERSET 60829,S200000,00200,0200,NJ 60829,S200000,00200,0300,08873 60829,S200000,00300,0100,SOMERSET 60829,S200000,00400,0100,MCCARRICK CARE CENTER 60829,S200000,00400,0200,315253 60829,S200000,00400,0300,02/01/1988 60829,S200000,00400,0500,P 60829,S200000,01500,0100,Y 60829,S200000,04300,0100,Y 60833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60833,A000000,00300,0000,00300EMPLOYEE BENEFITS 60833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60833,A000000,00700,0000,00700HOUSEKEEPING 60833,A000000,00800,0000,00800DIETARY 60833,A000000,00900,0000,00900NURSING ADMINISTRATION 60833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60833,A000000,01100,0000,01100PHARMACY 60833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60833,A000000,01300,0000,01300SOCIAL SERVICE 60833,A000000,01350,0000,01500RECREATION 60833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60833,A000000,01600,0000,01600SKILLED NURSING FACILITY 60833,A000000,01810,0000,01810ICF/MR 60833,A000000,02100,0000,02100RADIOLOGY 60833,A000000,02200,0000,02200LABORATORY 60833,A000000,02500,0000,02500PHYSICAL THERAPY 60833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60833,A000000,02700,0000,02700SPEECH PATHOLOGY 60833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60833,A000000,03550,0000,03550FQHC 60833,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60833,A000000,05000,0000,05000CORF 60833,A000000,05010,0000,05010CMHC 60833,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60833,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60833,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60833,B100000,00000,0100,00000SQUARE FEET 60833,B100000,00000,0200,00000SQUARE FEET 60833,B100000,00000,0300,00000GROSS SALARIES 60833,B100000,00000,0400,00000ACCUM. COST 60833,B100000,00000,0500,00000SQUARE FEET 60833,B100000,00000,0600,00000PATIENT DAYS 60833,B100000,00000,0700,00000SQUARE FEET 60833,B100000,00000,0800,00000MEALS SERVED 60833,B100000,00000,0900,00000DIRECT NRSING HRS 60833,B100000,00000,1000,00000NO STATISTICS 60833,B100000,00000,1100,00000PATIENT DAYS 60833,B100000,00000,1200,00000PATIENT DAYS 60833,B100000,00000,1300,00000PATIENT DAYS 60833,B100000,00000,1350,00000PATIENT DAYS 60833,B100000,00000,1400,00000NO STATISTICS 60833,E10A180,00301,0100,10/13/1999 60833,E10A180,00502,0100,08/07/2001 60833,E10A180,00550,0100,07/24/2000 60833,S000000,00100,0200,06/30/2000 60833,S200000,00100,0100,620 MONTGOMERY STREET 60833,S200000,00200,0100,JERSEY CITY 60833,S200000,00200,0200,NJ 60833,S200000,00200,0300,07302 60833,S200000,00300,0100,JERSEY CITY 60833,S200000,00400,0100,LIBERTY HOUSE 60833,S200000,00400,0200,315255 60833,S200000,00400,0300,01/09/1969 60833,S200000,00400,0500,P 60833,S200000,01500,0100,Y 60836,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60836,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60836,A000000,00300,0000,00300EMPLOYEE BENEFITS 60836,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60836,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60836,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60836,A000000,00700,0000,00700HOUSEKEEPING 60836,A000000,00800,0000,00800DIETARY 60836,A000000,00900,0000,00900NURSING ADMINISTRATION 60836,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60836,A000000,01100,0000,01100PHARMACY 60836,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60836,A000000,01300,0000,01300SOCIAL SERVICE 60836,A000000,01350,0000,01500PATIENT ACTIVITIES 60836,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60836,A000000,01600,0000,01600SKILLED NURSING FACILITY 60836,A000000,01800,0000,01800NURSING FACILITY 60836,A000000,01810,0000,01810ICF/MR 60836,A000000,02100,0000,02100RADIOLOGY 60836,A000000,02300,0000,02300INTRAVENOUS THERAPY 60836,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60836,A000000,02500,0000,02500PHYSICAL THERAPY 60836,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60836,A000000,02700,0000,02700SPEECH PATHOLOGY 60836,A000000,02800,0000,02800ELECTROCARDIOLOGY 60836,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60836,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60836,A000000,03550,0000,03550FQHC 60836,A000000,04800,0000,04800AMBULANCE 60836,A000000,05000,0000,05000CORF 60836,A000000,05010,0000,05010CMHC 60836,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60836,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60836,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60836,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60836,A81000A,00100,0100,Y 60836,A81000B,00100,0300,RENT 60836,A81000B,00200,0300,R. E. TAXES 60836,A81000B,00300,0300,DEPRECIATION 60836,A81000B,00400,0300,INTEREST 60836,A81000B,00500,0300,AMORTIZATION 60836,A81000B,00600,0300,FEES 60836,A81000C,00100,0100,A 60836,A81000C,00100,0200,D. RUCK ET. AL. 60836,A81000C,00100,0400,R & D REALTY 60836,A81000C,00100,0600,REALTY 60836,B100000,00000,0100,00000(SQUARE FEET) 60836,B100000,00000,0200,00000SQUARE FEET 60836,B100000,00000,0300,00000(GROSS SALARIES) 60836,B100000,00000,0400,00000(ACCUM COST) 60836,B100000,00000,0500,00000(SQUARE FEET) 60836,B100000,00000,0600,00000(PATIENT DAYS) 60836,B100000,00000,0700,00000(SQUARE FEET) 60836,B100000,00000,0800,00000(MEALS SERVED) 60836,B100000,00000,0900,00000(DIRECT HOURS) 60836,B100000,00000,1000,00000COSTED REQUIS 60836,B100000,00000,1100,00000COSTED REQUIS 60836,B100000,00000,1200,00000(PATIENT DAYS) 60836,B100000,00000,1300,00000(PATIENT DAYS) 60836,B100000,00000,1350,00000 60836,B100000,00000,1400,00000ASSIGNED TIME 60836,E10A180,00501,0100,06/20/2000 60836,E10A180,00550,0300,06/20/2000 60836,S000000,00100,0200,05/09/2000 60836,S200000,00100,0100,25 FIFTH AVENUE 60836,S200000,00200,0100,HASKELL 60836,S200000,00200,0300,07420 60836,S200000,00300,0100,PASSAIC 60836,S200000,00400,0100,LAKELAND HEALTH CARE CENTER 60836,S200000,00400,0200,315261 60836,S200000,00400,0300,01/01/1967 60836,S200000,00400,0500,P 60836,S200000,01600,0100,Y 60836,S200000,04300,0100,Y 60840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60840,A000000,00300,0000,00300EMPLOYEE BENEFITS 60840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60840,A000000,00700,0000,00700HOUSEKEEPING 60840,A000000,00800,0000,00800DIETARY 60840,A000000,00900,0000,00900NURSING ADMINISTRATION 60840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60840,A000000,01100,0000,01100PHARMACY 60840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60840,A000000,01300,0000,01300SOCIAL SERVICE 60840,A000000,01350,0000,01500PATIENT ACTIVITIES 60840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60840,A000000,01600,0000,01600SKILLED NURSING FACILITY 60840,A000000,01800,0000,01800NURSING FACILITY 60840,A000000,01810,0000,01810ICF/MR 60840,A000000,01900,0000,01900OTHER LONG TERM CARE 60840,A000000,02100,0000,02100RADIOLOGY 60840,A000000,02200,0000,02200LABORATORY 60840,A000000,02300,0000,02300INTRAVENOUS THERAPY 60840,A000000,02500,0000,02500PHYSICAL THERAPY 60840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60840,A000000,02700,0000,02700SPEECH PATHOLOGY 60840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60840,A000000,03200,0000,03200SUPPORT SURFACES 60840,A000000,03550,0000,03550FQHC 60840,A000000,04800,0000,04800AMBULANCE 60840,A000000,05000,0000,05000CORF 60840,A000000,05010,0000,05010CMHC 60840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60840,A81000A,00100,0100,Y 60840,A81000B,00100,0300,HOME OFFICE MGMT FEE 60840,A81000C,00100,0200,BRANDYWINE SEN 60840,A81000C,00100,0400,BRANDYWINE SEN 60840,A81000C,00100,0600,HOME OFFICE 60840,B100000,00000,0100,00000(SQUARE FEET) 60840,B100000,00000,0200,00000SQUARE FEET 60840,B100000,00000,0300,00000(GROSS SALARIES) 60840,B100000,00000,0400,00000(ACCUM COST) 60840,B100000,00000,0500,00000(SQUARE FEET) 60840,B100000,00000,0600,00000(PATIENT CENSUS) 60840,B100000,00000,0700,00000(SQUARE FEET) 60840,B100000,00000,0800,00000(MEALS SERVED) 60840,B100000,00000,0900,00000(DIRECT NURS. HRS) 60840,B100000,00000,1000,00000COSTED REQUIS 60840,B100000,00000,1100,00000COSTED REQUIS 60840,B100000,00000,1200,00000(PATIENT CENSUS) 60840,B100000,00000,1300,00000(PATIENT CENSUS) 60840,B100000,00000,1350,00000(PATIENT CENSUS) 60840,B100000,00000,1400,00000ASSIGNED TIME 60840,E10A180,00501,0100,06/20/2000 60840,E10A180,00501,0300,06/20/2000 60840,S000000,00100,0200,05/31/2000 60840,S200000,00100,0100,1351 OLD FREEHOLD ROAD 60840,S200000,00200,0100,TOMS RIVER 60840,S200000,00200,0200,NJ 60840,S200000,00200,0300,08753 60840,S200000,00300,0100,OCEAN 60840,S200000,00400,0100,BEY LEA VILLAGE 60840,S200000,00400,0200,315264 60840,S200000,00400,0300,07/28/1988 60840,S200000,00400,0500,P 60840,S200000,01600,0100,Y 60840,S200000,02800,0100,Y 60840,S200000,04300,0100,Y 60844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60844,A000000,00300,0000,00300EMPLOYEE BENEFITS 60844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60844,A000000,00700,0000,00700HOUSEKEEPING 60844,A000000,00800,0000,00800DIETARY 60844,A000000,00900,0000,00900NURSING ADMINISTRATION 60844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60844,A000000,01100,0000,01100PHARMACY 60844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60844,A000000,01300,0000,01300SOCIAL SERVICE 60844,A000000,01350,0000,01500PATIENT ACTIVITIES 60844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60844,A000000,01600,0000,01600SKILLED NURSING FACILITY 60844,A000000,01810,0000,01810ICF/MR 60844,A000000,02100,0000,02100RADIOLOGY 60844,A000000,02200,0000,02200LABORATORY 60844,A000000,02500,0000,02500PHYSICAL THERAPY 60844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60844,A000000,02700,0000,02700SPEECH PATHOLOGY 60844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60844,A000000,02901,0000,02901CLINITRON BEDS 60844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60844,A000000,03550,0000,03550FQHC 60844,A000000,05000,0000,05000CORF 60844,A000000,05010,0000,05010CMHC 60844,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60844,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60844,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60844,A000000,06150,0000,06300RESIDENTIAL 60844,A81000A,00100,0100,Y 60844,A81000B,00100,0300,ADMIN MANAGEMENT FEE 60844,A81000C,00100,0100,A 60844,A81000C,00100,0200,MARIA LAPID 60844,A81000C,00100,0600,ADMINISTRATION MANAGEMENT 60844,B100000,00000,0100,00000SQUARE FEET 60844,B100000,00000,0200,00000SQUARE FEET 60844,B100000,00000,0300,00000GROSS SALARIES 60844,B100000,00000,0400,00000ACCUM. COST 60844,B100000,00000,0500,00000SQUARE FEET 60844,B100000,00000,0600,00000PATIENT DAYS 60844,B100000,00000,0700,00000SQ FT EXCL DIETA 60844,B100000,00000,0800,00000MEALS SERVED 60844,B100000,00000,0900,00000NURSING HOURS 60844,B100000,00000,1000,00000COSTED REQUIS. 60844,B100000,00000,1100,00000COSTED REQUIS. 60844,B100000,00000,1200,00000PATIENT DAYS 60844,B100000,00000,1300,00000TIME SPENT 60844,B100000,00000,1350,00000PATIENT DAYS 60844,B100000,00000,1400,00000ASSIGNED TIME 60844,E10A180,00501,0100,07/11/2000 60844,E10A180,00501,0300,07/11/2000 60844,S000000,00100,0200,04/27/2000 60844,S200000,00100,0100,1931 LAKEWOOD ROAD 60844,S200000,00200,0100,TOMS RIVER 60844,S200000,00200,0200,NJ 60844,S200000,00300,0100,OCEAN 60844,S200000,00400,0100,GREEN ACRES MANOR 60844,S200000,00400,0200,315265 60844,S200000,00400,0300,09/05/1988 60844,S200000,00400,0500,P 60844,S200000,01600,0100,Y 60844,S200000,04700,0100,Y 60848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60848,A000000,00300,0000,00300EMPLOYEE BENEFITS 60848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60848,A000000,00700,0000,00700HOUSEKEEPING 60848,A000000,00800,0000,00800DIETARY 60848,A000000,00900,0000,00900NURSING ADMINISTRATION 60848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60848,A000000,01100,0000,01100PHARMACY 60848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60848,A000000,01300,0000,01300SOCIAL SERVICE 60848,A000000,01350,0000,01500RECREATIONAL THERAPY 60848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60848,A000000,01600,0000,01600SKILLED NURSING FACILITY 60848,A000000,01800,0000,01800NURSING FACILITY 60848,A000000,01810,0000,01810ICF/MR 60848,A000000,02100,0000,02100RADIOLOGY 60848,A000000,02200,0000,02200LABORATORY 60848,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60848,A000000,02500,0000,02500PHYSICAL THERAPY 60848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60848,A000000,02700,0000,02700SPEECH PATHOLOGY 60848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60848,A000000,03550,0000,03550FQHC 60848,A000000,05000,0000,05000CORF 60848,A000000,05010,0000,05010CMHC 60848,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60848,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60848,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60848,A000000,06150,0000,06300NONALLOWABLE 60848,B100000,00000,0100,00000(SQUARE FEET) 60848,B100000,00000,0200,00000(SQUARE FEET) 60848,B100000,00000,0300,00000(GROSS SALARIES) 60848,B100000,00000,0400,00000(ACCUM COST) 60848,B100000,00000,0500,00000(SQUARE FEET) 60848,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60848,B100000,00000,0700,00000SQUARE FEET 60848,B100000,00000,0800,00000(MEALS SERVED) 60848,B100000,00000,0900,00000(NURSING HOURS) 60848,B100000,00000,1000,00000(DIRECT REQUIS) 60848,B100000,00000,1100,00000(PATIENT DAYS) 60848,B100000,00000,1200,00000(TIME SPENT) 60848,B100000,00000,1300,00000(TIME SPENT) 60848,B100000,00000,1350,00000PATIENT DAYS 60848,B100000,00000,1400,00000(ASSIGNED TIME) 60848,E10A180,00501,0100,07/18/2000 60848,E10A180,00501,0300,07/18/2000 60848,S000000,00100,0200,06/06/2000 60848,S200000,00100,0100,480 PARKWAY DRIVE 60848,S200000,00200,0100,EAST ORANGE 60848,S200000,00200,0200,NEW JERSEY 60848,S200000,00200,0300,07017 60848,S200000,00300,0100,ESSEX 60848,S200000,00400,0100,PARKWAY MANOR HEALTH CENTER 60848,S200000,00400,0200,315266 60848,S200000,00400,0300,01/19/1967 60848,S200000,00400,0500,P 60848,S200000,00600,0200,007180 60848,S200000,00600,0300,01/19/1967 60848,S200000,00600,0600,O 60848,S200000,01600,0100,Y 60848,S200000,01900,0100,501 C(3) 60848,S200000,04300,0100,Y 60851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60851,A000000,00300,0000,00300EMPLOYEE BENEFITS 60851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60851,A000000,00700,0000,00700HOUSEKEEPING 60851,A000000,00701,0000,00701HOUSEKEEPING - MEDICAL 60851,A000000,00702,0000,00702HOUSEKEEPING - RESIDENTIAL 60851,A000000,00800,0000,00800DIETARY 60851,A000000,00900,0000,00900NURSING ADMINISTRATION 60851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60851,A000000,01100,0000,01100PHARMACY 60851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60851,A000000,01300,0000,01300SOCIAL SERVICE 60851,A000000,01350,0000,01500PATIENT ACTIVITIES 60851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60851,A000000,01600,0000,01600SKILLED NURSING FACILITY 60851,A000000,01810,0000,01810ICF/MR 60851,A000000,02100,0000,02100RADIOLOGY 60851,A000000,02200,0000,02200LABORATORY 60851,A000000,02500,0000,02500PHYSICAL THERAPY 60851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60851,A000000,02700,0000,02700SPEECH PATHOLOGY 60851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60851,A000000,03550,0000,03550FQHC 60851,A000000,05000,0000,05000CORF 60851,A000000,05010,0000,05010CMHC 60851,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60851,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60851,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60851,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60851,A000000,06150,0000,06300RESIDENTIAL 60851,A000000,06151,0000,06301CLINIC 60851,A81000A,00100,0100,Y 60851,A81000B,00100,0300,HOME OFFICE COST - A&G 60851,A81000B,00200,0300,HOME OFFICE COST - CAPITAL 60851,A81000C,00100,0100,B 60851,A81000C,00100,0400,PRES HOMES & SVCS INC. 60851,A81000C,00100,0600,MGT - PARENT CO. 60851,A81000C,00200,0100,B 60851,A81000C,00200,0400,PRES HOMES & SVCS INC. 60851,A81000C,00200,0600,MGT - PARENT CO. 60851,B100000,00000,0100,00001SQUARE FEET 60851,B100000,00000,0200,00001SQUARE FEET 60851,B100000,00000,0300,00001GROSS SALARIES 60851,B100000,00000,0400,00001ACCUM. COST 60851,B100000,00000,0500,00001SQUARE FEET 60851,B100000,00000,0600,00001PATIENT DAYS 60851,B100000,00000,0700,00001SQUARE FEET 60851,B100000,00000,0701,00001SQUARE FEET MEDIC 60851,B100000,00000,0702,00001SQUARE FEET RESID 60851,B100000,00000,0800,00001MEALS SERVED 60851,B100000,00000,0900,00001PATIENT DAYS 60851,B100000,00000,1000,00001COSTED REQUIS. 60851,B100000,00000,1100,00001COSTED REQUIS. 60851,B100000,00000,1200,00001PATIENT DAYS 60851,B100000,00000,1300,00001PATIENT DAYS 60851,B100000,00000,1350,00001PATIENT DAYS 60851,B100000,00000,1400,00001ASSIGNED TIME 60851,E10A180,00501,0100,06/20/2000 60851,E10A180,00501,0300,06/20/2000 60851,S000000,00100,0200,05/26/2000 60851,S200000,00100,0100,ONE DAVID BRAINERD DRIVE 60851,S200000,00200,0100,JAMESBURG 60851,S200000,00200,0200,NJ 60851,S200000,00200,0300,08831 60851,S200000,00300,0100,MIDDLESEX 60851,S200000,00400,0100,MONROE VILLAGE HEALTH CARE CENTER 60851,S200000,00400,0200,315269 60851,S200000,00400,0300,07/08/1988 60851,S200000,00400,0500,P 60851,S200000,01500,0100,Y 60851,S200000,04700,0100,Y 60855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60855,A000000,00300,0000,00300EMPLOYEE BENEFITS 60855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60855,A000000,00700,0000,00700HOUSEKEEPING 60855,A000000,00800,0000,00800DIETARY 60855,A000000,00900,0000,00900NURSING ADMINISTRATION 60855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60855,A000000,01100,0000,01100PHARMACY 60855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60855,A000000,01300,0000,01300SOCIAL SERVICE 60855,A000000,01350,0000,01500PATIENT ACTIVITIES 60855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60855,A000000,01600,0000,01600SKILLED NURSING FACILITY 60855,A000000,01800,0000,01800NURSING FACILITY 60855,A000000,01810,0000,01810ICF/MR 60855,A000000,02100,0000,02100RADIOLOGY 60855,A000000,02200,0000,02200LABORATORY 60855,A000000,02300,0000,02300INTRAVENOUS THERAPY 60855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60855,A000000,02500,0000,02500PHYSICAL THERAPY 60855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60855,A000000,02700,0000,02700SPEECH PATHOLOGY 60855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60855,A000000,03200,0000,03200SUPPORT SURFACES 60855,A000000,03550,0000,03550FQHC 60855,A000000,04800,0000,04800AMBULANCE 60855,A000000,05000,0000,05000CORF 60855,A000000,05010,0000,05010CMHC 60855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60855,A81000A,00100,0100,Y 60855,A81000B,00100,0300,MGMT & SUPPORT SERV 60855,A81000B,00200,0300,RELATED PARTY INTEREST 60855,A81000C,00100,0100,G 60855,A81000C,00100,0200,BRANDYWINE 60855,A81000C,00100,0400,BRANDYWINE SENI 60855,A81000C,00100,0600,HOME OFFICE 60855,B100000,00000,0100,00000(SQUARE FEET) 60855,B100000,00000,0200,00000SQUARE FEET 60855,B100000,00000,0300,00000(GROSS SALARIES) 60855,B100000,00000,0400,00000(ACCUM COST) 60855,B100000,00000,0500,00000(SQUARE FEET) 60855,B100000,00000,0600,00000(PATIENT CENSUS) 60855,B100000,00000,0700,00000(SQUARE FEET) 60855,B100000,00000,0800,00000(MEALS SERVED) 60855,B100000,00000,0900,00000(DIRECT NURS. HRS) 60855,B100000,00000,1000,00000COSTED REQUIS 60855,B100000,00000,1100,00000COSTED REQUIS 60855,B100000,00000,1200,00000(TIME SPENT) 60855,B100000,00000,1300,00000(TIME SPENT) 60855,B100000,00000,1350,00000(PATIENT CENSUS) 60855,B100000,00000,1400,00000ASSIGNED TIME 60855,E10A180,00501,0300,07/11/2000 60855,E10A180,00550,0100,07/11/2000 60855,S000000,00100,0200,05/31/2000 60855,S200000,00100,0100,475 JACK MARTIN BOULEVARD 60855,S200000,00200,0100,BRICK 60855,S200000,00200,0200,NJ 60855,S200000,00200,0300,08725 60855,S200000,00300,0100,OCEAN 60855,S200000,00400,0100,LAURELTON VILLAGE 60855,S200000,00400,0200,315274 60855,S200000,00400,0300,04/17/1989 60855,S200000,00400,0500,P 60855,S200000,01600,0100,Y 60855,S200000,04300,0100,Y 60855,S200000,04700,0100,Y 60855,S200000,04700,0200,Y 60859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60859,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60859,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60859,A000000,00300,0000,00300EMPLOYEE BENEFITS 60859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60859,A000000,00700,0000,00700HOUSEKEEPING 60859,A000000,00800,0000,00800DIETARY 60859,A000000,00801,0000,00801CAFETERIA 60859,A000000,00900,0000,00900NURSING ADMINISTRATION 60859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60859,A000000,01100,0000,01100PHARMACY 60859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60859,A000000,01300,0000,01300SOCIAL SERVICE 60859,A000000,01350,0000,01500REC. THERAPY 60859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60859,A000000,01600,0000,01600SKILLED NURSING FACILITY 60859,A000000,01800,0000,01800NURSING FACILITY 60859,A000000,01810,0000,01810ICF/MR 60859,A000000,02100,0000,02100RADIOLOGY 60859,A000000,02200,0000,02200LABORATORY 60859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60859,A000000,02500,0000,02500PHYSICAL THERAPY 60859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60859,A000000,02700,0000,02700SPEECH PATHOLOGY 60859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60859,A000000,03050,0000,03300PEN. THERAPY 60859,A000000,03051,0000,03301FEE SCREENING 60859,A000000,03052,0000,03302OTHER ANCILLARY III 60859,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60859,A000000,03550,0000,03550FQHC 60859,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60859,A000000,05000,0000,05000CORF I 60859,A000000,05010,0000,05010CMHC I 60859,A000000,05020,0000,05020OPT I 60859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60859,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60859,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60859,A81000A,00100,0100,Y 60859,A81000B,00100,0300,AS ATTACHED 60859,A81000B,00200,0300,HOME OFFICE 60859,A81000B,00300,0300,CAPITAL INTEREST 60859,A81000B,00400,0300,HOME OFFICE 60859,A81000C,00100,0100,B 60859,A81000C,00100,0400,AS ATTACHED 60859,A81000C,00100,0600,AS ATTACHED 60859,A81000C,00200,0100,B 60859,A81000C,00200,0400,GEN HLTH VEN. 60859,A81000C,00200,0600,LONG TERM CARE 60859,A81000C,00300,0100,B 60859,A81000C,00300,0400,GEN. HLTH VEN 60859,A81000C,00300,0600,LONG TERM CARE 60859,A81000C,00400,0100,B 60859,A81000C,00400,0400,GEN. HLTH VEN. 60859,A81000C,00400,0600,LONG TERM CARE 60859,B100000,00000,0100,00000(SQUARE FEET) 60859,B100000,00000,0101,00000(SQUARE FEET) 60859,B100000,00000,0200,00000(SQUARE FEET) 60859,B100000,00000,0201,00000(SQUARE FEET) 60859,B100000,00000,0300,00000(GROSS SALARIES) 60859,B100000,00000,0400,00000(ACCUM. COST) 60859,B100000,00000,0500,00000(SQUARE FEET) 60859,B100000,00000,0600,00000(PATIENT DAYS) 60859,B100000,00000,0700,00000(SQUARE FEET) 60859,B100000,00000,0800,00000(MEALS SERVED) 60859,B100000,00000,0801,00000(MEALS SERVED) 60859,B100000,00000,0900,00000(NURSING SALARIES) 60859,B100000,00000,1000,00000COST REQ. 60859,B100000,00000,1100,00000(PATIENT DAYS) 60859,B100000,00000,1200,00000(PATIENT DAYS) 60859,B100000,00000,1300,00000(PATIENT DAYS) 60859,B100000,00000,1350,00000(PATIENT DAYS) 60859,B100000,00000,1400,00000(ASSIGNED TIME) 60859,E10A180,00301,0100,01/05/2000 60859,S000000,00100,0200,05/31/2000 60859,S200000,00100,0100,963 OCEAN AV 60859,S200000,00200,0100,LAKEWOOD 60859,S200000,00200,0200,NJ 60859,S200000,00200,0300,08701 60859,S200000,00300,0100,OCEAN 60859,S200000,00400,0100,LAKEVIEW CENTER 60859,S200000,00400,0200,315275 60859,S200000,00400,0300,08/10/1984 60859,S200000,00400,0500,P 60859,S200000,01600,0100,Y 60859,S200000,02200,0100,Y 60866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60866,A000000,00300,0000,00300EMPLOYEE BENEFITS 60866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60866,A000000,00700,0000,00700HOUSEKEEPING 60866,A000000,00800,0000,00800DIETARY 60866,A000000,00900,0000,00900NURSING ADMINISTRATION 60866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60866,A000000,01100,0000,01100PHARMACY 60866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60866,A000000,01300,0000,01300SOCIAL SERVICE 60866,A000000,01350,0000,01500ACTIVITIES 60866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60866,A000000,01600,0000,01600SKILLED NURSING FACILITY 60866,A000000,01800,0000,01800NURSING FACILITY 60866,A000000,01810,0000,01810ICF/MR 60866,A000000,02100,0000,02100RADIOLOGY 60866,A000000,02200,0000,02200LABORATORY 60866,A000000,02300,0000,02300INTRAVENOUS THERAPY 60866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60866,A000000,02500,0000,02500PHYSICAL THERAPY 60866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60866,A000000,02700,0000,02700SPEECH PATHOLOGY 60866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60866,A000000,03200,0000,03200SUPPORT SURFACES 60866,A000000,03550,0000,03550FQHC 60866,A000000,05000,0000,05000CORF 60866,A000000,05010,0000,05010CMHC 60866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60866,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60866,B100000,00000,0100,00000SQUARE FEET 60866,B100000,00000,0200,00000SQUARE FEET 60866,B100000,00000,0300,00000GROSS SALARIES 60866,B100000,00000,0400,00000ACCUM COST 60866,B100000,00000,0500,00000SQUARE FEET 60866,B100000,00000,0600,00000PATIENT DAYS 60866,B100000,00000,0700,00000SQUARE FEET 60866,B100000,00000,0800,00000MEALS SERVED 60866,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60866,B100000,00000,1000,00000PATIENT DAYS 60866,B100000,00000,1100,00000PATIENT DAYS 60866,B100000,00000,1200,00000PATIENT DAYS 60866,B100000,00000,1300,00000PATIENT DAYS 60866,B100000,00000,1350,00000PATIENT DAYS 60866,B100000,00000,1400,00000ASSIGNED TIME 60866,E10A180,00301,0100,01/05/2000 60866,E10A180,00501,0100,08/31/2000 60866,E10A180,00550,0300,08/31/2000 60866,S000000,00100,0200,06/01/2000 60866,S200000,00100,0100,2385 SPRINGFIELD AVENUE 60866,S200000,00200,0100,VAUXHALL 60866,S200000,00200,0200,NJ 60866,S200000,00200,0300,07088 60866,S200000,00300,0100,UNION 60866,S200000,00400,0100,SOUTH MOUNTAIN REHAB CENTER 60866,S200000,00400,0200,315283 60866,S200000,00400,0300,08/01/1989 60866,S200000,00400,0500,P 60866,S200000,01600,0100,Y 60868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60868,A000000,00300,0000,00300EMPLOYEE BENEFITS 60868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60868,A000000,00700,0000,00700HOUSEKEEPING 60868,A000000,00800,0000,00800DIETARY 60868,A000000,00900,0000,00900NURSING ADMINISTRATION 60868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60868,A000000,01100,0000,01100PHARMACY 60868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60868,A000000,01300,0000,01300SOCIAL SERVICE 60868,A000000,01350,0000,01500PATIENT ACTIVITIES 60868,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60868,A000000,01600,0000,01600SKILLED NURSING FACILITY 60868,A000000,01800,0000,01800NURSING FACILITY 60868,A000000,01810,0000,01810ICF/MR 60868,A000000,02200,0000,02200LABORATORY 60868,A000000,02500,0000,02500PHYSICAL THERAPY 60868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60868,A000000,02700,0000,02700SPEECH PATHOLOGY 60868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60868,A000000,03550,0000,03550FQHC 60868,A000000,05000,0000,05000CORF 60868,A000000,05010,0000,05010CMHC 60868,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60868,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60868,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60868,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60868,A81000A,00100,0100,Y 60868,A81000B,00100,0300,VAN LEASING 60868,A81000B,00200,0300,PHYSICAL THERAPY 60868,A81000B,00300,0300,OCCUPATIONAL THERAPY 60868,A81000B,00400,0300,SPEECH THERAPY 60868,A81000C,00100,0100,D 60868,A81000C,00100,0200,AKINROLABU/CHOWDHRY 60868,A81000C,00100,0400,C & A REHAB REMEDIA 60868,A81000C,00100,0600,THERAPY COMPANIES 60868,A81000C,00200,0100,D 60868,A81000C,00200,0200,AKINROLABU 60868,A81000C,00200,0400,W.S. ASSOCIATES 60868,A81000C,00200,0600,VAN LEASING 60868,B100000,00000,0100,00000SQUARE FEET 60868,B100000,00000,0200,00000SQUARE FEET 60868,B100000,00000,0300,00000GROSS SALARIES 60868,B100000,00000,0400,00000ACCUM. COST 60868,B100000,00000,0500,00000SQUARE FEET 60868,B100000,00000,0600,00000POUNDS OF LAUNDRY 60868,B100000,00000,0700,00000SQ FT EXC KITCHEN 60868,B100000,00000,0800,00000MEALS SERVED 60868,B100000,00000,0900,00000DIRECT NRSING HRS 60868,B100000,00000,1000,00000PATIENT DAYS 60868,B100000,00000,1100,00000PATIENT DAYS 60868,B100000,00000,1200,00000PATIENT DAYS 60868,B100000,00000,1300,00000PATIENT DAYS 60868,B100000,00000,1350,00000PATIENT DAYS 60868,B100000,00000,1400,00000ASSIGNED TIME 60868,S000000,00100,0200,06/12/2000 60868,S200000,00100,0100,3419 HIGHWAY #9 60868,S200000,00200,0100,FREEHOLD 60868,S200000,00200,0200,NJ 60868,S200000,00200,0300,07728 60868,S200000,00300,0100,M 60868,S200000,00400,0100,FREEHOLD REHAB & NURSING CENTER 60868,S200000,00400,0200,315285 60868,S200000,00400,0300,06/20/1989 60868,S200000,00400,0500,P 60868,S200000,01600,0100,Y 60870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60870,A000000,00300,0000,00300EMPLOYEE BENEFITS 60870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60870,A000000,00700,0000,00700HOUSEKEEPING 60870,A000000,00800,0000,00800DIETARY 60870,A000000,00900,0000,00900NURSING ADMINISTRATION 60870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60870,A000000,01100,0000,01100PHARMACY 60870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60870,A000000,01300,0000,01300SOCIAL SERVICE 60870,A000000,01350,0000,01500PATIENT ACTIVITIES 60870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60870,A000000,01600,0000,01600SKILLED NURSING FACILITY 60870,A000000,01810,0000,01810ICF/MR 60870,A000000,01900,0000,01900OTHER LONG TERM CARE 60870,A000000,02200,0000,02200LABORATORY 60870,A000000,02500,0000,02500PHYSICAL THERAPY 60870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60870,A000000,02700,0000,02700SPEECH PATHOLOGY 60870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60870,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60870,A000000,03200,0000,03200SUPPORT SURFACES 60870,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60870,A000000,03550,0000,03550FQHC 60870,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60870,A000000,05000,0000,05000CORF 60870,A000000,05010,0000,05010CMHC 60870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60870,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60870,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60870,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60870,A81000A,00100,0100,Y 60870,A81000B,00100,0300,HOME OFFICE 60870,A81000B,00200,0300,MGT FEE CHA 60870,A81000B,00300,0300,MEDICAL SUPPLIES 60870,A81000B,00400,0300,RENT 60870,A81000B,00500,0300,BUILDING DEPRECIATION 60870,A81000B,00600,0300,INTEREST 60870,A81000C,00100,0100,G 60870,A81000C,00100,0200,CONTINENTAL 60870,A81000C,00100,0400,TNS 60870,A81000C,00100,0600,MANAGEMENT 60870,A81000C,00200,0100,G 60870,A81000C,00200,0200,CONTINENTAL 60870,A81000C,00200,0400,TNS 60870,A81000C,00200,0600,MANAGEMENT 60870,A81000C,00300,0100,G 60870,A81000C,00300,0200,CONTINENTAL 60870,A81000C,00300,0400,INTRX 60870,A81000C,00300,0600,MEDICAL SUPPLIES 60870,A81000C,00400,0100,G 60870,A81000C,00400,0200,CONTINENTAL 60870,A81000C,00400,0400,CNHI 60870,A81000C,00400,0600,REAL ESTATE 60870,B100000,00000,0100,00000SQUARE FEET 60870,B100000,00000,0200,00000NO STATISTICS 60870,B100000,00000,0300,00000GROSS SALARIES 60870,B100000,00000,0400,00000ACCUM. COST 60870,B100000,00000,0500,00000SQUARE FEET 60870,B100000,00000,0600,00000PATIENT DAYS 60870,B100000,00000,0700,00000SQUARE FEET 60870,B100000,00000,0800,00000MEALS SERVED 60870,B100000,00000,0900,00000DIRECT NRSING SAL 60870,B100000,00000,1000,00000PATIENT DAYS 60870,B100000,00000,1100,00000PATIENT DAYS 60870,B100000,00000,1200,00000PATIENT DAYS 60870,B100000,00000,1300,00000PATIENT DAYS 60870,B100000,00000,1350,00000PATIENT DAYS 60870,B100000,00000,1400,00000ASSIGNED TIME 60870,E10A180,00501,0100,08/28/2000 60870,E10A180,00503,0300,08/28/2000 60870,S000000,00100,0200,07/22/2000 60870,S200000,00100,0100,100 MCCLELLEN STREET 60870,S200000,00200,0100,NORWOOD 60870,S200000,00200,0200,NJ 60870,S200000,00200,0300,07648 60870,S200000,00300,0100,BERGEN 60870,S200000,00400,0100,HERITAGE AT NORWOOD 60870,S200000,00400,0200,315290 60870,S200000,00400,0300,01/01/1990 60870,S200000,00400,0500,P 60870,S200000,01500,0100,Y 60874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60874,A000000,00300,0000,00300EMPLOYEE BENEFITS 60874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60874,A000000,00700,0000,00700HOUSEKEEPING 60874,A000000,00800,0000,00800DIETARY 60874,A000000,00900,0000,00900NURSING ADMINISTRATION 60874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60874,A000000,01100,0000,01100PHARMACY 60874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60874,A000000,01300,0000,01300SOCIAL SERVICE 60874,A000000,01310,0000,01310RECREATIONAL THERAPY 60874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60874,A000000,01600,0000,01600SKILLED NURSING FACILITY 60874,A000000,01800,0000,01800NURSING FACILITY 60874,A000000,01810,0000,01810ICF/MR 60874,A000000,01900,0000,01900OTHER LONG TERM CARE 60874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60874,A000000,02500,0000,02500PHYSICAL THERAPY 60874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60874,A000000,02700,0000,02700SPEECH PATHOLOGY 60874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60874,A000000,03550,0000,03550FQHC 60874,A000000,05000,0000,05000CORF 60874,A000000,05010,0000,05010CMHC 60874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60874,A81000A,00100,0100,Y 60874,A81000B,00100,0300,RENT 60874,A81000B,00200,0300,INTEREST 60874,A81000B,00300,0300,DEPR\AMORT 60874,A81000B,00500,0300,MANAGEMENT FEE 60874,B100000,00000,0100,00040(SQUARE FEET) 60874,B100000,00000,0200,00040SQUARE FEET 60874,B100000,00000,0300,00040(GROSS SALARIES) 60874,B100000,00000,0400,00040(ACCUM COST) 60874,B100000,00000,0500,00040(SQUARE FEET) 60874,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 60874,B100000,00000,0700,00040(SQUARE FEET) 60874,B100000,00000,0800,00040(MEALS SERVED) 60874,B100000,00000,0900,00040(DIRECT NRSG HRS) 60874,B100000,00000,1000,00040(COSTED REQUIS) 60874,B100000,00000,1100,00040(PATIENT DAYS) 60874,B100000,00000,1200,00040(TIME SPENT) 60874,B100000,00000,1300,00040(TIME SPENT) 60874,B100000,00000,1310,00040(PATIENT DAYS) 60874,B100000,00000,1400,00040(ASSIGNED TIME) 60874,E10A180,00501,0100,07/18/2000 60874,E10A180,00501,0300,07/18/2000 60874,S000000,00100,0200,06/02/2000 60874,S200000,00100,0100,2020 ROUTE 23 NORTH 60874,S200000,00200,0100,WAYNE 60874,S200000,00200,0200,NJ 60874,S200000,00200,0300,07470 60874,S200000,00300,0100,PASSAIC 60874,S200000,00400,0100,WAYNE VIEW CONVALESCENT CENTER 60874,S200000,00400,0200,315291 60874,S200000,00400,0300,12/04/1990 60874,S200000,00400,0500,P 60874,S200000,01600,0100,Y 60874,S200000,01900,0100,501 C(3) 60877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60877,A000000,00300,0000,00300EMPLOYEE BENEFITS 60877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60877,A000000,00700,0000,00700HOUSEKEEPING 60877,A000000,00800,0000,00800DIETARY 60877,A000000,00900,0000,00900NURSING ADMINISTRATION 60877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60877,A000000,01100,0000,01100PHARMACY 60877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60877,A000000,01300,0000,01300SOCIAL SERVICE 60877,A000000,01350,0000,01500ACTIVITIES 60877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60877,A000000,01600,0000,01600SKILLED NURSING FACILITY 60877,A000000,01810,0000,01810ICF/MR 60877,A000000,01900,0000,01900OTHER LONG TERM CARE 60877,A000000,02100,0000,02100RADIOLOGY 60877,A000000,02200,0000,02200LABORATORY 60877,A000000,02500,0000,02500PHYSICAL THERAPY 60877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60877,A000000,02700,0000,02700SPEECH PATHOLOGY 60877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60877,A000000,03200,0000,03200SUPPORT SURFACES 60877,A000000,03550,0000,03550FQHC 60877,A000000,04800,0000,04800AMBULANCE 60877,A000000,05000,0000,05000CORF 60877,A000000,05010,0000,05010CMHC 60877,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60877,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60877,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60877,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60877,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60877,A000000,06150,0000,06300MARKETING 60877,A000000,06151,0000,06301INDEPENDENT LIVING 60877,A000000,06152,0000,06302CLINIC 60877,A81000A,00100,0100,Y 60877,A81000B,00100,0300,CORPORATE DIRECT EXPENSE 60877,A81000B,00200,0300,MEDICAL SUPPLIES 60877,A81000B,00300,0300,INSURANCE 60877,A81000B,00400,0300,BENEFITS 60877,A81000B,00500,0300,PRINTING 60877,A81000B,00600,0300,EQUIPMENT RENTAL 60877,A81000B,00700,0300,PRODUCTIVE SALARY 60877,A81000C,00100,0100,B 60877,A81000C,00100,0200,CENTRA STATE MC 60877,A81000C,00100,0400,PARENT COMPANY 60877,A81000C,00100,0600,HOSPITAL 60877,B100000,00000,0100,00002SQUARE FEET 60877,B100000,00000,0200,00002DOLLAR VALUE 60877,B100000,00000,0300,00002GROSS SALARIES 60877,B100000,00000,0400,00002ACCUM COST 60877,B100000,00000,0500,00002SQUARE FEET 60877,B100000,00000,0600,00002POUNDS OF LAUNDRY 60877,B100000,00000,0700,00002SQUARE FEET 60877,B100000,00000,0800,00002MEALS SERVED 60877,B100000,00000,0900,00002PATIENT DAYS 60877,B100000,00000,1000,00002COSTED REQUIS 60877,B100000,00000,1100,00002PATIENT DAYS 60877,B100000,00000,1200,00002PATIENT DAYS 60877,B100000,00000,1300,00002PATIENT DAYS 60877,B100000,00000,1350,00002PATIENT DAYS 60877,B100000,00000,1400,00002ASSIGNED TIME 60877,E10A180,00501,0100,07/03/2000 60877,E10A180,00501,0300,07/03/2000 60877,S000000,00100,0200,05/31/2000 60877,S200000,00100,0100,3 APPLEWOOD DRIVE 60877,S200000,00200,0100,FREEHOLD 60877,S200000,00200,0200,NJ 60877,S200000,00200,0300,07728 60877,S200000,00300,0100,MONMOUTH 60877,S200000,00400,0100,APPLEWOOD ESTATES 60877,S200000,00400,0200,315292 60877,S200000,00400,0300,03/01/1990 60877,S200000,00400,0500,P 60877,S200000,01600,0100,Y 60877,S200000,04700,0100,Y 60877,S200000,04700,0200,Y 60880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60880,A000000,00300,0000,00300EMPLOYEE BENEFITS 60880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60880,A000000,00700,0000,00700HOUSEKEEPING 60880,A000000,00800,0000,00800DIETARY 60880,A000000,00900,0000,00900NURSING ADMINISTRATION 60880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60880,A000000,01100,0000,01100PHARMACY 60880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60880,A000000,01300,0000,01300SOCIAL SERVICE 60880,A000000,01350,0000,01500PATIENT ACTIVITIES 60880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60880,A000000,01600,0000,01600SKILLED NURSING FACILITY 60880,A000000,01810,0000,01810ICF/MR 60880,A000000,02100,0000,02100RADIOLOGY 60880,A000000,02200,0000,02200LABORATORY 60880,A000000,02300,0000,02300INTRAVENOUS THERAPY 60880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60880,A000000,02500,0000,02500PHYSICAL THERAPY 60880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60880,A000000,02700,0000,02700SPEECH PATHOLOGY 60880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60880,A000000,03200,0000,03200SUPPORT SURFACES 60880,A000000,03550,0000,03550FQHC 60880,A000000,04800,0000,04800AMBULANCE 60880,A000000,05000,0000,05000CORF 60880,A000000,05010,0000,05010CMHC 60880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60880,A81000A,00100,0100,Y 60880,A81000B,00100,0300,AIR FLUIDIZED BEDS 60880,A81000B,00200,0300,FOOD SUPPLEMENT 60880,A81000B,00300,0300,ENTERAL SUPPLIES 60880,A81000B,00400,0300,THERAPY SUPPLIES 60880,A81000B,00500,0300,MAINTENANCE SUPPLIES 60880,A81000B,00600,0300,EDUCATIONAL SUPPLIES 60880,A81000B,00700,0300,DIETARY SUPPLIES 60880,A81000C,00100,0100,G 60880,A81000C,00100,0200,R. PINELES 60880,A81000C,00100,0400,NJ HEALTHCARE R 60880,A81000C,00100,0600,MEDICAL SUPPLIE 60880,A81000C,00200,0100,G 60880,A81000C,00200,0200,R. PINELES 60880,A81000C,00200,0400,NJ HEALTHCARE R 60880,A81000C,00200,0600,ENTERAL SUPPLY 60880,A81000C,00300,0100,G 60880,A81000C,00300,0200,R. PINELES 60880,A81000C,00300,0400,NJ HEALTHCARE R 60880,A81000C,00300,0600,ENTERAL SUPPLY 60880,A81000C,00400,0100,G 60880,A81000C,00400,0200,R. PINELES 60880,A81000C,00400,0400,NJ HEALTHCARE R 60880,A81000C,00400,0600,MEDICAL SUPPLIE 60880,A81000C,00500,0100,G 60880,A81000C,00500,0200,J. PINELES 60880,A81000C,00500,0400,TANDEM MANAGEME 60880,A81000C,00500,0600,MANAGEMENT 60880,A81000C,00600,0100,G 60880,A81000C,00600,0200,J. PINELES 60880,A81000C,00600,0400,TANDEM MANAGEME 60880,A81000C,00600,0600,MANAGEMENT 60880,A81000C,00700,0100,G 60880,A81000C,00700,0200,J. PINELES 60880,A81000C,00700,0400,TANDEM MANAGEME 60880,A81000C,00700,0600,MANAGEMENT 60880,B100000,00000,0100,00000(SQUARE FEET) 60880,B100000,00000,0200,00000SQUARE FEET 60880,B100000,00000,0300,00000(GROSS SALARIES) 60880,B100000,00000,0400,00000(ACCUM COST) 60880,B100000,00000,0500,00000(SQUARE FEET) 60880,B100000,00000,0600,00000(PATIENT CENSUS) 60880,B100000,00000,0700,00000(SQUARE FEET) 60880,B100000,00000,0800,00000(MEALS SERVED) 60880,B100000,00000,0900,00000(TIME SPENT) 60880,B100000,00000,1000,00000COSTED REQUIS 60880,B100000,00000,1100,00000COSTED REQUIS 60880,B100000,00000,1200,00000(PATIENT CENSUS) 60880,B100000,00000,1300,00000(TIME SPENT) 60880,B100000,00000,1350,00000(PATIENT CENSUS) 60880,B100000,00000,1400,00000ASSIGNED TIME 60880,S000000,00100,0200,05/31/2000 60880,S200000,00100,0100,50 POLIFLY ROAD 60880,S200000,00200,0100,REGENT CARE CENTER 60880,S200000,00200,0200,315295 60880,S200000,00200,0300,07601 60880,S200000,00300,0100,BERGEN 60880,S200000,00400,0100,REGENT CARE CENTER 60880,S200000,00400,0200,315295 60880,S200000,00400,0300,07/01/1990 60880,S200000,00400,0500,P 60880,S200000,01600,0100,Y 60880,S200000,01900,0100,LLC 60880,S200000,04300,0100,Y 60880,S200000,04700,0100,Y 60880,S200000,04700,0200,Y 60885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60885,A000000,00300,0000,00300EMPLOYEE BENEFITS 60885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60885,A000000,00700,0000,00700HOUSEKEEPING 60885,A000000,00701,0000,00701HOUSEKEEPING - RESIDENTIAL 60885,A000000,00702,0000,00702HOUSEKEEPING - MEDICAL 60885,A000000,00800,0000,00800DIETARY 60885,A000000,00900,0000,00900NURSING ADMINISTRATION 60885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60885,A000000,01100,0000,01100PHARMACY 60885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60885,A000000,01300,0000,01300SOCIAL SERVICE 60885,A000000,01350,0000,01500PATIENT ACTIVITIES 60885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60885,A000000,01600,0000,01600SKILLED NURSING FACILITY 60885,A000000,01810,0000,01810ICF/MR 60885,A000000,02100,0000,02100RADIOLOGY 60885,A000000,02200,0000,02200LABORATORY 60885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60885,A000000,02500,0000,02500PHYSICAL THERAPY 60885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60885,A000000,02700,0000,02700SPEECH PATHOLOGY 60885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60885,A000000,02901,0000,02901CLINITRON BEDS 60885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60885,A000000,03550,0000,03550FQHC 60885,A000000,05000,0000,05000CORF 60885,A000000,05010,0000,05010CMHC 60885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60885,A000000,05901,0000,05901OTHER NON-REIMBURSABLE 60885,A000000,06150,0000,06300RESIDENTIAL 60885,A000000,06151,0000,06301CLINIC 60885,A000000,06152,0000,06302MARKETING 60885,A81000A,00100,0100,Y 60885,A81000B,00100,0300,HOME OFFICE COSTS - A&G 60885,A81000B,00200,0300,HOME OFFICE COSTS - CAPITAL 60885,A81000C,00100,0100,B 60885,A81000C,00100,0400,PRES HOMES & SVCS INC 60885,A81000C,00100,0600,MGT - PARENT CO 60885,A81000C,00200,0100,B 60885,A81000C,00200,0400,PRES HOMES & SVCS INC 60885,A81000C,00200,0600,MGT - PARENT CO 60885,B100000,00000,0100,00002SQUARE FEET 60885,B100000,00000,0200,00002SQUARE FEET 60885,B100000,00000,0300,00002GROSS SALARIES 60885,B100000,00000,0400,00002ACCUM. COST 60885,B100000,00000,0500,00002SQUARE FEET 60885,B100000,00000,0600,00002PATIENT DAYS 60885,B100000,00000,0700,00002SQUARE FEET 60885,B100000,00000,0701,00002SQUARE FEET RESID 60885,B100000,00000,0702,00002SQUARE FEET MEDIC 60885,B100000,00000,0800,00002MEALS SERVED 60885,B100000,00000,0900,00002PATIENT DAYS 60885,B100000,00000,1000,00002COSTED REQUIS. 60885,B100000,00000,1100,00002COSTED REQUIS. 60885,B100000,00000,1200,00002PATIENT DAYS 60885,B100000,00000,1300,00002PATIENT DAYS 60885,B100000,00000,1350,00002PATIENT DAYS 60885,B100000,00000,1400,00002ASSIGNED TIME 60885,E10A180,00501,0100,06/15/2000 60885,E10A180,00501,0300,06/15/2000 60885,S000000,00100,0200,05/26/2000 60885,S200000,00100,0100,50 LACEY ROAD 60885,S200000,00200,0100,WHITING 60885,S200000,00200,0200,NJ 60885,S200000,00200,0300,08759 60885,S200000,00300,0100,OCEAN 60885,S200000,00400,0100,CRESTWOOD MANOR 60885,S200000,00400,0200,315298 60885,S200000,00400,0300,05/09/1990 60885,S200000,00400,0500,P 60885,S200000,01500,0100,Y 60888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60888,A000000,00300,0000,00300EMPLOYEE BENEFITS 60888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60888,A000000,00700,0000,00700HOUSEKEEPING 60888,A000000,00800,0000,00800DIETARY 60888,A000000,00900,0000,00900NURSING ADMINISTRATION 60888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60888,A000000,01100,0000,01100PHARMACY 60888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60888,A000000,01300,0000,01300SOCIAL SERVICE 60888,A000000,01350,0000,01500PATIENT ACTIVITIES 60888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60888,A000000,01600,0000,01600SKILLED NURSING FACILITY 60888,A000000,01800,0000,01800NURSING FACILITY 60888,A000000,01810,0000,01810ICF/MR 60888,A000000,02100,0000,02100RADIOLOGY 60888,A000000,02200,0000,02200LABORATORY 60888,A000000,02500,0000,02500PHYSICAL THERAPY 60888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60888,A000000,02700,0000,02700SPEECH PATHOLOGY 60888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60888,A000000,03200,0000,03200SUPPORT SURFACES 60888,A000000,03550,0000,03550FQHC 60888,A000000,05000,0000,05000CORF 60888,A000000,05010,0000,05010CMHC 60888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60888,A81000A,00100,0100,Y 60888,A81000B,00100,0300,RENT 60888,A81000B,00200,0300,DEPRECIATION 60888,A81000B,00300,0300,INTEREST 60888,A81000B,00400,0300,FEES 60888,A81000B,00500,0300,AMORT-LOAN COSTS 60888,A81000C,00100,0100,A 60888,A81000C,00100,0200,M. ROSENBAUM 60888,A81000C,00100,0400,KING MANOR LLC 60888,A81000C,00100,0600,REALTY 60888,A81000C,00200,0100,A 60888,A81000C,00200,0200,P. ATLAS ESTATE 60888,A81000C,00200,0400,KING MANOR LLC 60888,A81000C,00200,0600,REALTY 60888,A81000C,00300,0100,A 60888,A81000C,00300,0200,J. RAMRAS 60888,A81000C,00300,0400,KING MANOR LLC 60888,A81000C,00300,0600,REALTY 60888,B100000,00000,0100,00000(SQUARE FEET) 60888,B100000,00000,0200,00000SQUARE FEET 60888,B100000,00000,0300,00000(GROSS SALARIES) 60888,B100000,00000,0400,00000(ACCUM COST) 60888,B100000,00000,0500,00000(SQUARE FEET) 60888,B100000,00000,0600,00000(PATIENT DAYS) 60888,B100000,00000,0700,00000(SQUARE FEET) 60888,B100000,00000,0800,00000(MEALS SERVED) 60888,B100000,00000,0900,00000(DIRECT NRSG HRS) 60888,B100000,00000,1000,00000COSTED REQUIS 60888,B100000,00000,1100,00000COSTED REQUIS 60888,B100000,00000,1200,00000(PATIENT DAYS) 60888,B100000,00000,1300,00000(PATIENT DAYS) 60888,B100000,00000,1350,00000(PATIENT DAYS) 60888,B100000,00000,1400,00000ASSIGNED TIME 60888,E10A180,00501,0100,07/18/2000 60888,S000000,00100,0200,06/19/2000 60888,S200000,00100,0100,2303 WEST BANGS AVENUE 60888,S200000,00200,0100,NEPTUNE 60888,S200000,00200,0200,NJ 60888,S200000,00200,0300,07754 60888,S200000,00300,0100,MONMOUTH 60888,S200000,00400,0100,KING MANOR CARE CENTER 60888,S200000,00400,0200,315299 60888,S200000,00400,0300,12/01/1990 60888,S200000,00400,0500,P 60888,S200000,01600,0100,Y 60888,S200000,02200,0100,Y 60888,S200000,04300,0100,Y 60891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60891,A000000,00300,0000,00300EMPLOYEE BENEFITS 60891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60891,A000000,00700,0000,00700HOUSEKEEPING 60891,A000000,00800,0000,00800DIETARY 60891,A000000,00900,0000,00900NURSING ADMINISTRATION 60891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60891,A000000,01100,0000,01100PHARMACY 60891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60891,A000000,01300,0000,01300SOCIAL SERVICE 60891,A000000,01350,0000,01500ACTIVITIES 60891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60891,A000000,01600,0000,01600SKILLED NURSING FACILITY 60891,A000000,01800,0000,01800NURSING FACILITY 60891,A000000,01810,0000,01810ICF/MR 60891,A000000,02100,0000,02100RADIOLOGY 60891,A000000,02200,0000,02200LABORATORY 60891,A000000,02300,0000,02300INTRAVENOUS THERAPY 60891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60891,A000000,02500,0000,02500PHYSICAL THERAPY 60891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60891,A000000,02700,0000,02700SPEECH PATHOLOGY 60891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60891,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 60891,A000000,03200,0000,03200SUPPORT SURFACES 60891,A000000,03550,0000,03550FQHC 60891,A000000,04800,0000,04800AMBULANCE 60891,A000000,05000,0000,05000CORF 60891,A000000,05010,0000,05010CMHC 60891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60891,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 60891,A81000A,00100,0100,Y 60891,A81000B,00100,0300,INTEREST EXPENSE 60891,A81000B,00200,0300,FURNITURE RENTAL/LAND LEASE OP 60891,A81000B,00300,0300,RENT - STORAGE 60891,A81000B,00400,0300,PAYROLL AND FRINGES 60891,A81000C,00100,0100,A 60891,A81000C,00100,0200,LORRAINE MOCCO 60891,A81000C,00100,0400,LORRAINE MOCCO 60891,A81000C,00100,0600,OWNER PRES AS 60891,A81000C,00200,0100,A 60891,A81000C,00200,0200,LORRAINE MOCCO 60891,A81000C,00200,0400,LORRAINE MOCCO 60891,A81000C,00200,0600,OWNER PRES AS 60891,A81000C,00300,0100,B 60891,A81000C,00300,0200,LORRAINE MOCCO 60891,A81000C,00300,0400,A-1 SELF STORAG 60891,A81000C,00300,0600,SELF STORAGE 60891,A81000C,00400,0100,B 60891,A81000C,00400,0200,LORRAINE MOCCO 60891,A81000C,00400,0400,MONMOUTH PROF A 60891,A81000C,00400,0600,PAYROLL SERVICE 60891,B100000,00000,0100,00000SQUARE FEET 60891,B100000,00000,0200,00000SQUARE FEET 60891,B100000,00000,0300,00000GROSS SALARIES 60891,B100000,00000,0400,00000ACCUM COST 60891,B100000,00000,0500,00000SQUARE FEET 60891,B100000,00000,0600,00000PATIENT DAYS 60891,B100000,00000,0700,00000SQUARE FEET 60891,B100000,00000,0800,00000MEALS SERVED 60891,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 60891,B100000,00000,1000,00000PATIENT DAYS 60891,B100000,00000,1100,00000PATIENT DAYS 60891,B100000,00000,1200,00000PATIENT DAYS 60891,B100000,00000,1300,00000PATIENT DAYS 60891,B100000,00000,1350,00000PATIENT DAYS 60891,B100000,00000,1400,00000ASSIGNED TIME 60891,E10A180,00501,0100,07/18/2000 60891,E10A180,00501,0300,07/18/2000 60891,S000000,00100,0200,05/31/2000 60891,S200000,00100,0100,525 MONMOUTH STREET 60891,S200000,00200,0100,JERSEY CITY 60891,S200000,00200,0200,NJ 60891,S200000,00200,0300,07302 60891,S200000,00300,0100,HUDSON 60891,S200000,00400,0100,HAMILTON PARK HEALTH CARE CENTER 60891,S200000,00400,0200,315300 60891,S200000,00400,0300,01/01/1991 60891,S200000,00400,0500,P 60891,S200000,01600,0100,Y 60891,S200000,04600,0100,Y 60891,S200000,04700,0100,Y 60891,S200000,04700,0200,Y 60894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60894,A000000,00300,0000,00300EMPLOYEE BENEFITS 60894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60894,A000000,00700,0000,00700HOUSEKEEPING 60894,A000000,00800,0000,00800DIETARY 60894,A000000,00900,0000,00900NURSING ADMINISTRATION 60894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60894,A000000,01100,0000,01100PHARMACY 60894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60894,A000000,01300,0000,01300SOCIAL SERVICE 60894,A000000,01350,0000,01500PATIENT ACTIVITIES 60894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60894,A000000,01600,0000,01600SKILLED NURSING FACILITY 60894,A000000,01800,0000,01800NURSING FACILITY 60894,A000000,01810,0000,01810ICF/MR 60894,A000000,02200,0000,02200LABORATORY 60894,A000000,02500,0000,02500PHYSICAL THERAPY 60894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60894,A000000,02700,0000,02700SPEECH PATHOLOGY 60894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60894,A000000,03550,0000,03550FQHC 60894,A000000,05000,0000,05000CORF 60894,A000000,05010,0000,05010CMHC 60894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60894,A81000A,00100,0100,Y 60894,A81000B,00100,0300,RENT 60894,A81000B,00200,0300,DEPRECIATION 60894,A81000B,00300,0300,INTEREST 60894,A81000B,00400,0300,MORTGAGE ACQUISITION 60894,A81000C,00100,0100,A 60894,A81000C,00100,0200,CHOWDHRY/AKINRO 60894,A81000C,00100,0400,CHOWDHRY/AKINRO 60894,A81000C,00100,0600,REALTY 60894,B100000,00000,0100,00000(SQUARE FEET) 60894,B100000,00000,0200,00000SQUARE FEET 60894,B100000,00000,0300,00000(GROSS SALARIES) 60894,B100000,00000,0400,00000(ACCUM COST) 60894,B100000,00000,0500,00000(SQUARE FEET) 60894,B100000,00000,0600,00000(PATIENT DAYS) 60894,B100000,00000,0700,00000(SQUARE FEET) 60894,B100000,00000,0800,00000(MEALS SERVED) 60894,B100000,00000,0900,00000DIRECT NRSG HRS 60894,B100000,00000,1000,00000COSTED REQUIS 60894,B100000,00000,1100,00000COSTED REQUIS 60894,B100000,00000,1200,00000TIME SPENT 60894,B100000,00000,1300,00000(PATIENT DAYS) 60894,B100000,00000,1350,00000(PATIENT DAYS) 60894,B100000,00000,1400,00000ASSIGNED TIME 60894,E10A180,00501,0300,06/07/2000 60894,E10A180,00550,0100,06/07/2000 60894,S000000,00100,0200,06/07/2000 60894,S200000,00100,0100,200 CENTER STREET 60894,S200000,00100,0300,63 60894,S200000,00200,0100,CLIFFWOOD BEACH 60894,S200000,00200,0200,NJ 60894,S200000,00200,0300,07735 60894,S200000,00300,0100,MONMOUTH 60894,S200000,00400,0100,CLIFFSIDE HEALTH CARE CENTER 60894,S200000,00400,0200,315301 60894,S200000,00400,0300,03/22/1991 60894,S200000,00400,0500,P 60894,S200000,01600,0100,Y 60894,S200000,04300,0100,Y 60897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60897,A000000,00300,0000,00300EMPLOYEE BENEFITS 60897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60897,A000000,00501,0000,00501UTILITIES 60897,A000000,00502,0000,00502UTILITIES - EXCLUDING RESIDENTI 60897,A000000,00503,0000,00503UTILITIES - RESIDENTIAL 60897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60897,A000000,00700,0000,00700HOUSEKEEPING 60897,A000000,00701,0000,00701HOUSEKEEPING - EXCLUDING RESIDE 60897,A000000,00702,0000,00702HOUSEKEEPING - RESIDENTIAL 60897,A000000,00800,0000,00800DIETARY 60897,A000000,00900,0000,00900NURSING ADMINISTRATION 60897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60897,A000000,01100,0000,01100PHARMACY 60897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60897,A000000,01300,0000,01300SOCIAL SERVICE 60897,A000000,01350,0000,01500PATIENT ACTIVITIES 60897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60897,A000000,01600,0000,01600SKILLED NURSING FACILITY 60897,A000000,01800,0000,01800NURSING FACILITY 60897,A000000,01810,0000,01810ICF/MR 60897,A000000,01900,0000,01900OTHER LONG TERM CARE 60897,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60897,A000000,02500,0000,02500PHYSICAL THERAPY 60897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60897,A000000,02700,0000,02700SPEECH PATHOLOGY 60897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60897,A000000,02901,0000,02901CLINITRON BEDS 60897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60897,A000000,03550,0000,03550FQHC 60897,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60897,A000000,05000,0000,05000CORF 60897,A000000,05010,0000,05010CMHC 60897,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60897,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60897,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60897,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60897,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60897,A81000A,00100,0100,Y 60897,A81000B,00100,0300,LAND LEASE 60897,A81000B,00200,0300,PAVILION RENT 60897,A81000B,00300,0300,PARKING LOT RENT 60897,A81000B,00400,0300,EMPLOYEE PHYSICALS 60897,A81000B,00500,0300,SECURITY 60897,A81000B,00600,0300,DIETARY MANAGEMENT 60897,A81000B,00700,0300,RESPIRATORY THERAPY 60897,A81000C,00100,0100,G 60897,A81000C,00100,0400,PALISADES GENERAL HOSP. 60897,A81000C,00200,0100,G 60897,A81000C,00200,0400,PALISADES GENERAL HOSP. 60897,A81000C,00300,0100,G 60897,A81000C,00300,0400,PALISADES GENERAL HOSP. 60897,A81000C,00400,0100,G 60897,A81000C,00400,0400,PALISADES GENERAL HOSP. 60897,A81000C,00500,0100,G 60897,A81000C,00500,0400,PALISADES GENERAL HOSP. 60897,A81000C,00600,0100,G 60897,A81000C,00600,0400,PALISADES GENERAL HOSP. 60897,A81000C,00700,0100,G 60897,A81000C,00700,0400,PALISADES GENERAL HOSP. 60897,B100000,00000,0100,00000SQUARE FEET 60897,B100000,00000,0200,00000SQUARE FEET 60897,B100000,00000,0300,00000GROSS SALARIES 60897,B100000,00000,0400,00000ACCUM. COST 60897,B100000,00000,0500,00000SQUARE FEET 60897,B100000,00000,0501,00000KILOWATT HOURS 60897,B100000,00000,0502,00000SQUARE FEET EXCL 60897,B100000,00000,0503,00000SQUARE FEET RESID 60897,B100000,00000,0600,00000POUNDS OF LAUNDRY 60897,B100000,00000,0700,00000DEPARTMENT T SALARIE 60897,B100000,00000,0701,00000SQUARE FEET EXCL 60897,B100000,00000,0702,00000SQUARE FEET RESID 60897,B100000,00000,0800,00000PATIENT DAYS 60897,B100000,00000,0900,00000NURSING SALARIES 60897,B100000,00000,1000,00000COSTED REQUIS. 60897,B100000,00000,1100,00000COSTED REQUIS. 60897,B100000,00000,1200,00000GROSS REVENUES 60897,B100000,00000,1300,00000GROSS REVENUES 60897,B100000,00000,1350,00000TIME SPENT 60897,B100000,00000,1400,00000ASSIGNED TIME 60897,E10A180,00301,0100,01/05/2000 60897,S000000,00100,0200,05/19/2000 60897,S200000,00100,0100,7600 RIVER ROAD 60897,S200000,00200,0100,NORTH BERGEN 60897,S200000,00200,0200,NJ 60897,S200000,00300,0100,HUDSON 60897,S200000,00400,0100,THE HARBORAGE 60897,S200000,00400,0200,315307 60897,S200000,00400,0300,10/02/1991 60897,S200000,00400,0500,P 60897,S200000,01600,0100,Y 60897,S200000,01900,0100,501 (C) (3) 60899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60899,A000000,00300,0000,00300EMPLOYEE BENEFITS 60899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60899,A000000,00700,0000,00700HOUSEKEEPING 60899,A000000,00800,0000,00800DIETARY 60899,A000000,00900,0000,00900NURSING ADMINISTRATION 60899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60899,A000000,01100,0000,01100PHARMACY 60899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60899,A000000,01300,0000,01300SOCIAL SERVICE 60899,A000000,01350,0000,01500PATIENT ACTIVITIES 60899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60899,A000000,01600,0000,01600SKILLED NURSING FACILITY 60899,A000000,01800,0000,01800NURSING FACILITY 60899,A000000,01810,0000,01810ICF/MR 60899,A000000,02100,0000,02100RADIOLOGY 60899,A000000,02200,0000,02200LABORATORY 60899,A000000,02500,0000,02500PHYSICAL THERAPY 60899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60899,A000000,02700,0000,02700SPEECH PATHOLOGY 60899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60899,A000000,03200,0000,03200SUPPORT SURFACES 60899,A000000,03550,0000,03550FQHC 60899,A000000,04800,0000,04800AMBULANCE 60899,A000000,05000,0000,05000CORF 60899,A000000,05010,0000,05010CMHC 60899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60899,B100000,00000,0100,00000(SQUARE FEET) 60899,B100000,00000,0200,00000SQUARE FEET 60899,B100000,00000,0300,00000(GROSS SALARIES) 60899,B100000,00000,0400,00000(ACCUM COST) 60899,B100000,00000,0500,00000(SQUARE FEET) 60899,B100000,00000,0600,00000(PATIENT CENSUS) 60899,B100000,00000,0700,00000(SQUARE FOOTAGE) 60899,B100000,00000,0800,00000(MEALS SERVED) 60899,B100000,00000,0900,00000(TIME SPENT) 60899,B100000,00000,1000,00000COSTED REQUIS 60899,B100000,00000,1100,00000COSTED REQUIS 60899,B100000,00000,1200,00000(PATIENT CENSUS) 60899,B100000,00000,1300,00000(PATIENT CENSUS) 60899,B100000,00000,1350,00000(PATIENT CENSUS) 60899,B100000,00000,1400,00000ASSIGNED TIME 60899,E10A180,00501,0300,06/28/2000 60899,E10A180,00550,0100,06/28/2000 60899,S000000,00100,0200,05/30/2000 60899,S200000,00100,0100,23 SCHOOLHOUSE ROAD 60899,S200000,00200,0100,WHITING 60899,S200000,00200,0200,NJ 60899,S200000,00200,0300,08759 60899,S200000,00300,0100,OCEAN 60899,S200000,00400,0100,LOGAN MANOR 60899,S200000,00400,0200,315309 60899,S200000,00400,0300,01/01/1992 60899,S200000,00400,0500,P 60899,S200000,01600,0100,Y 60899,S200000,04700,0100,Y 60899,S200000,04700,0200,Y 60903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60903,A000000,00300,0000,00300EMPLOYEE BENEFITS 60903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60903,A000000,00700,0000,00700HOUSEKEEPING 60903,A000000,00800,0000,00800DIETARY 60903,A000000,00900,0000,00900NURSING ADMINISTRATION 60903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60903,A000000,01100,0000,01100PHARMACY 60903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60903,A000000,01300,0000,01300SOCIAL SERVICE 60903,A000000,01350,0000,01500PATIENT ACTIVITIES 60903,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60903,A000000,01600,0000,01600SKILLED NURSING FACILITY 60903,A000000,01810,0000,01810ICF/MR 60903,A000000,01900,0000,01900OTHER LONG TERM CARE 60903,A000000,02100,0000,02100RADIOLOGY 60903,A000000,02200,0000,02200LABORATORY 60903,A000000,02300,0000,02300INTRAVENOUS THERAPY 60903,A000000,02500,0000,02500PHYSICAL THERAPY 60903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60903,A000000,02700,0000,02700SPEECH PATHOLOGY 60903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60903,A000000,03200,0000,03200SUPPORT SURFACES 60903,A000000,03550,0000,03550FQHC 60903,A000000,05000,0000,05000CORF 60903,A000000,05010,0000,05010CMHC 60903,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60903,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60903,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60903,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60903,B100000,00000,0100,00000SQUARE FEET 60903,B100000,00000,0200,00000SQUARE FEET 60903,B100000,00000,0300,00000GROSS SALARIES 60903,B100000,00000,0400,00000ACCUM COST 60903,B100000,00000,0500,00000SQUARE FEET 60903,B100000,00000,0600,00000POUNDS OF LAUNDRY 60903,B100000,00000,0700,00000HOURS OF SERVICE 60903,B100000,00000,0800,00000MEALS SERVED 60903,B100000,00000,0900,00000DIRECT NRSG HRS 60903,B100000,00000,1000,00000CENSUS 60903,B100000,00000,1100,00000COSTED REQUIS 60903,B100000,00000,1200,00000TIME SPENT 60903,B100000,00000,1300,00000TIME SPENT 60903,B100000,00000,1350,00000PATIENT DAYS 60903,B100000,00000,1400,00000ASSIGNED TIME 60903,E10A180,00501,0100,07/21/2000 60903,E10A180,00501,0300,07/21/2000 60903,S000000,00100,0200,05/30/2000 60903,S200000,00100,0100,3325 ROUTE 35 60903,S200000,00200,0100,HAZLET 60903,S200000,00200,0200,NJ 60903,S200000,00200,0300,07730 60903,S200000,00300,0100,MONMOUTH 60903,S200000,00400,0100,REGENCY PARK NURSING CENTER 60903,S200000,00400,0200,315314 60903,S200000,00400,0300,01/29/1992 60903,S200000,00400,0500,P 60903,S200000,01500,0100,Y 60903,S200000,04300,0100,Y 60906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60906,A000000,00300,0000,00300EMPLOYEE BENEFITS 60906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60906,A000000,00700,0000,00700HOUSEKEEPING 60906,A000000,00800,0000,00800DIETARY 60906,A000000,00900,0000,00900NURSING ADMINISTRATION 60906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60906,A000000,01100,0000,01100PHARMACY 60906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60906,A000000,01300,0000,01300SOCIAL SERVICE 60906,A000000,01350,0000,01500PATIENT ACTIVITIES 60906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60906,A000000,01600,0000,01600SKILLED NURSING FACILITY 60906,A000000,01810,0000,01810ICF/MR 60906,A000000,02100,0000,02100RADIOLOGY 60906,A000000,02200,0000,02200LABORATORY 60906,A000000,02300,0000,02300INTRAVENOUS THERAPY 60906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60906,A000000,02500,0000,02500PHYSICAL THERAPY 60906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60906,A000000,02700,0000,02700SPEECH PATHOLOGY 60906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60906,A000000,03200,0000,03200SUPPORT SURFACES 60906,A000000,03550,0000,03550FQHC 60906,A000000,05000,0000,05000CORF 60906,A000000,05010,0000,05010CMHC 60906,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60906,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60906,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60906,B100000,00000,0100,00000(SQUARE FEET) 60906,B100000,00000,0200,00000SQUARE FEET 60906,B100000,00000,0300,00000(GROSS SALARIES) 60906,B100000,00000,0400,00000(ACCUM COST) 60906,B100000,00000,0500,00000(SQUARE FEET) 60906,B100000,00000,0600,00000(PATIENT CENSUS) 60906,B100000,00000,0700,00000(SQUARE FEET) 60906,B100000,00000,0800,00000(MEALS SERVED) 60906,B100000,00000,0900,00000(DIRECT NURS. HRS) 60906,B100000,00000,1000,00000COSTED REQUIS 60906,B100000,00000,1100,00000COSTED REQUIS 60906,B100000,00000,1200,00000(PATIENT CENSUS) 60906,B100000,00000,1300,00000(PATIENT CENSUS) 60906,B100000,00000,1350,00000(PATIENT CENSUS) 60906,B100000,00000,1400,00000ASSIGNED TIME 60906,E10A180,00550,0100,08/18/2000 60906,S000000,00100,0200,06/05/2000 60906,S200000,00100,0100,311 SOUTH LIVINGSTON AVENUE 60906,S200000,00200,0100,LIVINGSTON 60906,S200000,00200,0200,NJ 60906,S200000,00200,0300,07039 60906,S200000,00300,0100,ESSEX 60906,S200000,00400,0100,INGLEMOOR CARE CTR. OF LIVINGSTON 60906,S200000,00400,0200,315322 60906,S200000,00400,0300,01/01/1996 60906,S200000,00400,0500,P 60906,S200000,01500,0100,Y 60906,S200000,04300,0100,Y 60908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60908,A000000,00300,0000,00300EMPLOYEE BENEFITS 60908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60908,A000000,00700,0000,00700HOUSEKEEPING 60908,A000000,00800,0000,00800DIETARY 60908,A000000,00900,0000,00900NURSING ADMINISTRATION 60908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60908,A000000,01100,0000,01100PHARMACY 60908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60908,A000000,01300,0000,01300SOCIAL SERVICE 60908,A000000,01350,0000,01500ACTIVITIES 60908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60908,A000000,01600,0000,01600SKILLED NURSING FACILITY 60908,A000000,01810,0000,01810ICF/MR 60908,A000000,02100,0000,02100RADIOLOGY 60908,A000000,02200,0000,02200LABORATORY 60908,A000000,02500,0000,02500PHYSICAL THERAPY 60908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60908,A000000,02700,0000,02700SPEECH PATHOLOGY 60908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60908,A000000,03550,0000,03550FQHC 60908,A000000,05000,0000,05000CORF 60908,A000000,05010,0000,05010CMHC 60908,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60908,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60908,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60908,B100000,00000,0100,00040SQUARE FEET 60908,B100000,00000,0200,00040SQUARE FEET 60908,B100000,00000,0300,00040GROSS SALARIES 60908,B100000,00000,0400,00040ACCUM COST 60908,B100000,00000,0500,00040SQUARE FEET 60908,B100000,00000,0600,00040PATIENT DAYS 60908,B100000,00000,0700,00040SQUARE FEET 60908,B100000,00000,0800,00040MEALS SERVED 60908,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 60908,B100000,00000,1000,00040PATIENT DAYS 60908,B100000,00000,1100,00040PATIENT DAYS 60908,B100000,00000,1200,00040PATIENT DAYS 60908,B100000,00000,1300,00040PATIENT DAYS 60908,B100000,00000,1350,00040PATIENT DAYS 60908,B100000,00000,1400,00040ASSIGNED TIME 60908,E10A180,00501,0300,06/15/2000 60908,E10A180,00551,0100,06/15/2000 60908,S000000,00100,0200,04/18/2000 60908,S200000,00100,0100,8 MIDDLETOWN AVE 60908,S200000,00200,0100,ATLANTIC HIGHLANDS 60908,S200000,00200,0200,NJ 60908,S200000,00200,0300,07716 60908,S200000,00300,0100,MONMOUTH 60908,S200000,00400,0100,ATLANTIC HIGHLANDS NURSING HOME 60908,S200000,00400,0200,315325 60908,S200000,00400,0300,07/01/1992 60908,S200000,00400,0500,P 60908,S200000,01500,0100,Y 60914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60914,A000000,00300,0000,00300EMPLOYEE BENEFITS 60914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60914,A000000,00700,0000,00700HOUSEKEEPING 60914,A000000,00800,0000,00800DIETARY 60914,A000000,00900,0000,00900NURSING ADMINISTRATION 60914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60914,A000000,01100,0000,01100PHARMACY 60914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60914,A000000,01300,0000,01300SOCIAL SERVICE 60914,A000000,01350,0000,01500PATIENT ACTIVITIES 60914,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60914,A000000,01600,0000,01600SKILLED NURSING FACILITY 60914,A000000,01800,0000,01800NURSING FACILITY 60914,A000000,01810,0000,01810ICF/MR 60914,A000000,02100,0000,02100RADIOLOGY 60914,A000000,02200,0000,02200LABORATORY 60914,A000000,02500,0000,02500PHYSICAL THERAPY 60914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60914,A000000,02700,0000,02700SPEECH PATHOLOGY 60914,A000000,02800,0000,02800ELECTROCARDIOLOGY 60914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60914,A000000,03200,0000,03200SUPPORT SURFACES 60914,A000000,03550,0000,03550FQHC 60914,A000000,04800,0000,04800AMBULANCE 60914,A000000,05000,0000,05000CORF 60914,A000000,05010,0000,05010CMHC 60914,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60914,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60914,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60914,A000000,06150,0000,06300ROOMS RENTED TO THERAPISTS 60914,B100000,00000,0100,00000(SQUARE FEET) 60914,B100000,00000,0200,00000SQUARE FEET 60914,B100000,00000,0300,00000(GROSS SALARIES) 60914,B100000,00000,0400,00000(ACCUM COST) 60914,B100000,00000,0500,00000(SQUARE FEET) 60914,B100000,00000,0600,00000(PATIENT CENSUS) 60914,B100000,00000,0700,00000(SQUARE FOOTAGE) 60914,B100000,00000,0800,00000(MEALS SERVED) 60914,B100000,00000,0900,00000(DIRECT NRSG HRS) 60914,B100000,00000,1000,00000(COSTED REQUIS) 60914,B100000,00000,1100,00000COSTED REQUIS 60914,B100000,00000,1200,00000(PATIENT CENSUS) 60914,B100000,00000,1300,00000(PATIENT CENSUS) 60914,B100000,00000,1350,00000(PATIENT CENSUS) 60914,B100000,00000,1400,00000ASSIGNED TIME 60914,E10A180,00501,0100,06/23/2000 60914,E10A180,00501,0300,06/23/2000 60914,S000000,00100,0200,05/24/2000 60914,S200000,00100,0100,527 RIVER AVENUE 60914,S200000,00200,0100,LAKEWOOD 60914,S200000,00200,0200,NJ 60914,S200000,00200,0300,08701 60914,S200000,00300,0100,OCEAN 60914,S200000,00400,0100,FOUNTAIN VIEW CARE CENTER 60914,S200000,00400,0200,315327 60914,S200000,00400,0300,09/07/1993 60914,S200000,00400,0500,P 60914,S200000,01600,0100,Y 60914,S200000,04300,0100,Y 60917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60917,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60917,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60917,A000000,00300,0000,00300EMPLOYEE BENEFITS 60917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60917,A000000,00700,0000,00700HOUSEKEEPING 60917,A000000,00800,0000,00800DIETARY 60917,A000000,00801,0000,00801CAFETERIA 60917,A000000,00900,0000,00900NURSING ADMINISTRATION 60917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60917,A000000,01100,0000,01100PHARMACY 60917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60917,A000000,01300,0000,01300SOCIAL SERVICE 60917,A000000,01350,0000,01500REC. HERAPY 60917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60917,A000000,01600,0000,01600SKILLED NURSING FACILITY 60917,A000000,01800,0000,01800NURSING FACILITY 60917,A000000,01810,0000,01810ICF/MR 60917,A000000,02100,0000,02100RADIOLOGY 60917,A000000,02200,0000,02200LABORATORY 60917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60917,A000000,02500,0000,02500PHYSICAL THERAPY 60917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60917,A000000,02700,0000,02700SPEECH PATHOLOGY 60917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60917,A000000,03050,0000,03300PEN THERAPY 60917,A000000,03051,0000,03301FEE SCREENING 60917,A000000,03052,0000,03302OTHER ANCILLARY III 60917,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60917,A000000,03550,0000,03550FQHC 60917,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60917,A000000,05000,0000,05000CORF I 60917,A000000,05010,0000,05010CMHC I 60917,A000000,05020,0000,05020OPT I 60917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60917,A000000,05300,0000,05300INTEREST EXPENSE 60917,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60917,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60917,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60917,A81000A,00100,0100,Y 60917,A81000B,00100,0300,AS ATTACHED 60917,A81000B,00200,0300,HOME OFFICE 60917,A81000B,00300,0300,CAPITAL INTEREST 60917,A81000B,00400,0300,HOME OFFICE 60917,A81000C,00100,0100,B 60917,A81000C,00100,0400,AS ATTACHED 60917,A81000C,00100,0600,AS ATTACHED 60917,A81000C,00200,0100,B 60917,A81000C,00200,0400,GEN. HLTH VEN. 60917,A81000C,00200,0600,LONG TERM CARE 60917,A81000C,00300,0100,B 60917,A81000C,00300,0400,GEN. HLTH VEN. 60917,A81000C,00300,0600,LONG TERM CARE 60917,A81000C,00400,0100,B 60917,A81000C,00400,0400,GEN. HLTH VEN. 60917,A81000C,00400,0600,LONG TERM CARE 60917,B100000,00000,0100,00000(SQUARE FEET) 60917,B100000,00000,0101,00000(SQUARE FEET) 60917,B100000,00000,0200,00000(SQUARE FEET) 60917,B100000,00000,0201,00000(SQUARE FEET) 60917,B100000,00000,0300,00000(GROSS SALARIES) 60917,B100000,00000,0400,00000(ACCUM. COST) 60917,B100000,00000,0500,00000(SQUARE FEET) 60917,B100000,00000,0600,00000(PATIENT DAYS) 60917,B100000,00000,0700,00000(SQUARE FEET) 60917,B100000,00000,0800,00000(MEALS SERVED) 60917,B100000,00000,0801,00000(MEALS SERVED) 60917,B100000,00000,0900,00000(NURSING SALARIES) 60917,B100000,00000,1000,00000(COSTED REQUIS.) 60917,B100000,00000,1100,00000(COSTED REQUIS.) 60917,B100000,00000,1200,00000(PATIENT DAYS) 60917,B100000,00000,1300,00000(PATIENT DAYS) 60917,B100000,00000,1350,00000(PATIENT DAYS) 60917,B100000,00000,1400,00000(ASSIGNED TIME) 60917,E10A180,00301,0100,01/05/2000 60917,S000000,00100,0200,07/19/2000 60917,S200000,00100,0100,12-15 SADDLE RIVER RD 60917,S200000,00200,0100,FAIR LAWN 60917,S200000,00200,0200,NJ 60917,S200000,00200,0300,07410 60917,S200000,00300,0100,BERGEN 60917,S200000,00400,0100,MAPLE GLEN 60917,S200000,00400,0200,315328 60917,S200000,00400,0300,07/01/1976 60917,S200000,00400,0500,P 60917,S200000,01600,0100,Y 60917,S200000,02200,0100,Y 60919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60919,A000000,00300,0000,00300EMPLOYEE BENEFITS 60919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60919,A000000,00700,0000,00700HOUSEKEEPING 60919,A000000,00800,0000,00800DIETARY 60919,A000000,00900,0000,00900NURSING ADMINISTRATION 60919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60919,A000000,01100,0000,01100PHARMACY 60919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60919,A000000,01300,0000,01300SOCIAL SERVICE 60919,A000000,01350,0000,01500PATIENT ACTIVITIES 60919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60919,A000000,01600,0000,01600SKILLED NURSING FACILITY 60919,A000000,01810,0000,01810ICF/MR 60919,A000000,01900,0000,01900OTHER LONG TERM CARE 60919,A000000,02200,0000,02200LABORATORY 60919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60919,A000000,03550,0000,03550FQHC 60919,A000000,05000,0000,05000CORF 60919,A000000,05010,0000,05010CMHC 60919,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60919,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60919,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60919,A000000,06150,0000,06300BARBER/BEAUTY 60919,A81000A,00100,0100,Y 60919,A81000B,00100,0300,MANAGEMENT FEE 60919,A81000B,00200,0300,LAUNDRY CONTRACT 60919,A81000B,00300,0300,DIETARY CONTRACT 60919,A81000B,00400,0300,SECURITY CONTRACT 60919,A81000B,00500,0300,CAPITAL RELATED COSTS 60919,A81000C,00100,0100,A 60919,A81000C,00100,0200,VIA CARITAS 60919,A81000C,00100,0400,ST CLARES 60919,A81000C,00100,0600,HEALTH CARE 60919,A81000C,00200,0100,A 60919,A81000C,00200,0200,VIA CARITAS 60919,A81000C,00200,0400,ST CLARES 60919,A81000C,00200,0600,HEALTH CARE 60919,A81000C,00300,0100,A 60919,A81000C,00300,0200,VIA CARITAS 60919,A81000C,00300,0400,ST CLARES 60919,A81000C,00300,0600,HEALTH CARE 60919,A81000C,00400,0100,A 60919,A81000C,00400,0200,VIA CARITAS 60919,A81000C,00400,0400,ST CLARES 60919,A81000C,00400,0600,HEALTH CARE 60919,B100000,00000,0100,00000SQUARE FEET 60919,B100000,00000,0200,00000SQUARE FEET 60919,B100000,00000,0300,00000GROSS SALARIES 60919,B100000,00000,0400,00000ACCUM COST 60919,B100000,00000,0500,00000SQUARE FEET 60919,B100000,00000,0600,00000POUNDS OF LAUNDRY 60919,B100000,00000,0700,00000HOURS OF SERVICE 60919,B100000,00000,0800,00000MEALS SERVED 60919,B100000,00000,0900,00000DIRECT NRSG HRS 60919,B100000,00000,1000,00000COSTED REQUIS 60919,B100000,00000,1100,00000COSTED REQUIS 60919,B100000,00000,1200,00000TIME SPENT 60919,B100000,00000,1300,00000TIME SPENT 60919,B100000,00000,1350,00000(PATIENT CENSUS) 60919,B100000,00000,1400,00000ASSIGNED TIME 60919,S000000,00100,0200,04/25/2000 60919,S200000,00100,0100,21 POCONO ROAD 60919,S200000,00200,0100,DENVILLE 60919,S200000,00200,0200,NJ 60919,S200000,00200,0300,07834 60919,S200000,00300,0100,MORRIS 60919,S200000,00400,0100,FRANCISCAN OAKS HEALTH CENTER 60919,S200000,00400,0200,315329 60919,S200000,00400,0300,12/01/1993 60919,S200000,00400,0500,P 60919,S200000,01500,0100,Y 60919,S200000,04300,0100,Y 60923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60923,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60923,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60923,A000000,00300,0000,00300EMPLOYEE BENEFITS 60923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60923,A000000,00700,0000,00700HOUSEKEEPING 60923,A000000,00800,0000,00800DIETARY 60923,A000000,00801,0000,00801CAFETERIA 60923,A000000,00900,0000,00900NURSING ADMINISTRATION 60923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60923,A000000,01100,0000,01100PHARMACY 60923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60923,A000000,01300,0000,01300SOCIAL SERVICE 60923,A000000,01350,0000,01500REC THERAPY 60923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60923,A000000,01600,0000,01600SKILLED NURSING FACILITY 60923,A000000,01800,0000,01800NURSING FACILITY 60923,A000000,01810,0000,01810ICF/MR 60923,A000000,02100,0000,02100RADIOLOGY 60923,A000000,02200,0000,02200LABORATORY 60923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60923,A000000,02500,0000,02500PHYSICAL THERAPY 60923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60923,A000000,02700,0000,02700SPEECH PATHOLOGY 60923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60923,A000000,03050,0000,03300PEN. THERAPY 60923,A000000,03051,0000,03301FEE SCREENING 60923,A000000,03052,0000,03302OTHER ANCILLARY III 60923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60923,A000000,03550,0000,03550FQHC 60923,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60923,A000000,05000,0000,05000CORF I 60923,A000000,05010,0000,05010CMHC I 60923,A000000,05020,0000,05020OPT I 60923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60923,A000000,05300,0000,05300INTEREST EXPENSE 60923,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60923,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60923,A81000A,00100,0100,Y 60923,A81000B,00100,0300,AS ATTACHED 60923,A81000B,00200,0300,HOME OFFICE 60923,A81000B,00300,0300,HOME OFFICE 60923,A81000C,00100,0100,B 60923,A81000C,00100,0400,AS ATTACHED 60923,A81000C,00100,0600,AS ATTACHED 60923,A81000C,00200,0100,B 60923,A81000C,00200,0400,GEN. HLTH VEN. 60923,A81000C,00200,0600,LONG TERM CARE 60923,A81000C,00300,0100,B 60923,A81000C,00300,0400,GEN. HLTH VEN. 60923,A81000C,00300,0600,LONG TERM CARE 60923,B100000,00000,0100,00000(SQUARE FEET) 60923,B100000,00000,0101,00000(SQUARE FEET) 60923,B100000,00000,0200,00000(SQUARE FEET) 60923,B100000,00000,0201,00000(SQUARE FEET) 60923,B100000,00000,0300,00000(GROSS SALARIES) 60923,B100000,00000,0400,00000(ACCUM. COST) 60923,B100000,00000,0500,00000(SQUARE FEET) 60923,B100000,00000,0600,00000(PATIENT DAYS) 60923,B100000,00000,0700,00000(SQUARE FEET) 60923,B100000,00000,0800,00000(MEALS SERVED) 60923,B100000,00000,0801,00000(MEALS SERVED) 60923,B100000,00000,0900,00000(NURSING SALARIES) 60923,B100000,00000,1000,00000COST REQ 60923,B100000,00000,1100,00000(COSTED REQUIS.) 60923,B100000,00000,1200,00000(PATIENT DAYS) 60923,B100000,00000,1300,00000(PATIENT DAYS) 60923,B100000,00000,1350,00000PATIENT DAYS 60923,B100000,00000,1400,00000(ASSIGNED TIME) 60923,E10A180,00301,0100,01/05/2000 60923,S000000,00100,0200,05/31/2000 60923,S200000,00100,0100,2305 RANCOCAS ROAD 60923,S200000,00200,0100,BURLINGTON TWSHP 60923,S200000,00200,0200,NJ 60923,S200000,00200,0300,08016 60923,S200000,00300,0100,BURLINGTON 60923,S200000,00400,0100,MARCELLA 60923,S200000,00400,0200,315330 60923,S200000,00400,0300,04/01/1994 60923,S200000,00400,0500,P 60923,S200000,01600,0100,Y 60923,S200000,02200,0100,Y 60925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60925,A000000,00300,0000,00300EMPLOYEE BENEFITS 60925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60925,A000000,00700,0000,00700HOUSEKEEPING 60925,A000000,00800,0000,00800DIETARY 60925,A000000,00900,0000,00900NURSING ADMINISTRATION 60925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60925,A000000,01100,0000,01100PHARMACY 60925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60925,A000000,01300,0000,01300SOCIAL SERVICE 60925,A000000,01350,0000,01500PATIENT ACTIVITIES 60925,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60925,A000000,01600,0000,01600SKILLED NURSING FACILITY 60925,A000000,01810,0000,01810ICF/MR 60925,A000000,02200,0000,02200LABORATORY 60925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60925,A000000,02500,0000,02500PHYSICAL THERAPY 60925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60925,A000000,02700,0000,02700SPEECH PATHOLOGY 60925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60925,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60925,A000000,03550,0000,03550FQHC 60925,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60925,A000000,05000,0000,05000CORF 60925,A000000,05010,0000,05010CMHC 60925,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60925,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60925,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60925,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 60925,A000000,05300,0000,05300INTEREST EXPENSE 60925,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60925,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60925,A81000A,00100,0100,Y 60925,A81000B,00100,0300,PHYSICAL THERAPY 60925,A81000B,00200,0300,OCCUPATIONAL THERAPY 60925,A81000B,00300,0300,SPEECH THERAPY 60925,A81000B,00400,0300,HOME OFFICE MGMT FEE 60925,A81000B,00500,0300,PENSION 60925,A81000B,00600,0300,HOME OFFICE ALLOC 60925,A81000B,00700,0300,HOME OFFICE ALLOC 60925,A81000C,00100,0100,B 60925,A81000C,00100,0400,KESSLER INSTITU 60925,A81000C,00100,0600,HEALTH CARE PRO 60925,A81000C,00200,0100,B 60925,A81000C,00200,0400,KESSLER INSTITU 60925,A81000C,00200,0600,HEALTH CARE PRO 60925,A81000C,00300,0100,B 60925,A81000C,00300,0400,KESSLER INSTITU 60925,A81000C,00300,0600,HEALTH CARE PRO 60925,A81000C,00400,0100,B 60925,A81000C,00400,0400,KESSLER REHAB C 60925,A81000C,00400,0600,HOME OFFICE 60925,A81000C,00500,0100,B 60925,A81000C,00500,0400,KESSLER INSITIT 60925,A81000C,00500,0600,HEALTH CARE PRO 60925,A81000C,00600,0100,B 60925,A81000C,00600,0400,KESSLER REHAB C 60925,A81000C,00600,0600,HOME OFFICE 60925,A81000C,00700,0100,B 60925,A81000C,00700,0400,KESSLER REHAB C 60925,A81000C,00700,0600,HOME OFFICE 60925,B100000,00000,0100,00000SQUARE FEET 60925,B100000,00000,0200,00000SQ.FT.EXCL LUD KITC 60925,B100000,00000,0300,00000GROSS SALARIES 60925,B100000,00000,0400,00000ACCUM. COST 60925,B100000,00000,0500,00000SQUARE FEET 60925,B100000,00000,0600,00000PATIENT DAYS 60925,B100000,00000,0700,00000SQ.FT.EXCL LUD KITC 60925,B100000,00000,0800,00000PATIENT DAYS 60925,B100000,00000,0900,00000PATIENT DAYS 60925,B100000,00000,1000,00000PATIENT DAYS 60925,B100000,00000,1100,00000PATIENT DAYS 60925,B100000,00000,1200,00000PATIENT DAYS 60925,B100000,00000,1300,00000PATIENT DAYS 60925,B100000,00000,1350,00000PATIENT DAYS 60925,B100000,00000,1400,00000ASSIGNED TIME 60925,E10A180,00501,0100,06/29/2000 60925,E10A180,00501,0300,06/29/2000 60925,E10A180,00502,0100,09/05/2000 60925,E10A180,00502,0300,09/05/2000 60925,S000000,00100,0200,05/31/2000 60925,S200000,00100,0100,77 EAST 43RD STREET 60925,S200000,00200,0100,PATERSON 60925,S200000,00200,0200,NJ 60925,S200000,00200,0300,07514 60925,S200000,00300,0100,PASSAIC 60925,S200000,00400,0100,KESSLER CARE CENTER AT GREAT FALLS 60925,S200000,00400,0200,315331 60925,S200000,00400,0300,07/15/1995 60925,S200000,00400,0500,P 60925,S200000,01500,0100,Y 60928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60928,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60928,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60928,A000000,00300,0000,00300EMPLOYEE BENEFITS 60928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60928,A000000,00700,0000,00700HOUSEKEEPING 60928,A000000,00800,0000,00800DIETARY 60928,A000000,00801,0000,00801CAFETERIA 60928,A000000,00900,0000,00900NURSING ADMINISTRATION 60928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60928,A000000,01100,0000,01100PHARMACY 60928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60928,A000000,01300,0000,01300SOCIAL SERVICE 60928,A000000,01350,0000,01500REC THERAPY 60928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60928,A000000,01600,0000,01600SKILLED NURSING FACILITY 60928,A000000,01800,0000,01800NURSING FACILITY 60928,A000000,01810,0000,01810ICF/MR 60928,A000000,02100,0000,02100RADIOLOGY 60928,A000000,02200,0000,02200LABORATORY 60928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60928,A000000,02500,0000,02500PHYSICAL THERAPY 60928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60928,A000000,02700,0000,02700SPEECH PATHOLOGY 60928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60928,A000000,03050,0000,03300PEN THERAPY 60928,A000000,03051,0000,03301FEE SCREENING 60928,A000000,03052,0000,03302OTHER ANCILLARY III 60928,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60928,A000000,03550,0000,03550FQHC 60928,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60928,A000000,05000,0000,05000CORF I 60928,A000000,05010,0000,05010CMHC I 60928,A000000,05020,0000,05020OPT I 60928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60928,A000000,05300,0000,05300INTEREST EXPENSE 60928,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60928,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60928,A81000A,00100,0100,Y 60928,A81000B,00100,0300,ADMIN&GEN-ALLOWABLE COSTS 60928,A81000B,00200,0300,CAP REL COSTS-ALLOWABLE COSTS 60928,A81000B,00300,0300,AS ATTACHED 60928,A81000B,00400,0300,CAP REL COSTS-ALLOWABLE COSTS 60928,A81000C,00100,0100,B 60928,A81000C,00100,0400,GHV 60928,A81000C,00100,0600,LONG TERM CARE 60928,A81000C,00200,0100,B 60928,A81000C,00200,0400,GHV 60928,A81000C,00200,0600,LONG TERM CARE 60928,A81000C,00300,0100,B 60928,A81000C,00300,0400,GHV 60928,A81000C,00300,0600,LONG TERM CARE 60928,A81000C,00400,0100,B 60928,A81000C,00400,0400,GHV 60928,A81000C,00400,0600,LONG TERM CARE 60928,B100000,00000,0100,00000(SQUARE FEET) 60928,B100000,00000,0101,00000(SQUARE FEET) 60928,B100000,00000,0200,00000(SQUARE FEET) 60928,B100000,00000,0201,00000(SQUARE FEET) 60928,B100000,00000,0300,00000(GROSS SALARIES) 60928,B100000,00000,0400,00000(ACCUM. COST) 60928,B100000,00000,0500,00000(SQUARE FEET) 60928,B100000,00000,0600,00000(PATIENT DAYS) 60928,B100000,00000,0700,00000(SQUARE FEET) 60928,B100000,00000,0800,00000(MEALS SERVED) 60928,B100000,00000,0801,00000(MEALS SERVED) 60928,B100000,00000,0900,00000(NURSING SALARIES) 60928,B100000,00000,1000,00000(COSTED REQUIS.) 60928,B100000,00000,1100,00000(PATIENT DAYS) 60928,B100000,00000,1200,00000(PATIENT DAYS) 60928,B100000,00000,1300,00000(PATIENT DAYS) 60928,B100000,00000,1350,00000(PATIENT DAYS) 60928,B100000,00000,1400,00000(ASSIGNED TIME) 60928,E10A180,00301,0100,01/05/2000 60928,S000000,00100,0200,05/31/2000 60928,S200000,00100,0100,1361 ROUTE 72 WEST 60928,S200000,00200,0100,MANHAWKIN 60928,S200000,00200,0200,NJ 60928,S200000,00200,0300,08050 60928,S200000,00300,0100,OCEAN 60928,S200000,00400,0100,SOUTHERN OCEAN 60928,S200000,00400,0200,315332 60928,S200000,00400,0300,06/22/1994 60928,S200000,00400,0500,P 60928,S200000,01600,0100,Y 60928,S200000,02200,0100,Y 60931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60931,A000000,00300,0000,00300EMPLOYEE BENEFITS 60931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60931,A000000,00700,0000,00700HOUSEKEEPING 60931,A000000,00800,0000,00800DIETARY 60931,A000000,00900,0000,00900NURSING ADMINISTRATION 60931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60931,A000000,01100,0000,01100PHARMACY 60931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60931,A000000,01300,0000,01300SOCIAL SERVICE 60931,A000000,01310,0000,01310RECREATIONAL THERAPY 60931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60931,A000000,01600,0000,01600SKILLED NURSING FACILITY 60931,A000000,01800,0000,01800NURSING FACILITY 60931,A000000,01810,0000,01810ICF/MR 60931,A000000,02500,0000,02500PHYSICAL THERAPY 60931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60931,A000000,02700,0000,02700SPEECH PATHOLOGY 60931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60931,A000000,03550,0000,03550FQHC 60931,A000000,05000,0000,05000CORF 60931,A000000,05010,0000,05010CMHC 60931,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60931,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60931,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60931,A81000A,00100,0100,Y 60931,A81000B,00100,0300,MANAGEMENT FEE 60931,A81000B,00200,0300,RENT 60931,A81000B,00300,0300,INTEREST 60931,A81000B,00400,0300,AMORT/DEPR 60931,A81000C,00100,0100,G 60931,A81000C,00200,0100,G 60931,A81000C,00300,0100,G 60931,A81000C,00400,0100,G 60931,B100000,00000,0100,00000(SQUARE FEET) 60931,B100000,00000,0200,00000(SQUARE FEET) 60931,B100000,00000,0300,00000(GROSS SALARIES) 60931,B100000,00000,0400,00000(ACCUM COST) 60931,B100000,00000,0500,00000(SQUARE FEET) 60931,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 60931,B100000,00000,0700,00000(SQUARE FEET) 60931,B100000,00000,0800,00000(MEALS SERVED) 60931,B100000,00000,0900,00000(DIRECT NRSG HRS) 60931,B100000,00000,1000,00000(COSTED REQUIS) 60931,B100000,00000,1100,00000(PATIENT DAYS) 60931,B100000,00000,1200,00000(TIME SPENT) 60931,B100000,00000,1300,00000(TIME SPENT) 60931,B100000,00000,1310,00000(PATIENT DAYS) 60931,B100000,00000,1400,00000(ASSIGNED TIME) 60931,S000000,00100,0200,06/06/2000 60931,S200000,00100,0100,1120 ALPS ROAD 60931,S200000,00200,0100,WAYNE 60931,S200000,00200,0200,NJ 60931,S200000,00400,0100,ALPS MANOR NURSING HOME 60931,S200000,00400,0200,315335 60931,S200000,00400,0300,01/19/1994 60931,S200000,00400,0500,P 60931,S200000,01600,0100,Y 60931,S200000,01900,0100,501 C(3) 60934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60934,A000000,00300,0000,00300EMPLOYEE BENEFITS 60934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60934,A000000,00700,0000,00700HOUSEKEEPING 60934,A000000,00800,0000,00800DIETARY 60934,A000000,00900,0000,00900NURSING ADMINISTRATION 60934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60934,A000000,01100,0000,01100PHARMACY 60934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60934,A000000,01300,0000,01300SOCIAL SERVICE 60934,A000000,01350,0000,01500PATIENT ACTIVITIES 60934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60934,A000000,01600,0000,01600SKILLED NURSING FACILITY 60934,A000000,01800,0000,01800NURSING FACILITY 60934,A000000,01810,0000,01810ICF/MR 60934,A000000,02100,0000,02100RADIOLOGY 60934,A000000,02200,0000,02200LABORATORY 60934,A000000,02500,0000,02500PHYSICAL THERAPY 60934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60934,A000000,02700,0000,02700SPEECH PATHOLOGY 60934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60934,A000000,03550,0000,03550FQHC 60934,A000000,05000,0000,05000CORF 60934,A000000,05010,0000,05010CMHC 60934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60934,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60934,A81000A,00100,0100,Y 60934,A81000B,00100,0300,COMPUTER CONSULTING 60934,A81000C,00100,0100,D 60934,A81000C,00100,0200,H. VEALE 60934,A81000C,00100,0400,K. VEALE 60934,B100000,00000,0100,00000(SQUARE FEET) 60934,B100000,00000,0200,00000SQUARE FEET 60934,B100000,00000,0300,00000(GROSS SALARIES) 60934,B100000,00000,0400,00000(ACCUM COST) 60934,B100000,00000,0500,00000(SQUARE FEET) 60934,B100000,00000,0600,00000(PATIENT CENSUS) 60934,B100000,00000,0700,00000(HOURS OF SERVICE) 60934,B100000,00000,0800,00000(MEALS SERVED) 60934,B100000,00000,0900,00000(DIRECT NRSG HRS) 60934,B100000,00000,1000,00000COSTED REQUIS 60934,B100000,00000,1100,00000COSTED REQUIS 60934,B100000,00000,1200,00000(PATIENT CENSUS) 60934,B100000,00000,1300,00000(PATIENT CENSUS) 60934,B100000,00000,1350,00000(PATIENT CENSUS) 60934,B100000,00000,1400,00000ASSIGNED TIME 60934,E10A180,00501,0100,01/10/2001 60934,S000000,00100,0200,12/07/2000 60934,S200000,00100,0100,189 APPLEGARTH ROAD 60934,S200000,00200,0100,MONROE TOWNSHIP 60934,S200000,00200,0200,NJ 60934,S200000,00200,0300,08831 60934,S200000,00300,0100,M 60934,S200000,00400,0100,APPLEGARTH CARE CENTER 60934,S200000,00400,0200,315336 60934,S200000,00400,0300,10/01/1994 60934,S200000,00400,0500,P 60934,S200000,01600,0100,Y 60934,S200000,04300,0100,Y 60937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60937,A000000,00300,0000,00300EMPLOYEE BENEFITS 60937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60937,A000000,00700,0000,00700HOUSEKEEPING 60937,A000000,00800,0000,00800DIETARY 60937,A000000,00900,0000,00900NURSING ADMINISTRATION 60937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60937,A000000,01100,0000,01100PHARMACY 60937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60937,A000000,01300,0000,01300SOCIAL SERVICE 60937,A000000,01350,0000,01500PATIENT ACTIVITIES 60937,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60937,A000000,01600,0000,01600SKILLED NURSING FACILITY 60937,A000000,01810,0000,01810ICF/MR 60937,A000000,01900,0000,01900OTHER LONG TERM CARE 60937,A000000,02100,0000,02100RADIOLOGY 60937,A000000,02200,0000,02200LABORATORY 60937,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60937,A000000,02500,0000,02500PHYSICAL THERAPY 60937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60937,A000000,02700,0000,02700SPEECH PATHOLOGY 60937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60937,A000000,03550,0000,03550FQHC 60937,A000000,04800,0000,04800AMBULANCE 60937,A000000,05000,0000,05000CORF 60937,A000000,05010,0000,05010CMHC 60937,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60937,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60937,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60937,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60937,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60937,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60937,A81000A,00100,0100,Y 60937,A81000B,00100,0300,PHYSICAL THERAPY 60937,A81000B,00200,0300,OCCUPATIONAL THERAPY 60937,A81000B,00300,0300,SPEECH THERAPY 60937,A81000B,00400,0300,SECURITY 60937,A81000B,00500,0300,FINANCE 60937,A81000C,00100,0100,B 60937,A81000C,00100,0200,ST. LAWRENCE REHAB CENTER 60937,A81000C,00100,0400,RELATED ORG. 60937,B100000,00000,0100,00000SQUARE FEET 60937,B100000,00000,0200,00000SQUARE FEET 60937,B100000,00000,0300,00000GROSS SALARIES 60937,B100000,00000,0400,00000ACCUM. COST 60937,B100000,00000,0500,00000SQUARE FEET 60937,B100000,00000,0600,00000PATIENT DAYS 60937,B100000,00000,0700,00000SQUARE FEET 60937,B100000,00000,0800,00000PATIENT DAYS 60937,B100000,00000,0900,00000PATIENT DAYS 60937,B100000,00000,1000,00000PATIENT DAYS 60937,B100000,00000,1100,00000PATIENT DAYS 60937,B100000,00000,1200,00000PATIENT DAYS 60937,B100000,00000,1300,00000PATIENT DAYS 60937,B100000,00000,1350,00000PATIENT DAYS 60937,B100000,00000,1400,00000ASSIGNED TIME 60937,S000000,00100,0200,05/31/2000 60937,S200000,00100,0100,2361 LAWRENCEVILLE ROAD 60937,S200000,00200,0100,LAWRENCEVILLE 60937,S200000,00200,0200,NJ 60937,S200000,00200,0300,08648 60937,S200000,00300,0100,MERCER 60937,S200000,00400,0100,MORRIS HALL HOME FOR THE AGED 60937,S200000,00400,0200,315338 60937,S200000,00400,0300,11/07/1994 60937,S200000,00400,0500,P 60937,S200000,01500,0100,Y 60939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60939,A000000,00300,0000,00300EMPLOYEE BENEFITS 60939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60939,A000000,00700,0000,00700HOUSEKEEPING 60939,A000000,00800,0000,00800DIETARY 60939,A000000,00900,0000,00900NURSING ADMINISTRATION 60939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60939,A000000,01100,0000,01100PHARMACY 60939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60939,A000000,01300,0000,01300SOCIAL SERVICE 60939,A000000,01350,0000,01500PATIENT ACTIVITIES 60939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60939,A000000,01600,0000,01600SKILLED NURSING FACILITY 60939,A000000,01800,0000,01800NURSING FACILITY 60939,A000000,01810,0000,01810ICF/MR 60939,A000000,01900,0000,01900OTHER LONG TERM CARE 60939,A000000,02100,0000,02100RADIOLOGY 60939,A000000,02200,0000,02200LABORATORY 60939,A000000,02500,0000,02500PHYSICAL THERAPY 60939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60939,A000000,02700,0000,02700SPEECH PATHOLOGY 60939,A000000,02800,0000,02800ELECTROCARDIOLOGY 60939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60939,A000000,03550,0000,03550FQHC 60939,A000000,04800,0000,04800AMBULANCE 60939,A000000,05000,0000,05000CORF 60939,A000000,05010,0000,05010CMHC 60939,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60939,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60939,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60939,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60939,B100000,00000,0100,00000(SQUARE FEET) 60939,B100000,00000,0200,00000SQUARE FEET 60939,B100000,00000,0300,00000(GROSS SALARIES) 60939,B100000,00000,0400,00000(ACCUM COST) 60939,B100000,00000,0500,00000(SQUARE FEET) 60939,B100000,00000,0600,00000(WEIGHTED STATS) 60939,B100000,00000,0700,00000(SQUARE FEET) 60939,B100000,00000,0800,00000(MEALS SERVED) 60939,B100000,00000,0900,00000(DIRECT NRSG HRS) 60939,B100000,00000,1000,00000COSTED REQUIS 60939,B100000,00000,1100,00000COSTED REQUIS 60939,B100000,00000,1200,00000TIME SPENT 60939,B100000,00000,1300,00000(PATIENT DAYS) 60939,B100000,00000,1350,00000STAFFING HOURS 60939,B100000,00000,1400,00000ASSIGNED TIME 60939,E10A180,00501,0100,07/05/2000 60939,E10A180,00501,0300,07/05/2000 60939,S000000,00100,0200,05/09/2000 60939,S200000,00100,0100,3850 ATLANTIC AVENUE 60939,S200000,00200,0100,ATLANTIC CITY 60939,S200000,00200,0200,NJ 60939,S200000,00200,0300,08401 60939,S200000,00300,0100,ATLANTIC 60939,S200000,00400,0100,SEASHORE GARDENS 60939,S200000,00400,0200,315340 60939,S200000,00400,0300,02/01/1995 60939,S200000,00400,0500,P 60939,S200000,01600,0100,Y 60939,S200000,04300,0100,Y 60942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60942,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60942,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60942,A000000,00300,0000,00300EMPLOYEE BENEFITS 60942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60942,A000000,00700,0000,00700HOUSEKEEPING 60942,A000000,00800,0000,00800DIETARY 60942,A000000,00801,0000,00801CAFETERIA 60942,A000000,00900,0000,00900NURSING ADMINISTRATION 60942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60942,A000000,01100,0000,01100PHARMACY 60942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60942,A000000,01300,0000,01300SOCIAL SERVICE 60942,A000000,01350,0000,01500REC. THERAPY 60942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60942,A000000,01600,0000,01600SKILLED NURSING FACILITY 60942,A000000,01800,0000,01800NURSING FACILITY 60942,A000000,01810,0000,01810ICF/MR 60942,A000000,02100,0000,02100RADIOLOGY 60942,A000000,02200,0000,02200LABORATORY 60942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60942,A000000,02500,0000,02500PHYSICAL THERAPY 60942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60942,A000000,02700,0000,02700SPEECH PATHOLOGY 60942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60942,A000000,03050,0000,03300PEN THERAPY 60942,A000000,03051,0000,03301FEE SCREENING 60942,A000000,03052,0000,03302OTHER ANCILLARY III 60942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60942,A000000,03550,0000,03550FQHC 60942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60942,A000000,05000,0000,05000CORF I 60942,A000000,05010,0000,05010CMHC I 60942,A000000,05020,0000,05020OPT I 60942,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60942,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60942,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60942,A81000A,00100,0100,Y 60942,A81000B,00100,0300,AS ATTACHED 60942,A81000B,00200,0300,HOME OFFICE 60942,A81000B,00300,0300,CAPITAL INTEREST 60942,A81000B,00400,0300,HOME OFFICE INTEREST 60942,A81000C,00100,0100,B 60942,A81000C,00100,0400,AS ATTACHED 60942,A81000C,00100,0600,AS ATTACHED 60942,A81000C,00200,0100,B 60942,A81000C,00200,0400,GEN HLTH VEN 60942,A81000C,00200,0600,LONG TERM CARE 60942,A81000C,00300,0100,B 60942,A81000C,00300,0400,GEN HLTH VEN 60942,A81000C,00300,0600,LONG TERM CARE 60942,A81000C,00400,0100,B 60942,A81000C,00400,0400,GEN HLTH VEN 60942,A81000C,00400,0600,LONG TERM CARE 60942,B100000,00000,0100,00000(SQUARE FEET) 60942,B100000,00000,0101,00000(SQUARE FEET) 60942,B100000,00000,0200,00000(SQUARE FEET) 60942,B100000,00000,0201,00000(SQUARE FEET) 60942,B100000,00000,0300,00000(GROSS SALARIES) 60942,B100000,00000,0400,00000(ACCUM. COST) 60942,B100000,00000,0500,00000(SQUARE FEET) 60942,B100000,00000,0600,00000(PATIENT DAYS) 60942,B100000,00000,0700,00000(SQUARE FEET) 60942,B100000,00000,0800,00000(MEALS SERVED) 60942,B100000,00000,0801,00000(MEALS SERVED) 60942,B100000,00000,0900,00000(NURSING SALARIES) 60942,B100000,00000,1000,00000COST REQ. 60942,B100000,00000,1100,00000(PATIENT DAYS) 60942,B100000,00000,1200,00000(PATIENT DAYS) 60942,B100000,00000,1300,00000(PATIENT DAYS) 60942,B100000,00000,1350,00000(PATIENT DAYS) 60942,B100000,00000,1400,00000(ASSIGNED TIME) 60942,S000000,00100,0200,07/19/2000 60942,S200000,00100,0100,1016 SOUTH WASHINGTON 60942,S200000,00200,0100,OLD TAPPAN 60942,S200000,00200,0200,NJ 60942,S200000,00200,0300,07675 60942,S200000,00300,0100,BERGEN 60942,S200000,00400,0100,INGLESIDE CENTER 60942,S200000,00400,0200,315345 60942,S200000,00400,0300,01/31/1967 60942,S200000,00400,0500,P 60942,S200000,01600,0100,Y 60942,S200000,02200,0100,Y 60945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60945,A000000,00300,0000,00300EMPLOYEE BENEFITS 60945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60945,A000000,00700,0000,00700HOUSEKEEPING 60945,A000000,00800,0000,00800DIETARY 60945,A000000,00900,0000,00900NURSING ADMINISTRATION 60945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60945,A000000,01100,0000,01100PHARMACY 60945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60945,A000000,01300,0000,01300SOCIAL SERVICE 60945,A000000,01350,0000,01500RECREATION 60945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60945,A000000,01600,0000,01600SKILLED NURSING FACILITY 60945,A000000,01810,0000,01810ICF/MR 60945,A000000,02100,0000,02100RADIOLOGY 60945,A000000,02200,0000,02200LABORATORY 60945,A000000,02500,0000,02500PHYSICAL THERAPY 60945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60945,A000000,02700,0000,02700SPEECH PATHOLOGY 60945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60945,A000000,03200,0000,03200SUPPORT SURFACES 60945,A000000,03550,0000,03550FQHC 60945,A000000,05000,0000,05000CORF 60945,A000000,05010,0000,05010CMHC 60945,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60945,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60945,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60945,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 60945,B100000,00000,0100,00000(SQUARE FEET) 60945,B100000,00000,0200,00000(SQUARE FEET) 60945,B100000,00000,0300,00000(GROSS SALARIES) 60945,B100000,00000,0400,00000(ACCUM COST) 60945,B100000,00000,0500,00000(SQUARE FEET) 60945,B100000,00000,0600,00000(PATIENT CENSUS) 60945,B100000,00000,0700,00000(SQUARE FEET) 60945,B100000,00000,0800,00000(MEALS SERVED) 60945,B100000,00000,0900,00000(PATIENT CENSUS) 60945,B100000,00000,1000,00000(PATIENT CENSUS) 60945,B100000,00000,1100,00000COSTED REQUIS 60945,B100000,00000,1200,00000(TIME SPENT) 60945,B100000,00000,1300,00000(PATIENT CENSUS) 60945,B100000,00000,1350,00000CENSUS 60945,B100000,00000,1400,00000ASSIGNED TIME 60945,E10A180,00501,0300,12/12/2000 60945,E10A180,00550,0100,12/12/2000 60945,E10A180,00551,0300,12/27/2000 60945,S000000,00100,0200,12/07/2000 60945,S200000,00100,0100,NEW JERSEY VETERANS N.H. PARAMUS 60945,S200000,00200,0100,1 VETERANS DRIVE 60945,S200000,00200,0200,NJ 60945,S200000,00200,0300,07653 60945,S200000,00300,0100,BERGEN 60945,S200000,00400,0100,N.J. VETERANS MEMORIAL HOME AT PRAMUS 60945,S200000,00400,0200,315346 60945,S200000,00400,0300,06/22/1995 60945,S200000,00400,0500,P 60945,S200000,01500,0100,Y 60945,S200000,02100,0100,A 60945,S200000,03300,0100,Y 60949,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60949,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60949,A000000,00300,0000,00300EMPLOYEE BENEFITS 60949,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60949,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60949,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60949,A000000,00700,0000,00700HOUSEKEEPING 60949,A000000,00800,0000,00800DIETARY 60949,A000000,00900,0000,00900NURSING ADMINISTRATION 60949,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60949,A000000,01100,0000,01100PHARMACY 60949,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60949,A000000,01300,0000,01300SOCIAL SERVICE 60949,A000000,01350,0000,01500PATIENT ACTIVITIES 60949,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60949,A000000,01600,0000,01600SKILLED NURSING FACILITY 60949,A000000,01800,0000,01800NURSING FACILITY 60949,A000000,01810,0000,01810ICF/MR 60949,A000000,02100,0000,02100RADIOLOGY 60949,A000000,02200,0000,02200LABORATORY 60949,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60949,A000000,02500,0000,02500PHYSICAL THERAPY 60949,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60949,A000000,02700,0000,02700SPEECH PATHOLOGY 60949,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60949,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60949,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 60949,A000000,03550,0000,03550FQHC 60949,A000000,04800,0000,04800AMBULANCE 60949,A000000,05000,0000,05000CORF 60949,A000000,05010,0000,05010CMHC 60949,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60949,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60949,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60949,A000000,05300,0000,05300INTEREST EXPENSE 60949,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60949,A000000,06150,0000,06300OTHER NONREIMBURSABLE 60949,B100000,00000,0100,00000SQUARE FEET 60949,B100000,00000,0200,00000DOLLAR VALUE 60949,B100000,00000,0300,00000GROSS SALARIES 60949,B100000,00000,0400,00000ACCUM. COST 60949,B100000,00000,0500,00000SQUARE FEET 60949,B100000,00000,0600,00000POUNDS OF LAUNDRY 60949,B100000,00000,0700,00000SQUARE FEET 60949,B100000,00000,0800,00000MEALS SERVED 60949,B100000,00000,0900,00000DIRECT NRSING HRS 60949,B100000,00000,1000,00000COSTED REQUIS. 60949,B100000,00000,1100,00000COSTED REQUIS. 60949,B100000,00000,1200,00000TIME SPENT 60949,B100000,00000,1300,00000TIME SPENT 60949,B100000,00000,1350,00000OTHER 60949,B100000,00000,1400,00000ASSIGNED TIME 60949,E10A180,00301,0100,01/05/2000 60949,E10A180,00501,0300,07/03/2000 60949,E10A180,00550,0100,07/03/2000 60949,S000000,00100,0200,05/31/2000 60949,S200000,00100,0100,509 ROUTE 530 60949,S200000,00200,0100,WHITING 60949,S200000,00200,0200,NJ 60949,S200000,00200,0300,08759 60949,S200000,00300,0100,OCEAN 60949,S200000,00400,0100,KESWICK PINES INC.-HAMILTON PLACE 60949,S200000,00400,0200,315347 60949,S200000,00400,0300,08/08/1995 60949,S200000,00400,0500,P 60949,S200000,00600,0200,999999 60949,S200000,00600,0300,09/14/1998 60949,S200000,00600,0600,P 60949,S200000,01600,0100,Y 60949,S200000,01900,0100,CORPORATION 60949,S200000,02200,0100,Y 60949,S200000,02800,0100,Y 60949,S200000,04100,0100,Y 60953,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60953,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60953,A000000,00300,0000,00300EMPLOYEE BENEFITS 60953,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60953,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60953,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60953,A000000,00700,0000,00700HOUSEKEEPING 60953,A000000,00800,0000,00800DIETARY 60953,A000000,00900,0000,00900NURSING ADMINISTRATION 60953,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60953,A000000,01100,0000,01100PHARMACY 60953,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60953,A000000,01300,0000,01300SOCIAL SERVICE 60953,A000000,01350,0000,01500PATIENT ACTIVITIES 60953,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60953,A000000,01600,0000,01600SKILLED NURSING FACILITY 60953,A000000,01800,0000,01800NURSING FACILITY 60953,A000000,01810,0000,01810ICF/MR 60953,A000000,02100,0000,02100RADIOLOGY 60953,A000000,02300,0000,02300INTRAVENOUS THERAPY 60953,A000000,02500,0000,02500PHYSICAL THERAPY 60953,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60953,A000000,02700,0000,02700SPEECH PATHOLOGY 60953,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60953,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60953,A000000,03550,0000,03550FQHC 60953,A000000,05000,0000,05000CORF 60953,A000000,05010,0000,05010CMHC 60953,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60953,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60953,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60953,A81000A,00100,0100,Y 60953,A81000B,00100,0300,MANAGEMENT FEE 60953,A81000B,00200,0300,CAP REL HOME OFC 60953,A81000B,00300,0300,FACILITY RENTAL 60953,A81000B,00400,0300,MEDICAL SUPPLIES 60953,A81000B,00500,0300,MEDICAL SUPPLIES NON 60953,A81000C,00100,0100,B 60953,A81000C,00100,0200,SENIORS MANAGEM 60953,A81000C,00100,0400,EASTERN MEDICAL 60953,A81000C,00100,0600,MEDICAL SUPPLIE 60953,B100000,00000,0100,00040SQUARE FEET 60953,B100000,00000,0200,00040SQUARE FEET 60953,B100000,00000,0300,00040GROSS SALARIES 60953,B100000,00000,0400,00040ACCUM COST 60953,B100000,00000,0500,00040SQUARE FEET 60953,B100000,00000,0600,00040POUNDS OF LAUNDRY 60953,B100000,00000,0700,00040HOURS OF SERVICE 60953,B100000,00000,0800,00040MEALS SERVED 60953,B100000,00000,0900,00040DIRECT NRSG HRS 60953,B100000,00000,1000,00040COSTED REQUIS 60953,B100000,00000,1100,00040COSTED REQUIS 60953,B100000,00000,1200,00040TIME SPENT 60953,B100000,00000,1300,00040TIME SPENT 60953,B100000,00000,1350,00040PATIENT DAYS 60953,B100000,00000,1400,00040ASSIGNED TIME 60953,E10A180,00501,0100,06/30/2000 60953,S000000,00100,0200,05/25/2000 60953,S200000,00100,0100,255 UNION AVENUE 60953,S200000,00200,0100,BLOOMINGDALE 60953,S200000,00200,0200,NJ 60953,S200000,00200,0300,07403 60953,S200000,00300,0100,PASSAIC 60953,S200000,00400,0100,THE HEALTH CENTER AT BLOOMINGDALE 60953,S200000,00400,0200,315348 60953,S200000,00400,0300,01/25/1996 60953,S200000,00400,0500,P 60953,S200000,00400,0600,O 60953,S200000,00600,0200,315348 60953,S200000,00600,0300,01/25/1996 60953,S200000,00600,0600,P 60953,S200000,01600,0100,Y 60953,S200000,02200,0100,Y 60953,S200000,04100,0100,Y 60956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60956,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60956,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60956,A000000,00300,0000,00300EMPLOYEE BENEFITS 60956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60956,A000000,00700,0000,00700HOUSEKEEPING 60956,A000000,00800,0000,00800DIETARY 60956,A000000,00801,0000,00801CAFETERIA 60956,A000000,00900,0000,00900NURSING ADMINISTRATION 60956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60956,A000000,01100,0000,01100PHARMACY 60956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60956,A000000,01300,0000,01300SOCIAL SERVICE 60956,A000000,01350,0000,01500RECREATION 60956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60956,A000000,01600,0000,01600SKILLED NURSING FACILITY 60956,A000000,01800,0000,01800NURSING FACILITY 60956,A000000,01810,0000,01810ICF/MR 60956,A000000,02100,0000,02100RADIOLOGY 60956,A000000,02200,0000,02200LABORATORY 60956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60956,A000000,02500,0000,02500PHYSICAL THERAPY 60956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60956,A000000,02700,0000,02700SPEECH PATHOLOGY 60956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60956,A000000,03050,0000,03300PEN THERAPY 60956,A000000,03051,0000,03301FEE SCREENING 60956,A000000,03052,0000,03302OTHER ANCILLARY III 60956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60956,A000000,03550,0000,03550FQHC 60956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60956,A000000,05000,0000,05000CORF I 60956,A000000,05010,0000,05010CMHC I 60956,A000000,05020,0000,05020OPT I 60956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60956,A000000,05300,0000,05300INTEREST EXPENSE 60956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60956,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60956,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60956,A81000A,00100,0100,Y 60956,A81000B,00100,0300,HOME OFFICE 60956,A81000B,00200,0300,HOME OFFICE CAPITAL 60956,A81000B,00300,0300,AS ATTACHED 60956,A81000B,00400,0300,HOME OFFICE CAPITAL 60956,A81000C,00100,0100,B 60956,A81000C,00100,0400,GEN HLTH VEN 60956,A81000C,00100,0600,HOME OFFICE 60956,A81000C,00200,0100,B 60956,A81000C,00200,0400,GEN HLTH VEN 60956,A81000C,00200,0600,HOME OFFICE 60956,A81000C,00300,0100,B 60956,A81000C,00300,0400,AS ATTACHED 60956,A81000C,00300,0600,VARIOUS 60956,B100000,00000,0100,00000(SQUARE FEET) 60956,B100000,00000,0101,00000(SQUARE FEET) 60956,B100000,00000,0200,00000(SQUARE FEET) 60956,B100000,00000,0201,00000(SQUARE FEET) 60956,B100000,00000,0300,00000(GROSS SALARIES) 60956,B100000,00000,0400,00000(ACCUM. COST) 60956,B100000,00000,0500,00000(SQUARE FEET) 60956,B100000,00000,0600,00000(PATIENT DAYS) 60956,B100000,00000,0700,00000(SQUARE FEET) 60956,B100000,00000,0800,00000(MEALS SERVED) 60956,B100000,00000,0801,00000(MEALS SERVED) 60956,B100000,00000,0900,00000(NURSING SALARIES) 60956,B100000,00000,1000,00000(COSTED REQUIS.) 60956,B100000,00000,1100,00000(COSTED REQUIS.) 60956,B100000,00000,1200,00000(PATIENT DAYS) 60956,B100000,00000,1300,00000(PATIENT DAYS) 60956,B100000,00000,1350,00000(PATIENT DAYS) 60956,B100000,00000,1400,00000(ASSIGNED TIME) 60956,S000000,00100,0200,05/31/2000 60956,S200000,00100,0100,333 GRAND AVE. 60956,S200000,00200,0100,ENGLEWOOD 60956,S200000,00200,0200,NJ 60956,S200000,00200,0300,07631 60956,S200000,00300,0100,BERGEN 60956,S200000,00400,0100,INGLEMOOR CENTER 60956,S200000,00400,0200,315349 60956,S200000,00400,0300,02/15/1996 60956,S200000,00400,0500,P 60956,S200000,01600,0100,Y 60956,S200000,02200,0100,Y 60959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60959,A000000,00300,0000,00300EMPLOYEE BENEFITS 60959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60959,A000000,00700,0000,00700HOUSEKEEPING 60959,A000000,00800,0000,00800DIETARY 60959,A000000,00900,0000,00900NURSING ADMINISTRATION 60959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60959,A000000,01100,0000,01100PHARMACY 60959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60959,A000000,01300,0000,01300SOCIAL SERVICE 60959,A000000,01350,0000,01500PATIENT ACTIVITIES 60959,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60959,A000000,01600,0000,01600SKILLED NURSING FACILITY 60959,A000000,01800,0000,01800NURSING FACILITY 60959,A000000,01810,0000,01810ICF/MR 60959,A000000,01900,0000,01900OTHER LONG TERM CARE 60959,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60959,A000000,02500,0000,02500PHYSICAL THERAPY 60959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60959,A000000,02700,0000,02700SPEECH PATHOLOGY 60959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60959,A000000,03550,0000,03550FQHC 60959,A000000,05000,0000,05000CORF 60959,A000000,05010,0000,05010CMHC 60959,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60959,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60959,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60959,A81000A,00100,0100,Y 60959,A81000B,00100,0300,SUPPORT STAFF 60959,A81000C,00100,0100,B 60959,A81000C,00100,0200,CATHEDRAL H. S. 60959,A81000C,00100,0600,ADMINISTRATIVE 60959,B100000,00000,0100,00000(SQUARE FEET) 60959,B100000,00000,0200,00000SQUARE FEET 60959,B100000,00000,0300,00000(GROSS SALARIES) 60959,B100000,00000,0400,00000(ACCUM COST) 60959,B100000,00000,0500,00000(SQUARE FEET) 60959,B100000,00000,0600,00000(PATIENT DAYS) 60959,B100000,00000,0700,00000(SQUARE FEET) 60959,B100000,00000,0800,00000(MEALS SERVED) 60959,B100000,00000,0900,00000(DIRECT NRSG HRS) 60959,B100000,00000,1000,00000COSTED REQUIS 60959,B100000,00000,1100,00000COSTED REQUIS 60959,B100000,00000,1200,00000TIME SPENT 60959,B100000,00000,1300,00000(PATIENT DAYS) 60959,B100000,00000,1350,00000(PATIENT DAYS) 60959,B100000,00000,1400,00000ASSIGNED TIME 60959,E10A180,00501,0100,08/25/2000 60959,S000000,00100,0200,05/31/2000 60959,S200000,00100,0100,135 S. CENTER STREET 60959,S200000,00200,0100,ORANGE 60959,S200000,00200,0200,NJ 60959,S200000,00200,0300,07050 60959,S200000,00300,0100,ESSEX 60959,S200000,00400,0100,POPE JOHN PAUL II PAVILION 60959,S200000,00400,0200,315352 60959,S200000,00400,0300,01/26/1996 60959,S200000,00400,0500,P 60959,S200000,01600,0100,Y 60959,S200000,04100,0100,Y 60959,S200000,04200,0100,Y 60959,S200000,04300,0100,Y 60962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60962,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60962,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60962,A000000,00300,0000,00300EMPLOYEE BENEFITS 60962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60962,A000000,00700,0000,00700HOUSEKEEPING 60962,A000000,00800,0000,00800DIETARY 60962,A000000,00801,0000,00801CAFETERIA 60962,A000000,00900,0000,00900NURSING ADMINISTRATION 60962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60962,A000000,01100,0000,01100PHARMACY 60962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60962,A000000,01300,0000,01300SOCIAL SERVICE 60962,A000000,01350,0000,01500RECREATION 60962,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60962,A000000,01600,0000,01600SKILLED NURSING FACILITY 60962,A000000,01800,0000,01800NURSING FACILITY 60962,A000000,01810,0000,01810ICF/MR 60962,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60962,A000000,02500,0000,02500PHYSICAL THERAPY 60962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60962,A000000,02700,0000,02700SPEECH PATHOLOGY 60962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60962,A000000,03050,0000,03300PEN THERAPY 60962,A000000,03051,0000,03301FEE SCREENING 60962,A000000,03052,0000,03302OTHER ANCILLARY III 60962,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60962,A000000,03550,0000,03550FQHC 60962,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60962,A000000,05000,0000,05000CORF I 60962,A000000,05010,0000,05010CMHC I 60962,A000000,05020,0000,05020OPT I 60962,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60962,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60962,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60962,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60962,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60962,A81000A,00100,0100,Y 60962,A81000B,00100,0300,HOME OFFICE 60962,A81000B,00200,0300,HOME OFFICE CAPITAL 60962,A81000B,00300,0300,AS ATTACHED 60962,A81000B,00400,0300,HOME OFFICE CAPITAL 60962,A81000C,00100,0100,B 60962,A81000C,00100,0400,GEN HLTH VEN 60962,A81000C,00100,0600,HOME OFFICE 60962,A81000C,00200,0100,B 60962,A81000C,00200,0400,GEN HLTH VEN 60962,A81000C,00200,0600,HOME OFFICE 60962,A81000C,00300,0100,B 60962,A81000C,00300,0400,AS ATTACHED 60962,A81000C,00300,0600,VARIOUS 60962,A81000C,00400,0100,B 60962,A81000C,00400,0400,GEN HLTH VEN 60962,A81000C,00400,0600,HOME OFFICE 60962,B100000,00000,0100,00000(SQUARE FEET) 60962,B100000,00000,0101,00000(SQUARE FEET) 60962,B100000,00000,0200,00000(SQUARE FEET) 60962,B100000,00000,0201,00000(SQUARE FEET) 60962,B100000,00000,0300,00000(GROSS SALARIES) 60962,B100000,00000,0400,00000(ACCUM. COST) 60962,B100000,00000,0500,00000(SQUARE FEET) 60962,B100000,00000,0600,00000(PATIENT DAYS) 60962,B100000,00000,0700,00000(SQUARE FEET) 60962,B100000,00000,0800,00000(MEALS SERVED) 60962,B100000,00000,0801,00000(MEALS SERVED) 60962,B100000,00000,0900,00000(NURSING SALARIES) 60962,B100000,00000,1000,00000(COSTED REQUIS.) 60962,B100000,00000,1100,00000(COSTED REQUIS.) 60962,B100000,00000,1200,00000(PATIENT DAYS) 60962,B100000,00000,1300,00000(PATIENT DAYS) 60962,B100000,00000,1350,00000(PATIENT DAYS) 60962,B100000,00000,1400,00000(ASSIGNED TIME) 60962,E10A180,00301,0100,01/05/2000 60962,E10A180,00550,0100,07/06/2000 60962,E10A180,00550,0300,07/06/2000 60962,S000000,00100,0200,05/31/2000 60962,S200000,00100,0100,292 APPLEGRATH RD. 60962,S200000,00200,0100,MONROE TOWNSHIP 60962,S200000,00200,0200,NJ 60962,S200000,00200,0300,08831 60962,S200000,00300,0100,MIDDLESEX 60962,S200000,00400,0100,CRANBURY 60962,S200000,00400,0200,315353 60962,S200000,00400,0300,06/07/1996 60962,S200000,00400,0500,P 60962,S200000,01600,0100,Y 60962,S200000,02200,0100,Y 60965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60965,A000000,00300,0000,00300EMPLOYEE BENEFITS 60965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60965,A000000,00700,0000,00700HOUSEKEEPING 60965,A000000,00800,0000,00800DIETARY 60965,A000000,00900,0000,00900NURSING ADMINISTRATION 60965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60965,A000000,01100,0000,01100PHARMACY 60965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60965,A000000,01300,0000,01300SOCIAL SERVICE 60965,A000000,01350,0000,01500PATIENT ACTIVITIES 60965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60965,A000000,01600,0000,01600SKILLED NURSING FACILITY 60965,A000000,01800,0000,01800NURSING FACILITY 60965,A000000,01810,0000,01810ICF/MR 60965,A000000,01900,0000,01900OTHER LONG TERM CARE 60965,A000000,02100,0000,02100RADIOLOGY 60965,A000000,02200,0000,02200LABORATORY 60965,A000000,02300,0000,02300INTRAVENOUS THERAPY 60965,A000000,02500,0000,02500PHYSICAL THERAPY 60965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60965,A000000,02700,0000,02700SPEECH PATHOLOGY 60965,A000000,02800,0000,02800ELECTROCARDIOLOGY 60965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60965,A000000,03200,0000,03200SUPPORT SURFACES 60965,A000000,03550,0000,03550FQHC 60965,A000000,05000,0000,05000CORF 60965,A000000,05010,0000,05010CMHC 60965,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60965,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60965,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60965,B100000,00000,0100,00000(SQUARE FEET) 60965,B100000,00000,0200,00000SQUARE FEET 60965,B100000,00000,0300,00000(GROSS SALARIES) 60965,B100000,00000,0400,00000(ACCUM COST) 60965,B100000,00000,0500,00000(SQUARE FEET) 60965,B100000,00000,0600,00000(WEIGHTED STATS) 60965,B100000,00000,0700,00000(SQUARE FEET) 60965,B100000,00000,0800,00000(MEALS SERVED) 60965,B100000,00000,0900,00000(DIRECT NRSG HRS) 60965,B100000,00000,1000,00000(PATIENT DAYS) 60965,B100000,00000,1100,00000COSTED REQUIS 60965,B100000,00000,1200,00000(PATIENT DAYS) 60965,B100000,00000,1300,00000(PATIENT DAYS) 60965,B100000,00000,1350,00000(PATIENT DAYS) 60965,B100000,00000,1400,00000ASSIGNED TIME 60965,E10A180,00501,0100,08/23/2000 60965,S000000,00100,0200,07/14/2000 60965,S200000,00100,0100,65 NORTH SUSSEX STREET 60965,S200000,00200,0100,DOVER 60965,S200000,00200,0200,NJ 60965,S200000,00200,0300,07801 60965,S200000,00300,0100,MORRIS 60965,S200000,00400,0100,DOVER CHRISTIAN NURSING HOME 60965,S200000,00400,0200,315355 60965,S200000,00400,0300,10/01/1996 60965,S200000,00400,0500,P 60965,S200000,01600,0100,Y 60965,S200000,04300,0100,Y 60970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60970,A000000,00101,0000,00101CAP REL COSTS - NF & COMMUNITY 60970,A000000,00102,0000,00102CAP REL COSTS - RESIDENTIAL 60970,A000000,00103,0000,00103CAP REL COSTS - COMBINED 60970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60970,A000000,00300,0000,00300EMPLOYEE BENEFITS 60970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60970,A000000,00700,0000,00700HOUSEKEEPING 60970,A000000,00701,0000,00701HSKPG - NURSING FACILITY 60970,A000000,00702,0000,00702HSKPG - RESIDENTAIL & COMMUNITY 60970,A000000,00800,0000,00800DIETARY 60970,A000000,00900,0000,00900NURSING ADMINISTRATION 60970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60970,A000000,01100,0000,01100PHARMACY 60970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60970,A000000,01300,0000,01300SOCIAL SERVICE 60970,A000000,01350,0000,01500PATIENT ACTIVITIES 60970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60970,A000000,01600,0000,01600SKILLED NURSING FACILITY 60970,A000000,01810,0000,01810ICF/MR 60970,A000000,02100,0000,02100RADIOLOGY 60970,A000000,02200,0000,02200LABORATORY 60970,A000000,02500,0000,02500PHYSICAL THERAPY 60970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60970,A000000,02700,0000,02700SPEECH PATHOLOGY 60970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60970,A000000,03400,0000,03400CLINIC 60970,A000000,03550,0000,03550FQHC 60970,A000000,05000,0000,05000CORF 60970,A000000,05010,0000,05010CMHC 60970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60970,A000000,06150,0000,06300PERSONAL CARE/RESIDENTIAL 60970,B100000,00000,0100,00000SQ FT COMBINED 60970,B100000,00000,0101,00000SQ FT NF ANDCOMMUNI 60970,B100000,00000,0102,00000SQ FT RESIDENTIA 60970,B100000,00000,0103,00000SQ FT COMBINED 60970,B100000,00000,0200,00000SQ FT COMBINED 60970,B100000,00000,0300,00000GROSS SALARIES 60970,B100000,00000,0400,00000ACCUM. COST 60970,B100000,00000,0500,00000SQ FT COMBINED 60970,B100000,00000,0600,00000POUNDS OF LAUNDRY 60970,B100000,00000,0700,00000SQ FT COMBINEXCL 60970,B100000,00000,0701,00000SQ FT NF EXCL DIETA 60970,B100000,00000,0702,00000SQFT RES & CC EXCL 60970,B100000,00000,0800,00000MEALS SERVED 60970,B100000,00000,0900,00000NO STATISTICS 60970,B100000,00000,1000,00000NO STATISTICS 60970,B100000,00000,1100,00000NO STATISTICS 60970,B100000,00000,1200,00000NO STATISTICS 60970,B100000,00000,1300,00000TIME SPENT 60970,B100000,00000,1350,00000TIME SPENT 60970,B100000,00000,1400,00000NO STATISTICS 60970,S000000,00100,0200,04/25/2000 60970,S200000,00100,0100,8000 FELLOWSHIP ROAD 60970,S200000,00200,0100,BASKING RIDGE 60970,S200000,00200,0200,NJ 60970,S200000,00200,0300,07920 60970,S200000,00300,0100,SOMERSET 60970,S200000,00400,0100,FELLOWSHIP VILLAGE INC 60970,S200000,00400,0200,315356 60970,S200000,00400,0300,07/01/1996 60970,S200000,00400,0500,P 60970,S200000,01700,0100,Y 60973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60973,A000000,00300,0000,00300EMPLOYEE BENEFITS 60973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60973,A000000,00700,0000,00700HOUSEKEEPING 60973,A000000,00800,0000,00800DIETARY 60973,A000000,00900,0000,00900NURSING ADMINISTRATION 60973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60973,A000000,01100,0000,01100PHARMACY 60973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60973,A000000,01300,0000,01300SOCIAL SERVICE 60973,A000000,01350,0000,01500PATIENT ACTIVITIES 60973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60973,A000000,01600,0000,01600SKILLED NURSING FACILITY 60973,A000000,01800,0000,01800NURSING FACILITY 60973,A000000,01810,0000,01810ICF/MR 60973,A000000,02100,0000,02100RADIOLOGY 60973,A000000,02200,0000,02200LABORATORY 60973,A000000,02500,0000,02500PHYSICAL THERAPY 60973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60973,A000000,02700,0000,02700SPEECH PATHOLOGY 60973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60973,A000000,03550,0000,03550FQHC 60973,A000000,05000,0000,05000CORF 60973,A000000,05010,0000,05010CMHC 60973,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60973,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60973,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 60973,A000000,05300,0000,05300INTEREST EXPENSE 60973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60973,A81000A,00100,0100,Y 60973,A81000B,00100,0300,MANAGEMENT FEE 60973,A81000B,00200,0300,PT SERVICES 60973,A81000B,00300,0300,OT SERVICES 60973,A81000B,00400,0300,SPEECH SERVICES 60973,A81000B,00500,0300,PENSION 60973,A81000B,00600,0300,HOME OFFICE ALLOC 60973,A81000B,00700,0300,HOME OFFICE ALLOC 60973,A81000C,00100,0100,B 60973,A81000C,00100,0400,KESSLER REHAB C 60973,A81000C,00100,0600,PARENT COMPANY 60973,A81000C,00200,0100,B 60973,A81000C,00200,0400,KESSLER INSTITU 60973,A81000C,00200,0600,HEALTH CARE PRO 60973,A81000C,00300,0100,B 60973,A81000C,00300,0400,KESSLER INSTITU 60973,A81000C,00300,0600,HEALTH CARE PRO 60973,A81000C,00400,0100,B 60973,A81000C,00400,0400,KESSLER INSTITU 60973,A81000C,00400,0600,HEALTH CARE PRO 60973,A81000C,00500,0100,B 60973,A81000C,00500,0400,KESSLER INSTITU 60973,A81000C,00500,0600,HEALTH CARE PRO 60973,A81000C,00600,0100,B 60973,A81000C,00600,0400,KESSLER REHAB C 60973,A81000C,00600,0600,PARENT COMPANY 60973,A81000C,00700,0100,B 60973,A81000C,00700,0400,KESSLER REHAB C 60973,A81000C,00700,0600,PARENT COMPANY 60973,B100000,00000,0100,00000SQUARE FEET 60973,B100000,00000,0200,00000SQUARE FEET 60973,B100000,00000,0300,00000GROSS SALARIES 60973,B100000,00000,0400,00000ACCUM COST 60973,B100000,00000,0500,00000SQUARE FEET 60973,B100000,00000,0600,00000PATIENT DAYS 60973,B100000,00000,0700,00000SQUARE FEET 60973,B100000,00000,0800,00000PATIENT DAYS 60973,B100000,00000,0900,00000PATIENT DAYS 60973,B100000,00000,1000,00000PATIENT DAYS 60973,B100000,00000,1100,00000PATIENT DAYS 60973,B100000,00000,1200,00000PATIENT DAYS 60973,B100000,00000,1300,00000PATIENT DAYS 60973,B100000,00000,1350,00000PATIENT DAYS 60973,B100000,00000,1400,00000ASSIGNED TIME 60973,E10A180,00501,0100,06/29/2000 60973,E10A180,00551,0300,06/29/2000 60973,S000000,00100,0200,05/31/2000 60973,S200000,00100,0100,125 FAIRVIEW AVENUE 60973,S200000,00200,0100,CEDAR GROVE 60973,S200000,00200,0200,NJ 60973,S200000,00200,0300,07009 60973,S200000,00300,0100,ESSEX 60973,S200000,00400,0100,KESSLER CARE CENTER AT CEDAR GROVE 60973,S200000,00400,0200,315357 60973,S200000,00400,0300,11/01/1996 60973,S200000,00400,0500,P 60973,S200000,01600,0100,Y 60976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60976,A000000,00300,0000,00300EMPLOYEE BENEFITS 60976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60976,A000000,00700,0000,00700HOUSEKEEPING 60976,A000000,00800,0000,00800DIETARY 60976,A000000,00900,0000,00900NURSING ADMINISTRATION 60976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60976,A000000,01100,0000,01100PHARMACY 60976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60976,A000000,01300,0000,01300SOCIAL SERVICE 60976,A000000,01350,0000,01500RECREATION 60976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60976,A000000,01600,0000,01600SKILLED NURSING FACILITY 60976,A000000,01800,0000,01800NURSING FACILITY 60976,A000000,01810,0000,01810ICF/MR 60976,A000000,02100,0000,02100RADIOLOGY 60976,A000000,02200,0000,02200LABORATORY 60976,A000000,02500,0000,02500PHYSICAL THERAPY 60976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60976,A000000,02700,0000,02700SPEECH PATHOLOGY 60976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60976,A000000,03200,0000,03200SUPPORT SURFACES 60976,A000000,03550,0000,03550FQHC 60976,A000000,04800,0000,04800AMBULANCE 60976,A000000,05000,0000,05000CORF 60976,A000000,05010,0000,05010CMHC 60976,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60976,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60976,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60976,B100000,00000,0100,00000SQUARE FEET 60976,B100000,00000,0200,00000SQUARE FEET 60976,B100000,00000,0300,00000GROSS SALARIES 60976,B100000,00000,0400,00000ACCUM COST 60976,B100000,00000,0500,00000SQUARE FEET 60976,B100000,00000,0600,00000CENSUS 60976,B100000,00000,0700,00000HOURS OF SERVICE 60976,B100000,00000,0800,00000MEALS SERVED 60976,B100000,00000,0900,00000DIRECT NRSG HRS 60976,B100000,00000,1000,00000COSTED REQUISITIO 60976,B100000,00000,1100,00000COSTED REQUIS 60976,B100000,00000,1200,00000CENSUS 60976,B100000,00000,1300,00000CENSUS 60976,B100000,00000,1350,00000CENSUS 60976,B100000,00000,1400,00000ASSIGNED TIME 60976,E10A180,00501,0100,06/27/2000 60976,E10A180,00501,0300,06/27/2000 60976,S000000,00100,0200,05/15/2000 60976,S200000,00100,0100,235 DOLPHIN AVENUE 60976,S200000,00200,0100,NORTHFIELD 60976,S200000,00200,0200,NJ 60976,S200000,00200,0300,08225 60976,S200000,00300,0100,ATLANTIC 60976,S200000,00400,0100,MEADOWVIEW NURSING HOME 60976,S200000,00400,0200,315358 60976,S200000,00400,0300,10/01/1996 60976,S200000,00400,0500,P 60976,S200000,01600,0100,Y 60979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60979,A000000,00300,0000,00300EMPLOYEE BENEFITS 60979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60979,A000000,00700,0000,00700HOUSEKEEPING 60979,A000000,00800,0000,00800DIETARY 60979,A000000,00900,0000,00900NURSING ADMINISTRATION 60979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60979,A000000,01100,0000,01100PHARMACY 60979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60979,A000000,01300,0000,01300SOCIAL SERVICE 60979,A000000,01350,0000,01500PATIENT ACTIVITIES 60979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60979,A000000,01600,0000,01600SKILLED NURSING FACILITY 60979,A000000,01810,0000,01810ICF/MR 60979,A000000,02100,0000,02100RADIOLOGY 60979,A000000,02200,0000,02200LABORATORY 60979,A000000,02300,0000,02300INTRAVENOUS THERAPY 60979,A000000,02500,0000,02500PHYSICAL THERAPY 60979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60979,A000000,02700,0000,02700SPEECH PATHOLOGY 60979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60979,A000000,03200,0000,03200SUPPORT SURFACES 60979,A000000,03550,0000,03550FQHC 60979,A000000,04800,0000,04800AMBULANCE 60979,A000000,05000,0000,05000CORF 60979,A000000,05010,0000,05010CMHC 60979,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60979,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60979,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60979,B100000,00000,0100,00000SQUARE FEET 60979,B100000,00000,0200,00000SQUARE FEET 60979,B100000,00000,0300,00000GROSS SALARIES 60979,B100000,00000,0400,00000ACCUM COST 60979,B100000,00000,0500,00000SQUARE FEET 60979,B100000,00000,0600,00000(PATIENT DAYS) 60979,B100000,00000,0700,00000(SQUARE FEET) 60979,B100000,00000,0800,00000MEALS SERVED 60979,B100000,00000,0900,00000DIRECT NRSG HRS 60979,B100000,00000,1000,00000COSTED REQUIS 60979,B100000,00000,1100,00000COSTED REQUIS 60979,B100000,00000,1200,00000TIME SPENT 60979,B100000,00000,1300,00000(PATIENT DAYS) 60979,B100000,00000,1350,00000(PATIENT DAYS) 60979,B100000,00000,1400,00000ASSIGNED TIME 60979,E10A180,00501,0100,06/05/2000 60979,S000000,00100,0200,05/18/2000 60979,S200000,00100,0100,100 KINDERKAMACK ROAD 60979,S200000,00200,0100,EMERSON 60979,S200000,00200,0200,NJ 60979,S200000,00200,0300,07630 60979,S200000,00300,0100,BERGEN 60979,S200000,00400,0100,EMERSON CONVALESCENT CENTER 60979,S200000,00400,0200,315360 60979,S200000,00400,0300,01/01/1997 60979,S200000,00400,0500,P 60979,S200000,01500,0100,Y 60979,S200000,04300,0100,Y 60982,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60982,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60982,A000000,00300,0000,00300EMPLOYEE BENEFITS 60982,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60982,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60982,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60982,A000000,00700,0000,00700HOUSEKEEPING 60982,A000000,00800,0000,00800DIETARY 60982,A000000,00900,0000,00900NURSING ADMINISTRATION 60982,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60982,A000000,01100,0000,01100PHARMACY 60982,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60982,A000000,01300,0000,01300SOCIAL SERVICE 60982,A000000,01350,0000,01500PATIENT ACTIVITIES 60982,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60982,A000000,01600,0000,01600SKILLED NURSING FACILITY 60982,A000000,01800,0000,01800NURSING FACILITY 60982,A000000,01810,0000,01810ICF/MR 60982,A000000,02100,0000,02100RADIOLOGY 60982,A000000,02200,0000,02200LABORATORY 60982,A000000,02300,0000,02300INTRAVENOUS THERAPY 60982,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60982,A000000,02500,0000,02500PHYSICAL THERAPY 60982,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60982,A000000,02700,0000,02700SPEECH PATHOLOGY 60982,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60982,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60982,A000000,03050,0000,03300AMBULANCE 60982,A000000,03200,0000,03200SUPPORT SURFACES 60982,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60982,A000000,03550,0000,03550FQHC 60982,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60982,A000000,05000,0000,05000CORF 60982,A000000,05010,0000,05010CMHC 60982,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60982,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60982,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60982,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60982,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60982,B100000,00000,0100,00000SQUARE FEET 60982,B100000,00000,0200,00000SQUARE FEET 60982,B100000,00000,0300,00000GROSS SALARIES 60982,B100000,00000,0400,00000ACCUM. COST 60982,B100000,00000,0500,00000SQUARE FEET 60982,B100000,00000,0600,00000PATIENT DAYS 60982,B100000,00000,0700,00000SQUARE FEET 60982,B100000,00000,0800,00000PATIENT DAYS 60982,B100000,00000,0900,00000PATIENT DAYS 60982,B100000,00000,1000,00000PATIENT DAYS 60982,B100000,00000,1100,00000PATIENT DAYS 60982,B100000,00000,1200,00000PATIENT DAYS 60982,B100000,00000,1300,00000PATIENT DAYS 60982,B100000,00000,1350,00000PATIENT DAYS 60982,B100000,00000,1400,00000ASSIGNED TIME 60982,E10A180,00501,0100,07/21/2000 60982,E10A180,00501,0300,07/21/2000 60982,S000000,00100,0200,05/17/2000 60982,S200000,00100,0100,PREAKNESS HOSPITAL 60982,S200000,00200,0100,WAYNE 60982,S200000,00200,0200,NJ 60982,S200000,00300,0100,PASSAIC 60982,S200000,00400,0100,PREAKNESS HOSPITAL 60982,S200000,00400,0200,315361 60982,S200000,00400,0300,01/01/1998 60982,S200000,00400,0500,P 60982,S200000,01600,0100,Y 60985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60985,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 60985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60985,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 60985,A000000,00300,0000,00300EMPLOYEE BENEFITS 60985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60985,A000000,00700,0000,00700HOUSEKEEPING 60985,A000000,00800,0000,00800DIETARY 60985,A000000,00801,0000,00801CAFETERIA 60985,A000000,00900,0000,00900NURSING ADMINISTRATION 60985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60985,A000000,01100,0000,01100PHARMACY 60985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60985,A000000,01300,0000,01300SOCIAL SERVICE 60985,A000000,01350,0000,01500RECT THERAPY 60985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60985,A000000,01600,0000,01600SKILLED NURSING FACILITY 60985,A000000,01800,0000,01800NURSING FACILITY 60985,A000000,01810,0000,01810ICF/MR 60985,A000000,02100,0000,02100RADIOLOGY 60985,A000000,02200,0000,02200LABORATORY 60985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 60985,A000000,02500,0000,02500PHYSICAL THERAPY 60985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60985,A000000,02700,0000,02700SPEECH PATHOLOGY 60985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60985,A000000,03050,0000,03300OTHER ANCILLARY 60985,A000000,03051,0000,03301FEE SCREENING 60985,A000000,03052,0000,03302OTHER ANCILLARY III 60985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 60985,A000000,03550,0000,03550FQHC 60985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60985,A000000,05000,0000,05000CORF I 60985,A000000,05010,0000,05010CMHC I 60985,A000000,05020,0000,05020OPT I 60985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60985,A000000,05300,0000,05300INTEREST EXPENSE 60985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 60985,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 60985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60985,A81000A,00100,0100,Y 60985,A81000B,00100,0300,SEE ATTACHED 60985,A81000B,00200,0300,HOME OFFICE 60985,A81000B,00300,0300,HOME OFFICE 60985,A81000B,00400,0300,CAPITAL INTEREST 60985,A81000C,00100,0100,B 60985,A81000C,00100,0400,AS ATTACHED 60985,A81000C,00100,0600,VARIOUS 60985,A81000C,00200,0100,B 60985,A81000C,00200,0400,GHV 60985,A81000C,00200,0600,LONG TERM CARE 60985,A81000C,00300,0100,B 60985,A81000C,00300,0400,GHV 60985,A81000C,00300,0600,LONG TERM CARE 60985,A81000C,00400,0100,B 60985,A81000C,00400,0400,GHV 60985,A81000C,00400,0600,LONG TERM CARE 60985,B100000,00000,0100,00000(SQUARE FEET) 60985,B100000,00000,0101,00000(SQUARE FEET) 60985,B100000,00000,0200,00000(SQUARE FEET) 60985,B100000,00000,0201,00000(SQUARE FEET) 60985,B100000,00000,0300,00000(GROSS SALARIES) 60985,B100000,00000,0400,00000(ACCUM. COST) 60985,B100000,00000,0500,00000(SQUARE FEET) 60985,B100000,00000,0600,00000(PATIENT DAYS) 60985,B100000,00000,0700,00000(SQUARE FEET) 60985,B100000,00000,0800,00000(MEALS SERVED) 60985,B100000,00000,0801,00000(MEALS SERVED) 60985,B100000,00000,0900,00000(NURSING SALARIES) 60985,B100000,00000,1000,00000(COSTED REQUIS.) 60985,B100000,00000,1100,00000(PATIENT DAYS) 60985,B100000,00000,1200,00000(PATIENT DAYS) 60985,B100000,00000,1300,00000(PATIENT DAYS) 60985,B100000,00000,1350,00000(PATIENT DAYS) 60985,B100000,00000,1400,00000(ASSIGNED TIME) 60985,S000000,00100,0200,05/31/2000 60985,S200000,00100,0100,2 DEER PARK DRIVE 60985,S200000,00200,0100,MONMOUTH JUNCTION 60985,S200000,00200,0200,NJ 60985,S200000,00200,0300,08852 60985,S200000,00300,0100,MONMOUTH 60985,S200000,00400,0100,PARK PLACE 60985,S200000,00400,0200,315362 60985,S200000,00400,0300,01/30/1997 60985,S200000,00400,0500,P 60985,S200000,01600,0100,Y 60985,S200000,02200,0100,Y 60988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60988,A000000,00300,0000,00300EMPLOYEE BENEFITS 60988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60988,A000000,00700,0000,00700HOUSEKEEPING 60988,A000000,00800,0000,00800DIETARY 60988,A000000,00900,0000,00900NURSING ADMINISTRATION 60988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60988,A000000,01100,0000,01100PHARMACY 60988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60988,A000000,01300,0000,01300SOCIAL SERVICE 60988,A000000,01350,0000,01500PATIENT ACTIVITIES 60988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60988,A000000,01600,0000,01600SKILLED NURSING FACILITY 60988,A000000,01810,0000,01810ICF/MR 60988,A000000,02200,0000,02200LABORATORY 60988,A000000,02500,0000,02500PHYSICAL THERAPY 60988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60988,A000000,02700,0000,02700SPEECH PATHOLOGY 60988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 60988,A000000,03200,0000,03200SUPPORT SURFACES 60988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 60988,A000000,03550,0000,03550FQHC 60988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 60988,A000000,05000,0000,05000CORF 60988,A000000,05010,0000,05010CMHC 60988,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60988,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60988,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 60988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 60988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 60988,A81000A,00100,0100,Y 60988,A81000B,00100,0300,ADMINISTRATOR CONTRACTED 60988,A81000C,00100,0100,A 60988,B100000,00000,0100,00000SQUARE FEET 60988,B100000,00000,0200,00000SQUARE FEET 60988,B100000,00000,0300,00000GROSS SALARIES 60988,B100000,00000,0400,00000ACCUM. COST 60988,B100000,00000,0500,00000SQUARE FEET 60988,B100000,00000,0600,00000PATIENT DAYS 60988,B100000,00000,0700,00000SQ FT EXC KITCHEN 60988,B100000,00000,0800,00000PATIENT DAYS 60988,B100000,00000,0900,00000PATIENT DAYS 60988,B100000,00000,1000,00000PATIENT DAYS 60988,B100000,00000,1100,00000PATIENT DAYS 60988,B100000,00000,1200,00000PATIENT DAYS 60988,B100000,00000,1300,00000PATIENT DAYS 60988,B100000,00000,1350,00000PATIENT DAYS 60988,B100000,00000,1400,00000ASSIGNED TIME 60988,E10A180,00501,0100,07/13/2000 60988,E10A180,00501,0300,07/13/2000 60988,S000000,00100,0200,05/31/2000 60988,S200000,00100,0100,111 GATES AVENUE 60988,S200000,00200,0100,GATES MANOR NURSING HOME 60988,S200000,00200,0200,315363 60988,S200000,00200,0300,07042 60988,S200000,00300,0100,ESSEX 60988,S200000,00400,0100,GATES MANOR NURSING HOME 60988,S200000,00400,0200,315363 60988,S200000,00400,0300,01/01/1997 60988,S200000,00400,0500,P 60988,S200000,01500,0100,Y 60994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60994,A000000,00300,0000,00300EMPLOYEE BENEFITS 60994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60994,A000000,00700,0000,00700HOUSEKEEPING 60994,A000000,00800,0000,00800DIETARY 60994,A000000,00900,0000,00900NURSING ADMINISTRATION 60994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60994,A000000,01100,0000,01100PHARMACY 60994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60994,A000000,01300,0000,01300SOCIAL SERVICE 60994,A000000,01350,0000,01500RECREATION 60994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60994,A000000,01600,0000,01600SKILLED NURSING FACILITY 60994,A000000,01810,0000,01810ICF/MR 60994,A000000,02100,0000,02100RADIOLOGY 60994,A000000,02200,0000,02200LABORATORY 60994,A000000,02500,0000,02500PHYSICAL THERAPY 60994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60994,A000000,02700,0000,02700SPEECH PATHOLOGY 60994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60994,A000000,03550,0000,03550FQHC 60994,A000000,04800,0000,04800AMBULANCE 60994,A000000,05000,0000,05000CORF 60994,A000000,05010,0000,05010CMHC 60994,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60994,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60994,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 60994,A81000A,00100,0100,Y 60994,A81000B,00100,0300,HOME OFFICE 60994,A81000B,00200,0300,NEW CAPITAL COSTS 60994,A81000B,00300,0300,OTHER COSTS 60994,A81000C,00100,0100,G 60994,A81000C,00100,0200,UNITED METHODIS 60994,B100000,00000,0100,00000SQUARE FEET 60994,B100000,00000,0200,00000SQUARE FEET 60994,B100000,00000,0300,00000GROSS SALARIES 60994,B100000,00000,0400,00000ACCUM COST 60994,B100000,00000,0500,00000SQUARE FEET 60994,B100000,00000,0600,00000POUNDS OF LAUNDRY 60994,B100000,00000,0700,00000HOURS OF SERVICE 60994,B100000,00000,0800,00000MEALS SERVED 60994,B100000,00000,0900,00000DIRECT NRSG HRS 60994,B100000,00000,1000,00000CENSUS 60994,B100000,00000,1100,00000COSTED REQUIS 60994,B100000,00000,1200,00000CENSUS 60994,B100000,00000,1300,00000CENSUS 60994,B100000,00000,1350,00000CENSUS 60994,B100000,00000,1400,00000ASSIGNED TIME 60994,E10A180,00550,0100,12/08/2000 60994,S000000,00100,0200,11/30/2000 60994,S200000,00200,0100,OCEAN GROVE 60994,S200000,00200,0200,NJ 60994,S200000,00200,0300,07756 60994,S200000,00300,0100,MONMOUTH 60994,S200000,00400,0100,MANOR BY THE SEA 60994,S200000,00400,0200,315365 60994,S200000,00400,0300,11/01/1997 60994,S200000,00400,0500,P 60994,S200000,01500,0100,Y 60994,S200000,01900,0100,LLC 60998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 60998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 60998,A000000,00300,0000,00300EMPLOYEE BENEFITS 60998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 60998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 60998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 60998,A000000,00700,0000,00700HOUSEKEEPING 60998,A000000,00800,0000,00800DIETARY 60998,A000000,00900,0000,00900NURSING ADMINISTRATION 60998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 60998,A000000,01100,0000,01100PHARMACY 60998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 60998,A000000,01300,0000,01300SOCIAL SERVICE 60998,A000000,01350,0000,01500PATIENT ACTIVITIES 60998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 60998,A000000,01600,0000,01600SKILLED NURSING FACILITY 60998,A000000,01810,0000,01810ICF/MR 60998,A000000,01900,0000,01900OTHER LONG TERM CARE 60998,A000000,02100,0000,02100RADIOLOGY 60998,A000000,02200,0000,02200LABORATORY 60998,A000000,02300,0000,02300INTRAVENOUS THERAPY 60998,A000000,02500,0000,02500PHYSICAL THERAPY 60998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 60998,A000000,02700,0000,02700SPEECH PATHOLOGY 60998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 60998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 60998,A000000,03550,0000,03550FQHC 60998,A000000,05000,0000,05000CORF 60998,A000000,05010,0000,05010CMHC 60998,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 60998,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 60998,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 60998,A81000A,00100,0100,Y 60998,A81000B,00100,0300,MANAGEMENT SALARIES 60998,A81000B,00200,0300,THERAPY EXPENSE 60998,A81000B,00300,0300,THERAPY EXPENSE 60998,A81000B,00400,0300,THERAPY EXPENSE 60998,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 60998,A81000B,00600,0300,NEW CAPITAL COSTS 60998,A81000B,00700,0300,EMPLOYEE BENEFITS 60998,A81000C,00100,0100,G 60998,A81000C,00100,0200,ST. BARN HOSPIT 60998,A81000C,00100,0600,ADMIN SUPPORT 60998,B100000,00000,0100,00040SQUARE FEET 60998,B100000,00000,0200,00040SQUARE FEET 60998,B100000,00000,0300,00040GROSS SALARIES 60998,B100000,00000,0400,00040ACCUM COST 60998,B100000,00000,0500,00040SQUARE FEET 60998,B100000,00000,0600,00040CENSUS 60998,B100000,00000,0700,00040HOURS OF SERVICE 60998,B100000,00000,0800,00040MEALS SERVED 60998,B100000,00000,0900,00040DIRECT NRSG HRS 60998,B100000,00000,1000,00040COSTED REQUIS 60998,B100000,00000,1100,00040COSTED REQUIS 60998,B100000,00000,1200,00040TIME SPENT 60998,B100000,00000,1300,00040CENSUS 60998,B100000,00000,1350,00040(PATIENT DAYS) 60998,B100000,00000,1400,00040ASSIGNED TIME 60998,E10A180,00501,0100,07/11/2000 60998,E10A180,00551,0300,07/11/2000 60998,S000000,00100,0200,06/06/2000 60998,S200000,00100,0100,195 BELGROVE DRIVE 60998,S200000,00200,0100,KEARNY 60998,S200000,00200,0200,NJ 60998,S200000,00200,0300,07032 60998,S200000,00300,0100,ESSEX 60998,S200000,00400,0100,CLARA MAASS CCC AT KEARNY 60998,S200000,00400,0200,315366 60998,S200000,00400,0300,05/13/1997 60998,S200000,00400,0500,P 60998,S200000,01500,0100,Y 60998,S200000,04300,0100,Y 61001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61001,A000000,00300,0000,00300EMPLOYEE BENEFITS 61001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61001,A000000,00700,0000,00700HOUSEKEEPING 61001,A000000,00800,0000,00800DIETARY 61001,A000000,00900,0000,00900NURSING ADMINISTRATION 61001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61001,A000000,01100,0000,01100PHARMACY 61001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61001,A000000,01300,0000,01300SOCIAL SERVICE 61001,A000000,01350,0000,01500PATIENT ACTIVITIES 61001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61001,A000000,01600,0000,01600SKILLED NURSING FACILITY 61001,A000000,01810,0000,01810ICF/MR 61001,A000000,02100,0000,02100RADIOLOGY 61001,A000000,02200,0000,02200LABORATORY 61001,A000000,02300,0000,02300INTRAVENOUS THERAPY 61001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61001,A000000,02500,0000,02500PHYSICAL THERAPY 61001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61001,A000000,02700,0000,02700SPEECH PATHOLOGY 61001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61001,A000000,03550,0000,03550FQHC 61001,A000000,05000,0000,05000CORF 61001,A000000,05010,0000,05010CMHC 61001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61001,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61001,A000000,06150,0000,06300ADVERTISING 61001,A000000,06201,0000,06210APARTMENTS 61001,A000000,06202,0000,06220INSTITUTE 61001,B100000,00000,0100,00000SQUARE FEET 61001,B100000,00000,0200,00000SQUARE FEET 61001,B100000,00000,0300,00000GROSS SALARIES 61001,B100000,00000,0400,00000ACCUM COST 61001,B100000,00000,0500,00000SQUARE FEET 61001,B100000,00000,0600,00000PATIENT DAYS 61001,B100000,00000,0700,00000SQUARE FEET 61001,B100000,00000,0800,00000MEALS SERVED 61001,B100000,00000,0900,00000DIRECT NRSG HRS 61001,B100000,00000,1000,00000COSTED REQUIS 61001,B100000,00000,1100,00000COSTED REQUIS 61001,B100000,00000,1200,00000TIME SPENT 61001,B100000,00000,1300,00000PATIENT DAYS 61001,B100000,00000,1350,00000PATIENT DAYS 61001,B100000,00000,1400,00000ASSIGNED TIME 61001,E10A180,00501,0100,08/25/2000 61001,S000000,00100,0200,05/24/2000 61001,S200000,00100,0100,380 DEMOTT LANE 61001,S200000,00200,0100,SOMERSET 61001,S200000,00200,0200,NJ 61001,S200000,00200,0300,08873 61001,S200000,00300,0100,SOMERSET 61001,S200000,00400,0100,CENTRAL NEW JERSEY JEWISH HOME 61001,S200000,00400,0200,315367 61001,S200000,00400,0300,08/04/1997 61001,S200000,00400,0500,P 61001,S200000,01500,0100,Y 61001,S200000,04300,0100,Y 61003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61003,A000000,00300,0000,00300EMPLOYEE BENEFITS 61003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61003,A000000,00700,0000,00700HOUSEKEEPING 61003,A000000,00800,0000,00800DIETARY 61003,A000000,00900,0000,00900NURSING ADMINISTRATION 61003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61003,A000000,01100,0000,01100PHARMACY 61003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61003,A000000,01300,0000,01300SOCIAL SERVICE 61003,A000000,01350,0000,01500PATIENT ACTIVITIES 61003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61003,A000000,01600,0000,01600SKILLED NURSING FACILITY 61003,A000000,01800,0000,01800NURSING FACILITY 61003,A000000,01810,0000,01810ICF/MR 61003,A000000,02500,0000,02500PHYSICAL THERAPY 61003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61003,A000000,02700,0000,02700SPEECH PATHOLOGY 61003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61003,A000000,03550,0000,03550FQHC 61003,A000000,05000,0000,05000CORF 61003,A000000,05010,0000,05010CMHC 61003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61003,A81000A,00100,0100,Y 61003,A81000B,00100,0300,RENT 61003,A81000B,00200,0300,DEPRECIATION 61003,A81000B,00300,0300,MORTGAGE INTEREST 61003,A81000B,00400,0300,AMORTIZATION 61003,A81000B,00500,0300,BANK FEES 61003,A81000C,00100,0100,A 61003,A81000C,00100,0200,MANCHA. SHAPIR 61003,A81000C,00100,0400,M S R L.L.C. 61003,A81000C,00100,0600,REALTY 61003,B100000,00000,0100,00040SQUARE FEET 61003,B100000,00000,0200,00040SQUARE FEET 61003,B100000,00000,0300,00040GROSS SALARIES 61003,B100000,00000,0400,00040ACCUM COST 61003,B100000,00000,0500,00040SQUARE FEET 61003,B100000,00000,0600,00040(PATIENT DAYS) 61003,B100000,00000,0700,00040(SQUARE FEET) 61003,B100000,00000,0800,00040MEALS SERVED 61003,B100000,00000,0900,00040DIRECT NRSG HRS 61003,B100000,00000,1000,00040COSTED REQUIS 61003,B100000,00000,1100,00040COSTED REQUIS 61003,B100000,00000,1200,00040TIME SPENT 61003,B100000,00000,1300,00040TIME SPENT 61003,B100000,00000,1350,00040(PATIENT DAYS) 61003,B100000,00000,1400,00040ASSIGNED TIME 61003,E10A180,00501,0100,06/27/2000 61003,E10A180,00501,0300,06/27/2000 61003,S000000,00100,0200,05/31/2000 61003,S200000,00100,0100,117 COUNTY ROAD 513 61003,S200000,00200,0100,VALLEY VIEW HEALTH CARE CENTER 61003,S200000,00200,0200,315368 61003,S200000,00200,0300,08825 61003,S200000,00300,0100,HUNTERDON 61003,S200000,00400,0100,VALLEY VIEW HEALTH CARE CENTER 61003,S200000,00400,0200,315368 61003,S200000,00400,0300,08/04/1997 61003,S200000,00400,0500,P 61003,S200000,01600,0100,Y 61003,S200000,04300,0100,Y 61007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61007,A000000,00300,0000,00300EMPLOYEE BENEFITS 61007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61007,A000000,00700,0000,00700HOUSEKEEPING 61007,A000000,00800,0000,00800DIETARY 61007,A000000,00900,0000,00900NURSING ADMINISTRATION 61007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61007,A000000,01100,0000,01100PHARMACY 61007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61007,A000000,01300,0000,01300SOCIAL SERVICE 61007,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61007,A000000,01600,0000,01600SKILLED NURSING FACILITY 61007,A000000,01800,0000,01800NURSING FACILITY 61007,A000000,01810,0000,01810ICF/MR 61007,A000000,02100,0000,02100RADIOLOGY 61007,A000000,02200,0000,02200LABORATORY 61007,A000000,02300,0000,02300INTRAVENOUS THERAPY 61007,A000000,02500,0000,02500PHYSICAL THERAPY 61007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61007,A000000,02700,0000,02700SPEECH PATHOLOGY 61007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61007,A000000,03550,0000,03550FQHC 61007,A000000,05000,0000,05000CORF 61007,A000000,05010,0000,05010CMHC 61007,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61007,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61007,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61007,B100000,00000,0100,00000SQUARE FEET 61007,B100000,00000,0200,00000SQUARE FEET 61007,B100000,00000,0300,00000GROSS SALARIES 61007,B100000,00000,0400,00000ACCUM COST 61007,B100000,00000,0500,00000SQUARE FEET 61007,B100000,00000,0600,00000PATIENT DAYS 61007,B100000,00000,0700,00000PATIENT DAYS 61007,B100000,00000,0800,00000MEALS SERVED 61007,B100000,00000,0900,00000NURSING SALARIES 61007,B100000,00000,1000,00000PATIENT DAYS 61007,B100000,00000,1100,00000PATIENT DAYS 61007,B100000,00000,1200,00000PATIENT DAYS 61007,B100000,00000,1300,00000PATIENT DAYS 61007,B100000,00000,1400,00000ASSIGNED TIME 61007,E10A180,00501,0100,08/25/2000 61007,S000000,00100,0200,05/26/2000 61007,S200000,00100,0100,300 OLD HOOK ROAD 61007,S200000,00200,0100,WESTWOOD 61007,S200000,00200,0200,NJ 61007,S200000,00200,0300,07675 61007,S200000,00300,0100,BERGEN 61007,S200000,00400,0100,VALLEY HEALTHCARE CENTER 61007,S200000,00400,0200,315369 61007,S200000,00400,0300,09/01/1997 61007,S200000,00400,0500,P 61007,S200000,01600,0100,Y 61007,S200000,04300,0100,Y 61010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61010,A000000,00300,0000,00300EMPLOYEE BENEFITS 61010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61010,A000000,00700,0000,00700HOUSEKEEPING 61010,A000000,00800,0000,00800DIETARY 61010,A000000,00900,0000,00900NURSING ADMINISTRATION 61010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61010,A000000,01100,0000,01100PHARMACY 61010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61010,A000000,01300,0000,01300SOCIAL SERVICE 61010,A000000,01350,0000,01500ACTIVITIES 61010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61010,A000000,01600,0000,01600SKILLED NURSING FACILITY 61010,A000000,01800,0000,01800NURSING FACILITY 61010,A000000,01810,0000,01810ICF/MR 61010,A000000,02200,0000,02200LABORATORY 61010,A000000,02300,0000,02300INTRAVENOUS THERAPY 61010,A000000,02301,0000,02310RESPIRATORY 61010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61010,A000000,02500,0000,02500PHYSICAL THERAPY 61010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61010,A000000,02700,0000,02700SPEECH PATHOLOGY 61010,A000000,02800,0000,02800ELECTROCARDIOLOGY 61010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61010,A000000,02901,0000,02910COMPLEX MEDICAL EQUIPMENT 61010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61010,A000000,03450,0000,03600ADMIN & GENERAL-HHA 61010,A000000,03550,0000,03550FQHC 61010,A000000,04750,0000,05100INTEREST EXPENSE 61010,A000000,04800,0000,04800AMBULANCE 61010,A000000,05000,0000,05000MALPRACTICE PREM & PAID LOSSES 61010,A000000,05010,0000,05010CMHC 61010,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61010,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61010,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61010,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61010,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61010,A000000,06150,0000,06300TOTAL 61010,A81000A,00100,0100,Y 61010,A81000C,00100,0100,B 61010,A81000C,00100,0200,CAREMATRIX CORP 61010,A81000C,00100,0400,CAREMATRIX CORP 61010,A81000C,00100,0600,HOME OFFICE 61010,B100000,00000,0100,00000(SQUARE FEET) 61010,B100000,00000,0200,00000(SQUARE FEET) 61010,B100000,00000,0300,00000(GROSS SALARIES) 61010,B100000,00000,0400,00000(ACCUM COST) 61010,B100000,00000,0500,00000(SQUARE FEET) 61010,B100000,00000,0600,00000PATIENT DAYS 61010,B100000,00000,0700,00000SQUARE FEET 61010,B100000,00000,0800,00000PATIENT DAYS 61010,B100000,00000,0900,00000PATIENT DAYS 61010,B100000,00000,1000,00000(COSTED REQUIS) 61010,B100000,00000,1100,00000PATIENT DAYS 61010,B100000,00000,1200,00000PATIENT DAYS 61010,B100000,00000,1300,00000PATIENT DAYS 61010,B100000,00000,1350,00000(PATIENT DAYS) 61010,B100000,00000,1400,00000(ASSIGNED TIME) 61010,E10A180,00550,0300,06/01/2000 61010,S000000,00100,0200,12/18/2000 61010,S200000,00100,0100,5000 WINDROW DRIVE 61010,S200000,00200,0100,PRINCETON 61010,S200000,00200,0200,NJ 61010,S200000,00200,0300,08540 61010,S200000,00300,0100,MIDDLESEX 61010,S200000,00400,0100,FORRESTAL SKILLED NURSING & REHAB 61010,S200000,00400,0200,315370 61010,S200000,00400,0300,09/04/1997 61010,S200000,00400,0500,P 61010,S200000,00400,0600,O 61010,S200000,00600,0200,315370 61010,S200000,00600,0300,09/04/1997 61010,S200000,00600,0600,P 61010,S200000,00800,0200,315370 61010,S200000,00800,0300,09/04/1997 61010,S200000,00800,0500,O 61010,S200000,00800,0600,P 61010,S200000,01600,0100,Y 61012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61012,A000000,00300,0000,00300EMPLOYEE BENEFITS 61012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61012,A000000,00700,0000,00700HOUSEKEEPING 61012,A000000,00800,0000,00800DIETARY 61012,A000000,00900,0000,00900NURSING ADMINISTRATION 61012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61012,A000000,01100,0000,01100PHARMACY 61012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61012,A000000,01300,0000,01300SOCIAL SERVICE 61012,A000000,01350,0000,01500PATIENT ACTIVITIES 61012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61012,A000000,01600,0000,01600SKILLED NURSING FACILITY 61012,A000000,01810,0000,01810ICF/MR 61012,A000000,02100,0000,02100RADIOLOGY 61012,A000000,02200,0000,02200LABORATORY 61012,A000000,02500,0000,02500PHYSICAL THERAPY 61012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61012,A000000,02700,0000,02700SPEECH PATHOLOGY 61012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61012,A000000,03550,0000,03550FQHC 61012,A000000,04800,0000,04800AMBULANCE 61012,A000000,05000,0000,05000CORF 61012,A000000,05010,0000,05010CMHC 61012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61012,B100000,00000,0100,00040SQUARE FEET 61012,B100000,00000,0200,00040SQUARE FEET 61012,B100000,00000,0300,00040GROSS SALARIES 61012,B100000,00000,0400,00040ACCUM COST 61012,B100000,00000,0500,00040SQUARE FEET 61012,B100000,00000,0600,00040POUNDS OF LAUNDRY 61012,B100000,00000,0700,00040HOURS OF SERVICE 61012,B100000,00000,0800,00040MEALS SERVED 61012,B100000,00000,0900,00040DIRECT NRSG HRS 61012,B100000,00000,1000,00040COSTED REQUIS 61012,B100000,00000,1100,00040COSTED REQUIS 61012,B100000,00000,1200,00040TIME SPENT 61012,B100000,00000,1300,00040TIME SPENT 61012,B100000,00000,1350,00040(PATIENT CENSUS) 61012,B100000,00000,1400,00040ASSIGNED TIME 61012,S000000,00100,0200,11/17/2000 61012,S200000,00100,0100,810 NEWMAN SPRINGS ROAD 61012,S200000,00200,0100,LINCROFT 61012,S200000,00200,0200,NJ 61012,S200000,00200,0300,07738 61012,S200000,00300,0100,MONMOUTH 61012,S200000,00400,0100,DE LA SALLE HALL 61012,S200000,00400,0200,315374 61012,S200000,00400,0300,12/01/1997 61012,S200000,00400,0500,P 61012,S200000,01500,0100,Y 61012,S200000,01900,0100,LLC 61012,S200000,04300,0100,Y 61016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61016,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61016,A000000,00300,0000,00300EMPLOYEE BENEFITS 61016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61016,A000000,00700,0000,00700HOUSEKEEPING 61016,A000000,00800,0000,00800DIETARY 61016,A000000,00900,0000,00900NURSING ADMINISTRATION 61016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61016,A000000,01100,0000,01100PHARMACY 61016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61016,A000000,01300,0000,01300SOCIAL SERVICE 61016,A000000,01350,0000,01500RECREATION 61016,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61016,A000000,01600,0000,01600SKILLED NURSING FACILITY 61016,A000000,01810,0000,01810ICF/MR 61016,A000000,02100,0000,02100RADIOLOGY 61016,A000000,02200,0000,02200LABORATORY 61016,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61016,A000000,02500,0000,02500PHYSICAL THERAPY 61016,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61016,A000000,02700,0000,02700SPEECH PATHOLOGY 61016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61016,A000000,03050,0000,03300TRANSPORTATION 61016,A000000,03200,0000,03200SUPPORT SURFACES 61016,A000000,03550,0000,03550FQHC 61016,A000000,05000,0000,05000CORF 61016,A000000,05010,0000,05010CMHC 61016,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61016,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61016,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61016,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61016,A81000A,00100,0100,Y 61016,A81000B,00100,0300,ACCOUNTING FEES 61016,A81000B,00200,0300,REAL ESTATE TAXES 61016,A81000B,00300,0300,LICENSES & PERMITS 61016,A81000B,00400,0300,LIABILITY INSURANCE 61016,A81000B,00500,0300,PROPERTY INSURANCE 61016,A81000B,00600,0300,INTEREST EXPENSE 61016,A81000B,00700,0300,MIP EXPENSE 61016,A81000B,00800,0300,AMORTIZATION EXPENSE 61016,A81000B,00900,0300,DEPRECIATION EXPENSE 61016,A81000B,01000,0300,LEGAL FEES 61016,A81000B,01100,0300,RENT EXPENSE 61016,A81000C,00200,0100,A 61016,A81000C,00200,0200,R. STEFANACCI 61016,A81000C,00200,0400,FRC ASSOCIATES 61016,A81000C,00200,0600,LANDLORD 61016,A81000C,00300,0100,A 61016,A81000C,00300,0200,S. POMPA 61016,A81000C,00300,0400,FRC ASSOCIATES 61016,A81000C,00300,0600,LANDLORD 61016,B100000,00000,0100,00000SQUARE FEET 61016,B100000,00000,0200,00000SQUARE FEET 61016,B100000,00000,0300,00000GROSS SALARIES 61016,B100000,00000,0400,00000ACCUM COST 61016,B100000,00000,0500,00000SQUARE FEET 61016,B100000,00000,0600,00000CENSUS 61016,B100000,00000,0700,00000SQUARE FEET 61016,B100000,00000,0800,00000MEALS SERVED 61016,B100000,00000,0900,00000DIRECT NRSG HRS 61016,B100000,00000,1000,00000COSTED REQUIS 61016,B100000,00000,1100,00000CENSUS 61016,B100000,00000,1200,00000CENSUS 61016,B100000,00000,1300,00000CENSUS 61016,B100000,00000,1350,00000CENSUS 61016,B100000,00000,1400,00000ASSIGNED TIME 61016,E10A180,00550,0100,07/04/2000 61016,E10A180,00550,0300,07/04/2000 61016,S000000,00100,0200,05/31/2000 61016,S200000,00100,0100,505 MT. PROSPECT AVENUE 61016,S200000,00200,0100,NEWARK 61016,S200000,00200,0200,NJ 61016,S200000,00200,0300,07104 61016,S200000,00300,0100,ESSEX 61016,S200000,00400,0100,FOREST HILL HEALTH CARE CENTER 61016,S200000,00400,0200,315375 61016,S200000,00400,0300,12/01/1997 61016,S200000,00400,0500,P 61016,S200000,01500,0100,Y 61016,S200000,04100,0100,Y 61019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61019,A000000,00300,0000,00300EMPLOYEE BENEFITS 61019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61019,A000000,00700,0000,00700HOUSEKEEPING 61019,A000000,00800,0000,00800DIETARY 61019,A000000,00900,0000,00900NURSING ADMINISTRATION 61019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61019,A000000,01100,0000,01100PHARMACY 61019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61019,A000000,01300,0000,01300SOCIAL SERVICE 61019,A000000,01350,0000,01500PATIENT ACTIVITIES 61019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61019,A000000,01600,0000,01600SKILLED NURSING FACILITY 61019,A000000,01810,0000,01810ICF/MR 61019,A000000,02500,0000,02500PHYSICAL THERAPY 61019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61019,A000000,02700,0000,02700SPEECH PATHOLOGY 61019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61019,A000000,03550,0000,03550FQHC 61019,A000000,05000,0000,05000CORF 61019,A000000,05010,0000,05010CMHC 61019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61019,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61019,B100000,00000,0100,00000SQUARE FEET 61019,B100000,00000,0200,00000SQUARE FEET 61019,B100000,00000,0300,00000GROSS SALARIES 61019,B100000,00000,0400,00000ACCUM COST 61019,B100000,00000,0500,00000SQUARE FEET 61019,B100000,00000,0600,00000PATIENT DAYS 61019,B100000,00000,0700,00000SQUARE FEET 61019,B100000,00000,0800,00000MEALS SERVED 61019,B100000,00000,0900,00000DIRECT NRSG HRS 61019,B100000,00000,1000,00000COSTED REQUIS 61019,B100000,00000,1100,00000COSTED REQUIS 61019,B100000,00000,1200,00000TIME SPENT 61019,B100000,00000,1300,00000PATIENT DAYS 61019,B100000,00000,1350,00000PATIENT DAYS 61019,B100000,00000,1400,00000ASSIGNED TIME 61019,S000000,00100,0200,06/01/2000 61019,S200000,00100,0100,175 WEST HUDSON AVENUE 61019,S200000,00200,0100,ENGLEWOOD 61019,S200000,00200,0200,NJ 61019,S200000,00200,0300,07631 61019,S200000,00300,0100,BERGEN 61019,S200000,00400,0100,THE ACTORS FUND NURSING HOME 61019,S200000,00400,0200,315377 61019,S200000,00400,0300,12/01/1997 61019,S200000,00400,0500,P 61019,S200000,01500,0100,Y 61019,S200000,04300,0100,Y 61021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61021,A000000,00300,0000,00300EMPLOYEE BENEFITS 61021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61021,A000000,00700,0000,00700HOUSEKEEPING 61021,A000000,00800,0000,00800DIETARY 61021,A000000,00900,0000,00900NURSING ADMINISTRATION 61021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61021,A000000,01100,0000,01100PHARMACY 61021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61021,A000000,01300,0000,01300SOCIAL SERVICE 61021,A000000,01350,0000,01500PATIENT ACTIVITIES 61021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61021,A000000,01600,0000,01600SKILLED NURSING FACILITY 61021,A000000,01810,0000,01810ICF/MR 61021,A000000,02100,0000,02100RADIOLOGY 61021,A000000,02200,0000,02200LABORATORY 61021,A000000,02500,0000,02500PHYSICAL THERAPY 61021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61021,A000000,02700,0000,02700SPEECH PATHOLOGY 61021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61021,A000000,03400,0000,03400CLINIC 61021,A000000,03550,0000,03550FQHC 61021,A000000,05000,0000,05000CORF 61021,A000000,05010,0000,05010CMHC 61021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61021,B100000,00000,0100,00040SQUARE FEET 61021,B100000,00000,0200,00040SQUARE FEET 61021,B100000,00000,0300,00040GROSS SALARIES 61021,B100000,00000,0400,00040ACCUM COST 61021,B100000,00000,0500,00040SQUARE FEET 61021,B100000,00000,0600,00040PATIENT DAYS 61021,B100000,00000,0700,00040SQUARE FEET 61021,B100000,00000,0800,00040MEALS SERVED 61021,B100000,00000,0900,00040DIRECT NRSG HRS 61021,B100000,00000,1000,00040COSTED REQUIS 61021,B100000,00000,1100,00040COSTED REQUIS 61021,B100000,00000,1200,00040TIME SPENT 61021,B100000,00000,1300,00040PATIENT DAYS 61021,B100000,00000,1350,00040PATIENT DAYS 61021,B100000,00000,1400,00040ASSIGNED TIME 61021,E10A180,00501,0100,06/27/2000 61021,E10A180,00501,0300,06/27/2000 61021,S000000,00100,0200,05/30/2000 61021,S200000,00100,0100,129 MORRIS TURNPIKE 61021,S200000,00200,0100,NEWTON 61021,S200000,00200,0200,NJ 61021,S200000,00200,0300,07860 61021,S200000,00300,0100,SUSSEX 61021,S200000,00400,0100,SUSSEX COUNTY HOMESTEAD 61021,S200000,00400,0200,315378 61021,S200000,00400,0300,12/01/1997 61021,S200000,00400,0500,P 61021,S200000,01500,0100,Y 61021,S200000,01900,0100,LLC 61021,S200000,04300,0100,Y 61025,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61025,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61025,A000000,00300,0000,00300EMPLOYEE BENEFITS 61025,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61025,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61025,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61025,A000000,00700,0000,00700HOUSEKEEPING 61025,A000000,00800,0000,00800DIETARY 61025,A000000,00900,0000,00900NURSING ADMINISTRATION 61025,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61025,A000000,01100,0000,01100PHARMACY 61025,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61025,A000000,01300,0000,01300SOCIAL SERVICE 61025,A000000,01350,0000,01500PATIENT ACTIVITIES 61025,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61025,A000000,01600,0000,01600SKILLED NURSING FACILITY 61025,A000000,02100,0000,02100RADIOLOGY 61025,A000000,02500,0000,02500PHYSICAL THERAPY 61025,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61025,A000000,02700,0000,02700SPEECH PATHOLOGY 61025,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61025,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61025,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61025,A000000,03550,0000,03550FQHC 61025,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61025,A000000,05000,0000,05000CORF 61025,A000000,05010,0000,05010CMHC 61025,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61025,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61025,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61025,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61025,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61025,A81000A,00100,0100,Y 61025,A81000B,00100,0300,BUILDING RENT 61025,A81000B,00200,0300,ADMINISTRATOR SALARY 61025,A81000B,00300,0300,OFFICE SALARY 61025,A81000B,00400,0300,OFFICE SALARY 61025,A81000B,00500,0300,NURSING SALARY 61025,A81000C,00100,0100,F 61025,A81000C,00100,0200,VICTOR & REBECCA NAPENAS 61025,A81000C,00200,0100,F 61025,A81000C,00200,0200,R. NAPENAS 61025,A81000C,00300,0100,F 61025,A81000C,00300,0200,V.T. NAPENAS 61025,A81000C,00400,0100,F 61025,A81000C,00400,0200,V.A. NAPENAS 61025,A81000C,00500,0100,F 61025,A81000C,00500,0200,R. NAPENAS 61025,B100000,00000,0100,00000SQUARE FEET 61025,B100000,00000,0200,00000SQUARE FEET 61025,B100000,00000,0300,00000GROSS SALARIES 61025,B100000,00000,0400,00000ACCUM. COST 61025,B100000,00000,0500,00000SQUARE FEET 61025,B100000,00000,0600,00000PATIENT DAYS 61025,B100000,00000,0700,00000SQUARE FEET 61025,B100000,00000,0800,00000PATIENT DAYS 61025,B100000,00000,0900,00000PATIENT DAYS 61025,B100000,00000,1000,00000PATIENT DAYS 61025,B100000,00000,1100,00000PATIENT DAYS 61025,B100000,00000,1200,00000PATIENT DAYS 61025,B100000,00000,1300,00000PATIENT DAYS 61025,B100000,00000,1350,00000PATIENT DAYS 61025,B100000,00000,1400,00000PATIENT DAYS 61025,E10A180,00501,0300,09/22/2000 61025,S000000,00100,0200,08/24/2000 61025,S200000,00100,0100,56 BOGERT STREET 61025,S200000,00200,0100,TOTOWA 61025,S200000,00200,0200,NJ 61025,S200000,00300,0100,PASSAIC 61025,S200000,00400,0100,VALLEY REST NURSING HOME 61025,S200000,00400,0200,315380 61025,S200000,00400,0300,12/01/1997 61025,S200000,00400,0500,P 61025,S200000,01500,0100,Y 61028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61028,A000000,00300,0000,00300EMPLOYEE BENEFITS 61028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61028,A000000,00700,0000,00700HOUSEKEEPING 61028,A000000,00800,0000,00800DIETARY 61028,A000000,00900,0000,00900NURSING ADMINISTRATION 61028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61028,A000000,01100,0000,01100PHARMACY 61028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61028,A000000,01300,0000,01300SOCIAL SERVICE 61028,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61028,A000000,01600,0000,01600SKILLED NURSING FACILITY 61028,A000000,01810,0000,01810ICF/MR 61028,A000000,02100,0000,02100RADIOLOGY 61028,A000000,02200,0000,02200LABORATORY 61028,A000000,02500,0000,02500PHYSICAL THERAPY 61028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61028,A000000,02700,0000,02700SPEECH PATHOLOGY 61028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61028,A000000,03550,0000,03550FQHC 61028,A000000,04800,0000,04800AMBULANCE 61028,A000000,05000,0000,05000CORF 61028,A000000,05010,0000,05010CMHC 61028,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61028,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61028,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61028,B100000,00000,0100,00040SQUARE FEET 61028,B100000,00000,0200,00040SQUARE FEET 61028,B100000,00000,0300,00040GROSS SALARIES 61028,B100000,00000,0400,00040ACCUM COST 61028,B100000,00000,0500,00040SQUARE FEET 61028,B100000,00000,0600,00040PATIENT DAYS 61028,B100000,00000,0700,00040SQUARE FEET 61028,B100000,00000,0800,00040MEALS SERVED 61028,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 61028,B100000,00000,1000,00040PATIENT DAYS 61028,B100000,00000,1100,00040PATIENT DAYS 61028,B100000,00000,1200,00040TIME SPENT 61028,B100000,00000,1300,00040PATIENT DAYS 61028,B100000,00000,1350,00040PATIENT DAYS 61028,B100000,00000,1400,00040ASSIGNED TIME 61028,E10A180,00550,0100,06/27/2000 61028,S000000,00100,0200,05/17/2000 61028,S200000,00100,0100,15 CALDWELL AVENUE 61028,S200000,00200,0100,SADDLE BROOK 61028,S200000,00200,0200,NJ 61028,S200000,00200,0300,07663 61028,S200000,00300,0100,BERGEN 61028,S200000,00400,0100,SADDLE BROOK CONVALESCENT HOME 61028,S200000,00400,0200,315385 61028,S200000,00400,0300,12/01/1997 61028,S200000,00400,0500,P 61028,S200000,01500,0100,Y 61028,S200000,04700,0100,Y 61028,S200000,04700,0200,Y 61030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61030,A000000,00300,0000,00300EMPLOYEE BENEFITS 61030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61030,A000000,00700,0000,00700HOUSEKEEPING 61030,A000000,00800,0000,00800DIETARY 61030,A000000,00900,0000,00900NURSING ADMINISTRATION 61030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61030,A000000,01100,0000,01100PHARMACY 61030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61030,A000000,01300,0000,01300SOCIAL SERVICE 61030,A000000,01350,0000,01500ACTIVITIES 61030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61030,A000000,01600,0000,01600SKILLED NURSING FACILITY 61030,A000000,01810,0000,01810ICF/MR 61030,A000000,02100,0000,02100RADIOLOGY 61030,A000000,02200,0000,02200LABORATORY 61030,A000000,02500,0000,02500PHYSICAL THERAPY 61030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61030,A000000,02700,0000,02700SPEECH PATHOLOGY 61030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61030,A000000,03200,0000,03200SUPPORT SURFACES 61030,A000000,03550,0000,03550FQHC 61030,A000000,04800,0000,04800AMBULANCE 61030,A000000,05000,0000,05000CORF 61030,A000000,05010,0000,05010CMHC 61030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61030,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61030,B100000,00000,0100,00000SQUARE FEET 61030,B100000,00000,0200,00000SQUARE FEET 61030,B100000,00000,0300,00000GROSS SALARIES 61030,B100000,00000,0400,00000ACCUM COST 61030,B100000,00000,0500,00000SQUARE FEET 61030,B100000,00000,0600,00000PATIENT DAYS 61030,B100000,00000,0700,00000SQUARE FEET 61030,B100000,00000,0800,00000MEALS SERVED 61030,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 61030,B100000,00000,1000,00000PATIENT DAYS 61030,B100000,00000,1100,00000PATIENT DAYS 61030,B100000,00000,1200,00000TIME SPENT 61030,B100000,00000,1300,00000PATIENT DAYS 61030,B100000,00000,1350,00000PATIENT DAYS 61030,B100000,00000,1400,00000ASSIGNED TIME 61030,S000000,00100,0200,05/17/2000 61030,S200000,00100,0100,30 LEGREGNI STREET 61030,S200000,00200,0100,SADDLE BROOK 61030,S200000,00200,0200,NJ 61030,S200000,00200,0300,07663 61030,S200000,00300,0100,BERGEN 61030,S200000,00400,0100,BROOKWOOD CONVALESCENT HOME 61030,S200000,00400,0200,315386 61030,S200000,00400,0300,12/01/1997 61030,S200000,00400,0500,P 61030,S200000,01500,0100,Y 61030,S200000,04700,0100,Y 61030,S200000,04700,0200,Y 61033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61033,A000000,00300,0000,00300EMPLOYEE BENEFITS 61033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61033,A000000,00700,0000,00700HOUSEKEEPING 61033,A000000,00800,0000,00800DIETARY 61033,A000000,00900,0000,00900NURSING ADMINISTRATION 61033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61033,A000000,01100,0000,01100PHARMACY 61033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61033,A000000,01300,0000,01300SOCIAL SERVICE 61033,A000000,01350,0000,01500PATIENT ACTIVITIES 61033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61033,A000000,01600,0000,01600SKILLED NURSING FACILITY 61033,A000000,01810,0000,01810ICF/MR 61033,A000000,02100,0000,02100RADIOLOGY 61033,A000000,02200,0000,02200LABORATORY 61033,A000000,02500,0000,02500PHYSICAL THERAPY 61033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61033,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61033,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61033,A000000,03550,0000,03550FQHC 61033,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61033,A000000,05000,0000,05000CORF 61033,A000000,05010,0000,05010CMHC 61033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61033,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61033,B100000,00000,0100,00000SQUARE FEET 61033,B100000,00000,0200,00000DOLLAR VALUE 61033,B100000,00000,0300,00000GROSS SALARIES 61033,B100000,00000,0400,00000ACCUM. COST 61033,B100000,00000,0500,00000SQUARE FEET 61033,B100000,00000,0600,00000PATIENT DAYS 61033,B100000,00000,0700,00000SQUARE FEET 61033,B100000,00000,0800,00000MEALS SERVED 61033,B100000,00000,0900,00000PATIENT DAYS 61033,B100000,00000,1000,00000COSTED REQUIS. 61033,B100000,00000,1100,00000PATIENT DAYS 61033,B100000,00000,1200,00000PATIENT DAYS 61033,B100000,00000,1300,00000PATIENT DAYS 61033,B100000,00000,1350,00000PATIENT DAYS 61033,B100000,00000,1400,00000ASSIGNED TIME 61033,E10A180,00501,0100,08/09/2000 61033,S000000,00100,0200,05/31/2000 61033,S200000,00100,0100,140 SHEPHERD LANE 61033,S200000,00200,0100,ST. JOSEPHS HOME FOR THE ELDERLY 61033,S200000,00200,0200,315388 61033,S200000,00200,0300,07512 61033,S200000,00300,0100,PASSAIC 61033,S200000,00400,0100,ST. JOSEPHS HOME FOR THE ELDERLY 61033,S200000,00400,0200,315388 61033,S200000,00400,0300,12/01/1997 61033,S200000,00400,0500,P 61033,S200000,01500,0100,Y 61036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61036,A000000,00300,0000,00300EMPLOYEE BENEFITS 61036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61036,A000000,00700,0000,00700HOUSEKEEPING 61036,A000000,00800,0000,00800DIETARY 61036,A000000,00900,0000,00900NURSING ADMINISTRATION 61036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61036,A000000,01100,0000,01100PHARMACY 61036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61036,A000000,01300,0000,01300SOCIAL SERVICE 61036,A000000,01350,0000,01500PATIENT ACTIVITIES 61036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61036,A000000,01600,0000,01600SKILLED NURSING FACILITY 61036,A000000,01810,0000,01810ICF/MR 61036,A000000,02200,0000,02200LABORATORY 61036,A000000,02500,0000,02500PHYSICAL THERAPY 61036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61036,A000000,03550,0000,03550FQHC 61036,A000000,05000,0000,05000CORF 61036,A000000,05010,0000,05010CMHC 61036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61036,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61036,A81000A,00100,0100,Y 61036,A81000B,00100,0300,RENT 61036,A81000C,00100,0100,A 61036,A81000C,00100,0200,MARTHA ZELTNER 61036,A81000C,00100,0400,ZELTNER REALTY 61036,A81000C,00100,0600,REALTY 61036,B100000,00000,0100,00000SQUARE FEET 61036,B100000,00000,0200,00000SQUARE FEET 61036,B100000,00000,0300,00000GROSS SALARIES 61036,B100000,00000,0400,00000ACCUM COST 61036,B100000,00000,0500,00000SQUARE FEET 61036,B100000,00000,0600,00000POUNDS OF LAUNDRY 61036,B100000,00000,0700,00000HOURS OF SERVICE 61036,B100000,00000,0800,00000MEALS SERVED 61036,B100000,00000,0900,00000DIRECT NRSG HRS 61036,B100000,00000,1000,00000COSTED REQUIS 61036,B100000,00000,1100,00000COSTED REQUIS 61036,B100000,00000,1200,00000TIME SPENT 61036,B100000,00000,1300,00000TIME SPENT 61036,B100000,00000,1350,00000PATIENT DAYS 61036,B100000,00000,1400,00000ASSIGNED TIME 61036,S000000,00100,0200,05/25/2000 61036,S200000,00100,0100,600 LINCOLN PARK EAST 61036,S200000,00200,0100,CRANFORD 61036,S200000,00200,0200,NJ 61036,S200000,00200,0300,07016 61036,S200000,00300,0100,UNION 61036,S200000,00400,0100,CRANFORD HALL NURSING HOME 61036,S200000,00400,0200,315390 61036,S200000,00400,0300,12/01/1997 61036,S200000,00400,0500,P 61036,S200000,01500,0100,Y 61036,S200000,01600,0100,Y 61036,S200000,04300,0100,Y 61038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61038,A000000,00300,0000,00300EMPLOYEE BENEFITS 61038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61038,A000000,00700,0000,00700HOUSEKEEPING 61038,A000000,00800,0000,00800DIETARY 61038,A000000,00900,0000,00900NURSING ADMINISTRATION 61038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61038,A000000,01100,0000,01100PHARMACY 61038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61038,A000000,01300,0000,01300SOCIAL SERVICE 61038,A000000,01350,0000,01500ACTIVITIES 61038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61038,A000000,01600,0000,01600SKILLED NURSING FACILITY 61038,A000000,01810,0000,01810ICF/MR 61038,A000000,02100,0000,02100RADIOLOGY 61038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61038,A000000,02500,0000,02500PHYSICAL THERAPY 61038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61038,A000000,02700,0000,02700SPEECH PATHOLOGY 61038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61038,A000000,03550,0000,03550FQHC 61038,A000000,05000,0000,05000CORF 61038,A000000,05010,0000,05010CMHC 61038,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61038,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61038,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61038,A000000,06150,0000,06300OTHER NONREIMBURSABLE 0 61038,A81000A,00100,0100,Y 61038,A81000B,00100,0300,LONG TERM CARE FEES 61038,A81000B,00200,0300,VICARIATE OFFICE 61038,A81000B,00300,0300,LIABILITY INSURANCE 61038,A81000B,00400,0300,WOKERS COMPENSATION INSURANCE 61038,A81000B,00500,0300,BOILER INSURANCE 61038,A81000B,00600,0300,AUTO INSURANCE 61038,A81000C,00100,0100,B 61038,A81000C,00100,0200,DIOCESE-CAMDEN 61038,A81000C,00100,0400,MATER DEI 61038,A81000C,00100,0600,HOME OFFICE 61038,A81000C,00200,0100,B 61038,A81000C,00200,0200,DIOCESE-CAMDEN 61038,A81000C,00200,0400,MATER DEI 61038,A81000C,00200,0600,HOME OFFICE 61038,A81000C,00300,0100,B 61038,A81000C,00300,0200,DIOCESE-CAMDEN 61038,A81000C,00300,0400,MATER DEI 61038,A81000C,00300,0600,HOME OFFICE 61038,A81000C,00400,0100,B 61038,A81000C,00400,0200,DIOCESE-CAMDEN 61038,A81000C,00400,0400,MATER DEI 61038,A81000C,00400,0600,HOME OFFICE 61038,A81000C,00500,0100,B 61038,A81000C,00500,0200,DIOCESE-CAMDEN 61038,A81000C,00500,0400,MATER DEI 61038,A81000C,00500,0600,HOME OFFICE 61038,A81000C,00600,0100,B 61038,A81000C,00600,0200,DIOCESE-CAMDEN 61038,A81000C,00600,0400,MATER DEI 61038,A81000C,00600,0600,HOME OFFICE 61038,B100000,00000,0100,00000SQUARE FEET 61038,B100000,00000,0200,00000SQUARE FEET 61038,B100000,00000,0300,00000GROSS SALARIES 61038,B100000,00000,0400,00000ACCUM. COST 61038,B100000,00000,0500,00000SQUARE FEET 61038,B100000,00000,0600,00000POUNDS OF LAUNDRY 61038,B100000,00000,0700,00000SQUARE FEET 61038,B100000,00000,0800,00000MEALS SERVED 61038,B100000,00000,0900,00000DIRECT NRSING HRS 61038,B100000,00000,1000,00000COSTED REQUIS. 61038,B100000,00000,1100,00000COSTED REQUIS. 61038,B100000,00000,1200,00000HOURS OF SERVICE 61038,B100000,00000,1300,00000HOURS OF SERVICE 61038,B100000,00000,1350,00000HOURS OF SERVICE 61038,B100000,00000,1400,00000ASSIGNED TIME 61038,S000000,00100,0200,06/06/2000 61038,S200000,00100,0100,176 ROUTE 40 61038,S200000,00200,0100,MATER DEI NURSING HOME 61038,S200000,00200,0200,315391 61038,S200000,00200,0300,08344 61038,S200000,00300,0100,SOLEM 61038,S200000,00400,0100,MATER DEI NURSING HOME 61038,S200000,00400,0200,315391 61038,S200000,00400,0300,12/01/1997 61038,S200000,00400,0500,P 61038,S200000,01500,0100,Y 61038,S200000,01900,0100,LLC 61038,S200000,02200,0100,Y 61041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61041,A000000,00300,0000,00300EMPLOYEE BENEFITS 61041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61041,A000000,00700,0000,00700HOUSEKEEPING 61041,A000000,00800,0000,00800DIETARY 61041,A000000,00900,0000,00900NURSING ADMINISTRATION 61041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61041,A000000,01100,0000,01100PHARMACY 61041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61041,A000000,01300,0000,01300SOCIAL SERVICE 61041,A000000,01350,0000,01500OTHER GENERAL SERVICES 61041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61041,A000000,01600,0000,01600SKILLED NURSING FACILITY 61041,A000000,01810,0000,01810ICF/MR 61041,A000000,01900,0000,01900OTHER LONG TERM CARE 61041,A000000,02100,0000,02100RADIOLOGY 61041,A000000,02200,0000,02200LABORATORY 61041,A000000,02500,0000,02500PHYSICAL THERAPY 61041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61041,A000000,03550,0000,03550FQHC 61041,A000000,05000,0000,05000CORF 61041,A000000,05010,0000,05010CMHC 61041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61041,B100000,00000,0100,00000SQUARE FEET 61041,B100000,00000,0200,00000SQUARE FEET 61041,B100000,00000,0300,00000GROSS SALARIES 61041,B100000,00000,0400,00000ACCUM COST 61041,B100000,00000,0500,00000SQUARE FEET 61041,B100000,00000,0600,00000POUNDS OF LAUNDRY 61041,B100000,00000,0700,00000HOURS OF SERVICE 61041,B100000,00000,0800,00000MEALS SERVED 61041,B100000,00000,0900,00000DIRECT NRSG HRS 61041,B100000,00000,1000,00000COSTED REQUIS 61041,B100000,00000,1100,00000COSTED REQUIS 61041,B100000,00000,1200,00000TIME SPENT 61041,B100000,00000,1300,00000TIME SPENT 61041,B100000,00000,1350,00000PATIENT CENSUS 61041,B100000,00000,1400,00000ASSIGNED TIME 61041,S000000,00100,0200,05/30/2000 61041,S200000,00100,0100,250 BLOOMFIELD AVENUE 61041,S200000,00200,0100,BLOOMFIELD 61041,S200000,00200,0200,NJ 61041,S200000,00200,0300,07003 61041,S200000,00300,0100,ESSEX 61041,S200000,00400,0100,JOB HAINES HOME FOR THE AGED 61041,S200000,00400,0200,315392 61041,S200000,00400,0300,12/01/1997 61041,S200000,00400,0500,P 61041,S200000,01500,0100,Y 61041,S200000,04300,0100,Y 61044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61044,A000000,00300,0000,00300EMPLOYEE BENEFITS 61044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61044,A000000,00700,0000,00700HOUSEKEEPING 61044,A000000,00800,0000,00800DIETARY 61044,A000000,00900,0000,00900NURSING ADMINISTRATION 61044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61044,A000000,01100,0000,01100PHARMACY 61044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61044,A000000,01300,0000,01300SOCIAL SERVICE 61044,A000000,01350,0000,01500PATIENT ACTIVITIES 61044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61044,A000000,01600,0000,01600SKILLED NURSING FACILITY 61044,A000000,01810,0000,01810ICF/MR 61044,A000000,02100,0000,02100RADIOLOGY 61044,A000000,02200,0000,02200LABORATORY 61044,A000000,02500,0000,02500PHYSICAL THERAPY 61044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61044,A000000,02700,0000,02700SPEECH PATHOLOGY 61044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61044,A000000,03550,0000,03550FQHC 61044,A000000,04800,0000,04800AMBULANCE 61044,A000000,05000,0000,05000CORF 61044,A000000,05010,0000,05010CMHC 61044,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61044,A000000,06150,0000,06300DAY CARE 61044,B100000,00000,0100,00000SQUARE FEET 61044,B100000,00000,0200,00000SQUARE FEET 61044,B100000,00000,0300,00000GROSS SALARIES 61044,B100000,00000,0400,00000ACCUM COST 61044,B100000,00000,0500,00000SQUARE FEET 61044,B100000,00000,0600,00000PATIENT DAYS 61044,B100000,00000,0700,00000SQUARE FEET 61044,B100000,00000,0800,00000MEALS SERVED 61044,B100000,00000,0900,00000DIRECT NRSG HRS 61044,B100000,00000,1000,00000COSTED REQUIS 61044,B100000,00000,1100,00000COSTED REQUIS 61044,B100000,00000,1200,00000TIME SPENT 61044,B100000,00000,1300,00000PATIENT DAYS 61044,B100000,00000,1350,00000PATIENT DAYS 61044,B100000,00000,1400,00000ASSIGNED TIME 61044,E10A180,00501,0100,07/20/2000 61044,S000000,00100,0200,05/31/2000 61044,S200000,00100,0100,266 SOUTH ORANGE AVENUE 61044,S200000,00200,0100,NEWARK 61044,S200000,00200,0200,NJ 61044,S200000,00200,0300,07103 61044,S200000,00300,0100,ESSEX 61044,S200000,00400,0100,NEW COMMUNITY ECF 61044,S200000,00400,0200,315393 61044,S200000,00400,0300,12/01/1997 61044,S200000,00400,0500,P 61044,S200000,01500,0100,Y 61044,S200000,04300,0100,Y 61047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61047,A000000,00300,0000,00300EMPLOYEE BENEFITS 61047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61047,A000000,00700,0000,00700HOUSEKEEPING 61047,A000000,00800,0000,00800DIETARY 61047,A000000,00900,0000,00900NURSING ADMINISTRATION 61047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61047,A000000,01100,0000,01100PHARMACY 61047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61047,A000000,01300,0000,01300SOCIAL SERVICE 61047,A000000,01350,0000,01500RECREATION 61047,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61047,A000000,01600,0000,01600SKILLED NURSING FACILITY 61047,A000000,01810,0000,01810ICF/MR 61047,A000000,01900,0000,01900OTHER LONG TERM CARE 61047,A000000,02100,0000,02100RADIOLOGY 61047,A000000,02200,0000,02200LABORATORY 61047,A000000,02500,0000,02500PHYSICAL THERAPY 61047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61047,A000000,02700,0000,02700SPEECH PATHOLOGY 61047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61047,A000000,03550,0000,03550FQHC 61047,A000000,04800,0000,04800AMBULANCE 61047,A000000,05000,0000,05000CORF 61047,A000000,05010,0000,05010CMHC 61047,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61047,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61047,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61047,A81000A,00100,0100,Y 61047,A81000B,00100,0300,ADMIN AND GENERAL 61047,A81000B,00200,0300,NEW CAPITAL COSTS 61047,A81000B,00300,0300,OTHER COSTS 61047,A81000C,00100,0100,G 61047,A81000C,00100,0400,UNITED METHODIS 61047,A81000C,00100,0600,SUPPORT SERVICE 61047,B100000,00000,0100,00000SQUARE FEET 61047,B100000,00000,0200,00000SQUARE FEET 61047,B100000,00000,0300,00000GROSS SALARIES 61047,B100000,00000,0400,00000ACCUM COST 61047,B100000,00000,0500,00000SQUARE FEET 61047,B100000,00000,0600,00000POUNDS OF LAUNDRY 61047,B100000,00000,0700,00000HOURS OF SERVICE 61047,B100000,00000,0800,00000MEALS SERVED 61047,B100000,00000,0900,00000DIRECT NRSG HRS 61047,B100000,00000,1000,00000CENSUS 61047,B100000,00000,1100,00000COSTED REQUIS 61047,B100000,00000,1200,00000CENSUS 61047,B100000,00000,1300,00000CENSUS 61047,B100000,00000,1350,00000CENSUS 61047,B100000,00000,1400,00000ASSIGNED TIME 61047,S000000,00100,0200,12/04/2000 61047,S200000,00100,0100,2201BAY AVENUE 61047,S200000,00200,0100,OCEAN CITY 61047,S200000,00200,0200,NJ 61047,S200000,00200,0300,08226 61047,S200000,00300,0100,CAPE MAY 61047,S200000,00400,0100,THE SHORES AT WESLEY 61047,S200000,00400,0200,315394 61047,S200000,00400,0300,02/16/1998 61047,S200000,00400,0500,P 61047,S200000,01500,0100,Y 61047,S200000,01900,0100,LLC 61050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61050,A000000,00300,0000,00300EMPLOYEE BENEFITS 61050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61050,A000000,00700,0000,00700HOUSEKEEPING 61050,A000000,00800,0000,00800DIETARY 61050,A000000,00900,0000,00900NURSING ADMINISTRATION 61050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61050,A000000,01100,0000,01100PHARMACY 61050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61050,A000000,01300,0000,01300SOCIAL SERVICE 61050,A000000,01350,0000,01500RECREATION 61050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61050,A000000,01600,0000,01600SKILLED NURSING FACILITY 61050,A000000,01800,0000,01800NURSING FACILITY 61050,A000000,01810,0000,01810ICF/MR 61050,A000000,02100,0000,02100RADIOLOGY 61050,A000000,02200,0000,02200LABORATORY 61050,A000000,02500,0000,02500PHYSICAL THERAPY 61050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61050,A000000,02700,0000,02700SPEECH PATHOLOGY 61050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61050,A000000,03200,0000,03200SUPPORT SURFACES 61050,A000000,03550,0000,03550FQHC 61050,A000000,04800,0000,04800AMBULANCE 61050,A000000,05000,0000,05000CORF 61050,A000000,05010,0000,05010CMHC 61050,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61050,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61050,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61050,A000000,06150,0000,06300DAY CARE 61050,B100000,00000,0100,00000(SQUARE FEET) 61050,B100000,00000,0200,00000SQUARE FEET 61050,B100000,00000,0300,00000(GROSS SALARIES) 61050,B100000,00000,0400,00000(ACCUM COST) 61050,B100000,00000,0500,00000(SQUARE FEET) 61050,B100000,00000,0600,00000(PATIENT DAYS) 61050,B100000,00000,0700,00000(SQUARE FEET) 61050,B100000,00000,0800,00000(MEALS SERVED) 61050,B100000,00000,0900,00000DIRECT NRSG HRS 61050,B100000,00000,1000,00000COSTED REQUIS 61050,B100000,00000,1100,00000COSTED REQUIS 61050,B100000,00000,1200,00000TIME SPENT 61050,B100000,00000,1300,00000(PATIENT DAYS) 61050,B100000,00000,1350,00000CENSUS 61050,B100000,00000,1400,00000ASSIGNED TIME 61050,S000000,00100,0200,05/31/2000 61050,S200000,00100,0100,154 CUMBERLAND AVENUE 61050,S200000,00200,0100,BRIDGETON 61050,S200000,00200,0200,NJ 61050,S200000,00200,0300,08302 61050,S200000,00300,0100,CUMBERLAND 61050,S200000,00400,0100,CUMBERLAND MANOR 61050,S200000,00400,0200,315396 61050,S200000,00400,0300,12/01/1997 61050,S200000,00400,0500,P 61050,S200000,01500,0100,Y 61050,S200000,04300,0100,Y 61053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61053,A000000,00300,0000,00300EMPLOYEE BENEFITS 61053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61053,A000000,00700,0000,00700HOUSEKEEPING 61053,A000000,00800,0000,00800DIETARY 61053,A000000,00900,0000,00900NURSING ADMINISTRATION 61053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61053,A000000,01100,0000,01100PHARMACY 61053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61053,A000000,01300,0000,01300SOCIAL SERVICE 61053,A000000,01350,0000,01500PATIENT ACTIVITIES 61053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61053,A000000,01600,0000,01600SKILLED NURSING FACILITY 61053,A000000,01810,0000,01810ICF/MR 61053,A000000,02100,0000,02100RADIOLOGY 61053,A000000,02200,0000,02200LABORATORY 61053,A000000,02500,0000,02500PHYSICAL THERAPY 61053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61053,A000000,02700,0000,02700SPEECH PATHOLOGY 61053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61053,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61053,A000000,03550,0000,03550FQHC 61053,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61053,A000000,05000,0000,05000CORF 61053,A000000,05010,0000,05010CMHC 61053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61053,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61053,B100000,00000,0100,00000SQUARE FEET 61053,B100000,00000,0200,00000SQUARE FEET 61053,B100000,00000,0300,00000GROSS SALARIES 61053,B100000,00000,0400,00000ACCUM. COST 61053,B100000,00000,0500,00000SQUARE FEET 61053,B100000,00000,0600,00000PATIENT DAYS 61053,B100000,00000,0700,00000SQUARE FEET 61053,B100000,00000,0800,00000PATIENT DAYS 61053,B100000,00000,0900,00000PATIENT DAYS 61053,B100000,00000,1000,00000PATIENT DAYS 61053,B100000,00000,1100,00000PATIENT DAYS 61053,B100000,00000,1200,00000PATIENT DAYS 61053,B100000,00000,1300,00000PATIENT DAYS 61053,B100000,00000,1350,00000PATIENT DAYS 61053,B100000,00000,1400,00000ASSIGNED TIME 61053,E10A180,00501,0100,07/10/2000 61053,E10A180,00550,0300,07/10/2000 61053,S000000,00100,0200,06/05/2000 61053,S200000,00100,0100,595 COUNTY AVE 61053,S200000,00200,0100,SECAUCUS 61053,S200000,00200,0200,NJ 61053,S200000,00200,0300,07094 61053,S200000,00300,0100,HUDSON 61053,S200000,00400,0100,MEADOWVIEW HOSPITAL 61053,S200000,00400,0200,315400 61053,S200000,00400,0300,09/01/1997 61053,S200000,00400,0500,P 61053,S200000,01500,0100,Y 61056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61056,A000000,00300,0000,00300EMPLOYEE BENEFITS 61056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61056,A000000,00700,0000,00700HOUSEKEEPING 61056,A000000,00800,0000,00800DIETARY 61056,A000000,00900,0000,00900NURSING ADMINISTRATION 61056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61056,A000000,01100,0000,01100PHARMACY 61056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61056,A000000,01300,0000,01300SOCIAL SERVICE 61056,A000000,01350,0000,01500PATIENT ACTIVITIES 61056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61056,A000000,01600,0000,01600SKILLED NURSING FACILITY 61056,A000000,01810,0000,01810ICF/MR 61056,A000000,01900,0000,01900OTHER LONG TERM CARE 61056,A000000,02100,0000,02100RADIOLOGY 61056,A000000,02200,0000,02200LABORATORY 61056,A000000,02500,0000,02500PHYSICAL THERAPY 61056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61056,A000000,02700,0000,02700SPEECH PATHOLOGY 61056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61056,A000000,03550,0000,03550FQHC 61056,A000000,04800,0000,04800AMBULANCE 61056,A000000,05000,0000,05000CORF 61056,A000000,05010,0000,05010CMHC 61056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61056,B100000,00000,0100,00000(SQUARE FEET) 61056,B100000,00000,0200,00000SQUARE FEET 61056,B100000,00000,0300,00000(GROSS SALARIES) 61056,B100000,00000,0400,00000(ACCUM COST) 61056,B100000,00000,0500,00000(SQUARE FEET) 61056,B100000,00000,0600,00000POUNDS OF LAUNDRY 61056,B100000,00000,0700,00000(SQUARE FEET) 61056,B100000,00000,0800,00000(MEALS SERVED) 61056,B100000,00000,0900,00000DIRECT NRSG HRS 61056,B100000,00000,1000,00000COSTED REQUIS 61056,B100000,00000,1100,00000COSTED REQUIS 61056,B100000,00000,1200,00000TIME SPENT 61056,B100000,00000,1300,00000(PATIENT DAYS) 61056,B100000,00000,1350,00000(PATIENT DAYS) 61056,B100000,00000,1400,00000ASSIGNED TIME 61056,E10A180,00302,0100,08/19/1998 61056,S000000,00100,0200,06/29/2000 61056,S200000,00100,0100,70 MAIN STREET 61056,S200000,00200,0100,EMERSON 61056,S200000,00200,0200,NJ 61056,S200000,00200,0300,07630 61056,S200000,00300,0100,BERGEN 61056,S200000,00400,0100,HOME FOR THE ARMENIAN AGED 61056,S200000,00400,0200,315402 61056,S200000,00400,0300,12/01/1997 61056,S200000,00400,0500,P 61056,S200000,01500,0100,Y 61056,S200000,04300,0100,Y 61056,S200000,04700,0100,Y 61056,S200000,04700,0200,Y 61059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61059,A000000,00300,0000,00300EMPLOYEE BENEFITS 61059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61059,A000000,00700,0000,00700HOUSEKEEPING 61059,A000000,00800,0000,00800DIETARY 61059,A000000,00900,0000,00900NURSING ADMINISTRATION 61059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61059,A000000,01100,0000,01100PHARMACY 61059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61059,A000000,01300,0000,01300SOCIAL SERVICE 61059,A000000,01350,0000,01500RECREATION 61059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61059,A000000,01600,0000,01600SKILLED NURSING FACILITY 61059,A000000,01810,0000,01810ICF/MR 61059,A000000,01900,0000,01900OTHER LONG TERM CARE 61059,A000000,02100,0000,02100RADIOLOGY 61059,A000000,02200,0000,02200LABORATORY 61059,A000000,02500,0000,02500PHYSICAL THERAPY 61059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61059,A000000,02700,0000,02700SPEECH PATHOLOGY 61059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61059,A000000,03550,0000,03550FQHC 61059,A000000,04800,0000,04800AMBULANCE 61059,A000000,05000,0000,05000CORF 61059,A000000,05010,0000,05010CMHC 61059,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61059,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61059,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61059,A81000A,00100,0100,Y 61059,A81000B,00100,0300,CAPTICAL COSTS 61059,A81000B,00200,0300,OTHER COSTS 61059,A81000C,00100,0100,G 61059,A81000C,00100,0200,UNITED METHODIS 61059,A81000C,00100,0600,HOME OFFICE 61059,B100000,00000,0100,00000SQUARE FEET 61059,B100000,00000,0200,00000SQUARE FEET 61059,B100000,00000,0300,00000GROSS SALARIES 61059,B100000,00000,0400,00000ACCUM COST 61059,B100000,00000,0500,00000SQUARE FEET 61059,B100000,00000,0600,00000POUNDS OF LAUNDRY 61059,B100000,00000,0700,00000HOURS OF SERVICE 61059,B100000,00000,0800,00000MEALS SERVED 61059,B100000,00000,0900,00000DIRECT NRSG HRS 61059,B100000,00000,1000,00000CENSUS 61059,B100000,00000,1100,00000COSTED REQUIS 61059,B100000,00000,1200,00000CENSUS 61059,B100000,00000,1300,00000CENSUS 61059,B100000,00000,1350,00000 61059,B100000,00000,1400,00000ASSIGNED TIME 61059,S000000,00100,0200,11/30/2000 61059,S200000,00100,0100,460 HADDON AVENUE 61059,S200000,00200,0100,COLLINGSWOOD 61059,S200000,00200,0200,NJ 61059,S200000,00200,0300,08108 61059,S200000,00300,0100,CAMDEN 61059,S200000,00400,0100,COLLINGSWOOD MANOR 61059,S200000,00400,0200,315404 61059,S200000,00400,0300,12/01/1997 61059,S200000,00400,0500,P 61059,S200000,01500,0100,Y 61062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61062,A000000,00300,0000,00300EMPLOYEE BENEFITS 61062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61062,A000000,00700,0000,00700HOUSEKEEPING 61062,A000000,00800,0000,00800DIETARY 61062,A000000,00900,0000,00900NURSING ADMINISTRATION 61062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61062,A000000,01100,0000,01100PHARMACY 61062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61062,A000000,01300,0000,01300SOCIAL SERVICE 61062,A000000,01350,0000,01500PATIENT ACTIVITIES 61062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61062,A000000,01600,0000,01600SKILLED NURSING FACILITY 61062,A000000,01800,0000,01800NURSING FACILITY 61062,A000000,01810,0000,01810ICF/MR 61062,A000000,01900,0000,01900OTHER LONG TERM CARE 61062,A000000,02200,0000,02200LABORATORY 61062,A000000,02500,0000,02500PHYSICAL THERAPY 61062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61062,A000000,02700,0000,02700SPEECH PATHOLOGY 61062,A000000,03550,0000,03550FQHC 61062,A000000,05000,0000,05000CORF 61062,A000000,05010,0000,05010CMHC 61062,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61062,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61062,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61062,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61062,A81000A,00100,0100,Y 61062,A81000B,00100,0300,RENT 61062,A81000C,00100,0100,G 61062,A81000C,00100,0200,CONG OF HOLY IN 61062,A81000C,00100,0400,VILLA MARIA 61062,A81000C,00100,0600,RELATED RENT 61062,B100000,00000,0100,00000SQUARE FEET 61062,B100000,00000,0200,00000SQUARE FEET 61062,B100000,00000,0300,00000GROSS SALARIES 61062,B100000,00000,0400,00000ACCUM COST 61062,B100000,00000,0500,00000SQUARE FEET 61062,B100000,00000,0600,00000POUNDS OF LAUNDRY 61062,B100000,00000,0700,00000HOURS OF SERVICE 61062,B100000,00000,0800,00000MEALS SERVED 61062,B100000,00000,0900,00000DIRECT NRSG HRS 61062,B100000,00000,1000,00000COSTED REQUIS 61062,B100000,00000,1100,00000COSTED REQUIS 61062,B100000,00000,1200,00000TIME SPENT 61062,B100000,00000,1300,00000TIME SPENT 61062,B100000,00000,1350,00000PATIENT DAYS 61062,B100000,00000,1400,00000ASSIGNED TIME 61062,S000000,00100,0200,05/16/2000 61062,S200000,00100,0100,641 SOMERSET STREET 61062,S200000,00200,0100,NORTH PLAINFIELD 61062,S200000,00200,0200,NJ 61062,S200000,00200,0300,07061 61062,S200000,00300,0100,SOMERSET 61062,S200000,00400,0100,VILLA MARIA HOME FOR THE AGED 61062,S200000,00400,0200,315407 61062,S200000,00400,0300,01/01/1998 61062,S200000,00400,0500,P 61062,S200000,01500,0100,Y 61062,S200000,04300,0100,Y 61064,S000000,00100,0200,06/02/2000 61068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61068,A000000,00300,0000,00300EMPLOYEE BENEFITS 61068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61068,A000000,00700,0000,00700HOUSEKEEPING 61068,A000000,00800,0000,00800DIETARY 61068,A000000,00900,0000,00900NURSING ADMINISTRATION 61068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61068,A000000,01100,0000,01100PHARMACY 61068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61068,A000000,01300,0000,01300SOCIAL SERVICE 61068,A000000,01350,0000,01500PATIENT ACTIVITIES 61068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61068,A000000,01600,0000,01600SKILLED NURSING FACILITY 61068,A000000,01800,0000,01800NURSING FACILITY 61068,A000000,01810,0000,01810ICF/MR 61068,A000000,02100,0000,02100RADIOLOGY 61068,A000000,02200,0000,02200LABORATORY 61068,A000000,02500,0000,02500PHYSICAL THERAPY 61068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61068,A000000,02700,0000,02700SPEECH PATHOLOGY 61068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61068,A000000,02901,0000,02901CLINITRON BEDS 61068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61068,A000000,03550,0000,03550FQHC 61068,A000000,05000,0000,05000CORF 61068,A000000,05010,0000,05010CMHC 61068,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61068,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61068,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61068,A000000,06150,0000,06300CLINIC 61068,A81000A,00100,0100,Y 61068,A81000B,00100,0300,HOME OFFICE COSTS - OPERATING 61068,A81000B,00200,0300,HOME OFFICE COSTS - CAPITAL 61068,A81000C,00100,0100,B 61068,A81000C,00100,0400,PRES HOMES & SVCS INC 61068,A81000C,00100,0600,MGT - PARENT CO 61068,A81000C,00200,0100,B 61068,A81000C,00200,0400,PRES HOMES & SVCS INC 61068,A81000C,00200,0600,MGT - PARENT CO 61068,B100000,00000,0100,00000SQUARE FEET 61068,B100000,00000,0200,00000SQUARE FEET 61068,B100000,00000,0300,00000GROSS SALARIES 61068,B100000,00000,0400,00000ACCUM. COST 61068,B100000,00000,0500,00000SQUARE FEET 61068,B100000,00000,0600,00000PATIENT DAYS 61068,B100000,00000,0700,00000SQFT EXCL DIETARY 61068,B100000,00000,0800,00000MEALS SERVED 61068,B100000,00000,0900,00000NURSING SALARIES 61068,B100000,00000,1000,00000COSTED REQUIS. 61068,B100000,00000,1100,00000COSTED REQUIS. 61068,B100000,00000,1200,00000PATIENT DAYS 61068,B100000,00000,1300,00000PATIENT DAYS 61068,B100000,00000,1350,00000PATIENT DAYS 61068,B100000,00000,1400,00000NO STATISTICS 61068,E10A180,00501,0100,06/23/2000 61068,E10A180,00501,0300,06/23/2000 61068,S000000,00100,0200,05/26/2000 61068,S200000,00100,0100,3510 ROUTE 66 61068,S200000,00200,0100,NEPTUNE 61068,S200000,00200,0200,NJ 61068,S200000,00200,0300,07753 61068,S200000,00300,0100,MONMOUTH 61068,S200000,00400,0100,THE LODGE 61068,S200000,00400,0200,315411 61068,S200000,00400,0300,12/05/1997 61068,S200000,00400,0500,P 61068,S200000,01600,0100,Y 61072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61072,A000000,00300,0000,00300EMPLOYEE BENEFITS 61072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61072,A000000,00700,0000,00700HOUSEKEEPING 61072,A000000,00800,0000,00800DIETARY 61072,A000000,00900,0000,00900NURSING ADMINISTRATION 61072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61072,A000000,01100,0000,01100PHARMACY 61072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61072,A000000,01300,0000,01300SOCIAL SERVICE 61072,A000000,01350,0000,01500PATIENT ACTIVITIES 61072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61072,A000000,01600,0000,01600SKILLED NURSING FACILITY 61072,A000000,01810,0000,01810ICF/MR 61072,A000000,02100,0000,02100RADIOLOGY 61072,A000000,02200,0000,02200LABORATORY 61072,A000000,02500,0000,02500PHYSICAL THERAPY 61072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61072,A000000,02700,0000,02700SPEECH PATHOLOGY 61072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61072,A000000,03550,0000,03550FQHC 61072,A000000,05000,0000,05000CORF 61072,A000000,05010,0000,05010CMHC 61072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61072,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61072,A000000,06150,0000,06300DAY CARE 61072,B100000,00000,0100,00000SQUARE FEET 61072,B100000,00000,0200,00000SQUARE FEET 61072,B100000,00000,0300,00000GROSS SALARIES 61072,B100000,00000,0400,00000ACCUM COST 61072,B100000,00000,0500,00000SQUARE FEET 61072,B100000,00000,0600,00000PATIENT DAYS 61072,B100000,00000,0700,00000SQUARE FEET 61072,B100000,00000,0800,00000MEALS SERVED 61072,B100000,00000,0900,00000DIRECT NRSG HRS 61072,B100000,00000,1000,00000COSTED REQUIS 61072,B100000,00000,1100,00000COSTED REQUIS 61072,B100000,00000,1200,00000TIME SPENT 61072,B100000,00000,1300,00000PATIENT DAYS 61072,B100000,00000,1350,00000PATIENT DAYS 61072,B100000,00000,1400,00000ASSIGNED TIME 61072,E10A180,00301,0100,01/05/2001 61072,S000000,00100,0200,05/08/2000 61072,S200000,00100,0100,198 OLD BERGEN ROAD 61072,S200000,00200,0100,JERSEY CITY 61072,S200000,00200,0200,NJ 61072,S200000,00200,0300,07305 61072,S200000,00300,0100,HUDSON 61072,S200000,00400,0100,ST. ANNS HOME FOR THE AGED 61072,S200000,00400,0200,315413 61072,S200000,00400,0300,10/15/1997 61072,S200000,00400,0500,P 61072,S200000,01500,0100,Y 61072,S200000,04300,0100,Y 61075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61075,A000000,00300,0000,00300EMPLOYEE BENEFITS 61075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61075,A000000,00700,0000,00700HOUSEKEEPING 61075,A000000,00800,0000,00800DIETARY 61075,A000000,00900,0000,00900NURSING ADMINISTRATION 61075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61075,A000000,01100,0000,01100PHARMACY 61075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61075,A000000,01300,0000,01300SOCIAL SERVICE 61075,A000000,01350,0000,01500PATIENT ACTIVITIES 61075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61075,A000000,01600,0000,01600SKILLED NURSING FACILITY 61075,A000000,01800,0000,01800NURSING FACILITY 61075,A000000,01810,0000,01810ICF/MR 61075,A000000,01900,0000,01900OTHER LONG TERM CARE 61075,A000000,02100,0000,02100RADIOLOGY 61075,A000000,02200,0000,02200LABORATORY 61075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61075,A000000,02500,0000,02500PHYSICAL THERAPY 61075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61075,A000000,02700,0000,02700SPEECH PATHOLOGY 61075,A000000,02800,0000,02800ELECTROCARDIOLOGY 61075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61075,A000000,03550,0000,03550FQHC 61075,A000000,04800,0000,04800AMBULANCE 61075,A000000,05000,0000,05000CORF 61075,A000000,05010,0000,05010CMHC 61075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61075,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61075,B100000,00000,0100,00000SQUARE FEET 61075,B100000,00000,0200,00000SQUARE FEET 61075,B100000,00000,0300,00000GROSS SALARIES 61075,B100000,00000,0400,00000ACCUM COST 61075,B100000,00000,0500,00000SQUARE FEET 61075,B100000,00000,0600,00000POUNDS OF LAUNDRY 61075,B100000,00000,0700,00000HOURS OF SERVICE 61075,B100000,00000,0800,00000MEALS SERVED 61075,B100000,00000,0900,00000DIRECT NRSG HRS 61075,B100000,00000,1000,00000COSTED REQUIS 61075,B100000,00000,1100,00000COSTED REQUIS 61075,B100000,00000,1200,00000TIME SPENT 61075,B100000,00000,1300,00000TIME SPENT 61075,B100000,00000,1350,00000PATIENT CENSUS 61075,B100000,00000,1400,00000ASSIGNED TIME 61075,S000000,00100,0200,09/20/2000 61075,S200000,00100,0100,103 PLEASANT VALLEY WAY 61075,S200000,00200,0100,WEST ORANGE 61075,S200000,00200,0200,NJ 61075,S200000,00200,0300,07052 61075,S200000,00300,0100,ESSEX 61075,S200000,00400,0100,GREEN HILL 61075,S200000,00400,0200,315416 61075,S200000,00400,0300,12/01/1997 61075,S200000,00400,0500,P 61075,S200000,01600,0100,Y 61075,S200000,04300,0100,Y 61075,S200000,04700,0100,Y 61075,S200000,04700,0200,Y 61078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61078,A000000,00300,0000,00300EMPLOYEE BENEFITS 61078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61078,A000000,00700,0000,00700HOUSEKEEPING 61078,A000000,00800,0000,00800DIETARY 61078,A000000,00900,0000,00900NURSING ADMINISTRATION 61078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61078,A000000,01100,0000,01100PHARMACY 61078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61078,A000000,01300,0000,01300SOCIAL SERVICE 61078,A000000,01350,0000,01500PATIENT ACTIVITIES 61078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61078,A000000,01600,0000,01600SKILLED NURSING FACILITY 61078,A000000,01810,0000,01810ICF/MR 61078,A000000,01900,0000,01900OTHER LONG TERM CARE 61078,A000000,02500,0000,02500PHYSICAL THERAPY 61078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61078,A000000,03550,0000,03550FQHC 61078,A000000,05000,0000,05000CORF 61078,A000000,05010,0000,05010CMHC 61078,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61078,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61078,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61078,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61078,B100000,00000,0100,00000SQUARE FEET 61078,B100000,00000,0200,00000SQUARE FEET 61078,B100000,00000,0300,00000GROSS SALARIES 61078,B100000,00000,0400,00000ACCUM. COST 61078,B100000,00000,0500,00000SQUARE FEET 61078,B100000,00000,0600,00000PATIENT DAYS-NF/R 61078,B100000,00000,0700,00000SQUARE FEET 61078,B100000,00000,0800,00000PATIENT DAYS-NF/R 61078,B100000,00000,0900,00000PATIENT DAYS-NF 61078,B100000,00000,1000,00000PATIENT DAYS-NF 61078,B100000,00000,1100,00000PATIENT DAYS-NF 61078,B100000,00000,1200,00000PATIENT DAYS-NF 61078,B100000,00000,1300,00000PATIENT DAYS-NF 61078,B100000,00000,1350,00000PATIENT DAYS-NF 61078,B100000,00000,1400,00000ASSIGNED TIME 61078,S000000,00100,0200,06/01/2000 61078,S200000,00100,0100,1990 ROUTE 18 NORTH 61078,S200000,00200,0100,OLD BRIDGE 61078,S200000,00200,0200,NJ 61078,S200000,00200,0300,08857 61078,S200000,00300,0100,MIDDLESEX 61078,S200000,00400,0100,REFORMED CHURCH HOME 61078,S200000,00400,0200,315417 61078,S200000,00400,0300,12/01/1997 61078,S200000,00400,0500,P 61078,S200000,01500,0100,Y 61081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61081,A000000,00300,0000,00300EMPLOYEE BENEFITS 61081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61081,A000000,00700,0000,00700HOUSEKEEPING 61081,A000000,00800,0000,00800DIETARY 61081,A000000,00900,0000,00900NURSING ADMINISTRATION 61081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61081,A000000,01100,0000,01100PHARMACY 61081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61081,A000000,01300,0000,01300SOCIAL SERVICE 61081,A000000,01350,0000,01500PATIENT ACTIVITIES 61081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61081,A000000,01600,0000,01600SKILLED NURSING FACILITY 61081,A000000,01810,0000,01810ICF/MR 61081,A000000,02100,0000,02100RADIOLOGY 61081,A000000,02200,0000,02200LABORATORY 61081,A000000,02500,0000,02500PHYSICAL THERAPY 61081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61081,A000000,02700,0000,02700SPEECH PATHOLOGY 61081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61081,A000000,03550,0000,03550FQHC 61081,A000000,05000,0000,05000CORF 61081,A000000,05010,0000,05010CMHC 61081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61081,B100000,00000,0100,00000SQUARE FEET 61081,B100000,00000,0200,00000SQUARE FEET 61081,B100000,00000,0300,00000GROSS SALARIES 61081,B100000,00000,0400,00000ACCUM COST 61081,B100000,00000,0500,00000SQUARE FEET 61081,B100000,00000,0600,00000POUNDS OF LAUNDRY 61081,B100000,00000,0700,00000HOURS OF SERVICE 61081,B100000,00000,0800,00000MEALS SERVED 61081,B100000,00000,0900,00000DIRECT NRSG HRS 61081,B100000,00000,1000,00000PATIENT CENSUS 61081,B100000,00000,1100,00000COSTED REQUIS 61081,B100000,00000,1200,00000TIME SPENT 61081,B100000,00000,1300,00000TIME SPENT 61081,B100000,00000,1350,00000PATIENT CENSUS 61081,B100000,00000,1400,00000ASSIGNED TIME 61081,S000000,00100,0200,06/06/2000 61081,S200000,00100,0100,99 E MAIN STREET 61081,S200000,00200,0100,MARLTON 61081,S200000,00200,0200,NJ 61081,S200000,00200,0300,08053 61081,S200000,00300,0100,BURLINGTON 61081,S200000,00400,0100,WILEY MISSION 61081,S200000,00400,0200,315418 61081,S200000,00400,0300,12/01/1997 61081,S200000,00400,0500,P 61081,S200000,01500,0100,Y 61081,S200000,01900,0100,OTHER 61081,S200000,04300,0100,Y 61084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61084,A000000,00300,0000,00300EMPLOYEE BENEFITS 61084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61084,A000000,00700,0000,00700HOUSEKEEPING 61084,A000000,00800,0000,00800DIETARY 61084,A000000,00900,0000,00900NURSING ADMINISTRATION 61084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61084,A000000,01100,0000,01100PHARMACY 61084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61084,A000000,01300,0000,01300SOCIAL SERVICE 61084,A000000,01350,0000,01500PATIENT ACTIVITIES 61084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61084,A000000,01600,0000,01600SKILLED NURSING FACILITY 61084,A000000,01810,0000,01810ICF/MR 61084,A000000,01900,0000,01900OTHER LONG TERM CARE 61084,A000000,02100,0000,02100RADIOLOGY 61084,A000000,02200,0000,02200LABORATORY 61084,A000000,02500,0000,02500PHYSICAL THERAPY 61084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61084,A000000,02700,0000,02700SPEECH PATHOLOGY 61084,A000000,02800,0000,02800ELECTROCARDIOLOGY 61084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61084,A000000,03550,0000,03550FQHC 61084,A000000,04800,0000,04800AMBULANCE 61084,A000000,05000,0000,05000CORF 61084,A000000,05010,0000,05010CMHC 61084,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61084,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61084,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61084,B100000,00000,0100,00000SQUARE FEET 61084,B100000,00000,0200,00000SQUARE FEET 61084,B100000,00000,0300,00000GROSS SALARIES 61084,B100000,00000,0400,00000ACCUM COST 61084,B100000,00000,0500,00000SQUARE FEET 61084,B100000,00000,0600,00000POUNDS OF LAUNDRY 61084,B100000,00000,0700,00000HOURS OF SERVICE 61084,B100000,00000,0800,00000MEALS SERVED 61084,B100000,00000,0900,00000DIRECT NRSG HRS 61084,B100000,00000,1000,00000COSTED REQUIS 61084,B100000,00000,1100,00000COSTED REQUIS 61084,B100000,00000,1200,00000TIME SPENT 61084,B100000,00000,1300,00000TIME SPENT 61084,B100000,00000,1350,00000(PATIENT CENSUS) 61084,B100000,00000,1400,00000ASSIGNED TIME 61084,E10A180,00351,0100,05/31/1998 61084,S000000,00100,0200,05/12/2000 61084,S200000,00100,0100,111 FINDERNE AVENUE 61084,S200000,00200,0100,BRIDGEWATER 61084,S200000,00200,0200,NJ 61084,S200000,00200,0300,08807 61084,S200000,00300,0100,SOMERSET 61084,S200000,00400,0100,NEW JERSEY EASTERN STAR HOME 61084,S200000,00400,0200,315419 61084,S200000,00400,0300,12/01/1997 61084,S200000,00400,0500,P 61084,S200000,01500,0100,Y 61084,S200000,04300,0100,Y 61087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61087,A000000,00300,0000,00300EMPLOYEE BENEFITS 61087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61087,A000000,00700,0000,00700HOUSEKEEPING 61087,A000000,00800,0000,00800DIETARY 61087,A000000,00900,0000,00900NURSING ADMINISTRATION 61087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61087,A000000,01100,0000,01100PHARMACY 61087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61087,A000000,01300,0000,01300SOCIAL SERVICE 61087,A000000,01350,0000,01500ACTIVITES 61087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61087,A000000,01600,0000,01600SKILLED NURSING FACILITY 61087,A000000,01810,0000,01810ICF/MR 61087,A000000,02100,0000,02100RADIOLOGY 61087,A000000,02200,0000,02200LABORATORY 61087,A000000,02500,0000,02500PHYSICAL THERAPY 61087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61087,A000000,02700,0000,02700SPEECH PATHOLOGY 61087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61087,A000000,03550,0000,03550FQHC 61087,A000000,05000,0000,05000CORF 61087,A000000,05010,0000,05010CMHC 61087,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61087,A000000,06100,0000,06100NONPAID WORKERS 61087,A81000A,00100,0100,Y 61087,A81000B,00100,0300,CONSULTING/ACCT 61087,A81000B,00200,0300,PURCHASED SERVICE 61087,A81000C,00100,0100,B 61087,A81000C,00100,0200,JEWISH HOME - J 61087,A81000C,00100,0400,PROVIDER #31-50 61087,A81000C,00200,0100,B 61087,A81000C,00200,0200,JEWISH HOME-JER 61087,A81000C,00200,0400,PROVIDER #31-50 61087,A81000C,00300,0100,B 61087,A81000C,00300,0200,JEWISH HOME-JER 61087,A81000C,00300,0400,PROVIDER#31-508 61087,B100000,00000,0100,00000SQUARE FEET 61087,B100000,00000,0200,00000SQUARE FEET 61087,B100000,00000,0300,00000GROSS SALARIES 61087,B100000,00000,0400,00000ACCUM COST 61087,B100000,00000,0500,00000SQUARE FEET 61087,B100000,00000,0600,00000POUNDS OF LAUNDRY 61087,B100000,00000,0700,00000HOURS OF SERVICE 61087,B100000,00000,0800,00000MEALS SERVED 61087,B100000,00000,0900,00000DIRECT NRSG HRS 61087,B100000,00000,1000,00000COSTED REQUIS 61087,B100000,00000,1100,00000COSTED REQUIS 61087,B100000,00000,1200,00000TIME SPENT 61087,B100000,00000,1300,00000TIME SPENT 61087,B100000,00000,1350,00000TIME SPENT 61087,B100000,00000,1400,00000ASSIGNED TIME 61087,E10A180,00501,0300,07/25/2000 61087,E10A180,00550,0100,07/25/2000 61087,S000000,00100,0200,06/06/2000 61087,S200000,00100,0100,685 WESTWOOD AVENUE 61087,S200000,00200,0100,RIVER VALE 61087,S200000,00200,0200,NJ 61087,S200000,00200,0300,07675 61087,S200000,00400,0100,JEWISH HOME AND REHABILITATION 61087,S200000,00400,0200,315420 61087,S200000,00400,0300,01/01/1998 61087,S200000,00400,0500,P 61087,S200000,01500,0100,Y 61087,S200000,01900,0100,NON-PROFIT 61087,S200000,04300,0100,Y 61087,S200000,04700,0100,Y 61087,S200000,04700,0200,Y 61090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61090,A000000,00300,0000,00300EMPLOYEE BENEFITS 61090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61090,A000000,00700,0000,00700HOUSEKEEPING 61090,A000000,00800,0000,00800DIETARY 61090,A000000,00900,0000,00900NURSING ADMINISTRATION 61090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61090,A000000,01100,0000,01100PHARMACY 61090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61090,A000000,01300,0000,01300SOCIAL SERVICE 61090,A000000,01350,0000,01500ACTIVITIES 61090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61090,A000000,01600,0000,01600SKILLED NURSING FACILITY 61090,A000000,01800,0000,01800NURSING FACILITY 61090,A000000,01810,0000,01810ICF/MR 61090,A000000,02100,0000,02100RADIOLOGY 61090,A000000,02200,0000,02200LABORATORY 61090,A000000,02500,0000,02500PHYSICAL THERAPY 61090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61090,A000000,02700,0000,02700SPEECH PATHOLOGY 61090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61090,A000000,03200,0000,03200SUPPORT SURFACES 61090,A000000,03550,0000,03550FQHC 61090,A000000,05000,0000,05000CORF 61090,A000000,05010,0000,05010CMHC 61090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61090,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61090,A81000A,00100,0100,Y 61090,A81000B,00100,0300,SKILLED NURSING FACILITY 61090,A81000B,00200,0300,NURSING FACILITY 61090,A81000B,00300,0300,EMPLOYEE BENEFITS 61090,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 61090,A81000C,00100,0100,A 61090,A81000C,00100,0200,ANDREW SHAWN 61090,A81000C,00100,0400,ELDERCARE CONSU 61090,A81000C,00100,0600,NURSE CONTRACTI 61090,B100000,00000,0100,00000SQUARE FEET 61090,B100000,00000,0200,00000SQUARE FEET 61090,B100000,00000,0300,00000GROSS SALARIES 61090,B100000,00000,0400,00000ACCUM COST 61090,B100000,00000,0500,00000SQUARE FEET 61090,B100000,00000,0600,00000PATIENT DAYS 61090,B100000,00000,0700,00000SQUARE FEET 61090,B100000,00000,0800,00000MEALS SERVED 61090,B100000,00000,0900,00000DIRECT NUR SALARY 61090,B100000,00000,1000,00000PATIENT DAYS 61090,B100000,00000,1100,00000PATIENT DAYS 61090,B100000,00000,1200,00000PATIENT DAYS 61090,B100000,00000,1300,00000PATIENT DAYS 61090,B100000,00000,1350,00000PATIENT DAYS 61090,B100000,00000,1400,00000ASSIGNED TIME 61090,E10A180,00550,0100,11/10/2000 61090,E10A180,00550,0300,11/10/2000 61090,S000000,00100,0200,11/01/2000 61090,S200000,00100,0100,901 MONMOUTH AVENUE 61090,S200000,00200,0100,LAKEWOOD 61090,S200000,00200,0200,NJ 61090,S200000,00200,0300,08701 61090,S200000,00300,0100,OCEAN 61090,S200000,00400,0100,OCEAN CONVALESCENT CENTER 61090,S200000,00400,0200,315421 61090,S200000,00400,0300,12/01/1997 61090,S200000,00400,0500,P 61090,S200000,01600,0100,Y 61094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61094,A000000,00300,0000,00300EMPLOYEE BENEFITS 61094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61094,A000000,00700,0000,00700HOUSEKEEPING 61094,A000000,00800,0000,00800DIETARY 61094,A000000,00900,0000,00900NURSING ADMINISTRATION 61094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61094,A000000,01100,0000,01100PHARMACY 61094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61094,A000000,01300,0000,01300SOCIAL SERVICE 61094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61094,A000000,01600,0000,01600SKILLED NURSING FACILITY 61094,A000000,01810,0000,01810ICF/MR 61094,A000000,02100,0000,02100RADIOLOGY 61094,A000000,02200,0000,02200LABORATORY 61094,A000000,02300,0000,02300INTRAVENOUS THERAPY 61094,A000000,02500,0000,02500PHYSICAL THERAPY 61094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61094,A000000,02700,0000,02700SPEECH PATHOLOGY 61094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61094,A000000,03550,0000,03550FQHC 61094,A000000,05000,0000,05000CORF 61094,A000000,05010,0000,05010CMHC 61094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61094,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61094,B100000,00000,0100,00000SQUARE FEET 61094,B100000,00000,0200,00000SQUARE FEET 61094,B100000,00000,0300,00000GROSS SALARIES 61094,B100000,00000,0400,00000ACCUM COST 61094,B100000,00000,0500,00000SQUARE FEET 61094,B100000,00000,0600,00000PATIENT DAYS 61094,B100000,00000,0700,00000PATIENT DAYS 61094,B100000,00000,0800,00000MEALS SERVED 61094,B100000,00000,0900,00000PATIENT DAYS 61094,B100000,00000,1000,00000PATIENT DAYS 61094,B100000,00000,1100,00000PATIENT DAYS 61094,B100000,00000,1200,00000PATIENT DAYS 61094,B100000,00000,1300,00000PATIENT DAYS 61094,B100000,00000,1400,00000ASSIGNED TIME 61094,S000000,00100,0200,04/24/2000 61094,S200000,00100,0100,W. 90 RIDGEWOOD AVE 61094,S200000,00200,0100,PARAMUS 61094,S200000,00200,0200,NJ 61094,S200000,00200,0300,07652 61094,S200000,00300,0100,BERGEN 61094,S200000,00400,0100,PINEREST HEALTHCARE CENTER 61094,S200000,00400,0200,315426 61094,S200000,00400,0300,05/26/1998 61094,S200000,00400,0500,P 61094,S200000,01500,0100,Y 61094,S200000,03300,0100,Y 61094,S200000,03300,0200,Y 61094,S200000,04300,0100,Y 61095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61095,A000000,00300,0000,00300EMPLOYEE BENEFITS 61095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61095,A000000,00700,0000,00700HOUSEKEEPING 61095,A000000,00800,0000,00800DIETARY 61095,A000000,00900,0000,00900NURSING ADMINISTRATION 61095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61095,A000000,01100,0000,01100PHARMACY 61095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61095,A000000,01300,0000,01300SOCIAL SERVICE 61095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61095,A000000,01600,0000,01600SKILLED NURSING FACILITY 61095,A000000,01810,0000,01810ICF/MR 61095,A000000,02100,0000,02100RADIOLOGY 61095,A000000,02200,0000,02200LABORATORY 61095,A000000,02300,0000,02300INTRAVENOUS THERAPY 61095,A000000,02500,0000,02500PHYSICAL THERAPY 61095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61095,A000000,02700,0000,02700SPEECH PATHOLOGY 61095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61095,A000000,03550,0000,03550FQHC 61095,A000000,05000,0000,05000CORF 61095,A000000,05010,0000,05010CMHC 61095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61095,B100000,00000,0100,00000SQUARE FEET 61095,B100000,00000,0200,00000SQUARE FEET 61095,B100000,00000,0300,00000GROSS SALARIES 61095,B100000,00000,0400,00000ACCUM COST 61095,B100000,00000,0500,00000SQUARE FEET 61095,B100000,00000,0600,00000PATIENT DAYS 61095,B100000,00000,0700,00000PATIENT DAYS 61095,B100000,00000,0800,00000MEALS SERVED 61095,B100000,00000,0900,00000NURSING SALARIES 61095,B100000,00000,1000,00000PATIENT DAYS 61095,B100000,00000,1100,00000PATIENT DAYS 61095,B100000,00000,1200,00000PATIENT DAYS 61095,B100000,00000,1300,00000ADMISSIONS 61095,B100000,00000,1400,00000ASSIGNED TIME 61095,S000000,00100,0200,05/26/2000 61095,S200000,00100,0100,W. 90 RIDGWOOD AVE 61095,S200000,00200,0100,PARAMUS 61095,S200000,00200,0200,NJ 61095,S200000,00200,0300,07652 61095,S200000,00300,0100,BERGEN 61095,S200000,00400,0100,PINEREST HEALTHCARE CENTER 61095,S200000,00400,0200,315426 61095,S200000,00400,0300,05/26/1998 61095,S200000,00400,0500,P 61095,S200000,01500,0100,Y 61095,S200000,04300,0100,Y 61098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61098,A000000,00300,0000,00300EMPLOYEE BENEFITS 61098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61098,A000000,00700,0000,00700HOUSEKEEPING 61098,A000000,00800,0000,00800DIETARY 61098,A000000,00900,0000,00900NURSING ADMINISTRATION 61098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61098,A000000,01100,0000,01100PHARMACY 61098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61098,A000000,01300,0000,01300SOCIAL SERVICE 61098,A000000,01350,0000,01500RECREATION 61098,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61098,A000000,01600,0000,01600SKILLED NURSING FACILITY 61098,A000000,01810,0000,01810ICF/MR 61098,A000000,01900,0000,01900OTHER LONG TERM CARE 61098,A000000,02100,0000,02100RADIOLOGY 61098,A000000,02200,0000,02200LABORATORY 61098,A000000,02500,0000,02500PHYSICAL THERAPY 61098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61098,A000000,02700,0000,02700SPEECH PATHOLOGY 61098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61098,A000000,03550,0000,03550FQHC 61098,A000000,04800,0000,04800AMBULANCE 61098,A000000,05000,0000,05000CORF 61098,A000000,05010,0000,05010CMHC 61098,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61098,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61098,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61098,A81000A,00100,0100,Y 61098,A81000B,00100,0300,NEW CAPITAL COSTS 61098,A81000B,00200,0300,OTHER COSTS 61098,A81000B,00300,0300,MANAGEMENT FEES 61098,A81000C,00100,0100,G 61098,A81000C,00100,0400,UNITED METHODIS 61098,A81000C,00100,0600,SUPPORT SERVICE 61098,B100000,00000,0100,00000SQUARE FEET 61098,B100000,00000,0200,00000SQUARE FEET 61098,B100000,00000,0300,00000GROSS SALARIES 61098,B100000,00000,0400,00000ACCUM COST 61098,B100000,00000,0500,00000SQUARE FEET 61098,B100000,00000,0600,00000POUNDS OF LAUNDRY 61098,B100000,00000,0700,00000HOURS OF SERVICE 61098,B100000,00000,0800,00000MEALS SERVED 61098,B100000,00000,0900,00000DIRECT NRSG HRS 61098,B100000,00000,1000,00000COSTED REQUIS 61098,B100000,00000,1100,00000COSTED REQUIS 61098,B100000,00000,1200,00000CENSUS 61098,B100000,00000,1300,00000CENSUS 61098,B100000,00000,1350,00000 61098,B100000,00000,1400,00000ASSIGNED TIME 61098,S000000,00100,0200,12/04/2000 61098,S200000,00100,0100,535 NORTH OAK AVENUE 61098,S200000,00200,0100,PITMAN 61098,S200000,00200,0200,NJ 61098,S200000,00200,0300,08071 61098,S200000,00300,0100,GLOUCESTER 61098,S200000,00400,0100,PITMAN MANOR 61098,S200000,00400,0200,315427 61098,S200000,00400,0300,12/01/1997 61098,S200000,00400,0500,P 61098,S200000,01500,0100,Y 61098,S200000,01900,0100,LLC 61102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61102,A000000,00300,0000,00300EMPLOYEE BENEFITS 61102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61102,A000000,00700,0000,00700HOUSEKEEPING 61102,A000000,00800,0000,00800DIETARY 61102,A000000,00900,0000,00900NURSING ADMINISTRATION 61102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61102,A000000,01100,0000,01100PHARMACY 61102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61102,A000000,01300,0000,01300SOCIAL SERVICE 61102,A000000,01350,0000,01500PATIENT ACTIVITIES 61102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61102,A000000,01600,0000,01600SKILLED NURSING FACILITY 61102,A000000,01810,0000,01810ICF/MR 61102,A000000,02100,0000,02100RADIOLOGY 61102,A000000,02200,0000,02200LABORATORY 61102,A000000,02500,0000,02500PHYSICAL THERAPY 61102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61102,A000000,02901,0000,02901CLINITRON BEDS 61102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61102,A000000,03550,0000,03550FQHC 61102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61102,A000000,05000,0000,05000CORF 61102,A000000,05010,0000,05010CMHC 61102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61102,A81000A,00100,0100,Y 61102,A81000B,00100,0300,ADMINISTRATOR 61102,A81000B,00200,0300,MEDICAL DIRECTOR 61102,A81000C,00100,0100,A 61102,A81000C,00100,0200,MARIA LAPID 61102,A81000C,00100,0400,ML HEALTHCARE 61102,A81000C,00100,0600,MANAGEMENT/CONSULTING 61102,A81000C,00200,0100,A 61102,A81000C,00200,0200,REYNALDO LAPID 61102,A81000C,00200,0400,ML HEALTHCARE 61102,A81000C,00200,0600,MANAGEMENT/CONSULTING 61102,B100000,00000,0100,00000SQUARE FEET 61102,B100000,00000,0200,00000SQUARE FEET 61102,B100000,00000,0300,00000GROSS SALARIES 61102,B100000,00000,0400,00000ACCUM. COST 61102,B100000,00000,0500,00000SQUARE FEET 61102,B100000,00000,0600,00000PATIENT DAYS 61102,B100000,00000,0700,00000SQ FT EXCL DIET 61102,B100000,00000,0800,00000PATIENT DAYS 61102,B100000,00000,0900,00000PATIENT DAYS 61102,B100000,00000,1000,00000PATIENT DAYS 61102,B100000,00000,1100,00000PATIENT DAYS 61102,B100000,00000,1200,00000PATIENT DAYS 61102,B100000,00000,1300,00000PATIENT DAYS 61102,B100000,00000,1350,00000PATIENT DAYS 61102,B100000,00000,1400,00000PATIENT DAYS 61102,E10A180,00501,0100,01/19/2001 61102,S000000,00100,0200,12/19/2000 61102,S200000,00100,0100,810 CENTRAL AVENUE 61102,S200000,00200,0100,PLAINFIELD 61102,S200000,00200,0200,NJ 61102,S200000,00200,0300,07060 61102,S200000,00400,0100,ABBOTT MANOR CONVALESCENT CENTER 61102,S200000,00400,0200,315428 61102,S200000,00400,0300,03/02/1998 61102,S200000,00400,0500,P 61102,S200000,01500,0100,Y 61106,S000000,00100,0200,03/12/2001 61110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61110,A000000,00300,0000,00300EMPLOYEE BENEFITS 61110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61110,A000000,00700,0000,00700HOUSEKEEPING 61110,A000000,00800,0000,00800DIETARY 61110,A000000,00900,0000,00900NURSING ADMINISTRATION 61110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61110,A000000,01100,0000,01100PHARMACY 61110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61110,A000000,01300,0000,01300SOCIAL SERVICE 61110,A000000,01350,0000,01500PATIENT ACTIVITIES 61110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61110,A000000,01600,0000,01600SKILLED NURSING FACILITY 61110,A000000,01810,0000,01810ICF/MR 61110,A000000,02100,0000,02100RADIOLOGY 61110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61110,A000000,02500,0000,02500PHYSICAL THERAPY 61110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61110,A000000,02700,0000,02700SPEECH PATHOLOGY 61110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61110,A000000,03550,0000,03550FQHC 61110,A000000,05000,0000,05000CORF 61110,A000000,05010,0000,05010CMHC 61110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61110,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61110,A000000,06150,0000,06300SENIOR HOUSING 61110,B100000,00000,0100,00000SQUARE FEET 61110,B100000,00000,0200,00000SQUARE FEET 61110,B100000,00000,0300,00000GROSS SALARIES 61110,B100000,00000,0400,00000ACCUM COST 61110,B100000,00000,0500,00000SQUARE FEET 61110,B100000,00000,0600,00000PATIENT DAYS 61110,B100000,00000,0700,00000SQUARE FEET 61110,B100000,00000,0800,00000MEALS SERVED 61110,B100000,00000,0900,00000DIRECT NRSG HRS 61110,B100000,00000,1000,00000COSTED REQUIS 61110,B100000,00000,1100,00000COSTED REQUIS 61110,B100000,00000,1200,00000TIME SPENT 61110,B100000,00000,1300,00000PATIENT DAYS 61110,B100000,00000,1350,00000PATIENT DAYS 61110,B100000,00000,1400,00000ASSIGNED TIME 61110,S000000,00100,0200,07/18/2000 61110,S200000,00100,0100,304 S VAN DIEN AVENUE 61110,S200000,00200,0100,RIDGEWOOD 61110,S200000,00200,0200,NJ 61110,S200000,00200,0300,07450 61110,S200000,00300,0100,BERGEN 61110,S200000,00400,0100,VAN DYK MAOR-RIDGEWOOD 61110,S200000,00400,0200,315434 61110,S200000,00400,0300,05/01/1998 61110,S200000,00400,0500,P 61110,S200000,01500,0100,Y 61110,S200000,04300,0100,Y 61112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61112,A000000,00300,0000,00300EMPLOYEE BENEFITS 61112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61112,A000000,00700,0000,00700HOUSEKEEPING 61112,A000000,00800,0000,00800DIETARY 61112,A000000,00900,0000,00900NURSING ADMINISTRATION 61112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61112,A000000,01100,0000,01100PHARMACY 61112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61112,A000000,01300,0000,01300SOCIAL SERVICE 61112,A000000,01350,0000,01500PATIENT ACTIVITIES 61112,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61112,A000000,01600,0000,01600SKILLED NURSING FACILITY 61112,A000000,01810,0000,01810ICF/MR 61112,A000000,02100,0000,02100RADIOLOGY 61112,A000000,02200,0000,02200LABORATORY 61112,A000000,02500,0000,02500PHYSICAL THERAPY 61112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61112,A000000,02700,0000,02700SPEECH PATHOLOGY 61112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61112,A000000,03200,0000,03200SUPPORT SURFACES 61112,A000000,03550,0000,03550FQHC 61112,A000000,05000,0000,05000CORF 61112,A000000,05010,0000,05010CMHC 61112,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61112,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61112,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61112,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61112,B100000,00000,0100,00000SQUARE FEET 61112,B100000,00000,0200,00000SQUARE FEET 61112,B100000,00000,0300,00000GROSS SALARIES 61112,B100000,00000,0400,00000ACCUM COST 61112,B100000,00000,0500,00000SQUARE FEET 61112,B100000,00000,0600,00000PATIENT DAYS 61112,B100000,00000,0700,00000SQUARE FEET 61112,B100000,00000,0800,00000MEALS SERVED 61112,B100000,00000,0900,00000DIRECT NRSG HRS 61112,B100000,00000,1000,00000COSTED REQUIS 61112,B100000,00000,1100,00000COSTED REQUIS 61112,B100000,00000,1200,00000TIME SPENT 61112,B100000,00000,1300,00000PATIENT DAYS 61112,B100000,00000,1350,00000PATIENT DAYS 61112,B100000,00000,1400,00000ASSIGNED TIME 61112,S000000,00100,0200,07/18/2000 61112,S200000,00100,0100,42 N. MOUNTAIN AVENUE 61112,S200000,00200,0100,VAN DYKE-MONTCLAIR 61112,S200000,00200,0200,315435 61112,S200000,00200,0300,07042 61112,S200000,00300,0100,ESSEX 61112,S200000,00400,0100,VAN DYKE-MONTCLAIR 61112,S200000,00400,0200,315435 61112,S200000,00400,0300,05/20/1998 61112,S200000,00400,0500,P 61112,S200000,01500,0100,Y 61112,S200000,04300,0100,Y 61115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61115,A000000,00300,0000,00300EMPLOYEE BENEFITS 61115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61115,A000000,00700,0000,00700HOUSEKEEPING 61115,A000000,00800,0000,00800DIETARY 61115,A000000,00900,0000,00900NURSING ADMINISTRATION 61115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61115,A000000,01100,0000,01100PHARMACY 61115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61115,A000000,01300,0000,01300SOCIAL SERVICE 61115,A000000,01350,0000,01500ACTIVITIES 61115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61115,A000000,01600,0000,01600SKILLED NURSING FACILITY 61115,A000000,01810,0000,01810ICF/MR 61115,A000000,02100,0000,02100RADIOLOGY 61115,A000000,02200,0000,02200LABORATORY 61115,A000000,02500,0000,02500PHYSICAL THERAPY 61115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61115,A000000,02700,0000,02700SPEECH PATHOLOGY 61115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61115,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 61115,A000000,03550,0000,03550FQHC 61115,A000000,05000,0000,05000CORF 61115,A000000,05010,0000,05010CMHC 61115,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61115,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61115,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61115,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61115,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61115,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61115,B100000,00000,0100,00000SQUARE FEET 61115,B100000,00000,0200,00000SQUARE FEET 61115,B100000,00000,0300,00000GROSS SALARIES 61115,B100000,00000,0400,00000ACCUM COST 61115,B100000,00000,0500,00000SQUARE FEET 61115,B100000,00000,0600,00000PATIENT DAYS 61115,B100000,00000,0700,00000HOURS OF SERVICE 61115,B100000,00000,0800,00000MEALS SERVED 61115,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 61115,B100000,00000,1000,00000COSTED REQUISITIO 61115,B100000,00000,1100,00000COSTED REQUISITIO 61115,B100000,00000,1200,00000TIME SPENT 61115,B100000,00000,1300,00000TIME SPENT 61115,B100000,00000,1350,00000PATIENT DAYS 61115,B100000,00000,1400,00000ASSIGNED TIME 61115,S000000,00100,0200,07/21/2000 61115,S200000,00100,0100,35 B PIERMONT ROAD 61115,S200000,00200,0100,ROCKLEIGH 61115,S200000,00200,0200,NJ 61115,S200000,00200,0300,07647 61115,S200000,00300,0100,BERGEN 61115,S200000,00400,0100,BERGEN COUNTY ICF 61115,S200000,00400,0200,315436 61115,S200000,00400,0300,12/01/1997 61115,S200000,00400,0500,P 61115,S200000,01500,0100,Y 61120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61120,A000000,00300,0000,00300EMPLOYEE BENEFITS 61120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61120,A000000,00700,0000,00700HOUSEKEEPING 61120,A000000,00800,0000,00800DIETARY 61120,A000000,00900,0000,00900NURSING ADMINISTRATION 61120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61120,A000000,01100,0000,01100PHARMACY 61120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61120,A000000,01300,0000,01300SOCIAL SERVICE 61120,A000000,01350,0000,01500RECREATION 61120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61120,A000000,01600,0000,01600SKILLED NURSING FACILITY 61120,A000000,01810,0000,01810ICF/MR 61120,A000000,01900,0000,01900OTHER LONG TERM CARE 61120,A000000,02100,0000,02100RADIOLOGY 61120,A000000,02200,0000,02200LABORATORY 61120,A000000,02500,0000,02500PHYSICAL THERAPY 61120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61120,A000000,02700,0000,02700SPEECH PATHOLOGY 61120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61120,A000000,03550,0000,03550FQHC 61120,A000000,04800,0000,04800AMBULANCE 61120,A000000,05000,0000,05000CORF 61120,A000000,05010,0000,05010CMHC 61120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61120,A81000A,00100,0100,Y 61120,A81000B,00100,0300,ADMIN & GENERAL COSTS 61120,A81000B,00200,0300,NEW CAPITAL COST 61120,A81000B,00300,0300,OTHER COSTS 61120,A81000C,00100,0100,G 61120,A81000C,00100,0400,UNITED METHODIS 61120,A81000C,00100,0600,SUPPORT SERVICE 61120,B100000,00000,0100,00000SQUARE FEET 61120,B100000,00000,0200,00000SQUARE FEET 61120,B100000,00000,0300,00000GROSS SALARIES 61120,B100000,00000,0400,00000ACCUM COST 61120,B100000,00000,0500,00000SQUARE FEET 61120,B100000,00000,0600,00000POUNDS OF LAUNDRY 61120,B100000,00000,0700,00000HOURS OF SERVICE 61120,B100000,00000,0800,00000MEALS SERVED 61120,B100000,00000,0900,00000DIRECT NRSG HRS 61120,B100000,00000,1000,00000CENSUS 61120,B100000,00000,1100,00000COSTED REQUIS 61120,B100000,00000,1200,00000CENSUS 61120,B100000,00000,1300,00000CENSUS 61120,B100000,00000,1350,00000CENSUS 61120,B100000,00000,1400,00000ASSIGNED TIME 61120,E10A180,00550,0100,12/08/2000 61120,S000000,00100,0200,12/04/2000 61120,S200000,00100,0300,142 61120,S200000,00200,0100,BRANCHVILLE 61120,S200000,00200,0200,NJ 61120,S200000,00200,0300,07826 61120,S200000,00300,0100,SUSSEX 61120,S200000,00400,0100,METHODIST MANOR 61120,S200000,00400,0200,315439 61120,S200000,00400,0300,02/19/1998 61120,S200000,00400,0500,P 61120,S200000,01500,0100,Y 61120,S200000,04700,0100,Y 61124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61124,A000000,00300,0000,00300EMPLOYEE BENEFITS 61124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61124,A000000,00700,0000,00700HOUSEKEEPING 61124,A000000,00800,0000,00800DIETARY 61124,A000000,00900,0000,00900NURSING ADMINISTRATION 61124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61124,A000000,01100,0000,01100PHARMACY 61124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61124,A000000,01300,0000,01300SOCIAL SERVICE 61124,A000000,01350,0000,01500RECREATION 61124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61124,A000000,01600,0000,01600SKILLED NURSING FACILITY 61124,A000000,01810,0000,01810ICF/MR 61124,A000000,02100,0000,02100RADIOLOGY 61124,A000000,02200,0000,02200LABORATORY 61124,A000000,02500,0000,02500PHYSICAL THERAPY 61124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61124,A000000,02700,0000,02700SPEECH PATHOLOGY 61124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61124,A000000,03550,0000,03550FQHC 61124,A000000,05000,0000,05000CORF 61124,A000000,05010,0000,05010CMHC 61124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61124,B100000,00000,0100,00040SQUARE FEET 61124,B100000,00000,0200,00040SQUARE FEET 61124,B100000,00000,0300,00040GROSS SALARIES 61124,B100000,00000,0400,00040ACCUM COST 61124,B100000,00000,0500,00040SQUARE FEET 61124,B100000,00000,0600,00040SQUARE FEET 61124,B100000,00000,0700,00040HOURS OF SERVICE 61124,B100000,00000,0800,00040MEALS SERVED 61124,B100000,00000,0900,00040DIRECT NRSG HRS 61124,B100000,00000,1000,00040PATIENT CENSUS 61124,B100000,00000,1100,00040COSTED REQUIS 61124,B100000,00000,1200,00040TIME SPENT 61124,B100000,00000,1300,00040PATIENT CENSUS 61124,B100000,00000,1350,00040PATIENT CENSUS 61124,B100000,00000,1400,00040ASSIGNED TIME 61124,S000000,00100,0200,05/11/2000 61124,S200000,00100,0100,2 MORRIS ROAD 61124,S200000,00200,0100,RINGWOOD 61124,S200000,00200,0200,NJ 61124,S200000,00300,0100,PASSAIC 61124,S200000,00400,0100,HOLY NAME FRIARY 61124,S200000,00400,0200,315441 61124,S200000,00400,0300,07/22/1998 61124,S200000,00400,0500,P 61124,S200000,01500,0100,Y 61124,S200000,04300,0100,Y 61126,S000000,00100,0200,06/13/2000 61128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61128,A000000,00300,0000,00300EMPLOYEE BENEFITS 61128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61128,A000000,00700,0000,00700HOUSEKEEPING 61128,A000000,00800,0000,00800DIETARY 61128,A000000,00900,0000,00900NURSING ADMINISTRATION 61128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61128,A000000,01100,0000,01100PHARMACY 61128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61128,A000000,01300,0000,01300SOCIAL SERVICE 61128,A000000,01350,0000,01500PATIENT ACTIVITIES 61128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61128,A000000,01600,0000,01600SKILLED NURSING FACILITY 61128,A000000,01810,0000,01810ICF/MR 61128,A000000,01900,0000,01900OTHER LONG TERM CARE 61128,A000000,02100,0000,02100RADIOLOGY 61128,A000000,02200,0000,02200LABORATORY 61128,A000000,02500,0000,02500PHYSICAL THERAPY 61128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61128,A000000,02700,0000,02700SPEECH PATHOLOGY 61128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61128,A000000,03550,0000,03550FQHC 61128,A000000,04800,0000,04800AMBULANCE 61128,A000000,05000,0000,05000CORF 61128,A000000,05010,0000,05010CMHC 61128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61128,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61128,A000000,06150,0000,06300WELLNESS CENTER 61128,A000000,06151,0000,06301INDEPENDENT LIVING 61128,A000000,06152,0000,06320MARKETING 61128,B100000,00000,0100,00020SQUARE FEET 61128,B100000,00000,0200,00020SQUARE FEET 61128,B100000,00000,0300,00020GROSS SALARIES 61128,B100000,00000,0400,00020ACCUM COST 61128,B100000,00000,0500,00020SQUARE FEET 61128,B100000,00000,0600,00020POUNDS OF LAUNDRY 61128,B100000,00000,0700,00020HOURS OF SERVICE 61128,B100000,00000,0800,00020MEALS SERVED 61128,B100000,00000,0900,00020DIRECT NRSG HRS 61128,B100000,00000,1000,00020COSTED REQUIS 61128,B100000,00000,1100,00020COSTED REQUIS 61128,B100000,00000,1200,00020TIME SPENT 61128,B100000,00000,1300,00020TIME SPENT 61128,B100000,00000,1350,00020(PATIENT CENSUS) 61128,B100000,00000,1400,00020ASSIGNED TIME 61128,S000000,00100,0200,06/01/2000 61128,S200000,00100,0100,100 MONROE STREET 61128,S200000,00200,0100,BRIDGEWATER 61128,S200000,00200,0200,NJ 61128,S200000,00200,0300,08807 61128,S200000,00300,0100,SOMERSET 61128,S200000,00400,0100,ARBOR GLEN OF BRIDGEWATER 61128,S200000,00400,0200,315445 61128,S200000,00400,0300,06/19/1998 61128,S200000,00400,0500,P 61128,S200000,01500,0100,Y 61128,S200000,04300,0100,Y 61131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61131,A000000,00300,0000,00300EMPLOYEE BENEFITS 61131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61131,A000000,00700,0000,00700HOUSEKEEPING 61131,A000000,00800,0000,00800DIETARY 61131,A000000,00900,0000,00900NURSING ADMINISTRATION 61131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61131,A000000,01100,0000,01100PHARMACY 61131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61131,A000000,01300,0000,01300SOCIAL SERVICE 61131,A000000,01350,0000,01500PATIENT ACTIVITIES 61131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61131,A000000,01600,0000,01600SKILLED NURSING FACILITY 61131,A000000,01810,0000,01810ICF/MR 61131,A000000,02100,0000,02100RADIOLOGY 61131,A000000,02200,0000,02200LABORATORY 61131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61131,A000000,02500,0000,02500PHYSICAL THERAPY 61131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61131,A000000,02700,0000,02700SPEECH PATHOLOGY 61131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61131,A000000,03200,0000,03200SUPPORT SURFACES 61131,A000000,03550,0000,03550FQHC 61131,A000000,05000,0000,05000CORF 61131,A000000,05010,0000,05010CMHC 61131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 61131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61131,A81000A,00100,0100,Y 61131,A81000B,00100,0300,MANAGEMENT FEE 61131,A81000B,00200,0300,PT SERVICES 61131,A81000B,00300,0300,OT SERVICES 61131,A81000B,00400,0300,SP SERVICES 61131,A81000B,00500,0300,PENSION 61131,A81000B,00600,0300,HOME OFFICE ALLOC 61131,A81000B,00700,0300,HOME OFFICE ALLOC 61131,A81000C,00100,0100,B 61131,A81000C,00100,0400,KESSLER REHAB C 61131,A81000C,00100,0600,PARENT COMPANY 61131,A81000C,00200,0100,B 61131,A81000C,00200,0400,KESSLER INSTITU 61131,A81000C,00200,0600,HEALTH CARE PRO 61131,A81000C,00300,0100,B 61131,A81000C,00300,0400,KESSLER INSTITU 61131,A81000C,00300,0600,HEALTH CARE PRO 61131,A81000C,00400,0100,B 61131,A81000C,00400,0400,KESSLER INSTITU 61131,A81000C,00400,0600,HEALTH CARE PRO 61131,A81000C,00500,0100,B 61131,A81000C,00500,0400,KESSLER INSTITU 61131,A81000C,00500,0600,HEALTH CARE PRO 61131,A81000C,00600,0100,B 61131,A81000C,00600,0400,KESSLER REHAB C 61131,A81000C,00600,0600,PARENT COMPANY 61131,A81000C,00700,0100,B 61131,A81000C,00700,0400,KESSLER REHAB C 61131,A81000C,00700,0600,PARENT COMPANY 61131,B100000,00000,0100,00000SQUARE FEET 61131,B100000,00000,0200,00000SQUARE FEET 61131,B100000,00000,0300,00000GROSS SALARIES 61131,B100000,00000,0400,00000ACCUM COST 61131,B100000,00000,0500,00000SQUARE FEET 61131,B100000,00000,0600,00000PATIENT DAYS 61131,B100000,00000,0700,00000SQUARE FEET 61131,B100000,00000,0800,00000PATIENT DAYS 61131,B100000,00000,0900,00000PATIENT DAYS 61131,B100000,00000,1000,00000PATIENT DAYS 61131,B100000,00000,1100,00000PATIENT DAYS 61131,B100000,00000,1200,00000PATIENT DAYS 61131,B100000,00000,1300,00000PATIENT DAYS 61131,B100000,00000,1350,00000PATIENT DAYS 61131,B100000,00000,1400,00000ASSIGNED TIME 61131,E10A180,00501,0100,06/23/2000 61131,E10A180,00550,0300,06/23/2000 61131,S000000,00100,0200,05/31/2000 61131,S200000,00100,0100,5 BROOK END DRIVE 61131,S200000,00200,0100,WEST ORANGE 61131,S200000,00200,0200,NJ 61131,S200000,00200,0300,07052 61131,S200000,00300,0100,ESSEX 61131,S200000,00400,0100,KESSLER CARE CENTER AT ST. CLOUD 61131,S200000,00400,0200,315449 61131,S200000,00400,0300,09/02/1998 61131,S200000,00400,0500,P 61131,S200000,01500,0100,Y 61135,S000000,00100,0200,08/08/2000 61138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61138,A000000,00300,0000,00300EMPLOYEE BENEFITS 61138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61138,A000000,00700,0000,00700HOUSEKEEPING 61138,A000000,00800,0000,00800DIETARY 61138,A000000,00900,0000,00900NURSING ADMINISTRATION 61138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61138,A000000,01100,0000,01100PHARMACY 61138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61138,A000000,01300,0000,01300SOCIAL SERVICE 61138,A000000,01350,0000,01500PATIENT ACTIVITIES 61138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61138,A000000,01600,0000,01600SKILLED NURSING FACILITY 61138,A000000,01810,0000,01810ICF/MR 61138,A000000,02100,0000,02100RADIOLOGY 61138,A000000,02200,0000,02200LABORATORY 61138,A000000,02500,0000,02500PHYSICAL THERAPY 61138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61138,A000000,02700,0000,02700SPEECH PATHOLOGY 61138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61138,A000000,03550,0000,03550FQHC 61138,A000000,05000,0000,05000CORF 61138,A000000,05010,0000,05010CMHC 61138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61138,B100000,00000,0100,00040SQUARE FEET 61138,B100000,00000,0200,00040SQUARE FEET 61138,B100000,00000,0300,00040GROSS SALARIES 61138,B100000,00000,0400,00040ACCUM COST 61138,B100000,00000,0500,00040SQUARE FEET 61138,B100000,00000,0600,00040PATIENT DAYS 61138,B100000,00000,0700,00040SQUARE FEET 61138,B100000,00000,0800,00040MEALS SERVED 61138,B100000,00000,0900,00040DIRECT NRSG HRS 61138,B100000,00000,1000,00040COSTED REQUIS 61138,B100000,00000,1100,00040COSTED REQUIS 61138,B100000,00000,1200,00040TIME SPENT 61138,B100000,00000,1300,00040PATIENT DAYS 61138,B100000,00000,1350,00040PATIENT DAYS 61138,B100000,00000,1400,00040ASSIGNED TIME 61138,E10A180,00501,0100,06/23/2000 61138,E10A180,00501,0300,06/23/2000 61138,S000000,00100,0200,05/08/2000 61138,S200000,00100,0100,537 PAVONIA AVENUE 61138,S200000,00200,0100,JERSEY CITY 61138,S200000,00200,0200,NJ 61138,S200000,00200,0300,07306 61138,S200000,00300,0100,HUDSON 61138,S200000,00400,0100,ST. JOSEPHS HOME FOR THE BLIND 61138,S200000,00400,0200,315452 61138,S200000,00400,0300,12/01/1997 61138,S200000,00400,0500,P 61138,S200000,01500,0100,Y 61138,S200000,01900,0100,LLC 61138,S200000,04300,0100,Y 61140,S000000,00100,0200,07/17/2001 61141,S000000,00100,0200,05/25/2000 61144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61144,A000000,00300,0000,00300EMPLOYEE BENEFITS 61144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61144,A000000,00700,0000,00700HOUSEKEEPING 61144,A000000,00800,0000,00800DIETARY 61144,A000000,00900,0000,00900NURSING ADMINISTRATION 61144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61144,A000000,01100,0000,01100PHARMACY 61144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61144,A000000,01300,0000,01300SOCIAL SERVICE 61144,A000000,01350,0000,01500RECREATION 61144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61144,A000000,01600,0000,01600SKILLED NURSING FACILITY 61144,A000000,01800,0000,01800NURSING FACILITY 61144,A000000,01810,0000,01810ICF/MR 61144,A000000,01900,0000,01900OTHER LONG TERM CARE 61144,A000000,02500,0000,02500PHYSICAL THERAPY 61144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61144,A000000,02700,0000,02700SPEECH PATHOLOGY 61144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61144,A000000,03550,0000,03550FQHC 61144,A000000,04800,0000,04800AMBULANCE 61144,A000000,05000,0000,05000CORF 61144,A000000,05010,0000,05010CMHC 61144,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61144,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61144,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61144,A000000,06150,0000,06300NONREIMBURSABLE 61144,A81000A,00100,0100,Y 61144,A81000B,00100,0300,AFFILIATION FEE 61144,A81000C,00100,0100,G 61144,A81000C,00100,0200,LUTHERAN SOC MI 61144,A81000C,00100,0400,LSM MANAGEMENT 61144,A81000C,00100,0600,MANAGEMENT 61144,B100000,00000,0100,00000SQUARE FEET 61144,B100000,00000,0200,00000SQUARE FEET 61144,B100000,00000,0300,00000GROSS SALARIES 61144,B100000,00000,0400,00000ACCUM COST 61144,B100000,00000,0500,00000SQUARE FEET 61144,B100000,00000,0600,00000POUNDS OF LAUNDRY 61144,B100000,00000,0700,00000HOURS OF SERVICE 61144,B100000,00000,0800,00000MEALS SERVED 61144,B100000,00000,0900,00000DIRECT NRSG HRS 61144,B100000,00000,1000,00000COSTED REQUIS 61144,B100000,00000,1100,00000COSTED REQUIS 61144,B100000,00000,1200,00000TIME SPENT 61144,B100000,00000,1300,00000TIME SPENT 61144,B100000,00000,1350,00000CENSUS 61144,B100000,00000,1400,00000ASSIGNED TIME 61144,S000000,00100,0200,05/31/2000 61144,S200000,00100,0100,459 PASSAIC AVENUE 61144,S200000,00200,0100,WEST CALDWELL 61144,S200000,00200,0200,NJ 61144,S200000,00200,0300,07006 61144,S200000,00300,0100,ESSEX 61144,S200000,00400,0100,OAKS HEALTH CARE CENTER AT CRANES MILL 61144,S200000,00400,0200,315457 61144,S200000,00400,0300,06/30/1999 61144,S200000,00400,0500,P 61144,S200000,01500,0100,Y 61144,S200000,04300,0100,Y 61144,S200000,04700,0100,Y 61144,S200000,04700,0200,Y 61146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61146,A000000,00300,0000,00300EMPLOYEE BENEFITS 61146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61146,A000000,00700,0000,00700HOUSEKEEPING 61146,A000000,00800,0000,00800DIETARY 61146,A000000,00900,0000,00900NURSING ADMINISTRATION 61146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61146,A000000,01100,0000,01100PHARMACY 61146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61146,A000000,01300,0000,01300SOCIAL SERVICE 61146,A000000,01350,0000,01500PATIENT ACTIVITIES 61146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61146,A000000,01600,0000,01600SKILLED NURSING FACILITY 61146,A000000,01800,0000,01800NURSING FACILITY 61146,A000000,01810,0000,01810ICF/MR 61146,A000000,02100,0000,02100RADIOLOGY 61146,A000000,02200,0000,02200LABORATORY 61146,A000000,02300,0000,02300INTRAVENOUS THERAPY 61146,A000000,02500,0000,02500PHYSICAL THERAPY 61146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61146,A000000,02700,0000,02700SPEECH PATHOLOGY 61146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61146,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61146,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61146,A000000,03550,0000,03550FQHC 61146,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61146,A000000,04800,0000,04800AMBULANCE 61146,A000000,05000,0000,05000CORF 61146,A000000,05010,0000,05010CMHC 61146,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61146,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61146,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61146,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61146,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61146,A81000A,00100,0100,Y 61146,A81000B,00100,0300,CONTROLLER 61146,A81000B,00200,0300,EXECUTIVE DIRECTOR 61146,A81000C,00100,0100,A 61146,A81000C,00100,0200,STEVE KLEIMAN 61146,A81000C,00100,0400,CONTROLLER 61146,A81000C,00100,0600,ADMINISTRATIVE 61146,A81000C,00200,0100,A 61146,A81000C,00200,0200,BRIAN KLEIMAN 61146,A81000C,00200,0400,EXECUTIVE DIRECTOR 61146,A81000C,00200,0600,ADMINISTRATIVE 61146,B100000,00000,0100,00000SQUARE FEET 61146,B100000,00000,0200,00000SQUARE FEET 61146,B100000,00000,0300,00000GROSS SALARIES 61146,B100000,00000,0400,00000ACCUM. COST 61146,B100000,00000,0500,00000SQUARE FEET 61146,B100000,00000,0600,00000PATIENT DAYS 61146,B100000,00000,0700,00000SQ FT EXC KITCHEN 61146,B100000,00000,0800,00000PATIENT DAYS 61146,B100000,00000,0900,00000PATIENT DAYS 61146,B100000,00000,1000,00000PATIENT DAYS 61146,B100000,00000,1100,00000PATIENT DAYS 61146,B100000,00000,1200,00000PATIENT DAYS 61146,B100000,00000,1300,00000PATIENT DAYS 61146,B100000,00000,1350,00000PATIENT DAYS 61146,B100000,00000,1400,00000ASSIGNED TIME 61146,S000000,00100,0200,06/23/2000 61146,S200000,00100,0100,300 BROADWAY 61146,S200000,00200,0100,NEWARK 61146,S200000,00200,0200,NJ 61146,S200000,00200,0300,07104 61146,S200000,00300,0100,ESSEX 61146,S200000,00400,0100,NEW VISTA NURSING & REHAB CTR 61146,S200000,00400,0200,315458 61146,S200000,00400,0300,08/25/1999 61146,S200000,00400,0500,P 61146,S200000,01600,0100,Y 61148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61148,A000000,00300,0000,00300EMPLOYEE BENEFITS 61148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61148,A000000,00700,0000,00700HOUSEKEEPING 61148,A000000,00800,0000,00800DIETARY 61148,A000000,00900,0000,00900NURSING ADMINISTRATION 61148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61148,A000000,01100,0000,01100PHARMACY 61148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61148,A000000,01300,0000,01300SOCIAL SERVICE 61148,A000000,01350,0000,01500RECREATION 61148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61148,A000000,01600,0000,01600SKILLED NURSING FACILITY 61148,A000000,01800,0000,01800NURSING FACILITY 61148,A000000,01810,0000,01810ICF/MR 61148,A000000,02100,0000,02100RADIOLOGY 61148,A000000,02200,0000,02200LABORATORY 61148,A000000,02500,0000,02500PHYSICAL THERAPY 61148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61148,A000000,02700,0000,02700SPEECH PATHOLOGY 61148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61148,A000000,03550,0000,03550FQHC 61148,A000000,05000,0000,05000CORF 61148,A000000,05010,0000,05010CMHC 61148,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61148,B100000,00000,0100,00000SQUARE FEET 61148,B100000,00000,0200,00000SQUARE FEET 61148,B100000,00000,0300,00000GROSS SALARIES 61148,B100000,00000,0400,00000ACCUM COST 61148,B100000,00000,0500,00000SQUARE FEET 61148,B100000,00000,0600,00000CENSUS 61148,B100000,00000,0700,00000SQUARE FEET 61148,B100000,00000,0800,00000MEALS SERVED 61148,B100000,00000,0900,00000DIRECT NRSG HRS 61148,B100000,00000,1000,00000CENSUS 61148,B100000,00000,1100,00000COSTED REQUIS 61148,B100000,00000,1200,00000TIME SPENT 61148,B100000,00000,1300,00000CENSUS 61148,B100000,00000,1350,00000CENSUS 61148,B100000,00000,1400,00000ASSIGNED TIME 61148,E10A180,00550,0100,12/18/2000 61148,E10A180,00551,0100,09/18/2001 61148,S000000,00100,0200,12/08/2000 61148,S200000,00100,0100,132 EVERGREEN RD 61148,S200000,00100,0300,3013 61148,S200000,00200,0100,EDISON 61148,S200000,00200,0200,NJ 61148,S200000,00200,0300,08818 61148,S200000,00300,0100,MIDDLESEX 61148,S200000,00400,0100,NJ VETERANS - MENLO PARK 61148,S200000,00400,0200,315459 61148,S200000,00400,0300,10/26/1999 61148,S200000,00400,0500,P 61148,S200000,01500,0100,Y 61148,S200000,04300,0100,Y 61161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61161,A000000,00300,0000,00300EMPLOYEE BENEFITS 61161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61161,A000000,00700,0000,00700HOUSEKEEPING 61161,A000000,00800,0000,00800DIETARY 61161,A000000,00900,0000,00900NURSING ADMINISTRATION 61161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61161,A000000,01300,0000,01300SOCIAL SERVICE 61161,A000000,01350,0000,01500ACTIVITIES 61161,A000000,01600,0000,01600SKILLED NURSING FACILITY 61161,A000000,01800,0000,01800NURSING FACILITY 61161,A000000,02100,0000,02100RADIOLOGY 61161,A000000,02200,0000,02200LABORATORY 61161,A000000,02300,0000,02300INTRAVENOUS THERAPY 61161,A000000,02500,0000,02500PHYSICAL THERAPY 61161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61161,A000000,02700,0000,02700SPEECH PATHOLOGY 61161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61161,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 61161,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61161,A81000A,00100,0100,Y 61161,A81000B,00100,0300,HOME OFFICE COSTS 61161,A81000B,00200,0300,H.O. COSTS - CAPITAL 61161,A81000B,00300,0300,RELATED PARTY INT. 61161,A81000B,00400,0300,RELATED PARTY INT. 61161,A81000B,00500,0300,RELATED PARTY INT. 61161,A81000B,00600,0300,HCE INTEREST - BUS 61161,A81000B,00700,0300,HCE DEPREC - BUS 61161,A81000B,00800,0300,METLIFE INTEREST 61161,A81000B,00900,0300,Y2K COMPUTER DEPR. 61161,A81000B,01000,0300,MEDIA RESOURCES 61161,A81000B,01100,0300,INTERIOR DESIGN - 97 61161,A81000B,01200,0300,INTERIOR DEISGN - 98 61161,A81000B,01300,0300,INTERIOR DESIGN - 99 61161,A81000B,01400,0300,REHAB ALLOC - PT 61161,A81000B,01500,0300,REHAB ALLOC - OT 61161,A81000B,01600,0300,REHAB ALLOC - ST 61161,A81000B,01700,0300,ROUTINE SUPPLIES 61161,A81000C,00100,0100,A 61161,A81000C,00100,0200,FORREST PRESTON 61161,A81000C,00100,0400,LIFE CARE CENTE 61161,A81000C,00100,0600,NRSG HOME MGMT 61161,A81000C,00200,0100,A 61161,A81000C,00200,0200,FORREST PRESTON 61161,A81000C,00200,0400,LIFE CARE CENTE 61161,A81000C,00200,0600,NRSG HOME MGMT 61161,A81000C,00300,0100,A 61161,A81000C,00300,0200,FORREST PRESTON 61161,A81000C,00300,0400,LIFE CARE CENTE 61161,A81000C,00300,0600,NRSG HOME MGMT 61161,A81000C,00400,0100,A 61161,A81000C,00400,0200,FORREST PRESTON 61161,A81000C,00400,0400,LIFE CARE CENTE 61161,A81000C,00400,0600,NRSG HOME MGMT 61161,A81000C,00500,0100,A 61161,A81000C,00500,0200,FORREST PRESTON 61161,A81000C,00500,0400,LIFE CARE CENTE 61161,A81000C,00500,0600,NRSG HOME MGMT 61161,A81000C,00600,0100,A 61161,A81000C,00600,0200,FORREST PRESTON 61161,A81000C,00600,0400,HCE LEASING 61161,A81000C,00600,0600,LEASING COMPANY 61161,A81000C,00700,0100,A 61161,A81000C,00700,0200,FORREST PRESTON 61161,A81000C,00700,0400,HCE LEASING 61161,A81000C,00700,0600,LEASING COMPANY 61161,A81000C,00800,0100,A 61161,A81000C,00800,0200,FORREST PRESTON 61161,A81000C,00800,0400,METLIFE 61161,A81000C,00800,0600,FINANCIAL LOAN 61161,A81000C,00900,0100,A 61161,A81000C,00900,0200,FORREST PRESTON 61161,A81000C,00900,0400,LIFE CARE CENTE 61161,A81000C,00900,0600,NRSG HOME MGMT 61161,A81000C,01000,0100,A 61161,A81000C,01000,0200,FORREST PRESTON 61161,A81000C,01000,0400,MEDIA RESOURCES 61161,A81000C,01000,0600,MEDIA COMPANY 61161,A81000C,01100,0100,A 61161,A81000C,01100,0200,FORREST PRESTON 61161,A81000C,01100,0400,LIFE CARE DESIG 61161,A81000C,01100,0600,INTERIOR DESIGN 61161,A81000C,01200,0100,A 61161,A81000C,01200,0200,FORREST PRESTON 61161,A81000C,01200,0400,LIFE CARE DESIG 61161,A81000C,01200,0600,INTERIOR DESIGN 61161,A81000C,01300,0100,A 61161,A81000C,01300,0200,FORREST PRESTON 61161,A81000C,01300,0400,LIFE CARE DESIG 61161,A81000C,01300,0600,INTERIOR DESIGN 61161,A81000C,01400,0100,A 61161,A81000C,01400,0200,FORREST PRESTON 61161,A81000C,01400,0400,REHAB SUPPORT S 61161,A81000C,01400,0600,REHAB SERVICES 61161,A81000C,01500,0100,A 61161,A81000C,01500,0200,FORREST PRESTON 61161,A81000C,01500,0400,REHAB SUPPORT S 61161,A81000C,01500,0600,REHAB SERVICES 61161,A81000C,01600,0100,A 61161,A81000C,01600,0200,FORREST PRESTON 61161,A81000C,01600,0400,REHAB SUPPORT S 61161,A81000C,01600,0600,REHAB SERVICES 61161,A81000C,01700,0100,A 61161,A81000C,01700,0200,FORREST PRESTON 61161,A81000C,01700,0400,MEDILIFE 61161,A81000C,01700,0600,PHARMACY COMPAN 61161,B100000,00000,0100,00000(SQUARE FEET) 61161,B100000,00000,0200,00000(SQUARE FEET) 61161,B100000,00000,0300,00000(GROSS SALARIES) 61161,B100000,00000,0400,00000(ACCUM COST) 61161,B100000,00000,0500,00000(SQUARE FEET) 61161,B100000,00000,0600,00000PATIENT DAYS 61161,B100000,00000,0700,00000(SQUARE FEET) 61161,B100000,00000,0800,00000(MEALS SERVED) 61161,B100000,00000,0900,00000DIR NRSG HOURS 61161,B100000,00000,1000,00000(COSTED REQUIS) 61161,B100000,00000,1200,00000GROSS REVENUES 61161,B100000,00000,1300,00000PATIENT DAYS 61161,B100000,00000,1350,00000PATIENT DAYS 61161,E10A180,00301,0100,02/07/2000 61161,S000000,00100,0200,05/11/2000 61161,S200000,00100,0100,1101 WEST MURRAY DRIVE 61161,S200000,00200,0100,FARMINGTON 61161,S200000,00200,0200,NM 61161,S200000,00200,0300,87401 61161,S200000,00300,0100,SAN JUAN 61161,S200000,00400,0100,LIFE CARE CENTER OF FARMINGTON 61161,S200000,00400,0200,325103 61161,S200000,00400,0300,04/01/1996 61161,S200000,00400,0500,P 61161,S200000,00600,0200,325103 61161,S200000,00600,0300,04/01/1996 61161,S200000,00600,0600,P 61161,S200000,01600,0100,Y 61161,S200000,02200,0100,Y 61170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61170,A000000,00300,0000,00300EMPLOYEE BENEFITS 61170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61170,A000000,00700,0000,00700HOUSEKEEPING 61170,A000000,00800,0000,00800DIETARY 61170,A000000,00900,0000,00900NURSING ADMINISTRATION 61170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61170,A000000,01100,0000,01100PHARMACY 61170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61170,A000000,01300,0000,01300SOCIAL SERVICE 61170,A000000,01350,0000,01500ACTIVITIES 61170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61170,A000000,01600,0000,01600SKILLED NURSING FACILITY 61170,A000000,01800,0000,01800NURSING FACILITY 61170,A000000,01810,0000,01810ICF/MR 61170,A000000,02100,0000,02100RADIOLOGY 61170,A000000,02200,0000,02200LABORATORY 61170,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61170,A000000,02500,0000,02500PHYSICAL THERAPY 61170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61170,A000000,02700,0000,02700SPEECH PATHOLOGY 61170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61170,A000000,02901,0000,02901PEN THERAPY 61170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61170,A000000,03050,0000,03300OTHER ANCILLARY 61170,A000000,03051,0000,03301AMBULANCE 61170,A000000,03550,0000,03550FQHC 61170,A000000,05000,0000,05000CORF 61170,A000000,05010,0000,05010CMHC 61170,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61170,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61170,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61170,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61170,A81000A,00100,0100,Y 61170,A81000B,00100,0300,HOME OFFICE COSTS 61170,A81000B,00200,0300,MEDILIFE 61170,A81000B,00300,0300,REL PARTY INTEREST 61170,A81000B,00400,0300,REHAB ALLOCATION 61170,A81000B,00500,0300,REHAB ALLOCATION 61170,A81000B,00600,0300,REHAB ALLOCATION 61170,A81000B,00700,0300,COMPUTER TRAINING 61170,A81000C,00100,0100,A 61170,A81000C,00100,0200,FORREST PRESTON 61170,A81000C,00100,0400,LCCA 61170,A81000C,00100,0600,NSG HOME MANAG 61170,A81000C,00200,0200,LIFE CARE PHARM 61170,A81000C,00200,0400,MEDILIFE 61170,A81000C,00200,0600,PHARMACY 61170,A81000C,00300,0100,A 61170,A81000C,00300,0200,FORREST PRESTON 61170,A81000C,00300,0400,CONSOL RESOURCE 61170,A81000C,00300,0600,WORKING CAP LOA 61170,A81000C,00400,0100,A 61170,A81000C,00400,0200,FORREST PRESTON 61170,A81000C,00400,0400,LCCA 61170,A81000C,00400,0600,NSG HOME MANAG 61170,A81000C,00500,0100,A 61170,A81000C,00500,0200,FORREST PRESTON 61170,A81000C,00500,0400,LCCA 61170,A81000C,00500,0600,NSG HOME MANAG 61170,A81000C,00600,0100,A 61170,A81000C,00600,0200,FORREST PRESTON 61170,A81000C,00600,0400,LCCA 61170,A81000C,00600,0600,NSG HOME MANAG 61170,A81000C,00700,0100,A 61170,A81000C,00700,0200,FORREST PRESTON 61170,A81000C,00700,0400,LCCA 61170,A81000C,00700,0600,NSG HOME MANAG 61170,B100000,00000,0100,00000(SQUARE FEET) 61170,B100000,00000,0200,00000(SQUARE FEET) 61170,B100000,00000,0300,00000(GROSS SALARIES) 61170,B100000,00000,0400,00000(ACCUM COST) 61170,B100000,00000,0500,00000(SQUARE FEET) 61170,B100000,00000,0600,00000PATIENT DAYS 61170,B100000,00000,0700,00000(SQUARE FEET) 61170,B100000,00000,0800,00000(MEALS SERVED) 61170,B100000,00000,0900,00000HOURS OF SERVICE 61170,B100000,00000,1000,00000(COSTED REQUIS) 61170,B100000,00000,1100,00000(COSTED REQUIS) 61170,B100000,00000,1200,00000GROSS REVENUES 61170,B100000,00000,1300,00000PATIENT DAYS 61170,B100000,00000,1350,00000PATIENT DAYS 61170,B100000,00000,1400,00000(ASSIGNED TIME) 61170,E10A180,00301,0100,08/17/1999 61170,E10A180,00302,0100,02/08/2000 61170,S000000,00100,0200,05/16/2000 61170,S200000,00100,0100,185 NORWOOD HOLLOW ROAD 61170,S200000,00100,0300,2199 61170,S200000,00200,0100,BANNER ELK 61170,S200000,00200,0200,NC 61170,S200000,00200,0300,28604 61170,S200000,00300,0100,AVERY 61170,S200000,00400,0100,LCC OF BANNER ELK 61170,S200000,00400,0200,345203 61170,S200000,00400,0300,04/08/1993 61170,S200000,00400,0500,P 61170,S200000,00600,0200,345203 61170,S200000,00600,0300,04/08/1993 61170,S200000,00600,0600,P 61170,S200000,01600,0100,Y 61170,S200000,02200,0100,Y 61170,S200000,04700,0100,Y 61188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61188,A000000,00300,0000,00300EMPLOYEE BENEFITS 61188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61188,A000000,00700,0000,00700HOUSEKEEPING 61188,A000000,00800,0000,00800DIETARY 61188,A000000,00900,0000,00900NURSING ADMINISTRATION 61188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61188,A000000,01100,0000,01100PHARMACY 61188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61188,A000000,01300,0000,01300SOCIAL SERVICE 61188,A000000,01350,0000,01500ACTIVITIES 61188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61188,A000000,01600,0000,01600SKILLED NURSING FACILITY 61188,A000000,01800,0000,01800NURSING FACILITY 61188,A000000,01810,0000,01810ICF/MR 61188,A000000,02100,0000,02100RADIOLOGY 61188,A000000,02200,0000,02200LABORATORY 61188,A000000,02300,0000,02300INTRAVENOUS THERAPY 61188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61188,A000000,02500,0000,02500PHYSICAL THERAPY 61188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61188,A000000,02700,0000,02700SPEECH PATHOLOGY 61188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61188,A000000,02901,0000,02901PEN THERAPY 61188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61188,A000000,03550,0000,03550FQHC 61188,A000000,05000,0000,05000CORF 61188,A000000,05010,0000,05010CMHC 61188,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61188,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61188,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61188,A81000A,00100,0100,Y 61188,A81000B,00100,0300,POOLED CAPITAL 61188,A81000B,00200,0300,MGMT FEE 61188,A81000B,00300,0300,METLIFE 1 INT 61188,A81000B,00400,0300,METLIFE 3 INT 61188,A81000B,00500,0300,INTEREST - RLTD PRTY 61188,A81000B,00600,0300,MEDILIFE/LCPS DRUGS 61188,A81000B,00700,0300,MEDILIFE/LCPS MED SU 61188,A81000B,00800,0300,MEDILIFE/LCPS EQUIP 61188,A81000B,00900,0300,MEDILIFE/LCPS DIET S 61188,A81000B,01000,0300,MEDILIFE/LCPS SUPPLI 61188,A81000B,01100,0300,MEDILIFE/LCPS SUPPLI 61188,A81000B,01200,0300,REHAB ALLOC 61188,A81000B,01300,0300,REHAB ALLOC 61188,A81000B,01400,0300,REHAB ALLOC 61188,A81000B,01500,0300,LIFE CARE DESIGN 99 61188,A81000B,01600,0300,PROJECT 2000-INSTALL 61188,A81000C,00100,0100,A 61188,A81000C,00100,0200,FORREST PRESTON 61188,A81000C,00100,0400,LCCA 61188,A81000C,00100,0600,MGMT CO 61188,A81000C,00200,0100,A 61188,A81000C,00200,0200,FORREST PRESTON 61188,A81000C,00200,0400,LCCA 61188,A81000C,00200,0600,MGMT CO 61188,A81000C,00300,0100,A 61188,A81000C,00300,0200,FORREST PRESTON 61188,A81000C,00300,0400,LCCA 61188,A81000C,00300,0600,MGMT CO 61188,A81000C,00400,0100,A 61188,A81000C,00400,0200,FORREST PRESTON 61188,A81000C,00400,0400,LCCA 61188,A81000C,00400,0600,MGMT CO 61188,A81000C,00500,0100,A 61188,A81000C,00500,0200,FORREST PRESTON 61188,A81000C,00500,0400,LCCA 61188,A81000C,00500,0600,MGMT CO 61188,A81000C,00600,0100,A 61188,A81000C,00600,0200,FORREST PRESTON 61188,A81000C,00600,0400,LCPS 61188,A81000C,00600,0600,PHARMACY 61188,A81000C,00700,0100,A 61188,A81000C,00700,0200,FORREST PRESTON 61188,A81000C,00700,0400,LCPS 61188,A81000C,00700,0600,PHARMACY 61188,A81000C,00800,0100,A 61188,A81000C,00800,0200,FORREST PRESTON 61188,A81000C,00800,0400,LCPS 61188,A81000C,00800,0600,PHARMACY 61188,A81000C,00900,0100,A 61188,A81000C,00900,0200,FORREST PRESTON 61188,A81000C,00900,0400,LCPS 61188,A81000C,00900,0600,PHARMACY 61188,A81000C,01000,0100,A 61188,A81000C,01000,0200,FORREST PRESTON 61188,A81000C,01000,0400,LCPS 61188,A81000C,01000,0600,PHARMACY 61188,A81000C,01100,0100,A 61188,A81000C,01100,0200,FORREST PRESTON 61188,A81000C,01100,0400,LCPS 61188,A81000C,01100,0600,PHARMACY 61188,A81000C,01200,0100,A 61188,A81000C,01200,0200,FORREST PRESTON 61188,A81000C,01200,0400,LCCA 61188,A81000C,01200,0600,MGMT CO 61188,A81000C,01300,0100,A 61188,A81000C,01300,0200,FORREST PRESTON 61188,A81000C,01300,0400,LCCA 61188,A81000C,01300,0600,MGMT CO 61188,A81000C,01400,0100,A 61188,A81000C,01400,0200,FORREST PRESTON 61188,A81000C,01400,0400,LCCA 61188,A81000C,01400,0600,MGMT CO 61188,A81000C,01500,0100,A 61188,A81000C,01500,0200,FORREST PRESTON 61188,A81000C,01500,0400,LIFE CARE DESIG 61188,A81000C,01500,0600,F&F 61188,A81000C,01600,0100,A 61188,A81000C,01600,0200,FORREST PRESTON 61188,A81000C,01600,0400,LCCA 61188,A81000C,01600,0600,MGMT CO 61188,B100000,00000,0100,00000(SQUARE FEET) 61188,B100000,00000,0200,00000(SQUARE FEET) 61188,B100000,00000,0300,00000(GROSS SALARIES) 61188,B100000,00000,0400,00000(ACCUM COST) 61188,B100000,00000,0500,00000(SQUARE FEET) 61188,B100000,00000,0600,00000PATIENT DAYS 61188,B100000,00000,0700,00000(SQUARE FEET) 61188,B100000,00000,0800,00000(MEALS SERVED) 61188,B100000,00000,0900,00000DIRECT HOURS 61188,B100000,00000,1000,00000(COSTED REQUIS) 61188,B100000,00000,1100,00000(COSTED REQUIS) 61188,B100000,00000,1200,00000GROSS REVENUES 61188,B100000,00000,1300,00000PATIENT DAYS 61188,B100000,00000,1350,00000PATIENT DAYS 61188,B100000,00000,1400,00000(ASSIGNED TIME) 61188,E10A180,00301,0100,02/25/2000 61188,E10A180,00501,0100,06/02/2000 61188,E10A180,00550,0300,06/02/2000 61188,S000000,00100,0200,05/30/2000 61188,S200000,00100,0100,26520 CENTER RIDGE RD. 61188,S200000,00200,0100,WESTLAKE 61188,S200000,00200,0200,OH 61188,S200000,00200,0300,44145 61188,S200000,00300,0100,CUYAHOGA 61188,S200000,00400,0100,THE OAKRIDGE HOME 61188,S200000,00400,0200,365048 61188,S200000,00400,0300,01/01/1967 61188,S200000,00400,0500,P 61188,S200000,00400,0600,O 61188,S200000,01600,0100,Y 61188,S200000,02200,0100,Y 61188,S200000,02800,0100,Y 61196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61196,A000000,00300,0000,00300EMPLOYEE BENEFITS 61196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61196,A000000,00700,0000,00700HOUSEKEEPING 61196,A000000,00800,0000,00800DIETARY 61196,A000000,00900,0000,00900NURSING ADMINISTRATION 61196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61196,A000000,01100,0000,01100PHARMACY 61196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61196,A000000,01300,0000,01300SOCIAL SERVICE 61196,A000000,01350,0000,01500ACTIVITIES 61196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61196,A000000,01600,0000,01600SKILLED NURSING FACILITY 61196,A000000,01800,0000,01800NURSING FACILITY 61196,A000000,01810,0000,01810ICF/MR 61196,A000000,02100,0000,02100RADIOLOGY 61196,A000000,02200,0000,02200LABORATORY 61196,A000000,02300,0000,02300INTRAVENOUS THERAPY 61196,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61196,A000000,02500,0000,02500PHYSICAL THERAPY 61196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61196,A000000,02700,0000,02700SPEECH PATHOLOGY 61196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61196,A000000,02901,0000,02901PEN THERAPY 61196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61196,A000000,03050,0000,03300OTHER ANCILLARY COSTS 61196,A000000,03051,0000,03301OTHER ANCILLARY COSTS 61196,A000000,03550,0000,03550FQHC 61196,A000000,05000,0000,05000CORF 61196,A000000,05010,0000,05010CMHC 61196,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61196,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61196,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61196,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61196,A81000A,00100,0100,Y 61196,A81000B,00100,0300,HOME OFFICE COSTS 61196,A81000B,00300,0300,INTEREST - LCCA 61196,A81000B,00400,0300,MEDILIFE RX 61196,A81000B,00500,0300,MEDILIFE IV 61196,A81000B,00600,0300,INTEREST - FL PRESTO 61196,A81000B,00700,0300,COMPUTER INSTALL 61196,A81000B,00800,0300,REHAB ALLOCATION 61196,A81000B,00900,0300,REHAB ALLOCATION 61196,A81000B,01000,0300,REHAB ALLOCATION 61196,A81000B,01100,0300,MEDILIFE SUPPLIES 61196,A81000B,01200,0300,LIFE CARE DESIGN\ 61196,A81000C,00100,0100,A 61196,A81000C,00100,0200,FORREST PRESTON 61196,A81000C,00100,0400,LIFE CARE CENTE 61196,A81000C,00100,0600,MANAGEMENT CO. 61196,A81000C,00200,0100,A 61196,A81000C,00200,0200,FORREST PRESTON 61196,A81000C,00200,0400,MEDILIFE RX 61196,A81000C,00200,0600,PHARMACY/SUPPLI 61196,A81000C,00300,0100,A 61196,A81000C,00300,0200,FORREST PRESTON 61196,A81000C,00300,0400,LIFE CARE DESIG 61196,A81000C,00300,0600,DESIGN CO. 61196,B100000,00000,0100,00000(SQUARE FEET) 61196,B100000,00000,0200,00000(SQUARE FEET) 61196,B100000,00000,0300,00000(GROSS SALARIES) 61196,B100000,00000,0400,00000(ACCUM COST) 61196,B100000,00000,0500,00000(SQUARE FEET) 61196,B100000,00000,0600,00000PATIENT DAYS 61196,B100000,00000,0700,00000(SQUARE FEET) 61196,B100000,00000,0800,00000(MEALS SERVED) 61196,B100000,00000,0900,00000HOURS SUPERVISED 61196,B100000,00000,1000,00000(COSTED REQUIS) 61196,B100000,00000,1100,00000(COSTED REQUIS) 61196,B100000,00000,1200,00000GROSS REVENUES 61196,B100000,00000,1300,00000PATIENT DAYS 61196,B100000,00000,1350,00000PATIENT DAYS 61196,B100000,00000,1400,00000(ASSIGNED TIME) 61196,S000000,00100,0200,05/25/2000 61196,S200000,00100,0100,2400 COLUMBIA ROAD 61196,S200000,00200,0100,MEDINA 61196,S200000,00200,0200,OH 61196,S200000,00200,0300,44256 61196,S200000,00300,0100,MEDINA 61196,S200000,00400,0100,LIFE CARE CENTER OF MEDINA 61196,S200000,00400,0200,365085 61196,S200000,00400,0300,01/01/1987 61196,S200000,00400,0500,P 61196,S200000,01600,0100,Y 61196,S200000,02200,0100,Y 61196,S200000,02800,0100,Y 61196,S200000,04300,0100,Y 61200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61200,A000000,00300,0000,00300EMPLOYEE BENEFITS 61200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61200,A000000,00700,0000,00700HOUSEKEEPING 61200,A000000,00800,0000,00800DIETARY 61200,A000000,00900,0000,00900NURSING ADMINISTRATION 61200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61200,A000000,01100,0000,01100PHARMACY 61200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61200,A000000,01300,0000,01300SOCIAL SERVICE 61200,A000000,01301,0000,01301RESTORATIVE 61200,A000000,01302,0000,01302ACTIVITIES 61200,A000000,01350,0000,01500OTHER GENERAL SERVICES 61200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61200,A000000,01600,0000,01600SKILLED NURSING FACILITY 61200,A000000,01810,0000,01810ICF/MR 61200,A000000,02100,0000,02100RADIOLOGY 61200,A000000,02200,0000,02200LABORATORY 61200,A000000,02500,0000,02500PHYSICAL THERAPY 61200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61200,A000000,02700,0000,02700SPEECH PATHOLOGY 61200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61200,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61200,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61200,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61200,A000000,03550,0000,03550FQHC 61200,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61200,A000000,05000,0000,05000CORF 61200,A000000,05010,0000,05010CMHC 61200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61200,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61200,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61200,A81000A,00100,0100,Y 61200,A81000B,00100,0300,HOME OFFICE ALLOCATION 61200,A81000B,00200,0300,HOME OFFICE ALLOCATION 61200,A81000B,00300,0300,HOME OFFICE ALLOCATION 61200,A81000B,00400,0300,A & G 61200,A81000B,00500,0300,DIETARY 61200,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61200,A81000B,00700,0300,MED SUPPLIES 61200,A81000B,00800,0300,DRUGS 61200,A81000B,00900,0300,PHYSICAL THERAPY 61200,A81000B,01000,0300,OCCUPATIONAL THERAPY 61200,A81000B,01100,0300,SPEECH THERAPY 61200,A81000C,00100,0100,B 61200,A81000C,00100,0200,GENESIS HEALTH VENTURES 61200,A81000C,00100,0600,MANAGEMENT COMPANY 61200,A81000C,00200,0100,B 61200,A81000C,00200,0200,GENESIS HEALTH VENTURES 61200,A81000C,00200,0600,MANAGEMENT COMPANY 61200,A81000C,00300,0100,B 61200,A81000C,00300,0200,GENESIS HEALTH VENTURES 61200,A81000C,00300,0600,MANAGEMENT COMPANY 61200,A81000C,00400,0100,B 61200,A81000C,00400,0200,NEIGHBORCARE 61200,A81000C,00400,0400,GENESIS HEALTH VENTURES 61200,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61200,A81000C,00500,0100,B 61200,A81000C,00500,0200,NEIGHBORCARE 61200,A81000C,00500,0400,GENESIS HEALTH VENTURES 61200,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61200,A81000C,00600,0100,B 61200,A81000C,00600,0200,NEIGHBORCARE 61200,A81000C,00600,0400,GENESIS HEALTH VENTURES 61200,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61200,A81000C,00700,0100,B 61200,A81000C,00700,0200,NEIGHBORCARE 61200,A81000C,00700,0400,GENESIS HEALTH VENTURES 61200,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61200,A81000C,00800,0100,B 61200,A81000C,00800,0200,NEIGHBORCARE 61200,A81000C,00800,0400,GENESIS HEALTH VENTURES 61200,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61200,A81000C,00900,0100,B 61200,A81000C,00900,0200,GENESIS REHAB 61200,A81000C,00900,0400,GENESIS HEALTH VENTURES 61200,A81000C,00900,0600,REHAB SERVICES 61200,A81000C,01000,0100,B 61200,A81000C,01000,0200,GENESIS REHAB 61200,A81000C,01000,0400,GENESIS HEALTH VENTURES 61200,A81000C,01000,0600,REHAB SERVICES 61200,A81000C,01100,0100,B 61200,A81000C,01100,0200,GENESIS REHAB 61200,A81000C,01100,0400,GENESIS HEALTH VENTURES 61200,A81000C,01100,0600,REHAB SERVICES 61200,B100000,00000,0100,00000SQUARE FEET 61200,B100000,00000,0200,00000SQUARE FEET 61200,B100000,00000,0300,00000GROSS SALARIES 61200,B100000,00000,0400,00000ACCUM. COST 61200,B100000,00000,0500,00000SQUARE FEET 61200,B100000,00000,0600,00000PATIENT DAYS 61200,B100000,00000,0700,00000SQUARE FEET 61200,B100000,00000,0800,00000PATIENT DAYS 61200,B100000,00000,0900,00000PATIENT DAYS 61200,B100000,00000,1000,00000PATIENT DAYS 61200,B100000,00000,1100,00000PATIENT DAYS 61200,B100000,00000,1200,00000PATIENT DAYS 61200,B100000,00000,1300,00000PATIENT DAYS 61200,B100000,00000,1301,00000PATIENT DAYS 61200,B100000,00000,1302,00000PATIENT DAYS 61200,B100000,00000,1350,00000NO STATISTICS 61200,B100000,00000,1400,00000NO STATISTICS 61200,S000000,00100,0200,05/31/2000 61200,S200000,00100,0100,98 MAIN STREET 61200,S200000,00200,0100,CHELMSFORD 61200,S200000,00200,0200,OH 61200,S200000,00200,0300,45827 61200,S200000,00300,0100,PUTNAM 61200,S200000,00400,0100,PARADISE OAKS CENTER 61200,S200000,00400,0200,365407 61200,S200000,00400,0300,02/14/1979 61200,S200000,00400,0500,P 61200,S200000,01500,0100,Y 61206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61206,A000000,00300,0000,00300EMPLOYEE BENEFITS 61206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61206,A000000,00700,0000,00700HOUSEKEEPING 61206,A000000,00800,0000,00800DIETARY 61206,A000000,00900,0000,00900NURSING ADMINISTRATION 61206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61206,A000000,01100,0000,01100PHARMACY 61206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61206,A000000,01300,0000,01300SOCIAL SERVICE 61206,A000000,01350,0000,01500ACTIVITIES 61206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61206,A000000,01600,0000,01600SKILLED NURSING FACILITY 61206,A000000,01800,0000,01800NURSING FACILITY 61206,A000000,01810,0000,01810ICF/MR 61206,A000000,01900,0000,01900OTHER LONG TERM CARE 61206,A000000,02100,0000,02100RADIOLOGY 61206,A000000,02200,0000,02200LABORATORY 61206,A000000,02300,0000,02300INTRAVENOUS THERAPY 61206,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61206,A000000,02500,0000,02500PHYSICAL THERAPY 61206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61206,A000000,02700,0000,02700SPEECH PATHOLOGY 61206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61206,A000000,02901,0000,02901PEN THERAPY 61206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61206,A000000,03050,0000,03300OTHER ANCILLARY COSTS 61206,A000000,03051,0000,03301AMBULANCE COSTS 61206,A000000,03550,0000,03550FQHC 61206,A000000,05000,0000,05000CORF 61206,A000000,05010,0000,05010CMHC 61206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61206,A81000A,00100,0100,Y 61206,A81000B,00100,0300,HOME OFFICE COSTS 61206,A81000B,00200,0300,METLIFE INTEREST 61206,A81000B,00300,0300,REL PARTY INTEREST 61206,A81000B,00400,0300,LCPSI/MEDILIFE 61206,A81000B,00500,0300,LCPSI/MEDILIFE 61206,A81000B,00600,0300,LCPSI/MEDILIFE 61206,A81000B,00700,0300,REHAB RENTAL 61206,A81000B,00800,0300,REHAB RENTAL 61206,A81000B,00900,0300,REHAB RENTAL 61206,A81000B,01000,0300,COMPUTER INSTALL 61206,A81000B,01100,0300,LIFE CARE DESIGNS 61206,A81000C,00100,0100,A 61206,A81000C,00100,0200,FORREST PRESTON 61206,A81000C,00100,0400,LIFE CARE CENTE 61206,A81000C,00100,0600,MANAGEMENT CO. 61206,A81000C,00200,0100,A 61206,A81000C,00200,0200,FORREST PRESTON 61206,A81000C,00200,0400,LCPSI/MEDILIFE 61206,A81000C,00200,0600,PHARMACY 61206,A81000C,00300,0100,A 61206,A81000C,00300,0200,FORREST PRESTON 61206,A81000C,00300,0400,LIFE CARE DESIG 61206,A81000C,00300,0600,DESIGN CO. 61206,B100000,00000,0100,00000(SQUARE FEET) 61206,B100000,00000,0200,00000(SQUARE FEET) 61206,B100000,00000,0300,00000(GROSS SALARIES) 61206,B100000,00000,0400,00000(ACCUM COST) 61206,B100000,00000,0500,00000(SQUARE FEET) 61206,B100000,00000,0600,00000PATIENT DAYS 61206,B100000,00000,0700,00000(SQUARE FEET) 61206,B100000,00000,0800,00000(MEALS SERVED) 61206,B100000,00000,0900,00000HOURS SUPERVISED 61206,B100000,00000,1000,00000(COSTED REQUIS) 61206,B100000,00000,1100,00000(COSTED REQUIS) 61206,B100000,00000,1200,00000GROSS REVENUES 61206,B100000,00000,1300,00000PATIENT DAYS 61206,B100000,00000,1350,00000PATIENT DAYS 61206,B100000,00000,1400,00000(ASSIGNED TIME) 61206,E10A180,00550,0300,06/05/2000 61206,S000000,00100,0200,05/31/2000 61206,S200000,00100,0100,3000 BETHEL RD. 61206,S200000,00200,0100,COLUMBUS 61206,S200000,00200,0200,OH 61206,S200000,00200,0300,43204 61206,S200000,00300,0100,FRANKLIN 61206,S200000,00400,0100,MAYFAIR VILLAGE 61206,S200000,00400,0200,365410 61206,S200000,00400,0300,07/01/1980 61206,S200000,00400,0500,P 61206,S200000,01600,0100,Y 61206,S200000,02200,0100,Y 61206,S200000,02800,0100,Y 61206,S200000,04300,0100,Y 61206,S200000,04700,0100,Y 61206,S200000,04700,0200,Y 61211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61211,A000000,00300,0000,00300EMPLOYEE BENEFITS 61211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61211,A000000,00700,0000,00700HOUSEKEEPING 61211,A000000,00800,0000,00800DIETARY 61211,A000000,00900,0000,00900NURSING ADMINISTRATION 61211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61211,A000000,01100,0000,01100PHARMACY 61211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61211,A000000,01300,0000,01300SOCIAL SERVICE 61211,A000000,01301,0000,01301RESTORATIVE 61211,A000000,01302,0000,01302ACTIVITIES 61211,A000000,01350,0000,01500OTHER GENERAL SERVICES 61211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61211,A000000,01600,0000,01600SKILLED NURSING FACILITY 61211,A000000,01800,0000,01800NURSING FACILITY 61211,A000000,01810,0000,01810ICF/MR 61211,A000000,02100,0000,02100RADIOLOGY 61211,A000000,02200,0000,02200LABORATORY 61211,A000000,02300,0000,02300INTRAVENOUS THERAPY 61211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61211,A000000,02500,0000,02500PHYSICAL THERAPY 61211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61211,A000000,02700,0000,02700SPEECH PATHOLOGY 61211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61211,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61211,A000000,03200,0000,03200SUPPORT SURFACES 61211,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61211,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61211,A000000,03550,0000,03550FQHC 61211,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61211,A000000,05000,0000,05000CORF 61211,A000000,05010,0000,05010CMHC 61211,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61211,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61211,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61211,A81000A,00100,0100,Y 61211,A81000B,00100,0300,ADMINISTRATION 61211,A81000B,00200,0300,BUILDING 61211,A81000B,00300,0300,INTEREST 61211,A81000B,00400,0300,G & A 61211,A81000B,00500,0300,GENERAL NURSING 61211,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61211,A81000B,00700,0300,MED SUPPLIES 61211,A81000B,00800,0300,DRUGS 61211,A81000B,00900,0300,EQUIPMENT RENTAL 61211,A81000B,01000,0300,PHYSICAL THERAPY 61211,A81000B,01100,0300,OCCUPATIONAL THERAPY 61211,A81000B,01200,0300,SPEECH THERAPY 61211,A81000C,00100,0100,B 61211,A81000C,00100,0200,GENESIS HEALTH VENTURES 61211,A81000C,00100,0600,MANAGEMENT COMPANY 61211,A81000C,00200,0100,B 61211,A81000C,00200,0200,GENESIS HEALTH VENTURES 61211,A81000C,00200,0600,MANAGEMENT COMPANY 61211,A81000C,00300,0100,B 61211,A81000C,00300,0200,GENESIS HEALTH VENTURES 61211,A81000C,00300,0600,MANAGEMENT COMPANY 61211,A81000C,00400,0100,B 61211,A81000C,00400,0200,NEIGHBORCARE 61211,A81000C,00400,0400,GENESIS HEALTH VENTURES 61211,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61211,A81000C,00500,0100,B 61211,A81000C,00500,0200,NEIGHBORCARE 61211,A81000C,00500,0400,GENESIS HEALTH VENTURES 61211,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61211,A81000C,00600,0100,B 61211,A81000C,00600,0200,NEIGHBORCARE 61211,A81000C,00600,0400,GENESIS HEALTH VENTURES 61211,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61211,A81000C,00700,0100,B 61211,A81000C,00700,0200,NEIGHBORCARE 61211,A81000C,00700,0400,GENESIS HEALTH VENTURES 61211,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61211,A81000C,00800,0100,B 61211,A81000C,00800,0200,NEIGHBORCARE 61211,A81000C,00800,0400,GENESIS HEALTH VENTURES 61211,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61211,A81000C,00900,0100,B 61211,A81000C,00900,0200,NEIGHBORCARE 61211,A81000C,00900,0400,GENESIS HEALTH VENTURES 61211,A81000C,00900,0600,PHARMACY/MED SUPPLIES 61211,A81000C,01000,0100,B 61211,A81000C,01000,0200,GENESIS REHAB 61211,A81000C,01000,0400,GENESIS HEALTH VENTURES 61211,A81000C,01000,0600,REHAB SERVICES 61211,A81000C,01100,0100,B 61211,A81000C,01100,0200,GENESIS REHAB 61211,A81000C,01100,0400,GENESIS HEALTH VENTURES 61211,A81000C,01100,0600,REHAB SERVICES 61211,A81000C,01200,0100,B 61211,A81000C,01200,0200,GENESIS REHAB 61211,A81000C,01200,0400,GENESIS HEALTH VENTURES 61211,A81000C,01200,0600,REHAB SERVICES 61211,B100000,00000,0100,00000SQUARE FEET 61211,B100000,00000,0200,00000SQUARE FEET 61211,B100000,00000,0300,00000GROSS SALARIES 61211,B100000,00000,0400,00000ACCUM. COST 61211,B100000,00000,0500,00000SQUARE FEET 61211,B100000,00000,0600,00000PATIENT DAYS 61211,B100000,00000,0700,00000SQUARE FEET 61211,B100000,00000,0800,00000PATIENT DAYS 61211,B100000,00000,0900,00000PATIENT DAYS 61211,B100000,00000,1000,00000PATIENT DAYS 61211,B100000,00000,1100,00000PATIENT DAYS 61211,B100000,00000,1200,00000PATIENT DAYS 61211,B100000,00000,1300,00000PATIENT DAYS 61211,B100000,00000,1301,00000PATIENT DAYS 61211,B100000,00000,1302,00000PATIENT DAYS 61211,B100000,00000,1350,00000NO STATISTICS 61211,B100000,00000,1400,00000NO STATISTICS 61211,S000000,00100,0200,07/14/2000 61211,S200000,00100,0100,4301 CLIME ROAD NORTH 61211,S200000,00200,0100,COLUMBUS 61211,S200000,00200,0200,OH 61211,S200000,00200,0300,43228 61211,S200000,00300,0100,FRANKLIN 61211,S200000,00400,0100,COLUMBUS CENTER 61211,S200000,00400,0200,365686 61211,S200000,00400,0300,11/01/1996 61211,S200000,00400,0500,P 61211,S200000,01600,0100,Y 61214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61214,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61214,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61214,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61214,A000000,00300,0000,00300EMPLOYEE BENEFITS 61214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61214,A000000,00700,0000,00700HOUSEKEEPING 61214,A000000,00800,0000,00800DIETARY 61214,A000000,00801,0000,00801CAFETERIA 61214,A000000,00900,0000,00900NURSING ADMINISTRATION 61214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61214,A000000,01100,0000,01100PHARMACY 61214,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61214,A000000,01300,0000,01300SOCIAL SERVICE 61214,A000000,01301,0000,01301RESTORATIVE 61214,A000000,01302,0000,01302ACTIVITIES 61214,A000000,01350,0000,01500OTHER GENERAL SERVICES 61214,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61214,A000000,01600,0000,01600SKILLED NURSING FACILITY 61214,A000000,01800,0000,01800NURSING FACILITY 61214,A000000,01810,0000,01810ICF/MR 61214,A000000,02100,0000,02100RADIOLOGY 61214,A000000,02200,0000,02200LABORATORY 61214,A000000,02300,0000,02300INTRAVENOUS THERAPY 61214,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61214,A000000,02500,0000,02500PHYSICAL THERAPY 61214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61214,A000000,02700,0000,02700SPEECH PATHOLOGY 61214,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61214,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61214,A000000,03051,0000,03301FEE SCREENING 61214,A000000,03052,0000,03302OTHER ANCILLARY III 61214,A000000,03200,0000,03200SUPPORT SURFACES 61214,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61214,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61214,A000000,03550,0000,03550FQHC 61214,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61214,A000000,05000,0000,05000CORF 61214,A000000,05010,0000,05010CMHC 61214,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61214,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61214,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61214,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61214,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61214,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61214,A81000A,00100,0100,Y 61214,A81000B,00100,0300,HOME OFFICE 61214,A81000B,00200,0300,CAPITAL INTEREST 61214,A81000B,00300,0300,HOME OFFICE INTEREST 61214,A81000B,00400,0300,CENTRAL SERVICES & SUPPLY 61214,A81000B,00500,0300,MED SUPPLIES 61214,A81000B,00600,0300,DRUGS 61214,A81000B,00700,0300,EQUIPMENT RENTAL 61214,A81000B,00800,0300,PHYSICAL THERAPY 61214,A81000B,00900,0300,OCCUPATIONAL THERAPY 61214,A81000B,01000,0300,SPEECH THERAPY 61214,A81000C,00100,0100,B 61214,A81000C,00100,0200,GENESIS HEALTH VENTURES 61214,A81000C,00100,0600,MANAGEMENT COMPANY 61214,A81000C,00200,0100,B 61214,A81000C,00200,0200,GENESIS HEALTH VENTURES 61214,A81000C,00200,0600,MANAGEMENT COMPANY 61214,A81000C,00300,0100,B 61214,A81000C,00300,0200,GENESIS HEALTH VENTURES 61214,A81000C,00300,0600,MANAGEMENT COMPANY 61214,A81000C,00400,0100,B 61214,A81000C,00400,0200,NEIGHBORCARE 61214,A81000C,00400,0400,GENESIS HEALTH VENTURES 61214,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61214,A81000C,00500,0100,B 61214,A81000C,00500,0200,NEIGHBORCARE 61214,A81000C,00500,0400,GENESIS HEALTH VENTURES 61214,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61214,A81000C,00600,0100,B 61214,A81000C,00600,0200,NEIGHBORCARE 61214,A81000C,00600,0400,GENESIS HEALTH VENTURES 61214,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61214,A81000C,00700,0100,B 61214,A81000C,00700,0200,NEIGHBORCARE 61214,A81000C,00700,0400,GENESIS HEALTH VENTURES 61214,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61214,A81000C,00800,0100,B 61214,A81000C,00800,0200,GENESIS REHAB 61214,A81000C,00800,0400,GENESIS HEALTH VENTURES 61214,A81000C,00800,0600,REHAB SERVICES 61214,A81000C,00900,0100,B 61214,A81000C,00900,0200,GENESIS REHAB 61214,A81000C,00900,0400,GENESIS HEALTH VENTURES 61214,A81000C,00900,0600,REHAB SERVICES 61214,A81000C,01000,0100,B 61214,A81000C,01000,0200,GENESIS REHAB 61214,A81000C,01000,0400,GENESIS HEALTH VENTURES 61214,A81000C,01000,0600,REHAB SERVICES 61214,B100000,00000,0100,00000SQUARE FEET 61214,B100000,00000,0101,00000(SQUARE FEET) 61214,B100000,00000,0200,00000SQUARE FEET 61214,B100000,00000,0201,00000(SQUARE FEET) 61214,B100000,00000,0300,00000GROSS SALARIES 61214,B100000,00000,0400,00000ACCUM. COST 61214,B100000,00000,0500,00000SQUARE FEET 61214,B100000,00000,0600,00000PATIENT DAYS 61214,B100000,00000,0700,00000SQUARE FEET 61214,B100000,00000,0800,00000PATIENT DAYS 61214,B100000,00000,0801,00000(MEALS SERVED) 61214,B100000,00000,0900,00000PATIENT DAYS 61214,B100000,00000,1000,00000PATIENT DAYS 61214,B100000,00000,1100,00000PATIENT DAYS 61214,B100000,00000,1200,00000PATIENT DAYS 61214,B100000,00000,1300,00000PATIENT DAYS 61214,B100000,00000,1301,00000PATIENT DAYS 61214,B100000,00000,1302,00000PATIENT DAYS 61214,B100000,00000,1350,00000NO STATISTICS 61214,B100000,00000,1400,00000NO STATISTICS 61214,S000000,00100,0200,05/31/2000 61214,S200000,00100,0100,620 WATER STREET 61214,S200000,00200,0100,CHARDON 61214,S200000,00200,0200,OH 61214,S200000,00200,0300,44024 61214,S200000,00300,0100,GEAUGA 61214,S200000,00400,0100,CHARDON CENTER 61214,S200000,00400,0200,365711 61214,S200000,00400,0300,08/09/1988 61214,S200000,00400,0500,P 61214,S200000,01600,0100,Y 61216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61216,A000000,00300,0000,00300EMPLOYEE BENEFITS 61216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61216,A000000,00700,0000,00700HOUSEKEEPING 61216,A000000,00800,0000,00800DIETARY 61216,A000000,00900,0000,00900NURSING ADMINISTRATION 61216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61216,A000000,01100,0000,01100PHARMACY 61216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61216,A000000,01300,0000,01300SOCIAL SERVICE 61216,A000000,01301,0000,01301RESTORATIVE 61216,A000000,01302,0000,01302ACTIVITIES 61216,A000000,01350,0000,01500OTHER GENERAL SERVICES 61216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61216,A000000,01600,0000,01600SKILLED NURSING FACILITY 61216,A000000,01810,0000,01810ICF/MR 61216,A000000,02100,0000,02100RADIOLOGY 61216,A000000,02200,0000,02200LABORATORY 61216,A000000,02300,0000,02300INTRAVENOUS THERAPY 61216,A000000,02500,0000,02500PHYSICAL THERAPY 61216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61216,A000000,02700,0000,02700SPEECH PATHOLOGY 61216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61216,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61216,A000000,03200,0000,03200SUPPORT SURFACES 61216,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61216,A000000,03550,0000,03550FQHC 61216,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61216,A000000,05000,0000,05000CORF 61216,A000000,05010,0000,05010CMHC 61216,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61216,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61216,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61216,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61216,A81000A,00100,0100,Y 61216,A81000B,00100,0300,A&G - CAPITAL 61216,A81000B,00200,0300,CAP REL COSTS 61216,A81000B,00300,0300,CAP REL COSTS 61216,A81000B,00400,0300,A & G 61216,A81000B,00500,0300,CENTRAL SERVICES & SUPPLY 61216,A81000B,00600,0300,MED SUPPLIES 61216,A81000B,00700,0300,DRUGS 61216,A81000B,00800,0300,PHYSICAL THERAPY 61216,A81000B,00900,0300,OCCUPATIONAL THERAPY 61216,A81000B,01000,0300,SPEECH THERAPY 61216,A81000C,00100,0100,B 61216,A81000C,00100,0200,GENESIS HEALTH VENTURES 61216,A81000C,00100,0600,MANAGEMENT COMPANY 61216,A81000C,00200,0100,B 61216,A81000C,00200,0200,GENESIS HEALTH VENTURES 61216,A81000C,00200,0600,MANAGEMENT COMPANY 61216,A81000C,00300,0100,B 61216,A81000C,00300,0200,GENESIS HEALTH VENTURES 61216,A81000C,00300,0600,MANAGEMENT COMPANY 61216,A81000C,00400,0100,B 61216,A81000C,00400,0200,NEIGHBORCARE 61216,A81000C,00400,0400,GENESIS HEALTH VENTURES 61216,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61216,A81000C,00500,0100,B 61216,A81000C,00500,0200,NEIGHBORCARE 61216,A81000C,00500,0400,GENESIS HEALTH VENTURES 61216,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61216,A81000C,00600,0100,B 61216,A81000C,00600,0200,NEIGHBORCARE 61216,A81000C,00600,0400,GENESIS HEALTH VENTURES 61216,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61216,A81000C,00700,0100,B 61216,A81000C,00700,0200,NEIGHBORCARE 61216,A81000C,00700,0400,GENESIS HEALTH VENTURES 61216,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61216,A81000C,00800,0100,B 61216,A81000C,00800,0200,GENESIS REHAB 61216,A81000C,00800,0400,GENESIS HEALTH VENTURES 61216,A81000C,00800,0600,REHAB SERVICES 61216,A81000C,00900,0100,B 61216,A81000C,00900,0200,GENESIS REHAB 61216,A81000C,00900,0400,GENESIS HEALTH VENTURES 61216,A81000C,00900,0600,REHAB SERVICES 61216,A81000C,01000,0100,B 61216,A81000C,01000,0200,GENESIS REHAB 61216,A81000C,01000,0400,GENESIS HEALTH VENTURES 61216,A81000C,01000,0600,REHAB SERVICES 61216,B100000,00000,0100,00000SQUARE FEET 61216,B100000,00000,0200,00000SQUARE FEET 61216,B100000,00000,0300,00000GROSS SALARIES 61216,B100000,00000,0400,00000ACCUM. COST 61216,B100000,00000,0500,00000SQUARE FEET 61216,B100000,00000,0600,00000PATIENT DAYS 61216,B100000,00000,0700,00000SQUARE FEET 61216,B100000,00000,0800,00000PATIENT DAYS 61216,B100000,00000,0900,00000PATIENT DAYS 61216,B100000,00000,1000,00000PATIENT DAYS 61216,B100000,00000,1100,00000PATIENT DAYS 61216,B100000,00000,1200,00000PATIENT DAYS 61216,B100000,00000,1300,00000PATIENT DAYS 61216,B100000,00000,1301,00000PATIENT DAYS 61216,B100000,00000,1302,00000PATIENT DAYS 61216,B100000,00000,1350,00000NO STATISTICS 61216,B100000,00000,1400,00000NO STATISTICS 61216,S000000,00100,0200,05/31/2000 61216,S200000,00100,0100,411 SOUTH COLUMBUS AVE. 61216,S200000,00200,0100,SOMERSET 61216,S200000,00200,0200,OH 61216,S200000,00300,0100,PERRY 61216,S200000,00400,0100,SOMERSET CENTER 61216,S200000,00400,0200,365750 61216,S200000,00400,0300,10/17/1989 61216,S200000,00400,0500,P 61216,S200000,01500,0100,Y 61219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61219,A000000,00300,0000,00300EMPLOYEE BENEFITS 61219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61219,A000000,00700,0000,00700HOUSEKEEPING 61219,A000000,00800,0000,00800DIETARY 61219,A000000,00900,0000,00900NURSING ADMINISTRATION 61219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61219,A000000,01100,0000,01100PHARMACY 61219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61219,A000000,01300,0000,01300SOCIAL SERVICE 61219,A000000,01301,0000,01301RESTORATIVE 61219,A000000,01302,0000,01302ACTIVITIES 61219,A000000,01350,0000,01500OTHER GENERAL SERVICES 61219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61219,A000000,01600,0000,01600SKILLED NURSING FACILITY 61219,A000000,01810,0000,01810ICF/MR 61219,A000000,02100,0000,02100RADIOLOGY 61219,A000000,02200,0000,02200LABORATORY 61219,A000000,02500,0000,02500PHYSICAL THERAPY 61219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61219,A000000,02700,0000,02700SPEECH PATHOLOGY 61219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61219,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61219,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61219,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61219,A000000,03550,0000,03550FQHC 61219,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61219,A000000,05000,0000,05000CORF 61219,A000000,05010,0000,05010CMHC 61219,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61219,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61219,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61219,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61219,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61219,A81000A,00100,0100,Y 61219,A81000B,00100,0300,ADMINISTRATION 61219,A81000B,00200,0300,BUILDING 61219,A81000B,00300,0300,INTEREST 61219,A81000B,00400,0300,CENTRAL SERVICES & SUPPLY 61219,A81000B,00500,0300,MED SUPPLIES 61219,A81000B,00600,0300,PHYSICAL THERAPY 61219,A81000B,00700,0300,OCCUPATIONAL THERAPY 61219,A81000B,00800,0300,SPEECH THERAPY 61219,A81000C,00100,0100,B 61219,A81000C,00100,0200,GENESIS HEALTH VENTURES 61219,A81000C,00100,0600,MANAGEMENT COMPANY 61219,A81000C,00200,0100,B 61219,A81000C,00200,0200,GENESIS HEALTH VENTURES 61219,A81000C,00200,0600,MANAGEMENT COMPANY 61219,A81000C,00300,0100,B 61219,A81000C,00300,0200,GENESIS HEALTH VENTURES 61219,A81000C,00300,0600,MANAGEMENT COMPANY 61219,A81000C,00400,0100,B 61219,A81000C,00400,0200,NEIGHBORCARE 61219,A81000C,00400,0400,GENESIS HEALTH VENTURES 61219,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61219,A81000C,00500,0100,B 61219,A81000C,00500,0200,NEIGHBORCARE 61219,A81000C,00500,0400,GENESIS HEALTH VENTURES 61219,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61219,A81000C,00600,0100,B 61219,A81000C,00600,0200,GENESIS REHAB 61219,A81000C,00600,0400,GENESIS HEALTH VENTURES 61219,A81000C,00600,0600,REHAB SERVICES 61219,A81000C,00700,0100,B 61219,A81000C,00700,0200,GENESIS REHAB 61219,A81000C,00700,0400,GENESIS HEALTH VENTURES 61219,A81000C,00700,0600,REHAB SERVICES 61219,A81000C,00800,0100,B 61219,A81000C,00800,0200,GENESIS REHAB 61219,A81000C,00800,0400,GENESIS HEALTH VENTURES 61219,A81000C,00800,0600,REHAB SERVICES 61219,B100000,00000,0100,00000SQUARE FEET 61219,B100000,00000,0200,00000SQUARE FEET 61219,B100000,00000,0300,00000GROSS SALARIES 61219,B100000,00000,0400,00000ACCUM. COST 61219,B100000,00000,0500,00000SQUARE FEET 61219,B100000,00000,0600,00000PATIENT DAYS 61219,B100000,00000,0700,00000SQUARE FEET 61219,B100000,00000,0800,00000PATIENT DAYS 61219,B100000,00000,0900,00000PATIENT DAYS 61219,B100000,00000,1000,00000PATIENT DAYS 61219,B100000,00000,1100,00000PATIENT DAYS 61219,B100000,00000,1200,00000PATIENT DAYS 61219,B100000,00000,1300,00000PATIENT DAYS 61219,B100000,00000,1301,00000PATIENT DAYS 61219,B100000,00000,1302,00000PATIENT DAYS 61219,B100000,00000,1350,00000NO STATISTICS 61219,B100000,00000,1400,00000NO STATISTICS 61219,S000000,00100,0200,05/31/2000 61219,S200000,00100,0100,620 EAST WATER STREET 61219,S200000,00200,0100,DESHLER 61219,S200000,00200,0200,OH 61219,S200000,00200,0300,43516 61219,S200000,00300,0100,HENRY 61219,S200000,00400,0100,OAK GROVE CENTER 61219,S200000,00400,0200,365767 61219,S200000,00400,0300,10/19/1989 61219,S200000,00400,0500,P 61219,S200000,01500,0100,Y 61222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61222,A000000,00300,0000,00300EMPLOYEE BENEFITS 61222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61222,A000000,00700,0000,00700HOUSEKEEPING 61222,A000000,00800,0000,00800DIETARY 61222,A000000,00900,0000,00900NURSING ADMINISTRATION 61222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61222,A000000,01100,0000,01100PHARMACY 61222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61222,A000000,01300,0000,01300SOCIAL SERVICE 61222,A000000,01301,0000,01301RESTORATIVE 61222,A000000,01302,0000,01302ACTIVITIES 61222,A000000,01350,0000,01500OTHER GENERAL SERVICES 61222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61222,A000000,01600,0000,01600SKILLED NURSING FACILITY 61222,A000000,01810,0000,01810ICF/MR 61222,A000000,02100,0000,02100RADIOLOGY 61222,A000000,02200,0000,02200LABORATORY 61222,A000000,02300,0000,02300INTRAVENOUS THERAPY 61222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61222,A000000,02500,0000,02500PHYSICAL THERAPY 61222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61222,A000000,02700,0000,02700SPEECH PATHOLOGY 61222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61222,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61222,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61222,A000000,03550,0000,03550FQHC 61222,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61222,A000000,05000,0000,05000CORF 61222,A000000,05010,0000,05010CMHC 61222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61222,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61222,A81000A,00100,0100,Y 61222,A81000B,00100,0300,ADMINISTRATION 61222,A81000B,00200,0300,BUILDING 61222,A81000B,00400,0300,A & G 61222,A81000B,00500,0300,CENTRAL SERVICES & SUPPLY 61222,A81000B,00600,0300,MED SUPPLIES 61222,A81000B,00700,0300,DRUGS 61222,A81000B,00800,0300,PHYSICAL THERAPY 61222,A81000B,00900,0300,OCCUPATIONAL THERAPY 61222,A81000B,01000,0300,SPEECH THERAPY 61222,A81000C,00100,0100,B 61222,A81000C,00100,0200,GENESIS HEALTH VENTURES 61222,A81000C,00100,0600,MANAGEMENT COMPANY 61222,A81000C,00200,0100,B 61222,A81000C,00200,0200,GENESIS HEALTH VENTURES 61222,A81000C,00200,0600,MANAGEMENT COMPANY 61222,A81000C,00300,0100,B 61222,A81000C,00300,0200,GENESIS HEALTH VENTURES 61222,A81000C,00300,0600,MANAGEMENT COMPANY 61222,A81000C,00400,0100,B 61222,A81000C,00400,0200,NEIGHBORCARE 61222,A81000C,00400,0400,GENESIS HEALTH VENTURES 61222,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61222,A81000C,00500,0100,B 61222,A81000C,00500,0200,NEIGHBORCARE 61222,A81000C,00500,0400,GENESIS HEALTH VENTURES 61222,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61222,A81000C,00600,0100,B 61222,A81000C,00600,0200,NEIGHBORCARE 61222,A81000C,00600,0400,GENESIS HEALTH VENTURES 61222,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61222,A81000C,00700,0100,B 61222,A81000C,00700,0200,NEIGHBORCARE 61222,A81000C,00700,0400,GENESIS HEALTH VENTURES 61222,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61222,A81000C,00800,0100,B 61222,A81000C,00800,0200,GENESIS REHAB 61222,A81000C,00800,0400,GENESIS HEALTH VENTURES 61222,A81000C,00800,0600,REHAB SERVICES 61222,A81000C,00900,0100,B 61222,A81000C,00900,0200,GENESIS REHAB 61222,A81000C,00900,0400,GENESIS HEALTH VENTURES 61222,A81000C,00900,0600,REHAB SERVICES 61222,A81000C,01000,0100,B 61222,A81000C,01000,0200,GENESIS REHAB 61222,A81000C,01000,0400,GENESIS HEALTH VENTURES 61222,A81000C,01000,0600,REHAB SERVICES 61222,B100000,00000,0100,00000SQUARE FEET 61222,B100000,00000,0200,00000SQUARE FEET 61222,B100000,00000,0300,00000GROSS SALARIES 61222,B100000,00000,0400,00000ACCUM. COST 61222,B100000,00000,0500,00000SQUARE FEET 61222,B100000,00000,0600,00000PATIENT DAYS 61222,B100000,00000,0700,00000SQUARE FEET 61222,B100000,00000,0800,00000PATIENT DAYS 61222,B100000,00000,0900,00000PATIENT DAYS 61222,B100000,00000,1000,00000PATIENT DAYS 61222,B100000,00000,1100,00000PATIENT DAYS 61222,B100000,00000,1200,00000PATIENT DAYS 61222,B100000,00000,1300,00000PATIENT DAYS 61222,B100000,00000,1301,00000PATIENT DAYS 61222,B100000,00000,1302,00000PATIENT DAYS 61222,B100000,00000,1350,00000NO STATISTICS 61222,B100000,00000,1400,00000NO STATISTICS 61222,S000000,00100,0200,05/31/2000 61222,S200000,00100,0100,725 WESSOR AVENUE 61222,S200000,00200,0100,WILLARD 61222,S200000,00200,0200,OH 61222,S200000,00200,0300,44890 61222,S200000,00300,0100,HURON 61222,S200000,00400,0100,WILLARD CENTER 61222,S200000,00400,0200,365769 61222,S200000,00400,0300,11/08/1989 61222,S200000,00400,0500,P 61222,S200000,01500,0100,Y 61225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61225,A000000,00300,0000,00300EMPLOYEE BENEFITS 61225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61225,A000000,00700,0000,00700HOUSEKEEPING 61225,A000000,00800,0000,00800DIETARY 61225,A000000,00900,0000,00900NURSING ADMINISTRATION 61225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61225,A000000,01100,0000,01100PHARMACY 61225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61225,A000000,01300,0000,01300SOCIAL SERVICE 61225,A000000,01301,0000,01301RESTORATIVE 61225,A000000,01302,0000,01302ACTIVITIES 61225,A000000,01350,0000,01500OTHER GENERAL SERVICES 61225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61225,A000000,01600,0000,01600SKILLED NURSING FACILITY 61225,A000000,01800,0000,01800NURSING FACILITY 61225,A000000,01810,0000,01810ICF/MR 61225,A000000,02100,0000,02100RADIOLOGY 61225,A000000,02200,0000,02200LABORATORY 61225,A000000,02300,0000,02300INTRAVENOUS THERAPY 61225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61225,A000000,02500,0000,02500PHYSICAL THERAPY 61225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61225,A000000,02700,0000,02700SPEECH PATHOLOGY 61225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61225,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61225,A000000,03200,0000,03200SUPPORT SURFACES 61225,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61225,A000000,03550,0000,03550FQHC 61225,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61225,A000000,05000,0000,05000CORF 61225,A000000,05010,0000,05010CMHC 61225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61225,A81000A,00100,0100,Y 61225,A81000B,00100,0300,ADMIN & GEN - ALLOWABLE COSTS 61225,A81000B,00200,0300,CAP.REL COSTS- ALLOWABLE COST 61225,A81000B,00300,0300,CAP.REL COSTS-ALLOWABLE COSTS 61225,A81000B,00400,0300,DIETARY 61225,A81000B,00500,0300,GENERAL NURSING 61225,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61225,A81000B,00700,0300,MED SUPPLIES 61225,A81000B,00800,0300,EQUIPMENT RENTAL 61225,A81000B,00900,0300,PHYSICAL THERAPY 61225,A81000B,01000,0300,OCCUPATIONAL THERAPY 61225,A81000B,01100,0300,SPEECH THERAPY 61225,A81000C,00100,0100,B 61225,A81000C,00100,0200,GENESIS HEALTH VENTURES 61225,A81000C,00100,0600,MANAGEMENT COMPANY 61225,A81000C,00200,0100,B 61225,A81000C,00200,0200,GENESIS HEALTH VENTURES 61225,A81000C,00200,0600,MANAGEMENT COMPANY 61225,A81000C,00300,0100,B 61225,A81000C,00300,0200,GENESIS HEALTH VENTURES 61225,A81000C,00300,0600,MANAGEMENT COMPANY 61225,A81000C,00400,0100,B 61225,A81000C,00400,0200,NEIGHBORCARE 61225,A81000C,00400,0400,GENESIS HEALTH VENTURES 61225,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61225,A81000C,00500,0100,B 61225,A81000C,00500,0200,NEIGHBORCARE 61225,A81000C,00500,0400,GENESIS HEALTH VENTURES 61225,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61225,A81000C,00600,0100,B 61225,A81000C,00600,0200,NEIGHBORCARE 61225,A81000C,00600,0400,GENESIS HEALTH VENTURES 61225,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61225,A81000C,00700,0100,B 61225,A81000C,00700,0200,NEIGHBORCARE 61225,A81000C,00700,0400,GENESIS HEALTH VENTURES 61225,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61225,A81000C,00800,0100,B 61225,A81000C,00800,0200,NEIGHBORCARE 61225,A81000C,00800,0400,GENESIS HEALTH VENTURES 61225,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61225,A81000C,00900,0100,B 61225,A81000C,00900,0200,GENESIS REHAB 61225,A81000C,00900,0400,GENESIS HEALTH VENTURES 61225,A81000C,00900,0600,REHAB SERVICES 61225,A81000C,01000,0100,B 61225,A81000C,01000,0200,GENESIS REHAB 61225,A81000C,01000,0400,GENESIS HEALTH VENTURES 61225,A81000C,01000,0600,REHAB SERVICES 61225,A81000C,01100,0100,B 61225,A81000C,01100,0200,GENESIS REHAB 61225,A81000C,01100,0400,GENESIS HEALTH VENTURES 61225,A81000C,01100,0600,REHAB SERVICES 61225,B100000,00000,0100,00000SQUARE FEET 61225,B100000,00000,0200,00000SQUARE FEET 61225,B100000,00000,0300,00000GROSS SALARIES 61225,B100000,00000,0400,00000ACCUM. COST 61225,B100000,00000,0500,00000SQUARE FEET 61225,B100000,00000,0600,00000PATIENT DAYS 61225,B100000,00000,0700,00000SQUARE FEET 61225,B100000,00000,0800,00000PATIENT DAYS 61225,B100000,00000,0900,00000PATIENT DAYS 61225,B100000,00000,1000,00000PATIENT DAYS 61225,B100000,00000,1100,00000PATIENT DAYS 61225,B100000,00000,1200,00000PATIENT DAYS 61225,B100000,00000,1300,00000PATIENT DAYS 61225,B100000,00000,1301,00000PATIENT DAYS 61225,B100000,00000,1302,00000PATIENT DAYS 61225,B100000,00000,1350,00000NO STATISTICS 61225,B100000,00000,1400,00000NO STATISTICS 61225,S000000,00100,0200,05/31/2000 61225,S200000,00100,0100,570 NORTH ROCKY RIVER DRIVE 61225,S200000,00200,0100,BEREA 61225,S200000,00200,0200,OH 61225,S200000,00200,0300,44017 61225,S200000,00300,0100,CUYAHOGA 61225,S200000,00400,0100,NORTHWESTERN CENTER 61225,S200000,00400,0200,365811 61225,S200000,00400,0300,10/25/1990 61225,S200000,00400,0500,P 61225,S200000,01600,0100,Y 61227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61227,A000000,00300,0000,00300EMPLOYEE BENEFITS 61227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61227,A000000,00700,0000,00700HOUSEKEEPING 61227,A000000,00800,0000,00800DIETARY 61227,A000000,00900,0000,00900NURSING ADMINISTRATION 61227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61227,A000000,01100,0000,01100PHARMACY 61227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61227,A000000,01300,0000,01300SOCIAL SERVICE 61227,A000000,01301,0000,01301RESTORATIVE 61227,A000000,01302,0000,01302ACTIVITIES 61227,A000000,01350,0000,01500OTHER GENERAL SERVICES 61227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61227,A000000,01600,0000,01600SKILLED NURSING FACILITY 61227,A000000,01800,0000,01800NURSING FACILITY 61227,A000000,01810,0000,01810ICF/MR 61227,A000000,02100,0000,02100RADIOLOGY 61227,A000000,02200,0000,02200LABORATORY 61227,A000000,02300,0000,02300INTRAVENOUS THERAPY 61227,A000000,02500,0000,02500PHYSICAL THERAPY 61227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61227,A000000,02700,0000,02700SPEECH PATHOLOGY 61227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61227,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61227,A000000,03200,0000,03200SUPPORT SURFACES 61227,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61227,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61227,A000000,03550,0000,03550FQHC 61227,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61227,A000000,05000,0000,05000CORF 61227,A000000,05010,0000,05010CMHC 61227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61227,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61227,A81000A,00100,0100,Y 61227,A81000B,00100,0300,ADMIN & GEN 61227,A81000B,00200,0300,BUILDING EXPENSE 61227,A81000B,00300,0300,INTEREST EXPENSE 61227,A81000B,00400,0300,A & G 61227,A81000B,00500,0300,GENERAL NURSING 61227,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61227,A81000B,00700,0300,MED SUPPLIES 61227,A81000B,00800,0300,DRUGS 61227,A81000B,00900,0300,EQUIPMENT RENTAL 61227,A81000B,01000,0300,PHYSICAL THERAPY 61227,A81000B,01100,0300,OCCUPATIONAL THERAPY 61227,A81000B,01200,0300,SPEECH THERAPY 61227,A81000C,00100,0100,B 61227,A81000C,00100,0200,GENESIS HEALTH VENTURES 61227,A81000C,00100,0600,MANAGEMENT COMPANY 61227,A81000C,00200,0100,B 61227,A81000C,00200,0200,GENESIS HEALTH VENTURES 61227,A81000C,00200,0600,MANAGEMENT COMPANY 61227,A81000C,00300,0100,B 61227,A81000C,00300,0200,GENESIS HEALTH VENTURES 61227,A81000C,00300,0600,MANAGEMENT COMPANY 61227,A81000C,00400,0100,B 61227,A81000C,00400,0200,NEIGHBORCARE 61227,A81000C,00400,0400,GENESIS HEALTH VENTURES 61227,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61227,A81000C,00500,0100,B 61227,A81000C,00500,0200,NEIGHBORCARE 61227,A81000C,00500,0400,GENESIS HEALTH VENTURES 61227,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61227,A81000C,00600,0100,B 61227,A81000C,00600,0200,NEIGHBORCARE 61227,A81000C,00600,0400,GENESIS HEALTH VENTURES 61227,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61227,A81000C,00700,0100,B 61227,A81000C,00700,0200,NEIGHBORCARE 61227,A81000C,00700,0400,GENESIS HEALTH VENTURES 61227,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61227,A81000C,00800,0100,B 61227,A81000C,00800,0200,NEIGHBORCARE 61227,A81000C,00800,0400,GENESIS HEALTH VENTURES 61227,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61227,A81000C,00900,0100,B 61227,A81000C,00900,0200,NEIGHBORCARE 61227,A81000C,00900,0400,GENESIS HEALTH VENTURES 61227,A81000C,00900,0600,PHARMACY/MED SUPPLIES 61227,A81000C,01000,0100,B 61227,A81000C,01000,0200,GENESIS REHAB 61227,A81000C,01000,0400,GENESIS HEALTH VENTURES 61227,A81000C,01000,0600,REHAB SERVICES 61227,A81000C,01100,0100,B 61227,A81000C,01100,0200,GENESIS REHAB 61227,A81000C,01100,0400,GENESIS HEALTH VENTURES 61227,A81000C,01100,0600,REHAB SERVICES 61227,A81000C,01200,0100,B 61227,A81000C,01200,0200,GENESIS REHAB 61227,A81000C,01200,0400,GENESIS HEALTH VENTURES 61227,A81000C,01200,0600,REHAB SERVICES 61227,B100000,00000,0100,00000SQUARE FEET 61227,B100000,00000,0200,00000SQUARE FEET 61227,B100000,00000,0300,00000GROSS SALARIES 61227,B100000,00000,0400,00000ACCUM. COST 61227,B100000,00000,0500,00000SQUARE FEET 61227,B100000,00000,0600,00000PATIENT DAYS 61227,B100000,00000,0700,00000SQUARE FEET 61227,B100000,00000,0800,00000PATIENT DAYS 61227,B100000,00000,0900,00000PATIENT DAYS 61227,B100000,00000,1000,00000PATIENT DAYS 61227,B100000,00000,1100,00000PATIENT DAYS 61227,B100000,00000,1200,00000PATIENT DAYS 61227,B100000,00000,1300,00000PATIENT DAYS 61227,B100000,00000,1301,00000PATIENT DAYS 61227,B100000,00000,1302,00000PATIENT DAYS 61227,B100000,00000,1350,00000NO STATISTICS 61227,B100000,00000,1400,00000NO STATISTICS 61227,S000000,00100,0200,07/14/2000 61227,S200000,00100,0100,369 NORTH HIGH STREET 61227,S200000,00200,0100,CORTLAND 61227,S200000,00200,0200,OH 61227,S200000,00200,0300,44410 61227,S200000,00300,0100,TRUMBULL 61227,S200000,00400,0100,CORTLAND CENTER 61227,S200000,00400,0200,365814 61227,S200000,00400,0300,11/05/1993 61227,S200000,00400,0500,P 61227,S200000,01600,0100,Y 61230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61230,A000000,00300,0000,00300EMPLOYEE BENEFITS 61230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61230,A000000,00700,0000,00700HOUSEKEEPING 61230,A000000,00800,0000,00800DIETARY 61230,A000000,00900,0000,00900NURSING ADMINISTRATION 61230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61230,A000000,01100,0000,01100PHARMACY 61230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61230,A000000,01300,0000,01300SOCIAL SERVICE 61230,A000000,01301,0000,01301RESTORATIVE 61230,A000000,01302,0000,01302ACTIVITIES 61230,A000000,01350,0000,01500OTHER GENERAL SERVICES 61230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61230,A000000,01600,0000,01600SKILLED NURSING FACILITY 61230,A000000,01800,0000,01800NURSING FACILITY 61230,A000000,01810,0000,01810ICF/MR 61230,A000000,02100,0000,02100RADIOLOGY 61230,A000000,02200,0000,02200LABORATORY 61230,A000000,02300,0000,02300INTRAVENOUS THERAPY 61230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61230,A000000,02500,0000,02500PHYSICAL THERAPY 61230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61230,A000000,02700,0000,02700SPEECH PATHOLOGY 61230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61230,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61230,A000000,03200,0000,03200SUPPORT SURFACES 61230,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61230,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61230,A000000,03550,0000,03550FQHC 61230,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61230,A000000,05000,0000,05000CORF 61230,A000000,05010,0000,05010CMHC 61230,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61230,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61230,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61230,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61230,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61230,A81000A,00100,0100,Y 61230,A81000B,00100,0300,ADMINISTRATION 61230,A81000B,00200,0300,BUILDING 61230,A81000B,00300,0300,INTEREST 61230,A81000B,00400,0300,A & G 61230,A81000B,00500,0300,GENERAL NURSING 61230,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61230,A81000B,00700,0300,MED SUPPLIES 61230,A81000B,00800,0300,DRUGS 61230,A81000B,00900,0300,EQUIPMENT RENTAL 61230,A81000B,01000,0300,PHYSICAL THERAPY 61230,A81000B,01100,0300,OCCUPATIONAL THERAPY 61230,A81000B,01200,0300,SPEECH THERAPY 61230,A81000C,00100,0100,B 61230,A81000C,00100,0200,GENESIS HEALTH VENTURES 61230,A81000C,00100,0600,MANAGEMENT COMPANY 61230,A81000C,00200,0100,B 61230,A81000C,00200,0200,GENESIS HEALTH VENTURES 61230,A81000C,00200,0600,MANAGEMENT COMPANY 61230,A81000C,00300,0100,B 61230,A81000C,00300,0200,GENESIS HEALTH VENTURES 61230,A81000C,00300,0600,MANAGEMENT COMPANY 61230,A81000C,00400,0100,B 61230,A81000C,00400,0200,NEIGHBORCARE 61230,A81000C,00400,0400,GENESIS HEALTH VENTURES 61230,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61230,A81000C,00500,0100,B 61230,A81000C,00500,0200,NEIGHBORCARE 61230,A81000C,00500,0400,GENESIS HEALTH VENTURES 61230,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61230,A81000C,00600,0100,B 61230,A81000C,00600,0200,NEIGHBORCARE 61230,A81000C,00600,0400,GENESIS HEALTH VENTURES 61230,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61230,A81000C,00700,0100,B 61230,A81000C,00700,0200,NEIGHBORCARE 61230,A81000C,00700,0400,GENESIS HEALTH VENTURES 61230,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61230,A81000C,00800,0100,B 61230,A81000C,00800,0200,NEIGHBORCARE 61230,A81000C,00800,0400,GENESIS HEALTH VENTURES 61230,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61230,A81000C,00900,0100,B 61230,A81000C,00900,0200,NEIGHBORCARE 61230,A81000C,00900,0400,GENESIS HEALTH VENTURES 61230,A81000C,00900,0600,PHARMACY/MED SUPPLIES 61230,A81000C,01000,0100,B 61230,A81000C,01000,0200,GENESIS REHAB 61230,A81000C,01000,0400,GENESIS HEALTH VENTURES 61230,A81000C,01000,0600,REHAB SERVICES 61230,A81000C,01100,0100,B 61230,A81000C,01100,0200,GENESIS REHAB 61230,A81000C,01100,0400,GENESIS HEALTH VENTURES 61230,A81000C,01100,0600,REHAB SERVICES 61230,A81000C,01200,0100,B 61230,A81000C,01200,0200,GENESIS REHAB 61230,A81000C,01200,0400,GENESIS HEALTH VENTURES 61230,A81000C,01200,0600,REHAB SERVICES 61230,B100000,00000,0100,00000SQUARE FEET 61230,B100000,00000,0200,00000SQUARE FEET 61230,B100000,00000,0300,00000GROSS SALARIES 61230,B100000,00000,0400,00000ACCUM. COST 61230,B100000,00000,0500,00000SQUARE FEET 61230,B100000,00000,0600,00000PATIENT DAYS 61230,B100000,00000,0700,00000SQUARE FEET 61230,B100000,00000,0800,00000PATIENT DAYS 61230,B100000,00000,0900,00000PATIENT DAYS 61230,B100000,00000,1000,00000PATIENT DAYS 61230,B100000,00000,1100,00000PATIENT DAYS 61230,B100000,00000,1200,00000PATIENT DAYS 61230,B100000,00000,1300,00000PATIENT DAYS 61230,B100000,00000,1301,00000PATIENT DAYS 61230,B100000,00000,1302,00000PATIENT DAYS 61230,B100000,00000,1350,00000NO STATISTICS 61230,B100000,00000,1400,00000NO STATISTICS 61230,S000000,00100,0200,05/31/2000 61230,S200000,00100,0100,1290 FAIRCHILD AVENUE 61230,S200000,00200,0100,KENT 61230,S200000,00200,0200,OH 61230,S200000,00200,0300,44240 61230,S200000,00300,0100,PUTNAM 61230,S200000,00400,0100,KENT CENTER 61230,S200000,00400,0200,365834 61230,S200000,00400,0300,04/01/1991 61230,S200000,00400,0500,P 61230,S200000,01600,0100,Y 61233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61233,A000000,00300,0000,00300EMPLOYEE BENEFITS 61233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61233,A000000,00700,0000,00700HOUSEKEEPING 61233,A000000,00800,0000,00800DIETARY 61233,A000000,00900,0000,00900NURSING ADMINISTRATION 61233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61233,A000000,01100,0000,01100PHARMACY 61233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61233,A000000,01300,0000,01300SOCIAL SERVICE 61233,A000000,01301,0000,01301RESTORATIVE 61233,A000000,01302,0000,01302ACTIVITIES 61233,A000000,01350,0000,01500OTHER GENERAL SERVICES 61233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61233,A000000,01600,0000,01600SKILLED NURSING FACILITY 61233,A000000,01810,0000,01810ICF/MR 61233,A000000,02100,0000,02100RADIOLOGY 61233,A000000,02200,0000,02200LABORATORY 61233,A000000,02300,0000,02300INTRAVENOUS THERAPY 61233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61233,A000000,02500,0000,02500PHYSICAL THERAPY 61233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61233,A000000,02700,0000,02700SPEECH PATHOLOGY 61233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61233,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61233,A000000,03200,0000,03200SUPPORT SURFACES 61233,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61233,A000000,03550,0000,03550FQHC 61233,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61233,A000000,05000,0000,05000CORF 61233,A000000,05010,0000,05010CMHC 61233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61233,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61233,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61233,A81000A,00100,0100,Y 61233,A81000B,00100,0300,ADMINISTRATIVE 61233,A81000B,00200,0300,BUILDING 61233,A81000B,00300,0300,INTEREST 61233,A81000B,00400,0300,A & G 61233,A81000B,00500,0300,DIETARY 61233,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61233,A81000B,00700,0300,MED SUPPLIES 61233,A81000B,00800,0300,DRUGS 61233,A81000B,00900,0300,EQUIPMENT RENTAL 61233,A81000B,01000,0300,PHYSICAL THERAPY 61233,A81000B,01100,0300,OCCUPATIONAL THERAPY 61233,A81000B,01200,0300,SPEECH THERAPY 61233,A81000C,00100,0100,B 61233,A81000C,00100,0200,GENESIS HEALTH VENTURES 61233,A81000C,00100,0600,MANAGEMENT COMPANY 61233,A81000C,00200,0100,B 61233,A81000C,00200,0200,GENESIS HEALTH VENTURES 61233,A81000C,00200,0600,MANAGEMENT COMPANY 61233,A81000C,00300,0100,B 61233,A81000C,00300,0200,GENESIS HEALTH VENTURES 61233,A81000C,00300,0600,MANAGEMENT COMPANY 61233,A81000C,00400,0100,B 61233,A81000C,00400,0200,NEIGHBORCARE 61233,A81000C,00400,0400,GENESIS HEALTH VENTURES 61233,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61233,A81000C,00500,0100,B 61233,A81000C,00500,0200,NEIGHBORCARE 61233,A81000C,00500,0400,GENESIS HEALTH VENTURES 61233,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61233,A81000C,00600,0100,B 61233,A81000C,00600,0200,NEIGHBORCARE 61233,A81000C,00600,0400,GENESIS HEALTH VENTURES 61233,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61233,A81000C,00700,0100,B 61233,A81000C,00700,0200,NEIGHBORCARE 61233,A81000C,00700,0400,GENESIS HEALTH VENTURES 61233,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61233,A81000C,00800,0100,B 61233,A81000C,00800,0200,NEIGHBORCARE 61233,A81000C,00800,0400,GENESIS HEALTH VENTURES 61233,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61233,A81000C,00900,0100,B 61233,A81000C,00900,0200,NEIGHBORCARE 61233,A81000C,00900,0400,GENESIS HEALTH VENTURES 61233,A81000C,00900,0600,PHARMACY/MED SUPPLIES 61233,A81000C,01000,0100,B 61233,A81000C,01000,0200,GENESIS REHAB 61233,A81000C,01000,0400,GENESIS HEALTH VENTURES 61233,A81000C,01000,0600,REHAB SERVICES 61233,A81000C,01100,0100,B 61233,A81000C,01100,0200,GENESIS REHAB 61233,A81000C,01100,0400,GENESIS HEALTH VENTURES 61233,A81000C,01100,0600,REHAB SERVICES 61233,A81000C,01200,0100,B 61233,A81000C,01200,0200,GENESIS REHAB 61233,A81000C,01200,0400,GENESIS HEALTH VENTURES 61233,A81000C,01200,0600,REHAB SERVICES 61233,B100000,00000,0100,00000SQUARE FEET 61233,B100000,00000,0200,00000SQUARE FEET 61233,B100000,00000,0300,00000GROSS SALARIES 61233,B100000,00000,0400,00000ACCUM. COST 61233,B100000,00000,0500,00000SQUARE FEET 61233,B100000,00000,0600,00000PATIENT DAYS 61233,B100000,00000,0700,00000SQUARE FEET 61233,B100000,00000,0800,00000PATIENT DAYS 61233,B100000,00000,0900,00000PATIENT DAYS 61233,B100000,00000,1000,00000PATIENT DAYS 61233,B100000,00000,1100,00000PATIENT DAYS 61233,B100000,00000,1200,00000PATIENT DAYS 61233,B100000,00000,1300,00000PATIENT DAYS 61233,B100000,00000,1301,00000PATIENT DAYS 61233,B100000,00000,1302,00000PATIENT DAYS 61233,B100000,00000,1350,00000NO STATISTICS 61233,B100000,00000,1400,00000NO STATISTICS 61233,S000000,00100,0200,05/31/2000 61233,S200000,00100,0100,825 JUNE STREET 61233,S200000,00200,0100,FREMONT 61233,S200000,00200,0200,OH 61233,S200000,00200,0300,43420 61233,S200000,00300,0100,SANDUSKY 61233,S200000,00400,0100,FREMONT CENTER 61233,S200000,00400,0200,365841 61233,S200000,00400,0300,06/07/1991 61233,S200000,00400,0500,P 61233,S200000,01500,0100,Y 61237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61237,A000000,00300,0000,00300EMPLOYEE BENEFITS 61237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61237,A000000,00700,0000,00700HOUSEKEEPING 61237,A000000,00800,0000,00800DIETARY 61237,A000000,00900,0000,00900NURSING ADMINISTRATION 61237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61237,A000000,01100,0000,01100PHARMACY 61237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61237,A000000,01300,0000,01300SOCIAL SERVICE 61237,A000000,01301,0000,01301RESTORATIVE 61237,A000000,01302,0000,01302ACTIVITIES 61237,A000000,01350,0000,01500OTHER GENERAL SERVICES 61237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61237,A000000,01600,0000,01600SKILLED NURSING FACILITY 61237,A000000,01800,0000,01800NURSING FACILITY 61237,A000000,01810,0000,01810ICF/MR 61237,A000000,02100,0000,02100RADIOLOGY 61237,A000000,02200,0000,02200LABORATORY 61237,A000000,02300,0000,02300INTRAVENOUS THERAPY 61237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61237,A000000,02500,0000,02500PHYSICAL THERAPY 61237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61237,A000000,02700,0000,02700SPEECH PATHOLOGY 61237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61237,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61237,A000000,03200,0000,03200SUPPORT SURFACES 61237,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61237,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61237,A000000,03550,0000,03550FQHC 61237,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61237,A000000,05000,0000,05000CORF 61237,A000000,05010,0000,05010CMHC 61237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61237,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61237,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61237,A81000A,00100,0100,Y 61237,A81000B,00100,0300,HOME OFFICE ALLOCATION 61237,A81000B,00200,0300,HOME OFFICE ALLOCATION 61237,A81000B,00300,0300,HOME OFFICE ALLOCATION 61237,A81000B,00400,0300,A & G 61237,A81000B,00500,0300,GENERAL NURSING 61237,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61237,A81000B,00700,0300,MED SUPPLIES 61237,A81000B,00800,0300,DRUGS 61237,A81000B,00900,0300,EQUIPMENT RENTAL 61237,A81000B,01000,0300,PHYSICAL THERAPY 61237,A81000B,01100,0300,OCCUPATIONAL THERAPY 61237,A81000B,01200,0300,SPEECH THERAPY 61237,A81000C,00100,0100,B 61237,A81000C,00100,0200,GENESIS HEALTH VENTURES 61237,A81000C,00100,0600,MANAGEMENT COMPANY 61237,A81000C,00200,0100,B 61237,A81000C,00200,0200,GENESIS HEALTH VENTURES 61237,A81000C,00200,0600,MANAGEMENT COMPANY 61237,A81000C,00300,0100,B 61237,A81000C,00300,0200,GENESIS HEALTH VENTURES 61237,A81000C,00300,0600,MANAGEMENT COMPANY 61237,A81000C,00400,0100,B 61237,A81000C,00400,0200,NEIGHBORCARE 61237,A81000C,00400,0400,GENESIS HEALTH VENTURES 61237,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61237,A81000C,00500,0100,B 61237,A81000C,00500,0200,NEIGHBORCARE 61237,A81000C,00500,0400,GENESIS HEALTH VENTURES 61237,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61237,A81000C,00600,0100,B 61237,A81000C,00600,0200,NEIGHBORCARE 61237,A81000C,00600,0400,GENESIS HEALTH VENTURES 61237,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61237,A81000C,00700,0100,B 61237,A81000C,00700,0200,NEIGHBORCARE 61237,A81000C,00700,0400,GENESIS HEALTH VENTURES 61237,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61237,A81000C,00800,0100,B 61237,A81000C,00800,0200,NEIGHBORCARE 61237,A81000C,00800,0400,GENESIS HEALTH VENTURES 61237,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61237,A81000C,00900,0100,B 61237,A81000C,00900,0200,NEIGHBORCARE 61237,A81000C,00900,0400,GENESIS HEALTH VENTURES 61237,A81000C,00900,0600,PHARMACY/MED SUPPLIES 61237,A81000C,01000,0100,B 61237,A81000C,01000,0200,GENESIS REHAB 61237,A81000C,01000,0400,GENESIS HEALTH VENTURES 61237,A81000C,01000,0600,REHAB SERVICES 61237,A81000C,01100,0100,B 61237,A81000C,01100,0200,GENESIS REHAB 61237,A81000C,01100,0400,GENESIS HEALTH VENTURES 61237,A81000C,01100,0600,REHAB SERVICES 61237,A81000C,01200,0100,B 61237,A81000C,01200,0200,GENESIS REHAB 61237,A81000C,01200,0400,GENESIS HEALTH VENTURES 61237,A81000C,01200,0600,REHAB SERVICES 61237,B100000,00000,0100,00000SQUARE FEET 61237,B100000,00000,0200,00000SQUARE FEET 61237,B100000,00000,0300,00000GROSS SALARIES 61237,B100000,00000,0400,00000ACCUM. COST 61237,B100000,00000,0500,00000SQUARE FEET 61237,B100000,00000,0600,00000PATIENT DAYS 61237,B100000,00000,0700,00000SQUARE FEET 61237,B100000,00000,0800,00000PATIENT DAYS 61237,B100000,00000,0900,00000PATIENT DAYS 61237,B100000,00000,1000,00000PATIENT DAYS 61237,B100000,00000,1100,00000PATIENT DAYS 61237,B100000,00000,1200,00000PATIENT DAYS 61237,B100000,00000,1300,00000PATIENT DAYS 61237,B100000,00000,1301,00000PATIENT DAYS 61237,B100000,00000,1302,00000PATIENT DAYS 61237,B100000,00000,1350,00000NO STATISTICS 61237,B100000,00000,1400,00000NO STATISTICS 61237,S000000,00100,0200,05/31/2000 61237,S200000,00100,0100,8064 SOUTH AVENUE 61237,S200000,00200,0100,BROADMAN 61237,S200000,00200,0200,OH 61237,S200000,00200,0300,44512 61237,S200000,00300,0100,MAHONING 61237,S200000,00400,0100,GREENBRIAR CENTER 61237,S200000,00400,0200,365853 61237,S200000,00400,0300,10/01/1991 61237,S200000,00400,0500,P 61237,S200000,01600,0100,Y 61239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61239,A000000,00300,0000,00300EMPLOYEE BENEFITS 61239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61239,A000000,00700,0000,00700HOUSEKEEPING 61239,A000000,00800,0000,00800DIETARY 61239,A000000,00900,0000,00900NURSING ADMINISTRATION 61239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61239,A000000,01100,0000,01100PHARMACY 61239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61239,A000000,01300,0000,01300SOCIAL SERVICE 61239,A000000,01301,0000,01301ACTIVITIES 61239,A000000,01350,0000,01500OTHER GENERAL SERVICES 61239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61239,A000000,01600,0000,01600SKILLED NURSING FACILITY 61239,A000000,01810,0000,01810ICF/MR 61239,A000000,02100,0000,02100RADIOLOGY 61239,A000000,02200,0000,02200LABORATORY 61239,A000000,02300,0000,02300INTRAVENOUS THERAPY 61239,A000000,02500,0000,02500PHYSICAL THERAPY 61239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61239,A000000,02700,0000,02700SPEECH PATHOLOGY 61239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61239,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61239,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61239,A000000,03550,0000,03550FQHC 61239,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61239,A000000,05000,0000,05000CORF 61239,A000000,05010,0000,05010CMHC 61239,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61239,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61239,A81000A,00100,0100,Y 61239,A81000B,00100,0300,ADMINISTRATION 61239,A81000B,00200,0300,BUILDING 61239,A81000B,00400,0300,A & G 61239,A81000B,00500,0300,GENERAL NURSING 61239,A81000B,00600,0300,CENTRAL SERVICES & SUPPLY 61239,A81000B,00700,0300,MED SUPPLIES 61239,A81000B,00800,0300,DRUGS 61239,A81000B,00900,0300,PHYSICAL THERAPY 61239,A81000B,01000,0300,OCCUPATIONAL THERAPY 61239,A81000B,01100,0300,SPEECH THERAPY 61239,A81000C,00100,0100,B 61239,A81000C,00100,0200,GENESIS HEALTH VENTURES 61239,A81000C,00100,0600,MANAGEMENT COMPANY 61239,A81000C,00200,0100,B 61239,A81000C,00200,0200,GENESIS HEALTH VENTURES 61239,A81000C,00200,0600,MANAGEMENT COMPANY 61239,A81000C,00300,0100,B 61239,A81000C,00300,0200,GENESIS HEALTH VENTURES 61239,A81000C,00300,0600,MANAGEMENT COMPANY 61239,A81000C,00400,0100,B 61239,A81000C,00400,0200,NEIGHBORCARE 61239,A81000C,00400,0400,GENESIS HEALTH VENTURES 61239,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61239,A81000C,00500,0100,B 61239,A81000C,00500,0200,NEIGHBORCARE 61239,A81000C,00500,0400,GENESIS HEALTH VENTURES 61239,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61239,A81000C,00600,0100,B 61239,A81000C,00600,0200,NEIGHBORCARE 61239,A81000C,00600,0400,GENESIS HEALTH VENTURES 61239,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61239,A81000C,00700,0100,B 61239,A81000C,00700,0200,NEIGHBORCARE 61239,A81000C,00700,0400,GENESIS HEALTH VENTURES 61239,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61239,A81000C,00800,0100,B 61239,A81000C,00800,0200,NEIGHBORCARE 61239,A81000C,00800,0400,GENESIS HEALTH VENTURES 61239,A81000C,00800,0600,PHARMACY/MED SUPPLIES 61239,A81000C,00900,0100,B 61239,A81000C,00900,0200,GENESIS REHAB 61239,A81000C,00900,0400,GENESIS HEALTH VENTURES 61239,A81000C,00900,0600,REHAB SERVICES 61239,A81000C,01000,0100,B 61239,A81000C,01000,0200,GENESIS REHAB 61239,A81000C,01000,0400,GENESIS HEALTH VENTURES 61239,A81000C,01000,0600,REHAB SERVICES 61239,A81000C,01100,0100,B 61239,A81000C,01100,0200,GENESIS REHAB 61239,A81000C,01100,0400,GENESIS HEALTH VENTURES 61239,A81000C,01100,0600,REHAB SERVICES 61239,B100000,00000,0100,00000SQUARE FEET 61239,B100000,00000,0200,00000SQUARE FEET 61239,B100000,00000,0300,00000GROSS SALARIES 61239,B100000,00000,0400,00000ACCUM. COST 61239,B100000,00000,0500,00000SQUARE FEET 61239,B100000,00000,0600,00000PATIENT DAYS 61239,B100000,00000,0700,00000SQUARE FEET 61239,B100000,00000,0800,00000PATIENT DAYS 61239,B100000,00000,0900,00000PATIENT DAYS 61239,B100000,00000,1000,00000PATIENT DAYS 61239,B100000,00000,1100,00000PATIENT DAYS 61239,B100000,00000,1200,00000PATIENT DAYS 61239,B100000,00000,1300,00000PATIENT DAYS 61239,B100000,00000,1301,00000PATIENT DAYS 61239,B100000,00000,1350,00000NO STATISTICS 61239,B100000,00000,1400,00000NO STATISTICS 61239,S000000,00100,0200,05/31/2000 61239,S200000,00100,0100,600 JOE E BROWN AVENUE 61239,S200000,00200,0100,HOLGAE 61239,S200000,00200,0200,OH 61239,S200000,00200,0300,43257 61239,S200000,00300,0100,HENRY 61239,S200000,00400,0100,HOLGATE CENTER 61239,S200000,00400,0200,365873 61239,S200000,00400,0300,05/05/1992 61239,S200000,00400,0500,P 61239,S200000,01500,0100,Y 61241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61241,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61241,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61241,A000000,00300,0000,00300EMPLOYEE BENEFITS 61241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61241,A000000,00700,0000,00700HOUSEKEEPING 61241,A000000,00800,0000,00800DIETARY 61241,A000000,00801,0000,00801CAFETERIA 61241,A000000,00900,0000,00900NURSING ADMINISTRATION 61241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61241,A000000,01100,0000,01100PHARMACY 61241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61241,A000000,01300,0000,01300SOCIAL SERVICE 61241,A000000,01301,0000,01301RESTORATIVE 61241,A000000,01302,0000,01302ACTIVITIES 61241,A000000,01350,0000,01500OTHER GENERAL SERVICES 61241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61241,A000000,01600,0000,01600SKILLED NURSING FACILITY 61241,A000000,01800,0000,01800NURSING FACILITY 61241,A000000,01810,0000,01810ICF/MR 61241,A000000,02100,0000,02100RADIOLOGY 61241,A000000,02200,0000,02200LABORATORY 61241,A000000,02300,0000,02300INTRAVENOUS THERAPY 61241,A000000,02500,0000,02500PHYSICAL THERAPY 61241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61241,A000000,02700,0000,02700SPEECH PATHOLOGY 61241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61241,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61241,A000000,03051,0000,03301FEE SCREENING 61241,A000000,03052,0000,03302OTHER ANCILLARY III 61241,A000000,03200,0000,03200SUPPORT SURFACES 61241,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61241,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61241,A000000,03550,0000,03550FQHC 61241,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61241,A000000,05000,0000,05000CORF 61241,A000000,05010,0000,05010CMHC 61241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61241,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61241,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61241,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61241,A81000A,00100,0100,Y 61241,A81000B,00100,0300,ADMINISTRATION 61241,A81000B,00200,0300,BUILDING 61241,A81000B,00300,0300,INTEREST 61241,A81000B,00400,0300,CENTRAL SERVICES & SUPPLY 61241,A81000B,00500,0300,MED SUPPLIES 61241,A81000B,00600,0300,DRUGS 61241,A81000B,00700,0300,MEDICAL EQUIPMENT 61241,A81000B,00800,0300,PHYSICAL THERAPY 61241,A81000B,00900,0300,OCCUPATIONAL THERAPY 61241,A81000B,01000,0300,SPEECH THERAPY 61241,A81000C,00100,0100,B 61241,A81000C,00100,0200,GENESIS HEALTH SERVICES 61241,A81000C,00100,0600,MANAGEMENT COMPANY 61241,A81000C,00200,0100,B 61241,A81000C,00200,0200,GENESIS HEALTH SERVICES 61241,A81000C,00200,0600,MANAGEMENT COMPANY 61241,A81000C,00300,0100,B 61241,A81000C,00300,0200,GENESIS HEALTH SERVICES 61241,A81000C,00300,0600,MANAGEMENT COMPANY 61241,A81000C,00400,0100,B 61241,A81000C,00400,0200,NEIGHBORCARE 61241,A81000C,00400,0400,GENESIS HEALTH VENTURES 61241,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61241,A81000C,00500,0100,B 61241,A81000C,00500,0200,NEIGHBORCARE 61241,A81000C,00500,0400,GENESIS HEALTH VENTURES 61241,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61241,A81000C,00600,0100,B 61241,A81000C,00600,0200,NEIGHBORCARE 61241,A81000C,00600,0400,GENESIS HEALTH VENTURES 61241,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61241,A81000C,00700,0100,B 61241,A81000C,00700,0200,NEIGHBORCARE 61241,A81000C,00700,0400,GENESIS HEALTH VENTURES 61241,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61241,A81000C,00800,0100,B 61241,A81000C,00800,0200,GENESIS REHAB 61241,A81000C,00800,0400,GENESIS HEALTH VENTURES 61241,A81000C,00800,0600,REHAB SERVICES 61241,A81000C,00900,0100,B 61241,A81000C,00900,0200,GENESIS REHAB 61241,A81000C,00900,0400,GENESIS HEALTH VENTURES 61241,A81000C,00900,0600,REHAB SERVICES 61241,A81000C,01000,0100,B 61241,A81000C,01000,0200,GENESIS REHAB 61241,A81000C,01000,0400,GENESIS HEALTH VENTURES 61241,A81000C,01000,0600,REHAB SERVICES 61241,B100000,00000,0100,00000SQUARE FEET 61241,B100000,00000,0101,00000(SQUARE FEET) 61241,B100000,00000,0200,00000SQUARE FEET 61241,B100000,00000,0201,00000(SQUARE FEET) 61241,B100000,00000,0300,00000GROSS SALARIES 61241,B100000,00000,0400,00000ACCUM. COST 61241,B100000,00000,0500,00000SQUARE FEET 61241,B100000,00000,0600,00000PATIENT DAYS 61241,B100000,00000,0700,00000SQUARE FEET 61241,B100000,00000,0800,00000PATIENT DAYS 61241,B100000,00000,0801,00000(MEALS SERVED) 61241,B100000,00000,0900,00000PATIENT DAYS 61241,B100000,00000,1000,00000PATIENT DAYS 61241,B100000,00000,1100,00000NO STATISTICS 61241,B100000,00000,1200,00000PATIENT DAYS 61241,B100000,00000,1300,00000PATIENT DAYS 61241,B100000,00000,1301,00000SQUARE FEET 61241,B100000,00000,1302,00000SQUARE FEET 61241,B100000,00000,1350,00000NO STATISTICS 61241,B100000,00000,1400,00000NO STATISTICS 61241,S000000,00100,0200,05/31/2000 61241,S200000,00100,0100,49 SHELDON ROAD 61241,S200000,00200,0100,BEREA 61241,S200000,00200,0200,OH 61241,S200000,00200,0300,44017 61241,S200000,00300,0100,CUYAHOGA 61241,S200000,00400,0100,BEREA CENTER 61241,S200000,00400,0200,365893 61241,S200000,00400,0300,11/20/1992 61241,S200000,00400,0500,P 61241,S200000,01600,0100,Y 61242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61242,A000000,00300,0000,00300EMPLOYEE BENEFITS 61242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61242,A000000,00700,0000,00700HOUSEKEEPING 61242,A000000,00800,0000,00800DIETARY 61242,A000000,00900,0000,00900NURSING ADMINISTRATION 61242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61242,A000000,01100,0000,01100PHARMACY 61242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61242,A000000,01300,0000,01300SOCIAL SERVICE 61242,A000000,01350,0000,01500ACTIVITIES 61242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61242,A000000,01600,0000,01600SKILLED NURSING FACILITY 61242,A000000,01810,0000,01810ICF/MR 61242,A000000,01900,0000,01900OTHER LONG TERM CARE 61242,A000000,02100,0000,02100RADIOLOGY 61242,A000000,02200,0000,02200LABORATORY 61242,A000000,02300,0000,02300INTRAVENOUS THERAPY 61242,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61242,A000000,02500,0000,02500PHYSICAL THERAPY 61242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61242,A000000,02700,0000,02700SPEECH PATHOLOGY 61242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61242,A000000,02901,0000,02901PEN THERAPY 61242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61242,A000000,03050,0000,03300OTHER ANCILLARY COSTS 61242,A000000,03051,0000,03301OTHER ANCILLARY COSTS 61242,A000000,03550,0000,03550FQHC 61242,A000000,05000,0000,05000CORF 61242,A000000,05010,0000,05010CMHC 61242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61242,A81000A,00100,0100,Y 61242,A81000B,00100,0300,HOME OFFICE COSTS 61242,A81000B,00200,0300,INTEREST-FL PRESTON 61242,A81000B,00300,0300,INTEREST - LCCA 61242,A81000B,00400,0300,LCPSI 61242,A81000B,00500,0300,LCPSI - SUPPLIES 61242,A81000B,00600,0300,LCPSI - SUPPLIES 61242,A81000B,00700,0300,LCPSI - M/S SUPP 61242,A81000B,00800,0300,REHAB ALLOCATION 61242,A81000B,00900,0300,REHAB ALLOCATION 61242,A81000B,01000,0300,REHAB ALLOCATION 61242,A81000B,01100,0300,LIFE CARE DESIGNS 61242,A81000B,01200,0300,HCE LEASING INC. 61242,A81000C,00100,0100,A 61242,A81000C,00100,0200,FORREST PRESTON 61242,A81000C,00100,0400,LIFE CARE CENTE 61242,A81000C,00100,0600,MANAGEMENT CO. 61242,A81000C,00200,0100,A 61242,A81000C,00200,0200,FORREST PRESTON 61242,A81000C,00200,0400,LCPSI 61242,A81000C,00200,0600,PHARMACY 61242,A81000C,00300,0100,A 61242,A81000C,00300,0200,FORREST PRESTON 61242,A81000C,00300,0400,LIFE CARE DESIG 61242,A81000C,00300,0600,DESIGN CO. 61242,A81000C,00400,0100,A 61242,A81000C,00400,0200,FORREST PRESTON 61242,A81000C,00400,0400,HCE LEASING 61242,A81000C,00400,0600,LEASING CO. 61242,B100000,00000,0100,00000(SQUARE FEET) 61242,B100000,00000,0200,00000(SQUARE FEET) 61242,B100000,00000,0300,00000(GROSS SALARIES) 61242,B100000,00000,0400,00000(ACCUM COST) 61242,B100000,00000,0500,00000(SQUARE FEET) 61242,B100000,00000,0600,00000PATIENT DAYS 61242,B100000,00000,0700,00000(SQUARE FEET) 61242,B100000,00000,0800,00000(MEALS SERVED) 61242,B100000,00000,0900,00000HOURS SUPERVISED 61242,B100000,00000,1000,00000(COSTED REQUIS) 61242,B100000,00000,1100,00000(COSTED REQUIS) 61242,B100000,00000,1200,00000GROSS REVENUES 61242,B100000,00000,1300,00000PATIENT DAYS 61242,B100000,00000,1350,00000PATIENT DAYS 61242,B100000,00000,1400,00000(ASSIGNED TIME) 61242,S000000,00100,0200,05/25/2000 61242,S200000,00100,0100,1212 SOUTH ABBE RD 61242,S200000,00200,0100,ELYRIA 61242,S200000,00200,0200,OH 61242,S200000,00200,0300,44035 61242,S200000,00300,0100,LORAIN 61242,S200000,00400,0100,LIFE CARE CENTER OF ELYRIA 61242,S200000,00400,0200,366176 61242,S200000,00400,0300,04/06/1999 61242,S200000,00400,0500,P 61242,S200000,01600,0100,Y 61242,S200000,02200,0100,Y 61242,S200000,04300,0100,Y 61251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61251,A000000,00300,0000,00300EMPLOYEE BENEFITS 61251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61251,A000000,00700,0000,00700HOUSEKEEPING 61251,A000000,00800,0000,00800DIETARY 61251,A000000,00900,0000,00900NURSING ADMINISTRATION 61251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61251,A000000,01100,0000,01100PHARMACY 61251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61251,A000000,01300,0000,01300SOCIAL SERVICE 61251,A000000,01350,0000,01500ACTIVITIES 61251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61251,A000000,01600,0000,01600SKILLED NURSING FACILITY 61251,A000000,01800,0000,01800NURSING FACILITY 61251,A000000,01810,0000,01810ICF/MR 61251,A000000,02100,0000,02100RADIOLOGY 61251,A000000,02200,0000,02200LABORATORY 61251,A000000,02300,0000,02300INTRAVENOUS THERAPY 61251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61251,A000000,02500,0000,02500PHYSICAL THERAPY 61251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61251,A000000,02700,0000,02700SPEECH PATHOLOGY 61251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61251,A000000,03550,0000,03550FQHC 61251,A000000,05000,0000,05000CORF 61251,A000000,05010,0000,05010CMHC 61251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61251,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61251,A81000A,00100,0100,Y 61251,A81000B,00100,0300,HOME OFFICE FEE 61251,A81000B,00200,0300,RELATED PARTY INTERE 61251,A81000B,00300,0300,Y2K COMPUTER CONV 61251,A81000B,00400,0300,HO ALLOCATION 61251,A81000B,00500,0300,HO ALLOCATION 61251,A81000B,00600,0300,HO ALLOCATION 61251,A81000B,00700,0300,INTERIOR DESIGN-1999 61251,A81000C,00100,0100,A 61251,A81000C,00100,0200,FORREST PRESTON 61251,A81000C,00100,0400,LIFE CARE CENTE 61251,A81000C,00100,0600,NSG HOME MGT 61251,A81000C,00200,0100,A 61251,A81000C,00200,0200,FORREST PRESTON 61251,A81000C,00200,0400,LIFE CARE DESIG 61251,A81000C,00200,0600,FURNITURE/FIXTU 61251,B100000,00000,0100,00000SQUARE FEET 61251,B100000,00000,0200,00000SQUARE FEET 61251,B100000,00000,0300,00000GROSS SALARIES 61251,B100000,00000,0400,00000ACCUM COST 61251,B100000,00000,0500,00000SQUARE FEET 61251,B100000,00000,0600,00000PATIENT DAYS 61251,B100000,00000,0700,00000SQUARE FEET 61251,B100000,00000,0800,00000MEALS SERVED 61251,B100000,00000,0900,00000DIRECT NRSG HRS 61251,B100000,00000,1000,00000COSTED REQUIS 61251,B100000,00000,1100,00000COSTED REQUIS 61251,B100000,00000,1200,00000GROSS REVENUE 61251,B100000,00000,1300,00000PATIENT DAYS 61251,B100000,00000,1350,00000PATIENT DAYS 61251,B100000,00000,1400,00000ASSIGNED TIME 61251,S000000,00100,0200,05/31/2000 61251,S200000,00100,0100,2300 WARREN STREET 61251,S200000,00200,0100,EUGENE 61251,S200000,00200,0200,OR 61251,S200000,00200,0300,97405 61251,S200000,00300,0100,LANE 61251,S200000,00400,0100,VALLEY WEST HEALTH CARE 61251,S200000,00400,0200,385120 61251,S200000,00400,0300,01/01/1989 61251,S200000,00400,0500,P 61251,S200000,01600,0100,Y 61251,S200000,04300,0100,Y 61270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61270,A000000,00300,0000,00300EMPLOYEE BENEFITS 61270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61270,A000000,00700,0000,00700HOUSEKEEPING 61270,A000000,00800,0000,00800DIETARY 61270,A000000,00900,0000,00900NURSING ADMINISTRATION 61270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61270,A000000,01100,0000,01100PHARMACY 61270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61270,A000000,01300,0000,01300SOCIAL SERVICE 61270,A000000,01350,0000,01500ACTIVITIES 61270,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61270,A000000,01600,0000,01600SKILLED NURSING FACILITY 61270,A000000,01810,0000,01810ICF/MR 61270,A000000,02100,0000,02100RADIOLOGY 61270,A000000,02200,0000,02200LABORATORY 61270,A000000,02500,0000,02500PHYSICAL THERAPY 61270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61270,A000000,02700,0000,02700SPEECH PATHOLOGY 61270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61270,A000000,03050,0000,03300AMBULANCE SERVICES 61270,A000000,03550,0000,03550FQHC 61270,A000000,05000,0000,05000CORF 61270,A000000,05010,0000,05010CMHC 61270,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61270,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61270,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61270,A81000A,00100,0100,Y 61270,A81000B,00100,0300,HOME OFFICE COSTS 61270,A81000B,00200,0300,INTEREST 61270,A81000B,00300,0300,Y2K INSTALL/TRAIN 61270,A81000B,00400,0300,PT ALLOCATION 61270,A81000B,00500,0300,OT ALLOCATION 61270,A81000B,00600,0300,ST ALLOCATION 61270,A81000B,00700,0300,DEBT FORGIVENESS 61270,A81000B,00800,0300,INTERIOR DESIGN 61270,A81000B,00900,0300,H/O P&D COSTS 61270,A81000C,00100,0100,A 61270,A81000C,00100,0200,FORREST PRESTON 61270,A81000C,00100,0400,LIFE CARE CENTE 61270,A81000C,00100,0600,NURSING HOME MG 61270,A81000C,00200,0100,A 61270,A81000C,00200,0200,FORREST PRESTON 61270,A81000C,00200,0400,LIFE CARE DESIG 61270,A81000C,00200,0600,FURNITURE/FIXTU 61270,B100000,00000,0100,00000SQUARE FEET 61270,B100000,00000,0200,00000SQUARE FEET 61270,B100000,00000,0300,00000GROSS SALARIES 61270,B100000,00000,0400,00000ACCUM COST 61270,B100000,00000,0500,00000SQUARE FEET 61270,B100000,00000,0600,00000PATIENT DAYS 61270,B100000,00000,0700,00000SQUARE FEET 61270,B100000,00000,0800,00000MEALS SERVED 61270,B100000,00000,0900,00000DIRECT NRSG HRS 61270,B100000,00000,1000,00000COSTED REQUIS 61270,B100000,00000,1100,00000COSTED REQUIS 61270,B100000,00000,1200,00000GROSS REVENUE 61270,B100000,00000,1300,00000TIME SPENT 61270,B100000,00000,1350,00000PATIENT DAYS 61270,B100000,00000,1400,00000ASSIGNED TIME 61270,E10A180,00301,0100,12/02/1999 61270,S000000,00100,0200,05/11/2000 61270,S200000,00100,0100,1309 EAST 27TH STREET 61270,S200000,00200,0100,MCMINNVILLE 61270,S200000,00200,0200,OR 61270,S200000,00200,0300,97128 61270,S200000,00300,0100,YAMHILL 61270,S200000,00400,0100,LIFE CARE CENTER OF MCMINNVILLE 61270,S200000,00400,0200,385171 61270,S200000,00400,0300,07/01/1987 61270,S200000,00400,0500,P 61270,S200000,01500,0100,Y 61270,S200000,04300,0100,Y 61279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61279,A000000,00300,0000,00300EMPLOYEE BENEFITS 61279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61279,A000000,00700,0000,00700HOUSEKEEPING 61279,A000000,00800,0000,00800DIETARY 61279,A000000,00900,0000,00900NURSING ADMINISTRATION 61279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61279,A000000,01100,0000,01100PHARMACY 61279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61279,A000000,01300,0000,01300SOCIAL SERVICE 61279,A000000,01350,0000,01500ACTIVITIES 61279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61279,A000000,01600,0000,01600SKILLED NURSING FACILITY 61279,A000000,01810,0000,01810ICF/MR 61279,A000000,02100,0000,02100RADIOLOGY 61279,A000000,02200,0000,02200LABORATORY 61279,A000000,02300,0000,02300INTRAVENOUS THERAPY 61279,A000000,02500,0000,02500PHYSICAL THERAPY 61279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61279,A000000,02700,0000,02700SPEECH PATHOLOGY 61279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61279,A000000,03050,0000,03300OTHER ANCILLARY 61279,A000000,03550,0000,03550FQHC 61279,A000000,05000,0000,05000CORF 61279,A000000,05010,0000,05010CMHC 61279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61279,A000000,06150,0000,06300COMMUNICATIONS 61279,A81000A,00100,0100,Y 61279,A81000B,00100,0300,HOME OFFICE COSTS 61279,A81000B,00200,0300,INTEREST 61279,A81000B,00300,0300,Y2K INSTALL/TRAIN 61279,A81000B,00400,0300,PT ALLOCATION 61279,A81000B,00500,0300,OT ALLOCATION 61279,A81000B,00600,0300,ST ALLOCATION 61279,A81000B,00700,0300,1996 P&D COSTS 61279,A81000B,00800,0300,1996 P&D COSTS 61279,A81000C,00100,0100,A 61279,A81000C,00100,0200,FORREST PRESTON 61279,A81000C,00100,0400,LIFE CARE CENTE 61279,A81000C,00100,0600,NURSING HOME MG 61279,B100000,00000,0100,00000SQUARE FEET 61279,B100000,00000,0200,00000SQUARE FEET 61279,B100000,00000,0300,00000GROSS SALARIES 61279,B100000,00000,0400,00000ACCUM COST 61279,B100000,00000,0500,00000SQUARE FEET 61279,B100000,00000,0600,00000PATIENT DAYS 61279,B100000,00000,0700,00000SQUARE FEET 61279,B100000,00000,0800,00000MEALS SERVED 61279,B100000,00000,0900,00000DIRECT NRSG HRS 61279,B100000,00000,1000,00000COSTED REQUIS 61279,B100000,00000,1100,00000COSTED REQUIS 61279,B100000,00000,1200,00000GROSS REVENUE 61279,B100000,00000,1300,00000PATIENT DAYS 61279,B100000,00000,1350,00000PATIENT DAYS 61279,B100000,00000,1400,00000ASSIGNED TIME 61279,E10A180,00501,0100,06/23/2000 61279,E10A180,00550,0300,06/23/2000 61279,S000000,00100,0200,05/11/2000 61279,S200000,00100,0100,1199 NORTHEAST GRANDVIEW DRIVE 61279,S200000,00200,0100,ROSEBURG 61279,S200000,00200,0200,OR 61279,S200000,00200,0300,97470 61279,S200000,00300,0100,DOUGLAS 61279,S200000,00400,0100,GRANDVIEW CARE CENTER 61279,S200000,00400,0200,385210 61279,S200000,00400,0300,11/10/1989 61279,S200000,00400,0500,P 61279,S200000,01500,0100,Y 61279,S200000,04300,0100,Y 61284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61284,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61284,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61284,A000000,00300,0000,00300EMPLOYEE BENEFITS 61284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61284,A000000,00700,0000,00700HOUSEKEEPING 61284,A000000,00800,0000,00800DIETARY 61284,A000000,00801,0000,00801CAFETERIA 61284,A000000,00900,0000,00900NURSING ADMINISTRATION 61284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61284,A000000,01100,0000,01100PHARMACY 61284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61284,A000000,01300,0000,01300SOCIAL SERVICE 61284,A000000,01350,0000,01500RECT THERAPY 61284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61284,A000000,01600,0000,01600SKILLED NURSING FACILITY 61284,A000000,01800,0000,01800NURSING FACILITY 61284,A000000,01810,0000,01810ICF/MR 61284,A000000,02100,0000,02100RADIOLOGY 61284,A000000,02200,0000,02200LABORATORY 61284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61284,A000000,02500,0000,02500PHYSICAL THERAPY 61284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61284,A000000,02700,0000,02700SPEECH PATHOLOGY 61284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61284,A000000,03050,0000,03300PEN THERAPY 61284,A000000,03051,0000,03301FEE SCREENING 61284,A000000,03052,0000,03302OTHER ANCILLARY III 61284,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61284,A000000,03550,0000,03550FQHC 61284,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61284,A000000,05000,0000,05000CORF I 61284,A000000,05010,0000,05010CMHC I 61284,A000000,05020,0000,05020OPT I 61284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61284,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61284,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61284,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61284,A81000A,00100,0100,Y 61284,A81000B,00100,0300,SEE ATTACHED 61284,A81000B,00200,0300,HOME OFFICE 61284,A81000B,00300,0300,HOME OFFICE 61284,A81000B,00400,0300,CAPITAL INTEREST 61284,A81000C,00100,0100,B 61284,A81000C,00100,0400,AS ATTACHED 61284,A81000C,00100,0600,VARIOUS 61284,A81000C,00200,0100,B 61284,A81000C,00200,0400,GHV 61284,A81000C,00200,0600,LONG TERM CARE 61284,A81000C,00300,0100,B 61284,A81000C,00300,0400,GHV 61284,A81000C,00300,0600,LONG TERM CARE 61284,A81000C,00400,0100,B 61284,A81000C,00400,0400,GHV 61284,A81000C,00400,0600,LONG TERM CARE 61284,B100000,00000,0100,00000(SQUARE FEET) 61284,B100000,00000,0101,00000(SQUARE FEET) 61284,B100000,00000,0200,00000(SQUARE FEET) 61284,B100000,00000,0201,00000(SQUARE FEET) 61284,B100000,00000,0300,00000(GROSS SALARIES) 61284,B100000,00000,0400,00000(ACCUM. COST) 61284,B100000,00000,0500,00000(SQUARE FEET) 61284,B100000,00000,0600,00000(PATIENT DAYS) 61284,B100000,00000,0700,00000(SQUARE FEET) 61284,B100000,00000,0800,00000(MEALS SERVED) 61284,B100000,00000,0801,00000(MEALS SERVED) 61284,B100000,00000,0900,00000(NURSING SALARIES) 61284,B100000,00000,1000,00000CST REQ 61284,B100000,00000,1100,00000(PATIENT DAYS) 61284,B100000,00000,1200,00000(PATIENT DAYS) 61284,B100000,00000,1300,00000(PATIENT DAYS) 61284,B100000,00000,1350,00000(PATIENT DAYS) 61284,B100000,00000,1400,00000(ASSIGNED TIME) 61284,S000000,00100,0200,05/31/2000 61284,S200000,00100,0100,8015 LAWNDALE STREET 61284,S200000,00200,0100,PHILADELPHIA 61284,S200000,00200,0200,PA 61284,S200000,00200,0300,19111 61284,S200000,00300,0100,PHILADELPHIA 61284,S200000,00400,0100,PENNYPACK CENTER 61284,S200000,00400,0200,395135 61284,S200000,00400,0300,01/01/1967 61284,S200000,00400,0500,P 61284,S200000,01600,0100,Y 61284,S200000,02200,0100,Y 61288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61288,A000000,00300,0000,00300EMPLOYEE BENEFITS 61288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61288,A000000,00700,0000,00700HOUSEKEEPING 61288,A000000,00800,0000,00800DIETARY 61288,A000000,00900,0000,00900NURSING ADMINISTRATION 61288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61288,A000000,01100,0000,01100PHARMACY 61288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61288,A000000,01300,0000,01300SOCIAL SERVICE 61288,A000000,01350,0000,01500ACTIVITIES 61288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61288,A000000,01600,0000,01600SKILLED NURSING FACILITY 61288,A000000,01800,0000,01800NURSING FACILITY 61288,A000000,01810,0000,01810ICF/MR 61288,A000000,02100,0000,02100RADIOLOGY 61288,A000000,02200,0000,02200LABORATORY 61288,A000000,02300,0000,02300INTRAVENOUS THERAPY 61288,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61288,A000000,02500,0000,02500PHYSICAL THERAPY 61288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61288,A000000,02700,0000,02700SPEECH PATHOLOGY 61288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61288,A000000,03001,0000,03001THERAPEUTIC BEDS 61288,A000000,03550,0000,03550FQHC 61288,A000000,05000,0000,05000CORF 61288,A000000,05010,0000,05010CMHC 61288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61288,A81000A,00100,0100,Y 61288,A81000B,00100,0300,MANAGEMENT FEES 61288,A81000C,00100,0100,B 61288,A81000C,00100,0200,ALPHA HOUSING 61288,A81000C,00100,0400,ALPHA HOUSING 61288,A81000C,00100,0600,OWNER 61288,B100000,00000,0100,00040SQUARE FEET 61288,B100000,00000,0200,00040SQUARE FEET 61288,B100000,00000,0300,00040GROSS SALARIES 61288,B100000,00000,0400,00040ACCUM. COST 61288,B100000,00000,0500,00040SQUARE FEET 61288,B100000,00000,0600,00040POUNDS OF LAUNDRY 61288,B100000,00000,0700,00040SQUARE FEET 61288,B100000,00000,0800,00040MEALS SERVED 61288,B100000,00000,0900,00040DIRECT NRSING HRS 61288,B100000,00000,1000,00040PATIENT DAYS 61288,B100000,00000,1100,00040PATIENT DAYS 61288,B100000,00000,1200,00040PATIENT DAYS 61288,B100000,00000,1300,00040PATIENT DAYS 61288,B100000,00000,1350,00040 61288,B100000,00000,1400,00040ASSIGNED TIME 61288,E10A180,00501,0100,01/10/2001 61288,S000000,00100,0200,11/29/2000 61288,S200000,00100,0100,2050 OLD WEST CHESTER PIKE 61288,S200000,00200,0100,HAVERTOWN 61288,S200000,00200,0200,PA 61288,S200000,00200,0300,19083 61288,S200000,00300,0100,D 61288,S200000,00400,0100,HAVERFORD NURSING & REHAB. CENTER 61288,S200000,00400,0200,395173 61288,S200000,00400,0300,07/18/1984 61288,S200000,00400,0500,P 61288,S200000,01600,0100,Y 61288,S200000,02200,0100,Y 61292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61292,A000000,00300,0000,00300EMPLOYEE BENEFITS 61292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61292,A000000,00700,0000,00700HOUSEKEEPING 61292,A000000,00800,0000,00800DIETARY 61292,A000000,00900,0000,00900NURSING ADMINISTRATION 61292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61292,A000000,01100,0000,01100PHARMACY 61292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61292,A000000,01300,0000,01300SOCIAL SERVICE 61292,A000000,01301,0000,01301RESTORATIVE 61292,A000000,01302,0000,01302ACTIVITIES 61292,A000000,01350,0000,01500OTHER GENERAL SERVICES 61292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61292,A000000,01600,0000,01600SKILLED NURSING FACILITY 61292,A000000,01800,0000,01800NURSING FACILITY 61292,A000000,01810,0000,01810ICF/MR 61292,A000000,02100,0000,02100RADIOLOGY 61292,A000000,02200,0000,02200LABORATORY 61292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61292,A000000,02500,0000,02500PHYSICAL THERAPY 61292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61292,A000000,02700,0000,02700SPEECH PATHOLOGY 61292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61292,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61292,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 61292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61292,A000000,03550,0000,03550FQHC 61292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61292,A000000,05000,0000,05000CORF 61292,A000000,05010,0000,05010CMHC 61292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61292,A81000A,00100,0100,Y 61292,A81000B,00100,0300,ADMINISTRATION 61292,A81000B,00200,0300,INTEREST 61292,A81000B,00300,0300,BUILDING 61292,A81000B,00400,0300,DIETARY 61292,A81000B,00500,0300,NURSING ADMINISTRATION 61292,A81000B,00600,0300,MEDICAL SUPPLIES 61292,A81000B,00700,0300,DRUGS 61292,A81000B,00800,0300,PHYSICAL THERAPY 61292,A81000B,00900,0300,OCCUPATIONAL THERAPY 61292,A81000B,01000,0300,SPEECH THERAPY 61292,A81000C,00100,0100,B 61292,A81000C,00100,0200,GENESIS HEALTH VENTURES 61292,A81000C,00100,0600,MANAGEMENT COMPANY 61292,A81000C,00200,0100,B 61292,A81000C,00200,0200,GENESIS HEALTH VENTURES 61292,A81000C,00200,0600,MANAGEMENT COMPANY 61292,A81000C,00300,0100,B 61292,A81000C,00300,0200,GENESIS REHABILITATION 61292,A81000C,00300,0600,MANAGEMENT COMPANY 61292,A81000C,00400,0100,B 61292,A81000C,00400,0200,NEIGHBORCARE 61292,A81000C,00400,0400,GENESIS HEALTH VENTURES 61292,A81000C,00400,0600,PHARMACY/MED SUPPLIES 61292,A81000C,00500,0100,B 61292,A81000C,00500,0200,NEIGHBORCARE 61292,A81000C,00500,0400,GENESIS HEALTH VENTURES 61292,A81000C,00500,0600,PHARMACY/MED SUPPLIES 61292,A81000C,00600,0100,B 61292,A81000C,00600,0200,NEIGHBORCARE 61292,A81000C,00600,0400,GENESIS HEALTH VENTURES 61292,A81000C,00600,0600,PHARMACY/MED SUPPLIES 61292,A81000C,00700,0100,B 61292,A81000C,00700,0200,NEIGHBORCARE 61292,A81000C,00700,0400,GENESIS HEALTH VENTURES 61292,A81000C,00700,0600,PHARMACY/MED SUPPLIES 61292,A81000C,00800,0100,B 61292,A81000C,00800,0200,GENESIS REHAB 61292,A81000C,00800,0400,GENESIS HEALTH VENTURES 61292,A81000C,00800,0600,THERAPY SERVICES 61292,A81000C,00900,0100,B 61292,A81000C,00900,0200,GENESIS REHAB 61292,A81000C,00900,0400,GENESIS HEALTH VENTURES 61292,A81000C,00900,0600,THERAPY SERVICES 61292,A81000C,01000,0100,B 61292,A81000C,01000,0200,GENESIS REHAB 61292,A81000C,01000,0400,GENESIS HEALTH VENTURES 61292,A81000C,01000,0600,THERAPY SERVICES 61292,B100000,00000,0100,00000SQUARE FEET 61292,B100000,00000,0200,00000SQUARE FEET 61292,B100000,00000,0300,00000GROSS SALARIES 61292,B100000,00000,0400,00000ACCUM. COST 61292,B100000,00000,0500,00000SQUARE FEET 61292,B100000,00000,0600,00000PATIENT DAYS 61292,B100000,00000,0700,00000SQUARE FEET 61292,B100000,00000,0800,00000PATIENT DAYS 61292,B100000,00000,0900,00000DIRECT NRSING HRS 61292,B100000,00000,1000,00000NO STATISTICS 61292,B100000,00000,1100,00000NO STATISTICS 61292,B100000,00000,1200,00000PATIENT DAYS 61292,B100000,00000,1300,00000PATIENT DAYS 61292,B100000,00000,1301,00000LABOR HOURS 61292,B100000,00000,1302,00000PATIENT DAYS 61292,B100000,00000,1350,00000NO STATISTICS 61292,B100000,00000,1400,00000NO STATISTICS 61292,E10A180,00301,0100,11/10/1999 61292,E10A180,00302,0100,11/24/1999 61292,E10A180,00303,0100,12/08/1999 61292,E10A180,00304,0100,12/22/1999 61292,E10A180,00305,0100,01/05/2000 61292,E10A180,00501,0300,06/27/2000 61292,E10A180,00550,0100,06/27/2000 61292,S000000,00100,0200,05/31/2000 61292,S200000,00100,0100,75 HINKLE STREET 61292,S200000,00200,0100,UNIONTOWN 61292,S200000,00200,0200,PA 61292,S200000,00200,0300,15401 61292,S200000,00300,0100,FAYETTE 61292,S200000,00400,0100,LAUREL RIDGE CENTER 61292,S200000,00400,0200,395243 61292,S200000,00400,0300,01/01/1967 61292,S200000,00400,0500,P 61292,S200000,01600,0100,Y 61295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61295,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61295,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61295,A000000,00300,0000,00300EMPLOYEE BENEFITS 61295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61295,A000000,00700,0000,00700HOUSEKEEPING 61295,A000000,00800,0000,00800DIETARY 61295,A000000,00801,0000,00801CAFETERIA 61295,A000000,00900,0000,00900NURSING ADMINISTRATION 61295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61295,A000000,01100,0000,01100PHARMACY 61295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61295,A000000,01300,0000,01300SOCIAL SERVICE 61295,A000000,01350,0000,01500RECREATION 61295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61295,A000000,01600,0000,01600SKILLED NURSING FACILITY 61295,A000000,01800,0000,01800NURSING FACILITY 61295,A000000,01810,0000,01810ICF/MR 61295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61295,A000000,02500,0000,02500PHYSICAL THERAPY 61295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61295,A000000,02700,0000,02700SPEECH PATHOLOGY 61295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61295,A000000,03050,0000,03300PEN THERAPY 61295,A000000,03051,0000,03301FEE SCREENING 61295,A000000,03052,0000,03302OTHER ANCILLARY III 61295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61295,A000000,03550,0000,03550FQHC 61295,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61295,A000000,05000,0000,05000CORF I 61295,A000000,05010,0000,05010CMHC I 61295,A000000,05020,0000,05020OPT I 61295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61295,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61295,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61295,A81000A,00100,0100,Y 61295,A81000B,00100,0300,HOME OFFICE 61295,A81000B,00200,0300,HOME OFFICE CAPITAL 61295,A81000B,00300,0300,AS ATTACHED 61295,A81000C,00100,0100,B 61295,A81000C,00100,0400,GEN HLTH VEN 61295,A81000C,00100,0600,HOME OFFICE 61295,A81000C,00200,0100,B 61295,A81000C,00200,0400,GEN HLTH VEN 61295,A81000C,00200,0600,HOME OFFICE 61295,A81000C,00300,0100,G 61295,A81000C,00300,0400,AS ATTACHED 61295,A81000C,00300,0600,VARIOUS 61295,B100000,00000,0100,00000(SQUARE FEET) 61295,B100000,00000,0101,00000(SQUARE FEET) 61295,B100000,00000,0200,00000(SQUARE FEET) 61295,B100000,00000,0201,00000(SQUARE FEET) 61295,B100000,00000,0300,00000(GROSS SALARIES) 61295,B100000,00000,0400,00000(ACCUM. COST) 61295,B100000,00000,0500,00000(SQUARE FEET) 61295,B100000,00000,0600,00000(PATIENT DAYS) 61295,B100000,00000,0700,00000(SQUARE FEET) 61295,B100000,00000,0800,00000(MEALS SERVED) 61295,B100000,00000,0801,00000(MEALS SERVED) 61295,B100000,00000,0900,00000(NURSING SALARIES) 61295,B100000,00000,1000,00000(COSTED REQUIS.) 61295,B100000,00000,1100,00000(COSTED REQUIS.) 61295,B100000,00000,1200,00000(PATIENT DAYS) 61295,B100000,00000,1300,00000(PATIENT DAYS) 61295,B100000,00000,1350,00000(PATIENT DAYS) 61295,B100000,00000,1400,00000(ASSIGNED TIME) 61295,E10A180,00301,0100,01/05/2000 61295,S000000,00100,0200,05/31/2000 61295,S200000,00100,0100,8100 WASHINGTON LANE 61295,S200000,00200,0100,WYNCOTE 61295,S200000,00200,0200,PA 61295,S200000,00200,0300,19095 61295,S200000,00300,0100,MONTGOMERY 61295,S200000,00400,0100,HOPKINS CENTER 61295,S200000,00400,0200,395342 61295,S200000,00400,0300,05/04/1976 61295,S200000,00400,0500,P 61295,S200000,01600,0100,Y 61295,S200000,02200,0100,Y 61298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61298,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61298,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61298,A000000,00300,0000,00300EMPLOYEE BENEFITS 61298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61298,A000000,00700,0000,00700HOUSEKEEPING 61298,A000000,00800,0000,00800DIETARY 61298,A000000,00801,0000,00801CAFETERIA 61298,A000000,00900,0000,00900NURSING ADMINISTRATION 61298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61298,A000000,01100,0000,01100PHARMACY 61298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61298,A000000,01300,0000,01300SOCIAL SERVICE 61298,A000000,01350,0000,01500RECT THERAPY 61298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61298,A000000,01600,0000,01600SKILLED NURSING FACILITY 61298,A000000,01800,0000,01800NURSING FACILITY 61298,A000000,01810,0000,01810ICF/MR 61298,A000000,02100,0000,02100RADIOLOGY 61298,A000000,02200,0000,02200LABORATORY 61298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61298,A000000,02500,0000,02500PHYSICAL THERAPY 61298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61298,A000000,02700,0000,02700SPEECH PATHOLOGY 61298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61298,A000000,03050,0000,03300PEN THERAPY 61298,A000000,03051,0000,03301FEE SCREENING 61298,A000000,03052,0000,03302OTHER ANCILLARY III 61298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61298,A000000,03550,0000,03550FQHC 61298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61298,A000000,05000,0000,05000CORF I 61298,A000000,05010,0000,05010CMHC I 61298,A000000,05020,0000,05020OPT I 61298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61298,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61298,A81000A,00100,0100,Y 61298,A81000B,00100,0300,VARIOUS 61298,A81000B,00200,0300,HOME OFFICE 61298,A81000B,00300,0300,HOME OFFICE 61298,A81000B,00400,0300,CAPITAL INTEREST 61298,A81000C,00100,0100,B 61298,A81000C,00100,0400,AS ATTACHED 61298,A81000C,00100,0600,VARIOUS 61298,A81000C,00200,0100,B 61298,A81000C,00200,0400,GHV 61298,A81000C,00200,0600,LONG TERM CARE 61298,A81000C,00300,0100,B 61298,A81000C,00300,0400,GHV 61298,A81000C,00300,0600,LONG TERM CARE 61298,A81000C,00400,0100,B 61298,A81000C,00400,0400,GHV 61298,A81000C,00400,0600,LONG TERM CARE 61298,B100000,00000,0100,00000(SQUARE FEET) 61298,B100000,00000,0101,00000(SQUARE FEET) 61298,B100000,00000,0200,00000(SQUARE FEET) 61298,B100000,00000,0201,00000(SQUARE FEET) 61298,B100000,00000,0300,00000(GROSS SALARIES) 61298,B100000,00000,0400,00000(ACCUM. COST) 61298,B100000,00000,0500,00000(SQUARE FEET) 61298,B100000,00000,0600,00000(PATIENT DAYS) 61298,B100000,00000,0700,00000(SQUARE FEET) 61298,B100000,00000,0800,00000(MEALS SERVED) 61298,B100000,00000,0801,00000(MEALS SERVED) 61298,B100000,00000,0900,00000(NURSING SALARIES) 61298,B100000,00000,1000,00000CST REQ 61298,B100000,00000,1100,00000(PATIENT DAYS) 61298,B100000,00000,1200,00000(PATIENT DAYS) 61298,B100000,00000,1300,00000(PATIENT DAYS) 61298,B100000,00000,1350,00000(PATIENT DAYS) 61298,B100000,00000,1400,00000(ASSIGNED TIME) 61298,S000000,00100,0200,05/31/2000 61298,S200000,00100,0100,1020 SOUTH MAIN STREET 61298,S200000,00200,0100,QUAKERTOWN 61298,S200000,00200,0200,PA 61298,S200000,00200,0300,18951 61298,S200000,00300,0100,BUCKS 61298,S200000,00400,0100,QUAKERTOWN CENTER 61298,S200000,00400,0200,395405 61298,S200000,00400,0300,03/01/1989 61298,S200000,00400,0500,P 61298,S200000,01600,0100,Y 61298,S200000,02200,0100,Y 61301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61301,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61301,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61301,A000000,00300,0000,00300EMPLOYEE BENEFITS 61301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61301,A000000,00700,0000,00700HOUSEKEEPING 61301,A000000,00800,0000,00800DIETARY 61301,A000000,00801,0000,00801CAFETERIA 61301,A000000,00900,0000,00900NURSING ADMINISTRATION 61301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61301,A000000,01100,0000,01100PHARMACY 61301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61301,A000000,01300,0000,01300SOCIAL SERVICE 61301,A000000,01350,0000,01500REC. THERAPY 61301,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61301,A000000,01600,0000,01600SKILLED NURSING FACILITY 61301,A000000,01800,0000,01800NURSING FACILITY 61301,A000000,01810,0000,01810ICF/MR 61301,A000000,02100,0000,02100RADIOLOGY 61301,A000000,02200,0000,02200LABORATORY 61301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61301,A000000,02500,0000,02500PHYSICAL THERAPY 61301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61301,A000000,02700,0000,02700SPEECH PATHOLOGY 61301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61301,A000000,03050,0000,03300PEN. THERAPY 61301,A000000,03051,0000,03301FEE SCREENING 61301,A000000,03052,0000,03302OTHER ANCILLARY III 61301,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61301,A000000,03550,0000,03550FQHC 61301,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61301,A000000,05000,0000,05000CORF I 61301,A000000,05010,0000,05010CMHC I 61301,A000000,05020,0000,05020OPT I 61301,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61301,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61301,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61301,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61301,A81000A,00100,0100,Y 61301,A81000B,00100,0300,AS ATTACHED 61301,A81000B,00200,0300,HOME OFFICE 61301,A81000B,00300,0300,CAPITAL INTEREST 61301,A81000B,00400,0300,HOME OFFICE 61301,A81000C,00100,0100,B 61301,A81000C,00100,0400,AS ATTACHED 61301,A81000C,00100,0600,AS ATTACHED 61301,A81000C,00200,0100,B 61301,A81000C,00200,0400,GEN. HLTH VEN. 61301,A81000C,00200,0600,LONG TERM CARE 61301,A81000C,00300,0100,B 61301,A81000C,00300,0400,GEN. HLTH VEN. 61301,A81000C,00300,0600,LONG TERM CARE 61301,A81000C,00400,0100,B 61301,A81000C,00400,0400,GEN. HLTH VEN. 61301,A81000C,00400,0600,LONG TERM CARE 61301,B100000,00000,0100,00000(SQUARE FEET) 61301,B100000,00000,0101,00000(SQUARE FEET) 61301,B100000,00000,0200,00000(SQUARE FEET) 61301,B100000,00000,0201,00000(SQUARE FEET) 61301,B100000,00000,0300,00000(GROSS SALARIES) 61301,B100000,00000,0400,00000(ACCUM. COST) 61301,B100000,00000,0500,00000(SQUARE FEET) 61301,B100000,00000,0600,00000(PATIENT DAYS) 61301,B100000,00000,0700,00000(SQUARE FEET) 61301,B100000,00000,0800,00000(MEALS SERVED) 61301,B100000,00000,0801,00000(MEALS SERVED) 61301,B100000,00000,0900,00000(NURSING SALARIES) 61301,B100000,00000,1000,00000COST REQ. 61301,B100000,00000,1100,00000(PATIENT DAYS) 61301,B100000,00000,1200,00000(PATIENT DAYS) 61301,B100000,00000,1300,00000(PATIENT DAYS) 61301,B100000,00000,1350,00000(PATIENT DAYS) 61301,B100000,00000,1400,00000(ASSIGNED TIME) 61301,E10A180,00301,0100,01/05/2000 61301,E10A180,00501,0100,06/26/2000 61301,E10A180,00501,0300,06/26/2000 61301,S000000,00100,0200,05/31/2000 61301,S200000,00100,0100,125 HOLLY ROAD 61301,S200000,00200,0100,HAMBURG 61301,S200000,00200,0200,PA 61301,S200000,00200,0300,19526 61301,S200000,00300,0100,BERKS 61301,S200000,00400,0100,LAUREL CENTER 61301,S200000,00400,0200,395408 61301,S200000,00400,0300,08/16/1977 61301,S200000,00400,0500,P 61301,S200000,01600,0100,Y 61301,S200000,02200,0100,Y 61306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61306,A000000,00300,0000,00300EMPLOYEE BENEFITS 61306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61306,A000000,00700,0000,00700HOUSEKEEPING 61306,A000000,00800,0000,00800DIETARY 61306,A000000,00900,0000,00900NURSING ADMINISTRATION 61306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61306,A000000,01100,0000,01100PHARMACY 61306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61306,A000000,01300,0000,01300SOCIAL SERVICE 61306,A000000,01350,0000,01500PATIENT ACTIVITIES 61306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61306,A000000,01600,0000,01600SKILLED NURSING FACILITY 61306,A000000,01800,0000,01800NURSING FACILITY 61306,A000000,01810,0000,01810ICF/MR 61306,A000000,02100,0000,02100RADIOLOGY 61306,A000000,02300,0000,02300INTRAVENOUS THERAPY 61306,A000000,02500,0000,02500PHYSICAL THERAPY 61306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61306,A000000,02700,0000,02700SPEECH PATHOLOGY 61306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61306,A000000,03200,0000,03200SUPPORT SURFACES 61306,A000000,03550,0000,03550FQHC 61306,A000000,05000,0000,05000CORF 61306,A000000,05010,0000,05010CMHC 61306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61306,A81000A,00100,0100,Y 61306,A81000B,00100,0300,MGMNT FEES HOME OFC 61306,A81000B,00200,0300,CAP REL HOME OFFICE 61306,A81000B,00300,0300,MEDICAL SUPPLIES 61306,A81000B,00400,0300,SUPPORT SURFACES 61306,A81000B,00500,0300,MED SUP NON BILL 61306,A81000B,00600,0300,MED SUP NON BILL 61306,A81000C,00100,0100,A 61306,A81000C,00100,0200,STEPHEN LAZOVIT 61306,A81000C,00100,0400,SENIORS MANAGEM 61306,A81000C,00100,0600,HOME OFFICE 61306,A81000C,00200,0100,B 61306,A81000C,00200,0200,EASTERN MEDICAL 61306,A81000C,00200,0400,SENIORS MANAGEM 61306,A81000C,00200,0600,MEDICAL SUPPLIE 61306,B100000,00000,0100,00000SQUARE FEET 61306,B100000,00000,0200,00000SQUARE FEET 61306,B100000,00000,0300,00000GROSS SALARIES 61306,B100000,00000,0400,00000ACCUM COST 61306,B100000,00000,0500,00000SQUARE FEET 61306,B100000,00000,0600,00000POUNDS OF LAUNDRY 61306,B100000,00000,0700,00000HOURS OF SERVICE 61306,B100000,00000,0800,00000MEALS SERVED 61306,B100000,00000,0900,00000DIRECT NRSG HRS 61306,B100000,00000,1000,00000COSTED REQUIS 61306,B100000,00000,1100,00000COSTED REQUIS 61306,B100000,00000,1200,00000TIME SPENT 61306,B100000,00000,1300,00000TIME SPENT 61306,B100000,00000,1350,00000PATIENT DAYS 61306,B100000,00000,1400,00000ASSIGNED TIME 61306,E10A180,00550,0100,07/11/2000 61306,S000000,00100,0200,05/30/2000 61306,S200000,00100,0100,333 NEWTOWN ROAD 61306,S200000,00200,0100,WARMINSTER 61306,S200000,00200,0200,PA 61306,S200000,00200,0300,18974 61306,S200000,00300,0100,BUCKS 61306,S200000,00400,0100,MAJESTIC OAKS 61306,S200000,00400,0200,395431 61306,S200000,00400,0300,07/01/1970 61306,S200000,00400,0500,P 61306,S200000,00400,0600,O 61306,S200000,00600,0200,395431 61306,S200000,00600,0300,07/01/1970 61306,S200000,00600,0600,P 61306,S200000,01600,0100,Y 61306,S200000,02200,0100,Y 61313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61313,A000000,00300,0000,00300EMPLOYEE BENEFITS 61313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61313,A000000,00700,0000,00700HOUSEKEEPING 61313,A000000,00800,0000,00800DIETARY 61313,A000000,00900,0000,00900NURSING ADMINISTRATION 61313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61313,A000000,01100,0000,01100PHARMACY 61313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61313,A000000,01300,0000,01300SOCIAL SERVICE 61313,A000000,01350,0000,01500ACTIVITIES 61313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61313,A000000,01600,0000,01600SKILLED NURSING FACILITY 61313,A000000,01800,0000,01800NURSING FACILITY 61313,A000000,01810,0000,01810ICF/MR 61313,A000000,02100,0000,02100RADIOLOGY 61313,A000000,02200,0000,02200LABORATORY 61313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61313,A000000,02500,0000,02500PHYSICAL THERAPY 61313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61313,A000000,02700,0000,02700SPEECH PATHOLOGY 61313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61313,A000000,02901,0000,02901PEN THERAPY 61313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61313,A000000,03050,0000,03300OTHER ACNCILL-AMBULANCE 61313,A000000,03051,0000,03301OTHER ANCILL-STATE PROGRAM 61313,A000000,03550,0000,03550FQHC 61313,A000000,05000,0000,05000CORF 61313,A000000,05010,0000,05010CMHC 61313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61313,A000000,06150,0000,06300OUTSIDE CONTRACT THERAPY 61313,A81000A,00100,0100,Y 61313,A81000B,00100,0300,POOLED CAPITAL 61313,A81000B,00200,0300,MGMT FEE 61313,A81000B,00300,0300,LCCA-METLIFE1 INT 61313,A81000B,00400,0300,LCCA-METLIFE2 3 INT 61313,A81000B,00500,0300,LCCA-PROJECT 2000 61313,A81000B,00600,0300,REHAB ALLOC 61313,A81000B,00700,0300,REHAB ALLOC 61313,A81000B,00800,0300,REHAB ALLOC 61313,A81000B,00900,0300,LIFE CARE DESIGN97 61313,A81000B,01000,0300,LIFE CARE DESIGN98 61313,A81000B,01100,0300,LIFE CARE DESIGN99 61313,A81000C,00100,0100,A 61313,A81000C,00100,0200,FORREST PRESTON 61313,A81000C,00100,0400,LCCA 61313,A81000C,00100,0600,MGMT CO 61313,A81000C,00200,0100,A 61313,A81000C,00200,0200,FORREST PRESTON 61313,A81000C,00200,0400,LCCA 61313,A81000C,00200,0600,MGMT CO 61313,A81000C,00300,0100,A 61313,A81000C,00300,0200,FORREST PRESTON 61313,A81000C,00300,0400,LCCA 61313,A81000C,00300,0600,MGMT CO 61313,A81000C,00400,0100,A 61313,A81000C,00400,0200,FORREST PRESTON 61313,A81000C,00400,0400,LCCA 61313,A81000C,00400,0600,MGMT CO 61313,A81000C,00500,0100,A 61313,A81000C,00500,0200,FORREST PRESTON 61313,A81000C,00500,0400,LCCA 61313,A81000C,00500,0600,MGMT CO 61313,A81000C,00600,0100,A 61313,A81000C,00600,0200,FORREST PRESTON 61313,A81000C,00600,0400,LCCA 61313,A81000C,00600,0600,MGMT CO 61313,A81000C,00700,0100,A 61313,A81000C,00700,0200,FORREST PRESTON 61313,A81000C,00700,0400,LCCA 61313,A81000C,00700,0600,MGMT CO 61313,A81000C,00800,0100,A 61313,A81000C,00800,0200,FORREST PRESTON 61313,A81000C,00800,0400,LCCA 61313,A81000C,00800,0600,MGMT CO 61313,A81000C,00900,0100,A 61313,A81000C,00900,0200,FORREST PRESTON 61313,A81000C,00900,0400,LIFE CARE DESIG 61313,A81000C,00900,0600,F&F 61313,A81000C,01000,0100,A 61313,A81000C,01000,0200,FORREST PRESTON 61313,A81000C,01000,0400,LIFE CARE DESIG 61313,A81000C,01000,0600,F&F 61313,A81000C,01100,0100,A 61313,A81000C,01100,0200,FORREST PRESTON 61313,A81000C,01100,0400,LIFE CARE DESIG 61313,A81000C,01100,0600,F&F 61313,B100000,00000,0100,00000(SQUARE FEET) 61313,B100000,00000,0200,00000(SQUARE FEET) 61313,B100000,00000,0300,00000(GROSS SALARIES) 61313,B100000,00000,0400,00000(ACCUM COST) 61313,B100000,00000,0500,00000(SQUARE FEET) 61313,B100000,00000,0600,00000PATIENT DAYS 61313,B100000,00000,0700,00000(SQUARE FEET) 61313,B100000,00000,0800,00000(MEALS SERVED) 61313,B100000,00000,0900,00000DIRECT HOURS 61313,B100000,00000,1000,00000(COSTED REQUIS) 61313,B100000,00000,1100,00000(COSTED REQUIS) 61313,B100000,00000,1200,00000GROSS REVENUES 61313,B100000,00000,1300,00000PATIENT DAYS 61313,B100000,00000,1350,00000PATIENT DAYS 61313,B100000,00000,1400,00000(ASSIGNED TIME) 61313,S000000,00100,0200,05/30/2000 61313,S200000,00100,0100,3120 HORSESHOE PIKE 61313,S200000,00200,0100,HONEY BROOK 61313,S200000,00200,0200,PA 61313,S200000,00200,0300,19344 61313,S200000,00300,0100,CHESTER 61313,S200000,00400,0100,HICKORY HOUSE 61313,S200000,00400,0200,395436 61313,S200000,00400,0300,05/01/1988 61313,S200000,00400,0500,P 61313,S200000,00400,0600,O 61313,S200000,01600,0100,Y 61313,S200000,02200,0100,Y 61313,S200000,02800,0100,Y 61313,S200000,04700,0100,Y 61313,S200000,04700,0200,Y 61318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61318,A000000,00300,0000,00300EMPLOYEE BENEFITS 61318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61318,A000000,00700,0000,00700HOUSEKEEPING 61318,A000000,00800,0000,00800DIETARY 61318,A000000,00900,0000,00900NURSING ADMINISTRATION 61318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61318,A000000,01100,0000,01100PHARMACY 61318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61318,A000000,01300,0000,01300SOCIAL SERVICE 61318,A000000,01350,0000,01500ACTIVITIES 61318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61318,A000000,01600,0000,01600SKILLED NURSING FACILITY 61318,A000000,01800,0000,01800NURSING FACILITY 61318,A000000,01810,0000,01810ICF/MR 61318,A000000,02100,0000,02100RADIOLOGY 61318,A000000,02200,0000,02200LABORATORY 61318,A000000,02300,0000,02300INTRAVENOUS THERAPY 61318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61318,A000000,02500,0000,02500PHYSICAL THERAPY 61318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61318,A000000,02700,0000,02700SPEECH PATHOLOGY 61318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61318,A000000,03001,0000,03001THERAPEUTIC BEDS 61318,A000000,03550,0000,03550FQHC 61318,A000000,05000,0000,05000CORF 61318,A000000,05010,0000,05010CMHC 61318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61318,A81000A,00100,0100,Y 61318,A81000B,00100,0300,MANAGEMENT FEES 61318,A81000C,00100,0100,B 61318,A81000C,00100,0200,ALPHA HOUSING 61318,A81000C,00100,0400,ALPHA HOUSING 61318,A81000C,00100,0600,OWNER 61318,B100000,00000,0100,00000SQUARE FEET 61318,B100000,00000,0200,00000SQUARE FEET 61318,B100000,00000,0300,00000GROSS SALARIES 61318,B100000,00000,0400,00000ACCUM. COST 61318,B100000,00000,0500,00000SQUARE FEET 61318,B100000,00000,0600,00000POUNDS OF LAUNDRY 61318,B100000,00000,0700,00000SQUARE FEET 61318,B100000,00000,0800,00000MEALS SERVED 61318,B100000,00000,0900,00000DIRECT NRSING HRS 61318,B100000,00000,1000,00000COSTED REQUIS. 61318,B100000,00000,1100,00000COSTED REQUIS. 61318,B100000,00000,1200,00000PATIENT DAYS 61318,B100000,00000,1300,00000PATIENT DAYS 61318,B100000,00000,1350,00000PATIENT DAYS 61318,B100000,00000,1400,00000ASSIGNED TIME 61318,E10A180,00301,0100,07/19/2000 61318,E10A180,00551,0300,12/04/2000 61318,S000000,00100,0200,11/29/2000 61318,S200000,00100,0100,283 EAST LANCASTER AVENUE 61318,S200000,00200,0100,MALVERN 61318,S200000,00200,0200,PA 61318,S200000,00200,0300,19355 61318,S200000,00300,0100,CHESTER 61318,S200000,00400,0100,MAIN LINE NURSING AND REHAB CENTER 61318,S200000,00400,0200,395519 61318,S200000,00400,0300,07/01/1984 61318,S200000,00400,0500,P 61318,S200000,01600,0100,Y 61318,S200000,02200,0100,Y 61324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61324,A000000,00300,0000,00300EMPLOYEE BENEFITS 61324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61324,A000000,00700,0000,00700HOUSEKEEPING 61324,A000000,00800,0000,00800DIETARY 61324,A000000,00900,0000,00900NURSING ADMINISTRATION 61324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61324,A000000,01100,0000,01100PHARMACY 61324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61324,A000000,01300,0000,01300SOCIAL SERVICE 61324,A000000,01350,0000,01500PATIENT ACTIVITIES 61324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61324,A000000,01600,0000,01600SKILLED NURSING FACILITY 61324,A000000,01800,0000,01800NURSING FACILITY 61324,A000000,01810,0000,01810ICF/MR 61324,A000000,02100,0000,02100RADIOLOGY 61324,A000000,02300,0000,02300INTRAVENOUS THERAPY 61324,A000000,02500,0000,02500PHYSICAL THERAPY 61324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61324,A000000,02700,0000,02700SPEECH PATHOLOGY 61324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61324,A000000,03550,0000,03550FQHC 61324,A000000,05000,0000,05000CORF 61324,A000000,05010,0000,05010CMHC 61324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61324,A81000A,00100,0100,Y 61324,A81000B,00100,0300,MGMNT FEES HOME OFFI 61324,A81000B,00200,0300,CAP REL HOME OFFICE 61324,A81000B,00300,0300,MEDICAL SUPPLIES 61324,A81000B,00400,0300,MED SUP NON BILLABLE 61324,A81000C,00100,0100,A 61324,A81000C,00100,0200,STEPHEN LAZOVIT 61324,A81000C,00100,0400,SENIORS MGMNT 61324,A81000C,00100,0600,HOME OFFICE 61324,A81000C,00200,0100,B 61324,A81000C,00200,0200,SENIORS MANAGEM 61324,A81000C,00200,0400,EASTERN MEDICAL 61324,A81000C,00200,0600,MEDICAL SUPPLIE 61324,B100000,00000,0100,00000SQUARE FEET 61324,B100000,00000,0200,00000SQUARE FEET 61324,B100000,00000,0300,00000GROSS SALARIES 61324,B100000,00000,0400,00000ACCUM COST 61324,B100000,00000,0500,00000SQUARE FEET 61324,B100000,00000,0600,00000POUNDS OF LAUNDRY 61324,B100000,00000,0700,00000HOURS OF SERVICE 61324,B100000,00000,0800,00000MEALS SERVED 61324,B100000,00000,0900,00000DIRECT NRSG HRS 61324,B100000,00000,1000,00000COSTED REQUIS 61324,B100000,00000,1100,00000COSTED REQUIS 61324,B100000,00000,1200,00000TIME SPENT 61324,B100000,00000,1300,00000TIME SPENT 61324,B100000,00000,1350,00000PATIENT DAYS 61324,B100000,00000,1400,00000ASSIGNED TIME 61324,E10A180,00501,0100,06/26/2000 61324,S000000,00100,0200,05/25/2000 61324,S200000,00100,0100,750 SCHOOLEY LANE 61324,S200000,00200,0100,EXETER 61324,S200000,00200,0200,PA 61324,S200000,00200,0300,18643 61324,S200000,00300,0100,LUZERNE 61324,S200000,00400,0100,HIGHLAND MANOR NURSING HOME 61324,S200000,00400,0200,395566 61324,S200000,00400,0300,02/03/1983 61324,S200000,00400,0500,P 61324,S200000,00400,0600,O 61324,S200000,00600,0200,395566 61324,S200000,00600,0300,02/03/1983 61324,S200000,00600,0600,P 61324,S200000,01600,0100,Y 61324,S200000,01900,0100,LLC 61324,S200000,02200,0100,Y 61328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61328,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61328,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61328,A000000,00300,0000,00300EMPLOYEE BENEFITS 61328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61328,A000000,00700,0000,00700HOUSEKEEPING 61328,A000000,00800,0000,00800DIETARY 61328,A000000,00801,0000,00801CAFETERIA 61328,A000000,00900,0000,00900NURSING ADMINISTRATION 61328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61328,A000000,01100,0000,01100PHARMACY 61328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61328,A000000,01300,0000,01300SOCIAL SERVICE 61328,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61328,A000000,01600,0000,01600SKILLED NURSING FACILITY 61328,A000000,01800,0000,01800NURSING FACILITY 61328,A000000,01810,0000,01810ICF/MR 61328,A000000,02100,0000,02100RADIOLOGY 61328,A000000,02200,0000,02200LABORATORY 61328,A000000,02300,0000,02300INTRAVENOUS THERAPY 61328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61328,A000000,02500,0000,02500PHYSICAL THERAPY 61328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61328,A000000,02700,0000,02700SPEECH PATHOLOGY 61328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61328,A000000,03050,0000,03300PEN THERAPY 61328,A000000,03051,0000,03301OTHER ANCILLARY II 61328,A000000,03052,0000,03302OTHER ANCILLARY III 61328,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61328,A000000,03550,0000,03550FQHC 61328,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61328,A000000,05000,0000,05000CORF I 61328,A000000,05010,0000,05010CMHC I 61328,A000000,05020,0000,05020OPT I 61328,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61328,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61328,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61328,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61328,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61328,A81000A,00100,0100,Y 61328,A81000B,00100,0300,SEE ATTACHED 61328,A81000B,00200,0300,HOME OFFICE ALLOC 61328,A81000B,00300,0300,ALLOC CAP COSTS 61328,A81000B,00400,0300,CAPITAL INTEREST 61328,A81000C,00100,0100,B 61328,A81000C,00100,0400,AS ATTACHED 61328,A81000C,00100,0600,VARIOUS 61328,A81000C,00200,0100,B 61328,A81000C,00200,0400,GHV 61328,A81000C,00200,0600,LONG TERM CARE 61328,A81000C,00300,0100,B 61328,A81000C,00300,0400,GHV 61328,A81000C,00300,0600,LONG TERM CARE 61328,A81000C,00400,0100,B 61328,A81000C,00400,0400,GHV 61328,A81000C,00400,0600,LONG TERM CARE 61328,B100000,00000,0100,00000(SQUARE FEET) 61328,B100000,00000,0101,00000(SQUARE FEET) 61328,B100000,00000,0200,00000(SQUARE FEET) 61328,B100000,00000,0201,00000(SQUARE FEET) 61328,B100000,00000,0300,00000(GROSS SALARIES) 61328,B100000,00000,0400,00000(ACCUM. COST) 61328,B100000,00000,0500,00000(SQUARE FEET) 61328,B100000,00000,0600,00000(PATIENT DAYS) 61328,B100000,00000,0700,00000(SQUARE FEET) 61328,B100000,00000,0800,00000(MEALS SERVED) 61328,B100000,00000,0801,00000(MEALS SERVED) 61328,B100000,00000,0900,00000(NURSING SALARIES) 61328,B100000,00000,1000,00000CST REQ 61328,B100000,00000,1100,00000(PATIENT DAYS) 61328,B100000,00000,1200,00000(PATIENT DAYS) 61328,B100000,00000,1300,00000(PATIENT DAYS) 61328,B100000,00000,1350,00000(PATIENT DAYS) 61328,B100000,00000,1400,00000(SQUARE FEET) 61328,E10A180,00301,0100,07/05/2000 61328,E10A180,00501,0100,10/20/2001 61328,E10A180,00501,0300,10/20/2001 61328,S000000,00100,0200,11/30/2000 61328,S200000,00100,0100,1201 RURAL AVE 61328,S200000,00200,0100,WILLIAMSPORT 61328,S200000,00200,0200,PA 61328,S200000,00200,0300,17701 61328,S200000,00300,0100,LYCOMING 61328,S200000,00400,0100,ROSEVIEW CENTER 61328,S200000,00400,0200,395767 61328,S200000,00400,0300,11/14/1994 61328,S200000,00400,0500,P 61328,S200000,01600,0100,Y 61328,S200000,02200,0100,Y 61332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61332,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61332,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61332,A000000,00300,0000,00300EMPLOYEE BENEFITS 61332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61332,A000000,00700,0000,00700HOUSEKEEPING 61332,A000000,00800,0000,00800DIETARY 61332,A000000,00801,0000,00801CAFETERIA 61332,A000000,00900,0000,00900NURSING ADMINISTRATION 61332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61332,A000000,01100,0000,01100PHARMACY 61332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61332,A000000,01300,0000,01300SOCIAL SERVICE 61332,A000000,01350,0000,01500REC THERAPY 61332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61332,A000000,01600,0000,01600SKILLED NURSING FACILITY 61332,A000000,01800,0000,01800NURSING FACILITY 61332,A000000,01810,0000,01810ICF/MR 61332,A000000,02100,0000,02100RADIOLOGY 61332,A000000,02200,0000,02200LABORATORY 61332,A000000,02300,0000,02300INTRAVENOUS THERAPY 61332,A000000,02500,0000,02500PHYSICAL THERAPY 61332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61332,A000000,02700,0000,02700SPEECH PATHOLOGY 61332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61332,A000000,03050,0000,03300OTHER ANCILLARY 61332,A000000,03051,0000,03301FEE SCREENING 61332,A000000,03052,0000,03302AMBULANCE 61332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61332,A000000,03550,0000,03550FQHC 61332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61332,A000000,05000,0000,05000CORF I 61332,A000000,05010,0000,05010CMHC I 61332,A000000,05020,0000,05020OPT I 61332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61332,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61332,A81000A,00100,0100,Y 61332,A81000B,00100,0300,SEE ATTACHED 61332,A81000B,00200,0300,HOME OFFICE 61332,A81000B,00300,0300,HOME OFFICE INT. 61332,A81000B,00400,0300,HOME OFFICE CAP. 61332,A81000C,00100,0100,B 61332,A81000C,00100,0400,SEE ATTACHED 61332,A81000C,00100,0600,VARIOUS 61332,A81000C,00200,0100,B 61332,A81000C,00200,0400,GHV 61332,A81000C,00200,0600,HOME OFF 61332,A81000C,00300,0100,B 61332,A81000C,00300,0400,GHV 61332,A81000C,00300,0600,HOME OFF INT. 61332,A81000C,00400,0100,B 61332,A81000C,00400,0400,GHV 61332,A81000C,00400,0600,HOME OFF CAP. 61332,B100000,00000,0100,00000(SQUARE FEET) 61332,B100000,00000,0101,00000(SQUARE FEET) 61332,B100000,00000,0200,00000(SQUARE FEET) 61332,B100000,00000,0201,00000(SQUARE FEET) 61332,B100000,00000,0300,00000(GROSS SALARIES) 61332,B100000,00000,0400,00000(ACCUM. COST) 61332,B100000,00000,0500,00000(SQUARE FEET) 61332,B100000,00000,0600,00000(PATIENT DAYS) 61332,B100000,00000,0700,00000(SQUARE FEET) 61332,B100000,00000,0800,00000(MEALS SERVED) 61332,B100000,00000,0801,00000(MEALS SERVED) 61332,B100000,00000,0900,00000(NURSING SALARIES) 61332,B100000,00000,1000,00000(COSTED REQUIS.) 61332,B100000,00000,1100,00000(PATIENT DAYS) 61332,B100000,00000,1200,00000(PATIENT DAYS) 61332,B100000,00000,1300,00000(PATIENT DAYS) 61332,B100000,00000,1350,00000(PATIENT DAYS) 61332,B100000,00000,1400,00000(ASSIGNED TIME) 61332,E10A180,00301,0100,06/21/2000 61332,E10A180,00550,0300,01/03/2001 61332,S000000,00100,0200,11/30/2000 61332,S200000,00100,0100,1000 SCHUYLKILL 61332,S200000,00200,0100,POTTSTOWN 61332,S200000,00200,0200,PA 61332,S200000,00200,0300,17901 61332,S200000,00300,0100,SCHUYLKILL 61332,S200000,00400,0100,SCHUYLKILL 61332,S200000,00400,0200,395831 61332,S200000,00400,0300,11/14/1994 61332,S200000,00400,0500,P 61332,S200000,01600,0100,Y 61332,S200000,02200,0100,Y 61341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61341,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61341,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61341,A000000,00300,0000,00300EMPLOYEE BENEFITS 61341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61341,A000000,00700,0000,00700HOUSEKEEPING 61341,A000000,00800,0000,00800DIETARY 61341,A000000,00801,0000,00801CAFETERIA 61341,A000000,00900,0000,00900NURSING ADMINISTRATION 61341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61341,A000000,01100,0000,01100PHARMACY 61341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61341,A000000,01300,0000,01300SOCIAL SERVICE 61341,A000000,01350,0000,01500REC THERAPY 61341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61341,A000000,01600,0000,01600SKILLED NURSING FACILITY 61341,A000000,01800,0000,01800NURSING FACILITY 61341,A000000,01810,0000,01810ICF/MR 61341,A000000,02100,0000,02100RADIOLOGY 61341,A000000,02200,0000,02200LABORATORY 61341,A000000,02300,0000,02300INTRAVENOUS THERAPY 61341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61341,A000000,02500,0000,02500PHYSICAL THERAPY 61341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61341,A000000,02700,0000,02700SPEECH PATHOLOGY 61341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61341,A000000,03050,0000,03300PEN THERAPY 61341,A000000,03051,0000,03301FEE SCREENING 61341,A000000,03052,0000,03302AMBULANCE 61341,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61341,A000000,03550,0000,03550FQHC 61341,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61341,A000000,05000,0000,05000CORF I 61341,A000000,05010,0000,05010CMHC I 61341,A000000,05020,0000,05020OPT I 61341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61341,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61341,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61341,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61341,A81000A,00100,0100,Y 61341,A81000B,00100,0300,HOME OFFICE 61341,A81000B,00200,0300,HOME OFFICE CAP 61341,A81000B,00300,0300,HOME OFFICE INT 61341,A81000B,00400,0300,AS ATTACHED 61341,A81000C,00100,0100,B 61341,A81000C,00100,0400,GHV 61341,A81000C,00100,0600,HOME OFFICE 61341,A81000C,00200,0100,B 61341,A81000C,00200,0400,GHV 61341,A81000C,00200,0600,H.O. INT 61341,A81000C,00300,0100,B 61341,A81000C,00300,0400,GHV 61341,A81000C,00300,0600,H. O. CAP. 61341,A81000C,00400,0100,B 61341,A81000C,00400,0400,AS ATTACHED 61341,A81000C,00400,0600,VARIOUS 61341,B100000,00000,0100,00000(SQUARE FEET) 61341,B100000,00000,0101,00000(SQUARE FEET) 61341,B100000,00000,0200,00000(SQUARE FEET) 61341,B100000,00000,0201,00000(SQUARE FEET) 61341,B100000,00000,0300,00000(GROSS SALARIES) 61341,B100000,00000,0400,00000(ACCUM. COST) 61341,B100000,00000,0500,00000(SQUARE FEET) 61341,B100000,00000,0600,00000(PATIENT DAYS) 61341,B100000,00000,0700,00000(SQUARE FEET) 61341,B100000,00000,0800,00000(MEALS SERVED) 61341,B100000,00000,0801,00000(MEALS SERVED) 61341,B100000,00000,0900,00000(NURSING SALARIES) 61341,B100000,00000,1000,00000COSTED REQ 61341,B100000,00000,1100,00000(PATIENT DAYS) 61341,B100000,00000,1200,00000(PATIENT DAYS) 61341,B100000,00000,1300,00000(PATIENT DAYS) 61341,B100000,00000,1350,00000(PATIENT DAYS) 61341,B100000,00000,1400,00000(ASSIGNED TIME) 61341,E10A180,00501,0100,01/18/2001 61341,E10A180,00501,0300,01/18/2001 61341,S000000,00100,0200,11/30/2000 61341,S200000,00100,0100,225 EVERGREEN RD 61341,S200000,00200,0100,POTTSTOWN 61341,S200000,00200,0200,PA 61341,S200000,00200,0300,19464 61341,S200000,00300,0100,M 61341,S200000,00400,0100,SANATOGA CENTER 61341,S200000,00400,0200,395904 61341,S200000,00400,0300,11/14/1994 61341,S200000,00400,0500,P 61341,S200000,01600,0100,Y 61341,S200000,02200,0100,Y 61345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61345,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61345,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61345,A000000,00300,0000,00300EMPLOYEE BENEFITS 61345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61345,A000000,00700,0000,00700HOUSEKEEPING 61345,A000000,00800,0000,00800DIETARY 61345,A000000,00801,0000,00801CAFETERIA 61345,A000000,00900,0000,00900NURSING ADMINISTRATION 61345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61345,A000000,01100,0000,01100PHARMACY 61345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61345,A000000,01300,0000,01300SOCIAL SERVICE 61345,A000000,01350,0000,01500RECREATION 61345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61345,A000000,01600,0000,01600SKILLED NURSING FACILITY 61345,A000000,01800,0000,01800NURSING FACILITY 61345,A000000,01810,0000,01810ICF/MR 61345,A000000,02100,0000,02100RADIOLOGY 61345,A000000,02200,0000,02200LABORATORY 61345,A000000,02300,0000,02300INTRAVENOUS THERAPY 61345,A000000,02500,0000,02500PHYSICAL THERAPY 61345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61345,A000000,02700,0000,02700SPEECH PATHOLOGY 61345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61345,A000000,03050,0000,03300PEN THERAPY 61345,A000000,03051,0000,03301FEE SCREENING 61345,A000000,03052,0000,03302AMBULANCE 61345,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61345,A000000,03550,0000,03550FQHC 61345,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61345,A000000,05000,0000,05000CORF I 61345,A000000,05010,0000,05010CMHC I 61345,A000000,05020,0000,05020OPT I 61345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61345,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61345,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61345,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61345,A81000A,00100,0100,Y 61345,A81000B,00100,0300,HOME OFFICE 61345,A81000B,00200,0300,HOME OFFICE CAPITAL 61345,A81000B,00300,0300,AS ATTACHED 61345,A81000B,00400,0300,HOME OFFICE CAPITAL 61345,A81000C,00100,0100,B 61345,A81000C,00100,0400,GEN HLTH VEN 61345,A81000C,00100,0600,HOME OFFICE 61345,A81000C,00200,0100,B 61345,A81000C,00200,0400,GEN HLTH VEN 61345,A81000C,00200,0600,HOME OFFICE 61345,A81000C,00300,0100,B 61345,A81000C,00300,0400,AS ATTACHED 61345,A81000C,00300,0600,VARIOUS 61345,A81000C,00400,0100,B 61345,A81000C,00400,0400,GEN HLTH VEN 61345,A81000C,00400,0600,HOME OFFICE 61345,B100000,00000,0100,00000(SQUARE FEET) 61345,B100000,00000,0101,00000(SQUARE FEET) 61345,B100000,00000,0200,00000(SQUARE FEET) 61345,B100000,00000,0201,00000(SQUARE FEET) 61345,B100000,00000,0300,00000(GROSS SALARIES) 61345,B100000,00000,0400,00000(ACCUM. COST) 61345,B100000,00000,0500,00000(SQUARE FEET) 61345,B100000,00000,0600,00000(PATIENT DAYS) 61345,B100000,00000,0700,00000(SQUARE FEET) 61345,B100000,00000,0800,00000(MEALS SERVED) 61345,B100000,00000,0801,00000(MEALS SERVED) 61345,B100000,00000,0900,00000(NURSING SALARIES) 61345,B100000,00000,1000,00000(COSTED REQUIS.) 61345,B100000,00000,1100,00000(PATIENT DAYS) 61345,B100000,00000,1200,00000(PATIENT DAYS) 61345,B100000,00000,1300,00000(PATIENT DAYS) 61345,B100000,00000,1350,00000(PATIENT DAYS) 61345,B100000,00000,1400,00000(ASSIGNED TIME) 61345,E10A180,00301,0100,06/21/2000 61345,E10A180,00501,0300,12/11/2000 61345,S000000,00100,0200,11/30/2000 61345,S200000,00100,0100,5501 PERKIOMEN AVE. 61345,S200000,00200,0100,READING 61345,S200000,00200,0200,PA 61345,S200000,00300,0100,BERKS 61345,S200000,00400,0100,BERKSHIRE CENTER 61345,S200000,00400,0200,395938 61345,S200000,00400,0300,09/22/1994 61345,S200000,00400,0500,P 61345,S200000,01600,0100,Y 61345,S200000,02200,0100,Y 61349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61349,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61349,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61349,A000000,00300,0000,00300EMPLOYEE BENEFITS 61349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61349,A000000,00700,0000,00700HOUSEKEEPING 61349,A000000,00800,0000,00800DIETARY 61349,A000000,00801,0000,00801CAFETERIA 61349,A000000,00900,0000,00900NURSING ADMINISTRATION 61349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61349,A000000,01100,0000,01100PHARMACY 61349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61349,A000000,01300,0000,01300SOCIAL SERVICE 61349,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61349,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61349,A000000,01600,0000,01600SKILLED NURSING FACILITY 61349,A000000,01800,0000,01800NURSING FACILITY 61349,A000000,01810,0000,01810ICF/MR 61349,A000000,02100,0000,02100RADIOLOGY 61349,A000000,02200,0000,02200LABORATORY 61349,A000000,02300,0000,02300INTRAVENOUS THERAPY 61349,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61349,A000000,02500,0000,02500PHYSICAL THERAPY 61349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61349,A000000,02700,0000,02700SPEECH PATHOLOGY 61349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61349,A000000,03050,0000,03300PEN THERAPY 61349,A000000,03051,0000,03301FEE SCREENING 61349,A000000,03052,0000,03302OTHER ANCILLARY III 61349,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61349,A000000,03550,0000,03550FQHC 61349,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61349,A000000,05000,0000,05000CORF I 61349,A000000,05010,0000,05010CMHC I 61349,A000000,05020,0000,05020OPT I 61349,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61349,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61349,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61349,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61349,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61349,A81000A,00100,0100,Y 61349,A81000B,00100,0300,HOME OFFICE 61349,A81000B,00200,0300,CAPITAL 61349,A81000B,00300,0300,CAPITAL INTEREST 61349,A81000B,00400,0300,AS ATTACHED 61349,A81000C,00100,0100,B 61349,A81000C,00100,0400,GEN HLTH VEN. 61349,A81000C,00100,0600,LONG TERM CARE 61349,A81000C,00200,0100,B 61349,A81000C,00200,0400,GEN HLTH VEN. 61349,A81000C,00200,0600,LONG TERM CARE 61349,A81000C,00300,0100,B 61349,A81000C,00300,0400,GEN HLTH VEN. 61349,A81000C,00300,0600,LONG TERM CARE 61349,A81000C,00400,0100,B 61349,A81000C,00400,0400,AS ATTACHED 61349,A81000C,00400,0600,VARIOUS 61349,B100000,00000,0100,00000(SQUARE FEET) 61349,B100000,00000,0101,00000(SQUARE FEET) 61349,B100000,00000,0200,00000(SQUARE FEET) 61349,B100000,00000,0201,00000(SQUARE FEET) 61349,B100000,00000,0300,00000(GROSS SALARIES) 61349,B100000,00000,0400,00000(ACCUM. COST) 61349,B100000,00000,0500,00000(SQUARE FEET) 61349,B100000,00000,0600,00000(PATIENT DAYS) 61349,B100000,00000,0700,00000(SQUARE FEET) 61349,B100000,00000,0800,00000(MEALS SERVED) 61349,B100000,00000,0801,00000(MEALS SERVED) 61349,B100000,00000,0900,00000(NURSING SALARIES) 61349,B100000,00000,1000,00000COST REQ 61349,B100000,00000,1100,00000(PATIENT DAYS) 61349,B100000,00000,1200,00000(PATIENT DAYS) 61349,B100000,00000,1300,00000(PATIENT DAYS) 61349,B100000,00000,1350,00000(PATIENT DAYS) 61349,B100000,00000,1400,00000(ASSIGNED TIME) 61349,E10A180,00301,0100,06/21/2000 61349,E10A180,00501,0300,12/11/2000 61349,S000000,00100,0200,11/30/2000 61349,S200000,00100,0100,1718 SPRING CREEK 61349,S200000,00200,0100,MACUNGIE 61349,S200000,00200,0200,PA 61349,S200000,00200,0300,18062 61349,S200000,00300,0100,LEHIGH 61349,S200000,00400,0100,LEHIGH CENTER 61349,S200000,00400,0200,395939 61349,S200000,00400,0300,11/19/1994 61349,S200000,00400,0500,P 61349,S200000,01600,0100,Y 61349,S200000,02200,0100,Y 61353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61353,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61353,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61353,A000000,00300,0000,00300EMPLOYEE BENEFITS 61353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61353,A000000,00700,0000,00700HOUSEKEEPING 61353,A000000,00800,0000,00800DIETARY 61353,A000000,00801,0000,00801CAFETERIA 61353,A000000,00900,0000,00900NURSING ADMINISTRATION 61353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61353,A000000,01100,0000,01100PHARMACY 61353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61353,A000000,01300,0000,01300SOCIAL SERVICE 61353,A000000,01350,0000,01500REC THERAPY 61353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61353,A000000,01600,0000,01600SKILLED NURSING FACILITY 61353,A000000,01800,0000,01800NURSING FACILITY 61353,A000000,01810,0000,01810ICF/MR 61353,A000000,02100,0000,02100RADIOLOGY 61353,A000000,02200,0000,02200LABORATORY 61353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61353,A000000,02500,0000,02500PHYSICAL THERAPY 61353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61353,A000000,02700,0000,02700SPEECH PATHOLOGY 61353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61353,A000000,03050,0000,03300PEN THERAPY 61353,A000000,03051,0000,03301FEE SCREENING 61353,A000000,03052,0000,03302OTHER ANCILLARY III 61353,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61353,A000000,03550,0000,03550FQHC 61353,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61353,A000000,05000,0000,05000CORF I 61353,A000000,05010,0000,05010CMHC I 61353,A000000,05020,0000,05020OPT I 61353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61353,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61353,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61353,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61353,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61353,A81000A,00100,0100,Y 61353,A81000B,00100,0300,HOME OFFICE 61353,A81000B,00200,0300,CAPITAL INTEREST 61353,A81000B,00300,0300,AS ATTACHED 61353,A81000C,00100,0100,B 61353,A81000C,00100,0400,GHV 61353,A81000C,00100,0600,L/T CARE 61353,A81000C,00200,0100,B 61353,A81000C,00200,0400,GHV 61353,A81000C,00200,0600,L/T CARE 61353,A81000C,00300,0100,B 61353,A81000C,00300,0400,GHV 61353,A81000C,00300,0600,VARIOUS 61353,B100000,00000,0100,00000(SQUARE FEET) 61353,B100000,00000,0101,00000(SQUARE FEET) 61353,B100000,00000,0200,00000(SQUARE FEET) 61353,B100000,00000,0201,00000(SQUARE FEET) 61353,B100000,00000,0300,00000(GROSS SALARIES) 61353,B100000,00000,0400,00000(ACCUM. COST) 61353,B100000,00000,0500,00000(SQUARE FEET) 61353,B100000,00000,0600,00000(PATIENT DAYS) 61353,B100000,00000,0700,00000(SQUARE FEET) 61353,B100000,00000,0800,00000(MEALS SERVED) 61353,B100000,00000,0801,00000(MEALS SERVED) 61353,B100000,00000,0900,00000(NURSING SALARIES) 61353,B100000,00000,1000,00000COST. REQ 61353,B100000,00000,1100,00000(PATIENT DAYS) 61353,B100000,00000,1200,00000(PATIENT DAYS) 61353,B100000,00000,1300,00000(PATIENT DAYS) 61353,B100000,00000,1350,00000(PATIENT DAYS) 61353,B100000,00000,1400,00000(ASSIGNED TIME) 61353,S000000,00100,0200,05/31/2000 61353,S200000,00100,0100,3485 DAVISVILLE ROAD 61353,S200000,00200,0100,HATBORO 61353,S200000,00200,0200,PA 61353,S200000,00200,0300,19040 61353,S200000,00300,0100,MONTGOMERY 61353,S200000,00400,0100,WILLOW RIDGE CENTER 61353,S200000,00400,0200,396017 61353,S200000,00400,0300,01/17/1997 61353,S200000,00400,0500,P 61353,S200000,01600,0100,Y 61353,S200000,02200,0100,Y 61356,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61356,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61356,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61356,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61356,A000000,00300,0000,00300EMPLOYEE BENEFITS 61356,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61356,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61356,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61356,A000000,00700,0000,00700HOUSEKEEPING 61356,A000000,00800,0000,00800DIETARY 61356,A000000,00801,0000,00801CAFETERIA 61356,A000000,00900,0000,00900NURSING ADMINISTRATION 61356,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61356,A000000,01100,0000,01100PHARMACY 61356,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61356,A000000,01300,0000,01300SOCIAL SERVICE 61356,A000000,01350,0000,01500RECREATION 61356,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61356,A000000,01600,0000,01600SKILLED NURSING FACILITY 61356,A000000,01800,0000,01800NURSING FACILITY 61356,A000000,01810,0000,01810ICF/MR 61356,A000000,02100,0000,02100RADIOLOGY 61356,A000000,02200,0000,02200LABORATORY 61356,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61356,A000000,02500,0000,02500PHYSICAL THERAPY 61356,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61356,A000000,02700,0000,02700SPEECH PATHOLOGY 61356,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61356,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61356,A000000,03050,0000,03300PEN THERAPY 61356,A000000,03051,0000,03301FEE SCREENING 61356,A000000,03052,0000,03302OTHER ANCILLARY III 61356,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61356,A000000,03550,0000,03550FQHC 61356,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61356,A000000,05000,0000,05000CORF I 61356,A000000,05010,0000,05010CMHC I 61356,A000000,05020,0000,05020OPT I 61356,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61356,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61356,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61356,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61356,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61356,A81000A,00100,0100,Y 61356,A81000B,00100,0300,HOME OFFICE 61356,A81000B,00200,0300,HOME OFFICE CAPITAL 61356,A81000B,00300,0300,AS ATTACHED 61356,A81000B,00400,0300,HOME OFFICE CAPITAL 61356,A81000C,00100,0100,B 61356,A81000C,00100,0400,GEN HLTH VEN 61356,A81000C,00100,0600,HOME OFFICE 61356,A81000C,00200,0100,B 61356,A81000C,00200,0400,GEN HLTH VEN 61356,A81000C,00200,0600,HOME OFFICE 61356,A81000C,00300,0100,B 61356,A81000C,00300,0400,AS ATTACHED 61356,A81000C,00300,0600,VARIOUS 61356,A81000C,00400,0100,B 61356,A81000C,00400,0400,GEN HLTH VEN 61356,A81000C,00400,0600,HOME OFFICE 61356,B100000,00000,0100,00000(SQUARE FEET) 61356,B100000,00000,0101,00000(SQUARE FEET) 61356,B100000,00000,0200,00000(SQUARE FEET) 61356,B100000,00000,0201,00000(SQUARE FEET) 61356,B100000,00000,0300,00000(GROSS SALARIES) 61356,B100000,00000,0400,00000(ACCUM. COST) 61356,B100000,00000,0500,00000(SQUARE FEET) 61356,B100000,00000,0600,00000(PATIENT DAYS) 61356,B100000,00000,0700,00000(SQUARE FEET) 61356,B100000,00000,0800,00000(MEALS SERVED) 61356,B100000,00000,0801,00000(MEALS SERVED) 61356,B100000,00000,0900,00000(NURSING SALARIES) 61356,B100000,00000,1000,00000(COSTED REQUIS.) 61356,B100000,00000,1100,00000(COSTED REQUIS.) 61356,B100000,00000,1200,00000(PATIENT DAYS) 61356,B100000,00000,1300,00000(PATIENT DAYS) 61356,B100000,00000,1350,00000(PATIENT DAYS) 61356,B100000,00000,1400,00000(ASSIGNED TIME) 61356,S000000,00100,0200,05/31/2000 61356,S200000,00100,0100,660 COMMONWEALTH AVE. 61356,S200000,00200,0100,WARWICK 61356,S200000,00200,0200,RI 61356,S200000,00200,0300,02886 61356,S200000,00300,0100,KENT 61356,S200000,00400,0100,KENT CENTER 61356,S200000,00400,0200,415009 61356,S200000,00400,0300,01/03/1967 61356,S200000,00400,0500,P 61356,S200000,01600,0100,Y 61356,S200000,02200,0100,Y 61359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61359,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61359,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61359,A000000,00300,0000,00300EMPLOYEE BENEFITS 61359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61359,A000000,00700,0000,00700HOUSEKEEPING 61359,A000000,00800,0000,00800DIETARY 61359,A000000,00801,0000,00801CAFETERIA 61359,A000000,00900,0000,00900NURSING ADMINISTRATION 61359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61359,A000000,01100,0000,01100PHARMACY 61359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61359,A000000,01300,0000,01300SOCIAL SERVICE 61359,A000000,01350,0000,01500REC THERAPY 61359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61359,A000000,01600,0000,01600SKILLED NURSING FACILITY 61359,A000000,01800,0000,01800NURSING FACILITY 61359,A000000,01810,0000,01810ICF/MR 61359,A000000,02100,0000,02100RADIOLOGY 61359,A000000,02200,0000,02200LABORATORY 61359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61359,A000000,02500,0000,02500PHYSICAL THERAPY 61359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61359,A000000,02700,0000,02700SPEECH PATHOLOGY 61359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61359,A000000,03050,0000,03300PEN THERAPY 61359,A000000,03051,0000,03301FEE SCREENING 61359,A000000,03052,0000,03302OTHER ANCILLARY III 61359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61359,A000000,03550,0000,03550FQHC 61359,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61359,A000000,05000,0000,05000CORF I 61359,A000000,05010,0000,05010CMHC I 61359,A000000,05020,0000,05020OPT I 61359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61359,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61359,A81000A,00100,0100,Y 61359,A81000B,00100,0300,HOME OFFICE 61359,A81000B,00200,0300,CAPITAL INTEREST 61359,A81000B,00300,0300,VARIOUS 61359,A81000B,00400,0300,HOME OFFICE 61359,A81000C,00100,0100,B 61359,A81000C,00100,0400,GHV 61359,A81000C,00100,0600,HOME OFFICE 61359,A81000C,00200,0100,B 61359,A81000C,00200,0400,GHV 61359,A81000C,00200,0600,CAPITAL 61359,A81000C,00300,0100,B 61359,A81000C,00300,0400,VARIOUS 61359,A81000C,00300,0600,VARIOUS 61359,A81000C,00400,0100,B 61359,A81000C,00400,0400,GHV 61359,A81000C,00400,0600,HOME OFFICE 61359,B100000,00000,0100,00000(SQUARE FEET) 61359,B100000,00000,0101,00000(SQUARE FEET) 61359,B100000,00000,0200,00000(SQUARE FEET) 61359,B100000,00000,0201,00000(SQUARE FEET) 61359,B100000,00000,0300,00000(GROSS SALARIES) 61359,B100000,00000,0400,00000(ACCUM. COST) 61359,B100000,00000,0500,00000(SQUARE FEET) 61359,B100000,00000,0600,00000(PATIENT DAYS) 61359,B100000,00000,0700,00000(SQUARE FEET) 61359,B100000,00000,0800,00000(MEALS SERVED) 61359,B100000,00000,0801,00000(MEALS SERVED) 61359,B100000,00000,0900,00000(NURSING SALARIES) 61359,B100000,00000,1000,00000COST REQ. 61359,B100000,00000,1100,00000(PATIENT DAYS) 61359,B100000,00000,1200,00000(PATIENT DAYS) 61359,B100000,00000,1300,00000(PATIENT DAYS) 61359,B100000,00000,1350,00000(PATIENT DAYS) 61359,B100000,00000,1400,00000(ASSIGNED TIME) 61359,S000000,00100,0200,05/31/2000 61359,S200000,00100,0100,100 CHAMBER ST 61359,S200000,00200,0100,CUMBERLAND 61359,S200000,00200,0200,RI 61359,S200000,00200,0300,02864 61359,S200000,00300,0100,PROVIDENCE 61359,S200000,00400,0100,GRANDVIEW NURSING HOME 61359,S200000,00400,0200,415020 61359,S200000,00400,0300,01/02/1968 61359,S200000,00400,0500,P 61359,S200000,01600,0100,Y 61359,S200000,02200,0100,Y 61362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61362,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61362,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61362,A000000,00300,0000,00300EMPLOYEE BENEFITS 61362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61362,A000000,00700,0000,00700HOUSEKEEPING 61362,A000000,00800,0000,00800DIETARY 61362,A000000,00801,0000,00801CAFETERIA 61362,A000000,00900,0000,00900NURSING ADMINISTRATION 61362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61362,A000000,01100,0000,01100PHARMACY 61362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61362,A000000,01300,0000,01300SOCIAL SERVICE 61362,A000000,01350,0000,01500RECT THERAPY 61362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61362,A000000,01600,0000,01600SKILLED NURSING FACILITY 61362,A000000,01800,0000,01800NURSING FACILITY 61362,A000000,01810,0000,01810ICF/MR 61362,A000000,02100,0000,02100RADIOLOGY 61362,A000000,02200,0000,02200LABORATORY 61362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61362,A000000,02500,0000,02500PHYSICAL THERAPY 61362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61362,A000000,02700,0000,02700SPEECH PATHOLOGY 61362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61362,A000000,03050,0000,03300PEN THERAPY 61362,A000000,03051,0000,03301FEE SCREENING 61362,A000000,03052,0000,03302OTHER ANCILLARY III 61362,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61362,A000000,03550,0000,03550FQHC 61362,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61362,A000000,05000,0000,05000CORF I 61362,A000000,05010,0000,05010CMHC I 61362,A000000,05020,0000,05020OPT I 61362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61362,A000000,05300,0000,05300INTEREST EXPENSE 61362,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61362,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61362,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61362,A81000A,00100,0100,Y 61362,A81000B,00100,0300,SEE ATTACHED 61362,A81000B,00200,0300,HOME OFFICE 61362,A81000B,00300,0300,HOME OFFICE 61362,A81000B,00400,0300,CAPITAL INTEREST 61362,A81000C,00100,0100,B 61362,A81000C,00100,0400,AS ATTACHED 61362,A81000C,00100,0600,VARIOUS 61362,A81000C,00200,0100,B 61362,A81000C,00200,0400,GHV 61362,A81000C,00200,0600,LONG TERM CARE 61362,A81000C,00300,0100,B 61362,A81000C,00300,0400,GHV 61362,A81000C,00300,0600,LONG TERM CARE 61362,A81000C,00400,0100,B 61362,A81000C,00400,0400,GHV 61362,A81000C,00400,0600,LONG TERM CARE 61362,B100000,00000,0100,00000(SQUARE FEET) 61362,B100000,00000,0101,00000(SQUARE FEET) 61362,B100000,00000,0200,00000(SQUARE FEET) 61362,B100000,00000,0201,00000(SQUARE FEET) 61362,B100000,00000,0300,00000(GROSS SALARIES) 61362,B100000,00000,0400,00000(ACCUM. COST) 61362,B100000,00000,0500,00000(SQUARE FEET) 61362,B100000,00000,0600,00000(PATIENT DAYS) 61362,B100000,00000,0700,00000(SQUARE FEET) 61362,B100000,00000,0800,00000(MEALS SERVED) 61362,B100000,00000,0801,00000(MEALS SERVED) 61362,B100000,00000,0900,00000(NURSING SALARIES) 61362,B100000,00000,1000,00000CST REQ 61362,B100000,00000,1100,00000(PATIENT DAYS) 61362,B100000,00000,1200,00000(PATIENT DAYS) 61362,B100000,00000,1300,00000(PATIENT DAYS) 61362,B100000,00000,1350,00000(PATIENT DAYS) 61362,B100000,00000,1400,00000(ASSIGNED TIME) 61362,S000000,00100,0200,05/31/2000 61362,S200000,00100,0100,333 GREEN END AVENUE 61362,S200000,00200,0100,MIDDLETOWN 61362,S200000,00200,0200,RI 61362,S200000,00200,0300,02842 61362,S200000,00300,0100,NEWPORT 61362,S200000,00400,0100,GRAND ISLANDER CENTER 61362,S200000,00400,0200,415034 61362,S200000,00400,0300,01/01/1975 61362,S200000,00400,0500,P 61362,S200000,01600,0100,Y 61362,S200000,02200,0100,Y 61376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61376,A000000,00300,0000,00300EMPLOYEE BENEFITS 61376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61376,A000000,00700,0000,00700HOUSEKEEPING 61376,A000000,00800,0000,00800DIETARY 61376,A000000,00900,0000,00900NURSING ADMINISTRATION 61376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61376,A000000,01100,0000,01100PHARMACY 61376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61376,A000000,01300,0000,01300SOCIAL SERVICE 61376,A000000,01350,0000,01500ACTIVITIES 61376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61376,A000000,01600,0000,01600SKILLED NURSING FACILITY 61376,A000000,01800,0000,01800NURSING FACILITY 61376,A000000,01810,0000,01810ICF/MR 61376,A000000,02100,0000,02100RADIOLOGY 61376,A000000,02200,0000,02200LABORATORY 61376,A000000,02300,0000,02300INTRAVENOUS THERAPY 61376,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61376,A000000,02500,0000,02500PHYSICAL THERAPY 61376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61376,A000000,02700,0000,02700SPEECH PATHOLOGY 61376,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61376,A000000,02901,0000,02901PEN THERAPY 61376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61376,A000000,03050,0000,03300OTHER ANCILL-AMBULANCE SERV 61376,A000000,03550,0000,03550FQHC 61376,A000000,05000,0000,05000CORF 61376,A000000,05010,0000,05010CMHC 61376,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61376,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61376,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61376,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61376,A81000A,00100,0100,Y 61376,A81000B,00100,0300,POOLED CAPITAL 61376,A81000B,00200,0300,MGMT FEE 61376,A81000B,00300,0300,LCCA-METLIFE2 INT-HO 61376,A81000B,00400,0300,LCCA-INT 61376,A81000B,00500,0300,REHAB ALLOC 61376,A81000B,00600,0300,REHAB ALLOC 61376,A81000B,00700,0300,REHAB ALLOC 61376,A81000B,00800,0300,PROJECT 2000-INSTALL 61376,A81000B,00900,0300,LIFE CARE DESIGN-FUR 61376,A81000B,01000,0300,LIFE CARE DESIGN-FUR 61376,A81000C,00100,0100,A 61376,A81000C,00100,0200,FORREST PRESTON 61376,A81000C,00100,0400,LCCA 61376,A81000C,00100,0600,MGMT CO 61376,A81000C,00200,0100,A 61376,A81000C,00200,0200,FORREST PRESTON 61376,A81000C,00200,0400,LCCA 61376,A81000C,00200,0600,MGMT CO 61376,A81000C,00300,0100,A 61376,A81000C,00300,0200,FORREST PRESTON 61376,A81000C,00300,0400,LCCA 61376,A81000C,00300,0600,MGMT CO 61376,A81000C,00400,0100,A 61376,A81000C,00400,0200,FORREST PRESTON 61376,A81000C,00400,0400,LCCA 61376,A81000C,00400,0600,MGMT CO 61376,A81000C,00500,0100,A 61376,A81000C,00500,0200,FORREST PRESTON 61376,A81000C,00500,0400,LCCA 61376,A81000C,00500,0600,MGMT CO 61376,A81000C,00600,0100,A 61376,A81000C,00600,0200,FORREST PRESTON 61376,A81000C,00600,0400,LCCA 61376,A81000C,00600,0600,MGMT CO 61376,A81000C,00700,0100,A 61376,A81000C,00700,0200,FORREST PRESTON 61376,A81000C,00700,0400,LCCA 61376,A81000C,00700,0600,MGMT CO 61376,A81000C,00800,0100,A 61376,A81000C,00800,0200,FORREST PRESTON 61376,A81000C,00800,0400,LCCA 61376,A81000C,00800,0600,MGMT CO 61376,A81000C,00900,0100,A 61376,A81000C,00900,0200,FORREST PRESTON 61376,A81000C,00900,0400,LIFE CARE DESIG 61376,A81000C,00900,0600,F&F 61376,A81000C,01000,0100,A 61376,A81000C,01000,0200,FORREST PRESTON 61376,A81000C,01000,0400,LIFE CARE DEISG 61376,A81000C,01000,0600,F&F 61376,B100000,00000,0100,00000(SQUARE FEET) 61376,B100000,00000,0200,00000(SQUARE FEET) 61376,B100000,00000,0300,00000(GROSS SALARIES) 61376,B100000,00000,0400,00000(ACCUM COST) 61376,B100000,00000,0500,00000(SQUARE FEET) 61376,B100000,00000,0600,00000PATIENT DAYS 61376,B100000,00000,0700,00000(SQUARE FEET) 61376,B100000,00000,0800,00000(MEALS SERVED) 61376,B100000,00000,0900,00000DIRECT HOURS 61376,B100000,00000,1000,00000(COSTED REQUIS) 61376,B100000,00000,1100,00000(COSTED REQUIS) 61376,B100000,00000,1200,00000GROSS REVENUES 61376,B100000,00000,1300,00000PATIENT DAYS 61376,B100000,00000,1350,00000PATIENT DAYS 61376,B100000,00000,1400,00000(ASSIGNED TIME) 61376,S000000,00100,0200,05/25/2000 61376,S200000,00100,0100,ONE EVERGREEN DRIVE 61376,S200000,00200,0100,EAST PROVIDENCE 61376,S200000,00200,0200,RI 61376,S200000,00200,0300,02914 61376,S200000,00300,0100,PROVIDENCE 61376,S200000,00400,0100,EVERGREEN HOUSE 61376,S200000,00400,0200,415056 61376,S200000,00400,0300,03/01/1986 61376,S200000,00400,0500,P 61376,S200000,00400,0600,O 61376,S200000,01600,0100,Y 61376,S200000,02200,0100,Y 61376,S200000,04300,0100,Y 61376,S200000,04700,0100,Y 61376,S200000,04700,0200,Y 61383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61383,A000000,00300,0000,00300EMPLOYEE BENEFITS 61383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61383,A000000,00700,0000,00700HOUSEKEEPING 61383,A000000,00800,0000,00800DIETARY 61383,A000000,00900,0000,00900NURSING ADMINISTRATION 61383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61383,A000000,01100,0000,01100PHARMACY 61383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61383,A000000,01300,0000,01300SOCIAL SERVICE 61383,A000000,01350,0000,01500ACTIVITIES 61383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61383,A000000,01600,0000,01600SKILLED NURSING FACILITY 61383,A000000,01800,0000,01800NURSING FACILITY 61383,A000000,01810,0000,01810ICF/MR 61383,A000000,02100,0000,02100RADIOLOGY 61383,A000000,02200,0000,02200LABORATORY 61383,A000000,02300,0000,02300INTRAVENOUS THERAPY 61383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61383,A000000,02500,0000,02500PHYSICAL THERAPY 61383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61383,A000000,02700,0000,02700SPEECH PATHOLOGY 61383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61383,A000000,02901,0000,02901PEN THERAPY 61383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61383,A000000,03050,0000,03300OTHER ANCILLARIES 61383,A000000,03051,0000,03301AMBULANCE 61383,A000000,03550,0000,03550FQHC 61383,A000000,05000,0000,05000CORF 61383,A000000,05010,0000,05010CMHC 61383,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61383,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61383,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61383,A81000A,00100,0100,Y 61383,A81000B,00100,0300,HOME OFFICE COSTS 61383,A81000B,00200,0300,DESIGN SUPPLIES 61383,A81000B,00300,0300,REL PARTY INTEREST 61383,A81000B,00400,0300,REHAB ALLOCATION 61383,A81000B,00500,0300,REHAB ALLOCATION 61383,A81000B,00600,0300,REHAB ALLOCATION 61383,A81000B,00700,0300,MEDILIFE 61383,A81000B,00800,0300,DEVELOPMENT COSTS 61383,A81000B,00900,0300,COMPUTER INSTALLATIO 61383,A81000C,00100,0100,A 61383,A81000C,00100,0200,FORREST PRESTON 61383,A81000C,00100,0400,LCCA 61383,A81000C,00100,0600,NSG HOME MANAG 61383,A81000C,00200,0100,A 61383,A81000C,00200,0200,FORREST PRESTON 61383,A81000C,00200,0400,LIFE CARE DESIG 61383,A81000C,00200,0600,INTERIOR DESIGN 61383,A81000C,00300,0100,A 61383,A81000C,00300,0200,FORREST PRESTON 61383,A81000C,00300,0400,LCCA 61383,A81000C,00300,0600,NSG HOME MANAG 61383,A81000C,00400,0100,A 61383,A81000C,00400,0200,FORREST PRESTON 61383,A81000C,00400,0400,LCCA 61383,A81000C,00400,0600,NSG HOME MANAG 61383,A81000C,00500,0100,A 61383,A81000C,00500,0200,FORREST PRESTON 61383,A81000C,00500,0400,LCCA 61383,A81000C,00500,0600,NSG HOME MANAG 61383,A81000C,00600,0100,A 61383,A81000C,00600,0200,FORREST PRESTON 61383,A81000C,00600,0400,LCCA 61383,A81000C,00600,0600,NSG HOME MANAG 61383,A81000C,00700,0100,G 61383,A81000C,00700,0200,LIFE CARE PHARM 61383,A81000C,00700,0400,MEDILIFE 61383,A81000C,00700,0600,PHARMACY 61383,A81000C,00800,0100,A 61383,A81000C,00800,0200,FORREST PRESTON 61383,A81000C,00800,0400,LCCA 61383,A81000C,00800,0600,NSG HOME MANAG 61383,A81000C,00900,0100,A 61383,A81000C,00900,0200,FORREST PRESTON 61383,A81000C,00900,0400,LCCA 61383,A81000C,00900,0600,NSG HOME MANAG 61383,B100000,00000,0100,00000(SQUARE FEET) 61383,B100000,00000,0200,00000(SQUARE FEET) 61383,B100000,00000,0300,00000(GROSS SALARIES) 61383,B100000,00000,0400,00000(ACCUM COST) 61383,B100000,00000,0500,00000(SQUARE FEET) 61383,B100000,00000,0600,00000PATIENT DAYS 61383,B100000,00000,0700,00000(SQUARE FEET) 61383,B100000,00000,0800,00000(MEALS SERVED) 61383,B100000,00000,0900,00000HOURS OF SERVICE 61383,B100000,00000,1000,00000(COSTED REQUIS) 61383,B100000,00000,1100,00000(COSTED REQUIS) 61383,B100000,00000,1200,00000GROSS REVENUES 61383,B100000,00000,1300,00000PATIENT DAYS 61383,B100000,00000,1350,00000PATIENT DAYS 61383,B100000,00000,1400,00000(ASSIGNED TIME) 61383,E10A180,00301,0100,08/17/1999 61383,S000000,00100,0200,05/25/2000 61383,S200000,00100,0100,120 LAMOTTE DRIVE 61383,S200000,00200,0100,HILTON HEAD ISLAND 61383,S200000,00200,0200,SC 61383,S200000,00200,0300,29926 61383,S200000,00300,0100,BUFORD 61383,S200000,00400,0100,LCC OF HILTON HEAD 61383,S200000,00400,0200,425147 61383,S200000,00400,0300,10/01/1992 61383,S200000,00400,0500,P 61383,S200000,00600,0200,425147 61383,S200000,00600,0300,10/01/1992 61383,S200000,00600,0600,P 61383,S200000,01500,0100,Y 61383,S200000,02200,0100,Y 61391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61391,A000000,00300,0000,00300EMPLOYEE BENEFITS 61391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61391,A000000,00700,0000,00700HOUSEKEEPING 61391,A000000,00800,0000,00800DIETARY 61391,A000000,00900,0000,00900NURSING ADMINISTRATION 61391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61391,A000000,01100,0000,01100PHARMACY 61391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61391,A000000,01300,0000,01300SOCIAL SERVICE 61391,A000000,01350,0000,01500ACTIVITIES 61391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61391,A000000,01600,0000,01600SKILLED NURSING FACILITY 61391,A000000,01800,0000,01800NURSING FACILITY 61391,A000000,01810,0000,01810ICF/MR 61391,A000000,02100,0000,02100RADIOLOGY 61391,A000000,02200,0000,02200LABORATORY 61391,A000000,02300,0000,02300INTRAVENOUS THERAPY 61391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61391,A000000,02500,0000,02500PHYSICAL THERAPY 61391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61391,A000000,02700,0000,02700SPEECH PATHOLOGY 61391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61391,A000000,02901,0000,02901PEN THERAPY 61391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61391,A000000,03050,0000,03300OTHER ANCILLARY 61391,A000000,03051,0000,03301AMBULANCE 61391,A000000,03550,0000,03550FQHC 61391,A000000,05000,0000,05000CORF 61391,A000000,05010,0000,05010CMHC 61391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61391,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61391,A81000A,00100,0100,Y 61391,A81000B,00100,0300,HOME OFFICE COSTS 61391,A81000B,00200,0300,DEPRECIATION 61391,A81000B,00300,0300,REL PARTY INTEREST 61391,A81000B,00400,0300,REHAB ALLOCATION 61391,A81000B,00500,0300,REHAB ALLOCATION 61391,A81000B,00600,0300,REHAB ALLOCATION 61391,A81000B,00700,0300,DESIGN SUPPLIES 61391,A81000B,00800,0300,DRUGS 61391,A81000B,00900,0300,DEVELOPMENT COST 61391,A81000B,01000,0300,DEVELOPMENT COST 61391,A81000B,01100,0300,COMPUTER INSTALLATIO 61391,A81000B,01200,0300,CONSTRUCTION COSTS 61391,A81000B,01300,0300,HCE INTEREST 61391,A81000B,01400,0300,LEASE 61391,A81000C,00100,0100,A 61391,A81000C,00100,0200,FORREST PRESTON 61391,A81000C,00100,0400,LCCA 61391,A81000C,00100,0600,NSG HOME MANAG 61391,A81000C,00200,0100,A 61391,A81000C,00200,0200,FORREST PRESTON 61391,A81000C,00200,0400,LIFE CARE CONST 61391,A81000C,00200,0600,CONSTRUCTION 61391,A81000C,00300,0100,A 61391,A81000C,00300,0200,FORREST PRESTON 61391,A81000C,00300,0400,LCCA 61391,A81000C,00300,0600,NSG HOME MANAG 61391,A81000C,00400,0100,A 61391,A81000C,00400,0200,FORREST PRESTON 61391,A81000C,00400,0400,LCCA 61391,A81000C,00400,0600,NSG HOME MANAG 61391,A81000C,00500,0100,A 61391,A81000C,00500,0200,FORREST PRESTON 61391,A81000C,00500,0400,LCCA 61391,A81000C,00500,0600,NSG HOME MANAG 61391,A81000C,00600,0100,A 61391,A81000C,00600,0200,FORREST PRESTON 61391,A81000C,00600,0400,LCCA 61391,A81000C,00600,0600,NSG HOME MANAG 61391,A81000C,00700,0100,A 61391,A81000C,00700,0200,FORREST PRESTON 61391,A81000C,00700,0400,LIFE CARE DESIG 61391,A81000C,00700,0600,INTERIOR DESIGN 61391,A81000C,00800,0100,A 61391,A81000C,00800,0200,FORREST PRESTON 61391,A81000C,00800,0400,LC PREFERRED ME 61391,A81000C,00800,0600,PEN THERAPY 61391,A81000C,00900,0100,A 61391,A81000C,00900,0200,FORREST PRESTON 61391,A81000C,00900,0400,DEVELOPMENT ENT 61391,A81000C,00900,0600,DEVELOP & ACQUI 61391,A81000C,01000,0100,A 61391,A81000C,01000,0200,FORREST PRESTON 61391,A81000C,01000,0400,DEVELOPMENT ENT 61391,A81000C,01000,0600,DEVELOP & ACQUI 61391,A81000C,01100,0100,A 61391,A81000C,01100,0200,FORREST PRESTON 61391,A81000C,01100,0400,LCCA 61391,A81000C,01100,0600,NSG HOME MANAG 61391,A81000C,01200,0100,A 61391,A81000C,01200,0200,FORREST PRESTON 61391,A81000C,01200,0400,CONSTRUCTION EN 61391,A81000C,01200,0600,CONSTRUCTION 61391,A81000C,01300,0100,A 61391,A81000C,01300,0200,FORREST PRESTON 61391,A81000C,01300,0400,HCE LEASING 61391,A81000C,01300,0600,EQUIPMENT LEASI 61391,A81000C,01400,0100,A 61391,A81000C,01400,0200,FORREST PRESTON 61391,A81000C,01400,0400,CHARLES MED. IN 61391,A81000C,01400,0600,NRSG HOME MANAG 61391,B100000,00000,0100,00000(SQUARE FEET) 61391,B100000,00000,0200,00000(SQUARE FEET) 61391,B100000,00000,0300,00000(GROSS SALARIES) 61391,B100000,00000,0400,00000(ACCUM COST) 61391,B100000,00000,0500,00000(SQUARE FEET) 61391,B100000,00000,0600,00000PATIENT DAYS 61391,B100000,00000,0700,00000(SQUARE FEET) 61391,B100000,00000,0800,00000(MEALS SERVED) 61391,B100000,00000,0900,00000HOURS OF SERVICE 61391,B100000,00000,1000,00000(COSTED REQUIS) 61391,B100000,00000,1100,00000(COSTED REQUIS) 61391,B100000,00000,1200,00000GROSS REVENUES 61391,B100000,00000,1300,00000PATIENT DAYS 61391,B100000,00000,1350,00000PATIENT DAYS 61391,B100000,00000,1400,00000(ASSIGNED TIME) 61391,E10A180,00301,0100,08/17/1999 61391,E10A180,00302,0100,02/08/2000 61391,S000000,00100,0200,06/30/2000 61391,S200000,00100,0100,2600 ELMS PLANTATION BOULEVARD 61391,S200000,00200,0100,NORTH CHARLESTON 61391,S200000,00200,0200,SC 61391,S200000,00200,0300,29406 61391,S200000,00300,0100,CHARLESTON 61391,S200000,00400,0100,LCC OF CHARLESTON 61391,S200000,00400,0200,425332 61391,S200000,00400,0300,02/07/1994 61391,S200000,00400,0500,P 61391,S200000,00600,0200,425332 61391,S200000,00600,0300,02/07/1994 61391,S200000,00600,0600,P 61391,S200000,01600,0100,Y 61391,S200000,02200,0100,Y 61400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61400,A000000,00300,0000,00300EMPLOYEE BENEFITS 61400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61400,A000000,00700,0000,00700HOUSEKEEPING 61400,A000000,00800,0000,00800DIETARY 61400,A000000,00900,0000,00900NURSING ADMINISTRATION 61400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61400,A000000,01100,0000,01100PHARMACY 61400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61400,A000000,01300,0000,01300SOCIAL SERVICE 61400,A000000,01350,0000,01500ACTIVITIES 61400,A000000,01600,0000,01600SKILLED NURSING FACILITY 61400,A000000,01800,0000,01800NURSING FACILITY 61400,A000000,01810,0000,01810ICF/MR 61400,A000000,02100,0000,02100RADIOLOGY 61400,A000000,02200,0000,02200LABORATORY 61400,A000000,02300,0000,02300INTRAVENOUS THERAPY 61400,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61400,A000000,02500,0000,02500PHYSICAL THERAPY 61400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61400,A000000,02700,0000,02700SPEECH PATHOLOGY 61400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61400,A000000,02901,0000,02901PEN THERAPY 61400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61400,A000000,03050,0000,03300OTHER ANCILLARY 61400,A000000,03051,0000,03301AMBULANCE 61400,A000000,03550,0000,03550FQHC 61400,A000000,05000,0000,05000CORF 61400,A000000,05010,0000,05010CMHC 61400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61400,A81000A,00100,0100,Y 61400,A81000B,00100,0300,HOME OFFICE COSTS 61400,A81000B,00200,0300,INTERIOR DESIGN 61400,A81000B,00300,0300,REL PARTY INTEREST 61400,A81000B,00400,0300,REHAB ALLOCATION 61400,A81000B,00500,0300,REHAB ALLOCATION 61400,A81000B,00600,0300,REHAB ALLOCATION 61400,A81000B,00700,0300,DEVELOPMENT COSTS 61400,A81000B,00800,0300,SUPPLIES 61400,A81000B,00900,0300,SUPPLIES 61400,A81000B,01000,0300,DRUGS 61400,A81000B,01100,0300,SUPPLIES 61400,A81000B,01200,0300,CONSULTANT 61400,A81000B,01300,0300,COMPUTER INSTALLATIO 61400,A81000C,00100,0100,A 61400,A81000C,00100,0200,FORREST PRESTON 61400,A81000C,00100,0400,LIFE CARE CENTE 61400,A81000C,00100,0600,NSG HOME MANAG 61400,A81000C,00200,0100,A 61400,A81000C,00200,0200,FORREST PRESTON 61400,A81000C,00200,0400,LIFE CARE DESIG 61400,A81000C,00200,0600,INTERIOR DESIGN 61400,A81000C,00300,0100,A 61400,A81000C,00300,0200,FORREST PRESTON 61400,A81000C,00300,0400,LIFE CARE CENTE 61400,A81000C,00300,0600,NSG HOME MANAG 61400,A81000C,00400,0100,A 61400,A81000C,00400,0200,FORREST PRESTON 61400,A81000C,00400,0400,LIFE CARE CENTE 61400,A81000C,00400,0600,NSG HOME MANAG 61400,A81000C,00500,0100,A 61400,A81000C,00500,0200,FORREST PRESTON 61400,A81000C,00500,0400,LIFE CARE CENTE 61400,A81000C,00500,0600,NSG HOME MANAG 61400,A81000C,00600,0100,A 61400,A81000C,00600,0200,FORREST PRESTON 61400,A81000C,00600,0400,LIFE CARE CENTE 61400,A81000C,00600,0600,NSG HOME MANAG 61400,A81000C,00700,0100,A 61400,A81000C,00700,0200,FORREST PRESTON 61400,A81000C,00700,0400,DEVELOPMENT ENT 61400,A81000C,00700,0600,DEVELOPMENT 61400,A81000C,00800,0100,D 61400,A81000C,00800,0200,CHARLES COOPER 61400,A81000C,00800,0400,TEAM CARE PHARM 61400,A81000C,00800,0600,PHARMACY 61400,A81000C,00900,0100,D 61400,A81000C,00900,0200,CHARLES COOPER 61400,A81000C,00900,0400,TEAM CARE PHARM 61400,A81000C,00900,0600,PHARMACY 61400,A81000C,01000,0100,D 61400,A81000C,01000,0200,CHARLES COOPER 61400,A81000C,01000,0400,TEAM CARE PHARM 61400,A81000C,01000,0600,PHARMACY 61400,A81000C,01100,0100,D 61400,A81000C,01100,0200,CHARLES COOPER 61400,A81000C,01100,0400,TEAM CARE PHARM 61400,A81000C,01100,0600,PHARMACY 61400,A81000C,01200,0100,D 61400,A81000C,01200,0200,CHARLES COOPER 61400,A81000C,01200,0400,TEAM CARE PHARM 61400,A81000C,01200,0600,PHARMACY 61400,A81000C,01300,0100,A 61400,A81000C,01300,0200,FORREST PRESTON 61400,A81000C,01300,0400,LIFE CARE CENTE 61400,A81000C,01300,0600,NSG HOME MANAG 61400,B100000,00000,0100,00000(SQUARE FEET) 61400,B100000,00000,0200,00000(SQUARE FEET) 61400,B100000,00000,0300,00000(GROSS SALARIES) 61400,B100000,00000,0400,00000(ACCUM COST) 61400,B100000,00000,0500,00000(SQUARE FEET) 61400,B100000,00000,0600,00000PATIENT DAYS 61400,B100000,00000,0700,00000(SQUARE FEET) 61400,B100000,00000,0800,00000(MEALS SERVED) 61400,B100000,00000,0900,00000HOURS OF SERVICE 61400,B100000,00000,1000,00000(COSTED REQUIS) 61400,B100000,00000,1100,00000(COSTED REQUIS) 61400,B100000,00000,1200,00000GROSS REVENUES 61400,B100000,00000,1300,00000PATIENT DAYS 61400,B100000,00000,1350,00000PATIENT DAYS 61400,S000000,00100,0200,11/30/2000 61400,S200000,00100,0100,2514 FARAWAY DRIVE 61400,S200000,00200,0100,COLUMBIA 61400,S200000,00200,0200,SC 61400,S200000,00200,0300,29223 61400,S200000,00300,0100,RICHLAND 61400,S200000,00400,0100,LCC OF COLUMBIA (SC) 61400,S200000,00400,0200,425337 61400,S200000,00400,0300,07/07/1994 61400,S200000,00400,0500,P 61400,S200000,00600,0200,425337 61400,S200000,00600,0300,07/07/1994 61400,S200000,00600,0600,P 61400,S200000,01600,0100,Y 61400,S200000,02200,0100,Y 61410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61410,A000000,00300,0000,00300EMPLOYEE BENEFITS 61410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61410,A000000,00700,0000,00700HOUSEKEEPING 61410,A000000,00800,0000,00800DIETARY 61410,A000000,00900,0000,00900NURSING ADMINISTRATION 61410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61410,A000000,01100,0000,01100PHARMACY 61410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61410,A000000,01300,0000,01300SOCIAL SERVICE 61410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61410,A000000,01600,0000,01600SKILLED NURSING FACILITY 61410,A000000,01800,0000,01800NURSING FACILITY 61410,A000000,01810,0000,01810ICF/MR 61410,A000000,02100,0000,02100RADIOLOGY 61410,A000000,02200,0000,02200LABORATORY 61410,A000000,02300,0000,02300INTRAVENOUS THERAPY 61410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61410,A000000,02500,0000,02500PHYSICAL THERAPY 61410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61410,A000000,02700,0000,02700SPEECH PATHOLOGY 61410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61410,A000000,03550,0000,03550FQHC 61410,A000000,05000,0000,05000CORF 61410,A000000,05010,0000,05010CMHC 61410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61410,A000000,05300,0000,05300INTEREST EXPENSE 61410,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61410,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61410,A81000A,00100,0100,Y 61410,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61410,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61410,A81000B,00300,0300,HEALTH INSURANCE 61410,A81000B,00400,0300,RETIREMENT 61410,A81000B,00500,0300,PHS ADJUSTMENT 61410,A81000B,00600,0300,PHS ADJUSTMENT 61410,A81000B,00700,0300,PHS ADJUSTMENT 61410,A81000B,00800,0300,PHS ADJUSTMENT 61410,A81000B,00900,0300,PHS ADJUSTMENT 61410,A81000B,01000,0300,PHS ADJUSTMENT 61410,A81000B,01100,0300,PHS ADJUSTMENT 61410,A81000B,01200,0300,PHS ADJUSTMENT 61410,A81000C,00100,0100,B 61410,A81000C,00100,0200,NATIONAL HEALTH 61410,A81000C,00100,0400,PROFESSIONAL HE 61410,A81000C,00100,0600,SERVICES 61410,A81000C,00200,0200,CARE CORPORATIO 61410,B100000,00000,0100,00000(SQUARE FEET) 61410,B100000,00000,0200,00000(SQUARE FEET) 61410,B100000,00000,0300,00000(GROSS SALARIES) 61410,B100000,00000,0400,00000(ACCUM COST) 61410,B100000,00000,0500,00000(SQUARE FEET) 61410,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61410,B100000,00000,0700,00000(SQUARE FEET) 61410,B100000,00000,0800,00000(MEALS SERVED) 61410,B100000,00000,0900,00000(DIRECT NRSG HRS) 61410,B100000,00000,1000,00000(COSTED REQUIS) 61410,B100000,00000,1100,00000(COSTED REQUIS) 61410,B100000,00000,1200,00000(TIME SPENT) 61410,B100000,00000,1300,00000(TIME SPENT) 61410,B100000,00000,1400,00000ASSIGNED TIME 61410,E10A180,00301,0100,02/16/1999 61410,E10A180,00302,0100,08/20/1999 61410,S000000,00100,0200,04/03/2000 61410,S200000,00100,0100,244 OAKWOOD DR. 61410,S200000,00100,0300,1667 61410,S200000,00200,0100,LEWISBURG 61410,S200000,00200,0200,TN 61410,S200000,00200,0300,37091 61410,S200000,00300,0100,MARSHALL 61410,S200000,00400,0100,NHC HEALTHCARE OAKWOOD 61410,S200000,00400,0200,445002 61410,S200000,00400,0300,06/11/1973 61410,S200000,00400,0500,P 61410,S200000,00600,0200,000158 61410,S200000,00600,0300,06/11/1973 61410,S200000,00600,0600,P 61410,S200000,01600,0100,Y 61419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61419,A000000,00300,0000,00300EMPLOYEE BENEFITS 61419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61419,A000000,00700,0000,00700HOUSEKEEPING 61419,A000000,00800,0000,00800DIETARY 61419,A000000,00900,0000,00900NURSING ADMINISTRATION 61419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61419,A000000,01100,0000,01100PHARMACY 61419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61419,A000000,01300,0000,01300SOCIAL SERVICE 61419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61419,A000000,01600,0000,01600SKILLED NURSING FACILITY 61419,A000000,01800,0000,01800NURSING FACILITY 61419,A000000,01810,0000,01810ICF/MR 61419,A000000,02100,0000,02100RADIOLOGY 61419,A000000,02200,0000,02200LABORATORY 61419,A000000,02300,0000,02300INTRAVENOUS THERAPY 61419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61419,A000000,02500,0000,02500PHYSICAL THERAPY 61419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61419,A000000,02700,0000,02700SPEECH PATHOLOGY 61419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61419,A000000,03550,0000,03550FQHC 61419,A000000,05000,0000,05000CORF 61419,A000000,05010,0000,05010CMHC 61419,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61419,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61419,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61419,A000000,05300,0000,05300INTEREST EXPENSE 61419,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61419,A81000A,00100,0100,Y 61419,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61419,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61419,A81000B,00300,0300,HEALTH INSURANCE 61419,A81000B,00400,0300,RETIREMENT 61419,A81000B,00600,0300,PHS COST 61419,A81000B,00700,0300,PHS COST 61419,A81000B,00800,0300,PHS COST 61419,A81000B,00900,0300,PHS COST 61419,A81000B,01000,0300,PHS COST 61419,A81000B,01100,0300,PHS COST 61419,A81000B,01200,0300,PHS COST 61419,A81000B,01300,0300,PHS COST 61419,A81000B,01400,0300,PHS COST 61419,A81000C,00100,0100,B 61419,A81000C,00100,0200,NATIONAL HEALTH 61419,A81000C,00100,0400,PROFESSIONAL HE 61419,A81000C,00100,0600,CONSULTING & TH 61419,A81000C,00200,0200,CARE CORPORATIO 61419,B100000,00000,0100,00000(SQUARE FEET) 61419,B100000,00000,0200,00000(SQUARE FEET) 61419,B100000,00000,0300,00000(GROSS SALARIES) 61419,B100000,00000,0400,00000(ACCUM COST) 61419,B100000,00000,0500,00000(SQUARE FEET) 61419,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61419,B100000,00000,0700,00000(SQUARE FEET) 61419,B100000,00000,0800,00000(MEALS SERVED) 61419,B100000,00000,0900,00000(DIRECT NRSG HRS) 61419,B100000,00000,1000,00000(COSTED REQUIS) 61419,B100000,00000,1100,00000(COSTED REQUIS) 61419,B100000,00000,1200,00000(TIME SPENT) 61419,B100000,00000,1300,00000(TIME SPENT) 61419,B100000,00000,1400,00000ASSIGNED TIME 61419,E10A180,00301,0100,02/16/1999 61419,E10A180,00302,0100,08/20/1999 61419,E10A180,00303,0100,12/03/1999 61419,E10A180,00550,0100,05/30/2000 61419,E10A180,00550,0300,05/30/2000 61419,S000000,00100,0200,05/26/2000 61419,S200000,00100,0100,812 CHARLOTTE STREET 61419,S200000,00100,0300,585 61419,S200000,00200,0100,DICKSON 61419,S200000,00200,0200,TN 61419,S200000,00200,0300,37055 61419,S200000,00300,0100,DICKSON 61419,S200000,00400,0100,NHC HEALTHCARE DICKSON 61419,S200000,00400,0200,445004 61419,S200000,00400,0300,01/01/1967 61419,S200000,00400,0500,P 61419,S200000,00600,0200,000078 61419,S200000,00600,0300,01/01/1967 61419,S200000,00600,0600,P 61419,S200000,01600,0100,Y 61437,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61437,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61437,A000000,00300,0000,00300EMPLOYEE BENEFITS 61437,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61437,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61437,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61437,A000000,00700,0000,00700HOUSEKEEPING 61437,A000000,00800,0000,00800DIETARY 61437,A000000,00900,0000,00900NURSING ADMINISTRATION 61437,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61437,A000000,01100,0000,01100PHARMACY 61437,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61437,A000000,01300,0000,01300SOCIAL SERVICE 61437,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61437,A000000,01600,0000,01600SKILLED NURSING FACILITY 61437,A000000,01800,0000,01800NURSING FACILITY 61437,A000000,01810,0000,01810ICF/MR 61437,A000000,02100,0000,02100RADIOLOGY 61437,A000000,02200,0000,02200LABORATORY 61437,A000000,02300,0000,02300INTRAVENOUS THERAPY 61437,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61437,A000000,02500,0000,02500PHYSICAL THERAPY 61437,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61437,A000000,02700,0000,02700SPEECH PATHOLOGY 61437,A000000,02800,0000,02800ELECTROCARDIOLOGY 61437,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61437,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61437,A000000,03550,0000,03550FQHC 61437,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61437,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61437,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61437,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61437,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61437,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61437,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61437,A000000,05000,0000,05000CORF 61437,A000000,05010,0000,05010CMHC 61437,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61437,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61437,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61437,A000000,05300,0000,05300INTEREST EXPENSE 61437,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61437,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61437,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61437,A81000A,00100,0100,Y 61437,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61437,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61437,A81000B,00300,0300,HEALTH INSURANCE 61437,A81000B,00400,0300,RETIREMENT 61437,A81000B,00600,0300,PHS COST 61437,A81000B,00700,0300,PHS COST 61437,A81000B,00800,0300,PHS COST 61437,A81000B,00900,0300,PHS COST 61437,A81000B,01000,0300,PHS COST 61437,A81000B,01100,0300,PHS COST 61437,A81000B,01200,0300,PHS COST 61437,A81000B,01300,0300,PHS COST 61437,A81000B,01400,0300,PHS COST 61437,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61437,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61437,A81000B,01800,0300,HHA - HEALTH INSURANCE 61437,A81000B,01900,0300,HHA - RETIREMENT 61437,A81000B,02100,0300,PHS COST 61437,A81000B,02200,0300,PHS COST 61437,A81000B,02300,0300,PHS COST 61437,A81000C,00100,0100,B 61437,A81000C,00100,0200,NATIONAL HEALTH 61437,A81000C,00200,0200,CARE CORPORATIO 61437,A81000C,00300,0100,B 61437,A81000C,00300,0200,PHS 61437,B100000,00000,0100,00000(SQUARE FEET) 61437,B100000,00000,0200,00000(SQUARE FEET) 61437,B100000,00000,0300,00000(GROSS SALARIES) 61437,B100000,00000,0400,00000(ACCUM COST) 61437,B100000,00000,0500,00000(SQUARE FEET) 61437,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61437,B100000,00000,0700,00000(SQUARE FEET) 61437,B100000,00000,0800,00000(MEALS SERVED) 61437,B100000,00000,0900,00000(DIRECT HOURS) 61437,B100000,00000,1000,00000(COSTED REQUIS) 61437,B100000,00000,1100,00000(COSTED REQUIS) 61437,B100000,00000,1200,00000(TIME SPENT) 61437,B100000,00000,1300,00000(TIME SPENT) 61437,B100000,00000,1400,00000ASSIGNED TIME 61437,E10A180,00301,0100,02/16/1999 61437,E10A180,00302,0100,08/20/1999 61437,E10A180,00303,0100,12/03/1999 61437,E10A180,00501,0300,04/14/2000 61437,E10A180,00550,0100,04/14/2000 61437,H510100,00000,0000,1560 61437,H510100,02400,0000,1560 61437,H510100,02401,0000,9944 61437,H510200,00000,0000,9944 61437,H710000,00501,0100,04/14/2000 61437,H710000,00501,0300,04/14/2000 61437,S000000,00100,0200,02/18/2000 61437,S200000,00100,0100,2700 PARKWOOD AVENUE 61437,S200000,00200,0100,CHATTANOOGA 61437,S200000,00200,0200,TN 61437,S200000,00200,0300,37404 61437,S200000,00300,0100,HAMILTON 61437,S200000,00400,0100,NHC HEALTHCARE CHATTANOOGA 61437,S200000,00400,0200,445013 61437,S200000,00400,0300,01/01/1967 61437,S200000,00400,0500,P 61437,S200000,00600,0200,000032 61437,S200000,00600,0300,01/01/1967 61437,S200000,00600,0600,P 61437,S200000,00800,0200,447126 61437,S200000,00800,0300,06/06/1977 61437,S200000,00800,0500,P 61437,S200000,01600,0100,Y 61447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61447,A000000,00300,0000,00300EMPLOYEE BENEFITS 61447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61447,A000000,00700,0000,00700HOUSEKEEPING 61447,A000000,00800,0000,00800DIETARY 61447,A000000,00900,0000,00900NURSING ADMINISTRATION 61447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61447,A000000,01100,0000,01100PHARMACY 61447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61447,A000000,01300,0000,01300SOCIAL SERVICE 61447,A000000,01350,0000,01500ACTIVITIES 61447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61447,A000000,01600,0000,01600SKILLED NURSING FACILITY 61447,A000000,01800,0000,01800NURSING FACILITY 61447,A000000,01810,0000,01810ICF/MR 61447,A000000,01900,0000,01900OTHER LONG TERM CARE 61447,A000000,02100,0000,02100RADIOLOGY 61447,A000000,02200,0000,02200LABORATORY 61447,A000000,02500,0000,02500PHYSICAL THERAPY 61447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61447,A000000,02700,0000,02700SPEECH PATHOLOGY 61447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61447,A000000,03550,0000,03550FQHC 61447,A000000,05000,0000,05000CORF 61447,A000000,05010,0000,05010CMHC 61447,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61447,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61447,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61447,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61447,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61447,A81000A,00100,0100,Y 61447,A81000B,00100,0300,HOME OFFICE EXPENSE 61447,A81000B,00200,0300,HOME OFFICE EXPENSE 61447,A81000C,00100,0100,G 61447,A81000C,00100,0200,ASBURY CENTERS INC 61447,A81000C,00100,0400,HOME OFFICE 61447,B100000,00000,0100,00000SQUARE FEET 61447,B100000,00000,0200,00000SQUARE FEET 61447,B100000,00000,0300,00000GROSS SALARIES 61447,B100000,00000,0400,00000ACCUM. COST 61447,B100000,00000,0500,00000SQUARE FEET 61447,B100000,00000,0600,00000POUNDS OF LAUNDRY 61447,B100000,00000,0700,00000SQUARE FEET 61447,B100000,00000,0800,00000MEALS SERVED 61447,B100000,00000,0900,00000PATIENT DAYS 61447,B100000,00000,1000,00000COSTED REQUIS. 61447,B100000,00000,1100,00000COSTED REQUIS 61447,B100000,00000,1200,00000TIME SPENT 61447,B100000,00000,1300,00000TIME SPENT 61447,B100000,00000,1350,00000PATIENT DAYS 61447,B100000,00000,1400,00000ASSIGNED TIME 61447,E10A180,00501,0100,10/27/2000 61447,S000000,00100,0200,08/30/2000 61447,S200000,00100,0100,2648 SEVIERVILLE ROAD 61447,S200000,00200,0100,MARYVILLE 61447,S200000,00200,0200,TN 61447,S200000,00200,0300,37804 61447,S200000,00300,0100,BLOUNT 61447,S200000,00400,0100,ASBURY ACRES HEALTH CENTER 61447,S200000,00400,0200,445017 61447,S200000,00400,0300,01/01/1970 61447,S200000,00400,0500,P 61447,S200000,00600,0200,445017 61447,S200000,00600,0300,01/01/1970 61447,S200000,01500,0100,Y 61469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61469,A000000,00300,0000,00300EMPLOYEE BENEFITS 61469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61469,A000000,00700,0000,00700HOUSEKEEPING 61469,A000000,00800,0000,00800DIETARY 61469,A000000,00900,0000,00900NURSING ADMINISTRATION 61469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61469,A000000,01100,0000,01100PHARMACY 61469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61469,A000000,01300,0000,01300SOCIAL SERVICE 61469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61469,A000000,01600,0000,01600SKILLED NURSING FACILITY 61469,A000000,01800,0000,01800NURSING FACILITY 61469,A000000,01810,0000,01810ICF/MR 61469,A000000,02100,0000,02100RADIOLOGY 61469,A000000,02200,0000,02200LABORATORY 61469,A000000,02300,0000,02300INTRAVENOUS THERAPY 61469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61469,A000000,02500,0000,02500PHYSICAL THERAPY 61469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61469,A000000,02700,0000,02700SPEECH PATHOLOGY 61469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61469,A000000,03550,0000,03550FQHC 61469,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61469,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61469,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61469,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61469,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61469,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61469,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61469,A000000,05000,0000,05000CORF 61469,A000000,05010,0000,05010CMHC 61469,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61469,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61469,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61469,A000000,05300,0000,05300INTEREST EXPENSE 61469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61469,A81000A,00100,0100,Y 61469,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61469,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61469,A81000B,00300,0300,HEALTH INSURANCE 61469,A81000B,00400,0300,RETIREMENT 61469,A81000B,00600,0300,PHS - NURSING 61469,A81000B,00700,0300,PHS - SOCIAL SERVICE 61469,A81000B,00800,0300,PHS - OCC THERAPY 61469,A81000B,00900,0300,PHS SPEECH PATHOLOGY 61469,A81000B,01000,0300,PHS - PHYS THERAPY 61469,A81000B,01100,0300,PHS - DIETARY 61469,A81000B,01200,0300,PHS - MED RECORDS 61469,A81000B,01300,0300,PHS - ADMINISTRATIVE 61469,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61469,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61469,A81000B,01800,0300,HHA - HEALTH INSURANCE 61469,A81000B,01900,0300,HHA - RETIREMENT 61469,A81000B,02000,0300,PHS COST 61469,A81000B,02100,0300,PHS COST 61469,A81000B,02200,0300,PHS COST 61469,A81000B,02300,0300,PHS COST 61469,A81000C,00100,0100,B 61469,A81000C,00100,0200,NATIONAL HEATLH 61469,A81000C,00200,0200,CARE CORPORATIO 61469,A81000C,00300,0100,B 61469,A81000C,00300,0200,PHS 61469,B100000,00000,0100,00000(SQUARE FEET) 61469,B100000,00000,0200,00000(SQUARE FEET) 61469,B100000,00000,0300,00000(GROSS SALARIES) 61469,B100000,00000,0400,00000(ACCUM COST) 61469,B100000,00000,0500,00000(SQUARE FEET) 61469,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61469,B100000,00000,0700,00000(SQUARE FEET) 61469,B100000,00000,0800,00000(MEALS SERVED) 61469,B100000,00000,0900,00000(DIRECT NRSG HRS) 61469,B100000,00000,1000,00000(COSTED REQUIS) 61469,B100000,00000,1100,00000(COSTED REQUIS) 61469,B100000,00000,1200,00000(TIME SPENT) 61469,B100000,00000,1300,00000(TIME SPENT) 61469,B100000,00000,1400,00000ASSIGNED TIME 61469,E10A180,00301,0100,02/16/1999 61469,E10A180,00302,0100,08/20/1999 61469,E10A180,00501,0100,04/14/2000 61469,E10A180,00550,0300,04/14/2000 61469,H510100,00000,0000,3660 61469,H510100,02400,0000,3660 61469,H510100,02401,0000,9944 61469,H510200,00000,0000,9944 61469,H710000,00501,0100,04/14/2000 61469,S000000,00100,0200,02/18/2000 61469,S200000,00100,0100,3209 BRISTOL HIGHWAY 61469,S200000,00100,0300,4777 61469,S200000,00200,0100,JOHNSON CITY 61469,S200000,00200,0200,TN 61469,S200000,00200,0300,37601 61469,S200000,00300,0100,WASHINGTON 61469,S200000,00400,0100,NHC HEALTHCARE JOHNSON CITY 61469,S200000,00400,0200,445024 61469,S200000,00400,0300,01/01/1967 61469,S200000,00400,0500,P 61469,S200000,00600,0200,000039 61469,S200000,00600,0300,01/01/1967 61469,S200000,00600,0600,P 61469,S200000,00800,0200,447153 61469,S200000,00800,0300,03/22/1978 61469,S200000,00800,0500,P 61469,S200000,01600,0100,Y 61480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61480,A000000,00300,0000,00300EMPLOYEE BENEFITS 61480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61480,A000000,00700,0000,00700HOUSEKEEPING 61480,A000000,00800,0000,00800DIETARY 61480,A000000,00900,0000,00900NURSING ADMINISTRATION 61480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61480,A000000,01100,0000,01100PHARMACY 61480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61480,A000000,01300,0000,01300SOCIAL SERVICE 61480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61480,A000000,01600,0000,01600SKILLED NURSING FACILITY 61480,A000000,01800,0000,01800NURSING FACILITY 61480,A000000,01810,0000,01810ICF/MR 61480,A000000,02200,0000,02200LABORATORY 61480,A000000,02300,0000,02300INTRAVENOUS THERAPY 61480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61480,A000000,02500,0000,02500PHYSICAL THERAPY 61480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61480,A000000,02700,0000,02700SPEECH PATHOLOGY 61480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61480,A000000,03550,0000,03550FQHC 61480,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61480,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61480,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61480,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61480,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61480,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61480,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61480,A000000,05000,0000,05000CORF 61480,A000000,05010,0000,05010CMHC 61480,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61480,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61480,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61480,A000000,05300,0000,05300INTEREST EXPENSE 61480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61480,A81000A,00100,0100,Y 61480,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61480,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61480,A81000B,00300,0300,HEALTH INSURANCE 61480,A81000B,00400,0300,RETIREMENT 61480,A81000B,00500,0300,HHA HOME OFFICE COST 61480,A81000B,00600,0300,HHA PHS HOME OFFICE 61480,A81000B,00700,0300,HHA HEALTH INSURANCE 61480,A81000B,00800,0300,HHA RETIREMENT 61480,A81000B,00900,0300,PHS ADJUSTMENT 61480,A81000B,01000,0300,PHS ADJUSTMENT 61480,A81000B,01100,0300,PHS ADJUSTMENT 61480,A81000B,01200,0300,PHS ADJUSTMENT 61480,A81000B,02100,0300,PHS COST 61480,A81000B,02200,0300,PHS COST 61480,A81000B,02300,0300,PHS COST 61480,A81000B,02400,0300,PHS COST 61480,A81000B,02500,0300,PHS COST 61480,A81000B,02600,0300,PHS COST 61480,A81000B,02700,0300,PHS COST 61480,A81000B,02800,0300,PHS COST 61480,A81000C,00100,0100,B 61480,A81000C,00100,0200,NATIONAL HEALTH 61480,A81000C,00200,0200,CARE CORPORATIO 61480,A81000C,00300,0100,B 61480,A81000C,00300,0200,PROFESSIONAL HE 61480,A81000C,00300,0600,THERAPY PERSONN 61480,A81000C,00400,0200,SERVICES 61480,B100000,00000,0100,00000(SQUARE FEET) 61480,B100000,00000,0200,00000(SQUARE FEET) 61480,B100000,00000,0300,00000(GROSS SALARIES) 61480,B100000,00000,0400,00000(ACCUM COST) 61480,B100000,00000,0500,00000(SQUARE FEET) 61480,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61480,B100000,00000,0700,00000(SQUARE FEET) 61480,B100000,00000,0800,00000(MEALS SERVED) 61480,B100000,00000,0900,00000(DIRECT NRSG HRS) 61480,B100000,00000,1000,00000(COSTED REQUIS) 61480,B100000,00000,1100,00000(COSTED REQUIS) 61480,B100000,00000,1200,00000(TIME SPENT) 61480,B100000,00000,1300,00000(TIME SPENT) 61480,B100000,00000,1400,00000ASSIGNED TIME 61480,E10A180,00301,0100,02/16/1999 61480,E10A180,00302,0100,08/16/1999 61480,E10A180,00303,0100,12/03/1999 61480,E10A180,00550,0100,01/28/2000 61480,E10A180,00550,0300,01/28/2000 61480,H510100,00000,0000,9944 61480,H510100,02400,0000,9944 61480,H510100,02401,0000,1660 61480,H510100,02402,0000,5360 61480,H510200,00000,0000,1660 61480,H510300,00000,0000,5360 61480,H710000,00501,0300,01/28/2000 61480,H710000,00550,0100,01/28/2000 61480,S000000,00100,0200,05/26/2000 61480,S200000,00100,0100,2710 TROTWOOD AVE. 61480,S200000,00100,0300,395 61480,S200000,00200,0100,COLUMBIA 61480,S200000,00200,0200,TN 61480,S200000,00200,0300,38401 61480,S200000,00300,0100,MAURY 61480,S200000,00400,0100,NHC HEALTHCARE HILLVIEW 61480,S200000,00400,0200,445030 61480,S200000,00400,0300,02/02/1967 61480,S200000,00400,0500,P 61480,S200000,00600,0200,000094 61480,S200000,00600,0300,02/02/1967 61480,S200000,00600,0600,P 61480,S200000,00800,0200,447125 61480,S200000,00800,0300,12/02/1977 61480,S200000,00800,0500,P 61480,S200000,01600,0100,Y 61493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61493,A000000,00300,0000,00300EMPLOYEE BENEFITS 61493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61493,A000000,00700,0000,00700HOUSEKEEPING 61493,A000000,00800,0000,00800DIETARY 61493,A000000,00900,0000,00900NURSING ADMINISTRATION 61493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61493,A000000,01100,0000,01100PHARMACY 61493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61493,A000000,01300,0000,01300SOCIAL SERVICE 61493,A000000,01350,0000,01500ACTIVITIES 61493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61493,A000000,01600,0000,01600SKILLED NURSING FACILITY 61493,A000000,01800,0000,01800NURSING FACILITY 61493,A000000,02100,0000,02100RADIOLOGY 61493,A000000,02200,0000,02200LABORATORY 61493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61493,A000000,02500,0000,02500PHYSICAL THERAPY 61493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61493,A000000,02700,0000,02700SPEECH PATHOLOGY 61493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61493,A000000,03050,0000,03300SPECIALIZED BEDS 61493,A000000,04800,0000,04800AMBULANCE 61493,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 61493,A000000,05300,0000,05300INTEREST EXPENSE 61493,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61493,A81000A,00100,0100,Y 61493,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 61493,A81000B,00200,0300,HOME OFFICE A&G COSTS 61493,A81000C,00100,0100,B 61493,A81000C,00100,0400,VANGUARD HEALTHCARE 61493,A81000C,00100,0600,HOME OFFICE 61493,A81000C,00200,0100,B 61493,A81000C,00200,0400,VANGUARD HEALTHCARE 61493,A81000C,00200,0600,HOME OFFICE 61493,B100000,00000,0100,00000SQUARE FEET 61493,B100000,00000,0200,00000NORTH WING S 61493,B100000,00000,0300,00000GROSS SALARIES 61493,B100000,00000,0400,00000ACCUM. COST 61493,B100000,00000,0500,00000SQUARE FEET 61493,B100000,00000,0600,00000PATIENT DAYS 61493,B100000,00000,0700,00000ADJ SQUARE 61493,B100000,00000,0800,00000MEALS SERVED 61493,B100000,00000,0900,00000DIRECT NSG SALARI 61493,B100000,00000,1000,00000COSTED REQUIS. 61493,B100000,00000,1100,00000NO STATISTICS 61493,B100000,00000,1200,00000PATIENT DAYS 61493,B100000,00000,1300,00000PATIENT DAYS 61493,B100000,00000,1350,00000PATIENT DAYS 61493,B100000,00000,1400,00000NO STATISTICS 61493,E10A180,00501,0100,07/26/2000 61493,S000000,00100,0200,05/31/2000 61493,S200000,00100,0100,306 WEST DUE WEST AVENUE 61493,S200000,00200,0100,MADISON 61493,S200000,00200,0200,TN 61493,S200000,00200,0300,37115 61493,S200000,00300,0100,DAVIDSON 61493,S200000,00400,0100,IMPERIAL MANOR 61493,S200000,00400,0200,445047 61493,S200000,00400,0300,05/01/1988 61493,S200000,00400,0500,P 61493,S200000,00600,0200,445047 61493,S200000,00600,0300,05/01/1988 61493,S200000,00600,0600,P 61493,S200000,01600,0100,Y 61503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61503,A000000,00300,0000,00300EMPLOYEE BENEFITS 61503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61503,A000000,00700,0000,00700HOUSEKEEPING 61503,A000000,00800,0000,00800DIETARY 61503,A000000,00900,0000,00900NURSING ADMINISTRATION 61503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61503,A000000,01100,0000,01100PHARMACY 61503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61503,A000000,01300,0000,01300SOCIAL SERVICE 61503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61503,A000000,01600,0000,01600SKILLED NURSING FACILITY 61503,A000000,01800,0000,01800NURSING FACILITY 61503,A000000,01810,0000,01810ICF/MR 61503,A000000,02100,0000,02100RADIOLOGY 61503,A000000,02200,0000,02200LABORATORY 61503,A000000,02300,0000,02300INTRAVENOUS THERAPY 61503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61503,A000000,02500,0000,02500PHYSICAL THERAPY 61503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61503,A000000,02700,0000,02700SPEECH PATHOLOGY 61503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61503,A000000,03550,0000,03550FQHC 61503,A000000,05000,0000,05000CORF 61503,A000000,05010,0000,05010CMHC 61503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61503,A000000,05300,0000,05300INTEREST EXPENSE 61503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61503,A81000A,00100,0100,Y 61503,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61503,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61503,A81000B,00300,0300,HEALTH INSURANCE 61503,A81000B,00400,0300,RETIREMENT 61503,A81000B,00600,0300,PHS COST 61503,A81000B,00700,0300,PHS COST 61503,A81000B,00800,0300,PHS COST 61503,A81000B,00900,0300,PHS COST 61503,A81000B,01000,0300,PHS COST 61503,A81000B,01100,0300,PHS COST 61503,A81000B,01200,0300,PHS COST 61503,A81000B,01300,0300,PHS COST 61503,A81000C,00100,0100,B 61503,A81000C,00100,0200,NATIONAL HEALTH 61503,A81000C,00200,0200,CARE CORPORATIO 61503,A81000C,00300,0100,B 61503,A81000C,00300,0200,PROFFESSION HEA 61503,A81000C,00300,0600,SERVICES 61503,B100000,00000,0100,00000(SQUARE FEET) 61503,B100000,00000,0200,00000(SQUARE FEET) 61503,B100000,00000,0300,00000(GROSS SALARIES) 61503,B100000,00000,0400,00000(ACCUM COST) 61503,B100000,00000,0500,00000(SQUARE FEET) 61503,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61503,B100000,00000,0700,00000(SQUARE FEET) 61503,B100000,00000,0800,00000(MEALS SERVED) 61503,B100000,00000,0900,00000(DIRECT NRSG HRS) 61503,B100000,00000,1000,00000(COSTED REQUIS) 61503,B100000,00000,1100,00000(COSTED REQUIS) 61503,B100000,00000,1200,00000(GROSS REV CHARGES) 61503,B100000,00000,1300,00000(TIME SPENT) 61503,B100000,00000,1400,00000ASSIGNED TIME 61503,E10A180,00301,0100,02/16/1999 61503,E10A180,00302,0100,08/20/1999 61503,E10A180,00350,0100,12/03/1999 61503,E10A180,00550,0100,06/01/2000 61503,E10A180,00550,0300,06/01/2000 61503,S000000,00100,0200,05/26/2000 61503,S200000,00100,0100,2215 PATTERSON STREET 61503,S200000,00100,0300,24327 61503,S200000,00200,0100,NASHVILLE 61503,S200000,00200,0200,TN 61503,S200000,00200,0300,37203 61503,S200000,00300,0100,DAVIDSON 61503,S200000,00400,0100,NHC HEALTHCARE OF NASHVILLE 61503,S200000,00400,0200,445053 61503,S200000,00400,0300,12/19/1975 61503,S200000,00400,0500,P 61503,S200000,00600,0200,000254 61503,S200000,00600,0300,12/19/1975 61503,S200000,00600,0600,P 61514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61514,A000000,00300,0000,00300EMPLOYEE BENEFITS 61514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61514,A000000,00700,0000,00700HOUSEKEEPING 61514,A000000,00800,0000,00800DIETARY 61514,A000000,00900,0000,00900NURSING ADMINISTRATION 61514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61514,A000000,01100,0000,01100PHARMACY 61514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61514,A000000,01300,0000,01300SOCIAL SERVICE 61514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61514,A000000,01600,0000,01600SKILLED NURSING FACILITY 61514,A000000,01800,0000,01800NURSING FACILITY 61514,A000000,01810,0000,01810ICF/MR 61514,A000000,02100,0000,02100RADIOLOGY 61514,A000000,02200,0000,02200LABORATORY 61514,A000000,02300,0000,02300INTRAVENOUS THERAPY 61514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61514,A000000,02500,0000,02500PHYSICAL THERAPY 61514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61514,A000000,02700,0000,02700SPEECH PATHOLOGY 61514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61514,A000000,03550,0000,03550FQHC 61514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61514,A000000,05000,0000,05000CORF 61514,A000000,05010,0000,05010CMHC 61514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61514,A000000,05300,0000,05300INTEREST EXPENSE 61514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61514,A81000A,00100,0100,Y 61514,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61514,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61514,A81000B,00300,0300,HEALTH INSURANCE 61514,A81000B,00400,0300,RETIREMENT 61514,A81000B,00500,0300,PHS COST 61514,A81000B,00600,0300,PHS COST 61514,A81000B,00700,0300,PHS COST 61514,A81000B,00800,0300,PHS COST 61514,A81000B,00900,0300,PHS COST 61514,A81000B,01000,0300,PHS COST 61514,A81000B,01100,0300,PHS COST 61514,A81000B,01200,0300,PHS COST 61514,A81000B,01300,0300,PHS COST 61514,A81000B,01400,0300,PHS COST 61514,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61514,A81000B,01700,0300,HHA - TN REGIONAL 61514,A81000B,01800,0300,HHA - HEALTH INSURANCE 61514,A81000B,01900,0300,HHA - RETIREMENT 61514,A81000C,00100,0100,B 61514,A81000C,00100,0200,NATIONAL HEALTH 61514,A81000C,00200,0200,CARE L.P. 61514,B100000,00000,0100,00000(SQUARE FEET) 61514,B100000,00000,0200,00000(SQUARE FEET) 61514,B100000,00000,0300,00000(GROSS SALARIES) 61514,B100000,00000,0400,00000(ACCUM COST) 61514,B100000,00000,0500,00000(SQUARE FEET) 61514,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61514,B100000,00000,0700,00000(SQUARE FEET) 61514,B100000,00000,0800,00000(MEALS SERVED) 61514,B100000,00000,0900,00000(DIRECT NRSG HRS) 61514,B100000,00000,1000,00000(COSTED REQUIS) 61514,B100000,00000,1100,00000(COSTED REQUIS) 61514,B100000,00000,1200,00000(TIME SPENT) 61514,B100000,00000,1300,00000(TIME SPENT) 61514,B100000,00000,1400,00000ASSIGNED TIME 61514,E10A180,00301,0100,02/16/1999 61514,E10A180,00302,0100,08/16/1999 61514,E10A180,00303,0100,12/03/1999 61514,E10A180,00501,0100,06/01/2000 61514,E10A180,00550,0300,06/01/2000 61514,H510100,00000,0000,9944 61514,H510100,02400,0000,9944 61514,H510100,02401,0000,3580 61514,H510200,00000,0000,3580 61514,H710000,00501,0300,06/01/2000 61514,H710000,00550,0100,06/01/2000 61514,S000000,00100,0200,05/26/2000 61514,S200000,00100,0100,8017 DOGWOOD LANE 61514,S200000,00200,0100,MILAN 61514,S200000,00200,0200,TN 61514,S200000,00200,0300,38358 61514,S200000,00300,0100,GIBSON 61514,S200000,00400,0100,NHC HEALTHCARE MILAN 61514,S200000,00400,0200,445069 61514,S200000,00400,0300,12/31/1968 61514,S200000,00400,0500,P 61514,S200000,00600,0200,000173 61514,S200000,00600,0300,12/31/1968 61514,S200000,00600,0600,P 61514,S200000,00800,0200,447152 61514,S200000,00800,0300,02/07/1977 61514,S200000,00800,0500,P 61514,S200000,01600,0100,Y 61523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61523,A000000,00300,0000,00300EMPLOYEE BENEFITS 61523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61523,A000000,00700,0000,00700HOUSEKEEPING 61523,A000000,00800,0000,00800DIETARY 61523,A000000,00900,0000,00900NURSING ADMINISTRATION 61523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61523,A000000,01100,0000,01100PHARMACY 61523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61523,A000000,01300,0000,01300SOCIAL SERVICE 61523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61523,A000000,01600,0000,01600SKILLED NURSING FACILITY 61523,A000000,01800,0000,01800NURSING FACILITY 61523,A000000,01810,0000,01810ICF/MR 61523,A000000,02200,0000,02200LABORATORY 61523,A000000,02300,0000,02300INTRAVENOUS THERAPY 61523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61523,A000000,02500,0000,02500PHYSICAL THERAPY 61523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61523,A000000,02700,0000,02700SPEECH PATHOLOGY 61523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61523,A000000,03550,0000,03550FQHC 61523,A000000,05000,0000,05000CORF 61523,A000000,05010,0000,05010CMHC 61523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61523,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61523,A81000A,00100,0100,Y 61523,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61523,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61523,A81000B,00300,0300,HEALTH INSURANCE 61523,A81000B,00400,0300,RETIREMENT 61523,A81000B,00500,0300,PHS ADJUSTMENT 61523,A81000B,00600,0300,PHS ADJUSTMENT 61523,A81000B,00700,0300,PHS ADJUSTMENT 61523,A81000B,00800,0300,PHS ADJUSTMENT 61523,A81000B,00900,0300,PHS ADJUSTMENT 61523,A81000B,01000,0300,PHS ADJUSTMENT 61523,A81000B,01100,0300,PHS ADJUSTMENT 61523,A81000B,01200,0300,PHS ADJUSTMENT 61523,A81000C,00100,0100,B 61523,A81000C,00100,0200,NATIONAL HEALTH 61523,A81000C,00200,0200,CARE CORPORATIO 61523,A81000C,00300,0100,B 61523,A81000C,00300,0200,PROFESSIONAL HE 61523,A81000C,00300,0600,THERAPY PERSONN 61523,A81000C,00400,0200,SERVICES 61523,B100000,00000,0100,00000(SQUARE FEET) 61523,B100000,00000,0200,00000(SQUARE FEET) 61523,B100000,00000,0300,00000(GROSS SALARIES) 61523,B100000,00000,0400,00000(ACCUM COST) 61523,B100000,00000,0500,00000(SQUARE FEET) 61523,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61523,B100000,00000,0700,00000(SQUARE FEET) 61523,B100000,00000,0800,00000(MEALS SERVED) 61523,B100000,00000,0900,00000(DIRECT NRSG HRS) 61523,B100000,00000,1000,00000(COSTED REQUIS) 61523,B100000,00000,1100,00000(COSTED REQUIS) 61523,B100000,00000,1200,00000(TIME SPENT) 61523,B100000,00000,1300,00000(TIME SPENT) 61523,B100000,00000,1400,00000ASSIGNED TIME 61523,E10A180,00301,0100,02/16/1999 61523,E10A180,00302,0100,08/20/1999 61523,E10A180,00303,0100,12/03/1999 61523,S000000,00100,0200,04/03/2000 61523,S200000,00100,0100,OLD SMITHVILLE HWY 61523,S200000,00100,0300,528 61523,S200000,00200,0100,MCMINNVILLE 61523,S200000,00200,0200,TN 61523,S200000,00200,0300,37110 61523,S200000,00300,0100,WARREN 61523,S200000,00400,0100,NHC HEALTHCARE MCMINNVILLE 61523,S200000,00400,0200,445076 61523,S200000,00400,0300,09/04/1969 61523,S200000,00400,0500,P 61523,S200000,00600,0200,000132 61523,S200000,00600,0300,09/04/1969 61523,S200000,00600,0600,P 61523,S200000,01600,0100,Y 61534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61534,A000000,00300,0000,00300EMPLOYEE BENEFITS 61534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61534,A000000,00700,0000,00700HOUSEKEEPING 61534,A000000,00800,0000,00800DIETARY 61534,A000000,00900,0000,00900NURSING ADMINISTRATION 61534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61534,A000000,01100,0000,01100PHARMACY 61534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61534,A000000,01300,0000,01300SOCIAL SERVICE 61534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61534,A000000,01600,0000,01600SKILLED NURSING FACILITY 61534,A000000,01800,0000,01800NURSING FACILITY 61534,A000000,01810,0000,01810ICF/MR 61534,A000000,02100,0000,02100RADIOLOGY 61534,A000000,02200,0000,02200LABORATORY 61534,A000000,02300,0000,02300INTRAVENOUS THERAPY 61534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61534,A000000,02500,0000,02500PHYSICAL THERAPY 61534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61534,A000000,02700,0000,02700SPEECH PATHOLOGY 61534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61534,A000000,03550,0000,03550FQHC 61534,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61534,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61534,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61534,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61534,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61534,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61534,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61534,A000000,05000,0000,05000CORF 61534,A000000,05010,0000,05010CMHC 61534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61534,A000000,05300,0000,05300INTEREST EXPENSE 61534,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61534,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61534,A81000A,00100,0100,Y 61534,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61534,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61534,A81000B,00300,0300,HEALTH INSURANCE 61534,A81000B,00400,0300,RETIREMENT 61534,A81000B,00500,0300,PHS NURSING 61534,A81000B,00600,0300,PHS SOCIAL SERVICES 61534,A81000B,00700,0300,PHS - OT 61534,A81000B,00800,0300,PHS - ST 61534,A81000B,00900,0300,PHS -PT 61534,A81000B,01000,0300,PHS -DIETARY 61534,A81000B,01100,0300,PHS - MEDICAL RECORD 61534,A81000B,01200,0300,PHS - ADMIN 61534,A81000B,01300,0300,PHS - OT 61534,A81000B,01400,0300,PHS - ST 61534,A81000B,01500,0300,PHS - PT 61534,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61534,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61534,A81000B,01800,0300,HHA - HEALTH INSURANCE 61534,A81000B,01900,0300,HHA - RETIREMENT 61534,A81000B,02000,0300,PHS - A & G 61534,A81000C,00100,0100,B 61534,A81000C,00100,0200,NATIONAL HEALTH 61534,A81000C,00100,0400,PHS 61534,A81000C,00100,0600,SERVICES 61534,A81000C,00200,0200,CARE CORPORATIO 61534,A81000C,00300,0100,B 61534,A81000C,00300,0200,PROFESSIONAL HE 61534,A81000C,00300,0600,THERAPY PERSONN 61534,A81000C,00400,0200,SERVICES 61534,B100000,00000,0100,00000(SQUARE FEET) 61534,B100000,00000,0200,00000(SQUARE FEET) 61534,B100000,00000,0300,00000(GROSS SALARIES) 61534,B100000,00000,0400,00000(ACCUM COST) 61534,B100000,00000,0500,00000(SQUARE FEET) 61534,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61534,B100000,00000,0700,00000(SQUARE FEET) 61534,B100000,00000,0800,00000(MEALS SERVED) 61534,B100000,00000,0900,00000(DIRECT NRSG HRS) 61534,B100000,00000,1000,00000(COSTED REQUIS) 61534,B100000,00000,1100,00000(COSTED REQUIS) 61534,B100000,00000,1200,00000(TIME SPENT) 61534,B100000,00000,1300,00000(TIME SPENT) 61534,B100000,00000,1400,00000ASSIGNED TIME 61534,E10A180,00301,0100,02/16/1999 61534,E10A180,00302,0100,08/20/1999 61534,E10A180,00303,0100,12/31/1999 61534,E10A180,00550,0100,04/14/2000 61534,E10A180,00550,0300,04/14/2000 61534,H510100,00000,0000,9944 61534,H510100,02400,0000,9944 61534,H510100,02401,0000,1660 61534,H510100,02402,0000,5360 61534,H510200,00000,0000,1660 61534,H510300,00000,0000,5360 61534,H710000,00501,0100,04/14/2000 61534,S000000,00100,0200,02/18/2000 61534,S200000,00100,0100,608 8TH AVENUE EAST 61534,S200000,00200,0100,SPRINGFIELD 61534,S200000,00200,0200,TN 61534,S200000,00200,0300,37172 61534,S200000,00300,0100,ROBERTSON 61534,S200000,00400,0100,NHC HEALTHCARE SPRINGFIELD 61534,S200000,00400,0200,445088 61534,S200000,00400,0300,10/01/1973 61534,S200000,00400,0500,P 61534,S200000,00600,0200,445088 61534,S200000,00600,0300,10/01/1973 61534,S200000,00600,0600,P 61534,S200000,00800,0200,447276 61534,S200000,00800,0300,01/31/1984 61534,S200000,00800,0500,P 61534,S200000,01600,0100,Y 61545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61545,A000000,00300,0000,00300EMPLOYEE BENEFITS 61545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61545,A000000,00700,0000,00700HOUSEKEEPING 61545,A000000,00800,0000,00800DIETARY 61545,A000000,00900,0000,00900NURSING ADMINISTRATION 61545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61545,A000000,01100,0000,01100PHARMACY 61545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61545,A000000,01300,0000,01300SOCIAL SERVICE 61545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61545,A000000,01600,0000,01600SKILLED NURSING FACILITY 61545,A000000,01800,0000,01800NURSING FACILITY 61545,A000000,01810,0000,01810ICF/MR 61545,A000000,02100,0000,02100RADIOLOGY 61545,A000000,02200,0000,02200LABORATORY 61545,A000000,02300,0000,02300INTRAVENOUS THERAPY 61545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61545,A000000,02500,0000,02500PHYSICAL THERAPY 61545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61545,A000000,02700,0000,02700SPEECH PATHOLOGY 61545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61545,A000000,03550,0000,03550FQHC 61545,A000000,05000,0000,05000CORF 61545,A000000,05010,0000,05010CMHC 61545,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61545,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61545,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61545,A000000,05300,0000,05300INTEREST EXPENSE 61545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61545,A000000,06101,0000,06101LAUNDRY INTERCO-OAKWOOD 61545,A81000A,00100,0100,Y 61545,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61545,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61545,A81000B,00300,0300,HEALTH INSURANCE 61545,A81000B,00400,0300,RETIREMENT 61545,A81000B,00600,0300,PHS COST 61545,A81000B,00700,0300,PHS COST 61545,A81000B,00800,0300,PHS COST 61545,A81000B,00900,0300,PHS COST 61545,A81000B,01000,0300,PHS COST 61545,A81000B,01100,0300,PHS COST 61545,A81000B,01200,0300,PHS COST 61545,A81000B,01300,0300,PHS COST 61545,A81000C,00100,0100,B 61545,A81000C,00100,0200,NATIONAL HEALTH 61545,A81000C,00100,0400,PROFESSIONAL HE 61545,A81000C,00100,0600,SERVICES 61545,A81000C,00200,0200,CARE CORPORATIO 61545,B100000,00000,0100,00001(SQUARE FEET) 61545,B100000,00000,0200,00001(SQUARE FEET) 61545,B100000,00000,0300,00001(GROSS SALARIES) 61545,B100000,00000,0400,00001(ACCUM COST) 61545,B100000,00000,0500,00001(SQUARE FEET) 61545,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 61545,B100000,00000,0700,00001(SQUARE FEET) 61545,B100000,00000,0800,00001(MEALS SERVED) 61545,B100000,00000,0900,00001(DIRECT NRSG HRS) 61545,B100000,00000,1000,00001(COSTED REQUIS) 61545,B100000,00000,1100,00001(COSTED REQUIS) 61545,B100000,00000,1200,00001(TIME SPENT) 61545,B100000,00000,1300,00001(TIME SPENT) 61545,B100000,00000,1400,00001ASSIGNED TIME 61545,E10A180,00301,0100,02/16/1999 61545,E10A180,00302,0100,08/20/1999 61545,E10A180,00350,0100,12/03/1999 61545,S000000,00100,0200,04/03/2000 61545,S200000,00100,0100,1653 MOORESVILLE HIGHWAY 61545,S200000,00100,0300,2307 61545,S200000,00200,0100,LEWISBURG 61545,S200000,00200,0200,TN 61545,S200000,00200,0300,37091 61545,S200000,00300,0100,MARSHALL 61545,S200000,00400,0100,NHC HEALTHCARE LEWISBURG 61545,S200000,00400,0200,445094 61545,S200000,00400,0300,07/23/1971 61545,S200000,00400,0500,P 61545,S200000,00600,0200,000136 61545,S200000,00600,0300,07/23/1971 61545,S200000,00600,0600,P 61545,S200000,01600,0100,Y 61555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61555,A000000,00300,0000,00300EMPLOYEE BENEFITS 61555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61555,A000000,00700,0000,00700HOUSEKEEPING 61555,A000000,00800,0000,00800DIETARY 61555,A000000,00900,0000,00900NURSING ADMINISTRATION 61555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61555,A000000,01100,0000,01100PHARMACY 61555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61555,A000000,01300,0000,01300SOCIAL SERVICE 61555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61555,A000000,01600,0000,01600SKILLED NURSING FACILITY 61555,A000000,01800,0000,01800NURSING FACILITY 61555,A000000,01810,0000,01810ICF/MR 61555,A000000,02100,0000,02100RADIOLOGY 61555,A000000,02200,0000,02200LABORATORY 61555,A000000,02300,0000,02300INTRAVENOUS THERAPY 61555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61555,A000000,02500,0000,02500PHYSICAL THERAPY 61555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61555,A000000,02700,0000,02700SPEECH PATHOLOGY 61555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61555,A000000,03550,0000,03550FQHC 61555,A000000,05000,0000,05000CORF 61555,A000000,05010,0000,05010CMHC 61555,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61555,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61555,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61555,A000000,05300,0000,05300INTEREST EXPENSE 61555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61555,A81000A,00100,0100,Y 61555,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61555,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61555,A81000B,00300,0300,HEALTH INSURANCE 61555,A81000B,00400,0300,RETIREMENT 61555,A81000B,00500,0300,PHS ADJUSTMENT 61555,A81000B,00600,0300,PHS ADJUSTMENT 61555,A81000B,00700,0300,PHS ADJUSTMENT 61555,A81000B,00800,0300,PHS ADJUSTMENT 61555,A81000B,00900,0300,PHS ADJUSTMENT 61555,A81000B,01000,0300,PHS ADJUSTMENT 61555,A81000B,01100,0300,PHS ADJUSTMENT 61555,A81000B,01200,0300,PHS ADJUSTMENT 61555,A81000C,00100,0100,B 61555,A81000C,00100,0200,NATIONAL HEALTH 61555,A81000C,00200,0200,CARE CORPORATIO 61555,A81000C,00300,0100,B 61555,A81000C,00300,0200,PROFESSIONAL HE 61555,A81000C,00300,0600,THERAPY PERSONN 61555,A81000C,00400,0200,SERVICES 61555,B100000,00000,0100,00000(SQUARE FEET) 61555,B100000,00000,0200,00000(SQUARE FEET) 61555,B100000,00000,0300,00000(GROSS SALARIES) 61555,B100000,00000,0400,00000(ACCUM COST) 61555,B100000,00000,0500,00000(SQUARE FEET) 61555,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61555,B100000,00000,0700,00000(SQUARE FEET) 61555,B100000,00000,0800,00000(MEALS SERVED) 61555,B100000,00000,0900,00000(DIRECT NRSG HRS) 61555,B100000,00000,1000,00000(COSTED REQUIS) 61555,B100000,00000,1100,00000(COSTED REQUIS) 61555,B100000,00000,1200,00000(TIME SPENT) 61555,B100000,00000,1300,00000(TIME SPENT) 61555,B100000,00000,1400,00000ASSIGNED TIME 61555,E10A180,00301,0100,02/16/1999 61555,E10A180,00302,0100,08/20/1999 61555,E10A180,00350,0100,12/03/1999 61555,E10A180,00501,0100,06/01/2000 61555,E10A180,00550,0300,06/01/2000 61555,S000000,00100,0200,05/26/2000 61555,S200000,00100,0100,809 EMERALD AVENUE N.E. 61555,S200000,00100,0300,3695 61555,S200000,00200,0100,KNOXVILLE 61555,S200000,00200,0200,TN 61555,S200000,00200,0300,37917 61555,S200000,00300,0100,KNOX 61555,S200000,00400,0100,NHC HEALTHCARE KNOXVILLE 61555,S200000,00400,0200,445098 61555,S200000,00400,0300,01/01/1972 61555,S200000,00400,0500,P 61555,S200000,00600,0200,000115 61555,S200000,00600,0300,01/01/1972 61555,S200000,00600,0600,P 61555,S200000,01900,0100,NON PROFIT 501C 61566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61566,A000000,00300,0000,00300EMPLOYEE BENEFITS 61566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61566,A000000,00700,0000,00700HOUSEKEEPING 61566,A000000,00800,0000,00800DIETARY 61566,A000000,00900,0000,00900NURSING ADMINISTRATION 61566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61566,A000000,01100,0000,01100PHARMACY 61566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61566,A000000,01300,0000,01300SOCIAL SERVICE 61566,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61566,A000000,01600,0000,01600SKILLED NURSING FACILITY 61566,A000000,01800,0000,01800NURSING FACILITY 61566,A000000,01810,0000,01810ICF/MR 61566,A000000,02100,0000,02100RADIOLOGY 61566,A000000,02200,0000,02200LABORATORY 61566,A000000,02300,0000,02300INTRAVENOUS THERAPY 61566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61566,A000000,02500,0000,02500PHYSICAL THERAPY 61566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61566,A000000,02700,0000,02700SPEECH PATHOLOGY 61566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61566,A000000,03550,0000,03550FQHC 61566,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61566,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61566,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61566,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61566,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61566,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61566,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61566,A000000,05000,0000,05000CORF 61566,A000000,05010,0000,05010CMHC 61566,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61566,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61566,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61566,A000000,05300,0000,05300INTEREST EXPENSE 61566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61566,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61566,A81000A,00100,0100,Y 61566,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61566,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61566,A81000B,00300,0300,HEALTH INSURANCE 61566,A81000B,00400,0300,RETIREMENT 61566,A81000B,00500,0300,PHS ADJUSTMENT 61566,A81000B,00600,0300,PHS ADJUSTMENT 61566,A81000B,00700,0300,PHS ADJUSTMENT 61566,A81000B,00800,0300,PHS ADJUSTMENT 61566,A81000B,00900,0300,PHS ADJUSTMENT 61566,A81000B,01000,0300,PHS ADJUSTMENT 61566,A81000B,01100,0300,PHS ADJUSTMENT 61566,A81000B,01200,0300,PHS ADJUSTMENT 61566,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61566,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61566,A81000B,01800,0300,HHA - HEALTH INSURANCE 61566,A81000B,01900,0300,HHA - RETIREMENT 61566,A81000B,02000,0300,PHS ADJUSTMENT 61566,A81000B,02100,0300,PHS ADJUSTMENT 61566,A81000B,02200,0300,PHS ADJUSTMENT 61566,A81000B,02300,0300,PHS ADJUSTMENT 61566,A81000C,00100,0100,B 61566,A81000C,00100,0200,NATIONAL HEALTH 61566,A81000C,00200,0200,CARE CORPORATIO 61566,A81000C,00300,0100,B 61566,A81000C,00300,0200,PROFESSIONAL HE 61566,A81000C,00300,0600,THERAPY PERSONN 61566,A81000C,00400,0200,SERVICES 61566,B100000,00000,0100,00000(SQUARE FEET) 61566,B100000,00000,0200,00000(SQUARE FEET) 61566,B100000,00000,0300,00000(GROSS SALARIES) 61566,B100000,00000,0400,00000(ACCUM COST) 61566,B100000,00000,0500,00000(SQUARE FEET) 61566,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61566,B100000,00000,0700,00000(SQUARE FEET) 61566,B100000,00000,0800,00000(MEALS SERVED) 61566,B100000,00000,0900,00000(DIRECT NRSG HRS) 61566,B100000,00000,1000,00000(COSTED REQUIS) 61566,B100000,00000,1100,00000(COSTED REQUIS) 61566,B100000,00000,1200,00000(TIME SPENT) 61566,B100000,00000,1300,00000(TIME SPENT) 61566,B100000,00000,1400,00000ASSIGNED TIME 61566,E10A180,00301,0100,02/16/1999 61566,E10A180,00302,0100,08/20/1999 61566,E10A180,00303,0100,12/03/1999 61566,E10A180,00550,0100,04/14/2000 61566,E10A180,00550,0300,04/14/2000 61566,H510100,00000,0000,9944 61566,H510100,02400,0000,9944 61566,H710000,00501,0100,04/14/2000 61566,S000000,00100,0200,02/18/2000 61566,S200000,00100,0100,1204 FRYE ST. 61566,S200000,00100,0300,766 61566,S200000,00200,0100,ATHENS 61566,S200000,00200,0200,TN 61566,S200000,00200,0300,37303 61566,S200000,00300,0100,MCMINN 61566,S200000,00400,0100,NHC HEALTHCARE ATHENS 61566,S200000,00400,0200,445099 61566,S200000,00400,0300,10/01/1973 61566,S200000,00400,0500,P 61566,S200000,00600,0200,445099 61566,S200000,00600,0300,10/01/1973 61566,S200000,00600,0600,P 61566,S200000,00800,0200,447449 61566,S200000,00800,0300,02/29/1984 61566,S200000,00800,0500,P 61566,S200000,01600,0100,Y 61577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61577,A000000,00300,0000,00300EMPLOYEE BENEFITS 61577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61577,A000000,00700,0000,00700HOUSEKEEPING 61577,A000000,00800,0000,00800DIETARY 61577,A000000,00900,0000,00900NURSING ADMINISTRATION 61577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61577,A000000,01100,0000,01100PHARMACY 61577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61577,A000000,01300,0000,01300SOCIAL SERVICE 61577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61577,A000000,01600,0000,01600SKILLED NURSING FACILITY 61577,A000000,01800,0000,01800NURSING FACILITY 61577,A000000,01810,0000,01810ICF/MR 61577,A000000,02100,0000,02100RADIOLOGY 61577,A000000,02200,0000,02200LABORATORY 61577,A000000,02300,0000,02300INTRAVENOUS THERAPY 61577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61577,A000000,02500,0000,02500PHYSICAL THERAPY 61577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61577,A000000,02700,0000,02700SPEECH PATHOLOGY 61577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61577,A000000,03550,0000,03550FQHC 61577,A000000,05000,0000,05000CORF 61577,A000000,05010,0000,05010CMHC 61577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61577,A000000,05300,0000,05300INTEREST EXPENSE 61577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61577,A81000A,00100,0100,Y 61577,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61577,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61577,A81000B,00300,0300,HEALTH INSURANCE 61577,A81000B,00400,0300,RETIREMENT 61577,A81000B,00600,0300,PHS - NURSING 61577,A81000B,00700,0300,PHS - SOCIAL WORK 61577,A81000B,00800,0300,PHS - OCC THERAPY 61577,A81000B,00900,0300,PHS - SPEECH THERAPY 61577,A81000B,01000,0300,PHS - PHYS THERAPY 61577,A81000B,01100,0300,PHS - ACTIVITIES 61577,A81000B,01200,0300,PHS - DIETARY 61577,A81000B,01300,0300,PHS - MED RECORDS 61577,A81000B,01400,0300,PHS - ADMINISTRATIVE 61577,A81000C,00100,0100,B 61577,A81000C,00100,0200,NATIONAL HEALTH 61577,A81000C,00100,0400,PROF HEALTH SER 61577,A81000C,00100,0600,HEALTH CARE 61577,A81000C,00200,0200,CARE CORPORATIO 61577,B100000,00000,0100,00000(SQUARE FEET) 61577,B100000,00000,0200,00000(SQUARE FEET) 61577,B100000,00000,0300,00000(GROSS SALARIES) 61577,B100000,00000,0400,00000(ACCUM COST) 61577,B100000,00000,0500,00000(SQUARE FEET) 61577,B100000,00000,0600,00000(PATIENT DAYS) 61577,B100000,00000,0700,00000(SQUARE FEET) 61577,B100000,00000,0800,00000(MEALS SERVED) 61577,B100000,00000,0900,00000(DIRECT NRSG HRS) 61577,B100000,00000,1000,00000(COSTED REQUIS) 61577,B100000,00000,1100,00000(COSTED REQUIS) 61577,B100000,00000,1200,00000(TIME SPENT) 61577,B100000,00000,1300,00000(PATIENT DAYS) 61577,B100000,00000,1400,00000ASSIGNED TIME 61577,E10A180,00301,0100,02/16/1999 61577,E10A180,00302,0100,08/20/1999 61577,E10A180,00350,0100,12/03/1999 61577,S000000,00100,0200,04/03/2000 61577,S200000,00100,0100,993 E. COLLEGE STREET 61577,S200000,00100,0300,638 61577,S200000,00200,0100,PULASKI 61577,S200000,00200,0200,TN 61577,S200000,00200,0300,38478 61577,S200000,00300,0100,GILES 61577,S200000,00400,0100,NHC HEALTHCARE PULASKI 61577,S200000,00400,0200,445101 61577,S200000,00400,0300,08/01/1972 61577,S200000,00400,0500,P 61577,S200000,00600,0200,000066 61577,S200000,00600,0300,08/01/1972 61577,S200000,00600,0600,P 61577,S200000,01600,0100,Y 61577,S200000,01900,0100,NON PROFIT 501C 61596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61596,A000000,00300,0000,00300EMPLOYEE BENEFITS 61596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61596,A000000,00700,0000,00700HOUSEKEEPING 61596,A000000,00800,0000,00800DIETARY 61596,A000000,00900,0000,00900NURSING ADMINISTRATION 61596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61596,A000000,01100,0000,01100PHARMACY 61596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61596,A000000,01300,0000,01300SOCIAL SERVICE 61596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61596,A000000,01600,0000,01600SKILLED NURSING FACILITY 61596,A000000,01800,0000,01800NURSING FACILITY 61596,A000000,01810,0000,01810ICF/MR 61596,A000000,02100,0000,02100RADIOLOGY 61596,A000000,02200,0000,02200LABORATORY 61596,A000000,02300,0000,02300INTRAVENOUS THERAPY 61596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61596,A000000,02500,0000,02500PHYSICAL THERAPY 61596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61596,A000000,02700,0000,02700SPEECH PATHOLOGY 61596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61596,A000000,03550,0000,03550FQHC 61596,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61596,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61596,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61596,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61596,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61596,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61596,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61596,A000000,05000,0000,05000CORF 61596,A000000,05010,0000,05010CMHC 61596,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61596,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61596,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61596,A000000,05300,0000,05300INTEREST EXPENSE 61596,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61596,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61596,A81000A,00100,0100,Y 61596,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61596,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61596,A81000B,00300,0300,HEALTH INSURANCE 61596,A81000B,00400,0300,RETIREMENT 61596,A81000B,00500,0300,TENN. MGMT COST 61596,A81000B,00700,0300,PHS COST 61596,A81000B,00800,0300,PHS COST 61596,A81000B,00900,0300,PHS COST 61596,A81000B,01000,0300,PHS COST 61596,A81000B,01100,0300,PHS COST 61596,A81000B,01200,0300,PHS COST 61596,A81000B,01300,0300,PHS COST 61596,A81000B,01400,0300,PHS COST 61596,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61596,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61596,A81000B,01800,0300,HHA - HEALTH INSURANCE 61596,A81000B,01900,0300,HHA - RETIREMENT 61596,A81000B,02100,0300,PHS COST 61596,A81000B,02200,0300,PHS COST 61596,A81000B,02300,0300,PHS COST 61596,A81000C,00100,0100,B 61596,A81000C,00100,0200,NATIONAL HEALTH 61596,A81000C,00200,0100,B 61596,A81000C,00200,0200,PHS 61596,B100000,00000,0100,00000(SQUARE FEET) 61596,B100000,00000,0200,00000(SQUARE FEET) 61596,B100000,00000,0300,00000(GROSS SALARIES) 61596,B100000,00000,0400,00000(ACCUM COST) 61596,B100000,00000,0500,00000(SQUARE FEET) 61596,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61596,B100000,00000,0700,00000(SQUARE FEET) 61596,B100000,00000,0800,00000(MEALS SERVED) 61596,B100000,00000,0900,00000(DIRECT NRSG HRS) 61596,B100000,00000,1000,00000(COSTED REQUIS) 61596,B100000,00000,1100,00000(COSTED REQUIS) 61596,B100000,00000,1200,00000(TIME SPENT) 61596,B100000,00000,1300,00000(TIME SPENT) 61596,B100000,00000,1400,00000ASSIGNED TIME 61596,E10A180,00301,0100,02/16/1999 61596,E10A180,00302,0100,08/20/1999 61596,E10A180,00303,0100,12/03/1999 61596,H510100,00000,0000,3840 61596,H510100,02400,0000,3840 61596,H510100,02401,0000,9944 61596,H510200,00000,0000,9944 61596,S000000,00100,0200,05/26/2000 61596,S200000,00100,0100,2120 HIGHLAND AVENUE 61596,S200000,00100,0300,804 61596,S200000,00200,0100,KNOXVILLE 61596,S200000,00200,0200,TN 61596,S200000,00200,0300,37916 61596,S200000,00300,0100,KNOX 61596,S200000,00400,0100,NHC HEALTHCARE FT. SANDERS 61596,S200000,00400,0200,445107 61596,S200000,00400,0300,02/01/1977 61596,S200000,00400,0500,P 61596,S200000,00600,0200,000263 61596,S200000,00600,0300,02/01/1977 61596,S200000,00600,0600,P 61596,S200000,00800,0200,447129 61596,S200000,00800,0300,07/01/1977 61596,S200000,00800,0500,P 61596,S200000,01600,0100,Y 61605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61605,A000000,00300,0000,00300EMPLOYEE BENEFITS 61605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61605,A000000,00700,0000,00700HOUSEKEEPING 61605,A000000,00800,0000,00800DIETARY 61605,A000000,00900,0000,00900NURSING ADMINISTRATION 61605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61605,A000000,01100,0000,01100PHARMACY 61605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61605,A000000,01300,0000,01300SOCIAL SERVICE 61605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61605,A000000,01600,0000,01600SKILLED NURSING FACILITY 61605,A000000,01800,0000,01800NURSING FACILITY 61605,A000000,01810,0000,01810ICF/MR 61605,A000000,02100,0000,02100RADIOLOGY 61605,A000000,02200,0000,02200LABORATORY 61605,A000000,02300,0000,02300INTRAVENOUS THERAPY 61605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61605,A000000,02500,0000,02500PHYSICAL THERAPY 61605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61605,A000000,02700,0000,02700SPEECH PATHOLOGY 61605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61605,A000000,03550,0000,03550FQHC 61605,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61605,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61605,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61605,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61605,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61605,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61605,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61605,A000000,05000,0000,05000CORF 61605,A000000,05010,0000,05010CMHC 61605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61605,A000000,05300,0000,05300INTEREST EXPENSE 61605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61605,A81000A,00100,0100,Y 61605,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61605,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61605,A81000B,00300,0300,HEALTH INSURANCE 61605,A81000B,00400,0300,RETIREMENT 61605,A81000B,00500,0300,PHS COST 61605,A81000B,00600,0300,PHS COST 61605,A81000B,00700,0300,PHS COST 61605,A81000B,00800,0300,PHS COST 61605,A81000B,00900,0300,PHS COST 61605,A81000B,01000,0300,PHS COST 61605,A81000B,01100,0300,PHS COST 61605,A81000B,01200,0300,PHS COST 61605,A81000B,01400,0300,HEALTH INSURANCE 61605,A81000B,01500,0300,RETIREMENT 61605,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61605,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61605,A81000B,01800,0300,PHS COST 61605,A81000B,01900,0300,PHS COST 61605,A81000B,02000,0300,PHS COST 61605,A81000B,02100,0300,PHS COST 61605,A81000B,02200,0300,DATA PROCESSING 61605,A81000C,00100,0100,B 61605,A81000C,00100,0200,NATIONAL HEALTH 61605,A81000C,00100,0600,SERVICES 61605,A81000C,00200,0200,CORPORATION 61605,A81000C,00300,0100,B 61605,A81000C,00300,0200,PROFESSIONAL HE 61605,A81000C,00400,0200,SERVICES 61605,B100000,00000,0100,00000(SQUARE FEET) 61605,B100000,00000,0200,00000(SQUARE FEET) 61605,B100000,00000,0300,00000(GROSS SALARIES) 61605,B100000,00000,0400,00000(ACCUM COST) 61605,B100000,00000,0500,00000(SQUARE FEET) 61605,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61605,B100000,00000,0700,00000(SQUARE FEET) 61605,B100000,00000,0800,00000(MEALS SERVED) 61605,B100000,00000,0900,00000(DIRECT NRSG HRS) 61605,B100000,00000,1000,00000(COSTED REQUIS) 61605,B100000,00000,1100,00000(COSTED REQUIS) 61605,B100000,00000,1200,00000(TIME SPENT) 61605,B100000,00000,1300,00000(TIME SPENT) 61605,B100000,00000,1400,00000ASSIGNED TIME 61605,E10A180,00301,0100,02/16/1999 61605,E10A180,00302,0100,08/20/1999 61605,E10A180,00303,0100,12/03/1999 61605,E10A180,00550,0100,06/01/2000 61605,E10A180,00550,0300,06/01/2000 61605,H510100,00000,0000,9944 61605,H510100,02400,0000,9944 61605,H510100,02401,0000,5360 61605,H510200,00000,0000,5360 61605,H710000,00501,0300,06/01/2000 61605,H710000,00550,0100,06/01/2000 61605,S000000,00100,0200,05/26/2000 61605,S200000,00100,0100,420 NORTH UNIVERSITY STREET 61605,S200000,00100,0300,2009 61605,S200000,00200,0100,MURFREESBORO 61605,S200000,00200,0200,TN 61605,S200000,00200,0300,37130 61605,S200000,00300,0100,RUTHERFORD 61605,S200000,00400,0100,NHC HEALTHCARE MURFREESBORO 61605,S200000,00400,0200,445108 61605,S200000,00400,0300,10/01/1971 61605,S200000,00400,0500,P 61605,S200000,00600,0200,000386 61605,S200000,00600,0300,10/01/1971 61605,S200000,00600,0600,P 61605,S200000,00800,0200,447114 61605,S200000,00800,0300,07/01/1976 61605,S200000,00800,0500,P 61605,S200000,01600,0100,Y 61614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61614,A000000,00300,0000,00300EMPLOYEE BENEFITS 61614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61614,A000000,00700,0000,00700HOUSEKEEPING 61614,A000000,00800,0000,00800DIETARY 61614,A000000,00900,0000,00900NURSING ADMINISTRATION 61614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61614,A000000,01100,0000,01100PHARMACY 61614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61614,A000000,01300,0000,01300SOCIAL SERVICE 61614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61614,A000000,01600,0000,01600SKILLED NURSING FACILITY 61614,A000000,01800,0000,01800NURSING FACILITY 61614,A000000,01810,0000,01810ICF/MR 61614,A000000,02100,0000,02100RADIOLOGY 61614,A000000,02200,0000,02200LABORATORY 61614,A000000,02300,0000,02300INTRAVENOUS THERAPY 61614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61614,A000000,02500,0000,02500PHYSICAL THERAPY 61614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61614,A000000,02700,0000,02700SPEECH PATHOLOGY 61614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61614,A000000,03550,0000,03550FQHC 61614,A000000,05000,0000,05000CORF 61614,A000000,05010,0000,05010CMHC 61614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61614,A000000,05300,0000,05300INTEREST EXPENSE 61614,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61614,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61614,A81000A,00100,0100,Y 61614,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61614,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61614,A81000B,00300,0300,HEALTH INSURANCE 61614,A81000B,00400,0300,RETIREMENT 61614,A81000B,00600,0300,PHS - NURSING 61614,A81000B,00700,0300,PHS - SOCIAL WORK 61614,A81000B,00800,0300,PHS - OCC THERAPY 61614,A81000B,00900,0300,PHS - SPEECH THERAPY 61614,A81000B,01000,0300,PHS - PHYS THERAPY 61614,A81000B,01100,0300,PHS - ACTIVITIES 61614,A81000B,01200,0300,PHS - DIETARY 61614,A81000B,01300,0300,PHS - MED RECORDS 61614,A81000B,01400,0300,PHS - ADMINISTRATIVE 61614,A81000C,00100,0100,B 61614,A81000C,00100,0200,NATIONAL HEALTH 61614,A81000C,00100,0400,PROF HEALTH SER 61614,A81000C,00100,0600,HEALTHCARE 61614,A81000C,00200,0200,CARE CORPORATIO 61614,B100000,00000,0100,00000(SQUARE FEET) 61614,B100000,00000,0200,00000(SQUARE FEET) 61614,B100000,00000,0300,00000(GROSS SALARIES) 61614,B100000,00000,0400,00000(ACCUM COST) 61614,B100000,00000,0500,00000(SQUARE FEET) 61614,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61614,B100000,00000,0700,00000(SQUARE FEET) 61614,B100000,00000,0800,00000(MEALS SERVED) 61614,B100000,00000,0900,00000(DIRECT NRSG HRS) 61614,B100000,00000,1000,00000(COSTED REQUIS) 61614,B100000,00000,1100,00000(COSTED REQUIS) 61614,B100000,00000,1200,00000(TIME SPENT) 61614,B100000,00000,1300,00000(TIME SPENT) 61614,B100000,00000,1400,00000ASSIGNED TIME 61614,E10A180,00301,0100,02/16/1999 61614,E10A180,00302,0100,08/20/1999 61614,E10A180,00303,0100,12/03/1999 61614,S000000,00100,0200,04/03/2000 61614,S200000,00100,0100,101 WALNUT LANE 61614,S200000,00100,0300,799 61614,S200000,00200,0100,COLUMBIA 61614,S200000,00200,0200,TN 61614,S200000,00200,0300,38401 61614,S200000,00300,0100,MAURY 61614,S200000,00400,0100,NHC HEALTHCARE-COLUMBIA 61614,S200000,00400,0200,445109 61614,S200000,00400,0300,10/01/1973 61614,S200000,00400,0500,P 61614,S200000,00600,0200,000216 61614,S200000,00600,0300,10/01/1973 61614,S200000,00600,0600,P 61614,S200000,01600,0100,Y 61624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61624,A000000,00300,0000,00300EMPLOYEE BENEFITS 61624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61624,A000000,00700,0000,00700HOUSEKEEPING 61624,A000000,00800,0000,00800DIETARY 61624,A000000,00900,0000,00900NURSING ADMINISTRATION 61624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61624,A000000,01100,0000,01100PHARMACY 61624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61624,A000000,01300,0000,01300SOCIAL SERVICE 61624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61624,A000000,01600,0000,01600SKILLED NURSING FACILITY 61624,A000000,01800,0000,01800NURSING FACILITY 61624,A000000,01810,0000,01810ICF/MR 61624,A000000,02100,0000,02100RADIOLOGY 61624,A000000,02200,0000,02200LABORATORY 61624,A000000,02300,0000,02300INTRAVENOUS THERAPY 61624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61624,A000000,02500,0000,02500PHYSICAL THERAPY 61624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61624,A000000,02700,0000,02700SPEECH PATHOLOGY 61624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61624,A000000,03550,0000,03550FQHC 61624,A000000,05000,0000,05000CORF 61624,A000000,05010,0000,05010CMHC 61624,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61624,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61624,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61624,A000000,05300,0000,05300INTEREST EXPENSE 61624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61624,A81000A,00100,0100,Y 61624,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61624,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61624,A81000B,00300,0300,HEALTH INSURANCE 61624,A81000B,00400,0300,RETIREMENT 61624,A81000B,00500,0300,PHS - NURSING 61624,A81000B,00600,0300,PHS- SOCIAL WORK 61624,A81000B,00700,0300,PHS - OT 61624,A81000B,00800,0300,PHS - ST 61624,A81000B,00900,0300,PHS - PT 61624,A81000B,01000,0300,PHS - DIETARY 61624,A81000B,01100,0300,PHS - MED RECORDS 61624,A81000B,01200,0300,PHS - ADMINISTRATIVE 61624,A81000B,01300,0300,DATA PROCESSING 61624,A81000C,00100,0100,B 61624,A81000C,00100,0200,NATIONAL HEALTH 61624,A81000C,00100,0400,PROFESSIONAL HE 61624,A81000C,00100,0600,SERVICES VARIOU 61624,A81000C,00200,0200,CORPORATION 61624,B100000,00000,0100,00000(SQUARE FEET) 61624,B100000,00000,0200,00000(SQUARE FEET) 61624,B100000,00000,0300,00000(GROSS SALARIES) 61624,B100000,00000,0400,00000(ACCUM COST) 61624,B100000,00000,0500,00000(SQUARE FEET) 61624,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61624,B100000,00000,0700,00000(SQUARE FEET) 61624,B100000,00000,0800,00000(MEALS SERVED) 61624,B100000,00000,0900,00000(DIRECT NRSG HRS) 61624,B100000,00000,1000,00000(COSTED REQUIS) 61624,B100000,00000,1100,00000(COSTED REQUIS) 61624,B100000,00000,1200,00000(TIME SPENT) 61624,B100000,00000,1300,00000(TIME SPENT) 61624,B100000,00000,1400,00000ASSIGNED TIME 61624,E10A180,00301,0100,02/16/1999 61624,E10A180,00302,0100,08/20/1999 61624,S000000,00100,0200,04/03/2000 61624,S200000,00100,0100,PO BOX 2829 815 BUNKER HILL 61624,S200000,00100,0300,2829 61624,S200000,00200,0100,COOKEVILLE 61624,S200000,00200,0200,TN 61624,S200000,00200,0300,38501 61624,S200000,00300,0100,PUTNAM 61624,S200000,00400,0100,NHC HEALTHCARE COOKEVILLE 61624,S200000,00400,0200,445110 61624,S200000,00400,0300,01/28/1976 61624,S200000,00400,0500,P 61624,S200000,00600,0200,445110 61624,S200000,00600,0300,01/28/1976 61624,S200000,00600,0600,P 61624,S200000,01600,0100,Y 61633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61633,A000000,00300,0000,00300EMPLOYEE BENEFITS 61633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61633,A000000,00700,0000,00700HOUSEKEEPING 61633,A000000,00800,0000,00800DIETARY 61633,A000000,00900,0000,00900NURSING ADMINISTRATION 61633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61633,A000000,01100,0000,01100PHARMACY 61633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61633,A000000,01300,0000,01300SOCIAL SERVICE 61633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61633,A000000,01600,0000,01600SKILLED NURSING FACILITY 61633,A000000,01800,0000,01800NURSING FACILITY 61633,A000000,01810,0000,01810ICF/MR 61633,A000000,02200,0000,02200LABORATORY 61633,A000000,02300,0000,02300INTRAVENOUS THERAPY 61633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61633,A000000,02500,0000,02500PHYSICAL THERAPY 61633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61633,A000000,02700,0000,02700SPEECH PATHOLOGY 61633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61633,A000000,03550,0000,03550FQHC 61633,A000000,04800,0000,04800AMBULANCE 61633,A000000,05000,0000,05000CORF 61633,A000000,05010,0000,05010CMHC 61633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61633,A000000,05300,0000,05300INTEREST EXPENSE 61633,A000000,06101,0000,06101ADULT DAY CARE 61633,B100000,00000,0100,00001(SQUARE FEET) 61633,B100000,00000,0200,00001(SQUARE FEET) 61633,B100000,00000,0300,00001(GROSS SALARIES) 61633,B100000,00000,0400,00001(ACCUM COST) 61633,B100000,00000,0500,00001(SQUARE FEET) 61633,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 61633,B100000,00000,0700,00001(SQUARE FEET) 61633,B100000,00000,0800,00001(MEALS SERVED) 61633,B100000,00000,0900,00001(DIRECT NRSG HRS) 61633,B100000,00000,1000,00001(COSTED REQUIS) 61633,B100000,00000,1100,00001(COSTED REQUIS) 61633,B100000,00000,1200,00001(GROSS REV CHARGE) 61633,B100000,00000,1300,00001(TIME SPENT) 61633,B100000,00000,1400,00001ASSIGNED TIME 61633,E10A180,00501,0100,01/04/2000 61633,S000000,00100,0200,03/20/2000 61633,S200000,00100,0100,2626 WALKER ROAD 61633,S200000,00200,0100,CHATTANOOGA 61633,S200000,00200,0200,TN 61633,S200000,00200,0300,37421 61633,S200000,00300,0100,HAMILTON 61633,S200000,00400,0100,HAMILTON COUNTY NURSING HOME 61633,S200000,00400,0200,445111 61633,S200000,00400,0300,11/06/1976 61633,S200000,00400,0500,P 61633,S200000,00600,0200,445111 61633,S200000,00600,0300,11/06/1976 61633,S200000,00600,0600,P 61633,S200000,01600,0100,Y 61633,S200000,01900,0100,COUNTY OWNED NURSING FACILITY 61633,S200000,04700,0100,Y 61633,S200000,04900,0100,Y 61642,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61642,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61642,A000000,00300,0000,00300EMPLOYEE BENEFITS 61642,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61642,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61642,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61642,A000000,00700,0000,00700HOUSEKEEPING 61642,A000000,00800,0000,00800DIETARY 61642,A000000,00900,0000,00900NURSING ADMINISTRATION 61642,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61642,A000000,01100,0000,01100PHARMACY 61642,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61642,A000000,01300,0000,01300SOCIAL SERVICE 61642,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61642,A000000,01600,0000,01600SKILLED NURSING FACILITY 61642,A000000,01800,0000,01800NURSING FACILITY 61642,A000000,02100,0000,02100RADIOLOGY 61642,A000000,02200,0000,02200LABORATORY 61642,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61642,A000000,02500,0000,02500PHYSICAL THERAPY 61642,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61642,A000000,02700,0000,02700SPEECH PATHOLOGY 61642,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61642,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61642,A000000,03050,0000,03300SPECIALIZED BEDS 61642,A000000,03550,0000,03550FQHC 61642,A000000,04800,0000,04800AMBULANCE 61642,A000000,05000,0000,05000CORF 61642,A000000,05010,0000,05010CMHC 61642,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61642,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61642,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61642,A000000,05300,0000,05300INTEREST EXPENSE 61642,A81000A,00100,0100,Y 61642,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 61642,A81000B,00200,0300,HOME OFFICE A&G COSTS 61642,A81000B,00300,0300,SUPPLIES 61642,A81000B,00400,0300,SUPPLIES 61642,A81000B,00500,0300,SUPPLIES 61642,A81000B,00600,0300,SUPPLIES 61642,A81000B,00700,0300,SUPPLIES 61642,A81000B,00800,0300,SUPPLIES 61642,A81000B,00900,0300,SUPPLIES 61642,A81000B,01000,0300,SUPPLIES 61642,A81000B,01100,0300,SUPPLIES 61642,A81000B,01200,0300,SUPPLIES 61642,A81000B,01300,0300,SUPPLIES 61642,A81000B,01400,0300,SUPPLIES 61642,A81000B,01500,0300,SUPPLIES 61642,A81000C,00100,0100,B 61642,A81000C,00100,0400,MCA/AVALON 61642,A81000C,00100,0600,MANAGEMENT/HOME OFFICE 61642,A81000C,00200,0100,B 61642,A81000C,00200,0400,MCA/AVALON 61642,A81000C,00200,0600,MANAGEMENT/HOME OFFICE 61642,A81000C,00300,0100,A 61642,A81000C,00300,0200,WHITCOMB 61642,A81000C,00300,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00300,0600,SUPPLIES 61642,A81000C,00400,0100,A 61642,A81000C,00400,0200,WHITCOMB 61642,A81000C,00400,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00400,0600,SUPPLIES 61642,A81000C,00500,0100,A 61642,A81000C,00500,0200,WHITCOMB 61642,A81000C,00500,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00500,0600,SUPPLIES 61642,A81000C,00600,0100,A 61642,A81000C,00600,0200,WHITCOMB 61642,A81000C,00600,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00600,0600,SUPPLIES 61642,A81000C,00700,0100,A 61642,A81000C,00700,0200,WHITCOMB 61642,A81000C,00700,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00700,0600,SUPPLIES 61642,A81000C,00800,0100,A 61642,A81000C,00800,0200,WHITCOMB 61642,A81000C,00800,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00800,0600,SUPPLIES 61642,A81000C,00900,0100,A 61642,A81000C,00900,0200,WHITCOMB 61642,A81000C,00900,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,00900,0600,SUPPLIES 61642,A81000C,01000,0100,A 61642,A81000C,01000,0200,WHITCOMB 61642,A81000C,01000,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01000,0600,SUPPLIES 61642,A81000C,01100,0100,A 61642,A81000C,01100,0200,WHITCOMB 61642,A81000C,01100,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01100,0600,SUPPLIES 61642,A81000C,01200,0100,A 61642,A81000C,01200,0200,WHITCOMB 61642,A81000C,01200,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01200,0600,SUPPLIES 61642,A81000C,01300,0100,A 61642,A81000C,01300,0200,WHITCOMB 61642,A81000C,01300,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01300,0600,SUPPLIES 61642,A81000C,01400,0100,A 61642,A81000C,01400,0200,WHITCOMB 61642,A81000C,01400,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01400,0600,SUPPLIES 61642,A81000C,01500,0100,A 61642,A81000C,01500,0200,WHITCOMB 61642,A81000C,01500,0400,QUALITY MEDICAL SUPPLY 61642,A81000C,01500,0600,SUPPLIES 61642,B100000,00000,0100,00000SQUARE FEET 61642,B100000,00000,0200,00000NO STATISTICS 61642,B100000,00000,0300,00000GROSS SALARIES 61642,B100000,00000,0400,00000ACCUM. COST 61642,B100000,00000,0500,00000SQUARE FEET 61642,B100000,00000,0600,00000POUNDS OF LAUNDRY 61642,B100000,00000,0700,00000SQ FT - HSKPG 61642,B100000,00000,0800,00000MEALS SERVED 61642,B100000,00000,0900,00000DIRECT NRSING HRS 61642,B100000,00000,1000,00000COSTED REQUIS. 61642,B100000,00000,1100,00000COSTED REQUIS. 61642,B100000,00000,1200,00000TIME SPENT 61642,B100000,00000,1300,00000TIME SPENT 61642,B100000,00000,1400,00000NO STATISTICS 61642,E10A180,00301,0100,06/22/1999 61642,E10A180,00501,0100,07/06/2000 61642,S000000,00100,0200,05/18/2000 61642,S200000,00100,0100,329 MURFEESBORO ROAD 61642,S200000,00200,0100,NASHVILLE 61642,S200000,00200,0200,TN 61642,S200000,00300,0100,DAVIDSON 61642,S200000,00400,0100,TREVECCA HEALTH CARE CENTER 61642,S200000,00400,0200,445112 61642,S200000,00400,0300,10/01/1976 61642,S200000,00400,0500,P 61642,S200000,00400,0600,O 61642,S200000,00600,0200,440405 61642,S200000,00600,0300,10/01/1976 61642,S200000,00600,0600,P 61642,S200000,01600,0100,Y 61651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61651,A000000,00300,0000,00300EMPLOYEE BENEFITS 61651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61651,A000000,00700,0000,00700HOUSEKEEPING 61651,A000000,00800,0000,00800DIETARY 61651,A000000,00900,0000,00900NURSING ADMINISTRATION 61651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61651,A000000,01100,0000,01100PHARMACY 61651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61651,A000000,01300,0000,01300SOCIAL SERVICE 61651,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61651,A000000,01600,0000,01600SKILLED NURSING FACILITY 61651,A000000,01800,0000,01800NURSING FACILITY 61651,A000000,01810,0000,01810ICF/MR 61651,A000000,02500,0000,02500PHYSICAL THERAPY 61651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61651,A000000,02700,0000,02700SPEECH PATHOLOGY 61651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61651,A000000,03550,0000,03550FQHC 61651,A000000,05000,0000,05000CORF 61651,A000000,05010,0000,05010CMHC 61651,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61651,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61651,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61651,B100000,00000,0100,00000SQUARE FEET 61651,B100000,00000,0200,00000SQUARE FEET 61651,B100000,00000,0300,00000GROSS SALARIES 61651,B100000,00000,0400,00000ACCUM COST 61651,B100000,00000,0500,00000SQUARE FEET 61651,B100000,00000,0600,00000POUNDS OF LAUNDRY 61651,B100000,00000,0700,00000HOURS OF SERVICE 61651,B100000,00000,0800,00000MEALS SERVED 61651,B100000,00000,0900,00000DIRECT NRSG HRS 61651,B100000,00000,1000,00000COSTED REQUIS 61651,B100000,00000,1100,00000COSTED REQUIS 61651,B100000,00000,1200,00000TIME SPENT 61651,B100000,00000,1300,00000TIME SPENT 61651,B100000,00000,1400,00000ASSIGNED TIME 61651,S000000,00100,0200,08/30/2000 61651,S200000,00100,0100,5837 LYONS VIEW PIKE 61651,S200000,00200,0100,KNOXVILLE 61651,S200000,00200,0200,TN 61651,S200000,00200,0300,37919 61651,S200000,00300,0100,KNOX 61651,S200000,00400,0100,BRAKEBILL NURSING HOMES INC. 61651,S200000,00400,0200,445114 61651,S200000,00400,0300,01/11/1977 61651,S200000,00400,0500,P 61651,S200000,00600,0200,445114 61651,S200000,00600,0300,01/11/1977 61651,S200000,01600,0100,Y 61651,S200000,02800,0100,Y 61661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61661,A000000,00300,0000,00300EMPLOYEE BENEFITS 61661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61661,A000000,00700,0000,00700HOUSEKEEPING 61661,A000000,00800,0000,00800DIETARY 61661,A000000,00900,0000,00900NURSING ADMINISTRATION 61661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61661,A000000,01100,0000,01100PHARMACY 61661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61661,A000000,01300,0000,01300SOCIAL SERVICE 61661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61661,A000000,01600,0000,01600SKILLED NURSING FACILITY 61661,A000000,01800,0000,01800NURSING FACILITY 61661,A000000,01810,0000,01810ICF/MR 61661,A000000,02100,0000,02100RADIOLOGY 61661,A000000,02200,0000,02200LABORATORY 61661,A000000,02300,0000,02300INTRAVENOUS THERAPY 61661,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61661,A000000,02500,0000,02500PHYSICAL THERAPY 61661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61661,A000000,02700,0000,02700SPEECH PATHOLOGY 61661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61661,A000000,03550,0000,03550FQHC 61661,A000000,05000,0000,05000CORF 61661,A000000,05010,0000,05010CMHC 61661,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61661,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61661,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61661,A000000,05300,0000,05300INTEREST EXPENSE 61661,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61661,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61661,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61661,A81000A,00100,0100,Y 61661,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61661,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61661,A81000B,00300,0300,HEALTH INSURANCE 61661,A81000B,00400,0300,RETIREMENT 61661,A81000B,00500,0300,PHS ADJUSTMENT 61661,A81000B,00600,0300,PHS ADJUSTMENT 61661,A81000B,00700,0300,PHS ADJUSTMENT 61661,A81000B,00800,0300,PHS ADJUSTMENT 61661,A81000B,00900,0300,PHS ADJUSTMENT 61661,A81000B,01000,0300,PHS ADJUSTMENT 61661,A81000B,01100,0300,PHS ADJUSTMENT 61661,A81000B,01200,0300,PHS ADJUSTMENT 61661,A81000C,00100,0100,B 61661,A81000C,00100,0200,NATIONAL HEALTH 61661,A81000C,00200,0200,CARE CORPORATIO 61661,A81000C,00300,0100,B 61661,A81000C,00300,0200,PROFESSIONAL HE 61661,A81000C,00300,0600,THERAPY PERSONN 61661,A81000C,00400,0200,SERVICES 61661,B100000,00000,0100,00000(SQUARE FEET) 61661,B100000,00000,0200,00000(SQUARE FEET) 61661,B100000,00000,0300,00000(GROSS SALARIES) 61661,B100000,00000,0400,00000(ACCUM COST) 61661,B100000,00000,0500,00000(SQUARE FEET) 61661,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61661,B100000,00000,0700,00000(SQUARE FEET) 61661,B100000,00000,0800,00000(MEALS SERVED) 61661,B100000,00000,0900,00000(DIRECT NRSG HRS) 61661,B100000,00000,1000,00000(COSTED REQUIS) 61661,B100000,00000,1100,00000(COSTED REQUIS) 61661,B100000,00000,1200,00000(TIME SPENT) 61661,B100000,00000,1300,00000(TIME SPENT) 61661,B100000,00000,1400,00000ASSIGNED TIME 61661,E10A180,00301,0100,02/16/1999 61661,E10A180,00302,0100,08/20/1999 61661,E10A180,00303,0100,12/03/1999 61661,S000000,00100,0200,05/31/2000 61661,S200000,00100,0100,825 FISHER AVENUE 61661,S200000,00100,0300,549 61661,S200000,00200,0100,SMITHVILLE 61661,S200000,00200,0200,TN 61661,S200000,00200,0300,37166 61661,S200000,00300,0100,DEKALB 61661,S200000,00400,0100,NHC HEALTHCARE SMITHVILLE 61661,S200000,00400,0200,445116 61661,S200000,00400,0300,06/02/1977 61661,S200000,00400,0500,P 61661,S200000,00600,0200,000188 61661,S200000,00600,0300,06/02/1977 61661,S200000,00600,0600,P 61661,S200000,01600,0100,Y 61672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61672,A000000,00300,0000,00300EMPLOYEE BENEFITS 61672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61672,A000000,00700,0000,00700HOUSEKEEPING 61672,A000000,00800,0000,00800DIETARY 61672,A000000,00900,0000,00900NURSING ADMINISTRATION 61672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61672,A000000,01100,0000,01100PHARMACY 61672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61672,A000000,01300,0000,01300SOCIAL SERVICE 61672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61672,A000000,01600,0000,01600SKILLED NURSING FACILITY 61672,A000000,01800,0000,01800NURSING FACILITY 61672,A000000,01810,0000,01810ICF/MR 61672,A000000,02100,0000,02100RADIOLOGY 61672,A000000,02200,0000,02200LABORATORY 61672,A000000,02300,0000,02300INTRAVENOUS THERAPY 61672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61672,A000000,02500,0000,02500PHYSICAL THERAPY 61672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61672,A000000,02700,0000,02700SPEECH PATHOLOGY 61672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61672,A000000,03550,0000,03550FQHC 61672,A000000,05000,0000,05000CORF 61672,A000000,05010,0000,05010CMHC 61672,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61672,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61672,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61672,A000000,05300,0000,05300INTEREST EXPENSE 61672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61672,A81000A,00100,0100,Y 61672,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61672,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61672,A81000B,00300,0300,HEALTH INSURANCE 61672,A81000B,00400,0300,RETIREMENT 61672,A81000B,00600,0300,PHS - NURSING 61672,A81000B,00700,0300,PHS - SOCIAL WORK 61672,A81000B,00800,0300,PHS - OCC THERAPY 61672,A81000B,00900,0300,PHS - SPEECH THERAPY 61672,A81000B,01000,0300,PHS - PHYS THERAPY 61672,A81000B,01100,0300,PHS - ACTIVITIES 61672,A81000B,01200,0300,PHS - DIETARY 61672,A81000B,01300,0300,PHS - MED RECORDS 61672,A81000B,01400,0300,PHS - ADMINISTRATIVE 61672,A81000C,00100,0100,B 61672,A81000C,00100,0200,NATIONAL HEALTH 61672,A81000C,00100,0400,PROF HEALTH SER 61672,A81000C,00100,0600,HEALTHCARE 61672,A81000C,00200,0200,CARE CORPORATIO 61672,B100000,00000,0100,00000(SQUARE FEET) 61672,B100000,00000,0200,00000(SQUARE FEET) 61672,B100000,00000,0300,00000(GROSS SALARIES) 61672,B100000,00000,0400,00000(ACCUM COST) 61672,B100000,00000,0500,00000(SQUARE FEET) 61672,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61672,B100000,00000,0700,00000(SQUARE FEET) 61672,B100000,00000,0800,00000(MEALS SERVED) 61672,B100000,00000,0900,00000(DIRECT NRSG HRS) 61672,B100000,00000,1000,00000(COSTED REQUIS) 61672,B100000,00000,1100,00000(COSTED REQUIS) 61672,B100000,00000,1200,00000(TIME SPENT) 61672,B100000,00000,1300,00000(TIME SPENT) 61672,B100000,00000,1400,00000ASSIGNED TIME 61672,E10A180,00301,0100,02/16/1999 61672,E10A180,00302,0100,08/20/1999 61672,E10A180,00303,0100,12/03/1999 61672,S000000,00100,0200,04/06/2000 61672,S200000,00100,0100,2380 BUFFALO RD. 61672,S200000,00100,0300,767 61672,S200000,00200,0100,LAWRENCEBURG 61672,S200000,00200,0200,TN 61672,S200000,00200,0300,38464 61672,S200000,00300,0100,LAWRENCE 61672,S200000,00400,0100,NHC HEALTHCARE SCOTT 61672,S200000,00400,0200,445117 61672,S200000,00400,0300,07/01/1977 61672,S200000,00400,0500,P 61672,S200000,00600,0200,000062 61672,S200000,00600,0300,07/01/1977 61672,S200000,00600,0600,P 61672,S200000,01600,0100,Y 61683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61683,A000000,00300,0000,00300EMPLOYEE BENEFITS 61683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61683,A000000,00700,0000,00700HOUSEKEEPING 61683,A000000,00800,0000,00800DIETARY 61683,A000000,00900,0000,00900NURSING ADMINISTRATION 61683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61683,A000000,01100,0000,01100PHARMACY 61683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61683,A000000,01300,0000,01300SOCIAL SERVICE 61683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61683,A000000,01600,0000,01600SKILLED NURSING FACILITY 61683,A000000,01800,0000,01800NURSING FACILITY 61683,A000000,01810,0000,01810ICF/MR 61683,A000000,02100,0000,02100RADIOLOGY 61683,A000000,02200,0000,02200LABORATORY 61683,A000000,02300,0000,02300INTRAVENOUS THERAPY 61683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61683,A000000,02500,0000,02500PHYSICAL THERAPY 61683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61683,A000000,02700,0000,02700SPEECH PATHOLOGY 61683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61683,A000000,03550,0000,03550FQHC 61683,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61683,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61683,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61683,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61683,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61683,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61683,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61683,A000000,05000,0000,05000CORF 61683,A000000,05010,0000,05010CMHC 61683,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61683,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61683,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61683,A000000,05300,0000,05300INTEREST EXPENSE 61683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61683,A81000A,00100,0100,Y 61683,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61683,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61683,A81000B,00300,0300,HEALTH INSURANCE 61683,A81000B,00400,0300,RETIREMENT 61683,A81000B,00500,0300,PHS NURSING 61683,A81000B,00600,0300,PHS SOCIAL SERVICES 61683,A81000B,00700,0300,PHS - OT 61683,A81000B,00800,0300,PHS - ST 61683,A81000B,00900,0300,PHS - PT 61683,A81000B,01000,0300,PHS ACTIVITIES 61683,A81000B,01100,0300,PHS - DIETARY 61683,A81000B,01200,0300,PHS MEDICAL RECORDS 61683,A81000B,01300,0300,PHS - ADMINISTRATIVE 61683,A81000B,01500,0300,PHS COST ADJ. 61683,A81000B,01600,0300,HHA - NHC HOME OFFICE COST 61683,A81000B,01700,0300,HHA - PHS HOME OFFICE COST 61683,A81000B,01800,0300,HHA - HEALTH INSURANCE 61683,A81000B,01900,0300,HHA - RETIREMENT 61683,A81000B,02000,0300,PHS ADJUSTMENT 61683,A81000B,02100,0300,PHS ADJUSTMENT 61683,A81000B,02200,0300,PHS ADJUSTMENT 61683,A81000C,00100,0100,B 61683,A81000C,00100,0200,NATIONAL HEALTH 61683,A81000C,00200,0200,CARE CORPORATIO 61683,A81000C,00300,0100,B 61683,A81000C,00300,0200,PROFESSIONAL HE 61683,A81000C,00300,0600,SERVICES 61683,A81000C,00400,0200,SERVICES 61683,B100000,00000,0100,00000(SQUARE FEET) 61683,B100000,00000,0200,00000(SQUARE FEET) 61683,B100000,00000,0300,00000(GROSS SALARIES) 61683,B100000,00000,0400,00000(ACCUM COST) 61683,B100000,00000,0500,00000(SQUARE FEET) 61683,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61683,B100000,00000,0700,00000(SQUARE FEET) 61683,B100000,00000,0800,00000(MEALS SERVED) 61683,B100000,00000,0900,00000(DIRECT NRSG HRS) 61683,B100000,00000,1000,00000(COSTED REQUIS) 61683,B100000,00000,1100,00000(COSTED REQUIS) 61683,B100000,00000,1200,00000(TIME SPENT) 61683,B100000,00000,1300,00000(TIME SPENT) 61683,B100000,00000,1400,00000ASSIGNED TIME 61683,E10A180,00301,0100,02/16/1999 61683,E10A180,00302,0100,08/16/1999 61683,E10A180,00550,0100,05/31/2000 61683,E10A180,00550,0300,05/31/2000 61683,H510100,00000,0000,9944 61683,H510100,02400,0000,9944 61683,H510100,02401,0000,3580 61683,H510100,02402,0000,4920 61683,H510200,00000,0000,3580 61683,H510300,00000,0000,4920 61683,H710000,00501,0100,04/14/2000 61683,S000000,00100,0200,05/26/2000 61683,S200000,00100,0100,308 LAKE DR. 61683,S200000,00100,0300,550 61683,S200000,00200,0100,SOMERVILLE 61683,S200000,00200,0200,TN 61683,S200000,00200,0300,38068 61683,S200000,00300,0100,FAYETTE 61683,S200000,00400,0100,NHC HEALTHCARE SOMERVILLE 61683,S200000,00400,0200,445119 61683,S200000,00400,0300,07/01/1977 61683,S200000,00400,0500,P 61683,S200000,00600,0200,445119 61683,S200000,00600,0300,07/01/1977 61683,S200000,00600,0600,P 61683,S200000,00800,0200,447213 61683,S200000,00800,0300,06/13/1983 61683,S200000,00800,0500,P 61683,S200000,01600,0100,Y 61694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61694,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURE 61694,A000000,00102,0000,00102CAP REL COSTS - BLDGS & FIXTURE 61694,A000000,00103,0000,00103CAP REL COSTS - ALZHEIMERS 61694,A000000,00300,0000,00300EMPLOYEE BENEFITS 61694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61694,A000000,00401,0000,00401ADMINISTRATIVE & GEN-HEALTH CAR 61694,A000000,00402,0000,00402ADMINISTRATIVE & GEN-BOTH 61694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61694,A000000,00501,0000,00501PLANT OP MAINT. & REPAIRS-ALZH 61694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61694,A000000,00601,0000,00601LAUNDRY & LINEN SERVICE-ALZ 61694,A000000,00700,0000,00700HOUSEKEEPING 61694,A000000,00701,0000,00701HOUSEKEEPING-ALZHEIMERS 61694,A000000,00800,0000,00800DIETARY 61694,A000000,00801,0000,00801DIETARY-ALZHEIMERS 61694,A000000,00900,0000,00900NURSING ADMINISTRATION 61694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61694,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY-ALZHE 61694,A000000,01100,0000,01100PHARMACY 61694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61694,A000000,01300,0000,01300SOCIAL SERVICE 61694,A000000,01301,0000,01301SOCIAL SERVICE-ALZHEIMERS 61694,A000000,01350,0000,01500ACTIVITIES 61694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61694,A000000,01600,0000,01600SKILLED NURSING FACILITY 61694,A000000,01800,0000,01800NURSING FACILITY 61694,A000000,01900,0000,01900OTHER LONG TERM CARE 61694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61694,A000000,02500,0000,02500PHYSICAL THERAPY 61694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61694,A000000,02700,0000,02700SPEECH PATHOLOGY 61694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61694,A000000,04800,0000,04800AMBULANCE 61694,A000000,05300,0000,05300INTEREST EXPENSE 61694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61694,A81000A,00100,0100,Y 61694,A81000B,00100,0300,INTEREST EXPENSE 61694,A81000B,00200,0300,HOME OFFICE COSTS 61694,A81000B,00300,0300,HOME OFFICE COSTS 61694,A81000C,00100,0100,B 61694,A81000C,00100,0200,ALEXIAN BROTHERS HEALTH 61694,A81000C,00100,0400,ALEXIAN BROTHERS 61694,A81000C,00100,0600,HOME OFFICE 61694,A81000C,00200,0100,B 61694,A81000C,00200,0200,ALEXIAN BROTHERS HEALTH 61694,A81000C,00200,0400,ALEXIAN BROTHERS 61694,A81000C,00200,0600,HOME OFFICE 61694,A81000C,00300,0100,B 61694,A81000C,00300,0200,ALEXIAN BROTHERS HEALTH 61694,A81000C,00300,0400,ALEXIAN BROTHERS 61694,A81000C,00300,0600,HOME OFFICE 61694,B100000,00000,0100,00000SQ FT BOTH 61694,B100000,00000,0101,00000SQ FT HCC 61694,B100000,00000,0102,00000SQ FT APTS 61694,B100000,00000,0103,00000SQ FT ALZ 61694,B100000,00000,0300,00000GROSS SALARIES 61694,B100000,00000,0400,00000 (ACCUM COST) 61694,B100000,00000,0401,00000ACCUM. COST 61694,B100000,00000,0402,00000ACCUM. COST 61694,B100000,00000,0500,00000SQ FT BOTH 61694,B100000,00000,0501,00000SQUARE FEET 61694,B100000,00000,0600,00000PATIENT DAYS 61694,B100000,00000,0601,00000PATIENT DAYS-ALZ 61694,B100000,00000,0700,00000SQ FT HSKPG 61694,B100000,00000,0701,00000SQ FT HSKPG 61694,B100000,00000,0800,00000MEALS SERVED 61694,B100000,00000,0801,00000MEALS SERVED 61694,B100000,00000,0900,00000ACCUM. COST 61694,B100000,00000,1000,00000COSTED REQUIS. 61694,B100000,00000,1001,00000COSTED REQUIS.-AL 61694,B100000,00000,1100,00000COSTED REQUIS. 61694,B100000,00000,1200,00000GROSS CHARGES 61694,B100000,00000,1300,00000GROSS CHARGES 61694,B100000,00000,1301,00000PATIENT DAYS-ALZ 61694,B100000,00000,1350,00000PATIENT DAYS 61694,B100000,00000,1400,00000PATIENT DAYS-ALZ 61694,S000000,00100,0200,06/01/2000 61694,S200000,00100,0100,100 JAMES BLVD 61694,S200000,00200,0100,SIGNAL MOUNTAIN 61694,S200000,00200,0200,TN 61694,S200000,00300,0100,HAMILTON 61694,S200000,00400,0100,ALEXIAN VILLAGE OF TENNESSEE 61694,S200000,00400,0200,445123 61694,S200000,00400,0300,06/01/1978 61694,S200000,00400,0500,P 61694,S200000,00400,0600,O 61694,S200000,00600,0200,445123 61694,S200000,00600,0300,06/01/1987 61694,S200000,00600,0600,P 61694,S200000,01600,0100,Y 61706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61706,A000000,00300,0000,00300EMPLOYEE BENEFITS 61706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61706,A000000,00700,0000,00700HOUSEKEEPING 61706,A000000,00800,0000,00800DIETARY 61706,A000000,00900,0000,00900NURSING ADMINISTRATION 61706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61706,A000000,01100,0000,01100PHARMACY 61706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61706,A000000,01300,0000,01300SOCIAL SERVICE 61706,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61706,A000000,01600,0000,01600SKILLED NURSING FACILITY 61706,A000000,01800,0000,01800NURSING FACILITY 61706,A000000,01900,0000,01900OTHER LONG TERM CARE 61706,A000000,02100,0000,02100RADIOLOGY 61706,A000000,02200,0000,02200LABORATORY 61706,A000000,02300,0000,02300INTRAVENOUS THERAPY 61706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61706,A000000,02500,0000,02500PHYSICAL THERAPY 61706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61706,A000000,02700,0000,02700SPEECH PATHOLOGY 61706,A000000,02800,0000,02800ELECTROCARDIOLOGY 61706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61706,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 61706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 61706,A000000,04800,0000,04800AMBULANCE 61706,A000000,05000,0000,05000CORF 61706,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 61706,A000000,05300,0000,05300INTEREST EXPENSE 61706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61706,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61706,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 61706,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61706,A000000,06100,0000,06100NONPAID WORKERS 61706,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61706,A000000,06200,0000,06200PATIENTS LAUNDRY 61706,B100000,00000,0100,00000SQUARE FEET 61706,B100000,00000,0200,00000SQUARE FEET 61706,B100000,00000,0300,00000GROSS SALARIES 61706,B100000,00000,0400,00000ACCUM COST 61706,B100000,00000,0500,00000SQUARE FEET 61706,B100000,00000,0600,00000POUNDS OF LAUNDRY 61706,B100000,00000,0700,00000SQUARE FEET 61706,B100000,00000,0800,00000MEALS SERVED 61706,B100000,00000,0900,00000PATIENT DAYS 61706,B100000,00000,1000,00000PATIENT DAYS 61706,B100000,00000,1100,00000COSTED REQUISITIO 61706,B100000,00000,1200,00000TIME SPENT 61706,B100000,00000,1300,00000TIME SPENT 61706,B100000,00000,1350,00000 61706,S000000,00100,0200,11/30/2000 61706,S200000,00100,0100,3391 OLD GETWELL RD 61706,S200000,00200,0100,MEMPHIS 61706,S200000,00200,0200,TN 61706,S200000,00200,0300,38118 61706,S200000,00300,0100,SHELBY 61706,S200000,00400,0100,OAKVILLE HEALTH CARE CENTER 61706,S200000,00400,0200,445125 61706,S200000,00400,0300,02/01/1980 61706,S200000,00400,0500,P 61706,S200000,01600,0100,Y 61714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61714,A000000,00300,0000,00300EMPLOYEE BENEFITS 61714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61714,A000000,00700,0000,00700HOUSEKEEPING 61714,A000000,00800,0000,00800DIETARY 61714,A000000,00900,0000,00900NURSING ADMINISTRATION 61714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61714,A000000,01100,0000,01100PHARMACY 61714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61714,A000000,01300,0000,01300SOCIAL SERVICE 61714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61714,A000000,01600,0000,01600SKILLED NURSING FACILITY 61714,A000000,01800,0000,01800NURSING FACILITY 61714,A000000,01810,0000,01810ICF/MR 61714,A000000,02200,0000,02200LABORATORY 61714,A000000,02300,0000,02300INTRAVENOUS THERAPY 61714,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61714,A000000,02500,0000,02500PHYSICAL THERAPY 61714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61714,A000000,02700,0000,02700SPEECH PATHOLOGY 61714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61714,A000000,03550,0000,03550FQHC 61714,A000000,05000,0000,05000CORF 61714,A000000,05010,0000,05010CMHC 61714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61714,A000000,05300,0000,05300INTEREST EXPENSE 61714,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61714,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61714,A81000A,00100,0100,Y 61714,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61714,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61714,A81000B,00300,0300,HEALTH INSURANCE 61714,A81000B,00400,0300,RETIREMENT 61714,A81000B,00500,0300,PHS COST 61714,A81000B,00600,0300,PHS COST 61714,A81000B,00700,0300,PHS COST 61714,A81000B,00800,0300,PHS COST 61714,A81000B,00900,0300,PHS COST 61714,A81000B,01000,0300,PHS COST 61714,A81000B,01100,0300,PHS COST 61714,A81000B,01200,0300,PHS COST 61714,A81000C,00100,0100,B 61714,A81000C,00100,0200,NATIONAL HEALTH 61714,A81000C,00100,0400,PROFESSIONAL HE 61714,A81000C,00100,0600,SERVICES 61714,A81000C,00200,0200,CARE CORPORATIO 61714,B100000,00000,0100,00000(SQUARE FEET) 61714,B100000,00000,0200,00000(SQUARE FEET) 61714,B100000,00000,0300,00000(GROSS SALARIES) 61714,B100000,00000,0400,00000(ACCUM COST) 61714,B100000,00000,0500,00000(SQUARE FEET) 61714,B100000,00000,0600,00000(PATIENT DAYS) 61714,B100000,00000,0700,00000(SQUARE FEET) 61714,B100000,00000,0800,00000(MEALS SERVED) 61714,B100000,00000,0900,00000(DIRECT NRSG HRS) 61714,B100000,00000,1000,00000(COSTED REQUIS) 61714,B100000,00000,1100,00000(COSTED REQUIS) 61714,B100000,00000,1200,00000(TIME SPENT) 61714,B100000,00000,1300,00000(TIME SPENT) 61714,B100000,00000,1400,00000ASSIGNED TIME 61714,E10A180,00301,0100,02/16/1999 61714,E10A180,00302,0100,08/20/1999 61714,E10A180,00550,0100,05/30/2000 61714,E10A180,00550,0300,05/30/2000 61714,S000000,00100,0200,05/26/2000 61714,S200000,00100,0100,DELL TRAIL 61714,S200000,00100,0300,878 61714,S200000,00200,0100,DUNLAP 61714,S200000,00200,0200,TN 61714,S200000,00200,0300,37327 61714,S200000,00300,0100,SEQUATCHIE 61714,S200000,00400,0100,NHC HEALTHCARE SEQUATCHIE 61714,S200000,00400,0200,445126 61714,S200000,00400,0300,10/01/1977 61714,S200000,00400,0500,P 61714,S200000,00600,0200,000289 61714,S200000,00600,0300,10/01/1977 61714,S200000,00600,0600,P 61714,S200000,01600,0100,Y 61725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61725,A000000,00300,0000,00300EMPLOYEE BENEFITS 61725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61725,A000000,00700,0000,00700HOUSEKEEPING 61725,A000000,00800,0000,00800DIETARY 61725,A000000,00900,0000,00900NURSING ADMINISTRATION 61725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61725,A000000,01100,0000,01100PHARMACY 61725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61725,A000000,01300,0000,01300SOCIAL SERVICE 61725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61725,A000000,01600,0000,01600SKILLED NURSING FACILITY 61725,A000000,01800,0000,01800NURSING FACILITY 61725,A000000,01810,0000,01810ICF/MR 61725,A000000,02100,0000,02100RADIOLOGY 61725,A000000,02200,0000,02200LABORATORY 61725,A000000,02300,0000,02300INTRAVENOUS THERAPY 61725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61725,A000000,02500,0000,02500PHYSICAL THERAPY 61725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61725,A000000,02700,0000,02700SPEECH PATHOLOGY 61725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61725,A000000,03550,0000,03550FQHC 61725,A000000,05000,0000,05000CORF 61725,A000000,05010,0000,05010CMHC 61725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61725,A000000,05300,0000,05300INTEREST EXPENSE 61725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61725,A81000A,00100,0100,Y 61725,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61725,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61725,A81000B,00300,0300,HEALTH INSURANCE 61725,A81000B,00400,0300,RETIREMENT 61725,A81000B,00500,0300,PHS COST 61725,A81000B,00600,0300,PHS COST 61725,A81000B,00700,0300,PHS COST 61725,A81000B,00800,0300,PHS COST 61725,A81000B,00900,0300,PHS COST 61725,A81000B,01000,0300,PHS COST 61725,A81000B,01100,0300,PHS COST 61725,A81000B,01200,0300,PHS COST 61725,A81000B,01300,0300,PHS COST 61725,A81000C,00100,0100,B 61725,A81000C,00100,0200,NATIONAL HEALTH 61725,A81000C,00100,0400,PROFESSIONAL HE 61725,A81000C,00100,0600,SERVICES 61725,A81000C,00200,0200,CARE CORPORATIO 61725,B100000,00000,0100,00000(SQUARE FEET) 61725,B100000,00000,0200,00000(SQUARE FEET) 61725,B100000,00000,0300,00000(GROSS SALARIES) 61725,B100000,00000,0400,00000(ACCUM COST) 61725,B100000,00000,0500,00000(SQUARE FEET) 61725,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61725,B100000,00000,0700,00000(SQUARE FEET) 61725,B100000,00000,0800,00000(MEALS SERVED) 61725,B100000,00000,0900,00000(DIRECT NRSG HRS) 61725,B100000,00000,1000,00000(COSTED REQUIS) 61725,B100000,00000,1100,00000(COSTED REQUIS) 61725,B100000,00000,1200,00000(TIME SPENT) 61725,B100000,00000,1300,00000(TIME SPENT) 61725,B100000,00000,1400,00000ASSIGNED TIME 61725,E10A180,00301,0100,02/16/1999 61725,E10A180,00302,0100,08/20/1999 61725,E10A180,00303,0100,12/03/1999 61725,S000000,00100,0200,04/03/2000 61725,S200000,00100,0100,216 FAIRGROUND STREET 61725,S200000,00100,0300,683 61725,S200000,00200,0100,FRANKLIN 61725,S200000,00200,0200,TN 61725,S200000,00200,0300,37064 61725,S200000,00300,0100,WILLIAMSON 61725,S200000,00400,0100,NHC HEALTHCARE FRANKLIN 61725,S200000,00400,0200,445127 61725,S200000,00400,0300,07/14/1980 61725,S200000,00400,0500,P 61725,S200000,00600,0200,000298 61725,S200000,00600,0300,07/14/1980 61725,S200000,00600,0600,P 61725,S200000,01600,0100,Y 61736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61736,A000000,00300,0000,00300EMPLOYEE BENEFITS 61736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61736,A000000,00700,0000,00700HOUSEKEEPING 61736,A000000,00800,0000,00800DIETARY 61736,A000000,00900,0000,00900NURSING ADMINISTRATION 61736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61736,A000000,01100,0000,01100PHARMACY 61736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61736,A000000,01300,0000,01300SOCIAL SERVICE 61736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61736,A000000,01600,0000,01600SKILLED NURSING FACILITY 61736,A000000,01800,0000,01800NURSING FACILITY 61736,A000000,01810,0000,01810ICF/MR 61736,A000000,02100,0000,02100RADIOLOGY 61736,A000000,02200,0000,02200LABORATORY 61736,A000000,02300,0000,02300INTRAVENOUS THERAPY 61736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61736,A000000,02500,0000,02500PHYSICAL THERAPY 61736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61736,A000000,02700,0000,02700SPEECH PATHOLOGY 61736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61736,A000000,03550,0000,03550FQHC 61736,A000000,05000,0000,05000CORF 61736,A000000,05010,0000,05010CMHC 61736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61736,A000000,05300,0000,05300INTEREST EXPENSE 61736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61736,A81000A,00100,0100,Y 61736,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61736,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61736,A81000B,00300,0300,HEALTH INSURANCE 61736,A81000B,00400,0300,RETIREMENT 61736,A81000B,00500,0300,DATA PROCESSING COST 61736,A81000B,00700,0300,PHS COST 61736,A81000B,00800,0300,PHS COST 61736,A81000B,00900,0300,PHS COST 61736,A81000B,01000,0300,PHS COST 61736,A81000B,01100,0300,PHS COST 61736,A81000B,01200,0300,PHS COST 61736,A81000B,01300,0300,PHS COST 61736,A81000B,01400,0300,PHS COST 61736,A81000C,00100,0100,B 61736,A81000C,00100,0200,NATIONAL HEALTH 61736,A81000C,00200,0200,CORPORATION 61736,A81000C,00300,0100,B 61736,A81000C,00300,0200,PHS 61736,A81000C,00300,0600,SERVICES 61736,B100000,00000,0100,00000(SQUARE FEET) 61736,B100000,00000,0200,00000(SQUARE FEET) 61736,B100000,00000,0300,00000(GROSS SALARIES) 61736,B100000,00000,0400,00000(ACCUM COST) 61736,B100000,00000,0500,00000(SQUARE FEET) 61736,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61736,B100000,00000,0700,00000(SQUARE FEET) 61736,B100000,00000,0800,00000(MEALS SERVED) 61736,B100000,00000,0900,00000(DIRECT NRSG HRS) 61736,B100000,00000,1000,00000(COSTED REQUIS) 61736,B100000,00000,1100,00000(COSTED REQUIS) 61736,B100000,00000,1200,00000(TIME SPENT) 61736,B100000,00000,1300,00000(TIME SPENT) 61736,B100000,00000,1400,00000ASSIGNED TIME 61736,E10A180,00301,0100,02/16/1999 61736,E10A180,00302,0100,08/20/1999 61736,E10A180,00303,0100,12/03/1999 61736,E10A180,00550,0100,05/31/2000 61736,E10A180,00550,0300,05/31/2000 61736,S000000,00100,0200,05/26/2000 61736,S200000,00100,0100,300 LABORATORY ROAD 61736,S200000,00100,0300,5925 61736,S200000,00200,0100,OAK RIDGE 61736,S200000,00200,0200,TN 61736,S200000,00200,0300,37830 61736,S200000,00300,0100,ANDERSON 61736,S200000,00400,0100,NHC HEALTHCARE OAK RIDGE 61736,S200000,00400,0200,445128 61736,S200000,00400,0300,03/26/1979 61736,S200000,00400,0500,P 61736,S200000,00600,0200,000304 61736,S200000,00600,0300,03/26/1979 61736,S200000,00600,0600,P 61746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61746,A000000,00300,0000,00300EMPLOYEE BENEFITS 61746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61746,A000000,00700,0000,00700HOUSEKEEPING 61746,A000000,00800,0000,00800DIETARY 61746,A000000,00900,0000,00900NURSING ADMINISTRATION 61746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61746,A000000,01100,0000,01100PHARMACY 61746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61746,A000000,01300,0000,01300SOCIAL SERVICE 61746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61746,A000000,01600,0000,01600SKILLED NURSING FACILITY 61746,A000000,01800,0000,01800NURSING FACILITY 61746,A000000,01810,0000,01810ICF/MR 61746,A000000,02100,0000,02100RADIOLOGY 61746,A000000,02200,0000,02200LABORATORY 61746,A000000,02300,0000,02300INTRAVENOUS THERAPY 61746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61746,A000000,02500,0000,02500PHYSICAL THERAPY 61746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61746,A000000,02700,0000,02700SPEECH PATHOLOGY 61746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61746,A000000,03550,0000,03550FQHC 61746,A000000,05000,0000,05000CORF 61746,A000000,05010,0000,05010CMHC 61746,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61746,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61746,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61746,A000000,05300,0000,05300INTEREST EXPENSE 61746,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61746,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61746,A81000A,00100,0100,Y 61746,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61746,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61746,A81000B,00300,0300,HEALTH INSURANCE 61746,A81000B,00400,0300,RETIREMENT 61746,A81000B,00500,0300,PHS ADJUSTMENT 61746,A81000B,00600,0300,PHS ADJUSTMENT 61746,A81000B,00700,0300,PHS ADJUSTMENT 61746,A81000B,00800,0300,PHS ADJUSTMENT 61746,A81000B,00900,0300,PHS ADJUSTMENT 61746,A81000B,01000,0300,PHS ADJUSTMENT 61746,A81000B,01100,0300,PHS ADJUSTMENT 61746,A81000B,01200,0300,PHS ADJUSTMENT 61746,A81000C,00100,0100,B 61746,A81000C,00100,0200,NATIONAL HEALTH 61746,A81000C,00200,0200,CARE CORPORATIO 61746,A81000C,00300,0100,B 61746,A81000C,00300,0200,PROFESSIONAL HE 61746,A81000C,00300,0600,THERAPY PERSONN 61746,A81000C,00400,0200,SERVICES 61746,B100000,00000,0100,00000(SQUARE FEET) 61746,B100000,00000,0200,00000(SQUARE FEET) 61746,B100000,00000,0300,00000(GROSS SALARIES) 61746,B100000,00000,0400,00000(ACCUM COST) 61746,B100000,00000,0500,00000(SQUARE FEET) 61746,B100000,00000,0600,00000(PATIENT DAYS) 61746,B100000,00000,0700,00000(SQUARE FEET) 61746,B100000,00000,0800,00000(MEALS SERVED) 61746,B100000,00000,0900,00000(DIRECT NRSG HRS) 61746,B100000,00000,1000,00000(COSTED REQUIS) 61746,B100000,00000,1100,00000(COSTED REQUIS) 61746,B100000,00000,1200,00000(TIME SPENT) 61746,B100000,00000,1300,00000(TIME SPENT) 61746,B100000,00000,1400,00000ASSIGNED TIME 61746,E10A180,00301,0100,02/16/1999 61746,E10A180,00302,0100,08/20/1999 61746,E10A180,00303,0100,12/03/1999 61746,E10A180,00501,0300,06/05/2000 61746,E10A180,00550,0100,06/05/2000 61746,S000000,00100,0200,05/26/2000 61746,S200000,00100,0100,108 GRACEY STREET 61746,S200000,00100,0300,298 61746,S200000,00200,0100,SPARTA 61746,S200000,00200,0200,TN 61746,S200000,00200,0300,38583 61746,S200000,00300,0100,WHITE 61746,S200000,00400,0100,NHC HEALTHCARE SPARTA 61746,S200000,00400,0200,445130 61746,S200000,00400,0300,10/01/1979 61746,S200000,00400,0500,P 61746,S200000,00600,0200,000286 61746,S200000,00600,0300,10/01/1979 61746,S200000,00600,0600,P 61746,S200000,01600,0100,Y 61764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61764,A000000,00300,0000,00300EMPLOYEE BENEFITS 61764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61764,A000000,00700,0000,00700HOUSEKEEPING 61764,A000000,00800,0000,00800DIETARY 61764,A000000,00900,0000,00900NURSING ADMINISTRATION 61764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61764,A000000,01100,0000,01100PHARMACY 61764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61764,A000000,01300,0000,01300SOCIAL SERVICE 61764,A000000,01600,0000,01600SKILLED NURSING FACILITY 61764,A000000,01800,0000,01800NURSING FACILITY 61764,A000000,02100,0000,02100RADIOLOGY 61764,A000000,02200,0000,02200LABORATORY 61764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61764,A000000,02500,0000,02500PHYSICAL THERAPY 61764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61764,A000000,02700,0000,02700SPEECH PATHOLOGY 61764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61764,A000000,04800,0000,04800AMBULANCE 61764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 61764,A000000,05300,0000,05300INTEREST EXPENSE 61764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61764,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 61764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61764,A000000,06100,0000,06100NONPAID WORKERS 61764,A000000,06200,0000,06200PATIENTS LAUNDRY 61764,B100000,00000,0100,00000SQUARE FEET 61764,B100000,00000,0200,00000SQUARE FEET 61764,B100000,00000,0300,00000GROSS SALARIES 61764,B100000,00000,0400,00000ACCUM COST 61764,B100000,00000,0500,00000SQUARE FEET 61764,B100000,00000,0600,00000POUNDS OF LAUNDRY 61764,B100000,00000,0700,00000SQUARE FEET 61764,B100000,00000,0800,00000MEALS SERVED 61764,B100000,00000,0900,00000GROSS SAL NURSING 61764,B100000,00000,1000,00000COSTED REQUISITIO 61764,B100000,00000,1100,00000COSTED REQUISITIO 61764,B100000,00000,1200,00000GROSS REVENUES 61764,B100000,00000,1300,00000PATIENT DAYS 61764,E10A180,00501,0100,09/07/2000 61764,S000000,00100,0200,07/14/2000 61764,S200000,00100,0100,415 CATLETT ROAD 61764,S200000,00100,0300,5349 61764,S200000,00200,0100,SEVIERVILLE 61764,S200000,00200,0200,TN 61764,S200000,00200,0300,37864 61764,S200000,00300,0100,SEVIER 61764,S200000,00400,0100,SEVIER CTY HEALTH CARE CTR INC. 61764,S200000,00400,0200,445132 61764,S200000,00400,0300,04/28/1980 61764,S200000,00400,0500,P 61764,S200000,00400,0600,O 61764,S200000,01600,0100,Y 61764,S200000,04300,0100,Y 61782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61782,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61782,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61782,A000000,00300,0000,00300EMPLOYEE BENEFITS 61782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61782,A000000,00700,0000,00700HOUSEKEEPING 61782,A000000,00800,0000,00800DIETARY 61782,A000000,00801,0000,00801CAFETERIA 61782,A000000,00900,0000,00900NURSING ADMINISTRATION 61782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61782,A000000,01100,0000,01100PHARMACY 61782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61782,A000000,01300,0000,01300SOCIAL SERVICE 61782,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61782,A000000,01600,0000,01600SKILLED NURSING FACILITY 61782,A000000,01800,0000,01800NURSING FACILITY 61782,A000000,01810,0000,01810ICF/MR 61782,A000000,02100,0000,02100RADIOLOGY 61782,A000000,02200,0000,02200LABORATORY 61782,A000000,02500,0000,02500PHYSICAL THERAPY 61782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61782,A000000,02700,0000,02700SPEECH PATHOLOGY 61782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61782,A000000,03050,0000,03300WOUND CARE 61782,A000000,03051,0000,03301ENTERAL FEED 61782,A000000,03052,0000,03302PT OT ST 61782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61782,A000000,03550,0000,03550FQHC 61782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61782,A000000,04800,0000,04800AMBULANCE 61782,A000000,05000,0000,05000CORF I 61782,A000000,05010,0000,05010CMHC I 61782,A000000,05020,0000,05020OPT I 61782,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61782,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61782,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61782,B100000,00000,0100,00000(SQUARE FEET) 61782,B100000,00000,0101,00000(SQUARE FEET) 61782,B100000,00000,0200,00000(SQUARE FEET) 61782,B100000,00000,0201,00000(SQUARE FEET) 61782,B100000,00000,0300,00000(GROSS SALARIES) 61782,B100000,00000,0400,00000(ACCUM. COST) 61782,B100000,00000,0500,00000(SQUARE FEET) 61782,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61782,B100000,00000,0700,00000(SQUARE FEET) 61782,B100000,00000,0800,00000(MEALS SERVED) 61782,B100000,00000,0801,00000(MEALS SERVED) 61782,B100000,00000,0900,00000(DIRECT NURS HRS) 61782,B100000,00000,1000,00000(COST REQUIS) 61782,B100000,00000,1100,00000(COST REQUIS) 61782,B100000,00000,1200,00000(TIME SPENT) 61782,B100000,00000,1300,00000PAT DAYS 61782,B100000,00000,1350,00000PAT DAYS 61782,B100000,00000,1400,00000(ASSIGNED TIME) 61782,E10A180,00501,0100,04/17/2000 61782,E10A180,00550,0300,04/17/2000 61782,S000000,00100,0200,05/31/2000 61782,S200000,00100,0100,141 NO. MCLEAN BLVD 61782,S200000,00200,0100,MEMPHIS 61782,S200000,00200,0200,TN 61782,S200000,00200,0300,38104 61782,S200000,00300,0100,SHELBY 61782,S200000,00400,0100,ST PETER VILLA INC. 61782,S200000,00400,0200,445139 61782,S200000,00400,0300,03/02/1981 61782,S200000,00400,0500,P 61782,S200000,01600,0100,Y 61782,S200000,02200,0100,Y 61798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61798,A000000,00300,0000,00300EMPLOYEE BENEFITS 61798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61798,A000000,00700,0000,00700HOUSEKEEPING 61798,A000000,00800,0000,00800DIETARY 61798,A000000,00900,0000,00900NURSING ADMINISTRATION 61798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61798,A000000,01100,0000,01100PHARMACY 61798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61798,A000000,01300,0000,01300SOCIAL SERVICE 61798,A000000,01350,0000,01500OTHER GENERAL SERVICES 61798,A000000,01351,0000,01501ACTIVITIES 61798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61798,A000000,01600,0000,01600SKILLED NURSING FACILITY 61798,A000000,01800,0000,01800NURSING FACILITY 61798,A000000,02200,0000,02200LABORATORY 61798,A000000,02500,0000,02500PHYSICAL THERAPY 61798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61798,A000000,02700,0000,02700SPEECH PATHOLOGY 61798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61798,A000000,03550,0000,03550FQHC 61798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61798,A000000,05000,0000,05000CORF 61798,A000000,05010,0000,05010CMHC 61798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61798,A000000,06201,0000,06201CONTRIBUTIONS 61798,A000000,06202,0000,06202FLOWERS & GIFTS 61798,A81000A,00100,0100,Y 61798,A81000B,00100,0300,HOME OFFICE 61798,A81000C,00100,0100,A 61798,A81000C,00100,0200,CONTINUUM CARE CORP. 61798,A81000C,00100,0400,CONTINUUM CARE CORP. 61798,A81000C,00100,0600,HOME OFFICE 61798,B100000,00000,0100,00000SQUARE FEET 61798,B100000,00000,0200,00000SQUARE FEET 61798,B100000,00000,0300,00000GROSS SALARIES 61798,B100000,00000,0400,00000ACCUM. COST 61798,B100000,00000,0500,00000SQUARE FEET 61798,B100000,00000,0600,00000POUNDS OF LAUNDRY 61798,B100000,00000,0700,00000HOURS OF SERVICE 61798,B100000,00000,0800,00000PATIENT DAYS 61798,B100000,00000,0900,00000DIRECTNRSI ING HOURS 61798,B100000,00000,1000,00000COSTED REQUIS. 61798,B100000,00000,1100,00000COSTED REQUIS. 61798,B100000,00000,1200,00000TIME STUDY 61798,B100000,00000,1300,00000TIME STUDY 61798,B100000,00000,1350,00000NO STATISTICS 61798,B100000,00000,1351,00000TIME STUDY 61798,B100000,00000,1400,00000ASSIGNED TIME 61798,E10A180,00301,0100,02/29/2000 61798,E10A180,00550,0100,09/01/2000 61798,E10A180,00550,0300,09/01/2000 61798,S000000,00100,0200,08/28/2000 61798,S200000,00100,0100,5580 ROANE STATE HIGHWAY 61798,S200000,00200,0100,ROCKWOOD 61798,S200000,00200,0200,TN 61798,S200000,00200,0300,37854 61798,S200000,00300,0100,ROANE 61798,S200000,00400,0100,ROCKWOOD HEALTH CARE CENTER 61798,S200000,00400,0200,445143 61798,S200000,00400,0300,01/01/1997 61798,S200000,00400,0500,P 61798,S200000,00600,0200,445143 61798,S200000,00600,0300,01/01/1997 61798,S200000,00600,0600,P 61798,S200000,01600,0100,Y 61806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61806,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61806,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61806,A000000,00300,0000,00300EMPLOYEE BENEFITS 61806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61806,A000000,00700,0000,00700HOUSEKEEPING 61806,A000000,00800,0000,00800DIETARY 61806,A000000,00801,0000,00801CAFETERIA 61806,A000000,00900,0000,00900NURSING ADMINISTRATION 61806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61806,A000000,01100,0000,01100PHARMACY 61806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61806,A000000,01300,0000,01300SOCIAL SERVICE 61806,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61806,A000000,01600,0000,01600SKILLED NURSING FACILITY 61806,A000000,01800,0000,01800NURSING FACILITY 61806,A000000,01810,0000,01810ICF/MR 61806,A000000,02200,0000,02200LABORATORY 61806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61806,A000000,02500,0000,02500PHYSICAL THERAPY 61806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61806,A000000,02700,0000,02700SPEECH PATHOLOGY 61806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61806,A000000,03050,0000,03300OTHER ANCILLARY 61806,A000000,03051,0000,03301OTHER ANCILLARY II 61806,A000000,03052,0000,03302OTHER ANCILLARY III 61806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61806,A000000,03550,0000,03550FQHC 61806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61806,A000000,04800,0000,04800AMBULANCE 61806,A000000,05000,0000,05000CORF I 61806,A000000,05010,0000,05010CMHC I 61806,A000000,05020,0000,05020OPT I 61806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61806,A000000,05300,0000,05300INTEREST EXPENSE 61806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61806,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61806,A81000A,00100,0100,Y 61806,A81000B,00100,0300,MANAGEMENT FEES 61806,A81000C,00100,0100,E 61806,A81000C,00100,0200,J L WILLOUGHBY 61806,A81000C,00100,0400,FRANKLIN PHARM 61806,A81000C,00100,0600,PHARMACY 61806,A81000C,00200,0100,E 61806,A81000C,00200,0200,R M HOLLISTER 61806,A81000C,00200,0400,FRANKLIN PHARM 61806,A81000C,00200,0600,PHARMACY 61806,A81000C,00300,0100,E 61806,A81000C,00300,0200,HOLLISTER CRT 61806,A81000C,00300,0400,FRANKLIN PHARM 61806,A81000C,00300,0600,PHARMACY 61806,A81000C,00400,0100,E 61806,A81000C,00400,0200,H B SAVAGE 61806,A81000C,00400,0400,FRANKLIN PHARM 61806,A81000C,00400,0600,PHARMACY 61806,A81000C,00600,0100,E 61806,A81000C,00600,0200,J M WILLOUGHBY 61806,A81000C,00600,0400,C & H HLTH CTR 61806,A81000C,00600,0600,NURSING HOME 61806,A81000C,00700,0100,E 61806,A81000C,00700,0200,R M HOLLISTER 61806,A81000C,00700,0400,C & H HLTH CTR 61806,A81000C,00700,0600,NURSING HOME 61806,A81000C,00800,0100,E 61806,A81000C,00800,0200,H B SAVAGE 61806,A81000C,00800,0400,C & H HLTH CTR 61806,A81000C,00800,0600,NURSING HOME 61806,B100000,00000,0100,00000(SQUARE FEET) 61806,B100000,00000,0101,00000(SQUARE FEET) 61806,B100000,00000,0200,00000(SQUARE FEET) 61806,B100000,00000,0201,00000(SQUARE FEET) 61806,B100000,00000,0300,00000(GROSS SALARIES) 61806,B100000,00000,0400,00000(ACCUM. COST) 61806,B100000,00000,0500,00000(SQUARE FEET) 61806,B100000,00000,0600,00000(PATIENT DAYS) 61806,B100000,00000,0700,00000(SQUARE FEET) 61806,B100000,00000,0800,00000(MEALS SERVED) 61806,B100000,00000,0801,00000(MEALS SERVED) 61806,B100000,00000,0900,00000(DIRECT NRSING HRS 61806,B100000,00000,1000,00000(COSTED REQUIS.) 61806,B100000,00000,1100,00000(COSTED REQUIS.) 61806,B100000,00000,1200,00000(TIME SPENT) 61806,B100000,00000,1300,00000(TIME SPENT) 61806,B100000,00000,1350,00000 61806,B100000,00000,1400,00000(ASSIGNED TIME) 61806,E10A180,00301,0100,01/12/2000 61806,E10A180,00302,0100,03/08/2000 61806,E10A180,00303,0100,05/03/2000 61806,E10A180,00501,0100,09/07/2000 61806,E10A180,00550,0300,09/07/2000 61806,S000000,00100,0200,07/20/2000 61806,S200000,00100,0100,1287 WEST MAIN STREET 61806,S200000,00200,0100,FRANKLIN 61806,S200000,00200,0200,TN 61806,S200000,00200,0300,37064 61806,S200000,00300,0100,WILLIAMSON 61806,S200000,00400,0100,HARPETH TERRACE CONVALESCENT CENTER 61806,S200000,00400,0200,445146 61806,S200000,00400,0300,01/01/1969 61806,S200000,00400,0500,P 61806,S200000,01600,0100,Y 61806,S200000,02200,0100,Y 61815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61815,A000000,00300,0000,00300EMPLOYEE BENEFITS 61815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61815,A000000,00700,0000,00700HOUSEKEEPING 61815,A000000,00800,0000,00800DIETARY 61815,A000000,00900,0000,00900NURSING ADMINISTRATION 61815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61815,A000000,01100,0000,01100PHARMACY 61815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61815,A000000,01300,0000,01300SOCIAL SERVICE 61815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61815,A000000,01600,0000,01600SKILLED NURSING FACILITY 61815,A000000,01800,0000,01800NURSING FACILITY 61815,A000000,01810,0000,01810ICF/MR 61815,A000000,02200,0000,02200LABORATORY 61815,A000000,02300,0000,02300INTRAVENOUS THERAPY 61815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61815,A000000,02500,0000,02500PHYSICAL THERAPY 61815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61815,A000000,02700,0000,02700SPEECH PATHOLOGY 61815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61815,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 61815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 61815,A000000,03550,0000,03550FQHC 61815,A000000,04800,0000,04800AMBULANCE 61815,A000000,05000,0000,05000CORF 61815,A000000,05010,0000,05010CMHC 61815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61815,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61815,B100000,00000,0100,00000SQUARE FEET 61815,B100000,00000,0200,00000SQUARE FEET 61815,B100000,00000,0300,00000GROSS SALARIES 61815,B100000,00000,0400,00000ACCUM COST 61815,B100000,00000,0500,00000SQUARE FEET 61815,B100000,00000,0600,00000PATIENT DAYS 61815,B100000,00000,0700,00000SQUARE FEET 61815,B100000,00000,0800,00000MEALS SERVED 61815,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 61815,B100000,00000,1000,00000PATIENT DAYS 61815,B100000,00000,1100,00000COSTED REQUISITIO 61815,B100000,00000,1200,00000TIME SPENT 61815,B100000,00000,1300,00000TIME SPENT 61815,B100000,00000,1400,00000ASSIGNED TIME 61815,E10A180,00501,0100,04/17/2000 61815,E10A180,00501,0300,04/17/2000 61815,S000000,00100,0200,02/24/2000 61815,S200000,00100,0100,131 NORTH TUCKER ST. 61815,S200000,00200,0100,MEMPHIS 61815,S200000,00200,0200,TN 61815,S200000,00200,0300,38104 61815,S200000,00300,0100,SHELBY 61815,S200000,00400,0100,OVERTON PARK HEALTH CARE CENTER 61815,S200000,00400,0200,445150 61815,S200000,00400,0300,09/01/1992 61815,S200000,00400,0500,P 61815,S200000,01600,0100,Y 61824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61824,A000000,00300,0000,00300EMPLOYEE BENEFITS 61824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61824,A000000,00700,0000,00700HOUSEKEEPING 61824,A000000,00800,0000,00800DIETARY 61824,A000000,00900,0000,00900NURSING ADMINISTRATION 61824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61824,A000000,01100,0000,01100PHARMACY 61824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61824,A000000,01300,0000,01300SOCIAL SERVICE 61824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61824,A000000,01600,0000,01600SKILLED NURSING FACILITY 61824,A000000,01800,0000,01800NURSING FACILITY 61824,A000000,01810,0000,01810ICF/MR 61824,A000000,02100,0000,02100RADIOLOGY 61824,A000000,02200,0000,02200LABORATORY 61824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61824,A000000,02500,0000,02500PHYSICAL THERAPY 61824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61824,A000000,02700,0000,02700SPEECH PATHOLOGY 61824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61824,A000000,03550,0000,03550FQHC 61824,A000000,04800,0000,04800AMBULANCE 61824,A000000,05000,0000,05000CORF 61824,A000000,05010,0000,05010CMHC 61824,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61824,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61824,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61824,A000000,05300,0000,05300INTEREST EXPENSE 61824,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61824,A81000A,00100,0100,Y 61824,A81000B,00100,0300,MANAGEMENT FEE 61824,A81000B,00200,0300,COMPUTER FEES 61824,A81000B,00300,0300,INTEREST EXPENSE 61824,A81000B,00400,0300,CAPITAL RELATED COST 61824,A81000C,00100,0100,A 61824,A81000C,00100,0200,DIXIE G. TAYLOR 61824,A81000C,00100,0400,DIGITAR MGT 61824,A81000C,00100,0600,MANAGE N.H. 61824,B100000,00000,0100,00000SQUARE FEET 61824,B100000,00000,0200,00000SQUARE FEET 61824,B100000,00000,0300,00000GROSS SALARIES 61824,B100000,00000,0400,00000ACCUM COST 61824,B100000,00000,0500,00000SQUARE FEET 61824,B100000,00000,0600,00000PATIENT DAYS 61824,B100000,00000,0700,00000SQUARE FEET 61824,B100000,00000,0800,00000MEALS SERVED 61824,B100000,00000,0900,00000GROSS SAL. NURSING 61824,B100000,00000,1000,00000PATIENT DAYS 61824,B100000,00000,1100,00000COSTED REQUISITIO 61824,B100000,00000,1200,00000GROSS REVENUES 61824,B100000,00000,1300,00000PATIENT DAYS 61824,B100000,00000,1400,00000ASSIGNED TIME 61824,E10A180,00301,0100,08/16/1999 61824,E10A180,00302,0100,11/30/1999 61824,E10A180,00303,0100,03/09/2000 61824,E10A180,00501,0100,09/01/2000 61824,S000000,00100,0200,07/18/2000 61824,S200000,00100,0100,932 BADDOUR PARKWAY 61824,S200000,00200,0100,LEBANON 61824,S200000,00200,0200,TN 61824,S200000,00200,0300,37087 61824,S200000,00300,0100,WILSON 61824,S200000,00400,0100,QUALITY CARE INVESTORS L.P. 61824,S200000,00400,0200,445154 61824,S200000,00400,0300,01/28/1983 61824,S200000,00400,0500,P 61824,S200000,00400,0600,O 61824,S200000,01600,0100,Y 61824,S200000,04300,0100,Y 61830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61830,A000000,00300,0000,00300EMPLOYEE BENEFITS 61830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61830,A000000,00700,0000,00700HOUSEKEEPING 61830,A000000,00800,0000,00800DIETARY 61830,A000000,00900,0000,00900NURSING ADMINISTRATION 61830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61830,A000000,01100,0000,01100PHARMACY 61830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61830,A000000,01300,0000,01300SOCIAL SERVICE 61830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61830,A000000,01600,0000,01600SKILLED NURSING FACILITY 61830,A000000,01800,0000,01800NURSING FACILITY 61830,A000000,01810,0000,01810ICF/MR 61830,A000000,02100,0000,02100RADIOLOGY 61830,A000000,02200,0000,02200LABORATORY 61830,A000000,02300,0000,02300INTRAVENOUS THERAPY 61830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61830,A000000,02500,0000,02500PHYSICAL THERAPY 61830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61830,A000000,02700,0000,02700SPEECH PATHOLOGY 61830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61830,A000000,03200,0000,03200SUPPORT SURFACES 61830,A000000,03201,0000,03201PROFESSIONAL SERVICES 61830,A000000,03550,0000,03550FQHC 61830,A000000,05000,0000,05000CORF 61830,A000000,05010,0000,05010CMHC 61830,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61830,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61830,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61830,A81000A,00100,0100,Y 61830,A81000B,00100,0300,HOME OFFICE COSTS 61830,A81000B,00200,0300,NURSING SUPPLIES 61830,A81000B,00300,0300,DIETARY SUPPLIES 61830,A81000B,00400,0300,SUPPLIES 61830,A81000B,00500,0300,PRESCRIPTION DRUGS 61830,A81000B,00600,0300,TOTAL CAPITAL 61830,A81000C,00100,0100,B 61830,A81000C,00100,0200,DVCR LEASING CO 61830,A81000C,00100,0400,ADVOCAT INC. 61830,A81000C,00100,0600,L/T CARE MGT CO 61830,A81000C,00200,0100,B 61830,A81000C,00200,0200,ADVOCAT DIST SV 61830,A81000C,00200,0400,ADVOCAT INC. 61830,A81000C,00200,0600,M/S SUPPLY COMP 61830,A81000C,00300,0100,B 61830,A81000C,00300,0200,ADVOCAT DIST SV 61830,A81000C,00300,0400,ADVOCAT INC. 61830,A81000C,00300,0600,M/S SUPPLY COMP 61830,A81000C,00400,0100,B 61830,A81000C,00400,0200,ADVOCAT DIST SV 61830,A81000C,00400,0400,ADVOCAT INC. 61830,A81000C,00400,0600,M/S SUPPLY COMP 61830,A81000C,00500,0100,B 61830,A81000C,00500,0200,AAS PHARMACY 61830,A81000C,00500,0400,ADVOCAT NC. 61830,A81000C,00500,0600,PHARMACY COMPAN 61830,B100000,00000,0100,00000WEIGHTED SQ FEET 61830,B100000,00000,0200,00000WEIGHTED SQ FEET 61830,B100000,00000,0300,00000GROSS SALARIES 61830,B100000,00000,0400,00000ACCUM COST 61830,B100000,00000,0500,00000WEIGHTED SQ FEET 61830,B100000,00000,0600,00000PATIENT DAYS 61830,B100000,00000,0700,00000WEIGHTED SQ FEET 61830,B100000,00000,0800,00000PATIENT DAYS 61830,B100000,00000,0900,00000TOTAL HRS SUPRVSD 61830,B100000,00000,1000,00000COSTED REQUIS 61830,B100000,00000,1100,00000COSTED REQUIS 61830,B100000,00000,1200,00000PATIENT REVENUES 61830,B100000,00000,1300,00000PATIENT DAYS 61830,B100000,00000,1400,00000ASSIGNED TIME 61830,E10A180,00501,0100,07/26/2000 61830,E10A180,00550,0300,07/26/2000 61830,S000000,00100,0200,05/31/2000 61830,S200000,00100,0100,HIGHWAY 49 EAST 61830,S200000,00200,0100,DOVER 61830,S200000,00200,0200,TN 61830,S200000,00200,0300,37058 61830,S200000,00300,0100,STEWART 61830,S200000,00400,0100,MANOR HOUSE OF DOVER 61830,S200000,00400,0200,445155 61830,S200000,00400,0300,09/01/1985 61830,S200000,00400,0500,P 61830,S200000,01600,0100,Y 61830,S200000,02200,0100,Y 61838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61838,A000000,00300,0000,00300EMPLOYEE BENEFITS 61838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61838,A000000,00700,0000,00700HOUSEKEEPING 61838,A000000,00800,0000,00800DIETARY 61838,A000000,00900,0000,00900NURSING ADMINISTRATION 61838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61838,A000000,01100,0000,01100PHARMACY 61838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61838,A000000,01300,0000,01300SOCIAL SERVICE 61838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61838,A000000,01600,0000,01600SKILLED NURSING FACILITY 61838,A000000,01800,0000,01800NURSING FACILITY 61838,A000000,01810,0000,01810ICF/MR 61838,A000000,02100,0000,02100RADIOLOGY 61838,A000000,02200,0000,02200LABORATORY 61838,A000000,02300,0000,02300INTRAVENOUS THERAPY 61838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61838,A000000,02500,0000,02500PHYSICAL THERAPY 61838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61838,A000000,02700,0000,02700SPEECH PATHOLOGY 61838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61838,A000000,03200,0000,03200SUPPORT SURFACES 61838,A000000,03201,0000,03201OTHER ANCILLARY 61838,A000000,03550,0000,03550FQHC 61838,A000000,05000,0000,05000CORF 61838,A000000,05010,0000,05010CMHC 61838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61838,A81000A,00100,0100,Y 61838,A81000B,00100,0300,HOME OFFICE COSTS 61838,A81000B,00200,0300,NURSING SUPPLIES 61838,A81000B,00300,0300,PRESCRIPTION DRUGS 61838,A81000B,00500,0300,TO REPORT DIRECT COST PER HOC 61838,A81000C,00100,0100,B 61838,A81000C,00100,0200,DVCR LEASING CO 61838,A81000C,00100,0400,ADVOCAT INC. 61838,A81000C,00100,0600,L/T CARE MGT CO 61838,A81000C,00200,0100,B 61838,A81000C,00200,0200,ADVOCAT DIST SV 61838,A81000C,00200,0400,ADVOCAT INC. 61838,A81000C,00200,0600,M/S SUPPLY COMP 61838,A81000C,00300,0100,B 61838,A81000C,00300,0200,AAS PHARMACY 61838,A81000C,00300,0400,ADVOCAT INC. 61838,A81000C,00300,0600,PHARMACY COMPAN 61838,B100000,00000,0100,00000WEIGHTED SQ FEET 61838,B100000,00000,0200,00000WEIGHTED SQ FEET 61838,B100000,00000,0300,00000GROSS SALARIES 61838,B100000,00000,0400,00000ACCUM COST 61838,B100000,00000,0500,00000WEIGHTED SQ FEET 61838,B100000,00000,0600,00000PATIENT DAYS 61838,B100000,00000,0700,00000WEIGHTED SQ FEET 61838,B100000,00000,0800,00000PATIENT DAYS 61838,B100000,00000,0900,00000TOTAL HRS SUPRVSD 61838,B100000,00000,1000,00000COSTED REQUIS 61838,B100000,00000,1100,00000COSTED REQUIS 61838,B100000,00000,1200,00000PATIENT REVENUES 61838,B100000,00000,1300,00000PATIENT DAYS 61838,B100000,00000,1400,00000ASSIGNED TIME 61838,E10A180,00501,0100,07/26/2000 61838,E10A180,00501,0300,07/26/2000 61838,E10A180,00502,0100,08/21/2000 61838,S000000,00100,0200,05/31/2000 61838,S200000,00100,0100,902 BUCHANAN ROAD 61838,S200000,00200,0100,NEW TAZEWELL 61838,S200000,00200,0200,TN 61838,S200000,00200,0300,37825 61838,S200000,00300,0100,CLAIBORNE 61838,S200000,00400,0100,LAUREL MANOR HEALTH CARE 61838,S200000,00400,0200,445156 61838,S200000,00400,0300,09/01/1985 61838,S200000,00400,0500,P 61838,S200000,01600,0100,Y 61838,S200000,02200,0100,Y 61847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61847,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 61847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61847,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 61847,A000000,00300,0000,00300EMPLOYEE BENEFITS 61847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61847,A000000,00700,0000,00700HOUSEKEEPING 61847,A000000,00800,0000,00800DIETARY 61847,A000000,00801,0000,00801CAFETERIA 61847,A000000,00900,0000,00900NURSING ADMINISTRATION 61847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61847,A000000,01100,0000,01100PHARMACY 61847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61847,A000000,01300,0000,01300SOCIAL SERVICE 61847,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 61847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61847,A000000,01600,0000,01600SKILLED NURSING FACILITY 61847,A000000,01800,0000,01800NURSING FACILITY 61847,A000000,01810,0000,01810ICF/MR 61847,A000000,02100,0000,02100RADIOLOGY 61847,A000000,02200,0000,02200LABORATORY 61847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61847,A000000,02500,0000,02500PHYSICAL THERAPY 61847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61847,A000000,02700,0000,02700SPEECH PATHOLOGY 61847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61847,A000000,03050,0000,03300OTHER ANCILLARY 61847,A000000,03051,0000,03301OTHER ANCILLARY II 61847,A000000,03052,0000,03302OTHER ANCILLARY III 61847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 61847,A000000,03550,0000,03550FQHC 61847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61847,A000000,04800,0000,04800AMBULANCE 61847,A000000,05000,0000,05000CORF I 61847,A000000,05010,0000,05010CMHC I 61847,A000000,05020,0000,05020OPT I 61847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61847,A000000,05300,0000,05300INTEREST EXPENSE 61847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 61847,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 61847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61847,A81000A,00100,0100,Y 61847,A81000B,00100,0300,FACILITY LEASE 61847,A81000B,00200,0300,RELATED PARTY COST 61847,A81000B,00300,0300,RELATED PARTY COST 61847,A81000B,00400,0300,RELATED PARTY COST 61847,A81000B,00600,0300,PHARMACY RENT ADJ 61847,A81000B,00700,0300,PHARMACY RENT ADJ 61847,A81000B,00800,0300,PHARMACY RENT ADJ 61847,A81000C,00100,0100,E 61847,A81000C,00100,0200,JOE WILLOUGHBY 61847,A81000C,00100,0400,C & H CONV CTR 61847,A81000C,00100,0600,LEASE FACILITY 61847,A81000C,00200,0100,E 61847,A81000C,00200,0200,RBT HOLLISTER 61847,A81000C,00200,0400,C & H CONV CTR 61847,A81000C,00200,0600,LEASE FACILITY 61847,A81000C,00300,0100,E 61847,A81000C,00300,0200,BRYANT SAVAGE 61847,A81000C,00300,0400,C & H CONV CTR 61847,A81000C,00300,0600,LEASE FACILITY 61847,A81000C,00400,0100,E 61847,A81000C,00400,0200,JOHN W. JONES 61847,A81000C,00400,0400,C & H CONV CTR 61847,A81000C,00400,0600,LEASE FACILITY 61847,A81000C,00500,0100,E 61847,A81000C,00600,0100,E 61847,A81000C,00600,0200,JOE WILLOUGHBY 61847,A81000C,00600,0400,HARPETH TERRACE 61847,A81000C,00600,0600,NURSING HOME 61847,A81000C,00700,0100,E 61847,A81000C,00700,0200,HOLLISTER CRT 61847,A81000C,00700,0400,HARPETH TERRACE 61847,A81000C,00700,0600,NURSING HOME 61847,A81000C,00800,0100,E 61847,A81000C,00800,0200,JOE WILLOUGHBY 61847,A81000C,00800,0400,FRANKLIN PHARM 61847,A81000C,00800,0600,PHARMACY 61847,A81000C,00900,0100,E 61847,A81000C,00900,0200,RBT HOLLISTER 61847,A81000C,00900,0400,FRANKLIN PHARM 61847,A81000C,00900,0600,PHARMACY 61847,A81000C,01000,0100,E 61847,A81000C,01000,0200,BRYANT SAVAGE 61847,A81000C,01000,0400,FRANKLIN PHARM 61847,A81000C,01000,0600,PHARMACY 61847,B100000,00000,0100,00000(SQUARE FEET) 61847,B100000,00000,0101,00000(SQUARE FEET) 61847,B100000,00000,0200,00000(SQUARE FEET) 61847,B100000,00000,0201,00000(SQUARE FEET) 61847,B100000,00000,0300,00000(GROSS SALARIES) 61847,B100000,00000,0400,00000(ACCUM. COST) 61847,B100000,00000,0500,00000(SQUARE FEET) 61847,B100000,00000,0600,00000(PATIENT DAYS) 61847,B100000,00000,0700,00000(SQUARE FEET) 61847,B100000,00000,0800,00000(MEALS SERVED) 61847,B100000,00000,0801,00000(MEALS SERVED) 61847,B100000,00000,0900,00000(NURSING SALARIES) 61847,B100000,00000,1000,00000(COSTED REQUIS.) 61847,B100000,00000,1100,00000(COSTED REQUIS.) 61847,B100000,00000,1200,00000(TIME SPENT) 61847,B100000,00000,1300,00000(TIME SPENT) 61847,B100000,00000,1350,00000 61847,B100000,00000,1400,00000(ASSIGNED TIME) 61847,E10A180,00301,0100,03/03/1999 61847,E10A180,00302,0100,06/11/1999 61847,E10A180,00303,0100,11/15/1999 61847,E10A180,00304,0100,01/21/2000 61847,E10A180,00501,0100,09/07/2000 61847,S000000,00100,0200,07/12/2000 61847,S200000,00100,0100,200 STRAHL STREET 61847,S200000,00200,0100,FRANKLIN 61847,S200000,00200,0200,TN 61847,S200000,00200,0300,37064 61847,S200000,00300,0100,WILLIAMSON 61847,S200000,00400,0100,CLAIBORNE AND HUGHES HEALTH CENTER 61847,S200000,00400,0200,445157 61847,S200000,00400,0300,06/01/1978 61847,S200000,00400,0500,P 61847,S200000,01600,0100,Y 61858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61858,A000000,00300,0000,00300EMPLOYEE BENEFITS 61858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61858,A000000,00700,0000,00700HOUSEKEEPING 61858,A000000,00800,0000,00800DIETARY 61858,A000000,00900,0000,00900NURSING ADMINISTRATION 61858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61858,A000000,01100,0000,01100PHARMACY 61858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61858,A000000,01300,0000,01300SOCIAL SERVICE 61858,A000000,01350,0000,01500OTHER GENERAL SERVICES 61858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61858,A000000,01600,0000,01600SKILLED NURSING FACILITY 61858,A000000,01800,0000,01800NURSING FACILITY 61858,A000000,01810,0000,01810ICF/MR 61858,A000000,02200,0000,02200LABORATORY 61858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61858,A000000,02500,0000,02500PHYSICAL THERAPY 61858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61858,A000000,02700,0000,02700SPEECH PATHOLOGY 61858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61858,A000000,03050,0000,03300SPECIALIZED BEDS 61858,A000000,03550,0000,03550FQHC 61858,A000000,04800,0000,04800AMBULANCE 61858,A000000,05000,0000,05000CORF 61858,A000000,05010,0000,05010CMHC 61858,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61858,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61858,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61858,A000000,05300,0000,05300INTEREST EXPENSE 61858,A81000A,00100,0100,Y 61858,A81000B,00100,0300,HOME OFFICE COSTS-A&G 61858,A81000B,00200,0300,HOME OFFICE COSTS-CAPITAL 61858,A81000B,00300,0300,SUPPLIES 61858,A81000B,00400,0300,SUPPLIES/EQUIPMENT 61858,A81000B,00500,0300,SUPPLIES 61858,A81000B,00600,0300,SUPPLIES 61858,A81000B,00700,0300,SUPPLIES 61858,A81000B,00800,0300,SUPPLIES 61858,A81000B,00900,0300,SUPPLIES 61858,A81000B,01000,0300,SUPPLIES 61858,A81000B,01100,0300,SUPPLIES 61858,A81000B,01200,0300,SUPPLIES 61858,A81000B,01300,0300,SUPPLIES 61858,A81000B,01400,0300,SUPPLIES 61858,A81000B,01500,0300,SUPPLIES 61858,A81000B,01600,0300,SUPPLIES 61858,A81000C,00100,0100,B 61858,A81000C,00100,0400,MCA/AVALON HEALTHCARE 61858,A81000C,00100,0600,HOME OFFICE 61858,A81000C,00200,0100,B 61858,A81000C,00200,0400,MCA/AVALON HEALTHCARE 61858,A81000C,00200,0600,HOME OFFICE 61858,A81000C,00300,0100,A 61858,A81000C,00300,0200,WHITCOMB 61858,A81000C,00300,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00300,0600,SUPPLIES 61858,A81000C,00400,0100,A 61858,A81000C,00400,0200,WHITCOMB 61858,A81000C,00400,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00400,0600,SUPPLIES 61858,A81000C,00500,0100,A 61858,A81000C,00500,0200,WHITCOMB 61858,A81000C,00500,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00500,0600,SUPPLIES 61858,A81000C,00600,0100,A 61858,A81000C,00600,0200,WHITCOMB 61858,A81000C,00600,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00600,0600,SUPPLIES 61858,A81000C,00700,0100,A 61858,A81000C,00700,0200,WHITCOMB 61858,A81000C,00700,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00700,0600,SUPPLIES 61858,A81000C,00800,0100,A 61858,A81000C,00800,0200,WHITCOMB 61858,A81000C,00800,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00800,0600,SUPPLIES 61858,A81000C,00900,0100,A 61858,A81000C,00900,0200,WHITCOMB 61858,A81000C,00900,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,00900,0600,SUPPLIES 61858,A81000C,01000,0100,A 61858,A81000C,01000,0200,WHITCOMB 61858,A81000C,01000,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01000,0600,SUPPLIES 61858,A81000C,01100,0100,A 61858,A81000C,01100,0200,WHITCOMB 61858,A81000C,01100,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01100,0600,SUPPLIES 61858,A81000C,01200,0100,A 61858,A81000C,01200,0200,WHITCOMB 61858,A81000C,01200,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01200,0600,SUPPLIES 61858,A81000C,01300,0100,A 61858,A81000C,01300,0200,WHITCOMB 61858,A81000C,01300,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01300,0600,SUPPLIES 61858,A81000C,01400,0100,A 61858,A81000C,01400,0200,WHITCOMB 61858,A81000C,01400,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01400,0600,SUPPLIES 61858,A81000C,01500,0100,A 61858,A81000C,01500,0200,WHITCOMB 61858,A81000C,01500,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01500,0600,SUPPLIES 61858,A81000C,01600,0100,A 61858,A81000C,01600,0200,WHITCOMB 61858,A81000C,01600,0400,QUALITY MEDICAL SUPPLY 61858,A81000C,01600,0600,SUPPLIES 61858,B100000,00000,0100,00000SQUARE FEET 61858,B100000,00000,0200,00000SQUARE FEET 61858,B100000,00000,0300,00000GROSS SALARIES 61858,B100000,00000,0400,00000ACCUM. COST 61858,B100000,00000,0500,00000SQUARE FEET 61858,B100000,00000,0600,00000POUNDS OF LAUNDRY 61858,B100000,00000,0700,00000SQ. FEET MODIFIED 61858,B100000,00000,0800,00000MEALS SERVED 61858,B100000,00000,0900,00000DIRECT NRSING HRS 61858,B100000,00000,1000,00000COSTED REQUIS. 61858,B100000,00000,1100,00000COSTED REQUIS. 61858,B100000,00000,1200,00000TIME SPENT 61858,B100000,00000,1300,00000TIME SPENT 61858,B100000,00000,1350,00000NO STATISTICS 61858,B100000,00000,1400,00000ASSIGNED TIME 61858,E10A180,00501,0100,07/06/2000 61858,S000000,00100,0200,05/18/2000 61858,S200000,00100,0100,421 OCALA DRIVE 61858,S200000,00200,0100,NASHVILLE 61858,S200000,00200,0200,TN 61858,S200000,00300,0100,DAVIDSON 61858,S200000,00400,0100,BETHANY HEALTH CARE CENTER 61858,S200000,00400,0200,445159 61858,S200000,00400,0300,10/28/1983 61858,S200000,00400,0500,P 61858,S200000,00400,0600,O 61858,S200000,00600,0200,440405 61858,S200000,00600,0300,10/28/1983 61858,S200000,00600,0600,P 61858,S200000,01600,0100,Y 61867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61867,A000000,00300,0000,00300EMPLOYEE BENEFITS 61867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61867,A000000,00700,0000,00700HOUSEKEEPING 61867,A000000,00800,0000,00800DIETARY 61867,A000000,00900,0000,00900NURSING ADMINISTRATION 61867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61867,A000000,01300,0000,01300SOCIAL SERVICE 61867,A000000,01600,0000,01600SKILLED NURSING FACILITY 61867,A000000,01800,0000,01800NURSING FACILITY 61867,A000000,02100,0000,02100RADIOLOGY 61867,A000000,02200,0000,02200LABORATORY 61867,A000000,02300,0000,02300INTRAVENOUS THERAPY 61867,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61867,A000000,02500,0000,02500PHYSICAL THERAPY 61867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61867,A000000,02700,0000,02700SPEECH PATHOLOGY 61867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61867,A81000A,00100,0100,Y 61867,A81000B,00100,0300,HOME OFFICE COSTS 61867,A81000B,00200,0300,NURSING SUPPLIES 61867,A81000B,00300,0300,PRESCRIPTION DRUGS 61867,A81000C,00100,0100,B 61867,A81000C,00100,0200,DVCR LEASING CO 61867,A81000C,00100,0400,ADVOCAT INC. 61867,A81000C,00100,0600,L/T CARE MGT CO 61867,A81000C,00200,0100,B 61867,A81000C,00200,0200,ADVOCAT DIST SV 61867,A81000C,00200,0400,ADVOCAT INC. 61867,A81000C,00200,0600,M/S SUPPLY COMP 61867,A81000C,00300,0100,B 61867,A81000C,00300,0200,AAS PHARMACY 61867,A81000C,00300,0400,ADVOCAT INC. 61867,A81000C,00300,0600,PHARMACY COMPAN 61867,B100000,00000,0100,00000SQUARE FEET 61867,B100000,00000,0200,00000SQUARE FEET 61867,B100000,00000,0300,00000GROSS SALARIES 61867,B100000,00000,0400,00000ACCUM COST 61867,B100000,00000,0500,00000SQUARE FEET 61867,B100000,00000,0600,00000PATIENT DAYS 61867,B100000,00000,0700,00000SQUARE FEET 61867,B100000,00000,0800,00000PATIENT DAYS 61867,B100000,00000,0900,00000TOTAL HRS SUPRVSD 61867,B100000,00000,1000,00000COSTED REQUIS 61867,B100000,00000,1200,00000PATIENT REVENUES 61867,B100000,00000,1300,00000PATIENT DAYS 61867,E10A180,00501,0100,07/26/2000 61867,E10A180,00502,0100,09/06/2000 61867,E10A180,00550,0300,07/26/2000 61867,S000000,00100,0200,05/31/2000 61867,S200000,00100,0100,200 MAYFIELD DRIVE 61867,S200000,00200,0100,SMYRNA 61867,S200000,00200,0200,TN 61867,S200000,00200,0300,37167 61867,S200000,00300,0100,RUTHERFORD 61867,S200000,00400,0100,MAYFIELD REHAB. CENTER 61867,S200000,00400,0200,445160 61867,S200000,00400,0300,09/01/1985 61867,S200000,00400,0500,P 61867,S200000,01600,0100,Y 61867,S200000,02200,0100,Y 61875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61875,A000000,00300,0000,00300EMPLOYEE BENEFITS 61875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61875,A000000,00700,0000,00700HOUSEKEEPING 61875,A000000,00800,0000,00800DIETARY 61875,A000000,00900,0000,00900NURSING ADMINISTRATION 61875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61875,A000000,01300,0000,01300SOCIAL SERVICE 61875,A000000,01600,0000,01600SKILLED NURSING FACILITY 61875,A000000,01800,0000,01800NURSING FACILITY 61875,A000000,01900,0000,01900OTHER LONG TERM CARE 61875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61875,A000000,02500,0000,02500PHYSICAL THERAPY 61875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61875,A000000,02700,0000,02700SPEECH PATHOLOGY 61875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61875,A000000,04800,0000,04800AMBULANCE 61875,A000000,05300,0000,05300INTEREST EXPENSE 61875,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61875,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61875,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61875,A000000,06200,0000,06200PATIENTS LAUNDRY 61875,A81000A,00100,0100,Y 61875,A81000B,00100,0300,HOME OFFICE-OPERATING 61875,A81000B,00200,0300,HOME OFFICE-CAPITAL 61875,A81000B,00300,0300,AGENCY STAFFING 61875,A81000C,00100,0100,G 61875,A81000C,00100,0400,ASBURY CENTERS INC 61875,A81000C,00100,0600,HOME OFFICE 61875,A81000C,00200,0100,G 61875,A81000C,00200,0400,ASBURY CENTERS INC 61875,A81000C,00200,0600,HOME OFFICE 61875,A81000C,00300,0100,G 61875,A81000C,00300,0400,INDEPENDENT LIVING 61875,A81000C,00300,0600,ASSISTED LIVING 61875,B100000,00000,0100,00000SQUARE FEET 61875,B100000,00000,0300,00000GROSS SALARIES 61875,B100000,00000,0400,00000ACCUM. COST 61875,B100000,00000,0500,00000SQUARE FEET 61875,B100000,00000,0600,00000POUNDS OF LAUNDRY 61875,B100000,00000,0700,00000HKEEPING HOURS 61875,B100000,00000,0800,00000MEALS SERVED 61875,B100000,00000,0900,00000RESIDENT DAYS 61875,B100000,00000,1000,00000COSTED REQUIS. 61875,B100000,00000,1300,00000RESIDENT DAYS 61875,E10A180,00501,0100,08/28/2000 61875,S000000,00100,0200,06/30/2000 61875,S200000,00100,0100,400 N BOONE STREET 61875,S200000,00200,0100,JOHNSON CITY 61875,S200000,00200,0200,TN 61875,S200000,00200,0300,37604 61875,S200000,00300,0100,W 61875,S200000,00400,0100,ASBURY CENTER AT JOHNSON CITY 61875,S200000,00400,0200,445162 61875,S200000,00400,0300,12/01/1983 61875,S200000,00400,0500,P 61875,S200000,00600,0200,445162 61875,S200000,00600,0300,12/01/1983 61875,S200000,01500,0100,Y 61882,S000000,00100,0200,05/31/2000 61891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61891,A000000,00300,0000,00300EMPLOYEE BENEFITS 61891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61891,A000000,00700,0000,00700HOUSEKEEPING 61891,A000000,00800,0000,00800DIETARY 61891,A000000,00900,0000,00900NURSING ADMINISTRATION 61891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61891,A000000,01100,0000,01100PHARMACY 61891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61891,A000000,01300,0000,01300SOCIAL SERVICE 61891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61891,A000000,01600,0000,01600SKILLED NURSING FACILITY 61891,A000000,01800,0000,01800NURSING FACILITY 61891,A000000,01810,0000,01810ICF/MR 61891,A000000,02100,0000,02100RADIOLOGY 61891,A000000,02200,0000,02200LABORATORY 61891,A000000,02300,0000,02300INTRAVENOUS THERAPY 61891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61891,A000000,02500,0000,02500PHYSICAL THERAPY 61891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61891,A000000,02700,0000,02700SPEECH PATHOLOGY 61891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61891,A000000,03550,0000,03550FQHC 61891,A000000,05000,0000,05000CORF 61891,A000000,05010,0000,05010CMHC 61891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61891,A000000,05300,0000,05300INTEREST EXPENSE 61891,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61891,B100000,00000,0100,00000(SQUARE FEET) 61891,B100000,00000,0200,00000(SQUARE FEET) 61891,B100000,00000,0300,00000(GROSS SALARIES) 61891,B100000,00000,0400,00000(ACCUM COST) 61891,B100000,00000,0500,00000(SQUARE FEET) 61891,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61891,B100000,00000,0700,00000(SQUARE FEET) 61891,B100000,00000,0800,00000(MEALS SERVED) 61891,B100000,00000,0900,00000(DIRECT NRSG HRS) 61891,B100000,00000,1000,00000(COSTED REQUIS) 61891,B100000,00000,1100,00000(COSTED REQUIS) 61891,B100000,00000,1200,00000(GROSS REV CHARGES) 61891,B100000,00000,1300,00000(TIME SPENT) 61891,B100000,00000,1400,00000ASSIGNED TIME 61891,E10A180,00301,0100,04/30/1999 61891,S000000,00100,0200,04/06/2000 61891,S200000,00100,0100,504 ELMINGTON AVENUE 61891,S200000,00100,0300,50457 61891,S200000,00200,0100,NASHVILLE 61891,S200000,00200,0200,TN 61891,S200000,00200,0300,37205 61891,S200000,00300,0100,DAVIDSON 61891,S200000,00400,0100,HEALTH CTR AT RICHLAND PLACE 61891,S200000,00400,0200,445166 61891,S200000,00400,0300,10/01/1971 61891,S200000,00400,0500,P 61891,S200000,00600,0200,445166 61891,S200000,00600,0300,10/01/1971 61891,S200000,00600,0600,P 61891,S200000,01600,0100,Y 61891,S200000,01900,0100,NON PROFIT 501C 61900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61900,A000000,00300,0000,00300EMPLOYEE BENEFITS 61900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61900,A000000,00700,0000,00700HOUSEKEEPING 61900,A000000,00800,0000,00800DIETARY 61900,A000000,00900,0000,00900NURSING ADMINISTRATION 61900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61900,A000000,01100,0000,01100PHARMACY 61900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61900,A000000,01300,0000,01300SOCIAL SERVICE 61900,A000000,01350,0000,01500ACTIVITIES 61900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61900,A000000,01600,0000,01600SKILLED NURSING FACILITY 61900,A000000,01800,0000,01800NURSING FACILITY 61900,A000000,01810,0000,01810ICF/MR 61900,A000000,02100,0000,02100RADIOLOGY 61900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61900,A000000,02500,0000,02500PHYSICAL THERAPY 61900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61900,A000000,02700,0000,02700SPEECH PATHOLOGY 61900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61900,A000000,03550,0000,03550FQHC 61900,A000000,05000,0000,05000CORF 61900,A000000,05010,0000,05010CMHC 61900,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61900,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61900,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61900,A81000A,00100,0100,Y 61900,A81000B,00100,0300,H.O. COST 61900,A81000B,00200,0300,H.O. COST 61900,A81000B,00300,0300,H.O. COST 61900,A81000B,00400,0300,ADMIN. COMP. 61900,A81000C,00100,0100,A 61900,A81000C,00100,0200,DAVID BAILEY 61900,A81000C,00100,0400,C&E MANAGEMENT 61900,A81000C,00100,0600,MGT. CO. 61900,A81000C,00200,0100,A 61900,A81000C,00200,0200,LYNN WAGNER 61900,A81000C,00200,0400,C&E MANAGEMENT 61900,A81000C,00200,0600,MGT. CO. 61900,A81000C,00300,0100,A 61900,A81000C,00300,0200,JAMES GREEN 61900,A81000C,00300,0400,C&E MANAGEMENT 61900,A81000C,00300,0600,MGT. CO. 61900,B100000,00000,0100,00000SQUARE FEET 61900,B100000,00000,0200,00000SQUARE FEET 61900,B100000,00000,0300,00000GROSS SALARIES 61900,B100000,00000,0400,00000ACCUM COST 61900,B100000,00000,0500,00000SQUARE FEET 61900,B100000,00000,0600,00000POUNDS OF LAUNDRY 61900,B100000,00000,0700,00000HOURS OF SERVICE 61900,B100000,00000,0800,00000MEALS SERVED 61900,B100000,00000,0900,00000DIRECT NRSG HRS 61900,B100000,00000,1000,00000COSTED REQUIS 61900,B100000,00000,1100,00000COSTED REQUIS 61900,B100000,00000,1200,00000TIME SPENT 61900,B100000,00000,1300,00000TIME SPENT 61900,B100000,00000,1350,00000TIME SPENT 61900,B100000,00000,1400,00000ASSIGNED TIME 61900,E10A180,00501,0100,06/26/2000 61900,S000000,00100,0200,05/10/2000 61900,S200000,00100,0100,80 JUSTICE STREET 61900,S200000,00200,0100,CROSSVILLE 61900,S200000,00200,0200,TN 61900,S200000,00200,0300,38555 61900,S200000,00300,0100,CUMBERLAND 61900,S200000,00400,0100,COUNTRY PL.HLTH CARE CENTER INC. 61900,S200000,00400,0200,445167 61900,S200000,00400,0300,08/08/1984 61900,S200000,00400,0500,P 61900,S200000,00600,0200,440421 61900,S200000,00600,0300,08/08/1984 61900,S200000,01600,0100,Y 61900,S200000,02200,0100,Y 61900,S200000,04700,0100,Y 61909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61909,A000000,00300,0000,00300EMPLOYEE BENEFITS 61909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61909,A000000,00700,0000,00700HOUSEKEEPING 61909,A000000,00800,0000,00800DIETARY 61909,A000000,00900,0000,00900NURSING ADMINISTRATION 61909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61909,A000000,01100,0000,01100PHARMACY 61909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61909,A000000,01300,0000,01300SOCIAL SERVICE 61909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61909,A000000,01600,0000,01600SKILLED NURSING FACILITY 61909,A000000,01800,0000,01800NURSING FACILITY 61909,A000000,01810,0000,01810ICF/MR 61909,A000000,02100,0000,02100RADIOLOGY 61909,A000000,02200,0000,02200LABORATORY 61909,A000000,02300,0000,02300INTRAVENOUS THERAPY 61909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61909,A000000,02500,0000,02500PHYSICAL THERAPY 61909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61909,A000000,02700,0000,02700SPEECH PATHOLOGY 61909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61909,A000000,03550,0000,03550FQHC 61909,A000000,05000,0000,05000CORF 61909,A000000,05010,0000,05010CMHC 61909,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61909,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61909,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61909,A000000,05300,0000,05300INTEREST EXPENSE 61909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61909,A81000A,00100,0100,Y 61909,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61909,A81000C,00100,0100,B 61909,A81000C,00100,0200,LENOX HEALTHCAR 61909,B100000,00000,0100,00000(SQUARE FEET) 61909,B100000,00000,0200,00000(SQUARE FEET) 61909,B100000,00000,0300,00000(GROSS SALARIES) 61909,B100000,00000,0400,00000(ACCUM COST) 61909,B100000,00000,0500,00000(SQUARE FEET) 61909,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61909,B100000,00000,0700,00000(SQUARE FEET) 61909,B100000,00000,0800,00000(MEALS SERVED) 61909,B100000,00000,0900,00000(DIRECT NRSG HRS) 61909,B100000,00000,1000,00000(COSTED REQUIS) 61909,B100000,00000,1100,00000(COSTED REQUIS) 61909,B100000,00000,1200,00000(TIME SPENT) 61909,B100000,00000,1300,00000(TIME SPENT) 61909,B100000,00000,1400,00000ASSIGNED TIME 61909,E10A180,00301,0100,03/02/1999 61909,E10A180,00302,0100,08/16/1999 61909,E10A180,00303,0100,12/03/1999 61909,E10A180,00304,0100,04/19/1999 61909,E10A180,00305,0100,10/06/1999 61909,E10A180,00550,0100,06/01/2000 61909,E10A180,00550,0300,06/01/2000 61909,S000000,00100,0200,05/26/2000 61909,S200000,00100,0100,112 HEALTH CARE DRIVE 61909,S200000,00200,0100,CARTHAGE 61909,S200000,00200,0200,TN 61909,S200000,00200,0300,37030 61909,S200000,00400,0100,SMITH COUNTY HEALTH CARE CTR 61909,S200000,00400,0200,445172 61909,S200000,00400,0300,06/02/1985 61909,S200000,00400,0500,P 61909,S200000,00600,0200,445172 61909,S200000,00600,0300,06/02/1985 61909,S200000,00600,0600,P 61909,S200000,01600,0100,Y 61909,S200000,01900,0100,NON PROFIT 501C 61927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61927,A000000,00300,0000,00300EMPLOYEE BENEFITS 61927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61927,A000000,00700,0000,00700HOUSEKEEPING 61927,A000000,00800,0000,00800DIETARY 61927,A000000,00900,0000,00900NURSING ADMINISTRATION 61927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61927,A000000,01100,0000,01100PHARMACY 61927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61927,A000000,01300,0000,01300SOCIAL SERVICE 61927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61927,A000000,01600,0000,01600SKILLED NURSING FACILITY 61927,A000000,01800,0000,01800NURSING FACILITY 61927,A000000,01810,0000,01810ICF/MR 61927,A000000,02100,0000,02100RADIOLOGY 61927,A000000,02200,0000,02200LABORATORY 61927,A000000,02300,0000,02300INTRAVENOUS THERAPY 61927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61927,A000000,02500,0000,02500PHYSICAL THERAPY 61927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61927,A000000,02700,0000,02700SPEECH PATHOLOGY 61927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61927,A000000,03550,0000,03550FQHC 61927,A000000,05000,0000,05000CORF 61927,A000000,05010,0000,05010CMHC 61927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61927,A000000,05300,0000,05300INTEREST EXPENSE 61927,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61927,A000000,06101,0000,06101INTERCO LAUNDRY-SCOTT 61927,A81000A,00100,0100,Y 61927,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61927,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61927,A81000B,00300,0300,HEALTH INSURANCE 61927,A81000B,00400,0300,RETIREMENT 61927,A81000B,00500,0300,DATA PROCESSING COST 61927,A81000B,00600,0300,PHS ADJUSTMENT 61927,A81000B,00700,0300,PHS ADJUSTMENT 61927,A81000B,00800,0300,PHS ADJUSTMENT 61927,A81000B,00900,0300,PHS ADJUSTMENT 61927,A81000B,01000,0300,PHS ADJUSTMENT 61927,A81000B,01100,0300,PHS ADJUSTMENT 61927,A81000B,01200,0300,PHS ADJUSTMENT 61927,A81000B,01300,0300,PHS ADJUSTMENT 61927,A81000C,00100,0100,B 61927,A81000C,00100,0200,NATIONAL HEALTH 61927,A81000C,00200,0200,CORPORATION 61927,A81000C,00300,0100,B 61927,A81000C,00300,0200,PROFESSIONAL HE 61927,A81000C,00300,0600,THERAPY PERSONN 61927,A81000C,00400,0200,SERVICES 61927,B100000,00000,0100,00001(SQUARE FEET) 61927,B100000,00000,0200,00001(SQUARE FEET) 61927,B100000,00000,0300,00001(GROSS SALARIES) 61927,B100000,00000,0400,00001(ACCUM COST) 61927,B100000,00000,0500,00001(SQUARE FEET) 61927,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 61927,B100000,00000,0700,00001(SQUARE FEET) 61927,B100000,00000,0800,00001(MEALS SERVED) 61927,B100000,00000,0900,00001(DIRECT NRSG HRS) 61927,B100000,00000,1000,00001(COSTED REQUIS) 61927,B100000,00000,1100,00001(COSTED REQUIS) 61927,B100000,00000,1200,00001(TIME SPENT) 61927,B100000,00000,1300,00001(TIME SPENT) 61927,B100000,00000,1400,00001ASSIGNED TIME 61927,E10A180,00301,0100,02/16/1999 61927,E10A180,00302,0100,08/20/1999 61927,S000000,00100,0200,04/03/2000 61927,S200000,00100,0100,374 BRINK STREET 61927,S200000,00100,0300,906 61927,S200000,00200,0100,LAWRENCEBURG 61927,S200000,00200,0200,TN 61927,S200000,00200,0300,38464 61927,S200000,00300,0100,LAWRENCE 61927,S200000,00400,0100,NHC HEALTHCARE LAWRENCEBURG 61927,S200000,00400,0200,445180 61927,S200000,00400,0300,10/01/1973 61927,S200000,00400,0500,P 61927,S200000,00600,0200,000258 61927,S200000,00600,0300,10/01/1973 61927,S200000,00600,0600,P 61927,S200000,01600,0100,Y 61937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61937,A000000,00300,0000,00300EMPLOYEE BENEFITS 61937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61937,A000000,00700,0000,00700HOUSEKEEPING 61937,A000000,00800,0000,00800DIETARY 61937,A000000,00900,0000,00900NURSING ADMINISTRATION 61937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61937,A000000,01100,0000,01100PHARMACY 61937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61937,A000000,01300,0000,01300SOCIAL SERVICE 61937,A000000,01350,0000,01500ACTIVITIES 61937,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61937,A000000,01600,0000,01600SKILLED NURSING FACILITY 61937,A000000,01800,0000,01800NURSING FACILITY 61937,A000000,01810,0000,01810ICF/MR 61937,A000000,02100,0000,02100RADIOLOGY 61937,A000000,02200,0000,02200LABORATORY 61937,A000000,02300,0000,02300INTRAVENOUS THERAPY 61937,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61937,A000000,02500,0000,02500PHYSICAL THERAPY 61937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61937,A000000,02700,0000,02700SPEECH PATHOLOGY 61937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61937,A000000,02901,0000,02901PEN THERAPY 61937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61937,A000000,03050,0000,03300OTHER ANCILLARY 61937,A000000,03051,0000,03301AMBULANCE 61937,A000000,03550,0000,03550FQHC 61937,A000000,05000,0000,05000CORF 61937,A000000,05010,0000,05010CMHC 61937,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61937,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61937,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61937,A81000A,00100,0100,Y 61937,A81000B,00100,0300,HOME OFFICE COSTS 61937,A81000B,00200,0300,ALLOCATED COSTS - PT 61937,A81000B,00300,0300,ALLOCATED COSTS - OT 61937,A81000B,00400,0300,ALLOCATED COSTS - ST 61937,A81000B,00500,0300,MEDILIFE 61937,A81000B,00600,0300,MEDILIFE 61937,A81000B,00700,0300,MEDILIFE 61937,A81000B,00800,0300,MEDILIFE 61937,A81000B,00900,0300,REL. PARTY INTEREST 61937,A81000B,01000,0300,LIFE CARE DESIGNS 61937,A81000B,01100,0300,MEDIA RESOURCES 61937,A81000B,01200,0300,COMPUTER INSTALL. 61937,A81000B,01300,0300,PLANNING & DEVELOPMENT COST 61937,A81000B,01400,0300,PLANNING & DEVELOPMENT COST 61937,A81000C,00100,0100,A 61937,A81000C,00100,0200,FORREST PRESTON 61937,A81000C,00100,0400,LIFE CARE CENTE 61937,A81000C,00100,0600,MANAGEMENT COMP 61937,A81000C,00200,0100,A 61937,A81000C,00200,0200,FORREST PRESTON 61937,A81000C,00200,0400,MEDILIFE 61937,A81000C,00200,0600,PHARMACY 61937,A81000C,00300,0100,A 61937,A81000C,00300,0200,FORREST PRESTON 61937,A81000C,00300,0400,LIFE CARE DESIG 61937,A81000C,00300,0600,INTERIOR DESIGN 61937,A81000C,00400,0100,A 61937,A81000C,00400,0200,FORREST PRESTON 61937,A81000C,00400,0400,MEDIA RESOURCE 61937,A81000C,00400,0600,AUDIO/VISUAL SE 61937,B100000,00000,0100,00000(SQUARE FEET) 61937,B100000,00000,0200,00000(SQUARE FEET) 61937,B100000,00000,0300,00000(GROSS SALARIES) 61937,B100000,00000,0400,00000(ACCUM COST) 61937,B100000,00000,0500,00000(SQUARE FEET) 61937,B100000,00000,0600,00000PATIENT DAYS 61937,B100000,00000,0700,00000(SQUARE FEET) 61937,B100000,00000,0800,00000(MEALS SERVED) 61937,B100000,00000,0900,00000DIR. HOURS SUPERVISED 61937,B100000,00000,1000,00000(COSTED REQUIS) 61937,B100000,00000,1100,00000(COSTED REQUIS) 61937,B100000,00000,1200,00000GROSS REVENUES 61937,B100000,00000,1300,00000TIME SPENT 61937,B100000,00000,1350,00000PATIENT DAYS 61937,B100000,00000,1400,00000(ASSIGNED TIME) 61937,E10A180,00301,0100,08/17/1999 61937,E10A180,00302,0100,02/07/2000 61937,S000000,00100,0200,05/25/2000 61937,S200000,00100,0100,2034 COCHRAN ROAD 61937,S200000,00200,0100,MARYVILLE 61937,S200000,00200,0200,TN 61937,S200000,00200,0300,37803 61937,S200000,00300,0100,BLOUNT 61937,S200000,00400,0100,COLONIAL HILLS NRSG CENTER 61937,S200000,00400,0200,445181 61937,S200000,00400,0300,02/01/1986 61937,S200000,00400,0500,P 61937,S200000,00400,0600,O 61937,S200000,00600,0200,445181 61937,S200000,00600,0300,02/01/1986 61937,S200000,00600,0600,P 61937,S200000,01600,0100,Y 61937,S200000,02200,0100,Y 61945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61945,A000000,00300,0000,00300EMPLOYEE BENEFITS 61945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61945,A000000,00700,0000,00700HOUSEKEEPING 61945,A000000,00800,0000,00800DIETARY 61945,A000000,00900,0000,00900NURSING ADMINISTRATION 61945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61945,A000000,01100,0000,01100PHARMACY 61945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61945,A000000,01300,0000,01300SOCIAL SERVICE 61945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61945,A000000,01600,0000,01600SKILLED NURSING FACILITY 61945,A000000,01800,0000,01800NURSING FACILITY 61945,A000000,01810,0000,01810ICF/MR 61945,A000000,02100,0000,02100RADIOLOGY 61945,A000000,02200,0000,02200LABORATORY 61945,A000000,02500,0000,02500PHYSICAL THERAPY 61945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61945,A000000,02700,0000,02700SPEECH PATHOLOGY 61945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61945,A000000,03550,0000,03550FQHC 61945,A000000,04800,0000,04800AMBULANCE 61945,A000000,05000,0000,05000CORF 61945,A000000,05010,0000,05010CMHC 61945,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61945,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61945,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61945,A000000,05300,0000,05300INTEREST EXPENSE 61945,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61945,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 61945,A81000A,00100,0100,Y 61945,A81000B,00100,0300,MANAGEMENT FEE 61945,A81000B,00200,0300,CAPITAL 61945,A81000C,00100,0100,A 61945,A81000C,00100,0200,DIXIE G. TAYLOR 61945,A81000C,00100,0400,DIGITAR MGT 61945,A81000C,00100,0600,MANAGE N.H. 61945,B100000,00000,0100,00000SQUARE FEET 61945,B100000,00000,0200,00000SQUARE FEET 61945,B100000,00000,0300,00000GROSS SALARIES 61945,B100000,00000,0400,00000ACCUM COST 61945,B100000,00000,0500,00000SQUARE FEET 61945,B100000,00000,0600,00000PATIENT DAYS 61945,B100000,00000,0700,00000SQUARE FEET 61945,B100000,00000,0800,00000MEALS SERVED 61945,B100000,00000,0900,00000GROSS SAL. NURSING 61945,B100000,00000,1000,00000PATIENT DAYS 61945,B100000,00000,1100,00000COSTED REQUISITIO 61945,B100000,00000,1200,00000GROSS REVENUES 61945,B100000,00000,1300,00000PATIENT DAYS 61945,B100000,00000,1400,00000ASSIGNED TIME 61945,E10A180,00501,0100,09/06/2000 61945,S000000,00100,0200,07/19/2000 61945,S200000,00100,0100,438 NORTH WATER AVE. 61945,S200000,00200,0100,GALLATIN 61945,S200000,00200,0200,TN 61945,S200000,00200,0300,37066 61945,S200000,00300,0100,SUMNER 61945,S200000,00400,0100,GALLATIN HEALTHCARE CENTER 61945,S200000,00400,0200,445183 61945,S200000,00400,0300,02/27/1986 61945,S200000,00400,0500,P 61945,S200000,00400,0600,O 61945,S200000,01600,0100,Y 61945,S200000,04300,0100,Y 61952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61952,A000000,00300,0000,00300EMPLOYEE BENEFITS 61952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61952,A000000,00700,0000,00700HOUSEKEEPING 61952,A000000,00800,0000,00800DIETARY 61952,A000000,00900,0000,00900NURSING ADMINISTRATION 61952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61952,A000000,01100,0000,01100PHARMACY 61952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61952,A000000,01300,0000,01300SOCIAL SERVICE 61952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61952,A000000,01600,0000,01600SKILLED NURSING FACILITY 61952,A000000,01800,0000,01800NURSING FACILITY 61952,A000000,01810,0000,01810ICF/MR 61952,A000000,02200,0000,02200LABORATORY 61952,A000000,02300,0000,02300INTRAVENOUS THERAPY 61952,A000000,02500,0000,02500PHYSICAL THERAPY 61952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61952,A000000,02700,0000,02700SPEECH PATHOLOGY 61952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61952,A000000,03051,0000,03301NUTRITIONAL THERAPY 61952,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 61952,A000000,03053,0000,03303PHYSICIAN SERVICES 61952,A000000,03054,0000,03304MEDICAL SERVICES 61952,A000000,03200,0000,03200SUPPORT SURFACES 61952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61952,A000000,03550,0000,03550FQHC 61952,A000000,05000,0000,05000CORF 61952,A000000,05010,0000,05010CMHC 61952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61952,A000000,05300,0000,05300INTEREST EXPENSE 61952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61952,A81000A,00100,0100,Y 61952,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 61952,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 61952,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 61952,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 61952,A81000B,00500,0300,REGIONAL ALLOCATION 61952,A81000B,00600,0300,SEE ATTACHED DETAIL 61952,A81000C,00100,0100,B 61952,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 61952,A81000C,00200,0200,A-8-1. 61952,B100000,00000,0100,00000SQUARE FEET 61952,B100000,00000,0200,00000SQUARE FEET 61952,B100000,00000,0300,00000GROSS SALARIES 61952,B100000,00000,0400,00000ACCUM. COST 61952,B100000,00000,0500,00000SQUARE FEET 61952,B100000,00000,0600,00000PATIENT DAYS 61952,B100000,00000,0700,00000HSKP SQUARE 61952,B100000,00000,0800,00000PATIENT DAYS 61952,B100000,00000,0900,00000PATIENT DAYS 61952,B100000,00000,1000,00000PATIENT DAYS 61952,B100000,00000,1100,00000PATIENT DAYS 61952,B100000,00000,1200,00000PATIENT DAYS 61952,B100000,00000,1300,00000PATIENT DAYS 61952,B100000,00000,1400,00000ASSIGNED TIME 61952,S000000,00100,0200,05/30/2000 61952,S200000,00100,0100,2727 PALMYRA ROAD 61952,S200000,00200,0100,PALMYRA 61952,S200000,00200,0200,TN 61952,S200000,00300,0100,MONTGOMERY 61952,S200000,00400,0100,PALMYRA HEALTH CARE CENTER 61952,S200000,00400,0200,445184 61952,S200000,00400,0300,04/29/1986 61952,S200000,00400,0500,P 61952,S200000,01600,0100,Y 61952,S200000,02200,0100,Y 61958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61958,A000000,00300,0000,00300EMPLOYEE BENEFITS 61958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61958,A000000,00700,0000,00700HOUSEKEEPING 61958,A000000,00800,0000,00800DIETARY 61958,A000000,00900,0000,00900NURSING ADMINISTRATION 61958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61958,A000000,01100,0000,01100PHARMACY 61958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61958,A000000,01300,0000,01300SOCIAL SERVICE 61958,A000000,01350,0000,01500OTHER GENERAL SERVICES 61958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61958,A000000,01600,0000,01600SKILLED NURSING FACILITY 61958,A000000,01800,0000,01800NURSING FACILITY 61958,A000000,01900,0000,01900OTHER LONG TERM CARE 61958,A000000,02100,0000,02100RADIOLOGY 61958,A000000,02200,0000,02200LABORATORY 61958,A000000,02300,0000,02300INTRAVENOUS THERAPY 61958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61958,A000000,02500,0000,02500PHYSICAL THERAPY 61958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61958,A000000,02700,0000,02700SPEECH PATHOLOGY 61958,A000000,02800,0000,02800ELECTROCARDIOLOGY 61958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61958,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61958,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 61958,A000000,03200,0000,03200SUPPORT SURFACES 61958,A000000,03400,0000,03400CLINIC 61958,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61958,A000000,03500,0000,03500RURAL HEALTH CLINIC 61958,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 61958,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 61958,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 61958,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 61958,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 61958,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 61958,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 61958,A000000,04400,0000,04400DME RENTED - HHA 61958,A000000,04500,0000,04500DME SOLD - HHA 61958,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 61958,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 61958,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61958,A000000,04800,0000,04800AMBULANCE 61958,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 61958,A000000,05000,0000,05000CORF 61958,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 61958,A000000,05300,0000,05300INTEREST EXPENSE 61958,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61958,A000000,05500,0000,05500HOSPICE 61958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 61958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61958,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61958,A000000,06100,0000,06100NONPAID WORKERS 61958,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61958,A000000,06200,0000,06200PATIENTS LAUNDRY 61958,B100000,00000,0100,00000SQ FEET 61958,B100000,00000,0200,00000SQ FEET 61958,B100000,00000,0300,00000GROSS SALARIES 61958,B100000,00000,0400,00000ACCUM. COST 61958,B100000,00000,0500,00000SQ FEET 61958,B100000,00000,0600,00000PT DAYS 61958,B100000,00000,0700,00000SQ FEET 61958,B100000,00000,0800,00000MEALS SERVED 61958,B100000,00000,0900,00000DIRECT NSG HOURS 61958,B100000,00000,1000,00000COSTED REQUIS 61958,B100000,00000,1100,00000NO STATISTICS 61958,B100000,00000,1200,00000PT DAYS 61958,B100000,00000,1300,00000PT DAYS 61958,B100000,00000,1350,00000NO STATISTICS 61958,B100000,00000,1400,00000NO STATISTICS 61958,S000000,00100,0200,05/31/2000 61958,S200000,00100,0100,3535 KIRBY ROAD 61958,S200000,00200,0100,MEMPHIS 61958,S200000,00200,0200,TN 61958,S200000,00200,0300,38115 61958,S200000,00300,0100,SHELBY 61958,S200000,00400,0100,KIRBY PINES MANOR 61958,S200000,00400,0200,445189 61958,S200000,00400,0300,03/06/1986 61958,S200000,00400,0500,P 61958,S200000,01600,0100,Y 61966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61966,A000000,00300,0000,00300EMPLOYEE BENEFITS 61966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61966,A000000,00700,0000,00700HOUSEKEEPING 61966,A000000,00800,0000,00800DIETARY 61966,A000000,00900,0000,00900NURSING ADMINISTRATION 61966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61966,A000000,01100,0000,01100PHARMACY 61966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61966,A000000,01300,0000,01300SOCIAL SERVICE 61966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61966,A000000,01600,0000,01600SKILLED NURSING FACILITY 61966,A000000,01800,0000,01800NURSING FACILITY 61966,A000000,01810,0000,01810ICF/MR 61966,A000000,02100,0000,02100RADIOLOGY 61966,A000000,02200,0000,02200LABORATORY 61966,A000000,02300,0000,02300INTRAVENOUS THERAPY 61966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61966,A000000,02500,0000,02500PHYSICAL THERAPY 61966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61966,A000000,02700,0000,02700SPEECH PATHOLOGY 61966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61966,A000000,03550,0000,03550FQHC 61966,A000000,05000,0000,05000CORF 61966,A000000,05010,0000,05010CMHC 61966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61966,A000000,05300,0000,05300INTEREST EXPENSE 61966,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61966,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61966,A81000A,00100,0100,Y 61966,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 61966,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 61966,A81000B,00300,0300,HEALTH INSURANCE 61966,A81000B,00400,0300,RETIREMENT 61966,A81000B,00600,0300,PHS - NURSING 61966,A81000B,00700,0300,PHS- SOCIAL WORK 61966,A81000B,00800,0300,PHS - OCC THERAPY 61966,A81000B,00900,0300,PHS - SPEECH THERAPY 61966,A81000B,01000,0300,PHS - PHYS THERAPY 61966,A81000B,01100,0300,PHS - DIETARY 61966,A81000B,01200,0300,PHS - MED RECORDS 61966,A81000B,01300,0300,PHS - SOCIAL SERVICE 61966,A81000C,00100,0100,B 61966,A81000C,00100,0200,NATIONAL HEALTH 61966,A81000C,00100,0400,PROF HEALTH SER 61966,A81000C,00100,0600,HEALTHCARE 61966,A81000C,00200,0200,CARE CORPORATIO 61966,B100000,00000,0100,00000(SQUARE FEET) 61966,B100000,00000,0200,00000(SQUARE FEET) 61966,B100000,00000,0300,00000(GROSS SALARIES) 61966,B100000,00000,0400,00000(ACCUM COST) 61966,B100000,00000,0500,00000(SQUARE FEET) 61966,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61966,B100000,00000,0700,00000(SQUARE FEET) 61966,B100000,00000,0800,00000(MEALS SERVED) 61966,B100000,00000,0900,00000(DIRECT NRSG HRS) 61966,B100000,00000,1000,00000(COSTED REQUIS) 61966,B100000,00000,1100,00000(COSTED REQUIS) 61966,B100000,00000,1200,00000(TIME SPENT) 61966,B100000,00000,1300,00000(TIME SPENT) 61966,B100000,00000,1400,00000ASSIGNED TIME 61966,E10A180,00301,0100,02/16/1999 61966,E10A180,00302,0100,08/20/1999 61966,S000000,00100,0200,04/03/2000 61966,S200000,00100,0100,370 OLD SHACKLE ISLAND ROAD 61966,S200000,00100,0300,2348 61966,S200000,00200,0100,HENDERSONVILLE 61966,S200000,00200,0200,TN 61966,S200000,00200,0300,37075 61966,S200000,00300,0100,SUMNER 61966,S200000,00400,0100,NHC HEALTHCARE HENDERSONVILLE 61966,S200000,00400,0200,445191 61966,S200000,00400,0300,06/01/1986 61966,S200000,00400,0500,P 61966,S200000,00600,0200,000504 61966,S200000,00600,0300,06/01/1986 61966,S200000,00600,0600,P 61966,S200000,01600,0100,Y 61974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61974,A000000,00300,0000,00300EMPLOYEE BENEFITS 61974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61974,A000000,00700,0000,00700HOUSEKEEPING 61974,A000000,00800,0000,00800DIETARY 61974,A000000,00900,0000,00900NURSING ADMINISTRATION 61974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61974,A000000,01100,0000,01100PHARMACY 61974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61974,A000000,01300,0000,01300SOCIAL SERVICE 61974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61974,A000000,01600,0000,01600SKILLED NURSING FACILITY 61974,A000000,01800,0000,01800NURSING FACILITY 61974,A000000,01810,0000,01810ICF/MR 61974,A000000,02100,0000,02100RADIOLOGY 61974,A000000,02200,0000,02200LABORATORY 61974,A000000,02300,0000,02300INTRAVENOUS THERAPY 61974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 61974,A000000,02500,0000,02500PHYSICAL THERAPY 61974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61974,A000000,02700,0000,02700SPEECH PATHOLOGY 61974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61974,A000000,03550,0000,03550FQHC 61974,A000000,05000,0000,05000CORF 61974,A000000,05010,0000,05010CMHC 61974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61974,A000000,05300,0000,05300INTEREST EXPENSE 61974,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 61974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61974,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 61974,B100000,00000,0100,00000(SQUARE FEET) 61974,B100000,00000,0200,00000(SQUARE FEET) 61974,B100000,00000,0300,00000(GROSS SALARIES) 61974,B100000,00000,0400,00000(ACCUM COST) 61974,B100000,00000,0500,00000(SQUARE FEET) 61974,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 61974,B100000,00000,0700,00000(SQUARE FEET) 61974,B100000,00000,0800,00000(MEALS SERVED) 61974,B100000,00000,0900,00000(DIRECT NRSG HRS) 61974,B100000,00000,1000,00000(COSTED REQUIS) 61974,B100000,00000,1100,00000(COSTED REQUIS) 61974,B100000,00000,1200,00000(TIME SPENT) 61974,B100000,00000,1300,00000(TIME SPENT) 61974,B100000,00000,1400,00000ASSIGNED TIME 61974,E10A180,00301,0100,02/16/1999 61974,E10A180,00302,0100,08/20/1999 61974,S000000,00100,0200,05/26/2000 61974,S200000,00100,0100,1000 ST. LUKE DRIVE 61974,S200000,00100,0300,50278 61974,S200000,00200,0100,NASHVILLE 61974,S200000,00200,0200,TN 61974,S200000,00200,0300,37205 61974,S200000,00300,0100,DAVIDSON 61974,S200000,00400,0100,WEST MEADE PLACE 61974,S200000,00400,0200,445203 61974,S200000,00400,0300,04/30/1986 61974,S200000,00400,0500,P 61974,S200000,00600,0200,000505 61974,S200000,00600,0300,04/30/1986 61974,S200000,00600,0600,P 61984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61984,A000000,00300,0000,00300EMPLOYEE BENEFITS 61984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61984,A000000,00700,0000,00700HOUSEKEEPING 61984,A000000,00800,0000,00800DIETARY 61984,A000000,00900,0000,00900NURSING ADMINISTRATION 61984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61984,A000000,01100,0000,01100PHARMACY 61984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61984,A000000,01300,0000,01300SOCIAL SERVICE 61984,A000000,01350,0000,01500OTHER GENERAL SERVICES 61984,A000000,01351,0000,01501ACTIVITIES 61984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61984,A000000,01600,0000,01600SKILLED NURSING FACILITY 61984,A000000,01800,0000,01800NURSING FACILITY 61984,A000000,01810,0000,01810ICF/MR 61984,A000000,02200,0000,02200LABORATORY 61984,A000000,02500,0000,02500PHYSICAL THERAPY 61984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61984,A000000,02700,0000,02700SPEECH PATHOLOGY 61984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61984,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61984,A000000,03550,0000,03550FQHC 61984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61984,A000000,05000,0000,05000CORF 61984,A000000,05010,0000,05010CMHC 61984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61984,A000000,06201,0000,06201CONTRIBUTIONS 61984,A000000,06202,0000,06202FLOWERS & GIFTS 61984,A81000A,00100,0100,Y 61984,A81000B,00100,0300,HOME OFFICE 61984,B100000,00000,0100,00000SQUARE FEET 61984,B100000,00000,0200,00000SQUARE FEET 61984,B100000,00000,0300,00000GROSS SALARIES 61984,B100000,00000,0400,00000ACCUM. COST 61984,B100000,00000,0500,00000SQUARE FEET 61984,B100000,00000,0600,00000POUNDS OF LAUNDRY 61984,B100000,00000,0700,00000HOURS OF SERVICE 61984,B100000,00000,0800,00000PATIENT DAYS 61984,B100000,00000,0900,00000DIRECTNRSI ING HOURS 61984,B100000,00000,1000,00000COSTED REQUIS. 61984,B100000,00000,1100,00000COSTED REQUIS. 61984,B100000,00000,1200,00000TIME STUDY 61984,B100000,00000,1300,00000TIME STUDY 61984,B100000,00000,1350,00000 61984,B100000,00000,1351,00000 61984,B100000,00000,1400,00000ASSIGNED TIME 61984,E10A180,00301,0100,02/29/2000 61984,E10A180,00550,0100,09/01/2000 61984,E10A180,00550,0300,09/01/2000 61984,S000000,00100,0200,08/29/2000 61984,S200000,00100,0100,331 HINCH STREET 61984,S200000,00200,0100,SPRING CITY 61984,S200000,00200,0200,TN 61984,S200000,00200,0300,37381 61984,S200000,00300,0100,RHEA 61984,S200000,00400,0100,SPRING CITY HEALTH CARE CENTER 61984,S200000,00400,0200,445209 61984,S200000,00400,0300,02/15/1988 61984,S200000,00400,0500,P 61984,S200000,00600,0200,440512 61984,S200000,00600,0300,02/10/1988 61984,S200000,00600,0600,P 61984,S200000,01600,0100,Y 61992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 61992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 61992,A000000,00300,0000,00300EMPLOYEE BENEFITS 61992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 61992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 61992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 61992,A000000,00700,0000,00700HOUSEKEEPING 61992,A000000,00800,0000,00800DIETARY 61992,A000000,00900,0000,00900NURSING ADMINISTRATION 61992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 61992,A000000,01100,0000,01100PHARMACY 61992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 61992,A000000,01300,0000,01300SOCIAL SERVICE 61992,A000000,01350,0000,01500OTHER GENERAL SERVICES 61992,A000000,01351,0000,01501ACTIVITIES 61992,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 61992,A000000,01600,0000,01600SKILLED NURSING FACILITY 61992,A000000,01800,0000,01800NURSING FACILITY 61992,A000000,02200,0000,02200LABORATORY 61992,A000000,02500,0000,02500PHYSICAL THERAPY 61992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 61992,A000000,02700,0000,02700SPEECH PATHOLOGY 61992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 61992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 61992,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 61992,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 61992,A000000,03550,0000,03550FQHC 61992,A000000,04750,0000,05100OTHER REIMBURSABLE COST 61992,A000000,05000,0000,05000CORF 61992,A000000,05010,0000,05010CMHC 61992,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 61992,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 61992,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 61992,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 61992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 61992,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 61992,A000000,06201,0000,06201CONTRIBUTIONS 61992,A000000,06202,0000,06202FLOWERS & GIFTS 61992,A81000A,00100,0100,Y 61992,A81000B,00100,0300,HOME OFFICE 61992,A81000B,00200,0300,TO ADJUST HOME OFFICE COST 61992,A81000C,00100,0100,A 61992,A81000C,00100,0200,CONTINUUM CARE CORP 61992,A81000C,00100,0600,HOME OFFICE 61992,B100000,00000,0100,00000SQUARE FEET 61992,B100000,00000,0200,00000SQUARE FEET 61992,B100000,00000,0300,00000GROSS SALARIES 61992,B100000,00000,0400,00000ACCUM. COST 61992,B100000,00000,0500,00000SQUARE FEET 61992,B100000,00000,0600,00000POUNDS OF LAUNDRY 61992,B100000,00000,0700,00000SQUARE FEET 61992,B100000,00000,0800,00000PATIENT DAYS 61992,B100000,00000,0900,00000DIRECTNRSI ING HOURS 61992,B100000,00000,1000,00000COSTED REQUIS. 61992,B100000,00000,1100,00000COSTED REQUIS. 61992,B100000,00000,1200,00000TIME STUDY 61992,B100000,00000,1300,00000TIME STUDY 61992,B100000,00000,1350,00000NO STATISTICS 61992,B100000,00000,1351,00000TIME STUDY 61992,B100000,00000,1400,00000ASSIGNED TIME 61992,E10A180,00301,0100,02/29/2000 61992,E10A180,00501,0300,09/01/2000 61992,E10A180,00550,0100,09/01/2000 61992,S000000,00100,0200,08/28/2000 61992,S200000,00100,0100,919 MEDICAL PARK DRIVE 61992,S200000,00200,0100,MOUNTAIN CITY 61992,S200000,00200,0200,TN 61992,S200000,00200,0300,37683 61992,S200000,00300,0100,JOHNSON 61992,S200000,00400,0100,MOUNTAIN CITY HEALTH CARE CENTER 61992,S200000,00400,0200,445214 61992,S200000,00400,0300,01/01/1992 61992,S200000,00400,0500,P 61992,S200000,00600,0200,440567 61992,S200000,00600,0300,09/01/1978 61992,S200000,00600,0600,P 61992,S200000,01600,0100,Y 62000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62000,A000000,00300,0000,00300EMPLOYEE BENEFITS 62000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62000,A000000,00700,0000,00700HOUSEKEEPING 62000,A000000,00800,0000,00800DIETARY 62000,A000000,00900,0000,00900NURSING ADMINISTRATION 62000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62000,A000000,01100,0000,01100PHARMACY 62000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62000,A000000,01300,0000,01300SOCIAL SERVICE 62000,A000000,01350,0000,01500ACTIVITIES 62000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62000,A000000,01600,0000,01600SKILLED NURSING FACILITY 62000,A000000,01800,0000,01800NURSING FACILITY 62000,A000000,01810,0000,01810ICF/MR 62000,A000000,02100,0000,02100RADIOLOGY 62000,A000000,02200,0000,02200LABORATORY 62000,A000000,02300,0000,02300INTRAVENOUS THERAPY 62000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62000,A000000,02500,0000,02500PHYSICAL THERAPY 62000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62000,A000000,02700,0000,02700SPEECH PATHOLOGY 62000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62000,A000000,02901,0000,02901PEN THERAPY 62000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62000,A000000,03050,0000,03300OTHER ANCILLARY 62000,A000000,03051,0000,03301AMBULANCE 62000,A000000,03550,0000,03550FQHC 62000,A000000,05000,0000,05000CORF 62000,A000000,05010,0000,05010CMHC 62000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62000,A81000A,00100,0100,Y 62000,A81000B,00100,0300,HOME OFFICE COSTS 62000,A81000B,00200,0300,ALLOCATED COSTS - PT 62000,A81000B,00300,0300,ALLOCATED COSTS - OT 62000,A81000B,00400,0300,ALLOCATED COSTS - ST 62000,A81000B,00500,0300,MEDILIFE 62000,A81000B,00600,0300,MEDILIFE 62000,A81000B,00700,0300,MEDILIFE 62000,A81000B,00800,0300,MEDILIFE 62000,A81000B,00900,0300,REL. PARTY INTEREST 62000,A81000B,01000,0300,LIFE CARE DESIGN 62000,A81000B,01100,0300,COMPUTER INSTALL. 62000,A81000B,01200,0300,HCE LEASING 62000,A81000B,01300,0300,HCE LEASING 62000,A81000B,01400,0300,DEVELOPMENT COSTS 62000,A81000B,01500,0300,DEVELOPMENT COSTS 62000,A81000C,00100,0100,A 62000,A81000C,00100,0200,FORREST PRESTON 62000,A81000C,00100,0400,LIFE CARE CENTE 62000,A81000C,00100,0600,MANAGEMENT COMP 62000,A81000C,00200,0100,A 62000,A81000C,00200,0200,FORREST PRESTON 62000,A81000C,00200,0400,MEDILIFE 62000,A81000C,00200,0600,PHARMACY 62000,A81000C,00300,0100,A 62000,A81000C,00300,0200,FORREST PRESTON 62000,A81000C,00300,0400,LIFE CARE DESIG 62000,A81000C,00300,0600,INTERIOR DESIGN 62000,A81000C,00400,0100,A 62000,A81000C,00400,0200,FORREST PRESTON 62000,A81000C,00400,0400,HCE LEASING 62000,A81000C,00400,0600,VEHICLE LEASING 62000,B100000,00000,0100,00000(SQUARE FEET) 62000,B100000,00000,0200,00000(SQUARE FEET) 62000,B100000,00000,0300,00000(GROSS SALARIES) 62000,B100000,00000,0400,00000(ACCUM COST) 62000,B100000,00000,0500,00000(SQUARE FEET) 62000,B100000,00000,0600,00000PATIENT DAYS 62000,B100000,00000,0700,00000(SQUARE FEET) 62000,B100000,00000,0800,00000(MEALS SERVED) 62000,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62000,B100000,00000,1000,00000(COSTED REQUIS) 62000,B100000,00000,1100,00000(COSTED REQUIS) 62000,B100000,00000,1200,00000GROSS REVENUES 62000,B100000,00000,1300,00000TIME SPENT 62000,B100000,00000,1350,00000PATIENT DAYS 62000,B100000,00000,1400,00000(ASSIGNED TIME) 62000,E10A180,00301,0100,08/17/1999 62000,E10A180,00302,0100,02/07/2000 62000,E10A180,00501,0100,07/18/2000 62000,E10A180,00550,0300,07/18/2000 62000,S000000,00100,0200,05/24/2000 62000,S200000,00100,0100,1026 MCFARLAND STREET 62000,S200000,00200,0100,MORRISTOWN 62000,S200000,00200,0200,TN 62000,S200000,00200,0300,37814 62000,S200000,00300,0100,HAMBLEN 62000,S200000,00400,0100,THE HERITAGE CENTER 62000,S200000,00400,0200,445215 62000,S200000,00400,0300,01/03/1989 62000,S200000,00400,0500,P 62000,S200000,00400,0600,O 62000,S200000,00600,0200,445215 62000,S200000,00600,0300,01/03/1989 62000,S200000,00600,0600,P 62000,S200000,01600,0100,Y 62000,S200000,02200,0100,Y 62000,S200000,04700,0100,Y 62000,S200000,04700,0200,Y 62012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62012,A000000,00300,0000,00300EMPLOYEE BENEFITS 62012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62012,A000000,00700,0000,00700HOUSEKEEPING 62012,A000000,00800,0000,00800DIETARY 62012,A000000,00900,0000,00900NURSING ADMINISTRATION 62012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62012,A000000,01100,0000,01100PHARMACY 62012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62012,A000000,01300,0000,01300SOCIAL SERVICE 62012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62012,A000000,01600,0000,01600SKILLED NURSING FACILITY 62012,A000000,01800,0000,01800NURSING FACILITY 62012,A000000,01810,0000,01810ICF/MR 62012,A000000,02100,0000,02100RADIOLOGY 62012,A000000,02200,0000,02200LABORATORY 62012,A000000,02300,0000,02300INTRAVENOUS THERAPY 62012,A000000,02500,0000,02500PHYSICAL THERAPY 62012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62012,A000000,02700,0000,02700SPEECH PATHOLOGY 62012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62012,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62012,A000000,03550,0000,03550FQHC 62012,A000000,05000,0000,05000CORF 62012,A000000,05010,0000,05010CMHC 62012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62012,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62012,A81000A,00100,0100,Y 62012,A81000B,00100,0300,HOME OFFICE COSTS 62012,A81000B,00200,0300,MANAGEMENT FEES 62012,A81000B,00300,0300,HOME OFFICE COSTS 62012,A81000B,00400,0300,MANAGEMENT FEES 62012,A81000C,00100,0100,A 62012,A81000C,00100,0200,SERVICEMASTER 62012,A81000C,00100,0400,MGMT SERVICE 62012,A81000C,00100,0600,HOME OFFICE 62012,B100000,00000,0100,00000SQUARE FEET 62012,B100000,00000,0200,00000SQUARE FEET 62012,B100000,00000,0300,00000GROSS SALARIES 62012,B100000,00000,0400,00000ACCUM COST 62012,B100000,00000,0500,00000SQUARE FEET 62012,B100000,00000,0600,00000POUNDS OF LAUNDRY 62012,B100000,00000,0700,00000SQUARE FEET 62012,B100000,00000,0800,00000PATIENT DAYS 62012,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 62012,B100000,00000,1000,00000HOURS OF SERVICE 62012,B100000,00000,1100,00000COSTED REQUISITIO 62012,B100000,00000,1200,00000TIME SPENT 62012,B100000,00000,1300,00000TIME SPENT 62012,B100000,00000,1400,00000ASSIGNED TIME 62012,E10A180,00501,0100,07/26/2000 62012,S000000,00100,0200,05/30/2000 62012,S200000,00100,0100,415 PACE ST. 62012,S200000,00200,0100,MCMINNVILLE 62012,S200000,00200,0200,TN 62012,S200000,00200,0300,37110 62012,S200000,00300,0100,WARREN 62012,S200000,00400,0100,RAINTREE MANOR 62012,S200000,00400,0200,445216 62012,S200000,00400,0300,09/01/1994 62012,S200000,00400,0500,P 62012,S200000,01600,0100,Y 62021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62021,A000000,00300,0000,00300EMPLOYEE BENEFITS 62021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62021,A000000,00700,0000,00700HOUSEKEEPING 62021,A000000,00800,0000,00800DIETARY 62021,A000000,00900,0000,00900NURSING ADMINISTRATION 62021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62021,A000000,01100,0000,01100PHARMACY 62021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62021,A000000,01300,0000,01300SOCIAL SERVICE 62021,A000000,01350,0000,01500OTHER GENERAL SERVICES 62021,A000000,01351,0000,01501ACTIVITIES 62021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62021,A000000,01600,0000,01600SKILLED NURSING FACILITY 62021,A000000,01800,0000,01800NURSING FACILITY 62021,A000000,01810,0000,01810ICF/MR 62021,A000000,02200,0000,02200LABORATORY 62021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62021,A000000,02500,0000,02500PHYSICAL THERAPY 62021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62021,A000000,02700,0000,02700SPEECH PATHOLOGY 62021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62021,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62021,A000000,03550,0000,03550FQHC 62021,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62021,A000000,05000,0000,05000CORF 62021,A000000,05010,0000,05010CMHC 62021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62021,A000000,06201,0000,06201CONTRIBUTIONS 62021,A000000,06202,0000,06202FLOWERS & GIFTS 62021,A81000A,00100,0100,Y 62021,A81000B,00100,0300,HOME OFFICE 62021,A81000C,00100,0100,A 62021,A81000C,00100,0200,CONTINUUM CARE CORP 62021,A81000C,00100,0600,HOME OFFICE 62021,B100000,00000,0100,00000SQUARE FEET 62021,B100000,00000,0200,00000SQUARE FEET 62021,B100000,00000,0300,00000GROSS SALARIES 62021,B100000,00000,0400,00000ACCUM. COST 62021,B100000,00000,0500,00000SQUARE FEET 62021,B100000,00000,0600,00000POUNDS OF LAUNDRY 62021,B100000,00000,0700,00000HOURS OF SERVICE 62021,B100000,00000,0800,00000PATIENT DAYS 62021,B100000,00000,0900,00000PATIENT DAYS 62021,B100000,00000,1000,00000COSTED REQUIS. 62021,B100000,00000,1100,00000COSTED REQUIS. 62021,B100000,00000,1200,00000TIME STUDY 62021,B100000,00000,1300,00000TIME STUDY 62021,B100000,00000,1350,00000NO STATISTICS 62021,B100000,00000,1351,00000TIME STUDY 62021,B100000,00000,1400,00000ASSIGNED TIME 62021,E10A180,00301,0100,03/03/2000 62021,E10A180,00501,0100,10/27/2000 62021,E10A180,00550,0300,10/27/2000 62021,S000000,00100,0200,08/29/2000 62021,S200000,00100,0100,1200 SPRUCE LANE 62021,S200000,00200,0100,ELIZABETHTON 62021,S200000,00200,0200,TN 62021,S200000,00200,0300,37643 62021,S200000,00300,0100,CARTER 62021,S200000,00400,0100,PINE RIDGE CARE CENTER 62021,S200000,00400,0200,445217 62021,S200000,00400,0300,01/01/1992 62021,S200000,00400,0500,P 62021,S200000,00600,0200,440568 62021,S200000,00600,0300,04/16/1980 62021,S200000,00600,0600,P 62021,S200000,01600,0100,Y 62029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62029,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62029,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62029,A000000,00300,0000,00300EMPLOYEE BENEFITS 62029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62029,A000000,00700,0000,00700HOUSEKEEPING 62029,A000000,00800,0000,00800DIETARY 62029,A000000,00801,0000,00801CAFETERIA 62029,A000000,00900,0000,00900NURSING ADMINISTRATION 62029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62029,A000000,01100,0000,01100PHARMACY 62029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62029,A000000,01300,0000,01300SOCIAL SERVICE 62029,A000000,01350,0000,01500ACTIVITIES 62029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62029,A000000,01600,0000,01600SKILLED NURSING FACILITY 62029,A000000,01800,0000,01800NURSING FACILITY 62029,A000000,01810,0000,01810ICF/MR 62029,A000000,02100,0000,02100RADIOLOGY 62029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62029,A000000,02500,0000,02500PHYSICAL THERAPY 62029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62029,A000000,02700,0000,02700SPEECH PATHOLOGY 62029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62029,A000000,03050,0000,03300ENTERAL AND UROLOGICAL 62029,A000000,03051,0000,03301DURABLE MED EQUIP RENTAL 62029,A000000,03052,0000,03302OTHER ANCILLARY III 62029,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62029,A000000,03550,0000,03550FQHC 62029,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62029,A000000,05000,0000,05000CORF I 62029,A000000,05010,0000,05010CMHC I 62029,A000000,05020,0000,05020OPT I 62029,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62029,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62029,A000000,05300,0000,05300INTEREST EXPENSE 62029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62029,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62029,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62029,B100000,00000,0100,00000(SQUARE FEET) 62029,B100000,00000,0101,00000(SQUARE FEET) 62029,B100000,00000,0200,00000(SQUARE FEET) 62029,B100000,00000,0201,00000(SQUARE FEET) 62029,B100000,00000,0300,00000(GROSS SALARIES) 62029,B100000,00000,0400,00000(ACCUM. COST) 62029,B100000,00000,0500,00000(SQUARE FEET) 62029,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62029,B100000,00000,0700,00000(HOURS OF SERVICE) 62029,B100000,00000,0800,00000(MEALS SERVED) 62029,B100000,00000,0801,00000(MEALS SERVED) 62029,B100000,00000,0900,00000(DIRECT NRSING HRS 62029,B100000,00000,1000,00000(COSTED REQUIS.) 62029,B100000,00000,1100,00000(COSTED REQUIS.) 62029,B100000,00000,1200,00000(TIME SPENT) 62029,B100000,00000,1300,00000(TIME SPENT) 62029,B100000,00000,1350,00000(TIME SPENT) 62029,B100000,00000,1400,00000(ASSIGNED TIME) 62029,E10A180,00301,0100,07/23/1997 62029,E10A180,00501,0100,07/06/2000 62029,S000000,00100,0200,05/26/2000 62029,S200000,00100,0100,1467 E. MCLEMORE 62029,S200000,00200,0100,MEMPHIS 62029,S200000,00200,0200,TN 62029,S200000,00200,0300,38106 62029,S200000,00300,0100,SHELBY 62029,S200000,00400,0100,THE KINGS DAUGHTERS AND SONS HOME 62029,S200000,00400,0200,445221 62029,S200000,00400,0300,11/01/1988 62029,S200000,00400,0500,P 62029,S200000,01600,0100,Y 62029,S200000,02200,0100,Y 62046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62046,A000000,00300,0000,00300EMPLOYEE BENEFITS 62046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62046,A000000,00700,0000,00700HOUSEKEEPING 62046,A000000,00800,0000,00800DIETARY 62046,A000000,00900,0000,00900NURSING ADMINISTRATION 62046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62046,A000000,01100,0000,01100PHARMACY 62046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62046,A000000,01300,0000,01300SOCIAL SERVICE 62046,A000000,01350,0000,01500ACTIVITIES 62046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62046,A000000,01600,0000,01600SKILLED NURSING FACILITY 62046,A000000,01800,0000,01800NURSING FACILITY 62046,A000000,01810,0000,01810ICF/MR 62046,A000000,02100,0000,02100RADIOLOGY 62046,A000000,02200,0000,02200LABORATORY 62046,A000000,02300,0000,02300INTRAVENOUS THERAPY 62046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62046,A000000,02500,0000,02500PHYSICAL THERAPY 62046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62046,A000000,02700,0000,02700SPEECH PATHOLOGY 62046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62046,A000000,02901,0000,02901PEN THERAPY 62046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62046,A000000,03050,0000,03300OTHER ANCILLARY 62046,A000000,03051,0000,03301AMBULANCE 62046,A000000,03550,0000,03550FQHC 62046,A000000,05000,0000,05000CORF 62046,A000000,05010,0000,05010CMHC 62046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62046,A000000,06150,0000,06300COMMUNICATIONS 62046,A81000A,00100,0100,Y 62046,A81000B,00100,0300,HOME OFFICE COSTS 62046,A81000B,00200,0300,ALLOCATED COSTS 62046,A81000B,00300,0300,ALLOCATED COSTS 62046,A81000B,00400,0300,ALLOCATED COSTA 62046,A81000B,00500,0300,MED/SURG SUUPPLIES 62046,A81000B,00600,0300,NURSING SUPPLIES 62046,A81000B,00700,0300,DRUGS 62046,A81000B,00800,0300,IV SUPPLIES 62046,A81000B,00900,0300,PHARMACIST CONSULTAN 62046,A81000B,01000,0300,INTEREST 62046,A81000B,01100,0300,PURCHASES 62046,A81000B,01200,0300,COMPUTER INSTALL 62046,A81000B,01300,0300,PLANNING & DEVELOP 62046,A81000B,01400,0300,PLANNING & DEVELOP 62046,A81000B,01500,0300,INTEREST 62046,A81000B,01600,0300,HCE - INTEREST 62046,A81000B,01700,0300,HCE - DEPRECIATION 62046,A81000C,00100,0100,A 62046,A81000C,00100,0200,FORREST PRESTON 62046,A81000C,00100,0400,LIFE CARE CENTE 62046,A81000C,00100,0600,NRSG HOME MGMT 62046,A81000C,00200,0100,A 62046,A81000C,00200,0200,FORREST PRESTON 62046,A81000C,00200,0400,MEDILIFE 62046,A81000C,00200,0600,PHARMACY 62046,A81000C,00300,0100,A 62046,A81000C,00300,0200,FORREST PRESTON 62046,A81000C,00300,0400,LIFE CARE DESIG 62046,A81000C,00300,0600,INTERIOR DESIGN 62046,A81000C,00400,0100,A 62046,A81000C,00400,0200,FORREST PRESTON 62046,A81000C,00400,0400,HCE LEASING 62046,A81000C,00400,0600,VEHICLE LEASING 62046,B100000,00000,0100,00000(SQUARE FEET) 62046,B100000,00000,0200,00000(SQUARE FEET) 62046,B100000,00000,0300,00000(GROSS SALARIES) 62046,B100000,00000,0400,00000(ACCUM COST) 62046,B100000,00000,0500,00000(SQUARE FEET) 62046,B100000,00000,0600,00000PATIENT DAYS 62046,B100000,00000,0700,00000(SQUARE FEET) 62046,B100000,00000,0800,00000(MEALS SERVED) 62046,B100000,00000,0900,00000DIRECT HRS SUPERVISED 62046,B100000,00000,1000,00000(COSTED REQUIS) 62046,B100000,00000,1100,00000(COSTED REQUIS) 62046,B100000,00000,1200,00000GROSS REVENUES 62046,B100000,00000,1300,00000TIME SPENT 62046,B100000,00000,1350,00000PATIENT DAYS 62046,B100000,00000,1400,00000(ASSIGNED TIME) 62046,E10A180,00301,0100,08/17/1999 62046,E10A180,00302,0100,02/07/2000 62046,S000000,00100,0200,05/25/2000 62046,S200000,00100,0100,455 HIGHLAND PARK AVENUE 62046,S200000,00200,0100,CHATTANOOGA 62046,S200000,00200,0200,TN 62046,S200000,00200,0300,37404 62046,S200000,00300,0100,HAMILTON 62046,S200000,00400,0100,LCC OF CHATTANOOGA 62046,S200000,00400,0200,445226 62046,S200000,00400,0300,06/12/1989 62046,S200000,00400,0500,P 62046,S200000,00400,0600,O 62046,S200000,00600,0200,445226 62046,S200000,00600,0300,06/12/1989 62046,S200000,00600,0600,P 62046,S200000,01600,0100,Y 62046,S200000,02200,0100,Y 62046,S200000,02800,0100,Y 62046,S200000,04700,0100,Y 62046,S200000,04700,0200,Y 62056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62056,A000000,00300,0000,00300EMPLOYEE BENEFITS 62056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62056,A000000,00700,0000,00700HOUSEKEEPING 62056,A000000,00800,0000,00800DIETARY 62056,A000000,00900,0000,00900NURSING ADMINISTRATION 62056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62056,A000000,01100,0000,01100PHARMACY 62056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62056,A000000,01300,0000,01300SOCIAL SERVICE 62056,A000000,01350,0000,01500ACTIVITIES 62056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62056,A000000,01600,0000,01600SKILLED NURSING FACILITY 62056,A000000,01800,0000,01800NURSING FACILITY 62056,A000000,01810,0000,01810ICF/MR 62056,A000000,02100,0000,02100RADIOLOGY 62056,A000000,02200,0000,02200LABORATORY 62056,A000000,02300,0000,02300INTRAVENOUS THERAPY 62056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62056,A000000,02500,0000,02500PHYSICAL THERAPY 62056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62056,A000000,02700,0000,02700SPEECH PATHOLOGY 62056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62056,A000000,02901,0000,02901PEN THERAPY 62056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62056,A000000,03050,0000,03300OTHER ANCILLARY 62056,A000000,03051,0000,03301AMBULANCE 62056,A000000,03550,0000,03550FQHC 62056,A000000,05000,0000,05000CORF 62056,A000000,05010,0000,05010CMHC 62056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62056,A81000A,00100,0100,Y 62056,A81000B,00100,0300,HOME OFFICE COSTS 62056,A81000B,00200,0300,ALLOCATED COSTS - PT 62056,A81000B,00300,0300,ALLOCATED COSTS - OT 62056,A81000B,00400,0300,ALLOCATED COSTS - ST 62056,A81000B,00500,0300,MEDILIFE 62056,A81000B,00600,0300,MEDILIFE 62056,A81000B,00700,0300,MEDILIFE 62056,A81000B,00800,0300,MEDILIFE 62056,A81000B,00900,0300,REL. PARTY INTEREST 62056,A81000B,01000,0300,COMPUTER INSTALL. 62056,A81000C,00100,0100,A 62056,A81000C,00100,0200,FORREST PRESTON 62056,A81000C,00100,0400,LIFE CARE CENTE 62056,A81000C,00100,0600,MANAGEMENT COMP 62056,A81000C,00200,0100,A 62056,A81000C,00200,0200,FORREST PRESTON 62056,A81000C,00200,0400,MEDILIFE 62056,A81000C,00200,0600,PHARMACY 62056,B100000,00000,0100,00000(SQUARE FEET) 62056,B100000,00000,0200,00000(SQUARE FEET) 62056,B100000,00000,0300,00000(GROSS SALARIES) 62056,B100000,00000,0400,00000(ACCUM COST) 62056,B100000,00000,0500,00000(SQUARE FEET) 62056,B100000,00000,0600,00000PATIENT DAYS 62056,B100000,00000,0700,00000(SQUARE FEET) 62056,B100000,00000,0800,00000(MEALS SERVED) 62056,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62056,B100000,00000,1000,00000(COSTED REQUIS) 62056,B100000,00000,1100,00000(COSTED REQUIS) 62056,B100000,00000,1200,00000GROSS REVENUES 62056,B100000,00000,1300,00000TIME SPENT 62056,B100000,00000,1350,00000PATIENT DAYS 62056,B100000,00000,1400,00000(ASSIGNED TIME) 62056,E10A180,00301,0100,08/17/1999 62056,E10A180,00302,0100,02/04/2000 62056,E10A180,00501,0100,07/18/2000 62056,E10A180,00550,0300,07/18/2000 62056,S000000,00100,0200,05/24/2000 62056,S200000,00100,0100,725 CRUM STREET 62056,S200000,00200,0100,GREENEVILLE 62056,S200000,00200,0200,TN 62056,S200000,00200,0300,37743 62056,S200000,00300,0100,GREENE 62056,S200000,00400,0100,LCC OF GREENEVILLE 62056,S200000,00400,0200,445228 62056,S200000,00400,0300,08/28/1989 62056,S200000,00400,0500,P 62056,S200000,00400,0600,O 62056,S200000,00600,0200,445228 62056,S200000,00600,0300,08/28/1989 62056,S200000,00600,0600,P 62056,S200000,01600,0100,Y 62056,S200000,02200,0100,Y 62056,S200000,04700,0100,Y 62056,S200000,04700,0200,Y 62064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62064,A000000,00300,0000,00300EMPLOYEE BENEFITS 62064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62064,A000000,00700,0000,00700HOUSEKEEPING 62064,A000000,00800,0000,00800DIETARY 62064,A000000,00900,0000,00900NURSING ADMINISTRATION 62064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62064,A000000,01100,0000,01100PHARMACY 62064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62064,A000000,01300,0000,01300SOCIAL SERVICE 62064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62064,A000000,01600,0000,01600SKILLED NURSING FACILITY 62064,A000000,01800,0000,01800NURSING FACILITY 62064,A000000,01810,0000,01810ICF/MR 62064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62064,A000000,02500,0000,02500PHYSICAL THERAPY 62064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62064,A000000,02700,0000,02700SPEECH PATHOLOGY 62064,A000000,02800,0000,02800ELECTROCARDIOLOGY 62064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62064,A000000,03550,0000,03550FQHC 62064,A000000,05000,0000,05000CORF 62064,A000000,05010,0000,05010CMHC 62064,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62064,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62064,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62064,A000000,06150,0000,06300APARTMENTS 62064,A81000A,00100,0100,Y 62064,A81000B,00100,0300,BOOKKEEPING FEES 62064,A81000B,00200,0300,MANAGEMENT FEES 62064,A81000C,00100,0100,B 62064,A81000C,00100,0400,GRAND COURT LIF 62064,A81000C,00100,0600,MANAGEMENT CO 62064,B100000,00000,0100,00000SQUARE FEET 62064,B100000,00000,0200,00000SQUARE FEET 62064,B100000,00000,0300,00000GROSS SAL 62064,B100000,00000,0400,00000ACCUM. COST 62064,B100000,00000,0500,00000SQUARE FEET 62064,B100000,00000,0600,00000POUNDS LAUNDRY 62064,B100000,00000,0700,00000SQUARE FEET 62064,B100000,00000,0800,00000MEALS SERVED 62064,B100000,00000,0900,00000ACCUM. COST 62064,B100000,00000,1000,00000COSTED REQUISITIO 62064,B100000,00000,1100,00000COSTED REQUISITIO 62064,B100000,00000,1200,00000GROSS REVENUE 62064,B100000,00000,1300,00000GROSS REVENUE 62064,B100000,00000,1400,00000ASSIGNED TIME 62064,S000000,00100,0200,08/28/2000 62064,S200000,00100,0100,1005 MOUNTAIN CREEK ROAD 62064,S200000,00200,0100,CHATTANOOGA 62064,S200000,00200,0200,TN 62064,S200000,00200,0300,37405 62064,S200000,00300,0100,HAMILTON 62064,S200000,00400,0100,GRAND COURT I CHATTANOOGA 62064,S200000,00400,0200,445231 62064,S200000,00400,0300,04/16/1990 62064,S200000,00400,0500,P 62064,S200000,01600,0100,Y 62064,S200000,02100,0100,A 62064,S200000,02200,0100,Y 62064,S200000,03100,0100,Y 62064,S200000,03300,0100,Y 62064,S200000,03300,0200,Y 62080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62080,A000000,00300,0000,00300EMPLOYEE BENEFITS 62080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62080,A000000,00700,0000,00700HOUSEKEEPING 62080,A000000,00800,0000,00800DIETARY 62080,A000000,00900,0000,00900NURSING ADMINISTRATION 62080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62080,A000000,01100,0000,01100PHARMACY 62080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62080,A000000,01300,0000,01300SOCIAL SERVICE 62080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62080,A000000,01600,0000,01600SKILLED NURSING FACILITY 62080,A000000,01800,0000,01800NURSING FACILITY 62080,A000000,01810,0000,01810ICF/MR 62080,A000000,02200,0000,02200LABORATORY 62080,A000000,02300,0000,02300INTRAVENOUS THERAPY 62080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62080,A000000,02500,0000,02500PHYSICAL THERAPY 62080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62080,A000000,02700,0000,02700SPEECH PATHOLOGY 62080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62080,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62080,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62080,A000000,03550,0000,03550FQHC 62080,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62080,A000000,04800,0000,04800AMBULANCE 62080,A000000,05000,0000,05000CORF 62080,A000000,05010,0000,05010CMHC 62080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62080,A000000,05300,0000,05300INTEREST EXPENSE 62080,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62080,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62080,A81000A,00100,0100,Y 62080,A81000B,00100,0300,HOME OFFICE CAPITAL & NON-CAPI 62080,A81000B,00200,0300,HOME OFFICE EXCESS INTEREST 62080,A81000C,00100,0100,A 62080,A81000C,00100,0200,JOE WALKER 62080,A81000C,00100,0400,HEALTH CARE MGMT SERVICES 62080,A81000C,00100,0600,HOME OFFICE 62080,B100000,00000,0100,00000SQUARE FEET 62080,B100000,00000,0200,00000DOLLAR VALUE 62080,B100000,00000,0300,00000GROSS SALARIES 62080,B100000,00000,0400,00000ACCUM. COST 62080,B100000,00000,0500,00000SQUARE FEET 62080,B100000,00000,0600,00000POUNDS OF LAUNDRY 62080,B100000,00000,0700,00000HOURS OF SERVICE 62080,B100000,00000,0800,00000MEALS SERVED 62080,B100000,00000,0900,00000DIRECT NRSING HRS 62080,B100000,00000,1000,00000COSTED REQUIS. 62080,B100000,00000,1100,00000COSTED REQUIS. 62080,B100000,00000,1200,00000TIME SPENT 62080,B100000,00000,1300,00000TIME SPENT 62080,B100000,00000,1400,00000ASSIGNED TIME 62080,E10A180,00301,0100,03/01/2000 62080,E10A180,00501,0100,07/06/2000 62080,E10A180,00550,0300,07/06/2000 62080,S000000,00100,0200,05/23/2000 62080,S200000,00100,0100,1101 GLEN OAKS ROAD 62080,S200000,00100,0300,806 62080,S200000,00200,0100,SHELBYVILLE 62080,S200000,00200,0200,TN 62080,S200000,00300,0100,BEDFORD 62080,S200000,00400,0100,GLEN OAKS CONVALESCENT CENTER 62080,S200000,00400,0200,445234 62080,S200000,00400,0300,10/01/1989 62080,S200000,00400,0500,P 62080,S200000,01600,0100,Y 62080,S200000,04900,0100,Y 62089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62089,A000000,00300,0000,00300EMPLOYEE BENEFITS 62089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62089,A000000,00700,0000,00700HOUSEKEEPING 62089,A000000,00800,0000,00800DIETARY 62089,A000000,00900,0000,00900NURSING ADMINISTRATION 62089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62089,A000000,01100,0000,01100PHARMACY 62089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62089,A000000,01300,0000,01300SOCIAL SERVICE 62089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62089,A000000,01600,0000,01600SKILLED NURSING FACILITY 62089,A000000,01800,0000,01800NURSING FACILITY 62089,A000000,01810,0000,01810ICF/MR 62089,A000000,02200,0000,02200LABORATORY 62089,A000000,02300,0000,02300INTRAVENOUS THERAPY 62089,A000000,02500,0000,02500PHYSICAL THERAPY 62089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62089,A000000,02700,0000,02700SPEECH PATHOLOGY 62089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62089,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62089,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62089,A000000,03550,0000,03550FQHC 62089,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62089,A000000,04800,0000,04800AMBULANCE 62089,A000000,05000,0000,05000CORF 62089,A000000,05010,0000,05010CMHC 62089,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62089,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62089,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62089,A000000,05300,0000,05300INTEREST EXPENSE 62089,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62089,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62089,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62089,A81000A,00100,0100,Y 62089,A81000B,00100,0300,HOME OFFICE COST ALLOCATIONS 62089,A81000B,00200,0300,EXCESS INTEREST 62089,A81000C,00100,0100,A 62089,A81000C,00100,0200,JOE WALKER 62089,A81000C,00100,0400,HEALTH CARE MGMT SERVICES 62089,A81000C,00100,0600,HOME OFFICE 62089,B100000,00000,0100,00000SQUARE FEET 62089,B100000,00000,0200,00000DOLLAR VALUE 62089,B100000,00000,0300,00000GROSS SALARIES 62089,B100000,00000,0400,00000ACCUM. COST 62089,B100000,00000,0500,00000SQUARE FEET 62089,B100000,00000,0600,00000POUNDS OF LAUNDRY 62089,B100000,00000,0700,00000HOURS OF SERVICE 62089,B100000,00000,0800,00000MEALS SERVED 62089,B100000,00000,0900,00000DIRECT NRSING HRS 62089,B100000,00000,1000,00000COSTED REQUIS. 62089,B100000,00000,1100,00000COSTED REQUIS. 62089,B100000,00000,1200,00000TIME SPENT 62089,B100000,00000,1300,00000TIME SPENT 62089,B100000,00000,1400,00000ASSIGNED TIME 62089,E10A180,00301,0100,03/01/2000 62089,E10A180,00501,0100,06/01/2000 62089,E10A180,00550,0300,06/01/2000 62089,S000000,00100,0200,05/24/2000 62089,S200000,00100,0100,915 S TENNESSEE BLVD 62089,S200000,00200,0100,MURFREESBORO 62089,S200000,00200,0200,TN 62089,S200000,00300,0100,RUTHERFORD 62089,S200000,00400,0100,BOULEVARD TERRACE REHAB& NSG 62089,S200000,00400,0200,445235 62089,S200000,00400,0300,10/01/1989 62089,S200000,00400,0500,P 62089,S200000,01600,0100,Y 62089,S200000,04700,0100,Y 62089,S200000,04700,0200,Y 62097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62097,A000000,00300,0000,00300EMPLOYEE BENEFITS 62097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62097,A000000,00700,0000,00700HOUSEKEEPING 62097,A000000,00800,0000,00800DIETARY 62097,A000000,00900,0000,00900NURSING ADMINISTRATION 62097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62097,A000000,01100,0000,01100PHARMACY 62097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62097,A000000,01300,0000,01300SOCIAL SERVICE 62097,A000000,01350,0000,01500ACTIVITIES 62097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62097,A000000,01600,0000,01600SKILLED NURSING FACILITY 62097,A000000,01800,0000,01800NURSING FACILITY 62097,A000000,01810,0000,01810ICF/MR 62097,A000000,02100,0000,02100RADIOLOGY 62097,A000000,02200,0000,02200LABORATORY 62097,A000000,02300,0000,02300INTRAVENOUS THERAPY 62097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62097,A000000,02500,0000,02500PHYSICAL THERAPY 62097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62097,A000000,02700,0000,02700SPEECH PATHOLOGY 62097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62097,A000000,02901,0000,02901PEN THERAPY 62097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62097,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 62097,A000000,03051,0000,03301AMBULANCE SERVICES 62097,A000000,03550,0000,03550FQHC 62097,A000000,05000,0000,05000CORF 62097,A000000,05010,0000,05010CMHC 62097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62097,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62097,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62097,A81000A,00100,0100,Y 62097,A81000B,00100,0300,HOME OFFICE COSTS 62097,A81000B,00200,0300,ALLOCATED COSTS 62097,A81000B,00300,0300,ALLOCATED COSTS 62097,A81000B,00400,0300,ALLOCATED COSTS 62097,A81000B,00500,0300,MED/SURG SUPPLIES 62097,A81000B,00600,0300,NURSING SUPPLIES 62097,A81000B,00700,0300,DRUGS 62097,A81000B,00800,0300,IV SUPPLIES 62097,A81000B,00900,0300,PHARMACIST CONSULTAN 62097,A81000B,01000,0300,REL PARTY INTEREST 62097,A81000B,01100,0300,PURCHASES 62097,A81000B,01200,0300,DEVELOPMENT COST 62097,A81000B,01300,0300,CONSTRUCTION COST 62097,A81000B,01400,0300,COMPUTER INSTALL. 62097,A81000B,01500,0300,REL PARTY INTEREST 62097,A81000C,00100,0100,A 62097,A81000C,00100,0200,FORREST PRESTON 62097,A81000C,00100,0400,LCCA 62097,A81000C,00100,0600,NURSING HOME MG 62097,A81000C,00200,0100,A 62097,A81000C,00200,0200,FORREST PRESTON 62097,A81000C,00200,0400,MEDILIFE 62097,A81000C,00200,0600,PHARMACY 62097,A81000C,00300,0100,A 62097,A81000C,00300,0200,FORREST PRESTON 62097,A81000C,00300,0400,LIFE CARE DESIG 62097,A81000C,00300,0600,INTERIOR DESIGN 62097,A81000C,00400,0100,A 62097,A81000C,00400,0200,FORREST PRESTON 62097,A81000C,00400,0400,CONSTR ENTERPRI 62097,A81000C,00400,0600,CONSTRUCTION 62097,B100000,00000,0100,00000(SQUARE FEET) 62097,B100000,00000,0200,00000(SQUARE FEET) 62097,B100000,00000,0300,00000(GROSS SALARIES) 62097,B100000,00000,0400,00000(ACCUM COST) 62097,B100000,00000,0500,00000(SQUARE FEET) 62097,B100000,00000,0600,00000PATIENT DAYS 62097,B100000,00000,0700,00000(SQUARE FEET) 62097,B100000,00000,0800,00000(MEALS SERVED) 62097,B100000,00000,0900,00000DIRECT NRSG HOURS 62097,B100000,00000,1000,00000(COSTED REQUIS) 62097,B100000,00000,1100,00000(COSTED REQUIS) 62097,B100000,00000,1200,00000GROSS REVENUES 62097,B100000,00000,1300,00000TIME SPENT 62097,B100000,00000,1350,00000PATIENT DAYS 62097,B100000,00000,1400,00000(ASSIGNED TIME) 62097,E10A180,00301,0100,08/17/1999 62097,E10A180,00302,0100,02/04/2000 62097,E10A180,00550,0100,06/02/2000 62097,S000000,00100,0200,05/30/2000 62097,S200000,00100,0100,841 WEST JAMES CAMPBELL BOULEVARD 62097,S200000,00200,0100,COLUMBIA 62097,S200000,00200,0200,TN 62097,S200000,00200,0300,38401 62097,S200000,00300,0100,MAURY 62097,S200000,00400,0100,LIFE CARE CENTER OF COLUMBIA 62097,S200000,00400,0200,445236 62097,S200000,00400,0300,09/28/1989 62097,S200000,00400,0500,P 62097,S200000,00400,0600,O 62097,S200000,00600,0200,445236 62097,S200000,00600,0300,09/28/1989 62097,S200000,00600,0600,P 62097,S200000,01600,0100,Y 62097,S200000,02200,0100,Y 62097,S200000,04700,0100,Y 62097,S200000,04700,0200,Y 62108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62108,A000000,00300,0000,00300EMPLOYEE BENEFITS 62108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62108,A000000,00700,0000,00700HOUSEKEEPING 62108,A000000,00800,0000,00800DIETARY 62108,A000000,00900,0000,00900NURSING ADMINISTRATION 62108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62108,A000000,01100,0000,01100PHARMACY 62108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62108,A000000,01300,0000,01300SOCIAL SERVICE 62108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62108,A000000,01600,0000,01600SKILLED NURSING FACILITY 62108,A000000,01800,0000,01800NURSING FACILITY 62108,A000000,01810,0000,01810ICF/MR 62108,A000000,02300,0000,02300INTRAVENOUS THERAPY 62108,A000000,02500,0000,02500PHYSICAL THERAPY 62108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62108,A000000,02700,0000,02700SPEECH PATHOLOGY 62108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62108,A000000,03550,0000,03550FQHC 62108,A000000,05000,0000,05000CORF 62108,A000000,05010,0000,05010CMHC 62108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62108,A81000A,00100,0100,Y 62108,A81000B,00100,0300,HOME OFFICE MANAGEMENT COSTS 62108,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 62108,A81000B,00300,0300,MANAGMENT FEES - RELATED PARTY 62108,A81000C,00100,0100,B 62108,A81000C,00100,0200,INTERNATIONAL 62108,A81000C,00100,0400,MANAGEMENT 62108,B100000,00000,0100,00000SQUARE FEET 62108,B100000,00000,0200,00000DOLLAR VALUE 62108,B100000,00000,0300,00000GROSS SALARIES 62108,B100000,00000,0400,00000ACCUM. COST 62108,B100000,00000,0500,00000SQUARE FEET 62108,B100000,00000,0600,00000POUNDS OF LAUNDRY 62108,B100000,00000,0700,00000SQUARE FEET 62108,B100000,00000,0800,00000MEALS SERVED 62108,B100000,00000,0900,00000HOURS SUPERVISED 62108,B100000,00000,1000,00000PATIENT DAYS 62108,B100000,00000,1100,00000COSTED REQUIS. 62108,B100000,00000,1200,00000TIME SPENT 62108,B100000,00000,1300,00000TIME SPENT 62108,B100000,00000,1400,00000ASSIGNED TIME 62108,S000000,00100,0200,08/06/1999 62108,S200000,00100,0100,701 WEST MAIN BLVD. 62108,S200000,00200,0100,CHURCH HILL 62108,S200000,00200,0200,TN 62108,S200000,00200,0300,37642 62108,S200000,00300,0100,HAWKINS 62108,S200000,00400,0100,CHURCH HILL HLTH & REHAB CENTER 62108,S200000,00400,0200,445237 62108,S200000,00400,0300,09/23/1989 62108,S200000,00400,0500,P 62108,S200000,00600,0200,445237 62108,S200000,00600,0300,09/23/1989 62108,S200000,00600,0500,O 62108,S200000,01600,0100,Y 62110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62110,A000000,00300,0000,00300EMPLOYEE BENEFITS 62110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62110,A000000,00700,0000,00700HOUSEKEEPING 62110,A000000,00800,0000,00800DIETARY 62110,A000000,00900,0000,00900NURSING ADMINISTRATION 62110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62110,A000000,01100,0000,01100PHARMACY 62110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62110,A000000,01300,0000,01300SOCIAL SERVICE 62110,A000000,01600,0000,01600SKILLED NURSING FACILITY 62110,A000000,01800,0000,01800NURSING FACILITY 62110,A000000,01900,0000,01900OTHER LONG TERM CARE 62110,A000000,02100,0000,02100RADIOLOGY 62110,A000000,02200,0000,02200LABORATORY 62110,A000000,02300,0000,02300INTRAVENOUS THERAPY 62110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62110,A000000,02500,0000,02500PHYSICAL THERAPY 62110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62110,A000000,02700,0000,02700SPEECH PATHOLOGY 62110,A000000,02800,0000,02800ELECTROCARDIOLOGY 62110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62110,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62110,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62110,A000000,04800,0000,04800AMBULANCE 62110,A000000,05000,0000,05000CORF 62110,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62110,A000000,05300,0000,05300INTEREST EXPENSE 62110,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62110,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62110,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62110,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 62110,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62110,A000000,06100,0000,06100NONPAID WORKERS 62110,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62110,A000000,06200,0000,06200PATIENTS LAUNDRY 62110,A81000A,00100,0100,Y 62110,A81000C,00100,0100,B 62110,A81000C,00100,0200,VANGUARD 62110,A81000C,00100,0400,VANGUARD 62110,A81000C,00100,0600,HOME OFFICE 62110,B100000,00000,0100,00000SQUARE FEET 62110,B100000,00000,0200,00000SQUARE FEET 62110,B100000,00000,0300,00000GROSS SALARIES 62110,B100000,00000,0400,00000ACCUM COST 62110,B100000,00000,0500,00000SQUARE FEET 62110,B100000,00000,0600,00000POUNDS OF LAUNDRY 62110,B100000,00000,0700,00000SQUARE FEET 62110,B100000,00000,0800,00000PATIENT DAYS 62110,B100000,00000,0900,00000HOURS OF SERVICE 62110,B100000,00000,1000,00000PATIENT DAYS 62110,B100000,00000,1100,00000COSTED REQUISITIO 62110,B100000,00000,1200,00000TIME SPENT 62110,B100000,00000,1300,00000TIME SPENT 62110,E10A180,00501,0100,07/20/2000 62110,S000000,00100,0200,05/30/2000 62110,S200000,00100,0100,701 WEST MAIN BLVD. 62110,S200000,00200,0100,CHURCH HILL 62110,S200000,00200,0200,TN 62110,S200000,00200,0300,37642 62110,S200000,00300,0100,HAWKINS 62110,S200000,00400,0100,CHURCH HILL HEALTH & REHAB CENTER 62110,S200000,00400,0200,445237 62110,S200000,00400,0300,09/23/1989 62110,S200000,00400,0500,P 62110,S200000,01600,0100,Y 62119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62119,A000000,00300,0000,00300EMPLOYEE BENEFITS 62119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62119,A000000,00700,0000,00700HOUSEKEEPING 62119,A000000,00800,0000,00800DIETARY 62119,A000000,00900,0000,00900NURSING ADMINISTRATION 62119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62119,A000000,01100,0000,01100PHARMACY 62119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62119,A000000,01300,0000,01300SOCIAL SERVICE 62119,A000000,01350,0000,01500ACTIVITIES 62119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62119,A000000,01600,0000,01600SKILLED NURSING FACILITY 62119,A000000,01800,0000,01800NURSING FACILITY 62119,A000000,01810,0000,01810ICF/MR 62119,A000000,02100,0000,02100RADIOLOGY 62119,A000000,02200,0000,02200LABORATORY 62119,A000000,02300,0000,02300INTRAVENOUS THERAPY 62119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62119,A000000,02500,0000,02500PHYSICAL THERAPY 62119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62119,A000000,02700,0000,02700SPEECH PATHOLOGY 62119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62119,A000000,02901,0000,02901PEN THERAPY 62119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62119,A000000,03050,0000,03300OTHER ANCILLARIES 62119,A000000,03051,0000,03301AMBULANCE 62119,A000000,03550,0000,03550FQHC 62119,A000000,05000,0000,05000CORF 62119,A000000,05010,0000,05010CMHC 62119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62119,A81000A,00100,0100,Y 62119,A81000B,00100,0300,HOME OFFICE COSTS 62119,A81000B,00200,0300,ALLOCATED COSTS - PT 62119,A81000B,00300,0300,ALLOCATED COSTS - OT 62119,A81000B,00400,0300,ALLOCATED COSTS - ST 62119,A81000B,00500,0300,ALLOCATED COSTS - RT 62119,A81000B,00600,0300,MEDILIFE 62119,A81000B,00700,0300,MEDILIFE 62119,A81000B,00800,0300,MEDILIFE 62119,A81000B,00900,0300,MEDILIFE 62119,A81000B,01000,0300,MEDILIFE 62119,A81000B,01100,0300,REL. PARTY INTEREST 62119,A81000B,01200,0300,LIFE CARE DESIGNS 62119,A81000B,01300,0300,COMPUTER INSTALL. 62119,A81000B,01400,0300,HCE - DEPRECIATION 62119,A81000B,01500,0300,HCE - INTEREST 62119,A81000B,01600,0300,LYNCHBURG-NURSE TRAI 62119,A81000C,00100,0100,A 62119,A81000C,00100,0200,FORREST PRESTON 62119,A81000C,00100,0400,LIFE CARE CENTE 62119,A81000C,00100,0600,MANAGEMENT COMP 62119,A81000C,00200,0100,A 62119,A81000C,00200,0200,FORREST PRESTON 62119,A81000C,00200,0400,MEDILIFE 62119,A81000C,00200,0600,PHARMACY 62119,A81000C,00300,0100,A 62119,A81000C,00300,0200,FORREST PRESTON 62119,A81000C,00300,0400,LIFE CARE DESIG 62119,A81000C,00300,0600,INTERIOR DESIGN 62119,A81000C,00400,0100,A 62119,A81000C,00400,0200,FORREST PRESTON 62119,A81000C,00400,0400,HCE LEASING 62119,A81000C,00400,0600,VEHICLE LEASING 62119,A81000C,00500,0100,A 62119,A81000C,00500,0200,FORREST PRESTON 62119,A81000C,00500,0400,LYNCHBURG NURSI 62119,A81000C,00500,0600,NURSING HOME 62119,B100000,00000,0100,00000(SQUARE FEET) 62119,B100000,00000,0200,00000(SQUARE FEET) 62119,B100000,00000,0300,00000(GROSS SALARIES) 62119,B100000,00000,0400,00000(ACCUM COST) 62119,B100000,00000,0500,00000(SQUARE FEET) 62119,B100000,00000,0600,00000PATIENT DAYS 62119,B100000,00000,0700,00000(SQUARE FEET) 62119,B100000,00000,0800,00000(MEALS SERVED) 62119,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62119,B100000,00000,1000,00000(COSTED REQUIS) 62119,B100000,00000,1100,00000(COSTED REQUIS) 62119,B100000,00000,1200,00000GROSS REVENUES 62119,B100000,00000,1300,00000TIME SPENT 62119,B100000,00000,1350,00000PATIENT DAYS 62119,B100000,00000,1400,00000(ASSIGNED TIME) 62119,E10A180,00301,0100,08/17/1999 62119,E10A180,00302,0100,12/02/1999 62119,E10A180,00303,0100,02/04/2000 62119,S000000,00100,0200,05/25/2000 62119,S200000,00100,0100,1715 NORTH JACKSON STREET 62119,S200000,00200,0100,TULLAHOMA 62119,S200000,00200,0200,TN 62119,S200000,00200,0300,37388 62119,S200000,00300,0100,COFFEE 62119,S200000,00400,0100,LCC OF TULLAHOMA 62119,S200000,00400,0200,445238 62119,S200000,00400,0300,12/12/1989 62119,S200000,00400,0500,P 62119,S200000,00400,0600,O 62119,S200000,00600,0200,445238 62119,S200000,00600,0300,12/12/1989 62119,S200000,00600,0600,P 62119,S200000,01600,0100,Y 62119,S200000,02200,0100,Y 62119,S200000,04700,0100,Y 62119,S200000,04700,0200,Y 62127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62127,A000000,00300,0000,00300EMPLOYEE BENEFITS 62127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62127,A000000,00700,0000,00700HOUSEKEEPING 62127,A000000,00800,0000,00800DIETARY 62127,A000000,00900,0000,00900NURSING ADMINISTRATION 62127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62127,A000000,01100,0000,01100PHARMACY 62127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62127,A000000,01300,0000,01300SOCIAL SERVICE 62127,A000000,01350,0000,01500ACTIVITIES 62127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62127,A000000,01600,0000,01600SKILLED NURSING FACILITY 62127,A000000,01800,0000,01800NURSING FACILITY 62127,A000000,01810,0000,01810ICF/MR 62127,A000000,02100,0000,02100RADIOLOGY 62127,A000000,02200,0000,02200LABORATORY 62127,A000000,02300,0000,02300INTRAVENOUS THERAPY 62127,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62127,A000000,02500,0000,02500PHYSICAL THERAPY 62127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62127,A000000,02700,0000,02700SPEECH PATHOLOGY 62127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62127,A000000,02901,0000,02901PEN THERAPY 62127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62127,A000000,03050,0000,03300OTHER ANCILLARY 62127,A000000,03051,0000,03301AMBULANCE SERVICES 62127,A000000,03550,0000,03550FQHC 62127,A000000,05000,0000,05000CORF 62127,A000000,05010,0000,05010CMHC 62127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62127,A81000A,00100,0100,Y 62127,A81000B,00100,0300,HOME OFFICE COSTS 62127,A81000B,00200,0300,HCE VAN DEPR 62127,A81000B,00300,0300,ALLOCATED COSTS 62127,A81000B,00400,0300,ALLOCATED COSTS 62127,A81000B,00500,0300,ALLOCATED COSTS 62127,A81000B,00600,0300,MED/SURG SUPPLIES 62127,A81000B,00700,0300,NURSING SUPPLIES 62127,A81000B,00800,0300,DRUGS 62127,A81000B,00900,0300,SUPPLIES 62127,A81000B,01000,0300,PHARMACY CONSULTANT 62127,A81000B,01100,0300,INTEREST 62127,A81000B,01200,0300,INTEREST 62127,A81000B,01300,0300,PURCHASES 62127,A81000B,01400,0300,COMPUTER INSTALL 62127,A81000B,01500,0300,HCE VAN INTEREST 62127,A81000C,00100,0100,A 62127,A81000C,00100,0200,FORREST PRESTON 62127,A81000C,00100,0400,LCCA 62127,A81000C,00100,0600,NURSING HOME MG 62127,A81000C,00200,0100,A 62127,A81000C,00200,0200,FORREST PRESTON 62127,A81000C,00200,0400,MEDILIFE 62127,A81000C,00200,0600,PHARMACY 62127,A81000C,00300,0100,A 62127,A81000C,00300,0200,FORREST PRESTON 62127,A81000C,00300,0400,HCE LEASING 62127,A81000C,00300,0600,EQUIPMENT LEASI 62127,A81000C,00400,0100,A 62127,A81000C,00400,0200,FORREST PRESTON 62127,A81000C,00400,0400,LIFE CARE DESIG 62127,A81000C,00400,0600,FURNITURE & FIX 62127,B100000,00000,0100,00000(SQUARE FEET) 62127,B100000,00000,0200,00000(SQUARE FEET) 62127,B100000,00000,0300,00000(GROSS SALARIES) 62127,B100000,00000,0400,00000(ACCUM COST) 62127,B100000,00000,0500,00000(SQUARE FEET) 62127,B100000,00000,0600,00000PATIENT DAYS 62127,B100000,00000,0700,00000(SQUARE FEET) 62127,B100000,00000,0800,00000(MEALS SERVED) 62127,B100000,00000,0900,00000DIRECT HRS SUPERVISED 62127,B100000,00000,1000,00000(COSTED REQUIS) 62127,B100000,00000,1100,00000(COSTED REQUIS) 62127,B100000,00000,1200,00000GROSS REVENUES 62127,B100000,00000,1300,00000TIME SPENT 62127,B100000,00000,1350,00000PATIENT DAYS 62127,B100000,00000,1400,00000(ASSIGNED TIME) 62127,E10A180,00301,0100,08/17/1999 62127,E10A180,00302,0100,02/04/2000 62127,E10A180,00501,0100,07/18/2000 62127,E10A180,00550,0300,07/18/2000 62127,S000000,00100,0200,05/24/2000 62127,S200000,00100,0100,419 SOUTH KINGSTON STREET 62127,S200000,00200,0100,WARTBURG 62127,S200000,00200,0200,TN 62127,S200000,00200,0300,37887 62127,S200000,00300,0100,MORGAN 62127,S200000,00400,0100,LCC OF MORGAN COUNTY 62127,S200000,00400,0200,445239 62127,S200000,00400,0300,11/28/1989 62127,S200000,00400,0500,P 62127,S200000,00400,0600,O 62127,S200000,00600,0200,445239 62127,S200000,00600,0300,11/28/1989 62127,S200000,00600,0600,P 62127,S200000,01600,0100,Y 62127,S200000,02200,0100,Y 62127,S200000,04700,0100,Y 62127,S200000,04700,0200,Y 62135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62135,A000000,00300,0000,00300EMPLOYEE BENEFITS 62135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62135,A000000,00700,0000,00700HOUSEKEEPING 62135,A000000,00800,0000,00800DIETARY 62135,A000000,00900,0000,00900NURSING ADMINISTRATION 62135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62135,A000000,01100,0000,01100PHARMACY 62135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62135,A000000,01300,0000,01300SOCIAL SERVICE 62135,A000000,01350,0000,01500ACTIVITIES 62135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62135,A000000,01600,0000,01600SKILLED NURSING FACILITY 62135,A000000,01800,0000,01800NURSING FACILITY 62135,A000000,01810,0000,01810ICF/MR 62135,A000000,02100,0000,02100RADIOLOGY 62135,A000000,02200,0000,02200LABORATORY 62135,A000000,02300,0000,02300INTRAVENOUS THERAPY 62135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62135,A000000,02500,0000,02500PHYSICAL THERAPY 62135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62135,A000000,02700,0000,02700SPEECH PATHOLOGY 62135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62135,A000000,02901,0000,02901PEN THERAPY 62135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62135,A000000,03050,0000,03300OTHER ANCILLARY 62135,A000000,03051,0000,03301AMBULANCE 62135,A000000,03550,0000,03550FQHC 62135,A000000,05000,0000,05000CORF 62135,A000000,05010,0000,05010CMHC 62135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62135,A000000,06150,0000,06300COMMUNICATION 62135,A81000A,00100,0100,Y 62135,A81000B,00100,0300,HOME OFFICE COSTS 62135,A81000B,00200,0300,ALLOCATED COSTS - PT 62135,A81000B,00300,0300,ALLOCATED COSTS - OT 62135,A81000B,00400,0300,ALLOCATED COSTS - ST 62135,A81000B,00500,0300,ALLOCATED COSTS - RT 62135,A81000B,00600,0300,MEDILIFE 62135,A81000B,00700,0300,MEDILIFE 62135,A81000B,00800,0300,MEDILIFE 62135,A81000B,00900,0300,MEDILIFE 62135,A81000B,01000,0300,MEDILIFE 62135,A81000B,01100,0300,REL. PARTY INTEREST 62135,A81000B,01200,0300,COMPUTER INSTALL. 62135,A81000C,00100,0100,A 62135,A81000C,00100,0200,FORREST PRESTON 62135,A81000C,00100,0400,LIFE CARE CENTE 62135,A81000C,00100,0600,MANAGEMENT COMP 62135,A81000C,00200,0100,A 62135,A81000C,00200,0200,FORREST PRESTON 62135,A81000C,00200,0400,MEDILIFE 62135,A81000C,00200,0600,PHARMACY 62135,B100000,00000,0100,00000(SQUARE FEET) 62135,B100000,00000,0200,00000(SQUARE FEET) 62135,B100000,00000,0300,00000(GROSS SALARIES) 62135,B100000,00000,0400,00000(ACCUM COST) 62135,B100000,00000,0500,00000(SQUARE FEET) 62135,B100000,00000,0600,00000PATIENT DAYS 62135,B100000,00000,0700,00000(SQUARE FEET) 62135,B100000,00000,0800,00000(MEALS SERVED) 62135,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62135,B100000,00000,1000,00000(COSTED REQUIS) 62135,B100000,00000,1100,00000(COSTED REQUIS) 62135,B100000,00000,1200,00000GROSS REVENUES 62135,B100000,00000,1300,00000TIME SPENT 62135,B100000,00000,1350,00000PATIENT DAYS 62135,B100000,00000,1400,00000(ASSIGNED TIME) 62135,E10A180,00301,0100,08/17/1999 62135,E10A180,00302,0100,02/07/2000 62135,S000000,00100,0200,05/24/2000 62135,S200000,00100,0100,1020 RUNYAN DRIVE 62135,S200000,00200,0100,CHATTANOOGA 62135,S200000,00200,0200,TN 62135,S200000,00200,0300,37405 62135,S200000,00300,0100,HAMILTON 62135,S200000,00400,0100,LIFE CARE CENTER OF RED BANK 62135,S200000,00400,0200,445240 62135,S200000,00400,0300,12/01/1989 62135,S200000,00400,0500,P 62135,S200000,00400,0600,O 62135,S200000,00600,0200,445240 62135,S200000,00600,0300,12/01/1989 62135,S200000,00600,0600,P 62135,S200000,01600,0100,Y 62135,S200000,02200,0100,Y 62135,S200000,04700,0100,Y 62135,S200000,04700,0200,Y 62148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62148,A000000,00300,0000,00300EMPLOYEE BENEFITS 62148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62148,A000000,00700,0000,00700HOUSEKEEPING 62148,A000000,00800,0000,00800DIETARY 62148,A000000,00900,0000,00900NURSING ADMINISTRATION 62148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62148,A000000,01100,0000,01100PHARMACY 62148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62148,A000000,01300,0000,01300SOCIAL SERVICE 62148,A000000,01350,0000,01500ACTIVITIES 62148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62148,A000000,01600,0000,01600SKILLED NURSING FACILITY 62148,A000000,01800,0000,01800NURSING FACILITY 62148,A000000,01810,0000,01810ICF/MR 62148,A000000,02100,0000,02100RADIOLOGY 62148,A000000,02200,0000,02200LABORATORY 62148,A000000,02300,0000,02300INTRAVENOUS THERAPY 62148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62148,A000000,02500,0000,02500PHYSICAL THERAPY 62148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62148,A000000,02700,0000,02700SPEECH PATHOLOGY 62148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62148,A000000,02901,0000,02901PEN THERAPY 62148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62148,A000000,03050,0000,03300OTHER ANCILLARIES 62148,A000000,03051,0000,03301AMBULANCE 62148,A000000,03550,0000,03550FQHC 62148,A000000,05000,0000,05000CORF 62148,A000000,05010,0000,05010CMHC 62148,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62148,A000000,06150,0000,06300COMMUNICATION 62148,A81000A,00100,0100,Y 62148,A81000B,00100,0300,HOME OFFICE COSTS 62148,A81000B,00200,0300,ALLOCATED COSTS - PT 62148,A81000B,00300,0300,ALLOCATED COSTS - OT 62148,A81000B,00400,0300,ALLOCATED COSTS - ST 62148,A81000B,00500,0300,MEDILIFE 62148,A81000B,00600,0300,MEDILIFE 62148,A81000B,00700,0300,MEDILIFE 62148,A81000B,00800,0300,MEDILIFE 62148,A81000B,00900,0300,MEDILIFE 62148,A81000B,01000,0300,REL. PARTY INTEREST 62148,A81000B,01100,0300,LIFE CARE DESIGNS 62148,A81000B,01200,0300,COMPUTER INSTALL. 62148,A81000C,00100,0100,A 62148,A81000C,00100,0200,FORREST PRESTON 62148,A81000C,00100,0400,LIFE CARE CENTE 62148,A81000C,00100,0600,MANAGEMENT COMP 62148,A81000C,00200,0100,A 62148,A81000C,00200,0200,FORREST PRESTON 62148,A81000C,00200,0400,MEDILIFE 62148,A81000C,00200,0600,PHARMACY 62148,A81000C,00300,0100,A 62148,A81000C,00300,0200,FORREST PRESTON 62148,A81000C,00300,0400,LIFE CARE DESIG 62148,A81000C,00300,0600,INTERIOR DESIGN 62148,B100000,00000,0100,00000(SQUARE FEET) 62148,B100000,00000,0200,00000(SQUARE FEET) 62148,B100000,00000,0300,00000(GROSS SALARIES) 62148,B100000,00000,0400,00000(ACCUM COST) 62148,B100000,00000,0500,00000(SQUARE FEET) 62148,B100000,00000,0600,00000PATIENT DAYS 62148,B100000,00000,0700,00000(SQUARE FEET) 62148,B100000,00000,0800,00000(MEALS SERVED) 62148,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62148,B100000,00000,1000,00000(COSTED REQUIS) 62148,B100000,00000,1100,00000(COSTED REQUIS) 62148,B100000,00000,1200,00000GROSS REVENUES 62148,B100000,00000,1300,00000TIME SPENT 62148,B100000,00000,1350,00000PATIENT DAYS 62148,B100000,00000,1400,00000(ASSIGNED TIME) 62148,E10A180,00301,0100,08/17/1999 62148,E10A180,00302,0100,02/07/2000 62148,S000000,00100,0200,05/24/2000 62148,S200000,00100,0100,3530 KEITH STREET NW 62148,S200000,00200,0100,CLEVELAND 62148,S200000,00200,0200,TN 62148,S200000,00200,0300,37312 62148,S200000,00300,0100,BRADLEY 62148,S200000,00400,0100,LIFE CARE CENTER OF CLEVELAND 62148,S200000,00400,0200,445244 62148,S200000,00400,0300,12/16/1989 62148,S200000,00400,0500,P 62148,S200000,00400,0600,O 62148,S200000,00600,0200,445244 62148,S200000,00600,0300,12/16/1989 62148,S200000,00600,0600,P 62148,S200000,01600,0100,Y 62148,S200000,02200,0100,Y 62148,S200000,02800,0100,Y 62148,S200000,04700,0100,Y 62148,S200000,04700,0200,Y 62158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62158,A000000,00300,0000,00300EMPLOYEE BENEFITS 62158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62158,A000000,00700,0000,00700HOUSEKEEPING 62158,A000000,00800,0000,00800DIETARY 62158,A000000,00900,0000,00900NURSING ADMINISTRATION 62158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62158,A000000,01100,0000,01100PHARMACY 62158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62158,A000000,01300,0000,01300SOCIAL SERVICE 62158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62158,A000000,01600,0000,01600SKILLED NURSING FACILITY 62158,A000000,01800,0000,01800NURSING FACILITY 62158,A000000,01810,0000,01810ICF/MR 62158,A000000,02100,0000,02100RADIOLOGY 62158,A000000,02200,0000,02200LABORATORY 62158,A000000,02300,0000,02300INTRAVENOUS THERAPY 62158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62158,A000000,02500,0000,02500PHYSICAL THERAPY 62158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62158,A000000,02700,0000,02700SPEECH PATHOLOGY 62158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62158,A000000,03550,0000,03550FQHC 62158,A000000,05000,0000,05000CORF 62158,A000000,05010,0000,05010CMHC 62158,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62158,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62158,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62158,A81000A,00100,0100,Y 62158,A81000B,00100,0300,MANAGEMENT FEES 62158,A81000B,00200,0300,MEDICAL SUPPLIES 62158,A81000B,00300,0300,MEDICAL SUPPLIES 62158,A81000C,00100,0100,B 62158,A81000C,00100,0200,DVCR LEASING CO 62158,A81000C,00100,0400,ADVOCAT INC. 62158,A81000C,00100,0600,L/T CARE MGT CO 62158,A81000C,00200,0100,B 62158,A81000C,00200,0200,ADVOCAT DIST SE 62158,A81000C,00200,0400,ADVOCAT INC. 62158,A81000C,00200,0600,M/S SUPPLY COMP 62158,A81000C,00300,0100,B 62158,A81000C,00300,0200,ADVOCAT DIST SE 62158,A81000C,00300,0400,ADVOCAT INC. 62158,A81000C,00300,0600,M/S SUPPLY COMP 62158,B100000,00000,0100,00000SQUARE FEET 62158,B100000,00000,0200,00000SQUARE FEET 62158,B100000,00000,0300,00000GROSS SALARIES 62158,B100000,00000,0400,00000ACCUM COST 62158,B100000,00000,0500,00000SQUARE FEET 62158,B100000,00000,0600,00000PATIENT DAYS 62158,B100000,00000,0700,00000SQUARE FEET 62158,B100000,00000,0800,00000PATIENT DAYS 62158,B100000,00000,0900,00000TOTAL HRS SUPRVSD 62158,B100000,00000,1000,00000COSTED REQUIS 62158,B100000,00000,1100,00000COSTED REQUIS 62158,B100000,00000,1200,00000PATIENT REVENUES 62158,B100000,00000,1300,00000PATIENT DAYS 62158,B100000,00000,1400,00000ASSIGNED TIME 62158,E10A180,00501,0100,08/07/2000 62158,E10A180,00550,0300,08/07/2000 62158,S000000,00100,0200,06/28/2000 62158,S200000,00100,0100,158 MOUNT PELIA ROAD 62158,S200000,00200,0100,MARTIN 62158,S200000,00200,0200,TN 62158,S200000,00200,0300,38237 62158,S200000,00300,0100,WEAKLEY 62158,S200000,00400,0100,MARTIN HEALTH CARE 62158,S200000,00400,0200,445249 62158,S200000,00400,0300,04/11/1990 62158,S200000,00400,0500,P 62158,S200000,01600,0100,Y 62158,S200000,02200,0100,Y 62167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62167,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62167,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62167,A000000,00300,0000,00300EMPLOYEE BENEFITS 62167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62167,A000000,00700,0000,00700HOUSEKEEPING 62167,A000000,00800,0000,00800DIETARY 62167,A000000,00801,0000,00801CAFETERIA 62167,A000000,00900,0000,00900NURSING ADMINISTRATION 62167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62167,A000000,01100,0000,01100PHARMACY 62167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62167,A000000,01300,0000,01300SOCIAL SERVICE 62167,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62167,A000000,01600,0000,01600SKILLED NURSING FACILITY 62167,A000000,01800,0000,01800NURSING FACILITY 62167,A000000,01810,0000,01810ICF/MR 62167,A000000,02100,0000,02100RADIOLOGY 62167,A000000,02200,0000,02200LABORATORY 62167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62167,A000000,02500,0000,02500PHYSICAL THERAPY 62167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62167,A000000,02700,0000,02700SPEECH PATHOLOGY 62167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62167,A000000,03050,0000,03300OTHER ANCILLARY 62167,A000000,03051,0000,03301OTHER ANCILLARY II 62167,A000000,03052,0000,03302OTHER ANCILLARY III 62167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62167,A000000,03550,0000,03550FQHC 62167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62167,A000000,05000,0000,05000CORF I 62167,A000000,05010,0000,05010CMHC I 62167,A000000,05020,0000,05020OPT I 62167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62167,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62167,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62167,A81000A,00100,0100,Y 62167,A81000B,00100,0300,MANAGEMENT SERVICES 62167,A81000C,00100,0100,A 62167,A81000C,00100,0200,DAN TULLOCK 62167,A81000C,00100,0400,TULLOCK MGMT CO 62167,A81000C,00100,0600,MGMT CO 62167,B100000,00000,0100,00000(SQUARE FEET) 62167,B100000,00000,0101,00000 62167,B100000,00000,0200,00000(SQUARE FEET) 62167,B100000,00000,0201,00000 62167,B100000,00000,0300,00000(GROSS SALARIES) 62167,B100000,00000,0400,00000(ACCUM. COST) 62167,B100000,00000,0500,00000(SQUARE FEET) 62167,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62167,B100000,00000,0700,00000(SQUARE FEET) 62167,B100000,00000,0800,00000(MEALS SERVED) 62167,B100000,00000,0801,00000 62167,B100000,00000,0900,00000(NURS HRS) 62167,B100000,00000,1000,00000PATIENT DA 62167,B100000,00000,1100,00000PATIENT DA 62167,B100000,00000,1200,00000PATIENT DA 62167,B100000,00000,1300,00000PATIENT DA 62167,B100000,00000,1350,00000 62167,B100000,00000,1400,00000(ASSIGNED TIME) 62167,S000000,00100,0200,03/12/2000 62167,S200000,00100,0100,895 POWERS BLVD. 62167,S200000,00200,0100,WAVERLY 62167,S200000,00200,0200,TN 62167,S200000,00200,0300,27185 62167,S200000,00300,0100,H 62167,S200000,00400,0100,WAVERLY HEALTH CARE INC. 62167,S200000,00400,0200,445251 62167,S200000,00400,0300,04/01/1990 62167,S200000,00400,0500,P 62167,S200000,01600,0100,Y 62174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62174,A000000,00300,0000,00300EMPLOYEE BENEFITS 62174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62174,A000000,00700,0000,00700HOUSEKEEPING 62174,A000000,00800,0000,00800DIETARY 62174,A000000,00900,0000,00900NURSING ADMINISTRATION 62174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62174,A000000,01100,0000,01100PHARMACY 62174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62174,A000000,01300,0000,01300SOCIAL SERVICE 62174,A000000,01350,0000,01500ACTIVITIES 62174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62174,A000000,01600,0000,01600SKILLED NURSING FACILITY 62174,A000000,01800,0000,01800NURSING FACILITY 62174,A000000,01810,0000,01810ICF/MR 62174,A000000,02200,0000,02200LABORATORY 62174,A000000,02300,0000,02300INTRAVENOUS THERAPY 62174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62174,A000000,02500,0000,02500PHYSICAL THERAPY 62174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62174,A000000,02700,0000,02700SPEECH PATHOLOGY 62174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62174,A000000,02901,0000,02901PEN THERAPY 62174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62174,A000000,03050,0000,03300OTHER ANCILLARY 62174,A000000,03051,0000,03301AMBULANCE 62174,A000000,03550,0000,03550FQHC 62174,A000000,05000,0000,05000CORF 62174,A000000,05010,0000,05010CMHC 62174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62174,A81000A,00100,0100,Y 62174,A81000B,00100,0300,HOME OFFICE COSTS 62174,A81000B,00200,0300,ALLOCATED COST - PT 62174,A81000B,00300,0300,ALLOCATED COST - OT 62174,A81000B,00400,0300,ALLOCATED COST - ST 62174,A81000B,00500,0300,MEDILIFE 62174,A81000B,00600,0300,MEDILIFE 62174,A81000B,00700,0300,MEDILIFE 62174,A81000B,00800,0300,MEDILIFE 62174,A81000B,00900,0300,REL. PARTY INTEREST 62174,A81000B,01000,0300,LIFE CARE DESIGNS 62174,A81000B,01100,0300,COMPUTER INSTALL 62174,A81000B,01200,0300,DEF. FINANCING - CMI 62174,A81000B,01300,0300,INT. RCED ON CMI 62174,A81000C,00100,0100,A 62174,A81000C,00100,0200,FORREST PRESTON 62174,A81000C,00100,0400,LIFE CARE CENTE 62174,A81000C,00100,0600,MANAGEMENT COMP 62174,A81000C,00200,0100,A 62174,A81000C,00200,0200,FORREST PRESTON 62174,A81000C,00200,0400,MEDILIFE 62174,A81000C,00200,0600,PHARMACY 62174,A81000C,00300,0100,A 62174,A81000C,00300,0200,FORREST PRESTON 62174,A81000C,00300,0400,LIFE CARE DESIG 62174,A81000C,00300,0600,INTERIOR DESIGN 62174,A81000C,00400,0100,A 62174,A81000C,00400,0200,FORREST PRESTON 62174,A81000C,00400,0400,CMI 62174,A81000C,00400,0600,DEVELOPMENT COM 62174,B100000,00000,0100,00000(SQUARE FEET) 62174,B100000,00000,0200,00000(SQUARE FEET) 62174,B100000,00000,0300,00000(GROSS SALARIES) 62174,B100000,00000,0400,00000(ACCUM COST) 62174,B100000,00000,0500,00000(SQUARE FEET) 62174,B100000,00000,0600,00000PATIENT DAYS 62174,B100000,00000,0700,00000(SQUARE FEET) 62174,B100000,00000,0800,00000(MEALS SERVED) 62174,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62174,B100000,00000,1000,00000(COSTED REQUIS) 62174,B100000,00000,1100,00000(COSTED REQUIS) 62174,B100000,00000,1200,00000GROSS REVENUES 62174,B100000,00000,1300,00000TIME SPENT 62174,B100000,00000,1350,00000PATIENT DAYS 62174,B100000,00000,1400,00000(ASSIGNED TIME) 62174,E10A180,00301,0100,08/17/1999 62174,E10A180,00302,0100,02/04/2000 62174,E10A180,00501,0100,07/18/2000 62174,E10A180,00550,0300,07/18/2000 62174,S000000,00100,0200,05/24/2000 62174,S200000,00100,0100,112 OLD DICKSON ROAD 62174,S200000,00200,0100,CENTERVILLE 62174,S200000,00200,0200,TN 62174,S200000,00200,0300,37033 62174,S200000,00300,0100,HICKMAN 62174,S200000,00400,0100,CENTERVILLE HEALTH CARE CENTER 62174,S200000,00400,0200,445252 62174,S200000,00400,0300,05/14/1990 62174,S200000,00400,0500,P 62174,S200000,00400,0600,O 62174,S200000,00600,0200,445252 62174,S200000,00600,0300,05/14/1990 62174,S200000,00600,0600,P 62174,S200000,01600,0100,Y 62174,S200000,02200,0100,Y 62174,S200000,04700,0100,Y 62190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62190,A000000,00300,0000,00300EMPLOYEE BENEFITS 62190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62190,A000000,00700,0000,00700HOUSEKEEPING 62190,A000000,00800,0000,00800DIETARY 62190,A000000,00900,0000,00900NURSING ADMINISTRATION 62190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62190,A000000,01100,0000,01100PHARMACY 62190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62190,A000000,01300,0000,01300SOCIAL SERVICE 62190,A000000,01350,0000,01500AVTIVITIES 62190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62190,A000000,01600,0000,01600SKILLED NURSING FACILITY 62190,A000000,01800,0000,01800NURSING FACILITY 62190,A000000,01810,0000,01810ICF/MR 62190,A000000,02500,0000,02500PHYSICAL THERAPY 62190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62190,A000000,02700,0000,02700SPEECH PATHOLOGY 62190,A000000,02800,0000,02800ELECTROCARDIOLOGY 62190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62190,A000000,03550,0000,03550FQHC 62190,A000000,05000,0000,05000CORF 62190,A000000,05010,0000,05010CMHC 62190,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62190,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62190,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62190,A000000,05300,0000,05300INTEREST EXPENSE 62190,A81000A,00100,0100,Y 62190,A81000B,00100,0300,HO COST 62190,A81000B,00200,0300,HO COST 62190,A81000B,00300,0300,HA COST 62190,A81000C,00100,0100,B 62190,A81000C,00100,0200,COUNTRY HEALTH 62190,A81000C,00100,0600,MANAGEMENT CO. 62190,B100000,00000,0100,00000SQUARE FEET 62190,B100000,00000,0200,00000SQUARE FEET 62190,B100000,00000,0300,00000GROSS SALARIES 62190,B100000,00000,0400,00000ACCUM COST 62190,B100000,00000,0500,00000SQUARE FEET 62190,B100000,00000,0600,00000POUNDS OF LAUNDRY 62190,B100000,00000,0700,00000SQUARE FEET 62190,B100000,00000,0800,00000MEALS SERVED 62190,B100000,00000,0900,00000DIRECT NRSG HRS 62190,B100000,00000,1000,00000PATIENT DAYS 62190,B100000,00000,1100,00000COSTED REQUIS 62190,B100000,00000,1200,00000TIME SPENT 62190,B100000,00000,1300,00000TIME SPENT 62190,B100000,00000,1350,00000TIME SPENT 62190,B100000,00000,1400,00000ASSIGNED TIME 62190,E10A180,00501,0100,07/26/2000 62190,S000000,00100,0200,05/31/2000 62190,S200000,00100,0100,649 MCCURRY BLVD. 62190,S200000,00200,0100,HARTSVILLE 62190,S200000,00200,0200,TN 62190,S200000,00200,0300,37079 62190,S200000,00300,0100,TROUSDALE 62190,S200000,00400,0100,HARTSVILLE CONVALESCENT CENTER 62190,S200000,00400,0200,445256 62190,S200000,00400,0300,08/20/1990 62190,S200000,00400,0500,P 62190,S200000,00600,0200,440503 62190,S200000,00600,0300,08/20/1990 62190,S200000,01600,0100,Y 62190,S200000,02200,0100,Y 62222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62222,A000000,00300,0000,00300EMPLOYEE BENEFITS 62222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62222,A000000,00700,0000,00700HOUSEKEEPING 62222,A000000,00800,0000,00800DIETARY 62222,A000000,00900,0000,00900NURSING ADMINISTRATION 62222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62222,A000000,01100,0000,01100PHARMACY 62222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62222,A000000,01300,0000,01300SOCIAL SERVICE 62222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62222,A000000,01600,0000,01600SKILLED NURSING FACILITY 62222,A000000,01810,0000,01810ICF/MR 62222,A000000,01900,0000,01900OTHER LONG TERM CARE 62222,A000000,02500,0000,02500PHYSICAL THERAPY 62222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62222,A000000,02700,0000,02700SPEECH PATHOLOGY 62222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62222,A000000,03200,0000,03200SUPPORT SURFACES 62222,A000000,03550,0000,03550FQHC 62222,A000000,05000,0000,05000CORF 62222,A000000,05010,0000,05010CMHC 62222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62222,A000000,05300,0000,05300INTEREST EXPENSE 62222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62222,A81000A,00100,0100,Y 62222,A81000B,00100,0300,HOME OFFICE COST 62222,A81000B,00200,0300,HOME OFFICE COST 62222,A81000C,00100,0100,B 62222,A81000C,00100,0200,COUNTRY HEALTH 62222,A81000C,00100,0600,MGMT. CO. 62222,B100000,00000,0100,00000SQUARE FEET 62222,B100000,00000,0200,00000DOLLAR VALUE 62222,B100000,00000,0300,00000GROSS SALARIES 62222,B100000,00000,0400,00000ACCUM. COST 62222,B100000,00000,0500,00000SQUARE FEET 62222,B100000,00000,0600,00000POUNDS OF LAUNDRY 62222,B100000,00000,0700,00000HOURS OF SERVICE 62222,B100000,00000,0800,00000MEALS SERVED 62222,B100000,00000,0900,00000DIRECT NRSING HRS 62222,B100000,00000,1000,00000COSTED REQUIS. 62222,B100000,00000,1100,00000COSTED REQUIS. 62222,B100000,00000,1200,00000TIME SPENT 62222,B100000,00000,1300,00000TIME SPENT 62222,B100000,00000,1400,00000ASSIGNED TIME 62222,E10A180,00350,0100,12/31/1999 62222,E10A180,00501,0100,07/26/2000 62222,S000000,00100,0200,05/31/2000 62222,S200000,00100,0100,600 SHAWNEE ROAD 62222,S200000,00200,0100,HARRAGATE 62222,S200000,00200,0200,TN 62222,S200000,00200,0300,37752 62222,S200000,00300,0100,CLAIBORNE 62222,S200000,00400,0100,TRI-STATE COMPREHENSIVE CARE 62222,S200000,00400,0200,445263 62222,S200000,00400,0300,03/21/1991 62222,S200000,00400,0500,P 62222,S200000,01600,0100,Y 62233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62233,A000000,00300,0000,00300EMPLOYEE BENEFITS 62233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62233,A000000,00700,0000,00700HOUSEKEEPING 62233,A000000,00800,0000,00800DIETARY 62233,A000000,00900,0000,00900NURSING ADMINISTRATION 62233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62233,A000000,01100,0000,01100PHARMACY 62233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62233,A000000,01300,0000,01300SOCIAL SERVICE 62233,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62233,A000000,01600,0000,01600SKILLED NURSING FACILITY 62233,A000000,01800,0000,01800NURSING FACILITY 62233,A000000,01900,0000,01900OTHER LONG TERM CARE 62233,A000000,02100,0000,02100RADIOLOGY 62233,A000000,02200,0000,02200LABORATORY 62233,A000000,02300,0000,02300INTRAVENOUS THERAPY 62233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62233,A000000,02500,0000,02500PHYSICAL THERAPY 62233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62233,A000000,02700,0000,02700SPEECH PATHOLOGY 62233,A000000,02800,0000,02800ELECTROCARDIOLOGY 62233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62233,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62233,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62233,A000000,03200,0000,03200SUPPORT SURFACES 62233,A000000,03400,0000,03400CLINIC 62233,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62233,A000000,03500,0000,03500RURAL HEALTH CLINIC 62233,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 62233,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 62233,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 62233,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 62233,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62233,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 62233,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 62233,A000000,04400,0000,04400DME RENTED - HHA 62233,A000000,04500,0000,04500DME SOLD - HHA 62233,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 62233,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 62233,A000000,04800,0000,04800AMBULANCE 62233,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 62233,A000000,05000,0000,05000CORF 62233,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62233,A000000,05300,0000,05300INTEREST EXPENSE 62233,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62233,A000000,05500,0000,05500HOSPICE 62233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62233,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 62233,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62233,A000000,06100,0000,06100NONPAID WORKERS 62233,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62233,A000000,06200,0000,06200PATIENTS LAUNDRY 62233,B100000,00000,0100,00000SQUARE FEET 62233,B100000,00000,0200,00000SQUARE FEET 62233,B100000,00000,0300,00000GROSS SALARIES 62233,B100000,00000,0400,00000ACCUM COST 62233,B100000,00000,0500,00000SQUARE FEET 62233,B100000,00000,0600,00000PATIENT DAYS 62233,B100000,00000,0700,00000SQUARE FEET 62233,B100000,00000,0800,00000MEALS SERVED 62233,B100000,00000,0900,00000PATIENT DAYS 62233,B100000,00000,1000,00000PATIENT DAYS 62233,B100000,00000,1100,00000COSTED REQUISITIO 62233,B100000,00000,1200,00000PATIENT DAYS 62233,B100000,00000,1300,00000PATIENT DAYS 62233,B100000,00000,1350,00000 62233,S000000,00100,0200,11/30/2000 62233,S200000,00100,0100,1075 MULLINS STATION RD 62233,S200000,00200,0100,MEMPHIS 62233,S200000,00200,0200,TN 62233,S200000,00200,0300,38134 62233,S200000,00300,0100,SHELBY 62233,S200000,00400,0100,SHELBY COUNTY HEALTH CARE CENTER 62233,S200000,00400,0200,445265 62233,S200000,00400,0300,03/03/1991 62233,S200000,00400,0500,P 62233,S200000,01600,0100,Y 62242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62242,A000000,00300,0000,00300EMPLOYEE BENEFITS 62242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62242,A000000,00700,0000,00700HOUSEKEEPING 62242,A000000,00800,0000,00800DIETARY 62242,A000000,00900,0000,00900NURSING ADMINISTRATION 62242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62242,A000000,01100,0000,01100PHARMACY 62242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62242,A000000,01300,0000,01300SOCIAL SERVICE 62242,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62242,A000000,01600,0000,01600SKILLED NURSING FACILITY 62242,A000000,01800,0000,01800NURSING FACILITY 62242,A000000,01810,0000,01810ICF/MR 62242,A000000,02100,0000,02100RADIOLOGY 62242,A000000,02300,0000,02300INTRAVENOUS THERAPY 62242,A000000,02500,0000,02500PHYSICAL THERAPY 62242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62242,A000000,02700,0000,02700SPEECH PATHOLOGY 62242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62242,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62242,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62242,A000000,03550,0000,03550FQHC 62242,A000000,05000,0000,05000CORF 62242,A000000,05010,0000,05010CMHC 62242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62242,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62242,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62242,B100000,00000,0100,00000SQUARE FEET 62242,B100000,00000,0200,00000SQUARE FEET 62242,B100000,00000,0300,00000GROSS SALARIES 62242,B100000,00000,0400,00000ACCUM COST 62242,B100000,00000,0500,00000SQUARE FEET 62242,B100000,00000,0600,00000POUNDS OF LAUNDRY 62242,B100000,00000,0700,00000SQUARE FEET 62242,B100000,00000,0800,00000MEALS SERVED 62242,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 62242,B100000,00000,1000,00000HOURS OF SERVICE 62242,B100000,00000,1100,00000COSTED REQUISITIO 62242,B100000,00000,1200,00000TIME SPENT 62242,B100000,00000,1300,00000PATIENT DAYS 62242,B100000,00000,1350,00000 62242,B100000,00000,1400,00000ASSIGNED TIME 62242,E10A180,00501,0100,02/02/2001 62242,S000000,00100,0200,12/04/2000 62242,S200000,00100,0100,345 COMPTON RD 62242,S200000,00200,0100,MURFREESBORO 62242,S200000,00200,0200,TN 62242,S200000,00200,0300,37130 62242,S200000,00300,0100,RUTHERFORD 62242,S200000,00400,0100,TN VETERANS HOME MURFREESBORO 62242,S200000,00400,0200,445270 62242,S200000,00400,0300,07/01/1991 62242,S200000,00400,0500,P 62242,S200000,00600,0200,445270 62242,S200000,00600,0300,07/01/1991 62242,S200000,00600,0600,P 62242,S200000,01600,0100,Y 62251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62251,A000000,00300,0000,00300EMPLOYEE BENEFITS 62251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62251,A000000,00700,0000,00700HOUSEKEEPING 62251,A000000,00800,0000,00800DIETARY 62251,A000000,00900,0000,00900NURSING ADMINISTRATION 62251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62251,A000000,01100,0000,01100PHARMACY 62251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62251,A000000,01300,0000,01300SOCIAL SERVICE 62251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62251,A000000,01600,0000,01600SKILLED NURSING FACILITY 62251,A000000,01800,0000,01800NURSING FACILITY 62251,A000000,01810,0000,01810ICF/MR 62251,A000000,02100,0000,02100RADIOLOGY 62251,A000000,02200,0000,02200LABORATORY 62251,A000000,02500,0000,02500PHYSICAL THERAPY 62251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62251,A000000,03550,0000,03550FQHC 62251,A000000,04800,0000,04800AMBULANCE 62251,A000000,05000,0000,05000CORF 62251,A000000,05010,0000,05010CMHC 62251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62251,A000000,05300,0000,05300INTEREST EXPENSE 62251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62251,B100000,00000,0100,00000SQUARE FEET 62251,B100000,00000,0200,00000SQUARE FEET 62251,B100000,00000,0300,00000GROSS SALARIES 62251,B100000,00000,0400,00000ACCUM COST 62251,B100000,00000,0500,00000SQUARE FEET 62251,B100000,00000,0600,00000POUNDS OF LAUNDRY 62251,B100000,00000,0700,00000SQUARE FEET 62251,B100000,00000,0800,00000MEALS SERVED 62251,B100000,00000,0900,00000GROSS SAL. NURSING 62251,B100000,00000,1000,00000COSTED REQUISITIO 62251,B100000,00000,1100,00000COSTED REQUISITIO 62251,B100000,00000,1200,00000GROSS REVENUE 62251,B100000,00000,1300,00000PATIENT DAYS 62251,B100000,00000,1400,00000ASSIGNED TIME 62251,E10A180,00501,0100,07/06/2000 62251,S000000,00100,0200,05/17/2000 62251,S200000,00100,0100,1340 N. GRUNDY QUARLES HWY 62251,S200000,00100,0300,7 62251,S200000,00200,0100,GAINESBORO 62251,S200000,00200,0200,TN 62251,S200000,00200,0300,38562 62251,S200000,00300,0100,JACKSON 62251,S200000,00400,0100,MABRY HEALTH CARE & REHAB CENTER 62251,S200000,00400,0200,445272 62251,S200000,00400,0300,10/24/1991 62251,S200000,00400,0500,P 62251,S200000,00400,0600,O 62251,S200000,01600,0100,Y 62251,S200000,04300,0100,Y 62262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62262,A000000,00300,0000,00300EMPLOYEE BENEFITS 62262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62262,A000000,00700,0000,00700HOUSEKEEPING 62262,A000000,00800,0000,00800DIETARY 62262,A000000,00900,0000,00900NURSING ADMINISTRATION 62262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62262,A000000,01100,0000,01100PHARMACY 62262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62262,A000000,01300,0000,01300SOCIAL SERVICE 62262,A000000,01350,0000,01500OTHER GENERAL SERVICES 62262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62262,A000000,01600,0000,01600SKILLED NURSING FACILITY 62262,A000000,01800,0000,01800NURSING FACILITY 62262,A000000,01900,0000,01900OTHER LONG TERM CARE 62262,A000000,02100,0000,02100RADIOLOGY 62262,A000000,02200,0000,02200LABORATORY 62262,A000000,02300,0000,02300INTRAVENOUS THERAPY 62262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62262,A000000,02500,0000,02500PHYSICAL THERAPY 62262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62262,A000000,02700,0000,02700SPEECH PATHOLOGY 62262,A000000,02800,0000,02800ELECTROCARDIOLOGY 62262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62262,A000000,03200,0000,03200SUPPORT SURFACES 62262,A000000,03400,0000,03400CLINIC 62262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62262,A000000,03500,0000,03500RURAL HEALTH CLINIC 62262,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 62262,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 62262,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 62262,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 62262,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62262,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 62262,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 62262,A000000,04400,0000,04400DME RENTED - HHA 62262,A000000,04500,0000,04500DME SOLD - HHA 62262,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 62262,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 62262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62262,A000000,04800,0000,04800AMBULANCE 62262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 62262,A000000,05000,0000,05000CORF 62262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62262,A000000,05300,0000,05300INTEREST EXPENSE 62262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62262,A000000,05500,0000,05500HOSPICE 62262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62262,A000000,06100,0000,06100NONPAID WORKERS 62262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62262,A000000,06200,0000,06200PATIENTS LAUNDRY 62262,A81000A,00100,0100,Y 62262,A81000B,00100,0300,HOME OFFICE FEES 62262,A81000B,00200,0300,MANAGEMENT FEES 62262,A81000C,00100,0100,B 62262,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 62262,A81000C,00100,0400,AHF HOME OFFICE 62262,A81000C,00100,0600,HOME OFFICE 62262,A81000C,00200,0100,B 62262,A81000C,00200,0200,AMERICAN HEALTH FOUNDATIO 62262,A81000C,00200,0400,AHF MANAGEMENT INC. 62262,A81000C,00200,0600,MANAGEMENT SERVICES 62262,B100000,00000,0100,00000SQUARE FEET 62262,B100000,00000,0200,00000NO STATISTICS 62262,B100000,00000,0300,00000GROSS SALARIES 62262,B100000,00000,0400,00000ACCUM. COST 62262,B100000,00000,0500,00000SQUARE FEET 62262,B100000,00000,0600,00000POUNDS OF LAUDRY 62262,B100000,00000,0700,00000SQUARE FEET 62262,B100000,00000,0800,00000MEALS SERVED 62262,B100000,00000,0900,00000HOURS OF SERVICE 62262,B100000,00000,1000,00000PATIETNT DAYS 62262,B100000,00000,1100,00000PATIETNT DAYS 62262,B100000,00000,1200,00000PATIETNT DAYS 62262,B100000,00000,1300,00000PATIETNT DAYS 62262,B100000,00000,1350,00000NO STATISTICS 62262,B100000,00000,1400,00000NO STATISTICS 62262,E10A180,00501,0300,07/24/2000 62262,S000000,00100,0200,05/30/2000 62262,S200000,00100,0100,1710 BELCOURT AVE 62262,S200000,00200,0100,NASHVILLE 62262,S200000,00200,0200,TN 62262,S200000,00200,0300,37212 62262,S200000,00300,0100,DAVIDSON 62262,S200000,00400,0100,AHF-CENTRAL STATES-BELCOURT TERRACE 62262,S200000,00400,0200,445273 62262,S200000,00400,0300,10/16/1991 62262,S200000,00400,0500,P 62262,S200000,01600,0100,Y 62271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62271,A000000,00300,0000,00300EMPLOYEE BENEFITS 62271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62271,A000000,00700,0000,00700HOUSEKEEPING 62271,A000000,00800,0000,00800DIETARY 62271,A000000,00900,0000,00900NURSING ADMINISTRATION 62271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62271,A000000,01100,0000,01100PHARMACY 62271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62271,A000000,01300,0000,01300SOCIAL SERVICE 62271,A000000,01350,0000,01500ACTIVITIES 62271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62271,A000000,01600,0000,01600SKILLED NURSING FACILITY 62271,A000000,01800,0000,01800NURSING FACILITY 62271,A000000,01810,0000,01810ICF/MR 62271,A000000,02100,0000,02100RADIOLOGY 62271,A000000,02200,0000,02200LABORATORY 62271,A000000,02300,0000,02300INTRAVENOUS THERAPY 62271,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62271,A000000,02500,0000,02500PHYSICAL THERAPY 62271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62271,A000000,02700,0000,02700SPEECH PATHOLOGY 62271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62271,A000000,02901,0000,02901PEN THERAPY 62271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62271,A000000,03050,0000,03300OTHER ANCILLARY 62271,A000000,03051,0000,03301AMBULANCE 62271,A000000,03550,0000,03550FQHC 62271,A000000,05000,0000,05000CORF 62271,A000000,05010,0000,05010CMHC 62271,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62271,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62271,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62271,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62271,A81000A,00100,0100,Y 62271,A81000B,00100,0300,HOME OFFICE COSTS 62271,A81000B,00200,0300,ALLOCATED COSTS - PT 62271,A81000B,00300,0300,ALLOCATED COSTS - OT 62271,A81000B,00400,0300,ALLOCATED COSTS - ST 62271,A81000B,00500,0300,MEDILIFE 62271,A81000B,00600,0300,MEDILIFE 62271,A81000B,00700,0300,MEDILIFE 62271,A81000B,00800,0300,MEDILIFE 62271,A81000B,00900,0300,REL. PARTY INTEREST 62271,A81000B,01000,0300,LIFE CARE DESIGNS 62271,A81000B,01100,0300,LCCA 62271,A81000B,01200,0300,HCE - INTEREST 62271,A81000B,01300,0300,HCE - DEPRECIATION 62271,A81000C,00100,0100,A 62271,A81000C,00100,0200,FORREST PRESTON 62271,A81000C,00100,0400,LIFE CARE CENTE 62271,A81000C,00100,0600,MANAGEMENT COMP 62271,A81000C,00200,0100,A 62271,A81000C,00200,0200,FORREST PRESTON 62271,A81000C,00200,0400,MEDILIFE 62271,A81000C,00200,0600,PHARMACY 62271,A81000C,00300,0100,A 62271,A81000C,00300,0200,FORREST PRESTON 62271,A81000C,00300,0400,HCE LEASING 62271,A81000C,00300,0600,VEHICLE LEASING 62271,A81000C,00400,0100,A 62271,A81000C,00400,0200,FORREST PRESTON 62271,A81000C,00400,0400,LIFE CARE DESIG 62271,A81000C,00400,0600,INTERIOR DESIGN 62271,B100000,00000,0100,00000(SQUARE FEET) 62271,B100000,00000,0200,00000(SQUARE FEET) 62271,B100000,00000,0300,00000(GROSS SALARIES) 62271,B100000,00000,0400,00000(ACCUM COST) 62271,B100000,00000,0500,00000(SQUARE FEET) 62271,B100000,00000,0600,00000PATIENT DAYS 62271,B100000,00000,0700,00000(SQUARE FEET) 62271,B100000,00000,0800,00000(MEALS SERVED) 62271,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62271,B100000,00000,1000,00000(COSTED REQUIS) 62271,B100000,00000,1100,00000(COSTED REQUIS) 62271,B100000,00000,1200,00000GROSS REVENUES 62271,B100000,00000,1300,00000TIME SPENT 62271,B100000,00000,1350,00000PATIENT DAYS 62271,B100000,00000,1400,00000(ASSIGNED TIME) 62271,E10A180,00301,0100,08/17/1999 62271,E10A180,00302,0100,02/04/2000 62271,S000000,00100,0200,05/25/2000 62271,S200000,00100,0100,336 W ANDREW JOHNSON HIGHWAY 62271,S200000,00200,0100,JEFFERSON CITY 62271,S200000,00200,0200,TN 62271,S200000,00200,0300,37760 62271,S200000,00300,0100,JEFFERSON 62271,S200000,00400,0100,LCC OF JEFFERSON CITY 62271,S200000,00400,0200,445275 62271,S200000,00400,0300,02/21/1992 62271,S200000,00400,0500,P 62271,S200000,00400,0600,O 62271,S200000,00600,0200,445275 62271,S200000,00600,0300,02/21/1992 62271,S200000,00600,0600,P 62271,S200000,01600,0100,Y 62271,S200000,02200,0100,Y 62271,S200000,04700,0100,Y 62271,S200000,04700,0200,Y 62279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62279,A000000,00300,0000,00300EMPLOYEE BENEFITS 62279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62279,A000000,00700,0000,00700HOUSEKEEPING 62279,A000000,00800,0000,00800DIETARY 62279,A000000,00900,0000,00900NURSING ADMINISTRATION 62279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62279,A000000,01100,0000,01100PHARMACY 62279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62279,A000000,01300,0000,01300SOCIAL SERVICE 62279,A000000,01350,0000,01500ACTIVITIES 62279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62279,A000000,01600,0000,01600SKILLED NURSING FACILITY 62279,A000000,01800,0000,01800NURSING FACILITY 62279,A000000,01810,0000,01810ICF/MR 62279,A000000,02200,0000,02200LABORATORY 62279,A000000,02300,0000,02300INTRAVENOUS THERAPY 62279,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62279,A000000,02500,0000,02500PHYSICAL THERAPY 62279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62279,A000000,02700,0000,02700SPEECH PATHOLOGY 62279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62279,A000000,02901,0000,02901PEN THERAPY 62279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62279,A000000,03050,0000,03300OTHER ANCILLARY 62279,A000000,03051,0000,03301AMBULANCE 62279,A000000,03550,0000,03550FQHC 62279,A000000,05000,0000,05000CORF 62279,A000000,05010,0000,05010CMHC 62279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62279,A81000A,00100,0100,Y 62279,A81000B,00100,0300,HOME OFFICE COSTS 62279,A81000B,00200,0300,ALLOCATED COSTS - PT 62279,A81000B,00300,0300,ALLOCATED COSTS - OT 62279,A81000B,00400,0300,ALLOCATED COSTS - ST 62279,A81000B,00500,0300,MEDILIFE 62279,A81000B,00600,0300,MEDILIFE 62279,A81000B,00700,0300,MEDILIFE 62279,A81000B,00800,0300,MEDILIFE 62279,A81000B,00900,0300,REL PARTY INTEREST 62279,A81000B,01000,0300,LIFE CARE DESIGNS 62279,A81000B,01100,0300,COMPUTER INSTALL 62279,A81000B,01200,0300,CMI FOR LCA 62279,A81000C,00100,0100,A 62279,A81000C,00100,0200,FORREST PRESTON 62279,A81000C,00100,0400,LIFE CARE CENTE 62279,A81000C,00100,0600,MANAGEMENT COMP 62279,A81000C,00200,0100,A 62279,A81000C,00200,0200,FORREST PRESTON 62279,A81000C,00200,0400,MEDILIFE 62279,A81000C,00200,0600,PHARMACY 62279,A81000C,00300,0100,A 62279,A81000C,00300,0200,FORREST PRESTON 62279,A81000C,00300,0400,LIFE CARE DESIG 62279,A81000C,00300,0600,INTERIOR DESIGN 62279,B100000,00000,0100,00000(SQUARE FEET) 62279,B100000,00000,0200,00000(SQUARE FEET) 62279,B100000,00000,0300,00000(GROSS SALARIES) 62279,B100000,00000,0400,00000(ACCUM COST) 62279,B100000,00000,0500,00000(SQUARE FEET) 62279,B100000,00000,0600,00000PATIENT DAYS 62279,B100000,00000,0700,00000(SQUARE FEET) 62279,B100000,00000,0800,00000(MEALS SERVED) 62279,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62279,B100000,00000,1000,00000(COSTED REQUIS) 62279,B100000,00000,1100,00000(COSTED REQUIS) 62279,B100000,00000,1200,00000GROSS REVENUES 62279,B100000,00000,1300,00000TIME SPENT 62279,B100000,00000,1350,00000PATIENT DAYS 62279,B100000,00000,1400,00000(ASSIGNED TIME) 62279,E10A180,00301,0100,08/17/1999 62279,E10A180,00302,0100,02/07/2000 62279,S000000,00100,0200,05/24/2000 62279,S200000,00100,0100,HIGHWAY 55 62279,S200000,00100,0300,447 62279,S200000,00200,0100,LYNCHBURG 62279,S200000,00200,0200,TN 62279,S200000,00200,0300,37352 62279,S200000,00300,0100,MOORE 62279,S200000,00400,0100,LYNCHBURG NURSING CENTER 62279,S200000,00400,0200,445279 62279,S200000,00400,0300,03/12/1992 62279,S200000,00400,0500,P 62279,S200000,00400,0600,O 62279,S200000,00600,0200,445279 62279,S200000,00600,0300,03/01/1992 62279,S200000,00600,0600,P 62279,S200000,01600,0100,Y 62279,S200000,02200,0100,Y 62279,S200000,04700,0100,Y 62279,S200000,04700,0200,Y 62289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62289,A000000,00300,0000,00300EMPLOYEE BENEFITS 62289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62289,A000000,00700,0000,00700HOUSEKEEPING 62289,A000000,00800,0000,00800DIETARY 62289,A000000,00900,0000,00900NURSING ADMINISTRATION 62289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62289,A000000,01100,0000,01100PHARMACY 62289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62289,A000000,01300,0000,01300SOCIAL SERVICE 62289,A000000,01301,0000,01301ACTIVITES 62289,A000000,01350,0000,01500REHABILITATION 62289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62289,A000000,01600,0000,01600SKILLED NURSING FACILITY 62289,A000000,01800,0000,01800NURSING FACILITY 62289,A000000,01810,0000,01810ICF/MR 62289,A000000,02100,0000,02100RADIOLOGY 62289,A000000,02200,0000,02200LABORATORY 62289,A000000,02300,0000,02300INTRAVENOUS THERAPY 62289,A000000,02500,0000,02500PHYSICAL THERAPY 62289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62289,A000000,02700,0000,02700SPEECH PATHOLOGY 62289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62289,A000000,03050,0000,03300EQUIPMENT RENTAL 62289,A000000,03051,0000,03301PEN THERAPY 62289,A000000,03550,0000,03550FQHC 62289,A000000,05000,0000,05000CORF 62289,A000000,05010,0000,05010CMHC 62289,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62289,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62289,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62289,A000000,05300,0000,05300INTEREST EXPENSE 62289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62289,A000000,06150,0000,06300VENDING 62289,A000000,06151,0000,06301STAND-BY 62289,A81000A,00100,0100,Y 62289,A81000B,00100,0300,HOME OFFICE COST 62289,A81000B,00200,0300,DIETARY SUPPLEMENTS 62289,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 62289,A81000B,00400,0300,PRESCRIPTION DRUGS 62289,A81000B,00500,0300,MEDICAL SUPPLIES 62289,A81000B,00600,0300,ADMIN COSTS 62289,A81000B,00700,0300,HOME OFFICE CAPITAL 62289,A81000B,00800,0300,EQUIPMENT REPLACEMENT 62289,A81000B,00900,0300,IV THERAPY 62289,A81000B,01000,0300,THERAPY CONSULTING 62289,A81000B,01100,0300,PHYSICAL THERAPY 62289,A81000B,01200,0300,OCCUPATIONAL THERAPY 62289,A81000B,01300,0300,SPEECH THERAPY 62289,A81000B,01400,0300,ANC EQUIP RENTAL 62289,A81000B,01500,0300,CAPITAL 62289,A81000C,00100,0100,B 62289,A81000C,00100,0200,COLLIERVILLE PS 62289,A81000C,00100,0400,MARINER PAN 62289,A81000C,00100,0600,NURSING HOMES 62289,A81000C,00200,0100,G 62289,A81000C,00200,0200,MARINER PAN 62289,A81000C,00200,0400,AMER PHARM SVCS 62289,A81000C,00200,0600,PHARMACEUTICALS 62289,A81000C,00300,0100,G 62289,A81000C,00300,0200,MARINER PAN 62289,A81000C,00300,0400,PRISM-ATS-ARS-T 62289,A81000C,00300,0600,THERAPIES 62289,B100000,00000,0100,00001SQUARE FEET 62289,B100000,00000,0200,00001SQUARE FEET 62289,B100000,00000,0300,00001GROSS SALARIES 62289,B100000,00000,0400,00001ACCUM COST 62289,B100000,00000,0500,00001SQUARE FEET 62289,B100000,00000,0600,00001PATIENT DAYS 62289,B100000,00000,0700,00001SQUARE FEET 62289,B100000,00000,0800,00001MEALS SERVED 62289,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 62289,B100000,00000,1000,00001PATIENT DAYS 62289,B100000,00000,1100,00001COSTED REQUIS 62289,B100000,00000,1200,00001PATIENT DAYS 62289,B100000,00000,1300,00001PATIENT DAYS 62289,B100000,00000,1301,00001PATIENT DAYS 62289,B100000,00000,1350,00001UNITS OF SERVICE 62289,B100000,00000,1400,00001ASSIGNED TIME 62289,S000000,00100,0200,05/31/2000 62289,S200000,00100,0100,490 HWY. 57 W. 62289,S200000,00200,0100,COLLIERVILLE 62289,S200000,00200,0200,S.C. 62289,S200000,00200,0300,38017 62289,S200000,00300,0100,SHELBY 62289,S200000,00400,0100,COLLIERVILLE HEALTH & REHAB CENTER 62289,S200000,00400,0200,445282 62289,S200000,00400,0300,04/10/1992 62289,S200000,00400,0500,P 62289,S200000,01600,0100,Y 62289,S200000,02200,0100,Y 62299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62299,A000000,00300,0000,00300EMPLOYEE BENEFITS 62299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62299,A000000,00700,0000,00700HOUSEKEEPING 62299,A000000,00800,0000,00800DIETARY 62299,A000000,00900,0000,00900NURSING ADMINISTRATION 62299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62299,A000000,01300,0000,01300SOCIAL SERVICE 62299,A000000,01301,0000,01301ACTIVITES 62299,A000000,01350,0000,01500REHABILITATION 62299,A000000,01600,0000,01600SKILLED NURSING FACILITY 62299,A000000,01800,0000,01800NURSING FACILITY 62299,A000000,01900,0000,01900OTHER LONG TERM CARE 62299,A000000,02100,0000,02100RADIOLOGY 62299,A000000,02200,0000,02200LABORATORY 62299,A000000,02300,0000,02300INTRAVENOUS THERAPY 62299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62299,A000000,02500,0000,02500PHYSICAL THERAPY 62299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62299,A000000,02700,0000,02700SPEECH PATHOLOGY 62299,A000000,02800,0000,02800ELECTROCARDIOLOGY 62299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62299,A000000,03050,0000,03300EQUIPMENT RENTAL 62299,A000000,03051,0000,03301PEN THERAPY 62299,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62299,A000000,03200,0000,03200SUPPORT SURFACES 62299,A000000,04800,0000,04800AMBULANCE 62299,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62299,A000000,05300,0000,05300INTEREST EXPENSE 62299,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62299,A000000,06150,0000,06300VENDING 62299,A000000,06151,0000,06301STAND-BY 62299,A000000,06200,0000,06200PATIENTS LAUNDRY 62299,A81000A,00100,0100,Y 62299,A81000B,00100,0300,HOME OFFICE COST 62299,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 62299,A81000B,00500,0300,MEDICAL SUPPLIES 62299,A81000B,00700,0300,HOME OFFICE CAPITAL 62299,A81000B,00800,0300,EQUIPMENT REPLACEMENT 62299,A81000B,01000,0300,THERAPY CONSULTING 62299,A81000B,01100,0300,PHYSICAL THERAPY 62299,A81000B,01200,0300,OCCUPATIONAL THERAPY 62299,A81000B,01300,0300,SPEECH THERAPY 62299,A81000B,01400,0300,ANC EQUIP RENTAL 62299,A81000C,00100,0100,B 62299,A81000C,00100,0200,HIGHPOINTE PS# 62299,A81000C,00100,0400,MARINER PAN 62299,A81000C,00100,0600,NURSING HOMES 62299,A81000C,00200,0100,G 62299,A81000C,00200,0200,MARINER PAN 62299,A81000C,00200,0400,AMER PHARM SVCS 62299,A81000C,00200,0600,PHARMACEUTICALS 62299,A81000C,00300,0100,G 62299,A81000C,00300,0200,MARINER PAN 62299,A81000C,00300,0400,PRISM-ATS-ARS-T 62299,A81000C,00300,0600,THERAPIES 62299,B100000,00000,0100,00001SQUARE FEET 62299,B100000,00000,0200,00001SQUARE FEET 62299,B100000,00000,0300,00001GROSS SALARIES 62299,B100000,00000,0400,00001ACCUM COST 62299,B100000,00000,0500,00001SQUARE FEET 62299,B100000,00000,0600,00001PATIENT DAYS 62299,B100000,00000,0700,00001SQUARE FEET 62299,B100000,00000,0800,00001MEALS SERVED 62299,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 62299,B100000,00000,1000,00001PATIENT DAYS 62299,B100000,00000,1200,00001PATIENT DAYS 62299,B100000,00000,1300,00001PATIENT DAYS 62299,B100000,00000,1301,00001PATIENT DAYS 62299,B100000,00000,1350,00001UNITS OF SERVICE 62299,S000000,00100,0200,05/31/2000 62299,S200000,00100,0100,2491 JOY LN. 62299,S200000,00200,0100,MEMPHIS 62299,S200000,00200,0200,TN 62299,S200000,00200,0300,38114 62299,S200000,00300,0100,SHELBY 62299,S200000,00400,0100,HIGH POINTE HEALTH & REHAB CENTER 62299,S200000,00400,0200,445283 62299,S200000,00400,0300,04/29/1992 62299,S200000,00400,0500,P 62299,S200000,01600,0100,Y 62299,S200000,02200,0100,Y 62308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62308,A000000,00300,0000,00300EMPLOYEE BENEFITS 62308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62308,A000000,00700,0000,00700HOUSEKEEPING 62308,A000000,00800,0000,00800DIETARY 62308,A000000,00900,0000,00900NURSING ADMINISTRATION 62308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62308,A000000,01100,0000,01100PHARMACY 62308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62308,A000000,01300,0000,01300SOCIAL SERVICE 62308,A000000,01350,0000,01500ACTIVITIES 62308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62308,A000000,01600,0000,01600SKILLED NURSING FACILITY 62308,A000000,01800,0000,01800NURSING FACILITY 62308,A000000,01810,0000,01810ICF/MR 62308,A000000,02100,0000,02100RADIOLOGY 62308,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62308,A000000,02500,0000,02500PHYSICAL THERAPY 62308,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62308,A000000,02700,0000,02700SPEECH PATHOLOGY 62308,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62308,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62308,A000000,03550,0000,03550FQHC 62308,A000000,05000,0000,05000CORF 62308,A000000,05010,0000,05010CMHC 62308,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62308,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62308,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62308,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62308,A81000A,00100,0100,Y 62308,A81000B,00100,0300,HOME OFFICE COST 62308,A81000B,00200,0300,HOME OFFICE COST 62308,A81000B,00300,0300,DIRECT ALLOCATION 62308,A81000C,00100,0100,A 62308,A81000C,00100,0200,D. BAILEY/L. W 62308,A81000C,00100,0400,C&E 62308,A81000C,00100,0600,HEALTHCARE MGT. 62308,B100000,00000,0100,00000SQUARE FEET 62308,B100000,00000,0200,00000SQUARE FEET 62308,B100000,00000,0300,00000GROSS SALARIES 62308,B100000,00000,0400,00000ACCUM COST 62308,B100000,00000,0500,00000SQUARE FEET 62308,B100000,00000,0600,00000POUNDS OF LAUNDRY 62308,B100000,00000,0700,00000HOURS OF SERVICE 62308,B100000,00000,0800,00000MEALS SERVED 62308,B100000,00000,0900,00000DIRECT NRSG HRS 62308,B100000,00000,1000,00000COSTED REQUIS 62308,B100000,00000,1100,00000COSTED REQUIS 62308,B100000,00000,1200,00000TIME SPENT 62308,B100000,00000,1300,00000TIME SPENT 62308,B100000,00000,1350,00000TIME SPENT 62308,B100000,00000,1400,00000ASSIGNED TIME 62308,E10A180,00501,0100,06/12/2000 62308,S000000,00100,0200,05/12/2000 62308,S200000,00100,0100,STALLING LANE 62308,S200000,00200,0100,ERWIN 62308,S200000,00200,0200,TN 62308,S200000,00200,0300,37650 62308,S200000,00300,0100,UNICOI 62308,S200000,00400,0100,ERWIN HEALTHCARE CENTER 62308,S200000,00400,0200,445291 62308,S200000,00400,0300,07/01/1992 62308,S200000,00400,0500,P 62308,S200000,00600,0200,440413 62308,S200000,00600,0300,07/01/1992 62308,S200000,01600,0100,Y 62308,S200000,02200,0100,Y 62316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62316,A000000,00300,0000,00300EMPLOYEE BENEFITS 62316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62316,A000000,00700,0000,00700HOUSEKEEPING 62316,A000000,00800,0000,00800DIETARY 62316,A000000,00900,0000,00900NURSING ADMINISTRATION 62316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62316,A000000,01100,0000,01100PHARMACY 62316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62316,A000000,01300,0000,01300SOCIAL SERVICE 62316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62316,A000000,01600,0000,01600SKILLED NURSING FACILITY 62316,A000000,01810,0000,01810ICF/MR 62316,A000000,01900,0000,01900OTHER LONG TERM CARE 62316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62316,A000000,02500,0000,02500PHYSICAL THERAPY 62316,A000000,02700,0000,02700SPEECH PATHOLOGY 62316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62316,A000000,03550,0000,03550FQHC 62316,A000000,05000,0000,05000CORF 62316,A000000,05010,0000,05010CMHC 62316,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62316,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62316,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62316,A000000,05300,0000,05300INTEREST EXPENSE 62316,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62316,A81000A,00100,0100,Y 62316,A81000B,00100,0300,HOME OFFICE EXPENSE 62316,A81000C,00100,0100,E 62316,A81000C,00100,0200,DAVID G. GAITHE 62316,A81000C,00100,0400,GENERATIONS HOM 62316,A81000C,00100,0600,HOME OFFICE 62316,B100000,00000,0100,00000SQUARE FEET 62316,B100000,00000,0200,00000SQUARE FEET 62316,B100000,00000,0300,00000GROSS SALARIES 62316,B100000,00000,0400,00000ACCUM COST 62316,B100000,00000,0500,00000SQUARE FEET 62316,B100000,00000,0600,00000POUNDS OF LAUNDRY 62316,B100000,00000,0700,00000SQUARE FEET 62316,B100000,00000,0800,00000MEALS SERVED 62316,B100000,00000,0900,00000DIRECT NRSG HRS 62316,B100000,00000,1000,00000COSTED REQUIS 62316,B100000,00000,1100,00000COSTED REQUIS 62316,B100000,00000,1200,00000TIME SPENT 62316,B100000,00000,1300,00000TIME SPENT 62316,B100000,00000,1400,00000ASSIGNED TIME 62316,E10A180,00501,0100,07/26/2000 62316,E10A180,00501,0300,07/26/2000 62316,S000000,00100,0200,05/31/2000 62316,S200000,00100,0100,RT 1 BOX 198 62316,S200000,00200,0100,JELLICO 62316,S200000,00200,0200,TN 62316,S200000,00200,0300,37762 62316,S200000,00300,0100,CAMPBELL 62316,S200000,00400,0100,BEECH TREE MANOR 62316,S200000,00400,0200,445292 62316,S200000,00400,0300,07/02/1992 62316,S200000,00400,0500,P 62316,S200000,00400,0600,O 62316,S200000,01600,0100,Y 62328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62328,A000000,00300,0000,00300EMPLOYEE BENEFITS 62328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62328,A000000,00700,0000,00700HOUSEKEEPING 62328,A000000,00800,0000,00800DIETARY 62328,A000000,00900,0000,00900NURSING ADMINISTRATION 62328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62328,A000000,01100,0000,01100PHARMACY 62328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62328,A000000,01300,0000,01300SOCIAL SERVICE 62328,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62328,A000000,01600,0000,01600SKILLED NURSING FACILITY 62328,A000000,01800,0000,01800NURSING FACILITY 62328,A000000,01810,0000,01810ICF/MR 62328,A000000,02100,0000,02100RADIOLOGY 62328,A000000,02200,0000,02200LABORATORY 62328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62328,A000000,02500,0000,02500PHYSICAL THERAPY 62328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62328,A000000,02700,0000,02700SPEECH PATHOLOGY 62328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62328,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62328,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62328,A000000,03550,0000,03550FQHC 62328,A000000,05000,0000,05000CORF 62328,A000000,05010,0000,05010CMHC 62328,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62328,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62328,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62328,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62328,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62328,A000000,06150,0000,06300ADULT DAY CARE 62328,A000000,06200,0000,06200PATIENTS LAUNDRY 62328,A000000,06203,0000,06201ENTERAL NUTRITION 62328,B100000,00000,0100,00000SQUARE FEET 62328,B100000,00000,0200,00000SQUARE FEET 62328,B100000,00000,0300,00000GROSS SALARIES 62328,B100000,00000,0400,00000ACCUM COST 62328,B100000,00000,0500,00000SQUARE FEET 62328,B100000,00000,0600,00000POUNDS OF LAUNDRY 62328,B100000,00000,0700,00000SQUARE FEET 62328,B100000,00000,0800,00000PATIENT DAYS 62328,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 62328,B100000,00000,1000,00000HOURS OF SERVICE 62328,B100000,00000,1100,00000COSTED REQUISITIO 62328,B100000,00000,1200,00000PATIENT DAYS 62328,B100000,00000,1300,00000PATIENT DAYS 62328,B100000,00000,1350,00000 62328,B100000,00000,1400,00000ASSIGNED TIME 62328,E10A180,00501,0100,07/26/2000 62328,S000000,00100,0200,05/31/2000 62328,S200000,00100,0100,36 BAZEBERRY RD 62328,S200000,00200,0100,CORDOVA 62328,S200000,00200,0200,TN 62328,S200000,00200,0300,38088 62328,S200000,00300,0100,SHELBY 62328,S200000,00400,0100,MEMPHIS JEWISH HOME 62328,S200000,00400,0200,445293 62328,S200000,00400,0300,07/02/1992 62328,S200000,00400,0500,P 62328,S200000,01600,0100,Y 62328,S200000,01900,0100,OTHER (SPECIFY) 62354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62354,A000000,00300,0000,00300EMPLOYEE BENEFITS 62354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62354,A000000,00700,0000,00700HOUSEKEEPING 62354,A000000,00800,0000,00800DIETARY 62354,A000000,00900,0000,00900NURSING ADMINISTRATION 62354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62354,A000000,01100,0000,01100PHARMACY 62354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62354,A000000,01300,0000,01300SOCIAL SERVICE 62354,A000000,01350,0000,01500ACTIVITIES 62354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62354,A000000,01600,0000,01600SKILLED NURSING FACILITY 62354,A000000,01800,0000,01800NURSING FACILITY 62354,A000000,01810,0000,01810ICF/MR 62354,A000000,02100,0000,02100RADIOLOGY 62354,A000000,02200,0000,02200LABORATORY 62354,A000000,02300,0000,02300INTRAVENOUS THERAPY 62354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62354,A000000,02500,0000,02500PHYSICAL THERAPY 62354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62354,A000000,02700,0000,02700SPEECH PATHOLOGY 62354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62354,A000000,02901,0000,02901PEN THERAPY 62354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62354,A000000,03050,0000,03300OTHER ANCILLARY 62354,A000000,03051,0000,03301AMBULANCE 62354,A000000,03550,0000,03550FQHC 62354,A000000,05000,0000,05000CORF 62354,A000000,05010,0000,05010CMHC 62354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62354,A81000A,00100,0100,Y 62354,A81000B,00100,0300,HOME OFFICE COSTS 62354,A81000B,00200,0300,ALLOCATED COSTS - PT 62354,A81000B,00300,0300,ALLOCATED COSTS - OT 62354,A81000B,00400,0300,ALLOCATED COSTS - ST 62354,A81000B,00500,0300,MEDILIFE 62354,A81000B,00600,0300,MEDILIFE 62354,A81000B,00700,0300,MEDILIFE 62354,A81000B,00800,0300,MEDILIFE 62354,A81000B,00900,0300,MEDILIFE 62354,A81000B,01000,0300,REL. PARTY INTEREST 62354,A81000B,01100,0300,LIFE CARE DESIGNS 62354,A81000B,01200,0300,LIFE CARE DESIGNS 62354,A81000B,01300,0300,COMPUTER INSTALL. 62354,A81000C,00100,0100,A 62354,A81000C,00100,0200,FORREST PRESTON 62354,A81000C,00100,0400,LIFE CARE CENTE 62354,A81000C,00100,0600,MANAGEMENT COMP 62354,A81000C,00200,0100,A 62354,A81000C,00200,0200,FORREST PRESTON 62354,A81000C,00200,0400,MEDILIFE 62354,A81000C,00200,0600,PHARMACY 62354,A81000C,00300,0100,A 62354,A81000C,00300,0200,FORREST PRESTON 62354,A81000C,00300,0400,LIFE CARE DESIG 62354,A81000C,00300,0600,INTERIOR DESIGN 62354,B100000,00000,0100,00000(SQUARE FEET) 62354,B100000,00000,0200,00000(SQUARE FEET) 62354,B100000,00000,0300,00000(GROSS SALARIES) 62354,B100000,00000,0400,00000(ACCUM COST) 62354,B100000,00000,0500,00000(SQUARE FEET) 62354,B100000,00000,0600,00000PATIENT DAYS 62354,B100000,00000,0700,00000(SQUARE FEET) 62354,B100000,00000,0800,00000(MEALS SERVED) 62354,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62354,B100000,00000,1000,00000(COSTED REQUIS) 62354,B100000,00000,1100,00000(COSTED REQUIS) 62354,B100000,00000,1200,00000GROSS REVENUES 62354,B100000,00000,1300,00000TIME SPENT 62354,B100000,00000,1350,00000PATIENT DAYS 62354,B100000,00000,1400,00000(ASSIGNED TIME) 62354,E10A180,00301,0100,08/17/1999 62354,E10A180,00302,0100,02/07/2000 62354,S000000,00100,0200,05/24/2000 62354,S200000,00100,0100,1234 FRYE STREET 62354,S200000,00200,0100,ATHENS 62354,S200000,00200,0200,TN 62354,S200000,00200,0300,37303 62354,S200000,00300,0100,MCMINN 62354,S200000,00400,0100,LIFE CARE CENTER OF ATHENS 62354,S200000,00400,0200,445298 62354,S200000,00400,0300,10/01/1992 62354,S200000,00400,0500,P 62354,S200000,00400,0600,O 62354,S200000,00600,0200,445298 62354,S200000,00600,0300,10/01/1992 62354,S200000,00600,0600,P 62354,S200000,01600,0100,Y 62354,S200000,02200,0100,Y 62354,S200000,04700,0100,Y 62354,S200000,04700,0200,Y 62361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62361,A000000,00300,0000,00300EMPLOYEE BENEFITS 62361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62361,A000000,00700,0000,00700HOUSEKEEPING 62361,A000000,00800,0000,00800DIETARY 62361,A000000,00900,0000,00900NURSING ADMINISTRATION 62361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62361,A000000,01100,0000,01100PHARMACY 62361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62361,A000000,01300,0000,01300SOCIAL SERVICE 62361,A000000,01350,0000,01500ACTIVITIES 62361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62361,A000000,01600,0000,01600SKILLED NURSING FACILITY 62361,A000000,01800,0000,01800NURSING FACILITY 62361,A000000,01810,0000,01810ICF/MR 62361,A000000,02100,0000,02100RADIOLOGY 62361,A000000,02200,0000,02200LABORATORY 62361,A000000,02300,0000,02300INTRAVENOUS THERAPY 62361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62361,A000000,02500,0000,02500PHYSICAL THERAPY 62361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62361,A000000,02700,0000,02700SPEECH PATHOLOGY 62361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62361,A000000,02901,0000,02901PEN THERAPY 62361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62361,A000000,03050,0000,03300OTHER ANCILLARY 62361,A000000,03051,0000,03301AMBULANCE 62361,A000000,03550,0000,03550FQHC 62361,A000000,05000,0000,05000CORF 62361,A000000,05010,0000,05010CMHC 62361,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62361,A81000A,00100,0100,Y 62361,A81000B,00100,0300,HOME OFFICE COSTS 62361,A81000B,00200,0300,ALLOCATED COSTS - PT 62361,A81000B,00300,0300,ALLOCATED COSTS - OT 62361,A81000B,00400,0300,ALLOCATED COSTS - ST 62361,A81000B,00500,0300,MEDILIFE 62361,A81000B,00600,0300,MEDILIFE 62361,A81000B,00700,0300,MEDILIFE 62361,A81000B,00800,0300,MEDILIFE 62361,A81000B,00900,0300,MEDILIFE 62361,A81000B,01000,0300,REL. PARTY INTEREST 62361,A81000B,01100,0300,LIFE CARE DESIGNS 62361,A81000B,01200,0300,COMPUTER INSTALL. 62361,A81000B,01300,0300,HCE LEASING 62361,A81000C,00100,0100,A 62361,A81000C,00100,0200,FORREST PRESTON 62361,A81000C,00100,0400,LIFE CARE CENTE 62361,A81000C,00100,0600,MANAGEMENT COMP 62361,A81000C,00200,0100,A 62361,A81000C,00200,0200,FORREST PRESTON 62361,A81000C,00200,0400,MEDILIFE 62361,A81000C,00200,0600,PHARMACY 62361,A81000C,00300,0100,A 62361,A81000C,00300,0200,FORREST PRESTON 62361,A81000C,00300,0400,HCE LEASING 62361,A81000C,00300,0600,VEHICLE LEASING 62361,A81000C,00400,0100,A 62361,A81000C,00400,0200,FORREST PRESTON 62361,A81000C,00400,0400,LIFE CARE DESIG 62361,A81000C,00400,0600,INTERIOR DESIGN 62361,B100000,00000,0100,00000(SQUARE FEET) 62361,B100000,00000,0200,00000(SQUARE FEET) 62361,B100000,00000,0300,00000(GROSS SALARIES) 62361,B100000,00000,0400,00000(ACCUM COST) 62361,B100000,00000,0500,00000(SQUARE FEET) 62361,B100000,00000,0600,00000PATIENT DAYS 62361,B100000,00000,0700,00000(SQUARE FEET) 62361,B100000,00000,0800,00000(MEALS SERVED) 62361,B100000,00000,0900,00000DIR. HOURS SUPERVISED 62361,B100000,00000,1000,00000(COSTED REQUIS) 62361,B100000,00000,1100,00000(COSTED REQUIS) 62361,B100000,00000,1200,00000GROSS REVENUES 62361,B100000,00000,1300,00000TIME SPENT 62361,B100000,00000,1350,00000PATIENT DAYS 62361,B100000,00000,1400,00000(ASSIGNED TIME) 62361,E10A180,00301,0100,08/17/1999 62361,E10A180,00302,0100,12/02/1999 62361,E10A180,00303,0100,02/07/2000 62361,S000000,00100,0200,05/24/2000 62361,S200000,00100,0100,COFFEY LANE 62361,S200000,00100,0300,26 62361,S200000,00200,0100,RUTLEDGE 62361,S200000,00200,0200,TN 62361,S200000,00200,0300,37861 62361,S200000,00300,0100,GRAINGER 62361,S200000,00400,0100,RIDGEVIEW TERRACE OF LIFE CARE 62361,S200000,00400,0200,445300 62361,S200000,00400,0300,10/01/1992 62361,S200000,00400,0500,P 62361,S200000,00400,0600,O 62361,S200000,00600,0200,445300 62361,S200000,00600,0300,10/01/1992 62361,S200000,00600,0600,P 62361,S200000,01600,0100,Y 62361,S200000,02200,0100,Y 62361,S200000,04700,0100,Y 62361,S200000,04700,0200,Y 62371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62371,A000000,00300,0000,00300EMPLOYEE BENEFITS 62371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62371,A000000,00700,0000,00700HOUSEKEEPING 62371,A000000,00800,0000,00800DIETARY 62371,A000000,00900,0000,00900NURSING ADMINISTRATION 62371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62371,A000000,01100,0000,01100PHARMACY 62371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62371,A000000,01300,0000,01300SOCIAL SERVICE 62371,A000000,01350,0000,01500ACTIVITIES 62371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62371,A000000,01600,0000,01600SKILLED NURSING FACILITY 62371,A000000,01800,0000,01800NURSING FACILITY 62371,A000000,01810,0000,01810ICF/MR 62371,A000000,02100,0000,02100RADIOLOGY 62371,A000000,02200,0000,02200LABORATORY 62371,A000000,02300,0000,02300INTRAVENOUS THERAPY 62371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62371,A000000,02500,0000,02500PHYSICAL THERAPY 62371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62371,A000000,02700,0000,02700SPEECH PATHOLOGY 62371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62371,A000000,02901,0000,02901PEN THERAPY 62371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62371,A000000,03050,0000,03300OTHER ANCILLARIES 62371,A000000,03051,0000,03301AMBULANCE 62371,A000000,03550,0000,03550FQHC 62371,A000000,05000,0000,05000CORF 62371,A000000,05010,0000,05010CMHC 62371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62371,A81000A,00100,0100,Y 62371,A81000B,00100,0300,HOME OFFICE COSTS 62371,A81000B,00200,0300,ALLOCATED COSTS - PT 62371,A81000B,00300,0300,ALLOCATED COSTS - OT 62371,A81000B,00400,0300,ALLOCATED COSTS - ST 62371,A81000B,00500,0300,MEDILIFE 62371,A81000B,00600,0300,MEDILIFE 62371,A81000B,00700,0300,MEDILIFE 62371,A81000B,00800,0300,MEDILIFE 62371,A81000B,00900,0300,MEDILIFE 62371,A81000B,01000,0300,REL. PARTY INTEREST 62371,A81000B,01100,0300,LIFE CARE DESIGNS 62371,A81000B,01200,0300,COMPUTER INSTALL. 62371,A81000C,00100,0100,A 62371,A81000C,00100,0200,FORREST PRESTON 62371,A81000C,00100,0400,LIFE CARE CENTE 62371,A81000C,00100,0600,MANAGEMENT COMP 62371,A81000C,00200,0100,A 62371,A81000C,00200,0200,FORREST PRESTON 62371,A81000C,00200,0400,MEDILIFE 62371,A81000C,00200,0600,PHARMACY 62371,A81000C,00300,0100,A 62371,A81000C,00300,0200,FORREST PRESTON 62371,A81000C,00300,0400,LIFE CARE DESIG 62371,A81000C,00300,0600,INTERIOR DESIGN 62371,B100000,00000,0100,00000(SQUARE FEET) 62371,B100000,00000,0200,00000(SQUARE FEET) 62371,B100000,00000,0300,00000(GROSS SALARIES) 62371,B100000,00000,0400,00000(ACCUM COST) 62371,B100000,00000,0500,00000(SQUARE FEET) 62371,B100000,00000,0600,00000PATIENT DAYS 62371,B100000,00000,0700,00000(SQUARE FEET) 62371,B100000,00000,0800,00000(MEALS SERVED) 62371,B100000,00000,0900,00000DIRECT HRS SUPERVISED 62371,B100000,00000,1000,00000(COSTED REQUIS) 62371,B100000,00000,1100,00000(COSTED REQUIS) 62371,B100000,00000,1200,00000GROSS REVENUES 62371,B100000,00000,1300,00000TIME SPENT 62371,B100000,00000,1350,00000PATIENT DAYS 62371,B100000,00000,1400,00000(ASSIGNED TIME) 62371,E10A180,00301,0100,08/17/1999 62371,E10A180,00302,0100,02/07/2000 62371,S000000,00100,0200,05/24/2000 62371,S200000,00100,0100,1641 HIGHWAY 19E 62371,S200000,00200,0100,ELIZABETHTON 62371,S200000,00200,0200,TN 62371,S200000,00200,0300,37643 62371,S200000,00300,0100,CARTER 62371,S200000,00400,0100,LIFE CARE CTR OF ELIZABETHTON 62371,S200000,00400,0200,445302 62371,S200000,00400,0300,01/15/1993 62371,S200000,00400,0500,P 62371,S200000,00400,0600,O 62371,S200000,00600,0200,445302 62371,S200000,00600,0300,01/15/1993 62371,S200000,00600,0600,P 62371,S200000,01600,0100,Y 62371,S200000,02200,0100,Y 62371,S200000,04700,0100,Y 62371,S200000,04700,0200,Y 62379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62379,A000000,00300,0000,00300EMPLOYEE BENEFITS 62379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62379,A000000,00700,0000,00700HOUSEKEEPING 62379,A000000,00800,0000,00800DIETARY 62379,A000000,00900,0000,00900NURSING ADMINISTRATION 62379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62379,A000000,01100,0000,01100PHARMACY 62379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62379,A000000,01300,0000,01300SOCIAL SERVICE 62379,A000000,01350,0000,01500ACTIVITIES 62379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62379,A000000,01600,0000,01600SKILLED NURSING FACILITY 62379,A000000,01800,0000,01800NURSING FACILITY 62379,A000000,01810,0000,01810ICF/MR 62379,A000000,02100,0000,02100RADIOLOGY 62379,A000000,02200,0000,02200LABORATORY 62379,A000000,02300,0000,02300INTRAVENOUS THERAPY 62379,A000000,02500,0000,02500PHYSICAL THERAPY 62379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62379,A000000,02700,0000,02700SPEECH PATHOLOGY 62379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62379,A000000,03550,0000,03550FQHC 62379,A000000,05000,0000,05000CORF 62379,A000000,05010,0000,05010CMHC 62379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62379,B100000,00000,0100,00000SQUARE FEET 62379,B100000,00000,0200,00000SQUARE FEET 62379,B100000,00000,0300,00000GROSS SALARIES 62379,B100000,00000,0400,00000ACCUM COST 62379,B100000,00000,0500,00000SQUARE FEET 62379,B100000,00000,0600,00000POUNDS OF LAUNDRY 62379,B100000,00000,0700,00000HOURS OF SERVICE 62379,B100000,00000,0800,00000MEALS SERVED 62379,B100000,00000,0900,00000DIRECT NRSG HRS 62379,B100000,00000,1000,00000COSTED REQUIS 62379,B100000,00000,1100,00000COSTED REQUIS 62379,B100000,00000,1200,00000TIME SPENT 62379,B100000,00000,1300,00000TIME SPENT 62379,B100000,00000,1350,00000PT. DAYS 62379,B100000,00000,1400,00000ASSIGNED TIME 62379,E10A180,00301,0100,02/01/1999 62379,E10A180,00302,0100,08/17/1999 62379,E10A180,00501,0100,05/26/2000 62379,E10A180,00550,0300,05/26/2000 62379,S000000,00100,0200,03/30/2000 62379,S200000,00100,0100,456 WAYNE AVE. 62379,S200000,00100,0300,709 62379,S200000,00200,0100,CROSSVILLE 62379,S200000,00200,0200,TN 62379,S200000,00200,0300,38557 62379,S200000,00300,0100,CUMBERLAND 62379,S200000,00400,0100,WYNDRIDGE HEALTH & REHAB. 62379,S200000,00400,0200,445304 62379,S200000,00400,0300,11/09/1992 62379,S200000,00400,0500,P 62379,S200000,00600,0200,445304 62379,S200000,00600,0300,11/09/1992 62379,S200000,01600,0100,Y 62379,S200000,01900,0100,NON PROFIT 501C 62379,S200000,02200,0100,Y 62379,S200000,04700,0100,Y 62379,S200000,04900,0100,Y 62388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62388,A000000,00300,0000,00300EMPLOYEE BENEFITS 62388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62388,A000000,00700,0000,00700HOUSEKEEPING 62388,A000000,00800,0000,00800DIETARY 62388,A000000,00900,0000,00900NURSING ADMINISTRATION 62388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62388,A000000,01100,0000,01100PHARMACY 62388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62388,A000000,01300,0000,01300SOCIAL SERVICE 62388,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62388,A000000,01600,0000,01600SKILLED NURSING FACILITY 62388,A000000,01800,0000,01800NURSING FACILITY 62388,A000000,01810,0000,01810ICF/MR 62388,A000000,02200,0000,02200LABORATORY 62388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62388,A000000,02500,0000,02500PHYSICAL THERAPY 62388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62388,A000000,02700,0000,02700SPEECH PATHOLOGY 62388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62388,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62388,A000000,03200,0000,03200SUPPORT SURFACES 62388,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62388,A000000,03550,0000,03550FQHC 62388,A000000,05000,0000,05000CORF 62388,A000000,05010,0000,05010CMHC 62388,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62388,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62388,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62388,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62388,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62388,A81000A,00100,0100,Y 62388,A81000B,00100,0300,HOME OFFICE EXPENSE 62388,A81000B,00200,0300,HOME OFFICE EXPENSE 62388,A81000B,00300,0300,UNIFORMS 62388,A81000B,00400,0300,OFFICE SUPPLIES 62388,A81000B,00500,0300,MAINTENANCE SUPPLIES 62388,A81000B,00600,0300,HOUSEKEEPING SUPPLIES 62388,A81000B,00700,0300,FOOD SUPPLEMENTS 62388,A81000B,00800,0300,NURSING SUPPLIES 62388,A81000B,00900,0300,MEDICAL SUPPLIES 62388,A81000B,01000,0300,PT SUPPLIES 62388,A81000B,01100,0300,OT SUPPLIES 62388,A81000B,01200,0300,MEDICAL SUPPLIES 62388,A81000C,00100,0100,B 62388,A81000C,00100,0200,HIGHLAND MANOR 62388,A81000C,00100,0400,ADVENTIST CARE 62388,A81000C,00100,0600,NURSING HOME CO 62388,A81000C,00200,0100,G 62388,A81000C,00200,0200,HIGHLAND MANOR 62388,A81000C,00200,0400,Q-CARE 62388,A81000C,00200,0600,MEDICAL SUPPLY 62388,B100000,00000,0100,00000SQUARE FEET 62388,B100000,00000,0200,00000SQUARE FEET 62388,B100000,00000,0300,00000GROSS SALARIES 62388,B100000,00000,0400,00000ACCUM COST 62388,B100000,00000,0500,00000SQUARE FEET 62388,B100000,00000,0600,00000POUNDS OF LAUNDRY 62388,B100000,00000,0700,00000SQUARE FEET 62388,B100000,00000,0800,00000MEALS SERVED 62388,B100000,00000,0900,00000HOURS OF SERVICE 62388,B100000,00000,1000,00000COSTED REQUISITIO 62388,B100000,00000,1100,00000COSTED REQUISITIO 62388,B100000,00000,1200,00000HOURS OF SERVICE 62388,B100000,00000,1300,00000HOURS OF SERVICE 62388,B100000,00000,1350,00000 62388,B100000,00000,1400,00000ASSIGNED TIME 62388,S000000,00100,0200,05/31/2000 62388,S200000,00100,0100,215 HIGHLAND CIRCLE DR. 62388,S200000,00200,0100,PORTLAND 62388,S200000,00200,0200,TN 62388,S200000,00200,0300,37148 62388,S200000,00300,0100,SUMNER 62388,S200000,00400,0100,HIGHLAND MANOR 62388,S200000,00400,0200,445306 62388,S200000,00400,0300,01/01/1993 62388,S200000,00400,0500,P 62388,S200000,01600,0100,Y 62414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62414,A000000,00300,0000,00300EMPLOYEE BENEFITS 62414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62414,A000000,00700,0000,00700HOUSEKEEPING 62414,A000000,00800,0000,00800DIETARY 62414,A000000,00900,0000,00900NURSING ADMINISTRATION 62414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62414,A000000,01100,0000,01100PHARMACY 62414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62414,A000000,01300,0000,01300SOCIAL SERVICE 62414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62414,A000000,01600,0000,01600SKILLED NURSING FACILITY 62414,A000000,01800,0000,01800NURSING FACILITY 62414,A000000,01810,0000,01810ICF/MR 62414,A000000,02100,0000,02100RADIOLOGY 62414,A000000,02200,0000,02200LABORATORY 62414,A000000,02500,0000,02500PHYSICAL THERAPY 62414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62414,A000000,02700,0000,02700SPEECH PATHOLOGY 62414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62414,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62414,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62414,A000000,03550,0000,03550FQHC 62414,A000000,04800,0000,04800AMBULANCE 62414,A000000,05000,0000,05000CORF 62414,A000000,05010,0000,05010CMHC 62414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62414,A000000,05300,0000,05300INTEREST EXPENSE 62414,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62414,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62414,A81000A,00100,0100,Y 62414,A81000B,00100,0300,MANAGEMENT FEE 62414,A81000B,00200,0300,CAPITAL EXP.-HOME OFC 62414,A81000B,00300,0300,INTEREST EXPENSE 62414,A81000C,00100,0100,B 62414,A81000C,00100,0200,HEALTHMARK SERV 62414,A81000C,00100,0400,CUBA MANOR INC 62414,A81000C,00100,0600,NURSING HOME 62414,A81000C,00200,0100,B 62414,A81000C,00200,0400,HILLCREST HC LL 62414,A81000C,00200,0600,NURSING HOME 62414,A81000C,00300,0100,B 62414,A81000C,00300,0400,HILLCREST HC CT 62414,A81000C,00300,0600,NURSING HOME 62414,A81000C,00400,0100,B 62414,A81000C,00400,0400,STONEBROOK 62414,A81000C,00400,0600,NURSING HOME 62414,B100000,00000,0100,00000SQUARE FEET 62414,B100000,00000,0200,00000SQUARE FEET 62414,B100000,00000,0300,00000GROSS SALARIES 62414,B100000,00000,0400,00000ACCUM COST 62414,B100000,00000,0500,00000SQUARE FEET 62414,B100000,00000,0600,00000POUNDS OF LAUNDRY 62414,B100000,00000,0700,00000SQUARE FEET 62414,B100000,00000,0800,00000MEALS SERVED 62414,B100000,00000,0900,00000GROSS SAL. NURSING 62414,B100000,00000,1000,00000COSTED REQUISITIO 62414,B100000,00000,1100,00000COSTED REQUISITIO 62414,B100000,00000,1200,00000GROSS REVENUES 62414,B100000,00000,1300,00000PATIENT DAYS 62414,B100000,00000,1400,00000ASSIGNED TIME 62414,E10A180,00301,0100,05/16/2000 62414,S000000,00100,0200,05/30/2000 62414,S200000,00100,0100,111 EAST LENOX STREET 62414,S200000,00200,0100,ASHLAND CITY 62414,S200000,00200,0200,TN 62414,S200000,00200,0300,37015 62414,S200000,00300,0100,CHEATHAM 62414,S200000,00400,0100,HILLCREST HEALTHCARE LLC 62414,S200000,00400,0200,445316 62414,S200000,00400,0300,10/20/1993 62414,S200000,00400,0500,P 62414,S200000,01600,0100,Y 62414,S200000,04300,0100,Y 62432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62432,A000000,00300,0000,00300EMPLOYEE BENEFITS 62432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62432,A000000,00700,0000,00700HOUSEKEEPING 62432,A000000,00800,0000,00800DIETARY 62432,A000000,00900,0000,00900NURSING ADMINISTRATION 62432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62432,A000000,01100,0000,01100PHARMACY 62432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62432,A000000,01300,0000,01300SOCIAL SERVICE 62432,A000000,01350,0000,01500ACTIVITIES 62432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62432,A000000,01600,0000,01600SKILLED NURSING FACILITY 62432,A000000,01800,0000,01800NURSING FACILITY 62432,A000000,01810,0000,01810ICF/MR 62432,A000000,02100,0000,02100RADIOLOGY 62432,A000000,02200,0000,02200LABORATORY 62432,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62432,A000000,02500,0000,02500PHYSICAL THERAPY 62432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62432,A000000,02700,0000,02700SPEECH PATHOLOGY 62432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62432,A000000,03550,0000,03550FQHC 62432,A000000,05000,0000,05000CORF 62432,A000000,05010,0000,05010CMHC 62432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62432,A000000,06150,0000,06300ASSITED LIVING 62432,B100000,00000,0100,00000SQUARE FEET 62432,B100000,00000,0200,00000SQUARE FEET 62432,B100000,00000,0300,00000GROSS SALARIES 62432,B100000,00000,0400,00000ACCUM COST 62432,B100000,00000,0500,00000SQUARE FEET 62432,B100000,00000,0600,00000POUNDS OF LAUNDRY 62432,B100000,00000,0700,00000HOURS OF SERVICE 62432,B100000,00000,0800,00000MEALS SERVED 62432,B100000,00000,0900,00000DIRECT NRSG HRS 62432,B100000,00000,1000,00000COSTED REQUIS 62432,B100000,00000,1100,00000COSTED REQUIS 62432,B100000,00000,1200,00000TIME SPENT 62432,B100000,00000,1300,00000TIME SPENT 62432,B100000,00000,1350,00000PT. DAYS 62432,B100000,00000,1400,00000ASSIGNED TIME 62432,E10A180,00501,0100,10/27/2000 62432,E10A180,00501,0300,10/27/2000 62432,S000000,00100,0200,08/31/2000 62432,S200000,00100,0100,520 OLD HIGHWAY 68 62432,S200000,00200,0100,SWEETWATER 62432,S200000,00200,0200,TN 62432,S200000,00300,0100,MONROE 62432,S200000,00400,0100,WOOD PRESBYTERIAN HOME 62432,S200000,00400,0200,445322 62432,S200000,00400,0300,11/17/1993 62432,S200000,00400,0500,P 62432,S200000,00400,0600,O 62432,S200000,00600,0200,440206 62432,S200000,00600,0300,07/01/1966 62432,S200000,01600,0100,Y 62432,S200000,01900,0100,501 C 3 62432,S200000,02200,0100,Y 62440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62440,A000000,00300,0000,00300EMPLOYEE BENEFITS 62440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62440,A000000,00700,0000,00700HOUSEKEEPING 62440,A000000,00800,0000,00800DIETARY 62440,A000000,00900,0000,00900NURSING ADMINISTRATION 62440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62440,A000000,01100,0000,01100PHARMACY 62440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62440,A000000,01300,0000,01300SOCIAL SERVICE 62440,A000000,01350,0000,01500ACTIVITIES 62440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62440,A000000,01600,0000,01600SKILLED NURSING FACILITY 62440,A000000,01800,0000,01800NURSING FACILITY 62440,A000000,01810,0000,01810ICF/MR 62440,A000000,02100,0000,02100RADIOLOGY 62440,A000000,02200,0000,02200LABORATORY 62440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62440,A000000,02500,0000,02500PHYSICAL THERAPY 62440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62440,A000000,02700,0000,02700SPEECH PATHOLOGY 62440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62440,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST 62440,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 62440,A000000,05000,0000,05000CORF 62440,A000000,05010,0000,05010CMHC 62440,A000000,05020,0000,05020OPT 62440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62440,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62440,A000000,06150,0000,06300ADULT DAY CARE/FUNCT. ASSES. 62440,A000000,06200,0000,06200PATIENTS LAUNDRY 62440,A81000A,00100,0100,Y 62440,A81000C,00100,0100,D 62440,B100000,00000,0100,00000(SQUARE FEET) 62440,B100000,00000,0200,00000(SQUARE FEET) 62440,B100000,00000,0300,00000(GROSS SALARIES) 62440,B100000,00000,0400,00000(ACCUM COST) 62440,B100000,00000,0500,00000(SQUARE FEET) 62440,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62440,B100000,00000,0700,00000(SQUARE FEET) 62440,B100000,00000,0800,00000(MEALS SERVED) 62440,B100000,00000,0900,00000(DIR NRSG HOURS) 62440,B100000,00000,1000,00000(COSTED REQUIS) 62440,B100000,00000,1100,00000(COSTED REQUIS) 62440,B100000,00000,1200,00000(TIME SPENT) 62440,B100000,00000,1300,00000(TIME SPENT) 62440,B100000,00000,1350,00000(TIME SPENT) 62440,B100000,00000,1400,00000(ASSIGNED TIME) 62440,E10A180,00501,0100,07/26/2000 62440,S000000,00100,0200,05/31/2000 62440,S200000,00100,0100,202 ENON SPRINGS ROAD EAST 62440,S200000,00200,0100,SMYRNA 62440,S200000,00200,0200,TN 62440,S200000,00200,0300,37167 62440,S200000,00300,0100,RUTHERFORD 62440,S200000,00400,0100,PEACHTREE NURSING & REHAB. 62440,S200000,00400,0200,445323 62440,S200000,00400,0300,02/01/1994 62440,S200000,00400,0500,P 62440,S200000,00400,0600,P 62440,S200000,00600,0200,440558 62440,S200000,00600,0300,12/12/1973 62440,S200000,00600,0600,O 62440,S200000,01600,0100,Y 62440,S200000,02200,0100,Y 62449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62449,A000000,00300,0000,00300EMPLOYEE BENEFITS 62449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62449,A000000,00700,0000,00700HOUSEKEEPING 62449,A000000,00800,0000,00800DIETARY 62449,A000000,00900,0000,00900NURSING ADMINISTRATION 62449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62449,A000000,01100,0000,01100PHARMACY 62449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62449,A000000,01300,0000,01300SOCIAL SERVICE 62449,A000000,01350,0000,01500ACTIVITIES 62449,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62449,A000000,01600,0000,01600SKILLED NURSING FACILITY 62449,A000000,01800,0000,01800NURSING FACILITY 62449,A000000,01810,0000,01810ICF/MR 62449,A000000,02100,0000,02100RADIOLOGY 62449,A000000,02200,0000,02200LABORATORY 62449,A000000,02300,0000,02300INTRAVENOUS THERAPY 62449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62449,A000000,02500,0000,02500PHYSICAL THERAPY 62449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62449,A000000,02700,0000,02700SPEECH PATHOLOGY 62449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62449,A000000,02901,0000,02901PEN THERAPY 62449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62449,A000000,03050,0000,03300OTHER ANCILLARY 62449,A000000,03051,0000,03301AMBULANCE 62449,A000000,03550,0000,03550FQHC 62449,A000000,05000,0000,05000CORF 62449,A000000,05010,0000,05010CMHC 62449,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62449,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62449,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62449,A81000A,00100,0100,Y 62449,A81000B,00100,0300,HOME OFFICE COSTS 62449,A81000B,00200,0300,ALLOCATED COSTS - PT 62449,A81000B,00300,0300,ALLOCATED COSTS - OT 62449,A81000B,00400,0300,ALLOCATED COSTS - ST 62449,A81000B,00500,0300,MEDILIFE 62449,A81000B,00600,0300,MEDILIFE 62449,A81000B,00700,0300,REL. PARTY INTEREST 62449,A81000B,00800,0300,LIFE CARE DESIGNS 62449,A81000B,00900,0300,COMPUTER INSTALL. 62449,A81000C,00100,0100,A 62449,A81000C,00100,0200,FORREST PRESTON 62449,A81000C,00100,0400,LIFE CARE CENTE 62449,A81000C,00100,0600,MANAGEMENT COMP 62449,A81000C,00200,0100,A 62449,A81000C,00200,0200,FORREST PRESTON 62449,A81000C,00200,0400,MEDILIFE 62449,A81000C,00200,0600,PHARMACY 62449,A81000C,00300,0100,A 62449,A81000C,00300,0200,FORREST PRESTON 62449,A81000C,00300,0400,LIFE CARE DESIG 62449,A81000C,00300,0600,INTERIOR DESIGN 62449,B100000,00000,0100,00000(SQUARE FEET) 62449,B100000,00000,0200,00000(SQUARE FEET) 62449,B100000,00000,0300,00000(GROSS SALARIES) 62449,B100000,00000,0400,00000(ACCUM COST) 62449,B100000,00000,0500,00000(SQUARE FEET) 62449,B100000,00000,0600,00000PATIENT DAYS 62449,B100000,00000,0700,00000(SQUARE FEET) 62449,B100000,00000,0800,00000(MEALS SERVED) 62449,B100000,00000,0900,00000DIR HOURS SUPERVISED 62449,B100000,00000,1000,00000(COSTED REQUIS) 62449,B100000,00000,1100,00000(COSTED REQUIS) 62449,B100000,00000,1200,00000GROSS REVENUES 62449,B100000,00000,1300,00000TIME SPENT 62449,B100000,00000,1350,00000PATIENT DAYS 62449,B100000,00000,1400,00000(ASSIGNED TIME) 62449,E10A180,00301,0100,08/17/1999 62449,E10A180,00302,0100,02/07/2000 62449,E10A180,00303,0100,04/12/2000 62449,S000000,00100,0200,08/31/2000 62449,S200000,00100,0100,105 ROWLAND AVENUE 62449,S200000,00100,0300,137 62449,S200000,00200,0100,BRUCETON 62449,S200000,00200,0200,TN 62449,S200000,00200,0300,38317 62449,S200000,00300,0100,CARROLL 62449,S200000,00400,0100,LIFE CARE CENTER OF BRUCETON 62449,S200000,00400,0200,445326 62449,S200000,00400,0300,03/23/1994 62449,S200000,00400,0500,P 62449,S200000,00400,0600,O 62449,S200000,00600,0200,445326 62449,S200000,00600,0300,03/23/1994 62449,S200000,00600,0600,P 62449,S200000,01600,0100,Y 62449,S200000,02200,0100,Y 62449,S200000,04700,0100,Y 62449,S200000,04700,0200,Y 62458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62458,A000000,00300,0000,00300EMPLOYEE BENEFITS 62458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62458,A000000,00700,0000,00700HOUSEKEEPING 62458,A000000,00800,0000,00800DIETARY 62458,A000000,00900,0000,00900NURSING ADMINISTRATION 62458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62458,A000000,01100,0000,01100PHARMACY 62458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62458,A000000,01300,0000,01300SOCIAL SERVICE 62458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62458,A000000,01600,0000,01600SKILLED NURSING FACILITY 62458,A000000,01800,0000,01800NURSING FACILITY 62458,A000000,01810,0000,01810ICF/MR 62458,A000000,02100,0000,02100RADIOLOGY 62458,A000000,02200,0000,02200LABORATORY 62458,A000000,02300,0000,02300INTRAVENOUS THERAPY 62458,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62458,A000000,02500,0000,02500PHYSICAL THERAPY 62458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62458,A000000,02700,0000,02700SPEECH PATHOLOGY 62458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62458,A000000,03550,0000,03550FQHC 62458,A000000,05000,0000,05000CORF 62458,A000000,05010,0000,05010CMHC 62458,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62458,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62458,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62458,A000000,05300,0000,05300INTEREST EXPENSE 62458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62458,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62458,A81000A,00100,0100,Y 62458,A81000B,00100,0300,MANAGEMENT FEES 62458,A81000B,00200,0300,HEALTH / WORKERS COMP INSURANC 62458,A81000B,00300,0300,EQUIPMENT LEASE 62458,A81000C,00100,0100,A 62458,A81000C,00100,0200,JERRY STOUT 62458,A81000C,00100,0400,WELLINGTON GRP 62458,A81000C,00100,0600,MANAGEMENT CO. 62458,A81000C,00200,0100,A 62458,A81000C,00200,0200,MARK WEST 62458,A81000C,00200,0400,WELLINGTON GRP 62458,A81000C,00200,0600,MANAGEMENT CO. 62458,A81000C,00300,0100,A 62458,A81000C,00300,0200,JERRY STOUT 62458,A81000C,00300,0400,HEALTHVEST INC 62458,A81000C,00300,0600,INSURANCE 62458,A81000C,00400,0100,A 62458,A81000C,00400,0200,MARK WEST 62458,A81000C,00400,0400,HEALTHVEST INC 62458,A81000C,00400,0600,INSURANCE 62458,A81000C,00500,0100,A 62458,A81000C,00500,0200,JERRY STOUT 62458,A81000C,00500,0400,QUANTUM LEASING 62458,A81000C,00500,0600,EQUIPMENT RENT 62458,A81000C,00600,0100,A 62458,A81000C,00600,0200,MARK WEST 62458,A81000C,00600,0400,QUANTUM LEASING 62458,A81000C,00600,0600,EQUIPMENT RENT 62458,B100000,00000,0100,00000SQUARE FEET 62458,B100000,00000,0200,00000SQUARE FEET 62458,B100000,00000,0300,00000GROSS SAL 62458,B100000,00000,0400,00000ACCUM. COST 62458,B100000,00000,0500,00000SQUARE FEET 62458,B100000,00000,0600,00000POUNDS OF LAUNDRY 62458,B100000,00000,0700,00000SQUARE FEET 62458,B100000,00000,0800,00000PAT DAYS 62458,B100000,00000,0900,00000NURSING HOURS 62458,B100000,00000,1000,00000PAT DAYS 62458,B100000,00000,1100,00000PAT DAYS 62458,B100000,00000,1200,00000GROSS CHARGES 62458,B100000,00000,1300,00000HOURS WORKED 62458,B100000,00000,1400,00000PAT DAYS 62458,E10A180,00301,0100,11/29/1999 62458,E10A180,00501,0100,07/26/2000 62458,E10A180,00501,0300,07/26/2000 62458,S000000,00100,0200,05/30/2000 62458,S200000,00100,0100,117 NORTH MAIN STREET 62458,S200000,00200,0100,RIDGELY 62458,S200000,00200,0200,TN 62458,S200000,00200,0300,38080 62458,S200000,00300,0100,LAKE 62458,S200000,00400,0100,RIDGELY HEALTH CARE CENTER 62458,S200000,00400,0200,445327 62458,S200000,00400,0300,08/24/1994 62458,S200000,00400,0500,P 62458,S200000,00400,0600,P 62458,S200000,00600,0200,445327 62458,S200000,00600,0300,08/24/1994 62458,S200000,00600,0600,P 62458,S200000,01600,0100,Y 62458,S200000,04300,0100,Y 62474,S000000,00100,0200,06/30/2000 62507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62507,A000000,00300,0000,00300EMPLOYEE BENEFITS 62507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62507,A000000,00700,0000,00700HOUSEKEEPING 62507,A000000,00800,0000,00800DIETARY 62507,A000000,00900,0000,00900NURSING ADMINISTRATION 62507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62507,A000000,01100,0000,01100PHARMACY 62507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62507,A000000,01300,0000,01300SOCIAL SERVICE 62507,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62507,A000000,01600,0000,01600SKILLED NURSING FACILITY 62507,A000000,01800,0000,01800NURSING FACILITY 62507,A000000,01900,0000,01900OTHER LONG TERM CARE 62507,A000000,02100,0000,02100RADIOLOGY 62507,A000000,02200,0000,02200LABORATORY 62507,A000000,02300,0000,02300INTRAVENOUS THERAPY 62507,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62507,A000000,02500,0000,02500PHYSICAL THERAPY 62507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62507,A000000,02700,0000,02700SPEECH PATHOLOGY 62507,A000000,02800,0000,02800ELECTROCARDIOLOGY 62507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62507,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62507,A000000,03200,0000,03200SUPPORT SURFACES 62507,A000000,03400,0000,03400CLINIC 62507,A000000,03500,0000,03500RURAL HEALTH CLINIC 62507,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 62507,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 62507,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 62507,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 62507,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62507,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 62507,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 62507,A000000,04400,0000,04400DME RENTED - HHA 62507,A000000,04500,0000,04500DME SOLD - HHA 62507,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 62507,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 62507,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 62507,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62507,A000000,05300,0000,05300INTEREST EXPENSE 62507,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62507,A000000,05500,0000,05500HOSPICE 62507,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62507,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62507,A000000,06100,0000,06100NONPAID WORKERS 62507,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST CEN 62507,A000000,06200,0000,06200PATIENTS LAUNDRY 62507,A81000A,00100,0100,Y 62507,A81000B,00100,0300,MANAGEMENT FEES 62507,A81000B,00200,0300,WORKERS COMP / HEALTH INSURANC 62507,A81000B,00300,0300,EQUIPMENT LEASING 62507,A81000C,00100,0100,A 62507,A81000C,00100,0200,JERRY STOUT 62507,A81000C,00100,0400,WELLINGTON GRP 62507,A81000C,00100,0600,MANAGEMENT CO. 62507,A81000C,00200,0100,A 62507,A81000C,00200,0200,MARK WEST 62507,A81000C,00200,0400,WELLINGTON GRP 62507,A81000C,00200,0600,MANAGEMENT CO. 62507,A81000C,00300,0100,A 62507,A81000C,00300,0200,JERRY STOUT 62507,A81000C,00300,0400,HEALTHVEST INC 62507,A81000C,00300,0600,INSURANCE 62507,A81000C,00400,0100,A 62507,A81000C,00400,0200,MARK WEST 62507,A81000C,00400,0400,HEALTHVEST INC 62507,A81000C,00400,0600,INSURANCE 62507,A81000C,00500,0100,A 62507,A81000C,00500,0200,JERRY STOUT 62507,A81000C,00500,0400,QUANTUM LEASING 62507,A81000C,00500,0600,EQUIPMENT RENT 62507,A81000C,00600,0100,A 62507,A81000C,00600,0200,MARK WEST 62507,A81000C,00600,0400,QUANTUM LEASING 62507,A81000C,00600,0600,EQUIPMENT RENT 62507,B100000,00000,0100,00000SQUARE FEET 62507,B100000,00000,0200,00000SQUARE FEET 62507,B100000,00000,0300,00000GROSS SAL 62507,B100000,00000,0400,00000ACCUM. COST 62507,B100000,00000,0500,00000SQUARE FEET 62507,B100000,00000,0600,00000POUNDS OF LAUNDRY 62507,B100000,00000,0700,00000SQUARE FEET 62507,B100000,00000,0800,00000MEALS SERV 62507,B100000,00000,0900,00000NURSING SALARIES 62507,B100000,00000,1000,00000PAT DAYS 62507,B100000,00000,1100,00000PAT DAYS 62507,B100000,00000,1200,00000GROSS CHARGES 62507,B100000,00000,1300,00000HOURS WORKED 62507,B100000,00000,1400,00000PAT DAYS 62507,E10A180,00301,0100,12/22/1999 62507,E10A180,00501,0100,07/25/2000 62507,E10A180,00501,0300,07/25/2000 62507,S000000,00100,0200,05/30/2000 62507,S200000,00100,0100,1559 NEW HWY. 52 62507,S200000,00200,0100,WESTMORELAND 62507,S200000,00200,0200,TN 62507,S200000,00200,0300,37186 62507,S200000,00300,0100,SUMNER 62507,S200000,00400,0100,ROYAL CARE OF WESTMORELAND 62507,S200000,00400,0200,445342 62507,S200000,00400,0300,02/10/1995 62507,S200000,00400,0500,P 62507,S200000,00400,0600,P 62507,S200000,00600,0200,445342 62507,S200000,00600,0300,02/10/1995 62507,S200000,00600,0600,P 62507,S200000,01600,0100,Y 62507,S200000,04300,0100,Y 62518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62518,A000000,00300,0000,00300EMPLOYEE BENEFITS 62518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62518,A000000,00700,0000,00700HOUSEKEEPING 62518,A000000,00800,0000,00800DIETARY 62518,A000000,00900,0000,00900NURSING ADMINISTRATION 62518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62518,A000000,01100,0000,01100PHARMACY 62518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62518,A000000,01300,0000,01300SOCIAL SERVICE 62518,A000000,01350,0000,01500OTHER GENERAL SERVICES 62518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62518,A000000,01600,0000,01600SKILLED NURSING FACILITY 62518,A000000,01800,0000,01800NURSING FACILITY 62518,A000000,01810,0000,01810ICF/MR 62518,A000000,02100,0000,02100RADIOLOGY 62518,A000000,02300,0000,02300INTRAVENOUS THERAPY 62518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62518,A000000,02500,0000,02500PHYSICAL THERAPY 62518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62518,A000000,02700,0000,02700SPEECH PATHOLOGY 62518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62518,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62518,A000000,03200,0000,03200SUPPORT SURFACES 62518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62518,A000000,03550,0000,03550FQHC 62518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62518,A000000,04800,0000,04800AMBULANCE 62518,A000000,05000,0000,05000CORF 62518,A000000,05010,0000,05010CMHC 62518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62518,A81000A,00100,0100,Y 62518,A81000B,00100,0300,MANAGEMENT FEES 62518,A81000C,00100,0100,A 62518,A81000C,00100,0200,MERCY SR HLTH 62518,A81000C,00100,0400,ST MARYS HLTH 62518,A81000C,00100,0600,HEALTHCARE 62518,B100000,00000,0100,00000SQUARE FEET 62518,B100000,00000,0200,00000SQUARE FEET 62518,B100000,00000,0300,00000GROSS SAL 62518,B100000,00000,0400,00000ACCUM. COST 62518,B100000,00000,0500,00000SQUARE FEET 62518,B100000,00000,0600,00000POUNDS OF LAUNDRY 62518,B100000,00000,0700,00000SQUARE FEET 62518,B100000,00000,0800,00000MEALS SERVED 62518,B100000,00000,0900,00000TIME SPENT 62518,B100000,00000,1000,00000COSTED REQUIS 62518,B100000,00000,1100,00000COSTED REQUIS 62518,B100000,00000,1200,00000TIME SPENT 62518,B100000,00000,1300,00000TIME SPENT 62518,B100000,00000,1350,00000OTHER GENERAL SV 62518,B100000,00000,1400,00000INTERNS & RESIDENTS 62518,E10A180,00501,0100,07/25/2000 62518,S000000,00100,0200,05/30/2000 62518,S200000,00100,0100,3916 BOYDS BRIDGE PIKE 62518,S200000,00200,0100,KNOXVILLE 62518,S200000,00200,0200,TN 62518,S200000,00200,0300,37914 62518,S200000,00300,0100,KNOX 62518,S200000,00400,0100,HOLSTON HEALTH CARE CENTER 62518,S200000,00400,0200,445344 62518,S200000,00400,0300,02/21/1995 62518,S200000,00400,0500,P 62518,S200000,01600,0100,Y 62518,S200000,02200,0100,Y 62518,S200000,04100,0100,Y 62518,S200000,04300,0100,Y 62518,S200000,04700,0100,Y 62518,S200000,04700,0200,Y 62528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62528,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62528,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62528,A000000,00300,0000,00300EMPLOYEE BENEFITS 62528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62528,A000000,00700,0000,00700HOUSEKEEPING 62528,A000000,00800,0000,00800DIETARY 62528,A000000,00801,0000,00801CAFETERIA 62528,A000000,00900,0000,00900NURSING ADMINISTRATION 62528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62528,A000000,01100,0000,01100PHARMACY 62528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62528,A000000,01300,0000,01300SOCIAL SERVICE 62528,A000000,01350,0000,01500ACTIVITIES 62528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62528,A000000,01600,0000,01600SKILLED NURSING FACILITY 62528,A000000,01800,0000,01800NURSING FACILITY 62528,A000000,01810,0000,01810ICF/MR 62528,A000000,01900,0000,01900OTHER LONG TERM CARE 62528,A000000,02100,0000,02100RADIOLOGY 62528,A000000,02200,0000,02200LABORATORY 62528,A000000,02300,0000,02300INTRAVENOUS THERAPY 62528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62528,A000000,02500,0000,02500PHYSICAL THERAPY 62528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62528,A000000,02700,0000,02700SPEECH PATHOLOGY 62528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62528,A000000,03050,0000,03300OTHER ANCILLARY 62528,A000000,03051,0000,03301OTHER ANCILLARY II 62528,A000000,03052,0000,03302OTHER ANCILLARY III 62528,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62528,A000000,03550,0000,03550FQHC 62528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62528,A000000,04800,0000,04800AMBULANCE 62528,A000000,05000,0000,05000CORF I 62528,A000000,05010,0000,05010CMHC I 62528,A000000,05020,0000,05020OPT I 62528,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62528,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62528,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62528,A81000A,00100,0100,Y 62528,A81000B,00100,0300,HOME OFFICE A & G 62528,A81000C,00100,0100,B 62528,A81000C,00100,0400,LAKESHORE EST 62528,A81000C,00100,0600,LONG TERM CARE 62528,B100000,00000,0100,00000(SQUARE FEET) 62528,B100000,00000,0101,00000 62528,B100000,00000,0200,00000(SQUARE FEET) 62528,B100000,00000,0201,00000 62528,B100000,00000,0300,00000(GROSS SALARIES) 62528,B100000,00000,0400,00000(ACCUM. COST) 62528,B100000,00000,0500,00000(SQUARE FEET) 62528,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62528,B100000,00000,0700,00000(SQUARE FEET) 62528,B100000,00000,0800,00000(MEALS SERVED) 62528,B100000,00000,0801,00000(MEALS SERVED) 62528,B100000,00000,0900,00000TIME SPENT 62528,B100000,00000,1000,00000(COSTED REQUIS.) 62528,B100000,00000,1100,00000(COSTED REQUIS.) 62528,B100000,00000,1200,00000(TIME SPENT) 62528,B100000,00000,1300,00000(TIME SPENT) 62528,B100000,00000,1350,00000TIME SPENT 62528,B100000,00000,1400,00000(ASSIGNED TIME) 62528,E10A180,00501,0100,07/21/2000 62528,E10A180,00501,0300,07/21/2000 62528,S000000,00100,0200,05/30/2000 62528,S200000,00100,0100,832 WEDGEWOOD AVE 62528,S200000,00200,0100,NASHVILLE 62528,S200000,00200,0200,TN 62528,S200000,00200,0300,37203 62528,S200000,00300,0100,DAVIDSON 62528,S200000,00400,0100,LAKESHORE WEDGEWOOD 62528,S200000,00400,0200,445346 62528,S200000,00400,0300,04/05/1995 62528,S200000,00400,0500,P 62528,S200000,00400,0600,P 62528,S200000,01600,0100,Y 62544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62544,A000000,00300,0000,00300EMPLOYEE BENEFITS 62544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62544,A000000,00700,0000,00700HOUSEKEEPING 62544,A000000,00800,0000,00800DIETARY 62544,A000000,00900,0000,00900NURSING ADMINISTRATION 62544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62544,A000000,01100,0000,01100PHARMACY 62544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62544,A000000,01300,0000,01300SOCIAL SERVICE 62544,A000000,01350,0000,01500PATIENT ACTIVITIES 62544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62544,A000000,01600,0000,01600SKILLED NURSING FACILITY 62544,A000000,01800,0000,01800NURSING FACILITY 62544,A000000,01900,0000,01900OTHER LONG TERM CARE 62544,A000000,02100,0000,02100RADIOLOGY 62544,A000000,02200,0000,02200LABORATORY 62544,A000000,02300,0000,02300INTRAVENOUS THERAPY 62544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62544,A000000,02500,0000,02500PHYSICAL THERAPY 62544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62544,A000000,02700,0000,02700SPEECH PATHOLOGY 62544,A000000,02800,0000,02800ELECTROCARDIOLOGY 62544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62544,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62544,A000000,03200,0000,03200SUPPORT SURFACES 62544,A000000,03400,0000,03400CLINIC 62544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62544,A000000,03500,0000,03500RURAL HEALTH CLINIC 62544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 62544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 62544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 62544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 62544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 62544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 62544,A000000,04400,0000,04400DME RENTED - HHA 62544,A000000,04500,0000,04500DME SOLD - HHA 62544,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 62544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 62544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62544,A000000,04800,0000,04800AMBULANCE 62544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 62544,A000000,05000,0000,05000CORF 62544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62544,A000000,05300,0000,05300INTEREST EXPENSE 62544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62544,A000000,05500,0000,05500HOSPICE 62544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62544,A000000,06100,0000,06100NONPAID WORKERS 62544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62544,A000000,06200,0000,06200PATIENTS LAUNDRY 62544,A81000A,00100,0100,Y 62544,A81000B,00100,0300,OVERSIGHT MGMT FEE 62544,A81000B,00200,0300,CAPITAL RELATED COSTS B&F 62544,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 62544,A81000B,00400,0300,CAPITAL RELATED COSTS B&F 62544,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 62544,A81000B,00600,0300,ANCILLARY MGMT FEE 62544,A81000B,00700,0300,ANCILLARY MGMT FEE 62544,A81000B,00800,0300,ANCILLARY MGMT FEE 62544,A81000C,00100,0100,B 62544,A81000C,00100,0200,SOUTHERN HEALTHCARE SYS 62544,A81000C,00100,0400,SOUTHERN HEALTHCARE SYS 62544,A81000C,00100,0600,HOME OFFICE 62544,A81000C,00200,0100,B 62544,A81000C,00200,0200,FHS INC 62544,A81000C,00200,0400,FHS INC 62544,A81000C,00200,0600,HOME OFFICE 62544,A81000C,00300,0100,B 62544,A81000C,00300,0200,FAS INC 62544,A81000C,00300,0400,FAS INC 62544,A81000C,00300,0600,ANCILLARY MGMT 62544,B100000,00000,0100,00000SQUARE FEET 62544,B100000,00000,0200,00000NO STATISTICS 62544,B100000,00000,0300,00000GROSS SALARIES 62544,B100000,00000,0400,00000ACCUM. COST 62544,B100000,00000,0500,00000SQUARE FEET 62544,B100000,00000,0600,00000PATIENT DAYS 62544,B100000,00000,0700,00000SQ FT EXCL DIET 62544,B100000,00000,0800,00000MEALS SERVED 62544,B100000,00000,0900,00000NO STATISTICS 62544,B100000,00000,1000,00000PATIENT DAYS 62544,B100000,00000,1100,00000PATIENT DAYS 62544,B100000,00000,1200,00000NO STATISTICS 62544,B100000,00000,1300,00000PATIENT DAYS 62544,B100000,00000,1350,00000PATIENT DAYS 62544,B100000,00000,1400,00000NO STATISTICS 62544,E10A180,00501,0100,07/26/2000 62544,E10A180,00550,0300,07/26/2000 62544,S000000,00100,0200,05/31/2000 62544,S200000,00100,0100,1410 TROTWOOD AVENUE 62544,S200000,00200,0100,COLUMBIA 62544,S200000,00200,0200,TN 62544,S200000,00300,0100,MAURY 62544,S200000,00400,0100,HERITAGE MANOR OF COLUMBIA 62544,S200000,00400,0200,445348 62544,S200000,00400,0300,04/20/1995 62544,S200000,00400,0500,P 62544,S200000,01600,0100,Y 62560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62560,A000000,00300,0000,00300EMPLOYEE BENEFITS 62560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62560,A000000,00700,0000,00700HOUSEKEEPING 62560,A000000,00800,0000,00800DIETARY 62560,A000000,00900,0000,00900NURSING ADMINISTRATION 62560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62560,A000000,01300,0000,01300SOCIAL SERVICE 62560,A000000,01600,0000,01600SKILLED NURSING FACILITY 62560,A000000,01800,0000,01800NURSING FACILITY 62560,A000000,02100,0000,02100RADIOLOGY 62560,A000000,02200,0000,02200LABORATORY 62560,A000000,02300,0000,02300INTRAVENOUS THERAPY 62560,A000000,02500,0000,02500PHYSICAL THERAPY 62560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62560,A000000,02700,0000,02700SPEECH PATHOLOGY 62560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62560,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62560,A000000,05300,0000,05300INTEREST EXPENSE 62560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62560,A81000A,00100,0100,Y 62560,A81000B,00100,0300,AMORTIZATION 62560,A81000B,00200,0300,MANAGEMENT FEES 62560,A81000B,00300,0300,DEPRECIATION 62560,A81000B,00400,0300,OFFICE SUPPLIES 62560,A81000B,00500,0300,TELEPHONE 62560,A81000B,00600,0300,BENEFITS ADMINISTRATION 62560,A81000B,00700,0300,OTHER ADMINISTRATIVE 62560,A81000B,00800,0300,DIRECTOR FEES 62560,A81000B,00900,0300,PURCHASED SERVICES 62560,A81000B,01000,0300,EXCESS INTEREST INCOME 62560,A81000C,00100,0100,A 62560,A81000C,00100,0200,J. RANDY LEWIS 62560,A81000C,00100,0400,CARE CENTERS MGMT GROUP 62560,A81000C,00100,0600,MANAGEMENT 62560,A81000C,00200,0100,A 62560,A81000C,00200,0200,RICHARD GRIFFIN 62560,A81000C,00200,0400,GRIFFIN & GRIFFIN 62560,A81000C,00200,0600,CONSTRUCTION 62560,A81000C,00300,0100,A 62560,A81000C,00300,0200,RICHARD GRIFFIN JR. 62560,A81000C,00300,0400,GRIFFIN & GRIFFIN 62560,A81000C,00300,0600,CONSTRUCTION 62560,B100000,00000,0100,00000SQUARE FEET 62560,B100000,00000,0300,00000GROSS SALARIES 62560,B100000,00000,0400,00000ACCUM. COST 62560,B100000,00000,0500,00000SQUARE FEET 62560,B100000,00000,0600,00000RESIDENT DAYS 62560,B100000,00000,0700,00000SQUARE FEET 62560,B100000,00000,0800,00000RESIDENT DAYS 62560,B100000,00000,0900,00000RESIDENT DAYS 62560,B100000,00000,1000,00000RESIDENT DAYS 62560,B100000,00000,1200,00000RESIDENT DAYS 62560,B100000,00000,1300,00000RESIDENT DAYS 62560,E10A180,00501,0100,07/26/2000 62560,S000000,00100,0200,05/31/2000 62560,S200000,00100,0100,115 WOODLAWN DRIVE 62560,S200000,00200,0100,JOHNSON CITY 62560,S200000,00200,0200,TN 62560,S200000,00300,0100,WASHINGTON 62560,S200000,00400,0100,LAKEBRIDGE HEALTH CARE CENTER 62560,S200000,00400,0200,445358 62560,S200000,00400,0300,09/26/1995 62560,S200000,00400,0500,P 62560,S200000,01600,0100,Y 62560,S200000,02200,0100,Y 62570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62570,A000000,00300,0000,00300EMPLOYEE BENEFITS 62570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62570,A000000,00700,0000,00700HOUSEKEEPING 62570,A000000,00800,0000,00800DIETARY 62570,A000000,00900,0000,00900NURSING ADMINISTRATION 62570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62570,A000000,01100,0000,01100PHARMACY 62570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62570,A000000,01300,0000,01300SOCIAL SERVICE 62570,A000000,01350,0000,01500PATIENT ACTIVITIES 62570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62570,A000000,01600,0000,01600SKILLED NURSING FACILITY 62570,A000000,01800,0000,01800NURSING FACILITY 62570,A000000,02200,0000,02200LABORATORY 62570,A000000,02500,0000,02500PHYSICAL THERAPY 62570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62570,A000000,02700,0000,02700SPEECH PATHOLOGY 62570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62570,A000000,03550,0000,03550FQHC 62570,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62570,A000000,05000,0000,05000CORF 62570,A000000,05010,0000,05010CMHC 62570,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62570,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62570,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62570,A81000A,00100,0100,Y 62570,A81000B,00100,0300,OVERSIGHT MGMT FEE 62570,A81000B,00200,0300,HOME OFFICE CAPITAL 62570,A81000B,00300,0300,HOME OFFICE OTHER 62570,A81000B,00400,0300,HOME OFFICE CAPITAL 62570,A81000B,00500,0300,HOME OFFICE OTHER 62570,A81000B,00600,0300,ANCILLARY MGMT FEE 62570,A81000B,00700,0300,ANCILLARY MGMT FEE 62570,A81000B,00800,0300,ANCILLARY MGMT FEE 62570,A81000C,00100,0100,B 62570,A81000C,00100,0200,SOUTHERN HEALTHCARE SYS 62570,A81000C,00100,0400,SOUTHERN HEALTHCARE SYS 62570,A81000C,00100,0600,HOME OFFICE 62570,A81000C,00200,0100,B 62570,A81000C,00200,0200,FHS INC. 62570,A81000C,00200,0400,FHS INC. 62570,A81000C,00200,0600,HOME OFFICE 62570,A81000C,00300,0100,B 62570,A81000C,00300,0200,FAS INC 62570,A81000C,00300,0400,FAS INC 62570,A81000C,00300,0600,ANCILLARY MGMT 62570,B100000,00000,0100,00000SQUARE FEET 62570,B100000,00000,0200,00000NO STATISTICS 62570,B100000,00000,0300,00000NO STATISTICS 62570,B100000,00000,0400,00000ACCUM. COST 62570,B100000,00000,0500,00000SQUARE FEET 62570,B100000,00000,0600,00000PATIENT DAYS 62570,B100000,00000,0700,00000SQ FT EXCL DIET 62570,B100000,00000,0800,00000MEALS SERVED 62570,B100000,00000,0900,00000PATIENT DAYS 62570,B100000,00000,1000,00000PATIENT DAYS 62570,B100000,00000,1100,00000PATIENT DAYS 62570,B100000,00000,1200,00000NO STATISTICS 62570,B100000,00000,1300,00000PATIENT DAYS 62570,B100000,00000,1350,00000PATIENT DAYS 62570,B100000,00000,1400,00000NO STATISTICS 62570,S000000,00100,0200,05/31/2000 62570,S200000,00100,0100,ROUTE 4 62570,S200000,00100,0300,30 62570,S200000,00200,0100,ROGERSVILLE 62570,S200000,00200,0200,TN 62570,S200000,00300,0100,HAWKINS 62570,S200000,00400,0100,HERITAGE MANOR OF ROGERSVILLE 62570,S200000,00400,0200,445359 62570,S200000,00400,0300,09/01/1995 62570,S200000,00400,0500,P 62570,S200000,00600,0200,445359 62570,S200000,00600,0300,09/01/1995 62570,S200000,01600,0100,Y 62570,S200000,02800,0100,Y 62578,S000000,00100,0200,03/23/2000 62595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62595,A000000,00300,0000,00300EMPLOYEE BENEFITS 62595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62595,A000000,00700,0000,00700HOUSEKEEPING 62595,A000000,00800,0000,00800DIETARY 62595,A000000,00900,0000,00900NURSING ADMINISTRATION 62595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62595,A000000,01100,0000,01100PHARMACY 62595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62595,A000000,01300,0000,01300SOCIAL SERVICE 62595,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62595,A000000,01600,0000,01600SKILLED NURSING FACILITY 62595,A000000,01800,0000,01800NURSING FACILITY 62595,A000000,01810,0000,01810ICF/MR 62595,A000000,01900,0000,01900OTHER LONG TERM CARE 62595,A000000,02100,0000,02100RADIOLOGY 62595,A000000,02200,0000,02200LABORATORY 62595,A000000,02300,0000,02300INTRAVENOUS THERAPY 62595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62595,A000000,02500,0000,02500PHYSICAL THERAPY 62595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62595,A000000,02700,0000,02700SPEECH PATHOLOGY 62595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62595,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62595,A000000,03550,0000,03550FQHC 62595,A000000,05000,0000,05000CORF 62595,A000000,05010,0000,05010CMHC 62595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62595,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62595,B100000,00000,0100,00000SQUARE FEET 62595,B100000,00000,0200,00000SQUARE FEET 62595,B100000,00000,0300,00000GROSS SALARIES 62595,B100000,00000,0400,00000ACCUM COST 62595,B100000,00000,0500,00000SQUARE FEET 62595,B100000,00000,0600,00000POUNDS OF LAUNDRY 62595,B100000,00000,0700,00000SQUARE FEET 62595,B100000,00000,0800,00000PATIENT DAYS 62595,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 62595,B100000,00000,1000,00000PATIENT DAYS 62595,B100000,00000,1100,00000COSTED REQUISITIO 62595,B100000,00000,1200,00000TIME SPENT 62595,B100000,00000,1300,00000TIME SPENT 62595,B100000,00000,1350,00000 62595,B100000,00000,1400,00000ASSIGNED TIME 62595,E10A180,00501,0100,07/25/2000 62595,S000000,00100,0200,05/31/2000 62595,S200000,00100,0100,2865 MAIN ST 62595,S200000,00200,0100,HUMBOLDT 62595,S200000,00200,0200,TN 62595,S200000,00300,0100,GIBSON 62595,S200000,00400,0100,TENNESSEE VETERANS HOME-HUMBOLDT 62595,S200000,00400,0200,445366 62595,S200000,00400,0300,02/15/1996 62595,S200000,00400,0500,P 62595,S200000,01600,0100,Y 62605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62605,A000000,00300,0000,00300EMPLOYEE BENEFITS 62605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62605,A000000,00700,0000,00700HOUSEKEEPING 62605,A000000,00800,0000,00800DIETARY 62605,A000000,00900,0000,00900NURSING ADMINISTRATION 62605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62605,A000000,01100,0000,01100PHARMACY 62605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62605,A000000,01300,0000,01300SOCIAL SERVICE 62605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62605,A000000,01600,0000,01600SKILLED NURSING FACILITY 62605,A000000,01800,0000,01800NURSING FACILITY 62605,A000000,01810,0000,01810ICF/MR 62605,A000000,02100,0000,02100RADIOLOGY 62605,A000000,02200,0000,02200LABORATORY 62605,A000000,02500,0000,02500PHYSICAL THERAPY 62605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62605,A000000,02700,0000,02700SPEECH PATHOLOGY 62605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62605,A000000,03550,0000,03550FQHC 62605,A000000,05000,0000,05000CORF 62605,A000000,05010,0000,05010CMHC 62605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62605,A000000,05300,0000,05300INTEREST EXPENSE 62605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62605,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62605,A81000A,00100,0100,Y 62605,A81000B,00100,0300,MANAGEMENT FEES 62605,A81000B,00200,0300,GROUP INSURANCE / WORKERS COMP 62605,A81000B,00300,0300,EQUIPMENT LEASE 62605,A81000C,00100,0100,A 62605,A81000C,00100,0200,JERRY STOUT 62605,A81000C,00100,0400,WELLINGTON GRP 62605,A81000C,00100,0600,MANAGEMENT CO 62605,A81000C,00200,0100,A 62605,A81000C,00200,0200,JERRY STOUT 62605,A81000C,00200,0400,HEALTHVEST INC 62605,A81000C,00200,0600,INSURANCE 62605,A81000C,00300,0100,A 62605,A81000C,00300,0200,JERRY STOUT 62605,A81000C,00300,0400,QUANTUM LEASING 62605,A81000C,00300,0600,EQUIPMENT LEASE 62605,B100000,00000,0100,00000SQUARE FEET 62605,B100000,00000,0200,00000SQUARE FEET 62605,B100000,00000,0300,00000GROSS SAL 62605,B100000,00000,0400,00000ACCUM. COST 62605,B100000,00000,0500,00000SQUARE FEET 62605,B100000,00000,0600,00000PAT DAYS 62605,B100000,00000,0700,00000SQUARE FEET 62605,B100000,00000,0800,00000PAT DAYS 62605,B100000,00000,0900,00000NURSING HOURS 62605,B100000,00000,1000,00000PAT DAYS 62605,B100000,00000,1100,00000PAT DAYS 62605,B100000,00000,1200,00000GROSS CHARGES 62605,B100000,00000,1300,00000PAT DAYS 62605,B100000,00000,1400,00000PAT DAYS 62605,E10A180,00301,0100,03/17/2000 62605,E10A180,00301,0300,03/17/2000 62605,E10A180,00501,0100,07/24/2000 62605,E10A180,00501,0300,07/24/2000 62605,S000000,00100,0200,05/30/2000 62605,S200000,00100,0100,240 HANNAH ROAD 62605,S200000,00100,0300,749 62605,S200000,00200,0100,HARRIMAN 62605,S200000,00200,0200,TN 62605,S200000,00200,0300,37748 62605,S200000,00300,0100,ROANE 62605,S200000,00400,0100,ROYAL CARE OF HARRIMAN 62605,S200000,00400,0200,445368 62605,S200000,00400,0300,04/01/1996 62605,S200000,00400,0500,P 62605,S200000,00400,0600,P 62605,S200000,00600,0200,445368 62605,S200000,00600,0300,04/01/1996 62605,S200000,00600,0600,P 62605,S200000,01600,0100,Y 62605,S200000,04300,0100,Y 62614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62614,A000000,00300,0000,00300EMPLOYEE BENEFITS 62614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62614,A000000,00700,0000,00700HOUSEKEEPING 62614,A000000,00800,0000,00800DIETARY 62614,A000000,00900,0000,00900NURSING ADMINISTRATION 62614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62614,A000000,01100,0000,01100PHARMACY 62614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62614,A000000,01300,0000,01300SOCIAL SERVICE 62614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62614,A000000,01600,0000,01600SKILLED NURSING FACILITY 62614,A000000,01800,0000,01800NURSING FACILITY 62614,A000000,01810,0000,01810ICF/MR 62614,A000000,02100,0000,02100RADIOLOGY 62614,A000000,02200,0000,02200LABORATORY 62614,A000000,02300,0000,02300INTRAVENOUS THERAPY 62614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62614,A000000,02500,0000,02500PHYSICAL THERAPY 62614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62614,A000000,02700,0000,02700SPEECH PATHOLOGY 62614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62614,A000000,03550,0000,03550FQHC 62614,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62614,A000000,05000,0000,05000CORF 62614,A000000,05010,0000,05010CMHC 62614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62614,A000000,05300,0000,05300INTEREST EXPENSE 62614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62614,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62614,A81000A,00100,0100,Y 62614,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 62614,A81000B,00200,0300,GROUP INSURANCE/ WORKERS COMP 62614,A81000B,00300,0300,EQUIPMENT LEASE 62614,A81000C,00100,0100,A 62614,A81000C,00100,0200,HELEN STOUT 62614,A81000C,00100,0400,ROYAL CARE INC 62614,A81000C,00100,0600,MANAGEMENT CO. 62614,A81000C,00200,0100,A 62614,A81000C,00200,0200,JERRY STOUT 62614,A81000C,00200,0400,HEALTHVEST INC 62614,A81000C,00200,0600,INSURANCE 62614,A81000C,00300,0100,A 62614,A81000C,00300,0200,JERRY STOUT 62614,A81000C,00300,0400,QUANTUM LEASING 62614,A81000C,00300,0600,EQUIPMENT LEASE 62614,B100000,00000,0100,00000SQUARE FEET 62614,B100000,00000,0200,00000SQUARE FEET 62614,B100000,00000,0300,00000GROSS SAL 62614,B100000,00000,0400,00000ACCUM. COST 62614,B100000,00000,0500,00000SQUARE FEET 62614,B100000,00000,0600,00000PAT DAYS 62614,B100000,00000,0700,00000SQUARE FEET 62614,B100000,00000,0800,00000PAT DAYS 62614,B100000,00000,0900,00000NURSING HOURS 62614,B100000,00000,1000,00000PAT DAYS 62614,B100000,00000,1100,00000PAT DAYS 62614,B100000,00000,1200,00000GROSS CHARGES 62614,B100000,00000,1300,00000TIME SPENT 62614,B100000,00000,1400,00000PAT DAYS 62614,E10A180,00301,0100,12/22/1999 62614,S000000,00100,0200,05/30/2000 62614,S200000,00100,0100,2750 EXECUTIVE PARK PLACE 62614,S200000,00200,0100,CLEVELAND 62614,S200000,00200,0200,TN 62614,S200000,00200,0300,37312 62614,S200000,00300,0100,BRADLEY 62614,S200000,00400,0100,ROYAL CARE OF CLEVELAND 62614,S200000,00400,0200,445369 62614,S200000,00400,0300,03/01/1996 62614,S200000,00400,0500,P 62614,S200000,00400,0600,P 62614,S200000,00600,0200,445369 62614,S200000,00600,0300,03/01/1996 62614,S200000,00600,0600,P 62614,S200000,01600,0100,Y 62614,S200000,04300,0100,Y 62623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62623,A000000,00300,0000,00300EMPLOYEE BENEFITS 62623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62623,A000000,00700,0000,00700HOUSEKEEPING 62623,A000000,00800,0000,00800DIETARY 62623,A000000,00900,0000,00900NURSING ADMINISTRATION 62623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62623,A000000,01100,0000,01100PHARMACY 62623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62623,A000000,01300,0000,01300SOCIAL SERVICE 62623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62623,A000000,01600,0000,01600SKILLED NURSING FACILITY 62623,A000000,01800,0000,01800NURSING FACILITY 62623,A000000,01900,0000,01900OTHER LONG TERM CARE 62623,A000000,02100,0000,02100RADIOLOGY 62623,A000000,02200,0000,02200LABORATORY 62623,A000000,02300,0000,02300INTRAVENOUS THERAPY 62623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62623,A000000,02500,0000,02500PHYSICAL THERAPY 62623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62623,A000000,02700,0000,02700SPEECH PATHOLOGY 62623,A000000,02800,0000,02800ELECTROCARDIOLOGY 62623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62623,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 62623,A000000,03200,0000,03200SUPPORT SURFACES 62623,A000000,03400,0000,03400CLINIC 62623,A000000,03500,0000,03500RURAL HEALTH CLINIC 62623,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 62623,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 62623,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 62623,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 62623,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 62623,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 62623,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 62623,A000000,04400,0000,04400DME RENTED - HHA 62623,A000000,04500,0000,04500DME SOLD - HHA 62623,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 62623,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 62623,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD 62623,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62623,A000000,05300,0000,05300INTEREST EXPENSE 62623,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62623,A000000,05500,0000,05500HOSPICE 62623,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62623,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62623,A000000,06100,0000,06100NONPAID WORKERS 62623,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62623,A000000,06200,0000,06200PATIENTS LAUNDRY 62623,A81000A,00100,0100,Y 62623,A81000B,00100,0300,MANAGEMENT FEES 62623,A81000B,00200,0300,GROUP INSURANCE / WORKERS COMP 62623,A81000B,00300,0300,EQUIPMENT LEASE 62623,A81000C,00100,0100,A 62623,A81000C,00100,0200,HELEN STOUT 62623,A81000C,00100,0400,ROYAL CARE INC 62623,A81000C,00100,0600,MANAGEMENT CO. 62623,A81000C,00200,0100,E 62623,A81000C,00200,0200,HELEN STOUT 62623,A81000C,00200,0400,HEALTHVEST INC 62623,A81000C,00200,0600,INSURANCE 62623,A81000C,00300,0100,E 62623,A81000C,00300,0200,HELEN STOUT 62623,A81000C,00300,0400,QUANTUM LEASING 62623,A81000C,00300,0600,EQUIP LEASING 62623,B100000,00000,0100,00000SQUARE FEET 62623,B100000,00000,0200,00000SQUARE FEET 62623,B100000,00000,0300,00000GROSS SAL 62623,B100000,00000,0400,00000ACCUM. COST 62623,B100000,00000,0500,00000SQUARE FEET 62623,B100000,00000,0600,00000PAT DAYS 62623,B100000,00000,0700,00000SQUARE FEET 62623,B100000,00000,0800,00000PAT DAYS 62623,B100000,00000,0900,00000NURSING HOURS 62623,B100000,00000,1000,00000PAT DAYS 62623,B100000,00000,1100,00000PAT DAYS 62623,B100000,00000,1200,00000GROSS CHARGES 62623,B100000,00000,1300,00000PAT DAYS 62623,B100000,00000,1400,00000PAT DAYS 62623,E10A180,00501,0100,06/08/2000 62623,S000000,00100,0200,05/30/2000 62623,S200000,00100,0100,ROUTE 3 BOX 137-B 62623,S200000,00200,0100,ERIN 62623,S200000,00200,0200,TN 62623,S200000,00200,0300,37061 62623,S200000,00300,0100,HOUSTON 62623,S200000,00400,0100,ROYAL CARE OF ERIN 62623,S200000,00400,0200,445377 62623,S200000,00400,0300,07/01/1996 62623,S200000,00400,0500,P 62623,S200000,00400,0600,P 62623,S200000,00600,0200,445377 62623,S200000,00600,0300,07/01/1996 62623,S200000,00600,0600,P 62623,S200000,01600,0100,Y 62623,S200000,04300,0100,Y 62631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62631,A000000,00101,0000,00101CAP REL COSTS - B&F R C 62631,A000000,00102,0000,00102CAP REL COSTS - B&F HC 62631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62631,A000000,00201,0000,00201CAP REL COSTS - MME R C 62631,A000000,00202,0000,00202CAP REL COSTS - MME HC 62631,A000000,00300,0000,00300EMPLOYEE BENEFITS 62631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62631,A000000,00700,0000,00700HOUSEKEEPING 62631,A000000,00800,0000,00800DIETARY 62631,A000000,00801,0000,00801DINING ROOM 62631,A000000,00900,0000,00900NURSING ADMINISTRATION 62631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62631,A000000,01100,0000,01100PHARMACY 62631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62631,A000000,01300,0000,01300SOCIAL SERVICE 62631,A000000,01350,0000,01500TRANSPORTATION 62631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62631,A000000,01600,0000,01600SKILLED NURSING FACILITY 62631,A000000,01810,0000,01810ICF/MR 62631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62631,A000000,02500,0000,02500PHYSICAL THERAPY 62631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62631,A000000,02700,0000,02700SPEECH PATHOLOGY 62631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62631,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62631,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62631,A000000,03550,0000,03550FQHC 62631,A000000,05000,0000,05000CORF 62631,A000000,05010,0000,05010CMHC 62631,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62631,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62631,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62631,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62631,A000000,06151,0000,06301ASSISTED LIVING 62631,B100000,00000,0100,00001SQUARE FEET 62631,B100000,00000,0101,00001SQUARE FEET2 62631,B100000,00000,0102,00001SQUARE FOOT 3 62631,B100000,00000,0200,00001SQUARE FEET 62631,B100000,00000,0201,00001SQUARE FEET2 62631,B100000,00000,0202,00001SQUARE FOOT 3 62631,B100000,00000,0300,00001GROSS SALARIES 62631,B100000,00000,0400,00001ACCUM. COST 62631,B100000,00000,0500,00001SQUARE FEET 62631,B100000,00000,0600,00001POUNDS OF LAUNDRY 62631,B100000,00000,0700,00001SQUARE FEET 62631,B100000,00000,0800,00001MEALS SERVED 62631,B100000,00000,0801,00001MEALS SERVED 62631,B100000,00000,0900,00001DIRECT NRSING HRS 62631,B100000,00000,1000,00001COSTED REQUIS 62631,B100000,00000,1100,00001COSTED REQUIS 62631,B100000,00000,1200,00001PATIENT DAYS 62631,B100000,00000,1300,00001PATIENT DAYS 62631,B100000,00000,1350,00001TIME SPENT 62631,B100000,00000,1400,00001ASSIGNED TIME 62631,S000000,00100,0200,06/01/2000 62631,S200000,00100,0100,11 BURTON HILLS BLVD 62631,S200000,00200,0100,NASHVILLE 62631,S200000,00200,0200,TN 62631,S200000,00200,0300,37215 62631,S200000,00300,0100,DAVIDSON 62631,S200000,00400,0100,WOODCREST AT THE BLAKEFORD 62631,S200000,00400,0200,445378 62631,S200000,00400,0300,02/08/1996 62631,S200000,00400,0500,P 62631,S200000,01500,0100,Y 62631,S200000,02200,0100,Y 62648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62648,A000000,00300,0000,00300EMPLOYEE BENEFITS 62648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62648,A000000,00700,0000,00700HOUSEKEEPING 62648,A000000,00800,0000,00800DIETARY 62648,A000000,00900,0000,00900NURSING ADMINISTRATION 62648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62648,A000000,01100,0000,01100PHARMACY 62648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62648,A000000,01300,0000,01300SOCIAL SERVICE 62648,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62648,A000000,01600,0000,01600SKILLED NURSING FACILITY 62648,A000000,01800,0000,01800NURSING FACILITY 62648,A000000,01810,0000,01810ICF/MR 62648,A000000,02100,0000,02100RADIOLOGY 62648,A000000,02200,0000,02200LABORATORY 62648,A000000,02300,0000,02300INTRAVENOUS THERAPY 62648,A000000,02500,0000,02500PHYSICAL THERAPY 62648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62648,A000000,02700,0000,02700SPEECH PATHOLOGY 62648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62648,A000000,03550,0000,03550FQHC 62648,A000000,05000,0000,05000CORF 62648,A000000,05010,0000,05010CMHC 62648,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62648,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62648,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62648,A000000,05300,0000,05300INTEREST EXPENSE 62648,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62648,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62648,A81000A,00100,0100,Y 62648,A81000B,00100,0300,MANAGEMENT FEES 62648,A81000B,00200,0300,GROUP INSURANCE / WORKERS COMP 62648,A81000B,00300,0300,EQUIPMENT / AUTO LEASE 62648,A81000C,00100,0100,A 62648,A81000C,00100,0200,HELEN STOUT 62648,A81000C,00100,0400,ROYAL CARE INC 62648,A81000C,00100,0600,MANAGEMENT CO. 62648,A81000C,00200,0100,A 62648,A81000C,00200,0200,JERRY STOUT 62648,A81000C,00200,0400,HEALTHVEST INC 62648,A81000C,00200,0600,INSURANCE 62648,A81000C,00300,0100,A 62648,A81000C,00300,0200,JERRY STOUT 62648,A81000C,00300,0400,QUANTUM LEASING 62648,A81000C,00300,0600,EQUIPMENT LEASE 62648,B100000,00000,0100,00000SQUARE FEET 62648,B100000,00000,0200,00000SQUARE FEET 62648,B100000,00000,0300,00000GROSS SAL 62648,B100000,00000,0400,00000ACCUM. COST 62648,B100000,00000,0500,00000SQUARE FEET 62648,B100000,00000,0600,00000PAT DAYS 62648,B100000,00000,0700,00000SQUARE FEET 62648,B100000,00000,0800,00000PAT DAYS 62648,B100000,00000,0900,00000NURSING HOURS 62648,B100000,00000,1000,00000PAT DAYS 62648,B100000,00000,1100,00000PAT DAYS 62648,B100000,00000,1200,00000GROSS CHARGES 62648,B100000,00000,1300,00000PAT DAYS 62648,B100000,00000,1400,00000PAT DAYS 62648,E10A180,00301,0100,11/29/1999 62648,E10A180,00501,0100,08/07/2000 62648,S000000,00100,0200,06/27/2000 62648,S200000,00100,0100,415 COLE DR. 62648,S200000,00200,0100,PIGEON FORGE 62648,S200000,00200,0200,TN 62648,S200000,00300,0100,SEVIER 62648,S200000,00400,0100,ROYAL CARE OF PIGEON FORGE 62648,S200000,00400,0200,445382 62648,S200000,00400,0300,09/01/1996 62648,S200000,00400,0500,P 62648,S200000,00400,0600,P 62648,S200000,00600,0200,445382 62648,S200000,00600,0300,09/01/1996 62648,S200000,00600,0600,P 62648,S200000,01600,0100,Y 62648,S200000,04300,0100,Y 62655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62655,A000000,00300,0000,00300EMPLOYEE BENEFITS 62655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62655,A000000,00700,0000,00700HOUSEKEEPING 62655,A000000,00800,0000,00800DIETARY 62655,A000000,00900,0000,00900NURSING ADMINISTRATION 62655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62655,A000000,01100,0000,01100PHARMACY 62655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62655,A000000,01300,0000,01300SOCIAL SERVICE 62655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62655,A000000,01600,0000,01600SKILLED NURSING FACILITY 62655,A000000,01810,0000,01810ICF/MR 62655,A000000,01900,0000,01900OTHER LONG TERM CARE 62655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62655,A000000,02500,0000,02500PHYSICAL THERAPY 62655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62655,A000000,02700,0000,02700SPEECH PATHOLOGY 62655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62655,A000000,03550,0000,03550FQHC 62655,A000000,05000,0000,05000CORF 62655,A000000,05010,0000,05010CMHC 62655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62655,A000000,05300,0000,05300INTEREST EXPENSE 62655,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62655,A81000A,00100,0100,Y 62655,A81000B,00100,0300,HOME OFFICE COST 62655,A81000C,00100,0100,E 62655,A81000C,00100,0200,DAVID GAITHER 62655,A81000C,00100,0400,GENERATIOS HEAL 62655,A81000C,00100,0600,HOME OFFICE 62655,B100000,00000,0100,00000SQUARE FEET 62655,B100000,00000,0200,00000SQUARE FEET 62655,B100000,00000,0300,00000GROSS SALARIES 62655,B100000,00000,0400,00000ACCUM COST 62655,B100000,00000,0500,00000SQUARE FEET 62655,B100000,00000,0600,00000POUNDS OF LAUNDRY 62655,B100000,00000,0700,00000SQUARE FEET 62655,B100000,00000,0800,00000MEALS SERVED 62655,B100000,00000,0900,00000DIRECT NRSG HRS 62655,B100000,00000,1000,00000COSTED REQUIS 62655,B100000,00000,1100,00000COSTED REQUIS 62655,B100000,00000,1200,00000TIME SPENT 62655,B100000,00000,1300,00000TIME SPENT 62655,B100000,00000,1400,00000ASSIGNED TIME 62655,E10A180,00501,0100,07/26/2000 62655,S000000,00100,0200,05/31/2000 62655,S200000,00100,0100,ROUTE 1 SPARTA STREET 62655,S200000,00100,0300,135 62655,S200000,00200,0100,SPENCER 62655,S200000,00200,0200,TN 62655,S200000,00200,0300,38585 62655,S200000,00300,0100,VAN BUREN 62655,S200000,00400,0100,GENERATIONS CENTER OF SPENCER 62655,S200000,00400,0200,445388 62655,S200000,00400,0300,01/23/1997 62655,S200000,00400,0500,P 62655,S200000,00400,0600,O 62655,S200000,01600,0100,Y 62666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62666,A000000,00300,0000,00300EMPLOYEE BENEFITS 62666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62666,A000000,00700,0000,00700HOUSEKEEPING 62666,A000000,00800,0000,00800DIETARY 62666,A000000,00900,0000,00900NURSING ADMINISTRATION 62666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62666,A000000,01100,0000,01100PHARMACY 62666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62666,A000000,01300,0000,01300SOCIAL SERVICE 62666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62666,A000000,01600,0000,01600SKILLED NURSING FACILITY 62666,A000000,01800,0000,01800NURSING FACILITY 62666,A000000,01810,0000,01810ICF/MR 62666,A000000,02500,0000,02500PHYSICAL THERAPY 62666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62666,A000000,02700,0000,02700SPEECH PATHOLOGY 62666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62666,A000000,03550,0000,03550FQHC 62666,A000000,05000,0000,05000CORF 62666,A000000,05010,0000,05010CMHC 62666,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62666,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62666,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62666,A81000A,00100,0100,Y 62666,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 62666,A81000C,00100,0100,A 62666,A81000C,00100,0400,TENET HEALTHCAR 62666,A81000C,00100,0600,HEALTHCARE 62666,B100000,00000,0100,00000SQUARE FEET 62666,B100000,00000,0200,00000SQUARE FEET 62666,B100000,00000,0300,00000GROSS SALARIES 62666,B100000,00000,0400,00000ACCUM COST 62666,B100000,00000,0500,00000SQUARE FEET 62666,B100000,00000,0600,00000POUNDS OF LAUNDRY 62666,B100000,00000,0700,00000SQUARE FEET 62666,B100000,00000,0800,00000MEALS SERVED 62666,B100000,00000,0900,00000PATIENT DAYS 62666,B100000,00000,1000,00000COSTED REQUIS 62666,B100000,00000,1100,00000COSTED REQUIS 62666,B100000,00000,1200,00000PATIENT DAYS 62666,B100000,00000,1300,00000TIME SPENT 62666,B100000,00000,1400,00000ASSIGNED TIME 62666,E10A180,00550,0100,06/01/2000 62666,S000000,00100,0200,03/31/2000 62666,S200000,00100,0100,421 INTERSTATE DRIVE 62666,S200000,00200,0100,MANCHESTER 62666,S200000,00200,0200,TN 62666,S200000,00200,0300,37355 62666,S200000,00300,0100,COFFEE 62666,S200000,00400,0100,MANCHESTER HEALTH CARE CENTER 62666,S200000,00400,0200,445391 62666,S200000,00400,0300,03/17/1997 62666,S200000,00400,0500,P 62666,S200000,00400,0600,P 62666,S200000,01600,0100,Y 62666,S200000,01700,0100,Y 62666,S200000,04200,0100,Y 62675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62675,A000000,00300,0000,00300EMPLOYEE BENEFITS 62675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62675,A000000,00700,0000,00700HOUSEKEEPING 62675,A000000,00800,0000,00800DIETARY 62675,A000000,00900,0000,00900NURSING ADMINISTRATION 62675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62675,A000000,01100,0000,01100PHARMACY 62675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62675,A000000,01300,0000,01300SOCIAL SERVICE 62675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62675,A000000,01600,0000,01600SKILLED NURSING FACILITY 62675,A000000,01800,0000,01800NURSING FACILITY 62675,A000000,01810,0000,01810ICF/MR 62675,A000000,02100,0000,02100RADIOLOGY 62675,A000000,02200,0000,02200LABORATORY 62675,A000000,02300,0000,02300INTRAVENOUS THERAPY 62675,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62675,A000000,02500,0000,02500PHYSICAL THERAPY 62675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62675,A000000,02700,0000,02700SPEECH PATHOLOGY 62675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62675,A000000,03550,0000,03550FQHC 62675,A000000,04800,0000,04800AMBULANCE 62675,A000000,05000,0000,05000CORF 62675,A000000,05010,0000,05010CMHC 62675,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62675,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62675,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62675,A000000,05300,0000,05300INTEREST EXPENSE 62675,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62675,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62675,A81000A,00100,0100,Y 62675,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 62675,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 62675,A81000B,00300,0300,HEALTH INSURANCE 62675,A81000B,00400,0300,RETIREMENT 62675,A81000B,00500,0300,PHS ADJUSTMENT 62675,A81000B,00600,0300,PHS ADJUSTMENT 62675,A81000B,00700,0300,PHS ADJUSTMENT 62675,A81000B,00800,0300,PHS ADJUSTMENT 62675,A81000B,00900,0300,PHS ADJUSTMENT 62675,A81000B,01000,0300,PHS ADJUSTMENT 62675,A81000B,01100,0300,PHS ADJUSTMENT 62675,A81000B,01200,0300,PHS ADJUSTMENT 62675,A81000C,00100,0100,B 62675,A81000C,00100,0200,NATIONAL HEATLH 62675,A81000C,00200,0200,CARE CORPORATIO 62675,A81000C,00300,0100,B 62675,A81000C,00300,0200,PROFESSIONAL HE 62675,A81000C,00300,0600,THERAPY PERSONN 62675,A81000C,00400,0200,SERVICES 62675,B100000,00000,0100,00000(SQUARE FEET) 62675,B100000,00000,0200,00000(SQUARE FEET) 62675,B100000,00000,0300,00000(GROSS SALARIES) 62675,B100000,00000,0400,00000(ACCUM COST) 62675,B100000,00000,0500,00000(SQUARE FEET) 62675,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62675,B100000,00000,0700,00000(SQUARE FEET) 62675,B100000,00000,0800,00000(MEALS SERVED) 62675,B100000,00000,0900,00000(DIRECT NRSG HRS) 62675,B100000,00000,1000,00000(COSTED REQUIS) 62675,B100000,00000,1100,00000(COSTED REQUIS) 62675,B100000,00000,1200,00000(TIME SPENT) 62675,B100000,00000,1300,00000(TIME SPENT) 62675,B100000,00000,1400,00000ASSIGNED TIME 62675,S000000,00100,0200,04/03/2000 62675,S200000,00100,0100,1927 MEMORIAL BLVD. 62675,S200000,00100,0300,NOT SE 62675,S200000,00200,0100,MURFREESBORO 62675,S200000,00200,0200,TN 62675,S200000,00200,0300,37129 62675,S200000,00300,0100,RUTHERFORD 62675,S200000,00400,0100,ADAMS PLACE THE HEALTH CENTER 62675,S200000,00400,0200,445392 62675,S200000,00400,0300,04/17/1997 62675,S200000,00400,0500,P 62675,S200000,00600,0200,445392 62675,S200000,00600,0300,04/17/1997 62675,S200000,00600,0600,P 62675,S200000,01600,0100,Y 62675,S200000,04700,0100,Y 62675,S200000,04900,0100,Y 62684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62684,A000000,00300,0000,00300EMPLOYEE BENEFITS 62684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62684,A000000,00700,0000,00700HOUSEKEEPING 62684,A000000,00800,0000,00800DIETARY 62684,A000000,00900,0000,00900NURSING ADMINISTRATION 62684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62684,A000000,01100,0000,01100PHARMACY 62684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62684,A000000,01300,0000,01300SOCIAL SERVICE 62684,A000000,01350,0000,01500PATIENT ACTIVITIES 62684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62684,A000000,01600,0000,01600SKILLED NURSING FACILITY 62684,A000000,01800,0000,01800NURSING FACILITY 62684,A000000,01810,0000,01810ICF/MR 62684,A000000,02200,0000,02200LABORATORY 62684,A000000,02300,0000,02300INTRAVENOUS THERAPY 62684,A000000,02500,0000,02500PHYSICAL THERAPY 62684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62684,A000000,02700,0000,02700SPEECH PATHOLOGY 62684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62684,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62684,A000000,03550,0000,03550FQHC 62684,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62684,A000000,05000,0000,05000CORF 62684,A000000,05010,0000,05010CMHC 62684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62684,A81000A,00100,0100,Y 62684,A81000B,00100,0300,OVERSIGHT FEE 62684,A81000B,00200,0300,HOME OFFICE CAPITAL 62684,A81000B,00300,0300,HOME OFFICE OTHER 62684,A81000B,00400,0300,HOME OFFICE CAPITAL 62684,A81000B,00500,0300,HOME OFFICE OTHER 62684,A81000B,00600,0300,ANCILLARY MGMT FEE 62684,A81000B,00700,0300,ANCILLARY MGMT FEE 62684,A81000B,00800,0300,ANCILLARY MGMT FEE 62684,A81000C,00100,0100,B 62684,A81000C,00100,0200,SOUTHERN HC SYS INC 62684,A81000C,00100,0400,SOUTHERN HC SYS INC. 62684,A81000C,00100,0600,HOME OFFICE 62684,A81000C,00200,0100,B 62684,A81000C,00200,0200,FHS INC. 62684,A81000C,00200,0400,FHS INC. 62684,A81000C,00200,0600,HOME OFFICE 62684,A81000C,00300,0100,B 62684,A81000C,00300,0200,FAS INC 62684,A81000C,00300,0400,FAS INC 62684,A81000C,00300,0600,ANCILLARY MGMT 62684,B100000,00000,0100,00000SQUARE FEET 62684,B100000,00000,0200,00000NO STATISTICS 62684,B100000,00000,0300,00000GROSS SALARIES 62684,B100000,00000,0400,00000ACCUM. COST 62684,B100000,00000,0500,00000SQUARE FEET 62684,B100000,00000,0600,00000PATIENT DAYS 62684,B100000,00000,0700,00000SQ FT EXCL DIET 62684,B100000,00000,0800,00000MEALS SERVED 62684,B100000,00000,0900,00000PATIENT DAYS 62684,B100000,00000,1000,00000PATIENT DAYS 62684,B100000,00000,1100,00000PATIENT DAYS 62684,B100000,00000,1200,00000NO STATISTICS 62684,B100000,00000,1300,00000PATIENT DAYS 62684,B100000,00000,1350,00000PATIENT DAYS 62684,B100000,00000,1400,00000NO STATISTICS 62684,E10A180,00501,0100,07/26/2000 62684,S000000,00100,0200,05/31/2000 62684,S200000,00100,0100,218 2ND STREET NE 62684,S200000,00100,0300,429 62684,S200000,00200,0100,MONTEAGLE 62684,S200000,00200,0200,TN 62684,S200000,00300,0100,GRUNDY 62684,S200000,00400,0100,HERITAGE MANOR OF MONTEAGLE 62684,S200000,00400,0200,445393 62684,S200000,00400,0300,07/01/1997 62684,S200000,00400,0500,P 62684,S200000,01600,0100,Y 62684,S200000,02800,0100,Y 62691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62691,A000000,00300,0000,00300EMPLOYEE BENEFITS 62691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62691,A000000,00700,0000,00700HOUSEKEEPING 62691,A000000,00800,0000,00800DIETARY 62691,A000000,00900,0000,00900NURSING ADMINISTRATION 62691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62691,A000000,01300,0000,01300SOCIAL SERVICE 62691,A000000,01600,0000,01600SKILLED NURSING FACILITY 62691,A000000,01800,0000,01800NURSING FACILITY 62691,A000000,02100,0000,02100RADIOLOGY 62691,A000000,02200,0000,02200LABORATORY 62691,A000000,02500,0000,02500PHYSICAL THERAPY 62691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62691,A000000,02700,0000,02700SPEECH PATHOLOGY 62691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62691,A000000,05300,0000,05300INTEREST EXPENSE 62691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62691,A81000A,00100,0100,Y 62691,A81000B,00100,0300,AMORTIZATION 62691,A81000B,00200,0300,MANAGEMENT FEES 62691,A81000B,00300,0300,OFFICE SUPPLIES & TELEPHONE 62691,A81000B,00400,0300,PURCHASED SERVICES 62691,A81000B,00500,0300,BENEFITS ADMINISTRATION 62691,A81000B,00600,0300,BANK CHARGES 62691,A81000B,00700,0300,OFFICERS COMPENSATION 62691,A81000B,00800,0300,LOAN GUARANTEE FEE 62691,A81000B,00900,0300,DIRECTORS FEE 62691,A81000B,01000,0300,DEPRECIATION 62691,A81000C,00100,0100,B 62691,A81000C,00100,0200,CARE CENTERS INC. 62691,A81000C,00100,0400,CARE CENTERS MGMT GROUP 62691,A81000C,00100,0600,MANAGEMENT 62691,A81000C,00200,0100,A 62691,A81000C,00200,0200,J. RANDY LEWIS 62691,A81000C,00200,0400,CARE CENTERS INC. 62691,A81000C,00200,0600,INVESTMENT 62691,B100000,00000,0100,00000SQUARE FEET 62691,B100000,00000,0300,00000GROSS SALARIES 62691,B100000,00000,0400,00000ACCUM. COST 62691,B100000,00000,0500,00000SQUARE FEET 62691,B100000,00000,0600,00000RESIDENT DAYS 62691,B100000,00000,0700,00000SQUARE FEET 62691,B100000,00000,0800,00000RESIDENT DAYS 62691,B100000,00000,0900,00000RESIDENT DAYS 62691,B100000,00000,1200,00000RESIDENT DAYS 62691,B100000,00000,1300,00000RESIDENT DAYS 62691,E10A180,00501,0100,07/26/2000 62691,S000000,00100,0200,05/31/2000 62691,S200000,00100,0100,146 BUCK CREEK ROAD 62691,S200000,00200,0100,ROAN MOUNTAIN 62691,S200000,00200,0200,TN 62691,S200000,00200,0300,37687 62691,S200000,00300,0100,CARTER 62691,S200000,00400,0100,ROAN HIGHLANDS NURSING CENTER 62691,S200000,00400,0200,445396 62691,S200000,00400,0300,05/19/1997 62691,S200000,00400,0500,P 62691,S200000,01600,0100,Y 62691,S200000,02200,0100,Y 62696,S000000,00100,0200,11/30/2000 62702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62702,A000000,00300,0000,00300EMPLOYEE BENEFITS 62702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62702,A000000,00700,0000,00700HOUSEKEEPING 62702,A000000,00800,0000,00800DIETARY 62702,A000000,00900,0000,00900NURSING ADMINISTRATION 62702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62702,A000000,01100,0000,01100PHARMACY 62702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62702,A000000,01300,0000,01300SOCIAL SERVICE 62702,A000000,01350,0000,01500OTHER GENERAL SERVICES 62702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62702,A000000,01600,0000,01600SKILLED NURSING FACILITY 62702,A000000,01800,0000,01800NURSING FACILITY 62702,A000000,01810,0000,01810ICF/MR 62702,A000000,02100,0000,02100RADIOLOGY 62702,A000000,02200,0000,02200LABORATORY 62702,A000000,02500,0000,02500PHYSICAL THERAPY 62702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62702,A000000,02700,0000,02700SPEECH PATHOLOGY 62702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62702,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 62702,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 62702,A000000,03550,0000,03550FQHC 62702,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62702,A000000,04800,0000,04800AMBULANCE 62702,A000000,05000,0000,05000CORF 62702,A000000,05010,0000,05010CMHC 62702,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62702,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62702,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62702,A81000A,00100,0100,Y 62702,A81000B,00100,0300,HOME OFFICE COSTS 62702,A81000B,00200,0300,THERAPY & MGMT. FEES 62702,A81000B,00300,0300,THERAPY & MGMT. FEES 62702,A81000B,00400,0300,THERAPY & MGMT. FEES 62702,A81000C,00100,0100,A 62702,A81000C,00100,0200,SHAREHOLDERS 62702,A81000C,00100,0400,THE MEADOWS GROUP 62702,A81000C,00100,0600,NURSING HOMES 62702,A81000C,00200,0100,D 62702,A81000C,00200,0400,RMS INC. 62702,A81000C,00200,0600,REHAB. MGMT. 62702,A81000C,00300,0100,D 62702,A81000C,00300,0400,RMS INC. 62702,A81000C,00300,0600,REHAB. MGMT. 62702,A81000C,00400,0100,D 62702,A81000C,00400,0400,RMS INC. 62702,A81000C,00400,0600,REHAB. MGMT. 62702,B100000,00000,0100,00000SQUARE FOOTAGE 62702,B100000,00000,0200,00000SQUARE FOOTAGE 62702,B100000,00000,0300,00000GROSS SALARIES 62702,B100000,00000,0400,00000ACCUM. COST 62702,B100000,00000,0500,00000SQUARE FOOTAGE 62702,B100000,00000,0600,00000PATIENT DAYS 62702,B100000,00000,0700,00000SQUARE FOOTAGE 62702,B100000,00000,0800,00000MEALS SERVED 62702,B100000,00000,0900,00000NURSING HOURS 62702,B100000,00000,1000,00000PATIENT DAYS 62702,B100000,00000,1100,00000NO STATISTICS 62702,B100000,00000,1200,00000GROSS CHARGES 62702,B100000,00000,1300,00000GROSS CHARGES 62702,B100000,00000,1350,00000NO STATISTICS 62702,B100000,00000,1400,00000NO STATISTICS 62702,E10A180,00501,0100,06/07/2000 62702,E10A180,00550,0300,06/07/2000 62702,S000000,00100,0200,05/31/2000 62702,S200000,00100,0100,220 STATE ROUTE #76 62702,S200000,00200,0100,CLARKSVILLE 62702,S200000,00200,0200,TN 62702,S200000,00300,0100,MONTGOMERY 62702,S200000,00400,0100,SPRING MEADOWS HCC 62702,S200000,00400,0200,445402 62702,S200000,00400,0300,10/01/1997 62702,S200000,00400,0500,P 62702,S200000,01600,0100,Y 62712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62712,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62712,A000000,00300,0000,00300EMPLOYEE BENEFITS 62712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62712,A000000,00700,0000,00700HOUSEKEEPING 62712,A000000,00800,0000,00800DIETARY 62712,A000000,00900,0000,00900NURSING ADMINISTRATION 62712,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62712,A000000,01100,0000,01100PHARMACY 62712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62712,A000000,01300,0000,01300SOCIAL SERVICE 62712,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62712,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62712,A000000,01600,0000,01600SKILLED NURSING FACILITY 62712,A000000,01800,0000,01800NURSING FACILITY 62712,A000000,01810,0000,01810ICF/MR 62712,A000000,02100,0000,02100RADIOLOGY 62712,A000000,02200,0000,02200LABORATORY 62712,A000000,02300,0000,02300INTRAVENOUS THERAPY 62712,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62712,A000000,02500,0000,02500PHYSICAL THERAPY 62712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62712,A000000,02700,0000,02700SPEECH PATHOLOGY 62712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62712,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 62712,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 62712,A000000,03550,0000,03550FQHC 62712,A000000,05000,0000,05000CORF 62712,A000000,05010,0000,05010CMHC 62712,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62712,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62712,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62712,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 62712,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62712,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 62712,B100000,00000,0100,00000SQUARE FEET 62712,B100000,00000,0200,00000SQUARE FEET 62712,B100000,00000,0300,00000GROSS SALARIES 62712,B100000,00000,0400,00000ACCUM COST 62712,B100000,00000,0500,00000SQUARE FEET 62712,B100000,00000,0600,00000PATIENT DAYS 62712,B100000,00000,0700,00000SQUARE FEET 62712,B100000,00000,0800,00000PATIENT DAYS 62712,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 62712,B100000,00000,1000,00000HOURS OF SERVICE 62712,B100000,00000,1100,00000COSTED REQUISITIO 62712,B100000,00000,1200,00000TIME SPENT 62712,B100000,00000,1300,00000TIME SPENT 62712,B100000,00000,1350,00000 62712,B100000,00000,1400,00000ASSIGNED TIME 62712,S000000,00100,0200,05/30/2000 62712,S200000,00100,0100,701 SEQUOYAH RD 62712,S200000,00200,0100,SODDY-DAISY 62712,S200000,00200,0200,TN 62712,S200000,00200,0300,37379 62712,S200000,00300,0100,HAMILTON 62712,S200000,00400,0100,SODDY DAISY CONVALESCENT CENTER 62712,S200000,00400,0200,445408 62712,S200000,00400,0300,03/05/1998 62712,S200000,00400,0500,P 62712,S200000,01600,0100,Y 62717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62717,A000000,00300,0000,00300EMPLOYEE BENEFITS 62717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62717,A000000,00700,0000,00700HOUSEKEEPING 62717,A000000,00800,0000,00800DIETARY 62717,A000000,00900,0000,00900NURSING ADMINISTRATION 62717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62717,A000000,01100,0000,01100PHARMACY 62717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62717,A000000,01300,0000,01300SOCIAL SERVICE 62717,A000000,01350,0000,01500ACTIVITIES 62717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62717,A000000,01600,0000,01600SKILLED NURSING FACILITY 62717,A000000,01800,0000,01800NURSING FACILITY 62717,A000000,02100,0000,02100RADIOLOGY 62717,A000000,02200,0000,02200LABORATORY 62717,A000000,02500,0000,02500PHYSICAL THERAPY 62717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62717,A000000,02700,0000,02700SPEECH PATHOLOGY 62717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62717,A000000,04800,0000,04800AMBULANCE 62717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 62717,A000000,05300,0000,05300INTEREST EXPENSE 62717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62717,B100000,00000,0100,00000SQUARE FEET 62717,B100000,00000,0200,00000NO STATISTICS 62717,B100000,00000,0300,00000GROSS SALARIES 62717,B100000,00000,0400,00000ACCUM. COST 62717,B100000,00000,0500,00000SQUARE FEET 62717,B100000,00000,0600,00000PATIENT DAYS 62717,B100000,00000,0700,00000SQUARE FT. MOD 62717,B100000,00000,0800,00000MEALS SERVED 62717,B100000,00000,0900,00000DIRECT NSG HOURS 62717,B100000,00000,1000,00000COSTED REQUIS. 62717,B100000,00000,1100,00000NO STATISTICS 62717,B100000,00000,1200,00000PATIENT DAYS 62717,B100000,00000,1300,00000PATIENT DAYS 62717,B100000,00000,1350,00000PATIENT DAYS 62717,B100000,00000,1400,00000NO STATISTICS 62717,E10A180,00501,0100,07/26/2000 62717,S000000,00100,0200,05/31/2000 62717,S200000,00100,0100,2030 25TH AVENUE 62717,S200000,00200,0100,NASHVILLE 62717,S200000,00200,0200,TN 62717,S200000,00200,0300,37208 62717,S200000,00300,0100,DAVIDSON 62717,S200000,00400,0100,CRESTVIEW NURSING HOME 62717,S200000,00400,0200,445409 62717,S200000,00400,0300,03/05/1998 62717,S200000,00400,0500,P 62717,S200000,01600,0100,Y 62721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62721,A000000,00300,0000,00300EMPLOYEE BENEFITS 62721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62721,A000000,00700,0000,00700HOUSEKEEPING 62721,A000000,00800,0000,00800DIETARY 62721,A000000,00900,0000,00900NURSING ADMINISTRATION 62721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62721,A000000,01100,0000,01100PHARMACY 62721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62721,A000000,01300,0000,01300SOCIAL SERVICE 62721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62721,A000000,01600,0000,01600SKILLED NURSING FACILITY 62721,A000000,01800,0000,01800NURSING FACILITY 62721,A000000,01810,0000,01810ICF/MR 62721,A000000,01900,0000,01900OTHER LONG TERM CARE 62721,A000000,02200,0000,02200LABORATORY 62721,A000000,02300,0000,02300INTRAVENOUS THERAPY 62721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62721,A000000,02500,0000,02500PHYSICAL THERAPY 62721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62721,A000000,02700,0000,02700SPEECH PATHOLOGY 62721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62721,A000000,03550,0000,03550FQHC 62721,A000000,04800,0000,04800AMBULANCE 62721,A000000,05000,0000,05000CORF 62721,A000000,05010,0000,05010CMHC 62721,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62721,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62721,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62721,A000000,05300,0000,05300INTEREST EXPENSE 62721,B100000,00000,0100,00000SQUARE FEET 62721,B100000,00000,0200,00000SQUARE FEET 62721,B100000,00000,0300,00000GROSS SALARIES 62721,B100000,00000,0400,00000ACCUM COST 62721,B100000,00000,0500,00000SQUARE FEET 62721,B100000,00000,0600,00000PATIENT DAYS 62721,B100000,00000,0700,00000PATIENT DAYS 62721,B100000,00000,0800,00000MEALS SERVED 62721,B100000,00000,0900,00000DIRECT NRSG HRS 62721,B100000,00000,1000,00000COSTED REQUIS 62721,B100000,00000,1100,00000COSTED REQUIS 62721,B100000,00000,1200,00000TIME SPENT 62721,B100000,00000,1300,00000TIME SPENT 62721,B100000,00000,1400,00000ASSIGNED TIME 62721,S000000,00100,0200,05/31/2000 62721,S200000,00100,0100,405 TIMES AVENUE 62721,S200000,00200,0100,LAFAYETTE 62721,S200000,00200,0200,TN 62721,S200000,00200,0300,37083 62721,S200000,00300,0100,MACON 62721,S200000,00400,0100,KNOLLWOOD MANOR 62721,S200000,00400,0200,445410 62721,S200000,00400,0300,03/12/1998 62721,S200000,00400,0500,P 62721,S200000,00600,0200,440570 62721,S200000,00600,0300,11/02/1993 62721,S200000,00600,0600,P 62721,S200000,01500,0100,Y 62721,S200000,02200,0100,Y 62721,S200000,04300,0100,Y 62721,S200000,04900,0100,Y 62725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62725,A000000,00300,0000,00300EMPLOYEE BENEFITS 62725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62725,A000000,00700,0000,00700HOUSEKEEPING 62725,A000000,00800,0000,00800DIETARY 62725,A000000,00900,0000,00900NURSING ADMINISTRATION 62725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62725,A000000,01100,0000,01100PHARMACY 62725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62725,A000000,01300,0000,01300SOCIAL SERVICE 62725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62725,A000000,01600,0000,01600SKILLED NURSING FACILITY 62725,A000000,01800,0000,01800NURSING FACILITY 62725,A000000,01810,0000,01810ICF/MR 62725,A000000,02200,0000,02200LABORATORY 62725,A000000,02300,0000,02300INTRAVENOUS THERAPY 62725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62725,A000000,02500,0000,02500PHYSICAL THERAPY 62725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62725,A000000,02700,0000,02700SPEECH PATHOLOGY 62725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62725,A000000,03550,0000,03550FQHC 62725,A000000,05000,0000,05000CORF 62725,A000000,05010,0000,05010CMHC 62725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62725,A000000,05300,0000,05300INTEREST EXPENSE 62725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62725,A81000A,00100,0100,Y 62725,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 62725,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 62725,A81000B,00300,0300,HEALTH INSURANCE 62725,A81000B,00400,0300,RETIREMENT 62725,A81000B,00500,0300,PLANT OPER-HOME OFFICE COST 62725,A81000B,00800,0300,DIETARY-HOME OFFICE COST 62725,A81000B,00900,0300,NUR ADMIN-HOME OFFICE COST 62725,A81000B,01000,0300,MED REC-HOME OFFICE COST 62725,A81000B,01100,0300,SW/ACT-HOME OFFICE COST 62725,A81000B,01200,0300,PT-HOME OFFICE COST 62725,A81000C,00100,0100,B 62725,A81000C,00100,0200,NATIONAL 62725,A81000C,00200,0200,HEALTHCARE CORP 62725,B100000,00000,0100,00000(SQUARE FEET) 62725,B100000,00000,0200,00000(SQUARE FEET) 62725,B100000,00000,0300,00000(GROSS SALARIES) 62725,B100000,00000,0400,00000(ACCUM COST) 62725,B100000,00000,0500,00000(SQUARE FEET) 62725,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62725,B100000,00000,0700,00000(SQUARE FEET) 62725,B100000,00000,0800,00000(MEALS SERVED) 62725,B100000,00000,0900,00000(DIRECT NRSG HRS) 62725,B100000,00000,1000,00000(COSTED REQUIS) 62725,B100000,00000,1100,00000(COSTED REQUIS) 62725,B100000,00000,1200,00000(GROSS REV CHARGE) 62725,B100000,00000,1300,00000(TIME SPENT) 62725,B100000,00000,1400,00000ASSIGNED TIME 62725,S000000,00100,0200,06/30/1999 62725,S200000,00100,0100,120 CAVETT HILL LANE 62725,S200000,00200,0100,FARRAGUT 62725,S200000,00200,0200,TN 62725,S200000,00200,0300,37922 62725,S200000,00400,0100,CAVETT HILL THE HEALTH CENTER 62725,S200000,00400,0200,445415 62725,S200000,00400,0300,10/05/1998 62725,S200000,00400,0500,P 62725,S200000,00600,0200,445415 62725,S200000,00600,0300,10/05/1998 62725,S200000,01600,0100,Y 62727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62727,A000000,00300,0000,00300EMPLOYEE BENEFITS 62727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62727,A000000,00700,0000,00700HOUSEKEEPING 62727,A000000,00800,0000,00800DIETARY 62727,A000000,00900,0000,00900NURSING ADMINISTRATION 62727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62727,A000000,01100,0000,01100PHARMACY 62727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62727,A000000,01300,0000,01300SOCIAL SERVICE 62727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62727,A000000,01600,0000,01600SKILLED NURSING FACILITY 62727,A000000,01800,0000,01800NURSING FACILITY 62727,A000000,01810,0000,01810ICF/MR 62727,A000000,02100,0000,02100RADIOLOGY 62727,A000000,02200,0000,02200LABORATORY 62727,A000000,02300,0000,02300INTRAVENOUS THERAPY 62727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62727,A000000,02500,0000,02500PHYSICAL THERAPY 62727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62727,A000000,02700,0000,02700SPEECH PATHOLOGY 62727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62727,A000000,03550,0000,03550FQHC 62727,A000000,05000,0000,05000CORF 62727,A000000,05010,0000,05010CMHC 62727,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62727,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62727,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62727,A000000,05300,0000,05300INTEREST EXPENSE 62727,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62727,A81000A,00100,0100,Y 62727,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 62727,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 62727,A81000B,00300,0300,HEALTH INSURANCE 62727,A81000B,00400,0300,RETIREMENT 62727,A81000B,00500,0300,PHS COST 62727,A81000B,00600,0300,PHS COST 62727,A81000B,00700,0300,PHS COST 62727,A81000B,00800,0300,PHS COST 62727,A81000B,00900,0300,PHS COST 62727,A81000B,01000,0300,PHS COST 62727,A81000B,01100,0300,PHS COST 62727,A81000B,01200,0300,PHS COST 62727,A81000C,00100,0100,B 62727,A81000C,00100,0200,NHC 62727,B100000,00000,0100,00000(SQUARE FEET) 62727,B100000,00000,0200,00000(SQUARE FEET) 62727,B100000,00000,0300,00000(GROSS SALARIES) 62727,B100000,00000,0400,00000(ACCUM COST) 62727,B100000,00000,0500,00000(SQUARE FEET) 62727,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62727,B100000,00000,0700,00000(SQUARE FEET) 62727,B100000,00000,0800,00000(MEALS SERVED) 62727,B100000,00000,0900,00000(DIRECT NRSG HRS) 62727,B100000,00000,1000,00000(COSTED REQUIS) 62727,B100000,00000,1100,00000(COSTED REQUIS) 62727,B100000,00000,1200,00000(GROSS REV CHARGE) 62727,B100000,00000,1300,00000(TIME SPENT) 62727,B100000,00000,1400,00000ASSIGNED TIME 62727,S000000,00100,0200,07/25/2000 62727,S200000,00100,0100,120 CAVETT HILL LANE 62727,S200000,00200,0100,FARRAGUT 62727,S200000,00200,0200,TN 62727,S200000,00200,0300,37922 62727,S200000,00300,0100,KNOX 62727,S200000,00400,0100,CAVETT HILL 62727,S200000,00400,0200,445415 62727,S200000,00400,0300,10/05/1998 62727,S200000,00400,0500,P 62727,S200000,00600,0200,445415 62727,S200000,00600,0300,10/05/1998 62727,S200000,00600,0600,P 62727,S200000,01600,0100,Y 62727,S200000,02200,0100,Y 62729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62729,A000000,00300,0000,00300EMPLOYEE BENEFITS 62729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62729,A000000,00700,0000,00700HOUSEKEEPING 62729,A000000,00800,0000,00800DIETARY 62729,A000000,00900,0000,00900NURSING ADMINISTRATION 62729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62729,A000000,01100,0000,01100PHARMACY 62729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62729,A000000,01300,0000,01300SOCIAL SERVICE 62729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62729,A000000,01600,0000,01600SKILLED NURSING FACILITY 62729,A000000,01800,0000,01800NURSING FACILITY 62729,A000000,01810,0000,01810ICF/MR 62729,A000000,02100,0000,02100RADIOLOGY 62729,A000000,02200,0000,02200LABORATORY 62729,A000000,02300,0000,02300INTRAVENOUS THERAPY 62729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62729,A000000,02500,0000,02500PHYSICAL THERAPY 62729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62729,A000000,02700,0000,02700SPEECH PATHOLOGY 62729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62729,A000000,03550,0000,03550FQHC 62729,A000000,05000,0000,05000CORF 62729,A000000,05010,0000,05010CMHC 62729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62729,A000000,05300,0000,05300INTEREST EXPENSE 62729,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62729,A81000A,00100,0100,Y 62729,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 62729,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 62729,A81000B,00300,0300,HEALTH INSURANCE 62729,A81000B,00400,0300,RETIREMENT 62729,A81000B,00500,0300,PHS COST 62729,A81000B,00600,0300,PHS COST 62729,A81000B,00700,0300,PHS COST 62729,A81000B,00800,0300,PHS COST 62729,A81000B,00900,0300,PHS COST 62729,A81000B,01000,0300,PHS COST 62729,A81000B,01100,0300,PHS COST 62729,A81000B,01200,0300,PHS COST 62729,A81000C,00100,0100,B 62729,A81000C,00100,0200,NATIONAL HEALTH 62729,A81000C,00100,0400,PHS 62729,A81000C,00100,0600,CONSULTANTS &TH 62729,B100000,00000,0100,00000(SQUARE FEET) 62729,B100000,00000,0200,00000(SQUARE FEET) 62729,B100000,00000,0300,00000(GROSS SALARIES) 62729,B100000,00000,0400,00000(ACCUM COST) 62729,B100000,00000,0500,00000(SQUARE FEET) 62729,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62729,B100000,00000,0700,00000(SQUARE FEET) 62729,B100000,00000,0800,00000(MEALS SERVED) 62729,B100000,00000,0900,00000(DIRECT NRSG HRS) 62729,B100000,00000,1000,00000(COSTED REQUIS) 62729,B100000,00000,1100,00000(COSTED REQUIS) 62729,B100000,00000,1200,00000(GROSS REV CHARGE) 62729,B100000,00000,1300,00000(TIME SPENT) 62729,B100000,00000,1400,00000ASSIGNED TIME 62729,S000000,00100,0200,04/06/2000 62729,S200000,00100,0100,120 CAVETT HILL LANE 62729,S200000,00200,0100,FARRAGUT 62729,S200000,00200,0200,TN 62729,S200000,00200,0300,37922 62729,S200000,00300,0100,KNOX 62729,S200000,00400,0100,NHC HEALTHCARE FARRAGUT 62729,S200000,00400,0200,445415 62729,S200000,00400,0300,10/05/1998 62729,S200000,00400,0500,P 62729,S200000,00600,0200,445415 62729,S200000,00600,0300,10/05/1998 62729,S200000,00600,0600,P 62729,S200000,01600,0100,Y 62732,S000000,00100,0200,05/22/2000 62752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62752,A000000,00300,0000,00300EMPLOYEE BENEFITS 62752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62752,A000000,00700,0000,00700HOUSEKEEPING 62752,A000000,00800,0000,00800DIETARY 62752,A000000,00900,0000,00900NURSING ADMINISTRATION 62752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62752,A000000,01300,0000,01300SOCIAL SERVICE 62752,A000000,01350,0000,01500ACTIVITIES 62752,A000000,01600,0000,01600SKILLED NURSING FACILITY 62752,A000000,01800,0000,01800NURSING FACILITY 62752,A000000,02100,0000,02100RADIOLOGY 62752,A000000,02200,0000,02200LABORATORY 62752,A000000,02300,0000,02300INTRAVENOUS THERAPY 62752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62752,A000000,02500,0000,02500PHYSICAL THERAPY 62752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62752,A000000,02700,0000,02700SPEECH PATHOLOGY 62752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62752,A000000,03051,0000,03301AMBULANCE SERVICES 62752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62752,A81000A,00100,0100,Y 62752,A81000B,00100,0300,HOME OFFICE COSTS 62752,A81000B,00200,0300,H.O. COSTS - CAPITAL 62752,A81000B,00300,0300,REL PARTY INT - FLP 62752,A81000B,00400,0300,REL PARTY INT - LCCA 62752,A81000B,00500,0300,Y2K COMP. DEPREC. 62752,A81000B,00600,0300,REHAB ALLOC - PT 62752,A81000B,00700,0300,REHAB ALLOC - OT 62752,A81000B,00800,0300,REHAB ALLOC - ST 62752,A81000B,00900,0300,REHAB ALLOC - RT 62752,A81000B,01000,0300,PHARMACEUTICALS 62752,A81000C,00100,0100,A 62752,A81000C,00100,0200,FORREST PRESTON 62752,A81000C,00100,0400,LIFE CARE CENTE 62752,A81000C,00100,0600,NRSG HOME MGMT 62752,A81000C,00200,0100,A 62752,A81000C,00200,0200,FORREST PRESTON 62752,A81000C,00200,0400,LIFE CARE CENTE 62752,A81000C,00200,0600,NRSG HOME MGMT 62752,A81000C,00300,0100,A 62752,A81000C,00300,0200,FORREST PRESTON 62752,A81000C,00300,0400,LIFE CARE CENTE 62752,A81000C,00300,0600,NRSG HOME MGMT 62752,A81000C,00400,0100,A 62752,A81000C,00400,0200,FORREST PRESTON 62752,A81000C,00400,0400,METLIFE 62752,A81000C,00400,0600,COMPUTER FINANC 62752,A81000C,00500,0100,A 62752,A81000C,00500,0200,FORREST PRESTON 62752,A81000C,00500,0400,LIFE CARE CENTE 62752,A81000C,00500,0600,NRSG HOME MGMT 62752,A81000C,00600,0100,A 62752,A81000C,00600,0200,FORREST PRESTON 62752,A81000C,00600,0400,REHAB SUPPORT S 62752,A81000C,00600,0600,REHAB SERVICES 62752,A81000C,00700,0100,A 62752,A81000C,00700,0200,FORREST PRESTON 62752,A81000C,00700,0400,REHAB SUPPORT S 62752,A81000C,00700,0600,REHAB SERVICES 62752,A81000C,00800,0100,A 62752,A81000C,00800,0200,FORREST PRESTON 62752,A81000C,00800,0400,REHAB SUPPORT S 62752,A81000C,00800,0600,REHAB SERVICES 62752,A81000C,00900,0100,A 62752,A81000C,00900,0200,FORREST PRESTON 62752,A81000C,00900,0400,REHAB SUPPORT S 62752,A81000C,00900,0600,REHAB SERVICES 62752,A81000C,01000,0100,A 62752,A81000C,01000,0200,FORREST PRESTON 62752,A81000C,01000,0400,MEDILIFE PHARMA 62752,A81000C,01000,0600,PHARMACY SERVIC 62752,B100000,00000,0100,00000(SQUARE FEET) 62752,B100000,00000,0200,00000(SQUARE FEET) 62752,B100000,00000,0300,00000(GROSS SALARIES) 62752,B100000,00000,0400,00000(ACCUM COST) 62752,B100000,00000,0500,00000(SQUARE FEET) 62752,B100000,00000,0600,00000PATIENT DAYS 62752,B100000,00000,0700,00000(SQUARE FEET) 62752,B100000,00000,0800,00000(MEALS SERVED) 62752,B100000,00000,0900,00000DIR NRSG HOURS 62752,B100000,00000,1000,00000(COSTED REQUIS) 62752,B100000,00000,1200,00000GROSS REVENUES 62752,B100000,00000,1300,00000PATIENT DAYS 62752,B100000,00000,1350,00000PATIENT DAYS 62752,E10A180,00301,0100,02/07/2000 62752,S000000,00100,0200,05/18/2000 62752,S200000,00100,0100,3800 WEST PARK BOULEVARD 62752,S200000,00200,0100,PLANO 62752,S200000,00200,0200,TX 62752,S200000,00200,0300,75075 62752,S200000,00300,0100,COLLIN 62752,S200000,00400,0100,LIFE CARE CENTER OF PLANO 62752,S200000,00400,0200,455864 62752,S200000,00400,0300,01/30/1990 62752,S200000,00400,0500,P 62752,S200000,00600,0200,455864 62752,S200000,00600,0300,01/30/1990 62752,S200000,00600,0600,P 62752,S200000,01600,0100,Y 62752,S200000,02200,0100,Y 62752,S200000,04300,0100,Y 62752,S200000,04700,0100,Y 62752,S200000,04700,0200,Y 62770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62770,A000000,00300,0000,00300EMPLOYEE BENEFITS 62770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62770,A000000,00700,0000,00700HOUSEKEEPING 62770,A000000,00800,0000,00800DIETARY 62770,A000000,00900,0000,00900NURSING ADMINISTRATION 62770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62770,A000000,01300,0000,01300SOCIAL SERVICE 62770,A000000,01350,0000,01500ACTIVITIES 62770,A000000,01600,0000,01600SKILLED NURSING FACILITY 62770,A000000,01800,0000,01800NURSING FACILITY 62770,A000000,02100,0000,02100RADIOLOGY 62770,A000000,02200,0000,02200LABORATORY 62770,A000000,02300,0000,02300INTRAVENOUS THERAPY 62770,A000000,02500,0000,02500PHYSICAL THERAPY 62770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62770,A000000,02700,0000,02700SPEECH PATHOLOGY 62770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62770,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62770,A81000A,00100,0100,Y 62770,A81000B,00100,0300,MANAGEMENT FEES 62770,A81000B,00200,0300,REL PARTY INTEREST 62770,A81000B,00300,0300,Y2K CONVERSION 62770,A81000B,00400,0300,FORGIVENESS OF DEBT 62770,A81000B,00500,0300,PT ALLOCATION 62770,A81000B,00600,0300,HCE LEASING 62770,A81000B,00700,0300,OT ALLOCATION 62770,A81000B,00800,0300,LC DESIGNS - 1999 62770,A81000B,00900,0300,SLP ALLOCATION 62770,A81000B,01000,0300,HCE LEASING 62770,A81000C,00100,0100,A 62770,A81000C,00100,0200,FORREST PRESTON 62770,A81000C,00100,0400,LIFE CARE CENTE 62770,A81000C,00100,0600,NURSING HOME MG 62770,A81000C,00200,0100,A 62770,A81000C,00200,0200,FORREST PRESTON 62770,A81000C,00200,0400,LIFE CARE DESIG 62770,A81000C,00200,0600,FURNITURE FIXTU 62770,A81000C,00300,0100,A 62770,A81000C,00300,0200,FORREST PRESTON 62770,A81000C,00300,0400,HCE LEASING IN 62770,A81000C,00300,0600,LEASING COMPANY 62770,B100000,00000,0100,00000SQUARE FEET 62770,B100000,00000,0200,00000SQUARE FEET 62770,B100000,00000,0300,00000GROSS SALARIES 62770,B100000,00000,0400,00000ACCUM COST 62770,B100000,00000,0500,00000SQUARE FEET 62770,B100000,00000,0600,00000PATIENT DAYS 62770,B100000,00000,0700,00000SQUARE FEET 62770,B100000,00000,0800,00000MEALS SERVED 62770,B100000,00000,0900,00000HOURS SUPERVISED 62770,B100000,00000,1000,00000COSTED REQUIS 62770,B100000,00000,1200,00000GROSS REVENUES 62770,B100000,00000,1300,00000PATIENT DAYS 62770,B100000,00000,1350,00000PATIENT DAYS 62770,S000000,00100,0200,05/12/2000 62770,S200000,00100,0100,460 WEST 2600 SOUTH 62770,S200000,00200,0100,BOUNTIFUL 62770,S200000,00200,0200,UT 62770,S200000,00200,0300,84010 62770,S200000,00300,0100,DAVIS 62770,S200000,00400,0100,LIFE CARE CENTER OF BOUNTIFUL 62770,S200000,00400,0200,465112 62770,S200000,00400,0300,05/04/1987 62770,S200000,00400,0500,P 62770,S200000,01600,0100,Y 62770,S200000,04300,0100,Y 62782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62782,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62782,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62782,A000000,00300,0000,00300EMPLOYEE BENEFITS 62782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62782,A000000,00700,0000,00700HOUSEKEEPING 62782,A000000,00800,0000,00800DIETARY 62782,A000000,00801,0000,00801CAFETERIA 62782,A000000,00900,0000,00900NURSING ADMINISTRATION 62782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62782,A000000,01100,0000,01100PHARMACY 62782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62782,A000000,01300,0000,01300SOCIAL SERVICE 62782,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62782,A000000,01600,0000,01600SKILLED NURSING FACILITY 62782,A000000,01800,0000,01800NURSING FACILITY 62782,A000000,01810,0000,01810ICF/MR 62782,A000000,02200,0000,02200LABORATORY 62782,A000000,02500,0000,02500PHYSICAL THERAPY 62782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62782,A000000,02700,0000,02700SPEECH PATHOLOGY 62782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62782,A000000,03050,0000,03300OTHER ANCILLARY 62782,A000000,03051,0000,03301FEE SCREENING 62782,A000000,03052,0000,03302OTHER ANCILLARY III 62782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62782,A000000,03550,0000,03550FQHC 62782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62782,A000000,05000,0000,05000CORF I 62782,A000000,05010,0000,05010CMHC I 62782,A000000,05020,0000,05020OPT I 62782,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62782,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62782,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62782,A81000A,00100,0100,Y 62782,A81000B,00100,0300,HOME OFFICE ALLOCATION 62782,A81000B,00200,0300,INTEREST ALLOCATION 62782,A81000C,00100,0100,G 62782,A81000C,00100,0400,GENESIS 62782,A81000C,00100,0600,HOME OFFICE 62782,B100000,00000,0100,00000(SQUARE FEET) 62782,B100000,00000,0101,00000(SQUARE FEET) 62782,B100000,00000,0200,00000(SQUARE FEET) 62782,B100000,00000,0201,00000(SQUARE FEET) 62782,B100000,00000,0300,00000(GROSS SALARIES) 62782,B100000,00000,0400,00000(ACCUM. COST) 62782,B100000,00000,0500,00000(SQUARE FEET) 62782,B100000,00000,0600,00000(PATIENT DAYS) 62782,B100000,00000,0700,00000(SQUARE FEET) 62782,B100000,00000,0800,00000(MEALS SERVED) 62782,B100000,00000,0801,00000(MEALS SERVED) 62782,B100000,00000,0900,00000(NURSING SALARIES) 62782,B100000,00000,1000,00000(COSTED REQUIS.) 62782,B100000,00000,1100,00000(COSTED REQUIS.) 62782,B100000,00000,1200,00000(PATIENT DAYS) 62782,B100000,00000,1300,00000(PATIENT DAYS) 62782,B100000,00000,1350,00000(PATIENT DAYS) 62782,B100000,00000,1400,00000(ASSIGNED TIME) 62782,S000000,00100,0200,05/26/2000 62782,S200000,00100,0100,BEL-AIRE DRIVE 62782,S200000,00200,0100,NEWPORT 62782,S200000,00200,0200,VT 62782,S200000,00200,0300,05855 62782,S200000,00300,0100,ORLEANS 62782,S200000,00400,0100,BEL-AIRE QUALITY CARE 62782,S200000,00400,0200,475049 62782,S200000,00400,0300,01/27/1995 62782,S200000,00400,0500,P 62782,S200000,01600,0100,Y 62782,S200000,02200,0100,Y 62790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62790,A000000,00300,0000,00300EMPLOYEE BENEFITS 62790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62790,A000000,00700,0000,00700HOUSEKEEPING 62790,A000000,00800,0000,00800DIETARY 62790,A000000,00900,0000,00900NURSING ADMINISTRATION 62790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62790,A000000,01100,0000,01100PHARMACY 62790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62790,A000000,01300,0000,01300SOCIAL SERVICE 62790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62790,A000000,01600,0000,01600SKILLED NURSING FACILITY 62790,A000000,01800,0000,01800NURSING FACILITY 62790,A000000,01810,0000,01810ICF/MR 62790,A000000,02100,0000,02100RADIOLOGY 62790,A000000,02200,0000,02200LABORATORY 62790,A000000,02300,0000,02300INTRAVENOUS THERAPY 62790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62790,A000000,02500,0000,02500PHYSICAL THERAPY 62790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62790,A000000,02700,0000,02700SPEECH PATHOLOGY 62790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62790,A000000,03550,0000,03550FQHC 62790,A000000,05000,0000,05000CORF 62790,A000000,05010,0000,05010CMHC 62790,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62790,A000000,05300,0000,05300INTEREST EXPENSE 62790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62790,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 62790,A81000A,00100,0100,Y 62790,A81000B,00100,0300,MGMT FEE - HOME OFFICE COST 62790,A81000B,00200,0300,CRC/FIXED - HOME OFFICE COST 62790,A81000B,00300,0300,HEALTH INSURANCE 62790,A81000B,00400,0300,RETIREMENT 62790,A81000B,00500,0300,PHS COST 62790,A81000B,00600,0300,PHS COST 62790,A81000B,00700,0300,PHS COST 62790,A81000B,00800,0300,PHS COST 62790,A81000B,00900,0300,PHS COST 62790,A81000B,01000,0300,PHS COST 62790,A81000B,01100,0300,PHS COST 62790,A81000B,01200,0300,PHS COST 62790,A81000C,00100,0100,B 62790,A81000C,00100,0200,NATIONAL HEALTH 62790,A81000C,00100,0600,HOME OFFICE 62790,A81000C,00200,0200,CARE CORPORATIO 62790,A81000C,00300,0100,B 62790,A81000C,00300,0200,PROFESSIONAL HE 62790,A81000C,00300,0600,THERAPY PERSON 62790,A81000C,00400,0200,SERVCIES CORP. 62790,B100000,00000,0100,00000(SQUARE FEET) 62790,B100000,00000,0200,00000(SQUARE FEET) 62790,B100000,00000,0300,00000(GROSS SALARIES) 62790,B100000,00000,0400,00000(ACCUM COST) 62790,B100000,00000,0500,00000(SQUARE FEET) 62790,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 62790,B100000,00000,0700,00000(SQUARE FEET) 62790,B100000,00000,0800,00000(MEALS SERVED) 62790,B100000,00000,0900,00000(DIRECT NRSG HRS) 62790,B100000,00000,1000,00000(COSTED REQUIS) 62790,B100000,00000,1100,00000(COSTED REQUIS) 62790,B100000,00000,1200,00000(TIME SPENT) 62790,B100000,00000,1300,00000(TIME SPENT) 62790,B100000,00000,1400,00000ASSIGNED TIME 62790,E10A180,00301,0100,12/03/1999 62790,E10A180,00550,0100,06/01/2000 62790,E10A180,00550,0300,06/01/2000 62790,S000000,00100,0200,05/26/2000 62790,S200000,00100,0100,245 NORTH STREET 62790,S200000,00100,0300,1166 62790,S200000,00200,0100,BRISTOL 62790,S200000,00200,0200,VA 62790,S200000,00200,0300,24201 62790,S200000,00300,0100,WASHINGTON 62790,S200000,00400,0100,NHC HEALTHCARE OF BRISTOL 62790,S200000,00400,0200,495131 62790,S200000,00400,0300,01/01/1973 62790,S200000,00400,0500,P 62790,S200000,00600,0200,495131 62790,S200000,00600,0300,01/01/1973 62790,S200000,00600,0600,P 62799,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62799,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62799,A000000,00300,0000,00300EMPLOYEE BENEFITS 62799,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62799,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62799,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62799,A000000,00700,0000,00700HOUSEKEEPING 62799,A000000,00800,0000,00800DIETARY 62799,A000000,00900,0000,00900NURSING ADMINISTRATION 62799,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62799,A000000,01100,0000,01100PHARMACY 62799,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62799,A000000,01300,0000,01300SOCIAL SERVICE 62799,A000000,01350,0000,01500ACTIVITIES 62799,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62799,A000000,01600,0000,01600SKILLED NURSING FACILITY 62799,A000000,01800,0000,01800NURSING FACILITY 62799,A000000,01810,0000,01810ICF/MR 62799,A000000,02200,0000,02200LABORATORY 62799,A000000,02300,0000,02300INTRAVENOUS THERAPY 62799,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62799,A000000,02500,0000,02500PHYSICAL THERAPY 62799,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62799,A000000,02700,0000,02700SPEECH PATHOLOGY 62799,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62799,A000000,02901,0000,02901PEN THERAPY 62799,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62799,A000000,03050,0000,03300OTHER ANCILLARIES 62799,A000000,03051,0000,03301AMBULANCE 62799,A000000,03550,0000,03550FQHC 62799,A000000,05000,0000,05000CORF 62799,A000000,05010,0000,05010CMHC 62799,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62799,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62799,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62799,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62799,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62799,A81000A,00100,0100,Y 62799,A81000B,00100,0300,HOME OFFICE COSTS 62799,A81000B,00200,0300,DESIGN SUPPLIES 62799,A81000B,00300,0300,REL PARTY INTEREST 62799,A81000B,00400,0300,REHAB ALLOCATION 62799,A81000B,00500,0300,REHAB ALLOCATION 62799,A81000B,00600,0300,REHAB ALLOCATION 62799,A81000B,00700,0300,EQUIPMENT SUPPLIES 62799,A81000B,00800,0300,SUPPLIES 62799,A81000B,00900,0300,COMPUTER TRAINING IN 62799,A81000C,00100,0100,A 62799,A81000C,00100,0200,FORREST PRESTON 62799,A81000C,00100,0400,LCCA 62799,A81000C,00100,0600,NSG HOME MANAG 62799,A81000C,00200,0100,A 62799,A81000C,00200,0200,FORREST PRESTON 62799,A81000C,00200,0400,LIFE CARE DESIG 62799,A81000C,00200,0600,INTERIOR DESIGN 62799,A81000C,00300,0100,A 62799,A81000C,00300,0200,FORREST PRESTON 62799,A81000C,00300,0400,LCCA 62799,A81000C,00300,0600,NSG HOME MANAG 62799,A81000C,00400,0100,A 62799,A81000C,00400,0200,FORREST PRESTON 62799,A81000C,00400,0400,LCCA 62799,A81000C,00400,0600,NSG HOME MANAG 62799,A81000C,00500,0100,A 62799,A81000C,00500,0200,FORREST PRESTON 62799,A81000C,00500,0400,LCCA 62799,A81000C,00500,0600,NSG HOME MANAG 62799,A81000C,00600,0100,A 62799,A81000C,00600,0200,FORREST PRESTON 62799,A81000C,00600,0400,LCCA 62799,A81000C,00600,0600,NSG HOME MANAG 62799,A81000C,00700,0100,A 62799,A81000C,00700,0200,LIFE CARE PHARM 62799,A81000C,00700,0400,MEDILIFE 62799,A81000C,00700,0600,SUPPLIES 62799,A81000C,00800,0100,A 62799,A81000C,00800,0200,LIFE CARE PHARM 62799,A81000C,00800,0400,MEDILIFE 62799,A81000C,00800,0600,SUPPLIES 62799,A81000C,00900,0100,A 62799,A81000C,00900,0200,FORREST PRESTON 62799,A81000C,00900,0400,LCCA 62799,A81000C,00900,0600,NSG HOME MANAG 62799,B100000,00000,0100,00000(SQUARE FEET) 62799,B100000,00000,0200,00000(SQUARE FEET) 62799,B100000,00000,0300,00000(GROSS SALARIES) 62799,B100000,00000,0400,00000(ACCUM COST) 62799,B100000,00000,0500,00000(SQUARE FEET) 62799,B100000,00000,0600,00000PATIENT DAYS 62799,B100000,00000,0700,00000(SQUARE FEET) 62799,B100000,00000,0800,00000(MEALS SERVED) 62799,B100000,00000,0900,00000HOURS OF SERVICE 62799,B100000,00000,1000,00000(COSTED REQUIS) 62799,B100000,00000,1100,00000(COSTED REQUIS) 62799,B100000,00000,1200,00000GROSS REVENUES 62799,B100000,00000,1300,00000PATIENT DAYS 62799,B100000,00000,1350,00000PATIENT DAYS 62799,B100000,00000,1400,00000(ASSIGNED TIME) 62799,E10A180,00302,0100,08/17/1999 62799,S000000,00100,0200,05/26/2000 62799,S200000,00100,0100,315 EAST LEE HIGHWAY 62799,S200000,00200,0100,NEW MARKET 62799,S200000,00200,0200,VA 62799,S200000,00200,0300,22844 62799,S200000,00300,0100,SHENANDOAH 62799,S200000,00400,0100,LCC OF NEW MARKET 62799,S200000,00400,0200,495139 62799,S200000,00400,0300,08/06/1983 62799,S200000,00400,0500,P 62799,S200000,00600,0200,495139 62799,S200000,00600,0300,08/06/1983 62799,S200000,00600,0600,P 62799,S200000,01600,0100,Y 62799,S200000,02200,0100,Y 62803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62803,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62803,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62803,A000000,00300,0000,00300EMPLOYEE BENEFITS 62803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62803,A000000,00700,0000,00700HOUSEKEEPING 62803,A000000,00800,0000,00800DIETARY 62803,A000000,00801,0000,00801CAFETERIA 62803,A000000,00900,0000,00900NURSING ADMINISTRATION 62803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62803,A000000,01100,0000,01100PHARMACY 62803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62803,A000000,01300,0000,01300SOCIAL SERVICE 62803,A000000,01350,0000,01500ACTIVITIES 62803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62803,A000000,01600,0000,01600SKILLED NURSING FACILITY 62803,A000000,01800,0000,01800NURSING FACILITY 62803,A000000,01810,0000,01810ICF/MR 62803,A000000,01900,0000,01900OTHER LONG TERM CARE 62803,A000000,02100,0000,02100RADIOLOGY 62803,A000000,02200,0000,02200LABORATORY 62803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62803,A000000,02500,0000,02500PHYSICAL THERAPY 62803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62803,A000000,02700,0000,02700SPEECH PATHOLOGY 62803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62803,A000000,03050,0000,03300OTHER ANCILLARY 62803,A000000,03051,0000,03301OTHER ANCILLARY II 62803,A000000,03052,0000,03302OTHER ANCILLARY III 62803,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62803,A000000,03550,0000,03550FQHC 62803,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62803,A000000,05000,0000,05000CORF I 62803,A000000,05010,0000,05010CMHC I 62803,A000000,05020,0000,05020OPT I 62803,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62803,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62803,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62803,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62803,A81000A,00100,0100,Y 62803,A81000B,00100,0300,HOME OFFICE ALLOC 62803,A81000B,00200,0300,DIRECT INTERST 9 MO 62803,A81000B,00300,0300,CAPITAL HOME OFFICE 62803,A81000C,00100,0100,B 62803,A81000C,00100,0200,GEN HLTH VEN 62803,A81000C,00100,0600,MGMT CO. 62803,B100000,00000,0100,00000(SQUARE FEET) 62803,B100000,00000,0101,00000(SQUARE FEET) 62803,B100000,00000,0200,00000(SQUARE FEET) 62803,B100000,00000,0201,00000(SQUARE FEET) 62803,B100000,00000,0300,00000(GROSS SALARIES) 62803,B100000,00000,0400,00000(ACCUM. COST) 62803,B100000,00000,0500,00000(SQUARE FEET) 62803,B100000,00000,0600,00000(PATIENT DAYS) 62803,B100000,00000,0700,00000(SQUARE FEET) 62803,B100000,00000,0800,00000(MEALS SERVED) 62803,B100000,00000,0801,00000(MEALS SERVED) 62803,B100000,00000,0900,00000(NURSING SALARIES) 62803,B100000,00000,1000,00000(PATIENT DAYS) 62803,B100000,00000,1100,00000(PATIENT DAYS) 62803,B100000,00000,1200,00000(GROSS CHARGES) 62803,B100000,00000,1300,00000(PATIENT DAYS) 62803,B100000,00000,1350,00000(PATIENT DAYS) 62803,B100000,00000,1400,00000(ASSIGNED TIME) 62803,S000000,00100,0200,05/30/2000 62803,S200000,00100,0100,WESTWD MED PARK 62803,S200000,00200,0100,BLUEFIELD 62803,S200000,00200,0200,VA 62803,S200000,00200,0300,24605 62803,S200000,00300,0100,TAZEWELL 62803,S200000,00400,0100,WESTWOOD CENTER 62803,S200000,00400,0200,495200 62803,S200000,00400,0300,05/01/1996 62803,S200000,00400,0500,P 62803,S200000,01600,0100,Y 62803,S200000,02200,0100,Y 62803,S200000,04600,0100,Y 62809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62809,A000000,00300,0000,00300EMPLOYEE BENEFITS 62809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62809,A000000,00700,0000,00700HOUSEKEEPING 62809,A000000,00800,0000,00800DIETARY 62809,A000000,00900,0000,00900NURSING ADMINISTRATION 62809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62809,A000000,01100,0000,01100PHARMACY 62809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62809,A000000,01300,0000,01300SOCIAL SERVICE 62809,A000000,01350,0000,01500ACTIVITIES 62809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62809,A000000,01600,0000,01600SKILLED NURSING FACILITY 62809,A000000,01800,0000,01800NURSING FACILITY 62809,A000000,01810,0000,01810ICF/MR 62809,A000000,02100,0000,02100RADIOLOGY 62809,A000000,02200,0000,02200LABORATORY 62809,A000000,02300,0000,02300INTRAVENOUS THERAPY 62809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62809,A000000,02500,0000,02500PHYSICAL THERAPY 62809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62809,A000000,02700,0000,02700SPEECH PATHOLOGY 62809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62809,A000000,02901,0000,02901PEN THERAPY 62809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62809,A000000,03050,0000,03300OTHER ANCILLARIES 62809,A000000,03051,0000,03301AMBULANCE 62809,A000000,03550,0000,03550FQHC 62809,A000000,05000,0000,05000CORF 62809,A000000,05010,0000,05010CMHC 62809,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62809,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62809,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62809,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62809,A81000A,00100,0100,Y 62809,A81000B,00100,0300,HOME OFFICE COSTS 62809,A81000B,00200,0300,REL PARTY INTEREST 62809,A81000B,00300,0300,REL PARTY INTEREST 62809,A81000B,00400,0300,REHAB ALLOCATION 62809,A81000B,00500,0300,REHAB ALLOCATION 62809,A81000B,00600,0300,REHAB ALLOCATION 62809,A81000B,00700,0300,DEVELOPMENT COSTS 62809,A81000B,00800,0300,MEDILIFE 62809,A81000B,00900,0300,COMPUTER TRAINING & 62809,A81000B,01000,0300,HCE LEASING 62809,A81000C,00100,0100,A 62809,A81000C,00100,0200,FORREST PRESTON 62809,A81000C,00100,0400,LCCA 62809,A81000C,00100,0600,NSG HOME MANAG 62809,A81000C,00200,0100,A 62809,A81000C,00200,0200,FORREST PRESTON 62809,A81000C,00200,0400,CHATT MED INV 62809,A81000C,00200,0600,NSG HOME OWNER 62809,A81000C,00300,0100,A 62809,A81000C,00300,0200,FORREST PRESTON 62809,A81000C,00300,0400,LCCA 62809,A81000C,00300,0600,NSG HOME MANAG 62809,A81000C,00400,0100,A 62809,A81000C,00400,0200,FORREST PRESTON 62809,A81000C,00400,0400,LCCA 62809,A81000C,00400,0600,NSG HOME MANAG 62809,A81000C,00500,0100,A 62809,A81000C,00500,0200,FORREST PRESTON 62809,A81000C,00500,0400,LCCA 62809,A81000C,00500,0600,NSG HOME MANAG 62809,A81000C,00600,0100,A 62809,A81000C,00600,0200,FORREST PRESTON 62809,A81000C,00600,0400,LCCA 62809,A81000C,00600,0600,NSG HOME MANAG 62809,A81000C,00700,0100,A 62809,A81000C,00700,0200,FORREST PRESTON 62809,A81000C,00700,0400,DEVELOPMENT ENT 62809,A81000C,00700,0600,DEVELOPMENT 62809,A81000C,00800,0100,A 62809,A81000C,00800,0200,LIFE CARE PHARM 62809,A81000C,00800,0400,MEDILIFE 62809,A81000C,00800,0600,SUPPLIES 62809,A81000C,00900,0100,A 62809,A81000C,00900,0200,FORREST PRESTON 62809,A81000C,00900,0400,LCCA 62809,A81000C,00900,0600,NSG HOME MANAG 62809,A81000C,01000,0100,A 62809,A81000C,01000,0200,FORREST PRESTON 62809,A81000C,01000,0400,HCE LEASING 62809,A81000C,01000,0600,EQUIPMENT LEASE 62809,B100000,00000,0100,00000(SQUARE FEET) 62809,B100000,00000,0200,00000(SQUARE FEET) 62809,B100000,00000,0300,00000(GROSS SALARIES) 62809,B100000,00000,0400,00000(ACCUM COST) 62809,B100000,00000,0500,00000(SQUARE FEET) 62809,B100000,00000,0600,00000PATIENT DAYS 62809,B100000,00000,0700,00000(SQUARE FEET) 62809,B100000,00000,0800,00000(MEALS SERVED) 62809,B100000,00000,0900,00000HOURS OF SERVICE 62809,B100000,00000,1000,00000(COSTED REQUIS) 62809,B100000,00000,1100,00000(COSTED REQUIS) 62809,B100000,00000,1200,00000GROSS REVENUES 62809,B100000,00000,1300,00000PATIENT DAYS 62809,B100000,00000,1350,00000PATIENT DAYS 62809,B100000,00000,1400,00000(ASSIGNED TIME) 62809,E10A180,00302,0100,08/17/1999 62809,E10A180,00303,0100,02/08/2000 62809,S000000,00100,0200,05/16/2000 62809,S200000,00100,0100,SPRING STREET 62809,S200000,00100,0300,1 62809,S200000,00200,0100,HOT SPRINGS 62809,S200000,00200,0200,VA 62809,S200000,00200,0300,24445 62809,S200000,00300,0100,BATH 62809,S200000,00400,0100,THE SPRINGS NURSING CENTER 62809,S200000,00400,0200,495220 62809,S200000,00400,0300,09/28/1990 62809,S200000,00400,0500,P 62809,S200000,00600,0200,495220 62809,S200000,00600,0300,09/28/1990 62809,S200000,00600,0600,P 62809,S200000,01600,0100,Y 62809,S200000,02200,0100,Y 62819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62819,A000000,00300,0000,00300EMPLOYEE BENEFITS 62819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62819,A000000,00700,0000,00700HOUSEKEEPING 62819,A000000,00800,0000,00800DIETARY 62819,A000000,00900,0000,00900NURSING ADMINISTRATION 62819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62819,A000000,01100,0000,01100PHARMACY 62819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62819,A000000,01300,0000,01300SOCIAL SERVICE 62819,A000000,01350,0000,01500ACTIVITIES 62819,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62819,A000000,01600,0000,01600SKILLED NURSING FACILITY 62819,A000000,01800,0000,01800NURSING FACILITY 62819,A000000,01810,0000,01810ICF/MR 62819,A000000,02200,0000,02200LABORATORY 62819,A000000,02300,0000,02300INTRAVENOUS THERAPY 62819,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62819,A000000,02500,0000,02500PHYSICAL THERAPY 62819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62819,A000000,02700,0000,02700SPEECH PATHOLOGY 62819,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62819,A000000,02901,0000,02901PEN THERAPY 62819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62819,A000000,03050,0000,03300OTHER ANCILLARY 62819,A000000,03051,0000,03301AMBULANCE 62819,A000000,03550,0000,03550FQHC 62819,A000000,05000,0000,05000CORF 62819,A000000,05010,0000,05010CMHC 62819,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62819,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62819,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62819,A81000A,00100,0100,Y 62819,A81000B,00100,0300,HOME OFFICE COSTS 62819,A81000B,00200,0300,REL PARTY INTEREST 62819,A81000B,00300,0300,REL PARTY INTEREST 62819,A81000B,00400,0300,REHAB ALLOCATION 62819,A81000B,00500,0300,REHAB ALLOCATION 62819,A81000B,00600,0300,REHAB ALLOCATION 62819,A81000B,00700,0300,COMPUTER TRAINING 62819,A81000B,00800,0300,SUPPLIES 62819,A81000C,00100,0100,A 62819,A81000C,00100,0200,FORREST PRESTON 62819,A81000C,00100,0400,LCCA 62819,A81000C,00100,0600,NSG HOME MANAG 62819,A81000C,00200,0100,A 62819,A81000C,00200,0200,FORREST PRESTON 62819,A81000C,00200,0400,CHATTANOOGA MED 62819,A81000C,00200,0600,NSG HOME OWNER 62819,A81000C,00300,0100,A 62819,A81000C,00300,0200,FORREST PRESTON 62819,A81000C,00300,0400,LCCA 62819,A81000C,00300,0600,NSG HOME MANAG 62819,A81000C,00400,0100,A 62819,A81000C,00400,0200,FORREST PRESTON 62819,A81000C,00400,0400,LCCA 62819,A81000C,00400,0600,NSG HOME MANAG 62819,A81000C,00500,0100,A 62819,A81000C,00500,0200,FORREST PRESTON 62819,A81000C,00500,0400,LCCA 62819,A81000C,00500,0600,NSG HOME MANAG 62819,A81000C,00600,0100,A 62819,A81000C,00600,0200,FORREST PRESTON 62819,A81000C,00600,0400,LCCA 62819,A81000C,00600,0600,NSG HOME MANAG 62819,A81000C,00700,0100,A 62819,A81000C,00700,0200,FORREST PRESTON 62819,A81000C,00700,0400,LCCA 62819,A81000C,00700,0600,NSG HOME MANAG 62819,A81000C,00800,0100,A 62819,A81000C,00800,0200,LIFE CARE PHARM 62819,A81000C,00800,0400,MEDILIFE 62819,A81000C,00800,0600,PHARMACY 62819,B100000,00000,0100,00000(SQUARE FEET) 62819,B100000,00000,0200,00000(SQUARE FEET) 62819,B100000,00000,0300,00000(GROSS SALARIES) 62819,B100000,00000,0400,00000(ACCUM COST) 62819,B100000,00000,0500,00000(SQUARE FEET) 62819,B100000,00000,0600,00000PATIENT DAYS 62819,B100000,00000,0700,00000(SQUARE FEET) 62819,B100000,00000,0800,00000(MEALS SERVED) 62819,B100000,00000,0900,00000HOURS OF SERVICE 62819,B100000,00000,1000,00000(COSTED REQUIS) 62819,B100000,00000,1100,00000(COSTED REQUIS) 62819,B100000,00000,1200,00000GROSS REVENUES 62819,B100000,00000,1300,00000PATIENT DAYS 62819,B100000,00000,1350,00000PATIENT DAYS 62819,B100000,00000,1400,00000(ASSIGNED TIME) 62819,E10A180,00301,0100,08/17/1999 62819,E10A180,00302,0100,02/08/2000 62819,S000000,00100,0200,05/16/2000 62819,S200000,00100,0100,ROUTE 15 62819,S200000,00100,0300,669 62819,S200000,00200,0100,FORK UNION 62819,S200000,00200,0200,VA 62819,S200000,00200,0300,23055 62819,S200000,00300,0100,FLUVANNA 62819,S200000,00400,0100,THE VILLAGE NURSING CENTER 62819,S200000,00400,0200,495230 62819,S200000,00400,0300,02/21/1991 62819,S200000,00400,0500,P 62819,S200000,00600,0200,495230 62819,S200000,00600,0300,02/21/1991 62819,S200000,00600,0600,P 62819,S200000,01600,0100,Y 62819,S200000,02200,0100,Y 62828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62828,A000000,00300,0000,00300EMPLOYEE BENEFITS 62828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62828,A000000,00700,0000,00700HOUSEKEEPING 62828,A000000,00800,0000,00800DIETARY 62828,A000000,00900,0000,00900NURSING ADMINISTRATION 62828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62828,A000000,01100,0000,01100PHARMACY 62828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62828,A000000,01300,0000,01300SOCIAL SERVICE 62828,A000000,01350,0000,01500ACTIVITIES 62828,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62828,A000000,01600,0000,01600SKILLED NURSING FACILITY 62828,A000000,01800,0000,01800NURSING FACILITY 62828,A000000,01810,0000,01810ICF/MR 62828,A000000,01900,0000,01900OTHER LONG TERM CARE 62828,A000000,02200,0000,02200LABORATORY 62828,A000000,02300,0000,02300INTRAVENOUS THERAPY 62828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62828,A000000,02500,0000,02500PHYSICAL THERAPY 62828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62828,A000000,02700,0000,02700SPEECH PATHOLOGY 62828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62828,A000000,02901,0000,02901PEN THERAPY 62828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62828,A000000,03050,0000,03300OTHER ANCILLARIES 62828,A000000,03051,0000,03301AMBULANCE 62828,A000000,03550,0000,03550FQHC 62828,A000000,05000,0000,05000CORF 62828,A000000,05010,0000,05010CMHC 62828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62828,A81000A,00100,0100,Y 62828,A81000B,00100,0300,HOME OFFICE COSTS 62828,A81000B,00200,0300,REL PARTY INTEREST 62828,A81000B,00300,0300,REL PARTY INTEREST 62828,A81000B,00400,0300,REHAB ALLOCATION 62828,A81000B,00500,0300,REHAB ALLOCATION 62828,A81000B,00600,0300,REHAB ALLOCATION 62828,A81000B,00700,0300,COMPUTER TRAINING 62828,A81000B,00800,0300,SUPPLIES 62828,A81000B,00900,0300,MEDIA SUPPLIES 62828,A81000C,00100,0100,A 62828,A81000C,00100,0200,FORREST PRESTON 62828,A81000C,00100,0400,LCCA 62828,A81000C,00100,0600,NSG HOME MANAG 62828,A81000C,00200,0100,A 62828,A81000C,00200,0200,FORREST PRESTON 62828,A81000C,00200,0400,CHATTANOOGA MED 62828,A81000C,00200,0600,NSG HOME OWNER 62828,A81000C,00300,0100,A 62828,A81000C,00300,0200,FORREST PRESTON 62828,A81000C,00300,0400,FORREST PRESTON 62828,A81000C,00300,0600,NSG HOME MANAG 62828,A81000C,00400,0100,A 62828,A81000C,00400,0200,FORREST PRESTON 62828,A81000C,00400,0400,LCCA 62828,A81000C,00400,0600,NSG HOME MANAG 62828,A81000C,00500,0100,A 62828,A81000C,00500,0200,FORREST PRESTON 62828,A81000C,00500,0400,LCCA 62828,A81000C,00500,0600,NSG HOME MANAG 62828,A81000C,00600,0100,A 62828,A81000C,00600,0200,FORREST PRESTON 62828,A81000C,00600,0400,LCCA 62828,A81000C,00600,0600,NSG HOME MANAG 62828,A81000C,00700,0100,A 62828,A81000C,00700,0200,FORREST PRESTON 62828,A81000C,00700,0400,LCCA 62828,A81000C,00700,0600,NSG HOME MANAG 62828,A81000C,00800,0100,G 62828,A81000C,00800,0200,LIFE CARE PHARM 62828,A81000C,00800,0400,MEDILIFE 62828,A81000C,00800,0600,PHARMACY 62828,A81000C,00900,0100,A 62828,A81000C,00900,0200,FORREST PRESTON 62828,A81000C,00900,0400,MEDIA RESOURCE 62828,A81000C,00900,0600,AUDIO VISUAL 62828,B100000,00000,0100,00000(SQUARE FEET) 62828,B100000,00000,0200,00000(SQUARE FEET) 62828,B100000,00000,0300,00000(GROSS SALARIES) 62828,B100000,00000,0400,00000(ACCUM COST) 62828,B100000,00000,0500,00000(SQUARE FEET) 62828,B100000,00000,0600,00000PATIENT DAYS 62828,B100000,00000,0700,00000(SQUARE FEET) 62828,B100000,00000,0800,00000(MEALS SERVED) 62828,B100000,00000,0900,00000HOURS OF SERVICE 62828,B100000,00000,1000,00000(COSTED REQUIS) 62828,B100000,00000,1100,00000(COSTED REQUIS) 62828,B100000,00000,1200,00000GROSS REVENUES 62828,B100000,00000,1300,00000PATIENT DAYS 62828,B100000,00000,1350,00000PATIENT DAYS 62828,B100000,00000,1400,00000(ASSIGNED TIME) 62828,E10A180,00301,0100,08/17/1999 62828,E10A180,00302,0100,02/08/2000 62828,S000000,00100,0200,05/16/2000 62828,S200000,00100,0100,2715 DOGTOWN ROAD 62828,S200000,00100,0300,865 62828,S200000,00200,0100,GOOCHLAND 62828,S200000,00200,0200,VA 62828,S200000,00200,0300,23063 62828,S200000,00300,0100,GOOCHLAND 62828,S200000,00400,0100,THE MEADOWS NURSING CENTER 62828,S200000,00400,0200,495236 62828,S200000,00400,0300,04/12/1991 62828,S200000,00400,0500,P 62828,S200000,00600,0200,495236 62828,S200000,00600,0300,04/12/1991 62828,S200000,00600,0600,P 62828,S200000,01600,0100,Y 62828,S200000,02200,0100,Y 62832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62832,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 62832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62832,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 62832,A000000,00300,0000,00300EMPLOYEE BENEFITS 62832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62832,A000000,00700,0000,00700HOUSEKEEPING 62832,A000000,00800,0000,00800DIETARY 62832,A000000,00801,0000,00801CAFETERIA 62832,A000000,00900,0000,00900NURSING ADMINISTRATION 62832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62832,A000000,01100,0000,01100PHARMACY 62832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62832,A000000,01300,0000,01300SOCIAL SERVICE 62832,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 62832,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62832,A000000,01600,0000,01600SKILLED NURSING FACILITY 62832,A000000,01800,0000,01800NURSING FACILITY 62832,A000000,01810,0000,01810ICF/MR 62832,A000000,01900,0000,01900OTHER LONG TERM CARE 62832,A000000,02200,0000,02200LABORATORY 62832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62832,A000000,02500,0000,02500PHYSICAL THERAPY 62832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62832,A000000,02700,0000,02700SPEECH PATHOLOGY 62832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62832,A000000,03050,0000,03300PEN PART B 62832,A000000,03051,0000,03301FEE SCREENING 62832,A000000,03052,0000,03302OTHER ANCILLARY III 62832,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 62832,A000000,03550,0000,03550FQHC 62832,A000000,04750,0000,05100OTHER REIMBURSABLE COST 62832,A000000,05000,0000,05000CORF I 62832,A000000,05010,0000,05010CMHC I 62832,A000000,05020,0000,05020OPT I 62832,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62832,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62832,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 62832,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 62832,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 62832,A81000A,00100,0100,Y 62832,A81000B,00100,0300,HOME OFFICE ALLOCATION 62832,A81000B,00200,0300,H.O. CAP RELATED 62832,A81000C,00100,0100,B 62832,A81000C,00100,0200,GENESIS HEALTHV 62832,A81000C,00100,0600,MGMT CO 62832,B100000,00000,0100,00000(SQUARE FEET) 62832,B100000,00000,0101,00000(SQUARE FEET) 62832,B100000,00000,0200,00000(SQUARE FEET) 62832,B100000,00000,0201,00000(SQUARE FEET) 62832,B100000,00000,0300,00000(GROSS SALARIES) 62832,B100000,00000,0400,00000(ACCUM. COST) 62832,B100000,00000,0500,00000(SQUARE FEET) 62832,B100000,00000,0600,00000(PATIENT DAYS) 62832,B100000,00000,0700,00000(SQUARE FEET) 62832,B100000,00000,0800,00000(MEALS SERVED) 62832,B100000,00000,0801,00000(MEALS SERVED) 62832,B100000,00000,0900,00000(PATIENT DAYS) 62832,B100000,00000,1000,00000(PATIENT DAYS) 62832,B100000,00000,1100,00000(PATIENT DAYS) 62832,B100000,00000,1200,00000(GROSS CHARGES) 62832,B100000,00000,1300,00000(PATIENT DAYS) 62832,B100000,00000,1350,00000(PATIENT DAYS) 62832,B100000,00000,1400,00000(ASSIGNED TIME) 62832,S000000,00100,0200,05/30/2000 62832,S200000,00100,0100,827 NORVIEW AVE. 62832,S200000,00200,0100,NORFOLK 62832,S200000,00200,0200,VA 62832,S200000,00200,0300,25526 62832,S200000,00300,0100,NORFOLK 62832,S200000,00400,0100,THORNTON HALL 62832,S200000,00400,0200,495309 62832,S200000,00400,0300,10/01/1993 62832,S200000,00400,0500,P 62832,S200000,01600,0100,Y 62832,S200000,02200,0100,Y 62858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62858,A000000,00300,0000,00300EMPLOYEE BENEFITS 62858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62858,A000000,00700,0000,00700HOUSEKEEPING 62858,A000000,00800,0000,00800DIETARY 62858,A000000,00900,0000,00900NURSING ADMINISTRATION 62858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62858,A000000,01300,0000,01300SOCIAL SERVICE 62858,A000000,01350,0000,01500ACTIVITIES 62858,A000000,01600,0000,01600SKILLED NURSING FACILITY 62858,A000000,01800,0000,01800NURSING FACILITY 62858,A000000,02100,0000,02100RADIOLOGY 62858,A000000,02200,0000,02200LABORATORY 62858,A000000,02300,0000,02300INTRAVENOUS THERAPY 62858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62858,A000000,02500,0000,02500PHYSICAL THERAPY 62858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62858,A000000,02700,0000,02700SPEECH PATHOLOGY 62858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62858,A000000,03050,0000,03300AMBULANCE SERVICES 62858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62858,A81000A,00100,0100,Y 62858,A81000B,00100,0300,HOME OFFICE COSTS 62858,A81000B,00200,0300,INTEREST 62858,A81000B,00300,0300,Y2K INSTALL/TRAIN 62858,A81000B,00400,0300,PT ALLOCATION 62858,A81000B,00500,0300,OT ALLOCATION 62858,A81000B,00600,0300,ST ALLOCATION 62858,A81000B,00700,0300,HCE VAN LEASE 62858,A81000B,00800,0300,HCE VAN LEASE 62858,A81000B,00900,0300,INTERIOR DESIGN - 98 62858,A81000B,01000,0300,INTERIOR DESIGN - 99 62858,A81000B,01100,0300,ROUTINE MEDICAL SUPP 62858,A81000C,00100,0100,A 62858,A81000C,00100,0200,FORREST PRESTON 62858,A81000C,00100,0400,LIFE CARE CENTE 62858,A81000C,00100,0600,NURSING HOME MG 62858,A81000C,00200,0100,A 62858,A81000C,00200,0200,FORREST PRESTON 62858,A81000C,00200,0400,LIFE CARE DESIG 62858,A81000C,00200,0600,FURNITURE/FIXTU 62858,A81000C,00300,0100,A 62858,A81000C,00300,0200,FORREST PRESTON 62858,A81000C,00300,0400,HCE LEASING 62858,A81000C,00300,0600,VEH\COMP LEASIN 62858,A81000C,00400,0100,A 62858,A81000C,00400,0200,FORREST PRESTON 62858,A81000C,00400,0400,MEDILIFE PHARMA 62858,A81000C,00400,0600,PHARMACY SERVIC 62858,B100000,00000,0100,00000SQUARE FEET 62858,B100000,00000,0200,00000SQUARE FEET 62858,B100000,00000,0300,00000GROSS SALARIES 62858,B100000,00000,0400,00000ACCUM COST 62858,B100000,00000,0500,00000SQUARE FEET 62858,B100000,00000,0600,00000PATIENT DAYS 62858,B100000,00000,0700,00000SQUARE FEET 62858,B100000,00000,0800,00000MEALS SERVED 62858,B100000,00000,0900,00000DIRECT NRSG HRS 62858,B100000,00000,1000,00000COSTED REQUIS 62858,B100000,00000,1200,00000GROSS REVENUE 62858,B100000,00000,1300,00000PATIENT DAYS 62858,B100000,00000,1350,00000PATIENT DAYS 62858,E10A180,00301,0100,08/17/1999 62858,E10A180,00302,0100,02/07/2000 62858,S000000,00100,0200,05/11/2000 62858,S200000,00100,0100,1045 SOUTH 308TH STREET 62858,S200000,00200,0100,FEDERAL WAY 62858,S200000,00200,0200,WA 62858,S200000,00200,0300,98003 62858,S200000,00300,0100,KING 62858,S200000,00400,0100,FEDERAL WAY CONVALESCENT CENTER 62858,S200000,00400,0200,505188 62858,S200000,00400,0300,01/01/1984 62858,S200000,00400,0500,P 62858,S200000,01600,0100,Y 62858,S200000,04300,0100,Y 62858,S200000,04700,0100,Y 62858,S200000,04700,0200,Y 62866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62866,A000000,00300,0000,00300EMPLOYEE BENEFITS 62866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62866,A000000,00700,0000,00700HOUSEKEEPING 62866,A000000,00800,0000,00800DIETARY 62866,A000000,00900,0000,00900NURSING ADMINISTRATION 62866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62866,A000000,01300,0000,01300SOCIAL SERVICE 62866,A000000,01350,0000,01500ACTIVITIES 62866,A000000,01600,0000,01600SKILLED NURSING FACILITY 62866,A000000,01800,0000,01800NURSING FACILITY 62866,A000000,02100,0000,02100RADIOLOGY 62866,A000000,02200,0000,02200LABORATORY 62866,A000000,02300,0000,02300INTRAVENOUS THERAPY 62866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62866,A000000,02500,0000,02500PHYSICAL THERAPY 62866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62866,A000000,02700,0000,02700SPEECH PATHOLOGY 62866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62866,A81000A,00100,0100,Y 62866,A81000B,00100,0300,HOME OFFICE COSTS 62866,A81000B,00200,0300,INTEREST 62866,A81000B,00300,0300,Y2K INSTALL/TRAIN 62866,A81000B,00400,0300,DEBT FORGIVENESS 62866,A81000B,00500,0300,PT ALLOCATION 62866,A81000B,00600,0300,OT ALLOCATION 62866,A81000B,00700,0300,ST ALLOCATION 62866,A81000B,00800,0300,HCE LEASING 62866,A81000B,00900,0300,HCE LEASING 62866,A81000B,01000,0300,INTERIOR DESIGN - 98 62866,A81000B,01100,0300,INTERIOR DESIGN - 99 62866,A81000B,01200,0300,H/O P&D COSTS - 96 62866,A81000B,01300,0300,H/O P&D COSTS - 96 62866,A81000C,00100,0100,A 62866,A81000C,00100,0200,FORREST PRESTON 62866,A81000C,00100,0400,LIFE CARE CENTE 62866,A81000C,00100,0600,NURSING HOME MG 62866,A81000C,00200,0100,A 62866,A81000C,00200,0200,FORREST PRESTON 62866,A81000C,00200,0400,LIFE CARE DESIG 62866,A81000C,00200,0600,FURNITURE/FIXTU 62866,A81000C,00300,0100,A 62866,A81000C,00300,0200,FORREST PRESTON 62866,A81000C,00300,0400,HCE LEASING 62866,A81000C,00300,0600,VEH/COMP LEASIN 62866,B100000,00000,0100,00000SQUARE FEET 62866,B100000,00000,0200,00000SQUARE FEET 62866,B100000,00000,0300,00000GROSS SALARIES 62866,B100000,00000,0400,00000ACCUM COST 62866,B100000,00000,0500,00000SQUARE FEET 62866,B100000,00000,0600,00000PATIENT DAYS 62866,B100000,00000,0700,00000SQUARE FEET 62866,B100000,00000,0800,00000MEALS SERVED 62866,B100000,00000,0900,00000DIRECT NRSG HRS 62866,B100000,00000,1000,00000COSTED REQUIS 62866,B100000,00000,1200,00000GROSS REVENUE 62866,B100000,00000,1300,00000PATIENT DAYS 62866,B100000,00000,1350,00000PATIENT DAYS 62866,E10A180,00301,0100,08/17/1999 62866,S000000,00100,0200,05/24/2000 62866,S200000,00100,0100,2031 POTTERY AVENUE 62866,S200000,00200,0100,PORT ORCHARD 62866,S200000,00200,0200,WA 62866,S200000,00200,0300,98366 62866,S200000,00300,0100,KITSAP 62866,S200000,00400,0100,PORT ORCHARD CARE CENTER 62866,S200000,00400,0200,505210 62866,S200000,00400,0300,01/01/1987 62866,S200000,00400,0500,P 62866,S200000,01600,0100,Y 62866,S200000,04300,0100,Y 62874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62874,A000000,00300,0000,00300EMPLOYEE BENEFITS 62874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62874,A000000,00700,0000,00700HOUSEKEEPING 62874,A000000,00800,0000,00800DIETARY 62874,A000000,00900,0000,00900NURSING ADMINISTRATION 62874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62874,A000000,01100,0000,01100PHARMACY 62874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62874,A000000,01300,0000,01300SOCIAL SERVICE 62874,A000000,01350,0000,01500ACTIVITIES 62874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62874,A000000,01600,0000,01600SKILLED NURSING FACILITY 62874,A000000,01800,0000,01800NURSING FACILITY 62874,A000000,01810,0000,01810ICF/MR 62874,A000000,02100,0000,02100RADIOLOGY 62874,A000000,02200,0000,02200LABORATORY 62874,A000000,02300,0000,02300INTRAVENOUS THERAPY 62874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62874,A000000,02500,0000,02500PHYSICAL THERAPY 62874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62874,A000000,02700,0000,02700SPEECH PATHOLOGY 62874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62874,A000000,03550,0000,03550FQHC 62874,A000000,05000,0000,05000CORF 62874,A000000,05010,0000,05010CMHC 62874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62874,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62874,A81000A,00100,0100,Y 62874,A81000B,00100,0300,HOME OFFICE COSTS 62874,A81000B,00200,0300,INTEREST 62874,A81000B,00300,0300,Y2K TRAIN/INSTALL 62874,A81000B,00400,0300,PT ALLOCATION 62874,A81000B,00500,0300,OT ALLOCATION 62874,A81000B,00600,0300,ST ALLOCATION 62874,A81000B,00700,0300,INTERIOR DESIGN - 98 62874,A81000B,00800,0300,INTERIOR DESIGN - 99 62874,A81000B,00900,0300,MEDILIFE 62874,A81000B,01000,0300,MEDILIFE 62874,A81000B,01100,0300,DEBT FORGIVENESS 62874,A81000C,00100,0100,A 62874,A81000C,00100,0200,FORREST PRESTON 62874,A81000C,00100,0400,LIFE CARE CENTE 62874,A81000C,00100,0600,NURSING HOME MG 62874,A81000C,00200,0100,A 62874,A81000C,00200,0200,FORREST PRESTON 62874,A81000C,00200,0400,LIFE CARE DESIG 62874,A81000C,00200,0600,FURNITURE/FIXTU 62874,A81000C,00300,0100,A 62874,A81000C,00300,0200,FORREST PRESTON 62874,A81000C,00300,0400,MEDILIFE PHARMA 62874,A81000C,00300,0600,PHARMACY 62874,B100000,00000,0100,00000SQUARE FEET 62874,B100000,00000,0200,00000SQUARE FEET 62874,B100000,00000,0300,00000GROSS SALARIES 62874,B100000,00000,0400,00000ACCUM COST 62874,B100000,00000,0500,00000SQUARE FEET 62874,B100000,00000,0600,00000PATIENT DAYS 62874,B100000,00000,0700,00000SQUARE FEET 62874,B100000,00000,0800,00000MEALS SERVED 62874,B100000,00000,0900,00000DIRECT NRSG HRS 62874,B100000,00000,1000,00000COSTED REQUIS 62874,B100000,00000,1100,00000COSTED REQUIS 62874,B100000,00000,1200,00000GROSS REVENUE 62874,B100000,00000,1300,00000PATIENT DAYS 62874,B100000,00000,1350,00000PATIENT DAYS 62874,B100000,00000,1400,00000ASSIGNED TIME 62874,E10A180,00301,0100,06/30/1999 62874,S000000,00100,0200,05/17/2000 62874,S200000,00100,0100,1031 SOUTHWEST 130TH STREET 62874,S200000,00200,0100,BURIEN 62874,S200000,00200,0200,WA 62874,S200000,00200,0300,98146 62874,S200000,00300,0100,KING 62874,S200000,00400,0100,LIFE CARE CENTER OF BURIEN 62874,S200000,00400,0200,505252 62874,S200000,00400,0300,02/01/1983 62874,S200000,00400,0500,P 62874,S200000,01600,0100,Y 62874,S200000,04300,0100,Y 62882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62882,A000000,00300,0000,00300EMPLOYEE BENEFITS 62882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62882,A000000,00700,0000,00700HOUSEKEEPING 62882,A000000,00800,0000,00800DIETARY 62882,A000000,00900,0000,00900NURSING ADMINISTRATION 62882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62882,A000000,01300,0000,01300SOCIAL SERVICE 62882,A000000,01350,0000,01500ACTIVITIES 62882,A000000,01600,0000,01600SKILLED NURSING FACILITY 62882,A000000,01800,0000,01800NURSING FACILITY 62882,A000000,02100,0000,02100RADIOLOGY 62882,A000000,02200,0000,02200LABORATORY 62882,A000000,02300,0000,02300INTRAVENOUS THERAPY 62882,A000000,02500,0000,02500PHYSICAL THERAPY 62882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62882,A000000,02700,0000,02700SPEECH PATHOLOGY 62882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62882,A000000,03050,0000,03300AMBULANCE SERVICES 62882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62882,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62882,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62882,A81000A,00100,0100,Y 62882,A81000B,00100,0300,HOME OFFICE COSTS 62882,A81000B,00200,0300,INTEREST 62882,A81000B,00300,0300,Y2K TRAIN/INSTALL 62882,A81000B,00400,0300,PT ALLOCATION 62882,A81000B,00500,0300,OT ALLOCATION 62882,A81000B,00600,0300,ST ALLOCATION 62882,A81000B,00700,0300,MEDILIFE 62882,A81000B,00800,0300,MEDILIFE 62882,A81000B,01000,0300,P&D COST AMORT 62882,A81000C,00100,0100,A 62882,A81000C,00100,0200,FORREST PRESTON 62882,A81000C,00100,0400,LIFE CARE CENTE 62882,A81000C,00100,0600,NURSING HOME MG 62882,A81000C,00200,0100,A 62882,A81000C,00200,0200,FORREST PRESTON 62882,A81000C,00200,0400,MEDILIFE PHARMA 62882,A81000C,00200,0600,PHARMACY 62882,B100000,00000,0100,00000SQUARE FEET 62882,B100000,00000,0200,00000SQUARE FEET 62882,B100000,00000,0300,00000GROSS SALARIES 62882,B100000,00000,0400,00000ACCUM COST 62882,B100000,00000,0500,00000SQUARE FEET 62882,B100000,00000,0600,00000PATIENT DAYS 62882,B100000,00000,0700,00000SQUARE FEET 62882,B100000,00000,0800,00000MEALS SERVED 62882,B100000,00000,0900,00000DIRECT NRSG HRS 62882,B100000,00000,1000,00000COSTED REQUIS 62882,B100000,00000,1200,00000GROSS REVENUE 62882,B100000,00000,1300,00000PATIENT DAYS 62882,B100000,00000,1350,00000PATIENT DAYS 62882,E10A180,00301,0100,08/17/1999 62882,E10A180,00302,0100,02/07/2000 62882,S000000,00100,0200,05/31/2000 62882,S200000,00100,0100,3600 EAST HARTSON AVENUE 62882,S200000,00200,0100,SPOKANE 62882,S200000,00200,0200,WA 62882,S200000,00200,0300,99202 62882,S200000,00300,0100,SPOKANE 62882,S200000,00400,0100,ALDERWOOD MANOR 62882,S200000,00400,0200,505257 62882,S200000,00400,0300,05/01/1983 62882,S200000,00400,0500,P 62882,S200000,01600,0100,Y 62882,S200000,04300,0100,Y 62890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62890,A000000,00300,0000,00300EMPLOYEE BENEFITS 62890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62890,A000000,00700,0000,00700HOUSEKEEPING 62890,A000000,00800,0000,00800DIETARY 62890,A000000,00900,0000,00900NURSING ADMINISTRATION 62890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62890,A000000,01300,0000,01300SOCIAL SERVICE 62890,A000000,01350,0000,01500ACTIVITIES 62890,A000000,01600,0000,01600SKILLED NURSING FACILITY 62890,A000000,01800,0000,01800NURSING FACILITY 62890,A000000,02100,0000,02100RADIOLOGY 62890,A000000,02300,0000,02300INTRAVENOUS THERAPY 62890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62890,A000000,02500,0000,02500PHYSICAL THERAPY 62890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62890,A000000,02700,0000,02700SPEECH PATHOLOGY 62890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62890,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62890,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62890,A81000A,00100,0100,Y 62890,A81000B,00100,0300,MANAGEMENT FEES 62890,A81000B,00200,0300,REL PARTY INTEREST 62890,A81000B,00300,0300,Y2K CONVERSION 62890,A81000B,00400,0300,FORGIVENESS OF DEBT 62890,A81000B,00500,0300,DEVELOPMENT COSTS 62890,A81000B,00600,0300,HCE LEASING 62890,A81000B,00700,0300,PT ALLOCATION 62890,A81000B,00800,0300,OT ALLOCATION 62890,A81000B,00900,0300,SLP ALLOCATION 62890,A81000B,01000,0300,MEDILIFE RX 62890,A81000B,01100,0300,MEDILIFE RX 62890,A81000B,01200,0300,MEDILIFE RX 62890,A81000B,01300,0300,HCE LEASING 62890,A81000B,01400,0300,DEVELOPMENT COSTS 62890,A81000C,00100,0100,A 62890,A81000C,00100,0200,FORREST PRESTON 62890,A81000C,00100,0400,LIFE CARE CENTE 62890,A81000C,00100,0600,NURSING HOME MG 62890,A81000C,00200,0100,A 62890,A81000C,00200,0200,FORREST PRESTON 62890,A81000C,00200,0400,HCE LEASING 62890,A81000C,00200,0600,LEASING COMPANY 62890,A81000C,00300,0100,A 62890,A81000C,00300,0200,FORREST PRESTON 62890,A81000C,00300,0400,MEDILIFE PHARMA 62890,A81000C,00300,0600,PHARMACY 62890,B100000,00000,0100,00000SQUARE FEET 62890,B100000,00000,0200,00000SQUARE FEET 62890,B100000,00000,0300,00000GROSS SALARIES 62890,B100000,00000,0400,00000ACCUM COST 62890,B100000,00000,0500,00000SQUARE FEET 62890,B100000,00000,0600,00000PATIENT DAYS 62890,B100000,00000,0700,00000SQUARE FEET 62890,B100000,00000,0800,00000MEALS SERVED 62890,B100000,00000,0900,00000HOURS SUPERVISED 62890,B100000,00000,1000,00000COSTED REQUIS 62890,B100000,00000,1200,00000GROSS REVENUES 62890,B100000,00000,1300,00000PATIENT DAYS 62890,B100000,00000,1350,00000PATIENT DAYS 62890,E10A180,00301,0100,08/17/1999 62890,E10A180,00302,0100,02/07/2000 62890,S000000,00100,0200,05/24/2000 62890,S200000,00100,0100,2120 E. DIVISION STREET 62890,S200000,00200,0100,MOUNT VERNON 62890,S200000,00200,0200,WA 62890,S200000,00200,0300,98273 62890,S200000,00300,0100,SKAGIT 62890,S200000,00400,0100,LCC OF MOUNT VERNON 62890,S200000,00400,0200,505272 62890,S200000,00400,0300,10/24/1991 62890,S200000,00400,0500,P 62890,S200000,01600,0100,Y 62890,S200000,04300,0100,Y 62908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62908,A000000,00300,0000,00300EMPLOYEE BENEFITS 62908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62908,A000000,00700,0000,00700HOUSEKEEPING 62908,A000000,00800,0000,00800DIETARY 62908,A000000,00900,0000,00900NURSING ADMINISTRATION 62908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62908,A000000,01100,0000,01100PHARMACY 62908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62908,A000000,01300,0000,01300SOCIAL SERVICE 62908,A000000,01350,0000,01500ACTIVITIES 62908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62908,A000000,01600,0000,01600SKILLED NURSING FACILITY 62908,A000000,01800,0000,01800NURSING FACILITY 62908,A000000,01810,0000,01810ICF/MR 62908,A000000,02100,0000,02100RADIOLOGY 62908,A000000,02300,0000,02300INTRAVENOUS THERAPY 62908,A000000,02500,0000,02500PHYSICAL THERAPY 62908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62908,A000000,02700,0000,02700SPEECH PATHOLOGY 62908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62908,A000000,03550,0000,03550FQHC 62908,A000000,05000,0000,05000CORF 62908,A000000,05010,0000,05010CMHC 62908,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62908,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62908,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62908,A81000A,00100,0100,Y 62908,A81000B,00100,0300,HOME OFFICE COSTS 62908,A81000B,00200,0300,INTEREST 62908,A81000B,00300,0300,Y2K INSTALL/TRAIN 62908,A81000B,00400,0300,PT ALLOCATION 62908,A81000B,00500,0300,OT ALLOCATION 62908,A81000B,00600,0300,ST ALLOCATION 62908,A81000B,00700,0300,DEBT FORGIVENESS 62908,A81000B,00800,0300,DEVELOP. COST - 1996 62908,A81000B,00900,0300,DEVELOP. COST - 1996 62908,A81000B,01000,0300,INTERIOR DESIGN 62908,A81000C,00100,0100,A 62908,A81000C,00100,0200,FORREST PRESTON 62908,A81000C,00100,0400,LIFE CARE CENTE 62908,A81000C,00100,0600,NURSING HOME MG 62908,A81000C,00200,0100,A 62908,A81000C,00200,0200,FORREST PRESTON 62908,A81000C,00200,0400,LIFE CARE DESIG 62908,A81000C,00200,0600,FURNITURE/FIXTU 62908,B100000,00000,0100,00000SQUARE FEET 62908,B100000,00000,0200,00000SQUARE FEET 62908,B100000,00000,0300,00000GROSS SALARIES 62908,B100000,00000,0400,00000ACCUM COST 62908,B100000,00000,0500,00000SQUARE FEET 62908,B100000,00000,0600,00000PATIENT DAYS 62908,B100000,00000,0700,00000SQUARE FEET 62908,B100000,00000,0800,00000MEALS SERVED 62908,B100000,00000,0900,00000DIRECT NRSG HRS 62908,B100000,00000,1000,00000COSTED REQUIS 62908,B100000,00000,1100,00000COSTED REQUIS 62908,B100000,00000,1200,00000GROSS REVENUE 62908,B100000,00000,1300,00000PATIENT DAYS 62908,B100000,00000,1350,00000PATIENT DAYS 62908,B100000,00000,1400,00000ASSIGNED TIME 62908,E10A180,00301,0100,08/17/1999 62908,E10A180,00302,0100,02/07/2000 62908,S000000,00100,0200,05/11/2000 62908,S200000,00100,0100,751 KEARNEY STREET 62908,S200000,00200,0100,PORT TOWNSEND 62908,S200000,00200,0200,WA 62908,S200000,00200,0300,98368 62908,S200000,00300,0100,JEFFERSON 62908,S200000,00400,0100,KAH TAI CARE CENTER 62908,S200000,00400,0200,505306 62908,S200000,00400,0300,11/01/1986 62908,S200000,00400,0500,P 62908,S200000,01600,0100,Y 62908,S200000,04300,0100,Y 62916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62916,A000000,00300,0000,00300EMPLOYEE BENEFITS 62916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62916,A000000,00700,0000,00700HOUSEKEEPING 62916,A000000,00800,0000,00800DIETARY 62916,A000000,00900,0000,00900NURSING ADMINISTRATION 62916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62916,A000000,01300,0000,01300SOCIAL SERVICE 62916,A000000,01350,0000,01500ACTIVITIES 62916,A000000,01600,0000,01600SKILLED NURSING FACILITY 62916,A000000,01800,0000,01800NURSING FACILITY 62916,A000000,02100,0000,02100RADIOLOGY 62916,A000000,02200,0000,02200LABORATORY 62916,A000000,02300,0000,02300INTRAVENOUS THERAPY 62916,A000000,02500,0000,02500PHYSICAL THERAPY 62916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62916,A000000,02700,0000,02700SPEECH PATHOLOGY 62916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62916,A000000,03050,0000,03300AMBULANCE SERVICES 62916,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 62916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62916,A81000A,00100,0100,Y 62916,A81000B,00100,0300,OPERATING FEE 62916,A81000B,00200,0300,RELATED PARTY INT 62916,A81000B,00300,0300,Y2K COMPT CONV 62916,A81000B,00400,0300,HO ALLOCATION 62916,A81000B,00500,0300,HO ALLOCATION 62916,A81000B,00600,0300,HO ALLOCATION 62916,A81000B,00700,0300,PHARMACY COST 62916,A81000B,00800,0300,PHARMACY COST 62916,A81000C,00100,0100,A 62916,A81000C,00100,0200,FORREST PRESTON 62916,A81000C,00100,0400,LIFE CARE CENTE 62916,A81000C,00100,0600,NRSG HOME MGT 62916,A81000C,00200,0100,A 62916,A81000C,00200,0200,FORREST PRESTON 62916,A81000C,00200,0400,MEDILIFE PHARMA 62916,A81000C,00200,0600,PHARMACY 62916,B100000,00000,0100,00000SQUARE FEET 62916,B100000,00000,0200,00000SQUARE FEET 62916,B100000,00000,0300,00000GROSS SALARIES 62916,B100000,00000,0400,00000ACCUM COST 62916,B100000,00000,0500,00000SQUARE FEET 62916,B100000,00000,0600,00000PATIENT DAYS 62916,B100000,00000,0700,00000SQUARE FEET 62916,B100000,00000,0800,00000MEALS SERVED 62916,B100000,00000,0900,00000DIRECT NRSG HRS 62916,B100000,00000,1000,00000COSTED REQUIS 62916,B100000,00000,1200,00000GROSS REVENUE 62916,B100000,00000,1300,00000PATIENT DAYS 62916,B100000,00000,1350,00000PATIENT DAYS 62916,E10A180,00301,0100,08/17/1999 62916,E10A180,00302,0100,02/07/2000 62916,S000000,00100,0200,05/31/2000 62916,S200000,00100,0100,32300 FIRST AVENUE SOUTH 62916,S200000,00200,0100,FEDERAL WAY 62916,S200000,00200,0200,WA 62916,S200000,00200,0300,98003 62916,S200000,00300,0100,KING 62916,S200000,00400,0100,HALLMARK MANOR 62916,S200000,00400,0200,505313 62916,S200000,00400,0300,05/28/1987 62916,S200000,00400,0500,P 62916,S200000,01600,0100,Y 62916,S200000,04300,0100,Y 62924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62924,A000000,00300,0000,00300EMPLOYEE BENEFITS 62924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62924,A000000,00700,0000,00700HOUSEKEEPING 62924,A000000,00800,0000,00800DIETARY 62924,A000000,00900,0000,00900NURSING ADMINISTRATION 62924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62924,A000000,01100,0000,01100PHARMACY 62924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62924,A000000,01300,0000,01300SOCIAL SERVICE 62924,A000000,01350,0000,01500ACTIVITIES 62924,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62924,A000000,01600,0000,01600SKILLED NURSING FACILITY 62924,A000000,01800,0000,01800NURSING FACILITY 62924,A000000,01810,0000,01810ICF/MR 62924,A000000,02100,0000,02100RADIOLOGY 62924,A000000,02200,0000,02200LABORATORY 62924,A000000,02300,0000,02300INTRAVENOUS THERAPY 62924,A000000,02500,0000,02500PHYSICAL THERAPY 62924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62924,A000000,02700,0000,02700SPEECH PATHOLOGY 62924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62924,A000000,03550,0000,03550FQHC 62924,A000000,05000,0000,05000CORF 62924,A000000,05010,0000,05010CMHC 62924,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62924,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62924,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 62924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62924,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62924,A81000A,00100,0100,Y 62924,A81000B,00100,0300,HOME OFFICE COSTS 62924,A81000B,00200,0300,INTEREST 62924,A81000B,00300,0300,Y2K INSTALL/TRAIN 62924,A81000B,00400,0300,PT ALLOCATION 62924,A81000B,00500,0300,OT ALLOCATION 62924,A81000B,00600,0300,ST ALLOCATION 62924,A81000B,00700,0300,INTERIOR DESIGN 62924,A81000B,00800,0300,MEDILIFE 62924,A81000B,00900,0300,MEDILIFE 62924,A81000B,01000,0300,H/O P&D COSTS - 1996 62924,A81000C,00100,0100,A 62924,A81000C,00100,0200,FORREST PRESTON 62924,A81000C,00100,0400,LIFE CARE CENTE 62924,A81000C,00100,0600,NURSING HOME MG 62924,A81000C,00200,0100,A 62924,A81000C,00200,0200,FORREST PRESTON 62924,A81000C,00200,0400,LIFE CARE DESIG 62924,A81000C,00200,0600,FURNITURE/FIXTU 62924,A81000C,00300,0100,A 62924,A81000C,00300,0200,FORREST PRESTON 62924,A81000C,00300,0400,MEDILIFE PHARMA 62924,A81000C,00300,0600,PHARMACY 62924,B100000,00000,0100,00000SQUARE FEET 62924,B100000,00000,0200,00000SQUARE FEET 62924,B100000,00000,0300,00000GROSS SALARIES 62924,B100000,00000,0400,00000ACCUM COST 62924,B100000,00000,0500,00000SQUARE FEET 62924,B100000,00000,0600,00000PATIENT DAYS 62924,B100000,00000,0700,00000SQUARE FEET 62924,B100000,00000,0800,00000MEALS SERVED 62924,B100000,00000,0900,00000DIRECT NRSG HRS 62924,B100000,00000,1000,00000COSTED REQUIS 62924,B100000,00000,1100,00000COSTED REQUIS 62924,B100000,00000,1200,00000GROSS REVENUE 62924,B100000,00000,1300,00000PATIENT DAYS 62924,B100000,00000,1350,00000PATIENT DAYS 62924,B100000,00000,1400,00000ASSIGNED TIME 62924,E10A180,00301,0100,08/17/1999 62924,E10A180,00302,0100,02/07/1999 62924,S000000,00100,0200,05/24/2000 62924,S200000,00100,0100,2019 HIGHWAY 20 62924,S200000,00200,0100,SEDRO WOOLLEY 62924,S200000,00200,0200,WA 62924,S200000,00200,0300,98284 62924,S200000,00300,0100,SKAGIT 62924,S200000,00400,0100,SKAGIT VALLEY CONVALESCENT CENTER 62924,S200000,00400,0200,505318 62924,S200000,00400,0300,05/01/1988 62924,S200000,00400,0500,P 62924,S200000,01600,0100,Y 62924,S200000,04300,0100,Y 62932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62932,A000000,00300,0000,00300EMPLOYEE BENEFITS 62932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62932,A000000,00700,0000,00700HOUSEKEEPING 62932,A000000,00800,0000,00800DIETARY 62932,A000000,00900,0000,00900NURSING ADMINISTRATION 62932,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62932,A000000,01100,0000,01100PHARMACY 62932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62932,A000000,01300,0000,01300SOCIAL SERVICE 62932,A000000,01350,0000,01500ACTIVITIES 62932,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62932,A000000,01600,0000,01600SKILLED NURSING FACILITY 62932,A000000,01800,0000,01800NURSING FACILITY 62932,A000000,01810,0000,01810ICF/MR 62932,A000000,02100,0000,02100RADIOLOGY 62932,A000000,02200,0000,02200LABORATORY 62932,A000000,02300,0000,02300INTRAVENOUS THERAPY 62932,A000000,02500,0000,02500PHYSICAL THERAPY 62932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62932,A000000,02700,0000,02700SPEECH PATHOLOGY 62932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62932,A000000,03050,0000,03300AMBULANCE 62932,A000000,03550,0000,03550FQHC 62932,A000000,05000,0000,05000CORF 62932,A000000,05010,0000,05010CMHC 62932,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62932,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62932,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62932,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62932,A81000A,00100,0100,Y 62932,A81000B,00100,0300,HOME OFFICE FEES 62932,A81000B,00200,0300,RELATED PARTY INTERE 62932,A81000B,00300,0300,Y2K COMP CONVERS 62932,A81000B,00400,0300,DEBT FORGIVENESS 62932,A81000B,00500,0300,HO ALLOCATION 62932,A81000B,00600,0300,HO ALLOCATION 62932,A81000B,00700,0300,HO ALLOCATION 62932,A81000B,00800,0300,INTERIOR DESIGN-1999 62932,A81000B,00900,0300,PHARMACY COSTS 62932,A81000B,01000,0300,PHARMACY COSTS 62932,A81000B,01100,0300,DEVELOP COST-1996 62932,A81000C,00100,0100,A 62932,A81000C,00100,0200,FORREST PRESTON 62932,A81000C,00100,0400,LIFE CARE CENTE 62932,A81000C,00100,0600,NSNG HOME MGT 62932,A81000C,00200,0100,A 62932,A81000C,00200,0200,FORREST PRESTON 62932,A81000C,00200,0400,LIFE CARE DESIG 62932,A81000C,00200,0600,FURNITURE/FIXTU 62932,A81000C,00300,0100,A 62932,A81000C,00300,0200,FORREST PRESTON 62932,A81000C,00300,0400,MEDILIFE PHARMA 62932,A81000C,00300,0600,PHARMACY 62932,B100000,00000,0100,00000SQUARE FEET 62932,B100000,00000,0200,00000SQUARE FEET 62932,B100000,00000,0300,00000GROSS SALARIES 62932,B100000,00000,0400,00000ACCUM COST 62932,B100000,00000,0500,00000SQUARE FEET 62932,B100000,00000,0600,00000PATIENT DAYS 62932,B100000,00000,0700,00000SQUARE FEET 62932,B100000,00000,0800,00000MEALS SERVED 62932,B100000,00000,0900,00000DIRECT NRSG HRS 62932,B100000,00000,1000,00000COSTED REQUIS 62932,B100000,00000,1100,00000COSTED REQUIS 62932,B100000,00000,1200,00000GROSS REVENUE 62932,B100000,00000,1300,00000PATIENT DAYS 62932,B100000,00000,1350,00000PATIENT DAYS 62932,B100000,00000,1400,00000ASSIGNED TIME 62932,E10A180,00301,0100,08/17/1999 62932,E10A180,00302,0100,02/07/2000 62932,S000000,00100,0200,05/31/2000 62932,S200000,00100,0100,511 10TH AVENUE SE 62932,S200000,00200,0100,PUYALLUP 62932,S200000,00200,0200,WA 62932,S200000,00200,0300,98372 62932,S200000,00300,0100,PIERCE 62932,S200000,00400,0100,VALLEY TERRACE NURSING CENTER 62932,S200000,00400,0200,505324 62932,S200000,00400,0300,01/01/1989 62932,S200000,00400,0500,P 62932,S200000,01600,0100,Y 62932,S200000,04300,0100,Y 62939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62939,A000000,00300,0000,00300EMPLOYEE BENEFITS 62939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62939,A000000,00700,0000,00700HOUSEKEEPING 62939,A000000,00800,0000,00800DIETARY 62939,A000000,00900,0000,00900NURSING ADMINISTRATION 62939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62939,A000000,01300,0000,01300SOCIAL SERVICE 62939,A000000,01350,0000,01500ACTIVITIES 62939,A000000,01600,0000,01600SKILLED NURSING FACILITY 62939,A000000,02100,0000,02100RADIOLOGY 62939,A000000,02200,0000,02200LABORATORY 62939,A000000,02300,0000,02300INTRAVENOUS THERAPY 62939,A000000,02500,0000,02500PHYSICAL THERAPY 62939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62939,A000000,02700,0000,02700SPEECH PATHOLOGY 62939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62939,A000000,03050,0000,03300AMBULANCE SERVICES 62939,A000000,03051,0000,03301OTHER ANCILLARY SERVICES 62939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62939,A81000A,00100,0100,Y 62939,A81000B,00100,0300,HOME OFFICE COSTS 62939,A81000B,00200,0300,INTEREST 62939,A81000B,00300,0300,Y2K INSTALL/TRAIN 62939,A81000B,00400,0300,PT ALLOCATION 62939,A81000B,00500,0300,OT ALLOCATION 62939,A81000B,00600,0300,ST ALLOCATION 62939,A81000B,00700,0300,DEBT FORGIVENESS 62939,A81000B,00800,0300,INTERIOR DESIGN - 98 62939,A81000B,00900,0300,INTERIOR DESIGN - 99 62939,A81000C,00100,0100,A 62939,A81000C,00100,0200,FORREST PRESTON 62939,A81000C,00100,0400,LIFE CARE CENTE 62939,A81000C,00100,0600,NURSING HOME MG 62939,A81000C,00200,0100,A 62939,A81000C,00200,0200,FORREST PRESTON 62939,A81000C,00200,0400,LIFE CARE DESIG 62939,A81000C,00200,0600,FURNITURE/FIXTU 62939,B100000,00000,0100,00000SQUARE FEET 62939,B100000,00000,0200,00000SQUARE FEET 62939,B100000,00000,0300,00000GROSS SALARIES 62939,B100000,00000,0400,00000ACCUM COST 62939,B100000,00000,0500,00000SQUARE FEET 62939,B100000,00000,0600,00000PATIENT DAYS 62939,B100000,00000,0700,00000SQUARE FEET 62939,B100000,00000,0800,00000MEALS SERVED 62939,B100000,00000,0900,00000DIRECT NRSG HRS 62939,B100000,00000,1000,00000COSTED REQUIS 62939,B100000,00000,1200,00000GROSS REVENUE 62939,B100000,00000,1300,00000PATIENT DAYS 62939,B100000,00000,1350,00000PATIENT DAYS 62939,E10A180,00301,0100,02/07/2000 62939,S000000,00100,0200,05/17/2000 62939,S200000,00100,0100,660 SPRING STREET 62939,S200000,00200,0100,FRIDAY HARBOR 62939,S200000,00200,0200,WA 62939,S200000,00200,0300,98250 62939,S200000,00300,0100,SAN JUAN 62939,S200000,00400,0100,ISLANDS CONVALESCENT CENTER 62939,S200000,00400,0200,505332 62939,S200000,00400,0300,09/01/1989 62939,S200000,00400,0500,P 62939,S200000,01500,0100,Y 62939,S200000,04300,0100,Y 62947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62947,A000000,00300,0000,00300EMPLOYEE BENEFITS 62947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62947,A000000,00700,0000,00700HOUSEKEEPING 62947,A000000,00800,0000,00800DIETARY 62947,A000000,00900,0000,00900NURSING ADMINISTRATION 62947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62947,A000000,01300,0000,01300SOCIAL SERVICE 62947,A000000,01350,0000,01500ACTIVITIES 62947,A000000,01600,0000,01600SKILLED NURSING FACILITY 62947,A000000,01800,0000,01800NURSING FACILITY 62947,A000000,02100,0000,02100RADIOLOGY 62947,A000000,02200,0000,02200LABORATORY 62947,A000000,02300,0000,02300INTRAVENOUS THERAPY 62947,A000000,02500,0000,02500PHYSICAL THERAPY 62947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62947,A000000,02700,0000,02700SPEECH PATHOLOGY 62947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62947,A000000,03050,0000,03300AMBULANCE 62947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62947,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62947,A81000A,00100,0100,Y 62947,A81000B,00100,0300,MANAGEMENT FEES 62947,A81000B,00200,0300,REL PARTY INTEREST 62947,A81000B,00300,0300,Y2K CONVERSION 62947,A81000B,00400,0300,PT ALLOCATION 62947,A81000B,00500,0300,OT ALLOCATION 62947,A81000B,00600,0300,HCE LEASING 62947,A81000B,00700,0300,SLP ALLOCATION 62947,A81000B,00800,0300,LC DESIGNS - 1999 62947,A81000B,00900,0300,FORGIVENESS OF DEBT 62947,A81000B,01000,0300,DEVELOPMENT COSTS 62947,A81000B,01100,0300,HCE LEASING 62947,A81000C,00100,0100,A 62947,A81000C,00100,0200,FORREST PRESTON 62947,A81000C,00100,0400,LIFE CARE CENTE 62947,A81000C,00100,0600,NURSING HOME MG 62947,A81000C,00200,0100,A 62947,A81000C,00200,0200,FORREST PRESTON 62947,A81000C,00200,0400,LIFE CARE DESIG 62947,A81000C,00200,0600,FURNITURE FIXTU 62947,A81000C,00300,0100,A 62947,A81000C,00300,0200,FORREST PRESTON 62947,A81000C,00300,0400,HCE LEASING IN 62947,A81000C,00300,0600,LEASING COMPANY 62947,B100000,00000,0100,00000SQUARE FEET 62947,B100000,00000,0200,00000SQUARE FEET 62947,B100000,00000,0300,00000GROSS SALARIES 62947,B100000,00000,0400,00000ACCUM COST 62947,B100000,00000,0500,00000SQUARE FEET 62947,B100000,00000,0600,00000PATIENT DAYS 62947,B100000,00000,0700,00000SQUARE FEET 62947,B100000,00000,0800,00000MEALS SERVED 62947,B100000,00000,0900,00000HOURS SUPERVISED 62947,B100000,00000,1000,00000COSTED REQUIS 62947,B100000,00000,1200,00000GROSS REVENUES 62947,B100000,00000,1300,00000PATIENT DAYS 62947,B100000,00000,1350,00000PATIENT DAYS 62947,E10A180,00301,0100,02/07/2000 62947,E10A180,00302,0100,08/17/1999 62947,S000000,00100,0200,05/17/2000 62947,S200000,00100,0100,10101 NE 120TH STREET 62947,S200000,00200,0100,KIRKLAND 62947,S200000,00200,0200,WA 62947,S200000,00200,0300,98034 62947,S200000,00300,0100,KING 62947,S200000,00400,0100,LAKE VUE GARDENS 62947,S200000,00400,0200,505334 62947,S200000,00400,0300,05/01/1989 62947,S200000,00400,0500,P 62947,S200000,01600,0100,Y 62947,S200000,04300,0100,Y 62955,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62955,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62955,A000000,00300,0000,00300EMPLOYEE BENEFITS 62955,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62955,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62955,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62955,A000000,00700,0000,00700HOUSEKEEPING 62955,A000000,00800,0000,00800DIETARY 62955,A000000,00900,0000,00900NURSING ADMINISTRATION 62955,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62955,A000000,01100,0000,01100PHARMACY 62955,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62955,A000000,01300,0000,01300SOCIAL SERVICE 62955,A000000,01350,0000,01500ACTIVITIES 62955,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62955,A000000,01600,0000,01600SKILLED NURSING FACILITY 62955,A000000,01800,0000,01800NURSING FACILITY 62955,A000000,01810,0000,01810ICF/MR 62955,A000000,02300,0000,02300INTRAVENOUS THERAPY 62955,A000000,02500,0000,02500PHYSICAL THERAPY 62955,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62955,A000000,02700,0000,02700SPEECH PATHOLOGY 62955,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62955,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62955,A000000,03550,0000,03550FQHC 62955,A000000,05000,0000,05000CORF 62955,A000000,05010,0000,05010CMHC 62955,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62955,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62955,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62955,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62955,A81000A,00100,0100,Y 62955,A81000B,00100,0300,HOME OFFICE COSTS 62955,A81000B,00200,0300,INTEREST 62955,A81000B,00300,0300,Y2K INSTALL/TRAIN 62955,A81000B,00400,0300,DEBT FORGIVENESS 62955,A81000B,00500,0300,PT ALLOCATION 62955,A81000B,00600,0300,OT ALLOCATION 62955,A81000B,00700,0300,ST ALLOCATION 62955,A81000C,00100,0100,A 62955,A81000C,00100,0200,FORREST PRESTON 62955,A81000C,00100,0400,LIFE CARE CENTE 62955,A81000C,00100,0600,NURSING HOME MG 62955,B100000,00000,0100,00000SQUARE FEET 62955,B100000,00000,0200,00000SQUARE FEET 62955,B100000,00000,0300,00000GROSS SALARIES 62955,B100000,00000,0400,00000ACCUM COST 62955,B100000,00000,0500,00000SQUARE FEET 62955,B100000,00000,0600,00000PATIENT DAYS 62955,B100000,00000,0700,00000SQUARE FEET 62955,B100000,00000,0800,00000MEALS SERVED 62955,B100000,00000,0900,00000DIRECT NRSG HRS 62955,B100000,00000,1000,00000COSTED REQUIS 62955,B100000,00000,1100,00000COSTED REQUIS 62955,B100000,00000,1200,00000GROSS REVENUE 62955,B100000,00000,1300,00000PATIENT DAYS 62955,B100000,00000,1350,00000PATIENT DAYS 62955,B100000,00000,1400,00000ASSIGNED TIME 62955,E10A180,00301,0100,08/17/1999 62955,E10A180,00302,0100,02/07/2000 62955,S000000,00100,0200,05/24/2000 62955,S200000,00100,0100,211 PIONEER ROAD WEST 62955,S200000,00200,0100,LONG BEACH 62955,S200000,00200,0200,WA 62955,S200000,00200,0300,98631 62955,S200000,00300,0100,LONGVIEW 62955,S200000,00400,0100,OCEAN VIEW CONVALESCENT CENTER 62955,S200000,00400,0200,505345 62955,S200000,00400,0300,04/01/1989 62955,S200000,00400,0500,P 62955,S200000,01600,0100,Y 62955,S200000,04300,0100,Y 62964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62964,A000000,00300,0000,00300EMPLOYEE BENEFITS 62964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62964,A000000,00700,0000,00700HOUSEKEEPING 62964,A000000,00800,0000,00800DIETARY 62964,A000000,00900,0000,00900NURSING ADMINISTRATION 62964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62964,A000000,01300,0000,01300SOCIAL SERVICE 62964,A000000,01350,0000,01500ACTIVITIES 62964,A000000,01600,0000,01600SKILLED NURSING FACILITY 62964,A000000,01800,0000,01800NURSING FACILITY 62964,A000000,02100,0000,02100RADIOLOGY 62964,A000000,02200,0000,02200LABORATORY 62964,A000000,02300,0000,02300INTRAVENOUS THERAPY 62964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62964,A000000,02500,0000,02500PHYSICAL THERAPY 62964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62964,A000000,02700,0000,02700SPEECH PATHOLOGY 62964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62964,A000000,03050,0000,03300AMBULANCE SERVICES 62964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62964,A81000A,00100,0100,Y 62964,A81000B,00100,0300,HOME OFFICE COSTS 62964,A81000B,00200,0300,INTEREST EXPENSE 62964,A81000B,00300,0300,Y2K INSTALL/TRAIN 62964,A81000B,00400,0300,PT ALLOCATION 62964,A81000B,00500,0300,OT ALLOCATION 62964,A81000B,00600,0300,ST ALLOCATION 62964,A81000B,00700,0300,INTERIOR DESIGN 62964,A81000B,00800,0300,DEBT FORGIVENESS 62964,A81000C,00100,0100,A 62964,A81000C,00100,0200,FORREST PRESTON 62964,A81000C,00100,0400,LIFE CARE CENTE 62964,A81000C,00100,0600,NURSING HOME MG 62964,A81000C,00200,0100,A 62964,A81000C,00200,0200,FORREST PRESTON 62964,A81000C,00200,0400,LIFE CARE DESIG 62964,A81000C,00200,0600,FURNITURE/FIXTU 62964,B100000,00000,0100,00000SQUARE FEET 62964,B100000,00000,0200,00000SQUARE FEET 62964,B100000,00000,0300,00000GROSS SALARIES 62964,B100000,00000,0400,00000ACCUM COST 62964,B100000,00000,0500,00000SQUARE FEET 62964,B100000,00000,0600,00000PATIENT DAYS 62964,B100000,00000,0700,00000SQUARE FEET 62964,B100000,00000,0800,00000MEALS SERVED 62964,B100000,00000,0900,00000DIRECT NRSG HRS 62964,B100000,00000,1000,00000COSTED REQUIS 62964,B100000,00000,1200,00000GROSS REVENUE 62964,B100000,00000,1300,00000PATIENT DAYS 62964,B100000,00000,1350,00000PATIENT DAYS 62964,E10A180,00301,0100,08/17/1999 62964,E10A180,00302,0100,02/07/2000 62964,S000000,00100,0200,05/24/2000 62964,S200000,00100,0100,414 17TH STREET SOUTHEAST 62964,S200000,00200,0100,AUBURN 62964,S200000,00200,0200,WA 62964,S200000,00200,0300,98002 62964,S200000,00300,0100,KING 62964,S200000,00400,0100,LIFE CARE CENTER OF AUBURN 62964,S200000,00400,0200,505355 62964,S200000,00400,0300,08/01/1990 62964,S200000,00400,0500,P 62964,S200000,01600,0100,Y 62964,S200000,04300,0100,Y 62973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62973,A000000,00300,0000,00300EMPLOYEE BENEFITS 62973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62973,A000000,00700,0000,00700HOUSEKEEPING 62973,A000000,00800,0000,00800DIETARY 62973,A000000,00900,0000,00900NURSING ADMINISTRATION 62973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62973,A000000,01300,0000,01300SOCIAL SERVICE 62973,A000000,01350,0000,01500ACTIVITIES 62973,A000000,01600,0000,01600SKILLED NURSING FACILITY 62973,A000000,02100,0000,02100RADIOLOGY 62973,A000000,02200,0000,02200LABORATORY 62973,A000000,02300,0000,02300INTRAVENOUS THERAPY 62973,A000000,02500,0000,02500PHYSICAL THERAPY 62973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62973,A000000,02700,0000,02700SPEECH PATHOLOGY 62973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62973,A000000,03050,0000,03300AMBULANCE 62973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62973,A000000,06150,0000,06300MARKETING 62973,A81000A,00100,0100,Y 62973,A81000B,00100,0300,HOME OFFICE FEES 62973,A81000B,00200,0300,RELATED PARTY INT 62973,A81000B,00300,0300,Y2K COMPUTER CONV 62973,A81000B,00400,0300,HO ALLOCATION 62973,A81000B,00500,0300,HO ALLOCATION 62973,A81000B,00600,0300,HO ALLOCATION 62973,A81000B,00700,0300,INTERIOR DESIGN-1998 62973,A81000B,00800,0300,INTERIOR DESIGN-1999 62973,A81000B,00900,0300,ROUTINE MEDICAL SUPP 62973,A81000C,00100,0100,A 62973,A81000C,00100,0200,FORREST PRESTON 62973,A81000C,00100,0400,LIFE CARE CENTE 62973,A81000C,00100,0600,NURSING HOME MG 62973,A81000C,00200,0100,A 62973,A81000C,00200,0200,FORREST PRESTON 62973,A81000C,00200,0400,LIFE CARE DESIG 62973,A81000C,00200,0600,FURNITURE/FIXTU 62973,A81000C,00300,0100,A 62973,A81000C,00300,0200,FORREST PRESTON 62973,A81000C,00300,0400,MEDILIFE PHARMA 62973,A81000C,00300,0600,PHARMACY 62973,B100000,00000,0100,00000SQUARE FEET 62973,B100000,00000,0200,00000SQUARE FEET 62973,B100000,00000,0300,00000GROSS SALARIES 62973,B100000,00000,0400,00000ACCUM COST 62973,B100000,00000,0500,00000SQUARE FEET 62973,B100000,00000,0600,00000PATIENT DAYS 62973,B100000,00000,0700,00000SQUARE FEET 62973,B100000,00000,0800,00000MEALS SERVED 62973,B100000,00000,0900,00000DIRECT NRSG HRS 62973,B100000,00000,1000,00000COSTED REQUIS 62973,B100000,00000,1200,00000GROSS REVENUE 62973,B100000,00000,1300,00000PATIENT DAYS 62973,B100000,00000,1350,00000PATIENT DAYS 62973,E10A180,00301,0100,08/17/1999 62973,E10A180,00302,0100,02/07/2000 62973,E10A180,00501,0300,06/02/2000 62973,E10A180,00550,0100,06/02/2000 62973,S000000,00100,0200,05/30/2000 62973,S200000,00100,0100,4700 SOUTHWEST ADMIRAL WAY 62973,S200000,00200,0100,SEATTLE 62973,S200000,00200,0200,WA 62973,S200000,00200,0300,98116 62973,S200000,00300,0100,KING 62973,S200000,00400,0100,LIFE CARE CENTER OF WEST SEATTLE 62973,S200000,00400,0200,505385 62973,S200000,00400,0300,07/01/1991 62973,S200000,00400,0500,P 62973,S200000,01500,0100,Y 62973,S200000,04300,0100,Y 62981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62981,A000000,00300,0000,00300EMPLOYEE BENEFITS 62981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62981,A000000,00700,0000,00700HOUSEKEEPING 62981,A000000,00800,0000,00800DIETARY 62981,A000000,00900,0000,00900NURSING ADMINISTRATION 62981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62981,A000000,01100,0000,01100PHARMACY 62981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62981,A000000,01300,0000,01300SOCIAL SERVICE 62981,A000000,01350,0000,01500ACTIVITIES 62981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62981,A000000,01600,0000,01600SKILLED NURSING FACILITY 62981,A000000,01800,0000,01800NURSING FACILITY 62981,A000000,01810,0000,01810ICF/MR 62981,A000000,02100,0000,02100RADIOLOGY 62981,A000000,02200,0000,02200LABORATORY 62981,A000000,02300,0000,02300INTRAVENOUS THERAPY 62981,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62981,A000000,02500,0000,02500PHYSICAL THERAPY 62981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62981,A000000,02700,0000,02700SPEECH PATHOLOGY 62981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62981,A000000,03050,0000,03300AMBULANCE SERVICES 62981,A000000,03550,0000,03550FQHC 62981,A000000,05000,0000,05000CORF 62981,A000000,05010,0000,05010CMHC 62981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62981,A000000,06150,0000,06300MARKETING 62981,A81000A,00100,0100,Y 62981,A81000B,00100,0300,HOME OFFICE COSTS 62981,A81000B,00200,0300,INTEREST 62981,A81000B,00300,0300,Y2K INSTALL/TRAIN 62981,A81000B,00400,0300,DEBT FORGIVENESS 62981,A81000B,00500,0300,PT ALLOCATION 62981,A81000B,00600,0300,OT ALLOCATION 62981,A81000B,00700,0300,ST ALLOCATION 62981,A81000B,00800,0300,HCE LEASE EXPENSE 62981,A81000B,00900,0300,HCE LEASE EXPENSE 62981,A81000B,01000,0300,H/O P&D COSTS - 1996 62981,A81000C,00100,0100,A 62981,A81000C,00100,0200,FORREST PRESTON 62981,A81000C,00100,0400,LIFE CARE CENTE 62981,A81000C,00100,0600,NURSING HOME MG 62981,A81000C,00200,0100,A 62981,A81000C,00200,0200,FORREST PRESTON 62981,A81000C,00200,0400,HCE LEASING 62981,A81000C,00200,0600,VEH/COMP LEASIN 62981,B100000,00000,0100,00000SQUARE FEET 62981,B100000,00000,0200,00000SQUARE FEET 62981,B100000,00000,0300,00000GROSS SALARIES 62981,B100000,00000,0400,00000ACCUM COST 62981,B100000,00000,0500,00000SQUARE FEET 62981,B100000,00000,0600,00000PATIENT DAYS 62981,B100000,00000,0700,00000SQUARE FEET 62981,B100000,00000,0800,00000MEALS SERVED 62981,B100000,00000,0900,00000DIRECT NRSG HRS 62981,B100000,00000,1000,00000COSTED REQUIS 62981,B100000,00000,1100,00000COSTED REQUIS 62981,B100000,00000,1200,00000GROSS REVENUE 62981,B100000,00000,1300,00000PATIENT DAYS 62981,B100000,00000,1350,00000PATIENT DAYS 62981,B100000,00000,1400,00000ASSIGNED TIME 62981,E10A180,00301,0100,08/17/1999 62981,E10A180,00302,0100,02/07/2000 62981,S000000,00100,0200,05/12/2000 62981,S200000,00100,0100,1821 GROVE STREET 62981,S200000,00200,0100,MARYSVILLE 62981,S200000,00200,0200,WA 62981,S200000,00200,0300,98270 62981,S200000,00300,0100,SNOHOMISH 62981,S200000,00400,0100,MARYSVILLE CARE CENTER 62981,S200000,00400,0200,505386 62981,S200000,00400,0300,08/01/1991 62981,S200000,00400,0500,P 62981,S200000,01600,0100,Y 62981,S200000,04300,0100,Y 62984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62984,A000000,00300,0000,00300EMPLOYEE BENEFITS 62984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62984,A000000,00700,0000,00700HOUSEKEEPING 62984,A000000,00800,0000,00800DIETARY 62984,A000000,00900,0000,00900NURSING ADMINISTRATION 62984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62984,A000000,01300,0000,01300SOCIAL SERVICE 62984,A000000,01350,0000,01500ACTIVITIES 62984,A000000,01600,0000,01600SKILLED NURSING FACILITY 62984,A000000,01800,0000,01800NURSING FACILITY 62984,A000000,02100,0000,02100RADIOLOGY 62984,A000000,02200,0000,02200LABORATORY 62984,A000000,02300,0000,02300INTRAVENOUS THERAPY 62984,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62984,A000000,02500,0000,02500PHYSICAL THERAPY 62984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62984,A000000,02700,0000,02700SPEECH PATHOLOGY 62984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62984,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62984,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62984,A81000A,00100,0100,Y 62984,A81000B,00100,0300,HOME OFFICE COSTS 62984,A81000B,00200,0300,INTEREST 62984,A81000B,00300,0300,Y2K INSTALL/TRAIN 62984,A81000B,00400,0300,PT ALLOCATION 62984,A81000B,00500,0300,OT ALLOCATION 62984,A81000B,00600,0300,ST ALLOCATION 62984,A81000B,00700,0300,INTERIOR DESIGN 62984,A81000C,00100,0100,A 62984,A81000C,00100,0200,FORREST PRESTON 62984,A81000C,00100,0400,LIFE CARE CENTE 62984,A81000C,00100,0600,NURSING HOME MG 62984,A81000C,00200,0100,A 62984,A81000C,00200,0200,FORREST PRESTON 62984,A81000C,00200,0400,LIFE CARE DESIG 62984,A81000C,00200,0600,FURNITURE/FIXTU 62984,B100000,00000,0100,00000SQUARE FEET 62984,B100000,00000,0200,00000SQUARE FEET 62984,B100000,00000,0300,00000GROSS SALARIES 62984,B100000,00000,0400,00000ACCUM COST 62984,B100000,00000,0500,00000SQUARE FEET 62984,B100000,00000,0600,00000PATIENT DAYS 62984,B100000,00000,0700,00000SQUARE FEET 62984,B100000,00000,0800,00000MEALS SERVED 62984,B100000,00000,0900,00000DIRECT NRSG HRS 62984,B100000,00000,1000,00000COSTED REQUIS 62984,B100000,00000,1200,00000GROSS REVENUE 62984,B100000,00000,1300,00000PATIENT DAYS 62984,B100000,00000,1350,00000PATIENT DAYS 62984,E10A180,00301,0100,08/17/1999 62984,E10A180,00302,0100,02/07/2000 62984,S000000,00100,0200,05/26/2000 62984,S200000,00100,0100,801 SE PARK CREST AVENUE 62984,S200000,00200,0100,VANCOUVER 62984,S200000,00200,0200,WA 62984,S200000,00200,0300,98683 62984,S200000,00300,0100,CLARK 62984,S200000,00400,0100,CASCADE PARK CARE CENTER 62984,S200000,00400,0200,505389 62984,S200000,00400,0300,06/01/1991 62984,S200000,00400,0500,P 62984,S200000,01600,0100,Y 62984,S200000,04300,0100,Y 62993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 62993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 62993,A000000,00300,0000,00300EMPLOYEE BENEFITS 62993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 62993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 62993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 62993,A000000,00700,0000,00700HOUSEKEEPING 62993,A000000,00800,0000,00800DIETARY 62993,A000000,00900,0000,00900NURSING ADMINISTRATION 62993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 62993,A000000,01100,0000,01100PHARMACY 62993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 62993,A000000,01300,0000,01300SOCIAL SERVICE 62993,A000000,01350,0000,01500ACTIVITIES 62993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 62993,A000000,01600,0000,01600SKILLED NURSING FACILITY 62993,A000000,01800,0000,01800NURSING FACILITY 62993,A000000,01810,0000,01810ICF/MR 62993,A000000,02100,0000,02100RADIOLOGY 62993,A000000,02200,0000,02200LABORATORY 62993,A000000,02300,0000,02300INTRAVENOUS THERAPY 62993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 62993,A000000,02500,0000,02500PHYSICAL THERAPY 62993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 62993,A000000,02700,0000,02700SPEECH PATHOLOGY 62993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 62993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 62993,A000000,03050,0000,03300AMBULANCE 62993,A000000,03550,0000,03550FQHC 62993,A000000,05000,0000,05000CORF 62993,A000000,05010,0000,05010CMHC 62993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 62993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 62993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 62993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 62993,A000000,06150,0000,06300NON REIMBURSABLE COSTS 62993,A81000A,00100,0100,Y 62993,A81000B,00100,0300,MANAGEMENT FEES 62993,A81000B,00200,0300,PT ALLOCATION 62993,A81000B,00300,0300,Y2K CONVERSION 62993,A81000B,00400,0300,OT ALLOCATION 62993,A81000B,00500,0300,SLP ALLOCATION 62993,A81000B,00600,0300,HCE LEASING 62993,A81000B,00700,0300,RELATED PARTY INT. 62993,A81000B,00800,0300,HCE LEASING 62993,A81000C,00100,0100,A 62993,A81000C,00100,0200,FORREST PRESTON 62993,A81000C,00100,0400,LIFE CARE CENTE 62993,A81000C,00100,0600,NURSING HOME MG 62993,A81000C,00200,0100,A 62993,A81000C,00200,0200,FORREST PRESTON 62993,A81000C,00200,0400,HCE LEASING IN 62993,A81000C,00200,0600,LEASING COMPANY 62993,B100000,00000,0100,00000SQUARE FEET 62993,B100000,00000,0200,00000SQUARE FEET 62993,B100000,00000,0300,00000GROSS SALARIES 62993,B100000,00000,0400,00000ACCUM COST 62993,B100000,00000,0500,00000SQUARE FEET 62993,B100000,00000,0600,00000PATIENT DAYS 62993,B100000,00000,0700,00000SQUARE FEET 62993,B100000,00000,0800,00000MEALS SERVED 62993,B100000,00000,0900,00000HOURS SUPERVISED 62993,B100000,00000,1000,00000COSTED REQUIS 62993,B100000,00000,1100,00000COSTED REQUIS 62993,B100000,00000,1200,00000GROSS REVENUES 62993,B100000,00000,1300,00000PATIENT DAYS 62993,B100000,00000,1350,00000PATIENT DAYS 62993,B100000,00000,1400,00000ASSIGNED TIME 62993,E10A180,00301,0100,02/07/2000 62993,S000000,00100,0200,05/12/2000 62993,S200000,00100,0100,707 228TH STREET SW 62993,S200000,00200,0100,BOTHELL 62993,S200000,00200,0200,WA 62993,S200000,00200,0300,98021 62993,S200000,00300,0100,SNOHOMISH 62993,S200000,00400,0100,LIFE CARE CENTER OF BOTHELL 62993,S200000,00400,0200,505431 62993,S200000,00400,0300,04/01/1993 62993,S200000,00400,0500,P 62993,S200000,01600,0100,Y 62993,S200000,04300,0100,Y 63000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63000,A000000,00300,0000,00300EMPLOYEE BENEFITS 63000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63000,A000000,00700,0000,00700HOUSEKEEPING 63000,A000000,00800,0000,00800DIETARY 63000,A000000,00900,0000,00900NURSING ADMINISTRATION 63000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63000,A000000,01100,0000,01100PHARMACY 63000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63000,A000000,01300,0000,01300SOCIAL SERVICE 63000,A000000,01350,0000,01500ACTIVITIES 63000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63000,A000000,01600,0000,01600SKILLED NURSING FACILITY 63000,A000000,01800,0000,01800NURSING FACILITY 63000,A000000,01810,0000,01810ICF/MR 63000,A000000,02100,0000,02100RADIOLOGY 63000,A000000,02200,0000,02200LABORATORY 63000,A000000,02300,0000,02300INTRAVENOUS THERAPY 63000,A000000,02500,0000,02500PHYSICAL THERAPY 63000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63000,A000000,02700,0000,02700SPEECH PATHOLOGY 63000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63000,A000000,03550,0000,03550FQHC 63000,A000000,05000,0000,05000CORF 63000,A000000,05010,0000,05010CMHC 63000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63000,A000000,06150,0000,06300DAY CARE 63000,A81000A,00100,0100,Y 63000,A81000B,00100,0300,MANAGEMENT FEES 63000,A81000B,00200,0300,REL PARTY INTEREST 63000,A81000B,00300,0300,Y2K CONVERSION 63000,A81000B,00400,0300,MEDIA RESOURCE 63000,A81000B,00500,0300,MEDILIFE 63000,A81000B,00600,0300,MEDILIFE 63000,A81000B,00700,0300,MEDILIFE 63000,A81000B,00800,0300,LC DESIGNS - 1999 63000,A81000B,00900,0300,LC DESIGNS - 1998 63000,A81000B,01000,0300,HCE LEASING 63000,A81000B,01100,0300,HCE LEASING 63000,A81000C,00100,0100,A 63000,A81000C,00100,0200,FORREST PRESTON 63000,A81000C,00100,0400,LIFE CARE CENTE 63000,A81000C,00100,0600,NURSING HOME MG 63000,A81000C,00200,0100,A 63000,A81000C,00200,0200,FORREST PRESTON 63000,A81000C,00200,0400,LIFE CARE DESIG 63000,A81000C,00200,0600,FURNITURE FIXTU 63000,A81000C,00300,0100,A 63000,A81000C,00300,0200,FORREST PRESTON 63000,A81000C,00300,0400,MEDILIFE PHARMA 63000,A81000C,00300,0600,PHARMACY 63000,A81000C,00400,0100,A 63000,A81000C,00400,0200,FORREST PRESTON 63000,A81000C,00400,0400,HCE LEASING IN 63000,A81000C,00400,0600,LEASING COMPANY 63000,B100000,00000,0100,00000SQUARE FEET 63000,B100000,00000,0200,00000SQUARE FEET 63000,B100000,00000,0300,00000GROSS SALARIES 63000,B100000,00000,0400,00000ACCUM COST 63000,B100000,00000,0500,00000SQUARE FEET 63000,B100000,00000,0600,00000PATIENT DAYS 63000,B100000,00000,0700,00000SQUARE FEET 63000,B100000,00000,0800,00000MEALS SERVED 63000,B100000,00000,0900,00000HOURS SUPERVISED 63000,B100000,00000,1000,00000COSTED REQUIS 63000,B100000,00000,1100,00000COSTED REQUIS 63000,B100000,00000,1200,00000GROSS REVENUES 63000,B100000,00000,1300,00000PATIENT DAYS 63000,B100000,00000,1350,00000PATIENT DAYS 63000,B100000,00000,1400,00000ASSIGNED TIME 63000,E10A180,00301,0100,12/31/1999 63000,E10A180,00501,0300,06/21/2000 63000,E10A180,00550,0100,06/21/2000 63000,S000000,00100,0200,05/12/2000 63000,S200000,00100,0100,2909 14TH AVE. NW 63000,S200000,00200,0100,GIG HARBOR 63000,S200000,00200,0200,WA 63000,S200000,00200,0300,98335 63000,S200000,00300,0100,PIERCE 63000,S200000,00400,0100,COTTESMORE OF LIFE CARE 63000,S200000,00400,0200,505499 63000,S200000,00400,0300,12/06/1996 63000,S200000,00400,0500,P 63000,S200000,01600,0100,Y 63000,S200000,04300,0100,Y 63004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63004,A000000,00300,0000,00300EMPLOYEE BENEFITS 63004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63004,A000000,00700,0000,00700HOUSEKEEPING 63004,A000000,00800,0000,00800DIETARY 63004,A000000,00900,0000,00900NURSING ADMINISTRATION 63004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63004,A000000,01100,0000,01100PHARMACY 63004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63004,A000000,01300,0000,01300SOCIAL SERVICE 63004,A000000,01301,0000,01301ACTIVITIES 63004,A000000,01350,0000,01500OTHER GENERAL SERVICES 63004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63004,A000000,01600,0000,01600SKILLED NURSING FACILITY 63004,A000000,01800,0000,01800NURSING FACILITY 63004,A000000,01810,0000,01810ICF/MR 63004,A000000,02100,0000,02100RADIOLOGY 63004,A000000,02200,0000,02200LABORATORY 63004,A000000,02300,0000,02300INTRAVENOUS THERAPY 63004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63004,A000000,02500,0000,02500PHYSICAL THERAPY 63004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63004,A000000,02700,0000,02700SPEECH PATHOLOGY 63004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63004,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63004,A000000,03201,0000,03201PART B SERVICES 63004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63004,A000000,03550,0000,03550FQHC 63004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63004,A000000,05000,0000,05000CORF 63004,A000000,05010,0000,05010CMHC 63004,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63004,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63004,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63004,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63004,A81000A,00100,0100,Y 63004,A81000B,00100,0300,DEBT SERVICE INTEREST 63004,A81000B,00200,0300,HOME OFFICE CAPITAL INTEREST 63004,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 63004,A81000B,00400,0300,PHARMACY CONSULTANT 63004,A81000B,00500,0300,NONLEGEND DRUGS 63004,A81000B,00600,0300,NURSING EQUIPMENT RENTAL 63004,A81000B,00700,0300,NONCHARGED SUPPLIES 63004,A81000B,00800,0300,DIETARY SUPPLEMENTS 63004,A81000B,00900,0300,MEDICAL SUPPLIES 63004,A81000B,01000,0300,PRESCRIPTION DRUGS 63004,A81000B,01100,0300,PHYSICAL THERAPY 63004,A81000B,01200,0300,OCCUPATIONAL THERAPY 63004,A81000B,01300,0300,SPEECH THERAPY 63004,A81000C,00100,0100,B 63004,A81000C,00100,0400,GENESIS HEALTH VENTURES 63004,A81000C,00100,0600,MANAGEMENT COMPANY 63004,A81000C,00200,0100,B 63004,A81000C,00200,0400,GENESIS HEALTH VENTURES 63004,A81000C,00200,0600,MANAGEMENT COMPANY 63004,A81000C,00300,0100,B 63004,A81000C,00300,0400,GENESIS HEALTH VENTURES 63004,A81000C,00300,0600,MANAGEMENT COMPANY 63004,A81000C,00400,0100,B 63004,A81000C,00400,0200,NEIGHBORCARE 63004,A81000C,00400,0400,GENESIS HEALTH VENTURES 63004,A81000C,00400,0600,PHARMACY COMPANY 63004,A81000C,00500,0100,B 63004,A81000C,00500,0200,NEIGHBORCARE 63004,A81000C,00500,0400,GENESIS HEALTH VENTURES 63004,A81000C,00500,0600,PHARMACY COMPANY 63004,A81000C,00600,0100,B 63004,A81000C,00600,0200,NEIGHBORCARE 63004,A81000C,00600,0400,GENESIS HEALTH VENTURES 63004,A81000C,00600,0600,PHARMACY COMPANY 63004,A81000C,00700,0100,B 63004,A81000C,00700,0200,NEIGHBORCARE 63004,A81000C,00700,0400,GENESIS HEALTH VENTURES 63004,A81000C,00700,0600,PHARMACY COMPANY 63004,A81000C,00800,0100,B 63004,A81000C,00800,0200,NEIGHBORCARE 63004,A81000C,00800,0400,GENESIS HEALTH VENTURES 63004,A81000C,00800,0600,PHARMACY COMPANY 63004,A81000C,00900,0100,B 63004,A81000C,00900,0200,NEIGHBORCARE 63004,A81000C,00900,0400,GENESIS HEALTH VENTURES 63004,A81000C,00900,0600,PHARMACY COMPANY 63004,A81000C,01000,0100,B 63004,A81000C,01000,0200,NEIGHBORCARE 63004,A81000C,01000,0400,GENESIS HEALTH VENTURES 63004,A81000C,01000,0600,PHARMACY COMPANY 63004,A81000C,01100,0100,B 63004,A81000C,01100,0200,GENESIS REHAB 63004,A81000C,01100,0400,GENESIS HEALTH VENTURES 63004,A81000C,01100,0600,REHABILITATION COMPANY 63004,A81000C,01200,0100,B 63004,A81000C,01200,0200,GENESIS REHAB 63004,A81000C,01200,0400,GENESIS HEALTH VENTURES 63004,A81000C,01200,0600,REHABILITATION COMPANY 63004,A81000C,01300,0100,B 63004,A81000C,01300,0200,GENESIS REHAB 63004,A81000C,01300,0400,GENESIS HEALTH VENTURES 63004,A81000C,01300,0600,REHABILITATION COMPANY 63004,B100000,00000,0100,00000SQUARE FEET 63004,B100000,00000,0200,00000SQUARE FEET 63004,B100000,00000,0300,00000GROSS SALARIES 63004,B100000,00000,0400,00000ACCUM. COST 63004,B100000,00000,0500,00000SQUARE FEET 63004,B100000,00000,0600,00000PATIENT DAYS 63004,B100000,00000,0700,00000SQUARE FEET 63004,B100000,00000,0800,00000MEALS SERVED 63004,B100000,00000,0900,00000DIRECT NRSING HRS 63004,B100000,00000,1000,00000PATIENT DAYS 63004,B100000,00000,1100,00000COSTED REQUIS. 63004,B100000,00000,1200,00000PATIENT DAYS 63004,B100000,00000,1300,00000PATIENT DAYS 63004,B100000,00000,1301,00000PATIENT DAYS 63004,B100000,00000,1350,00000NO STATISTICS 63004,B100000,00000,1400,00000PATIENT DAYS 63004,S000000,00100,0200,06/07/2000 63004,S200000,00100,0100,4205 MILWAUKEE STREET 63004,S200000,00200,0100,MADISON 63004,S200000,00200,0200,WI 63004,S200000,00200,0300,53714 63004,S200000,00300,0100,DANE 63004,S200000,00400,0100,KARMENTA CENTER 63004,S200000,00400,0200,525072 63004,S200000,00400,0300,01/01/1967 63004,S200000,00400,0500,P 63004,S200000,01600,0100,Y 63007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63007,A000000,00300,0000,00300EMPLOYEE BENEFITS 63007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63007,A000000,00700,0000,00700HOUSEKEEPING 63007,A000000,00800,0000,00800DIETARY 63007,A000000,00900,0000,00900NURSING ADMINISTRATION 63007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63007,A000000,01100,0000,01100PHARMACY 63007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63007,A000000,01300,0000,01300SOCIAL SERVICE 63007,A000000,01301,0000,01301ACTIVITIES 63007,A000000,01350,0000,01500OTHER GENERAL SERVICES 63007,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63007,A000000,01600,0000,01600SKILLED NURSING FACILITY 63007,A000000,01800,0000,01800NURSING FACILITY 63007,A000000,01810,0000,01810ICF/MR 63007,A000000,02100,0000,02100RADIOLOGY 63007,A000000,02200,0000,02200LABORATORY 63007,A000000,02300,0000,02300INTRAVENOUS THERAPY 63007,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63007,A000000,02500,0000,02500PHYSICAL THERAPY 63007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63007,A000000,02700,0000,02700SPEECH PATHOLOGY 63007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63007,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 63007,A000000,03201,0000,03201PART B SERVICES 63007,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63007,A000000,03550,0000,03550FQHC 63007,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63007,A000000,05000,0000,05000CORF 63007,A000000,05010,0000,05010CMHC 63007,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63007,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63007,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63007,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63007,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63007,A81000A,00100,0100,Y 63007,A81000B,00100,0300,HOME OFFICE - INTEREST 63007,A81000B,00200,0300,HOME OFFICE - ADMINISTRATIVE 63007,A81000C,00100,0100,B 63007,A81000C,00100,0400,GENESIS HEALTH VENTURES 63007,A81000C,00100,0600,MANAGEMENT COMPANY 63007,B100000,00000,0100,00000SQUARE FEET 63007,B100000,00000,0200,00000DOLLAR VALUE 63007,B100000,00000,0300,00000GROSS SALARIES 63007,B100000,00000,0400,00000ACCUM. COST 63007,B100000,00000,0500,00000SQUARE FEET 63007,B100000,00000,0600,00000PATIENT DAYS 63007,B100000,00000,0700,00000SQUARE FEET 63007,B100000,00000,0800,00000MEALS SERVED 63007,B100000,00000,0900,00000DIRECT NRSING HRS 63007,B100000,00000,1000,00000PATIENT DAYS 63007,B100000,00000,1100,00000COSTED REQUIS. 63007,B100000,00000,1200,00000PATIENT DAYS 63007,B100000,00000,1300,00000PATIENT DAYS 63007,B100000,00000,1301,00000PATIENT DAYS 63007,B100000,00000,1350,00000NO STATISTICS 63007,B100000,00000,1400,00000TIME SPENT 63007,S000000,00100,0200,06/07/2000 63007,S200000,00100,0100,110 BELMONT ROAD 63007,S200000,00200,0100,BELMONT 63007,S200000,00200,0200,WI 63007,S200000,00200,0300,53714 63007,S200000,00300,0100,DANE 63007,S200000,00400,0100,BELMONT CENTER 63007,S200000,00400,0200,525074 63007,S200000,00400,0300,01/01/1967 63007,S200000,00400,0500,P 63007,S200000,01600,0100,Y 63011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63011,A000000,00300,0000,00300EMPLOYEE BENEFITS 63011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63011,A000000,00700,0000,00700HOUSEKEEPING 63011,A000000,00800,0000,00800DIETARY 63011,A000000,00900,0000,00900NURSING ADMINISTRATION 63011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63011,A000000,01100,0000,01100PHARMACY 63011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63011,A000000,01300,0000,01300SOCIAL SERVICE 63011,A000000,01301,0000,01301ACTIVITIES 63011,A000000,01350,0000,01500OTHER GENERAL SERVICES 63011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63011,A000000,01600,0000,01600SKILLED NURSING FACILITY 63011,A000000,01800,0000,01800NURSING FACILITY 63011,A000000,01810,0000,01810ICF/MR 63011,A000000,02100,0000,02100RADIOLOGY 63011,A000000,02200,0000,02200LABORATORY 63011,A000000,02300,0000,02300INTRAVENOUS THERAPY 63011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63011,A000000,02500,0000,02500PHYSICAL THERAPY 63011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63011,A000000,02700,0000,02700SPEECH PATHOLOGY 63011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63011,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63011,A000000,03201,0000,03201PART B SERVICES 63011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63011,A000000,03550,0000,03550FQHC 63011,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63011,A000000,05000,0000,05000CORF 63011,A000000,05010,0000,05010CMHC 63011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63011,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63011,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63011,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63011,A81000A,00100,0100,Y 63011,A81000B,00100,0300,HOME OFFICE ALLOCATION 63011,A81000B,00200,0300,HOME OFFICE ALLOCATION 63011,A81000B,00300,0300,HOME OFFICE ALLOCATION 63011,A81000B,00400,0300,PHARMACY CONSULTANT 63011,A81000B,00500,0300,NONCHARGED SUPPLIES 63011,A81000B,00600,0300,NONLEGEND DRUGS 63011,A81000B,00700,0300,INCONTINENT SUPPLIES 63011,A81000B,00800,0300,MEDICAL SUPPLIES 63011,A81000B,00900,0300,RX DRUGS 63011,A81000B,01000,0300,PHYSICAL THERAPY 63011,A81000B,01100,0300,OCCUPATIONAL THERAPY 63011,A81000B,01200,0300,SPEECH THERAPY 63011,A81000C,00100,0100,B 63011,A81000C,00100,0400,GENESIS HEALTH VENTURES 63011,A81000C,00100,0600,MANAGEMENT COMPANY 63011,A81000C,00200,0100,B 63011,A81000C,00200,0400,GENESIS HEALTH VENTURES 63011,A81000C,00200,0600,MANAGEMENT COMPANY 63011,A81000C,00300,0100,B 63011,A81000C,00300,0400,GENESIS HEALTH VENTURES 63011,A81000C,00300,0600,MANAGEMENT COMPANY 63011,A81000C,00400,0100,B 63011,A81000C,00400,0200,NEIGHBORCARE 63011,A81000C,00400,0400,GENESIS HEALTH VENTURES 63011,A81000C,00400,0600,PHARMACY COMPANY 63011,A81000C,00500,0100,B 63011,A81000C,00500,0200,NEIGHBORCARE 63011,A81000C,00500,0400,GENESIS HEALTH VENTURES 63011,A81000C,00500,0600,PHARMACY COMPANY 63011,A81000C,00600,0100,B 63011,A81000C,00600,0200,NEIGHBORCARE 63011,A81000C,00600,0400,GENESIS HEALTH VENTURES 63011,A81000C,00600,0600,PHARMACY COMPANY 63011,A81000C,00700,0100,B 63011,A81000C,00700,0200,NEIGHBORCARE 63011,A81000C,00700,0400,GENESIS HEALTH VENTURES 63011,A81000C,00700,0600,PHARMACY COMPANY 63011,A81000C,00800,0100,B 63011,A81000C,00800,0200,NEIGHBORCARE 63011,A81000C,00800,0400,GENESIS HEALTH VENTURES 63011,A81000C,00800,0600,PHARMACY COMPANY 63011,A81000C,00900,0100,B 63011,A81000C,00900,0200,NEIGHBORCARE 63011,A81000C,00900,0400,GENESIS HEALTH VENTURES 63011,A81000C,00900,0600,PHARMACY COMPANY 63011,A81000C,01000,0100,B 63011,A81000C,01000,0200,GENESIS REHAB 63011,A81000C,01000,0400,GENESIS HEALTH VENTURES 63011,A81000C,01000,0600,REHAB COMPANY 63011,A81000C,01100,0100,B 63011,A81000C,01100,0200,GENESIS REHAB 63011,A81000C,01100,0400,GENESIS HEALTH VENTURES 63011,A81000C,01100,0600,REHAB COMPANY 63011,A81000C,01200,0100,B 63011,A81000C,01200,0200,GENESIS REHAB 63011,A81000C,01200,0400,GENESIS HEALTH VENTURES 63011,A81000C,01200,0600,REHAB COMPANY 63011,B100000,00000,0100,00000SQUARE FEET 63011,B100000,00000,0200,00000SQUARE FEET 63011,B100000,00000,0300,00000GROSS SALARIES 63011,B100000,00000,0400,00000ACCUM. COST 63011,B100000,00000,0500,00000SQUARE FEET 63011,B100000,00000,0600,00000PATIENT DAYS 63011,B100000,00000,0700,00000SQUARE FEET 63011,B100000,00000,0800,00000MEALS SERVED 63011,B100000,00000,0900,00000DIRECT NRSING HRS 63011,B100000,00000,1000,00000PATIENT DAYS 63011,B100000,00000,1100,00000COSTED REQUIS. 63011,B100000,00000,1200,00000PATIENT DAYS 63011,B100000,00000,1300,00000PATIENT DAYS 63011,B100000,00000,1301,00000PATIENT DAYS 63011,B100000,00000,1350,00000TIME SPENT 63011,B100000,00000,1400,00000PATIENT DAYS 63011,S000000,00100,0200,06/07/2000 63011,S200000,00100,0100,814 WEST 14TH STREET 63011,S200000,00200,0100,MARSHFIELD 63011,S200000,00200,0200,WI 63011,S200000,00200,0300,54449 63011,S200000,00300,0100,WOOD 63011,S200000,00400,0100,MARSHFIELD CENTER 63011,S200000,00400,0200,525304 63011,S200000,00400,0300,05/01/1992 63011,S200000,00400,0500,P 63011,S200000,01600,0100,Y 63014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63014,A000000,00300,0000,00300EMPLOYEE BENEFITS 63014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63014,A000000,00700,0000,00700HOUSEKEEPING 63014,A000000,00800,0000,00800DIETARY 63014,A000000,00900,0000,00900NURSING ADMINISTRATION 63014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63014,A000000,01100,0000,01100PHARMACY 63014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63014,A000000,01300,0000,01300SOCIAL SERVICE 63014,A000000,01301,0000,01301ACTIVITIES 63014,A000000,01350,0000,01500OTHER GENERAL SERVICES 63014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63014,A000000,01600,0000,01600SKILLED NURSING FACILITY 63014,A000000,01800,0000,01800NURSING FACILITY 63014,A000000,01810,0000,01810ICF/MR 63014,A000000,02100,0000,02100RADIOLOGY 63014,A000000,02200,0000,02200LABORATORY 63014,A000000,02300,0000,02300INTRAVENOUS THERAPY 63014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63014,A000000,02500,0000,02500PHYSICAL THERAPY 63014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63014,A000000,02700,0000,02700SPEECH PATHOLOGY 63014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63014,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63014,A000000,03201,0000,03201PART B SERVICES 63014,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63014,A000000,03550,0000,03550FQHC 63014,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63014,A000000,05000,0000,05000CORF 63014,A000000,05010,0000,05010CMHC 63014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63014,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63014,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63014,A81000A,00100,0100,Y 63014,A81000B,00100,0300,DEBT SERVICE INTEREST 63014,A81000B,00200,0300,CAPITAL - HOME OFFICE 63014,A81000B,00300,0300,ADMINISTRATIVE - HOME OFFICE 63014,A81000B,00400,0300,NURSING EQUIPMENT RENTAL 63014,A81000B,00500,0300,NONCHARGED SUPPLIES 63014,A81000B,00600,0300,NONLEGEND DRUGS 63014,A81000B,00700,0300,MEDICAL SUPPLIES 63014,A81000B,00800,0300,RX DRUGS 63014,A81000B,00900,0300,PHARMACY CONSULTANT 63014,A81000B,01000,0300,PHYSICAL THERAPY 63014,A81000B,01100,0300,OCCUPATIONAL THERAPY 63014,A81000B,01200,0300,SPEECH THERAPY 63014,A81000C,00100,0100,B 63014,A81000C,00100,0400,GENESIS HEALTH VENTURES 63014,A81000C,00100,0600,MANAGEMENT COMPANY 63014,A81000C,00200,0100,B 63014,A81000C,00200,0400,GENESIS HEALTH VENTURES 63014,A81000C,00200,0600,MANAGEMENT COMPANY 63014,A81000C,00300,0100,B 63014,A81000C,00300,0400,GENESIS HEALTH VENTURES 63014,A81000C,00300,0600,MANAGEMENT COMPANY 63014,A81000C,00400,0100,B 63014,A81000C,00400,0200,NEIGHBORCARE 63014,A81000C,00400,0400,GENESIS HEALTH VENTURES 63014,A81000C,00400,0600,PHARMACY COMPANY 63014,A81000C,00500,0100,B 63014,A81000C,00500,0200,NEIGHBORCARE 63014,A81000C,00500,0400,GENESIS HEALTH VENTURES 63014,A81000C,00500,0600,PHARMACY COMPANY 63014,A81000C,00600,0100,B 63014,A81000C,00600,0200,NEIGHBORCARE 63014,A81000C,00600,0400,GENESIS HEALTH VENTURES 63014,A81000C,00600,0600,PHARMACY COMPANY 63014,A81000C,00700,0100,B 63014,A81000C,00700,0200,NEIGHBORCARE 63014,A81000C,00700,0400,GENESIS HEALTH VENTURES 63014,A81000C,00700,0600,PHARMACY COMPANY 63014,A81000C,00800,0100,B 63014,A81000C,00800,0200,NEIGHBORCARE 63014,A81000C,00800,0400,GENESIS HEALTH VENTURES 63014,A81000C,00800,0600,PHARMACY COMPANY 63014,A81000C,00900,0100,B 63014,A81000C,00900,0200,NEIGHBORCARE 63014,A81000C,00900,0400,GENESIS HEALTH VENTURES 63014,A81000C,00900,0600,PHARMACY COMPANY 63014,A81000C,01000,0100,B 63014,A81000C,01000,0200,GENESIS REHAB 63014,A81000C,01000,0400,GENESIS HEALTH VENTURES 63014,A81000C,01000,0600,REHAB COMPANY 63014,A81000C,01100,0100,B 63014,A81000C,01100,0200,GENESIS REHAB 63014,A81000C,01100,0400,GENESIS HEALTH VENTURES 63014,A81000C,01100,0600,REHAB COMPANY 63014,A81000C,01200,0100,B 63014,A81000C,01200,0200,GENESIS REHAB 63014,A81000C,01200,0400,GENESIS HEALTH VENTURES 63014,A81000C,01200,0600,REHAB COMPANY 63014,B100000,00000,0100,00000SQUARE FEET 63014,B100000,00000,0200,00000SQUARE FEET 63014,B100000,00000,0300,00000GROSS SALARIES 63014,B100000,00000,0400,00000ACCUM. COST 63014,B100000,00000,0500,00000SQUARE FEET 63014,B100000,00000,0600,00000PATIENT DAYS 63014,B100000,00000,0700,00000SQUARE FEET 63014,B100000,00000,0800,00000MEALS SERVED 63014,B100000,00000,0900,00000DIRECT NRSING HRS 63014,B100000,00000,1000,00000PATIENT DAYS 63014,B100000,00000,1100,00000COSTED REQUIS. 63014,B100000,00000,1200,00000PATIENT DAYS 63014,B100000,00000,1300,00000PATIENT DAYS 63014,B100000,00000,1301,00000PATIENT DAYS 63014,B100000,00000,1350,00000NO STATISTICS 63014,B100000,00000,1400,00000PATIENT DAYS 63014,S000000,00100,0200,06/07/2000 63014,S200000,00100,0100,702 WEST DOLF STREET 63014,S200000,00200,0100,COLBY 63014,S200000,00200,0200,WI 63014,S200000,00200,0300,54421 63014,S200000,00300,0100,WOOD 63014,S200000,00400,0100,COLONIAL CENTER 63014,S200000,00400,0200,525350 63014,S200000,00400,0300,03/01/1984 63014,S200000,00400,0500,P 63014,S200000,01600,0100,Y 63017,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63017,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 63017,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63017,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 63017,A000000,00300,0000,00300EMPLOYEE BENEFITS 63017,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63017,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63017,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63017,A000000,00700,0000,00700HOUSEKEEPING 63017,A000000,00800,0000,00800DIETARY 63017,A000000,00801,0000,00801CAFETERIA 63017,A000000,00900,0000,00900NURSING ADMINISTRATION 63017,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63017,A000000,01100,0000,01100PHARMACY 63017,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63017,A000000,01300,0000,01300SOCIAL SERVICE 63017,A000000,01350,0000,01500ACTIVITIES 63017,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63017,A000000,01600,0000,01600SKILLED NURSING FACILITY 63017,A000000,01800,0000,01800NURSING FACILITY 63017,A000000,01810,0000,01810ICF/MR 63017,A000000,02100,0000,02100RADIOLOGY 63017,A000000,02200,0000,02200LABORATORY 63017,A000000,02300,0000,02300INTRAVENOUS THERAPY 63017,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63017,A000000,02500,0000,02500PHYSICAL THERAPY 63017,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63017,A000000,02700,0000,02700SPEECH PATHOLOGY 63017,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63017,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63017,A000000,03050,0000,03300OTHER ANCILLARY 63017,A000000,03051,0000,03301OTHER ANCILLARY II 63017,A000000,03052,0000,03302OTHER ANCILLARY III 63017,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 63017,A000000,03550,0000,03550FQHC 63017,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63017,A000000,05000,0000,05000CORF I 63017,A000000,05010,0000,05010CMHC I 63017,A000000,05020,0000,05020OPT I 63017,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63017,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63017,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 63017,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 63017,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 63017,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63017,A81000A,00100,0100,Y 63017,A81000B,00100,0300,DEBT SERVICE INTEREST 63017,A81000B,00200,0300,DEBT SERVICE INTEREST 63017,A81000B,00300,0300,HOME OFFICE CAPITAL 63017,A81000B,00400,0300,HOME OFFICE ADMINSTRATIVE 63017,A81000B,00500,0300,PHARMACY CONSULTANT 63017,A81000B,00600,0300,NONLEGEND DRUGS 63017,A81000B,00700,0300,NONCHARGED SUPPLIES 63017,A81000B,00800,0300,INCONTINENT SUPPLIES 63017,A81000B,00900,0300,MEDICAL SUPPLIES 63017,A81000C,00100,0100,B 63017,A81000C,00100,0400,GEN HEALTH VENT 63017,A81000C,00100,0600,MANAGEMENT COMP 63017,A81000C,00200,0100,B 63017,A81000C,00200,0400,GEN HEALTH VENT 63017,A81000C,00200,0600,MANAGEMENT COMP 63017,A81000C,00300,0100,B 63017,A81000C,00300,0400,GEN HEALTH VENT 63017,A81000C,00300,0600,MANAGEMENT COMP 63017,A81000C,00400,0100,B 63017,A81000C,00400,0400,GEN HEALTH VENT 63017,A81000C,00400,0600,MANAGEMENT COMP 63017,A81000C,00500,0100,B 63017,A81000C,00500,0200,NEIGHBORCARE 63017,A81000C,00500,0400,GEN HEALTH VENT 63017,A81000C,00500,0600,PHARMACY COMP 63017,A81000C,00600,0100,B 63017,A81000C,00600,0200,NEIGHBORCARE 63017,A81000C,00600,0400,GEN HEALTH VENT 63017,A81000C,00600,0600,PHARMACY COMP 63017,A81000C,00700,0100,B 63017,A81000C,00700,0200,NEIGHBORCARE 63017,A81000C,00700,0400,GEN HEALTH VENT 63017,A81000C,00700,0600,PHARMACY COMP 63017,A81000C,00800,0100,B 63017,A81000C,00800,0200,NEIGHBORCARE 63017,A81000C,00800,0400,GEN HEALTH VENT 63017,A81000C,00800,0600,PHARMACY COMP 63017,A81000C,00900,0100,B 63017,A81000C,00900,0200,NEIGHBORCARE 63017,A81000C,00900,0400,GEN HEATLH VENT 63017,A81000C,00900,0600,PHARMACY COMP 63017,A81000C,01000,0100,B 63017,A81000C,01000,0200,NEIGHBORCARE 63017,A81000C,01000,0400,GEN HEALTH VENT 63017,A81000C,01000,0600,PHARMACY COMP 63017,B100000,00000,0100,00000(SQUARE FEET) 63017,B100000,00000,0101,00000(SQUARE FEET) 63017,B100000,00000,0200,00000(SQUARE FEET) 63017,B100000,00000,0201,00000(SQUARE FEET) 63017,B100000,00000,0300,00000(GROSS SALARIES) 63017,B100000,00000,0400,00000(ACCUM. COST) 63017,B100000,00000,0500,00000(SQUARE FEET) 63017,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 63017,B100000,00000,0700,00000(HOURS OF SERVICE) 63017,B100000,00000,0800,00000(MEALS SERVED) 63017,B100000,00000,0801,00000(MEALS SERVED) 63017,B100000,00000,0900,00000(DIRECT NRSING HRS 63017,B100000,00000,1000,00000(COSTED REQUIS.) 63017,B100000,00000,1100,00000(COSTED REQUIS.) 63017,B100000,00000,1200,00000(TIME SPENT) 63017,B100000,00000,1300,00000(TIME SPENT) 63017,B100000,00000,1350,00000PATIENT DAYS 63017,B100000,00000,1400,00000(ASSIGNED TIME) 63017,S000000,00100,0200,06/07/2000 63017,S200000,00100,0100,1800 SHERMAN AVE 63017,S200000,00200,0100,STEVENS POINT 63017,S200000,00200,0200,WI 63017,S200000,00200,0300,54481 63017,S200000,00300,0100,PORTAGE 63017,S200000,00400,0100,RIVER PINES CENTER 63017,S200000,00400,0200,525353 63017,S200000,00400,0300,03/01/1984 63017,S200000,00400,0500,P 63017,S200000,01600,0100,Y 63020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63020,A000000,00300,0000,00300EMPLOYEE BENEFITS 63020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63020,A000000,00700,0000,00700HOUSEKEEPING 63020,A000000,00800,0000,00800DIETARY 63020,A000000,00900,0000,00900NURSING ADMINISTRATION 63020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63020,A000000,01100,0000,01100PHARMACY 63020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63020,A000000,01300,0000,01300SOCIAL SERVICE 63020,A000000,01301,0000,01301ACTIVITIES 63020,A000000,01350,0000,01500OTHER GENERAL SERVICES 63020,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63020,A000000,01600,0000,01600SKILLED NURSING FACILITY 63020,A000000,01800,0000,01800NURSING FACILITY 63020,A000000,01810,0000,01810ICF/MR 63020,A000000,02100,0000,02100RADIOLOGY 63020,A000000,02200,0000,02200LABORATORY 63020,A000000,02300,0000,02300INTRAVENOUS THERAPY 63020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63020,A000000,02500,0000,02500PHYSICAL THERAPY 63020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63020,A000000,02700,0000,02700SPEECH PATHOLOGY 63020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63020,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63020,A000000,03200,0000,03200SUPPORT SURFACES 63020,A000000,03201,0000,03201PART B SERVICES 63020,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63020,A000000,03550,0000,03550FQHC 63020,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63020,A000000,05000,0000,05000CORF 63020,A000000,05010,0000,05010CMHC 63020,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63020,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63020,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63020,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63020,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63020,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63020,A81000A,00100,0100,Y 63020,A81000B,00100,0300,ADMIN AND GENERAL HOME OFFICE 63020,A81000B,00200,0300,BUILDINGS AND FIXTURE 63020,A81000B,00300,0300,BUILDINGS AND FIXTURE 63020,A81000B,00400,0300,PHARMACY CONSULTANT 63020,A81000B,00500,0300,NON-LEGEND DRUGS 63020,A81000B,00600,0300,MINOR NURSING EXPENSE 63020,A81000B,00700,0300,GENERAL NURSING SUPPLIES 63020,A81000B,00800,0300,RX PRESCRIPTIONS 63020,A81000B,00900,0300,PHYSICAL THERAPY 63020,A81000B,01900,0300,OCCUPATIONAL THERAPY 63020,A81000B,02900,0300,SPEECH THERAPY 63020,A81000C,00100,0100,B 63020,A81000C,00100,0400,GENESIS HEALTH VENTURES 63020,A81000C,00100,0600,MANAGEMENT COMPANY 63020,A81000C,00200,0100,B 63020,A81000C,00200,0400,GENESIS HEALTH VENTURES 63020,A81000C,00200,0600,MANAGEMENT COMPANY 63020,A81000C,00300,0100,B 63020,A81000C,00300,0400,GENESIS HEALTH VENTURES 63020,A81000C,00300,0600,MANAGEMENT COMPANY 63020,A81000C,00400,0100,B 63020,A81000C,00400,0200,NEIGHBORCARE 63020,A81000C,00400,0400,GENESIS HEALTH VENTURE 63020,A81000C,00400,0600,PHARMACY COMPANY 63020,A81000C,00500,0100,B 63020,A81000C,00500,0200,NEIGHBORCARE 63020,A81000C,00500,0400,GENESIS HEALTH VENTURES 63020,A81000C,00500,0600,PHARMACY COMPANY 63020,A81000C,00600,0100,B 63020,A81000C,00600,0200,NEIGHBORCARE 63020,A81000C,00600,0400,GENESIS HEALTH VENTURES 63020,A81000C,00600,0600,PHARMACY COMPANY 63020,A81000C,00700,0100,B 63020,A81000C,00700,0200,NEIGHBORCARE 63020,A81000C,00700,0400,GENESIS HEALTH VENTURES 63020,A81000C,00700,0600,PHARMACY COMPANY 63020,A81000C,00800,0100,B 63020,A81000C,00800,0200,NEIGHBORCARE 63020,A81000C,00800,0400,GENESIS HEALTH VENTURES 63020,A81000C,00800,0600,PHARMACY COMPANY 63020,A81000C,00900,0100,B 63020,A81000C,00900,0200,GENESIS REHAB 63020,A81000C,00900,0400,GENESIS HEALTH VENTURES 63020,A81000C,00900,0600,P.T. O.T. S.T. PROVIDER 63020,B100000,00000,0100,00000SQUARE FEET 63020,B100000,00000,0200,00000DOLLAR VALUE 63020,B100000,00000,0300,00000GROSS SALARIES 63020,B100000,00000,0400,00000ACCUM. COST 63020,B100000,00000,0500,00000SQUARE FEET 63020,B100000,00000,0600,00000PATIENT DAYS 63020,B100000,00000,0700,00000SQUARE FEET 63020,B100000,00000,0800,00000MEALS SERVED 63020,B100000,00000,0900,00000DIRECT NRSING HRS 63020,B100000,00000,1000,00000PATIENT DAYS 63020,B100000,00000,1100,00000COSTED REQUIS. 63020,B100000,00000,1200,00000PATIENT DAYS 63020,B100000,00000,1300,00000PATIENT DAYS 63020,B100000,00000,1301,00000PATIENT DAYS 63020,B100000,00000,1350,00000NO STATISTICS 63020,B100000,00000,1400,00000PATIENT DAYS 63020,S000000,00100,0200,06/07/2000 63020,S200000,00100,0100,8014 BETHEL ROAD 63020,S200000,00200,0100,ARPIN 63020,S200000,00200,0200,WI 63020,S200000,00200,0300,54410 63020,S200000,00300,0100,WOOD 63020,S200000,00400,0100,BETHEL CENTER 63020,S200000,00400,0200,525360 63020,S200000,00400,0300,04/01/1984 63020,S200000,00400,0500,P 63020,S200000,01600,0100,Y 63023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63023,A000000,00300,0000,00300EMPLOYEE BENEFITS 63023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63023,A000000,00700,0000,00700HOUSEKEEPING 63023,A000000,00800,0000,00800DIETARY 63023,A000000,00900,0000,00900NURSING ADMINISTRATION 63023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63023,A000000,01100,0000,01100PHARMACY 63023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63023,A000000,01300,0000,01300SOCIAL SERVICE 63023,A000000,01301,0000,01301ACTIVITIES 63023,A000000,01350,0000,01500OTHER GENERAL SERVICES 63023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63023,A000000,01600,0000,01600SKILLED NURSING FACILITY 63023,A000000,01800,0000,01800NURSING FACILITY 63023,A000000,01810,0000,01810ICF/MR 63023,A000000,02100,0000,02100RADIOLOGY 63023,A000000,02200,0000,02200LABORATORY 63023,A000000,02300,0000,02300INTRAVENOUS THERAPY 63023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63023,A000000,02500,0000,02500PHYSICAL THERAPY 63023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63023,A000000,02700,0000,02700SPEECH PATHOLOGY 63023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63023,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63023,A000000,03201,0000,03201PART B SERVICS 63023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63023,A000000,03550,0000,03550FQHC 63023,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63023,A000000,05000,0000,05000CORF 63023,A000000,05010,0000,05010CMHC 63023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63023,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63023,A81000A,00100,0100,Y 63023,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED 63023,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 63023,A81000B,00300,0300,PHARMACY CONSULTANT 63023,A81000B,00400,0300,NONLEGEND DRUGS 63023,A81000B,00500,0300,MEDICAL SUPPLIES 63023,A81000B,00600,0300,LIQUID NUTRIENTS 63023,A81000B,00700,0300,GENERAL NURSING SUPPLIES 63023,A81000B,00800,0300,DIETARY SUPPLEMENTS 63023,A81000B,00900,0300,INCONTINENT SUPPLIES 63023,A81000B,00910,0300,CONTRACTED S.T. 63023,A81000B,01900,0300,CONTRACTED P.T. 63023,A81000B,02900,0300,CONTRACTED O.T. 63023,A81000C,00100,0100,B 63023,A81000C,00100,0400,GENESIS HEALTH VENTURES 63023,A81000C,00100,0600,MANAGEMENT COMPANY 63023,A81000C,00200,0100,B 63023,A81000C,00200,0400,GENESIS HEALTH VENTURES 63023,A81000C,00200,0600,MANAGEMENT COMPANY 63023,A81000C,00300,0100,B 63023,A81000C,00300,0200,NEIGHBORCARE 63023,A81000C,00300,0400,GENESIS HEALTH VENTURES 63023,A81000C,00300,0600,PHARMACY 63023,A81000C,00400,0100,B 63023,A81000C,00400,0200,NEIGHBORCARE 63023,A81000C,00400,0400,GENEGIS HEALTH VENTURES 63023,A81000C,00400,0600,PHARMACY 63023,A81000C,00500,0100,B 63023,A81000C,00500,0200,NEIGHBORCARE 63023,A81000C,00500,0400,GENESIS HEALTH VENTURES 63023,A81000C,00500,0600,PHARMACY 63023,A81000C,00600,0100,B 63023,A81000C,00600,0200,NEIGHBORCARE 63023,A81000C,00600,0400,GENESIS HEALTH VENTURES 63023,A81000C,00600,0600,PHARMACY 63023,A81000C,00700,0100,B 63023,A81000C,00700,0200,NEIGHBORCARE 63023,A81000C,00700,0400,GENESIS HEALTH VENTURES 63023,A81000C,00700,0600,PHARMACY 63023,A81000C,00800,0100,B 63023,A81000C,00800,0200,NEIGHBORCARE 63023,A81000C,00800,0400,GENESIS HEALTH VENTURES 63023,A81000C,00800,0600,PHARMACY 63023,A81000C,00900,0100,B 63023,A81000C,00900,0200,NEIGHBORCARE 63023,A81000C,00900,0400,GENESIS HEALTH VENTURES 63023,A81000C,00900,0600,PHARMACY 63023,A81000C,01000,0100,B 63023,A81000C,01000,0200,NEIGHBORCARE 63023,A81000C,01000,0400,GENESIS HEALTH VENTURES 63023,A81000C,01000,0600,REHAB AGENCY 63023,B100000,00000,0100,00000SQUARE FEET 63023,B100000,00000,0200,00000DOLLAR VALUE 63023,B100000,00000,0300,00000GROSS SALARIES 63023,B100000,00000,0400,00000ACCUM. COST 63023,B100000,00000,0500,00000SQUARE FEET 63023,B100000,00000,0600,00000PATIENT DAYS 63023,B100000,00000,0700,00000SQUARE FEET 63023,B100000,00000,0800,00000MEALS SERVED 63023,B100000,00000,0900,00000DIRECT NRSING HRS 63023,B100000,00000,1000,00000PATIENT DAYS 63023,B100000,00000,1100,00000COSTED REQUIS. 63023,B100000,00000,1200,00000PATIENT DAYS 63023,B100000,00000,1300,00000PATIENT DAYS 63023,B100000,00000,1301,00000PATIENT DAYS 63023,B100000,00000,1350,00000NO STATISTICS 63023,B100000,00000,1400,00000PATIENT DAYS 63023,S000000,00100,0200,06/07/2000 63023,S200000,00100,0100,825 WESTERN AVE. 63023,S200000,00200,0100,COLUMBUS 63023,S200000,00200,0200,WI 63023,S200000,00300,0100,COLUMBUS 63023,S200000,00400,0100,COLUMBUS CENTER 63023,S200000,00400,0200,525445 63023,S200000,00400,0300,01/01/1989 63023,S200000,00400,0500,P 63023,S200000,01600,0100,Y 63031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63031,A000000,00300,0000,00300EMPLOYEE BENEFITS 63031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63031,A000000,00700,0000,00700HOUSEKEEPING 63031,A000000,00800,0000,00800DIETARY 63031,A000000,00900,0000,00900NURSING ADMINISTRATION 63031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63031,A000000,01300,0000,01300SOCIAL SERVICE 63031,A000000,01350,0000,01500ACTIVITIES 63031,A000000,01600,0000,01600SKILLED NURSING FACILITY 63031,A000000,01800,0000,01800NURSING FACILITY 63031,A000000,02100,0000,02100RADIOLOGY 63031,A000000,02200,0000,02200LABORATORY 63031,A000000,02300,0000,02300INTRAVENOUS THERAPY 63031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63031,A000000,02500,0000,02500PHYSICAL THERAPY 63031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63031,A000000,02700,0000,02700SPEECH PATHOLOGY 63031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63031,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 63031,A000000,03051,0000,03302AMBULANCE SERVICES 63031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63031,A81000A,00100,0100,Y 63031,A81000B,00100,0300,HOME OFFICE COSTS 63031,A81000B,00200,0300,H.O. COSTS - CAPITAL 63031,A81000B,00300,0300,RELATED PARTY INT. 63031,A81000B,00400,0300,METLIFE INTEREST 63031,A81000B,00500,0300,LIFE CARE CONSTRUC. 63031,A81000B,00600,0300,LIFE CARE DESIGNS 63031,A81000B,00700,0300,REHAB ALLOC - PT 63031,A81000B,00800,0300,REHAB ALLOC - OT 63031,A81000B,00900,0300,REHAB ALLOC - ST 63031,A81000B,01000,0300,COMPUTER DEPREC. 63031,A81000B,01100,0300,METLIFE DEPRECIATION 63031,A81000B,01200,0300,PHARM. CONT. SRVS. 63031,A81000B,01300,0300,PHARMACEUTICALS 63031,A81000B,01400,0300,MED/SURG. SUPPLIES 63031,A81000B,01500,0300,ROUTINE SUPPLIES 63031,A81000C,00100,0100,B 63031,A81000C,00100,0200,FORREST PRESTON 63031,A81000C,00100,0400,LIFE CARE CENTE 63031,A81000C,00100,0600,NRSG HOME OWNER 63031,A81000C,00200,0100,B 63031,A81000C,00200,0200,FORREST PRESTON 63031,A81000C,00200,0400,LIFE CARE CENTE 63031,A81000C,00200,0600,NRSG HOME OWNER 63031,A81000C,00300,0100,B 63031,A81000C,00300,0200,FORREST PRESTON 63031,A81000C,00300,0400,LIFE CARE CENTE 63031,A81000C,00300,0600,NRSG HOME OWNER 63031,A81000C,00400,0100,B 63031,A81000C,00400,0200,FORREST PRESTON 63031,A81000C,00400,0400,METLIFE 63031,A81000C,00400,0600,COMPUTER LEASIN 63031,A81000C,00500,0100,B 63031,A81000C,00500,0200,FORREST PRESTON 63031,A81000C,00500,0400,LIFE CARE CONTR 63031,A81000C,00500,0600,CONSTRUCTION CO 63031,A81000C,00600,0100,B 63031,A81000C,00600,0200,FORREST PRESTON 63031,A81000C,00600,0400,LIFE CARE DESIG 63031,A81000C,00600,0600,INTERIOR DESIGN 63031,A81000C,00700,0100,B 63031,A81000C,00700,0200,FORREST PRESTON 63031,A81000C,00700,0400,REHAB SUPPORT S 63031,A81000C,00700,0600,REHAB SERVICES 63031,A81000C,00800,0100,B 63031,A81000C,00800,0200,FORREST PRESTON 63031,A81000C,00800,0400,REHAB SUPPORT S 63031,A81000C,00800,0600,REHAB SERVICES 63031,A81000C,00900,0100,B 63031,A81000C,00900,0200,FORREST PRESTON 63031,A81000C,00900,0400,REHAB SUPPORT S 63031,A81000C,00900,0600,REHAB SERVICES 63031,A81000C,01000,0100,B 63031,A81000C,01000,0200,FORREST PRESTON 63031,A81000C,01000,0400,LIFE CARE CENTE 63031,A81000C,01000,0600,NRSG HOME OWNER 63031,A81000C,01100,0100,B 63031,A81000C,01100,0200,FORREST PRESTON 63031,A81000C,01100,0400,METLIFE 63031,A81000C,01100,0600,COMPUTER LEASIN 63031,A81000C,01200,0100,B 63031,A81000C,01200,0200,FORREST PRESTON 63031,A81000C,01200,0400,MEDILIFE 63031,A81000C,01200,0600,PHARMACY 63031,A81000C,01300,0100,B 63031,A81000C,01300,0200,FORREST PRESTON 63031,A81000C,01300,0400,MEDILIFE 63031,A81000C,01300,0600,PHARMACY 63031,A81000C,01400,0100,B 63031,A81000C,01400,0200,FORREST PRESTON 63031,A81000C,01400,0400,MEDILIFE 63031,A81000C,01400,0600,PHARMACY 63031,A81000C,01500,0100,B 63031,A81000C,01500,0200,FORREST PRESTON 63031,A81000C,01500,0400,MEDILIFE 63031,A81000C,01500,0600,PHARMACY 63031,B100000,00000,0100,00000(SQUARE FEET) 63031,B100000,00000,0200,00000(SQUARE FEET) 63031,B100000,00000,0300,00000(GROSS SALARIES) 63031,B100000,00000,0400,00000(ACCUM COST) 63031,B100000,00000,0500,00000(SQUARE FEET) 63031,B100000,00000,0600,00000PATIENT DAYS 63031,B100000,00000,0700,00000(SQUARE FEET) 63031,B100000,00000,0800,00000(MEALS SERVED) 63031,B100000,00000,0900,00000DIR NRSG HOURS 63031,B100000,00000,1000,00000(COSTED REQUIS) 63031,B100000,00000,1200,00000GROSS REVENUES 63031,B100000,00000,1300,00000PATIENT DAYS 63031,B100000,00000,1350,00000PATIENT DAYS 63031,S000000,00100,0200,05/16/2000 63031,S200000,00100,0100,1330 PRAIRE AVENUE 63031,S200000,00200,0100,CHEYENNE 63031,S200000,00200,0200,WY 63031,S200000,00200,0300,82009 63031,S200000,00300,0100,LARAMIE 63031,S200000,00400,0100,LIFE CARE CENTER OF CHEYENNE 63031,S200000,00400,0200,535032 63031,S200000,00400,0300,12/20/1988 63031,S200000,00400,0500,P 63031,S200000,00600,0200,535032 63031,S200000,00600,0300,12/20/1988 63031,S200000,00600,0600,P 63031,S200000,01500,0100,Y 63031,S200000,02200,0100,Y 63031,S200000,04700,0100,Y 63031,S200000,04700,0200,Y 63040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63040,A000000,00300,0000,00300EMPLOYEE BENEFITS 63040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63040,A000000,00700,0000,00700HOUSEKEEPING 63040,A000000,00800,0000,00800DIETARY 63040,A000000,00900,0000,00900NURSING ADMINISTRATION 63040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63040,A000000,01300,0000,01300SOCIAL SERVICE 63040,A000000,01350,0000,01500ACTIVITIES 63040,A000000,01600,0000,01600SKILLED NURSING FACILITY 63040,A000000,01800,0000,01800NURSING FACILITY 63040,A000000,02100,0000,02100RADIOLOGY 63040,A000000,02200,0000,02200LABORATORY 63040,A000000,02300,0000,02300INTRAVENOUS THERAPY 63040,A000000,02500,0000,02500PHYSICAL THERAPY 63040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63040,A000000,02700,0000,02700SPEECH PATHOLOGY 63040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63040,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63040,A81000A,00100,0100,Y 63040,A81000B,00100,0300,HOME OFFICE COSTS 63040,A81000B,00200,0300,H.O. COSTS - CAPITAL 63040,A81000B,00300,0300,RELATED PARTY INT 63040,A81000B,00400,0300,Y2K COMPUTER DEPR 99 63040,A81000B,00500,0300,METLIFE INTEREST 63040,A81000B,00600,0300,HCE INTEREST 63040,A81000B,00700,0300,HCE DEPRECIATION 63040,A81000B,00800,0300,REHAB ALLOC - PT 63040,A81000B,00900,0300,REHAB ALLOC - OT 63040,A81000B,01000,0300,REHAB ALLOC - ST 63040,A81000B,01100,0300,ROUTINE SUPPLIES 63040,A81000C,00100,0100,B 63040,A81000C,00100,0200,FORREST PRESTON 63040,A81000C,00100,0400,LIFE CARE CENTE 63040,A81000C,00100,0600,NRSG HOME MGMT 63040,A81000C,00200,0100,B 63040,A81000C,00200,0200,FORREST PRESTON 63040,A81000C,00200,0400,LIFE CARE CENTE 63040,A81000C,00200,0600,NRSG HOME MGMT 63040,A81000C,00300,0100,B 63040,A81000C,00300,0200,FORREST PRESTON 63040,A81000C,00300,0400,LIFE CARE CENTE 63040,A81000C,00300,0600,NRSG HOME MGMT 63040,A81000C,00400,0100,B 63040,A81000C,00400,0200,FORREST PRESTON 63040,A81000C,00400,0400,LIFE CARE CENTE 63040,A81000C,00400,0600,NRSG HOME MGMT 63040,A81000C,00500,0100,B 63040,A81000C,00500,0200,FORREST PRESTON 63040,A81000C,00500,0400,METLIFE 63040,A81000C,00500,0600,COMPUTER FINANC 63040,A81000C,00600,0100,B 63040,A81000C,00600,0200,FORREST PRESTON 63040,A81000C,00600,0400,HCE 63040,A81000C,00600,0600,VEHICLE LEASING 63040,A81000C,00700,0100,B 63040,A81000C,00700,0200,FORREST PRESTON 63040,A81000C,00700,0400,HCE 63040,A81000C,00700,0600,VEHICLE LEASING 63040,A81000C,00800,0100,B 63040,A81000C,00800,0200,FORREST PRESTON 63040,A81000C,00800,0400,REHAB SUPPORT S 63040,A81000C,00800,0600,REHAB SERVICES 63040,A81000C,00900,0100,B 63040,A81000C,00900,0200,FORREST PRESTON 63040,A81000C,00900,0400,REHAB SUPPORT S 63040,A81000C,00900,0600,REHAB SERVICES 63040,A81000C,01000,0100,B 63040,A81000C,01000,0200,FORREST PRESTON 63040,A81000C,01000,0400,REHAB SUPPORT S 63040,A81000C,01000,0600,REHAB SERVICES 63040,A81000C,01100,0100,B 63040,A81000C,01100,0200,FORREST PRESTON 63040,A81000C,01100,0400,MEDILIFE 63040,A81000C,01100,0600,PHARMACY 63040,B100000,00000,0100,00000(SQUARE FEET) 63040,B100000,00000,0200,00000(SQUARE FEET) 63040,B100000,00000,0300,00000(GROSS SALARIES) 63040,B100000,00000,0400,00000(ACCUM COST) 63040,B100000,00000,0500,00000(SQUARE FEET) 63040,B100000,00000,0600,00000PATIENT DAYS 63040,B100000,00000,0700,00000(SQUARE FEET) 63040,B100000,00000,0800,00000(MEALS SERVED) 63040,B100000,00000,0900,00000DIR NRSG HOURS 63040,B100000,00000,1000,00000(COSTED REQUIS) 63040,B100000,00000,1200,00000GROSS REVENUES 63040,B100000,00000,1300,00000PATIENT DAYS 63040,B100000,00000,1350,00000PATIENT DAYS 63040,S000000,00100,0200,05/25/2000 63040,S200000,00100,0100,1990 WEST LOUCKS STREET 63040,S200000,00200,0100,SHERIDAN 63040,S200000,00200,0200,WY 63040,S200000,00200,0300,82801 63040,S200000,00300,0100,SHERIDAN 63040,S200000,00400,0100,WESTVIEW HEALTH CARE CENTER 63040,S200000,00400,0200,535039 63040,S200000,00400,0300,10/06/1989 63040,S200000,00400,0500,P 63040,S200000,01500,0100,Y 63040,S200000,02200,0100,Y 63057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63057,A000000,00300,0000,00300EMPLOYEE BENEFITS 63057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63057,A000000,00700,0000,00700HOUSEKEEPING 63057,A000000,00800,0000,00800DIETARY 63057,A000000,00900,0000,00900NURSING ADMINISTRATION 63057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63057,A000000,01100,0000,01100PHARMACY 63057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63057,A000000,01300,0000,01300SOCIAL SERVICE 63057,A000000,01350,0000,01500ACTIVITIES 63057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63057,A000000,01600,0000,01600SKILLED NURSING FACILITY 63057,A000000,01800,0000,01800NURSING FACILITY 63057,A000000,01810,0000,01810ICF/MR 63057,A000000,02100,0000,02100RADIOLOGY 63057,A000000,02200,0000,02200LABORATORY 63057,A000000,02300,0000,02300INTRAVENOUS THERAPY 63057,A000000,02500,0000,02500PHYSICAL THERAPY 63057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63057,A000000,02700,0000,02700SPEECH PATHOLOGY 63057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63057,A000000,02901,0000,02901PEN THERAPY 63057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63057,A000000,03050,0000,03300AMBULANCE SERVICES 63057,A000000,03051,0000,03301ROUTINE TRANSPORTATION 63057,A000000,03550,0000,03550FQHC 63057,A000000,05000,0000,05000CORF 63057,A000000,05010,0000,05010CMHC 63057,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63057,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63057,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63057,A81000A,00100,0100,Y 63057,A81000B,00100,0300,MANAGEMENT FEES 63057,A81000B,00200,0300,ALLOCATED FEES 63057,A81000B,00300,0300,ALLOCATED FEES 63057,A81000B,00400,0300,ALLOCATED FEES 63057,A81000B,00500,0300,MEDILIFE 63057,A81000B,00600,0300,MEDILIFE 63057,A81000B,00700,0300,LCCA Y2K PROJECT 63057,A81000B,00800,0300,LCCA INTEREST 63057,A81000C,00100,0100,A 63057,A81000C,00100,0200,FORREST PRESTON 63057,A81000C,00100,0400,LIFE CARE CTR O 63057,A81000C,00100,0600,MANAGEMENT COMP 63057,A81000C,00200,0100,A 63057,A81000C,00200,0200,FORREST PRESTON 63057,A81000C,00200,0400,MEDILIFE 63057,A81000C,00200,0600,PHARMACY 63057,B100000,00000,0100,00000(SQUARE FEET) 63057,B100000,00000,0200,00000(SQUARE FEET) 63057,B100000,00000,0300,00000(GROSS SALARIES) 63057,B100000,00000,0400,00000(ACCUM COST) 63057,B100000,00000,0500,00000(SQUARE FEET) 63057,B100000,00000,0600,00000PATIENT DAYS 63057,B100000,00000,0700,00000(SQUARE FEET) 63057,B100000,00000,0800,00000(MEALS SERVED) 63057,B100000,00000,0900,00000DIRECT NRSG HOURS 63057,B100000,00000,1000,00000(COSTED REQUIS) 63057,B100000,00000,1100,00000(COSTED REQUIS) 63057,B100000,00000,1200,00000GROSS REVENUES 63057,B100000,00000,1300,00000PATIENT DAYS 63057,B100000,00000,1350,00000PATIENT DAYS 63057,B100000,00000,1400,00000ASSIGNED TIME 63057,E10A180,00501,0100,05/31/2000 63057,E10A180,00550,0300,05/31/2000 63057,S000000,00100,0200,05/25/2000 63057,S200000,00100,0100,12332 GARDEN GROVE BLVD 63057,S200000,00200,0100,GARDEN GROVE 63057,S200000,00200,0200,CA 63057,S200000,00200,0300,92843 63057,S200000,00300,0100,ORANGE 63057,S200000,00400,0100,ORANGEGROVE REHAB HOSP 63057,S200000,00400,0200,555021 63057,S200000,00400,0300,06/01/1976 63057,S200000,00400,0500,P 63057,S200000,01600,0100,Y 63057,S200000,02200,0100,Y 63057,S200000,04700,0100,Y 63057,S200000,04700,0200,Y 63066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63066,A000000,00300,0000,00300EMPLOYEE BENEFITS 63066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63066,A000000,00700,0000,00700HOUSEKEEPING 63066,A000000,00800,0000,00800DIETARY 63066,A000000,00900,0000,00900NURSING ADMINISTRATION 63066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63066,A000000,01100,0000,01100PHARMACY 63066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63066,A000000,01300,0000,01300SOCIAL SERVICE 63066,A000000,01350,0000,01500ACTIVITIES 63066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63066,A000000,01600,0000,01600SKILLED NURSING FACILITY 63066,A000000,01800,0000,01800NURSING FACILITY 63066,A000000,01810,0000,01810ICF/MR 63066,A000000,02100,0000,02100RADIOLOGY 63066,A000000,02200,0000,02200LABORATORY 63066,A000000,02300,0000,02300INTRAVENOUS THERAPY 63066,A000000,02500,0000,02500PHYSICAL THERAPY 63066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63066,A000000,02700,0000,02700SPEECH PATHOLOGY 63066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63066,A000000,02901,0000,02901PEN THERAPY 63066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63066,A000000,03050,0000,03300OTHER ANCILLARY (SPECIFY) 63066,A000000,03051,0000,03301OTHER ANCILLARY (SPECIFY) 63066,A000000,03550,0000,03550FQHC 63066,A000000,05000,0000,05000CORF 63066,A000000,05010,0000,05010CMHC 63066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63066,A81000A,00100,0100,Y 63066,A81000B,00100,0300,MANAGEMENT FEES 63066,A81000B,00200,0300,ALLOCATED FEES 63066,A81000B,00300,0300,ALLOCATED FEES 63066,A81000B,00400,0300,ALLOCATED FEES 63066,A81000B,00500,0300,MEDILIFE 63066,A81000B,00600,0300,LCCA INTEREST 63066,A81000B,00700,0300,LCCA Y2K PROJECT 63066,A81000B,00800,0300,LIFE CARE DESIGN 63066,A81000B,00900,0300,BUILDING LEASE 63066,A81000C,00100,0100,A 63066,A81000C,00100,0200,FORREST PRESTON 63066,A81000C,00100,0400,LIFE CARE CTRS 63066,A81000C,00100,0600,MANAGEMENT COMP 63066,A81000C,00200,0100,A 63066,A81000C,00200,0200,FORREST PRESTON 63066,A81000C,00200,0400,MEDILIFE 63066,A81000C,00200,0600,PHARMACY 63066,A81000C,00300,0100,A 63066,A81000C,00300,0200,FORREST PRESTON 63066,A81000C,00300,0400,LIFE CARE DESIG 63066,A81000C,00300,0600,INTERIOR DESIGN 63066,A81000C,00400,0100,A 63066,A81000C,00400,0200,FORREST PRESTON 63066,A81000C,00400,0400,RIMROCK MEDICAL 63066,A81000C,00400,0600,REAL ESTATE 63066,B100000,00000,0100,00000(SQUARE FEET) 63066,B100000,00000,0200,00000(SQUARE FEET) 63066,B100000,00000,0300,00000(GROSS SALARIES) 63066,B100000,00000,0400,00000(ACCUM COST) 63066,B100000,00000,0500,00000(SQUARE FEET) 63066,B100000,00000,0600,00000PATIENT DAYS 63066,B100000,00000,0700,00000(SQUARE FEET) 63066,B100000,00000,0800,00000(MEALS SERVED) 63066,B100000,00000,0900,00000DIRECT NRSG HRS 63066,B100000,00000,1000,00000(COSTED REQUIS) 63066,B100000,00000,1100,00000(COSTED REQUIS) 63066,B100000,00000,1200,00000GROSS REVENUES 63066,B100000,00000,1300,00000PATIENT DAYS 63066,B100000,00000,1350,00000PATIENT DAYS 63066,B100000,00000,1400,00000ASSIGNED TIME 63066,E10A180,00301,0100,02/09/2000 63066,S000000,00100,0200,05/30/2000 63066,S200000,00100,0100,27555 RIMROCK ROAD 63066,S200000,00200,0100,BARSTOW 63066,S200000,00200,0200,CA 63066,S200000,00200,0300,92311 63066,S200000,00300,0100,SAN BERNARDINO 63066,S200000,00400,0100,RIMROCK VILLA CONV HOSP 63066,S200000,00400,0200,555162 63066,S200000,00400,0300,11/15/1983 63066,S200000,00400,0500,P 63066,S200000,01600,0100,Y 63066,S200000,02200,0100,Y 63075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63075,A000000,00300,0000,00300EMPLOYEE BENEFITS 63075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63075,A000000,00700,0000,00700HOUSEKEEPING 63075,A000000,00800,0000,00800DIETARY 63075,A000000,00900,0000,00900NURSING ADMINISTRATION 63075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63075,A000000,01100,0000,01100PHARMACY 63075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63075,A000000,01300,0000,01300SOCIAL SERVICE 63075,A000000,01350,0000,01500ACTIVITIES 63075,A000000,01600,0000,01600SKILLED NURSING FACILITY 63075,A000000,01800,0000,01800NURSING FACILITY 63075,A000000,02100,0000,02100RADIOLOGY 63075,A000000,02200,0000,02200LABORATORY 63075,A000000,02300,0000,02300INTRAVENOUS THERAPY 63075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63075,A000000,02500,0000,02500PHYSICAL THERAPY 63075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63075,A000000,02700,0000,02700SPEECH PATHOLOGY 63075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63075,A000000,02901,0000,02901PEN THERAPY 63075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63075,A000000,03051,0000,03301ROUTINE TRANSPORTATION 63075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63075,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63075,A000000,06150,0000,06300MARKETING 63075,A81000A,00100,0100,Y 63075,A81000B,00100,0300,MANAGEMENT FEES 63075,A81000B,00200,0300,MEDILIFE 63075,A81000B,00300,0300,MEDILIFE 63075,A81000B,00400,0300,LCCA INTEREST 63075,A81000B,00500,0300,LCCA Y2K PROJECT 63075,A81000C,00100,0100,A 63075,A81000C,00100,0200,FORREST PRESTON 63075,A81000C,00100,0400,LIFE CARE CTRS 63075,A81000C,00100,0600,MANAGEMENT COMP 63075,A81000C,00200,0100,A 63075,A81000C,00200,0200,FORREST PRESTON 63075,A81000C,00200,0400,MEDILIFE 63075,A81000C,00200,0600,PHARMACY 63075,B100000,00000,0100,00000(SQUARE FEET) 63075,B100000,00000,0200,00000(SQUARE FEET) 63075,B100000,00000,0300,00000(GROSS SALARIES) 63075,B100000,00000,0400,00000(ACCUM COST) 63075,B100000,00000,0500,00000(SQUARE FEET) 63075,B100000,00000,0600,00000PATIENT DAYS 63075,B100000,00000,0700,00000(SQUARE FEET) 63075,B100000,00000,0800,00000(MEALS SERVED) 63075,B100000,00000,0900,00000DIRECT NRSG HOURS 63075,B100000,00000,1000,00000(COSTED REQUIS) 63075,B100000,00000,1100,00000(COSTED REQUIS) 63075,B100000,00000,1200,00000GROSS REVENUES 63075,B100000,00000,1300,00000PATIENT DAYS 63075,B100000,00000,1350,00000PATIENT DAYS 63075,E10A180,00301,0100,02/09/2000 63075,E10A180,00501,0100,06/05/2000 63075,E10A180,00550,0300,06/05/2000 63075,S000000,00100,0200,05/31/2000 63075,S200000,00100,0100,3040 NORTH MELROSE DRIVE 63075,S200000,00200,0100,VISTA 63075,S200000,00200,0200,CA 63075,S200000,00200,0300,92083 63075,S200000,00300,0100,SAN DIEGO 63075,S200000,00400,0100,LCC VISTA 63075,S200000,00400,0200,555246 63075,S200000,00400,0300,01/01/1989 63075,S200000,00400,0500,P 63075,S200000,01600,0100,Y 63075,S200000,02200,0100,Y 63111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63111,A000000,00300,0000,00300EMPLOYEE BENEFITS 63111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63111,A000000,00700,0000,00700HOUSEKEEPING 63111,A000000,00800,0000,00800DIETARY 63111,A000000,00900,0000,00900NURSING ADMINISTRATION 63111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63111,A000000,01100,0000,01100PHARMACY 63111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63111,A000000,01300,0000,01300SOCIAL SERVICE 63111,A000000,01350,0000,01500ACTIVITIES 63111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63111,A000000,01600,0000,01600SKILLED NURSING FACILITY 63111,A000000,01800,0000,01800NURSING FACILITY 63111,A000000,01810,0000,01810ICF/MR 63111,A000000,02100,0000,02100RADIOLOGY 63111,A000000,02200,0000,02200LABORATORY 63111,A000000,02300,0000,02300INTRAVENOUS THERAPY 63111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63111,A000000,02500,0000,02500PHYSICAL THERAPY 63111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63111,A000000,02700,0000,02700SPEECH PATHOLOGY 63111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63111,A000000,03050,0000,03300OTHER ANCILLARY COSTS 63111,A000000,03550,0000,03550FQHC 63111,A000000,05000,0000,05000CORF 63111,A000000,05010,0000,05010CMHC 63111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63111,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 63111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63111,A81000A,00100,0100,Y 63111,A81000B,00100,0300,HOME OFFICE COSTS 63111,A81000B,00200,0300,H.O. COSTS - CAPITAL 63111,A81000B,00300,0300,RELATED PARTY INT. 63111,A81000B,00400,0300,RELATED PARTY INT. 63111,A81000B,00500,0300,Y2K COMP. DEPR. 99 63111,A81000B,00600,0300,LIFE CARE DESIGNS 98 63111,A81000B,00700,0300,REHAB ALLOC - PT 63111,A81000B,00800,0300,REHAB ALLOC - OT 63111,A81000B,00900,0300,REHAB ALLOC - ST 63111,A81000B,01000,0300,MED/SURG SUPPLIES 63111,A81000B,01100,0300,HCE INTEREST 63111,A81000B,01200,0300,HCE DEPRECIATION 63111,A81000C,00100,0100,A 63111,A81000C,00100,0200,FORREST PRESTON 63111,A81000C,00100,0400,LIFE CARE CENTE 63111,A81000C,00100,0600,NRSG HOME OWNER 63111,A81000C,00200,0100,A 63111,A81000C,00200,0200,FORREST PRESTON 63111,A81000C,00200,0400,LIFE CARE CENTE 63111,A81000C,00200,0600,NRSG HOME OWNER 63111,A81000C,00300,0100,A 63111,A81000C,00300,0200,FORREST PRESTON 63111,A81000C,00300,0400,LIFE CARE CENTE 63111,A81000C,00300,0600,NRSG HOME OWNER 63111,A81000C,00400,0100,A 63111,A81000C,00400,0200,FORREST PRESTON 63111,A81000C,00400,0400,LIFE CARE CENTE 63111,A81000C,00400,0600,NRSG HOME OWNER 63111,A81000C,00500,0100,A 63111,A81000C,00500,0200,FORREST PRESTON 63111,A81000C,00500,0400,LIFE CARE CENTE 63111,A81000C,00500,0600,NRSG HOME OWNER 63111,A81000C,00600,0100,A 63111,A81000C,00600,0200,FORREST PRESTON 63111,A81000C,00600,0400,LIFE CARE DESIG 63111,A81000C,00600,0600,INTERIOR DESIGN 63111,A81000C,00700,0100,A 63111,A81000C,00700,0200,FORREST PRESTON 63111,A81000C,00700,0400,REHAB SUPPORT S 63111,A81000C,00700,0600,REHAB SERVICES 63111,A81000C,00800,0100,A 63111,A81000C,00800,0200,FORREST PRESTON 63111,A81000C,00800,0400,REHAB SUPPORT S 63111,A81000C,00800,0600,REHAB SERVICES 63111,A81000C,00900,0100,A 63111,A81000C,00900,0200,FORREST PRESTON 63111,A81000C,00900,0400,REHAB SUPPORT S 63111,A81000C,00900,0600,REHAB SERVICES 63111,A81000C,01000,0100,A 63111,A81000C,01000,0200,FORREST PRESTON 63111,A81000C,01000,0400,MEDILIFE 63111,A81000C,01000,0600,PHARMACY 63111,A81000C,01100,0100,A 63111,A81000C,01100,0200,FORREST PRESTON 63111,A81000C,01100,0400,HCE 63111,A81000C,01100,0600,VEHICLE LEASING 63111,A81000C,01200,0100,A 63111,A81000C,01200,0200,FORREST PRESTON 63111,A81000C,01200,0400,HCE 63111,A81000C,01200,0600,VEHICLE LEASING 63111,B100000,00000,0100,00000(SQUARE FEET) 63111,B100000,00000,0200,00000(SQUARE FEET) 63111,B100000,00000,0300,00000(GROSS SALARIES) 63111,B100000,00000,0400,00000(ACCUM COST) 63111,B100000,00000,0500,00000(SQUARE FEET) 63111,B100000,00000,0600,00000PATIENT DAYS 63111,B100000,00000,0700,00000(SQUARE FEET) 63111,B100000,00000,0800,00000(MEALS SERVED) 63111,B100000,00000,0900,00000DIR NRSG HOURS 63111,B100000,00000,1000,00000(COSTED REQUIS) 63111,B100000,00000,1100,00000COSTED REQUIS 63111,B100000,00000,1200,00000GROSS REVENUES 63111,B100000,00000,1300,00000PATIENT DAYS 63111,B100000,00000,1350,00000PATIENT DAYS 63111,B100000,00000,1400,00000ASSIGNED TIME 63111,E10A180,00301,0100,08/17/1999 63111,E10A180,00302,0100,12/07/1999 63111,E10A180,00303,0100,02/07/2000 63111,E10A180,00501,0100,07/20/2000 63111,S000000,00100,0200,05/25/2000 63111,S200000,00100,0100,815 SOUTH VOSS ROAD 63111,S200000,00200,0100,HOUSTON 63111,S200000,00200,0200,TX 63111,S200000,00200,0300,77057 63111,S200000,00300,0100,HARRIS 63111,S200000,00400,0100,THE VOSSWOOD NURSING CENTER 63111,S200000,00400,0200,675080 63111,S200000,00400,0300,12/01/1994 63111,S200000,00400,0500,P 63111,S200000,00600,0200,675080 63111,S200000,00600,0300,12/01/1994 63111,S200000,00600,0600,P 63111,S200000,01600,0100,Y 63111,S200000,02200,0100,Y 63111,S200000,04300,0100,Y 63119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63119,A000000,00300,0000,00300EMPLOYEE BENEFITS 63119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63119,A000000,00700,0000,00700HOUSEKEEPING 63119,A000000,00800,0000,00800DIETARY 63119,A000000,00900,0000,00900NURSING ADMINISTRATION 63119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63119,A000000,01300,0000,01300SOCIAL SERVICE 63119,A000000,01350,0000,01500ACTIVITIES 63119,A000000,01600,0000,01600SKILLED NURSING FACILITY 63119,A000000,01800,0000,01800NURSING FACILITY 63119,A000000,02100,0000,02100RADIOLOGY 63119,A000000,02200,0000,02200LABORATORY 63119,A000000,02300,0000,02300INTRAVENOUS THERAPY 63119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63119,A000000,02500,0000,02500PHYSICAL THERAPY 63119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63119,A000000,02700,0000,02700SPEECH PATHOLOGY 63119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63119,A000000,02901,0000,02901PEN THERAPY 63119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63119,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 63119,A000000,03051,0000,03301AMBULANCE 63119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63119,A81000A,00100,0100,Y 63119,A81000B,00100,0300,HOME OFFICE COSTS 63119,A81000B,00200,0300,H.O. COSTS - CAPITAL 63119,A81000B,00300,0300,RELATED PARTY INT 63119,A81000B,00400,0300,RELATED PARTY INT 63119,A81000B,00500,0300,Y2K COMPUTER DEPR 99 63119,A81000B,00600,0300,LIFE CARE DESIGNS 63119,A81000B,00700,0300,REHAB ALLOC - PT 63119,A81000B,00800,0300,REHAB ALLOC - OT 63119,A81000B,00900,0300,REHAB ALLOC - ST 63119,A81000B,01000,0300,ROUTINE SUPPLIES 63119,A81000B,01100,0300,MED/SURG SUPPLIES 63119,A81000C,00100,0100,A 63119,A81000C,00100,0200,FORREST PRESTON 63119,A81000C,00100,0400,LIFE CARE CENTE 63119,A81000C,00100,0600,NRSG HOME MGMT 63119,A81000C,00200,0100,A 63119,A81000C,00200,0200,FORREST PRESTON 63119,A81000C,00200,0400,LIFE CARE CENTE 63119,A81000C,00200,0600,NRSG HOME MGMT 63119,A81000C,00300,0100,A 63119,A81000C,00300,0200,FORREST PRESTON 63119,A81000C,00300,0400,LIFE CARE CENTE 63119,A81000C,00300,0600,NRSG HOME MGMT 63119,A81000C,00400,0100,A 63119,A81000C,00400,0200,FORREST PRESTON 63119,A81000C,00400,0400,METLIFE 63119,A81000C,00400,0600,COMPUTER FINANC 63119,A81000C,00500,0100,A 63119,A81000C,00500,0200,FORREST PRESTON 63119,A81000C,00500,0400,LIFE CARE CENTE 63119,A81000C,00500,0600,NRSG HOME MGMT 63119,A81000C,00600,0100,A 63119,A81000C,00600,0200,FORREST PRESTON 63119,A81000C,00600,0400,LIFE CARE DESIG 63119,A81000C,00600,0600,INTERIOR DESIGN 63119,A81000C,00700,0100,A 63119,A81000C,00700,0200,FORREST PRESTON 63119,A81000C,00700,0400,REHAB SUPPORT S 63119,A81000C,00700,0600,REHAB SERVICES 63119,A81000C,00800,0100,A 63119,A81000C,00800,0200,FORREST PRESTON 63119,A81000C,00800,0400,REHAB SUPPORT S 63119,A81000C,00800,0600,REHAB SERVICES 63119,A81000C,00900,0100,A 63119,A81000C,00900,0200,FORREST PRESTON 63119,A81000C,00900,0400,REHAB SUPPORT S 63119,A81000C,00900,0600,REHAB SERVICES 63119,A81000C,01000,0100,A 63119,A81000C,01000,0200,FORREST PRESTON 63119,A81000C,01000,0400,MEDILIFE 63119,A81000C,01000,0600,PHARMACY 63119,A81000C,01100,0100,A 63119,A81000C,01100,0200,FORREST PRESTON 63119,A81000C,01100,0400,MEDILIFE 63119,A81000C,01100,0600,PHARMACY 63119,B100000,00000,0100,00000(SQUARE FEET) 63119,B100000,00000,0200,00000(SQUARE FEET) 63119,B100000,00000,0300,00000(GROSS SALARIES) 63119,B100000,00000,0400,00000(ACCUM COST) 63119,B100000,00000,0500,00000(SQUARE FEET) 63119,B100000,00000,0600,00000PATIENT DAYS 63119,B100000,00000,0700,00000(SQUARE FEET) 63119,B100000,00000,0800,00000(MEALS SERVED) 63119,B100000,00000,0900,00000DIR NRSG HOURS 63119,B100000,00000,1000,00000(COSTED REQUIS) 63119,B100000,00000,1200,00000GROSS REVENUES 63119,B100000,00000,1300,00000PATIENT DAYS 63119,B100000,00000,1350,00000PATIENT DAYS 63119,S000000,00100,0200,05/25/2000 63119,S200000,00100,0100,7352 WOOLDRIDGE ROAD 63119,S200000,00200,0100,CORPUS CHRISTI 63119,S200000,00200,0200,TX 63119,S200000,00200,0300,78414 63119,S200000,00300,0100,NUECES 63119,S200000,00400,0100,WOOLDRIDGE PLACE NURSING CENTER 63119,S200000,00400,0200,675637 63119,S200000,00400,0300,10/15/1996 63119,S200000,00400,0500,P 63119,S200000,00600,0200,675637 63119,S200000,00600,0300,12/01/1994 63119,S200000,00600,0600,P 63119,S200000,01600,0100,Y 63119,S200000,02200,0100,Y 63119,S200000,04300,0100,Y 63119,S200000,04700,0100,Y 63119,S200000,04700,0200,Y 63126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63126,A000000,00300,0000,00300EMPLOYEE BENEFITS 63126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63126,A000000,00700,0000,00700HOUSEKEEPING 63126,A000000,00800,0000,00800DIETARY 63126,A000000,00900,0000,00900NURSING ADMINISTRATION 63126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63126,A000000,01100,0000,01100PHARMACY 63126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63126,A000000,01300,0000,01300SOCIAL SERVICE 63126,A000000,01350,0000,01500ACTIVITIES 63126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63126,A000000,01600,0000,01600SKILLED NURSING FACILITY 63126,A000000,01800,0000,01800NURSING FACILITY 63126,A000000,01810,0000,01810ICF/MR 63126,A000000,02100,0000,02100RADIOLOGY 63126,A000000,02200,0000,02200LABORATORY 63126,A000000,02300,0000,02300INTRAVENOUS THERAPY 63126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63126,A000000,02500,0000,02500PHYSICAL THERAPY 63126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63126,A000000,02700,0000,02700SPEECH PATHOLOGY 63126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63126,A000000,03050,0000,03300AMBULANCE 63126,A000000,03550,0000,03550FQHC 63126,A000000,05000,0000,05000CORF 63126,A000000,05010,0000,05010CMHC 63126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63126,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63126,A000000,06150,0000,06300ADULT DAY CARE 63126,A81000A,00100,0100,Y 63126,A81000B,00100,0300,HOME OFFICE COSTS 63126,A81000B,00200,0300,H.O. COSTS - CAPITAL 63126,A81000B,00300,0300,CONSTRUCTION COSTS 63126,A81000B,00400,0300,RELATED PARTY INT. 63126,A81000B,00500,0300,RELATED PARTY INT. 63126,A81000B,00600,0300,96 METLIFE INTEREST 63126,A81000B,00700,0300,METLIFE DEPRECIATION 63126,A81000B,00800,0300,HCE VAN INTEREST 63126,A81000B,00900,0300,HCE DEPRECIATION 63126,A81000B,01000,0300,DEVELOPMENT COSTS 63126,A81000B,01100,0300,LIFE CARE DESIGNS 96 63126,A81000B,01200,0300,LIFE CARE DESIGNS 97 63126,A81000B,01300,0300,LIFE CARE DESIGNS 98 63126,A81000B,01400,0300,PT ALLOCATION 63126,A81000B,01500,0300,OT ALLOCATION 63126,A81000B,01600,0300,ST ALLOCATIION 63126,A81000B,01700,0300,RT ALLOCATION 63126,A81000B,01800,0300,CAP. REL. PARTY INT. 63126,A81000B,01900,0300,MED/SURG SUPPLIES 63126,A81000C,00100,0100,A 63126,A81000C,00100,0200,FORREST PRESTON 63126,A81000C,00100,0400,LIFE CARE CENTE 63126,A81000C,00100,0600,NRSG HOME MGMT 63126,A81000C,00200,0100,A 63126,A81000C,00200,0200,FORREST PRESTON 63126,A81000C,00200,0400,LIFE CARE CENTE 63126,A81000C,00200,0600,NRSG HOME MGMT 63126,A81000C,00300,0100,A 63126,A81000C,00300,0200,FORREST PRESTON 63126,A81000C,00300,0400,CONSTRUCTION CO 63126,A81000C,00300,0600,CONSTRUCTION 63126,A81000C,00400,0100,A 63126,A81000C,00400,0200,FORREST PRESTON 63126,A81000C,00400,0400,LIFE CARE CENTE 63126,A81000C,00400,0600,NRSG HOME MGMT 63126,A81000C,00500,0100,A 63126,A81000C,00500,0200,FORREST PRESTON 63126,A81000C,00500,0400,LIFE CARE CENTE 63126,A81000C,00500,0600,NRSG HOME MGMT 63126,A81000C,00600,0100,A 63126,A81000C,00600,0200,FORREST PRESTON 63126,A81000C,00600,0400,METLIFE 63126,A81000C,00600,0600,FINANCING COMPA 63126,A81000C,00700,0100,A 63126,A81000C,00700,0200,FORREST PRESTON 63126,A81000C,00700,0400,METLIFE 63126,A81000C,00700,0600,FINANCING COMPA 63126,A81000C,00800,0100,A 63126,A81000C,00800,0200,FORREST PRESTON 63126,A81000C,00800,0400,HCE LEASING 63126,A81000C,00800,0600,LEASING COMPANY 63126,A81000C,00900,0100,A 63126,A81000C,00900,0200,FORREST PRESTON 63126,A81000C,00900,0400,HCE LEASING 63126,A81000C,00900,0600,LEASING COMPANY 63126,A81000C,01000,0100,A 63126,A81000C,01000,0200,FORREST PRESTON 63126,A81000C,01000,0400,LIFE CARE CENTE 63126,A81000C,01000,0600,NRSG HOME MGMT 63126,A81000C,01100,0100,A 63126,A81000C,01100,0200,FORREST PRESTON 63126,A81000C,01100,0400,LIFE CARE DESIG 63126,A81000C,01100,0600,INTERIOR DESIGN 63126,A81000C,01200,0100,A 63126,A81000C,01200,0200,FORREST PRESTON 63126,A81000C,01200,0400,LIFE CARE DESIG 63126,A81000C,01200,0600,INTERIOR DESIGN 63126,A81000C,01300,0100,A 63126,A81000C,01300,0200,FORREST PRESTON 63126,A81000C,01300,0400,LIFE CARE DESIG 63126,A81000C,01300,0600,INTERIOR DESIGN 63126,A81000C,01400,0100,A 63126,A81000C,01400,0200,FORREST PRESTON 63126,A81000C,01400,0400,REHAB SUPPORT S 63126,A81000C,01400,0600,REHAB SERVICES 63126,A81000C,01500,0100,A 63126,A81000C,01500,0200,FORREST PRESTON 63126,A81000C,01500,0400,REHAB SUPPORT S 63126,A81000C,01500,0600,REHAB SERVICES 63126,A81000C,01600,0100,A 63126,A81000C,01600,0200,FORREST PRESTON 63126,A81000C,01600,0400,REHAB SUPPORT S 63126,A81000C,01600,0600,REHAB SERVICES 63126,A81000C,01700,0100,A 63126,A81000C,01700,0200,FORREST PRESTON 63126,A81000C,01700,0400,REHAB SUPPORT S 63126,A81000C,01700,0600,REHAB SERVICES 63126,A81000C,01800,0100,A 63126,A81000C,01800,0200,FORREST PRESTON 63126,A81000C,01800,0400,LIFE CARE CENTE 63126,A81000C,01800,0600,NRSG HOME MGMT 63126,A81000C,01900,0100,A 63126,A81000C,01900,0200,FORREST PRESTON 63126,A81000C,01900,0400,MEDILIFE PHARMA 63126,A81000C,01900,0600,PHARMACY SERVIC 63126,B100000,00000,0100,00000(SQUARE FEET) 63126,B100000,00000,0200,00000(SQUARE FEET) 63126,B100000,00000,0300,00000(GROSS SALARIES) 63126,B100000,00000,0400,00000(ACCUM COST) 63126,B100000,00000,0500,00000(SQUARE FEET) 63126,B100000,00000,0600,00000PATIENT DAYS 63126,B100000,00000,0700,00000(SQUARE FEET) 63126,B100000,00000,0800,00000(MEALS SERVED) 63126,B100000,00000,0900,00000DIR NRSG HOURS 63126,B100000,00000,1000,00000(COSTED REQUIS) 63126,B100000,00000,1100,00000COSTED REQUIS 63126,B100000,00000,1200,00000GROSS REVENUES 63126,B100000,00000,1300,00000PATIENT DAYS 63126,B100000,00000,1350,00000PATIENT DAYS 63126,B100000,00000,1400,00000ASSIGNED TIME 63126,S000000,00100,0200,02/08/2000 63126,S200000,00100,0100,7500 OAKMONT BOULEVARD 63126,S200000,00200,0100,FORT WORTH 63126,S200000,00200,0200,TX 63126,S200000,00200,0300,76132 63126,S200000,00300,0100,TARRANT 63126,S200000,00400,0100,GARDEN TERRACE ALZHEIMERS CENTER 63126,S200000,00400,0200,675650 63126,S200000,00400,0300,12/06/1996 63126,S200000,00400,0500,P 63126,S200000,00600,0200,675650 63126,S200000,00600,0300,12/06/1996 63126,S200000,00600,0600,P 63126,S200000,01600,0100,Y 63126,S200000,02200,0100,Y 63126,S200000,04100,0100,Y 63134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63134,A000000,00300,0000,00300EMPLOYEE BENEFITS 63134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63134,A000000,00700,0000,00700HOUSEKEEPING 63134,A000000,00800,0000,00800DIETARY 63134,A000000,00900,0000,00900NURSING ADMINISTRATION 63134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63134,A000000,01100,0000,01100PHARMACY 63134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63134,A000000,01300,0000,01300SOCIAL SERVICE 63134,A000000,01350,0000,01500ACTIVITIES 63134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63134,A000000,01600,0000,01600SKILLED NURSING FACILITY 63134,A000000,01800,0000,01800NURSING FACILITY 63134,A000000,01810,0000,01810ICF/MR 63134,A000000,02100,0000,02100RADIOLOGY 63134,A000000,02200,0000,02200LABORATORY 63134,A000000,02300,0000,02300INTRAVENOUS THERAPY 63134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63134,A000000,02500,0000,02500PHYSICAL THERAPY 63134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63134,A000000,02700,0000,02700SPEECH PATHOLOGY 63134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63134,A000000,03550,0000,03550FQHC 63134,A000000,05000,0000,05000CORF 63134,A000000,05010,0000,05010CMHC 63134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63134,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 63134,A000000,06101,0000,06101PRIVATE DUTY SITTERS 63134,A000000,06102,0000,06102ADULT DAY CARE 63134,A81000A,00100,0100,Y 63134,A81000B,00100,0300,HOME OFFICE COSTS 63134,A81000B,00200,0300,H.O. COSTS - CAPITAL 63134,A81000B,00300,0300,REL PARTY INT - FLP 63134,A81000B,00400,0300,REL PARTY INT - LCCA 63134,A81000B,00500,0300,REL PARTY INT - LCCA 63134,A81000B,00600,0300,HCE INTEREST 63134,A81000B,00700,0300,HCE DEPRECIATION 63134,A81000B,00800,0300,LIFE CARE DESIGNS 63134,A81000B,00900,0300,DEVELOPMENT COSTS 63134,A81000B,01000,0300,PT REHAB ALLOC. 1999 63134,A81000B,01100,0300,OT REHAB ALLOC. 1999 63134,A81000B,01200,0300,ST REHAB ALLOC. 1999 63134,A81000B,01300,0300,METLIFE/GE CAPITAL 63134,A81000B,01400,0300,CONSTRUCTION 63134,A81000B,01500,0300,PLAN & DEVELOP COST 63134,A81000B,01600,0300,PLAN & DEVELOP COST 63134,A81000C,00100,0100,A 63134,A81000C,00100,0200,LIFE CARE CENTE 63134,A81000C,00100,0400,LIFE CARE CENTE 63134,A81000C,00100,0600,MGMT COMPANY 63134,A81000C,00200,0100,A 63134,A81000C,00200,0200,LIFR CARE CENTE 63134,A81000C,00200,0400,LIFE CARE CENTE 63134,A81000C,00200,0600,MGMT COMPANY 63134,A81000C,00300,0100,A 63134,A81000C,00300,0200,LIFE CARE CENTE 63134,A81000C,00300,0400,LIFE CARE CENTE 63134,A81000C,00300,0600,MGMT COMPANY 63134,A81000C,00400,0100,A 63134,A81000C,00400,0200,LIFE CARE CENTE 63134,A81000C,00400,0400,LIFE CARE CENTE 63134,A81000C,00400,0600,MGMT COMPANY 63134,A81000C,00500,0100,A 63134,A81000C,00500,0200,LIFE CARE CENTE 63134,A81000C,00500,0400,LIFE CARE CENTE 63134,A81000C,00500,0600,MGMT COMPANY 63134,A81000C,00600,0100,A 63134,A81000C,00600,0200,LIFE CARE CENTE 63134,A81000C,00600,0400,HCE LEASING 63134,A81000C,00600,0600,VEHICLE LEASES 63134,A81000C,00700,0100,A 63134,A81000C,00700,0200,LIFE CARE CENTE 63134,A81000C,00700,0400,HCE LEASING 63134,A81000C,00700,0600,VEHICLE LEASES 63134,A81000C,00800,0100,A 63134,A81000C,00800,0200,LIFE CARE CENTE 63134,A81000C,00800,0400,LIFE CARE DESIG 63134,A81000C,00800,0600,INTERIOR DESIGN 63134,A81000C,00900,0100,A 63134,A81000C,00900,0200,LIFE CARE CENTE 63134,A81000C,00900,0400,LIFE CARE CENTE 63134,A81000C,00900,0600,MGMT COMPANY 63134,A81000C,01000,0100,A 63134,A81000C,01000,0200,LIFE CARE CENTE 63134,A81000C,01000,0400,REHAB SUPPORT S 63134,A81000C,01000,0600,REHAB SERVICES 63134,A81000C,01100,0100,A 63134,A81000C,01100,0200,LIFE CARE CENTE 63134,A81000C,01100,0400,REHAB SUPPORT S 63134,A81000C,01100,0600,REHAB SERVICES 63134,A81000C,01200,0100,A 63134,A81000C,01200,0200,LIFE CARE CENTE 63134,A81000C,01200,0400,REHAB SUPPORT S 63134,A81000C,01200,0600,REHAB SERVICES 63134,A81000C,01300,0100,A 63134,A81000C,01300,0200,LIFE CARE CENTE 63134,A81000C,01300,0400,METLIFE/GE CAPI 63134,A81000C,01300,0600,F F & E LEASING 63134,A81000C,01400,0100,A 63134,A81000C,01400,0200,LIFE CARE CENTE 63134,A81000C,01400,0400,LC CONSTRUCTION 63134,A81000C,01400,0600,CONSTRUCTION CO 63134,B100000,00000,0100,00002(SQUARE FEET) 63134,B100000,00000,0200,00002(SQUARE FEET) 63134,B100000,00000,0300,00002(GROSS SALARIES) 63134,B100000,00000,0400,00002(ACCUM COST) 63134,B100000,00000,0500,00002(SQUARE FEET) 63134,B100000,00000,0600,00002PATIENT DAYS 63134,B100000,00000,0700,00002(SQUARE FEET) 63134,B100000,00000,0800,00002(MEALS SERVED) 63134,B100000,00000,0900,00002DIR NRSG HOURS 63134,B100000,00000,1000,00002COSTED REQUIS 63134,B100000,00000,1100,00002COSTED REQUIS 63134,B100000,00000,1200,00002GROSS REVENUES 63134,B100000,00000,1300,00002PATIENT DAYS 63134,B100000,00000,1350,00002PATIENT DAYS 63134,B100000,00000,1400,00002ASSIGNED TIME 63134,S000000,00100,0200,05/01/2000 63134,S200000,00100,0100,7887 CAMBRIDGE STREET 63134,S200000,00200,0100,HOUSTON 63134,S200000,00200,0200,TX 63134,S200000,00200,0300,77054 63134,S200000,00300,0100,HARRIS 63134,S200000,00400,0100,GARDEN TERRACE ALZHEIMERS CENTER 63134,S200000,00400,0200,675671 63134,S200000,00400,0300,03/24/1997 63134,S200000,00400,0500,P 63134,S200000,00600,0200,675671 63134,S200000,00600,0300,03/24/1997 63134,S200000,00600,0600,P 63134,S200000,01600,0100,Y 63134,S200000,02200,0100,Y 63134,S200000,04100,0100,Y 63200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63200,A000000,00300,0000,00300EMPLOYEE BENEFITS 63200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63200,A000000,00700,0000,00700HOUSEKEEPING 63200,A000000,00800,0000,00800DIETARY 63200,A000000,00900,0000,00900NURSING ADMINISTRATION 63200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63200,A000000,01100,0000,01100PHARMACY 63200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63200,A000000,01300,0000,01300SOCIAL SERVICE 63200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63200,A000000,01600,0000,01600SKILLED NURSING FACILITY 63200,A000000,01800,0000,01800NURSING FACILITY 63200,A000000,02100,0000,02100RADIOLOGY 63200,A000000,02200,0000,02200LABORATORY 63200,A000000,02300,0000,02300INTRAVENOUS THERAPY 63200,A000000,02500,0000,02500PHYSICAL THERAPY 63200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63200,A000000,02700,0000,02700SPEECH PATHOLOGY 63200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63200,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63200,A000000,03051,0000,03301NUTRITIONAL THERAPY 63200,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63200,A000000,03053,0000,03303PHYSICIAN SERVICES 63200,A000000,03054,0000,03304MEDICAL SERVICES 63200,A000000,03200,0000,03200SUPPORT SURFACES 63200,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 63200,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63200,A000000,03550,0000,03550FQHC 63200,A000000,05000,0000,05000CORF 63200,A000000,05010,0000,05010CMHC 63200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63200,A000000,05300,0000,05300INTEREST EXPENSE 63200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63200,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63200,A81000A,00100,0100,Y 63200,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63200,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63200,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63200,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63200,A81000B,00500,0300,PLEASE SEE ATTACHED 63200,A81000C,00100,0100,B 63200,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63200,A81000C,00200,0200,A-8-1. 63200,B100000,00000,0100,00000SQUARE FEET 63200,B100000,00000,0200,00000SQUARE FEET 63200,B100000,00000,0300,00000GROSS SALARIES 63200,B100000,00000,0400,00000ACCUM. COST 63200,B100000,00000,0500,00000SQUARE FEET 63200,B100000,00000,0600,00000PATIENT DAYS 63200,B100000,00000,0700,00000HSKP SQUARE 63200,B100000,00000,0800,00000PATIENT DAYS 63200,B100000,00000,0900,00000PATIENT DAYS 63200,B100000,00000,1000,00000PATIENT DAYS 63200,B100000,00000,1100,00000PATIENT DAYS 63200,B100000,00000,1200,00000GROSS REVENUE 63200,B100000,00000,1300,00000PATIENT DAYS 63200,B100000,00000,1400,00000ASSIGNED TIME 63200,S000000,00100,0200,05/31/2000 63200,S200000,00100,0100,12000 MT VERNON AVE 63200,S200000,00200,0100,GRAND TERRACE 63200,S200000,00200,0200,CA 63200,S200000,00200,0300,92313 63200,S200000,00300,0100,SAN BERNARDINO 63200,S200000,00400,0100,SUNBRIDGE CARE CTR FOR GRAND TERRACE 63200,S200000,00400,0200,055129 63200,S200000,00400,0300,07/11/1987 63200,S200000,00400,0500,P 63200,S200000,01600,0100,Y 63225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63225,A000000,00300,0000,00300EMPLOYEE BENEFITS 63225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63225,A000000,00700,0000,00700HOUSEKEEPING 63225,A000000,00800,0000,00800DIETARY 63225,A000000,00900,0000,00900NURSING ADMINISTRATION 63225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63225,A000000,01100,0000,01100PHARMACY 63225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63225,A000000,01300,0000,01300SOCIAL SERVICE 63225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63225,A000000,01600,0000,01600SKILLED NURSING FACILITY 63225,A000000,01800,0000,01800NURSING FACILITY 63225,A000000,01810,0000,01810ICF/MR 63225,A000000,02100,0000,02100RADIOLOGY 63225,A000000,02200,0000,02200LABORATORY 63225,A000000,02300,0000,02300INTRAVENOUS THERAPY 63225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63225,A000000,02500,0000,02500PHYSICAL THERAPY 63225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63225,A000000,02700,0000,02700SPEECH PATHOLOGY 63225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63225,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63225,A000000,03051,0000,03301NUTRITIONAL THERAPY 63225,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63225,A000000,03053,0000,03303PHYSICIAN SERVICES 63225,A000000,03054,0000,03304MEDICAL SERVICES 63225,A000000,03200,0000,03200SUPPORT SURFACES 63225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63225,A000000,03550,0000,03550FQHC 63225,A000000,05000,0000,05000CORF 63225,A000000,05010,0000,05010CMHC 63225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63225,A000000,05300,0000,05300INTEREST EXPENSE 63225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63225,A81000A,00100,0100,Y 63225,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63225,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63225,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63225,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63225,A81000B,00500,0300,PLEASE SEE ATTACHED 63225,A81000B,00600,0300,ADMINISTRATIVE & GENERAL REG A 63225,A81000C,00100,0100,B 63225,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63225,A81000C,00200,0200,A-8-1. 63225,B100000,00000,0100,00000SQUARE FEET 63225,B100000,00000,0200,00000SQUARE FEET 63225,B100000,00000,0300,00000GROSS SALARIES 63225,B100000,00000,0400,00000ACCUM. COST 63225,B100000,00000,0500,00000SQUARE FEET 63225,B100000,00000,0600,00000PATIENT DAYS 63225,B100000,00000,0700,00000HSKP SQUARE 63225,B100000,00000,0800,00000PATIENT DAYS 63225,B100000,00000,0900,00000PATIENT DAYS 63225,B100000,00000,1000,00000PATIENT DAYS 63225,B100000,00000,1100,00000PATIENT DAYS 63225,B100000,00000,1200,00000GROSS REVENUE 63225,B100000,00000,1300,00000PATIENT DAYS 63225,B100000,00000,1400,00000ASSIGNED TIME 63225,S000000,00100,0200,05/31/2000 63225,S200000,00100,0100,219 EAST FOOTHILL BLVD 63225,S200000,00200,0100,POMONA 63225,S200000,00200,0200,CA 63225,S200000,00200,0300,91767 63225,S200000,00300,0100,LOS ANGELES 63225,S200000,00400,0100,SUNBRIDGE CARE CENTER FOR CLAREMONT 63225,S200000,00400,0200,055394 63225,S200000,00400,0300,11/01/1980 63225,S200000,00400,0500,P 63225,S200000,01600,0100,Y 63237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63237,A000000,00300,0000,00300EMPLOYEE BENEFITS 63237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63237,A000000,00700,0000,00700HOUSEKEEPING 63237,A000000,00800,0000,00800DIETARY 63237,A000000,00900,0000,00900NURSING ADMINISTRATION 63237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63237,A000000,01100,0000,01100PHARMACY 63237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63237,A000000,01300,0000,01300SOCIAL SERVICE 63237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63237,A000000,01600,0000,01600SKILLED NURSING FACILITY 63237,A000000,01800,0000,01800NURSING FACILITY 63237,A000000,01810,0000,01810ICF/MR 63237,A000000,02100,0000,02100RADIOLOGY 63237,A000000,02200,0000,02200LABORATORY 63237,A000000,02300,0000,02300INTRAVENOUS THERAPY 63237,A000000,02500,0000,02500PHYSICAL THERAPY 63237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63237,A000000,02700,0000,02700SPEECH PATHOLOGY 63237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63237,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63237,A000000,03051,0000,03301NUTRITIONAL THERAPY 63237,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63237,A000000,03053,0000,03303PHYSICIAN SERVICES 63237,A000000,03054,0000,03304MEDICAL SERVICES 63237,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63237,A000000,03550,0000,03550FQHC 63237,A000000,05000,0000,05000CORF 63237,A000000,05010,0000,05010CMHC 63237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63237,A000000,05300,0000,05300INTEREST EXPENSE 63237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63237,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63237,A81000A,00100,0100,Y 63237,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63237,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63237,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63237,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63237,A81000B,00500,0300,REGIONAL ALLOCATION 63237,A81000B,00600,0300,SEE ATTACHED 63237,A81000C,00100,0100,B 63237,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63237,A81000C,00200,0200,A-8-1. 63237,B100000,00000,0100,00000SQUARE FEET 63237,B100000,00000,0200,00000SQUARE FEET 63237,B100000,00000,0300,00000GROSS SALARIES 63237,B100000,00000,0400,00000ACCUM. COST 63237,B100000,00000,0500,00000SQUARE FEET 63237,B100000,00000,0600,00000PATIENT DAYS 63237,B100000,00000,0700,00000HSKP SQUARE 63237,B100000,00000,0800,00000PATIENT DAYS 63237,B100000,00000,0900,00000PATIENT DAYS 63237,B100000,00000,1000,00000PATIENT DAYS 63237,B100000,00000,1100,00000PATIENT DAYS 63237,B100000,00000,1200,00000GROSS REVENUE 63237,B100000,00000,1300,00000PATIENT DAYS 63237,B100000,00000,1400,00000ASSIGNED TIME 63237,S000000,00100,0200,06/02/2000 63237,S200000,00100,0100,8336 FAIR OAKS BLVD. 63237,S200000,00200,0100,CARMICHAEL 63237,S200000,00200,0200,CA 63237,S200000,00200,0300,95608 63237,S200000,00300,0100,SACRAMENTO 63237,S200000,00400,0100,SUNBRIDGE CARE/REHAB - CARMICHAEL 63237,S200000,00400,0200,055507 63237,S200000,00400,0300,01/01/1967 63237,S200000,00400,0500,P 63237,S200000,01600,0100,Y 63237,S200000,02200,0100,Y 63249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63249,A000000,00300,0000,00300EMPLOYEE BENEFITS 63249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63249,A000000,00700,0000,00700HOUSEKEEPING 63249,A000000,00800,0000,00800DIETARY 63249,A000000,00900,0000,00900NURSING ADMINISTRATION 63249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63249,A000000,01100,0000,01100PHARMACY 63249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63249,A000000,01300,0000,01300SOCIAL SERVICE 63249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63249,A000000,01600,0000,01600SKILLED NURSING FACILITY 63249,A000000,01800,0000,01800NURSING FACILITY 63249,A000000,01810,0000,01810ICF/MR 63249,A000000,02100,0000,02100RADIOLOGY 63249,A000000,02200,0000,02200LABORATORY 63249,A000000,02300,0000,02300INTRAVENOUS THERAPY 63249,A000000,02500,0000,02500PHYSICAL THERAPY 63249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63249,A000000,02700,0000,02700SPEECH PATHOLOGY 63249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63249,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63249,A000000,03051,0000,03301NUTRITIONAL THERAPY 63249,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63249,A000000,03053,0000,03303PHYSICIAN SERVICES 63249,A000000,03054,0000,03304MEDICAL SERVICES 63249,A000000,03200,0000,03200SUPPORT SURFACES 63249,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63249,A000000,03550,0000,03550FQHC 63249,A000000,05000,0000,05000CORF 63249,A000000,05010,0000,05010CMHC 63249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63249,A000000,05300,0000,05300INTEREST EXPENSE 63249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63249,A81000A,00100,0100,Y 63249,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63249,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63249,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63249,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63249,A81000B,00500,0300,REGIONAL ALLOC REL PARTY 63249,A81000B,00600,0300,SEE ATTACHMENT 63249,A81000C,00100,0100,B 63249,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63249,A81000C,00200,0200,A-8-1. 63249,B100000,00000,0100,00000SQUARE FEET 63249,B100000,00000,0200,00000SQUARE FEET 63249,B100000,00000,0300,00000GROSS SALARIES 63249,B100000,00000,0400,00000ACCUM. COST 63249,B100000,00000,0500,00000SQUARE FEET 63249,B100000,00000,0600,00000PATIENT DAYS 63249,B100000,00000,0700,00000HSKP SQUARE 63249,B100000,00000,0800,00000PATIENT DAYS 63249,B100000,00000,0900,00000PATIENT DAYS 63249,B100000,00000,1000,00000PATIENT DAYS 63249,B100000,00000,1100,00000PATIENT DAYS 63249,B100000,00000,1200,00000GROSS REVENUE 63249,B100000,00000,1300,00000PATIENT DAYS 63249,B100000,00000,1400,00000ASSIGNED TIME 63249,S000000,00100,0200,06/02/2000 63249,S200000,00100,0100,6940 PACIFIC AVENUE 63249,S200000,00200,0100,STOCKTON 63249,S200000,00200,0200,CA 63249,S200000,00200,0300,95207 63249,S200000,00300,0100,SAN JOAQUIN 63249,S200000,00400,0100,SUNBRIDGE ELMHAVEN CARE CENTER 63249,S200000,00400,0200,055735 63249,S200000,00400,0300,04/03/1967 63249,S200000,00400,0500,P 63249,S200000,01600,0100,Y 63262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63262,A000000,00300,0000,00300EMPLOYEE BENEFITS 63262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63262,A000000,00700,0000,00700HOUSEKEEPING 63262,A000000,00800,0000,00800DIETARY 63262,A000000,00900,0000,00900NURSING ADMINISTRATION 63262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63262,A000000,01100,0000,01100PHARMACY 63262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63262,A000000,01300,0000,01300SOCIAL SERVICE 63262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63262,A000000,01600,0000,01600SKILLED NURSING FACILITY 63262,A000000,01800,0000,01800NURSING FACILITY 63262,A000000,02100,0000,02100RADIOLOGY 63262,A000000,02200,0000,02200LABORATORY 63262,A000000,02300,0000,02300INTRAVENOUS THERAPY 63262,A000000,02500,0000,02500PHYSICAL THERAPY 63262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63262,A000000,02700,0000,02700SPEECH PATHOLOGY 63262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63262,A000000,03051,0000,03301NUTRITIONAL THERAPY 63262,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63262,A000000,03053,0000,03303PHYSICIAN SERVICES 63262,A000000,03054,0000,03304MEDICAL SERVICES 63262,A000000,03200,0000,03200SUPPORT SURFACES 63262,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 63262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63262,A000000,03550,0000,03550FQHC 63262,A000000,05000,0000,05000CORF 63262,A000000,05010,0000,05010CMHC 63262,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63262,A000000,05300,0000,05300INTEREST EXPENSE 63262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63262,A81000A,00100,0100,Y 63262,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63262,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63262,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63262,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63262,A81000B,00500,0300,REGIONAL ALLOCATION 63262,A81000B,00600,0300,PLEASE SEE ATTACHED TOTAL 63262,A81000C,00100,0100,B 63262,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63262,A81000C,00200,0200,A-8-1. 63262,B100000,00000,0100,00000SQUARE FEET 63262,B100000,00000,0200,00000SQUARE FEET 63262,B100000,00000,0300,00000GROSS SALARIES 63262,B100000,00000,0400,00000ACCUM. COST 63262,B100000,00000,0500,00000SQUARE FEET 63262,B100000,00000,0600,00000PATIENT DAYS 63262,B100000,00000,0700,00000HSKP SQUARE 63262,B100000,00000,0800,00000PATIENT DAYS 63262,B100000,00000,0900,00000PATIENT DAYS 63262,B100000,00000,1000,00000PATIENT DAYS 63262,B100000,00000,1100,00000PATIENT DAYS 63262,B100000,00000,1200,00000GROSS REVENUE 63262,B100000,00000,1300,00000PATIENT DAYS 63262,B100000,00000,1400,00000ASSIGNED TIME 63262,S000000,00100,0200,05/31/2000 63262,S200000,00100,0100,525 AUTO CENTER DRIVE 63262,S200000,00200,0100,WATSONVILLE 63262,S200000,00200,0200,CA 63262,S200000,00200,0300,95076 63262,S200000,00300,0100,SANTA CRUZ 63262,S200000,00400,0100,SUNBRIDGE CARE CENTER FOR WATSONVIL 63262,S200000,00400,0200,055959 63262,S200000,00400,0300,08/09/1968 63262,S200000,00400,0500,P 63262,S200000,01600,0100,Y 63276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63276,A000000,00300,0000,00300EMPLOYEE BENEFITS 63276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63276,A000000,00700,0000,00700HOUSEKEEPING 63276,A000000,00800,0000,00800DIETARY 63276,A000000,00900,0000,00900NURSING ADMINISTRATION 63276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63276,A000000,01100,0000,01100PHARMACY 63276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63276,A000000,01300,0000,01300SOCIAL SERVICE 63276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63276,A000000,01600,0000,01600SKILLED NURSING FACILITY 63276,A000000,01800,0000,01800NURSING FACILITY 63276,A000000,02100,0000,02100RADIOLOGY 63276,A000000,02200,0000,02200LABORATORY 63276,A000000,02300,0000,02300INTRAVENOUS THERAPY 63276,A000000,02500,0000,02500PHYSICAL THERAPY 63276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63276,A000000,02700,0000,02700SPEECH PATHOLOGY 63276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63276,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63276,A000000,03051,0000,03301NUTRITIONAL THERAPY 63276,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 63276,A000000,03053,0000,03303PHYSICIAN SERVICES 63276,A000000,03054,0000,03304MEDICAL SERVICES 63276,A000000,03200,0000,03200SUPPORT SURFACES 63276,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 63276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63276,A000000,03550,0000,03550FQHC 63276,A000000,05000,0000,05000CORF 63276,A000000,05010,0000,05010CMHC 63276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63276,A000000,05300,0000,05300INTEREST EXPENSE 63276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63276,A81000A,00100,0100,Y 63276,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 63276,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 63276,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 63276,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 63276,A81000B,00500,0300,PLEASE SEE ATTACHED 63276,A81000B,00600,0300,ADMINISTRATIVE & GENERAL REG A 63276,A81000C,00100,0100,B 63276,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 63276,A81000C,00200,0200,A-8-1. 63276,B100000,00000,0100,00000SQUARE FEET 63276,B100000,00000,0200,00000SQUARE FEET 63276,B100000,00000,0300,00000GROSS SALARIES 63276,B100000,00000,0400,00000ACCUM. COST 63276,B100000,00000,0500,00000SQUARE FEET 63276,B100000,00000,0600,00000PATIENT DAYS 63276,B100000,00000,0700,00000HSKP SQUARE 63276,B100000,00000,0800,00000PATIENT DAYS 63276,B100000,00000,0900,00000PATIENT DAYS 63276,B100000,00000,1000,00000PATIENT DAYS 63276,B100000,00000,1100,00000PATIENT DAYS 63276,B100000,00000,1200,00000GROSS REVENUE 63276,B100000,00000,1300,00000PATIENT DAYS 63276,B100000,00000,1400,00000ASSIGNED TIME 63276,S000000,00100,0200,05/31/2000 63276,S200000,00100,0100,9028 ROSE STREET 63276,S200000,00200,0100,BELLFLOWER 63276,S200000,00200,0200,CA 63276,S200000,00200,0300,90706 63276,S200000,00300,0100,LOS ANGELES 63276,S200000,00400,0100,SUNBRIDGE CARE CENTER OF BELLFLOWER 63276,S200000,00400,0200,056104 63276,S200000,00400,0300,09/01/1988 63276,S200000,00400,0500,P 63276,S200000,01600,0100,Y 63313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63313,A000000,00300,0000,00300EMPLOYEE BENEFITS 63313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63313,A000000,00700,0000,00700HOUSEKEEPING 63313,A000000,00800,0000,00800DIETARY 63313,A000000,00900,0000,00900NURSING ADMINISTRATION 63313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63313,A000000,01100,0000,01100PHARMACY 63313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63313,A000000,01300,0000,01300SOCIAL SERVICE 63313,A000000,01350,0000,01500ACTIVITIES 63313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63313,A000000,01600,0000,01600SKILLED NURSING FACILITY 63313,A000000,01800,0000,01800NURSING FACILITY 63313,A000000,01810,0000,01810ICF/MR 63313,A000000,02100,0000,02100RADIOLOGY 63313,A000000,02200,0000,02200LABORATORY 63313,A000000,02300,0000,02300INTRAVENOUS THERAPY 63313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63313,A000000,02500,0000,02500PHYSICAL THERAPY 63313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63313,A000000,02700,0000,02700SPEECH PATHOLOGY 63313,A000000,02800,0000,02800ELECTROCARDIOLOGY 63313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63313,A000000,03050,0000,03300AUDIOLOGY 63313,A000000,03200,0000,03200SUPPORT SURFACES 63313,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63313,A000000,03550,0000,03550FQHC 63313,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63313,A000000,04800,0000,04800AMBULANCE 63313,A000000,05000,0000,05000CORF 63313,A000000,05010,0000,05010CMHC 63313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63313,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63313,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63313,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 63313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63313,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63313,A81000A,00100,0100,Y 63313,A81000B,00100,0300,MANAGEMENT FEES 63313,A81000C,00100,0100,B 63313,A81000C,00100,0200,HOME OFFICE 63313,A81000C,00100,0400,HOME OFFICE 63313,A81000C,00100,0600,MANAGEMENT SERVICES 63313,A81000C,00200,0100,B 63313,A81000C,00300,0100,B 63313,A81000C,00400,0100,B 63313,B100000,00000,0100,00000SQUARE FEET 63313,B100000,00000,0200,00000SQUARE FEET 63313,B100000,00000,0300,00000GROSS SALARIES 63313,B100000,00000,0400,00000ACCUM. COST 63313,B100000,00000,0500,00000SQUARE FEET 63313,B100000,00000,0600,00000PATIENT DAYS 63313,B100000,00000,0700,00000SQUARE FEET 63313,B100000,00000,0800,00000MEALS SERVED 63313,B100000,00000,0900,00000DIRECT NRSING HRS 63313,B100000,00000,1000,00000PATIENT DAYS 63313,B100000,00000,1100,00000NO STATISTICS 63313,B100000,00000,1200,00000GROSS CHARGES 63313,B100000,00000,1300,00000TIME SPENT 63313,B100000,00000,1350,00000TIME SPENT 63313,B100000,00000,1400,00000NO STATISTICS 63313,S000000,00100,0200,02/02/2001 63313,S200000,00100,0100,4800 TABOR STREET 63313,S200000,00200,0100,WHEAT RIDGE 63313,S200000,00200,0200,CO 63313,S200000,00200,0300,80033 63313,S200000,00300,0100,J 63313,S200000,00400,0100,MOUNTAIN VISTA HEALTH CENTER 63313,S200000,00400,0200,065015 63313,S200000,00400,0300,01/01/1967 63313,S200000,00400,0500,P 63313,S200000,01600,0100,Y 63313,S200000,02200,0100,Y 63313,S200000,02800,0100,Y 63313,S200000,04300,0100,Y 63333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63333,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 63333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63333,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 63333,A000000,00300,0000,00300EMPLOYEE BENEFITS 63333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63333,A000000,00700,0000,00700HOUSEKEEPING 63333,A000000,00800,0000,00800DIETARY 63333,A000000,00801,0000,00801CAFETERIA 63333,A000000,00900,0000,00900NURSING ADMINISTRATION 63333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63333,A000000,01100,0000,01100PHARMACY 63333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63333,A000000,01300,0000,01300SOCIAL SERVICE 63333,A000000,01350,0000,01500ACTIVITIES 63333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63333,A000000,01600,0000,01600SKILLED NURSING FACILITY 63333,A000000,01800,0000,01800NURSING FACILITY 63333,A000000,01810,0000,01810ICF/MR 63333,A000000,01900,0000,01900OTHER LONG TERM CARE 63333,A000000,02100,0000,02100RADIOLOGY 63333,A000000,02200,0000,02200LABORATORY 63333,A000000,02300,0000,02300INTRAVENOUS THERAPY 63333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63333,A000000,02500,0000,02500PHYSICAL THERAPY 63333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63333,A000000,02700,0000,02700SPEECH PATHOLOGY 63333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63333,A000000,03050,0000,03300OTHER ANCILLARY 63333,A000000,03051,0000,03301OTHER ANCILLARY II 63333,A000000,03052,0000,03302OTHER ANCILLARY III 63333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 63333,A000000,03550,0000,03550FQHC 63333,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63333,A000000,05000,0000,05000CORF I 63333,A000000,05010,0000,05010CMHC I 63333,A000000,05020,0000,05020OPT I 63333,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63333,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 63333,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 63333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63333,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63333,B100000,00000,0100,00000(SQUARE FEET) 63333,B100000,00000,0101,00000(SQUARE FEET) 63333,B100000,00000,0200,00000(SQUARE FEET) 63333,B100000,00000,0201,00000(SQUARE FEET) 63333,B100000,00000,0300,00000(GROSS SALARIES) 63333,B100000,00000,0400,00000(ACCUM. COST) 63333,B100000,00000,0500,00000(SQUARE FEET) 63333,B100000,00000,0600,00000(PATIENT DAYS) 63333,B100000,00000,0700,00000(SQUARE FEET) 63333,B100000,00000,0800,00000(MEALS SERVED) 63333,B100000,00000,0801,00000(MEALS SERVED) 63333,B100000,00000,0900,00000(PATIENT DAYS) 63333,B100000,00000,1000,00000(PATIENT DAYS) 63333,B100000,00000,1100,00000(PATIENT DAYS) 63333,B100000,00000,1200,00000(GROSS CHARGES) 63333,B100000,00000,1300,00000(PATIENT DAYS) 63333,B100000,00000,1350,00000(PATIENT DAYS) 63333,B100000,00000,1400,00000(ASSIGNED TIME) 63333,S000000,00100,0200,05/11/2000 63333,S200000,00100,0100,101 S UNION BLVD 63333,S200000,00200,0100,COLORADO SPRINGS 63333,S200000,00200,0200,CO 63333,S200000,00200,0300,80910 63333,S200000,00300,0100,EL PASO 63333,S200000,00400,0100,UNION PRINTERS HOME 63333,S200000,00400,0200,065089 63333,S200000,00400,0300,09/22/1989 63333,S200000,00400,0500,P 63333,S200000,01600,0100,Y 63333,S200000,02800,0100,Y 63333,S200000,04300,0100,Y 63358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63358,A000000,00300,0000,00300EMPLOYEE BENEFITS 63358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63358,A000000,00700,0000,00700HOUSEKEEPING 63358,A000000,00800,0000,00800DIETARY 63358,A000000,00900,0000,00900NURSING ADMINISTRATION 63358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63358,A000000,01100,0000,01100PHARMACY 63358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63358,A000000,01300,0000,01300SOCIAL SERVICE 63358,A000000,01350,0000,01500ACTIVITIES 63358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63358,A000000,01600,0000,01600SKILLED NURSING FACILITY 63358,A000000,01800,0000,01800NURSING FACILITY 63358,A000000,01810,0000,01810ICF/MR 63358,A000000,02100,0000,02100RADIOLOGY 63358,A000000,02200,0000,02200LABORATORY 63358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63358,A000000,02500,0000,02500PHYSICAL THERAPY 63358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63358,A000000,02700,0000,02700SPEECH PATHOLOGY 63358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63358,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63358,A000000,03200,0000,03200SUPPORT SURFACES 63358,A000000,03550,0000,03550FQHC 63358,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63358,A000000,05000,0000,05000CORF 63358,A000000,05010,0000,05010CMHC 63358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63358,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63358,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63358,A81000A,00100,0100,Y 63358,A81000B,00100,0300,CAPITAL-BUILDING 63358,A81000B,00200,0300,SKILLED NURSING 63358,A81000B,00300,0300,MEDICAL SUPPLIES 63358,A81000C,00100,0100,D 63358,A81000C,00100,0200,WHEATRIDGE MANOR LLC 63358,A81000C,00100,0400,WHEATRIDGE MANOR LLC 63358,A81000C,00100,0600,BUILDING RENT 63358,A81000C,00200,0100,D 63358,A81000C,00200,0200,HEALTH DYNAMICS NETWORK 63358,A81000C,00200,0400,HEALTH DYNAMICS NETWORK 63358,A81000C,00200,0600,MEDICAL SUPPLIES 63358,A81000C,00300,0100,D 63358,A81000C,00300,0200,HEALTH DYNAMICS NETWORK 63358,A81000C,00300,0400,HEALTH DYNAMICS NETWORK 63358,A81000C,00300,0600,MEDICAL SUPPLIES 63358,B100000,00000,0100,00000SQUARE FEET 63358,B100000,00000,0200,00000SQUARE FEET 63358,B100000,00000,0300,00000GROSS SALARIES 63358,B100000,00000,0400,00000ACCUM. COST 63358,B100000,00000,0500,00000SQUARE FEET 63358,B100000,00000,0600,00000PATIENT DAYS 63358,B100000,00000,0700,00000SQUARE FEET 63358,B100000,00000,0800,00000MEALS SERVED 63358,B100000,00000,0900,00000TIME SPENT 63358,B100000,00000,1000,00000PATIENT DAYS 63358,B100000,00000,1100,00000PATIENT DAYS 63358,B100000,00000,1200,00000PATIENT DAYS 63358,B100000,00000,1300,00000PATIENT DAYS 63358,B100000,00000,1350,00000PATIENT DAYS 63358,B100000,00000,1400,00000ASSIGNED TIME 63358,S000000,00100,0200,06/05/2000 63358,S200000,00100,0100,7481 KNOX PLACE 63358,S200000,00200,0100,WESTMINSTER 63358,S200000,00200,0200,CO 63358,S200000,00200,0300,80030 63358,S200000,00300,0100,ADAMS 63358,S200000,00400,0100,CLEAR CREEK CARE CENTER 63358,S200000,00400,0200,065120 63358,S200000,00400,0300,12/19/1972 63358,S200000,00400,0500,P 63358,S200000,01600,0100,Y 63358,S200000,02800,0100,Y 63358,S200000,03100,0100,Y 63379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63379,A000000,00300,0000,00300EMPLOYEE BENEFITS 63379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63379,A000000,00700,0000,00700HOUSEKEEPING 63379,A000000,00800,0000,00800DIETARY 63379,A000000,00900,0000,00900NURSING ADMINISTRATION 63379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63379,A000000,01100,0000,01100PHARMACY 63379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63379,A000000,01300,0000,01300SOCIAL SERVICE 63379,A000000,01350,0000,01500ACTIVITIES 63379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63379,A000000,01600,0000,01600SKILLED NURSING FACILITY 63379,A000000,01800,0000,01800NURSING FACILITY 63379,A000000,01810,0000,01810ICF/MR 63379,A000000,02100,0000,02100RADIOLOGY 63379,A000000,02200,0000,02200LABORATORY 63379,A000000,02300,0000,02300INTRAVENOUS THERAPY 63379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63379,A000000,02500,0000,02500PHYSICAL THERAPY 63379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63379,A000000,02700,0000,02700SPEECH PATHOLOGY 63379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63379,A000000,03550,0000,03550FQHC 63379,A000000,05000,0000,05000CORF 63379,A000000,05010,0000,05010CMHC 63379,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63379,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63379,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63379,A81000A,00100,0100,Y 63379,A81000B,00100,0300,RELATED PARTY RENT 63379,A81000B,00200,0300,HOME OFFICE COSTS 63379,A81000B,00300,0300,MAINTENANCE & PAINTI 63379,A81000B,00400,0300,PHARMACY 63379,A81000B,00500,0300,PHYSICAL THERAPY 63379,A81000B,00600,0300,OCCUPATIONAL THER 63379,A81000B,00700,0300,SPEECH THERAPY 63379,A81000B,00800,0300,MEDICAL SUPPLIES 63379,A81000B,00900,0300,MEDICAL SUPPLIES 63379,A81000B,01000,0300,POOLED NURSING SERV 63379,A81000B,01100,0300,CENTRALIZED BILLING 63379,A81000C,00100,0100,A 63379,A81000C,00100,0200,J.ROBERT WILSON 63379,A81000C,00100,0400,NORTH SHORE ASS 63379,A81000C,00100,0600,FACILITY LEASE 63379,A81000C,00200,0100,A 63379,A81000C,00200,0200,KOHN 63379,A81000C,00200,0400,NORTH SHORE ASS 63379,A81000C,00200,0600,FACILITY LEASE 63379,A81000C,00300,0100,A 63379,A81000C,00300,0200,LEVIN 63379,A81000C,00300,0400,NORTH SHORE ASS 63379,A81000C,00300,0600,FACILITY LEASE 63379,A81000C,00400,0100,A 63379,A81000C,00400,0200,RADETSKY 63379,A81000C,00400,0400,NORTH SHORE ASS 63379,A81000C,00400,0600,FACILITY LEASE 63379,A81000C,00500,0100,A 63379,A81000C,00500,0200,J. ROBERT WILSO 63379,A81000C,00500,0400,COLUMBINE MANAG 63379,A81000C,00500,0600,MANAGEMENT CO 63379,A81000C,00600,0100,A 63379,A81000C,00600,0200,J. ROBERT WILSO 63379,A81000C,00600,0400,CENTRE PHARMACY 63379,A81000C,00600,0600,PHARMACY 63379,A81000C,00700,0100,A 63379,A81000C,00700,0200,J. ROBERT WILSO 63379,A81000C,00700,0400,FRONT RANGE THE 63379,A81000C,00700,0600,THERAPY CO 63379,A81000C,00800,0100,A 63379,A81000C,00800,0200,J. ROBERT WILSO 63379,A81000C,00800,0400,COLUMBINE PERSO 63379,A81000C,00800,0600,STAFFING 63379,B100000,00000,0100,00000SQUARE FEET 63379,B100000,00000,0200,00000SQUARE FEET 63379,B100000,00000,0300,00000GROSS SALARIES 63379,B100000,00000,0400,00000ACCUM COST 63379,B100000,00000,0500,00000SQUARE FEET 63379,B100000,00000,0600,00000PATIENT DAYS 63379,B100000,00000,0700,00000SQUARE FEET 63379,B100000,00000,0800,00000MEALS SERVED 63379,B100000,00000,0900,00000DIRECT NRSG HRS 63379,B100000,00000,1000,00000GROSS CHARGES 63379,B100000,00000,1100,00000GROSS CHARGES 63379,B100000,00000,1200,00000GROSS CHARGES 63379,B100000,00000,1300,00000TIME SPENT 63379,B100000,00000,1350,00000TIME SPENT 63379,B100000,00000,1400,00000TIME SPENT 63379,S000000,00100,0200,06/02/2000 63379,S200000,00100,0100,1365 W 29TH ST 63379,S200000,00200,0100,LOVELAND 63379,S200000,00200,0200,CO 63379,S200000,00200,0300,80538 63379,S200000,00300,0100,LARIMER 63379,S200000,00400,0100,NORTH SHORE MANOR INC. 63379,S200000,00400,0200,065129 63379,S200000,00400,0300,07/01/1975 63379,S200000,00400,0500,P 63379,S200000,01600,0100,Y 63379,S200000,04100,0100,Y 63379,S200000,04200,0100,Y 63391,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63391,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63391,A000000,00300,0000,00300EMPLOYEE BENEFITS 63391,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63391,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63391,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63391,A000000,00700,0000,00700HOUSEKEEPING 63391,A000000,00800,0000,00800DIETARY 63391,A000000,00900,0000,00900NURSING ADMINISTRATION 63391,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63391,A000000,01100,0000,01100PHARMACY 63391,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63391,A000000,01300,0000,01300SOCIAL SERVICE 63391,A000000,01350,0000,01500OTHER GENERAL SERVICE 63391,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63391,A000000,01600,0000,01600SKILLED NURSING FACILITY 63391,A000000,01800,0000,01800NURSING FACILITY 63391,A000000,01810,0000,01810ICF/MR 63391,A000000,02100,0000,02100RADIOLOGY 63391,A000000,02200,0000,02200LABORATORY 63391,A000000,02300,0000,02300INTRAVENOUS THERAPY 63391,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63391,A000000,02500,0000,02500PHYSICAL THERAPY 63391,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63391,A000000,02700,0000,02700SPEECH PATHOLOGY 63391,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63391,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63391,A000000,03550,0000,03550FQHC 63391,A000000,05000,0000,05000CORF 63391,A000000,05010,0000,05010CMHC 63391,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63391,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63391,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63391,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63391,A81000A,00100,0100,Y 63391,A81000B,00100,0300,BUILDING RENT 63391,A81000B,00200,0300,HOME OFFICE COSTS 63391,A81000B,00300,0300,HOME OFFICE COSTS 63391,A81000B,00400,0300,HOME OFFICE COSTS 63391,A81000B,00500,0300,PHYSICAL THERAPY 63391,A81000B,00600,0300,OCCUPATIONAL THERAPY 63391,A81000B,00700,0300,SPEECH THERAPY 63391,A81000B,00800,0300,MEDICAL SUPPLIES 63391,A81000B,00900,0300,OXYGEN 63391,A81000B,01000,0300,PHARMACY 63391,A81000B,01100,0300,PAINTING / MAINTENAN 63391,A81000B,01200,0300,NURSING POOL 63391,A81000B,01300,0300,CENTRALIZED BILLING 63391,A81000C,00100,0100,A 63391,A81000C,00100,0200,J. ROBERT WILSO 63391,A81000C,00100,0400,WILSON RENTALS 63391,A81000C,00100,0600,WILSON RENTALS 63391,A81000C,00200,0100,A 63391,A81000C,00200,0200,J. ROBERT WILSO 63391,A81000C,00200,0400,COLUMBINE MANAG 63391,A81000C,00200,0600,MANAGEMENT CO 63391,A81000C,00300,0100,A 63391,A81000C,00300,0200,J. ROBERT WILSO 63391,A81000C,00300,0400,FRONT RANGE THE 63391,A81000C,00300,0600,THERAPY CO 63391,A81000C,00400,0100,A 63391,A81000C,00400,0200,J. ROBERT WILSO 63391,A81000C,00400,0400,COLUMBINE MEDIC 63391,A81000C,00400,0600,MEDICAL SUPPLIE 63391,A81000C,00500,0100,A 63391,A81000C,00500,0200,J. ROBERT WILSO 63391,A81000C,00500,0400,CENTRE PHARMACY 63391,A81000C,00500,0600,PHARMACY 63391,A81000C,00600,0100,A 63391,A81000C,00600,0200,J. ROBERT WILSO 63391,A81000C,00600,0400,COLUMBINE HEALT 63391,A81000C,00600,0600,HOME HEALTH/EDU 63391,A81000C,00700,0100,A 63391,A81000C,00700,0200,J. ROBERT WILSO 63391,A81000C,00700,0400,COLUMBINE PERSO 63391,A81000C,00700,0600,STAFFING SERVIC 63391,B100000,00000,0100,00000SQUARE FEET 63391,B100000,00000,0200,00000SQUARE FEET 63391,B100000,00000,0300,00000GROSS SALARIES 63391,B100000,00000,0400,00000ACCUM COST 63391,B100000,00000,0500,00000SQUARE FEET 63391,B100000,00000,0600,00000POUNDS OF LAUNDRY 63391,B100000,00000,0700,00000SQUARE FEET 63391,B100000,00000,0800,00000MEALS SERVED 63391,B100000,00000,0900,00000DIRECT NRSG HRS 63391,B100000,00000,1000,00000GROSS CHARGES 63391,B100000,00000,1100,00000GROSS CHARGES 63391,B100000,00000,1200,00000GROSS CHARGES 63391,B100000,00000,1300,00000TIME SPENT 63391,B100000,00000,1350,00000PT DAYS 63391,B100000,00000,1400,00000ASSIGNED TIME 63391,S000000,00100,0200,06/02/2000 63391,S200000,00100,0100,421 PARKER ST 63391,S200000,00200,0100,FORT COLLINS 63391,S200000,00200,0200,CO 63391,S200000,00200,0300,80525 63391,S200000,00300,0100,LARIMER 63391,S200000,00400,0100,COLUMBINE CARE CENTER EAST 63391,S200000,00400,0200,065142 63391,S200000,00400,0300,10/01/1976 63391,S200000,00400,0500,P 63391,S200000,00600,0200,653290 63391,S200000,00600,0300,10/01/1976 63391,S200000,01600,0100,Y 63391,S200000,02800,0100,Y 63391,S200000,04100,0100,Y 63391,S200000,04200,0100,Y 63391,S200000,04300,0100,Y 63391,S200000,04900,0100,Y 63400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63400,A000000,00300,0000,00300EMPLOYEE BENEFITS 63400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63400,A000000,00700,0000,00700HOUSEKEEPING 63400,A000000,00800,0000,00800DIETARY 63400,A000000,00900,0000,00900NURSING ADMINISTRATION 63400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63400,A000000,01100,0000,01100PHARMACY 63400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63400,A000000,01300,0000,01300SOCIAL SERVICE 63400,A000000,01350,0000,01500OTHER GENERAL SERVICES 63400,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63400,A000000,01600,0000,01600SKILLED NURSING FACILITY 63400,A000000,01810,0000,01810ICF/MR 63400,A000000,02500,0000,02500PHYSICAL THERAPY 63400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63400,A000000,02700,0000,02700SPEECH PATHOLOGY 63400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63400,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63400,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63400,A000000,03550,0000,03550FQHC 63400,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63400,A000000,05000,0000,05000CORF 63400,A000000,05010,0000,05010CMHC 63400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63400,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63400,A000000,05500,0000,05500HOSPICE 63400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63400,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63400,A81000A,00100,0100,Y 63400,A81000B,00100,0300,VEHICLE INSURANCE 63400,A81000B,00200,0300,PHYSICAL THERAPY 63400,A81000B,00300,0300,OCCUPATIONAL THERAPY 63400,A81000B,00400,0300,PARKING LOT 63400,A81000C,00100,0100,B 63400,A81000C,00100,0200,GUNNISON COUNTY 63400,A81000C,00100,0400,GUNNISON COUNTY 63400,A81000C,00100,0600,COUNTY GOVERNMENT 63400,A81000C,00200,0100,B 63400,A81000C,00200,0200,GUNNISON COUNTY 63400,A81000C,00200,0400,GUNNISON VALLEY HOSPITAL 63400,A81000C,00200,0600,COUNTY HOSPITAL 63400,A81000C,00300,0100,B 63400,A81000C,00300,0200,GUNNISON COUNTY 63400,A81000C,00300,0400,GUNNISON VALLEY HOSPITAL 63400,A81000C,00300,0600,COUNTY HOSPITAL 63400,A81000C,00400,0100,B 63400,A81000C,00400,0200,GUNNISON COUNTY 63400,A81000C,00400,0400,GUNNISON CNTY PUBLIC WORK 63400,A81000C,00400,0600,COUNTY GOVERNMENT 63400,B100000,00000,0100,00000SQUARE FEET 63400,B100000,00000,0200,00000SQUARE FEET 63400,B100000,00000,0300,00000GROSS SALARIES 63400,B100000,00000,0400,00000ACCUM. COST 63400,B100000,00000,0500,00000SQUARE FEET 63400,B100000,00000,0600,00000POUNDS OF LAUNDRY 63400,B100000,00000,0700,00000HOURS OF SERVICE 63400,B100000,00000,0800,00000MEALS SERVED 63400,B100000,00000,0900,00000DIRECT NSRG HRS 63400,B100000,00000,1000,00000PATIENT DAYS 63400,B100000,00000,1100,00000PATIENT DAYS 63400,B100000,00000,1200,00000TIME SPENT 63400,B100000,00000,1300,00000PATIENT DAYS 63400,B100000,00000,1350,00000PATIENT DAYS 63400,B100000,00000,1400,00000NO STATISTICS 63400,S000000,00100,0200,03/31/2000 63400,S200000,00100,0100,1500 WEST TOMICHI AVENUE 63400,S200000,00200,0100,GUNNISON 63400,S200000,00200,0200,CO 63400,S200000,00300,0100,GUNNISON 63400,S200000,00400,0100,GUNNISON HEALTH CARE COMPLEX 63400,S200000,00400,0200,065144 63400,S200000,00400,0300,02/16/1988 63400,S200000,00400,0500,P 63400,S200000,01500,0100,Y 63400,S200000,02800,0100,Y 63410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63410,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 63410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63410,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 63410,A000000,00300,0000,00300EMPLOYEE BENEFITS 63410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63410,A000000,00700,0000,00700HOUSEKEEPING 63410,A000000,00800,0000,00800DIETARY 63410,A000000,00801,0000,00801CAFETERIA 63410,A000000,00900,0000,00900NURSING ADMINISTRATION 63410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63410,A000000,01100,0000,01100PHARMACY 63410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63410,A000000,01300,0000,01300SOCIAL SERVICE 63410,A000000,01350,0000,01500ACTIVITIES 63410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63410,A000000,01600,0000,01600SKILLED NURSING FACILITY 63410,A000000,01800,0000,01800NURSING FACILITY 63410,A000000,01810,0000,01810ICF/MR 63410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63410,A000000,02500,0000,02500PHYSICAL THERAPY 63410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63410,A000000,02700,0000,02700SPEECH PATHOLOGY 63410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63410,A000000,03050,0000,03300OTHER ANCILLARY 63410,A000000,03051,0000,03301OTHER ANCILLARY II 63410,A000000,03052,0000,03302OTHER ANCILLARY III 63410,A000000,03200,0000,03200SUPPORT SURFACES 63410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 63410,A000000,03550,0000,03550FQHC 63410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63410,A000000,05000,0000,05000CORF I 63410,A000000,05010,0000,05010CMHC I 63410,A000000,05020,0000,05020OPT I 63410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 63410,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 63410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63410,A81000A,00100,0100,Y 63410,A81000B,00100,0300,MGMT FEE 63410,A81000C,00100,0100,A 63410,A81000C,00100,0200,CONT. H.M. LLC 63410,A81000C,00100,0400,CHM LLC 63410,A81000C,00100,0600,MGMT 63410,B100000,00000,0100,00000(SQUARE FEET) 63410,B100000,00000,0101,00000(SQUARE FEET) 63410,B100000,00000,0200,00000(SQUARE FEET) 63410,B100000,00000,0201,00000(SQUARE FEET) 63410,B100000,00000,0300,00000(GROSS SALARIES) 63410,B100000,00000,0400,00000(ACCUM. COST) 63410,B100000,00000,0500,00000(SQUARE FEET) 63410,B100000,00000,0600,00000(SQUARE FEET) 63410,B100000,00000,0700,00000(SQUARE FEET) 63410,B100000,00000,0800,00000(MEALS SERVED) 63410,B100000,00000,0801,00000(MEALS SERVED) 63410,B100000,00000,0900,00000(NURSING SALARIES) 63410,B100000,00000,1000,00000(PATIENT DAYS) 63410,B100000,00000,1100,00000(PATIENT DAYS) 63410,B100000,00000,1200,00000(PATIENT DAYS) 63410,B100000,00000,1300,00000(PATIENT DAYS) 63410,B100000,00000,1350,00000(PATIENT DAYS) 63410,B100000,00000,1400,00000(ASSIGNED TIME) 63410,S000000,00100,0200,06/09/2000 63410,S200000,00100,0100,1221 N MILDRED 63410,S200000,00100,0300,1718 63410,S200000,00200,0100,CORTEZ 63410,S200000,00200,0200,CO 63410,S200000,00200,0300,81321 63410,S200000,00300,0100,MONTEZUMA 63410,S200000,00400,0100,CONTINUUM AT CORTEZ LLC 63410,S200000,00400,0200,065153 63410,S200000,00400,0300,03/01/1996 63410,S200000,00400,0500,P 63410,S200000,01600,0100,Y 63410,S200000,02200,0100,Y 63441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63441,A000000,00300,0000,00300EMPLOYEE BENEFITS 63441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63441,A000000,00700,0000,00700HOUSEKEEPING 63441,A000000,00800,0000,00800DIETARY 63441,A000000,00900,0000,00900NURSING ADMINISTRATION 63441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63441,A000000,01100,0000,01100PHARMACY 63441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63441,A000000,01300,0000,01300SOCIAL SERVICE 63441,A000000,01301,0000,01301ACTIVITIES 63441,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 63441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63441,A000000,01600,0000,01600SKILLED NURSING FACILITY 63441,A000000,01800,0000,01800NURSING FACILITY 63441,A000000,01810,0000,01810ICF/MR 63441,A000000,01900,0000,01900OTHER LONG TERM CARE 63441,A000000,02100,0000,02100RADIOLOGY 63441,A000000,02200,0000,02200LABORATORY 63441,A000000,02300,0000,02300INTRAVENOUS THERAPY 63441,A000000,02500,0000,02500PHYSICAL THERAPY 63441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63441,A000000,02700,0000,02700SPEECH PATHOLOGY 63441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63441,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 63441,A000000,03051,0000,03301P.E.N. THERAPY 63441,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 63441,A000000,03550,0000,03550FQHC 63441,A000000,05000,0000,05000CORF 63441,A000000,05010,0000,05010CMHC 63441,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63441,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63441,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63441,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63441,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63441,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 63441,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 63441,A81000A,00100,0100,Y 63441,A81000B,00100,0300,NURSING SUPPLIES 63441,A81000B,00200,0300,DIRECT EXP-NURSE 63441,A81000B,00300,0300,NON-PRESC DRUGS 63441,A81000B,00400,0300,OSHA-SUPPLIES 63441,A81000B,00500,0300,COST OF SUPPLES SOLD 63441,A81000B,00600,0300,COST OF OXYGEN 63441,A81000B,00700,0300,PHARMACIST 63441,A81000B,00800,0300,EMPLOYEE PHYSICALS 63441,A81000B,00900,0300,MINOR EQUIP RPLCMNT-NURSE 63441,A81000B,01000,0300,PRESC DRUGS 63441,A81000B,01100,0300,PRESC DRUGS 63441,A81000B,01200,0300,ANC EQMNT RNTL 63441,A81000B,01300,0300,COST OF SUPPLIRES-IV 63441,A81000B,01400,0300,PT 63441,A81000B,01500,0300,OT 63441,A81000B,01600,0300,ST 63441,A81000B,01700,0300,H/O COST ALLOCATION 63441,A81000C,00100,0100,B 63441,A81000C,00100,0200,FORT COLLINS HE 63441,A81000C,00100,0400,MERINER POST-AC 63441,A81000C,00100,0600,NURSING HOME 63441,A81000C,00200,0100,G 63441,A81000C,00200,0200,MERINER POST-AC 63441,A81000C,00200,0400,AMERICAN PHARMA 63441,A81000C,00200,0600,PHARMACEUTICALS 63441,A81000C,00300,0100,G 63441,A81000C,00300,0200,MERINER POST-AC 63441,A81000C,00300,0400,PRISM(ATS ARS 63441,A81000C,00300,0600,THERAPIES 63441,B100000,00000,0100,00000SQUARE FEET 63441,B100000,00000,0200,00000SQUARE FEET 63441,B100000,00000,0300,00000GROSS SALARIES 63441,B100000,00000,0400,00000ACCUM COST 63441,B100000,00000,0500,00000SQUARE FEET 63441,B100000,00000,0600,00000PATIENT DAYS 63441,B100000,00000,0700,00000SQUARE FEET 63441,B100000,00000,0800,00000MEALS SERVED 63441,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 63441,B100000,00000,1000,00000COSTED REQUISITIO 63441,B100000,00000,1100,00000COSTED REQUISITIO 63441,B100000,00000,1200,00000PATIENT DAYS 63441,B100000,00000,1300,00000PATIENT DAYS 63441,B100000,00000,1301,00000PATIENT DAYS 63441,B100000,00000,1350,00000UNITS OF SERVICE 63441,B100000,00000,1400,00000ASSIGNED TIME 63441,S000000,00100,0200,02/29/2000 63441,S200000,00100,0100,1000 SOUTH LEMAY AVE 63441,S200000,00200,0100,FORT COLLINS 63441,S200000,00200,0200,CO 63441,S200000,00200,0300,80524 63441,S200000,00300,0100,LARIMER 63441,S200000,00400,0100,FORT COLLINS HEALTH CARE CENTER 63441,S200000,00400,0200,065166 63441,S200000,00400,0300,07/01/1982 63441,S200000,00400,0500,P 63447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63447,A000000,00300,0000,00300EMPLOYEE BENEFITS 63447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63447,A000000,00700,0000,00700HOUSEKEEPING 63447,A000000,00800,0000,00800DIETARY 63447,A000000,00900,0000,00900NURSING ADMINISTRATION 63447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63447,A000000,01100,0000,01100PHARMACY 63447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63447,A000000,01300,0000,01300SOCIAL SERVICE 63447,A000000,01301,0000,01301ACTIVITES 63447,A000000,01350,0000,01500REHABILITATION 63447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63447,A000000,01600,0000,01600SKILLED NURSING FACILITY 63447,A000000,01800,0000,01800NURSING FACILITY 63447,A000000,01810,0000,01810ICF/MR 63447,A000000,02100,0000,02100RADIOLOGY 63447,A000000,02200,0000,02200LABORATORY 63447,A000000,02300,0000,02300INTRAVENOUS THERAPY 63447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63447,A000000,02500,0000,02500PHYSICAL THERAPY 63447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63447,A000000,02700,0000,02700SPEECH PATHOLOGY 63447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63447,A000000,03050,0000,03300EQUIPMENT RENTAL 63447,A000000,03051,0000,03301PEN THERAPY 63447,A000000,03550,0000,03550FQHC 63447,A000000,05000,0000,05000CORF 63447,A000000,05010,0000,05010CMHC 63447,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63447,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63447,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63447,A000000,06150,0000,06300VENDING 63447,A000000,06151,0000,06301STAND-BY 63447,A81000A,00100,0100,Y 63447,A81000B,00100,0300,HOME OFFICE COST 63447,A81000B,00200,0300,DIETARY SUPPLEMENTS 63447,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63447,A81000B,00400,0300,PRESCRIPTION DRUGS 63447,A81000B,00500,0300,MEDICAL SUPPLIES 63447,A81000B,00600,0300,ADMIN COSTS 63447,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63447,A81000B,00900,0300,IV THERAPY 63447,A81000B,01000,0300,THERAPY CONSULTING 63447,A81000B,01100,0300,PHYSICAL THERAPY 63447,A81000B,01200,0300,OCCUPATIONAL THERAPY 63447,A81000B,01300,0300,SPEECH THERAPY 63447,A81000B,01400,0300,ANC EQUIP RENTAL 63447,A81000B,01500,0300,CAPITAL 63447,A81000C,00100,0100,B 63447,A81000C,00100,0200,ASPEN 70-209 63447,A81000C,00100,0400,MARINER PAN 63447,A81000C,00100,0600,NURSING HOMES 63447,A81000C,00200,0100,G 63447,A81000C,00200,0200,MARINER PAN 63447,A81000C,00200,0400,AMER PHARM SVCS 63447,A81000C,00200,0600,PHARMACEUTICALS 63447,A81000C,00300,0100,G 63447,A81000C,00300,0200,MARINER PAN 63447,A81000C,00300,0400,PRISM-ATS-ARS-T 63447,A81000C,00300,0600,THERAPIES 63447,B100000,00000,0100,00001SQUARE FEET 63447,B100000,00000,0200,00001SQUARE FEET 63447,B100000,00000,0300,00001GROSS SALARIES 63447,B100000,00000,0400,00001ACCUM COST 63447,B100000,00000,0500,00001SQUARE FEET 63447,B100000,00000,0600,00001PATIENT DAYS 63447,B100000,00000,0700,00001SQUARE FEET 63447,B100000,00000,0800,00001MEALS SERVED 63447,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63447,B100000,00000,1000,00001COSTED REQUISITIO 63447,B100000,00000,1100,00001COSTED REQUIS 63447,B100000,00000,1200,00001PATIENT DAYS 63447,B100000,00000,1300,00001PATIENT DAYS 63447,B100000,00000,1301,00001PATIENT DAYS 63447,B100000,00000,1350,00001UNITS OF SERVICE 63447,B100000,00000,1400,00001ASSIGNED TIME 63447,S000000,00100,0200,03/20/2000 63447,S200000,00100,0100,1795 MONTEREY RD 63447,S200000,00200,0100,CO. SPRINGS 63447,S200000,00200,0200,CO 63447,S200000,00200,0300,80910 63447,S200000,00300,0100,EL PASO 63447,S200000,00400,0100,ASPEN LIVING CENTER 63447,S200000,00400,0200,065168 63447,S200000,00400,0300,07/01/1982 63447,S200000,00400,0500,P 63447,S200000,01600,0100,Y 63447,S200000,02200,0100,Y 63447,S200000,04300,0100,Y 63457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63457,A000000,00300,0000,00300EMPLOYEE BENEFITS 63457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63457,A000000,00700,0000,00700HOUSEKEEPING 63457,A000000,00800,0000,00800DIETARY 63457,A000000,00900,0000,00900NURSING ADMINISTRATION 63457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63457,A000000,01100,0000,01100PHARMACY 63457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63457,A000000,01300,0000,01300SOCIAL SERVICE 63457,A000000,01301,0000,01301ACTIVITES 63457,A000000,01350,0000,01500REHABILITATION 63457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63457,A000000,01600,0000,01600SKILLED NURSING FACILITY 63457,A000000,01800,0000,01800NURSING FACILITY 63457,A000000,01810,0000,01810ICF/MR 63457,A000000,02100,0000,02100RADIOLOGY 63457,A000000,02200,0000,02200LABORATORY 63457,A000000,02300,0000,02300INTRAVENOUS THERAPY 63457,A000000,02500,0000,02500PHYSICAL THERAPY 63457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63457,A000000,02700,0000,02700SPEECH PATHOLOGY 63457,A000000,02800,0000,02800ELECTROCARDIOLOGY 63457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63457,A000000,03050,0000,03300EQUIPMENT RENTAL 63457,A000000,03051,0000,03301PEN THERAPY 63457,A000000,03550,0000,03550FQHC 63457,A000000,05000,0000,05000CORF 63457,A000000,05010,0000,05010CMHC 63457,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63457,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63457,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63457,A000000,06150,0000,06300VENDING 63457,A000000,06151,0000,06301STAND-BY 63457,A81000A,00100,0100,Y 63457,A81000B,00100,0300,HOME OFFICE COST 63457,A81000B,00200,0300,DIETARY SUPPLEMENTS 63457,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63457,A81000B,00400,0300,PRESCRIPTION DRUGS 63457,A81000B,00500,0300,MEDICAL SUPPLIES 63457,A81000B,00600,0300,ADMIN COSTS 63457,A81000B,00900,0300,IV THERAPY 63457,A81000B,01000,0300,THERAPY CONSULTING 63457,A81000B,01100,0300,PHYSICAL THERAPY 63457,A81000B,01200,0300,OCCUPATIONAL THERAPY 63457,A81000B,01300,0300,SPEECH THERAPY 63457,A81000B,01500,0300,CAPITAL 63457,A81000C,00100,0100,B 63457,A81000C,00100,0200,BELMONT 70210/1 63457,A81000C,00100,0400,MARINER PAN 63457,A81000C,00100,0600,NURSING HOMES 63457,A81000C,00200,0100,G 63457,A81000C,00200,0200,MARINER PAN 63457,A81000C,00200,0400,AMER PHARM SVCS 63457,A81000C,00200,0600,PHARMACEUTICALS 63457,A81000C,00300,0100,G 63457,A81000C,00300,0200,MARINER PAN 63457,A81000C,00300,0400,PRISM-ATS-ARS-T 63457,A81000C,00300,0600,THERAPIES 63457,B100000,00000,0100,00001SQUARE FEET 63457,B100000,00000,0200,00001SQUARE FEET 63457,B100000,00000,0300,00001GROSS SALARIES 63457,B100000,00000,0400,00001ACCUM COST 63457,B100000,00000,0500,00001SQUARE FEET 63457,B100000,00000,0600,00001PATIENT DAYS 63457,B100000,00000,0700,00001SQUARE FEET 63457,B100000,00000,0800,00001MEALS SERVED 63457,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63457,B100000,00000,1000,00001COSTED REQUISITIO 63457,B100000,00000,1100,00001COSTED REQUIS 63457,B100000,00000,1200,00001PATIENT DAYS 63457,B100000,00000,1300,00001PATIENT DAYS 63457,B100000,00000,1301,00001PATIENT DAYS 63457,B100000,00000,1350,00001UNITS OF SERVICE 63457,B100000,00000,1400,00001ASSIGNED TIME 63457,S000000,00100,0200,02/29/2000 63457,S200000,00100,0100,1601 CONSTITUTION 63457,S200000,00200,0100,PUEBLO 63457,S200000,00200,0200,CO 63457,S200000,00200,0300,81001 63457,S200000,00300,0100,PUEBLO 63457,S200000,00400,0100,BELMONT LODGE 63457,S200000,00400,0200,065169 63457,S200000,00400,0300,07/01/1982 63457,S200000,00400,0500,P 63457,S200000,01600,0100,Y 63457,S200000,02200,0100,Y 63457,S200000,04300,0100,Y 63464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63464,A000000,00300,0000,00300EMPLOYEE BENEFITS 63464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63464,A000000,00700,0000,00700HOUSEKEEPING 63464,A000000,00800,0000,00800DIETARY 63464,A000000,00900,0000,00900NURSING ADMINISTRATION 63464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63464,A000000,01100,0000,01100PHARMACY 63464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63464,A000000,01300,0000,01300SOCIAL SERVICE 63464,A000000,01301,0000,01301ACTIVITES 63464,A000000,01350,0000,01500REHABILITATION 63464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63464,A000000,01600,0000,01600SKILLED NURSING FACILITY 63464,A000000,01800,0000,01800NURSING FACILITY 63464,A000000,01810,0000,01810ICF/MR 63464,A000000,02300,0000,02300INTRAVENOUS THERAPY 63464,A000000,02500,0000,02500PHYSICAL THERAPY 63464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63464,A000000,02700,0000,02700SPEECH PATHOLOGY 63464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63464,A000000,03050,0000,03300EQUIPMENT RENTAL 63464,A000000,03051,0000,03301PEN THERAPY 63464,A000000,03550,0000,03550FQHC 63464,A000000,05000,0000,05000CORF 63464,A000000,05010,0000,05010CMHC 63464,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63464,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63464,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63464,A000000,05300,0000,05300INTEREST EXPENSE 63464,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63464,A000000,06150,0000,06300VENDING 63464,A000000,06151,0000,06301STAND-BY 63464,A000000,06200,0000,06200PATIENTS LAUNDRY 63464,A81000A,00100,0100,Y 63464,A81000B,00100,0300,HOME OFFICE COST 63464,A81000B,00200,0300,DIETARY SUPPLEMENTS 63464,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63464,A81000B,00400,0300,PRESCRIPTION DRUGS 63464,A81000B,00500,0300,MEDICAL SUPPLIES 63464,A81000B,00600,0300,ADMIN COSTS 63464,A81000B,00700,0300,HOME OFFICE INTEREST 63464,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63464,A81000B,00900,0300,IV THERAPY 63464,A81000B,01000,0300,THERAPY CONSULTING 63464,A81000B,01100,0300,PHYSICAL THERAPY 63464,A81000B,01200,0300,OCCUPATIONAL THERAPY 63464,A81000B,01300,0300,SPEECH THERAPY 63464,A81000B,01400,0300,ANC EQUIP RENTAL 63464,A81000B,01500,0300,MEDICAL RECORDS 63464,A81000B,01600,0300,CAPITAL 63464,A81000C,00100,0100,B 63464,A81000C,00100,0200,SUNSET MANOR 10 63464,A81000C,00100,0400,MARINER PAN 63464,A81000C,00100,0600,NURSING HOMES 63464,A81000C,00200,0100,G 63464,A81000C,00200,0200,MARINER PAN 63464,A81000C,00200,0400,AMER PHARM SVCS 63464,A81000C,00200,0600,PHARMACEUTICALS 63464,A81000C,00300,0100,G 63464,A81000C,00300,0200,MARINER PAN 63464,A81000C,00300,0400,PRISM-ATS-ARS-T 63464,A81000C,00300,0600,THERAPIES 63464,B100000,00000,0100,00001SQUARE FEET 63464,B100000,00000,0200,00001SQUARE FEET 63464,B100000,00000,0300,00001GROSS SALARIES 63464,B100000,00000,0400,00001ACCUM COST 63464,B100000,00000,0500,00001SQUARE FEET 63464,B100000,00000,0600,00001PATIENT DAYS 63464,B100000,00000,0700,00001SQUARE FEET 63464,B100000,00000,0800,00001MEALS SERVED 63464,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63464,B100000,00000,1000,00001COSTED REQUISITIO 63464,B100000,00000,1100,00001COSTED REQUIS 63464,B100000,00000,1200,00001PATIENT DAYS 63464,B100000,00000,1300,00001PATIENT DAYS 63464,B100000,00000,1301,00001PATIENT DAYS 63464,B100000,00000,1350,00001UNITS OF SERVICE 63464,B100000,00000,1400,00001ASSIGNED TIME 63464,S000000,00100,0200,02/29/2000 63464,S200000,00100,0100,2200 EDISON STREET 63464,S200000,00200,0100,BRUSH 63464,S200000,00200,0200,CO 63464,S200000,00200,0300,80723 63464,S200000,00300,0100,MORGAN 63464,S200000,00400,0100,SUNSET MANOR 63464,S200000,00400,0200,065170 63464,S200000,00400,0300,10/14/1982 63464,S200000,00400,0500,P 63464,S200000,01600,0100,Y 63464,S200000,02200,0100,Y 63464,S200000,04300,0100,Y 63471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63471,A000000,00300,0000,00300EMPLOYEE BENEFITS 63471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63471,A000000,00700,0000,00700HOUSEKEEPING 63471,A000000,00800,0000,00800DIETARY 63471,A000000,00900,0000,00900NURSING ADMINISTRATION 63471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63471,A000000,01100,0000,01100PHARMACY 63471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63471,A000000,01300,0000,01300SOCIAL SERVICE 63471,A000000,01350,0000,01500ACTIVITIES 63471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63471,A000000,01600,0000,01600SKILLED NURSING FACILITY 63471,A000000,01800,0000,01800NURSING FACILITY 63471,A000000,01810,0000,01810ICF/MR 63471,A000000,02100,0000,02100RADIOLOGY 63471,A000000,02200,0000,02200LABORATORY 63471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63471,A000000,02500,0000,02500PHYSICAL THERAPY 63471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63471,A000000,02700,0000,02700SPEECH PATHOLOGY 63471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63471,A000000,03050,0000,03300OTHER ANCILLARY SERVICE-OXYGEN 63471,A000000,03200,0000,03200SUPPORT SURFACES 63471,A000000,03550,0000,03550FQHC 63471,A000000,05000,0000,05000CORF 63471,A000000,05010,0000,05010CMHC 63471,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63471,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63471,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63471,A81000A,00100,0100,Y 63471,A81000B,00100,0300,BUILDING RENT 63471,A81000B,00200,0300,HOME OFFICE COST 63471,A81000B,00300,0300,HOME OFFICE COST 63471,A81000B,00400,0300,HOME OFFICE COST 63471,A81000B,00500,0300,PHYS THERAPY FRONT R 63471,A81000B,00600,0300,OCCP THERAPY FRONT R 63471,A81000B,00700,0300,SPCH THERAPY FRONT R 63471,A81000B,00800,0300,REP THERAPY FRONT RA 63471,A81000B,00900,0300,OXYGEN 63471,A81000B,01000,0300,OXYGEN SUPPLIES 63471,A81000B,01100,0300,EQUIP/NURSING CONTRA 63471,A81000B,01200,0300,EQUIP LEASE/P SERVIC 63471,A81000B,01300,0300,CENTRILIZED BILLING 63471,A81000C,00100,0100,A 63471,A81000C,00100,0200,RICHARD WHELAN 63471,A81000C,00100,0400,GLEN AYR PARTNE 63471,A81000C,00100,0600,BUILDING OWNER 63471,A81000C,00200,0100,A 63471,A81000C,00200,0200,J.ROBERT WILSON 63471,A81000C,00200,0400,GLEN AYR PARTNE 63471,A81000C,00200,0600,BUILDING OWNER 63471,A81000C,00300,0100,A 63471,A81000C,00300,0200,TERRT WHELAN 63471,A81000C,00300,0400,GLEN AYR PARTNE 63471,A81000C,00300,0600,BUILDING OWNER 63471,A81000C,00400,0100,A 63471,A81000C,00400,0200,MIINA SOLTZ 63471,A81000C,00400,0400,GLEN AYR PARTNE 63471,A81000C,00400,0600,BUILDING OWNER 63471,A81000C,00500,0100,A 63471,A81000C,00500,0200,J.ROBERT WILSON 63471,A81000C,00500,0400,COLUMBINE MANAG 63471,A81000C,00500,0600,MANAGEMENT COMP 63471,A81000C,00600,0100,A 63471,A81000C,00600,0200,J.ROBERT WILSON 63471,A81000C,00600,0400,FRONT RANGE THE 63471,A81000C,00600,0600,THERAPY SERVICE 63471,A81000C,00700,0100,A 63471,A81000C,00700,0200,J.ROBERT WILSON 63471,A81000C,00700,0400,COLUMBINE MEDIC 63471,A81000C,00700,0600,SUPPLY SERVICE 63471,B100000,00000,0100,00000SQUARE FEET 63471,B100000,00000,0200,00000SQUARE FEET 63471,B100000,00000,0300,00000GROSS SALARIES 63471,B100000,00000,0400,00000ACCUM COST 63471,B100000,00000,0500,00000SQUARE FEET 63471,B100000,00000,0600,00000 PATIENT DAYS 63471,B100000,00000,0700,00000SQUARE FEE 63471,B100000,00000,0800,00000MEALS SERVED 63471,B100000,00000,0900,00000TIME SPENT 63471,B100000,00000,1000,00000GROSS CHARGES 63471,B100000,00000,1100,00000GROSS CHARGES 63471,B100000,00000,1200,00000GROSS CHARGES 63471,B100000,00000,1300,00000TIME SPENT 63471,B100000,00000,1350,00000PATIENT DA 63471,B100000,00000,1400,00000ASSIGNED TIME 63471,S000000,00100,0200,06/01/2000 63471,S200000,00100,0100,1655 EATON ST 63471,S200000,00200,0100,LAKEWOOD 63471,S200000,00200,0200,CO 63471,S200000,00200,0300,80214 63471,S200000,00300,0100,JEFFERSON 63471,S200000,00400,0100,GLEN AYR 63471,S200000,00400,0200,065171 63471,S200000,00400,0300,12/16/1982 63471,S200000,00400,0500,P 63471,S200000,00600,0200,655410 63471,S200000,00600,0300,12/16/1982 63471,S200000,00600,0600,P 63471,S200000,01600,0100,Y 63482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63482,A000000,00300,0000,00300EMPLOYEE BENEFITS 63482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63482,A000000,00700,0000,00700HOUSEKEEPING 63482,A000000,00800,0000,00800DIETARY 63482,A000000,00900,0000,00900NURSING ADMINISTRATION 63482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63482,A000000,01100,0000,01100PHARMACY 63482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63482,A000000,01300,0000,01300SOCIAL SERVICE 63482,A000000,01301,0000,01301ACTIVITES 63482,A000000,01350,0000,01500REHABILITATION 63482,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63482,A000000,01600,0000,01600SKILLED NURSING FACILITY 63482,A000000,01800,0000,01800NURSING FACILITY 63482,A000000,01810,0000,01810ICF/MR 63482,A000000,02100,0000,02100RADIOLOGY 63482,A000000,02200,0000,02200LABORATORY 63482,A000000,02300,0000,02300INTRAVENOUS THERAPY 63482,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63482,A000000,02500,0000,02500PHYSICAL THERAPY 63482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63482,A000000,02700,0000,02700SPEECH PATHOLOGY 63482,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63482,A000000,03050,0000,03300EQUIPMENT RENTAL 63482,A000000,03051,0000,03301PEN THERAPY 63482,A000000,03550,0000,03550FQHC 63482,A000000,04800,0000,04800AMBULANCE 63482,A000000,05000,0000,05000CORF 63482,A000000,05010,0000,05010CMHC 63482,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63482,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63482,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63482,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63482,A000000,06150,0000,06300VENDING 63482,A000000,06151,0000,06301STAND-BY 63482,A81000A,00100,0100,Y 63482,A81000B,00100,0300,HOME OFFICE COST 63482,A81000B,00200,0300,DIETARY SUPPLEMENTS 63482,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63482,A81000B,00400,0300,PRESCRIPTION DRUGS 63482,A81000B,00500,0300,MEDICAL SUPPLIES 63482,A81000B,00600,0300,ADMIN COSTS 63482,A81000B,00700,0300,HOME OFFICE INTEREST 63482,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63482,A81000B,00900,0300,IV THERAPY 63482,A81000B,01000,0300,THERAPY CONSULTING 63482,A81000B,01100,0300,PHYSICAL THERAPY 63482,A81000B,01200,0300,OCCUPATIONAL THERAPY 63482,A81000B,01300,0300,SPEECH THERAPY 63482,A81000B,01400,0300,ANC EQUIP RENTAL 63482,A81000B,01500,0300,CAPITAL 63482,A81000B,01600,0300,PEN 63482,A81000B,01700,0300,RT 63482,A81000C,00100,0100,B 63482,A81000C,00100,0200,TERRACE GARDENS 63482,A81000C,00100,0400,MARINER PAN 63482,A81000C,00100,0600,NURSING HOMES 63482,A81000C,00200,0100,G 63482,A81000C,00200,0200,MARINER PAN 63482,A81000C,00200,0400,AMER PHARM SVCS 63482,A81000C,00200,0600,PHARMACEUTICALS 63482,A81000C,00300,0100,G 63482,A81000C,00300,0200,MARINER PAN 63482,A81000C,00300,0400,PRISM-ATS-ARS-T 63482,A81000C,00300,0600,THERAPIES 63482,B100000,00000,0100,00001SQUARE FEET 63482,B100000,00000,0200,00001SQUARE FEET 63482,B100000,00000,0300,00001GROSS SALARIES 63482,B100000,00000,0400,00001ACCUM COST 63482,B100000,00000,0500,00001SQUARE FEET 63482,B100000,00000,0600,00001PATIENT DAYS 63482,B100000,00000,0700,00001SQUARE FEET 63482,B100000,00000,0800,00001MEALS SERVED 63482,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63482,B100000,00000,1000,00001COSTED REQUISITIO 63482,B100000,00000,1100,00001COSTED REQUIS 63482,B100000,00000,1200,00001PATIENT DAYS 63482,B100000,00000,1300,00001PATIENT DAYS 63482,B100000,00000,1301,00001PATIENT DAYS 63482,B100000,00000,1350,00001UNITS OF SERVICE 63482,B100000,00000,1400,00001ASSIGNED TIME 63482,S000000,00100,0200,02/29/2000 63482,S200000,00100,0100,2438 FOUNTAIN 63482,S200000,00200,0100,COLORADO SPRINGS 63482,S200000,00200,0200,CO 63482,S200000,00200,0300,80910 63482,S200000,00300,0100,EL PASO 63482,S200000,00400,0100,TERRACE GARDENS HEALTH CARE CENTER 63482,S200000,00400,0200,065172 63482,S200000,00400,0300,01/06/1983 63482,S200000,00400,0500,P 63482,S200000,01600,0100,Y 63482,S200000,02200,0100,Y 63482,S200000,04300,0100,Y 63490,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63490,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63490,A000000,00300,0000,00300EMPLOYEE BENEFITS 63490,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63490,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63490,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63490,A000000,00700,0000,00700HOUSEKEEPING 63490,A000000,00800,0000,00800DIETARY 63490,A000000,00900,0000,00900NURSING ADMINISTRATION 63490,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63490,A000000,01100,0000,01100PHARMACY 63490,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63490,A000000,01300,0000,01300SOCIAL SERVICE 63490,A000000,01301,0000,01301ACTIVITES 63490,A000000,01350,0000,01500REHABILITATION 63490,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63490,A000000,01600,0000,01600SKILLED NURSING FACILITY 63490,A000000,01800,0000,01800NURSING FACILITY 63490,A000000,01810,0000,01810ICF/MR 63490,A000000,02200,0000,02200LABORATORY 63490,A000000,02300,0000,02300INTRAVENOUS THERAPY 63490,A000000,02500,0000,02500PHYSICAL THERAPY 63490,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63490,A000000,02700,0000,02700SPEECH PATHOLOGY 63490,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63490,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63490,A000000,03050,0000,03300EQUIPMENT RENTAL 63490,A000000,03051,0000,03301PEN THERAPY 63490,A000000,03550,0000,03550FQHC 63490,A000000,05000,0000,05000CORF 63490,A000000,05010,0000,05010CMHC 63490,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63490,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63490,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63490,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63490,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63490,A000000,06150,0000,06300VENDING 63490,A000000,06151,0000,06301STAND-BY 63490,A81000A,00100,0100,Y 63490,A81000B,00100,0300,HOME OFFICE COST 63490,A81000B,00200,0300,DIETARY SUPPLEMENTS 63490,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63490,A81000B,00400,0300,PRESCRIPTION DRUGS 63490,A81000B,00500,0300,MEDICAL SUPPLIES 63490,A81000B,00600,0300,ADMIN COSTS 63490,A81000B,00900,0300,IV THERAPY 63490,A81000B,01100,0300,PHYSICAL THERAPY 63490,A81000B,01200,0300,OCCUPATIONAL THERAPY 63490,A81000B,01300,0300,SPEECH THERAPY 63490,A81000B,01400,0300,ANC EQUIP RENTAL 63490,A81000B,01500,0300,CAPITAL 63490,A81000C,00100,0100,B 63490,A81000C,00100,0200,STERLING 10721 63490,A81000C,00100,0400,MARINER PAN 63490,A81000C,00100,0600,NURSING HOMES 63490,A81000C,00200,0100,G 63490,A81000C,00200,0200,MARINER PAN 63490,A81000C,00200,0400,AMER PHARM SVCS 63490,A81000C,00200,0600,PHARMACEUTICALS 63490,A81000C,00300,0100,G 63490,A81000C,00300,0200,MARINER PAN 63490,A81000C,00300,0400,PRISM-ATS-ARS-T 63490,A81000C,00300,0600,THERAPIES 63490,B100000,00000,0100,00001SQUARE FEET 63490,B100000,00000,0200,00001SQUARE FEET 63490,B100000,00000,0300,00001GROSS SALARIES 63490,B100000,00000,0400,00001ACCUM COST 63490,B100000,00000,0500,00001SQUARE FEET 63490,B100000,00000,0600,00001PATIENT DAYS 63490,B100000,00000,0700,00001SQUARE FEET 63490,B100000,00000,0800,00001MEALS SERVED 63490,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63490,B100000,00000,1000,00001COSTED REQUISITIO 63490,B100000,00000,1100,00001COSTED REQUIS 63490,B100000,00000,1200,00001PATIENT DAYS 63490,B100000,00000,1300,00001PATIENT DAYS 63490,B100000,00000,1301,00001PATIENT DAYS 63490,B100000,00000,1350,00001UNITS OF SERVICE 63490,B100000,00000,1400,00001ASSIGNED TIME 63490,S000000,00100,0200,02/29/2000 63490,S200000,00100,0100,1420 SOUTH 3RD AVENUE 63490,S200000,00200,0100,STERLING 63490,S200000,00200,0200,CO 63490,S200000,00200,0300,80751 63490,S200000,00300,0100,LOGAN 63490,S200000,00400,0100,STERLING LIVING CENTER 63490,S200000,00400,0200,065174 63490,S200000,00400,0300,04/01/1983 63490,S200000,00400,0500,P 63490,S200000,01600,0100,Y 63490,S200000,02200,0100,Y 63490,S200000,04300,0100,Y 63497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63497,A000000,00300,0000,00300EMPLOYEE BENEFITS 63497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63497,A000000,00700,0000,00700HOUSEKEEPING 63497,A000000,00800,0000,00800DIETARY 63497,A000000,00900,0000,00900NURSING ADMINISTRATION 63497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63497,A000000,01100,0000,01100PHARMACY 63497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63497,A000000,01300,0000,01300SOCIAL SERVICE 63497,A000000,01301,0000,01301ACTIVITES 63497,A000000,01350,0000,01500REHABILITATION 63497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63497,A000000,01600,0000,01600SKILLED NURSING FACILITY 63497,A000000,01800,0000,01800NURSING FACILITY 63497,A000000,01810,0000,01810ICF/MR 63497,A000000,02100,0000,02100RADIOLOGY 63497,A000000,02200,0000,02200LABORATORY 63497,A000000,02300,0000,02300INTRAVENOUS THERAPY 63497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63497,A000000,02500,0000,02500PHYSICAL THERAPY 63497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63497,A000000,02700,0000,02700SPEECH PATHOLOGY 63497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63497,A000000,03050,0000,03300EQUIPMENT RENTAL 63497,A000000,03051,0000,03301PEN THERAPY 63497,A000000,03550,0000,03550FQHC 63497,A000000,05000,0000,05000CORF 63497,A000000,05010,0000,05010CMHC 63497,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63497,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63497,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63497,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63497,A000000,06150,0000,06300VENDING 63497,A000000,06151,0000,06301STAND-BY 63497,A000000,06200,0000,06200PATIENTS LAUNDRY 63497,A81000A,00100,0100,Y 63497,A81000B,00100,0300,HOME OFFICE COST 63497,A81000B,00200,0300,DIETARY SUPPLEMENTS 63497,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63497,A81000B,00400,0300,PRESCRIPTION DRUGS 63497,A81000B,00500,0300,MEDICAL SUPPLIES 63497,A81000B,00600,0300,ADMIN COSTS 63497,A81000B,00700,0300,HOME OFFICE INTEREST 63497,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63497,A81000B,00900,0300,IV THERAPY 63497,A81000B,01000,0300,THERAPY CONSULTING 63497,A81000B,01100,0300,PHYSICAL THERAPY 63497,A81000B,01200,0300,OCCUPATIONAL THERAPY 63497,A81000B,01300,0300,SPEECH THERAPY 63497,A81000B,01400,0300,ANC EQUIP RENTAL 63497,A81000C,00100,0100,B 63497,A81000C,00100,0200,CEDARWOOD 10714 63497,A81000C,00100,0400,MARINER PAN 63497,A81000C,00100,0600,NURSING HOMES 63497,A81000C,00200,0100,G 63497,A81000C,00200,0200,MARINER PAN 63497,A81000C,00200,0400,AMER PHARM SVCS 63497,A81000C,00200,0600,PHARMACEUTICALS 63497,A81000C,00300,0100,G 63497,A81000C,00300,0200,MARINER PAN 63497,A81000C,00300,0400,PRISM-ATS-ARS-T 63497,A81000C,00300,0600,THERAPIES 63497,B100000,00000,0100,00001SQUARE FEET 63497,B100000,00000,0200,00001SQUARE FEET 63497,B100000,00000,0300,00001GROSS SALARIES 63497,B100000,00000,0400,00001ACCUM COST 63497,B100000,00000,0500,00001SQUARE FEET 63497,B100000,00000,0600,00001PATIENT DAYS 63497,B100000,00000,0700,00001SQUARE FEET 63497,B100000,00000,0800,00001MEALS SERVED 63497,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63497,B100000,00000,1000,00001COSTED REQUISITIO 63497,B100000,00000,1100,00001COSTED REQUIS 63497,B100000,00000,1200,00001PATIENT DAYS 63497,B100000,00000,1300,00001PATIENT DAYS 63497,B100000,00000,1301,00001PATIENT DAYS 63497,B100000,00000,1350,00001UNITS OF SERVICE 63497,B100000,00000,1400,00001ASSIGNED TIME 63497,S000000,00100,0200,02/29/2000 63497,S200000,00100,0100,924 W KIOWA 63497,S200000,00200,0100,COLORADO SPRINGS 63497,S200000,00200,0200,CO 63497,S200000,00200,0300,80905 63497,S200000,00300,0100,EL PASO 63497,S200000,00400,0100,CEDARWOOD HEALTH CARE CENTER 63497,S200000,00400,0200,065175 63497,S200000,00400,0300,04/01/1983 63497,S200000,00400,0500,P 63497,S200000,01600,0100,Y 63497,S200000,02200,0100,Y 63497,S200000,04300,0100,Y 63527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63527,A000000,00300,0000,00300EMPLOYEE BENEFITS 63527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63527,A000000,00700,0000,00700HOUSEKEEPING 63527,A000000,00800,0000,00800DIETARY 63527,A000000,00900,0000,00900NURSING ADMINISTRATION 63527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63527,A000000,01100,0000,01100PHARMACY 63527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63527,A000000,01300,0000,01300SOCIAL SERVICE 63527,A000000,01350,0000,01500ACTIVITIES 63527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63527,A000000,01600,0000,01600SKILLED NURSING FACILITY 63527,A000000,01800,0000,01800NURSING FACILITY 63527,A000000,01810,0000,01810ICF/MR 63527,A000000,02100,0000,02100RADIOLOGY 63527,A000000,02200,0000,02200LABORATORY 63527,A000000,02300,0000,02300INTRAVENOUS THERAPY 63527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63527,A000000,02500,0000,02500PHYSICAL THERAPY 63527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63527,A000000,02700,0000,02700SPEECH PATHOLOGY 63527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63527,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63527,A000000,03550,0000,03550FQHC 63527,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63527,A000000,05000,0000,05000CORF 63527,A000000,05010,0000,05010CMHC 63527,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63527,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63527,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63527,A000000,05300,0000,05300INTEREST EXPENSE 63527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63527,A81000A,00100,0100,Y 63527,A81000B,00100,0300,MGMT FEES 63527,A81000C,00100,0100,G 63527,A81000C,00100,0200,HERITAGE HEALTH CARE 63527,A81000C,00100,0400,HERITAGE HEALTH CARE 63527,A81000C,00100,0600,FINANCIAL MGMT 63527,B100000,00000,0100,00000SQUARE FEET 63527,B100000,00000,0200,00000SQUARE FEET 63527,B100000,00000,0300,00000GROSS SALARIES 63527,B100000,00000,0400,00000ACCUM. COST 63527,B100000,00000,0500,00000SQUARE FEET 63527,B100000,00000,0600,00000PATIENT DAYS 63527,B100000,00000,0700,00000SQUARE FEET 63527,B100000,00000,0800,00000MEALS SERVED 63527,B100000,00000,0900,00000DIRECT NRSING HRS 63527,B100000,00000,1000,00000GROSS CHARGES 63527,B100000,00000,1100,00000PATIENT DAYS 63527,B100000,00000,1200,00000GROSS CHARGES 63527,B100000,00000,1300,00000TIME SPENT 63527,B100000,00000,1350,00000TIME SPENT 63527,B100000,00000,1400,00000ASSIGNED TIME 63527,S000000,00100,0200,07/05/2000 63527,S200000,00100,0100,1440 COFFMAN STREET 63527,S200000,00200,0100,LONGMONT 63527,S200000,00200,0200,CO 63527,S200000,00200,0300,80501 63527,S200000,00300,0100,BOULDER 63527,S200000,00400,0100,THE PEAKS HEALTH CARE CENTER 63527,S200000,00400,0200,065189 63527,S200000,00400,0300,08/01/1997 63527,S200000,00400,0500,P 63527,S200000,01600,0100,Y 63536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63536,A000000,00300,0000,00300EMPLOYEE BENEFITS 63536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63536,A000000,00700,0000,00700HOUSEKEEPING 63536,A000000,00800,0000,00800DIETARY 63536,A000000,00900,0000,00900NURSING ADMINISTRATION 63536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63536,A000000,01100,0000,01100PHARMACY 63536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63536,A000000,01300,0000,01300SOCIAL SERVICE 63536,A000000,01301,0000,01301ACTIVITES 63536,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 63536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63536,A000000,01600,0000,01600SKILLED NURSING FACILITY 63536,A000000,01800,0000,01800NURSING FACILITY 63536,A000000,01810,0000,01810ICF/MR 63536,A000000,02100,0000,02100RADIOLOGY 63536,A000000,02200,0000,02200LABORATORY 63536,A000000,02300,0000,02300INTRAVENOUS THERAPY 63536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63536,A000000,02500,0000,02500PHYSICAL THERAPY 63536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63536,A000000,02700,0000,02700SPEECH PATHOLOGY 63536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63536,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 63536,A000000,03051,0000,03301PEN THERAPY 63536,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 63536,A000000,03550,0000,03550FQHC 63536,A000000,05000,0000,05000CORF 63536,A000000,05010,0000,05010CMHC 63536,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63536,A000000,05300,0000,05300INTEREST EXPENSE 63536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63536,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 63536,A81000A,00100,0100,Y 63536,A81000B,00100,0300,NON CERT 63536,A81000B,00200,0300,HOME OFFICE 63536,A81000B,00300,0300,MEDICAL SUPPLIES 63536,A81000B,00400,0300,ADMINISTRATION 63536,A81000B,00500,0300,PLANT 63536,A81000B,00600,0300,DIETARY 63536,A81000B,00700,0300,CAPITAL 63536,A81000B,00800,0300,DRUGS 63536,A81000B,00900,0300,EQMNT RNTL 63536,A81000B,01000,0300,PEN 63536,A81000B,01100,0300,NURSING ADMIN 63536,A81000B,01200,0300,IV 63536,A81000B,01300,0300,BEAUTY / BARBER 63536,A81000B,01400,0300,REHAB 63536,A81000B,01500,0300,PT 63536,A81000B,01600,0300,OT 63536,A81000B,01700,0300,ST 63536,A81000C,00100,0100,B 63536,A81000C,00100,0200,FOUR SEASONS 63536,A81000C,00100,0400,MARINER POST AC 63536,A81000C,00100,0600,NURSING HOMES 63536,A81000C,00200,0100,G 63536,A81000C,00200,0200,MARINER POST-A 63536,A81000C,00200,0400,AMERICAN PHARMA 63536,A81000C,00200,0600,PHARMICEUTICALS 63536,A81000C,00300,0100,G 63536,A81000C,00300,0200,MARINER POST-AC 63536,A81000C,00300,0400,PRISM (ATS ARS 63536,A81000C,00300,0600,THERAPIES 63536,B100000,00000,0100,00000SQUARE FEET 63536,B100000,00000,0200,00000SQUARE FEET 63536,B100000,00000,0300,00000GROSS SALARIES 63536,B100000,00000,0400,00000ACCUM COST 63536,B100000,00000,0500,00000SQUARE FEET 63536,B100000,00000,0600,00000POUNDS OF LAUNDRY 63536,B100000,00000,0700,00000HOURS OF SERVICE 63536,B100000,00000,0800,00000MEALS SERVED 63536,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 63536,B100000,00000,1000,00000COSTED REQUISITIO 63536,B100000,00000,1100,00000COSTED REQUISITIO 63536,B100000,00000,1200,00000TIME SPENT 63536,B100000,00000,1300,00000TIME SPENT 63536,B100000,00000,1301,00000PT DAYS 63536,B100000,00000,1350,00000UNITS OF SERVICE 63536,B100000,00000,1400,00000ASSIGNED TIME 63536,S000000,00100,0200,02/29/2000 63536,S200000,00100,0100,1020 PATTON ST 63536,S200000,00200,0100,FT. COLLINS 63536,S200000,00200,0200,CO 63536,S200000,00200,0300,80524 63536,S200000,00300,0100,LARIMER 63536,S200000,00400,0100,FOUR SEASONS HEALTH CARE CENTER 63536,S200000,00400,0200,065192 63536,S200000,00400,0300,09/01/1984 63536,S200000,00400,0500,P 63554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63554,A000000,00300,0000,00300EMPLOYEE BENEFITS 63554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63554,A000000,00700,0000,00700HOUSEKEEPING 63554,A000000,00800,0000,00800DIETARY 63554,A000000,00900,0000,00900NURSING ADMINISTRATION 63554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63554,A000000,01100,0000,01100PHARMACY 63554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63554,A000000,01300,0000,01300SOCIAL SERVICE 63554,A000000,01301,0000,01301ACTIVITES 63554,A000000,01350,0000,01500REHABILITATION 63554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63554,A000000,01600,0000,01600SKILLED NURSING FACILITY 63554,A000000,01800,0000,01800NURSING FACILITY 63554,A000000,01810,0000,01810ICF/MR 63554,A000000,02100,0000,02100RADIOLOGY 63554,A000000,02200,0000,02200LABORATORY 63554,A000000,02300,0000,02300INTRAVENOUS THERAPY 63554,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63554,A000000,02500,0000,02500PHYSICAL THERAPY 63554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63554,A000000,02700,0000,02700SPEECH PATHOLOGY 63554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63554,A000000,03050,0000,03300EQUIPMENT RENTAL 63554,A000000,03051,0000,03301PEN THERAPY 63554,A000000,03550,0000,03550FQHC 63554,A000000,05000,0000,05000CORF 63554,A000000,05010,0000,05010CMHC 63554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63554,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63554,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63554,A000000,06150,0000,06300VENDING 63554,A000000,06151,0000,06301STAND-BY 63554,A81000A,00100,0100,Y 63554,A81000B,00100,0300,HOME OFFICE COST 63554,A81000B,00200,0300,DIETARY SUPPLEMENTS 63554,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63554,A81000B,00400,0300,PRESCRIPTION DRUGS 63554,A81000B,00500,0300,MEDICAL SUPPLIES 63554,A81000B,00600,0300,ADMIN COSTS 63554,A81000B,00900,0300,IV THERAPY 63554,A81000B,01000,0300,THERAPY CONSULTING 63554,A81000B,01100,0300,PHYSICAL THERAPY 63554,A81000B,01200,0300,OCCUPATIONAL THERAPY 63554,A81000B,01500,0300,PEN THERAPY 63554,A81000C,00100,0100,B 63554,A81000C,00100,0200,SAN JUAN 10709 63554,A81000C,00100,0400,MARINER PAN 63554,A81000C,00100,0600,NURSING HOMES 63554,A81000C,00200,0100,G 63554,A81000C,00200,0200,MARINER PAN 63554,A81000C,00200,0400,AMER PHARM SVCS 63554,A81000C,00200,0600,PHARMACEUTICALS 63554,A81000C,00300,0100,G 63554,A81000C,00300,0200,MARINER PAN 63554,A81000C,00300,0400,PRISM-ATS-ARS-T 63554,A81000C,00300,0600,THERAPIES 63554,B100000,00000,0100,00001SQUARE FEET 63554,B100000,00000,0200,00001SQUARE FEET 63554,B100000,00000,0300,00001GROSS SALARIES 63554,B100000,00000,0400,00001ACCUM COST 63554,B100000,00000,0500,00001SQUARE FEET 63554,B100000,00000,0600,00001PATIENT DAYS 63554,B100000,00000,0700,00001SQUARE FEET 63554,B100000,00000,0800,00001MEALS SERVED 63554,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63554,B100000,00000,1000,00001COSTED REQUISITIO 63554,B100000,00000,1100,00001COSTED REQUIS 63554,B100000,00000,1200,00001PATIENT DAYS 63554,B100000,00000,1300,00001PATIENT DAYS 63554,B100000,00000,1301,00001PATIENT DAYS 63554,B100000,00000,1350,00001UNITS OF SERVICE 63554,B100000,00000,1400,00001ASSIGNED TIME 63554,S000000,00100,0200,02/29/2000 63554,S200000,00100,0100,1043 RIDGE ST 63554,S200000,00200,0100,MONTROSE 63554,S200000,00200,0200,CO 63554,S200000,00200,0300,81401 63554,S200000,00300,0100,MONTROSE 63554,S200000,00400,0100,SAN JUAN LIVING CENTER 63554,S200000,00400,0200,065195 63554,S200000,00400,0300,01/01/1983 63554,S200000,00400,0500,P 63554,S200000,01600,0100,Y 63554,S200000,02200,0100,Y 63554,S200000,04300,0100,Y 63563,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63563,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63563,A000000,00300,0000,00300EMPLOYEE BENEFITS 63563,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63563,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63563,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63563,A000000,00700,0000,00700HOUSEKEEPING 63563,A000000,00800,0000,00800DIETARY 63563,A000000,00900,0000,00900NURSING ADMINISTRATION 63563,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63563,A000000,01100,0000,01100PHARMACY 63563,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63563,A000000,01300,0000,01300SOCIAL SERVICE 63563,A000000,01301,0000,01301ACTIVITIES 63563,A000000,01350,0000,01500REHAB 63563,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63563,A000000,01600,0000,01600SKILLED NURSING FACILITY 63563,A000000,01800,0000,01800NURSING FACILITY 63563,A000000,01810,0000,01810ICF/MR 63563,A000000,02100,0000,02100RADIOLOGY 63563,A000000,02200,0000,02200LABORATORY 63563,A000000,02300,0000,02300INTRAVENOUS THERAPY 63563,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63563,A000000,02500,0000,02500PHYSICAL THERAPY 63563,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63563,A000000,02700,0000,02700SPEECH PATHOLOGY 63563,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63563,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63563,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 63563,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 63563,A000000,03550,0000,03550FQHC 63563,A000000,04800,0000,04800AMBULANCE 63563,A000000,05000,0000,05000CORF 63563,A000000,05010,0000,05010CMHC 63563,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63563,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63563,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63563,A000000,05300,0000,05300INTEREST EXPENSE 63563,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63563,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63563,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63563,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 63563,A81000A,00100,0100,Y 63563,A81000B,00100,0300,HOME OFFICE ALLOCATION 63563,A81000B,00200,0300,REHAB 63563,A81000B,00300,0300,PT 63563,A81000B,00400,0300,OT 63563,A81000B,00500,0300,ST 63563,A81000C,00100,0100,B 63563,A81000C,00100,0200,CEDARS 10727 63563,A81000C,00100,0400,MARINER POST AC 63563,A81000C,00100,0600,NURSING HOMES 63563,A81000C,00200,0100,G 63563,A81000C,00200,0200,MARINER POST AC 63563,A81000C,00200,0400,AMERICAN PHARMA 63563,A81000C,00200,0600,PHARMACEUTICALS 63563,A81000C,00300,0100,G 63563,A81000C,00300,0200,MARINER POST AC 63563,A81000C,00300,0400,PRISM (ATS ARS 63563,A81000C,00300,0600,THERAPIES 63563,B100000,00000,0100,00000SQUARE FEET 63563,B100000,00000,0200,00000SQUARE FEET 63563,B100000,00000,0300,00000GROSS SALARIES 63563,B100000,00000,0400,00000ACCUM COST 63563,B100000,00000,0500,00000SQUARE FEET 63563,B100000,00000,0600,00000PATIENT DAYS 63563,B100000,00000,0700,00000SQUARE FEET 63563,B100000,00000,0800,00000MEALS SERVED 63563,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 63563,B100000,00000,1000,00000PATIENT DAYS 63563,B100000,00000,1100,00000COSTED REQUIS 63563,B100000,00000,1200,00000PATIENT DAYS 63563,B100000,00000,1300,00000PATIENT DAYS 63563,B100000,00000,1301,00000PATIENT DAYS 63563,B100000,00000,1350,00000UNITS OF SERVICE 63563,B100000,00000,1400,00000ASSIGNED TIME 63563,S000000,00100,0200,06/01/2000 63563,S200000,00100,0100,1599 INGALLS 63563,S200000,00200,0100,LAKEWOOD 63563,S200000,00200,0200,CO 63563,S200000,00200,0300,80214 63563,S200000,00300,0100,JEFFERSON 63563,S200000,00400,0100,CEDARS HEALTHCARE CENTER 63563,S200000,00400,0200,065202 63563,S200000,00400,0300,01/01/1980 63563,S200000,00400,0500,P 63593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63593,A000000,00300,0000,00300EMPLOYEE BENEFITS 63593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63593,A000000,00700,0000,00700HOUSEKEEPING 63593,A000000,00800,0000,00800DIETARY 63593,A000000,00900,0000,00900NURSING ADMINISTRATION 63593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63593,A000000,01100,0000,01100PHARMACY 63593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63593,A000000,01300,0000,01300SOCIAL SERVICE 63593,A000000,01350,0000,01500OTHER GENERAL - ACTIVITIES 63593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63593,A000000,01600,0000,01600SKILLED NURSING FACILITY 63593,A000000,01810,0000,01810ICF/MR 63593,A000000,02100,0000,02100RADIOLOGY 63593,A000000,02200,0000,02200LABORATORY 63593,A000000,02300,0000,02300INTRAVENOUS THERAPY 63593,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63593,A000000,02500,0000,02500PHYSICAL THERAPY 63593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63593,A000000,02700,0000,02700SPEECH PATHOLOGY 63593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63593,A000000,03550,0000,03550FQHC 63593,A000000,05000,0000,05000CORF 63593,A000000,05010,0000,05010CMHC 63593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63593,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 63593,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63593,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 63593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63593,A81000A,00100,0100,Y 63593,A81000B,00100,0300,FACILITY LEASE 63593,A81000C,00100,0400,SUFFOLK MANAGEM 63593,B100000,00000,0100,00000SQUARE FEET 63593,B100000,00000,0200,00000SQUARE FEET 63593,B100000,00000,0300,00000GROSS SALARIES 63593,B100000,00000,0400,00000ACCUM COST 63593,B100000,00000,0500,00000SQUARE FEET 63593,B100000,00000,0600,00000HOURS SPENT 63593,B100000,00000,0700,00000HOURS OF SERVICE 63593,B100000,00000,0800,00000HOURS OF SERVICE 63593,B100000,00000,0900,00000DIRECT NRSG HRS 63593,B100000,00000,1000,00000COSTED REQUIS 63593,B100000,00000,1100,00000COSTED REQUIS 63593,B100000,00000,1200,00000TIME SPENT 63593,B100000,00000,1300,00000TIME SPENT 63593,B100000,00000,1350,00000TIME SPENT 63593,B100000,00000,1400,00000ASSIGNED TIME 63593,S000000,00100,0200,06/22/2000 63593,S200000,00100,0100,1700 8TH AVENUE 63593,S200000,00200,0100,GREELY 63593,S200000,00200,0200,CO 63593,S200000,00200,0300,80631 63593,S200000,00300,0100,WELD 63593,S200000,00400,0100,FAIRACRES MANOR 63593,S200000,00400,0200,065211 63593,S200000,00400,0300,08/01/1985 63593,S200000,00400,0500,P 63593,S200000,01600,0100,Y 63613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63613,A000000,00300,0000,00300EMPLOYEE BENEFITS 63613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63613,A000000,00700,0000,00700HOUSEKEEPING 63613,A000000,00800,0000,00800DIETARY 63613,A000000,00900,0000,00900NURSING ADMINISTRATION 63613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63613,A000000,01100,0000,01100PHARMACY 63613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63613,A000000,01300,0000,01300SOCIAL SERVICE 63613,A000000,01350,0000,01500ACTIVITIES 63613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63613,A000000,01600,0000,01600SKILLED NURSING FACILITY 63613,A000000,01800,0000,01800NURSING FACILITY 63613,A000000,01810,0000,01810ICF/MR 63613,A000000,01900,0000,01900OTHER LONG TERM CARE 63613,A000000,02100,0000,02100RADIOLOGY 63613,A000000,02200,0000,02200LABORATORY 63613,A000000,02300,0000,02300INTRAVENOUS THERAPY 63613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63613,A000000,02500,0000,02500PHYSICAL THERAPY 63613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63613,A000000,02700,0000,02700SPEECH PATHOLOGY 63613,A000000,02800,0000,02800ELECTROCARDIOLOGY 63613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63613,A000000,03200,0000,03200SUPPORT SURFACES 63613,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63613,A000000,03550,0000,03550FQHC 63613,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63613,A000000,05000,0000,05000CORF 63613,A000000,05010,0000,05010CMHC 63613,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63613,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63613,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63613,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63613,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63613,A81000A,00100,0100,Y 63613,A81000B,00100,0300,MGMT FEES-OPERATING 63613,A81000C,00100,0100,B 63613,A81000C,00100,0200,AMERICAN BAPTIST HOMES MW 63613,A81000C,00100,0400,AMERICAN BAPTIST HOMES MW 63613,A81000C,00100,0600,MANAGEMENT COMPANY 63613,B100000,00000,0100,00000SQUARE FEET 63613,B100000,00000,0200,00000SQUARE FEET 63613,B100000,00000,0300,00000GROSS SALARIES 63613,B100000,00000,0400,00000ACCUM. COST 63613,B100000,00000,0500,00000SQUARE FEET 63613,B100000,00000,0600,00000POUNDS OF LAUNDRY 63613,B100000,00000,0700,00000SQUARE FEET 63613,B100000,00000,0800,00000MEALS SERVED 63613,B100000,00000,0900,00000TIME SPENT 63613,B100000,00000,1000,00000PATIENT DAYS 63613,B100000,00000,1100,00000PATIENT DAYS 63613,B100000,00000,1200,00000GROSS CHARGES 63613,B100000,00000,1300,00000TIME SPENT 63613,B100000,00000,1350,00000PATIENT DAYS 63613,B100000,00000,1400,00000NO STATISTICS 63613,S000000,00100,0200,02/08/2001 63613,S200000,00100,0100,1535 PARK AVENUE 63613,S200000,00200,0100,DENVER 63613,S200000,00200,0200,CO 63613,S200000,00200,0300,80218 63613,S200000,00300,0100,D 63613,S200000,00400,0100,HEALTH CENTER AT FRANKLIN PARK 63613,S200000,00400,0200,065213 63613,S200000,00400,0300,07/01/1985 63613,S200000,00400,0500,P 63613,S200000,01600,0100,Y 63613,S200000,04300,0100,Y 63613,S200000,04700,0100,Y 63629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63629,A000000,00300,0000,00300EMPLOYEE BENEFITS 63629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63629,A000000,00700,0000,00700HOUSEKEEPING 63629,A000000,00800,0000,00800DIETARY 63629,A000000,00900,0000,00900NURSING ADMINISTRATION 63629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63629,A000000,01100,0000,01100PHARMACY 63629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63629,A000000,01300,0000,01300SOCIAL SERVICE 63629,A000000,01301,0000,01301ACTIVITES 63629,A000000,01350,0000,01500REHABILITATION 63629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63629,A000000,01600,0000,01600SKILLED NURSING FACILITY 63629,A000000,01800,0000,01800NURSING FACILITY 63629,A000000,01810,0000,01810ICF/MR 63629,A000000,01900,0000,01900OTHER LONG TERM CARE 63629,A000000,02100,0000,02100RADIOLOGY 63629,A000000,02200,0000,02200LABORATORY 63629,A000000,02300,0000,02300INTRAVENOUS THERAPY 63629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63629,A000000,02500,0000,02500PHYSICAL THERAPY 63629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63629,A000000,02700,0000,02700SPEECH PATHOLOGY 63629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63629,A000000,03050,0000,03300EQUIPMENT RENTAL 63629,A000000,03051,0000,03301PEN THERAPY 63629,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 63629,A000000,03550,0000,03550FQHC 63629,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63629,A000000,04800,0000,04800AMBULANCE 63629,A000000,05000,0000,05000CORF 63629,A000000,05010,0000,05010CMHC 63629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63629,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63629,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63629,A000000,06150,0000,06300VENDING 63629,A000000,06151,0000,06301STAND-BY 63629,A81000A,00100,0100,Y 63629,A81000B,00100,0300,HOME OFFICE COST 63629,A81000B,00200,0300,DIETARY SUPPLEMENTS 63629,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63629,A81000B,00400,0300,PRESCRIPTION DRUGS 63629,A81000B,00500,0300,MEDICAL SUPPLIES 63629,A81000B,00600,0300,ADMIN COSTS 63629,A81000B,00700,0300,HOME OFFICE INTEREST 63629,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63629,A81000B,00900,0300,IV THERAPY 63629,A81000B,01000,0300,THERAPY CONSULTING 63629,A81000B,01100,0300,PHYSICAL THERAPY 63629,A81000B,01200,0300,OCCUPATIONAL THERAPY 63629,A81000B,01300,0300,SPEECH THERAPY 63629,A81000B,01400,0300,ANC EQUIP RENTAL 63629,A81000B,01500,0300,PEN 63629,A81000C,00100,0100,B 63629,A81000C,00100,0200,SPRING CREEK 10 63629,A81000C,00100,0400,MARINER PAN 63629,A81000C,00100,0600,NURSING HOMES 63629,A81000C,00200,0100,G 63629,A81000C,00200,0200,MARINER PAN 63629,A81000C,00200,0400,AMER PHARM SVCS 63629,A81000C,00200,0600,PHARMACEUTICALS 63629,A81000C,00300,0100,G 63629,A81000C,00300,0200,MARINER PAN 63629,A81000C,00300,0400,PRISM-ATS-ARS-T 63629,A81000C,00300,0600,THERAPIES 63629,B100000,00000,0100,00001SQUARE FEET 63629,B100000,00000,0200,00001SQUARE FEET 63629,B100000,00000,0300,00001GROSS SALARIES 63629,B100000,00000,0400,00001ACCUM COST 63629,B100000,00000,0500,00001SQUARE FEET 63629,B100000,00000,0600,00001PATIENT DAYS 63629,B100000,00000,0700,00001SQUARE FEET 63629,B100000,00000,0800,00001MEALS SERVED 63629,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63629,B100000,00000,1000,00001COSTED REQUISITIO 63629,B100000,00000,1100,00001COSTED REQUIS 63629,B100000,00000,1200,00001PATIENT DAYS 63629,B100000,00000,1300,00001PATIENT DAYS 63629,B100000,00000,1301,00001PATIENT DAYS 63629,B100000,00000,1350,00001UNITS OF SERVICE 63629,B100000,00000,1400,00001ASSIGNED TIME 63629,S000000,00100,0200,02/29/2000 63629,S200000,00100,0100,1000 E. STUART ST 63629,S200000,00200,0100,FT. COLLINS 63629,S200000,00200,0200,CO 63629,S200000,00200,0300,80525 63629,S200000,00300,0100,LARIMER 63629,S200000,00400,0100,SPRING CREEK HEALTH CARE CENTER 63629,S200000,00400,0200,065221 63629,S200000,00400,0300,10/01/1985 63629,S200000,00400,0500,P 63629,S200000,01600,0100,Y 63629,S200000,02200,0100,Y 63629,S200000,04300,0100,Y 63640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63640,A000000,00300,0000,00300EMPLOYEE BENEFITS 63640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63640,A000000,00700,0000,00700HOUSEKEEPING 63640,A000000,00800,0000,00800DIETARY 63640,A000000,00900,0000,00900NURSING ADMINISTRATION 63640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63640,A000000,01100,0000,01100PHARMACY 63640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63640,A000000,01300,0000,01300SOCIAL SERVICE 63640,A000000,01301,0000,01301ACTIVITES 63640,A000000,01350,0000,01500REHABILITATION 63640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63640,A000000,01600,0000,01600SKILLED NURSING FACILITY 63640,A000000,01800,0000,01800NURSING FACILITY 63640,A000000,01810,0000,01810ICF/MR 63640,A000000,02100,0000,02100RADIOLOGY 63640,A000000,02200,0000,02200LABORATORY 63640,A000000,02300,0000,02300INTRAVENOUS THERAPY 63640,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63640,A000000,02500,0000,02500PHYSICAL THERAPY 63640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63640,A000000,02700,0000,02700SPEECH PATHOLOGY 63640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63640,A000000,03050,0000,03300EQUIPMENT RENTAL 63640,A000000,03051,0000,03301PEN THERAPY 63640,A000000,03550,0000,03550FQHC 63640,A000000,05000,0000,05000CORF 63640,A000000,05010,0000,05010CMHC 63640,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63640,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63640,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63640,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63640,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63640,A000000,06150,0000,06300VENDING 63640,A000000,06151,0000,06301STAND-BY 63640,A81000A,00100,0100,Y 63640,A81000B,00100,0300,HOME OFFICE COST 63640,A81000B,00200,0300,DIETARY SUPPLEMENTS 63640,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63640,A81000B,00400,0300,PRESCRIPTION DRUGS 63640,A81000B,00500,0300,MEDICAL SUPPLIES 63640,A81000B,00600,0300,ADMIN COSTS 63640,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63640,A81000B,00900,0300,IV THERAPY 63640,A81000B,01100,0300,PHYSICAL THERAPY 63640,A81000B,01200,0300,OCCUPATIONAL THERAPY 63640,A81000B,01300,0300,SPEECH THERAPY 63640,A81000B,01400,0300,ANC EQUIP RENTAL 63640,A81000B,01500,0300,CAPITAL 63640,A81000C,00100,0100,B 63640,A81000C,00100,0200,BOULDER MANOR 63640,A81000C,00100,0400,MARINER PAN 63640,A81000C,00100,0600,NURSING HOMES 63640,A81000C,00200,0100,G 63640,A81000C,00200,0200,MARINER PAN 63640,A81000C,00200,0400,AMER PHARM SVCS 63640,A81000C,00200,0600,PHARMACEUTICALS 63640,A81000C,00300,0100,G 63640,A81000C,00300,0200,MARINER PAN 63640,A81000C,00300,0400,PRISM-ATS-ARS-T 63640,A81000C,00300,0600,THERAPIES 63640,B100000,00000,0100,00001SQUARE FEET 63640,B100000,00000,0200,00001SQUARE FEET 63640,B100000,00000,0300,00001GROSS SALARIES 63640,B100000,00000,0400,00001ACCUM COST 63640,B100000,00000,0500,00001SQUARE FEET 63640,B100000,00000,0600,00001PATIENT DAYS 63640,B100000,00000,0700,00001SQUARE FEET 63640,B100000,00000,0800,00001MEALS SERVED 63640,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63640,B100000,00000,1000,00001COSTED REQUIS 63640,B100000,00000,1100,00001COSTED REQUIS 63640,B100000,00000,1200,00001PATIENT DAYS 63640,B100000,00000,1300,00001PATIENT DAYS 63640,B100000,00000,1301,00001PATIENT DAYS 63640,B100000,00000,1350,00001UNITS OF SERVICE 63640,B100000,00000,1400,00001ASSIGNED TIME 63640,S000000,00100,0200,02/29/2000 63640,S200000,00100,0100,4685 E. BASELINE RD 63640,S200000,00200,0100,BOULDER 63640,S200000,00200,0200,CO 63640,S200000,00200,0300,80303 63640,S200000,00300,0100,BOULDER 63640,S200000,00400,0100,BOULDER MANOR 63640,S200000,00400,0200,065222 63640,S200000,00400,0300,10/01/1985 63640,S200000,00400,0500,P 63640,S200000,01600,0100,Y 63640,S200000,02200,0100,Y 63640,S200000,04300,0100,Y 63649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63649,A000000,00300,0000,00300EMPLOYEE BENEFITS 63649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63649,A000000,00700,0000,00700HOUSEKEEPING 63649,A000000,00800,0000,00800DIETARY 63649,A000000,00900,0000,00900NURSING ADMINISTRATION 63649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63649,A000000,01100,0000,01100PHARMACY 63649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63649,A000000,01300,0000,01300SOCIAL SERVICE 63649,A000000,01301,0000,01301ACTIVITES 63649,A000000,01350,0000,01500REHABILITATION 63649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63649,A000000,01600,0000,01600SKILLED NURSING FACILITY 63649,A000000,01800,0000,01800NURSING FACILITY 63649,A000000,01810,0000,01810ICF/MR 63649,A000000,02100,0000,02100RADIOLOGY 63649,A000000,02200,0000,02200LABORATORY 63649,A000000,02300,0000,02300INTRAVENOUS THERAPY 63649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63649,A000000,02500,0000,02500PHYSICAL THERAPY 63649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63649,A000000,02700,0000,02700SPEECH PATHOLOGY 63649,A000000,02800,0000,02800ELECTROCARDIOLOGY 63649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63649,A000000,03050,0000,03300EQUIPMENT RENTAL 63649,A000000,03051,0000,03301PEN THERAPY 63649,A000000,03550,0000,03550FQHC 63649,A000000,05000,0000,05000CORF 63649,A000000,05010,0000,05010CMHC 63649,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63649,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63649,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63649,A000000,06150,0000,06300VENDING 63649,A000000,06151,0000,06301STAND-BY 63649,A81000A,00100,0100,Y 63649,A81000B,00100,0300,HOME OFFICE COST 63649,A81000B,00200,0300,DIETARY SUPPLEMENTS 63649,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63649,A81000B,00400,0300,PRESCRIPTION DRUGS 63649,A81000B,00500,0300,MEDICAL SUPPLIES 63649,A81000B,00600,0300,ADMIN COSTS 63649,A81000B,00900,0300,IV THERAPY 63649,A81000B,01100,0300,PHYSICAL THERAPY 63649,A81000B,01200,0300,OCCUPATIONAL THERAPY 63649,A81000B,01300,0300,SPEECH THERAPY 63649,A81000B,01400,0300,ANC EQUIP RENTAL 63649,A81000B,01500,0300,CAPITAL 63649,A81000C,00100,0100,B 63649,A81000C,00100,0200,COLONIAL COLUMN 63649,A81000C,00100,0400,MARINER PAN 63649,A81000C,00100,0600,NURSING HOMES 63649,A81000C,00200,0100,G 63649,A81000C,00200,0200,MARINER PAN 63649,A81000C,00200,0400,AMER PHARM SVCS 63649,A81000C,00200,0600,PHARMACEUTICALS 63649,A81000C,00300,0100,G 63649,A81000C,00300,0200,MARINER PAN 63649,A81000C,00300,0400,PRISM-ATS-ARS-T 63649,A81000C,00300,0600,THERAPIES 63649,B100000,00000,0100,00001SQUARE FEET 63649,B100000,00000,0200,00001SQUARE FEET 63649,B100000,00000,0300,00001GROSS SALARIES 63649,B100000,00000,0400,00001ACCUM COST 63649,B100000,00000,0500,00001SQUARE FEET 63649,B100000,00000,0600,00001PATIENT DAYS 63649,B100000,00000,0700,00001SQUARE FEET 63649,B100000,00000,0800,00001MEALS SERVED 63649,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63649,B100000,00000,1000,00001COSTED REQUISITIO 63649,B100000,00000,1100,00001COSTED REQUIS 63649,B100000,00000,1200,00001PATIENT DAYS 63649,B100000,00000,1300,00001PATIENT DAYS 63649,B100000,00000,1301,00001PATIENT DAYS 63649,B100000,00000,1350,00001UNITS OF SERVICE 63649,B100000,00000,1400,00001ASSIGNED TIME 63649,S000000,00100,0200,02/29/2000 63649,S200000,00100,0100,1340 E. FILLMORE 63649,S200000,00200,0100,COLORADO SPRINGS 63649,S200000,00200,0200,CO 63649,S200000,00200,0300,80907 63649,S200000,00300,0100,EL PASO 63649,S200000,00400,0100,COLONIAL COLUMNS NURSING CENTER 63649,S200000,00400,0200,065225 63649,S200000,00400,0300,12/01/1985 63649,S200000,00400,0500,P 63649,S200000,01600,0100,Y 63649,S200000,02200,0100,Y 63649,S200000,04300,0100,Y 63737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63737,A000000,00300,0000,00300EMPLOYEE BENEFITS 63737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63737,A000000,00700,0000,00700HOUSEKEEPING 63737,A000000,00800,0000,00800DIETARY 63737,A000000,00900,0000,00900NURSING ADMINISTRATION 63737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63737,A000000,01100,0000,01100PHARMACY 63737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63737,A000000,01300,0000,01300SOCIAL SERVICE 63737,A000000,01350,0000,01500ACTIVITIES 63737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63737,A000000,01600,0000,01600SKILLED NURSING FACILITY 63737,A000000,01800,0000,01800NURSING FACILITY 63737,A000000,01810,0000,01810ICF/MR 63737,A000000,02100,0000,02100RADIOLOGY 63737,A000000,02200,0000,02200LABORATORY 63737,A000000,02300,0000,02300INTRAVENOUS THERAPY 63737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63737,A000000,02500,0000,02500PHYSICAL THERAPY 63737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63737,A000000,02700,0000,02700SPEECH PATHOLOGY 63737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63737,A000000,03200,0000,03200SUPPORT SURFACES 63737,A000000,03550,0000,03550FQHC 63737,A000000,05000,0000,05000CORF 63737,A000000,05010,0000,05010CMHC 63737,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63737,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63737,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63737,A81000A,00100,0100,Y 63737,A81000B,00100,0300,BUILDING RENT 63737,A81000B,00200,0300,HOME OFFICE COSTS 63737,A81000B,00300,0300,HOME OFFICE COSTS 63737,A81000B,00400,0300,HOME OFFICE COSTS 63737,A81000B,00500,0300,PHYSICAL THERAPY 63737,A81000B,00600,0300,OCCUPATIONAL THERAPY 63737,A81000B,00700,0300,SPEECH THERAPY 63737,A81000B,00800,0300,MEDICAL SUPPLIES 63737,A81000B,00900,0300,OXYGEN 63737,A81000B,01000,0300,PHARMACY 63737,A81000B,01100,0300,PAINTING/MAINT 63737,A81000B,01200,0300,EDUCATION/SUPPLIES 63737,A81000B,01300,0300,GARAGE RENT 63737,A81000B,01400,0300,PARK EXPENSE 63737,A81000B,01500,0300,NURSING POOL 63737,A81000B,01600,0300,CENTRALIZED BILLING 63737,A81000C,00100,0100,A 63737,A81000C,00100,0200,J. ROBERT WILSO 63737,A81000C,00100,0400,WILSON RENTALS 63737,A81000C,00100,0600,BUILDING RENT 63737,A81000C,00200,0100,A 63737,A81000C,00200,0200,J. ROBERT WILSO 63737,A81000C,00200,0400,COLUMBINE MANAG 63737,A81000C,00200,0600,MANAGEMENT COMP 63737,A81000C,00300,0100,A 63737,A81000C,00300,0200,J. ROBERT WILSO 63737,A81000C,00300,0400,COLUMBINE HEALT 63737,A81000C,00300,0600,HOME HEALTH 63737,A81000C,00400,0100,A 63737,A81000C,00400,0200,J. ROBERT WILSO 63737,A81000C,00400,0400,COLUMBINE MEDIC 63737,A81000C,00400,0600,MEDICAL SUPPLIE 63737,A81000C,00500,0100,A 63737,A81000C,00500,0200,J. ROBERT WILSO 63737,A81000C,00500,0400,CENTRE PHARMACY 63737,A81000C,00500,0600,PHARMACY 63737,A81000C,00600,0100,A 63737,A81000C,00600,0200,J. ROBERT WILSO 63737,A81000C,00600,0400,COLUMBINE PERSO 63737,A81000C,00600,0600,STAFFING 63737,A81000C,00700,0100,A 63737,A81000C,00700,0200,J. ROBERT WILSO 63737,A81000C,00700,0400,WORTHINGTON 63737,A81000C,00700,0600,INDEPENDENT LIV 63737,B100000,00000,0100,00000SQUARE FEET 63737,B100000,00000,0200,00000SQUARE FEET 63737,B100000,00000,0300,00000GROSS SALARIES 63737,B100000,00000,0400,00000ACCUM COST 63737,B100000,00000,0500,00000SQUARE FEET 63737,B100000,00000,0600,00000POUNDS OF LAUNDRY 63737,B100000,00000,0700,00000SQUARE FEET 63737,B100000,00000,0800,00000MEALS SERVED 63737,B100000,00000,0900,00000DIRECT NRSG HRS 63737,B100000,00000,1000,00000GROSS CHARGES 63737,B100000,00000,1100,00000GROSS CHARGES 63737,B100000,00000,1200,00000GROSS CHARGES 63737,B100000,00000,1300,00000ASSIGNED TIME 63737,B100000,00000,1350,00000PATIENT DAYS 63737,B100000,00000,1400,00000ASSIGNED TIME 63737,S000000,00100,0200,06/02/2000 63737,S200000,00400,0100,COLUMBINE CARE CENTER WEST 63737,S200000,00400,0200,065245 63737,S200000,00400,0300,12/20/1988 63737,S200000,00400,0500,P 63737,S200000,01600,0100,Y 63737,S200000,04100,0100,Y 63737,S200000,04200,0100,Y 63737,S200000,04900,0100,Y 63745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63745,A000000,00300,0000,00300EMPLOYEE BENEFITS 63745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63745,A000000,00700,0000,00700HOUSEKEEPING 63745,A000000,00800,0000,00800DIETARY 63745,A000000,00900,0000,00900NURSING ADMINISTRATION 63745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63745,A000000,01100,0000,01100PHARMACY 63745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63745,A000000,01300,0000,01300SOCIAL SERVICE 63745,A000000,01350,0000,01500OTHER GENERAL SERVICES 63745,A000000,01351,0000,01501ACTIVITIES 63745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63745,A000000,01600,0000,01600SKILLED NURSING FACILITY 63745,A000000,01800,0000,01800NURSING FACILITY 63745,A000000,01810,0000,01810ICF/MR 63745,A000000,02100,0000,02100RADIOLOGY 63745,A000000,02200,0000,02200LABORATORY 63745,A000000,02300,0000,02300INTRAVENOUS THERAPY 63745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 63745,A000000,02500,0000,02500PHYSICAL THERAPY 63745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63745,A000000,02700,0000,02700SPEECH PATHOLOGY 63745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 63745,A000000,03201,0000,03201THERAPUETIC BEDS 63745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 63745,A000000,03550,0000,03550FQHC 63745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 63745,A000000,05000,0000,05000CORF 63745,A000000,05010,0000,05010CMHC 63745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 63745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 63745,A81000A,00100,0100,Y 63745,A81000B,00100,0300,CAP REL - BLDG & FIXTURES 63745,A81000B,00200,0300,A & G 63745,A81000C,00100,0100,G 63745,A81000C,00100,0400,SAGE HEALTH SERV. OF IN 63745,A81000C,00100,0600,HEALTH CARE MANAGEMENT 63745,B100000,00000,0100,00000SQUARE FEET 63745,B100000,00000,0200,00000DOLLAR VALUE 63745,B100000,00000,0300,00000GROSS SALARIES 63745,B100000,00000,0400,00000ACCUM. COST 63745,B100000,00000,0500,00000SQUARE FEET 63745,B100000,00000,0600,00000PATIENT DAYS 63745,B100000,00000,0700,00000SQUARE FEET 63745,B100000,00000,0800,00000MEALS SERVED 63745,B100000,00000,0900,00000DIRECT NRSING HRS 63745,B100000,00000,1000,00000COSTED REQUIS. 63745,B100000,00000,1100,00000COSTED REQUIS. 63745,B100000,00000,1200,00000PATIENT DAYS 63745,B100000,00000,1300,00000PATIENT DAYS 63745,B100000,00000,1350,00000NO STATISTICS 63745,B100000,00000,1351,00000PATIENT DAYS 63745,B100000,00000,1400,00000ASSIGNED TIME 63745,S000000,00100,0200,05/31/2000 63745,S200000,00100,0100,5301 WEST FIRST AVE. 63745,S200000,00200,0100,LAKEWOOD 63745,S200000,00200,0200,CO 63745,S200000,00200,0300,80226 63745,S200000,00300,0100,JEFFERSON 63745,S200000,00400,0100,BETHANY HEALTHPLEX 63745,S200000,00400,0200,065248 63745,S200000,00400,0300,04/01/1989 63745,S200000,00400,0500,P 63745,S200000,01600,0100,Y 63778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63778,A000000,00300,0000,00300EMPLOYEE BENEFITS 63778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63778,A000000,00700,0000,00700HOUSEKEEPING 63778,A000000,00800,0000,00800DIETARY 63778,A000000,00900,0000,00900NURSING ADMINISTRATION 63778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63778,A000000,01100,0000,01100PHARMACY 63778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63778,A000000,01300,0000,01300SOCIAL SERVICE 63778,A000000,01301,0000,01301ACTIVITES 63778,A000000,01350,0000,01500REHABILITATION 63778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63778,A000000,01600,0000,01600SKILLED NURSING FACILITY 63778,A000000,01800,0000,01800NURSING FACILITY 63778,A000000,01810,0000,01810ICF/MR 63778,A000000,02200,0000,02200LABORATORY 63778,A000000,02300,0000,02300INTRAVENOUS THERAPY 63778,A000000,02500,0000,02500PHYSICAL THERAPY 63778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63778,A000000,02700,0000,02700SPEECH PATHOLOGY 63778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63778,A000000,03050,0000,03300EQUIPMENT RENTAL 63778,A000000,03051,0000,03301PEN THERAPY 63778,A000000,03550,0000,03550FQHC 63778,A000000,05000,0000,05000CORF 63778,A000000,05010,0000,05010CMHC 63778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63778,A000000,06150,0000,06300VENDING 63778,A000000,06151,0000,06301STAND-BY 63778,A81000A,00100,0100,Y 63778,A81000B,00100,0300,HOME OFFICE COST 63778,A81000B,00200,0300,DIETARY SUPPLEMENTS 63778,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63778,A81000B,00400,0300,PRESCRIPTION DRUGS 63778,A81000B,00500,0300,MEDICAL SUPPLIES 63778,A81000B,00600,0300,ADMIN COSTS 63778,A81000B,00700,0300,HOME OFFICE INTEREST 63778,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63778,A81000B,00900,0300,IV THERAPY 63778,A81000B,01000,0300,THERAPY CONSULTING 63778,A81000B,01100,0300,PHYSICAL THERAPY 63778,A81000B,01200,0300,OCCUPATIONAL THERAPY 63778,A81000B,01300,0300,SPEECH THERAPY 63778,A81000B,01400,0300,ANC EQUIP RENTAL 63778,A81000B,01500,0300,CAPITAL 63778,A81000C,00100,0100,B 63778,A81000C,00100,0200,YUMA 10723 63778,A81000C,00100,0400,MARINER PAN 63778,A81000C,00100,0600,NURSING HOMES 63778,A81000C,00200,0100,G 63778,A81000C,00200,0200,MARINER PAN 63778,A81000C,00200,0400,AMER PHARM SVCS 63778,A81000C,00200,0600,PHARMACEUTICALS 63778,A81000C,00300,0100,G 63778,A81000C,00300,0200,MARINER PAN 63778,A81000C,00300,0400,PRISM-ATS-ARS-T 63778,A81000C,00300,0600,THERAPIES 63778,B100000,00000,0100,00001SQUARE FEET 63778,B100000,00000,0200,00001SQUARE FEET 63778,B100000,00000,0300,00001GROSS SALARIES 63778,B100000,00000,0400,00001ACCUM COST 63778,B100000,00000,0500,00001SQUARE FEET 63778,B100000,00000,0600,00001PATIENT DAYS 63778,B100000,00000,0700,00001SQUARE FEET 63778,B100000,00000,0800,00001MEALS SERVED 63778,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63778,B100000,00000,1000,00001COSTED REQUISITIO 63778,B100000,00000,1100,00001COSTED REQUIS 63778,B100000,00000,1200,00001PATIENT DAYS 63778,B100000,00000,1300,00001PATIENT DAYS 63778,B100000,00000,1301,00001PATIENT DAYS 63778,B100000,00000,1350,00001UNITS OF SERVICE 63778,B100000,00000,1400,00001ASSIGNED TIME 63778,S000000,00100,0200,02/29/2000 63778,S200000,00100,0100,323 W. 9TH AVENUE 63778,S200000,00200,0100,YUMA 63778,S200000,00200,0200,CO 63778,S200000,00200,0300,80759 63778,S200000,00300,0100,YUMA 63778,S200000,00400,0100,YUMA CARE CENTER 63778,S200000,00400,0200,065263 63778,S200000,00400,0300,10/01/1989 63778,S200000,00400,0500,P 63778,S200000,01600,0100,Y 63778,S200000,02200,0100,Y 63778,S200000,04300,0100,Y 63798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 63798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 63798,A000000,00300,0000,00300EMPLOYEE BENEFITS 63798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 63798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 63798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 63798,A000000,00700,0000,00700HOUSEKEEPING 63798,A000000,00800,0000,00800DIETARY 63798,A000000,00900,0000,00900NURSING ADMINISTRATION 63798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 63798,A000000,01100,0000,01100PHARMACY 63798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 63798,A000000,01300,0000,01300SOCIAL SERVICE 63798,A000000,01301,0000,01301ACTIVITES 63798,A000000,01350,0000,01500REHABILITATION 63798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 63798,A000000,01600,0000,01600SKILLED NURSING FACILITY 63798,A000000,01800,0000,01800NURSING FACILITY 63798,A000000,01810,0000,01810ICF/MR 63798,A000000,02100,0000,02100RADIOLOGY 63798,A000000,02200,0000,02200LABORATORY 63798,A000000,02300,0000,02300INTRAVENOUS THERAPY 63798,A000000,02500,0000,02500PHYSICAL THERAPY 63798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 63798,A000000,02700,0000,02700SPEECH PATHOLOGY 63798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 63798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 63798,A000000,03050,0000,03300EQUIPMENT RENTAL 63798,A000000,03051,0000,03301PEN THERAPY 63798,A000000,03550,0000,03550FQHC 63798,A000000,05000,0000,05000CORF 63798,A000000,05010,0000,05010CMHC 63798,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 63798,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 63798,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 63798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 63798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 63798,A000000,06150,0000,06300VENDING 63798,A000000,06151,0000,06301STAND-BY 63798,A81000A,00100,0100,Y 63798,A81000B,00100,0300,HOME OFFICE COST 63798,A81000B,00200,0300,DIETARY SUPPLEMENTS 63798,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 63798,A81000B,00400,0300,PRESCRIPTION DRUGS 63798,A81000B,00500,0300,MEDICAL SUPPLIES 63798,A81000B,00600,0300,ADMIN COSTS 63798,A81000B,00700,0300,HOME OFFICE INTEREST 63798,A81000B,00800,0300,EQUIPMENT REPLACEMENT 63798,A81000B,00900,0300,IV THERAPY 63798,A81000B,01000,0300,THERAPY CONSULTING 63798,A81000B,01100,0300,PHYSICAL THERAPY 63798,A81000B,01200,0300,OCCUPATIONAL THERAPY 63798,A81000B,01300,0300,SPEECH THERAPY 63798,A81000B,01400,0300,ANC EQUIP RENTAL 63798,A81000B,01500,0300,CAPITAL 63798,A81000B,01600,0300,PEN 63798,A81000C,00100,0100,B 63798,A81000C,00100,0200,VALLEY VIEW 107 63798,A81000C,00100,0400,MARINER PAN 63798,A81000C,00100,0600,NURSING HOMES 63798,A81000C,00200,0100,G 63798,A81000C,00200,0200,MARINER PAN 63798,A81000C,00200,0400,AMER PHARM SVCS 63798,A81000C,00200,0600,PHARMACEUTICALS 63798,A81000C,00300,0100,G 63798,A81000C,00300,0200,MARINER PAN 63798,A81000C,00300,0400,PRISM-ATS-ARS-T 63798,A81000C,00300,0600,THERAPIES 63798,B100000,00000,0100,00001SQUARE FEET 63798,B100000,00000,0200,00001SQUARE FEET 63798,B100000,00000,0300,00001GROSS SALARIES 63798,B100000,00000,0400,00001ACCUM COST 63798,B100000,00000,0500,00001SQUARE FEET 63798,B100000,00000,0600,00001PATIENT DAYS 63798,B100000,00000,0700,00001SQUARE FEET 63798,B100000,00000,0800,00001MEALS SERVED 63798,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 63798,B100000,00000,1000,00001COSTED REQUISITIO 63798,B100000,00000,1100,00001COSTED REQUIS 63798,B100000,00000,1200,00001PATIENT DAYS 63798,B100000,00000,1300,00001PATIENT DAYS 63798,B100000,00000,1301,00001PATIENT DAYS 63798,B100000,00000,1350,00001UNITS OF SERVICE 63798,B100000,00000,1400,00001ASSIGNED TIME 63798,S000000,00100,0200,02/29/2000 63798,S200000,00100,0100,943 WEST 8TH DRIVE 63798,S200000,00200,0100,CRAIG 63798,S200000,00200,0200,CO 63798,S200000,00200,0300,81625 63798,S200000,00300,0100,MOFFAT 63798,S200000,00400,0100,VALLEY VIEW MANOR 63798,S200000,00400,0200,065270 63798,S200000,00400,0300,01/01/1990 63798,S200000,00400,0500,P 63798,S200000,01600,0100,Y 63798,S200000,02200,0100,Y 63798,S200000,04300,0100,Y 64011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64011,A000000,00300,0000,00300EMPLOYEE BENEFITS 64011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64011,A000000,00700,0000,00700HOUSEKEEPING 64011,A000000,00800,0000,00800DIETARY 64011,A000000,00900,0000,00900NURSING ADMINISTRATION 64011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64011,A000000,01100,0000,01100PHARMACY 64011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64011,A000000,01300,0000,01300SOCIAL SERVICE 64011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64011,A000000,01600,0000,01600SKILLED NURSING FACILITY 64011,A000000,01810,0000,01810ICF/MR 64011,A000000,02200,0000,02200LABORATORY 64011,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64011,A000000,02500,0000,02500PHYSICAL THERAPY 64011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64011,A000000,02700,0000,02700SPEECH PATHOLOGY 64011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64011,A000000,03200,0000,03200SUPPORT SURFACES 64011,A000000,03550,0000,03550FQHC 64011,A000000,05000,0000,05000CORF 64011,A000000,05010,0000,05010CMHC 64011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64011,A000000,06150,0000,06300ASSISTANCE IN LIVING 64011,A81000A,00100,0100,Y 64011,A81000B,00100,0300,MANAGEMENT FEES 64011,A81000C,00100,0100,B 64011,A81000C,00100,0400,C.M.E. INC. 64011,A81000C,00100,0600,HEALTHCARE 64011,B100000,00000,0100,00000SQUARE FEET 64011,B100000,00000,0200,00000SQUARE FEET 64011,B100000,00000,0300,00000GROSS SALARIES 64011,B100000,00000,0400,00000ACCUM COST 64011,B100000,00000,0500,00000SQUARE FEET 64011,B100000,00000,0600,00000PATIENT DAYS 64011,B100000,00000,0700,00000SQUARE FEET 64011,B100000,00000,0800,00000MEALS SERVED 64011,B100000,00000,0900,00000PATIENT DAYS 64011,B100000,00000,1000,00000COSTED REQUIS 64011,B100000,00000,1100,00000COSTED REQUIS 64011,B100000,00000,1200,00000PATIENT DAYS 64011,B100000,00000,1300,00000PATIENT DAYS 64011,B100000,00000,1400,00000ASSIGNED TIME 64011,S000000,00100,0200,05/26/2000 64011,S200000,00100,0100,1280 GRAND AVENUE 64011,S200000,00200,0100,DEL NORTE 64011,S200000,00200,0200,CO 64011,S200000,00200,0300,81132 64011,S200000,00300,0100,RIO GRANDE 64011,S200000,00400,0100,SAN JUAN CARE CENTER 64011,S200000,00400,0200,065340 64011,S200000,00400,0300,06/01/1995 64011,S200000,00400,0500,P 64011,S200000,01500,0100,Y 64011,S200000,03300,0100,Y 64011,S200000,03300,0200,Y 64085,S000000,00100,0200,12/18/2000 64551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64551,A000000,00300,0000,00300EMPLOYEE BENEFITS 64551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64551,A000000,00700,0000,00700HOUSEKEEPING 64551,A000000,00800,0000,00800DIETARY 64551,A000000,00900,0000,00900NURSING ADMINISTRATION 64551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64551,A000000,01100,0000,01100PHARMACY 64551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64551,A000000,01300,0000,01300SOCIAL SERVICE 64551,A000000,01350,0000,01500ACTIVITIES 64551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64551,A000000,01600,0000,01600SKILLED NURSING FACILITY 64551,A000000,01810,0000,01810ICF/MR 64551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64551,A000000,02700,0000,02700SPEECH PATHOLOGY 64551,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 64551,A000000,05000,0000,05000CORF 64551,A000000,05010,0000,05010CMHC 64551,A000000,05020,0000,05020OPT 64551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64551,A81000A,00100,0100,Y 64551,A81000B,00100,0300,WORKERS COMP 64551,A81000B,00200,0300,PLANT OPERATION 64551,A81000B,00300,0300,FOOD COSTS 64551,A81000C,00100,0100,G 64551,A81000C,00100,0200,JOURDAIN/PERPICH 64551,A81000C,00100,0400,INDIAN HEALTH SVC 64551,A81000C,00100,0600,HOSPITAL 64551,A81000C,00200,0100,G 64551,A81000C,00200,0200,JOURDAIN/PERPICH 64551,A81000C,00200,0400,INDIAN HEALTH SVC 64551,A81000C,00200,0600,HOSPITAL 64551,A81000C,00300,0100,G 64551,A81000C,00300,0200,JOURDAI/PERPICH 64551,A81000C,00300,0400,RED LAKE TRIBL C 64551,A81000C,00300,0600,GOVTL 64551,B100000,00000,0100,00040(SQUARE FEET) 64551,B100000,00000,0200,00040(SQUARE FEET) 64551,B100000,00000,0300,00040(GROSS SALARIES) 64551,B100000,00000,0400,00040(ACCUM COST) 64551,B100000,00000,0500,00040(SQUARE FEET) 64551,B100000,00000,0600,00040RESIDENT DAYS 64551,B100000,00000,0700,00040SQUARE FEET 64551,B100000,00000,0800,00040(MEALS SERVED) 64551,B100000,00000,0900,00040(DIR NRSG HOURS) 64551,B100000,00000,1000,00040(COSTED REQUIS) 64551,B100000,00000,1100,00040(COSTED REQUIS) 64551,B100000,00000,1200,00040(TIME SPENT) 64551,B100000,00000,1300,00040RESIDENT DAYS 64551,B100000,00000,1350,00040RESIDENT DAYS 64551,B100000,00000,1400,00040(ASSIGNED TIME) 64551,S000000,00100,0200,08/04/2000 64551,S200000,00100,0300,399 64551,S200000,00200,0100,RED LAKE 64551,S200000,00200,0200,MN 64551,S200000,00200,0300,56671 64551,S200000,00300,0100,BELTRAMI 64551,S200000,00400,0100,JOURDAIN/PERPICH EXT. CARE CTR 64551,S200000,00400,0200,245535 64551,S200000,00400,0300,07/20/1989 64551,S200000,00400,0500,P 64551,S200000,01500,0100,Y 64551,S200000,01900,0100,INDIAN TRIBAL COUNCIL 64591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64591,A000000,00300,0000,00300EMPLOYEE BENEFITS 64591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64591,A000000,00700,0000,00700HOUSEKEEPING 64591,A000000,00800,0000,00800DIETARY 64591,A000000,00900,0000,00900NURSING ADMINISTRATION 64591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64591,A000000,01100,0000,01100PHARMACY 64591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64591,A000000,01300,0000,01300SOCIAL SERVICE 64591,A000000,01301,0000,01301ACTIVITES 64591,A000000,01350,0000,01500REHABILITATION 64591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64591,A000000,01600,0000,01600SKILLED NURSING FACILITY 64591,A000000,01800,0000,01800NURSING FACILITY 64591,A000000,01810,0000,01810ICF/MR 64591,A000000,02200,0000,02200LABORATORY 64591,A000000,02300,0000,02300INTRAVENOUS THERAPY 64591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64591,A000000,02500,0000,02500PHYSICAL THERAPY 64591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64591,A000000,02700,0000,02700SPEECH PATHOLOGY 64591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64591,A000000,03050,0000,03300EQUIPMENT RENTAL 64591,A000000,03051,0000,03301PEN THERAPY 64591,A000000,03550,0000,03550FQHC 64591,A000000,05000,0000,05000CORF 64591,A000000,05010,0000,05010CMHC 64591,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64591,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64591,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64591,A000000,05300,0000,05300INTEREST EXPENSE 64591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 64591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 64591,A000000,06150,0000,06300VENDING 64591,A000000,06151,0000,06301STAND-BY 64591,A81000A,00100,0100,Y 64591,A81000B,00100,0300,HOME OFFICE COST 64591,A81000B,00200,0300,DIETARY SUPPLEMENTS 64591,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 64591,A81000B,00400,0300,PRESCRIPTION DRUGS 64591,A81000B,00500,0300,MEDICAL SUPPLIES 64591,A81000B,00600,0300,ADMIN COSTS 64591,A81000B,01100,0300,PHYSICAL THERAPY 64591,A81000B,01200,0300,OCCUPATIONAL THERAPY 64591,A81000B,01300,0300,SPEECH THERAPY 64591,A81000B,01400,0300,ANC EQUIP RENTAL 64591,A81000B,01500,0300,RT 64591,A81000B,01600,0300,CAPITAL 64591,A81000C,00100,0100,B 64591,A81000C,00100,0200,ARBOR MANOR 128 64591,A81000C,00100,0400,MARINER PAN 64591,A81000C,00100,0600,NURSING HOMES 64591,A81000C,00200,0100,G 64591,A81000C,00200,0200,MARINER PAN 64591,A81000C,00200,0400,AMER PHARM SVCS 64591,A81000C,00200,0600,PHARMACEUTICALS 64591,A81000C,00300,0100,G 64591,A81000C,00300,0200,MARINER PAN 64591,A81000C,00300,0400,PRISM-ATS-ARS-T 64591,A81000C,00300,0600,THERAPIES 64591,B100000,00000,0100,00001SQUARE FEET 64591,B100000,00000,0200,00001SQUARE FEET 64591,B100000,00000,0300,00001GROSS SALARIES 64591,B100000,00000,0400,00001ACCUM COST 64591,B100000,00000,0500,00001SQUARE FEET 64591,B100000,00000,0600,00001PATIENT DAYS 64591,B100000,00000,0700,00001SQUARE FEET 64591,B100000,00000,0800,00001MEALS SERVED 64591,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 64591,B100000,00000,1000,00001COSTED REQUISITIO 64591,B100000,00000,1100,00001COSTED REQUIS 64591,B100000,00000,1200,00001PATIENT DAYS 64591,B100000,00000,1300,00001PATIENT DAYS 64591,B100000,00000,1301,00001PATIENT DAYS 64591,B100000,00000,1350,00001UNITS OF SERVICE 64591,B100000,00000,1400,00001ASSIGNED TIME 64591,S000000,00100,0200,02/29/2000 64591,S200000,00100,0100,2550 N NYE AVE 64591,S200000,00200,0100,FREMONT 64591,S200000,00200,0200,NE 64591,S200000,00200,0300,68025 64591,S200000,00300,0100,DODGE 64591,S200000,00400,0100,ARBOR MANOR 64591,S200000,00400,0200,285103 64591,S200000,00400,0300,11/07/1990 64591,S200000,00400,0500,P 64591,S200000,01600,0100,Y 64591,S200000,02200,0100,Y 64591,S200000,04300,0100,Y 64787,S000000,00100,0200,02/21/2001 64855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64855,A000000,00300,0000,00300EMPLOYEE BENEFITS 64855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64855,A000000,00700,0000,00700HOUSEKEEPING 64855,A000000,00800,0000,00800DIETARY 64855,A000000,00900,0000,00900NURSING ADMINISTRATION 64855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64855,A000000,01100,0000,01100PHARMACY 64855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64855,A000000,01300,0000,01300SOCIAL SERVICE 64855,A000000,01350,0000,01500PATIENT ACTIVITES 64855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64855,A000000,01600,0000,01600SKILLED NURSING FACILITY 64855,A000000,01800,0000,01800NURSING FACILITY 64855,A000000,01810,0000,01810ICF/MR 64855,A000000,02100,0000,02100RADIOLOGY 64855,A000000,02200,0000,02200LABORATORY 64855,A000000,02300,0000,02300INTRAVENOUS THERAPY 64855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64855,A000000,02500,0000,02500PHYSICAL THERAPY 64855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64855,A000000,02700,0000,02700SPEECH PATHOLOGY 64855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64855,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 64855,A000000,03051,0000,03301PARENTERAL/ENTERAL THERAPY 64855,A000000,03550,0000,03550FQHC 64855,A000000,05000,0000,05000CORF 64855,A000000,05010,0000,05010CMHC 64855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 64855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 64855,A000000,05901,0000,05910CABLE 64855,A81000A,00100,0100,Y 64855,A81000B,00100,0300,PHYSICAL THERAPY 64855,A81000B,00200,0300,OCCUPATIONAL THERAPY 64855,A81000B,00300,0300,NURSING FACILITY 64855,A81000C,00100,0100,A 64855,A81000C,00100,0200,NUNN & DUNCAN 64855,A81000C,00100,0400,CENTURY CARE RE 64855,A81000C,00100,0600,THERAPY 64855,A81000C,00200,0100,A 64855,A81000C,00200,0200,NUNN & DUNCAN 64855,A81000C,00200,0400,CENTURY CARE RE 64855,A81000C,00200,0600,THERAPY 64855,A81000C,00300,0100,A 64855,A81000C,00300,0200,NUNN & DUNCAN 64855,A81000C,00300,0400,CENTURY CARE RE 64855,A81000C,00300,0600,THERAPY 64855,B100000,00000,0100,00010SQUARE FEET 64855,B100000,00000,0200,00010SQUARE FEET 64855,B100000,00000,0300,00010GROSS SALARIES 64855,B100000,00000,0400,00010ACCUM COST 64855,B100000,00000,0500,00010SQUARE FEET 64855,B100000,00000,0600,00010POUNDS OF LAUNDRY 64855,B100000,00000,0700,00010SQUARE FEET 64855,B100000,00000,0800,00010MEALS SERVED 64855,B100000,00000,0900,00010DIRECT NRSG HRS 64855,B100000,00000,1000,00010COSTED REQUIS 64855,B100000,00000,1100,00010COSTED REQUIS 64855,B100000,00000,1200,00010PATIENT DAYS 64855,B100000,00000,1300,00010PATIENT DAYS 64855,B100000,00000,1350,00010PATIENT DAYS 64855,B100000,00000,1400,00010ASSIGNED TIME 64855,E10A180,00501,0100,01/17/2001 64855,E10A180,00550,0300,01/17/2001 64855,S000000,00100,0200,06/30/2000 64855,S200000,00100,0100,1101 N. MORGAN STREET 64855,S200000,00200,0100,SHELBY 64855,S200000,00200,0200,NC 64855,S200000,00200,0300,28150 64855,S200000,00300,0100,CLEVELAND 64855,S200000,00400,0100,CENTURY CARE OF SHELBY 64855,S200000,00400,0200,345229 64855,S200000,00400,0300,03/23/1999 64855,S200000,00400,0500,P 64855,S200000,00600,0200,346262 64855,S200000,00600,0300,03/23/1999 64855,S200000,00600,0600,P 64855,S200000,01600,0100,Y 64859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64859,A000000,00300,0000,00300EMPLOYEE BENEFITS 64859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64859,A000000,00700,0000,00700HOUSEKEEPING 64859,A000000,00800,0000,00800DIETARY 64859,A000000,00900,0000,00900NURSING ADMINISTRATION 64859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64859,A000000,01100,0000,01100PHARMACY 64859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64859,A000000,01300,0000,01300SOCIAL SERVICE 64859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64859,A000000,01600,0000,01600SKILLED NURSING FACILITY 64859,A000000,01800,0000,01800NURSING FACILITY 64859,A000000,02200,0000,02200LABORATORY 64859,A000000,02300,0000,02300INTRAVENOUS THERAPY 64859,A000000,02500,0000,02500PHYSICAL THERAPY 64859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64859,A000000,02700,0000,02700SPEECH PATHOLOGY 64859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64859,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 64859,A000000,03051,0000,03301NUTRITIONAL THERAPY 64859,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 64859,A000000,03053,0000,03303PHYSICIAN SERVICES 64859,A000000,03054,0000,03304MEDICAL SERVICES 64859,A000000,03200,0000,03200SUPPORT SURFACES 64859,A000000,03201,0000,03201OTHER ANCILLARY SERVICES COST C 64859,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 64859,A000000,03550,0000,03550FQHC 64859,A000000,05000,0000,05000CORF 64859,A000000,05010,0000,05010CMHC 64859,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64859,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64859,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64859,A000000,05300,0000,05300INTEREST EXPENSE 64859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 64859,A81000A,00100,0100,Y 64859,A81000B,00100,0300,CAP REL COSTS-BLDGS & FIXED 64859,A81000B,00200,0300,CAP REL COSTS-MOVABLE EQUIP 64859,A81000B,00300,0300,CAP REL COSTS-MOVABLE EQUIP DE 64859,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 64859,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 64859,A81000B,00600,0300,PLEASE SEE ATTACHED 64859,A81000C,00100,0100,B 64859,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 64859,A81000C,00200,0200,A-8-1. 64859,B100000,00000,0100,00000SQUARE FEET 64859,B100000,00000,0200,00000SQUARE FEET 64859,B100000,00000,0300,00000GROSS SALARIES 64859,B100000,00000,0400,00000ACCUM. COST 64859,B100000,00000,0500,00000SQUARE FEET 64859,B100000,00000,0600,00000POUNDS OF LAUNDRY 64859,B100000,00000,0700,00000HSKP SQUARE 64859,B100000,00000,0800,00000PATIENT DAYS 64859,B100000,00000,0900,00000PATIENT DAYS 64859,B100000,00000,1000,00000PATIENT DAYS 64859,B100000,00000,1100,00000PATIENT DAYS 64859,B100000,00000,1200,00000GROSS REVENUE 64859,B100000,00000,1300,00000PATIENT DAYS 64859,B100000,00000,1400,00000ASSIGNED TIME 64859,S000000,00100,0200,05/31/2000 64859,S200000,00100,0100,960 X-RAY DRIVE 64859,S200000,00200,0100,GASTONIA 64859,S200000,00200,0200,NC 64859,S200000,00200,0300,28052 64859,S200000,00300,0100,GASTONIA 64859,S200000,00400,0100,SUNRISE CARE AND REHAB FOR GASTONIA 64859,S200000,00400,0200,345231 64859,S200000,00400,0300,03/02/1983 64859,S200000,00400,0500,P 64859,S200000,01600,0100,Y 64859,S200000,03100,0100,Y 64868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64868,A000000,00300,0000,00300EMPLOYEE BENEFITS 64868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64868,A000000,00700,0000,00700HOUSEKEEPING 64868,A000000,00800,0000,00800DIETARY 64868,A000000,00900,0000,00900NURSING ADMINISTRATION 64868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64868,A000000,01100,0000,01100PHARMACY 64868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64868,A000000,01300,0000,01300SOCIAL SERVICE 64868,A000000,01350,0000,01500PATIENT ACTIVITIES 64868,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64868,A000000,01600,0000,01600SKILLED NURSING FACILITY 64868,A000000,01800,0000,01800NURSING FACILITY 64868,A000000,01810,0000,01810ICF/MR 64868,A000000,01900,0000,01900OTHER LONG TERM CARE 64868,A000000,02100,0000,02100RADIOLOGY 64868,A000000,02200,0000,02200LABORATORY 64868,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64868,A000000,02500,0000,02500PHYSICAL THERAPY 64868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64868,A000000,02700,0000,02700SPEECH PATHOLOGY 64868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64868,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 64868,A000000,03550,0000,03550FQHC 64868,A000000,05000,0000,05000CORF 64868,A000000,05010,0000,05010CMHC 64868,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64868,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64868,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64868,A000000,05900,0000,05900BARBER & BEAUTY SHOP 64868,A81000A,00100,0100,Y 64868,A81000B,00100,0300,PHYSICAL THERAPY 64868,A81000B,00200,0300,OCCUPATIONAL THERAPY 64868,A81000B,00300,0300,SPEECH PATHOLOGY 64868,A81000B,00400,0300,NURSING FAICLITY 64868,A81000C,00100,0100,A 64868,A81000C,00100,0200,NUNN & DUNCAN 64868,A81000C,00100,0400,CENTURY CARE RE 64868,A81000C,00100,0600,THERAPY COMPANY 64868,A81000C,00200,0100,A 64868,A81000C,00200,0200,NUNN & DUNCAN 64868,A81000C,00200,0400,CENTURY CARE RE 64868,A81000C,00200,0600,THERAPY COMPANY 64868,A81000C,00300,0100,A 64868,A81000C,00300,0200,NUNN & DUNCAN 64868,A81000C,00300,0400,CENTURY CARE RE 64868,A81000C,00300,0600,THERAPY COMPANY 64868,A81000C,00400,0100,A 64868,A81000C,00400,0200,NUNN & DUNCAN 64868,A81000C,00400,0400,CENTURY REHAB C 64868,A81000C,00400,0600,THERAPY COMPANY 64868,B100000,00000,0100,00000SQUARE FEET 64868,B100000,00000,0200,00000SQUARE FEET 64868,B100000,00000,0300,00000GROSS SALARIES 64868,B100000,00000,0400,00000ACCUM COST 64868,B100000,00000,0500,00000SQUARE FEET 64868,B100000,00000,0600,00000POUNDS OF LAUNDRY 64868,B100000,00000,0700,00000SQUARE FEET 64868,B100000,00000,0800,00000MEALS SERVED 64868,B100000,00000,0900,00000DIRECT NRSG HRS 64868,B100000,00000,1000,00000COSTED REQUIS 64868,B100000,00000,1100,00000COSTED REQUIS 64868,B100000,00000,1200,00000PATIENT DAYS 64868,B100000,00000,1300,00000PATIENT DAYS 64868,B100000,00000,1350,00000PATIENT DAYS 64868,B100000,00000,1400,00000ASSIGNED TIME 64868,E10A180,00550,0100,01/17/2001 64868,S000000,00100,0200,07/19/2000 64868,S200000,00100,0100,700 SELF STREET 64868,S200000,00200,0100,CHERRYVILLE 64868,S200000,00200,0200,NC 64868,S200000,00200,0300,28021 64868,S200000,00300,0100,GASTON 64868,S200000,00400,0100,CENTURY CARE OF CHERRYVILLE 64868,S200000,00400,0200,345395 64868,S200000,00400,0300,03/23/1999 64868,S200000,00400,0500,P 64868,S200000,00600,0200,346261 64868,S200000,00600,0300,03/23/1999 64868,S200000,00600,0600,P 64868,S200000,01600,0100,Y 64952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64952,A000000,00300,0000,00300EMPLOYEE BENEFITS 64952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64952,A000000,00700,0000,00700HOUSEKEEPING 64952,A000000,00800,0000,00800DIETARY 64952,A000000,00900,0000,00900NURSING ADMINISTRATION 64952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64952,A000000,01100,0000,01100PHARMACY 64952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64952,A000000,01300,0000,01300SOCIAL SERVICE 64952,A000000,01301,0000,01301ACTIVITIES 64952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64952,A000000,01600,0000,01600SKILLED NURSING FACILITY 64952,A000000,01800,0000,01800NURSING FACILITY 64952,A000000,01810,0000,01810ICF/MR 64952,A000000,02100,0000,02100RADIOLOGY 64952,A000000,02200,0000,02200LABORATORY 64952,A000000,02300,0000,02300INTRAVENOUS THERAPY 64952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64952,A000000,02500,0000,02500PHYSICAL THERAPY 64952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64952,A000000,02700,0000,02700SPEECH PATHOLOGY 64952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 64952,A000000,03051,0000,03301MEDICAL EQUIPMENT 64952,A000000,03550,0000,03550FQHC 64952,A000000,05000,0000,05000CORF 64952,A000000,05010,0000,05010CMHC 64952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 64952,A81000A,00100,0100,Y 64952,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 64952,A81000B,00200,0300,CAPITAL - BUILDINGS 64952,A81000B,00300,0300,CAPITAL - EQUIPMENT 64952,A81000B,00400,0300,MEDICAL SUPPLIES 64952,A81000C,00100,0100,B 64952,A81000C,00100,0200,PEAK MEDICAL CORPORATION 64952,A81000C,00100,0400,PEAK MEDICAL CORPORATION 64952,A81000C,00100,0600,HOME OFFICE SERVICES 64952,A81000C,00200,0100,B 64952,A81000C,00200,0200,PEAK MEDICAL CORPORATION 64952,A81000C,00200,0400,MEDICAL RESOURCES 64952,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 64952,B100000,00000,0100,00000SQUARE FEET 64952,B100000,00000,0200,00000SQUARE FEET 64952,B100000,00000,0300,00000GROSS SALARIES 64952,B100000,00000,0400,00000ACCUM. COST 64952,B100000,00000,0500,00000SQUARE FEET 64952,B100000,00000,0600,00000PATIENT DAYS 64952,B100000,00000,0700,00000SQUARE FEET 64952,B100000,00000,0800,00000MEALS SERVED 64952,B100000,00000,0900,00000DIRECT NRSING HRS 64952,B100000,00000,1000,00000PATIENT DAYS 64952,B100000,00000,1100,00000NO STATISTICS 64952,B100000,00000,1200,00000GROSS CHARGES 64952,B100000,00000,1300,00000PATIENT DAYS 64952,B100000,00000,1301,00000PATIENT DAYS 64952,B100000,00000,1400,00000ASSIGNED TIME 64952,E10A180,00301,0100,11/24/1999 64952,S000000,00100,0200,05/15/2000 64952,S200000,00100,0100,7707 S. MEMORIAL DR. 64952,S200000,00200,0100,TULSA 64952,S200000,00200,0200,OK 64952,S200000,00300,0100,TULSA 64952,S200000,00400,0100,THE MAYFAIR 64952,S200000,00400,0200,375364 64952,S200000,00400,0300,03/01/1999 64952,S200000,00400,0500,P 64952,S200000,01500,0100,Y 64957,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 64957,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 64957,A000000,00300,0000,00300EMPLOYEE BENEFITS 64957,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 64957,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 64957,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 64957,A000000,00700,0000,00700HOUSEKEEPING 64957,A000000,00800,0000,00800DIETARY 64957,A000000,00900,0000,00900NURSING ADMINISTRATION 64957,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 64957,A000000,01100,0000,01100PHARMACY 64957,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 64957,A000000,01300,0000,01300SOCIAL SERVICE 64957,A000000,01301,0000,01301ACTIVITIES 64957,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 64957,A000000,01600,0000,01600SKILLED NURSING FACILITY 64957,A000000,01800,0000,01800NURSING FACILITY 64957,A000000,01810,0000,01810ICF/MR 64957,A000000,02100,0000,02100RADIOLOGY 64957,A000000,02200,0000,02200LABORATORY 64957,A000000,02300,0000,02300INTRAVENOUS THERAPY 64957,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 64957,A000000,02500,0000,02500PHYSICAL THERAPY 64957,A000000,02600,0000,02600OCCUPATIONAL THERAPY 64957,A000000,02700,0000,02700SPEECH PATHOLOGY 64957,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 64957,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 64957,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 64957,A000000,03051,0000,03301MEDICAL EQUIPMENT 64957,A000000,03550,0000,03550FQHC 64957,A000000,05000,0000,05000CORF 64957,A000000,05010,0000,05010CMHC 64957,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 64957,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 64957,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 64957,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 64957,A81000A,00100,0100,Y 64957,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 64957,A81000B,00200,0300,CAPITAL - BUILDINGS 64957,A81000B,00300,0300,CAPITAL - EQUIPMENT 64957,A81000B,00400,0300,CENTRAL / MEDICAL SUPPLIES 64957,A81000C,00100,0100,B 64957,A81000C,00100,0200,PEAK MEDICAL CORPORATION 64957,A81000C,00100,0400,PEAK MEDICAL CORPORATION 64957,A81000C,00100,0600,HOME OFFICE SERVICES 64957,A81000C,00200,0100,B 64957,A81000C,00200,0200,PEAK MEDICAL CORPORATION 64957,A81000C,00200,0400,MEDICAL RESOURCES 64957,A81000C,00200,0600,CENTRAL SUPPLY VENDOR 64957,B100000,00000,0100,00000SQUARE FEET 64957,B100000,00000,0200,00000SQUARE FEET 64957,B100000,00000,0300,00000GROSS SALARIES 64957,B100000,00000,0400,00000ACCUM. COST 64957,B100000,00000,0500,00000SQUARE FEET 64957,B100000,00000,0600,00000PATIENT DAYS 64957,B100000,00000,0700,00000SQUARE FEET 64957,B100000,00000,0800,00000MEALS SERVED 64957,B100000,00000,0900,00000DIRECT NRSING HRS 64957,B100000,00000,1000,00000PATIENT DAYS 64957,B100000,00000,1100,00000PATIENT DAYS 64957,B100000,00000,1200,00000GROSS CHARGES 64957,B100000,00000,1300,00000PATIENT DAYS 64957,B100000,00000,1301,00000PATIENT DAYS 64957,B100000,00000,1400,00000ASSIGNED TIME 64957,E10A180,00301,0100,11/24/1999 64957,S000000,00100,0200,04/27/2000 64957,S200000,00100,0100,1503 WEST HAR-BER ROAD 64957,S200000,00200,0100,GROVE 64957,S200000,00200,0200,OK 64957,S200000,00300,0100,DELAWARE 64957,S200000,00400,0100,GROVE NURSING CENTER 64957,S200000,00400,0200,375366 64957,S200000,00400,0300,03/01/1999 64957,S200000,00400,0500,P 64957,S200000,01500,0100,Y 65005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65005,A000000,00300,0000,00300EMPLOYEE BENEFITS 65005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65005,A000000,00700,0000,00700HOUSEKEEPING 65005,A000000,00800,0000,00800DIETARY 65005,A000000,00801,0000,00801CAFETERIA 65005,A000000,00900,0000,00900NURSING ADMINISTRATION 65005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65005,A000000,01100,0000,01100PHARMACY 65005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65005,A000000,01300,0000,01300SOCIAL SERVICE 65005,A000000,01350,0000,01500INSERVICE 65005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65005,A000000,01600,0000,01600SKILLED NURSING FACILITY 65005,A000000,01800,0000,01800NURSING FACILITY 65005,A000000,01810,0000,01810ICF/MR 65005,A000000,01900,0000,01900OTHER LONG TERM CARE 65005,A000000,02200,0000,02200LABORATORY 65005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65005,A000000,02500,0000,02500PHYSICAL THERAPY 65005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65005,A000000,02700,0000,02700SPEECH PATHOLOGY 65005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65005,A000000,03550,0000,03550FQHC 65005,A000000,05000,0000,05000CORF 65005,A000000,05010,0000,05010CMHC 65005,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65005,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65005,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65005,A000000,05300,0000,05300INTEREST EXPENSE 65005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 65005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65005,A000000,06150,0000,06300GUEST MEALS 65005,A000000,06151,0000,06301AUXILIARY 65005,A000000,06152,0000,06302HOME HEALTH - FREE STANDING 65005,A81000A,00100,0100,Y 65005,A81000B,00100,0300,PHARMACY FLOOR 65005,A81000B,00200,0300,PHARMACY FLOOR STOCK 65005,A81000B,00300,0300,PHARMACY FLOOR STOCK 65005,A81000B,00400,0300,PHARMACY FLOOR STOCK 65005,A81000B,00500,0300,PHARMACY SALES 65005,A81000B,00600,0300,PAPER GOODS 65005,A81000B,00700,0300,PAPER GOODS 65005,A81000B,00800,0300,PAPER GOODS 65005,A81000B,00900,0300,PAPER GOODS 65005,A81000B,01000,0300,PAPER GOODS 65005,A81000C,00100,0100,C 65005,A81000C,00100,0200,BAPTIST MEM CEN 65005,A81000C,00100,0400,BAPT MEM PHARMA 65005,A81000C,00100,0600,PHARMACEUTICALS 65005,A81000C,00200,0100,D 65005,A81000C,00200,0200,STANLEY MAYFIEL 65005,A81000C,00200,0400,MAYFIELD PAPER 65005,A81000C,00200,0600,PAPER/CHEMICALS 65005,B100000,00000,0100,00002SQUARE FEET 65005,B100000,00000,0200,00002SQUARE FEET 65005,B100000,00000,0300,00002GROSS SALARIES 65005,B100000,00000,0400,00002ACCUM COST 65005,B100000,00000,0500,00002SQUARE FEET 65005,B100000,00000,0600,00002POUNDS OF LAUNDRY 65005,B100000,00000,0700,00002HOURS OF SERVICE 65005,B100000,00000,0800,00002MEALS SERVED 65005,B100000,00000,0801,00002 65005,B100000,00000,0900,00002DIRECT NRSG HRS 65005,B100000,00000,1000,00002COSTED REQUIS 65005,B100000,00000,1100,00002COSTED REQUIS 65005,B100000,00000,1200,00002TIME SPENT 65005,B100000,00000,1300,00002TIME SPENT 65005,B100000,00000,1350,00002 65005,B100000,00000,1400,00002ASSIGNED TIME 65005,S000000,00100,0200,04/14/2000 65005,S200000,00100,0100,902 N. MAIN STREET 65005,S200000,00100,0300,5661 65005,S200000,00200,0100,SAN ANGELO 65005,S200000,00200,0200,TX 65005,S200000,00200,0300,76902 65005,S200000,00300,0100,TOM GREEN 65005,S200000,00400,0100,BAPTIST MEMORIALS CENTER 65005,S200000,00400,0200,455061 65005,S200000,00400,0300,08/01/1988 65005,S200000,00400,0500,P 65005,S200000,02200,0100,Y 65006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65006,A000000,00300,0000,00300EMPLOYEE BENEFITS 65006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65006,A000000,00700,0000,00700HOUSEKEEPING 65006,A000000,00800,0000,00800DIETARY 65006,A000000,00801,0000,00801CAFETERIA 65006,A000000,00900,0000,00900NURSING ADMINISTRATION 65006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65006,A000000,01100,0000,01100PHARMACY 65006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65006,A000000,01300,0000,01300SOCIAL SERVICE 65006,A000000,01350,0000,01500INSERVICE 65006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65006,A000000,01600,0000,01600SKILLED NURSING FACILITY 65006,A000000,01800,0000,01800NURSING FACILITY 65006,A000000,01810,0000,01810ICF/MR 65006,A000000,01900,0000,01900OTHER LONG TERM CARE 65006,A000000,02200,0000,02200LABORATORY 65006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65006,A000000,02500,0000,02500PHYSICAL THERAPY 65006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65006,A000000,02700,0000,02700SPEECH PATHOLOGY 65006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65006,A000000,03200,0000,03200SUPPORT SURFACES 65006,A000000,03550,0000,03550FQHC 65006,A000000,05000,0000,05000CORF 65006,A000000,05010,0000,05010CMHC 65006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65006,A000000,05300,0000,05300INTEREST EXPENSE 65006,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 65006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65006,A000000,06150,0000,06300GUEST MEALS 65006,A000000,06151,0000,06301AUXILIARY 65006,A000000,06152,0000,06302HOME HEALTH - FREE STANDING 65006,A81000A,00100,0100,Y 65006,A81000B,00100,0300,PHARMACY FLOOR 65006,A81000B,00200,0300,PHARMACY FLOOR STOCK 65006,A81000B,00300,0300,PHARMACY FLOOR STOCK 65006,A81000B,00400,0300,PHARMACY FLOOR STOCK 65006,A81000B,00500,0300,PHARMACY SALES 65006,A81000B,00600,0300,PHARMACY FLOOR STOCK 65006,A81000B,00700,0300,PHARMACY FLOOR STOCK 65006,A81000B,00800,0300,PHARMACY FLOOR STOCK 65006,A81000B,00900,0300,PHARMACY FLOOR STOCK 65006,A81000B,01000,0300,PAPER GOODS 65006,A81000B,01100,0300,PAPER GOODS 65006,A81000B,01200,0300,PAPER GOODS 65006,A81000B,01300,0300,PAPER GOODS 65006,A81000B,01400,0300,PAPER GOODS 65006,A81000B,01500,0300,PAPER GOODS 65006,A81000B,01600,0300,PAPER GOODS 65006,A81000B,01700,0300,PAPER GOODS 65006,A81000B,01800,0300,PAPER GOODS 65006,A81000B,01900,0300,OFFICE EQUIPMENT 65006,A81000C,00100,0100,C 65006,A81000C,00100,0200,BAPTIST MEM CEN 65006,A81000C,00100,0400,BAPT MEM PHARMA 65006,A81000C,00100,0600,PHARMACEUTICALS 65006,A81000C,00200,0100,D 65006,A81000C,00200,0200,STANLEY MAYFIEL 65006,A81000C,00200,0400,MAYFIELD PAPER 65006,A81000C,00200,0600,PAPER/CHEMICALS 65006,B100000,00000,0100,00002SQUARE FEET 65006,B100000,00000,0200,00002SQUARE FEET 65006,B100000,00000,0300,00002GROSS SALARIES 65006,B100000,00000,0400,00002ACCUM COST 65006,B100000,00000,0500,00002SQUARE FEET 65006,B100000,00000,0600,00002POUNDS OF LAUNDRY 65006,B100000,00000,0700,00002HOURS OF SERVICE 65006,B100000,00000,0800,00002MEALS SERVED 65006,B100000,00000,0801,00002 65006,B100000,00000,0900,00002DIRECT NRSG HRS 65006,B100000,00000,1000,00002COSTED REQUIS 65006,B100000,00000,1100,00002COSTED REQUIS 65006,B100000,00000,1200,00002TIME SPENT 65006,B100000,00000,1300,00002TIME SPENT 65006,B100000,00000,1350,00002 65006,B100000,00000,1400,00002ASSIGNED TIME 65006,E10A180,00502,0100,07/27/2000 65006,E10A180,00502,0300,07/27/2000 65006,S000000,00100,0200,07/17/2000 65006,S200000,00100,0100,902 N. MAIN STREET 65006,S200000,00100,0300,5661 65006,S200000,00200,0100,SAN ANGELO 65006,S200000,00200,0200,TX 65006,S200000,00200,0300,76902 65006,S200000,00300,0100,TOM GREEN 65006,S200000,00400,0100,BAPTIST MEMORIALS CENTER 65006,S200000,00400,0200,455061 65006,S200000,00400,0300,02/01/1999 65006,S200000,00400,0500,P 65006,S200000,02200,0100,Y 65027,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65027,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65027,A000000,00300,0000,00300EMPLOYEE BENEFITS 65027,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65027,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65027,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65027,A000000,00700,0000,00700HOUSEKEEPING 65027,A000000,00800,0000,00800DIETARY 65027,A000000,00900,0000,00900NURSING ADMINISTRATION 65027,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65027,A000000,01100,0000,01100PHARMACY 65027,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65027,A000000,01300,0000,01300SOCIAL SERVICE 65027,A000000,01350,0000,01500PATIENT ACTIVITIES 65027,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65027,A000000,01600,0000,01600SKILLED NURSING FACILITY 65027,A000000,01800,0000,01800NURSING FACILITY 65027,A000000,01810,0000,01810ICF/MR 65027,A000000,02100,0000,02100RADIOLOGY 65027,A000000,02200,0000,02200LABORATORY 65027,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65027,A000000,02500,0000,02500PHYSICAL THERAPY 65027,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65027,A000000,02700,0000,02700SPEECH PATHOLOGY 65027,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65027,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65027,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65027,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65027,A000000,03550,0000,03550FQHC 65027,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65027,A000000,05000,0000,05000CORF 65027,A000000,05010,0000,05010CMHC 65027,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65027,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65027,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65027,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65027,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65027,A81000A,00100,0100,Y 65027,A81000B,00100,0300,RADIOLOGY 65027,A81000B,00200,0300,LABORATORY 65027,A81000B,00300,0300,IV THERAPY 65027,A81000B,00400,0300,CONTRACTED RT 65027,A81000B,00500,0300,CONTRACTED PT 65027,A81000B,00600,0300,CONTRACTED OT 65027,A81000B,00700,0300,CONTRACTED ST 65027,A81000B,00800,0300,MEDICAL SUPPLIES 65027,A81000B,00900,0300,DRUGS 65027,A81000B,01000,0300,SUPPORT SURFACES 65027,A81000B,01100,0300,CENTRAL SUPPLIES 65027,A81000B,01200,0300,INTEREST EXPENSE 65027,A81000B,01300,0300,MANAGEMENT FEE 65027,A81000B,01400,0300,FACILITY SALARIES 65027,A81000B,01500,0300,FACILITY BENEFITS 65027,A81000C,00100,0100,B 65027,A81000C,00100,0400,COMPLETE CARE SERVICES 65027,A81000C,00100,0600,MANAGEMENT COMPANY 65027,A81000C,00200,0100,B 65027,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65027,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65027,A81000C,00300,0100,A 65027,A81000C,00300,0200,JOHN DURHAM 65027,B100000,00000,0100,00000SQUARE FEET 65027,B100000,00000,0200,00000NO STATISTICS 65027,B100000,00000,0300,00000GROSS SALARIES 65027,B100000,00000,0400,00000ACCUM. COST 65027,B100000,00000,0500,00000SQUARE FEET 65027,B100000,00000,0600,00000PATIENT DAYS 65027,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65027,B100000,00000,0800,00000PATIENT DAYS 65027,B100000,00000,0900,00000NO STATISTICS 65027,B100000,00000,1000,00000PATIENT DAYS 65027,B100000,00000,1100,00000PATIENT DAYS 65027,B100000,00000,1200,00000NO STATISTICS 65027,B100000,00000,1300,00000NO STATISTICS 65027,B100000,00000,1350,00000PATIENT DAYS 65027,B100000,00000,1400,00000NO STATISTICS 65027,E10A180,00301,0100,10/27/1999 65027,E10A180,00302,0100,11/29/1999 65027,S000000,00100,0200,06/01/2000 65027,S200000,00100,0100,7820 SKYLINE PARK DRIVE 65027,S200000,00200,0100,WHITE SETTLEMENT 65027,S200000,00200,0200,TX 65027,S200000,00200,0300,76108 65027,S200000,00300,0100,TARRANT 65027,S200000,00400,0100,WHITE SETTLEMENT NURSING CENTER 65027,S200000,00400,0200,455475 65027,S200000,00400,0300,01/12/1983 65027,S200000,00400,0500,P 65027,S200000,01600,0100,Y 65027,S200000,04300,0100,Y 65037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65037,A000000,00300,0000,00300EMPLOYEE BENEFITS 65037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65037,A000000,00700,0000,00700HOUSEKEEPING 65037,A000000,00800,0000,00800DIETARY 65037,A000000,00900,0000,00900NURSING ADMINISTRATION 65037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65037,A000000,01100,0000,01100PHARMACY 65037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65037,A000000,01300,0000,01300SOCIAL SERVICE 65037,A000000,01350,0000,01500PATIENT ACTIVITIES 65037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65037,A000000,01600,0000,01600SKILLED NURSING FACILITY 65037,A000000,01800,0000,01800NURSING FACILITY 65037,A000000,01810,0000,01810ICF/MR 65037,A000000,02100,0000,02100RADIOLOGY 65037,A000000,02200,0000,02200LABORATORY 65037,A000000,02300,0000,02300INTRAVENOUS THERAPY 65037,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65037,A000000,02500,0000,02500PHYSICAL THERAPY 65037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65037,A000000,02700,0000,02700SPEECH PATHOLOGY 65037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65037,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65037,A000000,03200,0000,03200SUPPORT SURFACES 65037,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65037,A000000,03550,0000,03550FQHC 65037,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65037,A000000,05000,0000,05000CORF 65037,A000000,05010,0000,05010CMHC 65037,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65037,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65037,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65037,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65037,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65037,A81000A,00100,0100,Y 65037,A81000B,00100,0300,INTEREST EXPENSE 65037,A81000B,00200,0300,INTEREST EXPENSE HCFP 65037,A81000C,00100,0100,B 65037,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65037,A81000C,00100,0600,HOME OFFICE 65037,B100000,00000,0100,00000SQUARE FEET 65037,B100000,00000,0200,00000NO STATISTICS 65037,B100000,00000,0300,00000GROSS SALARIES 65037,B100000,00000,0400,00000ACCUM. COST 65037,B100000,00000,0500,00000SQUARE FEET 65037,B100000,00000,0600,00000PATIENT DAYS 65037,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65037,B100000,00000,0800,00000PATIENT DAYS 65037,B100000,00000,0900,00000NO STATISTICS 65037,B100000,00000,1000,00000PATIENT DAYS 65037,B100000,00000,1100,00000PATIENT DAYS 65037,B100000,00000,1200,00000NO STATISTICS 65037,B100000,00000,1300,00000NO STATISTICS 65037,B100000,00000,1350,00000PATIENT DAYS 65037,B100000,00000,1400,00000NO STATISTICS 65037,E10A180,00301,0100,10/27/1999 65037,E10A180,00302,0100,11/29/1999 65037,S000000,00100,0200,06/01/2000 65037,S200000,00100,0100,413 GARLAND DRIVE 65037,S200000,00200,0100,LAKE JACKSON 65037,S200000,00200,0200,TX 65037,S200000,00200,0300,77566 65037,S200000,00300,0100,BRAZORIA 65037,S200000,00400,0100,LAKE JACKSON HEALTHCARE CENTER 65037,S200000,00400,0200,455477 65037,S200000,00400,0300,08/01/1984 65037,S200000,00400,0500,P 65037,S200000,01600,0100,Y 65037,S200000,04300,0100,Y 65049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65049,A000000,00300,0000,00300EMPLOYEE BENEFITS 65049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65049,A000000,00700,0000,00700HOUSEKEEPING 65049,A000000,00800,0000,00800DIETARY 65049,A000000,00900,0000,00900NURSING ADMINISTRATION 65049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65049,A000000,01100,0000,01100PHARMACY 65049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65049,A000000,01300,0000,01300SOCIAL SERVICE 65049,A000000,01350,0000,01500PATIENT ACTIVITIES 65049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65049,A000000,01600,0000,01600SKILLED NURSING FACILITY 65049,A000000,01800,0000,01800NURSING FACILITY 65049,A000000,02100,0000,02100RADIOLOGY 65049,A000000,02200,0000,02200LABORATORY 65049,A000000,02300,0000,02300INTRAVENOUS THERAPY 65049,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65049,A000000,02500,0000,02500PHYSICAL THERAPY 65049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65049,A000000,02700,0000,02700SPEECH PATHOLOGY 65049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65049,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65049,A000000,03200,0000,03200SUPPORT SURFACES 65049,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65049,A000000,03550,0000,03550FQHC 65049,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65049,A000000,05000,0000,05000CORF 65049,A000000,05010,0000,05010CMHC 65049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65049,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65049,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65049,A81000A,00100,0100,Y 65049,A81000B,00100,0300,INTEREST EXPENSE 65049,A81000B,00200,0300,INTEREST EXPENSE HCFP 65049,A81000C,00100,0100,B 65049,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65049,A81000C,00100,0600,HOME OFFICE 65049,B100000,00000,0100,00000SQUARE FEET 65049,B100000,00000,0200,00000NO STATISTICS 65049,B100000,00000,0300,00000GROSS SALARIES 65049,B100000,00000,0400,00000ACCUM. COST 65049,B100000,00000,0500,00000SQUARE FEET 65049,B100000,00000,0600,00000PATIENT DAYS 65049,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65049,B100000,00000,0800,00000PATIENT DAYS 65049,B100000,00000,0900,00000NO STATISTICS 65049,B100000,00000,1000,00000PATIENT DAYS 65049,B100000,00000,1100,00000PATIENT DAYS 65049,B100000,00000,1200,00000NO STATISTICS 65049,B100000,00000,1300,00000NO STATISTICS 65049,B100000,00000,1350,00000PATIENT DAYS 65049,B100000,00000,1400,00000NO STATISTICS 65049,E10A180,00301,0100,10/27/1999 65049,E10A180,00302,0100,11/29/1999 65049,S000000,00100,0200,06/01/2000 65049,S200000,00100,0100,820 JEFFREY STREET 65049,S200000,00200,0100,WACO 65049,S200000,00200,0200,TX 65049,S200000,00300,0100,MCCLENNAN 65049,S200000,00400,0100,JEFFREY PLACE HEALTHCARE CENTER 65049,S200000,00400,0200,455489 65049,S200000,00400,0300,06/22/1984 65049,S200000,00400,0500,P 65049,S200000,01600,0100,Y 65049,S200000,04300,0100,Y 65055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65055,A000000,00300,0000,00300EMPLOYEE BENEFITS 65055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65055,A000000,00700,0000,00700HOUSEKEEPING 65055,A000000,00800,0000,00800DIETARY 65055,A000000,00900,0000,00900NURSING ADMINISTRATION 65055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65055,A000000,01100,0000,01100PHARMACY 65055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65055,A000000,01300,0000,01300SOCIAL SERVICE 65055,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65055,A000000,01600,0000,01600SKILLED NURSING FACILITY 65055,A000000,01800,0000,01800NURSING FACILITY 65055,A000000,01810,0000,01810ICF/MR 65055,A000000,02100,0000,02100RADIOLOGY 65055,A000000,02200,0000,02200LABORATORY 65055,A000000,02500,0000,02500PHYSICAL THERAPY 65055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65055,A000000,02700,0000,02700SPEECH PATHOLOGY 65055,A000000,02800,0000,02800ELECTROCARDIOLOGY 65055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65055,A000000,03200,0000,03200SUPPORT SURFACES 65055,A000000,03550,0000,03550FQHC 65055,A000000,05000,0000,05000CORF 65055,A000000,05010,0000,05010CMHC 65055,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65055,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65055,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65055,A81000A,00100,0100,Y 65055,A81000B,00100,0300,RADIOLOGY 65055,A81000B,00500,0300,CONTRACTED PT 65055,A81000B,00600,0300,CONTRACTED OT 65055,A81000B,00700,0300,CONTRACTED ST 65055,A81000B,00800,0300,MEDICAL SUPPLIES 65055,A81000B,00900,0300,DRUGS 65055,A81000B,01100,0300,CENTRAL SUPPLIES 65055,A81000B,01200,0300,INTEREST EXPENSE 65055,A81000B,01300,0300,MANAGEMENT FEES 65055,A81000B,01400,0300,FACILITY SALARIES 65055,A81000B,01500,0300,FACILITY BENEFITS 65055,A81000C,00100,0100,B 65055,A81000C,00100,0400,COMPLETE CARE SERVICES 65055,A81000C,00100,0600,MANAGEMENT COMPANY 65055,A81000C,00200,0100,B 65055,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65055,A81000C,00200,0600,ANCILLARY MGMT CO 65055,A81000C,00300,0100,A 65055,A81000C,00300,0200,JOHN DURHAM 65055,B100000,00000,0100,00000SQUARE FEET 65055,B100000,00000,0200,00000SQUARE FEET 65055,B100000,00000,0300,00000GROSS SALARIES 65055,B100000,00000,0400,00000ACCUM. COST 65055,B100000,00000,0500,00000SQUARE FEET 65055,B100000,00000,0600,00000INPATIENT DAYS 65055,B100000,00000,0700,00000SQUARE FEET 65055,B100000,00000,0800,00000INPATIENT DAYS 65055,B100000,00000,0900,00000INPATIENT DAYS 65055,B100000,00000,1000,00000INPATIENT DAYS 65055,B100000,00000,1100,00000INPATIENT DAYS 65055,B100000,00000,1200,00000INPATIENT DAYS 65055,B100000,00000,1300,00000INPATIENT DAYS 65055,B100000,00000,1400,00000ASSIGNED TIME 65055,E10A180,00301,0100,10/27/1999 65055,E10A180,00302,0100,11/29/1999 65055,S000000,00100,0200,06/01/2000 65055,S200000,00100,0100,424 N TARPEY RD 65055,S200000,00200,0100,TEXAS CITY 65055,S200000,00200,0200,TX 65055,S200000,00300,0100,GALVESTON 65055,S200000,00400,0100,COLLEGE PARK CARE CENTER 65055,S200000,00400,0200,455490 65055,S200000,00400,0300,09/12/1984 65055,S200000,00400,0500,P 65055,S200000,01600,0100,Y 65061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65061,A000000,00300,0000,00300EMPLOYEE BENEFITS 65061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65061,A000000,00700,0000,00700HOUSEKEEPING 65061,A000000,00800,0000,00800DIETARY 65061,A000000,00900,0000,00900NURSING ADMINISTRATION 65061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65061,A000000,01100,0000,01100PHARMACY 65061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65061,A000000,01300,0000,01300SOCIAL SERVICE 65061,A000000,01350,0000,01500PATIENT ACTIVITIES 65061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65061,A000000,01600,0000,01600SKILLED NURSING FACILITY 65061,A000000,01800,0000,01800NURSING FACILITY 65061,A000000,01810,0000,01810ICF/MR 65061,A000000,02100,0000,02100RADIOLOGY 65061,A000000,02200,0000,02200LABORATORY 65061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65061,A000000,02500,0000,02500PHYSICAL THERAPY 65061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65061,A000000,02700,0000,02700SPEECH PATHOLOGY 65061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65061,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65061,A000000,03200,0000,03200SUPPORT SURFACES 65061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65061,A000000,03550,0000,03550FQHC 65061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65061,A000000,05000,0000,05000CORF 65061,A000000,05010,0000,05010CMHC 65061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65061,A81000A,00100,0100,Y 65061,A81000B,00100,0300,RADIOLOGY 65061,A81000B,00200,0300,LABORATORY 65061,A81000B,00300,0300,IV THERAPY 65061,A81000B,00400,0300,CONTRACTED RT 65061,A81000B,00500,0300,CONTRACTED PT 65061,A81000B,00600,0300,CONTRACTED OT 65061,A81000B,00700,0300,CONTRACTED ST 65061,A81000B,00800,0300,MEDICAL SUPPLIES 65061,A81000B,00900,0300,DRUGS 65061,A81000B,01000,0300,SUPPORT SURFACES 65061,A81000B,01100,0300,CENTRAL SUPPLIES 65061,A81000B,01200,0300,INTEREST EXPENSE 65061,A81000B,01300,0300,MANAGEMENT FEE 65061,A81000B,01400,0300,FACILITY SALARIES 65061,A81000B,01500,0300,FACILITY BENEFITS 65061,A81000C,00100,0100,B 65061,A81000C,00100,0400,COMPLETE CARE SERVICES 65061,A81000C,00100,0600,MANAGEMENT COMPANY 65061,A81000C,00200,0100,B 65061,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65061,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65061,A81000C,00300,0100,A 65061,A81000C,00300,0200,JOHN DURHAM 65061,B100000,00000,0100,00000SQUARE FEET 65061,B100000,00000,0200,00000NO STATISTICS 65061,B100000,00000,0300,00000GROSS SALARIES 65061,B100000,00000,0400,00000ACCUM. COST 65061,B100000,00000,0500,00000SQUARE FEET 65061,B100000,00000,0600,00000PATIENT DAYS 65061,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65061,B100000,00000,0800,00000PATIENT DAYS 65061,B100000,00000,0900,00000NO STATISTICS 65061,B100000,00000,1000,00000PATIENT DAYS 65061,B100000,00000,1100,00000PATIENT DAYS 65061,B100000,00000,1200,00000NO STATISTICS 65061,B100000,00000,1300,00000NO STATISTICS 65061,B100000,00000,1350,00000PATIENT DAYS 65061,B100000,00000,1400,00000NO STATISTICS 65061,E10A180,00301,0100,10/27/1999 65061,E10A180,00302,0100,11/29/1999 65061,S000000,00100,0200,06/01/2000 65061,S200000,00100,0100,1599 LOMALAND DRIVE 65061,S200000,00200,0100,EL PASO 65061,S200000,00200,0200,TX 65061,S200000,00300,0100,EL PASO 65061,S200000,00400,0100,VISTA HILLS HEALTH CARE CENTER 65061,S200000,00400,0200,455493 65061,S200000,00400,0300,12/05/1984 65061,S200000,00400,0500,P 65061,S200000,01600,0100,Y 65061,S200000,04300,0100,Y 65070,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65070,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65070,A000000,00300,0000,00300EMPLOYEE BENEFITS 65070,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65070,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65070,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65070,A000000,00700,0000,00700HOUSEKEEPING 65070,A000000,00800,0000,00800DIETARY 65070,A000000,00900,0000,00900NURSING ADMINISTRATION 65070,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65070,A000000,01100,0000,01100PHARMACY 65070,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65070,A000000,01300,0000,01300SOCIAL SERVICE 65070,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65070,A000000,01600,0000,01600SKILLED NURSING FACILITY 65070,A000000,01800,0000,01800NURSING FACILITY 65070,A000000,02100,0000,02100RADIOLOGY 65070,A000000,02200,0000,02200LABORATORY 65070,A000000,02300,0000,02300INTRAVENOUS THERAPY 65070,A000000,02500,0000,02500PHYSICAL THERAPY 65070,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65070,A000000,02700,0000,02700SPEECH PATHOLOGY 65070,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65070,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65070,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65070,A000000,03051,0000,03301NUTRITIONAL THERAPY 65070,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 65070,A000000,03053,0000,03303PHYSICIAN SERVICES 65070,A000000,03054,0000,03304MEDICAL SERVICES 65070,A000000,03200,0000,03200SUPPORT SURFACES 65070,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 65070,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65070,A000000,03550,0000,03550FQHC 65070,A000000,05000,0000,05000CORF 65070,A000000,05010,0000,05010CMHC 65070,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65070,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65070,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65070,A000000,05300,0000,05300INTEREST EXPENSE 65070,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65070,A81000A,00100,0100,Y 65070,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 65070,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 65070,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 65070,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 65070,A81000B,00500,0300,SEE ATTACHEMENT A-8-1 65070,A81000C,00100,0100,B 65070,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 65070,A81000C,00200,0200,A-8-1. 65070,B100000,00000,0100,00000SQUARE FEET 65070,B100000,00000,0200,00000SQUARE FEET 65070,B100000,00000,0300,00000GROSS SALARIES 65070,B100000,00000,0400,00000ACCUM. COST 65070,B100000,00000,0500,00000SQUARE FEET 65070,B100000,00000,0600,00000PATIENT DAYS 65070,B100000,00000,0700,00000HSKP SQUARE 65070,B100000,00000,0800,00000PATIENT DAYS 65070,B100000,00000,0900,00000PATIENT DAYS 65070,B100000,00000,1000,00000PATIENT DAYS 65070,B100000,00000,1100,00000PATIENT DAYS 65070,B100000,00000,1200,00000GROSS REVENUE 65070,B100000,00000,1300,00000PATIENT DAYS 65070,B100000,00000,1400,00000ASSIGNED TIME 65070,S000000,00100,0200,05/31/2000 65070,S200000,00100,0100,3000 CARDINAL DRIVE 65070,S200000,00200,0100,ORANGE 65070,S200000,00200,0200,TX 65070,S200000,00200,0300,77630 65070,S200000,00300,0100,ORANGE 65070,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR PINEHURST 65070,S200000,00400,0200,455504 65070,S200000,00400,0300,09/01/1990 65070,S200000,00400,0500,P 65070,S200000,01600,0100,Y 65070,S200000,02200,0100,Y 65093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65093,A000000,00300,0000,00300EMPLOYEE BENEFITS 65093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65093,A000000,00700,0000,00700HOUSEKEEPING 65093,A000000,00800,0000,00800DIETARY 65093,A000000,00900,0000,00900NURSING ADMINISTRATION 65093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65093,A000000,01100,0000,01100PHARMACY 65093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65093,A000000,01300,0000,01300SOCIAL SERVICE 65093,A000000,01350,0000,01500PATIENT ACTIVITIES 65093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65093,A000000,01600,0000,01600SKILLED NURSING FACILITY 65093,A000000,01800,0000,01800NURSING FACILITY 65093,A000000,01810,0000,01810ICF/MR 65093,A000000,02100,0000,02100RADIOLOGY 65093,A000000,02200,0000,02200LABORATORY 65093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65093,A000000,02500,0000,02500PHYSICAL THERAPY 65093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65093,A000000,02700,0000,02700SPEECH PATHOLOGY 65093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65093,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65093,A000000,03200,0000,03200SUPPORT SURFACES 65093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65093,A000000,03550,0000,03550FQHC 65093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65093,A000000,05000,0000,05000CORF 65093,A000000,05010,0000,05010CMHC 65093,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65093,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65093,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65093,A81000A,00100,0100,Y 65093,A81000B,00100,0300,RADIOLOGY 65093,A81000B,00200,0300,LABORATORY 65093,A81000B,00400,0300,CONTRACTED RT 65093,A81000B,00500,0300,CONTRACTED PT 65093,A81000B,00600,0300,CONTRACTED OT 65093,A81000B,00700,0300,CONTRACTED ST 65093,A81000B,00800,0300,MEDICAL SUPPLIES 65093,A81000B,00900,0300,DRUGS 65093,A81000B,01000,0300,SUPPORT SURFACES 65093,A81000B,01100,0300,CENTRAL SUPPLIES 65093,A81000B,01200,0300,INTEREST EXPENSE 65093,A81000B,01300,0300,MANAGEMENT FEE 65093,A81000B,01400,0300,FACILITY SALARIES 65093,A81000B,01500,0300,FACILITY BENEFITS 65093,A81000C,00100,0100,B 65093,A81000C,00100,0400,COMPLETE CARE SERVICES 65093,A81000C,00100,0600,MANAGEMENT COMPANY 65093,A81000C,00200,0100,B 65093,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65093,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65093,A81000C,00300,0100,A 65093,A81000C,00300,0200,JOHN DURHAM 65093,B100000,00000,0100,00000SQUARE FEET 65093,B100000,00000,0200,00000NO STATISTICS 65093,B100000,00000,0300,00000GROSS SALARIES 65093,B100000,00000,0400,00000ACCUM. COST 65093,B100000,00000,0500,00000SQUARE FEET 65093,B100000,00000,0600,00000PATIENT DAYS 65093,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65093,B100000,00000,0800,00000PATIENT DAYS 65093,B100000,00000,0900,00000NO STATISTICS 65093,B100000,00000,1000,00000PATIENT DAYS 65093,B100000,00000,1100,00000PATIENT DAYS 65093,B100000,00000,1200,00000NO STATISTICS 65093,B100000,00000,1300,00000NO STATISTICS 65093,B100000,00000,1350,00000PATIENT DAYS 65093,B100000,00000,1400,00000NO STATISTICS 65093,E10A180,00301,0100,10/27/1999 65093,E10A180,00302,0100,11/29/1999 65093,S000000,00100,0200,06/01/2000 65093,S200000,00100,0100,4302 EAST SOUTHCROSS 65093,S200000,00200,0100,SAN ANTONIO 65093,S200000,00200,0200,TX 65093,S200000,00300,0100,BEXAR 65093,S200000,00400,0100,SOUTHEAST NURSING & REHAB CENTER 65093,S200000,00400,0200,455542 65093,S200000,00400,0300,06/26/1998 65093,S200000,00400,0500,P 65093,S200000,01600,0100,Y 65093,S200000,04300,0100,Y 65100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65100,A000000,00300,0000,00300EMPLOYEE BENEFITS 65100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65100,A000000,00700,0000,00700HOUSEKEEPING 65100,A000000,00800,0000,00800DIETARY 65100,A000000,00900,0000,00900NURSING ADMINISTRATION 65100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65100,A000000,01100,0000,01100PHARMACY 65100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65100,A000000,01300,0000,01300SOCIAL SERVICE 65100,A000000,01350,0000,01500PATIENT ACTIVITIES 65100,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65100,A000000,01600,0000,01600SKILLED NURSING FACILITY 65100,A000000,01800,0000,01800NURSING FACILITY 65100,A000000,01810,0000,01810ICF/MR 65100,A000000,02200,0000,02200LABORATORY 65100,A000000,02300,0000,02300INTRAVENOUS THERAPY 65100,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65100,A000000,02500,0000,02500PHYSICAL THERAPY 65100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65100,A000000,02700,0000,02700SPEECH PATHOLOGY 65100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65100,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65100,A000000,03200,0000,03200SUPPORT SURFACES 65100,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65100,A000000,03550,0000,03550FQHC 65100,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65100,A000000,05000,0000,05000CORF 65100,A000000,05010,0000,05010CMHC 65100,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65100,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65100,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65100,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65100,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65100,A81000A,00100,0100,Y 65100,A81000B,00100,0300,INTEREST EXPENSE 65100,A81000B,00200,0300,INTEREST EXPENSE HCFP 65100,A81000C,00100,0100,B 65100,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65100,A81000C,00100,0600,HOME OFFICE 65100,B100000,00000,0100,00000SQUARE FEET 65100,B100000,00000,0200,00000NO STATISTICS 65100,B100000,00000,0300,00000GROSS SALARIES 65100,B100000,00000,0400,00000ACCUM. COST 65100,B100000,00000,0500,00000SQUARE FEET 65100,B100000,00000,0600,00000PATIENT DAYS 65100,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65100,B100000,00000,0800,00000PATIENT DAYS 65100,B100000,00000,0900,00000NO STATISTICS 65100,B100000,00000,1000,00000PATIENT DAYS 65100,B100000,00000,1100,00000PATIENT DAYS 65100,B100000,00000,1200,00000NO STATISTICS 65100,B100000,00000,1300,00000NO STATISTICS 65100,B100000,00000,1350,00000PATIENT DAYS 65100,B100000,00000,1400,00000NO STATISTICS 65100,E10A180,00301,0100,10/27/1999 65100,E10A180,00302,0100,11/29/1999 65100,S000000,00100,0200,06/01/2000 65100,S200000,00100,0100,1224 CORVADURA STREET 65100,S200000,00200,0100,GRAHAM 65100,S200000,00200,0200,TX 65100,S200000,00200,0300,76450 65100,S200000,00300,0100,YOUNG 65100,S200000,00400,0100,GARDEN TERRACE HEALTHCARE CENTER 65100,S200000,00400,0200,455555 65100,S200000,00400,0300,10/01/1985 65100,S200000,00400,0500,P 65100,S200000,01600,0100,Y 65100,S200000,04300,0100,Y 65129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65129,A000000,00300,0000,00300EMPLOYEE BENEFITS 65129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65129,A000000,00700,0000,00700HOUSEKEEPING 65129,A000000,00800,0000,00800DIETARY 65129,A000000,00900,0000,00900NURSING ADMINISTRATION 65129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65129,A000000,01100,0000,01100PHARMACY 65129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65129,A000000,01300,0000,01300SOCIAL SERVICE 65129,A000000,01350,0000,01500PATIENT ACTIVITIES 65129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65129,A000000,01600,0000,01600SKILLED NURSING FACILITY 65129,A000000,01800,0000,01800NURSING FACILITY 65129,A000000,02100,0000,02100RADIOLOGY 65129,A000000,02200,0000,02200LABORATORY 65129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65129,A000000,02500,0000,02500PHYSICAL THERAPY 65129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65129,A000000,02700,0000,02700SPEECH PATHOLOGY 65129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65129,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65129,A000000,03200,0000,03200SUPPORT SURFACES 65129,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65129,A000000,03550,0000,03550FQHC 65129,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65129,A000000,05000,0000,05000CORF 65129,A000000,05010,0000,05010CMHC 65129,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65129,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65129,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65129,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65129,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65129,A81000A,00100,0100,Y 65129,A81000B,00100,0300,RADIOLOGY 65129,A81000B,00200,0300,LABORATORY 65129,A81000B,00300,0300,IV THERAPY 65129,A81000B,00400,0300,CONTRACTED RT 65129,A81000B,00500,0300,CONTRACTED PT 65129,A81000B,00600,0300,CONTRACTED OT 65129,A81000B,00700,0300,CONTRACTED ST 65129,A81000B,00800,0300,MEDICAL SUPPLIES 65129,A81000B,00900,0300,DRUGS 65129,A81000B,01000,0300,SUPPORT SURFACES 65129,A81000B,01100,0300,CENTRAL SUPPLIES 65129,A81000B,01200,0300,INTEREST EXPENSE 65129,A81000B,01300,0300,MANAGEMENT FEE 65129,A81000B,01400,0300,FACILITY SALARIES 65129,A81000B,01500,0300,FACILITY BENEFITS 65129,A81000C,00100,0100,B 65129,A81000C,00100,0400,COMPLETE CARE SERVICES 65129,A81000C,00100,0600,MANAGEMENT COMPANY 65129,A81000C,00200,0100,B 65129,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65129,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65129,A81000C,00300,0100,A 65129,A81000C,00300,0200,JOHN DURHAM 65129,B100000,00000,0100,00000SQUARE FEET 65129,B100000,00000,0200,00000NO STATISTICS 65129,B100000,00000,0300,00000GROSS SALARIES 65129,B100000,00000,0400,00000ACCUM. COST 65129,B100000,00000,0500,00000SQUARE FEET 65129,B100000,00000,0600,00000PATIENT DAYS 65129,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65129,B100000,00000,0800,00000PATIENT DAYS 65129,B100000,00000,0900,00000NO STATISTICS 65129,B100000,00000,1000,00000PATIENT DAYS 65129,B100000,00000,1100,00000PATIENT DAYS 65129,B100000,00000,1200,00000NO STATISTICS 65129,B100000,00000,1300,00000NO STATISTICS 65129,B100000,00000,1350,00000PATIENT DAYS 65129,B100000,00000,1400,00000NO STATISTICS 65129,E10A180,00301,0100,10/27/1999 65129,E10A180,00302,0100,11/29/1999 65129,S000000,00100,0200,06/01/2000 65129,S200000,00100,0100,6621 DAN DANCIGER ROAD 65129,S200000,00200,0100,FORT WORTH 65129,S200000,00200,0200,TX 65129,S200000,00200,0300,76133 65129,S200000,00300,0100,TARRANT 65129,S200000,00400,0100,WEDGEWOOD NURSING HOME 65129,S200000,00400,0200,455572 65129,S200000,00400,0300,06/26/1998 65129,S200000,00400,0500,P 65129,S200000,01600,0100,Y 65129,S200000,04300,0100,Y 65134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65134,A000000,00300,0000,00300EMPLOYEE BENEFITS 65134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65134,A000000,00700,0000,00700HOUSEKEEPING 65134,A000000,00800,0000,00800DIETARY 65134,A000000,00900,0000,00900NURSING ADMINISTRATION 65134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65134,A000000,01100,0000,01100PHARMACY 65134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65134,A000000,01300,0000,01300SOCIAL SERVICE 65134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65134,A000000,01600,0000,01600SKILLED NURSING FACILITY 65134,A000000,01800,0000,01800NURSING FACILITY 65134,A000000,01810,0000,01810ICF/MR 65134,A000000,02200,0000,02200LABORATORY 65134,A000000,02500,0000,02500PHYSICAL THERAPY 65134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65134,A000000,02700,0000,02700SPEECH PATHOLOGY 65134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65134,A000000,03550,0000,03550FQHC 65134,A000000,05000,0000,05000CORF 65134,A000000,05010,0000,05010CMHC 65134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65134,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65134,A81000A,00100,0100,Y 65134,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 65134,A81000B,00200,0300,ADMINISTRATIVE & GENERAL LEGAL 65134,A81000B,00300,0300,ADMINISTRATIVE & GENERAL CONSU 65134,A81000C,00100,0100,B 65134,A81000C,00100,0400,PHILTEX HOLDING INC 65134,A81000C,00100,0600,REAL ESTATE HOLDING CO. 65134,A81000C,00200,0100,B 65134,A81000C,00200,0400,EHMANN VAN DENBERGH & TR 65134,A81000C,00200,0600,LAW FIRM 65134,A81000C,00300,0100,B 65134,A81000C,00300,0400,ZA CONSULTING LLC 65134,A81000C,00300,0600,HEALTHCARE CONSULTING 65134,B100000,00000,0100,00000SQUARE FEET 65134,B100000,00000,0200,00000SQUARE FEET 65134,B100000,00000,0300,00000GROSS SALARIES 65134,B100000,00000,0400,00000ACCUM. COST 65134,B100000,00000,0500,00000SQUARE FEET 65134,B100000,00000,0600,00000INPATIENT DAYS 65134,B100000,00000,0700,00000SQUARE FEET 65134,B100000,00000,0800,00000INPATIENT DAYS 65134,B100000,00000,0900,00000INPATIENT DAYS 65134,B100000,00000,1000,00000COSTED REQUIS. 65134,B100000,00000,1100,00000COSTED REQUIS. 65134,B100000,00000,1200,00000INPATIENT DAYS 65134,B100000,00000,1300,00000INPATIENT DAYS 65134,B100000,00000,1400,00000ASSIGNED TIME 65134,S000000,00100,0200,06/01/2000 65134,S200000,00100,0100,1150 LOOP 304 EAST 65134,S200000,00200,0100,CROCKETT 65134,S200000,00200,0200,TX 65134,S200000,00200,0300,75835 65134,S200000,00300,0100,HOUSTON 65134,S200000,00400,0100,CROCKETT CARE CENTER 65134,S200000,00400,0200,455577 65134,S200000,00400,0300,09/18/1985 65134,S200000,00400,0500,P 65134,S200000,01600,0100,Y 65140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65140,A000000,00300,0000,00300EMPLOYEE BENEFITS 65140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65140,A000000,00700,0000,00700HOUSEKEEPING 65140,A000000,00800,0000,00800DIETARY 65140,A000000,00900,0000,00900NURSING ADMINISTRATION 65140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65140,A000000,01100,0000,01100PHARMACY 65140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65140,A000000,01300,0000,01300SOCIAL SERVICE 65140,A000000,01350,0000,01500PATIENT ACTIVITIES 65140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65140,A000000,01600,0000,01600SKILLED NURSING FACILITY 65140,A000000,01800,0000,01800NURSING FACILITY 65140,A000000,01810,0000,01810ICF/MR 65140,A000000,02100,0000,02100RADIOLOGY 65140,A000000,02200,0000,02200LABORATORY 65140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65140,A000000,02500,0000,02500PHYSICAL THERAPY 65140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65140,A000000,02700,0000,02700SPEECH PATHOLOGY 65140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65140,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65140,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65140,A000000,03550,0000,03550FQHC 65140,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65140,A000000,05000,0000,05000CORF 65140,A000000,05010,0000,05010CMHC 65140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65140,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65140,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65140,A81000A,00100,0100,Y 65140,A81000B,00100,0300,RADIOLOGY 65140,A81000B,00200,0300,LABORATORY 65140,A81000B,00300,0300,IV THERAPY 65140,A81000B,00400,0300,CONTRACTED RT 65140,A81000B,00500,0300,CONTRACTED PT 65140,A81000B,00600,0300,CONTRACTED OT 65140,A81000B,00700,0300,CONTRACTED ST 65140,A81000B,00800,0300,MEDICAL SUPPLIES 65140,A81000B,00900,0300,DRUGS 65140,A81000B,01000,0300,SUPPORT SURFACES 65140,A81000B,01100,0300,CENTRAL SUPPLIES 65140,A81000B,01200,0300,INTEREST EXPENSE 65140,A81000B,01300,0300,MANAGEMENT FEE 65140,A81000B,01400,0300,FACILITY SALARIES 65140,A81000B,01500,0300,FACILITY BENEFITS 65140,A81000C,00100,0100,B 65140,A81000C,00100,0400,COMPLETE CARE SERVICES 65140,A81000C,00100,0600,MANAGEMENT COMPANY 65140,A81000C,00200,0100,B 65140,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65140,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65140,A81000C,00300,0100,A 65140,A81000C,00300,0200,JOHN DURHAM 65140,B100000,00000,0100,00000SQUARE FEET 65140,B100000,00000,0200,00000NO STATISTICS 65140,B100000,00000,0300,00000GROSS SALARIES 65140,B100000,00000,0400,00000ACCUM. COST 65140,B100000,00000,0500,00000SQUARE FEET 65140,B100000,00000,0600,00000PATIENT DAYS 65140,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65140,B100000,00000,0800,00000PATIENT DAYS 65140,B100000,00000,0900,00000NO STATISTICS 65140,B100000,00000,1000,00000PATIENT DAYS 65140,B100000,00000,1100,00000PATIENT DAYS 65140,B100000,00000,1200,00000NO STATISTICS 65140,B100000,00000,1300,00000NO STATISTICS 65140,B100000,00000,1350,00000PATIENT DAYS 65140,B100000,00000,1400,00000NO STATISTICS 65140,E10A180,00301,0100,10/27/1999 65140,E10A180,00302,0100,11/29/1999 65140,S000000,00100,0200,06/01/2000 65140,S200000,00100,0100,411 AIRPORT ROAD 65140,S200000,00200,0100,SULPHUR SPRINGS 65140,S200000,00200,0200,TX 65140,S200000,00200,0300,75482 65140,S200000,00300,0100,HOPKINS 65140,S200000,00400,0100,SULPHUR SPRINGS NURSING & REHAB CENT 65140,S200000,00400,0200,455579 65140,S200000,00400,0300,07/12/1985 65140,S200000,00400,0500,P 65140,S200000,01600,0100,Y 65140,S200000,04300,0100,Y 65144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65144,A000000,00300,0000,00300EMPLOYEE BENEFITS 65144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65144,A000000,00700,0000,00700HOUSEKEEPING 65144,A000000,00800,0000,00800DIETARY 65144,A000000,00900,0000,00900NURSING ADMINISTRATION 65144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65144,A000000,01100,0000,01100PHARMACY 65144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65144,A000000,01300,0000,01300SOCIAL SERVICE 65144,A000000,01350,0000,01500PATIENT ACTIVITIES 65144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65144,A000000,01600,0000,01600SKILLED NURSING FACILITY 65144,A000000,01800,0000,01800NURSING FACILITY 65144,A000000,01810,0000,01810ICF/MR 65144,A000000,02100,0000,02100RADIOLOGY 65144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65144,A000000,02500,0000,02500PHYSICAL THERAPY 65144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65144,A000000,02700,0000,02700SPEECH PATHOLOGY 65144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65144,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65144,A000000,03200,0000,03200SUPPORT SURFACES 65144,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65144,A000000,03550,0000,03550FQHC 65144,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65144,A000000,05000,0000,05000CORF 65144,A000000,05010,0000,05010CMHC 65144,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65144,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65144,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65144,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65144,A81000A,00100,0100,Y 65144,A81000B,00100,0300,RADIOLOGY 65144,A81000B,00200,0300,LABORATORY 65144,A81000B,00300,0300,IV THERAPY 65144,A81000B,00400,0300,CONTRACTED RT 65144,A81000B,00500,0300,CONTRACTED PT 65144,A81000B,00600,0300,CONTRACTED OT 65144,A81000B,00700,0300,CONTRACTED ST 65144,A81000B,00800,0300,MEDICAL SUPPLIES 65144,A81000B,00900,0300,DRUGS 65144,A81000B,01000,0300,SUPPORT SURFACES 65144,A81000B,01100,0300,CENTRAL SUPPLIES 65144,A81000B,01200,0300,INTEREST EXPENSE 65144,A81000B,01300,0300,MANAGEMENT FEE 65144,A81000B,01400,0300,FACILITY SALARIES 65144,A81000B,01500,0300,FACILITY BENEFITS 65144,A81000C,00100,0100,B 65144,A81000C,00100,0400,COMPLETE CARE SERVICES 65144,A81000C,00100,0600,MANAGEMENT COMPANY 65144,A81000C,00200,0100,B 65144,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65144,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65144,A81000C,00300,0100,A 65144,A81000C,00300,0200,JOHN DURHAM 65144,B100000,00000,0100,00000SQUARE FEET 65144,B100000,00000,0200,00000NO STATISTICS 65144,B100000,00000,0300,00000GROSS SALARIES 65144,B100000,00000,0400,00000ACCUM. COST 65144,B100000,00000,0500,00000SQUARE FEET 65144,B100000,00000,0600,00000PATIENT DAYS 65144,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65144,B100000,00000,0800,00000PATIENT DAYS 65144,B100000,00000,0900,00000NO STATISTICS 65144,B100000,00000,1000,00000PATIENT DAYS 65144,B100000,00000,1100,00000PATIENT DAYS 65144,B100000,00000,1200,00000NO STATISTICS 65144,B100000,00000,1300,00000NO STATISTICS 65144,B100000,00000,1350,00000PATIENT DAYS 65144,B100000,00000,1400,00000NO STATISTICS 65144,S000000,00100,0200,07/10/2000 65144,S200000,00100,0100,2001 E. 29TH STREET 65144,S200000,00200,0100,BRYAN 65144,S200000,00200,0200,TX 65144,S200000,00200,0300,77801 65144,S200000,00300,0100,BRAZOS 65144,S200000,00400,0100,UNIVERSITY HILLS NURSING CENTER 65144,S200000,00400,0200,455589 65144,S200000,00400,0300,08/28/1985 65144,S200000,00400,0500,P 65144,S200000,01600,0100,Y 65144,S200000,01900,0100,LIMITED LIABILITY COMPANY 65144,S200000,02800,0100,Y 65144,S200000,04300,0100,Y 65154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65154,A000000,00300,0000,00300EMPLOYEE BENEFITS 65154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65154,A000000,00700,0000,00700HOUSEKEEPING 65154,A000000,00800,0000,00800DIETARY 65154,A000000,00900,0000,00900NURSING ADMINISTRATION 65154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65154,A000000,01100,0000,01100PHARMACY 65154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65154,A000000,01300,0000,01300SOCIAL SERVICE 65154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65154,A000000,01600,0000,01600SKILLED NURSING FACILITY 65154,A000000,01800,0000,01800NURSING FACILITY 65154,A000000,01810,0000,01810ICF/MR 65154,A000000,02100,0000,02100RADIOLOGY 65154,A000000,02200,0000,02200LABORATORY 65154,A000000,02300,0000,02300INTRAVENOUS THERAPY 65154,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65154,A000000,02500,0000,02500PHYSICAL THERAPY 65154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65154,A000000,02700,0000,02700SPEECH PATHOLOGY 65154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65154,A000000,03200,0000,03200SUPPORT SURFACES 65154,A000000,03550,0000,03550FQHC 65154,A000000,05000,0000,05000CORF 65154,A000000,05010,0000,05010CMHC 65154,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65154,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65154,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65154,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65154,A81000A,00100,0100,Y 65154,A81000B,00100,0300,RADIOLOGY 65154,A81000B,00200,0300,LABORATORY 65154,A81000B,00300,0300,IV THERAPY 65154,A81000B,00400,0300,CONTRACTED RT 65154,A81000B,00500,0300,CONTRACTED PT 65154,A81000B,00600,0300,CONTRACTED OT 65154,A81000B,00700,0300,CONTRACTED ST 65154,A81000B,00800,0300,MEDICAL SUPPLIES 65154,A81000B,00900,0300,DRUGS 65154,A81000B,01000,0300,SUPPORT SURFACES 65154,A81000B,01100,0300,CENTRAL SUPPLIES 65154,A81000B,01200,0300,INTEREST EXPENSE 65154,A81000B,01300,0300,MANAGEMENT FEE 65154,A81000B,01400,0300,FACILITY SALARIES 65154,A81000B,01500,0300,FACILITY BENEFITS 65154,A81000C,00100,0100,B 65154,A81000C,00100,0400,COMPLETE CARE SERVICES 65154,A81000C,00100,0600,MANAGEMENT COMPANY 65154,A81000C,00200,0100,B 65154,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65154,A81000C,00200,0600,ANCILLARY MGMT CO 65154,A81000C,00300,0100,A 65154,A81000C,00300,0200,JOHN DURHAM 65154,B100000,00000,0100,00000SQUARE FEET 65154,B100000,00000,0200,00000SQUARE FEET 65154,B100000,00000,0300,00000GROSS SALARIES 65154,B100000,00000,0400,00000ACCUM. COST 65154,B100000,00000,0500,00000SQUARE FEET 65154,B100000,00000,0600,00000INPATIENT DAYS 65154,B100000,00000,0700,00000SQUARE FEET 65154,B100000,00000,0800,00000INPATIENT DAYS 65154,B100000,00000,0900,00000INPATIENT DAYS 65154,B100000,00000,1000,00000INPATIENT DAYS 65154,B100000,00000,1100,00000INPATIENT DAYS 65154,B100000,00000,1200,00000INPATIENT DAYS 65154,B100000,00000,1300,00000INPATIENT DAYS 65154,B100000,00000,1400,00000ASSIGNED TIME 65154,E10A180,00301,0100,10/27/1999 65154,E10A180,00302,0100,11/29/1999 65154,S000000,00100,0200,06/01/2000 65154,S200000,00100,0100,9052 GATEWOOD DRIVE 65154,S200000,00200,0100,AUSTIN 65154,S200000,00200,0200,TX 65154,S200000,00300,0100,TRAVIS 65154,S200000,00400,0100,CAPITOL CITY NURSING & REHAB 65154,S200000,00400,0200,455596 65154,S200000,00400,0300,08/30/1985 65154,S200000,00400,0500,P 65154,S200000,01600,0100,Y 65164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65164,A000000,00300,0000,00300EMPLOYEE BENEFITS 65164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65164,A000000,00700,0000,00700HOUSEKEEPING 65164,A000000,00800,0000,00800DIETARY 65164,A000000,00900,0000,00900NURSING ADMINISTRATION 65164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65164,A000000,01100,0000,01100PHARMACY 65164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65164,A000000,01300,0000,01300SOCIAL SERVICE 65164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65164,A000000,01600,0000,01600SKILLED NURSING FACILITY 65164,A000000,01800,0000,01800NURSING FACILITY 65164,A000000,01810,0000,01810ICF/MR 65164,A000000,02200,0000,02200LABORATORY 65164,A000000,02500,0000,02500PHYSICAL THERAPY 65164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65164,A000000,02700,0000,02700SPEECH PATHOLOGY 65164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65164,A000000,03550,0000,03550FQHC 65164,A000000,05000,0000,05000CORF 65164,A000000,05010,0000,05010CMHC 65164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65164,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65164,A81000A,00100,0100,Y 65164,A81000B,00100,0300,REMOVE REL LESSOR BLDG LEASE E 65164,A81000B,00200,0300,REMOVE REL LESSOR EQUIP LEASE 65164,A81000B,00300,0300,ADD BACK REL LESSOR BLDG COSTS 65164,A81000B,00400,0300,ADD BACK REL LESSOR EQUIP COST 65164,A81000B,00500,0300,ADD BACK REL LESSOR FINANCING 65164,A81000B,00600,0300,ADD BACK REL LESSOR START-UP C 65164,A81000B,00700,0300,HOME OFFICE CAPITAL RELATED CO 65164,A81000B,00800,0300,HOME OFFICE ADMIN RELATED COST 65164,A81000B,00900,0300,CONTRACTED PHYSICAL THERAPY 65164,A81000B,01000,0300,CONTRACTED OCCUP THERAPY 65164,A81000B,01100,0300,CONTRACTED SPEECH THERAPY 65164,A81000C,00100,0100,B 65164,A81000C,00100,0200,MORNINGSTAR HEALTH GROUP 65164,A81000C,00100,0400,MORNINGSTAR OPERATING #3 65164,A81000C,00100,0600,RP FACILITY OPERATING CO 65164,A81000C,00200,0100,B 65164,A81000C,00200,0200,MORNINGSTAR HEALTH GROUP 65164,A81000C,00200,0400,MORNINGSTAR REALTY #3 65164,A81000C,00200,0600,RP LAND & BUILDING LESSOR 65164,A81000C,00300,0100,B 65164,A81000C,00300,0200,MORNINGSTAR HEALTH GROUP 65164,A81000C,00300,0400,MORNINGSTAR RESOURCE #3 65164,A81000C,00300,0600,RP EQUIPMENT LESSOR 65164,A81000C,00400,0100,B 65164,A81000C,00400,0200,MORNINGSTAR MGMT GROUP 65164,A81000C,00400,0400,MORNINGSTAR OPERATING #3 65164,A81000C,00400,0600,RP FACILITY OPERATING CO 65164,A81000C,00500,0100,B 65164,A81000C,00500,0200,MORNINGSTAR MGMT GROUP 65164,A81000C,00500,0400,MORNINGSTAR REALTY #3 65164,A81000C,00500,0600,RP LAND & BUILDING LESSOR 65164,A81000C,00600,0100,B 65164,A81000C,00600,0200,MORNINGSTAR MGMT GROUP 65164,A81000C,00600,0400,MORNINGSTAR RESOURCE #3 65164,A81000C,00600,0600,RP EQUIPMENT LESSOR 65164,A81000C,00700,0100,B 65164,A81000C,00700,0200,MORNINGSTAR MGMT GROUP 65164,A81000C,00700,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,00700,0600,CORPORATE MGMT COMPANY 65164,A81000C,00800,0100,A 65164,A81000C,00800,0200,JOHN WILCOX 65164,A81000C,00800,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,00800,0600,CORPORATE MGMT COMPANY 65164,A81000C,00900,0100,A 65164,A81000C,00900,0200,JOHN WILCOX 65164,A81000C,00900,0400,MORNINGSTAR MGMT GROUP 65164,A81000C,00900,0600,RP HOME OFFICE MANAGER 65164,A81000C,01000,0100,A 65164,A81000C,01000,0200,JOHN WILCOX 65164,A81000C,01000,0400,ORTHO-TEK INC. 65164,A81000C,01000,0600,DME & SUPPLY COMPANY 65164,A81000C,01001,0100,A 65164,A81000C,01001,0200,BARRY REYNOLDS 65164,A81000C,01001,0400,PROFESSIONAL OP SERVICES 65164,A81000C,01001,0600,CONTRACT THERAPY PROVIDER 65164,A81000C,01002,0100,A 65164,A81000C,01002,0200,BARRY REYNOLDS 65164,A81000C,01002,0400,PROS HOME HEALTHCARE 65164,A81000C,01002,0600,HOME HEALTH AGENCY 65164,A81000C,01100,0100,A 65164,A81000C,01100,0200,JOHN WILCOX 65164,A81000C,01100,0400,PROFESSIONAL OP SERVICES 65164,A81000C,01100,0600,CONTRACT THERAPY PROVIDER 65164,A81000C,01200,0100,A 65164,A81000C,01200,0200,JOHN WILCOX 65164,A81000C,01200,0400,PROS HOME HEALTHCARE 65164,A81000C,01200,0600,HOME HEALTH AGENCY 65164,A81000C,01300,0100,A 65164,A81000C,01300,0200,LINDA WILCOX 65164,A81000C,01300,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,01300,0600,CORPORATE MGMT COMPANY 65164,A81000C,01400,0100,A 65164,A81000C,01400,0200,LINDA WILCOX 65164,A81000C,01400,0400,MORNINGSTAR MGMT GROUP 65164,A81000C,01400,0600,RP HOME OFFICE MANAGER 65164,A81000C,01500,0100,A 65164,A81000C,01500,0200,LINDA WILCOX 65164,A81000C,01500,0400,ORTHO-TEK INC. 65164,A81000C,01500,0600,DME & SUPPLY COMPANY 65164,A81000C,01600,0100,A 65164,A81000C,01600,0200,LINDA WILCOX 65164,A81000C,01600,0400,PROFESSIONAL OP SERVICES 65164,A81000C,01600,0600,CONTRACT THERAPY PROVIDER 65164,A81000C,01700,0100,A 65164,A81000C,01700,0200,LINDA WILCOX 65164,A81000C,01700,0400,PROS HOME HEALTHCARE 65164,A81000C,01700,0600,HOME HEALTH AGENCY 65164,A81000C,01800,0100,A 65164,A81000C,01800,0200,BOB PETTY 65164,A81000C,01800,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,01800,0600,CORPORATE MGMT COMPANY 65164,A81000C,01900,0100,A 65164,A81000C,01900,0200,BOB PETTY 65164,A81000C,01900,0400,MORNINGSTAR MGMT GROUP 65164,A81000C,01900,0600,RP HOME OFFICE MANAGER 65164,A81000C,02000,0100,A 65164,A81000C,02000,0200,BOB PETTY 65164,A81000C,02000,0400,ORTHO-TEK INC. 65164,A81000C,02000,0600,DME & SUPPLY COMPANY 65164,A81000C,02100,0100,A 65164,A81000C,02100,0200,BOB PETTY 65164,A81000C,02100,0400,PROFESSIONAL OP SERVICES 65164,A81000C,02100,0600,CONTRACT THERAPY PROVIDER 65164,A81000C,02200,0100,A 65164,A81000C,02200,0200,BOB PETTY 65164,A81000C,02200,0400,PROS HOME HEALTHCARE 65164,A81000C,02200,0600,HOME HEALTH AGENCY 65164,A81000C,02300,0100,A 65164,A81000C,02300,0200,CAROLYN PETTY 65164,A81000C,02300,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,02300,0600,CORPORATE MGMT COMPANY 65164,A81000C,02400,0100,A 65164,A81000C,02400,0200,CAROLYN PETTY 65164,A81000C,02400,0400,MORNINGSTAR MGMT GROUP 65164,A81000C,02400,0600,RP HOME OFFICE MANAGER 65164,A81000C,02500,0100,A 65164,A81000C,02500,0200,CAROLYN PETTY 65164,A81000C,02500,0400,ORTHO-TEK INC. 65164,A81000C,02500,0600,DME & SUPPLY COMPANY 65164,A81000C,02600,0100,A 65164,A81000C,02600,0200,CAROLYN PETTY 65164,A81000C,02600,0400,PROFESSIONAL OP SERVICES 65164,A81000C,02600,0600,CONTRACT THERAPY PROVIDER 65164,A81000C,02700,0100,A 65164,A81000C,02700,0200,CAROLYN PETTY 65164,A81000C,02700,0400,PROS HOME HEALTHCARE 65164,A81000C,02700,0600,HOME HEALTH AGENCY 65164,A81000C,02800,0100,A 65164,A81000C,02800,0200,BARRY REYNOLDS 65164,A81000C,02800,0400,MORNINGSTAR HEALTH GROUP 65164,A81000C,02800,0600,CORPORATE MGMT COMPANY 65164,A81000C,02900,0100,A 65164,A81000C,02900,0200,BARRY REYNOLDS 65164,A81000C,02900,0400,MORNINGSTAR MGMT GROUP 65164,A81000C,02900,0600,RP HOME OFFICE MANAGER 65164,A81000C,03000,0100,A 65164,A81000C,03000,0200,BARRY REYNOLDS 65164,A81000C,03000,0400,ORTHO-TEK INC. 65164,A81000C,03000,0600,DME & SUPPLY COMPANY 65164,B100000,00000,0100,00000SQUARE FEET 65164,B100000,00000,0200,00000SQUARE FEET 65164,B100000,00000,0300,00000GROSS SALARIES 65164,B100000,00000,0400,00000ACCUM. COST 65164,B100000,00000,0500,00000SQUARE FEET 65164,B100000,00000,0600,00000INPATIENT DAYS 65164,B100000,00000,0700,00000SQUARE FEET 65164,B100000,00000,0800,00000INPATIENT DAYS 65164,B100000,00000,0900,00000INPATIENT DAYS 65164,B100000,00000,1000,00000COSTED REQUIS. 65164,B100000,00000,1100,00000COSTED REQUIS. 65164,B100000,00000,1200,00000INPATIENT DAYS 65164,B100000,00000,1300,00000INPATIENT DAYS 65164,B100000,00000,1400,00000ASSIGNED TIME 65164,S000000,00100,0200,01/27/2000 65164,S200000,00100,0100,101 NORTH PARKWAY 65164,S200000,00200,0100,ALVARADO 65164,S200000,00200,0200,TX 65164,S200000,00300,0100,JOHNSON 65164,S200000,00400,0100,ALVARADO MEADOWS REHAB CTR 65164,S200000,00400,0200,455601 65164,S200000,00400,0300,10/08/1998 65164,S200000,00400,0500,P 65164,S200000,01600,0100,Y 65165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65165,A000000,00300,0000,00300EMPLOYEE BENEFITS 65165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65165,A000000,00700,0000,00700HOUSEKEEPING 65165,A000000,00800,0000,00800DIETARY 65165,A000000,00900,0000,00900NURSING ADMINISTRATION 65165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65165,A000000,01100,0000,01100PHARMACY 65165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65165,A000000,01300,0000,01300SOCIAL SERVICE 65165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65165,A000000,01600,0000,01600SKILLED NURSING FACILITY 65165,A000000,01800,0000,01800NURSING FACILITY 65165,A000000,01810,0000,01810ICF/MR 65165,A000000,02100,0000,02100RADIOLOGY 65165,A000000,02200,0000,02200LABORATORY 65165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65165,A000000,02500,0000,02500PHYSICAL THERAPY 65165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65165,A000000,02700,0000,02700SPEECH PATHOLOGY 65165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65165,A000000,03550,0000,03550FQHC 65165,A000000,05000,0000,05000CORF 65165,A000000,05010,0000,05010CMHC 65165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65165,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 65165,A81000A,00100,0100,Y 65165,A81000B,00100,0300,REMOVE BLDG RENT 65165,A81000B,00200,0300,REMOVE EQUIP RENT 65165,A81000B,00300,0300,ADD BLDG COSTS 65165,A81000B,00400,0300,ADD EQUIP COSTS 65165,A81000B,00500,0300,ADD START UP COSTS 65165,A81000B,00600,0300,ADD ADMIN COSTS 65165,A81000B,00700,0300,REMOVE MGT FEES 65165,A81000B,00800,0300,HOME OFF DIRECT COST 65165,A81000B,00900,0300,HOME OFF POOLED COST 65165,A81000B,01000,0300,CONTRACT PT COSTS 65165,A81000B,01100,0300,CONTRACT OT COSTS 65165,A81000B,01200,0300,CONTRACT ST COSTS 65165,A81000C,00100,0100,B 65165,A81000C,00100,0200,MS HEALTH GROUP 65165,A81000C,00100,0400,MS OPERATING #3 65165,A81000C,00100,0600,RP FACILITY OPE 65165,A81000C,00200,0100,B 65165,A81000C,00200,0200,MS HEALTH GROUP 65165,A81000C,00200,0400,MS REALTY #3 65165,A81000C,00200,0600,RP LAND/BUILD L 65165,A81000C,00300,0100,B 65165,A81000C,00300,0200,MS HEALTH GROUP 65165,A81000C,00300,0400,MS RESOURCE #3 65165,A81000C,00300,0600,RP EQUIP LESSOR 65165,A81000C,00400,0100,B 65165,A81000C,00400,0200,MS MGMT GROUP 65165,A81000C,00400,0400,MS OPERATING #3 65165,A81000C,00400,0600,RP FACILITY OPE 65165,A81000C,00500,0100,B 65165,A81000C,00500,0200,MS MGMT GROUP 65165,A81000C,00500,0400,MS REALTY #3 65165,A81000C,00500,0600,RP LAND/BUILD L 65165,A81000C,00600,0100,B 65165,A81000C,00600,0200,MS MGMT GROUP 65165,A81000C,00600,0400,MS RESOURCE #3 65165,A81000C,00600,0600,RP EQUIP LESSOR 65165,A81000C,00700,0100,B 65165,A81000C,00700,0200,MS MGMT GROUP 65165,A81000C,00700,0400,MS HEALTH GROUP 65165,A81000C,00700,0600,CORP MGMT CO 65165,A81000C,00800,0100,A 65165,A81000C,00800,0200,JOHN WILCOX 65165,A81000C,00800,0400,MS HEALTH GROUP 65165,A81000C,00800,0600,CORP MGMT CO 65165,A81000C,00900,0100,A 65165,A81000C,00900,0200,JOHN WILCOX 65165,A81000C,00900,0400,MS MGMT GROUP 65165,A81000C,00900,0600,RP HOME OFFICE 65165,A81000C,01000,0100,A 65165,A81000C,01000,0200,JOHN WILCOX 65165,A81000C,01000,0400,ORTHO-TEK INC 65165,A81000C,01000,0600,DME & SUPPLY CO 65165,A81000C,01100,0100,A 65165,A81000C,01100,0200,JOHN WILCOX 65165,A81000C,01100,0400,PROF OP SERVICE 65165,A81000C,01100,0600,CONTRACT THERAP 65165,A81000C,01200,0100,A 65165,A81000C,01200,0200,JOHN WILCOX 65165,A81000C,01200,0400,PROS HOME HEALT 65165,A81000C,01200,0600,HOME HEALTH AGE 65165,A81000C,01300,0100,A 65165,A81000C,01300,0200,LINDA WILCOX 65165,A81000C,01300,0400,MS HEALTH GROUP 65165,A81000C,01300,0600,CORP MGMT CO 65165,A81000C,01400,0100,A 65165,A81000C,01400,0200,LINDA WILCOX 65165,A81000C,01400,0400,MS MGMT GROUP 65165,A81000C,01400,0600,RP HOME OFFICE 65165,A81000C,01500,0100,A 65165,A81000C,01500,0200,LINDA WILCOX 65165,A81000C,01500,0400,ORTHO-TEK INC 65165,A81000C,01500,0600,DME & SUPPLY CO 65165,A81000C,01600,0100,A 65165,A81000C,01600,0200,LINDA WILCOX 65165,A81000C,01600,0400,PROF OP SERVICE 65165,A81000C,01600,0600,CONTRACT THERAP 65165,A81000C,01700,0100,A 65165,A81000C,01700,0200,LINDA WILCOX 65165,A81000C,01700,0400,PROS HOME HEALT 65165,A81000C,01700,0600,HOME HEALTH AGE 65165,A81000C,01800,0100,A 65165,A81000C,01800,0200,BARRY REYNOLDS 65165,A81000C,01800,0400,MS HEALTH GROUP 65165,A81000C,01800,0600,CORP MGMT CO 65165,A81000C,01900,0100,A 65165,A81000C,01900,0200,BARRY REYNOLDS 65165,A81000C,01900,0400,MS MGMT GROUP 65165,A81000C,01900,0600,RP HOME OFFICE 65165,A81000C,02000,0100,A 65165,A81000C,02000,0200,BARRY REYNOLDS 65165,A81000C,02000,0400,ORTHO-TEK INC 65165,A81000C,02000,0600,DME & SUPPLY CO 65165,A81000C,02100,0100,A 65165,A81000C,02100,0200,BARRY REYNOLDS 65165,A81000C,02100,0400,PROF OP SERVICE 65165,A81000C,02100,0600,CONTRACT THERAP 65165,A81000C,02200,0100,A 65165,A81000C,02200,0200,BARRY REYNOLDS 65165,A81000C,02200,0400,PROS HOME HEALT 65165,A81000C,02200,0600,HOME HEALTH AGE 65165,B100000,00000,0100,00000SQUARE FEET 65165,B100000,00000,0200,00000SQUARE FEET 65165,B100000,00000,0300,00000GROSS SALARIES 65165,B100000,00000,0400,00000ACCUM COST 65165,B100000,00000,0500,00000SQUARE FEET 65165,B100000,00000,0600,00000INPATIENT DAYS 65165,B100000,00000,0700,00000SQUARE FEET 65165,B100000,00000,0800,00000INPATIENT DAYS 65165,B100000,00000,0900,00000INPATIENT DAYS 65165,B100000,00000,1000,00000COSTED REQUIS 65165,B100000,00000,1100,00000INPATIENT DAYS 65165,B100000,00000,1200,00000INPATIENT DAYS 65165,B100000,00000,1300,00000INPATIENT DAYS 65165,B100000,00000,1400,00000ASSIGNED TIME 65165,E10A180,00501,0300,08/16/2000 65165,E10A180,00550,0100,08/16/2000 65165,E10A180,00551,0100,08/16/2000 65165,S000000,00100,0200,06/23/2000 65165,S200000,00100,0100,101 NORTH PARKWAY 65165,S200000,00200,0100,ALVARADO 65165,S200000,00200,0200,TX 65165,S200000,00200,0300,76009 65165,S200000,00300,0100,JOHNSON 65165,S200000,00400,0100,ALVARADO MEADOWS REHABILITATION CTR 65165,S200000,00400,0200,455601 65165,S200000,00400,0300,10/08/1998 65165,S200000,00400,0500,P 65165,S200000,01600,0100,Y 65173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65173,A000000,00300,0000,00300EMPLOYEE BENEFITS 65173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65173,A000000,00700,0000,00700HOUSEKEEPING 65173,A000000,00800,0000,00800DIETARY 65173,A000000,00900,0000,00900NURSING ADMINISTRATION 65173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65173,A000000,01100,0000,01100PHARMACY 65173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65173,A000000,01300,0000,01300SOCIAL SERVICE 65173,A000000,01350,0000,01500PATIENT ACTIVITIES 65173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65173,A000000,01600,0000,01600SKILLED NURSING FACILITY 65173,A000000,01800,0000,01800NURSING FACILITY 65173,A000000,01810,0000,01810ICF/MR 65173,A000000,02100,0000,02100RADIOLOGY 65173,A000000,02200,0000,02200LABORATORY 65173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65173,A000000,02500,0000,02500PHYSICAL THERAPY 65173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65173,A000000,02700,0000,02700SPEECH PATHOLOGY 65173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65173,A000000,03200,0000,03200SUPPORT SURFACES 65173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65173,A000000,03550,0000,03550FQHC 65173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65173,A000000,05000,0000,05000CORF 65173,A000000,05010,0000,05010CMHC 65173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65173,A81000A,00100,0100,Y 65173,A81000B,00100,0300,RADIOLOGY 65173,A81000B,00400,0300,CONTRACTED RT 65173,A81000B,00500,0300,CONTRACTED PT 65173,A81000B,00600,0300,CONTRACTED OT 65173,A81000B,00700,0300,CONTRACTED ST 65173,A81000B,00800,0300,MEDICAL SUPPLIES 65173,A81000B,00900,0300,DRUGS 65173,A81000B,01100,0300,CENTRAL SUPPLIES 65173,A81000B,01200,0300,INTEREST EXPENSE 65173,A81000B,01300,0300,MANAGEMENT FEE 65173,A81000B,01400,0300,FACILITY SALARIES 65173,A81000B,01500,0300,FACILITY BENEFITS 65173,A81000C,00100,0100,B 65173,A81000C,00100,0400,COMPLETE CARE SERVICES 65173,A81000C,00100,0600,MANAGEMENT COMPANY 65173,A81000C,00200,0100,B 65173,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65173,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65173,A81000C,00300,0100,A 65173,A81000C,00300,0200,JOHN DURHAM 65173,B100000,00000,0100,00000SQUARE FEET 65173,B100000,00000,0200,00000NO STATISTICS 65173,B100000,00000,0300,00000GROSS SALARIES 65173,B100000,00000,0400,00000ACCUM. COST 65173,B100000,00000,0500,00000SQUARE FEET 65173,B100000,00000,0600,00000PATIENT DAYS 65173,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65173,B100000,00000,0800,00000PATIENT DAYS 65173,B100000,00000,0900,00000NO STATISTICS 65173,B100000,00000,1000,00000PATIENT DAYS 65173,B100000,00000,1100,00000PATIENT DAYS 65173,B100000,00000,1200,00000NO STATISTICS 65173,B100000,00000,1300,00000NO STATISTICS 65173,B100000,00000,1350,00000PATIENT DAYS 65173,B100000,00000,1400,00000NO STATISTICS 65173,E10A180,00301,0100,10/27/1999 65173,E10A180,00302,0100,11/29/1999 65173,S000000,00100,0200,06/01/2000 65173,S200000,00100,0100,3301 VIEW STREET 65173,S200000,00200,0100,FORT WORTH 65173,S200000,00200,0200,TX 65173,S200000,00200,0300,76103 65173,S200000,00300,0100,TARRANT 65173,S200000,00400,0100,PARKVIEW CARE CENTER 65173,S200000,00400,0200,455606 65173,S200000,00400,0300,11/07/1985 65173,S200000,00400,0500,P 65173,S200000,01600,0100,Y 65173,S200000,04300,0100,Y 65179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65179,A000000,00300,0000,00300EMPLOYEE BENEFITS 65179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65179,A000000,00700,0000,00700HOUSEKEEPING 65179,A000000,00800,0000,00800DIETARY 65179,A000000,00900,0000,00900NURSING ADMINISTRATION 65179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65179,A000000,01100,0000,01100PHARMACY 65179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65179,A000000,01300,0000,01300SOCIAL SERVICE 65179,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65179,A000000,01600,0000,01600SKILLED NURSING FACILITY 65179,A000000,01800,0000,01800NURSING FACILITY 65179,A000000,01810,0000,01810ICF/MR 65179,A000000,02100,0000,02100RADIOLOGY 65179,A000000,02200,0000,02200LABORATORY 65179,A000000,02300,0000,02300INTRAVENOUS THERAPY 65179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65179,A000000,02500,0000,02500PHYSICAL THERAPY 65179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65179,A000000,02700,0000,02700SPEECH PATHOLOGY 65179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65179,A000000,03200,0000,03200SUPPORT SURFACES 65179,A000000,03550,0000,03550FQHC 65179,A000000,05000,0000,05000CORF 65179,A000000,05010,0000,05010CMHC 65179,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65179,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65179,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65179,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65179,A81000A,00100,0100,Y 65179,A81000B,00100,0300,RADIOLOGY 65179,A81000B,00200,0300,LABORATORY 65179,A81000B,00300,0300,IV THERAPY 65179,A81000B,00400,0300,CONTRACTED RT 65179,A81000B,00500,0300,CONTRACTED PT 65179,A81000B,00600,0300,CONTRACTED OT 65179,A81000B,00700,0300,CONTRACTED ST 65179,A81000B,00800,0300,MEDICAL SUPPLIES 65179,A81000B,00900,0300,DRUGS 65179,A81000B,01000,0300,SUPPORT SURFACES 65179,A81000B,01100,0300,CENTRAL SUPPLIES 65179,A81000B,01200,0300,INTEREST EXPENSE 65179,A81000B,01300,0300,MANAGEMENT FEES 65179,A81000B,01400,0300,FACILITY SALARIES 65179,A81000B,01500,0300,FACILITY BENEFITS 65179,A81000C,00100,0100,B 65179,A81000C,00100,0400,COMPLETE CARE SERVICES 65179,A81000C,00100,0600,MANAGEMENT COMPANY 65179,A81000C,00200,0100,B 65179,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65179,A81000C,00200,0600,ANCILLARY MGMT CO 65179,A81000C,00300,0100,A 65179,A81000C,00300,0200,JOHN DURHAM 65179,B100000,00000,0100,00000SQUARE FEET 65179,B100000,00000,0200,00000SQUARE FEET 65179,B100000,00000,0300,00000GROSS SALARIES 65179,B100000,00000,0400,00000ACCUM. COST 65179,B100000,00000,0500,00000SQUARE FEET 65179,B100000,00000,0600,00000INPATIENT DAYS 65179,B100000,00000,0700,00000SQUARE FEET 65179,B100000,00000,0800,00000INPATIENT DAYS 65179,B100000,00000,0900,00000INPATIENT DAYS 65179,B100000,00000,1000,00000INPATIENT DAYS 65179,B100000,00000,1100,00000INPATIENT DAYS 65179,B100000,00000,1200,00000INPATIENT DAYS 65179,B100000,00000,1300,00000INPATIENT DAYS 65179,B100000,00000,1400,00000ASSIGNED TIME 65179,E10A180,00301,0100,10/27/1999 65179,E10A180,00302,0100,11/29/1999 65179,S000000,00100,0200,06/01/2000 65179,S200000,00100,0100,7499 STANWICK DR 65179,S200000,00200,0100,HOUSTON 65179,S200000,00200,0200,TX 65179,S200000,00300,0100,HARRIS 65179,S200000,00400,0100,COURTYARD COVALESCENT CENTER 65179,S200000,00400,0200,455613 65179,S200000,00400,0300,12/11/1985 65179,S200000,00400,0500,P 65179,S200000,01600,0100,Y 65186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65186,A000000,00300,0000,00300EMPLOYEE BENEFITS 65186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65186,A000000,00700,0000,00700HOUSEKEEPING 65186,A000000,00800,0000,00800DIETARY 65186,A000000,00900,0000,00900NURSING ADMINISTRATION 65186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65186,A000000,01100,0000,01100PHARMACY 65186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65186,A000000,01300,0000,01300SOCIAL SERVICE 65186,A000000,01350,0000,01500OTHER GENERAL SERVICES 65186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65186,A000000,01600,0000,01600SKILLED NURSING FACILITY 65186,A000000,01810,0000,01810ICF/MR 65186,A000000,02100,0000,02100RADIOLOGY 65186,A000000,02200,0000,02200LABORATORY 65186,A000000,02500,0000,02500PHYSICAL THERAPY 65186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65186,A000000,02700,0000,02700SPEECH PATHOLOGY 65186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65186,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65186,A000000,03550,0000,03550FQHC 65186,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65186,A000000,05000,0000,05000CORF 65186,A000000,05010,0000,05010CMHC 65186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65186,B100000,00000,0100,00000SQUARE FEET 65186,B100000,00000,0200,00000SQUARE FEET 65186,B100000,00000,0300,00000WAGES 65186,B100000,00000,0400,00000ACCUM. COST 65186,B100000,00000,0500,00000SQUARE FEET 65186,B100000,00000,0600,00000PATIENT DAYS 65186,B100000,00000,0700,00000SQUARE FEET 65186,B100000,00000,0800,00000PATIENT DAYS 65186,B100000,00000,0900,00000PATIENT DAYS 65186,B100000,00000,1000,00000PATIENT DAYS 65186,B100000,00000,1100,00000NO STATISTICS 65186,B100000,00000,1200,00000PATIENT DAYS 65186,B100000,00000,1300,00000PATIENT DAYS 65186,B100000,00000,1350,00000NO STATISTICS 65186,B100000,00000,1400,00000NO STATISTICS 65186,S000000,00100,0200,04/06/2000 65186,S200000,00100,0100,300 HAVEN STREET 65186,S200000,00200,0100,WEST 65186,S200000,00200,0200,TX 65186,S200000,00300,0100,MCLENNAN 65186,S200000,00400,0100,WEST REST HAVEN 65186,S200000,00400,0200,455622 65186,S200000,00400,0300,01/24/1986 65186,S200000,00400,0500,P 65186,S200000,01500,0100,Y 65202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65202,A000000,00300,0000,00300EMPLOYEE BENEFITS 65202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65202,A000000,00700,0000,00700HOUSEKEEPING 65202,A000000,00800,0000,00800DIETARY 65202,A000000,00900,0000,00900NURSING ADMINISTRATION 65202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65202,A000000,01100,0000,01100PHARMACY 65202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65202,A000000,01300,0000,01300SOCIAL SERVICE 65202,A000000,01350,0000,01500OTHER GENERAL SERVICES 65202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65202,A000000,01600,0000,01600SKILLED NURSING FACILITY 65202,A000000,01800,0000,01800NURSING FACILITY 65202,A000000,01810,0000,01810ICF/MR 65202,A000000,02300,0000,02300INTRAVENOUS THERAPY 65202,A000000,02500,0000,02500PHYSICAL THERAPY 65202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65202,A000000,02700,0000,02700SPEECH PATHOLOGY 65202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65202,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65202,A000000,03550,0000,03550FQHC 65202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65202,A000000,05000,0000,05000CORF 65202,A000000,05010,0000,05010CMHC 65202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65202,B100000,00000,0100,00000SQUARE FEET 65202,B100000,00000,0200,00000SQUARE FEET 65202,B100000,00000,0300,00000GROSS SALARIES 65202,B100000,00000,0400,00000ACCUM. COST 65202,B100000,00000,0500,00000SQUARE FEET 65202,B100000,00000,0600,00000POUNDS OF LAUNDRY 65202,B100000,00000,0700,00000SQUARE FEET 65202,B100000,00000,0800,00000MEALS SERVED 65202,B100000,00000,0900,00000DIRECT NRSING HRS 65202,B100000,00000,1000,00000COSTED REQUIS. 65202,B100000,00000,1100,00000COSTED REQUIS. 65202,B100000,00000,1200,00000TIME SPENT 65202,B100000,00000,1300,00000TIME SPENT 65202,B100000,00000,1350,00000NO STATISTICS 65202,B100000,00000,1400,00000ASSIGNED TIME 65202,S000000,00100,0200,07/24/2000 65202,S200000,00100,0300,E 65202,S200000,00200,0100,NEWTON 65202,S200000,00200,0200,TX 65202,S200000,00200,0300,75966 65202,S200000,00300,0100,NEWTON 65202,S200000,00400,0100,SHADY ACRES HEALTH CARE CENTER 65202,S200000,00400,0200,455630 65202,S200000,00400,0300,11/01/1997 65202,S200000,00400,0500,P 65202,S200000,01600,0100,Y 65202,S200000,04300,0100,Y 65210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65210,A000000,00300,0000,00300EMPLOYEE BENEFITS 65210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65210,A000000,00700,0000,00700HOUSEKEEPING 65210,A000000,00800,0000,00800DIETARY 65210,A000000,00900,0000,00900NURSING ADMINISTRATION 65210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65210,A000000,01100,0000,01100PHARMACY 65210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65210,A000000,01300,0000,01300SOCIAL SERVICE 65210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65210,A000000,01600,0000,01600SKILLED NURSING FACILITY 65210,A000000,01800,0000,01800NURSING FACILITY 65210,A000000,01810,0000,01810ICF/MR 65210,A000000,02100,0000,02100RADIOLOGY 65210,A000000,02200,0000,02200LABORATORY 65210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65210,A000000,02500,0000,02500PHYSICAL THERAPY 65210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65210,A000000,02700,0000,02700SPEECH PATHOLOGY 65210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65210,A000000,03200,0000,03200SUPPORT SURFACES 65210,A000000,03550,0000,03550FQHC 65210,A000000,05000,0000,05000CORF 65210,A000000,05010,0000,05010CMHC 65210,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65210,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65210,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65210,A81000A,00100,0100,Y 65210,A81000B,00100,0300,RADIOLOGY 65210,A81000B,00200,0300,LABORATORY 65210,A81000B,00400,0300,CONTRACTED RT 65210,A81000B,00500,0300,CONTRACTED PT 65210,A81000B,00600,0300,CONTRACTED OT 65210,A81000B,00700,0300,CONTRACTED ST 65210,A81000B,00800,0300,MEDICAL SUPPLIES 65210,A81000B,00900,0300,DRUGS 65210,A81000B,01000,0300,SUPPORT SURFACES 65210,A81000B,01100,0300,CENTRAL SUPPLIES 65210,A81000B,01200,0300,INTEREST EXPENSE 65210,A81000B,01300,0300,MANAGEMENT FEE 65210,A81000B,01400,0300,FACILITY SALARIES 65210,A81000B,01500,0300,FACILITY BENEFITS 65210,A81000C,00100,0100,B 65210,A81000C,00100,0400,COMPLETE CARE SERVICES 65210,A81000C,00100,0600,MANAGEMENT COMPANY 65210,A81000C,00200,0100,B 65210,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65210,A81000C,00200,0600,ANCILLARY MGMT CO 65210,A81000C,00300,0100,A 65210,A81000C,00300,0200,JOHN DURHAM 65210,B100000,00000,0100,00000SQUARE FEET 65210,B100000,00000,0200,00000SQUARE FEET 65210,B100000,00000,0300,00000GROSS SALARIES 65210,B100000,00000,0400,00000ACCUM. COST 65210,B100000,00000,0500,00000SQUARE FEET 65210,B100000,00000,0600,00000INPATIENT DAYS 65210,B100000,00000,0700,00000SQUARE FEET 65210,B100000,00000,0800,00000INPATIENT DAYS 65210,B100000,00000,0900,00000INPATIENT DAYS 65210,B100000,00000,1000,00000INPATIENT DAYS 65210,B100000,00000,1100,00000INPATIENT DAYS 65210,B100000,00000,1200,00000TIME SPENT 65210,B100000,00000,1300,00000INPATIENT DAYS 65210,B100000,00000,1400,00000ASSIGNED TIME 65210,E10A180,00301,0100,10/27/1999 65210,E10A180,00302,0100,11/29/1999 65210,S000000,00100,0200,06/01/2000 65210,S200000,00100,0100,2035 N GRANBURY ST 65210,S200000,00200,0100,CLEBURNE 65210,S200000,00200,0200,TX 65210,S200000,00300,0100,JOHNSON 65210,S200000,00400,0100,COLONIAL MANOR NURSING HOME 65210,S200000,00400,0200,455631 65210,S200000,00400,0300,01/23/1986 65210,S200000,00400,0500,P 65210,S200000,01600,0100,Y 65218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65218,A000000,00300,0000,00300EMPLOYEE BENEFITS 65218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65218,A000000,00700,0000,00700HOUSEKEEPING 65218,A000000,00800,0000,00800DIETARY 65218,A000000,00900,0000,00900NURSING ADMINISTRATION 65218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65218,A000000,01100,0000,01100PHARMACY 65218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65218,A000000,01300,0000,01300SOCIAL SERVICE 65218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65218,A000000,01600,0000,01600SKILLED NURSING FACILITY 65218,A000000,01800,0000,01800NURSING FACILITY 65218,A000000,01810,0000,01810ICF/MR 65218,A000000,02200,0000,02200LABORATORY 65218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65218,A000000,02500,0000,02500PHYSICAL THERAPY 65218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65218,A000000,02700,0000,02700SPEECH PATHOLOGY 65218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65218,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65218,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65218,A000000,03550,0000,03550FQHC 65218,A000000,05000,0000,05000CORF 65218,A000000,05010,0000,05010CMHC 65218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65218,A000000,05300,0000,05300INTEREST EXPENSE 65218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65218,A000000,06101,0000,06101GUEST MEALS 65218,A000000,06102,0000,06102WAGNER HOSPITAL MEALS 65218,A000000,06103,0000,06103MATAGORDA HOSPITAL MEALS 65218,A000000,06104,0000,06104WAGNER LAUNDRY 65218,A000000,06105,0000,06105MATAGORDA HOSP LAUNDRY 65218,A81000A,00100,0100,Y 65218,A81000B,00100,0300,ADMIN & GENERAL 65218,A81000B,00200,0300,INTEREST EXPENSE 65218,A81000B,00300,0300,OUTSIDE MANAGEMENT 65218,A81000C,00100,0100,B 65218,A81000C,00100,0200,MATAGORDA HOSPITAL DISTRI 65218,A81000C,00100,0400,MATAGORDA HOSPITAL DISTRI 65218,A81000C,00100,0600,HEALTHCARE 65218,B100000,00000,0100,00005SQUARE FEET 65218,B100000,00000,0200,00005SQUARE FEET 65218,B100000,00000,0300,00005GROSS SALARIES 65218,B100000,00000,0400,00005ACCUM. COST 65218,B100000,00000,0500,00005SQUARE FEET 65218,B100000,00000,0600,00005POUNDS OF LAUNDRY 65218,B100000,00000,0700,00005SQUARE FEET 65218,B100000,00000,0800,00005MEALS SERVED 65218,B100000,00000,0900,00005NURSING HOURS 65218,B100000,00000,1000,00005GROSS CHARGES 65218,B100000,00000,1100,00005GROSS CHARGES 65218,B100000,00000,1200,00005GROSS CHARGES 65218,B100000,00000,1300,00005PATIENT DAYS 65218,B100000,00000,1400,00005ASSIGNED TIME 65218,S000000,00100,0200,03/02/2000 65218,S200000,00100,0100,1115 AVENUE G 65218,S200000,00200,0100,BAY CITY 65218,S200000,00200,0200,TX 65218,S200000,00300,0100,MATAGORDA 65218,S200000,00400,0100,MATAGORDA HOUSE HEALTHCARE CENTER 65218,S200000,00400,0200,455643 65218,S200000,00400,0300,05/26/1995 65218,S200000,00400,0500,P 65218,S200000,01600,0100,Y 65218,S200000,02200,0100,Y 65240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65240,A000000,00300,0000,00300EMPLOYEE BENEFITS 65240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65240,A000000,00700,0000,00700HOUSEKEEPING 65240,A000000,00800,0000,00800DIETARY 65240,A000000,00900,0000,00900NURSING ADMINISTRATION 65240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65240,A000000,01100,0000,01100PHARMACY 65240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65240,A000000,01300,0000,01300SOCIAL SERVICE 65240,A000000,01350,0000,01500RECREATION 65240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65240,A000000,01600,0000,01600SKILLED NURSING FACILITY 65240,A000000,01800,0000,01800NURSING FACILITY 65240,A000000,01810,0000,01810ICF/MR 65240,A000000,02300,0000,02300INTRAVENOUS THERAPY 65240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65240,A000000,02500,0000,02500PHYSICAL THERAPY 65240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65240,A000000,02700,0000,02700SPEECH PATHOLOGY 65240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65240,A000000,03050,0000,03300EQUIPMENT RENTAL 65240,A000000,03550,0000,03550FQHC 65240,A000000,05000,0000,05000CORF 65240,A000000,05010,0000,05010CMHC 65240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65240,A81000A,00100,0100,Y 65240,A81000B,00100,0300,PROPERTY COSTS 65240,A81000B,00200,0300,COMMON EXPENSES 65240,A81000C,00100,0100,B 65240,A81000C,00100,0200,HOLLYBROOK INV 65240,B100000,00000,0100,00000SQUARE FEET 65240,B100000,00000,0200,00000SQUARE FEET 65240,B100000,00000,0300,00000GROSS SALARIES 65240,B100000,00000,0400,00000ACCUM COST 65240,B100000,00000,0500,00000SQUARE FEET 65240,B100000,00000,0600,00000PATIENT DAYS 65240,B100000,00000,0700,00000SQUARE FEET 65240,B100000,00000,0800,00000PATIENT DAYS 65240,B100000,00000,0900,00000NURSING SALARIES 65240,B100000,00000,1000,00000COSTED REQUIS 65240,B100000,00000,1100,00000COSTED REQUIS 65240,B100000,00000,1200,00000PATIENT DAYS 65240,B100000,00000,1300,00000PATIENT DAYS 65240,B100000,00000,1350,00000PATIENT DAYS 65240,B100000,00000,1400,00000ASSIGNED TIME 65240,S000000,00100,0200,05/09/2000 65240,S200000,00100,0100,301 HOLLYBROOK DRIVE 65240,S200000,00200,0100,LONGVIEW 65240,S200000,00200,0200,TX 65240,S200000,00200,0300,75605 65240,S200000,00300,0100,GREGG 65240,S200000,00400,0100,SUMMER MEADOWS 65240,S200000,00400,0200,455678 65240,S200000,00400,0300,01/01/1994 65240,S200000,00400,0500,P 65240,S200000,01600,0100,Y 65241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65241,A000000,00300,0000,00300EMPLOYEE BENEFITS 65241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65241,A000000,00700,0000,00700HOUSEKEEPING 65241,A000000,00800,0000,00800DIETARY 65241,A000000,00900,0000,00900NURSING ADMINISTRATION 65241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65241,A000000,01100,0000,01100PHARMACY 65241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65241,A000000,01300,0000,01300SOCIAL SERVICE 65241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65241,A000000,01600,0000,01600SKILLED NURSING FACILITY 65241,A000000,01800,0000,01800NURSING FACILITY 65241,A000000,01810,0000,01810ICF/MR 65241,A000000,02500,0000,02500PHYSICAL THERAPY 65241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65241,A000000,02700,0000,02700SPEECH PATHOLOGY 65241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65241,A000000,03001,0000,03001SPECIALIZED BEDS 65241,A000000,03550,0000,03550FQHC 65241,A000000,05000,0000,05000CORF 65241,A000000,05010,0000,05010CMHC 65241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65241,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 65241,B100000,00000,0100,00000SQUARE FEET 65241,B100000,00000,0200,00000SQUARE FEET 65241,B100000,00000,0300,00000GROSS SALARIES 65241,B100000,00000,0400,00000ACCUM COST 65241,B100000,00000,0500,00000SQUARE FEET 65241,B100000,00000,0600,00000PATIENT DAYS 65241,B100000,00000,0700,00000SQUARE FEET 65241,B100000,00000,0800,00000MEALS SERVED 65241,B100000,00000,0900,00000PATIENT DAYS 65241,B100000,00000,1000,00000PATIENT DAYS 65241,B100000,00000,1100,00000COSTED REQUIS 65241,B100000,00000,1200,00000PATIENT DAYS 65241,B100000,00000,1300,00000PATIENT DAYS 65241,B100000,00000,1400,00000ASSIGNED TIME 65241,S000000,00100,0200,06/07/2000 65241,S200000,00100,0100,301 HOLLYBROOK DRIVE 65241,S200000,00200,0100,LONGVIEW 65241,S200000,00200,0200,TX 65241,S200000,00200,0300,75605 65241,S200000,00300,0100,GREGG 65241,S200000,00400,0100,SUMMER MEADOWS 65241,S200000,00400,0200,455678 65241,S200000,00400,0300,04/12/1999 65241,S200000,00400,0500,P 65241,S200000,01600,0100,Y 65261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65261,A000000,00300,0000,00300EMPLOYEE BENEFITS 65261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65261,A000000,00700,0000,00700HOUSEKEEPING 65261,A000000,00800,0000,00800DIETARY 65261,A000000,00900,0000,00900NURSING ADMINISTRATION 65261,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65261,A000000,01100,0000,01100PHARMACY 65261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65261,A000000,01300,0000,01300SOCIAL SERVICE 65261,A000000,01350,0000,01500PATIENT ACTIVITIES 65261,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65261,A000000,01600,0000,01600SKILLED NURSING FACILITY 65261,A000000,01800,0000,01800NURSING FACILITY 65261,A000000,02100,0000,02100RADIOLOGY 65261,A000000,02200,0000,02200LABORATORY 65261,A000000,02300,0000,02300INTRAVENOUS THERAPY 65261,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65261,A000000,02500,0000,02500PHYSICAL THERAPY 65261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65261,A000000,02700,0000,02700SPEECH PATHOLOGY 65261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65261,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65261,A000000,03200,0000,03200SUPPORT SURFACES 65261,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65261,A000000,03550,0000,03550FQHC 65261,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65261,A000000,05000,0000,05000CORF 65261,A000000,05010,0000,05010CMHC 65261,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65261,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65261,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65261,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65261,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65261,A81000A,00100,0100,Y 65261,A81000B,00100,0300,RADIOLOGY 65261,A81000B,00200,0300,LABORATORY 65261,A81000B,00300,0300,IV THERAPY 65261,A81000B,00400,0300,CONTRACTED RT 65261,A81000B,00500,0300,CONTRACTED PT 65261,A81000B,00600,0300,CONTRACTED OT 65261,A81000B,00700,0300,CONTRACTED ST 65261,A81000B,00800,0300,MEDICAL SUPPLIES 65261,A81000B,00900,0300,DRUGS 65261,A81000B,01000,0300,SUPPORT SURFACES 65261,A81000B,01100,0300,CENTRAL SUPPLIES 65261,A81000B,01200,0300,INTEREST EXPENSE 65261,A81000B,01300,0300,MANAGEMENT FEE 65261,A81000B,01400,0300,FACILITY SALARIES 65261,A81000B,01500,0300,FACILITY BENEFITS 65261,A81000C,00100,0100,B 65261,A81000C,00100,0400,COMPLETE CARE SERVICES 65261,A81000C,00100,0600,MANAGEMENT COMPANY 65261,A81000C,00200,0100,B 65261,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65261,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65261,A81000C,00300,0100,A 65261,A81000C,00300,0200,JOHN DURHAM 65261,B100000,00000,0100,00000SQUARE FEET 65261,B100000,00000,0200,00000NO STATISTICS 65261,B100000,00000,0300,00000GROSS SALARIES 65261,B100000,00000,0400,00000ACCUM. COST 65261,B100000,00000,0500,00000SQUARE FEET 65261,B100000,00000,0600,00000PATIENT DAYS 65261,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65261,B100000,00000,0800,00000PATIENT DAYS 65261,B100000,00000,0900,00000NO STATISTICS 65261,B100000,00000,1000,00000PATIENT DAYS 65261,B100000,00000,1100,00000PATIENT DAYS 65261,B100000,00000,1200,00000NO STATISTICS 65261,B100000,00000,1300,00000NO STATISTICS 65261,B100000,00000,1350,00000PATIENT DAYS 65261,B100000,00000,1400,00000NO STATISTICS 65261,E10A180,00301,0100,10/27/1999 65261,E10A180,00302,0100,11/29/1999 65261,S000000,00100,0200,06/01/2000 65261,S200000,00100,0100,50 BRIGGS STREET 65261,S200000,00200,0100,SAN ANTONIO 65261,S200000,00200,0200,TX 65261,S200000,00200,0300,78224 65261,S200000,00300,0100,BEXAR 65261,S200000,00400,0100,SUNRISE CONVALESCENT CENTER 65261,S200000,00400,0200,455713 65261,S200000,00400,0300,08/04/1987 65261,S200000,00400,0500,P 65261,S200000,01600,0100,Y 65261,S200000,04300,0100,Y 65266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65266,A000000,00300,0000,00300EMPLOYEE BENEFITS 65266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65266,A000000,00700,0000,00700HOUSEKEEPING 65266,A000000,00800,0000,00800DIETARY 65266,A000000,00900,0000,00900NURSING ADMINISTRATION 65266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65266,A000000,01100,0000,01100PHARMACY 65266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65266,A000000,01300,0000,01300SOCIAL SERVICE 65266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65266,A000000,01600,0000,01600SKILLED NURSING FACILITY 65266,A000000,01800,0000,01800NURSING FACILITY 65266,A000000,01810,0000,01810ICF/MR 65266,A000000,02100,0000,02100RADIOLOGY 65266,A000000,02200,0000,02200LABORATORY 65266,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65266,A000000,02500,0000,02500PHYSICAL THERAPY 65266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65266,A000000,02700,0000,02700SPEECH PATHOLOGY 65266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65266,A000000,03550,0000,03550FQHC 65266,A000000,05000,0000,05000CORF 65266,A000000,05010,0000,05010CMHC 65266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65266,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65266,A81000A,00100,0100,Y 65266,A81000B,00100,0300,RADIOLOGY 65266,A81000B,00200,0300,LABORATORY 65266,A81000B,00300,0300,IV THERAPY 65266,A81000B,00400,0300,CONTRACTED RT 65266,A81000B,00500,0300,CONTRACTED PT 65266,A81000B,00600,0300,CONTRACTED OT 65266,A81000B,00700,0300,CONTRACTED ST 65266,A81000B,00800,0300,MEDICAL SUPPLIES 65266,A81000B,00900,0300,DRUGS 65266,A81000B,01000,0300,SUPPORT SURFACES 65266,A81000B,01100,0300,CENTRAL SUPPLIES 65266,A81000B,01200,0300,INTEREST EXPENSE 65266,A81000B,01300,0300,MANAGEMENT FEES 65266,A81000B,01400,0300,FACILITY SALARIES 65266,A81000B,01500,0300,FACILITY BENEFITS 65266,A81000C,00100,0100,B 65266,A81000C,00100,0400,COMPLETE CARE SERVICES 65266,A81000C,00100,0600,MANAGEMENT COMPANY 65266,A81000C,00200,0100,B 65266,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65266,A81000C,00200,0600,ANCILLARY MGMT CO 65266,A81000C,00300,0100,A 65266,A81000C,00300,0200,JOHN DURHAM 65266,B100000,00000,0100,00000SQUARE FEET 65266,B100000,00000,0200,00000SQUARE FEET 65266,B100000,00000,0300,00000GROSS SALARIES 65266,B100000,00000,0400,00000ACCUM. COST 65266,B100000,00000,0500,00000SQUARE FEET 65266,B100000,00000,0600,00000INPATIENT DAYS 65266,B100000,00000,0700,00000SQUARE FEET 65266,B100000,00000,0800,00000INPATIENT DAYS 65266,B100000,00000,0900,00000INPATIENT DAYS 65266,B100000,00000,1000,00000INPATIENT DAYS 65266,B100000,00000,1100,00000INPATIENT DAYS 65266,B100000,00000,1200,00000INPATIENT DAYS 65266,B100000,00000,1300,00000INPATIENT DAYS 65266,B100000,00000,1400,00000ASSIGNED TIME 65266,E10A180,00301,0100,10/27/1999 65266,E10A180,00302,0100,11/29/1999 65266,S000000,00100,0200,06/01/2000 65266,S200000,00100,0100,1015 W WILLIAM CANNON DR 65266,S200000,00200,0100,AUSTIN 65266,S200000,00200,0200,TX 65266,S200000,00300,0100,TRAVIS 65266,S200000,00400,0100,GARDEN TERRACE NURSING CENTER 65266,S200000,00400,0200,455716 65266,S200000,00400,0300,09/15/1987 65266,S200000,00400,0500,P 65266,S200000,01600,0100,Y 65283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65283,A000000,00300,0000,00300EMPLOYEE BENEFITS 65283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65283,A000000,00700,0000,00700HOUSEKEEPING 65283,A000000,00800,0000,00800DIETARY 65283,A000000,00900,0000,00900NURSING ADMINISTRATION 65283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65283,A000000,01100,0000,01100PHARMACY 65283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65283,A000000,01300,0000,01300SOCIAL SERVICE 65283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65283,A000000,01600,0000,01600SKILLED NURSING FACILITY 65283,A000000,01800,0000,01800NURSING FACILITY 65283,A000000,01810,0000,01810ICF/MR 65283,A000000,02100,0000,02100RADIOLOGY 65283,A000000,02200,0000,02200LABORATORY 65283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65283,A000000,02500,0000,02500PHYSICAL THERAPY 65283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65283,A000000,02700,0000,02700SPEECH PATHOLOGY 65283,A000000,02800,0000,02800ELECTROCARDIOLOGY 65283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65283,A000000,03200,0000,03200SUPPORT SURFACES 65283,A000000,03550,0000,03550FQHC 65283,A000000,05000,0000,05000CORF 65283,A000000,05010,0000,05010CMHC 65283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65283,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65283,A81000A,00100,0100,Y 65283,A81000B,00100,0300,RADIOLOGY 65283,A81000B,00200,0300,LABORATORY 65283,A81000B,00300,0300,IV THERAPY 65283,A81000B,00400,0300,CONTRACTED RT 65283,A81000B,00500,0300,CONTRACTED PT 65283,A81000B,00600,0300,CONTRACTED OT 65283,A81000B,00700,0300,CONTRACTED ST 65283,A81000B,00800,0300,MEDICAL SUPPLIES 65283,A81000B,00900,0300,DRUGS 65283,A81000B,01000,0300,SUPPORT SURFACES 65283,A81000B,01100,0300,CENTRAL SUPPLIES 65283,A81000B,01200,0300,INTEREST EXPENSE 65283,A81000B,01300,0300,MANAGEMENT FEE 65283,A81000B,01400,0300,FACILITY SALARIES 65283,A81000B,01500,0300,FACILITY BENEFITS 65283,A81000C,00100,0100,B 65283,A81000C,00100,0400,COMPLETE CARE SERVICES 65283,A81000C,00100,0600,MANAGEMENT COMPANY 65283,A81000C,00200,0100,B 65283,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65283,A81000C,00200,0600,ANCILLARY MGMT CO 65283,A81000C,00300,0100,A 65283,A81000C,00300,0200,JOHN DURHAM 65283,B100000,00000,0100,00000SQUARE FEET 65283,B100000,00000,0200,00000SQUARE FEET 65283,B100000,00000,0300,00000GROSS SALARIES 65283,B100000,00000,0400,00000ACCUM. COST 65283,B100000,00000,0500,00000SQUARE FEET 65283,B100000,00000,0600,00000INPATIENT DAYS 65283,B100000,00000,0700,00000SQUARE FEET 65283,B100000,00000,0800,00000INPATIENT DAYS 65283,B100000,00000,0900,00000INPATIENT DAYS 65283,B100000,00000,1000,00000INPATIENT DAYS 65283,B100000,00000,1100,00000INPATIENT DAYS 65283,B100000,00000,1200,00000INPATIENT DAYS 65283,B100000,00000,1300,00000INPATIENT DAYS 65283,B100000,00000,1400,00000ASSIGNED TIME 65283,E10A180,00301,0100,10/27/1999 65283,E10A180,00302,0100,11/29/1999 65283,S000000,00100,0200,06/01/2000 65283,S200000,00100,0100,409 W GREEN ST 65283,S200000,00200,0100,WEBSTER 65283,S200000,00200,0200,TX 65283,S200000,00300,0100,HARRIS 65283,S200000,00400,0100,LAKEVIEW HEALTHCARE CENTER 65283,S200000,00400,0200,455734 65283,S200000,00400,0300,01/08/1988 65283,S200000,00400,0500,P 65283,S200000,01600,0100,Y 65291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65291,A000000,00300,0000,00300EMPLOYEE BENEFITS 65291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65291,A000000,00700,0000,00700HOUSEKEEPING 65291,A000000,00800,0000,00800DIETARY 65291,A000000,00900,0000,00900NURSING ADMINISTRATION 65291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65291,A000000,01100,0000,01100PHARMACY 65291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65291,A000000,01300,0000,01300SOCIAL SERVICE 65291,A000000,01350,0000,01500OTHER GENERAL SERVICES 65291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65291,A000000,01600,0000,01600SKILLED NURSING FACILITY 65291,A000000,01800,0000,01800NURSING FACILITY 65291,A000000,01810,0000,01810ICF/MR 65291,A000000,02100,0000,02100RADIOLOGY 65291,A000000,02200,0000,02200LABORATORY 65291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65291,A000000,02500,0000,02500PHYSICAL THERAPY 65291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65291,A000000,02700,0000,02700SPEECH PATHOLOGY 65291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65291,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65291,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65291,A000000,03550,0000,03550FQHC 65291,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65291,A000000,05000,0000,05000CORF 65291,A000000,05010,0000,05010CMHC 65291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65291,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65291,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65291,A81000A,00100,0100,Y 65291,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65291,A81000C,00100,0100,B 65291,A81000C,00100,0400,HARVEST SENIOR SERVICES 65291,A81000C,00100,0600,LTC MANAGEMENT 65291,B100000,00000,0100,00000SQUARE FEET 65291,B100000,00000,0200,00000SQUARE FEET 65291,B100000,00000,0300,00000GROSS SALARIES 65291,B100000,00000,0400,00000ACCUM. COST 65291,B100000,00000,0500,00000SQUARE FEET 65291,B100000,00000,0600,00000POUNDS OF LAUNDRY 65291,B100000,00000,0700,00000SQUARE FEET 65291,B100000,00000,0800,00000MEALS SERVED 65291,B100000,00000,0900,00000DIRECT NRSING HRS 65291,B100000,00000,1000,00000COSTED REQUIS. 65291,B100000,00000,1100,00000COSTED REQUIS. 65291,B100000,00000,1200,00000TIME SPENT 65291,B100000,00000,1300,00000TIME SPENT 65291,B100000,00000,1350,00000NO STATISTICS 65291,B100000,00000,1400,00000ASSIGNED TIME 65291,S000000,00100,0200,05/31/2000 65291,S200000,00100,0100,7915 WILEYVALE DR 65291,S200000,00200,0100,HOUSTON 65291,S200000,00200,0200,TX 65291,S200000,00200,0300,77016 65291,S200000,00300,0100,HARRIS 65291,S200000,00400,0100,ATRIUM HEALTH CENTER 65291,S200000,00400,0200,455739 65291,S200000,00400,0300,04/01/1989 65291,S200000,00400,0500,P 65291,S200000,01600,0100,Y 65291,S200000,04300,0100,Y 65298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65298,A000000,00300,0000,00300EMPLOYEE BENEFITS 65298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65298,A000000,00700,0000,00700HOUSEKEEPING 65298,A000000,00800,0000,00800DIETARY 65298,A000000,00900,0000,00900NURSING ADMINISTRATION 65298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65298,A000000,01100,0000,01100PHARMACY 65298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65298,A000000,01300,0000,01300SOCIAL SERVICE 65298,A000000,01350,0000,01500RECREATION 65298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65298,A000000,01600,0000,01600SKILLED NURSING FACILITY 65298,A000000,01800,0000,01800NURSING FACILITY 65298,A000000,01810,0000,01810ICF/MR 65298,A000000,02200,0000,02200LABORATORY 65298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65298,A000000,02500,0000,02500PHYSICAL THERAPY 65298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65298,A000000,02700,0000,02700SPEECH PATHOLOGY 65298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65298,A000000,03200,0000,03200SUPPORT SURFACES 65298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65298,A000000,03550,0000,03550FQHC 65298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65298,A000000,05000,0000,05000CORF 65298,A000000,05010,0000,05010CMHC 65298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65298,A81000A,00100,0100,Y 65298,A81000B,00100,0300,CAPITAL RELATED COSTS 65298,A81000C,00100,0100,B 65298,A81000C,00100,0200,TIMBERWOOD NURSING & REHA 65298,A81000C,00100,0400,1ST TIMBERWOOD NURS HM LT 65298,A81000C,00100,0600,PROPERTY MANAGEMENT 65298,B100000,00000,0100,00000SQUARE FEET 65298,B100000,00000,0200,00000SQUARE FEET 65298,B100000,00000,0300,00000GROSS SALARIES 65298,B100000,00000,0400,00000ACCUM. COST 65298,B100000,00000,0500,00000SQUARE FEET 65298,B100000,00000,0600,00000PATIENT DAYS 65298,B100000,00000,0700,00000SQUARE FEET 65298,B100000,00000,0800,00000MEALS SERVED 65298,B100000,00000,0900,00000DIRECT NRSING HRS 65298,B100000,00000,1000,00000PATIENT DAYS 65298,B100000,00000,1100,00000COSTED REQUIS. 65298,B100000,00000,1200,00000TIME SPENT 65298,B100000,00000,1300,00000TIME SPENT 65298,B100000,00000,1350,00000TIME SPENT 65298,B100000,00000,1400,00000ASSIGNED TIME 65298,E10A180,00550,0100,07/26/2000 65298,S000000,00100,0200,06/01/2000 65298,S200000,00100,0100,HIGHWAY 59 NORTH 180 BYPASS 65298,S200000,00200,0100,LIVINGSTON 65298,S200000,00200,0200,TX 65298,S200000,00200,0300,77351 65298,S200000,00300,0100,POLK 65298,S200000,00400,0100,TIMBERWOOD NURSING & REHAB C 65298,S200000,00400,0200,455745 65298,S200000,00400,0300,03/28/1988 65298,S200000,00400,0500,P 65298,S200000,01600,0100,Y 65329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65329,A000000,00300,0000,00300EMPLOYEE BENEFITS 65329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65329,A000000,00700,0000,00700HOUSEKEEPING 65329,A000000,00800,0000,00800DIETARY 65329,A000000,00900,0000,00900NURSING ADMINISTRATION 65329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65329,A000000,01100,0000,01100PHARMACY 65329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65329,A000000,01300,0000,01300SOCIAL SERVICE 65329,A000000,01350,0000,01500PATIENT ACTIVITIES 65329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65329,A000000,01600,0000,01600SKILLED NURSING FACILITY 65329,A000000,01800,0000,01800NURSING FACILITY 65329,A000000,02100,0000,02100RADIOLOGY 65329,A000000,02200,0000,02200LABORATORY 65329,A000000,02300,0000,02300INTRAVENOUS THERAPY 65329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65329,A000000,02500,0000,02500PHYSICAL THERAPY 65329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65329,A000000,02700,0000,02700SPEECH PATHOLOGY 65329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65329,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65329,A000000,03200,0000,03200SUPPORT SURFACES 65329,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65329,A000000,03550,0000,03550FQHC 65329,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65329,A000000,05000,0000,05000CORF 65329,A000000,05010,0000,05010CMHC 65329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65329,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65329,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65329,A81000A,00100,0100,Y 65329,A81000B,00100,0300,RADIOLOGY 65329,A81000B,00200,0300,LABORATORY 65329,A81000B,00300,0300,IV THERAPY 65329,A81000B,00400,0300,CONTRACTED RT 65329,A81000B,00500,0300,CONTRACTED PT 65329,A81000B,00600,0300,CONTRACTED OT 65329,A81000B,00700,0300,CONTRACTED ST 65329,A81000B,00800,0300,MEDICAL SUPPLIES 65329,A81000B,00900,0300,DRUGS 65329,A81000B,01000,0300,SUPPORT SURFACES 65329,A81000B,01100,0300,CENTRAL SUPPLIES 65329,A81000B,01200,0300,INTEREST EXPENSE 65329,A81000B,01300,0300,MANAGEMENT FEE 65329,A81000B,01400,0300,FACILITY SALARIES 65329,A81000B,01500,0300,FACILITY BENEFITS 65329,A81000C,00100,0100,B 65329,A81000C,00100,0400,COMPLETE CARE SERVICES 65329,A81000C,00100,0600,MANAGEMENT COMPANY 65329,A81000C,00200,0100,B 65329,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65329,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65329,A81000C,00300,0100,A 65329,A81000C,00300,0200,JOHN DURHAM 65329,B100000,00000,0100,00000SQUARE FEET 65329,B100000,00000,0200,00000NO STATISTICS 65329,B100000,00000,0300,00000GROSS SALARIES 65329,B100000,00000,0400,00000ACCUM. COST 65329,B100000,00000,0500,00000SQUARE FEET 65329,B100000,00000,0600,00000PATIENT DAYS 65329,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65329,B100000,00000,0800,00000PATIENT DAYS 65329,B100000,00000,0900,00000NO STATISTICS 65329,B100000,00000,1000,00000PATIENT DAYS 65329,B100000,00000,1100,00000PATIENT DAYS 65329,B100000,00000,1200,00000NO STATISTICS 65329,B100000,00000,1300,00000NO STATISTICS 65329,B100000,00000,1350,00000PATIENT DAYS 65329,B100000,00000,1400,00000NO STATISTICS 65329,E10A180,00301,0100,10/27/1999 65329,E10A180,00302,0100,11/29/1999 65329,S000000,00100,0200,06/01/2000 65329,S200000,00100,0100,1101 ROCK STREET 65329,S200000,00200,0100,BOWIE 65329,S200000,00200,0200,TX 65329,S200000,00200,0300,76230 65329,S200000,00300,0100,MONTAGUE 65329,S200000,00400,0100,BELLMIRE HEALTHCARE FACILITIES 65329,S200000,00400,0200,455849 65329,S200000,00400,0300,11/01/1989 65329,S200000,00400,0500,P 65329,S200000,01600,0100,Y 65329,S200000,04300,0100,Y 65365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65365,A000000,00300,0000,00300EMPLOYEE BENEFITS 65365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65365,A000000,00700,0000,00700HOUSEKEEPING 65365,A000000,00800,0000,00800DIETARY 65365,A000000,00900,0000,00900NURSING ADMINISTRATION 65365,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65365,A000000,01100,0000,01100PHARMACY 65365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65365,A000000,01300,0000,01300SOCIAL SERVICE 65365,A000000,01350,0000,01500PATIENT ACTIVITIES 65365,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65365,A000000,01600,0000,01600SKILLED NURSING FACILITY 65365,A000000,01800,0000,01800NURSING FACILITY 65365,A000000,01810,0000,01810ICF/MR 65365,A000000,02100,0000,02100RADIOLOGY 65365,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65365,A000000,02500,0000,02500PHYSICAL THERAPY 65365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65365,A000000,02700,0000,02700SPEECH PATHOLOGY 65365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65365,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65365,A000000,03200,0000,03200SUPPORT SURFACES 65365,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65365,A000000,03550,0000,03550FQHC 65365,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65365,A000000,05000,0000,05000CORF 65365,A000000,05010,0000,05010CMHC 65365,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65365,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65365,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65365,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65365,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65365,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 65365,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65365,A81000A,00100,0100,Y 65365,A81000B,00100,0300,HOME OFFICE CAPITAL 65365,A81000B,00200,0300,HOME OFFICE NON CAPITAL 65365,A81000C,00100,0100,B 65365,A81000C,00100,0200,KENNETH AND LYNN HUBBARD 65365,A81000C,00100,0400,HUBBARD HEALTH CARE MGT 65365,A81000C,00100,0600,HOME OFFICE 65365,B100000,00000,0100,00000SQUARE FEET 65365,B100000,00000,0200,00000DOLLAR VALUE 65365,B100000,00000,0300,00000GROSS SALARIES 65365,B100000,00000,0400,00000ACCUM. COST 65365,B100000,00000,0500,00000SQUARE FEET 65365,B100000,00000,0600,00000POUNDS OF LAUNDRY 65365,B100000,00000,0700,00000SQ. FTG. EXC. DIET 65365,B100000,00000,0800,00000MEALS SERVED 65365,B100000,00000,0900,00000DIRECT NRSING HRS 65365,B100000,00000,1000,00000PATIENT DAYS 65365,B100000,00000,1100,00000PATIENT DAYS 65365,B100000,00000,1200,00000TIME SPENT 65365,B100000,00000,1300,00000TIME SPENT 65365,B100000,00000,1350,00000TIME SPENT 65365,B100000,00000,1400,00000ASSIGNED TIME 65365,S000000,00100,0200,06/01/2000 65365,S200000,00100,0100,301 SOUTH PARK STREET 65365,S200000,00200,0100,GRANBURY 65365,S200000,00200,0200,TX 65365,S200000,00200,0300,76048 65365,S200000,00300,0100,HOOD 65365,S200000,00400,0100,GRANBURY CARE CENTER 65365,S200000,00400,0200,455915 65365,S200000,00400,0300,06/01/1997 65365,S200000,00400,0500,P 65365,S200000,01600,0100,Y 65373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65373,A000000,00300,0000,00300EMPLOYEE BENEFITS 65373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65373,A000000,00700,0000,00700HOUSEKEEPING 65373,A000000,00800,0000,00800DIETARY 65373,A000000,00900,0000,00900NURSING ADMINISTRATION 65373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65373,A000000,01100,0000,01100PHARMACY 65373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65373,A000000,01300,0000,01300SOCIAL SERVICE 65373,A000000,01350,0000,01500PATIENT ACTIVITIES 65373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65373,A000000,01600,0000,01600SKILLED NURSING FACILITY 65373,A000000,01800,0000,01800NURSING FACILITY 65373,A000000,01810,0000,01810ICF/MR 65373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65373,A000000,02500,0000,02500PHYSICAL THERAPY 65373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65373,A000000,02700,0000,02700SPEECH PATHOLOGY 65373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65373,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65373,A000000,03200,0000,03200SUPPORT SURFACES 65373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65373,A000000,03550,0000,03550FQHC 65373,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65373,A000000,05000,0000,05000CORF 65373,A000000,05010,0000,05010CMHC 65373,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65373,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65373,A81000A,00100,0100,Y 65373,A81000B,00500,0300,CONTRACTED PT 65373,A81000B,00600,0300,CONTRACTED OT 65373,A81000B,00700,0300,CONTRACTED ST 65373,A81000B,00800,0300,MEDICAL SUPPLIES 65373,A81000B,00900,0300,DRUGS 65373,A81000B,01000,0300,SUPPORT SURFACES 65373,A81000B,01100,0300,CENTRAL SUPPLIES 65373,A81000B,01200,0300,INTEREST EXPENSE 65373,A81000B,01300,0300,MANAGEMENT FEE 65373,A81000B,01400,0300,FACILITY SALARIES 65373,A81000B,01500,0300,FACILITY BENEFITS 65373,A81000C,00100,0100,B 65373,A81000C,00100,0400,COMPLETE CARE SERVICES 65373,A81000C,00100,0600,MANAGEMENT COMPANY 65373,A81000C,00200,0100,B 65373,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65373,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65373,A81000C,00300,0100,A 65373,A81000C,00300,0200,JOHN DURHAM 65373,B100000,00000,0100,00000SQUARE FEET 65373,B100000,00000,0200,00000NO STATISTICS 65373,B100000,00000,0300,00000GROSS SALARIES 65373,B100000,00000,0400,00000ACCUM. COST 65373,B100000,00000,0500,00000SQUARE FEET 65373,B100000,00000,0600,00000PATIENT DAYS 65373,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65373,B100000,00000,0800,00000PATIENT DAYS 65373,B100000,00000,0900,00000NO STATISTICS 65373,B100000,00000,1000,00000PATIENT DAYS 65373,B100000,00000,1100,00000PATIENT DAYS 65373,B100000,00000,1200,00000NO STATISTICS 65373,B100000,00000,1300,00000NO STATISTICS 65373,B100000,00000,1350,00000PATIENT DAYS 65373,B100000,00000,1400,00000NO STATISTICS 65373,E10A180,00301,0100,10/27/1999 65373,E10A180,00302,0100,11/29/1999 65373,S000000,00100,0200,06/01/2000 65373,S200000,00100,0100,2313 NORTH RAQUET 65373,S200000,00200,0100,LUFKIN 65373,S200000,00200,0200,TX 65373,S200000,00200,0300,75904 65373,S200000,00300,0100,ANGELINA 65373,S200000,00400,0100,LUFKIN NURSING CENTER 65373,S200000,00400,0200,455922 65373,S200000,00400,0300,05/20/1991 65373,S200000,00400,0500,P 65373,S200000,01600,0100,Y 65373,S200000,02800,0100,Y 65373,S200000,04300,0100,Y 65378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65378,A000000,00300,0000,00300EMPLOYEE BENEFITS 65378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65378,A000000,00700,0000,00700HOUSEKEEPING 65378,A000000,00800,0000,00800DIETARY 65378,A000000,00900,0000,00900NURSING ADMINISTRATION 65378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65378,A000000,01100,0000,01100PHARMACY 65378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65378,A000000,01300,0000,01300SOCIAL SERVICE 65378,A000000,01350,0000,01500PATIENT ACTIVITIES 65378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65378,A000000,01600,0000,01600SKILLED NURSING FACILITY 65378,A000000,01800,0000,01800NURSING FACILITY 65378,A000000,02100,0000,02100RADIOLOGY 65378,A000000,02200,0000,02200LABORATORY 65378,A000000,02300,0000,02300INTRAVENOUS THERAPY 65378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65378,A000000,02500,0000,02500PHYSICAL THERAPY 65378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65378,A000000,02700,0000,02700SPEECH PATHOLOGY 65378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65378,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65378,A000000,03200,0000,03200SUPPORT SURFACES 65378,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65378,A000000,03550,0000,03550FQHC 65378,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65378,A000000,05000,0000,05000CORF 65378,A000000,05010,0000,05010CMHC 65378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65378,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65378,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65378,A81000A,00100,0100,Y 65378,A81000B,00100,0300,RADIOLOGY 65378,A81000B,00200,0300,LABORATORY 65378,A81000B,00300,0300,IV THERAPY 65378,A81000B,00400,0300,CONTRACTED RT 65378,A81000B,00500,0300,CONTRACTED PT 65378,A81000B,00600,0300,CONTRACTED OT 65378,A81000B,00700,0300,CONTRACTED ST 65378,A81000B,00800,0300,MEDICAL SUPPLIES 65378,A81000B,00900,0300,DRUGS 65378,A81000B,01000,0300,SUPPORT SURFACES 65378,A81000B,01100,0300,CENTRAL SUPPLIES 65378,A81000B,01200,0300,INTEREST EXPENSE 65378,A81000B,01300,0300,MANAGEMENT FEE 65378,A81000B,01400,0300,FACILITY SALARIES 65378,A81000B,01500,0300,FACILITY BENEFITS 65378,A81000C,00100,0100,B 65378,A81000C,00100,0400,COMPLETE CARE SERVICES 65378,A81000C,00100,0600,MANAGEMENT COMPANY 65378,A81000C,00200,0100,B 65378,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65378,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65378,A81000C,00300,0100,A 65378,A81000C,00300,0200,JOHN DURHAM 65378,B100000,00000,0100,00000SQUARE FEET 65378,B100000,00000,0200,00000NO STATISTICS 65378,B100000,00000,0300,00000GROSS SALARIES 65378,B100000,00000,0400,00000ACCUM. COST 65378,B100000,00000,0500,00000SQUARE FEET 65378,B100000,00000,0600,00000PATIENT DAYS 65378,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65378,B100000,00000,0800,00000PATIENT DAYS 65378,B100000,00000,0900,00000NO STATISTICS 65378,B100000,00000,1000,00000PATIENT DAYS 65378,B100000,00000,1100,00000PATIENT DAYS 65378,B100000,00000,1200,00000NO STATISTICS 65378,B100000,00000,1300,00000NO STATISTICS 65378,B100000,00000,1350,00000PATIENT DAYS 65378,B100000,00000,1400,00000NO STATISTICS 65378,E10A180,00301,0100,10/27/1999 65378,E10A180,00302,0100,11/29/1999 65378,S000000,00100,0200,06/01/2000 65378,S200000,00100,0100,2301 TEXAS STREET 65378,S200000,00200,0100,VERNON 65378,S200000,00200,0200,TX 65378,S200000,00200,0300,76384 65378,S200000,00300,0100,WILBARGER 65378,S200000,00400,0100,VERNON CARE CENTER 65378,S200000,00400,0200,455931 65378,S200000,00400,0300,06/25/1991 65378,S200000,00400,0500,P 65378,S200000,01600,0100,Y 65378,S200000,04300,0100,Y 65387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65387,A000000,00300,0000,00300EMPLOYEE BENEFITS 65387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65387,A000000,00700,0000,00700HOUSEKEEPING 65387,A000000,00800,0000,00800DIETARY 65387,A000000,00900,0000,00900NURSING ADMINISTRATION 65387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65387,A000000,01100,0000,01100PHARMACY 65387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65387,A000000,01300,0000,01300SOCIAL SERVICE 65387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65387,A000000,01600,0000,01600SKILLED NURSING FACILITY 65387,A000000,01800,0000,01800NURSING FACILITY 65387,A000000,01810,0000,01810ICF/MR 65387,A000000,02100,0000,02100RADIOLOGY 65387,A000000,02200,0000,02200LABORATORY 65387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65387,A000000,02500,0000,02500PHYSICAL THERAPY 65387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65387,A000000,02700,0000,02700SPEECH PATHOLOGY 65387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65387,A000000,03550,0000,03550FQHC 65387,A000000,05000,0000,05000CORF 65387,A000000,05010,0000,05010CMHC 65387,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65387,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65387,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65387,A81000A,00100,0100,Y 65387,A81000B,00200,0300,LABORATORY 65387,A81000B,00400,0300,CONTRACTED RT 65387,A81000B,00500,0300,CONTRACTED PT 65387,A81000B,00600,0300,CONTRACTED OT 65387,A81000B,00700,0300,CONTRACTED ST 65387,A81000B,00800,0300,MEDICAL SUPPLIES 65387,A81000B,00900,0300,DRUGS 65387,A81000B,01100,0300,CENTRAL SUPPLIES 65387,A81000B,01200,0300,INTEREST EXPENSE 65387,A81000B,01300,0300,MANAGEMENT FEES 65387,A81000B,01400,0300,FACILITY SALARIES 65387,A81000B,01500,0300,FACILITY BENEFITS 65387,A81000C,00100,0100,B 65387,A81000C,00100,0400,COMPLETE CARE SERVICES 65387,A81000C,00100,0600,MANAGEMENT COMPANY 65387,A81000C,00200,0100,B 65387,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65387,A81000C,00200,0600,ANCILLARY MGMT CO 65387,A81000C,00300,0100,A 65387,A81000C,00300,0200,JOHN DURHAM 65387,B100000,00000,0100,00000SQUARE FEET 65387,B100000,00000,0200,00000SQUARE FEET 65387,B100000,00000,0300,00000GROSS SALARIES 65387,B100000,00000,0400,00000ACCUM. COST 65387,B100000,00000,0500,00000SQUARE FEET 65387,B100000,00000,0600,00000INPATIENT DAYS 65387,B100000,00000,0700,00000SQUARE FEET 65387,B100000,00000,0800,00000INPATIENT DAYS 65387,B100000,00000,0900,00000INPATIENT DAYS 65387,B100000,00000,1000,00000INPATIENT DAYS 65387,B100000,00000,1100,00000INPATIENT DAYS 65387,B100000,00000,1200,00000INPATIENT DAYS 65387,B100000,00000,1300,00000INPATIENT DAYS 65387,B100000,00000,1400,00000ASSIGNED TIME 65387,E10A180,00301,0100,10/27/1999 65387,S000000,00100,0200,06/01/2000 65387,S200000,00100,0100,11525 VISTA DEL SOL DRIVE 65387,S200000,00200,0100,EL PASO 65387,S200000,00200,0200,TX 65387,S200000,00200,0300,79936 65387,S200000,00300,0100,EL PASO 65387,S200000,00400,0100,EL PASO CONVALESCENT CENTER 65387,S200000,00400,0200,455935 65387,S200000,00400,0300,08/07/1991 65387,S200000,00400,0500,P 65387,S200000,01600,0100,Y 65390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65390,A000000,00300,0000,00300EMPLOYEE BENEFITS 65390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65390,A000000,00700,0000,00700HOUSEKEEPING 65390,A000000,00800,0000,00800DIETARY 65390,A000000,00900,0000,00900NURSING ADMINISTRATION 65390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65390,A000000,01100,0000,01100PHARMACY 65390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65390,A000000,01300,0000,01300SOCIAL SERVICE 65390,A000000,01350,0000,01500PATIENT ACTIVITIES 65390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65390,A000000,01600,0000,01600SKILLED NURSING FACILITY 65390,A000000,01800,0000,01800NURSING FACILITY 65390,A000000,01810,0000,01810ICF/MR 65390,A000000,02300,0000,02300INTRAVENOUS THERAPY 65390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65390,A000000,02500,0000,02500PHYSICAL THERAPY 65390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65390,A000000,02700,0000,02700SPEECH PATHOLOGY 65390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65390,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65390,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65390,A000000,03550,0000,03550FQHC 65390,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65390,A000000,05000,0000,05000CORF 65390,A000000,05010,0000,05010CMHC 65390,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65390,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65390,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65390,A81000A,00100,0100,Y 65390,A81000B,00100,0300,INTEREST EXPENSE 65390,A81000B,00200,0300,INTEREST EXPENSE HCFP 65390,A81000C,00100,0100,B 65390,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65390,A81000C,00100,0600,HOME OFFICE 65390,B100000,00000,0100,00000SQUARE FEET 65390,B100000,00000,0200,00000NO STATISTICS 65390,B100000,00000,0300,00000GROSS SALARIES 65390,B100000,00000,0400,00000ACCUM. COST 65390,B100000,00000,0500,00000SQUARE FEET 65390,B100000,00000,0600,00000PATIENT DAYS 65390,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65390,B100000,00000,0800,00000PATIENT DAYS 65390,B100000,00000,0900,00000NO STATISTICS 65390,B100000,00000,1000,00000PATIENT DAYS 65390,B100000,00000,1100,00000PATIENT DAYS 65390,B100000,00000,1200,00000NO STATISTICS 65390,B100000,00000,1300,00000NO STATISTICS 65390,B100000,00000,1350,00000PATIENT DAYS 65390,B100000,00000,1400,00000NO STATISTICS 65390,E10A180,00301,0100,10/27/1999 65390,E10A180,00302,0100,11/29/1999 65390,E10A180,00501,0300,08/03/2000 65390,E10A180,00550,0100,08/03/2000 65390,S000000,00100,0200,06/01/2000 65390,S200000,00100,0100,1201 N. 15TH STREET 65390,S200000,00200,0100,LAMESA 65390,S200000,00200,0200,TX 65390,S200000,00200,0300,79331 65390,S200000,00300,0100,DAWSON 65390,S200000,00400,0100,SAGE HEALTHCARE CENTER 65390,S200000,00400,0200,455936 65390,S200000,00400,0300,08/23/1991 65390,S200000,00400,0500,P 65390,S200000,01600,0100,Y 65390,S200000,04300,0100,Y 65398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65398,A000000,00300,0000,00300EMPLOYEE BENEFITS 65398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65398,A000000,00700,0000,00700HOUSEKEEPING 65398,A000000,00800,0000,00800DIETARY 65398,A000000,00900,0000,00900NURSING ADMINISTRATION 65398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65398,A000000,01100,0000,01100PHARMACY 65398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65398,A000000,01300,0000,01300SOCIAL SERVICE 65398,A000000,01350,0000,01500PATIENT ACTIVITIES 65398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65398,A000000,01600,0000,01600SKILLED NURSING FACILITY 65398,A000000,01800,0000,01800NURSING FACILITY 65398,A000000,02100,0000,02100RADIOLOGY 65398,A000000,02200,0000,02200LABORATORY 65398,A000000,02300,0000,02300INTRAVENOUS THERAPY 65398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65398,A000000,02500,0000,02500PHYSICAL THERAPY 65398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65398,A000000,02700,0000,02700SPEECH PATHOLOGY 65398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65398,A000000,03200,0000,03200SUPPORT SURFACES 65398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65398,A000000,03550,0000,03550FQHC 65398,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65398,A000000,05000,0000,05000CORF 65398,A000000,05010,0000,05010CMHC 65398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65398,A81000A,00100,0100,Y 65398,A81000B,00100,0300,RADIOLOGY 65398,A81000B,00200,0300,LABORATORY 65398,A81000B,00300,0300,IV THERAPY 65398,A81000B,00400,0300,CONTRACTED RT 65398,A81000B,00500,0300,CONTRACTED PT 65398,A81000B,00600,0300,CONTRACTED OT 65398,A81000B,00700,0300,CONTRACTED ST 65398,A81000B,00800,0300,MEDICAL SUPPLIES 65398,A81000B,00900,0300,DRUGS 65398,A81000B,01000,0300,SUPPORT SURFACES 65398,A81000B,01100,0300,CENTRAL SUPPLIES 65398,A81000B,01200,0300,INTEREST EXPENSE 65398,A81000B,01300,0300,MANAGEMENT FEE 65398,A81000B,01400,0300,FACILITY SALARIES 65398,A81000B,01500,0300,FACILITY BENEFITS 65398,A81000C,00100,0100,B 65398,A81000C,00100,0400,COMPLETE CARE SERVICES 65398,A81000C,00100,0600,MANAGEMENT COMPANY 65398,A81000C,00200,0100,B 65398,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65398,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65398,A81000C,00300,0100,A 65398,A81000C,00300,0200,JOHN DURHAM 65398,B100000,00000,0100,00000SQUARE FEET 65398,B100000,00000,0200,00000NO STATISTICS 65398,B100000,00000,0300,00000GROSS SALARIES 65398,B100000,00000,0400,00000ACCUM. COST 65398,B100000,00000,0500,00000SQUARE FEET 65398,B100000,00000,0600,00000PATIENT DAYS 65398,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65398,B100000,00000,0800,00000PATIENT DAYS 65398,B100000,00000,0900,00000NO STATISTICS 65398,B100000,00000,1000,00000PATIENT DAYS 65398,B100000,00000,1100,00000PATIENT DAYS 65398,B100000,00000,1200,00000NO STATISTICS 65398,B100000,00000,1300,00000NO STATISTICS 65398,B100000,00000,1350,00000PATIENT DAYS 65398,B100000,00000,1400,00000NO STATISTICS 65398,E10A180,00301,0100,10/27/1999 65398,E10A180,00302,0100,11/29/1999 65398,S000000,00100,0200,06/01/2000 65398,S200000,00100,0100,4120 22ND PLACE 65398,S200000,00200,0100,LUBBOCK 65398,S200000,00200,0200,TX 65398,S200000,00200,0300,79410 65398,S200000,00300,0100,LUBBOCK 65398,S200000,00400,0100,LUBBOCK HEALTH CARE CENTER 65398,S200000,00400,0200,455942 65398,S200000,00400,0300,06/26/1998 65398,S200000,00400,0500,P 65398,S200000,01600,0100,Y 65398,S200000,04300,0100,Y 65431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65431,A000000,00300,0000,00300EMPLOYEE BENEFITS 65431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65431,A000000,00700,0000,00700HOUSEKEEPING 65431,A000000,00800,0000,00800DIETARY 65431,A000000,00900,0000,00900NURSING ADMINISTRATION 65431,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65431,A000000,01100,0000,01100PHARMACY 65431,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65431,A000000,01300,0000,01300SOCIAL SERVICE 65431,A000000,01350,0000,01500PATIENT ACTIVITIES 65431,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65431,A000000,01600,0000,01600SKILLED NURSING FACILITY 65431,A000000,01800,0000,01800NURSING FACILITY 65431,A000000,01810,0000,01810ICF/MR 65431,A000000,02100,0000,02100RADIOLOGY 65431,A000000,02200,0000,02200LABORATORY 65431,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65431,A000000,02500,0000,02500PHYSICAL THERAPY 65431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65431,A000000,02700,0000,02700SPEECH PATHOLOGY 65431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65431,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65431,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65431,A000000,03550,0000,03550FQHC 65431,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65431,A000000,05000,0000,05000CORF 65431,A000000,05010,0000,05010CMHC 65431,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65431,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65431,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65431,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65431,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65431,A81000A,00100,0100,Y 65431,A81000B,00200,0300,LABORATORY 65431,A81000B,00500,0300,CONTRACTED PT 65431,A81000B,00600,0300,CONTRACTED OT 65431,A81000B,00700,0300,CONTRACTED ST 65431,A81000B,00800,0300,MEDICAL SUPPLIES 65431,A81000B,00900,0300,DRUGS 65431,A81000B,01100,0300,CENTRAL SUPPLIES 65431,A81000B,01200,0300,INTEREST EXPENSE 65431,A81000B,01300,0300,MANAGEMENT FEE 65431,A81000B,01400,0300,FACILITY SALARIES 65431,A81000B,01500,0300,FACILITY BENEFITS 65431,A81000C,00100,0100,B 65431,A81000C,00100,0400,COMPLETE CARE SERVICES 65431,A81000C,00100,0600,MANAGEMENT COMPANY 65431,A81000C,00200,0100,B 65431,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65431,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65431,A81000C,00300,0100,A 65431,A81000C,00300,0200,JOHN DURHAM 65431,B100000,00000,0100,00000SQUARE FEET 65431,B100000,00000,0200,00000NO STATISTICS 65431,B100000,00000,0300,00000GROSS SALARIES 65431,B100000,00000,0400,00000ACCUM. COST 65431,B100000,00000,0500,00000SQUARE FEET 65431,B100000,00000,0600,00000PATIENT DAYS 65431,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65431,B100000,00000,0800,00000PATIENT DAYS 65431,B100000,00000,0900,00000NO STATISTICS 65431,B100000,00000,1000,00000PATIENT DAYS 65431,B100000,00000,1100,00000PATIENT DAYS 65431,B100000,00000,1200,00000NO STATISTICS 65431,B100000,00000,1300,00000NO STATISTICS 65431,B100000,00000,1350,00000PATIENT DAYS 65431,B100000,00000,1400,00000NO STATISTICS 65431,E10A180,00301,0100,10/27/1999 65431,E10A180,00302,0100,11/29/1999 65431,S000000,00100,0200,06/01/2000 65431,S200000,00100,0100,1205 SANTA FE DRIVE 65431,S200000,00200,0100,WEATHERFORD 65431,S200000,00200,0200,TX 65431,S200000,00300,0100,PARKER 65431,S200000,00400,0100,SANTA FE HEALTH & REHAB CENTER 65431,S200000,00400,0200,455957 65431,S200000,00400,0300,06/26/1998 65431,S200000,00400,0500,P 65431,S200000,01600,0100,Y 65431,S200000,04300,0100,Y 65433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65433,A000000,00300,0000,00300EMPLOYEE BENEFITS 65433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65433,A000000,00700,0000,00700HOUSEKEEPING 65433,A000000,00800,0000,00800DIETARY 65433,A000000,00900,0000,00900NURSING ADMINISTRATION 65433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65433,A000000,01100,0000,01100PHARMACY 65433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65433,A000000,01300,0000,01300SOCIAL SERVICE 65433,A000000,01350,0000,01500PATIENT ACTIVITIES 65433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65433,A000000,01600,0000,01600SKILLED NURSING FACILITY 65433,A000000,01800,0000,01800NURSING FACILITY 65433,A000000,01810,0000,01810ICF/MR 65433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65433,A000000,02500,0000,02500PHYSICAL THERAPY 65433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65433,A000000,02700,0000,02700SPEECH PATHOLOGY 65433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65433,A000000,03200,0000,03200SUPPORT SURFACES 65433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65433,A000000,03550,0000,03550FQHC 65433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65433,A000000,05000,0000,05000CORF 65433,A000000,05010,0000,05010CMHC 65433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65433,A81000A,00100,0100,Y 65433,A81000B,00100,0300,INTEREST EXPENSE 65433,A81000B,00200,0300,INTEREST EXPENSE HCFP 65433,A81000C,00100,0100,B 65433,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65433,A81000C,00100,0600,HOME OFFICE 65433,B100000,00000,0100,00000SQUARE FEET 65433,B100000,00000,0200,00000NO STATISTICS 65433,B100000,00000,0300,00000GROSS SALARIES 65433,B100000,00000,0400,00000ACCUM. COST 65433,B100000,00000,0500,00000SQUARE FEET 65433,B100000,00000,0600,00000PATIENT DAYS 65433,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65433,B100000,00000,0800,00000PATIENT DAYS 65433,B100000,00000,0900,00000NO STATISTICS 65433,B100000,00000,1000,00000PATIENT DAYS 65433,B100000,00000,1100,00000PATIENT DAYS 65433,B100000,00000,1200,00000NO STATISTICS 65433,B100000,00000,1300,00000NO STATISTICS 65433,B100000,00000,1350,00000PATIENT DAYS 65433,B100000,00000,1400,00000NO STATISTICS 65433,E10A180,00301,0100,10/27/1999 65433,E10A180,00302,0100,11/29/1999 65433,S000000,00100,0200,06/01/2000 65433,S200000,00100,0100,507 EAST GREEN STREET 65433,S200000,00200,0100,LLANO 65433,S200000,00200,0200,TX 65433,S200000,00200,0300,78643 65433,S200000,00300,0100,LLANO 65433,S200000,00400,0100,HILL COUNTRY HEALTHCARE CENTER 65433,S200000,00400,0200,455958 65433,S200000,00400,0300,10/08/1991 65433,S200000,00400,0500,P 65433,S200000,01600,0100,Y 65433,S200000,04300,0100,Y 65455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65455,A000000,00300,0000,00300EMPLOYEE BENEFITS 65455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65455,A000000,00700,0000,00700HOUSEKEEPING 65455,A000000,00800,0000,00800DIETARY 65455,A000000,00900,0000,00900NURSING ADMINISTRATION 65455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65455,A000000,01100,0000,01100PHARMACY 65455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65455,A000000,01300,0000,01300SOCIAL SERVICE 65455,A000000,01350,0000,01500PATIENT ACTIVITIES 65455,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65455,A000000,01600,0000,01600SKILLED NURSING FACILITY 65455,A000000,01800,0000,01800NURSING FACILITY 65455,A000000,01810,0000,01810ICF/MR 65455,A000000,02100,0000,02100RADIOLOGY 65455,A000000,02200,0000,02200LABORATORY 65455,A000000,02500,0000,02500PHYSICAL THERAPY 65455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65455,A000000,02700,0000,02700SPEECH PATHOLOGY 65455,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65455,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65455,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65455,A000000,03550,0000,03550FQHC 65455,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65455,A000000,05000,0000,05000CORF 65455,A000000,05010,0000,05010CMHC 65455,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65455,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65455,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65455,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65455,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65455,A81000A,00100,0100,Y 65455,A81000B,00100,0300,MANAGEMENT FEE 65455,A81000B,00200,0300,FACILITY SALARIES 65455,A81000B,00300,0300,FACILITY BENEFITS 65455,A81000B,00400,0300,PHYSICAL THERAPY 65455,A81000B,00500,0300,OCCUPATIONAL THERAPY 65455,A81000B,00600,0300,SPEECH THERAPY 65455,A81000B,00700,0300,RESPIRATORY THERAPY 65455,A81000B,00800,0300,DRUGS CHARGED TO PATIENTS 65455,A81000B,00900,0300,MEDICAL SUPPLIES CHARGED TO PA 65455,A81000B,01000,0300,LABORATORY 65455,A81000B,01100,0300,RADIOLOGY 65455,A81000B,01200,0300,SUPPORT SURFACES 65455,A81000B,01300,0300,CENTRAL SUPPLY 65455,A81000B,01400,0300,INTEREST EXPENSE 65455,A81000C,00100,0100,B 65455,A81000C,00100,0400,COMPLETE CARE SERVICES 65455,A81000C,00100,0600,MANAGEMENT COMPANY 65455,A81000C,00200,0100,B 65455,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65455,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65455,A81000C,00300,0100,A 65455,A81000C,00300,0200,JOHN DURHAM 65455,B100000,00000,0100,00000SQUARE FEET 65455,B100000,00000,0200,00000NO STATISTICS 65455,B100000,00000,0300,00000GROSS SALARIES 65455,B100000,00000,0400,00000ACCUM. COST 65455,B100000,00000,0500,00000SQUARE FEET 65455,B100000,00000,0600,00000PATIENT DAYS 65455,B100000,00000,0700,00000SQ. FEET EXCL DIET 65455,B100000,00000,0800,00000PATIENT DAYS 65455,B100000,00000,0900,00000NO STATISTICS 65455,B100000,00000,1000,00000PATIENT DAYS 65455,B100000,00000,1100,00000PATIENT DAYS 65455,B100000,00000,1200,00000NO STATISTICS 65455,B100000,00000,1300,00000NO STATISTICS 65455,B100000,00000,1350,00000PATIENT DAYS 65455,B100000,00000,1400,00000NO STATISTICS 65455,S000000,00100,0200,04/27/2000 65455,S200000,00100,0100,1515 NORTH ELM STREET 65455,S200000,00200,0100,LANCASTER 65455,S200000,00200,0200,TX 65455,S200000,00300,0100,DALLAS 65455,S200000,00400,0100,LANCASTER HEALTH AND REHAB CENTER 65455,S200000,00400,0200,455971 65455,S200000,00400,0300,12/01/1991 65455,S200000,00400,0500,P 65455,S200000,01600,0100,Y 65455,S200000,02800,0100,Y 65455,S200000,03100,0100,Y 65455,S200000,04300,0100,Y 65466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65466,A000000,00300,0000,00300EMPLOYEE BENEFITS 65466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65466,A000000,00700,0000,00700HOUSEKEEPING 65466,A000000,00800,0000,00800DIETARY 65466,A000000,00900,0000,00900NURSING ADMINISTRATION 65466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65466,A000000,01100,0000,01100PHARMACY 65466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65466,A000000,01300,0000,01300SOCIAL SERVICE 65466,A000000,01350,0000,01500PATIENT ACTIVITIES 65466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65466,A000000,01600,0000,01600SKILLED NURSING FACILITY 65466,A000000,01800,0000,01800NURSING FACILITY 65466,A000000,02100,0000,02100RADIOLOGY 65466,A000000,02200,0000,02200LABORATORY 65466,A000000,02300,0000,02300INTRAVENOUS THERAPY 65466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65466,A000000,02500,0000,02500PHYSICAL THERAPY 65466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65466,A000000,02700,0000,02700SPEECH PATHOLOGY 65466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65466,A000000,03200,0000,03200SUPPORT SURFACES 65466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65466,A000000,03550,0000,03550FQHC 65466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65466,A000000,05000,0000,05000CORF 65466,A000000,05010,0000,05010CMHC 65466,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65466,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65466,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65466,A81000A,00100,0100,Y 65466,A81000B,00100,0300,RADIOLOGY 65466,A81000B,00200,0300,LABORATORY 65466,A81000B,00300,0300,IV THERAPY 65466,A81000B,00400,0300,CONTRACTED RT 65466,A81000B,00500,0300,CONTRACTED PT 65466,A81000B,00600,0300,CONTRACTED OT 65466,A81000B,00700,0300,CONTRACTED ST 65466,A81000B,00800,0300,MEDICAL SUPPLIES 65466,A81000B,00900,0300,DRUGS 65466,A81000B,01000,0300,SUPPORT SURFACES 65466,A81000B,01100,0300,CENTRAL SUPPLIES 65466,A81000B,01200,0300,INTEREST EXPENSE 65466,A81000B,01300,0300,MANAGEMENT FEE 65466,A81000B,01400,0300,FACILITY SALARIES 65466,A81000B,01500,0300,FACILITY BENEFITS 65466,A81000C,00100,0100,B 65466,A81000C,00100,0400,COMPLETE CARE SERVICES 65466,A81000C,00100,0600,MANAGEMENT COMPANY 65466,A81000C,00200,0100,B 65466,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65466,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65466,A81000C,00300,0100,A 65466,A81000C,00300,0200,JOHN DURHAM 65466,B100000,00000,0100,00000SQUARE FEET 65466,B100000,00000,0200,00000NO STATISTICS 65466,B100000,00000,0300,00000GROSS SALARIES 65466,B100000,00000,0400,00000ACCUM. COST 65466,B100000,00000,0500,00000SQUARE FEET 65466,B100000,00000,0600,00000PATIENT DAYS 65466,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65466,B100000,00000,0800,00000PATIENT DAYS 65466,B100000,00000,0900,00000NO STATISTICS 65466,B100000,00000,1000,00000PATIENT DAYS 65466,B100000,00000,1100,00000PATIENT DAYS 65466,B100000,00000,1200,00000NO STATISTICS 65466,B100000,00000,1300,00000NO STATISTICS 65466,B100000,00000,1350,00000PATIENT DAYS 65466,B100000,00000,1400,00000NO STATISTICS 65466,E10A180,00301,0100,10/27/1999 65466,E10A180,00302,0100,11/29/1999 65466,S000000,00100,0200,06/01/2000 65466,S200000,00100,0100,2205 E. JOHNSON 65466,S200000,00200,0100,RUSK 65466,S200000,00200,0200,TX 65466,S200000,00200,0300,75785 65466,S200000,00300,0100,CHEROKEE 65466,S200000,00400,0100,BIRMINGHAM HEALTHCARE CENTER 65466,S200000,00400,0200,455976 65466,S200000,00400,0300,06/26/1998 65466,S200000,00400,0500,P 65466,S200000,01600,0100,Y 65466,S200000,04300,0100,Y 65476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65476,A000000,00300,0000,00300EMPLOYEE BENEFITS 65476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65476,A000000,00700,0000,00700HOUSEKEEPING 65476,A000000,00800,0000,00800DIETARY 65476,A000000,00900,0000,00900NURSING ADMINISTRATION 65476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65476,A000000,01100,0000,01100PHARMACY 65476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65476,A000000,01300,0000,01300SOCIAL SERVICE 65476,A000000,01350,0000,01500PATIENT ACTIVITIES 65476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65476,A000000,01600,0000,01600SKILLED NURSING FACILITY 65476,A000000,01800,0000,01800NURSING FACILITY 65476,A000000,02100,0000,02100RADIOLOGY 65476,A000000,02200,0000,02200LABORATORY 65476,A000000,02300,0000,02300INTRAVENOUS THERAPY 65476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65476,A000000,02500,0000,02500PHYSICAL THERAPY 65476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65476,A000000,02700,0000,02700SPEECH PATHOLOGY 65476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65476,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65476,A000000,03200,0000,03200SUPPORT SURFACES 65476,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65476,A000000,03550,0000,03550FQHC 65476,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65476,A000000,05000,0000,05000CORF 65476,A000000,05010,0000,05010CMHC 65476,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65476,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65476,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65476,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65476,A81000A,00100,0100,Y 65476,A81000B,00100,0300,RADIOLOGY 65476,A81000B,00200,0300,LABORATORY 65476,A81000B,00300,0300,IV THERAPY 65476,A81000B,00400,0300,CONTRACTED RT 65476,A81000B,00500,0300,CONTRACTED PT 65476,A81000B,00600,0300,CONTRACTED OT 65476,A81000B,00700,0300,CONTRACTED ST 65476,A81000B,00800,0300,MEDICAL SUPPLIES 65476,A81000B,00900,0300,DRUGS 65476,A81000B,01000,0300,SUPPORT SURFACES 65476,A81000B,01100,0300,CENTRAL SUPPLIES 65476,A81000B,01200,0300,INTEREST EXPENSE 65476,A81000B,01300,0300,MANAGEMENT FEE 65476,A81000B,01400,0300,FACILITY SALARIES 65476,A81000B,01500,0300,FACILITY BENEFITS 65476,A81000C,00100,0100,B 65476,A81000C,00100,0400,COMPLETE CARE SERVICES 65476,A81000C,00100,0600,MANAGEMENT COMPANY 65476,A81000C,00200,0100,B 65476,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65476,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65476,A81000C,00300,0100,A 65476,A81000C,00300,0200,JOHN DURHAM 65476,B100000,00000,0100,00000SQUARE FEET 65476,B100000,00000,0200,00000NO STATISTICS 65476,B100000,00000,0300,00000GROSS SALARIES 65476,B100000,00000,0400,00000ACCUM. COST 65476,B100000,00000,0500,00000SQUARE FEET 65476,B100000,00000,0600,00000PATIENT DAYS 65476,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65476,B100000,00000,0800,00000PATIENT DAYS 65476,B100000,00000,0900,00000NO STATISTICS 65476,B100000,00000,1000,00000PATIENT DAYS 65476,B100000,00000,1100,00000PATIENT DAYS 65476,B100000,00000,1200,00000NO STATISTICS 65476,B100000,00000,1300,00000NO STATISTICS 65476,B100000,00000,1350,00000PATIENT DAYS 65476,B100000,00000,1400,00000NO STATISTICS 65476,E10A180,00301,0100,10/27/1999 65476,E10A180,00302,0100,11/29/1999 65476,S000000,00100,0200,06/01/2000 65476,S200000,00100,0100,300 E. BAKER STREET 65476,S200000,00200,0100,CLARKSVILLE 65476,S200000,00200,0200,TX 65476,S200000,00200,0300,75426 65476,S200000,00300,0100,RED RIVER 65476,S200000,00400,0100,CLARKSVILLE NURSING CENTER 65476,S200000,00400,0200,455985 65476,S200000,00400,0300,06/26/1998 65476,S200000,00400,0500,P 65476,S200000,01600,0100,Y 65476,S200000,04300,0100,Y 65483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65483,A000000,00300,0000,00300EMPLOYEE BENEFITS 65483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65483,A000000,00700,0000,00700HOUSEKEEPING 65483,A000000,00800,0000,00800DIETARY 65483,A000000,00900,0000,00900NURSING ADMINISTRATION 65483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65483,A000000,01100,0000,01100PHARMACY 65483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65483,A000000,01300,0000,01300SOCIAL SERVICE 65483,A000000,01350,0000,01500PATIENT ACTIVITIES 65483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65483,A000000,01600,0000,01600SKILLED NURSING FACILITY 65483,A000000,01800,0000,01800NURSING FACILITY 65483,A000000,01810,0000,01810ICF/MR 65483,A000000,02100,0000,02100RADIOLOGY 65483,A000000,02200,0000,02200LABORATORY 65483,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65483,A000000,02500,0000,02500PHYSICAL THERAPY 65483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65483,A000000,02700,0000,02700SPEECH PATHOLOGY 65483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65483,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65483,A000000,03550,0000,03550FQHC 65483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65483,A000000,05000,0000,05000CORF 65483,A000000,05010,0000,05010CMHC 65483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65483,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65483,A81000A,00100,0100,Y 65483,A81000B,00100,0300,RADIOLOGY 65483,A81000B,00200,0300,LABORATORY 65483,A81000B,00400,0300,CONTRACTED RT 65483,A81000B,00500,0300,CONTRACTED PT 65483,A81000B,00600,0300,CONTRACTED OT 65483,A81000B,00700,0300,CONTRACTED ST 65483,A81000B,00800,0300,MEDICAL SUPPLIES 65483,A81000B,00900,0300,DRUGS 65483,A81000B,01100,0300,CENTRAL SUPPLIES 65483,A81000B,01200,0300,INTEREST EXPENSE 65483,A81000B,01300,0300,MANAGEMENT FEE 65483,A81000B,01400,0300,FACILITY SALARIES 65483,A81000B,01500,0300,FACILITY BENEFITS 65483,A81000C,00100,0100,B 65483,A81000C,00100,0400,COMPLETE CARE SERVICES 65483,A81000C,00100,0600,MANAGEMENT COMPANY 65483,A81000C,00200,0100,B 65483,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65483,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65483,A81000C,00300,0100,A 65483,A81000C,00300,0200,JOHN DURHAM 65483,B100000,00000,0100,00000SQUARE FEET 65483,B100000,00000,0200,00000NO STATISTICS 65483,B100000,00000,0300,00000GROSS SALARIES 65483,B100000,00000,0400,00000ACCUM. COST 65483,B100000,00000,0500,00000SQUARE FEET 65483,B100000,00000,0600,00000PATIENT DAYS 65483,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65483,B100000,00000,0800,00000PATIENT DAYS 65483,B100000,00000,0900,00000NO STATISTICS 65483,B100000,00000,1000,00000PATIENT DAYS 65483,B100000,00000,1100,00000PATIENT DAYS 65483,B100000,00000,1200,00000NO STATISTICS 65483,B100000,00000,1300,00000NO STATISTICS 65483,B100000,00000,1350,00000PATIENT DAYS 65483,B100000,00000,1400,00000NO STATISTICS 65483,E10A180,00301,0100,10/27/1999 65483,E10A180,00302,0100,11/29/1999 65483,S000000,00100,0200,06/01/2000 65483,S200000,00100,0100,1010 WEST MAIN 65483,S200000,00200,0100,HENDERSON 65483,S200000,00200,0200,TX 65483,S200000,00200,0300,75652 65483,S200000,00300,0100,RUSK 65483,S200000,00400,0100,HENDERSON HEALTH & REHAB CENTER 65483,S200000,00400,0200,455986 65483,S200000,00400,0300,01/01/1992 65483,S200000,00400,0500,P 65483,S200000,01600,0100,Y 65483,S200000,04300,0100,Y 65487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65487,A000000,00300,0000,00300EMPLOYEE BENEFITS 65487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65487,A000000,00700,0000,00700HOUSEKEEPING 65487,A000000,00800,0000,00800DIETARY 65487,A000000,00900,0000,00900NURSING ADMINISTRATION 65487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65487,A000000,01100,0000,01100PHARMACY 65487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65487,A000000,01300,0000,01300SOCIAL SERVICE 65487,A000000,01350,0000,01500PATIENT ACTIVITIES 65487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65487,A000000,01600,0000,01600SKILLED NURSING FACILITY 65487,A000000,01800,0000,01800NURSING FACILITY 65487,A000000,01810,0000,01810ICF/MR 65487,A000000,02100,0000,02100RADIOLOGY 65487,A000000,02200,0000,02200LABORATORY 65487,A000000,02300,0000,02300INTRAVENOUS THERAPY 65487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65487,A000000,02500,0000,02500PHYSICAL THERAPY 65487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65487,A000000,02700,0000,02700SPEECH PATHOLOGY 65487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65487,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65487,A000000,03550,0000,03550FQHC 65487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65487,A000000,05000,0000,05000CORF 65487,A000000,05010,0000,05010CMHC 65487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65487,A81000A,00100,0100,Y 65487,A81000B,00100,0300,INTEREST EXPENSE 65487,A81000B,00200,0300,INTEREST EXPENSE HCFP 65487,A81000C,00100,0100,B 65487,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65487,A81000C,00100,0600,HOME OFFICE 65487,B100000,00000,0100,00000SQUARE FEET 65487,B100000,00000,0200,00000NO STATISTICS 65487,B100000,00000,0300,00000GROSS SALARIES 65487,B100000,00000,0400,00000ACCUM. COST 65487,B100000,00000,0500,00000SQUARE FEET 65487,B100000,00000,0600,00000PATIENT DAYS 65487,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65487,B100000,00000,0800,00000PATIENT DAYS 65487,B100000,00000,0900,00000NO STATISTICS 65487,B100000,00000,1000,00000PATIENT DAYS 65487,B100000,00000,1100,00000PATIENT DAYS 65487,B100000,00000,1200,00000NO STATISTICS 65487,B100000,00000,1300,00000NO STATISTICS 65487,B100000,00000,1350,00000PATIENT DAYS 65487,B100000,00000,1400,00000NO STATISTICS 65487,E10A180,00301,0100,10/27/1999 65487,E10A180,00302,0100,11/29/1999 65487,S000000,00100,0200,06/01/2000 65487,S200000,00100,0100,1316 SOUTH FLORIDA 65487,S200000,00200,0100,BORGER 65487,S200000,00200,0200,TX 65487,S200000,00300,0100,HUTCHINSON 65487,S200000,00400,0100,BORGER HEALTHCARE CENTER 65487,S200000,00400,0200,455989 65487,S200000,00400,0300,02/03/1992 65487,S200000,00400,0500,P 65487,S200000,01600,0100,Y 65487,S200000,04300,0100,Y 65500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65500,A000000,00300,0000,00300EMPLOYEE BENEFITS 65500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65500,A000000,00700,0000,00700HOUSEKEEPING 65500,A000000,00800,0000,00800DIETARY 65500,A000000,00900,0000,00900NURSING ADMINISTRATION 65500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65500,A000000,01100,0000,01100PHARMACY 65500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65500,A000000,01300,0000,01300SOCIAL SERVICE 65500,A000000,01350,0000,01500PATIENT ACTIVITIES 65500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65500,A000000,01600,0000,01600SKILLED NURSING FACILITY 65500,A000000,01800,0000,01800NURSING FACILITY 65500,A000000,02100,0000,02100RADIOLOGY 65500,A000000,02200,0000,02200LABORATORY 65500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65500,A000000,02500,0000,02500PHYSICAL THERAPY 65500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65500,A000000,02700,0000,02700SPEECH PATHOLOGY 65500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65500,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65500,A000000,03200,0000,03200SUPPORT SURFACES 65500,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65500,A000000,03550,0000,03550FQHC 65500,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65500,A000000,05000,0000,05000CORF 65500,A000000,05010,0000,05010CMHC 65500,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65500,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65500,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65500,A81000A,00100,0100,Y 65500,A81000B,00100,0300,RADIOLOGY 65500,A81000B,00400,0300,CONTRACTED RT 65500,A81000B,00500,0300,CONTRACTED PT 65500,A81000B,00600,0300,CONTRACTED OT 65500,A81000B,00700,0300,CONTRACTED ST 65500,A81000B,00800,0300,MEDICAL SUPPLIES 65500,A81000B,00900,0300,DRUGS 65500,A81000B,01000,0300,SUPPORT SURFACES 65500,A81000B,01100,0300,CENTRAL SUPPLIES 65500,A81000B,01200,0300,INTEREST EXPENSE 65500,A81000B,01300,0300,MANAGEMENT FEE 65500,A81000B,01400,0300,FACILITY SALARIES 65500,A81000B,01500,0300,FACILITY BENEFITS 65500,A81000C,00100,0100,B 65500,A81000C,00100,0400,COMPLETE CARE SERVICES 65500,A81000C,00100,0600,MANAGEMENT COMPANY 65500,A81000C,00200,0100,B 65500,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65500,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65500,A81000C,00300,0100,A 65500,A81000C,00300,0200,JOHN DURHAM 65500,B100000,00000,0100,00000SQUARE FEET 65500,B100000,00000,0200,00000NO STATISTICS 65500,B100000,00000,0300,00000GROSS SALARIES 65500,B100000,00000,0400,00000ACCUM. COST 65500,B100000,00000,0500,00000SQUARE FEET 65500,B100000,00000,0600,00000PATIENT DAYS 65500,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65500,B100000,00000,0800,00000PATIENT DAYS 65500,B100000,00000,0900,00000NO STATISTICS 65500,B100000,00000,1000,00000PATIENT DAYS 65500,B100000,00000,1100,00000PATIENT DAYS 65500,B100000,00000,1200,00000NO STATISTICS 65500,B100000,00000,1300,00000NO STATISTICS 65500,B100000,00000,1350,00000PATIENT DAYS 65500,B100000,00000,1400,00000NO STATISTICS 65500,E10A180,00301,0100,10/27/1999 65500,E10A180,00302,0100,11/29/1999 65500,S000000,00100,0200,06/01/2000 65500,S200000,00100,0100,2428 BAHAMA DRIVE 65500,S200000,00200,0100,DALLAS 65500,S200000,00200,0200,TX 65500,S200000,00200,0300,75211 65500,S200000,00300,0100,DALLAS 65500,S200000,00400,0100,HOLIDAY HILLS REHAB & CARE CENTER 65500,S200000,00400,0200,455996 65500,S200000,00400,0300,06/26/1998 65500,S200000,00400,0500,P 65500,S200000,01600,0100,Y 65500,S200000,04300,0100,Y 65503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65503,A000000,00300,0000,00300EMPLOYEE BENEFITS 65503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65503,A000000,00700,0000,00700HOUSEKEEPING 65503,A000000,00800,0000,00800DIETARY 65503,A000000,00900,0000,00900NURSING ADMINISTRATION 65503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65503,A000000,01100,0000,01100PHARMACY 65503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65503,A000000,01300,0000,01300SOCIAL SERVICE 65503,A000000,01350,0000,01500PATIENT ACTIVITIES 65503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65503,A000000,01600,0000,01600SKILLED NURSING FACILITY 65503,A000000,01800,0000,01800NURSING FACILITY 65503,A000000,01810,0000,01810ICF/MR 65503,A000000,02100,0000,02100RADIOLOGY 65503,A000000,02300,0000,02300INTRAVENOUS THERAPY 65503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65503,A000000,02500,0000,02500PHYSICAL THERAPY 65503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65503,A000000,02700,0000,02700SPEECH PATHOLOGY 65503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65503,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65503,A000000,03200,0000,03200SUPPORT SURFACES 65503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65503,A000000,03550,0000,03550FQHC 65503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65503,A000000,05000,0000,05000CORF 65503,A000000,05010,0000,05010CMHC 65503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65503,A81000A,00100,0100,Y 65503,A81000B,00100,0300,INTEREST EXPENSE 65503,A81000B,00200,0300,INTEREST EXPENSE HCFP 65503,A81000C,00100,0100,B 65503,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65503,A81000C,00100,0600,HOME OFFICE 65503,B100000,00000,0100,00000SQUARE FEET 65503,B100000,00000,0200,00000NO STATISTICS 65503,B100000,00000,0300,00000GROSS SALARIES 65503,B100000,00000,0400,00000ACCUM. COST 65503,B100000,00000,0500,00000SQUARE FEET 65503,B100000,00000,0600,00000PATIENT DAYS 65503,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65503,B100000,00000,0800,00000PATIENT DAYS 65503,B100000,00000,0900,00000NO STATISTICS 65503,B100000,00000,1000,00000PATIENT DAYS 65503,B100000,00000,1100,00000PATIENT DAYS 65503,B100000,00000,1200,00000NO STATISTICS 65503,B100000,00000,1300,00000NO STATISTICS 65503,B100000,00000,1350,00000PATIENT DAYS 65503,B100000,00000,1400,00000NO STATISTICS 65503,E10A180,00301,0100,10/27/1999 65503,E10A180,00302,0100,11/29/1999 65503,S000000,00100,0200,06/01/2000 65503,S200000,00100,0100,201 CYPRESS 65503,S200000,00200,0100,ROSCOE 65503,S200000,00200,0200,TX 65503,S200000,00200,0300,79545 65503,S200000,00300,0100,NOLAN 65503,S200000,00400,0100,ROSCOE HEALTHCARE CENTER 65503,S200000,00400,0200,455997 65503,S200000,00400,0300,03/05/1992 65503,S200000,00400,0500,P 65503,S200000,01600,0100,Y 65503,S200000,04300,0100,Y 65511,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65511,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65511,A000000,00300,0000,00300EMPLOYEE BENEFITS 65511,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65511,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65511,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65511,A000000,00700,0000,00700HOUSEKEEPING 65511,A000000,00800,0000,00800DIETARY 65511,A000000,00900,0000,00900NURSING ADMINISTRATION 65511,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65511,A000000,01100,0000,01100PHARMACY 65511,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65511,A000000,01300,0000,01300SOCIAL SERVICE 65511,A000000,01301,0000,01301ACTIVITIES 65511,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65511,A000000,01600,0000,01600SKILLED NURSING FACILITY 65511,A000000,01800,0000,01800NURSING FACILITY 65511,A000000,01810,0000,01810ICF/MR 65511,A000000,02100,0000,02100RADIOLOGY 65511,A000000,02200,0000,02200LABORATORY 65511,A000000,02300,0000,02300INTRAVENOUS THERAPY 65511,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65511,A000000,02500,0000,02500PHYSICAL THERAPY 65511,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65511,A000000,02700,0000,02700SPEECH PATHOLOGY 65511,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65511,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65511,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65511,A000000,03051,0000,03301MEDICAL EQUIPMENT 65511,A000000,03550,0000,03550FQHC 65511,A000000,05000,0000,05000CORF 65511,A000000,05010,0000,05010CMHC 65511,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65511,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65511,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65511,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65511,A81000A,00100,0100,Y 65511,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 65511,A81000B,00200,0300,CAPITAL - BUILDINGS 65511,A81000B,00300,0300,CAPITAL - EQUIPMENT 65511,A81000B,00400,0300,MEDICAL SUPPLIES 65511,A81000B,00500,0300,CENTRAL SUPPLIES 65511,A81000B,00600,0300,NURSING SUPPLIES 65511,A81000C,00100,0100,B 65511,A81000C,00100,0200,PEAK MEDICAL CORPORATION 65511,A81000C,00100,0400,PEAK MEDICAL CORPORATION 65511,A81000C,00100,0600,HOME OFFICE SERVICES 65511,A81000C,00200,0100,B 65511,A81000C,00200,0200,PEAK MEDICAL CORPORATION 65511,A81000C,00200,0400,MEDICAL RESOURCES 65511,A81000C,00200,0600,SUPPLY VENDOR 65511,B100000,00000,0100,00000SQUARE FEET 65511,B100000,00000,0200,00000SQUARE FEET 65511,B100000,00000,0300,00000GROSS SALARIES 65511,B100000,00000,0400,00000ACCUM. COST 65511,B100000,00000,0500,00000SQUARE FEET 65511,B100000,00000,0600,00000PATIENT DAYS 65511,B100000,00000,0700,00000SQUARE FEET 65511,B100000,00000,0800,00000MEALS SERVED 65511,B100000,00000,0900,00000DIRECT NRSING HRS 65511,B100000,00000,1000,00000PATIENT DAYS 65511,B100000,00000,1100,00000PATIENT DAYS 65511,B100000,00000,1200,00000GROSS CHARGES 65511,B100000,00000,1300,00000PATIENT DAYS 65511,B100000,00000,1301,00000PAITIENT DAYS 65511,B100000,00000,1400,00000ASSIGNED TIME 65511,S000000,00100,0200,04/27/2000 65511,S200000,00100,0100,400 EAST 5350 SOUTH 65511,S200000,00200,0100,OGDEN 65511,S200000,00200,0200,UT 65511,S200000,00300,0100,WEBER 65511,S200000,00400,0100,WASHINGTON TERRACE 65511,S200000,00400,0200,465115 65511,S200000,00400,0300,10/09/1987 65511,S200000,00400,0500,P 65511,S200000,01600,0100,Y 65655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65655,A000000,00300,0000,00300EMPLOYEE BENEFITS 65655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65655,A000000,00700,0000,00700HOUSEKEEPING 65655,A000000,00800,0000,00800DIETARY 65655,A000000,00900,0000,00900NURSING ADMINISTRATION 65655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65655,A000000,01100,0000,01100PHARMACY 65655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65655,A000000,01300,0000,01300SOCIAL SERVICE 65655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65655,A000000,01600,0000,01600SKILLED NURSING FACILITY 65655,A000000,01810,0000,01810ICF/MR 65655,A000000,02100,0000,02100RADIOLOGY 65655,A000000,02200,0000,02200LABORATORY 65655,A000000,02300,0000,02300INTRAVENOUS THERAPY 65655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65655,A000000,02500,0000,02500PHYSICAL THERAPY 65655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65655,A000000,02700,0000,02700SPEECH PATHOLOGY 65655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65655,A000000,03200,0000,03200SUPPORT SURFACES 65655,A000000,03550,0000,03550FQHC 65655,A000000,05000,0000,05000CORF 65655,A000000,05010,0000,05010CMHC 65655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65655,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65655,A81000A,00100,0100,Y 65655,A81000B,00100,0300,RADIOLOGY 65655,A81000B,00200,0300,LABORATORY 65655,A81000B,00300,0300,IV THERAPY 65655,A81000B,00400,0300,CONTRACTED RT 65655,A81000B,00500,0300,CONTRACTED PT 65655,A81000B,00600,0300,CONTRACTED OT 65655,A81000B,00700,0300,CONTRACTED ST 65655,A81000B,00800,0300,MEDICAL SUPPLIES 65655,A81000B,00900,0300,DRUGS 65655,A81000B,01000,0300,SUPPORT SURFACES 65655,A81000B,01100,0300,CENTRAL SUPPLIES 65655,A81000B,01200,0300,INTEREST EXPENSE 65655,A81000B,01300,0300,MANAGEMENT FEE 65655,A81000B,01400,0300,FACILITY SALARIES 65655,A81000B,01500,0300,FACILITY BENEFITS 65655,A81000C,00100,0100,B 65655,A81000C,00100,0400,COMPLETE CARE SERVICES 65655,A81000C,00100,0600,MANAGEMENT COMPANY 65655,A81000C,00200,0100,B 65655,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65655,A81000C,00200,0600,ANCILLARY MGMT CO 65655,A81000C,00300,0100,A 65655,A81000C,00300,0200,JOHN DURHAM 65655,B100000,00000,0100,00000SQUARE FEET 65655,B100000,00000,0200,00000SQUARE FEET 65655,B100000,00000,0300,00000GROSS SALARIES 65655,B100000,00000,0400,00000ACCUM. COST 65655,B100000,00000,0500,00000SQUARE FEET 65655,B100000,00000,0600,00000INPATIENT DAYS 65655,B100000,00000,0700,00000SQUARE FEET 65655,B100000,00000,0800,00000INPATIENT DAYS 65655,B100000,00000,0900,00000INPATIENT DAYS 65655,B100000,00000,1000,00000INPATIENT DAYS 65655,B100000,00000,1100,00000INPATIENT DAYS 65655,B100000,00000,1200,00000INPATIENT DAYS 65655,B100000,00000,1300,00000INPATIENT DAYS 65655,B100000,00000,1400,00000ASSIGNED TIME 65655,E10A180,00301,0100,10/27/1999 65655,E10A180,00302,0100,11/29/1999 65655,S000000,00100,0200,06/01/2000 65655,S200000,00100,0100,BAIRD HIGHWAY 65655,S200000,00100,0300,180 65655,S200000,00200,0100,ALBANY 65655,S200000,00200,0200,TX 65655,S200000,00300,0100,SHACKLEFORD 65655,S200000,00400,0100,BLUEBONNET NURSING HOME 65655,S200000,00400,0200,675012 65655,S200000,00400,0300,02/26/1992 65655,S200000,00400,0500,P 65655,S200000,01500,0100,Y 65663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65663,A000000,00300,0000,00300EMPLOYEE BENEFITS 65663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65663,A000000,00700,0000,00700HOUSEKEEPING 65663,A000000,00800,0000,00800DIETARY 65663,A000000,00900,0000,00900NURSING ADMINISTRATION 65663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65663,A000000,01100,0000,01100PHARMACY 65663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65663,A000000,01300,0000,01300SOCIAL SERVICE 65663,A000000,01350,0000,01500PATIENT ACTIVITIES 65663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65663,A000000,01600,0000,01600SKILLED NURSING FACILITY 65663,A000000,01800,0000,01800NURSING FACILITY 65663,A000000,01810,0000,01810ICF/MR 65663,A000000,02200,0000,02200LABORATORY 65663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65663,A000000,02500,0000,02500PHYSICAL THERAPY 65663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65663,A000000,02700,0000,02700SPEECH PATHOLOGY 65663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65663,A000000,03200,0000,03200SUPPORT SURFACES 65663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65663,A000000,03550,0000,03550FQHC 65663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65663,A000000,05000,0000,05000CORF 65663,A000000,05010,0000,05010CMHC 65663,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65663,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65663,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65663,A81000A,00100,0100,Y 65663,A81000B,00100,0300,RADIOLOGY 65663,A81000B,00200,0300,LABORATORY 65663,A81000B,00300,0300,IV THERAPY 65663,A81000B,00400,0300,CONTRACTED RT 65663,A81000B,00500,0300,CONTRACTED PT 65663,A81000B,00600,0300,CONTRACTED OT 65663,A81000B,00700,0300,CONTRACTED ST 65663,A81000B,00800,0300,MEDICAL SUPPLIES 65663,A81000B,00900,0300,DRUGS 65663,A81000B,01000,0300,SUPPORT SURFACES 65663,A81000B,01100,0300,CENTRAL SUPPLIES 65663,A81000B,01200,0300,INTEREST EXPENSE 65663,A81000B,01300,0300,MANAGEMENT FEE 65663,A81000B,01400,0300,FACILITY SALARIES 65663,A81000B,01500,0300,FACILITY BENEFITS 65663,A81000C,00100,0100,B 65663,A81000C,00100,0400,COMPLETE CARE SERVICES 65663,A81000C,00100,0600,MANAGEMENT COMPANY 65663,A81000C,00200,0100,B 65663,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65663,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65663,A81000C,00300,0100,A 65663,A81000C,00300,0200,JOHN DURHAM 65663,B100000,00000,0100,00000SQUARE FEET 65663,B100000,00000,0200,00000NO STATISTICS 65663,B100000,00000,0300,00000GROSS SALARIES 65663,B100000,00000,0400,00000ACCUM. COST 65663,B100000,00000,0500,00000SQUARE FEET 65663,B100000,00000,0600,00000PATIENT DAYS 65663,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65663,B100000,00000,0800,00000PATIENT DAYS 65663,B100000,00000,0900,00000NO STATISTICS 65663,B100000,00000,1000,00000PATIENT DAYS 65663,B100000,00000,1100,00000PATIENT DAYS 65663,B100000,00000,1200,00000NO STATISTICS 65663,B100000,00000,1300,00000NO STATISTICS 65663,B100000,00000,1350,00000PATIENT DAYS 65663,B100000,00000,1400,00000NO STATISTICS 65663,E10A180,00301,0100,10/27/1999 65663,E10A180,00302,0100,11/29/1999 65663,S000000,00100,0200,06/01/2000 65663,S200000,00100,0100,200 SOUTH B AVENUE 65663,S200000,00200,0100,CROWELL 65663,S200000,00200,0200,TX 65663,S200000,00200,0300,79227 65663,S200000,00300,0100,FOARD 65663,S200000,00400,0100,CROWELL NURSING CENTER 65663,S200000,00400,0200,675013 65663,S200000,00400,0300,03/16/1992 65663,S200000,00400,0500,P 65663,S200000,01600,0100,Y 65663,S200000,04300,0100,Y 65678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65678,A000000,00300,0000,00300EMPLOYEE BENEFITS 65678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65678,A000000,00700,0000,00700HOUSEKEEPING 65678,A000000,00800,0000,00800DIETARY 65678,A000000,00900,0000,00900NURSING ADMINISTRATION 65678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65678,A000000,01100,0000,01100PHARMACY 65678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65678,A000000,01300,0000,01300SOCIAL SERVICE 65678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65678,A000000,01600,0000,01600SKILLED NURSING FACILITY 65678,A000000,01800,0000,01800NURSING FACILITY 65678,A000000,01810,0000,01810ICF/MR 65678,A000000,02100,0000,02100RADIOLOGY 65678,A000000,02200,0000,02200LABORATORY 65678,A000000,02300,0000,02300INTRAVENOUS THERAPY 65678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65678,A000000,02500,0000,02500PHYSICAL THERAPY 65678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65678,A000000,02700,0000,02700SPEECH PATHOLOGY 65678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65678,A000000,03200,0000,03200SUPPORT SURFACES 65678,A000000,03550,0000,03550FQHC 65678,A000000,05000,0000,05000CORF 65678,A000000,05010,0000,05010CMHC 65678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65678,A81000A,00100,0100,Y 65678,A81000B,00100,0300,RADIOLOGY 65678,A81000B,00200,0300,LABORATORY 65678,A81000B,00300,0300,IV THERAPY 65678,A81000B,00400,0300,CONTRACTED RT 65678,A81000B,00500,0300,CONTRACTED PT 65678,A81000B,00600,0300,CONTRACTED OT 65678,A81000B,00700,0300,CONTRACTED ST 65678,A81000B,00800,0300,MEDICAL SUPPLIES 65678,A81000B,00900,0300,DRUGS 65678,A81000B,01000,0300,SUPPORT SURFACES 65678,A81000B,01100,0300,CENTRAL SUPPLIES 65678,A81000B,01200,0300,INTEREST EXPENSE 65678,A81000B,01300,0300,MANAGEMENT FEE 65678,A81000B,01400,0300,FACILITY SALARIES 65678,A81000B,01500,0300,FACILITY BENEFITS 65678,A81000C,00100,0100,B 65678,A81000C,00100,0400,COMPLETE CARE SERVICES 65678,A81000C,00100,0600,MANAGEMENT COMPANY 65678,A81000C,00200,0100,B 65678,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65678,A81000C,00200,0600,ANCILLARY MGMT CO 65678,A81000C,00300,0100,A 65678,A81000C,00300,0200,JOHN DURHAM 65678,B100000,00000,0100,00000SQUARE FEET 65678,B100000,00000,0200,00000SQUARE FEET 65678,B100000,00000,0300,00000GROSS SALARIES 65678,B100000,00000,0400,00000ACCUM. COST 65678,B100000,00000,0500,00000SQUARE FEET 65678,B100000,00000,0600,00000INPATIENT DAYS 65678,B100000,00000,0700,00000SQUARE FEET 65678,B100000,00000,0800,00000INPATIENT DAYS 65678,B100000,00000,0900,00000INPATIENT DAYS 65678,B100000,00000,1000,00000INPATIENT DAYS 65678,B100000,00000,1100,00000INPATIENT DAYS 65678,B100000,00000,1200,00000INPATIENT DAYS 65678,B100000,00000,1300,00000INPATIENT DAYS 65678,B100000,00000,1400,00000ASSIGNED TIME 65678,E10A180,00301,0100,10/27/1999 65678,E10A180,00302,0100,11/29/1999 65678,S000000,00100,0200,06/01/2000 65678,S200000,00100,0100,4910 WELLINGTON 65678,S200000,00200,0100,GREENVILLE 65678,S200000,00200,0200,TX 65678,S200000,00300,0100,COLLINGSWORTH 65678,S200000,00400,0100,GREENVILLE HEALTH & REHAB CENTER 65678,S200000,00400,0200,675020 65678,S200000,00400,0300,04/08/1992 65678,S200000,00400,0500,P 65678,S200000,01600,0100,Y 65689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65689,A000000,00300,0000,00300EMPLOYEE BENEFITS 65689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65689,A000000,00700,0000,00700HOUSEKEEPING 65689,A000000,00800,0000,00800DIETARY 65689,A000000,00900,0000,00900NURSING ADMINISTRATION 65689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65689,A000000,01100,0000,01100PHARMACY 65689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65689,A000000,01300,0000,01300SOCIAL SERVICE 65689,A000000,01350,0000,01500PATIENT ACTIVITIES 65689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65689,A000000,01600,0000,01600SKILLED NURSING FACILITY 65689,A000000,01800,0000,01800NURSING FACILITY 65689,A000000,02100,0000,02100RADIOLOGY 65689,A000000,02200,0000,02200LABORATORY 65689,A000000,02300,0000,02300INTRAVENOUS THERAPY 65689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65689,A000000,02500,0000,02500PHYSICAL THERAPY 65689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65689,A000000,02700,0000,02700SPEECH PATHOLOGY 65689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65689,A000000,03200,0000,03200SUPPORT SURFACES 65689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65689,A000000,03550,0000,03550FQHC 65689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65689,A000000,05000,0000,05000CORF 65689,A000000,05010,0000,05010CMHC 65689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65689,A81000A,00100,0100,Y 65689,A81000B,00100,0300,RADIOLOGY 65689,A81000B,00200,0300,LABORATORY 65689,A81000B,00300,0300,IV THERAPY 65689,A81000B,00400,0300,CONTRACTED RT 65689,A81000B,00500,0300,CONTRACTED PT 65689,A81000B,00600,0300,CONTRACTED OT 65689,A81000B,00700,0300,CONTRACTED ST 65689,A81000B,00800,0300,MEDICAL SUPPLIES 65689,A81000B,00900,0300,DRUGS 65689,A81000B,01000,0300,SUPPORT SURFACES 65689,A81000B,01100,0300,CENTRAL SUPPLIES 65689,A81000B,01200,0300,INTEREST EXPENSE 65689,A81000B,01300,0300,MANAGEMENT FEE 65689,A81000B,01400,0300,FACILITY SALARIES 65689,A81000B,01500,0300,FACILITY BENEFITS 65689,A81000C,00100,0100,B 65689,A81000C,00100,0400,COMPLETE CARE SERVICES 65689,A81000C,00100,0600,MANAGEMENT COMPANY 65689,A81000C,00200,0100,B 65689,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65689,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65689,A81000C,00300,0100,A 65689,A81000C,00300,0200,JOHN DURHAM 65689,B100000,00000,0100,00000SQUARE FEET 65689,B100000,00000,0200,00000NO STATISTICS 65689,B100000,00000,0300,00000GROSS SALARIES 65689,B100000,00000,0400,00000ACCUM. COST 65689,B100000,00000,0500,00000SQUARE FEET 65689,B100000,00000,0600,00000PATIENT DAYS 65689,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65689,B100000,00000,0800,00000PATIENT DAYS 65689,B100000,00000,0900,00000NO STATISTICS 65689,B100000,00000,1000,00000PATIENT DAYS 65689,B100000,00000,1100,00000PATIENT DAYS 65689,B100000,00000,1200,00000NO STATISTICS 65689,B100000,00000,1300,00000NO STATISTICS 65689,B100000,00000,1350,00000PATIENT DAYS 65689,B100000,00000,1400,00000NO STATISTICS 65689,E10A180,00301,0100,10/27/1999 65689,E10A180,00302,0100,11/29/1999 65689,S000000,00100,0200,06/01/2000 65689,S200000,00100,0100,929 HEMPHILL 65689,S200000,00200,0100,FORT WORTH 65689,S200000,00200,0200,TX 65689,S200000,00200,0300,76104 65689,S200000,00300,0100,TARRANT 65689,S200000,00400,0100,PARK PLAZA CARE CENTER 65689,S200000,00400,0200,675027 65689,S200000,00400,0300,02/20/1992 65689,S200000,00400,0500,P 65689,S200000,01600,0100,Y 65689,S200000,04300,0100,Y 65696,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65696,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65696,A000000,00300,0000,00300EMPLOYEE BENEFITS 65696,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65696,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65696,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65696,A000000,00700,0000,00700HOUSEKEEPING 65696,A000000,00800,0000,00800DIETARY 65696,A000000,00900,0000,00900NURSING ADMINISTRATION 65696,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65696,A000000,01100,0000,01100PHARMACY 65696,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65696,A000000,01300,0000,01300SOCIAL SERVICE 65696,A000000,01350,0000,01500PATIENT ACTIVITIES 65696,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65696,A000000,01600,0000,01600SKILLED NURSING FACILITY 65696,A000000,01800,0000,01800NURSING FACILITY 65696,A000000,01810,0000,01810ICF/MR 65696,A000000,02100,0000,02100RADIOLOGY 65696,A000000,02200,0000,02200LABORATORY 65696,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65696,A000000,02500,0000,02500PHYSICAL THERAPY 65696,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65696,A000000,02700,0000,02700SPEECH PATHOLOGY 65696,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65696,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65696,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65696,A000000,03200,0000,03200SUPPORT SURFACES 65696,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65696,A000000,03550,0000,03550FQHC 65696,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65696,A000000,05000,0000,05000CORF 65696,A000000,05010,0000,05010CMHC 65696,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65696,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65696,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65696,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65696,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65696,A81000A,00100,0100,Y 65696,A81000B,00100,0300,RADIOLOGY 65696,A81000B,00200,0300,LABORATORY 65696,A81000B,00500,0300,CONTRACTED PT 65696,A81000B,00600,0300,CONTRACTED OT 65696,A81000B,00700,0300,CONTRACTED ST 65696,A81000B,00800,0300,MEDICAL SUPPLIES 65696,A81000B,00900,0300,DRUGS 65696,A81000B,01000,0300,SUPPORT SURFACES 65696,A81000B,01100,0300,CENTRAL SUPPLIES 65696,A81000B,01200,0300,INTEREST EXPENSE 65696,A81000B,01300,0300,MANAGEMENT FEE 65696,A81000B,01400,0300,FACILITY SALARIES 65696,A81000B,01500,0300,FACILITY BENEFITS 65696,A81000C,00100,0100,B 65696,A81000C,00100,0400,COMPLETE CARE SERVICES 65696,A81000C,00100,0600,MANAGEMENT COMPANY 65696,A81000C,00200,0100,B 65696,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65696,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65696,A81000C,00300,0100,A 65696,A81000C,00300,0200,JOHN DURHAM 65696,B100000,00000,0100,00000SQUARE FEET 65696,B100000,00000,0200,00000NO STATISTICS 65696,B100000,00000,0300,00000GROSS SALARIES 65696,B100000,00000,0400,00000ACCUM. COST 65696,B100000,00000,0500,00000SQUARE FEET 65696,B100000,00000,0600,00000PATIENT DAYS 65696,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65696,B100000,00000,0800,00000PATIENT DAYS 65696,B100000,00000,0900,00000NO STATISTICS 65696,B100000,00000,1000,00000PATIENT DAYS 65696,B100000,00000,1100,00000PATIENT DAYS 65696,B100000,00000,1200,00000NO STATISTICS 65696,B100000,00000,1300,00000NO STATISTICS 65696,B100000,00000,1350,00000PATIENT DAYS 65696,B100000,00000,1400,00000NO STATISTICS 65696,E10A180,00301,0100,10/27/1999 65696,E10A180,00302,0100,11/29/1999 65696,S000000,00100,0200,06/01/2000 65696,S200000,00100,0100,100 BAILEY STREET 65696,S200000,00200,0100,WICHITA FALLS 65696,S200000,00200,0200,TX 65696,S200000,00200,0300,76301 65696,S200000,00300,0100,WICHITA 65696,S200000,00400,0100,RIVER OAKS CARE CENTER 65696,S200000,00400,0200,675029 65696,S200000,00400,0300,04/17/1992 65696,S200000,00400,0500,P 65696,S200000,01500,0100,Y 65696,S200000,04300,0100,Y 65706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65706,A000000,00300,0000,00300EMPLOYEE BENEFITS 65706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65706,A000000,00700,0000,00700HOUSEKEEPING 65706,A000000,00800,0000,00800DIETARY 65706,A000000,00900,0000,00900NURSING ADMINISTRATION 65706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65706,A000000,01100,0000,01100PHARMACY 65706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65706,A000000,01300,0000,01300SOCIAL SERVICE 65706,A000000,01350,0000,01500PATIENT ACTIVITIES 65706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65706,A000000,01600,0000,01600SKILLED NURSING FACILITY 65706,A000000,01800,0000,01800NURSING FACILITY 65706,A000000,01810,0000,01810ICF/MR 65706,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65706,A000000,02500,0000,02500PHYSICAL THERAPY 65706,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65706,A000000,02700,0000,02700SPEECH PATHOLOGY 65706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65706,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65706,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65706,A000000,03550,0000,03550FQHC 65706,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65706,A000000,05000,0000,05000CORF 65706,A000000,05010,0000,05010CMHC 65706,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65706,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65706,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65706,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65706,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65706,A81000A,00100,0100,Y 65706,A81000B,00500,0300,CONTRACTED PT 65706,A81000B,00600,0300,CONTRACTED OT 65706,A81000B,00700,0300,CONTRACTED ST 65706,A81000B,00800,0300,MEDICAL SUPPLIES 65706,A81000B,00900,0300,DRUGS 65706,A81000B,01100,0300,CENTRAL SUPPLIES 65706,A81000B,01200,0300,INTEREST EXPENSE 65706,A81000B,01300,0300,MANAGEMENT FEE 65706,A81000B,01400,0300,FACILITY SALARIES 65706,A81000B,01500,0300,FACILITY BENEFITS 65706,A81000C,00100,0100,B 65706,A81000C,00100,0400,COMPLETE CARE SERVICES 65706,A81000C,00100,0600,MANAGEMENT COMPANY 65706,A81000C,00200,0100,B 65706,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65706,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65706,A81000C,00300,0100,A 65706,A81000C,00300,0200,JOHN DURHAM 65706,B100000,00000,0100,00000SQUARE FEET 65706,B100000,00000,0200,00000NO STATISTICS 65706,B100000,00000,0300,00000GROSS SALARIES 65706,B100000,00000,0400,00000ACCUM. COST 65706,B100000,00000,0500,00000SQUARE FEET 65706,B100000,00000,0600,00000PATIENT DAYS 65706,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65706,B100000,00000,0800,00000PATIENT DAYS 65706,B100000,00000,0900,00000NO STATISTICS 65706,B100000,00000,1000,00000PATIENT DAYS 65706,B100000,00000,1100,00000PATIENT DAYS 65706,B100000,00000,1200,00000NO STATISTICS 65706,B100000,00000,1300,00000NO STATISTICS 65706,B100000,00000,1350,00000PATIENT DAYS 65706,B100000,00000,1400,00000NO STATISTICS 65706,E10A180,00301,0100,10/27/1999 65706,E10A180,00302,0100,11/29/1999 65706,S000000,00100,0200,06/01/2000 65706,S200000,00100,0100,434 PAZA DRIVE 65706,S200000,00200,0100,MESQUITE 65706,S200000,00200,0200,TX 65706,S200000,00200,0300,75149 65706,S200000,00300,0100,DALLAS 65706,S200000,00400,0100,MESQUITE TREE NURSING CTR 65706,S200000,00400,0200,675033 65706,S200000,00400,0300,03/01/1992 65706,S200000,00400,0500,P 65706,S200000,01600,0100,Y 65706,S200000,04300,0100,Y 65711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65711,A000000,00300,0000,00300EMPLOYEE BENEFITS 65711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65711,A000000,00700,0000,00700HOUSEKEEPING 65711,A000000,00800,0000,00800DIETARY 65711,A000000,00900,0000,00900NURSING ADMINISTRATION 65711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65711,A000000,01100,0000,01100PHARMACY 65711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65711,A000000,01300,0000,01300SOCIAL SERVICE 65711,A000000,01350,0000,01500PATIENT ACTIVITIES 65711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65711,A000000,01600,0000,01600SKILLED NURSING FACILITY 65711,A000000,01800,0000,01800NURSING FACILITY 65711,A000000,02100,0000,02100RADIOLOGY 65711,A000000,02200,0000,02200LABORATORY 65711,A000000,02300,0000,02300INTRAVENOUS THERAPY 65711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65711,A000000,02500,0000,02500PHYSICAL THERAPY 65711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65711,A000000,02700,0000,02700SPEECH PATHOLOGY 65711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65711,A000000,03200,0000,03200SUPPORT SURFACES 65711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65711,A000000,03550,0000,03550FQHC 65711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65711,A000000,05000,0000,05000CORF 65711,A000000,05010,0000,05010CMHC 65711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65711,A81000A,00100,0100,Y 65711,A81000B,00100,0300,RADIOLOGY 65711,A81000B,00200,0300,LABORATORY 65711,A81000B,00300,0300,IV THERAPY 65711,A81000B,00400,0300,CONTRACTED RT 65711,A81000B,00500,0300,CONTRACTED PT 65711,A81000B,00600,0300,CONTRACTED OT 65711,A81000B,00700,0300,CONTRACTED ST 65711,A81000B,00800,0300,MEDICAL SUPPLIES 65711,A81000B,00900,0300,DRUGS 65711,A81000B,01000,0300,SUPPORT SURFACES 65711,A81000B,01100,0300,CENTRAL SUPPLIES 65711,A81000B,01200,0300,INTEREST EXPENSE 65711,A81000B,01300,0300,MANAGEMENT FEE 65711,A81000B,01400,0300,FACILITY SALARIES 65711,A81000B,01500,0300,FACILITY BENEFITS 65711,A81000C,00100,0100,B 65711,A81000C,00100,0400,COMPLETE CARE SERVICES 65711,A81000C,00100,0600,MANAGEMENT COMPANY 65711,A81000C,00200,0100,B 65711,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65711,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65711,A81000C,00300,0100,A 65711,A81000C,00300,0200,JOHN DURHAM 65711,B100000,00000,0100,00000SQUARE FEET 65711,B100000,00000,0200,00000NO STATISTICS 65711,B100000,00000,0300,00000GROSS SALARIES 65711,B100000,00000,0400,00000ACCUM. COST 65711,B100000,00000,0500,00000SQUARE FEET 65711,B100000,00000,0600,00000PATIENT DAYS 65711,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65711,B100000,00000,0800,00000PATIENT DAYS 65711,B100000,00000,0900,00000NO STATISTICS 65711,B100000,00000,1000,00000PATIENT DAYS 65711,B100000,00000,1100,00000PATIENT DAYS 65711,B100000,00000,1200,00000NO STATISTICS 65711,B100000,00000,1300,00000NO STATISTICS 65711,B100000,00000,1350,00000PATIENT DAYS 65711,B100000,00000,1400,00000NO STATISTICS 65711,E10A180,00301,0100,10/27/1999 65711,E10A180,00302,0100,11/29/1999 65711,S000000,00100,0200,06/01/2000 65711,S200000,00100,0100,901 PENNSYLVANIA STREET 65711,S200000,00200,0100,FORT WORTH 65711,S200000,00200,0200,TX 65711,S200000,00200,0300,76104 65711,S200000,00300,0100,TARRANT 65711,S200000,00400,0100,THE GARDENS CARE CENTER 65711,S200000,00400,0200,675034 65711,S200000,00400,0300,03/16/1992 65711,S200000,00400,0500,P 65711,S200000,01600,0100,Y 65711,S200000,04300,0100,Y 65718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65718,A000000,00300,0000,00300EMPLOYEE BENEFITS 65718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65718,A000000,00700,0000,00700HOUSEKEEPING 65718,A000000,00800,0000,00800DIETARY 65718,A000000,00900,0000,00900NURSING ADMINISTRATION 65718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65718,A000000,01100,0000,01100PHARMACY 65718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65718,A000000,01300,0000,01300SOCIAL SERVICE 65718,A000000,01350,0000,01500PATIENT ACTIVITIES 65718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65718,A000000,01600,0000,01600SKILLED NURSING FACILITY 65718,A000000,01810,0000,01810ICF/MR 65718,A000000,02100,0000,02100RADIOLOGY 65718,A000000,02200,0000,02200LABORATORY 65718,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65718,A000000,02500,0000,02500PHYSICAL THERAPY 65718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65718,A000000,02700,0000,02700SPEECH PATHOLOGY 65718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65718,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65718,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65718,A000000,03550,0000,03550FQHC 65718,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65718,A000000,05000,0000,05000CORF 65718,A000000,05010,0000,05010CMHC 65718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65718,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65718,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65718,A81000A,00100,0100,Y 65718,A81000B,00100,0300,RADIOLOGY 65718,A81000B,00200,0300,LABORATORY 65718,A81000B,00500,0300,CONTRACTED PT 65718,A81000B,00600,0300,CONTRACTED OT 65718,A81000B,00700,0300,CONTRACTED ST 65718,A81000B,00800,0300,MEDICAL SUPPLIES 65718,A81000B,00900,0300,DRUGS 65718,A81000B,01100,0300,CENTRAL SUPPLIES 65718,A81000B,01200,0300,INTEREST EXPENSE 65718,A81000B,01300,0300,MANAGEMENT FEE 65718,A81000B,01400,0300,FACILITY SALARIES 65718,A81000B,01500,0300,FACILITY BENEFITS 65718,A81000C,00100,0100,B 65718,A81000C,00100,0400,COMPLETE CARE SERVICES 65718,A81000C,00100,0600,MANAGEMENT COMPANY 65718,A81000C,00200,0100,B 65718,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65718,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65718,A81000C,00300,0100,A 65718,A81000C,00300,0200,JOHN DURHAM 65718,B100000,00000,0100,00000SQUARE FEET 65718,B100000,00000,0200,00000NO STATISTICS 65718,B100000,00000,0300,00000GROSS SALARIES 65718,B100000,00000,0400,00000ACCUM. COST 65718,B100000,00000,0500,00000SQUARE FEET 65718,B100000,00000,0600,00000PATIENT DAYS 65718,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65718,B100000,00000,0800,00000PATIENT DAYS 65718,B100000,00000,0900,00000NO STATISTICS 65718,B100000,00000,1000,00000PATIENT DAYS 65718,B100000,00000,1100,00000PATIENT DAYS 65718,B100000,00000,1200,00000NO STATISTICS 65718,B100000,00000,1300,00000NO STATISTICS 65718,B100000,00000,1350,00000PATIENT DAYS 65718,B100000,00000,1400,00000NO STATISTICS 65718,E10A180,00301,0100,10/27/1999 65718,E10A180,00302,0100,11/29/1999 65718,S000000,00100,0200,06/01/2000 65718,S200000,00100,0100,123 PECAN GROVE 65718,S200000,00100,0300,191 65718,S200000,00200,0100,PITTSBURG 65718,S200000,00200,0200,TX 65718,S200000,00200,0300,75686 65718,S200000,00300,0100,CAMP 65718,S200000,00400,0100,PITTSBURG NURSING CENTER 65718,S200000,00400,0200,675037 65718,S200000,00400,0300,03/13/1992 65718,S200000,00400,0500,P 65718,S200000,01500,0100,Y 65718,S200000,04300,0100,Y 65739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65739,A000000,00300,0000,00300EMPLOYEE BENEFITS 65739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65739,A000000,00700,0000,00700HOUSEKEEPING 65739,A000000,00800,0000,00800DIETARY 65739,A000000,00900,0000,00900NURSING ADMINISTRATION 65739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65739,A000000,01100,0000,01100PHARMACY 65739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65739,A000000,01300,0000,01300SOCIAL SERVICE 65739,A000000,01350,0000,01500PATIENT ACTIVITIES 65739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65739,A000000,01600,0000,01600SKILLED NURSING FACILITY 65739,A000000,01800,0000,01800NURSING FACILITY 65739,A000000,02100,0000,02100RADIOLOGY 65739,A000000,02200,0000,02200LABORATORY 65739,A000000,02300,0000,02300INTRAVENOUS THERAPY 65739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65739,A000000,02500,0000,02500PHYSICAL THERAPY 65739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65739,A000000,02700,0000,02700SPEECH PATHOLOGY 65739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65739,A000000,03200,0000,03200SUPPORT SURFACES 65739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65739,A000000,03550,0000,03550FQHC 65739,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65739,A000000,05000,0000,05000CORF 65739,A000000,05010,0000,05010CMHC 65739,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65739,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65739,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65739,A81000A,00100,0100,Y 65739,A81000B,00100,0300,RADIOLOGY 65739,A81000B,00200,0300,LABORATORY 65739,A81000B,00300,0300,IV THERAPY 65739,A81000B,00400,0300,CONTRACTED RT 65739,A81000B,00500,0300,CONTRACTED PT 65739,A81000B,00600,0300,CONTRACTED OT 65739,A81000B,00700,0300,CONTRACTED ST 65739,A81000B,00800,0300,MEDICAL SUPPLIES 65739,A81000B,00900,0300,DRUGS 65739,A81000B,01000,0300,SUPPORT SURFACES 65739,A81000B,01100,0300,CENTRAL SUPPLIES 65739,A81000B,01200,0300,INTEREST EXPENSE 65739,A81000B,01300,0300,MANAGEMENT FEE 65739,A81000B,01400,0300,FACILITY SALARIES 65739,A81000B,01500,0300,FACILITY BENEFITS 65739,A81000C,00100,0100,B 65739,A81000C,00100,0400,COMPLETE CARE SERVICES 65739,A81000C,00100,0600,MANAGEMENT COMPANY 65739,A81000C,00200,0100,B 65739,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65739,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65739,A81000C,00300,0100,A 65739,A81000C,00300,0200,JOHN DURHAM 65739,B100000,00000,0100,00000SQUARE FEET 65739,B100000,00000,0200,00000NO STATISTICS 65739,B100000,00000,0300,00000GROSS SALARIES 65739,B100000,00000,0400,00000ACCUM. COST 65739,B100000,00000,0500,00000SQUARE FEET 65739,B100000,00000,0600,00000PATIENT DAYS 65739,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65739,B100000,00000,0800,00000PATIENT DAYS 65739,B100000,00000,0900,00000NO STATISTICS 65739,B100000,00000,1000,00000PATIENT DAYS 65739,B100000,00000,1100,00000PATIENT DAYS 65739,B100000,00000,1200,00000NO STATISTICS 65739,B100000,00000,1300,00000NO STATISTICS 65739,B100000,00000,1350,00000PATIENT DAYS 65739,B100000,00000,1400,00000NO STATISTICS 65739,E10A180,00301,0100,10/27/1999 65739,E10A180,00302,0100,11/29/1999 65739,S000000,00100,0200,06/01/2000 65739,S200000,00100,0100,209 HACKBERRY 65739,S200000,00200,0100,MCALLEN 65739,S200000,00200,0200,TX 65739,S200000,00200,0300,78501 65739,S200000,00300,0100,HIDALGO 65739,S200000,00400,0100,COLONIAL MANOR - MCALLEN 65739,S200000,00400,0200,675044 65739,S200000,00400,0300,06/26/1998 65739,S200000,00400,0500,P 65739,S200000,01500,0100,Y 65739,S200000,04300,0100,Y 65748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65748,A000000,00300,0000,00300EMPLOYEE BENEFITS 65748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65748,A000000,00700,0000,00700HOUSEKEEPING 65748,A000000,00800,0000,00800DIETARY 65748,A000000,00900,0000,00900NURSING ADMINISTRATION 65748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65748,A000000,01100,0000,01100PHARMACY 65748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65748,A000000,01300,0000,01300SOCIAL SERVICE 65748,A000000,01350,0000,01500PATIENT ACTIVITIES 65748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65748,A000000,01600,0000,01600SKILLED NURSING FACILITY 65748,A000000,01800,0000,01800NURSING FACILITY 65748,A000000,02100,0000,02100RADIOLOGY 65748,A000000,02200,0000,02200LABORATORY 65748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65748,A000000,02500,0000,02500PHYSICAL THERAPY 65748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65748,A000000,02700,0000,02700SPEECH PATHOLOGY 65748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65748,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65748,A000000,03550,0000,03550FQHC 65748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65748,A000000,05000,0000,05000CORF 65748,A000000,05010,0000,05010CMHC 65748,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65748,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65748,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65748,A81000A,00100,0100,Y 65748,A81000B,00100,0300,RADIOLOGY 65748,A81000B,00200,0300,LABORATORY 65748,A81000B,00300,0300,IV THERAPY 65748,A81000B,00400,0300,CONTRACTED RT 65748,A81000B,00500,0300,CONTRACTED PT 65748,A81000B,00600,0300,CONTRACTED OT 65748,A81000B,00700,0300,CONTRACTED ST 65748,A81000B,00800,0300,MEDICAL SUPPLIES 65748,A81000B,00900,0300,DRUGS 65748,A81000B,01000,0300,SUPPORT SURFACES 65748,A81000B,01100,0300,CENTRAL SUPPLIES 65748,A81000B,01200,0300,INTEREST EXPENSE 65748,A81000B,01300,0300,MANAGEMENT FEE 65748,A81000B,01400,0300,FACILITY SALARIES 65748,A81000B,01500,0300,FACILITY BENEFITS 65748,A81000C,00100,0100,B 65748,A81000C,00100,0400,COMPLETE CARE SERVICES 65748,A81000C,00100,0600,MANAGEMENT COMPANY 65748,A81000C,00200,0100,B 65748,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65748,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65748,A81000C,00300,0100,A 65748,A81000C,00300,0200,JOHN DURHAM 65748,B100000,00000,0100,00000SQUARE FEET 65748,B100000,00000,0200,00000NO STATISTICS 65748,B100000,00000,0300,00000GROSS SALARIES 65748,B100000,00000,0400,00000ACCUM. COST 65748,B100000,00000,0500,00000SQUARE FEET 65748,B100000,00000,0600,00000PATIENT DAYS 65748,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65748,B100000,00000,0800,00000PATIENT DAYS 65748,B100000,00000,0900,00000NO STATISTICS 65748,B100000,00000,1000,00000PATIENT DAYS 65748,B100000,00000,1100,00000PATIENT DAYS 65748,B100000,00000,1200,00000NO STATISTICS 65748,B100000,00000,1300,00000NO STATISTICS 65748,B100000,00000,1350,00000PATIENT DAYS 65748,B100000,00000,1400,00000NO STATISTICS 65748,E10A180,00301,0100,10/27/1999 65748,E10A180,00302,0100,11/29/1999 65748,S000000,00100,0200,06/01/2000 65748,S200000,00100,0100,1419 MAHLMAN STREET 65748,S200000,00200,0100,ROSENBERG 65748,S200000,00200,0200,TX 65748,S200000,00200,0300,77471 65748,S200000,00300,0100,FORT BEND 65748,S200000,00400,0100,ROSENBERG HEALTH & REHAB CENTER 65748,S200000,00400,0200,675046 65748,S200000,00400,0300,02/05/1992 65748,S200000,00400,0500,P 65748,S200000,01600,0100,Y 65748,S200000,02800,0100,Y 65748,S200000,04300,0100,Y 65751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65751,A000000,00300,0000,00300EMPLOYEE BENEFITS 65751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65751,A000000,00700,0000,00700HOUSEKEEPING 65751,A000000,00800,0000,00800DIETARY 65751,A000000,00900,0000,00900NURSING ADMINISTRATION 65751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65751,A000000,01100,0000,01100PHARMACY 65751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65751,A000000,01300,0000,01300SOCIAL SERVICE 65751,A000000,01350,0000,01500PATIENT ACTIVITIES 65751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65751,A000000,01600,0000,01600SKILLED NURSING FACILITY 65751,A000000,01800,0000,01800NURSING FACILITY 65751,A000000,01810,0000,01810ICF/MR 65751,A000000,02200,0000,02200LABORATORY 65751,A000000,02300,0000,02300INTRAVENOUS THERAPY 65751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65751,A000000,02500,0000,02500PHYSICAL THERAPY 65751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65751,A000000,02700,0000,02700SPEECH PATHOLOGY 65751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65751,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65751,A000000,03200,0000,03200SUPPORT SURFACES 65751,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65751,A000000,03550,0000,03550FQHC 65751,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65751,A000000,05000,0000,05000CORF 65751,A000000,05010,0000,05010CMHC 65751,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65751,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65751,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65751,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65751,A81000A,00100,0100,Y 65751,A81000B,00100,0300,INTEREST EXPENSE 65751,A81000B,00200,0300,INTEREST EXPENSE HCFP 65751,A81000B,01500,0300,FACILITY BENEFITS 65751,A81000C,00100,0100,B 65751,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65751,A81000C,00100,0600,HOME OFFICE 65751,A81000C,00200,0100,B 65751,A81000C,00300,0100,B 65751,B100000,00000,0100,00000SQUARE FEET 65751,B100000,00000,0200,00000NO STATISTICS 65751,B100000,00000,0300,00000GROSS SALARIES 65751,B100000,00000,0400,00000ACCUM. COST 65751,B100000,00000,0500,00000SQUARE FEET 65751,B100000,00000,0600,00000PATIENT DAYS 65751,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65751,B100000,00000,0800,00000PATIENT DAYS 65751,B100000,00000,0900,00000NO STATISTICS 65751,B100000,00000,1000,00000PATIENT DAYS 65751,B100000,00000,1100,00000PATIENT DAYS 65751,B100000,00000,1200,00000NO STATISTICS 65751,B100000,00000,1300,00000NO STATISTICS 65751,B100000,00000,1350,00000PATIENT DAYS 65751,B100000,00000,1400,00000NO STATISTICS 65751,E10A180,00301,0100,10/27/1999 65751,E10A180,00302,0100,11/29/1999 65751,S000000,00100,0200,06/01/2000 65751,S200000,00100,0100,1502 WEST KENTUCKY AVE 65751,S200000,00200,0100,PAMPA 65751,S200000,00200,0200,TX 65751,S200000,00300,0100,GRAY 65751,S200000,00400,0100,CORONADO HEALTHCARE CENTER 65751,S200000,00400,0200,675049 65751,S200000,00400,0300,06/01/1992 65751,S200000,00400,0500,P 65751,S200000,01600,0100,Y 65751,S200000,04300,0100,Y 65754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65754,A000000,00300,0000,00300EMPLOYEE BENEFITS 65754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65754,A000000,00700,0000,00700HOUSEKEEPING 65754,A000000,00800,0000,00800DIETARY 65754,A000000,00900,0000,00900NURSING ADMINISTRATION 65754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65754,A000000,01100,0000,01100PHARMACY 65754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65754,A000000,01300,0000,01300SOCIAL SERVICE 65754,A000000,01350,0000,01500PATIENT ACTIVITIES 65754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65754,A000000,01600,0000,01600SKILLED NURSING FACILITY 65754,A000000,01800,0000,01800NURSING FACILITY 65754,A000000,02200,0000,02200LABORATORY 65754,A000000,02300,0000,02300INTRAVENOUS THERAPY 65754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65754,A000000,02500,0000,02500PHYSICAL THERAPY 65754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65754,A000000,02700,0000,02700SPEECH PATHOLOGY 65754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65754,A000000,03550,0000,03550FQHC 65754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65754,A000000,05000,0000,05000CORF 65754,A000000,05010,0000,05010CMHC 65754,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65754,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65754,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65754,A81000A,00100,0100,Y 65754,A81000B,00100,0300,INTEREST EXPENSE 65754,A81000B,00200,0300,INTEREST EXPENSE HCFP 65754,A81000C,00100,0100,B 65754,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65754,A81000C,00100,0600,HOME OFFICE 65754,B100000,00000,0100,00000SQUARE FEET 65754,B100000,00000,0200,00000NO STATISTICS 65754,B100000,00000,0300,00000GROSS SALARIES 65754,B100000,00000,0400,00000ACCUM. COST 65754,B100000,00000,0500,00000SQUARE FEET 65754,B100000,00000,0600,00000PATIENT DAYS 65754,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65754,B100000,00000,0800,00000PATIENT DAYS 65754,B100000,00000,0900,00000NO STATISTICS 65754,B100000,00000,1000,00000PATIENT DAYS 65754,B100000,00000,1100,00000PATIENT DAYS 65754,B100000,00000,1200,00000NO STATISTICS 65754,B100000,00000,1300,00000NO STATISTICS 65754,B100000,00000,1350,00000PATIENT DAYS 65754,B100000,00000,1400,00000NO STATISTICS 65754,E10A180,00301,0100,10/27/1999 65754,E10A180,00302,0100,11/29/1999 65754,S000000,00100,0200,06/01/2000 65754,S200000,00100,0100,1000 N. BROADWAY 65754,S200000,00200,0100,ASPERMONT 65754,S200000,00200,0200,TX 65754,S200000,00200,0300,79502 65754,S200000,00300,0100,STONEWALL 65754,S200000,00400,0100,GIBSON HEALTHCARE CENTER 65754,S200000,00400,0200,675050 65754,S200000,00400,0300,02/07/1998 65754,S200000,00400,0500,P 65754,S200000,01600,0100,Y 65754,S200000,04300,0100,Y 65757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65757,A000000,00300,0000,00300EMPLOYEE BENEFITS 65757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65757,A000000,00700,0000,00700HOUSEKEEPING 65757,A000000,00800,0000,00800DIETARY 65757,A000000,00900,0000,00900NURSING ADMINISTRATION 65757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65757,A000000,01100,0000,01100PHARMACY 65757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65757,A000000,01300,0000,01300SOCIAL SERVICE 65757,A000000,01350,0000,01500OTHER GENERAL SERVICES 65757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65757,A000000,01600,0000,01600SKILLED NURSING FACILITY 65757,A000000,01800,0000,01800NURSING FACILITY 65757,A000000,01810,0000,01810ICF/MR 65757,A000000,02100,0000,02100RADIOLOGY 65757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65757,A000000,02500,0000,02500PHYSICAL THERAPY 65757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65757,A000000,02700,0000,02700SPEECH PATHOLOGY 65757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65757,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65757,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65757,A000000,03550,0000,03550FQHC 65757,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65757,A000000,05000,0000,05000CORF 65757,A000000,05010,0000,05010CMHC 65757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65757,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65757,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65757,A81000A,00100,0100,Y 65757,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65757,B100000,00000,0100,00000SQUARE FEET 65757,B100000,00000,0200,00000SQUARE FEET 65757,B100000,00000,0300,00000GROSS SALARIES 65757,B100000,00000,0400,00000ACCUM. COST 65757,B100000,00000,0500,00000SQUARE FEET 65757,B100000,00000,0600,00000POUNDS OF LAUNDRY 65757,B100000,00000,0700,00000SQUARE FEET 65757,B100000,00000,0800,00000MEALS SERVED 65757,B100000,00000,0900,00000DIRECT NRSING HRS 65757,B100000,00000,1000,00000COSTED REQUIS. 65757,B100000,00000,1100,00000COSTED REQUIS. 65757,B100000,00000,1200,00000TIME SPENT 65757,B100000,00000,1300,00000TIME SPENT 65757,B100000,00000,1350,00000NO STATISTICS 65757,B100000,00000,1400,00000ASSIGNED TIME 65757,S000000,00100,0200,05/31/2000 65757,S200000,00100,0100,502 E. COKE ROAD 65757,S200000,00200,0100,WINNSBORO 65757,S200000,00200,0200,TX 65757,S200000,00200,0300,75494 65757,S200000,00300,0100,WOOD 65757,S200000,00400,0100,WINNWOOD HEALTH AND REHAB CENTER 65757,S200000,00400,0200,675051 65757,S200000,00400,0300,11/01/1992 65757,S200000,00400,0500,P 65757,S200000,01600,0100,Y 65757,S200000,04300,0100,Y 65761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65761,A000000,00300,0000,00300EMPLOYEE BENEFITS 65761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65761,A000000,00700,0000,00700HOUSEKEEPING 65761,A000000,00800,0000,00800DIETARY 65761,A000000,00900,0000,00900NURSING ADMINISTRATION 65761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65761,A000000,01100,0000,01100PHARMACY 65761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65761,A000000,01300,0000,01300SOCIAL SERVICE 65761,A000000,01350,0000,01500PATIENT ACTIVITIES 65761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65761,A000000,01600,0000,01600SKILLED NURSING FACILITY 65761,A000000,01800,0000,01800NURSING FACILITY 65761,A000000,02100,0000,02100RADIOLOGY 65761,A000000,02200,0000,02200LABORATORY 65761,A000000,02300,0000,02300INTRAVENOUS THERAPY 65761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65761,A000000,02500,0000,02500PHYSICAL THERAPY 65761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65761,A000000,02700,0000,02700SPEECH PATHOLOGY 65761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65761,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65761,A000000,03200,0000,03200SUPPORT SURFACES 65761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65761,A000000,03550,0000,03550FQHC 65761,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65761,A000000,05000,0000,05000CORF 65761,A000000,05010,0000,05010CMHC 65761,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65761,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65761,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65761,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65761,A81000A,00100,0100,Y 65761,A81000B,00100,0300,INTEREST EXPENSE 65761,A81000B,00200,0300,INTEREST EXPENSE 65761,A81000C,00100,0100,B 65761,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65761,A81000C,00100,0600,HOME OFFICE 65761,B100000,00000,0100,00000SQUARE FEET 65761,B100000,00000,0200,00000NO STATISTICS 65761,B100000,00000,0300,00000GROSS SALARIES 65761,B100000,00000,0400,00000ACCUM. COST 65761,B100000,00000,0500,00000SQUARE FEET 65761,B100000,00000,0600,00000PATIENT DAYS 65761,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65761,B100000,00000,0800,00000PATIENT DAYS 65761,B100000,00000,0900,00000NO STATISTICS 65761,B100000,00000,1000,00000PATIENT DAYS 65761,B100000,00000,1100,00000PATIENT DAYS 65761,B100000,00000,1200,00000NO STATISTICS 65761,B100000,00000,1300,00000NO STATISTICS 65761,B100000,00000,1350,00000PATIENT DAYS 65761,B100000,00000,1400,00000NO STATISTICS 65761,E10A180,00301,0100,10/27/1999 65761,E10A180,00302,0100,11/29/1999 65761,S000000,00100,0200,06/01/2000 65761,S200000,00100,0100,LAPORTE HEALTHCARE CENTER 65761,S200000,00200,0100,LAPORTE 65761,S200000,00200,0200,TX 65761,S200000,00200,0300,77571 65761,S200000,00300,0100,HARRIS 65761,S200000,00400,0100,LAPORTE HEALTHCARE CENTER 65761,S200000,00400,0200,675052 65761,S200000,00400,0300,02/07/1998 65761,S200000,00400,0500,P 65761,S200000,01600,0100,Y 65761,S200000,04300,0100,Y 65774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65774,A000000,00300,0000,00300EMPLOYEE BENEFITS 65774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65774,A000000,00700,0000,00700HOUSEKEEPING 65774,A000000,00800,0000,00800DIETARY 65774,A000000,00900,0000,00900NURSING ADMINISTRATION 65774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65774,A000000,01100,0000,01100PHARMACY 65774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65774,A000000,01300,0000,01300SOCIAL SERVICE 65774,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65774,A000000,01600,0000,01600SKILLED NURSING FACILITY 65774,A000000,01800,0000,01800NURSING FACILITY 65774,A000000,01810,0000,01810ICF/MR 65774,A000000,02100,0000,02100RADIOLOGY 65774,A000000,02200,0000,02200LABORATORY 65774,A000000,02300,0000,02300INTRAVENOUS THERAPY 65774,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65774,A000000,02500,0000,02500PHYSICAL THERAPY 65774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65774,A000000,02700,0000,02700SPEECH PATHOLOGY 65774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65774,A000000,03200,0000,03200SUPPORT SURFACES 65774,A000000,03550,0000,03550FQHC 65774,A000000,05000,0000,05000CORF 65774,A000000,05010,0000,05010CMHC 65774,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65774,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65774,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65774,A81000A,00100,0100,Y 65774,A81000B,00100,0300,RADIOLOGY 65774,A81000B,00200,0300,LABORATORY 65774,A81000B,00300,0300,IV THERAPY 65774,A81000B,00400,0300,CONTRACTED RT 65774,A81000B,00500,0300,CONTRACTED PT 65774,A81000B,00600,0300,CONTRACTED OT 65774,A81000B,00700,0300,CONTRACTED ST 65774,A81000B,00800,0300,MEDICAL SUPPLIES 65774,A81000B,00900,0300,DRUGS 65774,A81000B,01000,0300,SUPPORT SURFACES 65774,A81000B,01100,0300,CENTRAL SUPPLIES 65774,A81000B,01200,0300,INTEREST EXPENSE 65774,A81000B,01300,0300,MANAGEMENT FEE 65774,A81000B,01400,0300,FACILITY SALARIES 65774,A81000B,01500,0300,FACILITY BENEFITS 65774,A81000C,00100,0100,B 65774,A81000C,00100,0400,COMPLETE CARE SERVICES 65774,A81000C,00100,0600,MANAGEMENT COMPANY 65774,A81000C,00200,0100,B 65774,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65774,A81000C,00200,0600,ANCILLARY MGMT CO 65774,A81000C,00300,0100,A 65774,A81000C,00300,0200,JOHN DURHAM 65774,B100000,00000,0100,00000SQUARE FEET 65774,B100000,00000,0200,00000SQUARE FEET 65774,B100000,00000,0300,00000GROSS SALARIES 65774,B100000,00000,0400,00000ACCUM. COST 65774,B100000,00000,0500,00000SQUARE FEET 65774,B100000,00000,0600,00000INPATIENT DAYS 65774,B100000,00000,0700,00000SQUARE FEET 65774,B100000,00000,0800,00000INPATIENT DAYS 65774,B100000,00000,0900,00000INPATIENT DAYS 65774,B100000,00000,1000,00000INPATIENT DAYS 65774,B100000,00000,1100,00000INPATIENT DAYS 65774,B100000,00000,1200,00000TIME SPENT 65774,B100000,00000,1300,00000INPATIENT DAYS 65774,B100000,00000,1400,00000ASSIGNED TIME 65774,E10A180,00301,0100,10/27/1999 65774,E10A180,00302,0100,11/29/1999 65774,S000000,00100,0200,06/01/2000 65774,S200000,00100,0100,4200 SHEPHARD LANE 65774,S200000,00200,0100,BALCH SPRINGS 65774,S200000,00200,0200,TX 65774,S200000,00300,0100,DALLAS 65774,S200000,00400,0100,BALCH SPRINGS NURSING HOME 65774,S200000,00400,0200,675057 65774,S200000,00400,0300,06/01/1992 65774,S200000,00400,0500,P 65774,S200000,01600,0100,Y 65784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65784,A000000,00300,0000,00300EMPLOYEE BENEFITS 65784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65784,A000000,00700,0000,00700HOUSEKEEPING 65784,A000000,00800,0000,00800DIETARY 65784,A000000,00900,0000,00900NURSING ADMINISTRATION 65784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65784,A000000,01100,0000,01100PHARMACY 65784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65784,A000000,01300,0000,01300SOCIAL SERVICE 65784,A000000,01350,0000,01500PATIENT ACTIVITIES 65784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65784,A000000,01600,0000,01600SKILLED NURSING FACILITY 65784,A000000,01800,0000,01800NURSING FACILITY 65784,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65784,A000000,02500,0000,02500PHYSICAL THERAPY 65784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65784,A000000,02700,0000,02700SPEECH PATHOLOGY 65784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65784,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65784,A000000,03550,0000,03550FQHC 65784,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65784,A000000,05000,0000,05000CORF 65784,A000000,05010,0000,05010CMHC 65784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65784,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65784,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65784,A81000A,00100,0100,Y 65784,A81000B,00100,0300,RADIOLOGY 65784,A81000B,00200,0300,LABORATORY 65784,A81000B,00300,0300,IV THERAPY 65784,A81000B,00400,0300,CONTRACTED RT 65784,A81000B,00500,0300,CONTRACTED PT 65784,A81000B,00600,0300,CONTRACTED OT 65784,A81000B,00700,0300,CONTRACTED ST 65784,A81000B,00800,0300,MEDICAL SUPPLIES 65784,A81000B,00900,0300,DRUGS 65784,A81000B,01000,0300,SUPPORT SURFACES 65784,A81000B,01100,0300,CENTRAL SUPPLIES 65784,A81000B,01200,0300,INTEREST EXPENSE 65784,A81000B,01300,0300,MANAGEMENT FEE 65784,A81000B,01400,0300,FACILITY SALARIES 65784,A81000B,01500,0300,FACILITY BENEFITS 65784,A81000C,00100,0100,B 65784,A81000C,00100,0400,COMPLETE CARE SERVICES 65784,A81000C,00100,0600,MANAGEMENT COMPANY 65784,A81000C,00200,0100,B 65784,A81000C,00200,0400,MONARCH ANCILLARY SERVICE 65784,A81000C,00200,0600,ANCILLARY MANAGEMENT CO. 65784,A81000C,00300,0100,A 65784,A81000C,00300,0200,JOHN DURHAM 65784,B100000,00000,0100,00000SQUARE FEET 65784,B100000,00000,0200,00000NO STATISTICS 65784,B100000,00000,0300,00000GROSS SALARIES 65784,B100000,00000,0400,00000ACCUM. COST 65784,B100000,00000,0500,00000SQUARE FEET 65784,B100000,00000,0600,00000PATIENT DAYS 65784,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65784,B100000,00000,0800,00000PATIENT DAYS 65784,B100000,00000,0900,00000NO STATISTICS 65784,B100000,00000,1000,00000PATIENT DAYS 65784,B100000,00000,1100,00000PATIENT DAYS 65784,B100000,00000,1200,00000NO STATISTICS 65784,B100000,00000,1300,00000NO STATISTICS 65784,B100000,00000,1350,00000PATIENT DAYS 65784,B100000,00000,1400,00000NO STATISTICS 65784,E10A180,00301,0100,10/27/1999 65784,E10A180,00302,0100,11/29/1999 65784,S000000,00100,0200,06/01/2000 65784,S200000,00100,0100,421 WEST F STREET 65784,S200000,00100,0300,199 65784,S200000,00200,0100,MUNDAY 65784,S200000,00200,0200,TX 65784,S200000,00200,0300,76371 65784,S200000,00300,0100,KNOX 65784,S200000,00400,0100,MUNDAY NURSING CENTER 65784,S200000,00400,0200,675061 65784,S200000,00400,0300,06/26/1998 65784,S200000,00400,0500,P 65784,S200000,01600,0100,Y 65784,S200000,04300,0100,Y 65802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65802,A000000,00300,0000,00300EMPLOYEE BENEFITS 65802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65802,A000000,00700,0000,00700HOUSEKEEPING 65802,A000000,00800,0000,00800DIETARY 65802,A000000,00900,0000,00900NURSING ADMINISTRATION 65802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65802,A000000,01100,0000,01100PHARMACY 65802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65802,A000000,01300,0000,01300SOCIAL SERVICE 65802,A000000,01350,0000,01500OTHER GENERAL SERVICES 65802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65802,A000000,01600,0000,01600SKILLED NURSING FACILITY 65802,A000000,01800,0000,01800NURSING FACILITY 65802,A000000,01810,0000,01810ICF/MR 65802,A000000,02100,0000,02100RADIOLOGY 65802,A000000,02200,0000,02200LABORATORY 65802,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65802,A000000,02500,0000,02500PHYSICAL THERAPY 65802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65802,A000000,02700,0000,02700SPEECH PATHOLOGY 65802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65802,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65802,A000000,03550,0000,03550FQHC 65802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65802,A000000,05000,0000,05000CORF 65802,A000000,05010,0000,05010CMHC 65802,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65802,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65802,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65802,A81000A,00100,0100,Y 65802,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65802,A81000C,00100,0100,B 65802,A81000C,00100,0400,HARVEST SENIOR SERVICES 65802,A81000C,00100,0600,LTC MANAGEMENT 65802,B100000,00000,0100,00000SQUARE FEET 65802,B100000,00000,0200,00000SQUARE FEET 65802,B100000,00000,0300,00000GROSS SALARIES 65802,B100000,00000,0400,00000ACCUM. COST 65802,B100000,00000,0500,00000SQUARE FEET 65802,B100000,00000,0600,00000POUNDS OF LAUNDRY 65802,B100000,00000,0700,00000SQUARE FEET 65802,B100000,00000,0800,00000MEALS SERVED 65802,B100000,00000,0900,00000DIRECT NRSING HRS 65802,B100000,00000,1000,00000COSTED REQUIS. 65802,B100000,00000,1100,00000COSTED REQUIS. 65802,B100000,00000,1200,00000TIME SPENT 65802,B100000,00000,1300,00000TIME SPENT 65802,B100000,00000,1350,00000NO STATISTICS 65802,B100000,00000,1400,00000ASSIGNED TIME 65802,S000000,00100,0200,05/31/2000 65802,S200000,00100,0100,600 REUNION 65802,S200000,00200,0100,GRANBURY 65802,S200000,00200,0200,TX 65802,S200000,00200,0300,76048 65802,S200000,00300,0100,HOOD 65802,S200000,00400,0100,VALLEY VIEW HEALTH & REHAB 65802,S200000,00400,0200,675084 65802,S200000,00400,0300,06/01/1998 65802,S200000,00400,0500,P 65802,S200000,01600,0100,Y 65802,S200000,04300,0100,Y 65815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65815,A000000,00300,0000,00300EMPLOYEE BENEFITS 65815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65815,A000000,00700,0000,00700HOUSEKEEPING 65815,A000000,00800,0000,00800DIETARY 65815,A000000,00900,0000,00900NURSING ADMINISTRATION 65815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65815,A000000,01100,0000,01100PHARMACY 65815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65815,A000000,01300,0000,01300SOCIAL SERVICE 65815,A000000,01350,0000,01500OTHER GENERAL SERVICES 65815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65815,A000000,01600,0000,01600SKILLED NURSING FACILITY 65815,A000000,01800,0000,01800NURSING FACILITY 65815,A000000,01810,0000,01810ICF/MR 65815,A000000,02100,0000,02100RADIOLOGY 65815,A000000,02200,0000,02200LABORATORY 65815,A000000,02500,0000,02500PHYSICAL THERAPY 65815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65815,A000000,02700,0000,02700SPEECH PATHOLOGY 65815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65815,A000000,03550,0000,03550FQHC 65815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65815,A000000,05000,0000,05000CORF 65815,A000000,05010,0000,05010CMHC 65815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65815,A81000A,00100,0100,Y 65815,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65815,A81000C,00100,0100,B 65815,A81000C,00100,0400,HARVEST SENIOR SERVICES 65815,A81000C,00100,0600,LTC MANAGEMENT 65815,B100000,00000,0100,00000SQUARE FEET 65815,B100000,00000,0200,00000SQUARE FEET 65815,B100000,00000,0300,00000GROSS SALARIES 65815,B100000,00000,0400,00000ACCUM. COST 65815,B100000,00000,0500,00000SQUARE FEET 65815,B100000,00000,0600,00000POUNDS OF LAUNDRY 65815,B100000,00000,0700,00000SQUARE FEET 65815,B100000,00000,0800,00000MEALS SERVED 65815,B100000,00000,0900,00000DIRECT NRSING HRS 65815,B100000,00000,1000,00000COSTED REQUIS. 65815,B100000,00000,1100,00000COSTED REQUIS. 65815,B100000,00000,1200,00000TIME SPENT 65815,B100000,00000,1300,00000TIME SPENT 65815,B100000,00000,1350,00000NO STATISTICS 65815,B100000,00000,1400,00000ASSIGNED TIME 65815,S000000,00100,0200,05/31/2000 65815,S200000,00100,0100,101 DUNLAP 65815,S200000,00200,0100,ITALY 65815,S200000,00200,0200,TX 65815,S200000,00200,0300,76651 65815,S200000,00300,0100,ELLIS 65815,S200000,00400,0100,ITALY HEALTH & REHAB 65815,S200000,00400,0200,675103 65815,S200000,00400,0300,06/01/1998 65815,S200000,00400,0500,P 65815,S200000,01600,0100,Y 65815,S200000,01900,0100,OTHER (SPECIFY) 65815,S200000,04300,0100,Y 65840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65840,A000000,00300,0000,00300EMPLOYEE BENEFITS 65840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65840,A000000,00700,0000,00700HOUSEKEEPING 65840,A000000,00800,0000,00800DIETARY 65840,A000000,00900,0000,00900NURSING ADMINISTRATION 65840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65840,A000000,01100,0000,01100PHARMACY 65840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65840,A000000,01300,0000,01300SOCIAL SERVICE 65840,A000000,01350,0000,01500OTHER GENERAL SERVICES 65840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65840,A000000,01600,0000,01600SKILLED NURSING FACILITY 65840,A000000,01800,0000,01800NURSING FACILITY 65840,A000000,01810,0000,01810ICF/MR 65840,A000000,02100,0000,02100RADIOLOGY 65840,A000000,02200,0000,02200LABORATORY 65840,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65840,A000000,02500,0000,02500PHYSICAL THERAPY 65840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65840,A000000,02700,0000,02700SPEECH PATHOLOGY 65840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65840,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65840,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65840,A000000,03550,0000,03550FQHC 65840,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65840,A000000,05000,0000,05000CORF 65840,A000000,05010,0000,05010CMHC 65840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65840,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65840,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65840,A81000A,00100,0100,Y 65840,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65840,A81000C,00100,0100,B 65840,A81000C,00100,0400,HARVEST SENIOR SERVICES 65840,A81000C,00100,0600,LTC MANAGEMENT 65840,B100000,00000,0100,00000SQUARE FEET 65840,B100000,00000,0200,00000SQUARE FEET 65840,B100000,00000,0300,00000GROSS SALARIES 65840,B100000,00000,0400,00000ACCUM. COST 65840,B100000,00000,0500,00000SQUARE FEET 65840,B100000,00000,0600,00000POUNDS OF LAUNDRY 65840,B100000,00000,0700,00000SQUARE FEET 65840,B100000,00000,0800,00000MEALS SERVED 65840,B100000,00000,0900,00000DIRECT NRSING HRS 65840,B100000,00000,1000,00000COSTED REQUIS. 65840,B100000,00000,1100,00000COSTED REQUIS. 65840,B100000,00000,1200,00000TIME SPENT 65840,B100000,00000,1300,00000TIME SPENT 65840,B100000,00000,1350,00000NO STATISTICS 65840,B100000,00000,1400,00000ASSIGNED TIME 65840,S000000,00100,0200,05/31/2000 65840,S200000,00100,0100,10110 AIRLINE DRIVE 65840,S200000,00200,0100,HOUSTON 65840,S200000,00200,0200,TX 65840,S200000,00200,0300,77037 65840,S200000,00300,0100,HARRIS 65840,S200000,00400,0100,HARVEST COMMUNITIES ON AIRLINE 65840,S200000,00400,0200,675123 65840,S200000,00400,0300,02/03/1993 65840,S200000,00400,0500,P 65840,S200000,01600,0100,Y 65840,S200000,04300,0100,Y 65852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65852,A000000,00300,0000,00300EMPLOYEE BENEFITS 65852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65852,A000000,00700,0000,00700HOUSEKEEPING 65852,A000000,00800,0000,00800DIETARY 65852,A000000,00900,0000,00900NURSING ADMINISTRATION 65852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65852,A000000,01100,0000,01100PHARMACY 65852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65852,A000000,01300,0000,01300SOCIAL SERVICE 65852,A000000,01350,0000,01500OTHER GENERAL SERVICES 65852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65852,A000000,01600,0000,01600SKILLED NURSING FACILITY 65852,A000000,01800,0000,01800NURSING FACILITY 65852,A000000,01810,0000,01810ICF/MR 65852,A000000,02100,0000,02100RADIOLOGY 65852,A000000,02200,0000,02200LABORATORY 65852,A000000,02500,0000,02500PHYSICAL THERAPY 65852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65852,A000000,02700,0000,02700SPEECH PATHOLOGY 65852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65852,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65852,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65852,A000000,03550,0000,03550FQHC 65852,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65852,A000000,05000,0000,05000CORF 65852,A000000,05010,0000,05010CMHC 65852,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65852,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65852,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65852,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65852,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65852,A81000A,00100,0100,Y 65852,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65852,B100000,00000,0100,00000SQUARE FEET 65852,B100000,00000,0200,00000SQUARE FEET 65852,B100000,00000,0300,00000GROSS SALARIES 65852,B100000,00000,0400,00000ACCUM. COST 65852,B100000,00000,0500,00000SQUARE FEET 65852,B100000,00000,0600,00000POUNDS OF LAUNDRY 65852,B100000,00000,0700,00000SQUARE FEET 65852,B100000,00000,0800,00000MEALS SERVED 65852,B100000,00000,0900,00000DIRECT NRSING HRS 65852,B100000,00000,1000,00000COSTED REQUIS. 65852,B100000,00000,1100,00000COSTED REQUIS. 65852,B100000,00000,1200,00000TIME SPENT 65852,B100000,00000,1300,00000TIME SPENT 65852,B100000,00000,1350,00000NO STATISTICS 65852,B100000,00000,1400,00000ASSIGNED TIME 65852,S000000,00100,0200,05/31/2000 65852,S200000,00100,0100,600 MAPLE STREET 65852,S200000,00200,0100,BURLESON 65852,S200000,00200,0200,TX 65852,S200000,00200,0300,76028 65852,S200000,00300,0100,JOHNSON 65852,S200000,00400,0100,SILVER HAVEN HEALTH AND REAHAB CTR 65852,S200000,00400,0200,675144 65852,S200000,00400,0300,07/01/1993 65852,S200000,00400,0500,P 65852,S200000,01600,0100,Y 65852,S200000,04300,0100,Y 65871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65871,A000000,00300,0000,00300EMPLOYEE BENEFITS 65871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65871,A000000,00700,0000,00700HOUSEKEEPING 65871,A000000,00800,0000,00800DIETARY 65871,A000000,00900,0000,00900NURSING ADMINISTRATION 65871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65871,A000000,01100,0000,01100PHARMACY 65871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65871,A000000,01300,0000,01300SOCIAL SERVICE 65871,A000000,01350,0000,01500PATIENT ACTIVITIES 65871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65871,A000000,01600,0000,01600SKILLED NURSING FACILITY 65871,A000000,01800,0000,01800NURSING FACILITY 65871,A000000,01810,0000,01810ICF/MR 65871,A000000,02100,0000,02100RADIOLOGY 65871,A000000,02500,0000,02500PHYSICAL THERAPY 65871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65871,A000000,02700,0000,02700SPEECH PATHOLOGY 65871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65871,A000000,03200,0000,03200SUPPORT SURFACES 65871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65871,A000000,03550,0000,03550FQHC 65871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65871,A000000,04800,0000,04800AMBULANCE 65871,A000000,05000,0000,05000CORF 65871,A000000,05010,0000,05010CMHC 65871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65871,A81000A,00100,0100,Y 65871,A81000B,00100,0300,HOME OFFICE NON-CAPITAL 65871,A81000B,00200,0300,HOME OFFICE CAPITAL 65871,A81000C,00100,0100,B 65871,A81000C,00100,0200,KENNETH AND LYNN HUBBARD 65871,A81000C,00100,0400,HUBBARD HEALTH CARE MGT 65871,A81000C,00100,0600,HOME OFFICE 65871,B100000,00000,0100,00000SQUARE FEET 65871,B100000,00000,0200,00000DOLLAR VALUE 65871,B100000,00000,0300,00000GROSS SALARIES 65871,B100000,00000,0400,00000ACCUM. COST 65871,B100000,00000,0500,00000SQUARE FEET 65871,B100000,00000,0600,00000PATIENT DAYS 65871,B100000,00000,0700,00000SQ. FTG.EXC. D 65871,B100000,00000,0800,00000MEALS SERVED 65871,B100000,00000,0900,00000PATIENT DAYS 65871,B100000,00000,1000,00000PATIENT DAYS 65871,B100000,00000,1100,00000PATIENT DAYS 65871,B100000,00000,1200,00000TIME SPENT 65871,B100000,00000,1300,00000TIME SPENT 65871,B100000,00000,1350,00000TIME SPENT 65871,B100000,00000,1400,00000ASSIGNED TIME 65871,S000000,00100,0200,06/01/2000 65871,S200000,00100,0100,2711 PINE TREE ROAD 65871,S200000,00200,0100,LONGVIEW 65871,S200000,00200,0200,TX 65871,S200000,00200,0300,75604 65871,S200000,00300,0100,GREGG 65871,S200000,00400,0100,PINE TREE LODGE NURSING CENTER 65871,S200000,00400,0200,675177 65871,S200000,00400,0300,08/25/1993 65871,S200000,00400,0500,P 65871,S200000,01600,0100,Y 65891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65891,A000000,00300,0000,00300EMPLOYEE BENEFITS 65891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65891,A000000,00700,0000,00700HOUSEKEEPING 65891,A000000,00800,0000,00800DIETARY 65891,A000000,00900,0000,00900NURSING ADMINISTRATION 65891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65891,A000000,01100,0000,01100PHARMACY 65891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65891,A000000,01300,0000,01300SOCIAL SERVICE 65891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65891,A000000,01600,0000,01600SKILLED NURSING FACILITY 65891,A000000,01800,0000,01800NURSING FACILITY 65891,A000000,01810,0000,01810ICF/MR 65891,A000000,02200,0000,02200LABORATORY 65891,A000000,02500,0000,02500PHYSICAL THERAPY 65891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65891,A000000,02700,0000,02700SPEECH PATHOLOGY 65891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65891,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65891,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65891,A000000,03550,0000,03550FQHC 65891,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65891,A000000,05000,0000,05000CORF 65891,A000000,05010,0000,05010CMHC 65891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65891,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65891,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65891,A81000A,00100,0100,Y 65891,A81000B,00100,0300,MANAGEMENT OVERHEAD 65891,A81000C,00100,0200,ROCKY LEMON 65891,A81000C,00100,0400,CRESCENT HEALTH SERVICES 65891,A81000C,00100,0600,NURSING HOME MANAGEMENT 65891,B100000,00000,0100,00000SQUARE FEET 65891,B100000,00000,0200,00000SQUARE FEET 65891,B100000,00000,0300,00000GROSS SALARIES 65891,B100000,00000,0400,00000ACCUM. COST 65891,B100000,00000,0500,00000SQUARE FEET 65891,B100000,00000,0600,00000PATIENT DAYS 65891,B100000,00000,0700,00000SQUARE FEET 65891,B100000,00000,0800,00000PATIENT DAYS 65891,B100000,00000,0900,00000PATIENT DAYS 65891,B100000,00000,1000,00000COSTED REQUIS. 65891,B100000,00000,1100,00000COSTED REQUIS. 65891,B100000,00000,1200,00000PATIENT DAYS 65891,B100000,00000,1300,00000PATIENT DAYS 65891,B100000,00000,1400,00000ASSIGNED TIME 65891,S000000,00100,0200,07/03/2000 65891,S200000,00100,0100,1915 GREENWOOD STREET 65891,S200000,00200,0100,SAN ANGELO 65891,S200000,00200,0200,TX 65891,S200000,00200,0300,76901 65891,S200000,00300,0100,SAN ANGELO 65891,S200000,00400,0100,CRESCENT NSG & REHAB CTR- SAN ANGELO 65891,S200000,00400,0200,675195 65891,S200000,00400,0300,09/15/1998 65891,S200000,00400,0500,P 65891,S200000,01600,0100,Y 65934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65934,A000000,00300,0000,00300EMPLOYEE BENEFITS 65934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65934,A000000,00700,0000,00700HOUSEKEEPING 65934,A000000,00800,0000,00800DIETARY 65934,A000000,00900,0000,00900NURSING ADMINISTRATION 65934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65934,A000000,01100,0000,01100PHARMACY 65934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65934,A000000,01300,0000,01300SOCIAL SERVICE 65934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65934,A000000,01600,0000,01600SKILLED NURSING FACILITY 65934,A000000,01800,0000,01800NURSING FACILITY 65934,A000000,01810,0000,01810ICF/MR 65934,A000000,02200,0000,02200LABORATORY 65934,A000000,02300,0000,02300INTRAVENOUS THERAPY 65934,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65934,A000000,02500,0000,02500PHYSICAL THERAPY 65934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65934,A000000,02700,0000,02700SPEECH PATHOLOGY 65934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65934,A000000,03200,0000,03200SUPPORT SURFACES 65934,A000000,03550,0000,03550FQHC 65934,A000000,05000,0000,05000CORF 65934,A000000,05010,0000,05010CMHC 65934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65934,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65934,B100000,00000,0100,00000SQUARE FEET 65934,B100000,00000,0200,00000SQUARE FEET 65934,B100000,00000,0300,00000GROSS SALARIES 65934,B100000,00000,0400,00000ACCUM. COST 65934,B100000,00000,0500,00000SQUARE FEET 65934,B100000,00000,0600,00000INPATIENT DAYS 65934,B100000,00000,0700,00000SQUARE FEET 65934,B100000,00000,0800,00000INPATIENT DAYS 65934,B100000,00000,0900,00000INPATIENT DAYS 65934,B100000,00000,1000,00000COSTED REQUIS. 65934,B100000,00000,1100,00000COSTED REQUIS. 65934,B100000,00000,1200,00000INPATIENT DAYS 65934,B100000,00000,1300,00000INPATIENT DAYS 65934,B100000,00000,1400,00000ASSIGNED TIME 65934,S000000,00100,0200,06/16/2000 65934,S200000,00100,0100,1302 NORTH 1ST ST. 65934,S200000,00200,0100,HASKELL 65934,S200000,00200,0200,TX 65934,S200000,00300,0100,HASKELL 65934,S200000,00400,0100,RICE SPRINGS CARE HOME INC. 65934,S200000,00400,0200,675314 65934,S200000,00400,0300,05/31/1994 65934,S200000,00400,0500,P 65934,S200000,01600,0100,Y 65952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65952,A000000,00300,0000,00300EMPLOYEE BENEFITS 65952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65952,A000000,00700,0000,00700HOUSEKEEPING 65952,A000000,00800,0000,00800DIETARY 65952,A000000,00900,0000,00900NURSING ADMINISTRATION 65952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65952,A000000,01100,0000,01100PHARMACY 65952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65952,A000000,01300,0000,01300SOCIAL SERVICE 65952,A000000,01350,0000,01500OTHER GENERAL SERVICES 65952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65952,A000000,01600,0000,01600SKILLED NURSING FACILITY 65952,A000000,01800,0000,01800NURSING FACILITY 65952,A000000,01810,0000,01810ICF/MR 65952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65952,A000000,02500,0000,02500PHYSICAL THERAPY 65952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65952,A000000,02700,0000,02700SPEECH PATHOLOGY 65952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65952,A000000,03550,0000,03550FQHC 65952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65952,A000000,05000,0000,05000CORF 65952,A000000,05010,0000,05010CMHC 65952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 65952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65952,A81000A,00100,0100,Y 65952,A81000B,00100,0300,NURSING HOME ADMINISTRATION 65952,A81000C,00100,0100,B 65952,A81000C,00100,0400,HARVEST SENIOR SERVICES 65952,A81000C,00100,0600,LTC MANAGEMENT 65952,B100000,00000,0100,00000SQUARE FEET 65952,B100000,00000,0200,00000SQUARE FEET 65952,B100000,00000,0300,00000GROSS SALARIES 65952,B100000,00000,0400,00000ACCUM. COST 65952,B100000,00000,0500,00000SQUARE FEET 65952,B100000,00000,0600,00000POUNDS OF LAUNDRY 65952,B100000,00000,0700,00000SQUARE FEET 65952,B100000,00000,0800,00000MEALS SERVED 65952,B100000,00000,0900,00000DIRECT NRSING HRS 65952,B100000,00000,1000,00000COSTED REQUIS. 65952,B100000,00000,1100,00000COSTED REQUIS. 65952,B100000,00000,1200,00000TIME SPENT 65952,B100000,00000,1300,00000TIME SPENT 65952,B100000,00000,1350,00000NO STATISTICS 65952,B100000,00000,1400,00000ASSIGNED TIME 65952,S000000,00100,0200,05/31/2000 65952,S200000,00100,0100,200 SOUTHWOOD DRIVE 65952,S200000,00200,0100,HENDERSON 65952,S200000,00200,0200,TX 65952,S200000,00200,0300,75652 65952,S200000,00300,0100,RUSK 65952,S200000,00400,0100,TEXAS CHOICE OF HENDERSON 65952,S200000,00400,0200,675349 65952,S200000,00400,0300,10/01/1997 65952,S200000,00400,0500,P 65952,S200000,01600,0100,Y 65952,S200000,04300,0100,Y 65963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 65963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 65963,A000000,00300,0000,00300EMPLOYEE BENEFITS 65963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 65963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 65963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 65963,A000000,00700,0000,00700HOUSEKEEPING 65963,A000000,00800,0000,00800DIETARY 65963,A000000,00900,0000,00900NURSING ADMINISTRATION 65963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 65963,A000000,01100,0000,01100PHARMACY 65963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 65963,A000000,01300,0000,01300SOCIAL SERVICE 65963,A000000,01350,0000,01500PATIENT ACTIVITIES 65963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 65963,A000000,01600,0000,01600SKILLED NURSING FACILITY 65963,A000000,01800,0000,01800NURSING FACILITY 65963,A000000,02100,0000,02100RADIOLOGY 65963,A000000,02200,0000,02200LABORATORY 65963,A000000,02300,0000,02300INTRAVENOUS THERAPY 65963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 65963,A000000,02500,0000,02500PHYSICAL THERAPY 65963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 65963,A000000,02700,0000,02700SPEECH PATHOLOGY 65963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 65963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 65963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 65963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 65963,A000000,03550,0000,03550FQHC 65963,A000000,04750,0000,05100OTHER REIMBURSABLE COST 65963,A000000,05000,0000,05000CORF 65963,A000000,05010,0000,05010CMHC 65963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 65963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 65963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 65963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 65963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 65963,A81000B,00100,0300,INTEREST EXPENSE 65963,A81000B,00200,0300,INTEREST EXPENSE 65963,A81000C,00100,0100,B 65963,A81000C,00100,0400,SENIOR LIVING PROPERTIES 65963,A81000C,00100,0600,HOME OFFICE 65963,B100000,00000,0100,00000SQUARE FEET 65963,B100000,00000,0200,00000NO STATISTICS 65963,B100000,00000,0300,00000GROSS SALARIES 65963,B100000,00000,0400,00000ACCUM. COST 65963,B100000,00000,0500,00000SQUARE FEET 65963,B100000,00000,0600,00000PATIENT DAYS 65963,B100000,00000,0700,00000SQ. FT. EXCL. DIET 65963,B100000,00000,0800,00000PATIENT DAYS 65963,B100000,00000,0900,00000NO STATISTICS 65963,B100000,00000,1000,00000PATIENT DAYS 65963,B100000,00000,1100,00000PATIENT DAYS 65963,B100000,00000,1200,00000NO STATISTICS 65963,B100000,00000,1300,00000NO STATISTICS 65963,B100000,00000,1350,00000PATIENT DAYS 65963,B100000,00000,1400,00000NO STATISTICS 65963,E10A180,00301,0100,10/27/1999 65963,E10A180,00302,0100,11/29/1999 65963,S000000,00100,0200,06/01/2000 65963,S200000,00100,0100,HIGHWAY 135 SOUTH 65963,S200000,00200,0100,OVERTON 65963,S200000,00200,0200,TX 65963,S200000,00200,0300,75684 65963,S200000,00300,0100,RUSK 65963,S200000,00400,0100,OVERTON HEALTHCARE CENTER 65963,S200000,00400,0200,675408 65963,S200000,00400,0300,11/14/1994 65963,S200000,00400,0500,P 65963,S200000,01600,0100,Y 65963,S200000,04300,0100,Y 66001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66001,A000000,00300,0000,00300EMPLOYEE BENEFITS 66001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66001,A000000,00700,0000,00700HOUSEKEEPING 66001,A000000,00800,0000,00800DIETARY 66001,A000000,00900,0000,00900NURSING ADMINISTRATION 66001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66001,A000000,01100,0000,01100PHARMACY 66001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66001,A000000,01300,0000,01300SOCIAL SERVICE 66001,A000000,01350,0000,01500OTHER GENERAL SERVICES 66001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66001,A000000,01600,0000,01600SKILLED NURSING FACILITY 66001,A000000,01800,0000,01800NURSING FACILITY 66001,A000000,01810,0000,01810ICF/MR 66001,A000000,02200,0000,02200LABORATORY 66001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66001,A000000,02500,0000,02500PHYSICAL THERAPY 66001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66001,A000000,02700,0000,02700SPEECH PATHOLOGY 66001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66001,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66001,A000000,03550,0000,03550FQHC 66001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66001,A000000,05000,0000,05000CORF 66001,A000000,05010,0000,05010CMHC 66001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66001,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66001,A81000A,00100,0100,Y 66001,A81000B,00100,0300,ADMINISTRATIVE & GEN 66001,B100000,00000,0100,00000SQUARE FEET 66001,B100000,00000,0200,00000SQUARE FEET 66001,B100000,00000,0300,00000GROSS SALARIES 66001,B100000,00000,0400,00000ACCUM. COST 66001,B100000,00000,0500,00000SQUARE FEET 66001,B100000,00000,0600,00000POUNDS OF LAUNDRY 66001,B100000,00000,0700,00000SQUARE FEET 66001,B100000,00000,0800,00000MEALS SERVED 66001,B100000,00000,0900,00000DIRECT NRSING HRS 66001,B100000,00000,1000,00000COSTED REQUIS. 66001,B100000,00000,1100,00000COSTED REQUIS. 66001,B100000,00000,1200,00000TIME SPENT 66001,B100000,00000,1300,00000TIME SPENT 66001,B100000,00000,1350,00000NO STATISTICS 66001,B100000,00000,1400,00000ASSIGNED TIME 66001,S000000,00100,0200,05/31/2000 66001,S200000,00100,0100,630 ELSBETH 66001,S200000,00200,0100,DALLAS 66001,S200000,00200,0200,TX 66001,S200000,00200,0300,75208 66001,S200000,00300,0100,DALLAS 66001,S200000,00400,0100,CRYSTAL HILLS HEALTH & REHAB 66001,S200000,00400,0200,675507 66001,S200000,00400,0300,06/09/1995 66001,S200000,00400,0500,P 66001,S200000,01600,0100,Y 66009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66009,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 66009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66009,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 66009,A000000,00300,0000,00300EMPLOYEE BENEFITS 66009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66009,A000000,00700,0000,00700HOUSEKEEPING 66009,A000000,00800,0000,00800DIETARY 66009,A000000,00801,0000,00801CAFETERIA 66009,A000000,00900,0000,00900NURSING ADMINISTRATION 66009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66009,A000000,01100,0000,01100PHARMACY 66009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66009,A000000,01300,0000,01300SOCIAL SERVICE 66009,A000000,01350,0000,01500ACTIVITIES 66009,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66009,A000000,01600,0000,01600SKILLED NURSING FACILITY 66009,A000000,01800,0000,01800NURSING FACILITY 66009,A000000,01810,0000,01810ICF/MR 66009,A000000,02200,0000,02200LABORATORY 66009,A000000,02300,0000,02300INTRAVENOUS THERAPY 66009,A000000,02500,0000,02500PHYSICAL THERAPY 66009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66009,A000000,02700,0000,02700SPEECH PATHOLOGY 66009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66009,A000000,03050,0000,03300OTHER ANCILLARY 66009,A000000,03051,0000,03301OTHER ANCILLARY II 66009,A000000,03052,0000,03302OTHER ANCILLARY III 66009,A000000,03200,0000,03200SUPPORT SURFACES 66009,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66009,A000000,03550,0000,03550FQHC 66009,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66009,A000000,05000,0000,05000CORF I 66009,A000000,05010,0000,05010CMHC I 66009,A000000,05020,0000,05020OPT I 66009,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66009,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66009,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66009,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66009,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66009,A81000A,00100,0100,Y 66009,A81000B,00100,0300,CAPITAL 66009,A81000B,00200,0300,A&G 66009,A81000B,00300,0300,A&G 66009,A81000B,00400,0300,A&G 66009,A81000B,00500,0300,DIETARY 66009,A81000B,00600,0300,MEDICAL SUPPLIES 66009,A81000B,00700,0300,MEDICAL SUPPLIES 66009,A81000C,00100,0100,A 66009,A81000C,00100,0200,DK MITTLEIDER 66009,A81000C,00100,0600,LONG TERM 66009,A81000C,00200,0100,A 66009,A81000C,00200,0200,LOOKOUT HC INV 66009,A81000C,00200,0600,CARE MGMT 66009,A81000C,00300,0100,A 66009,A81000C,00300,0200,HP WESTMORELAND 66009,B100000,00000,0100,00000(SQUARE FEET) 66009,B100000,00000,0101,00000(SQUARE FEET) 66009,B100000,00000,0200,00000(SQUARE FEET) 66009,B100000,00000,0201,00000(SQUARE FEET) 66009,B100000,00000,0300,00000(GROSS SALARIES) 66009,B100000,00000,0400,00000(ACCUM. COST) 66009,B100000,00000,0500,00000(SQUARE FEET) 66009,B100000,00000,0600,00000(PATIENT DAYS) 66009,B100000,00000,0700,00000(SQUARE FEET) 66009,B100000,00000,0800,00000(MEALS SERVED) 66009,B100000,00000,0801,00000(MEALS SERVED) 66009,B100000,00000,0900,00000TIME SPENT 66009,B100000,00000,1000,00000(GROSS CHARGES) 66009,B100000,00000,1100,00000(PATIENT DAYS) 66009,B100000,00000,1200,00000(TIME SPENT) 66009,B100000,00000,1300,00000(PATIENT DAYS) 66009,B100000,00000,1350,00000(PATIENT DAYS) 66009,B100000,00000,1400,00000(ASSIGNED TIME) 66009,S000000,00100,0200,08/15/2001 66009,S200000,00100,0100,810 SO PORTER 66009,S200000,00200,0100,TYLER 66009,S200000,00200,0200,TX 66009,S200000,00200,0300,75701 66009,S200000,00300,0100,SMITH 66009,S200000,00400,0100,TYLER SKILLED NURSING & REHAB 66009,S200000,00400,0200,675508 66009,S200000,00400,0300,07/24/1995 66009,S200000,00400,0500,P 66009,S200000,01600,0100,Y 66009,S200000,02200,0100,Y 66016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66016,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66016,A000000,00300,0000,00300EMPLOYEE BENEFITS 66016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66016,A000000,00700,0000,00700HOUSEKEEPING 66016,A000000,00800,0000,00800DIETARY 66016,A000000,00900,0000,00900NURSING ADMINISTRATION 66016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66016,A000000,01100,0000,01100PHARMACY 66016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66016,A000000,01300,0000,01300SOCIAL SERVICE 66016,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66016,A000000,01600,0000,01600SKILLED NURSING FACILITY 66016,A000000,01810,0000,01810ICF/MR 66016,A000000,02200,0000,02200LABORATORY 66016,A000000,02500,0000,02500PHYSICAL THERAPY 66016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66016,A000000,03550,0000,03550FQHC 66016,A000000,05000,0000,05000CORF 66016,A000000,05010,0000,05010CMHC 66016,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66016,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66016,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66016,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66016,A81000A,00100,0100,Y 66016,A81000B,00100,0300,HOME OFFICE - CAPITAL 66016,A81000B,00200,0300,HOME OFFICE - NON CAPITAL 66016,A81000B,00300,0300,MANAGEMENT FEES 66016,A81000C,00100,0100,B 66016,A81000C,00100,0200,GOLDTHWAITE SEN 66016,A81000C,00100,0400,DIAMOND CARE I 66016,A81000C,00100,0600,LTC / MGT 66016,B100000,00000,0100,00000SQUARE FEET 66016,B100000,00000,0200,00000SQUARE FEET 66016,B100000,00000,0300,00000GROSS SALARIES 66016,B100000,00000,0400,00000ACCUM COST 66016,B100000,00000,0500,00000SQUARE FEET 66016,B100000,00000,0600,00000PATIENT DAYS 66016,B100000,00000,0700,00000SQUARE FEET 66016,B100000,00000,0800,00000MEALS SERVED 66016,B100000,00000,0900,00000PATIENT DAYS 66016,B100000,00000,1000,00000PATIENT DAYS 66016,B100000,00000,1100,00000PATIENT DAYS 66016,B100000,00000,1200,00000PATIENT DAYS 66016,B100000,00000,1300,00000PATIENT DAYS 66016,B100000,00000,1400,00000ASSIGNED TIME 66016,S000000,00100,0200,07/06/2000 66016,S200000,00100,0100,207 REYNOLDS STREET 66016,S200000,00200,0100,GOLDTHWAITE 66016,S200000,00200,0200,TX 66016,S200000,00200,0300,76844 66016,S200000,00300,0100,MILLS 66016,S200000,00400,0100,GOLDTHWAITE SENIOR HEALTH CENTER 66016,S200000,00400,0200,675516 66016,S200000,00400,0300,03/01/1996 66016,S200000,00400,0500,P 66016,S200000,01500,0100,Y 66029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66029,A000000,00300,0000,00300EMPLOYEE BENEFITS 66029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66029,A000000,00700,0000,00700HOUSEKEEPING 66029,A000000,00800,0000,00800DIETARY 66029,A000000,00900,0000,00900NURSING ADMINISTRATION 66029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66029,A000000,01100,0000,01100PHARMACY 66029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66029,A000000,01300,0000,01300SOCIAL SERVICE 66029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66029,A000000,01600,0000,01600SKILLED NURSING FACILITY 66029,A000000,01810,0000,01810ICF/MR 66029,A000000,02200,0000,02200LABORATORY 66029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66029,A000000,02500,0000,02500PHYSICAL THERAPY 66029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66029,A000000,03550,0000,03550FQHC 66029,A000000,05000,0000,05000CORF 66029,A000000,05010,0000,05010CMHC 66029,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66029,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66029,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66029,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66029,A81000A,00100,0100,Y 66029,A81000B,00100,0300,HOME OFFICE - CAPITAL 66029,A81000B,00200,0300,HOME OFFICE - NON CAPITAL 66029,A81000B,00300,0300,MANAGEMENT FEES 66029,B100000,00000,0100,00000SQUARE FEET 66029,B100000,00000,0200,00000SQUARE FEET 66029,B100000,00000,0300,00000GROSS SALARIES 66029,B100000,00000,0400,00000ACCUM COST 66029,B100000,00000,0500,00000SQUARE FEET 66029,B100000,00000,0600,00000PATIENT DAYS 66029,B100000,00000,0700,00000SQUARE FEET 66029,B100000,00000,0800,00000MEALS SERVED 66029,B100000,00000,0900,00000PATIENT DAYS 66029,B100000,00000,1000,00000PATIENT DAYS 66029,B100000,00000,1100,00000PATIENT DAYS 66029,B100000,00000,1200,00000TIME SPENT 66029,B100000,00000,1300,00000PATIENT DAYS 66029,B100000,00000,1400,00000ASSIGNED TIME 66029,S000000,00100,0200,07/06/2000 66029,S200000,00100,0100,1200 WEST 15TH STREET 66029,S200000,00200,0100,MONAHANS 66029,S200000,00200,0200,TX 66029,S200000,00200,0300,79756 66029,S200000,00300,0100,WARD 66029,S200000,00400,0100,MONAHANS SENIOR HEALTH CENTER 66029,S200000,00400,0200,675522 66029,S200000,00400,0300,04/01/1996 66029,S200000,00400,0500,P 66029,S200000,01500,0100,Y 66029,S200000,01900,0100,OTHER (SPECIFY) 66054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66054,A000000,00300,0000,00300EMPLOYEE BENEFITS 66054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66054,A000000,00700,0000,00700HOUSEKEEPING 66054,A000000,00800,0000,00800DIETARY 66054,A000000,00900,0000,00900NURSING ADMINISTRATION 66054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66054,A000000,01100,0000,01100PHARMACY 66054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66054,A000000,01300,0000,01300SOCIAL SERVICE 66054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66054,A000000,01600,0000,01600SKILLED NURSING FACILITY 66054,A000000,01800,0000,01800NURSING FACILITY 66054,A000000,01810,0000,01810ICF/MR 66054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66054,A000000,02500,0000,02500PHYSICAL THERAPY 66054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66054,A000000,02700,0000,02700SPEECH PATHOLOGY 66054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66054,A000000,03550,0000,03550FQHC 66054,A000000,05000,0000,05000CORF 66054,A000000,05010,0000,05010CMHC 66054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66054,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66054,A81000A,00100,0100,Y 66054,A81000B,00100,0300,POOLED HOME OFFICE CAPITAL 66054,A81000B,00200,0300,POOLED HOME OFFICE ADMIN 66054,A81000C,00100,0100,A 66054,A81000C,00100,0200,BARBARA HAYES 66054,A81000C,00100,0400,PARK CENTRAL MANAGEMENT 66054,A81000C,00100,0600,LTC OPERATIONS 66054,B100000,00000,0100,00000SQUARE FEET 66054,B100000,00000,0200,00000SQUARE FEET 66054,B100000,00000,0300,00000GROSS SALARIES 66054,B100000,00000,0400,00000ACCUM. COST 66054,B100000,00000,0500,00000SQUARE FEET 66054,B100000,00000,0600,00000INPATIENT DAYS 66054,B100000,00000,0700,00000SQUARE FEET 66054,B100000,00000,0800,00000INPATIENT DAYS 66054,B100000,00000,0900,00000INPATIENT DAYS 66054,B100000,00000,1000,00000COSTED REQUIS. 66054,B100000,00000,1100,00000COSTED REQUIS. 66054,B100000,00000,1200,00000INPATIENT DAYS 66054,B100000,00000,1300,00000INPATIENT DAYS 66054,B100000,00000,1400,00000ASSIGNED TIME 66054,E10A180,00502,0100,07/21/2000 66054,E10A180,00502,0300,07/21/2000 66054,S000000,00100,0200,06/20/2000 66054,S200000,00100,0100,8825 LAMPLIGHTER LANE 66054,S200000,00200,0100,PORT ARTHUR 66054,S200000,00200,0200,TX 66054,S200000,00300,0100,JEFFERSON 66054,S200000,00400,0100,GOLDEN TRIANGLE CONVALESCENT CENTER 66054,S200000,00400,0200,675541 66054,S200000,00400,0300,12/12/1995 66054,S200000,00400,0500,P 66054,S200000,01600,0100,Y 66076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66076,A000000,00300,0000,00300EMPLOYEE BENEFITS 66076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66076,A000000,00700,0000,00700HOUSEKEEPING 66076,A000000,00800,0000,00800DIETARY 66076,A000000,00900,0000,00900NURSING ADMINISTRATION 66076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66076,A000000,01100,0000,01100PHARMACY 66076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66076,A000000,01300,0000,01300SOCIAL SERVICE 66076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66076,A000000,01600,0000,01600SKILLED NURSING FACILITY 66076,A000000,01800,0000,01800NURSING FACILITY 66076,A000000,01810,0000,01810ICF/MR 66076,A000000,02200,0000,02200LABORATORY 66076,A000000,02500,0000,02500PHYSICAL THERAPY 66076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66076,A000000,02700,0000,02700SPEECH PATHOLOGY 66076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66076,A000000,03550,0000,03550FQHC 66076,A000000,05000,0000,05000CORF 66076,A000000,05010,0000,05010CMHC 66076,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66076,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66076,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66076,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66076,A81000A,00100,0100,Y 66076,A81000B,00100,0300,HOME OFFICE CAPITAL REALT 66076,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 66076,A81000C,00100,0100,A 66076,A81000C,00100,0200,BARBARA HAYES 66076,A81000C,00100,0400,PARK CENTRAL MANAGEMENT 66076,A81000C,00100,0600,LTC/APT OPERTNS 66076,B100000,00000,0100,00000SQUARE FEET 66076,B100000,00000,0200,00000SQUARE FEET 66076,B100000,00000,0300,00000GROSS SALARIES 66076,B100000,00000,0400,00000ACCUM. COST 66076,B100000,00000,0500,00000SQUARE FEET 66076,B100000,00000,0600,00000INPATIENT DAYS 66076,B100000,00000,0700,00000SQUARE FEET 66076,B100000,00000,0800,00000INPATIENT DAYS 66076,B100000,00000,0900,00000INPATIENT DAYS 66076,B100000,00000,1000,00000COSTED REQUIS. 66076,B100000,00000,1100,00000COSTED REQUIS. 66076,B100000,00000,1200,00000INPATIENT DAYS 66076,B100000,00000,1300,00000INPATIENT DAYS 66076,B100000,00000,1400,00000ASSIGNED TIME 66076,E10A180,00502,0300,08/15/2000 66076,S000000,00100,0200,06/20/2000 66076,S200000,00100,0100,4225 LAKE ARTHUR DRIVE 66076,S200000,00200,0100,PORT ARTHUR 66076,S200000,00200,0200,TX 66076,S200000,00300,0100,JEFFERSON 66076,S200000,00400,0100,PARK CENTRAL NURSING HOME 66076,S200000,00400,0200,675548 66076,S200000,00400,0300,10/26/1995 66076,S200000,00400,0500,P 66076,S200000,01600,0100,Y 66081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66081,A000000,00300,0000,00300EMPLOYEE BENEFITS 66081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66081,A000000,00700,0000,00700HOUSEKEEPING 66081,A000000,00800,0000,00800DIETARY 66081,A000000,00900,0000,00900NURSING ADMINISTRATION 66081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66081,A000000,01100,0000,01100PHARMACY 66081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66081,A000000,01300,0000,01300SOCIAL SERVICE 66081,A000000,01350,0000,01500OTHER GENERAL SERVICES 66081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66081,A000000,01600,0000,01600SKILLED NURSING FACILITY 66081,A000000,01800,0000,01800NURSING FACILITY 66081,A000000,01810,0000,01810ICF/MR 66081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66081,A000000,02500,0000,02500PHYSICAL THERAPY 66081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66081,A000000,02700,0000,02700SPEECH PATHOLOGY 66081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66081,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66081,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66081,A000000,03550,0000,03550FQHC 66081,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66081,A000000,05000,0000,05000CORF 66081,A000000,05010,0000,05010CMHC 66081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66081,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66081,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66081,A81000A,00100,0100,Y 66081,A81000B,00100,0300,NURSING HOME ADMINISTRATION 66081,A81000C,00100,0100,B 66081,A81000C,00100,0400,HARVEST SENIOR SERVICES 66081,A81000C,00100,0600,LTC MANAGEMENT 66081,B100000,00000,0100,00000SQUARE FEET 66081,B100000,00000,0200,00000SQUARE FEET 66081,B100000,00000,0300,00000GROSS SALARIES 66081,B100000,00000,0400,00000ACCUM. COST 66081,B100000,00000,0500,00000SQUARE FEET 66081,B100000,00000,0600,00000POUNDS OF LAUNDRY 66081,B100000,00000,0700,00000SQUARE FEET 66081,B100000,00000,0800,00000MEALS SERVED 66081,B100000,00000,0900,00000DIRECT NRSING HRS 66081,B100000,00000,1000,00000COSTED REQUIS. 66081,B100000,00000,1100,00000COSTED REQUIS. 66081,B100000,00000,1200,00000TIME SPENT 66081,B100000,00000,1300,00000TIME SPENT 66081,B100000,00000,1350,00000NO STATISTICS 66081,B100000,00000,1400,00000ASSIGNED TIME 66081,S000000,00100,0200,05/31/2000 66081,S200000,00100,0100,900 S TEMPLE DR 66081,S200000,00200,0100,DIBOLL 66081,S200000,00200,0200,TX 66081,S200000,00200,0300,75941 66081,S200000,00300,0100,ANGELINA 66081,S200000,00400,0100,SOUTH MEADOWS HEALTH & REHAB 66081,S200000,00400,0200,675549 66081,S200000,00400,0300,06/01/1998 66081,S200000,00400,0500,P 66081,S200000,01600,0100,Y 66081,S200000,01900,0100,OTHER (SPECIFY) 66081,S200000,04300,0100,Y 66108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66108,A000000,00300,0000,00300EMPLOYEE BENEFITS 66108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66108,A000000,00700,0000,00700HOUSEKEEPING 66108,A000000,00800,0000,00800DIETARY 66108,A000000,00900,0000,00900NURSING ADMINISTRATION 66108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66108,A000000,01100,0000,01100PHARMACY 66108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66108,A000000,01300,0000,01300SOCIAL SERVICE 66108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66108,A000000,01600,0000,01600SKILLED NURSING FACILITY 66108,A000000,01800,0000,01800NURSING FACILITY 66108,A000000,01810,0000,01810ICF/MR 66108,A000000,02200,0000,02200LABORATORY 66108,A000000,02500,0000,02500PHYSICAL THERAPY 66108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66108,A000000,02700,0000,02700SPEECH PATHOLOGY 66108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66108,A000000,03550,0000,03550FQHC 66108,A000000,05000,0000,05000CORF 66108,A000000,05010,0000,05010CMHC 66108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66108,A81000A,00100,0100,Y 66108,A81000B,00100,0300,LEGAL EXPENSE 66108,A81000B,00200,0300,CONSULTING EXPENSE 66108,A81000C,00100,0100,B 66108,A81000C,00100,0400,EHMANN VAN DENBERGH & TR 66108,A81000C,00100,0600,LAW FIRM 66108,A81000C,00200,0100,B 66108,A81000C,00200,0400,ZA CONSULTING LLC 66108,A81000C,00200,0600,CONSULTING 66108,A81000C,00300,0100,B 66108,B100000,00000,0100,00000SQUARE FEET 66108,B100000,00000,0200,00000SQUARE FEET 66108,B100000,00000,0300,00000GROSS SALARIES 66108,B100000,00000,0400,00000ACCUM. COST 66108,B100000,00000,0500,00000SQUARE FEET 66108,B100000,00000,0600,00000INPATIENT DAYS 66108,B100000,00000,0700,00000SQUARE FEET 66108,B100000,00000,0800,00000INPATIENT DAYS 66108,B100000,00000,0900,00000INPATIENT DAYS 66108,B100000,00000,1000,00000INPATIENT DAYS 66108,B100000,00000,1100,00000COSTED REQUIS. 66108,B100000,00000,1200,00000INPATIENT DAYS 66108,B100000,00000,1300,00000INPATIENT DAYS 66108,B100000,00000,1400,00000ASSIGNED TIME 66108,S000000,00100,0200,06/01/2000 66108,S200000,00100,0100,106 N BELTLINE RD 66108,S200000,00200,0100,GARLAND 66108,S200000,00200,0200,TX 66108,S200000,00300,0100,DALLAS 66108,S200000,00400,0100,SERENITY HAVEN NURSING CENTER 66108,S200000,00400,0200,675585 66108,S200000,00400,0300,05/12/1996 66108,S200000,00400,0500,P 66108,S200000,01600,0100,Y 66111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66111,A000000,00300,0000,00300EMPLOYEE BENEFITS 66111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66111,A000000,00700,0000,00700HOUSEKEEPING 66111,A000000,00800,0000,00800DIETARY 66111,A000000,00900,0000,00900NURSING ADMINISTRATION 66111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66111,A000000,01100,0000,01100PHARMACY 66111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66111,A000000,01300,0000,01300SOCIAL SERVICE 66111,A000000,01350,0000,01500PATIENT ACTIVITIES 66111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66111,A000000,01600,0000,01600SKILLED NURSING FACILITY 66111,A000000,01800,0000,01800NURSING FACILITY 66111,A000000,02100,0000,02100RADIOLOGY 66111,A000000,02200,0000,02200LABORATORY 66111,A000000,02300,0000,02300INTRAVENOUS THERAPY 66111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66111,A000000,02500,0000,02500PHYSICAL THERAPY 66111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66111,A000000,02700,0000,02700SPEECH PATHOLOGY 66111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66111,A000000,03200,0000,03200SUPPORT SURFACES 66111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66111,A000000,03550,0000,03550FQHC 66111,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66111,A000000,05000,0000,05000CORF 66111,A000000,05010,0000,05010CMHC 66111,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66111,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66111,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66111,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66111,A81000A,00100,0100,Y 66111,A81000B,00100,0300,INTEREST EXPENSE 66111,A81000B,00200,0300,INTEREST EXPENSE HCFP 66111,A81000C,00100,0100,B 66111,A81000C,00100,0400,SENIOR LIVING PROPERTIES 66111,A81000C,00100,0600,HOME OFFICE 66111,B100000,00000,0100,00000SQUARE FEET 66111,B100000,00000,0200,00000NO STATISTICS 66111,B100000,00000,0300,00000GROSS SALARIES 66111,B100000,00000,0400,00000ACCUM. COST 66111,B100000,00000,0500,00000SQUARE FEET 66111,B100000,00000,0600,00000PATIENT DAYS 66111,B100000,00000,0700,00000SQ. FT. EXCL. DIET 66111,B100000,00000,0800,00000PATIENT DAYS 66111,B100000,00000,0900,00000NO STATISTICS 66111,B100000,00000,1000,00000PATIENT DAYS 66111,B100000,00000,1100,00000PATIENT DAYS 66111,B100000,00000,1200,00000NO STATISTICS 66111,B100000,00000,1300,00000NO STATISTICS 66111,B100000,00000,1350,00000PATIENT DAYS 66111,B100000,00000,1400,00000NO STATISTICS 66111,E10A180,00301,0100,10/27/1999 66111,E10A180,00302,0100,11/29/1999 66111,S000000,00100,0200,06/01/2000 66111,S200000,00100,0100,3011 WEST ADAMS AVENUE 66111,S200000,00200,0100,TEMPLE 66111,S200000,00200,0200,TX 66111,S200000,00300,0100,BELL 66111,S200000,00400,0100,REGENCY MANOR HEALTHCARE CENTER 66111,S200000,00400,0200,675587 66111,S200000,00400,0300,05/18/1996 66111,S200000,00400,0500,P 66111,S200000,01600,0100,Y 66111,S200000,04300,0100,Y 66124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66124,A000000,00300,0000,00300EMPLOYEE BENEFITS 66124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66124,A000000,00700,0000,00700HOUSEKEEPING 66124,A000000,00800,0000,00800DIETARY 66124,A000000,00900,0000,00900NURSING ADMINISTRATION 66124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66124,A000000,01100,0000,01100PHARMACY 66124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66124,A000000,01300,0000,01300SOCIAL SERVICE 66124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66124,A000000,01600,0000,01600SKILLED NURSING FACILITY 66124,A000000,01800,0000,01800NURSING FACILITY 66124,A000000,01810,0000,01810ICF/MR 66124,A000000,02200,0000,02200LABORATORY 66124,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66124,A000000,02500,0000,02500PHYSICAL THERAPY 66124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66124,A000000,02700,0000,02700SPEECH PATHOLOGY 66124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66124,A000000,03550,0000,03550FQHC 66124,A000000,05000,0000,05000CORF 66124,A000000,05010,0000,05010CMHC 66124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66124,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 66124,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66124,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66124,B100000,00000,0100,00000SQUARE FEET 66124,B100000,00000,0200,00000SQUARE FEET 66124,B100000,00000,0300,00000GROSS SALARIES 66124,B100000,00000,0400,00000ACCUM. COST 66124,B100000,00000,0500,00000SQUARE FEET 66124,B100000,00000,0600,00000INPATIENT DAYS 66124,B100000,00000,0700,00000SQUARE FEET 66124,B100000,00000,0800,00000INPATIENT DAYS 66124,B100000,00000,0900,00000INPATIENT DAYS 66124,B100000,00000,1000,00000COSTED REQUIS. 66124,B100000,00000,1100,00000COSTED REQUIS. 66124,B100000,00000,1200,00000TIME SPENT 66124,B100000,00000,1300,00000TIME SPENT 66124,B100000,00000,1400,00000ASSIGNED TIME 66124,S000000,00100,0200,03/01/2000 66124,S200000,00100,0100,307 W 8TH ST 66124,S200000,00100,0300,1209 66124,S200000,00200,0100,ROBERT LEE 66124,S200000,00200,0200,TX 66124,S200000,00300,0100,WEST COKE 66124,S200000,00400,0100,ROBERT LEE CARE CENTER 66124,S200000,00400,0200,675599 66124,S200000,00400,0300,06/24/1996 66124,S200000,00400,0500,P 66124,S200000,01600,0100,Y 66149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66149,A000000,00300,0000,00300EMPLOYEE BENEFITS 66149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66149,A000000,00700,0000,00700HOUSEKEEPING 66149,A000000,00800,0000,00800DIETARY 66149,A000000,00900,0000,00900NURSING ADMINISTRATION 66149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66149,A000000,01100,0000,01100PHARMACY 66149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66149,A000000,01300,0000,01300SOCIAL SERVICE 66149,A000000,01350,0000,01500PATIENT ACTIVITIES 66149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66149,A000000,01600,0000,01600SKILLED NURSING FACILITY 66149,A000000,01800,0000,01800NURSING FACILITY 66149,A000000,01810,0000,01810ICF/MR 66149,A000000,02300,0000,02300INTRAVENOUS THERAPY 66149,A000000,02500,0000,02500PHYSICAL THERAPY 66149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66149,A000000,02700,0000,02700SPEECH PATHOLOGY 66149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66149,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66149,A000000,03550,0000,03550FQHC 66149,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66149,A000000,05000,0000,05000CORF 66149,A000000,05010,0000,05010CMHC 66149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66149,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66149,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66149,A81000A,00100,0100,Y 66149,A81000B,00100,0300,MANAGEMENT FEE 66149,A81000B,00200,0300,HOME OFFICE CAPITAL 66149,A81000B,00300,0300,HOME OFFICE NON CAPITAL 66149,A81000C,00100,0100,A 66149,A81000C,00100,0200,LUNCH INC. 66149,A81000C,00100,0400,LUNCH INC. 66149,A81000C,00100,0600,HOME OFFICE FEE 66149,B100000,00000,0100,00000SQUARE FEET 66149,B100000,00000,0200,00000NO STATISTICS 66149,B100000,00000,0300,00000GROSS SALARIES 66149,B100000,00000,0400,00000ACCUM. COST 66149,B100000,00000,0500,00000SQUARE FEET 66149,B100000,00000,0600,00000PATIENT DAYS 66149,B100000,00000,0700,00000SQ FT EXCL 66149,B100000,00000,0800,00000MEALS SERVED 66149,B100000,00000,0900,00000PATIENT DAYS 66149,B100000,00000,1000,00000PATIENT DAYS 66149,B100000,00000,1100,00000PATIENT DAYS 66149,B100000,00000,1200,00000NO STATISTICS 66149,B100000,00000,1300,00000PATIENT DAYS 66149,B100000,00000,1350,00000PATIENT DAYS 66149,B100000,00000,1400,00000NO STATISTICS 66149,E10A180,00501,0300,08/09/1999 66149,E10A180,00550,0100,08/09/1999 66149,S000000,00100,0200,07/09/1999 66149,S200000,00100,0100,2001 6TH STREET 66149,S200000,00200,0100,BALLINGER 66149,S200000,00200,0200,TX 66149,S200000,00200,0300,76821 66149,S200000,00300,0100,RUNNELS 66149,S200000,00400,0100,HERITAGE OAKS ESTATE 66149,S200000,00400,0200,675614 66149,S200000,00400,0300,10/01/1998 66149,S200000,00400,0500,P 66149,S200000,01600,0100,Y 66151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66151,A000000,00300,0000,00300EMPLOYEE BENEFITS 66151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66151,A000000,00700,0000,00700HOUSEKEEPING 66151,A000000,00800,0000,00800DIETARY 66151,A000000,00900,0000,00900NURSING ADMINISTRATION 66151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66151,A000000,01100,0000,01100PHARMACY 66151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66151,A000000,01300,0000,01300SOCIAL SERVICE 66151,A000000,01350,0000,01500PATIENT ACTIVITIES 66151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66151,A000000,01600,0000,01600SKILLED NURSING FACILITY 66151,A000000,01800,0000,01800NURSING FACILITY 66151,A000000,01810,0000,01810ICF/MR 66151,A000000,02200,0000,02200LABORATORY 66151,A000000,02300,0000,02300INTRAVENOUS THERAPY 66151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66151,A000000,02500,0000,02500PHYSICAL THERAPY 66151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66151,A000000,02700,0000,02700SPEECH PATHOLOGY 66151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66151,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66151,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66151,A000000,03550,0000,03550FQHC 66151,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66151,A000000,05000,0000,05000CORF 66151,A000000,05010,0000,05010CMHC 66151,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66151,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66151,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66151,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66151,A81000A,00100,0100,Y 66151,A81000B,00100,0300,MGMT FEE 66151,A81000B,00200,0300,ANCILLARY MGMT 66151,A81000B,00300,0300,HOME OFFICE CAPITAL 66151,A81000B,00400,0300,HOME OFFICE NON CAPITAL 66151,A81000B,00500,0300,ANCILLARY MGMT 66151,A81000B,00600,0300,ANCILLARY MGMT 66151,A81000C,00100,0100,B 66151,A81000C,00100,0200,FHS INC 66151,A81000C,00100,0400,FHS INC 66151,A81000C,00100,0600,HOME OFFICE FEE 66151,A81000C,00200,0100,B 66151,A81000C,00200,0200,FAS INC 66151,A81000C,00200,0400,FAS INC 66151,A81000C,00200,0600,ANCILLARY MGMT FEE 66151,B100000,00000,0100,00000SQUARE FEET 66151,B100000,00000,0200,00000NO STATISTICS 66151,B100000,00000,0300,00000GROSS SALARIES 66151,B100000,00000,0400,00000ACCUM. COST 66151,B100000,00000,0500,00000SQUARE FEET 66151,B100000,00000,0600,00000PATIENT DAYS 66151,B100000,00000,0700,00000SQ FT EXCL DIET 66151,B100000,00000,0800,00000MEALS SERVED 66151,B100000,00000,0900,00000PATIENT DAYS 66151,B100000,00000,1000,00000PATIENT DAYS 66151,B100000,00000,1100,00000PATIENT DAYS 66151,B100000,00000,1200,00000NO STATISTICS 66151,B100000,00000,1300,00000PATIENT DAYS 66151,B100000,00000,1350,00000PATIENT DAYS 66151,B100000,00000,1400,00000NO STATISTICS 66151,S000000,00100,0200,06/02/2000 66151,S200000,00100,0100,2001 6TH STREET 66151,S200000,00200,0100,BALLINGER 66151,S200000,00200,0200,TX 66151,S200000,00200,0300,76821 66151,S200000,00300,0100,RUNNELLS 66151,S200000,00400,0100,HERITAGE OAKS ESTATE 66151,S200000,00400,0200,675614 66151,S200000,00400,0300,09/01/1996 66151,S200000,00400,0500,P 66151,S200000,01600,0100,Y 66163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66163,A000000,00300,0000,00300EMPLOYEE BENEFITS 66163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66163,A000000,00700,0000,00700HOUSEKEEPING 66163,A000000,00800,0000,00800DIETARY 66163,A000000,00801,0000,00801CAFETERIA 66163,A000000,00900,0000,00900NURSING ADMINISTRATION 66163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66163,A000000,01100,0000,01100PHARMACY 66163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66163,A000000,01300,0000,01300SOCIAL SERVICE 66163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66163,A000000,01600,0000,01600SKILLED NURSING FACILITY 66163,A000000,01800,0000,01800NURSING FACILITY 66163,A000000,01810,0000,01810ICF/MR 66163,A000000,02100,0000,02100RADIOLOGY 66163,A000000,02200,0000,02200LABORATORY 66163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66163,A000000,02500,0000,02500PHYSICAL THERAPY 66163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66163,A000000,02700,0000,02700SPEECH PATHOLOGY 66163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66163,A000000,03200,0000,03200SUPPORT SURFACES 66163,A000000,03550,0000,03550FQHC 66163,A000000,05000,0000,05000CORF 66163,A000000,05010,0000,05010CMHC 66163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66163,A000000,05300,0000,05300INTEREST EXPENSE 66163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66163,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66163,A81000A,00100,0100,Y 66163,A81000B,00100,0300,DIRECTORS FEE 66163,A81000C,00100,0100,B 66163,A81000C,00100,0200,R. WINFIELD 66163,A81000C,00200,0100,B 66163,A81000C,00200,0200,DR. DUBBELY 66163,A81000C,00300,0100,B 66163,A81000C,00300,0200,DR. RAMSEY 66163,A81000C,00400,0100,B 66163,A81000C,00400,0200,F. CRESPI 66163,B100000,00000,0100,00000SQUARE FEET 66163,B100000,00000,0200,00000SQUARE FEET 66163,B100000,00000,0300,00000GROSS SALARIES 66163,B100000,00000,0400,00000ACCUM COST 66163,B100000,00000,0500,00000SQUARE FEET 66163,B100000,00000,0600,00000PATIENT DAYS 66163,B100000,00000,0700,00000SQUARE FEET 66163,B100000,00000,0800,00000MEALS SERVED 66163,B100000,00000,0801,00000FTE EMPLOYEES 66163,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66163,B100000,00000,1000,00000COSTED REQUISITIO 66163,B100000,00000,1100,00000COSTED REQUISITIO 66163,B100000,00000,1200,00000PATIENT DAYS 66163,B100000,00000,1300,00000PATIENT DAYS 66163,B100000,00000,1400,00000ASSIGNED TIME 66163,S000000,00100,0200,06/12/2000 66163,S200000,00100,0100,1116 E LOOP 304 66163,S200000,00100,0300,998 66163,S200000,00200,0100,CROCKETT 66163,S200000,00200,0200,TX 66163,S200000,00200,0300,75835 66163,S200000,00300,0100,HOUSTON 66163,S200000,00400,0100,WHITEHALL NURSING CENTER 66163,S200000,00400,0200,675624 66163,S200000,00400,0300,08/28/1996 66163,S200000,00400,0500,P 66163,S200000,01500,0100,Y 66172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66172,A000000,00300,0000,00300EMPLOYEE BENEFITS 66172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66172,A000000,00700,0000,00700HOUSEKEEPING 66172,A000000,00800,0000,00800DIETARY 66172,A000000,00900,0000,00900NURSING ADMINISTRATION 66172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66172,A000000,01100,0000,01100PHARMACY 66172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66172,A000000,01300,0000,01300SOCIAL SERVICE 66172,A000000,01350,0000,01500OTHER GENERAL SERVICES 66172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66172,A000000,01600,0000,01600SKILLED NURSING FACILITY 66172,A000000,01800,0000,01800NURSING FACILITY 66172,A000000,01810,0000,01810ICF/MR 66172,A000000,02200,0000,02200LABORATORY 66172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66172,A000000,02500,0000,02500PHYSICAL THERAPY 66172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66172,A000000,02700,0000,02700SPEECH PATHOLOGY 66172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66172,A000000,03550,0000,03550FQHC 66172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66172,A000000,05000,0000,05000CORF 66172,A000000,05010,0000,05010CMHC 66172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66172,A000000,06001,0000,06001RETIREMENT VILLAGE 66172,A000000,06002,0000,06002WISTERIA 66172,A000000,06003,0000,06003RESIDENTIAL DEVELOPMENT 66172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66172,A81000A,00100,0100,Y 66172,A81000B,00100,0300,SUPPLIES 66172,A81000B,00200,0300,DIETARY 66172,A81000B,00300,0300,PHARMACY SUPPLIES 66172,A81000B,00400,0300,HEALTHCARE CENTER 66172,A81000B,00500,0300,RETIREMENT VILLAGE 66172,A81000B,00600,0300,WISTERIA 66172,A81000C,00100,0100,G 66172,A81000C,00100,0200,MESA SPRINGS 66172,A81000C,00100,0400,HENDRICK MEDICAL SYSTEM 66172,A81000C,00100,0600,HEALTHCARE MANAGEMENT 66172,B100000,00000,0100,00000SQUARE FEET 66172,B100000,00000,0200,00000SQUARE FEET 66172,B100000,00000,0300,00000GROSS SALARIES 66172,B100000,00000,0400,00000ACCUM. COST 66172,B100000,00000,0500,00000SQUARE FEET 66172,B100000,00000,0600,00000POUNDS OF LAUNDRY 66172,B100000,00000,0700,00000HOURS OF SERVICE 66172,B100000,00000,0800,00000MEALS SERVED 66172,B100000,00000,0900,00000DIRECT NRSING HRS 66172,B100000,00000,1000,00000COSTED REQUIS. 66172,B100000,00000,1100,00000COSTED REQUIS. 66172,B100000,00000,1200,00000TIME SPENT 66172,B100000,00000,1300,00000TIME SPENT 66172,B100000,00000,1350,00000NO STATISTICS 66172,B100000,00000,1400,00000ASSIGNED TIME 66172,S000000,00100,0200,02/12/2001 66172,S200000,00100,0100,7171 BUFFALO GAP ROAD 66172,S200000,00200,0100,ABILENE 66172,S200000,00200,0200,TX 66172,S200000,00200,0300,79606 66172,S200000,00300,0100,T 66172,S200000,00400,0100,MESA SPRINGS SNF CARE 66172,S200000,00400,0200,675645 66172,S200000,00400,0300,12/04/1996 66172,S200000,00400,0500,P 66172,S200000,00600,0200,675645 66172,S200000,00600,0300,01/01/1990 66172,S200000,00600,0600,P 66172,S200000,01600,0100,Y 66172,S200000,01700,0100,Y 66172,S200000,01900,0100,OTHER (SPECIFY) 66172,S200000,02800,0100,Y 66173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66173,A000000,00300,0000,00300EMPLOYEE BENEFITS 66173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66173,A000000,00700,0000,00700HOUSEKEEPING 66173,A000000,00800,0000,00800DIETARY 66173,A000000,00900,0000,00900NURSING ADMINISTRATION 66173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66173,A000000,01100,0000,01100PHARMACY 66173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66173,A000000,01300,0000,01300SOCIAL SERVICE 66173,A000000,01350,0000,01500OTHER GENERAL SERVICES 66173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66173,A000000,01600,0000,01600SKILLED NURSING FACILITY 66173,A000000,01800,0000,01800NURSING FACILITY 66173,A000000,01810,0000,01810ICF/MR 66173,A000000,02200,0000,02200LABORATORY 66173,A000000,02500,0000,02500PHYSICAL THERAPY 66173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66173,A000000,02700,0000,02700SPEECH PATHOLOGY 66173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66173,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66173,A000000,03550,0000,03550FQHC 66173,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66173,A000000,05000,0000,05000CORF 66173,A000000,05010,0000,05010CMHC 66173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66173,A000000,05300,0000,05300INTEREST EXPENSE 66173,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66173,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66173,A81000A,00100,0100,Y 66173,A81000B,00100,0300,HOME OFFICE COSTS 66173,A81000B,00200,0300,HOME OFFICE COSTS 66173,A81000C,00100,0100,D 66173,A81000C,00100,0200,STAN STUDER JR 66173,A81000C,00100,0400,CARE INN PROPERTIES 66173,A81000C,00100,0600,MANAGEMENT COMPANY 66173,B100000,00000,0100,00000SQUARE FEET 66173,B100000,00000,0200,00000NO STATISTICS 66173,B100000,00000,0300,00000GROSS SALARIES 66173,B100000,00000,0400,00000ACCUM. COST 66173,B100000,00000,0500,00000SQUARE FEET 66173,B100000,00000,0600,00000POUNDS OF LAUNDRY 66173,B100000,00000,0700,00000SQUARE FEET C 66173,B100000,00000,0800,00000MEALS SERVED 66173,B100000,00000,0900,00000DIRECT NURSING HR 66173,B100000,00000,1000,00000COSTED REQUIS. 66173,B100000,00000,1100,00000NO STATISTICS 66173,B100000,00000,1200,00000NO STATISTICS 66173,B100000,00000,1300,00000NO STATISTICS 66173,B100000,00000,1350,00000NO STATISTICS 66173,B100000,00000,1400,00000NO STATISTICS 66173,E10A180,00501,0300,09/30/1999 66173,S000000,00100,0200,08/16/1999 66173,S200000,00100,0100,210 E. 37TH ST 66173,S200000,00100,0300,1082 66173,S200000,00200,0100,SNYDER 66173,S200000,00200,0200,TX 66173,S200000,00200,0300,79549 66173,S200000,00300,0100,SCURRY 66173,S200000,00400,0100,SNYDER OAKS CARE CENTER 66173,S200000,00400,0200,675646 66173,S200000,00400,0300,12/04/1996 66173,S200000,00400,0500,P 66173,S200000,01600,0100,Y 66186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66186,A000000,00300,0000,00300EMPLOYEE BENEFITS 66186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66186,A000000,00700,0000,00700HOUSEKEEPING 66186,A000000,00800,0000,00800DIETARY 66186,A000000,00900,0000,00900NURSING ADMINISTRATION 66186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66186,A000000,01100,0000,01100PHARMACY 66186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66186,A000000,01300,0000,01300SOCIAL SERVICE 66186,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66186,A000000,01600,0000,01600SKILLED NURSING FACILITY 66186,A000000,01800,0000,01800NURSING FACILITY 66186,A000000,01810,0000,01810ICF/MR 66186,A000000,02100,0000,02100RADIOLOGY 66186,A000000,02200,0000,02200LABORATORY 66186,A000000,02300,0000,02300INTRAVENOUS THERAPY 66186,A000000,02500,0000,02500PHYSICAL THERAPY 66186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66186,A000000,02700,0000,02700SPEECH PATHOLOGY 66186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66186,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 66186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 66186,A000000,03550,0000,03550FQHC 66186,A000000,05000,0000,05000CORF 66186,A000000,05010,0000,05010CMHC 66186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66186,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66186,A81000A,00100,0100,Y 66186,A81000B,00100,0300,HOME OFFICE CAPITAL 66186,A81000B,00200,0300,HOME OFFICE CAPITAL 66186,A81000B,00300,0300,HOME OFFICE A&G 66186,A81000B,00400,0300,DISHES 66186,A81000B,00500,0300,BUILDING AND GROUNDS MAINTENAN 66186,A81000B,00600,0300,SUPPLIES A&G 66186,A81000B,00700,0300,EQUIPMENT & FURNITURE 66186,A81000B,00800,0300,COURIER SERVICE 66186,A81000B,00900,0300,DEPARTMENT EQUIPMENT 66186,A81000C,00100,0100,B 66186,A81000C,00100,0400,LIFE CARE CORP. 66186,A81000C,00100,0600,HOME OFFICE 66186,A81000C,00200,0100,A 66186,A81000C,00200,0400,THIRD COAST 66186,A81000C,00200,0600,INTERIOR DESIGN 66186,B100000,00000,0100,00000SQUARE FEET 66186,B100000,00000,0200,00000SQUARE FEET 66186,B100000,00000,0300,00000GROSS SALARIES 66186,B100000,00000,0400,00000ACCUM COST 66186,B100000,00000,0500,00000SQUARE FEET 66186,B100000,00000,0600,00000PATIENT DAYS 66186,B100000,00000,0700,00000SQUARE FEET 66186,B100000,00000,0800,00000MEALS SERVED 66186,B100000,00000,0900,00000PATIENT DAYS 66186,B100000,00000,1000,00000COSTED REQUISITIO 66186,B100000,00000,1100,00000COSTED REQUISITIO 66186,B100000,00000,1200,00000PATIENT DAYS 66186,B100000,00000,1300,00000PATIENT DAYS 66186,B100000,00000,1350,00000PATIENT DAYS 66186,B100000,00000,1400,00000ASSIGNED TIME 66186,S000000,00100,0200,11/21/2000 66186,S200000,00100,0100,3010 BAYMORE 66186,S200000,00200,0100,ROSENBURG 66186,S200000,00200,0200,TX 66186,S200000,00200,0300,77471 66186,S200000,00300,0100,F 66186,S200000,00400,0100,FORT BEND NURSING HOME 66186,S200000,00400,0200,675663 66186,S200000,00400,0300,01/23/1997 66186,S200000,00400,0500,P 66186,S200000,01600,0100,Y 66192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66192,A000000,00300,0000,00300EMPLOYEE BENEFITS 66192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66192,A000000,00700,0000,00700HOUSEKEEPING 66192,A000000,00800,0000,00800DIETARY 66192,A000000,00900,0000,00900NURSING ADMINISTRATION 66192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66192,A000000,01100,0000,01100PHARMACY 66192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66192,A000000,01300,0000,01300SOCIAL SERVICE 66192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66192,A000000,01600,0000,01600SKILLED NURSING FACILITY 66192,A000000,01800,0000,01800NURSING FACILITY 66192,A000000,01810,0000,01810ICF/MR 66192,A000000,02100,0000,02100RADIOLOGY 66192,A000000,02200,0000,02200LABORATORY 66192,A000000,02300,0000,02300INTRAVENOUS THERAPY 66192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66192,A000000,02500,0000,02500PHYSICAL THERAPY 66192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66192,A000000,02700,0000,02700SPEECH PATHOLOGY 66192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66192,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 66192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 66192,A000000,03550,0000,03550FQHC 66192,A000000,05000,0000,05000CORF 66192,A000000,05010,0000,05010CMHC 66192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66192,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66192,A81000A,00100,0100,Y 66192,A81000B,00100,0300,BUILDING CAPITAL-POOLED 66192,A81000B,00200,0300,MOVABLE EQUIPMENT-POOLED 66192,A81000B,00300,0300,NON CAPITAL-POOLED 66192,A81000B,00400,0300,THIRD COAST EQUIPMENT 66192,A81000B,00500,0300,THIRD COAST EQUIPMENT 66192,A81000B,00600,0300,THIRD COAST EQUIPMENT 66192,A81000B,00700,0300,THIRD COAST EQUIPMENT 66192,A81000C,00100,0100,A 66192,A81000C,00100,0200,LIFE CARE CORPO 66192,A81000C,00100,0600,HOME OFFICE 66192,A81000C,00200,0100,A 66192,A81000C,00200,0200,THIRD COAST 66192,A81000C,00200,0600,INTERIOR DESIGN 66192,B100000,00000,0100,00000SQUARE FEET 66192,B100000,00000,0200,00000SQUARE FEET 66192,B100000,00000,0300,00000GROSS SALARIES 66192,B100000,00000,0400,00000ACCUM COST 66192,B100000,00000,0500,00000SQUARE FEET 66192,B100000,00000,0600,00000PATIENT DAYS 66192,B100000,00000,0700,00000SQUARE FEET 66192,B100000,00000,0800,00000MEALS SERVED 66192,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66192,B100000,00000,1000,00000PATIENT DAYS 66192,B100000,00000,1100,00000COSTED REQUIS 66192,B100000,00000,1200,00000PATIENT DAYS 66192,B100000,00000,1300,00000PATIENT DAYS 66192,B100000,00000,1400,00000ASSIGNED TIME 66192,S000000,00100,0200,11/21/2000 66192,S200000,00100,0100,1747 EAST HEMPSTEAD 66192,S200000,00200,0100,GIDDINGS 66192,S200000,00200,0200,TX 66192,S200000,00200,0300,78942 66192,S200000,00300,0100,LEE 66192,S200000,00400,0100,GIDDINGS CONVALESCENT CENTER 66192,S200000,00400,0200,675665 66192,S200000,00400,0300,02/04/1997 66192,S200000,00400,0500,P 66192,S200000,01600,0100,Y 66192,S200000,01900,0100,501 C 66207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66207,A000000,00300,0000,00300EMPLOYEE BENEFITS 66207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66207,A000000,00700,0000,00700HOUSEKEEPING 66207,A000000,00800,0000,00800DIETARY 66207,A000000,00900,0000,00900NURSING ADMINISTRATION 66207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66207,A000000,01100,0000,01100PHARMACY 66207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66207,A000000,01300,0000,01300SOCIAL SERVICE 66207,A000000,01350,0000,01500PASTORAL CARE 66207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66207,A000000,01600,0000,01600SKILLED NURSING FACILITY 66207,A000000,01810,0000,01810ICF/MR 66207,A000000,02100,0000,02100RADIOLOGY 66207,A000000,02200,0000,02200LABORATORY 66207,A000000,02500,0000,02500PHYSICAL THERAPY 66207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66207,A000000,02700,0000,02700SPEECH PATHOLOGY 66207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66207,A000000,03550,0000,03550FQHC 66207,A000000,05000,0000,05000CORF 66207,A000000,05010,0000,05010CMHC 66207,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66207,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66207,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66207,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENT 66207,A81000A,00100,0100,Y 66207,A81000B,00100,0300,SYSTEM ELECTRONIC MAINTENANCE 66207,A81000B,00200,0300,SYSTEM LAUNDRY 66207,A81000B,00300,0300,SYSTEM HOUSEKEEPING 66207,A81000B,00400,0300,SYSTEM PASTORAL CARE 66207,A81000B,00500,0300,DIRECT HOME OFFICE 66207,A81000B,00600,0300,DIRECT HOME OFICE 66207,A81000B,00700,0300,FUNCTIONAL HOME OFFICE 66207,A81000B,00800,0300,FUNCTIONAL HOME OFFICE 66207,A81000B,00900,0300,FUNCTIONAL HOME OFFICE 66207,A81000B,01000,0300,FUNCTIONAL HOME OFFICE 66207,A81000B,01100,0300,POOLED HOME OFFICE 66207,A81000B,01200,0300,POOLED HOME OFFICE 66207,A81000B,01300,0300,POOLED HOME OFFICE 66207,A81000B,01400,0300,POOLED HOME OFFICE 66207,A81000C,00100,0100,B 66207,A81000C,00100,0400,MEMORIALHERMANN 66207,A81000C,00100,0600,HEALTHCARE SVCS 66207,B100000,00000,0100,00000SQUARE FEET 66207,B100000,00000,0200,00000SQUARE FEET 66207,B100000,00000,0300,00000GROSS SAL 66207,B100000,00000,0400,00000ACCUM. COST 66207,B100000,00000,0500,00000SQUARE FEET 66207,B100000,00000,0600,00000PATIENT DAYS 66207,B100000,00000,0700,00000SQUARE FEET 66207,B100000,00000,0800,00000MEALS SERVED 66207,B100000,00000,0900,00000NURSING HOURS 66207,B100000,00000,1000,00000COSTED REQUIS 66207,B100000,00000,1100,00000COSTED REQUIS 66207,B100000,00000,1200,00000GROSS REVENUE 66207,B100000,00000,1300,00000PATIENT DAYS 66207,B100000,00000,1350,00000PATIENT DAYS 66207,B100000,00000,1400,00000ASSIGNED TIME 66207,S000000,00100,0200,12/15/2000 66207,S200000,00100,0100,7480 BEECHNUT 66207,S200000,00200,0100,HOUSTON 66207,S200000,00200,0200,TX 66207,S200000,00200,0300,77074 66207,S200000,00300,0100,H 66207,S200000,00400,0100,UNIVERSITY PLACE NURSING CENTER 66207,S200000,00400,0200,675667 66207,S200000,00400,0300,01/31/1997 66207,S200000,00400,0500,P 66207,S200000,01500,0100,Y 66207,S200000,01900,0100,VOLUNTARY-NONPROFIT 66207,S200000,02200,0100,Y 66207,S200000,04300,0100,Y 66245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66245,A000000,00300,0000,00300EMPLOYEE BENEFITS 66245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66245,A000000,00700,0000,00700HOUSEKEEPING 66245,A000000,00800,0000,00800DIETARY 66245,A000000,00900,0000,00900NURSING ADMINISTRATION 66245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66245,A000000,01100,0000,01100PHARMACY 66245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66245,A000000,01300,0000,01300SOCIAL SERVICE 66245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66245,A000000,01600,0000,01600SKILLED NURSING FACILITY 66245,A000000,01800,0000,01800NURSING FACILITY 66245,A000000,01810,0000,01810ICF/MR 66245,A000000,02200,0000,02200LABORATORY 66245,A000000,02300,0000,02300INTRAVENOUS THERAPY 66245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66245,A000000,02500,0000,02500PHYSICAL THERAPY 66245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66245,A000000,02700,0000,02700SPEECH PATHOLOGY 66245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66245,A000000,03550,0000,03550FQHC 66245,A000000,05000,0000,05000CORF 66245,A000000,05010,0000,05010CMHC 66245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66245,A000000,05300,0000,05300INTEREST EXPENSE 66245,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 66245,B100000,00000,0100,00000SQUARE FEET 66245,B100000,00000,0200,00000SQUARE FEET 66245,B100000,00000,0300,00000GROSS SALARIES 66245,B100000,00000,0400,00000ACCUM COST 66245,B100000,00000,0500,00000SQUARE FEET 66245,B100000,00000,0600,00000POUNDS OF LAUNDRY 66245,B100000,00000,0700,00000HOURS OF SERVICE 66245,B100000,00000,0800,00000MEALS SERVED 66245,B100000,00000,0900,00000DIRECT NRSG HRS 66245,B100000,00000,1000,00000COSTED REQUIS 66245,B100000,00000,1100,00000COSTED REQUIS 66245,B100000,00000,1200,00000TIME SPENT 66245,B100000,00000,1300,00000TIME SPENT 66245,B100000,00000,1400,00000ASSIGNED TIME 66245,S000000,00100,0200,06/01/2001 66245,S200000,00100,0100,900 STATE STREET 66245,S200000,00100,0300,M 66245,S200000,00200,0100,BRONTE 66245,S200000,00200,0200,TX 66245,S200000,00200,0300,76933 66245,S200000,00300,0100,C 66245,S200000,00400,0100,BRONTE HEALTH & REHAB CENTER 66245,S200000,00400,0200,675681 66245,S200000,00400,0300,03/31/1997 66245,S200000,00400,0500,P 66245,S200000,00400,0600,O 66245,S200000,01600,0100,Y 66245,S200000,01700,0100,Y 66245,S200000,01800,0100,Y 66245,S200000,02200,0100,Y 66250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66250,A000000,00300,0000,00300EMPLOYEE BENEFITS 66250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66250,A000000,00700,0000,00700HOUSEKEEPING 66250,A000000,00800,0000,00800DIETARY 66250,A000000,00900,0000,00900NURSING ADMINISTRATION 66250,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66250,A000000,01100,0000,01100PHARMACY 66250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66250,A000000,01300,0000,01300SOCIAL SERVICE 66250,A000000,01350,0000,01500OTHER GENERAL SERVICES 66250,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66250,A000000,01600,0000,01600SKILLED NURSING FACILITY 66250,A000000,01810,0000,01810ICF/MR 66250,A000000,02200,0000,02200LABORATORY 66250,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66250,A000000,02500,0000,02500PHYSICAL THERAPY 66250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66250,A000000,02700,0000,02700SPEECH PATHOLOGY 66250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66250,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66250,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66250,A000000,03550,0000,03550FQHC 66250,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66250,A000000,05000,0000,05000CORF 66250,A000000,05010,0000,05010CMHC 66250,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66250,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66250,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66250,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66250,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66250,A81000A,00100,0100,Y 66250,A81000B,00100,0300,ADMINISTRATIVE AND G 66250,A81000C,00100,0100,A 66250,A81000C,00100,0200,PEOPLES NURSING FACILITY 66250,A81000C,00100,0600,MGMNT SERVICES 66250,A81000C,00200,0100,A 66250,A81000C,00200,0200,ERWIN CARE CENTERS 66250,A81000C,00200,0600,MGMNT SERVICES 66250,A81000C,00300,0100,A 66250,A81000C,00300,0200,PEOPLES HEALTH SERVICES 66250,A81000C,00300,0600,HOME OFFICE 66250,B100000,00000,0100,00000SQUARE FEET 66250,B100000,00000,0200,00000SQUARE FEET 66250,B100000,00000,0300,00000GROSS SALARIES 66250,B100000,00000,0400,00000ACCUM. COST 66250,B100000,00000,0500,00000SQUARE FEET 66250,B100000,00000,0600,00000PATIENT DAYS 66250,B100000,00000,0700,00000SQUARE FEET 66250,B100000,00000,0800,00000PATIENT DAYS 66250,B100000,00000,0900,00000PATIENT DAYS 66250,B100000,00000,1000,00000COSTED REQUIS. 66250,B100000,00000,1100,00000COSTED REQUIS. 66250,B100000,00000,1200,00000PATIENT DAYS 66250,B100000,00000,1300,00000PATIENT DAYS 66250,B100000,00000,1350,00000NO STATISTICS 66250,B100000,00000,1400,00000ASSIGNED TIME 66250,E10A180,00501,0300,08/11/2000 66250,E10A180,00550,0100,08/11/2000 66250,S000000,00100,0200,07/18/2000 66250,S200000,00100,0100,470 MOORE STREET 66250,S200000,00200,0100,VIDOR 66250,S200000,00200,0200,TX 66250,S200000,00200,0300,77662 66250,S200000,00300,0100,ORANGE 66250,S200000,00400,0100,PEOPLES NURSING CENTER OF VIDOR 66250,S200000,00400,0200,675685 66250,S200000,00400,0300,04/30/1997 66250,S200000,00400,0500,P 66250,S200000,01500,0100,Y 66259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66259,A000000,00300,0000,00300EMPLOYEE BENEFITS 66259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66259,A000000,00700,0000,00700HOUSEKEEPING 66259,A000000,00800,0000,00800DIETARY 66259,A000000,00801,0000,00801CAFETERIA 66259,A000000,00900,0000,00900NURSING ADMINISTRATION 66259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66259,A000000,01100,0000,01100PHARMACY 66259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66259,A000000,01300,0000,01300SOCIAL SERVICE 66259,A000000,01350,0000,01500ROUTINE 66259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66259,A000000,01600,0000,01600SKILLED NURSING FACILITY 66259,A000000,01800,0000,01800NURSING FACILITY 66259,A000000,01810,0000,01810ICF/MR 66259,A000000,02200,0000,02200LABORATORY 66259,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66259,A000000,02500,0000,02500PHYSICAL THERAPY 66259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66259,A000000,02700,0000,02700SPEECH PATHOLOGY 66259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66259,A000000,03550,0000,03550FQHC 66259,A000000,05000,0000,05000CORF 66259,A000000,05010,0000,05010CMHC 66259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66259,A000000,05300,0000,05300INTEREST EXPENSE 66259,A000000,06150,0000,06300GUEST MEALS 66259,B100000,00000,0100,00000SQUARE FEET 66259,B100000,00000,0200,00000SQUARE FEET 66259,B100000,00000,0300,00000GROSS SALARIES 66259,B100000,00000,0400,00000ACCUM COST 66259,B100000,00000,0500,00000SQUARE FEET 66259,B100000,00000,0600,00000POUNDS OF LAUNDRY 66259,B100000,00000,0700,00000HOURS OF SERVICE 66259,B100000,00000,0800,00000MEALS SERVED 66259,B100000,00000,0801,00000 66259,B100000,00000,0900,00000DIRECT NRSG HRS 66259,B100000,00000,1000,00000COSTED REQUIS 66259,B100000,00000,1100,00000COSTED REQUIS 66259,B100000,00000,1200,00000TIME SPENT 66259,B100000,00000,1300,00000TIME SPENT 66259,B100000,00000,1350,00000 66259,B100000,00000,1400,00000ASSIGNED TIME 66259,E10A180,00501,0100,06/14/2000 66259,S000000,00100,0200,05/26/2000 66259,S200000,00100,0300,392 66259,S200000,00200,0100,COLEMAN 66259,S200000,00200,0200,TX 66259,S200000,00200,0300,76834 66259,S200000,00300,0100,COLEMAN 66259,S200000,00400,0100,COLEMAN CARE CENTER HOLIDAY HILL 66259,S200000,00400,0200,675687 66259,S200000,00400,0300,05/14/1997 66259,S200000,00400,0500,P 66259,S200000,00600,0200,675687 66259,S200000,00600,0300,01/01/1980 66259,S200000,00600,0600,P 66259,S200000,01600,0100,Y 66259,S200000,01700,0100,Y 66268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66268,A000000,00300,0000,00300EMPLOYEE BENEFITS 66268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66268,A000000,00700,0000,00700HOUSEKEEPING 66268,A000000,00800,0000,00800DIETARY 66268,A000000,00801,0000,00801CAFETERIA 66268,A000000,00900,0000,00900NURSING ADMINISTRATION 66268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66268,A000000,01100,0000,01100PHARMACY 66268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66268,A000000,01300,0000,01300SOCIAL SERVICE 66268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66268,A000000,01600,0000,01600SKILLED NURSING FACILITY 66268,A000000,01800,0000,01800NURSING FACILITY 66268,A000000,01810,0000,01810ICF/MR 66268,A000000,02100,0000,02100RADIOLOGY 66268,A000000,02200,0000,02200LABORATORY 66268,A000000,02300,0000,02300INTRAVENOUS THERAPY 66268,A000000,02500,0000,02500PHYSICAL THERAPY 66268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66268,A000000,02700,0000,02700SPEECH PATHOLOGY 66268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66268,A000000,03200,0000,03200SUPPORT SURFACES 66268,A000000,03550,0000,03550FQHC 66268,A000000,05000,0000,05000CORF 66268,A000000,05010,0000,05010CMHC 66268,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66268,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66268,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66268,A000000,05300,0000,05300INTEREST EXPENSE 66268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66268,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66268,A81000A,00100,0100,Y 66268,A81000B,00100,0300,HOME OFC COSTS 66268,A81000B,00200,0300,HOME OFC COSTS 66268,A81000B,00300,0300,PRESCRIPTION RX 66268,A81000B,00400,0300,I V THERAPY 66268,A81000B,00500,0300,HOME OFC COSTS 66268,A81000C,00100,0100,B 66268,A81000C,00100,0200,AHCC INC. 66268,A81000C,00100,0400,AHCC INC. 66268,A81000C,00100,0600,HOME OFC 66268,A81000C,00200,0100,B 66268,A81000C,00200,0200,AHCC INC 66268,A81000C,00200,0400,LTC MGMT 66268,A81000C,00200,0600,BILLING SERV 66268,A81000C,00300,0100,B 66268,A81000C,00300,0200,AHCC INC 66268,A81000C,00300,0400,NIPSI 66268,A81000C,00300,0600,PHARMACY 66268,B100000,00000,0100,00000SQUARE FEET 66268,B100000,00000,0200,00000SQUARE FEET 66268,B100000,00000,0300,00000GROSS SALARIES 66268,B100000,00000,0400,00000ACCUM COST 66268,B100000,00000,0500,00000SQUARE FEET 66268,B100000,00000,0600,00000PATIENT DAYS 66268,B100000,00000,0700,00000SQUARE FEET 66268,B100000,00000,0800,00000MEALS SERVED 66268,B100000,00000,0801,00000FTE EMPLOYEES 66268,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66268,B100000,00000,1000,00000COSTED REQUISITIO 66268,B100000,00000,1100,00000COSTED REQUISITIO 66268,B100000,00000,1200,00000PATIENT DAYS 66268,B100000,00000,1300,00000PATIENT DAYS 66268,B100000,00000,1400,00000ASSIGNED TIME 66268,S000000,00100,0200,06/19/2000 66268,S200000,00100,0100,2628 MILAM 66268,S200000,00100,0300,690 66268,S200000,00200,0100,HUNTSVILLE 66268,S200000,00200,0200,TX 66268,S200000,00200,0300,77340 66268,S200000,00300,0100,WALKER 66268,S200000,00400,0100,FAIR PARK NURSING CENTER 66268,S200000,00400,0200,675691 66268,S200000,00400,0300,06/20/1997 66268,S200000,00400,0500,P 66268,S200000,01600,0100,Y 66277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66277,A000000,00300,0000,00300EMPLOYEE BENEFITS 66277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66277,A000000,00700,0000,00700HOUSEKEEPING 66277,A000000,00800,0000,00800DIETARY 66277,A000000,00801,0000,00801CAFETERIA 66277,A000000,00900,0000,00900NURSING ADMINISTRATION 66277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66277,A000000,01100,0000,01100PHARMACY 66277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66277,A000000,01300,0000,01300SOCIAL SERVICE 66277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66277,A000000,01600,0000,01600SKILLED NURSING FACILITY 66277,A000000,01800,0000,01800NURSING FACILITY 66277,A000000,01810,0000,01810ICF/MR 66277,A000000,02100,0000,02100RADIOLOGY 66277,A000000,02200,0000,02200LABORATORY 66277,A000000,02300,0000,02300INTRAVENOUS THERAPY 66277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66277,A000000,02500,0000,02500PHYSICAL THERAPY 66277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66277,A000000,02700,0000,02700SPEECH PATHOLOGY 66277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66277,A000000,03550,0000,03550FQHC 66277,A000000,05000,0000,05000CORF 66277,A000000,05010,0000,05010CMHC 66277,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66277,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66277,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66277,A000000,05300,0000,05300INTEREST EXPENSE 66277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66277,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66277,A81000A,00100,0100,Y 66277,A81000B,00100,0300,HOME OFC COSTS 66277,A81000B,00200,0300,HOME OFC COSTS 66277,A81000B,00300,0300,PRESCRIPTION RX 66277,A81000B,00400,0300,HOME OFC COSTS 66277,A81000C,00100,0100,B 66277,A81000C,00100,0200,AHCC INC. 66277,A81000C,00100,0400,AHCC INC. 66277,A81000C,00100,0600,HOME OFC 66277,A81000C,00200,0100,B 66277,A81000C,00200,0200,AHCC INC 66277,A81000C,00200,0400,LTC MGMT 66277,A81000C,00200,0600,BILLING SERV 66277,A81000C,00300,0100,B 66277,A81000C,00300,0200,AHCC INC 66277,A81000C,00300,0400,NIPSI 66277,A81000C,00300,0600,PHARMACY 66277,B100000,00000,0100,00000SQUARE FEET 66277,B100000,00000,0200,00000SQUARE FEET 66277,B100000,00000,0300,00000GROSS SALARIES 66277,B100000,00000,0400,00000ACCUM COST 66277,B100000,00000,0500,00000SQUARE FEET 66277,B100000,00000,0600,00000PATIENT DAYS 66277,B100000,00000,0700,00000SQUARE FEET 66277,B100000,00000,0800,00000MEALS SERVED 66277,B100000,00000,0801,00000FTE EMPLOYEES 66277,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66277,B100000,00000,1000,00000COSTED REQUISITIO 66277,B100000,00000,1100,00000COSTED REQUISITIO 66277,B100000,00000,1200,00000PATIENT DAYS 66277,B100000,00000,1300,00000PATIENT DAYS 66277,B100000,00000,1400,00000ASSIGNED TIME 66277,S000000,00100,0200,06/19/2000 66277,S200000,00100,0100,4150 COLLEGE 66277,S200000,00200,0100,BEAUMONT 66277,S200000,00200,0200,TX 66277,S200000,00200,0300,77707 66277,S200000,00300,0100,ORANGE 66277,S200000,00400,0100,COLLEGE STREET NURSING CENTER 66277,S200000,00400,0200,675695 66277,S200000,00400,0300,07/10/1997 66277,S200000,00400,0500,P 66277,S200000,01600,0100,Y 66285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66285,A000000,00300,0000,00300EMPLOYEE BENEFITS 66285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66285,A000000,00700,0000,00700HOUSEKEEPING 66285,A000000,00800,0000,00800DIETARY 66285,A000000,00801,0000,00801CAFETERIA 66285,A000000,00900,0000,00900NURSING ADMINISTRATION 66285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66285,A000000,01100,0000,01100PHARMACY 66285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66285,A000000,01300,0000,01300SOCIAL SERVICE 66285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66285,A000000,01600,0000,01600SKILLED NURSING FACILITY 66285,A000000,01800,0000,01800NURSING FACILITY 66285,A000000,01810,0000,01810ICF/MR 66285,A000000,02100,0000,02100RADIOLOGY 66285,A000000,02200,0000,02200LABORATORY 66285,A000000,02300,0000,02300INTRAVENOUS THERAPY 66285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66285,A000000,02500,0000,02500PHYSICAL THERAPY 66285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66285,A000000,02700,0000,02700SPEECH PATHOLOGY 66285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66285,A000000,03550,0000,03550FQHC 66285,A000000,05000,0000,05000CORF 66285,A000000,05010,0000,05010CMHC 66285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66285,A000000,05300,0000,05300INTEREST EXPENSE 66285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66285,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66285,A81000A,00100,0100,Y 66285,A81000B,00100,0300,HOME OFC COSTS 66285,A81000B,00200,0300,HOME OFC COSTS 66285,A81000B,00300,0300,PRESCRIPTION RX 66285,A81000B,00400,0300,I V THERAPY 66285,A81000B,00500,0300,HOME OFC COSTS 66285,A81000C,00100,0100,B 66285,A81000C,00100,0200,AHCC INC. 66285,A81000C,00100,0400,AHCC INC. 66285,A81000C,00100,0600,HOME OFC 66285,A81000C,00200,0100,B 66285,A81000C,00200,0200,AHCC INC 66285,A81000C,00200,0400,LTC MGMT 66285,A81000C,00200,0600,BILLING SERV 66285,A81000C,00300,0100,B 66285,A81000C,00300,0200,AHCC INC 66285,A81000C,00300,0400,NIPSI 66285,A81000C,00300,0600,PHARMACY 66285,B100000,00000,0100,00000SQUARE FEET 66285,B100000,00000,0200,00000SQUARE FEET 66285,B100000,00000,0300,00000GROSS SALARIES 66285,B100000,00000,0400,00000ACCUM COST 66285,B100000,00000,0500,00000SQUARE FEET 66285,B100000,00000,0600,00000PATIENT DAYS 66285,B100000,00000,0700,00000SQUARE FEET 66285,B100000,00000,0800,00000MEALS SERVED 66285,B100000,00000,0801,00000FTE EMPLOYEES 66285,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66285,B100000,00000,1000,00000COSTED REQUISITIO 66285,B100000,00000,1100,00000COSTED REQUISITIO 66285,B100000,00000,1200,00000PATIENT DAYS 66285,B100000,00000,1300,00000PATIENT DAYS 66285,B100000,00000,1400,00000ASSIGNED TIME 66285,S000000,00100,0200,06/19/2000 66285,S200000,00100,0100,213 HERITAGE 66285,S200000,00200,0100,FRIENDSWOOD 66285,S200000,00200,0200,TX 66285,S200000,00200,0300,77546 66285,S200000,00300,0100,GALVESTON 66285,S200000,00400,0100,FRIENDSWOOD ARMS CONVALESCENT CTR 66285,S200000,00400,0200,675699 66285,S200000,00400,0300,06/10/1997 66285,S200000,00400,0500,P 66285,S200000,01600,0100,Y 66290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66290,A000000,00300,0000,00300EMPLOYEE BENEFITS 66290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66290,A000000,00700,0000,00700HOUSEKEEPING 66290,A000000,00800,0000,00800DIETARY 66290,A000000,00801,0000,00801CAFETERIA 66290,A000000,00900,0000,00900NURSING ADMINISTRATION 66290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66290,A000000,01100,0000,01100PHARMACY 66290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66290,A000000,01300,0000,01300SOCIAL SERVICE 66290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66290,A000000,01600,0000,01600SKILLED NURSING FACILITY 66290,A000000,01800,0000,01800NURSING FACILITY 66290,A000000,01810,0000,01810ICF/MR 66290,A000000,02100,0000,02100RADIOLOGY 66290,A000000,02200,0000,02200LABORATORY 66290,A000000,02300,0000,02300INTRAVENOUS THERAPY 66290,A000000,02500,0000,02500PHYSICAL THERAPY 66290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66290,A000000,02700,0000,02700SPEECH PATHOLOGY 66290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66290,A000000,03550,0000,03550FQHC 66290,A000000,05000,0000,05000CORF 66290,A000000,05010,0000,05010CMHC 66290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66290,A000000,05300,0000,05300INTEREST EXPENSE 66290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66290,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66290,A81000A,00100,0100,Y 66290,A81000B,00100,0300,CAP REL COSTS-BLDGS & FIXTURE 66290,A81000B,00200,0300,ADMINISTRATIVE AND GENERAL 66290,A81000B,00300,0300,PHARMACY 66290,A81000B,00400,0300,PHARMACY 66290,A81000B,00500,0300,HOME OFC COSTS 66290,A81000C,00100,0100,B 66290,A81000C,00100,0200,AHCC INC. 66290,A81000C,00100,0400,AHCC INC. 66290,A81000C,00100,0600,HOME OFC 66290,A81000C,00200,0100,B 66290,A81000C,00200,0200,AHCC INC 66290,A81000C,00200,0400,LTC MGMT 66290,A81000C,00200,0600,BILLING SERV 66290,A81000C,00300,0100,B 66290,A81000C,00300,0200,AHCC INC 66290,A81000C,00300,0400,NIPSI 66290,A81000C,00300,0600,PHARMACY 66290,B100000,00000,0100,00000SQUARE FEET 66290,B100000,00000,0200,00000SQUARE FEET 66290,B100000,00000,0300,00000GROSS SALARIES 66290,B100000,00000,0400,00000ACCUM COST 66290,B100000,00000,0500,00000SQUARE FEET 66290,B100000,00000,0600,00000PATIENT DAYS 66290,B100000,00000,0700,00000SQUARE FEET 66290,B100000,00000,0800,00000MEALS SERVED 66290,B100000,00000,0801,00000FTE EMPLOYEES 66290,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 66290,B100000,00000,1000,00000COSTED REQUISITIO 66290,B100000,00000,1100,00000COSTED REQUISITIO 66290,B100000,00000,1200,00000PATIENT DAYS 66290,B100000,00000,1300,00000PATIENT DAYS 66290,B100000,00000,1400,00000ASSIGNED TIME 66290,S000000,00100,0200,06/19/2000 66290,S200000,00100,0100,615 LAWRENCE 66290,S200000,00200,0100,TOMBALL 66290,S200000,00200,0200,TX 66290,S200000,00200,0300,77375 66290,S200000,00300,0100,HARRIS 66290,S200000,00400,0100,AUTUMN HILLS - TOMBALL 66290,S200000,00400,0200,675701 66290,S200000,00400,0300,07/03/1997 66290,S200000,00400,0500,P 66290,S200000,01600,0100,Y 66297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66297,A000000,00300,0000,00300EMPLOYEE BENEFITS 66297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66297,A000000,00700,0000,00700HOUSEKEEPING 66297,A000000,00800,0000,00800DIETARY 66297,A000000,00900,0000,00900NURSING ADMINISTRATION 66297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66297,A000000,01100,0000,01100PHARMACY 66297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66297,A000000,01300,0000,01300SOCIAL SERVICE 66297,A000000,01350,0000,01500RECREATION 66297,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66297,A000000,01600,0000,01600SKILLED NURSING FACILITY 66297,A000000,01800,0000,01800NURSING FACILITY 66297,A000000,01810,0000,01810ICF/MR 66297,A000000,02500,0000,02500PHYSICAL THERAPY 66297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66297,A000000,02700,0000,02700SPEECH PATHOLOGY 66297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66297,A000000,03101,0000,03101PEN 66297,A000000,03120,0000,03120AFT 66297,A000000,03550,0000,03550FQHC 66297,A000000,05000,0000,05000CORF 66297,A000000,05010,0000,05010CMHC 66297,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66297,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66297,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66297,B100000,00000,0100,00000SQUARE FEET 66297,B100000,00000,0200,00000SQUARE FEET 66297,B100000,00000,0300,00000GROSS SALARIES 66297,B100000,00000,0400,00000ACCUM COST 66297,B100000,00000,0500,00000SQUARE FEET 66297,B100000,00000,0600,00000PATIENT DAYS 66297,B100000,00000,0700,00000SQUARE FEET 66297,B100000,00000,0800,00000MEALS SERVED 66297,B100000,00000,0900,00000NURSING SALARIES 66297,B100000,00000,1000,00000COSTED REQUIS 66297,B100000,00000,1100,00000COSTED REQUIS 66297,B100000,00000,1200,00000PATIENT DAYS 66297,B100000,00000,1300,00000PATIENT DAYS 66297,B100000,00000,1350,00000PATIENT DAYS 66297,B100000,00000,1400,00000ASSIGNED TIME 66297,E10A180,00501,0300,01/17/2000 66297,S000000,00100,0200,11/30/1999 66297,S200000,00100,0100,3315 CROSS TIMBERS ROAD 66297,S200000,00200,0100,FLOWER MOUND 66297,S200000,00200,0200,TX 66297,S200000,00200,0300,75028 66297,S200000,00300,0100,DENTON 66297,S200000,00400,0100,CROSS TIMBERS CARE CENTER 66297,S200000,00400,0200,675703 66297,S200000,00400,0300,07/28/1997 66297,S200000,00400,0500,P 66297,S200000,01600,0100,Y 66306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66306,A000000,00300,0000,00300EMPLOYEE BENEFITS 66306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66306,A000000,00700,0000,00700HOUSEKEEPING 66306,A000000,00800,0000,00800DIETARY 66306,A000000,00900,0000,00900NURSING ADMINISTRATION 66306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66306,A000000,01100,0000,01100PHARMACY 66306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66306,A000000,01300,0000,01300SOCIAL SERVICE 66306,A000000,01350,0000,01500OTHER GENERAL SERVICES 66306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66306,A000000,01600,0000,01600SKILLED NURSING FACILITY 66306,A000000,01800,0000,01800NURSING FACILITY 66306,A000000,02100,0000,02100RADIOLOGY 66306,A000000,02200,0000,02200LABORATORY 66306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66306,A000000,02500,0000,02500PHYSICAL THERAPY 66306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66306,A000000,02700,0000,02700SPEECH PATHOLOGY 66306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66306,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66306,A000000,03550,0000,03550FQHC 66306,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66306,A000000,05000,0000,05000CORF 66306,A000000,05010,0000,05010CMHC 66306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66306,A81000A,00100,0100,Y 66306,A81000B,00100,0300,NURSING HOME ADMINISTRATION 66306,A81000C,00100,0100,B 66306,A81000C,00100,0400,HARVEST SENIOR SERVICES 66306,A81000C,00100,0600,LTC MANAGEMENT 66306,B100000,00000,0100,00000SQUARE FEET 66306,B100000,00000,0200,00000SQUARE FEET 66306,B100000,00000,0300,00000GROSS SALARIES 66306,B100000,00000,0400,00000ACCUM. COST 66306,B100000,00000,0500,00000SQUARE FEET 66306,B100000,00000,0600,00000POUNDS OF LAUNDRY 66306,B100000,00000,0700,00000SQUARE FEET 66306,B100000,00000,0800,00000MEALS SERVED 66306,B100000,00000,0900,00000DIRECT NRSING HRS 66306,B100000,00000,1000,00000COSTED REQUIS. 66306,B100000,00000,1100,00000COSTED REQUIS. 66306,B100000,00000,1200,00000TIME SPENT 66306,B100000,00000,1300,00000TIME SPENT 66306,B100000,00000,1350,00000NO STATISTICS 66306,B100000,00000,1400,00000ASSIGNED TIME 66306,S000000,00100,0200,05/31/2000 66306,S200000,00100,0100,3607 STONE ROAD 66306,S200000,00200,0100,KILGORE 66306,S200000,00200,0200,TX 66306,S200000,00200,0300,75662 66306,S200000,00300,0100,GREGG 66306,S200000,00400,0100,TEXAS CHOICE OF KILGORE 66306,S200000,00400,0200,675705 66306,S200000,00400,0300,10/01/1997 66306,S200000,00400,0500,P 66306,S200000,01600,0100,Y 66306,S200000,04300,0100,Y 66315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66315,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 66315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66315,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 66315,A000000,00300,0000,00300EMPLOYEE BENEFITS 66315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66315,A000000,00700,0000,00700HOUSEKEEPING 66315,A000000,00800,0000,00800DIETARY 66315,A000000,00801,0000,00801CAFETERIA 66315,A000000,00900,0000,00900NURSING ADMINISTRATION 66315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66315,A000000,01100,0000,01100PHARMACY 66315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66315,A000000,01300,0000,01300SOCIAL SERVICE 66315,A000000,01350,0000,01500ACTIVITIES 66315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66315,A000000,01600,0000,01600SKILLED NURSING FACILITY 66315,A000000,01800,0000,01800NURSING FACILITY 66315,A000000,01810,0000,01810ICF/MR 66315,A000000,02300,0000,02300INTRAVENOUS THERAPY 66315,A000000,02500,0000,02500PHYSICAL THERAPY 66315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66315,A000000,02700,0000,02700SPEECH PATHOLOGY 66315,A000000,02800,0000,02800ELECTROCARDIOLOGY 66315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66315,A000000,03050,0000,03300OTHER ANCILLARY 66315,A000000,03051,0000,03301OTHER ANCILLARY II 66315,A000000,03052,0000,03302OTHER ANCILLARY III 66315,A000000,03200,0000,03200SUPPORT SURFACES 66315,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66315,A000000,03550,0000,03550FQHC 66315,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66315,A000000,05000,0000,05000CORF I 66315,A000000,05010,0000,05010CMHC I 66315,A000000,05020,0000,05020OPT I 66315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66315,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66315,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66315,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66315,A81000A,00100,0100,Y 66315,A81000B,00200,0300,HO ALLOCATION 66315,A81000C,00100,0100,A 66315,A81000C,00100,0200,SALEM HOUSING 66315,A81000C,00100,0600,LONG TERM 66315,A81000C,00200,0600,CARE MGMT 66315,B100000,00000,0100,00000(SQUARE FEET) 66315,B100000,00000,0101,00000(SQUARE FEET) 66315,B100000,00000,0200,00000(SQUARE FEET) 66315,B100000,00000,0201,00000(SQUARE FEET) 66315,B100000,00000,0300,00000(GROSS SALARIES) 66315,B100000,00000,0400,00000(ACCUM. COST) 66315,B100000,00000,0500,00000(SQUARE FEET) 66315,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 66315,B100000,00000,0700,00000(SQUARE FEET) 66315,B100000,00000,0800,00000(MEALS SERVED) 66315,B100000,00000,0801,00000(MEALS SERVED) 66315,B100000,00000,0900,00000TIME SPENT 66315,B100000,00000,1000,00000(GROSS CHARGES) 66315,B100000,00000,1100,00000(PATIENT DAYS) 66315,B100000,00000,1200,00000(TIME SPENT) 66315,B100000,00000,1300,00000(TIME SPENT) 66315,B100000,00000,1350,00000(PATIENT DAYS) 66315,B100000,00000,1400,00000(ASSIGNED TIME) 66315,S000000,00100,0200,06/19/2000 66315,S200000,00100,0100,315 WEST GIBSON 66315,S200000,00200,0100,JASPER 66315,S200000,00200,0200,TX 66315,S200000,00200,0300,75951 66315,S200000,00300,0100,JASPER 66315,S200000,00400,0100,TIMBERLAKE HEALTH 66315,S200000,00400,0200,675709 66315,S200000,00400,0300,01/01/1998 66315,S200000,00400,0500,P 66315,S200000,01600,0100,Y 66315,S200000,01900,0100,501 C 66315,S200000,02200,0100,Y 66315,S200000,04300,0100,Y 66321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66321,A000000,00300,0000,00300EMPLOYEE BENEFITS 66321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66321,A000000,00700,0000,00700HOUSEKEEPING 66321,A000000,00800,0000,00800DIETARY 66321,A000000,00900,0000,00900NURSING ADMINISTRATION 66321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66321,A000000,01100,0000,01100PHARMACY 66321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66321,A000000,01300,0000,01300SOCIAL SERVICE 66321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66321,A000000,01600,0000,01600SKILLED NURSING FACILITY 66321,A000000,01810,0000,01810ICF/MR 66321,A000000,02500,0000,02500PHYSICAL THERAPY 66321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66321,A000000,03550,0000,03550FQHC 66321,A000000,05000,0000,05000CORF 66321,A000000,05010,0000,05010CMHC 66321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66321,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66321,B100000,00000,0100,00000SQUARE FEET 66321,B100000,00000,0200,00000SQUARE FEET 66321,B100000,00000,0300,00000GROSS SALARIES 66321,B100000,00000,0400,00000ACCUM COST 66321,B100000,00000,0500,00000SQUARE FEET 66321,B100000,00000,0600,00000PATIENT DAYS 66321,B100000,00000,0700,00000SQUARE FEET 66321,B100000,00000,0800,00000MEALS SERVED 66321,B100000,00000,0900,00000PATIENT DAYS 66321,B100000,00000,1000,00000PATIENT DAYS 66321,B100000,00000,1100,00000COSTED REQUIS 66321,B100000,00000,1200,00000PATIENT DAYS 66321,B100000,00000,1300,00000PATIENT DAYS 66321,B100000,00000,1400,00000ASSIGNED TIME 66321,S000000,00100,0200,04/10/2001 66321,S200000,00100,0100,205 EAST AYERS 66321,S200000,00200,0100,DELEON 66321,S200000,00200,0200,TX 66321,S200000,00200,0300,76444 66321,S200000,00300,0100,C 66321,S200000,00400,0100,DELEON NURSING HOME 66321,S200000,00400,0200,675713 66321,S200000,00400,0300,07/01/1997 66321,S200000,00400,0500,P 66321,S200000,01500,0100,Y 66332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66332,A000000,00300,0000,00300EMPLOYEE BENEFITS 66332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66332,A000000,00700,0000,00700HOUSEKEEPING 66332,A000000,00800,0000,00800DIETARY 66332,A000000,00900,0000,00900NURSING ADMINISTRATION 66332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66332,A000000,01100,0000,01100PHARMACY 66332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66332,A000000,01300,0000,01300SOCIAL SERVICE 66332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66332,A000000,01600,0000,01600SKILLED NURSING FACILITY 66332,A000000,01810,0000,01810ICF/MR 66332,A000000,02100,0000,02100RADIOLOGY 66332,A000000,02200,0000,02200LABORATORY 66332,A000000,02300,0000,02300INTRAVENOUS THERAPY 66332,A000000,02500,0000,02500PHYSICAL THERAPY 66332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66332,A000000,02700,0000,02700SPEECH PATHOLOGY 66332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66332,A000000,03550,0000,03550FQHC 66332,A000000,05000,0000,05000CORF 66332,A000000,05010,0000,05010CMHC 66332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66332,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66332,A81000A,00100,0100,Y 66332,A81000B,00100,0300,HOME OFFICE - CAPITAL 66332,A81000B,00200,0300,HOME OFFICE - NONCAPITAL 66332,A81000B,00300,0300,MANAGEMENT FEES 66332,B100000,00000,0100,00000SQUARE FEET 66332,B100000,00000,0200,00000SQUARE FEET 66332,B100000,00000,0300,00000GROSS SALARIES 66332,B100000,00000,0400,00000ACCUM COST 66332,B100000,00000,0500,00000SQUARE FEET 66332,B100000,00000,0600,00000PATIENT DAYS 66332,B100000,00000,0700,00000SQUARE FEET 66332,B100000,00000,0800,00000MEALS SERVED 66332,B100000,00000,0900,00000PATIENT DAYS 66332,B100000,00000,1000,00000PATIENT DAYS 66332,B100000,00000,1100,00000PATIENT DAYS 66332,B100000,00000,1200,00000TIME SPENT 66332,B100000,00000,1300,00000PATIENT DAYS 66332,B100000,00000,1400,00000ASSIGNED TIME 66332,S000000,00100,0200,06/14/2000 66332,S200000,00100,0100,3201 SAGE 66332,S200000,00200,0100,MIDLAND 66332,S200000,00200,0200,TX 66332,S200000,00200,0300,79705 66332,S200000,00300,0100,MIDLAND 66332,S200000,00400,0100,MIDLAND SKILLED NURSING FACILITY 66332,S200000,00400,0200,675718 66332,S200000,00400,0300,09/23/1997 66332,S200000,00400,0500,P 66332,S200000,01500,0100,Y 66332,S200000,01900,0100,OTHER (SPECIFY) 66338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66338,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66338,A000000,00300,0000,00300EMPLOYEE BENEFITS 66338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66338,A000000,00700,0000,00700HOUSEKEEPING 66338,A000000,00800,0000,00800DIETARY 66338,A000000,00900,0000,00900NURSING ADMINISTRATION 66338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66338,A000000,01100,0000,01100PHARMACY 66338,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66338,A000000,01300,0000,01300SOCIAL SERVICE 66338,A000000,01350,0000,01500ACTITIES 66338,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66338,A000000,01600,0000,01600SKILLED NURSING FACILITY 66338,A000000,01800,0000,01800NURSING FACILITY 66338,A000000,01810,0000,01810ICF/MR 66338,A000000,02100,0000,02100RADIOLOGY 66338,A000000,02200,0000,02200LABORATORY 66338,A000000,02300,0000,02300INTRAVENOUS THERAPY 66338,A000000,02500,0000,02500PHYSICAL THERAPY 66338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66338,A000000,02700,0000,02700SPEECH PATHOLOGY 66338,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66338,A000000,03050,0000,03300PEN THERAPY 66338,A000000,03550,0000,03550FQHC 66338,A000000,05000,0000,05000CORF 66338,A000000,05010,0000,05010CMHC 66338,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66338,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66338,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66338,A000000,05300,0000,05300INTEREST EXPENSE 66338,A81000A,00100,0100,Y 66338,A81000B,00100,0300,FACILITY LEASE 66338,A81000C,00100,0100,A 66338,A81000C,00100,0200,FE DEERE 66338,A81000C,00200,0100,A 66338,A81000C,00200,0200,BETSY DEERE 66338,B100000,00000,0100,00000SQUARE FEET 66338,B100000,00000,0200,00000SQUARE FEET 66338,B100000,00000,0300,00000GROSS SAL 66338,B100000,00000,0400,00000ACCUM. COST 66338,B100000,00000,0500,00000SQUARE FEET 66338,B100000,00000,0600,00000PAT DAYS 66338,B100000,00000,0700,00000SQUARE FEET 66338,B100000,00000,0800,00000MEALS SERVED 66338,B100000,00000,0900,00000TIME SPENT -NUR 66338,B100000,00000,1000,00000BLANK 66338,B100000,00000,1100,00000BLANK 66338,B100000,00000,1200,00000TIME SPENT -MED 66338,B100000,00000,1300,00000TIME SPENT -SOC 66338,B100000,00000,1350,00000TIME SPENT -ACT 66338,B100000,00000,1400,00000BLANK 66338,S000000,00100,0200,06/01/2000 66338,S200000,00100,0100,936 WEST FOURTH 66338,S200000,00200,0100,SINTON 66338,S200000,00200,0200,TX 66338,S200000,00200,0300,78387 66338,S200000,00300,0100,SAN PATRICIO 66338,S200000,00400,0100,SINTON MANOR 66338,S200000,00400,0200,675719 66338,S200000,00400,0300,09/17/1997 66338,S200000,00400,0500,P 66338,S200000,01600,0100,Y 66338,S200000,04300,0100,Y 66345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66345,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 66345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66345,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 66345,A000000,00300,0000,00300EMPLOYEE BENEFITS 66345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66345,A000000,00700,0000,00700HOUSEKEEPING 66345,A000000,00800,0000,00800DIETARY 66345,A000000,00801,0000,00801CAFETERIA 66345,A000000,00900,0000,00900NURSING ADMINISTRATION 66345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66345,A000000,01100,0000,01100PHARMACY 66345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66345,A000000,01300,0000,01300SOCIAL SERVICE 66345,A000000,01350,0000,01500ACTIVITIES 66345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66345,A000000,01600,0000,01600SKILLED NURSING FACILITY 66345,A000000,01800,0000,01800NURSING FACILITY 66345,A000000,01810,0000,01810ICF/MR 66345,A000000,02100,0000,02100RADIOLOGY 66345,A000000,02500,0000,02500PHYSICAL THERAPY 66345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66345,A000000,02700,0000,02700SPEECH PATHOLOGY 66345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66345,A000000,03050,0000,03300OTHER ANCILLARY 66345,A000000,03051,0000,03301OTHER ANCILLARY II 66345,A000000,03052,0000,03302OTHER ANCILLARY III 66345,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66345,A000000,03550,0000,03550FQHC 66345,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66345,A000000,05000,0000,05000CORF I 66345,A000000,05010,0000,05010CMHC I 66345,A000000,05020,0000,05020OPT I 66345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66345,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66345,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66345,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66345,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66345,A81000A,00100,0100,Y 66345,A81000B,00200,0300,SALEM HOUSING ALLOCATION 66345,A81000C,00100,0100,B 66345,A81000C,00100,0200,SALEM REHAB 66345,A81000C,00100,0600,LONG TERM 66345,A81000C,00200,0600,CARE MGMT 66345,B100000,00000,0100,00000(SQUARE FEET) 66345,B100000,00000,0101,00000(SQUARE FEET) 66345,B100000,00000,0200,00000(SQUARE FEET) 66345,B100000,00000,0201,00000(SQUARE FEET) 66345,B100000,00000,0300,00000(GROSS SALARIES) 66345,B100000,00000,0400,00000(ACCUM. COST) 66345,B100000,00000,0500,00000(SQUARE FEET) 66345,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 66345,B100000,00000,0700,00000(SQUARE FEET) 66345,B100000,00000,0800,00000(MEALS SERVED) 66345,B100000,00000,0801,00000(MEALS SERVED) 66345,B100000,00000,0900,00000(PATIENT DAYS) 66345,B100000,00000,1000,00000(GROSS CHARGES) 66345,B100000,00000,1100,00000(PATIENT DAYS) 66345,B100000,00000,1200,00000(PATIENT DAYS) 66345,B100000,00000,1300,00000(TIME SPENT) 66345,B100000,00000,1350,00000(PATIENT DAYS) 66345,B100000,00000,1400,00000(ASSIGNED TIME) 66345,S000000,00100,0200,06/01/2000 66345,S200000,00100,0100,HWY 803 CENTER ST 66345,S200000,00100,0300,806 66345,S200000,00200,0100,PINELAND 66345,S200000,00200,0200,TX 66345,S200000,00200,0300,75968 66345,S200000,00400,0100,PINELAND HEALTH & REHAB CENTER 66345,S200000,00400,0200,675721 66345,S200000,00400,0300,11/01/1997 66345,S200000,00400,0500,P 66345,S200000,01600,0100,Y 66345,S200000,02200,0100,Y 66345,S200000,04300,0100,Y 66360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66360,A000000,00300,0000,00300EMPLOYEE BENEFITS 66360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66360,A000000,00700,0000,00700HOUSEKEEPING 66360,A000000,00800,0000,00800DIETARY 66360,A000000,00900,0000,00900NURSING ADMINISTRATION 66360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66360,A000000,01100,0000,01100PHARMACY 66360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66360,A000000,01300,0000,01300SOCIAL SERVICE 66360,A000000,01350,0000,01500OTHER GENERAL SERVICES 66360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66360,A000000,01600,0000,01600SKILLED NURSING FACILITY 66360,A000000,01800,0000,01800NURSING FACILITY 66360,A000000,01810,0000,01810ICF/MR 66360,A000000,02100,0000,02100RADIOLOGY 66360,A000000,02200,0000,02200LABORATORY 66360,A000000,02500,0000,02500PHYSICAL THERAPY 66360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66360,A000000,02700,0000,02700SPEECH PATHOLOGY 66360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66360,A000000,03050,0000,03300AMBULANCE 66360,A000000,03201,0000,03201AIR FLUIDIZED BEDS 66360,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66360,A000000,03550,0000,03550FQHC 66360,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66360,A000000,05000,0000,05000CORF 66360,A000000,05010,0000,05010CMHC 66360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66360,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66360,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66360,A81000A,00100,0100,Y 66360,A81000B,00100,0300,BUILDING COSTS 66360,A81000C,00100,0100,A 66360,A81000C,00100,0200,FRIENDSHIP HAVEN 66360,A81000C,00100,0400,MYSTIC LTD 66360,B100000,00000,0100,00000SQUARE FEET 66360,B100000,00000,0200,00000SQUARE FEET 66360,B100000,00000,0300,00000GROSS SALARIES 66360,B100000,00000,0400,00000ACCUM. COST 66360,B100000,00000,0500,00000SQUARE FEET 66360,B100000,00000,0600,00000PATIENT DAYS 66360,B100000,00000,0700,00000SQUARE FEET 66360,B100000,00000,0800,00000PATIENT DAYS 66360,B100000,00000,0900,00000DIRECT NRSING HRS 66360,B100000,00000,1000,00000COSTED REQUIS. 66360,B100000,00000,1100,00000COSTED REQUIS. 66360,B100000,00000,1200,00000PATIENT DAYS 66360,B100000,00000,1300,00000PATIENT DAYS 66360,B100000,00000,1350,00000NO STATISTICS 66360,B100000,00000,1400,00000ASSIGNED TIME 66360,S000000,00100,0200,05/30/2000 66360,S200000,00100,0100,1500 SUNSET STREET 66360,S200000,00200,0100,FRIENDSWOOD 66360,S200000,00200,0200,TX 66360,S200000,00200,0300,77546 66360,S200000,00300,0100,GALVESTON 66360,S200000,00400,0100,FRIENDSHIP HAVEN 66360,S200000,00400,0200,675744 66360,S200000,00400,0300,03/05/1998 66360,S200000,00400,0500,P 66360,S200000,01600,0100,Y 66365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66365,A000000,00300,0000,00300EMPLOYEE BENEFITS 66365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66365,A000000,00700,0000,00700HOUSEKEEPING 66365,A000000,00800,0000,00800DIETARY 66365,A000000,00900,0000,00900NURSING ADMINISTRATION 66365,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66365,A000000,01100,0000,01100PHARMACY 66365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66365,A000000,01300,0000,01300SOCIAL SERVICE 66365,A000000,01350,0000,01500OTHER GENERAL SERVICES 66365,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66365,A000000,01600,0000,01600SKILLED NURSING FACILITY 66365,A000000,01800,0000,01800NURSING FACILITY 66365,A000000,01810,0000,01810ICF/MR 66365,A000000,01900,0000,01900OTHER LONG TERM CARE 66365,A000000,02100,0000,02100RADIOLOGY 66365,A000000,02500,0000,02500PHYSICAL THERAPY 66365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66365,A000000,02700,0000,02700SPEECH PATHOLOGY 66365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66365,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66365,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66365,A000000,03550,0000,03550FQHC 66365,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66365,A000000,05000,0000,05000CORF 66365,A000000,05010,0000,05010CMHC 66365,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66365,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66365,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66365,A000000,05300,0000,05300INTEREST EXPENSE 66365,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66365,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66365,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66365,A81000A,00100,0100,Y 66365,A81000B,00100,0300,MANAGEMENT FEES 66365,A81000B,00200,0300,MANAGEMENT FEES 66365,A81000C,00100,0100,A 66365,A81000C,00100,0200,JOHN NEILL 66365,A81000C,00100,0400,TELESIS MANAGEMENT CORP 66365,A81000C,00100,0600,MANAGEMENT COMPNAY 66365,A81000C,00200,0100,A 66365,A81000C,00200,0200,STEVE RUSH 66365,A81000C,00200,0400,TELESIS MANAGEMENT COPR 66365,A81000C,00200,0600,MANAGEMENT COMPANY 66365,B100000,00000,0100,00000SQUARE FEET 66365,B100000,00000,0200,00000NO STATISTICS 66365,B100000,00000,0300,00000GROSS SALARIES 66365,B100000,00000,0400,00000ACCUM. COST 66365,B100000,00000,0500,00000SQUARE FEET 66365,B100000,00000,0600,00000PATIENT DAYS 66365,B100000,00000,0700,00000SQUARE FEET 66365,B100000,00000,0800,00000MEALS SERVED 66365,B100000,00000,0900,00000PATIENT DAYS 66365,B100000,00000,1000,00000COSTEDREQU UISITIONS 66365,B100000,00000,1100,00000TOTAL SALES 66365,B100000,00000,1200,00000PATIENT DAYS 66365,B100000,00000,1300,00000PATIENT DAYS 66365,B100000,00000,1350,00000NO STATISTICS 66365,B100000,00000,1400,00000NO STATISTICS 66365,E10A180,00501,0100,09/13/1999 66365,S000000,00100,0200,09/02/1999 66365,S200000,00100,0100,5515 GLEN LAKES DRIVE 66365,S200000,00200,0100,DALLAS 66365,S200000,00200,0200,TX 66365,S200000,00300,0100,DALLAS 66365,S200000,00400,0100,WALNUT PLACE NURSING HOME 66365,S200000,00400,0200,675765 66365,S200000,00400,0300,10/02/1998 66365,S200000,00400,0500,P 66365,S200000,01600,0100,Y 66369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66369,A000000,00300,0000,00300EMPLOYEE BENEFITS 66369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66369,A000000,00700,0000,00700HOUSEKEEPING 66369,A000000,00800,0000,00800DIETARY 66369,A000000,00900,0000,00900NURSING ADMINISTRATION 66369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66369,A000000,01100,0000,01100PHARMACY 66369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66369,A000000,01300,0000,01300SOCIAL SERVICE 66369,A000000,01350,0000,01500OTHER GENERAL SERVICES 66369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66369,A000000,01600,0000,01600SKILLED NURSING FACILITY 66369,A000000,01810,0000,01810ICF/MR 66369,A000000,02200,0000,02200LABORATORY 66369,A000000,02500,0000,02500PHYSICAL THERAPY 66369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66369,A000000,02700,0000,02700SPEECH PATHOLOGY 66369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66369,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66369,A000000,03550,0000,03550FQHC 66369,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66369,A000000,05000,0000,05000CORF 66369,A000000,05010,0000,05010CMHC 66369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66369,A000000,05300,0000,05300INTEREST EXPENSE 66369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66369,A81000A,00100,0100,Y 66369,A81000B,00100,0300,MANAGEMENT FEES 66369,A81000B,00200,0300,MANAGEMENT FEES 66369,A81000B,00300,0300,MANAGEMENT FEES 66369,A81000B,00400,0300,INTEREST EXPENSE 66369,A81000C,00100,0100,F 66369,A81000C,00100,0200,RICHARD BRAME 66369,A81000C,00100,0600,INDIVIDUAL 66369,A81000C,00200,0100,A 66369,A81000C,00200,0200,DON BAKER 66369,A81000C,00200,0400,BANNER MANAGEMENT 66369,A81000C,00200,0600,MANAGEMENT COMPANY 66369,A81000C,00300,0100,A 66369,A81000C,00300,0200,SHARON BAKER 66369,A81000C,00300,0400,BANNER MANAGEMENT 66369,A81000C,00300,0600,MANAGEMENT COMPANY 66369,A81000C,00400,0100,A 66369,A81000C,00400,0200,JAMES HALSTEAD 66369,A81000C,00400,0600,INDIVIDUAL 66369,B100000,00000,0100,00000SQUARE FEET 66369,B100000,00000,0200,00000SQUARE FEET 66369,B100000,00000,0300,00000GROSS SALARIES 66369,B100000,00000,0400,00000ACCUM. COST 66369,B100000,00000,0500,00000SQUARE FEET 66369,B100000,00000,0600,00000PATIENT DAYS 66369,B100000,00000,0700,00000SQ. FT. CLEANED 66369,B100000,00000,0800,00000MEALS SERVED 66369,B100000,00000,0900,00000DIRECT NRSING HRS 66369,B100000,00000,1000,00000COSTED REQUIS. 66369,B100000,00000,1100,00000COSTED REQUIS. 66369,B100000,00000,1200,00000TIME SPENT 66369,B100000,00000,1300,00000TIME SPENT 66369,B100000,00000,1350,00000NO STATISTICS 66369,B100000,00000,1400,00000ASSIGNED TIME 66369,E10A180,00550,0100,08/11/1999 66369,S000000,00100,0200,07/09/1999 66369,S200000,00100,0100,3745 SUMMER CREST DRIVE 66369,S200000,00200,0100,SAN ANGELO 66369,S200000,00200,0200,TX 66369,S200000,00200,0300,76901 66369,S200000,00300,0100,TOM GREEN 66369,S200000,00400,0100,BAKER-BRAME SKILLED NURSING & REHAB 66369,S200000,00400,0200,675767 66369,S200000,00400,0300,10/22/1998 66369,S200000,00400,0500,P 66369,S200000,01500,0100,Y 66369,S200000,04100,0100,Y 66371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66371,A000000,00300,0000,00300EMPLOYEE BENEFITS 66371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66371,A000000,00700,0000,00700HOUSEKEEPING 66371,A000000,00800,0000,00800DIETARY 66371,A000000,00900,0000,00900NURSING ADMINISTRATION 66371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66371,A000000,01100,0000,01100PHARMACY 66371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66371,A000000,01300,0000,01300SOCIAL SERVICE 66371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66371,A000000,01600,0000,01600SKILLED NURSING FACILITY 66371,A000000,01810,0000,01810ICF/MR 66371,A000000,02200,0000,02200LABORATORY 66371,A000000,02300,0000,02300INTRAVENOUS THERAPY 66371,A000000,02500,0000,02500PHYSICAL THERAPY 66371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66371,A000000,02700,0000,02700SPEECH PATHOLOGY 66371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66371,A000000,03200,0000,03200SUPPORT SURFACES 66371,A000000,03550,0000,03550FQHC 66371,A000000,05000,0000,05000CORF 66371,A000000,05010,0000,05010CMHC 66371,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66371,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66371,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66371,A000000,05300,0000,05300INTEREST EXPENSE 66371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66371,A81000A,00100,0100,Y 66371,A81000B,00100,0300,OWNERS SALARIES 66371,A81000B,00200,0300,OWNERS HEALTH INSUR 66371,A81000B,00300,0300,OWNERS TRAVEL ALLOW 66371,A81000B,00400,0300,INTEREST TO OWNERS 66371,A81000C,00100,0100,F 66371,A81000C,00100,0200,RICHARD BRAME 66371,A81000C,00100,0400,WIFE OWNS 38% 66371,A81000C,00100,0600,INDIVIDUAL 66371,A81000C,00200,0100,A 66371,A81000C,00200,0200,DON BAKER 66371,A81000C,00200,0400,PLTCS 66371,A81000C,00200,0600,MANAGEMENT COMP 66371,A81000C,00300,0100,A 66371,A81000C,00300,0200,SHARON BAKER 66371,A81000C,00300,0400,PLTCS 66371,A81000C,00300,0600,MANAGEMENT COMP 66371,A81000C,00400,0100,A 66371,A81000C,00400,0200,JAMES HALSTEAD 66371,A81000C,00400,0600,INDIVIDUAL 66371,B100000,00000,0100,00000SQUARE FEET 66371,B100000,00000,0200,00000SQUARE FEET 66371,B100000,00000,0300,00000GROSS SALARIES 66371,B100000,00000,0400,00000ACCUM COST 66371,B100000,00000,0500,00000SQUARE FEET 66371,B100000,00000,0600,00000PATIENT DAYS 66371,B100000,00000,0700,00000SQUARE FT CLEANED 66371,B100000,00000,0800,00000MEALS SERVED 66371,B100000,00000,0900,00000DIRECT NRSG HRS 66371,B100000,00000,1000,00000COSTED REQUIS 66371,B100000,00000,1100,00000COSTED REQUIS 66371,B100000,00000,1200,00000TIME SPENT 66371,B100000,00000,1300,00000COSTE REQUIS 66371,B100000,00000,1400,00000ASSIGNED TIME 66371,S000000,00100,0200,06/02/2000 66371,S200000,00100,0100,3745 SUMMER CREST DRIVE 66371,S200000,00200,0100,SAN ANGELO 66371,S200000,00200,0200,TX 66371,S200000,00200,0300,76901 66371,S200000,00300,0100,TOM GREEN 66371,S200000,00400,0100,SAN ANGELO REGENCY HOUSE 66371,S200000,00400,0200,675767 66371,S200000,00400,0300,10/22/1998 66371,S200000,00400,0500,P 66371,S200000,01500,0100,Y 66371,S200000,04100,0100,Y 66375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66375,A000000,00300,0000,00300EMPLOYEE BENEFITS 66375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66375,A000000,00700,0000,00700HOUSEKEEPING 66375,A000000,00800,0000,00800DIETARY 66375,A000000,00900,0000,00900NURSING ADMINISTRATION 66375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66375,A000000,01100,0000,01100PHARMACY 66375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66375,A000000,01300,0000,01300SOCIAL SERVICE 66375,A000000,01350,0000,01500OTHER GENERAL SERVICES 66375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66375,A000000,01600,0000,01600SKILLED NURSING FACILITY 66375,A000000,01800,0000,01800NURSING FACILITY 66375,A000000,01810,0000,01810ICF/MR 66375,A000000,02100,0000,02100RADIOLOGY 66375,A000000,02200,0000,02200LABORATORY 66375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66375,A000000,02500,0000,02500PHYSICAL THERAPY 66375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66375,A000000,02700,0000,02700SPEECH PATHOLOGY 66375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66375,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66375,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66375,A000000,03550,0000,03550FQHC 66375,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66375,A000000,05000,0000,05000CORF 66375,A000000,05010,0000,05010CMHC 66375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66375,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66375,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66375,A81000A,00100,0100,Y 66375,A81000B,00100,0300,NURSING HOME ADMINISTATION 66375,A81000C,00100,0100,B 66375,A81000C,00100,0400,HARVEST SENIOR SERVICES 66375,A81000C,00100,0600,LTC MANAGEMENT 66375,B100000,00000,0100,00000SQUARE FEET 66375,B100000,00000,0200,00000SQUARE FEET 66375,B100000,00000,0300,00000GROSS SALARIES 66375,B100000,00000,0400,00000ACCUM. COST 66375,B100000,00000,0500,00000SQUARE FEET 66375,B100000,00000,0600,00000POUNDS OF LAUNDRY 66375,B100000,00000,0700,00000SQUARE FEET 66375,B100000,00000,0800,00000MEALS SERVED 66375,B100000,00000,0900,00000DIRECT NRSING HRS 66375,B100000,00000,1000,00000COSTED REQUIS. 66375,B100000,00000,1100,00000COSTED REQUIS. 66375,B100000,00000,1200,00000TIME SPENT 66375,B100000,00000,1300,00000TIME SPENT 66375,B100000,00000,1350,00000NO STATISTICS 66375,B100000,00000,1400,00000ASSIGNED TIME 66375,S000000,00100,0200,05/31/2000 66375,S200000,00100,0100,5129 E. FIFTH STREET 66375,S200000,00200,0100,KATY 66375,S200000,00200,0200,TX 66375,S200000,00200,0300,77493 66375,S200000,00300,0100,HARRIS 66375,S200000,00400,0100,KATYVILLE HEALTH CARE CENTER 66375,S200000,00400,0200,675775 66375,S200000,00400,0300,01/28/1999 66375,S200000,00400,0500,P 66375,S200000,01600,0100,Y 66375,S200000,01900,0100,OTHER (SPECIFY) 66375,S200000,04300,0100,Y 66377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66377,A000000,00300,0000,00300EMPLOYEE BENEFITS 66377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66377,A000000,00700,0000,00700HOUSEKEEPING 66377,A000000,00800,0000,00800DIETARY 66377,A000000,00900,0000,00900NURSING ADMINISTRATION 66377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66377,A000000,01100,0000,01100PHARMACY 66377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66377,A000000,01300,0000,01300SOCIAL SERVICE 66377,A000000,01350,0000,01500ACTIVITIES 66377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66377,A000000,01600,0000,01600SKILLED NURSING FACILITY 66377,A000000,01800,0000,01800NURSING FACILITY 66377,A000000,01810,0000,01810ICF/MR 66377,A000000,01900,0000,01900OTHER LONG TERM CARE 66377,A000000,02500,0000,02500PHYSICAL THERAPY 66377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66377,A000000,02700,0000,02700SPEECH PATHOLOGY 66377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66377,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66377,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66377,A000000,03550,0000,03550FQHC 66377,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66377,A000000,05000,0000,05000CORF 66377,A000000,05010,0000,05010CMHC 66377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66377,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66377,A000000,06150,0000,06300ASSISTED/INDEPENDANT LIVING 66377,A000000,06152,0000,06302MARKETING 66377,B100000,00000,0100,00002SQUARE FEET 66377,B100000,00000,0200,00002DOLLAR VALUE 66377,B100000,00000,0300,00002GROSS SALARIES 66377,B100000,00000,0400,00002ACCUM. COST 66377,B100000,00000,0500,00002SQUARE FEET 66377,B100000,00000,0600,00002PATIENT DAYS 66377,B100000,00000,0700,00002SQUARE FEET 66377,B100000,00000,0800,00002MEALS SERVED 66377,B100000,00000,0900,00002PATIENT DAYS 66377,B100000,00000,1000,00002PATIENT DAYS 66377,B100000,00000,1100,00002PATIENT DAYS 66377,B100000,00000,1200,00002PATIENT DAYS 66377,B100000,00000,1300,00002PATIENT DAYS 66377,B100000,00000,1350,00002PATIENT DAYS 66377,B100000,00000,1400,00002ASSIGNED TIME 66377,S000000,00100,0200,06/22/2000 66377,S200000,00100,0100,1321 PARK BAYOU DRIVE 66377,S200000,00200,0100,PARKWAY PLACE 66377,S200000,00200,0200,675777 66377,S200000,00200,0300,77077 66377,S200000,00300,0100,HOUSTON 66377,S200000,00400,0100,PARKWAY PLACE 66377,S200000,00400,0200,675777 66377,S200000,00400,0300,01/07/1999 66377,S200000,00400,0500,P 66377,S200000,01500,0100,Y 66377,S200000,02200,0100,Y 66378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66378,A000000,00300,0000,00300EMPLOYEE BENEFITS 66378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66378,A000000,00700,0000,00700HOUSEKEEPING 66378,A000000,00800,0000,00800DIETARY 66378,A000000,00900,0000,00900NURSING ADMINISTRATION 66378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66378,A000000,01100,0000,01100PHARMACY 66378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66378,A000000,01300,0000,01300SOCIAL SERVICE 66378,A000000,01350,0000,01500OTHER GENERAL SERVICES 66378,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66378,A000000,01600,0000,01600SKILLED NURSING FACILITY 66378,A000000,01800,0000,01800NURSING FACILITY 66378,A000000,01810,0000,01810ICF/MR 66378,A000000,02100,0000,02100RADIOLOGY 66378,A000000,02200,0000,02200LABORATORY 66378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66378,A000000,02500,0000,02500PHYSICAL THERAPY 66378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66378,A000000,02700,0000,02700SPEECH PATHOLOGY 66378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66378,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66378,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66378,A000000,03550,0000,03550FQHC 66378,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66378,A000000,05000,0000,05000CORF 66378,A000000,05010,0000,05010CMHC 66378,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66378,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66378,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66378,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66378,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66378,A81000A,00100,0100,Y 66378,A81000B,00100,0300,ADMINISTRATIVE & GEN 66378,A81000C,00100,0100,B 66378,A81000C,00100,0400,HARVEST SENIOR SERVICES 66378,A81000C,00100,0600,LTC MANAGEMENT 66378,B100000,00000,0100,00000SQUARE FEET 66378,B100000,00000,0200,00000SQUARE FEET 66378,B100000,00000,0300,00000GROSS SALARIES 66378,B100000,00000,0400,00000ACCUM. COST 66378,B100000,00000,0500,00000SQUARE FEET 66378,B100000,00000,0600,00000POUNDS OF LAUNDRY 66378,B100000,00000,0700,00000SQUARE FEET 66378,B100000,00000,0800,00000MEALS SERVED 66378,B100000,00000,0900,00000DIRECT NRSING HRS 66378,B100000,00000,1000,00000COSTED REQUIS. 66378,B100000,00000,1100,00000COSTED REQUIS. 66378,B100000,00000,1200,00000TIME SPENT 66378,B100000,00000,1300,00000TIME SPENT 66378,B100000,00000,1350,00000NO STATISTICS 66378,B100000,00000,1400,00000ASSIGNED TIME 66378,S000000,00100,0200,05/31/2000 66378,S200000,00100,0100,3600 ANGLE AVENUE 66378,S200000,00200,0100,FORT WORTH 66378,S200000,00200,0200,TX 66378,S200000,00200,0300,76106 66378,S200000,00300,0100,TARRANT 66378,S200000,00400,0100,VILLA HERMOSA 66378,S200000,00400,0200,675779 66378,S200000,00400,0300,02/22/1999 66378,S200000,00400,0500,P 66378,S200000,01600,0100,Y 66378,S200000,04300,0100,Y 66383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 66383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 66383,A000000,00300,0000,00300EMPLOYEE BENEFITS 66383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 66383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66383,A000000,00700,0000,00700HOUSEKEEPING 66383,A000000,00800,0000,00800DIETARY 66383,A000000,00801,0000,00801CAFETERIA 66383,A000000,00900,0000,00900NURSING ADMINISTRATION 66383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66383,A000000,01100,0000,01100PHARMACY 66383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66383,A000000,01300,0000,01300SOCIAL SERVICE 66383,A000000,01350,0000,01500ROUTINE 66383,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 66383,A000000,01600,0000,01600SKILLED NURSING FACILITY 66383,A000000,01800,0000,01800NURSING FACILITY 66383,A000000,01810,0000,01810ICF/MR 66383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66383,A000000,02500,0000,02500PHYSICAL THERAPY 66383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 66383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66383,A000000,03550,0000,03550FQHC 66383,A000000,05000,0000,05000CORF 66383,A000000,05010,0000,05010CMHC 66383,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66383,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66383,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66383,A000000,06001,0000,06001GUEST MEALS 66383,A81000A,00100,0100,Y 66383,A81000B,00100,0300,ADMINISTRATIVE & GEN 66383,A81000C,00100,0100,B 66383,A81000C,00100,0200,MBFA INC. DBA 66383,A81000C,00100,0400,MBFA INC DBA MS 66383,A81000C,00100,0600,NURSING FACILIT 66383,B100000,00000,0100,00001SQUARE FEET 66383,B100000,00000,0200,00001SQUARE FEET 66383,B100000,00000,0300,00001GROSS SALARIES 66383,B100000,00000,0400,00001ACCUM COST 66383,B100000,00000,0500,00001SQUARE FEET 66383,B100000,00000,0600,00001POUNDS OF LAUNDRY 66383,B100000,00000,0700,00001SQUARE FOOTAGE 66383,B100000,00000,0800,00001MEALS SERVED 66383,B100000,00000,0801,00001FTES 66383,B100000,00000,0900,00001DIRECT NRSG HRS 66383,B100000,00000,1000,00001COSTED REQUIS 66383,B100000,00000,1100,00001COSTED REQUIS 66383,B100000,00000,1200,00001GROSS REVENUE 66383,B100000,00000,1300,00001TIME SPENT 66383,B100000,00000,1350,00001DAYS 66383,B100000,00000,1400,00001ASSIGNED TIME 66383,E10A180,00550,0100,07/18/2000 66383,S000000,00100,0200,06/01/2000 66383,S200000,00100,0100,101 LIBERTY LANE 66383,S200000,00200,0100,ANSON 66383,S200000,00200,0200,TX 66383,S200000,00200,0300,79501 66383,S200000,00300,0100,JONES 66383,S200000,00400,0100,VALLEY VIEW CARE CENTER 66383,S200000,00400,0200,675782 66383,S200000,00400,0300,02/19/1999 66383,S200000,00400,0500,P 66383,S200000,00600,0200,455003 66383,S200000,00600,0300,06/15/1985 66383,S200000,00600,0600,P 66383,S200000,01600,0100,Y 66383,S200000,01900,0100,OTHER (SPECIFY) 66383,S200000,02200,0100,Y 66390,S000000,00100,0200,06/12/2000 66411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66411,A000000,00300,0000,00300EMPLOYEE BENEFITS 66411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66411,A000000,00700,0000,00700HOUSEKEEPING 66411,A000000,00800,0000,00800DIETARY 66411,A000000,00900,0000,00900NURSING ADMINISTRATION 66411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66411,A000000,01100,0000,01100PHARMACY 66411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66411,A000000,01300,0000,01300SOCIAL SERVICE 66411,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66411,A000000,01600,0000,01600SKILLED NURSING FACILITY 66411,A000000,01800,0000,01800NURSING FACILITY 66411,A000000,01900,0000,01900OTHER LONG TERM CARE 66411,A000000,02100,0000,02100RADIOLOGY 66411,A000000,02200,0000,02200LABORATORY 66411,A000000,02300,0000,02300INTRAVENOUS THERAPY 66411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66411,A000000,02500,0000,02500PHYSICAL THERAPY 66411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66411,A000000,02700,0000,02700SPEECH PATHOLOGY 66411,A000000,02800,0000,02800ELECTROCARDIOLOGY 66411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66411,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 66411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 66411,A000000,04800,0000,04800AMBULANCE 66411,A000000,05000,0000,05000CORF 66411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66411,A000000,05300,0000,05300INTEREST EXPENSE 66411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66411,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66411,A000000,06100,0000,06100NONPAID WORKERS 66411,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66411,A000000,06200,0000,06200PATIENTS LAUNDRY 66411,A81000A,00100,0100,Y 66411,A81000B,00901,0300,HOME OFFICE COSTS 66411,A81000B,00902,0300,HOME OFFICE COSTS 66411,A81000C,00100,0100,B 66411,A81000C,00100,0200,BOND JOHNSON & 66411,A81000C,00100,0600,MANAGEMENT COMP 66411,S000000,00100,0200,05/26/2000 66411,S200000,00100,0100,2700 W. 5600 STREET SOUTH 66411,S200000,00200,0100,ROY 66411,S200000,00200,0200,UT 66411,S200000,00200,0300,84607 66411,S200000,00300,0100,DAVIS 66411,S200000,00400,0100,HERITAGE PARK CARE CENTER 66411,S200000,00400,0200,465003 66411,S200000,00400,0300,01/01/1978 66411,S200000,00400,0500,P 66411,S700003,00000,0100,1 66420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66420,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66420,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66420,A000000,00300,0000,00300EMPLOYEE BENEFITS 66420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66420,A000000,00700,0000,00700HOUSEKEEPING 66420,A000000,00800,0000,00800DIETARY 66420,A000000,00801,0000,00801CAFETERIA 66420,A000000,00900,0000,00900NURSING ADMINISTRATION 66420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66420,A000000,01100,0000,01100PHARMACY 66420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66420,A000000,01300,0000,01300SOCIAL SERVICE 66420,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66420,A000000,01600,0000,01600SKILLED NURSING FACILITY 66420,A000000,01800,0000,01800NURSING FACILITY 66420,A000000,01900,0000,01900OTHER LONG TERM CARE 66420,A000000,02100,0000,02100RADIOLOGY 66420,A000000,02200,0000,02200LABORATORY 66420,A000000,02300,0000,02300INTRAVENOUS THERAPY 66420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66420,A000000,02500,0000,02500PHYSICAL THERAPY 66420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66420,A000000,02700,0000,02700SPEECH PATHOLOGY 66420,A000000,02800,0000,02800ELECTROCARDIOLOGY 66420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66420,A000000,03050,0000,03300OTHER ANCILLARY 66420,A000000,03051,0000,03301OTHER ANCILLARY II 66420,A000000,03052,0000,03302OTHER ANCILLARY III 66420,A000000,03100,0000,03100DENTAL CARE-TITLE XIX ONLY 66420,A000000,03200,0000,03200SUPPORT SURFACES 66420,A000000,03400,0000,03400CLINIC 66420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66420,A000000,03500,0000,03500RURAL HEALTH CLINIC 66420,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66420,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66420,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66420,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66420,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66420,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66420,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66420,A000000,04400,0000,04400DME RENTED - HHA 66420,A000000,04500,0000,04500DME SOLD - HHA 66420,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66420,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66420,A000000,04800,0000,04800AMBULANCE 66420,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66420,A000000,05000,0000,05000CORF I 66420,A000000,05010,0000,05010CMHC I 66420,A000000,05020,0000,05020OPT I 66420,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66420,A000000,05300,0000,05300INTEREST EXPENSE 66420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66420,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66420,A000000,05500,0000,05500HOSPICE 66420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66420,A000000,06100,0000,06100NONPAID WORKERS 66420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66420,A000000,06200,0000,06200PATIENTS LAUNDRY 66420,A81000A,00100,0100,Y 66420,A81000B,00100,0300,MANAGEMENT FEES 66420,A81000B,00200,0300,ACCOUNTING FEES 66420,A81000B,00300,0300,COST REPORT FEES 66420,A81000C,00100,0100,B 66420,A81000C,00100,0400,HERITAGE MGT. 66420,A81000C,00100,0600,MANAGEMENT 66420,S000000,00100,0200,05/31/2000 66420,S200000,00100,0100,815 SOUTH 200 WEST 66420,S200000,00200,0100,BRIGHAM CITY 66420,S200000,00200,0300,84302 66420,S200000,00300,0100,BOX ELDER 66420,S200000,00400,0100,PIONEER CARE CENTER 66420,S200000,00400,0200,465020 66420,S200000,00400,0300,10/01/1977 66420,S200000,00400,0500,P 66420,S200000,01500,0100,Y 66420,S200000,01900,0100,N 66420,S200000,04300,0100,Y 66420,S700003,00000,0100,1 66435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66435,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66435,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66435,A000000,00300,0000,00300EMPLOYEE BENEFITS 66435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66435,A000000,00700,0000,00700HOUSEKEEPING 66435,A000000,00800,0000,00800DIETARY 66435,A000000,00801,0000,00801CAFETERIA 66435,A000000,00900,0000,00900NURSING ADMINISTRATION 66435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66435,A000000,01100,0000,01100PHARMACY 66435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66435,A000000,01300,0000,01300SOCIAL SERVICE 66435,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66435,A000000,01600,0000,01600SKILLED NURSING FACILITY 66435,A000000,01800,0000,01800NURSING FACILITY 66435,A000000,01900,0000,01900OTHER LONG TERM CARE 66435,A000000,02100,0000,02100RADIOLOGY 66435,A000000,02200,0000,02200LABORATORY 66435,A000000,02300,0000,02300INTRAVENOUS THERAPY 66435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66435,A000000,02500,0000,02500PHYSICAL THERAPY 66435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66435,A000000,02700,0000,02700SPEECH PATHOLOGY 66435,A000000,02800,0000,02800ELECTROCARDIOLOGY 66435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66435,A000000,03050,0000,03300OTHER ANCILLARY 66435,A000000,03051,0000,03301OTHER ANCILLARY II 66435,A000000,03052,0000,03302OTHER ANCILLARY III 66435,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66435,A000000,03200,0000,03200SUPPORT SURFACES 66435,A000000,03400,0000,03400CLINIC 66435,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66435,A000000,03500,0000,03500RURAL HEALTH CLINIC 66435,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66435,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66435,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66435,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66435,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66435,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66435,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66435,A000000,04400,0000,04400DME RENTED - HHA 66435,A000000,04500,0000,04500DME SOLD - HHA 66435,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66435,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66435,A000000,04750,0000,05100OSP 66435,A000000,04800,0000,04800AMBULANCE 66435,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66435,A000000,05000,0000,05000CORF 66435,A000000,05010,0000,05010CMHC I 66435,A000000,05020,0000,05020OPT I 66435,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66435,A000000,05300,0000,05300INTEREST EXPENSE 66435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66435,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66435,A000000,05500,0000,05500HOSPICE 66435,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66435,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66435,A000000,06100,0000,06100NONPAID WORKERS 66435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66435,A000000,06200,0000,06200PATIENTS LAUNDRY 66435,A81000A,00100,0100,Y 66435,A81000B,00901,0300,MANAGEMENT FEES 66435,A81000B,00902,0300,ACCOUNTING FEES 66435,A81000C,00100,0100,B 66435,A81000C,00100,0400,HERITAGE MGT 66435,A81000C,00100,0600,MANAGEMENT 66435,E10A180,00501,0100,07/20/2000 66435,E10A180,00550,0300,07/20/2000 66435,S000000,00100,0200,05/31/2000 66435,S200000,00100,0100,83 EAST 1100 NORTH 66435,S200000,00200,0100,RICHFIELD 66435,S200000,00200,0200,UT 66435,S200000,00200,0300,84701 66435,S200000,00300,0100,SEVIER 66435,S200000,00300,0300,R 66435,S200000,00400,0100,RICHFIELD CARE CENTER 66435,S200000,00400,0200,465059 66435,S200000,00400,0300,07/01/1966 66435,S200000,00400,0500,P 66435,S200000,01500,0100,Y 66435,S200000,01900,0100,N 66435,S200000,04300,0100,Y 66435,S700003,00000,0100,1 66442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66442,A000000,00300,0000,00300EMPLOYEE BENEFITS 66442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66442,A000000,00700,0000,00700HOUSEKEEPING 66442,A000000,00800,0000,00800DIETARY 66442,A000000,00900,0000,00900NURSING ADMINISTRATION 66442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66442,A000000,01100,0000,01100PHARMACY 66442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66442,A000000,01300,0000,01300SOCIAL SERVICE 66442,A000000,01350,0000,01500RECREATION 66442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66442,A000000,01600,0000,01600SKILLED NURSING FACILITY 66442,A000000,01800,0000,01800NURSING FACILITY 66442,A000000,01810,0000,01810ICF/MR 66442,A000000,02100,0000,02100RADIOLOGY 66442,A000000,02200,0000,02200LABORATORY 66442,A000000,02500,0000,02500PHYSICAL THERAPY 66442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66442,A000000,02700,0000,02700SPEECH PATHOLOGY 66442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66442,A000000,03550,0000,03550FQHC 66442,A000000,05000,0000,05000CORF 66442,A000000,05010,0000,05010CMHC 66442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66442,A81000A,00100,0100,Y 66442,A81000B,00100,0300,HOME OFFICE CAPITAL 66442,A81000B,00200,0300,H.O. ADMIN.& GENERAL 66442,A81000B,00300,0300,H.O. INTEREST 66442,A81000C,00100,0100,B 66442,A81000C,00100,0200,INFINIA HEALTH 66442,S000000,00100,0200,05/30/2000 66442,S200000,00100,0100,524 EAST 800 NORTH 66442,S200000,00200,0100,OGDEN 66442,S200000,00200,0200,UT 66442,S200000,00200,0300,84404 66442,S200000,00300,0100,WEBER 66442,S200000,00300,0300,U 66442,S200000,00400,0100,POTOMAC OF OGDEN 66442,S200000,00400,0200,465065 66442,S200000,00400,0300,01/01/1989 66442,S200000,00400,0500,P 66442,S200000,01600,0100,Y 66442,S200000,01900,0100,Y 66442,S700003,00000,0100,1 66492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66492,A000000,00300,0000,00300EMPLOYEE BENEFITS 66492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66492,A000000,00700,0000,00700HOUSEKEEPING 66492,A000000,00800,0000,00800DIETARY 66492,A000000,00900,0000,00900NURSING ADMINISTRATION 66492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66492,A000000,01300,0000,01300SOCIAL SERVICE 66492,A000000,01600,0000,01600SKILLED NURSING FACILITY 66492,A000000,01800,0000,01800NURSING FACILITY 66492,A000000,01900,0000,01900OTHER LONG TERM CARE 66492,A000000,02200,0000,02200LABORATORY 66492,A000000,02300,0000,02300INTRAVENOUS THERAPY 66492,A000000,02500,0000,02500PHYSICAL THERAPY 66492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66492,A000000,02700,0000,02700SPEECH PATHOLOGY 66492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66492,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66492,A81000A,00100,0100,Y 66492,A81000B,00100,0300,LEASE PAYMENTS 66492,A81000B,00200,0300,BLDG & FIX DEPR 66492,A81000B,00300,0300,INTEREST EXPENSE 66492,A81000B,00400,0300,EQUIP DEPR 66492,A81000B,00500,0300,EXPENSE ALLOCATION 66492,A81000C,00100,0100,A 66492,A81000C,00100,0200,DAYWEST HEALTHC 66492,A81000C,00100,0400,DAYWEST HEALTHC 66492,A81000C,00100,0600,MANAGEMENT COMP 66492,A81000C,00200,0100,A 66492,A81000C,00200,0200,DAYWEST PROPERT 66492,A81000C,00200,0400,DAYWEST PROPERT 66492,A81000C,00200,0600,PROPERTY MANAGE 66492,S000000,00100,0200,05/25/2000 66492,S200000,00100,0100,4285 HIGHLAND DRIVE 66492,S200000,00200,0100,SALT LAKE CITY 66492,S200000,00200,0200,UT 66492,S200000,00200,0300,84124 66492,S200000,00300,0100,SALT LAKE 66492,S200000,00300,0300,U 66492,S200000,00400,0100,HIGHLAND CARE CENTER 66492,S200000,00400,0200,465078 66492,S200000,00400,0300,09/17/1981 66492,S200000,00400,0500,P 66492,S200000,00600,0200,465078 66492,S200000,00600,0300,09/17/1981 66492,S200000,00600,0600,P 66492,S200000,01600,0100,Y 66492,S700003,00000,0300,3 66497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66497,A000000,00300,0000,00300EMPLOYEE BENEFITS 66497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66497,A000000,00700,0000,00700HOUSEKEEPING 66497,A000000,00800,0000,00800DIETARY 66497,A000000,00900,0000,00900NURSING ADMINISTRATION 66497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66497,A000000,01100,0000,01100PHARMACY 66497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66497,A000000,01300,0000,01300SOCIAL SERVICE 66497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66497,A000000,01600,0000,01600SKILLED NURSING FACILITY 66497,A000000,01800,0000,01800NURSING FACILITY 66497,A000000,01810,0000,01810ICF/MR 66497,A000000,02300,0000,02300INTRAVENOUS THERAPY 66497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66497,A000000,02500,0000,02500PHYSICAL THERAPY 66497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66497,A000000,02700,0000,02700SPEECH PATHOLOGY 66497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66497,A000000,03550,0000,03550FQHC 66497,A000000,05000,0000,05000CORF 66497,A000000,05010,0000,05010CMHC 66497,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66497,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66497,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66497,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66497,A000000,06101,0000,06101DAY CARE CENTER 66497,A000000,06102,0000,06102TERRACE GROVE 66497,A000000,06103,0000,06103RENTAL UNITS 66497,B100000,00000,0100,00003SQUARE FEETCAP REL COSTS - BLDGS 66497,B100000,00000,0200,00003SQUARE FEETCAP REL COSTS - MOVAB 66497,B100000,00000,0300,00003GROSS SALARIESEMPLOYEE BENEFITS 66497,B100000,00000,0400,00003ACC COSTADMINISTRATIVE & GENERAL 66497,B100000,00000,0500,00003SQUARE FEETPLANT OPERATION MAIN 66497,B100000,00000,0600,00003POUNDS OF LAUNDRYLAUNDRY & LINEN SE 66497,B100000,00000,0750,00003SQUARE FEETHOUSEKEEPING 66497,B100000,00000,0800,00003MEALS SERVEDDIETARY 66497,B100000,00000,0900,00003DIRECT NURSING HOURSNURSING ADMINIS 66497,B100000,00000,1000,00003COSTED REQUISCENTRAL SERVICES & 66497,B100000,00000,1100,00003COSTED REQUISPHARMACY 66497,B100000,00000,1200,00003TIME SPENTMEDICAL RECORDS & LI 66497,B100000,00000,1300,00003TIME SPENTSOCIAL SERVICE 66497,B100000,00000,1400,00003ASSIGNED TIMEINTERNS & RESIDENTS ( 66497,E10A180,00501,0100,06/30/2000 66497,E10A180,00501,0300,06/30/2000 66497,S000000,00100,0200,05/03/2000 66497,S200000,00100,0100,225 NORTH 200 WEST 66497,S200000,00100,0300,3207 66497,S200000,00200,0100,LOGAN 66497,S200000,00200,0200,UT 66497,S200000,00300,0100,CACHE 66497,S200000,00300,0300,R 66497,S200000,00400,0100,SUNSHINE TERRACE FOUNDATION 66497,S200000,00400,0200,465079 66497,S200000,00400,0300,09/01/1981 66497,S200000,00400,0500,P 66497,S200000,01600,0100,Y 66497,S200000,01900,0100,Y 66497,S200000,02800,0100,Y 66497,S700003,00000,0100,1 66505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66505,A000000,00300,0000,00300EMPLOYEE BENEFITS 66505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66505,A000000,00700,0000,00700HOUSEKEEPING 66505,A000000,00800,0000,00800DIETARY 66505,A000000,00900,0000,00900NURSING ADMINISTRATION 66505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66505,A000000,01100,0000,01100PHARMACY 66505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66505,A000000,01300,0000,01300SOCIAL SERVICE 66505,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66505,A000000,01600,0000,01600SKILLED NURSING FACILITY 66505,A000000,01800,0000,01800NURSING FACILITY 66505,A000000,01900,0000,01900OTHER LONG TERM CARE 66505,A000000,02100,0000,02100RADIOLOGY 66505,A000000,02200,0000,02200LABORATORY 66505,A000000,02300,0000,02300INTRAVENOUS THERAPY 66505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66505,A000000,02500,0000,02500PHYSICAL THERAPY 66505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66505,A000000,02700,0000,02700SPEECH PATHOLOGY 66505,A000000,02800,0000,02800ELECTROCARDIOLOGY 66505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66505,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 66505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 66505,A000000,04800,0000,04800AMBULANCE 66505,A000000,05000,0000,05000CORF 66505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66505,A000000,05300,0000,05300INTEREST EXPENSE 66505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66505,A000000,05900,0000,05900BARBER AND BEAUTY SHOP 66505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66505,A000000,06100,0000,06100NONPAID WORKERS 66505,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 66505,A000000,06200,0000,06200PATIENTS LAUNDRY 66505,A81000A,00100,0100,Y 66505,A81000B,00100,0300,HOME OFFICE COSTS 66505,A81000B,00200,0300,HOME OFFICE COSTS 66505,A81000C,00100,0100,B 66505,A81000C,00100,0200,BOND JOHNSON & 66505,A81000C,00100,0600,MANAGEMENT COMP 66505,S000000,00100,0200,05/26/2000 66505,S200000,00100,0100,1053 WEST 1020 66505,S200000,00200,0100,PROVO 66505,S200000,00200,0200,UT 66505,S200000,00200,0300,84601 66505,S200000,00300,0100,UTAH 66505,S200000,00400,0100,CRESTVIEW CONVALESCENT CARE CTR 66505,S200000,00400,0200,465082 66505,S200000,00400,0300,03/01/1986 66505,S200000,00400,0500,P 66505,S200000,01600,0100,Y 66505,S700003,00000,0100,1 66512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66512,A000000,00300,0000,00300EMPLOYEE BENEFITS 66512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66512,A000000,00700,0000,00700HOUSEKEEPING 66512,A000000,00800,0000,00800DIETARY 66512,A000000,00900,0000,00900NURSING ADMINISTRATION 66512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66512,A000000,01300,0000,01300SOCIAL SERVICE 66512,A000000,01600,0000,01600SKILLED NURSING FACILITY 66512,A000000,02100,0000,02100RADIOLOGY 66512,A000000,02200,0000,02200LABORATORY 66512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66512,A000000,02500,0000,02500PHYSICAL THERAPY 66512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66512,A000000,02700,0000,02700SPEECH PATHOLOGY 66512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66512,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66512,A81000A,00100,0100,Y 66512,A81000B,00100,0300,LEASE PAYMENTS 66512,A81000B,00200,0300,BLDG & FIXTURE DEPR 66512,A81000B,00300,0300,MME DEPR 66512,A81000B,00400,0300,EXPENSE ALLOCATION 66512,A81000C,00100,0100,A 66512,A81000C,00100,0200,DAYWEST HEALTHC 66512,A81000C,00100,0600,MANAGEMENT COMP 66512,A81000C,00200,0100,A 66512,A81000C,00200,0200,DAYWEST PROPERT 66512,A81000C,00200,0600,PROPERTY COMPAN 66512,S000000,00100,0200,11/30/1999 66512,S200000,00100,0100,1130 37TH STREET 66512,S200000,00200,0100,OGDEN 66512,S200000,00200,0200,UT 66512,S200000,00200,0300,84403 66512,S200000,00300,0100,WEBER 66512,S200000,00400,0100,CRESTWOOD CARE CENTER 66512,S200000,00400,0200,465083 66512,S200000,00400,0300,01/18/1982 66512,S200000,00400,0500,P 66512,S200000,01500,0100,Y 66512,S700003,00000,0200,2 66514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66514,A000000,00300,0000,00300EMPLOYEE BENEFITS 66514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66514,A000000,00700,0000,00700HOUSEKEEPING 66514,A000000,00800,0000,00800DIETARY 66514,A000000,00900,0000,00900NURSING ADMINISTRATION 66514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66514,A000000,01100,0000,01100PHARMACY 66514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66514,A000000,01300,0000,01300SOCIAL SERVICE 66514,A000000,01350,0000,01500RECREATION 66514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66514,A000000,01600,0000,01600SKILLED NURSING FACILITY 66514,A000000,02500,0000,02500PHYSICAL THERAPY 66514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66514,A000000,02700,0000,02700SPEECH PATHOLOGY 66514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66514,A81000A,00100,0100,Y 66514,A81000B,00100,0300,RENT 66514,A81000B,00200,0300,DEPRECIATION - BLDGS 66514,A81000B,00300,0300,DEPRECIATION - EQUIP 66514,A81000B,00400,0300,INTEREST EXPENSE 66514,A81000C,00100,0100,B 66514,A81000C,00100,0200,STEWARTS INVES 66514,A81000C,00100,0400,STEWARTS INVES 66514,A81000C,00100,0600,PROPERTY COMPAN 66514,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66514,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 66514,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66514,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66514,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66514,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 66514,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66514,B100000,00000,0850,00000PATIENT DAYSDIETARY 66514,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATIO 66514,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 66514,B100000,00000,1100,00000COSTED REQUISPHARMACY 66514,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 66514,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66514,B100000,00000,1350,00000PATIENT DAYSRECREATION 66514,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 66514,S000000,00100,0200,05/25/2000 66514,S200000,00100,0100,187 WEST LAGOON STREET 66514,S200000,00200,0100,ROOSEVELT 66514,S200000,00200,0200,UT 66514,S200000,00200,0300,84066 66514,S200000,00300,0100,DUCHESNE 66514,S200000,00300,0300,R 66514,S200000,00400,0100,STEWARTS CEDAR CENTER 66514,S200000,00400,0200,465084 66514,S200000,00400,0300,07/01/1990 66514,S200000,00400,0500,P 66514,S200000,01600,0100,Y 66514,S700003,00000,0100,1 66521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66521,A000000,00300,0000,00300EMPLOYEE BENEFITS 66521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66521,A000000,00700,0000,00700HOUSEKEEPING 66521,A000000,00800,0000,00800DIETARY 66521,A000000,00900,0000,00900NURSING ADMINISTRATION 66521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66521,A000000,01300,0000,01300SOCIAL SERVICE 66521,A000000,01600,0000,01600SKILLED NURSING FACILITY 66521,A000000,02100,0000,02100RADIOLOGY 66521,A000000,02200,0000,02200LABORATORY 66521,A000000,02300,0000,02300INTRAVENOUS THERAPY 66521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66521,A000000,02500,0000,02500PHYSICAL THERAPY 66521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66521,A000000,02700,0000,02700SPEECH PATHOLOGY 66521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66521,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66521,A000000,05300,0000,05300INTEREST EXPENSE 66521,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66521,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66521,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66521,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66521,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66521,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66521,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 66521,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66521,B100000,00000,0850,00000PATIENT DAYSDIETARY 66521,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATIO 66521,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 66521,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66521,E10A180,00501,0100,07/17/2000 66521,E10A180,00501,0300,07/17/2000 66521,S000000,00100,0200,05/23/2000 66521,S200000,00100,0100,455 WEST MILL ROAD 66521,S200000,00200,0100,FERRON 66521,S200000,00200,0200,UT 66521,S200000,00200,0300,84523- 66521,S200000,00300,0100,EMERY 66521,S200000,00300,0300,R 66521,S200000,00400,0100,EMERY COUNTY NURSING HOME 66521,S200000,00400,0200,465085 66521,S200000,00400,0300,09/01/1981 66521,S200000,00400,0500,P 66521,S200000,01500,0100,Y 66521,S200000,01900,0100,N 66521,S700003,00000,0100,1 66527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66527,A000000,00300,0000,00300EMPLOYEE BENEFITS 66527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66527,A000000,00700,0000,00700HOUSEKEEPING 66527,A000000,00800,0000,00800DIETARY 66527,A000000,00900,0000,00900NURSING ADMINISTRATION 66527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66527,A000000,01100,0000,01100PHARMACY 66527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66527,A000000,01300,0000,01300SOCIAL SERVICE 66527,A000000,01350,0000,01500ACTIVITIES 66527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66527,A000000,01600,0000,01600SKILLED NURSING FACILITY 66527,A000000,01800,0000,01800NURSING FACILITY 66527,A000000,01900,0000,01900OTHER LONG TERM CARE 66527,A000000,02100,0000,02100RADIOLOGY 66527,A000000,02200,0000,02200LABORATORY 66527,A000000,02300,0000,02300INTRAVENOUS THERAPY 66527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66527,A000000,02500,0000,02500PHYSICAL THERAPY 66527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66527,A000000,02700,0000,02700SPEECH PATHOLOGY 66527,A000000,02800,0000,02800ELECTROCARDIOLOGY 66527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66527,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66527,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66527,A000000,03200,0000,03200SUPPORT SURFACES 66527,A000000,03400,0000,03400CLINIC 66527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66527,A000000,03500,0000,03500RURAL HEALTH CLINIC 66527,A000000,04750,0000,05100OSP 66527,A000000,05000,0000,05000CORF 66527,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66527,A000000,05300,0000,05300INTEREST EXPENSE 66527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66527,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66527,A000000,05500,0000,05500HOSPICE 66527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66527,A000000,06200,0000,06200PATIENTS LAUNDRY 66527,A81000A,00100,0100,Y 66527,A81000B,00901,0300,MANAGEMENT SERVICES 66527,A81000B,00902,0300,NEW CAP BLDG & FIX 66527,A81000B,00903,0300,NEW CAP MOVE. EQUIP 66527,A81000C,00100,0100,A 66527,A81000C,00100,0200,PATRICIA JOHNSO 66527,A81000C,00100,0400,QUALITY HEALTH 66527,A81000C,00100,0600,MANAGEMENT SERV 66527,A81000C,00200,0100,A 66527,A81000C,00200,0200,CRAIG JOHNSON 66527,A81000C,00200,0400,QUALITY HEALTH 66527,A81000C,00200,0600,MANAGEMENT SERV 66527,A81000C,00300,0100,A 66527,A81000C,00300,0200,PATRICIA JOHNSO 66527,A81000C,00300,0400,JOHNSON LAND EN 66527,A81000C,00300,0600,REAL ESTATE HOL 66527,A81000C,00400,0100,A 66527,A81000C,00400,0200,CRAIG JOHNSON 66527,A81000C,00400,0400,JOHNSON LAND EN 66527,A81000C,00400,0600,REAL ESTATE HOL 66527,A81000C,00500,0100,A 66527,A81000C,00500,0200,PATRICIA JOHNSO 66527,A81000C,00500,0400,MEDSTOP INC 66527,A81000C,00500,0600,MEDICAL SUP & P 66527,A81000C,00600,0100,A 66527,A81000C,00600,0200,CRAIG JOHNSON 66527,A81000C,00600,0400,MEDSTOP INC 66527,A81000C,00600,0600,MEDICAL SUP & P 66527,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66527,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVABLE 66527,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66527,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66527,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66527,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 66527,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66527,B100000,00000,0850,00000PATIENT DAYSDIETARY 66527,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATION 66527,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & SU 66527,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 66527,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 66527,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66527,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 66527,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 66527,E10A180,00501,0100,08/01/2000 66527,E10A180,00501,0300,08/01/2000 66527,S000000,00100,0200,06/07/2000 66527,S200000,00100,0100,5865 WASATCH DRIVE 66527,S200000,00200,0100,OGDEN 66527,S200000,00200,0200,UT 66527,S200000,00200,0300,84403- 66527,S200000,00300,0100,WEBER 66527,S200000,00400,0100,SOUTH OGDEN REHAB. CENTER LLC 66527,S200000,00400,0200,465086 66527,S200000,00400,0300,11/04/1981 66527,S200000,00400,0500,P 66527,S200000,01600,0100,Y 66527,S200000,01900,0100,N 66527,S700003,00000,0100,1 66535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66535,A000000,00300,0000,00300EMPLOYEE BENEFITS 66535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66535,A000000,00700,0000,00700HOUSEKEEPING 66535,A000000,00800,0000,00800DIETARY 66535,A000000,00900,0000,00900NURSING ADMINISTRATION 66535,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66535,A000000,01100,0000,01100PHARMACY 66535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66535,A000000,01300,0000,01300SOCIAL SERVICE 66535,A000000,01350,0000,01500RECREATION 66535,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66535,A000000,01600,0000,01600SKILLED NURSING FACILITY 66535,A000000,01800,0000,01800NURSING FACILITY 66535,A000000,01810,0000,01810ICF/MR 66535,A000000,02100,0000,02100RADIOLOGY 66535,A000000,02200,0000,02200LABORATORY 66535,A000000,02300,0000,02300INTRAVENOUS THERAPY 66535,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66535,A000000,02500,0000,02500PHYSICAL THERAPY 66535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66535,A000000,02700,0000,02700SPEECH PATHOLOGY 66535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66535,A000000,03550,0000,03550FQHC 66535,A000000,05000,0000,05000CORF 66535,A000000,05010,0000,05010CMHC 66535,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66535,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66535,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66535,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66535,A81000A,00100,0100,Y 66535,A81000B,00100,0300,HOME OFFICE CAPITAL 66535,A81000B,00200,0300,HOME OFFICE ADMIN. 66535,A81000C,00100,0100,B 66535,A81000C,00100,0200,MISSION HEALTH 66535,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66535,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVAB 66535,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66535,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66535,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66535,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 66535,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66535,B100000,00000,0850,00000PATIENT CENSUSDIETARY 66535,B100000,00000,0960,00000DIRECT SALARIESNURSING ADMINISTR 66535,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & 66535,B100000,00000,1100,00000COSTED REQUISPHARMACY 66535,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LI 66535,B100000,00000,1300,00000TIME SPENTSOCIAL SERVICE 66535,B100000,00000,1350,00000(PATIENT CENSUS)RECREATION 66535,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 66535,E10A180,00501,0300,07/19/2000 66535,E10A180,00550,0100,07/19/2000 66535,S000000,00100,0200,05/30/2000 66535,S200000,00100,0100,25 EAST ALPINE WAY 66535,S200000,00200,0100,PLEASANT GROVE 66535,S200000,00200,0200,UT 66535,S200000,00200,0300,84062 66535,S200000,00300,0100,UTAH 66535,S200000,00300,0300,U 66535,S200000,00400,0100,ALPINE VALLEY CARE CENTER 66535,S200000,00400,0200,465088 66535,S200000,00400,0300,12/15/1981 66535,S200000,00400,0500,P 66535,S200000,01600,0100,Y 66535,S700003,00000,0100,1 66543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66543,A000000,00300,0000,00300EMPLOYEE BENEFITS 66543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66543,A000000,00700,0000,00700HOUSEKEEPING 66543,A000000,00800,0000,00800DIETARY 66543,A000000,00900,0000,00900NURSING ADMINISTRATION 66543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66543,A000000,01300,0000,01300SOCIAL SERVICE 66543,A000000,01600,0000,01600SKILLED NURSING FACILITY 66543,A000000,01800,0000,01800NURSING FACILITY 66543,A000000,01900,0000,01900OTHER LONG TERM CARE 66543,A000000,02100,0000,02100RADIOLOGY 66543,A000000,02200,0000,02200LABORATORY 66543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66543,A000000,02500,0000,02500PHYSICAL THERAPY 66543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66543,A000000,02700,0000,02700SPEECH PATHOLOGY 66543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66543,A000000,04800,0000,04800AMBULANCE 66543,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66543,A000000,05300,0000,05300INTEREST EXPENSE 66543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66543,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66543,A81000A,00100,0100,Y 66543,A81000B,00100,0300,MANAGEMENT FEES 66543,A81000C,00100,0100,A 66543,A81000C,00100,0200,DRAPER REHAB & 66543,A81000C,00100,0400,WESTCARE MANAGE 66543,A81000C,00100,0600,MANAGEMENT COMP 66543,E10A180,00501,0100,07/27/2000 66543,S000000,00100,0200,05/31/2000 66543,S200000,00100,0100,12702 SOUTH 950 EAST 66543,S200000,00100,0300,368 66543,S200000,00200,0100,DRAPER 66543,S200000,00200,0200,UT 66543,S200000,00200,0300,84020- 66543,S200000,00300,0100,SALT LAKE 66543,S200000,00300,0300,U 66543,S200000,00400,0100,DRAPER REHAB & CARE CENTER 66543,S200000,00400,0200,465091 66543,S200000,00400,0300,09/01/1983 66543,S200000,00400,0500,P 66543,S200000,01500,0100,Y 66543,S200000,01900,0100,N 66543,S700003,00000,0100,1 66550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66550,A000000,00300,0000,00300EMPLOYEE BENEFITS 66550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66550,A000000,00700,0000,00700HOUSEKEEPING 66550,A000000,00800,0000,00800DIETARY 66550,A000000,00900,0000,00900NURSING ADMINISTRATION 66550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66550,A000000,01100,0000,01100PHARMACY 66550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66550,A000000,01300,0000,01300SOCIAL SERVICE 66550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66550,A000000,01600,0000,01600SKILLED NURSING FACILITY 66550,A000000,01800,0000,01800NURSING FACILITY 66550,A000000,01810,0000,01810ICF/MR 66550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66550,A000000,02500,0000,02500PHYSICAL THERAPY 66550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66550,A000000,02700,0000,02700SPEECH PATHOLOGY 66550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66550,A000000,03550,0000,03550FQHC 66550,A000000,05000,0000,05000CORF 66550,A000000,05010,0000,05010CMHC 66550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66550,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66550,A000000,06150,0000,06101DAY CENTER 66550,A81000A,00100,0100,Y 66550,A81000B,00100,0300,BLDG DEPRECIATION 66550,A81000B,00200,0300,EQUIP DEPRECIATION 66550,A81000B,00300,0300,COUNTY ALLOCATIONS 66550,A81000C,00100,0100,A 66550,A81000C,00100,0200,UINTAH COUNTY 66550,A81000C,00100,0400,UINTAH COUNTY 66550,A81000C,00100,0600,GOVT ENTITY 66550,B100000,00000,0100,00001SQUARE FEETCAP REL COSTS - BLDGS 66550,B100000,00000,0200,00001SQUARE FEETCAP REL COSTS - MOVAB 66550,B100000,00000,0300,00001GROSS SALARIESEMPLOYEE BENEFITS 66550,B100000,00000,0400,00001ACC COSTADMINISTRATIVE & GENERAL 66550,B100000,00000,0500,00001SQUARE FEETPLANT OPERATION MAIN 66550,B100000,00000,0600,00001POUNDS OF LAUNDRYLAUNDRY & LINEN SE 66550,B100000,00000,0750,00001SQUARE FEETHOUSEKEEPING 66550,B100000,00000,0800,00001MEALS SERVEDDIETARY 66550,B100000,00000,0960,00001NURSING WAGESNURSING ADMINISTRATI 66550,B100000,00000,1000,00001COSTED REQUISCENTRAL SERVICES & 66550,B100000,00000,1100,00001COSTED REQUISPHARMACY 66550,B100000,00000,1250,00001PATIENT DAYSMEDICAL RECORDS & LIB 66550,B100000,00000,1330,00001PATIENT DAYSSOCIAL SERVICE 66550,B100000,00000,1400,00001ASSIGNED TIMEINTERNS & RESIDENTS ( 66550,E10A180,00501,0100,07/14/2000 66550,E10A180,00501,0300,07/14/2000 66550,S000000,00100,0200,05/25/2000 66550,S200000,00100,0100,510 SOUTH 500 WEST 66550,S200000,00200,0100,VERNAL 66550,S200000,00200,0200,UT 66550,S200000,00200,0300,84078 66550,S200000,00300,0100,UINTAH 66550,S200000,00300,0300,R 66550,S200000,00400,0100,UINTAH CARE CENTER 66550,S200000,00400,0200,465092 66550,S200000,00400,0300,01/01/1985 66550,S200000,00400,0500,P 66550,S200000,00400,0600,O 66550,S200000,01600,0100,Y 66550,S700003,00000,0100,1 66576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66576,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66576,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66576,A000000,00300,0000,00300EMPLOYEE BENEFITS 66576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66576,A000000,00700,0000,00700HOUSEKEEPING 66576,A000000,00800,0000,00800DIETARY 66576,A000000,00801,0000,00801CAFETERIA 66576,A000000,00900,0000,00900NURSING ADMINISTRATION 66576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66576,A000000,01100,0000,01100PHARMACY 66576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66576,A000000,01300,0000,01300SOCIAL SERVICE 66576,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66576,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66576,A000000,01600,0000,01600SKILLED NURSING FACILITY 66576,A000000,01800,0000,01800NURSING FACILITY 66576,A000000,01900,0000,01900OTHER LONG TERM CARE 66576,A000000,02100,0000,02100RADIOLOGY 66576,A000000,02200,0000,02200LABORATORY 66576,A000000,02300,0000,02300INTRAVENOUS THERAPY 66576,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66576,A000000,02500,0000,02500PHYSICAL THERAPY 66576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66576,A000000,02700,0000,02700SPEECH PATHOLOGY 66576,A000000,02800,0000,02800ELECTROCARDIOLOGY 66576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66576,A000000,03050,0000,03300OTHER ANCILLARY 66576,A000000,03051,0000,03301OTHER ANCILLARY II 66576,A000000,03052,0000,03302OTHER ANCILLARY III 66576,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66576,A000000,03200,0000,03200SUPPORT SURFACES 66576,A000000,03400,0000,03400CLINIC 66576,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66576,A000000,03500,0000,03500RURAL HEALTH CLINIC 66576,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66576,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66576,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66576,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66576,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66576,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66576,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66576,A000000,04400,0000,04400DME RENTED - HHA 66576,A000000,04500,0000,04500DME SOLD - HHA 66576,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66576,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66576,A000000,04750,0000,05100OSP 66576,A000000,04800,0000,04800AMBULANCE 66576,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66576,A000000,05000,0000,05000CORF 66576,A000000,05010,0000,05010CMHC I 66576,A000000,05020,0000,05020OPT I 66576,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66576,A000000,05300,0000,05300INTEREST EXPENSE 66576,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66576,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66576,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66576,A000000,05500,0000,05500HOSPICE 66576,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66576,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66576,A000000,06100,0000,06100NONPAID WORKERS 66576,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66576,A000000,06200,0000,06200PATIENTS LAUNDRY 66576,A81000A,00100,0100,Y 66576,A81000B,00901,0300,MANAGEMENT FEE 66576,A81000B,00902,0300,ACCOUNTING FEE 66576,A81000C,00100,0100,B 66576,A81000C,00100,0400,HERITAGE MGT 66576,A81000C,00100,0600,MANAGEMENT 66576,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFITS 66576,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66576,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAINT 66576,B100000,00000,0650,00000(PATIENT DAYS)LAUNDRY & LINEN SERVI 66576,B100000,00000,0750,00000(SQUARE FEET)HOUSEKEEPING 66576,B100000,00000,0960,00000(NURSING SALARIES)NURSING ADMINISTR 66576,B100000,00000,1000,00000(COSTED REQUIS. )CENTRAL SERVICES & 66576,B100000,00000,1100,00000(COSTED REQUIS. )PHARMACY 66576,B100000,00000,1250,00000(PATIENT DAYS)MEDICAL RECORDS & LIB 66576,B100000,00000,1330,00000(PATIENT DAYS)SOCIAL SERVICE 66576,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 66576,E10A180,00501,0100,07/27/2000 66576,E10A180,00501,0300,07/27/2000 66576,S000000,00100,0200,05/31/2000 66576,S200000,00100,0100,2730 EAST 3300 SOUTH 66576,S200000,00200,0100,SALT LAKE CITY 66576,S200000,00200,0200,UT 66576,S200000,00200,0300,84109 66576,S200000,00300,0100,SALT LAKE 66576,S200000,00300,0300,U 66576,S200000,00400,0100,HERITAGE EASTRIDGE REHAB CENTER 66576,S200000,00400,0200,465096 66576,S200000,00400,0300,01/01/1984 66576,S200000,00400,0500,P 66576,S200000,01500,0100,Y 66576,S200000,01900,0100,N 66576,S200000,04300,0100,Y 66576,S700003,00000,0100,1 66590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66590,A000000,00300,0000,00300EMPLOYEE BENEFITS 66590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66590,A000000,00700,0000,00700HOUSEKEEPING 66590,A000000,00800,0000,00800DIETARY 66590,A000000,00900,0000,00900NURSING ADMINISTRATION 66590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66590,A000000,01300,0000,01300SOCIAL SERVICE 66590,A000000,01350,0000,01500OTHER GENERAL SERVICES 66590,A000000,01600,0000,01600SKILLED NURSING FACILITY 66590,A000000,01800,0000,01800NURSING FACILITY 66590,A000000,02100,0000,02100RADIOLOGY 66590,A000000,02200,0000,02200LABORATORY 66590,A000000,02300,0000,02300INTRAVENOUS THERAPY 66590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66590,A000000,02500,0000,02500PHYSICAL THERAPY 66590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66590,A000000,02700,0000,02700SPEECH PATHOLOGY 66590,A000000,02800,0000,02800ELECTROCARDIOLOGY 66590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66590,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66590,A000000,03200,0000,03200SUPPORT SURFACES 66590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66590,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66590,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66590,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66590,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66590,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66590,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66590,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66590,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66590,A000000,04800,0000,04800AMBULANCE 66590,A000000,05000,0000,05000CORF 66590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66590,A000000,05300,0000,05300INTEREST EXPENSE 66590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66590,A000000,05500,0000,05500HOSPICE 66590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66590,A000000,06200,0000,06200PATIENTS LAUNDRY 66590,A81000A,00100,0100,Y 66590,A81000B,00100,0300,MANAGEMENT FEE 66590,A81000B,00200,0300,LAUNDRY SUPPLIES-MEDSTOP 66590,A81000B,00300,0300,SUPPLIES-MEDSTOP 66590,A81000B,00400,0300,NURSING SUPPLIES-MEDSTOP 66590,A81000B,00500,0300,PHARMACY CONSULTANT-MEDSTOP 66590,A81000B,00600,0300,PHARMACY-MEDSTOP 66590,A81000B,00700,0300,CHARGEABLE DRUGS-MEDSTOP 66590,A81000C,00100,0100,A 66590,A81000C,00100,0200,PATRICIA JOHNSO 66590,A81000C,00100,0400,QUALITY HEALTH 66590,A81000C,00100,0600,MANAGEMENT SERV 66590,A81000C,00200,0100,A 66590,A81000C,00200,0200,CRAIG JOHNSON 66590,A81000C,00200,0400,QUALITY HEALTH 66590,A81000C,00200,0600,MANAGEMENT SERV 66590,A81000C,00300,0100,A 66590,A81000C,00300,0200,PATRICIA JOHNSO 66590,A81000C,00300,0400,MEDSTOP INC. 66590,A81000C,00300,0600,MEDICAL SUPPLY 66590,A81000C,00400,0100,A 66590,A81000C,00400,0200,CRAIG JOHNSON 66590,A81000C,00400,0400,MEDSTOP INC. 66590,A81000C,00400,0600,MEDICAL SUPPLY 66590,A81000C,00500,0100,A 66590,A81000C,00500,0200,PATRICIA JOHNSO 66590,A81000C,00500,0400,SOUTHEASTERN HE 66590,A81000C,00500,0600,REAL ESTATE MAN 66590,A81000C,00600,0100,A 66590,A81000C,00600,0200,CRAIG JOHNSON 66590,A81000C,00600,0400,SOUTHEASTERN HE 66590,A81000C,00600,0600,REAL ESTATE MAN 66590,A81000C,00700,0100,A 66590,A81000C,00800,0100,A 66590,S000000,00100,0200,11/30/2000 66590,S200000,00100,0100,1340 EAST 300 NORTH 66590,S200000,00200,0100,PRICE 66590,S200000,00200,0200,UT 66590,S200000,00200,0300,84501- 66590,S200000,00300,0100,CARBON 66590,S200000,00300,0300,R 66590,S200000,00400,0100,CASTLE COUNTRY CARE CENTER 66590,S200000,00400,0200,465098 66590,S200000,00400,0300,08/01/1984 66590,S200000,00400,0500,P 66590,S200000,01600,0100,Y 66590,S200000,01900,0100,N 66590,S700003,00000,0200,2 66592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66592,A000000,00300,0000,00300EMPLOYEE BENEFITS 66592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66592,A000000,00700,0000,00700HOUSEKEEPING 66592,A000000,00800,0000,00800DIETARY 66592,A000000,00900,0000,00900NURSING ADMINISTRATION 66592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66592,A000000,01100,0000,01100PHARMACY 66592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66592,A000000,01300,0000,01300SOCIAL SERVICE 66592,A000000,01350,0000,01500RECREATION 66592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66592,A000000,01600,0000,01600SKILLED NURSING FACILITY 66592,A000000,01800,0000,01800NURSING FACILITY 66592,A000000,01810,0000,01810ICF/MR 66592,A000000,02100,0000,02100RADIOLOGY 66592,A000000,02200,0000,02200LABORATORY 66592,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66592,A000000,02500,0000,02500PHYSICAL THERAPY 66592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66592,A000000,02700,0000,02700SPEECH PATHOLOGY 66592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66592,A000000,03550,0000,03550FQHC 66592,A000000,05000,0000,05000CORF 66592,A000000,05010,0000,05010CMHC 66592,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66592,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66592,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66592,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66592,A81000A,00100,0100,Y 66592,A81000B,00901,0300,HOME OFFICE CAPITAL 66592,A81000B,00902,0300,H.O. ADMIN. & GENERA 66592,A81000B,00903,0300,H.O. INTEREST 66592,A81000C,00100,0100,B 66592,A81000C,00100,0200,INFINIA HEALTH 66592,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66592,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 66592,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66592,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66592,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66592,B100000,00000,0650,00000PATIENT CENSUSLAUNDRY & LINEN SERVI 66592,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66592,B100000,00000,0850,00000PATIENT CENSUSDIETARY 66592,B100000,00000,0960,00000GROSS SALARIESNURSING ADMINISTRATIO 66592,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & SUP 66592,B100000,00000,1100,00000COSTED REQUISPHARMACY 66592,B100000,00000,1250,00000GROSS REVENUESMEDICAL RECORDS & LIB 66592,B100000,00000,1330,00000PATIENT CENSUSSOCIAL SERVICE 66592,B100000,00000,1350,00000PATIENT CENSUSRECREATION 66592,B100000,00000,1450,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 66592,E10A180,00501,0100,07/27/2000 66592,S000000,00100,0200,05/30/2000 66592,S200000,00100,0100,4035 SOUTH 500 EAST 66592,S200000,00200,0100,SALT LAKE CITY 66592,S200000,00200,0200,UT 66592,S200000,00200,0300,84107 66592,S200000,00300,0100,SALT LAKE 66592,S200000,00300,0300,U 66592,S200000,00400,0100,POTOMAC OF ALTA 66592,S200000,00400,0200,465100 66592,S200000,00400,0300,07/01/1998 66592,S200000,00400,0500,P 66592,S200000,01600,0100,Y 66592,S200000,01900,0100,Y 66592,S700003,00000,0200,2 66615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66615,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66615,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66615,A000000,00300,0000,00300EMPLOYEE BENEFITS 66615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66615,A000000,00700,0000,00700HOUSEKEEPING 66615,A000000,00800,0000,00800DIETARY 66615,A000000,00801,0000,00801CAFETERIA 66615,A000000,00900,0000,00900NURSING ADMINISTRATION 66615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66615,A000000,01100,0000,01100PHARMACY 66615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66615,A000000,01300,0000,01300SOCIAL SERVICE 66615,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66615,A000000,01600,0000,01600SKILLED NURSING FACILITY 66615,A000000,01800,0000,01800NURSING FACILITY 66615,A000000,01900,0000,01900OTHER LONG TERM CARE 66615,A000000,02100,0000,02100RADIOLOGY 66615,A000000,02200,0000,02200LABORATORY 66615,A000000,02300,0000,02300INTRAVENOUS THERAPY 66615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66615,A000000,02500,0000,02500PHYSICAL THERAPY 66615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66615,A000000,02700,0000,02700SPEECH PATHOLOGY 66615,A000000,02800,0000,02800ELECTROCARDIOLOGY 66615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66615,A000000,03050,0000,03300OTHER ANCILLARY 66615,A000000,03051,0000,03301OTHER ANCILLARY II 66615,A000000,03052,0000,03302OTHER ANCILLARY III 66615,A000000,03100,0000,03100DENTAL CARE-TITLE XIX ONLY 66615,A000000,03200,0000,03200SUPPORT SURFACES 66615,A000000,03400,0000,03400CLINIC 66615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66615,A000000,03500,0000,03500RURAL HEALTH CLINIC 66615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66615,A000000,04400,0000,04400DME RENTED - HHA 66615,A000000,04500,0000,04500DME SOLD - HHA 66615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66615,A000000,04800,0000,04800AMBULANCE 66615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66615,A000000,05000,0000,05000CORF I 66615,A000000,05010,0000,05010CMHC I 66615,A000000,05020,0000,05020OPT I 66615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66615,A000000,05300,0000,05300INTEREST EXPENSE 66615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66615,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66615,A000000,05500,0000,05500HOSPICE 66615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66615,A000000,06100,0000,06100NONPAID WORKERS 66615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66615,A000000,06200,0000,06200PATIENTS LAUNDRY 66615,A81000A,00100,0100,Y 66615,A81000B,00100,0300,MANAGEMENT FEES 66615,A81000B,00200,0300,ACCOUNTING FEES 66615,A81000C,00100,0100,G 66615,A81000C,00100,0200,RANDY KIRTON 66615,A81000C,00100,0400,HERITAGE MGT 66615,A81000C,00100,0600,MANAGEMENT 66615,A81000C,00200,0100,G 66615,A81000C,00200,0200,LEWIS GARRETT 66615,A81000C,00200,0400,HERITAGE MGT 66615,A81000C,00200,0600,MANAGEMENT 66615,A81000C,00300,0100,G 66615,A81000C,00300,0200,JOHN MORRIS 66615,A81000C,00300,0400,HERITAGE MGT 66615,A81000C,00300,0600,MANAGEMENT 66615,S000000,00100,0200,05/31/2000 66615,S200000,00100,0100,1100 NORTH 400 EAST 66615,S200000,00200,0100,NEPHI 66615,S200000,00200,0200,UT 66615,S200000,00200,0300,84648 66615,S200000,00300,0100,JUAB 66615,S200000,00300,0300,R 66615,S200000,00400,0100,HERITAGE HILLS CARE CENTER 66615,S200000,00400,0200,465107 66615,S200000,00400,0300,02/01/1987 66615,S200000,00400,0500,P 66615,S200000,01500,0100,Y 66615,S200000,01900,0100,N 66615,S200000,04300,0100,Y 66615,S700003,00000,0100,1 66620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66620,A000000,00300,0000,00300EMPLOYEE BENEFITS 66620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66620,A000000,00700,0000,00700HOUSEKEEPING 66620,A000000,00800,0000,00800DIETARY 66620,A000000,00900,0000,00900NURSING ADMINISTRATION 66620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66620,A000000,01100,0000,01100PHARMACY 66620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66620,A000000,01300,0000,01300SOCIAL SERVICE 66620,A000000,01350,0000,01500ACTIVITIES 66620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66620,A000000,01600,0000,01600SKILLED NURSING FACILITY 66620,A000000,01800,0000,01800NURSING FACILITY 66620,A000000,01900,0000,01900OTHER LONG TERM CARE 66620,A000000,02100,0000,02100RADIOLOGY 66620,A000000,02200,0000,02200LABORATORY 66620,A000000,02300,0000,02300INTRAVENOUS THERAPY 66620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66620,A000000,02500,0000,02500PHYSICAL THERAPY 66620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66620,A000000,02700,0000,02700SPEECH PATHOLOGY 66620,A000000,02800,0000,02800ELECTROCARDIOLOGY 66620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66620,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66620,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66620,A000000,03200,0000,03200SUPPORT SURFACES 66620,A000000,03400,0000,03400CLINIC 66620,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66620,A000000,03500,0000,03500RURAL HEALTH CLINIC 66620,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66620,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66620,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66620,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66620,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66620,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66620,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66620,A000000,04400,0000,04400DME RENTED - HHA 66620,A000000,04500,0000,04500DME SOLD - HHA 66620,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66620,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66620,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66620,A000000,04800,0000,04800AMBULANCE 66620,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66620,A000000,05000,0000,05000CORF 66620,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66620,A000000,05300,0000,05300INTEREST EXPENSE 66620,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66620,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66620,A000000,05500,0000,05500HOSPICE 66620,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66620,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66620,A000000,06100,0000,06100NONPAID WORKERS 66620,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66620,A000000,06200,0000,06200PATIENTS LAUNDRY 66620,A81000A,00100,0100,Y 66620,A81000B,00100,0300,MANAGEMENT SERVICES 66620,A81000B,00200,0300,BUILDING LEASE 66620,A81000B,00300,0300,MEDICAL SUPPLIES 66620,A81000B,00400,0300,DRUGS CHARGES TO PATIENTS 66620,A81000C,00100,0100,A 66620,A81000C,00100,0200,PATRICIA JOHNSO 66620,A81000C,00100,0400,QUALITY HEALTH 66620,A81000C,00100,0600,MANAGEMENT SERV 66620,A81000C,00200,0100,A 66620,A81000C,00200,0200,CRAIG JOHNSON 66620,A81000C,00200,0400,QUALITY HEALTH 66620,A81000C,00200,0600,MANAGEMENT SERV 66620,A81000C,00300,0100,A 66620,A81000C,00300,0200,PATRICIA JOHNSO 66620,A81000C,00300,0400,JOHNSON LAND EN 66620,A81000C,00300,0600,REAL ESTATE HOL 66620,A81000C,00400,0100,A 66620,A81000C,00400,0200,CRAIG JOHNSON 66620,A81000C,00400,0400,JOHNSON LAND EN 66620,A81000C,00400,0600,REAL ESTATE HOL 66620,A81000C,00500,0100,A 66620,A81000C,00500,0200,PATRICIA JOHNSO 66620,A81000C,00500,0400,MEDSTOP INC 66620,A81000C,00500,0600,MEDICAL SUP. & 66620,A81000C,00600,0100,A 66620,A81000C,00600,0200,CRAIG JOHNSON 66620,A81000C,00600,0400,MEDSTOP INC 66620,A81000C,00600,0600,MEDICAL SUP. & 66620,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66620,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVA 66620,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66620,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66620,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66620,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 66620,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66620,B100000,00000,0850,00000PATIEN DAYSDIETARY 66620,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATIO 66620,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & 66620,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 66620,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 66620,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66620,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 66620,B100000,00000,1450,00000ASSIGNED TIMEINTERNS & RESIDENTS ( 66620,S000000,00100,0200,06/07/2000 66620,S200000,00100,0100,3706 W. 9000 S. 66620,S200000,00200,0100,WEST JORDAN 66620,S200000,00200,0200,UT 66620,S200000,00200,0300,84088- 66620,S200000,00300,0100,SALT LAKE 66620,S200000,00400,0100,SOUTH VALLEY HEALTH CENTER LLC 66620,S200000,00400,0200,465108 66620,S200000,00400,0300,02/09/1987 66620,S200000,00400,0500,P 66620,S200000,00600,0200,465108 66620,S200000,00600,0300,02/09/1998 66620,S200000,01600,0100,Y 66620,S200000,01900,0100,N 66620,S700003,00000,0100,1 66634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66634,A000000,00300,0000,00300EMPLOYEE BENEFITS 66634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66634,A000000,00700,0000,00700HOUSEKEEPING 66634,A000000,00800,0000,00800DIETARY 66634,A000000,00900,0000,00900NURSING ADMINISTRATION 66634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66634,A000000,01100,0000,01100PHARMACY 66634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66634,A000000,01300,0000,01300SOCIAL SERVICE 66634,A000000,01350,0000,01500ACTIVITIES 66634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66634,A000000,01600,0000,01600SKILLED NURSING FACILITY 66634,A000000,01800,0000,01800NURSING FACILITY 66634,A000000,01900,0000,01900OTHER LONG TERM CARE 66634,A000000,02100,0000,02100RADIOLOGY 66634,A000000,02200,0000,02200LABORATORY 66634,A000000,02300,0000,02300INTRAVENOUS THERAPY 66634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66634,A000000,02500,0000,02500PHYSICAL THERAPY 66634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66634,A000000,02700,0000,02700SPEECH PATHOLOGY 66634,A000000,02800,0000,02800ELECTROCARDIOLOGY 66634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66634,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 66634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66634,A000000,03200,0000,03200SUPPORT SURFACES 66634,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 66634,A000000,04800,0000,04800AMBULANCE 66634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66634,A000000,05300,0000,05300INTEREST EXPENSE 66634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 66634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66634,A000000,06100,0000,06100NONPAID WORKERS 66634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66634,A000000,06200,0000,06200PATIENTS LAUNDRY 66634,A81000A,00100,0100,Y 66634,A81000B,00901,0300,HOME OFFICE COST 66634,A81000B,00902,0300,OTHER CAPITAL COSTS 66634,A81000B,00903,0300,PT ADMIN FEES 66634,A81000B,00904,0300,OT ADMIN FEES 66634,A81000B,00905,0300,ST ADMIN FEES 66634,A81000B,00906,0300,DIRECT INTEREST 66634,A81000C,00100,0100,B 66634,A81000C,00100,0200,HCR MANORCARE 66634,A81000C,00100,0400,HCR MANORCARE 66634,A81000C,00100,0600,LONG TERM CARE 66634,A81000C,00200,0100,B 66634,A81000C,00200,0200,HCR MANORCARE 66634,A81000C,00200,0400,HCR MANORCARE 66634,A81000C,00200,0600,LONG TERM CARE 66634,A81000C,00300,0100,B 66634,A81000C,00300,0200,MCHS-SOUTH OGDE 66634,A81000C,00300,0400,HEARTLAND MANAG 66634,A81000C,00300,0600,THERAPY MANAGEM 66634,A81000C,00400,0100,B 66634,A81000C,00400,0200,MCHS-SOUTH OGDE 66634,A81000C,00400,0400,HEARTLAND MANAG 66634,A81000C,00400,0600,THERAPY MANAGEM 66634,A81000C,00500,0100,B 66634,A81000C,00500,0200,MCHS-SOUTH OGDE 66634,A81000C,00500,0400,HEARTLAND MANAG 66634,A81000C,00500,0600,THERAPY MANAGEM 66634,A81000C,00600,0100,B 66634,A81000C,00600,0200,HCR MANORCARE 66634,A81000C,00600,0400,HCR MANORCARE 66634,A81000C,00600,0600,LONG TERM CARE 66634,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66634,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 66634,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66634,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66634,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66634,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 66634,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66634,B100000,00000,0800,00000MEALS SERVEDDIETARY 66634,B100000,00000,0960,00000NURSING WAGESNURSING ADMINISTRATION 66634,B100000,00000,1020,00000PATIENT DAYSCENTRAL SERVICES & SUPP 66634,B100000,00000,1150,00000PATIENT DAYSPHARMACY 66634,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 66634,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66634,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 66634,B100000,00000,1450,00000PATIENT DAYSINTERNS & RESIDENTS (AP 66634,S000000,00100,0200,10/30/2000 66634,S200000,00100,0100,5540 S. 1050 STREET 66634,S200000,00200,0100,SOUTH OGDEN 66634,S200000,00200,0200,UT 66634,S200000,00200,0300,84405- 66634,S200000,00300,0100,WEBER 66634,S200000,00300,0300,U 66634,S200000,00400,0100,MCHS-SOUTH OGDEN 66634,S200000,00400,0200,465117 66634,S200000,00400,0300,12/16/1987 66634,S200000,00400,0500,P 66634,S200000,00400,0600,P 66634,S200000,01600,0100,Y 66634,S200000,01900,0100,N 66634,S200000,02200,0100,Y 66634,S700003,00000,0100,1 66642,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66642,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66642,A000000,00300,0000,00300EMPLOYEE BENEFITS 66642,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66642,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66642,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66642,A000000,00700,0000,00700HOUSEKEEPING 66642,A000000,00800,0000,00800DIETARY 66642,A000000,00900,0000,00900NURSING ADMINISTRATION 66642,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66642,A000000,01100,0000,01100PHARMACY 66642,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66642,A000000,01300,0000,01300SOCIAL SERVICE 66642,A000000,01350,0000,01500ACTIVITIES 66642,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66642,A000000,01600,0000,01600SKILLED NURSING FACILITY 66642,A000000,01800,0000,01800NURSING FACILITY 66642,A000000,01900,0000,01900OTHER LONG TERM CARE 66642,A000000,02100,0000,02100RADIOLOGY 66642,A000000,02200,0000,02200LABORATORY 66642,A000000,02300,0000,02300INTRAVENOUS THERAPY 66642,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66642,A000000,02500,0000,02500PHYSICAL THERAPY 66642,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66642,A000000,02700,0000,02700SPEECH PATHOLOGY 66642,A000000,02800,0000,02800ELECTROCARDIOLOGY 66642,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66642,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66642,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66642,A000000,03200,0000,03200SUPPORT SURFACES 66642,A000000,03400,0000,03400CLINIC 66642,A000000,04750,0000,05100OSP 66642,A000000,04800,0000,04800AMBULANCE 66642,A000000,05000,0000,05000CORF 66642,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66642,A000000,05300,0000,05300INTEREST EXPENSE 66642,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66642,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66642,A000000,05500,0000,05500HOSPICE 66642,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66642,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66642,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66642,A000000,06200,0000,06200PATIENTS LAUNDRY 66642,A81000A,00100,0100,Y 66642,A81000B,00901,0300,BUILDING LEASE 66642,A81000B,00902,0300,MEDSTOP SUPPLIES 66642,A81000B,00903,0300,MEDSTOP FOOD 66642,A81000B,00904,0300,MEDSTOP SUPPLIES 66642,A81000B,00905,0300,MANAGEMENT FEES 66642,A81000B,00906,0300,MEDSTOP NURSING SUPPLIES 66642,A81000B,00907,0300,MEDSTOP EQUIP. RENTAL 66642,A81000B,00908,0300,MEDSTOP DRUGS 66642,A81000B,00909,0300,BLDG & FIX (POOLED COSTS) 66642,A81000B,00910,0300,EQUIPMENT (POOLED COSTS) 66642,A81000B,00911,0300,POOLED INTEREST EXP 66642,A81000B,00912,0300,BUILDING LEASE 66642,A81000C,00100,0100,A 66642,A81000C,00100,0200,X 66642,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66642,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVABLE 66642,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66642,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66642,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66642,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 66642,B100000,00000,0700,00000SQUARE FEETHOUSEKEEPING 66642,B100000,00000,0800,00000MEALS SERVEDDIETARY 66642,B100000,00000,0900,00000DIRECT NRSING HRSNURSING ADMINISTRA 66642,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & SU 66642,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 66642,B100000,00000,1200,00000TIME SPENTMEDICAL RECORDS & LIBRARY 66642,B100000,00000,1300,00000PATIENT DAYSSOCIAL SERVICE 66642,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 66642,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 66642,E10A180,00501,0100,07/31/2000 66642,S000000,00100,0200,06/09/2000 66642,S200000,00100,0100,1001 NORTH 500 WEST 66642,S200000,00200,0100,PROVO 66642,S200000,00200,0200,UT 66642,S200000,00200,0300,84604-3369 66642,S200000,00300,0100,UTAH 66642,S200000,00300,0300,U 66642,S200000,00400,0100,EAST LAKE CARE CENTER 66642,S200000,00400,0200,465119 66642,S200000,00400,0300,11/07/1988 66642,S200000,00400,0500,P 66642,S200000,01600,0100,Y 66642,S200000,01900,0100,N 66642,S700003,00000,0100,1 66650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66650,A000000,00300,0000,00300EMPLOYEE BENEFITS 66650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66650,A000000,00700,0000,00700HOUSEKEEPING 66650,A000000,00800,0000,00800DIETARY 66650,A000000,00900,0000,00900NURSING ADMINISTRATION 66650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66650,A000000,01100,0000,01100PHARMACY 66650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66650,A000000,01300,0000,01300SOCIAL SERVICE 66650,A000000,01350,0000,01500RECREATION 66650,A000000,01351,0000,01350RECREATION 66650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66650,A000000,01600,0000,01600SKILLED NURSING FACILITY 66650,A000000,01800,0000,01800NURSING FACILITY 66650,A000000,01810,0000,01810ICF/MR 66650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66650,A000000,02500,0000,02500PHYSICAL THERAPY 66650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66650,A000000,02700,0000,02700SPEECH PATHOLOGY 66650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66650,A000000,03550,0000,03550FQHC 66650,A000000,05000,0000,05000CORF 66650,A000000,05010,0000,05010CMHC 66650,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66650,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66650,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66650,A81000A,00100,0100,Y 66650,A81000B,00100,0300,CAP-REL--BLD & FIXT 66650,A81000B,00200,0300,NON-BILLABLE MED SUP 66650,A81000B,00300,0300,MEDICAL SUPPLIES 66650,A81000B,00400,0300,OXYGEN 66650,A81000C,00100,0100,G 66650,E10A180,00501,0100,07/27/2000 66650,S000000,00100,0200,06/02/2000 66650,S200000,00100,0100,2325 MADISON AVE 66650,S200000,00200,0100,OGDEN 66650,S200000,00200,0200,UT 66650,S200000,00200,0300,84401 66650,S200000,00300,0100,WEBER 66650,S200000,00300,0300,U 66650,S200000,00400,0100,ASPEN CARE CENTER 66650,S200000,00400,0200,465122 66650,S200000,00400,0300,11/01/1989 66650,S200000,00400,0500,P 66650,S200000,00600,0200,465122 66650,S200000,00600,0300,11/01/1989 66650,S200000,00600,0600,P 66650,S200000,01600,0100,Y 66650,S700003,00000,0100,1 66658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66658,A000000,00300,0000,00300EMPLOYEE BENEFITS 66658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66658,A000000,00700,0000,00700HOUSEKEEPING 66658,A000000,00800,0000,00800DIETARY 66658,A000000,00900,0000,00900NURSING ADMINISTRATION 66658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66658,A000000,01100,0000,01100PHARMACY 66658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66658,A000000,01300,0000,01300SOCIAL SERVICE 66658,A000000,01350,0000,01500OTHER GENERAL SERVICES 66658,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66658,A000000,01600,0000,01600SKILLED NURSING FACILITY 66658,A000000,01800,0000,01800NURSING FACILITY 66658,A000000,01810,0000,01801ICF/MR 66658,A000000,01900,0000,01900OTHER LONG TERM CARE 66658,A000000,02100,0000,02100RADIOLOGY 66658,A000000,02200,0000,02200LABORATORY 66658,A000000,02300,0000,02300INTRAVENOUS THERAPY 66658,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66658,A000000,02500,0000,02500PHYSICAL THERAPY 66658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66658,A000000,02700,0000,02700SPEECH PATHOLOGY 66658,A000000,02800,0000,02800ELECTROCARDIOLOGY 66658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66658,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66658,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66658,A000000,03200,0000,03200SUPPORT SURFACES 66658,A000000,03400,0000,03400CLINIC 66658,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66658,A000000,03500,0000,03500RURAL HEALTH CLINIC 66658,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66658,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66658,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66658,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66658,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66658,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66658,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66658,A000000,04400,0000,04400DME RENTED - HHA 66658,A000000,04500,0000,04500DME SOLD - HHA 66658,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66658,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66658,A000000,04750,0000,05100OSP 66658,A000000,04800,0000,04800AMBULANCE 66658,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66658,A000000,05000,0000,05000CORF 66658,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66658,A000000,05300,0000,05300INTEREST EXPENSE 66658,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66658,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66658,A000000,05500,0000,05500HOSPICE 66658,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66658,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66658,A000000,06100,0000,06100NONPAID WORKERS 66658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66658,A000000,06200,0000,06200PATIENTS LAUNDRY 66658,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66658,B100000,00000,0200,00000$ VALUECAP REL COSTS - MOVABLE EQUI 66658,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66658,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66658,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66658,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 66658,B100000,00000,0700,00000HOURSHOUSEKEEPING 66658,B100000,00000,0800,00000MEALS SERVEDDIETARY 66658,B100000,00000,0900,00000HOURSNURSING ADMINISTRATION 66658,B100000,00000,1000,00000COSTSCENTRAL SERVICES & SUPPLY 66658,B100000,00000,1100,00000COSTSPHARMACY 66658,B100000,00000,1200,00000TIMEMEDICAL RECORDS & LIBRARY 66658,B100000,00000,1300,00000TIMESOCIAL SERVICE 66658,B100000,00000,1350,00000NO STATISTICSOTHER GENERAL S 66658,B100000,00000,1450,00000NO STATISTICSINTERNS & RESID 66658,E10A180,00501,0100,07/21/2000 66658,E10A180,00550,0100,07/18/2000 66658,S000000,00100,0200,05/26/2000 66658,S200000,00100,0100,125 SOUTH 900 WEST 66658,S200000,00200,0100,SALT LAKE CITY 66658,S200000,00200,0200,UT 66658,S200000,00200,0300,84104- 66658,S200000,00300,0100,SL 66658,S200000,00300,0300,U 66658,S200000,00400,0100,MIDTOWN MANOR 66658,S200000,00400,0200,465124 66658,S200000,00400,0300,10/17/1990 66658,S200000,00400,0500,P 66658,S200000,00400,0600,P 66658,S200000,01600,0100,Y 66658,S200000,01900,0100,N 66658,S700003,00000,0100,1 66673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66673,A000000,00300,0000,00300EMPLOYEE BENEFITS 66673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66673,A000000,00700,0000,00700HOUSEKEEPING 66673,A000000,00800,0000,00800DIETARY 66673,A000000,00900,0000,00900NURSING ADMINISTRATION 66673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66673,A000000,01100,0000,01100PHARMACY 66673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66673,A000000,01300,0000,01300SOCIAL SERVICE 66673,A000000,01350,0000,01500RECREATION 66673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66673,A000000,01600,0000,01600SKILLED NURSING FACILITY 66673,A000000,01800,0000,01800NURSING FACILITY 66673,A000000,01810,0000,01810ICF/MR 66673,A000000,02100,0000,02100RADIOLOGY 66673,A000000,02200,0000,02200LABORATORY 66673,A000000,02300,0000,02300INTRAVENOUS THERAPY 66673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66673,A000000,02500,0000,02500PHYSICAL THERAPY 66673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66673,A000000,02700,0000,02700SPEECH PATHOLOGY 66673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66673,A000000,03550,0000,03550FQHC 66673,A000000,05000,0000,05000CORF 66673,A000000,05010,0000,05010CMHC 66673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66673,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66673,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66673,A81000A,00100,0100,Y 66673,A81000B,00901,0300,H.O. CAPITAL 66673,A81000B,00902,0300,H.O. ADMIN. & GEN 66673,A81000C,00100,0100,B 66673,A81000C,00100,0200,MISSION HEALTH 66673,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66673,B100000,00000,0200,00000SQUARE FEETCAP REL COSTS - MOVABLE 66673,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66673,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66673,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66673,B100000,00000,0600,00000POUNDS OF LAUNDRYLAUNDRY & LINEN SE 66673,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66673,B100000,00000,0850,00000PATIENT DAYSDIETARY 66673,B100000,00000,0960,00000GROSS SALARIESNURSING ADMINISTRATIO 66673,B100000,00000,1000,00000COSTED REQUISCENTRAL SERVICES & SUP 66673,B100000,00000,1100,00000COSTED REQUISPHARMACY 66673,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 66673,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66673,B100000,00000,1350,00000PATIENT DAYSRECREATION 66673,B100000,00000,1400,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 66673,E10A180,00501,0100,06/13/2000 66673,E10A180,00550,0300,06/13/2000 66673,S000000,00100,0200,05/30/2000 66673,S200000,00100,0100,1216 EAST 1300 SOUTH 66673,S200000,00200,0100,SALT LAKE CITY 66673,S200000,00200,0200,UT 66673,S200000,00200,0300,84105 66673,S200000,00300,0100,SALT LAKE 66673,S200000,00300,0300,U 66673,S200000,00400,0100,HILLSIDE REHAB. CENTER 66673,S200000,00400,0200,465128 66673,S200000,00400,0300,10/16/1991 66673,S200000,00400,0500,P 66673,S200000,01600,0100,Y 66673,S700003,00000,0100,1 66680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66680,A000000,00300,0000,00300EMPLOYEE BENEFITS 66680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66680,A000000,00700,0000,00700HOUSEKEEPING 66680,A000000,00800,0000,00800DIETARY 66680,A000000,00900,0000,00900NURSING ADMINISTRATION 66680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66680,A000000,01300,0000,01300SOCIAL SERVICE 66680,A000000,01350,0000,01500OTHER GENERAL SERVICES 66680,A000000,01600,0000,01600SKILLED NURSING FACILITY 66680,A000000,02100,0000,02100RADIOLOGY 66680,A000000,02200,0000,02200LABORATORY 66680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66680,A000000,02500,0000,02500PHYSICAL THERAPY 66680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66680,A000000,02700,0000,02700SPEECH PATHOLOGY 66680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66680,A000000,03050,0000,03300OTHER ANC - CARDIOLOGY 66680,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66680,A000000,05300,0000,05300INTEREST EXPENSE 66680,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66680,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66680,A81000A,00100,0100,Y 66680,A81000B,00100,0300,MANAGEMENT FEES 66680,A81000B,00200,0300,CAPITAL COSTS 66680,A81000C,00100,0100,A 66680,A81000C,00100,0200,MOUNTAIN VIEW N 66680,A81000C,00100,0400,TRADITIONS HEAL 66680,A81000C,00100,0600,MANAGEMENT COMP 66680,A81000C,00200,0100,B 66680,A81000C,00200,0200,MOUNTAIN VIEW N 66680,A81000C,00200,0400,JOHN BRAMALL 66680,A81000C,00200,0600,PROPERTY OWNER 66680,E10A180,00501,0100,05/31/2000 66680,E10A180,00550,0300,05/31/2000 66680,S000000,00100,0200,05/31/2000 66680,S200000,00100,0100,2192 WEST STATE ROAD 66680,S200000,00100,0300,P.O. BOX 860 66680,S200000,00200,0100,PAYSON 66680,S200000,00200,0200,UT 66680,S200000,00200,0300,84651- 66680,S200000,00300,0100,UTAH 66680,S200000,00300,0300,U 66680,S200000,00400,0100,MOUNTAIN VIEW NURSING & REHAB 66680,S200000,00400,0200,465129 66680,S200000,00400,0300,03/26/1992 66680,S200000,00400,0500,P 66680,S200000,01500,0100,Y 66680,S200000,01900,0100,N 66680,S700003,00000,0100,1 66684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66684,A000000,00300,0000,00300EMPLOYEE BENEFITS 66684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66684,A000000,00700,0000,00700HOUSEKEEPING 66684,A000000,00800,0000,00800DIETARY 66684,A000000,00900,0000,00900NURSING ADMINISTRATION 66684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66684,A000000,01300,0000,01300SOCIAL SERVICE 66684,A000000,01600,0000,01600SKILLED NURSING FACILITY 66684,A000000,02200,0000,02200LABORATORY 66684,A000000,02300,0000,02300INTRAVENOUS THERAPY 66684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66684,A000000,02500,0000,02500PHYSICAL THERAPY 66684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66684,A000000,02700,0000,02700SPEECH PATHOLOGY 66684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66684,A000000,04750,0000,05100OSP 66684,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66684,A000000,05300,0000,05300INTEREST EXPENSE 66684,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66684,A81000A,00100,0100,Y 66684,A81000B,00100,0300,MANAGEMENT FEES 66684,A81000C,00100,0100,A 66684,A81000C,00100,0200,ART CITY NURSIN 66684,A81000C,00100,0400,TRADITIONS HEAL 66684,A81000C,00100,0600,MANAGEMENT COMP 66684,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66684,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66684,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66684,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66684,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 66684,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66684,B100000,00000,0850,00000PATIENT DAYSDIETARY 66684,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATION 66684,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 66684,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66684,E10A180,00501,0100,07/17/2000 66684,E10A180,00501,0300,07/17/2000 66684,S000000,00100,0200,05/30/2000 66684,S200000,00100,0100,321 EAST 800 SOUTH 66684,S200000,00200,0100,SPRINGVILLE 66684,S200000,00200,0200,UT 66684,S200000,00200,0300,84663- 66684,S200000,00300,0100,UTAH 66684,S200000,00300,0300,U 66684,S200000,00400,0100,ART CITY NURSING & REHAB 66684,S200000,00400,0200,465130 66684,S200000,00400,0300,12/15/1992 66684,S200000,00400,0500,P 66684,S200000,01500,0100,Y 66684,S200000,01900,0100,N 66684,S700003,00000,0100,1 66689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66689,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66689,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66689,A000000,00300,0000,00300EMPLOYEE BENEFITS 66689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66689,A000000,00700,0000,00700HOUSEKEEPING 66689,A000000,00800,0000,00800DIETARY 66689,A000000,00801,0000,00801CAFETERIA 66689,A000000,00900,0000,00900NURSING ADMINISTRATION 66689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66689,A000000,01100,0000,01100PHARMACY 66689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66689,A000000,01300,0000,01300SOCIAL SERVICE 66689,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66689,A000000,01600,0000,01600SKILLED NURSING FACILITY 66689,A000000,01800,0000,01800NURSING FACILITY 66689,A000000,01900,0000,01900OTHER LONG TERM CARE 66689,A000000,02100,0000,02100RADIOLOGY 66689,A000000,02200,0000,02200LABORATORY 66689,A000000,02300,0000,02300INTRAVENOUS THERAPY 66689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66689,A000000,02500,0000,02500PHYSICAL THERAPY 66689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66689,A000000,02700,0000,02700SPEECH PATHOLOGY 66689,A000000,02800,0000,02800ELECTROCARDIOLOGY 66689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66689,A000000,03050,0000,03300OTHER ANCILLARY 66689,A000000,03051,0000,03301OTHER ANCILLARY II 66689,A000000,03052,0000,03302OTHER ANCILLARY III 66689,A000000,03100,0000,03100DENTAL CARE-TITLE XIX ONLY 66689,A000000,03200,0000,03200SUPPORT SURFACES 66689,A000000,03400,0000,03400CLINIC 66689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66689,A000000,03500,0000,03500RURAL HEALTH CLINIC 66689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66689,A000000,04400,0000,04400DME RENTED - HHA 66689,A000000,04500,0000,04500DME SOLD - HHA 66689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66689,A000000,04800,0000,04800AMBULANCE 66689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66689,A000000,05000,0000,05000CORF I 66689,A000000,05010,0000,05010CMHC I 66689,A000000,05020,0000,05020OPT I 66689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66689,A000000,05300,0000,05300INTEREST EXPENSE 66689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66689,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66689,A000000,05500,0000,05500HOSPICE 66689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66689,A000000,06100,0000,06100NONPAID WORKERS 66689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66689,A000000,06200,0000,06200PATIENTS LAUNDRY 66689,A81000A,00100,0100,Y 66689,A81000B,00100,0300,MANAGEMENT FEE 66689,A81000B,00200,0300,ACCOUNTING FEE 66689,A81000C,00100,0100,B 66689,A81000C,00100,0400,HERITAGE CARE 66689,A81000C,00100,0600,MANAGEMENT 66689,S000000,00100,0200,05/31/2000 66689,S200000,00100,0100,523 NORTH MAIN STREET 66689,S200000,00200,0100,BOUNTIFUL 66689,S200000,00200,0200,UT 66689,S200000,00200,0300,84010 66689,S200000,00300,0100,DAVIS 66689,S200000,00300,0300,U 66689,S200000,00400,0100,BOUINTIFUL HEALTH CARE & REHAB CENTR 66689,S200000,00400,0200,465132 66689,S200000,00400,0300,12/15/1992 66689,S200000,00400,0500,P 66689,S200000,01500,0100,Y 66689,S200000,01900,0100,N 66689,S200000,02800,0100,Y 66689,S200000,04300,0100,Y 66689,S700003,00000,0100,1 66695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66695,A000000,00300,0000,00300EMPLOYEE BENEFITS 66695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66695,A000000,00700,0000,00700HOUSEKEEPING 66695,A000000,00800,0000,00800DIETARY 66695,A000000,00900,0000,00900NURSING ADMINISTRATION 66695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66695,A000000,01300,0000,01300SOCIAL SERVICE 66695,A000000,01600,0000,01600SKILLED NURSING FACILITY 66695,A000000,02100,0000,02100RADIOLOGY 66695,A000000,02200,0000,02200LABORATORY 66695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66695,A000000,02500,0000,02500PHYSICAL THERAPY 66695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66695,A000000,02700,0000,02700SPEECH PATHOLOGY 66695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66695,A000000,05300,0000,05300INTEREST EXPENSE 66695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66695,A81000A,00100,0100,Y 66695,A81000B,00100,0300,MANAGEMENT FEES 66695,A81000C,00100,0100,A 66695,A81000C,00100,0200,COUNTRY VIEW MA 66695,A81000C,00100,0400,TRADITIONS HEAL 66695,A81000C,00100,0600,MANAGEMENT COMP 66695,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66695,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66695,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66695,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66695,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 66695,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66695,B100000,00000,0850,00000PATIENT DAYSDIETARY 66695,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATIO 66695,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 66695,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66695,E10A180,00501,0100,07/20/2000 66695,E10A180,00501,0300,07/20/2000 66695,S000000,00100,0200,05/26/2000 66695,S200000,00100,0100,2901 WEST CENTER STREET 66695,S200000,00200,0100,PROVO 66695,S200000,00200,0200,UT 66695,S200000,00200,0300,84601- 66695,S200000,00300,0100,UTAH 66695,S200000,00300,0300,U 66695,S200000,00400,0100,COUNTRY VIEW MANOR 66695,S200000,00400,0200,465134 66695,S200000,00400,0300,06/30/1993 66695,S200000,00400,0500,P 66695,S200000,01500,0100,Y 66695,S200000,01900,0100,N 66695,S700003,00000,0100,1 66701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66701,A000000,00300,0000,00300EMPLOYEE BENEFITS 66701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66701,A000000,00700,0000,00700HOUSEKEEPING 66701,A000000,00800,0000,00800DIETARY 66701,A000000,00900,0000,00900NURSING ADMINISTRATION 66701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66701,A000000,01100,0000,01100PHARMACY 66701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66701,A000000,01300,0000,01300SOCIAL SERVICE 66701,A000000,01350,0000,01500ACTIVITIES 66701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66701,A000000,01600,0000,01600SKILLED NURSING FACILITY 66701,A000000,01800,0000,01800NURSING FACILITY 66701,A000000,01900,0000,01900OTHER LONG TERM CARE 66701,A000000,02100,0000,02100RADIOLOGY 66701,A000000,02200,0000,02200LABORATORY 66701,A000000,02300,0000,02300INTRAVENOUS THERAPY 66701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66701,A000000,02500,0000,02500PHYSICAL THERAPY 66701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66701,A000000,02700,0000,02700SPEECH PATHOLOGY 66701,A000000,02800,0000,02800ELECTROCARDIOLOGY 66701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66701,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 66701,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66701,A000000,03200,0000,03200SUPPORT SURFACES 66701,A000000,03400,0000,03400CLINIC 66701,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 66701,A000000,03500,0000,03500RURAL HEALTH CLINIC 66701,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66701,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66701,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66701,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66701,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66701,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66701,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66701,A000000,04400,0000,04400DME RENTED - HHA 66701,A000000,04500,0000,04500DME SOLD - HHA 66701,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66701,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66701,A000000,04750,0000,05100OSP 66701,A000000,04800,0000,04800AMBULANCE 66701,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66701,A000000,05000,0000,05000CORF 66701,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66701,A000000,05300,0000,05300INTEREST EXPENSE 66701,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 66701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66701,A000000,05500,0000,05500HOSPICE 66701,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66701,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66701,A000000,06100,0000,06100NONPAID WORKERS 66701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66701,A000000,06200,0000,06200PATIENTS LAUNDRY 66701,A81000A,00100,0100,Y 66701,A81000B,00901,0300,MANAGEMENT FEES 66701,A81000B,00902,0300,DRUGS CHARGED TO PATIENTS 66701,A81000B,00903,0300,SUPPLIES CHARGES TO PATIENTS 66701,A81000B,00904,0300,BUILDING LEASE 66701,A81000C,00100,0100,G 66701,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS & 66701,B100000,00000,0200,00000DOLLAR VALUECAP REL COSTS - MOVABLE 66701,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66701,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66701,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAINT. 66701,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVICE 66701,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66701,B100000,00000,0850,00000PATIENT DAYSDIETARY 66701,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATION 66701,B100000,00000,1000,00000COSTED REQUIS.CENTRAL SERVICES & SU 66701,B100000,00000,1100,00000COSTED REQUIS.PHARMACY 66701,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIBRA 66701,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66701,B100000,00000,1350,00000PATIENT DAYSACTIVITIES 66701,B100000,00000,1450,00000ASSIGNED TIMEINTERNS & RESIDENTS (A 66701,E10A180,00501,0100,07/27/2000 66701,S000000,00100,0200,06/07/2000 66701,S200000,00100,0100,1530 S. 500 W. 66701,S200000,00200,0100,PROVO 66701,S200000,00200,0200,UT 66701,S200000,00200,0300,84601- 66701,S200000,00300,0100,UTAH 66701,S200000,00400,0100,OAKVIEW LIVING CENTER LLC 66701,S200000,00400,0200,465138 66701,S200000,00400,0300,06/01/1995 66701,S200000,00400,0500,P 66701,S200000,01600,0100,Y 66701,S200000,01900,0100,N 66701,S700003,00000,0100,1 66707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66707,A000000,00300,0000,00300EMPLOYEE BENEFITS 66707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66707,A000000,00700,0000,00700HOUSEKEEPING 66707,A000000,00800,0000,00800DIETARY 66707,A000000,00900,0000,00900NURSING ADMINISTRATION 66707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66707,A000000,01100,0000,01100PHARMACY 66707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66707,A000000,01300,0000,01300SOCIAL SERVICE 66707,A000000,01350,0000,01500RECREATION 66707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66707,A000000,01600,0000,01600SKILLED NURSING FACILITY 66707,A000000,01800,0000,01800NURSING FACILITY 66707,A000000,01810,0000,01810ICF/MR 66707,A000000,02200,0000,02200LABORATORY 66707,A000000,02300,0000,02300INTRAVENOUS THERAPY 66707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66707,A000000,02500,0000,02500PHYSICAL THERAPY 66707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66707,A000000,02700,0000,02700SPEECH PATHOLOGY 66707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66707,A000000,03550,0000,03550FQHC 66707,A000000,05000,0000,05000CORF 66707,A000000,05010,0000,05010CMHC 66707,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 66707,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 66707,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 66707,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66707,A81000A,00100,0100,Y 66707,A81000B,00100,0300,ACCTG & MGT FEE 66707,A81000C,00100,0100,G 66707,A81000C,00100,0200,RANDY KIRTON 66707,A81000C,00100,0400,HERITAGE MGT 66707,A81000C,00100,0600,MANAGEMENT 66707,A81000C,00200,0100,G 66707,A81000C,00200,0200,LEWIS GARETT 66707,A81000C,00200,0400,HERITAGE MGT 66707,A81000C,00200,0600,MANAGEMENT 66707,A81000C,00300,0100,G 66707,A81000C,00300,0200,JOHN MORRIS 66707,A81000C,00300,0400,HERITAGE MGT 66707,A81000C,00300,0600,MANAGEMENT 66707,E10A180,00501,0100,10/31/2000 66707,E10A180,00501,0300,10/31/2000 66707,S000000,00100,0200,10/02/2000 66707,S200000,00100,0100,950 EAST 3300 SOUTH 66707,S200000,00200,0100,SALT LAKE CITY 66707,S200000,00200,0200,UT 66707,S200000,00200,0300,84106 66707,S200000,00300,0100,SALT LAKE 66707,S200000,00300,0300,U 66707,S200000,00400,0100,INFINIA AT GRANITE HILLS 66707,S200000,00400,0200,465142 66707,S200000,00400,0300,02/05/1996 66707,S200000,00400,0500,P 66707,S200000,01600,0100,Y 66707,S200000,02800,0100,Y 66707,S200000,03100,0100,Y 66707,S700003,00000,0400,4 66709,S000000,00100,0200,05/30/2000 66717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66717,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66717,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66717,A000000,00300,0000,00300EMPLOYEE BENEFITS 66717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66717,A000000,00700,0000,00700HOUSEKEEPING 66717,A000000,00800,0000,00800DIETARY 66717,A000000,00801,0000,00801CAFETERIA 66717,A000000,00900,0000,00900NURSING ADMINISTRATION 66717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66717,A000000,01100,0000,01100PHARMACY 66717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66717,A000000,01300,0000,01300SOCIAL SERVICE 66717,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66717,A000000,01600,0000,01600SKILLED NURSING FACILITY 66717,A000000,01800,0000,01800NURSING FACILITY 66717,A000000,01900,0000,01900OTHER LONG TERM CARE 66717,A000000,02100,0000,02100RADIOLOGY 66717,A000000,02200,0000,02200LABORATORY 66717,A000000,02300,0000,02300INTRAVENOUS THERAPY 66717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66717,A000000,02500,0000,02500PHYSICAL THERAPY 66717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66717,A000000,02700,0000,02700SPEECH PATHOLOGY 66717,A000000,02800,0000,02800ELECTROCARDIOLOGY 66717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66717,A000000,03050,0000,03300OTHER ANCILLARY 66717,A000000,03051,0000,03301OTHER ANCILLARY II 66717,A000000,03052,0000,03302OTHER ANCILLARY III 66717,A000000,03100,0000,03100DENTAL CARE-TITLE XIX ONLY 66717,A000000,03200,0000,03200SUPPORT SURFACES 66717,A000000,03400,0000,03400CLINIC 66717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66717,A000000,03500,0000,03500RURAL HEALTH CLINIC 66717,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66717,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66717,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66717,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66717,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66717,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66717,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66717,A000000,04400,0000,04400DME RENTED - HHA 66717,A000000,04500,0000,04500DME SOLD - HHA 66717,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66717,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66717,A000000,04750,0000,05100OTHER REIMBURSABLE COST 66717,A000000,04800,0000,04800AMBULANCE 66717,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66717,A000000,05000,0000,05000CORF I 66717,A000000,05010,0000,05010CMHC I 66717,A000000,05020,0000,05020OPT I 66717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66717,A000000,05300,0000,05300INTEREST EXPENSE 66717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66717,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66717,A000000,05500,0000,05500HOSPICE 66717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66717,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66717,A000000,06100,0000,06100NONPAID WORKERS 66717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66717,A000000,06200,0000,06200PATIENTS LAUNDRY 66717,A81000A,00100,0100,Y 66717,A81000B,00100,0300,MANAGEMENT FEE 66717,A81000B,00200,0300,ACCOUNTING FEE 66717,A81000C,00100,0100,B 66717,A81000C,00100,0400,HERITAGE MGT 66717,A81000C,00100,0600,MANAGEMENT 66717,S000000,00100,0200,05/31/2000 66717,S200000,00100,0100,679 SOUTH SUNSET DRIVE 66717,S200000,00200,0100,CEDAR CITY 66717,S200000,00200,0200,UT 66717,S200000,00200,0300,84721 66717,S200000,00300,0100,IRON 66717,S200000,00300,0300,R 66717,S200000,00400,0100,HERITAGE CEDAR CARE CENTER 66717,S200000,00400,0200,465143 66717,S200000,00400,0300,10/01/1996 66717,S200000,00400,0500,P 66717,S200000,01500,0100,Y 66717,S200000,01900,0100,N 66717,S200000,04300,0100,Y 66723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66723,A000000,00300,0000,00300EMPLOYEE BENEFITS 66723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66723,A000000,00700,0000,00700HOUSEKEEPING 66723,A000000,00800,0000,00800DIETARY 66723,A000000,00900,0000,00900NURSING ADMINISTRATION 66723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66723,A000000,01300,0000,01300SOCIAL SERVICE 66723,A000000,01600,0000,01600SKILLED NURSING FACILITY 66723,A000000,02100,0000,02100RADIOLOGY 66723,A000000,02200,0000,02200LABORATORY 66723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66723,A000000,02500,0000,02500PHYSICAL THERAPY 66723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66723,A000000,02700,0000,02700SPEECH PATHOLOGY 66723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66723,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66723,A000000,05300,0000,05300INTEREST EXPENSE 66723,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66723,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66723,A81000A,00100,0100,Y 66723,A81000B,00100,0300,MANAGEMENT FEES 66723,A81000C,00100,0100,A 66723,A81000C,00100,0200,PORTERS NURSING 66723,A81000C,00100,0400,TRADITIONS HEAL 66723,A81000C,00100,0600,MANAGEMENT COMP 66723,B100000,00000,0100,00000SQUARE FEETCAP REL COSTS - BLDGS 66723,B100000,00000,0300,00000GROSS SALARIESEMPLOYEE BENEFITS 66723,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66723,B100000,00000,0500,00000SQUARE FEETPLANT OPERATION MAIN 66723,B100000,00000,0650,00000PATIENT DAYSLAUNDRY & LINEN SERVI 66723,B100000,00000,0750,00000SQUARE FEETHOUSEKEEPING 66723,B100000,00000,0850,00000PATIENT DAYSDIETARY 66723,B100000,00000,0960,00000PATIENT DAYSNURSING ADMINISTRATIO 66723,B100000,00000,1250,00000PATIENT DAYSMEDICAL RECORDS & LIB 66723,B100000,00000,1330,00000PATIENT DAYSSOCIAL SERVICE 66723,E10A180,00550,0300,05/30/2000 66723,S000000,00100,0200,05/30/2000 66723,S200000,00100,0100,126 WEST 200 NORTH 66723,S200000,00200,0100,ST. GEORGE 66723,S200000,00200,0200,UT 66723,S200000,00200,0300,84770- 66723,S200000,00300,0100,WASHINGTON 66723,S200000,00300,0300,R 66723,S200000,00400,0100,PORTERS NURSING HOME 66723,S200000,00400,0200,465144 66723,S200000,00400,0300,10/25/1996 66723,S200000,00400,0500,P 66723,S200000,01500,0100,Y 66723,S200000,01900,0100,N 66723,S700003,00000,0400,4 66730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 66730,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 66730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 66730,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 66730,A000000,00300,0000,00300EMPLOYEE BENEFITS 66730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 66730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 66730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 66730,A000000,00700,0000,00700HOUSEKEEPING 66730,A000000,00800,0000,00800DIETARY 66730,A000000,00801,0000,00801CAFETERIA 66730,A000000,00900,0000,00900NURSING ADMINISTRATION 66730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 66730,A000000,01100,0000,01100PHARMACY 66730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 66730,A000000,01300,0000,01300SOCIAL SERVICE 66730,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 66730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 66730,A000000,01600,0000,01600SKILLED NURSING FACILITY 66730,A000000,01800,0000,01800NURSING FACILITY 66730,A000000,01900,0000,01900OTHER LONG TERM CARE 66730,A000000,02100,0000,02100RADIOLOGY 66730,A000000,02200,0000,02200LABORATORY 66730,A000000,02300,0000,02300INTRAVENOUS THERAPY 66730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 66730,A000000,02500,0000,02500PHYSICAL THERAPY 66730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 66730,A000000,02700,0000,02700SPEECH PATHOLOGY 66730,A000000,02800,0000,02800ELECTROCARDIOLOGY 66730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 66730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 66730,A000000,03050,0000,03300OTHER ANCILLARY 66730,A000000,03051,0000,03301OTHER ANCILLARY II 66730,A000000,03052,0000,03302OTHER ANCILLARY III 66730,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 66730,A000000,03200,0000,03200SUPPORT SURFACES 66730,A000000,03400,0000,03400CLINIC 66730,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 66730,A000000,03500,0000,03500RURAL HEALTH CLINIC 66730,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 66730,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 66730,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 66730,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 66730,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 66730,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 66730,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 66730,A000000,04400,0000,04400DME RENTED - HHA 66730,A000000,04500,0000,04500DME SOLD - HHA 66730,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 66730,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 66730,A000000,04750,0000,05100OSP 66730,A000000,04800,0000,04800AMBULANCE 66730,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 66730,A000000,05000,0000,05000CORF 66730,A000000,05010,0000,05010CMHC I 66730,A000000,05020,0000,05020OPT I 66730,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 66730,A000000,05300,0000,05300INTEREST EXPENSE 66730,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 66730,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 66730,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 66730,A000000,05500,0000,05500HOSPICE 66730,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 66730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 66730,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 66730,A000000,06100,0000,06100NONPAID WORKERS 66730,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 66730,A000000,06200,0000,06200PATIENTS LAUNDRY 66730,A81000A,00100,0100,Y 66730,A81000B,00901,0300,MANAGEMENT FEES 66730,A81000B,00902,0300,ACCOUNTING FEES 66730,A81000C,00100,0100,G 66730,A81000C,00100,0200,RANDY KIRTON 66730,A81000C,00100,0400,HERITAGE MANAGT 66730,A81000C,00100,0600,MANAGEMENT 66730,A81000C,00200,0100,G 66730,A81000C,00200,0200,LEWIS GARRET 66730,A81000C,00200,0400,HERITAGE MANAGT 66730,A81000C,00200,0600,MANAGEMENT 66730,A81000C,00300,0100,G 66730,A81000C,00300,0200,JOHN MORRIS 66730,A81000C,00300,0400,HERITAGE MANAGT 66730,A81000C,00300,0600,MANAGEMENT 66730,B100000,00000,0300,00000(GROSS SALARIES)EMPLOYEE BENEFITS 66730,B100000,00000,0400,00000ACC COSTADMINISTRATIVE & GENERAL 66730,B100000,00000,0500,00000(SQUARE FEET)PLANT OPERATION MAINT 66730,B100000,00000,0650,00000(PATIENT DAYS)LAUNDRY & LINEN SERVI 66730,B100000,00000,0750,00000(SQUARE FEET)HOUSEKEEPING 66730,B100000,00000,0960,00000(NURSING SALARIES)NURSING ADMINISTR 66730,B100000,00000,1000,00000(COSTED REQUIS. )CENTRAL SERVICES & 66730,B100000,00000,1100,00000(COSTED REQUIS. )PHARMACY 66730,B100000,00000,1250,00000(PATIENT DAYS)MEDICAL RECORDS & LIB 66730,B100000,00000,1330,00000(PATIENT DAYS)SOCIAL SERVICE 66730,B100000,00000,1350,00000BLANKOTHER GENERAL SERVICE COST 66730,B100000,00000,1400,00000(ASSIGNED TIME)INTERNS & RESIDENTS 66730,E10A180,00501,0100,07/27/2000 66730,E10A180,00501,0300,07/27/2000 66730,S000000,00100,0200,05/31/2000 66730,S200000,00100,0100,294 MORRIS AVE 66730,S200000,00200,0100,SALT LAKE CITY 66730,S200000,00200,0200,UT 66730,S200000,00200,0300,84115 66730,S200000,00300,0100,SALT LAKE 66730,S200000,00300,0300,U 66730,S200000,00400,0100,FAY CASE CARE CENTER 66730,S200000,00400,0200,465146 66730,S200000,00400,0300,05/06/1997 66730,S200000,00400,0500,P 66730,S200000,01500,0100,Y 66730,S200000,01900,0100,N 66730,S200000,04300,0100,Y 67254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67254,A000000,00300,0000,00300EMPLOYEE BENEFITS 67254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67254,A000000,00700,0000,00700HOUSEKEEPING 67254,A000000,00800,0000,00800DIETARY 67254,A000000,00900,0000,00900NURSING ADMINISTRATION 67254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67254,A000000,01100,0000,01100PHARMACY 67254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67254,A000000,01300,0000,01300SOCIAL SERVICE 67254,A000000,01350,0000,01500OTHER GENERAL SERVICES 67254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67254,A000000,01600,0000,01600SKILLED NURSING FACILITY 67254,A000000,01800,0000,01800NURSING FACILITY 67254,A000000,01900,0000,01900OTHER LONG TERM CARE 67254,A000000,02100,0000,02100RADIOLOGY 67254,A000000,02200,0000,02200LABORATORY 67254,A000000,02300,0000,02300INTRAVENOUS THERAPY 67254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67254,A000000,02500,0000,02500PHYSICAL THERAPY 67254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67254,A000000,02700,0000,02700SPEECH PATHOLOGY 67254,A000000,02800,0000,02800ELECTROCARDIOLOGY 67254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67254,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67254,A000000,03051,0000,03301THERPULSE BEDS 67254,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67254,A000000,03200,0000,03200SUPPORT SURFACES 67254,A000000,03400,0000,03400CLINIC 67254,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67254,A000000,03500,0000,03500RURAL HEALTH CLINIC 67254,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67254,A000000,04800,0000,04800AMBULANCE 67254,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67254,A000000,05000,0000,05000CORF 67254,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67254,A000000,05300,0000,05300INTEREST EXPENSE 67254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67254,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67254,A000000,05500,0000,05500HOSPICE 67254,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67254,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67254,A000000,06100,0000,06100NONPAID WORKERS 67254,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67254,A000000,06151,0000,06301COMMUNITY RELATIONS 67254,A000000,06152,0000,06302APOTHECARY PHARMACY 67254,A000000,06153,0000,06303VOLUNTEERS 67254,A000000,06154,0000,06304SENIOR CONNECTION 67254,A000000,06200,0000,06200PATIENTS LAUNDRY 67254,A81000A,00100,0100,Y 67254,A81000B,00100,0300,HOME OFFICE COSTS 67254,A81000B,00200,0300,CRC - B&F 67254,A81000B,00300,0300,CRC - B&F 67254,A81000C,00100,0100,C 67254,B100000,00000,0100,00004SQUARE FEET :CAP REL COSTS - BLDGS 67254,B100000,00000,0300,00004GROSS SALARIES :EMPLOYEE BENEFITS 67254,B100000,00000,0400,00004 ACCUM. COST :ADMINISTRATIVE & GENE 67254,B100000,00000,0500,00004SQUARE FEET :PLANT OPERATION MAIN 67254,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 67254,B100000,00000,0750,00004SQUARE FEET :HOUSEKEEPING 67254,B100000,00000,0800,00004MEALS SERVED :DIETARY 67254,B100000,00000,0950,00004DIRECT NRSING HRS :NURSING ADMINIST 67254,B100000,00000,1000,00004COSTED REQUIS. :CENTRAL SERVICES & 67254,B100000,00000,1150,00004PATIENT DAYS :PHARMACY 67254,B100000,00000,1250,00004PATIENT DAYS :MEDICAL RECORDS & LI 67254,B100000,00000,1330,00004PATIENT DAYS :SOCIAL SERVICE 67254,S000000,00100,0200,06/02/2000 67254,S200000,00100,0100,4900 EAGLE STREET 67254,S200000,00200,0100,ANCHORAGE 67254,S200000,00200,0200,AL 67254,S200000,00200,0300,99503- 67254,S200000,00300,0100,BOROUGH 67254,S200000,00300,0200,0380 67254,S200000,00300,0300,U 67254,S200000,00400,0100,PROVIDENCE EXTENDED CARE 67254,S200000,00400,0200,025018 67254,S200000,00400,0300,01/01/1984 67254,S200000,00400,0500,P 67254,S200000,01600,0100,Y 67264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67264,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 67264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67264,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 67264,A000000,00300,0000,00300EMPLOYEE BENEFITS 67264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67264,A000000,00700,0000,00700HOUSEKEEPING 67264,A000000,00800,0000,00800DIETARY 67264,A000000,00801,0000,00801CAFETERIA 67264,A000000,00900,0000,00900NURSING ADMINISTRATION 67264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67264,A000000,01100,0000,01100PHARMACY 67264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67264,A000000,01300,0000,01300SOCIAL SERVICE 67264,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67264,A000000,01600,0000,01600SKILLED NURSING FACILITY 67264,A000000,01800,0000,01800NURSING FACILITY 67264,A000000,01900,0000,01900OTHER LONG TERM CARE 67264,A000000,02100,0000,02100RADIOLOGY 67264,A000000,02200,0000,02200LABORATORY 67264,A000000,02300,0000,02300INTRAVENOUS THERAPY 67264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67264,A000000,02500,0000,02500PHYSICAL THERAPY 67264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67264,A000000,02700,0000,02700SPEECH PATHOLOGY 67264,A000000,02800,0000,02800ELECTROCARDIOLOGY 67264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67264,A000000,03050,0000,03300OTHER ANCILLARY 67264,A000000,03051,0000,03301OTHER ANCILLARY II 67264,A000000,03052,0000,03302OTHER ANCILLARY III 67264,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67264,A000000,03200,0000,03200SUPPORT SURFACES 67264,A000000,03400,0000,03400CLINIC 67264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 67264,A000000,03500,0000,03500RURAL HEALTH CLINIC 67264,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67264,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67264,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67264,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67264,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67264,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67264,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67264,A000000,04400,0000,04400DME RENTED - HHA 67264,A000000,04500,0000,04500DME SOLD - HHA 67264,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67264,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67264,A000000,04800,0000,04800AMBULANCE 67264,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67264,A000000,05000,0000,05000CORF 67264,A000000,05010,0000,05010CMHC I 67264,A000000,05020,0000,05020OPT I 67264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67264,A000000,05300,0000,05300INTEREST EXPENSE 67264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 67264,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 67264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67264,A000000,05500,0000,05500HOSPICE 67264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67264,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67264,A000000,06100,0000,06100NONPAID WORKERS 67264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67264,A000000,06200,0000,06200PATIENTS LAUNDRY 67264,A81000A,00100,0100,Y 67264,A81000B,00100,0300,ADMIN HOME OFF FEE 67264,A81000B,00200,0300,ADMIN HOME OFF FEE 67264,A81000C,00100,0100,A 67264,A81000C,00100,0400,LUTHERAN HEALTH 67264,A81000C,00100,0600,HOME OFFICE 67264,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 67264,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 67264,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 67264,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 67264,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 67264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67264,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 67264,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 67264,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 67264,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 67264,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 67264,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 67264,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 67264,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 67264,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 67264,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 67264,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67264,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 67264,S000000,00100,0200,06/02/2000 67264,S200000,00100,0100,232 ROCKWELL AVE 67264,S200000,00200,0100,SOLDOTNA 67264,S200000,00200,0200,AK 67264,S200000,00200,0300,99669- 67264,S200000,00300,0100,KENAI 67264,S200000,00400,0100,HERITAGE PLACE 67264,S200000,00400,0200,025021 67264,S200000,00400,0300,01/01/1987 67264,S200000,00400,0500,P 67264,S200000,01500,0100,Y 67264,S200000,02100,0100,A 67264,S200000,04300,0100,Y 67276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67276,A000000,00300,0000,00300EMPLOYEE BENEFITS 67276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67276,A000000,00700,0000,00700HOUSEKEEPING 67276,A000000,00800,0000,00800DIETARY 67276,A000000,00900,0000,00900NURSING ADMINISTRATION 67276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67276,A000000,01100,0000,01100PHARMACY 67276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67276,A000000,01300,0000,01300SOCIAL SERVICE 67276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67276,A000000,01600,0000,01600SKILLED NURSING FACILITY 67276,A000000,02100,0000,02100RADIOLOGY 67276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67276,A000000,02500,0000,02500PHYSICAL THERAPY 67276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67276,A000000,02700,0000,02700SPEECH PATHOLOGY 67276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67276,A000000,03050,0000,03300MEDICAL TRANSPORT 67276,A000000,06150,0000,06300BAD DEBT 67276,A000000,06151,0000,06301PROJECT CHOICE 67276,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 67276,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 67276,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 67276,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 67276,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 67276,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 67276,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 67276,B100000,00000,0800,00001MEALS SERVED :DIETARY 67276,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 67276,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 67276,B100000,00000,1100,00001COSTED REQUIS :PHARMACY 67276,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 67276,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 67276,E10A180,00351,0100,12/04/2000 67276,S000000,00100,0200,12/06/2000 67276,S200000,00100,0100,431 1ST AVENUE 67276,S200000,00100,0300,430 67276,S200000,00200,0100,SEWARD 67276,S200000,00200,0200,AK 67276,S200000,00200,0300,99664- 67276,S200000,00300,0100,BUROUGH 67276,S200000,00300,0200,0002 67276,S200000,00300,0300,R 67276,S200000,00400,0100,WESLEY REHABILITATION & CARE CENTER 67276,S200000,00400,0200,025024 67276,S200000,00400,0300,01/01/1994 67276,S200000,00400,0500,P 67276,S200000,01500,0100,Y 67285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67285,A000000,00300,0000,00300EMPLOYEE BENEFITS 67285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67285,A000000,00700,0000,00700HOUSEKEEPING 67285,A000000,00800,0000,00800DIETARY 67285,A000000,00900,0000,00900NURSING ADMINISTRATION 67285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67285,A000000,01100,0000,01100PHARMACY 67285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67285,A000000,01300,0000,01300SOCIAL SERVICE 67285,A000000,01350,0000,01500OTHER GENERAL SERVICES 67285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67285,A000000,01600,0000,01600SKILLED NURSING FACILITY 67285,A000000,01800,0000,01800NURSING FACILITY 67285,A000000,01900,0000,01900OTHER LONG TERM CARE 67285,A000000,02100,0000,02100RADIOLOGY 67285,A000000,02200,0000,02200LABORATORY 67285,A000000,02300,0000,02300INTRAVENOUS THERAPY 67285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67285,A000000,02500,0000,02500PHYSICAL THERAPY 67285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67285,A000000,02700,0000,02700SPEECH PATHOLOGY 67285,A000000,02800,0000,02800ELECTROCARDIOLOGY 67285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67285,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67285,A000000,03200,0000,03200SUPPORT SURFACES 67285,A000000,03400,0000,03400CLINIC 67285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67285,A000000,03500,0000,03500RURAL HEALTH CLINIC 67285,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67285,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67285,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67285,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67285,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67285,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67285,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67285,A000000,04400,0000,04400DME RENTED - HHA 67285,A000000,04500,0000,04500DME SOLD - HHA 67285,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67285,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67285,A000000,04800,0000,04800AMBULANCE 67285,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67285,A000000,05000,0000,05000CORF 67285,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67285,A000000,05300,0000,05300INTEREST EXPENSE 67285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67285,A000000,05500,0000,05500HOSPICE 67285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67285,A000000,06100,0000,06100NONPAID WORKERS 67285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67285,A000000,06200,0000,06200PATIENTS LAUNDRY 67285,A81000A,00100,0100,Y 67285,A81000B,00100,0300,HOME OFFICE COST 67285,A81000C,00100,0100,B 67285,A81000C,00100,0200,PROVIDENCE 67285,A81000C,00100,0400,PROVIDENCE 67285,A81000C,00100,0600,HOSPITAL 67285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67285,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 67285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67285,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67285,B100000,00000,0800,00000MEALS SERVED :DIETARY 67285,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 67285,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67285,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 67285,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 67285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67285,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67285,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67285,S000000,00100,0200,06/02/2000 67285,S200000,00100,0100,9100 CENTENNIAL DRIVE 67285,S200000,00200,0100,ANCHORAGE ALASKA 67285,S200000,00200,0200,AK 67285,S200000,00200,0300,99504- 67285,S200000,00300,0100,NONE 67285,S200000,00400,0100,MARY CONRAD CENTER 67285,S200000,00400,0200,025025 67285,S200000,00400,0300,01/01/1994 67285,S200000,00400,0500,P 67285,S200000,00600,0200,025025 67285,S200000,00600,0300,01/01/1988 67285,S200000,00600,0600,P 67285,S200000,01600,0100,Y 67285,S200000,04600,0100,Y 67296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67296,A000000,00300,0000,00300EMPLOYEE BENEFITS 67296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67296,A000000,00700,0000,00700HOUSEKEEPING 67296,A000000,00800,0000,00800DIETARY 67296,A000000,00900,0000,00900NURSING ADMINISTRATION 67296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67296,A000000,01100,0000,01100PHARMACY 67296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67296,A000000,01300,0000,01300SOCIAL SERVICE 67296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67296,A000000,01600,0000,01600SKILLED NURSING FACILITY 67296,A000000,02200,0000,02200LABORATORY 67296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67296,A000000,02500,0000,02500PHYSICAL THERAPY 67296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67296,A000000,02700,0000,02700SPEECH PATHOLOGY 67296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67296,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67296,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 67296,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67296,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67296,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67296,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67296,B100000,00000,0800,00000MEALS SERVED :DIETARY 67296,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 67296,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 67296,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 67296,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67296,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67296,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67296,S000000,00100,0200,06/05/2000 67296,S200000,00100,0100,415 SIXTH STREET 67296,S200000,00200,0100,JUNEAU 67296,S200000,00200,0200,AK 67296,S200000,00200,0300,99801- 67296,S200000,00300,0100,BOROUGH 67296,S200000,00400,0100,ST. ANNS CARE CENTER 67296,S200000,00400,0200,025027 67296,S200000,00400,0300,05/15/1994 67296,S200000,00400,0500,P 67296,S200000,01500,0100,Y 67320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67320,A000000,00300,0000,00300EMPLOYEE BENEFITS 67320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67320,A000000,00700,0000,00700HOUSEKEEPING 67320,A000000,00800,0000,00800DIETARY 67320,A000000,00900,0000,00900NURSING ADMINISTRATION 67320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67320,A000000,01300,0000,01300SOCIAL SERVICE 67320,A000000,01600,0000,01600SKILLED NURSING FACILITY 67320,A000000,01800,0000,01800NURSING FACILITY 67320,A000000,01900,0000,01900OTHER LONG TERM CARE 67320,A000000,02100,0000,02100RADIOLOGY 67320,A000000,02200,0000,02200LABORATORY 67320,A000000,02300,0000,02300INTRAVENOUS THERAPY 67320,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67320,A000000,02500,0000,02500PHYSICAL THERAPY 67320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67320,A000000,02700,0000,02700SPEECH PATHOLOGY 67320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67320,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67320,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67320,A000000,03200,0000,03200SUPPORT SURFACES 67320,A000000,03400,0000,03400CLINIC 67320,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67320,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67320,A000000,05300,0000,05300INTEREST EXPENSE 67320,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67320,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67320,A000000,05500,0000,05500HOSPICE 67320,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67320,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67320,A000000,06151,0000,06301MARKETING 67320,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 67320,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 67320,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 67320,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 67320,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 67320,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 67320,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 67320,B100000,00000,0800,00001MEALS SERVED :DIETARY 67320,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 67320,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 67320,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 67320,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 67320,S000000,00100,0200,05/30/2000 67320,S200000,00100,0100,900 UNIVERSITY STREET 67320,S200000,00200,0100,SEATTLE 67320,S200000,00200,0200,WA 67320,S200000,00200,0300,98101-2789 67320,S200000,00300,0100,KING 67320,S200000,00400,0100,HORIZON HOUSE 67320,S200000,00400,0200,505026 67320,S200000,00400,0300,07/01/1966 67320,S200000,00400,0500,P 67320,S200000,01600,0100,Y 67320,S200000,02800,0100,Y 67328,S000000,00100,0200,06/13/2000 67339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67339,A000000,00101,0000,00101CAP REL CSTS-FOREST ESTATES 67339,A000000,00102,0000,00102CAP REL CSTS-COMMON 67339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67339,A000000,00700,0000,00700HOUSEKEEPING 67339,A000000,00800,0000,00800DIETARY 67339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67339,A000000,01600,0000,01600SKILLED NURSING FACILITY 67339,A000000,01800,0000,01800NURSING FACILITY 67339,A000000,02500,0000,02500PHYSICAL THERAPY 67339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67339,A000000,02700,0000,02700SPEECH PATHOLOGY 67339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67339,A000000,05300,0000,05300INTEREST EXPENSE 67339,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67339,A000000,06200,0000,06200PATIENTS LAUNDRY 67339,A000000,06201,0000,06201ROCKWOOD FOREST ESTATES 67339,A000000,06202,0000,06202RESIDENTIAL & ASSISTED LIVING 67339,B100000,00000,0100,00002(SQUARE FEET) :CAP REL COSTS - BLD 67339,B100000,00000,0101,00002(SQUARE FEET) :CAP REL CSTS-FOREST 67339,B100000,00000,0102,00002(SQUARE FEET) :CAP REL CSTS-COMMON 67339,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 67339,B100000,00000,0500,00002(SQUARE FEET) :PLANT OPERATION MA 67339,B100000,00000,0600,00002(POUNDS OF LAUNDRY) :LAUNDRY & LINE 67339,B100000,00000,0750,00002(SQUARE FEET) :HOUSEKEEPING 67339,B100000,00000,0800,00002(MEALS SERVED) :DIETARY 67339,B100000,00000,1250,00002(PATIENT DAYS) :MEDICAL RECORDS & 67339,S000000,00100,0200,12/04/2000 67339,S200000,00100,0100,E. 2903 25TH AVE. 67339,S200000,00200,0100,SPOKANE 67339,S200000,00200,0200,WA 67339,S200000,00200,0300,99223- 67339,S200000,00300,0100,SPOKANE 67339,S200000,00300,0200,7840 67339,S200000,00300,0300,U 67339,S200000,00400,0100,ROCKWOOD RETIREMENT COMMUNITY 67339,S200000,00400,0200,505033 67339,S200000,00400,0300,07/01/1966 67339,S200000,00400,0500,P 67339,S200000,00600,0200,505033 67339,S200000,00600,0300,07/01/1966 67339,S200000,00600,0600,P 67339,S200000,01600,0100,Y 67339,S200000,01900,0100,NOT FOR PROFIT CORPO 67339,S200000,02200,0100,Y 67348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67348,A000000,00300,0000,00300EMPLOYEE BENEFITS 67348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67348,A000000,00700,0000,00700HOUSEKEEPING 67348,A000000,00800,0000,00800DIETARY 67348,A000000,00900,0000,00900NURSING ADMINISTRATION 67348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67348,A000000,01100,0000,01100PHARMACY 67348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67348,A000000,01300,0000,01300SOCIAL SERVICE 67348,A000000,01350,0000,01500OTHER GENERAL SERVICES 67348,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67348,A000000,01600,0000,01600SKILLED NURSING FACILITY 67348,A000000,01800,0000,01800NURSING FACILITY 67348,A000000,01900,0000,01900OTHER LONG TERM CARE 67348,A000000,02100,0000,02100RADIOLOGY 67348,A000000,02200,0000,02200LABORATORY 67348,A000000,02300,0000,02300INTRAVENOUS THERAPY 67348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67348,A000000,02500,0000,02500PHYSICAL THERAPY 67348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67348,A000000,02700,0000,02700SPEECH PATHOLOGY 67348,A000000,02800,0000,02800ELECTROCARDIOLOGY 67348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67348,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67348,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67348,A000000,03200,0000,03200SUPPORT SURFACES 67348,A000000,03400,0000,03400CLINIC 67348,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67348,A000000,03500,0000,03500RURAL HEALTH CLINIC 67348,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67348,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67348,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67348,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67348,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67348,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67348,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67348,A000000,04400,0000,04400DME RENTED - HHA 67348,A000000,04500,0000,04500DME SOLD - HHA 67348,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67348,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67348,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67348,A000000,04800,0000,04800AMBULANCE 67348,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67348,A000000,05000,0000,05000CORF 67348,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67348,A000000,05300,0000,05300INTEREST EXPENSE 67348,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67348,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67348,A000000,05500,0000,05500HOSPICE 67348,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67348,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67348,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67348,A000000,06100,0000,06100NONPAID WORKERS 67348,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67348,A000000,06200,0000,06200PATIENTS LAUNDRY 67348,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 67348,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 67348,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67348,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67348,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 67348,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 67348,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 67348,B100000,00000,0850,00000NO STATISTICS :DIETARY 67348,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 67348,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 67348,B100000,00000,1150,00000NO STATISTICS :PHARMACY 67348,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 67348,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 67348,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67348,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 67348,S000000,00100,0200,05/01/2000 67348,S200000,00100,0100,1704 SLEATER KINNEY S.E. 67348,S200000,00200,0100,LACEY 67348,S200000,00200,0200,WA 67348,S200000,00200,0300,98503- 67348,S200000,00300,0100,THURSTON 67348,S200000,00400,0100,PANORAMA CITY CONVALESCENT CTR 67348,S200000,00400,0200,505059 67348,S200000,00400,0300,12/01/1969 67348,S200000,00400,0500,P 67348,S200000,01600,0100,Y 67348,S200000,01900,0100,RETIREMENT FACILITY 67348,S200000,04300,0100,Y 67360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67360,A000000,00300,0000,00300EMPLOYEE BENEFITS 67360,A000000,00401,0000,00401SR. COMMUNITY ADMIN. 67360,A000000,00402,0000,00402ADMINISTRATION & GENERAL 67360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67360,A000000,00700,0000,00700HOUSEKEEPING 67360,A000000,00800,0000,00800DIETARY 67360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67360,A000000,01300,0000,01300SOCIAL SERVICE 67360,A000000,01350,0000,01500TRANSPORTATION 67360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67360,A000000,01600,0000,01600SKILLED NURSING FACILITY 67360,A000000,01800,0000,01800NURSING FACILITY 67360,A000000,01900,0000,01900OTHER LONG TERM CARE 67360,A000000,02100,0000,02100RADIOLOGY 67360,A000000,02200,0000,02200LABORATORY 67360,A000000,02500,0000,02500PHYSICAL THERAPY 67360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67360,A000000,02700,0000,02700SPEECH PATHOLOGY 67360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67360,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67360,A000000,03200,0000,03200SUPPORT SURFACES 67360,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67360,A000000,04800,0000,04800AMBULANCE 67360,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67360,A000000,05000,0000,05000CORF 67360,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67360,A000000,05300,0000,05300INTEREST EXPENSE 67360,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67360,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67360,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67360,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67360,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67360,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67360,B100000,00000,0401,00000ACC. COST ACC. COST:SR. COMMUNITY A 67360,B100000,00000,0402,00000 ACCUM. COST :ADMINISTRATION & GENE 67360,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67360,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67360,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67360,B100000,00000,0800,00000MEALS SERVED :DIETARY 67360,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 67360,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67360,B100000,00000,1350,00000TIME SPENT :TRANSPORTATION 67360,S000000,00100,0200,12/01/2000 67360,S200000,00100,0100,19303 FREMONT AVE. NORTH 67360,S200000,00200,0100,SEATTLE 67360,S200000,00200,0200,WA 67360,S200000,00200,0300,98133- 67360,S200000,00300,0100,KING 67360,S200000,00300,0200,7600 67360,S200000,00300,0300,U 67360,S200000,00400,0100,CRISTA SR. COMMUNITY 67360,S200000,00400,0200,505069 67360,S200000,00400,0300,01/01/1967 67360,S200000,00400,0500,P 67360,S200000,01500,0100,Y 67360,S200000,02800,0100,Y 67369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67369,A000000,00300,0000,00300EMPLOYEE BENEFITS 67369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67369,A000000,00700,0000,00700HOUSEKEEPING 67369,A000000,00800,0000,00800DIETARY 67369,A000000,00900,0000,00900NURSING ADMINISTRATION 67369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67369,A000000,01300,0000,01300SOCIAL SERVICE 67369,A000000,01350,0000,01500OTHER GENERAL SERVICES 67369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67369,A000000,01600,0000,01600SKILLED NURSING FACILITY 67369,A000000,01800,0000,01800NURSING FACILITY 67369,A000000,01810,0000,01801ICF/MR 67369,A000000,01900,0000,01900OTHER LONG TERM CARE 67369,A000000,02100,0000,02100RADIOLOGY 67369,A000000,02200,0000,02200LABORATORY 67369,A000000,02300,0000,02300INTRAVENOUS THERAPY 67369,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67369,A000000,02500,0000,02500PHYSICAL THERAPY 67369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67369,A000000,02700,0000,02700SPEECH PATHOLOGY 67369,A000000,02800,0000,02800ELECTROCARDIOLOGY 67369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67369,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67369,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67369,A000000,03200,0000,03200SUPPORT SURFACES 67369,A000000,03400,0000,03400CLINIC 67369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67369,A000000,03500,0000,03500RURAL HEALTH CLINIC 67369,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67369,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67369,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67369,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67369,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67369,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67369,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67369,A000000,04400,0000,04400DME RENTED - HHA 67369,A000000,04500,0000,04500DME SOLD - HHA 67369,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67369,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67369,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67369,A000000,04800,0000,04800AMBULANCE 67369,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67369,A000000,05000,0000,05000CORF 67369,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67369,A000000,05300,0000,05300INTEREST EXPENSE 67369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67369,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67369,A000000,05500,0000,05500HOSPICE 67369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67369,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67369,A000000,06100,0000,06100NONPAID WORKERS 67369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67369,A000000,06200,0000,06200PATIENTS LAUNDRY 67369,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67369,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67369,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67369,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67369,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67369,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67369,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67369,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67369,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 67369,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67369,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67369,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67369,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67369,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67369,S000000,00100,0200,03/22/2000 67369,S200000,00100,0100,817 PIONEER AVENUE 67369,S200000,00200,0100,CASHMERE 67369,S200000,00200,0200,WA 67369,S200000,00200,0300,98815- 67369,S200000,00300,0100,KITTITAS 67369,S200000,00400,0100,CASHMERE CONVALESCENT CENTER 67369,S200000,00400,0200,505151 67369,S200000,00400,0300,07/01/1966 67369,S200000,00400,0500,P 67369,S200000,01600,0100,Y 67380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67380,A000000,00300,0000,00300EMPLOYEE BENEFITS 67380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67380,A000000,00700,0000,00700HOUSEKEEPING 67380,A000000,00800,0000,00800DIETARY 67380,A000000,00900,0000,00900NURSING ADMINISTRATION 67380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67380,A000000,01100,0000,01100PHARMACY 67380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67380,A000000,01300,0000,01300SOCIAL SERVICE 67380,A000000,01301,0000,01301ACTIVITIES 67380,A000000,01350,0000,01500OTHER GENERAL SERVICES 67380,A000000,01600,0000,01600SKILLED NURSING FACILITY 67380,A000000,01800,0000,01800NURSING FACILITY 67380,A000000,01900,0000,01900OTHER LONG TERM CARE 67380,A000000,02100,0000,02100RADIOLOGY 67380,A000000,02200,0000,02200LABORATORY 67380,A000000,02300,0000,02300INTRAVENOUS THERAPY 67380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67380,A000000,02500,0000,02500PHYSICAL THERAPY 67380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67380,A000000,02700,0000,02700SPEECH PATHOLOGY 67380,A000000,02800,0000,02800ELECTROCARDIOLOGY 67380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67380,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67380,A000000,03200,0000,03200SUPPORT SURFACES 67380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67380,A000000,05300,0000,05300INTEREST EXPENSE 67380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67380,A81000A,00100,0100,Y 67380,A81000B,00100,0300,MGMT FEES 67380,A81000B,00200,0300,CAPITAL COSTS 67380,A81000C,00100,0100,B 67380,A81000C,00100,0400,SISTERS OF PROVIDENCE 67380,A81000C,00100,0600,RELIGIOUS ORDER 67380,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67380,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67380,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67380,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67380,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67380,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67380,B100000,00000,0800,00000MEALS SERVED :DIETARY 67380,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 67380,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67380,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 67380,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67380,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67380,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 67380,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67380,S000000,00100,0200,06/01/2000 67380,S200000,00100,0100,4831 35TH AVE 67380,S200000,00200,0100,SEATTLE 67380,S200000,00200,0200,WA 67380,S200000,00200,0300,98126- 67380,S200000,00300,0100,KING 67380,S200000,00400,0100,PROVIDENCE MOUNT ST VINCENT 67380,S200000,00400,0200,505182 67380,S200000,00400,0300,07/01/1968 67380,S200000,00400,0500,P 67380,S200000,01600,0100,Y 67433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67433,A000000,00300,0000,00300EMPLOYEE BENEFITS 67433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67433,A000000,00700,0000,00700HOUSEKEEPING 67433,A000000,00800,0000,00800DIETARY 67433,A000000,00900,0000,00900NURSING ADMINISTRATION 67433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67433,A000000,01100,0000,01100PHARMACY 67433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67433,A000000,01300,0000,01300SOCIAL SERVICE 67433,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67433,A000000,01600,0000,01600SKILLED NURSING FACILITY 67433,A000000,01800,0000,01800NURSING FACILITY 67433,A000000,01900,0000,01900OTHER LONG TERM CARE 67433,A000000,02100,0000,02100RADIOLOGY 67433,A000000,02200,0000,02200LABORATORY 67433,A000000,02300,0000,02300INTRAVENOUS THERAPY 67433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67433,A000000,02500,0000,02500PHYSICAL THERAPY 67433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67433,A000000,02700,0000,02700SPEECH PATHOLOGY 67433,A000000,02800,0000,02800ELECTROCARDIOLOGY 67433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67433,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67433,A000000,04800,0000,04800AMBULANCE 67433,A000000,05000,0000,05000CORF 67433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67433,A000000,05300,0000,05300INTEREST EXPENSE 67433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67433,A000000,06100,0000,06100NONPAID WORKERS 67433,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67433,A000000,06200,0000,06200PATIENTS LAUNDRY 67433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67433,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67433,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67433,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67433,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67433,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67433,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 67433,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 67433,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67433,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67433,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67433,S000000,00100,0200,05/31/2000 67433,S200000,00100,0100,910 16TH AVE. 67433,S200000,00200,0100,LONGVIEW 67433,S200000,00200,0200,TX 67433,S200000,00200,0300,98632- 67433,S200000,00300,0100,COWLITZ 67433,S200000,00400,0100,PARK ROYAL 67433,S200000,00400,0200,505288 67433,S200000,00400,0300,06/01/1993 67433,S200000,00400,0500,P 67433,S200000,01500,0100,Y 67443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67443,A000000,00101,0000,00101CAP BLDG & FIX - ORIG BLDG 67443,A000000,00102,0000,00102CAP BLDG & FIX - NEW BLDG 67443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67443,A000000,00700,0000,00700HOUSEKEEPING 67443,A000000,00800,0000,00800DIETARY 67443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67443,A000000,01100,0000,01100PHARMACY 67443,A000000,01600,0000,01600SKILLED NURSING FACILITY 67443,A000000,02100,0000,02100RADIOLOGY 67443,A000000,02200,0000,02200LABORATORY 67443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67443,A000000,02500,0000,02500PHYSICAL THERAPY 67443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67443,A000000,02700,0000,02700SPEECH PATHOLOGY 67443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67443,A000000,05300,0000,05300INTEREST EXPENSE 67443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67443,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 67443,A81000A,00100,0100,Y 67443,A81000B,00100,0300,DIETARY SERV./FOOD 67443,A81000B,00200,0300,LAUNDRY 67443,A81000C,00100,0100,E 67443,A81000C,00100,0200,RIVERVIEW TERRA 67443,A81000C,00100,0400,RIVERVIEW TERRA 67443,A81000C,00100,0600,RETIREMENT APAR 67443,A81000C,00200,0100,E 67443,A81000C,00200,0200,RIVERVIEW TERRA 67443,A81000C,00200,0400,RIVERVIEW TERRA 67443,A81000C,00200,0600,RETIREMENT APAR 67443,B100000,00000,0100,00001(SQUARE FEET) :CAP REL COSTS - BLD 67443,B100000,00000,0101,00001(SQUARE FEET) :CAP BLDG & FIX - OR 67443,B100000,00000,0102,00001(SQUARE FEET) :CAP BLDG & FIX - NE 67443,B100000,00000,0250,00001(SQUARE FEET) :CAP REL COSTS - MOV 67443,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 67443,B100000,00000,0500,00001(SQUARE FEET) :PLANT OPERATION MA 67443,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 67443,B100000,00000,0750,00001(SQUARE FEET) :HOUSEKEEPING 67443,B100000,00000,0800,00001(MEALS SERVED) :DIETARY 67443,B100000,00000,1000,00001(COSTED REQUIS) :CENTRAL SERVICES 67443,B100000,00000,1100,00001(COSTED REQUIS) :PHARMACY 67443,S000000,00100,0200,05/31/2000 67443,S200000,00100,0100,1841 E. UPRIVER DRIVE 67443,S200000,00200,0100,SPOKANE 67443,S200000,00200,0200,WA 67443,S200000,00200,0300,99207- 67443,S200000,00300,0100,SPOKANE 67443,S200000,00400,0100,RIVERVIEW CARE CENTER 67443,S200000,00400,0200,505291 67443,S200000,00400,0300,12/29/1966 67443,S200000,00400,0500,P 67443,S200000,00400,0600,O 67443,S200000,01500,0100,Y 67443,S200000,02200,0100,Y 67453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67453,A000000,00300,0000,00300EMPLOYEE BENEFITS 67453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67453,A000000,00700,0000,00700HOUSEKEEPING 67453,A000000,00800,0000,00800DIETARY 67453,A000000,00900,0000,00900NURSING ADMINISTRATION 67453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67453,A000000,01300,0000,01300SOCIAL SERVICE 67453,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67453,A000000,01600,0000,01600SKILLED NURSING FACILITY 67453,A000000,01800,0000,01800NURSING FACILITY 67453,A000000,01900,0000,01900OTHER LONG TERM CARE 67453,A000000,02100,0000,02100RADIOLOGY 67453,A000000,02200,0000,02200LABORATORY 67453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67453,A000000,02500,0000,02500PHYSICAL THERAPY 67453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67453,A000000,02700,0000,02700SPEECH PATHOLOGY 67453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67453,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67453,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67453,A000000,04800,0000,04800AMBULANCE 67453,A000000,05000,0000,05000CORF 67453,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67453,A000000,05300,0000,05300INTEREST EXPENSE 67453,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67453,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67453,A000000,06100,0000,06100NONPAID WORKERS 67453,A000000,06150,0000,06300CHILD CARE 67453,A000000,06200,0000,06200PATIENTS LAUNDRY 67453,A81000A,00100,0100,Y 67453,A81000B,00100,0300,RELATED PARTY LEASE 67453,A81000B,00200,0300,RELATED PARTY LEASE 67453,A81000C,00100,0100,A 67453,A81000C,00100,0200,RON HAYES 67453,A81000C,00200,0100,A 67453,A81000C,00200,0200,NANCY HAYES 67453,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67453,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67453,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67453,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67453,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67453,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67453,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67453,B100000,00000,0800,00000MEALS SERVED :DIETARY 67453,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67453,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67453,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67453,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67453,S000000,00100,0200,07/05/2000 67453,S200000,00100,0100,311 N.E. THIRD STREET 67453,S200000,00100,0300,1140 67453,S200000,00200,0100,COUPEVILLE 67453,S200000,00200,0200,WA 67453,S200000,00200,0300,98239- 67453,S200000,00300,0100,ISLAND 67453,S200000,00400,0100,CAREAGE OF WHIDBEY 67453,S200000,00400,0200,505309 67453,S200000,00400,0300,01/27/1987 67453,S200000,00400,0500,P 67453,S200000,01600,0100,Y 67462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67462,A000000,00300,0000,00300EMPLOYEE BENEFITS 67462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67462,A000000,00700,0000,00700HOUSEKEEPING 67462,A000000,00800,0000,00800DIETARY 67462,A000000,00900,0000,00900NURSING ADMINISTRATION 67462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67462,A000000,01300,0000,01300SOCIAL SERVICE 67462,A000000,01600,0000,01600SKILLED NURSING FACILITY 67462,A000000,01800,0000,01800NURSING FACILITY 67462,A000000,01900,0000,01900OTHER LONG TERM CARE 67462,A000000,02100,0000,02100RADIOLOGY 67462,A000000,02200,0000,02200LABORATORY 67462,A000000,02300,0000,02300INTRAVENOUS THERAPY 67462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67462,A000000,02500,0000,02500PHYSICAL THERAPY 67462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67462,A000000,02700,0000,02700SPEECH PATHOLOGY 67462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67462,A000000,03200,0000,03200SUPPORT SURFACES 67462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67462,A000000,04800,0000,04800AMBULANCE 67462,A000000,05300,0000,05300INTEREST EXPENSE 67462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67462,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67462,A000000,06200,0000,06200PATIENTS LAUNDRY 67462,A81000A,00100,0100,Y 67462,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 67462,A81000B,00200,0300,PT 67462,A81000B,00300,0300,OT 67462,A81000B,00400,0300,ST 67462,A81000C,00100,0100,D 67462,A81000C,00100,0200,ANDY MARTINI 67462,A81000C,00100,0400,EVERGREEN HEALTHCARE MGT 67462,A81000C,00100,0600,MANAGEMENT COMPANY 67462,A81000C,00200,0100,B 67462,A81000C,00200,0200,EVERGREEN HEALTHCARE MGT 67462,A81000C,00200,0400,EVERGREEN ANCILLARY 67462,A81000C,00200,0600,THERAPY COMPANY 67462,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67462,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67462,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67462,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67462,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67462,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67462,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67462,B100000,00000,0800,00000MEALS SERVED :DIETARY 67462,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 67462,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67462,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67462,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67462,S000000,00100,0200,06/05/2000 67462,S200000,00100,0100,555 16TH STREET 67462,S200000,00200,0100,SEATTLE 67462,S200000,00200,0200,WA 67462,S200000,00200,0300,98122- 67462,S200000,00300,0100,KING 67462,S200000,00300,0200,7600 67462,S200000,00300,0300,U 67462,S200000,00400,0100,SEATTLE MEDICAL & REHAB CENTER 67462,S200000,00400,0200,505311 67462,S200000,00400,0300,04/03/1987 67462,S200000,00400,0500,P 67462,S200000,01600,0100,Y 67470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67470,A000000,00300,0000,00300EMPLOYEE BENEFITS 67470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67470,A000000,00700,0000,00700HOUSEKEEPING 67470,A000000,00800,0000,00800DIETARY 67470,A000000,00900,0000,00900NURSING ADMINISTRATION 67470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67470,A000000,01100,0000,01100PHARMACY 67470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67470,A000000,01300,0000,01300SOCIAL SERVICE 67470,A000000,01350,0000,01500OTHER GENERAL SERVICES 67470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67470,A000000,01600,0000,01600SKILLED NURSING FACILITY 67470,A000000,01800,0000,01800NURSING FACILITY 67470,A000000,01900,0000,01900OTHER LONG TERM CARE 67470,A000000,02100,0000,02100RADIOLOGY 67470,A000000,02200,0000,02200LABORATORY 67470,A000000,02300,0000,02300INTRAVENOUS THERAPY 67470,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67470,A000000,02500,0000,02500PHYSICAL THERAPY 67470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67470,A000000,02700,0000,02700SPEECH PATHOLOGY 67470,A000000,02800,0000,02800ELECTROCARDIOLOGY 67470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67470,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67470,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67470,A000000,03200,0000,03200SUPPORT SURFACES 67470,A000000,03400,0000,03400CLINIC 67470,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67470,A000000,03500,0000,03500RURAL HEALTH CLINIC 67470,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67470,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67470,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67470,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67470,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67470,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67470,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67470,A000000,04400,0000,04400DME RENTED - HHA 67470,A000000,04500,0000,04500DME SOLD - HHA 67470,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67470,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67470,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67470,A000000,04800,0000,04800AMBULANCE 67470,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67470,A000000,05000,0000,05000CORF 67470,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67470,A000000,05300,0000,05300INTEREST EXPENSE 67470,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67470,A000000,05500,0000,05500HOSPICE 67470,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67470,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67470,A000000,06100,0000,06100NONPAID WORKERS 67470,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67470,A000000,06200,0000,06200PATIENTS LAUNDRY 67470,A81000A,00100,0100,Y 67470,A81000B,00100,0300,MANAGEMENT FEES 67470,A81000C,00100,0100,B 67470,A81000C,00100,0200,TRIPLE C CONVALESCENT CEN 67470,A81000C,00100,0600,HEALTHCARE 67470,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67470,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67470,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67470,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67470,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67470,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67470,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67470,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67470,B100000,00000,0900,00000DIR NSG HOURS :NURSING ADMINISTRATI 67470,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67470,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 67470,B100000,00000,1250,00000DIR NSG HOURS :MEDICAL RECORDS & LI 67470,B100000,00000,1330,00000DIR NSG HOURS :SOCIAL SERVICE 67470,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67470,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67470,S000000,00100,0200,05/18/2000 67470,S200000,00100,0100,609 HIGHLINE DRIVE 67470,S200000,00200,0100,EAST WENATCHEE 67470,S200000,00200,0200,WA 67470,S200000,00200,0300,98802- 67470,S200000,00300,0100,DOUGLAS 67470,S200000,00400,0100,HIGHLINE CONVALESCENT CENTER 67470,S200000,00400,0200,505312 67470,S200000,00400,0300,02/01/1987 67470,S200000,00400,0500,P 67470,S200000,01500,0100,Y 67482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67482,A000000,00300,0000,00300EMPLOYEE BENEFITS 67482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67482,A000000,00700,0000,00700HOUSEKEEPING 67482,A000000,00800,0000,00800DIETARY 67482,A000000,00900,0000,00900NURSING ADMINISTRATION 67482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67482,A000000,01300,0000,01300SOCIAL SERVICE 67482,A000000,01600,0000,01600SKILLED NURSING FACILITY 67482,A000000,01800,0000,01800NURSING FACILITY 67482,A000000,02100,0000,02100RADIOLOGY 67482,A000000,02200,0000,02200LABORATORY 67482,A000000,02500,0000,02500PHYSICAL THERAPY 67482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67482,A000000,02700,0000,02700SPEECH PATHOLOGY 67482,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67482,A000000,03050,0000,03300RESPIRATORY & IV THERAPY 67482,A000000,03051,0000,03301SPECIALTY EQUIPMENT 67482,A000000,05300,0000,05300INTEREST EXPENSE 67482,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67482,A81000A,00100,0100,Y 67482,A81000B,00100,0300,MANAGEMENT FEES 67482,A81000B,00200,0300,DNS SALARY 67482,A81000B,00300,0300,DNS FRINGE BENEFITS 67482,A81000B,00400,0300,INTEREST ON NOTES 67482,A81000C,00100,0100,A 67482,A81000C,00100,0200,DANIEL HUMPHREY 67482,A81000C,00200,0100,A 67482,A81000C,00200,0200,SABINA DINSMOOR 67482,A81000C,00300,0100,A 67482,A81000C,00300,0200,SABINA DINSMOOR 67482,A81000C,00400,0100,A 67482,A81000C,00400,0200,STOCKHOLDERS 67482,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67482,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67482,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67482,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67482,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67482,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67482,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67482,B100000,00000,0800,00000MEALS SERVED :DIETARY 67482,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67482,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67482,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67482,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67482,E10A180,00301,0100,10/21/1999 67482,E10A180,00302,0100,06/27/2000 67482,S000000,00100,0200,06/30/2000 67482,S200000,00100,0100,300 SOUTH 18TH STREET 67482,S200000,00200,0100,MT. VERNON 67482,S200000,00200,0200,WA 67482,S200000,00200,0300,98273- 67482,S200000,00300,0100,SKAGIT 67482,S200000,00400,0100,MIRA VISTA CARE CENTER 67482,S200000,00400,0200,505315 67482,S200000,00400,0300,11/01/1987 67482,S200000,00400,0500,P 67482,S200000,01600,0100,Y 67492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67492,A000000,00300,0000,00300EMPLOYEE BENEFITS 67492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67492,A000000,00700,0000,00700HOUSEKEEPING 67492,A000000,00800,0000,00800DIETARY 67492,A000000,00900,0000,00900NURSING ADMINISTRATION 67492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67492,A000000,01100,0000,01100PHARMACY 67492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67492,A000000,01300,0000,01300SOCIAL SERVICE 67492,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67492,A000000,01600,0000,01600SKILLED NURSING FACILITY 67492,A000000,01800,0000,01800NURSING FACILITY 67492,A000000,01900,0000,01900OTHER LONG TERM CARE 67492,A000000,02100,0000,02100RADIOLOGY 67492,A000000,02200,0000,02200LABORATORY 67492,A000000,02300,0000,02300INTRAVENOUS THERAPY 67492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67492,A000000,02500,0000,02500PHYSICAL THERAPY 67492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67492,A000000,02700,0000,02700SPEECH PATHOLOGY 67492,A000000,02800,0000,02800ELECTROCARDIOLOGY 67492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67492,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67492,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67492,A000000,04800,0000,04800AMBULANCE 67492,A000000,05000,0000,05000CORF 67492,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67492,A000000,05300,0000,05300INTEREST EXPENSE 67492,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67492,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67492,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67492,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67492,A000000,06100,0000,06100NONPAID WORKERS 67492,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67492,A000000,06200,0000,06200PATIENTS LAUNDRY 67492,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67492,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67492,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67492,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67492,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67492,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67492,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67492,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67492,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67492,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 67492,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 67492,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67492,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67492,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67492,S000000,00100,0200,05/30/2000 67492,S200000,00100,0100,1541 11TH AVENUE 67492,S200000,00200,0100,LONGVIEW 67492,S200000,00200,0200,WA 67492,S200000,00200,0300,98632- 67492,S200000,00300,0100,COWLITZ 67492,S200000,00400,0100,COWLITZ CARE CENTER 67492,S200000,00400,0200,505321 67492,S200000,00400,0300,06/01/1993 67492,S200000,00400,0500,P 67492,S200000,01500,0100,Y 67503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67503,A000000,00300,0000,00300EMPLOYEE BENEFITS 67503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67503,A000000,00700,0000,00700HOUSEKEEPING 67503,A000000,00800,0000,00800DIETARY 67503,A000000,00900,0000,00900NURSING ADMINISTRATION 67503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67503,A000000,01300,0000,01300SOCIAL SERVICE 67503,A000000,01301,0000,01301ACTIVITIES 67503,A000000,01600,0000,01600SKILLED NURSING FACILITY 67503,A000000,01800,0000,01800NURSING FACILITY 67503,A000000,02100,0000,02100RADIOLOGY 67503,A000000,02200,0000,02200LABORATORY 67503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67503,A000000,02500,0000,02500PHYSICAL THERAPY 67503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67503,A000000,02700,0000,02700SPEECH PATHOLOGY 67503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67503,A000000,03050,0000,03300DME 67503,A000000,03051,0000,03301OXYGEN 67503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67503,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67503,A81000A,00100,0100,Y 67503,A81000B,00100,0300,LAND LEASE 67503,A81000C,00100,0100,A 67503,A81000C,00100,0200,BILL & NANCY RO 67503,A81000C,00100,0400,BILL & NANCY RO 67503,A81000C,00100,0600,PROPERTY OWNER 67503,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67503,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67503,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67503,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67503,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67503,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67503,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67503,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67503,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67503,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 67503,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67503,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67503,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 67503,S000000,00100,0200,05/31/2000 67503,S200000,00100,0100,1649 EAST 72ND STREET 67503,S200000,00200,0100,TACOMA 67503,S200000,00200,0200,WA 67503,S200000,00200,0300,98404- 67503,S200000,00300,0100,PIERCE 67503,S200000,00400,0100,HEARTWOOD 67503,S200000,00400,0200,505326 67503,S200000,00400,0300,07/01/1988 67503,S200000,00400,0500,P 67503,S200000,01600,0100,Y 67514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67514,A000000,00300,0000,00300EMPLOYEE BENEFITS 67514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67514,A000000,00700,0000,00700HOUSEKEEPING 67514,A000000,00800,0000,00800DIETARY 67514,A000000,00900,0000,00900NURSING ADMINISTRATION 67514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67514,A000000,01300,0000,01300SOCIAL SERVICE 67514,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67514,A000000,01600,0000,01600SKILLED NURSING FACILITY 67514,A000000,01800,0000,01800NURSING FACILITY 67514,A000000,01900,0000,01900OTHER LONG TERM CARE 67514,A000000,02100,0000,02100RADIOLOGY 67514,A000000,02200,0000,02200LABORATORY 67514,A000000,02500,0000,02500PHYSICAL THERAPY 67514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67514,A000000,02700,0000,02700SPEECH PATHOLOGY 67514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67514,A000000,04800,0000,04800AMBULANCE 67514,A000000,05000,0000,05000CORF 67514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67514,A000000,05300,0000,05300INTEREST EXPENSE 67514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67514,A000000,06100,0000,06100NONPAID WORKERS 67514,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67514,A000000,06200,0000,06200PATIENTS LAUNDRY 67514,A81000A,00100,0100,Y 67514,A81000B,00100,0300,MANAGEMENT SERVICES 67514,A81000C,00100,0100,B 67514,A81000C,00100,0200,CLALLAM CO PUB 67514,A81000C,00100,0400,OLYMPIC MEM. HO 67514,A81000C,00100,0600,HOSPITAL 67514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67514,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67514,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67514,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67514,B100000,00000,0800,00000MEALS SERVED :DIETARY 67514,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67514,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 67514,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67514,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67514,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67514,S000000,00100,0200,06/02/2000 67514,S200000,00100,0100,1000 SOUTH 5TH AVENUE 67514,S200000,00200,0100,SEQUIM 67514,S200000,00200,0200,WA 67514,S200000,00200,0300,98382- 67514,S200000,00300,0100,CLALLAM 67514,S200000,00400,0100,OLYMPIC HEALTH CARE 67514,S200000,00400,0200,505327 67514,S200000,00400,0300,01/01/1989 67514,S200000,00400,0500,P 67514,S200000,01500,0100,Y 67518,S000000,00100,0200,06/05/2000 67531,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67531,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67531,A000000,00300,0000,00300EMPLOYEE BENEFITS 67531,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67531,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67531,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67531,A000000,00700,0000,00700HOUSEKEEPING 67531,A000000,00800,0000,00800DIETARY 67531,A000000,00900,0000,00900NURSING ADMINISTRATION 67531,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67531,A000000,01100,0000,01100PHARMACY 67531,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67531,A000000,01300,0000,01300SOCIAL SERVICE 67531,A000000,01350,0000,01500OTHER GENERAL SERVICES 67531,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67531,A000000,01600,0000,01600SKILLED NURSING FACILITY 67531,A000000,01800,0000,01800NURSING FACILITY 67531,A000000,01900,0000,01900OTHER LONG TERM CARE 67531,A000000,02100,0000,02100RADIOLOGY 67531,A000000,02200,0000,02200LABORATORY 67531,A000000,02300,0000,02300INTRAVENOUS THERAPY 67531,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67531,A000000,02500,0000,02500PHYSICAL THERAPY 67531,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67531,A000000,02700,0000,02700SPEECH PATHOLOGY 67531,A000000,02800,0000,02800ELECTROCARDIOLOGY 67531,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67531,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67531,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67531,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67531,A000000,03200,0000,03200SUPPORT SURFACES 67531,A000000,03400,0000,03400CLINIC 67531,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67531,A000000,03500,0000,03500RURAL HEALTH CLINIC 67531,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67531,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67531,A000000,05000,0000,05000CORF 67531,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67531,A000000,05300,0000,05300INTEREST EXPENSE 67531,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67531,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67531,A000000,05500,0000,05500HOSPICE 67531,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67531,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67531,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67531,A000000,06100,0000,06100NONPAID WORKERS 67531,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67531,A000000,06200,0000,06200PATIENTS LAUNDRY 67531,A81000A,00100,0100,Y 67531,A81000B,00100,0300,MANAGEMENT FEES 67531,A81000C,00100,0100,B 67531,A81000C,00100,0200,TRIPLE C CONVALESCENT CEN 67531,A81000C,00100,0400,HEALTHCARE MANAGEMENT 67531,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67531,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67531,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67531,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67531,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67531,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67531,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67531,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67531,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 67531,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67531,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 67531,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67531,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67531,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 67531,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67531,S000000,00100,0200,05/18/2000 67531,S200000,00100,0100,1230 MONITOR 67531,S200000,00200,0100,WENATCHEE 67531,S200000,00200,0200,WA 67531,S200000,00200,0300,98801- 67531,S200000,00300,0100,CHELAN 67531,S200000,00400,0100,PARKSIDE CARE CENTER 67531,S200000,00400,0200,505336 67531,S200000,00400,0300,07/01/1989 67531,S200000,00400,0500,P 67531,S200000,01500,0100,Y 67543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67543,A000000,00300,0000,00300EMPLOYEE BENEFITS 67543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67543,A000000,00700,0000,00700HOUSEKEEPING 67543,A000000,00800,0000,00800DIETARY 67543,A000000,00900,0000,00900NURSING ADMINISTRATION 67543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67543,A000000,01300,0000,01300SOCIAL SERVICE 67543,A000000,01600,0000,01600SKILLED NURSING FACILITY 67543,A000000,01800,0000,01800NURSING FACILITY 67543,A000000,01900,0000,01900OTHER LONG TERM CARE 67543,A000000,02100,0000,02100RADIOLOGY 67543,A000000,02200,0000,02200LABORATORY 67543,A000000,02300,0000,02300INTRAVENOUS THERAPY 67543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67543,A000000,02500,0000,02500PHYSICAL THERAPY 67543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67543,A000000,02700,0000,02700SPEECH PATHOLOGY 67543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67543,A000000,03200,0000,03200SUPPORT SURFACES 67543,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67543,A000000,04800,0000,04800AMBULANCE 67543,A000000,05300,0000,05300INTEREST EXPENSE 67543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67543,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67543,A000000,06200,0000,06200PATIENTS LAUNDRY 67543,A81000A,00100,0100,Y 67543,A81000B,00100,0300,A&G 67543,A81000B,00200,0300,PT 67543,A81000B,00300,0300,OT 67543,A81000B,00400,0300,ST 67543,A81000C,00100,0100,D 67543,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 67543,A81000C,00100,0600,MGMT SVCS 67543,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67543,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67543,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67543,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67543,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67543,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67543,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67543,B100000,00000,0800,00000MEALS SERVED :DIETARY 67543,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 67543,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67543,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67543,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67543,S000000,00100,0200,03/14/2000 67543,S200000,00100,0100,502 29TH STREET SE 67543,S200000,00200,0100,AUBURN 67543,S200000,00200,0200,WA 67543,S200000,00200,0300,98002- 67543,S200000,00300,0100,KING 67543,S200000,00300,0200,7600 67543,S200000,00300,0300,U 67543,S200000,00400,0100,CANTERBURY HOUSE 67543,S200000,00400,0200,505344 67543,S200000,00400,0300,08/01/1989 67543,S200000,00400,0500,P 67543,S200000,01600,0100,Y 67543,S200000,04300,0100,Y 67555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67555,A000000,00300,0000,00300EMPLOYEE BENEFITS 67555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67555,A000000,00700,0000,00700HOUSEKEEPING 67555,A000000,00800,0000,00800DIETARY 67555,A000000,00900,0000,00900NURSING ADMINISTRATION 67555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67555,A000000,01300,0000,01300SOCIAL SERVICE 67555,A000000,01600,0000,01600SKILLED NURSING FACILITY 67555,A000000,01800,0000,01800NURSING FACILITY 67555,A000000,02100,0000,02100RADIOLOGY 67555,A000000,02200,0000,02200LABORATORY 67555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67555,A000000,02500,0000,02500PHYSICAL THERAPY 67555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67555,A000000,02700,0000,02700SPEECH PATHOLOGY 67555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67555,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67555,A000000,03200,0000,03200SUPPORT SURFACES 67555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67555,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67555,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67555,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67555,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67555,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67555,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67555,B100000,00000,0800,00000MEALS SERVED :DIETARY 67555,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 67555,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67555,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67555,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67555,S000000,00100,0200,05/18/2000 67555,S200000,00100,0100,2219 NORTH SIXTH 67555,S200000,00200,0100,CHENEY 67555,S200000,00200,0200,WA 67555,S200000,00200,0300,99004- 67555,S200000,00300,0100,SPOKANE 67555,S200000,00400,0100,CHENEY CARE CENTER 67555,S200000,00400,0200,505346 67555,S200000,00400,0300,09/01/1989 67555,S200000,00400,0500,P 67555,S200000,01500,0100,Y 67579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67579,A000000,00300,0000,00300EMPLOYEE BENEFITS 67579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67579,A000000,00700,0000,00700HOUSEKEEPING 67579,A000000,00800,0000,00800DIETARY 67579,A000000,00900,0000,00900NURSING ADMINISTRATION 67579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67579,A000000,01300,0000,01300SOCIAL SERVICE 67579,A000000,01600,0000,01600SKILLED NURSING FACILITY 67579,A000000,01800,0000,01800NURSING FACILITY 67579,A000000,02500,0000,02500PHYSICAL THERAPY 67579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67579,A000000,02700,0000,02700SPEECH PATHOLOGY 67579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67579,A000000,05300,0000,05300INTEREST EXPENSE 67579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67579,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67579,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67579,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67579,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67579,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67579,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67579,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67579,B100000,00000,0800,00000MEALS SERVED :DIETARY 67579,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67579,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67579,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67579,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67579,S000000,00100,0200,06/02/2000 67579,S200000,00100,0100,2702 S. ELY 67579,S200000,00200,0100,KENNEWICK 67579,S200000,00200,0200,WA 67579,S200000,00200,0300,99337- 67579,S200000,00300,0100,BENTON 67579,S200000,00400,0100,CANYON LAKES 67579,S200000,00400,0200,505372 67579,S200000,00400,0300,09/01/1990 67579,S200000,00400,0500,P 67579,S200000,01600,0100,Y 67591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67591,A000000,00300,0000,00300EMPLOYEE BENEFITS 67591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67591,A000000,00700,0000,00700HOUSEKEEPING 67591,A000000,00800,0000,00800DIETARY 67591,A000000,00900,0000,00900NURSING ADMINISTRATION 67591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67591,A000000,01300,0000,01300SOCIAL SERVICE 67591,A000000,01600,0000,01600SKILLED NURSING FACILITY 67591,A000000,01800,0000,01800NURSING FACILITY 67591,A000000,02100,0000,02100RADIOLOGY 67591,A000000,02200,0000,02200LABORATORY 67591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67591,A000000,02500,0000,02500PHYSICAL THERAPY 67591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67591,A000000,02700,0000,02700SPEECH PATHOLOGY 67591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67591,A000000,04800,0000,04800AMBULANCE 67591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67591,A81000A,00100,0100,Y 67591,A81000B,00100,0300,HOME OFFICE COSTS 67591,A81000B,00200,0300,BUILDING DEPRECIATION 67591,A81000B,00300,0300,EQUIPMENT DEPRECIATION 67591,A81000B,00400,0300,BUILDING INTEREST 67591,A81000B,00500,0300,EQUIPMENT INTEREST 67591,A81000C,00100,0100,A 67591,A81000C,00100,0200,T. ARMAGNO 67591,A81000C,00100,0400,NORTHWEST COUNT 67591,A81000C,00100,0600,HOME OFFICE 67591,A81000C,00200,0100,C 67591,A81000C,00200,0200,NORTHWEST COUNT 67591,A81000C,00200,0400,CENTRALIA COUNT 67591,A81000C,00200,0600,REAL ESTATE 67591,A81000C,00300,0100,C 67591,A81000C,00300,0200,NORTHWEST COUNT 67591,A81000C,00300,0400,CENTRALIA COUNT 67591,A81000C,00300,0600,REAL ESTATE 67591,A81000C,00400,0100,C 67591,A81000C,00400,0200,NORTHWEST COUNT 67591,A81000C,00400,0400,CENTRALIA COUNT 67591,A81000C,00400,0600,REAL ESTATE 67591,A81000C,00500,0100,C 67591,A81000C,00500,0200,NORTHWEST COUNT 67591,A81000C,00500,0400,CENTRALIA COUNT 67591,A81000C,00500,0600,REAL ESTATE 67591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67591,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67591,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67591,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67591,B100000,00000,0800,00000MEALS SERVED :DIETARY 67591,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67591,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 67591,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67591,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67591,S000000,00100,0200,06/01/2000 67591,S200000,00100,0100,917 SOUTH SCHEUBER 67591,S200000,00200,0100,CENTRALIA 67591,S200000,00200,0200,WA 67591,S200000,00200,0300,98531-0724 67591,S200000,00300,0100,LEWIS 67591,S200000,00400,0100,LIBERTY COUNTRY PLACE 67591,S200000,00400,0200,505373 67591,S200000,00400,0300,04/01/1991 67591,S200000,00400,0500,P 67591,S200000,01600,0100,Y 67600,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67600,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67600,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67600,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67600,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67600,A000000,00700,0000,00700HOUSEKEEPING 67600,A000000,00800,0000,00800DIETARY 67600,A000000,00900,0000,00900NURSING ADMINISTRATION 67600,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67600,A000000,01300,0000,01300SOCIAL SERVICE 67600,A000000,01600,0000,01600SKILLED NURSING FACILITY 67600,A000000,01800,0000,01800NURSING FACILITY 67600,A000000,01900,0000,01900OTHER LONG TERM CARE 67600,A000000,02100,0000,02100RADIOLOGY 67600,A000000,02200,0000,02200LABORATORY 67600,A000000,02500,0000,02500PHYSICAL THERAPY 67600,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67600,A000000,02700,0000,02700SPEECH PATHOLOGY 67600,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67600,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67600,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67600,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67600,A000000,04800,0000,04800AMBULANCE 67600,A000000,05000,0000,05000CORF 67600,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67600,A000000,05300,0000,05300INTEREST EXPENSE 67600,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67600,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67600,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67600,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67600,A000000,06151,0000,06301ALU 67600,A81000A,00100,0100,Y 67600,A81000B,00100,0300,MANAGEMENT SERVICES 67600,A81000C,00100,0100,E 67600,A81000C,00100,0200,ELI ALMO 67600,A81000C,00100,0400,ERA CARE 67600,A81000C,00100,0600,MANAGEMENT 67600,A81000C,00200,0100,E 67600,A81000C,00200,0200,REBECCA ALMO 67600,A81000C,00200,0400,ERA CARE 67600,A81000C,00200,0600,MANAGEMENT 67600,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 67600,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 67600,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 67600,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 67600,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 67600,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 67600,B100000,00000,0800,00001MEALS SERVED :DIETARY 67600,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 67600,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 67600,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 67600,S000000,00100,0200,06/01/2000 67600,S200000,00100,0100,12509 GREENWOOD AVENUE NORTH 67600,S200000,00200,0100,SEATTLE 67600,S200000,00200,0200,WA 67600,S200000,00200,0300,98133- 67600,S200000,00300,0100,KING 67600,S200000,00400,0100,IDA CULVER HOUSE-BROADVIEW 67600,S200000,00400,0200,505377 67600,S200000,00400,0300,05/06/1991 67600,S200000,00400,0500,P 67600,S200000,01500,0100,Y 67624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67624,A000000,00300,0000,00300EMPLOYEE BENEFITS 67624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67624,A000000,00700,0000,00700HOUSEKEEPING 67624,A000000,00800,0000,00800DIETARY 67624,A000000,00900,0000,00900NURSING ADMINISTRATION 67624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67624,A000000,01100,0000,01100PHARMACY 67624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67624,A000000,01300,0000,01300SOCIAL SERVICE 67624,A000000,01350,0000,01500OTHER GENERAL SERVICES 67624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67624,A000000,01600,0000,01600SKILLED NURSING FACILITY 67624,A000000,01800,0000,01800NURSING FACILITY 67624,A000000,01810,0000,01810ICF/MR 67624,A000000,01900,0000,01900OTHER LONG TERM CARE 67624,A000000,02100,0000,02100RADIOLOGY 67624,A000000,02200,0000,02200LABORATORY 67624,A000000,02300,0000,02300INTRAVENOUS THERAPY 67624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67624,A000000,02500,0000,02500PHYSICAL THERAPY 67624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67624,A000000,02700,0000,02700SPEECH PATHOLOGY 67624,A000000,02800,0000,02800ELECTROCARDIOLOGY 67624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67624,A000000,03200,0000,03200SUPPORT SURFACES 67624,A000000,03400,0000,03400CLINIC 67624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67624,A000000,03500,0000,03500RURAL HEALTH CLINIC 67624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67624,A000000,04400,0000,04400DME RENTED - HHA 67624,A000000,04500,0000,04500DME SOLD - HHA 67624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67624,A000000,04800,0000,04800AMBULANCE 67624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67624,A000000,05000,0000,05000CORF 67624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67624,A000000,05300,0000,05300INTEREST EXPENSE 67624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67624,A000000,05500,0000,05500HOSPICE 67624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67624,A000000,06100,0000,06100NONPAID WORKERS 67624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67624,A000000,06200,0000,06200PATIENTS LAUNDRY 67624,A81000A,00100,0100,Y 67624,A81000B,00100,0300,WARRANT PROCESSING 67624,A81000C,00100,0100,G 67624,A81000C,00100,0200,DARRYL PHEASANT TREASURER 67624,A81000C,00100,0400,GRANT COUNTY TREASURER 67624,A81000C,00100,0600,COUNTY GOVERNMENT 67624,A81000C,03100,0000,GOVERNMENT HOSPITAL DISTRICT 67624,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67624,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67624,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67624,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67624,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67624,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67624,B100000,00000,0800,00000MEALS SERVED :DIETARY 67624,B100000,00000,0950,00000100% TO LINE 16:NURSING ADMINISTRAT 67624,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67624,B100000,00000,1150,00000NO STATISTICS :PHARMACY 67624,B100000,00000,1250,00000100% TO LINE 16:MEDICAL RECORDS & L 67624,B100000,00000,1330,00000100% TO LINE 16:SOCIAL SERVICE 67624,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 67624,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 67624,S000000,00100,0200,06/05/2000 67624,S200000,00100,0100,127 SECOND AVENUE SW 67624,S200000,00100,0300,818 67624,S200000,00200,0100,SOAP LAKE 67624,S200000,00200,0200,WA 67624,S200000,00200,0300,98851- 67624,S200000,00300,0100,GRANT 67624,S200000,00400,0100,MCKAY MEMORIAL 67624,S200000,00400,0200,505390 67624,S200000,00400,0300,10/17/1989 67624,S200000,00400,0500,P 67624,S200000,00400,0600,O 67624,S200000,01500,0100,Y 67632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67632,A000000,00300,0000,00300EMPLOYEE BENEFITS 67632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67632,A000000,00700,0000,00700HOUSEKEEPING 67632,A000000,00800,0000,00800DIETARY 67632,A000000,00900,0000,00900NURSING ADMINISTRATION 67632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67632,A000000,01300,0000,01300SOCIAL SERVICE 67632,A000000,01600,0000,01600SKILLED NURSING FACILITY 67632,A000000,01800,0000,01800NURSING FACILITY 67632,A000000,01900,0000,01900OTHER LONG TERM CARE 67632,A000000,02100,0000,02100RADIOLOGY 67632,A000000,02200,0000,02200LABORATORY 67632,A000000,02300,0000,02300INTRAVENOUS THERAPY 67632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67632,A000000,02500,0000,02500PHYSICAL THERAPY 67632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67632,A000000,02700,0000,02700SPEECH PATHOLOGY 67632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67632,A000000,03200,0000,03200SUPPORT SURFACES 67632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67632,A000000,04800,0000,04800AMBULANCE 67632,A000000,05300,0000,05300INTEREST EXPENSE 67632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67632,A000000,06200,0000,06200PATIENTS LAUNDRY 67632,A81000A,00100,0100,Y 67632,A81000B,00100,0300,A&G 67632,A81000B,00200,0300,PT 67632,A81000B,00300,0300,ST 67632,A81000B,00400,0300,ST 67632,A81000C,00100,0100,D 67632,A81000C,00100,0200,ANDY MARTINI 67632,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 67632,A81000C,00100,0600,MANAGEMENT SERVICE 67632,A81000C,00200,0100,B 67632,A81000C,00200,0200,EVERGREEN HEALTHCARE 67632,A81000C,00200,0400,EVERGREEN ANCILLARY 67632,A81000C,00200,0600,THERAPY SERVICE 67632,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67632,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67632,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67632,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67632,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67632,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67632,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67632,B100000,00000,0800,00000MEALS SERVED :DIETARY 67632,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 67632,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67632,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67632,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67632,S000000,00100,0200,06/05/2000 67632,S200000,00100,0100,1100 EDMONDS AVENUE 67632,S200000,00200,0100,RENTON 67632,S200000,00200,0200,WA 67632,S200000,00200,0300,98056- 67632,S200000,00300,0100,KING 67632,S200000,00300,0200,7600 67632,S200000,00300,0300,U 67632,S200000,00400,0100,EVERGREEN RENTONHIGHLANDS 67632,S200000,00400,0200,505391 67632,S200000,00400,0300,01/01/1987 67632,S200000,00400,0500,P 67632,S200000,01600,0100,Y 67644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67644,A000000,00300,0000,00300EMPLOYEE BENEFITS 67644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67644,A000000,00700,0000,00700HOUSEKEEPING 67644,A000000,00800,0000,00800DIETARY 67644,A000000,00900,0000,00900NURSING ADMINISTRATION 67644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67644,A000000,01100,0000,01100PHARMACY 67644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67644,A000000,01300,0000,01300SOCIAL SERVICE 67644,A000000,01350,0000,01500OTHER GENERAL SERVICES 67644,A000000,01600,0000,01600SKILLED NURSING FACILITY 67644,A000000,01800,0000,01800NURSING FACILITY 67644,A000000,01900,0000,01900OTHER LONG TERM CARE 67644,A000000,02100,0000,02100RADIOLOGY 67644,A000000,02200,0000,02200LABORATORY 67644,A000000,02300,0000,02300INTRAVENOUS THERAPY 67644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67644,A000000,02500,0000,02500PHYSICAL THERAPY 67644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67644,A000000,02700,0000,02700SPEECH PATHOLOGY 67644,A000000,02800,0000,02800ELECTROCARDIOLOGY 67644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67644,A000000,03200,0000,03200SUPPORT SURFACES 67644,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67644,A000000,05300,0000,05300INTEREST EXPENSE 67644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67644,A000000,06200,0000,06200PATIENTS LAUNDRY 67644,A81000A,00100,0100,Y 67644,A81000B,00100,0300,PROPERTY RELATED 67644,A81000B,00200,0300,ADMIN & GENERAL 67644,A81000B,00300,0300,BENEFITS 67644,A81000C,00100,0100,B 67644,A81000C,00100,0200,CATHOLIC HEALTH INITIATIV 67644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67644,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67644,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 67644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67644,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 67644,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67644,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67644,S000000,00100,0200,02/20/2001 67644,S200000,00100,0100,10909 NE 185TH ST 67644,S200000,00200,0100,BOTHELL 67644,S200000,00200,0200,WA 67644,S200000,00200,0300,98011- 67644,S200000,00300,0100,KING 67644,S200000,00300,0200,7600 67644,S200000,00300,0300,U 67644,S200000,00400,0100,FHCC AT BOTHELL 67644,S200000,00400,0200,505392 67644,S200000,00400,0300,11/01/1991 67644,S200000,00400,0500,P 67644,S200000,01600,0100,Y 67649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67649,A000000,00300,0000,00300EMPLOYEE BENEFITS 67649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67649,A000000,00700,0000,00700HOUSEKEEPING 67649,A000000,00800,0000,00800DIETARY 67649,A000000,00900,0000,00900NURSING ADMINISTRATION 67649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67649,A000000,01300,0000,01300SOCIAL SERVICE 67649,A000000,01600,0000,01600SKILLED NURSING FACILITY 67649,A000000,01800,0000,01800NURSING FACILITY 67649,A000000,01900,0000,01900OTHER LONG TERM CARE 67649,A000000,02100,0000,02100RADIOLOGY 67649,A000000,02200,0000,02200LABORATORY 67649,A000000,02300,0000,02300INTRAVENOUS THERAPY 67649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67649,A000000,02500,0000,02500PHYSICAL THERAPY 67649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67649,A000000,02700,0000,02700SPEECH PATHOLOGY 67649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67649,A000000,03200,0000,03200SUPPORT SURFACES 67649,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67649,A000000,05300,0000,05300INTEREST EXPENSE 67649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67649,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67649,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67649,A000000,06200,0000,06200PATIENTS LAUNDRY 67649,A81000A,00100,0100,Y 67649,A81000B,00100,0300,A & G 67649,A81000B,00200,0300,PT 67649,A81000B,00300,0300,OT 67649,A81000B,00400,0300,ST 67649,A81000C,00100,0100,D 67649,A81000C,00100,0200,ANDY MARTINI 67649,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 67649,A81000C,00100,0600,MANAGEMENT SERVICE 67649,A81000C,00200,0100,B 67649,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 67649,A81000C,00200,0400,EVERGREEN ANCILLARY 67649,A81000C,00200,0600,THERAPY SERVICE 67649,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67649,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67649,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67649,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67649,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67649,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67649,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67649,B100000,00000,0800,00000MEALS SERVED :DIETARY 67649,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 67649,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67649,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67649,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67649,S000000,00100,0200,06/05/2000 67649,S200000,00100,0100,1865 E ALDER 67649,S200000,00200,0100,WALLA WALLA 67649,S200000,00200,0200,WA 67649,S200000,00200,0300,99362- 67649,S200000,00300,0100,WALLA WALLA 67649,S200000,00400,0100,EVERGREEN WALLA WALLA HLTH & REHAB 67649,S200000,00400,0200,505394 67649,S200000,00400,0300,11/01/1991 67649,S200000,00400,0500,P 67649,S200000,01600,0100,Y 67655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67655,A000000,00300,0000,00300EMPLOYEE BENEFITS 67655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67655,A000000,00700,0000,00700HOUSEKEEPING 67655,A000000,00800,0000,00800DIETARY 67655,A000000,00900,0000,00900NURSING ADMINISTRATION 67655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67655,A000000,01300,0000,01300SOCIAL SERVICE 67655,A000000,01600,0000,01600SKILLED NURSING FACILITY 67655,A000000,01800,0000,01800NURSING FACILITY 67655,A000000,01900,0000,01900OTHER LONG TERM CARE 67655,A000000,02100,0000,02100RADIOLOGY 67655,A000000,02200,0000,02200LABORATORY 67655,A000000,02300,0000,02300INTRAVENOUS THERAPY 67655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67655,A000000,02500,0000,02500PHYSICAL THERAPY 67655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67655,A000000,02700,0000,02700SPEECH PATHOLOGY 67655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67655,A000000,03200,0000,03200SUPPORT SURFACES 67655,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67655,A000000,05300,0000,05300INTEREST EXPENSE 67655,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67655,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67655,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67655,A000000,06200,0000,06200PATIENTS LAUNDRY 67655,A81000A,00100,0100,Y 67655,A81000B,00100,0300,A & G 67655,A81000B,00200,0300,PT 67655,A81000B,00300,0300,OT 67655,A81000B,00400,0300,ST 67655,A81000C,00100,0100,D 67655,A81000C,00100,0200,ANDY MARTINI 67655,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 67655,A81000C,00100,0600,MANAGEMENT SERVICE 67655,A81000C,00200,0100,B 67655,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 67655,A81000C,00200,0400,EVERGREEN ANCILLARY 67655,A81000C,00200,0600,THERAPY SERVICE 67655,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67655,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67655,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67655,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67655,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67655,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67655,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67655,B100000,00000,0800,00000MEALS SERVED :DIETARY 67655,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 67655,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67655,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67655,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67655,S000000,00100,0200,06/05/2000 67655,S200000,00100,0100,2323 JENSEN STREET 67655,S200000,00200,0100,ENUMCLAW 67655,S200000,00200,0200,WA 67655,S200000,00200,0300,98022- 67655,S200000,00300,0100,KING 67655,S200000,00400,0100,ENUMCLAW HEALTH & REHAB 67655,S200000,00400,0200,505400 67655,S200000,00400,0300,11/01/1991 67655,S200000,00400,0500,P 67655,S200000,01600,0100,Y 67663,S000000,00100,0200,05/18/2000 67672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67672,A000000,00300,0000,00300EMPLOYEE BENEFITS 67672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67672,A000000,00700,0000,00700HOUSEKEEPING 67672,A000000,00800,0000,00800DIETARY 67672,A000000,00900,0000,00900NURSING ADMINISTRATION 67672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67672,A000000,01300,0000,01300SOCIAL SERVICE 67672,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67672,A000000,01600,0000,01600SKILLED NURSING FACILITY 67672,A000000,01800,0000,01800NURSING FACILITY 67672,A000000,01900,0000,01900OTHER LONG TERM CARE 67672,A000000,02100,0000,02100RADIOLOGY 67672,A000000,02200,0000,02200LABORATORY 67672,A000000,02500,0000,02500PHYSICAL THERAPY 67672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67672,A000000,02700,0000,02700SPEECH PATHOLOGY 67672,A000000,02800,0000,02800ELECTROCARDIOLOGY 67672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67672,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67672,A000000,04800,0000,04800AMBULANCE 67672,A000000,05000,0000,05000CORF 67672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67672,A000000,05300,0000,05300INTEREST EXPENSE 67672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67672,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67672,A81000A,00100,0100,Y 67672,A81000B,00100,0300,ADMINISTRATIVE EXPENSE 67672,A81000C,00100,0100,B 67672,A81000C,00100,0400,BETHANY N.W. 67672,A81000C,00100,0600,N.H. MANAGEMENT 67672,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67672,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67672,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67672,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67672,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67672,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67672,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67672,B100000,00000,0800,00000MEALS SERVED :DIETARY 67672,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67672,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67672,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67672,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67672,S000000,00100,0200,09/15/2000 67672,S200000,00100,0100,2235 LAKE HEIGHTS DRIVE 67672,S200000,00200,0100,EVERETT 67672,S200000,00200,0200,WA 67672,S200000,00200,0300,98201- 67672,S200000,00300,0100,SNOHOMISH 67672,S200000,00300,0200,7600 67672,S200000,00300,0300,U 67672,S200000,00400,0100,BETHANY AT SILVER LAKE 67672,S200000,00400,0200,505403 67672,S200000,00400,0300,01/01/1992 67672,S200000,00400,0500,P 67672,S200000,01600,0100,Y 67681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67681,A000000,00101,0000,00101CAP REL COSTS - B & F 2 67681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67681,A000000,00201,0000,00201CAP REL COSTS - ME 2 67681,A000000,00300,0000,00300EMPLOYEE BENEFITS 67681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67681,A000000,00501,0000,00501PLANT OPER. 2 67681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67681,A000000,00700,0000,00700HOUSEKEEPING 67681,A000000,00701,0000,00701HOUSEKEEPING 2 67681,A000000,00800,0000,00800DIETARY 67681,A000000,00900,0000,00900NURSING ADMINISTRATION 67681,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67681,A000000,01300,0000,01300SOCIAL SERVICE 67681,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67681,A000000,01600,0000,01600SKILLED NURSING FACILITY 67681,A000000,01800,0000,01800NURSING FACILITY 67681,A000000,01900,0000,01900OTHER LONG TERM CARE 67681,A000000,02100,0000,02100RADIOLOGY 67681,A000000,02200,0000,02200LABORATORY 67681,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67681,A000000,02500,0000,02500PHYSICAL THERAPY 67681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67681,A000000,02700,0000,02700SPEECH PATHOLOGY 67681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67681,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67681,A000000,04800,0000,04800AMBULANCE 67681,A000000,05000,0000,05000CORF 67681,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67681,A000000,05300,0000,05300INTEREST EXPENSE 67681,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67681,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67681,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67681,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67681,A81000A,00100,0100,Y 67681,A81000B,00100,0300,ADMINISTRATIVE SERVICES 67681,A81000C,00100,0100,B 67681,A81000C,00100,0400,BETHANY N.W. 67681,A81000C,00100,0600,NURSING HOME MA 67681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67681,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - B & F 67681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67681,B100000,00000,0251,00000SQUARE FEET :CAP REL COSTS - ME 2 67681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67681,B100000,00000,0501,00000SQUARE FEET :PLANT OPER. 2 67681,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67681,B100000,00000,0751,00000SQUARE FEET :HOUSEKEEPING 2 67681,B100000,00000,0800,00000MEALS SERVED :DIETARY 67681,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67681,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67681,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67681,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67681,S000000,00100,0200,09/15/2000 67681,S200000,00100,0100,916 PACIFIC AVENUE 67681,S200000,00200,0100,EVERETT 67681,S200000,00200,0200,WA 67681,S200000,00200,0300,98201- 67681,S200000,00300,0100,SNOHOMISH 67681,S200000,00300,0200,7600 67681,S200000,00300,0300,U 67681,S200000,00400,0100,BETHANY AT PACIFIC 67681,S200000,00400,0200,505404 67681,S200000,00400,0300,01/01/1992 67681,S200000,00400,0500,P 67681,S200000,01600,0100,Y 67690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67690,A000000,00700,0000,00700HOUSEKEEPING 67690,A000000,00800,0000,00800DIETARY 67690,A000000,00900,0000,00900NURSING ADMINISTRATION 67690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67690,A000000,01300,0000,01300SOCIAL SERVICE 67690,A000000,01600,0000,01600SKILLED NURSING FACILITY 67690,A000000,01900,0000,01900OTHER LONG TERM CARE 67690,A000000,02100,0000,02100RADIOLOGY 67690,A000000,02300,0000,02300INTRAVENOUS THERAPY 67690,A000000,02500,0000,02500PHYSICAL THERAPY 67690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67690,A000000,02700,0000,02700SPEECH PATHOLOGY 67690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67690,A000000,05500,0000,05500HOSPICE 67690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67690,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67690,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67690,B100000,00000,0800,00000MEALS SERVED :DIETARY 67690,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67690,S000000,00100,0200,05/30/2000 67690,S200000,00100,0100,20420 MARINE DRIVE 67690,S200000,00200,0100,STANWOOD 67690,S200000,00200,0200,WA 67690,S200000,00200,0300,98292- 67690,S200000,00300,0100,SNOHOMISH 67690,S200000,00300,0200,7600 67690,S200000,00300,0300,U 67690,S200000,00400,0100,WARM BEACH HEALTH CARE CENTER 67690,S200000,00400,0200,505405 67690,S200000,00400,0300,01/01/1992 67690,S200000,00400,0500,P 67690,S200000,01500,0100,Y 67699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67699,A000000,00300,0000,00300EMPLOYEE BENEFITS 67699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67699,A000000,00700,0000,00700HOUSEKEEPING 67699,A000000,00800,0000,00800DIETARY 67699,A000000,00900,0000,00900NURSING ADMINISTRATION 67699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67699,A000000,01100,0000,01100PHARMACY 67699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67699,A000000,01300,0000,01300SOCIAL SERVICE 67699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67699,A000000,01600,0000,01600SKILLED NURSING FACILITY 67699,A000000,01800,0000,01800NURSING FACILITY 67699,A000000,01810,0000,01810ICF/MR 67699,A000000,02100,0000,02100RADIOLOGY 67699,A000000,02200,0000,02200LABORATORY 67699,A000000,02500,0000,02500PHYSICAL THERAPY 67699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67699,A000000,02700,0000,02700SPEECH PATHOLOGY 67699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67699,A000000,03550,0000,03550FQHC 67699,A000000,05000,0000,05000CORF 67699,A000000,05010,0000,05010CMHC 67699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 67699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 67699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 67699,A000000,05300,0000,05300INTEREST EXPENSE 67699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67699,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 67699,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 67699,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 67699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67699,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 67699,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 67699,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 67699,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 67699,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 67699,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 67699,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 67699,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 67699,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 67699,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 67699,S000000,00100,0200,05/31/2000 67699,S200000,00100,0100,10410 E. 9TH AVENUE 67699,S200000,00200,0100,SPOKANE 67699,S200000,00200,0200,WA 67699,S200000,00200,0300,99206- 67699,S200000,00300,0100,SPOKANE 67699,S200000,00400,0100,SUNSHINE GARDENS 67699,S200000,00400,0200,505411 67699,S200000,00400,0300,01/01/1992 67699,S200000,00400,0500,P 67699,S200000,01600,0100,Y 67699,S200000,02200,0100,Y 67707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67707,A000000,00700,0000,00700HOUSEKEEPING 67707,A000000,00800,0000,00800DIETARY 67707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67707,A000000,01600,0000,01600SKILLED NURSING FACILITY 67707,A000000,02500,0000,02500PHYSICAL THERAPY 67707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67707,A000000,02700,0000,02700SPEECH PATHOLOGY 67707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67707,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 67707,A81000A,00100,0100,Y 67707,A81000C,00100,0100,B 67707,A81000C,00100,0200,COLVILLE CONF T 67707,A81000C,00100,0400,COLVILLE CONF T 67707,A81000C,00100,0600,INDIAN TRIBE 67707,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 67707,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 67707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67707,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 67707,B100000,00000,0650,00000(POOUNDS LAUNDRY) :LAUNDRY & LINEN 67707,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 67707,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 67707,B100000,00000,1250,00000(GROSS REVENUE) :MEDICAL RECORDS & 67707,S000000,00100,0200,06/06/2000 67707,S200000,00100,0100,CONVALESCENT CENTER BLVD 67707,S200000,00100,0300,150 67707,S200000,00200,0100,NESPELEM 67707,S200000,00200,0200,WA 67707,S200000,00200,0300,99155-0150 67707,S200000,00300,0100,OKANOGAN 67707,S200000,00400,0100,COLVILLE TRIBAL CONVALESCENT 67707,S200000,00400,0200,505412 67707,S200000,00400,0300,01/01/1992 67707,S200000,00400,0500,P 67707,S200000,00400,0600,O 67707,S200000,01500,0100,Y 67707,S200000,01900,0100,TRIBAL 67707,S200000,02200,0100,Y 67729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67729,A000000,00300,0000,00300EMPLOYEE BENEFITS 67729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67729,A000000,00700,0000,00700HOUSEKEEPING 67729,A000000,00800,0000,00800DIETARY 67729,A000000,00900,0000,00900NURSING ADMINISTRATION 67729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67729,A000000,01100,0000,01100PHARMACY 67729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67729,A000000,01300,0000,01300SOCIAL SERVICE 67729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67729,A000000,01600,0000,01600SKILLED NURSING FACILITY 67729,A000000,02500,0000,02500PHYSICAL THERAPY 67729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67729,A000000,02700,0000,02700SPEECH PATHOLOGY 67729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67729,A000000,03050,0000,03300THERAPY BEDS 67729,A000000,03550,0000,03550FQHC 67729,A000000,05000,0000,05000CORF 67729,A000000,05010,0000,05010CMHC 67729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 67729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 67729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 67729,A000000,05300,0000,05300INTEREST EXPENSE 67729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67729,A81000A,00100,0100,Y 67729,A81000B,00100,0300,MANAGEMENT FEES-WEST 67729,A81000B,00200,0300,MANAGEMENT FEES-EAST 67729,A81000B,00300,0300,PATIENT FIN SERVICES 67729,A81000B,00400,0300,FISCAL SERVICES-WEST 67729,A81000B,00500,0300,FISCAL SERVICES-EAST 67729,A81000B,00600,0300,RENT--WEST 67729,A81000B,00700,0300,RENT--EAST 67729,A81000B,00800,0300,BUILDING MAINTENANCE 67729,A81000B,00900,0300,ELEVATOR MAINTENANCE 67729,A81000B,01000,0300,UTILITIES 67729,A81000B,01100,0300,DEPRECIATION 67729,A81000B,01200,0300,LAUNDRY-WEST 67729,A81000B,01300,0300,LAUNDRY-EAST 67729,A81000C,00100,0100,B 67729,A81000C,00100,0400,SACRED HEART ME 67729,A81000C,00100,0600,PARENT 67729,A81000C,00200,0100,B 67729,A81000C,00200,0400,SHMC 67729,A81000C,00200,0600,PARENT 67729,A81000C,00300,0100,B 67729,A81000C,00300,0400,SHMC 67729,A81000C,00300,0600,PARENT 67729,A81000C,00400,0100,B 67729,A81000C,00400,0400,SHMC 67729,A81000C,00400,0600,PARENT 67729,A81000C,00500,0100,B 67729,A81000C,00500,0400,SHMC 67729,A81000C,00500,0600,PARENT 67729,A81000C,00600,0100,B 67729,A81000C,00600,0400,SHMC 67729,A81000C,00600,0600,PARENT 67729,A81000C,00700,0100,B 67729,A81000C,00700,0400,SHMC 67729,A81000C,00700,0600,PARENT 67729,A81000C,00800,0100,B 67729,A81000C,00800,0400,SHMC 67729,A81000C,00800,0600,PARENT 67729,A81000C,00900,0100,B 67729,A81000C,00900,0400,SHMC 67729,A81000C,00900,0600,PARENT 67729,A81000C,01000,0100,B 67729,A81000C,01000,0400,SHMC 67729,A81000C,01000,0600,PARENT 67729,A81000C,01001,0100,B 67729,A81000C,01001,0400,SHMC 67729,A81000C,01001,0600,PARENT 67729,A81000C,01002,0100,B 67729,A81000C,01002,0400,SHMC 67729,A81000C,01002,0600,PARENT 67729,A81000C,01003,0100,B 67729,A81000C,01003,0400,SHMC 67729,A81000C,01003,0600,PARENT 67729,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67729,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67729,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67729,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67729,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67729,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67729,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67729,B100000,00000,0800,00000MEALS SERVED :DIETARY 67729,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 67729,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67729,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 67729,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67729,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67729,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67729,S000000,00100,0200,06/01/2000 67729,S200000,00100,0100,20 WEST 9TH AVENUE 67729,S200000,00200,0100,SPOKANE 67729,S200000,00200,0200,WA 67729,S200000,00200,0300,99204- 67729,S200000,00300,0100,SPOKANE 67729,S200000,00400,0100,ST JOSEPH CARE CENTER 67729,S200000,00400,0200,505414 67729,S200000,00400,0300,01/01/1992 67729,S200000,00400,0500,P 67729,S200000,01500,0100,Y 67729,S200000,02200,0100,Y 67729,S200000,02800,0100,Y 67737,S000000,00100,0200,06/02/2000 67746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67746,A000000,00300,0000,00300EMPLOYEE BENEFITS 67746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67746,A000000,00700,0000,00700HOUSEKEEPING 67746,A000000,00800,0000,00800DIETARY 67746,A000000,00900,0000,00900NURSING ADMINISTRATION 67746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67746,A000000,01300,0000,01300SOCIAL SERVICE 67746,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67746,A000000,01600,0000,01600SKILLED NURSING FACILITY 67746,A000000,01800,0000,01800NURSING FACILITY 67746,A000000,01900,0000,01900OTHER LONG TERM CARE 67746,A000000,02100,0000,02100RADIOLOGY 67746,A000000,02200,0000,02200LABORATORY 67746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67746,A000000,02500,0000,02500PHYSICAL THERAPY 67746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67746,A000000,02700,0000,02700SPEECH PATHOLOGY 67746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67746,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67746,A000000,03200,0000,03200SUPPORT SURFACES 67746,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67746,A000000,04800,0000,04800AMBULANCE 67746,A000000,05000,0000,05000CORF 67746,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67746,A000000,05300,0000,05300INTEREST EXPENSE 67746,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67746,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67746,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67746,A000000,06100,0000,06100NONPAID WORKERS 67746,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67746,A000000,06200,0000,06200PATIENTS LAUNDRY 67746,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67746,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67746,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67746,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67746,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67746,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67746,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67746,B100000,00000,0800,00000MEALS SERVED :DIETARY 67746,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67746,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67746,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67746,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67746,S000000,00100,0200,06/01/2000 67746,S200000,00100,0100,13023 GREENWOOD AVENUE NORTH 67746,S200000,00200,0100,SEATTLE 67746,S200000,00200,0200,WA 67746,S200000,00200,0300,98133- 67746,S200000,00300,0100,KING 67746,S200000,00400,0100,FOSS HOME 67746,S200000,00400,0200,505416 67746,S200000,00400,0300,02/01/1992 67746,S200000,00400,0500,P 67746,S200000,01600,0100,Y 67755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67755,A000000,00700,0000,00700HOUSEKEEPING 67755,A000000,00800,0000,00800DIETARY 67755,A000000,00900,0000,00900NURSING ADMINISTRATION 67755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67755,A000000,01300,0000,01300SOCIAL SERVICE 67755,A000000,01600,0000,01600SKILLED NURSING FACILITY 67755,A000000,02200,0000,02200LABORATORY 67755,A000000,02500,0000,02500PHYSICAL THERAPY 67755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67755,A000000,02700,0000,02700SPEECH PATHOLOGY 67755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67755,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67755,A81000A,00100,0100,Y 67755,A81000B,00100,0300,MANAGEMENT FEES 67755,A81000B,00200,0300,ACCTG & FINANCIAL SERVICES 67755,A81000B,00300,0300,FACILITY MAINTENANCE 67755,A81000B,00400,0300,FACILITY ADMISSIONS 67755,A81000C,00100,0100,B 67755,A81000C,00100,0400,VIRLOU & ASSOC 67755,A81000C,00100,0600,SNF 67755,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67755,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67755,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67755,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67755,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67755,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67755,B100000,00000,0800,00000MEALS SERVED :DIETARY 67755,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67755,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67755,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67755,S000000,00100,0200,05/30/2000 67755,S200000,00100,0100,3540 NE 110 TH STREET 67755,S200000,00200,0100,SEATTLE 67755,S200000,00200,0200,WA 67755,S200000,00200,0300,98125-5761 67755,S200000,00300,0100,KING 67755,S200000,00400,0100,THE MEADOWBROOK EXTENDED CARE CTR 67755,S200000,00400,0200,505417 67755,S200000,00400,0300,01/01/1992 67755,S200000,00400,0500,P 67755,S200000,01500,0100,Y 67755,S200000,02800,0100,Y 67768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67768,A000000,00300,0000,00300EMPLOYEE BENEFITS 67768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67768,A000000,00700,0000,00700HOUSEKEEPING 67768,A000000,00800,0000,00800DIETARY 67768,A000000,00900,0000,00900NURSING ADMINISTRATION 67768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67768,A000000,01300,0000,01300SOCIAL SERVICE 67768,A000000,01600,0000,01600SKILLED NURSING FACILITY 67768,A000000,01800,0000,01800NURSING FACILITY 67768,A000000,02100,0000,02100RADIOLOGY 67768,A000000,02200,0000,02200LABORATORY 67768,A000000,02300,0000,02300INTRAVENOUS THERAPY 67768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67768,A000000,02500,0000,02500PHYSICAL THERAPY 67768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67768,A000000,02700,0000,02700SPEECH PATHOLOGY 67768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67768,A000000,03200,0000,03200SUPPORT SURFACES 67768,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67768,A000000,05300,0000,05300INTEREST EXPENSE 67768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67768,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67768,A81000A,00100,0100,Y 67768,A81000B,00100,0300,LEASE EXPENSE 67768,A81000C,00100,0100,B 67768,A81000C,00100,0200,ODD FELLOWS GRAND LOGDE 67768,A81000C,00100,0600,LAND LEASE 67768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67768,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67768,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67768,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67768,B100000,00000,0800,00000MEALS SERVED :DIETARY 67768,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 67768,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67768,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67768,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67768,S000000,00100,0200,03/23/2000 67768,S200000,00200,0100,WALLA WALLA 67768,S200000,00200,0200,WA 67768,S200000,00200,0300,99362- 67768,S200000,00300,0100,WALLA WALLA 67768,S200000,00400,0100,WASHINGTON ODD FELLOWS HOME 67768,S200000,00400,0200,505421 67768,S200000,00400,0300,01/01/1992 67768,S200000,00400,0500,P 67768,S200000,01600,0100,Y 67776,S000000,00100,0200,03/01/2000 67784,S000000,00100,0200,02/14/2000 67792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67792,A000000,00700,0000,00700HOUSEKEEPING 67792,A000000,00800,0000,00800DIETARY 67792,A000000,00900,0000,00900NURSING ADMINISTRATION 67792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67792,A000000,01300,0000,01300SOCIAL SERVICE 67792,A000000,01600,0000,01600SKILLED NURSING FACILITY 67792,A000000,01800,0000,01800NURSING FACILITY 67792,A000000,02100,0000,02100RADIOLOGY 67792,A000000,02200,0000,02200LABORATORY 67792,A000000,02300,0000,02300INTRAVENOUS THERAPY 67792,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67792,A000000,02500,0000,02500PHYSICAL THERAPY 67792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67792,A000000,02700,0000,02700SPEECH PATHOLOGY 67792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67792,A000000,04800,0000,04800AMBULANCE 67792,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67792,A000000,05500,0000,05500HOSPICE 67792,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67792,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67792,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67792,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67792,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67792,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67792,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67792,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67792,B100000,00000,0800,00000MEALS SERVED :DIETARY 67792,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67792,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 67792,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 67792,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67792,S000000,00100,0200,05/30/2000 67792,S200000,00100,0100,1301 HIGHLANDS PARKWAY N 67792,S200000,00200,0100,TACOMA 67792,S200000,00200,0200,WA 67792,S200000,00200,0300,98406- 67792,S200000,00300,0100,PIERCE 67792,S200000,00400,0100,TACOMA LUTHERAN HOME 67792,S200000,00400,0200,505435 67792,S200000,00400,0300,01/01/1992 67792,S200000,00400,0500,P 67792,S200000,01600,0100,Y 67792,S200000,02800,0100,Y 67792,S200000,04700,0100,Y 67801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67801,A000000,00700,0000,00700HOUSEKEEPING 67801,A000000,00800,0000,00800DIETARY 67801,A000000,00900,0000,00900NURSING ADMINISTRATION 67801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67801,A000000,01300,0000,01300SOCIAL SERVICE 67801,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67801,A000000,01600,0000,01600SKILLED NURSING FACILITY 67801,A000000,01800,0000,01800NURSING FACILITY 67801,A000000,01900,0000,01900OTHER LONG TERM CARE 67801,A000000,02100,0000,02100RADIOLOGY 67801,A000000,02200,0000,02200LABORATORY 67801,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67801,A000000,02500,0000,02500PHYSICAL THERAPY 67801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67801,A000000,02700,0000,02700SPEECH PATHOLOGY 67801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67801,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67801,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67801,A000000,04800,0000,04800AMBULANCE 67801,A000000,05000,0000,05000CORF 67801,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67801,A000000,05300,0000,05300INTEREST EXPENSE 67801,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67801,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67801,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67801,A000000,06150,0000,06300CHILD CARE & MISCELLANEOUS 67801,A000000,06200,0000,06200PATIENTS LAUNDRY 67801,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67801,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67801,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67801,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67801,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67801,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67801,B100000,00000,0800,00000MEALS SERVED :DIETARY 67801,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67801,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67801,S000000,00100,0200,06/01/2000 67801,S200000,00100,0100,1601 EAST YESLER WAY 67801,S200000,00200,0100,SEATTLE 67801,S200000,00200,0200,WA 67801,S200000,00200,0300,98122- 67801,S200000,00300,0100,KING 67801,S200000,00300,0200,7600 67801,S200000,00300,0300,U 67801,S200000,00400,0100,SEATTLE KEIRO 67801,S200000,00400,0200,505438 67801,S200000,00400,0300,01/01/1992 67801,S200000,00400,0500,P 67801,S200000,01500,0100,Y 67812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67812,A000000,00300,0000,00300EMPLOYEE BENEFITS 67812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67812,A000000,00700,0000,00700HOUSEKEEPING 67812,A000000,00800,0000,00800DIETARY 67812,A000000,00900,0000,00900NURSING ADMINISTRATION 67812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67812,A000000,01300,0000,01300SOCIAL SERVICE 67812,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67812,A000000,01600,0000,01600SKILLED NURSING FACILITY 67812,A000000,01800,0000,01800NURSING FACILITY 67812,A000000,01900,0000,01900OTHER LONG TERM CARE 67812,A000000,02100,0000,02100RADIOLOGY 67812,A000000,02200,0000,02200LABORATORY 67812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67812,A000000,02500,0000,02500PHYSICAL THERAPY 67812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67812,A000000,02700,0000,02700SPEECH PATHOLOGY 67812,A000000,02800,0000,02800ELECTROCARDIOLOGY 67812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67812,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67812,A000000,03200,0000,03200SUPPORT SURFACES 67812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67812,A000000,04800,0000,04800AMBULANCE 67812,A000000,05000,0000,05000CORF 67812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67812,A000000,05300,0000,05300INTEREST EXPENSE 67812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67812,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67812,A000000,06200,0000,06200PATIENTS LAUNDRY 67812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67812,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67812,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67812,B100000,00000,0800,00000MEALS SERVED :DIETARY 67812,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67812,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67812,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67812,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67812,S000000,00100,0200,05/24/2000 67812,S200000,00100,0100,7500 SEWARD PARK AVENUE SOUTH 67812,S200000,00200,0100,SEATTLE 67812,S200000,00200,0200,WA 67812,S200000,00200,0300,98118- 67812,S200000,00300,0100,KING 67812,S200000,00400,0100,THE CAROLINE KLINE GALLAND HOME 67812,S200000,00400,0200,505442 67812,S200000,00400,0300,01/01/1992 67812,S200000,00400,0500,P 67812,S200000,01500,0100,Y 67812,S200000,02800,0100,Y 67825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67825,A000000,00300,0000,00300EMPLOYEE BENEFITS 67825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67825,A000000,00700,0000,00700HOUSEKEEPING 67825,A000000,00800,0000,00800DIETARY 67825,A000000,00900,0000,00900NURSING ADMINISTRATION 67825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67825,A000000,01300,0000,01300SOCIAL SERVICE 67825,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67825,A000000,01600,0000,01600SKILLED NURSING FACILITY 67825,A000000,01800,0000,01800NURSING FACILITY 67825,A000000,02100,0000,02100RADIOLOGY 67825,A000000,02200,0000,02200LABORATORY 67825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67825,A000000,02500,0000,02500PHYSICAL THERAPY 67825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67825,A000000,02700,0000,02700SPEECH PATHOLOGY 67825,A000000,02800,0000,02800ELECTROCARDIOLOGY 67825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67825,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67825,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67825,A000000,03200,0000,03200SUPPORT SURFACES 67825,A000000,03400,0000,03400CLINIC 67825,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67825,A000000,04800,0000,04800AMBULANCE 67825,A000000,05000,0000,05000CORF 67825,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67825,A000000,05300,0000,05300INTEREST EXPENSE 67825,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67825,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67825,A000000,05500,0000,05500HOSPICE 67825,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67825,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67825,A000000,06100,0000,06100NONPAID WORKERS 67825,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67825,A000000,06200,0000,06200PATIENTS LAUNDRY 67825,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67825,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67825,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67825,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67825,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67825,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67825,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 67825,B100000,00000,0800,00000MEALS SERVED :DIETARY 67825,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67825,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67825,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67825,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67825,S000000,00100,0200,05/30/2000 67825,S200000,00100,0100,4416 SOUTH BRANDON STREET 67825,S200000,00200,0100,SEATTLE 67825,S200000,00200,0200,WA 67825,S200000,00200,0300,98118- 67825,S200000,00300,0100,KING 67825,S200000,00400,0100,KIN ON HEALTH CARE CENTER 67825,S200000,00400,0200,505453 67825,S200000,00400,0300,03/01/1997 67825,S200000,00400,0500,P 67825,S200000,01500,0100,Y 67825,S200000,02800,0100,Y 67840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67840,A000000,00300,0000,00300EMPLOYEE BENEFITS 67840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67840,A000000,00700,0000,00700HOUSEKEEPING 67840,A000000,00800,0000,00800DIETARY 67840,A000000,00900,0000,00900NURSING ADMINISTRATION 67840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67840,A000000,01100,0000,01100PHARMACY 67840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67840,A000000,01300,0000,01300SOCIAL SERVICE 67840,A000000,01350,0000,01500ACTIVITY 67840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67840,A000000,01600,0000,01600SKILLED NURSING FACILITY 67840,A000000,01800,0000,01800NURSING FACILITY 67840,A000000,01810,0000,01801ICF/MR 67840,A000000,01900,0000,01900OTHER LONG TERM CARE 67840,A000000,02100,0000,02100RADIOLOGY 67840,A000000,02200,0000,02200LABORATORY 67840,A000000,02300,0000,02300INTRAVENOUS THERAPY 67840,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67840,A000000,02500,0000,02500PHYSICAL THERAPY 67840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67840,A000000,02700,0000,02700SPEECH PATHOLOGY 67840,A000000,02800,0000,02800ELECTROCARDIOLOGY 67840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67840,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67840,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67840,A000000,03200,0000,03200SUPPORT SURFACES 67840,A000000,03400,0000,03400CLINIC 67840,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67840,A000000,03500,0000,03500RURAL HEALTH CLINIC 67840,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 67840,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 67840,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 67840,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 67840,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 67840,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 67840,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 67840,A000000,04400,0000,04400DME RENTED - HHA 67840,A000000,04500,0000,04500DME SOLD - HHA 67840,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 67840,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 67840,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67840,A000000,04800,0000,04800AMBULANCE 67840,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67840,A000000,05000,0000,05000CORF 67840,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67840,A000000,05300,0000,05300INTEREST EXPENSE 67840,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67840,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67840,A000000,05500,0000,05500HOSPICE 67840,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67840,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67840,A000000,06100,0000,06100NONPAID WORKERS 67840,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67840,A000000,06200,0000,06200PATIENTS LAUNDRY 67840,A81000A,00100,0100,Y 67840,A81000B,00100,0300,LESSOR 67840,A81000C,00100,0100,A 67840,A81000C,00100,0200,JOHN PEARSON 67840,A81000C,00100,0400,RETIRE VILLA 67840,A81000C,00100,0600,LESSOR 67840,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67840,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 67840,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67840,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67840,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67840,B100000,00000,0650,00000PPD :LAUNDRY & LINEN SERVICE 67840,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 67840,B100000,00000,0800,00000MEALS SERVED :DIETARY 67840,B100000,00000,0950,00000PPD :NURSING ADMINISTRATION 67840,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 67840,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 67840,B100000,00000,1250,00000PPD :MEDICAL RECORDS & LIBRARY 67840,B100000,00000,1330,00000PPD :SOCIAL SERVICE 67840,B100000,00000,1350,00000PPD :ACTIVITY 67840,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 67840,S000000,00100,0200,04/10/2000 67840,S200000,00100,0100,2520 MADISON 67840,S200000,00200,0100,EVERETT 67840,S200000,00200,0200,WA 67840,S200000,00200,0300,98203- 67840,S200000,00300,0100,SNOHOMISH 67840,S200000,00400,0100,SUNRISE VIEW 67840,S200000,00400,0200,505463 67840,S200000,00400,0300,07/01/1995 67840,S200000,00400,0500,P 67840,S200000,00400,0600,P 67840,S200000,01600,0100,Y 67840,S200000,04300,0100,Y 67849,S000000,00100,0200,03/15/2000 67858,S000000,00100,0200,05/18/2000 67866,S000000,00100,0200,04/19/2000 67877,S000000,00100,0200,01/31/2001 67884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67884,A000000,00700,0000,00700HOUSEKEEPING 67884,A000000,00800,0000,00800DIETARY 67884,A000000,00900,0000,00900NURSING ADMINISTRATION 67884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67884,A000000,01300,0000,01300SOCIAL SERVICE 67884,A000000,01600,0000,01600SKILLED NURSING FACILITY 67884,A000000,01800,0000,01800NURSING FACILITY 67884,A000000,02100,0000,02100RADIOLOGY 67884,A000000,02200,0000,02200LABORATORY 67884,A000000,02500,0000,02500PHYSICAL THERAPY 67884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67884,A000000,02700,0000,02700SPEECH PATHOLOGY 67884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67884,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67884,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67884,B100000,00000,0800,00000MEALS SERVED :DIETARY 67884,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67884,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 67884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67884,S000000,00100,0200,07/12/2000 67884,S200000,00100,0100,4700 PHINNEY AVENUE N 67884,S200000,00200,0100,SEATTLE 67884,S200000,00200,0200,WA 67884,S200000,00200,0300,98103- 67884,S200000,00300,0100,KING 67884,S200000,00400,0100,COLUMBIA LUTHERAN HOME 67884,S200000,00400,0200,505470 67884,S200000,00400,0300,03/01/1992 67884,S200000,00400,0500,P 67884,S200000,01600,0100,Y 67893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67893,A000000,00700,0000,00700HOUSEKEEPING 67893,A000000,00800,0000,00800DIETARY 67893,A000000,00900,0000,00900NURSING ADMINISTRATION 67893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67893,A000000,01300,0000,01300SOCIAL SERVICE 67893,A000000,01600,0000,01600SKILLED NURSING FACILITY 67893,A000000,01800,0000,01800NURSING FACILITY 67893,A000000,02100,0000,02100RADIOLOGY 67893,A000000,02200,0000,02200LABORATORY 67893,A000000,02300,0000,02300INTRAVENOUS THERAPY 67893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67893,A000000,02500,0000,02500PHYSICAL THERAPY 67893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67893,A000000,02700,0000,02700SPEECH PATHOLOGY 67893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67893,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67893,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67893,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67893,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67893,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67893,B100000,00000,0800,00000MEALS SERVED :DIETARY 67893,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67893,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67893,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67893,S000000,00100,0200,05/30/2000 67893,S200000,00100,0100,19160 FRONT STREET NE 67893,S200000,00100,0300,P.O. BOX : 127 67893,S200000,00200,0100,POULSBO 67893,S200000,00200,0200,WA 67893,S200000,00200,0300,98370- 67893,S200000,00300,0100,KITSAP 67893,S200000,00400,0100,MARTHA AND MARY HEALTH SERVICES 67893,S200000,00400,0200,505474 67893,S200000,00400,0300,07/01/1992 67893,S200000,00400,0500,P 67893,S200000,01600,0100,Y 67903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67903,A000000,00300,0000,00300EMPLOYEE BENEFITS 67903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67903,A000000,00700,0000,00700HOUSEKEEPING 67903,A000000,00800,0000,00800DIETARY 67903,A000000,00900,0000,00900NURSING ADMINISTRATION 67903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67903,A000000,01300,0000,01300SOCIAL SERVICE 67903,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 67903,A000000,01600,0000,01600SKILLED NURSING FACILITY 67903,A000000,01800,0000,01800NURSING FACILITY 67903,A000000,01900,0000,01900OTHER LONG TERM CARE 67903,A000000,02100,0000,02100RADIOLOGY 67903,A000000,02200,0000,02200LABORATORY 67903,A000000,02500,0000,02500PHYSICAL THERAPY 67903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67903,A000000,02700,0000,02700SPEECH PATHOLOGY 67903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67903,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67903,A000000,03200,0000,03200SUPPORT SURFACES 67903,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 67903,A000000,04800,0000,04800AMBULANCE 67903,A000000,05000,0000,05000CORF 67903,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67903,A000000,05300,0000,05300INTEREST EXPENSE 67903,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67903,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67903,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67903,A000000,06200,0000,06200PATIENTS LAUNDRY 67903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67903,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67903,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67903,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67903,B100000,00000,0800,00000MEALS SERVED :DIETARY 67903,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67903,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67903,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67903,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 67903,S000000,00100,0200,06/14/2000 67903,S200000,00100,0100,1122 SOUTH 216TH STREET 67903,S200000,00200,0100,DES MOINES 67903,S200000,00200,0200,WA 67903,S200000,00200,0300,98198- 67903,S200000,00300,0100,KING 67903,S200000,00400,0100,WESLEY HOMES HEALTH CENTER 67903,S200000,00400,0200,505475 67903,S200000,00400,0300,01/01/1992 67903,S200000,00400,0500,P 67903,S200000,01500,0100,Y 67912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67912,A000000,00700,0000,00700HOUSEKEEPING 67912,A000000,00800,0000,00800DIETARY 67912,A000000,00900,0000,00900NURSING ADMINISTRATION 67912,A000000,01100,0000,01100PHARMACY 67912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67912,A000000,01300,0000,01300SOCIAL SERVICE 67912,A000000,01600,0000,01600SKILLED NURSING FACILITY 67912,A000000,01800,0000,01800NURSING FACILITY 67912,A000000,02100,0000,02100RADIOLOGY 67912,A000000,02200,0000,02200LABORATORY 67912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67912,A000000,02500,0000,02500PHYSICAL THERAPY 67912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67912,A000000,02700,0000,02700SPEECH PATHOLOGY 67912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67912,A000000,05500,0000,05500HOSPICE 67912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67912,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67912,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67912,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67912,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67912,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67912,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67912,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67912,B100000,00000,0800,00000MEALS SERVED :DIETARY 67912,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 67912,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 67912,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67912,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67912,S000000,00100,0200,05/30/2000 67912,S200000,00100,0100,2210 132 AVENUE SE 67912,S200000,00200,0100,BELLEVUE 67912,S200000,00200,0200,WA 67912,S200000,00200,0300,98005- 67912,S200000,00300,0100,KING 67912,S200000,00400,0100,THE CARE CENTER AT KELSEY CREEK 67912,S200000,00400,0200,505477 67912,S200000,00400,0300,10/22/1992 67912,S200000,00400,0500,P 67912,S200000,01004,0500,O 67912,S200000,01600,0100,Y 67921,S000000,00100,0200,05/30/2000 67933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67933,A000000,00300,0000,00300EMPLOYEE BENEFITS 67933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67933,A000000,00700,0000,00700HOUSEKEEPING 67933,A000000,00800,0000,00800DIETARY 67933,A000000,00900,0000,00900NURSING ADMINISTRATION 67933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67933,A000000,01100,0000,01100PHARMACY 67933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67933,A000000,01300,0000,01300SOCIAL SERVICE 67933,A000000,01350,0000,01500OTHER GENERAL SERVICES 67933,A000000,01600,0000,01600SKILLED NURSING FACILITY 67933,A000000,01800,0000,01800NURSING FACILITY 67933,A000000,02100,0000,02100RADIOLOGY 67933,A000000,02200,0000,02200LABORATORY 67933,A000000,02300,0000,02300INTRAVENOUS THERAPY 67933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67933,A000000,02500,0000,02500PHYSICAL THERAPY 67933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67933,A000000,02700,0000,02700SPEECH PATHOLOGY 67933,A000000,02800,0000,02800ELECTROCARDIOLOGY 67933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67933,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67933,A000000,03200,0000,03200SUPPORT SURFACES 67933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67933,A000000,05300,0000,05300INTEREST EXPENSE 67933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67933,A81000A,00100,0100,Y 67933,A81000B,00100,0300,ADMIN & GENERAL 67933,A81000B,00200,0300,PROPERTY 67933,A81000C,00100,0100,B 67933,A81000C,00100,0200,CATHOLIC HEALTH INITIATIV 67933,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67933,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67933,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67933,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67933,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67933,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 67933,B100000,00000,1000,00000COSTED REQS :CENTRAL SERVICES & SU 67933,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 67933,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67933,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67933,S000000,00100,0200,02/20/2001 67933,S200000,00100,0100,6220 SOUTH ALASKA ST 67933,S200000,00200,0100,TACOMA 67933,S200000,00200,0200,WA 67933,S200000,00200,0300,98408- 67933,S200000,00300,0100,PIERCE 67933,S200000,00300,0200,8200 67933,S200000,00300,0300,U 67933,S200000,00400,0100,FRANCISCAN HEALTH CARE AT TACOMA 67933,S200000,00400,0200,505483 67933,S200000,00400,0300,08/26/1993 67933,S200000,00400,0500,P 67933,S200000,01600,0100,Y 67942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67942,A000000,00300,0000,00300EMPLOYEE BENEFITS 67942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67942,A000000,00700,0000,00700HOUSEKEEPING 67942,A000000,00800,0000,00800DIETARY 67942,A000000,00900,0000,00900NURSING ADMINISTRATION 67942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67942,A000000,01100,0000,01100PHARMACY 67942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67942,A000000,01300,0000,01300SOCIAL SERVICE 67942,A000000,01600,0000,01600SKILLED NURSING FACILITY 67942,A000000,01800,0000,01800NURSING FACILITY 67942,A000000,02100,0000,02100RADIOLOGY 67942,A000000,02200,0000,02200LABORATORY 67942,A000000,02300,0000,02300INTRAVENOUS THERAPY 67942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67942,A000000,02500,0000,02500PHYSICAL THERAPY 67942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67942,A000000,02700,0000,02700SPEECH PATHOLOGY 67942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67942,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 67942,A000000,03200,0000,03200SUPPORT SURFACES 67942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67942,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 67942,A000000,06200,0000,06200PATIENTS LAUNDRY 67942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67942,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67942,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 67942,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67942,B100000,00000,0850,00000PATIENT DAYS :DIETARY 67942,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 67942,B100000,00000,1000,00000COSTED REQS :CENTRAL SERVICES & SU 67942,B100000,00000,1100,00000COSTED REQS :PHARMACY 67942,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67942,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67942,S000000,00100,0200,04/03/2000 67942,S200000,00100,0100,2321 SCHOLD PLACE NW 67942,S200000,00200,0100,SILVERDALE 67942,S200000,00200,0200,WA 67942,S200000,00200,0300,98383- 67942,S200000,00300,0100,KITSAP 67942,S200000,00400,0100,CLEARBROOK LODGE INC. 67942,S200000,00400,0200,505484 67942,S200000,00400,0300,02/01/1994 67942,S200000,00400,0500,P 67942,S200000,01600,0100,Y 67951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67951,A000000,00300,0000,00300EMPLOYEE BENEFITS 67951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67951,A000000,00700,0000,00700HOUSEKEEPING 67951,A000000,00800,0000,00800DIETARY 67951,A000000,00900,0000,00900NURSING ADMINISTRATION 67951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67951,A000000,01100,0000,01100PHARMACY 67951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67951,A000000,01300,0000,01300SOCIAL SERVICE 67951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 67951,A000000,01600,0000,01600SKILLED NURSING FACILITY 67951,A000000,01800,0000,01800NURSING FACILITY 67951,A000000,01810,0000,01810ICF/MR 67951,A000000,01900,0000,01900OTHER LONG TERM CARE 67951,A000000,02100,0000,02100RADIOLOGY 67951,A000000,02200,0000,02200LABORATORY 67951,A000000,02300,0000,02300INTRAVENOUS THERAPY 67951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 67951,A000000,02500,0000,02500PHYSICAL THERAPY 67951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67951,A000000,02700,0000,02700SPEECH PATHOLOGY 67951,A000000,02800,0000,02800ELECTROCARDIOLOGY 67951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67951,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 67951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 67951,A000000,03200,0000,03200SUPPORT SURFACES 67951,A000000,03400,0000,03400CLINIC 67951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 67951,A000000,03500,0000,03500RURAL HEALTH CLINIC 67951,A000000,04750,0000,05100OTHER REIMBURSABLE COST 67951,A000000,04800,0000,04800AMBULANCE 67951,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 67951,A000000,05000,0000,05000CORF 67951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 67951,A000000,05300,0000,05300INTEREST EXPENSE 67951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 67951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67951,A000000,05500,0000,05500HOSPICE 67951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 67951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67951,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 67951,A000000,06100,0000,06100NONPAID WORKERS 67951,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67951,A000000,06200,0000,06200PATIENTS LAUNDRY 67951,A81000A,00100,0100,Y 67951,A81000B,00100,0300,MANAGEMENT FEES 67951,A81000B,00200,0300,ADMINISTRATOR 67951,A81000B,00300,0300,PROFESSIONAL FEES PAYROLL 67951,A81000B,00400,0300,PROFESSIONAL FEES A/P 67951,A81000B,00500,0300,PROFESSIONAL FEES PURCHASING AGENT 67951,A81000B,00600,0300,PROFESSIONAL FEES MIS 67951,A81000B,00700,0300,PROFESSIONAL FEES MANAGEMENT 67951,A81000C,00100,0100,B 67951,A81000C,00100,0200,SEA MAR CHC 67951,A81000C,00100,0400,SEA MAR CHC 67951,A81000C,00100,0600,HEALTH CLINICS 67951,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67951,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67951,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67951,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67951,B100000,00000,0650,00000COSTED REQUIS. :LAUNDRY & LINEN SE 67951,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67951,B100000,00000,0800,00000MEALS SERVED :DIETARY 67951,B100000,00000,0950,00000DIRECT NURS- IN :NURSING ADMINISTRA 67951,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 67951,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 67951,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 67951,S000000,00100,0200,01/30/2001 67951,S200000,00100,0100,1040 SOUTH HENDERSON STREET 67951,S200000,00200,0100,SEATTLE 67951,S200000,00200,0200,WA 67951,S200000,00200,0300,98108- 67951,S200000,00300,0100,KING 67951,S200000,00300,0200,7600 67951,S200000,00300,0300,U 67951,S200000,00400,0100,SEA MAR SKILLED NURSING FACILITY 67951,S200000,00400,0200,505489 67951,S200000,00400,0300,02/17/1995 67951,S200000,00400,0500,P 67951,S200000,01600,0100,Y 67951,S200000,01900,0100,COMMUNITY OWNED 67951,S200000,04100,0100,Y 67951,S200000,04700,0100,Y 67951,S200000,04700,0200,Y 67971,S000000,00100,0200,05/15/2000 67982,S000000,00100,0200,12/01/2000 67992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 67992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 67992,A000000,00300,0000,00300EMPLOYEE BENEFITS 67992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 67992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 67992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 67992,A000000,00700,0000,00700HOUSEKEEPING 67992,A000000,00800,0000,00800DIETARY 67992,A000000,00900,0000,00900NURSING ADMINISTRATION 67992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 67992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 67992,A000000,01300,0000,01300SOCIAL SERVICE 67992,A000000,01600,0000,01600SKILLED NURSING FACILITY 67992,A000000,01800,0000,01800NURSING FACILITY 67992,A000000,02500,0000,02500PHYSICAL THERAPY 67992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 67992,A000000,02700,0000,02700SPEECH PATHOLOGY 67992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 67992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 67992,A000000,03200,0000,03200SUPPORT SURFACES 67992,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 67992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 67992,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 67992,A81000A,00100,0100,Y 67992,A81000B,00100,0300,CAPITAL BUILDING 67992,A81000B,00200,0300,CAPITAL EQUIPMENT 67992,A81000B,00300,0300,NON-CAPITAL 67992,A81000B,00400,0300,INTEREST 67992,A81000B,00500,0300,ADMINISTRATOR COST REIMBURSE 67992,A81000B,00600,0300,HEALTH SPECTRUM 67992,A81000C,00100,0100,A 67992,A81000C,00100,0200,WERNER NISTLER 67992,A81000C,00100,0400,TLC 67992,A81000C,00100,0600,MGMT & ACCOUNTING 67992,A81000C,00200,0400,HSI 67992,A81000C,00200,0600,SUPPLY / DATA PROCESSING 67992,A81000C,00300,0100,B 67992,A81000C,00300,0200,WATERFORD ON SOUTH HILL 67992,A81000C,00300,0400,TLC 67992,A81000C,00300,0600,NURSING HOME 67992,A81000C,00400,0100,A 67992,A81000C,00400,0200,HEALTH SPECTRUM 67992,A81000C,00400,0400,TLC & HSI 67992,A81000C,00400,0600,NURSING HOME 67992,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 67992,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 67992,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 67992,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 67992,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 67992,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 67992,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 67992,B100000,00000,0800,00000MEALS SERVED :DIETARY 67992,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 67992,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 67992,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 67992,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 67992,S000000,00100,0200,06/02/2000 67992,S200000,00100,0100,2929 SOUTH WATERFORD DRIVE 67992,S200000,00200,0100,SPOKANE 67992,S200000,00200,0200,WA 67992,S200000,00200,0300,99203-7840 67992,S200000,00300,0100,SPOKANE 67992,S200000,00400,0100,TLC - WATERFORD ON SOUTH HILL 67992,S200000,00400,0200,505498 67992,S200000,00400,0300,08/26/1996 67992,S200000,00400,0500,P 67992,S200000,01600,0100,Y 68004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 68004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 68004,A000000,00300,0000,00300EMPLOYEE BENEFITS 68004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 68004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68004,A000000,00700,0000,00700HOUSEKEEPING 68004,A000000,00800,0000,00800DIETARY 68004,A000000,00900,0000,00900NURSING ADMINISTRATION 68004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68004,A000000,01100,0000,01100PHARMACY 68004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68004,A000000,01300,0000,01300SOCIAL SERVICE 68004,A000000,01350,0000,01500OTHER GENERAL SERVICES 68004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 68004,A000000,01600,0000,01600SKILLED NURSING FACILITY 68004,A000000,01800,0000,01800NURSING FACILITY 68004,A000000,01810,0000,01810ICF/MR 68004,A000000,01900,0000,01900OTHER LONG TERM CARE 68004,A000000,02100,0000,02100RADIOLOGY 68004,A000000,02200,0000,02200LABORATORY 68004,A000000,02300,0000,02300INTRAVENOUS THERAPY 68004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68004,A000000,02500,0000,02500PHYSICAL THERAPY 68004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68004,A000000,02700,0000,02700SPEECH PATHOLOGY 68004,A000000,02800,0000,02800ELECTROCARDIOLOGY 68004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 68004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68004,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68004,A000000,03051,0000,02801DIABETES SERVICES 68004,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 68004,A000000,03200,0000,03200SUPPORT SURFACES 68004,A000000,03400,0000,03400CLINIC 68004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68004,A000000,03500,0000,03500RURAL HEALTH CLINIC 68004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 68004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 68004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 68004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 68004,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 68004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 68004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 68004,A000000,04400,0000,04400DME RENTED - HHA 68004,A000000,04500,0000,04500DME SOLD - HHA 68004,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 68004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 68004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68004,A000000,04800,0000,04800AMBULANCE 68004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 68004,A000000,05000,0000,05000CORF 68004,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 68004,A000000,05300,0000,05300INTEREST EXPENSE 68004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 68004,A000000,05500,0000,05500HOSPICE 68004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 68004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68004,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 68004,A000000,06100,0000,06100NONPAID WORKERS 68004,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68004,A000000,06200,0000,06200PATIENTS LAUNDRY 68004,A81000A,00100,0100,Y 68004,A81000B,00100,0300,BUILDING COSTS 68004,A81000B,00200,0300,FINANCE/PAT ACCT/COMM 68004,A81000B,00300,0300,PLANT MAINTENANCE UTILITIES 68004,A81000B,00400,0300,LAUNDRY AND LINEN 68004,A81000B,00500,0300,HOUSEKEEPING 68004,A81000B,00600,0300,DIETARY 68004,A81000B,00700,0300,CENTRAL SUPPLY 68004,A81000B,00800,0300,PHARMACY 68004,A81000B,00900,0300,MEDICAL RECORDS 68004,A81000B,01000,0300,SOCIAL SERVICES 68004,A81000B,01100,0300,RADIOLOGY 68004,A81000B,01200,0300,LAB 68004,A81000B,01300,0300,INTRAVENOUS THERAPY 68004,A81000B,01400,0300,OXYGEN THERAPY 68004,A81000B,01500,0300,PHYSICAL THERAPY 68004,A81000B,01600,0300,OCCUPATIONAL THERAPY 68004,A81000B,01700,0300,SPEECH THERAPY 68004,A81000B,01800,0300,EKG 68004,A81000B,01900,0300,DIABETES SERVICES 68004,A81000B,02000,0300,BETHANY 68004,A81000B,02100,0300,DRUGS CHARGED 68004,A81000B,02200,0300,IV & REC THERAPY 68004,A81000B,02300,0300,CHARGEABLE MEDICAL SUPPLY 68004,A81000C,00100,0100,B 68004,A81000C,00100,0200,PROV EVERETT MED CTR 68004,A81000C,00100,0600,HOSPITAL 68004,A81000C,00200,0100,B 68004,A81000C,00200,0200,BETHANY OF THE NW 68004,A81000C,00200,0600,SKILLED NURSING HOME 68004,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 68004,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 68004,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 68004,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 68004,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 68004,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 68004,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 68004,B100000,00000,0800,00000MEALS SERVED :DIETARY 68004,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 68004,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 68004,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 68004,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 68004,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 68004,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 68004,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 68004,S000000,00100,0200,07/12/2000 68004,S200000,00100,0100,916 PACIFIC AVENUE 68004,S200000,00200,0100,EVERETT 68004,S200000,00200,0200,WA 68004,S200000,00200,0300,98206- 68004,S200000,00300,0100,SNOHOMISH 68004,S200000,00400,0100,EVERETT TRANS CARE SERVICES 68004,S200000,00400,0200,505505 68004,S200000,00400,0300,09/18/1997 68004,S200000,00400,0500,P 68004,S200000,01500,0100,Y 68004,S200000,02200,0100,Y 68008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 68008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 68008,A000000,00300,0000,00300EMPLOYEE BENEFITS 68008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 68008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68008,A000000,00700,0000,00700HOUSEKEEPING 68008,A000000,00800,0000,00800DIETARY 68008,A000000,00900,0000,00900NURSING ADMINISTRATION 68008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68008,A000000,01300,0000,01300SOCIAL SERVICE 68008,A000000,01600,0000,01600SKILLED NURSING FACILITY 68008,A000000,02100,0000,02100RADIOLOGY 68008,A000000,02200,0000,02200LABORATORY 68008,A000000,02500,0000,02500PHYSICAL THERAPY 68008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68008,A000000,02700,0000,02700SPEECH PATHOLOGY 68008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 68008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68008,A000000,03050,0000,03300RESPIRATORY & IV THERAPY 68008,A000000,03051,0000,03301SPECIALTY EQUIPMENT 68008,A000000,05300,0000,05300INTEREST EXPENSE 68008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 68008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68008,A81000A,00100,0100,Y 68008,A81000B,00100,0300,MANAGEMENT FEES 68008,A81000C,00100,0100,A 68008,A81000C,00100,0200,DANIEL HUMPHREY 68008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 68008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 68008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 68008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 68008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 68008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 68008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 68008,B100000,00000,0800,00000MEALS SERVED :DIETARY 68008,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 68008,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 68008,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 68008,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 68008,E10A180,00301,0100,10/21/1999 68008,S000000,00100,0200,06/30/2000 68008,S200000,00100,0100,300 SOUTH 18TH STREET 68008,S200000,00200,0100,MOUNT VERNON 68008,S200000,00200,0200,WA 68008,S200000,00200,0300,98273- 68008,S200000,00300,0100,SKAGIT 68008,S200000,00400,0100,MIRA VISTA REHAB CENTER/UGH CAMPUS 68008,S200000,00400,0200,505506 68008,S200000,00400,0300,12/08/1998 68008,S200000,00400,0500,P 68008,S200000,01500,0100,Y 68008,S200000,03100,0100,Y 68015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68015,A000000,00300,0000,00300EMPLOYEE BENEFITS 68015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68015,A000000,00700,0000,00700HOUSEKEEPING 68015,A000000,00800,0000,00800DIETARY 68015,A000000,00900,0000,00900NURSING ADMINISTRATION 68015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68015,A000000,01100,0000,01100PHARMACY 68015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68015,A000000,01300,0000,01300SOCIAL SERVICE 68015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68015,A000000,01600,0000,01600SKILLED NURSING FACILITY 68015,A000000,01800,0000,01800NURSING FACILITY 68015,A000000,01810,0000,01810ICF/MR 68015,A000000,02100,0000,02100RADIOLOGY 68015,A000000,02200,0000,02200LABORATORY 68015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68015,A000000,02500,0000,02500PHYSICAL THERAPY 68015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68015,A000000,02700,0000,02700SPEECH PATHOLOGY 68015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68015,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68015,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68015,A000000,03052,0000,03302MEDICAL EQUIPMENT 68015,A000000,03550,0000,03550FQHC 68015,A000000,05000,0000,05000CORF 68015,A000000,05010,0000,05010CMHC 68015,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68015,A81000A,00100,0100,Y 68015,A81000B,00100,0300,HOME OFFICE A&G 68015,A81000B,00200,0300,HOME OFFICE CAPITAL 68015,A81000B,00300,0300,DIVISION OFFICE A&G 68015,A81000B,00500,0300,INSURANCE 68015,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68015,A81000C,00100,0100,B 68015,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68015,A81000C,00200,0100,G 68015,A81000C,00200,0200,LAURIER INC. 68015,A81000C,00200,0400,EXTENDICARE INC. 68015,A81000C,00200,0600,INSURANCE 68015,A81000C,00300,0100,G 68015,A81000C,00300,0200,UNITED REHABILITATION SVS 68015,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68015,A81000C,00300,0600,THERAPY SERVICE 68015,A81000C,00400,0100,G 68015,A81000C,00400,0200,UPC 68015,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68015,A81000C,00400,0600,PHARMACY & THERAPY 68015,B100000,00000,0100,00040SQUARE FEET 68015,B100000,00000,0200,00040SQUARE FEET 68015,B100000,00000,0300,00040GROSS SALARIES 68015,B100000,00000,0400,00040ACCUM. COST 68015,B100000,00000,0500,00040SQUARE FEET 68015,B100000,00000,0600,00040PATIENT DAYS 68015,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68015,B100000,00000,0800,00040PATIENT DAYS 68015,B100000,00000,0900,00040PATIENT DAYS 68015,B100000,00000,1000,00040COSTED REQUIS 68015,B100000,00000,1100,00040COSTED REQUIS 68015,B100000,00000,1200,00040GROSS REVENUE 68015,B100000,00000,1300,00040PATIENT DAYS 68015,B100000,00000,1400,00040ASSIGNED TIME 68015,E10A180,00301,0100,01/24/2000 68015,E10A180,00301,0300,06/22/1998 68015,E10A180,00350,0100,06/22/1998 68015,E10A180,00350,0300,06/22/1998 68015,E10A180,00501,0300,02/12/2001 68015,S000000,00100,0200,06/20/2000 68015,S200000,00100,0100,#7 PROFESSIONAL DRIVE 68015,S200000,00200,0100,BELLA VISTA 68015,S200000,00200,0200,AR 68015,S200000,00300,0100,BENTON 68015,S200000,00400,0100,CONCORDIA CARE CENTER 68015,S200000,00400,0200,045143 68015,S200000,00400,0300,06/01/1989 68015,S200000,00400,0500,P 68015,S200000,01600,0100,Y 68015,S200000,01900,0100,PRIVATE 68022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68022,A000000,00300,0000,00300EMPLOYEE BENEFITS 68022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68022,A000000,00700,0000,00700HOUSEKEEPING 68022,A000000,00800,0000,00800DIETARY 68022,A000000,00900,0000,00900NURSING ADMINISTRATION 68022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68022,A000000,01100,0000,01100PHARMACY 68022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68022,A000000,01300,0000,01300SOCIAL SERVICE 68022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68022,A000000,01600,0000,01600SKILLED NURSING FACILITY 68022,A000000,01800,0000,01800NURSING FACILITY 68022,A000000,01810,0000,01810ICF/MR 68022,A000000,02100,0000,02100RADIOLOGY 68022,A000000,02200,0000,02200LABORATORY 68022,A000000,02300,0000,02300INTRAVENOUS THERAPY 68022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68022,A000000,02500,0000,02500PHYSICAL THERAPY 68022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68022,A000000,02700,0000,02700SPEECH PATHOLOGY 68022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68022,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68022,A000000,03052,0000,03302MEDICAL EQUIPMENT 68022,A000000,03550,0000,03550FQHC 68022,A000000,05000,0000,05000CORF 68022,A000000,05010,0000,05010CMHC 68022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68022,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68022,A81000A,00100,0100,Y 68022,A81000B,00100,0300,HOME OFFICE A&G 68022,A81000B,00200,0300,HOME OFFICE CAPITAL 68022,A81000B,00300,0300,DIVISION OFFICE A&G 68022,A81000B,00500,0300,INSURANCE 68022,A81000C,00100,0100,B 68022,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68022,A81000C,00200,0100,G 68022,A81000C,00200,0200,LAURIER INC. 68022,A81000C,00200,0400,EXTENDICARE INC. 68022,A81000C,00200,0600,INSURANCE 68022,A81000C,00300,0100,G 68022,A81000C,00300,0200,UNITED REHABILITATION SVS 68022,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68022,A81000C,00300,0600,THERAPY SERVICE 68022,A81000C,00400,0100,G 68022,A81000C,00400,0200,UPC 68022,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68022,A81000C,00400,0600,PHARMACY THERAPY 68022,B100000,00000,0100,00000SQUARE FEET 68022,B100000,00000,0200,00000SQUARE FEET 68022,B100000,00000,0300,00000GROSS SALARIES 68022,B100000,00000,0400,00000ACCUM. COST 68022,B100000,00000,0500,00000SQUARE FEET 68022,B100000,00000,0600,00000PATIENT DAYS 68022,B100000,00000,0700,00000ALTERNATE SQUARE FEE 68022,B100000,00000,0800,00000PATIENT DAYS 68022,B100000,00000,0900,00000PATIENT DAYS 68022,B100000,00000,1000,00000COSTED REQUIS 68022,B100000,00000,1100,00000COSTED REQUIS 68022,B100000,00000,1200,00000GROSS REVENUE 68022,B100000,00000,1300,00000PATIENT DAYS 68022,B100000,00000,1400,00000ASSIGNED TIME 68022,E10A180,00301,0100,01/24/2000 68022,E10A180,00301,0300,06/22/1998 68022,E10A180,00350,0100,06/22/1998 68022,E10A180,00350,0300,06/22/1998 68022,E10A180,00501,0300,02/12/2001 68022,E10A180,00550,0100,02/12/2001 68022,S000000,00100,0200,06/20/2000 68022,S200000,00100,0100,6300 46TH AVENUE NORTH 68022,S200000,00200,0100,ST. PETERSBURG 68022,S200000,00200,0200,FL 68022,S200000,00300,0100,PINELLAS 68022,S200000,00400,0100,COLONIAL CARE CENTER 68022,S200000,00400,0200,105072 68022,S200000,00400,0300,06/03/1982 68022,S200000,00400,0500,P 68022,S200000,01600,0100,Y 68022,S200000,01900,0100,PRIVATE 68030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68030,A000000,00300,0000,00300EMPLOYEE BENEFITS 68030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68030,A000000,00700,0000,00700HOUSEKEEPING 68030,A000000,00800,0000,00800DIETARY 68030,A000000,00900,0000,00900NURSING ADMINISTRATION 68030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68030,A000000,01100,0000,01100PHARMACY 68030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68030,A000000,01300,0000,01300SOCIAL SERVICE 68030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68030,A000000,01600,0000,01600SKILLED NURSING FACILITY 68030,A000000,01800,0000,01800NURSING FACILITY 68030,A000000,01810,0000,01810ICF/MR 68030,A000000,02100,0000,02100RADIOLOGY 68030,A000000,02200,0000,02200LABORATORY 68030,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68030,A000000,02500,0000,02500PHYSICAL THERAPY 68030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68030,A000000,02700,0000,02700SPEECH PATHOLOGY 68030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68030,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68030,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68030,A000000,03052,0000,03302MEDICAL EQUIPMENT 68030,A000000,03550,0000,03550FQHC 68030,A000000,05000,0000,05000CORF 68030,A000000,05010,0000,05010CMHC 68030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68030,A81000A,00100,0100,Y 68030,A81000B,00100,0300,HOME OFFICE A&G 68030,A81000B,00200,0300,HOME OFFICE CAPITAL 68030,A81000B,00300,0300,DIVISION OFFICE A&G 68030,A81000B,00500,0300,INSURANCE 68030,A81000C,00100,0100,B 68030,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68030,A81000C,00200,0100,G 68030,A81000C,00200,0200,LAURIER INC. 68030,A81000C,00200,0400,EXTENDICARE INC. 68030,A81000C,00200,0600,INSURANCE 68030,A81000C,00300,0100,G 68030,A81000C,00300,0200,UNITED REHABILITATION SVS 68030,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68030,A81000C,00300,0600,THERAPY SERVICE 68030,A81000C,00400,0100,G 68030,A81000C,00400,0200,UPC 68030,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68030,A81000C,00400,0600,PHARMACY THERAPY 68030,B100000,00000,0100,00040SQUARE FEET 68030,B100000,00000,0200,00040SQUARE FEET 68030,B100000,00000,0300,00040GROSS SALARIES 68030,B100000,00000,0400,00040ACCUM. COST 68030,B100000,00000,0500,00040SQUARE FEET 68030,B100000,00000,0600,00040PATIENT DAYS 68030,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68030,B100000,00000,0800,00040PATIENT DAYS 68030,B100000,00000,0900,00040PATIENT DAYS 68030,B100000,00000,1000,00040COSTED REQUIS 68030,B100000,00000,1100,00040COSTED REQUIS 68030,B100000,00000,1200,00040GROSS REVENUE 68030,B100000,00000,1300,00040PATIENT DAYS 68030,B100000,00000,1400,00040ASSIGNED TIME 68030,E10A180,00301,0100,01/24/2000 68030,E10A180,00301,0300,06/22/1998 68030,E10A180,00350,0100,06/22/1998 68030,E10A180,00350,0300,06/22/1998 68030,E10A180,00550,0100,06/09/2000 68030,E10A180,00550,0300,06/09/2000 68030,E10A180,00551,0300,02/12/2001 68030,S000000,00100,0200,06/20/2000 68030,S200000,00100,0100,718 LAKEVIEW AVENUE SOUTH 68030,S200000,00200,0100,ST. PETERSBURG 68030,S200000,00200,0200,FL 68030,S200000,00300,0100,PINELLAS 68030,S200000,00400,0100,SOUTH HERITAGE HEALTH & REHAB. 68030,S200000,00400,0200,105117 68030,S200000,00400,0300,06/03/1982 68030,S200000,00400,0500,P 68030,S200000,01600,0100,Y 68030,S200000,01900,0100,PRIVATE 68038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68038,A000000,00300,0000,00300EMPLOYEE BENEFITS 68038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68038,A000000,00700,0000,00700HOUSEKEEPING 68038,A000000,00800,0000,00800DIETARY 68038,A000000,00900,0000,00900NURSING ADMINISTRATION 68038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68038,A000000,01100,0000,01100PHARMACY 68038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68038,A000000,01300,0000,01300SOCIAL SERVICE 68038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68038,A000000,01600,0000,01600SKILLED NURSING FACILITY 68038,A000000,01800,0000,01800NURSING FACILITY 68038,A000000,01810,0000,01810ICF/MR 68038,A000000,02100,0000,02100RADIOLOGY 68038,A000000,02200,0000,02200LABORATORY 68038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68038,A000000,02500,0000,02500PHYSICAL THERAPY 68038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68038,A000000,02700,0000,02700SPEECH PATHOLOGY 68038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68038,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68038,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68038,A000000,03052,0000,03302MEDICAL EQUIPMENT 68038,A000000,03550,0000,03550FQHC 68038,A000000,05000,0000,05000CORF 68038,A000000,05010,0000,05010CMHC 68038,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68038,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68038,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68038,A81000A,00100,0100,Y 68038,A81000B,00100,0300,HOME OFFICE A&G 68038,A81000B,00200,0300,HOME OFFICE CAPITAL 68038,A81000B,00300,0300,DIVISION OFFICE A&G 68038,A81000B,00500,0300,INSURANCE 68038,A81000C,00100,0100,B 68038,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68038,A81000C,00200,0100,G 68038,A81000C,00200,0200,LAURIER INC. 68038,A81000C,00200,0400,EXTENDICARE INC. 68038,A81000C,00200,0600,INSURANCE 68038,A81000C,00300,0100,G 68038,A81000C,00300,0200,UNITED REHABILITATION SVS 68038,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68038,A81000C,00300,0600,THERAPY SERVICE 68038,A81000C,00400,0100,G 68038,A81000C,00400,0200,UPC 68038,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68038,A81000C,00400,0600,PHARMACY THERAPY 68038,A81000C,00500,0100,B 68038,A81000C,00500,0200,HIDDEN PALMS 68038,A81000C,00500,0400,EXTENDICARE HEALTH S 68038,A81000C,00500,0600,ASSISTED LIVING FACI 68038,B100000,00000,0100,00040SQUARE FEET 68038,B100000,00000,0200,00040SQUARE FEET 68038,B100000,00000,0300,00040GROSS SALARIES 68038,B100000,00000,0400,00040ACCUM. COST 68038,B100000,00000,0500,00040SQUARE FEET 68038,B100000,00000,0600,00040PATIENT DAYS 68038,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68038,B100000,00000,0800,00040PATIENT DAYS 68038,B100000,00000,0900,00040PATIENT DAYS 68038,B100000,00000,1000,00040COSTED REQUIS 68038,B100000,00000,1100,00040COSTED REQUIS 68038,B100000,00000,1200,00040GROSS REVENUE 68038,B100000,00000,1300,00040PATIENT DAYS 68038,B100000,00000,1400,00040ASSIGNED TIME 68038,E10A180,00301,0100,01/24/2000 68038,E10A180,00301,0300,06/22/1998 68038,E10A180,00350,0100,06/22/1998 68038,E10A180,00350,0300,06/22/1998 68038,E10A180,00501,0100,02/12/2001 68038,E10A180,00501,0300,02/12/2001 68038,S000000,00100,0200,06/20/2000 68038,S200000,00100,0100,2675 NORTH ANFREWS AVENUE 68038,S200000,00200,0100,FT. LAUDERDALE 68038,S200000,00200,0200,FL 68038,S200000,00300,0100,BROWARD 68038,S200000,00400,0100,PALM COURT NURSING & REHAB. CENTER 68038,S200000,00400,0200,105119 68038,S200000,00400,0300,06/01/1982 68038,S200000,00400,0500,P 68038,S200000,01600,0100,Y 68038,S200000,01900,0100,PRIVATE 68046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68046,A000000,00300,0000,00300EMPLOYEE BENEFITS 68046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68046,A000000,00700,0000,00700HOUSEKEEPING 68046,A000000,00800,0000,00800DIETARY 68046,A000000,00900,0000,00900NURSING ADMINISTRATION 68046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68046,A000000,01100,0000,01100PHARMACY 68046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68046,A000000,01300,0000,01300SOCIAL SERVICE 68046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68046,A000000,01600,0000,01600SKILLED NURSING FACILITY 68046,A000000,01800,0000,01800NURSING FACILITY 68046,A000000,01810,0000,01810ICF/MR 68046,A000000,02100,0000,02100RADIOLOGY 68046,A000000,02200,0000,02200LABORATORY 68046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68046,A000000,02500,0000,02500PHYSICAL THERAPY 68046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68046,A000000,02700,0000,02700SPEECH PATHOLOGY 68046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68046,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68046,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68046,A000000,03052,0000,03302MEDICAL EQUIPMENT 68046,A000000,03550,0000,03550FQHC 68046,A000000,05000,0000,05000CORF 68046,A000000,05010,0000,05010CMHC 68046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68046,A81000A,00100,0100,Y 68046,A81000B,00100,0300,HOME OFFICE A&G 68046,A81000B,00200,0300,HOME OFFICE CAPITAL 68046,A81000B,00300,0300,DIVISION OFFICE A&G 68046,A81000B,00500,0300,INSURANCE 68046,A81000B,00600,0300,PHYSICAL THERAPY 68046,A81000B,00700,0300,OCCUPATIONAL THERAPY 68046,A81000B,00800,0300,SPEECH THERAPY 68046,A81000C,00100,0100,B 68046,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68046,A81000C,00200,0100,G 68046,A81000C,00200,0200,LAURIER INC. 68046,A81000C,00200,0400,EXTENDICARE INC. 68046,A81000C,00200,0600,INSURANCE 68046,A81000C,00300,0100,G 68046,A81000C,00300,0200,UNITED REHABILITATION SVS 68046,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68046,A81000C,00300,0600,THERAPY SERVICE 68046,A81000C,00400,0100,G 68046,A81000C,00400,0200,UPC 68046,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68046,A81000C,00400,0600,PHARMACY THERAPY 68046,B100000,00000,0100,00040SQUARE FEET 68046,B100000,00000,0200,00040SQUARE FEET 68046,B100000,00000,0300,00040GROSS SALARIES 68046,B100000,00000,0400,00040ACCUM. COST 68046,B100000,00000,0500,00040SQUARE FEET 68046,B100000,00000,0600,00040PATIENT DAYS 68046,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68046,B100000,00000,0800,00040PATIENT DAYS 68046,B100000,00000,0900,00040PATIENT DAYS 68046,B100000,00000,1000,00040COSTED REQUIS 68046,B100000,00000,1100,00040COSTED REQUIS 68046,B100000,00000,1200,00040GROSS REVENUE 68046,B100000,00000,1300,00040PATIENT DAYS 68046,B100000,00000,1400,00040ASSIGNED TIME 68046,E10A180,00301,0100,06/22/1998 68046,E10A180,00301,0300,06/22/1998 68046,E10A180,00350,0100,06/22/1998 68046,E10A180,00350,0300,06/22/1998 68046,E10A180,00550,0300,06/09/2000 68046,S000000,00100,0200,06/20/2000 68046,S200000,00100,0100,1301 16TH STREET NORTH 68046,S200000,00200,0100,ST. PETERSBURG 68046,S200000,00200,0200,FL 68046,S200000,00300,0100,PINELLAS 68046,S200000,00400,0100,NORTH REHABILITATION CENTER 68046,S200000,00400,0200,105149 68046,S200000,00400,0300,06/01/1982 68046,S200000,00400,0500,P 68046,S200000,01500,0100,Y 68046,S200000,01900,0100,PRIVATE 68054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68054,A000000,00300,0000,00300EMPLOYEE BENEFITS 68054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68054,A000000,00700,0000,00700HOUSEKEEPING 68054,A000000,00800,0000,00800DIETARY 68054,A000000,00900,0000,00900NURSING ADMINISTRATION 68054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68054,A000000,01100,0000,01100PHARMACY 68054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68054,A000000,01300,0000,01300SOCIAL SERVICE 68054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68054,A000000,01600,0000,01600SKILLED NURSING FACILITY 68054,A000000,01800,0000,01800NURSING FACILITY 68054,A000000,01810,0000,01810ICF/MR 68054,A000000,02100,0000,02100RADIOLOGY 68054,A000000,02200,0000,02200LABORATORY 68054,A000000,02300,0000,02300INTRAVENOUS THERAPY 68054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68054,A000000,02500,0000,02500PHYSICAL THERAPY 68054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68054,A000000,02700,0000,02700SPEECH PATHOLOGY 68054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68054,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68054,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68054,A000000,03052,0000,03302MEDICAL EQUIPMENT 68054,A000000,03550,0000,03550FQHC 68054,A000000,05000,0000,05000CORF 68054,A000000,05010,0000,05010CMHC 68054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68054,A81000A,00100,0100,Y 68054,A81000B,00100,0300,HOME OFFICE A&G 68054,A81000B,00200,0300,HOME OFFICE CAPITAL 68054,A81000B,00300,0300,DIVISION OFFICE A&G 68054,A81000B,00500,0300,INSURANCE 68054,A81000C,00100,0100,B 68054,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68054,A81000C,00200,0100,G 68054,A81000C,00200,0200,LAURIER INC. 68054,A81000C,00200,0400,EXTENDICARE INC. 68054,A81000C,00200,0600,INSURANCE 68054,A81000C,00300,0100,G 68054,A81000C,00300,0200,UNITED REHABILITATION SVS 68054,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68054,A81000C,00300,0600,THERAPY SERVICE 68054,A81000C,00400,0100,G 68054,A81000C,00400,0200,UPC 68054,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68054,A81000C,00400,0600,PHARMACY THERAPY 68054,B100000,00000,0100,00040SQUARE FEET 68054,B100000,00000,0200,00040SQUARE FEET 68054,B100000,00000,0300,00040GROSS SALARIES 68054,B100000,00000,0400,00040ACCUM. COST 68054,B100000,00000,0500,00040SQUARE FEET 68054,B100000,00000,0600,00040PATIENT DAYS 68054,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68054,B100000,00000,0800,00040PATIENT DAYS 68054,B100000,00000,0900,00040PATIENT DAYS 68054,B100000,00000,1000,00040COSTED REQUIS 68054,B100000,00000,1100,00040COSTED REQUIS 68054,B100000,00000,1200,00040GROSS REVENUE 68054,B100000,00000,1300,00040PATIENT DAYS 68054,B100000,00000,1400,00040ASSIGNED TIME 68054,E10A180,00301,0100,01/24/2000 68054,E10A180,00301,0300,06/22/1998 68054,E10A180,00350,0100,06/22/1998 68054,E10A180,00350,0300,06/22/1998 68054,E10A180,00501,0300,02/12/2001 68054,E10A180,00550,0100,02/12/2001 68054,S000000,00100,0200,06/20/2000 68054,S200000,00100,0100,210 21ST AVENUE WEST 68054,S200000,00200,0100,BRADENTON 68054,S200000,00200,0200,FL 68054,S200000,00300,0100,MANATEE 68054,S200000,00400,0100,GREENBRIAR REHAB. & NURSING CENTER 68054,S200000,00400,0200,105159 68054,S200000,00400,0300,06/01/1982 68054,S200000,00400,0500,P 68054,S200000,01600,0100,Y 68054,S200000,01900,0100,PRIVATE 68062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68062,A000000,00300,0000,00300EMPLOYEE BENEFITS 68062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68062,A000000,00700,0000,00700HOUSEKEEPING 68062,A000000,00800,0000,00800DIETARY 68062,A000000,00900,0000,00900NURSING ADMINISTRATION 68062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68062,A000000,01100,0000,01100PHARMACY 68062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68062,A000000,01300,0000,01300SOCIAL SERVICE 68062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68062,A000000,01600,0000,01600SKILLED NURSING FACILITY 68062,A000000,01800,0000,01800NURSING FACILITY 68062,A000000,01810,0000,01810ICF/MR 68062,A000000,02100,0000,02100RADIOLOGY 68062,A000000,02200,0000,02200LABORATORY 68062,A000000,02300,0000,02300INTRAVENOUS THERAPY 68062,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68062,A000000,02500,0000,02500PHYSICAL THERAPY 68062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68062,A000000,02700,0000,02700SPEECH PATHOLOGY 68062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68062,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68062,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68062,A000000,03052,0000,03302MEDICAL EQUIPMENT 68062,A000000,03550,0000,03550FQHC 68062,A000000,05000,0000,05000CORF 68062,A000000,05010,0000,05010CMHC 68062,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68062,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68062,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68062,A81000A,00100,0100,Y 68062,A81000B,00100,0300,HOME OFFICE A&G 68062,A81000B,00200,0300,HOME OFFICE CAPITAL 68062,A81000B,00300,0300,DIVISION OFFICE A&G 68062,A81000B,00500,0300,INSURANCE 68062,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68062,A81000C,00100,0100,B 68062,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68062,A81000C,00200,0100,G 68062,A81000C,00200,0200,LAURIER INC. 68062,A81000C,00200,0400,EXTENDICARE INC. 68062,A81000C,00200,0600,INSURANCE 68062,A81000C,00300,0100,G 68062,A81000C,00300,0200,UNITED REHABILITATION SVS 68062,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68062,A81000C,00300,0600,THERAPY SERVICE 68062,A81000C,00400,0100,G 68062,A81000C,00400,0200,UPC 68062,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68062,A81000C,00400,0600,PHARMACY THERAPY 68062,B100000,00000,0100,00040SQUARE FEET 68062,B100000,00000,0200,00040SQUARE FEET 68062,B100000,00000,0300,00040GROSS SALARIES 68062,B100000,00000,0400,00040ACCUM. COST 68062,B100000,00000,0500,00040SQUARE FEET 68062,B100000,00000,0600,00040PATIENT DAYS 68062,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68062,B100000,00000,0800,00040PATIENT DAYS 68062,B100000,00000,0900,00040PATIENT DAYS 68062,B100000,00000,1000,00040COSTED REQUIS 68062,B100000,00000,1100,00040COSTED REQUIS 68062,B100000,00000,1200,00040GROSS REVENUE 68062,B100000,00000,1300,00040PATIENT DAYS 68062,B100000,00000,1400,00040ASSIGNED TIME 68062,E10A180,00301,0100,01/24/2000 68062,E10A180,00501,0300,02/12/2001 68062,E10A180,00550,0100,02/12/2001 68062,S000000,00100,0200,06/20/2000 68062,S200000,00100,0100,6020 INDIANA AVENUE 68062,S200000,00200,0100,NEW PORT RICHEY 68062,S200000,00200,0200,FL 68062,S200000,00300,0100,PASCO 68062,S200000,00400,0100,RICHEY MANOR REHAB. & SPECIALTY CARE 68062,S200000,00400,0200,105166 68062,S200000,00400,0300,10/01/1981 68062,S200000,00400,0500,P 68062,S200000,01600,0100,Y 68062,S200000,01900,0100,PRIVATE 68068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68068,A000000,00300,0000,00300EMPLOYEE BENEFITS 68068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68068,A000000,00700,0000,00700HOUSEKEEPING 68068,A000000,00800,0000,00800DIETARY 68068,A000000,00900,0000,00900NURSING ADMINISTRATION 68068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68068,A000000,01100,0000,01100PHARMACY 68068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68068,A000000,01300,0000,01300SOCIAL SERVICE 68068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68068,A000000,01600,0000,01600SKILLED NURSING FACILITY 68068,A000000,01800,0000,01800NURSING FACILITY 68068,A000000,01810,0000,01810ICF/MR 68068,A000000,02100,0000,02100RADIOLOGY 68068,A000000,02200,0000,02200LABORATORY 68068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68068,A000000,02500,0000,02500PHYSICAL THERAPY 68068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68068,A000000,02700,0000,02700SPEECH PATHOLOGY 68068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68068,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68068,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68068,A000000,03052,0000,03302MEDICAL EQUIPMENT 68068,A000000,03550,0000,03550FQHC 68068,A000000,05000,0000,05000CORF 68068,A000000,05010,0000,05010CMHC 68068,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68068,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68068,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68068,A81000A,00100,0100,Y 68068,A81000B,00100,0300,HOME OFFICE A&G 68068,A81000B,00200,0300,HOME OFFICE CAPITAL 68068,A81000B,00300,0300,DIVISION OFFICE A&G 68068,A81000B,00500,0300,INSURANCE 68068,A81000C,00100,0100,B 68068,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68068,A81000C,00200,0100,G 68068,A81000C,00200,0200,LAURIER INC. 68068,A81000C,00200,0400,EXTENDICARE INC. 68068,A81000C,00200,0600,INSURANCE 68068,A81000C,00300,0100,G 68068,A81000C,00300,0200,UNITED REHABILITATION SVS 68068,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68068,A81000C,00300,0600,THERAPY SERVICE 68068,A81000C,00400,0100,G 68068,A81000C,00400,0200,UPC 68068,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68068,A81000C,00400,0600,PHARMACY THERAPY 68068,B100000,00000,0100,00040SQUARE FEET 68068,B100000,00000,0200,00040SQUARE FEET 68068,B100000,00000,0300,00040GROSS SALARIES 68068,B100000,00000,0400,00040ACCUM. COST 68068,B100000,00000,0500,00040SQUARE FEET 68068,B100000,00000,0600,00040PATIENT DAYS 68068,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68068,B100000,00000,0800,00040PATIENT DAYS 68068,B100000,00000,0900,00040PATIENT DAYS 68068,B100000,00000,1000,00040COSTED REQUIS 68068,B100000,00000,1100,00040COSTED REQUIS 68068,B100000,00000,1200,00040GROSS REVENUE 68068,B100000,00000,1300,00040PATIENT DAYS 68068,B100000,00000,1400,00040ASSIGNED TIME 68068,E10A180,00301,0100,01/24/2000 68068,E10A180,00301,0300,06/22/1998 68068,E10A180,00350,0100,06/22/1998 68068,E10A180,00350,0300,06/22/1998 68068,E10A180,00501,0100,06/09/2000 68068,E10A180,00550,0300,06/09/2000 68068,E10A180,00551,0300,02/12/2001 68068,S000000,00100,0200,06/20/2000 68068,S200000,00100,0100,202 AVENUE O N.E. 68068,S200000,00200,0100,WINTER HAVEN 68068,S200000,00200,0200,FL 68068,S200000,00300,0100,POLK 68068,S200000,00400,0100,WINTER HAVEN HEALTH & REHAB. CENTER 68068,S200000,00400,0200,105176 68068,S200000,00400,0300,06/01/1982 68068,S200000,00400,0500,P 68068,S200000,01600,0100,Y 68068,S200000,01900,0100,PRIVATE 68083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68083,A000000,00300,0000,00300EMPLOYEE BENEFITS 68083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68083,A000000,00700,0000,00700HOUSEKEEPING 68083,A000000,00800,0000,00800DIETARY 68083,A000000,00900,0000,00900NURSING ADMINISTRATION 68083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68083,A000000,01100,0000,01100PHARMACY 68083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68083,A000000,01300,0000,01300SOCIAL SERVICE 68083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68083,A000000,01600,0000,01600SKILLED NURSING FACILITY 68083,A000000,01800,0000,01800NURSING FACILITY 68083,A000000,01810,0000,01810ICF/MR 68083,A000000,02100,0000,02100RADIOLOGY 68083,A000000,02200,0000,02200LABORATORY 68083,A000000,02300,0000,02300INTRAVENOUS THERAPY 68083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68083,A000000,02500,0000,02500PHYSICAL THERAPY 68083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68083,A000000,02700,0000,02700SPEECH PATHOLOGY 68083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68083,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68083,A000000,03052,0000,03302MEDICAL EQUIPMENT 68083,A000000,03550,0000,03550FQHC 68083,A000000,05000,0000,05000CORF 68083,A000000,05010,0000,05010CMHC 68083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68083,A81000A,00100,0100,Y 68083,A81000B,00100,0300,HOME OFFICE A&G 68083,A81000B,00200,0300,HOME OFFICE CAPITAL 68083,A81000B,00300,0300,DIVISION OFFICE A&G 68083,A81000B,00500,0300,INSURANCE 68083,A81000C,00100,0100,B 68083,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68083,A81000C,00200,0100,G 68083,A81000C,00200,0200,LAURIER INC. 68083,A81000C,00200,0400,EXTENDICARE INC. 68083,A81000C,00200,0600,INSURANCE 68083,A81000C,00300,0100,G 68083,A81000C,00300,0200,UNITED REHABILITATION SVS 68083,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68083,A81000C,00300,0600,THERAPY SERVICE 68083,A81000C,00400,0100,G 68083,A81000C,00400,0200,UPC 68083,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68083,A81000C,00400,0600,PHARMACY THERAPY 68083,B100000,00000,0100,00040SQUARE FEET 68083,B100000,00000,0200,00040SQUARE FEET 68083,B100000,00000,0300,00040GROSS SALARIES 68083,B100000,00000,0400,00040ACCUM. COST 68083,B100000,00000,0500,00040SQUARE FEET 68083,B100000,00000,0600,00040PATIENT DAYS 68083,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68083,B100000,00000,0800,00040PATIENT DAYS 68083,B100000,00000,0900,00040PATIENT DAYS 68083,B100000,00000,1000,00040COSTED REQUIS 68083,B100000,00000,1100,00040COSTED REQUIS 68083,B100000,00000,1200,00040GROSS REVENUE 68083,B100000,00000,1300,00040PATIENT DAYS 68083,B100000,00000,1400,00040ASSIGNED TIME 68083,E10A180,00301,0100,01/24/2000 68083,E10A180,00301,0300,06/22/1998 68083,E10A180,00350,0100,06/22/1998 68083,E10A180,00350,0300,06/22/1998 68083,E10A180,00501,0100,02/12/2001 68083,E10A180,00550,0300,02/12/2001 68083,S000000,00100,0200,06/20/2000 68083,S200000,00100,0100,635 SOUTHEAST 17 ST. 68083,S200000,00200,0100,OCALA 68083,S200000,00200,0200,FL 68083,S200000,00300,0100,MARION 68083,S200000,00400,0100,NEW HORIZON REHABILITATION CENTER 68083,S200000,00400,0200,105196 68083,S200000,00400,0300,06/01/1982 68083,S200000,00400,0500,P 68083,S200000,01600,0100,Y 68083,S200000,01900,0100,PRIVATE 68091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68091,A000000,00300,0000,00300EMPLOYEE BENEFITS 68091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68091,A000000,00700,0000,00700HOUSEKEEPING 68091,A000000,00800,0000,00800DIETARY 68091,A000000,00900,0000,00900NURSING ADMINISTRATION 68091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68091,A000000,01100,0000,01100PHARMACY 68091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68091,A000000,01300,0000,01300SOCIAL SERVICE 68091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68091,A000000,01600,0000,01600SKILLED NURSING FACILITY 68091,A000000,01800,0000,01800NURSING FACILITY 68091,A000000,01810,0000,01810ICF/MR 68091,A000000,02100,0000,02100RADIOLOGY 68091,A000000,02200,0000,02200LABORATORY 68091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68091,A000000,02500,0000,02500PHYSICAL THERAPY 68091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68091,A000000,02700,0000,02700SPEECH PATHOLOGY 68091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68091,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68091,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68091,A000000,03052,0000,03302MEDICAL EQUIPMENT 68091,A000000,03550,0000,03550FQHC 68091,A000000,05000,0000,05000CORF 68091,A000000,05010,0000,05010CMHC 68091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68091,A81000A,00100,0100,Y 68091,A81000B,00100,0300,HOME OFFICE A&G 68091,A81000B,00200,0300,HOME OFFICE CAPITAL 68091,A81000B,00300,0300,DIVISION OFFICE A&G 68091,A81000B,00500,0300,INSURANCE 68091,A81000C,00100,0100,B 68091,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68091,A81000C,00200,0100,G 68091,A81000C,00200,0200,LAURIER INC. 68091,A81000C,00200,0400,EXTENDICARE INC. 68091,A81000C,00200,0600,INSURANCE 68091,A81000C,00300,0100,G 68091,A81000C,00300,0200,UNITED REHABILITATION SVS 68091,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68091,A81000C,00300,0600,THERAPY SERVICE 68091,A81000C,00400,0100,G 68091,A81000C,00400,0200,UPC 68091,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68091,A81000C,00400,0600,PHARMACY THERAPY 68091,B100000,00000,0100,00040SQUARE FEET 68091,B100000,00000,0200,00040SQUARE FEET 68091,B100000,00000,0300,00040GROSS SALARIES 68091,B100000,00000,0400,00040ACCUM. COST 68091,B100000,00000,0500,00040SQUARE FEET 68091,B100000,00000,0600,00040PATIENT DAYS 68091,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68091,B100000,00000,0800,00040PATIENT DAYS 68091,B100000,00000,0900,00040PATIENT DAYS 68091,B100000,00000,1000,00040COSTED REQUIS 68091,B100000,00000,1100,00040COSTED REQUIS 68091,B100000,00000,1200,00040GROSS REVENUE 68091,B100000,00000,1300,00040PATIENT DAYS 68091,B100000,00000,1400,00040ASSIGNED TIME 68091,E10A180,00301,0100,01/24/2000 68091,E10A180,00301,0300,06/22/1998 68091,E10A180,00350,0100,06/22/1998 68091,E10A180,00350,0300,06/22/1998 68091,E10A180,00550,0100,02/12/2001 68091,E10A180,00550,0300,02/12/2001 68091,S000000,00100,0200,06/20/2000 68091,S200000,00100,0100,1000 24TH STREET 68091,S200000,00200,0100,ST. PETERSBURG 68091,S200000,00200,0200,FL 68091,S200000,00300,0100,PINELLAS 68091,S200000,00400,0100,GREENBROOK NURSING AND REHAB 68091,S200000,00400,0200,105202 68091,S200000,00400,0300,06/01/1982 68091,S200000,00400,0500,P 68091,S200000,01600,0100,Y 68091,S200000,01900,0100,PRIVATE 68099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68099,A000000,00300,0000,00300EMPLOYEE BENEFITS 68099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68099,A000000,00700,0000,00700HOUSEKEEPING 68099,A000000,00800,0000,00800DIETARY 68099,A000000,00900,0000,00900NURSING ADMINISTRATION 68099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68099,A000000,01100,0000,01100PHARMACY 68099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68099,A000000,01300,0000,01300SOCIAL SERVICE 68099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68099,A000000,01600,0000,01600SKILLED NURSING FACILITY 68099,A000000,01800,0000,01800NURSING FACILITY 68099,A000000,01810,0000,01810ICF/MR 68099,A000000,02100,0000,02100RADIOLOGY 68099,A000000,02200,0000,02200LABORATORY 68099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68099,A000000,02500,0000,02500PHYSICAL THERAPY 68099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68099,A000000,02700,0000,02700SPEECH PATHOLOGY 68099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68099,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68099,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68099,A000000,03052,0000,03302MEDICAL EQUIPMENT 68099,A000000,03550,0000,03550FQHC 68099,A000000,05000,0000,05000CORF 68099,A000000,05010,0000,05010CMHC 68099,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68099,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68099,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68099,A81000A,00100,0100,Y 68099,A81000B,00100,0300,HOME OFFICE A&G 68099,A81000B,00200,0300,HOME OFFICE CAPITAL 68099,A81000B,00300,0300,DIVISION OFFICE A&G 68099,A81000B,00500,0300,INSURANCE 68099,A81000C,00100,0100,B 68099,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68099,A81000C,00200,0100,G 68099,A81000C,00200,0200,LAURIER INC. 68099,A81000C,00200,0400,EXTENDICARE INC. 68099,A81000C,00200,0600,INSURANCE 68099,A81000C,00300,0100,G 68099,A81000C,00300,0200,UNITED REHABILITATION SVS 68099,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68099,A81000C,00300,0600,THERAPY SERVICE 68099,A81000C,00400,0100,G 68099,A81000C,00400,0200,UPC 68099,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68099,A81000C,00400,0600,PHARMACY THERAPY 68099,B100000,00000,0100,00040SQUARE FEET 68099,B100000,00000,0200,00040SQUARE FEET 68099,B100000,00000,0300,00040GROSS SALARIES 68099,B100000,00000,0400,00040ACCUM. COST 68099,B100000,00000,0500,00040SQUARE FEET 68099,B100000,00000,0600,00040PATIENT DAYS 68099,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68099,B100000,00000,0800,00040PATIENT DAYS 68099,B100000,00000,0900,00040PATIENT DAYS 68099,B100000,00000,1000,00040COSTED REQUIS 68099,B100000,00000,1100,00040COSTED REQUIS 68099,B100000,00000,1200,00040GROSS REVENUE 68099,B100000,00000,1300,00040PATIENT DAYS 68099,B100000,00000,1400,00040ASSIGNED TIME 68099,E10A180,00301,0100,06/22/1998 68099,E10A180,00301,0300,06/22/1998 68099,E10A180,00350,0100,06/22/1998 68099,E10A180,00350,0300,06/22/1998 68099,E10A180,00501,0300,02/12/2001 68099,S000000,00100,0200,06/20/2000 68099,S200000,00100,0100,2201 N.E. 170TH STREET 68099,S200000,00200,0100,NORTH MIAMI BEACH 68099,S200000,00200,0200,FL 68099,S200000,00300,0100,DADE 68099,S200000,00400,0100,HERITAGE NURSING AND REHAB. CENTER 68099,S200000,00400,0200,105217 68099,S200000,00400,0300,06/01/1982 68099,S200000,00400,0500,P 68099,S200000,01600,0100,Y 68099,S200000,01900,0100,PRIVATE 68107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68107,A000000,00300,0000,00300EMPLOYEE BENEFITS 68107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68107,A000000,00700,0000,00700HOUSEKEEPING 68107,A000000,00800,0000,00800DIETARY 68107,A000000,00900,0000,00900NURSING ADMINISTRATION 68107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68107,A000000,01100,0000,01100PHARMACY 68107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68107,A000000,01300,0000,01300SOCIAL SERVICE 68107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68107,A000000,01600,0000,01600SKILLED NURSING FACILITY 68107,A000000,01800,0000,01800NURSING FACILITY 68107,A000000,01810,0000,01810ICF/MR 68107,A000000,02100,0000,02100RADIOLOGY 68107,A000000,02200,0000,02200LABORATORY 68107,A000000,02300,0000,02300INTRAVENOUS THERAPY 68107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68107,A000000,02500,0000,02500PHYSICAL THERAPY 68107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68107,A000000,02700,0000,02700SPEECH PATHOLOGY 68107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68107,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68107,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68107,A000000,03052,0000,03302MEDICAL EQUIPMENT 68107,A000000,03550,0000,03550FQHC 68107,A000000,05000,0000,05000CORF 68107,A000000,05010,0000,05010CMHC 68107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68107,A81000A,00100,0100,Y 68107,A81000B,00100,0300,HOME OFFICE A&G 68107,A81000B,00200,0300,HOME OFFICE CAPITAL 68107,A81000B,00300,0300,DIVISION OFFICE A&G 68107,A81000B,00500,0300,INSURANCE 68107,A81000C,00100,0100,B 68107,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68107,A81000C,00200,0100,G 68107,A81000C,00200,0200,LAURIER INC. 68107,A81000C,00200,0400,EXTENDICARE INC. 68107,A81000C,00200,0600,INSURANCE 68107,A81000C,00300,0100,G 68107,A81000C,00300,0200,UNITED REHABILITATION SVS 68107,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68107,A81000C,00300,0600,THERAPY SERVICE 68107,A81000C,00400,0100,G 68107,A81000C,00400,0200,UPC 68107,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68107,A81000C,00400,0600,PHARMACY THERAPY 68107,B100000,00000,0100,00040SQUARE FEET 68107,B100000,00000,0200,00040SQUARE FEET 68107,B100000,00000,0300,00040GROSS SALARIES 68107,B100000,00000,0400,00040ACCUM. COST 68107,B100000,00000,0500,00040SQUARE FEET 68107,B100000,00000,0600,00040PATIENT DAYS 68107,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68107,B100000,00000,0800,00040PATIENT DAYS 68107,B100000,00000,0900,00040PATIENT DAYS 68107,B100000,00000,1000,00040COSTED REQUIS 68107,B100000,00000,1100,00040COSTED REQUIS 68107,B100000,00000,1200,00040GROSS REVENUE 68107,B100000,00000,1300,00040PATIENT DAYS 68107,B100000,00000,1400,00040ASSIGNED TIME 68107,E10A180,00301,0100,01/24/2001 68107,E10A180,00301,0300,06/22/1998 68107,E10A180,00350,0100,06/22/1998 68107,E10A180,00350,0300,06/22/1998 68107,E10A180,00501,0300,02/12/2001 68107,E10A180,00550,0100,02/12/2001 68107,S000000,00100,0200,06/20/2000 68107,S200000,00100,0100,587 BARTON BOULEVARD 68107,S200000,00200,0100,ROCKLEDGE 68107,S200000,00200,0200,FL 68107,S200000,00300,0100,BREVARD 68107,S200000,00400,0100,ROCKLEDGE HEALTH AND REHABILITATION 68107,S200000,00400,0200,105251 68107,S200000,00400,0300,06/01/1982 68107,S200000,00400,0500,P 68107,S200000,01600,0100,Y 68107,S200000,01900,0100,PRIVATE 68130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68130,A000000,00300,0000,00300EMPLOYEE BENEFITS 68130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68130,A000000,00700,0000,00700HOUSEKEEPING 68130,A000000,00800,0000,00800DIETARY 68130,A000000,00900,0000,00900NURSING ADMINISTRATION 68130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68130,A000000,01100,0000,01100PHARMACY 68130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68130,A000000,01300,0000,01300SOCIAL SERVICE 68130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68130,A000000,01600,0000,01600SKILLED NURSING FACILITY 68130,A000000,01800,0000,01800NURSING FACILITY 68130,A000000,01810,0000,01810ICF/MR 68130,A000000,02100,0000,02100RADIOLOGY 68130,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68130,A000000,02500,0000,02500PHYSICAL THERAPY 68130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68130,A000000,02700,0000,02700SPEECH PATHOLOGY 68130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68130,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68130,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68130,A000000,03052,0000,03302MEDICAL EQUIPMENT 68130,A000000,03550,0000,03550FQHC 68130,A000000,05000,0000,05000CORF 68130,A000000,05010,0000,05010CMHC 68130,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68130,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68130,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68130,A81000A,00100,0100,Y 68130,A81000B,00100,0300,HOME OFFICE A&G 68130,A81000B,00200,0300,HOME OFFICE CAPITAL 68130,A81000B,00300,0300,DIVISION OFFICE A&G 68130,A81000B,00500,0300,INSURANCE 68130,A81000C,00100,0100,B 68130,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68130,A81000C,00200,0100,G 68130,A81000C,00200,0200,LAURIER INC. 68130,A81000C,00200,0400,EXTENDICARE INC. 68130,A81000C,00200,0600,INSURANCE 68130,A81000C,00300,0100,G 68130,A81000C,00300,0200,UNITED REHABILITATION SVS 68130,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68130,A81000C,00300,0600,THERAPY SERVICE 68130,A81000C,00400,0100,G 68130,A81000C,00400,0200,UPC 68130,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68130,A81000C,00400,0600,PHARMACY THERAPY 68130,B100000,00000,0100,00040SQUARE FEET 68130,B100000,00000,0200,00040SQUARE FEET 68130,B100000,00000,0300,00040GROSS SALARIES 68130,B100000,00000,0400,00040ACCUM. COST 68130,B100000,00000,0500,00040SQUARE FEET 68130,B100000,00000,0600,00040PATIENT DAYS 68130,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68130,B100000,00000,0800,00040PATIENT DAYS 68130,B100000,00000,0900,00040PATIENT DAYS 68130,B100000,00000,1000,00040COSTED REQUIS 68130,B100000,00000,1100,00040COSTED REQUIS 68130,B100000,00000,1200,00040GROSS REVENUE 68130,B100000,00000,1300,00040PATIENT DAYS 68130,B100000,00000,1400,00040ASSIGNED TIME 68130,E10A180,00301,0100,01/24/2000 68130,E10A180,00301,0300,06/22/1998 68130,E10A180,00350,0100,06/22/1998 68130,E10A180,00350,0300,06/22/1998 68130,E10A180,00501,0300,02/12/2001 68130,E10A180,00550,0100,02/12/2001 68130,S000000,00100,0200,06/15/2000 68130,S200000,00100,0100,1735 NORTH TREASURE DRIVE 68130,S200000,00200,0100,NORTH BAY VILLAGE 68130,S200000,00200,0200,FL 68130,S200000,00300,0100,DADE 68130,S200000,00400,0100,TREASURE ISLE CARE CENTER 68130,S200000,00400,0200,105408 68130,S200000,00400,0300,06/01/1982 68130,S200000,00400,0500,P 68130,S200000,01600,0100,Y 68130,S200000,01900,0100,PRIVATE 68137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68137,A000000,00300,0000,00300EMPLOYEE BENEFITS 68137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68137,A000000,00700,0000,00700HOUSEKEEPING 68137,A000000,00800,0000,00800DIETARY 68137,A000000,00900,0000,00900NURSING ADMINISTRATION 68137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68137,A000000,01100,0000,01100PHARMACY 68137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68137,A000000,01300,0000,01300SOCIAL SERVICE 68137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68137,A000000,01600,0000,01600SKILLED NURSING FACILITY 68137,A000000,01800,0000,01800NURSING FACILITY 68137,A000000,01810,0000,01810ICF/MR 68137,A000000,02100,0000,02100RADIOLOGY 68137,A000000,02200,0000,02200LABORATORY 68137,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68137,A000000,02500,0000,02500PHYSICAL THERAPY 68137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68137,A000000,02700,0000,02700SPEECH PATHOLOGY 68137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68137,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68137,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68137,A000000,03052,0000,03302MEDICAL EQUIPMENT 68137,A000000,03550,0000,03550FQHC 68137,A000000,05000,0000,05000CORF 68137,A000000,05010,0000,05010CMHC 68137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68137,A81000A,00100,0100,Y 68137,A81000B,00100,0300,HOME OFFICE A&G 68137,A81000B,00200,0300,HOME OFFICE CAPITAL 68137,A81000B,00300,0300,DIVISION OFFICE A&G 68137,A81000B,00500,0300,INSURANCE 68137,A81000C,00100,0100,B 68137,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68137,A81000C,00200,0100,G 68137,A81000C,00200,0200,LAURIER INC. 68137,A81000C,00200,0400,EXTENDICARE INC. 68137,A81000C,00200,0600,INSURANCE 68137,A81000C,00300,0100,G 68137,A81000C,00300,0200,UNITED REHABILITATION SVS 68137,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68137,A81000C,00300,0600,THERAPY SERVICE 68137,A81000C,00400,0100,G 68137,A81000C,00400,0200,UPC 68137,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68137,A81000C,00400,0600,PHARMACY THERAPY 68137,B100000,00000,0100,00040SQUARE FEET 68137,B100000,00000,0200,00040SQUARE FEET 68137,B100000,00000,0300,00040GROSS SALARIES 68137,B100000,00000,0400,00040ACCUM. COST 68137,B100000,00000,0500,00040SQUARE FEET 68137,B100000,00000,0600,00040PATIENT DAYS 68137,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68137,B100000,00000,0800,00040PATIENT DAYS 68137,B100000,00000,0900,00040PATIENT DAYS 68137,B100000,00000,1000,00040COSTED REQUIS 68137,B100000,00000,1100,00040COSTED REQUIS 68137,B100000,00000,1200,00040GROSS REVENUE 68137,B100000,00000,1300,00040PATIENT DAYS 68137,B100000,00000,1400,00040ASSIGNED TIME 68137,E10A180,00301,0100,01/24/2000 68137,E10A180,00301,0300,06/22/1998 68137,E10A180,00350,0100,06/22/1998 68137,E10A180,00350,0300,06/22/1998 68137,E10A180,00501,0300,06/09/2000 68137,E10A180,00550,0100,06/09/2000 68137,E10A180,00550,0300,02/12/2001 68137,S000000,00100,0200,06/15/2000 68137,S200000,00100,0100,7723 JASPER AVENUE 68137,S200000,00200,0100,JACKSONVILLE 68137,S200000,00200,0200,FL 68137,S200000,00300,0100,DUVAL 68137,S200000,00400,0100,FIRST COAST HEALTH & REHAB. CENTER 68137,S200000,00400,0200,105429 68137,S200000,00400,0300,01/01/1984 68137,S200000,00400,0500,P 68137,S200000,01600,0100,Y 68137,S200000,01900,0100,PRIVATE 68145,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68145,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68145,A000000,00300,0000,00300EMPLOYEE BENEFITS 68145,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68145,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68145,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68145,A000000,00700,0000,00700HOUSEKEEPING 68145,A000000,00800,0000,00800DIETARY 68145,A000000,00900,0000,00900NURSING ADMINISTRATION 68145,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68145,A000000,01100,0000,01100PHARMACY 68145,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68145,A000000,01300,0000,01300SOCIAL SERVICE 68145,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68145,A000000,01600,0000,01600SKILLED NURSING FACILITY 68145,A000000,01800,0000,01800NURSING FACILITY 68145,A000000,01810,0000,01810ICF/MR 68145,A000000,02100,0000,02100RADIOLOGY 68145,A000000,02200,0000,02200LABORATORY 68145,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68145,A000000,02500,0000,02500PHYSICAL THERAPY 68145,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68145,A000000,02700,0000,02700SPEECH PATHOLOGY 68145,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68145,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68145,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68145,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68145,A000000,03052,0000,03302MEDICAL EQUIPMENT 68145,A000000,03550,0000,03550FQHC 68145,A000000,05000,0000,05000CORF 68145,A000000,05010,0000,05010CMHC 68145,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68145,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68145,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68145,A81000A,00100,0100,Y 68145,A81000B,00100,0300,HOME OFFICE A&G 68145,A81000B,00200,0300,HOME OFFICE CAPITAL 68145,A81000B,00300,0300,DIVISION OFFICE A&G 68145,A81000B,00500,0300,INSURANCE 68145,A81000C,00100,0100,B 68145,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68145,A81000C,00200,0100,G 68145,A81000C,00200,0200,LAURIER INC. 68145,A81000C,00200,0400,EXTENDICARE INC. 68145,A81000C,00200,0600,INSURANCE 68145,A81000C,00300,0100,G 68145,A81000C,00300,0200,UNITED REHABILITATION SVS 68145,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68145,A81000C,00300,0600,THERAPY SERVICE 68145,A81000C,00400,0100,G 68145,A81000C,00400,0200,UPC 68145,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68145,A81000C,00400,0600,PHARMACY THERAPY 68145,B100000,00000,0100,00040SQUARE FEET 68145,B100000,00000,0200,00040SQUARE FEET 68145,B100000,00000,0300,00040GROSS SALARIES 68145,B100000,00000,0400,00040ACCUM. COST 68145,B100000,00000,0500,00040SQUARE FEET 68145,B100000,00000,0600,00040PATIENT DAYS 68145,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68145,B100000,00000,0800,00040PATIENT DAYS 68145,B100000,00000,0900,00040PATIENT DAYS 68145,B100000,00000,1000,00040COSTED REQUIS 68145,B100000,00000,1100,00040COSTED REQUIS 68145,B100000,00000,1200,00040GROSS REVENUE 68145,B100000,00000,1300,00040PATIENT DAYS 68145,B100000,00000,1400,00040ASSIGNED TIME 68145,E10A180,00301,0100,06/22/1998 68145,E10A180,00301,0300,06/22/1998 68145,E10A180,00350,0100,06/22/1998 68145,E10A180,00350,0300,06/22/1998 68145,E10A180,00501,0300,02/12/2001 68145,S000000,00100,0200,06/15/2000 68145,S200000,00100,0100,1404 NW 22ND STREET 68145,S200000,00200,0100,MIAMI 68145,S200000,00200,0200,FL 68145,S200000,00300,0100,DADE 68145,S200000,00400,0100,JACKSON HEIGHTS REHABILITATION CTR. 68145,S200000,00400,0200,105510 68145,S200000,00400,0300,01/01/1985 68145,S200000,00400,0500,P 68145,S200000,01600,0100,Y 68145,S200000,01900,0100,PRIVATE 68162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68162,A000000,00300,0000,00300EMPLOYEE BENEFITS 68162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68162,A000000,00700,0000,00700HOUSEKEEPING 68162,A000000,00800,0000,00800DIETARY 68162,A000000,00900,0000,00900NURSING ADMINISTRATION 68162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68162,A000000,01100,0000,01100PHARMACY 68162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68162,A000000,01300,0000,01300SOCIAL SERVICE 68162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68162,A000000,01600,0000,01600SKILLED NURSING FACILITY 68162,A000000,01800,0000,01800NURSING FACILITY 68162,A000000,01810,0000,01810ICF/MR 68162,A000000,02100,0000,02100RADIOLOGY 68162,A000000,02200,0000,02200LABORATORY 68162,A000000,02300,0000,02300INTRAVENOUS THERAPY 68162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68162,A000000,02500,0000,02500PHYSICAL THERAPY 68162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68162,A000000,02700,0000,02700SPEECH PATHOLOGY 68162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68162,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68162,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68162,A000000,03052,0000,03302MEDICAL EQUIPMENT 68162,A000000,03550,0000,03550FQHC 68162,A000000,05000,0000,05000CORF 68162,A000000,05010,0000,05010CMHC 68162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68162,A81000A,00100,0100,Y 68162,A81000B,00100,0300,HOME OFFICE A&G 68162,A81000B,00200,0300,HOME OFFICE CAPITAL 68162,A81000B,00300,0300,DIVISION OFFICE A&G 68162,A81000B,00500,0300,INSURANCE 68162,A81000C,00100,0100,B 68162,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68162,A81000C,00200,0100,G 68162,A81000C,00200,0200,LAURIER INC. 68162,A81000C,00200,0400,EXTENDICARE INC. 68162,A81000C,00200,0600,INSURANCE 68162,A81000C,00300,0100,G 68162,A81000C,00300,0200,UNITED REHABILITATION SVS 68162,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68162,A81000C,00300,0600,THERAPY SERVICE 68162,A81000C,00400,0100,G 68162,A81000C,00400,0200,UPC 68162,A81000C,00400,0400,EXTENDICARE HEALTH SERV 68162,A81000C,00400,0600,PHARMACY THERAPY 68162,B100000,00000,0100,00040SQUARE FEET 68162,B100000,00000,0200,00040SQUARE FEET 68162,B100000,00000,0300,00040GROSS SALARIES 68162,B100000,00000,0400,00040ACCUM. COST 68162,B100000,00000,0500,00040SQUARE FEET 68162,B100000,00000,0600,00040PATIENT DAYS 68162,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68162,B100000,00000,0800,00040PATIENT DAYS 68162,B100000,00000,0900,00040PATIENT DAYS 68162,B100000,00000,1000,00040COSTED REQUIS 68162,B100000,00000,1100,00040COSTED REQUIS 68162,B100000,00000,1200,00040GROSS REVENUE 68162,B100000,00000,1300,00040PATIENT DAYS 68162,B100000,00000,1400,00040ASSIGNED TIME 68162,E10A180,00301,0100,01/24/2000 68162,E10A180,00301,0300,06/22/1998 68162,E10A180,00350,0100,06/22/1998 68162,E10A180,00350,0300,06/22/1998 68162,E10A180,00501,0100,02/12/2001 68162,E10A180,00501,0300,02/12/2001 68162,S000000,00100,0200,06/15/2000 68162,S200000,00100,0100,3456 21ST AVE. SOUTH 68162,S200000,00200,0100,ST. PETERSBURG 68162,S200000,00200,0200,FL 68162,S200000,00300,0100,PINELLAS 68162,S200000,00400,0100,ALPINE HEALTH AND REHABILITATION 68162,S200000,00400,0200,105713 68162,S200000,00400,0300,03/01/1991 68162,S200000,00400,0500,P 68162,S200000,01600,0100,Y 68162,S200000,01900,0100,PRIVATE 68168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68168,A000000,00300,0000,00300EMPLOYEE BENEFITS 68168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68168,A000000,00700,0000,00700HOUSEKEEPING 68168,A000000,00800,0000,00800DIETARY 68168,A000000,00900,0000,00900NURSING ADMINISTRATION 68168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68168,A000000,01100,0000,01100PHARMACY 68168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68168,A000000,01300,0000,01300SOCIAL SERVICE 68168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68168,A000000,01600,0000,01600SKILLED NURSING FACILITY 68168,A000000,01800,0000,01800NURSING FACILITY 68168,A000000,01810,0000,01810ICF/MR 68168,A000000,02100,0000,02100RADIOLOGY 68168,A000000,02200,0000,02200LABORATORY 68168,A000000,02500,0000,02500PHYSICAL THERAPY 68168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68168,A000000,02700,0000,02700SPEECH PATHOLOGY 68168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68168,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68168,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68168,A000000,03052,0000,03302MEDICAL EQUIPMENT 68168,A000000,03550,0000,03550FQHC 68168,A000000,05000,0000,05000CORF 68168,A000000,05010,0000,05010CMHC 68168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68168,A81000A,00100,0100,Y 68168,A81000B,00100,0300,HOME OFFICE A&G 68168,A81000B,00200,0300,HOME OFFICE CAPITAL 68168,A81000B,00300,0300,DIVISION OFFICE A&G 68168,A81000B,00500,0300,INSURANCE 68168,A81000C,00100,0100,B 68168,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68168,A81000C,00200,0100,G 68168,A81000C,00200,0200,LAURIER INC. 68168,A81000C,00200,0400,EXTENDICARE INC. 68168,A81000C,00200,0600,INSURANCE 68168,A81000C,00300,0100,G 68168,A81000C,00300,0200,UNITED REHABILITATION SVS 68168,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68168,A81000C,00300,0600,THERAPY SERVICE 68168,A81000C,00400,0100,G 68168,A81000C,00400,0200,UPC 68168,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68168,A81000C,00400,0600,PHARMACY THERAPY 68168,B100000,00000,0100,00040SQUARE FEET 68168,B100000,00000,0200,00040SQUARE FEET 68168,B100000,00000,0300,00040GROSS SALARIES 68168,B100000,00000,0400,00040ACCUM. COST 68168,B100000,00000,0500,00040SQUARE FEET 68168,B100000,00000,0600,00040PATIENT DAYS 68168,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68168,B100000,00000,0800,00040PATIENT DAYS 68168,B100000,00000,0900,00040PATIENT DAYS 68168,B100000,00000,1000,00040COSTED REQUIS 68168,B100000,00000,1100,00040COSTED REQUIS 68168,B100000,00000,1200,00040GROSS REVENUE 68168,B100000,00000,1300,00040PATIENT DAYS 68168,B100000,00000,1400,00040ASSIGNED TIME 68168,E10A180,00301,0100,01/24/2000 68168,E10A180,00301,0300,06/22/1998 68168,E10A180,00350,0100,06/22/1998 68168,E10A180,00350,0300,06/22/1998 68168,E10A180,00501,0100,02/12/2001 68168,E10A180,00501,0300,02/12/2001 68168,S000000,00100,0200,06/15/2000 68168,S200000,00100,0100,321 13TH AVENUE NORTH 68168,S200000,00200,0100,ST. PETERSBURG 68168,S200000,00200,0200,FL 68168,S200000,00300,0100,PINELLAS 68168,S200000,00400,0100,CONCORDIA MANOR 68168,S200000,00400,0200,105714 68168,S200000,00400,0300,03/01/1991 68168,S200000,00400,0500,P 68168,S200000,01500,0100,Y 68168,S200000,01900,0100,PRIVATE 68171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68171,A000000,00300,0000,00300EMPLOYEE BENEFITS 68171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68171,A000000,00700,0000,00700HOUSEKEEPING 68171,A000000,00800,0000,00800DIETARY 68171,A000000,00900,0000,00900NURSING ADMINISTRATION 68171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68171,A000000,01100,0000,01100PHARMACY 68171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68171,A000000,01300,0000,01300SOCIAL SERVICE 68171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68171,A000000,01600,0000,01600SKILLED NURSING FACILITY 68171,A000000,01800,0000,01800NURSING FACILITY 68171,A000000,01810,0000,01810ICF/MR 68171,A000000,02200,0000,02200LABORATORY 68171,A000000,02300,0000,02300INTRAVENOUS THERAPY 68171,A000000,02500,0000,02500PHYSICAL THERAPY 68171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68171,A000000,02700,0000,02700SPEECH PATHOLOGY 68171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68171,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68171,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68171,A000000,03052,0000,03302MEDICAL EQUIPMENT 68171,A000000,03550,0000,03550FQHC 68171,A000000,05000,0000,05000CORF 68171,A000000,05010,0000,05010CMHC 68171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68171,A81000A,00100,0100,Y 68171,A81000B,00100,0300,HOME OFFICE A&G 68171,A81000B,00200,0300,HOME OFFICE CAPITAL 68171,A81000B,00300,0300,DIVISION OFFICE A&G 68171,A81000B,00500,0300,INSURANCE 68171,A81000C,00100,0100,B 68171,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68171,A81000C,00200,0100,G 68171,A81000C,00200,0200,LAURIER INC. 68171,A81000C,00200,0400,EXTENDICARE INC. 68171,A81000C,00200,0600,INSURANCE 68171,A81000C,00300,0100,G 68171,A81000C,00300,0200,UNITED REHABILITATION SVS 68171,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68171,A81000C,00300,0600,THERAPY SERVICE 68171,B100000,00000,0100,00040SQUARE FEET 68171,B100000,00000,0200,00040SQUARE FEET 68171,B100000,00000,0300,00040GROSS SALARIES 68171,B100000,00000,0400,00040ACCUM. COST 68171,B100000,00000,0500,00040SQUARE FEET 68171,B100000,00000,0600,00040PATIENT DAYS 68171,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68171,B100000,00000,0800,00040PATIENT DAYS 68171,B100000,00000,0900,00040PATIENT DAYS 68171,B100000,00000,1000,00040COSTED REQUIS 68171,B100000,00000,1100,00040COSTED REQUIS 68171,B100000,00000,1200,00040GROSS REVENUE 68171,B100000,00000,1300,00040PATIENT DAYS 68171,B100000,00000,1400,00040ASSIGNED TIME 68171,E10A180,00301,0100,06/22/1998 68171,E10A180,00301,0300,06/22/1998 68171,E10A180,00350,0100,06/22/1998 68171,E10A180,00350,0300,06/22/1998 68171,S000000,00100,0200,06/15/2000 68171,S200000,00100,0100,620 GRIFFIN AVENUE 68171,S200000,00200,0100,LADY LAKE 68171,S200000,00200,0200,LA 68171,S200000,00300,0100,LAKE 68171,S200000,00400,0100,LADY LAKE 68171,S200000,00400,0200,106003 68171,S200000,00400,0300,03/30/1999 68171,S200000,00400,0500,P 68171,S200000,01600,0100,Y 68171,S200000,01900,0100,PRIVATE 68173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68173,A000000,00300,0000,00300EMPLOYEE BENEFITS 68173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68173,A000000,00700,0000,00700HOUSEKEEPING 68173,A000000,00800,0000,00800DIETARY 68173,A000000,00900,0000,00900NURSING ADMINISTRATION 68173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68173,A000000,01100,0000,01100PHARMACY 68173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68173,A000000,01300,0000,01300SOCIAL SERVICE 68173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68173,A000000,01600,0000,01600SKILLED NURSING FACILITY 68173,A000000,01800,0000,01800NURSING FACILITY 68173,A000000,01810,0000,01810ICF/MR 68173,A000000,02100,0000,02100RADIOLOGY 68173,A000000,02200,0000,02200LABORATORY 68173,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68173,A000000,02500,0000,02500PHYSICAL THERAPY 68173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68173,A000000,02700,0000,02700SPEECH PATHOLOGY 68173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68173,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68173,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68173,A000000,03052,0000,03302MEDICAL EQUIPMENT 68173,A000000,03550,0000,03550FQHC 68173,A000000,05000,0000,05000CORF 68173,A000000,05010,0000,05010CMHC 68173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68173,A81000A,00100,0100,Y 68173,A81000B,00100,0300,HOME OFFICE A&G 68173,A81000B,00200,0300,HOME OFFICE CAPITAL 68173,A81000B,00300,0300,DIVISION OFFICE A&G 68173,A81000B,00500,0300,INSURANCE 68173,A81000C,00100,0100,B 68173,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68173,A81000C,00200,0100,G 68173,A81000C,00200,0200,LAURIER INC. 68173,A81000C,00200,0400,EXTENDICARE INC. 68173,A81000C,00200,0600,INSURANCE 68173,A81000C,00300,0100,G 68173,A81000C,00300,0200,UNITED REHABILITATION SVS 68173,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68173,A81000C,00300,0600,THERAPY SERVICE 68173,B100000,00000,0100,00040PATIENT DAYS 68173,B100000,00000,0200,00040PATIENT DAYS 68173,B100000,00000,0300,00040GROSS SALARIES 68173,B100000,00000,0400,00040ACCUM. COST 68173,B100000,00000,0500,00040PATIENT DAYS 68173,B100000,00000,0600,00040PATIENT DAYS 68173,B100000,00000,0700,00040PATIENT DAYS 68173,B100000,00000,0800,00040PATIENT DAYS 68173,B100000,00000,0900,00040PATIENT DAYS 68173,B100000,00000,1000,00040PATIENT DAYS 68173,B100000,00000,1100,00040COSTED REQUIS 68173,B100000,00000,1200,00040GROSS REVENUE 68173,B100000,00000,1300,00040PATIENT DAYS 68173,B100000,00000,1400,00040ASSIGNED TIME 68173,E10A180,00301,0100,06/22/1998 68173,E10A180,00301,0300,06/22/1998 68173,E10A180,00350,0100,06/22/1998 68173,E10A180,00350,0300,06/22/1998 68173,E10A180,00550,0300,06/09/2000 68173,S000000,00100,0200,06/15/2000 68173,S200000,00100,0100,2511 JOHN YOUNG PARKWAY 68173,S200000,00200,0100,KISSIMMEE 68173,S200000,00200,0200,FL 68173,S200000,00300,0100,OSCEOLA 68173,S200000,00400,0100,ARBORS AT KISSIMMEE 68173,S200000,00400,0200,106011 68173,S200000,00400,0300,08/25/1999 68173,S200000,00400,0500,P 68173,S200000,01600,0100,Y 68173,S200000,01900,0100,PRIVATE 68180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68180,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68180,A000000,00300,0000,00300EMPLOYEE BENEFITS 68180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68180,A000000,00700,0000,00700HOUSEKEEPING 68180,A000000,00800,0000,00800DIETARY 68180,A000000,00900,0000,00900NURSING ADMINISTRATION 68180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68180,A000000,01100,0000,01100PHARMACY 68180,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68180,A000000,01300,0000,01300SOCIAL SERVICE 68180,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68180,A000000,01600,0000,01600SKILLED NURSING FACILITY 68180,A000000,01800,0000,01800NURSING FACILITY 68180,A000000,01810,0000,01810ICF/MR 68180,A000000,02100,0000,02100RADIOLOGY 68180,A000000,02200,0000,02200LABORATORY 68180,A000000,02300,0000,02300INTRAVENOUS THERAPY 68180,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68180,A000000,02500,0000,02500PHYSICAL THERAPY 68180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68180,A000000,02700,0000,02700SPEECH PATHOLOGY 68180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68180,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68180,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68180,A000000,03052,0000,03302MEDICAL EQUIPMENT 68180,A000000,03550,0000,03550FQHC 68180,A000000,05000,0000,05000CORF 68180,A000000,05010,0000,05010CMHC 68180,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68180,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68180,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68180,A81000A,00100,0100,Y 68180,A81000B,00100,0300,HOME OFFICE A&G 68180,A81000B,00200,0300,HOME OFFICE CAPITAL 68180,A81000B,00300,0300,DIVISION OFFICE A&G 68180,A81000B,00500,0300,INSURANCE 68180,A81000C,00100,0100,B 68180,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68180,A81000C,00200,0100,G 68180,A81000C,00200,0200,LAURIER INC. 68180,A81000C,00200,0400,EXTENDICARE INC. 68180,A81000C,00200,0600,INSURANCE 68180,A81000C,00300,0100,G 68180,A81000C,00300,0200,UNITED REHABILITATION SVS 68180,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68180,A81000C,00300,0600,THERAPY SERVICE 68180,A81000C,00400,0100,G 68180,A81000C,00400,0200,UPC 68180,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68180,A81000C,00400,0600,PHARMACY THERAPY 68180,B100000,00000,0100,00040SQUARE FEET 68180,B100000,00000,0200,00040SQUARE FEET 68180,B100000,00000,0300,00040GROSS SALARIES 68180,B100000,00000,0400,00040ACCUM. COST 68180,B100000,00000,0500,00040SQUARE FEET 68180,B100000,00000,0600,00040PATIENT DAYS 68180,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68180,B100000,00000,0800,00040PATIENT DAYS 68180,B100000,00000,0900,00040PATIENT DAYS 68180,B100000,00000,1000,00040COSTED REQUIS 68180,B100000,00000,1100,00040COSTED REQUIS 68180,B100000,00000,1200,00040GROSS REVENUE 68180,B100000,00000,1300,00040PATIENT DAYS 68180,B100000,00000,1400,00040ASSIGNED TIME 68180,E10A180,00301,0100,01/24/2000 68180,E10A180,00301,0300,06/22/1998 68180,E10A180,00350,0100,06/22/1998 68180,E10A180,00350,0300,06/22/1998 68180,E10A180,00501,0300,06/09/2000 68180,E10A180,00550,0100,06/09/2000 68180,S000000,00100,0200,06/15/2000 68180,S200000,00100,0100,210 WEST LACROSSE 68180,S200000,00200,0100,COEUR DALENE 68180,S200000,00200,0200,ID 68180,S200000,00300,0100,KOOTENAI 68180,S200000,00400,0100,LA CROSSE HEALTH & REHABILITATION 68180,S200000,00400,0200,135042 68180,S200000,00400,0300,12/25/1986 68180,S200000,00400,0500,P 68180,S200000,01600,0100,Y 68180,S200000,01900,0100,PRIVATE 68188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68188,A000000,00300,0000,00300EMPLOYEE BENEFITS 68188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68188,A000000,00700,0000,00700HOUSEKEEPING 68188,A000000,00800,0000,00800DIETARY 68188,A000000,00900,0000,00900NURSING ADMINISTRATION 68188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68188,A000000,01100,0000,01100PHARMACY 68188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68188,A000000,01300,0000,01300SOCIAL SERVICE 68188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68188,A000000,01600,0000,01600SKILLED NURSING FACILITY 68188,A000000,01800,0000,01800NURSING FACILITY 68188,A000000,01810,0000,01810ICF/MR 68188,A000000,02100,0000,02100RADIOLOGY 68188,A000000,02200,0000,02200LABORATORY 68188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68188,A000000,02500,0000,02500PHYSICAL THERAPY 68188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68188,A000000,02700,0000,02700SPEECH PATHOLOGY 68188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68188,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68188,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68188,A000000,03052,0000,03302MEDICAL EQUIPMENT 68188,A000000,03550,0000,03550FQHC 68188,A000000,05000,0000,05000CORF 68188,A000000,05010,0000,05010CMHC 68188,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68188,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68188,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68188,A81000A,00100,0100,Y 68188,A81000B,00100,0300,HOME OFFICE A&G 68188,A81000B,00200,0300,HOME OFFICE CAPITAL 68188,A81000B,00300,0300,DIVISION OFFICE A&G 68188,A81000B,00500,0300,INSURANCE 68188,A81000C,00100,0100,B 68188,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68188,A81000C,00200,0100,G 68188,A81000C,00200,0200,LAURIER INC. 68188,A81000C,00200,0400,EXTENDICARE INC. 68188,A81000C,00200,0600,INSURANCE 68188,A81000C,00300,0100,G 68188,A81000C,00300,0200,UNITED REHABILITATION SVS 68188,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68188,A81000C,00300,0600,THERAPY SERVICE 68188,A81000C,00400,0100,G 68188,A81000C,00400,0200,UPC 68188,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68188,A81000C,00400,0600,PHARMACY THERAPY 68188,B100000,00000,0100,00040SQUARE FEET 68188,B100000,00000,0200,00040SQUARE FEET 68188,B100000,00000,0300,00040GROSS SALARIES 68188,B100000,00000,0400,00040ACCUM. COST 68188,B100000,00000,0500,00040SQUARE FEET 68188,B100000,00000,0600,00040PATIENT DAYS 68188,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68188,B100000,00000,0800,00040PATIENT DAYS 68188,B100000,00000,0900,00040PATIENT DAYS 68188,B100000,00000,1000,00040COSTED REQUIS 68188,B100000,00000,1100,00040COSTED REQUIS 68188,B100000,00000,1200,00040GROSS REVENUE 68188,B100000,00000,1300,00040PATIENT DAYS 68188,B100000,00000,1400,00040ASSIGNED TIME 68188,E10A180,00301,0100,01/24/2000 68188,E10A180,00301,0300,06/22/1998 68188,E10A180,00350,0100,06/22/1998 68188,E10A180,00350,0300,06/22/1998 68188,E10A180,00501,0300,06/09/2000 68188,E10A180,00550,0100,06/09/2000 68188,S000000,00100,0200,06/15/2000 68188,S200000,00100,0100,2200 IRONWOOD PLACE 68188,S200000,00200,0100,COEUR D ALENE 68188,S200000,00200,0200,ID 68188,S200000,00300,0100,KOOTENAI 68188,S200000,00400,0100,COEUR D ALENE CONVALESCENT CENTER 68188,S200000,00400,0200,135053 68188,S200000,00400,0300,01/01/1985 68188,S200000,00400,0500,P 68188,S200000,01600,0100,Y 68188,S200000,01900,0100,PRIVATE 68196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68196,A000000,00300,0000,00300EMPLOYEE BENEFITS 68196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68196,A000000,00700,0000,00700HOUSEKEEPING 68196,A000000,00800,0000,00800DIETARY 68196,A000000,00900,0000,00900NURSING ADMINISTRATION 68196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68196,A000000,01100,0000,01100PHARMACY 68196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68196,A000000,01300,0000,01300SOCIAL SERVICE 68196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68196,A000000,01600,0000,01600SKILLED NURSING FACILITY 68196,A000000,01800,0000,01800NURSING FACILITY 68196,A000000,01810,0000,01810ICF/MR 68196,A000000,02100,0000,02100RADIOLOGY 68196,A000000,02200,0000,02200LABORATORY 68196,A000000,02300,0000,02300INTRAVENOUS THERAPY 68196,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68196,A000000,02500,0000,02500PHYSICAL THERAPY 68196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68196,A000000,02700,0000,02700SPEECH PATHOLOGY 68196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68196,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68196,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68196,A000000,03052,0000,03302MEDICAL EQUIPMENT 68196,A000000,03550,0000,03550FQHC 68196,A000000,05000,0000,05000CORF 68196,A000000,05010,0000,05010CMHC 68196,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68196,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68196,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68196,A81000A,00100,0100,Y 68196,A81000B,00100,0300,HOME OFFICE A&G 68196,A81000B,00200,0300,HOME OFFICE CAPITAL 68196,A81000B,00300,0300,DIVISION OFFICE A&G 68196,A81000B,00500,0300,INSURANCE 68196,A81000C,00100,0100,B 68196,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68196,A81000C,00200,0100,G 68196,A81000C,00200,0200,LAURIER INC. 68196,A81000C,00200,0400,EXTENDICARE INC. 68196,A81000C,00200,0600,INSURANCE 68196,A81000C,00300,0100,G 68196,A81000C,00300,0200,UNITED REHABILITATION SVS 68196,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68196,A81000C,00300,0600,THERAPY SERVICE 68196,A81000C,00400,0100,G 68196,A81000C,00400,0200,UNITED PROFESSIONAL COMP. 68196,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68196,A81000C,00400,0600,MED SUPP RX 68196,B100000,00000,0100,00040SQUARE FEET 68196,B100000,00000,0200,00040SQUARE FEET 68196,B100000,00000,0300,00040GROSS SALARIES 68196,B100000,00000,0400,00040ACCUM. COST 68196,B100000,00000,0500,00040SQUARE FEET 68196,B100000,00000,0600,00040PATIENT DAYS 68196,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68196,B100000,00000,0800,00040PATIENT DAYS 68196,B100000,00000,0900,00040PATIENT DAYS 68196,B100000,00000,1000,00040COSTED REQUIS 68196,B100000,00000,1100,00040COSTED REQUIS 68196,B100000,00000,1200,00040GROSS REVENUE 68196,B100000,00000,1300,00040PATIENT DAYS 68196,B100000,00000,1400,00040ASSIGNED TIME 68196,E10A180,00301,0100,06/22/1998 68196,E10A180,00301,0300,06/22/1998 68196,E10A180,00350,0100,06/22/1998 68196,E10A180,00350,0300,06/22/1998 68196,E10A180,00501,0300,02/12/2001 68196,S000000,00100,0200,06/15/2000 68196,S200000,00100,0100,2200 WHITERIVER BLVD 68196,S200000,00200,0100,MUNCIE 68196,S200000,00200,0200,IN 68196,S200000,00300,0100,DELAWARE 68196,S200000,00400,0100,PARKVIEW NURSING CENTER 68196,S200000,00400,0200,155038 68196,S200000,00400,0300,08/01/1985 68196,S200000,00400,0500,P 68196,S200000,01600,0100,Y 68196,S200000,01900,0100,PRIVATE 68204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68204,A000000,00300,0000,00300EMPLOYEE BENEFITS 68204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68204,A000000,00700,0000,00700HOUSEKEEPING 68204,A000000,00800,0000,00800DIETARY 68204,A000000,00900,0000,00900NURSING ADMINISTRATION 68204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68204,A000000,01100,0000,01100PHARMACY 68204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68204,A000000,01300,0000,01300SOCIAL SERVICE 68204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68204,A000000,01600,0000,01600SKILLED NURSING FACILITY 68204,A000000,01800,0000,01800NURSING FACILITY 68204,A000000,01810,0000,01810ICF/MR 68204,A000000,02100,0000,02100RADIOLOGY 68204,A000000,02200,0000,02200LABORATORY 68204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68204,A000000,02500,0000,02500PHYSICAL THERAPY 68204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68204,A000000,02700,0000,02700SPEECH PATHOLOGY 68204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68204,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68204,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68204,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68204,A000000,03052,0000,03302MEDICAL EQUIPMENT 68204,A000000,03550,0000,03550FQHC 68204,A000000,05000,0000,05000CORF 68204,A000000,05010,0000,05010CMHC 68204,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68204,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68204,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68204,A81000A,00100,0100,Y 68204,A81000B,00100,0300,HOME OFFICE A&G 68204,A81000B,00200,0300,HOME OFFICE CAPITAL 68204,A81000B,00300,0300,DIVISION OFFICE A&G 68204,A81000B,00500,0300,INSURANCE 68204,A81000C,00100,0100,B 68204,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68204,A81000C,00200,0100,G 68204,A81000C,00200,0200,LAURIER INC. 68204,A81000C,00200,0400,EXTENDICARE INC. 68204,A81000C,00200,0600,INSURANCE 68204,A81000C,00300,0100,G 68204,A81000C,00300,0200,UNITED REHABILITATION SVS 68204,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68204,A81000C,00300,0600,THERAPY SERVICE 68204,A81000C,00400,0100,G 68204,A81000C,00400,0200,UNITED PROF. COMPANIES 68204,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68204,A81000C,00400,0600,MED SUPP RX 68204,B100000,00000,0100,00040SQUARE FEET 68204,B100000,00000,0200,00040SQUARE FEET 68204,B100000,00000,0300,00040GROSS SALARIES 68204,B100000,00000,0400,00040ACCUM. COST 68204,B100000,00000,0500,00040SQUARE FEET 68204,B100000,00000,0600,00040PATIENT DAYS 68204,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68204,B100000,00000,0800,00040PATIENT DAYS 68204,B100000,00000,0900,00040PATIENT DAYS 68204,B100000,00000,1000,00040COSTED REQUIS 68204,B100000,00000,1100,00040COSTED REQUIS 68204,B100000,00000,1200,00040GROSS REVENUE 68204,B100000,00000,1300,00040PATIENT DAYS 68204,B100000,00000,1400,00040ASSIGNED TIME 68204,E10A180,00301,0100,06/22/1998 68204,E10A180,00301,0300,06/22/1998 68204,E10A180,00350,0100,06/22/1998 68204,E10A180,00350,0300,06/22/1998 68204,E10A180,00501,0100,02/12/2001 68204,E10A180,00550,0300,02/12/2001 68204,S000000,00100,0200,06/15/2000 68204,S200000,00100,0100,1950 RIDGEDALE ROAD 68204,S200000,00200,0100,SOUTH BEND 68204,S200000,00200,0200,IN 68204,S200000,00300,0100,ST JOSEPH 68204,S200000,00400,0100,IRONWOOD HEALTH 68204,S200000,00400,0200,155103 68204,S200000,00400,0300,10/31/1969 68204,S200000,00400,0500,P 68204,S200000,01600,0100,Y 68204,S200000,01900,0100,PRIVATE 68212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68212,A000000,00300,0000,00300EMPLOYEE BENEFITS 68212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68212,A000000,00700,0000,00700HOUSEKEEPING 68212,A000000,00800,0000,00800DIETARY 68212,A000000,00900,0000,00900NURSING ADMINISTRATION 68212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68212,A000000,01100,0000,01100PHARMACY 68212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68212,A000000,01300,0000,01300SOCIAL SERVICE 68212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68212,A000000,01600,0000,01600SKILLED NURSING FACILITY 68212,A000000,01800,0000,01800NURSING FACILITY 68212,A000000,01810,0000,01810ICF/MR 68212,A000000,02100,0000,02100RADIOLOGY 68212,A000000,02200,0000,02200LABORATORY 68212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68212,A000000,02500,0000,02500PHYSICAL THERAPY 68212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68212,A000000,02700,0000,02700SPEECH PATHOLOGY 68212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68212,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68212,A000000,03052,0000,03302MEDICAL EQUIPMENT 68212,A000000,03550,0000,03550FQHC 68212,A000000,05000,0000,05000CORF 68212,A000000,05010,0000,05010CMHC 68212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68212,A81000A,00100,0100,Y 68212,A81000B,00100,0300,HOME OFFICE A&G 68212,A81000B,00200,0300,HOME OFFICE CAPITAL 68212,A81000B,00300,0300,DIVISION OFFICE A&G 68212,A81000B,00500,0300,INSURANCE 68212,A81000C,00100,0100,B 68212,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68212,A81000C,00200,0100,G 68212,A81000C,00200,0200,LAURIER INC. 68212,A81000C,00200,0400,EXTENDICARE INC. 68212,A81000C,00200,0600,INSURANCE 68212,A81000C,00300,0100,G 68212,A81000C,00300,0200,UNITED REHABILITATION SVS 68212,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68212,A81000C,00300,0600,THERAPY SERVICE 68212,A81000C,00400,0100,G 68212,A81000C,00400,0200,UNITED PROFESSIONAL CO. 68212,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68212,A81000C,00400,0600,MED SUPP RX 68212,B100000,00000,0100,00040SQUARE FEET 68212,B100000,00000,0200,00040SQUARE FEET 68212,B100000,00000,0300,00040GROSS SALARIES 68212,B100000,00000,0400,00040ACCUM. COST 68212,B100000,00000,0500,00040SQUARE FEET 68212,B100000,00000,0600,00040PATIENT DAYS 68212,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68212,B100000,00000,0800,00040PATIENT DAYS 68212,B100000,00000,0900,00040PATIENT DAYS 68212,B100000,00000,1000,00040COSTED REQUIS 68212,B100000,00000,1100,00040COSTED REQUIS 68212,B100000,00000,1200,00040GROSS REVENUE 68212,B100000,00000,1300,00040PATIENT DAYS 68212,B100000,00000,1400,00040ASSIGNED TIME 68212,E10A180,00301,0100,06/22/1998 68212,E10A180,00301,0300,06/22/1998 68212,E10A180,00350,0100,06/22/1998 68212,E10A180,00350,0300,06/22/1998 68212,E10A180,00501,0300,02/12/2001 68212,S000000,00100,0200,06/15/2000 68212,S200000,00100,0100,457 S. STATE ROAD 145 68212,S200000,00200,0100,FRENCH LICK 68212,S200000,00200,0200,IN 68212,S200000,00300,0100,ORANGE 68212,S200000,00400,0100,MEDCO HEALTH & REHAB 68212,S200000,00400,0200,155126 68212,S200000,00400,0300,08/01/1985 68212,S200000,00400,0500,P 68212,S200000,01600,0100,Y 68212,S200000,01900,0100,PRIVATE 68220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68220,A000000,00300,0000,00300EMPLOYEE BENEFITS 68220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68220,A000000,00700,0000,00700HOUSEKEEPING 68220,A000000,00800,0000,00800DIETARY 68220,A000000,00900,0000,00900NURSING ADMINISTRATION 68220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68220,A000000,01100,0000,01100PHARMACY 68220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68220,A000000,01300,0000,01300SOCIAL SERVICE 68220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68220,A000000,01600,0000,01600SKILLED NURSING FACILITY 68220,A000000,01800,0000,01800NURSING FACILITY 68220,A000000,01810,0000,01810ICF/MR 68220,A000000,02100,0000,02100RADIOLOGY 68220,A000000,02200,0000,02200LABORATORY 68220,A000000,02300,0000,02300INTRAVENOUS THERAPY 68220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68220,A000000,02500,0000,02500PHYSICAL THERAPY 68220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68220,A000000,02700,0000,02700SPEECH PATHOLOGY 68220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68220,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68220,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68220,A000000,03052,0000,03302MEDICAL EQUIPMENT 68220,A000000,03550,0000,03550FQHC 68220,A000000,05000,0000,05000CORF 68220,A000000,05010,0000,05010CMHC 68220,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68220,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68220,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68220,A000000,06150,0000,06300ALF DIETARY SERVICES 68220,A81000A,00100,0100,Y 68220,A81000B,00100,0300,HOME OFFICE A&G 68220,A81000B,00200,0300,HOME OFFICE CAPITAL 68220,A81000B,00300,0300,DIVISION OFFICE A&G 68220,A81000B,00500,0300,INSURANCE 68220,A81000C,00100,0100,B 68220,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68220,A81000C,00200,0100,G 68220,A81000C,00200,0200,LAURIER INC. 68220,A81000C,00200,0400,EXTENDICARE INC. 68220,A81000C,00200,0600,INSURANCE 68220,A81000C,00300,0100,G 68220,A81000C,00300,0200,UNITED REHABILITATION SVS 68220,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68220,A81000C,00300,0600,THERAPY SERVICE 68220,A81000C,00400,0100,G 68220,A81000C,00400,0200,UNITED PROFESS. COMPANIES 68220,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68220,A81000C,00400,0600,MED SUPP RX 68220,B100000,00000,0100,00000SQUARE FEET 68220,B100000,00000,0200,00000SQUARE FEET 68220,B100000,00000,0300,00000GROSS SALARIES 68220,B100000,00000,0400,00000ACCUM. COST 68220,B100000,00000,0500,00000SQUARE FEET 68220,B100000,00000,0600,00000PATIENT DAYS 68220,B100000,00000,0700,00000ALTERNATE SQUARE FEE 68220,B100000,00000,0800,00000PATIENT DAYS 68220,B100000,00000,0900,00000PATIENT DAYS 68220,B100000,00000,1000,00000COSTED REQUIS 68220,B100000,00000,1100,00000COSTED REQUIS 68220,B100000,00000,1200,00000GROSS REVENUE 68220,B100000,00000,1300,00000PATIENT DAYS 68220,B100000,00000,1400,00000ASSIGNED TIME 68220,E10A180,00301,0100,01/24/2000 68220,E10A180,00301,0300,06/22/1998 68220,E10A180,00350,0100,06/22/1998 68220,E10A180,00350,0300,06/22/1998 68220,E10A180,00550,0100,06/09/2000 68220,S000000,00100,0200,06/15/2000 68220,S200000,00100,0100,255 MEADOW DRIVE 68220,S200000,00200,0100,DANVILLE 68220,S200000,00200,0200,IN 68220,S200000,00300,0100,HENDRICKS 68220,S200000,00400,0100,DANVILLE REHABILITATION 68220,S200000,00400,0200,155132 68220,S200000,00400,0300,10/01/1989 68220,S200000,00400,0500,P 68220,S200000,01600,0100,Y 68220,S200000,01900,0100,PRIVATE 68228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68228,A000000,00300,0000,00300EMPLOYEE BENEFITS 68228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68228,A000000,00700,0000,00700HOUSEKEEPING 68228,A000000,00800,0000,00800DIETARY 68228,A000000,00900,0000,00900NURSING ADMINISTRATION 68228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68228,A000000,01100,0000,01100PHARMACY 68228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68228,A000000,01300,0000,01300SOCIAL SERVICE 68228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68228,A000000,01600,0000,01600SKILLED NURSING FACILITY 68228,A000000,01800,0000,01800NURSING FACILITY 68228,A000000,01810,0000,01810ICF/MR 68228,A000000,02100,0000,02100RADIOLOGY 68228,A000000,02200,0000,02200LABORATORY 68228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68228,A000000,02500,0000,02500PHYSICAL THERAPY 68228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68228,A000000,02700,0000,02700SPEECH PATHOLOGY 68228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68228,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68228,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68228,A000000,03052,0000,03302MEDICAL EQUIPMENT 68228,A000000,03550,0000,03550FQHC 68228,A000000,05000,0000,05000CORF 68228,A000000,05010,0000,05010CMHC 68228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68228,A81000A,00100,0100,Y 68228,A81000B,00100,0300,HOME OFFICE A&G 68228,A81000B,00200,0300,HOME OFFICE CAPITAL 68228,A81000B,00300,0300,DIVISION OFFICE A&G 68228,A81000B,00500,0300,INSURANCE 68228,A81000C,00100,0100,B 68228,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68228,A81000C,00200,0100,G 68228,A81000C,00200,0200,LAURIER INC. 68228,A81000C,00200,0400,EXTENDICARE INC. 68228,A81000C,00200,0600,INSURANCE 68228,A81000C,00300,0100,G 68228,A81000C,00300,0200,UNITED REHABILITATION SVS 68228,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68228,A81000C,00300,0600,THERAPY SERVICE 68228,A81000C,00400,0100,G 68228,A81000C,00400,0200,UNITED PROF COMPANIES 68228,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68228,A81000C,00400,0600,MED SUPP RX 68228,B100000,00000,0100,00040SQUARE FEET 68228,B100000,00000,0200,00040SQUARE FEET 68228,B100000,00000,0300,00040GROSS SALARIES 68228,B100000,00000,0400,00040ACCUM. COST 68228,B100000,00000,0500,00040SQUARE FEET 68228,B100000,00000,0600,00040PATIENT DAYS 68228,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68228,B100000,00000,0800,00040PATIENT DAYS 68228,B100000,00000,0900,00040PATIENT DAYS 68228,B100000,00000,1000,00040COSTED REQUIS 68228,B100000,00000,1100,00040COSTED REQUIS 68228,B100000,00000,1200,00040GROSS REVENUE 68228,B100000,00000,1300,00040PATIENT DAYS 68228,B100000,00000,1400,00040ASSIGNED TIME 68228,E10A180,00301,0100,06/22/1998 68228,E10A180,00301,0300,06/22/1998 68228,E10A180,00350,0100,06/22/1998 68228,E10A180,00350,0300,06/22/1998 68228,E10A180,00501,0300,02/12/2001 68228,S000000,00100,0200,06/15/2000 68228,S200000,00100,0100,517 NORTH HALLMARK DRIVE 68228,S200000,00200,0100,CLARKSVILLE 68228,S200000,00200,0200,IN 68228,S200000,00300,0100,CLARK 68228,S200000,00400,0100,HALLMARK PROGRESSIVE CARE 68228,S200000,00400,0200,155134 68228,S200000,00400,0300,08/01/1985 68228,S200000,00400,0500,P 68228,S200000,01600,0100,Y 68228,S200000,01900,0100,PRIVATE 68236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68236,A000000,00300,0000,00300EMPLOYEE BENEFITS 68236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68236,A000000,00700,0000,00700HOUSEKEEPING 68236,A000000,00800,0000,00800DIETARY 68236,A000000,00900,0000,00900NURSING ADMINISTRATION 68236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68236,A000000,01100,0000,01100PHARMACY 68236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68236,A000000,01300,0000,01300SOCIAL SERVICE 68236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68236,A000000,01600,0000,01600SKILLED NURSING FACILITY 68236,A000000,01800,0000,01800NURSING FACILITY 68236,A000000,01810,0000,01810ICF/MR 68236,A000000,02100,0000,02100RADIOLOGY 68236,A000000,02200,0000,02200LABORATORY 68236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68236,A000000,02500,0000,02500PHYSICAL THERAPY 68236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68236,A000000,02700,0000,02700SPEECH PATHOLOGY 68236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68236,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68236,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68236,A000000,03052,0000,03302MEDICAL EQUIPMENT 68236,A000000,03550,0000,03550FQHC 68236,A000000,05000,0000,05000CORF 68236,A000000,05010,0000,05010CMHC 68236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68236,A81000A,00100,0100,Y 68236,A81000B,00100,0300,HOME OFFICE A&G 68236,A81000B,00200,0300,HOME OFFICE CAPITAL 68236,A81000B,00300,0300,DIVISION OFFICE A&G 68236,A81000B,00500,0300,INSURANCE 68236,A81000C,00100,0100,B 68236,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68236,A81000C,00200,0100,G 68236,A81000C,00200,0200,LAURIER INC. 68236,A81000C,00200,0400,EXTENDICARE INC. 68236,A81000C,00200,0600,INSURANCE 68236,A81000C,00300,0100,G 68236,A81000C,00300,0200,UNITED REHABILITATION SVS 68236,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68236,A81000C,00300,0600,THERAPY SERVICE 68236,A81000C,00400,0100,G 68236,A81000C,00400,0200,UNITED PROFESSIONAL CO. 68236,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68236,A81000C,00400,0600,MED SUPP RX 68236,B100000,00000,0100,00040SQUARE FEET 68236,B100000,00000,0200,00040SQUARE FEET 68236,B100000,00000,0300,00040GROSS SALARIES 68236,B100000,00000,0400,00040ACCUM. COST 68236,B100000,00000,0500,00040SQUARE FEET 68236,B100000,00000,0600,00040PATIENT DAYS 68236,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68236,B100000,00000,0800,00040PATIENT DAYS 68236,B100000,00000,0900,00040PATIENT DAYS 68236,B100000,00000,1000,00040COSTED REQUIS 68236,B100000,00000,1100,00040COSTED REQUIS 68236,B100000,00000,1200,00040GROSS REVENUE 68236,B100000,00000,1300,00040PATIENT DAYS 68236,B100000,00000,1400,00040ASSIGNED TIME 68236,E10A180,00301,0100,06/22/1998 68236,E10A180,00301,0300,06/22/1998 68236,E10A180,00350,0100,06/22/1998 68236,E10A180,00350,0300,06/22/1998 68236,E10A180,00550,0300,02/12/2001 68236,E10A180,00551,0300,06/09/2000 68236,S000000,00100,0200,06/15/2000 68236,S200000,00100,0100,650 FAIRWAY DRIVE 68236,S200000,00200,0100,EVANSVILLE 68236,S200000,00200,0200,IN 68236,S200000,00300,0100,VANDERBURGH 68236,S200000,00400,0100,NORTH PARK NURSING 68236,S200000,00400,0200,155148 68236,S200000,00400,0300,10/01/1981 68236,S200000,00400,0500,P 68236,S200000,01600,0100,Y 68236,S200000,01900,0100,PRIVATE 68244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68244,A000000,00300,0000,00300EMPLOYEE BENEFITS 68244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68244,A000000,00700,0000,00700HOUSEKEEPING 68244,A000000,00800,0000,00800DIETARY 68244,A000000,00900,0000,00900NURSING ADMINISTRATION 68244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68244,A000000,01100,0000,01100PHARMACY 68244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68244,A000000,01300,0000,01300SOCIAL SERVICE 68244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68244,A000000,01600,0000,01600SKILLED NURSING FACILITY 68244,A000000,01800,0000,01800NURSING FACILITY 68244,A000000,01810,0000,01810ICF/MR 68244,A000000,02100,0000,02100RADIOLOGY 68244,A000000,02200,0000,02200LABORATORY 68244,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68244,A000000,02500,0000,02500PHYSICAL THERAPY 68244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68244,A000000,02700,0000,02700SPEECH PATHOLOGY 68244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68244,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68244,A000000,03052,0000,03302MEDICAL EQUIPMENT 68244,A000000,03550,0000,03550FQHC 68244,A000000,05000,0000,05000CORF 68244,A000000,05010,0000,05010CMHC 68244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68244,A81000A,00100,0100,Y 68244,A81000B,00100,0300,HOME OFFICE A&G 68244,A81000B,00200,0300,HOME OFFICE CAPITAL 68244,A81000B,00300,0300,DIVISION OFFICE A&G 68244,A81000B,00500,0300,INSURANCE 68244,A81000C,00100,0100,B 68244,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68244,A81000C,00200,0100,G 68244,A81000C,00200,0200,LAURIER INC. 68244,A81000C,00200,0400,EXTENDICARE INC. 68244,A81000C,00200,0600,INSURANCE 68244,A81000C,00300,0100,G 68244,A81000C,00300,0200,UNITED REHABILITATION SVS 68244,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68244,A81000C,00300,0600,THERAPY SERVICE 68244,A81000C,00400,0100,G 68244,A81000C,00400,0200,UNITED PROF. COMPANIES 68244,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68244,A81000C,00400,0600,MED SUPP RX 68244,B100000,00000,0100,00040SQUARE FEET 68244,B100000,00000,0200,00040SQUARE FEET 68244,B100000,00000,0300,00040GROSS SALARIES 68244,B100000,00000,0400,00040ACCUM. COST 68244,B100000,00000,0500,00040SQUARE FEET 68244,B100000,00000,0600,00040PATIENT DAYS 68244,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68244,B100000,00000,0800,00040PATIENT DAYS 68244,B100000,00000,0900,00040PATIENT DAYS 68244,B100000,00000,1000,00040COSTED REQUIS 68244,B100000,00000,1100,00040COSTED REQUIS 68244,B100000,00000,1200,00040GROSS REVENUE 68244,B100000,00000,1300,00040PATIENT DAYS 68244,B100000,00000,1400,00040ASSIGNED TIME 68244,E10A180,00301,0100,06/22/1998 68244,E10A180,00301,0300,06/22/1998 68244,E10A180,00350,0100,06/22/1998 68244,E10A180,00350,0300,06/22/1998 68244,E10A180,00501,0300,02/12/2001 68244,S000000,00100,0200,06/15/2000 68244,S200000,00100,0100,3811 PARNELL AVENUE 68244,S200000,00200,0100,FORT WAYNE 68244,S200000,00200,0200,IN 68244,S200000,00300,0100,ALLEN 68244,S200000,00400,0100,APPLEWOOD HEALTH & REHAB 68244,S200000,00400,0200,155176 68244,S200000,00400,0300,08/01/1985 68244,S200000,00400,0500,P 68244,S200000,01600,0100,Y 68244,S200000,01900,0100,PRIVATE 68252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68252,A000000,00300,0000,00300EMPLOYEE BENEFITS 68252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68252,A000000,00700,0000,00700HOUSEKEEPING 68252,A000000,00800,0000,00800DIETARY 68252,A000000,00900,0000,00900NURSING ADMINISTRATION 68252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68252,A000000,01100,0000,01100PHARMACY 68252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68252,A000000,01300,0000,01300SOCIAL SERVICE 68252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68252,A000000,01600,0000,01600SKILLED NURSING FACILITY 68252,A000000,01800,0000,01800NURSING FACILITY 68252,A000000,01810,0000,01810ICF/MR 68252,A000000,02100,0000,02100RADIOLOGY 68252,A000000,02200,0000,02200LABORATORY 68252,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68252,A000000,02500,0000,02500PHYSICAL THERAPY 68252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68252,A000000,02700,0000,02700SPEECH PATHOLOGY 68252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68252,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68252,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68252,A000000,03052,0000,03302MEDICAL EQUIPMENT 68252,A000000,03550,0000,03550FQHC 68252,A000000,05000,0000,05000CORF 68252,A000000,05010,0000,05010CMHC 68252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68252,A81000A,00100,0100,Y 68252,A81000B,00100,0300,HOME OFFICE A&G 68252,A81000B,00200,0300,HOME OFFICE CAPITAL 68252,A81000B,00300,0300,DIVISION OFFICE A&G 68252,A81000B,00500,0300,INSURANCE 68252,A81000B,00600,0300,PHYSICAL THERAPY 68252,A81000B,00700,0300,OCCUPATIONAL THERAPY 68252,A81000B,00800,0300,SPEECH THERAPY 68252,A81000C,00100,0100,B 68252,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68252,A81000C,00200,0100,G 68252,A81000C,00200,0200,LAURIER INC. 68252,A81000C,00200,0400,EXTENDICARE INC. 68252,A81000C,00200,0600,INSURANCE 68252,A81000C,00300,0100,G 68252,A81000C,00300,0200,UNITED REHABILITATION SVS 68252,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68252,A81000C,00300,0600,THERAPY SERVICE 68252,A81000C,00400,0100,G 68252,A81000C,00400,0200,UNITED PROFESS. COMPANIES 68252,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68252,A81000C,00400,0600,MED SUPP RX 68252,A81000C,00500,0100,B 68252,A81000C,00500,0200,BAL OAKS ACLF 68252,A81000C,00500,0400,EXTENDICARE HEALTH SERVICES 68252,A81000C,00500,0600,ASSISTED LIVING FACILITY 68252,B100000,00000,0100,00040SQUARE FEET 68252,B100000,00000,0200,00040SQUARE FEET 68252,B100000,00000,0300,00040GROSS SALARIES 68252,B100000,00000,0400,00040ACCUM. COST 68252,B100000,00000,0500,00040SQUARE FEET 68252,B100000,00000,0600,00040PATIENT DAYS 68252,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68252,B100000,00000,0800,00040PATIENT DAYS 68252,B100000,00000,0900,00040PATIENT DAYS 68252,B100000,00000,1000,00040COSTED REQUIS 68252,B100000,00000,1100,00040COSTED REQUIS 68252,B100000,00000,1200,00040GROSS REVENUE 68252,B100000,00000,1300,00040PATIENT DAYS 68252,B100000,00000,1400,00040ASSIGNED TIME 68252,E10A180,00301,0100,06/22/1998 68252,E10A180,00301,0300,06/22/1998 68252,E10A180,00350,0100,06/22/1998 68252,E10A180,00350,0300,06/22/1998 68252,S000000,00100,0200,06/15/2000 68252,S200000,00100,0100,4255 MEDWELL DRIVE 68252,S200000,00200,0100,NEWBURGH 68252,S200000,00200,0200,IN 68252,S200000,00300,0100,WARRICK 68252,S200000,00400,0100,CYPRESS GROVE REHAB 68252,S200000,00400,0200,155273 68252,S200000,00400,0300,01/10/1986 68252,S200000,00400,0500,P 68252,S200000,01600,0100,Y 68252,S200000,01900,0100,PRIVATE 68259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68259,A000000,00300,0000,00300EMPLOYEE BENEFITS 68259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68259,A000000,00700,0000,00700HOUSEKEEPING 68259,A000000,00800,0000,00800DIETARY 68259,A000000,00900,0000,00900NURSING ADMINISTRATION 68259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68259,A000000,01100,0000,01100PHARMACY 68259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68259,A000000,01300,0000,01300SOCIAL SERVICE 68259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68259,A000000,01600,0000,01600SKILLED NURSING FACILITY 68259,A000000,01800,0000,01800NURSING FACILITY 68259,A000000,01810,0000,01810ICF/MR 68259,A000000,02100,0000,02100RADIOLOGY 68259,A000000,02200,0000,02200LABORATORY 68259,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68259,A000000,02500,0000,02500PHYSICAL THERAPY 68259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68259,A000000,02700,0000,02700SPEECH PATHOLOGY 68259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68259,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68259,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68259,A000000,03052,0000,03302MEDICAL EQUIPMENT 68259,A000000,03550,0000,03550FQHC 68259,A000000,05000,0000,05000CORF 68259,A000000,05010,0000,05010CMHC 68259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68259,A81000A,00100,0100,Y 68259,A81000B,00100,0300,HOME OFFICE A&G 68259,A81000B,00200,0300,HOME OFFICE CAPITAL 68259,A81000B,00300,0300,DIVISION OFFICE A&G 68259,A81000B,00500,0300,INSURANCE 68259,A81000C,00100,0100,B 68259,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68259,A81000C,00200,0100,G 68259,A81000C,00200,0200,LAURIER INC. 68259,A81000C,00200,0400,EXTENDICARE INC. 68259,A81000C,00200,0600,INSURANCE 68259,A81000C,00300,0100,G 68259,A81000C,00300,0200,UNITED REHABILITATION SVS 68259,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68259,A81000C,00300,0600,THERAPY SERVICE 68259,A81000C,00400,0100,G 68259,A81000C,00400,0200,UNITED PROFESSIONAL CO 68259,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68259,A81000C,00400,0600,MED SUPP RX 68259,B100000,00000,0100,00040SQUARE FEET 68259,B100000,00000,0200,00040SQUARE FEET 68259,B100000,00000,0300,00040GROSS SALARIES 68259,B100000,00000,0400,00040ACCUM. COST 68259,B100000,00000,0500,00040SQUARE FEET 68259,B100000,00000,0600,00040PATIENT DAYS 68259,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68259,B100000,00000,0800,00040PATIENT DAYS 68259,B100000,00000,0900,00040PATIENT DAYS 68259,B100000,00000,1000,00040COSTED REQUIS 68259,B100000,00000,1100,00040COSTED REQUIS 68259,B100000,00000,1200,00040GROSS REVENUE 68259,B100000,00000,1300,00040PATIENT DAYS 68259,B100000,00000,1400,00040ASSIGNED TIME 68259,E10A180,00301,0100,06/22/1998 68259,E10A180,00301,0300,06/22/1998 68259,E10A180,00350,0100,06/22/1998 68259,E10A180,00350,0300,06/22/1998 68259,E10A180,00501,0300,02/12/2001 68259,S000000,00100,0200,06/15/2000 68259,S200000,00100,0100,900 ANSON STREET 68259,S200000,00200,0100,SALEM 68259,S200000,00200,0200,IN 68259,S200000,00300,0100,WASHINGTON 68259,S200000,00400,0100,MEADOW VIEW MANOR 68259,S200000,00400,0200,155325 68259,S200000,00400,0300,10/13/1988 68259,S200000,00400,0500,P 68259,S200000,01600,0100,Y 68259,S200000,01900,0100,PRIVATE 68267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68267,A000000,00300,0000,00300EMPLOYEE BENEFITS 68267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68267,A000000,00700,0000,00700HOUSEKEEPING 68267,A000000,00800,0000,00800DIETARY 68267,A000000,00900,0000,00900NURSING ADMINISTRATION 68267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68267,A000000,01100,0000,01100PHARMACY 68267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68267,A000000,01300,0000,01300SOCIAL SERVICE 68267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68267,A000000,01600,0000,01600SKILLED NURSING FACILITY 68267,A000000,01800,0000,01800NURSING FACILITY 68267,A000000,01810,0000,01810ICF/MR 68267,A000000,02100,0000,02100RADIOLOGY 68267,A000000,02200,0000,02200LABORATORY 68267,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68267,A000000,02500,0000,02500PHYSICAL THERAPY 68267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68267,A000000,02700,0000,02700SPEECH PATHOLOGY 68267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68267,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68267,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68267,A000000,03052,0000,03302MEDICAL EQUIPMENT 68267,A000000,03550,0000,03550FQHC 68267,A000000,05000,0000,05000CORF 68267,A000000,05010,0000,05010CMHC 68267,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68267,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68267,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68267,A81000A,00100,0100,Y 68267,A81000B,00100,0300,HOME OFFICE A&G 68267,A81000B,00200,0300,HOME OFFICE CAPITAL 68267,A81000B,00300,0300,DIVISION OFFICE A&G 68267,A81000B,00500,0300,INSURANCE 68267,A81000C,00100,0100,B 68267,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68267,A81000C,00200,0100,G 68267,A81000C,00200,0200,LAURIER INC. 68267,A81000C,00200,0400,EXTENDICARE INC. 68267,A81000C,00200,0600,INSURANCE 68267,A81000C,00300,0100,G 68267,A81000C,00300,0200,UNITED REHABILITATION SVS 68267,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68267,A81000C,00300,0600,THERAPY SERVICE 68267,A81000C,00400,0100,G 68267,A81000C,00400,0200,UNITED PROF. COMPANIES 68267,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68267,A81000C,00400,0600,MED SUPP RX 68267,B100000,00000,0100,00040SQUARE FEET 68267,B100000,00000,0200,00040SQUARE FEET 68267,B100000,00000,0300,00040GROSS SALARIES 68267,B100000,00000,0400,00040ACCUM. COST 68267,B100000,00000,0500,00040SQUARE FEET 68267,B100000,00000,0600,00040PATIENT DAYS 68267,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68267,B100000,00000,0800,00040PATIENT DAYS 68267,B100000,00000,0900,00040PATIENT DAYS 68267,B100000,00000,1000,00040COSTED REQUIS 68267,B100000,00000,1100,00040COSTED REQUIS 68267,B100000,00000,1200,00040GROSS REVENUE 68267,B100000,00000,1300,00040PATIENT DAYS 68267,B100000,00000,1400,00040ASSIGNED TIME 68267,E10A180,00301,0100,06/22/1998 68267,E10A180,00301,0300,06/22/1998 68267,E10A180,00350,0100,06/22/1998 68267,E10A180,00350,0300,06/22/1998 68267,E10A180,00501,0300,02/12/2001 68267,S000000,00100,0200,06/15/2000 68267,S200000,00100,0100,25 SOUTH BOEHNE CAMP ROAD 68267,S200000,00200,0100,EVANSVILLE 68267,S200000,00200,0200,IN 68267,S200000,00300,0100,VANDERBURGH 68267,S200000,00400,0100,WESTPARK REHABILITATION CENTER 68267,S200000,00400,0200,155328 68267,S200000,00400,0300,03/17/1989 68267,S200000,00400,0500,P 68267,S200000,01600,0100,Y 68267,S200000,01900,0100,PRIVATE 68275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68275,A000000,00300,0000,00300EMPLOYEE BENEFITS 68275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68275,A000000,00700,0000,00700HOUSEKEEPING 68275,A000000,00800,0000,00800DIETARY 68275,A000000,00900,0000,00900NURSING ADMINISTRATION 68275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68275,A000000,01100,0000,01100PHARMACY 68275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68275,A000000,01300,0000,01300SOCIAL SERVICE 68275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68275,A000000,01600,0000,01600SKILLED NURSING FACILITY 68275,A000000,01800,0000,01800NURSING FACILITY 68275,A000000,01810,0000,01810ICF/MR 68275,A000000,02100,0000,02100RADIOLOGY 68275,A000000,02200,0000,02200LABORATORY 68275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68275,A000000,02500,0000,02500PHYSICAL THERAPY 68275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68275,A000000,02700,0000,02700SPEECH PATHOLOGY 68275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68275,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68275,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68275,A000000,03052,0000,03302MEDICAL EQUIPMENT 68275,A000000,03550,0000,03550FQHC 68275,A000000,05000,0000,05000CORF 68275,A000000,05010,0000,05010CMHC 68275,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68275,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68275,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68275,A000000,06150,0000,06300ALF DIETARY SERVICES 68275,A81000A,00100,0100,Y 68275,A81000B,00100,0300,HOME OFFICE A&G 68275,A81000B,00200,0300,HOME OFFICE CAPITAL 68275,A81000B,00300,0300,DIVISION OFFICE A&G 68275,A81000B,00500,0300,INSURANCE 68275,A81000C,00100,0100,B 68275,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68275,A81000C,00200,0100,G 68275,A81000C,00200,0200,LAURIER INC. 68275,A81000C,00200,0400,EXTENDICARE INC. 68275,A81000C,00200,0600,INSURANCE 68275,A81000C,00300,0100,G 68275,A81000C,00300,0200,UNITED REHABILITATION SVS 68275,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68275,A81000C,00300,0600,THERAPY SERVICE 68275,A81000C,00400,0100,G 68275,A81000C,00400,0200,UNITED PROFESSIONAL CO 68275,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68275,A81000C,00400,0600,MED SUPPLY RX 68275,B100000,00000,0100,00000SQUARE FEET 68275,B100000,00000,0200,00000SQUARE FEET 68275,B100000,00000,0300,00000GROSS SALARIES 68275,B100000,00000,0400,00000ACCUM. COST 68275,B100000,00000,0500,00000SQUARE FEET 68275,B100000,00000,0600,00000PATIENT DAYS 68275,B100000,00000,0700,00000ALTERNATE SQUARE FEE 68275,B100000,00000,0800,00000PATIENT DAYS 68275,B100000,00000,0900,00000PATIENT DAYS 68275,B100000,00000,1000,00000COSTED REQUIS 68275,B100000,00000,1100,00000COSTED REQUIS 68275,B100000,00000,1200,00000GROSS REVENUE 68275,B100000,00000,1300,00000PATIENT DAYS 68275,B100000,00000,1400,00000ASSIGNED TIME 68275,E10A180,00301,0100,06/22/1998 68275,E10A180,00301,0300,06/22/1998 68275,E10A180,00350,0100,06/22/1998 68275,E10A180,00350,0300,06/22/1998 68275,E10A180,00501,0300,02/12/2001 68275,S000000,00100,0200,06/15/2000 68275,S200000,00100,0100,2119 E NATIONAL HWY 68275,S200000,00200,0100,WASHINGTON 68275,S200000,00200,0200,IN 68275,S200000,00300,0100,DAVIESS 68275,S200000,00400,0100,EASTGATE MANOR 68275,S200000,00400,0200,155341 68275,S200000,00400,0300,10/13/1989 68275,S200000,00400,0500,P 68275,S200000,01600,0100,Y 68275,S200000,01900,0100,PRIVATE 68283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68283,A000000,00300,0000,00300EMPLOYEE BENEFITS 68283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68283,A000000,00700,0000,00700HOUSEKEEPING 68283,A000000,00800,0000,00800DIETARY 68283,A000000,00900,0000,00900NURSING ADMINISTRATION 68283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68283,A000000,01100,0000,01100PHARMACY 68283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68283,A000000,01300,0000,01300SOCIAL SERVICE 68283,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68283,A000000,01600,0000,01600SKILLED NURSING FACILITY 68283,A000000,01800,0000,01800NURSING FACILITY 68283,A000000,01810,0000,01810ICF/MR 68283,A000000,02100,0000,02100RADIOLOGY 68283,A000000,02200,0000,02200LABORATORY 68283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68283,A000000,02500,0000,02500PHYSICAL THERAPY 68283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68283,A000000,02700,0000,02700SPEECH PATHOLOGY 68283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68283,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68283,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68283,A000000,03052,0000,03302MEDICAL EQUIPMENT 68283,A000000,03550,0000,03550FQHC 68283,A000000,05000,0000,05000CORF 68283,A000000,05010,0000,05010CMHC 68283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68283,A81000A,00100,0100,Y 68283,A81000B,00100,0300,HOME OFFICE A&G 68283,A81000B,00200,0300,HOME OFFICE CAPITAL 68283,A81000B,00300,0300,DIVISION OFFICE A&G 68283,A81000B,00500,0300,INSURANCE 68283,A81000C,00100,0100,B 68283,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68283,A81000C,00200,0100,G 68283,A81000C,00200,0200,LAURIER INC. 68283,A81000C,00200,0400,EXTENDICARE INC. 68283,A81000C,00200,0600,INSURANCE 68283,A81000C,00300,0100,G 68283,A81000C,00300,0200,UNITED REHABILITATION SVS 68283,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68283,A81000C,00300,0600,THERAPY SERVICE 68283,A81000C,00400,0100,G 68283,A81000C,00400,0200,UNITED PROFESSIONAL CO. 68283,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68283,A81000C,00400,0600,MED SUPP RX 68283,B100000,00000,0100,00040SQUARE FEET 68283,B100000,00000,0200,00040SQUARE FEET 68283,B100000,00000,0300,00040GROSS SALARIES 68283,B100000,00000,0400,00040ACCUM. COST 68283,B100000,00000,0500,00040SQUARE FEET 68283,B100000,00000,0600,00040PATIENT DAYS 68283,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68283,B100000,00000,0800,00040PATIENT DAYS 68283,B100000,00000,0900,00040PATIENT DAYS 68283,B100000,00000,1000,00040COSTED REQUIS 68283,B100000,00000,1100,00040COSTED REQUIS 68283,B100000,00000,1200,00040GROSS REVENUE 68283,B100000,00000,1300,00040PATIENT DAYS 68283,B100000,00000,1400,00040ASSIGNED TIME 68283,E10A180,00301,0100,06/22/1998 68283,E10A180,00301,0300,06/22/1998 68283,E10A180,00350,0100,06/22/1998 68283,E10A180,00350,0300,06/22/1998 68283,E10A180,00501,0300,02/12/2001 68283,S000000,00100,0200,06/15/2000 68283,S200000,00100,0100,1415 COUNTRY CLUB ROAD 68283,S200000,00200,0100,MT VERNON 68283,S200000,00200,0200,IN 68283,S200000,00300,0100,POSEY 68283,S200000,00400,0100,MOUNT VERNON 68283,S200000,00400,0200,155342 68283,S200000,00400,0300,10/11/1989 68283,S200000,00400,0500,P 68283,S200000,01600,0100,Y 68283,S200000,01900,0100,PRIVATE 68291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68291,A000000,00300,0000,00300EMPLOYEE BENEFITS 68291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68291,A000000,00700,0000,00700HOUSEKEEPING 68291,A000000,00800,0000,00800DIETARY 68291,A000000,00900,0000,00900NURSING ADMINISTRATION 68291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68291,A000000,01100,0000,01100PHARMACY 68291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68291,A000000,01300,0000,01300SOCIAL SERVICE 68291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68291,A000000,01600,0000,01600SKILLED NURSING FACILITY 68291,A000000,01800,0000,01800NURSING FACILITY 68291,A000000,01810,0000,01810ICF/MR 68291,A000000,02200,0000,02200LABORATORY 68291,A000000,02500,0000,02500PHYSICAL THERAPY 68291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68291,A000000,02700,0000,02700SPEECH PATHOLOGY 68291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68291,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68291,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68291,A000000,03052,0000,03302MEDICAL EQUIPMENT 68291,A000000,03550,0000,03550FQHC 68291,A000000,05000,0000,05000CORF 68291,A000000,05010,0000,05010CMHC 68291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68291,A81000A,00100,0100,Y 68291,A81000B,00100,0300,HOME OFFICE A&G 68291,A81000B,00200,0300,HOME OFFICE CAPITAL 68291,A81000B,00300,0300,DIVISION OFFICE A&G 68291,A81000B,00500,0300,INSURANCE 68291,A81000C,00100,0100,B 68291,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68291,A81000C,00200,0100,G 68291,A81000C,00200,0200,LAURIER INC. 68291,A81000C,00200,0400,EXTENDICARE INC. 68291,A81000C,00200,0600,INSURANCE 68291,A81000C,00300,0100,G 68291,A81000C,00300,0200,UNITED REHABILITATION SVS 68291,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68291,A81000C,00300,0600,THERAPY SERVICE 68291,A81000C,00400,0100,G 68291,A81000C,00400,0200,UNITED PROFESS. COMPANIES 68291,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68291,A81000C,00400,0600,MED SUPP RX 68291,B100000,00000,0100,00040SQUARE FEET 68291,B100000,00000,0200,00040SQUARE FEET 68291,B100000,00000,0300,00040GROSS SALARIES 68291,B100000,00000,0400,00040ACCUM. COST 68291,B100000,00000,0500,00040SQUARE FEET 68291,B100000,00000,0600,00040PATIENT DAYS 68291,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68291,B100000,00000,0800,00040PATIENT DAYS 68291,B100000,00000,0900,00040PATIENT DAYS 68291,B100000,00000,1000,00040COSTED REQUIS 68291,B100000,00000,1100,00040COSTED REQUIS 68291,B100000,00000,1200,00040GROSS REVENUE 68291,B100000,00000,1300,00040PATIENT DAYS 68291,B100000,00000,1400,00040ASSIGNED TIME 68291,E10A180,00301,0100,06/22/1998 68291,E10A180,00301,0300,06/22/1998 68291,E10A180,00350,0100,06/22/1998 68291,E10A180,00350,0300,06/22/1998 68291,S000000,00100,0200,06/19/2000 68291,S200000,00100,0100,2600 MOREHOUSE AVENUE 68291,S200000,00200,0100,ELKHART 68291,S200000,00200,0200,IN 68291,S200000,00300,0100,ELKHART 68291,S200000,00400,0100,ELKHART REHABILITATION CENTER 68291,S200000,00400,0200,155352 68291,S200000,00400,0300,03/01/1990 68291,S200000,00400,0500,P 68291,S200000,01600,0100,Y 68291,S200000,01900,0100,PRIVATE 68299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68299,A000000,00300,0000,00300EMPLOYEE BENEFITS 68299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68299,A000000,00700,0000,00700HOUSEKEEPING 68299,A000000,00800,0000,00800DIETARY 68299,A000000,00900,0000,00900NURSING ADMINISTRATION 68299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68299,A000000,01100,0000,01100PHARMACY 68299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68299,A000000,01300,0000,01300SOCIAL SERVICE 68299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68299,A000000,01600,0000,01600SKILLED NURSING FACILITY 68299,A000000,01800,0000,01800NURSING FACILITY 68299,A000000,01810,0000,01810ICF/MR 68299,A000000,02100,0000,02100RADIOLOGY 68299,A000000,02200,0000,02200LABORATORY 68299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68299,A000000,02500,0000,02500PHYSICAL THERAPY 68299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68299,A000000,02700,0000,02700SPEECH PATHOLOGY 68299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68299,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68299,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68299,A000000,03052,0000,03302MEDICAL EQUIPMENT 68299,A000000,03550,0000,03550FQHC 68299,A000000,05000,0000,05000CORF 68299,A000000,05010,0000,05010CMHC 68299,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68299,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68299,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68299,A81000A,00100,0100,Y 68299,A81000B,00100,0300,HOME OFFICE A&G 68299,A81000B,00200,0300,HOME OFFICE CAPITAL 68299,A81000B,00300,0300,DIVISION OFFICE A&G 68299,A81000B,00500,0300,INSURANCE 68299,A81000C,00100,0100,B 68299,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68299,A81000C,00200,0100,G 68299,A81000C,00200,0200,LAURIER INC. 68299,A81000C,00200,0400,EXTENDICARE INC. 68299,A81000C,00200,0600,INSURANCE 68299,A81000C,00300,0100,G 68299,A81000C,00300,0200,UNITED REHABILITATION SVS 68299,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68299,A81000C,00300,0600,THERAPY SERVICE 68299,A81000C,00400,0100,G 68299,A81000C,00400,0200,UNITED PROFESSIONAL CO 68299,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68299,A81000C,00400,0600,MED SUPP RX 68299,B100000,00000,0100,00040SQUARE FEET 68299,B100000,00000,0200,00040SQUARE FEET 68299,B100000,00000,0300,00040GROSS SALARIES 68299,B100000,00000,0400,00040ACCUM. COST 68299,B100000,00000,0500,00040SQUARE FEET 68299,B100000,00000,0600,00040PATIENT DAYS 68299,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68299,B100000,00000,0800,00040PATIENT DAYS 68299,B100000,00000,0900,00040PATIENT DAYS 68299,B100000,00000,1000,00040COSTED REQUIS 68299,B100000,00000,1100,00040COSTED REQUIS 68299,B100000,00000,1200,00040GROSS REVENUE 68299,B100000,00000,1300,00040PATIENT DAYS 68299,B100000,00000,1400,00040ASSIGNED TIME 68299,E10A180,00301,0100,06/22/1998 68299,E10A180,00301,0300,06/22/1998 68299,E10A180,00350,0100,06/22/1998 68299,E10A180,00350,0300,06/22/1998 68299,E10A180,00501,0300,02/12/2001 68299,S000000,00100,0200,06/15/2000 68299,S200000,00100,0100,2000 NORTH ROAD 68299,S200000,00200,0100,DALE 68299,S200000,00200,0200,IN 68299,S200000,00300,0100,SPENCER 68299,S200000,00400,0100,PROFESSIONAL CARE 68299,S200000,00400,0200,155363 68299,S200000,00400,0300,07/01/1990 68299,S200000,00400,0500,P 68299,S200000,01600,0100,Y 68299,S200000,01900,0100,PRIVATE 68307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68307,A000000,00300,0000,00300EMPLOYEE BENEFITS 68307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68307,A000000,00700,0000,00700HOUSEKEEPING 68307,A000000,00800,0000,00800DIETARY 68307,A000000,00900,0000,00900NURSING ADMINISTRATION 68307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68307,A000000,01100,0000,01100PHARMACY 68307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68307,A000000,01300,0000,01300SOCIAL SERVICE 68307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68307,A000000,01600,0000,01600SKILLED NURSING FACILITY 68307,A000000,01800,0000,01800NURSING FACILITY 68307,A000000,01810,0000,01810ICF/MR 68307,A000000,02100,0000,02100RADIOLOGY 68307,A000000,02200,0000,02200LABORATORY 68307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68307,A000000,02500,0000,02500PHYSICAL THERAPY 68307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68307,A000000,02700,0000,02700SPEECH PATHOLOGY 68307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68307,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68307,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68307,A000000,03052,0000,03302MEDICAL EQUIPMENT 68307,A000000,03550,0000,03550FQHC 68307,A000000,05000,0000,05000CORF 68307,A000000,05010,0000,05010CMHC 68307,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68307,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68307,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68307,A81000A,00100,0100,Y 68307,A81000B,00100,0300,HOME OFFICE A&G 68307,A81000B,00200,0300,HOME OFFICE CAPITAL 68307,A81000B,00300,0300,DIVISION OFFICE A&G 68307,A81000B,00500,0300,INSURANCE 68307,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68307,A81000C,00100,0100,B 68307,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68307,A81000C,00200,0100,G 68307,A81000C,00200,0200,LAURIER INC. 68307,A81000C,00200,0400,EXTENDICARE INC. 68307,A81000C,00200,0600,INSURANCE 68307,A81000C,00300,0100,G 68307,A81000C,00300,0200,UNITED REHABILITATION SVS 68307,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68307,A81000C,00300,0600,THERAPY SERVICE 68307,A81000C,00400,0100,G 68307,A81000C,00400,0200,UNITED PROFESSIONAL CO 68307,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68307,A81000C,00400,0600,MED SUPP RX 68307,B100000,00000,0100,00040SQUARE FEET 68307,B100000,00000,0200,00040SQUARE FEET 68307,B100000,00000,0300,00040GROSS SALARIES 68307,B100000,00000,0400,00040ACCUM. COST 68307,B100000,00000,0500,00040SQUARE FEET 68307,B100000,00000,0600,00040PATIENT DAYS 68307,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68307,B100000,00000,0800,00040PATIENT DAYS 68307,B100000,00000,0900,00040PATIENT DAYS 68307,B100000,00000,1000,00040COSTED REQUIS 68307,B100000,00000,1100,00040COSTED REQUIS 68307,B100000,00000,1200,00040GROSS REVENUE 68307,B100000,00000,1300,00040PATIENT DAYS 68307,B100000,00000,1400,00040ASSIGNED TIME 68307,E10A180,00301,0100,01/24/2000 68307,E10A180,00301,0300,06/22/1998 68307,E10A180,00350,0100,06/22/1998 68307,E10A180,00350,0300,06/22/1998 68307,E10A180,00550,0100,07/20/2000 68307,E10A180,00550,0300,07/20/2000 68307,E10A180,00551,0300,02/12/2001 68307,S000000,00100,0200,06/15/2000 68307,S200000,00100,0100,A & 2ND AVENUE 68307,S200000,00200,0100,LEAVENWORTH 68307,S200000,00200,0200,IN 68307,S200000,00300,0100,CRAWFORD 68307,S200000,00400,0100,TODD-DICKEY NURSING 68307,S200000,00400,0200,155368 68307,S200000,00400,0300,11/01/1990 68307,S200000,00400,0500,P 68307,S200000,01600,0100,Y 68307,S200000,01900,0100,PRIVATE 68315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68315,A000000,00300,0000,00300EMPLOYEE BENEFITS 68315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68315,A000000,00700,0000,00700HOUSEKEEPING 68315,A000000,00800,0000,00800DIETARY 68315,A000000,00900,0000,00900NURSING ADMINISTRATION 68315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68315,A000000,01100,0000,01100PHARMACY 68315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68315,A000000,01300,0000,01300SOCIAL SERVICE 68315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68315,A000000,01600,0000,01600SKILLED NURSING FACILITY 68315,A000000,01800,0000,01800NURSING FACILITY 68315,A000000,01810,0000,01810ICF/MR 68315,A000000,02100,0000,02100RADIOLOGY 68315,A000000,02200,0000,02200LABORATORY 68315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68315,A000000,02500,0000,02500PHYSICAL THERAPY 68315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68315,A000000,02700,0000,02700SPEECH PATHOLOGY 68315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68315,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68315,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68315,A000000,03052,0000,03302MEDICAL EQUIPMENT 68315,A000000,03550,0000,03550FQHC 68315,A000000,05000,0000,05000CORF 68315,A000000,05010,0000,05010CMHC 68315,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68315,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68315,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68315,A81000A,00100,0100,Y 68315,A81000B,00100,0300,HOME OFFICE A&G 68315,A81000B,00200,0300,HOME OFFICE CAPITAL 68315,A81000B,00300,0300,DIVISION OFFICE A&G 68315,A81000B,00500,0300,INSURANCE 68315,A81000C,00100,0100,B 68315,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68315,A81000C,00200,0100,G 68315,A81000C,00200,0200,LAURIER INC. 68315,A81000C,00200,0400,EXTENDICARE INC. 68315,A81000C,00200,0600,INSURANCE 68315,A81000C,00300,0100,G 68315,A81000C,00300,0200,UNITED REHABILITATION SVS 68315,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68315,A81000C,00300,0600,THERAPY SERVICE 68315,A81000C,00400,0100,G 68315,A81000C,00400,0200,UNITED PROFESSIONAL CO. 68315,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68315,A81000C,00400,0600,MED SUPPLY RX 68315,B100000,00000,0100,00040SQUARE FEET 68315,B100000,00000,0200,00040SQUARE FEET 68315,B100000,00000,0300,00040GROSS SALARIES 68315,B100000,00000,0400,00040ACCUM. COST 68315,B100000,00000,0500,00040SQUARE FEET 68315,B100000,00000,0600,00040PATIENT DAYS 68315,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68315,B100000,00000,0800,00040PATIENT DAYS 68315,B100000,00000,0900,00040PATIENT DAYS 68315,B100000,00000,1000,00040COSTED REQUIS 68315,B100000,00000,1100,00040COSTED REQUIS 68315,B100000,00000,1200,00040GROSS REVENUE 68315,B100000,00000,1300,00040PATIENT DAYS 68315,B100000,00000,1400,00040ASSIGNED TIME 68315,E10A180,00301,0100,01/24/2000 68315,E10A180,00301,0300,06/22/1998 68315,E10A180,00350,0100,06/22/1998 68315,E10A180,00350,0300,06/22/1998 68315,E10A180,00501,0300,02/12/2001 68315,E10A180,00550,0100,02/12/2001 68315,S000000,00100,0200,06/16/2000 68315,S200000,00100,0100,3555 SPY RUN EXTENDED 68315,S200000,00200,0100,FORT WAYNE 68315,S200000,00200,0200,IN 68315,S200000,00300,0100,ALLEN 68315,S200000,00400,0100,COURTLAND HEALTH & REHAB 68315,S200000,00400,0200,155372 68315,S200000,00400,0300,02/01/1991 68315,S200000,00400,0500,P 68315,S200000,01600,0100,Y 68315,S200000,01900,0100,PRIVATE 68323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68323,A000000,00300,0000,00300EMPLOYEE BENEFITS 68323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68323,A000000,00700,0000,00700HOUSEKEEPING 68323,A000000,00800,0000,00800DIETARY 68323,A000000,00900,0000,00900NURSING ADMINISTRATION 68323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68323,A000000,01100,0000,01100PHARMACY 68323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68323,A000000,01300,0000,01300SOCIAL SERVICE 68323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68323,A000000,01600,0000,01600SKILLED NURSING FACILITY 68323,A000000,01800,0000,01800NURSING FACILITY 68323,A000000,01810,0000,01810ICF/MR 68323,A000000,02100,0000,02100RADIOLOGY 68323,A000000,02200,0000,02200LABORATORY 68323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68323,A000000,02500,0000,02500PHYSICAL THERAPY 68323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68323,A000000,02700,0000,02700SPEECH PATHOLOGY 68323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68323,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68323,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68323,A000000,03052,0000,03302MEDICAL EQUIPMENT 68323,A000000,03550,0000,03550FQHC 68323,A000000,05000,0000,05000CORF 68323,A000000,05010,0000,05010CMHC 68323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68323,A81000A,00100,0100,Y 68323,A81000B,00100,0300,HOME OFFICE A&G 68323,A81000B,00200,0300,HOME OFFICE CAPITAL 68323,A81000B,00300,0300,DIVISION OFFICE A&G 68323,A81000B,00500,0300,INSURANCE 68323,A81000C,00100,0100,B 68323,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68323,A81000C,00200,0100,G 68323,A81000C,00200,0200,LAURIER INC. 68323,A81000C,00200,0400,EXTENDICARE INC. 68323,A81000C,00200,0600,INSURANCE 68323,A81000C,00300,0100,G 68323,A81000C,00300,0200,UNITED REHABILITATION SVS 68323,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68323,A81000C,00300,0600,THERAPY SERVICE 68323,A81000C,00400,0100,G 68323,A81000C,00400,0200,UPC 68323,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68323,A81000C,00400,0600,PHARMACY THERAPY 68323,B100000,00000,0100,00040SQUARE FEET 68323,B100000,00000,0200,00040SQUARE FEET 68323,B100000,00000,0300,00040GROSS SALARIES 68323,B100000,00000,0400,00040ACCUM. COST 68323,B100000,00000,0500,00040SQUARE FEET 68323,B100000,00000,0600,00040PATIENT DAYS 68323,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68323,B100000,00000,0800,00040PATIENT DAYS 68323,B100000,00000,0900,00040PATIENT DAYS 68323,B100000,00000,1000,00040COSTED REQUIS 68323,B100000,00000,1100,00040COSTED REQUIS 68323,B100000,00000,1200,00040GROSS REVENUE 68323,B100000,00000,1300,00040PATIENT DAYS 68323,B100000,00000,1400,00040ASSIGNED TIME 68323,E10A180,00301,0100,06/22/1998 68323,E10A180,00301,0300,06/22/1998 68323,E10A180,00350,0100,06/22/1998 68323,E10A180,00350,0300,06/22/1998 68323,E10A180,00550,0300,02/12/2001 68323,S000000,00100,0200,06/15/2000 68323,S200000,00100,0100,2420 WEST THIRD STREET 68323,S200000,00200,0100,OWENSBORO 68323,S200000,00200,0200,KY 68323,S200000,00300,0100,DAVIESS 68323,S200000,00400,0100,BON HARBOR 68323,S200000,00400,0200,185087 68323,S200000,00400,0300,09/03/1969 68323,S200000,00400,0500,P 68323,S200000,01600,0100,Y 68323,S200000,01900,0100,PRIVATE 68331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68331,A000000,00300,0000,00300EMPLOYEE BENEFITS 68331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68331,A000000,00700,0000,00700HOUSEKEEPING 68331,A000000,00800,0000,00800DIETARY 68331,A000000,00900,0000,00900NURSING ADMINISTRATION 68331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68331,A000000,01100,0000,01100PHARMACY 68331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68331,A000000,01300,0000,01300SOCIAL SERVICE 68331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68331,A000000,01600,0000,01600SKILLED NURSING FACILITY 68331,A000000,01800,0000,01800NURSING FACILITY 68331,A000000,01810,0000,01810ICF/MR 68331,A000000,02200,0000,02200LABORATORY 68331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68331,A000000,02500,0000,02500PHYSICAL THERAPY 68331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68331,A000000,02700,0000,02700SPEECH PATHOLOGY 68331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68331,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68331,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68331,A000000,03052,0000,03302MEDICAL EQUIPMENT 68331,A000000,03550,0000,03550FQHC 68331,A000000,05000,0000,05000CORF 68331,A000000,05010,0000,05010CMHC 68331,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68331,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68331,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68331,A81000A,00100,0100,Y 68331,A81000B,00100,0300,HOME OFFICE A&G 68331,A81000B,00200,0300,HOME OFFICE CAPITAL 68331,A81000B,00300,0300,DIVISION OFFICE A&G 68331,A81000B,00500,0300,INSURANCE 68331,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68331,A81000C,00100,0100,B 68331,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68331,A81000C,00200,0100,G 68331,A81000C,00200,0200,LAURIER INC. 68331,A81000C,00200,0400,EXTENDICARE INC. 68331,A81000C,00200,0600,INSURANCE 68331,A81000C,00300,0100,G 68331,A81000C,00300,0200,UNITED REHABILITATION SVS 68331,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68331,A81000C,00300,0600,THERAPY SERVICE 68331,A81000C,00400,0100,G 68331,A81000C,00400,0200,UPC 68331,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68331,A81000C,00400,0600,PHARMACY THERAPY 68331,B100000,00000,0100,00040SQUARE FEET 68331,B100000,00000,0200,00040SQUARE FEET 68331,B100000,00000,0300,00040GROSS SALARIES 68331,B100000,00000,0400,00040ACCUM. COST 68331,B100000,00000,0500,00040SQUARE FEET 68331,B100000,00000,0600,00040PATIENT DAYS 68331,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68331,B100000,00000,0800,00040PATIENT DAYS 68331,B100000,00000,0900,00040PATIENT DAYS 68331,B100000,00000,1000,00040COSTED REQUIS 68331,B100000,00000,1100,00040COSTED REQUIS 68331,B100000,00000,1200,00040GROSS REVENUE 68331,B100000,00000,1300,00040PATIENT DAYS 68331,B100000,00000,1400,00040ASSIGNED TIME 68331,E10A180,00301,0100,01/24/2000 68331,E10A180,00301,0300,06/22/1998 68331,E10A180,00350,0100,06/22/1998 68331,E10A180,00350,0300,06/22/1998 68331,E10A180,00550,0100,02/12/2001 68331,S000000,00100,0200,06/15/2000 68331,S200000,00100,0100,200 NORFLEET DRIVE 68331,S200000,00200,0100,SOMERSET 68331,S200000,00200,0200,KY 68331,S200000,00300,0100,PULASKI 68331,S200000,00400,0100,FOR SUNRISE MANOR 68331,S200000,00400,0200,185173 68331,S200000,00400,0300,06/01/1984 68331,S200000,00400,0500,P 68331,S200000,01600,0100,Y 68331,S200000,01900,0100,PRIVATE 68339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68339,A000000,00300,0000,00300EMPLOYEE BENEFITS 68339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68339,A000000,00700,0000,00700HOUSEKEEPING 68339,A000000,00800,0000,00800DIETARY 68339,A000000,00900,0000,00900NURSING ADMINISTRATION 68339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68339,A000000,01100,0000,01100PHARMACY 68339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68339,A000000,01300,0000,01300SOCIAL SERVICE 68339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68339,A000000,01600,0000,01600SKILLED NURSING FACILITY 68339,A000000,01800,0000,01800NURSING FACILITY 68339,A000000,01810,0000,01810ICF/MR 68339,A000000,02200,0000,02200LABORATORY 68339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68339,A000000,02500,0000,02500PHYSICAL THERAPY 68339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68339,A000000,02700,0000,02700SPEECH PATHOLOGY 68339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68339,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68339,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68339,A000000,03052,0000,03302MEDICAL EQUIPMENT 68339,A000000,03550,0000,03550FQHC 68339,A000000,05000,0000,05000CORF 68339,A000000,05010,0000,05010CMHC 68339,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68339,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68339,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68339,A81000A,00100,0100,Y 68339,A81000B,00100,0300,HOME OFFICE A&G 68339,A81000B,00200,0300,HOME OFFICE CAPITAL 68339,A81000B,00300,0300,DIVISION OFFICE A&G 68339,A81000B,00500,0300,INSURANCE 68339,A81000C,00100,0100,B 68339,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68339,A81000C,00200,0100,G 68339,A81000C,00200,0200,LAURIER INC. 68339,A81000C,00200,0400,EXTENDICARE INC. 68339,A81000C,00200,0600,INSURANCE 68339,A81000C,00300,0100,G 68339,A81000C,00300,0200,UNITED REHABILITATION SVS 68339,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68339,A81000C,00300,0600,THERAPY SERVICE 68339,A81000C,00400,0100,G 68339,A81000C,00400,0200,UPC 68339,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68339,A81000C,00400,0600,PHARMACY THERAPY 68339,B100000,00000,0100,00040SQUARE FEET 68339,B100000,00000,0200,00040SQUARE FEET 68339,B100000,00000,0300,00040GROSS SALARIES 68339,B100000,00000,0400,00040ACCUM. COST 68339,B100000,00000,0500,00040SQUARE FEET 68339,B100000,00000,0600,00040PATIENT DAYS 68339,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68339,B100000,00000,0800,00040PATIENT DAYS 68339,B100000,00000,0900,00040PATIENT DAYS 68339,B100000,00000,1000,00040COSTED REQUIS 68339,B100000,00000,1100,00040COSTED REQUIS 68339,B100000,00000,1200,00040GROSS REVENUE 68339,B100000,00000,1300,00040PATIENT DAYS 68339,B100000,00000,1400,00040ASSIGNED TIME 68339,E10A180,00301,0100,06/22/1998 68339,E10A180,00301,0300,06/22/1998 68339,E10A180,00350,0100,06/22/1998 68339,E10A180,00350,0300,06/22/1998 68339,S000000,00100,0200,06/15/2000 68339,S200000,00100,0100,HIGHWAY 460 68339,S200000,00100,0300,819 68339,S200000,00200,0100,SALYERSVILLE 68339,S200000,00200,0200,KY 68339,S200000,00300,0100,MAGOFFIN 68339,S200000,00400,0100,FOR SALYERSVILLE HEALTH CARE CENTER 68339,S200000,00400,0200,185221 68339,S200000,00400,0300,12/07/1990 68339,S200000,00400,0500,P 68339,S200000,01600,0100,Y 68339,S200000,01900,0100,PRIVATE 68347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68347,A000000,00300,0000,00300EMPLOYEE BENEFITS 68347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68347,A000000,00700,0000,00700HOUSEKEEPING 68347,A000000,00800,0000,00800DIETARY 68347,A000000,00900,0000,00900NURSING ADMINISTRATION 68347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68347,A000000,01100,0000,01100PHARMACY 68347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68347,A000000,01300,0000,01300SOCIAL SERVICE 68347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68347,A000000,01600,0000,01600SKILLED NURSING FACILITY 68347,A000000,01800,0000,01800NURSING FACILITY 68347,A000000,01810,0000,01810ICF/MR 68347,A000000,02100,0000,02100RADIOLOGY 68347,A000000,02200,0000,02200LABORATORY 68347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68347,A000000,02500,0000,02500PHYSICAL THERAPY 68347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68347,A000000,02700,0000,02700SPEECH PATHOLOGY 68347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68347,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68347,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68347,A000000,03052,0000,03302MEDICAL EQUIPMENT 68347,A000000,03550,0000,03550FQHC 68347,A000000,05000,0000,05000CORF 68347,A000000,05010,0000,05010CMHC 68347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68347,A81000A,00100,0100,Y 68347,A81000B,00100,0300,HOME OFFICE A&G 68347,A81000B,00200,0300,HOME OFFICE CAPITAL 68347,A81000B,00300,0300,DIVISION OFFICE A&G 68347,A81000B,00500,0300,INSURANCE 68347,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68347,A81000C,00100,0100,B 68347,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68347,A81000C,00200,0100,G 68347,A81000C,00200,0200,LAURIER INC. 68347,A81000C,00200,0400,EXTENDICARE INC. 68347,A81000C,00200,0600,INSURANCE 68347,A81000C,00300,0100,G 68347,A81000C,00300,0200,UNITED REHABILITATION SVS 68347,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68347,A81000C,00300,0600,THERAPY SERVICE 68347,A81000C,00400,0100,G 68347,A81000C,00400,0200,UPC 68347,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68347,A81000C,00400,0600,PHARMACY THERAPY 68347,B100000,00000,0100,00040SQUARE FEET 68347,B100000,00000,0200,00040SQUARE FEET 68347,B100000,00000,0300,00040GROSS SALARIES 68347,B100000,00000,0400,00040ACCUM. COST 68347,B100000,00000,0500,00040SQUARE FEET 68347,B100000,00000,0600,00040PATIENT DAYS 68347,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68347,B100000,00000,0800,00040PATIENT DAYS 68347,B100000,00000,0900,00040PATIENT DAYS 68347,B100000,00000,1000,00040COSTED REQUIS 68347,B100000,00000,1100,00040COSTED REQUIS 68347,B100000,00000,1200,00040GROSS REVENUE 68347,B100000,00000,1300,00040PATIENT DAYS 68347,B100000,00000,1400,00040ASSIGNED TIME 68347,E10A180,00301,0100,01/24/2000 68347,E10A180,00301,0300,06/22/1998 68347,E10A180,00350,0100,06/22/1998 68347,E10A180,00350,0300,06/22/1998 68347,E10A180,00550,0300,02/12/2001 68347,S000000,00100,0200,06/15/2000 68347,S200000,00100,0100,1561 NEWTON AVE 68347,S200000,00200,0100,BOWLING GREEN 68347,S200000,00200,0200,KY 68347,S200000,00300,0100,WARREN 68347,S200000,00400,0100,FOR MEDCO CENTER OF BOWLING GREEN 68347,S200000,00400,0200,185224 68347,S200000,00400,0300,01/07/1991 68347,S200000,00400,0500,P 68347,S200000,01600,0100,Y 68347,S200000,01900,0100,PRIVATE 68353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68353,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68353,A000000,00300,0000,00300EMPLOYEE BENEFITS 68353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68353,A000000,00700,0000,00700HOUSEKEEPING 68353,A000000,00800,0000,00800DIETARY 68353,A000000,00900,0000,00900NURSING ADMINISTRATION 68353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68353,A000000,01100,0000,01100PHARMACY 68353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68353,A000000,01300,0000,01300SOCIAL SERVICE 68353,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68353,A000000,01600,0000,01600SKILLED NURSING FACILITY 68353,A000000,01800,0000,01800NURSING FACILITY 68353,A000000,01810,0000,01810ICF/MR 68353,A000000,02100,0000,02100RADIOLOGY 68353,A000000,02200,0000,02200LABORATORY 68353,A000000,02500,0000,02500PHYSICAL THERAPY 68353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68353,A000000,02700,0000,02700SPEECH PATHOLOGY 68353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68353,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68353,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68353,A000000,03052,0000,03302MEDICAL EQUIPMENT 68353,A000000,03550,0000,03550FQHC 68353,A000000,05000,0000,05000CORF 68353,A000000,05010,0000,05010CMHC 68353,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68353,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68353,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68353,A81000A,00100,0100,Y 68353,A81000B,00100,0300,HOME OFFICE A&G 68353,A81000B,00200,0300,HOME OFFICE CAPITAL 68353,A81000B,00300,0300,DIVISION OFICE A&G 68353,A81000B,00500,0300,INSURANCE 68353,A81000C,00100,0100,B 68353,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68353,A81000C,00200,0100,G 68353,A81000C,00200,0200,LAURIER INC. 68353,A81000C,00200,0400,EXTENDICARE INC. 68353,A81000C,00200,0600,INSURANCE 68353,A81000C,00300,0100,G 68353,A81000C,00300,0200,UNITED REHABILITATION SVS 68353,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68353,A81000C,00300,0600,THERAPY SERVICE 68353,A81000C,00400,0100,G 68353,A81000C,00400,0200,UPC 68353,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68353,A81000C,00400,0600,PHARMACY THERAPY 68353,B100000,00000,0100,00040SQUARE FEET 68353,B100000,00000,0200,00040SQUARE FEET 68353,B100000,00000,0300,00040GROSS SALARIES 68353,B100000,00000,0400,00040ACCUM. COST 68353,B100000,00000,0500,00040SQUARE FEET 68353,B100000,00000,0600,00040PATIENT DAYS 68353,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68353,B100000,00000,0800,00040PATIENT DAYS 68353,B100000,00000,0900,00040PATIENT DAYS 68353,B100000,00000,1000,00040COSTED REQUIS 68353,B100000,00000,1100,00040COSTED REQUIS 68353,B100000,00000,1200,00040GROSS REVENUE 68353,B100000,00000,1300,00040PATIENT DAYS 68353,B100000,00000,1400,00040ASSIGNED TIME 68353,E10A180,00301,0100,06/22/1998 68353,E10A180,00301,0300,06/22/1998 68353,E10A180,00350,0100,06/22/1998 68353,E10A180,00350,0300,06/22/1998 68353,S000000,00100,0200,06/15/2000 68353,S200000,00100,0100,2582 CERULEAN ROAD 68353,S200000,00200,0100,CADIZ 68353,S200000,00200,0200,KY 68353,S200000,00300,0100,TRIGG 68353,S200000,00400,0100,FOR SHADY LAWN NURSING HOME 68353,S200000,00400,0200,185252 68353,S200000,00400,0300,03/12/1991 68353,S200000,00400,0500,P 68353,S200000,01600,0100,Y 68353,S200000,01900,0100,PRIVATE 68360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68360,A000000,00300,0000,00300EMPLOYEE BENEFITS 68360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68360,A000000,00700,0000,00700HOUSEKEEPING 68360,A000000,00800,0000,00800DIETARY 68360,A000000,00900,0000,00900NURSING ADMINISTRATION 68360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68360,A000000,01100,0000,01100PHARMACY 68360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68360,A000000,01300,0000,01300SOCIAL SERVICE 68360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68360,A000000,01600,0000,01600SKILLED NURSING FACILITY 68360,A000000,01800,0000,01800NURSING FACILITY 68360,A000000,01810,0000,01810ICF/MR 68360,A000000,02100,0000,02100RADIOLOGY 68360,A000000,02200,0000,02200LABORATORY 68360,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68360,A000000,02500,0000,02500PHYSICAL THERAPY 68360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68360,A000000,02700,0000,02700SPEECH PATHOLOGY 68360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68360,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68360,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68360,A000000,03052,0000,03302MEDICAL EQUIPMENT 68360,A000000,03550,0000,03550FQHC 68360,A000000,05000,0000,05000CORF 68360,A000000,05010,0000,05010CMHC 68360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68360,A81000A,00100,0100,Y 68360,A81000B,00100,0300,HOME OFFICE A&G 68360,A81000B,00200,0300,HOME OFFICE CAPITAL 68360,A81000B,00300,0300,DIVISION OFFICE A&G 68360,A81000B,00500,0300,INSURANCE 68360,A81000C,00100,0100,B 68360,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68360,A81000C,00200,0100,G 68360,A81000C,00200,0200,LAURIER INC. 68360,A81000C,00200,0400,EXTENDICARE INC. 68360,A81000C,00200,0600,INSURANCE 68360,A81000C,00300,0100,G 68360,A81000C,00300,0200,UNITED REHABILITATION SVS 68360,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68360,A81000C,00300,0600,THERAPY SERVICE 68360,A81000C,00400,0100,G 68360,A81000C,00400,0200,UPC 68360,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68360,A81000C,00400,0600,PHARMACY THERAPY 68360,B100000,00000,0100,00040SQUARE FEET 68360,B100000,00000,0200,00040SQUARE FEET 68360,B100000,00000,0300,00040GROSS SALARIES 68360,B100000,00000,0400,00040ACCUM. COST 68360,B100000,00000,0500,00040SQUARE FEET 68360,B100000,00000,0600,00040PATIENT DAYS 68360,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68360,B100000,00000,0800,00040PATIENT DAYS 68360,B100000,00000,0900,00040PATIENT DAYS 68360,B100000,00000,1000,00040COSTED REQUIS 68360,B100000,00000,1100,00040COSTED REQUIS 68360,B100000,00000,1200,00040GROSS REVENUE 68360,B100000,00000,1300,00040PATIENT DAYS 68360,B100000,00000,1400,00040ASSIGNED TIME 68360,E10A180,00301,0100,06/22/1998 68360,E10A180,00301,0300,06/22/1998 68360,E10A180,00350,0100,06/22/1998 68360,E10A180,00350,0300,06/22/1998 68360,S000000,00100,0200,06/15/2000 68360,S200000,00100,0100,1101 WOODLAND DRIVE 68360,S200000,00200,0100,ELIZABETHTOWN 68360,S200000,00200,0200,KY 68360,S200000,00300,0100,HARDIN 68360,S200000,00400,0100,FOR MEDCO CENTER OF ELIZABETHTOWN 68360,S200000,00400,0200,185266 68360,S200000,00400,0300,05/29/1991 68360,S200000,00400,0500,P 68360,S200000,01600,0100,Y 68360,S200000,01900,0100,PRIVATE 68368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68368,A000000,00300,0000,00300EMPLOYEE BENEFITS 68368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68368,A000000,00700,0000,00700HOUSEKEEPING 68368,A000000,00800,0000,00800DIETARY 68368,A000000,00900,0000,00900NURSING ADMINISTRATION 68368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68368,A000000,01100,0000,01100PHARMACY 68368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68368,A000000,01300,0000,01300SOCIAL SERVICE 68368,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68368,A000000,01600,0000,01600SKILLED NURSING FACILITY 68368,A000000,01800,0000,01800NURSING FACILITY 68368,A000000,01810,0000,01810ICF/MR 68368,A000000,02100,0000,02100RADIOLOGY 68368,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68368,A000000,02500,0000,02500PHYSICAL THERAPY 68368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68368,A000000,02700,0000,02700SPEECH PATHOLOGY 68368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68368,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68368,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68368,A000000,03052,0000,03302MEDICAL EQUIPMENT 68368,A000000,03550,0000,03550FQHC 68368,A000000,05000,0000,05000CORF 68368,A000000,05010,0000,05010CMHC 68368,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68368,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68368,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68368,A81000A,00100,0100,Y 68368,A81000B,00100,0300,HOME OFFICE A&G 68368,A81000B,00200,0300,HOME OFFICE CAPITAL 68368,A81000B,00300,0300,DIVISION OFFICE A&G 68368,A81000B,00500,0300,INSURANCE 68368,A81000C,00100,0100,B 68368,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68368,A81000C,00200,0100,G 68368,A81000C,00200,0200,LAURIER INC. 68368,A81000C,00200,0400,EXTENDICARE INC. 68368,A81000C,00200,0600,INSURANCE 68368,A81000C,00300,0100,G 68368,A81000C,00300,0200,UNITED REHABILITATION SVS 68368,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68368,A81000C,00300,0600,THERAPY SERVICE 68368,A81000C,00400,0100,G 68368,A81000C,00400,0200,UPC 68368,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68368,A81000C,00400,0600,PHARMACY THERAPY 68368,B100000,00000,0100,00040SQUARE FEET 68368,B100000,00000,0200,00040SQUARE FEET 68368,B100000,00000,0300,00040GROSS SALARIES 68368,B100000,00000,0400,00040ACCUM. COST 68368,B100000,00000,0500,00040SQUARE FEET 68368,B100000,00000,0600,00040PATIENT DAYS 68368,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68368,B100000,00000,0800,00040PATIENT DAYS 68368,B100000,00000,0900,00040PATIENT DAYS 68368,B100000,00000,1000,00040COSTED REQUIS 68368,B100000,00000,1100,00040COSTED REQUIS 68368,B100000,00000,1200,00040GROSS REVENUE 68368,B100000,00000,1300,00040PATIENT DAYS 68368,B100000,00000,1400,00040ASSIGNED TIME 68368,E10A180,00301,0100,06/22/1998 68368,E10A180,00301,0300,06/22/1998 68368,E10A180,00350,0100,06/22/1998 68368,E10A180,00350,0300,06/22/1998 68368,E10A180,00501,0300,02/12/2001 68368,S000000,00100,0200,06/15/2000 68368,S200000,00100,0100,867 MC GUIRE AVENUE 68368,S200000,00200,0100,PADUCAH 68368,S200000,00200,0200,KY 68368,S200000,00300,0100,MC CRACKEN 68368,S200000,00400,0100,FOR MEDCO OF PADUCAH 68368,S200000,00400,0200,185272 68368,S200000,00400,0300,06/11/1991 68368,S200000,00400,0500,P 68368,S200000,01600,0100,Y 68368,S200000,01900,0100,PRIVATE 68375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68375,A000000,00300,0000,00300EMPLOYEE BENEFITS 68375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68375,A000000,00700,0000,00700HOUSEKEEPING 68375,A000000,00800,0000,00800DIETARY 68375,A000000,00900,0000,00900NURSING ADMINISTRATION 68375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68375,A000000,01100,0000,01100PHARMACY 68375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68375,A000000,01300,0000,01300SOCIAL SERVICE 68375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68375,A000000,01600,0000,01600SKILLED NURSING FACILITY 68375,A000000,01800,0000,01800NURSING FACILITY 68375,A000000,01810,0000,01810ICF/MR 68375,A000000,02100,0000,02100RADIOLOGY 68375,A000000,02200,0000,02200LABORATORY 68375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68375,A000000,02500,0000,02500PHYSICAL THERAPY 68375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68375,A000000,02700,0000,02700SPEECH PATHOLOGY 68375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68375,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68375,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68375,A000000,03052,0000,03302MEDICAL EQUIPMENT 68375,A000000,03550,0000,03550FQHC 68375,A000000,05000,0000,05000CORF 68375,A000000,05010,0000,05010CMHC 68375,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68375,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68375,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68375,A81000A,00100,0100,Y 68375,A81000B,00100,0300,HOME OFFICE A&G 68375,A81000B,00200,0300,HOME OFFICE CAPITAL 68375,A81000B,00300,0300,DIVISION OFFICE A&G 68375,A81000B,00500,0300,INSURANCE 68375,A81000C,00100,0100,B 68375,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68375,A81000C,00200,0100,G 68375,A81000C,00200,0200,LAURIER INC. 68375,A81000C,00200,0400,EXTENDICARE INC. 68375,A81000C,00200,0600,INSURANCE 68375,A81000C,00300,0100,G 68375,A81000C,00300,0200,UNITED REHABILITATION SVS 68375,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68375,A81000C,00300,0600,THERAPY SERVICE 68375,A81000C,00400,0100,G 68375,A81000C,00400,0200,UPC 68375,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68375,A81000C,00400,0600,PHARMACY THERAPY 68375,B100000,00000,0100,00040SQUARE FEET 68375,B100000,00000,0200,00040SQUARE FEET 68375,B100000,00000,0300,00040GROSS SALARIES 68375,B100000,00000,0400,00040ACCUM. COST 68375,B100000,00000,0500,00040SQUARE FEET 68375,B100000,00000,0600,00040PATIENT DAYS 68375,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68375,B100000,00000,0800,00040PATIENT DAYS 68375,B100000,00000,0900,00040PATIENT DAYS 68375,B100000,00000,1000,00040COSTED REQUIS 68375,B100000,00000,1100,00040COSTED REQUIS 68375,B100000,00000,1200,00040GROSS REVENUE 68375,B100000,00000,1300,00040PATIENT DAYS 68375,B100000,00000,1400,00040ASSIGNED TIME 68375,E10A180,00301,0100,06/22/1998 68375,E10A180,00301,0300,06/22/1998 68375,E10A180,00350,0100,06/22/1998 68375,E10A180,00350,0300,06/22/1998 68375,S000000,00100,0200,06/15/2000 68375,S200000,00100,0100,R.R. #1 68375,S200000,00100,0300,134 68375,S200000,00200,0100,HARDINGSBURG 68375,S200000,00200,0200,KY 68375,S200000,00300,0100,BRECKINRIDGE 68375,S200000,00400,0100,FOR MEDCO CENTER OF HARDINSBURG 68375,S200000,00400,0200,185302 68375,S200000,00400,0300,12/01/1991 68375,S200000,00400,0500,P 68375,S200000,01600,0100,Y 68375,S200000,01900,0100,PRIVATE 68382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68382,A000000,00300,0000,00300EMPLOYEE BENEFITS 68382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68382,A000000,00700,0000,00700HOUSEKEEPING 68382,A000000,00800,0000,00800DIETARY 68382,A000000,00900,0000,00900NURSING ADMINISTRATION 68382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68382,A000000,01100,0000,01100PHARMACY 68382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68382,A000000,01300,0000,01300SOCIAL SERVICE 68382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68382,A000000,01600,0000,01600SKILLED NURSING FACILITY 68382,A000000,01800,0000,01800NURSING FACILITY 68382,A000000,01810,0000,01810ICF/MR 68382,A000000,02100,0000,02100RADIOLOGY 68382,A000000,02200,0000,02200LABORATORY 68382,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68382,A000000,02500,0000,02500PHYSICAL THERAPY 68382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68382,A000000,02700,0000,02700SPEECH PATHOLOGY 68382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68382,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68382,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68382,A000000,03052,0000,03302MEDICAL EQUIPMENT 68382,A000000,03550,0000,03550FQHC 68382,A000000,05000,0000,05000CORF 68382,A000000,05010,0000,05010CMHC 68382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68382,A81000A,00100,0100,Y 68382,A81000B,00100,0300,HOME OFFICE A&G 68382,A81000B,00200,0300,HOME OFFICE CAPITAL 68382,A81000B,00300,0300,DIVISION OFFICE A&G 68382,A81000B,00500,0300,INSURANCE 68382,A81000C,00100,0100,B 68382,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68382,A81000C,00200,0100,G 68382,A81000C,00200,0200,LAURIER INC. 68382,A81000C,00200,0400,EXTENDICARE INC. 68382,A81000C,00200,0600,INSURANCE 68382,A81000C,00300,0100,G 68382,A81000C,00300,0200,UNITED REHABILITATION SVS 68382,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68382,A81000C,00300,0600,THERAPY SERVICE 68382,A81000C,00400,0100,G 68382,A81000C,00400,0200,UPC 68382,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68382,A81000C,00400,0600,PHARMACY THERAPY 68382,B100000,00000,0100,00040SQUARE FEET 68382,B100000,00000,0200,00040SQUARE FEET 68382,B100000,00000,0300,00040GROSS SALARIES 68382,B100000,00000,0400,00040ACCUM. COST 68382,B100000,00000,0500,00040SQUARE FEET 68382,B100000,00000,0600,00040PATIENT DAYS 68382,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68382,B100000,00000,0800,00040PATIENT DAYS 68382,B100000,00000,0900,00040PATIENT DAYS 68382,B100000,00000,1000,00040COSTED REQUIS 68382,B100000,00000,1100,00040COSTED REQUIS 68382,B100000,00000,1200,00040GROSS REVENUE 68382,B100000,00000,1300,00040PATIENT DAYS 68382,B100000,00000,1400,00040ASSIGNED TIME 68382,E10A180,00301,0100,06/22/1998 68382,E10A180,00301,0300,06/22/1998 68382,E10A180,00350,0100,06/22/1998 68382,E10A180,00350,0300,06/22/1998 68382,E10A180,00501,0300,02/12/2001 68382,S000000,00100,0200,06/15/2000 68382,S200000,00100,0100,505 NORTH CARRIER 68382,S200000,00200,0100,MORGANFIELD 68382,S200000,00200,0200,KY 68382,S200000,00300,0100,UNION 68382,S200000,00400,0100,FOR MEDCO CENTER OF MORGANFIELD 68382,S200000,00400,0200,185329 68382,S200000,00400,0300,04/01/1992 68382,S200000,00400,0500,P 68382,S200000,01600,0100,Y 68382,S200000,01900,0100,PRIVATE 68390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68390,A000000,00300,0000,00300EMPLOYEE BENEFITS 68390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68390,A000000,00700,0000,00700HOUSEKEEPING 68390,A000000,00800,0000,00800DIETARY 68390,A000000,00900,0000,00900NURSING ADMINISTRATION 68390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68390,A000000,01100,0000,01100PHARMACY 68390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68390,A000000,01300,0000,01300SOCIAL SERVICE 68390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68390,A000000,01600,0000,01600SKILLED NURSING FACILITY 68390,A000000,01800,0000,01800NURSING FACILITY 68390,A000000,01810,0000,01810ICF/MR 68390,A000000,02200,0000,02200LABORATORY 68390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68390,A000000,02500,0000,02500PHYSICAL THERAPY 68390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68390,A000000,02700,0000,02700SPEECH PATHOLOGY 68390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68390,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68390,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68390,A000000,03052,0000,03302MEDICAL EQUIPMENT 68390,A000000,03550,0000,03550FQHC 68390,A000000,05000,0000,05000CORF 68390,A000000,05010,0000,05010CMHC 68390,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68390,A81000A,00100,0100,Y 68390,A81000B,00100,0300,HOME OFFICE A&G 68390,A81000B,00200,0300,HOME OFFICE CAPITAL 68390,A81000B,00300,0300,DIVISION OFFICE A&G 68390,A81000B,00500,0300,INSURANCE 68390,A81000C,00100,0100,B 68390,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68390,A81000C,00200,0100,G 68390,A81000C,00200,0200,LAURIER INC. 68390,A81000C,00200,0400,EXTENDICARE INC. 68390,A81000C,00200,0600,INSURANCE 68390,A81000C,00300,0100,G 68390,A81000C,00300,0200,UNITED REHABILITATION SVS 68390,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68390,A81000C,00300,0600,THERAPY SERVICE 68390,A81000C,00400,0100,G 68390,A81000C,00400,0200,UPC 68390,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68390,A81000C,00400,0600,PHARMACY THERAPY 68390,B100000,00000,0100,00040SQUARE FEET 68390,B100000,00000,0200,00040SQUARE FEET 68390,B100000,00000,0300,00040GROSS SALARIES 68390,B100000,00000,0400,00040ACCUM. COST 68390,B100000,00000,0500,00040SQUARE FEET 68390,B100000,00000,0600,00040PATIENT DAYS 68390,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68390,B100000,00000,0800,00040PATIENT DAYS 68390,B100000,00000,0900,00040PATIENT DAYS 68390,B100000,00000,1000,00040COSTED REQUIS 68390,B100000,00000,1100,00040COSTED REQUIS 68390,B100000,00000,1200,00040GROSS REVENUE 68390,B100000,00000,1300,00040PATIENT DAYS 68390,B100000,00000,1400,00040ASSIGNED TIME 68390,E10A180,00301,0100,06/22/1998 68390,E10A180,00301,0300,06/22/1998 68390,E10A180,00350,0100,06/22/1998 68390,E10A180,00350,0300,06/22/1998 68390,S000000,00100,0200,06/16/2000 68390,S200000,00100,0100,1980 OLD GREENSBURG ROAD 68390,S200000,00200,0100,CAMPBELLSVILLE 68390,S200000,00200,0200,KY 68390,S200000,00300,0100,TAYLOR 68390,S200000,00400,0100,CAMPBELLSVILLE 68390,S200000,00400,0200,185330 68390,S200000,00400,0300,04/01/1992 68390,S200000,00400,0500,P 68390,S200000,01600,0100,Y 68390,S200000,01900,0100,PRIVATE 68398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68398,A000000,00300,0000,00300EMPLOYEE BENEFITS 68398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68398,A000000,00700,0000,00700HOUSEKEEPING 68398,A000000,00800,0000,00800DIETARY 68398,A000000,00900,0000,00900NURSING ADMINISTRATION 68398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68398,A000000,01100,0000,01100PHARMACY 68398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68398,A000000,01300,0000,01300SOCIAL SERVICE 68398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68398,A000000,01600,0000,01600SKILLED NURSING FACILITY 68398,A000000,01800,0000,01800NURSING FACILITY 68398,A000000,01810,0000,01810ICF/MR 68398,A000000,02100,0000,02100RADIOLOGY 68398,A000000,02200,0000,02200LABORATORY 68398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68398,A000000,02500,0000,02500PHYSICAL THERAPY 68398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68398,A000000,02700,0000,02700SPEECH PATHOLOGY 68398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68398,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68398,A000000,03052,0000,03302MEDICAL EQUIPMENT 68398,A000000,03550,0000,03550FQHC 68398,A000000,05000,0000,05000CORF 68398,A000000,05010,0000,05010CMHC 68398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68398,A81000A,00100,0100,Y 68398,A81000B,00100,0300,HOME OFFICE A&G 68398,A81000B,00200,0300,HOME OFFICE CAPITAL 68398,A81000B,00300,0300,DIVISION OFFICE A&G 68398,A81000B,00500,0300,INSURANCE 68398,A81000C,00100,0100,B 68398,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68398,A81000C,00200,0100,G 68398,A81000C,00200,0200,LAURIER INC. 68398,A81000C,00200,0400,EXTENDICARE INC. 68398,A81000C,00200,0600,INSURANCE 68398,A81000C,00300,0100,G 68398,A81000C,00300,0200,UNITED REHABILITATION SVS 68398,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68398,A81000C,00300,0600,THERAPY SERVICE 68398,A81000C,00400,0100,G 68398,A81000C,00400,0200,UPC 68398,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68398,A81000C,00400,0600,PHARMACY THERAPY 68398,B100000,00000,0100,00040SQUARE FEET 68398,B100000,00000,0200,00040SQUARE FEET 68398,B100000,00000,0300,00040GROSS SALARIES 68398,B100000,00000,0400,00040ACCUM. COST 68398,B100000,00000,0500,00040SQUARE FEET 68398,B100000,00000,0600,00040PATIENT DAYS 68398,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68398,B100000,00000,0800,00040PATIENT DAYS 68398,B100000,00000,0900,00040PATIENT DAYS 68398,B100000,00000,1000,00040COSTED REQUIS 68398,B100000,00000,1100,00040COSTED REQUIS 68398,B100000,00000,1200,00040GROSS REVENUE 68398,B100000,00000,1300,00040PATIENT DAYS 68398,B100000,00000,1400,00040ASSIGNED TIME 68398,E10A180,00301,0100,06/22/1998 68398,E10A180,00301,0300,06/22/1998 68398,E10A180,00350,0100,06/22/1998 68398,E10A180,00350,0300,06/22/1998 68398,S000000,00100,0200,06/16/2000 68398,S200000,00100,0100,414 ROBEY STREET 68398,S200000,00200,0100,FRANKLIN 68398,S200000,00200,0200,KY 68398,S200000,00300,0100,SIMPSON 68398,S200000,00400,0100,MEDCO CENTER OF FRANKLIN 68398,S200000,00400,0200,185331 68398,S200000,00400,0300,04/01/1992 68398,S200000,00400,0500,P 68398,S200000,01600,0100,Y 68406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68406,A000000,00300,0000,00300EMPLOYEE BENEFITS 68406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68406,A000000,00700,0000,00700HOUSEKEEPING 68406,A000000,00800,0000,00800DIETARY 68406,A000000,00900,0000,00900NURSING ADMINISTRATION 68406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68406,A000000,01100,0000,01100PHARMACY 68406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68406,A000000,01300,0000,01300SOCIAL SERVICE 68406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68406,A000000,01600,0000,01600SKILLED NURSING FACILITY 68406,A000000,01800,0000,01800NURSING FACILITY 68406,A000000,01810,0000,01810ICF/MR 68406,A000000,02200,0000,02200LABORATORY 68406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68406,A000000,02500,0000,02500PHYSICAL THERAPY 68406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68406,A000000,02700,0000,02700SPEECH PATHOLOGY 68406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68406,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68406,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68406,A000000,03052,0000,03302MEDICAL EQUIPMENT 68406,A000000,03550,0000,03550FQHC 68406,A000000,05000,0000,05000CORF 68406,A000000,05010,0000,05010CMHC 68406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68406,A81000A,00100,0100,Y 68406,A81000B,00100,0300,HOME OFFICE A&G 68406,A81000B,00200,0300,HOME OFFICE CAPITAL 68406,A81000B,00300,0300,DIVISION OFFICE A&G 68406,A81000B,00500,0300,INSURANCE 68406,A81000B,00900,0300,AIR FLUIDIZED THERAP 68406,A81000C,00100,0100,B 68406,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68406,A81000C,00200,0100,G 68406,A81000C,00200,0200,LAURIER INC. 68406,A81000C,00200,0400,EXTENDICARE INC. 68406,A81000C,00200,0600,INSURANCE 68406,A81000C,00300,0100,G 68406,A81000C,00300,0200,UNITED REHABILITATION SVS 68406,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68406,A81000C,00300,0600,THERAPY SERVICE 68406,A81000C,00400,0100,G 68406,A81000C,00400,0200,UPC 68406,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68406,A81000C,00400,0600,PHARMACY THERAPY 68406,B100000,00000,0100,00040SQUARE FEET 68406,B100000,00000,0200,00040SQUARE FEET 68406,B100000,00000,0300,00040GROSS SALARIES 68406,B100000,00000,0400,00040ACCUM. COST 68406,B100000,00000,0500,00040SQUARE FEET 68406,B100000,00000,0600,00040PATIENT DAYS 68406,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68406,B100000,00000,0800,00040PATIENT DAYS 68406,B100000,00000,0900,00040PATIENT DAYS 68406,B100000,00000,1000,00040COSTED REQUIS 68406,B100000,00000,1100,00040COSTED REQUIS 68406,B100000,00000,1200,00040GROSS REVENUE 68406,B100000,00000,1300,00040PATIENT DAYS 68406,B100000,00000,1400,00040ASSIGNED TIME 68406,E10A180,00301,0100,01/24/2000 68406,E10A180,00301,0300,06/22/1998 68406,E10A180,00350,0100,06/22/1998 68406,E10A180,00350,0300,06/22/1998 68406,E10A180,00550,0100,06/09/2000 68406,S000000,00100,0200,06/16/2000 68406,S200000,00100,0100,120 EAST GRUNDY AVE. 68406,S200000,00200,0100,SPRINGFIELD 68406,S200000,00200,0200,KY 68406,S200000,00300,0100,WASHINGTON 68406,S200000,00400,0100,MEDCO CENTER OF SPRINGFIELD 68406,S200000,00400,0200,185336 68406,S200000,00400,0300,04/17/1992 68406,S200000,00400,0500,P 68406,S200000,01600,0100,Y 68414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68414,A000000,00300,0000,00300EMPLOYEE BENEFITS 68414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68414,A000000,00700,0000,00700HOUSEKEEPING 68414,A000000,00800,0000,00800DIETARY 68414,A000000,00900,0000,00900NURSING ADMINISTRATION 68414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68414,A000000,01100,0000,01100PHARMACY 68414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68414,A000000,01300,0000,01300SOCIAL SERVICE 68414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68414,A000000,01600,0000,01600SKILLED NURSING FACILITY 68414,A000000,01800,0000,01800NURSING FACILITY 68414,A000000,01810,0000,01810ICF/MR 68414,A000000,02100,0000,02100RADIOLOGY 68414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68414,A000000,02500,0000,02500PHYSICAL THERAPY 68414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68414,A000000,02700,0000,02700SPEECH PATHOLOGY 68414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68414,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68414,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68414,A000000,03052,0000,03302MEDICAL EQUIPMENT 68414,A000000,03550,0000,03550FQHC 68414,A000000,05000,0000,05000CORF 68414,A000000,05010,0000,05010CMHC 68414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68414,A81000A,00100,0100,Y 68414,A81000B,00100,0300,HOME OFFICE A&G 68414,A81000B,00200,0300,HOME OFFICE CAPITAL 68414,A81000B,00300,0300,DIVISION OFFICE A&G 68414,A81000B,00500,0300,INSURANCE 68414,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68414,A81000C,00100,0100,B 68414,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68414,A81000C,00200,0100,G 68414,A81000C,00200,0200,LAURIER INC. 68414,A81000C,00200,0400,EXTENDICARE INC. 68414,A81000C,00200,0600,INSURANCE 68414,A81000C,00300,0100,G 68414,A81000C,00300,0200,UNITED REHABILITATION SVS 68414,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68414,A81000C,00300,0600,THERAPY SERVICE 68414,A81000C,00400,0100,G 68414,A81000C,00400,0200,UPC 68414,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68414,A81000C,00400,0600,PHARMACY THERAPY 68414,B100000,00000,0100,00040SQUARE FEET 68414,B100000,00000,0200,00040SQUARE FEET 68414,B100000,00000,0300,00040GROSS SALARIES 68414,B100000,00000,0400,00040ACCUM. COST 68414,B100000,00000,0500,00040SQUARE FEET 68414,B100000,00000,0600,00040PATIENT DAYS 68414,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68414,B100000,00000,0800,00040PATIENT DAYS 68414,B100000,00000,0900,00040PATIENT DAYS 68414,B100000,00000,1000,00040COSTED REQUIS 68414,B100000,00000,1100,00040COSTED REQUIS 68414,B100000,00000,1200,00040GROSS REVENUE 68414,B100000,00000,1300,00040PATIENT DAYS 68414,B100000,00000,1400,00040ASSIGNED TIME 68414,E10A180,00301,0100,01/24/2000 68414,E10A180,00301,0300,06/22/1998 68414,E10A180,00350,0100,06/22/1998 68414,E10A180,00350,0300,06/22/1998 68414,E10A180,00501,0300,02/12/2001 68414,E10A180,00550,0100,02/12/2001 68414,S000000,00100,0200,06/16/2000 68414,S200000,00100,0100,HIGHWAY 41 68414,S200000,00100,0300,149 68414,S200000,00200,0100,PEMBROKE 68414,S200000,00200,0200,KY 68414,S200000,00300,0100,CHRISTIAN 68414,S200000,00400,0100,FOR MEDCO CENTER OF PEMBROKE 68414,S200000,00400,0200,185338 68414,S200000,00400,0300,06/01/1992 68414,S200000,00400,0500,P 68414,S200000,01600,0100,Y 68421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68421,A000000,00300,0000,00300EMPLOYEE BENEFITS 68421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68421,A000000,00700,0000,00700HOUSEKEEPING 68421,A000000,00800,0000,00800DIETARY 68421,A000000,00900,0000,00900NURSING ADMINISTRATION 68421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68421,A000000,01100,0000,01100PHARMACY 68421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68421,A000000,01300,0000,01300SOCIAL SERVICE 68421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68421,A000000,01600,0000,01600SKILLED NURSING FACILITY 68421,A000000,01800,0000,01800NURSING FACILITY 68421,A000000,01810,0000,01810ICF/MR 68421,A000000,02200,0000,02200LABORATORY 68421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68421,A000000,02500,0000,02500PHYSICAL THERAPY 68421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68421,A000000,02700,0000,02700SPEECH PATHOLOGY 68421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68421,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68421,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68421,A000000,03052,0000,03302MEDICAL EQUIPMENT 68421,A000000,03550,0000,03550FQHC 68421,A000000,05000,0000,05000CORF 68421,A000000,05010,0000,05010CMHC 68421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68421,A81000A,00100,0100,Y 68421,A81000B,00100,0300,HOME OFFICE A&G 68421,A81000B,00200,0300,HOME OFFICE CAPITAL 68421,A81000B,00300,0300,DIVISION OFFICE A&G 68421,A81000B,00500,0300,INSURANCE 68421,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68421,A81000C,00100,0100,B 68421,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68421,A81000C,00200,0100,G 68421,A81000C,00200,0200,LAURIER INC. 68421,A81000C,00200,0400,EXTENDICARE INC. 68421,A81000C,00200,0600,INSURANCE 68421,A81000C,00300,0100,G 68421,A81000C,00300,0200,UNITED REHABILITATION SVS 68421,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68421,A81000C,00300,0600,THERAPY SERVICE 68421,A81000C,00400,0100,G 68421,A81000C,00400,0200,UPC 68421,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68421,A81000C,00400,0600,PHARMACY THERAPY 68421,B100000,00000,0100,00040SQUARE FEET 68421,B100000,00000,0200,00040SQUARE FEET 68421,B100000,00000,0300,00040GROSS SALARIES 68421,B100000,00000,0400,00040ACCUM. COST 68421,B100000,00000,0500,00040SQUARE FEET 68421,B100000,00000,0600,00040PATIENT DAYS 68421,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68421,B100000,00000,0800,00040PATIENT DAYS 68421,B100000,00000,0900,00040PATIENT DAYS 68421,B100000,00000,1000,00040COSTED REQUIS 68421,B100000,00000,1100,00040COSTED REQUIS 68421,B100000,00000,1200,00040GROSS REVENUE 68421,B100000,00000,1300,00040PATIENT DAYS 68421,B100000,00000,1400,00040ASSIGNED TIME 68421,E10A180,00301,0100,01/24/2000 68421,E10A180,00301,0300,06/22/1998 68421,E10A180,00350,0100,06/22/1998 68421,E10A180,00350,0300,06/22/1998 68421,E10A180,00550,0100,06/09/2000 68421,S000000,00100,0200,06/16/2000 68421,S200000,00100,0100,WALLACE DRIVE & BERTHA STREET 68421,S200000,00200,0100,IRVINE 68421,S200000,00200,0200,KY 68421,S200000,00300,0100,ESTILL 68421,S200000,00400,0100,IRVINE HEALTH CARE CENTER 68421,S200000,00400,0200,185339 68421,S200000,00400,0300,04/01/1992 68421,S200000,00400,0500,P 68421,S200000,01600,0100,Y 68428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68428,A000000,00300,0000,00300EMPLOYEE BENEFITS 68428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68428,A000000,00700,0000,00700HOUSEKEEPING 68428,A000000,00800,0000,00800DIETARY 68428,A000000,00900,0000,00900NURSING ADMINISTRATION 68428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68428,A000000,01100,0000,01100PHARMACY 68428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68428,A000000,01300,0000,01300SOCIAL SERVICE 68428,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68428,A000000,01600,0000,01600SKILLED NURSING FACILITY 68428,A000000,01800,0000,01800NURSING FACILITY 68428,A000000,01810,0000,01810ICF/MR 68428,A000000,02200,0000,02200LABORATORY 68428,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68428,A000000,02500,0000,02500PHYSICAL THERAPY 68428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68428,A000000,02700,0000,02700SPEECH PATHOLOGY 68428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68428,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68428,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68428,A000000,03052,0000,03302MEDICAL EQUIPMENT 68428,A000000,03550,0000,03550FQHC 68428,A000000,05000,0000,05000CORF 68428,A000000,05010,0000,05010CMHC 68428,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68428,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68428,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68428,A81000A,00100,0100,Y 68428,A81000B,00100,0300,HOME OFFICE A&G 68428,A81000B,00200,0300,HOME OFFICE CAPITAL 68428,A81000B,00300,0300,DIVISION OFFICE A&G 68428,A81000B,00500,0300,INSURANCE 68428,A81000C,00100,0100,B 68428,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68428,A81000C,00200,0100,G 68428,A81000C,00200,0200,LAURIER INC. 68428,A81000C,00200,0400,EXTENDICARE INC. 68428,A81000C,00200,0600,INSURANCE 68428,A81000C,00300,0100,G 68428,A81000C,00300,0200,UNITED REHABILITATION SVS 68428,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68428,A81000C,00300,0600,THERAPY SERVICE 68428,A81000C,00400,0100,G 68428,A81000C,00400,0200,UPC 68428,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68428,A81000C,00400,0600,PHARMACY THERAPY 68428,B100000,00000,0100,00040SQUARE FEET 68428,B100000,00000,0200,00040SQUARE FEET 68428,B100000,00000,0300,00040GROSS SALARIES 68428,B100000,00000,0400,00040ACCUM. COST 68428,B100000,00000,0500,00040SQUARE FEET 68428,B100000,00000,0600,00040PATIENT DAYS 68428,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68428,B100000,00000,0800,00040PATIENT DAYS 68428,B100000,00000,0900,00040PATIENT DAYS 68428,B100000,00000,1000,00040COSTED REQUIS 68428,B100000,00000,1100,00040COSTED REQUIS 68428,B100000,00000,1200,00040GROSS REVENUE 68428,B100000,00000,1300,00040PATIENT DAYS 68428,B100000,00000,1400,00040ASSIGNED TIME 68428,E10A180,00301,0100,06/22/1998 68428,E10A180,00301,0300,06/22/1998 68428,E10A180,00350,0100,06/22/1998 68428,E10A180,00350,0300,06/22/1998 68428,S000000,00100,0200,06/16/2000 68428,S200000,00100,0100,DERICKSON RD. RR2-620 68428,S200000,00200,0100,STANTON 68428,S200000,00200,0200,KY 68428,S200000,00300,0100,POWELL 68428,S200000,00400,0100,STANTON NURSING CENTER 68428,S200000,00400,0200,185352 68428,S200000,00400,0300,07/01/1992 68428,S200000,00400,0500,P 68428,S200000,01600,0100,Y 68436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68436,A000000,00300,0000,00300EMPLOYEE BENEFITS 68436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68436,A000000,00700,0000,00700HOUSEKEEPING 68436,A000000,00800,0000,00800DIETARY 68436,A000000,00900,0000,00900NURSING ADMINISTRATION 68436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68436,A000000,01100,0000,01100PHARMACY 68436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68436,A000000,01300,0000,01300SOCIAL SERVICE 68436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68436,A000000,01600,0000,01600SKILLED NURSING FACILITY 68436,A000000,01800,0000,01800NURSING FACILITY 68436,A000000,01810,0000,01810ICF/MR 68436,A000000,02100,0000,02100RADIOLOGY 68436,A000000,02200,0000,02200LABORATORY 68436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68436,A000000,02500,0000,02500PHYSICAL THERAPY 68436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68436,A000000,02700,0000,02700SPEECH PATHOLOGY 68436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68436,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68436,A000000,03052,0000,03302MEDICAL EQUIPMENT 68436,A000000,03550,0000,03550FQHC 68436,A000000,05000,0000,05000CORF 68436,A000000,05010,0000,05010CMHC 68436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68436,A81000A,00100,0100,Y 68436,A81000B,00100,0300,HOME OFFICE A&G 68436,A81000B,00200,0300,HOME OFFICE CAPITAL 68436,A81000B,00300,0300,DIVISION OFFICE A&G 68436,A81000B,00500,0300,INSURANCE 68436,A81000C,00100,0100,B 68436,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68436,A81000C,00200,0100,G 68436,A81000C,00200,0200,LAURIER INC. 68436,A81000C,00200,0400,EXTENDICARE INC. 68436,A81000C,00200,0600,INSURANCE 68436,A81000C,00300,0100,G 68436,A81000C,00300,0200,UNITED REHABILITATION SVS 68436,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68436,A81000C,00300,0600,THERAPY SERVICE 68436,A81000C,00400,0100,G 68436,A81000C,00400,0200,UPC 68436,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68436,A81000C,00400,0600,PHARMACY THERAPY 68436,B100000,00000,0100,00040SQUARE FEET 68436,B100000,00000,0200,00040SQUARE FEET 68436,B100000,00000,0300,00040GROSS SALARIES 68436,B100000,00000,0400,00040ACCUM. COST 68436,B100000,00000,0500,00040SQUARE FEET 68436,B100000,00000,0600,00040PATIENT DAYS 68436,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68436,B100000,00000,0800,00040PATIENT DAYS 68436,B100000,00000,0900,00040PATIENT DAYS 68436,B100000,00000,1000,00040COSTED REQUIS 68436,B100000,00000,1100,00040COSTED REQUIS 68436,B100000,00000,1200,00040GROSS REVENUE 68436,B100000,00000,1300,00040PATIENT DAYS 68436,B100000,00000,1400,00040ASSIGNED TIME 68436,E10A180,00301,0100,06/22/1998 68436,E10A180,00301,0300,06/22/1998 68436,E10A180,00350,0100,06/22/1998 68436,E10A180,00350,0300,06/22/1998 68436,E10A180,00501,0300,02/12/2001 68436,S000000,00100,0200,06/16/2000 68436,S200000,00100,0100,814 OLD EKRON ROAD 68436,S200000,00200,0100,BRANDENBURG 68436,S200000,00200,0200,KY 68436,S200000,00300,0100,MEADE 68436,S200000,00400,0100,FOR MEDCO OF BRANDENBURG 68436,S200000,00400,0200,185353 68436,S200000,00400,0300,08/01/1992 68436,S200000,00400,0500,P 68436,S200000,01600,0100,Y 68444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68444,A000000,00300,0000,00300EMPLOYEE BENEFITS 68444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68444,A000000,00700,0000,00700HOUSEKEEPING 68444,A000000,00800,0000,00800DIETARY 68444,A000000,00900,0000,00900NURSING ADMINISTRATION 68444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68444,A000000,01100,0000,01100PHARMACY 68444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68444,A000000,01300,0000,01300SOCIAL SERVICE 68444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68444,A000000,01600,0000,01600SKILLED NURSING FACILITY 68444,A000000,01800,0000,01800NURSING FACILITY 68444,A000000,01810,0000,01810ICF/MR 68444,A000000,02100,0000,02100RADIOLOGY 68444,A000000,02200,0000,02200LABORATORY 68444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68444,A000000,02500,0000,02500PHYSICAL THERAPY 68444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68444,A000000,02700,0000,02700SPEECH PATHOLOGY 68444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68444,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68444,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68444,A000000,03052,0000,03302MEDICAL EQUIPMENT 68444,A000000,03550,0000,03550FQHC 68444,A000000,05000,0000,05000CORF 68444,A000000,05010,0000,05010CMHC 68444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68444,A81000A,00100,0100,Y 68444,A81000B,00100,0300,HOME OFFICE A&G 68444,A81000B,00200,0300,HOME OFFICE CAPITAL 68444,A81000B,00300,0300,DIVISION OFFICE A&G 68444,A81000B,00500,0300,INSURANCE 68444,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68444,A81000C,00100,0100,B 68444,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68444,A81000C,00200,0100,G 68444,A81000C,00200,0200,LAURIER INC. 68444,A81000C,00200,0400,EXTENDICARE INC. 68444,A81000C,00200,0600,INSURANCE 68444,A81000C,00300,0100,G 68444,A81000C,00300,0200,UNITED REHABILITATION SVS 68444,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68444,A81000C,00300,0600,THERAPY SERVICE 68444,A81000C,00400,0100,G 68444,A81000C,00400,0200,UPC 68444,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68444,A81000C,00400,0600,PHARMACY THERAPY 68444,B100000,00000,0100,00040SQUARE FEET 68444,B100000,00000,0200,00040SQUARE FEET 68444,B100000,00000,0300,00040GROSS SALARIES 68444,B100000,00000,0400,00040ACCUM. COST 68444,B100000,00000,0500,00040SQUARE FEET 68444,B100000,00000,0600,00040PATIENT DAYS 68444,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68444,B100000,00000,0800,00040PATIENT DAYS 68444,B100000,00000,0900,00040PATIENT DAYS 68444,B100000,00000,1000,00040COSTED REQUIS 68444,B100000,00000,1100,00040COSTED REQUIS 68444,B100000,00000,1200,00040GROSS REVENUE 68444,B100000,00000,1300,00040PATIENT DAYS 68444,B100000,00000,1400,00040ASSIGNED TIME 68444,E10A180,00301,0100,06/22/1998 68444,E10A180,00301,0300,06/22/1998 68444,E10A180,00350,0100,06/22/1998 68444,E10A180,00350,0300,06/22/1998 68444,E10A180,00501,0300,02/12/2001 68444,S000000,00100,0200,06/16/2000 68444,S200000,00100,0100,HIGHWAY 41 68444,S200000,00100,0300,205 68444,S200000,00200,0100,FORDSVILLE 68444,S200000,00200,0200,KY 68444,S200000,00300,0100,OHIO 68444,S200000,00400,0100,FOR MEDCO CENTER OF FORDSVILLE 68444,S200000,00400,0200,185354 68444,S200000,00400,0300,08/01/1992 68444,S200000,00400,0500,P 68444,S200000,01600,0100,Y 68452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68452,A000000,00300,0000,00300EMPLOYEE BENEFITS 68452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68452,A000000,00700,0000,00700HOUSEKEEPING 68452,A000000,00800,0000,00800DIETARY 68452,A000000,00900,0000,00900NURSING ADMINISTRATION 68452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68452,A000000,01100,0000,01100PHARMACY 68452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68452,A000000,01300,0000,01300SOCIAL SERVICE 68452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68452,A000000,01600,0000,01600SKILLED NURSING FACILITY 68452,A000000,01800,0000,01800NURSING FACILITY 68452,A000000,01810,0000,01810ICF/MR 68452,A000000,02100,0000,02100RADIOLOGY 68452,A000000,02200,0000,02200LABORATORY 68452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68452,A000000,02500,0000,02500PHYSICAL THERAPY 68452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68452,A000000,02700,0000,02700SPEECH PATHOLOGY 68452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68452,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68452,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 68452,A000000,03052,0000,03302MEDICAL EQUIPMENT 68452,A000000,03550,0000,03550FQHC 68452,A000000,05000,0000,05000CORF 68452,A000000,05010,0000,05010CMHC 68452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68452,A81000A,00100,0100,Y 68452,A81000B,00100,0300,HOME OFFICE A&G 68452,A81000B,00200,0300,HOME OFFICE CAPITAL 68452,A81000B,00300,0300,DIVISION OFFICE A&G 68452,A81000B,00500,0300,INSURANCE 68452,A81000B,00900,0300,AIR FLUIDIZED THERAPY 68452,A81000C,00100,0100,B 68452,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 68452,A81000C,00200,0100,G 68452,A81000C,00200,0200,LAURIER INC. 68452,A81000C,00200,0400,EXTENDICARE INC. 68452,A81000C,00200,0600,INSURANCE 68452,A81000C,00300,0100,G 68452,A81000C,00300,0200,UNITED REHABILITATION SVS 68452,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 68452,A81000C,00300,0600,THERAPY SERVICE 68452,A81000C,00400,0100,G 68452,A81000C,00400,0200,UPC 68452,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 68452,A81000C,00400,0600,PHARMACY THERAPY 68452,B100000,00000,0100,00040SQUARE FEET 68452,B100000,00000,0200,00040SQUARE FEET 68452,B100000,00000,0300,00040GROSS SALARIES 68452,B100000,00000,0400,00040ACCUM. COST 68452,B100000,00000,0500,00040SQUARE FEET 68452,B100000,00000,0600,00040PATIENT DAYS 68452,B100000,00000,0700,00040ALTERNATE SQUARE FEE 68452,B100000,00000,0800,00040PATIENT DAYS 68452,B100000,00000,0900,00040PATIENT DAYS 68452,B100000,00000,1000,00040COSTED REQUIS 68452,B100000,00000,1100,00040COSTED REQUIS 68452,B100000,00000,1200,00040GROSS REVENUE 68452,B100000,00000,1300,00040PATIENT DAYS 68452,B100000,00000,1400,00040ASSIGNED TIME 68452,E10A180,00301,0100,06/22/1998 68452,E10A180,00301,0300,06/22/1998 68452,E10A180,00350,0100,06/22/1998 68452,E10A180,00350,0300,06/22/1998 68452,E10A180,00550,0300,02/12/2001 68452,S000000,00100,0200,06/16/2000 68452,S200000,00100,0100,2500 NORTH ELM STREET 68452,S200000,00200,0100,HENDERSON 68452,S200000,00200,0200,KY 68452,S200000,00300,0100,HENDERSON 68452,S200000,00400,0100,FOR MEDCO CENTER OF HENDERSON 68452,S200000,00400,0200,185402 68452,S200000,00400,0300,12/01/1991 68452,S200000,00400,0500,P 68452,S200000,01600,0100,Y 68462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68462,A000000,00300,0000,00300EMPLOYEE BENEFITS 68462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68462,A000000,00700,0000,00700HOUSEKEEPING 68462,A000000,00800,0000,00800DIETARY 68462,A000000,00900,0000,00900NURSING ADMINISTRATION 68462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68462,A000000,01100,0000,01100PHARMACY 68462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68462,A000000,01300,0000,01300SOCIAL SERVICE 68462,A000000,01350,0000,01500DIVERSIONAL THERAPY 68462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68462,A000000,01600,0000,01600SKILLED NURSING FACILITY 68462,A000000,02100,0000,02100RADIOLOGY 68462,A000000,02200,0000,02200LABORATORY 68462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68462,A000000,02500,0000,02500PHYSICAL THERAPY 68462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68462,A000000,02700,0000,02700SPEECH PATHOLOGY 68462,A000000,02800,0000,02800ELECTROCARDIOLOGY 68462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68462,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68462,A000000,03550,0000,03550FQHC 68462,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68462,A000000,05000,0000,05000CORF 68462,A000000,05010,0000,05010CMHC 68462,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68462,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68462,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68462,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68462,A81000A,00100,0100,Y 68462,A81000B,00100,0300,ADIMINSTRATIVE + GENERAL 68462,A81000C,00100,0100,B 68462,A81000C,00100,0200,OCEANA COUNTY 68462,A81000C,00100,0400,COUNTY 68462,A81000C,00100,0600,GOVERNMENT 68462,B100000,00000,0100,00000SQUARE FEET 68462,B100000,00000,0200,00000NO STATISTICS 68462,B100000,00000,0300,00000GROSS SALARIES 68462,B100000,00000,0400,00000ACCUM. COST 68462,B100000,00000,0500,00000SQUARE FEET 68462,B100000,00000,0600,00000LBS 68462,B100000,00000,0700,00000SQUARE FEET 68462,B100000,00000,0800,00000MEALS 68462,B100000,00000,0900,00000HOURS 68462,B100000,00000,1000,00000NO STATISTICS 68462,B100000,00000,1100,00000NO STATISTICS 68462,B100000,00000,1200,00000DAYS 68462,B100000,00000,1300,00000DAYS 68462,B100000,00000,1350,00000HOURS 68462,B100000,00000,1400,00000NO STATISTICS 68462,S000000,00100,0200,05/31/2000 68462,S200000,00100,0100,701 E. MAIN STREET 68462,S200000,00200,0100,HART 68462,S200000,00200,0200,MI 68462,S200000,00300,0100,OCEANA 68462,S200000,00400,0100,OCEANA MEDICAL CARE FACILITY 68462,S200000,00400,0200,235002 68462,S200000,00400,0300,07/01/1966 68462,S200000,00400,0500,P 68462,S200000,01500,0100,Y 68470,S000000,00100,0200,05/31/2000 68606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68606,A000000,00300,0000,00300EMPLOYEE BENEFITS 68606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68606,A000000,00700,0000,00700HOUSEKEEPING 68606,A000000,00800,0000,00800DIETARY 68606,A000000,00900,0000,00900NURSING ADMINISTRATION 68606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68606,A000000,01100,0000,01100PHARMACY 68606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68606,A000000,01300,0000,01300SOCIAL SERVICE 68606,A000000,01350,0000,01500DIVERSIONAL THERAPY 68606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68606,A000000,01600,0000,01600SKILLED NURSING FACILITY 68606,A000000,01810,0000,01810ICF/MR 68606,A000000,02100,0000,02100RADIOLOGY 68606,A000000,02200,0000,02200LABORATORY 68606,A000000,02500,0000,02500PHYSICAL THERAPY 68606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68606,A000000,02700,0000,02700SPEECH PATHOLOGY 68606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68606,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68606,A000000,03550,0000,03550FQHC 68606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68606,A000000,05000,0000,05000CORF 68606,A000000,05010,0000,05010CMHC 68606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68606,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68606,A81000A,00100,0100,Y 68606,A81000B,00100,0300,INTEREST 68606,A81000B,00200,0300,INTEREST 68606,A81000B,00300,0300,INTEREST 68606,A81000C,00100,0100,B 68606,A81000C,00100,0200,DICKINSON COUNTY 68606,A81000C,00100,0400,DICKINSON COUNTY 68606,A81000C,00100,0600,COUNTY 68606,A81000C,00200,0100,B 68606,A81000C,00200,0200,DELTA COUNTY 68606,A81000C,00200,0400,DELTA COUNTY 68606,A81000C,00200,0600,COUNTY 68606,A81000C,00300,0100,B 68606,A81000C,00300,0200,MENOMINEE COUNTY 68606,A81000C,00300,0400,MENOMINEE COUNTY 68606,A81000C,00300,0600,COUNTY 68606,B100000,00000,0100,00000SQUARE FEET 68606,B100000,00000,0200,00000SQUARE FEET 68606,B100000,00000,0300,00000GROSS SALARIES 68606,B100000,00000,0400,00000ACCUM. COST 68606,B100000,00000,0500,00000SQUARE FEET 68606,B100000,00000,0600,00000POUNDS OF LAUNDRY 68606,B100000,00000,0700,00000SQUARE FEET 68606,B100000,00000,0800,00000MEALS SERVED 68606,B100000,00000,0900,00000DIRECT NRSING HRS 68606,B100000,00000,1000,00000COSTED REQUIS. 68606,B100000,00000,1100,00000COSTED REQUIS. 68606,B100000,00000,1200,00000TIME SPENT 68606,B100000,00000,1300,00000TIME SPENT 68606,B100000,00000,1350,00000TIME SPENT 68606,B100000,00000,1400,00000ASSIGNED TIME 68606,S000000,00100,0200,04/18/2000 68606,S200000,00100,0100,SHERIDAN ROAD 68606,S200000,00200,0100,POWERS 68606,S200000,00200,0200,MI 68606,S200000,00300,0100,DICKINSON DELTA MENOMINEE 68606,S200000,00400,0100,PINECREST MCF 68606,S200000,00400,0200,235069 68606,S200000,00400,0300,07/01/1966 68606,S200000,00400,0500,P 68606,S200000,00400,0600,O 68606,S200000,01500,0100,Y 68606,S200000,01900,0100,AFFL. W/MERCY HOSPIT 68611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68611,A000000,00300,0000,00300EMPLOYEE BENEFITS 68611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68611,A000000,00700,0000,00700HOUSEKEEPING 68611,A000000,00800,0000,00800DIETARY 68611,A000000,00900,0000,00900NURSING ADMINISTRATION 68611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68611,A000000,01100,0000,01100PHARMACY 68611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68611,A000000,01300,0000,01300SOCIAL SERVICE 68611,A000000,01350,0000,01500DIVERSIONAL THERAPY 68611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68611,A000000,01600,0000,01600SKILLED NURSING FACILITY 68611,A000000,01810,0000,01810ICF/MR 68611,A000000,02100,0000,02100RADIOLOGY 68611,A000000,02200,0000,02200LABORATORY 68611,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68611,A000000,02500,0000,02500PHYSICAL THERAPY 68611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68611,A000000,02700,0000,02700SPEECH PATHOLOGY 68611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68611,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68611,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68611,A000000,03550,0000,03550FQHC 68611,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68611,A000000,05000,0000,05000CORF 68611,A000000,05010,0000,05010CMHC 68611,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68611,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68611,A81000A,00100,0100,Y 68611,A81000B,00100,0300,BOARD EXPENSES 68611,A81000C,00100,0100,B 68611,A81000C,00100,0200,MASON COUNTY 68611,A81000C,00100,0400,MASON COUNTY 68611,A81000C,00100,0600,COUNTY 68611,B100000,00000,0100,00000SQUARE FEET 68611,B100000,00000,0200,00000SQUARE FEET 68611,B100000,00000,0300,00000GROSS SALARIES 68611,B100000,00000,0400,00000ACCUM. COST 68611,B100000,00000,0500,00000SQUARE FEET 68611,B100000,00000,0600,00000POUNDS OF LAUNDRY 68611,B100000,00000,0700,00000SQUARE FEET 68611,B100000,00000,0800,00000MEALS SERVED 68611,B100000,00000,0900,00000DIRECT NRSING HRS 68611,B100000,00000,1000,00000COSTED REQUIS. 68611,B100000,00000,1100,00000COSTED REQUIS. 68611,B100000,00000,1200,00000TIME SPENT 68611,B100000,00000,1300,00000TIME SPENT 68611,B100000,00000,1350,00000HRS 68611,B100000,00000,1400,00000ASSIGNED TIME 68611,S000000,00100,0200,05/31/2000 68611,S200000,00100,0100,1001 DIANA 68611,S200000,00200,0100,LUDINGTON 68611,S200000,00200,0200,MI 68611,S200000,00300,0100,MASON 68611,S200000,00400,0100,OAKVIEW MEDICAL CARE FACILITY 68611,S200000,00400,0200,235072 68611,S200000,00400,0300,07/01/1966 68611,S200000,00400,0500,P 68611,S200000,01500,0100,Y 68611,S200000,01900,0100,AFFL. W/MERCY HOSPIT 68705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68705,A000000,00300,0000,00300EMPLOYEE BENEFITS 68705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68705,A000000,00700,0000,00700HOUSEKEEPING 68705,A000000,00800,0000,00800DIETARY 68705,A000000,00900,0000,00900NURSING ADMINISTRATION 68705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68705,A000000,01100,0000,01100PHARMACY 68705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68705,A000000,01300,0000,01300SOCIAL SERVICE 68705,A000000,01301,0000,01301ACTIVITIES 68705,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 68705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68705,A000000,01600,0000,01600SKILLED NURSING FACILITY 68705,A000000,01800,0000,01800NURSING FACILITY 68705,A000000,01810,0000,01810ICF/MR 68705,A000000,02100,0000,02100RADIOLOGY 68705,A000000,02200,0000,02200LABORATORY 68705,A000000,02300,0000,02300INTRAVENOUS THERAPY 68705,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68705,A000000,02500,0000,02500PHYSICAL THERAPY 68705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68705,A000000,02700,0000,02700SPEECH PATHOLOGY 68705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68705,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68705,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68705,A000000,03550,0000,03550FQHC 68705,A000000,04800,0000,04800AMBULANCE 68705,A000000,05000,0000,05000CORF 68705,A000000,05010,0000,05010CMHC 68705,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68705,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68705,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68705,A000000,05300,0000,05300INTEREST EXPENSE 68705,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68705,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68705,A81000A,00100,0100,Y 68705,A81000B,00100,0300,HOME OFFICE ALLOCATION 68705,A81000B,00200,0300,NON CERT 68705,A81000B,00300,0300,MEDICAL SUPPLIES 68705,A81000B,00400,0300,REHAB 68705,A81000B,00500,0300,PT 68705,A81000B,00600,0300,OT 68705,A81000B,00700,0300,27 68705,A81000C,00100,0100,B 68705,A81000C,00100,0200,CAMBRIDGE 12196 68705,A81000C,00100,0400,MARINER POST AC 68705,A81000C,00100,0600,NURSING HOMES 68705,A81000C,00200,0100,G 68705,A81000C,00200,0200,MARINER POST AC 68705,A81000C,00200,0400,AMERICAN PHARMA 68705,A81000C,00200,0600,PHARMACEUTICALS 68705,A81000C,00300,0100,G 68705,A81000C,00300,0200,MARINER POST AC 68705,A81000C,00300,0400,PRISM (ATS ARS 68705,A81000C,00300,0600,THERAPIES 68705,B100000,00000,0100,00000SQUARE FEET 68705,B100000,00000,0200,00000SQUARE FEET 68705,B100000,00000,0300,00000GROSS SALARIES 68705,B100000,00000,0400,00000ACCUM COST 68705,B100000,00000,0500,00000SQUARE FEET 68705,B100000,00000,0600,00000PATIENT DAYS 68705,B100000,00000,0700,00000SQUARE FEET 68705,B100000,00000,0800,00000MEALS SERVED 68705,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68705,B100000,00000,1000,00000PATIENT DAYS 68705,B100000,00000,1100,00000COSTED REQUIS 68705,B100000,00000,1200,00000PATIENT DAYS 68705,B100000,00000,1300,00000PATIENT DAYS 68705,B100000,00000,1301,00000PATIENT DAYS 68705,B100000,00000,1350,00000UNITS OF SERVICE 68705,B100000,00000,1400,00000ASSIGNED TIME 68705,S000000,00100,0200,06/06/2000 68705,S200000,00100,0100,31155 DEQUINDRE 68705,S200000,00200,0100,MADISON HEIGHTS 68705,S200000,00200,0200,MI 68705,S200000,00200,0300,48071 68705,S200000,00300,0100,OAKLAND 68705,S200000,00400,0100,CAMBRIDGE EAST HEALTHCARE CENTER 68705,S200000,00400,0200,235187 68705,S200000,00400,0300,09/01/1984 68705,S200000,00400,0500,P 68713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68713,A000000,00300,0000,00300EMPLOYEE BENEFITS 68713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68713,A000000,00700,0000,00700HOUSEKEEPING 68713,A000000,00800,0000,00800DIETARY 68713,A000000,00900,0000,00900NURSING ADMINISTRATION 68713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68713,A000000,01100,0000,01100PHARMACY 68713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68713,A000000,01300,0000,01300SOCIAL SERVICE 68713,A000000,01350,0000,01500DIVERSIONAL THERAPY 68713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68713,A000000,01600,0000,01600SKILLED NURSING FACILITY 68713,A000000,01810,0000,01810ICF/MR 68713,A000000,02100,0000,02100RADIOLOGY 68713,A000000,02200,0000,02200LABORATORY 68713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68713,A000000,02500,0000,02500PHYSICAL THERAPY 68713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68713,A000000,02700,0000,02700SPEECH PATHOLOGY 68713,A000000,02800,0000,02800ELECTROCARDIOLOGY 68713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68713,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68713,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68713,A000000,03550,0000,03550FQHC 68713,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68713,A000000,05000,0000,05000CORF 68713,A000000,05010,0000,05010CMHC 68713,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68713,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68713,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68713,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68713,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68713,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 68713,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68713,B100000,00000,0100,00000SQUARE FEET 68713,B100000,00000,0200,00000SQUARE FEET 68713,B100000,00000,0300,00000GROSS SALARIES 68713,B100000,00000,0400,00000ACCUM. COST 68713,B100000,00000,0500,00000SQUARE FEET 68713,B100000,00000,0600,00000POUNDS OF LAUNDRY 68713,B100000,00000,0700,00000SQUARE FEET 68713,B100000,00000,0800,00000MEALS SERVED 68713,B100000,00000,0900,00000DIRECT NRSING HRS 68713,B100000,00000,1000,00000COSTED REQUIS. 68713,B100000,00000,1100,00000COSTED REQUIS. 68713,B100000,00000,1200,00000TIME SPENT 68713,B100000,00000,1300,00000TIME SPENT 68713,B100000,00000,1350,00000TIME SPENT 68713,B100000,00000,1400,00000ASSIGNED TIME 68713,S000000,00100,0200,05/12/2000 68713,S200000,00100,0100,140 WEST MECHANIC STREET 68713,S200000,00200,0100,HILLSDALE 68713,S200000,00200,0200,MI 68713,S200000,00200,0300,49242 68713,S200000,00300,0100,HILLSDALE 68713,S200000,00400,0100,HILLSDALE COUNTY MCF 68713,S200000,00400,0200,235197 68713,S200000,00400,0300,04/06/1970 68713,S200000,00400,0500,P 68713,S200000,00400,0600,O 68713,S200000,01500,0100,Y 68719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68719,A000000,00300,0000,00300EMPLOYEE BENEFITS 68719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68719,A000000,00700,0000,00700HOUSEKEEPING 68719,A000000,00800,0000,00800DIETARY 68719,A000000,00900,0000,00900NURSING ADMINISTRATION 68719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68719,A000000,01100,0000,01100PHARMACY 68719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68719,A000000,01300,0000,01300SOCIAL SERVICE 68719,A000000,01350,0000,01500DIVERSIONAL THERAPY 68719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68719,A000000,01600,0000,01600SKILLED NURSING FACILITY 68719,A000000,01810,0000,01810ICF/MR 68719,A000000,02100,0000,02100RADIOLOGY 68719,A000000,02200,0000,02200LABORATORY 68719,A000000,02500,0000,02500PHYSICAL THERAPY 68719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68719,A000000,02700,0000,02700SPEECH PATHOLOGY 68719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68719,A000000,03550,0000,03550FQHC 68719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68719,A000000,05000,0000,05000CORF 68719,A000000,05010,0000,05010CMHC 68719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68719,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68719,B100000,00000,0100,00000SQUARE FEET 68719,B100000,00000,0200,00000NO STATISTICS 68719,B100000,00000,0300,00000NO STATISTICS 68719,B100000,00000,0400,00000ACCUM. COST 68719,B100000,00000,0500,00000SQUARE FEET 68719,B100000,00000,0600,00000POUNDS OF LAUNDRY 68719,B100000,00000,0700,00000SQUARE FEET 68719,B100000,00000,0800,00000MEALS SERVED 68719,B100000,00000,0900,00000TIME SPENT 68719,B100000,00000,1000,00000NO STATISTICS 68719,B100000,00000,1100,00000NO STATISTICS 68719,B100000,00000,1200,00000TIME SPENT 68719,B100000,00000,1300,00000TIME SPENT 68719,B100000,00000,1350,00000TIME SPENT 68719,B100000,00000,1400,00000NO STATISTICS 68719,E10A180,00550,0300,05/18/2000 68719,S000000,00100,0200,05/17/2000 68719,S200000,00100,0100,1890 APPLE AVENUE 68719,S200000,00200,0100,MUSKEGON 68719,S200000,00200,0200,MI 68719,S200000,00200,0300,49442 68719,S200000,00300,0100,MUSKEGON 68719,S200000,00400,0100,BROOKHAVEN MEDICAL CARE FACILITY 68719,S200000,00400,0200,235204 68719,S200000,00400,0300,07/01/1966 68719,S200000,00400,0500,P 68719,S200000,01500,0100,Y 68719,S200000,04300,0100,Y 68725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68725,A000000,00300,0000,00300EMPLOYEE BENEFITS 68725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68725,A000000,00700,0000,00700HOUSEKEEPING 68725,A000000,00800,0000,00800DIETARY 68725,A000000,00900,0000,00900NURSING ADMINISTRATION 68725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68725,A000000,01100,0000,01100PHARMACY 68725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68725,A000000,01300,0000,01300SOCIAL SERVICE 68725,A000000,01350,0000,01500DIVERSIONAL THERAPY 68725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68725,A000000,01600,0000,01600SKILLED NURSING FACILITY 68725,A000000,01800,0000,01800NURSING FACILITY 68725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68725,A000000,02500,0000,02500PHYSICAL THERAPY 68725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68725,A000000,02700,0000,02700SPEECH PATHOLOGY 68725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68725,A000000,03050,0000,03300ALL ANCILLARIES 68725,A000000,03200,0000,03200SUPPORT SURFACES 68725,A000000,03550,0000,03550FQHC 68725,A000000,05000,0000,05000CORF 68725,A000000,05010,0000,05010CMHC 68725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68725,A81000A,00100,0100,Y 68725,A81000B,00100,0300,MANAGEMENT FEES 68725,A81000C,00100,0100,A 68725,A81000C,00100,0200,JAMES BRANSCUM 68725,A81000C,00100,0400,NEXCARE HEALTH 68725,A81000C,00100,0600,MANAGEMENT SVCS 68725,B100000,00000,0100,00000SQUARE FEET 68725,B100000,00000,0200,00000SQUARE FEET 68725,B100000,00000,0300,00000GROSS SALARIES 68725,B100000,00000,0400,00000ACCUM COST 68725,B100000,00000,0500,00000SQUARE FEET 68725,B100000,00000,0600,00000CENSUS 68725,B100000,00000,0700,00000SQUARE FOOT 68725,B100000,00000,0800,00000CENSUS 68725,B100000,00000,0900,00000DIRECT NRSG HRS 68725,B100000,00000,1000,00000COSTED REQUIS 68725,B100000,00000,1100,00000COSTED REQUIS 68725,B100000,00000,1200,00000TIME SPENT 68725,B100000,00000,1300,00000CENSUS 68725,B100000,00000,1350,00000CENSUS 68725,B100000,00000,1400,00000ASSIGNED TIME 68725,S000000,00100,0200,05/30/2000 68725,S200000,00100,0100,18901 MEYERS ROAD 68725,S200000,00200,0100,DETROIT 68725,S200000,00200,0200,MI 68725,S200000,00200,0300,48235 68725,S200000,00300,0100,WAYNE 68725,S200000,00400,0100,OAKPOINTE VILLA NURSING CENTRE 68725,S200000,00400,0200,235207 68725,S200000,00400,0300,01/01/1999 68725,S200000,00400,0500,P 68725,S200000,00600,0200,235207 68725,S200000,00600,0300,01/01/1999 68725,S200000,00600,0600,O 68725,S200000,01600,0100,Y 68729,S000000,00100,0200,06/02/2000 68736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68736,A000000,00300,0000,00300EMPLOYEE BENEFITS 68736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68736,A000000,00700,0000,00700HOUSEKEEPING 68736,A000000,00800,0000,00800DIETARY 68736,A000000,00900,0000,00900NURSING ADMINISTRATION 68736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68736,A000000,01100,0000,01100PHARMACY 68736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68736,A000000,01300,0000,01300SOCIAL SERVICE 68736,A000000,01301,0000,01301ACTIVITIES 68736,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 68736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68736,A000000,01600,0000,01600SKILLED NURSING FACILITY 68736,A000000,01800,0000,01800NURSING FACILITY 68736,A000000,01810,0000,01810ICF/MR 68736,A000000,02100,0000,02100RADIOLOGY 68736,A000000,02200,0000,02200LABORATORY 68736,A000000,02500,0000,02500PHYSICAL THERAPY 68736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68736,A000000,02700,0000,02700SPEECH PATHOLOGY 68736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68736,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68736,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68736,A000000,03550,0000,03550FQHC 68736,A000000,04800,0000,04800AMBULANCE 68736,A000000,05000,0000,05000CORF 68736,A000000,05010,0000,05010CMHC 68736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68736,A000000,05300,0000,05300INTEREST EXPENSE 68736,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68736,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68736,A81000A,00100,0100,Y 68736,A81000B,00100,0300,HOME OFFICE ALLOCATION 68736,A81000B,00200,0300,NON CERT 68736,A81000B,00300,0300,MECICAL SUPPLIES 68736,A81000B,00400,0300,PT 68736,A81000B,00500,0300,OT 68736,A81000B,00600,0300,ST 68736,A81000B,00700,0300,DRUGS 68736,A81000C,00100,0100,B 68736,A81000C,00100,0200,CAMBRIDGE NORTH 68736,A81000C,00100,0400,MARINER POST AC 68736,A81000C,00100,0600,NURSING HOMES 68736,A81000C,00200,0100,G 68736,A81000C,00200,0200,MARINER POST AC 68736,A81000C,00200,0400,AMERICAN PHARMA 68736,A81000C,00200,0600,PHARMACEUTICALS 68736,A81000C,00300,0100,G 68736,A81000C,00300,0200,MARINER POST AC 68736,A81000C,00300,0400,PRISM (ATS ARS 68736,A81000C,00300,0600,THERAPIES 68736,B100000,00000,0100,00000SQUARE FEET 68736,B100000,00000,0200,00000SQUARE FEET 68736,B100000,00000,0300,00000GROSS SALARIES 68736,B100000,00000,0400,00000ACCUM COST 68736,B100000,00000,0500,00000SQUARE FEET 68736,B100000,00000,0600,00000PATIENT DAYS 68736,B100000,00000,0700,00000SQUARE FEET 68736,B100000,00000,0800,00000MEALS SERVED 68736,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68736,B100000,00000,1000,00000PATIENT DAYS 68736,B100000,00000,1100,00000COSTED REQUIS 68736,B100000,00000,1200,00000PATIENT DAYS 68736,B100000,00000,1300,00000PATIENT DAYS 68736,B100000,00000,1301,00000PATIENT DAYS 68736,B100000,00000,1350,00000UNITS OF SERVICE 68736,B100000,00000,1400,00000ASSIGNED TIME 68736,E10A180,00501,0300,06/20/2001 68736,S000000,00100,0200,06/06/2000 68736,S200000,00100,0100,535 N MAIN 68736,S200000,00200,0100,CLAWSON 68736,S200000,00200,0200,CA 68736,S200000,00200,0300,48017 68736,S200000,00300,0100,OAKLAND 68736,S200000,00400,0100,CAMBRIDGE NORTH HEALTHCARE CENTER 68736,S200000,00400,0200,235214 68736,S200000,00400,0300,09/01/1984 68736,S200000,00400,0500,P 68744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68744,A000000,00300,0000,00300EMPLOYEE BENEFITS 68744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68744,A000000,00700,0000,00700HOUSEKEEPING 68744,A000000,00800,0000,00800DIETARY 68744,A000000,00900,0000,00900NURSING ADMINISTRATION 68744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68744,A000000,01100,0000,01100PHARMACY 68744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68744,A000000,01300,0000,01300SOCIAL SERVICE 68744,A000000,01350,0000,01500ACTIVITIES 68744,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68744,A000000,01600,0000,01600SKILLED NURSING FACILITY 68744,A000000,01800,0000,01800NURSING FACILITY 68744,A000000,01810,0000,01810ICF/MR 68744,A000000,02200,0000,02200LABORATORY 68744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68744,A000000,02500,0000,02500PHYSICAL THERAPY 68744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68744,A000000,02700,0000,02700SPEECH PATHOLOGY 68744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68744,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68744,A000000,03200,0000,03200SUPPORT SURFACES 68744,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68744,A000000,03550,0000,03550FQHC 68744,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68744,A000000,05000,0000,05000CORF 68744,A000000,05010,0000,05010CMHC 68744,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68744,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68744,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68744,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68744,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 68744,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68744,A81000A,00100,0100,Y 68744,A81000B,00100,0300,WORKERS COMPENSATION INSURANC 68744,A81000B,00200,0300,PROPERTY INSURANCE 68744,A81000B,00300,0300,GENERAL INSURANCE 68744,A81000B,00400,0300,VEHICLE INSURANCE 68744,A81000C,00100,0100,D 68744,A81000C,00100,0200,STEPHEN DOBSON 68744,A81000C,00100,0400,DOBSON MCOMBER INSURANCE 68744,A81000C,00100,0600,INSURANCE COMPANY 68744,B100000,00000,0100,00000SQUARE FEET 68744,B100000,00000,0200,00000DOLLAR VALUE 68744,B100000,00000,0300,00000GROSS SALARIES 68744,B100000,00000,0400,00000ACCUM. COST 68744,B100000,00000,0500,00000SQUARE FEET 68744,B100000,00000,0600,00000POUNDS OF LAUNDRY 68744,B100000,00000,0700,00000GROSS SALARIES 68744,B100000,00000,0800,00000MEALS SERVED 68744,B100000,00000,0900,00000DIRECT NRSING HRS 68744,B100000,00000,1000,00000TIME SPENT 68744,B100000,00000,1100,00000COSTED REQUIS. 68744,B100000,00000,1200,00000TIME SPENT 68744,B100000,00000,1300,00000TIME SPENT 68744,B100000,00000,1350,00000TIME SPENT 68744,B100000,00000,1400,00000ASSIGNED TIME 68744,S000000,00100,0200,08/31/2000 68744,S200000,00100,0100,1200 EARHART ROAD 68744,S200000,00200,0100,ANN ARBOR 68744,S200000,00200,0200,MI 68744,S200000,00300,0100,WASHTENAW 68744,S200000,00400,0100,GLACIER HILLS INC. 68744,S200000,00400,0200,235223 68744,S200000,00400,0300,09/05/1989 68744,S200000,00400,0500,P 68744,S200000,00600,0200,235223 68744,S200000,00600,0300,09/05/1989 68744,S200000,00600,0600,P 68744,S200000,01600,0100,Y 68744,S200000,01900,0100,501(C)(3) 68744,S200000,02200,0100,Y 68744,S200000,02800,0100,Y 68750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68750,A000000,00300,0000,00300EMPLOYEE BENEFITS 68750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68750,A000000,00700,0000,00700HOUSEKEEPING 68750,A000000,00800,0000,00800DIETARY 68750,A000000,00900,0000,00900NURSING ADMINISTRATION 68750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68750,A000000,01100,0000,01100PHARMACY 68750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68750,A000000,01300,0000,01300SOCIAL SERVICE 68750,A000000,01350,0000,01500DIVERTIONAL THERAPY 68750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68750,A000000,01600,0000,01600SKILLED NURSING FACILITY 68750,A000000,01810,0000,01810ICF/MR 68750,A000000,02100,0000,02100RADIOLOGY 68750,A000000,02200,0000,02200LABORATORY 68750,A000000,02300,0000,02300INTRAVENOUS THERAPY 68750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68750,A000000,02500,0000,02500PHYSICAL THERAPY 68750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68750,A000000,02700,0000,02700SPEECH PATHOLOGY 68750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68750,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68750,A000000,03550,0000,03550FQHC 68750,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68750,A000000,05000,0000,05000CORF 68750,A000000,05010,0000,05010CMHC 68750,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68750,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68750,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68750,B100000,00000,0100,00000SQUARE FEET 68750,B100000,00000,0200,00000SQUARE FEET 68750,B100000,00000,0300,00000GROSS SALARIES 68750,B100000,00000,0400,00000ACCUM. COST 68750,B100000,00000,0500,00000SQUARE FEET 68750,B100000,00000,0600,00000POUNDS OF LAUNDRY 68750,B100000,00000,0700,00000SQUARE FEET 68750,B100000,00000,0800,00000MEALS SERVED 68750,B100000,00000,0900,00000DIRECT NRSING HRS 68750,B100000,00000,1000,00000COSTED REQUIS. 68750,B100000,00000,1100,00000COSTED REQUIS. 68750,B100000,00000,1200,00000TIME SPENT 68750,B100000,00000,1300,00000TIME SPENT 68750,B100000,00000,1350,00000TIME SPENT 68750,B100000,00000,1400,00000ASSIGNED TIME 68750,E10A180,00550,0300,05/18/2000 68750,S000000,00100,0200,05/17/2000 68750,S200000,00100,0100,200 SAND CREEK HWY 68750,S200000,00200,0100,ADRIAN 68750,S200000,00200,0200,MI 68750,S200000,00200,0300,49221 68750,S200000,00300,0100,LENAWEE 68750,S200000,00400,0100,LENAWEE COUNTY MCF 68750,S200000,00400,0200,235224 68750,S200000,00400,0300,07/01/1966 68750,S200000,00400,0500,P 68750,S200000,01500,0100,Y 68757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68757,A000000,00300,0000,00300EMPLOYEE BENEFITS 68757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68757,A000000,00700,0000,00700HOUSEKEEPING 68757,A000000,00800,0000,00800DIETARY 68757,A000000,00900,0000,00900NURSING ADMINISTRATION 68757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68757,A000000,01100,0000,01100PHARMACY 68757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68757,A000000,01300,0000,01300SOCIAL SERVICE 68757,A000000,01301,0000,01301ACTIVITIES 68757,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 68757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68757,A000000,01600,0000,01600SKILLED NURSING FACILITY 68757,A000000,01800,0000,01800NURSING FACILITY 68757,A000000,01810,0000,01810ICF/MR 68757,A000000,02100,0000,02100RADIOLOGY 68757,A000000,02200,0000,02200LABORATORY 68757,A000000,02300,0000,02300INTRAVENOUS THERAPY 68757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68757,A000000,02500,0000,02500PHYSICAL THERAPY 68757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68757,A000000,02700,0000,02700SPEECH PATHOLOGY 68757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68757,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68757,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68757,A000000,03550,0000,03550FQHC 68757,A000000,05000,0000,05000CORF 68757,A000000,05010,0000,05010CMHC 68757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68757,A000000,05300,0000,05300INTEREST EXPENSE 68757,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68757,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68757,A81000A,00100,0100,Y 68757,A81000B,00100,0300,HOME OFFICE ALLOCATION 68757,A81000B,00200,0300,NON CERT 68757,A81000B,00300,0300,MEDICAL SUPPLIES 68757,A81000B,00400,0300,DRUGS 68757,A81000B,00500,0300,REHAB 68757,A81000B,00600,0300,PT 68757,A81000B,00700,0300,OT 68757,A81000B,00800,0300,ST 68757,A81000C,00100,0100,B 68757,A81000C,00100,0200,FRENCHTOWN 1220 68757,A81000C,00100,0400,MARINER POST AC 68757,A81000C,00100,0600,NURSING HOMES 68757,A81000C,00200,0100,G 68757,A81000C,00200,0200,MARINER POST AC 68757,A81000C,00200,0400,AMERICAN PHARMA 68757,A81000C,00200,0600,PHARMACEUTICALS 68757,A81000C,00300,0100,G 68757,A81000C,00300,0200,MARINER POST AC 68757,A81000C,00300,0400,PRISM (ATS ARS 68757,A81000C,00300,0600,THERAPIES 68757,B100000,00000,0100,00000SQUARE FEET 68757,B100000,00000,0200,00000SQUARE FEET 68757,B100000,00000,0300,00000GROSS SALARIES 68757,B100000,00000,0400,00000ACCUM COST 68757,B100000,00000,0500,00000SQUARE FEET 68757,B100000,00000,0600,00000PATIENT DAYS 68757,B100000,00000,0700,00000SQUARE FEET 68757,B100000,00000,0800,00000MEALS SERVED 68757,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68757,B100000,00000,1000,00000PATIENT DAYS 68757,B100000,00000,1100,00000COSTED REQUIS 68757,B100000,00000,1200,00000PATIENT DAYS 68757,B100000,00000,1300,00000PATIENT DAYS 68757,B100000,00000,1301,00000PATIENT DAYS 68757,B100000,00000,1350,00000UNITS OF S 68757,B100000,00000,1400,00000ASSIGNED TIME 68757,S000000,00100,0200,06/06/2000 68757,S200000,00100,0100,3250 N MONROE ST 68757,S200000,00200,0100,MONROE 68757,S200000,00200,0200,MI 68757,S200000,00200,0300,48161 68757,S200000,00300,0100,MONROE 68757,S200000,00400,0100,FRENCHTOWN NURSING CARE CENTER 68757,S200000,00400,0200,235225 68757,S200000,00400,0300,01/01/1987 68757,S200000,00400,0500,P 68765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68765,A000000,00300,0000,00300EMPLOYEE BENEFITS 68765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68765,A000000,00700,0000,00700HOUSEKEEPING 68765,A000000,00800,0000,00800DIETARY 68765,A000000,00900,0000,00900NURSING ADMINISTRATION 68765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68765,A000000,01100,0000,01100PHARMACY 68765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68765,A000000,01300,0000,01300SOCIAL SERVICE 68765,A000000,01301,0000,01301ACTIVITIES 68765,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 68765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68765,A000000,01600,0000,01600SKILLED NURSING FACILITY 68765,A000000,01800,0000,01800NURSING FACILITY 68765,A000000,01810,0000,01810ICF/MR 68765,A000000,02100,0000,02100RADIOLOGY 68765,A000000,02200,0000,02200LABORATORY 68765,A000000,02300,0000,02300INTRAVENOUS THERAPY 68765,A000000,02500,0000,02500PHYSICAL THERAPY 68765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68765,A000000,02700,0000,02700SPEECH PATHOLOGY 68765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68765,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68765,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68765,A000000,03550,0000,03550FQHC 68765,A000000,04800,0000,04800AMBULANCE 68765,A000000,05000,0000,05000CORF 68765,A000000,05010,0000,05010CMHC 68765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68765,A000000,05300,0000,05300INTEREST EXPENSE 68765,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68765,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68765,A81000A,00100,0100,Y 68765,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 68765,A81000B,00200,0300,MEDICAL SUPPLIES 68765,A81000B,00300,0300,PT 68765,A81000B,00400,0300,OT 68765,A81000B,00500,0300,ST 68765,A81000C,00100,0100,B 68765,A81000C,00100,0200,HOPE HEALTHCARE 68765,A81000C,00100,0400,MARINER POST AC 68765,A81000C,00100,0600,NURSING HOMES 68765,A81000C,00200,0100,G 68765,A81000C,00200,0200,MARINER POST AC 68765,A81000C,00200,0400,AMERICAN PHARMA 68765,A81000C,00200,0600,PHARMACEUTICALS 68765,A81000C,00300,0100,G 68765,A81000C,00300,0200,MARINER POST AC 68765,A81000C,00300,0400,PRISM (ATS ARS 68765,A81000C,00300,0600,THERAPIES 68765,B100000,00000,0100,00000SQUARE FEET 68765,B100000,00000,0200,00000SQUARE FEET 68765,B100000,00000,0300,00000GROSS SALARIES 68765,B100000,00000,0400,00000ACCUM COST 68765,B100000,00000,0500,00000SQUARE FEET 68765,B100000,00000,0600,00000PATIENT DAYS 68765,B100000,00000,0700,00000SQUARE FEET 68765,B100000,00000,0800,00000MEALS SERVED 68765,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68765,B100000,00000,1000,00000PATIENT DAYS 68765,B100000,00000,1100,00000COSTED REQUIS 68765,B100000,00000,1200,00000TIME SPENT 68765,B100000,00000,1300,00000TIME SPENT 68765,B100000,00000,1301,00000PATIENT DAYS 68765,B100000,00000,1350,00000UNITS OF S 0 68765,B100000,00000,1400,00000ASSIGNED TIME 68765,S000000,00100,0200,06/06/2000 68765,S200000,00100,0100,38410 CHERRY HILL RD 68765,S200000,00200,0100,WESTLAND 68765,S200000,00200,0200,MI 68765,S200000,00200,0300,48185 68765,S200000,00300,0100,WAYNE 68765,S200000,00400,0100,HOPE HEALTHCARE CENTER 68765,S200000,00400,0200,235228 68765,S200000,00400,0300,01/01/1987 68765,S200000,00400,0500,P 68791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68791,A000000,00300,0000,00300EMPLOYEE BENEFITS 68791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68791,A000000,00700,0000,00700HOUSEKEEPING 68791,A000000,00800,0000,00800DIETARY 68791,A000000,00900,0000,00900NURSING ADMINISTRATION 68791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68791,A000000,01100,0000,01100PHARMACY 68791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68791,A000000,01300,0000,01300SOCIAL SERVICE 68791,A000000,01350,0000,01500INTERNS & DIVERSIONAL THERAPY 68791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68791,A000000,01600,0000,01600SKILLED NURSING FACILITY 68791,A000000,01810,0000,01810ICF/MR 68791,A000000,02100,0000,02100RADIOLOGY 68791,A000000,02200,0000,02200LABORATORY 68791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68791,A000000,02500,0000,02500PHYSICAL THERAPY 68791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68791,A000000,02700,0000,02700SPEECH PATHOLOGY 68791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68791,A000000,03550,0000,03550FQHC 68791,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68791,A000000,05000,0000,05000CORF 68791,A000000,05010,0000,05010CMHC 68791,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68791,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68791,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68791,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68791,B100000,00000,0100,00000SQUARE FEET 68791,B100000,00000,0200,00000SQUARE FEET 68791,B100000,00000,0300,00000GROSS SALARIES 68791,B100000,00000,0400,00000ACCUM. COST 68791,B100000,00000,0500,00000SQUARE FEET 68791,B100000,00000,0600,00000POUNDS OF LAUNDRY 68791,B100000,00000,0700,00000SQUARE FEET 68791,B100000,00000,0800,00000MEALS SERVED 68791,B100000,00000,0900,00000DIRECT NRSING HRS 68791,B100000,00000,1000,00000COSTED REQUIS. 68791,B100000,00000,1100,00000COSTED REQUIS. 68791,B100000,00000,1200,00000TIME SPENT 68791,B100000,00000,1300,00000TIME SPENT 68791,B100000,00000,1350,00000TIME SPENT 68791,B100000,00000,1400,00000ASSIGNED TIME 68791,S000000,00100,0200,05/25/2000 68791,S200000,00100,0100,1150 EAST MICHIGAN AVE 68791,S200000,00200,0100,BATTLE CREEK 68791,S200000,00200,0200,MI 68791,S200000,00200,0300,49014 68791,S200000,00300,0100,CALHOUN 68791,S200000,00400,0100,CALHOUN COUNTY MCF 68791,S200000,00400,0200,235237 68791,S200000,00400,0300,07/01/1966 68791,S200000,00400,0500,P 68791,S200000,01500,0100,Y 68807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68807,A000000,00300,0000,00300EMPLOYEE BENEFITS 68807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68807,A000000,00700,0000,00700HOUSEKEEPING 68807,A000000,00800,0000,00800DIETARY 68807,A000000,00900,0000,00900NURSING ADMINISTRATION 68807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68807,A000000,01100,0000,01100PHARMACY 68807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68807,A000000,01300,0000,01300SOCIAL SERVICE 68807,A000000,01350,0000,01500ACTIVITIES 68807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68807,A000000,01600,0000,01600SKILLED NURSING FACILITY 68807,A000000,01810,0000,01810ICF/MR 68807,A000000,01900,0000,01900OTHER LONG TERM CARE 68807,A000000,02100,0000,02100RADIOLOGY 68807,A000000,02200,0000,02200LABORATORY 68807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68807,A000000,02500,0000,02500PHYSICAL THERAPY 68807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68807,A000000,02700,0000,02700SPEECH PATHOLOGY 68807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68807,A000000,03200,0000,03200SUPPORT SURFACES 68807,A000000,03550,0000,03550FQHC 68807,A000000,05000,0000,05000CORF 68807,A000000,05010,0000,05010CMHC 68807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68807,A000000,05300,0000,05300INTEREST EXPENSE 68807,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68807,A81000A,00100,0100,Y 68807,A81000B,00100,0300,HOME OFFICE COST 68807,A81000C,00100,0100,B 68807,A81000C,00100,0400,LSS OF MICHIGAN 68807,A81000C,00100,0600,SOCIAL SERVICE 68807,B100000,00000,0100,00000SQUARE FEET 68807,B100000,00000,0200,00000SQUARE FEET 68807,B100000,00000,0300,00000GROSS SALARIES 68807,B100000,00000,0400,00000ACCUM COST 68807,B100000,00000,0500,00000SQUARE FEET 68807,B100000,00000,0600,00000POUNDS OF LAUNDRY 68807,B100000,00000,0700,00000SQUARE FEET 68807,B100000,00000,0800,00000MEALS SERVED 68807,B100000,00000,0900,00000DIRECT NRSG HRS 68807,B100000,00000,1000,00000COSTED REQUIS 68807,B100000,00000,1100,00000COSTED REQUIS 68807,B100000,00000,1200,00000TIME SPENT 68807,B100000,00000,1300,00000TIME SPENT 68807,B100000,00000,1350,00000(TIME SPENT) 68807,B100000,00000,1400,00000ASSIGNED TIME 68807,S000000,00100,0200,06/02/2000 68807,S200000,00100,0100,464 E. GRAND BLVD 68807,S200000,00200,0100,DETROIT 68807,S200000,00200,0200,MI 68807,S200000,00200,0300,48207 68807,S200000,00300,0100,WAYNE 68807,S200000,00400,0100,LUTHER HAVEN 68807,S200000,00400,0200,235242 68807,S200000,00400,0300,02/15/1999 68807,S200000,00400,0500,P 68807,S200000,00400,0600,O 68807,S200000,01600,0100,Y 68807,S200000,02200,0100,Y 68854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68854,A000000,00300,0000,00300EMPLOYEE BENEFITS 68854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68854,A000000,00700,0000,00700HOUSEKEEPING 68854,A000000,00800,0000,00800DIETARY 68854,A000000,00900,0000,00900NURSING ADMINISTRATION 68854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68854,A000000,01100,0000,01100PHARMACY 68854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68854,A000000,01300,0000,01300SOCIAL SERVICE 68854,A000000,01350,0000,01500ACTIVITIES 68854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68854,A000000,01600,0000,01600SKILLED NURSING FACILITY 68854,A000000,01800,0000,01800NURSING FACILITY 68854,A000000,01810,0000,01810ICF/MR 68854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68854,A000000,02500,0000,02500PHYSICAL THERAPY 68854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68854,A000000,02700,0000,02700SPEECH PATHOLOGY 68854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 68854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 68854,A000000,03550,0000,03550FQHC 68854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 68854,A000000,05000,0000,05000CORF 68854,A000000,05010,0000,05010CMHC 68854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 68854,A81000A,00100,0100,Y 68854,A81000B,00100,0300,RESPIRATORY THERAPIST 68854,A81000B,00200,0300,MANAGEMENT TIME 68854,A81000C,00100,0100,B 68854,A81000C,00100,0400,EDWARD SPARROW HOSP ASSOC 68854,A81000C,00100,0600,HOSPITAL 68854,A81000C,00200,0100,E 68854,A81000C,00200,0200,J.F. DAMORE 68854,A81000C,00200,0600,HEALTH SERVICE 68854,A81000C,00300,0100,E 68854,A81000C,00300,0200,D.A. SWAN 68854,A81000C,00300,0600,HEALTH SERVICE 68854,A81000C,00400,0100,E 68854,A81000C,00400,0200,A.J. BUDZINSKI 68854,A81000C,00400,0600,HEALTH SERVICE 68854,A81000C,00500,0100,E 68854,A81000C,00500,0200,R. GLASER 68854,A81000C,00500,0600,HEALTH SERVICE 68854,A81000C,00600,0100,E 68854,A81000C,00600,0200,S. GILLETTE-RENSING 68854,A81000C,00600,0600,HEALTH SERVICE 68854,A81000C,00700,0100,E 68854,A81000C,00700,0200,I. GINSBURG 68854,A81000C,00700,0600,HEALTH SERVICE 68854,A81000C,00800,0100,E 68854,A81000C,00800,0200,L. PASCOE 68854,A81000C,00800,0600,HEALTH SERVICE 68854,A81000C,00900,0100,E 68854,A81000C,00900,0200,K. KRISHER 68854,A81000C,00900,0600,HEALTH SERVICE 68854,A81000C,01000,0100,E 68854,A81000C,01000,0200,J. WALD 68854,A81000C,01000,0600,HEALTH SERVICE 68854,A81000C,01100,0100,E 68854,A81000C,01100,0200,C. MARIN 68854,A81000C,01100,0600,HEALTH SERVICE 68854,A81000C,01200,0100,E 68854,A81000C,01200,0200,D. RYSZEWSKI 68854,A81000C,01200,0600,HEALTH SERVICE 68854,A81000C,01300,0100,B 68854,A81000C,01300,0400,EDWARDWSPARROWHOSPASSOC 68854,A81000C,01300,0600,HEALTH SERVICE 68854,B100000,00000,0100,00000SQUARE FEET 68854,B100000,00000,0200,00000DOLLAR VALUE 68854,B100000,00000,0300,00000GROSS SALARIES 68854,B100000,00000,0400,00000ACCUM. COST 68854,B100000,00000,0500,00000SQUARE FEET 68854,B100000,00000,0600,00000POUNDS 68854,B100000,00000,0700,00000HOURS OF SVC 68854,B100000,00000,0800,00000MEALS SERVED 68854,B100000,00000,0900,00000HOURS OF SVC 68854,B100000,00000,1000,00000COSTED REQS 68854,B100000,00000,1100,00000COSTED REQS 68854,B100000,00000,1200,00000TIME SPENT 68854,B100000,00000,1300,00000TIME SPENT 68854,B100000,00000,1350,00000TIME SPENT 68854,B100000,00000,1400,00000NO STATISTICS 68854,E10A180,00501,0100,06/08/2000 68854,E10A180,00550,0300,06/08/2000 68854,S000000,00100,0200,08/04/2000 68854,S200000,00100,0100,4000 NORTH MICHIGAN ROAD 68854,S200000,00200,0100,DIMONDALE 68854,S200000,00200,0200,MI 68854,S200000,00300,0100,EATON 68854,S200000,00400,0100,EWSPARROWHOSPASSOC -STLAW DIMONDALE 68854,S200000,00400,0200,235256 68854,S200000,00400,0300,09/01/1982 68854,S200000,00400,0500,P 68854,S200000,01600,0100,Y 68854,S200000,02200,0100,Y 68907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68907,A000000,00300,0000,00300EMPLOYEE BENEFITS 68907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68907,A000000,00700,0000,00700HOUSEKEEPING 68907,A000000,00800,0000,00800DIETARY 68907,A000000,00900,0000,00900NURSING ADMINISTRATION 68907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68907,A000000,01100,0000,01100PHARMACY 68907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68907,A000000,01300,0000,01300SOCIAL SERVICE 68907,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 68907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68907,A000000,01600,0000,01600SKILLED NURSING FACILITY 68907,A000000,01810,0000,01810ICF/MR 68907,A000000,02100,0000,02100RADIOLOGY 68907,A000000,02200,0000,02200LABORATORY 68907,A000000,02500,0000,02500PHYSICAL THERAPY 68907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68907,A000000,02700,0000,02700SPEECH PATHOLOGY 68907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68907,A000000,03550,0000,03550FQHC 68907,A000000,05000,0000,05000CORF 68907,A000000,05010,0000,05010CMHC 68907,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68907,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68907,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68907,A81000A,00100,0100,Y 68907,A81000B,00100,0300,MANAGEMENT FEES 68907,A81000C,00100,0100,A 68907,A81000C,00100,0200,MOHAMMAD A. QAZ 68907,A81000C,00100,0400,CIENA HEALTHCAR 68907,A81000C,00100,0600,MANAGEMENT 68907,B100000,00000,0100,00040SQUARE FEET 68907,B100000,00000,0200,00040SQUARE FEET 68907,B100000,00000,0300,00040GROSS SALARIES 68907,B100000,00000,0400,00040ACCUM COST 68907,B100000,00000,0500,00040SQUARE FEET 68907,B100000,00000,0600,00040PATIENT DAYS 68907,B100000,00000,0700,00040SQUARE FEET 68907,B100000,00000,0800,00040MEALS SERVED 68907,B100000,00000,0900,00040PATIENT DAYS 68907,B100000,00000,1000,00040COSTED REQUIS 68907,B100000,00000,1100,00040COSTED REQUIS 68907,B100000,00000,1200,00040PATIENT DAYS 68907,B100000,00000,1300,00040PATIENT DAYS 68907,B100000,00000,1350,00040PATIENT DAYS 68907,B100000,00000,1400,00040ASSIGNED TIME 68907,E10A180,00501,0100,06/22/2000 68907,S000000,00100,0200,06/21/2000 68907,S200000,00100,0100,19100 W. SEVEN MILE RD. 68907,S200000,00200,0100,DETROIT 68907,S200000,00200,0200,MI 68907,S200000,00200,0300,48219 68907,S200000,00300,0100,WAYNE 68907,S200000,00400,0100,ROSEWOOD LIVING CENTER 68907,S200000,00400,0200,235272 68907,S200000,00400,0300,08/01/1999 68907,S200000,00400,0500,P 68907,S200000,01500,0100,Y 68912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68912,A000000,00300,0000,00300EMPLOYEE BENEFITS 68912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68912,A000000,00700,0000,00700HOUSEKEEPING 68912,A000000,00800,0000,00800DIETARY 68912,A000000,00900,0000,00900NURSING ADMINISTRATION 68912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68912,A000000,01100,0000,01100PHARMACY 68912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68912,A000000,01300,0000,01300SOCIAL SERVICE 68912,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 68912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68912,A000000,01600,0000,01600SKILLED NURSING FACILITY 68912,A000000,01800,0000,01800NURSING FACILITY 68912,A000000,01810,0000,01810ICF/MR 68912,A000000,01900,0000,01900OTHER LONG TERM CARE 68912,A000000,02100,0000,02100RADIOLOGY 68912,A000000,02200,0000,02200LABORATORY 68912,A000000,02500,0000,02500PHYSICAL THERAPY 68912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68912,A000000,02700,0000,02700SPEECH PATHOLOGY 68912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68912,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68912,A000000,03550,0000,03550FQHC 68912,A000000,05000,0000,05000CORF 68912,A000000,05010,0000,05010CMHC 68912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 68912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68912,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 68912,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68912,B100000,00000,0100,00000SQUARE FEET 68912,B100000,00000,0200,00000SQUARE FEET 68912,B100000,00000,0300,00000GROSS SALARIES 68912,B100000,00000,0400,00000ACCUM COST 68912,B100000,00000,0500,00000SQUARE FEET 68912,B100000,00000,0600,00000POUNDS OF LAUNDRY 68912,B100000,00000,0700,00000SQUARE FEET 68912,B100000,00000,0800,00000PATIENT DAYS 68912,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68912,B100000,00000,1000,00000HOURS OF SERVICE 68912,B100000,00000,1100,00000COSTED REQUISITIO 68912,B100000,00000,1200,00000TIME SPENT 68912,B100000,00000,1300,00000TIME SPENT 68912,B100000,00000,1350,00000 68912,B100000,00000,1400,00000ASSIGNED TIME 68912,S000000,00100,0200,05/30/2000 68912,S200000,00100,0100,18520 WEST 7 MILE RD 68912,S200000,00200,0100,DETROIT 68912,S200000,00200,0200,MI 68912,S200000,00200,0300,48219 68912,S200000,00300,0100,WAYNE 68912,S200000,00400,0100,ARNOLD HOME 68912,S200000,00400,0200,235273 68912,S200000,00400,0300,01/01/1980 68912,S200000,00400,0500,P 68912,S200000,01600,0100,Y 68977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 68977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 68977,A000000,00300,0000,00300EMPLOYEE BENEFITS 68977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 68977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 68977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 68977,A000000,00700,0000,00700HOUSEKEEPING 68977,A000000,00800,0000,00800DIETARY 68977,A000000,00900,0000,00900NURSING ADMINISTRATION 68977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 68977,A000000,01100,0000,01100PHARMACY 68977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 68977,A000000,01300,0000,01300SOCIAL SERVICE 68977,A000000,01350,0000,01500ACTIVITIES 68977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 68977,A000000,01600,0000,01600SKILLED NURSING FACILITY 68977,A000000,01800,0000,01800NURSING FACILITY 68977,A000000,01810,0000,01810ICF/MR 68977,A000000,02100,0000,02100RADIOLOGY 68977,A000000,02200,0000,02200LABORATORY 68977,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 68977,A000000,02500,0000,02500PHYSICAL THERAPY 68977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 68977,A000000,02700,0000,02700SPEECH PATHOLOGY 68977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 68977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 68977,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 68977,A000000,03200,0000,03200SUPPORT SURFACES 68977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 68977,A000000,03550,0000,03550FQHC 68977,A000000,04800,0000,04800AMBULANCE 68977,A000000,05000,0000,05000CORF 68977,A000000,05010,0000,05010CMHC 68977,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 68977,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 68977,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 68977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 68977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 68977,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 68977,A81000A,00100,0100,Y 68977,A81000B,00100,0300,HOME OFFICE EXPENSE 68977,A81000B,00200,0300,HOME OFFICE CAPITAL 68977,A81000B,00300,0300,RENT 68977,A81000B,00400,0300,INTEREST 68977,A81000B,00500,0300,DEPRECIATION 68977,A81000B,00600,0300,ACCOUNTING & LEGAL 68977,A81000C,00100,0100,A 68977,A81000C,00100,0200,FRANK WRONSKI 68977,A81000C,00100,0400,THE MEDILODGE G 68977,A81000C,00100,0600,HOME OFFICE 68977,A81000C,00200,0100,A 68977,A81000C,00200,0200,FRANK WRONSKI 68977,A81000C,00200,0400,PINE KNOLL INVE 68977,A81000C,00200,0600,RENTAL 68977,A81000C,00300,0100,A 68977,A81000C,00300,0200,LEO EISENBERG 68977,A81000C,00300,0400,PINE KNOLL INVE 68977,A81000C,00300,0600,RENTAL 68977,A81000C,00400,0100,A 68977,A81000C,00400,0200,FRANK WRONSKI 68977,A81000C,00400,0400,ALL MED SUPPLY 68977,A81000C,00400,0600,MEDICAL SUPPLY 68977,A81000C,00500,0100,A 68977,A81000C,00500,0200,LEO EISENBERG 68977,A81000C,00500,0400,NURSING HOME GR 68977,A81000C,00500,0600,ANCILLARY SERVI 68977,B100000,00000,0100,00000SQUARE FEET 68977,B100000,00000,0200,00000SQUARE FEET 68977,B100000,00000,0300,00000GROSS SALARIES 68977,B100000,00000,0400,00000ACCUM COST 68977,B100000,00000,0500,00000SQUARE FEET 68977,B100000,00000,0600,00000PATIENT DAYS 68977,B100000,00000,0700,00000SQUARE FEET 68977,B100000,00000,0800,00000MEALS SERVED 68977,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 68977,B100000,00000,1000,00000PATIENT DAYS 68977,B100000,00000,1100,00000COSTED REQUIS 68977,B100000,00000,1200,00000TIME SPENT 68977,B100000,00000,1300,00000PATIENT DAYS 68977,B100000,00000,1350,00000PATIENT DAYS 68977,B100000,00000,1400,00000ASSIGNED TIME 68977,E10A180,00550,0300,06/07/2000 68977,S000000,00100,0200,05/30/2000 68977,S200000,00100,0100,23600 NORTHLINE RD. 68977,S200000,00200,0100,TAYLOR 68977,S200000,00200,0200,MI 68977,S200000,00200,0300,48180 68977,S200000,00300,0100,WAYNE 68977,S200000,00400,0100,PINE KNOLL CONVALESCENT CENTER 68977,S200000,00400,0200,235300 68977,S200000,00400,0300,11/01/1990 68977,S200000,00400,0500,P 68977,S200000,01600,0100,Y 68977,S200000,04700,0100,Y 69039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69039,A000000,00300,0000,00300EMPLOYEE BENEFITS 69039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69039,A000000,00700,0000,00700HOUSEKEEPING 69039,A000000,00800,0000,00800DIETARY 69039,A000000,00900,0000,00900NURSING ADMINISTRATION 69039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69039,A000000,01100,0000,01100PHARMACY 69039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69039,A000000,01300,0000,01300SOCIAL SERVICE 69039,A000000,01350,0000,01500DIVERTIONAL THERAPY 69039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69039,A000000,01600,0000,01600SKILLED NURSING FACILITY 69039,A000000,01810,0000,01810ICF/MR 69039,A000000,02200,0000,02200LABORATORY 69039,A000000,02300,0000,02300INTRAVENOUS THERAPY 69039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69039,A000000,02500,0000,02500PHYSICAL THERAPY 69039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69039,A000000,02700,0000,02700SPEECH PATHOLOGY 69039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69039,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69039,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69039,A000000,03550,0000,03550FQHC 69039,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69039,A000000,05000,0000,05000CORF 69039,A000000,05010,0000,05010CMHC 69039,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69039,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69039,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69039,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69039,B100000,00000,0100,00000SQUARE FEET 69039,B100000,00000,0200,00000SQUARE FEET 69039,B100000,00000,0300,00000GROSS SALARIES 69039,B100000,00000,0400,00000ACCUM. COST 69039,B100000,00000,0500,00000SQUARE FEET 69039,B100000,00000,0600,00000POUNDS OF LAUNDRY 69039,B100000,00000,0700,00000SQUARE FEET 69039,B100000,00000,0800,00000MEALS SERVED 69039,B100000,00000,0900,00000DIRECT NRSING HRS 69039,B100000,00000,1000,00000COSTED REQUIS. 69039,B100000,00000,1100,00000COSTED REQUIS. 69039,B100000,00000,1200,00000TIME SPENT 69039,B100000,00000,1300,00000TIME SPENT 69039,B100000,00000,1350,00000TIME SPENT 69039,B100000,00000,1400,00000ASSIGNED TIME 69039,S000000,00100,0200,05/30/2000 69039,S200000,00100,0100,200 W. SAGINAW 69039,S200000,00200,0100,ISHPEMING 69039,S200000,00200,0200,MI 69039,S200000,00300,0100,MARQUETTE 69039,S200000,00400,0100,MARQUETTE COUNTY MCF 69039,S200000,00400,0200,235321 69039,S200000,00400,0300,07/01/1966 69039,S200000,00400,0500,P 69039,S200000,01500,0100,Y 69046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69046,A000000,00300,0000,00300EMPLOYEE BENEFITS 69046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69046,A000000,00700,0000,00700HOUSEKEEPING 69046,A000000,00800,0000,00800DIETARY 69046,A000000,00900,0000,00900NURSING ADMINISTRATION 69046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69046,A000000,01100,0000,01100PHARMACY 69046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69046,A000000,01300,0000,01300SOCIAL SERVICE 69046,A000000,01350,0000,01500DIVERSIONAL THERAPY 69046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69046,A000000,01600,0000,01600SKILLED NURSING FACILITY 69046,A000000,01800,0000,01800NURSING FACILITY 69046,A000000,01810,0000,01810ICF/MR 69046,A000000,02100,0000,02100RADIOLOGY 69046,A000000,02200,0000,02200LABORATORY 69046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69046,A000000,02500,0000,02500PHYSICAL THERAPY 69046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69046,A000000,02700,0000,02700SPEECH PATHOLOGY 69046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69046,A000000,03200,0000,03200SUPPORT SURFACES 69046,A000000,03550,0000,03550FQHC 69046,A000000,05000,0000,05000CORF 69046,A000000,05010,0000,05010CMHC 69046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69046,A81000A,00100,0100,Y 69046,A81000B,00100,0300,LAUNDRY CONTRACT SVC 69046,A81000C,00100,0100,A 69046,A81000C,00100,0200,DR. D. DREYFUSS 69046,A81000C,00100,0400,TRIPLE H LAUNDR 69046,A81000C,00100,0600,LAUNDRY SERVICE 69046,B100000,00000,0100,00000SQUARE FEET 69046,B100000,00000,0200,00000SQUARE FEET 69046,B100000,00000,0300,00000GROSS SALARIES 69046,B100000,00000,0400,00000ACCUM COST 69046,B100000,00000,0500,00000SQUARE FEET 69046,B100000,00000,0600,00000POUNDS OF LAUNDRY 69046,B100000,00000,0700,00000SQUARE FEET 69046,B100000,00000,0800,00000MEALS SERVED 69046,B100000,00000,0900,00000DIRECT NRSG HRS 69046,B100000,00000,1000,00000COSTED REQUIS 69046,B100000,00000,1100,00000COSTED REQUIS 69046,B100000,00000,1200,00000TIME SPENT 69046,B100000,00000,1300,00000PATIENT DAYS 69046,B100000,00000,1350,00000PATIENT DAYS 69046,B100000,00000,1400,00000ASSIGNED TIME 69046,S000000,00100,0200,06/06/2000 69046,S200000,00100,0100,3161 HILTON ROAD 69046,S200000,00200,0100,FERNDALE 69046,S200000,00200,0200,MI 69046,S200000,00200,0300,48220 69046,S200000,00300,0100,OAKLAND 69046,S200000,00400,0100,HILTON CONVALESCENT HOME 69046,S200000,00400,0200,235322 69046,S200000,00400,0300,01/01/1999 69046,S200000,00400,0500,P 69046,S200000,00400,0600,O 69046,S200000,01600,0100,Y 69051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69051,A000000,00300,0000,00300EMPLOYEE BENEFITS 69051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69051,A000000,00700,0000,00700HOUSEKEEPING 69051,A000000,00800,0000,00800DIETARY 69051,A000000,00900,0000,00900NURSING ADMINISTRATION 69051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69051,A000000,01100,0000,01100PHARMACY 69051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69051,A000000,01300,0000,01300SOCIAL SERVICE 69051,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69051,A000000,01600,0000,01600SKILLED NURSING FACILITY 69051,A000000,01810,0000,01810ICF/MR 69051,A000000,02100,0000,02100RADIOLOGY 69051,A000000,02200,0000,02200LABORATORY 69051,A000000,02500,0000,02500PHYSICAL THERAPY 69051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69051,A000000,02700,0000,02700SPEECH PATHOLOGY 69051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69051,A000000,03550,0000,03550FQHC 69051,A000000,05000,0000,05000CORF 69051,A000000,05010,0000,05010CMHC 69051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69051,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69051,A000000,06150,0000,06300HOME OFFICE 69051,A81000A,00100,0100,Y 69051,A81000B,00100,0300,RENT (DEPRECIATION) 69051,A81000B,00200,0300,RENT (INTEREST) 69051,A81000B,00300,0300,MANAGEMENT FEES 69051,A81000B,00400,0300,HOME OFFICE CAP REL 69051,A81000B,00500,0300,JBS ENTERALS 69051,A81000C,00100,0100,A 69051,A81000C,00100,0200,D.J. BORTZ JR. 69051,A81000C,00100,0400,D.J. BORTZ JR. 69051,A81000C,00100,0600,REAL ESTATE 69051,A81000C,00200,0100,A 69051,A81000C,00200,0200,D.J. BORTZ JR. 69051,A81000C,00200,0400,BORTZ FACILITIE 69051,A81000C,00200,0600,MANAGEMENT 69051,A81000C,00300,0100,A 69051,A81000C,00300,0200,D.J. BORTZ JR. 69051,A81000C,00300,0400,JBS INC. 69051,A81000C,00300,0600,NURSING SUPPLIE 69051,B100000,00000,0100,00000SQUARE FEET 69051,B100000,00000,0200,00000SQUARE FEET 69051,B100000,00000,0300,00000GROSS SALARIES 69051,B100000,00000,0400,00000ACCUM COST 69051,B100000,00000,0500,00000SQUARE FEET 69051,B100000,00000,0600,00000PATIENT DAYS 69051,B100000,00000,0700,00000SQUARE FEET 69051,B100000,00000,0800,00000MEALS SERVED 69051,B100000,00000,0900,00000PATIENT DAYS 69051,B100000,00000,1000,00000COSTED REQUIS 69051,B100000,00000,1100,00000COSTED REQUIS 69051,B100000,00000,1200,00000PATIENT DAYS 69051,B100000,00000,1300,00000PATIENT DAYS 69051,B100000,00000,1350,00000PATIENT DAYS 69051,B100000,00000,1400,00000ASSIGNED TIME 69051,E10A180,00550,0300,05/10/2000 69051,S000000,00100,0200,04/26/2000 69051,S200000,00100,0100,11700 E. 10 MILE RD. 69051,S200000,00200,0100,WARREN 69051,S200000,00200,0200,MI 69051,S200000,00200,0300,48089 69051,S200000,00300,0100,MACOMB 69051,S200000,00400,0100,WARREN GERIATRIC VILLAGE INC. 69051,S200000,00400,0200,235325 69051,S200000,00400,0300,01/24/1979 69051,S200000,00400,0500,P 69051,S200000,01500,0100,Y 69051,S200000,01900,0100,501(C)(3) 69051,S200000,02800,0100,Y 69061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69061,A000000,00300,0000,00300EMPLOYEE BENEFITS 69061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69061,A000000,00700,0000,00700HOUSEKEEPING 69061,A000000,00800,0000,00800DIETARY 69061,A000000,00900,0000,00900NURSING ADMINISTRATION 69061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69061,A000000,01100,0000,01100PHARMACY 69061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69061,A000000,01300,0000,01300SOCIAL SERVICE 69061,A000000,01350,0000,01500ACTIVITIES 69061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69061,A000000,01600,0000,01600SKILLED NURSING FACILITY 69061,A000000,01800,0000,01800NURSING FACILITY 69061,A000000,01810,0000,01810ICF/MR 69061,A000000,02100,0000,02100RADIOLOGY 69061,A000000,02200,0000,02200LABORATORY 69061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69061,A000000,02500,0000,02500PHYSICAL THERAPY 69061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69061,A000000,02700,0000,02700SPEECH PATHOLOGY 69061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69061,A000000,03550,0000,03550FQHC 69061,A000000,05000,0000,05000CORF 69061,A000000,05010,0000,05010CMHC 69061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69061,A81000A,00100,0100,Y 69061,A81000B,00100,0300,MANAGEMENT FEE 69061,A81000B,00200,0300,QUALITY ASSURANCE 69061,A81000B,00300,0300,HOME OFFICE CAPITAL ITEMS 69061,A81000B,00400,0300,HOME OFFICE OTHER 69061,A81000C,00100,0100,B 69061,A81000C,00100,0400,LAUREL HEALTH 69061,A81000C,00100,0600,MANAGEMENT CO. 69061,B100000,00000,0100,00000SQUARE FEET 69061,B100000,00000,0200,00000SQUARE FEET 69061,B100000,00000,0300,00000GROSS SAL 69061,B100000,00000,0400,00000ACCUM. COST 69061,B100000,00000,0500,00000SQUARE FEET 69061,B100000,00000,0600,00000PAT DAYS 69061,B100000,00000,0700,00000SQUARE FEET 69061,B100000,00000,0800,00000PAT DAYS 69061,B100000,00000,0900,00000NURSING HOURS 69061,B100000,00000,1000,00000PAT DAYS 69061,B100000,00000,1100,00000BLANK 69061,B100000,00000,1200,00000PAT DAYS 69061,B100000,00000,1300,00000DISCHARGES 69061,B100000,00000,1350,00000PAT DAYS 69061,B100000,00000,1400,00000BLANK 69061,S000000,00100,0200,10/31/2000 69061,S200000,00100,0100,3650 VAN BUREN ST 69061,S200000,00200,0100,HUDSONVILLE 69061,S200000,00200,0200,MI 69061,S200000,00200,0300,49426 69061,S200000,00300,0100,OTTAWA 69061,S200000,00300,0200,3000 69061,S200000,00300,0300,U 69061,S200000,00400,0100,THE LAURELS OF HUDSONVILLE 69061,S200000,00400,0200,235327 69061,S200000,00400,0300,06/01/1998 69061,S200000,00400,0500,P 69061,S200000,01600,0100,Y 69061,S200000,01900,0100,CORPORATION 69061,S200000,02200,0100,Y 69075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69075,A000000,00300,0000,00300EMPLOYEE BENEFITS 69075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69075,A000000,00700,0000,00700HOUSEKEEPING 69075,A000000,00800,0000,00800DIETARY 69075,A000000,00900,0000,00900NURSING ADMINISTRATION 69075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69075,A000000,01100,0000,01100PHARMACY 69075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69075,A000000,01300,0000,01300SOCIAL SERVICE 69075,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69075,A000000,01600,0000,01600SKILLED NURSING FACILITY 69075,A000000,01800,0000,01800NURSING FACILITY 69075,A000000,01810,0000,01810ICF/MR 69075,A000000,02100,0000,02100RADIOLOGY 69075,A000000,02200,0000,02200LABORATORY 69075,A000000,02300,0000,02300INTRAVENOUS THERAPY 69075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69075,A000000,02500,0000,02500PHYSICAL THERAPY 69075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69075,A000000,02700,0000,02700SPEECH PATHOLOGY 69075,A000000,02800,0000,02800ELECTROCARDIOLOGY 69075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69075,A000000,03200,0000,03200SUPPORT SURFACES 69075,A000000,03550,0000,03550FQHC 69075,A000000,05000,0000,05000CORF 69075,A000000,05010,0000,05010CMHC 69075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69075,A000000,05300,0000,05300INTEREST EXPENSE 69075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69075,A81000A,00100,0100,Y 69075,A81000B,00100,0300,LEASE/RENT 69075,A81000B,00200,0300,PROPERTY TAXES 69075,A81000B,00300,0300,INTEREST 69075,A81000B,00400,0300,DEPRECIATION 69075,A81000B,00500,0300,AMORTIZATION 69075,A81000B,00600,0300,LEGAL AND ACCOUNTING 69075,A81000B,00700,0300,SINGLE BUSINESS TAX 69075,A81000B,00800,0300,BANK CHARGES 69075,A81000B,00900,0300,CONFERENCE/SEMINAR 69075,A81000C,00100,0100,A 69075,A81000C,00100,0200,MARION SHUBOW 69075,A81000C,00100,0400,MANSARD ASSOCIA 69075,A81000C,00100,0600,R.E. RENTAL 69075,A81000C,00200,0100,A 69075,A81000C,00200,0200,DAVID SHUBOW TR 69075,A81000C,00200,0400,MANSARD ASSOCIA 69075,A81000C,00200,0600,R.E. RENTAL 69075,A81000C,00300,0100,A 69075,A81000C,00300,0200,SARI SOLDEN 69075,A81000C,00300,0400,MANSARD ASSOCIA 69075,A81000C,00300,0600,R.E. RENTAL 69075,A81000C,00400,0100,A 69075,A81000C,00400,0200,HORACE DANGELO 69075,A81000C,00400,0400,MANSARD ASSOCIA 69075,A81000C,00400,0600,R.E. RENTAL 69075,A81000C,00500,0100,A 69075,A81000C,00500,0200,GILBERT FRIMET 69075,A81000C,00500,0400,MANSARD ASSOCIA 69075,A81000C,00500,0600,R.E. RENTAL 69075,A81000C,00600,0100,A 69075,A81000C,00600,0200,BARBARA MURPHY 69075,A81000C,00600,0400,MANSARD ASSOCIA 69075,A81000C,00600,0600,R.E. RENTAL 69075,A81000C,00700,0100,A 69075,A81000C,00700,0200,LINDA SHUBOW 69075,A81000C,00700,0400,MANSARD ASSOCIA 69075,A81000C,00700,0600,R.E. RENTAL 69075,A81000C,00800,0100,A 69075,A81000C,00800,0200,BURNSTEIN FAMIL 69075,A81000C,00800,0400,MANSARD ASSOCIA 69075,A81000C,00800,0600,R.E. RENTAL 69075,A81000C,00900,0100,A 69075,A81000C,00900,0200,MORRIS BRENNER 69075,A81000C,00900,0400,MANSARD ASSOCIA 69075,A81000C,00900,0600,R.E. RENTAL 69075,B100000,00000,0100,00000SQUARE FEET 69075,B100000,00000,0200,00000SQUARE FEET 69075,B100000,00000,0300,00000GROSS SALARIES 69075,B100000,00000,0400,00000ACCUM COST 69075,B100000,00000,0500,00000SQUARE FEET 69075,B100000,00000,0600,00000POUNDS OF LAUNDRY 69075,B100000,00000,0700,00000SQUARE FEET 69075,B100000,00000,0800,00000MEALS SERVED 69075,B100000,00000,0900,00000DIRECT NRSG HRS 69075,B100000,00000,1000,00000COSTED REQUIS 69075,B100000,00000,1100,00000COSTED REQUIS 69075,B100000,00000,1200,00000TIME SPENT 69075,B100000,00000,1300,00000TIME SPENT 69075,B100000,00000,1350,00000TIME SPENT 69075,B100000,00000,1400,00000ASSIGNED TIME 69075,S000000,00100,0200,05/31/2000 69075,S200000,00100,0100,36137 WEST WARREN 69075,S200000,00200,0100,WESTLAND 69075,S200000,00200,0200,MI 69075,S200000,00200,0300,48185 69075,S200000,00300,0100,WAYNE 69075,S200000,00400,0100,WESTLAND CONVALESCENT CENTER INC. 69075,S200000,00400,0200,235332 69075,S200000,00400,0300,01/01/1999 69075,S200000,00400,0500,P 69075,S200000,00400,0600,O 69075,S200000,01600,0100,Y 69075,S200000,02800,0100,Y 69075,S200000,04300,0100,Y 69083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69083,A000000,00300,0000,00300EMPLOYEE BENEFITS 69083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69083,A000000,00700,0000,00700HOUSEKEEPING 69083,A000000,00800,0000,00800DIETARY 69083,A000000,00900,0000,00900NURSING ADMINISTRATION 69083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69083,A000000,01100,0000,01100PHARMACY 69083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69083,A000000,01300,0000,01300SOCIAL SERVICE 69083,A000000,01350,0000,01500ACTIVITIES 69083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69083,A000000,01600,0000,01600SKILLED NURSING FACILITY 69083,A000000,01800,0000,01800NURSING FACILITY 69083,A000000,01810,0000,01810ICF/MR 69083,A000000,02100,0000,02100RADIOLOGY 69083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69083,A000000,02500,0000,02500PHYSICAL THERAPY 69083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69083,A000000,02700,0000,02700SPEECH PATHOLOGY 69083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69083,A000000,03550,0000,03550FQHC 69083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69083,A000000,05000,0000,05000CORF 69083,A000000,05010,0000,05010CMHC 69083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69083,A000000,06150,0000,06300ESCROW BEDS 69083,B100000,00000,0100,00000SQUARE FEET 69083,B100000,00000,0200,00000SQUARE FEET 69083,B100000,00000,0300,00000GROSS SALARIES 69083,B100000,00000,0400,00000ACCUM. COST 69083,B100000,00000,0500,00000SQUARE FEET 69083,B100000,00000,0600,00000POUNDS OF LAUNDRY 69083,B100000,00000,0700,00000SQUARE FEET 69083,B100000,00000,0800,00000MEALS SERVED 69083,B100000,00000,0900,00000PATIENT DAYS 69083,B100000,00000,1000,00000COSTED REQUIS. 69083,B100000,00000,1100,00000COSTED REQUIS. 69083,B100000,00000,1200,00000PATIENT DAYS 69083,B100000,00000,1300,00000PATIENT DAYS 69083,B100000,00000,1350,00000PATIENT DAYS 69083,B100000,00000,1400,00000ASSIGNED TIME 69083,S000000,00100,0200,09/20/2000 69083,S200000,00100,0100,12575 S. TELEGRAPH 69083,S200000,00200,0100,TAYLOR 69083,S200000,00200,0200,MI 69083,S200000,00300,0100,WAYNE 69083,S200000,00400,0100,PARK NURSING CENTER 69083,S200000,00400,0200,235333 69083,S200000,00400,0300,07/16/1982 69083,S200000,00400,0500,P 69083,S200000,00600,0200,235333 69083,S200000,00600,0300,07/16/1982 69083,S200000,00600,0600,P 69083,S200000,01600,0100,Y 69088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69088,A000000,00300,0000,00300EMPLOYEE BENEFITS 69088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69088,A000000,00700,0000,00700HOUSEKEEPING 69088,A000000,00800,0000,00800DIETARY 69088,A000000,00900,0000,00900NURSING ADMINISTRATION 69088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69088,A000000,01100,0000,01100PHARMACY 69088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69088,A000000,01300,0000,01300SOCIAL SERVICE 69088,A000000,01350,0000,01500DIVERSIONAL THERAPY 69088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69088,A000000,01600,0000,01600SKILLED NURSING FACILITY 69088,A000000,01810,0000,01810ICF/MR 69088,A000000,02100,0000,02100RADIOLOGY 69088,A000000,02200,0000,02200LABORATORY 69088,A000000,02500,0000,02500PHYSICAL THERAPY 69088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69088,A000000,02700,0000,02700SPEECH PATHOLOGY 69088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69088,A000000,03550,0000,03550FQHC 69088,A000000,05000,0000,05000CORF 69088,A000000,05010,0000,05010CMHC 69088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69088,A000000,05300,0000,05300INTEREST EXPENSE 69088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69088,A81000A,00100,0100,Y 69088,A81000B,00100,0300,LEASE INCOME 69088,A81000B,00200,0300,LICENSE FEES 69088,A81000B,00300,0300,PROFESSIONAL FEES 69088,A81000B,00400,0300,LONG TERM INTEREST 69088,A81000B,00500,0300,AMORTIZATION 69088,A81000B,00600,0300,DEPRECIATION 69088,A81000B,00700,0300,MANAGEMENT FEES 69088,A81000C,00100,0100,A 69088,A81000C,00100,0200,STEVEN BANDSTRA 69088,A81000C,00100,0400,CCG PROP. - GW 69088,A81000C,00100,0600,REAL ESTATE COM 69088,A81000C,00200,0100,A 69088,A81000C,00200,0200,STEVEN BANDSTRA 69088,A81000C,00200,0400,CCG PROP. - GW 69088,A81000C,00200,0600,REAL ESTATE COM 69088,A81000C,00300,0100,A 69088,A81000C,00300,0200,STEVEN BANDSTRA 69088,A81000C,00300,0400,CCG PROP. - GW 69088,A81000C,00300,0600,REAL ESTATE COM 69088,A81000C,00400,0100,A 69088,A81000C,00400,0200,STEVEN BANDSTRA 69088,A81000C,00400,0400,CCG PROP. - GW 69088,A81000C,00400,0600,REAL ESTATE COM 69088,A81000C,00500,0100,A 69088,A81000C,00500,0200,STEVEN BANDSTRA 69088,A81000C,00500,0400,CCG PROP. - GW 69088,A81000C,00500,0600,REAL ESTATE COM 69088,A81000C,00600,0100,A 69088,A81000C,00600,0200,STEVEN BANDSTRA 69088,A81000C,00600,0400,CCG PROP. - GW 69088,A81000C,00600,0600,REAL ESTATE COM 69088,A81000C,00700,0100,A 69088,A81000C,00700,0200,STEVEN BANDSTRA 69088,A81000C,00700,0400,COMMUNITY CENTR 69088,A81000C,00700,0600,MANAGEMENT COMP 69088,B100000,00000,0100,00000SQUARE FEET 69088,B100000,00000,0200,00000SQUARE FEET 69088,B100000,00000,0300,00000GROSS SALARIES 69088,B100000,00000,0400,00000ACCUM COST 69088,B100000,00000,0500,00000SQUARE FEET 69088,B100000,00000,0600,00000POUNDS OF LAUNDRY 69088,B100000,00000,0700,00000HOURS OF SERVICE 69088,B100000,00000,0800,00000MEALS SERVED 69088,B100000,00000,0900,00000DIRECT NRSG HRS 69088,B100000,00000,1000,00000COSTED REQUIS 69088,B100000,00000,1100,00000COSTED REQUIS 69088,B100000,00000,1200,00000TIME SPENT 69088,B100000,00000,1300,00000TIME SPENT 69088,B100000,00000,1350,00000CENSUS 69088,B100000,00000,1400,00000ASSIGNED TIME 69088,S000000,00100,0200,05/22/2000 69088,S200000,00100,0100,3270 PRATT LAKE ROAD 69088,S200000,00200,0100,GLADWIN 69088,S200000,00200,0200,MI 69088,S200000,00300,0100,GLADWIN 69088,S200000,00400,0100,GLADWIN LIVING CENTRE 69088,S200000,00400,0200,235335 69088,S200000,00400,0300,12/01/1997 69088,S200000,00400,0500,P 69088,S200000,01500,0100,Y 69088,S200000,02200,0100,Y 69093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69093,A000000,00300,0000,00300EMPLOYEE BENEFITS 69093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69093,A000000,00700,0000,00700HOUSEKEEPING 69093,A000000,00800,0000,00800DIETARY 69093,A000000,00900,0000,00900NURSING ADMINISTRATION 69093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69093,A000000,01100,0000,01100PHARMACY 69093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69093,A000000,01300,0000,01300SOCIAL SERVICE 69093,A000000,01350,0000,01500DIVERSIONAL THERAPY 69093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69093,A000000,01600,0000,01600SKILLED NURSING FACILITY 69093,A000000,01810,0000,01810ICF/MR 69093,A000000,02200,0000,02200LABORATORY 69093,A000000,02500,0000,02500PHYSICAL THERAPY 69093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69093,A000000,02700,0000,02700SPEECH PATHOLOGY 69093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69093,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69093,A000000,03550,0000,03550FQHC 69093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69093,A000000,05000,0000,05000CORF 69093,A000000,05010,0000,05010CMHC 69093,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69093,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69093,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69093,A000000,06150,0000,06300HOME FOR THE AGED 69093,A000000,06151,0000,06301APARTMENTS 69093,B100000,00000,0100,00001SQUARE FEET 69093,B100000,00000,0200,00001SQUARE FEET 69093,B100000,00000,0300,00001GROSS SALARIES 69093,B100000,00000,0400,00001ACCUM. COST 69093,B100000,00000,0500,00001SQUARE FEET 69093,B100000,00000,0600,00001POUNDS OF LAUNDRY 69093,B100000,00000,0700,00001HOURS OF SERVICE 69093,B100000,00000,0800,00001MEALS SERVED 69093,B100000,00000,0900,00001DIRECT NURSING HR 69093,B100000,00000,1000,00001COSTED REQUIS. 69093,B100000,00000,1100,00001COSTED REQUIS. 69093,B100000,00000,1200,00001TIME SPENT 69093,B100000,00000,1300,00001ASSIGNED TIME 69093,B100000,00000,1350,00001TIME SPENT 69093,B100000,00000,1400,00001ASSIGNED TIME 69093,S000000,00100,0200,11/10/2000 69093,S200000,00100,0100,1000 EDISON N.W. 69093,S200000,00200,0100,GRAND RAPIDS 69093,S200000,00200,0200,MI 69093,S200000,00200,0300,49504 69093,S200000,00300,0200,3000 69093,S200000,00300,0300,U 69093,S200000,00400,0100,CHRISTIAN REST HOME ASSOCIATION 69093,S200000,00400,0200,235339 69093,S200000,00400,0300,07/01/1966 69093,S200000,00400,0500,P 69093,S200000,01500,0100,Y 69093,S200000,01900,0100,CORPORATION 69093,S200000,02800,0100,Y 69104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69104,A000000,00300,0000,00300EMPLOYEE BENEFITS 69104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69104,A000000,00700,0000,00700HOUSEKEEPING 69104,A000000,00800,0000,00800DIETARY 69104,A000000,00900,0000,00900NURSING ADMINISTRATION 69104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69104,A000000,01100,0000,01100PHARMACY 69104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69104,A000000,01300,0000,01300SOCIAL SERVICE 69104,A000000,01350,0000,01500DIVERSIONAL THERAPY 69104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69104,A000000,01600,0000,01600SKILLED NURSING FACILITY 69104,A000000,01810,0000,01810ICF/MR 69104,A000000,01900,0000,01900OTHER LONG TERM CARE 69104,A000000,02100,0000,02100RADIOLOGY 69104,A000000,02200,0000,02200LABORATORY 69104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69104,A000000,02500,0000,02500PHYSICAL THERAPY 69104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69104,A000000,02700,0000,02700SPEECH PATHOLOGY 69104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69104,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69104,A000000,03550,0000,03550FQHC 69104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69104,A000000,04800,0000,04800AMBULANCE 69104,A000000,05000,0000,05000CORF 69104,A000000,05010,0000,05010CMHC 69104,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69104,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69104,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69104,B100000,00000,0100,00000SQUARE FEET 69104,B100000,00000,0200,00000SQUARE FEET 69104,B100000,00000,0300,00000GROSS SALARIES 69104,B100000,00000,0400,00000ACCUM. COST 69104,B100000,00000,0500,00000SQUARE FEET 69104,B100000,00000,0600,00000POUNDS OF LAUNDRY 69104,B100000,00000,0700,00000SQUARE FEET 69104,B100000,00000,0800,00000MEALS SERVED 69104,B100000,00000,0900,00000DIRECT NRSING HRS 69104,B100000,00000,1000,00000COSTED REQUIS. 69104,B100000,00000,1100,00000COSTED REQUIS. 69104,B100000,00000,1200,00000TIME SPENT 69104,B100000,00000,1300,00000TIME SPENT 69104,B100000,00000,1350,00000TIME SPENT 69104,B100000,00000,1400,00000ASSIGNED TIME 69104,S000000,00100,0200,09/20/2000 69104,S200000,00100,0100,307 FRANKS AVE 69104,S200000,00200,0100,STURGIS 69104,S200000,00200,0200,MI 69104,S200000,00300,0100,ST JOSEPH 69104,S200000,00400,0100,THURSTON WOODS VILLAGE 69104,S200000,00400,0200,235345 69104,S200000,00400,0300,04/01/1999 69104,S200000,00400,0500,P 69104,S200000,01500,0100,Y 69104,S200000,01900,0100,501 (C) (3) 69107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69107,A000000,00300,0000,00300EMPLOYEE BENEFITS 69107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69107,A000000,00700,0000,00700HOUSEKEEPING 69107,A000000,00800,0000,00800DIETARY 69107,A000000,00900,0000,00900NURSING ADMINISTRATION 69107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69107,A000000,01100,0000,01100PHARMACY 69107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69107,A000000,01300,0000,01300SOCIAL SERVICE 69107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69107,A000000,01600,0000,01600SKILLED NURSING FACILITY 69107,A000000,01800,0000,01800NURSING FACILITY 69107,A000000,01810,0000,01810ICF/MR 69107,A000000,02100,0000,02100RADIOLOGY 69107,A000000,02200,0000,02200LABORATORY 69107,A000000,02500,0000,02500PHYSICAL THERAPY 69107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69107,A000000,02700,0000,02700SPEECH PATHOLOGY 69107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69107,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69107,A000000,03200,0000,03200SUPPORT SURFACES 69107,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69107,A000000,03550,0000,03550FQHC 69107,A000000,05000,0000,05000CORF 69107,A000000,05010,0000,05010CMHC 69107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69107,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69107,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69107,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69107,B100000,00000,0100,00000SQUARE FEET 69107,B100000,00000,0200,00000SQUARE FEET 69107,B100000,00000,0300,00000GROSS SALARIES 69107,B100000,00000,0400,00000ACCUM COST 69107,B100000,00000,0500,00000SQUARE FEET 69107,B100000,00000,0600,00000PATIENT DAYS 69107,B100000,00000,0700,00000SQUARE FEET 69107,B100000,00000,0800,00000MEALS SERVED 69107,B100000,00000,0900,00000HOURS OF SERVICE 69107,B100000,00000,1000,00000PATIENT DAYS 69107,B100000,00000,1100,00000COSTED REQUISITIO 69107,B100000,00000,1200,00000PATIENT DAYS 69107,B100000,00000,1300,00000PATIENT DAYS 69107,B100000,00000,1400,00000ASSIGNED TIME 69107,S000000,00100,0200,05/31/2000 69107,S200000,00100,0100,285 N. STATE STREET 69107,S200000,00200,0100,ZEELAND 69107,S200000,00200,0200,MI 69107,S200000,00200,0300,49464 69107,S200000,00300,0100,OTTAWA 69107,S200000,00400,0100,HAVEN PARK CHRISTIAN NURSING HOME 69107,S200000,00400,0200,235347 69107,S200000,00400,0300,11/01/1992 69107,S200000,00400,0500,P 69107,S200000,01600,0100,Y 69107,S200000,01900,0100,CORPORATION 69110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69110,A000000,00300,0000,00300EMPLOYEE BENEFITS 69110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69110,A000000,00700,0000,00700HOUSEKEEPING 69110,A000000,00800,0000,00800DIETARY 69110,A000000,00900,0000,00900NURSING ADMINISTRATION 69110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69110,A000000,01100,0000,01100PHARMACY 69110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69110,A000000,01300,0000,01300SOCIAL SERVICE 69110,A000000,01301,0000,01301ACTIVITIES 69110,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 69110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69110,A000000,01600,0000,01600SKILLED NURSING FACILITY 69110,A000000,01800,0000,01800NURSING FACILITY 69110,A000000,01810,0000,01810ICF/MR 69110,A000000,02100,0000,02100RADIOLOGY 69110,A000000,02200,0000,02200LABORATORY 69110,A000000,02300,0000,02300INTRAVENOUS THERAPY 69110,A000000,02500,0000,02500PHYSICAL THERAPY 69110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69110,A000000,02700,0000,02700SPEECH PATHOLOGY 69110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69110,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69110,A000000,03051,0000,03301PEN THERAPY 69110,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69110,A000000,03550,0000,03550FQHC 69110,A000000,04800,0000,04800AMBULANCE 69110,A000000,05000,0000,05000CORF 69110,A000000,05010,0000,05010CMHC 69110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69110,A000000,05300,0000,05300INTEREST EXPENSE 69110,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69110,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69110,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69110,A81000A,00100,0100,Y 69110,A81000B,00100,0300,HOME OFFICE ALLOCATION 69110,A81000B,00200,0300,CENTRAL SUPPLY 69110,A81000B,00300,0300,MEDICAL SUPPLIES 69110,A81000B,00400,0300,PEN THERAPY 69110,A81000B,00500,0300,REHAB 69110,A81000B,00600,0300,PT 69110,A81000B,00700,0300,OT 69110,A81000B,00800,0300,ST 69110,A81000C,00100,0100,B 69110,A81000C,00100,0200,CRESTMONT 12200 69110,A81000C,00100,0400,MARINER POST AC 69110,A81000C,00100,0600,NURSING HOMES 69110,A81000C,00200,0100,G 69110,A81000C,00200,0200,MARINER POST AC 69110,A81000C,00200,0400,AMERICAN PHARMA 69110,A81000C,00200,0600,PHARMACEUTICALS 69110,A81000C,00300,0100,G 69110,A81000C,00300,0200,MARINER POST AC 69110,A81000C,00300,0400,PRISM (ATS ARS 69110,A81000C,00300,0600,THERAPIES 69110,B100000,00000,0100,00000SQUARE FEET 69110,B100000,00000,0200,00000SQUARE FEET 69110,B100000,00000,0300,00000GROSS SALARIES 69110,B100000,00000,0400,00000ACCUM COST 69110,B100000,00000,0500,00000SQUARE FEET 69110,B100000,00000,0600,00000PATIENT DAYS 69110,B100000,00000,0700,00000SQUARE FEET 69110,B100000,00000,0800,00000MEALS SERVED 69110,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69110,B100000,00000,1000,00000PATIENT DAYS 69110,B100000,00000,1100,00000COSTED REQUIS 69110,B100000,00000,1200,00000PATIENT DAYS 69110,B100000,00000,1300,00000PATIENT DAYS 69110,B100000,00000,1301,00000PATIENT DAYS 69110,B100000,00000,1350,00000UNITS OF SERVICE 69110,B100000,00000,1400,00000ASSIGNED TIME 69110,E10A180,00550,0300,06/14/2000 69110,S000000,00100,0200,06/06/2000 69110,S200000,00100,0100,111 TREALOUT DR 69110,S200000,00200,0100,FENTON 69110,S200000,00200,0200,MI 69110,S200000,00200,0300,48430 69110,S200000,00300,0100,GENESEE 69110,S200000,00400,0100,CRESTMONT HEALTHCARE CENTER 69110,S200000,00400,0200,235348 69110,S200000,00400,0300,05/01/1986 69110,S200000,00400,0500,P 69114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69114,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 69114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69114,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 69114,A000000,00300,0000,00300EMPLOYEE BENEFITS 69114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69114,A000000,00700,0000,00700HOUSEKEEPING 69114,A000000,00800,0000,00800DIETARY 69114,A000000,00801,0000,00801CAFETERIA 69114,A000000,00900,0000,00900NURSING ADMINISTRATION 69114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69114,A000000,01100,0000,01100PHARMACY 69114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69114,A000000,01300,0000,01300SOCIAL SERVICE 69114,A000000,01350,0000,01500ACTIVITIES 69114,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69114,A000000,01600,0000,01600SKILLED NURSING FACILITY 69114,A000000,01800,0000,01800NURSING FACILITY 69114,A000000,01810,0000,01810ICF/MR 69114,A000000,01900,0000,01900OTHER LONG TERM CARE 69114,A000000,02100,0000,02100RADIOLOGY 69114,A000000,02200,0000,02200LABORATORY 69114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69114,A000000,02500,0000,02500PHYSICAL THERAPY 69114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69114,A000000,02700,0000,02700SPEECH PATHOLOGY 69114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69114,A000000,03050,0000,03300OTHER ANCILLARY 69114,A000000,03051,0000,03301OTHER ANCILLARY II 69114,A000000,03052,0000,03302OTHER ANCILLARY III 69114,A000000,03200,0000,03200SUPPORT SURFACES 69114,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69114,A000000,03550,0000,03550FQHC 69114,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69114,A000000,05000,0000,05000CORF I 69114,A000000,05010,0000,05010CMHC I 69114,A000000,05020,0000,05020OPT I 69114,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69114,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69114,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69114,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69114,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 69114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69114,A000000,06150,0000,06300INC TAX FED & STATE 69114,A81000A,00100,0100,Y 69114,A81000B,00100,0300,CAPITAL 69114,A81000B,00200,0300,A&G 69114,A81000B,00300,0300,A&G 69114,A81000B,00400,0300,A&G 69114,A81000B,00500,0300,DIETARY 69114,A81000B,00600,0300,MEDICAL SUPPLIES 69114,A81000B,00700,0300,MEDICAL SUPPLIES 69114,A81000C,00100,0100,A 69114,A81000C,00100,0200,DOUG MITTLEIDER 69114,A81000C,00100,0600,LONG TERM 69114,A81000C,00200,0100,A 69114,A81000C,00200,0200,MIKE FOXWORTHY 69114,A81000C,00200,0600,CARE MGMT 69114,B100000,00000,0100,00000(SQUARE FEET) 69114,B100000,00000,0101,00000(SQUARE FEET) 69114,B100000,00000,0200,00000(SQUARE FEET) 69114,B100000,00000,0201,00000(SQUARE FEET) 69114,B100000,00000,0300,00000(GROSS SALARIES) 69114,B100000,00000,0400,00000(ACCUM. COST) 69114,B100000,00000,0500,00000(SQUARE FEET) 69114,B100000,00000,0600,00000(PATIENT DAYS) 69114,B100000,00000,0700,00000(SQUARE FEET) 69114,B100000,00000,0800,00000(MEALS SERVED) 69114,B100000,00000,0801,00000(MEALS SERVED) 69114,B100000,00000,0900,00000(PATIENT DAYS) 69114,B100000,00000,1000,00000(GROSS CHARGES) 69114,B100000,00000,1100,00000(PATIENT DAYS) 69114,B100000,00000,1200,00000(PATIENT DAYS) 69114,B100000,00000,1300,00000(PATIENT DAYS) 69114,B100000,00000,1350,00000(PATIENT DAYS) 69114,B100000,00000,1400,00000(ASSIGNED TIME) 69114,S000000,00100,0200,08/10/2000 69114,S200000,00100,0100,55378 WILBUR ROAD 69114,S200000,00200,0100,THREE RIVERS 69114,S200000,00200,0200,MI 69114,S200000,00200,0300,49093 69114,S200000,00300,0100,ST. JOSEPH 69114,S200000,00400,0100,RIVERVIEW MANOR 69114,S200000,00400,0200,235354 69114,S200000,00400,0300,08/09/1991 69114,S200000,00400,0500,P 69114,S200000,01600,0100,Y 69114,S200000,02200,0100,Y 69119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69119,A000000,00300,0000,00300EMPLOYEE BENEFITS 69119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69119,A000000,00700,0000,00700HOUSEKEEPING 69119,A000000,00800,0000,00800DIETARY 69119,A000000,00900,0000,00900NURSING ADMINISTRATION 69119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69119,A000000,01100,0000,01100PHARMACY 69119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69119,A000000,01300,0000,01300SOCIAL SERVICE 69119,A000000,01350,0000,01500DIVERSIONAL THERAPY 69119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69119,A000000,01600,0000,01600SKILLED NURSING FACILITY 69119,A000000,01800,0000,01800NURSING FACILITY 69119,A000000,01810,0000,01810ICF/MR 69119,A000000,02100,0000,02100RADIOLOGY 69119,A000000,02200,0000,02200LABORATORY 69119,A000000,02300,0000,02300INTRAVENOUS THERAPY 69119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69119,A000000,02500,0000,02500PHYSICAL THERAPY 69119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69119,A000000,02700,0000,02700SPEECH PATHOLOGY 69119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69119,A000000,03101,0000,03110AMBULANCE 69119,A000000,03102,0000,03120ENTERAL 69119,A000000,03103,0000,03130AIR FLUIDIZED THERAPY 69119,A000000,03550,0000,03550FQHC 69119,A000000,05000,0000,05000CORF 69119,A000000,05010,0000,05010CMHC 69119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69119,A81000A,00100,0100,Y 69119,A81000B,00100,0300,LEASE COSTS 69119,A81000B,00200,0300,CENTRAL OFFICE 69119,A81000B,00300,0300,CENTRAL OFFICE 69119,A81000B,00400,0300,SUPPLIES/RENTALS 69119,A81000B,00500,0300,RESPIRATORY THERAPIS 69119,A81000B,00600,0300,CONTR. PHYS. THERAPY 69119,A81000B,00700,0300,CONTR. OCCUP. THERAP 69119,A81000B,00800,0300,CONTR. SPEECH THERAP 69119,A81000B,00900,0300,CONTRACTED NSG 69119,A81000B,01000,0300,SHARED THERAPY 69119,A81000B,01100,0300,SHARED THERAPY 69119,A81000B,01200,0300,SHARED THERAPY 69119,A81000B,01300,0300,SHARED THERAPY 69119,A81000B,01400,0300,SHARED THERAPY 69119,A81000B,01500,0300,SHARED THERAPY 69119,A81000B,01600,0300,SHARED THERAPY 69119,A81000B,01700,0300,SHARED THERAPY 69119,A81000B,01800,0300,SHARED THERAPY 69119,A81000B,01900,0300,NURSE AIDE TRAINING 69119,A81000B,02000,0300,MAINTENANCE SUPPORT 69119,A81000C,00100,0100,A 69119,A81000C,00100,0200,MARVIN L. PIERS 69119,A81000C,00100,0400,GLENWOOD REAL E 69119,A81000C,00100,0600,LESSOR 69119,A81000C,00200,0100,A 69119,A81000C,00200,0200,VERNON VOS 69119,A81000C,00200,0400,GLENWOOD REAL E 69119,A81000C,00200,0600,LESSOR 69119,A81000C,00300,0100,A 69119,A81000C,00300,0200,DAVID VOS 69119,A81000C,00300,0400,GLENWOOD REAL E 69119,A81000C,00300,0600,LESSOR 69119,A81000C,00400,0100,A 69119,A81000C,00400,0200,MARVIN L. PIERS 69119,A81000C,00400,0400,METRON INTEGRAT 69119,A81000C,00400,0600,CENTRAL OFFICE 69119,A81000C,00500,0100,A 69119,A81000C,00500,0200,MARVIN L. PIERS 69119,A81000C,00500,0400,CARE SOURCE IN 69119,A81000C,00500,0600,SUPPLIES/RENTAL 69119,A81000C,00600,0100,A 69119,A81000C,00600,0200,MARVIN L. PIERS 69119,A81000C,00600,0400,PEOPLECARE 69119,A81000C,00600,0600,CONTRACTED SVCS 69119,A81000C,00700,0100,A 69119,A81000C,00700,0200,MARVIN L. PIERS 69119,A81000C,00700,0400,METRON OF ALLEG 69119,A81000C,00700,0600,SNF 69119,A81000C,00800,0100,A 69119,A81000C,00800,0200,MARVIN L. PIERS 69119,A81000C,00800,0400,METRON OF BELDI 69119,A81000C,00800,0600,SNF 69119,A81000C,00900,0100,A 69119,A81000C,00900,0200,MARVIN L. PIERS 69119,A81000C,00900,0400,METRON OF BIG R 69119,A81000C,00900,0600,SNF 69119,A81000C,01000,0100,A 69119,A81000C,01000,0200,MARVIN L. PIERS 69119,A81000C,01000,0400,METRON OF CEDAR 69119,A81000C,01000,0600,SNF 69119,A81000C,01100,0100,A 69119,A81000C,01100,0200,MARVIN L. PIERS 69119,A81000C,01100,0400,METRON OF FORES 69119,A81000C,01100,0600,SNF 69119,A81000C,01200,0100,A 69119,A81000C,01200,0200,MARVIN L. PIERS 69119,A81000C,01200,0400,METRON OF GREEN 69119,A81000C,01200,0600,SNF 69119,B100000,00000,0100,00000SQUARE FEET 69119,B100000,00000,0200,00000SQUARE FEET 69119,B100000,00000,0300,00000GROSS SALARIES 69119,B100000,00000,0400,00000ACCUM COST 69119,B100000,00000,0500,00000SQUARE FEET 69119,B100000,00000,0600,00000POUNDS OF LAUNDRY 69119,B100000,00000,0700,00000HOURS OF SERVICE 69119,B100000,00000,0800,00000MEALS SERVED 69119,B100000,00000,0900,00000DIRECT NRSG HRS 69119,B100000,00000,1000,00000COSTED REQUIS 69119,B100000,00000,1100,00000COSTED REQUIS 69119,B100000,00000,1200,00000TIME SPENT 69119,B100000,00000,1300,00000TIME SPENT 69119,B100000,00000,1350,00000(TIME SPENT) 69119,B100000,00000,1400,00000ASSIGNED TIME 69119,E10A180,00501,0300,11/15/2000 69119,S000000,00100,0200,08/04/2000 69119,S200000,00100,0100,13030 144TH AVENUE 69119,S200000,00200,0100,LAMONT 69119,S200000,00200,0200,MI 69119,S200000,00200,0300,49430 69119,S200000,00300,0100,OTTAWA 69119,S200000,00400,0100,METRON OF LAMONT 69119,S200000,00400,0200,235355 69119,S200000,00400,0300,01/01/1980 69119,S200000,00400,0500,P 69119,S200000,00400,0600,O 69119,S200000,00600,0200,235355 69119,S200000,00600,0300,01/01/1980 69119,S200000,00600,0600,P 69119,S200000,01600,0100,Y 69119,S200000,04700,0100,Y 69119,S200000,04700,0200,Y 69128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69128,A000000,00300,0000,00300EMPLOYEE BENEFITS 69128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69128,A000000,00700,0000,00700HOUSEKEEPING 69128,A000000,00800,0000,00800DIETARY 69128,A000000,00900,0000,00900NURSING ADMINISTRATION 69128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69128,A000000,01100,0000,01100PHARMACY 69128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69128,A000000,01300,0000,01300SOCIAL SERVICE 69128,A000000,01350,0000,01500DIVERSIONAL THERAPY 69128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69128,A000000,01600,0000,01600SKILLED NURSING FACILITY 69128,A000000,01800,0000,01800NURSING FACILITY 69128,A000000,01810,0000,01810ICF/MR 69128,A000000,02100,0000,02100RADIOLOGY 69128,A000000,02200,0000,02200LABORATORY 69128,A000000,02300,0000,02300INTRAVENOUS THERAPY 69128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69128,A000000,02500,0000,02500PHYSICAL THERAPY 69128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69128,A000000,02700,0000,02700SPEECH PATHOLOGY 69128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69128,A000000,03001,0000,03010AMBULANCE 69128,A000000,03050,0000,03300AIR FLUIDIZED THERAPY BEDS 69128,A000000,03550,0000,03550FQHC 69128,A000000,05000,0000,05000CORF 69128,A000000,05010,0000,05010CMHC 69128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69128,A81000A,00100,0100,Y 69128,A81000B,00100,0300,LEASE OF LAND/BLDG 69128,A81000B,00200,0300,CENTRAL OFFICE COSTS 69128,A81000B,00300,0300,CENTRAL OFFICE COSTS 69128,A81000B,00400,0300,SUPPLIES/RENTALS 69128,A81000B,00500,0300,CONTR.PHYS THER 69128,A81000B,00600,0300,CONTR.OCCUP.THER. 69128,A81000B,00700,0300,CONTR.SPEECH THER. 69128,A81000B,00800,0300,CONTRACTED NURSING 69128,A81000B,00900,0300,SHARED THERAPY 69128,A81000B,01000,0300,SHARED THERAPY 69128,A81000B,01100,0300,SHARED THERAPY 69128,A81000B,01200,0300,SHARED THERAPY 69128,A81000B,01300,0300,SHARED THERAPY 69128,A81000B,01400,0300,SHARED THERAPY 69128,A81000B,01500,0300,SHARED THERAPY 69128,A81000B,01600,0300,SHARED THERAPY 69128,A81000B,01700,0300,SHARED THERAPY 69128,A81000B,01800,0300,SHARED THERAPY 69128,A81000B,01900,0300,MAINTENANCE SUPPORT 69128,A81000B,02000,0300,NURSE AIDE TRAINING 69128,A81000B,02100,0300,NURSE AIDE TRAINING 69128,A81000C,00100,0100,A 69128,A81000C,00100,0200,MARVIN L. PIERS 69128,A81000C,00100,0400,BELDING REAL ES 69128,A81000C,00100,0600,LESSOR 69128,A81000C,00200,0100,A 69128,A81000C,00200,0200,DAVID VOS 69128,A81000C,00200,0400,BELDING REAL ES 69128,A81000C,00200,0600,LESSOR 69128,A81000C,00300,0100,A 69128,A81000C,00300,0200,VERNON VOS 69128,A81000C,00300,0400,BELDING REAL ES 69128,A81000C,00300,0600,LESSOR 69128,A81000C,00400,0100,A 69128,A81000C,00400,0200,DALE WOODWORTH 69128,A81000C,00400,0400,BELDING REAL ES 69128,A81000C,00400,0600,LESSOR 69128,A81000C,00500,0100,A 69128,A81000C,00500,0200,MARVIN L. PIERS 69128,A81000C,00500,0400,METRON INTEGRAT 69128,A81000C,00500,0600,CENTRAL OFFICE 69128,A81000C,00600,0100,A 69128,A81000C,00600,0200,MARVIN L. PIERS 69128,A81000C,00600,0400,CARE SOURCE IN 69128,A81000C,00600,0600,SUPPLIES/RENTAL 69128,A81000C,00700,0100,A 69128,A81000C,00700,0200,MARVIN L. PIERS 69128,A81000C,00700,0400,PEROPLECARE IN 69128,A81000C,00700,0600,CONTRACTED SERV 69128,A81000C,00800,0100,A 69128,A81000C,00800,0200,MARVIN L. PIERS 69128,A81000C,00800,0400,METR. OF ALLEGA 69128,A81000C,00800,0600,SNF 69128,A81000C,00900,0100,A 69128,A81000C,00900,0200,MARVIN L. PIERS 69128,A81000C,00900,0400,METR. OF BIG RA 69128,A81000C,00900,0600,SNF 69128,A81000C,01000,0100,A 69128,A81000C,01000,0200,MARVIN L. PIERS 69128,A81000C,01000,0400,METR. OF CEDR. 69128,A81000C,01000,0600,SNF 69128,A81000C,01100,0100,A 69128,A81000C,01100,0200,MARVIN L. PIERS 69128,A81000C,01100,0400,METR. OF FOREST 69128,A81000C,01100,0600,SNF 69128,A81000C,01200,0100,A 69128,A81000C,01200,0200,MARVIN L. PIERS 69128,A81000C,01200,0400,METR. OF GREENV 69128,A81000C,01200,0600,SNF 69128,A81000C,01300,0100,A 69128,A81000C,01300,0200,MARVIN L. PIERS 69128,A81000C,01300,0400,METR. OF LAMONT 69128,A81000C,01300,0600,SNF 69128,B100000,00000,0100,00000SQUARE FEET 69128,B100000,00000,0200,00000SQUARE FEET 69128,B100000,00000,0300,00000GROSS SALARIES 69128,B100000,00000,0400,00000ACCUM COST 69128,B100000,00000,0500,00000SQUARE FEET 69128,B100000,00000,0600,00000POUNDS OF LAUNDRY 69128,B100000,00000,0700,00000HOURS OF SERVICE 69128,B100000,00000,0800,00000MEALS SERVED 69128,B100000,00000,0900,00000DIRECT NRSG HRS 69128,B100000,00000,1000,00000COSTED REQUIS 69128,B100000,00000,1100,00000COSTED REQUIS 69128,B100000,00000,1200,00000TIME SPENT 69128,B100000,00000,1300,00000TIME SPENT 69128,B100000,00000,1350,00000(TIME SPENT) 69128,B100000,00000,1400,00000ASSIGNED TIME 69128,S000000,00100,0200,08/04/2000 69128,S200000,00100,0100,414 E. STATE STREET 69128,S200000,00200,0100,BELDING 69128,S200000,00200,0200,MI 69128,S200000,00200,0300,48809 69128,S200000,00300,0100,IONIA 69128,S200000,00400,0100,METRON OF BELDING 69128,S200000,00400,0200,235357 69128,S200000,00400,0300,01/01/1980 69128,S200000,00400,0500,P 69128,S200000,00400,0600,O 69128,S200000,00600,0200,235357 69128,S200000,00600,0300,01/01/1980 69128,S200000,00600,0600,P 69128,S200000,01600,0100,Y 69128,S200000,04700,0100,Y 69135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69135,A000000,00300,0000,00300EMPLOYEE BENEFITS 69135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69135,A000000,00700,0000,00700HOUSEKEEPING 69135,A000000,00800,0000,00800DIETARY 69135,A000000,00900,0000,00900NURSING ADMINISTRATION 69135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69135,A000000,01100,0000,01100PHARMACY 69135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69135,A000000,01300,0000,01300SOCIAL SERVICE 69135,A000000,01350,0000,01500OTHER GENERAL SERVICES 69135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69135,A000000,01600,0000,01600SKILLED NURSING FACILITY 69135,A000000,01810,0000,01810ICF/MR 69135,A000000,01900,0000,01900OTHER LONG TERM CARE 69135,A000000,02100,0000,02100RADIOLOGY 69135,A000000,02200,0000,02200LABORATORY 69135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69135,A000000,02500,0000,02500PHYSICAL THERAPY 69135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69135,A000000,02700,0000,02700SPEECH PATHOLOGY 69135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69135,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69135,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69135,A000000,03550,0000,03550FQHC 69135,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69135,A000000,05000,0000,05000CORF 69135,A000000,05010,0000,05010CMHC 69135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69135,A000000,05300,0000,05300INTEREST EXPENSE 69135,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69135,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69135,B100000,00000,0100,00000SQUARE FEET 69135,B100000,00000,0200,00000SQUARE FEET 69135,B100000,00000,0300,00000GROSS SALARIES 69135,B100000,00000,0400,00000ACCUM. COST 69135,B100000,00000,0500,00000SQUARE FEET 69135,B100000,00000,0600,00000LBS. OF LAUNDRY 69135,B100000,00000,0700,00000HOURS OF SERVICE 69135,B100000,00000,0800,00000MEALS SERVED 69135,B100000,00000,0900,00000PATIENT DAY 69135,B100000,00000,1000,00000PATIENT DAY 69135,B100000,00000,1100,00000NO STATISTICS 69135,B100000,00000,1200,00000PATIENT DAYS 69135,B100000,00000,1300,00000PATIENT DAYS 69135,B100000,00000,1350,00000PATIENT DAYS 69135,B100000,00000,1400,00000NO STATISTICS 69135,S000000,00100,0200,06/08/2000 69135,S200000,00100,0100,151 SECOND STREET 69135,S200000,00200,0100,JACKSON 69135,S200000,00200,0200,MI 69135,S200000,00300,0100,JACKSON 69135,S200000,00400,0100,ARBOR MANOR CARE CENTER 69135,S200000,00400,0200,235360 69135,S200000,00400,0300,01/01/1980 69135,S200000,00400,0500,P 69135,S200000,01500,0100,Y 69135,S200000,02800,0100,Y 69135,S200000,04300,0100,Y 69138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69138,A000000,00300,0000,00300EMPLOYEE BENEFITS 69138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69138,A000000,00700,0000,00700HOUSEKEEPING 69138,A000000,00800,0000,00800DIETARY 69138,A000000,00900,0000,00900NURSING ADMINISTRATION 69138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69138,A000000,01100,0000,01100PHARMACY 69138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69138,A000000,01300,0000,01300SOCIAL SERVICE 69138,A000000,01301,0000,01301ACTIVITIES 69138,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 69138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69138,A000000,01600,0000,01600SKILLED NURSING FACILITY 69138,A000000,01800,0000,01800NURSING FACILITY 69138,A000000,01810,0000,01810ICF/MR 69138,A000000,02100,0000,02100RADIOLOGY 69138,A000000,02200,0000,02200LABORATORY 69138,A000000,02300,0000,02300INTRAVENOUS THERAPY 69138,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69138,A000000,02500,0000,02500PHYSICAL THERAPY 69138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69138,A000000,02700,0000,02700SPEECH PATHOLOGY 69138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69138,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69138,A000000,03550,0000,03550FQHC 69138,A000000,05000,0000,05000CORF 69138,A000000,05010,0000,05010CMHC 69138,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69138,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69138,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69138,A000000,05300,0000,05300INTEREST EXPENSE 69138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69138,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69138,A81000A,00100,0100,Y 69138,A81000B,00100,0300,HOME OFFICE ALLOCATION 69138,A81000B,00200,0300,NON CERT 69138,A81000B,00300,0300,MEDICAL SUPPLIES 69138,A81000B,00400,0300,CAPITAL 69138,A81000B,00500,0300,REHAB 69138,A81000B,00600,0300,PT 69138,A81000B,00700,0300,OT 69138,A81000B,00800,0300,ST 69138,A81000C,00100,0100,B 69138,A81000C,00100,0200,HERITAGE MANOR 69138,A81000C,00100,0400,MARINER POST AC 69138,A81000C,00100,0600,NURSING HOMES 69138,A81000C,00200,0100,G 69138,A81000C,00200,0200,MARINER POST AC 69138,A81000C,00200,0400,AMERICAN PHARMA 69138,A81000C,00200,0600,PHARMACEUTICALS 69138,A81000C,00300,0100,G 69138,A81000C,00300,0200,MARINER POST AC 69138,A81000C,00300,0400,PRISM (ATS ARS 69138,A81000C,00300,0600,THERAPIES 69138,B100000,00000,0100,00000SQUARE FEET 69138,B100000,00000,0200,00000SQUARE FEET 69138,B100000,00000,0300,00000GROSS SALARIES 69138,B100000,00000,0400,00000ACCUM COST 69138,B100000,00000,0500,00000SQUARE FEET 69138,B100000,00000,0600,00000PATIENT DAYS 69138,B100000,00000,0700,00000SQUARE FEET 69138,B100000,00000,0800,00000MEALS SERVED 69138,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69138,B100000,00000,1000,00000PATIENT DAYS 69138,B100000,00000,1100,00000COSTED REQUIS 69138,B100000,00000,1200,00000PATIENT DAYS 69138,B100000,00000,1300,00000PATIENT DAYS 69138,B100000,00000,1301,00000PATIENT DAYS 69138,B100000,00000,1350,00000UNITS OF S 69138,B100000,00000,1400,00000ASSIGNED TIME 69138,S000000,00100,0200,06/06/2000 69138,S200000,00100,0100,G-3021 BEECHER RD 69138,S200000,00200,0100,FLINT 69138,S200000,00200,0200,MI 69138,S200000,00200,0300,48532 69138,S200000,00300,0100,GENESSEE 69138,S200000,00400,0100,HERITAGE MANOR HEALTHCARE CENTER 69138,S200000,00400,0200,235363 69138,S200000,00400,0300,01/01/1987 69138,S200000,00400,0500,P 69141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69141,A000000,00300,0000,00300EMPLOYEE BENEFITS 69141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69141,A000000,00700,0000,00700HOUSEKEEPING 69141,A000000,00800,0000,00800DIETARY 69141,A000000,00900,0000,00900NURSING ADMINISTRATION 69141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69141,A000000,01100,0000,01100PHARMACY 69141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69141,A000000,01300,0000,01300SOCIAL SERVICE 69141,A000000,01350,0000,01500DIVERSIONAL THERAPY 69141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69141,A000000,01600,0000,01600SKILLED NURSING FACILITY 69141,A000000,01800,0000,01800NURSING FACILITY 69141,A000000,01810,0000,01810ICF/MR 69141,A000000,02100,0000,02100RADIOLOGY 69141,A000000,02200,0000,02200LABORATORY 69141,A000000,02300,0000,02300INTRAVENOUS THERAPY 69141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69141,A000000,02500,0000,02500PHYSICAL THERAPY 69141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69141,A000000,02700,0000,02700SPEECH PATHOLOGY 69141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69141,A000000,03001,0000,03010AMBULANCE 69141,A000000,03050,0000,03300AIR FLUIDIZED THERAPY BEDS 69141,A000000,03550,0000,03550FQHC 69141,A000000,05000,0000,05000CORF 69141,A000000,05010,0000,05010CMHC 69141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69141,A81000A,00100,0100,Y 69141,A81000B,00100,0300,LEASE LAND/BLDG 69141,A81000B,00200,0300,CENTRAL OFFICE 69141,A81000B,00300,0300,CENTRAL OFFICE-CAPIT 69141,A81000B,00400,0300,SUPPLIES/RENTALS 69141,A81000B,00500,0300,CONTR. PHYS. THERAPY 69141,A81000B,00600,0300,CONTR. OCCUP. THERAP 69141,A81000B,00700,0300,CONTR. SPEECH THERAP 69141,A81000B,00800,0300,CONTRACTED NURSING 69141,A81000B,00900,0300,SHARED THERAPY 69141,A81000B,01000,0300,SHARED THERAPY 69141,A81000B,01100,0300,SHARED THERAPY 69141,A81000B,01200,0300,SHARED THERAPY 69141,A81000B,01300,0300,SHARED THERAPY 69141,A81000B,01400,0300,SHARED THERAPY 69141,A81000B,01500,0300,SHARED THERAPY 69141,A81000B,01600,0300,SHARED THERAPY 69141,A81000B,01700,0300,SHARED THERAPY 69141,A81000B,01800,0300,NURSE AIDE TRAINING 69141,A81000C,00100,0100,A 69141,A81000C,00100,0200,MARVIN L. PIERS 69141,A81000C,00100,0400,CASCADE REAL ES 69141,A81000C,00100,0600,LESSOR 69141,A81000C,00200,0100,A 69141,A81000C,00200,0200,DAVID VOS 69141,A81000C,00200,0400,CASCADE REAL ES 69141,A81000C,00200,0600,LESSOR 69141,A81000C,00300,0100,A 69141,A81000C,00300,0200,VERNON VOS 69141,A81000C,00300,0400,CASCADE REAL ES 69141,A81000C,00300,0600,LESSOR 69141,A81000C,00400,0100,A 69141,A81000C,00400,0200,DALE WOODWORTH 69141,A81000C,00400,0400,CASCADE REAL ES 69141,A81000C,00400,0600,LESSOR 69141,A81000C,00500,0100,A 69141,A81000C,00500,0200,MARVIN L. PIERS 69141,A81000C,00500,0400,METRON INTEGRAT 69141,A81000C,00500,0600,CENTRAL OFFICE 69141,A81000C,00600,0100,A 69141,A81000C,00600,0200,MARVIN L. PIERS 69141,A81000C,00600,0400,CARE SOURCE IN 69141,A81000C,00600,0600,SUPPLIES/RENTAL 69141,A81000C,00700,0100,A 69141,A81000C,00700,0200,MARVIN L. PIERS 69141,A81000C,00700,0400,PEOPLECARE 69141,A81000C,00700,0600,CONTRACTED SERV 69141,A81000C,00800,0100,A 69141,A81000C,00800,0200,MARVIN L. PIERS 69141,A81000C,00800,0400,METRON OF ALLEG 69141,A81000C,00800,0600,SNF 69141,A81000C,00900,0100,A 69141,A81000C,00900,0200,MARVIN L. PIERS 69141,A81000C,00900,0400,METRON OF BELDI 69141,A81000C,00900,0600,SNF 69141,A81000C,01000,0100,A 69141,A81000C,01000,0200,MARVIN L. PIERS 69141,A81000C,01000,0400,METRON OF BIG R 69141,A81000C,01000,0600,SNF 69141,A81000C,01100,0100,A 69141,A81000C,01100,0200,MARVIN L. PIERS 69141,A81000C,01100,0400,METRON OF CDR S 69141,A81000C,01100,0600,SNF 69141,A81000C,01200,0100,A 69141,A81000C,01200,0200,MARVIN L. PIERS 69141,A81000C,01200,0400,METRON OF LAMON 69141,A81000C,01200,0600,SNF 69141,A81000C,01300,0100,A 69141,A81000C,01300,0200,MARVIN L. PIERS 69141,A81000C,01300,0400,METRON OF GREEN 69141,A81000C,01300,0600,SNF 69141,B100000,00000,0100,00000SQUARE FEET 69141,B100000,00000,0200,00000SQUARE FEET 69141,B100000,00000,0300,00000GROSS SALARIES 69141,B100000,00000,0400,00000ACCUM COST 69141,B100000,00000,0500,00000SQUARE FEET 69141,B100000,00000,0600,00000POUNDS OF LAUNDRY 69141,B100000,00000,0700,00000HOURS OF SERVICE 69141,B100000,00000,0800,00000MEALS SERVED 69141,B100000,00000,0900,00000DIRECT NRSG HRS 69141,B100000,00000,1000,00000COSTED REQUIS 69141,B100000,00000,1100,00000COSTED REQUIS 69141,B100000,00000,1200,00000TIME SPENT 69141,B100000,00000,1300,00000TIME SPENT 69141,B100000,00000,1350,00000(TIME SPENT) 69141,B100000,00000,1400,00000ASSIGNED TIME 69141,S000000,00100,0200,08/09/2000 69141,S200000,00100,0100,1095 MEDICAL PARK DR SE 69141,S200000,00200,0100,GRAND RAPIDS 69141,S200000,00200,0200,MI 69141,S200000,00200,0300,49546 69141,S200000,00300,0100,KENT 69141,S200000,00400,0100,METRON OF FOREST HILLS 69141,S200000,00400,0200,235366 69141,S200000,00400,0300,01/01/1980 69141,S200000,00400,0500,P 69141,S200000,00400,0600,O 69141,S200000,01600,0100,Y 69141,S200000,04700,0100,Y 69141,S200000,04700,0200,Y 69144,S000000,00100,0200,05/26/2000 69148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69148,A000000,00300,0000,00300EMPLOYEE BENEFITS 69148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69148,A000000,00700,0000,00700HOUSEKEEPING 69148,A000000,00800,0000,00800DIETARY 69148,A000000,00900,0000,00900NURSING ADMINISTRATION 69148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69148,A000000,01100,0000,01100PHARMACY 69148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69148,A000000,01300,0000,01300SOCIAL SERVICE 69148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69148,A000000,01600,0000,01600SKILLED NURSING FACILITY 69148,A000000,01810,0000,01810ICF/MR 69148,A000000,02100,0000,02100RADIOLOGY 69148,A000000,02200,0000,02200LABORATORY 69148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69148,A000000,02500,0000,02500PHYSICAL THERAPY 69148,A000000,02501,0000,02501PHYSICAL THERAPY PART B 69148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69148,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 69148,A000000,02700,0000,02700SPEECH PATHOLOGY 69148,A000000,02701,0000,02701SPEECH THERAPY PART B 69148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69148,A000000,03050,0000,03300CLINITRON BEDS 69148,A000000,03051,0000,03301AMBULANCE SERVICES 69148,A000000,03550,0000,03550FQHC 69148,A000000,05000,0000,05000CORF 69148,A000000,05010,0000,05010CMHC 69148,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 69148,A000000,05300,0000,05300INTEREST EXPENSE 69148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69148,A81000A,00100,0100,Y 69148,A81000B,00100,0300,LAUNDRY SERVICES 69148,A81000B,00200,0300,SOCIAL WORKERS 69148,A81000B,00300,0300,LAB SERVICES 69148,A81000B,00400,0300,ACCOUNTING SERVICES 69148,A81000B,00500,0300,WOUND CARE/ NURS SUP 69148,A81000B,00600,0300,NURSING SUPP 69148,A81000B,00700,0300,HEPATITIS VACCINE 69148,A81000B,00800,0300,EMPLOYEE ASSISTANCE 69148,A81000B,00900,0300,PROPERTY RENTAL 69148,A81000C,00100,0100,A 69148,A81000C,00100,0200,BLUE WATER HEAL 69148,A81000C,00100,0400,PORT HURON HOSP 69148,A81000C,00100,0600,HEALTHCARE SERV 69148,A81000C,00200,0100,A 69148,A81000C,00200,0200,BLUE WATER HEAL 69148,A81000C,00200,0400,PORT HURON HOSP 69148,A81000C,00200,0600,HEALTHCARE SERV 69148,A81000C,00300,0100,A 69148,A81000C,00300,0200,BLUE WATER HEAL 69148,A81000C,00300,0400,PORT HURON HOSP 69148,A81000C,00300,0600,HEALTHCARE SERV 69148,A81000C,00400,0100,A 69148,A81000C,00400,0200,BLUE WATER HEAL 69148,A81000C,00400,0400,PORT HURON HOSP 69148,A81000C,00400,0600,HEALTHCARE SERV 69148,A81000C,00500,0100,A 69148,A81000C,00500,0200,BLUE WATER HEAL 69148,A81000C,00500,0400,PHH MEDICAL EQU 69148,A81000C,00500,0600,MEDICAL EQUIPME 69148,A81000C,00600,0100,A 69148,A81000C,00600,0200,BLUE WATER HEAL 69148,A81000C,00600,0400,PHH INDUSTRIAL 69148,A81000C,00600,0600,INDUSTRIAL MEDI 69148,A81000C,00700,0100,A 69148,A81000C,00700,0200,BLUE WATER HEAL 69148,A81000C,00700,0400,PHH INDUSTRIAL 69148,A81000C,00700,0600,INDUSTRIAL MEDI 69148,A81000C,00800,0100,A 69148,A81000C,00800,0200,BLUE WATER HEAL 69148,A81000C,00800,0400,PARKVIEW PROPER 69148,A81000C,00800,0600,PROPERTY RENTAL 69148,B100000,00000,0100,00000SQUARE FEET 69148,B100000,00000,0200,00000SQUARE FEET 69148,B100000,00000,0300,00000GROSS SALARIES 69148,B100000,00000,0400,00000ACCUM COST 69148,B100000,00000,0500,00000SQUARE FEET 69148,B100000,00000,0600,00000PATIENT DAYS 69148,B100000,00000,0700,00000SQUARE FEET 69148,B100000,00000,0800,00000MEALS SERVED 69148,B100000,00000,0900,00000PATIENT DAYS 69148,B100000,00000,1000,00000PATIENT DAYS 69148,B100000,00000,1100,00000COSTED REQUIS 69148,B100000,00000,1200,00000PATIENT DAYS 69148,B100000,00000,1300,00000PATIENT DAYS 69148,B100000,00000,1400,00000ASSIGNED TIME 69148,S000000,00100,0200,12/27/2000 69148,S200000,00100,0100,1300 BEARD STREET 69148,S200000,00200,0100,PORT HURON 69148,S200000,00200,0200,MI 69148,S200000,00200,0300,48060 69148,S200000,00300,0100,S 69148,S200000,00300,0200,2160 69148,S200000,00300,0300,U 69148,S200000,00400,0100,MARWOOD MANOR NURSING HOME 69148,S200000,00400,0200,235369 69148,S200000,00400,0300,01/01/1987 69148,S200000,00400,0500,P 69148,S200000,01500,0100,Y 69148,S200000,01900,0100,MEMBERSHIP 69148,S200000,02200,0100,Y 69153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69153,A000000,00300,0000,00300EMPLOYEE BENEFITS 69153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69153,A000000,00700,0000,00700HOUSEKEEPING 69153,A000000,00800,0000,00800DIETARY 69153,A000000,00900,0000,00900NURSING ADMINISTRATION 69153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69153,A000000,01100,0000,01100PHARMACY 69153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69153,A000000,01300,0000,01300SOCIAL SERVICE 69153,A000000,01350,0000,01500ACTIVITIES 69153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69153,A000000,01600,0000,01600SKILLED NURSING FACILITY 69153,A000000,01800,0000,01800NURSING FACILITY 69153,A000000,01810,0000,01810ICF/MR 69153,A000000,02100,0000,02100RADIOLOGY 69153,A000000,02200,0000,02200LABORATORY 69153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69153,A000000,02500,0000,02500PHYSICAL THERAPY 69153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69153,A000000,02700,0000,02700SPEECH PATHOLOGY 69153,A000000,02800,0000,02800ELECTROCARDIOLOGY 69153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69153,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69153,A000000,03200,0000,03200SUPPORT SURFACES 69153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69153,A000000,03550,0000,03550FQHC 69153,A000000,05000,0000,05000CORF 69153,A000000,05010,0000,05010CMHC 69153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69153,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69153,A81000A,00100,0100,Y 69153,A81000B,00100,0300,HOME OFFICE 69153,A81000B,00200,0300,RENT 69153,A81000B,00300,0300,INTEREST 69153,A81000B,00400,0300,DEPRECIATION 69153,A81000B,00500,0300,LEGAL & ACCOUNTING 69153,A81000B,00600,0300,HOME OFFICE CAPITAL 69153,A81000C,00100,0100,A 69153,A81000C,00100,0200,FRANK WRONSKI 69153,A81000C,00100,0400,THE MEDILODGE G 69153,A81000C,00100,0600,HOME OFFICE 69153,A81000C,00200,0100,A 69153,A81000C,00200,0200,FRANK WRONSKI 69153,A81000C,00200,0400,INVESTMENT CO. 69153,A81000C,00200,0600,RENTAL 69153,A81000C,00300,0100,A 69153,A81000C,00300,0200,PAUL SHORT 69153,A81000C,00300,0400,INVESTMENT CO. 69153,A81000C,00300,0600,RENTAL 69153,A81000C,00400,0100,A 69153,A81000C,00400,0200,FRANK WRONSKI 69153,A81000C,00400,0400,ALL MED MEDICAL 69153,A81000C,00400,0600,MED NRS SUPPLY 69153,B100000,00000,0100,00000SQUARE FEET 69153,B100000,00000,0200,00000SQUARE FEET 69153,B100000,00000,0300,00000GROSS SALARIES 69153,B100000,00000,0400,00000ACCUM COST 69153,B100000,00000,0500,00000SQUARE FEET 69153,B100000,00000,0600,00000PATIENT DAYS 69153,B100000,00000,0700,00000SQUARE FEET 69153,B100000,00000,0800,00000MEALS SERVED 69153,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69153,B100000,00000,1000,00000PATIENT DAYS 69153,B100000,00000,1100,00000COSTED REQUIS 69153,B100000,00000,1200,00000TIME SPENT 69153,B100000,00000,1300,00000PATIENT DAYS 69153,B100000,00000,1350,00000PATIENT DAYS 69153,B100000,00000,1400,00000ASSIGNED TIME 69153,S000000,00100,0200,05/30/2000 69153,S200000,00100,0100,4220 S. HOSPITAL DR. 69153,S200000,00100,0300,P.O. BOX 357 69153,S200000,00200,0100,ST. CLAIR 69153,S200000,00200,0200,MI 69153,S200000,00200,0300,48079 69153,S200000,00300,0100,ST. CLAIR 69153,S200000,00400,0100,FAITH MEDICAL CARE CENTER 69153,S200000,00400,0200,235370 69153,S200000,00400,0300,03/01/1990 69153,S200000,00400,0500,P 69153,S200000,01600,0100,Y 69153,S200000,01900,0100,HEALTH CARE 69158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69158,A000000,00300,0000,00300EMPLOYEE BENEFITS 69158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69158,A000000,00700,0000,00700HOUSEKEEPING 69158,A000000,00800,0000,00800DIETARY 69158,A000000,00900,0000,00900NURSING ADMINISTRATION 69158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69158,A000000,01100,0000,01100PHARMACY 69158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69158,A000000,01300,0000,01300SOCIAL SERVICE 69158,A000000,01350,0000,01500ACTIVITIES 69158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69158,A000000,01600,0000,01600SKILLED NURSING FACILITY 69158,A000000,01800,0000,01800NURSING FACILITY 69158,A000000,01810,0000,01810ICF/MR 69158,A000000,02100,0000,02100RADIOLOGY 69158,A000000,02200,0000,02200LABORATORY 69158,A000000,02500,0000,02500PHYSICAL THERAPY 69158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69158,A000000,02700,0000,02700SPEECH PATHOLOGY 69158,A000000,02800,0000,02800ELECTROCARDIOLOGY 69158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69158,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69158,A000000,03200,0000,03200SUPPORT SURFACES 69158,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69158,A000000,03550,0000,03550FQHC 69158,A000000,05000,0000,05000CORF 69158,A000000,05010,0000,05010CMHC 69158,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69158,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69158,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69158,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69158,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69158,A81000A,00100,0100,Y 69158,A81000B,00100,0300,HOME OFFICE 69158,A81000B,00200,0300,HOME OFFICE-CAPITAL 69158,A81000B,00300,0300,RENT 69158,A81000B,00400,0300,CAPITAL-HOUSE 69158,A81000B,00500,0300,A&G-HOUSE 69158,A81000C,00100,0100,A 69158,A81000C,00100,0200,FRANK WRONSKI 69158,A81000C,00100,0400,THE MEDILODGE G 69158,A81000C,00100,0600,HOME OFFICE 69158,A81000C,00200,0100,A 69158,A81000C,00200,0200,FRANK WRONSKI 69158,A81000C,00200,0400,ALL-MED MEDICAL 69158,A81000C,00200,0600,MEDICAL SUPPLY 69158,A81000C,00300,0100,A 69158,A81000C,00300,0200,LEO EISENBERG 69158,A81000C,00300,0400,NURSING HOME GR 69158,A81000C,00300,0600,ANCILLARY SERVI 69158,B100000,00000,0100,00000SQUARE FEET 69158,B100000,00000,0200,00000SQUARE FEET 69158,B100000,00000,0300,00000GROSS SALARIES 69158,B100000,00000,0400,00000ACCUM COST 69158,B100000,00000,0500,00000SQUARE FEET 69158,B100000,00000,0600,00000PATIENT DAYS 69158,B100000,00000,0700,00000SQUARE FEET 69158,B100000,00000,0800,00000MEALS SERVED 69158,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69158,B100000,00000,1000,00000PATIENT DAYS 69158,B100000,00000,1100,00000COSTED REQUIS 69158,B100000,00000,1200,00000TIME SPENT 69158,B100000,00000,1300,00000PATIENT DAYS 69158,B100000,00000,1350,00000PATIENT DAYS 69158,B100000,00000,1400,00000ASSIGNED TIME 69158,E10A180,00501,0300,11/14/2001 69158,S000000,00100,0200,11/27/2000 69158,S200000,00100,0100,90 JEAN STREET 69158,S200000,00200,0100,YALE 69158,S200000,00200,0200,MI 69158,S200000,00200,0300,48097 69158,S200000,00300,0100,S 69158,S200000,00300,0200,2160 69158,S200000,00300,0300,U 69158,S200000,00400,0100,MEDILODGE OF YALE INC. 69158,S200000,00400,0200,235371 69158,S200000,00400,0300,09/01/1991 69158,S200000,00400,0500,P 69158,S200000,01600,0100,Y 69158,S200000,01900,0100,CORPORATION 69161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69161,A000000,00300,0000,00300EMPLOYEE BENEFITS 69161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69161,A000000,00700,0000,00700HOUSEKEEPING 69161,A000000,00800,0000,00800DIETARY 69161,A000000,00900,0000,00900NURSING ADMINISTRATION 69161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69161,A000000,01100,0000,01100PHARMACY 69161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69161,A000000,01300,0000,01300SOCIAL SERVICE 69161,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69161,A000000,01600,0000,01600SKILLED NURSING FACILITY 69161,A000000,01800,0000,01800NURSING FACILITY 69161,A000000,01810,0000,01810ICF/MR 69161,A000000,02100,0000,02100RADIOLOGY 69161,A000000,02200,0000,02200LABORATORY 69161,A000000,02500,0000,02500PHYSICAL THERAPY 69161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69161,A000000,02700,0000,02700SPEECH PATHOLOGY 69161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69161,A000000,03200,0000,03200SUPPORT SURFACES 69161,A000000,03550,0000,03550FQHC 69161,A000000,05000,0000,05000CORF 69161,A000000,05010,0000,05010CMHC 69161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69161,A000000,05300,0000,05300INTEREST EXPENSE 69161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69161,A81000A,00100,0100,Y 69161,A81000B,00100,0300,MANAGEMENT FEES 69161,A81000B,00200,0300,HOME OFFICE CAP REL 69161,A81000B,00300,0300,JBS ENTERALS 69161,A81000C,00100,0100,A 69161,A81000C,00100,0200,D.J. BORTZ JR. 69161,A81000C,00100,0400,BORTZ FACILITIE 69161,A81000C,00100,0600,MANAGEMENT 69161,A81000C,00200,0100,A 69161,A81000C,00200,0200,D.J. BORTZ JR. 69161,A81000C,00200,0400,JBS INC. 69161,A81000C,00200,0600,NURSING SUPPLIE 69161,B100000,00000,0100,00000SQUARE FEET 69161,B100000,00000,0200,00000SQUARE FEET 69161,B100000,00000,0300,00000GROSS SALARIES 69161,B100000,00000,0400,00000ACCUM COST 69161,B100000,00000,0500,00000SQUARE FEET 69161,B100000,00000,0600,00000PATIENT DAYS 69161,B100000,00000,0700,00000SQUARE FEET 69161,B100000,00000,0800,00000MEALS SERVED 69161,B100000,00000,0900,00000PATIENT DAYS 69161,B100000,00000,1000,00000COSTED REQUIS 69161,B100000,00000,1100,00000COSTED REQUIS 69161,B100000,00000,1200,00000PATIENT DAYS 69161,B100000,00000,1300,00000PATIENT DAYS 69161,B100000,00000,1350,00000PATIENT DAYS 69161,B100000,00000,1400,00000ASSIGNED TIME 69161,S000000,00100,0200,05/18/2000 69161,S200000,00100,0100,5000 E. 7 MILE RD. 69161,S200000,00200,0100,DETROIT 69161,S200000,00200,0200,MI 69161,S200000,00200,0300,48234 69161,S200000,00300,0100,WAYNE 69161,S200000,00400,0100,CRANBROOK GERIATRIC VILLAGE INC. 69161,S200000,00400,0200,235372 69161,S200000,00400,0300,01/15/1988 69161,S200000,00400,0500,P 69161,S200000,01500,0100,Y 69161,S200000,02800,0100,Y 69165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69165,A000000,00300,0000,00300EMPLOYEE BENEFITS 69165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69165,A000000,00700,0000,00700HOUSEKEEPING 69165,A000000,00800,0000,00800DIETARY 69165,A000000,00900,0000,00900NURSING ADMINISTRATION 69165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69165,A000000,01100,0000,01100PHARMACY 69165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69165,A000000,01300,0000,01300SOCIAL SERVICE 69165,A000000,01350,0000,01500OTHER GENERAL SERVICES 69165,A000000,01351,0000,01501DIVERSIONAL THERAPY 69165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69165,A000000,01600,0000,01600SKILLED NURSING FACILITY 69165,A000000,01800,0000,01800NURSING FACILITY 69165,A000000,01810,0000,01810ICF/MR 69165,A000000,02100,0000,02100RADIOLOGY 69165,A000000,02200,0000,02200LABORATORY 69165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69165,A000000,02500,0000,02500PHYSICAL THERAPY 69165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69165,A000000,02700,0000,02700SPEECH PATHOLOGY 69165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69165,A000000,03550,0000,03550FQHC 69165,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69165,A000000,05000,0000,05000CORF 69165,A000000,05010,0000,05010CMHC 69165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69165,A000000,05300,0000,05300INTEREST EXPENSE 69165,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69165,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69165,A000000,06200,0000,06200PATIENTS LAUNDRY 69165,A000000,06201,0000,06201RENTAL SPACE 69165,B100000,00000,0100,00000SQUARE FEET 69165,B100000,00000,0200,00000SQUARE FEET 69165,B100000,00000,0300,00000GROSS SALARIES 69165,B100000,00000,0400,00000ACCUM. COST 69165,B100000,00000,0500,00000SQUARE FEET 69165,B100000,00000,0600,00000POUNDS OF LAUNDRY 69165,B100000,00000,0700,00000SQUARE FEET 69165,B100000,00000,0800,00000MEALS SERVED 69165,B100000,00000,0900,00000NO STATISTICS 69165,B100000,00000,1000,00000NO STATISTICS 69165,B100000,00000,1100,00000NO STATISTICS 69165,B100000,00000,1200,00000NO STATISTICS 69165,B100000,00000,1300,00000PATIENT DAYS 69165,B100000,00000,1350,00000NO STATISTICS 69165,B100000,00000,1351,00000PATIENT DAYS 69165,B100000,00000,1400,00000NO STATISTICS 69165,S000000,00100,0200,12/27/2000 69165,S200000,00100,0100,1615 S. DESPELDER 69165,S200000,00200,0100,GRAND HAVEN 69165,S200000,00200,0200,MI 69165,S200000,00300,0100,O 69165,S200000,00300,0200,3000 69165,S200000,00300,0300,U 69165,S200000,00400,0100,NORTH OTTAWA CARE CENTER 69165,S200000,00400,0200,235373 69165,S200000,00400,0300,01/07/1995 69165,S200000,00400,0500,P 69165,S200000,00600,0200,235373 69165,S200000,00600,0300,01/07/1995 69165,S200000,00600,0600,P 69165,S200000,01600,0100,Y 69165,S200000,01900,0100,PRIVATE NOT FOR PROF 69169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69169,A000000,00300,0000,00300EMPLOYEE BENEFITS 69169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69169,A000000,00700,0000,00700HOUSEKEEPING 69169,A000000,00800,0000,00800DIETARY 69169,A000000,00900,0000,00900NURSING ADMINISTRATION 69169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69169,A000000,01100,0000,01100PHARMACY 69169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69169,A000000,01300,0000,01300SOCIAL SERVICE 69169,A000000,01350,0000,01500RECREATION 69169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69169,A000000,01600,0000,01600SKILLED NURSING FACILITY 69169,A000000,01800,0000,01800NURSING FACILITY 69169,A000000,01810,0000,01810ICF/MR 69169,A000000,02200,0000,02200LABORATORY 69169,A000000,02500,0000,02500PHYSICAL THERAPY 69169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69169,A000000,02700,0000,02700SPEECH PATHOLOGY 69169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69169,A000000,03050,0000,03300PEN 69169,A000000,03051,0000,03310AFT 69169,A000000,03550,0000,03550FQHC 69169,A000000,05000,0000,05000CORF 69169,A000000,05010,0000,05010CMHC 69169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69169,A81000A,00100,0100,Y 69169,A81000B,00100,0300,MANAGEMENT FEES 69169,A81000C,00100,0100,B 69169,A81000C,00100,0200,MIDWEST CARE CE 69169,B100000,00000,0100,00000SQUARE FEET 69169,B100000,00000,0200,00000SQUARE FEET 69169,B100000,00000,0300,00000GROSS SALARIES 69169,B100000,00000,0400,00000ACCUM COST 69169,B100000,00000,0500,00000SQUARE FEET 69169,B100000,00000,0600,00000PATIENT DAYS 69169,B100000,00000,0700,00000SQUARE FEET 69169,B100000,00000,0800,00000PATIENT DAYS 69169,B100000,00000,0900,00000NURSING SALARIES 69169,B100000,00000,1000,00000COSTED REQUIS 69169,B100000,00000,1100,00000COSTED REQUIS 69169,B100000,00000,1200,00000PATIENT DAYS 69169,B100000,00000,1300,00000PATIENT DAYS 69169,B100000,00000,1350,00000PATIENT DAYS 69169,B100000,00000,1400,00000ASSIGNED TIME 69169,S000000,00100,0200,05/31/2000 69169,S200000,00100,0100,22355 WEST EIGHT MILE ROAD 69169,S200000,00200,0100,DETROIT 69169,S200000,00200,0200,MI 69169,S200000,00200,0300,48219 69169,S200000,00300,0100,WAYNE 69169,S200000,00400,0100,MEDICOS HEALTH CARE CENTER 69169,S200000,00400,0200,235374 69169,S200000,00400,0300,07/01/1976 69169,S200000,00400,0500,P 69169,S200000,01600,0100,Y 69172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69172,A000000,00300,0000,00300EMPLOYEE BENEFITS 69172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69172,A000000,00700,0000,00700HOUSEKEEPING 69172,A000000,00800,0000,00800DIETARY 69172,A000000,00900,0000,00900NURSING ADMINISTRATION 69172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69172,A000000,01100,0000,01100PHARMACY 69172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69172,A000000,01300,0000,01300SOCIAL SERVICE 69172,A000000,01350,0000,01500OTHER GENERAL SERVICES 69172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69172,A000000,01600,0000,01600SKILLED NURSING FACILITY 69172,A000000,01800,0000,01800NURSING FACILITY 69172,A000000,01810,0000,01810ICF/MR 69172,A000000,02100,0000,02100RADIOLOGY 69172,A000000,02200,0000,02200LABORATORY 69172,A000000,02500,0000,02500PHYSICAL THERAPY 69172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69172,A000000,02700,0000,02700SPEECH PATHOLOGY 69172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69172,A000000,03001,0000,03001RESIDENT NEEDS 69172,A000000,03002,0000,03002CLINITRON BEDS 69172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69172,A000000,03550,0000,03550FQHC 69172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69172,A000000,05000,0000,05000CORF 69172,A000000,05010,0000,05010CMHC 69172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69172,A000000,05300,0000,05300INTEREST EXPENSE 69172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69172,A81000A,00100,0100,Y 69172,A81000B,00100,0300,MANAGEMENT FEES 69172,A81000B,00200,0300,RENT EXPENSE 69172,A81000B,00300,0300,DEPRECIATION 69172,A81000B,00400,0300,INTEREST 69172,A81000B,00500,0300,ADMIN COSTS 69172,A81000C,00100,0100,A 69172,A81000C,00100,0200,HORACE DANGELO JR. 69172,A81000C,00100,0400,CARETEL INNS OF AMERICA 69172,A81000C,00100,0600,MANAGEMENT COMPANY 69172,A81000C,00200,0100,A 69172,A81000C,00200,0200,HORACE DANGELO JR. 69172,A81000C,00200,0400,WOODHAVEN NURSING ASSOC. 69172,A81000C,00200,0600,REAL ESTATE 69172,B100000,00000,0100,00000SQUARE FEET 69172,B100000,00000,0200,00000SQUARE FEET 69172,B100000,00000,0300,00000GROSS SALARIES 69172,B100000,00000,0400,00000ACCUM. COST 69172,B100000,00000,0500,00000SQUARE FEET 69172,B100000,00000,0600,00000POUNDS OF LAUNDRY 69172,B100000,00000,0700,00000SQUARE FEET 69172,B100000,00000,0800,00000MEALS SERVED 69172,B100000,00000,0900,00000DIRECT NRSING HRS 69172,B100000,00000,1000,00000COSTED REQUIS. 69172,B100000,00000,1100,00000COSTED REQUIS. 69172,B100000,00000,1200,00000PATIENT DAYS 69172,B100000,00000,1300,00000PATIENT DAYS 69172,B100000,00000,1350,00000NO STATISTICS 69172,B100000,00000,1400,00000ASSIGNED TIME 69172,S000000,00100,0200,11/02/2000 69172,S200000,00100,0100,18500 VAN HORN ROAD 69172,S200000,00200,0100,WOODHAVEN 69172,S200000,00200,0200,MI 69172,S200000,00200,0300,48183 69172,S200000,00300,0100,MONROE 69172,S200000,00300,0200,2160 69172,S200000,00300,0300,U 69172,S200000,00400,0100,APPLEWOOD NURSING CENTER 69172,S200000,00400,0200,235375 69172,S200000,00400,0300,07/17/1978 69172,S200000,00400,0500,P 69172,S200000,00400,0600,O 69172,S200000,00600,0200,235375 69172,S200000,00600,0300,07/17/1978 69172,S200000,00600,0600,P 69172,S200000,01600,0100,Y 69172,S200000,01900,0100,CORPORATION 69177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69177,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 69177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69177,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 69177,A000000,00300,0000,00300EMPLOYEE BENEFITS 69177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69177,A000000,00700,0000,00700HOUSEKEEPING 69177,A000000,00800,0000,00800DIETARY 69177,A000000,00801,0000,00801CAFETERIA 69177,A000000,00900,0000,00900NURSING ADMINISTRATION 69177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69177,A000000,01100,0000,01100PHARMACY 69177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69177,A000000,01300,0000,01300SOCIAL SERVICE 69177,A000000,01350,0000,01500ACTIVITIES 69177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69177,A000000,01600,0000,01600SKILLED NURSING FACILITY 69177,A000000,01800,0000,01800NURSING FACILITY 69177,A000000,01810,0000,01810ICF/MR 69177,A000000,01900,0000,01900OTHER LONG TERM CARE 69177,A000000,02100,0000,02100RADIOLOGY 69177,A000000,02200,0000,02200LABORATORY 69177,A000000,02300,0000,02300INTRAVENOUS THERAPY 69177,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69177,A000000,02500,0000,02500PHYSICAL THERAPY 69177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69177,A000000,02700,0000,02700SPEECH PATHOLOGY 69177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69177,A000000,03050,0000,03300OTHER ANCILLARY 69177,A000000,03051,0000,03301OTHER ANCILLARY II 69177,A000000,03052,0000,03302OTHER ANCILLARY III 69177,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69177,A000000,03550,0000,03550FQHC 69177,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69177,A000000,05000,0000,05000CORF I 69177,A000000,05010,0000,05010CMHC I 69177,A000000,05020,0000,05020OPT I 69177,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69177,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69177,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69177,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69177,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69177,A81000A,00100,0100,Y 69177,A81000B,00100,0300,A&G 69177,A81000C,00100,0100,A 69177,A81000C,00100,0200,TROUSDALE FOUND 69177,A81000C,00100,0600,LTC 69177,B100000,00000,0100,00000(SQUARE FEET) 69177,B100000,00000,0101,00000(SQUARE FEET) 69177,B100000,00000,0200,00000(SQUARE FEET) 69177,B100000,00000,0201,00000(SQUARE FEET) 69177,B100000,00000,0300,00000(GROSS SALARIES) 69177,B100000,00000,0400,00000(ACCUM. COST) 69177,B100000,00000,0500,00000(SQUARE FEET) 69177,B100000,00000,0600,00000(PATIENT DAYS) 69177,B100000,00000,0700,00000(SQUARE FEET) 69177,B100000,00000,0800,00000(MEALS SERVED) 69177,B100000,00000,0801,00000(MEALS SERVED) 69177,B100000,00000,0900,00000(PATIENT DAYS) 69177,B100000,00000,1000,00000(PATIENT DAYS) 69177,B100000,00000,1100,00000(PATIENT DAYS) 69177,B100000,00000,1200,00000(PATIENT DAYS) 69177,B100000,00000,1300,00000(PATIENT DAYS) 69177,B100000,00000,1350,00000(PATIENT DAYS) 69177,B100000,00000,1400,00000(ASSIGNED TIME) 69177,S000000,00100,0200,08/07/2000 69177,S200000,00100,0100,81591 QUARRY RD 69177,S200000,00200,0100,RIVERVIEW 69177,S200000,00200,0200,MI 69177,S200000,00200,0300,48192 69177,S200000,00300,0100,WAYNE 69177,S200000,00400,0100,MARIAN MANOR 69177,S200000,00400,0200,235376 69177,S200000,00400,0300,07/01/1966 69177,S200000,00400,0500,P 69177,S200000,01600,0100,Y 69177,S200000,01900,0100,501 (C) (3) 69177,S200000,02200,0100,Y 69177,S200000,04300,0100,Y 69186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69186,A000000,00300,0000,00300EMPLOYEE BENEFITS 69186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69186,A000000,00700,0000,00700HOUSEKEEPING 69186,A000000,00800,0000,00800DIETARY 69186,A000000,00900,0000,00900NURSING ADMINISTRATION 69186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69186,A000000,01100,0000,01100PHARMACY 69186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69186,A000000,01300,0000,01300SOCIAL SERVICE 69186,A000000,01350,0000,01500DIVERSIONAL THERAPY 69186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69186,A000000,01600,0000,01600SKILLED NURSING FACILITY 69186,A000000,01800,0000,01800NURSING FACILITY 69186,A000000,01810,0000,01810ICF/MR 69186,A000000,02100,0000,02100RADIOLOGY 69186,A000000,02200,0000,02200LABORATORY 69186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69186,A000000,02500,0000,02500PHYSICAL THERAPY 69186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69186,A000000,02700,0000,02700SPEECH PATHOLOGY 69186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69186,A000000,03550,0000,03550FQHC 69186,A000000,05000,0000,05000CORF 69186,A000000,05010,0000,05010CMHC 69186,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69186,A000000,05901,0000,05901RESEARCH 69186,A000000,06150,0000,06300OTHER REIMBURSABLE COST 69186,A81000A,00100,0100,Y 69186,A81000B,00100,0300,NURSE AIDE TRAINING 69186,A81000B,00200,0300,CENTRAL OFFICE 69186,A81000C,00100,0100,G 69186,A81000C,00100,0200,RESTHAVEN HOME CARE 69186,A81000C,00100,0400,RESTHAVEN PATRONS 69186,A81000C,00100,0600,NURSE AIDE TRAINING 69186,A81000C,00200,0100,B 69186,A81000C,00200,0200,RESTHAVEN PATRONS 69186,A81000C,00200,0400,RESTHAVEN PATRONS 69186,B100000,00000,0100,00000SQUARE FEET 69186,B100000,00000,0200,00000SQUARE FEET 69186,B100000,00000,0300,00000GROSS SALARIES 69186,B100000,00000,0400,00000ACCUM COST 69186,B100000,00000,0500,00000SQUARE FEET 69186,B100000,00000,0600,00000POUNDS OF LAUNDRY 69186,B100000,00000,0700,00000SQUARE FEET 69186,B100000,00000,0800,00000MEALS SERVED 69186,B100000,00000,0900,00000PATIENT DAYS 69186,B100000,00000,1000,00000COSTED REQUIS 69186,B100000,00000,1100,00000COSTED REQUIS 69186,B100000,00000,1200,00000TIME SPENT 69186,B100000,00000,1300,00000PATIENT DAYS 69186,B100000,00000,1350,00000PATIENT DAYS 69186,B100000,00000,1400,00000ASSIGNED TIME 69186,E10A180,00502,0100,03/14/2001 69186,S000000,00100,0200,06/13/2000 69186,S200000,00100,0100,280 W. 40TH STREET 69186,S200000,00200,0100,HOLLAND 69186,S200000,00200,0200,MI 69186,S200000,00200,0300,49423 69186,S200000,00300,0100,OTTAWA 69186,S200000,00400,0100,RESTHAVEN CARE CENTER 69186,S200000,00400,0200,235378 69186,S200000,00400,0300,01/01/1980 69186,S200000,00400,0500,P 69186,S200000,00600,0200,235378 69186,S200000,00600,0300,01/01/1980 69186,S200000,00600,0600,P 69186,S200000,01600,0100,Y 69186,S200000,01900,0100,501 (C) (3) 69191,S000000,00100,0200,05/31/2000 69213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69213,A000000,00300,0000,00300EMPLOYEE BENEFITS 69213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69213,A000000,00700,0000,00700HOUSEKEEPING 69213,A000000,00800,0000,00800DIETARY 69213,A000000,00900,0000,00900NURSING ADMINISTRATION 69213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69213,A000000,01100,0000,01100PHARMACY 69213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69213,A000000,01300,0000,01300SOCIAL SERVICE 69213,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69213,A000000,01600,0000,01600SKILLED NURSING FACILITY 69213,A000000,01810,0000,01810ICF/MR 69213,A000000,02100,0000,02100RADIOLOGY 69213,A000000,02200,0000,02200LABORATORY 69213,A000000,02500,0000,02500PHYSICAL THERAPY 69213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69213,A000000,02700,0000,02700SPEECH PATHOLOGY 69213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69213,A000000,03550,0000,03550FQHC 69213,A000000,05000,0000,05000CORF 69213,A000000,05010,0000,05010CMHC 69213,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69213,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69213,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69213,A000000,05300,0000,05300INTEREST EXPENSE 69213,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69213,A81000A,00100,0100,Y 69213,A81000B,00100,0300,MANAGEMENT FEES 69213,A81000B,00200,0300,HOME OFFICE CAP REL 69213,A81000C,00100,0100,A 69213,A81000C,00100,0200,D.J. BORTZ JR. 69213,A81000C,00100,0400,BORTZ FACILITIE 69213,A81000C,00100,0600,MANAGEMENT 69213,A81000C,00200,0100,A 69213,A81000C,00200,0200,D.J. BORTZ JR. 69213,A81000C,00200,0400,JBS INC. 69213,A81000C,00200,0600,NURSING SUPPLIE 69213,B100000,00000,0100,00000SQUARE FEET 69213,B100000,00000,0200,00000SQUARE FEET 69213,B100000,00000,0300,00000GROSS SALARIES 69213,B100000,00000,0400,00000ACCUM COST 69213,B100000,00000,0500,00000SQUARE FEET 69213,B100000,00000,0600,00000PATIENT DAYS 69213,B100000,00000,0700,00000SQUARE FEET 69213,B100000,00000,0800,00000MEALS SERVED 69213,B100000,00000,0900,00000PATIENT DAYS 69213,B100000,00000,1000,00000COSTED REQUIS 69213,B100000,00000,1100,00000COSTED REQUIS 69213,B100000,00000,1200,00000PATIENT DAYS 69213,B100000,00000,1300,00000PATIENT DAYS 69213,B100000,00000,1350,00000PATIENT DAYS 69213,B100000,00000,1400,00000ASSIGNED TIME 69213,E10A180,00351,0100,05/10/2000 69213,E10A180,00351,0300,05/10/2000 69213,E10A180,00550,0100,05/10/2000 69213,E10A180,00550,0300,05/10/2000 69213,S000000,00100,0200,04/26/2000 69213,S200000,00100,0100,1255 W. SILVERBELL 69213,S200000,00200,0100,ORION 69213,S200000,00200,0200,MI 69213,S200000,00200,0300,48359 69213,S200000,00300,0100,OAKLAND 69213,S200000,00400,0100,OAKLAND GERIATRIC VILLAGE INC. 69213,S200000,00400,0200,235396 69213,S200000,00400,0300,02/01/1979 69213,S200000,00400,0500,P 69213,S200000,01500,0100,Y 69213,S200000,01900,0100,501(C)(3) 69213,S200000,02800,0100,Y 69217,S000000,00100,0200,09/06/2000 69226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69226,A000000,00300,0000,00300EMPLOYEE BENEFITS 69226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69226,A000000,00700,0000,00700HOUSEKEEPING 69226,A000000,00800,0000,00800DIETARY 69226,A000000,00900,0000,00900NURSING ADMINISTRATION 69226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69226,A000000,01100,0000,01100PHARMACY 69226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69226,A000000,01300,0000,01300SOCIAL SERVICE 69226,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69226,A000000,01600,0000,01600SKILLED NURSING FACILITY 69226,A000000,01810,0000,01810ICF/MR 69226,A000000,02100,0000,02100RADIOLOGY 69226,A000000,02200,0000,02200LABORATORY 69226,A000000,02500,0000,02500PHYSICAL THERAPY 69226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69226,A000000,02700,0000,02700SPEECH PATHOLOGY 69226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69226,A000000,03200,0000,03200SUPPORT SURFACES 69226,A000000,03550,0000,03550FQHC 69226,A000000,05000,0000,05000CORF 69226,A000000,05010,0000,05010CMHC 69226,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69226,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69226,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69226,A81000A,00100,0100,Y 69226,A81000B,00100,0300,RENT (DEPRECIATION) 69226,A81000B,00200,0300,RENT (INTEREST) 69226,A81000B,00300,0300,MANAGEMENT FEES 69226,A81000B,00400,0300,HOME OFFICE CAP REL 69226,A81000C,00100,0100,A 69226,A81000C,00100,0200,D.J. BORTZ JR. 69226,A81000C,00100,0400,D.J. BORTZ JR. 69226,A81000C,00100,0600,REAL ESTATE 69226,A81000C,00200,0100,A 69226,A81000C,00200,0200,D.J. BORTZ JR. 69226,A81000C,00200,0400,BORTZ FACILITIE 69226,A81000C,00200,0600,MANAGEMENT 69226,A81000C,00300,0100,A 69226,A81000C,00300,0200,D.J. BORTZ JR. 69226,A81000C,00300,0400,JBS INC. 69226,A81000C,00300,0600,SUPPLIES 69226,B100000,00000,0100,00000SQUARE FEET 69226,B100000,00000,0200,00000SQUARE FEET 69226,B100000,00000,0300,00000GROSS SALARIES 69226,B100000,00000,0400,00000ACCUM COST 69226,B100000,00000,0500,00000SQUARE FEET 69226,B100000,00000,0600,00000PATIENT DAYS 69226,B100000,00000,0700,00000SQUARE FEET 69226,B100000,00000,0800,00000MEALS SERVED 69226,B100000,00000,0900,00000PATIENT DAYS 69226,B100000,00000,1000,00000COSTED REQUIS 69226,B100000,00000,1100,00000COSTED REQUIS 69226,B100000,00000,1200,00000PATIENT DAYS 69226,B100000,00000,1300,00000PATIENT DAYS 69226,B100000,00000,1350,00000PATIENT DAYS 69226,B100000,00000,1400,00000ASSIGNED TIME 69226,S000000,00100,0200,11/21/2000 69226,S200000,00100,0100,22811 W. 7 MILE RD. 69226,S200000,00200,0100,DETROIT 69226,S200000,00200,0200,MI 69226,S200000,00200,0300,48219 69226,S200000,00300,0100,WAYNE 69226,S200000,00300,0200,2160 69226,S200000,00300,0300,U 69226,S200000,00400,0100,REDFORD GERIATRIC VILLAGE INC. 69226,S200000,00400,0200,235402 69226,S200000,00400,0300,08/27/1979 69226,S200000,00400,0500,P 69226,S200000,01500,0100,Y 69226,S200000,01900,0100,501(C)(3) NON-PROFIT CORP. 69226,S200000,02800,0100,Y 69232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69232,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69232,A000000,00300,0000,00300EMPLOYEE BENEFITS 69232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69232,A000000,00700,0000,00700HOUSEKEEPING 69232,A000000,00800,0000,00800DIETARY 69232,A000000,00900,0000,00900NURSING ADMINISTRATION 69232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69232,A000000,01100,0000,01100PHARMACY 69232,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69232,A000000,01300,0000,01300SOCIAL SERVICE 69232,A000000,01301,0000,01301ACTIVITIES 69232,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 69232,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69232,A000000,01600,0000,01600SKILLED NURSING FACILITY 69232,A000000,01800,0000,01800NURSING FACILITY 69232,A000000,01810,0000,01810ICF/MR 69232,A000000,02100,0000,02100RADIOLOGY 69232,A000000,02200,0000,02200LABORATORY 69232,A000000,02300,0000,02300INTRAVENOUS THERAPY 69232,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69232,A000000,02500,0000,02500PHYSICAL THERAPY 69232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69232,A000000,02700,0000,02700SPEECH PATHOLOGY 69232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69232,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69232,A000000,03051,0000,03301PEN THERAPY 69232,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69232,A000000,03550,0000,03550FQHC 69232,A000000,04800,0000,04800AMBULANCE 69232,A000000,05000,0000,05000CORF 69232,A000000,05010,0000,05010CMHC 69232,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69232,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69232,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69232,A000000,05300,0000,05300INTEREST EXPENSE 69232,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69232,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69232,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69232,A81000A,00100,0100,Y 69232,A81000B,00100,0300,HOME OFFICE ALLOCATION 69232,A81000B,00200,0300,CENTRAL SUPPLY 69232,A81000B,00300,0300,MEDICAL SUPPLIES 69232,A81000B,00400,0300,ADMIN 69232,A81000B,00500,0300,PLANT 69232,A81000B,00600,0300,DRUGS 69232,A81000B,00700,0300,PT 69232,A81000B,00800,0300,OT 69232,A81000B,00900,0300,ST 69232,A81000C,00100,0100,B 69232,A81000C,00100,0200,ST ANTHONY 1220 69232,A81000C,00100,0400,MARINER POST AC 69232,A81000C,00100,0600,NURSING HOMES 69232,A81000C,00200,0100,G 69232,A81000C,00200,0200,MARINER POST AC 69232,A81000C,00200,0400,AMERICAN PHARMA 69232,A81000C,00200,0600,PHARMACEUTICALS 69232,A81000C,00300,0100,G 69232,A81000C,00300,0200,MARINER POST AC 69232,A81000C,00300,0400,PRISM (ATS ARS 69232,A81000C,00300,0600,THERAPIES 69232,B100000,00000,0100,00000SQUARE FEET 69232,B100000,00000,0200,00000SQUARE FEET 69232,B100000,00000,0300,00000GROSS SALARIES 69232,B100000,00000,0400,00000ACCUM COST 69232,B100000,00000,0500,00000SQUARE FEET 69232,B100000,00000,0600,00000PATIENT DAYS 69232,B100000,00000,0700,00000SQUARE FEET 69232,B100000,00000,0800,00000MEALS SERVED 69232,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69232,B100000,00000,1000,00000PATIENT DAYS 69232,B100000,00000,1100,00000COSTED REQUIS 69232,B100000,00000,1200,00000PATIENT DAYS 69232,B100000,00000,1300,00000PATIENT DAYS 69232,B100000,00000,1301,00000PATIENT DAYS 69232,B100000,00000,1350,00000UNITS OF SERVICE 69232,B100000,00000,1400,00000ASSIGNED TIME 69232,S000000,00100,0200,06/06/2000 69232,S200000,00100,0100,31830 RYAN RD 69232,S200000,00200,0100,WARREN 69232,S200000,00200,0200,MI 69232,S200000,00200,0300,48092 69232,S200000,00300,0100,MACOMB 69232,S200000,00400,0100,ST. ANTHONY HEALTH CARE CENTER 69232,S200000,00400,0200,235408 69232,S200000,00400,0300,04/01/1987 69232,S200000,00400,0500,P 69232,S200000,01900,0100,501 C 3 69237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69237,A000000,00300,0000,00300EMPLOYEE BENEFITS 69237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69237,A000000,00700,0000,00700HOUSEKEEPING 69237,A000000,00800,0000,00800DIETARY 69237,A000000,00900,0000,00900NURSING ADMINISTRATION 69237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69237,A000000,01100,0000,01100PHARMACY 69237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69237,A000000,01300,0000,01300SOCIAL SERVICE 69237,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69237,A000000,01600,0000,01600SKILLED NURSING FACILITY 69237,A000000,01810,0000,01810ICF/MR 69237,A000000,01900,0000,01900OTHER LONG TERM CARE 69237,A000000,02100,0000,02100RADIOLOGY 69237,A000000,02200,0000,02200LABORATORY 69237,A000000,02500,0000,02500PHYSICAL THERAPY 69237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69237,A000000,02700,0000,02700SPEECH PATHOLOGY 69237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69237,A000000,03550,0000,03550FQHC 69237,A000000,05000,0000,05000CORF 69237,A000000,05010,0000,05010CMHC 69237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69237,A81000A,00100,0100,Y 69237,A81000B,00100,0300,MANAGEMENT FEES 69237,A81000B,00200,0300,HOME OFFICE CAP REL 69237,A81000C,00100,0100,A 69237,A81000C,00100,0200,D.J. BORTZ JR. 69237,A81000C,00100,0400,BORTZ FACILITIE 69237,A81000C,00100,0600,MANAGEMENT 69237,B100000,00000,0100,00000SQUARE FEET 69237,B100000,00000,0200,00000SQUARE FEET 69237,B100000,00000,0300,00000GROSS SALARIES 69237,B100000,00000,0400,00000ACCUM COST 69237,B100000,00000,0500,00000SQUARE FEET 69237,B100000,00000,0600,00000PATIENT DAYS 69237,B100000,00000,0700,00000SQUARE FEET 69237,B100000,00000,0800,00000MEALS SERVED 69237,B100000,00000,0900,00000PATIENT DAYS 69237,B100000,00000,1000,00000COSTED REQUIS 69237,B100000,00000,1100,00000COSTED REQUIS 69237,B100000,00000,1200,00000PATIENT DAYS 69237,B100000,00000,1300,00000PATIENT DAYS 69237,B100000,00000,1350,00000PATIENT DAYS 69237,B100000,00000,1400,00000ASSIGNED TIME 69237,S000000,00100,0200,02/06/2001 69237,S200000,00100,0100,2828 CONCORD 69237,S200000,00200,0100,TRAVERSE CITY 69237,S200000,00200,0200,MI 69237,S200000,00200,0300,49684 69237,S200000,00300,0100,G 69237,S200000,00400,0100,TRAVERSE GERIATRIC VILLAGE INC. 69237,S200000,00400,0200,235412 69237,S200000,00400,0300,09/01/1995 69237,S200000,00400,0500,P 69237,S200000,01600,0100,Y 69239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69239,A000000,00300,0000,00300EMPLOYEE BENEFITS 69239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69239,A000000,00700,0000,00700HOUSEKEEPING 69239,A000000,00800,0000,00800DIETARY 69239,A000000,00900,0000,00900NURSING ADMINISTRATION 69239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69239,A000000,01100,0000,01100PHARMACY 69239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69239,A000000,01300,0000,01300SOCIAL SERVICE 69239,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69239,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69239,A000000,01600,0000,01600SKILLED NURSING FACILITY 69239,A000000,01810,0000,01810ICF/MR 69239,A000000,02100,0000,02100RADIOLOGY 69239,A000000,02200,0000,02200LABORATORY 69239,A000000,02500,0000,02500PHYSICAL THERAPY 69239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69239,A000000,02700,0000,02700SPEECH PATHOLOGY 69239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69239,A000000,03550,0000,03550FQHC 69239,A000000,05000,0000,05000CORF 69239,A000000,05010,0000,05010CMHC 69239,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69239,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69239,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69239,A000000,05300,0000,05300INTEREST EXPENSE 69239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69239,A000000,06150,0000,06300RENTAL HOUSE (NRCC) 69239,A81000A,00100,0100,Y 69239,A81000B,00100,0300,MANAGEMENT FEES 69239,A81000B,00200,0300,HOME OFFICE CAP REL 69239,A81000C,00100,0100,A 69239,A81000C,00100,0200,D.J. BORTZ JR. 69239,A81000C,00100,0400,BORTZ FACILITIE 69239,A81000C,00100,0600,MANAGEMENT 69239,A81000C,00200,0100,A 69239,A81000C,00200,0200,D.J. BORTZ JR. 69239,A81000C,00200,0400,JBS INC. 69239,A81000C,00200,0600,NURSING SUPPLIE 69239,B100000,00000,0100,00000SQUARE FEET 69239,B100000,00000,0200,00000SQUARE FEET 69239,B100000,00000,0300,00000GROSS SALARIES 69239,B100000,00000,0400,00000ACCUM COST 69239,B100000,00000,0500,00000SQUARE FEET 69239,B100000,00000,0600,00000PATIENT DAYS 69239,B100000,00000,0700,00000SQUARE FEET 69239,B100000,00000,0800,00000MEALS SERVED 69239,B100000,00000,0900,00000PATIENT DAYS 69239,B100000,00000,1000,00000COSTED REQUIS 69239,B100000,00000,1100,00000COSTED REQUIS 69239,B100000,00000,1200,00000TIME SPENT 69239,B100000,00000,1300,00000TIME SPENT 69239,B100000,00000,1350,00000PATIENT DAYS 69239,B100000,00000,1400,00000ASSIGNED TIME 69239,S000000,00100,0200,05/31/2000 69239,S200000,00100,0100,445 W. VALLEY ST. 69239,S200000,00200,0100,WEST BRANCH 69239,S200000,00200,0200,MI 69239,S200000,00200,0300,48661 69239,S200000,00300,0100,OGEMAW 69239,S200000,00400,0100,WEST BRANCH GERIATRIC VILLAGE INC. 69239,S200000,00400,0200,235414 69239,S200000,00400,0300,07/01/1981 69239,S200000,00400,0500,P 69239,S200000,01500,0100,Y 69239,S200000,01900,0100,PRIVATE NOT FOR PROFIT 69239,S200000,02800,0100,Y 69243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69243,A000000,00300,0000,00300EMPLOYEE BENEFITS 69243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69243,A000000,00700,0000,00700HOUSEKEEPING 69243,A000000,00800,0000,00800DIETARY 69243,A000000,00900,0000,00900NURSING ADMINISTRATION 69243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69243,A000000,01100,0000,01100PHARMACY 69243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69243,A000000,01300,0000,01300SOCIAL SERVICE 69243,A000000,01350,0000,01500ACTIVITIES 69243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69243,A000000,01600,0000,01600SKILLED NURSING FACILITY 69243,A000000,01800,0000,01800NURSING FACILITY 69243,A000000,01810,0000,01810ICF/MR 69243,A000000,02100,0000,02100RADIOLOGY 69243,A000000,02200,0000,02200LABORATORY 69243,A000000,02500,0000,02500PHYSICAL THERAPY 69243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69243,A000000,02700,0000,02700SPEECH PATHOLOGY 69243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69243,A000000,03050,0000,03300OTHER ANCILLARY 69243,A000000,03051,0000,03301OTHER ANCILLARY II 69243,A000000,03052,0000,03302OTHER ANCILLARY III 69243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69243,A000000,03550,0000,03550FQHC 69243,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69243,A000000,05000,0000,05000CORF I 69243,A000000,05010,0000,05010CMHC I 69243,A000000,05020,0000,05020OPT I 69243,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69243,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69243,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69243,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69243,B100000,00000,0100,00000(SQUARE FEET) 69243,B100000,00000,0200,00000(SQUARE FEET) 69243,B100000,00000,0300,00000(GROSS SALARIES) 69243,B100000,00000,0400,00000(ACCUM. COST) 69243,B100000,00000,0500,00000(SQUARE FEET) 69243,B100000,00000,0600,00000(PATIENT DAYS) 69243,B100000,00000,0700,00000(SQUARE FEET) 69243,B100000,00000,0800,00000(MEALS SERVED) 69243,B100000,00000,0900,00000(PATIENT DAYS) 69243,B100000,00000,1000,00000(COSTED REQUIS.) 69243,B100000,00000,1100,00000(COSTED REQUIS.) 69243,B100000,00000,1200,00000(PATIENT DAYS) 69243,B100000,00000,1300,00000(PATIENT DAYS) 69243,B100000,00000,1350,00000(PATIENT DAYS) 69243,B100000,00000,1400,00000(ASSIGNED TIME) 69243,S000000,00100,0200,05/18/2000 69243,S200000,00100,0100,6232 CADIEUX 69243,S200000,00200,0100,DETROIT 69243,S200000,00200,0200,MI 69243,S200000,00200,0300,48224 69243,S200000,00300,0100,WAYNE 69243,S200000,00400,0100,ST. ANNES CONVALESCENT CENTER 69243,S200000,00400,0200,235415 69243,S200000,00400,0300,01/01/1998 69243,S200000,00400,0500,P 69243,S200000,01600,0100,Y 69243,S200000,01900,0100,501 C 3 69249,S000000,00100,0200,05/10/2000 69252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69252,A000000,00300,0000,00300EMPLOYEE BENEFITS 69252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69252,A000000,00700,0000,00700HOUSEKEEPING 69252,A000000,00800,0000,00800DIETARY 69252,A000000,00900,0000,00900NURSING ADMINISTRATION 69252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69252,A000000,01100,0000,01100PHARMACY 69252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69252,A000000,01300,0000,01300SOCIAL SERVICE 69252,A000000,01350,0000,01500ACTIVITIES 69252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69252,A000000,01600,0000,01600SKILLED NURSING FACILITY 69252,A000000,01800,0000,01800NURSING FACILITY 69252,A000000,01810,0000,01810ICF/MR 69252,A000000,02100,0000,02100RADIOLOGY 69252,A000000,02200,0000,02200LABORATORY 69252,A000000,02500,0000,02500PHYSICAL THERAPY 69252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69252,A000000,02700,0000,02700SPEECH PATHOLOGY 69252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69252,A000000,03050,0000,03300OTHER ANCILLARY 69252,A000000,03051,0000,03301OTHER ANCILLARY II 69252,A000000,03052,0000,03302OTHER ANCILLARY III 69252,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69252,A000000,03550,0000,03550FQHC 69252,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69252,A000000,05000,0000,05000CORF I 69252,A000000,05010,0000,05010CMHC I 69252,A000000,05020,0000,05020OPT I 69252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69252,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69252,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69252,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69252,A81000A,00100,0100,Y 69252,A81000B,00100,0300,RENT 69252,A81000B,00200,0300,RENT 69252,A81000C,00100,0100,A 69252,A81000C,00100,0200,NANCY FURBISH 69252,A81000C,00100,0400,NANCY FURBISH 69252,A81000C,00100,0600,RENTAL 69252,A81000C,00200,0100,A 69252,A81000C,00200,0200,NANCY FURBISH 69252,A81000C,00200,0400,NANCY FURBISH 69252,A81000C,00200,0600,RENTAL 69252,B100000,00000,0100,00000(SQUARE FEET) 69252,B100000,00000,0200,00000(SQUARE FEET) 69252,B100000,00000,0300,00000(GROSS SALARIES) 69252,B100000,00000,0400,00000(ACCUM. COST) 69252,B100000,00000,0500,00000(SQUARE FEET) 69252,B100000,00000,0600,00000(PATIENT DAYS) 69252,B100000,00000,0700,00000(SQUARE FEET) 69252,B100000,00000,0800,00000(MEALS SERVED) 69252,B100000,00000,0900,00000(PATIENT DAYS) 69252,B100000,00000,1000,00000(COSTED REQUIS.) 69252,B100000,00000,1100,00000(COSTED REQUIS.) 69252,B100000,00000,1200,00000(PATIENT DAYS) 69252,B100000,00000,1300,00000(PATIENT DAYS) 69252,B100000,00000,1350,00000(PATIENT DAYS) 69252,B100000,00000,1400,00000(ASSIGNED TIME) 69252,S000000,00100,0200,05/25/2000 69252,S200000,00100,0100,609 E. GRAND BLVD. 69252,S200000,00200,0100,DETROIT 69252,S200000,00200,0200,MI 69252,S200000,00200,0300,48207 69252,S200000,00300,0100,WAYNE 69252,S200000,00400,0100,ALPHA ANNEX NURSING CENTER 69252,S200000,00400,0200,235420 69252,S200000,00400,0300,01/01/1999 69252,S200000,00400,0500,P 69252,S200000,01600,0100,Y 69252,S200000,01900,0100,CORPORATION 69259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69259,A000000,00300,0000,00300EMPLOYEE BENEFITS 69259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69259,A000000,00700,0000,00700HOUSEKEEPING 69259,A000000,00800,0000,00800DIETARY 69259,A000000,00900,0000,00900NURSING ADMINISTRATION 69259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69259,A000000,01100,0000,01100PHARMACY 69259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69259,A000000,01300,0000,01300SOCIAL SERVICE 69259,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69259,A000000,01600,0000,01600SKILLED NURSING FACILITY 69259,A000000,01810,0000,01810ICF/MR 69259,A000000,02100,0000,02100RADIOLOGY 69259,A000000,02200,0000,02200LABORATORY 69259,A000000,02500,0000,02500PHYSICAL THERAPY 69259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69259,A000000,02700,0000,02700SPEECH PATHOLOGY 69259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69259,A000000,03200,0000,03200SUPPORT SURFACES 69259,A000000,03550,0000,03550FQHC 69259,A000000,05000,0000,05000CORF 69259,A000000,05010,0000,05010CMHC 69259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69259,A000000,05300,0000,05300INTEREST EXPENSE 69259,A81000A,00100,0100,Y 69259,A81000B,00100,0300,RENT (DEPRECIATION) 69259,A81000B,00300,0300,MANAGEMENT FEES 69259,A81000C,00100,0100,A 69259,A81000C,00100,0200,MOHAMMAD A. QAZ 69259,A81000C,00100,0400,H&A INVESTMENTS 69259,A81000C,00100,0600,REAL ESTATE 69259,A81000C,00200,0100,A 69259,A81000C,00200,0200,MOHAMMAD A. QAZ 69259,A81000C,00200,0400,CIENA HEALTHCAR 69259,A81000C,00200,0600,MANAGEMENT 69259,B100000,00000,0100,00000SQUARE FEET 69259,B100000,00000,0200,00000SQUARE FEET 69259,B100000,00000,0300,00000GROSS SALARIES 69259,B100000,00000,0400,00000ACCUM COST 69259,B100000,00000,0500,00000SQUARE FEET 69259,B100000,00000,0600,00000PATIENT DAYS 69259,B100000,00000,0700,00000SQUARE FEET 69259,B100000,00000,0800,00000MEALS SERVED 69259,B100000,00000,0900,00000PATIENT DAYS 69259,B100000,00000,1000,00000COSTED REQUIS 69259,B100000,00000,1100,00000COSTED REQUIS 69259,B100000,00000,1200,00000PATIENT DAYS 69259,B100000,00000,1300,00000PATIENT DAYS 69259,B100000,00000,1350,00000PATIENT DAYS 69259,B100000,00000,1400,00000ASSIGNED TIME 69259,S000000,00100,0200,06/12/2000 69259,S200000,00100,0100,626 E. GRAND BLVD 69259,S200000,00200,0100,DETROIT 69259,S200000,00200,0200,MI 69259,S200000,00200,0300,48207 69259,S200000,00300,0100,WAYNE 69259,S200000,00400,0100,EASTWOOD CONVALESCENT CENTER 69259,S200000,00400,0200,235422 69259,S200000,00400,0300,03/01/1981 69259,S200000,00400,0500,P 69259,S200000,01500,0100,Y 69259,S200000,01900,0100,HEALTH CARE 69264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69264,A000000,00300,0000,00300EMPLOYEE BENEFITS 69264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69264,A000000,00700,0000,00700HOUSEKEEPING 69264,A000000,00800,0000,00800DIETARY 69264,A000000,00900,0000,00900NURSING ADMINISTRATION 69264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69264,A000000,01100,0000,01100PHARMACY 69264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69264,A000000,01300,0000,01300SOCIAL SERVICE 69264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69264,A000000,01600,0000,01600SKILLED NURSING FACILITY 69264,A000000,01800,0000,01800NURSING FACILITY 69264,A000000,01810,0000,01810ICF/MR 69264,A000000,02100,0000,02100RADIOLOGY 69264,A000000,02200,0000,02200LABORATORY 69264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69264,A000000,02500,0000,02500PHYSICAL THERAPY 69264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69264,A000000,02700,0000,02700SPEECH PATHOLOGY 69264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69264,A000000,03550,0000,03550FQHC 69264,A000000,04800,0000,04800AMBULANCE 69264,A000000,05000,0000,05000CORF 69264,A000000,05010,0000,05010CMHC 69264,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69264,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69264,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69264,A000000,06150,0000,06300PT RENTAL 69264,A81000A,00100,0100,Y 69264,A81000B,00100,0300,RENT 69264,A81000B,00200,0300,LEGAL AND ACCOUNTING 69264,A81000B,00300,0300,INSURANCE - GENERAL 69264,A81000B,00400,0300,INSURANCE - PROPERTY 69264,A81000B,00500,0300,REAL ESTATE TAXES 69264,A81000B,00600,0300,MORTGAGE INTEREST EXPENSE 69264,A81000B,00700,0300,DEPRECIATION 69264,A81000B,00800,0300,SINGLE BUSINESS TAX 69264,A81000C,00100,0100,A 69264,A81000C,00100,0200,FRANK MCGUIRE 69264,A81000C,00100,0400,FRIENDSHIP ASOC 69264,A81000C,00100,0600,BUILDING RENTAL 69264,A81000C,00200,0100,D 69264,A81000C,00200,0200,DONALD SMITH 69264,A81000C,00200,0400,FRIENDSHIP ASOC 69264,A81000C,00200,0600,BUILDING RENTAL 69264,A81000C,00300,0100,F 69264,A81000C,00300,0200,MCGUIRE MANOR 69264,A81000C,00300,0400,FRIENDSHIP ASOC 69264,A81000C,00300,0600,BUILDING RENTAL 69264,B100000,00000,0100,00000SQUARE FEET 69264,B100000,00000,0200,00000SQUARE FEET 69264,B100000,00000,0300,00000GROSS SAL 69264,B100000,00000,0400,00000ACCUM. COST 69264,B100000,00000,0500,00000SQUARE FEET 69264,B100000,00000,0600,00000LBS. OF LAUNDRY 69264,B100000,00000,0700,00000SQUARE FEET 69264,B100000,00000,0800,00000MEALS SERVED 69264,B100000,00000,0900,00000NURSING HOURS 69264,B100000,00000,1000,00000COSTED REQUIS 69264,B100000,00000,1100,00000COSTED REQUIS 69264,B100000,00000,1200,00000PATIENT DAYS 69264,B100000,00000,1300,00000PATIENT DAYS 69264,B100000,00000,1400,00000ASSIGNED TIME 69264,S000000,00100,0200,05/30/2000 69264,S200000,00100,0100,29800 HOOVER ROAD 69264,S200000,00200,0100,WARREN 69264,S200000,00200,0200,MI 69264,S200000,00300,0100,MACOMB 69264,S200000,00400,0100,AUTUMN WOODS RHCF 69264,S200000,00400,0200,235427 69264,S200000,00400,0300,01/01/1983 69264,S200000,00400,0500,P 69264,S200000,01600,0100,Y 69264,S200000,01900,0100,HEALTH CARE 69264,S200000,04100,0100,Y 69264,S200000,04200,0100,Y 69266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69266,A000000,00300,0000,00300EMPLOYEE BENEFITS 69266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69266,A000000,00700,0000,00700HOUSEKEEPING 69266,A000000,00800,0000,00800DIETARY 69266,A000000,00900,0000,00900NURSING ADMINISTRATION 69266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69266,A000000,01100,0000,01100PHARMACY 69266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69266,A000000,01300,0000,01300SOCIAL SERVICE 69266,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69266,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69266,A000000,01600,0000,01600SKILLED NURSING FACILITY 69266,A000000,01810,0000,01810ICF/MR 69266,A000000,02100,0000,02100RADIOLOGY 69266,A000000,02200,0000,02200LABORATORY 69266,A000000,02500,0000,02500PHYSICAL THERAPY 69266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69266,A000000,02700,0000,02700SPEECH PATHOLOGY 69266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69266,A000000,03550,0000,03550FQHC 69266,A000000,05000,0000,05000CORF 69266,A000000,05010,0000,05010CMHC 69266,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69266,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69266,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69266,A000000,05300,0000,05300INTEREST EXPENSE 69266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69266,A81000A,00100,0100,Y 69266,A81000B,00100,0300,RENT (DEPRECIATION) 69266,A81000B,00200,0300,RENT (INTEREST) 69266,A81000B,00300,0300,MANAGEMENT FEES 69266,A81000B,00400,0300,HOME OFFICE CAP REL 69266,A81000C,00100,0100,A 69266,A81000C,00100,0200,D.J. BORTZ JR. 69266,A81000C,00100,0400,D.J. BORTZ JR. 69266,A81000C,00100,0600,REAL ESTATE 69266,A81000C,00200,0100,A 69266,A81000C,00200,0200,D.J. BORTZ JR. 69266,A81000C,00200,0400,BORTZ FACILITIE 69266,A81000C,00200,0600,MANAGEMENT 69266,A81000C,00300,0100,A 69266,A81000C,00300,0200,D.J. BORTZ JR. 69266,A81000C,00300,0400,JBS INC. 69266,A81000C,00300,0600,NURSING SUPPLIE 69266,B100000,00000,0100,00000SQUARE FEET 69266,B100000,00000,0200,00000SQUARE FEET 69266,B100000,00000,0300,00000GROSS SALARIES 69266,B100000,00000,0400,00000ACCUM COST 69266,B100000,00000,0500,00000SQUARE FEET 69266,B100000,00000,0600,00000PATIENT DAYS 69266,B100000,00000,0700,00000SQUARE FEET 69266,B100000,00000,0800,00000MEALS SERVED 69266,B100000,00000,0900,00000PATIENT DAYS 69266,B100000,00000,1000,00000COSTED REQUIS 69266,B100000,00000,1100,00000COSTED REQUIS 69266,B100000,00000,1200,00000PATIENT DAYS 69266,B100000,00000,1300,00000PATIENT DAYS 69266,B100000,00000,1350,00000PATIENT DAYS 69266,B100000,00000,1400,00000ASSIGNED TIME 69266,S000000,00100,0200,05/10/2000 69266,S200000,00100,0100,1500 SPRING ST. 69266,S200000,00200,0100,PETOSKEY 69266,S200000,00200,0200,MI 69266,S200000,00200,0300,49770 69266,S200000,00300,0100,EMMET 69266,S200000,00400,0100,PETOSKEY GERIATRIC VILLAGE INC. 69266,S200000,00400,0200,235429 69266,S200000,00400,0300,06/13/1986 69266,S200000,00400,0500,P 69266,S200000,01500,0100,Y 69281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69281,A000000,00300,0000,00300EMPLOYEE BENEFITS 69281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69281,A000000,00700,0000,00700HOUSEKEEPING 69281,A000000,00800,0000,00800DIETARY 69281,A000000,00900,0000,00900NURSING ADMINISTRATION 69281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69281,A000000,01100,0000,01100PHARMACY 69281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69281,A000000,01300,0000,01300SOCIAL SERVICE 69281,A000000,01350,0000,01500DIVERSIONAL THERAPY 69281,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69281,A000000,01600,0000,01600SKILLED NURSING FACILITY 69281,A000000,01800,0000,01800NURSING FACILITY 69281,A000000,01810,0000,01810ICF/MR 69281,A000000,02100,0000,02100RADIOLOGY 69281,A000000,02200,0000,02200LABORATORY 69281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69281,A000000,02500,0000,02500PHYSICAL THERAPY 69281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69281,A000000,02700,0000,02700SPEECH PATHOLOGY 69281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69281,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69281,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69281,A000000,03550,0000,03550FQHC 69281,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69281,A000000,04800,0000,04800AMBULANCE 69281,A000000,05000,0000,05000CORF 69281,A000000,05010,0000,05010CMHC 69281,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69281,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69281,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69281,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69281,A81000A,00100,0100,Y 69281,A81000B,00100,0300,MANAGEMENT SERVICES 69281,A81000B,00200,0300,INSURANCE 69281,A81000B,00300,0300,FRINGES 69281,A81000B,00400,0300,NURSING 69281,A81000B,00500,0300,THERAPY 69281,A81000B,00600,0300,THERAPY 69281,A81000B,00700,0300,THERAPY 69281,A81000B,00800,0300,NURSING ADMIN 69281,A81000B,00900,0300,ACTIVITIES 69281,A81000C,00100,0100,B 69281,A81000C,00100,0200,LVCH 69281,A81000C,00100,0400,LVC HOSPITAL 69281,A81000C,00100,0600,AUTHORITY HOSP 69281,B100000,00000,0100,00000SQUARE FEET 69281,B100000,00000,0200,00000DOLLAR VALUE 69281,B100000,00000,0300,00000GROSS SALARIES 69281,B100000,00000,0400,00000ACCUM. COST 69281,B100000,00000,0500,00000SQUARE FEET 69281,B100000,00000,0600,00000POUNDS OF LAUNDRY 69281,B100000,00000,0700,00000SQUARE FEET 69281,B100000,00000,0800,00000MEALS SERVED 69281,B100000,00000,0900,00000DIRECT NRSING HRS 69281,B100000,00000,1000,00000COSTED REQUIS. 69281,B100000,00000,1100,00000COSTED REQUIS. 69281,B100000,00000,1200,00000TIME SPENT 69281,B100000,00000,1300,00000TIME SPENT 69281,B100000,00000,1350,00000HOURS 69281,B100000,00000,1400,00000ASSIGNED TIME 69281,S000000,00100,0200,09/20/2000 69281,S200000,00100,0100,99 WALKER 69281,S200000,00200,0100,LAWTON 69281,S200000,00200,0200,MI 69281,S200000,00300,0100,VANBUREN 69281,S200000,00400,0100,LAKEVIEW CONTINUING CARE CENTER 69281,S200000,00400,0200,235434 69281,S200000,00400,0300,04/01/1997 69281,S200000,00400,0500,P 69281,S200000,00600,0200,235434 69281,S200000,00600,0300,07/01/1966 69281,S200000,00600,0600,P 69281,S200000,01500,0100,Y 69281,S200000,01900,0100,PRIVATE NOT FOR PROFIT 69285,S000000,00100,0200,05/31/2000 69291,S000000,00100,0200,05/31/2000 69295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69295,A000000,00300,0000,00300EMPLOYEE BENEFITS 69295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69295,A000000,00700,0000,00700HOUSEKEEPING 69295,A000000,00800,0000,00800DIETARY 69295,A000000,00900,0000,00900NURSING ADMINISTRATION 69295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69295,A000000,01100,0000,01100PHARMACY 69295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69295,A000000,01300,0000,01300SOCIAL SERVICE 69295,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69295,A000000,01600,0000,01600SKILLED NURSING FACILITY 69295,A000000,01810,0000,01810ICF/MR 69295,A000000,01900,0000,01900OTHER LONG TERM CARE 69295,A000000,02100,0000,02100RADIOLOGY 69295,A000000,02200,0000,02200LABORATORY 69295,A000000,02500,0000,02500PHYSICAL THERAPY 69295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69295,A000000,02700,0000,02700SPEECH PATHOLOGY 69295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69295,A000000,03550,0000,03550FQHC 69295,A000000,05000,0000,05000CORF 69295,A000000,05010,0000,05010CMHC 69295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69295,A000000,05300,0000,05300INTEREST EXPENSE 69295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69295,A81000A,00100,0100,Y 69295,A81000B,00100,0300,MEDICAL DIRECTORS FEES 69295,A81000C,00100,0100,A 69295,A81000C,00100,0200,SAGINAW GERIATRICS HOME 69295,A81000C,00100,0400,PARTNER 69295,A81000C,00100,0600,CONTRACTED MEDICAL DIRECTOR 69295,B100000,00000,0100,00000SQUARE FEET 69295,B100000,00000,0200,00000SQUARE FEET 69295,B100000,00000,0300,00000GROSS SALARIES 69295,B100000,00000,0400,00000ACCUM COST 69295,B100000,00000,0500,00000SQUARE FEET 69295,B100000,00000,0600,00000PATIENT DAYS 69295,B100000,00000,0700,00000SQUARE FEET 69295,B100000,00000,0800,00000MEALS SERVED 69295,B100000,00000,0900,00000PATIENT DAYS 69295,B100000,00000,1000,00000COSTED REQUIS 69295,B100000,00000,1100,00000COSTED REQUIS 69295,B100000,00000,1200,00000TIME SPENT 69295,B100000,00000,1300,00000PATIENT DAYS 69295,B100000,00000,1350,00000PATIENT DAYS 69295,B100000,00000,1400,00000ASSIGNED TIME 69295,S000000,00100,0200,05/22/2000 69295,S200000,00100,0100,1413 GRATIOT 69295,S200000,00200,0100,SAGINAW 69295,S200000,00200,0200,MI 69295,S200000,00200,0300,48602 69295,S200000,00300,0100,SAGINAW 69295,S200000,00400,0100,SAGINAW GERIATRICS HOME 69295,S200000,00400,0200,235442 69295,S200000,00400,0300,11/14/1985 69295,S200000,00400,0500,P 69295,S200000,01500,0100,Y 69295,S200000,01900,0100,501 C 3 69304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69304,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 69304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69304,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 69304,A000000,00300,0000,00300EMPLOYEE BENEFITS 69304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69304,A000000,00700,0000,00700HOUSEKEEPING 69304,A000000,00800,0000,00800DIETARY 69304,A000000,00801,0000,00801CAFETERIA 69304,A000000,00900,0000,00900NURSING ADMINISTRATION 69304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69304,A000000,01100,0000,01100PHARMACY 69304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69304,A000000,01300,0000,01300SOCIAL SERVICE 69304,A000000,01350,0000,01500ACTIVITIES 69304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69304,A000000,01600,0000,01600SKILLED NURSING FACILITY 69304,A000000,01800,0000,01800NURSING FACILITY 69304,A000000,01810,0000,01810ICF/MR 69304,A000000,02100,0000,02100RADIOLOGY 69304,A000000,02200,0000,02200LABORATORY 69304,A000000,02500,0000,02500PHYSICAL THERAPY 69304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69304,A000000,02700,0000,02700SPEECH PATHOLOGY 69304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69304,A000000,03050,0000,03300OTHER ANCILLARY 69304,A000000,03051,0000,03301OTHER ANCILLARY II 69304,A000000,03052,0000,03302OTHER ANCILLARY III 69304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69304,A000000,03550,0000,03550FQHC 69304,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69304,A000000,05000,0000,05000CORF I 69304,A000000,05010,0000,05010CMHC I 69304,A000000,05020,0000,05020OPT I 69304,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69304,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69304,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69304,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69304,A81000A,00100,0100,Y 69304,A81000B,00100,0300,RENT 69304,A81000B,00200,0300,RENT 69304,A81000B,00300,0300,MANAGEMENT FEES 69304,A81000C,00100,0100,A 69304,A81000C,00100,0200,CHARLES DUNN 69304,A81000C,00100,0400,METRO INVESTMES 69304,A81000C,00100,0600,RENTAL 69304,A81000C,00200,0100,A 69304,A81000C,00200,0200,CHARLES DUNN 69304,A81000C,00200,0400,METRO INVESTMES 69304,A81000C,00200,0600,RENTAL 69304,A81000C,00300,0100,A 69304,A81000C,00300,0200,CHARLES DUNN 69304,A81000C,00300,0400,METRO MGMT 69304,A81000C,00300,0600,MGMT CO. 69304,B100000,00000,0100,00000(SQUARE FEET) 69304,B100000,00000,0101,00000(SQUARE FEET) 69304,B100000,00000,0200,00000(SQUARE FEET) 69304,B100000,00000,0201,00000(SQUARE FEET) 69304,B100000,00000,0300,00000(GROSS SALARIES) 69304,B100000,00000,0400,00000(ACCUM. COST) 69304,B100000,00000,0500,00000(SQUARE FEET) 69304,B100000,00000,0600,00000(PATIENT DAYS) 69304,B100000,00000,0700,00000(SQUARE FEET) 69304,B100000,00000,0800,00000(MEALS SERVED) 69304,B100000,00000,0801,00000(MEALS SERVED) 69304,B100000,00000,0900,00000(DIRECT NRSING HRS 69304,B100000,00000,1000,00000(PATIENT DAYS) 69304,B100000,00000,1100,00000(COSTED REQUIS.) 69304,B100000,00000,1200,00000(PATIENT DAYS) 69304,B100000,00000,1300,00000(PATIENT DAYS) 69304,B100000,00000,1350,00000(PATIENT DAYS) 69304,B100000,00000,1400,00000(ASSIGNED TIME) 69304,E10A180,00550,0300,06/14/2001 69304,S000000,00100,0200,04/20/2000 69304,S200000,00100,0100,16588 SCHAEFER 69304,S200000,00200,0100,DETROIT 69304,S200000,00200,0200,MI 69304,S200000,00200,0300,48235 69304,S200000,00300,0100,WAYNE 69304,S200000,00400,0100,WESTWOOD NURSING CENTER 69304,S200000,00400,0200,235444 69304,S200000,00400,0300,12/11/1996 69304,S200000,00400,0500,P 69304,S200000,01600,0100,Y 69304,S200000,01900,0100,AFFL. W/MERCY HOSPIT 69308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69308,A000000,00300,0000,00300EMPLOYEE BENEFITS 69308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69308,A000000,00700,0000,00700HOUSEKEEPING 69308,A000000,00800,0000,00800DIETARY 69308,A000000,00900,0000,00900NURSING ADMINISTRATION 69308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69308,A000000,01100,0000,01100PHARMACY 69308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69308,A000000,01300,0000,01300SOCIAL SERVICE 69308,A000000,01350,0000,01500DIVERSIONAL THERAPY 69308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69308,A000000,01600,0000,01600SKILLED NURSING FACILITY 69308,A000000,01800,0000,01800NURSING FACILITY 69308,A000000,01810,0000,01810ICF/MR 69308,A000000,03050,0000,03300ALL ANCILLARIES 69308,A000000,03550,0000,03550FQHC 69308,A000000,05000,0000,05000CORF 69308,A000000,05010,0000,05010CMHC 69308,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69308,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69308,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69308,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69308,A81000A,00100,0100,Y 69308,A81000B,00100,0300,ASSISTANT ADMINISTRA 69308,A81000B,00200,0300,MANAGEMENT SVCS 69308,A81000C,00100,0100,A 69308,A81000C,00100,0200,DEBORAH BRANSCU 69308,A81000C,00100,0400,ILE LLC 69308,A81000C,00100,0600,ASSISTANT ADMIN 69308,A81000C,00200,0100,A 69308,A81000C,00200,0200,DEBROAH BRANSCU 69308,A81000C,00200,0400,NEXCARE HEALTH 69308,A81000C,00200,0600,MANAGEMENT SVCS 69308,B100000,00000,0100,00000SQUARE FEET 69308,B100000,00000,0200,00000SQUARE FEET 69308,B100000,00000,0300,00000GROSS SALARIES 69308,B100000,00000,0400,00000ACCUM COST 69308,B100000,00000,0500,00000SQUARE FEET 69308,B100000,00000,0600,00000CENSUS 69308,B100000,00000,0700,00000SQUARE FEET 69308,B100000,00000,0800,00000CENSUS 69308,B100000,00000,0900,00000DIRECT NRSG HRS 69308,B100000,00000,1000,00000COSTED REQUIS 69308,B100000,00000,1100,00000COSTED REQUIS 69308,B100000,00000,1200,00000CENSUS 69308,B100000,00000,1300,00000CENSUS 69308,B100000,00000,1350,00000CENSUS 69308,B100000,00000,1400,00000ASSIGNED TIME 69308,S000000,00100,0200,05/30/2000 69308,S200000,00100,0100,15750 JOY ROAD 69308,S200000,00200,0100,DETROIT 69308,S200000,00200,0200,MI 69308,S200000,00200,0300,48228 69308,S200000,00300,0100,WAYNE 69308,S200000,00400,0100,FAIRLANE NURSING CENTRE 69308,S200000,00400,0200,235445 69308,S200000,00400,0300,11/15/1996 69308,S200000,00400,0500,P 69308,S200000,00400,0600,P 69308,S200000,00600,0200,235445 69308,S200000,00600,0300,08/09/1996 69308,S200000,01600,0100,Y 69308,S200000,01900,0100,HEALTH CARE 69313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69313,A000000,00300,0000,00300EMPLOYEE BENEFITS 69313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69313,A000000,00700,0000,00700HOUSEKEEPING 69313,A000000,00800,0000,00800DIETARY 69313,A000000,00900,0000,00900NURSING ADMINISTRATION 69313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69313,A000000,01100,0000,01100PHARMACY 69313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69313,A000000,01300,0000,01300SOCIAL SERVICE 69313,A000000,01350,0000,01500DIVERSIONAL THERAPY 69313,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69313,A000000,01600,0000,01600SKILLED NURSING FACILITY 69313,A000000,01810,0000,01810ICF/MR 69313,A000000,02100,0000,02100RADIOLOGY 69313,A000000,02200,0000,02200LABORATORY 69313,A000000,02500,0000,02500PHYSICAL THERAPY 69313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69313,A000000,02700,0000,02700SPEECH PATHOLOGY 69313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69313,A000000,03200,0000,03200SUPPORT SURFACES 69313,A000000,03550,0000,03550FQHC 69313,A000000,05000,0000,05000CORF 69313,A000000,05010,0000,05010CMHC 69313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69313,A000000,05300,0000,05300INTEREST EXPENSE 69313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69313,A81000A,00100,0100,Y 69313,A81000B,00100,0300,LEASE INCOME/EXPENSE 69313,A81000B,00200,0300,GENERAL INSURANCE 69313,A81000B,00300,0300,LICENSE FEE 69313,A81000B,00400,0300,PROFESSIONAL FEES 69313,A81000B,00500,0300,PROPERTY TAX 69313,A81000B,00600,0300,LONG TERM INTEREST 69313,A81000B,00700,0300,MORTGATE INSURANCE 69313,A81000B,00800,0300,AMORTIZATION 69313,A81000B,00900,0300,DEPRECIATION EXPENSE 69313,A81000B,01000,0300,MANAGEMENT FEES 69313,A81000C,00100,0100,A 69313,A81000C,00100,0200,STEVEN BANDSTRA 69313,A81000C,00100,0400,CCG PROP - AD 69313,A81000C,00100,0600,REAL ESTATE COM 69313,A81000C,00200,0100,A 69313,A81000C,00200,0200,STEVEN BANDSTRA 69313,A81000C,00200,0400,CCG PROP - AD 69313,A81000C,00200,0600,REAL ESTATE COM 69313,A81000C,00300,0100,A 69313,A81000C,00300,0200,STEVEN BANDSTRA 69313,A81000C,00300,0400,CCG PROP - AD 69313,A81000C,00300,0600,REAL ESTATE COM 69313,A81000C,00400,0100,A 69313,A81000C,00400,0200,STEVEN BANDSTRA 69313,A81000C,00400,0400,CCG PROP - AD 69313,A81000C,00400,0600,REAL ESTATE COM 69313,A81000C,00500,0100,A 69313,A81000C,00500,0200,STEVEN BANDSTRA 69313,A81000C,00500,0400,CCG PROP - AD 69313,A81000C,00500,0600,REAL ESTATE COM 69313,A81000C,00600,0100,A 69313,A81000C,00600,0200,STEVEN BANDSTRA 69313,A81000C,00600,0400,CCG PROP - AD 69313,A81000C,00600,0600,REAL ESTATE COM 69313,A81000C,00700,0100,A 69313,A81000C,00700,0200,STEVEN BANDSTRA 69313,A81000C,00700,0400,CCG PROP - AD 69313,A81000C,00700,0600,REAL ESTATE COM 69313,A81000C,00800,0100,A 69313,A81000C,00800,0200,STEVEN BANDSTRA 69313,A81000C,00800,0400,CCG PROP - AD 69313,A81000C,00800,0600,REAL ESTATE COM 69313,A81000C,00900,0100,A 69313,A81000C,00900,0200,STEVEN BANDSTRA 69313,A81000C,00900,0400,CCG PROP - AD 69313,A81000C,00900,0600,REAL ESTATE COM 69313,A81000C,01000,0100,A 69313,A81000C,01000,0200,STEVEN BANDSTRA 69313,A81000C,01000,0400,COMMUNITY CENTR 69313,A81000C,01000,0600,MANAGEMENT COMP 69313,B100000,00000,0100,00000SQUARE FEET 69313,B100000,00000,0200,00000SQUARE FEET 69313,B100000,00000,0300,00000GROSS SALARIES 69313,B100000,00000,0400,00000ACCUM COST 69313,B100000,00000,0500,00000SQUARE FEET 69313,B100000,00000,0600,00000POUNDS OF LAUNDRY 69313,B100000,00000,0700,00000HOURS OF SERVICE 69313,B100000,00000,0800,00000MEALS SERVED 69313,B100000,00000,0900,00000DIRECT NRSG HRS 69313,B100000,00000,1000,00000COSTED REQUIS 69313,B100000,00000,1100,00000COSTED REQUIS 69313,B100000,00000,1200,00000TIME SPENT 69313,B100000,00000,1300,00000TIME SPENT 69313,B100000,00000,1350,00000CENSUS 69313,B100000,00000,1400,00000ASSIGNED TIME 69313,S000000,00100,0200,05/22/2000 69313,S200000,00100,0100,11007 RADCLIFF DRIVE 69313,S200000,00200,0100,ALLENDALE 69313,S200000,00200,0200,MI 69313,S200000,00300,0100,OTTAWA 69313,S200000,00400,0100,ALLENDALE NURSING CENTRE 69313,S200000,00400,0200,235450 69313,S200000,00400,0300,06/01/1995 69313,S200000,00400,0500,P 69313,S200000,01500,0100,Y 69313,S200000,01900,0100,PRIVATE NOT FOR PROFIT 69313,S200000,02200,0100,Y 69326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69326,A000000,00300,0000,00300EMPLOYEE BENEFITS 69326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69326,A000000,00700,0000,00700HOUSEKEEPING 69326,A000000,00800,0000,00800DIETARY 69326,A000000,00900,0000,00900NURSING ADMINISTRATION 69326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69326,A000000,01100,0000,01100PHARMACY 69326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69326,A000000,01300,0000,01300SOCIAL SERVICE 69326,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69326,A000000,01600,0000,01600SKILLED NURSING FACILITY 69326,A000000,01810,0000,01810ICF/MR 69326,A000000,02100,0000,02100RADIOLOGY 69326,A000000,02200,0000,02200LABORATORY 69326,A000000,02500,0000,02500PHYSICAL THERAPY 69326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69326,A000000,02700,0000,02700SPEECH PATHOLOGY 69326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69326,A000000,03200,0000,03200SUPPORT SURFACES 69326,A000000,03550,0000,03550FQHC 69326,A000000,05000,0000,05000CORF 69326,A000000,05010,0000,05010CMHC 69326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69326,A000000,05300,0000,05300INTEREST EXPENSE 69326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69326,A81000A,00100,0100,Y 69326,A81000B,00100,0300,MANAGEMENT FEES 69326,A81000B,00200,0300,HOME OFFICE CAP REL 69326,A81000B,00300,0300,ENTERALS 69326,A81000C,00100,0100,A 69326,A81000C,00100,0200,D.J. BORTZ JR. 69326,A81000C,00100,0400,BORTZ FACILITIE 69326,A81000C,00100,0600,MANAGEMENT 69326,A81000C,00200,0100,A 69326,A81000C,00200,0200,D.J. BORTZ JR. 69326,A81000C,00200,0400,JBS INC. 69326,A81000C,00200,0600,NURSING SUPPLIE 69326,B100000,00000,0100,00000SQUARE FEET 69326,B100000,00000,0200,00000SQUARE FEET 69326,B100000,00000,0300,00000GROSS SALARIES 69326,B100000,00000,0400,00000ACCUM COST 69326,B100000,00000,0500,00000SQUARE FEET 69326,B100000,00000,0600,00000PATIENT DAYS 69326,B100000,00000,0700,00000SQUARE FEET 69326,B100000,00000,0800,00000MEALS SERVED 69326,B100000,00000,0900,00000PATIENT DAYS 69326,B100000,00000,1000,00000COSTED REQUIS 69326,B100000,00000,1100,00000COSTED REQUIS 69326,B100000,00000,1200,00000PATIENT DAYS 69326,B100000,00000,1300,00000PATIENT DAYS 69326,B100000,00000,1350,00000PATIENT DAYS 69326,B100000,00000,1400,00000ASSIGNED TIME 69326,E10A180,00550,0300,05/24/2000 69326,S000000,00100,0200,05/18/2000 69326,S200000,00100,0100,1881 E. GRAND BLVD. 69326,S200000,00200,0100,DETROIT 69326,S200000,00200,0200,MI 69326,S200000,00200,0300,48211 69326,S200000,00300,0100,WAYNE 69326,S200000,00400,0100,ELMWOOD GERIATRIC VILLAGE INC. 69326,S200000,00400,0200,235454 69326,S200000,00400,0300,06/13/1986 69326,S200000,00400,0500,P 69326,S200000,01500,0100,Y 69326,S200000,01900,0100,501 C 3 69326,S200000,02800,0100,Y 69332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69332,A000000,00300,0000,00300EMPLOYEE BENEFITS 69332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69332,A000000,00700,0000,00700HOUSEKEEPING 69332,A000000,00800,0000,00800DIETARY 69332,A000000,00900,0000,00900NURSING ADMINISTRATION 69332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69332,A000000,01100,0000,01100PHARMACY 69332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69332,A000000,01300,0000,01300SOCIAL SERVICE 69332,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69332,A000000,01600,0000,01600SKILLED NURSING FACILITY 69332,A000000,01810,0000,01810ICF/MR 69332,A000000,02100,0000,02100RADIOLOGY 69332,A000000,02200,0000,02200LABORATORY 69332,A000000,02500,0000,02500PHYSICAL THERAPY 69332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69332,A000000,02700,0000,02700SPEECH PATHOLOGY 69332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69332,A000000,03200,0000,03200SUPPORT SURFACES 69332,A000000,03550,0000,03550FQHC 69332,A000000,05000,0000,05000CORF 69332,A000000,05010,0000,05010CMHC 69332,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69332,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69332,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69332,A81000A,00100,0100,Y 69332,A81000B,00100,0300,MANAGEMENT FEES 69332,A81000C,00100,0100,A 69332,A81000C,00100,0200,MOHAMMAD A. QAZ 69332,A81000C,00100,0400,CIENA HEALTHCAR 69332,A81000C,00100,0600,MANAGEMENT 69332,B100000,00000,0100,00000SQUARE FEET 69332,B100000,00000,0200,00000SQUARE FEET 69332,B100000,00000,0300,00000GROSS SALARIES 69332,B100000,00000,0400,00000ACCUM COST 69332,B100000,00000,0500,00000SQUARE FEET 69332,B100000,00000,0600,00000PATIENT DAYS 69332,B100000,00000,0700,00000SQUARE FEET 69332,B100000,00000,0800,00000MEALS SERVED 69332,B100000,00000,0900,00000PATIENT DAYS 69332,B100000,00000,1000,00000COSTED REQUIS 69332,B100000,00000,1100,00000COSTED REQUIS 69332,B100000,00000,1200,00000TIME SPENT 69332,B100000,00000,1300,00000PATIENT DAYS 69332,B100000,00000,1350,00000PATIENT DAYS 69332,B100000,00000,1400,00000ASSIGNED TIME 69332,S000000,00100,0200,01/12/2001 69332,S200000,00100,0100,19211 ANGLIN 69332,S200000,00200,0100,DETROIT 69332,S200000,00200,0200,MI 69332,S200000,00200,0300,48234 69332,S200000,00300,0100,WAYNE 69332,S200000,00400,0100,AMERICARE CONVALESCENT CENTER 69332,S200000,00400,0200,235455 69332,S200000,00400,0300,06/13/1986 69332,S200000,00400,0500,P 69332,S200000,01500,0100,Y 69332,S200000,01900,0100,501(C)(3) 69332,S200000,02800,0100,Y 69332,S200000,03100,0100,Y 69341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69341,A000000,00300,0000,00300EMPLOYEE BENEFITS 69341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69341,A000000,00700,0000,00700HOUSEKEEPING 69341,A000000,00800,0000,00800DIETARY 69341,A000000,00900,0000,00900NURSING ADMINISTRATION 69341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69341,A000000,01100,0000,01100PHARMACY 69341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69341,A000000,01300,0000,01300SOCIAL SERVICE 69341,A000000,01350,0000,01500ACTIVITIES 69341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69341,A000000,01600,0000,01600SKILLED NURSING FACILITY 69341,A000000,01810,0000,01810ICF/MR 69341,A000000,02100,0000,02100RADIOLOGY 69341,A000000,02200,0000,02200LABORATORY 69341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69341,A000000,02500,0000,02500PHYSICAL THERAPY 69341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69341,A000000,02700,0000,02700SPEECH PATHOLOGY 69341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69341,A000000,03050,0000,03300INSULIN TESTING 69341,A000000,03200,0000,03200SUPPORT SURFACES 69341,A000000,03550,0000,03550FQHC 69341,A000000,05000,0000,05000CORF 69341,A000000,05010,0000,05010CMHC 69341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69341,A000000,05300,0000,05300INTEREST EXPENSE 69341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69341,A000000,06150,0000,06300MARKETING 69341,A81000A,00100,0100,Y 69341,A81000B,00100,0300,HOME OFFICE COST 69341,A81000B,00200,0300,PHONE LEASE 69341,A81000C,00100,0100,B 69341,A81000C,00100,0400,LSS OF MI 69341,A81000C,00100,0600,SOCIAL SERVICE 69341,B100000,00000,0100,00000SQUARE FEET 69341,B100000,00000,0200,00000SQUARE FEET 69341,B100000,00000,0300,00000GROSS SALARIES 69341,B100000,00000,0400,00000ACCUM COST 69341,B100000,00000,0500,00000SQUARE FEET 69341,B100000,00000,0600,00000POUNDS OF LAUNDRY 69341,B100000,00000,0700,00000HOURS OF SERVICE 69341,B100000,00000,0800,00000MEALS SERVED 69341,B100000,00000,0900,00000DIRECT NRSG HRS 69341,B100000,00000,1000,00000COSTED REQUIS 69341,B100000,00000,1100,00000COSTED REQUIS 69341,B100000,00000,1200,00000TIME SPENT 69341,B100000,00000,1300,00000TIME SPENT 69341,B100000,00000,1350,00000TIME SPENT 69341,B100000,00000,1400,00000ASSIGNED TIME 69341,S000000,00100,0200,06/02/2000 69341,S200000,00100,0100,1950 32ND STREET S.E. 69341,S200000,00200,0100,GRAND RAPIDS 69341,S200000,00200,0200,MI 69341,S200000,00200,0300,49508 69341,S200000,00300,0100,KENT 69341,S200000,00400,0100,LUTHER HOME 69341,S200000,00400,0200,235458 69341,S200000,00400,0300,01/01/1987 69341,S200000,00400,0500,P 69341,S200000,00400,0600,O 69341,S200000,01500,0100,Y 69341,S200000,01900,0100,PRIVATE NOT FOR PROFIT 69341,S200000,02200,0100,Y 69341,S200000,02800,0100,Y 69344,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69344,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69344,A000000,00300,0000,00300EMPLOYEE BENEFITS 69344,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69344,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69344,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69344,A000000,00700,0000,00700HOUSEKEEPING 69344,A000000,00800,0000,00800DIETARY 69344,A000000,00900,0000,00900NURSING ADMINISTRATION 69344,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69344,A000000,01100,0000,01100PHARMACY 69344,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69344,A000000,01300,0000,01300SOCIAL SERVICE 69344,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69344,A000000,01600,0000,01600SKILLED NURSING FACILITY 69344,A000000,01800,0000,01800NURSING FACILITY 69344,A000000,01810,0000,01810ICF/MR 69344,A000000,02100,0000,02100RADIOLOGY 69344,A000000,02200,0000,02200LABORATORY 69344,A000000,02500,0000,02500PHYSICAL THERAPY 69344,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69344,A000000,02700,0000,02700SPEECH PATHOLOGY 69344,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69344,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69344,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69344,A000000,03200,0000,03200SUPPORT SURFACES 69344,A000000,03550,0000,03550FQHC 69344,A000000,05000,0000,05000CORF 69344,A000000,05010,0000,05010CMHC 69344,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69344,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69344,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69344,A000000,05300,0000,05300INTEREST EXPENSE 69344,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 69344,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69344,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69344,A81000A,00100,0100,Y 69344,A81000B,00100,0300,HOME OFFICE COSTS 69344,A81000B,00200,0300,HOME OFFICE COSTS 69344,A81000B,00300,0300,HOME OFFICE COSTS 69344,A81000B,00400,0300,HOME OFFICE COSTS 69344,A81000B,00500,0300,HOME OFFICE COSTS 69344,A81000B,00600,0300,HOME OFFICE COSTS 69344,A81000B,00700,0300,HOME OFFICE COSTS 69344,A81000B,00800,0300,HOME OFFICE COSTS 69344,A81000B,00900,0300,HOME OFFICE COSTS 69344,A81000B,01000,0300,HOME OFFICE COSTS 69344,A81000C,00100,0100,B 69344,A81000C,00100,0200,CONSOL. HEALTHCARE MGMT. 69344,A81000C,00100,0400,ALTERCARE OF BIG RAPIDS 69344,A81000C,00100,0600,NURSING HOMES 69344,A81000C,00200,0100,B 69344,A81000C,00200,0200,ABSOLUTE HEALTH SERVICES 69344,A81000C,00200,0400,CONSOL.HEALTHCARE MGMT. 69344,A81000C,00200,0600,THERAPY & NURSING 69344,A81000C,00300,0100,B 69344,A81000C,00300,0200,APOTHECARE HEALTH SERVICE 69344,A81000C,00300,0400,CONSOL.HEALTHCARE MGMT. 69344,A81000C,00300,0600,DRUGS & MED. SUPP. 69344,A81000C,00400,0100,B 69344,A81000C,00400,0200,ADVANTAGE ANCILLARY SERV. 69344,A81000C,00400,0400,CONSOL.HEALTHCARE MGMT. 69344,A81000C,00400,0600,MED. SUPPLIES 69344,A81000C,00500,0100,B 69344,A81000C,00500,0200,RENAISSANCE MORTGAGE 69344,A81000C,00500,0400,CONSOL.HEALTHCARE MGMT. 69344,A81000C,00500,0600,FINANCING 69344,A81000C,00600,0100,B 69344,A81000C,00600,0200,ABSOLUTE LAB 69344,A81000C,00600,0400,CONSOL.HEALTHCARE MGMT. 69344,A81000C,00600,0600,LAB 69344,B100000,00000,0100,00000SQUARE FEET 69344,B100000,00000,0200,00000SQUARE FEET 69344,B100000,00000,0300,00000GROSS SALARIES 69344,B100000,00000,0400,00000ACCUM. COST 69344,B100000,00000,0500,00000SQUARE FEET 69344,B100000,00000,0600,00000INPATIENT DAYS 69344,B100000,00000,0700,00000SQUARE FEET 69344,B100000,00000,0800,00000INPATIENT DAYS 69344,B100000,00000,0900,00000DIRECT NRSING HRS 69344,B100000,00000,1000,00000COSTED REQUIS. 69344,B100000,00000,1100,00000INPATIENT DAYS 69344,B100000,00000,1200,00000INPATIENT DAYS 69344,B100000,00000,1300,00000INPATIENT DAYS 69344,B100000,00000,1400,00000ASSIGNED TIME 69344,S000000,00100,0200,05/31/2000 69344,S200000,00100,0100,805 WEST AVENUE 69344,S200000,00200,0100,BIG RAPIDS 69344,S200000,00200,0200,MI 69344,S200000,00300,0100,MEOSTA 69344,S200000,00400,0100,ALTERCARE OF BIG RAPIDS 69344,S200000,00400,0200,235459 69344,S200000,00400,0300,01/01/1980 69344,S200000,00400,0500,P 69344,S200000,01600,0100,Y 69344,S200000,01900,0100,AFFL. W/MERCY HOSPIT 69345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69345,A000000,00300,0000,00300EMPLOYEE BENEFITS 69345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69345,A000000,00700,0000,00700HOUSEKEEPING 69345,A000000,00800,0000,00800DIETARY 69345,A000000,00900,0000,00900NURSING ADMINISTRATION 69345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69345,A000000,01100,0000,01100PHARMACY 69345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69345,A000000,01300,0000,01300SOCIAL SERVICE 69345,A000000,01350,0000,01500DIVERSIONAL THERAPY 69345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69345,A000000,01600,0000,01600SKILLED NURSING FACILITY 69345,A000000,01800,0000,01800NURSING FACILITY 69345,A000000,01810,0000,01810ICF/MR 69345,A000000,02100,0000,02100RADIOLOGY 69345,A000000,02200,0000,02200LABORATORY 69345,A000000,02500,0000,02500PHYSICAL THERAPY 69345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69345,A000000,02700,0000,02700SPEECH PATHOLOGY 69345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69345,A000000,03550,0000,03550FQHC 69345,A000000,05000,0000,05000CORF 69345,A000000,05010,0000,05010CMHC 69345,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69345,A81000A,00100,0100,Y 69345,A81000B,00100,0300,HEALTH INSURANCE 69345,A81000B,00200,0300,MANAGEMENT SERVICES 69345,A81000B,00300,0300,SUPPLIES & OTHER 69345,A81000B,00400,0300,DRUGS 69345,A81000C,00100,0100,B 69345,A81000C,00100,0200,BOTSFORD CONT. 69345,A81000C,00100,0400,BOTSFORD GENERA 69345,A81000C,00100,0600,HOSPITAL 69345,B100000,00000,0100,00000(SQUARE FEET) 69345,B100000,00000,0200,00000SQUARE FEET 69345,B100000,00000,0300,00000(GROSS SALARIES) 69345,B100000,00000,0400,00000(ACCUM COST) 69345,B100000,00000,0500,00000(SQUARE FEET) 69345,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 69345,B100000,00000,0700,00000(SQUARE FEET) 69345,B100000,00000,0800,00000(MEALS SERVED) 69345,B100000,00000,0900,00000(TIME SPENT) 69345,B100000,00000,1000,00000COSTED REQUIS 69345,B100000,00000,1100,00000COSTED REQUIS 69345,B100000,00000,1200,00000(TIME SPENT) 69345,B100000,00000,1300,00000(TIME SPENT) 69345,B100000,00000,1350,00000DAYS 69345,B100000,00000,1400,00000ASSIGNED TIME 69345,S000000,00100,0200,05/26/2000 69345,S200000,00100,0100,21450 ARCHWOOD CIRCLE 69345,S200000,00200,0100,FARMINGTON HILLS 69345,S200000,00200,0200,MI 69345,S200000,00300,0100,OAKLAND 69345,S200000,00400,0100,BOTSFORD CONTINUING HEALTH CENTER 69345,S200000,00400,0200,235462 69345,S200000,00400,0300,12/01/1987 69345,S200000,00400,0500,P 69345,S200000,01600,0100,Y 69345,S200000,01900,0100,501(C)(3)NON-PROFIT 69347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69347,A000000,00300,0000,00300EMPLOYEE BENEFITS 69347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69347,A000000,00700,0000,00700HOUSEKEEPING 69347,A000000,00800,0000,00800DIETARY 69347,A000000,00900,0000,00900NURSING ADMINISTRATION 69347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69347,A000000,01100,0000,01100PHARMACY 69347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69347,A000000,01300,0000,01300SOCIAL SERVICE 69347,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69347,A000000,01600,0000,01600SKILLED NURSING FACILITY 69347,A000000,01810,0000,01810ICF/MR 69347,A000000,02100,0000,02100RADIOLOGY 69347,A000000,02200,0000,02200LABORATORY 69347,A000000,02500,0000,02500PHYSICAL THERAPY 69347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69347,A000000,02700,0000,02700SPEECH PATHOLOGY 69347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69347,A000000,03200,0000,03200SUPPORT SURFACES 69347,A000000,03550,0000,03550FQHC 69347,A000000,05000,0000,05000CORF 69347,A000000,05010,0000,05010CMHC 69347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69347,A81000A,00100,0100,Y 69347,A81000B,00100,0300,RENT (DEPRECIATION) 69347,A81000B,00200,0300,RENT (INTEREST) 69347,A81000B,00300,0300,MANAGEMENT FEES 69347,A81000B,00400,0300,HOME OFFICE CAP REL 69347,A81000B,00500,0300,ENTERALS JBS 69347,A81000C,00100,0100,A 69347,A81000C,00100,0200,D.J. BORTZ JR. 69347,A81000C,00100,0400,D.J. BORTZ JR. 69347,A81000C,00100,0600,REAL ESTATE 69347,A81000C,00200,0100,A 69347,A81000C,00200,0200,D.J. BORTZ JR. 69347,A81000C,00200,0400,BORTZ FACILITIE 69347,A81000C,00200,0600,MANAGEMENT 69347,A81000C,00300,0100,A 69347,A81000C,00300,0200,D.J. BORTZ JR. 69347,A81000C,00300,0400,JBS INC. 69347,A81000C,00300,0600,NURSING SUPPLIE 69347,B100000,00000,0100,00000SQUARE FEET 69347,B100000,00000,0200,00000SQUARE FEET 69347,B100000,00000,0300,00000GROSS SALARIES 69347,B100000,00000,0400,00000ACCUM COST 69347,B100000,00000,0500,00000SQUARE FEET 69347,B100000,00000,0600,00000PATIENT DAYS 69347,B100000,00000,0700,00000SQUARE FEET 69347,B100000,00000,0800,00000MEALS SERVED 69347,B100000,00000,0900,00000PATIENT DAYS 69347,B100000,00000,1000,00000COSTED REQUIS 69347,B100000,00000,1100,00000COSTED REQUIS 69347,B100000,00000,1200,00000PATIENT DAYS 69347,B100000,00000,1300,00000PATIENT DAYS 69347,B100000,00000,1350,00000PATIENT DAYS 69347,B100000,00000,1400,00000ASSIGNED TIME 69347,S000000,00100,0200,05/22/2000 69347,S200000,00100,0100,111 FORD AVE. 69347,S200000,00200,0100,HIGHLAND PARK 69347,S200000,00200,0200,MI 69347,S200000,00200,0300,48203 69347,S200000,00300,0100,WAYNE 69347,S200000,00400,0100,PARK GERIATRIC VILLAGE INC. 69347,S200000,00400,0200,235463 69347,S200000,00400,0300,09/28/1987 69347,S200000,00400,0500,P 69347,S200000,01500,0100,Y 69347,S200000,01900,0100,501 C 3 69347,S200000,02800,0100,Y 69350,S000000,00100,0200,05/26/2000 69355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69355,A000000,00300,0000,00300EMPLOYEE BENEFITS 69355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69355,A000000,00700,0000,00700HOUSEKEEPING 69355,A000000,00800,0000,00800DIETARY 69355,A000000,00900,0000,00900NURSING ADMINISTRATION 69355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69355,A000000,01100,0000,01100PHARMACY 69355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69355,A000000,01300,0000,01300SOCIAL SERVICE 69355,A000000,01350,0000,01500ACTIVITIES 69355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69355,A000000,01600,0000,01600SKILLED NURSING FACILITY 69355,A000000,01800,0000,01800NURSING FACILITY 69355,A000000,01810,0000,01810ICF/MR 69355,A000000,02100,0000,02100RADIOLOGY 69355,A000000,02200,0000,02200LABORATORY 69355,A000000,02500,0000,02500PHYSICAL THERAPY 69355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69355,A000000,02700,0000,02700SPEECH PATHOLOGY 69355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69355,A000000,03050,0000,03300OTHER ANCILLARY 69355,A000000,03051,0000,03301OTHER ANCILLARY II 69355,A000000,03052,0000,03302OTHER ANCILLARY III 69355,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69355,A000000,03550,0000,03550FQHC 69355,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69355,A000000,05000,0000,05000CORF I 69355,A000000,05010,0000,05010CMHC I 69355,A000000,05020,0000,05020OPT I 69355,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69355,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69355,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69355,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69355,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69355,A81000A,00100,0100,Y 69355,A81000B,00100,0300,RENT-DEPRECIATION 69355,A81000B,00200,0300,RENT-INTEREST 69355,A81000B,00300,0300,MANAGEMENT FEE 69355,A81000B,00400,0300,MANAGEMENT FEE 69355,A81000C,00100,0100,A 69355,A81000C,00100,0200,DIANE HAUGH 69355,A81000C,00100,0400,DIANE HAUGH 69355,A81000C,00100,0600,RENTAL 69355,A81000C,00200,0100,A 69355,A81000C,00200,0200,DIANE HAUGH 69355,A81000C,00200,0400,DIANE HAUGH 69355,A81000C,00200,0600,RENTAL 69355,A81000C,00300,0100,A 69355,A81000C,00300,0200,CHARLES DUNN 69355,A81000C,00300,0400,METRO MGMT 69355,A81000C,00300,0600,BUSINESS OFFICE 69355,A81000C,00400,0100,A 69355,A81000C,00400,0200,CHARLES DUNN 69355,A81000C,00400,0400,METRO MGMT 69355,A81000C,00400,0600,BUSINESS OFFICE 69355,B100000,00000,0100,00000(SQUARE FEET) 69355,B100000,00000,0200,00000(SQUARE FEET) 69355,B100000,00000,0300,00000(GROSS SALARIES) 69355,B100000,00000,0400,00000(ACCUM. COST) 69355,B100000,00000,0500,00000(SQUARE FEET) 69355,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 69355,B100000,00000,0700,00000(SQUARE FEET) 69355,B100000,00000,0800,00000(MEALS SERVED) 69355,B100000,00000,0900,00000(DIRECT NRSING HRS 69355,B100000,00000,1000,00000(COSTED REQUIS.) 69355,B100000,00000,1100,00000(COSTED REQUIS.) 69355,B100000,00000,1200,00000(PATIENT DAYS) 69355,B100000,00000,1300,00000(PATIENT DAYS) 69355,B100000,00000,1350,00000(PATIENT DAYS) 69355,B100000,00000,1400,00000(ASSIGNED TIME) 69355,S000000,00100,0200,05/22/2000 69355,S200000,00100,0100,12040 BROADSTREET 69355,S200000,00200,0100,DETROIT 69355,S200000,00200,0200,MI 69355,S200000,00200,0300,48204 69355,S200000,00300,0100,WAYNE 69355,S200000,00400,0100,BROADSTREET NURSING CENTER 69355,S200000,00400,0200,235465 69355,S200000,00400,0300,01/01/1999 69355,S200000,00400,0500,P 69355,S200000,01600,0100,Y 69355,S200000,01900,0100,501 C 3 69358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69358,A000000,00300,0000,00300EMPLOYEE BENEFITS 69358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69358,A000000,00700,0000,00700HOUSEKEEPING 69358,A000000,00800,0000,00800DIETARY 69358,A000000,00900,0000,00900NURSING ADMINISTRATION 69358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69358,A000000,01100,0000,01100PHARMACY 69358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69358,A000000,01300,0000,01300SOCIAL SERVICE 69358,A000000,01350,0000,01500DIVERSIONAL THERAPY 69358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69358,A000000,01600,0000,01600SKILLED NURSING FACILITY 69358,A000000,01800,0000,01800NURSING FACILITY 69358,A000000,01810,0000,01810ICF/MR 69358,A000000,02100,0000,02100RADIOLOGY 69358,A000000,02200,0000,02200LABORATORY 69358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69358,A000000,02500,0000,02500PHYSICAL THERAPY 69358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69358,A000000,02700,0000,02700SPEECH PATHOLOGY 69358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69358,A000000,03200,0000,03200SUPPORT SURFACES 69358,A000000,03550,0000,03550FQHC 69358,A000000,05000,0000,05000CORF 69358,A000000,05010,0000,05010CMHC 69358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69358,A81000A,00100,0100,Y 69358,A81000B,00100,0300,FACILITY LEASE 69358,A81000B,00200,0300,INTEREST EXPENSE 69358,A81000B,00300,0300,DEPRECIATION 69358,A81000B,00400,0300,CONSULTING FEE-OWNER 69358,A81000B,00500,0300,CONSULTING FEE-LTC 69358,A81000B,00600,0300,HOME OFFICE 69358,A81000C,00100,0100,A 69358,A81000C,00100,0200,T. RAU J. BRAN 69358,A81000C,00100,0400,TAMARACK ASSOC. 69358,A81000C,00100,0600,PROPERTY RENTAL 69358,A81000C,00200,0100,A 69358,A81000C,00200,0200,T. RAU 69358,A81000C,00200,0400,LTC FINANCIAL G 69358,A81000C,00200,0600,ACCOUNTING SVCS 69358,B100000,00000,0100,00000SQUARE FEET 69358,B100000,00000,0200,00000SQUARE FEET 69358,B100000,00000,0300,00000GROSS SALARIES 69358,B100000,00000,0400,00000ACCUM COST 69358,B100000,00000,0500,00000SQUARE FEET 69358,B100000,00000,0600,00000PATIENT DAYS 69358,B100000,00000,0700,00000SQUARE FEET 69358,B100000,00000,0800,00000MEALS SERVED 69358,B100000,00000,0900,00000DIRECT NRSG HRS 69358,B100000,00000,1000,00000COSTED REQUIS 69358,B100000,00000,1100,00000COSTED REQUIS 69358,B100000,00000,1200,00000TIME SPENT 69358,B100000,00000,1300,00000PATIENT DAYS 69358,B100000,00000,1350,00000PATIENT DAYS 69358,B100000,00000,1400,00000ASSIGNED TIME 69358,S000000,00100,0200,06/06/2000 69358,S200000,00100,0100,28349 JOY RD 69358,S200000,00200,0100,WESTLAND 69358,S200000,00200,0200,MI 69358,S200000,00200,0300,48185 69358,S200000,00300,0100,WAYNE 69358,S200000,00400,0100,FOUR CHAPLAINS CONVALESCENT CENTER 69358,S200000,00400,0200,235467 69358,S200000,00400,0300,01/01/1999 69358,S200000,00400,0500,P 69358,S200000,00400,0600,O 69358,S200000,01600,0100,Y 69358,S200000,01900,0100,501(C)(3) 69361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69361,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 69361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69361,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 69361,A000000,00300,0000,00300EMPLOYEE BENEFITS 69361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69361,A000000,00700,0000,00700HOUSEKEEPING 69361,A000000,00800,0000,00800DIETARY 69361,A000000,00801,0000,00801CAFETERIA 69361,A000000,00900,0000,00900NURSING ADMINISTRATION 69361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69361,A000000,01100,0000,01100PHARMACY 69361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69361,A000000,01300,0000,01300SOCIAL SERVICE 69361,A000000,01350,0000,01500ACTIVITIES 69361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69361,A000000,01600,0000,01600SKILLED NURSING FACILITY 69361,A000000,01800,0000,01800NURSING FACILITY 69361,A000000,01810,0000,01810ICF/MR 69361,A000000,02100,0000,02100RADIOLOGY 69361,A000000,02200,0000,02200LABORATORY 69361,A000000,02300,0000,02300INTRAVENOUS THERAPY 69361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69361,A000000,02500,0000,02500PHYSICAL THERAPY 69361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69361,A000000,02700,0000,02700SPEECH PATHOLOGY 69361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69361,A000000,03050,0000,03300OTHER ANCILLARY 69361,A000000,03051,0000,03301OTHER ANCILLARY II 69361,A000000,03052,0000,03302OTHER ANCILLARY III 69361,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69361,A000000,03550,0000,03550FQHC 69361,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69361,A000000,05000,0000,05000CORF I 69361,A000000,05010,0000,05010CMHC I 69361,A000000,05020,0000,05020OPT I 69361,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69361,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69361,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69361,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69361,A81000A,00100,0100,Y 69361,A81000B,00100,0300,REAL ESTATE RENTAL 69361,A81000B,00200,0300,MANAGEMENT SERVICES 69361,A81000B,00300,0300,CAPITAL COST 69361,A81000C,00100,0100,A 69361,A81000C,00100,0200,CHARLES DUNN 69361,A81000C,00100,0400,EAGLE EAST 69361,A81000C,00100,0600,RENTAL 69361,A81000C,00200,0100,A 69361,A81000C,00200,0200,CHARLES DUNN 69361,A81000C,00200,0400,METRO MGMT 69361,A81000C,00200,0600,MGMT CO. 69361,B100000,00000,0100,00000(SQUARE FEET) 69361,B100000,00000,0101,00000(SQUARE FEET) 69361,B100000,00000,0200,00000(SQUARE FEET) 69361,B100000,00000,0201,00000(SQUARE FEET) 69361,B100000,00000,0300,00000(GROSS SALARIES) 69361,B100000,00000,0400,00000(ACCUM. COST) 69361,B100000,00000,0500,00000(SQUARE FEET) 69361,B100000,00000,0600,00000(PATIENT DAYS) 69361,B100000,00000,0700,00000(SQUARE FEET) 69361,B100000,00000,0800,00000(MEALS SERVED) 69361,B100000,00000,0801,00000(MEALS SERVED) 69361,B100000,00000,0900,00000(DIRECT NRSING HRS 69361,B100000,00000,1000,00000(PATIENT DAYS) 69361,B100000,00000,1100,00000(COSTED REQUIS.) 69361,B100000,00000,1200,00000(PATIENT DAYS) 69361,B100000,00000,1300,00000(PATIENT DAYS) 69361,B100000,00000,1350,00000(PATIENT DAYS) 69361,B100000,00000,1400,00000(ASSIGNED TIME) 69361,S000000,00100,0200,05/17/2000 69361,S200000,00100,0100,9146 WOODWARD AVE. 69361,S200000,00200,0100,DETROIT 69361,S200000,00200,0200,MI 69361,S200000,00200,0300,48202 69361,S200000,00300,0100,WAYNE 69361,S200000,00400,0100,PEMBROOK NURSING CENTER 69361,S200000,00400,0200,235468 69361,S200000,00400,0300,01/01/1999 69361,S200000,00400,0500,P 69361,S200000,01600,0100,Y 69361,S200000,01900,0100,501(C)(3) 69373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69373,A000000,00300,0000,00300EMPLOYEE BENEFITS 69373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69373,A000000,00700,0000,00700HOUSEKEEPING 69373,A000000,00800,0000,00800DIETARY 69373,A000000,00900,0000,00900NURSING ADMINISTRATION 69373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69373,A000000,01100,0000,01100PHARMACY 69373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69373,A000000,01300,0000,01300SOCIAL SERVICE 69373,A000000,01350,0000,01500ACTIVITIES 69373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69373,A000000,01600,0000,01600SKILLED NURSING FACILITY 69373,A000000,01800,0000,01800NURSING FACILITY 69373,A000000,01810,0000,01810ICF/MR 69373,A000000,02100,0000,02100RADIOLOGY 69373,A000000,02200,0000,02200LABORATORY 69373,A000000,02500,0000,02500PHYSICAL THERAPY 69373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69373,A000000,02700,0000,02700SPEECH PATHOLOGY 69373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69373,A000000,03050,0000,03300OTHER ANCILLARY 69373,A000000,03051,0000,03301OTHER ANCILLARY II 69373,A000000,03052,0000,03302OTHER ANCILLARY III 69373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69373,A000000,03550,0000,03550FQHC 69373,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69373,A000000,05000,0000,05000CORF I 69373,A000000,05010,0000,05010CMHC I 69373,A000000,05020,0000,05020OPT I 69373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69373,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69373,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69373,B100000,00000,0100,00000(SQUARE FEET) 69373,B100000,00000,0200,00000(SQUARE FEET) 69373,B100000,00000,0300,00000(GROSS SALARIES) 69373,B100000,00000,0400,00000(ACCUM. COST) 69373,B100000,00000,0500,00000(SQUARE FEET) 69373,B100000,00000,0600,00000(PATIENT DAYS) 69373,B100000,00000,0700,00000(SQUARE FEET) 69373,B100000,00000,0800,00000(MEALS SERVED) 69373,B100000,00000,0900,00000(PATIENT DAYS) 69373,B100000,00000,1000,00000(COSTED REQUIS.) 69373,B100000,00000,1100,00000(COSTED REQUIS.) 69373,B100000,00000,1200,00000(PATIENT DAYS) 69373,B100000,00000,1300,00000(PATIENT DAYS) 69373,B100000,00000,1350,00000(PATIENT DAYS) 69373,B100000,00000,1400,00000(ASSIGNED TIME) 69373,E10A180,00501,0100,02/28/2001 69373,S000000,00100,0200,05/17/2000 69373,S200000,00100,0100,21630 HESSEL 69373,S200000,00200,0100,DETROIT 69373,S200000,00200,0200,MI 69373,S200000,00300,0100,WAYNE 69373,S200000,00400,0100,NORTHLAND NURSING CENTER 69373,S200000,00400,0200,235475 69373,S200000,00400,0300,01/01/1999 69373,S200000,00400,0500,P 69373,S200000,01600,0100,Y 69373,S200000,01900,0100,501 C 3 69381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69381,A000000,00300,0000,00300EMPLOYEE BENEFITS 69381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69381,A000000,00700,0000,00700HOUSEKEEPING 69381,A000000,00800,0000,00800DIETARY 69381,A000000,00900,0000,00900NURSING ADMINISTRATION 69381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69381,A000000,01100,0000,01100PHARMACY 69381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69381,A000000,01300,0000,01300SOCIAL SERVICE 69381,A000000,01350,0000,01500DIVERSIONAL THERAPY 69381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69381,A000000,01600,0000,01600SKILLED NURSING FACILITY 69381,A000000,01800,0000,01800NURSING FACILITY 69381,A000000,01810,0000,01810ICF/MR 69381,A000000,01900,0000,01900OTHER LONG TERM CARE 69381,A000000,02100,0000,02100RADIOLOGY 69381,A000000,02200,0000,02200LABORATORY 69381,A000000,02500,0000,02500PHYSICAL THERAPY 69381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69381,A000000,02700,0000,02700SPEECH PATHOLOGY 69381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69381,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69381,A000000,03200,0000,03200SUPPORT SURFACES 69381,A000000,03550,0000,03550FQHC 69381,A000000,05000,0000,05000CORF 69381,A000000,05010,0000,05010CMHC 69381,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69381,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69381,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69381,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69381,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69381,A81000A,00100,0100,Y 69381,A81000B,00100,0300,DEPRECIATION & INTEREST 69381,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 69381,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 69381,A81000C,00100,0100,A 69381,A81000C,00100,0200,HORACE DANGELO 69381,A81000C,00100,0400,PEACHWOOD CENTER ASSOC 69381,A81000C,00100,0600,REAL ESTATE RENTAL 69381,A81000C,00200,0100,A 69381,A81000C,00200,0200,KEITH POMEROY 69381,A81000C,00200,0400,PEACHWOOD CENTER ASSOC 69381,A81000C,00200,0600,REAL ESTATE RENTAL 69381,A81000C,00300,0100,A 69381,A81000C,00300,0200,HORACE DANGELO 69381,A81000C,00300,0400,CARETEL INNS OF AMERICA 69381,A81000C,00300,0600,MANAGEMENT SERVICES 69381,B100000,00000,0100,00000SQUARE FEET 69381,B100000,00000,0200,00000SQUARE FEET 69381,B100000,00000,0300,00000GROSS SALARIES 69381,B100000,00000,0400,00000ACCUM. COST 69381,B100000,00000,0500,00000SQUARE FEET 69381,B100000,00000,0600,00000POUNDS OF LAUNDRY 69381,B100000,00000,0700,00000SQUARE FEET 69381,B100000,00000,0800,00000MEALS SERVED 69381,B100000,00000,0900,00000RESIDENT DAYS 69381,B100000,00000,1000,00000COSTED REQUIS. 69381,B100000,00000,1100,00000COSTED REQUIS. 69381,B100000,00000,1200,00000RESIDENT DAYS 69381,B100000,00000,1300,00000RESIDENT DAYS 69381,B100000,00000,1350,00000RESIDENT DAYS 69381,B100000,00000,1400,00000ASSIGNED TIME 69381,S000000,00100,0200,06/19/2000 69381,S200000,00100,0100,3500 W. SOUTH BLVD. 69381,S200000,00200,0100,ROCHESTER HILLS 69381,S200000,00200,0200,MI 69381,S200000,00300,0100,OAKLAND 69381,S200000,00400,0100,PEACHWOOD INN 69381,S200000,00400,0200,235477 69381,S200000,00400,0300,01/01/1989 69381,S200000,00400,0500,P 69381,S200000,00600,0200,235477 69381,S200000,00600,0300,01/01/1989 69381,S200000,01600,0100,Y 69381,S200000,01900,0100,HEALTH CARE 69385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69385,A000000,00300,0000,00300EMPLOYEE BENEFITS 69385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69385,A000000,00700,0000,00700HOUSEKEEPING 69385,A000000,00800,0000,00800DIETARY 69385,A000000,00900,0000,00900NURSING ADMINISTRATION 69385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69385,A000000,01100,0000,01100PHARMACY 69385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69385,A000000,01300,0000,01300SOCIAL SERVICE 69385,A000000,01301,0000,01301ACTIVITIES 69385,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 69385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69385,A000000,01600,0000,01600SKILLED NURSING FACILITY 69385,A000000,01800,0000,01800NURSING FACILITY 69385,A000000,01810,0000,01810ICF/MR 69385,A000000,02100,0000,02100RADIOLOGY 69385,A000000,02200,0000,02200LABORATORY 69385,A000000,02300,0000,02300INTRAVENOUS THERAPY 69385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69385,A000000,02500,0000,02500PHYSICAL THERAPY 69385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69385,A000000,02700,0000,02700SPEECH PATHOLOGY 69385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69385,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69385,A000000,03550,0000,03550FQHC 69385,A000000,05000,0000,05000CORF 69385,A000000,05010,0000,05010CMHC 69385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69385,A000000,05300,0000,05300INTEREST EXPENSE 69385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69385,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69385,A81000A,00100,0100,Y 69385,A81000B,00100,0300,HOME OFFICE ALLOCATION 69385,A81000B,00200,0300,NON CERT 69385,A81000B,00300,0300,MEDICAL SUPPLIES 69385,A81000B,00400,0300,CAPITAL 69385,A81000B,00500,0300,DRUGS 69385,A81000B,00600,0300,RT 69385,A81000B,00700,0300,PT 69385,A81000B,00800,0300,OT 69385,A81000B,00900,0300,ST 69385,A81000C,00100,0100,B 69385,A81000C,00100,0200,MIDDLEBELT 1220 69385,A81000C,00100,0400,MARINER POST AC 69385,A81000C,00100,0600,NURSING HOMES 69385,A81000C,00200,0100,G 69385,A81000C,00200,0200,MARINER POST AC 69385,A81000C,00200,0400,AMERICAN PHARMA 69385,A81000C,00200,0600,PHARMACEUTICALS 69385,A81000C,00300,0100,G 69385,A81000C,00300,0200,MARINER POST AC 69385,A81000C,00300,0400,PRISM (ATS ARS 69385,A81000C,00300,0600,THERAPIES 69385,B100000,00000,0100,00000SQUARE FEET 69385,B100000,00000,0200,00000SQUARE FEET 69385,B100000,00000,0300,00000GROSS SALARIES 69385,B100000,00000,0400,00000ACCUM COST 69385,B100000,00000,0500,00000SQUARE FEET 69385,B100000,00000,0600,00000PATIENT DAYS 69385,B100000,00000,0700,00000SQUARE FEET 69385,B100000,00000,0800,00000MEALS SERVED 69385,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69385,B100000,00000,1000,00000PATIENT DAYS 69385,B100000,00000,1100,00000COSTED REQUIS 69385,B100000,00000,1200,00000PATIENT DAYS 69385,B100000,00000,1300,00000PATIENT DAYS 69385,B100000,00000,1301,00000PATIENT DAYS 69385,B100000,00000,1350,00000UNITS OF SVC 69385,B100000,00000,1400,00000ASSIGNED TIME 69385,S000000,00100,0200,06/06/2000 69385,S200000,00100,0100,14900 MIDDLEBELT RD 69385,S200000,00200,0100,LIVONIA 69385,S200000,00200,0200,MI 69385,S200000,00200,0300,48154 69385,S200000,00300,0100,WAYNE 69385,S200000,00400,0100,MIDDLEBELT HEALTHCARE CENTER 69385,S200000,00400,0200,235479 69385,S200000,00400,0300,01/06/1989 69385,S200000,00400,0500,P 69385,S200000,01900,0100,AFFL. W/MERCY HOSPIT 69390,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69390,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69390,A000000,00300,0000,00300EMPLOYEE BENEFITS 69390,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69390,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69390,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69390,A000000,00700,0000,00700HOUSEKEEPING 69390,A000000,00800,0000,00800DIETARY 69390,A000000,00900,0000,00900NURSING ADMINISTRATION 69390,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69390,A000000,01100,0000,01100PHARMACY 69390,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69390,A000000,01300,0000,01300SOCIAL SERVICE 69390,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69390,A000000,01600,0000,01600SKILLED NURSING FACILITY 69390,A000000,01800,0000,01800NURSING FACILITY 69390,A000000,01810,0000,01810ICF/MR 69390,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69390,A000000,02500,0000,02500PHYSICAL THERAPY 69390,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69390,A000000,02700,0000,02700SPEECH PATHOLOGY 69390,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69390,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69390,A000000,03001,0000,03001CLINITRON BED THERAPY 69390,A000000,03550,0000,03550FQHC 69390,A000000,05000,0000,05000CORF 69390,A000000,05010,0000,05010CMHC 69390,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69390,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69390,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69390,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69390,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69390,A000000,06001,0000,06001DAY CARE 69390,A81000A,00100,0100,Y 69390,A81000B,00100,0300,HOME OFFICE - CAPITAL RELATED 69390,A81000B,00200,0300,HOME OFFICE - NON CAPTIAL RELA 69390,A81000B,00300,0300,OXYGEN THERAPY 69390,A81000C,00100,0100,B 69390,A81000C,00100,0400,HENRY FORD HEAL 69390,A81000C,00100,0600,HEALTH CARE 69390,A81000C,00200,0400,SYSTEM 69390,B100000,00000,0100,00001(SQUARE FEET) 69390,B100000,00000,0200,00001(SQUARE FEET) 69390,B100000,00000,0300,00001(GROSS SALARIES) 69390,B100000,00000,0400,00001(ACCUM COST) 69390,B100000,00000,0500,00001(SQUARE FEET) 69390,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 69390,B100000,00000,0700,00001(SQUARE FEET) 69390,B100000,00000,0800,00001(MEALS SERVED) 69390,B100000,00000,0900,00001(HOURS WORKED) 69390,B100000,00000,1000,00001(COSTED REQUIS) 69390,B100000,00000,1100,00001(COSTED REQUIS) 69390,B100000,00000,1200,00001(PATIENT DAYS) 69390,B100000,00000,1300,00001(PATIENT DAYS) 69390,B100000,00000,1400,00001(ASSIGNED TIME) 69390,S000000,00100,0200,06/30/2000 69390,S200000,00100,0100,19840 HARPER AVE 69390,S200000,00200,0100,HARPER WOODS 69390,S200000,00200,0200,123195 69390,S200000,00200,0300,48225 69390,S200000,00300,0100,WAYNE 69390,S200000,00400,0100,BELMONT 69390,S200000,00400,0200,235480 69390,S200000,00400,0300,10/06/1989 69390,S200000,00400,0500,P 69390,S200000,00400,0600,O 69390,S200000,01600,0100,Y 69390,S200000,01900,0100,HEALTH CARE 69398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69398,A000000,00300,0000,00300EMPLOYEE BENEFITS 69398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69398,A000000,00700,0000,00700HOUSEKEEPING 69398,A000000,00800,0000,00800DIETARY 69398,A000000,00900,0000,00900NURSING ADMINISTRATION 69398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69398,A000000,01100,0000,01100PHARMACY 69398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69398,A000000,01300,0000,01300SOCIAL SERVICE 69398,A000000,01350,0000,01500DIVERSIONAL THERAPY 69398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69398,A000000,01600,0000,01600SKILLED NURSING FACILITY 69398,A000000,01800,0000,01800NURSING FACILITY 69398,A000000,01810,0000,01810ICF/MR 69398,A000000,01900,0000,01900OTHER LONG TERM CARE 69398,A000000,02100,0000,02100RADIOLOGY 69398,A000000,02200,0000,02200LABORATORY 69398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69398,A000000,02500,0000,02500PHYSICAL THERAPY 69398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69398,A000000,02700,0000,02700SPEECH PATHOLOGY 69398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69398,A000000,03550,0000,03550FQHC 69398,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69398,A000000,04800,0000,04800AMBULANCE 69398,A000000,05000,0000,05000CORF 69398,A000000,05010,0000,05010CMHC 69398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69398,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69398,B100000,00000,0100,00000SQUARE FEET 69398,B100000,00000,0200,00000SQUARE FEET 69398,B100000,00000,0300,00000GROSS SALARY 69398,B100000,00000,0400,00000ACCUM. COSTS 69398,B100000,00000,0500,00000SQUARE FEET 69398,B100000,00000,0600,00000LBS/LAUNDR RY 69398,B100000,00000,0700,00000SQUARE FEET 69398,B100000,00000,0800,00000MEALS SERVED 69398,B100000,00000,0900,00000DIR NURS HRS 69398,B100000,00000,1000,00000NO STATISTICS 69398,B100000,00000,1100,00000PATIENT DAYS 69398,B100000,00000,1200,00000PATIENT DAYS 69398,B100000,00000,1300,00000TIME TIME SPENT 69398,B100000,00000,1350,00000PATIENT DAYS 69398,B100000,00000,1400,00000NO STATISTICS 69398,S000000,00100,0200,05/25/2000 69398,S200000,00100,0100,2372 FIFTEEN MILE ROAD 69398,S200000,00200,0100,STERLING HEIGHTS 69398,S200000,00200,0200,MI 69398,S200000,00200,0300,48310 69398,S200000,00300,0100,MACOMB 69398,S200000,00400,0100,CHERRYWOOD NURSING FACILITY 69398,S200000,00400,0200,235484 69398,S200000,00400,0300,03/17/1989 69398,S200000,00400,0500,P 69398,S200000,01600,0100,Y 69398,S200000,01900,0100,SUBSIDIARY 69398,S200000,02800,0100,Y 69410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69410,A000000,00300,0000,00300EMPLOYEE BENEFITS 69410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69410,A000000,00700,0000,00700HOUSEKEEPING 69410,A000000,00800,0000,00800DIETARY 69410,A000000,00900,0000,00900NURSING ADMINISTRATION 69410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69410,A000000,01100,0000,01100PHARMACY 69410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69410,A000000,01300,0000,01300SOCIAL SERVICE 69410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69410,A000000,01600,0000,01600SKILLED NURSING FACILITY 69410,A000000,01800,0000,01800NURSING FACILITY 69410,A000000,01810,0000,01810ICF/MR 69410,A000000,02100,0000,02100RADIOLOGY 69410,A000000,02200,0000,02200LABORATORY 69410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69410,A000000,02500,0000,02500PHYSICAL THERAPY 69410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69410,A000000,02700,0000,02700SPEECH PATHOLOGY 69410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69410,A000000,03050,0000,03300AIR BEDS 69410,A000000,03051,0000,03301AMBULANCE 69410,A000000,03550,0000,03550FQHC 69410,A000000,05000,0000,05000CORF 69410,A000000,05010,0000,05010CMHC 69410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69410,A81000A,00100,0100,Y 69410,A81000B,00100,0300,RENT 69410,A81000B,00200,0300,DEPR BUILDING 69410,A81000B,00300,0300,DEPR EQUIPMENT 69410,A81000B,00400,0300,AMORT MORTGAGE COSTS 69410,A81000B,00500,0300,MORTGAGE INTEREST 69410,A81000B,00600,0300,SINGLE BUSINESS TAX 69410,A81000B,00700,0300,LEGAL AND ACCOUNTING 69410,A81000B,00800,0300,INVESTMENT INCOME 69410,A81000B,00900,0300,INSURANCE 69410,A81000B,01000,0300,OFFICE EXPENSE 69410,A81000B,01100,0300,MANAGEMENT FEE 69410,A81000B,01200,0300,MANAGEMENT SALARIES 69410,A81000B,01300,0300,EMPLOYEE BENEFITS 69410,A81000B,01400,0300,OTHER ADMIN & GENL 69410,A81000B,01500,0300,DEPR EQUIPMENT 69410,A81000B,01600,0300,MANAGEMENT FEES 69410,A81000B,01700,0300,MANAGEMENT FEES 69410,A81000B,01800,0300,MANAGEMENT FEES 69410,A81000C,00100,0100,A 69410,A81000C,00100,0200,BEAUMONT NURSIN 69410,A81000C,00100,0400,EIGHT STAR L.P. 69410,A81000C,00100,0600,RENTAL PROPERTY 69410,A81000C,00200,0100,A 69410,A81000C,00200,0200,JUNE H. GURWIN 69410,A81000C,00200,0400,EIGHT STAR L.P. 69410,A81000C,00200,0600,RENTAL PROPERTY 69410,A81000C,00300,0100,A 69410,A81000C,00300,0200,FRANCES G. BELL 69410,A81000C,00300,0400,EIGHT STAR L.P. 69410,A81000C,00300,0600,RENTAL PROPERTY 69410,A81000C,00400,0100,A 69410,A81000C,00400,0200,JOHN D. BELL 69410,A81000C,00400,0400,EIGHT STAR L.P. 69410,A81000C,00400,0600,RENTAL PROPERTY 69410,A81000C,00500,0100,A 69410,A81000C,00500,0200,TIMOTHY C. SPIR 69410,A81000C,00500,0400,EIGHT STAR L.P. 69410,A81000C,00500,0600,RENTAL PROPERTY 69410,A81000C,00600,0100,A 69410,A81000C,00600,0200,JOHN D. BELL 69410,A81000C,00600,0400,PREMIER HEALTH 69410,A81000C,00600,0600,MANAGEMENT COMP 69410,A81000C,00700,0100,A 69410,A81000C,00700,0200,TIMOTHY C. SPRI 69410,A81000C,00700,0400,PREMIER HEALTH 69410,A81000C,00700,0600,MANAGEMENT COMP 69410,A81000C,00800,0100,A 69410,A81000C,00800,0200,JOHN D. BELL 69410,A81000C,00800,0400,MICH HEALTH & R 69410,A81000C,00800,0600,CONTRACT THERAP 69410,A81000C,00900,0100,A 69410,A81000C,00900,0200,TIMOTHY C. SPIR 69410,A81000C,00900,0400,MICH HEALTH & R 69410,A81000C,00900,0600,CONTRACT THERAP 69410,B100000,00000,0100,00000SQUARE FEET 69410,B100000,00000,0200,00000SQUARE FEET 69410,B100000,00000,0300,00000GROSS SALARIES 69410,B100000,00000,0400,00000ACCUM COST 69410,B100000,00000,0500,00000SQUARE FEET 69410,B100000,00000,0600,00000(PATIENT DAYS) 69410,B100000,00000,0700,00000(SQUARE FEET) 69410,B100000,00000,0800,00000MEALS SERVED 69410,B100000,00000,0900,00000DIRECT NRSG HRS 69410,B100000,00000,1000,00000ACTUAL COST 69410,B100000,00000,1100,00000(PATIENT DAYS) 69410,B100000,00000,1200,00000(PATIENT DAYS) 69410,B100000,00000,1300,00000(PATIENT DAYS) 69410,B100000,00000,1400,00000ASSIGNED TIME 69410,S000000,00100,0200,05/31/2000 69410,S200000,00100,0100,6445 W. MAPLE ROAD 69410,S200000,00200,0100,WEST BLOOMFIELD 69410,S200000,00200,0200,MI 69410,S200000,00200,0300,48322 69410,S200000,00300,0100,OAKLAND 69410,S200000,00400,0100,WBNCC JOINT VENTURE 69410,S200000,00400,0200,235488 69410,S200000,00400,0300,10/01/1989 69410,S200000,00400,0500,P 69410,S200000,01600,0100,Y 69410,S200000,02200,0100,Y 69410,S200000,02800,0100,Y 69412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69412,A000000,00300,0000,00300EMPLOYEE BENEFITS 69412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69412,A000000,00700,0000,00700HOUSEKEEPING 69412,A000000,00800,0000,00800DIETARY 69412,A000000,00900,0000,00900NURSING ADMINISTRATION 69412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69412,A000000,01100,0000,01100PHARMACY 69412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69412,A000000,01300,0000,01300SOCIAL SERVICE 69412,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69412,A000000,01600,0000,01600SKILLED NURSING FACILITY 69412,A000000,01810,0000,01810ICF/MR 69412,A000000,02100,0000,02100RADIOLOGY 69412,A000000,02200,0000,02200LABORATORY 69412,A000000,02500,0000,02500PHYSICAL THERAPY 69412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69412,A000000,02700,0000,02700SPEECH PATHOLOGY 69412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69412,A000000,03550,0000,03550FQHC 69412,A000000,05000,0000,05000CORF 69412,A000000,05010,0000,05010CMHC 69412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69412,A000000,05300,0000,05300INTEREST EXPENSE 69412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69412,A81000A,00100,0100,Y 69412,A81000B,00100,0300,MANAGEMENT FEES 69412,A81000B,00200,0300,HOME OFFICE CAP REL 69412,A81000C,00100,0100,A 69412,A81000C,00100,0200,D.J. BORTZ JR. 69412,A81000C,00100,0400,BORTZ FACILITIE 69412,A81000C,00100,0600,MANAGEMENT 69412,A81000C,00200,0100,A 69412,A81000C,00200,0200,D.J. BORTZ JR. 69412,A81000C,00200,0400,JBS INC. 69412,A81000C,00200,0600,NURSING SUPPLIE 69412,B100000,00000,0100,00000SQUARE FEET 69412,B100000,00000,0200,00000SQUARE FEET 69412,B100000,00000,0300,00000GROSS SALARIES 69412,B100000,00000,0400,00000ACCUM COST 69412,B100000,00000,0500,00000SQUARE FEET 69412,B100000,00000,0600,00000PATIENT DAYS 69412,B100000,00000,0700,00000SQUARE FEET 69412,B100000,00000,0800,00000MEALS SERVED 69412,B100000,00000,0900,00000PATIENT DAYS 69412,B100000,00000,1000,00000COSTED REQUIS 69412,B100000,00000,1100,00000COSTED REQUIS 69412,B100000,00000,1200,00000PATIENT DAYS 69412,B100000,00000,1300,00000PATIENT DAYS 69412,B100000,00000,1350,00000PATIENT DAYS 69412,B100000,00000,1400,00000ASSIGNED TIME 69412,S000000,00100,0200,05/25/2000 69412,S200000,00100,0100,6470 ALDEN DR. 69412,S200000,00200,0100,ORCHARD LAKE 69412,S200000,00200,0200,MI 69412,S200000,00200,0300,48324 69412,S200000,00300,0100,OAKLAND 69412,S200000,00400,0100,BORTZ HEALTH CARE OF W. BLOOMFIELD 69412,S200000,00400,0200,235489 69412,S200000,00400,0300,05/02/1989 69412,S200000,00400,0500,P 69412,S200000,01500,0100,Y 69412,S200000,01900,0100,HEALTH CARE 69412,S200000,02800,0100,Y 69416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69416,A000000,00300,0000,00300EMPLOYEE BENEFITS 69416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69416,A000000,00700,0000,00700HOUSEKEEPING 69416,A000000,00800,0000,00800DIETARY 69416,A000000,00900,0000,00900NURSING ADMINISTRATION 69416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69416,A000000,01100,0000,01100PHARMACY 69416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69416,A000000,01300,0000,01300SOCIAL SERVICE 69416,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69416,A000000,01600,0000,01600SKILLED NURSING FACILITY 69416,A000000,01800,0000,01800NURSING FACILITY 69416,A000000,01810,0000,01810ICF/MR 69416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69416,A000000,02500,0000,02500PHYSICAL THERAPY 69416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69416,A000000,02700,0000,02700SPEECH PATHOLOGY 69416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69416,A000000,03001,0000,03001CLINITRON BED RENTAL 69416,A000000,03550,0000,03550FQHC 69416,A000000,05000,0000,05000CORF 69416,A000000,05010,0000,05010CMHC 69416,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69416,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69416,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69416,A000000,06150,0000,06300HOME DELIVERED MEALS 69416,A000000,06200,0000,06200PATIENTS LAUNDRY 69416,A81000A,00100,0100,Y 69416,A81000B,00100,0300,H.O. CAPITAL RELATED 69416,A81000B,00200,0300,H.O. NON CAPITAL REL 69416,A81000B,00300,0300,OXYGEN THERAPY 69416,A81000C,00100,0100,B 69416,A81000C,00100,0400,HENRY FORD HEAL 69416,A81000C,00100,0600,HEALTH CARE 69416,A81000C,00200,0400,SYSTEM 69416,B100000,00000,0100,00000(SQUARE FEET) 69416,B100000,00000,0200,00000(SQUARE FEET) 69416,B100000,00000,0300,00000(GROSS SALARIES) 69416,B100000,00000,0400,00000(ACCUM COST) 69416,B100000,00000,0500,00000(SQUARE FEET) 69416,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 69416,B100000,00000,0700,00000(SQUARE FEET) 69416,B100000,00000,0800,00000(MEALS SERVED) 69416,B100000,00000,0900,00000(HOURS WORKED) 69416,B100000,00000,1000,00000(COSTED REQUIS) 69416,B100000,00000,1100,00000(COSTED REQUIS) 69416,B100000,00000,1200,00000(PATIENT DAYS) 69416,B100000,00000,1300,00000(PATIENT DAYS) 69416,B100000,00000,1400,00000(ASSIGNED TIME) 69416,E10A180,00501,0300,07/12/2000 69416,E10A180,00550,0100,07/12/2000 69416,S000000,00100,0200,06/30/2000 69416,S200000,00100,0100,23475 KELLY 69416,S200000,00200,0100,ROSEVILLE 69416,S200000,00200,0200,MI 69416,S200000,00200,0300,48066 69416,S200000,00300,0100,OAKLAND 69416,S200000,00400,0100,ROSEVILLE 69416,S200000,00400,0200,235491 69416,S200000,00400,0300,10/06/1989 69416,S200000,00400,0500,P 69416,S200000,00400,0600,O 69416,S200000,01600,0100,Y 69416,S200000,01900,0100,HEALTH CARE 69419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69419,A000000,00300,0000,00300EMPLOYEE BENEFITS 69419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69419,A000000,00700,0000,00700HOUSEKEEPING 69419,A000000,00800,0000,00800DIETARY 69419,A000000,00900,0000,00900NURSING ADMINISTRATION 69419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69419,A000000,01100,0000,01100PHARMACY 69419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69419,A000000,01300,0000,01300SOCIAL SERVICE 69419,A000000,01301,0000,01301ACTIVITIES 69419,A000000,01350,0000,01500REHAB 69419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69419,A000000,01600,0000,01600SKILLED NURSING FACILITY 69419,A000000,01800,0000,01800NURSING FACILITY 69419,A000000,01810,0000,01810ICF/MR 69419,A000000,02100,0000,02100RADIOLOGY 69419,A000000,02300,0000,02300INTRAVENOUS THERAPY 69419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69419,A000000,02500,0000,02500PHYSICAL THERAPY 69419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69419,A000000,02700,0000,02700SPEECH PATHOLOGY 69419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69419,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69419,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69419,A000000,03550,0000,03550FQHC 69419,A000000,05000,0000,05000CORF 69419,A000000,05010,0000,05010CMHC 69419,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69419,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69419,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69419,A000000,05300,0000,05300INTEREST EXPENSE 69419,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69419,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69419,A000000,06151,0000,06301OTHER STAND-BY 69419,A81000A,00100,0100,Y 69419,A81000B,00100,0300,NURSING SUPPLY 69419,A81000B,00200,0300,COST OF OXYGEN NON CHGBLE 69419,A81000B,00300,0300,COST OF SUPPLIES SOLD 69419,A81000B,00400,0300,COST OF OXYGEN 69419,A81000B,00500,0300,COST OF SUPPLIES - RT 69419,A81000B,00600,0300,REPAIR & MAINT - LAUNDRY 69419,A81000B,00700,0300,DIETARY SUPPLEMENTS 69419,A81000B,00800,0300,DIETARY SUPPLIES 69419,A81000B,00900,0300,PT CONSULTANT 69419,A81000B,01000,0300,PT EXPENSE 69419,A81000B,01100,0300,OT EXPENSE 69419,A81000B,01200,0300,ST EXPENSE 69419,A81000B,01300,0300,HOME OFFICE COSTS 69419,A81000C,00100,0100,B 69419,A81000C,00100,0200,MADONA HEALTHCA 69419,A81000C,00100,0400,MARINER POST-AC 69419,A81000C,00100,0600,NURSING HOMES 69419,A81000C,00200,0100,G 69419,A81000C,00200,0200,MARINER POST-AC 69419,A81000C,00200,0400,AMERICAN PHARMA 69419,A81000C,00200,0600,PHARMACEUTICALS 69419,A81000C,00300,0100,G 69419,A81000C,00300,0200,MARINER POST-AC 69419,A81000C,00300,0400,PRISM (ATS ARS 69419,A81000C,00300,0600,THERAPIES 69419,B100000,00000,0100,00001SQUARE FEET 69419,B100000,00000,0200,00001SQUARE FEET 69419,B100000,00000,0300,00001GROSS SALARIES 69419,B100000,00000,0400,00001ACCUM COST 69419,B100000,00000,0500,00001SQUARE FEET 69419,B100000,00000,0600,00001PATIENT DAYS 69419,B100000,00000,0700,00001HOURS OF SERVICE 69419,B100000,00000,0800,00001MEALS SERVED 69419,B100000,00000,0900,00001NURSING HOURS 69419,B100000,00000,1000,00001PATIENT DAYS 69419,B100000,00000,1100,00001COSTED REQUIS 69419,B100000,00000,1200,00001PATIENT DAYS 69419,B100000,00000,1300,00001PATIENT DAYS 69419,B100000,00000,1301,00001PATIENT DAYS 69419,B100000,00000,1350,00001UNITS OF SERVICE 69419,B100000,00000,1400,00001ASSIGNED TIME 69419,S000000,00100,0200,06/06/2000 69419,S200000,00100,0100,15311 SCHAEFER ROAD 69419,S200000,00200,0100,DETROIT 69419,S200000,00200,0200,MI 69419,S200000,00200,0300,48227 69419,S200000,00300,0100,DETROIT CITY 69419,S200000,00400,0100,MADONNA HEALTHCARE CENTER 69419,S200000,00400,0200,235492 69419,S200000,00400,0300,10/26/1989 69419,S200000,00400,0500,P 69419,S200000,01900,0100,OTHER 69423,S000000,00100,0200,08/13/2001 69425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69425,A000000,00300,0000,00300EMPLOYEE BENEFITS 69425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69425,A000000,00700,0000,00700HOUSEKEEPING 69425,A000000,00800,0000,00800DIETARY 69425,A000000,00900,0000,00900NURSING ADMINISTRATION 69425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69425,A000000,01100,0000,01100PHARMACY 69425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69425,A000000,01300,0000,01300SOCIAL SERVICE 69425,A000000,01350,0000,01500ACTIVITIES 69425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69425,A000000,01600,0000,01600SKILLED NURSING FACILITY 69425,A000000,01800,0000,01800NURSING FACILITY 69425,A000000,01810,0000,01810ICF/MR 69425,A000000,02100,0000,02100RADIOLOGY 69425,A000000,02200,0000,02200LABORATORY 69425,A000000,02500,0000,02500PHYSICAL THERAPY 69425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69425,A000000,02700,0000,02700SPEECH PATHOLOGY 69425,A000000,02800,0000,02800ELECTROCARDIOLOGY 69425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69425,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69425,A000000,03200,0000,03200SUPPORT SURFACES 69425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69425,A000000,03550,0000,03550FQHC 69425,A000000,04800,0000,04800AMBULANCE 69425,A000000,05000,0000,05000CORF 69425,A000000,05010,0000,05010CMHC 69425,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69425,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69425,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69425,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69425,A81000A,00100,0100,Y 69425,A81000B,00100,0300,HOME OFFICE EXPENSE 69425,A81000B,00200,0300,HOME OFFICE CAPITAL 69425,A81000B,00300,0300,RENT 69425,A81000B,00400,0300,CAPITAL-BHCC 69425,A81000B,00500,0300,A&G-BHCC 69425,A81000C,00100,0100,A 69425,A81000C,00100,0200,FRANK WRONSKI 69425,A81000C,00100,0400,THE MEDILODGE G 69425,A81000C,00100,0600,HOME OFFICE 69425,A81000C,00200,0100,A 69425,A81000C,00200,0200,FRANK WRONSKI 69425,A81000C,00200,0400,BHCC 69425,A81000C,00200,0600,RENTAL 69425,A81000C,00300,0100,A 69425,A81000C,00300,0200,LEO ESISENBERG 69425,A81000C,00300,0400,BHCC 69425,A81000C,00300,0600,RENTAL 69425,A81000C,00400,0100,A 69425,A81000C,00400,0200,FRANK WRONSKI 69425,A81000C,00400,0400,ALL MED MEDICAL 69425,A81000C,00400,0600,MED NRS SUPPLY 69425,B100000,00000,0100,00000SQUARE FEET 69425,B100000,00000,0200,00000SQUARE FEET 69425,B100000,00000,0300,00000GROSS SALARIES 69425,B100000,00000,0400,00000ACCUM COST 69425,B100000,00000,0500,00000SQUARE FEET 69425,B100000,00000,0600,00000PATIENT DAYS 69425,B100000,00000,0700,00000SQUARE FEET 69425,B100000,00000,0800,00000MEALS SERVED 69425,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69425,B100000,00000,1000,00000PATIENT DAYS 69425,B100000,00000,1100,00000COSTED REQUIS 69425,B100000,00000,1200,00000TIME SPENT 69425,B100000,00000,1300,00000PATIENT DAYS 69425,B100000,00000,1350,00000PATIENT DAYS 69425,B100000,00000,1400,00000ASSIGNED TIME 69425,S000000,00100,0200,09/01/2000 69425,S200000,00100,0100,50 WEST SQUARE LAKE ROAD 69425,S200000,00200,0100,BLOOMFIELD 69425,S200000,00200,0200,MI 69425,S200000,00200,0300,48302 69425,S200000,00300,0100,OAKLAND 69425,S200000,00400,0100,BLOOMFIELD HILLS NURSING CTR INC. 69425,S200000,00400,0200,235496 69425,S200000,00400,0300,03/06/1990 69425,S200000,00400,0500,P 69425,S200000,01600,0100,Y 69425,S200000,04700,0100,Y 69425,S200000,04700,0200,Y 69427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69427,A000000,00300,0000,00300EMPLOYEE BENEFITS 69427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69427,A000000,00700,0000,00700HOUSEKEEPING 69427,A000000,00800,0000,00800DIETARY 69427,A000000,00900,0000,00900NURSING ADMINISTRATION 69427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69427,A000000,01100,0000,01100PHARMACY 69427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69427,A000000,01300,0000,01300SOCIAL SERVICE 69427,A000000,01301,0000,01301ACTIVITIES 69427,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 69427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69427,A000000,01600,0000,01600SKILLED NURSING FACILITY 69427,A000000,01800,0000,01800NURSING FACILITY 69427,A000000,01810,0000,01810ICF/MR 69427,A000000,02100,0000,02100RADIOLOGY 69427,A000000,02200,0000,02200LABORATORY 69427,A000000,02300,0000,02300INTRAVENOUS THERAPY 69427,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69427,A000000,02500,0000,02500PHYSICAL THERAPY 69427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69427,A000000,02700,0000,02700SPEECH PATHOLOGY 69427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69427,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69427,A000000,03550,0000,03550FQHC 69427,A000000,04800,0000,04800AMBULANCE 69427,A000000,05000,0000,05000CORF 69427,A000000,05010,0000,05010CMHC 69427,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69427,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69427,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69427,A000000,05300,0000,05300INTEREST EXPENSE 69427,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69427,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69427,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69427,A81000A,00100,0100,Y 69427,A81000B,00100,0300,HOME OFFICE ALLOCATION 69427,A81000B,00200,0300,NON CERT 69427,A81000B,00300,0300,MEDICAL SUPPLIES 69427,A81000B,00400,0300,ADMIN 69427,A81000B,00500,0300,PLANT 69427,A81000B,00600,0300,DRUGS 69427,A81000B,00700,0300,RT 69427,A81000B,00800,0300,PT 69427,A81000B,00900,0300,OT 69427,A81000B,01000,0300,ST 69427,A81000C,00100,0100,B 69427,A81000C,00100,0200,BEDFORD VILLA 1 69427,A81000C,00100,0400,MARINER POST AC 69427,A81000C,00100,0600,NURSING HOMES 69427,A81000C,00200,0100,G 69427,A81000C,00200,0200,MARINER POST AC 69427,A81000C,00200,0400,AMERICAN PHARMA 69427,A81000C,00200,0600,PHARMACEUTICALS 69427,A81000C,00300,0100,G 69427,A81000C,00300,0200,MARINER POST AC 69427,A81000C,00300,0400,PRISM (ATS ARS 69427,A81000C,00300,0600,THERAPIES 69427,B100000,00000,0100,00000SQUARE FEET 69427,B100000,00000,0200,00000SQUARE FEET 69427,B100000,00000,0300,00000GROSS SALARIES 69427,B100000,00000,0400,00000ACCUM COST 69427,B100000,00000,0500,00000SQUARE FEET 69427,B100000,00000,0600,00000PATIENT DAYS 69427,B100000,00000,0700,00000SQUARE FEET 69427,B100000,00000,0800,00000MEALS SERVED 69427,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69427,B100000,00000,1000,00000PATIENT DAYS 69427,B100000,00000,1100,00000COSTED REQUIS 69427,B100000,00000,1200,00000PATIENT DAYS 69427,B100000,00000,1300,00000PATIENT DAYS 69427,B100000,00000,1301,00000PATIENT DAYS 69427,B100000,00000,1350,00000UNITS OF SERVICE 69427,B100000,00000,1400,00000ASSIGNED TIME 69427,S000000,00100,0200,06/06/2000 69427,S200000,00100,0100,16240 W. 12 MILE RD 69427,S200000,00200,0100,SOUTHFIELD 69427,S200000,00200,0200,MI 69427,S200000,00200,0300,48076 69427,S200000,00300,0100,OAKLAND 69427,S200000,00400,0100,BEDFORD VILLA HEALTHCARE CENTER 69427,S200000,00400,0200,235497 69427,S200000,00400,0300,03/29/1990 69427,S200000,00400,0500,P 69427,S200000,01900,0100,501C3 69430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69430,A000000,00300,0000,00300EMPLOYEE BENEFITS 69430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69430,A000000,00700,0000,00700HOUSEKEEPING 69430,A000000,00800,0000,00800DIETARY 69430,A000000,00900,0000,00900NURSING ADMINISTRATION 69430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69430,A000000,01100,0000,01100PHARMACY 69430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69430,A000000,01300,0000,01300SOCIAL SERVICE 69430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69430,A000000,01600,0000,01600SKILLED NURSING FACILITY 69430,A000000,01810,0000,01810ICF/MR 69430,A000000,02500,0000,02500PHYSICAL THERAPY 69430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69430,A000000,02700,0000,02700SPEECH PATHOLOGY 69430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69430,A000000,03550,0000,03550FQHC 69430,A000000,05000,0000,05000CORF 69430,A000000,05010,0000,05010CMHC 69430,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69430,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69430,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69430,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69430,A81000A,00100,0100,Y 69430,A81000B,00100,0300,CORPORATE OFFICE 69430,A81000B,00200,0300,CORPORATE OFFICE 69430,A81000C,00100,0100,B 69430,A81000C,00100,0200,UMRC 69430,A81000C,00200,0100,B 69430,A81000C,00200,0200,UMRC 69430,A81000C,00200,0400,CHELSEA RETIRE. 69430,B100000,00000,0100,00000SQUARE FEET 69430,B100000,00000,0200,00000SQUARE FEET 69430,B100000,00000,0300,00000GROSS SALARIES 69430,B100000,00000,0400,00000ACCUM COST 69430,B100000,00000,0500,00000SQUARE FEET 69430,B100000,00000,0600,00000POUNDS OF LAUNDRY 69430,B100000,00000,0700,00000HOURS OF SERVICE 69430,B100000,00000,0800,00000MEALS SERVED 69430,B100000,00000,0900,00000DIRECT NRSG HRS 69430,B100000,00000,1000,00000COSTED REQUIS 69430,B100000,00000,1100,00000COSTED REQUIS 69430,B100000,00000,1200,00000TIME SPENT 69430,B100000,00000,1300,00000TIME SPENT 69430,B100000,00000,1400,00000ASSIGNED TIME 69430,S000000,00100,0200,06/02/2000 69430,S200000,00100,0100,2567 WEST GRAND BOULEVARD 69430,S200000,00200,0100,DETROIT 69430,S200000,00200,0200,MI 69430,S200000,00200,0300,48208 69430,S200000,00300,0100,WAYNE 69430,S200000,00400,0100,BOULEVARD TEMPLE 69430,S200000,00400,0200,235498 69430,S200000,00400,0300,05/01/1990 69430,S200000,00400,0500,P 69430,S200000,01700,0100,Y 69430,S200000,01900,0100,NON PROFIT NON STOCK 69438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69438,A000000,00300,0000,00300EMPLOYEE BENEFITS 69438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69438,A000000,00700,0000,00700HOUSEKEEPING 69438,A000000,00800,0000,00800DIETARY 69438,A000000,00900,0000,00900NURSING ADMINISTRATION 69438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69438,A000000,01100,0000,01100PHARMACY 69438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69438,A000000,01300,0000,01300SOCIAL SERVICE 69438,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69438,A000000,01600,0000,01600SKILLED NURSING FACILITY 69438,A000000,01810,0000,01810ICF/MR 69438,A000000,02100,0000,02100RADIOLOGY 69438,A000000,02200,0000,02200LABORATORY 69438,A000000,02500,0000,02500PHYSICAL THERAPY 69438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69438,A000000,02700,0000,02700SPEECH PATHOLOGY 69438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69438,A000000,03550,0000,03550FQHC 69438,A000000,05000,0000,05000CORF 69438,A000000,05010,0000,05010CMHC 69438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69438,A000000,05300,0000,05300INTEREST EXPENSE 69438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69438,A81000A,00100,0100,Y 69438,A81000B,00100,0300,RENT (DEPRECIATION 69438,A81000B,00200,0300,RENT - INTEREST 69438,A81000B,00300,0300,MANAGMENT FEE 69438,A81000B,00400,0300,INTEREST 69438,A81000C,00100,0100,A 69438,A81000C,00100,0200,MOHAMMAD A. QAZ 69438,A81000C,00100,0400,OMNI INVESTMENT 69438,A81000C,00100,0600,REAL ESTATE 69438,A81000C,00200,0100,A 69438,A81000C,00200,0200,MOHAMMAD A. QAZ 69438,A81000C,00200,0400,CIENA HEALTHCAR 69438,A81000C,00200,0600,MANAGEMENT 69438,B100000,00000,0100,00000SQUARE FEET 69438,B100000,00000,0200,00000SQUARE FEET 69438,B100000,00000,0300,00000GROSS SALARIES 69438,B100000,00000,0400,00000ACCUM COST 69438,B100000,00000,0500,00000SQUARE FEET 69438,B100000,00000,0600,00000PATIENT DAYS 69438,B100000,00000,0700,00000SQUARE FEET 69438,B100000,00000,0800,00000MEALS SERVED 69438,B100000,00000,0900,00000PATIENT DAYS 69438,B100000,00000,1000,00000COSTED REQUIS 69438,B100000,00000,1100,00000COSTED REQUIS 69438,B100000,00000,1200,00000PATIENT DAYS 69438,B100000,00000,1300,00000PATIENT DAYS 69438,B100000,00000,1350,00000PATIENT DAYS 69438,B100000,00000,1400,00000ASSIGNED TIME 69438,E10A180,00550,0300,05/16/2001 69438,S000000,00100,0200,06/22/2000 69438,S200000,00100,0100,5201 CONNER 69438,S200000,00200,0100,DETROIT 69438,S200000,00200,0200,MI 69438,S200000,00200,0300,48213 69438,S200000,00300,0100,WAYNE 69438,S200000,00400,0100,OMNI CONVALESCENT CENTER 69438,S200000,00400,0200,235500 69438,S200000,00400,0300,12/01/1990 69438,S200000,00400,0500,P 69438,S200000,01500,0100,Y 69438,S200000,01900,0100,501(C)(3) 69440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69440,A000000,00300,0000,00300EMPLOYEE BENEFITS 69440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69440,A000000,00700,0000,00700HOUSEKEEPING 69440,A000000,00800,0000,00800DIETARY 69440,A000000,00900,0000,00900NURSING ADMINISTRATION 69440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69440,A000000,01100,0000,01100PHARMACY 69440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69440,A000000,01300,0000,01300SOCIAL SERVICE 69440,A000000,01350,0000,01500DIVERSIONAL THERAPY 69440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69440,A000000,01600,0000,01600SKILLED NURSING FACILITY 69440,A000000,01800,0000,01800NURSING FACILITY 69440,A000000,01810,0000,01810ICF/MR 69440,A000000,01900,0000,01900OTHER LONG TERM CARE 69440,A000000,02100,0000,02100RADIOLOGY 69440,A000000,02200,0000,02200LABORATORY 69440,A000000,02300,0000,02300INTRAVENOUS THERAPY 69440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69440,A000000,02500,0000,02500PHYSICAL THERAPY 69440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69440,A000000,02700,0000,02700SPEECH PATHOLOGY 69440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69440,A000000,03550,0000,03550FQHC 69440,A000000,05000,0000,05000CORF 69440,A000000,05010,0000,05010CMHC 69440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69440,A000000,06100,0000,06100NONPAID WORKERS 69440,A000000,06200,0000,06200PATIENTS LAUNDRY 69440,A81000A,00100,0100,Y 69440,A81000B,00100,0300,ADMIN STAFF 69440,A81000B,00200,0300,LAUNDRY SERVICE 69440,A81000B,00300,0300,HR STAFF 69440,A81000B,00400,0300,PRESCRIPTION DRUGS 69440,A81000B,00500,0300,FLOOR STOCK 69440,A81000B,00600,0300,TRENTON COSTS 69440,A81000B,00700,0300,TRENTON COSTS 69440,A81000B,00800,0300,TRENTON COSTS 69440,A81000B,00900,0300,HOME OFFICE COSTS 69440,A81000B,01000,0300,HOME OFFICE COSTS 69440,A81000C,00100,0100,B 69440,A81000C,00100,0200,OHI 69440,A81000C,00100,0400,OHI 69440,A81000C,00100,0600,HEALTHCARE 69440,A81000C,00200,0100,B 69440,A81000C,00200,0200,OAKWOOD HOSPITA 69440,A81000C,00200,0400,OHI 69440,A81000C,00200,0600,LAUNDRY SERVICE 69440,A81000C,00300,0100,B 69440,A81000C,00300,0200,OHI 69440,A81000C,00300,0400,OHI 69440,A81000C,00300,0600,HEALTHCARE 69440,A81000C,00400,0100,B 69440,A81000C,00400,0200,OAKWOOD PHARMAC 69440,A81000C,00400,0400,OHI 69440,A81000C,00400,0600,PHARMACY 69440,A81000C,00500,0100,C 69440,A81000C,00500,0200,OAKWOOD SKILLED 69440,A81000C,00500,0400,OAKWOOD SKILLED 69440,A81000C,00500,0600,SNC 69440,A81000C,00600,0100,C 69440,A81000C,00600,0200,OAKWOOD SKILLED 69440,A81000C,00600,0400,OAKWOOD SKILLED 69440,A81000C,00600,0600,SNC 69440,A81000C,00700,0100,C 69440,A81000C,00700,0200,OAKWOOD SKILLED 69440,A81000C,00700,0400,OAKWOOD SKILLED 69440,A81000C,00700,0600,SNC 69440,A81000C,00800,0100,B 69440,A81000C,00800,0200,OHI 69440,A81000C,00800,0600,HOME OFFICE 69440,A81000C,00900,0100,B 69440,A81000C,00900,0200,OHI 69440,A81000C,00900,0600,HOME OFFICE 69440,B100000,00000,0100,00000SQUARE FEET 69440,B100000,00000,0200,00000SQUARE FEET 69440,B100000,00000,0300,00000GROSS SALARIES 69440,B100000,00000,0400,00000ACCUM COST 69440,B100000,00000,0500,00000SQUARE FEET 69440,B100000,00000,0600,00000POUNDS OF LAUNDRY 69440,B100000,00000,0700,00000HOURS OF SERVICE 69440,B100000,00000,0800,00000MEALS SERVED 69440,B100000,00000,0900,00000DIRECT NRSG HRS 69440,B100000,00000,1000,00000COSTED REQUIS 69440,B100000,00000,1100,00000COSTED REQUIS 69440,B100000,00000,1200,00000TIME SPENT 69440,B100000,00000,1300,00000TIME SPENT 69440,B100000,00000,1350,00000PATIENT DAYS 69440,B100000,00000,1400,00000ASSIGNED TIME 69440,E10A180,00501,0100,05/16/2001 69440,S000000,00100,0200,05/25/2000 69440,S200000,00100,0100,16351 ROTUNDA 69440,S200000,00200,0100,DEARBORN 69440,S200000,00200,0200,MI 69440,S200000,00200,0300,48120 69440,S200000,00300,0100,WAYNE 69440,S200000,00400,0100,OAKWOOD SKILLED NURSING DEARBORN 69440,S200000,00400,0200,235502 69440,S200000,00400,0300,04/12/1991 69440,S200000,00400,0500,P 69440,S200000,00600,0200,235502 69440,S200000,00600,0300,04/12/1991 69440,S200000,01600,0100,Y 69440,S200000,01900,0100,CORPORATION 69440,S200000,02200,0100,Y 69440,S200000,02800,0100,Y 69443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69443,A000000,00300,0000,00300EMPLOYEE BENEFITS 69443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69443,A000000,00700,0000,00700HOUSEKEEPING 69443,A000000,00800,0000,00800DIETARY 69443,A000000,00900,0000,00900NURSING ADMINISTRATION 69443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69443,A000000,01100,0000,01100PHARMACY 69443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69443,A000000,01300,0000,01300SOCIAL SERVICE 69443,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69443,A000000,01600,0000,01600SKILLED NURSING FACILITY 69443,A000000,01810,0000,01810ICF/MR 69443,A000000,02100,0000,02100RADIOLOGY 69443,A000000,02200,0000,02200LABORATORY 69443,A000000,02500,0000,02500PHYSICAL THERAPY 69443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69443,A000000,02700,0000,02700SPEECH PATHOLOGY 69443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69443,A000000,03550,0000,03550FQHC 69443,A000000,05000,0000,05000CORF 69443,A000000,05010,0000,05010CMHC 69443,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69443,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69443,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69443,A000000,05300,0000,05300INTEREST EXPENSE 69443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69443,A81000A,00100,0100,Y 69443,A81000B,00100,0300,MANAGEMENT FEES 69443,A81000B,00200,0300,HOME OFFICE CAP REL 69443,A81000C,00100,0100,A 69443,A81000C,00100,0200,D.J. BORTZ JR. 69443,A81000C,00100,0400,BORTZ FACILITIE 69443,A81000C,00100,0600,MANAGEMENT 69443,A81000C,00200,0100,A 69443,A81000C,00200,0200,D.J. BORTZ JR. 69443,A81000C,00200,0400,JBS INC. 69443,A81000C,00200,0600,NURSING SUPPLIE 69443,B100000,00000,0100,00000SQUARE FEET 69443,B100000,00000,0200,00000SQUARE FEET 69443,B100000,00000,0300,00000GROSS SALARIES 69443,B100000,00000,0400,00000ACCUM COST 69443,B100000,00000,0500,00000SQUARE FEET 69443,B100000,00000,0600,00000PATIENT DAYS 69443,B100000,00000,0700,00000SQUARE FEET 69443,B100000,00000,0800,00000MEALS SERVED 69443,B100000,00000,0900,00000PATIENT DAYS 69443,B100000,00000,1000,00000COSTED REQUIS 69443,B100000,00000,1100,00000COSTED REQUIS 69443,B100000,00000,1200,00000PATIENT DAYS 69443,B100000,00000,1300,00000PATIENT DAYS 69443,B100000,00000,1350,00000PATIENT DAYS 69443,B100000,00000,1400,00000ASSIGNED TIME 69443,S000000,00100,0200,06/08/2000 69443,S200000,00100,0100,28 S. PROSPECT AVE. 69443,S200000,00200,0100,YPSILANTI 69443,S200000,00200,0200,MI 69443,S200000,00200,0300,48198 69443,S200000,00300,0100,WASHTENAW 69443,S200000,00400,0100,BORTZ HEALTH CARE OF YPSILANTI INC 69443,S200000,00400,0200,235503 69443,S200000,00400,0300,04/12/1991 69443,S200000,00400,0500,P 69443,S200000,01500,0100,Y 69443,S200000,01900,0100,CORPORATION 69443,S200000,02800,0100,Y 69446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69446,A000000,00300,0000,00300EMPLOYEE BENEFITS 69446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69446,A000000,00700,0000,00700HOUSEKEEPING 69446,A000000,00800,0000,00800DIETARY 69446,A000000,00900,0000,00900NURSING ADMINISTRATION 69446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69446,A000000,01100,0000,01100PHARMACY 69446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69446,A000000,01300,0000,01300SOCIAL SERVICE 69446,A000000,01350,0000,01500DIVERSIONAL THERAPY 69446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69446,A000000,01600,0000,01600SKILLED NURSING FACILITY 69446,A000000,01810,0000,01810ICF/MR 69446,A000000,02100,0000,02100RADIOLOGY 69446,A000000,02200,0000,02200LABORATORY 69446,A000000,02500,0000,02500PHYSICAL THERAPY 69446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69446,A000000,02700,0000,02700SPEECH PATHOLOGY 69446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69446,A000000,03550,0000,03550FQHC 69446,A000000,05000,0000,05000CORF 69446,A000000,05010,0000,05010CMHC 69446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69446,A000000,05300,0000,05300INTEREST EXPENSE 69446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69446,A81000A,00100,0100,Y 69446,A81000B,00100,0300,LEASE INCOME 69446,A81000B,00200,0300,GENERAL INSURANCE 69446,A81000B,00300,0300,LICENSE FEES 69446,A81000B,00400,0300,BANK CHARGES 69446,A81000B,00500,0300,PROFESSIONAL FEES 69446,A81000B,00600,0300,MICHIGAN TAXES 69446,A81000B,00700,0300,PROPERTY TAXES 69446,A81000B,00800,0300,INTEREST EXPENSE 69446,A81000B,00900,0300,AMORTIZATION 69446,A81000B,01000,0300,DEPRECIATION 69446,A81000B,01100,0300,MORTGAGE INSURANCE 69446,A81000B,01200,0300,MANAGEMENT FEES 69446,A81000C,00100,0100,A 69446,A81000C,00100,0200,STEVEN BANDSTRA 69446,A81000C,00100,0400,CCG PROP. - LF 69446,A81000C,00100,0600,REAL ESTATE COM 69446,A81000C,00200,0100,A 69446,A81000C,00200,0200,STEVEN BANDSTRA 69446,A81000C,00200,0400,CCG PROP. - LF 69446,A81000C,00200,0600,REAL ESTATE COM 69446,A81000C,00300,0100,A 69446,A81000C,00300,0200,STEVEN BANDSTRA 69446,A81000C,00300,0400,CCG PROP. - LF 69446,A81000C,00300,0600,REAL ESTATE COM 69446,A81000C,00400,0100,A 69446,A81000C,00400,0200,STEVEN BANDSTRA 69446,A81000C,00400,0400,CCG PROP. - LF 69446,A81000C,00400,0600,REAL ESTATE COM 69446,A81000C,00500,0100,A 69446,A81000C,00500,0200,STEVEN BANDSTRA 69446,A81000C,00500,0400,CCG PROP. - LF 69446,A81000C,00500,0600,REAL ESTATE COM 69446,A81000C,00600,0100,A 69446,A81000C,00600,0200,STEVEN BANDSTRA 69446,A81000C,00600,0400,CCG PROP. - LF 69446,A81000C,00600,0600,REAL ESTATE COM 69446,A81000C,00700,0100,A 69446,A81000C,00700,0200,STEVEN BANDSTRA 69446,A81000C,00700,0400,CCG PROP. - LF 69446,A81000C,00700,0600,REAL ESTATE COM 69446,A81000C,00800,0100,A 69446,A81000C,00800,0200,STEVEN BANDSTRA 69446,A81000C,00800,0400,CCG PROP. - LF 69446,A81000C,00800,0600,REAL ESTATE COM 69446,A81000C,00900,0100,A 69446,A81000C,00900,0200,STEVEN BANDSTRA 69446,A81000C,00900,0400,CCG PROP. - LF 69446,A81000C,00900,0600,REAL ESTATE COM 69446,A81000C,01000,0100,A 69446,A81000C,01000,0200,STEVEN BANDSTRA 69446,A81000C,01000,0400,CCG PROP. - LF 69446,A81000C,01000,0600,REAL ESTATE COM 69446,A81000C,01100,0100,A 69446,A81000C,01100,0200,STEVEN BANDSTRA 69446,A81000C,01100,0400,CCG PROP. - LF 69446,A81000C,01100,0600,REAL ESTATE COM 69446,A81000C,01200,0100,A 69446,A81000C,01200,0200,STEVEN BANDSTRA 69446,A81000C,01200,0400,COMMUNITY CENTR 69446,A81000C,01200,0600,MANAGEMENT COMP 69446,B100000,00000,0100,00000SQUARE FEET 69446,B100000,00000,0200,00000SQUARE FEET 69446,B100000,00000,0300,00000GROSS SALARIES 69446,B100000,00000,0400,00000ACCUM COST 69446,B100000,00000,0500,00000SQUARE FEET 69446,B100000,00000,0600,00000POUNDS OF LAUNDRY 69446,B100000,00000,0700,00000HOURS OF SERVICE 69446,B100000,00000,0800,00000MEALS SERVED 69446,B100000,00000,0900,00000DIRECT NRSG HRS 69446,B100000,00000,1000,00000COSTED REQUIS 69446,B100000,00000,1100,00000COSTED REQUIS 69446,B100000,00000,1200,00000TIME SPENT 69446,B100000,00000,1300,00000TIME SPENT 69446,B100000,00000,1350,00000 69446,B100000,00000,1400,00000ASSIGNED TIME 69446,S000000,00100,0200,05/22/2000 69446,S200000,00100,0100,527 MARSHALL ROAD M-99 69446,S200000,00100,0300,148 69446,S200000,00200,0100,LITCHFIELD 69446,S200000,00200,0200,MI 69446,S200000,00300,0100,HILLSDALE 69446,S200000,00400,0100,LITCHFIELD NURSING CENTRE 69446,S200000,00400,0200,235505 69446,S200000,00400,0300,06/19/1991 69446,S200000,00400,0500,P 69446,S200000,01500,0100,Y 69446,S200000,01900,0100,CORPORATION 69446,S200000,02200,0100,Y 69448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69448,A000000,00300,0000,00300EMPLOYEE BENEFITS 69448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69448,A000000,00700,0000,00700HOUSEKEEPING 69448,A000000,00800,0000,00800DIETARY 69448,A000000,00900,0000,00900NURSING ADMINISTRATION 69448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69448,A000000,01100,0000,01100PHARMACY 69448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69448,A000000,01300,0000,01300SOCIAL SERVICE 69448,A000000,01350,0000,01500DIVERSIONAL THERAPY 69448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69448,A000000,01600,0000,01600SKILLED NURSING FACILITY 69448,A000000,01800,0000,01800NURSING FACILITY 69448,A000000,01810,0000,01810ICF/MR 69448,A000000,02100,0000,02100RADIOLOGY 69448,A000000,02200,0000,02200LABORATORY 69448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69448,A000000,02500,0000,02500PHYSICAL THERAPY 69448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69448,A000000,02700,0000,02700SPEECH PATHOLOGY 69448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69448,A000000,03050,0000,03300AIR BEDS 69448,A000000,03051,0000,03301AMBULANCE 69448,A000000,03550,0000,03550FQHC 69448,A000000,05000,0000,05000CORF 69448,A000000,05010,0000,05010CMHC 69448,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69448,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69448,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69448,A81000A,00100,0100,Y 69448,A81000B,00100,0300,RENT 69448,A81000B,00200,0300,DEPR - BUILDING 69448,A81000B,00300,0300,DEPR - EQUIPMENT 69448,A81000B,00400,0300,MORTGAGE INTEREST 69448,A81000B,00500,0300,LEGAL AND ACCTG FEES 69448,A81000B,00600,0300,MTGE & LEASE COSTS 69448,A81000B,00700,0300,TAXES - MICHIGAN SBT 69448,A81000B,00800,0300,TAXES - PROPERTY 69448,A81000B,00900,0300,WORKERS COMP INSUR 69448,A81000B,01000,0300,BANK INTEREST 69448,A81000B,01100,0300,MANAGEMENT FEE 69448,A81000B,01200,0300,ADMIN SALARIES 69448,A81000B,01300,0300,EMPLOYEE BENEFITS 69448,A81000B,01400,0300,ADMIN & GENERAL 69448,A81000B,01500,0300,DEPR - EQUIPMENT 69448,A81000B,01600,0300,MANAGEMENT FEE 69448,A81000B,01700,0300,MANAGEMENT FEE 69448,A81000B,01800,0300,MANAGEMENT FEE 69448,A81000C,00100,0100,A 69448,A81000C,00100,0200,BEAUMONT NURSIN 69448,A81000C,00100,0400,SCHOENHERR ROAD 69448,A81000C,00100,0600,RENTAL PROPERTY 69448,A81000C,00200,0100,A 69448,A81000C,00200,0200,FRANCES G. BELL 69448,A81000C,00200,0400,SCHOENHERR ROAD 69448,A81000C,00200,0600,RENTAL PROPERTY 69448,A81000C,00300,0100,A 69448,A81000C,00300,0200,JOHN D. BELL 69448,A81000C,00300,0400,SCHOENHERR ROAD 69448,A81000C,00300,0600,RENTAL PROPERTY 69448,A81000C,00400,0100,A 69448,A81000C,00400,0200,JUNE H. GURWIN 69448,A81000C,00400,0400,SCHOENHERR ROAD 69448,A81000C,00400,0600,RENTAL PROPERTY 69448,A81000C,00500,0100,A 69448,A81000C,00500,0200,THERESA M. SPIR 69448,A81000C,00500,0400,SCHOENHERR ROAD 69448,A81000C,00500,0600,RENTAL PROPERTY 69448,A81000C,00600,0100,A 69448,A81000C,00600,0200,TIMOTHY C. SPIR 69448,A81000C,00600,0400,SCHOENHERR ROAD 69448,A81000C,00600,0600,RENTAL PROPERTY 69448,A81000C,00700,0100,A 69448,A81000C,00700,0200,JOHN D. BELL 69448,A81000C,00700,0400,PREMIER HTH CAR 69448,A81000C,00700,0600,MANAGEMENT COMP 69448,A81000C,00800,0100,A 69448,A81000C,00800,0200,TIMOTHY C. SPIR 69448,A81000C,00800,0400,PREMIER HTH CAR 69448,A81000C,00800,0600,MANAGEMENT COMP 69448,A81000C,00900,0100,A 69448,A81000C,00900,0200,JOHN D. BELL 69448,A81000C,00900,0400,MI HEALTH & REH 69448,A81000C,00900,0600,CONTRACT THER S 69448,A81000C,01000,0100,A 69448,A81000C,01000,0200,TIMOTHY C. SPIR 69448,A81000C,01000,0400,MI HEALTH & REH 69448,A81000C,01000,0600,CONTRACT THER S 69448,B100000,00000,0100,00000SQUARE FEET 69448,B100000,00000,0200,00000SQUARE FEET 69448,B100000,00000,0300,00000GROSS SALARIES 69448,B100000,00000,0400,00000ACCUM COST 69448,B100000,00000,0500,00000SQUARE FEET 69448,B100000,00000,0600,00000POUNDS OF LAUNDRY 69448,B100000,00000,0700,00000SQUARE FEET 69448,B100000,00000,0800,00000MEALS SERVED 69448,B100000,00000,0900,00000DIRECT NRSG HRS 69448,B100000,00000,1000,00000ACTUAL COST 69448,B100000,00000,1100,00000PATIENT DAYS 69448,B100000,00000,1200,00000PATIENT DAYS 69448,B100000,00000,1300,00000PATIENT DAYS 69448,B100000,00000,1350,00000PATIENT DAYS 69448,B100000,00000,1400,00000ASSIGNED TIME 69448,S000000,00100,0200,05/31/2000 69448,S200000,00100,0100,46100 SCHOENHERR ROAD 69448,S200000,00200,0100,SHELBY TOWNSHIP 69448,S200000,00200,0200,MI 69448,S200000,00200,0300,48315 69448,S200000,00300,0100,MACOMB 69448,S200000,00400,0100,SHELBY NURSING CENTER 69448,S200000,00400,0200,235506 69448,S200000,00400,0300,04/19/1992 69448,S200000,00400,0500,P 69448,S200000,01600,0100,Y 69448,S200000,01900,0100,CORPORATION 69448,S200000,02200,0100,Y 69448,S200000,02800,0100,Y 69448,S200000,04700,0100,Y 69451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69451,A000000,00300,0000,00300EMPLOYEE BENEFITS 69451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69451,A000000,00700,0000,00700HOUSEKEEPING 69451,A000000,00800,0000,00800DIETARY 69451,A000000,00900,0000,00900NURSING ADMINISTRATION 69451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69451,A000000,01100,0000,01100PHARMACY 69451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69451,A000000,01300,0000,01300SOCIAL SERVICE 69451,A000000,01350,0000,01500ACTIVITES 69451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69451,A000000,01600,0000,01600SKILLED NURSING FACILITY 69451,A000000,01800,0000,01800NURSING FACILITY 69451,A000000,01810,0000,01810ICF/MR 69451,A000000,02100,0000,02100RADIOLOGY 69451,A000000,02200,0000,02200LABORATORY 69451,A000000,02500,0000,02500PHYSICAL THERAPY 69451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69451,A000000,02700,0000,02700SPEECH PATHOLOGY 69451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69451,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 69451,A000000,03200,0000,03200SUPPORT SURFACES 69451,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 69451,A000000,03550,0000,03550FQHC 69451,A000000,05000,0000,05000CORF 69451,A000000,05010,0000,05010CMHC 69451,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69451,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69451,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69451,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 69451,A81000A,00100,0100,Y 69451,A81000B,00100,0300,HOME OFFICE 69451,A81000B,00200,0300,HOME OFFICE-CAPITAL 69451,A81000B,00300,0300,RENT PLYMOUTH DEV 69451,A81000B,00400,0300,INTEREST PLYMOUTH DEV 69451,A81000B,00500,0300,DEPRECIATION PLYMOUTH DEV 69451,A81000B,00600,0300,OTHER COSTS PLYMOUTH DEV 69451,A81000C,00100,0100,A 69451,A81000C,00100,0200,FRANK WRONSKI 69451,A81000C,00100,0400,PLYMOUTH DEVELO 69451,A81000C,00100,0600,LEASE 69451,A81000C,00200,0100,A 69451,A81000C,00200,0200,LEO EISENBERG 69451,A81000C,00200,0400,PLYMOUTH DEVELO 69451,A81000C,00200,0600,LEASE 69451,A81000C,00300,0100,A 69451,A81000C,00300,0200,FRANK WRONSKI 69451,A81000C,00300,0400,THE MEDILODGE G 69451,A81000C,00300,0600,HOME OFFICE 69451,A81000C,00400,0100,A 69451,A81000C,00400,0200,FRANK WRONSKI 69451,A81000C,00400,0400,ALL-MED SUPPLY 69451,A81000C,00400,0600,MEDICAL SUPPLY 69451,A81000C,00500,0100,A 69451,A81000C,00500,0200,LEO EISENBERG 69451,A81000C,00500,0400,NURSING HOME GR 69451,A81000C,00500,0600,ANCILLARY SERVI 69451,B100000,00000,0100,00000SQUARE FEET 69451,B100000,00000,0200,00000SQUARE FEET 69451,B100000,00000,0300,00000GROSS SALARIES 69451,B100000,00000,0400,00000ACCUM COST 69451,B100000,00000,0500,00000SQUARE FEET 69451,B100000,00000,0600,00000PATIENT DAYS 69451,B100000,00000,0700,00000SQUARE FEET 69451,B100000,00000,0800,00000MEALS SERVED 69451,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 69451,B100000,00000,1000,00000PATIENT DAYS 69451,B100000,00000,1100,00000COSTED REQUIS 69451,B100000,00000,1200,00000TIME SPENT 69451,B100000,00000,1300,00000PATIENT DAYS 69451,B100000,00000,1350,00000PATIENT DAYS 69451,B100000,00000,1400,00000ASSIGNED TIME 69451,E10A180,00551,0300,01/05/2001 69451,S000000,00100,0200,11/27/2000 69451,S200000,00100,0100,395 W. ANN ARBOR TRAIL 69451,S200000,00200,0100,PLYMOUTH 69451,S200000,00200,0200,MI 69451,S200000,00200,0300,48170 69451,S200000,00300,0100,W 69451,S200000,00300,0200,2160 69451,S200000,00300,0300,U 69451,S200000,00400,0100,WEST TRAIL NURSING CENTER 69451,S200000,00400,0200,235507 69451,S200000,00400,0300,06/05/1991 69451,S200000,00400,0500,P 69451,S200000,01600,0100,Y 69460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69460,A000000,00300,0000,00300EMPLOYEE BENEFITS 69460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69460,A000000,00700,0000,00700HOUSEKEEPING 69460,A000000,00800,0000,00800DIETARY 69460,A000000,00900,0000,00900NURSING ADMINISTRATION 69460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69460,A000000,01100,0000,01100PHARMACY 69460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69460,A000000,01300,0000,01300SOCIAL SERVICE 69460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69460,A000000,01600,0000,01600SKILLED NURSING FACILITY 69460,A000000,01810,0000,01810ICF/MR 69460,A000000,02100,0000,02100RADIOLOGY 69460,A000000,02200,0000,02200LABORATORY 69460,A000000,02500,0000,02500PHYSICAL THERAPY 69460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69460,A000000,02700,0000,02700SPEECH PATHOLOGY 69460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69460,A000000,03550,0000,03550FQHC 69460,A000000,05000,0000,05000CORF 69460,A000000,05010,0000,05010CMHC 69460,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69460,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69460,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69460,A000000,05300,0000,05300INTEREST EXPENSE 69460,A000000,05500,0000,05500HOSPICE 69460,A81000A,00100,0100,Y 69460,A81000B,00100,0300,RENT 69460,A81000C,00100,0100,A 69460,A81000C,00100,0200,ROBERT WHITTY 69460,A81000C,00100,0400,COLONIAL CARE C 69460,A81000C,00100,0600,HOLDING CORP. 69460,B100000,00000,0100,00000SQUARE FEET 69460,B100000,00000,0200,00000SQUARE FEET 69460,B100000,00000,0300,00000GROSS SALARIES 69460,B100000,00000,0400,00000ACCUM COST 69460,B100000,00000,0500,00000SQUARE FEET 69460,B100000,00000,0600,00000POUNDS OF LAUNDRY 69460,B100000,00000,0700,00000HOURS OF SERVICE 69460,B100000,00000,0800,00000MEALS SERVED 69460,B100000,00000,0900,00000DIRECT NRSG HRS 69460,B100000,00000,1000,00000COSTED REQUIS 69460,B100000,00000,1100,00000COSTED REQUIS 69460,B100000,00000,1200,00000TIME SPENT 69460,B100000,00000,1300,00000TIME SPENT 69460,B100000,00000,1400,00000ASSIGNED TIME 69460,E10A180,00550,0300,05/17/2000 69460,E10A180,00551,0300,03/14/2001 69460,S000000,00100,0200,05/11/2000 69460,S200000,00100,0100,12900 WEST CHICAGO 69460,S200000,00200,0100,DETROIT 69460,S200000,00200,0200,MI 69460,S200000,00200,0300,48228 69460,S200000,00300,0100,WAYNE 69460,S200000,00400,0100,FRANKLIN CARE CENTER 69460,S200000,00400,0200,235512 69460,S200000,00400,0300,02/02/1992 69460,S200000,00400,0500,P 69460,S200000,01500,0100,Y 69460,S200000,01900,0100,CORPORATION 69468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69468,A000000,00300,0000,00300EMPLOYEE BENEFITS 69468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69468,A000000,00700,0000,00700HOUSEKEEPING 69468,A000000,00800,0000,00800DIETARY 69468,A000000,00900,0000,00900NURSING ADMINISTRATION 69468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69468,A000000,01100,0000,01100PHARMACY 69468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69468,A000000,01300,0000,01300SOCIAL SERVICE 69468,A000000,01350,0000,01500DIVERSIONAL THERAPY 69468,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69468,A000000,01600,0000,01600SKILLED NURSING FACILITY 69468,A000000,01800,0000,01800NURSING FACILITY 69468,A000000,01810,0000,01810ICF/MR 69468,A000000,02100,0000,02100RADIOLOGY 69468,A000000,02200,0000,02200LABORATORY 69468,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69468,A000000,02500,0000,02500PHYSICAL THERAPY 69468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69468,A000000,02700,0000,02700SPEECH PATHOLOGY 69468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69468,A000000,03200,0000,03200SUPPORT SURFACES 69468,A000000,03550,0000,03550FQHC 69468,A000000,05000,0000,05000CORF 69468,A000000,05010,0000,05010CMHC 69468,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69468,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69468,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69468,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69468,A81000A,00100,0100,Y 69468,A81000B,00100,0300,MGMT PAYROLL & BENFI 69468,A81000B,00200,0300,EMPLOYEE BENEFITS 69468,A81000B,00300,0300,HOME OFFICE COSTS 69468,A81000B,00400,0300,PT WAGES 69468,A81000B,00500,0300,OT WAGES 69468,A81000B,00600,0300,SPEECH WAGES 69468,A81000B,00700,0300,CONTRACT SOC SERV 69468,A81000B,00800,0300,INSURANCE 69468,A81000C,00100,0100,B 69468,A81000C,00100,0200,DMC NURSING HOM 69468,A81000C,00100,0400,DMC CORPORATION 69468,A81000C,00100,0600,HOLDING COMPANY 69468,B100000,00000,0100,00000SQUARE FEET 69468,B100000,00000,0200,00000SQUARE FEET 69468,B100000,00000,0300,00000GROSS SALARIES 69468,B100000,00000,0400,00000ACCUM COST 69468,B100000,00000,0500,00000SQUARE FEET 69468,B100000,00000,0600,00000POUNDS OF LAUNDRY 69468,B100000,00000,0700,00000SQUARE FEET 69468,B100000,00000,0800,00000MEALS SERVED 69468,B100000,00000,0900,00000DIRECT NRSG HRS 69468,B100000,00000,1000,00000COSTED REQUIS 69468,B100000,00000,1100,00000COSTED REQUIS 69468,B100000,00000,1200,00000TIME SPENT 69468,B100000,00000,1300,00000PATIENT DAYS 69468,B100000,00000,1350,00000PATIENT DAYS 69468,B100000,00000,1400,00000ASSIGNED TIME 69468,S000000,00100,0200,05/07/2000 69468,S200000,00100,0100,26505 POWERS AVENUE 69468,S200000,00200,0100,DEARBORN HEIGHTS 69468,S200000,00200,0200,MI 69468,S200000,00200,0300,48125 69468,S200000,00300,0100,WAYNE 69468,S200000,00400,0100,DMC NURSING & CONVALESCENT CTR. 69468,S200000,00400,0200,235514 69468,S200000,00400,0300,01/01/1999 69468,S200000,00400,0500,P 69468,S200000,00400,0600,O 69468,S200000,01600,0100,Y 69468,S200000,01900,0100,501C3 69472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69472,A000000,00300,0000,00300EMPLOYEE BENEFITS 69472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69472,A000000,00700,0000,00700HOUSEKEEPING 69472,A000000,00800,0000,00800DIETARY 69472,A000000,00900,0000,00900NURSING ADMINISTRATION 69472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69472,A000000,01100,0000,01100PHARMACY 69472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69472,A000000,01300,0000,01300SOCIAL SERVICE 69472,A000000,01350,0000,01500DIVERSIONAL THERAPY 69472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69472,A000000,01600,0000,01600SKILLED NURSING FACILITY 69472,A000000,01800,0000,01800NURSING FACILITY 69472,A000000,01810,0000,01810ICF/MR 69472,A000000,02100,0000,02100RADIOLOGY 69472,A000000,02200,0000,02200LABORATORY 69472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69472,A000000,02500,0000,02500PHYSICAL THERAPY 69472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69472,A000000,02700,0000,02700SPEECH PATHOLOGY 69472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69472,A000000,03200,0000,03200SUPPORT SURFACES 69472,A000000,03550,0000,03550FQHC 69472,A000000,05000,0000,05000CORF 69472,A000000,05010,0000,05010CMHC 69472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69472,B100000,00000,0100,00000SQUARE FEET 69472,B100000,00000,0200,00000SQUARE FEET 69472,B100000,00000,0300,00000GROSS SALARIES 69472,B100000,00000,0400,00000ACCUM COST 69472,B100000,00000,0500,00000SQUARE FEET 69472,B100000,00000,0600,00000POUNDS OF LAUNDRY 69472,B100000,00000,0700,00000SQUARE FEET 69472,B100000,00000,0800,00000MEALS SERVED 69472,B100000,00000,0900,00000DIRECT NRSG HRS 69472,B100000,00000,1000,00000COSTED REQUIS 69472,B100000,00000,1100,00000COSTED REQUIS 69472,B100000,00000,1200,00000TIME SPENT 69472,B100000,00000,1300,00000PATIENT DAYS 69472,B100000,00000,1350,00000PATIENT DAYS 69472,B100000,00000,1400,00000ASSIGNED TIME 69472,S000000,00100,0200,06/06/2000 69472,S200000,00100,0100,408 NORTH FIFTH AVE 69472,S200000,00200,0100,TAWAS CITY 69472,S200000,00200,0200,MI 69472,S200000,00200,0300,48763 69472,S200000,00300,0100,IOSCO 69472,S200000,00400,0100,LAKEVIEW MANOR HEALTHCARE CENTER 69472,S200000,00400,0200,235515 69472,S200000,00400,0300,02/10/1992 69472,S200000,00400,0500,P 69472,S200000,00400,0600,O 69472,S200000,01600,0100,Y 69472,S200000,01900,0100,501C3 69478,S000000,00100,0200,05/22/2000 69484,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69484,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69484,A000000,00300,0000,00300EMPLOYEE BENEFITS 69484,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69484,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69484,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69484,A000000,00700,0000,00700HOUSEKEEPING 69484,A000000,00800,0000,00800DIETARY 69484,A000000,00900,0000,00900NURSING ADMINISTRATION 69484,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69484,A000000,01100,0000,01100PHARMACY 69484,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69484,A000000,01300,0000,01300SOCIAL SERVICE 69484,A000000,01350,0000,01500DIVERSIONAL THERAPY 69484,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69484,A000000,01600,0000,01600SKILLED NURSING FACILITY 69484,A000000,01810,0000,01810ICF/MR 69484,A000000,02100,0000,02100RADIOLOGY 69484,A000000,02200,0000,02200LABORATORY 69484,A000000,02500,0000,02500PHYSICAL THERAPY 69484,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69484,A000000,02700,0000,02700SPEECH PATHOLOGY 69484,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69484,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69484,A000000,03050,0000,03300TRANSPORTATION COSTS 69484,A000000,03200,0000,03200SUPPORT SURFACES 69484,A000000,03550,0000,03550FQHC 69484,A000000,05000,0000,05000CORF 69484,A000000,05010,0000,05010CMHC 69484,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69484,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69484,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69484,A000000,05300,0000,05300INTEREST EXPENSE 69484,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69484,A81000A,00100,0100,Y 69484,A81000B,00100,0300,LEASE EXPENSE 69484,A81000B,00200,0300,DEPRECIATION EXPENSE 69484,A81000B,00300,0300,INTEREST EXPENSE 69484,A81000B,00400,0300,LIFE INS FOR MRTG 69484,A81000B,00500,0300,AMORTIZATION 69484,A81000B,00600,0300,UNALLOWABLE INTEREST 69484,A81000B,00700,0300,UNALLOWABLE INTEREST 69484,A81000B,00800,0300,MANAGEMENT FEES 69484,A81000C,00100,0100,A 69484,A81000C,00100,0200,STEVEN BANDSTRA 69484,A81000C,00100,0400,COMMUNITY CENTR 69484,A81000C,00100,0600,REAL ESTATE ENT 69484,A81000C,00200,0100,A 69484,A81000C,00200,0200,STEVEN BANDSTRA 69484,A81000C,00200,0400,COMMUNITY CENTR 69484,A81000C,00200,0600,REAL ESTATE ENT 69484,A81000C,00300,0100,A 69484,A81000C,00300,0200,STEVEN BANDSTRA 69484,A81000C,00300,0400,COMMUNITY CENTR 69484,A81000C,00300,0600,REAL ESTATE ENT 69484,A81000C,00400,0100,A 69484,A81000C,00400,0200,STEVEN BANDSTRA 69484,A81000C,00400,0400,COMMUNITY CENTR 69484,A81000C,00400,0600,REAL ESTATE ENT 69484,A81000C,00500,0100,A 69484,A81000C,00500,0200,STEVEN BANDSTRA 69484,A81000C,00500,0400,COMMUNITY CENTR 69484,A81000C,00500,0600,REAL ESTATE ENT 69484,A81000C,00600,0100,A 69484,A81000C,00600,0200,STEVEN BANDSTRA 69484,A81000C,00600,0400,COMMUNITY CENTR 69484,A81000C,00600,0600,REAL ESTATE ENT 69484,A81000C,00700,0100,A 69484,A81000C,00700,0200,STEVEN BANDSTRA 69484,A81000C,00700,0400,COMMUNTIY CENTR 69484,A81000C,00700,0600,REAL ESTATE ENT 69484,A81000C,00800,0100,A 69484,A81000C,00800,0200,STEVEN BANDSTRA 69484,A81000C,00800,0400,COMMUNITY CENTR 69484,A81000C,00800,0600,MANAGEMENT COMP 69484,B100000,00000,0100,00000SQUARE FEET 69484,B100000,00000,0200,00000SQUARE FEET 69484,B100000,00000,0300,00000GROSS SALARIES 69484,B100000,00000,0400,00000ACCUM COST 69484,B100000,00000,0500,00000SQUARE FEET 69484,B100000,00000,0600,00000POUNDS OF LAUNDRY 69484,B100000,00000,0700,00000HOURS OF SERVICE 69484,B100000,00000,0800,00000MEALS SERVED 69484,B100000,00000,0900,00000DIRECT NRSG HRS 69484,B100000,00000,1000,00000COSTED REQUIS 69484,B100000,00000,1100,00000COSTED REQUIS 69484,B100000,00000,1200,00000TIME SPENT 69484,B100000,00000,1300,00000TIME SPENT 69484,B100000,00000,1350,00000CENSUS 69484,B100000,00000,1400,00000ASSIGNED TIME 69484,S000000,00100,0200,05/22/2000 69484,S200000,00100,0100,695 MITZI DRIVE 69484,S200000,00200,0100,NORTH MUSKEGON 69484,S200000,00200,0200,MI 69484,S200000,00300,0100,MUSKEGON 69484,S200000,00400,0100,HILLCREST NURSING CENTRE 69484,S200000,00400,0200,235522 69484,S200000,00400,0300,08/01/1992 69484,S200000,00400,0500,P 69484,S200000,01500,0100,Y 69484,S200000,01900,0100,CORPORATION 69484,S200000,02200,0100,Y 69487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69487,A000000,00300,0000,00300EMPLOYEE BENEFITS 69487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69487,A000000,00700,0000,00700HOUSEKEEPING 69487,A000000,00800,0000,00800DIETARY 69487,A000000,00900,0000,00900NURSING ADMINISTRATION 69487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69487,A000000,01100,0000,01100PHARMACY 69487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69487,A000000,01300,0000,01300SOCIAL SERVICE 69487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69487,A000000,01600,0000,01600SKILLED NURSING FACILITY 69487,A000000,01800,0000,01800NURSING FACILITY 69487,A000000,01810,0000,01810ICF/MR 69487,A000000,02100,0000,02100RADIOLOGY 69487,A000000,02200,0000,02200LABORATORY 69487,A000000,02500,0000,02500PHYSICAL THERAPY 69487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69487,A000000,02700,0000,02700SPEECH PATHOLOGY 69487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69487,A000000,03550,0000,03550FQHC 69487,A000000,05000,0000,05000CORF 69487,A000000,05010,0000,05010CMHC 69487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69487,A000000,05300,0000,05300INTEREST EXPENSE 69487,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69487,A81000A,00100,0100,Y 69487,A81000B,00100,0300,EMPLOYEE BENEFITS 69487,A81000B,00200,0300,ADMINISTRATIVE & GEN 69487,A81000B,00300,0300,NURSING ADMIN 69487,A81000C,00100,0100,C 69487,A81000C,00100,0400,BRONSON HLTHCAR 69487,A81000C,00100,0600,PARENT COPR 69487,B100000,00000,0100,00000SQUARE FEET 69487,B100000,00000,0200,00000SQUARE FEET 69487,B100000,00000,0300,00000GROSS SALARIES 69487,B100000,00000,0400,00000ACCUM COST 69487,B100000,00000,0500,00000SQUARE FEET 69487,B100000,00000,0600,00000POUNDS OF LAUNDRY 69487,B100000,00000,0700,00000HOURS OF SERVICE 69487,B100000,00000,0800,00000MEALS SERVED 69487,B100000,00000,0900,00000DIRECT NRSG HRS 69487,B100000,00000,1000,00000COSTED REQUIS 69487,B100000,00000,1100,00000COSTED REQUIS 69487,B100000,00000,1200,00000TIME SPENT 69487,B100000,00000,1300,00000TIME SPENT 69487,B100000,00000,1400,00000ASSIGNED TIME 69487,E10A180,00550,0100,03/30/2001 69487,S000000,00100,0200,09/27/2000 69487,S200000,00100,0100,1451 BRONSON WAY 69487,S200000,00200,0100,KALAMAZOO 69487,S200000,00200,0200,MI 69487,S200000,00200,0300,49009 69487,S200000,00300,0100,K 69487,S200000,00400,0100,BRONSON PLACE CARE CTR 69487,S200000,00400,0200,235524 69487,S200000,00400,0300,04/28/1992 69487,S200000,00400,0500,P 69487,S200000,00600,0200,235524 69487,S200000,00600,0300,04/28/1992 69487,S200000,00600,0600,P 69487,S200000,01600,0100,Y 69487,S200000,01900,0100,CORPORATION 69489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69489,A000000,00300,0000,00300EMPLOYEE BENEFITS 69489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69489,A000000,00700,0000,00700HOUSEKEEPING 69489,A000000,00800,0000,00800DIETARY 69489,A000000,00900,0000,00900NURSING ADMINISTRATION 69489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69489,A000000,01100,0000,01100PHARMACY 69489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69489,A000000,01300,0000,01300SOCIAL SERVICE 69489,A000000,01350,0000,01500ACTIVITIES 69489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69489,A000000,01600,0000,01600SKILLED NURSING FACILITY 69489,A000000,01800,0000,01800NURSING FACILITY 69489,A000000,01810,0000,01810ICF/MR 69489,A000000,02100,0000,02100RADIOLOGY 69489,A000000,02300,0000,02300INTRAVENOUS THERAPY 69489,A000000,02500,0000,02500PHYSICAL THERAPY 69489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69489,A000000,02700,0000,02700SPEECH PATHOLOGY 69489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69489,A000000,03550,0000,03550FQHC 69489,A000000,05000,0000,05000CORF 69489,A000000,05010,0000,05010CMHC 69489,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69489,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69489,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69489,A81000A,00100,0100,Y 69489,A81000B,00100,0300,MANAGEMENT FEE - HM OFFICE 69489,A81000C,00100,0100,B 69489,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 69489,B100000,00000,0100,00040SQUARE FEET 69489,B100000,00000,0200,00040SQUARE FEET 69489,B100000,00000,0300,00040GROSS SALARIES 69489,B100000,00000,0400,00040ACCUM. COST 69489,B100000,00000,0500,00040SQUARE FEET 69489,B100000,00000,0600,00040PATIENT DAYS 69489,B100000,00000,0700,00040PATIENT DAYS 69489,B100000,00000,0800,00040PATIENT DAYS 69489,B100000,00000,0900,00040PATIENT DAYS 69489,B100000,00000,1000,00040PATIENT DAYS 69489,B100000,00000,1100,00040PATIENT DAYS 69489,B100000,00000,1200,00040PATIENT DAYS 69489,B100000,00000,1300,00040PATIENT DAYS 69489,B100000,00000,1350,00040PATIENT DAYS 69489,B100000,00000,1400,00040ASSIGNED TIME 69489,S000000,00100,0200,03/08/2000 69489,S200000,00100,0100,1451 BRONSON WAY 69489,S200000,00200,0100,KALAMAZOO 69489,S200000,00200,0200,MI 69489,S200000,00300,0100,KALAMAZOO 69489,S200000,00400,0100,THE SPRINGS AT THE FOUNTAINS 69489,S200000,00400,0200,235524 69489,S200000,00400,0300,04/28/1992 69489,S200000,00400,0500,P 69489,S200000,01600,0100,Y 69489,S200000,01900,0100,NON PROFIT NON STOCK 69493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69493,A000000,00300,0000,00300EMPLOYEE BENEFITS 69493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69493,A000000,00700,0000,00700HOUSEKEEPING 69493,A000000,00800,0000,00800DIETARY 69493,A000000,00900,0000,00900NURSING ADMINISTRATION 69493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69493,A000000,01100,0000,01100PHARMACY 69493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69493,A000000,01300,0000,01300SOCIAL SERVICE 69493,A000000,01350,0000,01500DIVERSIONAL THERAPY 69493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69493,A000000,01600,0000,01600SKILLED NURSING FACILITY 69493,A000000,01810,0000,01810ICF/MR 69493,A000000,01900,0000,01900OTHER LONG TERM CARE 69493,A000000,02100,0000,02100RADIOLOGY 69493,A000000,02200,0000,02200LABORATORY 69493,A000000,02500,0000,02500PHYSICAL THERAPY 69493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69493,A000000,02700,0000,02700SPEECH PATHOLOGY 69493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69493,A000000,03200,0000,03200SUPPORT SURFACES 69493,A000000,03550,0000,03550FQHC 69493,A000000,05000,0000,05000CORF 69493,A000000,05010,0000,05010CMHC 69493,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69493,A000000,05300,0000,05300INTEREST EXPENSE 69493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69493,A81000A,00100,0100,Y 69493,A81000B,00100,0300,LEASE EXPENSE 69493,A81000B,00200,0300,GENERAL INSURANCE 69493,A81000B,00300,0300,LICENSE FEES 69493,A81000B,00400,0300,PROFESSIONAL FEES 69493,A81000B,00500,0300,MICHIGAN TAXES 69493,A81000B,00600,0300,PROPERTY TAXES 69493,A81000B,00700,0300,INTEREST EXPENSE 69493,A81000B,00800,0300,AMORTIZATION 69493,A81000B,00900,0300,DEPRECIATION 69493,A81000B,01000,0300,MORTGATE INSURANCE 69493,A81000B,01100,0300,BANK CHARGES 69493,A81000B,01200,0300,UNALLOWABLE INTEREST 69493,A81000B,01300,0300,MANAGEMENT FEES 69493,A81000C,00100,0100,A 69493,A81000C,00100,0200,STEVEN BANDSTRA 69493,A81000C,00100,0400,CCG PROP. - HT 69493,A81000C,00100,0600,REAL ESTATE COM 69493,A81000C,00200,0100,A 69493,A81000C,00200,0200,STEVEN BANDSTRA 69493,A81000C,00200,0400,CCG PROP. - HT 69493,A81000C,00200,0600,REAL ESTATE COM 69493,A81000C,00300,0100,A 69493,A81000C,00300,0200,STEVEN BANDSTRA 69493,A81000C,00300,0400,CCG PROP. - HT 69493,A81000C,00300,0600,REAL ESTATE COM 69493,A81000C,00400,0100,A 69493,A81000C,00400,0200,STEVEN BANDSTRA 69493,A81000C,00400,0400,CCG PROP. - HT 69493,A81000C,00400,0600,REAL ESTATE COM 69493,A81000C,00500,0100,A 69493,A81000C,00500,0200,STEVEN BANDSTRA 69493,A81000C,00500,0400,CCG PROP. - HT 69493,A81000C,00500,0600,REAL ESTATE COM 69493,A81000C,00600,0100,A 69493,A81000C,00600,0200,STEVEN BANDSTRA 69493,A81000C,00600,0400,CCG PROP. - HT 69493,A81000C,00600,0600,REAL ESTATE COM 69493,A81000C,00700,0100,A 69493,A81000C,00700,0200,STEVEN BANDSTRA 69493,A81000C,00700,0400,CCG PROP. - HT 69493,A81000C,00700,0600,REAL ESTATE COM 69493,A81000C,00800,0100,A 69493,A81000C,00800,0200,STEVEN BANDSTRA 69493,A81000C,00800,0400,CCG PROP. - HT 69493,A81000C,00800,0600,REAL ESTATE COM 69493,A81000C,00900,0100,A 69493,A81000C,00900,0200,STEVEN BANDSTRA 69493,A81000C,00900,0400,CCG PROP. - HT 69493,A81000C,00900,0600,REAL ESTATE COM 69493,A81000C,01000,0100,A 69493,A81000C,01000,0200,STEVEN BANDSTRA 69493,A81000C,01000,0400,CCG PROP. - HT 69493,A81000C,01000,0600,REAL ESTATE COM 69493,A81000C,01100,0100,A 69493,A81000C,01100,0200,STEVEN BANDSTRA 69493,A81000C,01100,0400,CCG PROP. - HT 69493,A81000C,01100,0600,REAL ESTATE COM 69493,A81000C,01200,0100,A 69493,A81000C,01200,0200,STEVEN BANDSTRA 69493,A81000C,01200,0400,CCG PROP. - HT 69493,A81000C,01200,0600,REAL ESTATE COM 69493,A81000C,01300,0100,A 69493,A81000C,01300,0200,STEVEN BANDSTRA 69493,A81000C,01300,0400,COMMUNITY CENTR 69493,A81000C,01300,0600,MANAGEMENT COMP 69493,B100000,00000,0100,00000SQUARE FEET 69493,B100000,00000,0200,00000SQUARE FEET 69493,B100000,00000,0300,00000GROSS SALARIES 69493,B100000,00000,0400,00000ACCUM COST 69493,B100000,00000,0500,00000SQUARE FEET 69493,B100000,00000,0600,00000POUNDS OF LAUNDRY 69493,B100000,00000,0700,00000HOURS OF SERVICE 69493,B100000,00000,0800,00000MEALS SERVED 69493,B100000,00000,0900,00000DIRECT NRSG HRS 69493,B100000,00000,1000,00000COSTED REQUIS 69493,B100000,00000,1100,00000COSTED REQUIS 69493,B100000,00000,1200,00000TIME SPENT 69493,B100000,00000,1300,00000TIME SPENT 69493,B100000,00000,1350,00000CENSUS 69493,B100000,00000,1400,00000ASSIGNED TIME 69493,S000000,00100,0200,05/22/2000 69493,S200000,00100,0100,320 EAST CENTRAL AVENUE 69493,S200000,00200,0100,ZEELAND 69493,S200000,00200,0200,MI 69493,S200000,00300,0100,OTTAWA 69493,S200000,00400,0100,HERITAGE HEALTHCARE CENTRE 69493,S200000,00400,0200,235525 69493,S200000,00400,0300,05/15/1992 69493,S200000,00400,0500,P 69493,S200000,01600,0100,Y 69493,S200000,01900,0100,CORPORATION 69493,S200000,02200,0100,Y 69496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69496,A000000,00300,0000,00300EMPLOYEE BENEFITS 69496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69496,A000000,00700,0000,00700HOUSEKEEPING 69496,A000000,00800,0000,00800DIETARY 69496,A000000,00900,0000,00900NURSING ADMINISTRATION 69496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69496,A000000,01100,0000,01100PHARMACY 69496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69496,A000000,01300,0000,01300SOCIAL SERVICE 69496,A000000,01350,0000,01500ACTIVITIES 69496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69496,A000000,01600,0000,01600SKILLED NURSING FACILITY 69496,A000000,01800,0000,01800NURSING FACILITY 69496,A000000,01810,0000,01810ICF/MR 69496,A000000,02100,0000,02100RADIOLOGY 69496,A000000,02200,0000,02200LABORATORY 69496,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69496,A000000,02500,0000,02500PHYSICAL THERAPY 69496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69496,A000000,02700,0000,02700SPEECH PATHOLOGY 69496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69496,A000000,03550,0000,03550FQHC 69496,A000000,05000,0000,05000CORF 69496,A000000,05010,0000,05010CMHC 69496,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69496,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 69496,A000000,05300,0000,05300INTEREST EXPENSE 69496,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69496,A000000,06150,0000,06300CABLE TV 69496,A000000,06151,0000,06350ICE CREAM PARLOR 69496,A000000,06152,0000,06360RENTED P/T SPACE 69496,A81000A,00100,0100,Y 69496,A81000B,00100,0300,LAUNDRY COSTS 69496,A81000B,00200,0300,HOME OFFICE-ADMIN&GE 69496,A81000B,00300,0300,HOME OFFICE-BENEFITS 69496,A81000B,00400,0300,DRUGS FOR PATIENTS 69496,A81000B,00500,0300,PAT TRANSPORT COSTS 69496,A81000B,00600,0300,MEALS FOR PATIENTS 69496,A81000B,00700,0300,GENERAL SUPPLIES 69496,A81000C,00100,0100,G 69496,A81000C,00100,0400,NORTHERN MICH H 69496,A81000C,00100,0600,HOSPITAL 69496,A81000C,00200,0100,G 69496,A81000C,00200,0400,HEALTHSHARE IN 69496,A81000C,00200,0600,PARENT CORPORAT 69496,A81000C,00300,0100,G 69496,A81000C,00300,0400,HEALTHSHARE IN 69496,A81000C,00300,0600,PARENT CORPORAT 69496,A81000C,00400,0100,G 69496,A81000C,00400,0400,NORTHERN MICH H 69496,A81000C,00400,0600,HOSPITAL 69496,A81000C,00500,0100,G 69496,A81000C,00500,0400,LIFE LINK AMBUL 69496,A81000C,00500,0600,AMBULANCE SERVI 69496,A81000C,00600,0100,G 69496,A81000C,00600,0400,NORTHERN MICH H 69496,A81000C,00600,0600,HOSPITAL 69496,A81000C,00700,0100,G 69496,A81000C,00700,0400,NORTHERN MICH H 69496,A81000C,00700,0600,HOSPITAL 69496,B100000,00000,0100,00060(SQUARE FEET) 69496,B100000,00000,0200,00060(SQUARE FEET) 69496,B100000,00000,0300,00060GROSS SALARIES 69496,B100000,00000,0400,00060(ACCUM COST) 69496,B100000,00000,0500,00060(SQUARE FEET) 69496,B100000,00000,0600,00060POUNDS OF LAUNDRY 69496,B100000,00000,0700,00060(SQUARE FEET) 69496,B100000,00000,0800,00060(MEALS SERVED) 69496,B100000,00000,0900,00060PATIENT DAYS 69496,B100000,00000,1000,00060(COSTED REQUIS) 69496,B100000,00000,1100,00060(COSTED REQUIS) 69496,B100000,00000,1200,00060(HOURS OF SERVIC) 69496,B100000,00000,1300,00060PATIENT DAYS 69496,B100000,00000,1350,00060PATIENT DAYS 69496,B100000,00000,1400,00060(ASSIGNED TIME) 69496,S000000,00100,0200,05/24/2000 69496,S200000,00100,0100,14676 WEST UPRIGHT 69496,S200000,00200,0100,CHARLEVOIX 69496,S200000,00200,0200,MICHIGAN 69496,S200000,00200,0300,49720 69496,S200000,00300,0100,CHARLEVOIX 69496,S200000,00400,0100,BOULDER PARK TERRACE 69496,S200000,00400,0200,235526 69496,S200000,00400,0300,06/01/1992 69496,S200000,00400,0500,P 69496,S200000,00400,0600,O 69496,S200000,00600,0200,235526 69496,S200000,00600,0300,06/01/1992 69496,S200000,00600,0600,P 69496,S200000,01600,0100,Y 69498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69498,A000000,00300,0000,00300EMPLOYEE BENEFITS 69498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69498,A000000,00700,0000,00700HOUSEKEEPING 69498,A000000,00800,0000,00800DIETARY 69498,A000000,00900,0000,00900NURSING ADMINISTRATION 69498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69498,A000000,01100,0000,01100PHARMACY 69498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69498,A000000,01300,0000,01300SOCIAL SERVICE 69498,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69498,A000000,01600,0000,01600SKILLED NURSING FACILITY 69498,A000000,01810,0000,01810ICF/MR 69498,A000000,02100,0000,02100RADIOLOGY 69498,A000000,02200,0000,02200LABORATORY 69498,A000000,02500,0000,02500PHYSICAL THERAPY 69498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69498,A000000,02700,0000,02700SPEECH PATHOLOGY 69498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69498,A000000,03550,0000,03550FQHC 69498,A000000,05000,0000,05000CORF 69498,A000000,05010,0000,05010CMHC 69498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69498,A81000A,00100,0100,Y 69498,A81000B,00100,0300,MANAGEMENT FEES 69498,A81000C,00100,0100,A 69498,A81000C,00100,0200,MOHAMMAD A. QAZ 69498,A81000C,00100,0400,CIENA HEALTHCAR 69498,A81000C,00100,0600,MANAGEMENT 69498,B100000,00000,0100,00040SQUARE FEET 69498,B100000,00000,0200,00040SQUARE FEET 69498,B100000,00000,0300,00040GROSS SALARIES 69498,B100000,00000,0400,00040ACCUM COST 69498,B100000,00000,0500,00040SQUARE FEET 69498,B100000,00000,0600,00040PATIENT DAYS 69498,B100000,00000,0700,00040SQUARE FEET 69498,B100000,00000,0800,00040MEALS SERVED 69498,B100000,00000,0900,00040PATIENT DAYS 69498,B100000,00000,1000,00040COSTED REQUIS 69498,B100000,00000,1100,00040COSTED REQUIS 69498,B100000,00000,1200,00040PATIENT DAYS 69498,B100000,00000,1300,00040PATIENT DAYS 69498,B100000,00000,1350,00040PATIENT DAYS 69498,B100000,00000,1400,00040ASSIGNED TIME 69498,S000000,00100,0200,08/04/2000 69498,S200000,00100,0100,15063 GRATIOT AVE 69498,S200000,00200,0100,DETROIT 69498,S200000,00200,0200,MI 69498,S200000,00200,0300,48205 69498,S200000,00300,0100,WAYNE 69498,S200000,00400,0100,ST. JAMES NURSING CENTER 69498,S200000,00400,0200,235527 69498,S200000,00400,0300,06/24/1992 69498,S200000,00400,0500,P 69498,S200000,01500,0100,Y 69498,S200000,01900,0100,CORPORATION 69502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69502,A000000,00300,0000,00300EMPLOYEE BENEFITS 69502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69502,A000000,00700,0000,00700HOUSEKEEPING 69502,A000000,00800,0000,00800DIETARY 69502,A000000,00900,0000,00900NURSING ADMINISTRATION 69502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69502,A000000,01100,0000,01100PHARMACY 69502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69502,A000000,01300,0000,01300SOCIAL SERVICE 69502,A000000,01350,0000,01500ACTIVITIES 69502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69502,A000000,01600,0000,01600SKILLED NURSING FACILITY 69502,A000000,01800,0000,01800NURSING FACILITY 69502,A000000,01810,0000,01810ICF/MR 69502,A000000,01900,0000,01900OTHER LONG TERM CARE 69502,A000000,02100,0000,02100RADIOLOGY 69502,A000000,02200,0000,02200LABORATORY 69502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69502,A000000,02500,0000,02500PHYSICAL THERAPY 69502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69502,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69502,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69502,A000000,03550,0000,03550FQHC 69502,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69502,A000000,05000,0000,05000CORF 69502,A000000,05010,0000,05010CMHC 69502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69502,A000000,05300,0000,05300INTEREST EXPENSE 69502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69502,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 69502,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69502,A81000A,00100,0100,Y 69502,A81000B,00100,0300,MANAGEMENT FEES 69502,A81000C,00100,0100,G 69502,A81000C,00100,0200,PRESBYTERIAN VILLAGE EAST 69502,A81000C,00100,0400,PRESB VILLAGES OF MICH 69502,A81000C,00100,0600,HOME OFFICE 69502,B100000,00000,0100,00000SQUARE FEET 69502,B100000,00000,0200,00000SQUARE FEET 69502,B100000,00000,0300,00000GROSS SALARIES 69502,B100000,00000,0400,00000ACCUM. COST 69502,B100000,00000,0500,00000SQUARE FEET 69502,B100000,00000,0600,00000POUNDS 69502,B100000,00000,0700,00000TIME SPENT 69502,B100000,00000,0800,00000MEALS 69502,B100000,00000,0900,00000HOURS 69502,B100000,00000,1000,00000HOURS 69502,B100000,00000,1100,00000NO STATISTICS 69502,B100000,00000,1200,00000TIME SPENT 69502,B100000,00000,1300,00000TIME SPENT 69502,B100000,00000,1350,00000TIME SPENT 69502,B100000,00000,1400,00000TIME SPENT 69502,S000000,00100,0200,05/31/2000 69502,S200000,00100,0100,33875 KIELY DRIVE 69502,S200000,00200,0100,CHESTERFIELD TOWNSHIP 69502,S200000,00200,0200,MI 69502,S200000,00300,0100,MACOMB 69502,S200000,00400,0100,PRESBYTERIAN VILLAGE EAST 69502,S200000,00400,0200,235528 69502,S200000,00400,0300,08/03/1992 69502,S200000,00400,0500,P 69502,S200000,00400,0600,O 69502,S200000,01500,0100,Y 69502,S200000,01900,0100,CORPORATION 69502,S200000,02200,0100,Y 69502,S200000,02800,0100,Y 69508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69508,A000000,00300,0000,00300EMPLOYEE BENEFITS 69508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69508,A000000,00700,0000,00700HOUSEKEEPING 69508,A000000,00800,0000,00800DIETARY 69508,A000000,00900,0000,00900NURSING ADMINISTRATION 69508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69508,A000000,01100,0000,01100PHARMACY 69508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69508,A000000,01300,0000,01300SOCIAL SERVICE 69508,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69508,A000000,01600,0000,01600SKILLED NURSING FACILITY 69508,A000000,01810,0000,01810ICF/MR 69508,A000000,02100,0000,02100RADIOLOGY 69508,A000000,02200,0000,02200LABORATORY 69508,A000000,02500,0000,02500PHYSICAL THERAPY 69508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69508,A000000,02700,0000,02700SPEECH PATHOLOGY 69508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69508,A000000,03200,0000,03200SUPPORT SURFACES 69508,A000000,03550,0000,03550FQHC 69508,A000000,05000,0000,05000CORF 69508,A000000,05010,0000,05010CMHC 69508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69508,A000000,05300,0000,05300INTEREST EXPENSE 69508,A81000A,00100,0100,Y 69508,A81000B,00100,0300,RENT (DEPRECIATION) 69508,A81000B,00200,0300,RENT (INTEREST) 69508,A81000B,00300,0300,MANAGEMENT FEES 69508,A81000C,00100,0100,A 69508,A81000C,00100,0200,MOHAMMAD A. QAZ 69508,A81000C,00100,0400,H&A INVESTMENTS 69508,A81000C,00100,0600,REAL ESTATE 69508,A81000C,00200,0100,A 69508,A81000C,00200,0200,MOHAMMAD A. QAZ 69508,A81000C,00200,0400,CIENA HEALTHCAR 69508,A81000C,00200,0600,MANAGEMENT 69508,B100000,00000,0100,00000SQUARE FEET 69508,B100000,00000,0200,00000SQUARE FEET 69508,B100000,00000,0300,00000GROSS SALARIES 69508,B100000,00000,0400,00000ACCUM COST 69508,B100000,00000,0500,00000SQUARE FEET 69508,B100000,00000,0600,00000PATIENT DAYS 69508,B100000,00000,0700,00000SQUARE FEET 69508,B100000,00000,0800,00000MEALS SERVED 69508,B100000,00000,0900,00000PATIENT DAYS 69508,B100000,00000,1000,00000COSTED REQUIS 69508,B100000,00000,1100,00000COSTED REQUIS 69508,B100000,00000,1200,00000PATIENT DAYS 69508,B100000,00000,1300,00000PATIENT DAYS 69508,B100000,00000,1350,00000PATIENT DAYS 69508,B100000,00000,1400,00000ASSIGNED TIME 69508,S000000,00100,0200,06/12/2000 69508,S200000,00100,0100,440 EAST GRAND BLVD 69508,S200000,00200,0100,DETROIT 69508,S200000,00200,0200,MI 69508,S200000,00200,0300,48207 69508,S200000,00300,0100,WAYNE 69508,S200000,00400,0100,ALPHA MANOR 69508,S200000,00400,0200,235531 69508,S200000,00400,0300,09/01/1997 69508,S200000,00400,0500,P 69508,S200000,01500,0100,Y 69508,S200000,01900,0100,OTHER 69512,S000000,00100,0200,05/22/2000 69516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69516,A000000,00300,0000,00300EMPLOYEE BENEFITS 69516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69516,A000000,00700,0000,00700HOUSEKEEPING 69516,A000000,00800,0000,00800DIETARY 69516,A000000,00900,0000,00900NURSING ADMINISTRATION 69516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69516,A000000,01100,0000,01100PHARMACY 69516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69516,A000000,01300,0000,01300SOCIAL SERVICE 69516,A000000,01350,0000,01500RECREATIONAL THERAPY 69516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69516,A000000,01600,0000,01600SKILLED NURSING FACILITY 69516,A000000,01810,0000,01810ICF/MR 69516,A000000,02100,0000,02100RADIOLOGY 69516,A000000,02200,0000,02200LABORATORY 69516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69516,A000000,02500,0000,02500PHYSICAL THERAPY 69516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69516,A000000,02700,0000,02700SPEECH PATHOLOGY 69516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69516,A000000,03050,0000,03300INSULIN TESTING 69516,A000000,03200,0000,03200SUPPORT SURFACES 69516,A000000,03550,0000,03550FQHC 69516,A000000,04800,0000,04800AMBULANCE 69516,A000000,05000,0000,05000CORF 69516,A000000,05010,0000,05010CMHC 69516,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69516,A000000,05300,0000,05300INTEREST EXPENSE 69516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69516,A81000A,00100,0100,Y 69516,A81000B,00100,0300,HOME OFFICE COST 69516,A81000C,00100,0100,B 69516,A81000C,00100,0400,LSS OF MICHIGAN 69516,A81000C,00100,0600,SOCIAL SERVICES 69516,B100000,00000,0100,00000SQUARE FEET 69516,B100000,00000,0200,00000SQUARE FEET 69516,B100000,00000,0300,00000GROSS SALARIES 69516,B100000,00000,0400,00000ACCUM COST 69516,B100000,00000,0500,00000SQUARE FEET 69516,B100000,00000,0600,00000POUNDS OF LAUNDRY 69516,B100000,00000,0700,00000HOURS OF SERVICE 69516,B100000,00000,0800,00000MEALS SERVED 69516,B100000,00000,0900,00000DIRECT NRSG HRS 69516,B100000,00000,1000,00000COSTED REQUIS 69516,B100000,00000,1100,00000COSTED REQUIS 69516,B100000,00000,1200,00000TIME SPENT 69516,B100000,00000,1300,00000TIME SPENT 69516,B100000,00000,1350,00000TIME SPENT 69516,B100000,00000,1400,00000ASSIGNED TIME 69516,S000000,00100,0200,06/02/2000 69516,S200000,00100,0100,1430 ALAMO AVENUE 69516,S200000,00200,0100,KALAMAZOO 69516,S200000,00200,0200,MI 69516,S200000,00200,0300,49007 69516,S200000,00300,0100,KALAMAZOO 69516,S200000,00400,0100,HILLSIDE LUTHERAN MANOR 69516,S200000,00400,0200,235534 69516,S200000,00400,0300,05/03/1993 69516,S200000,00400,0500,P 69516,S200000,01500,0100,Y 69516,S200000,01900,0100,OTHER 69516,S200000,02200,0100,Y 69516,S200000,02800,0100,Y 69516,S200000,04700,0100,Y 69518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69518,A000000,00300,0000,00300EMPLOYEE BENEFITS 69518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69518,A000000,00700,0000,00700HOUSEKEEPING 69518,A000000,00800,0000,00800DIETARY 69518,A000000,00900,0000,00900NURSING ADMINISTRATION 69518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69518,A000000,01100,0000,01100PHARMACY 69518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69518,A000000,01300,0000,01300SOCIAL SERVICE 69518,A000000,01350,0000,01500DIVERSIONAL THERAPY 69518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69518,A000000,01600,0000,01600SKILLED NURSING FACILITY 69518,A000000,01810,0000,01810ICF/MR 69518,A000000,02100,0000,02100RADIOLOGY 69518,A000000,02200,0000,02200LABORATORY 69518,A000000,02500,0000,02500PHYSICAL THERAPY 69518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69518,A000000,03550,0000,03550FQHC 69518,A000000,05000,0000,05000CORF 69518,A000000,05010,0000,05010CMHC 69518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69518,A000000,05300,0000,05300INTEREST EXPENSE 69518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69518,A81000A,00100,0100,Y 69518,A81000B,00100,0300,LEASE EXPENSE 69518,A81000B,00200,0300,GENERAL INSURANCE 69518,A81000B,00300,0300,LICENSE FEES 69518,A81000B,00400,0300,PROFESSIONAL FEES 69518,A81000B,00500,0300,PROPERTY TAXES 69518,A81000B,00600,0300,LONG TERM INTEREST 69518,A81000B,00700,0300,AMORTIZATION 69518,A81000B,00800,0300,DEPRECIATION 69518,A81000B,00900,0300,MORTGAGE INSURANCE 69518,A81000B,01000,0300,MANAGEMENT FEES 69518,A81000C,00100,0100,A 69518,A81000C,00100,0200,STEVEN BANDSTRA 69518,A81000C,00100,0400,CCG PROP. - RS 69518,A81000C,00100,0600,REAL ESTATE COM 69518,A81000C,00200,0100,A 69518,A81000C,00200,0200,STEVEN BANDSTRA 69518,A81000C,00200,0400,CCG PROP. - RS 69518,A81000C,00200,0600,REAL ESTATE COM 69518,A81000C,00300,0100,A 69518,A81000C,00300,0200,STEVEN BANDSTRA 69518,A81000C,00300,0400,CCG PROP. - RS 69518,A81000C,00300,0600,REAL ESTATE COM 69518,A81000C,00400,0100,A 69518,A81000C,00400,0200,STEVEN BANDSTRA 69518,A81000C,00400,0400,CCG PROP. - RS 69518,A81000C,00400,0600,REAL ESTATE COM 69518,A81000C,00500,0100,A 69518,A81000C,00500,0200,STEVEN BANDSTRA 69518,A81000C,00500,0400,CCG PROP. - RS 69518,A81000C,00500,0600,REAL ESTATE COM 69518,A81000C,00600,0100,A 69518,A81000C,00600,0200,STEVEN BANDSTRA 69518,A81000C,00600,0400,CCG PROP. - RS 69518,A81000C,00600,0600,REAL ESTATE COM 69518,A81000C,00700,0100,A 69518,A81000C,00700,0200,STEVEN BANDSTRA 69518,A81000C,00700,0400,CCG PROP. - RS 69518,A81000C,00700,0600,REAL ESTATE COM 69518,A81000C,00800,0100,A 69518,A81000C,00800,0200,STEVEN BANDSTRA 69518,A81000C,00800,0400,CCG PROP. - RS 69518,A81000C,00800,0600,REAL ESTATE COM 69518,A81000C,00900,0100,A 69518,A81000C,00900,0200,STEVEN BANDSTRA 69518,A81000C,00900,0400,CCG PROP. - RS 69518,A81000C,00900,0600,REAL ESTATE COM 69518,A81000C,01000,0100,A 69518,A81000C,01000,0200,STEVEN BANDSTRA 69518,A81000C,01000,0400,COMMUNITY CENTR 69518,A81000C,01000,0600,MANAGMENT COMPA 69518,B100000,00000,0100,00000SQUARE FEET 69518,B100000,00000,0200,00000SQUARE FEET 69518,B100000,00000,0300,00000GROSS SALARIES 69518,B100000,00000,0400,00000ACCUM COST 69518,B100000,00000,0500,00000SQUARE FEET 69518,B100000,00000,0600,00000POUNDS OF LAUNDRY 69518,B100000,00000,0700,00000HOURS OF SERVICE 69518,B100000,00000,0800,00000MEALS SERVED 69518,B100000,00000,0900,00000DIRECT NRSG HRS 69518,B100000,00000,1000,00000COSTED REQUIS 69518,B100000,00000,1100,00000COSTED REQUIS 69518,B100000,00000,1200,00000TIME SPENT 69518,B100000,00000,1300,00000TIME SPENT 69518,B100000,00000,1350,00000 69518,B100000,00000,1400,00000ASSIGNED TIME 69518,S000000,00100,0200,05/22/2000 69518,S200000,00100,0100,415 FRIANT STREET 69518,S200000,00200,0100,GRAND HAVEN 69518,S200000,00200,0200,MI 69518,S200000,00200,0300,49417 69518,S200000,00300,0100,OTTAWA 69518,S200000,00400,0100,RIVERSIDE NURSING CENTRE 69518,S200000,00400,0200,235535 69518,S200000,00400,0300,01/01/1996 69518,S200000,00400,0500,P 69518,S200000,01500,0100,Y 69518,S200000,01900,0100,OTHER 69518,S200000,02200,0100,Y 69521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69521,A000000,00300,0000,00300EMPLOYEE BENEFITS 69521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69521,A000000,00700,0000,00700HOUSEKEEPING 69521,A000000,00800,0000,00800DIETARY 69521,A000000,00900,0000,00900NURSING ADMINISTRATION 69521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69521,A000000,01100,0000,01100PHARMACY 69521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69521,A000000,01300,0000,01300SOCIAL SERVICE 69521,A000000,01350,0000,01500DIVERSIONAL THERAPY 69521,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69521,A000000,01600,0000,01600SKILLED NURSING FACILITY 69521,A000000,01800,0000,01800NURSING FACILITY 69521,A000000,01810,0000,01810ICF/MR 69521,A000000,02100,0000,02100RADIOLOGY 69521,A000000,02200,0000,02200LABORATORY 69521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69521,A000000,02500,0000,02500PHYSICAL THERAPY 69521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69521,A000000,02700,0000,02700SPEECH PATHOLOGY 69521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69521,A000000,03200,0000,03200SUPPORT SURFACES 69521,A000000,03550,0000,03550FQHC 69521,A000000,05000,0000,05000CORF 69521,A000000,05010,0000,05010CMHC 69521,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69521,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69521,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69521,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69521,A81000A,00100,0100,Y 69521,A81000B,00100,0300,MANAGEMENT FEE 69521,A81000B,00200,0300,MANAGEMENT FEE 69521,A81000C,00100,0100,A 69521,A81000C,00100,0200,JOHN HUPP 69521,A81000C,00100,0400,JOHN HUPP & ASS 69521,B100000,00000,0100,00000SQUARE FEET 69521,B100000,00000,0200,00000SQUARE FEET 69521,B100000,00000,0300,00000GROSS SALARIES 69521,B100000,00000,0400,00000ACCUM COST 69521,B100000,00000,0500,00000SQUARE FEET 69521,B100000,00000,0600,00000PATIENT DAYS 69521,B100000,00000,0700,00000SQUARE FEET 69521,B100000,00000,0800,00000MEALS SERVED 69521,B100000,00000,0900,00000PATIENT DAYS 69521,B100000,00000,1000,00000COSTED REQUIS 69521,B100000,00000,1100,00000COSTED REQUIS 69521,B100000,00000,1200,00000TIME SPENT 69521,B100000,00000,1300,00000PATIENT DAYS 69521,B100000,00000,1350,00000PATIENT DAYS 69521,B100000,00000,1400,00000ASSIGNED TIME 69521,S000000,00100,0200,06/06/2000 69521,S200000,00100,0100,9230 CEDAR KNOLL DR. 69521,S200000,00200,0100,GRASS LAKE 69521,S200000,00200,0200,MI 69521,S200000,00200,0300,49240 69521,S200000,00300,0100,JACKSON 69521,S200000,00400,0100,CEDAR KNOLL CARE CENTER 69521,S200000,00400,0200,235537 69521,S200000,00400,0300,01/01/1999 69521,S200000,00400,0500,P 69521,S200000,01600,0100,Y 69521,S200000,01900,0100,OTHER 69529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69529,A000000,00300,0000,00300EMPLOYEE BENEFITS 69529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69529,A000000,00700,0000,00700HOUSEKEEPING 69529,A000000,00800,0000,00800DIETARY 69529,A000000,00900,0000,00900NURSING ADMINISTRATION 69529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69529,A000000,01100,0000,01100PHARMACY 69529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69529,A000000,01300,0000,01300SOCIAL SERVICE 69529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69529,A000000,01600,0000,01600SKILLED NURSING FACILITY 69529,A000000,01810,0000,01810ICF/MR 69529,A000000,01900,0000,01900OTHER LONG TERM CARE 69529,A000000,02100,0000,02100RADIOLOGY 69529,A000000,02200,0000,02200LABORATORY 69529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69529,A000000,02500,0000,02500PHYSICAL THERAPY 69529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69529,A000000,02700,0000,02700SPEECH PATHOLOGY 69529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69529,A000000,03050,0000,033002 69529,A000000,03051,0000,033012 69529,A000000,03052,0000,033022 69529,A000000,03450,0000,036002 69529,A000000,03550,0000,03550FQHC 69529,A000000,04750,0000,051002 69529,A000000,05000,0000,05000CORF I 69529,A000000,05010,0000,05010CMHC I 69529,A000000,05020,0000,05020OPT I 69529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69529,A000000,05350,0000,056002 69529,A000000,05351,0000,056012 69529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69529,A000000,06150,0000,063002 69529,A81000A,00100,0100,Y 69529,A81000B,00100,0300,LAUNDRY 69529,A81000B,00200,0300,PHYSICAL THERAPY 69529,A81000B,00300,0300,OCCUPATIONAL THERPAY 69529,A81000B,00400,0300,SPEECH THERAPY 69529,A81000B,00500,0300,HOME OFFICE 69529,A81000B,00600,0300,HOME OFFICE 69529,A81000C,00100,0100,G 69529,A81000C,00100,0200,HH FULTON MANO 69529,A81000C,00100,0400,HH FULTON MAN 69529,A81000C,00100,0600,SNF 69529,A81000C,00200,0100,G 69529,A81000C,00200,0200,REHAB DIM OF HH 69529,A81000C,00200,0400,REHAB DIM OF HH 69529,A81000C,00200,0600,OUT PT REHAB 69529,A81000C,00300,0100,G 69529,A81000C,00300,0200,REHAB DIM OF HH 69529,A81000C,00300,0400,REHAB DIM OF HH 69529,A81000C,00300,0600,OUT PT REHAB 69529,A81000C,00400,0100,G 69529,A81000C,00400,0200,HOMECARE AGENC 69529,A81000C,00400,0400,HOMECARE AGENC 69529,A81000C,00400,0600,HOME CARE AGENY 69529,B100000,00000,0100,00000(SQUARE FEET) 69529,B100000,00000,0200,00000(SQUARE FEET) 69529,B100000,00000,0300,00000(DOLLAR VALUE) 69529,B100000,00000,0400,00000(ACCUM. COST) 69529,B100000,00000,0500,00000(SQUARE FEET) 69529,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 69529,B100000,00000,0700,00000(HOURS OF SERVICE) 69529,B100000,00000,0800,00000(MEALS SERVED) 69529,B100000,00000,0900,00000(DIRECT NRSING HRS 69529,B100000,00000,1000,00000(COSTED REQUIS.) 69529,B100000,00000,1100,00000(COSTED REQUIS.) 69529,B100000,00000,1200,00000(TIME SPENT) 69529,B100000,00000,1300,00000(TIME SPENT) 69529,B100000,00000,1400,00000(ASSIGNED TIME) 69529,E10A180,00550,0300,03/07/2001 69529,S000000,00100,0200,05/31/2000 69529,S200000,00100,0100,2589 44TH ST 69529,S200000,00200,0100,GRAND RAPIDS 69529,S200000,00200,0200,MI 69529,S200000,00200,0300,49512 69529,S200000,00300,0100,KENT 69529,S200000,00400,0100,HOLLAND HOME BRETON MANOR 69529,S200000,00400,0200,235540 69529,S200000,00400,0300,09/01/1993 69529,S200000,00400,0500,P 69529,S200000,01500,0100,Y 69529,S200000,01900,0100,OTHER 69532,S000000,00100,0200,05/22/2000 69540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69540,A000000,00300,0000,00300EMPLOYEE BENEFITS 69540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69540,A000000,00700,0000,00700HOUSEKEEPING 69540,A000000,00800,0000,00800DIETARY 69540,A000000,00900,0000,00900NURSING ADMINISTRATION 69540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69540,A000000,01100,0000,01100PHARMACY 69540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69540,A000000,01300,0000,01300SOCIAL SERVICE 69540,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69540,A000000,01600,0000,01600SKILLED NURSING FACILITY 69540,A000000,01810,0000,01810ICF/MR 69540,A000000,02100,0000,02100RADIOLOGY 69540,A000000,02200,0000,02200LABORATORY 69540,A000000,02500,0000,02500PHYSICAL THERAPY 69540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69540,A000000,02700,0000,02700SPEECH PATHOLOGY 69540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69540,A000000,03550,0000,03550FQHC 69540,A000000,05000,0000,05000CORF 69540,A000000,05010,0000,05010CMHC 69540,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69540,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69540,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69540,A81000A,00100,0100,Y 69540,A81000B,00100,0300,MANAGEMENT FEES 69540,A81000B,00200,0300,MANAGEMENT FEES 69540,A81000C,00100,0100,A 69540,A81000C,00100,0200,MOHAMMAD A. QAZ 69540,A81000C,00100,0400,CIENA HEALTHCAR 69540,A81000C,00100,0600,MANAGEMENT 69540,B100000,00000,0100,00000SQUARE FEET 69540,B100000,00000,0200,00000SQUARE FEET 69540,B100000,00000,0300,00000GROSS SALARIES 69540,B100000,00000,0400,00000ACCUM COST 69540,B100000,00000,0500,00000SQUARE FEET 69540,B100000,00000,0600,00000PATIENT DAYS 69540,B100000,00000,0700,00000SQUARE FEET 69540,B100000,00000,0800,00000MEALS SERVED 69540,B100000,00000,0900,00000PATIENT DAYS 69540,B100000,00000,1000,00000COSTED REQUIS 69540,B100000,00000,1100,00000COSTED REQUIS 69540,B100000,00000,1200,00000PATIENT DAYS 69540,B100000,00000,1300,00000PATIENT DAYS 69540,B100000,00000,1350,00000PATIENT DAYS 69540,B100000,00000,1400,00000ASSIGNED TIME 69540,S000000,00100,0200,08/04/2000 69540,S200000,00100,0100,8633 N. MAIN 69540,S200000,00200,0100,WHITMORE LAKE 69540,S200000,00200,0200,MI 69540,S200000,00200,0300,48189 69540,S200000,00300,0100,WASHTENAW 69540,S200000,00400,0100,NORTHFIELD PLACE 69540,S200000,00400,0200,235545 69540,S200000,00400,0300,11/08/1994 69540,S200000,00400,0500,P 69540,S200000,01500,0100,Y 69544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69544,A000000,00300,0000,00300EMPLOYEE BENEFITS 69544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69544,A000000,00700,0000,00700HOUSEKEEPING 69544,A000000,00800,0000,00800DIETARY 69544,A000000,00900,0000,00900NURSING ADMINISTRATION 69544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69544,A000000,01100,0000,01100PHARMACY 69544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69544,A000000,01300,0000,01300SOCIAL SERVICE 69544,A000000,01350,0000,01500DIVERSIONAL THERAPY 69544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69544,A000000,01600,0000,01600SKILLED NURSING FACILITY 69544,A000000,01800,0000,01800NURSING FACILITY 69544,A000000,01810,0000,01810ICF/MR 69544,A000000,03050,0000,03300ALL ANCILLARIES 69544,A000000,03550,0000,03550FQHC 69544,A000000,05000,0000,05000CORF 69544,A000000,05010,0000,05010CMHC 69544,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69544,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69544,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 69544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69544,A81000A,00100,0100,Y 69544,A81000B,00100,0300,MANAGEMENT FEES 69544,A81000C,00100,0100,A 69544,A81000C,00100,0200,JAMES BRANSCUM 69544,A81000C,00100,0400,NEXCARE HEALTH 69544,A81000C,00100,0600,MANAGEMENT SVCS 69544,B100000,00000,0100,00000SQUARE FEET 69544,B100000,00000,0200,00000SQUARE FEET 69544,B100000,00000,0300,00000GROSS SALARIES 69544,B100000,00000,0400,00000ACCUM COST 69544,B100000,00000,0500,00000SQUARE FEET 69544,B100000,00000,0600,00000CENSUS 69544,B100000,00000,0700,00000SQUARE FOOT 69544,B100000,00000,0800,00000MEALS 69544,B100000,00000,0900,00000DIRECT NRSG HRS 69544,B100000,00000,1000,00000COSTED REQUIS 69544,B100000,00000,1100,00000COSTED REQUIS 69544,B100000,00000,1200,00000CENSUS 69544,B100000,00000,1300,00000CENSUS 69544,B100000,00000,1350,00000CENSUS 69544,B100000,00000,1400,00000ASSIGNED TIME 69544,S000000,00100,0200,05/30/2000 69544,S200000,00100,0100,37700 HARPER 69544,S200000,00200,0100,CLINTON TWP 69544,S200000,00200,0200,MI 69544,S200000,00200,0300,48036 69544,S200000,00300,0100,MACOMB 69544,S200000,00400,0100,LAKEPOINTE VILLA NURSING CENTRE 69544,S200000,00400,0200,235547 69544,S200000,00400,0300,12/22/1993 69544,S200000,00400,0500,P 69544,S200000,00400,0600,O 69544,S200000,00600,0200,235547 69544,S200000,00600,0300,12/22/1993 69544,S200000,01600,0100,Y 69544,S200000,01900,0100,AFFL. W/MERCY HOSPIT 69547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69547,A000000,00300,0000,00300EMPLOYEE BENEFITS 69547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69547,A000000,00700,0000,00700HOUSEKEEPING 69547,A000000,00800,0000,00800DIETARY 69547,A000000,00900,0000,00900NURSING ADMINISTRATION 69547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69547,A000000,01100,0000,01100PHARMACY 69547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69547,A000000,01300,0000,01300SOCIAL SERVICE 69547,A000000,01350,0000,01500ACTIVITIES 69547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69547,A000000,01600,0000,01600SKILLED NURSING FACILITY 69547,A000000,01800,0000,01800NURSING FACILITY 69547,A000000,01810,0000,01810ICF/MR 69547,A000000,01900,0000,01900OTHER LONG TERM CARE 69547,A000000,02100,0000,02100RADIOLOGY 69547,A000000,02200,0000,02200LABORATORY 69547,A000000,02300,0000,02300INTRAVENOUS THERAPY 69547,A000000,02500,0000,02500PHYSICAL THERAPY 69547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69547,A000000,02700,0000,02700SPEECH PATHOLOGY 69547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69547,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69547,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69547,A000000,03550,0000,03550FQHC 69547,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69547,A000000,05000,0000,05000CORF 69547,A000000,05010,0000,05010CMHC 69547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69547,A000000,05300,0000,05300INTEREST EXPENSE 69547,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69547,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69547,A81000A,00100,0100,Y 69547,A81000B,00100,0300,MANAGEMENT FEES 69547,A81000B,00200,0300,HO PROPERTY 69547,A81000C,00100,0100,B 69547,A81000C,00100,0400,AMERICAN RETIREMENT CORP 69547,A81000C,00100,0600,MANAGEMENT COMPANY 69547,A81000C,00200,0100,B 69547,A81000C,00200,0400,AMERICAN RETIREMENT CORP 69547,A81000C,00200,0600,MANAGEMENT COMPANY 69547,B100000,00000,0100,00000SQUARE FEET 69547,B100000,00000,0200,00000SQUARE FEET 69547,B100000,00000,0300,00000GROSS SALARIES 69547,B100000,00000,0400,00000ACCUM. COST 69547,B100000,00000,0500,00000SQUARE FEET 69547,B100000,00000,0600,00000PATIENT DAYS 69547,B100000,00000,0700,00000MODIFIED SQ. FT. 69547,B100000,00000,0800,00000MEALS SERVED 69547,B100000,00000,0900,00000NURSING HOURS 69547,B100000,00000,1000,00000PATIENT DAYS 69547,B100000,00000,1100,00000MEALS SERVED 69547,B100000,00000,1200,00000PATIENT DAYS (MOD) 69547,B100000,00000,1300,00000PATIENT DAYS 69547,B100000,00000,1350,00000PATIENT DAYS 69547,B100000,00000,1400,00000ASSIGNED TIME 69547,S000000,00100,0200,09/09/2000 69547,S200000,00100,0100,145 COLUMBIA AVENUE 69547,S200000,00200,0100,HOLLAND 69547,S200000,00200,0200,MI 69547,S200000,00300,0100,OTTAWA 69547,S200000,00400,0100,THE INN AT FREEDOM VILLAGE HOLLAND 69547,S200000,00400,0200,235548 69547,S200000,00400,0300,03/22/1994 69547,S200000,00400,0500,P 69547,S200000,01600,0100,Y 69547,S200000,01900,0100,OTHER 69550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69550,A000000,00300,0000,00300EMPLOYEE BENEFITS 69550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69550,A000000,00700,0000,00700HOUSEKEEPING 69550,A000000,00800,0000,00800DIETARY 69550,A000000,00900,0000,00900NURSING ADMINISTRATION 69550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69550,A000000,01100,0000,01100PHARMACY 69550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69550,A000000,01300,0000,01300SOCIAL SERVICE 69550,A000000,01350,0000,01500DIVERSIONAL THERAPY 69550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69550,A000000,01600,0000,01600SKILLED NURSING FACILITY 69550,A000000,01810,0000,01810ICF/MR 69550,A000000,02100,0000,02100RADIOLOGY 69550,A000000,02200,0000,02200LABORATORY 69550,A000000,02500,0000,02500PHYSICAL THERAPY 69550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69550,A000000,02700,0000,02700SPEECH PATHOLOGY 69550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69550,A000000,03550,0000,03550FQHC 69550,A000000,05000,0000,05000CORF 69550,A000000,05010,0000,05010CMHC 69550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69550,A000000,05300,0000,05300INTEREST EXPENSE 69550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69550,A81000A,00100,0100,Y 69550,A81000B,00100,0300,LEASE EXPENSE 69550,A81000B,00200,0300,GENERAL INSURANCE 69550,A81000B,00300,0300,LICENSE FEES 69550,A81000B,00400,0300,BANK CHARGES 69550,A81000B,00500,0300,PROFESSIONAL FEES 69550,A81000B,00600,0300,PROPERTY TAXES 69550,A81000B,00700,0300,LONG TERM INTEREST 69550,A81000B,00800,0300,AMORTIZATION 69550,A81000B,00900,0300,DEPRECIATION 69550,A81000B,01000,0300,MORTGAGE INSURANCE 69550,A81000B,01100,0300,MANAGEMENT FEES 69550,A81000B,01200,0300,CAPITAL RELATED COST 69550,A81000C,00100,0100,A 69550,A81000C,00100,0200,STEVEN BANDSTRA 69550,A81000C,00100,0400,CCG PROP. - RP 69550,A81000C,00100,0600,REAL ESTATE COM 69550,A81000C,00200,0100,A 69550,A81000C,00200,0200,STEVEN BANDSTRA 69550,A81000C,00200,0400,CCG PROP. - RP 69550,A81000C,00200,0600,REAL ESTATE COM 69550,A81000C,00300,0100,A 69550,A81000C,00300,0200,STEVEN BANDSTRA 69550,A81000C,00300,0400,CCG PROP. - RP 69550,A81000C,00300,0600,REAL ESTATE COM 69550,A81000C,00400,0100,A 69550,A81000C,00400,0200,STEVEN BANDSTRA 69550,A81000C,00400,0400,CCG PROP. - RP 69550,A81000C,00400,0600,REAL ESTATE COM 69550,A81000C,00500,0100,A 69550,A81000C,00500,0200,STEVEN BANDSTRA 69550,A81000C,00500,0400,CCG PROP. - RP 69550,A81000C,00500,0600,REAL ESTATE COM 69550,A81000C,00600,0100,A 69550,A81000C,00600,0200,STEVEN BANDSTRA 69550,A81000C,00600,0400,CCG PROP. - RP 69550,A81000C,00600,0600,REAL ESTATE COM 69550,A81000C,00700,0100,A 69550,A81000C,00700,0200,STEVEN BANDSTRA 69550,A81000C,00700,0400,CCG PROP. - RP 69550,A81000C,00700,0600,REAL ESTATE COM 69550,A81000C,00800,0100,A 69550,A81000C,00800,0200,STEVEN BANDSTRA 69550,A81000C,00800,0400,CCG PROP. - RP 69550,A81000C,00800,0600,REAL ESTATE COM 69550,A81000C,00900,0100,A 69550,A81000C,00900,0200,STEVEN BANDSTRA 69550,A81000C,00900,0400,CCG PROP. -RP 69550,A81000C,00900,0600,REAL ESTATE COM 69550,A81000C,01000,0100,A 69550,A81000C,01000,0200,STEVEN BANDSTRA 69550,A81000C,01000,0400,CCG PROP. - RP 69550,A81000C,01000,0600,REAL ESTATE COM 69550,A81000C,01100,0100,A 69550,A81000C,01100,0200,STEVEN BANDSTRA 69550,A81000C,01100,0400,COMMUNITY CENTR 69550,A81000C,01100,0600,MANAGEMENT COMP 69550,B100000,00000,0100,00000SQUARE FEET 69550,B100000,00000,0200,00000SQUARE FEET 69550,B100000,00000,0300,00000GROSS SALARIES 69550,B100000,00000,0400,00000ACCUM COST 69550,B100000,00000,0500,00000SQUARE FEET 69550,B100000,00000,0600,00000POUNDS OF LAUNDRY 69550,B100000,00000,0700,00000HOURS OF SERVICE 69550,B100000,00000,0800,00000MEALS SERVED 69550,B100000,00000,0900,00000DIRECT NRSG HRS 69550,B100000,00000,1000,00000COSTED REQUIS 69550,B100000,00000,1100,00000COSTED REQUIS 69550,B100000,00000,1200,00000TIME SPENT 69550,B100000,00000,1300,00000TIME SPENT 69550,B100000,00000,1350,00000 69550,B100000,00000,1400,00000ASSIGNED TIME 69550,S000000,00100,0200,05/22/2000 69550,S200000,00100,0100,1300 WEST BROADWAY 69550,S200000,00200,0100,MUSKEGON 69550,S200000,00200,0200,MI 69550,S200000,00200,0300,49441 69550,S200000,00300,0100,MUSKEGON 69550,S200000,00400,0100,ROOSEVELT PARK NURSING CENTRE 69550,S200000,00400,0200,235549 69550,S200000,00400,0300,06/01/1994 69550,S200000,00400,0500,P 69550,S200000,01500,0100,Y 69550,S200000,01900,0100,CORPORATION 69550,S200000,02200,0100,Y 69550,S200000,04700,0100,Y 69552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69552,A000000,00300,0000,00300EMPLOYEE BENEFITS 69552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69552,A000000,00700,0000,00700HOUSEKEEPING 69552,A000000,00800,0000,00800DIETARY 69552,A000000,00900,0000,00900NURSING ADMINISTRATION 69552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69552,A000000,01100,0000,01100PHARMACY 69552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69552,A000000,01300,0000,01300SOCIAL SERVICE 69552,A000000,01350,0000,01500DIVERSIONAL THERAPY-ACTIVITIES 69552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69552,A000000,01600,0000,01600SKILLED NURSING FACILITY 69552,A000000,01810,0000,01810ICF/MR 69552,A000000,02500,0000,02500PHYSICAL THERAPY 69552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69552,A000000,02700,0000,02700SPEECH PATHOLOGY 69552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69552,A000000,03550,0000,03550FQHC 69552,A000000,05000,0000,05000CORF 69552,A000000,05010,0000,05010CMHC 69552,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69552,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69552,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69552,A000000,05300,0000,05300INTEREST EXPENSE 69552,A81000A,00100,0100,Y 69552,A81000B,00100,0300,LEASE 69552,A81000B,00200,0300,DEPRECIATION EXPENSE 69552,A81000B,00300,0300,MORTGAGE INTEREST 69552,A81000C,00100,0100,A 69552,A81000C,00100,0200,RAY/MELVINA DUB 69552,A81000C,00100,0400,RAY/MELVINA DUB 69552,A81000C,00100,0600,JOINT RENTAL 69552,B100000,00000,0100,00000SQUARE FEET 69552,B100000,00000,0200,00000SQUARE FEET 69552,B100000,00000,0300,00000GROSS SALARIES 69552,B100000,00000,0400,00000ACCUM COST 69552,B100000,00000,0500,00000SQUARE FEET 69552,B100000,00000,0600,00000POUNDS OF LAUNDRY 69552,B100000,00000,0700,00000HOURS OF SERVICE 69552,B100000,00000,0800,00000MEALS SERVED 69552,B100000,00000,0900,00000DIRECT NRSG HRS 69552,B100000,00000,1000,00000COSTED REQUIS 69552,B100000,00000,1100,00000COSTED REQUIS 69552,B100000,00000,1200,00000TIME SPENT 69552,B100000,00000,1300,00000TIME SPENT 69552,B100000,00000,1350,00000TIME SPENT 69552,B100000,00000,1400,00000ASSIGNED TIME 69552,S000000,00100,0200,06/29/2000 69552,S200000,00100,0100,1201 GRANT STREET 69552,S200000,00100,0300,369 69552,S200000,00200,0100,HUBBELL 69552,S200000,00200,0200,MI 69552,S200000,00200,0300,49934 69552,S200000,00300,0100,HOUGHTON 69552,S200000,00400,0100,OUR LADY OF MERCY INC. 69552,S200000,00400,0200,235551 69552,S200000,00400,0300,06/24/1994 69552,S200000,00400,0500,P 69552,S200000,01500,0100,Y 69552,S200000,01900,0100,OTHER (SPECIFY) 69552,S200000,02800,0100,Y 69552,S200000,02900,0100,Y 69552,S200000,03000,0100,Y 69555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69555,A000000,00300,0000,00300EMPLOYEE BENEFITS 69555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69555,A000000,00700,0000,00700HOUSEKEEPING 69555,A000000,00800,0000,00800DIETARY 69555,A000000,00900,0000,00900NURSING ADMINISTRATION 69555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69555,A000000,01100,0000,01100PHARMACY 69555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69555,A000000,01300,0000,01300SOCIAL SERVICE 69555,A000000,01350,0000,01500DIVERSIONAL THERAPY 69555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69555,A000000,01600,0000,01600SKILLED NURSING FACILITY 69555,A000000,01810,0000,01810ICF/MR 69555,A000000,02100,0000,02100RADIOLOGY 69555,A000000,02200,0000,02200LABORATORY 69555,A000000,02500,0000,02500PHYSICAL THERAPY 69555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69555,A000000,02700,0000,02700SPEECH PATHOLOGY 69555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69555,A000000,03550,0000,03550FQHC 69555,A000000,05000,0000,05000CORF 69555,A000000,05010,0000,05010CMHC 69555,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69555,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69555,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69555,A000000,06150,0000,06300LAUNDRY CHARGED TO OTHER N.H. 69555,A000000,06200,0000,06200PATIENTS LAUNDRY 69555,B100000,00000,0100,00000SQUARE FEET 69555,B100000,00000,0200,00000SQUARE FEET 69555,B100000,00000,0300,00000GROSS SALARIES 69555,B100000,00000,0400,00000ACCUM COST 69555,B100000,00000,0500,00000SQUARE FEET 69555,B100000,00000,0600,00000POUNDS OF LAUNDRY 69555,B100000,00000,0700,00000HOURS OF SERVICE 69555,B100000,00000,0800,00000MEALS SERVED 69555,B100000,00000,0900,00000DIRECT NRSG HRS 69555,B100000,00000,1000,00000COSTED REQUIS 69555,B100000,00000,1100,00000COSTED REQUIS 69555,B100000,00000,1200,00000TIME SPENT 69555,B100000,00000,1300,00000TIME SPENT 69555,B100000,00000,1350,00000TIME SPENT 69555,B100000,00000,1400,00000ASSIGNED TIME 69555,S000000,00100,0200,05/26/2000 69555,S200000,00100,0100,900 MAAS STREET 69555,S200000,00200,0100,NEGAUNEE 69555,S200000,00200,0200,MI 69555,S200000,00200,0300,49866 69555,S200000,00300,0100,MARQUETTE 69555,S200000,00400,0100,EASTWOOD NURSING CENTER OF NEGAUNEE 69555,S200000,00400,0200,235554 69555,S200000,00400,0300,08/12/1994 69555,S200000,00400,0500,P 69555,S200000,01500,0100,Y 69555,S200000,02800,0100,Y 69562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69562,A000000,00101,0000,00101CAPITAL RELATED - BLDG PH I 69562,A000000,00102,0000,00102CAPITAL REL - BLDG PHASE II 69562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69562,A000000,00300,0000,00300EMPLOYEE BENEFITS 69562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69562,A000000,00700,0000,00700HOUSEKEEPING 69562,A000000,00800,0000,00800DIETARY 69562,A000000,00900,0000,00900NURSING ADMINISTRATION 69562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69562,A000000,01100,0000,01100PHARMACY 69562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69562,A000000,01300,0000,01300SOCIAL SERVICE 69562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69562,A000000,01600,0000,01600SKILLED NURSING FACILITY 69562,A000000,01800,0000,01800NURSING FACILITY 69562,A000000,01810,0000,01810ICF/MR 69562,A000000,02100,0000,02100RADIOLOGY 69562,A000000,02200,0000,02200LABORATORY 69562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69562,A000000,02500,0000,02500PHYSICAL THERAPY 69562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69562,A000000,02700,0000,02700SPEECH PATHOLOGY 69562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69562,A000000,03050,0000,03300AIR BEDS 69562,A000000,03550,0000,03550FQHC 69562,A000000,05000,0000,05000CORF 69562,A000000,05010,0000,05010CMHC 69562,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69562,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69562,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69562,A000000,06150,0000,06300OTHER - PREMIER 69562,A81000A,00100,0100,Y 69562,A81000B,00100,0300,RENT 69562,A81000B,00200,0300,INVESTMENT INCOME 69562,A81000B,00300,0300,LEGAL & ACCOUNTING 69562,A81000B,00400,0300,MORTGAGE INTEREST 69562,A81000B,00500,0300,AMORT - ORGAN & STAR 69562,A81000B,00600,0300,AMORT - LEASE & MORT 69562,A81000B,00700,0300,DEPRECIATION - PH I 69562,A81000B,00800,0300,DEPRECIATION - PH II 69562,A81000B,00900,0300,DEPRECIATION 69562,A81000B,01000,0300,WORKERS COMP INSURAN 69562,A81000B,01100,0300,MANAGEMENT FEE 69562,A81000B,01200,0300,MANAGEMENT WAGES 69562,A81000B,01300,0300,RELATED BENEFITS 69562,A81000B,01400,0300,DEPRECIATION 69562,A81000B,01500,0300,VEHICLE 69562,A81000B,01600,0300,MANAGEMENT FEE 69562,A81000B,01700,0300,MANAGEMENT FEE 69562,A81000B,01800,0300,MANAGEMENT FEE 69562,A81000C,00100,0100,A 69562,A81000C,00100,0200,BEAUMONT 69562,A81000C,00100,0400,WOODWARD HILLS 69562,A81000C,00100,0600,RENTAL PROPERTY 69562,A81000C,00200,0100,A 69562,A81000C,00200,0200,FRANCES G. BELL 69562,A81000C,00200,0400,WOODWARD HILLS 69562,A81000C,00200,0600,RENTAL PROPERTY 69562,A81000C,00300,0100,A 69562,A81000C,00300,0200,JOHN D. BELL 69562,A81000C,00300,0400,WOODWARD HILLS 69562,A81000C,00300,0600,RENTAL PROPERTY 69562,A81000C,00400,0100,A 69562,A81000C,00400,0200,JUNE H. GURWIN 69562,A81000C,00400,0400,WOODWARD HILLS 69562,A81000C,00400,0600,RENTAL PROPERTY 69562,A81000C,00500,0100,A 69562,A81000C,00500,0200,J.H. GURWIN IRR 69562,A81000C,00500,0400,WOODWARD HILLS 69562,A81000C,00500,0600,RENTAL PROPERTY 69562,A81000C,00600,0100,A 69562,A81000C,00600,0200,THERESA M. SPIR 69562,A81000C,00600,0400,WOODWARD HILLS 69562,A81000C,00600,0600,RENTAL PROPERTY 69562,A81000C,00700,0100,A 69562,A81000C,00700,0200,TIMOTHY C. SPIR 69562,A81000C,00700,0400,WOODWARD HILLS 69562,A81000C,00700,0600,RENTAL PROPERTY 69562,A81000C,00800,0100,A 69562,A81000C,00800,0200,JOHN D. BELL 69562,A81000C,00800,0400,PREMIER 69562,A81000C,00800,0600,MANAGEMENT COMP 69562,A81000C,00900,0100,A 69562,A81000C,00900,0200,TIMOTHY C. SPIR 69562,A81000C,00900,0400,PREMIER 69562,A81000C,00900,0600,MANAGEMENT COMP 69562,A81000C,01000,0100,A 69562,A81000C,01000,0200,JOHN D. BELL 69562,A81000C,01000,0400,MI HEALTH & REH 69562,A81000C,01000,0600,CONTRACT THER S 69562,A81000C,01100,0100,A 69562,A81000C,01100,0200,TIMOTHY C. SPIR 69562,A81000C,01100,0400,MI HEALTH & REH 69562,A81000C,01100,0600,CONTRACT THER S 69562,B100000,00000,0100,00000(SQUARE FEET) 69562,B100000,00000,0101,00000(SQUARE FEET) 69562,B100000,00000,0102,00000(SQUARE FEET) 69562,B100000,00000,0200,00000(SQUARE FEET) 69562,B100000,00000,0300,00000(GROSS SALARIES) 69562,B100000,00000,0400,00000(ACCUM COST) 69562,B100000,00000,0500,00000(SQUARE FEET) 69562,B100000,00000,0600,00000(PATIENT DAYS) 69562,B100000,00000,0700,00000(SQUARE FEET) 69562,B100000,00000,0800,00000(MEALS SERVED) 69562,B100000,00000,0900,00000(DIRECT NRSG HRS) 69562,B100000,00000,1000,00000(ACTUAL COST) 69562,B100000,00000,1100,00000(PATIENT DAYS) 69562,B100000,00000,1200,00000(TIME SPENT) 69562,B100000,00000,1300,00000(PATIENT DAYS) 69562,B100000,00000,1400,00000ASSIGNED TIME 69562,S000000,00100,0200,05/31/2000 69562,S200000,00100,0100,1312 N. WOODWARD AVENUE 69562,S200000,00200,0100,BLOOMFIELD HILLS 69562,S200000,00200,0200,MI 69562,S200000,00200,0300,48304 69562,S200000,00300,0100,OAKLAND 69562,S200000,00400,0100,WOODWARD HILLS NURSING CENTER 69562,S200000,00400,0200,235556 69562,S200000,00400,0300,12/16/1994 69562,S200000,00400,0500,P 69562,S200000,01600,0100,Y 69562,S200000,02200,0100,Y 69562,S200000,02800,0100,Y 69570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69570,A000000,00300,0000,00300EMPLOYEE BENEFITS 69570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69570,A000000,00700,0000,00700HOUSEKEEPING 69570,A000000,00800,0000,00800DIETARY 69570,A000000,00900,0000,00900NURSING ADMINISTRATION 69570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69570,A000000,01100,0000,01100PHARMACY 69570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69570,A000000,01300,0000,01300SOCIAL SERVICE 69570,A000000,01350,0000,01500PATIENT ACTIVITIES 69570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69570,A000000,01600,0000,01600SKILLED NURSING FACILITY 69570,A000000,01810,0000,01810ICF/MR 69570,A000000,02500,0000,02500PHYSICAL THERAPY 69570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69570,A000000,02700,0000,02700SPEECH PATHOLOGY 69570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69570,A000000,03550,0000,03550FQHC 69570,A000000,04750,0000,05100COMMUNITY MENTAL HEALTH CTR 69570,A000000,05000,0000,05000CORF 69570,A000000,05010,0000,05010CMHC 69570,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69570,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69570,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69570,A81000A,00100,0100,Y 69570,A81000B,00100,0300,HOME OFFICE COSTS 69570,A81000B,00200,0300,CAPITAL RELATED HOME OFFICE 69570,A81000B,00300,0300,CAPITAL RELATED COSTS 69570,A81000B,00400,0300,CAPITAL RELATED COSTS 69570,A81000B,00500,0300,INTEREST EXPENSE 69570,A81000C,00100,0100,A 69570,A81000C,00100,0200,MENOMINEE CARE CENTER 69570,A81000C,00100,0400,RICE MANAGEMENT INC. 69570,A81000C,00100,0600,HOME OFFICE 69570,A81000C,00200,0100,A 69570,A81000C,00200,0200,MENOMINEE CARE CENTER 69570,A81000C,00200,0400,RICE ENTERPRISES 69570,A81000C,00200,0600,REAL ESTATE 69570,B100000,00000,0100,00000SQUARE FEET 69570,B100000,00000,0200,00000SQUARE FEET 69570,B100000,00000,0300,00000GROSS SALARIES 69570,B100000,00000,0400,00000ACCUM. COST 69570,B100000,00000,0500,00000SQUARE FEET 69570,B100000,00000,0600,00000LAUNDRY POUNDS 69570,B100000,00000,0700,00000SQUARE FEET 69570,B100000,00000,0800,00000MEALS 69570,B100000,00000,0900,00000HOURS OF SERVICE 69570,B100000,00000,1000,00000COSTED REQUIS. 69570,B100000,00000,1100,00000COSTED REQUIS. 69570,B100000,00000,1200,00000TIME SPENT 69570,B100000,00000,1300,00000ADMISSIONS S 69570,B100000,00000,1350,00000HOURS WORKED 69570,B100000,00000,1400,00000TIME SPENT 69570,E10A180,00501,0100,10/09/2000 69570,E10A180,00501,0300,10/09/2000 69570,S000000,00100,0200,06/06/2000 69570,S200000,00100,0100,501 2ND STREET 69570,S200000,00200,0100,MENOMINEE 69570,S200000,00200,0200,MI 69570,S200000,00300,0100,MENOMINEE 69570,S200000,00400,0100,MENOMINEE CARE CENTER 69570,S200000,00400,0200,235558 69570,S200000,00400,0300,04/01/1995 69570,S200000,00400,0500,P 69570,S200000,01500,0100,Y 69578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69578,A000000,00300,0000,00300EMPLOYEE BENEFITS 69578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69578,A000000,00700,0000,00700HOUSEKEEPING 69578,A000000,00800,0000,00800DIETARY 69578,A000000,00900,0000,00900NURSING ADMINISTRATION 69578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69578,A000000,01100,0000,01100PHARMACY 69578,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69578,A000000,01300,0000,01300SOCIAL SERVICE 69578,A000000,01350,0000,01500DIVERSIONAL THERAPY 69578,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69578,A000000,01600,0000,01600SKILLED NURSING FACILITY 69578,A000000,01810,0000,01810ICF/MR 69578,A000000,02100,0000,02100RADIOLOGY 69578,A000000,02200,0000,02200LABORATORY 69578,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69578,A000000,02500,0000,02500PHYSICAL THERAPY 69578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69578,A000000,02700,0000,02700SPEECH PATHOLOGY 69578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69578,A000000,03550,0000,03550FQHC 69578,A000000,05000,0000,05000CORF 69578,A000000,05010,0000,05010CMHC 69578,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69578,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69578,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69578,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69578,B100000,00000,0100,00000SQUARE FEET 69578,B100000,00000,0200,00000SQUARE FEET 69578,B100000,00000,0300,00000GROSS SALARIES 69578,B100000,00000,0400,00000ACCUM COST 69578,B100000,00000,0500,00000SQUARE FEET 69578,B100000,00000,0600,00000PATIENT DAYS 69578,B100000,00000,0700,00000SQUARE FEET 69578,B100000,00000,0800,00000MEALS SERVED 69578,B100000,00000,0900,00000DIRECT NRSG HRS 69578,B100000,00000,1000,00000COSTED REQUIS 69578,B100000,00000,1100,00000COSTED REQUIS 69578,B100000,00000,1200,00000TIME SPENT 69578,B100000,00000,1300,00000PATIENT DAYS 69578,B100000,00000,1350,00000PATIENT DAYS 69578,B100000,00000,1400,00000ASSIGNED TIME 69578,E10A180,00501,0100,06/20/2001 69578,S000000,00100,0200,06/06/2000 69578,S200000,00100,0100,7277 RICHARDSON 69578,S200000,00200,0100,WEST BLOOMFIELD 69578,S200000,00200,0200,MI 69578,S200000,00200,0300,48323 69578,S200000,00300,0100,OAKLAND 69578,S200000,00400,0100,BLOOMFIELD ORCHARD VILLA 69578,S200000,00400,0200,235562 69578,S200000,00400,0300,06/01/1995 69578,S200000,00400,0500,P 69578,S200000,00400,0600,O 69578,S200000,01600,0100,Y 69578,S200000,01900,0100,OTHER (SPECIFY) 69585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69585,A000000,00300,0000,00300EMPLOYEE BENEFITS 69585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69585,A000000,00700,0000,00700HOUSEKEEPING 69585,A000000,00800,0000,00800DIETARY 69585,A000000,00900,0000,00900NURSING ADMINISTRATION 69585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69585,A000000,01100,0000,01100PHARMACY 69585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69585,A000000,01300,0000,01300SOCIAL SERVICE 69585,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 69585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69585,A000000,01600,0000,01600SKILLED NURSING FACILITY 69585,A000000,01810,0000,01810ICF/MR 69585,A000000,02100,0000,02100RADIOLOGY 69585,A000000,02200,0000,02200LABORATORY 69585,A000000,02500,0000,02500PHYSICAL THERAPY 69585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69585,A000000,02700,0000,02700SPEECH PATHOLOGY 69585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69585,A000000,03550,0000,03550FQHC 69585,A000000,05000,0000,05000CORF 69585,A000000,05010,0000,05010CMHC 69585,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69585,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69585,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69585,A000000,05300,0000,05300INTEREST EXPENSE 69585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69585,A81000A,00100,0100,Y 69585,A81000B,00100,0300,MANAGEMENT FEES 69585,A81000C,00100,0100,A 69585,A81000C,00100,0200,GERALD L. BAKER 69585,A81000C,00100,0400,BEECHER MANOR 69585,A81000C,00100,0600,MANAGEMENT 69585,B100000,00000,0100,00000SQUARE FEET 69585,B100000,00000,0200,00000SQUARE FEET 69585,B100000,00000,0300,00000GROSS SALARIES 69585,B100000,00000,0400,00000ACCUM COST 69585,B100000,00000,0500,00000SQUARE FEET 69585,B100000,00000,0600,00000PATIENT DAYS 69585,B100000,00000,0700,00000SQUARE FEET 69585,B100000,00000,0800,00000MEALS SERVED 69585,B100000,00000,0900,00000PATIENT DAYS 69585,B100000,00000,1000,00000COSTED REQUIS 69585,B100000,00000,1100,00000COSTED REQUIS 69585,B100000,00000,1200,00000PATIENT DAYS 69585,B100000,00000,1300,00000PATIENT DAYS 69585,B100000,00000,1350,00000PATIENT DAYS 69585,B100000,00000,1400,00000ASSIGNED TIME 69585,E10A180,00501,0100,05/30/2001 69585,S000000,00100,0200,05/31/2000 69585,S200000,00100,0100,481 VILLAGE GREEN LANE 69585,S200000,00200,0100,MONROE 69585,S200000,00200,0200,MI 69585,S200000,00200,0300,48161 69585,S200000,00300,0100,MONROE 69585,S200000,00400,0100,GREENBROOK MANOR INC. 69585,S200000,00400,0200,235563 69585,S200000,00400,0300,08/01/1995 69585,S200000,00400,0500,P 69585,S200000,01500,0100,Y 69593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69593,A000000,00300,0000,00300EMPLOYEE BENEFITS 69593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69593,A000000,00700,0000,00700HOUSEKEEPING 69593,A000000,00800,0000,00800DIETARY 69593,A000000,00900,0000,00900NURSING ADMINISTRATION 69593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69593,A000000,01100,0000,01100PHARMACY 69593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69593,A000000,01300,0000,01300SOCIAL SERVICE 69593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69593,A000000,01600,0000,01600SKILLED NURSING FACILITY 69593,A000000,01800,0000,01800NURSING FACILITY 69593,A000000,01810,0000,01810ICF/MR 69593,A000000,02100,0000,02100RADIOLOGY 69593,A000000,02200,0000,02200LABORATORY 69593,A000000,02500,0000,02500PHYSICAL THERAPY 69593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69593,A000000,02700,0000,02700SPEECH PATHOLOGY 69593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69593,A000000,03550,0000,03550FQHC 69593,A000000,05000,0000,05000CORF 69593,A000000,05010,0000,05010CMHC 69593,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69593,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69593,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69593,B100000,00000,0100,00000SQUARE FEET 69593,B100000,00000,0200,00000SQUARE FEET 69593,B100000,00000,0300,00000GROSS SALARIES 69593,B100000,00000,0400,00000ACCUM COST 69593,B100000,00000,0500,00000SQUARE FEET 69593,B100000,00000,0600,00000PATIENT DAYS 69593,B100000,00000,0700,00000HOURS OF SERVICE 69593,B100000,00000,0800,00000MEALS SERVED 69593,B100000,00000,0900,00000PATIENT DAYS 69593,B100000,00000,1000,00000PATIENT DAYS 69593,B100000,00000,1100,00000COSTED REQUIS 69593,B100000,00000,1200,00000PATIENT DAYS 69593,B100000,00000,1300,00000PATIENT DAYS 69593,B100000,00000,1400,00000ASSIGNED TIME 69593,S000000,00100,0200,06/20/2000 69593,S200000,00100,0100,6203 STADIUM DRIVE 69593,S200000,00200,0100,KALAMAZOO 69593,S200000,00200,0200,MI 69593,S200000,00200,0300,49009 69593,S200000,00300,0100,K 69593,S200000,00400,0100,SHERWOOD PLACE 69593,S200000,00400,0200,235564 69593,S200000,00400,0300,03/01/1996 69593,S200000,00400,0500,P 69593,S200000,01600,0100,Y 69593,S200000,01900,0100,PRIVATE 69598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69598,A000000,00300,0000,00300EMPLOYEE BENEFITS 69598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69598,A000000,00700,0000,00700HOUSEKEEPING 69598,A000000,00800,0000,00800DIETARY 69598,A000000,00900,0000,00900NURSING ADMINISTRATION 69598,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69598,A000000,01100,0000,01100PHARMACY 69598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69598,A000000,01300,0000,01300SOCIAL SERVICE 69598,A000000,01350,0000,01500DIVERSIONAL THERAPY 69598,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69598,A000000,01600,0000,01600SKILLED NURSING FACILITY 69598,A000000,01810,0000,01810ICF/MR 69598,A000000,01900,0000,01900OTHER LONG TERM CARE 69598,A000000,02100,0000,02100RADIOLOGY 69598,A000000,02200,0000,02200LABORATORY 69598,A000000,02500,0000,02500PHYSICAL THERAPY 69598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69598,A000000,02700,0000,02700SPEECH PATHOLOGY 69598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69598,A000000,03550,0000,03550FQHC 69598,A000000,05000,0000,05000CORF 69598,A000000,05010,0000,05010CMHC 69598,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69598,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69598,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69598,A000000,05300,0000,05300INTEREST EXPENSE 69598,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69598,A81000A,00100,0100,Y 69598,A81000B,00100,0300,LEASE EXPENSE 69598,A81000B,00200,0300,LICENSE FEES 69598,A81000B,00300,0300,BANK CHARGES 69598,A81000B,00400,0300,PROFESSIONAL FEES 69598,A81000B,00500,0300,LONG TERM INTEREST 69598,A81000B,00600,0300,AMORTIZATION 69598,A81000B,00700,0300,DEPRECIATION 69598,A81000B,00800,0300,MANAGEMENT FEES 69598,A81000C,00100,0100,A 69598,A81000C,00100,0200,STEVEN BANDSTRA 69598,A81000C,00100,0400,CCG PROP. - WG 69598,A81000C,00100,0600,REAL ESTATE COM 69598,A81000C,00200,0100,A 69598,A81000C,00200,0200,STEVEN BANDSTRA 69598,A81000C,00200,0400,CCG PROP. - WG 69598,A81000C,00200,0600,REAL ESTATE COM 69598,A81000C,00300,0100,A 69598,A81000C,00300,0200,STEVEN BANDSTRA 69598,A81000C,00300,0400,CCG PROP. - WG 69598,A81000C,00300,0600,REAL ESTATE COM 69598,A81000C,00400,0100,A 69598,A81000C,00400,0200,STEVEN BANDSTRA 69598,A81000C,00400,0400,CCG PROP. - WG 69598,A81000C,00400,0600,REAL ESTATE COM 69598,A81000C,00500,0100,A 69598,A81000C,00500,0200,STEVEN BANDSTRA 69598,A81000C,00500,0400,CCG PROP. - WG 69598,A81000C,00500,0600,REAL ESTATE COM 69598,A81000C,00600,0100,A 69598,A81000C,00600,0200,STEVEN BANDSTRA 69598,A81000C,00600,0400,CCG PROP. - WG 69598,A81000C,00600,0600,REAL ESTATE COM 69598,A81000C,00700,0100,A 69598,A81000C,00700,0200,STEVEN BANDSTRA 69598,A81000C,00700,0400,CCG PROP. - WG 69598,A81000C,00700,0600,REAL ESTATE COM 69598,A81000C,00800,0100,A 69598,A81000C,00800,0200,STEVEN BANDSTRA 69598,A81000C,00800,0400,COMMUNITY CENTR 69598,A81000C,00800,0600,MANAGEMENT COMP 69598,B100000,00000,0100,00000SQUARE FEET 69598,B100000,00000,0200,00000SQUARE FEET 69598,B100000,00000,0300,00000GROSS SALARIES 69598,B100000,00000,0400,00000ACCUM COST 69598,B100000,00000,0500,00000SQUARE FEET 69598,B100000,00000,0600,00000POUNDS OF LAUNDRY 69598,B100000,00000,0700,00000HOURS OF SERVICE 69598,B100000,00000,0800,00000MEALS SERVED 69598,B100000,00000,0900,00000DIRECT NRSG HRS 69598,B100000,00000,1000,00000COSTED REQUIS 69598,B100000,00000,1100,00000COSTED REQUIS 69598,B100000,00000,1200,00000TIME SPENT 69598,B100000,00000,1300,00000TIME SPENT 69598,B100000,00000,1350,00000 69598,B100000,00000,1400,00000ASSIGNED TIME 69598,S000000,00100,0200,05/22/2000 69598,S200000,00100,0100,1500 NORTH LOWELL STREET 69598,S200000,00200,0100,IRONWOOD 69598,S200000,00200,0200,MI 69598,S200000,00300,0100,GOGEBIC 69598,S200000,00400,0100,WESTGATE LIVING CENTRE 69598,S200000,00400,0200,235565 69598,S200000,00400,0300,12/15/1995 69598,S200000,00400,0500,P 69598,S200000,01600,0100,Y 69598,S200000,02200,0100,Y 69605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69605,A000000,00300,0000,00300EMPLOYEE BENEFITS 69605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69605,A000000,00700,0000,00700HOUSEKEEPING 69605,A000000,00800,0000,00800DIETARY 69605,A000000,00900,0000,00900NURSING ADMINISTRATION 69605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69605,A000000,01100,0000,01100PHARMACY 69605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69605,A000000,01300,0000,01300SOCIAL SERVICE 69605,A000000,01350,0000,01500OTHER GENERAL SERVICES 69605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69605,A000000,01600,0000,01600SKILLED NURSING FACILITY 69605,A000000,01810,0000,01810ICF/MR 69605,A000000,01900,0000,01900OTHER LONG TERM CARE 69605,A000000,02500,0000,02500PHYSICAL THERAPY 69605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69605,A000000,02700,0000,02700SPEECH PATHOLOGY 69605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69605,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69605,A000000,03550,0000,03550FQHC 69605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69605,A000000,05000,0000,05000CORF 69605,A000000,05010,0000,05010CMHC 69605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69605,A81000A,00100,0100,Y 69605,A81000B,00100,0300,BUILDING - RENT 69605,A81000B,00200,0300,BUILDING - DEPRECIATION 69605,A81000B,00300,0300,BUILDING - INTEREST 69605,A81000C,00100,0100,A 69605,A81000C,00100,0200,JOHN GANTON 69605,B100000,00000,0100,00000SQUARE FEET 69605,B100000,00000,0200,00000SQUARE FEET 69605,B100000,00000,0300,00000GROSS SALARIES 69605,B100000,00000,0400,00000ACCUM. COST 69605,B100000,00000,0500,00000SQUARE FEET 69605,B100000,00000,0600,00000PATIENT DAYS 69605,B100000,00000,0700,00000SQUARE FEET 69605,B100000,00000,0800,00000MEALS SERVED 69605,B100000,00000,0900,00000PATIENT DAYS 69605,B100000,00000,1000,00000NO STATISTICS 69605,B100000,00000,1100,00000NO STATISTICS 69605,B100000,00000,1200,00000PATIENT DAYS 69605,B100000,00000,1300,00000NO STATISTICS 69605,B100000,00000,1350,00000PATIENT DAYS 69605,B100000,00000,1400,00000NO STATISTICS 69605,S000000,00100,0200,03/08/2000 69605,S200000,00100,0100,2121 ROBINSON RD. 69605,S200000,00200,0100,JACKSON 69605,S200000,00200,0200,MI 69605,S200000,00300,0100,JACKSON 69605,S200000,00400,0100,COUNTRYSIDE CARE CENTER 69605,S200000,00400,0200,235574 69605,S200000,00400,0300,03/01/1997 69605,S200000,00400,0500,P 69605,S200000,00400,0600,O 69605,S200000,01500,0100,Y 69605,S200000,02100,0100,A 69610,S000000,00100,0200,10/17/2000 69611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69611,A000000,00300,0000,00300EMPLOYEE BENEFITS 69611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69611,A000000,00700,0000,00700HOUSEKEEPING 69611,A000000,00800,0000,00800DIETARY 69611,A000000,00900,0000,00900NURSING ADMINISTRATION 69611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69611,A000000,01100,0000,01100PHARMACY 69611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69611,A000000,01300,0000,01300SOCIAL SERVICE 69611,A000000,01350,0000,01500ACTIVITIES 69611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69611,A000000,01600,0000,01600SKILLED NURSING FACILITY 69611,A000000,01810,0000,01810ICF/MR 69611,A000000,02100,0000,02100RADIOLOGY 69611,A000000,02200,0000,02200LABORATORY 69611,A000000,02500,0000,02500PHYSICAL THERAPY 69611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69611,A000000,02700,0000,02700SPEECH PATHOLOGY 69611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69611,A000000,03050,0000,03300OTHER ANCILLARY 69611,A000000,03051,0000,03301OTHER ANCILLARY II 69611,A000000,03052,0000,03302OTHER ANCILLARY III 69611,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 69611,A000000,03550,0000,03550FQHC 69611,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69611,A000000,05000,0000,05000CORF I 69611,A000000,05010,0000,05010CMHC I 69611,A000000,05020,0000,05020OPT I 69611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 69611,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 69611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69611,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69611,B100000,00000,0100,00000(SQUARE FEET) 69611,B100000,00000,0200,00000(SQUARE FEET) 69611,B100000,00000,0300,00000(GROSS SALARIES) 69611,B100000,00000,0400,00000(ACCUM. COST) 69611,B100000,00000,0500,00000(SQUARE FEET) 69611,B100000,00000,0600,00000(PATIENT DAYS) 69611,B100000,00000,0700,00000(SQUARE FEET) 69611,B100000,00000,0800,00000(MEALS SERVED) 69611,B100000,00000,0900,00000(PATIENT DAYS) 69611,B100000,00000,1000,00000(COSTED REQUIS.) 69611,B100000,00000,1100,00000(COSTED REQUIS.) 69611,B100000,00000,1200,00000(PATIENT DAYS) 69611,B100000,00000,1300,00000(PATIENT DAYS) 69611,B100000,00000,1350,00000(PATIENT DAYS) 69611,B100000,00000,1400,00000(ASSIGNED TIME) 69611,S000000,00100,0200,05/31/2000 69611,S200000,00100,0100,511 E. SHEPARD 69611,S200000,00200,0100,CHARLOTTE 69611,S200000,00200,0200,MI 69611,S200000,00200,0300,48813 69611,S200000,00300,0100,EATON 69611,S200000,00400,0100,EATON MANOR 69611,S200000,00400,0200,235576 69611,S200000,00400,0300,05/02/1997 69611,S200000,00400,0500,P 69611,S200000,01600,0100,Y 69611,S200000,01900,0100,HEALTH CARE 69616,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69616,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69616,A000000,00300,0000,00300EMPLOYEE BENEFITS 69616,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69616,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69616,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69616,A000000,00700,0000,00700HOUSEKEEPING 69616,A000000,00800,0000,00800DIETARY 69616,A000000,00900,0000,00900NURSING ADMINISTRATION 69616,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69616,A000000,01100,0000,01100PHARMACY 69616,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69616,A000000,01300,0000,01300SOCIAL SERVICE 69616,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69616,A000000,01600,0000,01600SKILLED NURSING FACILITY 69616,A000000,01800,0000,01800NURSING FACILITY 69616,A000000,01810,0000,01810ICF/MR 69616,A000000,02100,0000,02100RADIOLOGY 69616,A000000,02200,0000,02200LABORATORY 69616,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69616,A000000,02500,0000,02500PHYSICAL THERAPY 69616,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69616,A000000,02700,0000,02700SPEECH PATHOLOGY 69616,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69616,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69616,A000000,03050,0000,03300THERAPEUTIC BED RENTAL 69616,A000000,03051,0000,03301AMBULANCE 69616,A000000,03550,0000,03550FQHC 69616,A000000,05000,0000,05000CORF 69616,A000000,05010,0000,05010CMHC 69616,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69616,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69616,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69616,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69616,A81000A,00100,0100,Y 69616,A81000B,00100,0300,RENT 69616,A81000B,00200,0300,DEPR BUILDING 69616,A81000B,00300,0300,DEPR EQUIPMENT 69616,A81000B,00400,0300,AMORT MORTGAGE COSTS 69616,A81000B,00500,0300,AMORT LEASE COSTS 69616,A81000B,00600,0300,AMORT ORGANIZATION 69616,A81000B,00700,0300,AMORT START UP COSTS 69616,A81000B,00800,0300,INVESTMENT INCOME 69616,A81000B,00900,0300,ACCOUNTING 69616,A81000B,01000,0300,INSURANCE 69616,A81000B,01100,0300,MORTGAGE INTEREST 69616,A81000B,01200,0300,OFFICE 69616,A81000B,01300,0300,MANAGEMENT FEE 69616,A81000B,01400,0300,MANAGEMENT WAGES 69616,A81000B,01500,0300,RELATED BENEFITS 69616,A81000B,01600,0300,VEHICLE EXPENSE 69616,A81000B,01700,0300,DEPRECIATION 69616,A81000B,01800,0300,MANAGEMENT FEES 69616,A81000B,01900,0300,MANAGEMENT FEES 69616,A81000B,02000,0300,MANAGEMENT FEES 69616,A81000C,00100,0100,A 69616,A81000C,00100,0200,BEAUMONT NURSIN 69616,A81000C,00100,0400,EVERGREEN NSG C 69616,A81000C,00100,0600,RENTAL PROPERTY 69616,A81000C,00200,0100,A 69616,A81000C,00200,0200,JOHN D. BELL 69616,A81000C,00200,0400,EVERGREEN NSG C 69616,A81000C,00200,0600,RENTAL PROPERTY 69616,A81000C,00300,0100,A 69616,A81000C,00300,0200,JUNE H. GURWIN 69616,A81000C,00300,0400,EVERGREEN NSG C 69616,A81000C,00300,0600,RENTAL PROPERTY 69616,A81000C,00400,0100,A 69616,A81000C,00400,0200,J.H. GURWIN IRR 69616,A81000C,00400,0400,EVERGREEN NSG C 69616,A81000C,00400,0600,RENTAL PROPERTY 69616,A81000C,00500,0100,A 69616,A81000C,00500,0200,TIMOTHY C. SPIR 69616,A81000C,00500,0400,EVERGREEN NSG C 69616,A81000C,00500,0600,RENTAL PROPERTY 69616,A81000C,00600,0100,A 69616,A81000C,00600,0200,JOHN D. BELL 69616,A81000C,00600,0400,PREMIER HEALTH 69616,A81000C,00600,0600,MANAGEMENT COMP 69616,A81000C,00700,0100,A 69616,A81000C,00700,0200,TIMOTHY C. SPIR 69616,A81000C,00700,0400,PREMIER HEALTH 69616,A81000C,00700,0600,MANAGEMENT COMP 69616,A81000C,00800,0100,A 69616,A81000C,00800,0200,JOHN D. BELL 69616,A81000C,00800,0400,MICH HEALTH & R 69616,A81000C,00800,0600,CONTRACT THERAP 69616,A81000C,00900,0100,A 69616,A81000C,00900,0200,TIMOTHY C. SPIR 69616,A81000C,00900,0400,MICH HEALTH & R 69616,A81000C,00900,0600,CONTRACT THERAP 69616,B100000,00000,0100,00000SQUARE FEET 69616,B100000,00000,0200,00000SQUARE FEET 69616,B100000,00000,0300,00000GROSS SALARIES 69616,B100000,00000,0400,00000ACCUM COST 69616,B100000,00000,0500,00000SQUARE FEET 69616,B100000,00000,0600,00000PATIENT DAYS 69616,B100000,00000,0700,00000SQUARE FEET 69616,B100000,00000,0800,00000MEALS SERVED 69616,B100000,00000,0900,00000DIRECT NRSG HRS 69616,B100000,00000,1000,00000ACTUAL COST 69616,B100000,00000,1100,00000PATIENT DAYS 69616,B100000,00000,1200,00000PATIENT DAYS 69616,B100000,00000,1300,00000PATIENT DAYS 69616,B100000,00000,1400,00000ASSIGNED TIME 69616,E10A180,00550,0300,06/07/2000 69616,S000000,00100,0200,05/31/2000 69616,S200000,00100,0100,19933 W. 13 MILE RD. 69616,S200000,00200,0100,SOUTHFIELD 69616,S200000,00200,0200,MI 69616,S200000,00200,0300,48076 69616,S200000,00300,0100,OAKLAND 69616,S200000,00400,0100,EVERGREEN HEALTH & LIVING CENTER 69616,S200000,00400,0200,235582 69616,S200000,00400,0300,11/07/1997 69616,S200000,00400,0500,P 69616,S200000,01600,0100,Y 69616,S200000,02200,0100,Y 69616,S200000,02800,0100,Y 69616,S200000,04100,0100,Y 69616,S200000,04700,0100,Y 69619,S000000,00100,0200,05/31/2000 69623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69623,A000000,00300,0000,00300EMPLOYEE BENEFITS 69623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69623,A000000,00700,0000,00700HOUSEKEEPING 69623,A000000,00800,0000,00800DIETARY 69623,A000000,00900,0000,00900NURSING ADMINISTRATION 69623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69623,A000000,01100,0000,01100PHARMACY 69623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69623,A000000,01300,0000,01300SOCIAL SERVICE 69623,A000000,01350,0000,01500DIVERSIONAL THERAPY 69623,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69623,A000000,01600,0000,01600SKILLED NURSING FACILITY 69623,A000000,01810,0000,01810ICF/MR 69623,A000000,01900,0000,01900OTHER LONG TERM CARE 69623,A000000,02100,0000,02100RADIOLOGY 69623,A000000,02200,0000,02200LABORATORY 69623,A000000,02500,0000,02500PHYSICAL THERAPY 69623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69623,A000000,02700,0000,02700SPEECH PATHOLOGY 69623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69623,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69623,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69623,A000000,03550,0000,03550FQHC 69623,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69623,A000000,05000,0000,05000CORF 69623,A000000,05010,0000,05010CMHC 69623,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69623,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69623,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69623,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69623,A81000A,00100,0100,Y 69623,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 69623,A81000B,00200,0300,DEPRECIATION 69623,A81000C,00100,0100,B 69623,A81000C,00100,0200,LUTHERAN HOMES 69623,A81000C,00100,0400,LUTHERAN HOMES 69623,A81000C,00100,0600,NURSING HOME 69623,A81000C,00200,0100,B 69623,A81000C,00200,0200,LUTHERAN HOMES 69623,A81000C,00200,0400,LUTHERAN HOMES 69623,A81000C,00200,0600,NURSING HOME 69623,B100000,00000,0100,00000SQUARE FEET 69623,B100000,00000,0200,00000SQUARE FEET 69623,B100000,00000,0300,00000GROSS SALARIES 69623,B100000,00000,0400,00000ACCUM. COST 69623,B100000,00000,0500,00000SQUARE FEET 69623,B100000,00000,0600,00000LBS OF LAUNDRY 69623,B100000,00000,0700,00000HRS OF SERVICE 69623,B100000,00000,0800,00000MEALS SERVED 69623,B100000,00000,0900,00000DIRECT NRSING HRS 69623,B100000,00000,1000,00000COSTED REQUIS. 69623,B100000,00000,1100,00000COSTED REQUIS. 69623,B100000,00000,1200,00000TIME SPENT 69623,B100000,00000,1300,00000TIME SPENT 69623,B100000,00000,1350,00000HRS OF SERVICE 69623,B100000,00000,1400,00000ASSIGNED TIME 69623,S000000,00100,0200,09/20/2000 69623,S200000,00100,0100,28910 PLYMOUTH RD 69623,S200000,00200,0100,LIVONIA 69623,S200000,00200,0200,MI 69623,S200000,00300,0100,WAYNE 69623,S200000,00400,0100,LUTHERAN HOME - LIVONIA 69623,S200000,00400,0200,235587 69623,S200000,00400,0300,11/11/1998 69623,S200000,00400,0500,P 69623,S200000,01500,0100,Y 69625,S000000,00100,0200,05/31/2000 69628,S000000,00100,0200,05/24/2000 69631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69631,A000000,00300,0000,00300EMPLOYEE BENEFITS 69631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69631,A000000,00700,0000,00700HOUSEKEEPING 69631,A000000,00800,0000,00800DIETARY 69631,A000000,00900,0000,00900NURSING ADMINISTRATION 69631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69631,A000000,01100,0000,01100PHARMACY 69631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69631,A000000,01300,0000,01300SOCIAL SERVICE 69631,A000000,01350,0000,01500DIVERSIONAL THERAPY 69631,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69631,A000000,01600,0000,01600SKILLED NURSING FACILITY 69631,A000000,01810,0000,01810ICF/MR 69631,A000000,02100,0000,02100RADIOLOGY 69631,A000000,02200,0000,02200LABORATORY 69631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69631,A000000,02500,0000,02500PHYSICAL THERAPY 69631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69631,A000000,02700,0000,02700SPEECH PATHOLOGY 69631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69631,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69631,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69631,A000000,03550,0000,03550FQHC 69631,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69631,A000000,05000,0000,05000CORF 69631,A000000,05010,0000,05010CMHC 69631,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69631,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69631,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69631,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 69631,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69631,A81000A,00100,0100,Y 69631,A81000B,00100,0300,OVERHEAD SUPPORT COSTS 69631,A81000B,00200,0300,CORP SUPPORT - INTEREST 69631,A81000C,00100,0100,B 69631,A81000C,00100,0200,MLMH INC. 69631,A81000C,00100,0400,MLMH INC 69631,A81000C,00100,0600,HOME OFFICE 69631,B100000,00000,0100,00000SQUARE FEET 69631,B100000,00000,0200,00000SQUARE FEET 69631,B100000,00000,0300,00000GROSS SALARIES 69631,B100000,00000,0400,00000ACCUM. COST 69631,B100000,00000,0500,00000SQUARE FEET 69631,B100000,00000,0600,00000POUNDS OF LAUNDRY 69631,B100000,00000,0700,00000HOURS OF SERVICE 69631,B100000,00000,0800,00000MEALS SERVED 69631,B100000,00000,0900,00000DIRECT NRSING HRS 69631,B100000,00000,1000,00000COSTED REQUIS. 69631,B100000,00000,1100,00000COSTED REQUIS. 69631,B100000,00000,1200,00000TIME SPENT 69631,B100000,00000,1300,00000TIME SPENT 69631,B100000,00000,1350,00000TIME SPENT 69631,B100000,00000,1400,00000ASSIGNED TIME 69631,S000000,00100,0200,05/30/2000 69631,S200000,00100,0100,33600 LUTHER LANE 69631,S200000,00200,0100,LIVONIA 69631,S200000,00200,0200,MI 69631,S200000,00300,0100,WAYNE 69631,S200000,00400,0100,LUTHERAN HERITAGE VILLAGE-LIVONIA 69631,S200000,00400,0200,235590 69631,S200000,00400,0300,03/24/1999 69631,S200000,00400,0500,P 69631,S200000,01500,0100,Y 69635,S000000,00100,0200,06/23/2000 69647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69647,A000000,00300,0000,00300EMPLOYEE BENEFITS 69647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69647,A000000,00700,0000,00700HOUSEKEEPING 69647,A000000,00800,0000,00800DIETARY 69647,A000000,00900,0000,00900NURSING ADMINISTRATION 69647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69647,A000000,01100,0000,01100PHARMACY 69647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69647,A000000,01300,0000,01300SOCIAL SERVICE 69647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69647,A000000,01600,0000,01600SKILLED NURSING FACILITY 69647,A000000,01800,0000,01800NURSING FACILITY 69647,A000000,01810,0000,01810ICF/MR 69647,A000000,02100,0000,02100RADIOLOGY 69647,A000000,02200,0000,02200LABORATORY 69647,A000000,02300,0000,02300INTRAVENOUS THERAPY 69647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69647,A000000,02500,0000,02500PHYSICAL THERAPY 69647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69647,A000000,02700,0000,02700SPEECH PATHOLOGY 69647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69647,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69647,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69647,A000000,03052,0000,03302MEDICAL EQUIPMENT 69647,A000000,03550,0000,03550FQHC 69647,A000000,05000,0000,05000CORF 69647,A000000,05010,0000,05010CMHC 69647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69647,A81000A,00100,0100,Y 69647,A81000B,00100,0300,HOME OFFICE A&G 69647,A81000B,00200,0300,HOME OFFICE CAPITAL 69647,A81000B,00300,0300,DIVISION OFFICE A&G 69647,A81000B,00500,0300,INSURANCE 69647,A81000C,00100,0100,B 69647,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69647,A81000C,00200,0100,G 69647,A81000C,00200,0200,LAURIER INC. 69647,A81000C,00200,0400,EXTENDICARE INC. 69647,A81000C,00200,0600,INSURANCE 69647,A81000C,00300,0100,G 69647,A81000C,00300,0200,UNITED REHABILITATION SVS 69647,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69647,A81000C,00300,0600,THERAPY SERVICE 69647,A81000C,00400,0100,G 69647,A81000C,00400,0200,UPC 69647,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69647,A81000C,00400,0600,PHARMACY THERAPY 69647,B100000,00000,0100,00040SQUARE FEET 69647,B100000,00000,0200,00040SQUARE FEET 69647,B100000,00000,0300,00040GROSS SALARIES 69647,B100000,00000,0400,00040ACCUM. COST 69647,B100000,00000,0500,00040SQUARE FEET 69647,B100000,00000,0600,00040PATIENT DAYS 69647,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69647,B100000,00000,0800,00040PATIENT DAYS 69647,B100000,00000,0900,00040PATIENT DAYS 69647,B100000,00000,1000,00040COSTED REQUIS 69647,B100000,00000,1100,00040COSTED REQUIS 69647,B100000,00000,1200,00040GROSS REVENUE 69647,B100000,00000,1300,00040PATIENT DAYS 69647,B100000,00000,1400,00040ASSIGNED TIME 69647,E10A180,00301,0100,01/24/2000 69647,E10A180,00301,0300,06/22/1998 69647,E10A180,00350,0100,06/22/1998 69647,E10A180,00350,0300,06/22/1998 69647,E10A180,00501,0300,06/09/2000 69647,E10A180,00550,0100,06/09/2000 69647,S000000,00100,0200,06/16/2000 69647,S200000,00100,0100,4415 WEST 36 1/2 STREET 69647,S200000,00200,0100,ST. LOUIS PARK 69647,S200000,00200,0200,MN 69647,S200000,00300,0100,HENNEPIN 69647,S200000,00400,0100,PARK NURSING & CONVALESCENT CENTER 69647,S200000,00400,0200,245083 69647,S200000,00400,0300,05/01/1984 69647,S200000,00400,0500,P 69647,S200000,01600,0100,Y 69655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69655,A000000,00300,0000,00300EMPLOYEE BENEFITS 69655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69655,A000000,00700,0000,00700HOUSEKEEPING 69655,A000000,00800,0000,00800DIETARY 69655,A000000,00900,0000,00900NURSING ADMINISTRATION 69655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69655,A000000,01100,0000,01100PHARMACY 69655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69655,A000000,01300,0000,01300SOCIAL SERVICE 69655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69655,A000000,01600,0000,01600SKILLED NURSING FACILITY 69655,A000000,01800,0000,01800NURSING FACILITY 69655,A000000,01810,0000,01810ICF/MR 69655,A000000,02100,0000,02100RADIOLOGY 69655,A000000,02200,0000,02200LABORATORY 69655,A000000,02500,0000,02500PHYSICAL THERAPY 69655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69655,A000000,02700,0000,02700SPEECH PATHOLOGY 69655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69655,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69655,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69655,A000000,03052,0000,03302MEDICAL EQUIPMENT 69655,A000000,03550,0000,03550FQHC 69655,A000000,05000,0000,05000CORF 69655,A000000,05010,0000,05010CMHC 69655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69655,A81000A,00100,0100,Y 69655,A81000B,00100,0300,HOME OFFICE A&G 69655,A81000B,00200,0300,HOME OFFICE CAPITAL 69655,A81000B,00300,0300,DIVISION OFFICE A&G 69655,A81000B,00500,0300,INSURANCE 69655,A81000C,00100,0100,B 69655,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69655,A81000C,00200,0100,G 69655,A81000C,00200,0200,LAURIER INC. 69655,A81000C,00200,0400,EXTENDICARE INC. 69655,A81000C,00200,0600,INSURANCE 69655,A81000C,00300,0100,G 69655,A81000C,00300,0200,UNITED REHABILITATION SVS 69655,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69655,A81000C,00300,0600,THERAPY SERVICE 69655,A81000C,00400,0100,G 69655,A81000C,00400,0200,UPC 69655,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69655,A81000C,00400,0600,PHARMACY THERAPY 69655,B100000,00000,0100,00040SQUARE FEET 69655,B100000,00000,0200,00040SQUARE FEET 69655,B100000,00000,0300,00040GROSS SALARIES 69655,B100000,00000,0400,00040ACCUM. COST 69655,B100000,00000,0500,00040SQUARE FEET 69655,B100000,00000,0600,00040PATIENT DAYS 69655,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69655,B100000,00000,0800,00040PATIENT DAYS 69655,B100000,00000,0900,00040PATIENT DAYS 69655,B100000,00000,1000,00040COSTED REQUIS 69655,B100000,00000,1100,00040COSTED REQUIS 69655,B100000,00000,1200,00040GROSS REVENUE 69655,B100000,00000,1300,00040PATIENT DAYS 69655,B100000,00000,1400,00040ASSIGNED TIME 69655,E10A180,00301,0100,01/24/2000 69655,E10A180,00301,0300,06/22/1998 69655,E10A180,00350,0100,06/22/1998 69655,E10A180,00350,0300,06/22/1998 69655,E10A180,00501,0100,02/12/2001 69655,E10A180,00501,0300,02/12/2001 69655,S000000,00100,0200,06/16/2000 69655,S200000,00100,0100,825 FIRST AVENUE N.W. 69655,S200000,00200,0100,NEW BRIGHTON 69655,S200000,00200,0200,MN 69655,S200000,00300,0100,RAMSEY 69655,S200000,00400,0100,TREVILLA OF NEW BRIGHTON 69655,S200000,00400,0200,245164 69655,S200000,00400,0300,05/01/1984 69655,S200000,00400,0500,P 69655,S200000,01600,0100,Y 69663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69663,A000000,00300,0000,00300EMPLOYEE BENEFITS 69663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69663,A000000,00700,0000,00700HOUSEKEEPING 69663,A000000,00800,0000,00800DIETARY 69663,A000000,00900,0000,00900NURSING ADMINISTRATION 69663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69663,A000000,01100,0000,01100PHARMACY 69663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69663,A000000,01300,0000,01300SOCIAL SERVICE 69663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69663,A000000,01600,0000,01600SKILLED NURSING FACILITY 69663,A000000,01800,0000,01800NURSING FACILITY 69663,A000000,01810,0000,01810ICF/MR 69663,A000000,02100,0000,02100RADIOLOGY 69663,A000000,02200,0000,02200LABORATORY 69663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69663,A000000,02500,0000,02500PHYSICAL THERAPY 69663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69663,A000000,02700,0000,02700SPEECH PATHOLOGY 69663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69663,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69663,A000000,03052,0000,03302MEDICAL EQUIPMENT 69663,A000000,03550,0000,03550FQHC 69663,A000000,05000,0000,05000CORF 69663,A000000,05010,0000,05010CMHC 69663,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69663,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69663,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69663,A81000A,00100,0100,Y 69663,A81000B,00100,0300,HOME OFFICE A&G 69663,A81000B,00200,0300,HOME OFFICE CAPITAL 69663,A81000B,00300,0300,DIVISION OFFICE A&G 69663,A81000B,00500,0300,INSURANCE 69663,A81000C,00100,0100,B 69663,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69663,A81000C,00200,0100,G 69663,A81000C,00200,0200,LAURIER INC. 69663,A81000C,00200,0400,EXTENDICARE INC. 69663,A81000C,00200,0600,INSURANCE 69663,A81000C,00300,0100,G 69663,A81000C,00300,0200,UNITED REHABILITATION SVS 69663,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69663,A81000C,00300,0600,THERAPY SERVICE 69663,A81000C,00400,0100,G 69663,A81000C,00400,0200,UPC 69663,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69663,A81000C,00400,0600,THERAPY SERVICE 69663,B100000,00000,0100,00040SQUARE FEET 69663,B100000,00000,0200,00040SQUARE FEET 69663,B100000,00000,0300,00040GROSS SALARIES 69663,B100000,00000,0400,00040ACCUM. COST 69663,B100000,00000,0500,00040SQUARE FEET 69663,B100000,00000,0600,00040PATIENT DAYS 69663,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69663,B100000,00000,0800,00040PATIENT DAYS 69663,B100000,00000,0900,00040PATIENT DAYS 69663,B100000,00000,1000,00040COSTED REQUIS 69663,B100000,00000,1100,00040COSTED REQUIS 69663,B100000,00000,1200,00040GROSS REVENUE 69663,B100000,00000,1300,00040PATIENT DAYS 69663,B100000,00000,1400,00040ASSIGNED TIME 69663,E10A180,00301,0100,01/24/2000 69663,E10A180,00301,0300,06/22/1998 69663,E10A180,00350,0100,06/22/1998 69663,E10A180,00350,0300,06/22/1998 69663,E10A180,00501,0300,02/12/2001 69663,S000000,00100,0200,06/16/2000 69663,S200000,00100,0100,7505 COUNTRY CLUB DRIVE 69663,S200000,00200,0100,GOLDEN VALLEY 69663,S200000,00200,0200,MN 69663,S200000,00300,0100,HENNEPIN 69663,S200000,00400,0100,TREVILLA OF GOLDEN VALLEY 69663,S200000,00400,0200,245186 69663,S200000,00400,0300,05/01/1984 69663,S200000,00400,0500,P 69663,S200000,01600,0100,Y 69671,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69671,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69671,A000000,00300,0000,00300EMPLOYEE BENEFITS 69671,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69671,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69671,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69671,A000000,00700,0000,00700HOUSEKEEPING 69671,A000000,00800,0000,00800DIETARY 69671,A000000,00900,0000,00900NURSING ADMINISTRATION 69671,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69671,A000000,01100,0000,01100PHARMACY 69671,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69671,A000000,01300,0000,01300SOCIAL SERVICE 69671,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69671,A000000,01600,0000,01600SKILLED NURSING FACILITY 69671,A000000,01800,0000,01800NURSING FACILITY 69671,A000000,01810,0000,01810ICF/MR 69671,A000000,02100,0000,02100RADIOLOGY 69671,A000000,02200,0000,02200LABORATORY 69671,A000000,02500,0000,02500PHYSICAL THERAPY 69671,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69671,A000000,02700,0000,02700SPEECH PATHOLOGY 69671,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69671,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69671,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69671,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69671,A000000,03052,0000,03302MEDICAL EQUIPMENT 69671,A000000,03550,0000,03550FQHC 69671,A000000,05000,0000,05000CORF 69671,A000000,05010,0000,05010CMHC 69671,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69671,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69671,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69671,A81000A,00100,0100,Y 69671,A81000B,00100,0300,HOME OFFICE A&G 69671,A81000B,00200,0300,HOME OFFICE CAPITAL 69671,A81000B,00300,0300,DIVISION OFFICE A&G 69671,A81000B,00500,0300,INSURANCE 69671,A81000C,00100,0100,B 69671,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69671,A81000C,00200,0100,G 69671,A81000C,00200,0200,LAURIER INC. 69671,A81000C,00200,0400,EXTENDICARE INC. 69671,A81000C,00200,0600,INSURANCE 69671,A81000C,00300,0100,G 69671,A81000C,00300,0200,UNITED REHABILITATION SVS 69671,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69671,A81000C,00300,0600,THERAPY SERVICE 69671,A81000C,00400,0100,G 69671,A81000C,00400,0200,UPC 69671,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69671,A81000C,00400,0600,PHARMACY THERAPY 69671,B100000,00000,0100,00040SQUARE FEET 69671,B100000,00000,0200,00040SQUARE FEET 69671,B100000,00000,0300,00040GROSS SALARIES 69671,B100000,00000,0400,00040ACCUM. COST 69671,B100000,00000,0500,00040SQUARE FEET 69671,B100000,00000,0600,00040PATIENT DAYS 69671,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69671,B100000,00000,0800,00040PATIENT DAYS 69671,B100000,00000,0900,00040PATIENT DAYS 69671,B100000,00000,1000,00040COSTED REQUIS 69671,B100000,00000,1100,00040COSTED REQUIS 69671,B100000,00000,1200,00040GROSS REVENUE 69671,B100000,00000,1300,00040PATIENT DAYS 69671,B100000,00000,1400,00040ASSIGNED TIME 69671,E10A180,00301,0100,06/22/1998 69671,E10A180,00301,0300,06/22/1998 69671,E10A180,00350,0100,06/22/1998 69671,E10A180,00350,0300,06/22/1998 69671,E10A180,00501,0300,02/12/2001 69671,S000000,00100,0200,06/16/2000 69671,S200000,00100,0100,7900 WEST 28TH STREET 69671,S200000,00200,0100,ST LOUIS PARK 69671,S200000,00200,0200,MN 69671,S200000,00300,0100,HENNEPIN 69671,S200000,00400,0100,TEXAS TERRACE CONVALESCENT CENTER 69671,S200000,00400,0200,245187 69671,S200000,00400,0300,05/01/1984 69671,S200000,00400,0500,P 69671,S200000,01600,0100,Y 69679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69679,A000000,00300,0000,00300EMPLOYEE BENEFITS 69679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69679,A000000,00700,0000,00700HOUSEKEEPING 69679,A000000,00800,0000,00800DIETARY 69679,A000000,00900,0000,00900NURSING ADMINISTRATION 69679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69679,A000000,01100,0000,01100PHARMACY 69679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69679,A000000,01300,0000,01300SOCIAL SERVICE 69679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69679,A000000,01600,0000,01600SKILLED NURSING FACILITY 69679,A000000,01810,0000,01810ICF/MR 69679,A000000,02100,0000,02100RADIOLOGY 69679,A000000,02200,0000,02200LABORATORY 69679,A000000,02300,0000,02300INTRAVENOUS THERAPY 69679,A000000,02500,0000,02500PHYSICAL THERAPY 69679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69679,A000000,02700,0000,02700SPEECH PATHOLOGY 69679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69679,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69679,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69679,A000000,03052,0000,03302MEDICAL EQUIPMENT 69679,A000000,03550,0000,03550FQHC 69679,A000000,05000,0000,05000CORF 69679,A000000,05010,0000,05010CMHC 69679,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69679,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69679,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69679,A81000A,00100,0100,Y 69679,A81000B,00100,0300,HOME OFFICE A&G 69679,A81000B,00200,0300,HOME OFFICE CAPITAL 69679,A81000B,00300,0300,DIVISION OFFICE A&G 69679,A81000B,00500,0300,INSURANCE 69679,A81000C,00100,0100,B 69679,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69679,A81000C,00200,0100,G 69679,A81000C,00200,0200,LAURIER INC. 69679,A81000C,00200,0400,EXTENDICARE INC. 69679,A81000C,00200,0600,INSURANCE 69679,A81000C,00300,0100,G 69679,A81000C,00300,0200,UNITED REHABILITATION SVS 69679,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69679,A81000C,00300,0600,THERAPY SERVICE 69679,A81000C,00400,0100,G 69679,A81000C,00400,0200,UPC 69679,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69679,A81000C,00400,0600,PHARMACY THERAPY 69679,B100000,00000,0100,00040SQUARE FEET 69679,B100000,00000,0200,00040SQUARE FEET 69679,B100000,00000,0300,00040GROSS SALARIES 69679,B100000,00000,0400,00040ACCUM. COST 69679,B100000,00000,0500,00040SQUARE FEET 69679,B100000,00000,0600,00040PATIENT DAYS 69679,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69679,B100000,00000,0800,00040PATIENT DAYS 69679,B100000,00000,0900,00040PATIENT DAYS 69679,B100000,00000,1000,00040COSTED REQUIS 69679,B100000,00000,1100,00040COSTED REQUIS 69679,B100000,00000,1200,00040GROSS REVENUE 69679,B100000,00000,1300,00040PATIENT DAYS 69679,B100000,00000,1400,00040ASSIGNED TIME 69679,E10A180,00301,0100,01/24/2000 69679,E10A180,00301,0300,06/22/1998 69679,E10A180,00350,0100,01/24/2000 69679,E10A180,00350,0300,06/22/1998 69679,S000000,00100,0200,06/16/2000 69679,S200000,00100,0100,1000 LOVELL AVENUE 69679,S200000,00200,0100,ROSEVILLE 69679,S200000,00200,0200,MN 69679,S200000,00300,0100,RAMSEY 69679,S200000,00400,0100,ROSE OF SHARON MANOR 69679,S200000,00400,0200,245326 69679,S200000,00400,0300,08/01/1986 69679,S200000,00400,0500,P 69679,S200000,01500,0100,Y 69687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69687,A000000,00300,0000,00300EMPLOYEE BENEFITS 69687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69687,A000000,00700,0000,00700HOUSEKEEPING 69687,A000000,00800,0000,00800DIETARY 69687,A000000,00900,0000,00900NURSING ADMINISTRATION 69687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69687,A000000,01100,0000,01100PHARMACY 69687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69687,A000000,01300,0000,01300SOCIAL SERVICE 69687,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69687,A000000,01600,0000,01600SKILLED NURSING FACILITY 69687,A000000,01810,0000,01810ICF/MR 69687,A000000,02200,0000,02200LABORATORY 69687,A000000,02500,0000,02500PHYSICAL THERAPY 69687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69687,A000000,02700,0000,02700SPEECH PATHOLOGY 69687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69687,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69687,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69687,A000000,03052,0000,03302MEDICAL EQUIPMENT 69687,A000000,03550,0000,03550FQHC 69687,A000000,05000,0000,05000CORF 69687,A000000,05010,0000,05010CMHC 69687,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69687,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69687,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69687,A81000A,00100,0100,Y 69687,A81000B,00100,0300,HOME OFFICE A&G 69687,A81000B,00200,0300,HOME OFFICE CAPITAL 69687,A81000B,00300,0300,DIVISION OFFICE A&G 69687,A81000B,00500,0300,INSURANCE 69687,A81000C,00100,0100,B 69687,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69687,A81000C,00200,0100,G 69687,A81000C,00200,0200,LAURIER INC. 69687,A81000C,00200,0400,EXTENDICARE INC. 69687,A81000C,00200,0600,INSURANCE 69687,A81000C,00300,0100,G 69687,A81000C,00300,0200,UNITED REHABILITATION SVS 69687,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69687,A81000C,00300,0600,THERAPY SERVICE 69687,A81000C,00400,0100,G 69687,A81000C,00400,0200,UPC 69687,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69687,A81000C,00400,0600,PHARMACY THERAPY 69687,B100000,00000,0100,00040SQUARE FEET 69687,B100000,00000,0200,00040SQUARE FEET 69687,B100000,00000,0300,00040GROSS SALARIES 69687,B100000,00000,0400,00040ACCUM. COST 69687,B100000,00000,0500,00040SQUARE FEET 69687,B100000,00000,0600,00040PATIENT DAYS 69687,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69687,B100000,00000,0800,00040PATIENT DAYS 69687,B100000,00000,0900,00040PATIENT DAYS 69687,B100000,00000,1000,00040COSTED REQUIS 69687,B100000,00000,1100,00040COSTED REQUIS 69687,B100000,00000,1200,00040GROSS REVENUE 69687,B100000,00000,1300,00040PATIENT DAYS 69687,B100000,00000,1400,00040ASSIGNED TIME 69687,E10A180,00301,0100,01/24/2000 69687,E10A180,00301,0300,06/22/1998 69687,E10A180,00350,0100,06/22/1998 69687,E10A180,00350,0300,06/22/1998 69687,S000000,00100,0200,06/16/2000 69687,S200000,00100,0100,321 EAST 25TH STREET 69687,S200000,00200,0100,MINNEAPOLIS 69687,S200000,00200,0200,MN 69687,S200000,00300,0100,HENNEPIN 69687,S200000,00400,0100,WHITTIER HEALTH CENTER 69687,S200000,00400,0200,245331 69687,S200000,00400,0300,12/01/1989 69687,S200000,00400,0500,P 69687,S200000,01500,0100,Y 69695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69695,A000000,00300,0000,00300EMPLOYEE BENEFITS 69695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69695,A000000,00700,0000,00700HOUSEKEEPING 69695,A000000,00800,0000,00800DIETARY 69695,A000000,00900,0000,00900NURSING ADMINISTRATION 69695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69695,A000000,01100,0000,01100PHARMACY 69695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69695,A000000,01300,0000,01300SOCIAL SERVICE 69695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69695,A000000,01600,0000,01600SKILLED NURSING FACILITY 69695,A000000,01800,0000,01800NURSING FACILITY 69695,A000000,01810,0000,01810ICF/MR 69695,A000000,02100,0000,02100RADIOLOGY 69695,A000000,02200,0000,02200LABORATORY 69695,A000000,02300,0000,02300INTRAVENOUS THERAPY 69695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69695,A000000,02500,0000,02500PHYSICAL THERAPY 69695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69695,A000000,02700,0000,02700SPEECH PATHOLOGY 69695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69695,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69695,A000000,03052,0000,03302MEDICAL EQUIPMENT 69695,A000000,03550,0000,03550FQHC 69695,A000000,05000,0000,05000CORF 69695,A000000,05010,0000,05010CMHC 69695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69695,A81000A,00100,0100,Y 69695,A81000B,00100,0300,HOME OFFICE A&G 69695,A81000B,00200,0300,HOME OFFICE CAPITAL 69695,A81000B,00300,0300,DIVISION OFFICE A&G 69695,A81000B,00500,0300,INSURANCE 69695,A81000C,00100,0100,B 69695,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69695,A81000C,00200,0100,G 69695,A81000C,00200,0200,LAURIER INC. 69695,A81000C,00200,0400,EXTENDICARE INC. 69695,A81000C,00200,0600,INSURANCE 69695,A81000C,00300,0100,G 69695,A81000C,00300,0200,UNITED REHABILITATION SVS 69695,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69695,A81000C,00300,0600,THERAPY SERVICE 69695,A81000C,00400,0100,G 69695,A81000C,00400,0200,UPC 69695,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69695,A81000C,00400,0600,PHARMACY THERAPY 69695,B100000,00000,0100,00040SQUARE FEET 69695,B100000,00000,0200,00040SQUARE FEET 69695,B100000,00000,0300,00040GROSS SALARIES 69695,B100000,00000,0400,00040ACCUM. COST 69695,B100000,00000,0500,00040SQUARE FEET 69695,B100000,00000,0600,00040PATIENT DAYS 69695,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69695,B100000,00000,0800,00040PATIENT DAYS 69695,B100000,00000,0900,00040PATIENT DAYS 69695,B100000,00000,1000,00040COSTED REQUIS 69695,B100000,00000,1100,00040COSTED REQUIS 69695,B100000,00000,1200,00040GROSS REVENUE 69695,B100000,00000,1300,00040PATIENT DAYS 69695,B100000,00000,1400,00040ASSIGNED TIME 69695,E10A180,00301,0100,06/22/1998 69695,E10A180,00301,0300,06/22/1998 69695,E10A180,00350,0100,06/22/1998 69695,E10A180,00350,0300,06/22/1998 69695,S000000,00100,0200,06/16/2000 69695,S200000,00100,0100,445 GALTIER AVE 69695,S200000,00200,0100,ST. PAUL 69695,S200000,00200,0200,MN 69695,S200000,00300,0100,RAMSEY 69695,S200000,00400,0100,GALTIER HEALTH CARE 69695,S200000,00400,0200,245340 69695,S200000,00400,0300,12/01/1989 69695,S200000,00400,0500,P 69695,S200000,01600,0100,Y 69703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69703,A000000,00300,0000,00300EMPLOYEE BENEFITS 69703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69703,A000000,00700,0000,00700HOUSEKEEPING 69703,A000000,00800,0000,00800DIETARY 69703,A000000,00900,0000,00900NURSING ADMINISTRATION 69703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69703,A000000,01100,0000,01100PHARMACY 69703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69703,A000000,01300,0000,01300SOCIAL SERVICE 69703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69703,A000000,01600,0000,01600SKILLED NURSING FACILITY 69703,A000000,01800,0000,01800NURSING FACILITY 69703,A000000,01810,0000,01810ICF/MR 69703,A000000,02100,0000,02100RADIOLOGY 69703,A000000,02300,0000,02300INTRAVENOUS THERAPY 69703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69703,A000000,02500,0000,02500PHYSICAL THERAPY 69703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69703,A000000,02700,0000,02700SPEECH PATHOLOGY 69703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69703,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69703,A000000,03052,0000,03302MEDICAL EQUIPMENT 69703,A000000,03550,0000,03550FQHC 69703,A000000,05000,0000,05000CORF 69703,A000000,05010,0000,05010CMHC 69703,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69703,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69703,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69703,A81000A,00100,0100,Y 69703,A81000B,00100,0300,HOME OFFICE A&G 69703,A81000B,00200,0300,HOME OFFICE CAPITAL 69703,A81000B,00300,0300,DIVISION OFFICE A&G 69703,A81000B,00500,0300,INSURANCE 69703,A81000C,00100,0100,B 69703,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69703,A81000C,00200,0100,G 69703,A81000C,00200,0200,LAURIER INC. 69703,A81000C,00200,0400,EXTENDICARE INC. 69703,A81000C,00200,0600,INSURANCE 69703,A81000C,00300,0100,G 69703,A81000C,00300,0200,UNITED REHABILITATION SVS 69703,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69703,A81000C,00300,0600,THERAPY SERVICE 69703,A81000C,00400,0100,G 69703,A81000C,00400,0200,UPC 69703,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69703,A81000C,00400,0600,PHARMACY THERAPY 69703,B100000,00000,0100,00040SQUARE FEET 69703,B100000,00000,0200,00040SQUARE FEET 69703,B100000,00000,0300,00040GROSS SALARIES 69703,B100000,00000,0400,00040ACCUM. COST 69703,B100000,00000,0500,00040SQUARE FEET 69703,B100000,00000,0600,00040PATIENT DAYS 69703,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69703,B100000,00000,0800,00040PATIENT DAYS 69703,B100000,00000,0900,00040PATIENT DAYS 69703,B100000,00000,1000,00040COSTED REQUIS 69703,B100000,00000,1100,00040COSTED REQUIS 69703,B100000,00000,1200,00040GROSS REVENUE 69703,B100000,00000,1300,00040PATIENT DAYS 69703,B100000,00000,1400,00040ASSIGNED TIME 69703,E10A180,00301,0100,06/22/1998 69703,E10A180,00301,0300,06/22/1998 69703,E10A180,00350,0100,06/22/1998 69703,E10A180,00350,0300,06/22/1998 69703,E10A180,00550,0300,06/09/2000 69703,S000000,00100,0200,06/16/2000 69703,S200000,00100,0100,3130 GRIMES AVE NORTH 69703,S200000,00200,0100,ROBBINSDALE 69703,S200000,00200,0200,MN 69703,S200000,00300,0100,HENNEPIN 69703,S200000,00400,0100,TREVILLA OF ROBBINSDALE 69703,S200000,00400,0200,245417 69703,S200000,00400,0300,12/01/1989 69703,S200000,00400,0500,P 69703,S200000,01600,0100,Y 69711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69711,A000000,00300,0000,00300EMPLOYEE BENEFITS 69711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69711,A000000,00700,0000,00700HOUSEKEEPING 69711,A000000,00800,0000,00800DIETARY 69711,A000000,00900,0000,00900NURSING ADMINISTRATION 69711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69711,A000000,01100,0000,01100PHARMACY 69711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69711,A000000,01300,0000,01300SOCIAL SERVICE 69711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69711,A000000,01600,0000,01600SKILLED NURSING FACILITY 69711,A000000,01800,0000,01800NURSING FACILITY 69711,A000000,01810,0000,01810ICF/MR 69711,A000000,02100,0000,02100RADIOLOGY 69711,A000000,02200,0000,02200LABORATORY 69711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69711,A000000,02500,0000,02500PHYSICAL THERAPY 69711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69711,A000000,02700,0000,02700SPEECH PATHOLOGY 69711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69711,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69711,A000000,03052,0000,03302MEDICAL EQUIPMENT 69711,A000000,03550,0000,03550FQHC 69711,A000000,05000,0000,05000CORF 69711,A000000,05010,0000,05010CMHC 69711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69711,A81000A,00100,0100,Y 69711,A81000B,00100,0300,HOME OFFICE A&G 69711,A81000B,00200,0300,HOME OFFICE CAPITAL 69711,A81000B,00300,0300,DIVISION OFFICE A&G 69711,A81000B,00500,0300,INSURANCE 69711,A81000C,00100,0100,B 69711,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69711,A81000C,00200,0100,G 69711,A81000C,00200,0200,LAURIER INC. 69711,A81000C,00200,0400,EXTENDICARE INC. 69711,A81000C,00200,0600,INSURANCE 69711,A81000C,00300,0100,G 69711,A81000C,00300,0200,UNITED REHABILITATION SVS 69711,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69711,A81000C,00300,0600,THERAPY SERVICE 69711,A81000C,00400,0100,G 69711,A81000C,00400,0200,UPC 69711,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69711,A81000C,00400,0600,PHARMACY THERPAY 69711,B100000,00000,0100,00040SQUARE FEET 69711,B100000,00000,0200,00040SQUARE FEET 69711,B100000,00000,0300,00040GROSS SALARIES 69711,B100000,00000,0400,00040ACCUM. COST 69711,B100000,00000,0500,00040SQUARE FEET 69711,B100000,00000,0600,00040PATIENT DAYS 69711,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69711,B100000,00000,0800,00040PATIENT DAYS 69711,B100000,00000,0900,00040PATIENT DAYS 69711,B100000,00000,1000,00040COSTED REQUIS 69711,B100000,00000,1100,00040COSTED REQUIS 69711,B100000,00000,1200,00040GROSS REVENUE 69711,B100000,00000,1300,00040PATIENT DAYS 69711,B100000,00000,1400,00040ASSIGNED TIME 69711,E10A180,00301,0100,06/22/1998 69711,E10A180,00301,0300,06/22/1998 69711,E10A180,00350,0100,06/22/1998 69711,E10A180,00350,0300,06/22/1998 69711,S000000,00100,0200,06/16/2000 69711,S200000,00100,0100,375 NORTH LEXINGTON PARKWAY 69711,S200000,00200,0100,ST PAUL 69711,S200000,00200,0200,MN 69711,S200000,00300,0100,RAMSEY 69711,S200000,00400,0100,LEXINGTON HEALTH CENTER 69711,S200000,00400,0200,245466 69711,S200000,00400,0300,12/01/1989 69711,S200000,00400,0500,P 69711,S200000,01600,0100,Y 69719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69719,A000000,00300,0000,00300EMPLOYEE BENEFITS 69719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69719,A000000,00700,0000,00700HOUSEKEEPING 69719,A000000,00800,0000,00800DIETARY 69719,A000000,00900,0000,00900NURSING ADMINISTRATION 69719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69719,A000000,01100,0000,01100PHARMACY 69719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69719,A000000,01300,0000,01300SOCIAL SERVICE 69719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69719,A000000,01600,0000,01600SKILLED NURSING FACILITY 69719,A000000,01800,0000,01800NURSING FACILITY 69719,A000000,01810,0000,01810ICF/MR 69719,A000000,02100,0000,02100RADIOLOGY 69719,A000000,02200,0000,02200LABORATORY 69719,A000000,02300,0000,02300INTRAVENOUS THERAPY 69719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69719,A000000,02500,0000,02500PHYSICAL THERAPY 69719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69719,A000000,02700,0000,02700SPEECH PATHOLOGY 69719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69719,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69719,A000000,03052,0000,03302MEDICAL EQUIPMENT 69719,A000000,03550,0000,03550FQHC 69719,A000000,05000,0000,05000CORF 69719,A000000,05010,0000,05010CMHC 69719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69719,A81000A,00100,0100,Y 69719,A81000B,00100,0300,HOME OFFICE A&G 69719,A81000B,00200,0300,HOME OFFICE CAPITAL 69719,A81000B,00300,0300,DIVISION OFFICE A&G 69719,A81000B,00500,0300,INSURANCE 69719,A81000C,00100,0100,B 69719,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69719,A81000C,00200,0100,G 69719,A81000C,00200,0200,LAURIER INC. 69719,A81000C,00200,0400,EXTENDICARE INC. 69719,A81000C,00200,0600,INSURANCE 69719,A81000C,00300,0100,G 69719,A81000C,00300,0200,UNITED REHABILITATION SVS 69719,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69719,A81000C,00300,0600,THERAPY SERVICE 69719,A81000C,00400,0100,G 69719,A81000C,00400,0200,UPC 69719,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69719,A81000C,00400,0600,PHARMACY THERAPY 69719,B100000,00000,0100,00040SQUARE FEET 69719,B100000,00000,0200,00040SQUARE FEET 69719,B100000,00000,0300,00040GROSS SALARIES 69719,B100000,00000,0400,00040ACCUM. COST 69719,B100000,00000,0500,00040SQUARE FEET 69719,B100000,00000,0600,00040PATIENT DAYS 69719,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69719,B100000,00000,0800,00040PATIENT DAYS 69719,B100000,00000,0900,00040PATIENT DAYS 69719,B100000,00000,1000,00040COSTED REQUIS 69719,B100000,00000,1100,00040COSTED REQUIS 69719,B100000,00000,1200,00040GROSS REVENUE 69719,B100000,00000,1300,00040PATIENT DAYS 69719,B100000,00000,1400,00040ASSIGNED TIME 69719,E10A180,00301,0100,01/24/2000 69719,E10A180,00301,0300,06/22/1998 69719,E10A180,00350,0100,06/22/1998 69719,E10A180,00350,0300,06/22/1998 69719,E10A180,00501,0100,02/12/2001 69719,S000000,00100,0200,06/16/2000 69719,S200000,00100,0100,7727 PORTLAND AVENUE SOUTH 69719,S200000,00200,0100,RICHFIELD 69719,S200000,00200,0200,MN 69719,S200000,00300,0100,HENNEPIN 69719,S200000,00400,0100,RICHFIELD 69719,S200000,00400,0200,245492 69719,S200000,00400,0300,12/01/1989 69719,S200000,00400,0500,P 69719,S200000,01600,0100,Y 69752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69752,A000000,00300,0000,00300EMPLOYEE BENEFITS 69752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69752,A000000,00700,0000,00700HOUSEKEEPING 69752,A000000,00800,0000,00800DIETARY 69752,A000000,00900,0000,00900NURSING ADMINISTRATION 69752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69752,A000000,01100,0000,01100PHARMACY 69752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69752,A000000,01300,0000,01300SOCIAL SERVICE 69752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69752,A000000,01600,0000,01600SKILLED NURSING FACILITY 69752,A000000,01800,0000,01800NURSING FACILITY 69752,A000000,01810,0000,01810ICF/MR 69752,A000000,02100,0000,02100RADIOLOGY 69752,A000000,02200,0000,02200LABORATORY 69752,A000000,02300,0000,02300INTRAVENOUS THERAPY 69752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69752,A000000,02500,0000,02500PHYSICAL THERAPY 69752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69752,A000000,02700,0000,02700SPEECH PATHOLOGY 69752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69752,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69752,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69752,A000000,03052,0000,03302MEDICAL EQUIPMENT 69752,A000000,03550,0000,03550FQHC 69752,A000000,05000,0000,05000CORF 69752,A000000,05010,0000,05010CMHC 69752,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69752,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69752,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69752,A81000A,00100,0100,Y 69752,A81000B,00100,0300,HOME OFFICE A&G 69752,A81000B,00200,0300,HOME OFFICE CAPITAL 69752,A81000B,00300,0300,DIVISION OFFICE A&G 69752,A81000B,00500,0300,INSURANCE 69752,A81000C,00100,0100,B 69752,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69752,A81000C,00200,0100,G 69752,A81000C,00200,0200,LAURIER INC. 69752,A81000C,00200,0400,EXTENDICARE INC. 69752,A81000C,00200,0600,INSURANCE 69752,A81000C,00300,0100,G 69752,A81000C,00300,0200,UNITED REHABILITATION SVS 69752,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69752,A81000C,00300,0600,THERAPY SERVICE 69752,A81000C,00400,0100,G 69752,A81000C,00400,0200,UPC 69752,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69752,A81000C,00400,0600,PHARMACY AND THERAPY 69752,B100000,00000,0100,00040SQUARE FEET 69752,B100000,00000,0200,00040SQUARE FEET 69752,B100000,00000,0300,00040GROSS SALARIES 69752,B100000,00000,0400,00040ACCUM. COST 69752,B100000,00000,0500,00040SQUARE FEET 69752,B100000,00000,0600,00040PATIENT DAYS 69752,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69752,B100000,00000,0800,00040PATIENT DAYS 69752,B100000,00000,0900,00040PATIENT DAYS 69752,B100000,00000,1000,00040COSTED REQUIS 69752,B100000,00000,1100,00040COSTED REQUIS 69752,B100000,00000,1200,00040GROSS REVENUE 69752,B100000,00000,1300,00040PATIENT DAYS 69752,B100000,00000,1400,00040ASSIGNED TIME 69752,E10A180,00550,0300,02/12/2001 69752,S000000,00100,0200,06/16/2000 69752,S200000,00100,0100,36759 ROCKSPRINGS ROAD 69752,S200000,00200,0100,POMEROY 69752,S200000,00200,0200,OH 69752,S200000,00300,0100,MEIGS 69752,S200000,00400,0100,ROCKSPRINGS REHABILITATION CENTER 69752,S200000,00400,0200,365450 69752,S200000,00400,0300,11/18/1980 69752,S200000,00400,0500,P 69752,S200000,01600,0100,Y 69760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69760,A000000,00300,0000,00300EMPLOYEE BENEFITS 69760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69760,A000000,00700,0000,00700HOUSEKEEPING 69760,A000000,00800,0000,00800DIETARY 69760,A000000,00900,0000,00900NURSING ADMINISTRATION 69760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69760,A000000,01100,0000,01100PHARMACY 69760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69760,A000000,01300,0000,01300SOCIAL SERVICE 69760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69760,A000000,01600,0000,01600SKILLED NURSING FACILITY 69760,A000000,01800,0000,01800NURSING FACILITY 69760,A000000,01810,0000,01810ICF/MR 69760,A000000,02100,0000,02100RADIOLOGY 69760,A000000,02200,0000,02200LABORATORY 69760,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69760,A000000,02500,0000,02500PHYSICAL THERAPY 69760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69760,A000000,02700,0000,02700SPEECH PATHOLOGY 69760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69760,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69760,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69760,A000000,03052,0000,03302MEDICAL EQUIPMENT 69760,A000000,03550,0000,03550FQHC 69760,A000000,05000,0000,05000CORF 69760,A000000,05010,0000,05010CMHC 69760,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69760,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69760,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69760,A81000A,00100,0100,Y 69760,A81000B,00100,0300,HOME OFFICE A&G 69760,A81000B,00200,0300,HOME OFFICE CAPITAL 69760,A81000B,00300,0300,DIVISION OFFICE A&G 69760,A81000B,00500,0300,INSURANCE 69760,A81000C,00100,0100,B 69760,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69760,A81000C,00200,0100,G 69760,A81000C,00200,0200,LAURIER INC. 69760,A81000C,00200,0400,EXTENDICARE INC. 69760,A81000C,00200,0600,INSURANCE 69760,A81000C,00300,0100,G 69760,A81000C,00300,0200,UNITED REHABILITATION SVS 69760,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69760,A81000C,00300,0600,THERAPY SERVICE 69760,A81000C,00400,0100,G 69760,A81000C,00400,0200,UPC 69760,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69760,A81000C,00400,0600,PHARMACY THERAPY 69760,B100000,00000,0100,00040SQUARE FEET 69760,B100000,00000,0200,00040SQUARE FEET 69760,B100000,00000,0300,00040GROSS SALARIES 69760,B100000,00000,0400,00040ACCUM. COST 69760,B100000,00000,0500,00040SQUARE FEET 69760,B100000,00000,0600,00040PATIENT DAYS 69760,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69760,B100000,00000,0800,00040PATIENT DAYS 69760,B100000,00000,0900,00040PATIENT DAYS 69760,B100000,00000,1000,00040COSTED REQUIS 69760,B100000,00000,1100,00040COSTED REQUIS 69760,B100000,00000,1200,00040GROSS REVENUE 69760,B100000,00000,1300,00040PATIENT DAYS 69760,B100000,00000,1400,00040ASSIGNED TIME 69760,E10A180,00501,0300,02/12/2001 69760,S000000,00100,0200,06/16/2000 69760,S200000,00100,0100,3680 DOLSON COURT 69760,S200000,00200,0100,LANCASTER 69760,S200000,00200,0200,OH 69760,S200000,00300,0100,FAIRFIELD 69760,S200000,00400,0100,ROCKMILL REHABILITATION CENTER 69760,S200000,00400,0200,365474 69760,S200000,00400,0300,03/13/1980 69760,S200000,00400,0500,P 69760,S200000,01600,0100,Y 69768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69768,A000000,00300,0000,00300EMPLOYEE BENEFITS 69768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69768,A000000,00700,0000,00700HOUSEKEEPING 69768,A000000,00800,0000,00800DIETARY 69768,A000000,00900,0000,00900NURSING ADMINISTRATION 69768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69768,A000000,01100,0000,01100PHARMACY 69768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69768,A000000,01300,0000,01300SOCIAL SERVICE 69768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69768,A000000,01600,0000,01600SKILLED NURSING FACILITY 69768,A000000,01800,0000,01800NURSING FACILITY 69768,A000000,01810,0000,01810ICF/MR 69768,A000000,02100,0000,02100RADIOLOGY 69768,A000000,02200,0000,02200LABORATORY 69768,A000000,02300,0000,02300INTRAVENOUS THERAPY 69768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69768,A000000,02500,0000,02500PHYSICAL THERAPY 69768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69768,A000000,02700,0000,02700SPEECH PATHOLOGY 69768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69768,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69768,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69768,A000000,03052,0000,03302MEDICAL EQUIPMENT 69768,A000000,03550,0000,03550FQHC 69768,A000000,05000,0000,05000CORF 69768,A000000,05010,0000,05010CMHC 69768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69768,A81000A,00100,0100,Y 69768,A81000B,00100,0300,HOME OFFICE A&G 69768,A81000B,00200,0300,HOME OFFICE CAPITAL 69768,A81000B,00300,0300,DIVISION OFFICE A&G 69768,A81000B,00500,0300,INSURANCE 69768,A81000B,00600,0300,PHYSICAL THERAPY 69768,A81000B,00700,0300,OCCUPATIONAL THERAPY 69768,A81000B,00800,0300,SPEECH THERAPY 69768,A81000C,00100,0100,B 69768,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69768,A81000C,00200,0100,G 69768,A81000C,00200,0200,LAURIER INC. 69768,A81000C,00200,0400,EXTENDICARE INC. 69768,A81000C,00200,0600,INSURANCE 69768,A81000C,00300,0100,G 69768,A81000C,00300,0200,UNITED REHABILITATION SVS 69768,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69768,A81000C,00300,0600,THERAPY SERVICE 69768,A81000C,00400,0100,G 69768,A81000C,00400,0200,UPC 69768,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69768,A81000C,00400,0600,PHARMACY THERAPY 69768,B100000,00000,0100,00040SQUARE FEET 69768,B100000,00000,0200,00040SQUARE FEET 69768,B100000,00000,0300,00040GROSS SALARIES 69768,B100000,00000,0400,00040ACCUM. COST 69768,B100000,00000,0500,00040SQUARE FEET 69768,B100000,00000,0600,00040PATIENT DAYS 69768,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69768,B100000,00000,0800,00040PATIENT DAYS 69768,B100000,00000,0900,00040PATIENT DAYS 69768,B100000,00000,1000,00040COSTED REQUIS 69768,B100000,00000,1100,00040COSTED REQUIS 69768,B100000,00000,1200,00040GROSS REVENUE 69768,B100000,00000,1300,00040PATIENT DAYS 69768,B100000,00000,1400,00040ASSIGNED TIME 69768,E10A180,00301,0100,01/24/2000 69768,E10A180,00550,0100,06/09/2000 69768,S000000,00100,0200,06/16/2000 69768,S200000,00100,0100,37930 AIRPORT ROAD 69768,S200000,00200,0100,WOODSFIELD 69768,S200000,00200,0200,OH 69768,S200000,00300,0100,MONROE 69768,S200000,00400,0100,WOODSFIELD NURSING & REHABILITATION 69768,S200000,00400,0200,365496 69768,S200000,00400,0300,03/13/1980 69768,S200000,00400,0500,P 69768,S200000,01600,0100,Y 69776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69776,A000000,00300,0000,00300EMPLOYEE BENEFITS 69776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69776,A000000,00700,0000,00700HOUSEKEEPING 69776,A000000,00800,0000,00800DIETARY 69776,A000000,00900,0000,00900NURSING ADMINISTRATION 69776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69776,A000000,01100,0000,01100PHARMACY 69776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69776,A000000,01300,0000,01300SOCIAL SERVICE 69776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69776,A000000,01600,0000,01600SKILLED NURSING FACILITY 69776,A000000,01800,0000,01800NURSING FACILITY 69776,A000000,01810,0000,01810ICF/MR 69776,A000000,02100,0000,02100RADIOLOGY 69776,A000000,02200,0000,02200LABORATORY 69776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69776,A000000,02500,0000,02500PHYSICAL THERAPY 69776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69776,A000000,02700,0000,02700SPEECH PATHOLOGY 69776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69776,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69776,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69776,A000000,03052,0000,03302MEDICAL EQUIPMENT 69776,A000000,03550,0000,03550FQHC 69776,A000000,05000,0000,05000CORF 69776,A000000,05010,0000,05010CMHC 69776,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69776,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69776,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69776,A81000A,00100,0100,Y 69776,A81000B,00100,0300,HOME OFFICE A&G 69776,A81000B,00200,0300,HOME OFFICE CAPITAL 69776,A81000B,00300,0300,DIVISION OFFICE A&G 69776,A81000B,00500,0300,INSURANCE 69776,A81000C,00100,0100,B 69776,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69776,A81000C,00200,0100,G 69776,A81000C,00200,0200,LAURIER INC. 69776,A81000C,00200,0400,EXTENDICARE INC. 69776,A81000C,00200,0600,INSURANCE 69776,A81000C,00300,0100,G 69776,A81000C,00300,0200,UNITED REHABILITATION SVS 69776,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69776,A81000C,00300,0600,THERAPY SERVICE 69776,A81000C,00400,0100,G 69776,A81000C,00400,0200,UPC 69776,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69776,A81000C,00400,0600,PHARMACY THERAPY 69776,B100000,00000,0100,00040SQUARE FEET 69776,B100000,00000,0200,00040SQUARE FEET 69776,B100000,00000,0300,00040GROSS SALARIES 69776,B100000,00000,0400,00040ACCUM. COST 69776,B100000,00000,0500,00040SQUARE FEET 69776,B100000,00000,0600,00040PATIENT DAYS 69776,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69776,B100000,00000,0800,00040PATIENT DAYS 69776,B100000,00000,0900,00040PATIENT DAYS 69776,B100000,00000,1000,00040COSTED REQUIS 69776,B100000,00000,1100,00040COSTED REQUIS 69776,B100000,00000,1200,00040GROSS REVENUE 69776,B100000,00000,1300,00040PATIENT DAYS 69776,B100000,00000,1400,00040ASSIGNED TIME 69776,E10A180,00301,0100,01/24/2000 69776,E10A180,00550,0100,06/09/2000 69776,E10A180,00550,0300,06/09/2000 69776,S000000,00100,0200,06/16/2000 69776,S200000,00100,0100,904 ISAAC STREETS DRIVE 69776,S200000,00200,0100,OREGON 69776,S200000,00200,0200,OH 69776,S200000,00300,0100,LUCAS 69776,S200000,00400,0100,OREGON NURSING & REHABILITATION 69776,S200000,00400,0200,365523 69776,S200000,00400,0300,04/23/1980 69776,S200000,00400,0500,P 69776,S200000,01600,0100,Y 69784,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69784,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69784,A000000,00300,0000,00300EMPLOYEE BENEFITS 69784,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69784,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69784,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69784,A000000,00700,0000,00700HOUSEKEEPING 69784,A000000,00800,0000,00800DIETARY 69784,A000000,00900,0000,00900NURSING ADMINISTRATION 69784,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69784,A000000,01100,0000,01100PHARMACY 69784,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69784,A000000,01300,0000,01300SOCIAL SERVICE 69784,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69784,A000000,01600,0000,01600SKILLED NURSING FACILITY 69784,A000000,01800,0000,01800NURSING FACILITY 69784,A000000,01810,0000,01810ICF/MR 69784,A000000,02100,0000,02100RADIOLOGY 69784,A000000,02200,0000,02200LABORATORY 69784,A000000,02500,0000,02500PHYSICAL THERAPY 69784,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69784,A000000,02700,0000,02700SPEECH PATHOLOGY 69784,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69784,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69784,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69784,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69784,A000000,03052,0000,03302MEDICAL EQUIPMENT 69784,A000000,03550,0000,03550FQHC 69784,A000000,05000,0000,05000CORF 69784,A000000,05010,0000,05010CMHC 69784,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69784,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69784,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69784,A81000A,00100,0100,Y 69784,A81000B,00100,0300,HOME OFFICE A&G 69784,A81000B,00200,0300,HOME OFFICE CAPITAL 69784,A81000B,00300,0300,DIVISION OFFICE A&G 69784,A81000B,00500,0300,INSURANCE 69784,A81000C,00100,0100,B 69784,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69784,A81000C,00200,0100,G 69784,A81000C,00200,0200,LAURIER INC. 69784,A81000C,00200,0400,EXTENDICARE INC. 69784,A81000C,00200,0600,INSURANCE 69784,A81000C,00300,0100,G 69784,A81000C,00300,0200,UNITED REHABILITATION SVS 69784,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69784,A81000C,00300,0600,THERAPY SERVICE 69784,A81000C,00400,0100,G 69784,A81000C,00400,0200,UPC 69784,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69784,A81000C,00400,0600,PHARMACY THERAPY 69784,B100000,00000,0100,00040SQUARE FEET 69784,B100000,00000,0200,00040SQUARE FEET 69784,B100000,00000,0300,00040GROSS SALARIES 69784,B100000,00000,0400,00040ACCUM. COST 69784,B100000,00000,0500,00040SQUARE FEET 69784,B100000,00000,0600,00040PATIENT DAYS 69784,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69784,B100000,00000,0800,00040PATIENT DAYS 69784,B100000,00000,0900,00040PATIENT DAYS 69784,B100000,00000,1000,00040COSTED REQUIS 69784,B100000,00000,1100,00040COSTED REQUIS 69784,B100000,00000,1200,00040GROSS REVENUE 69784,B100000,00000,1300,00040PATIENT DAYS 69784,B100000,00000,1400,00040ASSIGNED TIME 69784,E10A180,00550,0300,02/12/2001 69784,S000000,00100,0200,06/16/2000 69784,S200000,00100,0100,1600 ST PARIS PIKE 69784,S200000,00200,0100,SPRINGFIELD 69784,S200000,00200,0200,OH 69784,S200000,00300,0100,CLARK 69784,S200000,00400,0100,RIDGEWOOD NURSING CENTER 69784,S200000,00400,0200,365527 69784,S200000,00400,0300,06/02/1980 69784,S200000,00400,0500,P 69784,S200000,01600,0100,Y 69791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69791,A000000,00300,0000,00300EMPLOYEE BENEFITS 69791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69791,A000000,00700,0000,00700HOUSEKEEPING 69791,A000000,00800,0000,00800DIETARY 69791,A000000,00900,0000,00900NURSING ADMINISTRATION 69791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69791,A000000,01100,0000,01100PHARMACY 69791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69791,A000000,01300,0000,01300SOCIAL SERVICE 69791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69791,A000000,01600,0000,01600SKILLED NURSING FACILITY 69791,A000000,01800,0000,01800NURSING FACILITY 69791,A000000,01810,0000,01810ICF/MR 69791,A000000,02100,0000,02100RADIOLOGY 69791,A000000,02200,0000,02200LABORATORY 69791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69791,A000000,02500,0000,02500PHYSICAL THERAPY 69791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69791,A000000,02700,0000,02700SPEECH PATHOLOGY 69791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69791,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69791,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69791,A000000,03052,0000,03302MEDICAL EQUIPMENT 69791,A000000,03550,0000,03550FQHC 69791,A000000,05000,0000,05000CORF 69791,A000000,05010,0000,05010CMHC 69791,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69791,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69791,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69791,A81000A,00100,0100,Y 69791,A81000B,00100,0300,HOME OFFICE A&G 69791,A81000B,00200,0300,HOME OFFICE CAPITAL 69791,A81000B,00300,0300,DIVISION OFFICE A&G 69791,A81000B,00500,0300,INSURANCE 69791,A81000B,00600,0300,PHYSICAL THERAPY 69791,A81000B,00700,0300,OCCUPATIONAL THERAPY 69791,A81000B,00900,0300,AIR FLUIDIZED THERAPY 69791,A81000C,00100,0100,B 69791,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69791,A81000C,00200,0100,G 69791,A81000C,00200,0200,LAURIER INC. 69791,A81000C,00200,0400,EXTENDICARE INC. 69791,A81000C,00200,0600,INSURANCE 69791,A81000C,00300,0100,G 69791,A81000C,00300,0200,UNITED REHABILITATION SVS 69791,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69791,A81000C,00300,0600,THERAPY SERVICE 69791,A81000C,00400,0100,G 69791,A81000C,00400,0200,UPC 69791,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69791,A81000C,00400,0600,PHARMACY THERAPY 69791,B100000,00000,0100,00040SQUARE FEET 69791,B100000,00000,0200,00040SQUARE FEET 69791,B100000,00000,0300,00040GROSS SALARIES 69791,B100000,00000,0400,00040ACCUM. COST 69791,B100000,00000,0500,00040SQUARE FEET 69791,B100000,00000,0600,00040PATIENT DAYS 69791,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69791,B100000,00000,0800,00040PATIENT DAYS 69791,B100000,00000,0900,00040PATIENT DAYS 69791,B100000,00000,1000,00040COSTED REQUIS 69791,B100000,00000,1100,00040COSTED REQUIS 69791,B100000,00000,1200,00040GROSS REVENUE 69791,B100000,00000,1300,00040PATIENT DAYS 69791,B100000,00000,1400,00040ASSIGNED TIME 69791,E10A180,00301,0100,06/22/1998 69791,E10A180,00301,0300,06/22/1998 69791,E10A180,00350,0100,06/22/1998 69791,E10A180,00350,0300,06/22/1998 69791,E10A180,00501,0300,02/12/2001 69791,E10A180,00550,0100,02/12/2001 69791,S000000,00100,0200,06/16/2000 69791,S200000,00100,0100,3650 BEAVER CREST DRIVE 69791,S200000,00200,0100,LORAIN 69791,S200000,00200,0200,OH 69791,S200000,00300,0100,LORAIN 69791,S200000,00400,0100,OAK HILLS 69791,S200000,00400,0200,365550 69791,S200000,00400,0300,02/06/1981 69791,S200000,00400,0500,P 69791,S200000,01600,0100,Y 69806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69806,A000000,00300,0000,00300EMPLOYEE BENEFITS 69806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69806,A000000,00700,0000,00700HOUSEKEEPING 69806,A000000,00800,0000,00800DIETARY 69806,A000000,00900,0000,00900NURSING ADMINISTRATION 69806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69806,A000000,01100,0000,01100PHARMACY 69806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69806,A000000,01300,0000,01300SOCIAL SERVICE 69806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69806,A000000,01600,0000,01600SKILLED NURSING FACILITY 69806,A000000,01800,0000,01800NURSING FACILITY 69806,A000000,01810,0000,01810ICF/MR 69806,A000000,02100,0000,02100RADIOLOGY 69806,A000000,02200,0000,02200LABORATORY 69806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69806,A000000,02500,0000,02500PHYSICAL THERAPY 69806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69806,A000000,02700,0000,02700SPEECH PATHOLOGY 69806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69806,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69806,A000000,03052,0000,03302MEDICAL EQUIPMENT 69806,A000000,03550,0000,03550FQHC 69806,A000000,05000,0000,05000CORF 69806,A000000,05010,0000,05010CMHC 69806,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69806,A81000A,00100,0100,Y 69806,A81000B,00100,0300,HOME OFFICE A&G 69806,A81000B,00200,0300,HOME OFFICE CAPITAL 69806,A81000B,00300,0300,DIVISION OFFICE A&G 69806,A81000B,00500,0300,INSURANCE 69806,A81000C,00100,0100,B 69806,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69806,A81000C,00200,0100,G 69806,A81000C,00200,0200,LAURIER INC. 69806,A81000C,00200,0400,EXTENDICARE INC. 69806,A81000C,00200,0600,INSURANCE 69806,A81000C,00300,0100,G 69806,A81000C,00300,0200,UNITED REHABILITATION SVS 69806,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69806,A81000C,00300,0600,THERAPY SERVICE 69806,A81000C,00400,0100,G 69806,A81000C,00400,0200,UPC 69806,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69806,A81000C,00400,0600,PHARMACY THERAPY 69806,B100000,00000,0100,00040SQUARE FEET 69806,B100000,00000,0200,00040SQUARE FEET 69806,B100000,00000,0300,00040GROSS SALARIES 69806,B100000,00000,0400,00040ACCUM. COST 69806,B100000,00000,0500,00040SQUARE FEET 69806,B100000,00000,0600,00040PATIENT DAYS 69806,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69806,B100000,00000,0800,00040PATIENT DAYS 69806,B100000,00000,0900,00040PATIENT DAYS 69806,B100000,00000,1000,00040COSTED REQUIS 69806,B100000,00000,1100,00040COSTED REQUIS 69806,B100000,00000,1200,00040GROSS REVENUE 69806,B100000,00000,1300,00040PATIENT DAYS 69806,B100000,00000,1400,00040ASSIGNED TIME 69806,E10A180,00501,0300,02/12/2001 69806,S000000,00100,0200,06/16/2000 69806,S200000,00100,0100,400 CAROLYN COURT 69806,S200000,00200,0100,MINERVA 69806,S200000,00200,0200,OH 69806,S200000,00300,0100,CARROLTON 69806,S200000,00400,0100,GREAT TRAIL CARE CENTER 69806,S200000,00400,0200,365674 69806,S200000,00400,0300,03/11/1986 69806,S200000,00400,0500,P 69806,S200000,01600,0100,Y 69816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69816,A000000,00300,0000,00300EMPLOYEE BENEFITS 69816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69816,A000000,00700,0000,00700HOUSEKEEPING 69816,A000000,00800,0000,00800DIETARY 69816,A000000,00900,0000,00900NURSING ADMINISTRATION 69816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69816,A000000,01100,0000,01100PHARMACY 69816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69816,A000000,01300,0000,01300SOCIAL SERVICE 69816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69816,A000000,01600,0000,01600SKILLED NURSING FACILITY 69816,A000000,01800,0000,01800NURSING FACILITY 69816,A000000,01810,0000,01810ICF/MR 69816,A000000,02100,0000,02100RADIOLOGY 69816,A000000,02200,0000,02200LABORATORY 69816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69816,A000000,02500,0000,02500PHYSICAL THERAPY 69816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69816,A000000,02700,0000,02700SPEECH PATHOLOGY 69816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69816,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69816,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69816,A000000,03052,0000,03302MEDICAL EQUIPMENT 69816,A000000,03550,0000,03550FQHC 69816,A000000,05000,0000,05000CORF 69816,A000000,05010,0000,05010CMHC 69816,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69816,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69816,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69816,A81000A,00100,0100,Y 69816,A81000B,00100,0300,HOME OFFICE A&G 69816,A81000B,00200,0300,HOME OFFICE CAPITAL 69816,A81000B,00300,0300,DIVISION OFFICE A&G 69816,A81000B,00500,0300,INSURANCE 69816,A81000C,00100,0100,B 69816,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69816,A81000C,00200,0100,G 69816,A81000C,00200,0200,LAURIER INC. 69816,A81000C,00200,0400,EXTENDICARE INC. 69816,A81000C,00200,0600,INSURANCE 69816,A81000C,00300,0100,G 69816,A81000C,00300,0200,UNITED REHABILITATION SVS 69816,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69816,A81000C,00300,0600,THERAPY SERVICE 69816,A81000C,00400,0100,G 69816,A81000C,00400,0200,UPC 69816,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69816,A81000C,00400,0600,PHARMACY THERAPY 69816,B100000,00000,0100,00040SQUARE FEET 69816,B100000,00000,0200,00040SQUARE FEET 69816,B100000,00000,0300,00040GROSS SALARIES 69816,B100000,00000,0400,00040ACCUM. COST 69816,B100000,00000,0500,00040SQUARE FEET 69816,B100000,00000,0600,00040PATIENT DAYS 69816,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69816,B100000,00000,0800,00040PATIENT DAYS 69816,B100000,00000,0900,00040PATIENT DAYS 69816,B100000,00000,1000,00040COSTED REQUIS 69816,B100000,00000,1100,00040COSTED REQUIS 69816,B100000,00000,1200,00040GROSS REVENUE 69816,B100000,00000,1300,00040PATIENT DAYS 69816,B100000,00000,1400,00040ASSIGNED TIME 69816,E10A180,00501,0300,02/12/2001 69816,S000000,00100,0200,06/16/2000 69816,S200000,00100,0100,1645 MAPLEWOOD DRIVE 69816,S200000,00200,0100,STREETSBORO 69816,S200000,00200,0200,OH 69816,S200000,00300,0100,PORTAGE 69816,S200000,00400,0100,MAPLE WOOD CARE CENTER 69816,S200000,00400,0200,365718 69816,S200000,00400,0300,05/01/1988 69816,S200000,00400,0500,P 69816,S200000,01600,0100,Y 69822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69822,A000000,00300,0000,00300EMPLOYEE BENEFITS 69822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69822,A000000,00700,0000,00700HOUSEKEEPING 69822,A000000,00800,0000,00800DIETARY 69822,A000000,00900,0000,00900NURSING ADMINISTRATION 69822,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69822,A000000,01100,0000,01100PHARMACY 69822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69822,A000000,01300,0000,01300SOCIAL SERVICE 69822,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69822,A000000,01600,0000,01600SKILLED NURSING FACILITY 69822,A000000,01800,0000,01800NURSING FACILITY 69822,A000000,01810,0000,01810ICF/MR 69822,A000000,02100,0000,02100RADIOLOGY 69822,A000000,02200,0000,02200LABORATORY 69822,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69822,A000000,02500,0000,02500PHYSICAL THERAPY 69822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69822,A000000,02700,0000,02700SPEECH PATHOLOGY 69822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69822,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69822,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69822,A000000,03052,0000,03302MEDICAL EQUIPMENT 69822,A000000,03550,0000,03550FQHC 69822,A000000,05000,0000,05000CORF 69822,A000000,05010,0000,05010CMHC 69822,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69822,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69822,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69822,A81000A,00100,0100,Y 69822,A81000B,00100,0300,HOME OFFICE A&G 69822,A81000B,00200,0300,HOME OFFICE CAPITAL 69822,A81000B,00300,0300,DIVISION OFFICE A&G 69822,A81000B,00500,0300,INSURANCE 69822,A81000C,00100,0100,B 69822,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69822,A81000C,00200,0100,G 69822,A81000C,00200,0200,LAURIER INC. 69822,A81000C,00200,0400,EXTENDICARE INC. 69822,A81000C,00200,0600,INSURANCE 69822,A81000C,00300,0100,G 69822,A81000C,00300,0200,UNITED REHABILITATION SVS 69822,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69822,A81000C,00300,0600,THERAPY SERVICE 69822,A81000C,00400,0100,G 69822,A81000C,00400,0200,UPC 69822,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69822,A81000C,00400,0600,PHARMACY THERAPY 69822,B100000,00000,0100,00040SQUARE FEET 69822,B100000,00000,0200,00040SQUARE FEET 69822,B100000,00000,0300,00040GROSS SALARIES 69822,B100000,00000,0400,00040ACCUM. COST 69822,B100000,00000,0500,00040SQUARE FEET 69822,B100000,00000,0600,00040PATIENT DAYS 69822,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69822,B100000,00000,0800,00040PATIENT DAYS 69822,B100000,00000,0900,00040PATIENT DAYS 69822,B100000,00000,1000,00040COSTED REQUIS 69822,B100000,00000,1100,00040COSTED REQUIS 69822,B100000,00000,1200,00040GROSS REVENUE 69822,B100000,00000,1300,00040PATIENT DAYS 69822,B100000,00000,1400,00040ASSIGNED TIME 69822,E10A180,00301,0100,01/24/2000 69822,E10A180,00501,0300,02/12/2001 69822,E10A180,00550,0100,02/12/2001 69822,S000000,00100,0200,06/16/2000 69822,S200000,00100,0100,2910 LERMITAGE PLACE 69822,S200000,00200,0100,STOW 69822,S200000,00200,0200,OH 69822,S200000,00300,0100,SUMMIT 69822,S200000,00400,0100,MAISON AINE 69822,S200000,00400,0200,365720 69822,S200000,00400,0300,08/20/1988 69822,S200000,00400,0500,P 69822,S200000,01600,0100,Y 69826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69826,A000000,00300,0000,00300EMPLOYEE BENEFITS 69826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69826,A000000,00700,0000,00700HOUSEKEEPING 69826,A000000,00800,0000,00800DIETARY 69826,A000000,00900,0000,00900NURSING ADMINISTRATION 69826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69826,A000000,01100,0000,01100PHARMACY 69826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69826,A000000,01300,0000,01300SOCIAL SERVICE 69826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69826,A000000,01600,0000,01600SKILLED NURSING FACILITY 69826,A000000,01800,0000,01800NURSING FACILITY 69826,A000000,01810,0000,01810ICF/MR 69826,A000000,02100,0000,02100RADIOLOGY 69826,A000000,02200,0000,02200LABORATORY 69826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69826,A000000,02500,0000,02500PHYSICAL THERAPY 69826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69826,A000000,02700,0000,02700SPEECH PATHOLOGY 69826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69826,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69826,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69826,A000000,03052,0000,03302MEDICAL EQUIPMENT 69826,A000000,03550,0000,03550FQHC 69826,A000000,05000,0000,05000CORF 69826,A000000,05010,0000,05010CMHC 69826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69826,A81000A,00100,0100,Y 69826,A81000B,00100,0300,HOME OFFICE A&G 69826,A81000B,00200,0300,HOME OFFICE CAPITAL 69826,A81000B,00300,0300,DIVISION OFFICE A&G 69826,A81000B,00500,0300,INSURANCE 69826,A81000C,00100,0100,B 69826,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69826,A81000C,00200,0100,G 69826,A81000C,00200,0200,LAURIER INC. 69826,A81000C,00200,0400,EXTENDICARE INC. 69826,A81000C,00200,0600,INSURANCE 69826,A81000C,00300,0100,G 69826,A81000C,00300,0200,UNITED REHABILITATION SVS 69826,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69826,A81000C,00300,0600,THERAPY SERVICE 69826,A81000C,00400,0100,G 69826,A81000C,00400,0200,UPC 69826,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69826,A81000C,00400,0600,PHARMACY AND THERAPY 69826,B100000,00000,0100,00040SQUARE FEET 69826,B100000,00000,0200,00040SQUARE FEET 69826,B100000,00000,0300,00040GROSS SALARIES 69826,B100000,00000,0400,00040ACCUM. COST 69826,B100000,00000,0500,00040SQUARE FEET 69826,B100000,00000,0600,00040PATIENT DAYS 69826,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69826,B100000,00000,0800,00040PATIENT DAYS 69826,B100000,00000,0900,00040PATIENT DAYS 69826,B100000,00000,1000,00040COSTED REQUIS 69826,B100000,00000,1100,00040COSTED REQUIS 69826,B100000,00000,1200,00040GROSS REVENUE 69826,B100000,00000,1300,00040PATIENT DAYS 69826,B100000,00000,1400,00040ASSIGNED TIME 69826,E10A180,00501,0100,02/12/2001 69826,S000000,00100,0200,06/16/2000 69826,S200000,00100,0100,1600 CRIDER ROAD 69826,S200000,00200,0100,MANSFIELD 69826,S200000,00200,0200,OH 69826,S200000,00300,0100,RICHLAND 69826,S200000,00400,0100,MIFFLIN CARE CENTER 69826,S200000,00400,0200,365763 69826,S200000,00400,0300,02/01/1997 69826,S200000,00400,0500,P 69826,S200000,01600,0100,Y 69833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69833,A000000,00300,0000,00300EMPLOYEE BENEFITS 69833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69833,A000000,00700,0000,00700HOUSEKEEPING 69833,A000000,00800,0000,00800DIETARY 69833,A000000,00900,0000,00900NURSING ADMINISTRATION 69833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69833,A000000,01100,0000,01100PHARMACY 69833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69833,A000000,01300,0000,01300SOCIAL SERVICE 69833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69833,A000000,01600,0000,01600SKILLED NURSING FACILITY 69833,A000000,01800,0000,01800NURSING FACILITY 69833,A000000,01810,0000,01810ICF/MR 69833,A000000,02100,0000,02100RADIOLOGY 69833,A000000,02200,0000,02200LABORATORY 69833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69833,A000000,02500,0000,02500PHYSICAL THERAPY 69833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69833,A000000,02700,0000,02700SPEECH PATHOLOGY 69833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69833,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69833,A000000,03052,0000,03302MEDICAL EQUIPMENT 69833,A000000,03550,0000,03550FQHC 69833,A000000,05000,0000,05000CORF 69833,A000000,05010,0000,05010CMHC 69833,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69833,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69833,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69833,A81000A,00100,0100,Y 69833,A81000B,00100,0300,HOME OFFICE A&G 69833,A81000B,00200,0300,HOME OFFICE CAPITAL 69833,A81000B,00300,0300,DIVISION OFFICE A&G 69833,A81000B,00500,0300,INSURANCE 69833,A81000C,00100,0100,B 69833,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69833,A81000C,00200,0100,G 69833,A81000C,00200,0200,LAURIER INC. 69833,A81000C,00200,0400,EXTENDICARE INC. 69833,A81000C,00200,0600,INSURANCE 69833,A81000C,00300,0100,G 69833,A81000C,00300,0200,UNITED REHABILITATION SVS 69833,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69833,A81000C,00300,0600,THERAPY SERVICE 69833,A81000C,00400,0100,G 69833,A81000C,00400,0200,UPC 69833,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69833,A81000C,00400,0600,PHARMACY THERAPY 69833,B100000,00000,0100,00040SQUARE FEET 69833,B100000,00000,0200,00040SQUARE FEET 69833,B100000,00000,0300,00040GROSS SALARIES 69833,B100000,00000,0400,00040ACCUM. COST 69833,B100000,00000,0500,00040SQUARE FEET 69833,B100000,00000,0600,00040PATIENT DAYS 69833,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69833,B100000,00000,0800,00040PATIENT DAYS 69833,B100000,00000,0900,00040PATIENT DAYS 69833,B100000,00000,1000,00040COSTED REQUIS 69833,B100000,00000,1100,00040COSTED REQUIS 69833,B100000,00000,1200,00040GROSS REVENUE 69833,B100000,00000,1300,00040PATIENT DAYS 69833,B100000,00000,1400,00040ASSIGNED TIME 69833,E10A180,00301,0100,01/24/2000 69833,E10A180,00301,0300,06/22/1998 69833,E10A180,00350,0100,06/22/1998 69833,E10A180,00350,0300,06/22/1998 69833,E10A180,00550,0100,06/09/2000 69833,E10A180,00550,0300,06/09/2000 69833,S000000,00100,0200,06/16/2000 69833,S200000,00100,0100,3650 KLEPINGER ROAD 69833,S200000,00200,0100,DAYTON 69833,S200000,00200,0200,OH 69833,S200000,00300,0100,MONTGOMERY 69833,S200000,00400,0100,CATALPA MANOR 69833,S200000,00400,0200,365930 69833,S200000,00400,0300,10/29/1993 69833,S200000,00400,0500,P 69833,S200000,01600,0100,Y 69838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69838,A000000,00300,0000,00300EMPLOYEE BENEFITS 69838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69838,A000000,00700,0000,00700HOUSEKEEPING 69838,A000000,00800,0000,00800DIETARY 69838,A000000,00900,0000,00900NURSING ADMINISTRATION 69838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69838,A000000,01100,0000,01100PHARMACY 69838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69838,A000000,01300,0000,01300SOCIAL SERVICE 69838,A000000,01350,0000,01500OTHER GENERAL SERVICES 69838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69838,A000000,01600,0000,01600SKILLED NURSING FACILITY 69838,A000000,01800,0000,01800NURSING FACILITY 69838,A000000,01810,0000,01810ICF/MR 69838,A000000,02100,0000,02100RADIOLOGY 69838,A000000,02200,0000,02200LABORATORY 69838,A000000,02300,0000,02300INTRAVENOUS THERAPY 69838,A000000,02500,0000,02500PHYSICAL THERAPY 69838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69838,A000000,02700,0000,02700SPEECH PATHOLOGY 69838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69838,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69838,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69838,A000000,03052,0000,03302MEDICAL EQUIPMENT 69838,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 69838,A000000,03550,0000,03550FQHC 69838,A000000,04750,0000,05100OTHER REIMBURSABLE COST 69838,A000000,05000,0000,05000CORF 69838,A000000,05010,0000,05010CMHC 69838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69838,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 69838,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 69838,A81000A,00100,0100,Y 69838,A81000B,00100,0300,LAB 69838,A81000B,00200,0300,INTEREST EXPENSE 69838,A81000C,00100,0100,B 69838,A81000C,00100,0200,MARIETTA MEMORIAL HOSPITA 69838,A81000C,00100,0400,MARIETTA MEMORIAL HOSPITA 69838,A81000C,00100,0600,HOSPITAL 69838,B100000,00000,0100,00000SQUARE FEET 69838,B100000,00000,0200,00000SQUARE FEET 69838,B100000,00000,0300,00000GROSS SALARIES 69838,B100000,00000,0400,00000ACCUM. COST 69838,B100000,00000,0500,00000SQUARE FEET 69838,B100000,00000,0600,00000PATIENT DAYS 69838,B100000,00000,0700,00000SQUARE FEET 69838,B100000,00000,0800,00000PATIENT DAYS 69838,B100000,00000,0900,00000PATIENT DAYS 69838,B100000,00000,1000,00000COSTED REQUIS. 69838,B100000,00000,1100,00000COSTED REQUIS. 69838,B100000,00000,1200,00000GROSS REVENUE 69838,B100000,00000,1300,00000PATIENT DAYS 69838,B100000,00000,1350,00000NO STATISTICS 69838,B100000,00000,1400,00000ASSIGNED TIME 69838,E10A180,00550,0300,04/05/2000 69838,S000000,00100,0200,05/08/2000 69838,S200000,00100,0100,401 HARMAR STREET 69838,S200000,00200,0100,MARIETTA 69838,S200000,00200,0200,OH 69838,S200000,00200,0300,45750 69838,S200000,00300,0100,WASHINGTON 69838,S200000,00400,0100,HARMAR PLACE REHAB & EXTENDED CARE C 69838,S200000,00400,0200,366001 69838,S200000,00400,0300,06/05/1995 69838,S200000,00400,0500,P 69838,S200000,01600,0100,Y 69847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69847,A000000,00300,0000,00300EMPLOYEE BENEFITS 69847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69847,A000000,00700,0000,00700HOUSEKEEPING 69847,A000000,00800,0000,00800DIETARY 69847,A000000,00900,0000,00900NURSING ADMINISTRATION 69847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69847,A000000,01100,0000,01100PHARMACY 69847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69847,A000000,01300,0000,01300SOCIAL SERVICE 69847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69847,A000000,01600,0000,01600SKILLED NURSING FACILITY 69847,A000000,01800,0000,01800NURSING FACILITY 69847,A000000,01810,0000,01810ICF/MR 69847,A000000,02500,0000,02500PHYSICAL THERAPY 69847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69847,A000000,02700,0000,02700SPEECH PATHOLOGY 69847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69847,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69847,A000000,03052,0000,03302MEDICAL EQUIPMENT 69847,A000000,03550,0000,03550FQHC 69847,A000000,05000,0000,05000CORF 69847,A000000,05010,0000,05010CMHC 69847,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69847,A81000A,00100,0100,Y 69847,A81000B,00100,0300,HOME OFFICE A&G 69847,A81000B,00200,0300,HOME OFFICE CAPITAL 69847,A81000B,00300,0300,DIVISION OFFICE A&G 69847,A81000B,00500,0300,INSURANCE 69847,A81000C,00100,0100,B 69847,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69847,A81000C,00200,0100,G 69847,A81000C,00200,0200,LAURIER INC. 69847,A81000C,00200,0400,EXTENDICARE INC. 69847,A81000C,00200,0600,INSURANCE 69847,A81000C,00300,0100,G 69847,A81000C,00300,0200,UNITED REHABILITATION SVS 69847,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69847,A81000C,00300,0600,THERAPY SERVICE 69847,A81000C,00400,0100,G 69847,A81000C,00400,0200,UPC 69847,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69847,A81000C,00400,0600,PHARMACY & THERAPY 69847,B100000,00000,0100,00040SQUARE FEET 69847,B100000,00000,0200,00040SQUARE FEET 69847,B100000,00000,0300,00040GROSS SALARIES 69847,B100000,00000,0400,00040ACCUM. COST 69847,B100000,00000,0500,00040SQUARE FEET 69847,B100000,00000,0600,00040PATIENT DAYS 69847,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69847,B100000,00000,0800,00040PATIENT DAYS 69847,B100000,00000,0900,00040PATIENT DAYS 69847,B100000,00000,1000,00040COSTED REQUIS 69847,B100000,00000,1100,00040COSTED REQUIS 69847,B100000,00000,1200,00040GROSS REVENUE 69847,B100000,00000,1300,00040PATIENT DAYS 69847,B100000,00000,1400,00040ASSIGNED TIME 69847,E10A180,00301,0100,01/24/2000 69847,E10A180,00301,0300,06/22/1998 69847,E10A180,00350,0100,06/22/1998 69847,E10A180,00350,0300,06/22/1998 69847,E10A180,00501,0300,06/09/2000 69847,E10A180,00550,0100,06/09/2000 69847,S000000,00100,0200,06/16/2000 69847,S200000,00100,0100,711 WASHBURN WAY 69847,S200000,00200,0100,KLAMATH FALLS 69847,S200000,00200,0200,OR 69847,S200000,00300,0100,KLAMATH 69847,S200000,00400,0100,KLAMATH REGIONAL REHAB 69847,S200000,00400,0200,385174 69847,S200000,00400,0300,07/01/1987 69847,S200000,00400,0500,P 69847,S200000,01600,0100,Y 69854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69854,A000000,00300,0000,00300EMPLOYEE BENEFITS 69854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69854,A000000,00700,0000,00700HOUSEKEEPING 69854,A000000,00800,0000,00800DIETARY 69854,A000000,00900,0000,00900NURSING ADMINISTRATION 69854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69854,A000000,01100,0000,01100PHARMACY 69854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69854,A000000,01300,0000,01300SOCIAL SERVICE 69854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69854,A000000,01600,0000,01600SKILLED NURSING FACILITY 69854,A000000,01800,0000,01800NURSING FACILITY 69854,A000000,01810,0000,01810ICF/MR 69854,A000000,02100,0000,02100RADIOLOGY 69854,A000000,02200,0000,02200LABORATORY 69854,A000000,02500,0000,02500PHYSICAL THERAPY 69854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69854,A000000,02700,0000,02700SPEECH PATHOLOGY 69854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69854,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69854,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69854,A000000,03052,0000,03302MEDICAL EQUIPMENT 69854,A000000,03550,0000,03550FQHC 69854,A000000,05000,0000,05000CORF 69854,A000000,05010,0000,05010CMHC 69854,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69854,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69854,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69854,A81000A,00100,0100,Y 69854,A81000B,00100,0300,HOME OFFICE A&G 69854,A81000B,00200,0300,HOME OFFICE CAPITAL 69854,A81000B,00300,0300,DIVISION OFFICE A&G 69854,A81000B,00500,0300,INSURANCE 69854,A81000B,00900,0300,AIR FLUIDIZED THERAPY 69854,A81000C,00100,0100,B 69854,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69854,A81000C,00200,0100,G 69854,A81000C,00200,0200,LAURIER INC. 69854,A81000C,00200,0400,EXTENDICARE INC. 69854,A81000C,00200,0600,INSURANCE 69854,A81000C,00300,0100,G 69854,A81000C,00300,0200,UNITED REHABILITATION SVS 69854,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69854,A81000C,00300,0600,THERAPY SERVICE 69854,A81000C,00400,0100,G 69854,A81000C,00400,0200,UPC 69854,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69854,A81000C,00400,0600,PHARMACY & THERAPY 69854,B100000,00000,0100,00040SQUARE FEET 69854,B100000,00000,0200,00040SQUARE FEET 69854,B100000,00000,0300,00040GROSS SALARIES 69854,B100000,00000,0400,00040ACCUM. COST 69854,B100000,00000,0500,00040SQUARE FEET 69854,B100000,00000,0600,00040PATIENT DAYS 69854,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69854,B100000,00000,0800,00040PATIENT DAYS 69854,B100000,00000,0900,00040PATIENT DAYS 69854,B100000,00000,1000,00040COSTED REQUIS 69854,B100000,00000,1100,00040COSTED REQUIS 69854,B100000,00000,1200,00040GROSS REVENUE 69854,B100000,00000,1300,00040PATIENT DAYS 69854,B100000,00000,1400,00040ASSIGNED TIME 69854,E10A180,00301,0100,01/24/2000 69854,E10A180,00301,0300,06/22/1998 69854,E10A180,00350,0100,06/22/1998 69854,E10A180,00350,0300,06/22/1998 69854,E10A180,00501,0300,06/09/2000 69854,E10A180,00550,0100,06/09/2000 69854,S000000,00100,0200,06/16/2000 69854,S200000,00100,0100,3011 N.E. 28TH STREET 69854,S200000,00200,0100,LINCOLN 69854,S200000,00200,0200,OR 69854,S200000,00300,0100,LINCOLN 69854,S200000,00400,0100,EVERGREEN HEALTH & SPECIALTY CARE 69854,S200000,00400,0200,385212 69854,S200000,00400,0300,12/01/1989 69854,S200000,00400,0500,P 69854,S200000,01600,0100,Y 69862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69862,A000000,00300,0000,00300EMPLOYEE BENEFITS 69862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69862,A000000,00700,0000,00700HOUSEKEEPING 69862,A000000,00800,0000,00800DIETARY 69862,A000000,00900,0000,00900NURSING ADMINISTRATION 69862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69862,A000000,01100,0000,01100PHARMACY 69862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69862,A000000,01300,0000,01300SOCIAL SERVICE 69862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69862,A000000,01600,0000,01600SKILLED NURSING FACILITY 69862,A000000,01800,0000,01800NURSING FACILITY 69862,A000000,01810,0000,01810ICF/MR 69862,A000000,02200,0000,02200LABORATORY 69862,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69862,A000000,02500,0000,02500PHYSICAL THERAPY 69862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69862,A000000,02700,0000,02700SPEECH PATHOLOGY 69862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69862,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69862,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69862,A000000,03052,0000,03302MEDICAL EQUIPMENT 69862,A000000,03550,0000,03550FQHC 69862,A000000,05000,0000,05000CORF 69862,A000000,05010,0000,05010CMHC 69862,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69862,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69862,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69862,A81000A,00100,0100,Y 69862,A81000B,00100,0300,HOME OFFICE A&G 69862,A81000B,00200,0300,HOME OFFICE CAPITAL 69862,A81000B,00300,0300,DIVISION OFFICE A&G 69862,A81000B,00500,0300,INSURANCE 69862,A81000C,00100,0100,B 69862,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69862,A81000C,00200,0100,G 69862,A81000C,00200,0200,LAURIER INC. 69862,A81000C,00200,0400,EXTENDICARE INC. 69862,A81000C,00200,0600,INSURANCE 69862,A81000C,00300,0100,G 69862,A81000C,00300,0200,UNITED REHABILITATION SVS 69862,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69862,A81000C,00300,0600,THERAPY SERVICE 69862,A81000C,00400,0100,G 69862,A81000C,00400,0200,UPC 69862,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69862,A81000C,00400,0600,PHARMACY & THERAPY 69862,B100000,00000,0100,00040SQUARE FEET 69862,B100000,00000,0200,00040SQUARE FEET 69862,B100000,00000,0300,00040GROSS SALARIES 69862,B100000,00000,0400,00040ACCUM. COST 69862,B100000,00000,0500,00040SQUARE FEET 69862,B100000,00000,0600,00040PATIENT DAYS 69862,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69862,B100000,00000,0800,00040PATIENT DAYS 69862,B100000,00000,0900,00040PATIENT DAYS 69862,B100000,00000,1000,00040COSTED REQUIS 69862,B100000,00000,1100,00040COSTED REQUIS 69862,B100000,00000,1200,00040GROSS REVENUE 69862,B100000,00000,1300,00040PATIENT DAYS 69862,B100000,00000,1400,00040ASSIGNED TIME 69862,E10A180,00301,0100,01/24/2000 69862,E10A180,00301,0300,06/22/1998 69862,E10A180,00350,0100,06/22/1998 69862,E10A180,00350,0300,06/22/1998 69862,E10A180,00501,0300,06/09/2000 69862,E10A180,00550,0100,06/09/2000 69862,S000000,00100,0200,06/16/2000 69862,S200000,00100,0100,11325 N.E. WEIDLER 69862,S200000,00200,0100,PORTLAND 69862,S200000,00200,0200,OR 69862,S200000,00300,0100,MULTNOMAH 69862,S200000,00400,0100,CARE CENTER EAST 69862,S200000,00400,0200,385219 69862,S200000,00400,0300,06/01/1990 69862,S200000,00400,0500,P 69862,S200000,01600,0100,Y 69869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69869,A000000,00300,0000,00300EMPLOYEE BENEFITS 69869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69869,A000000,00700,0000,00700HOUSEKEEPING 69869,A000000,00800,0000,00800DIETARY 69869,A000000,00900,0000,00900NURSING ADMINISTRATION 69869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69869,A000000,01100,0000,01100PHARMACY 69869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69869,A000000,01300,0000,01300SOCIAL SERVICE 69869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69869,A000000,01600,0000,01600SKILLED NURSING FACILITY 69869,A000000,01800,0000,01800NURSING FACILITY 69869,A000000,01810,0000,01810ICF/MR 69869,A000000,02100,0000,02100RADIOLOGY 69869,A000000,02200,0000,02200LABORATORY 69869,A000000,02500,0000,02500PHYSICAL THERAPY 69869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69869,A000000,02700,0000,02700SPEECH PATHOLOGY 69869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69869,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69869,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69869,A000000,03052,0000,03302MEDICAL EQUIPMENT 69869,A000000,03550,0000,03550FQHC 69869,A000000,05000,0000,05000CORF 69869,A000000,05010,0000,05010CMHC 69869,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69869,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69869,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69869,A81000A,00100,0100,Y 69869,A81000B,00100,0300,HOME OFFICE A&G 69869,A81000B,00200,0300,HOME OFFICE CAPITAL 69869,A81000B,00300,0300,DIVISION OFFICE A&G 69869,A81000B,00500,0300,INSURANCE 69869,A81000C,00100,0100,B 69869,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69869,A81000C,00200,0100,G 69869,A81000C,00200,0200,LAURIER INC. 69869,A81000C,00200,0400,EXTENDICARE INC. 69869,A81000C,00200,0600,INSURANCE 69869,A81000C,00300,0100,G 69869,A81000C,00300,0200,UNITED REHABILITATION SVS 69869,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69869,A81000C,00300,0600,THERAPY SERVICE 69869,A81000C,00400,0100,G 69869,A81000C,00400,0200,UPC 69869,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69869,A81000C,00400,0600,PHARMACY & THERAPY 69869,B100000,00000,0100,00040SQUARE FEET 69869,B100000,00000,0200,00040SQUARE FEET 69869,B100000,00000,0300,00040GROSS SALARIES 69869,B100000,00000,0400,00040ACCUM. COST 69869,B100000,00000,0500,00040SQUARE FEET 69869,B100000,00000,0600,00040PATIENT DAYS 69869,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69869,B100000,00000,0800,00040PATIENT DAYS 69869,B100000,00000,0900,00040PATIENT DAYS 69869,B100000,00000,1000,00040COSTED REQUIS 69869,B100000,00000,1100,00040COSTED REQUIS 69869,B100000,00000,1200,00040GROSS REVENUE 69869,B100000,00000,1300,00040PATIENT DAYS 69869,B100000,00000,1400,00040ASSIGNED TIME 69869,E10A180,00301,0100,01/24/2000 69869,E10A180,00301,0300,06/22/1998 69869,E10A180,00350,0100,06/22/1998 69869,E10A180,00350,0300,06/22/1998 69869,E10A180,00501,0300,06/09/2000 69869,E10A180,00550,0100,06/09/2000 69869,S000000,00100,0200,06/16/2000 69869,S200000,00100,0100,75 SHORE DRIVE 69869,S200000,00200,0100,ST. HELENS 69869,S200000,00200,0200,OR 69869,S200000,00300,0100,COLUMBIA 69869,S200000,00400,0100,MEADOW PARK 69869,S200000,00400,0200,385222 69869,S200000,00400,0300,01/04/1991 69869,S200000,00400,0500,P 69869,S200000,01600,0100,Y 69877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69877,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69877,A000000,00300,0000,00300EMPLOYEE BENEFITS 69877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69877,A000000,00700,0000,00700HOUSEKEEPING 69877,A000000,00800,0000,00800DIETARY 69877,A000000,00900,0000,00900NURSING ADMINISTRATION 69877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69877,A000000,01100,0000,01100PHARMACY 69877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69877,A000000,01300,0000,01300SOCIAL SERVICE 69877,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69877,A000000,01600,0000,01600SKILLED NURSING FACILITY 69877,A000000,01800,0000,01800NURSING FACILITY 69877,A000000,01810,0000,01810ICF/MR 69877,A000000,02100,0000,02100RADIOLOGY 69877,A000000,02200,0000,02200LABORATORY 69877,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69877,A000000,02500,0000,02500PHYSICAL THERAPY 69877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69877,A000000,02700,0000,02700SPEECH PATHOLOGY 69877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69877,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69877,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69877,A000000,03052,0000,03302MEDICAL EQUIPMENT 69877,A000000,03550,0000,03550FQHC 69877,A000000,05000,0000,05000CORF 69877,A000000,05010,0000,05010CMHC 69877,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69877,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69877,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69877,A81000A,00100,0100,Y 69877,A81000B,00100,0300,HOME OFFICE A&G 69877,A81000B,00200,0300,HOME OFFICE CAPITAL 69877,A81000B,00300,0300,DIVISION OFFICE A&G 69877,A81000B,00500,0300,INSURANCE 69877,A81000B,00900,0300,AIR FLUIDIZED THERAPY 69877,A81000C,00100,0100,B 69877,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69877,A81000C,00200,0100,G 69877,A81000C,00200,0200,LAURIER INC. 69877,A81000C,00200,0400,EXTENDICARE INC. 69877,A81000C,00200,0600,INSURANCE 69877,A81000C,00300,0100,G 69877,A81000C,00300,0200,UNITED REHABILITATION SVS 69877,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69877,A81000C,00300,0600,THERAPY SERVICE 69877,A81000C,00400,0100,G 69877,A81000C,00400,0200,UPC 69877,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69877,A81000C,00400,0600,PHARMACY & THERAPY 69877,B100000,00000,0100,00040SQUARE FEET 69877,B100000,00000,0200,00040SQUARE FEET 69877,B100000,00000,0300,00040GROSS SALARIES 69877,B100000,00000,0400,00040ACCUM. COST 69877,B100000,00000,0500,00040SQUARE FEET 69877,B100000,00000,0600,00040PATIENT DAYS 69877,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69877,B100000,00000,0800,00040PATIENT DAYS 69877,B100000,00000,0900,00040PATIENT DAYS 69877,B100000,00000,1000,00040COSTED REQUIS 69877,B100000,00000,1100,00040COSTED REQUIS 69877,B100000,00000,1200,00040GROSS REVENUE 69877,B100000,00000,1300,00040PATIENT DAYS 69877,B100000,00000,1400,00040ASSIGNED TIME 69877,E10A180,00301,0100,01/24/2000 69877,E10A180,00301,0300,06/22/1998 69877,E10A180,00350,0100,06/22/1998 69877,E10A180,00350,0300,06/22/1998 69877,E10A180,00501,0300,02/12/2001 69877,E10A180,00550,0100,02/12/2001 69877,S000000,00100,0200,06/16/2000 69877,S200000,00100,0100,263 WEST EXCHANGE 69877,S200000,00200,0100,ASTORIA 69877,S200000,00200,0200,OR 69877,S200000,00300,0100,CLATSOP 69877,S200000,00400,0100,RIVERVIEW NURSING AND REHAB CENTER 69877,S200000,00400,0200,385223 69877,S200000,00400,0300,02/08/1991 69877,S200000,00400,0500,P 69877,S200000,01600,0100,Y 69885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69885,A000000,00300,0000,00300EMPLOYEE BENEFITS 69885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69885,A000000,00700,0000,00700HOUSEKEEPING 69885,A000000,00800,0000,00800DIETARY 69885,A000000,00900,0000,00900NURSING ADMINISTRATION 69885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69885,A000000,01100,0000,01100PHARMACY 69885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69885,A000000,01300,0000,01300SOCIAL SERVICE 69885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69885,A000000,01600,0000,01600SKILLED NURSING FACILITY 69885,A000000,01800,0000,01800NURSING FACILITY 69885,A000000,01810,0000,01810ICF/MR 69885,A000000,02100,0000,02100RADIOLOGY 69885,A000000,02300,0000,02300INTRAVENOUS THERAPY 69885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69885,A000000,02500,0000,02500PHYSICAL THERAPY 69885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69885,A000000,02700,0000,02700SPEECH PATHOLOGY 69885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69885,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69885,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69885,A000000,03052,0000,03302MEDICAL EQUIPMENT 69885,A000000,03550,0000,03550FQHC 69885,A000000,05000,0000,05000CORF 69885,A000000,05010,0000,05010CMHC 69885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69885,A81000A,00100,0100,Y 69885,A81000B,00100,0300,HOME OFFICE A&G 69885,A81000B,00200,0300,HOME OFFICE CAPITAL 69885,A81000B,00300,0300,DIVISION OFFICE A&G 69885,A81000B,00500,0300,INSURANCE 69885,A81000C,00100,0100,B 69885,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69885,A81000C,00200,0100,G 69885,A81000C,00200,0200,LAURIER INC. 69885,A81000C,00200,0400,EXTENDICARE INC. 69885,A81000C,00200,0600,INSURANCE 69885,A81000C,00300,0100,G 69885,A81000C,00300,0200,UNITED REHABILITATION SVS 69885,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69885,A81000C,00300,0600,THERAPY SERVICE 69885,A81000C,00400,0100,G 69885,A81000C,00400,0200,UPC 69885,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69885,A81000C,00400,0600,PHARMACY THERAPY 69885,B100000,00000,0100,00040SQUARE FEET 69885,B100000,00000,0200,00040SQUARE FEET 69885,B100000,00000,0300,00040GROSS SALARIES 69885,B100000,00000,0400,00040ACCUM. COST 69885,B100000,00000,0500,00040SQUARE FEET 69885,B100000,00000,0600,00040PATIENT DAYS 69885,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69885,B100000,00000,0800,00040PATIENT DAYS 69885,B100000,00000,0900,00040PATIENT DAYS 69885,B100000,00000,1000,00040COSTED REQUIS 69885,B100000,00000,1100,00040COSTED REQUIS 69885,B100000,00000,1200,00040GROSS REVENUE 69885,B100000,00000,1300,00040PATIENT DAYS 69885,B100000,00000,1400,00040ASSIGNED TIME 69885,E10A180,00301,0100,01/24/2000 69885,E10A180,00301,0300,06/22/1998 69885,E10A180,00350,0100,05/31/2000 69885,E10A180,00350,0300,05/31/2000 69885,E10A180,00501,0100,02/12/2001 69885,E10A180,00501,0300,02/12/2001 69885,S000000,00100,0200,06/19/2000 69885,S200000,00100,0100,2600 WEST RUN ROAD 69885,S200000,00200,0100,MUNHALL 69885,S200000,00200,0200,PA 69885,S200000,00300,0100,ALLEGHENY 69885,S200000,00400,0100,ELDER CREST NURSING CENTER 69885,S200000,00400,0200,395013 69885,S200000,00400,0300,07/01/1966 69885,S200000,00400,0500,P 69885,S200000,01600,0100,Y 69918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69918,A000000,00300,0000,00300EMPLOYEE BENEFITS 69918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69918,A000000,00700,0000,00700HOUSEKEEPING 69918,A000000,00800,0000,00800DIETARY 69918,A000000,00900,0000,00900NURSING ADMINISTRATION 69918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69918,A000000,01100,0000,01100PHARMACY 69918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69918,A000000,01300,0000,01300SOCIAL SERVICE 69918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69918,A000000,01600,0000,01600SKILLED NURSING FACILITY 69918,A000000,01800,0000,01800NURSING FACILITY 69918,A000000,01810,0000,01810ICF/MR 69918,A000000,02100,0000,02100RADIOLOGY 69918,A000000,02200,0000,02200LABORATORY 69918,A000000,02300,0000,02300INTRAVENOUS THERAPY 69918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69918,A000000,02500,0000,02500PHYSICAL THERAPY 69918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69918,A000000,02700,0000,02700SPEECH PATHOLOGY 69918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69918,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69918,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69918,A000000,03052,0000,03302MEDICAL EQUIPMENT 69918,A000000,03550,0000,03550FQHC 69918,A000000,05000,0000,05000CORF 69918,A000000,05010,0000,05010CMHC 69918,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69918,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69918,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69918,A81000A,00100,0100,Y 69918,A81000B,00100,0300,HOME OFFICE A&G 69918,A81000B,00200,0300,HOME OFFICE CAPITAL 69918,A81000B,00300,0300,DIVISION OFFICE A&G 69918,A81000B,00500,0300,INSURANCE 69918,A81000C,00100,0100,B 69918,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69918,A81000C,00200,0100,G 69918,A81000C,00200,0200,LAURIER INC. 69918,A81000C,00200,0400,EXTENDICARE INC. 69918,A81000C,00200,0600,INSURANCE 69918,A81000C,00300,0100,G 69918,A81000C,00300,0200,UNITED REHABILITATION SVS 69918,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69918,A81000C,00300,0600,THERAPY SERVICE 69918,A81000C,00400,0100,G 69918,A81000C,00400,0200,UPC 69918,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69918,A81000C,00400,0600,PHARMACY THERAPY 69918,B100000,00000,0100,00040SQUARE FEET 69918,B100000,00000,0200,00040SQUARE FEET 69918,B100000,00000,0300,00040GROSS SALARIES 69918,B100000,00000,0400,00040ACCUM. COST 69918,B100000,00000,0500,00040SQUARE FEET 69918,B100000,00000,0600,00040PATIENT DAYS 69918,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69918,B100000,00000,0800,00040PATIENT DAYS 69918,B100000,00000,0900,00040PATIENT DAYS 69918,B100000,00000,1000,00040COSTED REQUIS 69918,B100000,00000,1100,00040COSTED REQUIS 69918,B100000,00000,1200,00040GROSS REVENUE 69918,B100000,00000,1300,00040PATIENT DAYS 69918,B100000,00000,1400,00040ASSIGNED TIME 69918,E10A180,00301,0100,01/24/2000 69918,E10A180,00301,0300,06/22/1998 69918,E10A180,00302,0100,05/31/2000 69918,E10A180,00350,0100,05/31/2000 69918,E10A180,00350,0300,05/31/2000 69918,E10A180,00501,0100,02/12/2001 69918,E10A180,00501,0300,02/12/2001 69918,S000000,00100,0200,06/19/2000 69918,S200000,00100,0100,220 SOUTH AND SPRUCE STREET 69918,S200000,00200,0100,WEST READING 69918,S200000,00200,0200,PA 69918,S200000,00300,0100,BERKS 69918,S200000,00400,0100,SPRUCE MANOR 69918,S200000,00400,0200,395226 69918,S200000,00400,0300,12/18/1968 69918,S200000,00400,0500,P 69918,S200000,01600,0100,Y 69926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69926,A000000,00300,0000,00300EMPLOYEE BENEFITS 69926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69926,A000000,00700,0000,00700HOUSEKEEPING 69926,A000000,00800,0000,00800DIETARY 69926,A000000,00900,0000,00900NURSING ADMINISTRATION 69926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69926,A000000,01100,0000,01100PHARMACY 69926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69926,A000000,01300,0000,01300SOCIAL SERVICE 69926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69926,A000000,01600,0000,01600SKILLED NURSING FACILITY 69926,A000000,01800,0000,01800NURSING FACILITY 69926,A000000,01810,0000,01810ICF/MR 69926,A000000,02100,0000,02100RADIOLOGY 69926,A000000,02200,0000,02200LABORATORY 69926,A000000,02300,0000,02300INTRAVENOUS THERAPY 69926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69926,A000000,02500,0000,02500PHYSICAL THERAPY 69926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69926,A000000,02700,0000,02700SPEECH PATHOLOGY 69926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69926,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69926,A000000,03052,0000,03302MEDICAL EQUIPMENT 69926,A000000,03550,0000,03550FQHC 69926,A000000,05000,0000,05000CORF 69926,A000000,05010,0000,05010CMHC 69926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69926,A81000A,00100,0100,Y 69926,A81000B,00100,0300,HOME OFFICE A&G 69926,A81000B,00200,0300,HOME OFFICE CAPITAL 69926,A81000B,00300,0300,DIVISION OFFICE A&G 69926,A81000B,00500,0300,INSURANCE 69926,A81000B,00900,0300,AIR FLUIDIZED THERAPY 69926,A81000C,00100,0100,B 69926,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 69926,A81000C,00200,0100,G 69926,A81000C,00200,0200,LAURIER INC. 69926,A81000C,00200,0400,EXTENDICARE INC. 69926,A81000C,00200,0600,INSURANCE 69926,A81000C,00300,0100,G 69926,A81000C,00300,0200,UNITED REHABILITATION SVS 69926,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 69926,A81000C,00300,0600,THERAPY SERVICE 69926,A81000C,00400,0100,G 69926,A81000C,00400,0200,UPC 69926,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 69926,A81000C,00400,0600,PHARMACY THERAPY 69926,B100000,00000,0100,00040SQUARE FEET 69926,B100000,00000,0200,00040SQUARE FEET 69926,B100000,00000,0300,00040GROSS SALARIES 69926,B100000,00000,0400,00040ACCUM. COST 69926,B100000,00000,0500,00040SQUARE FEET 69926,B100000,00000,0600,00040PATIENT DAYS 69926,B100000,00000,0700,00040ALTERNATE SQUARE FEE 69926,B100000,00000,0800,00040PATIENT DAYS 69926,B100000,00000,0900,00040PATIENT DAYS 69926,B100000,00000,1000,00040COSTED REQUIS 69926,B100000,00000,1100,00040COSTED REQUIS 69926,B100000,00000,1200,00040GROSS REVENUE 69926,B100000,00000,1300,00040PATIENT DAYS 69926,B100000,00000,1400,00040ASSIGNED TIME 69926,E10A180,00301,0100,01/24/2000 69926,E10A180,00301,0300,06/22/1998 69926,E10A180,00302,0100,05/31/2000 69926,E10A180,00302,0300,05/31/2000 69926,E10A180,00350,0100,05/31/2000 69926,E10A180,00350,0300,05/31/2000 69926,E10A180,00501,0100,02/12/2001 69926,E10A180,00550,0300,02/12/2001 69926,S000000,00100,0200,06/19/2000 69926,S200000,00100,0100,2629 TRENTON ROAD 69926,S200000,00200,0100,LEVITTOWN 69926,S200000,00200,0200,PA 69926,S200000,00300,0100,BUCKS 69926,S200000,00400,0100,STATESMAN HEALTH & REHABILITATION 69926,S200000,00400,0200,395259 69926,S200000,00400,0300,06/01/1982 69926,S200000,00400,0500,P 69926,S200000,01600,0100,Y 69963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 69963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 69963,A000000,00300,0000,00300EMPLOYEE BENEFITS 69963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 69963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 69963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 69963,A000000,00700,0000,00700HOUSEKEEPING 69963,A000000,00800,0000,00800DIETARY 69963,A000000,00900,0000,00900NURSING ADMINISTRATION 69963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 69963,A000000,01100,0000,01100PHARMACY 69963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 69963,A000000,01300,0000,01300SOCIAL SERVICE 69963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 69963,A000000,01600,0000,01600SKILLED NURSING FACILITY 69963,A000000,01800,0000,01800NURSING FACILITY 69963,A000000,01810,0000,01810ICF/MR 69963,A000000,02100,0000,02100RADIOLOGY 69963,A000000,02200,0000,02200LABORATORY 69963,A000000,02300,0000,02300INTRAVENOUS THERAPY 69963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 69963,A000000,02500,0000,02500PHYSICAL THERAPY 69963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 69963,A000000,02700,0000,02700SPEECH PATHOLOGY 69963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 69963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 69963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 69963,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 69963,A000000,03052,0000,03302MEDICAL EQUIPMENT 69963,A000000,03550,0000,03550FQHC 69963,A000000,05000,0000,05000CORF 69963,A000000,05010,0000,05010CMHC 69963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 69963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 69963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 69963,A000000,06150,0000,06300ALF DIETARY SERVICES 69963,B100000,00000,0100,00000SQUARE FEET 69963,B100000,00000,0200,00000SQUARE FEET 69963,B100000,00000,0300,00000GROSS SALARIES 69963,B100000,00000,0400,00000ACCUM. COST 69963,B100000,00000,0500,00000SQUARE FEET 69963,B100000,00000,0600,00000PATIENT DAYS 69963,B100000,00000,0700,00000ALTERNATE SQUARE FEE 69963,B100000,00000,0800,00000PATIENT DAYS 69963,B100000,00000,0900,00000PATIENT DAYS 69963,B100000,00000,1000,00000COSTED REQUIS 69963,B100000,00000,1100,00000COSTED REQUIS 69963,B100000,00000,1200,00000GROSS REVENUE 69963,B100000,00000,1300,00000PATIENT DAYS 69963,B100000,00000,1400,00000ASSIGNED TIME 69963,E10A180,00301,0100,01/24/2000 69963,E10A180,00301,0300,06/22/1998 69963,E10A180,00302,0100,05/31/2000 69963,E10A180,00302,0300,05/31/2000 69963,E10A180,00350,0100,05/31/2000 69963,E10A180,00350,0300,05/31/2000 69963,E10A180,00501,0100,02/12/2001 69963,E10A180,00501,0300,02/12/2001 69963,S000000,00100,0200,06/19/2000 69963,S200000,00100,0100,RD #3 ROUTE #6 69963,S200000,00200,0100,WELLSBORO 69963,S200000,00200,0200,PA 69963,S200000,00300,0100,TIOGA 69963,S200000,00400,0100,BROAD ACRES NURSING HOME ASSOCIATION 69963,S200000,00400,0200,395352 69963,S200000,00400,0300,10/22/1976 69963,S200000,00400,0500,P 69963,S200000,01600,0100,Y 70003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70003,A000000,00300,0000,00300EMPLOYEE BENEFITS 70003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70003,A000000,00700,0000,00700HOUSEKEEPING 70003,A000000,00800,0000,00800DIETARY 70003,A000000,00900,0000,00900NURSING ADMINISTRATION 70003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70003,A000000,01100,0000,01100PHARMACY 70003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70003,A000000,01300,0000,01300SOCIAL SERVICE 70003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70003,A000000,01600,0000,01600SKILLED NURSING FACILITY 70003,A000000,01800,0000,01800NURSING FACILITY 70003,A000000,01810,0000,01810ICF/MR 70003,A000000,02100,0000,02100RADIOLOGY 70003,A000000,02200,0000,02200LABORATORY 70003,A000000,02300,0000,02300INTRAVENOUS THERAPY 70003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70003,A000000,02500,0000,02500PHYSICAL THERAPY 70003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70003,A000000,02700,0000,02700SPEECH PATHOLOGY 70003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70003,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70003,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70003,A000000,03052,0000,03302MEDICAL EQUIPMENT 70003,A000000,03550,0000,03550FQHC 70003,A000000,05000,0000,05000CORF 70003,A000000,05010,0000,05010CMHC 70003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70003,A81000A,00100,0100,Y 70003,A81000B,00100,0300,HOME OFFICE A&G 70003,A81000B,00200,0300,HOME OFFICE CAPITAL 70003,A81000B,00300,0300,DIVISION OFFICE A&G 70003,A81000B,00500,0300,INSURANCE 70003,A81000C,00100,0100,B 70003,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70003,A81000C,00200,0100,G 70003,A81000C,00200,0200,LAURIER INC. 70003,A81000C,00200,0400,EXTENDICARE INC. 70003,A81000C,00200,0600,INSURANCE 70003,A81000C,00300,0100,G 70003,A81000C,00300,0200,UNITED REHABILITATION SVS 70003,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70003,A81000C,00300,0600,THERAPY SERVICE 70003,A81000C,00400,0100,G 70003,A81000C,00400,0200,UPC 70003,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70003,A81000C,00400,0600,PHARMACY THERAPY 70003,B100000,00000,0100,00040SQUARE FEET 70003,B100000,00000,0200,00040SQUARE FEET 70003,B100000,00000,0300,00040GROSS SALARIES 70003,B100000,00000,0400,00040ACCUM. COST 70003,B100000,00000,0500,00040SQUARE FEET 70003,B100000,00000,0600,00040PATIENT DAYS 70003,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70003,B100000,00000,0800,00040PATIENT DAYS 70003,B100000,00000,0900,00040PATIENT DAYS 70003,B100000,00000,1000,00040COSTED REQUIS 70003,B100000,00000,1100,00040COSTED REQUIS 70003,B100000,00000,1200,00040GROSS REVENUE 70003,B100000,00000,1300,00040PATIENT DAYS 70003,B100000,00000,1400,00040ASSIGNED TIME 70003,E10A180,00301,0100,01/24/2000 70003,E10A180,00301,0300,06/22/1998 70003,E10A180,00302,0100,05/31/2000 70003,E10A180,00350,0100,05/31/2000 70003,E10A180,00350,0300,05/31/2000 70003,E10A180,00501,0100,02/12/2001 70003,E10A180,00501,0300,02/12/2001 70003,S000000,00100,0200,06/19/2000 70003,S200000,00100,0100,350 MANOR AVENUE 70003,S200000,00200,0100,LANGHORNE 70003,S200000,00200,0200,PA 70003,S200000,00300,0100,BUCKS 70003,S200000,00400,0100,LANGHORNE GARDENS 70003,S200000,00400,0200,395521 70003,S200000,00400,0300,06/01/1982 70003,S200000,00400,0500,P 70003,S200000,01600,0100,Y 70019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70019,A000000,00300,0000,00300EMPLOYEE BENEFITS 70019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70019,A000000,00700,0000,00700HOUSEKEEPING 70019,A000000,00800,0000,00800DIETARY 70019,A000000,00900,0000,00900NURSING ADMINISTRATION 70019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70019,A000000,01100,0000,01100PHARMACY 70019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70019,A000000,01300,0000,01300SOCIAL SERVICE 70019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70019,A000000,01600,0000,01600SKILLED NURSING FACILITY 70019,A000000,01800,0000,01800NURSING FACILITY 70019,A000000,01810,0000,01810ICF/MR 70019,A000000,02100,0000,02100RADIOLOGY 70019,A000000,02200,0000,02200LABORATORY 70019,A000000,02300,0000,02300INTRAVENOUS THERAPY 70019,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70019,A000000,02500,0000,02500PHYSICAL THERAPY 70019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70019,A000000,02700,0000,02700SPEECH PATHOLOGY 70019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70019,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70019,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70019,A000000,03052,0000,03302MEDICAL EQUIPMENT 70019,A000000,03550,0000,03550FQHC 70019,A000000,05000,0000,05000CORF 70019,A000000,05010,0000,05010CMHC 70019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70019,A81000A,00100,0100,Y 70019,A81000B,00100,0300,HOME OFFICE A&G 70019,A81000B,00200,0300,HOME OFFICE CAPITAL 70019,A81000B,00300,0300,DIVISION OFFICE A&G 70019,A81000B,00500,0300,INSURANCE 70019,A81000C,00100,0100,B 70019,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70019,A81000C,00200,0100,G 70019,A81000C,00200,0200,LAURIER INC. 70019,A81000C,00200,0400,EXTENDICARE INC. 70019,A81000C,00200,0600,INSURANCE 70019,A81000C,00300,0100,G 70019,A81000C,00300,0200,UNITED REHABILITATION SVS 70019,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70019,A81000C,00300,0600,THERAPY SERVICE 70019,A81000C,00400,0100,G 70019,A81000C,00400,0200,UPC 70019,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70019,A81000C,00400,0600,PHARMACY THERAPY 70019,B100000,00000,0100,00040SQUARE FEET 70019,B100000,00000,0200,00040SQUARE FEET 70019,B100000,00000,0300,00040GROSS SALARIES 70019,B100000,00000,0400,00040ACCUM. COST 70019,B100000,00000,0500,00040SQUARE FEET 70019,B100000,00000,0600,00040PATIENT DAYS 70019,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70019,B100000,00000,0800,00040PATIENT DAYS 70019,B100000,00000,0900,00040PATIENT DAYS 70019,B100000,00000,1000,00040COSTED REQUIS 70019,B100000,00000,1100,00040COSTED REQUIS 70019,B100000,00000,1200,00040GROSS REVENUE 70019,B100000,00000,1300,00040PATIENT DAYS 70019,B100000,00000,1400,00040ASSIGNED TIME 70019,E10A180,00301,0100,01/24/2000 70019,E10A180,00301,0300,06/22/1998 70019,E10A180,00350,0100,05/31/2000 70019,E10A180,00350,0300,05/31/2000 70019,E10A180,00501,0300,06/09/2000 70019,E10A180,00550,0100,06/09/2000 70019,S000000,00100,0200,06/19/2000 70019,S200000,00100,0100,RD #7 BOX 77A LUXOR RD 70019,S200000,00200,0100,GREENSBURG 70019,S200000,00200,0200,PA 70019,S200000,00300,0100,WESTMORELAND 70019,S200000,00400,0100,OAK HILL NURSING CENTER 70019,S200000,00400,0200,395646 70019,S200000,00400,0300,05/01/1984 70019,S200000,00400,0500,P 70019,S200000,01600,0100,Y 70034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70034,A000000,00300,0000,00300EMPLOYEE BENEFITS 70034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70034,A000000,00700,0000,00700HOUSEKEEPING 70034,A000000,00800,0000,00800DIETARY 70034,A000000,00900,0000,00900NURSING ADMINISTRATION 70034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70034,A000000,01100,0000,01100PHARMACY 70034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70034,A000000,01300,0000,01300SOCIAL SERVICE 70034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70034,A000000,01600,0000,01600SKILLED NURSING FACILITY 70034,A000000,01800,0000,01800NURSING FACILITY 70034,A000000,01810,0000,01810ICF/MR 70034,A000000,02100,0000,02100RADIOLOGY 70034,A000000,02200,0000,02200LABORATORY 70034,A000000,02300,0000,02300INTRAVENOUS THERAPY 70034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70034,A000000,02500,0000,02500PHYSICAL THERAPY 70034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70034,A000000,02700,0000,02700SPEECH PATHOLOGY 70034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70034,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70034,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70034,A000000,03052,0000,03302MEDICAL EQUIPMENT 70034,A000000,03550,0000,03550FQHC 70034,A000000,05000,0000,05000CORF 70034,A000000,05010,0000,05010CMHC 70034,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70034,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70034,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70034,A81000A,00100,0100,Y 70034,A81000B,00100,0300,HOME OFFICE A&G 70034,A81000B,00200,0300,HOME OFFICE CAPITAL 70034,A81000B,00300,0300,DIVISION OFFICE A&G 70034,A81000B,00500,0300,INSURANCE 70034,A81000C,00100,0100,B 70034,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70034,A81000C,00200,0100,G 70034,A81000C,00200,0200,LAURIER INC. 70034,A81000C,00200,0400,EXTENDICARE INC. 70034,A81000C,00200,0600,INSURANCE 70034,A81000C,00300,0100,G 70034,A81000C,00300,0200,UNITED REHABILITATION SVS 70034,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70034,A81000C,00300,0600,THERAPY SERVICE 70034,A81000C,00400,0100,G 70034,A81000C,00400,0200,UPC 70034,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70034,A81000C,00400,0600,PHARMACY THERAPY 70034,B100000,00000,0100,00040SQUARE FEET 70034,B100000,00000,0200,00040SQUARE FEET 70034,B100000,00000,0300,00040GROSS SALARIES 70034,B100000,00000,0400,00040ACCUM. COST 70034,B100000,00000,0500,00040SQUARE FEET 70034,B100000,00000,0600,00040PATIENT DAYS 70034,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70034,B100000,00000,0800,00040PATIENT DAYS 70034,B100000,00000,0900,00040PATIENT DAYS 70034,B100000,00000,1000,00040COSTED REQUIS 70034,B100000,00000,1100,00040COSTED REQUIS 70034,B100000,00000,1200,00040GROSS REVENUE 70034,B100000,00000,1300,00040PATIENT DAYS 70034,B100000,00000,1400,00040ASSIGNED TIME 70034,E10A180,00301,0100,01/24/2000 70034,E10A180,00301,0300,01/24/2000 70034,E10A180,00302,0300,05/31/2000 70034,E10A180,00350,0100,05/31/2000 70034,E10A180,00350,0300,05/31/2000 70034,E10A180,00501,0300,06/09/2000 70034,E10A180,00550,0100,06/09/2000 70034,E10A180,00550,0300,02/12/2001 70034,S000000,00100,0200,06/19/2000 70034,S200000,00100,0100,265 TOWNSHIP LINE ROAD 70034,S200000,00200,0100,ELKINS PARK 70034,S200000,00200,0200,PA 70034,S200000,00300,0100,MONTGOMERY 70034,S200000,00400,0100,ELKINS CREST 70034,S200000,00400,0200,395711 70034,S200000,00400,0300,06/01/1982 70034,S200000,00400,0500,P 70034,S200000,01600,0100,Y 70066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70066,A000000,00300,0000,00300EMPLOYEE BENEFITS 70066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70066,A000000,00700,0000,00700HOUSEKEEPING 70066,A000000,00800,0000,00800DIETARY 70066,A000000,00900,0000,00900NURSING ADMINISTRATION 70066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70066,A000000,01100,0000,01100PHARMACY 70066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70066,A000000,01300,0000,01300SOCIAL SERVICE 70066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70066,A000000,01600,0000,01600SKILLED NURSING FACILITY 70066,A000000,01800,0000,01800NURSING FACILITY 70066,A000000,01810,0000,01810ICF/MR 70066,A000000,02100,0000,02100RADIOLOGY 70066,A000000,02200,0000,02200LABORATORY 70066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70066,A000000,02500,0000,02500PHYSICAL THERAPY 70066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70066,A000000,02700,0000,02700SPEECH PATHOLOGY 70066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70066,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70066,A000000,03052,0000,03302MEDICAL EQUIPMENT 70066,A000000,03550,0000,03550FQHC 70066,A000000,05000,0000,05000CORF 70066,A000000,05010,0000,05010CMHC 70066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70066,A81000A,00100,0100,Y 70066,A81000B,00100,0300,HOME OFFICE A&G 70066,A81000B,00200,0300,HOME OFFICE CAPITAL 70066,A81000B,00300,0300,DIVISION OFFICE A&G 70066,A81000B,00500,0300,INSURANCE 70066,A81000C,00100,0100,B 70066,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70066,A81000C,00200,0100,G 70066,A81000C,00200,0200,LAURIER INC. 70066,A81000C,00200,0400,EXTENDICARE INC. 70066,A81000C,00200,0600,INSURANCE 70066,A81000C,00300,0100,G 70066,A81000C,00300,0200,UNITED REHABILITATION SVS 70066,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70066,A81000C,00300,0600,THERAPY SERVICE 70066,A81000C,00400,0100,G 70066,A81000C,00400,0200,UPC 70066,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70066,A81000C,00400,0600,PHARMACY & THERAPY 70066,B100000,00000,0100,00040SQUARE FEET 70066,B100000,00000,0200,00040SQUARE FEET 70066,B100000,00000,0300,00040GROSS SALARIES 70066,B100000,00000,0400,00040ACCUM. COST 70066,B100000,00000,0500,00040SQUARE FEET 70066,B100000,00000,0600,00040PATIENT DAYS 70066,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70066,B100000,00000,0800,00040PATIENT DAYS 70066,B100000,00000,0900,00040PATIENT DAYS 70066,B100000,00000,1000,00040COSTED REQUIS 70066,B100000,00000,1100,00040COSTED REQUIS 70066,B100000,00000,1200,00040GROSS REVENUE 70066,B100000,00000,1300,00040PATIENT DAYS 70066,B100000,00000,1400,00040ASSIGNED TIME 70066,E10A180,00301,0100,01/24/2000 70066,E10A180,00301,0300,06/22/1998 70066,E10A180,00350,0100,06/22/1998 70066,E10A180,00350,0300,06/22/1998 70066,E10A180,00501,0300,06/09/2000 70066,E10A180,00550,0100,06/09/2000 70066,S000000,00100,0200,06/19/2000 70066,S200000,00100,0100,8223 BROADWAY 70066,S200000,00200,0100,SAN ANTONIO 70066,S200000,00200,0200,TX 70066,S200000,00300,0100,BEXAR 70066,S200000,00400,0100,ALAMO HEIGHTS HEALTH AND REHAB CENTE 70066,S200000,00400,0200,455467 70066,S200000,00400,0300,08/14/1981 70066,S200000,00400,0500,P 70066,S200000,01600,0100,Y 70075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70075,A000000,00300,0000,00300EMPLOYEE BENEFITS 70075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70075,A000000,00700,0000,00700HOUSEKEEPING 70075,A000000,00800,0000,00800DIETARY 70075,A000000,00900,0000,00900NURSING ADMINISTRATION 70075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70075,A000000,01100,0000,01100PHARMACY 70075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70075,A000000,01300,0000,01300SOCIAL SERVICE 70075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70075,A000000,01600,0000,01600SKILLED NURSING FACILITY 70075,A000000,01800,0000,01800NURSING FACILITY 70075,A000000,01810,0000,01810ICF/MR 70075,A000000,02100,0000,02100RADIOLOGY 70075,A000000,02200,0000,02200LABORATORY 70075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70075,A000000,02500,0000,02500PHYSICAL THERAPY 70075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70075,A000000,02700,0000,02700SPEECH PATHOLOGY 70075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70075,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70075,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70075,A000000,03052,0000,03302MEDICAL EQUIPMENT 70075,A000000,03550,0000,03550FQHC 70075,A000000,05000,0000,05000CORF 70075,A000000,05010,0000,05010CMHC 70075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70075,A81000A,00100,0100,Y 70075,A81000B,00100,0300,HOME OFFICE A&G 70075,A81000B,00200,0300,HOME OFFICE CAPITAL 70075,A81000B,00300,0300,DIVISION OFFICE A&G 70075,A81000B,00500,0300,INSURANCE 70075,A81000B,00900,0300,AIR FLUIDIZED THERAPY 70075,A81000C,00100,0100,B 70075,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70075,A81000C,00200,0100,G 70075,A81000C,00200,0200,LAURIER INC. 70075,A81000C,00200,0400,EXTENDICARE INC. 70075,A81000C,00200,0600,INSURANCE 70075,A81000C,00300,0100,G 70075,A81000C,00300,0200,UNITED REHABILITATION SVS 70075,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70075,A81000C,00300,0600,THERAPY SERVICE 70075,A81000C,00400,0100,G 70075,A81000C,00400,0200,UPC 70075,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70075,A81000C,00400,0600,PHARMACY & THERAPY 70075,B100000,00000,0100,00040SQUARE FEET 70075,B100000,00000,0200,00040SQUARE FEET 70075,B100000,00000,0300,00040GROSS SALARIES 70075,B100000,00000,0400,00040ACCUM. COST 70075,B100000,00000,0500,00040SQUARE FEET 70075,B100000,00000,0600,00040PATIENT DAYS 70075,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70075,B100000,00000,0800,00040PATIENT DAYS 70075,B100000,00000,0900,00040PATIENT DAYS 70075,B100000,00000,1000,00040COSTED REQUIS 70075,B100000,00000,1100,00040COSTED REQUIS 70075,B100000,00000,1200,00040GROSS REVENUE 70075,B100000,00000,1300,00040PATIENT DAYS 70075,B100000,00000,1400,00040ASSIGNED TIME 70075,E10A180,00301,0100,01/24/2000 70075,E10A180,00301,0300,06/22/1998 70075,E10A180,00350,0100,06/22/1998 70075,E10A180,00350,0300,06/22/1998 70075,E10A180,00501,0300,02/12/2001 70075,E10A180,00550,0100,02/12/2001 70075,S000000,00100,0200,06/19/2000 70075,S200000,00100,0100,3109 KINGS COURT 70075,S200000,00200,0100,FORT WORTH 70075,S200000,00200,0200,TX 70075,S200000,00300,0100,TARRANT 70075,S200000,00400,0100,RICHLAND HILLS NURSING AND REHAB CEN 70075,S200000,00400,0200,455576 70075,S200000,00400,0300,09/24/1985 70075,S200000,00400,0500,P 70075,S200000,01600,0100,Y 70083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70083,A000000,00300,0000,00300EMPLOYEE BENEFITS 70083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70083,A000000,00700,0000,00700HOUSEKEEPING 70083,A000000,00800,0000,00800DIETARY 70083,A000000,00900,0000,00900NURSING ADMINISTRATION 70083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70083,A000000,01100,0000,01100PHARMACY 70083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70083,A000000,01300,0000,01300SOCIAL SERVICE 70083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70083,A000000,01600,0000,01600SKILLED NURSING FACILITY 70083,A000000,01800,0000,01800NURSING FACILITY 70083,A000000,01810,0000,01810ICF/MR 70083,A000000,02100,0000,02100RADIOLOGY 70083,A000000,02200,0000,02200LABORATORY 70083,A000000,02300,0000,02300INTRAVENOUS THERAPY 70083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70083,A000000,02500,0000,02500PHYSICAL THERAPY 70083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70083,A000000,02700,0000,02700SPEECH PATHOLOGY 70083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70083,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70083,A000000,03052,0000,03302MEDICAL EQUIPMENT 70083,A000000,03550,0000,03550FQHC 70083,A000000,05000,0000,05000CORF 70083,A000000,05010,0000,05010CMHC 70083,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70083,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70083,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70083,A81000A,00100,0100,Y 70083,A81000B,00100,0300,HOME OFFICE A&G 70083,A81000B,00200,0300,HOME OFFICE CAPITAL 70083,A81000B,00300,0300,DIVISION OFFICE A&G 70083,A81000B,00500,0300,INSURANCE 70083,A81000B,00900,0300,AIR FLUIDIZED THERAPY 70083,A81000C,00100,0100,B 70083,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70083,A81000C,00200,0100,G 70083,A81000C,00200,0200,LAURIER INC. 70083,A81000C,00200,0400,EXTENDICARE INC. 70083,A81000C,00200,0600,INSURANCE 70083,A81000C,00300,0100,G 70083,A81000C,00300,0200,UNITED REHABILITATION SVS 70083,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70083,A81000C,00300,0600,THERAPY SERVICE 70083,A81000C,00400,0100,G 70083,A81000C,00400,0200,UPC 70083,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70083,A81000C,00400,0600,PHARMACY & THERAPY 70083,B100000,00000,0100,00040SQUARE FEET 70083,B100000,00000,0200,00040SQUARE FEET 70083,B100000,00000,0300,00040GROSS SALARIES 70083,B100000,00000,0400,00040ACCUM. COST 70083,B100000,00000,0500,00040SQUARE FEET 70083,B100000,00000,0600,00040PATIENT DAYS 70083,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70083,B100000,00000,0800,00040PATIENT DAYS 70083,B100000,00000,0900,00040PATIENT DAYS 70083,B100000,00000,1000,00040COSTED REQUIS 70083,B100000,00000,1100,00040COSTED REQUIS 70083,B100000,00000,1200,00040GROSS REVENUE 70083,B100000,00000,1300,00040PATIENT DAYS 70083,B100000,00000,1400,00040ASSIGNED TIME 70083,E10A180,00301,0100,01/24/2000 70083,E10A180,00301,0300,06/22/1998 70083,E10A180,00350,0100,06/22/1998 70083,E10A180,00350,0300,06/22/1998 70083,E10A180,00501,0300,02/12/2001 70083,E10A180,00550,0100,02/12/2001 70083,S000000,00100,0200,06/19/2000 70083,S200000,00100,0100,613 EAKER 70083,S200000,00200,0100,EDEN 70083,S200000,00200,0200,TX 70083,S200000,00300,0100,CONCHO 70083,S200000,00400,0100,CONCHO HEALTH AND REHAB CENTER 70083,S200000,00400,0200,455737 70083,S200000,00400,0300,02/12/1988 70083,S200000,00400,0500,P 70083,S200000,01600,0100,Y 70091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70091,A000000,00300,0000,00300EMPLOYEE BENEFITS 70091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70091,A000000,00700,0000,00700HOUSEKEEPING 70091,A000000,00800,0000,00800DIETARY 70091,A000000,00900,0000,00900NURSING ADMINISTRATION 70091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70091,A000000,01100,0000,01100PHARMACY 70091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70091,A000000,01300,0000,01300SOCIAL SERVICE 70091,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70091,A000000,01600,0000,01600SKILLED NURSING FACILITY 70091,A000000,01800,0000,01800NURSING FACILITY 70091,A000000,01810,0000,01810ICF/MR 70091,A000000,02100,0000,02100RADIOLOGY 70091,A000000,02200,0000,02200LABORATORY 70091,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70091,A000000,02500,0000,02500PHYSICAL THERAPY 70091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70091,A000000,02700,0000,02700SPEECH PATHOLOGY 70091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70091,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70091,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70091,A000000,03052,0000,03302MEDICAL EQUIPMENT 70091,A000000,03550,0000,03550FQHC 70091,A000000,05000,0000,05000CORF 70091,A000000,05010,0000,05010CMHC 70091,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70091,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70091,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70091,A81000A,00100,0100,Y 70091,A81000B,00100,0300,HOME OFFICE A&G 70091,A81000B,00200,0300,HOME OFFICE CAPITAL 70091,A81000B,00300,0300,DIVISION OFFICE A&G 70091,A81000B,00500,0300,INSURANCE 70091,A81000B,00900,0300,AIR FLUIDIZED THERAPY 70091,A81000C,00100,0100,B 70091,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70091,A81000C,00200,0100,G 70091,A81000C,00200,0200,LAURIER INC. 70091,A81000C,00200,0400,EXTENDICARE INC. 70091,A81000C,00200,0600,INSURANCE 70091,A81000C,00300,0100,G 70091,A81000C,00300,0200,UNITED REHABILITATION SVS 70091,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70091,A81000C,00300,0600,THERAPY SERVICE 70091,A81000C,00400,0100,G 70091,A81000C,00400,0200,UPC 70091,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70091,A81000C,00400,0600,PHARMACY & THERAPY 70091,B100000,00000,0100,00040SQUARE FEET 70091,B100000,00000,0200,00040SQUARE FEET 70091,B100000,00000,0300,00040GROSS SALARIES 70091,B100000,00000,0400,00040ACCUM. COST 70091,B100000,00000,0500,00040SQUARE FEET 70091,B100000,00000,0600,00040PATIENT DAYS 70091,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70091,B100000,00000,0800,00040PATIENT DAYS 70091,B100000,00000,0900,00040PATIENT DAYS 70091,B100000,00000,1000,00040COSTED REQUIS 70091,B100000,00000,1100,00040COSTED REQUIS 70091,B100000,00000,1200,00040GROSS REVENUE 70091,B100000,00000,1300,00040PATIENT DAYS 70091,B100000,00000,1400,00040ASSIGNED TIME 70091,E10A180,00301,0100,01/24/2000 70091,E10A180,00301,0300,06/22/1998 70091,E10A180,00350,0100,06/22/1998 70091,E10A180,00350,0300,06/22/1998 70091,E10A180,00501,0300,02/12/2001 70091,E10A180,00502,0300,06/09/2000 70091,E10A180,00550,0100,06/09/2000 70091,E10A180,00551,0100,02/12/2001 70091,S000000,00100,0200,06/19/2000 70091,S200000,00100,0100,1300 MEMORIAL DRIVE 70091,S200000,00200,0100,DENISON 70091,S200000,00200,0200,TX 70091,S200000,00300,0100,GRAYSON 70091,S200000,00400,0100,CARE INN NURSING AND REHAB CENTER 70091,S200000,00400,0200,455806 70091,S200000,00400,0300,07/15/1993 70091,S200000,00400,0500,P 70091,S200000,01600,0100,Y 70107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70107,A000000,00300,0000,00300EMPLOYEE BENEFITS 70107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70107,A000000,00700,0000,00700HOUSEKEEPING 70107,A000000,00800,0000,00800DIETARY 70107,A000000,00900,0000,00900NURSING ADMINISTRATION 70107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70107,A000000,01100,0000,01100PHARMACY 70107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70107,A000000,01300,0000,01300SOCIAL SERVICE 70107,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70107,A000000,01600,0000,01600SKILLED NURSING FACILITY 70107,A000000,01800,0000,01800NURSING FACILITY 70107,A000000,01810,0000,01810ICF/MR 70107,A000000,02100,0000,02100RADIOLOGY 70107,A000000,02200,0000,02200LABORATORY 70107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70107,A000000,02500,0000,02500PHYSICAL THERAPY 70107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70107,A000000,02700,0000,02700SPEECH PATHOLOGY 70107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70107,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70107,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70107,A000000,03052,0000,03302MEDICAL EQUIPMENT 70107,A000000,03550,0000,03550FQHC 70107,A000000,05000,0000,05000CORF 70107,A000000,05010,0000,05010CMHC 70107,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70107,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70107,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70107,A81000A,00100,0100,Y 70107,A81000B,00100,0300,HOME OFFICE A&G 70107,A81000B,00200,0300,HOME OFFICE CAPITAL 70107,A81000B,00300,0300,DIVISION OFFICE A&G 70107,A81000B,00500,0300,INSURANCE 70107,A81000C,00100,0100,B 70107,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70107,A81000C,00200,0100,G 70107,A81000C,00200,0200,LAURIER INC. 70107,A81000C,00200,0400,EXTENDICARE INC. 70107,A81000C,00200,0600,INSURANCE 70107,A81000C,00300,0100,G 70107,A81000C,00300,0200,UNITED REHABILITATION SVS 70107,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70107,A81000C,00300,0600,THERAPY SERVICE 70107,A81000C,00400,0100,G 70107,A81000C,00400,0200,UPC 70107,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70107,A81000C,00400,0600,PHARMACY & THERAPY 70107,B100000,00000,0100,00040SQUARE FEET 70107,B100000,00000,0200,00040SQUARE FEET 70107,B100000,00000,0300,00040GROSS SALARIES 70107,B100000,00000,0400,00040ACCUM. COST 70107,B100000,00000,0500,00040SQUARE FEET 70107,B100000,00000,0600,00040PATIENT DAYS 70107,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70107,B100000,00000,0800,00040PATIENT DAYS 70107,B100000,00000,0900,00040PATIENT DAYS 70107,B100000,00000,1000,00040COSTED REQUIS 70107,B100000,00000,1100,00040COSTED REQUIS 70107,B100000,00000,1200,00040GROSS REVENUE 70107,B100000,00000,1300,00040PATIENT DAYS 70107,B100000,00000,1400,00040ASSIGNED TIME 70107,E10A180,00301,0100,01/24/2000 70107,E10A180,00301,0300,06/22/1998 70107,E10A180,00350,0100,06/22/1998 70107,E10A180,00350,0300,06/22/1998 70107,E10A180,00501,0300,06/09/2000 70107,E10A180,00550,0100,06/09/2000 70107,S000000,00100,0200,06/19/2000 70107,S200000,00100,0100,1109 NORTHWOOD DRIVE 70107,S200000,00200,0100,MARBLE FALLS 70107,S200000,00200,0200,TX 70107,S200000,00300,0100,BURNET 70107,S200000,00400,0100,NORTHWOOD HEALTH CARE CENTER 70107,S200000,00400,0200,455905 70107,S200000,00400,0300,10/01/1990 70107,S200000,00400,0500,P 70107,S200000,01600,0100,Y 70115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70115,A000000,00300,0000,00300EMPLOYEE BENEFITS 70115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70115,A000000,00700,0000,00700HOUSEKEEPING 70115,A000000,00800,0000,00800DIETARY 70115,A000000,00900,0000,00900NURSING ADMINISTRATION 70115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70115,A000000,01100,0000,01100PHARMACY 70115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70115,A000000,01300,0000,01300SOCIAL SERVICE 70115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70115,A000000,01600,0000,01600SKILLED NURSING FACILITY 70115,A000000,01800,0000,01800NURSING FACILITY 70115,A000000,01810,0000,01810ICF/MR 70115,A000000,02100,0000,02100RADIOLOGY 70115,A000000,02200,0000,02200LABORATORY 70115,A000000,02500,0000,02500PHYSICAL THERAPY 70115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70115,A000000,02700,0000,02700SPEECH PATHOLOGY 70115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70115,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70115,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70115,A000000,03052,0000,03302MEDICAL EQUIPMENT 70115,A000000,03550,0000,03550FQHC 70115,A000000,05000,0000,05000CORF 70115,A000000,05010,0000,05010CMHC 70115,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70115,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70115,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70115,A81000A,00100,0100,Y 70115,A81000B,00100,0300,HOME OFFICE A&G 70115,A81000B,00200,0300,HOME OFFICE CAPITAL 70115,A81000B,00300,0300,DIVISION OFFICE A&G 70115,A81000B,00500,0300,INSURANCE 70115,A81000C,00100,0100,B 70115,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70115,A81000C,00200,0100,G 70115,A81000C,00200,0200,LAURIER INC. 70115,A81000C,00200,0400,EXTENDICARE INC. 70115,A81000C,00200,0600,INSURANCE 70115,A81000C,00300,0100,G 70115,A81000C,00300,0200,UNITED REHABILITATION SVS 70115,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70115,A81000C,00300,0600,THERAPY SERVICE 70115,A81000C,00400,0100,G 70115,A81000C,00400,0200,UPC 70115,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70115,A81000C,00400,0600,PHARMACY & THERAPY 70115,B100000,00000,0100,00040SQUARE FEET 70115,B100000,00000,0200,00040SQUARE FEET 70115,B100000,00000,0300,00040GROSS SALARIES 70115,B100000,00000,0400,00040ACCUM. COST 70115,B100000,00000,0500,00040SQUARE FEET 70115,B100000,00000,0600,00040PATIENT DAYS 70115,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70115,B100000,00000,0800,00040PATIENT DAYS 70115,B100000,00000,0900,00040PATIENT DAYS 70115,B100000,00000,1000,00040COSTED REQUIS 70115,B100000,00000,1100,00040COSTED REQUIS 70115,B100000,00000,1200,00040GROSS REVENUE 70115,B100000,00000,1300,00040PATIENT DAYS 70115,B100000,00000,1400,00040ASSIGNED TIME 70115,E10A180,00301,0100,01/24/2000 70115,E10A180,00301,0300,06/22/1998 70115,E10A180,00350,0100,06/22/1998 70115,E10A180,00350,0300,06/22/1998 70115,E10A180,00501,0300,02/12/2001 70115,E10A180,00550,0100,02/12/2001 70115,S000000,00100,0200,06/19/2000 70115,S200000,00100,0100,7907 REFINERY ROAD 70115,S200000,00200,0100,GAINESVILLE 70115,S200000,00200,0200,TX 70115,S200000,00300,0100,COOKE 70115,S200000,00400,0100,RIVER VALLEY HEALTH AND REHAB CENTER 70115,S200000,00400,0200,455970 70115,S200000,00400,0300,01/01/1992 70115,S200000,00400,0500,P 70115,S200000,01600,0100,Y 70124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70124,A000000,00300,0000,00300EMPLOYEE BENEFITS 70124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70124,A000000,00700,0000,00700HOUSEKEEPING 70124,A000000,00800,0000,00800DIETARY 70124,A000000,00801,0000,00801CAFETERIA 70124,A000000,00900,0000,00900NURSING ADMINISTRATION 70124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70124,A000000,01100,0000,01100PHARMACY 70124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70124,A000000,01300,0000,01300SOCIAL SERVICE 70124,A000000,01350,0000,01500ACTIVITIES 70124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70124,A000000,01600,0000,01600SKILLED NURSING FACILITY 70124,A000000,01800,0000,01800NURSING FACILITY 70124,A000000,01810,0000,01810ICF/MR 70124,A000000,02200,0000,02200LABORATORY 70124,A000000,02500,0000,02500PHYSICAL THERAPY 70124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70124,A000000,02700,0000,02700SPEECH PATHOLOGY 70124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70124,A000000,03050,0000,03300ENTERALS 70124,A000000,03550,0000,03550FQHC 70124,A000000,05000,0000,05000CORF 70124,A000000,05010,0000,05010CMHC 70124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70124,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70124,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70124,A000000,06150,0000,06300RELATED ORGANIZATION 70124,A000000,06151,0000,06301DENTAL OFFICE 70124,A81000A,00100,0100,Y 70124,A81000B,00100,0300,RENT EXPENSE 70124,A81000B,00200,0300,MAINTENANCE 70124,A81000C,00100,0100,C 70124,A81000C,00100,0400,RICHFIELD RETIREMENT 70124,A81000C,00100,0600,RETIREMENT FACILITY 70124,A81000C,00200,0100,C 70124,A81000C,00200,0400,RICHFIELD RETIREMENT 70124,A81000C,00200,0600,RETIREMENT FACILITY 70124,B100000,00000,0100,00001SQUARE FEET 70124,B100000,00000,0200,00001SQUARE FEET 70124,B100000,00000,0300,00001GROSS SALARIES 70124,B100000,00000,0400,00001ACCUM. COST 70124,B100000,00000,0500,00001SQUARE FEET 70124,B100000,00000,0600,00001POUNDS OF LAUNDRY 70124,B100000,00000,0700,00001SQUARE FEET 70124,B100000,00000,0800,00001MEALS SERVED 70124,B100000,00000,0801,00001FTES 70124,B100000,00000,0900,00001FTES 70124,B100000,00000,1000,00001COSTED REQUIS 70124,B100000,00000,1100,00001COSTED REQUIS 70124,B100000,00000,1200,00001TIME SPENT 70124,B100000,00000,1300,00001TIME SPENT 70124,B100000,00000,1350,00001TIME SPENT 70124,B100000,00000,1400,00001ASSIGNED TIME 70124,E10A180,00350,0300,12/16/1999 70124,E10A180,00501,0100,04/04/2000 70124,E10A180,00550,0300,04/04/2000 70124,S000000,00100,0200,02/29/2000 70124,S200000,00100,0100,3615 W. MAIN STREET 70124,S200000,00100,0300,3240 70124,S200000,00200,0100,SALEM 70124,S200000,00200,0200,VA 70124,S200000,00300,0100,ROANOKE 70124,S200000,00400,0100,RICHFIELD NURSING CENTER 70124,S200000,00400,0200,495013 70124,S200000,00400,0300,01/01/1966 70124,S200000,00400,0500,P 70124,S200000,00600,0200,495013 70124,S200000,00600,0300,01/01/1966 70124,S200000,01500,0100,Y 70124,S200000,02200,0100,Y 70155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70155,A000000,00300,0000,00300EMPLOYEE BENEFITS 70155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70155,A000000,00700,0000,00700HOUSEKEEPING 70155,A000000,00800,0000,00800DIETARY 70155,A000000,00900,0000,00900NURSING ADMINISTRATION 70155,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70155,A000000,01100,0000,01100PHARMACY 70155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70155,A000000,01300,0000,01300SOCIAL SERVICE 70155,A000000,01350,0000,01500RECREATION/ACTIVITIES 70155,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70155,A000000,01600,0000,01600SKILLED NURSING FACILITY 70155,A000000,01800,0000,01800NURSING FACILITY 70155,A000000,01810,0000,01810ICF/MR 70155,A000000,02100,0000,02100RADIOLOGY 70155,A000000,02200,0000,02200LABORATORY 70155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70155,A000000,02500,0000,02500PHYSICAL THERAPY 70155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70155,A000000,02700,0000,02700SPEECH PATHOLOGY 70155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70155,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70155,A000000,03200,0000,03200SUPPORT SURFACES 70155,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70155,A000000,03550,0000,03550FQHC 70155,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70155,A000000,05000,0000,05000CORF 70155,A000000,05010,0000,05010CMHC 70155,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70155,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70155,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70155,A000000,05300,0000,05300INTEREST EXPENSE 70155,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70155,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70155,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 70155,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70155,A81000A,00100,0100,Y 70155,A81000B,00100,0300,HOME OFFICE COSTS 70155,A81000B,00200,0300,HOME OFFICE COSTS 70155,A81000B,00300,0300,HOME OFFICE COSTS - THERAPY 70155,A81000B,00400,0300,HOME OFFICE COSTS - THERAPY 70155,A81000B,00500,0300,HOME OFFICE COSTS - THERAPY 70155,A81000B,00600,0300,HOME OFFICE COSTS - TRAINING 70155,A81000B,00700,0300,RELATED PARTY - PHARMACY 70155,A81000B,00800,0300,RELATED PARTY - PHARMACY 70155,A81000B,00900,0300,RELATED PARTY - PHARMACY 70155,A81000B,01900,0300,RELATED PARTY - PHARMACY 70155,A81000B,02000,0300,RELATED PARTY - RENT EXPENSE 70155,A81000C,00100,0100,B 70155,A81000C,00100,0200,MFV I 70155,A81000C,00100,0400,MFA INC 70155,A81000C,00100,0600,HOME OFFICE 70155,A81000C,00200,0100,A 70155,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70155,A81000C,00200,0400,PHARMACY CARE PLUS 70155,A81000C,00200,0600,PHARMACY SERVICES 70155,A81000C,00300,0100,A 70155,A81000C,00300,0200,W. HEYWOOD FRALIN 70155,A81000C,00300,0400,PHARMACY CARE PLUS 70155,A81000C,00300,0600,PHARMACY SERVICES 70155,A81000C,00400,0100,A 70155,A81000C,00400,0200,MFV I 70155,A81000C,00400,0400,FW PROPERTIES LLC 70155,A81000C,00400,0600,PROPERTY MANAGEMENT 70155,A81000C,00500,0100,A 70155,A81000C,00600,0100,A 70155,A81000C,00700,0100,A 70155,A81000C,00800,0100,A 70155,A81000C,00900,0100,A 70155,A81000C,01000,0100,A 70155,B100000,00000,0100,00000SQUARE FEET 70155,B100000,00000,0200,00000SQUARE FEET 70155,B100000,00000,0300,00000GROSS SALARIES 70155,B100000,00000,0400,00000ACCUM. COST 70155,B100000,00000,0500,00000SQUARE FEET 70155,B100000,00000,0600,00000PATIENT DAYS 70155,B100000,00000,0700,00000SQUARE FEET 70155,B100000,00000,0800,00000MEALS SERVED 70155,B100000,00000,0900,00000TIME SPENT 70155,B100000,00000,1000,00000COSTED REQUIS. 70155,B100000,00000,1100,00000COSTED REQUIS. 70155,B100000,00000,1200,00000TIME SPENT 70155,B100000,00000,1300,00000TIME SPENT 70155,B100000,00000,1350,00000TIME SPENT 70155,B100000,00000,1400,00000ASSIGNED TIME 70155,E10A180,00301,0100,05/20/1999 70155,E10A180,00302,0100,11/18/1999 70155,E10A180,00303,0100,02/10/2000 70155,E10A180,00550,0100,06/15/2000 70155,E10A180,00550,0300,06/15/2000 70155,E10A180,00601,0300,06/27/2001 70155,S000000,00100,0200,05/31/2000 70155,S200000,00100,0100,1945 ROANOKE BOULEVARD 70155,S200000,00200,0100,SALEM 70155,S200000,00200,0200,VA 70155,S200000,00300,0100,CITY OF SALEM 70155,S200000,00400,0100,SALEM HEALTH & REHAB CENTER 70155,S200000,00400,0200,495087 70155,S200000,00400,0300,11/01/1971 70155,S200000,00400,0500,P 70155,S200000,01600,0100,Y 70155,S200000,02800,0100,Y 70172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70172,A000000,00300,0000,00300EMPLOYEE BENEFITS 70172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70172,A000000,00700,0000,00700HOUSEKEEPING 70172,A000000,00800,0000,00800DIETARY 70172,A000000,00900,0000,00900NURSING ADMINISTRATION 70172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70172,A000000,01001,0000,01001SECURITY 70172,A000000,01100,0000,01100PHARMACY 70172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70172,A000000,01300,0000,01300SOCIAL SERVICE 70172,A000000,01301,0000,01301RESIDENT SERVICES 70172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70172,A000000,01401,0000,01401FRONT DESK 70172,A000000,01600,0000,01600SKILLED NURSING FACILITY 70172,A000000,01800,0000,01800NURSING FACILITY 70172,A000000,01810,0000,01810ICF/MR 70172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70172,A000000,02501,0000,02501PT SERVICES/REHAB 70172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70172,A000000,03550,0000,03550FQHC 70172,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 70172,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 70172,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 70172,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 70172,A000000,05000,0000,05000CORF 70172,A000000,05010,0000,05010CMHC 70172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70172,A000000,05300,0000,05300INTEREST EXPENSE 70172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70172,A000000,06001,0000,06001CHILD CARE 70172,A000000,06002,0000,06002COMMUNITY SERVICES 70172,A000000,06101,0000,06101MORNINGSIDE/PAVILION/SCS 70172,A000000,06201,0000,06201APTS/HOME FOR ADULTS 70172,A81000A,00100,0100,Y 70172,A81000B,00100,0300,MANAGEMENT FEE 70172,A81000B,00200,0300,EMPLO BEN FR MGT COR 70172,A81000B,00300,0300,AUTO INS IN MGT FEE 70172,A81000B,00400,0300,BLDG INSURANCE 70172,A81000C,00100,0100,B 70172,A81000C,00100,0400,WEST CAN MGT CO 70172,A81000C,00100,0600,MGMT SERVICES 70172,B100000,00000,0100,00001SQUARE FEET 70172,B100000,00000,0200,00001SQUARE FEET 70172,B100000,00000,0300,00001GROSS SALARIES 70172,B100000,00000,0400,00001ACCUM COST 70172,B100000,00000,0500,00001SQUARE FEET 70172,B100000,00000,0600,00001POUNDS OF LAUNDRY 70172,B100000,00000,0700,00001HOURS OF SERVICE 70172,B100000,00000,0800,00001MEALS SERVED 70172,B100000,00000,0900,00001DIRECT NRSG HRS 70172,B100000,00000,1000,00001COSTED REQUIS 70172,B100000,00000,1001,00001SQUARE FEET 70172,B100000,00000,1100,00001COSTED REQUIS 70172,B100000,00000,1200,00001TIME SPENT 70172,B100000,00000,1300,00001TIME SPENT 70172,B100000,00000,1301,00001PAT DAYS 70172,B100000,00000,1400,00001ASSIGNED TIME 70172,B100000,00000,1401,00001PAT DAYS 70172,E10A180,00601,0100,05/14/2001 70172,E10A180,00601,0300,05/14/2001 70172,S000000,00100,0200,02/28/2000 70172,S200000,00100,0100,1600 WESTBROOK AVENUE 70172,S200000,00200,0100,RICHMOND 70172,S200000,00200,0200,VA 70172,S200000,00300,0100,HENRICO 70172,S200000,00400,0100,WESTMINSTER CANTERBURY 70172,S200000,00400,0200,495096 70172,S200000,00400,0300,10/01/1975 70172,S200000,00400,0500,P 70172,S200000,00600,0200,495096 70172,S200000,00600,0300,10/01/1975 70172,S200000,00600,0600,P 70172,S200000,01700,0100,Y 70172,S200000,02800,0100,Y 70187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70187,A000000,00300,0000,00300EMPLOYEE BENEFITS 70187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70187,A000000,00700,0000,00700HOUSEKEEPING 70187,A000000,00800,0000,00800DIETARY 70187,A000000,00900,0000,00900NURSING ADMINISTRATION 70187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70187,A000000,01100,0000,01100PHARMACY 70187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70187,A000000,01300,0000,01300SOCIAL SERVICE 70187,A000000,01350,0000,01500RECREATION/ACTIVITIES 70187,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70187,A000000,01600,0000,01600SKILLED NURSING FACILITY 70187,A000000,01800,0000,01800NURSING FACILITY 70187,A000000,01810,0000,01810ICF/MR 70187,A000000,02100,0000,02100RADIOLOGY 70187,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70187,A000000,02500,0000,02500PHYSICAL THERAPY 70187,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70187,A000000,02700,0000,02700SPEECH PATHOLOGY 70187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70187,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70187,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70187,A000000,03550,0000,03550FQHC 70187,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70187,A000000,05000,0000,05000CORF 70187,A000000,05010,0000,05010CMHC 70187,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70187,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70187,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70187,A000000,05300,0000,05300INTEREST EXPENSE 70187,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70187,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70187,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70187,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70187,A81000A,00100,0100,Y 70187,A81000B,00100,0300,HOME OFFICE COSTS 70187,A81000B,00200,0300,HOME OFFICE COSTS 70187,A81000B,00300,0300,HOME OFFICE COSTS-THERAPY 70187,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70187,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70187,A81000B,00600,0300,RELATED PARTY - PHARMACY 70187,A81000B,00700,0300,RELATED PARTY - PHARMACY 70187,A81000B,00800,0300,RELATED PARTY - PHARMACY 70187,A81000B,00900,0300,RELATED PARTY - PHARMACY 70187,A81000B,01900,0300,RELATED PARTY - PHARMACY 70187,A81000B,02900,0300,RELATED PARTY - PHARMACY 70187,A81000C,00100,0100,B 70187,A81000C,00100,0200,MFV I 70187,A81000C,00100,0400,MFA INC 70187,A81000C,00100,0600,HOME OFFICE COSTS 70187,A81000C,00200,0100,A 70187,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70187,A81000C,00200,0400,PHARMACY CARE PLUS 70187,A81000C,00200,0600,PHARMACY SERVICES 70187,A81000C,00300,0100,A 70187,A81000C,00300,0200,W HEYWOOD FRALIN 70187,A81000C,00300,0400,PHARMACY CARE PLUS 70187,A81000C,00300,0600,PHARMACY SERVICES 70187,B100000,00000,0100,00000SQUARE FEET 70187,B100000,00000,0200,00000SQUARE FEET 70187,B100000,00000,0300,00000GROSS SALARIES 70187,B100000,00000,0400,00000ACCUM. COST 70187,B100000,00000,0500,00000SQUARE FEET 70187,B100000,00000,0600,00000PATIENT DAYS 70187,B100000,00000,0700,00000SQUARE FEET 70187,B100000,00000,0800,00000MEALS 70187,B100000,00000,0900,00000SALARIES 70187,B100000,00000,1000,00000COSTED REQUIS. 70187,B100000,00000,1100,00000COSTED REQUIS. 70187,B100000,00000,1200,00000TIME SPENT 70187,B100000,00000,1300,00000TIME SPENT 70187,B100000,00000,1350,00000TIME SPENT 70187,B100000,00000,1400,00000ASSIGNED TIME 70187,E10A180,00301,0100,07/29/1999 70187,E10A180,00302,0100,12/30/1999 70187,E10A180,00501,0100,06/16/2000 70187,E10A180,00501,0300,06/16/2000 70187,S000000,00100,0200,05/31/2000 70187,S200000,00100,0100,5615 SEMINOLE AVENUE 70187,S200000,00200,0100,LYNCHBURG 70187,S200000,00200,0200,VA 70187,S200000,00300,0100,CITY OF LYNCHBURG 70187,S200000,00400,0100,CAMELOT HALL OF LYNCHBURG 70187,S200000,00400,0200,495105 70187,S200000,00400,0300,09/08/1975 70187,S200000,00400,0500,P 70187,S200000,01600,0100,Y 70192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70192,A000000,00300,0000,00300EMPLOYEE BENEFITS 70192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70192,A000000,00700,0000,00700HOUSEKEEPING 70192,A000000,00800,0000,00800DIETARY 70192,A000000,00900,0000,00900NURSING ADMINISTRATION 70192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70192,A000000,01100,0000,01100PHARMACY 70192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70192,A000000,01300,0000,01300SOCIAL SERVICE 70192,A000000,01350,0000,01500RECREATION/ACTIVITIES 70192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70192,A000000,01600,0000,01600SKILLED NURSING FACILITY 70192,A000000,01800,0000,01800NURSING FACILITY 70192,A000000,01810,0000,01810ICF/MR 70192,A000000,02100,0000,02100RADIOLOGY 70192,A000000,02200,0000,02200LABORATORY 70192,A000000,02500,0000,02500PHYSICAL THERAPY 70192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70192,A000000,02700,0000,02700SPEECH PATHOLOGY 70192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70192,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70192,A000000,03200,0000,03200SUPPORT SURFACES 70192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70192,A000000,03550,0000,03550FQHC 70192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70192,A000000,05000,0000,05000CORF 70192,A000000,05010,0000,05010CMHC 70192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70192,A000000,05300,0000,05300INTEREST EXPENSE 70192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70192,A81000A,00100,0100,Y 70192,A81000B,00100,0300,HOME OFFICE COSTS 70192,A81000B,00200,0300,HOME OFFICE COSTS 70192,A81000B,00300,0300,HOME OFFICE COST-THERAPY 70192,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70192,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70192,A81000B,00600,0300,RELATED PARTY - PHARMACY 70192,A81000B,00700,0300,RELATED PARTY - PHARMACY 70192,A81000B,00800,0300,RELATED PARTY - PHARMACY 70192,A81000B,00900,0300,RELATED PARTY - PHARMACY 70192,A81000B,01000,0300,RELATED PARTY - PHARMACY 70192,A81000B,01100,0300,RELATED PARTY - PHARMACY 70192,A81000C,00100,0100,B 70192,A81000C,00100,0200,MFV I 70192,A81000C,00100,0400,MFA INC 70192,A81000C,00100,0600,HOME OFFICE 70192,A81000C,00200,0100,A 70192,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70192,A81000C,00200,0400,PHARMACY CARE PLUS 70192,A81000C,00200,0600,PHARMACY SERVICES 70192,A81000C,00300,0100,A 70192,A81000C,00300,0200,W HEYWOOD FRALIN 70192,A81000C,00300,0400,PHARMACY CARE PLUS 70192,A81000C,00300,0600,PHARMACY SERVICES 70192,B100000,00000,0100,00000SQUARE FEET 70192,B100000,00000,0200,00000SQUARE FEET 70192,B100000,00000,0300,00000GROSS SALARIES 70192,B100000,00000,0400,00000ACCUM. COST 70192,B100000,00000,0500,00000SQUARE FEET 70192,B100000,00000,0600,00000PATIENT DAYS 70192,B100000,00000,0700,00000SQUARE FEET 70192,B100000,00000,0800,00000MEALS 70192,B100000,00000,0900,00000SALARIES 70192,B100000,00000,1000,00000COSTED REQUIS. 70192,B100000,00000,1100,00000COSTED REQUIS. 70192,B100000,00000,1200,00000TIME SPENT 70192,B100000,00000,1300,00000TIME SPENT 70192,B100000,00000,1350,00000TIME SPENT 70192,B100000,00000,1400,00000ASSIGNED TIME 70192,E10A180,00301,0100,07/29/1999 70192,E10A180,00302,0100,12/30/1999 70192,E10A180,00501,0100,06/19/2000 70192,E10A180,00501,0300,06/19/2000 70192,S000000,00100,0200,05/31/2000 70192,S200000,00100,0100,450 PINEY FOREST ROAD 70192,S200000,00200,0100,DANVILLE 70192,S200000,00200,0200,VA 70192,S200000,00300,0100,CITY OF DANVILLE 70192,S200000,00400,0100,PINEY FOREST HEALTH CARE CENTER 70192,S200000,00400,0200,495107 70192,S200000,00400,0300,07/05/1977 70192,S200000,00400,0500,P 70192,S200000,01600,0100,Y 70192,S200000,02800,0100,Y 70210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70210,A000000,00101,0000,00101CAP REL COSTS - COTTAGES/RSDT. 70210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70210,A000000,00300,0000,00300EMPLOYEE BENEFITS 70210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70210,A000000,00700,0000,00700HOUSEKEEPING 70210,A000000,00800,0000,00800DIETARY 70210,A000000,00900,0000,00900NURSING ADMINISTRATION 70210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70210,A000000,01100,0000,01100PHARMACY 70210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70210,A000000,01300,0000,01300SOCIAL SERVICE 70210,A000000,01350,0000,01500OTHER GENERAL SERVICES 70210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70210,A000000,01600,0000,01600SKILLED NURSING FACILITY 70210,A000000,01800,0000,01800NURSING FACILITY 70210,A000000,01810,0000,01810ICF/MR 70210,A000000,02200,0000,02200LABORATORY 70210,A000000,02300,0000,02300INTRAVENOUS THERAPY 70210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70210,A000000,02500,0000,02500PHYSICAL THERAPY 70210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70210,A000000,02700,0000,02700SPEECH PATHOLOGY 70210,A000000,02800,0000,02800ELECTROCARDIOLOGY 70210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70210,A000000,03050,0000,03300AIR FLUID BED THERAPY 70210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 70210,A000000,03400,0000,03400CLINIC 70210,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70210,A000000,03550,0000,03550FQHC 70210,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70210,A000000,05000,0000,05000CORF 70210,A000000,05010,0000,05010CMHC 70210,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70210,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70210,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70210,A000000,05350,0000,05600NATCEP PROGRAM COSTS 70210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 70210,A000000,06001,0000,06001ASSISTED LIVING 70210,A000000,06002,0000,06002RESIDENT SERVICES 70210,A000000,06003,0000,06003COMMUNITY RELATIONS 70210,A000000,06004,0000,06004MARKETING 70210,A000000,06005,0000,06005TRANSPORTATION 70210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70210,A000000,06200,0000,06200PATIENTS LAUNDRY 70210,B100000,00000,0100,00000SQUARE FEET 70210,B100000,00000,0101,00000SQUARE FEET 70210,B100000,00000,0200,00000SQUARE FEET 70210,B100000,00000,0300,00000GROSS SALARIES 70210,B100000,00000,0400,00000ACCUM. COST 70210,B100000,00000,0500,00000SQUARE FEET 70210,B100000,00000,0600,00000POUNDS OF LAUNDRY 70210,B100000,00000,0700,00000HOURS OF SERVICE 70210,B100000,00000,0800,00000MEALS SERVED 70210,B100000,00000,0900,00000DIRECT NRSING HRS 70210,B100000,00000,1000,00000NOT USED 70210,B100000,00000,1100,00000NOT USED 70210,B100000,00000,1200,00000PATIENT DAYS 70210,B100000,00000,1300,00000PATIENT DAYS 70210,B100000,00000,1350,00000NOT USED 70210,B100000,00000,1400,00000NOT USED 70210,E10A180,00501,0300,04/12/2000 70210,E10A180,00550,0100,04/12/2000 70210,E10A180,00601,0100,04/23/2001 70210,E10A180,00601,0300,04/23/2001 70210,S000000,00100,0200,02/17/2000 70210,S200000,00100,0100,501 V.E.S. ROAD 70210,S200000,00200,0100,LYNCHBURG 70210,S200000,00200,0200,VA 70210,S200000,00300,0100,CITY OF LYNCHBURG 70210,S200000,00400,0100,WESMINSTER CANTERBURY OF LYNCHBURG 70210,S200000,00400,0200,495120 70210,S200000,00400,0300,05/14/1980 70210,S200000,00400,0500,P 70210,S200000,01600,0100,Y 70221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70221,A000000,00300,0000,00300EMPLOYEE BENEFITS 70221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70221,A000000,00700,0000,00700HOUSEKEEPING 70221,A000000,00800,0000,00800DIETARY 70221,A000000,00900,0000,00900NURSING ADMINISTRATION 70221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70221,A000000,01100,0000,01100PHARMACY 70221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70221,A000000,01300,0000,01300SOCIAL SERVICE 70221,A000000,01350,0000,01500NURSE AIDE TRAINING (NATCEP) 70221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70221,A000000,01600,0000,01600SKILLED NURSING FACILITY 70221,A000000,01800,0000,01800NURSING FACILITY 70221,A000000,01810,0000,01810ICF/MR 70221,A000000,02500,0000,02500PHYSICAL THERAPY 70221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70221,A000000,02700,0000,02700SPEECH PATHOLOGY 70221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70221,A000000,03050,0000,03300PEN THERAPY 70221,A000000,03200,0000,03200SUPPORT SURFACES 70221,A000000,03550,0000,03550FQHC 70221,A000000,05000,0000,05000CORF 70221,A000000,05010,0000,05010CMHC 70221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70221,A000000,05300,0000,05300INTEREST EXPENSE 70221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70221,A81000A,00100,0100,Y 70221,A81000B,00200,0300,P/R TAXES & INS. 70221,A81000B,00300,0300,MANAGEMENT EXPENSE 70221,A81000B,00400,0300,DEPR. & TAXES 70221,A81000B,00500,0300,DON & MED DIRECTOR 70221,A81000B,00600,0300,LAUNDRY SERVICES 70221,A81000C,00100,0100,B 70221,A81000C,00100,0400,WADDELL INC. 70221,A81000C,00100,0600,MGMT SERV. 70221,A81000C,00200,0100,D 70221,A81000C,00200,0400,MOUNTAIN LINEN 70221,A81000C,00200,0600,LAUNDRY 70221,A81000C,00300,0100,D 70221,A81000C,00300,0400,DELL LEASING 70221,A81000C,00300,0600,LEASING 70221,B100000,00000,0100,00000SQUARE FEET 70221,B100000,00000,0200,00000DOLLAR VALUE 70221,B100000,00000,0300,00000GROSS SALARIES 70221,B100000,00000,0400,00000ACCUM. COST 70221,B100000,00000,0500,00000SQUARE FEET 70221,B100000,00000,0600,00000PATIENT DAYS 70221,B100000,00000,0700,00000HOURS OF SERVICE 70221,B100000,00000,0800,00000MEALS SERVED 70221,B100000,00000,0900,00000HOURS OF SERVICE 70221,B100000,00000,1000,00000COSTED REQUIS 70221,B100000,00000,1100,00000COSTED REQUIS 70221,B100000,00000,1200,00000TIME SPENT 70221,B100000,00000,1300,00000PATIENT DAYS 70221,B100000,00000,1350,00000SQUARE FEET 70221,B100000,00000,1400,00000ASSIGNED TIME 70221,E10A180,00501,0100,07/08/1999 70221,E10A180,00550,0300,07/08/1999 70221,S000000,00100,0200,06/25/1999 70221,S200000,00100,0100,202 PAINTER STREET 70221,S200000,00200,0100,GALAX 70221,S200000,00200,0200,VA 70221,S200000,00200,0300,24333 70221,S200000,00300,0100,GRAYSON 70221,S200000,00400,0100,WADDELL NURSING HOME 70221,S200000,00400,0200,495126 70221,S200000,00400,0300,02/26/1982 70221,S200000,00400,0500,P 70221,S200000,00400,0600,O 70221,S200000,00600,0200,495126 70221,S200000,00600,0300,07/01/1968 70221,S200000,01600,0100,Y 70221,S200000,02200,0100,Y 70221,S200000,04300,0100,Y 70223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70223,A000000,00300,0000,00300EMPLOYEE BENEFITS 70223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70223,A000000,00700,0000,00700HOUSEKEEPING 70223,A000000,00800,0000,00800DIETARY 70223,A000000,00900,0000,00900NURSING ADMINISTRATION 70223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70223,A000000,01100,0000,01100PHARMACY 70223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70223,A000000,01300,0000,01300SOCIAL SERVICE 70223,A000000,01350,0000,01500PATIENT ACTIVITIES 70223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70223,A000000,01600,0000,01600SKILLED NURSING FACILITY 70223,A000000,01800,0000,01800NURSING FACILITY 70223,A000000,01810,0000,01810ICF/MR 70223,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70223,A000000,02500,0000,02500PHYSICAL THERAPY 70223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70223,A000000,02700,0000,02700SPEECH PATHOLOGY 70223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70223,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70223,A000000,03200,0000,03200SUPPORT SURFACES 70223,A000000,03550,0000,03550FQHC 70223,A000000,05000,0000,05000CORF 70223,A000000,05010,0000,05010CMHC 70223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70223,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70223,A81000A,00100,0100,Y 70223,A81000B,00100,0300,CENTRAL OFFICE OVHD 70223,A81000B,00200,0300,CENTRAL OFICE CAPITAL 70223,A81000C,00100,0100,B 70223,A81000C,00100,0200,AUTUMN CORPORATION 70223,A81000C,00100,0400,AUTUMN CORPORATION 70223,A81000C,00100,0600,HOME OFFICE 70223,A81000C,00200,0100,B 70223,A81000C,00200,0200,AUTUMN CORPORATION 70223,A81000C,00200,0400,AUTUMN CORPORATION 70223,A81000C,00200,0600,HOME OFFICE 70223,B100000,00000,0100,00000SQUARE FEET 70223,B100000,00000,0200,00000SQUARE FEET 70223,B100000,00000,0300,00000GROSS SALARIES 70223,B100000,00000,0400,00000ACCUM. COST 70223,B100000,00000,0500,00000SQUARE FEET 70223,B100000,00000,0600,00000POUNDS OF LAUNDRY 70223,B100000,00000,0700,00000SQ FT W/O DIETARY 70223,B100000,00000,0800,00000PATIENT DAYS 70223,B100000,00000,0900,00000HOURS OF SERVICE 70223,B100000,00000,1000,00000PATIENT DAYS 70223,B100000,00000,1100,00000PATIENT DAYS 70223,B100000,00000,1200,00000PATIENT DAYS 70223,B100000,00000,1300,00000PATIENT DAYS 70223,B100000,00000,1350,00000PATIENT DAYS 70223,B100000,00000,1400,00000ASSIGNED TIME 70223,E10A180,00301,0100,08/18/1999 70223,E10A180,00302,0100,12/20/1999 70223,E10A180,00501,0100,05/25/2000 70223,S000000,00100,0200,04/06/2000 70223,S200000,00100,0100,202 PAINTER STREET 70223,S200000,00200,0100,GALAX 70223,S200000,00200,0200,VA 70223,S200000,00300,0100,GRAYSON 70223,S200000,00400,0100,WADDELL NURSING HOME 70223,S200000,00400,0200,495126 70223,S200000,00400,0300,02/26/1982 70223,S200000,00400,0500,P 70223,S200000,00600,0200,495126 70223,S200000,00600,0300,07/01/1968 70223,S200000,01600,0100,Y 70227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70227,A000000,00300,0000,00300EMPLOYEE BENEFITS 70227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70227,A000000,00700,0000,00700HOUSEKEEPING 70227,A000000,00800,0000,00800DIETARY 70227,A000000,00900,0000,00900NURSING ADMINISTRATION 70227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70227,A000000,01100,0000,01100PHARMACY 70227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70227,A000000,01300,0000,01300SOCIAL SERVICE 70227,A000000,01350,0000,01500PATIENT ACTIVITIES 70227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70227,A000000,01600,0000,01600SKILLED NURSING FACILITY 70227,A000000,01800,0000,01800NURSING FACILITY 70227,A000000,01810,0000,01810ICF/MR 70227,A000000,02500,0000,02500PHYSICAL THERAPY 70227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70227,A000000,02700,0000,02700SPEECH PATHOLOGY 70227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70227,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70227,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 70227,A000000,03451,0000,03601CLINIC 70227,A000000,03550,0000,03550FQHC 70227,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70227,A000000,05000,0000,05000CORF 70227,A000000,05010,0000,05010CMHC 70227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70227,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70227,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70227,A000000,06101,0000,06101INDEPENDENT LIVING 70227,A000000,06102,0000,06102ASSISTED LIVING 70227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70227,B100000,00000,0100,00000SQUARE FEET 70227,B100000,00000,0200,00000DOLLAR VALUE 70227,B100000,00000,0300,00000GROSS SALARIES 70227,B100000,00000,0400,00000ACCUM. COST 70227,B100000,00000,0500,00000SQUARE FEET 70227,B100000,00000,0600,00000POUNDS OF LAUNDRY 70227,B100000,00000,0700,00000HOURS OF SERVICE 70227,B100000,00000,0800,00000MEALS SERVED 70227,B100000,00000,0900,00000DIRECT NRSING HRS 70227,B100000,00000,1000,00000COSTED REQUIS. 70227,B100000,00000,1100,00000COSTED REQUIS. 70227,B100000,00000,1200,00000TIME SPENT 70227,B100000,00000,1300,00000TIME SPENT 70227,B100000,00000,1350,00000TIME SPENT 70227,B100000,00000,1400,00000ASSIGNED TIME 70227,E10A180,00501,0100,04/14/2000 70227,E10A180,00501,0300,04/14/2000 70227,E10A180,00601,0100,04/23/2001 70227,S000000,00100,0200,03/17/2000 70227,S200000,00100,0100,3100 SHORE DRIVE 70227,S200000,00200,0100,VIRGINIA BEACH 70227,S200000,00200,0200,VA 70227,S200000,00300,0100,N/A 70227,S200000,00400,0100,WESTMINSTER CANTERBURY OF HR 70227,S200000,00400,0200,495127 70227,S200000,00400,0300,09/16/1982 70227,S200000,00400,0500,P 70227,S200000,01500,0100,Y 70240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70240,A000000,00300,0000,00300EMPLOYEE BENEFITS 70240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70240,A000000,00700,0000,00700HOUSEKEEPING 70240,A000000,00800,0000,00800DIETARY 70240,A000000,00900,0000,00900NURSING ADMINISTRATION 70240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70240,A000000,01100,0000,01100PHARMACY 70240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70240,A000000,01300,0000,01300SOCIAL SERVICE 70240,A000000,01350,0000,01500OTHER GENERAL SERVICES 70240,A000000,01351,0000,01501ACTIVITIES 70240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70240,A000000,01600,0000,01600SKILLED NURSING FACILITY 70240,A000000,01800,0000,01800NURSING FACILITY 70240,A000000,01810,0000,01810ICF/MR 70240,A000000,02200,0000,02200LABORATORY 70240,A000000,02500,0000,02500PHYSICAL THERAPY 70240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70240,A000000,02700,0000,02700SPEECH PATHOLOGY 70240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70240,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70240,A000000,03051,0000,03301PEN THERAPY 70240,A000000,03052,0000,03302LAUNDRY 70240,A000000,03550,0000,03550FQHC 70240,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70240,A000000,04751,0000,05101SUBACUTE 70240,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70240,A000000,04800,0000,04800AMBULANCE 70240,A000000,05000,0000,05000CORF 70240,A000000,05010,0000,05010CMHC 70240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70240,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70240,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70240,A000000,06151,0000,06301V.A. EXPENSES 70240,A000000,06152,0000,06302PERSONAL ITEMS 70240,A000000,06153,0000,06303PEN THERAPY-DMERC 70240,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70240,A81000A,00100,0100,Y 70240,A81000B,00100,0300,AIR TRAVEL 70240,A81000B,00200,0300,PEN THERAPY 70240,A81000C,00100,0100,A 70240,A81000C,00100,0200,WILLIAM C CRANWELL 70240,A81000C,00100,0400,VAERO 70240,A81000C,00100,0600,AIRCRAFT 70240,A81000C,00200,0100,A 70240,A81000C,00200,0200,WILLIAM C CRANWELL 70240,A81000C,00200,0400,HERITAGE ADVANTAGE 70240,A81000C,00200,0600,PEN THERAPY SUPPLIER 70240,A81000C,00300,0100,A 70240,A81000C,00300,0200,ROBERT M CRANWELL 70240,A81000C,00300,0400,HERITAGE ADVANTAGE 70240,A81000C,00300,0600,PEN THERAPY SUPPLIER 70240,A81000C,00400,0100,A 70240,A81000C,00400,0200,RICHARD FRIZZELL 70240,A81000C,00400,0400,HERITAGE ADVANTAGE 70240,A81000C,00400,0600,PEN THERAPY SUPPLIER 70240,B100000,00000,0100,00004SQUARE FEET 70240,B100000,00000,0200,00004SQUARE FEET 70240,B100000,00000,0300,00004GROSS SALARIES 70240,B100000,00000,0400,00004ACCUM. COST 70240,B100000,00000,0500,00004SQUARE FEET 70240,B100000,00000,0600,00004POUNDS OF LAUNDRY 70240,B100000,00000,0700,00004SQUARE FEET 70240,B100000,00000,0800,00004MEALS SERVED 70240,B100000,00000,0900,00004HOURS OF SERVICE 70240,B100000,00000,1000,00004COSTED REQUIS. 70240,B100000,00000,1100,00004COSTED REQUIS. 70240,B100000,00000,1200,00004TIME SPENT 70240,B100000,00000,1300,00004ADMISSIONS S 70240,B100000,00000,1350,00004NO STATISTICS 70240,B100000,00000,1351,00004PATIENT DAYS 70240,B100000,00000,1400,00004TIME SPENT 70240,E10A180,00301,0100,08/24/1999 70240,E10A180,00302,0100,12/20/1999 70240,E10A180,00303,0100,01/20/2000 70240,E10A180,00501,0100,07/27/2000 70240,E10A180,00502,0100,10/19/2000 70240,S000000,00100,0200,06/14/2000 70240,S200000,00100,0100,2045 VALLEY VIEW DRIVE 70240,S200000,00200,0100,BIG STONE GAP 70240,S200000,00200,0200,VA 70240,S200000,00300,0100,WISE 70240,S200000,00400,0100,AMER HC X LLC DBA HH BIG STONE GAP 70240,S200000,00400,0200,495135 70240,S200000,00400,0300,02/17/1983 70240,S200000,00400,0500,P 70240,S200000,00600,0200,495135 70240,S200000,00600,0300,02/17/1983 70240,S200000,01600,0100,Y 70261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70261,A000000,00300,0000,00300EMPLOYEE BENEFITS 70261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70261,A000000,00700,0000,00700HOUSEKEEPING 70261,A000000,00800,0000,00800DIETARY 70261,A000000,00900,0000,00900NURSING ADMINISTRATION 70261,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70261,A000000,01100,0000,01100PHARMACY 70261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70261,A000000,01300,0000,01300SOCIAL SERVICE 70261,A000000,01350,0000,01500OTHER GENERAL SERVICES 70261,A000000,01351,0000,01501ACTIVITIES 70261,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70261,A000000,01600,0000,01600SKILLED NURSING FACILITY 70261,A000000,01800,0000,01800NURSING FACILITY 70261,A000000,01810,0000,01810ICF/MR 70261,A000000,02200,0000,02200LABORATORY 70261,A000000,02500,0000,02500PHYSICAL THERAPY 70261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70261,A000000,02700,0000,02700SPEECH PATHOLOGY 70261,A000000,02800,0000,02800ELECTROCARDIOLOGY 70261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70261,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70261,A000000,03051,0000,03301PEN THERAPY 70261,A000000,03052,0000,03302LAUNDRY 70261,A000000,03550,0000,03550FQHC 70261,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70261,A000000,04751,0000,05101SUBACUTE 70261,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70261,A000000,04800,0000,04800AMBULANCE 70261,A000000,05000,0000,05000CORF 70261,A000000,05010,0000,05010CMHC 70261,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70261,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70261,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70261,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70261,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70261,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70261,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70261,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70261,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70261,A000000,06151,0000,06301V.A. EXPENSES 70261,A000000,06152,0000,06302PERSONAL ITEMS 70261,A000000,06153,0000,06303PEN THERAPY-DMERC 70261,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70261,A81000A,00100,0100,Y 70261,A81000B,00100,0300,AIR TRAVEL 70261,A81000B,00200,0300,PEN THERAPY 70261,A81000C,00100,0100,A 70261,A81000C,00100,0200,WILLIAM C CRANWELL 70261,A81000C,00100,0400,VAERO 70261,A81000C,00100,0600,AIRCRAFT 70261,A81000C,00200,0100,A 70261,A81000C,00200,0200,WILLIAM C CRANWELL 70261,A81000C,00200,0400,HERITAGE ADVANTAGE 70261,A81000C,00200,0600,PEN THERAPY SUPPLIER 70261,A81000C,00300,0100,A 70261,A81000C,00300,0200,ROBERT M CRANWELL 70261,A81000C,00300,0400,HERITAGE ADVANTAGE 70261,A81000C,00300,0600,PEN THERAPY SUPPLIER 70261,A81000C,00400,0100,A 70261,A81000C,00400,0200,RICHARD FRIZZELL 70261,A81000C,00400,0400,HERITAGE ADVANTAGE 70261,A81000C,00400,0600,PEN THERAPY SUPPLIER 70261,B100000,00000,0100,00004SQUARE FEET 70261,B100000,00000,0200,00004SQUARE FEET 70261,B100000,00000,0300,00004GROSS SALARIES 70261,B100000,00000,0400,00004ACCUM. COST 70261,B100000,00000,0500,00004SQUARE FEET 70261,B100000,00000,0600,00004POUNDS OF LAUNDRY 70261,B100000,00000,0700,00004SQUARE FEET 70261,B100000,00000,0800,00004MEALS SERVED 70261,B100000,00000,0900,00004HOURS OF SERVICE 70261,B100000,00000,1000,00004COSTED REQUIS. 70261,B100000,00000,1100,00004COSTED REQUIS. 70261,B100000,00000,1200,00004TIME SPENT 70261,B100000,00000,1300,00004ADMISSIONS S 70261,B100000,00000,1350,00004NO STATISTICS 70261,B100000,00000,1351,00004PATIENT DAYS 70261,B100000,00000,1400,00004TIME SPENT 70261,E10A180,00301,0100,08/24/1999 70261,E10A180,00302,0100,12/20/1999 70261,E10A180,00303,0100,01/20/2000 70261,E10A180,00501,0100,07/27/2000 70261,S000000,00100,0200,06/14/2000 70261,S200000,00100,0100,121 BEN BOLT AVENUE 70261,S200000,00200,0100,TAZEWELL 70261,S200000,00200,0200,VA 70261,S200000,00300,0100,TAZEWELL 70261,S200000,00400,0100,AMER HC X LLC DBA HH TAZEWELL 70261,S200000,00400,0200,495152 70261,S200000,00400,0300,08/31/1979 70261,S200000,00400,0500,P 70261,S200000,00600,0200,495152 70261,S200000,00600,0300,08/31/1979 70261,S200000,01600,0100,Y 70272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70272,A000000,00300,0000,00300EMPLOYEE BENEFITS 70272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70272,A000000,00700,0000,00700HOUSEKEEPING 70272,A000000,00800,0000,00800DIETARY 70272,A000000,00900,0000,00900NURSING ADMINISTRATION 70272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70272,A000000,01100,0000,01100PHARMACY 70272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70272,A000000,01300,0000,01300SOCIAL SERVICE 70272,A000000,01350,0000,01500HEALTH CARE CLINIC 70272,A000000,01351,0000,01501FRONT DESK 70272,A000000,01352,0000,01502ADULT ACTIVITIES 70272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70272,A000000,01600,0000,01600SKILLED NURSING FACILITY 70272,A000000,01800,0000,01800NURSING FACILITY 70272,A000000,01810,0000,01810ICF/MR 70272,A000000,01900,0000,01900OTHER LONG TERM CARE 70272,A000000,02200,0000,02200LABORATORY 70272,A000000,02500,0000,02500PHYSICAL THERAPY 70272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70272,A000000,02700,0000,02700SPEECH PATHOLOGY 70272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70272,A000000,03550,0000,03550FQHC 70272,A000000,05000,0000,05000CORF 70272,A000000,05010,0000,05010CMHC 70272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70272,A000000,05300,0000,05300INTEREST EXPENSE 70272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70272,A000000,06150,0000,06300ILU RESIDENT REL & ADM 70272,A000000,06151,0000,06301ILU ACTIVITIES 70272,A000000,06152,0000,06302ILU APARTMENTS 70272,B100000,00000,0100,00002SQ FEET 70272,B100000,00000,0200,00002SQ FEET 70272,B100000,00000,0300,00002GROSS SALARIES 70272,B100000,00000,0400,00002ACCUM. COST 70272,B100000,00000,0500,00002SQ FEET 70272,B100000,00000,0600,00002POUNDS OF LAUNDRY 70272,B100000,00000,0700,00002SQ FEET 70272,B100000,00000,0800,00002MEALS SERVED 70272,B100000,00000,0900,00002TIME SPENT 70272,B100000,00000,1000,00002COSTED REQUIS 70272,B100000,00000,1100,00002COSTED REQUIS 70272,B100000,00000,1200,00002TIME SPENT 70272,B100000,00000,1300,00002TIME SPENT 70272,B100000,00000,1350,00002TIME SPENT 70272,B100000,00000,1351,00002TIME SPENT 70272,B100000,00000,1352,00002TIME SPENT 70272,B100000,00000,1400,00002ASSIGNED TIME 70272,E10A180,00501,0100,06/12/2000 70272,E10A180,00501,0300,06/12/2000 70272,S000000,00100,0200,05/30/2000 70272,S200000,00100,0100,300 WESTMINSTER CANTERBURY DR. 70272,S200000,00200,0100,WINCHESTER 70272,S200000,00200,0200,VA 70272,S200000,00200,0300,22603 70272,S200000,00300,0100,FREDERICK 70272,S200000,00400,0100,WESTMINSTER CANTERBURY OF WINCHESTER 70272,S200000,00400,0200,495165 70272,S200000,00400,0300,01/14/1987 70272,S200000,00400,0500,P 70272,S200000,00600,0200,495165 70272,S200000,00600,0300,01/14/1987 70272,S200000,00600,0600,P 70272,S200000,01600,0100,Y 70279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70279,A000000,00300,0000,00300EMPLOYEE BENEFITS 70279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70279,A000000,00700,0000,00700HOUSEKEEPING 70279,A000000,00800,0000,00800DIETARY 70279,A000000,00801,0000,00801DIETARY - NH RAW FOOD 70279,A000000,00900,0000,00900NURSING ADMINISTRATION 70279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70279,A000000,01100,0000,01100PHARMACY 70279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70279,A000000,01300,0000,01300SOCIAL SERVICE 70279,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70279,A000000,01600,0000,01600SKILLED NURSING FACILITY 70279,A000000,01800,0000,01800NURSING FACILITY 70279,A000000,01810,0000,01810ICF/MR 70279,A000000,01900,0000,01900OTHER LONG TERM CARE 70279,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70279,A000000,02500,0000,02500PHYSICAL THERAPY 70279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70279,A000000,02700,0000,02700SPEECH PATHOLOGY 70279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70279,A000000,03550,0000,03550FQHC 70279,A000000,05000,0000,05000CORF 70279,A000000,05010,0000,05010CMHC 70279,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70279,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70279,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70279,A000000,05300,0000,05300INTEREST EXPENSE 70279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70279,A000000,06150,0000,06300RENTAL AREAS 70279,A000000,06151,0000,06301DAYCARE - CHILD 70279,A000000,06152,0000,06302DAYCARE - ADULT 70279,A81000A,00100,0100,Y 70279,A81000B,00100,0300,INTEREST EXPENSE 70279,A81000B,00200,0300,COMPENSATION 70279,A81000C,00100,0100,A 70279,A81000C,00100,0200,SAMUEL MURDOCH 70279,A81000C,00200,0100,A 70279,A81000C,00200,0200,JUDI MURDOCH 70279,A81000C,00300,0100,A 70279,A81000C,00300,0200,WARREN RAGSDALE 70279,B100000,00000,0100,00002SQ FEET 70279,B100000,00000,0200,00002DOLLAR VALUE 70279,B100000,00000,0300,00002GROSS SALARY 70279,B100000,00000,0400,00002ACCUM. COST 70279,B100000,00000,0500,00002SQ FEET 70279,B100000,00000,0600,00002PATIENT DAYS 70279,B100000,00000,0700,00002HOURS OF SERVICE 70279,B100000,00000,0800,00002MEALS SERVED 70279,B100000,00000,0801,00002MEALS 70279,B100000,00000,0900,00002HOURS OF SERVICE 70279,B100000,00000,1000,00002PATIENT DAYS 70279,B100000,00000,1100,00002COSTED REQUIS 70279,B100000,00000,1200,00002GROSS REVENUE 70279,B100000,00000,1300,00002PATIENT DAYS 70279,B100000,00000,1400,00002ASSIGNED TIME 70279,E10A180,00301,0100,09/09/1999 70279,E10A180,00302,0100,09/20/1999 70279,E10A180,00350,0300,09/09/1999 70279,E10A180,00501,0100,03/10/2000 70279,E10A180,00550,0300,03/10/2000 70279,S000000,00100,0200,02/15/2000 70279,S200000,00100,0100,100 EDGEMONT ROAD 70279,S200000,00200,0100,WYTHEVILLE 70279,S200000,00200,0200,VA 70279,S200000,00300,0100,WYTHE 70279,S200000,00400,0100,EDGEMONT CENTER INC. 70279,S200000,00400,0200,495175 70279,S200000,00400,0300,12/01/1996 70279,S200000,00400,0500,P 70279,S200000,00600,0200,495175 70279,S200000,00600,0300,12/01/1996 70279,S200000,00600,0600,P 70279,S200000,01600,0100,Y 70279,S200000,02200,0100,Y 70279,S200000,02800,0100,Y 70285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70285,A000000,00300,0000,00300EMPLOYEE BENEFITS 70285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70285,A000000,00700,0000,00700HOUSEKEEPING 70285,A000000,00800,0000,00800DIETARY 70285,A000000,00900,0000,00900NURSING ADMINISTRATION 70285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70285,A000000,01100,0000,01100PHARMACY 70285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70285,A000000,01300,0000,01300SOCIAL SERVICE 70285,A000000,01350,0000,01500OTHER GENERAL SERVICES 70285,A000000,01351,0000,01501ACTIVITIES 70285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70285,A000000,01600,0000,01600SKILLED NURSING FACILITY 70285,A000000,01800,0000,01800NURSING FACILITY 70285,A000000,01810,0000,01810ICF/MR 70285,A000000,02100,0000,02100RADIOLOGY 70285,A000000,02200,0000,02200LABORATORY 70285,A000000,02500,0000,02500PHYSICAL THERAPY 70285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70285,A000000,02700,0000,02700SPEECH PATHOLOGY 70285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70285,A000000,03051,0000,03301PEN THERAPY 70285,A000000,03052,0000,03302LAUNDRY 70285,A000000,03550,0000,03550FQHC 70285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70285,A000000,04751,0000,05101SUBACUTE 70285,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70285,A000000,04800,0000,04800AMBULANCE 70285,A000000,05000,0000,05000CORF 70285,A000000,05010,0000,05010CMHC 70285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70285,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70285,A000000,06151,0000,06301V.A. EXPENSES 70285,A000000,06152,0000,06302PERSONAL ITEMS 70285,A000000,06153,0000,06303PEN THERAPY-DMERC 70285,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70285,A81000A,00100,0100,Y 70285,A81000B,00100,0300,AIR TRAVEL 70285,A81000B,00200,0300,PEN THERAPY 70285,A81000C,00100,0100,A 70285,A81000C,00100,0200,WILLIAM C CRANWELL 70285,A81000C,00100,0400,VAERO 70285,A81000C,00100,0600,AIRCRAFT 70285,A81000C,00200,0100,A 70285,A81000C,00200,0200,WILLIAM C CRANWELL 70285,A81000C,00200,0400,HERITAGE ADVANTAGE 70285,A81000C,00200,0600,PEN THERAPY SUPPLIER 70285,A81000C,00300,0100,A 70285,A81000C,00300,0200,ROBERT M CRANWELL 70285,A81000C,00300,0400,HERITAGE ADVANTAGE 70285,A81000C,00300,0600,PEN THERAPY SUPPLIER 70285,A81000C,00400,0100,A 70285,A81000C,00400,0200,RICHARD FRIZZELL 70285,A81000C,00400,0400,HERITAGE ADVANTAGE 70285,A81000C,00400,0600,PEN THERAPY SUPPLIER 70285,B100000,00000,0100,00004SQUARE FEET 70285,B100000,00000,0200,00004SQUARE FEET 70285,B100000,00000,0300,00004GROSS SALARIES 70285,B100000,00000,0400,00004ACCUM. COST 70285,B100000,00000,0500,00004SQUARE FEET 70285,B100000,00000,0600,00004POUNDS OF LAUNDRY 70285,B100000,00000,0700,00004SQUARE FEET 70285,B100000,00000,0800,00004SQUARE FEET 70285,B100000,00000,0900,00004HOURS OF SERVICE 70285,B100000,00000,1000,00004COSTED REQUIS. 70285,B100000,00000,1100,00004COSTED REQUIS. 70285,B100000,00000,1200,00004TIME SPENT 70285,B100000,00000,1300,00004ADMISSIONS S 70285,B100000,00000,1350,00004NO STATISTICS 70285,B100000,00000,1351,00004PATIENT DAYS 70285,B100000,00000,1400,00004TIME SPENT 70285,E10A180,00301,0100,08/24/1999 70285,E10A180,00501,0100,07/27/2000 70285,S000000,00100,0200,06/14/2000 70285,S200000,00100,0100,505 WEST RIO ROAD 70285,S200000,00200,0100,CHARLOTTESVILLE 70285,S200000,00200,0200,VA 70285,S200000,00300,0100,ALBERMARLE 70285,S200000,00400,0100,LIFE CARE CORP DBA HH CHARLOTTESVIL 70285,S200000,00400,0200,495178 70285,S200000,00400,0300,01/29/1988 70285,S200000,00400,0500,P 70285,S200000,00600,0200,495178 70285,S200000,00600,0300,01/29/1988 70285,S200000,01600,0100,Y 70293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70293,A000000,00101,0000,00101CAP REL COSTS - BLDG&FIX-ILU 70293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70293,A000000,00300,0000,00300EMPLOYEE BENEFITS 70293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70293,A000000,00700,0000,00700HOUSEKEEPING 70293,A000000,00800,0000,00800DIETARY 70293,A000000,00900,0000,00900NURSING ADMINISTRATION 70293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70293,A000000,01100,0000,01100PHARMACY 70293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70293,A000000,01300,0000,01300SOCIAL SERVICE 70293,A000000,01350,0000,01500ACTIVITIES 70293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70293,A000000,01600,0000,01600SKILLED NURSING FACILITY 70293,A000000,01800,0000,01800NURSING FACILITY 70293,A000000,01900,0000,01900OTHER LONG TERM CARE 70293,A000000,02200,0000,02200LABORATORY 70293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70293,A000000,02500,0000,02500PHYSICAL THERAPY 70293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70293,A000000,02700,0000,02700SPEECH PATHOLOGY 70293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70293,A000000,03050,0000,03300AIR FLUIDIZED BEDS 70293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70293,A000000,03550,0000,03550FQHC 70293,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70293,A000000,04800,0000,04800AMBULANCE 70293,A000000,05000,0000,05000CORF 70293,A000000,05010,0000,05010CMHC 70293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70293,A000000,05300,0000,05300INTEREST EXPENSE 70293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70293,B100000,00000,0100,00000SQUARE FEET(WH) 70293,B100000,00000,0101,00000SQUARE FEET(ILU) 70293,B100000,00000,0200,00000DOLLAR VALUE 70293,B100000,00000,0300,00000GROSS SALARIES 70293,B100000,00000,0400,00000ACCUM. COST 70293,B100000,00000,0500,00000SQUARE FEET 70293,B100000,00000,0600,00000PATIENT DAYS 70293,B100000,00000,0700,00000SQUARE FEET(MOD) 70293,B100000,00000,0800,00000MEALS SERVED 70293,B100000,00000,0900,00000NURSING SALARIES 70293,B100000,00000,1000,00000PATIENT DAYS(MOD) 70293,B100000,00000,1100,00000COSTED REQUIS. 70293,B100000,00000,1200,00000PATIENT DAYS 70293,B100000,00000,1300,00000PATIENT DAYS 70293,B100000,00000,1350,00000PATIENT DAYS(MOD2) 70293,B100000,00000,1400,00000ASSIGNED TIME 70293,E10A180,00550,0300,06/15/2000 70293,E10A180,00601,0100,07/10/2001 70293,E10A180,00601,0300,07/10/2001 70293,S000000,00100,0200,06/01/2000 70293,S200000,00100,0100,5700 WILLIAMSBURG LANDING DR 70293,S200000,00200,0100,WILLIAMSBURG 70293,S200000,00200,0200,VA 70293,S200000,00200,0300,23185 70293,S200000,00300,0100,JAMES CITY 70293,S200000,00400,0100,WILLIAMSBURG LANDING INC. 70293,S200000,00400,0200,495184 70293,S200000,00400,0300,10/07/1992 70293,S200000,00400,0500,P 70293,S200000,01600,0100,Y 70293,S200000,01900,0100,NON PROFIT 70306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70306,A000000,00300,0000,00300EMPLOYEE BENEFITS 70306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70306,A000000,00700,0000,00700HOUSEKEEPING 70306,A000000,00800,0000,00800DIETARY 70306,A000000,00900,0000,00900NURSING ADMINISTRATION 70306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70306,A000000,01100,0000,01100PHARMACY 70306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70306,A000000,01300,0000,01300SOCIAL SERVICE 70306,A000000,01350,0000,01500RECREATION/ACTIVITIES 70306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70306,A000000,01600,0000,01600SKILLED NURSING FACILITY 70306,A000000,01800,0000,01800NURSING FACILITY 70306,A000000,01810,0000,01810ICF/MR 70306,A000000,02100,0000,02100RADIOLOGY 70306,A000000,02200,0000,02200LABORATORY 70306,A000000,02500,0000,02500PHYSICAL THERAPY 70306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70306,A000000,02700,0000,02700SPEECH PATHOLOGY 70306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70306,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70306,A000000,03200,0000,03200SUPPORT SURFACES 70306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70306,A000000,03550,0000,03550FQHC 70306,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70306,A000000,05000,0000,05000CORF 70306,A000000,05010,0000,05010CMHC 70306,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70306,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70306,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70306,A000000,05300,0000,05300INTEREST EXPENSE 70306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70306,A81000A,00100,0100,Y 70306,A81000B,00100,0300,HOME OFFICE COSTS 70306,A81000B,00200,0300,HOME OFFICE COSTS 70306,A81000B,00300,0300,HOME OFFICE COST-THERAPY 70306,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70306,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70306,A81000B,00600,0300,RELATED PARTY - PHARMACY 70306,A81000B,00700,0300,RELATED PARTY - PHARMACY 70306,A81000B,00800,0300,RELATED PARTY - PHARMACY 70306,A81000B,00900,0300,RELATED PARTY - PHARMACY 70306,A81000B,01000,0300,RELATED PARTY - PHARMACY 70306,A81000C,00100,0100,B 70306,A81000C,00100,0200,MFV II 70306,A81000C,00100,0400,MFA INC 70306,A81000C,00100,0600,HOME OFFICE 70306,A81000C,00200,0100,A 70306,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70306,A81000C,00200,0400,PHARMACY CARE PLUS 70306,A81000C,00200,0600,PHARMACY SERVICES 70306,A81000C,00300,0100,A 70306,A81000C,00300,0200,W HEYWOOD FRALIN 70306,A81000C,00300,0400,PHARMACY CARE PLUS 70306,A81000C,00300,0600,PHARMACY SERVICES 70306,B100000,00000,0100,00000SQUARE FEET 70306,B100000,00000,0200,00000SQUARE FEET 70306,B100000,00000,0300,00000GROSS SALARIES 70306,B100000,00000,0400,00000ACCUM. COST 70306,B100000,00000,0500,00000SQUARE FEET 70306,B100000,00000,0600,00000PATIENT DAYS 70306,B100000,00000,0700,00000SQUARE FEET 70306,B100000,00000,0800,00000MEALS SERVED 70306,B100000,00000,0900,00000SALARIES 70306,B100000,00000,1000,00000COSTED REQUIS. 70306,B100000,00000,1100,00000COSTED REQUIS. 70306,B100000,00000,1200,00000PATIENT DAYS 70306,B100000,00000,1300,00000TIME SPENT 70306,B100000,00000,1350,00000TIME SPENT 70306,B100000,00000,1400,00000ASSIGNED TIME 70306,E10A180,00301,0100,12/30/1999 70306,E10A180,00501,0100,06/16/2000 70306,E10A180,00550,0300,06/16/2000 70306,E10A180,00601,0300,05/23/2001 70306,S000000,00100,0200,05/31/2000 70306,S200000,00100,0100,215 EVERGREEN AVENUE 70306,S200000,00200,0100,APPOMATTOX 70306,S200000,00200,0200,VA 70306,S200000,00300,0100,APPOMATTOX 70306,S200000,00400,0100,APPOMATTOX HEALTH CARE CENTER 70306,S200000,00400,0200,495188 70306,S200000,00400,0300,04/01/1989 70306,S200000,00400,0500,P 70306,S200000,01600,0100,Y 70306,S200000,02800,0100,Y 70323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70323,A000000,00300,0000,00300EMPLOYEE BENEFITS 70323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70323,A000000,00700,0000,00700HOUSEKEEPING 70323,A000000,00800,0000,00800DIETARY 70323,A000000,00900,0000,00900NURSING ADMINISTRATION 70323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70323,A000000,01100,0000,01100PHARMACY 70323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70323,A000000,01300,0000,01300SOCIAL SERVICE 70323,A000000,01350,0000,01500PATIENT ACTIVITIES 70323,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70323,A000000,01600,0000,01600SKILLED NURSING FACILITY 70323,A000000,01800,0000,01800NURSING FACILITY 70323,A000000,01810,0000,01810ICF/MR 70323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70323,A000000,02500,0000,02500PHYSICAL THERAPY 70323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70323,A000000,02700,0000,02700SPEECH PATHOLOGY 70323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70323,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70323,A000000,03550,0000,03550FQHC 70323,A000000,05000,0000,05000CORF 70323,A000000,05010,0000,05010CMHC 70323,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70323,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70323,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70323,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70323,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70323,A81000A,00100,0100,Y 70323,A81000B,00100,0300,CENTRAL OFFICE OVHD 70323,A81000B,00200,0300,CENTRAL OFICE CAPITAL 70323,A81000C,00100,0100,B 70323,A81000C,00100,0200,AUTUMN CORPORATION 70323,A81000C,00100,0400,AUTUMN CORPORATION 70323,A81000C,00100,0600,HOME OFFICE 70323,A81000C,00200,0100,B 70323,A81000C,00200,0200,AUTUMN CORPORATION 70323,A81000C,00200,0400,AUTUMN CORPORATION 70323,A81000C,00200,0600,HOME OFFICE 70323,B100000,00000,0100,00000SQUARE FEET 70323,B100000,00000,0200,00000SQUARE FEET 70323,B100000,00000,0300,00000GROSS SALARIES 70323,B100000,00000,0400,00000ACCUM. COST 70323,B100000,00000,0500,00000SQUARE FEET 70323,B100000,00000,0600,00000POUNDS OF LAUNDRY 70323,B100000,00000,0700,00000SQ FT EXCLUD ING 70323,B100000,00000,0800,00000PATIENT DAYS 70323,B100000,00000,0900,00000HOURS OF SERVICE 70323,B100000,00000,1000,00000PATIENT DAYS 70323,B100000,00000,1100,00000PATIENT DAYS 70323,B100000,00000,1200,00000PATIENT DAYS 70323,B100000,00000,1300,00000PATIENT DAYS 70323,B100000,00000,1350,00000PATIENT DAYS 70323,B100000,00000,1400,00000ASSIGNED TIME 70323,E10A180,00301,0100,05/27/1999 70323,E10A180,00302,0100,10/07/1999 70323,E10A180,00501,0100,04/27/2000 70323,E10A180,00550,0300,04/27/2000 70323,S000000,00100,0200,03/30/2000 70323,S200000,00100,0100,3610 WINCHESTER DR 70323,S200000,00100,0300,7277 70323,S200000,00200,0100,PORTSMOUTH 70323,S200000,00200,0200,VA 70323,S200000,00300,0100,TIDEWATER DISTRICT 70323,S200000,00400,0100,AUTUMN CARE OF PORTSMOUTH 70323,S200000,00400,0200,495194 70323,S200000,00400,0300,06/22/1989 70323,S200000,00400,0500,P 70323,S200000,01600,0100,Y 70327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70327,A000000,00300,0000,00300EMPLOYEE BENEFITS 70327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70327,A000000,00700,0000,00700HOUSEKEEPING 70327,A000000,00800,0000,00800DIETARY 70327,A000000,00900,0000,00900NURSING ADMINISTRATION 70327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70327,A000000,01100,0000,01100PHARMACY 70327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70327,A000000,01300,0000,01300SOCIAL SERVICE 70327,A000000,01350,0000,01500PATIENT ACTIVITIES 70327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70327,A000000,01600,0000,01600SKILLED NURSING FACILITY 70327,A000000,01800,0000,01800NURSING FACILITY 70327,A000000,01810,0000,01810ICF/MR 70327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70327,A000000,02500,0000,02500PHYSICAL THERAPY 70327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70327,A000000,02700,0000,02700SPEECH PATHOLOGY 70327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70327,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70327,A000000,03200,0000,03200SUPPORT SURFACES 70327,A000000,03550,0000,03550FQHC 70327,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70327,A000000,05000,0000,05000CORF 70327,A000000,05010,0000,05010CMHC 70327,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70327,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70327,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70327,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70327,A81000A,00100,0100,Y 70327,A81000B,00100,0300,CENTRAL OFFICE OVHD 70327,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 70327,A81000C,00100,0100,B 70327,A81000C,00100,0200,AUTUMN CORPORATION 70327,A81000C,00100,0400,AUTUMN CORPORATION 70327,A81000C,00100,0600,HOME OFFICE 70327,A81000C,00200,0100,B 70327,A81000C,00200,0200,AUTUMN CORPORATION 70327,A81000C,00200,0400,AUTUMN CORPORATION 70327,A81000C,00200,0600,HOME OFFICE 70327,B100000,00000,0100,00000SQUARE FEET 70327,B100000,00000,0200,00000SQUARE FEET 70327,B100000,00000,0300,00000GROSS SALARIES 70327,B100000,00000,0400,00000ACCUM. COST 70327,B100000,00000,0500,00000SQUARE FEET 70327,B100000,00000,0600,00000POUNDS OF LAUNDRY 70327,B100000,00000,0700,00000SQ FT W/O DIETARY 70327,B100000,00000,0800,00000PATIENT DAYS 70327,B100000,00000,0900,00000HOURS OF SERVICE 70327,B100000,00000,1000,00000PATIENT DAYS 70327,B100000,00000,1100,00000PATIENT DAYS 70327,B100000,00000,1200,00000PATIENT DAYS 70327,B100000,00000,1300,00000PATIENT DAYS 70327,B100000,00000,1350,00000PATIENT DAYS 70327,B100000,00000,1400,00000ASSIGNED TIME 70327,E10A180,00501,0300,04/27/2000 70327,S000000,00100,0200,03/30/2000 70327,S200000,00100,0100,1317 LOLA AVENUE 70327,S200000,00100,0300,360 70327,S200000,00200,0100,ALTAVISTA 70327,S200000,00200,0200,VA 70327,S200000,00300,0100,CAMPBELL 70327,S200000,00400,0100,AUTUMN CARE OF ALTAVISTA 70327,S200000,00400,0200,495196 70327,S200000,00400,0300,07/21/1989 70327,S200000,00400,0500,P 70327,S200000,01600,0100,Y 70336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70336,A000000,00300,0000,00300EMPLOYEE BENEFITS 70336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70336,A000000,00700,0000,00700HOUSEKEEPING 70336,A000000,00800,0000,00800DIETARY 70336,A000000,00900,0000,00900NURSING ADMINISTRATION 70336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70336,A000000,01100,0000,01100PHARMACY 70336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70336,A000000,01300,0000,01300SOCIAL SERVICE 70336,A000000,01350,0000,01500RECREATION/ACTIVITIES 70336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70336,A000000,01600,0000,01600SKILLED NURSING FACILITY 70336,A000000,01800,0000,01800NURSING FACILITY 70336,A000000,01810,0000,01810ICF/MR 70336,A000000,02100,0000,02100RADIOLOGY 70336,A000000,02200,0000,02200LABORATORY 70336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70336,A000000,02500,0000,02500PHYSICAL THERAPY 70336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70336,A000000,02700,0000,02700SPEECH PATHOLOGY 70336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70336,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70336,A000000,03200,0000,03200SUPPORT SURFACES 70336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 70336,A000000,03550,0000,03550FQHC 70336,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70336,A000000,05000,0000,05000CORF 70336,A000000,05010,0000,05010CMHC 70336,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70336,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70336,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70336,A000000,05300,0000,05300INTEREST EXPENSE 70336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70336,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70336,A81000A,00100,0100,Y 70336,A81000B,00100,0300,HOME OFFICE COSTS 70336,A81000B,00200,0300,HOME OFFICE COSTS 70336,A81000B,00300,0300,HOME OFFICE COST-THERAPY 70336,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70336,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70336,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70336,A81000B,00700,0300,RELATED PARTY - PHARMACY 70336,A81000B,00800,0300,RELATED PARTY -PHARMACY 70336,A81000B,00900,0300,RELATED PARTY - PHARMACY 70336,A81000B,01000,0300,RELATED PARTY - PHARMACY 70336,A81000B,01100,0300,RELATED PARTY - PHARMACY 70336,A81000C,00100,0100,B 70336,A81000C,00100,0200,MFV II 70336,A81000C,00100,0400,MFA INC 70336,A81000C,00100,0600,HOME OFFICE 70336,A81000C,00200,0100,A 70336,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70336,A81000C,00200,0400,PHARMACY CARE PLUS 70336,A81000C,00200,0600,PHARMACY SERVICES 70336,A81000C,00300,0100,A 70336,A81000C,00300,0200,W HEYWOOD FRALIN 70336,A81000C,00300,0400,PHARMACY CARE PLUS 70336,A81000C,00300,0600,PHARMACY SERVICES 70336,B100000,00000,0100,00000SQUARE FEET 70336,B100000,00000,0200,00000SQUARE FEET 70336,B100000,00000,0300,00000GROSS SALARIES 70336,B100000,00000,0400,00000ACCUM. COST 70336,B100000,00000,0500,00000SQUARE FEET 70336,B100000,00000,0600,00000PATIENT DAYS 70336,B100000,00000,0700,00000SQUARE FEET 70336,B100000,00000,0800,00000MEALS SERVED 70336,B100000,00000,0900,00000SALARIES 70336,B100000,00000,1000,00000COSTED REQUIS. 70336,B100000,00000,1100,00000COSTED REQUIS. 70336,B100000,00000,1200,00000PATIENT DAYS 70336,B100000,00000,1300,00000TIME SPENT 70336,B100000,00000,1350,00000TIME SPENT 70336,B100000,00000,1400,00000ASSIGNED TIME 70336,E10A180,00301,0100,02/10/2000 70336,E10A180,00550,0100,06/15/2000 70336,E10A180,00550,0300,06/15/2000 70336,S000000,00100,0200,05/31/2000 70336,S200000,00100,0100,720 ORCHARD AVENUE 70336,S200000,00100,0300,555 70336,S200000,00200,0100,ROCKY MOUNT 70336,S200000,00200,0200,VA 70336,S200000,00300,0100,FRANKLIN 70336,S200000,00400,0100,FRANKLIN HEALTH CARE CENTER 70336,S200000,00400,0200,495207 70336,S200000,00400,0300,02/01/1990 70336,S200000,00400,0500,P 70336,S200000,01600,0100,Y 70354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70354,A000000,00300,0000,00300EMPLOYEE BENEFITS 70354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70354,A000000,00700,0000,00700HOUSEKEEPING 70354,A000000,00800,0000,00800DIETARY 70354,A000000,00900,0000,00900NURSING ADMINISTRATION 70354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70354,A000000,01100,0000,01100PHARMACY 70354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70354,A000000,01300,0000,01300SOCIAL SERVICE 70354,A000000,01350,0000,01500RECREATION/ACTIVITIES 70354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70354,A000000,01600,0000,01600SKILLED NURSING FACILITY 70354,A000000,01800,0000,01800NURSING FACILITY 70354,A000000,01810,0000,01810ICF/MR 70354,A000000,02200,0000,02200LABORATORY 70354,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70354,A000000,02500,0000,02500PHYSICAL THERAPY 70354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70354,A000000,02700,0000,02700SPEECH PATHOLOGY 70354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70354,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70354,A000000,03200,0000,03200SUPPORT SURFACES 70354,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70354,A000000,03550,0000,03550FQHC 70354,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70354,A000000,05000,0000,05000CORF 70354,A000000,05010,0000,05010CMHC 70354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70354,A000000,05300,0000,05300INTEREST EXPENSE 70354,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70354,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70354,A81000A,00100,0100,Y 70354,A81000B,00100,0300,HOME OFFICE COSTS 70354,A81000B,00200,0300,HOME OFFICE COSTS 70354,A81000B,00300,0300,HOME OFFICE COST-TRAINING 70354,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70354,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70354,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70354,A81000B,00700,0300,RELATED PARTY - PHARMACY 70354,A81000B,00800,0300,RELATED PARTY - PHARMACY 70354,A81000B,00900,0300,RELATED PARTY - PHARMACY 70354,A81000B,01000,0300,RELATED PARTY - PHARMACY 70354,A81000B,01100,0300,RELATED PARTY - PHARMACY 70354,A81000B,01200,0300,RELATED PARTY - PHARMACY 70354,A81000B,01300,0300,RELATED PARTY - PHARMACY 70354,A81000C,00100,0100,B 70354,A81000C,00100,0200,MFV II 70354,A81000C,00100,0400,MFA INC 70354,A81000C,00100,0600,HOME OFFICE 70354,A81000C,00200,0100,A 70354,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70354,A81000C,00200,0400,PHARMACY CARE PLUS 70354,A81000C,00200,0600,PHARMACY SERVICES 70354,A81000C,00300,0100,A 70354,A81000C,00300,0200,W HEYWOOD FRALIN 70354,A81000C,00300,0400,PHARMACY CARE PLUS 70354,A81000C,00300,0600,PHARMACY SERVICES 70354,B100000,00000,0100,00000SQUARE FEET 70354,B100000,00000,0200,00000SQUARE FEET 70354,B100000,00000,0300,00000GROSS SALARIES 70354,B100000,00000,0400,00000ACCUM. COST 70354,B100000,00000,0500,00000SQUARE FEET 70354,B100000,00000,0600,00000PATIENT DAYS 70354,B100000,00000,0700,00000SQUARE FEET 70354,B100000,00000,0800,00000MEALS 70354,B100000,00000,0900,00000HOURS OF SERVICE 70354,B100000,00000,1000,00000COSTED REQUIS. 70354,B100000,00000,1100,00000COSTED REQUIS. 70354,B100000,00000,1200,00000PATIENT DAYS 70354,B100000,00000,1300,00000PATIENT DAYS 70354,B100000,00000,1350,00000PATIENT DAYS 70354,B100000,00000,1400,00000ASSIGNED TIME 70354,E10A180,00301,0100,12/30/1999 70354,E10A180,00501,0100,06/16/2000 70354,E10A180,00501,0300,06/16/2000 70354,E10A180,00601,0300,05/29/2001 70354,S000000,00100,0200,05/31/2000 70354,S200000,00100,0100,1004 INDEPENDENCE BOULEVARD 70354,S200000,00100,0300,68039 70354,S200000,00200,0100,VIRGINIA BEACH 70354,S200000,00200,0200,VA 70354,S200000,00300,0100,CITY OF VIRGINIA BEACH 70354,S200000,00400,0100,BAYSIDE HEALTH CARE CENTER 70354,S200000,00400,0200,495213 70354,S200000,00400,0300,08/01/1990 70354,S200000,00400,0500,P 70354,S200000,01600,0100,Y 70354,S200000,02800,0100,Y 70373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70373,A000000,00300,0000,00300EMPLOYEE BENEFITS 70373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70373,A000000,00700,0000,00700HOUSEKEEPING 70373,A000000,00800,0000,00800DIETARY 70373,A000000,00900,0000,00900NURSING ADMINISTRATION 70373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70373,A000000,01100,0000,01100PHARMACY 70373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70373,A000000,01300,0000,01300SOCIAL SERVICE 70373,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 70373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70373,A000000,01600,0000,01600SKILLED NURSING FACILITY 70373,A000000,01800,0000,01800NURSING FACILITY 70373,A000000,01810,0000,01810ICF/MR 70373,A000000,02100,0000,02100RADIOLOGY 70373,A000000,02200,0000,02200LABORATORY 70373,A000000,02500,0000,02500PHYSICAL THERAPY 70373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70373,A000000,02700,0000,02700SPEECH PATHOLOGY 70373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70373,A000000,03050,0000,03300AMBULANCE SERVICE 70373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 70373,A000000,03550,0000,03550FQHC 70373,A000000,05000,0000,05000CORF 70373,A000000,05010,0000,05010CMHC 70373,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70373,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70373,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70373,A000000,05300,0000,05300INTEREST EXPENSE 70373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70373,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 70373,A81000A,00100,0100,Y 70373,A81000B,00100,0300,CONSULTANTS 70373,A81000B,00200,0300,CONSULTANTS 70373,A81000B,00300,0300,CONSULTANTS 70373,A81000B,00400,0300,CONSULTANTS 70373,A81000B,00500,0300,CONSULTANTS 70373,A81000B,00600,0300,HOME OFFICE 70373,A81000C,00100,0100,B 70373,A81000C,00100,0400,BRITTHAVEN INC 70373,A81000C,00100,0600,MGMT SERV 70373,A81000C,00200,0100,B 70373,A81000C,00200,0400,BRITTHAVEN INC 70373,A81000C,00200,0600,MGMT SERV 70373,A81000C,00300,0100,B 70373,A81000C,00300,0400,BRITTHAVEN INC 70373,A81000C,00300,0600,MGMT SERV 70373,A81000C,00400,0100,B 70373,A81000C,00400,0400,BRITTHAVEN INC 70373,A81000C,00400,0600,MGMT SERV 70373,A81000C,00500,0100,B 70373,A81000C,00500,0400,BRITTHAVEN INC 70373,A81000C,00500,0600,MGMT SERV 70373,A81000C,00600,0100,B 70373,A81000C,00600,0400,BRITTHAVEN INC 70373,A81000C,00600,0600,MGMT SERV 70373,A81000C,00700,0100,B 70373,A81000C,00700,0400,BRITTHAVEN INC 70373,A81000C,00700,0600,MGMT SERV 70373,A81000C,00800,0100,B 70373,A81000C,00800,0400,BRITTHAVEN INC 70373,A81000C,00800,0600,MGMT SERV 70373,A81000C,00900,0100,B 70373,A81000C,00900,0400,KARE MEDICAL 70373,A81000C,00900,0600,WHOLSE SUPPLY 70373,A81000C,01000,0100,B 70373,A81000C,01000,0400,PHARMSAVE 70373,A81000C,01000,0600,RX SUPPLY 70373,B100000,00000,0100,00000SQUARE FEET 70373,B100000,00000,0200,00000SQUARE FEET 70373,B100000,00000,0300,00000GROSS SALARIES 70373,B100000,00000,0400,00000ACCUM COST 70373,B100000,00000,0500,00000SQUARE FEET 70373,B100000,00000,0600,00000POUNDS OF LAUNDRY 70373,B100000,00000,0700,00000SQUARE FEET 70373,B100000,00000,0800,00000MEALS SERVED 70373,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 70373,B100000,00000,1000,00000COSTED REQUISITIO 70373,B100000,00000,1100,00000COSTED REQUISITIO 70373,B100000,00000,1200,00000TIME SPENT 70373,B100000,00000,1300,00000TIME SPENT 70373,B100000,00000,1350,00000SQUARE FEET 70373,B100000,00000,1400,00000ASSIGNED TIME 70373,S000000,00100,0200,02/29/2000 70373,S200000,00100,0100,730 LUNENBURGE 70373,S200000,00100,0300,719 70373,S200000,00200,0100,KEYSVILLE 70373,S200000,00200,0200,VA 70373,S200000,00200,0300,23947 70373,S200000,00300,0100,CHARLOTTE 70373,S200000,00400,0100,BRITTHAVEN OF KEYSVILLE 70373,S200000,00400,0200,495226 70373,S200000,00400,0300,03/03/1994 70373,S200000,00400,0500,P 70373,S200000,01600,0100,Y 70373,S200000,04700,0100,Y 70392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70392,A000000,00300,0000,00300EMPLOYEE BENEFITS 70392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70392,A000000,00700,0000,00700HOUSEKEEPING 70392,A000000,00800,0000,00800DIETARY 70392,A000000,00900,0000,00900NURSING ADMINISTRATION 70392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70392,A000000,01100,0000,01100PHARMACY 70392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70392,A000000,01300,0000,01300SOCIAL SERVICE 70392,A000000,01350,0000,01500OTHER GENERAL SERVICES 70392,A000000,01351,0000,01501ACTIVITIES 70392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70392,A000000,01600,0000,01600SKILLED NURSING FACILITY 70392,A000000,01800,0000,01800NURSING FACILITY 70392,A000000,01810,0000,01810ICF/MR 70392,A000000,01900,0000,01900OTHER LONG TERM CARE 70392,A000000,02100,0000,02100RADIOLOGY 70392,A000000,02200,0000,02200LABORATORY 70392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70392,A000000,02500,0000,02500PHYSICAL THERAPY 70392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70392,A000000,02700,0000,02700SPEECH PATHOLOGY 70392,A000000,02800,0000,02800ELECTROCARDIOLOGY 70392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70392,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70392,A000000,03051,0000,03301PEN THERAPY 70392,A000000,03052,0000,03302LAUNDRY 70392,A000000,03550,0000,03550FQHC 70392,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70392,A000000,04751,0000,05101SUBACUTE 70392,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70392,A000000,04800,0000,04800AMBULANCE 70392,A000000,05000,0000,05000CORF 70392,A000000,05010,0000,05010CMHC 70392,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70392,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70392,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70392,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70392,A000000,06151,0000,06301V.A. EXPENSES 70392,A000000,06152,0000,06302PERSONAL ITEMS 70392,A000000,06153,0000,06303PEN THERAPY-DMERC 70392,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70392,A81000A,00100,0100,Y 70392,A81000B,00100,0300,AIR TRAVEL 70392,A81000B,00200,0300,PEN THERAPY 70392,A81000C,00100,0100,A 70392,A81000C,00100,0200,WILLIAM C CRANWELL 70392,A81000C,00100,0400,VAERO 70392,A81000C,00100,0600,AIRCRAFT 70392,A81000C,00200,0100,A 70392,A81000C,00200,0200,WILLIAM C CRANWELL 70392,A81000C,00200,0400,HERITAGE ADVANTAGE 70392,A81000C,00200,0600,PEN THERAPY SUPPLIER 70392,A81000C,00300,0100,A 70392,A81000C,00300,0200,ROBERT M CRANWELL 70392,A81000C,00300,0400,HERITAGE ADVANTAGE 70392,A81000C,00300,0600,PEN THERAPY SUPPLIER 70392,A81000C,00400,0100,A 70392,A81000C,00400,0200,RICHARD FRIZZELL 70392,A81000C,00400,0400,HERITAGE ADVANTAGE 70392,A81000C,00400,0600,PEN THERAPY SUPPLIER 70392,B100000,00000,0100,00004SQUARE FEET 70392,B100000,00000,0200,00004SQUARE FEET 70392,B100000,00000,0300,00004GROSS SALARIES 70392,B100000,00000,0400,00004ACCUM. COST 70392,B100000,00000,0500,00004SQUARE FEET 70392,B100000,00000,0600,00004PATIENT DAYS 70392,B100000,00000,0700,00004SQUARE FEET 70392,B100000,00000,0800,00004MEALS SERVED 70392,B100000,00000,0900,00004HOURS OF SERVICE 70392,B100000,00000,1000,00004COSTED REQUIS. 70392,B100000,00000,1100,00004COSTED REQUIS. 70392,B100000,00000,1200,00004TIME SPENT 70392,B100000,00000,1300,00004ADMISSIONS S 70392,B100000,00000,1350,00004NO STATISTICS 70392,B100000,00000,1351,00004PATIENT DAYS 70392,B100000,00000,1400,00004TIME SPENT 70392,E10A180,00301,0100,01/20/2000 70392,E10A180,00501,0100,07/27/2000 70392,S000000,00100,0200,06/14/2000 70392,S200000,00100,0100,5580 DANIEL SMITH LANE 70392,S200000,00200,0100,VIRGINIA BEACH 70392,S200000,00200,0200,VA 70392,S200000,00300,0100,CITY OF VIRGINIA BEACH 70392,S200000,00400,0100,LIFE CARE CORP DBA HH VIRGINIA BEAC 70392,S200000,00400,0200,495234 70392,S200000,00400,0300,09/24/1990 70392,S200000,00400,0500,P 70392,S200000,00600,0200,495234 70392,S200000,00600,0300,09/01/1991 70392,S200000,01600,0100,Y 70403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70403,A000000,00300,0000,00300EMPLOYEE BENEFITS 70403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70403,A000000,00700,0000,00700HOUSEKEEPING 70403,A000000,00800,0000,00800DIETARY 70403,A000000,00900,0000,00900NURSING ADMINISTRATION 70403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70403,A000000,01100,0000,01100PHARMACY 70403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70403,A000000,01300,0000,01300SOCIAL SERVICE 70403,A000000,01350,0000,01500OTHER GENERAL SERVICES 70403,A000000,01351,0000,01501ACTIVITIES 70403,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70403,A000000,01600,0000,01600SKILLED NURSING FACILITY 70403,A000000,01800,0000,01800NURSING FACILITY 70403,A000000,01810,0000,01810ICF/MR 70403,A000000,02500,0000,02500PHYSICAL THERAPY 70403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70403,A000000,02700,0000,02700SPEECH PATHOLOGY 70403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70403,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70403,A000000,03051,0000,03301PEN THERAPY 70403,A000000,03052,0000,03302LAUNDRY 70403,A000000,03550,0000,03550FQHC 70403,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70403,A000000,04751,0000,05101SUBACUTE 70403,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70403,A000000,05000,0000,05000CORF 70403,A000000,05010,0000,05010CMHC 70403,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70403,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70403,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70403,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70403,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70403,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70403,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70403,A000000,06151,0000,06301V.A. EXPENSES 70403,A000000,06152,0000,06302PERSONAL ITEMS 70403,A000000,06153,0000,06303PEN THERAPY-DMERC 70403,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70403,A81000A,00100,0100,Y 70403,A81000B,00100,0300,AIR TRAVEL 70403,A81000B,00200,0300,PEN THERAPY 70403,A81000C,00100,0100,A 70403,A81000C,00100,0200,WILLIAM C CRANWELL 70403,A81000C,00100,0400,VAERO 70403,A81000C,00100,0600,AIRCRAFT 70403,A81000C,00200,0100,A 70403,A81000C,00200,0200,WILLIAM C CRANWELL 70403,A81000C,00200,0400,HERITAGE ADVANTAGE 70403,A81000C,00200,0600,PEN THERAPY SUPPLIER 70403,A81000C,00300,0100,A 70403,A81000C,00300,0200,ROBERT M CRANWELL 70403,A81000C,00300,0400,HERITAGE ADVANTAGE 70403,A81000C,00300,0600,PEN THERAPY SUPPLIER 70403,A81000C,00400,0100,A 70403,A81000C,00400,0200,RICHARD FRIZZELL 70403,A81000C,00400,0400,HERITAGE ADVANTAGE 70403,A81000C,00400,0600,PEN THERAPY SUPPLIER 70403,B100000,00000,0100,00004SQUARE FEET 70403,B100000,00000,0200,00004SQUARE FEET 70403,B100000,00000,0300,00004GROSS SALARIES 70403,B100000,00000,0400,00004ACCUM. COST 70403,B100000,00000,0500,00004SQUARE FEET 70403,B100000,00000,0600,00004POUNDS OF LAUNDRY 70403,B100000,00000,0700,00004SQUARE FEET 70403,B100000,00000,0800,00004MEALS SERVED 70403,B100000,00000,0900,00004HOURS OF SERVICE 70403,B100000,00000,1000,00004COSTED REQUIS. 70403,B100000,00000,1100,00004COSTED REQUIS. 70403,B100000,00000,1200,00004TIME SPENT 70403,B100000,00000,1300,00004ADMISSIONS S 70403,B100000,00000,1350,00004NO STATISTICS 70403,B100000,00000,1351,00004PATIENT DAYS 70403,B100000,00000,1400,00004TIME SPENT 70403,E10A180,00301,0100,12/20/1999 70403,S000000,00100,0200,06/14/2000 70403,S200000,00100,0100,633 COOK AVENUE 70403,S200000,00200,0100,BROOKNEAL 70403,S200000,00200,0200,VA 70403,S200000,00300,0100,CAMPBELL 70403,S200000,00400,0100,LIFE CARE CORP DBA HH BROOKNEAL 70403,S200000,00400,0200,495242 70403,S200000,00400,0300,05/29/1991 70403,S200000,00400,0500,P 70403,S200000,00600,0200,495242 70403,S200000,00600,0300,05/29/1991 70403,S200000,01600,0100,Y 70408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70408,A000000,00300,0000,00300EMPLOYEE BENEFITS 70408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70408,A000000,00700,0000,00700HOUSEKEEPING 70408,A000000,00800,0000,00800DIETARY 70408,A000000,00900,0000,00900NURSING ADMINISTRATION 70408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70408,A000000,01100,0000,01100PHARMACY 70408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70408,A000000,01300,0000,01300SOCIAL SERVICE 70408,A000000,01350,0000,01500PATIENT ACTIVITIES 70408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70408,A000000,01600,0000,01600SKILLED NURSING FACILITY 70408,A000000,01800,0000,01800NURSING FACILITY 70408,A000000,01810,0000,01810ICF/MR 70408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70408,A000000,02500,0000,02500PHYSICAL THERAPY 70408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70408,A000000,02700,0000,02700SPEECH PATHOLOGY 70408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70408,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70408,A000000,03550,0000,03550FQHC 70408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70408,A000000,05000,0000,05000CORF 70408,A000000,05010,0000,05010CMHC 70408,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70408,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70408,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70408,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70408,A81000A,00100,0100,Y 70408,A81000B,00100,0300,CENTRAL OFFICE OVHD 70408,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 70408,A81000C,00100,0100,B 70408,A81000C,00100,0200,AUTUMN CORPORATION 70408,A81000C,00100,0400,AUTUMN CORPORATION 70408,A81000C,00100,0600,HOME OFFICE 70408,A81000C,00200,0100,B 70408,A81000C,00200,0200,AUTUMN CORPORATION 70408,A81000C,00200,0400,AUTUMN CORPORATION 70408,A81000C,00200,0600,HOME OFFICE 70408,B100000,00000,0100,00000SQUARE FEET 70408,B100000,00000,0200,00000SQUARE FEET 70408,B100000,00000,0300,00000GROSS SALARIES 70408,B100000,00000,0400,00000ACCUM. COST 70408,B100000,00000,0500,00000SQUARE FEET 70408,B100000,00000,0600,00000POUNDS OF LAUNDRY 70408,B100000,00000,0700,00000SQ FT W/O DIETARY 70408,B100000,00000,0800,00000PATIENT DAYS 70408,B100000,00000,0900,00000HOURS OF SERVICE 70408,B100000,00000,1000,00000PATIENT DAYS 70408,B100000,00000,1100,00000PATIENT DAYS 70408,B100000,00000,1200,00000PATIENT DAYS 70408,B100000,00000,1300,00000PATIENT DAYS 70408,B100000,00000,1350,00000PATIENT DAYS 70408,B100000,00000,1400,00000ASSIGNED TIME 70408,E10A180,00301,0100,05/27/1999 70408,E10A180,00501,0100,04/27/2000 70408,E10A180,00550,0300,04/27/2000 70408,S000000,00100,0200,03/30/2000 70408,S200000,00100,0100,ONE AUTUMN COURT 70408,S200000,00100,0300,420 70408,S200000,00200,0100,MADISON 70408,S200000,00200,0200,VA 70408,S200000,00300,0100,MADISON 70408,S200000,00400,0100,AUTUMN CARE OF MADISON 70408,S200000,00400,0200,495244 70408,S200000,00400,0300,07/01/1991 70408,S200000,00400,0500,P 70408,S200000,01600,0100,Y 70413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70413,A000000,00300,0000,00300EMPLOYEE BENEFITS 70413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70413,A000000,00700,0000,00700HOUSEKEEPING 70413,A000000,00800,0000,00800DIETARY 70413,A000000,00900,0000,00900NURSING ADMINISTRATION 70413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70413,A000000,01100,0000,01100PHARMACY 70413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70413,A000000,01300,0000,01300SOCIAL SERVICE 70413,A000000,01350,0000,01500PATIENT ACTIVITIES 70413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70413,A000000,01600,0000,01600SKILLED NURSING FACILITY 70413,A000000,01800,0000,01800NURSING FACILITY 70413,A000000,01810,0000,01810ICF/MR 70413,A000000,01900,0000,01900OTHER LONG TERM CARE 70413,A000000,02100,0000,02100RADIOLOGY 70413,A000000,02200,0000,02200LABORATORY 70413,A000000,02500,0000,02500PHYSICAL THERAPY 70413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70413,A000000,02700,0000,02700SPEECH PATHOLOGY 70413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70413,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70413,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70413,A000000,03550,0000,03550FQHC 70413,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70413,A000000,05000,0000,05000CORF 70413,A000000,05010,0000,05010CMHC 70413,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70413,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70413,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70413,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70413,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70413,A81000A,00100,0100,Y 70413,A81000B,00100,0300,HOME OFFICE FEES 70413,A81000B,00200,0300,HOME OFFICE CAPITAL 70413,A81000B,00300,0300,HOME OFFICE NON CAPITAL 70413,A81000B,00400,0300,ANCILLARY MANAGEMENT 70413,A81000B,00500,0300,ANCILLARY MANAGEMENT 70413,A81000B,00600,0300,ANCILLARY MANAGEMENT 70413,A81000C,00100,0100,B 70413,A81000C,00100,0200,FOUNDATION HEALTH SVCS. 70413,A81000C,00100,0400,FOUNDATION HEALTH SVCS. 70413,A81000C,00100,0600,HOME OFFICE 70413,A81000C,00200,0100,B 70413,A81000C,00200,0200,FOUNDATION ANCILLARY SVCS 70413,A81000C,00200,0400,FOUNDATION ANCILLARY SVCS 70413,A81000C,00200,0600,ANCILLARY MANAGEMENT 70413,B100000,00000,0100,00000SQUARE FEET 70413,B100000,00000,0200,00000NO STATISTICS 70413,B100000,00000,0300,00000GROSS SALARIES 70413,B100000,00000,0400,00000ACCUM. COST 70413,B100000,00000,0500,00000SQUARE FEET 70413,B100000,00000,0600,00000POUNDS OF LAUNDRY 70413,B100000,00000,0700,00000SQU FT EXCL D 70413,B100000,00000,0800,00000MEALS SERVED 70413,B100000,00000,0900,00000PATIENT DAYS 70413,B100000,00000,1000,00000PATIENT DAYS 70413,B100000,00000,1100,00000NO STATISTICS 70413,B100000,00000,1200,00000NO STATISTICS 70413,B100000,00000,1300,00000PATIENT DAYS 70413,B100000,00000,1350,00000PATIENT DAYS 70413,B100000,00000,1400,00000NO STATISTICS 70413,E10A180,00550,0300,07/27/2000 70413,S000000,00100,0200,06/06/2000 70413,S200000,00100,0100,17485 LANKFORD HIGHWAY 70413,S200000,00100,0300,97 70413,S200000,00200,0100,NELSONIA 70413,S200000,00200,0200,VA 70413,S200000,00200,0300,23414 70413,S200000,00300,0100,ACCOMACK 70413,S200000,00400,0100,ARCADIA NURSING CENTER 70413,S200000,00400,0200,495245 70413,S200000,00400,0300,01/25/1996 70413,S200000,00400,0500,P 70413,S200000,01600,0100,Y 70420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70420,A000000,00300,0000,00300EMPLOYEE BENEFITS 70420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70420,A000000,00700,0000,00700HOUSEKEEPING 70420,A000000,00800,0000,00800DIETARY 70420,A000000,00900,0000,00900NURSING ADMINISTRATION 70420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70420,A000000,01100,0000,01100PHARMACY 70420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70420,A000000,01300,0000,01300SOCIAL SERVICE 70420,A000000,01350,0000,01500RECREATION/ACTIVITIES 70420,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70420,A000000,01600,0000,01600SKILLED NURSING FACILITY 70420,A000000,01800,0000,01800NURSING FACILITY 70420,A000000,01810,0000,01810ICF/MR 70420,A000000,02100,0000,02100RADIOLOGY 70420,A000000,02200,0000,02200LABORATORY 70420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70420,A000000,02500,0000,02500PHYSICAL THERAPY 70420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70420,A000000,02700,0000,02700SPEECH PATHOLOGY 70420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70420,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70420,A000000,03200,0000,03200SUPPORT SURFACES 70420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70420,A000000,03550,0000,03550FQHC 70420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70420,A000000,05000,0000,05000CORF 70420,A000000,05010,0000,05010CMHC 70420,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70420,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70420,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70420,A000000,05300,0000,05300INTEREST EXPENSE 70420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70420,A81000A,00100,0100,Y 70420,A81000B,00100,0300,HOME OFFICE COSTS 70420,A81000B,00200,0300,HOME OFFICE COSTS 70420,A81000B,00300,0300,HOME OFFICE COST-THERAPY 70420,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70420,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70420,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70420,A81000B,00700,0300,RELATED PARTY - PHARMACY 70420,A81000B,00800,0300,RELATED PARTY - PHARMACY 70420,A81000B,00900,0300,RELATED PARTY - PHARMACY 70420,A81000B,01000,0300,RELATED PARTY - PHARMACY 70420,A81000B,01100,0300,RELATED PARTY - PHARMACY 70420,A81000C,00100,0100,B 70420,A81000C,00100,0200,MFV II 70420,A81000C,00100,0400,MFA INC 70420,A81000C,00100,0600,HOME OFFICE 70420,A81000C,00200,0100,A 70420,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70420,A81000C,00200,0400,PHARMACY CARE PLUS 70420,A81000C,00200,0600,PHARMACY SERVICES 70420,A81000C,00300,0100,A 70420,A81000C,00300,0200,W HEYWOOD FRALIN 70420,A81000C,00300,0400,PHARMACY CARE PLUS 70420,A81000C,00300,0600,PHARMACY SERVICES 70420,B100000,00000,0100,00000SQUARE FEET 70420,B100000,00000,0200,00000SQUARE FEET 70420,B100000,00000,0300,00000GROSS SALARIES 70420,B100000,00000,0400,00000ACCUM. COST 70420,B100000,00000,0500,00000SQUARE FEET 70420,B100000,00000,0600,00000PATIENT DAYS 70420,B100000,00000,0700,00000SQUARE FEET 70420,B100000,00000,0800,00000MEALS SERVED 70420,B100000,00000,0900,00000SALARIES 70420,B100000,00000,1000,00000COSTED REQUIS. 70420,B100000,00000,1100,00000COSTED REQUIS. 70420,B100000,00000,1200,00000TIME SPENT 70420,B100000,00000,1300,00000TIME SPENT 70420,B100000,00000,1350,00000TIME SPENT 70420,B100000,00000,1400,00000ASSIGNED TIME 70420,E10A180,00301,0100,05/20/1999 70420,E10A180,00302,0100,11/18/1999 70420,E10A180,00350,0100,08/26/1999 70420,E10A180,00501,0300,06/15/2000 70420,E10A180,00550,0100,06/15/2000 70420,E10A180,00601,0100,05/29/2001 70420,E10A180,00601,0300,05/29/2001 70420,S000000,00100,0200,05/31/2000 70420,S200000,00100,0100,9640 BURKE LAKE ROAD 70420,S200000,00200,0100,BURKE 70420,S200000,00200,0200,VA 70420,S200000,00300,0100,FAIRFAX 70420,S200000,00400,0100,BURKE HEALTH CARE CENTER 70420,S200000,00400,0200,495248 70420,S200000,00400,0300,08/01/1991 70420,S200000,00400,0500,P 70420,S200000,01600,0100,Y 70451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70451,A000000,00300,0000,00300EMPLOYEE BENEFITS 70451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70451,A000000,00700,0000,00700HOUSEKEEPING 70451,A000000,00800,0000,00800DIETARY 70451,A000000,00900,0000,00900NURSING ADMINISTRATION 70451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70451,A000000,01100,0000,01100PHARMACY 70451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70451,A000000,01300,0000,01300SOCIAL SERVICE 70451,A000000,01350,0000,01500OTHER GENERAL SERVICES 70451,A000000,01351,0000,01501ACTIVITIES 70451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70451,A000000,01600,0000,01600SKILLED NURSING FACILITY 70451,A000000,01800,0000,01800NURSING FACILITY 70451,A000000,01810,0000,01810ICF/MR 70451,A000000,02100,0000,02100RADIOLOGY 70451,A000000,02200,0000,02200LABORATORY 70451,A000000,02500,0000,02500PHYSICAL THERAPY 70451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70451,A000000,02700,0000,02700SPEECH PATHOLOGY 70451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70451,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70451,A000000,03051,0000,03301PEN THERAPY 70451,A000000,03052,0000,03302LAUNDRY 70451,A000000,03550,0000,03550FQHC 70451,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70451,A000000,04751,0000,05101SUBACUTE 70451,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70451,A000000,04800,0000,04800AMBULANCE 70451,A000000,05000,0000,05000CORF 70451,A000000,05010,0000,05010CMHC 70451,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70451,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70451,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70451,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70451,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70451,A000000,06151,0000,06301V.A. EXPENSES 70451,A000000,06152,0000,06302PERSONAL ITEMS 70451,A000000,06153,0000,06303PEN THERAPY-DMERC 70451,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70451,A81000A,00100,0100,Y 70451,A81000B,00100,0300,AIR TRAVEL 70451,A81000B,00200,0300,PEN THERAPY 70451,A81000C,00100,0100,A 70451,A81000C,00100,0200,WILLIAM C CRANWELL 70451,A81000C,00100,0400,VAERO 70451,A81000C,00100,0600,AIRCRAFT 70451,A81000C,00200,0100,A 70451,A81000C,00200,0200,WILLIAM C CRANWELL 70451,A81000C,00200,0400,HERITAGE ADVANTAGE 70451,A81000C,00200,0600,PEN THERAPY SUPPLIER 70451,A81000C,00300,0100,A 70451,A81000C,00300,0200,ROBERT M CRANWELL 70451,A81000C,00300,0400,HERITAGE ADVANTAGE 70451,A81000C,00300,0600,PEN THERAPY SUPPLIER 70451,A81000C,00400,0100,A 70451,A81000C,00400,0200,RICHARD FRIZZELL 70451,A81000C,00400,0400,HERITAGE ADVANTAGE 70451,A81000C,00400,0600,PEN THERAPY SUPPLIER 70451,B100000,00000,0100,00004SQUARE FEET 70451,B100000,00000,0200,00004SQUARE FEET 70451,B100000,00000,0300,00004GROSS SALARIES 70451,B100000,00000,0400,00004ACCUM. COST 70451,B100000,00000,0500,00004SQUARE FEET 70451,B100000,00000,0600,00004POUNDS OF LAUNDRY 70451,B100000,00000,0700,00004SQUARE FEET 70451,B100000,00000,0800,00004MEALS SERVED 70451,B100000,00000,0900,00004HOURS OF SERVICE 70451,B100000,00000,1000,00004COSTED REQUIS. 70451,B100000,00000,1100,00004COSTED REQUIS. 70451,B100000,00000,1200,00004TIME SPENT 70451,B100000,00000,1300,00004ADMISSIONS S 70451,B100000,00000,1350,00004NO STATISTICS 70451,B100000,00000,1351,00004PATIENT DAYS 70451,B100000,00000,1400,00004TIME SPENT 70451,E10A180,00301,0100,01/20/2000 70451,E10A180,00501,0100,07/27/2000 70451,S000000,00100,0200,06/14/2000 70451,S200000,00100,0100,ROUTE 5 70451,S200000,00200,0100,GRUNDY 70451,S200000,00200,0200,VA 70451,S200000,00300,0100,BUCHANAN 70451,S200000,00400,0100,LIFE CARE CORP DBA HH GRUNDY 70451,S200000,00400,0200,495259 70451,S200000,00400,0300,12/11/1991 70451,S200000,00400,0500,P 70451,S200000,00600,0200,495259 70451,S200000,00600,0300,12/11/1991 70451,S200000,01600,0100,Y 70456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70456,A000000,00300,0000,00300EMPLOYEE BENEFITS 70456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70456,A000000,00700,0000,00700HOUSEKEEPING 70456,A000000,00800,0000,00800DIETARY 70456,A000000,00900,0000,00900NURSING ADMINISTRATION 70456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70456,A000000,01100,0000,01100PHARMACY 70456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70456,A000000,01300,0000,01300SOCIAL SERVICE 70456,A000000,01350,0000,01500RECREATION/ACTIVITIES 70456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70456,A000000,01600,0000,01600SKILLED NURSING FACILITY 70456,A000000,01800,0000,01800NURSING FACILITY 70456,A000000,01810,0000,01810ICF/MR 70456,A000000,02100,0000,02100RADIOLOGY 70456,A000000,02200,0000,02200LABORATORY 70456,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70456,A000000,02500,0000,02500PHYSICAL THERAPY 70456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70456,A000000,02700,0000,02700SPEECH PATHOLOGY 70456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70456,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70456,A000000,03200,0000,03200SUPPORT SURFACES 70456,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70456,A000000,03550,0000,03550FQHC 70456,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70456,A000000,05000,0000,05000CORF 70456,A000000,05010,0000,05010CMHC 70456,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70456,A000000,05300,0000,05300INTEREST EXPENSE 70456,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70456,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70456,A81000A,00100,0100,Y 70456,A81000B,00100,0300,HOME OFFICE COSTS 70456,A81000B,00200,0300,HOME OFFICE COSTS 70456,A81000B,00300,0300,HOME OFFICE COST-TRAINING 70456,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70456,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70456,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70456,A81000B,00700,0300,RELATED PARTY - PHARMACY 70456,A81000B,00800,0300,RELATED PARTY - PHARMACY 70456,A81000B,00900,0300,RELATED PARTY - PHARMACY 70456,A81000B,01000,0300,RELATED PARTY - PHARMACY 70456,A81000C,00100,0100,B 70456,A81000C,00100,0200,MFV II 70456,A81000C,00100,0400,MFA INC 70456,A81000C,00100,0600,HOME OFFICE 70456,A81000C,00200,0100,A 70456,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70456,A81000C,00200,0400,PHARMACY CARE PLUS 70456,A81000C,00200,0600,PHARMACY SERVICES 70456,A81000C,00300,0100,A 70456,A81000C,00300,0200,W HEYWOOD FRALIN 70456,A81000C,00300,0400,PHARMACY CARE PLUS 70456,A81000C,00300,0600,PHARMACY SERVICES 70456,B100000,00000,0100,00000SQUARE FEET 70456,B100000,00000,0200,00000SQUARE FEET 70456,B100000,00000,0300,00000GROSS SALARIES 70456,B100000,00000,0400,00000ACCUM. COST 70456,B100000,00000,0500,00000SQUARE FEET 70456,B100000,00000,0600,00000PATIENT DAYS 70456,B100000,00000,0700,00000SQUARE FEET 70456,B100000,00000,0800,00000MEALS SERVED 70456,B100000,00000,0900,00000SALARIES 70456,B100000,00000,1000,00000COSTED REQUIS. 70456,B100000,00000,1100,00000COSTED REQUIS. 70456,B100000,00000,1200,00000TIME SPENT 70456,B100000,00000,1300,00000TIME SPENT 70456,B100000,00000,1350,00000TIME SPENT 70456,B100000,00000,1400,00000ASSIGNED TIME 70456,E10A180,00301,0100,12/30/1999 70456,E10A180,00501,0100,06/16/2000 70456,E10A180,00501,0300,06/16/2000 70456,S000000,00100,0200,05/31/2000 70456,S200000,00100,0100,200 HIOAKS ROAD 70456,S200000,00200,0100,RICHMOND 70456,S200000,00200,0200,VA 70456,S200000,00300,0100,CITY OF RICHMOND 70456,S200000,00400,0100,BEAUFONT HEALTH CARE CENTER 70456,S200000,00400,0200,495260 70456,S200000,00400,0300,01/07/1992 70456,S200000,00400,0500,P 70456,S200000,01600,0100,Y 70456,S200000,02800,0100,Y 70461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70461,A000000,00300,0000,00300EMPLOYEE BENEFITS 70461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70461,A000000,00700,0000,00700HOUSEKEEPING 70461,A000000,00800,0000,00800DIETARY 70461,A000000,00900,0000,00900NURSING ADMINISTRATION 70461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70461,A000000,01100,0000,01100PHARMACY 70461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70461,A000000,01300,0000,01300SOCIAL SERVICE 70461,A000000,01350,0000,01500OTHER GENERAL SERVICES 70461,A000000,01351,0000,01501ACTIVITIES 70461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70461,A000000,01600,0000,01600SKILLED NURSING FACILITY 70461,A000000,01800,0000,01800NURSING FACILITY 70461,A000000,01810,0000,01810ICF/MR 70461,A000000,02100,0000,02100RADIOLOGY 70461,A000000,02200,0000,02200LABORATORY 70461,A000000,02500,0000,02500PHYSICAL THERAPY 70461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70461,A000000,02700,0000,02700SPEECH PATHOLOGY 70461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70461,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70461,A000000,03051,0000,03301PEN THERAPY 70461,A000000,03052,0000,03302LAUNDRY 70461,A000000,03550,0000,03550FQHC 70461,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70461,A000000,04751,0000,05101SUBACUTE 70461,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70461,A000000,04800,0000,04800AMBULANCE 70461,A000000,05000,0000,05000CORF 70461,A000000,05010,0000,05010CMHC 70461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70461,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70461,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70461,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70461,A000000,06151,0000,06301V.A. EXPENSES 70461,A000000,06152,0000,06302PERSONAL ITEMS 70461,A000000,06153,0000,06303PEN THERAPY-DMERC 70461,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70461,B100000,00000,0100,00004SQUARE FEET 70461,B100000,00000,0200,00004SQUARE FEET 70461,B100000,00000,0300,00004GROSS SALARIES 70461,B100000,00000,0400,00004ACCUM. COST 70461,B100000,00000,0500,00004SQUARE FEET 70461,B100000,00000,0600,00004POUNDS OF LAUNDRY 70461,B100000,00000,0700,00004SQUARE FEET 70461,B100000,00000,0800,00004MEALS SERVED 70461,B100000,00000,0900,00004HOURS OF SERVICE 70461,B100000,00000,1000,00004COSTED REQUIS. 70461,B100000,00000,1100,00004COSTED REQUIS. 70461,B100000,00000,1200,00004TIME SPENT 70461,B100000,00000,1300,00004ADMISSIONS S 70461,B100000,00000,1350,00004NO STATISTICS 70461,B100000,00000,1351,00004PATIENT DAYS 70461,B100000,00000,1400,00004TIME SPENT 70461,E10A180,00301,0100,08/24/1999 70461,E10A180,00302,0100,12/20/1999 70461,E10A180,00303,0100,01/20/2000 70461,E10A180,00550,0100,06/20/2000 70461,S000000,00100,0200,06/14/2000 70461,S200000,00100,0100,122 MORVEN PARK ROAD 70461,S200000,00200,0100,LEESBURG 70461,S200000,00200,0200,VA 70461,S200000,00300,0100,LOUDON 70461,S200000,00400,0100,AMER HC X LLC DBA HH LEESBURG 70461,S200000,00400,0200,495261 70461,S200000,00400,0300,03/01/1992 70461,S200000,00400,0500,P 70461,S200000,00600,0200,495261 70461,S200000,00600,0300,03/01/1992 70461,S200000,01600,0100,Y 70466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70466,A000000,00300,0000,00300EMPLOYEE BENEFITS 70466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70466,A000000,00700,0000,00700HOUSEKEEPING 70466,A000000,00800,0000,00800DIETARY 70466,A000000,00900,0000,00900NURSING ADMINISTRATION 70466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70466,A000000,01100,0000,01100PHARMACY 70466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70466,A000000,01300,0000,01300SOCIAL SERVICE 70466,A000000,01350,0000,01500PATIENT ACTIVITIES 70466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70466,A000000,01600,0000,01600SKILLED NURSING FACILITY 70466,A000000,01800,0000,01800NURSING FACILITY 70466,A000000,01810,0000,01810ICF/MR 70466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70466,A000000,02500,0000,02500PHYSICAL THERAPY 70466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70466,A000000,02700,0000,02700SPEECH PATHOLOGY 70466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70466,A000000,03550,0000,03550FQHC 70466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70466,A000000,05000,0000,05000CORF 70466,A000000,05010,0000,05010CMHC 70466,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70466,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70466,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70466,A81000A,00100,0100,Y 70466,A81000B,00100,0300,INTEREST 70466,A81000B,00200,0300,OTHER PROFESSIONAL FEES 70466,A81000B,00300,0300,EQUIPMENT RENTAL 70466,A81000C,00100,0100,A 70466,A81000C,00100,0200,RAYMOND EAVERS 70466,A81000C,00100,0400,RAYMOND EAVERS 70466,A81000C,00100,0600,LOAN FOR LAND&B 70466,A81000C,00200,0100,B 70466,A81000C,00200,0200,EAVERS BROTHERS 70466,A81000C,00200,0400,EAVERS BROTHERS 70466,A81000C,00200,0600,ADMINISTRATIVE 70466,A81000C,00300,0100,B 70466,A81000C,00300,0200,EAVERS BROTHERS 70466,A81000C,00300,0400,EAVERS BROTHERS 70466,A81000C,00300,0600,RENTAL OF LAWN 70466,B100000,00000,0100,00000SQUARE FEET 70466,B100000,00000,0200,00000SQUARE FEET 70466,B100000,00000,0300,00000GROSS SALARIES 70466,B100000,00000,0400,00000ACCUM. COST 70466,B100000,00000,0500,00000SQUARE FEET 70466,B100000,00000,0600,00000POUNDS OF LAUNDRY 70466,B100000,00000,0700,00000SQ FT EXCL DIN 70466,B100000,00000,0800,00000PATIENT DA S 70466,B100000,00000,0900,00000HOURS OF SERVICE 70466,B100000,00000,1000,00000PATIENT DA S 70466,B100000,00000,1100,00000PATIENT DA S 70466,B100000,00000,1200,00000PATIENT DA S 70466,B100000,00000,1300,00000PATIENT DA S 70466,B100000,00000,1350,00000NO STATISTICS 70466,B100000,00000,1400,00000ASSIGNED TIME 70466,E10A180,00301,0100,07/28/1998 70466,E10A180,00350,0300,07/28/1998 70466,E10A180,00550,0300,08/27/1999 70466,S000000,00100,0200,07/16/1999 70466,S200000,00100,0100,803 WESTMINISTER DR 70466,S200000,00100,0300,406 70466,S200000,00200,0100,FISHERVILLE 70466,S200000,00200,0200,VA 70466,S200000,00200,0300,22939 70466,S200000,00300,0100,AUGUSTA 70466,S200000,00400,0100,SHENANDOAH NURSING HOME 70466,S200000,00400,0200,495262 70466,S200000,00400,0300,04/21/1992 70466,S200000,00400,0500,P 70466,S200000,01600,0100,Y 70477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70477,A000000,00300,0000,00300EMPLOYEE BENEFITS 70477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70477,A000000,00700,0000,00700HOUSEKEEPING 70477,A000000,00800,0000,00800DIETARY 70477,A000000,00900,0000,00900NURSING ADMINISTRATION 70477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70477,A000000,01100,0000,01100PHARMACY 70477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70477,A000000,01300,0000,01300SOCIAL SERVICE 70477,A000000,01350,0000,01500RECREATION/ACTIVITIES 70477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70477,A000000,01600,0000,01600SKILLED NURSING FACILITY 70477,A000000,01800,0000,01800NURSING FACILITY 70477,A000000,01810,0000,01810ICF/MR 70477,A000000,02100,0000,02100RADIOLOGY 70477,A000000,02200,0000,02200LABORATORY 70477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70477,A000000,02500,0000,02500PHYSICAL THERAPY 70477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70477,A000000,02700,0000,02700SPEECH PATHOLOGY 70477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70477,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70477,A000000,03101,0000,03101RADIOLOGY 70477,A000000,03200,0000,03200SUPPORT SURFACES 70477,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70477,A000000,03550,0000,03550FQHC 70477,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70477,A000000,05000,0000,05000CORF 70477,A000000,05010,0000,05010CMHC 70477,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70477,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70477,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70477,A000000,05300,0000,05300INTEREST EXPENSE 70477,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70477,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70477,A81000A,00100,0100,Y 70477,A81000B,00100,0300,HOME OFFICE COSTS 70477,A81000B,00200,0300,HOME OFFICE COSTS 70477,A81000B,00300,0300,HOME OFFICE COST-TRAINING 70477,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70477,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70477,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70477,A81000B,00700,0300,RELATED PARTY - PHARMACY 70477,A81000B,00800,0300,RELATED PARTY - PHARMACY 70477,A81000B,00900,0300,RELATED PARTY - PHARMACY 70477,A81000B,01000,0300,RELATED PARTY - PHARMACY 70477,A81000B,01100,0300,RELATED PARTY - PHARMACY 70477,A81000B,01200,0300,RELATED PARTY - PHARMACY 70477,A81000C,00100,0100,B 70477,A81000C,00100,0200,MAPLE LEAF OF HANOVER 70477,A81000C,00100,0400,MFA INC 70477,A81000C,00100,0600,HOME OFFICE 70477,A81000C,00200,0100,A 70477,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70477,A81000C,00200,0400,PHARMACY CARE PLUS 70477,A81000C,00200,0600,PHARMACY SERVICES 70477,A81000C,00300,0100,A 70477,A81000C,00300,0200,W HEYWOOD FRALIN 70477,A81000C,00300,0400,PHARMACY CARE PLUS 70477,A81000C,00300,0600,PHARMACY SERVICES 70477,B100000,00000,0100,00000SQUARE FEET 70477,B100000,00000,0200,00000SQUARE FEET 70477,B100000,00000,0300,00000GROSS SALARIES 70477,B100000,00000,0400,00000ACCUM. COST 70477,B100000,00000,0500,00000SQUARE FEET 70477,B100000,00000,0600,00000PATIENT DAYS 70477,B100000,00000,0700,00000SQUARE FEET 70477,B100000,00000,0800,00000MEALS SERVED 70477,B100000,00000,0900,00000SALARIES 70477,B100000,00000,1000,00000COSTED REQUIS. 70477,B100000,00000,1100,00000COSTED REQUIS. 70477,B100000,00000,1200,00000PATIENT DAYS 70477,B100000,00000,1300,00000TIME SPENT 70477,B100000,00000,1350,00000TIME SPENT 70477,B100000,00000,1400,00000ASSIGNED TIME 70477,E10A180,00301,0100,11/18/1999 70477,E10A180,00302,0100,02/10/2000 70477,E10A180,00350,0100,05/14/1999 70477,E10A180,00501,0100,06/19/2000 70477,E10A180,00501,0300,06/19/2000 70477,E10A180,00550,0100,05/29/2001 70477,E10A180,00550,0300,05/29/2001 70477,S000000,00100,0200,05/31/2000 70477,S200000,00100,0100,8139 LEE DAVIS ROAD 70477,S200000,00200,0100,MECHANICSVILLE 70477,S200000,00200,0200,VA 70477,S200000,00300,0100,HANOVER 70477,S200000,00400,0100,HANOVER HEALTH CARE CENTER 70477,S200000,00400,0200,495266 70477,S200000,00400,0300,07/03/1992 70477,S200000,00400,0500,P 70477,S200000,01600,0100,Y 70477,S200000,02800,0100,Y 70493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70493,A000000,00300,0000,00300EMPLOYEE BENEFITS 70493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70493,A000000,00700,0000,00700HOUSEKEEPING 70493,A000000,00800,0000,00800DIETARY 70493,A000000,00900,0000,00900NURSING ADMINISTRATION 70493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70493,A000000,01100,0000,01100PHARMACY 70493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70493,A000000,01300,0000,01300SOCIAL SERVICE 70493,A000000,01350,0000,01500OTHER GENERAL SERVICES 70493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70493,A000000,01600,0000,01600SKILLED NURSING FACILITY 70493,A000000,01800,0000,01800NURSING FACILITY 70493,A000000,01810,0000,01810ICF/MR 70493,A000000,01900,0000,01900OTHER LONG TERM CARE 70493,A000000,02500,0000,02500PHYSICAL THERAPY 70493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70493,A000000,02700,0000,02700SPEECH PATHOLOGY 70493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70493,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70493,A000000,03200,0000,03200SUPPORT SURFACES 70493,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70493,A000000,03550,0000,03550FQHC 70493,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70493,A000000,05000,0000,05000CORF 70493,A000000,05010,0000,05010CMHC 70493,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70493,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70493,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70493,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70493,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70493,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70493,A000000,06200,0000,06200PATIENTS LAUNDRY 70493,A81000A,00100,0100,Y 70493,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 70493,A81000B,00200,0300,HOME OFFICE NON CAPITAL COSTS 70493,A81000B,00300,0300,WORKING CAPITAL INTEREST 70493,A81000C,00100,0100,B 70493,A81000C,00100,0200,SM DHS L.P. 70493,A81000C,00100,0600,HEALTH CARE MGT 70493,A81000C,00200,0100,B 70493,A81000C,00200,0200,SM DHS L.P. 70493,A81000C,00200,0600,HEALTH CARE MGT 70493,B100000,00000,0100,00000SQUARE FEET 70493,B100000,00000,0200,00000DOLLAR VALUE 70493,B100000,00000,0300,00000GROSS SALARIES 70493,B100000,00000,0400,00000ACCUM. COST 70493,B100000,00000,0500,00000SQUARE FEET 70493,B100000,00000,0600,00000PATIENT DAYS 70493,B100000,00000,0700,00000SQUARE FEET 70493,B100000,00000,0800,00000MEALS SERVED 70493,B100000,00000,0900,00000DIRECT NURSING HR 70493,B100000,00000,1000,00000PATIENT DAYS 70493,B100000,00000,1100,00000NO STATISTICS 70493,B100000,00000,1200,00000PATIENT DAYS 70493,B100000,00000,1300,00000TIME SPENT 70493,B100000,00000,1350,00000NO STATISTICS 70493,B100000,00000,1400,00000NO STATISTICS 70493,E10A180,00501,0300,05/02/2000 70493,S000000,00100,0200,03/30/2000 70493,S200000,00100,0100,4550 SHENANDOAH AVENUE NW 70493,S200000,00200,0100,ROANOKE 70493,S200000,00200,0200,VA 70493,S200000,00200,0300,24017 70493,S200000,00300,0100,ROANOKE 70493,S200000,00400,0100,VIRGINIA VETERANS CARE CENTER 70493,S200000,00400,0200,495274 70493,S200000,00400,0300,11/17/1992 70493,S200000,00400,0500,P 70493,S200000,00600,0200,495274 70493,S200000,00600,0300,11/17/1992 70493,S200000,01600,0100,Y 70493,S200000,02200,0100,Y 70502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70502,A000000,00300,0000,00300EMPLOYEE BENEFITS 70502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70502,A000000,00700,0000,00700HOUSEKEEPING 70502,A000000,00800,0000,00800DIETARY 70502,A000000,00900,0000,00900NURSING ADMINISTRATION 70502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70502,A000000,01100,0000,01100PHARMACY 70502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70502,A000000,01300,0000,01300SOCIAL SERVICE 70502,A000000,01350,0000,01500OTHER GENERAL SERVICES 70502,A000000,01351,0000,01501ACTIVITIES 70502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70502,A000000,01600,0000,01600SKILLED NURSING FACILITY 70502,A000000,01800,0000,01800NURSING FACILITY 70502,A000000,01810,0000,01810ICF/MR 70502,A000000,02100,0000,02100RADIOLOGY 70502,A000000,02200,0000,02200LABORATORY 70502,A000000,02500,0000,02500PHYSICAL THERAPY 70502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70502,A000000,02700,0000,02700SPEECH PATHOLOGY 70502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70502,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70502,A000000,03051,0000,03301PEN THERAPY 70502,A000000,03052,0000,03302LAUNDRY 70502,A000000,03550,0000,03550FQHC 70502,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70502,A000000,04751,0000,05101SUBACUTE 70502,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70502,A000000,04800,0000,04800AMBULANCE 70502,A000000,05000,0000,05000CORF 70502,A000000,05010,0000,05010CMHC 70502,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70502,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70502,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70502,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70502,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70502,A000000,06151,0000,06301V.A. EXPENSES 70502,A000000,06152,0000,06302PERSONAL ITEMS 70502,A000000,06153,0000,06303PEN THERAPY-DMERC 70502,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70502,A81000A,00100,0100,Y 70502,A81000B,00100,0300,AIR TRAVEL 70502,A81000B,00200,0300,PEN THERAPY 70502,A81000C,00100,0100,A 70502,A81000C,00100,0200,WILLIAM C CRANWELL 70502,A81000C,00100,0400,VAERO 70502,A81000C,00100,0600,AIRCRAFT 70502,A81000C,00200,0100,A 70502,A81000C,00200,0200,WILLIAM C CRANWELL 70502,A81000C,00200,0400,HERITAGE ADVANTAGE 70502,A81000C,00200,0600,PEN THERAPY SUPPLIER 70502,A81000C,00300,0100,A 70502,A81000C,00300,0200,ROBERT M CRANWELL 70502,A81000C,00300,0400,HERITAGE ADVANTAGE 70502,A81000C,00300,0600,PEN THERAPY SUPPLIER 70502,A81000C,00400,0100,A 70502,A81000C,00400,0200,RICHARD FRIZZELL 70502,A81000C,00400,0400,HERITAGE ADVANTAGE 70502,A81000C,00400,0600,PEN THERAPY SUPPLIER 70502,B100000,00000,0100,00004SQUARE FEET 70502,B100000,00000,0200,00004SQUARE FEET 70502,B100000,00000,0300,00004GROSS SALARIES 70502,B100000,00000,0400,00004ACCUM. COST 70502,B100000,00000,0500,00004SQUARE FEET 70502,B100000,00000,0600,00004POUNDS OF LAUNDRY 70502,B100000,00000,0700,00004SQUARE FEET 70502,B100000,00000,0800,00004MEALS SERVED 70502,B100000,00000,0900,00004HOURS OF SERVICE 70502,B100000,00000,1000,00004COSTED REQUIS. 70502,B100000,00000,1100,00004COSTED REQUIS. 70502,B100000,00000,1200,00004TIME SPENT 70502,B100000,00000,1300,00004ADMISSIONS S 70502,B100000,00000,1350,00004NO STATISTICS 70502,B100000,00000,1351,00004PATIENT DAYS 70502,B100000,00000,1400,00004TIME SPENT 70502,E10A180,00301,0100,08/24/1999 70502,E10A180,00302,0100,12/20/1999 70502,E10A180,00303,0100,01/20/2000 70502,E10A180,00501,0100,07/27/2000 70502,S000000,00100,0200,06/14/2000 70502,S200000,00100,0100,9468 HOSPITAL AVENUE 70502,S200000,00200,0100,NASSAWADOX 70502,S200000,00200,0200,VA 70502,S200000,00300,0100,NORTH HAMPTON 70502,S200000,00400,0100,AMER HC X LLC DBA HH NASSAWADOX 70502,S200000,00400,0200,495277 70502,S200000,00400,0300,05/01/1993 70502,S200000,00400,0500,P 70502,S200000,00600,0200,495277 70502,S200000,00600,0300,05/01/1993 70502,S200000,01600,0100,Y 70523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70523,A000000,00300,0000,00300EMPLOYEE BENEFITS 70523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70523,A000000,00700,0000,00700HOUSEKEEPING 70523,A000000,00800,0000,00800DIETARY 70523,A000000,00900,0000,00900NURSING ADMINISTRATION 70523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70523,A000000,01100,0000,01100PHARMACY 70523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70523,A000000,01300,0000,01300SOCIAL SERVICE 70523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70523,A000000,01600,0000,01600SKILLED NURSING FACILITY 70523,A000000,01800,0000,01800NURSING FACILITY 70523,A000000,01810,0000,01810ICF/MR 70523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70523,A000000,02500,0000,02500PHYSICAL THERAPY 70523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70523,A000000,02700,0000,02700SPEECH PATHOLOGY 70523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70523,A000000,03050,0000,03300PEN THERAPY 70523,A000000,03051,0000,03301THERAPY BEDS 70523,A000000,03550,0000,03550FQHC 70523,A000000,05000,0000,05000CORF 70523,A000000,05010,0000,05010CMHC 70523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70523,A000000,05300,0000,05300INTEREST EXPENSE 70523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70523,A000000,06150,0000,06300DIALYSIS 70523,A000000,06151,0000,06301UNOCCUPIED SPACE 70523,A000000,06152,0000,06302CLINIC 70523,A81000A,00100,0100,Y 70523,A81000B,00100,0300,LAUNDRY 70523,A81000B,00200,0300,LAUNDRY-CAPITAL 70523,A81000B,00300,0300,MAMAGEMENT FEE 70523,A81000C,00100,0100,C 70523,A81000C,00100,0400,CARILION LAUNDRY 70523,A81000C,00100,0600,LAUNDRY 70523,A81000C,00300,0100,C 70523,A81000C,00300,0400,CARILION 70523,A81000C,00300,0600,MANAGEMENT 70523,B100000,00000,0100,00002SQUARE FEET 70523,B100000,00000,0200,00002SQUARE FEET 70523,B100000,00000,0300,00002GROSS SALARIES 70523,B100000,00000,0400,00002ACCUM. COST 70523,B100000,00000,0500,00002SQUARE FEET 70523,B100000,00000,0600,00002POUNDS OF LAUNDRY 70523,B100000,00000,0700,00002SQUARE FEET 70523,B100000,00000,0800,00002MEALS 70523,B100000,00000,0900,00002SALARIES 70523,B100000,00000,1000,00002DAYS 70523,B100000,00000,1100,00002COSTED REQUIS 70523,B100000,00000,1200,00002TIME SPENT 70523,B100000,00000,1300,00002TIME SPENT 70523,B100000,00000,1400,00002ASSIGNED TIME 70523,E10A180,00301,0100,11/18/1999 70523,E10A180,00501,0100,02/25/2000 70523,E10A180,00550,0300,02/25/2000 70523,S000000,00100,0200,02/24/2000 70523,S200000,00100,0100,611 MCDOWELL AVE. N.W. 70523,S200000,00200,0100,ROANOKE 70523,S200000,00200,0200,VA 70523,S200000,00400,0100,BURRELL NURSING CENTER 70523,S200000,00400,0200,495284 70523,S200000,00400,0300,11/01/1993 70523,S200000,00400,0500,P 70523,S200000,00600,0200,495284 70523,S200000,00600,0300,11/01/1993 70523,S200000,01500,0100,Y 70532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70532,A000000,00300,0000,00300EMPLOYEE BENEFITS 70532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70532,A000000,00700,0000,00700HOUSEKEEPING 70532,A000000,00800,0000,00800DIETARY 70532,A000000,00900,0000,00900NURSING ADMINISTRATION 70532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70532,A000000,01100,0000,01100PHARMACY 70532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70532,A000000,01300,0000,01300SOCIAL SERVICE 70532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70532,A000000,01600,0000,01600SKILLED NURSING FACILITY 70532,A000000,01810,0000,01810ICF/MR 70532,A000000,02100,0000,02100RADIOLOGY 70532,A000000,02200,0000,02200LABORATORY 70532,A000000,02500,0000,02500PHYSICAL THERAPY 70532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70532,A000000,02700,0000,02700SPEECH PATHOLOGY 70532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70532,A000000,03450,0000,03600RESIDENT SERVICES 70532,A000000,03550,0000,03550FQHC 70532,A000000,05000,0000,05000CORF 70532,A000000,05010,0000,05010CMHC 70532,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70532,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70532,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70532,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70532,A000000,06201,0000,06201INDEP & ASSIST LIVING 70532,A000000,06202,0000,06202MARKETING 70532,B100000,00000,0100,00002SQUARE FEET 70532,B100000,00000,0200,00002SQUARE FEET 70532,B100000,00000,0300,00002GROSS SALARIES 70532,B100000,00000,0400,00002ACCUM. COST 70532,B100000,00000,0500,00002SQUARE FEET 70532,B100000,00000,0600,00002POUNDS OF LAUNDRY 70532,B100000,00000,0700,00002SQUARE FEET 70532,B100000,00000,0800,00002MEALS SERVED 70532,B100000,00000,0900,00002DIRECT NRSING HRS 70532,B100000,00000,1000,00002COSTED REQUIS. 70532,B100000,00000,1100,00002COSTED REQUIS. 70532,B100000,00000,1200,00002TIME SPENT 70532,B100000,00000,1300,00002PATIENT DA 70532,B100000,00000,1400,00002ASSIGNED TIME 70532,E10A180,00301,0100,08/12/1999 70532,E10A180,00501,0100,07/27/2000 70532,E10A180,00601,0100,07/10/2001 70532,E10A180,00601,0300,07/10/2001 70532,S000000,00100,0200,05/30/2000 70532,S200000,00100,0100,5100 FILLMORE AVENUE 70532,S200000,00200,0100,ALEXANDRIA 70532,S200000,00200,0200,VA 70532,S200000,00200,0300,22311 70532,S200000,00300,0100,ALEXANDRIA 70532,S200000,00400,0100,THE WASHINGTON HOUSE 70532,S200000,00400,0200,495288 70532,S200000,00400,0300,01/01/1994 70532,S200000,00400,0500,P 70532,S200000,01500,0100,Y 70532,S200000,01900,0100,NON PROFIT 70532,S200000,02200,0100,Y 70564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70564,A000000,00300,0000,00300EMPLOYEE BENEFITS 70564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70564,A000000,00700,0000,00700HOUSEKEEPING 70564,A000000,00800,0000,00800DIETARY 70564,A000000,00900,0000,00900NURSING ADMINISTRATION 70564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70564,A000000,01100,0000,01100PHARMACY 70564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70564,A000000,01300,0000,01300SOCIAL SERVICE 70564,A000000,01350,0000,01500RECREATION/ACTIVITIES 70564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70564,A000000,01600,0000,01600SKILLED NURSING FACILITY 70564,A000000,01800,0000,01800NURSING FACILITY 70564,A000000,01810,0000,01810ICF/MR 70564,A000000,02100,0000,02100RADIOLOGY 70564,A000000,02200,0000,02200LABORATORY 70564,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70564,A000000,02500,0000,02500PHYSICAL THERAPY 70564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70564,A000000,02700,0000,02700SPEECH PATHOLOGY 70564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70564,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70564,A000000,03200,0000,03200SUPPORT SURFACES 70564,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70564,A000000,03550,0000,03550FQHC 70564,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70564,A000000,05000,0000,05000CORF 70564,A000000,05010,0000,05010CMHC 70564,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70564,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70564,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70564,A000000,05300,0000,05300INTEREST EXPENSE 70564,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70564,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70564,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70564,A81000A,00100,0100,Y 70564,A81000B,00100,0300,HOME OFFICE COSTS 70564,A81000B,00200,0300,HOME OFFICE COSTS 70564,A81000B,00300,0300,HOME OFFICE COST-TRAINING 70564,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70564,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70564,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70564,A81000B,00700,0300,RELATED PARTY - PHARMACY 70564,A81000B,00800,0300,RELATED PARTY - PHARMACY 70564,A81000B,00900,0300,RELATED PARTY - PHARMACY 70564,A81000B,01000,0300,RELATED PARTY -PHARMACY 70564,A81000B,01100,0300,RELATED PARTY - PHARMACY 70564,A81000B,01200,0300,RELATED PARTY - PHARMACY 70564,A81000C,00100,0100,B 70564,A81000C,00100,0200,MFV II 70564,A81000C,00100,0400,MFA INC 70564,A81000C,00100,0600,HOME OFFICE 70564,A81000C,00200,0100,A 70564,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70564,A81000C,00200,0400,PHARMACY CARE PLUS 70564,A81000C,00200,0600,PHARMACY SERVICES 70564,A81000C,00300,0100,A 70564,A81000C,00300,0200,W HEYWOOD FRALIN 70564,A81000C,00300,0400,PHARMACY CARE PLUS 70564,A81000C,00300,0600,PHARMACY SERVICES 70564,B100000,00000,0100,00000SQUARE FEET 70564,B100000,00000,0200,00000SQUARE FEET 70564,B100000,00000,0300,00000GROSS SALARIES 70564,B100000,00000,0400,00000ACCUM. COST 70564,B100000,00000,0500,00000SQUARE FEET 70564,B100000,00000,0600,00000PATIENT DAYS 70564,B100000,00000,0700,00000SQUARE FEET 70564,B100000,00000,0800,00000MEALS SERVED 70564,B100000,00000,0900,00000SALARIES 70564,B100000,00000,1000,00000COSTED REQUIS. 70564,B100000,00000,1100,00000COSTED REQUIS. 70564,B100000,00000,1200,00000TIME SPENT 70564,B100000,00000,1300,00000TIME SPENT 70564,B100000,00000,1350,00000TIME SPENT 70564,B100000,00000,1400,00000ASSIGNED TIME 70564,E10A180,00301,0100,07/29/1999 70564,E10A180,00302,0100,12/30/1999 70564,E10A180,00501,0100,06/16/2000 70564,E10A180,00550,0300,06/16/2000 70564,S000000,00100,0200,05/31/2000 70564,S200000,00100,0100,23020 MAIN STREET 70564,S200000,00200,0100,COURTLAND 70564,S200000,00200,0200,VA 70564,S200000,00300,0100,SOUTHAMPTON 70564,S200000,00400,0100,COURTLAND HEALTH CARE CENTER 70564,S200000,00400,0200,495296 70564,S200000,00400,0300,07/07/1988 70564,S200000,00400,0500,P 70564,S200000,01600,0100,Y 70564,S200000,02800,0100,Y 70569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70569,A000000,00300,0000,00300EMPLOYEE BENEFITS 70569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70569,A000000,00700,0000,00700HOUSEKEEPING 70569,A000000,00800,0000,00800DIETARY 70569,A000000,00900,0000,00900NURSING ADMINISTRATION 70569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70569,A000000,01100,0000,01100PHARMACY 70569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70569,A000000,01300,0000,01300SOCIAL SERVICE 70569,A000000,01350,0000,01500RECREATION/ACTIVITIES 70569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70569,A000000,01600,0000,01600SKILLED NURSING FACILITY 70569,A000000,01800,0000,01800NURSING FACILITY 70569,A000000,01810,0000,01810ICF/MR 70569,A000000,02100,0000,02100RADIOLOGY 70569,A000000,02200,0000,02200LABORATORY 70569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70569,A000000,02500,0000,02500PHYSICAL THERAPY 70569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70569,A000000,02700,0000,02700SPEECH PATHOLOGY 70569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70569,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 70569,A000000,03200,0000,03200SUPPORT SURFACES 70569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70569,A000000,03550,0000,03550FQHC 70569,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70569,A000000,05000,0000,05000CORF 70569,A000000,05010,0000,05010CMHC 70569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70569,A000000,05300,0000,05300INTEREST EXPENSE 70569,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70569,A81000A,00100,0100,Y 70569,A81000B,00100,0300,HOME OFFICE COSTS 70569,A81000B,00200,0300,HOME OFFICE COSTS 70569,A81000B,00300,0300,HOME OFFICE COST-TRAINING 70569,A81000B,00400,0300,HOME OFFICE COST-THERAPY 70569,A81000B,00500,0300,HOME OFFICE COST-THERAPY 70569,A81000B,00600,0300,HOME OFFICE COST-THERAPY 70569,A81000B,00700,0300,RELATED PARTY - PHARMACY 70569,A81000B,00800,0300,RELATED PARTY - PHARMACY 70569,A81000B,00900,0300,RELATED PARTY - PHARMACY 70569,A81000B,01000,0300,RELATED PARTY - PHARMACY 70569,A81000B,01100,0300,RELATED PARTY - PHARMACY 70569,A81000C,00100,0100,B 70569,A81000C,00100,0200,MFV I 70569,A81000C,00100,0400,MFA INC 70569,A81000C,00100,0600,HOME OFFICE 70569,A81000C,00200,0100,A 70569,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 70569,A81000C,00200,0400,PHARMACY CARE PLUS 70569,A81000C,00200,0600,PHARMACY SERVICES 70569,A81000C,00300,0100,A 70569,A81000C,00300,0200,W HEYWOOD FRALIN 70569,A81000C,00300,0400,PHARMACY CARE PLUS 70569,A81000C,00300,0600,PHARMACY SERVICES 70569,B100000,00000,0100,00000SQUARE FEET 70569,B100000,00000,0200,00000SQUARE FEET 70569,B100000,00000,0300,00000GROSS SALARIES 70569,B100000,00000,0400,00000ACCUM. COST 70569,B100000,00000,0500,00000SQUARE FEET 70569,B100000,00000,0600,00000PATIENT DAYS 70569,B100000,00000,0700,00000SQUARE FEET 70569,B100000,00000,0800,00000MEALS SERVED 70569,B100000,00000,0900,00000SALARIES 70569,B100000,00000,1000,00000COSTED REQUIS. 70569,B100000,00000,1100,00000COSTED REQUIS. 70569,B100000,00000,1200,00000TIME SPENT 70569,B100000,00000,1300,00000TIME SPENT 70569,B100000,00000,1350,00000TIME SPENT 70569,B100000,00000,1400,00000ASSIGNED TIME 70569,E10A180,00301,0100,07/29/1999 70569,E10A180,00302,0100,12/30/1999 70569,E10A180,00501,0100,06/16/2000 70569,E10A180,00501,0300,06/16/2000 70569,E10A180,00601,0100,06/15/2001 70569,E10A180,00601,0300,06/15/2001 70569,S000000,00100,0200,05/31/2000 70569,S200000,00100,0100,120 ANDERSON AVENUE 70569,S200000,00100,0300,967 70569,S200000,00200,0100,BOWLING GREEN 70569,S200000,00200,0200,VA 70569,S200000,00300,0100,CAROLINE 70569,S200000,00400,0100,BOWLING GREEN HEALTH CARE CENTER 70569,S200000,00400,0200,495297 70569,S200000,00400,0300,11/24/1987 70569,S200000,00400,0500,P 70569,S200000,01600,0100,Y 70574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70574,A000000,00300,0000,00300EMPLOYEE BENEFITS 70574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70574,A000000,00700,0000,00700HOUSEKEEPING 70574,A000000,00800,0000,00800DIETARY 70574,A000000,00900,0000,00900NURSING ADMINISTRATION 70574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70574,A000000,01100,0000,01100PHARMACY 70574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70574,A000000,01300,0000,01300SOCIAL SERVICE 70574,A000000,01350,0000,01500OTHER GENERAL SERVICES 70574,A000000,01351,0000,01501ACTIVITIES 70574,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70574,A000000,01600,0000,01600SKILLED NURSING FACILITY 70574,A000000,01800,0000,01800NURSING FACILITY 70574,A000000,01810,0000,01810ICF/MR 70574,A000000,02100,0000,02100RADIOLOGY 70574,A000000,02200,0000,02200LABORATORY 70574,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70574,A000000,02500,0000,02500PHYSICAL THERAPY 70574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70574,A000000,02700,0000,02700SPEECH PATHOLOGY 70574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70574,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70574,A000000,03051,0000,03301PEN THERAPY 70574,A000000,03052,0000,03302LAUNDRY 70574,A000000,03550,0000,03550FQHC 70574,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70574,A000000,04751,0000,05101SUBACUTE 70574,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70574,A000000,04800,0000,04800AMBULANCE 70574,A000000,05000,0000,05000CORF 70574,A000000,05010,0000,05010CMHC 70574,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70574,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70574,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70574,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70574,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70574,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70574,A000000,06151,0000,06301V.A. EXPENSES 70574,A000000,06152,0000,06302PERSONAL ITEMS 70574,A000000,06153,0000,06303PEN THERAPY-DMERC 70574,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70574,A81000A,00100,0100,Y 70574,A81000B,00100,0300,AIR TRAVEL 70574,A81000B,00200,0300,PEN THERAPY 70574,A81000C,00100,0100,A 70574,A81000C,00100,0200,WILLIAM C CRANWELL 70574,A81000C,00100,0400,VAERO 70574,A81000C,00100,0600,AIRCRAFT 70574,A81000C,00200,0100,A 70574,A81000C,00200,0200,WILLIAM C CRANWELL 70574,A81000C,00200,0400,HERITAGE ADVANTAGE 70574,A81000C,00200,0600,PEN THERAPY SUPPLIER 70574,A81000C,00300,0100,A 70574,A81000C,00300,0200,ROBERT M CRANWELL 70574,A81000C,00300,0400,HERITAGE ADVANTAGE 70574,A81000C,00300,0600,PEN THERAPY SUPPLIER 70574,A81000C,00400,0100,A 70574,A81000C,00400,0200,RICHARD FRIZZELL 70574,A81000C,00400,0400,HERITAGE ADVANTAGE 70574,A81000C,00400,0600,PEN THERAPY SUPPLIER 70574,B100000,00000,0100,00004SQUARE FEET 70574,B100000,00000,0200,00004SQUARE FEET 70574,B100000,00000,0300,00004GROSS SALARIES 70574,B100000,00000,0400,00004ACCUM. COST 70574,B100000,00000,0500,00004SQUARE FEET 70574,B100000,00000,0600,00004POUNDS OF LAUNDRY 70574,B100000,00000,0700,00004SQUARE FEET 70574,B100000,00000,0800,00004MEALS SERVED 70574,B100000,00000,0900,00004HOURS OF SERVICE 70574,B100000,00000,1000,00004COSTED REQUIS. 70574,B100000,00000,1100,00004COSTED REQUIS. 70574,B100000,00000,1200,00004TIME SPENT 70574,B100000,00000,1300,00004ADMISSIONS S 70574,B100000,00000,1350,00004NO STATISTICS 70574,B100000,00000,1351,00004PATIENT DAYS 70574,B100000,00000,1400,00004TIME SPENT 70574,E10A180,00301,0100,08/24/1999 70574,E10A180,00302,0100,12/20/1999 70574,E10A180,00303,0100,01/20/2000 70574,E10A180,00501,0100,07/27/2000 70574,S000000,00100,0200,06/14/2000 70574,S200000,00100,0100,ROUTE 3 70574,S200000,00100,0300,529 70574,S200000,00200,0100,KING GEORGE 70574,S200000,00200,0200,VA 70574,S200000,00300,0100,KING GEORGE 70574,S200000,00400,0100,AMER HC X LLC DBA HH KING GEORGE 70574,S200000,00400,0200,495300 70574,S200000,00400,0300,06/01/1995 70574,S200000,00400,0500,P 70574,S200000,00600,0200,495300 70574,S200000,00600,0300,09/08/1983 70574,S200000,01600,0100,Y 70579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70579,A000000,00300,0000,00300EMPLOYEE BENEFITS 70579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70579,A000000,00700,0000,00700HOUSEKEEPING 70579,A000000,00800,0000,00800DIETARY 70579,A000000,00900,0000,00900NURSING ADMINISTRATION 70579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70579,A000000,01100,0000,01100PHARMACY 70579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70579,A000000,01300,0000,01300SOCIAL SERVICE 70579,A000000,01350,0000,01500OTHER GENERAL SERVICES 70579,A000000,01351,0000,01501ACTIVITIES 70579,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70579,A000000,01600,0000,01600SKILLED NURSING FACILITY 70579,A000000,01800,0000,01800NURSING FACILITY 70579,A000000,01810,0000,01810ICF/MR 70579,A000000,02500,0000,02500PHYSICAL THERAPY 70579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70579,A000000,02700,0000,02700SPEECH PATHOLOGY 70579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70579,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70579,A000000,03051,0000,03301PEN THERAPY 70579,A000000,03052,0000,03302LAUNDRY 70579,A000000,03550,0000,03550FQHC 70579,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70579,A000000,04751,0000,05101SUBACUTE 70579,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70579,A000000,04800,0000,04800AMBULANCE 70579,A000000,05000,0000,05000CORF 70579,A000000,05010,0000,05010CMHC 70579,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70579,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70579,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70579,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70579,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70579,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70579,A000000,06151,0000,06301V.A. EXPENSES 70579,A000000,06152,0000,06302PERSONAL ITEMS 70579,A000000,06153,0000,06303PEN THERAPY-DMERC 70579,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70579,A81000A,00100,0100,Y 70579,A81000B,00100,0300,AIR TRAVEL 70579,A81000B,00200,0300,PEN THERAPY 70579,A81000C,00100,0100,A 70579,A81000C,00100,0200,WILLIAM C CRANWELL 70579,A81000C,00100,0400,VAERO 70579,A81000C,00100,0600,AIRCRAFT 70579,A81000C,00200,0100,A 70579,A81000C,00200,0200,WILLIAM C CRANWELL 70579,A81000C,00200,0400,HERITAGE ADVANTAGE 70579,A81000C,00200,0600,PEN THERAPY SUPPLIER 70579,A81000C,00300,0100,A 70579,A81000C,00300,0200,ROBERT M CRANWELL 70579,A81000C,00300,0400,HERITAGE ADVANTAGE 70579,A81000C,00300,0600,PEN THERAPY SUPPLIER 70579,A81000C,00400,0100,A 70579,A81000C,00400,0200,RICHARD FRIZZELL 70579,A81000C,00400,0400,HERITAGE ADVANTAGE 70579,A81000C,00400,0600,PEN THERAPY SUPPLIER 70579,B100000,00000,0100,00004SQUARE FEET 70579,B100000,00000,0200,00004SQUARE FEET 70579,B100000,00000,0300,00004GROSS SALARIES 70579,B100000,00000,0400,00004ACCUM. COST 70579,B100000,00000,0500,00004SQUARE FEET 70579,B100000,00000,0600,00004POUNDS OF LAUNDRY 70579,B100000,00000,0700,00004SQUARE FEET 70579,B100000,00000,0800,00004MEALS SERVED 70579,B100000,00000,0900,00004HOURS OF SERVICE 70579,B100000,00000,1000,00004COSTED REQUIS. 70579,B100000,00000,1100,00004COSTED REQUIS. 70579,B100000,00000,1200,00004TIME SPENT 70579,B100000,00000,1300,00004ADMISSIONS S 70579,B100000,00000,1350,00004NO STATISTICS 70579,B100000,00000,1351,00004PATIENT DAYS 70579,B100000,00000,1400,00004TIME SPENT 70579,E10A180,00301,0100,08/24/1999 70579,E10A180,00501,0100,07/27/2000 70579,S000000,00100,0200,06/14/2000 70579,S200000,00100,0100,400 W. STRASBURG RD 70579,S200000,00200,0100,FRONT ROYAL 70579,S200000,00200,0200,VA 70579,S200000,00300,0100,WARREN COUNTY 70579,S200000,00400,0100,LIFE CARE CORP DBA HH FRONT ROYAL 70579,S200000,00400,0200,495301 70579,S200000,00400,0300,06/01/1995 70579,S200000,00400,0500,P 70579,S200000,00600,0200,495301 70579,S200000,00600,0300,03/10/1987 70579,S200000,01600,0100,Y 70590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70590,A000000,00300,0000,00300EMPLOYEE BENEFITS 70590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70590,A000000,00700,0000,00700HOUSEKEEPING 70590,A000000,00800,0000,00800DIETARY 70590,A000000,00900,0000,00900NURSING ADMINISTRATION 70590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70590,A000000,01100,0000,01100PHARMACY 70590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70590,A000000,01300,0000,01300SOCIAL SERVICE 70590,A000000,01350,0000,01500OTHER GENERAL SERVICES 70590,A000000,01351,0000,01501RECREATIONAL THERAPY 70590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70590,A000000,01600,0000,01600SKILLED NURSING FACILITY 70590,A000000,01800,0000,01800NURSING FACILITY 70590,A000000,01810,0000,01810ICF/MR 70590,A000000,02100,0000,02100RADIOLOGY 70590,A000000,02200,0000,02200LABORATORY 70590,A000000,02300,0000,02300INTRAVENOUS THERAPY 70590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70590,A000000,02500,0000,02500PHYSICAL THERAPY 70590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70590,A000000,02700,0000,02700SPEECH PATHOLOGY 70590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70590,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70590,A000000,03550,0000,03550FQHC 70590,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70590,A000000,04800,0000,04800AMBULANCE 70590,A000000,05000,0000,05000CORF 70590,A000000,05010,0000,05010CMHC 70590,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70590,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70590,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70590,A81000A,00100,0100,Y 70590,A81000B,00100,0300,INTEREST EXPENSE 70590,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 70590,A81000B,00300,0300,HEALTHCARE SVCS CAPITAL 70590,A81000B,00400,0300,HEALTHCARE SVCS OTHER 70590,A81000B,00500,0300,HOUSEKEEPING 70590,A81000B,00600,0300,MANAGEMENT CO FEE 70590,A81000B,00700,0300,MANAGEMENT CO FEE CAPITAL 70590,A81000B,00800,0300,MANANGEMENT CO SALARY/BENEFITS 70590,A81000B,00900,0300,PROTECTION OTHER 70590,A81000B,01000,0300,RISK OVERHEAD 70590,A81000B,01100,0300,FOOD PRODUCTION OTHER 70590,A81000B,01200,0300,FOOD PRODUCTION CAPITAL 70590,A81000B,01300,0300,SAFETY CAPITAL 70590,A81000B,01400,0300,SAFETY OTHER 70590,A81000B,01500,0300,HOSPITAL SVCS CAPITAL 70590,A81000B,01600,0300,HOSPITAL SVCS OTHER 70590,A81000B,01700,0300,PRINT SHOP CAPITAL 70590,A81000B,01800,0300,PRINT SHOP OTHER 70590,A81000B,01900,0300,SUPPORT DIVISION DIRECT 70590,A81000B,02000,0300,SUPPORT DIVISION DIRECT 70590,A81000B,02100,0300,SUPPORT DIVISION CAPITAL 70590,A81000C,00100,0100,B 70590,A81000C,00100,0400,RIVERSIDE HEALTHCARE ASSN 70590,A81000C,00100,0600,HEALTHCARE SERVICES 70590,A81000C,00200,0100,B 70590,A81000C,00200,0400,RIVERSIDE HEALTHCARE SVCS 70590,A81000C,00200,0600,HEALTHCARE SERVICES 70590,A81000C,00300,0100,B 70590,A81000C,00300,0400,RIVERSIDE HOSPITAL SVCS 70590,A81000C,00300,0600,HEALTHCARE SERVICES 70590,A81000C,00400,0100,B 70590,A81000C,00400,0400,LT CARE SUPPORT DIVISION 70590,A81000C,00400,0600,FINANCIAL/MGMT SUPPORT 70590,B100000,00000,0100,00000SQUARE FEET 70590,B100000,00000,0200,00000SQUARE FOOTAGE 70590,B100000,00000,0300,00000GROSS SALARIES 70590,B100000,00000,0400,00000ACCUM. COST 70590,B100000,00000,0500,00000SQUARE FOOTAGE 70590,B100000,00000,0600,00000PATIENT DAYS 70590,B100000,00000,0700,00000SQUARE FOOTAGE 70590,B100000,00000,0800,00000MEALS SERVED 70590,B100000,00000,0900,00000HOURS OF SERVICE 70590,B100000,00000,1000,00000HOURS OF SERVICE 70590,B100000,00000,1100,00000COSTED REQUIS. 70590,B100000,00000,1200,00000TIME SPENT 70590,B100000,00000,1300,00000HOURS OF SERVICE 70590,B100000,00000,1350,00000HOURS OF SERVICE 70590,B100000,00000,1351,00000HOURS OF SERVICE 70590,B100000,00000,1400,00000HOURS OF SERVICE 70590,E10A180,00301,0100,08/23/1999 70590,E10A180,00501,0100,05/26/2000 70590,E10A180,00501,0300,05/26/2000 70590,S000000,00100,0200,05/16/2000 70590,S200000,00100,0100,2960 CHELSEA ROAD 70590,S200000,00200,0100,WEST POINT 70590,S200000,00200,0200,VA 70590,S200000,00300,0100,KING WILLIAM 70590,S200000,00400,0100,RIVERSIDE CONVALESCENT CENTER WEST P 70590,S200000,00400,0200,495303 70590,S200000,00400,0300,09/01/1995 70590,S200000,00400,0500,P 70590,S200000,01500,0100,Y 70614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70614,A000000,00300,0000,00300EMPLOYEE BENEFITS 70614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70614,A000000,00700,0000,00700HOUSEKEEPING 70614,A000000,00800,0000,00800DIETARY 70614,A000000,00900,0000,00900NURSING ADMINISTRATION 70614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70614,A000000,01100,0000,01100PHARMACY 70614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70614,A000000,01300,0000,01300SOCIAL SERVICE 70614,A000000,01350,0000,01500OTHER GENERAL SERVICES 70614,A000000,01351,0000,01501ACTIVITIES 70614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70614,A000000,01600,0000,01600SKILLED NURSING FACILITY 70614,A000000,01800,0000,01800NURSING FACILITY 70614,A000000,01810,0000,01810ICF/MR 70614,A000000,02100,0000,02100RADIOLOGY 70614,A000000,02200,0000,02200LABORATORY 70614,A000000,02500,0000,02500PHYSICAL THERAPY 70614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70614,A000000,02700,0000,02700SPEECH PATHOLOGY 70614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70614,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70614,A000000,03051,0000,03301PEN THERAPY 70614,A000000,03052,0000,03302LAUNDRY 70614,A000000,03550,0000,03550FQHC 70614,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70614,A000000,04751,0000,05101SUBACUTE 70614,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70614,A000000,04800,0000,04800AMBULANCE 70614,A000000,05000,0000,05000CORF 70614,A000000,05010,0000,05010CMHC 70614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70614,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70614,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70614,A000000,06151,0000,06301V.A. EXPENSES 70614,A000000,06152,0000,06302PERSONAL ITEMS 70614,A000000,06153,0000,06303PEN THERAPY-DMERC 70614,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70614,A81000A,00100,0100,Y 70614,A81000B,00100,0300,AIR TRAVEL 70614,A81000B,00200,0300,PEN THERAPY 70614,A81000C,00100,0100,A 70614,A81000C,00100,0200,WILLIAM C CRANWELL 70614,A81000C,00100,0400,VAERO 70614,A81000C,00100,0600,AIRCRAFT 70614,A81000C,00200,0100,A 70614,A81000C,00200,0200,WILLIAM C CRANWELL 70614,A81000C,00200,0400,HERITAGE ADVANTAGE 70614,A81000C,00200,0600,PEN THERAPY SUPPLIER 70614,A81000C,00300,0100,A 70614,A81000C,00300,0200,ROBERT M CRANWELL 70614,A81000C,00300,0400,HERITAGE ADVANTAGE 70614,A81000C,00300,0600,PEN THERAPY SUPPLIER 70614,A81000C,00400,0100,A 70614,A81000C,00400,0200,RICHARD FRIZZELL 70614,A81000C,00400,0400,HERITAGE ADVANTAGE 70614,A81000C,00400,0600,PEN THERAPY SUPPLIER 70614,B100000,00000,0100,00004SQUARE FEET 70614,B100000,00000,0200,00004SQUARE FEET 70614,B100000,00000,0300,00004GROSS SALARIES 70614,B100000,00000,0400,00004ACCUM. COST 70614,B100000,00000,0500,00004SQUARE FEET 70614,B100000,00000,0600,00004POUNDS OF LAUNDRY 70614,B100000,00000,0700,00004SQUARE FEET 70614,B100000,00000,0800,00004MEALS SERVED 70614,B100000,00000,0900,00004HOURS OF SERVICE 70614,B100000,00000,1000,00004COSTED REQUIS. 70614,B100000,00000,1100,00004COSTED REQUIS. 70614,B100000,00000,1200,00004TIME SPENT 70614,B100000,00000,1300,00004ADMISSIONS S 70614,B100000,00000,1350,00004NO STATISTICS 70614,B100000,00000,1351,00004PATIENT DAYS 70614,B100000,00000,1400,00004TIME SPENT 70614,E10A180,00301,0100,12/20/1999 70614,E10A180,00302,0100,01/20/2000 70614,E10A180,00501,0100,07/27/2000 70614,S000000,00100,0200,06/14/2000 70614,S200000,00100,0100,BRICKYARD DRIVE 70614,S200000,00100,0300,580 70614,S200000,00200,0100,DILLWYN 70614,S200000,00200,0200,VA 70614,S200000,00300,0100,BUCKINGHAM 70614,S200000,00400,0100,AMER HC X LLC DBA HH DILLWYN 70614,S200000,00400,0200,495317 70614,S200000,00400,0300,06/01/1997 70614,S200000,00400,0500,P 70614,S200000,00600,0200,495317 70614,S200000,00600,0300,04/22/1983 70614,S200000,01600,0100,Y 70624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70624,A000000,00300,0000,00300EMPLOYEE BENEFITS 70624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70624,A000000,00700,0000,00700HOUSEKEEPING 70624,A000000,00800,0000,00800DIETARY 70624,A000000,00900,0000,00900NURSING ADMINISTRATION 70624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70624,A000000,01100,0000,01100PHARMACY 70624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70624,A000000,01300,0000,01300SOCIAL SERVICE 70624,A000000,01350,0000,01500OTHER GENERAL SERVICES 70624,A000000,01351,0000,01501ACTIVITIES 70624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70624,A000000,01600,0000,01600SKILLED NURSING FACILITY 70624,A000000,01800,0000,01800NURSING FACILITY 70624,A000000,01810,0000,01810ICF/MR 70624,A000000,02100,0000,02100RADIOLOGY 70624,A000000,02200,0000,02200LABORATORY 70624,A000000,02500,0000,02500PHYSICAL THERAPY 70624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70624,A000000,02700,0000,02700SPEECH PATHOLOGY 70624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70624,A000000,03051,0000,03301PEN THERAPY 70624,A000000,03052,0000,03302LAUNDRY 70624,A000000,03550,0000,03550FQHC 70624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70624,A000000,04751,0000,05101SUBACUTE 70624,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70624,A000000,04800,0000,04800AMBULANCE 70624,A000000,05000,0000,05000CORF 70624,A000000,05010,0000,05010CMHC 70624,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70624,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70624,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70624,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70624,A000000,06151,0000,06301V.A. EXPENSES 70624,A000000,06152,0000,06302PERSONAL ITEMS 70624,A000000,06153,0000,06303PEN THERAPY-DMERC 70624,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70624,A81000A,00100,0100,Y 70624,A81000B,00100,0300,AIR TRAVEL 70624,A81000B,00200,0300,PEN THERAPY 70624,A81000C,00100,0100,A 70624,A81000C,00100,0200,WILLIAM C CRANWELL 70624,A81000C,00100,0400,VAERO 70624,A81000C,00100,0600,AIRCRAFT 70624,A81000C,00200,0100,A 70624,A81000C,00200,0200,WILLIAM C CRANWELL 70624,A81000C,00200,0400,HERITAGE ADVANTAGE 70624,A81000C,00200,0600,PEN THERAPY SUPPLIER 70624,A81000C,00300,0100,A 70624,A81000C,00300,0200,ROBERT M CRANWELL 70624,A81000C,00300,0400,HERITAGE ADVANTAGE 70624,A81000C,00300,0600,PEN THERAPY SUPPLIER 70624,A81000C,00400,0100,A 70624,A81000C,00400,0200,RICHARD FRIZZELL 70624,A81000C,00400,0400,HERITAGE ADVANTAGE 70624,A81000C,00400,0600,PEN THERAPY SUPPLIER 70624,B100000,00000,0100,00004SQUARE FEET 70624,B100000,00000,0200,00004SQUARE FEET 70624,B100000,00000,0300,00004GROSS SALARIES 70624,B100000,00000,0400,00004ACCUM. COST 70624,B100000,00000,0500,00004SQUARE FEET 70624,B100000,00000,0600,00004POUNDS OF LAUNDRY 70624,B100000,00000,0700,00004SQUARE FEET 70624,B100000,00000,0800,00004MEALS SERVED 70624,B100000,00000,0900,00004HOURS OF SERVICE 70624,B100000,00000,1000,00004COSTED REQUIS. 70624,B100000,00000,1100,00004COSTED REQUIS. 70624,B100000,00000,1200,00004TIME SPENT 70624,B100000,00000,1300,00004ADMISSIONS S 70624,B100000,00000,1350,00004NO STATISTICS 70624,B100000,00000,1351,00004PATIENT DAYS 70624,B100000,00000,1400,00004TIME SPENT 70624,E10A180,00301,0100,08/24/1999 70624,E10A180,00302,0100,12/20/1999 70624,E10A180,00501,0100,07/27/2000 70624,S000000,00100,0200,06/14/2000 70624,S200000,00100,0100,ROUTE 607 70624,S200000,00100,0300,909 70624,S200000,00200,0100,CLINTWOOD 70624,S200000,00200,0200,VA 70624,S200000,00300,0100,DICKENSON 70624,S200000,00400,0100,AMER HC X LLC DBA HH CLINTWOOD 70624,S200000,00400,0200,495320 70624,S200000,00400,0300,08/01/1997 70624,S200000,00400,0500,P 70624,S200000,00600,0200,495320 70624,S200000,00600,0300,02/23/1981 70624,S200000,01600,0100,Y 70629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70629,A000000,00300,0000,00300EMPLOYEE BENEFITS 70629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70629,A000000,00700,0000,00700HOUSEKEEPING 70629,A000000,00800,0000,00800DIETARY 70629,A000000,00900,0000,00900NURSING ADMINISTRATION 70629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70629,A000000,01100,0000,01100PHARMACY 70629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70629,A000000,01300,0000,01300SOCIAL SERVICE 70629,A000000,01350,0000,01500OTHER GENERAL SERVICES 70629,A000000,01351,0000,01501ACTIVITIES 70629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70629,A000000,01600,0000,01600SKILLED NURSING FACILITY 70629,A000000,01800,0000,01800NURSING FACILITY 70629,A000000,01810,0000,01810ICF/MR 70629,A000000,02200,0000,02200LABORATORY 70629,A000000,02500,0000,02500PHYSICAL THERAPY 70629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70629,A000000,02700,0000,02700SPEECH PATHOLOGY 70629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70629,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70629,A000000,03051,0000,03301PEN THERAPY 70629,A000000,03052,0000,03302LAUNDRY 70629,A000000,03550,0000,03550FQHC 70629,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70629,A000000,04751,0000,05101SUBACUTE 70629,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70629,A000000,04800,0000,04800AMBULANCE 70629,A000000,05000,0000,05000CORF 70629,A000000,05010,0000,05010CMHC 70629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70629,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70629,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70629,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70629,A000000,06151,0000,06301V.A. EXPENSES 70629,A000000,06152,0000,06302PERSONAL ITEMS 70629,A000000,06153,0000,06303PEN THERAPY-DMERC 70629,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70629,A81000A,00100,0100,Y 70629,A81000B,00100,0300,AIR TRAVEL 70629,A81000B,00200,0300,PEN THERAPY 70629,A81000C,00100,0100,A 70629,A81000C,00100,0200,WILLIAM C CRANWELL 70629,A81000C,00100,0400,VAERO 70629,A81000C,00100,0600,AIRCRAFT 70629,A81000C,00200,0100,A 70629,A81000C,00200,0200,WILLIAM C CRANWELL 70629,A81000C,00200,0400,HERITAGE ADVANTAGE 70629,A81000C,00200,0600,PEN THERAPY SUPPLIER 70629,A81000C,00300,0100,A 70629,A81000C,00300,0200,ROBERT M CRANWELL 70629,A81000C,00300,0400,HERITAGE ADVANTAGE 70629,A81000C,00300,0600,PEN THERAPY SUPPLIER 70629,A81000C,00400,0100,A 70629,A81000C,00400,0200,RICHARD FRIZZELL 70629,A81000C,00400,0400,HERITAGE ADVANTAGE 70629,A81000C,00400,0600,PEN THERAPY SUPPLIER 70629,B100000,00000,0100,00004SQUARE FEET 70629,B100000,00000,0200,00004SQUARE FEET 70629,B100000,00000,0300,00004GROSS SALARIES 70629,B100000,00000,0400,00004ACCUM. COST 70629,B100000,00000,0500,00004SQUARE FEET 70629,B100000,00000,0600,00004POUNDS OF LAUNDRY 70629,B100000,00000,0700,00004SQUARE FEET 70629,B100000,00000,0800,00004MEALS SERVED 70629,B100000,00000,0900,00004HOURS OF SERVICE 70629,B100000,00000,1000,00004COSTED REQUIS. 70629,B100000,00000,1100,00004COSTED REQUIS. 70629,B100000,00000,1200,00004TIME SPENT 70629,B100000,00000,1300,00004ADMISSIONS S 70629,B100000,00000,1350,00004NO STATISTICS 70629,B100000,00000,1351,00004PATIENT DAYS 70629,B100000,00000,1400,00004TIME SPENT 70629,E10A180,00301,0100,01/20/2000 70629,E10A180,00501,0100,07/27/2000 70629,S000000,00100,0200,06/14/2000 70629,S200000,00100,0100,205 HOUSTON STREET 70629,S200000,00200,0100,LEXINGTON 70629,S200000,00200,0200,VA 70629,S200000,00300,0100,LEXINGTON 70629,S200000,00400,0100,LIFE CARE CORP DBA HH LEXINGTON 70629,S200000,00400,0200,495321 70629,S200000,00400,0300,07/01/1997 70629,S200000,00400,0500,P 70629,S200000,00600,0200,495321 70629,S200000,00600,0300,01/10/1992 70629,S200000,01600,0100,Y 70636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70636,A000000,00300,0000,00300EMPLOYEE BENEFITS 70636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70636,A000000,00700,0000,00700HOUSEKEEPING 70636,A000000,00800,0000,00800DIETARY 70636,A000000,00900,0000,00900NURSING ADMINISTRATION 70636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70636,A000000,01100,0000,01100PHARMACY 70636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70636,A000000,01300,0000,01300SOCIAL SERVICE 70636,A000000,01350,0000,01500OTHER GENERAL SERVICES 70636,A000000,01351,0000,01501ACTIVITIES 70636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70636,A000000,01600,0000,01600SKILLED NURSING FACILITY 70636,A000000,01800,0000,01800NURSING FACILITY 70636,A000000,01810,0000,01810ICF/MR 70636,A000000,02200,0000,02200LABORATORY 70636,A000000,02500,0000,02500PHYSICAL THERAPY 70636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70636,A000000,02700,0000,02700SPEECH PATHOLOGY 70636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70636,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70636,A000000,03051,0000,03301PEN THERAPY 70636,A000000,03052,0000,03302LAUNDRY 70636,A000000,03550,0000,03550FQHC 70636,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70636,A000000,04751,0000,05101SUBACUTE 70636,A000000,04752,0000,05102SUBACUTE ANCILL.<120196 70636,A000000,04800,0000,04800AMBULANCE 70636,A000000,05000,0000,05000CORF 70636,A000000,05010,0000,05010CMHC 70636,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70636,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70636,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70636,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70636,A000000,06001,0000,06001RENTED SPACE TO OTHER ENTITIES 70636,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70636,A000000,06151,0000,06301V.A. EXPENSES 70636,A000000,06152,0000,06302PERSONAL ITEMS 70636,A000000,06153,0000,06303PEN THERAPY-DMERC 70636,A000000,06154,0000,06304PHARMACY-MANAGED CARE-NO CHARGE 70636,A81000A,00100,0100,Y 70636,A81000B,00100,0300,AIR TRAVEL 70636,A81000B,00200,0300,PEN THERAPY 70636,A81000C,00100,0100,A 70636,A81000C,00100,0200,WILLIAM C CRANWELL 70636,A81000C,00100,0400,VAERO 70636,A81000C,00100,0600,AIRCRAFT 70636,A81000C,00200,0100,A 70636,A81000C,00200,0200,WILLIAM C CRANWELL 70636,A81000C,00200,0400,HERITAGE ADVANTAGE 70636,A81000C,00200,0600,PEN THERAPY SUPPLIER 70636,A81000C,00300,0100,A 70636,A81000C,00300,0200,ROBERT M CRANWELL 70636,A81000C,00300,0400,HERITAGE ADVANTAGE 70636,A81000C,00300,0600,PEN THERAPY SUPPLIER 70636,A81000C,00400,0100,A 70636,A81000C,00400,0200,RICHARD FRIZZELL 70636,A81000C,00400,0400,HERITAGE ADVANTAGE 70636,A81000C,00400,0600,PEN THERAPY SUPPLIER 70636,B100000,00000,0100,00004SQUARE FEET 70636,B100000,00000,0200,00004SQUARE FEET 70636,B100000,00000,0300,00004GROSS SALARIES 70636,B100000,00000,0400,00004ACCUM. COST 70636,B100000,00000,0500,00004SQUARE FEET 70636,B100000,00000,0600,00004POUNDS OF LAUNDRY 70636,B100000,00000,0700,00004SQUARE FEET 70636,B100000,00000,0800,00004MEALS SERVED 70636,B100000,00000,0900,00004HOURS OF SERVICE 70636,B100000,00000,1000,00004COSTED REQUIS. 70636,B100000,00000,1100,00004COSTED REQUIS. 70636,B100000,00000,1200,00004TIME SPENT 70636,B100000,00000,1300,00004ADMISSIONS S 70636,B100000,00000,1350,00004NO STATISTICS 70636,B100000,00000,1351,00004PATIENT DAYS 70636,B100000,00000,1400,00004TIME SPENT 70636,E10A180,00301,0100,08/24/1999 70636,E10A180,00302,0100,01/20/2000 70636,E10A180,00501,0100,07/27/2000 70636,S000000,00100,0200,06/14/2000 70636,S200000,00100,0300,87 70636,S200000,00200,0100,LAUREL FORK 70636,S200000,00200,0200,VA 70636,S200000,00300,0100,MEADOWS OF DAN 70636,S200000,00400,0100,LIFE CARE CORP DBA HH LAUREL MEADOWS 70636,S200000,00400,0200,495323 70636,S200000,00400,0300,11/01/1997 70636,S200000,00400,0500,P 70636,S200000,00600,0200,495323 70636,S200000,00600,0300,09/01/1995 70636,S200000,01600,0100,Y 70657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70657,A000000,00300,0000,00300EMPLOYEE BENEFITS 70657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70657,A000000,00700,0000,00700HOUSEKEEPING 70657,A000000,00800,0000,00800DIETARY 70657,A000000,00900,0000,00900NURSING ADMINISTRATION 70657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70657,A000000,01100,0000,01100PHARMACY 70657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70657,A000000,01300,0000,01300SOCIAL SERVICE 70657,A000000,01350,0000,01500OTHER GENERAL SERVICES 70657,A000000,01351,0000,01501RECREATIONAL THERAPY 70657,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENT 70657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70657,A000000,01600,0000,01600SKILLED NURSING FACILITY 70657,A000000,01800,0000,01800NURSING FACILITY 70657,A000000,01900,0000,01900OTHER LONG TERM CARE 70657,A000000,02200,0000,02200LABORATORY 70657,A000000,02300,0000,02300INTRAVENOUS THERAPY 70657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70657,A000000,02500,0000,02500PHYSICAL THERAPY 70657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70657,A000000,02700,0000,02700SPEECH PATHOLOGY 70657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70657,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70657,A000000,03051,0000,03301KINETIC THERAPY 70657,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70657,A000000,03550,0000,03550FQHC 70657,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70657,A000000,04800,0000,04800AMBULANCE 70657,A000000,05000,0000,05000CORF 70657,A000000,05010,0000,05010CMHC 70657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70657,A000000,06001,0000,06001SUPPLY BILL (GATTI) 70657,A000000,06002,0000,06002SEVAMP 70657,A81000A,00100,0100,Y 70657,A81000B,00100,0300,HOME OFFICE OTHER 70657,A81000B,00200,0300,HOME OFFICE CAPITAL 70657,A81000B,00300,0300,HEALTHCARE SERVICES 70657,A81000B,00400,0300,MANAGEMENT CO FEE 70657,A81000B,00500,0300,MANAGEMENT CO FEE 70657,A81000B,00600,0300,MANAGEMENT CO SALARY 70657,A81000B,00700,0300,MANAGEMENT CO BENEFITS 70657,A81000B,00800,0300,PROTECTION/SAFETY 70657,A81000B,00900,0300,RISK MANAGEMENT 70657,A81000B,01000,0300,FOOD PRODUCTION CT. 70657,A81000B,01100,0300,FOOD PRODUCTION CENTER 70657,A81000B,01200,0300,FOOD PRODUCTION CENTER 70657,A81000B,01300,0300,HOSPITAL SERVICES 70657,A81000B,01400,0300,HOSPITAL SERVICES 70657,A81000B,01500,0300,PRINT SHOP 70657,A81000B,01600,0300,PRINT SHOP 70657,A81000B,01700,0300,SUPPORT DIVISION 70657,A81000B,01800,0300,SUPPORT DIVISION 70657,A81000B,01900,0300,SUPPORT DIV 70657,A81000C,00100,0100,B 70657,A81000C,00100,0400,RIVERSIDE HEALTHCARE ASSC 70657,A81000C,00100,0600,HEALTHCARE 70657,A81000C,00200,0100,B 70657,A81000C,00200,0400,RIV HEALTH SVS 70657,A81000C,00200,0600,HEALTHCARE 70657,A81000C,00300,0100,B 70657,A81000C,00300,0400,RIV HOSPITAL SVC 70657,A81000C,00300,0600,HEALTHCARE 70657,A81000C,00400,0100,B 70657,A81000C,00400,0400,RIV LTC 70657,A81000C,00400,0600,HEALTHCARE 70657,B100000,00000,0100,00002SQUARE FEET 70657,B100000,00000,0200,00002SQUARE FEET 70657,B100000,00000,0300,00002GROSS SALARIES 70657,B100000,00000,0400,00002ACCUM. COST 70657,B100000,00000,0500,00002SQUARE FEET 70657,B100000,00000,0600,00002PROCESS COSTS 70657,B100000,00000,0700,00002SQUARE FEET 70657,B100000,00000,0800,00002MEALS SERVED 70657,B100000,00000,0900,00002DIRECT NRSING HRS 70657,B100000,00000,1000,00002COSTED REQUIS 70657,B100000,00000,1100,00002COSTED REQUIS 70657,B100000,00000,1200,00002TIME SPENT 70657,B100000,00000,1300,00002PATIENT DAYS 70657,B100000,00000,1350,00002NO STATISTICS 70657,B100000,00000,1351,00002PATIENT DAYS 70657,B100000,00000,1352,00002PATIENT DAYS 70657,B100000,00000,1400,00002ASSIGNED TIME 70657,S000000,00100,0200,05/11/2000 70657,S200000,00100,0100,200 LUMAR ROAD 70657,S200000,00200,0100,SMITHFIELD 70657,S200000,00200,0200,VA 70657,S200000,00300,0100,ILE OF WIGHT 70657,S200000,00400,0100,RIVERSIDE CC-SMITHFIELD 70657,S200000,00400,0200,495332 70657,S200000,00400,0300,10/01/1998 70657,S200000,00400,0500,P 70657,S200000,00400,0600,O 70657,S200000,00600,0200,495332 70657,S200000,00600,0300,11/06/1989 70657,S200000,00600,0600,P 70657,S200000,01600,0100,Y 70660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70660,A000000,00300,0000,00300EMPLOYEE BENEFITS 70660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70660,A000000,00700,0000,00700HOUSEKEEPING 70660,A000000,00800,0000,00800DIETARY 70660,A000000,00900,0000,00900NURSING ADMINISTRATION 70660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70660,A000000,01100,0000,01100PHARMACY 70660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70660,A000000,01300,0000,01300SOCIAL SERVICE 70660,A000000,01301,0000,01301SOCIAL SERVICE/ACTIVITIES 70660,A000000,01350,0000,01500OTHER GENERAL SERVICES 70660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70660,A000000,01600,0000,01600SKILLED NURSING FACILITY 70660,A000000,01800,0000,01800NURSING FACILITY 70660,A000000,01810,0000,01810ICF/MR 70660,A000000,02100,0000,02100RADIOLOGY 70660,A000000,02200,0000,02200LABORATORY 70660,A000000,02500,0000,02500PHYSICAL THERAPY 70660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70660,A000000,02700,0000,02700SPEECH PATHOLOGY 70660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70660,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70660,A000000,03550,0000,03550FQHC 70660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70660,A000000,05000,0000,05000CORF 70660,A000000,05010,0000,05010CMHC 70660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70660,A81000A,00100,0100,Y 70660,A81000B,00100,0300,CONTRACT PT 70660,A81000B,00200,0300,CONTRACT OT 70660,A81000B,00300,0300,CONTRACT SPEECH 70660,A81000B,00400,0300,RENT 70660,A81000B,00500,0300,SVCS FROM HOSPITAL 70660,A81000B,00600,0300,SVCS FROM HOSPITAL 70660,A81000B,00700,0300,INTERCO FINANCE COSTS 70660,A81000C,00100,0100,A 70660,A81000C,00100,0200,SHORE HEALTH SVCS 70660,A81000C,00100,0400,SHORE REHAB INC 70660,A81000C,00100,0600,REHAB AGCY 70660,A81000C,00200,0100,A 70660,A81000C,00200,0200,SHORE HEALTH SVCS 70660,A81000C,00200,0400,SHORE REHAB INC 70660,A81000C,00200,0600,REHAB AGCY 70660,A81000C,00300,0100,A 70660,A81000C,00300,0200,SHORE HEALTH SVCS 70660,A81000C,00300,0400,SHORE REHAB INC 70660,A81000C,00300,0600,REHAB AGCY 70660,A81000C,00400,0100,B 70660,A81000C,00400,0200,SHORE MEMORIAL HOSPITAL 70660,A81000C,00400,0400,ACCOMACK CTY NURSING HOME 70660,A81000C,00400,0600,LESSOR 70660,A81000C,00500,0100,C 70660,A81000C,00500,0200,SHORE MEM HOSTIPAL 70660,A81000C,00500,0400,SHORE HEALTH SVCS 70660,A81000C,00500,0600,HOSPITAL 70660,A81000C,00600,0100,C 70660,A81000C,00600,0200,SHORE MEM HOSPITAL 70660,A81000C,00600,0400,SHORE HEALTH SVCS 70660,A81000C,00600,0600,HOSPITAL 70660,A81000C,00700,0100,C 70660,A81000C,00700,0200,SHORE MEM HOSPITAL 70660,A81000C,00700,0400,SHORE HEALTH SVCS 70660,A81000C,00700,0600,HOSPITAL 70660,B100000,00000,0100,00000SQUARE FEET 70660,B100000,00000,0200,00000SQUARE FEET 70660,B100000,00000,0300,00000GROSS SALARIES 70660,B100000,00000,0400,00000ACCUM. COST 70660,B100000,00000,0500,00000SQUARE FEET 70660,B100000,00000,0600,00000PATIENT DAYS 70660,B100000,00000,0700,00000SQUARE FEET 70660,B100000,00000,0800,00000MEALS SERVED 70660,B100000,00000,0900,00000PATIENT DAYS 70660,B100000,00000,1000,00000PATIENT DAYS 70660,B100000,00000,1100,00000COSTED REQUIS. 70660,B100000,00000,1200,00000PATIENT DAYS 70660,B100000,00000,1300,00000TIME SPENT 70660,B100000,00000,1301,00000PATIENT DAYS 70660,B100000,00000,1350,00000NO STATISTICS 70660,B100000,00000,1400,00000ASSIGNED TIME 70660,E10A180,00301,0100,01/20/2000 70660,E10A180,00501,0100,06/22/2000 70660,E10A180,00501,0300,06/22/2000 70660,S000000,00100,0200,05/31/2000 70660,S200000,00100,0100,26181 PARKSLEY ROAD 70660,S200000,00100,0300,185 70660,S200000,00200,0100,PARKSLEY 70660,S200000,00200,0200,VA 70660,S200000,00200,0300,23421 70660,S200000,00300,0100,NORTHAMPTON 70660,S200000,00400,0100,SHORE LIFE CARE 70660,S200000,00400,0200,495334 70660,S200000,00400,0300,11/01/1998 70660,S200000,00400,0500,P 70660,S200000,00600,0200,496501 70660,S200000,00600,0300,01/01/1966 70684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70684,A000000,00300,0000,00300EMPLOYEE BENEFITS 70684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70684,A000000,00700,0000,00700HOUSEKEEPING 70684,A000000,00800,0000,00800DIETARY 70684,A000000,00900,0000,00900NURSING ADMINISTRATION 70684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70684,A000000,01100,0000,01100PHARMACY 70684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70684,A000000,01300,0000,01300SOCIAL SERVICE 70684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70684,A000000,01600,0000,01600SKILLED NURSING FACILITY 70684,A000000,01800,0000,01800NURSING FACILITY 70684,A000000,01810,0000,01810ICF/MR 70684,A000000,02100,0000,02100RADIOLOGY 70684,A000000,02200,0000,02200LABORATORY 70684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70684,A000000,02500,0000,02500PHYSICAL THERAPY 70684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70684,A000000,02700,0000,02700SPEECH PATHOLOGY 70684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70684,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70684,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70684,A000000,03052,0000,03302MEDICAL EQUIPMENT 70684,A000000,03550,0000,03550FQHC 70684,A000000,05000,0000,05000CORF 70684,A000000,05010,0000,05010CMHC 70684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70684,A81000A,00100,0100,Y 70684,A81000B,00100,0300,HOME OFFICE A&G 70684,A81000B,00200,0300,HOME OFFICE CAPITAL 70684,A81000B,00300,0300,DIVISION OFFICE A&G 70684,A81000B,00500,0300,INSURANCE 70684,A81000C,00100,0100,B 70684,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70684,A81000C,00200,0100,G 70684,A81000C,00200,0200,LAURIER INC. 70684,A81000C,00200,0400,EXTENDICARE INC. 70684,A81000C,00200,0600,INSURANCE 70684,A81000C,00300,0100,G 70684,A81000C,00300,0200,UNITED REHABILITATION SVS 70684,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70684,A81000C,00300,0600,THERAPY SERVICE 70684,A81000C,00400,0100,G 70684,A81000C,00400,0200,UPC 70684,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70684,A81000C,00400,0600,PHARMACY THERAPY 70684,B100000,00000,0100,00040SQUARE FEET 70684,B100000,00000,0200,00040SQUARE FEET 70684,B100000,00000,0300,00040GROSS SALARIES 70684,B100000,00000,0400,00040ACCUM. COST 70684,B100000,00000,0500,00040SQUARE FEET 70684,B100000,00000,0600,00040PATIENT DAYS 70684,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70684,B100000,00000,0800,00040PATIENT DAYS 70684,B100000,00000,0900,00040PATIENT DAYS 70684,B100000,00000,1000,00040COSTED REQUIS 70684,B100000,00000,1100,00040COSTED REQUIS 70684,B100000,00000,1200,00040GROSS REVENUE 70684,B100000,00000,1300,00040PATIENT DAYS 70684,B100000,00000,1400,00040ASSIGNED TIME 70684,E10A180,00301,0100,01/24/2000 70684,E10A180,00301,0300,06/22/1998 70684,E10A180,00350,0100,06/22/1998 70684,E10A180,00350,0300,06/22/1998 70684,E10A180,00501,0100,02/12/2001 70684,E10A180,00501,0300,02/12/2001 70684,S000000,00100,0200,06/19/2000 70684,S200000,00100,0100,414 SOUTH UNIVERSITY ROAD 70684,S200000,00200,0100,SPOKANE 70684,S200000,00200,0200,WA 70684,S200000,00300,0100,SPOKANE 70684,S200000,00400,0100,THE GARDENS ON UNIVERSITY 70684,S200000,00400,0200,505114 70684,S200000,00400,0300,02/01/1987 70684,S200000,00400,0500,P 70684,S200000,01600,0100,Y 70689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70689,A000000,00300,0000,00300EMPLOYEE BENEFITS 70689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70689,A000000,00700,0000,00700HOUSEKEEPING 70689,A000000,00800,0000,00800DIETARY 70689,A000000,00900,0000,00900NURSING ADMINISTRATION 70689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70689,A000000,01100,0000,01100PHARMACY 70689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70689,A000000,01300,0000,01300SOCIAL SERVICE 70689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70689,A000000,01600,0000,01600SKILLED NURSING FACILITY 70689,A000000,01800,0000,01800NURSING FACILITY 70689,A000000,01810,0000,01810ICF/MR 70689,A000000,02100,0000,02100RADIOLOGY 70689,A000000,02200,0000,02200LABORATORY 70689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70689,A000000,02500,0000,02500PHYSICAL THERAPY 70689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70689,A000000,02700,0000,02700SPEECH PATHOLOGY 70689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70689,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70689,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70689,A000000,03052,0000,03302MEDICAL EQUIPMENT 70689,A000000,03550,0000,03550FQHC 70689,A000000,05000,0000,05000CORF 70689,A000000,05010,0000,05010CMHC 70689,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70689,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70689,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70689,A81000A,00100,0100,Y 70689,A81000B,00100,0300,HOME OFFICE A&G 70689,A81000B,00200,0300,HOME OFFICE CAPITAL 70689,A81000B,00300,0300,DIVISION OFFICE A&G 70689,A81000B,00500,0300,INSURANCE 70689,A81000C,00100,0100,B 70689,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70689,A81000C,00200,0100,G 70689,A81000C,00200,0200,LAURIER INC. 70689,A81000C,00200,0400,EXTENDICARE INC. 70689,A81000C,00200,0600,INSURANCE 70689,A81000C,00300,0100,G 70689,A81000C,00300,0200,UNITED REHABILITATION SVS 70689,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70689,A81000C,00300,0600,THERAPY SERVICE 70689,A81000C,00400,0100,G 70689,A81000C,00400,0200,UPC 70689,A81000C,00400,0400,EXTENDICARE HEALTH SERV 70689,A81000C,00400,0600,PHARMACY THERAPY 70689,B100000,00000,0100,00040SQUARE FEET 70689,B100000,00000,0200,00040SQUARE FEET 70689,B100000,00000,0300,00040GROSS SALARIES 70689,B100000,00000,0400,00040ACCUM. COST 70689,B100000,00000,0500,00040SQUARE FEET 70689,B100000,00000,0600,00040PATIENT DAYS 70689,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70689,B100000,00000,0800,00040PATIENT DAYS 70689,B100000,00000,0900,00040PATIENT DAYS 70689,B100000,00000,1000,00040COSTED REQUIS 70689,B100000,00000,1100,00040COSTED REQUIS 70689,B100000,00000,1200,00040GROSS REVENUE 70689,B100000,00000,1300,00040PATIENT DAYS 70689,B100000,00000,1400,00040ASSIGNED TIME 70689,E10A180,00301,0100,01/24/2000 70689,E10A180,00301,0300,06/22/1998 70689,E10A180,00350,0100,06/22/1998 70689,E10A180,00350,0300,06/22/1998 70689,E10A180,00501,0300,02/12/2001 70689,E10A180,00550,0100,02/12/2001 70689,S000000,00100,0200,06/19/2000 70689,S200000,00100,0100,2701 CLARE AVENUE 70689,S200000,00200,0100,BREMERTON 70689,S200000,00200,0200,WA 70689,S200000,00300,0100,KITSAP 70689,S200000,00400,0100,BREMERTON COVALESCENT & REHAB 70689,S200000,00400,0200,505123 70689,S200000,00400,0300,07/01/1982 70689,S200000,00400,0500,P 70689,S200000,01500,0100,Y 70693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70693,A000000,00300,0000,00300EMPLOYEE BENEFITS 70693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70693,A000000,00700,0000,00700HOUSEKEEPING 70693,A000000,00800,0000,00800DIETARY 70693,A000000,00900,0000,00900NURSING ADMINISTRATION 70693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70693,A000000,01100,0000,01100PHARMACY 70693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70693,A000000,01300,0000,01300SOCIAL SERVICE 70693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70693,A000000,01600,0000,01600SKILLED NURSING FACILITY 70693,A000000,01800,0000,01800NURSING FACILITY 70693,A000000,01810,0000,01810ICF/MR 70693,A000000,02100,0000,02100RADIOLOGY 70693,A000000,02200,0000,02200LABORATORY 70693,A000000,02500,0000,02500PHYSICAL THERAPY 70693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70693,A000000,02700,0000,02700SPEECH PATHOLOGY 70693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70693,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70693,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70693,A000000,03052,0000,03302MEDICAL EQUIPMENT 70693,A000000,03550,0000,03550FQHC 70693,A000000,05000,0000,05000CORF 70693,A000000,05010,0000,05010CMHC 70693,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70693,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70693,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70693,A81000A,00100,0100,Y 70693,A81000B,00100,0300,HOME OFFICE A&G 70693,A81000B,00200,0300,HOME OFFICE CAPITAL 70693,A81000B,00300,0300,DIVISION OFFICE A&G 70693,A81000B,00500,0300,INSURANCE 70693,A81000B,00600,0300,PHYSICAL THERAPY 70693,A81000B,00700,0300,OCCUPATIONAL THERAPY 70693,A81000B,00800,0300,SPEECH THERAPY 70693,A81000C,00100,0100,B 70693,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70693,A81000C,00200,0100,G 70693,A81000C,00200,0200,LAURIER INC. 70693,A81000C,00200,0400,EXTENDICARE INC. 70693,A81000C,00200,0600,INSURANCE 70693,A81000C,00300,0100,G 70693,A81000C,00300,0200,UNITED REHABILITATION SVS 70693,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70693,A81000C,00300,0600,THERAPY SERVICE 70693,A81000C,00400,0100,G 70693,A81000C,00400,0200,UPC 70693,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70693,A81000C,00400,0600,PHARMACY THERAPY 70693,B100000,00000,0100,00040SQUARE FEET 70693,B100000,00000,0200,00040SQUARE FEET 70693,B100000,00000,0300,00040GROSS SALARIES 70693,B100000,00000,0400,00040ACCUM. COST 70693,B100000,00000,0500,00040SQUARE FEET 70693,B100000,00000,0600,00040PATIENT DAYS 70693,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70693,B100000,00000,0800,00040PATIENT DAYS 70693,B100000,00000,0900,00040PATIENT DAYS 70693,B100000,00000,1000,00040COSTED REQUIS 70693,B100000,00000,1100,00040COSTED REQUIS 70693,B100000,00000,1200,00040GROSS REVENUE 70693,B100000,00000,1300,00040PATIENT DAYS 70693,B100000,00000,1400,00040ASSIGNED TIME 70693,E10A180,00301,0100,01/24/2000 70693,E10A180,00301,0300,06/22/1998 70693,E10A180,00350,0100,06/22/1998 70693,E10A180,00350,0300,06/22/1998 70693,E10A180,00501,0300,02/12/2001 70693,E10A180,00550,0100,02/12/2001 70693,S000000,00100,0200,06/19/2000 70693,S200000,00100,0100,825 E. 5TH STREET 70693,S200000,00200,0100,PORT ANGELES 70693,S200000,00200,0200,WA 70693,S200000,00300,0100,CALLUMN 70693,S200000,00400,0100,PORT ANGELES 70693,S200000,00400,0200,505128 70693,S200000,00400,0300,10/01/1985 70693,S200000,00400,0500,P 70693,S200000,01600,0100,Y 70700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70700,A000000,00300,0000,00300EMPLOYEE BENEFITS 70700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70700,A000000,00700,0000,00700HOUSEKEEPING 70700,A000000,00800,0000,00800DIETARY 70700,A000000,00900,0000,00900NURSING ADMINISTRATION 70700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70700,A000000,01100,0000,01100PHARMACY 70700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70700,A000000,01300,0000,01300SOCIAL SERVICE 70700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70700,A000000,01600,0000,01600SKILLED NURSING FACILITY 70700,A000000,01800,0000,01800NURSING FACILITY 70700,A000000,01810,0000,01810ICF/MR 70700,A000000,02100,0000,02100RADIOLOGY 70700,A000000,02200,0000,02200LABORATORY 70700,A000000,02500,0000,02500PHYSICAL THERAPY 70700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70700,A000000,02700,0000,02700SPEECH PATHOLOGY 70700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70700,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70700,A000000,03052,0000,03302MEDICAL EQUIPMENT 70700,A000000,03550,0000,03550FQHC 70700,A000000,05000,0000,05000CORF 70700,A000000,05010,0000,05010CMHC 70700,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70700,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70700,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70700,A81000A,00100,0100,Y 70700,A81000B,00100,0300,HOME OFFICE A&G 70700,A81000B,00200,0300,HOME OFFICE CAPITAL 70700,A81000B,00300,0300,DIVISION OFFICE A&G 70700,A81000B,00500,0300,INSURANCE 70700,A81000C,00100,0100,B 70700,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70700,A81000C,00200,0100,G 70700,A81000C,00200,0200,LAURIER INC. 70700,A81000C,00200,0400,EXTENDICARE INC. 70700,A81000C,00200,0600,INSURANCE 70700,A81000C,00300,0100,G 70700,A81000C,00300,0200,UNITED REHABILITATION SVS 70700,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70700,A81000C,00300,0600,THERAPY SERVICE 70700,A81000C,00400,0100,G 70700,A81000C,00400,0200,UPC 70700,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70700,A81000C,00400,0600,PHARMACY THERAPY 70700,B100000,00000,0100,00040SQUARE FEET 70700,B100000,00000,0200,00040SQUARE FEET 70700,B100000,00000,0300,00040GROSS SALARIES 70700,B100000,00000,0400,00040ACCUM. COST 70700,B100000,00000,0500,00040SQUARE FEET 70700,B100000,00000,0600,00040PATIENT DAYS 70700,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70700,B100000,00000,0800,00040PATIENT DAYS 70700,B100000,00000,0900,00040PATIENT DAYS 70700,B100000,00000,1000,00040COSTED REQUIS 70700,B100000,00000,1100,00040COSTED REQUIS 70700,B100000,00000,1200,00040GROSS REVENUE 70700,B100000,00000,1300,00040PATIENT DAYS 70700,B100000,00000,1400,00040ASSIGNED TIME 70700,E10A180,00301,0100,01/24/2000 70700,E10A180,00301,0300,06/22/1998 70700,E10A180,00350,0100,01/24/2000 70700,E10A180,00350,0300,06/22/1998 70700,E10A180,00501,0300,06/09/2000 70700,E10A180,00550,0100,06/09/2000 70700,S000000,00100,0200,06/19/2000 70700,S200000,00100,0100,1116 EAST LAURIDSEN BLVD. 70700,S200000,00200,0100,PORT ANGELES 70700,S200000,00200,0200,WA 70700,S200000,00300,0100,CALLUM 70700,S200000,00400,0100,CRESTWOOD CONVALESCENT CENTER 70700,S200000,00400,0200,505185 70700,S200000,00400,0300,07/18/1968 70700,S200000,00400,0500,P 70700,S200000,01600,0100,Y 70707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70707,A000000,00300,0000,00300EMPLOYEE BENEFITS 70707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70707,A000000,00700,0000,00700HOUSEKEEPING 70707,A000000,00800,0000,00800DIETARY 70707,A000000,00900,0000,00900NURSING ADMINISTRATION 70707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70707,A000000,01100,0000,01100PHARMACY 70707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70707,A000000,01300,0000,01300SOCIAL SERVICE 70707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70707,A000000,01600,0000,01600SKILLED NURSING FACILITY 70707,A000000,01800,0000,01800NURSING FACILITY 70707,A000000,01810,0000,01810ICF/MR 70707,A000000,02100,0000,02100RADIOLOGY 70707,A000000,02200,0000,02200LABORATORY 70707,A000000,02300,0000,02300INTRAVENOUS THERAPY 70707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70707,A000000,02500,0000,02500PHYSICAL THERAPY 70707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70707,A000000,02700,0000,02700SPEECH PATHOLOGY 70707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70707,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70707,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70707,A000000,03052,0000,03302MEDICAL EQUIPMENT 70707,A000000,03550,0000,03550FQHC 70707,A000000,05000,0000,05000CORF 70707,A000000,05010,0000,05010CMHC 70707,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70707,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70707,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70707,A81000A,00100,0100,Y 70707,A81000B,00100,0300,HOME OFFICE A&G 70707,A81000B,00200,0300,HOME OFFICE CAPITAL 70707,A81000B,00300,0300,DIVISION OFFICE A&G 70707,A81000B,00500,0300,INSURANCE 70707,A81000C,00100,0100,B 70707,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70707,A81000C,00200,0100,G 70707,A81000C,00200,0200,LAURIER INC. 70707,A81000C,00200,0400,EXTENDICARE INC. 70707,A81000C,00200,0600,INSURANCE 70707,A81000C,00300,0100,G 70707,A81000C,00300,0200,UNITED REHABILITATION SVS 70707,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70707,A81000C,00300,0600,THERAPY SERVICE 70707,A81000C,00400,0100,G 70707,A81000C,00400,0200,UPC 70707,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70707,A81000C,00400,0600,PHARMACY THERAPY 70707,B100000,00000,0100,00040SQUARE FEET 70707,B100000,00000,0200,00040SQUARE FEET 70707,B100000,00000,0300,00040GROSS SALARIES 70707,B100000,00000,0400,00040ACCUM. COST 70707,B100000,00000,0500,00040SQUARE FEET 70707,B100000,00000,0600,00040PATIENT DAYS 70707,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70707,B100000,00000,0800,00040PATIENT DAYS 70707,B100000,00000,0900,00040PATIENT DAYS 70707,B100000,00000,1000,00040COSTED REQUIS 70707,B100000,00000,1100,00040COSTED REQUIS 70707,B100000,00000,1200,00040GROSS REVENUE 70707,B100000,00000,1300,00040PATIENT DAYS 70707,B100000,00000,1400,00040ASSIGNED TIME 70707,E10A180,00301,0100,01/24/2000 70707,E10A180,00301,0300,06/22/1998 70707,E10A180,00350,0100,06/22/1998 70707,E10A180,00350,0300,06/22/1998 70707,E10A180,00501,0100,02/12/2001 70707,E10A180,00501,0300,02/12/2001 70707,S000000,00100,0200,06/19/2000 70707,S200000,00100,0100,2830 I STREET N.E. 70707,S200000,00200,0100,AUBURN 70707,S200000,00200,0200,WA 70707,S200000,00300,0100,KING 70707,S200000,00400,0100,NORTH AUBURN 70707,S200000,00400,0200,505195 70707,S200000,00400,0300,05/01/1984 70707,S200000,00400,0500,P 70707,S200000,01600,0100,Y 70723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70723,A000000,00300,0000,00300EMPLOYEE BENEFITS 70723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70723,A000000,00700,0000,00700HOUSEKEEPING 70723,A000000,00800,0000,00800DIETARY 70723,A000000,00900,0000,00900NURSING ADMINISTRATION 70723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70723,A000000,01100,0000,01100PHARMACY 70723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70723,A000000,01300,0000,01300SOCIAL SERVICE 70723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70723,A000000,01600,0000,01600SKILLED NURSING FACILITY 70723,A000000,01800,0000,01800NURSING FACILITY 70723,A000000,01810,0000,01810ICF/MR 70723,A000000,02100,0000,02100RADIOLOGY 70723,A000000,02200,0000,02200LABORATORY 70723,A000000,02300,0000,02300INTRAVENOUS THERAPY 70723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70723,A000000,02500,0000,02500PHYSICAL THERAPY 70723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70723,A000000,02700,0000,02700SPEECH PATHOLOGY 70723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70723,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70723,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70723,A000000,03052,0000,03302MEDICAL EQUIPMENT 70723,A000000,03550,0000,03550FQHC 70723,A000000,05000,0000,05000CORF 70723,A000000,05010,0000,05010CMHC 70723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70723,A81000A,00100,0100,Y 70723,A81000B,00100,0300,HOME OFFICE A&G 70723,A81000B,00200,0300,HOME OFFICE CAPITAL 70723,A81000B,00300,0300,DIVISION OFFICE A&G 70723,A81000B,00500,0300,INSURANCE 70723,A81000C,00100,0100,B 70723,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70723,A81000C,00200,0100,G 70723,A81000C,00200,0200,LAURIER INC. 70723,A81000C,00200,0400,EXTENDICARE INC. 70723,A81000C,00200,0600,INSURANCE 70723,A81000C,00300,0100,G 70723,A81000C,00300,0200,UNITED REHABILITATION SVS 70723,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70723,A81000C,00300,0600,THERAPY SERVICE 70723,A81000C,00400,0100,G 70723,A81000C,00400,0200,UPC 70723,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70723,A81000C,00400,0600,PHARMACY THERAPY 70723,B100000,00000,0100,00040SQUARE FEET 70723,B100000,00000,0200,00040SQUARE FEET 70723,B100000,00000,0300,00040GROSS SALARIES 70723,B100000,00000,0400,00040ACCUM. COST 70723,B100000,00000,0500,00040SQUARE FEET 70723,B100000,00000,0600,00040PATIENT DAYS 70723,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70723,B100000,00000,0800,00040PATIENT DAYS 70723,B100000,00000,0900,00040PATIENT DAYS 70723,B100000,00000,1000,00040COSTED REQUIS 70723,B100000,00000,1100,00040COSTED REQUIS 70723,B100000,00000,1200,00040GROSS REVENUE 70723,B100000,00000,1300,00040PATIENT DAYS 70723,B100000,00000,1400,00040ASSIGNED TIME 70723,E10A180,00301,0100,01/24/2000 70723,E10A180,00301,0300,06/22/1998 70723,E10A180,00350,0100,06/22/1998 70723,E10A180,00350,0300,06/22/1998 70723,E10A180,00501,0100,02/12/2001 70723,E10A180,00501,0300,02/12/2001 70723,S000000,00100,0200,06/19/2000 70723,S200000,00100,0100,2430 NORTH 13TH STREET 70723,S200000,00200,0100,SHELTON 70723,S200000,00200,0200,WA 70723,S200000,00300,0100,MASON 70723,S200000,00400,0100,FIR LANE HEALTH AND REHABILITATION 70723,S200000,00400,0200,505230 70723,S200000,00400,0300,01/01/1994 70723,S200000,00400,0500,P 70723,S200000,01600,0100,Y 70731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70731,A000000,00300,0000,00300EMPLOYEE BENEFITS 70731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70731,A000000,00700,0000,00700HOUSEKEEPING 70731,A000000,00800,0000,00800DIETARY 70731,A000000,00900,0000,00900NURSING ADMINISTRATION 70731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70731,A000000,01100,0000,01100PHARMACY 70731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70731,A000000,01300,0000,01300SOCIAL SERVICE 70731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70731,A000000,01600,0000,01600SKILLED NURSING FACILITY 70731,A000000,01800,0000,01800NURSING FACILITY 70731,A000000,01810,0000,01810ICF/MR 70731,A000000,02100,0000,02100RADIOLOGY 70731,A000000,02200,0000,02200LABORATORY 70731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70731,A000000,02500,0000,02500PHYSICAL THERAPY 70731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70731,A000000,02700,0000,02700SPEECH PATHOLOGY 70731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70731,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70731,A000000,03052,0000,03302MEDICAL EQUIPMENT 70731,A000000,03550,0000,03550FQHC 70731,A000000,05000,0000,05000CORF 70731,A000000,05010,0000,05010CMHC 70731,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70731,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70731,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70731,A81000A,00100,0100,Y 70731,A81000B,00100,0300,HOME OFFICE A&G 70731,A81000B,00200,0300,HOME OFFICE CAPITAL 70731,A81000B,00300,0300,DIVISION OFFICE A&G 70731,A81000B,00500,0300,INSURANCE 70731,A81000C,00100,0100,B 70731,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70731,A81000C,00200,0100,G 70731,A81000C,00200,0200,LAURIER INC. 70731,A81000C,00200,0400,EXTENDICARE INC. 70731,A81000C,00200,0600,INSURANCE 70731,A81000C,00300,0100,G 70731,A81000C,00300,0200,UNITED REHABILITATION SVS 70731,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70731,A81000C,00300,0600,THERAPY SERVICE 70731,A81000C,00400,0100,G 70731,A81000C,00400,0200,UPC 70731,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70731,A81000C,00400,0600,PHARMACY THERAPY 70731,B100000,00000,0100,00040SQUARE FEET 70731,B100000,00000,0200,00040SQUARE FEET 70731,B100000,00000,0300,00040GROSS SALARIES 70731,B100000,00000,0400,00040ACCUM. COST 70731,B100000,00000,0500,00040SQUARE FEET 70731,B100000,00000,0600,00040PATIENT DAYS 70731,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70731,B100000,00000,0800,00040PATIENT DAYS 70731,B100000,00000,0900,00040PATIENT DAYS 70731,B100000,00000,1000,00040COSTED REQUIS 70731,B100000,00000,1100,00040COSTED REQUIS 70731,B100000,00000,1200,00040GROSS REVENUE 70731,B100000,00000,1300,00040PATIENT DAYS 70731,B100000,00000,1400,00040ASSIGNED TIME 70731,E10A180,00301,0100,01/24/2000 70731,E10A180,00301,0300,06/22/1998 70731,E10A180,00350,0100,06/22/1998 70731,E10A180,00350,0300,06/22/1998 70731,E10A180,00501,0100,02/12/2001 70731,E10A180,00501,0300,02/12/2001 70731,S000000,00100,0200,06/19/2000 70731,S200000,00100,0100,21400 72ND AVENUE WEST 70731,S200000,00200,0100,EDMONDS 70731,S200000,00200,0200,WA 70731,S200000,00300,0100,SNOHOMISH 70731,S200000,00400,0100,ALDERCREST HEALTH & REHABILITATION 70731,S200000,00400,0200,505236 70731,S200000,00400,0300,02/01/1987 70731,S200000,00400,0500,P 70731,S200000,01600,0100,Y 70739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70739,A000000,00300,0000,00300EMPLOYEE BENEFITS 70739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70739,A000000,00700,0000,00700HOUSEKEEPING 70739,A000000,00800,0000,00800DIETARY 70739,A000000,00900,0000,00900NURSING ADMINISTRATION 70739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70739,A000000,01100,0000,01100PHARMACY 70739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70739,A000000,01300,0000,01300SOCIAL SERVICE 70739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70739,A000000,01600,0000,01600SKILLED NURSING FACILITY 70739,A000000,01800,0000,01800NURSING FACILITY 70739,A000000,01810,0000,01810ICF/MR 70739,A000000,02100,0000,02100RADIOLOGY 70739,A000000,02200,0000,02200LABORATORY 70739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70739,A000000,02500,0000,02500PHYSICAL THERAPY 70739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70739,A000000,02700,0000,02700SPEECH PATHOLOGY 70739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70739,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70739,A000000,03052,0000,03302MEDICAL EQUIPMENT 70739,A000000,03550,0000,03550FQHC 70739,A000000,05000,0000,05000CORF 70739,A000000,05010,0000,05010CMHC 70739,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70739,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70739,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70739,A81000A,00100,0100,Y 70739,A81000B,00100,0300,HOME OFFICE A&G 70739,A81000B,00200,0300,HOME OFFICE CAPITAL 70739,A81000B,00300,0300,DIVISION OFFICE A&G 70739,A81000B,00500,0300,INSURANCE 70739,A81000C,00100,0100,B 70739,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70739,A81000C,00200,0100,G 70739,A81000C,00200,0200,LAURIER INC. 70739,A81000C,00200,0400,EXTENDICARE INC. 70739,A81000C,00200,0600,INSURANCE 70739,A81000C,00300,0100,G 70739,A81000C,00300,0200,UNITED REHABILITATION SVS 70739,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70739,A81000C,00300,0600,THERAPY SERVICE 70739,A81000C,00400,0100,G 70739,A81000C,00400,0200,UPC 70739,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70739,A81000C,00400,0600,PHARMACY THERAPY 70739,B100000,00000,0100,00040SQUARE FEET 70739,B100000,00000,0200,00040SQUARE FEET 70739,B100000,00000,0300,00040GROSS SALARIES 70739,B100000,00000,0400,00040ACCUM. COST 70739,B100000,00000,0500,00040SQUARE FEET 70739,B100000,00000,0600,00040PATIENT DAYS 70739,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70739,B100000,00000,0800,00040PATIENT DAYS 70739,B100000,00000,0900,00040PATIENT DAYS 70739,B100000,00000,1000,00040COSTED REQUIS 70739,B100000,00000,1100,00040COSTED REQUIS 70739,B100000,00000,1200,00040GROSS REVENUE 70739,B100000,00000,1300,00040PATIENT DAYS 70739,B100000,00000,1400,00040ASSIGNED TIME 70739,E10A180,00301,0100,01/24/2000 70739,E10A180,00301,0300,06/22/1998 70739,E10A180,00350,0100,06/22/1998 70739,E10A180,00350,0300,06/22/1998 70739,E10A180,00501,0300,06/09/2000 70739,E10A180,00550,0100,06/09/2000 70739,S000000,00100,0200,06/19/2000 70739,S200000,00100,0100,140 SOUTH MARION 70739,S200000,00200,0100,BREMERTON 70739,S200000,00200,0200,WA 70739,S200000,00300,0100,KITSAP 70739,S200000,00400,0100,FOREST RIDGE 70739,S200000,00400,0200,505240 70739,S200000,00400,0300,07/01/1982 70739,S200000,00400,0500,P 70739,S200000,01600,0100,Y 70768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70768,A000000,00300,0000,00300EMPLOYEE BENEFITS 70768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70768,A000000,00700,0000,00700HOUSEKEEPING 70768,A000000,00800,0000,00800DIETARY 70768,A000000,00900,0000,00900NURSING ADMINISTRATION 70768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70768,A000000,01100,0000,01100PHARMACY 70768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70768,A000000,01300,0000,01300SOCIAL SERVICE 70768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70768,A000000,01600,0000,01600SKILLED NURSING FACILITY 70768,A000000,01800,0000,01800NURSING FACILITY 70768,A000000,01810,0000,01810ICF/MR 70768,A000000,02100,0000,02100RADIOLOGY 70768,A000000,02200,0000,02200LABORATORY 70768,A000000,02300,0000,02300INTRAVENOUS THERAPY 70768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70768,A000000,02500,0000,02500PHYSICAL THERAPY 70768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70768,A000000,02700,0000,02700SPEECH PATHOLOGY 70768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70768,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70768,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70768,A000000,03052,0000,03302MEDICAL EQUIPMENT 70768,A000000,03550,0000,03550FQHC 70768,A000000,05000,0000,05000CORF 70768,A000000,05010,0000,05010CMHC 70768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70768,A81000A,00100,0100,Y 70768,A81000B,00100,0300,HOME OFFICE A&G 70768,A81000B,00200,0300,HOME OFFICE CAPITAL 70768,A81000B,00300,0300,DIVISION OFFICE A&G 70768,A81000B,00500,0300,INSURANCE 70768,A81000C,00100,0100,B 70768,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70768,A81000C,00200,0100,G 70768,A81000C,00200,0200,LAURIER INC. 70768,A81000C,00200,0400,EXTENDICARE INC. 70768,A81000C,00200,0600,INSURANCE 70768,A81000C,00300,0100,G 70768,A81000C,00300,0200,UNITED REHABILITATION SVS 70768,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70768,A81000C,00300,0600,THERAPY SERVICE 70768,A81000C,00400,0100,G 70768,A81000C,00400,0200,UPC 70768,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70768,A81000C,00400,0600,PHARMACY THERAPY 70768,B100000,00000,0100,00040SQUARE FEET 70768,B100000,00000,0200,00040SQUARE FEET 70768,B100000,00000,0300,00040GROSS SALARIES 70768,B100000,00000,0400,00040ACCUM. COST 70768,B100000,00000,0500,00040SQUARE FEET 70768,B100000,00000,0600,00040PATIENT DAYS 70768,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70768,B100000,00000,0800,00040PATIENT DAYS 70768,B100000,00000,0900,00040PATIENT DAYS 70768,B100000,00000,1000,00040COSTED REQUIS 70768,B100000,00000,1100,00040COSTED REQUIS 70768,B100000,00000,1200,00040GROSS REVENUE 70768,B100000,00000,1300,00040PATIENT DAYS 70768,B100000,00000,1400,00040ASSIGNED TIME 70768,E10A180,00301,0100,01/24/2000 70768,E10A180,00301,0300,06/22/1998 70768,E10A180,00350,0100,06/22/1998 70768,E10A180,00350,0300,06/22/1998 70768,E10A180,00501,0100,02/12/2001 70768,E10A180,00501,0300,02/12/2001 70768,S000000,00100,0200,06/19/2000 70768,S200000,00100,0100,4001 CAPITAL MALL DRIVE S.W. 70768,S200000,00200,0100,OLYMPIA 70768,S200000,00200,0200,WA 70768,S200000,00300,0100,THURSTON 70768,S200000,00400,0100,PUGET SOUND HEALTHCARE CENTER 70768,S200000,00400,0200,505299 70768,S200000,00400,0300,01/02/1989 70768,S200000,00400,0500,P 70768,S200000,01600,0100,Y 70776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70776,A000000,00300,0000,00300EMPLOYEE BENEFITS 70776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70776,A000000,00700,0000,00700HOUSEKEEPING 70776,A000000,00800,0000,00800DIETARY 70776,A000000,00900,0000,00900NURSING ADMINISTRATION 70776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70776,A000000,01100,0000,01100PHARMACY 70776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70776,A000000,01300,0000,01300SOCIAL SERVICE 70776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70776,A000000,01600,0000,01600SKILLED NURSING FACILITY 70776,A000000,01800,0000,01800NURSING FACILITY 70776,A000000,01810,0000,01810ICF/MR 70776,A000000,02100,0000,02100RADIOLOGY 70776,A000000,02200,0000,02200LABORATORY 70776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70776,A000000,02500,0000,02500PHYSICAL THERAPY 70776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70776,A000000,02700,0000,02700SPEECH PATHOLOGY 70776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70776,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70776,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70776,A000000,03052,0000,03302MEDICAL EQUIPMENT 70776,A000000,03550,0000,03550FQHC 70776,A000000,05000,0000,05000CORF 70776,A000000,05010,0000,05010CMHC 70776,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70776,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70776,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70776,A81000A,00100,0100,Y 70776,A81000B,00100,0300,HOME OFFICE A&G 70776,A81000B,00200,0300,HOME OFFICE CAPITAL 70776,A81000B,00300,0300,DIVISION OFFICE A&G 70776,A81000B,00500,0300,INSURANCE 70776,A81000C,00100,0100,B 70776,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70776,A81000C,00200,0100,G 70776,A81000C,00200,0200,LAURIER INC. 70776,A81000C,00200,0400,EXTENDICARE INC. 70776,A81000C,00200,0600,INSURANCE 70776,A81000C,00300,0100,G 70776,A81000C,00300,0200,UNITED REHABILITATION SVS 70776,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70776,A81000C,00300,0600,THERAPY SERVICE 70776,A81000C,00400,0100,G 70776,A81000C,00400,0200,UPC 70776,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70776,A81000C,00400,0600,PHARMACY THERAPY 70776,B100000,00000,0100,00040SQUARE FEET 70776,B100000,00000,0200,00040SQUARE FEET 70776,B100000,00000,0300,00040GROSS SALARIES 70776,B100000,00000,0400,00040ACCUM. COST 70776,B100000,00000,0500,00040SQUARE FEET 70776,B100000,00000,0600,00040PATIENT DAYS 70776,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70776,B100000,00000,0800,00040PATIENT DAYS 70776,B100000,00000,0900,00040PATIENT DAYS 70776,B100000,00000,1000,00040COSTED REQUIS 70776,B100000,00000,1100,00040COSTED REQUIS 70776,B100000,00000,1200,00040GROSS REVENUE 70776,B100000,00000,1300,00040PATIENT DAYS 70776,B100000,00000,1400,00040ASSIGNED TIME 70776,E10A180,00301,0100,01/24/2000 70776,E10A180,00301,0300,06/22/1998 70776,E10A180,00350,0100,06/22/1998 70776,E10A180,00350,0300,06/22/1998 70776,E10A180,00501,0300,02/12/2001 70776,E10A180,00550,0100,02/12/2001 70776,S000000,00100,0200,06/19/2000 70776,S200000,00100,0100,835 MADISON AVENUE NORTH 70776,S200000,00200,0100,WINSLOW-BAIN ISLAND 70776,S200000,00200,0200,WA 70776,S200000,00300,0100,KITSAP 70776,S200000,00400,0100,ISLAND HEALTH & REHABILITATION 70776,S200000,00400,0200,505325 70776,S200000,00400,0300,02/01/1989 70776,S200000,00400,0500,P 70776,S200000,01600,0100,Y 70783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70783,A000000,00300,0000,00300EMPLOYEE BENEFITS 70783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70783,A000000,00700,0000,00700HOUSEKEEPING 70783,A000000,00800,0000,00800DIETARY 70783,A000000,00900,0000,00900NURSING ADMINISTRATION 70783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70783,A000000,01100,0000,01100PHARMACY 70783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70783,A000000,01300,0000,01300SOCIAL SERVICE 70783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70783,A000000,01600,0000,01600SKILLED NURSING FACILITY 70783,A000000,01800,0000,01800NURSING FACILITY 70783,A000000,01810,0000,01810ICF/MR 70783,A000000,02200,0000,02200LABORATORY 70783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70783,A000000,02500,0000,02500PHYSICAL THERAPY 70783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70783,A000000,02700,0000,02700SPEECH PATHOLOGY 70783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70783,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70783,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 70783,A000000,03052,0000,03302MEDICAL EQUIPMENT 70783,A000000,03550,0000,03550FQHC 70783,A000000,05000,0000,05000CORF 70783,A000000,05010,0000,05010CMHC 70783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70783,A81000A,00100,0100,Y 70783,A81000B,00100,0300,HOME OFFICE A&G 70783,A81000B,00200,0300,CRC - BUILDING & FI 70783,A81000B,00300,0300,DIVISION OFFICE A&G 70783,A81000B,00500,0300,INSURANCE 70783,A81000B,00600,0300,PHYSICAL THERAPY 70783,A81000B,00700,0300,OCCUPATIONAL THERAPY 70783,A81000B,00800,0300,SPEECH THERAPY 70783,A81000C,00100,0100,B 70783,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 70783,A81000C,00200,0100,G 70783,A81000C,00200,0200,LAURIER INC. 70783,A81000C,00200,0400,EXTENDICARE INC. 70783,A81000C,00200,0600,INSURANCE 70783,A81000C,00300,0100,G 70783,A81000C,00300,0200,UNITED REHABILITATION SVS 70783,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 70783,A81000C,00300,0600,THERAPY SERVICE 70783,A81000C,00400,0100,G 70783,A81000C,00400,0200,UPC 70783,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 70783,A81000C,00400,0600,PHARMACY THERAPY 70783,B100000,00000,0100,00040SQUARE FEET 70783,B100000,00000,0200,00040SQUARE FEET 70783,B100000,00000,0300,00040GROSS SALARIES 70783,B100000,00000,0400,00040ACCUM. COST 70783,B100000,00000,0500,00040SQUARE FEET 70783,B100000,00000,0600,00040PATIENT DAYS 70783,B100000,00000,0700,00040ALTERNATE SQUARE FEE 70783,B100000,00000,0800,00040PATIENT DAYS 70783,B100000,00000,0900,00040PATIENT DAYS 70783,B100000,00000,1000,00040COSTED REQUIS 70783,B100000,00000,1100,00040COSTED REQUIS 70783,B100000,00000,1200,00040GROSS REVENUE 70783,B100000,00000,1300,00040PATIENT DAYS 70783,B100000,00000,1400,00040ASSIGNED TIME 70783,E10A180,00301,0100,01/24/2000 70783,E10A180,00301,0300,06/22/1998 70783,E10A180,00350,0100,06/22/1998 70783,E10A180,00350,0300,06/22/1998 70783,E10A180,00501,0300,02/12/2001 70783,E10A180,00550,0100,02/12/2001 70783,S000000,00100,0200,06/19/2000 70783,S200000,00100,0100,1305 ALEXANDER 70783,S200000,00200,0100,CENTRALIA 70783,S200000,00200,0200,WA 70783,S200000,00300,0100,LEWIS 70783,S200000,00400,0100,RIVERSIDE NURSING AND REHABILITATION 70783,S200000,00400,0200,505358 70783,S200000,00400,0300,09/07/1989 70783,S200000,00400,0500,P 70783,S200000,01500,0100,Y 70788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70788,A000000,00300,0000,00300EMPLOYEE BENEFITS 70788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70788,A000000,00700,0000,00700HOUSEKEEPING 70788,A000000,00800,0000,00800DIETARY 70788,A000000,00900,0000,00900NURSING ADMINISTRATION 70788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70788,A000000,01100,0000,01100PHARMACY 70788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70788,A000000,01300,0000,01300SOCIAL SERVICE 70788,A000000,01350,0000,01500OTHER GENERAL SERVICES 70788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70788,A000000,01600,0000,01600SKILLED NURSING FACILITY 70788,A000000,01810,0000,01810ICF/MR 70788,A000000,02100,0000,02100RADIOLOGY 70788,A000000,02200,0000,02200LABORATORY 70788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70788,A000000,02500,0000,02500PHYSICAL THERAPY 70788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70788,A000000,02700,0000,02700SPEECH PATHOLOGY 70788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70788,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70788,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70788,A000000,03550,0000,03550FQHC 70788,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70788,A000000,05000,0000,05000CORF 70788,A000000,05010,0000,05010CMHC 70788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70788,A000000,05300,0000,05300INTEREST EXPENSE 70788,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70788,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70788,A000000,06200,0000,06200PATIENTS LAUNDRY 70788,B100000,00000,0100,00000SQUARE FEET 70788,B100000,00000,0200,00000SQUARE FEET 70788,B100000,00000,0300,00000SALARIES 70788,B100000,00000,0400,00000ACCUM. COST 70788,B100000,00000,0500,00000SQUARE FEET 70788,B100000,00000,0600,00000HOURS OF SERVICE 70788,B100000,00000,0700,00000HOURS OF SERVICE 70788,B100000,00000,0800,00000MEALS SERVED 70788,B100000,00000,0900,00000HOURS OF SERVICE 70788,B100000,00000,1000,00000COSTED REQUIS. 70788,B100000,00000,1100,00000COSTED REQUIS. 70788,B100000,00000,1200,00000HOURS OF SERVICE 70788,B100000,00000,1300,00000HOURS OF SERVICE 70788,B100000,00000,1350,00000NO STATISTICS 70788,B100000,00000,1400,00000HOURS OF SERVICE 70788,E10A180,00350,0300,06/23/1999 70788,E10A180,00351,0300,12/09/1999 70788,E10A180,00501,0300,03/10/2000 70788,S000000,00100,0200,02/25/2000 70788,S200000,00100,0300,188 70788,S200000,00200,0100,ELKINS 70788,S200000,00200,0200,WV 70788,S200000,00300,0100,RANDOLPH 70788,S200000,00400,0100,ELKINS REGIONAL CONVALESCENT CENTER 70788,S200000,00400,0200,515025 70788,S200000,00400,0300,06/29/1967 70788,S200000,00400,0500,P 70788,S200000,01500,0100,Y 70793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70793,A000000,00300,0000,00300EMPLOYEE BENEFITS 70793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70793,A000000,00700,0000,00700HOUSEKEEPING 70793,A000000,00800,0000,00800DIETARY 70793,A000000,00900,0000,00900NURSING ADMINISTRATION 70793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70793,A000000,01100,0000,01100PHARMACY 70793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70793,A000000,01300,0000,01300SOCIAL SERVICE 70793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70793,A000000,01600,0000,01600SKILLED NURSING FACILITY 70793,A000000,01800,0000,01800NURSING FACILITY 70793,A000000,01810,0000,01810ICF/MR 70793,A000000,01900,0000,01900OTHER LONG TERM CARE 70793,A000000,02500,0000,02500PHYSICAL THERAPY 70793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70793,A000000,02700,0000,02700SPEECH PATHOLOGY 70793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70793,A000000,03550,0000,03550FQHC 70793,A000000,04800,0000,04800AMBULANCE 70793,A000000,05000,0000,05000CORF 70793,A000000,05010,0000,05010CMHC 70793,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70793,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 70793,A000000,05300,0000,05300INTEREST EXPENSE 70793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70793,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70793,B100000,00000,0100,00000SQUARE FEET 70793,B100000,00000,0200,00000SQUARE FEET 70793,B100000,00000,0300,00000GROSS SALARIES 70793,B100000,00000,0400,00000ACCUM. COST 70793,B100000,00000,0500,00000SQUARE FEET 70793,B100000,00000,0600,00000POUNDS OF LAUNDRY 70793,B100000,00000,0700,00000SQUARE FEET 70793,B100000,00000,0800,00000MEALS SERVED 70793,B100000,00000,0900,00000HOURS OF SERVICE 70793,B100000,00000,1000,00000COSTED REQUIS 70793,B100000,00000,1100,00000HOURS OF SERVICE 70793,B100000,00000,1200,00000PATIENT DAYS 70793,B100000,00000,1300,00000PATIENT DAYS 70793,B100000,00000,1400,00000ASSIGNED TIME 70793,E10A180,00501,0100,08/07/2000 70793,S000000,00100,0200,06/13/2000 70793,S200000,00100,0100,1924 GLENWOOD PARK ROAD 70793,S200000,00200,0100,PRINCETON 70793,S200000,00200,0200,WV 70793,S200000,00300,0100,MERCER 70793,S200000,00400,0100,GLENWOOD PARK INC. 70793,S200000,00400,0200,515028 70793,S200000,00400,0300,01/01/1967 70793,S200000,00400,0500,P 70793,S200000,01600,0100,Y 70793,S200000,04700,0100,Y 70793,S200000,04900,0100,Y 70797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70797,A000000,00300,0000,00300EMPLOYEE BENEFITS 70797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70797,A000000,00700,0000,00700HOUSEKEEPING 70797,A000000,00800,0000,00800DIETARY 70797,A000000,00900,0000,00900NURSING ADMINISTRATION 70797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70797,A000000,01100,0000,01100PHARMACY 70797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70797,A000000,01300,0000,01300SOCIAL SERVICE 70797,A000000,01350,0000,01500OTHER GENERAL SERVICES 70797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70797,A000000,01600,0000,01600SKILLED NURSING FACILITY 70797,A000000,01810,0000,01810ICF/MR 70797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70797,A000000,02500,0000,02500PHYSICAL THERAPY 70797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70797,A000000,02700,0000,02700SPEECH PATHOLOGY 70797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70797,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70797,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70797,A000000,03550,0000,03550FQHC 70797,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70797,A000000,05000,0000,05000CORF 70797,A000000,05010,0000,05010CMHC 70797,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70797,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70797,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70797,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 70797,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 70797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70797,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70797,A000000,06200,0000,06200PATIENTS LAUNDRY 70797,B100000,00000,0100,00000SQUARE FEET 70797,B100000,00000,0200,00000DOLLAR VALUE 70797,B100000,00000,0300,00000GROSS SALARIES 70797,B100000,00000,0400,00000ACCUM. COST 70797,B100000,00000,0500,00000SQUARE FEET 70797,B100000,00000,0600,00000POUNDS OF LAUNDRY 70797,B100000,00000,0700,00000SQUARE FEET 70797,B100000,00000,0800,00000MEALS SERVED 70797,B100000,00000,0900,00000DIRECT NRSING HRS 70797,B100000,00000,1000,00000COSTED REQUIS. 70797,B100000,00000,1100,00000COSTED REQUIS. 70797,B100000,00000,1200,00000TIME SPENT 70797,B100000,00000,1300,00000TIME SPENT 70797,B100000,00000,1350,00000NO STATISTICS 70797,B100000,00000,1400,00000ASSIGNED TIME 70797,E10A180,00302,0100,03/09/2000 70797,E10A180,00550,0100,05/04/2000 70797,S000000,00100,0200,04/28/2000 70797,S200000,00100,0100,159 EDGINGTON LANE 70797,S200000,00200,0100,WHEELING 70797,S200000,00200,0200,WV 70797,S200000,00300,0100,O 70797,S200000,00400,0100,GOOD SHEPHERD NURSING HOME 70797,S200000,00400,0200,515038 70797,S200000,00400,0300,09/01/1990 70797,S200000,00400,0500,P 70797,S200000,00400,0600,O 70797,S200000,01500,0100,Y 70815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70815,A000000,00300,0000,00300EMPLOYEE BENEFITS 70815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70815,A000000,00700,0000,00700HOUSEKEEPING 70815,A000000,00800,0000,00800DIETARY 70815,A000000,00900,0000,00900NURSING ADMINISTRATION 70815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70815,A000000,01100,0000,01100PHARMACY 70815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70815,A000000,01300,0000,01300SOCIAL SERVICE 70815,A000000,01350,0000,01500OTHER GENERAL SERVICES 70815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70815,A000000,01600,0000,01600SKILLED NURSING FACILITY 70815,A000000,02500,0000,02500PHYSICAL THERAPY 70815,A000000,02700,0000,02700SPEECH PATHOLOGY 70815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70815,A000000,03550,0000,03550FQHC 70815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70815,A000000,05000,0000,05000CORF 70815,A000000,05010,0000,05010CMHC 70815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70815,A000000,05300,0000,05300INTEREST EXPENSE 70815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70815,B100000,00000,0100,00000SQUARE FEET 70815,B100000,00000,0200,00000SQUARE FEET 70815,B100000,00000,0300,00000GROSS SALARIES 70815,B100000,00000,0400,00000ACCUM. COST 70815,B100000,00000,0500,00000SQUARE FEET 70815,B100000,00000,0600,00000POUNDS OF LAUNDRY 70815,B100000,00000,0700,00000HOURS OF SERVICE 70815,B100000,00000,0800,00000MEALS SERVED 70815,B100000,00000,0900,00000HOURS OF SERVICE 70815,B100000,00000,1000,00000COSTED REQUIS. 70815,B100000,00000,1100,00000COSTED REQUIS. 70815,B100000,00000,1200,00000TIME SPENT 70815,B100000,00000,1300,00000TIME SPENT 70815,B100000,00000,1350,00000NO STATISTICS 70815,B100000,00000,1400,00000TIME SPENT 70815,S000000,00100,0200,04/26/2000 70815,S200000,00100,0100,HC 60 BOX 98 70815,S200000,00200,0100,THOMAS 70815,S200000,00200,0200,WV 70815,S200000,00200,0300,26292 70815,S200000,00300,0100,T 70815,S200000,00400,0100,CORTLAND ACRES ASSOCIATION INC. 70815,S200000,00400,0200,515063 70815,S200000,00400,0300,03/01/1979 70815,S200000,00400,0500,P 70815,S200000,01500,0100,Y 70815,S200000,02800,0100,Y 70826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70826,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 70826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70826,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 70826,A000000,00300,0000,00300EMPLOYEE BENEFITS 70826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70826,A000000,00700,0000,00700HOUSEKEEPING 70826,A000000,00800,0000,00800DIETARY 70826,A000000,00801,0000,00801CAFETERIA 70826,A000000,00900,0000,00900NURSING ADMINISTRATION 70826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70826,A000000,01100,0000,01100PHARMACY 70826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70826,A000000,01300,0000,01300SOCIAL SERVICE 70826,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 70826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70826,A000000,01600,0000,01600SKILLED NURSING FACILITY 70826,A000000,01800,0000,01800NURSING FACILITY 70826,A000000,01810,0000,01810ICF/MR 70826,A000000,02100,0000,02100RADIOLOGY 70826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70826,A000000,02500,0000,02500PHYSICAL THERAPY 70826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70826,A000000,02700,0000,02700SPEECH PATHOLOGY 70826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70826,A000000,03050,0000,03300OTHER ANCILLARY 70826,A000000,03051,0000,03301OTHER ANCILLARY II 70826,A000000,03052,0000,03302OTHER ANCILLARY III 70826,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 70826,A000000,03550,0000,03550FQHC 70826,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70826,A000000,05000,0000,05000CORF I 70826,A000000,05010,0000,05010CMHC I 70826,A000000,05020,0000,05020OPT I 70826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70826,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 70826,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 70826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 70826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70826,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70826,A81000A,00100,0100,Y 70826,A81000B,00100,0300,LEASE EXPENSE 70826,A81000B,00200,0300,INTEREST 70826,A81000B,00300,0300,DEPRECIATION 70826,A81000C,00100,0100,A 70826,A81000C,00100,0200,CONAWAY 70826,A81000C,00100,0400,CONAWAY 70826,A81000C,00100,0600,LEASE 70826,B100000,00000,0100,00000(SQUARE FEET) 70826,B100000,00000,0101,00000(SQUARE FEET) 70826,B100000,00000,0200,00000(SQUARE FEET) 70826,B100000,00000,0201,00000(SQUARE FEET) 70826,B100000,00000,0300,00000(GROSS SALARIES) 70826,B100000,00000,0400,00000(ACCUM. COST) 70826,B100000,00000,0500,00000(SQUARE FEET) 70826,B100000,00000,0600,00000(PATIENT DAYS) 70826,B100000,00000,0700,00000(SQUARE FEET) 70826,B100000,00000,0800,00000(MEALS SERVED) 70826,B100000,00000,0801,00000(MEALS SERVED) 70826,B100000,00000,0900,00000(DIRECT NRSING HRS 70826,B100000,00000,1000,00000(PATIENT DAYS) 70826,B100000,00000,1100,00000(COSTED REQUIS.) 70826,B100000,00000,1200,00000(PATIENT DAYS) 70826,B100000,00000,1300,00000(PATIENT DAYS) 70826,B100000,00000,1350,00000 70826,B100000,00000,1400,00000(ASSIGNED TIME) 70826,E10A180,00301,0100,02/23/1998 70826,E10A180,00350,0100,02/23/1998 70826,S000000,00100,0200,05/25/2000 70826,S200000,00100,0100,FLORAL & OLIVE 70826,S200000,00200,0100,MOUNDSVILLE 70826,S200000,00200,0200,WV 70826,S200000,00200,0300,26041 70826,S200000,00400,0100,MOUNDVIEW HEALTH CARE INC 70826,S200000,00400,0200,515067 70826,S200000,00400,0300,07/01/1996 70826,S200000,00400,0500,P 70826,S200000,01600,0100,Y 70839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70839,A000000,00300,0000,00300EMPLOYEE BENEFITS 70839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70839,A000000,00700,0000,00700HOUSEKEEPING 70839,A000000,00800,0000,00800DIETARY 70839,A000000,00900,0000,00900NURSING ADMINISTRATION 70839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70839,A000000,01100,0000,01100PHARMACY 70839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70839,A000000,01300,0000,01300SOCIAL SERVICE 70839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70839,A000000,01600,0000,01600SKILLED NURSING FACILITY 70839,A000000,01800,0000,01800NURSING FACILITY 70839,A000000,01810,0000,01810ICF/MR 70839,A000000,02100,0000,02100RADIOLOGY 70839,A000000,02200,0000,02200LABORATORY 70839,A000000,02300,0000,02300INTRAVENOUS THERAPY 70839,A000000,02500,0000,02500PHYSICAL THERAPY 70839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70839,A000000,02700,0000,02700SPEECH PATHOLOGY 70839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70839,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70839,A000000,03051,0000,03301NUTRITIONAL THERAPY 70839,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 70839,A000000,03053,0000,03303PHYSICIAN SERVICES 70839,A000000,03054,0000,03304MEDICAL SERVICES 70839,A000000,03200,0000,03200SUPPORT SURFACES 70839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70839,A000000,03550,0000,03550FQHC 70839,A000000,05000,0000,05000CORF 70839,A000000,05010,0000,05010CMHC 70839,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70839,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70839,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70839,A000000,05300,0000,05300INTEREST EXPENSE 70839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70839,A81000A,00100,0100,Y 70839,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 70839,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 70839,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 70839,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 70839,A81000B,00500,0300,REGIONAL ALLOCATION 70839,A81000B,00600,0300,PLEASE SEE ATTACHED 70839,A81000C,00100,0100,B 70839,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 70839,A81000C,00200,0200,A-8-1. 70839,B100000,00000,0100,00000SQUARE FEET 70839,B100000,00000,0200,00000SQUARE FEET 70839,B100000,00000,0300,00000GROSS SALARIES 70839,B100000,00000,0400,00000ACCUM. COST 70839,B100000,00000,0500,00000SQUARE FEET 70839,B100000,00000,0600,00000PATIENT DAYS 70839,B100000,00000,0700,00000HSKP SQUARE 70839,B100000,00000,0800,00000PATIENT DAYS 70839,B100000,00000,0900,00000PATIENT DAYS 70839,B100000,00000,1000,00000PATIENT DAYS 70839,B100000,00000,1100,00000PATIENT DAYS 70839,B100000,00000,1200,00000GROSS REVENUE 70839,B100000,00000,1300,00000PATIENT DAYS 70839,B100000,00000,1400,00000ASSIGNED TIME 70839,S000000,00100,0200,07/28/2000 70839,S200000,00100,0100,225 RUSSELL AVE. 70839,S200000,00200,0100,NEW MARTINSVILLE 70839,S200000,00200,0200,WV 70839,S200000,00300,0100,WETZEL 70839,S200000,00400,0100,NEW MARTINSVILLE HEALTH CARE CENTER 70839,S200000,00400,0200,515074 70839,S200000,00400,0300,03/01/1983 70839,S200000,00400,0500,P 70839,S200000,01600,0100,Y 70839,S200000,02200,0100,Y 70856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70856,A000000,00300,0000,00300EMPLOYEE BENEFITS 70856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70856,A000000,00700,0000,00700HOUSEKEEPING 70856,A000000,00800,0000,00800DIETARY 70856,A000000,00900,0000,00900NURSING ADMINISTRATION 70856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70856,A000000,01100,0000,01100PHARMACY 70856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70856,A000000,01300,0000,01300SOCIAL SERVICE 70856,A000000,01301,0000,01301RESTORATIVE 70856,A000000,01302,0000,01302ACTIVITIES 70856,A000000,01350,0000,01500OTHER GENERAL SERVICES 70856,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70856,A000000,01600,0000,01600SKILLED NURSING FACILITY 70856,A000000,01800,0000,01800NURSING FACILITY 70856,A000000,01810,0000,01810ICF/MR 70856,A000000,02100,0000,02100RADIOLOGY 70856,A000000,02200,0000,02200LABORATORY 70856,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70856,A000000,02500,0000,02500PHYSICAL THERAPY 70856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70856,A000000,02700,0000,02700SPEECH PATHOLOGY 70856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70856,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70856,A000000,03200,0000,03200SUPPORT SURFACES 70856,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70856,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70856,A000000,03550,0000,03550FQHC 70856,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70856,A000000,05000,0000,05000CORF 70856,A000000,05010,0000,05010CMHC 70856,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70856,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70856,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70856,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70856,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70856,A81000A,00100,0100,Y 70856,A81000B,00100,0300,ADMINISTRATION 70856,A81000B,00200,0300,BUILDING 70856,A81000B,00300,0300,EQUIPMENT 70856,A81000B,00400,0300,DIETARY 70856,A81000B,00500,0300,NURSING ADMINISTRATION 70856,A81000B,00600,0300,MEDICAL SUPPLIES 70856,A81000B,00700,0300,DRUGS 70856,A81000B,00800,0300,PHYSICAL THERAPY 70856,A81000B,00900,0300,OCCUPATIONAL THERAPY 70856,A81000B,01000,0300,SPEECH THERAPY 70856,A81000B,01100,0300,DIETARY 70856,A81000C,00100,0100,B 70856,A81000C,00100,0200,GENESIS HEALTH VENTURES 70856,A81000C,00100,0600,MANAGEMENT COMPANY 70856,A81000C,00200,0100,B 70856,A81000C,00200,0200,GENESIS HEALTH VENTURES 70856,A81000C,00200,0600,MANAGEMENT COMPANY 70856,A81000C,00300,0100,B 70856,A81000C,00300,0200,NEIGHBORCARE 70856,A81000C,00300,0400,GENESIS HEALTH VENTURES 70856,A81000C,00300,0600,PHARMACY/MED SUPPIES 70856,A81000C,00400,0100,B 70856,A81000C,00400,0200,NEIGHBORCARE 70856,A81000C,00400,0400,GENESIS HEALTH VENTURES 70856,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70856,A81000C,00500,0100,B 70856,A81000C,00500,0200,NEIGHBORCARE 70856,A81000C,00500,0400,GENESIS HEALTH VENTURES 70856,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70856,A81000C,00600,0100,B 70856,A81000C,00600,0200,NEIGHBORCARE 70856,A81000C,00600,0400,GENESIS HEALTH VENTURES 70856,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70856,A81000C,00700,0100,B 70856,A81000C,00700,0200,NEIGHBORCARE 70856,A81000C,00700,0400,GENESIS HEALTH VENTURES 70856,A81000C,00700,0600,PHARMACY/MED SUPPLIES 70856,A81000C,00800,0100,B 70856,A81000C,00800,0200,GENESIS REHAB 70856,A81000C,00800,0400,GENESIS HEALTH VENTURES 70856,A81000C,00800,0600,REHAB SERVICES 70856,A81000C,00900,0100,B 70856,A81000C,00900,0200,GENESIS REHAB 70856,A81000C,00900,0400,GENESIS HEALTH VENTURES 70856,A81000C,00900,0600,REHAB SERVICES 70856,A81000C,01000,0100,B 70856,A81000C,01000,0200,GENESIS REHAB 70856,A81000C,01000,0400,GENESIS HEALTH VENTURES 70856,A81000C,01000,0600,REHAB SERVICES 70856,A81000C,01100,0100,B 70856,A81000C,01100,0200,GENESIS HOSPITALTIY 70856,A81000C,01100,0400,GENESIS HEALTH VENTURES 70856,A81000C,01100,0600,DIETARY SERVICES 70856,B100000,00000,0100,00000SQUARE FEET 70856,B100000,00000,0200,00000SQUARE FEET 70856,B100000,00000,0300,00000GROSS SALARIES 70856,B100000,00000,0400,00000ACCUM. COST 70856,B100000,00000,0500,00000SQUARE FEET 70856,B100000,00000,0600,00000PATIENT DAYS 70856,B100000,00000,0700,00000SQUARE FEET 70856,B100000,00000,0800,00000PATIENT DAYS 70856,B100000,00000,0900,00000DIRECT NRSING HRS 70856,B100000,00000,1000,00000NO STATISTICS 70856,B100000,00000,1100,00000NO STATISTICS 70856,B100000,00000,1200,00000PATIENT DAYS 70856,B100000,00000,1300,00000PATIENT DAYS 70856,B100000,00000,1301,00000LABOR HOURS 70856,B100000,00000,1302,00000PATIENT DAYS 70856,B100000,00000,1350,00000NO STATISTICS 70856,B100000,00000,1400,00000NO STATISTICS 70856,E10A180,00301,0100,10/21/1999 70856,E10A180,00301,0300,10/21/1999 70856,E10A180,00302,0100,03/02/2000 70856,E10A180,00501,0100,06/21/2000 70856,E10A180,00501,0300,06/21/2000 70856,S000000,00100,0200,05/26/2000 70856,S200000,00100,0100,723 SUMMERS STREET 70856,S200000,00200,0100,PARKERSBURG 70856,S200000,00200,0200,WV 70856,S200000,00300,0100,WOOD 70856,S200000,00400,0100,WILLOWS CENTER 70856,S200000,00400,0200,515085 70856,S200000,00400,0300,10/28/1988 70856,S200000,00400,0500,P 70856,S200000,01600,0100,Y 70866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70866,A000000,00300,0000,00300EMPLOYEE BENEFITS 70866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70866,A000000,00700,0000,00700HOUSEKEEPING 70866,A000000,00800,0000,00800DIETARY 70866,A000000,00900,0000,00900NURSING ADMINISTRATION 70866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70866,A000000,01100,0000,01100PHARMACY 70866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70866,A000000,01300,0000,01300SOCIAL SERVICE 70866,A000000,01301,0000,01301RESTORATIVE 70866,A000000,01302,0000,01302ACTIVITIES 70866,A000000,01350,0000,01500OTHER GENERAL SERVICES 70866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70866,A000000,01600,0000,01600SKILLED NURSING FACILITY 70866,A000000,01800,0000,01800NURSING FACILITY 70866,A000000,01810,0000,01810ICF/MR 70866,A000000,02100,0000,02100RADIOLOGY 70866,A000000,02200,0000,02200LABORATORY 70866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70866,A000000,02500,0000,02500PHYSICAL THERAPY 70866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70866,A000000,02700,0000,02700SPEECH PATHOLOGY 70866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70866,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70866,A000000,03200,0000,03200SUPPORT SURFACES 70866,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70866,A000000,03550,0000,03550FQHC 70866,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70866,A000000,05000,0000,05000CORF 70866,A000000,05010,0000,05010CMHC 70866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70866,A81000A,00100,0100,Y 70866,A81000B,00100,0300,BUILDING 70866,A81000B,00200,0300,ADMINISTRATIVE 70866,A81000B,00300,0300,DIETARY 70866,A81000B,00400,0300,NURSING ADMINISTRATION 70866,A81000B,00500,0300,MEDICAL SUPPLIES 70866,A81000B,00600,0300,DRUGS 70866,A81000B,00700,0300,PHYSICAL THERAPY 70866,A81000B,00800,0300,OCCUAPTIONAL THERAPY 70866,A81000B,00900,0300,SPEECH THERAPY 70866,A81000C,00100,0100,B 70866,A81000C,00100,0200,GENESIS HEALTH VENTURES 70866,A81000C,00100,0600,MANAGEMENT COMPANY 70866,A81000C,00200,0100,B 70866,A81000C,00200,0200,GENESIS HEALTH VENTURES 70866,A81000C,00200,0600,MANAGEMENT COMPANY 70866,A81000C,00300,0100,B 70866,A81000C,00300,0200,NEIGHBORCARE 70866,A81000C,00300,0400,GENESIS HEALTH VENTURES 70866,A81000C,00300,0600,PHARMACY/MED SUPPLIES 70866,A81000C,00400,0100,B 70866,A81000C,00400,0200,NEIGHBORCARE 70866,A81000C,00400,0400,GENESIS HEALTH VENTURES 70866,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70866,A81000C,00500,0100,B 70866,A81000C,00500,0200,NEIGHBORCARE 70866,A81000C,00500,0400,GENESIS HEALTH VENTURES 70866,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70866,A81000C,00600,0100,B 70866,A81000C,00600,0200,NEIGHBORCARE 70866,A81000C,00600,0400,GENESIS HEALTH VENTURES 70866,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70866,A81000C,00700,0100,B 70866,A81000C,00700,0200,GENESIS REHAB 70866,A81000C,00700,0400,GENESIS HEALTH VENTURES 70866,A81000C,00700,0600,REHAB SERVICES 70866,A81000C,00800,0100,B 70866,A81000C,00800,0200,GENESIS REHAB 70866,A81000C,00800,0400,GENESIS HEALTH VENTURES 70866,A81000C,00800,0600,REHAB SERVICES 70866,A81000C,00900,0100,B 70866,A81000C,00900,0200,GENESIS REHAB 70866,A81000C,00900,0400,GENESIS HEALTH VENTURES 70866,A81000C,00900,0600,REHAB SERVICES 70866,B100000,00000,0100,00000SQUARE FEET 70866,B100000,00000,0200,00000SQUARE FEET 70866,B100000,00000,0300,00000GROSS SALARIES 70866,B100000,00000,0400,00000ACCUM. COST 70866,B100000,00000,0500,00000SQUARE FEET 70866,B100000,00000,0600,00000PATIENT DAYS 70866,B100000,00000,0700,00000SQUARE FEET 70866,B100000,00000,0800,00000PATIENT DAYS 70866,B100000,00000,0900,00000DIRECT NRSING HRS 70866,B100000,00000,1000,00000NO STATISTICS 70866,B100000,00000,1100,00000NO STATISTICS 70866,B100000,00000,1200,00000PATIENT DAYS 70866,B100000,00000,1300,00000PATIENT DAYS 70866,B100000,00000,1301,00000LABOR HOURS 70866,B100000,00000,1302,00000PATIENT DAYS 70866,B100000,00000,1350,00000NO STATISTICS 70866,B100000,00000,1400,00000NO STATISTICS 70866,E10A180,00301,0100,11/18/1999 70866,E10A180,00301,0300,03/02/2000 70866,E10A180,00302,0100,03/02/2000 70866,E10A180,00501,0100,05/31/2001 70866,E10A180,00550,0300,05/31/2001 70866,S000000,00100,0200,05/26/2000 70866,S200000,00100,0100,DRAWER HH 70866,S200000,00200,0100,DANIELS 70866,S200000,00200,0200,WV 70866,S200000,00300,0100,RALEIGH 70866,S200000,00400,0100,RALEIGH CENTER 70866,S200000,00400,0200,515088 70866,S200000,00400,0300,03/30/1989 70866,S200000,00400,0500,P 70866,S200000,00400,0600,O 70866,S200000,01600,0100,Y 70871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70871,A000000,00300,0000,00300EMPLOYEE BENEFITS 70871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70871,A000000,00700,0000,00700HOUSEKEEPING 70871,A000000,00800,0000,00800DIETARY 70871,A000000,00900,0000,00900NURSING ADMINISTRATION 70871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70871,A000000,01100,0000,01100PHARMACY 70871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70871,A000000,01300,0000,01300SOCIAL SERVICE 70871,A000000,01301,0000,01301RESTORATIVE 70871,A000000,01302,0000,01302ACTIVITIES 70871,A000000,01350,0000,01500OTHER GENERAL SERVICES 70871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70871,A000000,01600,0000,01600SKILLED NURSING FACILITY 70871,A000000,01800,0000,01800NURSING FACILITY 70871,A000000,02200,0000,02200LABORATORY 70871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70871,A000000,02500,0000,02500PHYSICAL THERAPY 70871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70871,A000000,02700,0000,02700SPEECH PATHOLOGY 70871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70871,A000000,03201,0000,03201ANCILLARY CHARGABLE SUPPLIES 70871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70871,A000000,03550,0000,03550FQHC 70871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70871,A000000,05000,0000,05000CORF 70871,A000000,05010,0000,05010CMHC 70871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70871,A81000A,00100,0100,Y 70871,A81000B,00100,0300,ADMINISTRATION 70871,A81000B,00200,0300,BUILDING 70871,A81000B,00300,0300,DIETARY 70871,A81000B,00400,0300,NURSING ADMINISTRATION 70871,A81000B,00500,0300,MEDICAL SUPPLIES 70871,A81000B,00600,0300,DRUGS 70871,A81000B,00700,0300,PHYSICAL THERAPY 70871,A81000B,00800,0300,OCCUPATIONAL THERAPY 70871,A81000B,00900,0300,SPEECH THERAPY 70871,A81000C,00100,0100,B 70871,A81000C,00100,0200,GENESIS HEALTH VENTURES 70871,A81000C,00100,0600,MANAGEMENT COMPANY 70871,A81000C,00200,0100,B 70871,A81000C,00200,0200,GENESIS HEALTH VENTURES 70871,A81000C,00200,0600,MANAGEMENT COMPANY 70871,A81000C,00300,0100,B 70871,A81000C,00300,0200,NEIGHBORCARE 70871,A81000C,00300,0400,GENESIS HEALTH VENTURES 70871,A81000C,00300,0600,PHARMACY/MED SUPPLIES 70871,A81000C,00400,0100,B 70871,A81000C,00400,0200,NEIGHBORCARE 70871,A81000C,00400,0400,GENESIS HEALTH VENTURES 70871,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70871,A81000C,00500,0100,B 70871,A81000C,00500,0200,NEIGHBORCARE 70871,A81000C,00500,0400,GENESIS HEALTH VENTURES 70871,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70871,A81000C,00600,0100,B 70871,A81000C,00600,0200,NEIGHBORCARE 70871,A81000C,00600,0400,GENESIS HEALTH VENTURES 70871,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70871,A81000C,00700,0100,B 70871,A81000C,00700,0200,GENESIS REHAB 70871,A81000C,00700,0400,GENESIS HEALTH VENTURES 70871,A81000C,00700,0600,REHAB SERVICES 70871,A81000C,00800,0100,B 70871,A81000C,00800,0200,GENESIS REHAB 70871,A81000C,00800,0400,GENESIS HEALTH VENTURES 70871,A81000C,00800,0600,REHAB SERVICES 70871,A81000C,00900,0100,B 70871,A81000C,00900,0200,GENESIS REHAB 70871,A81000C,00900,0400,GENESIS HEALTH VENTURES 70871,A81000C,00900,0600,REHAB SERVICES 70871,B100000,00000,0100,00000SQUARE FEET 70871,B100000,00000,0200,00000SQUARE FEET 70871,B100000,00000,0300,00000GROSS SALARIES 70871,B100000,00000,0400,00000ACCUM. COST 70871,B100000,00000,0500,00000SQUARE FEET 70871,B100000,00000,0600,00000PATIENT DAYS 70871,B100000,00000,0700,00000SQUARE FEET 70871,B100000,00000,0800,00000PATIENT DAYS 70871,B100000,00000,0900,00000DIRECT NRSING HRS 70871,B100000,00000,1000,00000NO STATISTICS 70871,B100000,00000,1100,00000NO STATISTICS 70871,B100000,00000,1200,00000PATIENT DAYS 70871,B100000,00000,1300,00000PATIENT DAYS 70871,B100000,00000,1301,00000LABOR HOURS 70871,B100000,00000,1302,00000PATIENT DAYS 70871,B100000,00000,1350,00000NO STATISTICS 70871,B100000,00000,1400,00000NO STATISTICS 70871,E10A180,00301,0100,10/21/1999 70871,E10A180,00302,0100,03/02/2000 70871,E10A180,00501,0300,06/22/2000 70871,S000000,00100,0200,05/30/2000 70871,S200000,00100,0100,ROUTE 92 BOX H 70871,S200000,00200,0100,WHITE SULPHUR SPRINGS 70871,S200000,00200,0200,WV 70871,S200000,00300,0100,GREENBRIAR 70871,S200000,00400,0100,WHITE SULPHUR SPRINGS CENTER 70871,S200000,00400,0200,515100 70871,S200000,00400,0300,06/09/1989 70871,S200000,00400,0500,P 70871,S200000,01600,0100,Y 70880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70880,A000000,00300,0000,00300EMPLOYEE BENEFITS 70880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70880,A000000,00700,0000,00700HOUSEKEEPING 70880,A000000,00800,0000,00800DIETARY 70880,A000000,00900,0000,00900NURSING ADMINISTRATION 70880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70880,A000000,01100,0000,01100PHARMACY 70880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70880,A000000,01300,0000,01300SOCIAL SERVICE 70880,A000000,01301,0000,01301RESTORATIVE 70880,A000000,01302,0000,01302ACTIVITIES 70880,A000000,01350,0000,01500OTHER GENERAL SERVICES 70880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70880,A000000,01600,0000,01600SKILLED NURSING FACILITY 70880,A000000,01800,0000,01800NURSING FACILITY 70880,A000000,01810,0000,01810ICF/MR 70880,A000000,02100,0000,02100RADIOLOGY 70880,A000000,02200,0000,02200LABORATORY 70880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70880,A000000,02500,0000,02500PHYSICAL THERAPY 70880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70880,A000000,02700,0000,02700SPEECH PATHOLOGY 70880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70880,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70880,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70880,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70880,A000000,03550,0000,03550FQHC 70880,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70880,A000000,05000,0000,05000CORF 70880,A000000,05010,0000,05010CMHC 70880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70880,A81000A,00100,0100,Y 70880,A81000B,00100,0300,ADMINISTRATION 70880,A81000B,00200,0300,INTEREST 70880,A81000B,00300,0300,BUILDING 70880,A81000B,00400,0300,A&G 70880,A81000B,00500,0300,DIETARY 70880,A81000B,00600,0300,NURSING ADMINISTRATION 70880,A81000B,00700,0300,MEDICAL SUPPLIES 70880,A81000B,00800,0300,DRUGS 70880,A81000B,00900,0300,PHYSICAL THERAPY 70880,A81000B,01000,0300,OCCUPATIONAL THERAPY 70880,A81000B,01100,0300,SPEECH THERAPY 70880,A81000B,01200,0300,DIETARY 70880,A81000C,00100,0100,B 70880,A81000C,00100,0200,GENESIS HEALTH VENTURES 70880,A81000C,00100,0600,MANAGEMENT COMPANY 70880,A81000C,00200,0100,B 70880,A81000C,00200,0200,GENESIS HEALTH VENTURES 70880,A81000C,00200,0600,MANAGEMENT COMPANY 70880,A81000C,00300,0100,B 70880,A81000C,00300,0200,GENESIS HEALTH VENTURES 70880,A81000C,00300,0600,MANAGEMENT COMPANY 70880,A81000C,00400,0100,B 70880,A81000C,00400,0200,NEIGHBORCARE 70880,A81000C,00400,0400,GENESIS HEALTH VENTURES 70880,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70880,A81000C,00500,0100,B 70880,A81000C,00500,0200,NEIGHBORCARE 70880,A81000C,00500,0400,GENESIS HEALTH VENTURES 70880,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70880,A81000C,00600,0100,B 70880,A81000C,00600,0200,NEIGHBORCARE 70880,A81000C,00600,0400,GENESIS HEALTH VENTURES 70880,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70880,A81000C,00700,0100,B 70880,A81000C,00700,0200,NEIGHBORCARE 70880,A81000C,00700,0400,GENESIS HEALTH VENTURES 70880,A81000C,00700,0600,PHARMACY/MED SUPPLIES 70880,A81000C,00800,0100,B 70880,A81000C,00800,0200,NEIGHBORCARE 70880,A81000C,00800,0400,GENESIS HEALTH VENTURES 70880,A81000C,00800,0600,PHARMACY/MED SUPPLIES 70880,A81000C,00900,0100,B 70880,A81000C,00900,0200,GENESIS REHAB 70880,A81000C,00900,0400,GENESIS HEALTH VENTURES 70880,A81000C,00900,0600,REHAB SERVICES 70880,A81000C,01000,0100,B 70880,A81000C,01000,0200,GENESIS REHAB 70880,A81000C,01000,0400,GENESIS HEALTH VENTURES 70880,A81000C,01000,0600,REHAB SERVICES 70880,A81000C,01100,0100,B 70880,A81000C,01100,0200,GENESIS REAHB 70880,A81000C,01100,0400,GENESIS HEALTH VENTURES 70880,A81000C,01100,0600,REHAB SERVICES 70880,A81000C,01200,0100,B 70880,A81000C,01200,0200,GENESIS HOSPITALTIY 70880,A81000C,01200,0400,GENESIS HEALTH VENTURES 70880,A81000C,01200,0600,DIETARY SERVICES 70880,B100000,00000,0100,00000SQUARE FEET 70880,B100000,00000,0200,00000SQUARE FEET 70880,B100000,00000,0300,00000GROSS SALARIES 70880,B100000,00000,0400,00000ACCUM. COST 70880,B100000,00000,0500,00000SQUARE FEET 70880,B100000,00000,0600,00000PATIENT DAYS 70880,B100000,00000,0700,00000SQUARE FEET 70880,B100000,00000,0800,00000PATIENT DAYS 70880,B100000,00000,0900,00000DIRECT NRSING HRS 70880,B100000,00000,1000,00000NO STATISTICS 70880,B100000,00000,1100,00000NO STATISTICS 70880,B100000,00000,1200,00000PATIENT DAYS 70880,B100000,00000,1300,00000PATIENT DAYS 70880,B100000,00000,1301,00000LABOR HOURS 70880,B100000,00000,1302,00000PATIENT DAYS 70880,B100000,00000,1350,00000NO STATISTICS 70880,B100000,00000,1400,00000NO STATISTICS 70880,E10A180,00301,0100,11/18/1999 70880,E10A180,00301,0300,03/02/2000 70880,E10A180,00302,0100,03/02/2000 70880,S000000,00100,0200,05/30/2000 70880,S200000,00100,0100,8 ROSE STREET 70880,S200000,00200,0100,GRAFTON 70880,S200000,00200,0200,WV 70880,S200000,00300,0100,TAYLOR 70880,S200000,00400,0100,ROSEWOOD CENTER 70880,S200000,00400,0200,515105 70880,S200000,00400,0300,08/28/1989 70880,S200000,00400,0500,P 70880,S200000,01600,0100,Y 70887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70887,A000000,00300,0000,00300EMPLOYEE BENEFITS 70887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70887,A000000,00700,0000,00700HOUSEKEEPING 70887,A000000,00800,0000,00800DIETARY 70887,A000000,00900,0000,00900NURSING ADMINISTRATION 70887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70887,A000000,01100,0000,01100PHARMACY 70887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70887,A000000,01300,0000,01300SOCIAL SERVICE 70887,A000000,01301,0000,01301RESTORATIVE 70887,A000000,01302,0000,01302ACTIVITIES 70887,A000000,01350,0000,01500OTHER GENERAL SERVICES 70887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70887,A000000,01600,0000,01600SKILLED NURSING FACILITY 70887,A000000,01800,0000,01800NURSING FACILITY 70887,A000000,01810,0000,01810ICF/MR 70887,A000000,02100,0000,02100RADIOLOGY 70887,A000000,02200,0000,02200LABORATORY 70887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70887,A000000,02500,0000,02500PHYSICAL THERAPY 70887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70887,A000000,02700,0000,02700SPEECH PATHOLOGY 70887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70887,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70887,A000000,03200,0000,03200SUPPORT SURFACES 70887,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70887,A000000,03202,0000,03202ER PURCHASED SERVICES 70887,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70887,A000000,03550,0000,03550FQHC 70887,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70887,A000000,05000,0000,05000CORF 70887,A000000,05010,0000,05010CMHC 70887,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70887,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70887,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70887,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70887,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70887,A81000A,00100,0100,Y 70887,A81000B,00100,0300,ADMINISTRATION 70887,A81000B,00200,0300,BUILDING 70887,A81000B,00300,0300,DIETARY 70887,A81000B,00400,0300,NURSING ADMINISTRATION 70887,A81000B,00500,0300,MEDICAL SUPPLIES 70887,A81000B,00600,0300,PHARMACY 70887,A81000B,00700,0300,PHYSICAL THERAPY 70887,A81000B,00800,0300,OCCUPATIONAL THERAPY 70887,A81000B,00900,0300,SPEECH THERAPY 70887,A81000B,01000,0300,DIETARY 70887,A81000C,00100,0100,B 70887,A81000C,00100,0200,GENESIS HEALTH VENTURES 70887,A81000C,00100,0600,MANAGEMENT COMPANY 70887,A81000C,00200,0100,B 70887,A81000C,00200,0200,GENESIS HEALTH VENTURES 70887,A81000C,00200,0600,MANAGEMENT COMPANY 70887,A81000C,00300,0100,B 70887,A81000C,00300,0200,NEIGHBORCARE 70887,A81000C,00300,0400,GENESIS HEALTH VENTURES 70887,A81000C,00300,0600,PHARMACY/MED SUPPLIES 70887,A81000C,00400,0100,B 70887,A81000C,00400,0200,NEIGHBORCARE 70887,A81000C,00400,0400,GENESIS HEALTH VENTURES 70887,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70887,A81000C,00500,0100,B 70887,A81000C,00500,0200,NEIGHBORCARE 70887,A81000C,00500,0400,GENESIS HEALTH VENTURES 70887,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70887,A81000C,00600,0100,B 70887,A81000C,00600,0200,NEIGHBORCARE 70887,A81000C,00600,0400,GENESIS HEALTH VENTURES 70887,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70887,A81000C,00700,0100,B 70887,A81000C,00700,0200,GENESIS REHAB 70887,A81000C,00700,0400,GENESIS HEALTH VENTURES 70887,A81000C,00700,0600,REHAB SERVICES 70887,A81000C,00800,0100,B 70887,A81000C,00800,0200,GENESIS REHAB 70887,A81000C,00800,0400,GENESIS HEALTH VENTURES 70887,A81000C,00800,0600,REHAB SERVICES 70887,A81000C,00900,0100,B 70887,A81000C,00900,0200,GENESIS REHAB 70887,A81000C,00900,0400,GENESIS HEALTH VENTURES 70887,A81000C,00900,0600,REHAB SERVICES 70887,A81000C,01000,0100,B 70887,A81000C,01000,0200,GENSIS HOSPITALITY 70887,A81000C,01000,0400,GENESIS HEALTH VENTURES 70887,A81000C,01000,0600,DIETARY SERVICES 70887,B100000,00000,0100,00000SQUARE FEET 70887,B100000,00000,0200,00000SQUARE FEET 70887,B100000,00000,0300,00000GROSS SALARIES 70887,B100000,00000,0400,00000ACCUM. COST 70887,B100000,00000,0500,00000SQUARE FEET 70887,B100000,00000,0600,00000PATIENT DAYS 70887,B100000,00000,0700,00000SQUARE FEET 70887,B100000,00000,0800,00000PATIENT DAYS 70887,B100000,00000,0900,00000DIRECT NRSING HRS 70887,B100000,00000,1000,00000NO STATISTICS 70887,B100000,00000,1100,00000NO STATISTICS 70887,B100000,00000,1200,00000PATIENT DAYS 70887,B100000,00000,1300,00000PATIENT DAYS 70887,B100000,00000,1301,00000LABOR HOURS 70887,B100000,00000,1302,00000PATIENT DAYS 70887,B100000,00000,1350,00000NO STATISTICS 70887,B100000,00000,1400,00000NO STATISTICS 70887,E10A180,00301,0100,10/21/1999 70887,E10A180,00301,0300,10/21/1999 70887,E10A180,00302,0100,03/02/2000 70887,E10A180,00501,0100,06/21/2000 70887,E10A180,00501,0300,06/21/2000 70887,S000000,00100,0200,05/26/2000 70887,S200000,00100,0100,590 N. POPLAR FORK ROAD 70887,S200000,00200,0100,HURRICANE 70887,S200000,00200,0200,WV 70887,S200000,00300,0100,PUTNAM 70887,S200000,00400,0100,TEAYS VALLEY CENTER 70887,S200000,00400,0200,515106 70887,S200000,00400,0300,02/16/1990 70887,S200000,00400,0500,P 70887,S200000,01600,0100,Y 70901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70901,A000000,00300,0000,00300EMPLOYEE BENEFITS 70901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70901,A000000,00700,0000,00700HOUSEKEEPING 70901,A000000,00800,0000,00800DIETARY 70901,A000000,00900,0000,00900NURSING ADMINISTRATION 70901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70901,A000000,01100,0000,01100PHARMACY 70901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70901,A000000,01300,0000,01300SOCIAL SERVICE 70901,A000000,01350,0000,01500OTHER GENERAL SERVICES 70901,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70901,A000000,01600,0000,01600SKILLED NURSING FACILITY 70901,A000000,01810,0000,01810ICF/MR 70901,A000000,02200,0000,02200LABORATORY 70901,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70901,A000000,02500,0000,02500PHYSICAL THERAPY 70901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70901,A000000,02700,0000,02700SPEECH PATHOLOGY 70901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70901,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70901,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70901,A000000,03550,0000,03550FQHC 70901,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70901,A000000,05000,0000,05000CORF 70901,A000000,05010,0000,05010CMHC 70901,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70901,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70901,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70901,A000000,05300,0000,05300INTEREST EXPENSE 70901,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70901,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70901,A81000A,00100,0100,Y 70901,A81000B,00100,0300,NURSING MANAGEMENT 70901,A81000B,00200,0300,ACTIVITIES 70901,A81000B,00300,0300,MEDICAL RECORDS 70901,A81000B,00400,0300,DIETARY 70901,A81000B,00500,0300,PLANT OPERATIONS 70901,A81000B,00600,0300,ADMINISTRATION 70901,A81000C,00100,0100,E 70901,B100000,00000,0100,00000SQUARE FEET 70901,B100000,00000,0200,00000SQUARE FEET 70901,B100000,00000,0300,00000GROSS SALARIES 70901,B100000,00000,0400,00000ACCUM. COST 70901,B100000,00000,0500,00000SQUARE FEET 70901,B100000,00000,0600,00000POUNDS OF LAUNDRY 70901,B100000,00000,0700,00000SQUARE FEET 70901,B100000,00000,0800,00000MEALS SERVED 70901,B100000,00000,0900,00000DIRECT NURS. 70901,B100000,00000,1000,00000COST REQUIS. 70901,B100000,00000,1100,00000COST REQUIS. 70901,B100000,00000,1200,00000TIME SPENT 70901,B100000,00000,1300,00000TIME SPENT 70901,B100000,00000,1350,00000NO STATISTICS 70901,B100000,00000,1400,00000NO STATISTICS 70901,E10A180,00501,0100,06/29/2000 70901,S000000,00100,0200,05/31/2000 70901,S200000,00100,0100,LOUDENVILLE ROAD 70901,S200000,00100,0300,216 70901,S200000,00200,0100,CAMERON 70901,S200000,00200,0200,WV 70901,S200000,00300,0100,MARSHALL 70901,S200000,00400,0100,AMFM OF MARSHALL COUNTY INC. 70901,S200000,00400,0200,515125 70901,S200000,00400,0300,02/14/1994 70901,S200000,00400,0500,P 70901,S200000,01500,0100,Y 70901,S200000,02800,0100,Y 70906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70906,A000000,00300,0000,00300EMPLOYEE BENEFITS 70906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70906,A000000,00700,0000,00700HOUSEKEEPING 70906,A000000,00800,0000,00800DIETARY 70906,A000000,00900,0000,00900NURSING ADMINISTRATION 70906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70906,A000000,01100,0000,01100PHARMACY 70906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70906,A000000,01300,0000,01300SOCIAL SERVICE 70906,A000000,01301,0000,01301RESTORATIVE 70906,A000000,01302,0000,01302ACTIVITIES 70906,A000000,01350,0000,01500OTHER GENERAL SERVICES 70906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70906,A000000,01600,0000,01600SKILLED NURSING FACILITY 70906,A000000,01800,0000,01800NURSING FACILITY 70906,A000000,01810,0000,01810ICF/MR 70906,A000000,02100,0000,02100RADIOLOGY 70906,A000000,02200,0000,02200LABORATORY 70906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70906,A000000,02500,0000,02500PHYSICAL THERAPY 70906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70906,A000000,02700,0000,02700SPEECH PATHOLOGY 70906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70906,A000000,03200,0000,03200SUPPORT SURFACES 70906,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70906,A000000,03550,0000,03550FQHC 70906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70906,A000000,05000,0000,05000CORF 70906,A000000,05010,0000,05010CMHC 70906,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70906,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70906,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70906,A81000A,00100,0100,Y 70906,A81000B,00100,0300,ADMINISTRATION 70906,A81000B,00200,0300,INTEREST 70906,A81000B,00300,0300,BUILDING 70906,A81000B,00400,0300,BUILDING 70906,A81000B,00500,0300,EQUIPMENT 70906,A81000B,00600,0300,A & G 70906,A81000B,00700,0300,EQUIPMENT 70906,A81000B,00800,0300,A&G 70906,A81000B,00900,0300,DIETARY 70906,A81000B,01000,0300,NURSING ADMINISTRATION 70906,A81000B,01100,0300,MEDICAL SUPPLIES 70906,A81000B,01200,0300,DRUGS 70906,A81000B,01300,0300,SUPPORT SURFACES 70906,A81000B,01400,0300,PHYSICAL THERAPY 70906,A81000B,01500,0300,OCCUPATIONAL THERAPY 70906,A81000B,01600,0300,SPEECH THERAPY 70906,A81000C,00100,0100,B 70906,A81000C,00100,0200,GENESIS HEALTH SERVICES 70906,A81000C,00100,0600,MANAGEMENT COMPANY 70906,A81000C,00200,0100,B 70906,A81000C,00200,0200,GENESIS HEALTH SERVICES 70906,A81000C,00200,0600,MANAGEMENT COMPANY 70906,A81000C,00300,0100,B 70906,A81000C,00300,0200,GENESIS HEALTH SERVICES 70906,A81000C,00300,0600,MANAGEMENT COMPANY 70906,A81000C,00400,0100,B 70906,A81000C,00400,0200,GMA BRIGHTWOOD INC 70906,A81000C,00400,0400,GENESIS HEALTH VENTURES 70906,A81000C,00400,0600,PROPERTY OWNER 70906,A81000C,00500,0100,B 70906,A81000C,00500,0200,GMA BRIGHTWOOD INC 70906,A81000C,00500,0400,GENESIS HEALTH VENTURES 70906,A81000C,00500,0600,PROPERTY OWNER 70906,A81000C,00600,0100,B 70906,A81000C,00600,0200,GMA BRIGHTWOOD INC 70906,A81000C,00600,0400,GENESIS HEALTH VENTURES 70906,A81000C,00600,0600,PROPERTY OWNER 70906,A81000C,00700,0100,B 70906,A81000C,00700,0200,NEIGHBORCARE 70906,A81000C,00700,0400,GENESIS HEALTH VENTURES 70906,A81000C,00700,0600,PHARMACY/MED SUPPLIES 70906,A81000C,00800,0100,B 70906,A81000C,00800,0200,NEIGHBORCARE 70906,A81000C,00800,0400,GENESIS HEALTH VENTURES 70906,A81000C,00800,0600,PHARMACY/MED SUPPLIES 70906,A81000C,00900,0100,B 70906,A81000C,00900,0200,NEIGHBORCARE 70906,A81000C,00900,0400,GENESIS HEALTH VENTURES 70906,A81000C,00900,0600,PHARMACY/MED SUPPIES 70906,A81000C,01000,0100,B 70906,A81000C,01000,0200,NEIGHBORCARE 70906,A81000C,01000,0400,GENESIS HEALTH VENTURES 70906,A81000C,01000,0600,PHARMACY/MED SUPPIES 70906,A81000C,01100,0100,B 70906,A81000C,01100,0200,NEIGHBORCARE 70906,A81000C,01100,0400,GENESIS HEALTH VENTURES 70906,A81000C,01100,0600,PHARMACY/MED SUPPLIES 70906,A81000C,01200,0100,B 70906,A81000C,01200,0200,NEIGHBORCARE 70906,A81000C,01200,0400,GENESIS HEALTH VENTURES 70906,A81000C,01200,0600,PHARMACY/MED SUPPLIES 70906,A81000C,01300,0100,B 70906,A81000C,01300,0200,NEIGHBORCARE 70906,A81000C,01300,0400,GENESIS HEALTH VENTURES 70906,A81000C,01300,0600,PHARMACY/MED SUPPLIRS 70906,A81000C,01400,0100,B 70906,A81000C,01400,0200,GENESIS REHAB 70906,A81000C,01400,0400,GENESIS HEALTH VENTURES 70906,A81000C,01400,0600,REHAB SERVICES 70906,A81000C,01500,0100,B 70906,A81000C,01500,0200,GENESIS REHAB 70906,A81000C,01500,0400,GENESIS HEALTH VENTURES 70906,A81000C,01500,0600,REHAB SERVICES 70906,A81000C,01600,0100,B 70906,A81000C,01600,0200,GENESIS REHAB 70906,A81000C,01600,0400,GENESIS HEALTH VENTURES 70906,A81000C,01600,0600,REHAB SERVICES 70906,B100000,00000,0100,00000SQUARE FEET 70906,B100000,00000,0200,00000SQUARE FEET 70906,B100000,00000,0300,00000GROSS SALARIES 70906,B100000,00000,0400,00000ACCUM. COST 70906,B100000,00000,0500,00000SQUARE FEET 70906,B100000,00000,0600,00000PATIENT DAYS 70906,B100000,00000,0700,00000SQUARE FEET 70906,B100000,00000,0800,00000PATIENT DAYS 70906,B100000,00000,0900,00000DIRECT NRSING HRS 70906,B100000,00000,1000,00000NO STATISTICS 70906,B100000,00000,1100,00000NO STATISTICS 70906,B100000,00000,1200,00000PATIENT DAYS 70906,B100000,00000,1300,00000PATIENT DAYS 70906,B100000,00000,1301,00000LABOR HOURS 70906,B100000,00000,1302,00000PATIENT DAYS 70906,B100000,00000,1350,00000NO STATISTICS 70906,B100000,00000,1400,00000NO STATISTICS 70906,E10A180,00301,0100,11/18/1999 70906,E10A180,00302,0100,03/02/2000 70906,S000000,00100,0200,05/30/2000 70906,S200000,00100,0100,840 LEE STREET 70906,S200000,00200,0100,FOLLANSBEE 70906,S200000,00200,0200,WV 70906,S200000,00300,0100,BROOKE 70906,S200000,00400,0100,BRIGHTWOOD CENTER 70906,S200000,00400,0200,515128 70906,S200000,00400,0300,04/19/1994 70906,S200000,00400,0500,P 70906,S200000,01600,0100,Y 70910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70910,A000000,00300,0000,00300EMPLOYEE BENEFITS 70910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70910,A000000,00700,0000,00700HOUSEKEEPING 70910,A000000,00800,0000,00800DIETARY 70910,A000000,00900,0000,00900NURSING ADMINISTRATION 70910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70910,A000000,01100,0000,01100PHARMACY 70910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70910,A000000,01300,0000,01300SOCIAL SERVICE 70910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70910,A000000,01600,0000,01600SKILLED NURSING FACILITY 70910,A000000,01810,0000,01810ICF/MR 70910,A000000,02500,0000,02500PHYSICAL THERAPY 70910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70910,A000000,02700,0000,02700SPEECH PATHOLOGY 70910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70910,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70910,A000000,03550,0000,03550FQHC 70910,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70910,A000000,05000,0000,05000CORF 70910,A000000,05010,0000,05010CMHC 70910,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70910,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70910,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70910,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70910,A81000A,00100,0100,Y 70910,A81000B,00100,0300,RENT 70910,A81000B,00200,0300,INTEREST 70910,A81000B,00300,0300,DEPRECIATION 70910,A81000B,00400,0300,AMORTIZATION 70910,A81000C,00100,0100,A 70910,A81000C,00100,0200,JAMES E. FOX 70910,A81000C,00100,0400,FOX & FOX L. P. 70910,A81000C,00200,0100,A 70910,A81000C,00200,0200,JANET R. FOX 70910,A81000C,00200,0400,FOX & FOX L. P. 70910,A81000C,00300,0100,D 70910,A81000C,00300,0200,JAMES D. FOX 70910,A81000C,00400,0100,D 70910,A81000C,00400,0200,SCOTT D. FOX 70910,A81000C,00500,0100,D 70910,A81000C,00500,0200,ALICE L. FOX 70910,A81000C,00600,0100,D 70910,A81000C,00600,0200,AMY L. FOX 70910,B100000,00000,0100,00000SQUARE FEET 70910,B100000,00000,0200,00000SQUARE FEET 70910,B100000,00000,0300,00000GROSS SALARIES 70910,B100000,00000,0400,00000ACCUM. COST 70910,B100000,00000,0500,00000SQUARE FEET 70910,B100000,00000,0600,00000POUNDS OF LAUNDRY 70910,B100000,00000,0700,00000HOURS 70910,B100000,00000,0800,00000MEALS 70910,B100000,00000,0900,00000NURSING HOURS 70910,B100000,00000,1000,00000COSTEDREQU UISITIONS 70910,B100000,00000,1100,00000COSTEDREQU UISITIONS 70910,B100000,00000,1200,00000TIME SPENT 70910,B100000,00000,1300,00000TIME SPENT 70910,B100000,00000,1400,00000ASSIGNED TIME 70910,E10A180,00301,0100,03/09/2000 70910,E10A180,00301,0300,03/09/2000 70910,S000000,00100,0200,04/21/2000 70910,S200000,00100,0100,PYRAMUS STREET 70910,S200000,00100,0300,RD BOX 2 70910,S200000,00200,0100,CHESTER 70910,S200000,00200,0200,WV 70910,S200000,00200,0300,26034 70910,S200000,00300,0100,H 70910,S200000,00400,0100,FOX NURSING HOME INC. 70910,S200000,00400,0200,515130 70910,S200000,00400,0300,06/08/1994 70910,S200000,00400,0500,P 70910,S200000,01500,0100,Y 70915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70915,A000000,00300,0000,00300EMPLOYEE BENEFITS 70915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70915,A000000,00700,0000,00700HOUSEKEEPING 70915,A000000,00800,0000,00800DIETARY 70915,A000000,00900,0000,00900NURSING ADMINISTRATION 70915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70915,A000000,01100,0000,01100PHARMACY 70915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70915,A000000,01300,0000,01300SOCIAL SERVICE 70915,A000000,01301,0000,01301RESTORATIVE 70915,A000000,01302,0000,01302ACTIVITIES 70915,A000000,01350,0000,01500OTHER GENERAL SERVICES 70915,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70915,A000000,01600,0000,01600SKILLED NURSING FACILITY 70915,A000000,01800,0000,01800NURSING FACILITY 70915,A000000,01810,0000,01810ICF/MR 70915,A000000,02100,0000,02100RADIOLOGY 70915,A000000,02200,0000,02200LABORATORY 70915,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70915,A000000,02500,0000,02500PHYSICAL THERAPY 70915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70915,A000000,02700,0000,02700SPEECH PATHOLOGY 70915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70915,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70915,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70915,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70915,A000000,03550,0000,03550FQHC 70915,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70915,A000000,05000,0000,05000CORF 70915,A000000,05010,0000,05010CMHC 70915,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70915,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70915,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70915,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70915,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70915,A81000A,00100,0100,Y 70915,A81000B,00100,0300,ADMINISTRATION 70915,A81000B,00200,0300,BUILDING 70915,A81000B,00300,0300,BUILDING 70915,A81000B,00400,0300,EQUIPMENT 70915,A81000B,00500,0300,A & G 70915,A81000B,00600,0300,DIETARY 70915,A81000B,00700,0300,NURSING ADMINISTRATON 70915,A81000B,00800,0300,MEDICAL SUPPLIES 70915,A81000B,00900,0300,PHARMACY 70915,A81000B,01000,0300,PHYSICAL THERAPY 70915,A81000B,01100,0300,OCCUPATIONAL THERAPY 70915,A81000B,01200,0300,SPEECH THERAPY 70915,A81000B,01300,0300,DIETARY 70915,A81000C,00100,0100,B 70915,A81000C,00100,0200,GENESIS HEALTH VENTURES 70915,A81000C,00100,0600,MANAGEMENT COMPANY 70915,A81000C,00200,0100,B 70915,A81000C,00200,0200,GENESIS HEALTH VENTURES 70915,A81000C,00200,0600,MANAGEMENT COMPANY 70915,A81000C,00300,0100,B 70915,A81000C,00300,0200,CAREHAVEN ASSOCIATES 70915,A81000C,00300,0400,GENESIS HEALTH VENTURES 70915,A81000C,00300,0600,PROPERTY OWNER 70915,A81000C,00400,0100,B 70915,A81000C,00400,0200,CAREHAVEN ASSOCIATES 70915,A81000C,00400,0400,GENESIS HEALTH VENTURES 70915,A81000C,00400,0600,PROPERTY OWNER 70915,A81000C,00500,0100,B 70915,A81000C,00500,0200,CAREHAVEN ASSOCAITES 70915,A81000C,00500,0400,GENESIS HEALTH VENTURES 70915,A81000C,00500,0600,PROPERTY OWNER 70915,A81000C,00600,0100,B 70915,A81000C,00600,0200,NEIGHBORCARE 70915,A81000C,00600,0400,GENESIS HEALTH VENTURES 70915,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70915,A81000C,00700,0100,B 70915,A81000C,00700,0200,NEIGHBORCARE 70915,A81000C,00700,0400,GENESIS HEALTH VENTURES 70915,A81000C,00700,0600,PHARMACY/MED SUPPLIES 70915,A81000C,00800,0100,B 70915,A81000C,00800,0200,NEIGHBORCARE 70915,A81000C,00800,0400,GENESIS HEALTH VENTURES 70915,A81000C,00800,0600,PHARMACY/MED SUPPLIES 70915,A81000C,00900,0100,B 70915,A81000C,00900,0200,NEIGHBORCARE 70915,A81000C,00900,0400,GENESIS HEALTH VENTURES 70915,A81000C,00900,0600,PHARMACY/MED SUPPLIES 70915,A81000C,01000,0100,B 70915,A81000C,01000,0200,GENESIS REHAB 70915,A81000C,01000,0400,GENESIS HEALTH VENTURES 70915,A81000C,01000,0600,REHAB SERVICES 70915,A81000C,01100,0100,B 70915,A81000C,01100,0200,GENESIS REHAB 70915,A81000C,01100,0400,GENESIS HEALTH VENTURES 70915,A81000C,01100,0600,REHAB SERVICES 70915,A81000C,01200,0100,B 70915,A81000C,01200,0200,GENESIS REHAB 70915,A81000C,01200,0400,GENESIS HEALTH VENTURES 70915,A81000C,01200,0600,REHAB SERVICES 70915,A81000C,01300,0100,B 70915,A81000C,01300,0200,GENESIS HOSPITALTIY 70915,A81000C,01300,0400,GENESIS HEALTH VENTURES 70915,A81000C,01300,0600,DIETARY SERVICES 70915,B100000,00000,0100,00000SQUARE FEET 70915,B100000,00000,0200,00000SQUARE FEET 70915,B100000,00000,0300,00000GROSS SALARIES 70915,B100000,00000,0400,00000ACCUM. COST 70915,B100000,00000,0500,00000SQUARE FEET 70915,B100000,00000,0600,00000PATIENT DAYS 70915,B100000,00000,0700,00000SQUARE FEET 70915,B100000,00000,0800,00000PATIENT DAYS 70915,B100000,00000,0900,00000DIRECT NRSING HRS 70915,B100000,00000,1000,00000NO STATISTICS 70915,B100000,00000,1100,00000NO STATISTICS 70915,B100000,00000,1200,00000PATIENT DAYS 70915,B100000,00000,1300,00000PATIENT DAYS 70915,B100000,00000,1301,00000LABOR HOURS 70915,B100000,00000,1302,00000PATIENT DAYS 70915,B100000,00000,1350,00000NO STATISTICS 70915,B100000,00000,1400,00000NO STATISTICS 70915,E10A180,00301,0100,10/21/1999 70915,E10A180,00302,0100,03/02/2000 70915,E10A180,00302,0300,03/02/2000 70915,E10A180,00501,0100,06/20/2000 70915,E10A180,00501,0300,06/20/2000 70915,S000000,00100,0200,05/26/2000 70915,S200000,00100,0100,201 WOOD STREET 70915,S200000,00200,0100,SISTERSVILLE 70915,S200000,00200,0200,WV 70915,S200000,00300,0100,TYLER 70915,S200000,00400,0100,SISTERSVILLE CENTER 70915,S200000,00400,0200,515131 70915,S200000,00400,0300,08/31/1994 70915,S200000,00400,0500,P 70915,S200000,01600,0100,Y 70928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70928,A000000,00300,0000,00300EMPLOYEE BENEFITS 70928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70928,A000000,00700,0000,00700HOUSEKEEPING 70928,A000000,00800,0000,00800DIETARY 70928,A000000,00900,0000,00900NURSING ADMINISTRATION 70928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70928,A000000,01100,0000,01100PHARMACY 70928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70928,A000000,01300,0000,01300SOCIAL SERVICE 70928,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70928,A000000,01600,0000,01600SKILLED NURSING FACILITY 70928,A000000,01800,0000,01800NURSING FACILITY 70928,A000000,01810,0000,01810ICF/MR 70928,A000000,02100,0000,02100RADIOLOGY 70928,A000000,02200,0000,02200LABORATORY 70928,A000000,02300,0000,02300INTRAVENOUS THERAPY 70928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70928,A000000,02500,0000,02500PHYSICAL THERAPY 70928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70928,A000000,02700,0000,02700SPEECH PATHOLOGY 70928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70928,A000000,03550,0000,03550FQHC 70928,A000000,05000,0000,05000CORF 70928,A000000,05010,0000,05010CMHC 70928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70928,A81000A,00100,0100,Y 70928,A81000B,00100,0300,MANAGEMENT FEES 70928,A81000B,00200,0300,NURSING SUPPLIES 70928,A81000B,00300,0300,DIETARY SUPPLEMENTS 70928,A81000B,00400,0300,MEDICAL SUPPLIES 70928,A81000B,00500,0300,HSKPG SUPPLIES 70928,A81000B,00600,0300,LAUNDRY SUPPLIES 70928,A81000C,00100,0100,B 70928,A81000C,00100,0200,DIVERSICARE MGM 70928,A81000C,00100,0400,ADVOCAT INC. 70928,A81000C,00100,0600,HOME OFFICE/ MG 70928,A81000C,00200,0100,B 70928,A81000C,00200,0200,ADVOCAT DISTR S 70928,A81000C,00200,0400,ADVOCAT INC 70928,A81000C,00200,0600,MEDICAL SUPPLIE 70928,A81000C,00300,0100,B 70928,A81000C,00300,0200,ADVOCAT DISTR S 70928,A81000C,00300,0400,ADVOCAT INC. 70928,A81000C,00300,0600,MEDICAL SUPPLIE 70928,A81000C,00400,0100,B 70928,A81000C,00400,0200,ADVOCAT DISTR S 70928,A81000C,00400,0400,ADVOCAT INC. 70928,A81000C,00400,0600,MEDICAL SUPPLIE 70928,A81000C,00500,0100,B 70928,A81000C,00500,0200,ADVOCAT DISTR S 70928,A81000C,00500,0400,ADVOCAT INC. 70928,A81000C,00500,0600,MEDICAL SUPPLIE 70928,A81000C,00600,0100,B 70928,A81000C,00600,0200,ADVOCAT DISTR S 70928,A81000C,00600,0400,ADVOCAT INC. 70928,A81000C,00600,0600,MEDICAL SUPPLIE 70928,B100000,00000,0100,00000SQUARE FEET 70928,B100000,00000,0200,00000SQUARE FEET 70928,B100000,00000,0300,00000GROSS SALARIES 70928,B100000,00000,0400,00000ACCUM COST 70928,B100000,00000,0500,00000SQUARE FEET 70928,B100000,00000,0600,00000PATIENT DAYS 70928,B100000,00000,0700,00000SQUARE FEET 70928,B100000,00000,0800,00000PATIENT DAYS 70928,B100000,00000,0900,00000DIRECT NRSG HRS 70928,B100000,00000,1000,00000COSTED REQUIS 70928,B100000,00000,1100,00000COSTED REQUIS 70928,B100000,00000,1200,00000PATIENT DAYS 70928,B100000,00000,1300,00000PATIENT DAYS 70928,B100000,00000,1400,00000ASSIGNED TIME 70928,E10A180,00501,0300,07/20/2000 70928,S000000,00100,0200,05/31/2000 70928,S200000,00100,0100,H.C. 75 BOX 153 CLINIC RD. 70928,S200000,00200,0100,IVYDALE 70928,S200000,00200,0200,WV 70928,S200000,00200,0300,25113 70928,S200000,00300,0100,C 70928,S200000,00400,0100,LAUREL NURSING & REHAB CENTER 70928,S200000,00400,0200,515142 70928,S200000,00400,0300,06/11/1996 70928,S200000,00400,0500,P 70928,S200000,01600,0100,Y 70928,S200000,02200,0100,Y 70928,S200000,04100,0100,Y 70938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70938,A000000,00300,0000,00300EMPLOYEE BENEFITS 70938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70938,A000000,00700,0000,00700HOUSEKEEPING 70938,A000000,00800,0000,00800DIETARY 70938,A000000,00900,0000,00900NURSING ADMINISTRATION 70938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70938,A000000,01100,0000,01100PHARMACY 70938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70938,A000000,01300,0000,01300SOCIAL SERVICE 70938,A000000,01350,0000,01500OTHER GENERAL SERVICES 70938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70938,A000000,01600,0000,01600SKILLED NURSING FACILITY 70938,A000000,01810,0000,01810ICF/MR 70938,A000000,02100,0000,02100RADIOLOGY 70938,A000000,02200,0000,02200LABORATORY 70938,A000000,02500,0000,02500PHYSICAL THERAPY 70938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70938,A000000,02700,0000,02700SPEECH PATHOLOGY 70938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70938,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70938,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70938,A000000,03550,0000,03550FQHC 70938,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70938,A000000,05000,0000,05000CORF 70938,A000000,05010,0000,05010CMHC 70938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70938,A000000,05300,0000,05300INTEREST EXPENSE 70938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70938,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70938,A81000A,00100,0100,Y 70938,A81000B,00100,0300,BUILDING RENT 70938,A81000C,00100,0100,B 70938,A81000C,00100,0200,SUTPHIN ASSOC. LLC 70938,A81000C,00100,0600,RENTAL CO. 70938,B100000,00000,0100,00000SQUARE FEET 70938,B100000,00000,0200,00000SQUARE FEET 70938,B100000,00000,0300,00000GROSS SALARIES 70938,B100000,00000,0400,00000ACCUM. COST 70938,B100000,00000,0500,00000SQUARE FEET 70938,B100000,00000,0600,00000POUNDS OF LAUNDRY 70938,B100000,00000,0700,00000HOURS OF SERVICE 70938,B100000,00000,0800,00000MEALS SERVED 70938,B100000,00000,0900,00000HOURS OF SERVICE 70938,B100000,00000,1000,00000PATIENT DAYS 70938,B100000,00000,1100,00000NO STATISTICS 70938,B100000,00000,1200,00000TIME SPENT 70938,B100000,00000,1300,00000TIME SPENT 70938,B100000,00000,1350,00000NO STATISTICS 70938,B100000,00000,1400,00000NO STATISTICS 70938,E10A180,00302,0100,03/02/2000 70938,S000000,00100,0200,05/26/2000 70938,S200000,00100,0100,1 SUTPHIN DRIVE 70938,S200000,00200,0100,MARMET 70938,S200000,00200,0200,WV 70938,S200000,00300,0100,KANAWHA 70938,S200000,00400,0100,MARMET HEALTH CARE CENTER 70938,S200000,00400,0200,515146 70938,S200000,00400,0300,10/02/1996 70938,S200000,00400,0500,P 70938,S200000,00600,0200,150155 70938,S200000,00600,0300,10/02/1996 70938,S200000,01500,0100,Y 70952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70952,A000000,00300,0000,00300EMPLOYEE BENEFITS 70952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70952,A000000,00700,0000,00700HOUSEKEEPING 70952,A000000,00800,0000,00800DIETARY 70952,A000000,00900,0000,00900NURSING ADMINISTRATION 70952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70952,A000000,01100,0000,01100PHARMACY 70952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70952,A000000,01300,0000,01300SOCIAL SERVICE 70952,A000000,01350,0000,01500OTHER GENERAL SERVICES 70952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70952,A000000,01600,0000,01600SKILLED NURSING FACILITY 70952,A000000,01810,0000,01810ICF/MR 70952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70952,A000000,02500,0000,02500PHYSICAL THERAPY 70952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70952,A000000,02700,0000,02700SPEECH PATHOLOGY 70952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70952,A000000,03550,0000,03550FQHC 70952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70952,A000000,05000,0000,05000CORF 70952,A000000,05010,0000,05010CMHC 70952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70952,A81000A,00100,0100,Y 70952,A81000B,00100,0300,LAUNDRY PROCESSING 70952,A81000C,00100,0100,A 70952,A81000C,00100,0200,MONTGOMERY GENERAL HOSPIT 70952,B100000,00000,0100,00000SQUARE FEET 70952,B100000,00000,0200,00000SQUARE FEET 70952,B100000,00000,0300,00000GROSS SALARIES 70952,B100000,00000,0400,00000ACCUM. COST 70952,B100000,00000,0500,00000SQUARE FEET 70952,B100000,00000,0600,00000POUNDS OF LAUNDRY 70952,B100000,00000,0700,00000HOURS OF SERVICE 70952,B100000,00000,0800,00000MEALS SERVED 70952,B100000,00000,0900,00000NURSING HOURS 70952,B100000,00000,1000,00000COSTED REQUIS. 70952,B100000,00000,1100,00000COSTED REQUIS. 70952,B100000,00000,1200,00000TIME SPENT 70952,B100000,00000,1300,00000TIME SPENT 70952,B100000,00000,1350,00000NO STATISTICS 70952,B100000,00000,1400,00000ASSIGNED TIME 70952,S000000,00100,0200,05/31/2000 70952,S200000,00100,0100,6TH AVENUE AND ADAMS STREET 70952,S200000,00100,0300,1010 70952,S200000,00200,0100,MONTGOMERY 70952,S200000,00200,0200,WV 70952,S200000,00300,0100,FAYETTE 70952,S200000,00400,0100,MONTGOMERY ELDERLY CARE 70952,S200000,00400,0200,515152 70952,S200000,00400,0300,03/17/1997 70952,S200000,00400,0500,P 70952,S200000,01500,0100,Y 70956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70956,A000000,00300,0000,00300EMPLOYEE BENEFITS 70956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70956,A000000,00700,0000,00700HOUSEKEEPING 70956,A000000,00800,0000,00800DIETARY 70956,A000000,00900,0000,00900NURSING ADMINISTRATION 70956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70956,A000000,01100,0000,01100PHARMACY 70956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70956,A000000,01300,0000,01300SOCIAL SERVICE 70956,A000000,01350,0000,01500OTHER GENERAL SERVICES 70956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70956,A000000,01600,0000,01600SKILLED NURSING FACILITY 70956,A000000,01810,0000,01810ICF/MR 70956,A000000,02100,0000,02100RADIOLOGY 70956,A000000,02200,0000,02200LABORATORY 70956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70956,A000000,02500,0000,02500PHYSICAL THERAPY 70956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70956,A000000,02700,0000,02700SPEECH PATHOLOGY 70956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70956,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70956,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70956,A000000,03550,0000,03550FQHC 70956,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70956,A000000,05000,0000,05000CORF 70956,A000000,05010,0000,05010CMHC 70956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70956,A000000,05300,0000,05300INTEREST EXPENSE 70956,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70956,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70956,A81000A,00100,0100,Y 70956,A81000B,00100,0300,NURSING MANAGEMENT 70956,A81000B,00200,0300,ACTIVITIES 70956,A81000B,00300,0300,MEDICAL RECORDS 70956,A81000B,00400,0300,DIETARY 70956,A81000B,00500,0300,PLANT OPERATIONS 70956,A81000B,00600,0300,ADMINISTRATION 70956,A81000C,00100,0100,E 70956,B100000,00000,0100,00000SQ. FEET 70956,B100000,00000,0200,00000SQ. FEET 70956,B100000,00000,0300,00000GROSS SAL. 70956,B100000,00000,0400,00000ACCUM. COST 70956,B100000,00000,0500,00000SQ. FEET 70956,B100000,00000,0600,00000POUNDS OF LAUNDRY 70956,B100000,00000,0700,00000SQ. FEET 70956,B100000,00000,0800,00000MEALS SERVED 70956,B100000,00000,0900,00000DIRECT NURS. HOUR 70956,B100000,00000,1000,00000COST REQUIST. 70956,B100000,00000,1100,00000COST REQUIST. 70956,B100000,00000,1200,00000TIME SPENT 70956,B100000,00000,1300,00000TIME SPENT 70956,B100000,00000,1350,00000NO STATISTICS 70956,B100000,00000,1400,00000NO STATISTICS 70956,S000000,00100,0200,05/31/2000 70956,S200000,00100,0100,100 HRESAN BOULEVARD 70956,S200000,00200,0100,FAYETTEVILLE 70956,S200000,00200,0200,WV 70956,S200000,00300,0100,FAYETTE 70956,S200000,00400,0100,AMFM OF FAYETTE 70956,S200000,00400,0200,515153 70956,S200000,00400,0300,07/16/1997 70956,S200000,00400,0500,P 70956,S200000,01500,0100,Y 70967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70967,A000000,00300,0000,00300EMPLOYEE BENEFITS 70967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70967,A000000,00700,0000,00700HOUSEKEEPING 70967,A000000,00800,0000,00800DIETARY 70967,A000000,00900,0000,00900NURSING ADMINISTRATION 70967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70967,A000000,01100,0000,01100PHARMACY 70967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70967,A000000,01300,0000,01300SOCIAL SERVICE 70967,A000000,01350,0000,01500OTHER GENERAL SERVICES 70967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70967,A000000,01600,0000,01600SKILLED NURSING FACILITY 70967,A000000,01810,0000,01810ICF/MR 70967,A000000,02200,0000,02200LABORATORY 70967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70967,A000000,02500,0000,02500PHYSICAL THERAPY 70967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70967,A000000,02700,0000,02700SPEECH PATHOLOGY 70967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70967,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70967,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70967,A000000,03550,0000,03550FQHC 70967,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70967,A000000,05000,0000,05000CORF 70967,A000000,05010,0000,05010CMHC 70967,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70967,A000000,05300,0000,05300INTEREST EXPENSE 70967,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70967,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70967,A81000A,00100,0100,Y 70967,A81000B,00100,0300,NURSING MANAGEMENT 70967,A81000B,00200,0300,ACTIVITIES 70967,A81000B,00300,0300,MEDICAL RECORDS 70967,A81000B,00400,0300,DIETARY 70967,A81000B,00500,0300,PLANT OPERATIONS 70967,A81000B,00600,0300,ADMINISTRATION 70967,A81000C,00100,0100,E 70967,B100000,00000,0100,00000SQUARE FEET 70967,B100000,00000,0200,00000SQUARE FEET 70967,B100000,00000,0300,00000GROSS SALARIES 70967,B100000,00000,0400,00000ACCUM. COST 70967,B100000,00000,0500,00000SQUARE FEET 70967,B100000,00000,0600,00000POUNDS OF LAUNDRY 70967,B100000,00000,0700,00000SQUARE FEET 70967,B100000,00000,0800,00000MEALS SERVED 70967,B100000,00000,0900,00000NURSING HOURS 70967,B100000,00000,1000,00000PATIENT DAYS 70967,B100000,00000,1100,00000PATIENT DAYS 70967,B100000,00000,1200,00000PATIENT DAYS 70967,B100000,00000,1300,00000PATIENT DAYS 70967,B100000,00000,1350,00000NO STATISTICS 70967,B100000,00000,1400,00000NO STATISTICS 70967,S000000,00100,0200,05/31/2000 70967,S200000,00100,0100,ROUTE 103 70967,S200000,00100,0300,220 70967,S200000,00200,0100,GARY 70967,S200000,00200,0200,WV 70967,S200000,00300,0100,MCDOWELL 70967,S200000,00400,0100,AMFM OF MCDOWELL COUNTY INC. 70967,S200000,00400,0200,515162 70967,S200000,00400,0300,09/14/1998 70967,S200000,00400,0500,P 70967,S200000,01500,0100,Y 70975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70975,A000000,00300,0000,00300EMPLOYEE BENEFITS 70975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70975,A000000,00700,0000,00700HOUSEKEEPING 70975,A000000,00800,0000,00800DIETARY 70975,A000000,00900,0000,00900NURSING ADMINISTRATION 70975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70975,A000000,01100,0000,01100PHARMACY 70975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70975,A000000,01300,0000,01300SOCIAL SERVICE 70975,A000000,01350,0000,01500OTHER GENERAL SERVICES 70975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70975,A000000,01600,0000,01600SKILLED NURSING FACILITY 70975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70975,A000000,02500,0000,02500PHYSICAL THERAPY 70975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70975,A000000,02700,0000,02700SPEECH PATHOLOGY 70975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70975,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70975,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70975,A000000,03550,0000,03550FQHC 70975,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70975,A000000,05000,0000,05000CORF 70975,A000000,05010,0000,05010CMHC 70975,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70975,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70975,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70975,A000000,05300,0000,05300INTEREST EXPENSE 70975,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70975,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70975,A81000A,00100,0100,Y 70975,A81000B,00100,0300,NURSING 70975,A81000B,00200,0300,ACTIVITIES 70975,A81000B,00300,0300,MEDICAL RECORDS 70975,A81000B,00400,0300,DIETARY 70975,A81000B,00500,0300,ENVIRONMENTAL SERVICES 70975,A81000B,00600,0300,ADMINISTRATION 70975,A81000C,00100,0100,B 70975,B100000,00000,0100,00000SQUARE FEET 70975,B100000,00000,0200,00000SQUARE FEET 70975,B100000,00000,0300,00000GROSS SALARIES 70975,B100000,00000,0400,00000ACCUM. COST 70975,B100000,00000,0500,00000SQUARE FEET 70975,B100000,00000,0600,00000POUNDS OF LAUNDRY 70975,B100000,00000,0700,00000SQUARE FEET 70975,B100000,00000,0800,00000MEALS SERVED 70975,B100000,00000,0900,00000NURSING HOURS 70975,B100000,00000,1000,00000COST REQUIST. 70975,B100000,00000,1100,00000COST REQUIST. 70975,B100000,00000,1200,00000TIME SPENT 70975,B100000,00000,1300,00000TIME SPENT 70975,B100000,00000,1350,00000NO STATISTICS 70975,B100000,00000,1400,00000NO STATISTICS 70975,S000000,00100,0200,05/31/2000 70975,S200000,00100,0100,BOX 146 / ROUTE 16 70975,S200000,00200,0100,NEW RICHMOND 70975,S200000,00200,0200,WV 70975,S200000,00300,0100,WYOMING 70975,S200000,00400,0100,AMFM OF WYOMING INC. 70975,S200000,00400,0200,515164 70975,S200000,00400,0300,11/06/1998 70975,S200000,00400,0500,P 70975,S200000,01500,0100,Y 70979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70979,A000000,00300,0000,00300EMPLOYEE BENEFITS 70979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70979,A000000,00700,0000,00700HOUSEKEEPING 70979,A000000,00800,0000,00800DIETARY 70979,A000000,00900,0000,00900NURSING ADMINISTRATION 70979,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70979,A000000,01100,0000,01100PHARMACY 70979,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70979,A000000,01300,0000,01300SOCIAL SERVICE 70979,A000000,01350,0000,01500OTHER GENERAL SERVICES 70979,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70979,A000000,01600,0000,01600SKILLED NURSING FACILITY 70979,A000000,01800,0000,01800NURSING FACILITY 70979,A000000,01810,0000,01810ICF/MR 70979,A000000,02200,0000,02200LABORATORY 70979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70979,A000000,02500,0000,02500PHYSICAL THERAPY 70979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70979,A000000,02700,0000,02700SPEECH PATHOLOGY 70979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70979,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70979,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70979,A000000,03550,0000,03550FQHC 70979,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70979,A000000,05000,0000,05000CORF 70979,A000000,05010,0000,05010CMHC 70979,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70979,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70979,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70979,A000000,05300,0000,05300INTEREST EXPENSE 70979,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70979,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70979,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70979,A81000A,00100,0100,Y 70979,A81000B,00100,0300,NURSING 70979,A81000B,00200,0300,ACTIVITIES 70979,A81000B,00300,0300,MEDICAL RECORDS 70979,A81000B,00400,0300,DIETARY 70979,A81000B,00500,0300,ENVIRONMENTAL SERVICES 70979,A81000B,00600,0300,ADMINISTRATION 70979,A81000C,00100,0100,E 70979,B100000,00000,0100,00000SQ FEET 70979,B100000,00000,0200,00000SQ FEET 70979,B100000,00000,0300,00000GROSS SALARIES 70979,B100000,00000,0400,00000ACCUM. COST 70979,B100000,00000,0500,00000SQ FEET 70979,B100000,00000,0600,00000POUNDS OF LAUNDRY 70979,B100000,00000,0700,00000SQ FEET 70979,B100000,00000,0800,00000MEALS SERVED 70979,B100000,00000,0900,00000DIRECT NURSING HR 70979,B100000,00000,1000,00000COSTED REQUIS. 70979,B100000,00000,1100,00000COSTED REQUIS. 70979,B100000,00000,1200,00000TIME SPEN 70979,B100000,00000,1300,00000TIME SPENT 70979,B100000,00000,1350,00000NO STATISTICS 70979,B100000,00000,1400,00000NO STATISTICS 70979,S000000,00100,0200,05/31/2000 70979,S200000,00100,0100,P.O. BOX 989 70979,S200000,00100,0300,989 70979,S200000,00200,0100,COWEN 70979,S200000,00200,0200,WV 70979,S200000,00300,0100,WEBSTER 70979,S200000,00400,0100,AMFM OF WEBSTER COUNTY INC. 70979,S200000,00400,0200,515165 70979,S200000,00400,0300,09/14/1998 70979,S200000,00400,0500,P 70979,S200000,01500,0100,Y 70982,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70982,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70982,A000000,00300,0000,00300EMPLOYEE BENEFITS 70982,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70982,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70982,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70982,A000000,00700,0000,00700HOUSEKEEPING 70982,A000000,00800,0000,00800DIETARY 70982,A000000,00900,0000,00900NURSING ADMINISTRATION 70982,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70982,A000000,01100,0000,01100PHARMACY 70982,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70982,A000000,01300,0000,01300SOCIAL SERVICE 70982,A000000,01350,0000,01500OTHER GENERAL SERVICES 70982,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70982,A000000,01600,0000,01600SKILLED NURSING FACILITY 70982,A000000,01810,0000,01810ICF/MR 70982,A000000,01900,0000,01900OTHER LONG TERM CARE 70982,A000000,02100,0000,02100RADIOLOGY 70982,A000000,02200,0000,02200LABORATORY 70982,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70982,A000000,02500,0000,02500PHYSICAL THERAPY 70982,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70982,A000000,02700,0000,02700SPEECH PATHOLOGY 70982,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70982,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70982,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70982,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70982,A000000,03550,0000,03550FQHC 70982,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70982,A000000,05000,0000,05000CORF 70982,A000000,05010,0000,05010CMHC 70982,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70982,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70982,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70982,A000000,05300,0000,05300INTEREST EXPENSE 70982,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70982,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70982,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70982,A81000A,00100,0100,Y 70982,A81000C,00100,0100,G 70982,B100000,00000,0100,00000SQUARE FEET 70982,B100000,00000,0200,00000SQUARE FEET 70982,B100000,00000,0300,00000GROSS SALARIES 70982,B100000,00000,0400,00000ACCUM. COST 70982,B100000,00000,0500,00000SQUARE FEET 70982,B100000,00000,0600,00000PATIENT DAYS 70982,B100000,00000,0700,00000SQUARE FEET 70982,B100000,00000,0800,00000MEALS SERVED 70982,B100000,00000,0900,00000DIRECT NURSING HR 70982,B100000,00000,1000,00000COST REQUIS. 70982,B100000,00000,1100,00000COST REQUIS. 70982,B100000,00000,1200,00000TIME SPENT 70982,B100000,00000,1300,00000TIME SPENT 70982,B100000,00000,1350,00000NO STATISTICS 70982,B100000,00000,1400,00000NO STATISTICS 70982,E10A180,00501,0100,07/20/2000 70982,S000000,00100,0200,05/31/2000 70982,S200000,00100,0100,BOX 360 / ROUTE 6 70982,S200000,00200,0100,CHARLESTON 70982,S200000,00200,0200,WV 70982,S200000,00300,0100,HARRISON 70982,S200000,00400,0100,AMFM OF CLARKSBURG INC. 70982,S200000,00400,0200,515166 70982,S200000,00400,0300,01/01/1999 70982,S200000,00400,0500,P 70982,S200000,01500,0100,Y 70987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70987,A000000,00300,0000,00300EMPLOYEE BENEFITS 70987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70987,A000000,00700,0000,00700HOUSEKEEPING 70987,A000000,00800,0000,00800DIETARY 70987,A000000,00900,0000,00900NURSING ADMINISTRATION 70987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70987,A000000,01100,0000,01100PHARMACY 70987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70987,A000000,01300,0000,01300SOCIAL SERVICE 70987,A000000,01301,0000,01301RESTORATIVE 70987,A000000,01302,0000,01302ACTIVITIES 70987,A000000,01350,0000,01500OTHER GENERAL SERVICES 70987,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70987,A000000,01600,0000,01600SKILLED NURSING FACILITY 70987,A000000,01810,0000,01810ICF/MR 70987,A000000,02100,0000,02100RADIOLOGY 70987,A000000,02200,0000,02200LABORATORY 70987,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70987,A000000,02500,0000,02500PHYSICAL THERAPY 70987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70987,A000000,02700,0000,02700SPEECH PATHOLOGY 70987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70987,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70987,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70987,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70987,A000000,03550,0000,03550FQHC 70987,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70987,A000000,05000,0000,05000CORF 70987,A000000,05010,0000,05010CMHC 70987,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70987,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70987,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70987,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70987,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70987,A81000A,00100,0100,Y 70987,A81000B,00100,0300,ADMINISTRATION 70987,A81000B,00200,0300,BUILDING 70987,A81000B,00300,0300,EQUIPMENT 70987,A81000B,00400,0300,A&G 70987,A81000B,00500,0300,DIETARY 70987,A81000B,00600,0300,NURSING ADMINISTRATION 70987,A81000B,00700,0300,MEDICAL SUPPLIES 70987,A81000B,00800,0300,DRUGS 70987,A81000B,00900,0300,PHYSICAL THERAPY 70987,A81000B,01000,0300,OCCUPATIONAL THERAPY 70987,A81000B,01100,0300,SPEECH THERAPY 70987,A81000C,00100,0100,B 70987,A81000C,00100,0200,GENESIS HEALTH VENTURES 70987,A81000C,00100,0600,MANAGEMENT COMPANY 70987,A81000C,00200,0100,B 70987,A81000C,00200,0200,GENESIS HEALTH VENTURES 70987,A81000C,00200,0600,MANAGEMENT COMPANY 70987,A81000C,00300,0100,B 70987,A81000C,00300,0200,NEIGHBORCARE 70987,A81000C,00300,0400,GENESIS HEALTH VENTURES 70987,A81000C,00300,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00400,0100,B 70987,A81000C,00400,0200,NEIGHBORCARE 70987,A81000C,00400,0400,GENESIS HEALTH VENTURES 70987,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00500,0100,B 70987,A81000C,00500,0200,NEIGHBORCARE 70987,A81000C,00500,0400,GENESIS HEALTH VENTURES 70987,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00600,0100,B 70987,A81000C,00600,0200,NEIGHBORCARE 70987,A81000C,00600,0400,GENESIS HEALTH VENTURES 70987,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00700,0100,B 70987,A81000C,00700,0200,NEIGHBORCARE 70987,A81000C,00700,0400,GENESIS HEALTH VENTURES 70987,A81000C,00700,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00800,0100,B 70987,A81000C,00800,0200,NEIGHBORCARE 70987,A81000C,00800,0400,GENESIS HEALTH VENTURES 70987,A81000C,00800,0600,PHARMACY/MED SUPPLIES 70987,A81000C,00900,0100,B 70987,A81000C,00900,0200,GENESIS REHAB 70987,A81000C,00900,0400,GENESIS HEALTH VENTURES 70987,A81000C,00900,0600,REHAB SERVICES 70987,A81000C,01000,0100,B 70987,A81000C,01000,0200,GENESIS REHAB 70987,A81000C,01000,0400,GENESIS HEALTH VENTURES 70987,A81000C,01000,0600,REHAB SERVICES 70987,A81000C,01100,0100,B 70987,A81000C,01100,0200,GENESIS REHAB 70987,A81000C,01100,0400,GENESIS HEALTH VENTURES 70987,A81000C,01100,0600,REHAB SERVICES 70987,B100000,00000,0100,00000SQUARE FEET 70987,B100000,00000,0200,00000SQUARE FEET 70987,B100000,00000,0300,00000GROSS SALARIES 70987,B100000,00000,0400,00000ACCUM. COST 70987,B100000,00000,0500,00000SQUARE FEET 70987,B100000,00000,0600,00000PATIENT DAYS 70987,B100000,00000,0700,00000SQUARE FEET 70987,B100000,00000,0800,00000PATIENT DAYS 70987,B100000,00000,0900,00000DIRECT NRSING HRS 70987,B100000,00000,1000,00000NO STATISTICS 70987,B100000,00000,1100,00000NO STATISTICS 70987,B100000,00000,1200,00000PATIENT DAYS 70987,B100000,00000,1300,00000PATIENT DAYS 70987,B100000,00000,1301,00000LABOR HOURS 70987,B100000,00000,1302,00000PATIENT DAYS 70987,B100000,00000,1350,00000NO STATISTICS 70987,B100000,00000,1400,00000NO STATISTICS 70987,S000000,00100,0200,05/30/2000 70987,S200000,00100,0100,219 PROSPECT AVENUE 70987,S200000,00200,0100,CHARLES TOWN 70987,S200000,00200,0200,WV 70987,S200000,00300,0100,JEFFERSON 70987,S200000,00400,0100,SHENANDOAH HEALTH VILLAGE CENTER 70987,S200000,00400,0200,515167 70987,S200000,00400,0300,04/16/1998 70987,S200000,00400,0500,P 70987,S200000,01500,0100,Y 70991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70991,A000000,00300,0000,00300EMPLOYEE BENEFITS 70991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70991,A000000,00700,0000,00700HOUSEKEEPING 70991,A000000,00800,0000,00800DIETARY 70991,A000000,00900,0000,00900NURSING ADMINISTRATION 70991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70991,A000000,01100,0000,01100PHARMACY 70991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70991,A000000,01300,0000,01300SOCIAL SERVICE 70991,A000000,01301,0000,01301RESTORATIVE 70991,A000000,01302,0000,01302ACTIVITIES 70991,A000000,01350,0000,01500OTHER GENERAL SERVICES 70991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70991,A000000,01600,0000,01600SKILLED NURSING FACILITY 70991,A000000,01800,0000,01800NURSING FACILITY 70991,A000000,01810,0000,01810ICF/MR 70991,A000000,02100,0000,02100RADIOLOGY 70991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 70991,A000000,02500,0000,02500PHYSICAL THERAPY 70991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70991,A000000,02700,0000,02700SPEECH PATHOLOGY 70991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 70991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70991,A000000,03200,0000,03200SUPPORT SURFACES 70991,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 70991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70991,A000000,03550,0000,03550FQHC 70991,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70991,A000000,05000,0000,05000CORF 70991,A000000,05010,0000,05010CMHC 70991,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70991,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70991,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 70991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70991,A81000A,00100,0100,Y 70991,A81000B,00100,0300,ADMINISTRATION 70991,A81000B,00200,0300,BUILDING 70991,A81000B,00300,0300,DIETARY 70991,A81000B,00400,0300,NURSING ADMINISTRATION 70991,A81000B,00500,0300,MEDICAL SUPPLIES 70991,A81000B,00600,0300,DRUGS 70991,A81000B,00700,0300,PHYSICAL THERAPY 70991,A81000B,00800,0300,OCCUPATIONAL THERAPY 70991,A81000B,00900,0300,SPEECH THERAPY 70991,A81000B,01000,0300,DIETARY 70991,A81000C,00100,0100,B 70991,A81000C,00100,0200,GENESIS HEALTH VENTURES 70991,A81000C,00100,0600,MANAGEMENT COMPANY 70991,A81000C,00200,0100,B 70991,A81000C,00200,0200,GENESIS HEALTH VENTURES 70991,A81000C,00200,0600,MANAGEMENT COMPANY 70991,A81000C,00300,0100,B 70991,A81000C,00300,0200,NEIGHBORCARE 70991,A81000C,00300,0400,GENESIS HEALTH VENTURES 70991,A81000C,00300,0600,PHARMACY/MED SUPPLIES 70991,A81000C,00400,0100,B 70991,A81000C,00400,0200,NEIGHBORCARE 70991,A81000C,00400,0400,GENESIS HEALTH VENTURES 70991,A81000C,00400,0600,PHARMACY/MED SUPPLIES 70991,A81000C,00500,0100,B 70991,A81000C,00500,0200,NEIGHBORCARE 70991,A81000C,00500,0400,GENESIS HEALTH VENTURES 70991,A81000C,00500,0600,PHARMACY/MED SUPPLIES 70991,A81000C,00600,0100,B 70991,A81000C,00600,0200,NEIGHBORCARE 70991,A81000C,00600,0400,GENESIS HEALTH VENTURES 70991,A81000C,00600,0600,PHARMACY/MED SUPPLIES 70991,A81000C,00700,0100,B 70991,A81000C,00700,0200,GENESIS REHAB 70991,A81000C,00700,0400,GENESIS HEALTH VENTURES 70991,A81000C,00700,0600,REHAB SERVICES 70991,A81000C,00800,0100,B 70991,A81000C,00800,0200,GENESIS REHAB 70991,A81000C,00800,0400,GENESIS HEALTH VENTURES 70991,A81000C,00800,0600,REHAB SERVICES 70991,A81000C,00900,0100,B 70991,A81000C,00900,0200,GENESIS REHAB 70991,A81000C,00900,0400,GENESIS HEALTH VENTURES 70991,A81000C,00900,0600,REHAB SERVICES 70991,A81000C,01000,0100,B 70991,A81000C,01000,0200,GENESIS HOSPITALITY 70991,A81000C,01000,0400,GENSIS HEALTH VENTURES 70991,A81000C,01000,0600,DIETARY SERVICES 70991,B100000,00000,0100,00000SQUARE FEET 70991,B100000,00000,0200,00000SQUARE FEET 70991,B100000,00000,0300,00000GROSS SALARIES 70991,B100000,00000,0400,00000ACCUM. COST 70991,B100000,00000,0500,00000SQUARE FEET 70991,B100000,00000,0600,00000PATIENT DAYS 70991,B100000,00000,0700,00000SQUARE FEET 70991,B100000,00000,0800,00000PATIENT DAYS 70991,B100000,00000,0900,00000DIRECT NRSING HRS 70991,B100000,00000,1000,00000NO STATISTICS 70991,B100000,00000,1100,00000NO STATISTICS 70991,B100000,00000,1200,00000PATIENT DAYS 70991,B100000,00000,1300,00000PATIENT DAYS 70991,B100000,00000,1301,00000LABOR HOURS 70991,B100000,00000,1302,00000PATIENT DAYS 70991,B100000,00000,1350,00000NO STATISTICS 70991,B100000,00000,1400,00000NO STATISTICS 70991,E10A180,00301,0100,03/02/2000 70991,E10A180,00501,0300,06/26/2000 70991,S000000,00100,0200,05/30/2000 70991,S200000,00100,0100,1000 LINCOLN DRIVE 70991,S200000,00200,0100,SOUTH CHARLESTON 70991,S200000,00200,0200,WV 70991,S200000,00300,0100,KANAWHA 70991,S200000,00400,0100,VALLEY CENTER 70991,S200000,00400,0200,515169 70991,S200000,00400,0300,05/24/1999 70991,S200000,00400,0500,P 70991,S200000,01600,0100,Y 70994,S000000,00100,0200,02/18/2000 70999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 70999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 70999,A000000,00300,0000,00300EMPLOYEE BENEFITS 70999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 70999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 70999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 70999,A000000,00700,0000,00700HOUSEKEEPING 70999,A000000,00800,0000,00800DIETARY 70999,A000000,00900,0000,00900NURSING ADMINISTRATION 70999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 70999,A000000,01100,0000,01100PHARMACY 70999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 70999,A000000,01300,0000,01300SOCIAL SERVICE 70999,A000000,01350,0000,01500ACTIVITIES 70999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 70999,A000000,01600,0000,01600SKILLED NURSING FACILITY 70999,A000000,01810,0000,01810ICF/MR 70999,A000000,02200,0000,02200LABORATORY 70999,A000000,02500,0000,02500PHYSICAL THERAPY 70999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 70999,A000000,02700,0000,02700SPEECH PATHOLOGY 70999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 70999,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 70999,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 70999,A000000,03550,0000,03550FQHC 70999,A000000,04750,0000,05100OTHER REIMBURSABLE COST 70999,A000000,05000,0000,05000CORF 70999,A000000,05010,0000,05010CMHC 70999,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 70999,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 70999,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 70999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 70999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 70999,B100000,00000,0100,00000SQUARE FEET 70999,B100000,00000,0200,00000SQUARE FEET 70999,B100000,00000,0300,00000GROSS SALARIES 70999,B100000,00000,0400,00000ACCUM. COST 70999,B100000,00000,0500,00000SQUARE FEET 70999,B100000,00000,0600,00000PATIENT DAYS 70999,B100000,00000,0700,00000SQUARE FEET 70999,B100000,00000,0800,00000MEALS SERVED 70999,B100000,00000,0900,00000DIRECT NRSING HRS 70999,B100000,00000,1000,00000COSTED REQUIS 70999,B100000,00000,1100,00000COSTED REQUIS 70999,B100000,00000,1200,00000PATIENT DAYS 70999,B100000,00000,1300,00000PATIENT DAYS 70999,B100000,00000,1350,00000PATIENT DAYS 70999,B100000,00000,1400,00000ASSIGNED TIME 70999,S000000,00100,0200,04/06/2001 70999,S200000,00100,0100,505 W. 8TH STREET 70999,S200000,00200,0100,NEW RICHMOND 70999,S200000,00200,0200,WI 70999,S200000,00200,0300,54017 70999,S200000,00300,0100,S 70999,S200000,00400,0100,MAPLE MANOR HEALTH CARE CENTER 70999,S200000,00400,0200,525019 70999,S200000,00400,0300,04/12/1999 70999,S200000,00400,0500,P 70999,S200000,01500,0100,Y 71006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71006,A000000,00300,0000,00300EMPLOYEE BENEFITS 71006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71006,A000000,00700,0000,00700HOUSEKEEPING 71006,A000000,00800,0000,00800DIETARY 71006,A000000,00900,0000,00900NURSING ADMINISTRATION 71006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71006,A000000,01100,0000,01100PHARMACY 71006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71006,A000000,01300,0000,01300SOCIAL SERVICE 71006,A000000,01301,0000,01301ACTIVITIES 71006,A000000,01350,0000,01500REHAB 71006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71006,A000000,01600,0000,01600SKILLED NURSING FACILITY 71006,A000000,01800,0000,01800NURSING FACILITY 71006,A000000,01810,0000,01810ICF/MR 71006,A000000,02100,0000,02100RADIOLOGY 71006,A000000,02200,0000,02200LABORATORY 71006,A000000,02300,0000,02300INTRAVENOUS THERAPY 71006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71006,A000000,02500,0000,02500PHYSICAL THERAPY 71006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71006,A000000,02700,0000,02700SPEECH PATHOLOGY 71006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71006,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71006,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71006,A000000,03550,0000,03550FQHC 71006,A000000,05000,0000,05000CORF 71006,A000000,05010,0000,05010CMHC 71006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71006,A000000,05300,0000,05300INTEREST EXPENSE 71006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 71006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71006,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71006,A81000A,00100,0100,Y 71006,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 71006,A81000B,00200,0300,NON CERT 71006,A81000B,00300,0300,MEDICAL SUPPLIES 71006,A81000B,00400,0300,ADMIN 71006,A81000B,00500,0300,RT 71006,A81000B,00600,0300,CAPITAL 71006,A81000B,00700,0300,PT 71006,A81000B,00800,0300,OT 71006,A81000B,00900,0300,ST 71006,A81000C,00100,0100,B 71006,A81000C,00100,0200,RIVER HILLS WES 71006,A81000C,00100,0400,MARINER POST AC 71006,A81000C,00100,0600,NURSING HOMES 71006,A81000C,00200,0100,G 71006,A81000C,00200,0200,MARINER POST AC 71006,A81000C,00200,0400,AMERICAN PHARMA 71006,A81000C,00200,0600,PHARMACEUTICALS 71006,A81000C,00300,0100,G 71006,A81000C,00300,0200,MARINER POST AC 71006,A81000C,00300,0400,PRISM (ATS ARS 71006,A81000C,00300,0600,THERAPIES 71006,B100000,00000,0100,00000SQUARE FEET 71006,B100000,00000,0200,00000SQUARE FEET 71006,B100000,00000,0300,00000GROSS SALARIES 71006,B100000,00000,0400,00000ACCUM COST 71006,B100000,00000,0500,00000SQUARE FEET 71006,B100000,00000,0600,00000PATIENT DAYS 71006,B100000,00000,0700,00000SQUARE FEET 71006,B100000,00000,0800,00000MEALS SERVED 71006,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71006,B100000,00000,1000,00000PATIENT DAYS 71006,B100000,00000,1100,00000COSTED REQUIS 71006,B100000,00000,1200,00000PATIENT DAYS 71006,B100000,00000,1300,00000PATIENT DAYS 71006,B100000,00000,1301,00000PATIENT DAYS 71006,B100000,00000,1350,00000UNITS OF SERVICE 71006,B100000,00000,1400,00000ASSIGNED TIME 71006,S000000,00100,0200,06/13/2000 71006,S200000,00100,0100,321 RIVERSIDE DR 71006,S200000,00200,0100,PEWAUKEE 71006,S200000,00200,0200,WI 71006,S200000,00200,0300,53072 71006,S200000,00300,0100,WAUKESHA 71006,S200000,00400,0100,RIVER HILL WEST HEALTHCARE CENTER 71006,S200000,00400,0200,525040 71006,S200000,00400,0300,01/01/1967 71006,S200000,00400,0500,P 71006,S200000,01900,0100,OTHER (SPECIFY) 71014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71014,A000000,00300,0000,00300EMPLOYEE BENEFITS 71014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71014,A000000,00700,0000,00700HOUSEKEEPING 71014,A000000,00800,0000,00800DIETARY 71014,A000000,00900,0000,00900NURSING ADMINISTRATION 71014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71014,A000000,01100,0000,01100PHARMACY 71014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71014,A000000,01300,0000,01300SOCIAL SERVICE 71014,A000000,01301,0000,01301ACTIVITIES 71014,A000000,01350,0000,01500REHAB 71014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71014,A000000,01600,0000,01600SKILLED NURSING FACILITY 71014,A000000,01800,0000,01800NURSING FACILITY 71014,A000000,01810,0000,01810ICF/MR 71014,A000000,02100,0000,02100RADIOLOGY 71014,A000000,02200,0000,02200LABORATORY 71014,A000000,02300,0000,02300INTRAVENOUS THERAPY 71014,A000000,02500,0000,02500PHYSICAL THERAPY 71014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71014,A000000,02700,0000,02700SPEECH PATHOLOGY 71014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71014,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71014,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71014,A000000,03550,0000,03550FQHC 71014,A000000,05000,0000,05000CORF 71014,A000000,05010,0000,05010CMHC 71014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71014,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71014,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71014,A81000A,00100,0100,Y 71014,A81000B,00100,0300,HOME OFFICE COST 71014,A81000B,00200,0300,NON CERT 71014,A81000B,00300,0300,MEDICAL SUPPLIES 71014,A81000B,00400,0300,PT 71014,A81000B,00500,0300,REHAB 71014,A81000B,00600,0300,PT 71014,A81000B,00700,0300,OT 71014,A81000B,00800,0300,ST 71014,A81000B,00900,0300,ADMINISTRATIVE 71014,A81000C,00100,0100,B 71014,A81000C,00100,0200,SUNNY HILL 14 71014,A81000C,00100,0400,MARINER POST-AC 71014,A81000C,00100,0600,NURSING HOMES 71014,A81000C,00200,0100,G 71014,A81000C,00200,0200,MARINER POST-AC 71014,A81000C,00200,0400,AMERICAN PHARMA 71014,A81000C,00200,0600,PHARMACEUTICALS 71014,A81000C,00300,0100,G 71014,A81000C,00300,0200,MARINER POST-AC 71014,A81000C,00300,0400,PRISM (ATS ARS 71014,A81000C,00300,0600,THERAPIES 71014,B100000,00000,0100,00000SQUARE FEET 71014,B100000,00000,0200,00000SQUARE FEET 71014,B100000,00000,0300,00000GROSS SALARIES 71014,B100000,00000,0400,00000ACCUM COST 71014,B100000,00000,0500,00000SQUARE FEET 71014,B100000,00000,0600,00000PATIENT DAYS 71014,B100000,00000,0700,00000HOURS OF SERVICE 71014,B100000,00000,0800,00000MEALS SERVED 71014,B100000,00000,0900,00000HOURS OF SERVICE 71014,B100000,00000,1000,00000PATIENT DAYS 71014,B100000,00000,1100,00000COSTED REQUIS 71014,B100000,00000,1200,00000PATIENT DAYS 71014,B100000,00000,1300,00000PATIENT DAYS 71014,B100000,00000,1301,00000PATIENT DAYS 71014,B100000,00000,1350,00000UNITS OF SERVICE 71014,B100000,00000,1400,00000ASSIGNED TIME 71014,E10A180,00501,0100,07/18/2000 71014,E10A180,00550,0300,07/18/2000 71014,S000000,00100,0200,06/14/2000 71014,S200000,00100,0100,4325 NAKOMA ROAD 71014,S200000,00200,0100,MADISON 71014,S200000,00200,0200,WI 71014,S200000,00200,0300,53711 71014,S200000,00300,0100,DANE 71014,S200000,00400,0100,SUNNY HILL HEALTHCARE CENTER 71014,S200000,00400,0200,525041 71014,S200000,00400,0300,01/01/1967 71014,S200000,00400,0500,P 71023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71023,A000000,00300,0000,00300EMPLOYEE BENEFITS 71023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71023,A000000,00700,0000,00700HOUSEKEEPING 71023,A000000,00800,0000,00800DIETARY 71023,A000000,00900,0000,00900NURSING ADMINISTRATION 71023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71023,A000000,01100,0000,01100PHARMACY 71023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71023,A000000,01300,0000,01300SOCIAL SERVICE 71023,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 71023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71023,A000000,01600,0000,01600SKILLED NURSING FACILITY 71023,A000000,01810,0000,01810ICF/MR 71023,A000000,02100,0000,02100RADIOLOGY 71023,A000000,02200,0000,02200LABORATORY 71023,A000000,02500,0000,02500PHYSICAL THERAPY 71023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71023,A000000,02700,0000,02700SPEECH PATHOLOGY 71023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71023,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71023,A000000,03550,0000,03550FQHC 71023,A000000,05000,0000,05000CORF 71023,A000000,05010,0000,05010CMHC 71023,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71023,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71023,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71023,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71023,A81000A,00100,0100,Y 71023,A81000B,00100,0300,MANAGEMENT FEES 71023,A81000B,00200,0300,NEW BLDG & FIXT 71023,A81000B,00300,0300,NEW MOVABLE EQUIP 71023,A81000C,00100,0100,B 71023,A81000C,00100,0200,LINCOLN LUTHERA 71023,A81000C,00100,0400,LINCOLN LUTHERA 71023,B100000,00000,0100,00000SQUARE FEET 71023,B100000,00000,0200,00000SQUARE FEET 71023,B100000,00000,0300,00000GROSS SALARIES 71023,B100000,00000,0400,00000ACCUM COST 71023,B100000,00000,0500,00000SQUARE FEET 71023,B100000,00000,0600,00000POUNDS OF LAUNDRY 71023,B100000,00000,0700,00000HOURS OF SERVICE 71023,B100000,00000,0800,00000MEALS SERVED 71023,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71023,B100000,00000,1000,00000COSTED REQUISITIO 71023,B100000,00000,1100,00000COSTED REQUISITIO 71023,B100000,00000,1200,00000TIME SPENT 71023,B100000,00000,1300,00000TIME SPENT 71023,B100000,00000,1350,00000 71023,B100000,00000,1400,00000ASSIGNED TIME 71023,S000000,00100,0200,06/22/2000 71023,S200000,00100,0100,1700 C. A. BECKER DR. 71023,S200000,00200,0100,RACINE 71023,S200000,00200,0200,WI 71023,S200000,00200,0300,53406 71023,S200000,00300,0100,RACINE 71023,S200000,00400,0100,LINCOLN VILLAGE CONVALESCENT CENTER 71023,S200000,00400,0200,525061 71023,S200000,00400,0300,12/14/1966 71023,S200000,00400,0500,P 71023,S200000,01500,0100,Y 71023,S200000,01900,0100,HEALTH CARE 71033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71033,A000000,00300,0000,00300EMPLOYEE BENEFITS 71033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71033,A000000,00700,0000,00700HOUSEKEEPING 71033,A000000,00800,0000,00800DIETARY 71033,A000000,00900,0000,00900NURSING ADMINISTRATION 71033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71033,A000000,01100,0000,01100PHARMACY 71033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71033,A000000,01300,0000,01300SOCIAL SERVICE 71033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71033,A000000,01600,0000,01600SKILLED NURSING FACILITY 71033,A000000,01810,0000,01810ICF/MR 71033,A000000,02100,0000,02100RADIOLOGY 71033,A000000,02200,0000,02200LABORATORY 71033,A000000,02500,0000,02500PHYSICAL THERAPY 71033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71033,A000000,02700,0000,02700SPEECH PATHOLOGY 71033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71033,A000000,03550,0000,03550FQHC 71033,A000000,05000,0000,05000CORF 71033,A000000,05010,0000,05010CMHC 71033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71033,A81000A,00100,0100,Y 71033,A81000C,00100,0100,G 71033,A81000C,00100,0200,LINDENGROVE INC 71033,A81000C,00100,0400,HOME OFFICE 71033,B100000,00000,0100,00040SQUARE FEET 71033,B100000,00000,0200,00040SQUARE FEET 71033,B100000,00000,0300,00040GROSS SALARIES 71033,B100000,00000,0400,00040ACCUM COST 71033,B100000,00000,0500,00040SQUARE FEET 71033,B100000,00000,0600,00040POUNDS OF LAUNDRY 71033,B100000,00000,0700,00040HOURS OF SERVICE 71033,B100000,00000,0800,00040MEALS SERVED 71033,B100000,00000,0900,00040DIRECT NRSG HRS 71033,B100000,00000,1000,00040COSTED REQUIS 71033,B100000,00000,1100,00040COSTED REQUIS 71033,B100000,00000,1200,00040TIME SPENT 71033,B100000,00000,1300,00040TIME SPENT 71033,B100000,00000,1400,00040ASSIGNED TIME 71033,S000000,00100,0200,12/29/2000 71033,S200000,00100,0100,13755 W FIELDPOINTE DRIVE 71033,S200000,00200,0100,NEW BERLIN 71033,S200000,00200,0200,WI 71033,S200000,00200,0300,53151 71033,S200000,00300,0100,W 71033,S200000,00400,0100,LINDENGROVE NEW BERLIN 71033,S200000,00400,0200,525064 71033,S200000,00400,0300,02/24/1989 71033,S200000,00400,0500,P 71033,S200000,01500,0100,Y 71033,S200000,01900,0100,COMMUNITY 71041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71041,A000000,00300,0000,00300EMPLOYEE BENEFITS 71041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71041,A000000,00700,0000,00700HOUSEKEEPING 71041,A000000,00800,0000,00800DIETARY 71041,A000000,00900,0000,00900NURSING ADMINISTRATION 71041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71041,A000000,01100,0000,01100PHARMACY 71041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71041,A000000,01300,0000,01300SOCIAL SERVICE 71041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71041,A000000,01600,0000,01600SKILLED NURSING FACILITY 71041,A000000,01810,0000,01810ICF/MR 71041,A000000,02100,0000,02100RADIOLOGY 71041,A000000,02200,0000,02200LABORATORY 71041,A000000,02500,0000,02500PHYSICAL THERAPY 71041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71041,A000000,02700,0000,02700SPEECH PATHOLOGY 71041,A000000,02800,0000,02800ELECTROCARDIOLOGY 71041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71041,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71041,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71041,A000000,03550,0000,03550FQHC 71041,A000000,05000,0000,05000CORF 71041,A000000,05010,0000,05010CMHC 71041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71041,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71041,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71041,A000000,06200,0000,06200PATIENTS LAUNDRY 71041,A81000A,00100,0100,Y 71041,A81000B,00100,0300,MANAGEMENT SERVICES 71041,A81000B,00200,0300,DEPRECIATION EXPENSE 71041,A81000B,00300,0300,INTEREST PD TO OUTSIDE PARTY V 71041,A81000C,00100,0100,B 71041,A81000C,00100,0400,VILL AT MANOR P 71041,A81000C,00100,0600,MANAGEMENT 71041,B100000,00000,0100,00000SQUARE FEET 71041,B100000,00000,0200,00000DOLLAR VALUE 71041,B100000,00000,0300,00000GROSS SALARIES 71041,B100000,00000,0400,00000ACCUM COST 71041,B100000,00000,0500,00000SQUARE FEET 71041,B100000,00000,0600,00000POUNDS OF LAUNDRY 71041,B100000,00000,0700,00000SQUARE FEET 71041,B100000,00000,0800,00000MEALS SERVED 71041,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71041,B100000,00000,1000,00000COSTED REQUISITIO 71041,B100000,00000,1100,00000COSTED REQUISITIO 71041,B100000,00000,1200,00000PATIENT DAYS 71041,B100000,00000,1300,00000PATIENT DAYS 71041,B100000,00000,1400,00000ASSIGNED TIME 71041,E10A180,00550,0300,06/01/2000 71041,S000000,00100,0200,06/22/2000 71041,S200000,00100,0100,8615 WEST BELOIT ROAD 71041,S200000,00200,0100,MILWAUKEE 71041,S200000,00200,0200,WI 71041,S200000,00200,0300,53227 71041,S200000,00300,0100,MILWAUKEE 71041,S200000,00400,0100,METHODIST MANOR HEALTH CARE CENTER 71041,S200000,00400,0200,525069 71041,S200000,00400,0300,01/01/1969 71041,S200000,00400,0500,P 71041,S200000,01500,0100,Y 71041,S200000,01900,0100,AFFL. W/MERCY HOSPIT 71053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71053,A000000,00300,0000,00300EMPLOYEE BENEFITS 71053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71053,A000000,00700,0000,00700HOUSEKEEPING 71053,A000000,00800,0000,00800DIETARY 71053,A000000,00900,0000,00900NURSING ADMINISTRATION 71053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71053,A000000,01100,0000,01100PHARMACY 71053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71053,A000000,01300,0000,01300SOCIAL SERVICE 71053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71053,A000000,01600,0000,01600SKILLED NURSING FACILITY 71053,A000000,01800,0000,01800NURSING FACILITY 71053,A000000,01810,0000,01810ICF/MR 71053,A000000,02200,0000,02200LABORATORY 71053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71053,A000000,02500,0000,02500PHYSICAL THERAPY 71053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71053,A000000,02700,0000,02700SPEECH PATHOLOGY 71053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71053,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71053,A000000,03200,0000,03200SUPPORT SURFACES 71053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71053,A000000,03550,0000,03550FQHC 71053,A000000,05000,0000,05000CORF 71053,A000000,05010,0000,05010CMHC 71053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71053,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71053,B100000,00000,0100,00000SQUARE FEET 71053,B100000,00000,0200,00000SQUARE FEET 71053,B100000,00000,0300,00000GROSS SALARIES 71053,B100000,00000,0400,00000ACCUM COST 71053,B100000,00000,0500,00000SQUARE FEET 71053,B100000,00000,0600,00000POUNDS OF LAUNDRY 71053,B100000,00000,0700,00000SQUARE FEET 71053,B100000,00000,0800,00000MEALS SERVED 71053,B100000,00000,0900,00000HOURS OF SERVICE 71053,B100000,00000,1000,00000COSTED REQUISITIO 71053,B100000,00000,1100,00000COSTED REQUISITIO 71053,B100000,00000,1200,00000PATIENT DAYS 71053,B100000,00000,1300,00000TIME SPENT 71053,B100000,00000,1400,00000ASSIGNED TIME 71053,S000000,00100,0200,04/18/2000 71053,S200000,00100,0100,2449 N. DOWNER AVE. 71053,S200000,00200,0100,MILWAUKEE 71053,S200000,00200,0200,WI 71053,S200000,00200,0300,53211 71053,S200000,00300,0100,MILWAUKEE 71053,S200000,00400,0100,MILWAUKEE PROTESTANT HOME 71053,S200000,00400,0200,525085 71053,S200000,00400,0300,01/01/1967 71053,S200000,00400,0500,P 71053,S200000,01600,0100,Y 71053,S200000,01900,0100,PRIVATE 71061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71061,A000000,00300,0000,00300EMPLOYEE BENEFITS 71061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71061,A000000,00700,0000,00700HOUSEKEEPING 71061,A000000,00800,0000,00800DIETARY 71061,A000000,00900,0000,00900NURSING ADMINISTRATION 71061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71061,A000000,01100,0000,01100PHARMACY 71061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71061,A000000,01300,0000,01300SOCIAL SERVICE 71061,A000000,01350,0000,01500RECREATIONAL THERAPY 71061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71061,A000000,01600,0000,01600SKILLED NURSING FACILITY 71061,A000000,01800,0000,01800NURSING FACILITY 71061,A000000,01810,0000,01810ICF/MR 71061,A000000,02100,0000,02100RADIOLOGY 71061,A000000,02200,0000,02200LABORATORY 71061,A000000,02500,0000,02500PHYSICAL THERAPY 71061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71061,A000000,02700,0000,02700SPEECH PATHOLOGY 71061,A000000,02800,0000,02800ELECTROCARDIOLOGY 71061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71061,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71061,A000000,03550,0000,03550FQHC 71061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71061,A000000,05000,0000,05000CORF 71061,A000000,05010,0000,05010CMHC 71061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71061,A81000A,00100,0100,Y 71061,A81000B,00100,0300,A&G 71061,A81000C,00100,0100,B 71061,A81000C,00100,0200,WOOD COUNTY 71061,B100000,00000,0100,00000SQUARE FEET 71061,B100000,00000,0200,00000SQUARE FEET 71061,B100000,00000,0300,00000GROSS SALARIES 71061,B100000,00000,0400,00000ACCUM. COST 71061,B100000,00000,0500,00000SQUARE FEET 71061,B100000,00000,0600,00000POUNDS OF LAUNDRY 71061,B100000,00000,0700,00000SQUARE FEET 71061,B100000,00000,0800,00000MEALS SERVED 71061,B100000,00000,0900,00000PATIENT DAYS 71061,B100000,00000,1000,00000COSTED REQUIS. 71061,B100000,00000,1100,00000NO STATISTICS 71061,B100000,00000,1200,00000TIME SPENT 71061,B100000,00000,1300,00000PATIENT DAYS 71061,B100000,00000,1350,00000PATIENT DAYS 71061,B100000,00000,1400,00000ASSIGNED TIME 71061,S000000,00100,0200,06/22/2000 71061,S200000,00100,0100,1351 WISCONSIN RIVER DRIVE 71061,S200000,00200,0100,PORT EDWARDS 71061,S200000,00200,0200,WI 71061,S200000,00300,0100,WOOD 71061,S200000,00400,0100,EDGEWATER HAVEN NURSING HOME 71061,S200000,00400,0200,525088 71061,S200000,00400,0300,07/01/1966 71061,S200000,00400,0500,P 71061,S200000,01600,0100,Y 71061,S200000,01900,0100,OTHER 71061,S200000,02800,0100,Y 71070,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71070,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71070,A000000,00300,0000,00300EMPLOYEE BENEFITS 71070,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71070,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71070,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71070,A000000,00700,0000,00700HOUSEKEEPING 71070,A000000,00800,0000,00800DIETARY 71070,A000000,00900,0000,00900NURSING ADMINISTRATION 71070,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71070,A000000,01100,0000,01100PHARMACY 71070,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71070,A000000,01300,0000,01300SOCIAL SERVICE 71070,A000000,01350,0000,01500PATIENT ACTIVITIES 71070,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71070,A000000,01600,0000,01600SKILLED NURSING FACILITY 71070,A000000,01810,0000,01810ICF/MR 71070,A000000,02100,0000,02100RADIOLOGY 71070,A000000,02200,0000,02200LABORATORY 71070,A000000,02500,0000,02500PHYSICAL THERAPY 71070,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71070,A000000,02700,0000,02700SPEECH PATHOLOGY 71070,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71070,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71070,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71070,A000000,03051,0000,03301CLINITRON BEDS 71070,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71070,A000000,03550,0000,03550FQHC 71070,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71070,A000000,05000,0000,05000CORF 71070,A000000,05010,0000,05010CMHC 71070,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71070,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71070,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71070,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71070,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71070,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71070,A81000A,00100,0100,Y 71070,A81000B,00100,0300,HOME OFFICE OVERHEAD 71070,A81000B,00200,0300,CAPITAL HOME OFFICE 71070,A81000B,00300,0300,HOME OFFICE 71070,A81000B,00400,0300,HOME OFFICE 71070,A81000B,00500,0300,HOME OFFICE 71070,A81000C,00100,0100,A 71070,A81000C,00100,0200,MILWAUKEE CARE CENTER 71070,A81000C,00100,0400,RICE MANAGEMENT INC. 71070,A81000C,00100,0600,HOME OFFICE 71070,A81000C,00200,0100,A 71070,A81000C,00200,0200,MILWAUKEE CARE CENTER 71070,A81000C,00200,0400,RICE ENTERPRISES 71070,A81000C,00200,0600,REAL ESTATE 71070,B100000,00000,0100,00000SQUARE FEET 71070,B100000,00000,0200,00000SQUARE FEET 71070,B100000,00000,0300,00000GROSS SALARIES 71070,B100000,00000,0400,00000ACCUM. COST 71070,B100000,00000,0500,00000SQUARE FEET 71070,B100000,00000,0600,00000LAUNDRY POUNDS 71070,B100000,00000,0700,00000SQUARE FEET 71070,B100000,00000,0800,00000MEALS SERVED 71070,B100000,00000,0900,00000HOURS OF SERVICE 71070,B100000,00000,1000,00000COSTED REQS 71070,B100000,00000,1100,00000COSTED REQS 71070,B100000,00000,1200,00000PATIENT DAYS 71070,B100000,00000,1300,00000ADMISSIONS S 71070,B100000,00000,1350,00000HOURS WORKED 71070,B100000,00000,1400,00000TIME SPENT 71070,S000000,00100,0200,06/07/2000 71070,S200000,00100,0100,5151 W SILVER SPRING DRIVE 71070,S200000,00200,0100,MILWAUKEE 71070,S200000,00200,0200,WI 71070,S200000,00300,0100,MILWAUKEE 71070,S200000,00400,0100,MILWAUKEE CARE CENTER 71070,S200000,00400,0200,525094 71070,S200000,00400,0300,08/01/1994 71070,S200000,00400,0500,P 71070,S200000,01500,0100,Y 71070,S200000,01900,0100,OTHER 71077,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71077,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71077,A000000,00300,0000,00300EMPLOYEE BENEFITS 71077,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71077,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71077,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71077,A000000,00700,0000,00700HOUSEKEEPING 71077,A000000,00800,0000,00800DIETARY 71077,A000000,00900,0000,00900NURSING ADMINISTRATION 71077,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71077,A000000,01100,0000,01100PHARMACY 71077,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71077,A000000,01300,0000,01300SOCIAL SERVICE 71077,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71077,A000000,01600,0000,01600SKILLED NURSING FACILITY 71077,A000000,01800,0000,01800NURSING FACILITY 71077,A000000,01810,0000,01810ICF/MR 71077,A000000,02100,0000,02100RADIOLOGY 71077,A000000,02200,0000,02200LABORATORY 71077,A000000,02300,0000,02300INTRAVENOUS THERAPY 71077,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71077,A000000,02500,0000,02500PHYSICAL THERAPY 71077,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71077,A000000,02700,0000,02700SPEECH PATHOLOGY 71077,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71077,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71077,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71077,A000000,03550,0000,03550FQHC 71077,A000000,05000,0000,05000CORF 71077,A000000,05010,0000,05010CMHC 71077,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71077,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71077,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71077,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71077,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71077,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71077,A81000A,00100,0100,Y 71077,A81000B,00100,0300,BUILDING LEASE 71077,A81000C,00100,0100,A 71077,A81000C,00100,0200,ED/LIZ KRUCHTEN 71077,A81000C,00100,0400,WAUNAKEE MNR PT 71077,A81000C,00100,0600,REAL ESTATE 71077,B100000,00000,0100,00000SQUARE FEET 71077,B100000,00000,0200,00000SQUARE FEET 71077,B100000,00000,0300,00000GROSS SALARIES 71077,B100000,00000,0400,00000ACCUM COST 71077,B100000,00000,0500,00000SQUARE FEET 71077,B100000,00000,0600,00000PATIENT DAYS 71077,B100000,00000,0700,00000SQUARE FEET 71077,B100000,00000,0800,00000MEALS SERVED 71077,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71077,B100000,00000,1000,00000COSTED REQUISITIO 71077,B100000,00000,1100,00000COSTED REQUISITIO 71077,B100000,00000,1200,00000TIME SPENT 71077,B100000,00000,1300,00000PATIENT DAYS 71077,B100000,00000,1400,00000ASSIGNED TIME 71077,S000000,00100,0200,06/30/2000 71077,S200000,00100,0100,801 KLEIN DRIVE 71077,S200000,00200,0100,WAUNAKEE 71077,S200000,00200,0200,WI 71077,S200000,00200,0300,53597 71077,S200000,00300,0100,DANE 71077,S200000,00400,0100,WAUNAKEE MANOR HEALTH CARE CTR 71077,S200000,00400,0200,525098 71077,S200000,00400,0300,12/23/1982 71077,S200000,00400,0500,P 71077,S200000,01600,0100,Y 71090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71090,A000000,00300,0000,00300EMPLOYEE BENEFITS 71090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71090,A000000,00700,0000,00700HOUSEKEEPING 71090,A000000,00800,0000,00800DIETARY 71090,A000000,00900,0000,00900NURSING ADMINISTRATION 71090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71090,A000000,01100,0000,01100PHARMACY 71090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71090,A000000,01300,0000,01300SOCIAL SERVICE 71090,A000000,01301,0000,01301ACTIVITIES 71090,A000000,01350,0000,01500OTHER GENERAL SERVICES 71090,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71090,A000000,01600,0000,01600SKILLED NURSING FACILITY 71090,A000000,01810,0000,01810ICF/MR 71090,A000000,02100,0000,02100RADIOLOGY 71090,A000000,02200,0000,02200LABORATORY 71090,A000000,02500,0000,02500PHYSICAL THERAPY 71090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71090,A000000,02700,0000,02700SPEECH PATHOLOGY 71090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71090,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71090,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71090,A000000,03550,0000,03550FQHC 71090,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71090,A000000,05000,0000,05000CORF 71090,A000000,05010,0000,05010CMHC 71090,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71090,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71090,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71090,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71090,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71090,A81000A,00100,0100,Y 71090,A81000B,00100,0300,ADMIN & GENERAL 71090,A81000B,00200,0300,CAP. REL. COST 71090,A81000C,00100,0100,A 71090,A81000C,00100,0200,ALLIS CARE CENTER 71090,A81000C,00100,0400,RICE MANAGEMENT 71090,A81000C,00100,0600,HOME OFFICE 71090,A81000C,00200,0100,A 71090,A81000C,00200,0200,ALLIS CARE CENTER 71090,A81000C,00200,0400,RICE ENTERPRISES 71090,A81000C,00200,0600,REAL ESTATE 71090,B100000,00000,0100,00000SQUARE FEET 71090,B100000,00000,0200,00000SQUARE FEET 71090,B100000,00000,0300,00000GROSS SALARIES 71090,B100000,00000,0400,00000ACCUM. COST 71090,B100000,00000,0500,00000SQUARE FEET 71090,B100000,00000,0600,00000POUNDS OF LAUNDRY 71090,B100000,00000,0700,00000SQUARE FEET 71090,B100000,00000,0800,00000MEALS SERVED 71090,B100000,00000,0900,00000DIRECT NRSING HRS 71090,B100000,00000,1000,00000COSTED REQUIS. 71090,B100000,00000,1100,00000COSTED REQUIS. 71090,B100000,00000,1200,00000TIME SPENT 71090,B100000,00000,1300,00000TIME SPENT 71090,B100000,00000,1301,00000PATIENT DAYS 71090,B100000,00000,1350,00000SQUARE FEET 71090,B100000,00000,1400,00000PATIENT DAYS 71090,E10A180,00550,0100,10/16/2000 71090,S000000,00100,0200,06/06/2000 71090,S200000,00100,0100,9047 WEST GREENFIELD AVENUE 71090,S200000,00200,0100,WEST ALLIS 71090,S200000,00200,0200,WI 71090,S200000,00300,0100,MILWAUKEE 71090,S200000,00400,0100,ALLIS CARE CENTER 71090,S200000,00400,0200,525108 71090,S200000,00400,0300,08/01/1998 71090,S200000,00400,0500,P 71090,S200000,01500,0100,Y 71090,S200000,01900,0100,HEALTH CARE 71097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71097,A000000,00300,0000,00300EMPLOYEE BENEFITS 71097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71097,A000000,00700,0000,00700HOUSEKEEPING 71097,A000000,00800,0000,00800DIETARY 71097,A000000,00900,0000,00900NURSING ADMINISTRATION 71097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71097,A000000,01100,0000,01100PHARMACY 71097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71097,A000000,01300,0000,01300SOCIAL SERVICE 71097,A000000,01350,0000,01500OTHER GENERAL SERVICES 71097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71097,A000000,01600,0000,01600SKILLED NURSING FACILITY 71097,A000000,01810,0000,01810ICF/MR 71097,A000000,02100,0000,02100RADIOLOGY 71097,A000000,02200,0000,02200LABORATORY 71097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71097,A000000,02500,0000,02500PHYSICAL THERAPY 71097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71097,A000000,02700,0000,02700SPEECH PATHOLOGY 71097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71097,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71097,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71097,A000000,03550,0000,03550FQHC 71097,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71097,A000000,05000,0000,05000CORF 71097,A000000,05010,0000,05010CMHC 71097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71097,A000000,05300,0000,05300INTEREST EXPENSE 71097,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71097,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71097,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71097,A81000A,00100,0100,Y 71097,A81000B,00100,0300,ADMINISTRATIVE 71097,A81000C,00100,0100,G 71097,A81000C,00100,0200,SAUK COUNTY 71097,A81000C,00100,0400,SAUK COUNTY 71097,A81000C,00100,0600,COUNTY GOVERNMENT 71097,B100000,00000,0100,00000SQUARE FEET 71097,B100000,00000,0200,00000NO STATISTICS 71097,B100000,00000,0300,00000GROSS SALARIES 71097,B100000,00000,0400,00000ACCUM. COST 71097,B100000,00000,0500,00000SQUARE FEET 71097,B100000,00000,0600,00000PATIENT DAYS 71097,B100000,00000,0700,00000SQUARE FEET 71097,B100000,00000,0800,00000PATIENT DAYS 71097,B100000,00000,0900,00000NO STATISTICS 71097,B100000,00000,1000,00000NO STATISTICS 71097,B100000,00000,1100,00000NO STATISTICS 71097,B100000,00000,1200,00000PATIENT DAYS 71097,B100000,00000,1300,00000PATIENT DAYS 71097,B100000,00000,1350,00000PATIENT DAYS 71097,B100000,00000,1400,00000NO STATISTICS 71097,E10A180,00501,0300,07/25/2001 71097,S000000,00100,0200,06/23/2000 71097,S200000,00100,0100,54555 HYWY OH 71097,S200000,00200,0100,REEDSBURG 71097,S200000,00200,0200,WI 71097,S200000,00300,0100,SAUK 71097,S200000,00400,0100,SAUK COUNTY HEALTH CARE CENTER 71097,S200000,00400,0200,525114 71097,S200000,00400,0300,01/01/1969 71097,S200000,00400,0500,P 71097,S200000,01900,0100,AFFL. W/MERCY HOSPIT 71108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71108,A000000,00300,0000,00300EMPLOYEE BENEFITS 71108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71108,A000000,00700,0000,00700HOUSEKEEPING 71108,A000000,00800,0000,00800DIETARY 71108,A000000,00900,0000,00900NURSING ADMINISTRATION 71108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71108,A000000,01100,0000,01100PHARMACY 71108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71108,A000000,01300,0000,01300SOCIAL SERVICE 71108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71108,A000000,01600,0000,01600SKILLED NURSING FACILITY 71108,A000000,01810,0000,01810ICF/MR 71108,A000000,02100,0000,02100RADIOLOGY 71108,A000000,02200,0000,02200LABORATORY 71108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71108,A000000,02500,0000,02500PHYSICAL THERAPY 71108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71108,A000000,02700,0000,02700SPEECH PATHOLOGY 71108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71108,A000000,03050,0000,03300PSYCH TREATMENT 71108,A000000,03051,0000,03301DENTAL CARE 71108,A000000,03550,0000,03550FQHC 71108,A000000,05000,0000,05000CORF 71108,A000000,05010,0000,05010CMHC 71108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71108,A81000A,00100,0100,Y 71108,A81000B,00100,0300,COUNTY SERVICES 71108,A81000C,00100,0100,B 71108,A81000C,00100,0200,WASHINGTON COUN 71108,A81000C,00100,0400,COUNTY 71108,B100000,00000,0100,00000SQUARE FEET 71108,B100000,00000,0200,00000SQUARE FEET 71108,B100000,00000,0300,00000GROSS SALARIES 71108,B100000,00000,0400,00000ACCUM COST 71108,B100000,00000,0500,00000SQUARE FEET 71108,B100000,00000,0600,00000POUNDS OF LAUNDRY 71108,B100000,00000,0700,00000HOURS OF SERVICE 71108,B100000,00000,0800,00000MEALS SERVED 71108,B100000,00000,0900,00000DIRECT NRSG HRS 71108,B100000,00000,1000,00000COSTED REQUIS 71108,B100000,00000,1100,00000COSTED REQUIS 71108,B100000,00000,1200,00000TIME SPENT 71108,B100000,00000,1300,00000TIME SPENT 71108,B100000,00000,1400,00000ASSIGNED TIME 71108,E10A180,00550,0300,09/25/2000 71108,S000000,00100,0200,06/02/2000 71108,S200000,00100,0100,531 EAST WASHINGTON 71108,S200000,00200,0100,WEST BEND 71108,S200000,00200,0200,WI 71108,S200000,00200,0300,53095 71108,S200000,00300,0100,WASHINGTON 71108,S200000,00400,0100,SAMARITAN HEALTH CENTER 71108,S200000,00400,0200,525165 71108,S200000,00400,0300,03/27/1967 71108,S200000,00400,0500,P 71108,S200000,01500,0100,Y 71108,S200000,01900,0100,501(C)(3) 71108,S200000,02800,0100,Y 71119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71119,A000000,00300,0000,00300EMPLOYEE BENEFITS 71119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71119,A000000,00700,0000,00700HOUSEKEEPING 71119,A000000,00800,0000,00800DIETARY 71119,A000000,00900,0000,00900NURSING ADMINISTRATION 71119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71119,A000000,01100,0000,01100PHARMACY 71119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71119,A000000,01300,0000,01300SOCIAL SERVICE 71119,A000000,01350,0000,01500ACTIVITIES 71119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71119,A000000,01600,0000,01600SKILLED NURSING FACILITY 71119,A000000,01810,0000,01810ICF/MR 71119,A000000,02100,0000,02100RADIOLOGY 71119,A000000,02200,0000,02200LABORATORY 71119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71119,A000000,02500,0000,02500PHYSICAL THERAPY 71119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71119,A000000,02700,0000,02700SPEECH PATHOLOGY 71119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71119,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71119,A000000,03200,0000,03200SUPPORT SURFACES 71119,A000000,03550,0000,03550FQHC 71119,A000000,05000,0000,05000CORF 71119,A000000,05010,0000,05010CMHC 71119,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71119,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71119,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71119,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71119,A000000,06150,0000,06300JCC 71119,B100000,00000,0100,00000SQUARE FEET 71119,B100000,00000,0200,00000SQUARE FEET 71119,B100000,00000,0300,00000GROSS SALARIES 71119,B100000,00000,0400,00000ACCUM COST 71119,B100000,00000,0500,00000SQUARE FEET 71119,B100000,00000,0600,00000PATIENT DAYS 71119,B100000,00000,0700,00000SQUARE FEET 71119,B100000,00000,0800,00000MEALS SERVED 71119,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71119,B100000,00000,1000,00000PATIENT DAYS 71119,B100000,00000,1100,00000COSTED REQUISITIO 71119,B100000,00000,1200,00000PATIENT DAYS 71119,B100000,00000,1300,00000PATIENT DAYS 71119,B100000,00000,1350,00000PATIENT DAYS 71119,B100000,00000,1400,00000ASSIGNED TIME 71119,S000000,00100,0200,01/08/2001 71119,S200000,00100,0100,1414 N. PROSPECT 71119,S200000,00200,0100,MILWAUKEE 71119,S200000,00200,0200,WI 71119,S200000,00200,0300,53202 71119,S200000,00300,0100,M 71119,S200000,00400,0100,JEWISH HOME & CARE CENTER INC. 71119,S200000,00400,0200,525172 71119,S200000,00400,0300,03/01/1967 71119,S200000,00400,0500,P 71119,S200000,01500,0100,Y 71119,S200000,01900,0100,501(C)(3) NON-PROFIT CORP. 71127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71127,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71127,A000000,00300,0000,00300EMPLOYEE BENEFITS 71127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71127,A000000,00700,0000,00700HOUSEKEEPING 71127,A000000,00800,0000,00800DIETARY 71127,A000000,00900,0000,00900NURSING ADMINISTRATION 71127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71127,A000000,01100,0000,01100PHARMACY 71127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71127,A000000,01300,0000,01300SOCIAL SERVICE 71127,A000000,01350,0000,01500PATIENT ACTIVITIES 71127,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71127,A000000,01600,0000,01600SKILLED NURSING FACILITY 71127,A000000,01810,0000,01810ICF/MR 71127,A000000,02500,0000,02500PHYSICAL THERAPY 71127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71127,A000000,02700,0000,02700SPEECH PATHOLOGY 71127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71127,A000000,03550,0000,03550FQHC 71127,A000000,05000,0000,05000CORF 71127,A000000,05010,0000,05010CMHC 71127,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71127,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71127,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71127,B100000,00000,0100,00040SQUARE FEET 71127,B100000,00000,0200,00040SQUARE FEET 71127,B100000,00000,0300,00040GROSS SALARIES 71127,B100000,00000,0400,00040ACCUM. COST 71127,B100000,00000,0500,00040SQUARE FEET 71127,B100000,00000,0600,00040PATIENT DAYS 71127,B100000,00000,0700,00040SQUARE FEET 71127,B100000,00000,0800,00040PATIENT DAYS 71127,B100000,00000,0900,00040DIRECT NRSG HRS 71127,B100000,00000,1000,00040COSTED REQUIS 71127,B100000,00000,1100,00040COSTED REQUIS 71127,B100000,00000,1200,00040TIME SPENT 71127,B100000,00000,1300,00040TIME SPENT 71127,B100000,00000,1350,00040PATIENT DAYS 71127,B100000,00000,1400,00040ASSIGNED TIME 71127,S000000,00100,0200,09/22/2000 71127,S200000,00100,0100,713 NORTH LEONARD STREET 71127,S200000,00100,0300,850 71127,S200000,00200,0100,WEST SALEM 71127,S200000,00200,0200,WI 71127,S200000,00300,0100,LA CROSSE 71127,S200000,00400,0100,MULDER HEALTH CARE FACILITY 71127,S200000,00400,0200,525209 71127,S200000,00400,0300,11/11/1968 71127,S200000,00400,0500,P 71127,S200000,01500,0100,Y 71135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71135,A000000,00300,0000,00300EMPLOYEE BENEFITS 71135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71135,A000000,00700,0000,00700HOUSEKEEPING 71135,A000000,00800,0000,00800DIETARY 71135,A000000,00900,0000,00900NURSING ADMINISTRATION 71135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71135,A000000,01100,0000,01100PHARMACY 71135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71135,A000000,01300,0000,01300SOCIAL SERVICE 71135,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71135,A000000,01600,0000,01600SKILLED NURSING FACILITY 71135,A000000,01800,0000,01800NURSING FACILITY 71135,A000000,01810,0000,01810ICF/MR 71135,A000000,02100,0000,02100RADIOLOGY 71135,A000000,02200,0000,02200LABORATORY 71135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71135,A000000,02500,0000,02500PHYSICAL THERAPY 71135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71135,A000000,02700,0000,02700SPEECH PATHOLOGY 71135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71135,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71135,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71135,A000000,03052,0000,03302MEDICAL EQUIPMENT 71135,A000000,03550,0000,03550FQHC 71135,A000000,05000,0000,05000CORF 71135,A000000,05010,0000,05010CMHC 71135,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71135,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71135,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71135,A81000A,00100,0100,Y 71135,A81000B,00100,0300,HOME OFFICE A&G 71135,A81000B,00200,0300,HOME OFFICE CAPITAL 71135,A81000B,00300,0300,DIVISION OFFICE A&G 71135,A81000B,00500,0300,INSURANCE 71135,A81000C,00100,0100,B 71135,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71135,A81000C,00200,0100,G 71135,A81000C,00200,0200,LAURIER INC. 71135,A81000C,00200,0400,EXTENDICARE INC. 71135,A81000C,00200,0600,INSURANCE 71135,A81000C,00300,0100,G 71135,A81000C,00300,0200,UNITED REHABILITATION SVS 71135,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71135,A81000C,00300,0600,THERAPY SERVICE 71135,A81000C,00400,0100,G 71135,A81000C,00400,0200,UNITED PROFESSIONAL CO 71135,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71135,A81000C,00400,0600,MED SUPP RX 71135,B100000,00000,0100,00040SQUARE FEET 71135,B100000,00000,0200,00040SQUARE FEET 71135,B100000,00000,0300,00040GROSS SALARIES 71135,B100000,00000,0400,00040ACCUM. COST 71135,B100000,00000,0500,00040SQUARE FEET 71135,B100000,00000,0600,00040PATIENT DAYS 71135,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71135,B100000,00000,0800,00040PATIENT DAYS 71135,B100000,00000,0900,00040PATIENT DAYS 71135,B100000,00000,1000,00040COSTED REQUIS 71135,B100000,00000,1100,00040COSTED REQUIS 71135,B100000,00000,1200,00040GROSS REVENUE 71135,B100000,00000,1300,00040PATIENT DAYS 71135,B100000,00000,1400,00040ASSIGNED TIME 71135,E10A180,00301,0100,06/22/1998 71135,E10A180,00301,0300,06/22/1998 71135,E10A180,00350,0100,06/22/1998 71135,E10A180,00350,0300,06/22/1998 71135,E10A180,00501,0100,02/12/2001 71135,S000000,00100,0200,06/20/2000 71135,S200000,00100,0100,2308 UNIVERSITY AVENUE 71135,S200000,00200,0100,MADISON 71135,S200000,00200,0200,WI 71135,S200000,00300,0100,DANE 71135,S200000,00400,0100,HIGHLAND TRANSITIONAL CARE 71135,S200000,00400,0200,525218 71135,S200000,00400,0300,06/10/1969 71135,S200000,00400,0500,P 71135,S200000,01600,0100,Y 71142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71142,A000000,00300,0000,00300EMPLOYEE BENEFITS 71142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71142,A000000,00700,0000,00700HOUSEKEEPING 71142,A000000,00800,0000,00800DIETARY 71142,A000000,00900,0000,00900NURSING ADMINISTRATION 71142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71142,A000000,01100,0000,01100PHARMACY 71142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71142,A000000,01300,0000,01300SOCIAL SERVICE 71142,A000000,01301,0000,01301ACTIVITIES 71142,A000000,01350,0000,01500REHAB 71142,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71142,A000000,01600,0000,01600SKILLED NURSING FACILITY 71142,A000000,01800,0000,01800NURSING FACILITY 71142,A000000,01810,0000,01810ICF/MR 71142,A000000,02100,0000,02100RADIOLOGY 71142,A000000,02200,0000,02200LABORATORY 71142,A000000,02300,0000,02300INTRAVENOUS THERAPY 71142,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71142,A000000,02500,0000,02500PHYSICAL THERAPY 71142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71142,A000000,02700,0000,02700SPEECH PATHOLOGY 71142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71142,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71142,A000000,03550,0000,03550FQHC 71142,A000000,05000,0000,05000CORF 71142,A000000,05010,0000,05010CMHC 71142,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71142,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71142,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71142,A000000,05300,0000,05300INTEREST EXPENSE 71142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71142,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71142,A81000A,00100,0100,Y 71142,A81000B,00100,0300,HOME OFFICE COST ALLOC 71142,A81000B,00200,0300,NON CERT 71142,A81000B,00300,0300,MEDICAL SUPPLIES 71142,A81000B,00400,0300,REHAB 71142,A81000B,00500,0300,PT 71142,A81000B,00600,0300,OT 71142,A81000B,00700,0300,ST 71142,A81000C,00100,0100,B 71142,A81000C,00100,0200,CHRISTOPHER EAS 71142,A81000C,00100,0400,MARINER POST AC 71142,A81000C,00100,0600,NURSING HOMES 71142,A81000C,00200,0100,G 71142,A81000C,00200,0200,MARINER POST AC 71142,A81000C,00200,0400,AMERICAN PHARMA 71142,A81000C,00200,0600,PHARMACEUTICALS 71142,A81000C,00300,0100,G 71142,A81000C,00300,0200,MARINER POST AC 71142,A81000C,00300,0400,PRISM (ATS ARS 71142,A81000C,00300,0600,THERAPIES 71142,B100000,00000,0100,00000SQUARE FEET 71142,B100000,00000,0200,00000SQUARE FEET 71142,B100000,00000,0300,00000GROSS SALARIES 71142,B100000,00000,0400,00000ACCUM COST 71142,B100000,00000,0500,00000SQUARE FEET 71142,B100000,00000,0600,00000PATIENT DAYS 71142,B100000,00000,0700,00000SQUARE FEET 71142,B100000,00000,0800,00000MEALS SERVED 71142,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71142,B100000,00000,1000,00000PATIENT DAYS 71142,B100000,00000,1100,00000COSTED REQUIS 71142,B100000,00000,1200,00000PATIENT DAYS 71142,B100000,00000,1300,00000PATIENT DAYS 71142,B100000,00000,1301,00000PATIENT DAYS 71142,B100000,00000,1350,00000UNITS OF SERVICE 71142,B100000,00000,1400,00000ASSIGNED TIME 71142,S000000,00100,0200,06/14/2000 71142,S200000,00100,0100,1132 E. KNAPP ST 71142,S200000,00200,0100,MILWAUKEE 71142,S200000,00200,0200,WI 71142,S200000,00200,0300,53202 71142,S200000,00300,0100,MILWAUKEE 71142,S200000,00400,0100,CHRISTOPHER EAST HEALTH & REHAB CTR 71142,S200000,00400,0200,525226 71142,S200000,00400,0300,03/03/1970 71142,S200000,00400,0500,P 71153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71153,A000000,00300,0000,00300EMPLOYEE BENEFITS 71153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71153,A000000,00700,0000,00700HOUSEKEEPING 71153,A000000,00800,0000,00800DIETARY 71153,A000000,00900,0000,00900NURSING ADMINISTRATION 71153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71153,A000000,01100,0000,01100PHARMACY 71153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71153,A000000,01300,0000,01300SOCIAL SERVICE 71153,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71153,A000000,01600,0000,01600SKILLED NURSING FACILITY 71153,A000000,01810,0000,01810ICF/MR 71153,A000000,02100,0000,02100RADIOLOGY 71153,A000000,02200,0000,02200LABORATORY 71153,A000000,02500,0000,02500PHYSICAL THERAPY 71153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71153,A000000,02700,0000,02700SPEECH PATHOLOGY 71153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71153,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71153,A000000,03550,0000,03550FQHC 71153,A000000,05000,0000,05000CORF 71153,A000000,05010,0000,05010CMHC 71153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71153,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71153,A81000A,00100,0100,Y 71153,A81000B,00100,0300,PT FROM ST. MARYS 71153,A81000B,00200,0300,OT FROM ST. MARYS 71153,A81000B,00300,0300,ST FROM ST. MARYS 71153,A81000C,00100,0100,A 71153,A81000C,00100,0200,ST. MARYS 71153,A81000C,00100,0400,COLUMBIA HEALTH 71153,A81000C,00100,0600,HOSPITAL 71153,B100000,00000,0100,00000SQUARE FEET 71153,B100000,00000,0200,00000SQUARE FEET 71153,B100000,00000,0300,00000GROSS SALARIES 71153,B100000,00000,0400,00000ACCUM COST 71153,B100000,00000,0500,00000SQUARE FEET 71153,B100000,00000,0600,00000PATIENT DAYS 71153,B100000,00000,0700,00000SQUARE FEET 71153,B100000,00000,0800,00000MEALS SERVED 71153,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71153,B100000,00000,1000,00000PATIENT DAYS 71153,B100000,00000,1100,00000COSTED REQUISITIO 71153,B100000,00000,1200,00000PATIENT DAYS 71153,B100000,00000,1300,00000PATIENT DAYS 71153,B100000,00000,1400,00000ASSIGNED TIME 71153,S000000,00100,0200,03/06/2001 71153,S200000,00100,0100,10911 N. PORT WASHINGTON RD. 71153,S200000,00200,0100,MEQUON 71153,S200000,00200,0200,WI 71153,S200000,00200,0300,53092 71153,S200000,00300,0100,O 71153,S200000,00400,0100,MEQUON CARE CENTER 71153,S200000,00400,0200,525230 71153,S200000,00400,0300,06/14/1970 71153,S200000,00400,0500,P 71153,S200000,01900,0100,OTHER 71161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71161,A000000,00300,0000,00300EMPLOYEE BENEFITS 71161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71161,A000000,00700,0000,00700HOUSEKEEPING 71161,A000000,00800,0000,00800DIETARY 71161,A000000,00900,0000,00900NURSING ADMINISTRATION 71161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71161,A000000,01100,0000,01100PHARMACY 71161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71161,A000000,01300,0000,01300SOCIAL SERVICE 71161,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 71161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71161,A000000,01600,0000,01600SKILLED NURSING FACILITY 71161,A000000,01800,0000,01800NURSING FACILITY 71161,A000000,01810,0000,01810ICF/MR 71161,A000000,02100,0000,02100RADIOLOGY 71161,A000000,02200,0000,02200LABORATORY 71161,A000000,02500,0000,02500PHYSICAL THERAPY 71161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71161,A000000,02700,0000,02700SPEECH PATHOLOGY 71161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71161,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71161,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71161,A000000,03550,0000,03550FQHC 71161,A000000,05000,0000,05000CORF 71161,A000000,05010,0000,05010CMHC 71161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71161,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71161,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71161,A81000A,00100,0100,Y 71161,A81000B,00100,0300,LEASE EXP - NHP 71161,A81000B,00200,0300,PHYSICAL THERAPY 71161,A81000B,00300,0300,OCCUPATIONAL THERAPY 71161,A81000B,00400,0300,SPEECH THERAPY 71161,A81000B,00500,0300,MANAGEMENT FEE 71161,A81000B,00600,0300,MANAGEMENT FEE 71161,A81000C,00100,0100,A 71161,A81000C,00100,0200,OMNI THERAPY 71161,A81000C,00100,0400,OMNI THERAPY 71161,A81000C,00100,0600,REHAB AGENCY 71161,A81000C,00200,0100,B 71161,A81000C,00200,0200,LAUREATE GROUP 71161,A81000C,00200,0400,LAUREATE GROUP 71161,A81000C,00200,0600,MNGMT COMPANY 71161,B100000,00000,0100,00000SQUARE FEET 71161,B100000,00000,0200,00000SQUARE FEET 71161,B100000,00000,0300,00000GROSS SALARIES 71161,B100000,00000,0400,00000ACCUM COST 71161,B100000,00000,0500,00000SQUARE FEET 71161,B100000,00000,0600,00000PATIENT DAYS 71161,B100000,00000,0700,00000SQUARE FEET 71161,B100000,00000,0800,00000MEALS SERVED 71161,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71161,B100000,00000,1000,00000COSTED REQUISITIO 71161,B100000,00000,1100,00000COSTED REQUISITIO 71161,B100000,00000,1200,00000PATIENT DAYS 71161,B100000,00000,1300,00000PATIENT DAYS 71161,B100000,00000,1350,00000 71161,B100000,00000,1400,00000ASSIGNED TIME 71161,S000000,00100,0200,03/15/2000 71161,S200000,00100,0100,1810 KENSINGTON DRIVE 71161,S200000,00200,0100,WAUKESHA 71161,S200000,00200,0200,WI 71161,S200000,00200,0300,53188 71161,S200000,00300,0100,WAUKESHA 71161,S200000,00400,0100,WESTMORELAND HEALTH CENTER 71161,S200000,00400,0200,525242 71161,S200000,00400,0300,06/17/1971 71161,S200000,00400,0500,P 71161,S200000,01600,0100,Y 71163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71163,A000000,00300,0000,00300EMPLOYEE BENEFITS 71163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71163,A000000,00700,0000,00700HOUSEKEEPING 71163,A000000,00800,0000,00800DIETARY 71163,A000000,00900,0000,00900NURSING ADMINISTRATION 71163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71163,A000000,01100,0000,01100PHARMACY 71163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71163,A000000,01300,0000,01300SOCIAL SERVICE 71163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71163,A000000,01600,0000,01600SKILLED NURSING FACILITY 71163,A000000,01800,0000,01800NURSING FACILITY 71163,A000000,01810,0000,01810ICF/MR 71163,A000000,02100,0000,02100RADIOLOGY 71163,A000000,02200,0000,02200LABORATORY 71163,A000000,02500,0000,02500PHYSICAL THERAPY 71163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71163,A000000,02700,0000,02700SPEECH PATHOLOGY 71163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71163,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71163,A000000,03550,0000,03550FQHC 71163,A000000,05000,0000,05000CORF 71163,A000000,05010,0000,05010CMHC 71163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71163,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71163,A81000A,00100,0100,Y 71163,A81000B,00100,0300,LEASE EXP - NHP 71163,A81000B,00200,0300,PHYSICAL THERAPY 71163,A81000B,00300,0300,OCCUPATIONAL THERAPY 71163,A81000B,00400,0300,SPEECH THERAPY 71163,A81000B,00500,0300,MANAGEMENT FEE 71163,A81000B,00600,0300,MANAGEMENT FEE 71163,A81000C,00100,0100,A 71163,A81000C,00100,0200,OMNI THERAPY 71163,A81000C,00100,0400,OMNI THERAPY 71163,A81000C,00100,0600,REHAB AGENCY 71163,A81000C,00200,0100,B 71163,A81000C,00200,0200,LAUREATE GROUP 71163,A81000C,00200,0400,LAUREATE GROUP 71163,A81000C,00200,0600,MNGMT COMPANY 71163,B100000,00000,0100,00000SQUARE FEET 71163,B100000,00000,0200,00000SQUARE FEET 71163,B100000,00000,0300,00000GROSS SALARIES 71163,B100000,00000,0400,00000ACCUM COST 71163,B100000,00000,0500,00000SQUARE FEET 71163,B100000,00000,0600,00000PATIENT DAYS 71163,B100000,00000,0700,00000SQUARE FEET 71163,B100000,00000,0800,00000MEALS SERVED 71163,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71163,B100000,00000,1000,00000COSTED REQUISITIO 71163,B100000,00000,1100,00000COSTED REQUISITIO 71163,B100000,00000,1200,00000PATIENT DAYS 71163,B100000,00000,1300,00000PATIENT DAYS 71163,B100000,00000,1400,00000ASSIGNED TIME 71163,E10A180,00550,0100,07/18/2000 71163,E10A180,00551,0100,02/05/2001 71163,S000000,00100,0200,06/30/2000 71163,S200000,00100,0100,1810 KENSINGTON DRIVE 71163,S200000,00200,0100,WAUKESHA 71163,S200000,00300,0100,WAUKESHA 71163,S200000,00400,0100,WESTMORELAND HEALTH CENTER 71163,S200000,00400,0200,525242 71163,S200000,00400,0300,06/17/1971 71163,S200000,00400,0500,P 71163,S200000,01600,0100,Y 71163,S200000,01900,0100,OTHER 71170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71170,A000000,00300,0000,00300EMPLOYEE BENEFITS 71170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71170,A000000,00700,0000,00700HOUSEKEEPING 71170,A000000,00800,0000,00800DIETARY 71170,A000000,00900,0000,00900NURSING ADMINISTRATION 71170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71170,A000000,01100,0000,01100PHARMACY 71170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71170,A000000,01300,0000,01300SOCIAL SERVICE 71170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71170,A000000,01600,0000,01600SKILLED NURSING FACILITY 71170,A000000,01810,0000,01810ICF/MR 71170,A000000,02100,0000,02100RADIOLOGY 71170,A000000,02200,0000,02200LABORATORY 71170,A000000,02300,0000,02300INTRAVENOUS THERAPY 71170,A000000,02500,0000,02500PHYSICAL THERAPY 71170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71170,A000000,02700,0000,02700SPEECH PATHOLOGY 71170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71170,A000000,03050,0000,03300OTHER ANCILLARY 71170,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 71170,A000000,05000,0000,05000CORF 71170,A000000,05010,0000,05010CMHC 71170,A000000,05020,0000,05020OPT 71170,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71170,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71170,A000000,06210,0000,06210OTHER NON-REIMBURSABLE COSTS 71170,B100000,00000,0100,00010(SQUARE FEET) 71170,B100000,00000,0200,00010(SQUARE FEET) 71170,B100000,00000,0300,00010(GROSS SALARIES) 71170,B100000,00000,0400,00010(ACCUM COST) 71170,B100000,00000,0500,00010(SQUARE FEET) 71170,B100000,00000,0600,00010(POUNDS OF LAUNDRY) 71170,B100000,00000,0700,00010(HOURS OF SERVICE) 71170,B100000,00000,0800,00010(MEALS SERVED) 71170,B100000,00000,0900,00010(DIR NRSG HOURS) 71170,B100000,00000,1000,00010(COSTED REQUIS) 71170,B100000,00000,1100,00010(COSTED REQUIS) 71170,B100000,00000,1200,00010(TIME SPENT) 71170,B100000,00000,1300,00010(TIME SPENT) 71170,B100000,00000,1400,00010(ASSIGNED TIME) 71170,E10A180,00501,0300,05/14/2001 71170,E10A180,00550,0100,05/14/2001 71170,S000000,00100,0200,07/05/2000 71170,S200000,00100,0100,2501 SHELBY ROAD 71170,S200000,00200,0100,LA CROSSE 71170,S200000,00200,0200,WISCONSIN 71170,S200000,00200,0300,54601 71170,S200000,00300,0100,LA CROSSE 71170,S200000,00400,0100,BETHANY ST. JOSEPH CARE CENTER 71170,S200000,00400,0200,525265 71170,S200000,00400,0300,01/01/1977 71170,S200000,00400,0500,P 71170,S200000,01500,0100,Y 71170,S200000,01900,0100,501(C)(3)NON-PROFIT 71170,S200000,02200,0100,Y 71178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71178,A000000,00300,0000,00300EMPLOYEE BENEFITS 71178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71178,A000000,00700,0000,00700HOUSEKEEPING 71178,A000000,00800,0000,00800DIETARY 71178,A000000,00900,0000,00900NURSING ADMINISTRATION 71178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71178,A000000,01100,0000,01100PHARMACY 71178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71178,A000000,01300,0000,01300SOCIAL SERVICE 71178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71178,A000000,01600,0000,01600SKILLED NURSING FACILITY 71178,A000000,01800,0000,01800NURSING FACILITY 71178,A000000,01810,0000,01810ICF/MR 71178,A000000,02100,0000,02100RADIOLOGY 71178,A000000,02200,0000,02200LABORATORY 71178,A000000,02300,0000,02300INTRAVENOUS THERAPY 71178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71178,A000000,02500,0000,02500PHYSICAL THERAPY 71178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71178,A000000,02700,0000,02700SPEECH PATHOLOGY 71178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71178,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71178,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71178,A000000,03052,0000,03302MEDICAL EQUIPMENT 71178,A000000,03550,0000,03550FQHC 71178,A000000,05000,0000,05000CORF 71178,A000000,05010,0000,05010CMHC 71178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71178,A81000A,00100,0100,Y 71178,A81000B,00100,0300,HOME OFFICE A&G 71178,A81000B,00200,0300,HOME OFFICE CAPITAL 71178,A81000B,00300,0300,DIVISION OFFICE A&G 71178,A81000B,00500,0300,INSURANCE 71178,A81000B,00600,0300,PHYSICAL THERAPY 71178,A81000B,00700,0300,OCCUPATIONAL THERAPY 71178,A81000B,00800,0300,SPEECH THERAPY 71178,A81000B,00900,0300,AIR FLUIDIZED THERAPY 71178,A81000C,00100,0100,B 71178,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71178,A81000C,00200,0100,G 71178,A81000C,00200,0200,LAURIER INC. 71178,A81000C,00200,0400,EXTENDICARE INC. 71178,A81000C,00200,0600,INSURANCE 71178,A81000C,00300,0100,G 71178,A81000C,00300,0200,UNITED REHABILITATION SVS 71178,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71178,A81000C,00300,0600,THERAPY SERVICE 71178,A81000C,00400,0100,G 71178,A81000C,00400,0200,UNITED PROFESSIONAL CO 71178,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71178,A81000C,00400,0600,MED SUPPLY RX 71178,B100000,00000,0100,00040SQUARE FEET 71178,B100000,00000,0200,00040SQUARE FEET 71178,B100000,00000,0300,00040GROSS SALARIES 71178,B100000,00000,0400,00040ACCUM. COST 71178,B100000,00000,0500,00040SQUARE FEET 71178,B100000,00000,0600,00040PATIENT DAYS 71178,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71178,B100000,00000,0800,00040PATIENT DAYS 71178,B100000,00000,0900,00040PATIENT DAYS 71178,B100000,00000,1000,00040COSTED REQUIS 71178,B100000,00000,1100,00040COSTED REQUIS 71178,B100000,00000,1200,00040GROSS REVENUE 71178,B100000,00000,1300,00040PATIENT DAYS 71178,B100000,00000,1400,00040ASSIGNED TIME 71178,E10A180,00301,0100,06/22/1998 71178,E10A180,00301,0300,06/22/1998 71178,E10A180,00350,0100,06/22/1998 71178,E10A180,00350,0300,06/22/1998 71178,E10A180,00501,0300,02/12/2001 71178,S000000,00100,0200,06/20/2000 71178,S200000,00100,0100,115 EAST ARNDT 71178,S200000,00200,0100,FOND DU LAC 71178,S200000,00200,0200,WI 71178,S200000,00300,0100,FOND DU LAC 71178,S200000,00400,0100,ALL ABOUT LIFE HEALTH & REHAB 71178,S200000,00400,0200,525270 71178,S200000,00400,0300,05/01/1976 71178,S200000,00400,0500,P 71178,S200000,01600,0100,Y 71186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71186,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 71186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71186,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 71186,A000000,00300,0000,00300EMPLOYEE BENEFITS 71186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71186,A000000,00700,0000,00700HOUSEKEEPING 71186,A000000,00800,0000,00800DIETARY 71186,A000000,00801,0000,00801CAFETERIA 71186,A000000,00900,0000,00900NURSING ADMINISTRATION 71186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71186,A000000,01100,0000,01100PHARMACY 71186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71186,A000000,01300,0000,01300SOCIAL SERVICE 71186,A000000,01350,0000,01500DIRECT CARE - OTHER EXP 71186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71186,A000000,01600,0000,01600SKILLED NURSING FACILITY 71186,A000000,01800,0000,01800NURSING FACILITY 71186,A000000,01810,0000,01810ICF/MR 71186,A000000,01900,0000,01900OTHER LONG TERM CARE 71186,A000000,02100,0000,02100RADIOLOGY 71186,A000000,02200,0000,02200LABORATORY 71186,A000000,02300,0000,02300INTRAVENOUS THERAPY 71186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71186,A000000,02500,0000,02500PHYSICAL THERAPY 71186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71186,A000000,02700,0000,02700SPEECH PATHOLOGY 71186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71186,A000000,03050,0000,03300OTHER BILLED ANCILL SERV 71186,A000000,03051,0000,03301DIR. VOLUNTEER SERVICES 71186,A000000,03052,0000,03302ACTIVITY/RECREATION THERP 71186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 71186,A000000,03550,0000,03550FQHC 71186,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71186,A000000,05000,0000,05000CORF I 71186,A000000,05010,0000,05010CMHC I 71186,A000000,05020,0000,05020OPT I 71186,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71186,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 71186,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 71186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71186,A000000,06151,0000,06301DAY CARE 71186,A000000,06200,0000,06200PATIENTS LAUNDRY 71186,A81000A,00100,0100,Y 71186,A81000B,00100,0300,PRINTING UPS PHONE 71186,A81000B,00200,0300,VEHICLE GAS REPAIRS 71186,A81000B,00300,0300,PAPER PRINTING 71186,A81000B,00400,0300,PAPER PRINTING 71186,A81000B,00500,0300,COMPUTER SUPPORT 71186,A81000B,00600,0300,COUNTY COST ALLOC 71186,A81000C,00100,0100,G 71186,A81000C,00100,0400,JEFFERSON CO WI 71186,A81000C,00100,0600,COUNTY GOVT. 71186,B100000,00000,0100,00001(SQUARE FEET) 71186,B100000,00000,0101,00001(SQUARE FEET) 71186,B100000,00000,0200,00001(DOLLAR VALUE) 71186,B100000,00000,0201,00001(SQUARE FEET) 71186,B100000,00000,0300,00001(GROSS SALARIES) 71186,B100000,00000,0400,00001(ACCUM. COST) 71186,B100000,00000,0500,00001(SQUARE FEET) 71186,B100000,00000,0600,00001(POUNDS OF LAUNDRY) 71186,B100000,00000,0700,00001(SQUARE FEET) 71186,B100000,00000,0800,00001(MEALS SERVED) 71186,B100000,00000,0801,00001(MEALS SERVED) 71186,B100000,00000,0900,00001(NURSING SALARIES) 71186,B100000,00000,1000,00001(COSTED REQUIS.) 71186,B100000,00000,1100,00001(COSTED REQUIS.) 71186,B100000,00000,1200,00001(PATIENT DAYS) 71186,B100000,00000,1300,00001(PATIENT DAYS) 71186,B100000,00000,1350,00001 71186,B100000,00000,1400,00001(ASSIGNED TIME) 71186,S000000,00100,0200,06/13/2000 71186,S200000,00100,0100,1425 WISCONSIN DRIVE 71186,S200000,00200,0100,JEFFERSON 71186,S200000,00200,0200,WI 71186,S200000,00200,0300,53538 71186,S200000,00300,0100,JEFFERSON 71186,S200000,00400,0100,COUNTRYSIDE HOME 71186,S200000,00400,0200,525271 71186,S200000,00400,0300,03/01/1976 71186,S200000,00400,0500,P 71186,S200000,01600,0100,Y 71186,S200000,01900,0100,OTHER 71186,S200000,02200,0100,Y 71186,S200000,02800,0100,Y 71186,S200000,04300,0100,Y 71186,S200000,04900,0100,Y 71194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71194,A000000,00300,0000,00300EMPLOYEE BENEFITS 71194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71194,A000000,00700,0000,00700HOUSEKEEPING 71194,A000000,00800,0000,00800DIETARY 71194,A000000,00900,0000,00900NURSING ADMINISTRATION 71194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71194,A000000,01100,0000,01100PHARMACY 71194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71194,A000000,01300,0000,01300SOCIAL SERVICE 71194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71194,A000000,01600,0000,01600SKILLED NURSING FACILITY 71194,A000000,01800,0000,01800NURSING FACILITY 71194,A000000,01810,0000,01810ICF/MR 71194,A000000,02100,0000,02100RADIOLOGY 71194,A000000,02200,0000,02200LABORATORY 71194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71194,A000000,02500,0000,02500PHYSICAL THERAPY 71194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71194,A000000,02700,0000,02700SPEECH PATHOLOGY 71194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71194,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71194,A000000,03052,0000,03302MEDICAL EQUIPMENT 71194,A000000,03550,0000,03550FQHC 71194,A000000,05000,0000,05000CORF 71194,A000000,05010,0000,05010CMHC 71194,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71194,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71194,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71194,A81000A,00100,0100,Y 71194,A81000B,00100,0300,HOME OFFICE A&G 71194,A81000B,00200,0300,HOME OFFICE CAPITAL 71194,A81000B,00300,0300,DIVISION OFFICE A&G 71194,A81000B,00500,0300,INSURANCE 71194,A81000B,00600,0300,PHYSICAL THERAPY 71194,A81000B,00700,0300,OCCUPATIONAL THERAPY 71194,A81000B,00800,0300,SPEECH THERAPY 71194,A81000C,00100,0100,B 71194,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71194,A81000C,00200,0100,G 71194,A81000C,00200,0200,LAURIER INC. 71194,A81000C,00200,0400,EXTENDICARE INC. 71194,A81000C,00200,0600,INSURANCE 71194,A81000C,00300,0100,G 71194,A81000C,00300,0200,UNITED REHABILITATION SVS 71194,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71194,A81000C,00300,0600,THERAPY SERVICE 71194,A81000C,00400,0100,G 71194,A81000C,00400,0200,UNITED PROFESSIONAL CO 71194,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71194,A81000C,00400,0600,MED SUPP RX 71194,B100000,00000,0100,00040SQUARE FEET 71194,B100000,00000,0200,00040SQUARE FEET 71194,B100000,00000,0300,00040GROSS SALARIES 71194,B100000,00000,0400,00040ACCUM. COST 71194,B100000,00000,0500,00040SQUARE FEET 71194,B100000,00000,0600,00040PATIENT DAYS 71194,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71194,B100000,00000,0800,00040PATIENT DAYS 71194,B100000,00000,0900,00040PATIENT DAYS 71194,B100000,00000,1000,00040COSTED REQUIS 71194,B100000,00000,1100,00040COSTED REQUIS 71194,B100000,00000,1200,00040GROSS REVENUE 71194,B100000,00000,1300,00040PATIENT DAYS 71194,B100000,00000,1400,00040ASSIGNED TIME 71194,E10A180,00301,0100,06/22/1998 71194,E10A180,00301,0300,06/22/1998 71194,E10A180,00350,0100,06/22/1998 71194,E10A180,00350,0300,06/22/1998 71194,E10A180,00550,0300,06/09/2000 71194,S000000,00100,0200,06/20/2000 71194,S200000,00100,0100,1905 WEST HART ROAD 71194,S200000,00200,0100,BELOIT 71194,S200000,00200,0200,WI 71194,S200000,00300,0100,ROCK 71194,S200000,00400,0100,BELOIT CONVALESCENT CENTER 71194,S200000,00400,0200,525273 71194,S200000,00400,0300,01/01/1981 71194,S200000,00400,0500,P 71194,S200000,01600,0100,Y 71202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71202,A000000,00300,0000,00300EMPLOYEE BENEFITS 71202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71202,A000000,00700,0000,00700HOUSEKEEPING 71202,A000000,00800,0000,00800DIETARY 71202,A000000,00900,0000,00900NURSING ADMINISTRATION 71202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71202,A000000,01100,0000,01100PHARMACY 71202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71202,A000000,01300,0000,01300SOCIAL SERVICE 71202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71202,A000000,01600,0000,01600SKILLED NURSING FACILITY 71202,A000000,01810,0000,01810ICF/MR 71202,A000000,02100,0000,02100RADIOLOGY 71202,A000000,02200,0000,02200LABORATORY 71202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71202,A000000,02500,0000,02500PHYSICAL THERAPY 71202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71202,A000000,02700,0000,02700SPEECH PATHOLOGY 71202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71202,A000000,03550,0000,03550FQHC 71202,A000000,05000,0000,05000CORF 71202,A000000,05010,0000,05010CMHC 71202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71202,A81000A,00100,0100,Y 71202,A81000B,00100,0300,HEALTH DENTAL LIFE 71202,A81000B,00200,0300,ADMINISTRATOR 71202,A81000B,00300,0300,PT PURCHASED SERVICE 71202,A81000B,00400,0300,RT PURCHASED SERVICE 71202,A81000B,00500,0300,PAYROLL PROCESSING 71202,A81000B,00600,0300,RT SUPPLIES 71202,A81000B,00700,0300,ADMINISTRATION 71202,A81000B,00800,0300,CORPORATE CASH MNGM 71202,A81000B,00900,0300,INFORMATION CENTER 71202,A81000B,01000,0300,CORPORATE FEES 71202,A81000B,01100,0300,CORPORATE FEES 71202,A81000B,01200,0300,CORPORATE FEES-CRC I 71202,A81000C,00100,0100,B 71202,A81000C,00100,0200,SSM HEALTH CARE 71202,A81000C,00100,0400,ST MARYS HSP ME 71202,A81000C,00100,0600,MEDICAL CENTER 71202,B100000,00000,0100,00000SQUARE FEET 71202,B100000,00000,0200,00000SQUARE FEET 71202,B100000,00000,0300,00000GROSS SALARIES 71202,B100000,00000,0400,00000ACCUM COST 71202,B100000,00000,0500,00000SQUARE FEET 71202,B100000,00000,0600,00000POUNDS OF LAUNDRY 71202,B100000,00000,0700,00000SQUARE FEET 71202,B100000,00000,0800,00000MEALS SERVED 71202,B100000,00000,0900,00000DIRECT NRSG HRS 71202,B100000,00000,1000,00000COSTED REQUIS 71202,B100000,00000,1100,00000COSTED REQUIS 71202,B100000,00000,1200,00000TIME SPENT 71202,B100000,00000,1300,00000TIME SPENT 71202,B100000,00000,1400,00000ASSIGNED TIME 71202,S000000,00100,0200,03/29/2000 71202,S200000,00100,0100,1347 FISH HATHERY ROAD 71202,S200000,00200,0100,MADISON 71202,S200000,00200,0200,WI 71202,S200000,00200,0300,53715 71202,S200000,00300,0100,USA 71202,S200000,00400,0100,ST. MARYS CARE CENTER 71202,S200000,00400,0200,525276 71202,S200000,00400,0300,12/31/1982 71202,S200000,00400,0500,P 71202,S200000,01500,0100,Y 71202,S200000,01900,0100,AFFL. W/MERCY HOSPIT 71221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71221,A000000,00300,0000,00300EMPLOYEE BENEFITS 71221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71221,A000000,00700,0000,00700HOUSEKEEPING 71221,A000000,00800,0000,00800DIETARY 71221,A000000,00900,0000,00900NURSING ADMINISTRATION 71221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71221,A000000,01100,0000,01100PHARMACY 71221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71221,A000000,01300,0000,01300SOCIAL SERVICE 71221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71221,A000000,01600,0000,01600SKILLED NURSING FACILITY 71221,A000000,01800,0000,01800NURSING FACILITY 71221,A000000,01810,0000,01810ICF/MR 71221,A000000,02100,0000,02100RADIOLOGY 71221,A000000,02200,0000,02200LABORATORY 71221,A000000,02300,0000,02300INTRAVENOUS THERAPY 71221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71221,A000000,02500,0000,02500PHYSICAL THERAPY 71221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71221,A000000,02700,0000,02700SPEECH PATHOLOGY 71221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71221,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71221,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71221,A000000,03052,0000,03302MEDICAL EQUIPMENT 71221,A000000,03550,0000,03550FQHC 71221,A000000,05000,0000,05000CORF 71221,A000000,05010,0000,05010CMHC 71221,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71221,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71221,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71221,A81000A,00100,0100,Y 71221,A81000B,00100,0300,HOME OFFICE A&G 71221,A81000B,00200,0300,HOME OFFICE CAPITAL 71221,A81000B,00300,0300,DIVISION OFFICE A&G 71221,A81000B,00500,0300,INSURANCE 71221,A81000C,00100,0100,B 71221,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71221,A81000C,00200,0100,G 71221,A81000C,00200,0200,LAURIER INC. 71221,A81000C,00200,0400,EXTENDICARE INC. 71221,A81000C,00200,0600,INSURANCE 71221,A81000C,00300,0100,G 71221,A81000C,00300,0200,UNITED REHABILITATION SVS 71221,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71221,A81000C,00300,0600,THERAPY SERVICE 71221,A81000C,00400,0100,G 71221,A81000C,00400,0200,UNITED PROFESSIONAL CO 71221,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71221,A81000C,00400,0600,MED SUPP RX 71221,B100000,00000,0100,00040SQUARE FEET 71221,B100000,00000,0200,00040SQUARE FEET 71221,B100000,00000,0300,00040GROSS SALARIES 71221,B100000,00000,0400,00040ACCUM. COST 71221,B100000,00000,0500,00040SQUARE FEET 71221,B100000,00000,0600,00040PATIENT DAYS 71221,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71221,B100000,00000,0800,00040PATIENT DAYS 71221,B100000,00000,0900,00040PATIENT DAYS 71221,B100000,00000,1000,00040COSTED REQUIS 71221,B100000,00000,1100,00040COSTED REQUIS 71221,B100000,00000,1200,00040GROSS REVENUE 71221,B100000,00000,1300,00040PATIENT DAYS 71221,B100000,00000,1400,00040ASSIGNED TIME 71221,E10A180,00301,0100,06/22/1998 71221,E10A180,00301,0300,06/22/1998 71221,E10A180,00350,0100,06/22/1998 71221,E10A180,00350,0300,06/22/1998 71221,E10A180,00501,0100,06/09/2000 71221,E10A180,00550,0300,06/09/2000 71221,S000000,00100,0200,06/20/2000 71221,S200000,00100,0100,8633 32ND AVENUE 71221,S200000,00200,0100,KENOSHA 71221,S200000,00200,0200,WI 71221,S200000,00300,0100,KENOSHA 71221,S200000,00400,0100,HOSPITALITY MANOR 71221,S200000,00400,0200,525282 71221,S200000,00400,0300,03/28/1977 71221,S200000,00400,0500,P 71221,S200000,01600,0100,Y 71229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71229,A000000,00300,0000,00300EMPLOYEE BENEFITS 71229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71229,A000000,00700,0000,00700HOUSEKEEPING 71229,A000000,00800,0000,00800DIETARY 71229,A000000,00900,0000,00900NURSING ADMINISTRATION 71229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71229,A000000,01100,0000,01100PHARMACY 71229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71229,A000000,01300,0000,01300SOCIAL SERVICE 71229,A000000,01350,0000,01500OTHER GENERAL SERVICES 71229,A000000,01351,0000,01501OTHER GENERAL SERVICE-ACTIVITIE 71229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71229,A000000,01600,0000,01600SKILLED NURSING FACILITY 71229,A000000,01800,0000,01800NURSING FACILITY 71229,A000000,01810,0000,01810ICF/MR 71229,A000000,02100,0000,02100RADIOLOGY 71229,A000000,02200,0000,02200LABORATORY 71229,A000000,02300,0000,02300INTRAVENOUS THERAPY 71229,A000000,02500,0000,02500PHYSICAL THERAPY 71229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71229,A000000,02700,0000,02700SPEECH PATHOLOGY 71229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71229,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71229,A000000,03400,0000,03400CLINIC 71229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71229,A000000,03550,0000,03550FQHC 71229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71229,A000000,05000,0000,05000CORF 71229,A000000,05010,0000,05010CMHC 71229,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71229,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71229,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71229,A000000,05300,0000,05300INTEREST EXPENSE 71229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 71229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71229,A81000A,00100,0100,Y 71229,A81000B,00100,0300,COUNTY INDIRECT COST ALLOCATIO 71229,A81000C,00100,0100,G 71229,A81000C,00100,0200,COUNTY OF GRANT 71229,A81000C,00100,0400,COUNTY OF GRANT 71229,A81000C,00100,0600,LOCAL GOVERNMENT 71229,B100000,00000,0100,00000SQUARE FEET 71229,B100000,00000,0200,00000NO STATISTICS 71229,B100000,00000,0300,00000GROSS SALARIES 71229,B100000,00000,0400,00000ACCUM. COST 71229,B100000,00000,0500,00000SQUARE FEET 71229,B100000,00000,0600,00000POUNDS OF LAUNDRY 71229,B100000,00000,0700,00000SQUARE FEET 71229,B100000,00000,0800,00000MEALS SERVED 71229,B100000,00000,0900,00000PATIENT DAYS 71229,B100000,00000,1000,00000NO STATISTICS 71229,B100000,00000,1100,00000PATIENT DAYS 71229,B100000,00000,1200,00000PATIENT DAYS 71229,B100000,00000,1300,00000PATIENT DAYS 71229,B100000,00000,1350,00000NO STATISTICS 71229,B100000,00000,1351,00000PATIENT DAYS 71229,B100000,00000,1400,00000NO STATISTICS 71229,S000000,00100,0200,06/27/2000 71229,S200000,00100,0100,8800 HWY 61 71229,S200000,00200,0100,LANCASTER 71229,S200000,00200,0200,WI 71229,S200000,00300,0100,GRANT 71229,S200000,00400,0100,ORCHARD MANOR 71229,S200000,00400,0200,525290 71229,S200000,00400,0300,07/01/1989 71229,S200000,00400,0500,P 71229,S200000,01600,0100,Y 71229,S200000,02800,0100,Y 71229,S200000,04300,0100,Y 71229,S200000,04900,0100,Y 71237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71237,A000000,00300,0000,00300EMPLOYEE BENEFITS 71237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71237,A000000,00700,0000,00700HOUSEKEEPING 71237,A000000,00800,0000,00800DIETARY 71237,A000000,00900,0000,00900NURSING ADMINISTRATION 71237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71237,A000000,01100,0000,01100PHARMACY 71237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71237,A000000,01300,0000,01300SOCIAL SERVICE 71237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71237,A000000,01600,0000,01600SKILLED NURSING FACILITY 71237,A000000,01800,0000,01800NURSING FACILITY 71237,A000000,01810,0000,01810ICF/MR 71237,A000000,02100,0000,02100RADIOLOGY 71237,A000000,02200,0000,02200LABORATORY 71237,A000000,02300,0000,02300INTRAVENOUS THERAPY 71237,A000000,02500,0000,02500PHYSICAL THERAPY 71237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71237,A000000,02700,0000,02700SPEECH PATHOLOGY 71237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71237,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71237,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71237,A000000,03052,0000,03302MEDICAL EQUIPMENT 71237,A000000,03550,0000,03550FQHC 71237,A000000,05000,0000,05000CORF 71237,A000000,05010,0000,05010CMHC 71237,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71237,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71237,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71237,A81000A,00100,0100,Y 71237,A81000B,00100,0300,HOME OFFICE A&G 71237,A81000B,00200,0300,HOME OFFICE CAPITAL 71237,A81000B,00300,0300,DIVISION OFFICE A&G 71237,A81000B,00500,0300,INSURANCE 71237,A81000C,00100,0100,B 71237,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71237,A81000C,00200,0100,G 71237,A81000C,00200,0200,LAURIER INC. 71237,A81000C,00200,0400,EXTENDICARE INC. 71237,A81000C,00200,0600,INSURANCE 71237,A81000C,00300,0100,G 71237,A81000C,00300,0200,UNITED REHABILITATION SVS 71237,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71237,A81000C,00300,0600,THERAPY SERVICE 71237,A81000C,00400,0100,G 71237,A81000C,00400,0200,UNITED PROFESSIONAL CO 71237,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71237,A81000C,00400,0600,MED SUPP RX 71237,B100000,00000,0100,00040SQUARE FEET 71237,B100000,00000,0200,00040SQUARE FEET 71237,B100000,00000,0300,00040GROSS SALARIES 71237,B100000,00000,0400,00040ACCUM. COST 71237,B100000,00000,0500,00040SQUARE FEET 71237,B100000,00000,0600,00040PATIENT DAYS 71237,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71237,B100000,00000,0800,00040PATIENT DAYS 71237,B100000,00000,0900,00040PATIENT DAYS 71237,B100000,00000,1000,00040COSTED REQUIS 71237,B100000,00000,1100,00040COSTED REQUIS 71237,B100000,00000,1200,00040GROSS REVENUE 71237,B100000,00000,1300,00040PATIENT DAYS 71237,B100000,00000,1400,00040ASSIGNED TIME 71237,E10A180,00301,0100,06/22/1998 71237,E10A180,00301,0300,06/22/1998 71237,E10A180,00350,0100,06/22/1998 71237,E10A180,00350,0300,06/22/1998 71237,E10A180,00501,0100,02/12/2001 71237,E10A180,00550,0300,02/12/2001 71237,S000000,00100,0200,06/20/2000 71237,S200000,00100,0100,516 26TH AVENUE 71237,S200000,00200,0100,MONROE 71237,S200000,00200,0200,WI 71237,S200000,00300,0100,GREEN 71237,S200000,00400,0100,MONROE MANOR 71237,S200000,00400,0200,525292 71237,S200000,00400,0300,07/01/1966 71237,S200000,00400,0500,P 71237,S200000,01600,0100,Y 71245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71245,A000000,00300,0000,00300EMPLOYEE BENEFITS 71245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71245,A000000,00700,0000,00700HOUSEKEEPING 71245,A000000,00800,0000,00800DIETARY 71245,A000000,00900,0000,00900NURSING ADMINISTRATION 71245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71245,A000000,01100,0000,01100PHARMACY 71245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71245,A000000,01300,0000,01300SOCIAL SERVICE 71245,A000000,01301,0000,01301ACTIVITIES 71245,A000000,01350,0000,01500REHAB 71245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71245,A000000,01600,0000,01600SKILLED NURSING FACILITY 71245,A000000,01800,0000,01800NURSING FACILITY 71245,A000000,01810,0000,01810ICF/MR 71245,A000000,02100,0000,02100RADIOLOGY 71245,A000000,02200,0000,02200LABORATORY 71245,A000000,02300,0000,02300INTRAVENOUS THERAPY 71245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71245,A000000,02500,0000,02500PHYSICAL THERAPY 71245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71245,A000000,02700,0000,02700SPEECH PATHOLOGY 71245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71245,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71245,A000000,03051,0000,03301PEN 71245,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71245,A000000,03550,0000,03550FQHC 71245,A000000,05000,0000,05000CORF 71245,A000000,05010,0000,05010CMHC 71245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71245,A000000,05300,0000,05300INTEREST EXPENSE 71245,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 71245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71245,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71245,A81000A,00100,0100,Y 71245,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 71245,A81000B,00200,0300,NON CERT 71245,A81000B,00300,0300,MEDICAL SUPPLIES 71245,A81000B,00400,0300,CERT 71245,A81000B,00500,0300,EQPT RENTAL 71245,A81000B,00600,0300,PT 71245,A81000B,00700,0300,OT 71245,A81000B,00800,0300,ST 71245,A81000C,00100,0100,B 71245,A81000C,00100,0200,THE SHORES 1444 71245,A81000C,00100,0400,MARINER POST AC 71245,A81000C,00100,0600,NURSING HOMES 71245,A81000C,00200,0100,G 71245,A81000C,00200,0200,MARINER POST AC 71245,A81000C,00200,0400,AMERICAN PHARMA 71245,A81000C,00200,0600,PHARMACEUTICALS 71245,A81000C,00300,0100,G 71245,A81000C,00300,0200,MARINER POST AC 71245,A81000C,00300,0400,PRISM (ATS ARS 71245,A81000C,00300,0600,THERAPIES 71245,B100000,00000,0100,00000SQUARE FEET 71245,B100000,00000,0200,00000SQUARE FEET 71245,B100000,00000,0300,00000GROSS SALARIES 71245,B100000,00000,0400,00000ACCUM COST 71245,B100000,00000,0500,00000SQUARE FEET 71245,B100000,00000,0600,00000PATIENT DAYS 71245,B100000,00000,0700,00000SQUARE FEET 71245,B100000,00000,0800,00000MEALS SERVED 71245,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71245,B100000,00000,1000,00000PATIENT DAYS 71245,B100000,00000,1100,00000COSTED REQUIS 71245,B100000,00000,1200,00000PATIENT DAYS 71245,B100000,00000,1300,00000PATIENT DAYS 71245,B100000,00000,1301,00000PATIENT DAYS 71245,B100000,00000,1350,00000UNITS OF SERVICE 71245,B100000,00000,1400,00000ASSIGNED TIME 71245,E10A180,00501,0100,07/18/2000 71245,E10A180,00550,0300,07/18/2000 71245,S000000,00100,0200,06/14/2000 71245,S200000,00100,0100,6925 N PORT WASHINGTON RD 71245,S200000,00200,0100,GLENDALE 71245,S200000,00200,0200,WI 71245,S200000,00200,0300,53217 71245,S200000,00300,0100,MILWAUKEE 71245,S200000,00400,0100,THE SHORES HEALTH & REHAB CENTER 71245,S200000,00400,0200,525300 71245,S200000,00400,0300,01/01/1967 71245,S200000,00400,0500,P 71251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71251,A000000,00300,0000,00300EMPLOYEE BENEFITS 71251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71251,A000000,00700,0000,00700HOUSEKEEPING 71251,A000000,00800,0000,00800DIETARY 71251,A000000,00801,0000,00801CAFETERIA 71251,A000000,00900,0000,00900NURSING ADMINISTRATION 71251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71251,A000000,01100,0000,01100PHARMACY 71251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71251,A000000,01300,0000,01300SOCIAL SERVICE 71251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71251,A000000,01600,0000,01600SKILLED NURSING FACILITY 71251,A000000,01810,0000,01810ICF/MR 71251,A000000,02100,0000,02100RADIOLOGY 71251,A000000,02200,0000,02200LABORATORY 71251,A000000,02500,0000,02500PHYSICAL THERAPY 71251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71251,A000000,02700,0000,02700SPEECH PATHOLOGY 71251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71251,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 71251,A000000,03550,0000,03550FQHC 71251,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 71251,A000000,05000,0000,05000CORF 71251,A000000,05010,0000,05010CMHC 71251,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71251,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71251,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71251,A000000,05300,0000,05300INTEREST EXPENSE 71251,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 71251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71251,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71251,A000000,06200,0000,06200PATIENTS LAUNDRY 71251,A81000A,00100,0100,Y 71251,A81000B,00100,0300,MERITER MGMT SVC FEES 71251,A81000B,00200,0300,MERITER HEALTH SVC FEES 71251,A81000B,00300,0300,LAUNDRY AND LINEN 71251,A81000B,00400,0300,GENERAL MEDICAL LAB EXP 71251,A81000B,00500,0300,GENERAL MEDICAL LAB EXP 71251,A81000B,00600,0300,MERITER HHA EXPENSE 71251,A81000B,00700,0300,MERITER HHA EXPENSE 71251,A81000B,00800,0300,MERITER HHA EXPENSE 71251,A81000B,00900,0300,MERITER HHA EXPENSE 71251,A81000B,01000,0300,MERITER HHA EXPENSE 71251,A81000B,01100,0300,MERITER HOSPITAL EXP 71251,A81000B,01200,0300,MERITER HOSPITAL EXP 71251,A81000B,01300,0300,MERITER HOSPITAL EXP 71251,A81000B,01400,0300,MERITER HOSPITAL EXP 71251,A81000B,01500,0300,MERITER HOSPITAL EXP 71251,A81000C,00100,0100,G 71251,A81000C,00100,0200,MERITER HEALTH CENTER 71251,A81000C,00100,0400,MERITER MANAGEMENT SVC 71251,A81000C,00100,0600,MANAGEMENT SUPPORT SVC 71251,A81000C,00200,0100,G 71251,A81000C,00200,0200,MERITER HEALTH CENTER 71251,A81000C,00200,0400,MERITER HEALTH SERVICES 71251,A81000C,00200,0600,PARENT ORGANIZATION 71251,A81000C,00300,0100,C 71251,A81000C,00300,0200,MERITER HEALTH CENTER 71251,A81000C,00300,0400,MUHL 71251,A81000C,00300,0600,LAUNDRY & LINEN 71251,A81000C,00400,0100,G 71251,A81000C,00400,0200,MERITER HEALTH CENTER 71251,A81000C,00400,0400,GENERAL MEDICAL LAB 71251,A81000C,00400,0600,LAB SERVICES 71251,A81000C,00500,0100,G 71251,A81000C,00500,0200,MERITER HEALTH CENTER 71251,A81000C,00500,0400,MERITER HOME HEALTH 71251,A81000C,00500,0600,HOME HEALTH AGENCY 71251,A81000C,00600,0100,G 71251,A81000C,00600,0200,MERITER HEALTH CENTER 71251,A81000C,00600,0400,MERITER HOSPITAL 71251,A81000C,00600,0600,HOSPITAL 71251,B100000,00000,0100,00000SQUARE FEET 71251,B100000,00000,0200,00000SQUARE FEET 71251,B100000,00000,0300,00000GROSS SALARIES 71251,B100000,00000,0400,00000ACCUM. COST 71251,B100000,00000,0500,00000SQUARE FEET 71251,B100000,00000,0600,00000DOLLAR VALUE 71251,B100000,00000,0700,00000SQUARE FEET 71251,B100000,00000,0800,00000MEALS SERVED 71251,B100000,00000,0801,00000FTES X 100 71251,B100000,00000,0900,00000# NURSING FTES X 100 71251,B100000,00000,1000,00000COSTED REQUIS. 71251,B100000,00000,1100,00000PERCENT 71251,B100000,00000,1200,00000TIME SPENT 71251,B100000,00000,1300,00000PATIENT DAYS 71251,B100000,00000,1400,00000TIME SPENT 71251,E10A180,00550,0100,06/01/2000 71251,S000000,00100,0200,06/22/2000 71251,S200000,00100,0100,334 WEST DOTY STREET 71251,S200000,00200,0100,MADISON 71251,S200000,00200,0200,WI 71251,S200000,00300,0100,DANE 71251,S200000,00400,0100,MERITER HEALTH CENTER 71251,S200000,00400,0200,525305 71251,S200000,00400,0300,09/04/1980 71251,S200000,00400,0500,P 71251,S200000,01500,0100,Y 71251,S200000,02800,0100,Y 71261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71261,A000000,00300,0000,00300EMPLOYEE BENEFITS 71261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71261,A000000,00700,0000,00700HOUSEKEEPING 71261,A000000,00800,0000,00800DIETARY 71261,A000000,00900,0000,00900NURSING ADMINISTRATION 71261,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71261,A000000,01100,0000,01100PHARMACY 71261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71261,A000000,01300,0000,01300SOCIAL SERVICE 71261,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71261,A000000,01600,0000,01600SKILLED NURSING FACILITY 71261,A000000,01800,0000,01800NURSING FACILITY 71261,A000000,01810,0000,01810ICF/MR 71261,A000000,02100,0000,02100RADIOLOGY 71261,A000000,02200,0000,02200LABORATORY 71261,A000000,02300,0000,02300INTRAVENOUS THERAPY 71261,A000000,02500,0000,02500PHYSICAL THERAPY 71261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71261,A000000,02700,0000,02700SPEECH PATHOLOGY 71261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71261,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71261,A000000,03200,0000,03200SUPPORT SURFACES 71261,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71261,A000000,03550,0000,03550FQHC 71261,A000000,05000,0000,05000CORF 71261,A000000,05010,0000,05010CMHC 71261,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71261,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71261,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71261,A000000,06150,0000,06300ADULT DAY CARE 71261,A81000A,00100,0100,Y 71261,A81000B,00100,0300,BUILDING LEASE 71261,A81000B,00200,0300,PT SERVICES 71261,A81000B,00300,0300,OT SERVICES 71261,A81000B,00400,0300,SP SERVICES 71261,A81000B,00500,0300,HOME OFFICE EXPENSE 71261,A81000B,00600,0300,HO PHARMACY COSTS 71261,A81000B,00700,0300,HO DRUG COSTS 71261,A81000B,00800,0300,HO CAPITAL/ INT 71261,A81000C,00100,0100,B 71261,A81000C,00100,0400,PPF ENTERPRISES 71261,A81000C,00100,0600,REAL ESTATE 71261,A81000C,00200,0100,B 71261,A81000C,00200,0400,PPFII ENTERPRIS 71261,A81000C,00200,0600,MGMT COMPANY 71261,A81000C,00300,0100,B 71261,A81000C,00300,0400,PETERSEN REHAB 71261,A81000C,00300,0600,REHAB CENTER 71261,A81000C,00400,0100,B 71261,A81000C,00400,0400,PETERSEN HEALTH 71261,A81000C,00400,0600,HM OFFICE/ PHAR 71261,B100000,00000,0100,00000SQUARE FEET 71261,B100000,00000,0200,00000SQUARE FEET 71261,B100000,00000,0300,00000GROSS SALARIES 71261,B100000,00000,0400,00000ACCUM COST 71261,B100000,00000,0500,00000SQUARE FEET 71261,B100000,00000,0600,00000POUNDS OF LAUNDRY 71261,B100000,00000,0700,00000SQUARE FEET 71261,B100000,00000,0800,00000MEALS SERVED 71261,B100000,00000,0900,00000GROSS SALARIES 71261,B100000,00000,1000,00000COSTED REQUIS 71261,B100000,00000,1100,00000COSTED REQUISITIO 71261,B100000,00000,1200,00000TIME SPENT 71261,B100000,00000,1300,00000PATIENT DAYS 71261,B100000,00000,1400,00000ASSIGNED TIME 71261,S000000,00100,0200,06/23/2000 71261,S200000,00100,0100,900 BOYCE DRIVE 71261,S200000,00100,0300,P O BOX 857 71261,S200000,00200,0100,RHINELANDER 71261,S200000,00200,0200,WI 71261,S200000,00200,0300,54501 71261,S200000,00300,0100,ONEIDA 71261,S200000,00400,0100,TAYLOR PARK 71261,S200000,00400,0200,525311 71261,S200000,00400,0300,08/21/1981 71261,S200000,00400,0500,P 71261,S200000,01600,0100,Y 71261,S200000,01900,0100,OTHER 71269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71269,A000000,00300,0000,00300EMPLOYEE BENEFITS 71269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71269,A000000,00700,0000,00700HOUSEKEEPING 71269,A000000,00800,0000,00800DIETARY 71269,A000000,00900,0000,00900NURSING ADMINISTRATION 71269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71269,A000000,01100,0000,01100PHARMACY 71269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71269,A000000,01300,0000,01300SOCIAL SERVICE 71269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71269,A000000,01600,0000,01600SKILLED NURSING FACILITY 71269,A000000,01800,0000,01800NURSING FACILITY 71269,A000000,01810,0000,01810ICF/MR 71269,A000000,02100,0000,02100RADIOLOGY 71269,A000000,02200,0000,02200LABORATORY 71269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71269,A000000,02500,0000,02500PHYSICAL THERAPY 71269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71269,A000000,02700,0000,02700SPEECH PATHOLOGY 71269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71269,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71269,A000000,03052,0000,03302MEDICAL EQUIPMENT 71269,A000000,03550,0000,03550FQHC 71269,A000000,05000,0000,05000CORF 71269,A000000,05010,0000,05010CMHC 71269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71269,A81000A,00100,0100,Y 71269,A81000B,00100,0300,HOME OFFICE A&G 71269,A81000B,00200,0300,HOME OFFICE CAPITAL 71269,A81000B,00300,0300,DIVISION OFFICE A&G 71269,A81000B,00500,0300,INSURANCE 71269,A81000C,00100,0100,B 71269,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71269,A81000C,00200,0100,G 71269,A81000C,00200,0200,LAURIER INC. 71269,A81000C,00200,0400,EXTENDICARE INC. 71269,A81000C,00200,0600,INSURANCE 71269,A81000C,00300,0100,G 71269,A81000C,00300,0200,UNITED REHABILITATION SVS 71269,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71269,A81000C,00300,0600,THERAPY SERVICE 71269,A81000C,00400,0100,G 71269,A81000C,00400,0200,UNITED PROFESSIONAL CO 71269,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71269,A81000C,00400,0600,MED SUPP RX 71269,B100000,00000,0100,00040SQUARE FEET 71269,B100000,00000,0200,00040SQUARE FEET 71269,B100000,00000,0300,00040GROSS SALARIES 71269,B100000,00000,0400,00040ACCUM. COST 71269,B100000,00000,0500,00040SQUARE FEET 71269,B100000,00000,0600,00040PATIENT DAYS 71269,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71269,B100000,00000,0800,00040PATIENT DAYS 71269,B100000,00000,0900,00040PATIENT DAYS 71269,B100000,00000,1000,00040COSTED REQUIS 71269,B100000,00000,1100,00040COSTED REQUIS 71269,B100000,00000,1200,00040GROSS REVENUE 71269,B100000,00000,1300,00040PATIENT DAYS 71269,B100000,00000,1400,00040ASSIGNED TIME 71269,E10A180,00301,0100,06/22/1998 71269,E10A180,00301,0300,06/22/1998 71269,E10A180,00350,0100,06/22/1998 71269,E10A180,00350,0300,06/22/1998 71269,E10A180,00550,0300,06/09/2000 71269,S000000,00100,0200,06/20/2000 71269,S200000,00100,0100,41 RICKEL ROAD 71269,S200000,00200,0100,SUN PRARIE 71269,S200000,00200,0200,WI 71269,S200000,00300,0100,DANE 71269,S200000,00400,0100,WILLOWS NURSING 71269,S200000,00400,0200,525313 71269,S200000,00400,0300,07/23/1981 71269,S200000,00400,0500,P 71269,S200000,01600,0100,Y 71277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71277,A000000,00300,0000,00300EMPLOYEE BENEFITS 71277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71277,A000000,00700,0000,00700HOUSEKEEPING 71277,A000000,00800,0000,00800DIETARY 71277,A000000,00900,0000,00900NURSING ADMINISTRATION 71277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71277,A000000,01100,0000,01100PHARMACY 71277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71277,A000000,01300,0000,01300SOCIAL SERVICE 71277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71277,A000000,01600,0000,01600SKILLED NURSING FACILITY 71277,A000000,01800,0000,01800NURSING FACILITY 71277,A000000,01810,0000,01810ICF/MR 71277,A000000,02100,0000,02100RADIOLOGY 71277,A000000,02200,0000,02200LABORATORY 71277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71277,A000000,02500,0000,02500PHYSICAL THERAPY 71277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71277,A000000,02700,0000,02700SPEECH PATHOLOGY 71277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71277,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71277,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71277,A000000,03052,0000,03302MEDICAL EQUIPMENT 71277,A000000,03550,0000,03550FQHC 71277,A000000,05000,0000,05000CORF 71277,A000000,05010,0000,05010CMHC 71277,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71277,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71277,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71277,A81000A,00100,0100,Y 71277,A81000B,00100,0300,HOME OFFICE A&G 71277,A81000B,00200,0300,HOME OFFICE CAPITAL 71277,A81000B,00300,0300,DIVISION OFFICE A&G 71277,A81000B,00500,0300,INSURANCE 71277,A81000C,00100,0100,B 71277,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71277,A81000C,00200,0100,G 71277,A81000C,00200,0200,LAURIER INC. 71277,A81000C,00200,0400,EXTENDICARE INC. 71277,A81000C,00200,0600,INSURANCE 71277,A81000C,00300,0100,G 71277,A81000C,00300,0200,UNITED REHABILITATION SVS 71277,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71277,A81000C,00300,0600,THERAPY SERVICE 71277,A81000C,00400,0100,G 71277,A81000C,00400,0200,UNITED PROFESSIONAL CO 71277,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71277,A81000C,00400,0600,MED SUPPLY RX 71277,B100000,00000,0100,00040SQUARE FEET 71277,B100000,00000,0200,00040SQUARE FEET 71277,B100000,00000,0300,00040GROSS SALARIES 71277,B100000,00000,0400,00040ACCUM. COST 71277,B100000,00000,0500,00040SQUARE FEET 71277,B100000,00000,0600,00040PATIENT DAYS 71277,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71277,B100000,00000,0800,00040PATIENT DAYS 71277,B100000,00000,0900,00040PATIENT DAYS 71277,B100000,00000,1000,00040COSTED REQUIS 71277,B100000,00000,1100,00040COSTED REQUIS 71277,B100000,00000,1200,00040GROSS REVENUE 71277,B100000,00000,1300,00040PATIENT DAYS 71277,B100000,00000,1400,00040ASSIGNED TIME 71277,E10A180,00301,0100,06/22/1998 71277,E10A180,00301,0300,06/22/1998 71277,E10A180,00350,0100,06/22/1998 71277,E10A180,00350,0300,06/22/1998 71277,E10A180,00501,0300,02/12/2001 71277,S000000,00100,0200,06/20/2000 71277,S200000,00100,0100,901 MULBERRY 71277,S200000,00200,0100,LAKE MILLS 71277,S200000,00200,0200,WI 71277,S200000,00300,0100,JEFFERSON 71277,S200000,00400,0100,WILLOWBROOK NURSING 71277,S200000,00400,0200,525314 71277,S200000,00400,0300,07/14/1981 71277,S200000,00400,0500,P 71277,S200000,01600,0100,Y 71285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71285,A000000,00300,0000,00300EMPLOYEE BENEFITS 71285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71285,A000000,00700,0000,00700HOUSEKEEPING 71285,A000000,00800,0000,00800DIETARY 71285,A000000,00900,0000,00900NURSING ADMINISTRATION 71285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71285,A000000,01100,0000,01100PHARMACY 71285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71285,A000000,01300,0000,01300SOCIAL SERVICE 71285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71285,A000000,01600,0000,01600SKILLED NURSING FACILITY 71285,A000000,01800,0000,01800NURSING FACILITY 71285,A000000,01810,0000,01810ICF/MR 71285,A000000,02100,0000,02100RADIOLOGY 71285,A000000,02200,0000,02200LABORATORY 71285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71285,A000000,02500,0000,02500PHYSICAL THERAPY 71285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71285,A000000,02700,0000,02700SPEECH PATHOLOGY 71285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71285,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71285,A000000,03052,0000,03302MEDICAL EQUIPMENT 71285,A000000,03550,0000,03550FQHC 71285,A000000,05000,0000,05000CORF 71285,A000000,05010,0000,05010CMHC 71285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71285,A81000A,00100,0100,Y 71285,A81000B,00100,0300,HOME OFFICE A&G 71285,A81000B,00200,0300,HOME OFFICE CAPITAL 71285,A81000B,00300,0300,DIVISION OFFICE A&G 71285,A81000B,00500,0300,INSURANCE 71285,A81000C,00100,0100,B 71285,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71285,A81000C,00200,0100,G 71285,A81000C,00200,0200,LAURIER INC. 71285,A81000C,00200,0400,EXTENDICARE INC. 71285,A81000C,00200,0600,INSURANCE 71285,A81000C,00300,0100,G 71285,A81000C,00300,0200,UNITED REHABILITATION SVS 71285,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71285,A81000C,00300,0600,THERAPY SERVICE 71285,A81000C,00400,0100,G 71285,A81000C,00400,0200,UNITED PROF. COMPANIES 71285,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71285,A81000C,00400,0600,MED SUPP RX 71285,B100000,00000,0100,00040SQUARE FEET 71285,B100000,00000,0200,00040SQUARE FEET 71285,B100000,00000,0300,00040GROSS SALARIES 71285,B100000,00000,0400,00040ACCUM. COST 71285,B100000,00000,0500,00040SQUARE FEET 71285,B100000,00000,0600,00040PATIENT DAYS 71285,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71285,B100000,00000,0800,00040PATIENT DAYS 71285,B100000,00000,0900,00040PATIENT DAYS 71285,B100000,00000,1000,00040COSTED REQUIS 71285,B100000,00000,1100,00040COSTED REQUIS 71285,B100000,00000,1200,00040GROSS REVENUE 71285,B100000,00000,1300,00040PATIENT DAYS 71285,B100000,00000,1400,00040ASSIGNED TIME 71285,E10A180,00301,0100,06/22/1998 71285,E10A180,00301,0300,06/22/1998 71285,E10A180,00350,0100,06/22/1998 71285,E10A180,00350,0300,06/22/1998 71285,E10A180,00501,0300,02/12/2001 71285,S000000,00100,0200,06/20/2000 71285,S200000,00100,0100,717 EAST ALFRED 71285,S200000,00200,0100,WEYAUWEGA 71285,S200000,00200,0200,WI 71285,S200000,00300,0100,WAUPACA 71285,S200000,00400,0100,WEYAUWEGA HEALTH CARE 71285,S200000,00400,0200,525315 71285,S200000,00400,0300,10/01/1981 71285,S200000,00400,0500,P 71285,S200000,01600,0100,Y 71290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71290,A000000,00300,0000,00300EMPLOYEE BENEFITS 71290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71290,A000000,00700,0000,00700HOUSEKEEPING 71290,A000000,00800,0000,00800DIETARY 71290,A000000,00900,0000,00900NURSING ADMINISTRATION 71290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71290,A000000,01100,0000,01100PHARMACY 71290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71290,A000000,01300,0000,01300SOCIAL SERVICE 71290,A000000,01301,0000,01301ACTIVITIES 71290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71290,A000000,01600,0000,01600SKILLED NURSING FACILITY 71290,A000000,01810,0000,01810ICF/MR 71290,A000000,02200,0000,02200LABORATORY 71290,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71290,A000000,02500,0000,02500PHYSICAL THERAPY 71290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71290,A000000,02700,0000,02700SPEECH PATHOLOGY 71290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71290,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71290,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71290,A000000,03550,0000,03550FQHC 71290,A000000,05000,0000,05000CORF 71290,A000000,05010,0000,05010CMHC 71290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71290,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71290,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71290,B100000,00000,0100,00000SQUARE FEET 71290,B100000,00000,0200,00000SQUARE FEET 71290,B100000,00000,0300,00000GROSS SALARIES 71290,B100000,00000,0400,00000ACCUM COST 71290,B100000,00000,0500,00000SQUARE FEET 71290,B100000,00000,0600,00000PATIENT DAYS 71290,B100000,00000,0700,00000PATIENT DAYS 71290,B100000,00000,0800,00000MEALS SERVED 71290,B100000,00000,0900,00000DIRECT NRSG HRS 71290,B100000,00000,1000,00000COSTED REQUISITIO 71290,B100000,00000,1100,00000COSTED REQUISITIO 71290,B100000,00000,1200,00000COSTED REQUISITIO 71290,B100000,00000,1300,00000PATIENT DAYS 71290,B100000,00000,1301,00000PATIENT DAYS 71290,B100000,00000,1400,00000ASSIGNED TIME 71290,S000000,00100,0200,06/29/2000 71290,S200000,00100,0100,400 EAST FOURTH ST. 71290,S200000,00200,0100,MANAWA 71290,S200000,00300,0100,WAUPACA 71290,S200000,00400,0100,MANAWA COMMUNITY NURSING CENTER 71290,S200000,00400,0200,525316 71290,S200000,00400,0300,03/09/1982 71290,S200000,00400,0500,P 71298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71298,A000000,00300,0000,00300EMPLOYEE BENEFITS 71298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71298,A000000,00700,0000,00700HOUSEKEEPING 71298,A000000,00800,0000,00800DIETARY 71298,A000000,00900,0000,00900NURSING ADMINISTRATION 71298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71298,A000000,01100,0000,01100PHARMACY 71298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71298,A000000,01300,0000,01300SOCIAL SERVICE 71298,A000000,01350,0000,01500OTHER GENERAL SERVICES 71298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71298,A000000,01600,0000,01600SKILLED NURSING FACILITY 71298,A000000,01810,0000,01810ICF/MR 71298,A000000,02100,0000,02100RADIOLOGY 71298,A000000,02200,0000,02200LABORATORY 71298,A000000,02500,0000,02500PHYSICAL THERAPY 71298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71298,A000000,02700,0000,02700SPEECH PATHOLOGY 71298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71298,A000000,03550,0000,03550FQHC 71298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71298,A000000,05000,0000,05000CORF 71298,A000000,05010,0000,05010CMHC 71298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71298,A81000A,00100,0100,Y 71298,A81000B,00100,0300,HOME OFFICE COSTS 71298,A81000B,00200,0300,CONTRACT ADMINISTRATOR 71298,A81000C,00100,0100,B 71298,A81000C,00100,0200,ST. CLARE MEADOW CARE 71298,A81000C,00100,0400,SSM HEALTH CARE 71298,A81000C,00100,0600,HOME OFFICE 71298,A81000C,00200,0100,B 71298,A81000C,00200,0200,ST. CLARE MEADOW CARE 71298,A81000C,00200,0400,SSM HEALTH CARE 71298,A81000C,00200,0600,ADMINISTRATOR 71298,B100000,00000,0100,00000SQUARE FEET 71298,B100000,00000,0200,00000SQUARE FEET 71298,B100000,00000,0300,00000GROSS SALARIES 71298,B100000,00000,0400,00000ACCUM. COST 71298,B100000,00000,0500,00000SQUARE FEET 71298,B100000,00000,0600,00000PATIENT DAYS 71298,B100000,00000,0700,00000SQUARE FEET 71298,B100000,00000,0800,00000MEALS SERVED 71298,B100000,00000,0900,00000DIRECT NRSING HRS 71298,B100000,00000,1000,00000COSTED REQUIS. 71298,B100000,00000,1100,00000COSTED REQUIS. 71298,B100000,00000,1200,00000GROSS CHARGES 71298,B100000,00000,1300,00000PATIENT DAYS 71298,B100000,00000,1350,00000NO STATISTICS 71298,B100000,00000,1400,00000ASSIGNED TIME 71298,S000000,00100,0200,01/11/2000 71298,S200000,00100,0100,1414 JEFFERSON STREET 71298,S200000,00200,0100,BARABOO 71298,S200000,00200,0200,WI 71298,S200000,00300,0100,SAUK 71298,S200000,00400,0100,ST. CLARE MEADOWS CARE 71298,S200000,00400,0200,525317 71298,S200000,00400,0300,07/01/1982 71298,S200000,00400,0500,P 71298,S200000,01500,0100,Y 71298,S200000,01900,0100,AFFL. W/MERCY HOSPIT 71300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71300,A000000,00300,0000,00300EMPLOYEE BENEFITS 71300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71300,A000000,00700,0000,00700HOUSEKEEPING 71300,A000000,00800,0000,00800DIETARY 71300,A000000,00900,0000,00900NURSING ADMINISTRATION 71300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71300,A000000,01100,0000,01100PHARMACY 71300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71300,A000000,01300,0000,01300SOCIAL SERVICE 71300,A000000,01350,0000,01500OTHER GENERAL SERVICES 71300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71300,A000000,01600,0000,01600SKILLED NURSING FACILITY 71300,A000000,01810,0000,01810ICF/MR 71300,A000000,02100,0000,02100RADIOLOGY 71300,A000000,02200,0000,02200LABORATORY 71300,A000000,02500,0000,02500PHYSICAL THERAPY 71300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71300,A000000,02700,0000,02700SPEECH PATHOLOGY 71300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71300,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71300,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71300,A000000,03550,0000,03550FQHC 71300,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71300,A000000,05000,0000,05000CORF 71300,A000000,05010,0000,05010CMHC 71300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71300,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71300,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71300,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71300,A000000,06151,0000,06301CBRF RELATED COSTS 71300,A81000A,00100,0100,Y 71300,A81000B,00100,0300,HOME OFFICE COSTS 71300,A81000B,00200,0300,CONTRACTED ADMINISTRATOR 71300,A81000C,00100,0100,B 71300,A81000C,00100,0200,ST. CLARE MEADOW CARE 71300,A81000C,00100,0400,SSM HEALTH CARE 71300,A81000C,00100,0600,HOME OFFICE 71300,A81000C,00200,0100,B 71300,A81000C,00200,0200,ST. CLARE MEADOWS CARE 71300,A81000C,00200,0400,SSM HEALTH CARE 71300,A81000C,00200,0600,ADMINISTRATOR 71300,B100000,00000,0100,00001SQUARE FEET 71300,B100000,00000,0200,00001SQUARE FEET 71300,B100000,00000,0300,00001GROSS SALARIES 71300,B100000,00000,0400,00001ACCUM. COST 71300,B100000,00000,0500,00001SQUARE FEET 71300,B100000,00000,0600,00001PATIENT DAYS 71300,B100000,00000,0700,00001SQUARE FEET 71300,B100000,00000,0800,00001MEALS SERVED 71300,B100000,00000,0900,00001DIRECT NRSING HRS 71300,B100000,00000,1000,00001COSTED REQUIS. 71300,B100000,00000,1100,00001COSTED REQUIS. 71300,B100000,00000,1200,00001GROSS CHARGES 71300,B100000,00000,1300,00001PATIENT DAYS 71300,B100000,00000,1350,00001NO STATISTICS 71300,B100000,00000,1400,00001ASSIGNED TIME 71300,S000000,00100,0200,06/21/2000 71300,S200000,00100,0100,1414 JEFFERSON STREET 71300,S200000,00200,0100,BARABOO 71300,S200000,00200,0200,WI 71300,S200000,00300,0100,SAUK 71300,S200000,00400,0100,ST. CLARE MEADOWS CARE 71300,S200000,00400,0200,525317 71300,S200000,00400,0300,07/01/1982 71300,S200000,00400,0500,P 71300,S200000,01600,0100,Y 71300,S200000,01900,0100,AFFL. W/MERCY HOSPIT 71310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71310,A000000,00300,0000,00300EMPLOYEE BENEFITS 71310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71310,A000000,00700,0000,00700HOUSEKEEPING 71310,A000000,00800,0000,00800DIETARY 71310,A000000,00900,0000,00900NURSING ADMINISTRATION 71310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71310,A000000,01100,0000,01100PHARMACY 71310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71310,A000000,01300,0000,01300SOCIAL SERVICE 71310,A000000,01350,0000,01500ACTIVITIES 71310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71310,A000000,01600,0000,01600SKILLED NURSING FACILITY 71310,A000000,01800,0000,01800NURSING FACILITY 71310,A000000,01810,0000,01810ICF/MR 71310,A000000,02100,0000,02100RADIOLOGY 71310,A000000,02200,0000,02200LABORATORY 71310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71310,A000000,02500,0000,02500PHYSICAL THERAPY 71310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71310,A000000,02700,0000,02700SPEECH PATHOLOGY 71310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71310,A000000,03050,0000,03300OTHER ANCILLARIES 71310,A000000,03550,0000,03550FQHC 71310,A000000,05000,0000,05000CORF 71310,A000000,05010,0000,05010CMHC 71310,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71310,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 71310,A81000A,00100,0100,Y 71310,A81000B,00100,0300,RENT EXPENSE 71310,A81000B,00200,0300,PROPERTY TAXES 71310,A81000B,00300,0300,BUILDING INSURANCE 71310,A81000B,00400,0300,AMORTIZATION EXPENSE 71310,A81000B,00500,0300,WORKING CAPITAL INTEREST 71310,A81000C,00100,0100,A 71310,A81000C,00100,0200,THOMAS ZWICKER 71310,A81000C,00100,0400,2115 WOODSTOCK 71310,A81000C,00100,0600,MANAGEMENT 71310,B100000,00000,0100,00000SQUARE FEET 71310,B100000,00000,0200,00000SQUARE FEET 71310,B100000,00000,0300,00000GROSS SALARIES 71310,B100000,00000,0400,00000ACCUM COST 71310,B100000,00000,0500,00000SQUARE FEET 71310,B100000,00000,0600,00000PATIENT DAYS 71310,B100000,00000,0700,00000SQUARE FEET 71310,B100000,00000,0800,00000MEALS SERVED 71310,B100000,00000,0900,00000PATIENT DAYS 71310,B100000,00000,1000,00000COSTED REQUIS 71310,B100000,00000,1100,00000COSTED REQUIS 71310,B100000,00000,1200,00000TIME SPENT 71310,B100000,00000,1300,00000PATIENT DAYS 71310,B100000,00000,1350,00000PATIENT DAYS 71310,B100000,00000,1400,00000ASSIGNED TIME 71310,S000000,00100,0200,06/14/2000 71310,S200000,00100,0100,2115 E. WOODSTOCK PLACE 71310,S200000,00200,0100,MILWAUKEE 71310,S200000,00200,0200,WI 71310,S200000,00200,0300,53202 71310,S200000,00300,0100,MILWAUKEE 71310,S200000,00400,0100,LAKEWOOD HEALTH & REHAB CTR 71310,S200000,00400,0200,525319 71310,S200000,00400,0300,01/13/1995 71310,S200000,00400,0500,P 71318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71318,A000000,00300,0000,00300EMPLOYEE BENEFITS 71318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71318,A000000,00700,0000,00700HOUSEKEEPING 71318,A000000,00800,0000,00800DIETARY 71318,A000000,00900,0000,00900NURSING ADMINISTRATION 71318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71318,A000000,01100,0000,01100PHARMACY 71318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71318,A000000,01300,0000,01300SOCIAL SERVICE 71318,A000000,01301,0000,01301ACTIVITIES 71318,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 71318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71318,A000000,01600,0000,01600SKILLED NURSING FACILITY 71318,A000000,01800,0000,01800NURSING FACILITY 71318,A000000,01810,0000,01810ICF/MR 71318,A000000,02100,0000,02100RADIOLOGY 71318,A000000,02200,0000,02200LABORATORY 71318,A000000,02300,0000,02300INTRAVENOUS THERAPY 71318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71318,A000000,02500,0000,02500PHYSICAL THERAPY 71318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71318,A000000,02700,0000,02700SPEECH PATHOLOGY 71318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71318,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71318,A000000,03051,0000,03301PEN THERAPY 71318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71318,A000000,03550,0000,03550FQHC 71318,A000000,05000,0000,05000CORF 71318,A000000,05010,0000,05010CMHC 71318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71318,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71318,A81000A,00100,0100,Y 71318,A81000B,00100,0300,HOME OFFICE ALLOCATION 71318,A81000B,00200,0300,CENTRAL SUPPLY 71318,A81000B,00300,0300,MEDICAL SUPPLIES 71318,A81000B,00400,0300,NURSING ADMIN 71318,A81000B,00500,0300,REHAB 71318,A81000B,00600,0300,PT 71318,A81000B,00700,0300,OT 71318,A81000B,00800,0300,ST 71318,A81000C,00100,0100,B 71318,A81000C,00100,0200,AUDOBON 14455 71318,A81000C,00100,0400,MARINER POST AC 71318,A81000C,00100,0600,NURSING HOMES 71318,A81000C,00200,0100,G 71318,A81000C,00200,0200,MARINER POST AC 71318,A81000C,00200,0400,AMERICAN PHARMA 71318,A81000C,00200,0600,PHARMACEUTICALS 71318,A81000C,00300,0100,G 71318,A81000C,00300,0200,MARINER POST AC 71318,A81000C,00300,0400,PRISM (ATS ARS 71318,A81000C,00300,0600,THERAPIES 71318,B100000,00000,0100,00000SQUARE FEET 71318,B100000,00000,0200,00000SQUARE FEET 71318,B100000,00000,0300,00000GROSS SALARIES 71318,B100000,00000,0400,00000ACCUM COST 71318,B100000,00000,0500,00000SQUARE FEET 71318,B100000,00000,0600,00000PATIENT DAYS 71318,B100000,00000,0700,00000SQUARE FEET 71318,B100000,00000,0800,00000MEALS SERVED 71318,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71318,B100000,00000,1000,00000PATIENT DAYS 71318,B100000,00000,1100,00000COSTED REQUIS 71318,B100000,00000,1200,00000PATIENT DAYS 71318,B100000,00000,1300,00000PATIENT DAYS 71318,B100000,00000,1301,00000PATIENT DAYS 71318,B100000,00000,1350,00000UNITS OF SERVICE 71318,B100000,00000,1400,00000ASSIGNED TIME 71318,S000000,00100,0200,06/14/2000 71318,S200000,00100,0100,601 WEST GLENCOE PLACE 71318,S200000,00200,0100,BAYSIDE 71318,S200000,00200,0200,WI 71318,S200000,00200,0300,53217 71318,S200000,00300,0100,MILWAUKEE 71318,S200000,00400,0100,AUDOBON HEALTH CARE CENTER 71318,S200000,00400,0200,525322 71318,S200000,00400,0300,11/01/1991 71318,S200000,00400,0500,P 71326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71326,A000000,00300,0000,00300EMPLOYEE BENEFITS 71326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71326,A000000,00700,0000,00700HOUSEKEEPING 71326,A000000,00800,0000,00800DIETARY 71326,A000000,00900,0000,00900NURSING ADMINISTRATION 71326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71326,A000000,01100,0000,01100PHARMACY 71326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71326,A000000,01300,0000,01300SOCIAL SERVICE 71326,A000000,01350,0000,01500PATIENT ACTIVITIES 71326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71326,A000000,01600,0000,01600SKILLED NURSING FACILITY 71326,A000000,01800,0000,01800NURSING FACILITY 71326,A000000,01810,0000,01810ICF/MR 71326,A000000,02500,0000,02500PHYSICAL THERAPY 71326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71326,A000000,02700,0000,02700SPEECH PATHOLOGY 71326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71326,A000000,03550,0000,03550FQHC 71326,A000000,05000,0000,05000CORF 71326,A000000,05010,0000,05010CMHC 71326,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71326,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71326,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71326,A81000A,00100,0100,Y 71326,A81000B,00100,0300,MANAGEMENT FEES 71326,A81000C,00100,0100,A 71326,A81000C,00100,0200,DOVE 71326,A81000C,00100,0400,DOVE 71326,A81000C,00100,0600,HOME OFFICE 71326,A81000C,00200,0100,A 71326,B100000,00000,0100,00040SQUARE FEET 71326,B100000,00000,0200,00040SQUARE FEET 71326,B100000,00000,0300,00040GROSS SALARIES 71326,B100000,00000,0400,00040ACCUM. COST 71326,B100000,00000,0500,00040SQUARE FEET 71326,B100000,00000,0600,00040PATIENT DAYS 71326,B100000,00000,0700,00040SQUARE FEET 71326,B100000,00000,0800,00040PATIENT DAYS 71326,B100000,00000,0900,00040DIRECT NRSG HRS 71326,B100000,00000,1000,00040COSTED REQUIS 71326,B100000,00000,1100,00040COSTED REQUIS 71326,B100000,00000,1200,00040TIME SPENT 71326,B100000,00000,1300,00040TIME SPENT 71326,B100000,00000,1350,00040PATIENT DAYS 71326,B100000,00000,1400,00040ASSIGNED TIME 71326,S000000,00100,0200,07/10/2000 71326,S200000,00100,0100,1633 WEST BENDER ROAD 71326,S200000,00200,0100,GLENDALE 71326,S200000,00200,0200,WI 71326,S200000,00300,0100,MILWAUKEE 71326,S200000,00400,0100,DOVE HEALTHCARE AT GLENDALE 71326,S200000,00400,0200,525323 71326,S200000,00400,0300,11/01/1982 71326,S200000,00400,0500,P 71326,S200000,01600,0100,Y 71326,S200000,01900,0100,PROPRIETORSHIP 71334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71334,A000000,00300,0000,00300EMPLOYEE BENEFITS 71334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71334,A000000,00700,0000,00700HOUSEKEEPING 71334,A000000,00800,0000,00800DIETARY 71334,A000000,00900,0000,00900NURSING ADMINISTRATION 71334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71334,A000000,01100,0000,01100PHARMACY 71334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71334,A000000,01300,0000,01300SOCIAL SERVICE 71334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71334,A000000,01600,0000,01600SKILLED NURSING FACILITY 71334,A000000,01800,0000,01800NURSING FACILITY 71334,A000000,01810,0000,01810ICF/MR 71334,A000000,02100,0000,02100RADIOLOGY 71334,A000000,02200,0000,02200LABORATORY 71334,A000000,02300,0000,02300INTRAVENOUS THERAPY 71334,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71334,A000000,02500,0000,02500PHYSICAL THERAPY 71334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71334,A000000,02700,0000,02700SPEECH PATHOLOGY 71334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71334,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71334,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71334,A000000,03052,0000,03302MEDICAL EQUIPMENT 71334,A000000,03550,0000,03550FQHC 71334,A000000,05000,0000,05000CORF 71334,A000000,05010,0000,05010CMHC 71334,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71334,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71334,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71334,A81000A,00100,0100,Y 71334,A81000B,00100,0300,HOME OFFICE A&G 71334,A81000B,00200,0300,HOME OFFICE CAPITAL 71334,A81000B,00300,0300,DIVISION OFFICE A&G 71334,A81000B,00500,0300,INSURANCE 71334,A81000C,00100,0100,B 71334,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71334,A81000C,00200,0100,G 71334,A81000C,00200,0200,LAURIER INC. 71334,A81000C,00200,0400,EXTENDICARE INC. 71334,A81000C,00200,0600,INSURANCE 71334,A81000C,00300,0100,G 71334,A81000C,00300,0200,UNITED REHABILITATION SVS 71334,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71334,A81000C,00300,0600,THERAPY SERVICE 71334,A81000C,00400,0100,G 71334,A81000C,00400,0200,UNITED PROFESSIONAL CO 71334,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71334,A81000C,00400,0600,MED SUPP RX 71334,B100000,00000,0100,00040SQUARE FEET 71334,B100000,00000,0200,00040SQUARE FEET 71334,B100000,00000,0300,00040GROSS SALARIES 71334,B100000,00000,0400,00040ACCUM. COST 71334,B100000,00000,0500,00040SQUARE FEET 71334,B100000,00000,0600,00040PATIENT DAYS 71334,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71334,B100000,00000,0800,00040PATIENT DAYS 71334,B100000,00000,0900,00040PATIENT DAYS 71334,B100000,00000,1000,00040COSTED REQUIS 71334,B100000,00000,1100,00040COSTED REQUIS 71334,B100000,00000,1200,00040GROSS REVENUE 71334,B100000,00000,1300,00040PATIENT DAYS 71334,B100000,00000,1400,00040ASSIGNED TIME 71334,E10A180,00301,0100,06/22/1998 71334,E10A180,00301,0300,06/22/1998 71334,E10A180,00350,0100,06/22/1998 71334,E10A180,00350,0300,06/22/1998 71334,S000000,00100,0200,06/20/2000 71334,S200000,00100,0100,905 EAST GENEVA STREET 71334,S200000,00200,0100,DELEVAN 71334,S200000,00200,0200,WI 71334,S200000,00300,0100,WALWORTH 71334,S200000,00400,0100,WILLOWFIELD NURSING 71334,S200000,00400,0200,525324 71334,S200000,00400,0300,11/05/1982 71334,S200000,00400,0500,P 71334,S200000,01600,0100,Y 71342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71342,A000000,00300,0000,00300EMPLOYEE BENEFITS 71342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71342,A000000,00700,0000,00700HOUSEKEEPING 71342,A000000,00800,0000,00800DIETARY 71342,A000000,00900,0000,00900NURSING ADMINISTRATION 71342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71342,A000000,01100,0000,01100PHARMACY 71342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71342,A000000,01300,0000,01300SOCIAL SERVICE 71342,A000000,01301,0000,01301RECREATIONAL THERAPY 71342,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71342,A000000,01600,0000,01600SKILLED NURSING FACILITY 71342,A000000,01810,0000,01810ICF/MR 71342,A000000,02100,0000,02100RADIOLOGY 71342,A000000,02200,0000,02200LABORATORY 71342,A000000,02500,0000,02500PHYSICAL THERAPY 71342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71342,A000000,02700,0000,02700SPEECH PATHOLOGY 71342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71342,A000000,03550,0000,03550FQHC 71342,A000000,05000,0000,05000CORF 71342,A000000,05010,0000,05010CMHC 71342,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71342,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71342,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71342,A000000,05300,0000,05300INTEREST EXPENSE 71342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71342,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71342,A81000A,00100,0100,Y 71342,A81000B,00100,0300,ADMIN & GENERAL 71342,A81000C,00100,0100,G 71342,A81000C,00100,0200,PINE CREST NURSING HOME 71342,A81000C,00100,0400,LINCOLN COUNTY 71342,A81000C,00100,0600,COUNTY OPERATIONS 71342,B100000,00000,0100,00000SQUARE FEET 71342,B100000,00000,0200,00000SQUARE FEET 71342,B100000,00000,0300,00000GROSS SALARIES 71342,B100000,00000,0400,00000ACCUM. COST 71342,B100000,00000,0500,00000SQUARE FEET 71342,B100000,00000,0600,00000PATIENT DAYS 71342,B100000,00000,0700,00000SQUARE FEET 71342,B100000,00000,0800,00000MEALS SERVED 71342,B100000,00000,0900,00000PATIENT DAYS 71342,B100000,00000,1000,00000PATIENT DAYS 71342,B100000,00000,1100,00000NO STATISTICS 71342,B100000,00000,1200,00000GROSS REVENUE 71342,B100000,00000,1300,00000PATIENT DAYS 71342,B100000,00000,1301,00000PATIENT DAYS 71342,B100000,00000,1400,00000NO STATISTICS 71342,E10A180,00302,0300,08/01/1998 71342,S000000,00100,0200,05/30/2000 71342,S200000,00100,0100,200 EAST SIXTH STREET 71342,S200000,00200,0100,MERRILL 71342,S200000,00200,0200,WI 71342,S200000,00200,0300,54452 71342,S200000,00300,0100,LINCOLN 71342,S200000,00400,0100,PINE CREST NURSING HOME 71342,S200000,00400,0200,525326 71342,S200000,00400,0300,01/19/1983 71342,S200000,00400,0500,P 71342,S200000,01500,0100,Y 71342,S200000,02800,0100,Y 71358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71358,A000000,00300,0000,00300EMPLOYEE BENEFITS 71358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71358,A000000,00700,0000,00700HOUSEKEEPING 71358,A000000,00800,0000,00800DIETARY 71358,A000000,00900,0000,00900NURSING ADMINISTRATION 71358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71358,A000000,01100,0000,01100PHARMACY 71358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71358,A000000,01300,0000,01300SOCIAL SERVICE 71358,A000000,01301,0000,01301ACTIVITIES 71358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71358,A000000,01600,0000,01600SKILLED NURSING FACILITY 71358,A000000,01810,0000,01810ICF/MR 71358,A000000,02100,0000,02100RADIOLOGY 71358,A000000,02200,0000,02200LABORATORY 71358,A000000,02500,0000,02500PHYSICAL THERAPY 71358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71358,A000000,02700,0000,02700SPEECH PATHOLOGY 71358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71358,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71358,A000000,03550,0000,03550FQHC 71358,A000000,05000,0000,05000CORF 71358,A000000,05010,0000,05010CMHC 71358,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71358,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71358,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71358,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71358,B100000,00000,0100,00000SQUARE FEET 71358,B100000,00000,0200,00000SQUARE FEET 71358,B100000,00000,0300,00000GROSS SALARIES 71358,B100000,00000,0400,00000ACCUM COST 71358,B100000,00000,0500,00000SQUARE FEET 71358,B100000,00000,0600,00000PATIENT DAYS 71358,B100000,00000,0700,00000PATIENT DAYS 71358,B100000,00000,0800,00000MEALS SERVED 71358,B100000,00000,0900,00000PATIENT DAYS 71358,B100000,00000,1000,00000COSTED REQUISITIO 71358,B100000,00000,1100,00000COSTED REQUIS 71358,B100000,00000,1200,00000COSTED REQUISITIO 71358,B100000,00000,1300,00000PATIENT DAYS 71358,B100000,00000,1301,00000PATIENT DAYS 71358,B100000,00000,1400,00000ASSIGNED TIME 71358,S000000,00100,0200,01/09/2001 71358,S200000,00100,0100,407 NORTH EIGHTH STREET 71358,S200000,00200,0100,MOUNT HOREB 71358,S200000,00200,0200,WI 71358,S200000,00200,0300,53572 71358,S200000,00300,0100,D 71358,S200000,00400,0100,INGLESIDE INC. 71358,S200000,00400,0200,525331 71358,S200000,00400,0300,04/07/1983 71358,S200000,00400,0500,P 71358,S200000,01500,0100,Y 71368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71368,A000000,00300,0000,00300EMPLOYEE BENEFITS 71368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71368,A000000,00700,0000,00700HOUSEKEEPING 71368,A000000,00800,0000,00800DIETARY 71368,A000000,00900,0000,00900NURSING ADMINISTRATION 71368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71368,A000000,01100,0000,01100PHARMACY 71368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71368,A000000,01300,0000,01300SOCIAL SERVICE 71368,A000000,01350,0000,01500PATIENT ACTIVITIES 71368,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71368,A000000,01600,0000,01600SKILLED NURSING FACILITY 71368,A000000,01800,0000,01800NURSING FACILITY 71368,A000000,01810,0000,01810ICF/MR 71368,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71368,A000000,02500,0000,02500PHYSICAL THERAPY 71368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71368,A000000,02700,0000,02700SPEECH PATHOLOGY 71368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71368,A000000,03550,0000,03550FQHC 71368,A000000,05000,0000,05000CORF 71368,A000000,05010,0000,05010CMHC 71368,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71368,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71368,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71368,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71368,A000000,06200,0000,06200PATIENTS LAUNDRY 71368,A81000A,00100,0100,Y 71368,A81000B,00100,0300,COUNTY COSTS 71368,A81000B,00200,0300,LAUNDRY & LINEN 71368,A81000C,00100,0100,A 71368,A81000C,00100,0200,SHEBOYGAN COUNTY 71368,A81000C,00100,0400,COUNTY GOVERNMENT 71368,B100000,00000,0100,00000SQUARE FEET 71368,B100000,00000,0200,00000SQUARE FEET 71368,B100000,00000,0300,00000GROSS SALARIES 71368,B100000,00000,0400,00000ACCUM. COST 71368,B100000,00000,0500,00000SQUARE FEET 71368,B100000,00000,0600,00000PATIENT DAYS 71368,B100000,00000,0700,00000SQUARE FEET 71368,B100000,00000,0800,00000PATIENT DAYS 71368,B100000,00000,0900,00000DIRECT NRSG HRS 71368,B100000,00000,1000,00000PATIENT DAYS 71368,B100000,00000,1100,00000COSTED REQUIS 71368,B100000,00000,1200,00000TIME SPENT 71368,B100000,00000,1300,00000TIME SPENT 71368,B100000,00000,1350,00000PATIENT DAYS 71368,B100000,00000,1400,00000ASSIGNED TIME 71368,S000000,00100,0200,07/03/2000 71368,S200000,00100,0100,N7035 STATE HIGHWAY 67 71368,S200000,00200,0100,SHEBOYGAN 71368,S200000,00200,0200,WI 71368,S200000,00300,0100,SHEBOYGAN 71368,S200000,00400,0100,ROCKY KNOLL HEALTH CARE FACILITY 71368,S200000,00400,0200,525337 71368,S200000,00400,0300,08/18/1983 71368,S200000,00400,0500,P 71368,S200000,01600,0100,Y 71368,S200000,01900,0100,PROPRIETORSHIP 71377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71377,A000000,00300,0000,00300EMPLOYEE BENEFITS 71377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71377,A000000,00700,0000,00700HOUSEKEEPING 71377,A000000,00800,0000,00800DIETARY 71377,A000000,00900,0000,00900NURSING ADMINISTRATION 71377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71377,A000000,01100,0000,01100PHARMACY 71377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71377,A000000,01300,0000,01300SOCIAL SERVICE 71377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71377,A000000,01600,0000,01600SKILLED NURSING FACILITY 71377,A000000,01800,0000,01800NURSING FACILITY 71377,A000000,01810,0000,01810ICF/MR 71377,A000000,02100,0000,02100RADIOLOGY 71377,A000000,02200,0000,02200LABORATORY 71377,A000000,02300,0000,02300INTRAVENOUS THERAPY 71377,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71377,A000000,02500,0000,02500PHYSICAL THERAPY 71377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71377,A000000,02700,0000,02700SPEECH PATHOLOGY 71377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71377,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71377,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71377,A000000,03052,0000,03302MEDICAL EQUIPMENT 71377,A000000,03550,0000,03550FQHC 71377,A000000,05000,0000,05000CORF 71377,A000000,05010,0000,05010CMHC 71377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71377,A81000A,00100,0100,Y 71377,A81000B,00100,0300,HOME OFFICE A&G 71377,A81000B,00200,0300,HOME OFFICE CAPITAL 71377,A81000B,00300,0300,DIVISION OFFICE A&G 71377,A81000B,00500,0300,INSURANCE 71377,A81000C,00100,0100,B 71377,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71377,A81000C,00200,0100,G 71377,A81000C,00200,0200,LAURIER INC. 71377,A81000C,00200,0400,EXTENDICARE INC. 71377,A81000C,00200,0600,INSURANCE 71377,A81000C,00300,0100,G 71377,A81000C,00300,0200,UNITED REHABILITATION SVS 71377,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71377,A81000C,00300,0600,THERAPY SERVICE 71377,A81000C,00400,0100,G 71377,A81000C,00400,0200,UNITED PROFESSIONAL CO 71377,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71377,A81000C,00400,0600,MED SUPPLY RX 71377,B100000,00000,0100,00040SQUARE FEET 71377,B100000,00000,0200,00040SQUARE FEET 71377,B100000,00000,0300,00040GROSS SALARIES 71377,B100000,00000,0400,00040ACCUM. COST 71377,B100000,00000,0500,00040SQUARE FEET 71377,B100000,00000,0600,00040PATIENT DAYS 71377,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71377,B100000,00000,0800,00040PATIENT DAYS 71377,B100000,00000,0900,00040PATIENT DAYS 71377,B100000,00000,1000,00040COSTED REQUIS 71377,B100000,00000,1100,00040COSTED REQUIS 71377,B100000,00000,1200,00040GROSS REVENUE 71377,B100000,00000,1300,00040PATIENT DAYS 71377,B100000,00000,1400,00040ASSIGNED TIME 71377,E10A180,00301,0100,06/22/1998 71377,E10A180,00301,0300,06/22/1998 71377,E10A180,00350,0100,06/22/1998 71377,E10A180,00350,0300,06/22/1998 71377,E10A180,00501,0100,02/12/2001 71377,E10A180,00501,0300,02/12/2001 71377,S000000,00100,0200,06/20/2000 71377,S200000,00100,0100,1401 CHURCHILL STREET 71377,S200000,00200,0100,WAUPACA 71377,S200000,00200,0200,WI 71377,S200000,00300,0100,WAUPACA 71377,S200000,00400,0100,CRYSTAL RIVER 71377,S200000,00400,0200,525339 71377,S200000,00400,0300,11/01/1983 71377,S200000,00400,0500,P 71377,S200000,01600,0100,Y 71385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71385,A000000,00300,0000,00300EMPLOYEE BENEFITS 71385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71385,A000000,00700,0000,00700HOUSEKEEPING 71385,A000000,00800,0000,00800DIETARY 71385,A000000,00900,0000,00900NURSING ADMINISTRATION 71385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71385,A000000,01100,0000,01100PHARMACY 71385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71385,A000000,01300,0000,01300SOCIAL SERVICE 71385,A000000,01350,0000,01500ACTIVITIES 71385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71385,A000000,01600,0000,01600SKILLED NURSING FACILITY 71385,A000000,01800,0000,01800NURSING FACILITY 71385,A000000,01810,0000,01810ICF/MR 71385,A000000,02500,0000,02500PHYSICAL THERAPY 71385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71385,A000000,02700,0000,02700SPEECH PATHOLOGY 71385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71385,A000000,03550,0000,03550FQHC 71385,A000000,05000,0000,05000CORF 71385,A000000,05010,0000,05010CMHC 71385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71385,A000000,06150,0000,06300CBRF 71385,A81000A,00100,0100,Y 71385,A81000B,00100,0300,MANAGEMENT FEES 71385,A81000B,00200,0300,MANAGEMENT FEES 71385,A81000B,00300,0300,MANAGEMENT FEES 71385,A81000B,00400,0300,BUILDING RENT 71385,A81000C,00100,0100,A 71385,A81000C,00100,0200,ALLAN BIRD 71385,A81000C,00100,0400,RPHF 71385,A81000C,00100,0600,REAL ESTATE 71385,B100000,00000,0100,00000SQUARE FEET 71385,B100000,00000,0200,00000SQUARE FEET 71385,B100000,00000,0300,00000GROSS SALARIES 71385,B100000,00000,0400,00000ACCUM COST 71385,B100000,00000,0500,00000SQUARE FEET 71385,B100000,00000,0600,00000PATIENT DAYS 71385,B100000,00000,0700,00000SQUARE FEET 71385,B100000,00000,0800,00000MEALS SERVED 71385,B100000,00000,0900,00000PATIENT DAYS 71385,B100000,00000,1000,00000COSTED REQUIS 71385,B100000,00000,1100,00000COSTED REQUIS 71385,B100000,00000,1200,00000TIME SPENT 71385,B100000,00000,1300,00000PATIENT DAYS 71385,B100000,00000,1350,00000PATIENT DAYS 71385,B100000,00000,1400,00000ASSIGNED TIME 71385,E10A180,00501,0100,02/12/2001 71385,S000000,00100,0200,07/03/2000 71385,S200000,00100,0100,3030 CITY VIEW DRIVE 71385,S200000,00200,0100,MADISON 71385,S200000,00200,0200,WI 71385,S200000,00200,0300,53704 71385,S200000,00300,0100,DANE 71385,S200000,00400,0100,CITY VIEW NURSING HOME 71385,S200000,00400,0200,525340 71385,S200000,00400,0300,11/01/1983 71385,S200000,00400,0500,P 71385,S200000,01600,0100,Y 71385,S200000,01900,0100,OTHER (SPECIFY) 71393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71393,A000000,00300,0000,00300EMPLOYEE BENEFITS 71393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71393,A000000,00700,0000,00700HOUSEKEEPING 71393,A000000,00800,0000,00800DIETARY 71393,A000000,00900,0000,00900NURSING ADMINISTRATION 71393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71393,A000000,01100,0000,01100PHARMACY 71393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71393,A000000,01300,0000,01300SOCIAL SERVICE 71393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71393,A000000,01600,0000,01600SKILLED NURSING FACILITY 71393,A000000,01810,0000,01810ICF/MR 71393,A000000,02100,0000,02100RADIOLOGY 71393,A000000,02200,0000,02200LABORATORY 71393,A000000,02300,0000,02300INTRAVENOUS THERAPY 71393,A000000,02500,0000,02500PHYSICAL THERAPY 71393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71393,A000000,02700,0000,02700SPEECH PATHOLOGY 71393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71393,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71393,A000000,03550,0000,03550FQHC 71393,A000000,05000,0000,05000CORF 71393,A000000,05010,0000,05010CMHC 71393,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71393,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71393,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71393,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71393,A81000A,00100,0100,Y 71393,A81000B,00100,0300,RENT/BUILDING 71393,A81000B,00200,0300,MANAGEMENT FEE-ADMIN 71393,A81000B,00300,0300,MANAGEMENT FEE-CAPITAL 71393,A81000C,00100,0100,A 71393,A81000C,00100,0200,GLEN URQUHART 71393,A81000C,00100,0400,URQUHART COMPAN 71393,A81000C,00100,0600,REAL ESTATE 71393,A81000C,00200,0100,A 71393,A81000C,00200,0200,GLEN URQUHART 71393,A81000C,00200,0400,URQUHART COMPAN 71393,A81000C,00200,0600,MANAGEMENT 71393,B100000,00000,0100,00000SQUARE FEET 71393,B100000,00000,0200,00000SQUARE FEET 71393,B100000,00000,0300,00000GROSS SALARIES 71393,B100000,00000,0400,00000ACCUM COST 71393,B100000,00000,0500,00000SQUARE FEET 71393,B100000,00000,0600,00000PATIENT DAYS 71393,B100000,00000,0700,00000SQUARE FEET 71393,B100000,00000,0800,00000MEALS SERVED 71393,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71393,B100000,00000,1000,00000COSTED REQUISITIO 71393,B100000,00000,1100,00000COSTED REQUISITIO 71393,B100000,00000,1200,00000TIME SPENT 71393,B100000,00000,1300,00000PATIENT DAYS 71393,B100000,00000,1400,00000ASSIGNED TIME 71393,E10A180,00550,0300,05/30/2000 71393,S000000,00100,0200,05/31/2000 71393,S200000,00100,0100,1250 EVERGREEN ST. 71393,S200000,00200,0100,SHAWANO 71393,S200000,00200,0200,WI 71393,S200000,00200,0300,54166 71393,S200000,00300,0100,SHAWANO 71393,S200000,00400,0100,EVERGREEN HEALTHCARE CENTER 71393,S200000,00400,0200,525343 71393,S200000,00400,0300,12/31/1983 71393,S200000,00400,0500,P 71393,S200000,01500,0100,Y 71400,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71400,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71400,A000000,00300,0000,00300EMPLOYEE BENEFITS 71400,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71400,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71400,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71400,A000000,00700,0000,00700HOUSEKEEPING 71400,A000000,00800,0000,00800DIETARY 71400,A000000,00900,0000,00900NURSING ADMINISTRATION 71400,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71400,A000000,01100,0000,01100PHARMACY 71400,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71400,A000000,01300,0000,01300SOCIAL SERVICE 71400,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 71400,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71400,A000000,01600,0000,01600SKILLED NURSING FACILITY 71400,A000000,01810,0000,01810ICF/MR 71400,A000000,02100,0000,02100RADIOLOGY 71400,A000000,02200,0000,02200LABORATORY 71400,A000000,02500,0000,02500PHYSICAL THERAPY 71400,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71400,A000000,02700,0000,02700SPEECH PATHOLOGY 71400,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71400,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71400,A000000,03050,0000,03300CLINITRON BED 71400,A000000,03550,0000,03550FQHC 71400,A000000,05000,0000,05000CORF 71400,A000000,05010,0000,05010CMHC 71400,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71400,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71400,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71400,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71400,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71400,A81000A,00100,0100,Y 71400,A81000B,00100,0300,HOME OFFICE OVERHEAD 71400,A81000B,00200,0300,HOME OFFICE ALLOCATION 71400,A81000B,00300,0300,HOME OFFICE 71400,A81000C,00100,0100,A 71400,A81000C,00100,0200,WILLIAMS BAY 71400,A81000C,00100,0400,RICE MANAGEMENT 71400,A81000C,00100,0600,HOME OFFICE 71400,A81000C,00200,0100,A 71400,A81000C,00200,0200,WILLIAMS BAY 71400,A81000C,00200,0400,RICE ENTERPRISES 71400,A81000C,00200,0600,REAL ESTATE 71400,B100000,00000,0100,00000SQUARE FEET 71400,B100000,00000,0200,00000SQUARE FEET 71400,B100000,00000,0300,00000GROSS SALARIES 71400,B100000,00000,0400,00000ACCUM. COST 71400,B100000,00000,0500,00000SQUARE FEET 71400,B100000,00000,0600,00000LAUNDRY POUNDS 71400,B100000,00000,0700,00000SQUARE FEET 71400,B100000,00000,0800,00000MEALS SERVED 71400,B100000,00000,0900,00000DIRECT NRSG HRS 71400,B100000,00000,1000,00000COSTED REQUIS 71400,B100000,00000,1100,00000COSTED REQUIS 71400,B100000,00000,1200,00000TIME SPENT 71400,B100000,00000,1300,00000TIME SPENT 71400,B100000,00000,1350,00000HOURS WORKED 71400,B100000,00000,1400,00000ASSIGNED TIME 71400,E10A180,00301,0100,12/20/1999 71400,E10A180,00350,0100,08/31/1998 71400,E10A180,00350,0300,08/31/1998 71400,E10A180,00501,0100,10/23/2000 71400,E10A180,00501,0300,10/23/2000 71400,S000000,00100,0200,06/06/2000 71400,S200000,00100,0100,146 CLOVER 71400,S200000,00100,0300,1170 71400,S200000,00200,0100,WILLIAMS BAY 71400,S200000,00200,0200,WI 71400,S200000,00300,0100,WALWORTH 71400,S200000,00400,0100,WILLIAMS BAY CARE CENTER 71400,S200000,00400,0200,525346 71400,S200000,00400,0300,12/01/1987 71400,S200000,00400,0500,P 71400,S200000,01500,0100,Y 71400,S200000,01900,0100,OTHER (SPECIFY) 71409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71409,A000000,00300,0000,00300EMPLOYEE BENEFITS 71409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71409,A000000,00700,0000,00700HOUSEKEEPING 71409,A000000,00800,0000,00800DIETARY 71409,A000000,00900,0000,00900NURSING ADMINISTRATION 71409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71409,A000000,01100,0000,01100PHARMACY 71409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71409,A000000,01300,0000,01300SOCIAL SERVICE 71409,A000000,01301,0000,01301ACTIVITIES 71409,A000000,01350,0000,01500REHAB 71409,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71409,A000000,01600,0000,01600SKILLED NURSING FACILITY 71409,A000000,01800,0000,01800NURSING FACILITY 71409,A000000,01810,0000,01810ICF/MR 71409,A000000,02100,0000,02100RADIOLOGY 71409,A000000,02200,0000,02200LABORATORY 71409,A000000,02300,0000,02300INTRAVENOUS THERAPY 71409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71409,A000000,02500,0000,02500PHYSICAL THERAPY 71409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71409,A000000,02700,0000,02700SPEECH PATHOLOGY 71409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71409,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71409,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71409,A000000,03550,0000,03550FQHC 71409,A000000,05000,0000,05000CORF 71409,A000000,05010,0000,05010CMHC 71409,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71409,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71409,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71409,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71409,A81000A,00100,0100,Y 71409,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 71409,A81000B,00200,0300,MEDICAL SUPPLIES 71409,A81000B,00300,0300,ADMIN 71409,A81000B,00400,0300,PT 71409,A81000B,00500,0300,OT 71409,A81000B,00600,0300,ST 71409,A81000C,00100,0100,B 71409,A81000C,00100,0200,GREENTREE CLINT 71409,A81000C,00100,0400,MARINER POST AC 71409,A81000C,00100,0600,NURSING HOMES 71409,A81000C,00200,0100,G 71409,A81000C,00200,0200,MARINER POST AC 71409,A81000C,00200,0400,AMERICAN PHARMA 71409,A81000C,00200,0600,PHARMACEUTICALS 71409,A81000C,00300,0100,G 71409,A81000C,00300,0200,MARINER POST AC 71409,A81000C,00300,0400,PRISM (ATS ARS 71409,A81000C,00300,0600,THERAPIES 71409,B100000,00000,0100,00000SQUARE FEET 71409,B100000,00000,0200,00000SQUARE FEET 71409,B100000,00000,0300,00000GROSS SALARIES 71409,B100000,00000,0400,00000ACCUM COST 71409,B100000,00000,0500,00000SQUARE FEET 71409,B100000,00000,0600,00000PATIENT DAYS 71409,B100000,00000,0700,00000SQUARE FEET 71409,B100000,00000,0800,00000MEALS SERVED 71409,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71409,B100000,00000,1000,00000PATIENT DAYS 71409,B100000,00000,1100,00000COSTED REQUIS 71409,B100000,00000,1200,00000PATIENT DAYS 71409,B100000,00000,1300,00000PATIENT DAYS 71409,B100000,00000,1301,00000PATIENT DAYS 71409,B100000,00000,1350,00000UNITS OF SERVICE 71409,B100000,00000,1400,00000ASSIGNED TIME 71409,E10A180,00550,0300,07/18/2000 71409,S000000,00100,0200,06/14/2000 71409,S200000,00100,0100,70 GREEN TREE RD 71409,S200000,00200,0100,CLINTONVILLE 71409,S200000,00200,0200,WI 71409,S200000,00200,0300,54929 71409,S200000,00300,0100,WAUPACE 71409,S200000,00400,0100,GREENTREE HEALTH & REHAB CENTER 71409,S200000,00400,0200,525348 71409,S200000,00400,0300,01/01/1965 71409,S200000,00400,0500,P 71418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71418,A000000,00300,0000,00300EMPLOYEE BENEFITS 71418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71418,A000000,00700,0000,00700HOUSEKEEPING 71418,A000000,00800,0000,00800DIETARY 71418,A000000,00900,0000,00900NURSING ADMINISTRATION 71418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71418,A000000,01100,0000,01100PHARMACY 71418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71418,A000000,01300,0000,01300SOCIAL SERVICE 71418,A000000,01301,0000,01301ACTIVITIES 71418,A000000,01350,0000,01500REHAB 71418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71418,A000000,01600,0000,01600SKILLED NURSING FACILITY 71418,A000000,01800,0000,01800NURSING FACILITY 71418,A000000,01810,0000,01810ICF/MR 71418,A000000,02100,0000,02100RADIOLOGY 71418,A000000,02200,0000,02200LABORATORY 71418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71418,A000000,02500,0000,02500PHYSICAL THERAPY 71418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71418,A000000,02700,0000,02700SPEECH PATHOLOGY 71418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71418,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71418,A000000,03550,0000,03550FQHC 71418,A000000,05000,0000,05000CORF 71418,A000000,05010,0000,05010CMHC 71418,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71418,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71418,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71418,A000000,05300,0000,05300INTEREST EXPENSE 71418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71418,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71418,A81000A,00100,0100,Y 71418,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 71418,A81000B,00200,0300,NON CERT 71418,A81000B,00300,0300,MEDICAL SUPPLIES 71418,A81000B,00400,0300,CERT 71418,A81000B,00500,0300,PT 71418,A81000B,00600,0300,OT 71418,A81000B,00700,0300,ST 71418,A81000C,00100,0100,B 71418,A81000C,00100,0200,PARK MANOR 1444 71418,A81000C,00100,0400,MARINE POST ACU 71418,A81000C,00100,0600,NURSING HOMES 71418,A81000C,00200,0100,G 71418,A81000C,00200,0200,MARINER POST AC 71418,A81000C,00200,0400,AMERICAN PHARMA 71418,A81000C,00200,0600,PHARMACEUTICALS 71418,A81000C,00300,0100,G 71418,A81000C,00300,0200,MARINER POST AC 71418,A81000C,00300,0400,PRISM (ATS ARS 71418,A81000C,00300,0600,THERAPIES 71418,B100000,00000,0100,00000SQUARE FEET 71418,B100000,00000,0200,00000SQUARE FEET 71418,B100000,00000,0300,00000GROSS SALARIES 71418,B100000,00000,0400,00000ACCUM COST 71418,B100000,00000,0500,00000SQUARE FEET 71418,B100000,00000,0600,00000PATIENT DAYS 71418,B100000,00000,0700,00000SQUARE FEET 71418,B100000,00000,0800,00000MEALS SERVED 71418,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71418,B100000,00000,1000,00000PATIENT DAYS 71418,B100000,00000,1100,00000COSTED REQUIS 71418,B100000,00000,1200,00000PATIENT DAYS 71418,B100000,00000,1300,00000PATIENT DAYS 71418,B100000,00000,1301,00000PATIENT DAYS 71418,B100000,00000,1350,00000UNITS OF SERVICE 71418,B100000,00000,1400,00000ASSIGNED TIME 71418,S000000,00100,0200,06/14/2000 71418,S200000,00100,0100,1824 E. PARK PLACE 71418,S200000,00200,0100,MILWAUKEE 71418,S200000,00200,0200,WI 71418,S200000,00200,0300,53211 71418,S200000,00300,0100,MILWAUKEE 71418,S200000,00400,0100,PARK MANOR HEALTHCARE CENTER 71418,S200000,00400,0200,525349 71418,S200000,00400,0300,02/01/1984 71418,S200000,00400,0500,P 71427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71427,A000000,00300,0000,00300EMPLOYEE BENEFITS 71427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71427,A000000,00700,0000,00700HOUSEKEEPING 71427,A000000,00800,0000,00800DIETARY 71427,A000000,00900,0000,00900NURSING ADMINISTRATION 71427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71427,A000000,01100,0000,01100PHARMACY 71427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71427,A000000,01300,0000,01300SOCIAL SERVICE 71427,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 71427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71427,A000000,01600,0000,01600SKILLED NURSING FACILITY 71427,A000000,01800,0000,01800NURSING FACILITY 71427,A000000,01810,0000,01810ICF/MR 71427,A000000,02100,0000,02100RADIOLOGY 71427,A000000,02200,0000,02200LABORATORY 71427,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71427,A000000,02500,0000,02500PHYSICAL THERAPY 71427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71427,A000000,02700,0000,02700SPEECH PATHOLOGY 71427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71427,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71427,A000000,03200,0000,03200SUPPORT SURFACES 71427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71427,A000000,03550,0000,03550FQHC 71427,A000000,05000,0000,05000CORF 71427,A000000,05010,0000,05010CMHC 71427,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71427,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71427,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71427,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71427,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71427,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71427,A81000A,00100,0100,Y 71427,A81000B,00100,0300,HOME OFFICE EXPENSE 71427,A81000B,00200,0300,HOME OFFICE EXPENSE 71427,A81000B,00300,0300,UNIFORMS 71427,A81000B,00400,0300,LAUNDRY SUPPLIES 71427,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 71427,A81000B,00600,0300,NURSING SUPPLIES 71427,A81000B,00700,0300,PT SUPPLIES 71427,A81000B,00800,0300,MEDICAL SUPPLIES 71427,A81000C,00100,0100,B 71427,A81000C,00100,0200,VILLA PINES LIV 71427,A81000C,00100,0400,ADVENTIST CARE 71427,A81000C,00100,0600,NURSING HOME CO 71427,A81000C,00200,0100,G 71427,A81000C,00200,0200,VILLA PINES LIV 71427,A81000C,00200,0400,Q-CARE 71427,A81000C,00200,0600,MEDICAL SUPPLY 71427,B100000,00000,0100,00000SQUARE FEET 71427,B100000,00000,0200,00000SQUARE FEET 71427,B100000,00000,0300,00000GROSS SALARIES 71427,B100000,00000,0400,00000ACCUM COST 71427,B100000,00000,0500,00000SQUARE FEET 71427,B100000,00000,0600,00000PATIENT DAYS 71427,B100000,00000,0700,00000HOURS OF SERVICE 71427,B100000,00000,0800,00000MEALS SERVED 71427,B100000,00000,0900,00000PATIENT DAYS 71427,B100000,00000,1000,00000COSTED REQUISITIO 71427,B100000,00000,1100,00000COSTED REQUISITIO 71427,B100000,00000,1200,00000PATIENT DAYS 71427,B100000,00000,1300,00000PATIENT DAYS 71427,B100000,00000,1350,00000 71427,B100000,00000,1400,00000ASSIGNED TIME 71427,S000000,00100,0200,06/26/2000 71427,S200000,00100,0100,201 SOUTH PARK STREET 71427,S200000,00200,0100,FRIENDSHIP 71427,S200000,00200,0200,WI 71427,S200000,00200,0300,53934 71427,S200000,00300,0100,ADAMS 71427,S200000,00400,0100,VILLA PINES LVING CENTER 71427,S200000,00400,0200,525351 71427,S200000,00400,0300,03/01/1984 71427,S200000,00400,0500,P 71427,S200000,01600,0100,Y 71427,S200000,01900,0100,CORPORATION 71436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71436,A000000,00300,0000,00300EMPLOYEE BENEFITS 71436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71436,A000000,00700,0000,00700HOUSEKEEPING 71436,A000000,00800,0000,00800DIETARY 71436,A000000,00900,0000,00900NURSING ADMINISTRATION 71436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71436,A000000,01100,0000,01100PHARMACY 71436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71436,A000000,01300,0000,01300SOCIAL SERVICE 71436,A000000,01350,0000,01500PATIENT ACTIVITIES 71436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71436,A000000,01600,0000,01600SKILLED NURSING FACILITY 71436,A000000,01810,0000,01810ICF/MR 71436,A000000,02100,0000,02100RADIOLOGY 71436,A000000,02200,0000,02200LABORATORY 71436,A000000,02500,0000,02500PHYSICAL THERAPY 71436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71436,A000000,02700,0000,02700SPEECH PATHOLOGY 71436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71436,A000000,03550,0000,03550FQHC 71436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71436,A000000,05000,0000,05000CORF 71436,A000000,05010,0000,05010CMHC 71436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71436,A81000A,00100,0100,Y 71436,A81000B,00100,0300,HOME OFFICE OVERHEAD 71436,A81000B,00200,0300,CAPITAL RELATED 71436,A81000B,00300,0300,HOME OFFICE 71436,A81000B,00400,0300,HOME OFFICE 71436,A81000B,00500,0300,HOME OFFICE 71436,A81000C,00100,0100,A 71436,A81000C,00100,0200,LANCASTER CARE CENTER 71436,A81000C,00100,0400,RICE MANAGEMENT INC. 71436,A81000C,00100,0600,HOME OFFICE 71436,A81000C,00200,0100,A 71436,A81000C,00200,0200,LANCASTER CARE CENTER 71436,A81000C,00200,0400,RICE ENTERPRISES 71436,A81000C,00200,0600,REAL ESTATE 71436,B100000,00000,0100,00000SQUARE FEET 71436,B100000,00000,0200,00000SQUARE FEET 71436,B100000,00000,0300,00000GROSS SALARIES 71436,B100000,00000,0400,00000ACCUM. COST 71436,B100000,00000,0500,00000SQUARE FEET 71436,B100000,00000,0600,00000LAUNDRY POUNDS 71436,B100000,00000,0700,00000SQUARE FEET 71436,B100000,00000,0800,00000MEALS 71436,B100000,00000,0900,00000HOURS WORKED 71436,B100000,00000,1000,00000COSTED REQUIS. 71436,B100000,00000,1100,00000COSTED REQUIS. 71436,B100000,00000,1200,00000TIME SPENT 71436,B100000,00000,1300,00000ADMISSIONS S 71436,B100000,00000,1350,00000HOURS WORKED 71436,B100000,00000,1400,00000TIME SPENT 71436,S000000,00100,0200,06/07/2000 71436,S200000,00100,0100,1350 SOUTH MADISON STREET 71436,S200000,00200,0100,LANCASTER 71436,S200000,00200,0200,WI 71436,S200000,00300,0100,GRANT 71436,S200000,00400,0100,LANCASTER CARE CENTER 71436,S200000,00400,0200,525352 71436,S200000,00400,0300,05/01/1992 71436,S200000,00400,0500,P 71436,S200000,01500,0100,Y 71436,S200000,01900,0100,OTHER (SPECIFY) 71444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71444,A000000,00300,0000,00300EMPLOYEE BENEFITS 71444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71444,A000000,00700,0000,00700HOUSEKEEPING 71444,A000000,00800,0000,00800DIETARY 71444,A000000,00900,0000,00900NURSING ADMINISTRATION 71444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71444,A000000,01100,0000,01100PHARMACY 71444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71444,A000000,01300,0000,01300SOCIAL SERVICE 71444,A000000,01350,0000,01500PATIENT ACTIVITIES 71444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71444,A000000,01600,0000,01600SKILLED NURSING FACILITY 71444,A000000,01800,0000,01800NURSING FACILITY 71444,A000000,01810,0000,01810ICF/MR 71444,A000000,02100,0000,02100RADIOLOGY 71444,A000000,02200,0000,02200LABORATORY 71444,A000000,02500,0000,02500PHYSICAL THERAPY 71444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71444,A000000,02700,0000,02700SPEECH PATHOLOGY 71444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71444,A000000,02901,0000,02901EQUIPMENT RENTAL 71444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71444,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71444,A000000,03550,0000,03550FQHC 71444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71444,A000000,05000,0000,05000CORF 71444,A000000,05010,0000,05010CMHC 71444,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71444,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71444,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71444,A81000A,00100,0100,Y 71444,A81000B,00100,0300,HOME OFFICE COSTS 71444,A81000B,00200,0300,CAPITAL RELATED HOME OFFICE 71444,A81000B,00300,0300,HOME OFFICE COSTS 71444,A81000C,00100,0100,A 71444,A81000C,00100,0200,MINERAL POINT CARE CENTER 71444,A81000C,00100,0400,RICE MANAGEMENT INC. 71444,A81000C,00100,0600,HOME OFFICE 71444,A81000C,00200,0100,A 71444,A81000C,00200,0200,MINERAL POINT CARE CENTER 71444,A81000C,00200,0400,RICE PARTNERSHIP 71444,A81000C,00200,0600,REAL ESTATE 71444,B100000,00000,0100,00000SQUARE FEET 71444,B100000,00000,0200,00000SQUARE FEET 71444,B100000,00000,0300,00000GROSS SALARIES 71444,B100000,00000,0400,00000ACCUM. COST 71444,B100000,00000,0500,00000SQUARE FEET 71444,B100000,00000,0600,00000LAUNDRY POUNDS 71444,B100000,00000,0700,00000SQUARE FEET 71444,B100000,00000,0800,00000MEALS SERVED 71444,B100000,00000,0900,00000HOURS OF SERVICE 71444,B100000,00000,1000,00000COSTED REQS 71444,B100000,00000,1100,00000COSTED REQS 71444,B100000,00000,1200,00000TIME SPENT 71444,B100000,00000,1300,00000ADMISSIONS S 71444,B100000,00000,1350,00000HOURS WORKED 71444,B100000,00000,1400,00000TIME SPENT 71444,E10A180,00301,0100,08/17/1998 71444,E10A180,00301,0300,08/17/1998 71444,E10A180,00501,0300,10/23/2000 71444,S000000,00100,0200,06/07/2000 71444,S200000,00100,0100,106 N. IOWA STREET 71444,S200000,00200,0100,MINERAL POINT 71444,S200000,00200,0200,WI 71444,S200000,00300,0100,IOWA 71444,S200000,00400,0100,MINERAL POINT CARE CENTER 71444,S200000,00400,0200,525354 71444,S200000,00400,0300,05/01/1992 71444,S200000,00400,0500,P 71444,S200000,01500,0100,Y 71444,S200000,01900,0100,OTHER (SPECIFY) 71451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71451,A000000,00300,0000,00300EMPLOYEE BENEFITS 71451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71451,A000000,00700,0000,00700HOUSEKEEPING 71451,A000000,00800,0000,00800DIETARY 71451,A000000,00900,0000,00900NURSING ADMINISTRATION 71451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71451,A000000,01100,0000,01100PHARMACY 71451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71451,A000000,01300,0000,01300SOCIAL SERVICE 71451,A000000,01301,0000,01301ACTIVITIES 71451,A000000,01350,0000,01500REHAB 71451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71451,A000000,01600,0000,01600SKILLED NURSING FACILITY 71451,A000000,01800,0000,01800NURSING FACILITY 71451,A000000,01810,0000,01810ICF/MR 71451,A000000,02100,0000,02100RADIOLOGY 71451,A000000,02200,0000,02200LABORATORY 71451,A000000,02300,0000,02300INTRAVENOUS THERAPY 71451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71451,A000000,02500,0000,02500PHYSICAL THERAPY 71451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71451,A000000,02700,0000,02700SPEECH PATHOLOGY 71451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71451,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71451,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71451,A000000,03550,0000,03550FQHC 71451,A000000,05000,0000,05000CORF 71451,A000000,05010,0000,05010CMHC 71451,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71451,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71451,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71451,A000000,05300,0000,05300INTEREST EXPENSE 71451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71451,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71451,A81000A,00100,0100,Y 71451,A81000B,00100,0300,HOME OFFICE ALLOCATION 71451,A81000B,00200,0300,NON CERT 71451,A81000B,00300,0300,MEDICAL SUPPLIES 71451,A81000B,00400,0300,ADMIN 71451,A81000B,00500,0300,PT 71451,A81000B,00600,0300,OT 71451,A81000B,00700,0300,ST 71451,A81000B,00800,0300,REHAB 71451,A81000C,00100,0100,B 71451,A81000C,00100,0200,NORTHWEST 14456 71451,A81000C,00100,0400,MARINER POST AC 71451,A81000C,00100,0600,NURSING HOMES 71451,A81000C,00200,0100,G 71451,A81000C,00200,0200,MARINER POST AC 71451,A81000C,00200,0400,AMERICAN PHARMA 71451,A81000C,00200,0600,PHARMACEUTICALS 71451,A81000C,00300,0100,G 71451,A81000C,00300,0200,MARINER POST AC 71451,A81000C,00300,0400,PRISM (ATS ARS 71451,A81000C,00300,0600,THERAPIES 71451,B100000,00000,0100,00000SQUARE FEET 71451,B100000,00000,0200,00000SQUARE FEET 71451,B100000,00000,0300,00000GROSS SALARIES 71451,B100000,00000,0400,00000ACCUM COST 71451,B100000,00000,0500,00000SQUARE FEET 71451,B100000,00000,0600,00000PATIENT DAYS 71451,B100000,00000,0700,00000SQUARE FEET 71451,B100000,00000,0800,00000MEALS SERVED 71451,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71451,B100000,00000,1000,00000PATIENT DAYS 71451,B100000,00000,1100,00000COSTED REQUIS 71451,B100000,00000,1200,00000PATIENT DAYS 71451,B100000,00000,1300,00000PATIENT DAYS 71451,B100000,00000,1301,00000PATIENT DAYS 71451,B100000,00000,1350,00000UNITS OF SERVICE 71451,B100000,00000,1400,00000ASSIGNED TIME 71451,S000000,00100,0200,06/14/2000 71451,S200000,00100,0100,7800 W. FOND DU LAC AVE 71451,S200000,00200,0100,MILWAUKEE 71451,S200000,00200,0200,WI 71451,S200000,00200,0300,53218 71451,S200000,00300,0100,MILWAUKEE 71451,S200000,00400,0100,NORTHWEST HEALTHCARE CENTER 71451,S200000,00400,0200,525356 71451,S200000,00400,0300,04/01/1984 71451,S200000,00400,0500,P 71458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71458,A000000,00300,0000,00300EMPLOYEE BENEFITS 71458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71458,A000000,00700,0000,00700HOUSEKEEPING 71458,A000000,00800,0000,00800DIETARY 71458,A000000,00900,0000,00900NURSING ADMINISTRATION 71458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71458,A000000,01100,0000,01100PHARMACY 71458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71458,A000000,01300,0000,01300SOCIAL SERVICE 71458,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 71458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71458,A000000,01600,0000,01600SKILLED NURSING FACILITY 71458,A000000,01810,0000,01810ICF/MR 71458,A000000,02200,0000,02200LABORATORY 71458,A000000,02500,0000,02500PHYSICAL THERAPY 71458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71458,A000000,02700,0000,02700SPEECH PATHOLOGY 71458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71458,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71458,A000000,03550,0000,03550FQHC 71458,A000000,05000,0000,05000CORF 71458,A000000,05010,0000,05010CMHC 71458,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71458,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71458,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71458,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71458,A81000A,00100,0100,Y 71458,A81000B,00100,0300,MANAGEMENT SERVICES 71458,A81000B,00200,0300,INTRA-REGIONAL ALLOCATION 71458,A81000C,00100,0100,B 71458,A81000C,00100,0400,AURORA HEALTH CARE 71458,A81000C,00100,0600,HEALTH SYSTEM 71458,B100000,00000,0100,00000SQUARE FEET 71458,B100000,00000,0200,00000SQUARE FEET 71458,B100000,00000,0300,00000GROSS SALARIES 71458,B100000,00000,0400,00000ACCUM. COST 71458,B100000,00000,0500,00000SQUARE FEET 71458,B100000,00000,0600,00000PATIENT DAYS 71458,B100000,00000,0700,00000SQUARE FEET 71458,B100000,00000,0800,00000MEALS SERVED 71458,B100000,00000,0900,00000DIRECT NRSING HRS 71458,B100000,00000,1000,00000COSTED REQUIS 71458,B100000,00000,1100,00000COSTED REQUIS 71458,B100000,00000,1200,00000TIME SPENT 71458,B100000,00000,1300,00000TIME SPENT 71458,B100000,00000,1350,00000PATIENT DAYS 71458,B100000,00000,1400,00000ASSIGNED TIME 71458,S000000,00100,0200,06/26/2000 71458,S200000,00100,0100,1308 LINCOLN STREET 71458,S200000,00200,0100,KEWAUNEE 71458,S200000,00200,0200,WI 71458,S200000,00300,0100,KEWAUNEE 71458,S200000,00400,0100,KEWAUNEE HEALTH CARE CENTER 71458,S200000,00400,0200,525357 71458,S200000,00400,0300,06/01/1986 71458,S200000,00400,0500,P 71458,S200000,01500,0100,Y 71467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71467,A000000,00300,0000,00300EMPLOYEE BENEFITS 71467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71467,A000000,00700,0000,00700HOUSEKEEPING 71467,A000000,00800,0000,00800DIETARY 71467,A000000,00900,0000,00900NURSING ADMINISTRATION 71467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71467,A000000,01100,0000,01100PHARMACY 71467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71467,A000000,01300,0000,01300SOCIAL SERVICE 71467,A000000,01350,0000,01500PATIENT ACTIVITIES 71467,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71467,A000000,01600,0000,01600SKILLED NURSING FACILITY 71467,A000000,01810,0000,01810ICF/MR 71467,A000000,02500,0000,02500PHYSICAL THERAPY 71467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71467,A000000,03550,0000,03550FQHC 71467,A000000,05000,0000,05000CORF 71467,A000000,05010,0000,05010CMHC 71467,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71467,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71467,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71467,A81000A,00100,0100,Y 71467,A81000B,00100,0300,INTEREST 71467,A81000C,00100,0100,A 71467,A81000C,00100,0200,LAFAYETTE COUNTY 71467,A81000C,00100,0400,COUNTY GOVERNMENT 71467,B100000,00000,0100,00000SQUARE FEET 71467,B100000,00000,0200,00000SQUARE FEET 71467,B100000,00000,0300,00000GROSS SALARIES 71467,B100000,00000,0400,00000ACCUM. COST 71467,B100000,00000,0500,00000SQUARE FEET 71467,B100000,00000,0600,00000PATIENT DAYS 71467,B100000,00000,0700,00000SQUARE FEET 71467,B100000,00000,0800,00000PATIENT DAYS 71467,B100000,00000,0900,00000DIRECT NRSG HRS 71467,B100000,00000,1000,00000COSTED REQUIS 71467,B100000,00000,1100,00000COSTED REQUIS 71467,B100000,00000,1200,00000TIME SPENT 71467,B100000,00000,1300,00000TIME SPENT 71467,B100000,00000,1350,00000PATIENT DAYS 71467,B100000,00000,1400,00000ASSIGNED TIME 71467,S000000,00100,0200,06/29/2000 71467,S200000,00100,0100,719 EAST CATHERINE STREET 71467,S200000,00200,0100,DARLINGTON 71467,S200000,00200,0200,WI 71467,S200000,00300,0100,LAFAYETTE 71467,S200000,00400,0100,LAFAYETTE MANOR 71467,S200000,00400,0200,525362 71467,S200000,00400,0300,04/01/1984 71467,S200000,00400,0500,P 71467,S200000,01500,0100,Y 71467,S200000,01900,0100,501(C)(3) 71472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71472,A000000,00300,0000,00300EMPLOYEE BENEFITS 71472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71472,A000000,00700,0000,00700HOUSEKEEPING 71472,A000000,00800,0000,00800DIETARY 71472,A000000,00900,0000,00900NURSING ADMINISTRATION 71472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71472,A000000,01100,0000,01100PHARMACY 71472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71472,A000000,01300,0000,01300SOCIAL SERVICE 71472,A000000,01301,0000,01301ACTIVITIES 71472,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71472,A000000,01600,0000,01600SKILLED NURSING FACILITY 71472,A000000,01810,0000,01810ICF/MR 71472,A000000,02200,0000,02200LABORATORY 71472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71472,A000000,02500,0000,02500PHYSICAL THERAPY 71472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71472,A000000,02700,0000,02700SPEECH PATHOLOGY 71472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71472,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71472,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71472,A000000,03550,0000,03550FQHC 71472,A000000,05000,0000,05000CORF 71472,A000000,05010,0000,05010CMHC 71472,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71472,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71472,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71472,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71472,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71472,B100000,00000,0100,00000SQUARE FEET 71472,B100000,00000,0200,00000SQUARE FEET 71472,B100000,00000,0300,00000GROSS SALARIES 71472,B100000,00000,0400,00000ACCUM COST 71472,B100000,00000,0500,00000SQUARE FEET 71472,B100000,00000,0600,00000PATIENT DAYS 71472,B100000,00000,0700,00000PATIENT DAYS 71472,B100000,00000,0800,00000MEALS SERVED 71472,B100000,00000,0900,00000COSTED REQUISITIO 71472,B100000,00000,1000,00000COSTED REQUISITIO 71472,B100000,00000,1100,00000COSTED REQUISITIO 71472,B100000,00000,1200,00000COSTED REQUISITIO 71472,B100000,00000,1300,00000PATIENT DAYS 71472,B100000,00000,1301,00000PATIENT DAYS 71472,B100000,00000,1400,00000ASSIGNED TIME 71472,S000000,00100,0200,06/29/2000 71472,S200000,00100,0100,430 MANOR DRIVE 71472,S200000,00200,0100,SURING 71472,S200000,00200,0200,WI 71472,S200000,00200,0300,54174 71472,S200000,00300,0100,OCONTO 71472,S200000,00400,0100,WOODLAND VILLAGE INC. 71472,S200000,00400,0200,525363 71472,S200000,00400,0300,04/01/1984 71472,S200000,00400,0500,P 71472,S200000,01500,0100,Y 71472,S200000,01900,0100,PROPRIETORSHIP 71481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71481,A000000,00300,0000,00300EMPLOYEE BENEFITS 71481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71481,A000000,00700,0000,00700HOUSEKEEPING 71481,A000000,00800,0000,00800DIETARY 71481,A000000,00900,0000,00900NURSING ADMINISTRATION 71481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71481,A000000,01100,0000,01100PHARMACY 71481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71481,A000000,01300,0000,01300SOCIAL SERVICE 71481,A000000,01301,0000,01301ACTIVITIES 71481,A000000,01350,0000,01500OTHER GENERAL SERVICES 71481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71481,A000000,01600,0000,01600SKILLED NURSING FACILITY 71481,A000000,01810,0000,01810ICF/MR 71481,A000000,02200,0000,02200LABORATORY 71481,A000000,02300,0000,02300INTRAVENOUS THERAPY 71481,A000000,02500,0000,02500PHYSICAL THERAPY 71481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71481,A000000,02700,0000,02700SPEECH PATHOLOGY 71481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71481,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71481,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71481,A000000,03550,0000,03550FQHC 71481,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71481,A000000,05000,0000,05000CORF 71481,A000000,05010,0000,05010CMHC 71481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71481,B100000,00000,0100,00000SQUARE FEET 71481,B100000,00000,0200,00000SQUARE FEET 71481,B100000,00000,0300,00000GROSS SALARIES 71481,B100000,00000,0400,00000ACCUM. COST 71481,B100000,00000,0500,00000SQUARE FEET 71481,B100000,00000,0600,00000PATIENT DAYS 71481,B100000,00000,0700,00000SQUARE FEET 71481,B100000,00000,0800,00000MEALS SERVED 71481,B100000,00000,0900,00000DIRECT NRSING HRS 71481,B100000,00000,1000,00000COSTED REQUIS. 71481,B100000,00000,1100,00000COSTED REQUIS. 71481,B100000,00000,1200,00000TOTAL CHARGES 71481,B100000,00000,1300,00000PATIENT DAYS 71481,B100000,00000,1301,00000PATIENT DAYS 71481,B100000,00000,1350,00000TIME SPENT 71481,B100000,00000,1400,00000ASSIGNED TIME 71481,S000000,00100,0200,06/29/2000 71481,S200000,00100,0100,2120 HEIGHTS DRIVE 71481,S200000,00200,0100,EAU CLAIRE 71481,S200000,00200,0200,WI 71481,S200000,00300,0100,EAU CLAIRE 71481,S200000,00400,0100,THE CLAIREMONT 71481,S200000,00400,0200,525364 71481,S200000,00400,0300,07/15/1984 71481,S200000,00400,0500,P 71481,S200000,01500,0100,Y 71481,S200000,01900,0100,OTHER (SPECIFY) 71489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71489,A000000,00300,0000,00300EMPLOYEE BENEFITS 71489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71489,A000000,00700,0000,00700HOUSEKEEPING 71489,A000000,00800,0000,00800DIETARY 71489,A000000,00900,0000,00900NURSING ADMINISTRATION 71489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71489,A000000,01100,0000,01100PHARMACY 71489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71489,A000000,01300,0000,01300SOCIAL SERVICE 71489,A000000,01350,0000,01500PATIENT ACTIVITIES 71489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71489,A000000,01600,0000,01600SKILLED NURSING FACILITY 71489,A000000,01800,0000,01800NURSING FACILITY 71489,A000000,01810,0000,01810ICF/MR 71489,A000000,02100,0000,02100RADIOLOGY 71489,A000000,02200,0000,02200LABORATORY 71489,A000000,02500,0000,02500PHYSICAL THERAPY 71489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71489,A000000,02700,0000,02700SPEECH PATHOLOGY 71489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71489,A000000,03550,0000,03550FQHC 71489,A000000,05000,0000,05000CORF 71489,A000000,05010,0000,05010CMHC 71489,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71489,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71489,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71489,A000000,06150,0000,06300PINE VALLEY WEST 71489,A81000A,00100,0100,Y 71489,A81000B,00100,0300,COUNTY COST ALLOCATION 71489,A81000C,00100,0100,A 71489,A81000C,00100,0200,COUNTY 71489,A81000C,00100,0400,RICHLAND COUNTY 71489,A81000C,00100,0600,HOME OFFICE 71489,A81000C,00200,0100,A 71489,B100000,00000,0100,00000SQUARE FEET 71489,B100000,00000,0200,00000SQUARE FEET 71489,B100000,00000,0300,00000GROSS SALARIES 71489,B100000,00000,0400,00000ACCUM. COST 71489,B100000,00000,0500,00000SQUARE FEET 71489,B100000,00000,0600,00000PATIENT DAYS 71489,B100000,00000,0700,00000SQUARE FEET 71489,B100000,00000,0800,00000MEALS SERVED 71489,B100000,00000,0900,00000DIRECT NRSG HRS 71489,B100000,00000,1000,00000COSTED REQUIS 71489,B100000,00000,1100,00000COSTED REQUIS 71489,B100000,00000,1200,00000TIME SPENT 71489,B100000,00000,1300,00000TIME SPENT 71489,B100000,00000,1350,00000PATIENT DAYS 71489,B100000,00000,1400,00000ASSIGNED TIME 71489,S000000,00100,0200,06/21/2000 71489,S200000,00100,0100,25951 CIRCLE VIEW DRIVE 71489,S200000,00200,0100,RICHLAND CENTER 71489,S200000,00200,0200,WI 71489,S200000,00300,0100,RICHLAND 71489,S200000,00400,0100,PINE VALLEY MANOR 71489,S200000,00400,0200,525365 71489,S200000,00400,0300,01/01/1967 71489,S200000,00400,0500,P 71489,S200000,01600,0100,Y 71489,S200000,01900,0100,501(C)(3) 71498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71498,A000000,00300,0000,00300EMPLOYEE BENEFITS 71498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71498,A000000,00700,0000,00700HOUSEKEEPING 71498,A000000,00800,0000,00800DIETARY 71498,A000000,00900,0000,00900NURSING ADMINISTRATION 71498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71498,A000000,01100,0000,01100PHARMACY 71498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71498,A000000,01300,0000,01300SOCIAL SERVICE 71498,A000000,01350,0000,01500PATIENT ACTIVITIES 71498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71498,A000000,01600,0000,01600SKILLED NURSING FACILITY 71498,A000000,01800,0000,01800NURSING FACILITY 71498,A000000,01810,0000,01810ICF/MR 71498,A000000,02500,0000,02500PHYSICAL THERAPY 71498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71498,A000000,02700,0000,02700SPEECH PATHOLOGY 71498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71498,A000000,03550,0000,03550FQHC 71498,A000000,05000,0000,05000CORF 71498,A000000,05010,0000,05010CMHC 71498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71498,A81000A,00100,0100,Y 71498,A81000B,00100,0300,MANAGEMENT FEE 71498,A81000C,00100,0100,A 71498,A81000C,00100,0200,MALCOLM GLAZER 71498,A81000C,00100,0400,NURSING HOME MANAGEMENT 71498,B100000,00000,0100,00040SQUARE FEET 71498,B100000,00000,0200,00040SQUARE FEET 71498,B100000,00000,0300,00040GROSS SALARIES 71498,B100000,00000,0400,00040ACCUM. COST 71498,B100000,00000,0500,00040SQUARE FEET 71498,B100000,00000,0600,00040PATIENT DAYS 71498,B100000,00000,0700,00040SQUARE FEET 71498,B100000,00000,0800,00040PATIENT DAYS 71498,B100000,00000,0900,00040PATIENT DAYS 71498,B100000,00000,1000,00040COSTED REQUIS 71498,B100000,00000,1100,00040COSTED REQUIS 71498,B100000,00000,1200,00040TIME SPENT 71498,B100000,00000,1300,00040TIME SPENT 71498,B100000,00000,1350,00040PATIENT DAYS 71498,B100000,00000,1400,00040ASSIGNED TIME 71498,S000000,00100,0200,07/03/2000 71498,S200000,00100,0100,9350 W FOND DU LAC AVENUE 71498,S200000,00200,0100,MILWAUKEE 71498,S200000,00200,0200,WI 71498,S200000,00300,0100,MILWAUKEE 71498,S200000,00400,0100,BELAIR HEALTH CARE CENTER 71498,S200000,00400,0200,525367 71498,S200000,00400,0300,08/01/1984 71498,S200000,00400,0500,P 71498,S200000,01600,0100,Y 71498,S200000,01900,0100,501-C-3 71506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71506,A000000,00300,0000,00300EMPLOYEE BENEFITS 71506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71506,A000000,00700,0000,00700HOUSEKEEPING 71506,A000000,00800,0000,00800DIETARY 71506,A000000,00900,0000,00900NURSING ADMINISTRATION 71506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71506,A000000,01100,0000,01100PHARMACY 71506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71506,A000000,01300,0000,01300SOCIAL SERVICE 71506,A000000,01301,0000,01301ACTIVITIES 71506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71506,A000000,01600,0000,01600SKILLED NURSING FACILITY 71506,A000000,01800,0000,01800NURSING FACILITY 71506,A000000,01810,0000,01810ICF/MR 71506,A000000,02100,0000,02100RADIOLOGY 71506,A000000,02200,0000,02200LABORATORY 71506,A000000,02300,0000,02300INTRAVENOUS THERAPY 71506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71506,A000000,02500,0000,02500PHYSICAL THERAPY 71506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71506,A000000,02700,0000,02700SPEECH PATHOLOGY 71506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71506,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 71506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71506,A000000,03550,0000,03550FQHC 71506,A000000,05000,0000,05000CORF 71506,A000000,05010,0000,05010CMHC 71506,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71506,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71506,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71506,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71506,B100000,00000,0100,00000SQUARE FEET 71506,B100000,00000,0200,00000SQUARE FEET 71506,B100000,00000,0300,00000GROSS SALARIES 71506,B100000,00000,0400,00000ACCUM COST 71506,B100000,00000,0500,00000SQUARE FEET 71506,B100000,00000,0600,00000PATIENT DAYS 71506,B100000,00000,0700,00000SQUARE FEET 71506,B100000,00000,0800,00000MEALS SERVED 71506,B100000,00000,0900,00000HOURS OF SERVICE 71506,B100000,00000,1000,00000COSTED REQUISITIO 71506,B100000,00000,1100,00000PATIENT DAYS 71506,B100000,00000,1200,00000PATIENT DAYS 71506,B100000,00000,1300,00000PATIENT DAYS 71506,B100000,00000,1301,00000PATIENT DAYS 71506,B100000,00000,1400,00000ASSIGNED TIME 71506,S000000,00100,0200,04/03/2000 71506,S200000,00100,0100,3107 WESTHILL DRIVE 71506,S200000,00200,0100,WAUSAU 71506,S200000,00200,0200,WI 71506,S200000,00200,0300,54401 71506,S200000,00300,0100,MARATHON 71506,S200000,00400,0100,WAUSAU MANOR 71506,S200000,00400,0200,525369 71506,S200000,00400,0300,10/01/1984 71506,S200000,00400,0500,P 71506,S200000,01600,0100,Y 71506,S200000,02800,0100,Y 71508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71508,A000000,00300,0000,00300EMPLOYEE BENEFITS 71508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71508,A000000,00700,0000,00700HOUSEKEEPING 71508,A000000,00800,0000,00800DIETARY 71508,A000000,00900,0000,00900NURSING ADMINISTRATION 71508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71508,A000000,01100,0000,01100PHARMACY 71508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71508,A000000,01300,0000,01300SOCIAL SERVICE 71508,A000000,01301,0000,01301ACTIVITIES 71508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71508,A000000,01600,0000,01600SKILLED NURSING FACILITY 71508,A000000,01800,0000,01800NURSING FACILITY 71508,A000000,01810,0000,01810ICF/MR 71508,A000000,02100,0000,02100RADIOLOGY 71508,A000000,02200,0000,02200LABORATORY 71508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71508,A000000,02500,0000,02500PHYSICAL THERAPY 71508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71508,A000000,02700,0000,02700SPEECH PATHOLOGY 71508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71508,A000000,03201,0000,03201OTHER ANCILLARY SERVICE COST CE 71508,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71508,A000000,03550,0000,03550FQHC 71508,A000000,05000,0000,05000CORF 71508,A000000,05010,0000,05010CMHC 71508,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71508,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71508,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71508,A81000A,00100,0100,Y 71508,A81000B,00100,0300,LEASE EXPENSE 71508,A81000C,00100,0100,A 71508,A81000C,00100,0200,ONES HEALTH CARE LL 71508,A81000C,00100,0400,ONES HEALTH CARE LL 71508,B100000,00000,0100,00000SQUARE FEET 71508,B100000,00000,0200,00000SQUARE FEET 71508,B100000,00000,0300,00000GROSS SALARIES 71508,B100000,00000,0400,00000ACCUM COST 71508,B100000,00000,0500,00000SQUARE FEET 71508,B100000,00000,0600,00000PATIENT DAYS 71508,B100000,00000,0700,00000SQUARE FEET 71508,B100000,00000,0800,00000MEALS SERVED 71508,B100000,00000,0900,00000HOURS OF SERVICE 71508,B100000,00000,1000,00000COSTED REQUISITIO 71508,B100000,00000,1100,00000COSTED REQUISITIO 71508,B100000,00000,1200,00000TIME SPENT 71508,B100000,00000,1300,00000PATIENT DAYS 71508,B100000,00000,1301,00000PATIENT DAYS 71508,B100000,00000,1400,00000ASSIGNED TIME 71508,S000000,00100,0200,03/28/2000 71508,S200000,00400,0100,WAUSAU MANOR 71508,S200000,00400,0200,525369 71508,S200000,00400,0300,10/01/1984 71508,S200000,00400,0500,P 71516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71516,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 71516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71516,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 71516,A000000,00300,0000,00300EMPLOYEE BENEFITS 71516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71516,A000000,00700,0000,00700HOUSEKEEPING 71516,A000000,00800,0000,00800DIETARY 71516,A000000,00801,0000,00801CAFETERIA 71516,A000000,00900,0000,00900NURSING ADMINISTRATION 71516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71516,A000000,01100,0000,01100PHARMACY 71516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71516,A000000,01300,0000,01300SOCIAL SERVICE 71516,A000000,01350,0000,01500ACTIVITY 71516,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71516,A000000,01600,0000,01600SKILLED NURSING FACILITY 71516,A000000,01810,0000,01810ICF/MR 71516,A000000,02100,0000,02100RADIOLOGY 71516,A000000,02200,0000,02200LABORATORY 71516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71516,A000000,02500,0000,02500PHYSICAL THERAPY 71516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71516,A000000,02700,0000,02700SPEECH PATHOLOGY 71516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71516,A000000,03050,0000,03300OTHER ANCILLARY 71516,A000000,03051,0000,03301OTHER ANCILLARY II 71516,A000000,03052,0000,03302OTHER ANCILLARY III 71516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 71516,A000000,03550,0000,03550FQHC 71516,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71516,A000000,05000,0000,05000CORF I 71516,A000000,05010,0000,05010CMHC I 71516,A000000,05020,0000,05020OPT I 71516,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71516,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 71516,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 71516,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 71516,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71516,A000000,06200,0000,06200PATIENTS LAUNDRY 71516,A81000A,00100,0100,Y 71516,A81000B,00100,0300,COUNTY ALLOCATION 71516,A81000C,00100,0100,G 71516,A81000C,00100,0200,COLUMBIA HCC 71516,A81000C,00100,0400,COLUMBIA CTY 71516,A81000C,00100,0600,COUNTY 71516,B100000,00000,0100,00000(SQUARE FEET) 71516,B100000,00000,0101,00000(SQUARE FEET) 71516,B100000,00000,0200,00000(SQUARE FEET) 71516,B100000,00000,0201,00000(SQUARE FEET) 71516,B100000,00000,0300,00000(GROSS SALARIES) 71516,B100000,00000,0400,00000(ACCUM. COST) 71516,B100000,00000,0500,00000(SQUARE FEET) 71516,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 71516,B100000,00000,0700,00000(SQUARE FEET) 71516,B100000,00000,0800,00000(MEALS SERVED) 71516,B100000,00000,0801,00000(MEALS SERVED) 71516,B100000,00000,0900,00000(NURSING SALARIES) 71516,B100000,00000,1000,00000(PATIENT DAYS) 71516,B100000,00000,1100,00000(COSTED REQUIS.) 71516,B100000,00000,1200,00000(PATIENT DAYS) 71516,B100000,00000,1300,00000(PATIENT DAYS) 71516,B100000,00000,1350,00000(PATIENT DAYS) 71516,B100000,00000,1400,00000(ASSIGNED TIME) 71516,S000000,00100,0200,06/29/2000 71516,S200000,00100,0100,323 W MONROE ST 71516,S200000,00200,0100,WYOCENA 71516,S200000,00200,0200,WI 71516,S200000,00200,0300,53969 71516,S200000,00300,0100,COLUMBIA 71516,S200000,00400,0100,COLUMBIA HEALTH CARE CTR 71516,S200000,00400,0200,525372 71516,S200000,00400,0300,10/01/1984 71516,S200000,00400,0500,P 71516,S200000,01500,0100,Y 71516,S200000,01900,0100,501(C)(3) 71516,S200000,02800,0100,Y 71521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71521,A000000,00300,0000,00300EMPLOYEE BENEFITS 71521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71521,A000000,00700,0000,00700HOUSEKEEPING 71521,A000000,00800,0000,00800DIETARY 71521,A000000,00900,0000,00900NURSING ADMINISTRATION 71521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71521,A000000,01100,0000,01100PHARMACY 71521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71521,A000000,01300,0000,01300SOCIAL SERVICE 71521,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71521,A000000,01600,0000,01600SKILLED NURSING FACILITY 71521,A000000,01800,0000,01800NURSING FACILITY 71521,A000000,01810,0000,01810ICF/MR 71521,A000000,02200,0000,02200LABORATORY 71521,A000000,02500,0000,02500PHYSICAL THERAPY 71521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71521,A000000,02700,0000,02700SPEECH PATHOLOGY 71521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71521,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 71521,A000000,05000,0000,05000CORF 71521,A000000,05010,0000,05010CMHC 71521,A000000,05020,0000,05020OPT 71521,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71521,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71521,A81000A,00100,0100,Y 71521,A81000B,00100,0300,MANAGEMENT FEE 71521,A81000C,00100,0100,A 71521,A81000C,00100,0200,ELLSWORTH JOHNSON 71521,A81000C,00100,0400,FIRST AM CARE FAC 71521,A81000C,00100,0600,MGMT COMPANY 71521,B100000,00000,0100,00040(SQUARE FEET) 71521,B100000,00000,0200,00040(SQUARE FEET) 71521,B100000,00000,0300,00040(GROSS SALARIES) 71521,B100000,00000,0400,00040(ACCUM COST) 71521,B100000,00000,0500,00040(SQUARE FEET) 71521,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 71521,B100000,00000,0700,00040(HOURS OF SERVICE) 71521,B100000,00000,0800,00040(MEALS SERVED) 71521,B100000,00000,0900,00040(DIR NRSG HOURS) 71521,B100000,00000,1000,00040(COSTED REQUIS) 71521,B100000,00000,1100,00040(COSTED REQUIS) 71521,B100000,00000,1200,00040(TIME SPENT) 71521,B100000,00000,1300,00040(TIME SPENT) 71521,B100000,00000,1400,00040(ASSIGNED TIME) 71521,S000000,00100,0200,07/07/2000 71521,S200000,00100,0100,19 WEST NEWTON 71521,S200000,00200,0100,RICE LAKE 71521,S200000,00200,0200,WISCONSIN 71521,S200000,00200,0300,54868 71521,S200000,00300,0100,BARRON 71521,S200000,00400,0100,HERITAGE MANOR 71521,S200000,00400,0200,525374 71521,S200000,00400,0300,11/01/1984 71521,S200000,00400,0500,P 71521,S200000,01500,0100,Y 71521,S200000,01900,0100,501-C-3 71529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71529,A000000,00300,0000,00300EMPLOYEE BENEFITS 71529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71529,A000000,00700,0000,00700HOUSEKEEPING 71529,A000000,00800,0000,00800DIETARY 71529,A000000,00900,0000,00900NURSING ADMINISTRATION 71529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71529,A000000,01100,0000,01100PHARMACY 71529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71529,A000000,01300,0000,01300SOCIAL SERVICE 71529,A000000,01350,0000,01500ACTIVITIES 71529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71529,A000000,01600,0000,01600SKILLED NURSING FACILITY 71529,A000000,01810,0000,01810ICF/MR 71529,A000000,02100,0000,02100RADIOLOGY 71529,A000000,02200,0000,02200LABORATORY 71529,A000000,02300,0000,02300INTRAVENOUS THERAPY 71529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71529,A000000,02500,0000,02500PHYSICAL THERAPY 71529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71529,A000000,02700,0000,02700SPEECH PATHOLOGY 71529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71529,A000000,03050,0000,03300OTHER ANCILLARIES 71529,A000000,03550,0000,03550FQHC 71529,A000000,05000,0000,05000CORF 71529,A000000,05010,0000,05010CMHC 71529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71529,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71529,A000000,06150,0000,06300ALZHEIMERS UNIT 71529,A81000A,00100,0100,Y 71529,A81000B,00100,0300,ALLOCATED ADMIN & GENERAL 71529,A81000B,00200,0300,ALLOCATED MAINTENANCE 71529,A81000B,00300,0300,ALLOCATED LAUNDRY 71529,A81000B,00400,0300,ALLOCATED HOUSEKEEPING 71529,A81000B,00500,0300,ALLOCATED DIETARY 71529,A81000B,00600,0300,ALLOCATED NURSING ADMIN 71529,A81000B,00700,0300,ALLOCATED SOCIAL SERVICES 71529,A81000B,00800,0300,ALLOCATED ACTIVITIES 71529,A81000B,00900,0300,ALLOCATED SKILLED NURSING 71529,A81000B,01000,0300,ALLOCATED BARBER & BEAUTY 71529,A81000B,01100,0300,ALLOCATED ALZHEIMERS UNIT 71529,A81000C,00100,0100,B 71529,A81000C,00100,0200,OAKWOOD LUTHERA 71529,A81000C,00100,0400,OAKWOOD LUTHERA 71529,A81000C,00100,0600,MGNT 71529,B100000,00000,0100,00000SQUARE FEET 71529,B100000,00000,0200,00000SQUARE FEET 71529,B100000,00000,0300,00000GROSS SALARIES 71529,B100000,00000,0400,00000ACCUM COST 71529,B100000,00000,0500,00000SQUARE FEET 71529,B100000,00000,0600,00000PATIENT DAYS 71529,B100000,00000,0700,00000SQUARE FEET 71529,B100000,00000,0800,00000MEALS SERVED 71529,B100000,00000,0900,00000PATIENT DAYS 71529,B100000,00000,1000,00000COSTED REQUIS 71529,B100000,00000,1100,00000COSTED REQUIS 71529,B100000,00000,1200,00000TIME SPENT 71529,B100000,00000,1300,00000PATIENT DAYS 71529,B100000,00000,1350,00000PATIENT DAYS 71529,B100000,00000,1400,00000ASSIGNED TIME 71529,S000000,00100,0200,06/26/2000 71529,S200000,00100,0100,6201 MINERAL POINT ROAD 71529,S200000,00200,0100,MADISON 71529,S200000,00200,0200,WI 71529,S200000,00200,0300,53705 71529,S200000,00300,0100,DANE 71529,S200000,00400,0100,OAKWOOD LUTHERAN HOME 71529,S200000,00400,0200,525375 71529,S200000,00400,0300,11/01/1984 71529,S200000,00400,0500,P 71529,S200000,01500,0100,Y 71529,S200000,02800,0100,Y 71538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71538,A000000,00300,0000,00300EMPLOYEE BENEFITS 71538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71538,A000000,00700,0000,00700HOUSEKEEPING 71538,A000000,00800,0000,00800DIETARY 71538,A000000,00900,0000,00900NURSING ADMINISTRATION 71538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71538,A000000,01100,0000,01100PHARMACY 71538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71538,A000000,01300,0000,01300SOCIAL SERVICE 71538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71538,A000000,01600,0000,01600SKILLED NURSING FACILITY 71538,A000000,01800,0000,01800NURSING FACILITY 71538,A000000,01810,0000,01810ICF/MR 71538,A000000,02100,0000,02100RADIOLOGY 71538,A000000,02200,0000,02200LABORATORY 71538,A000000,02300,0000,02300INTRAVENOUS THERAPY 71538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71538,A000000,02500,0000,02500PHYSICAL THERAPY 71538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71538,A000000,02700,0000,02700SPEECH PATHOLOGY 71538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71538,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71538,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71538,A000000,03052,0000,03302MEDICAL EQUIPMENT 71538,A000000,03550,0000,03550FQHC 71538,A000000,05000,0000,05000CORF 71538,A000000,05010,0000,05010CMHC 71538,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71538,A81000A,00100,0100,Y 71538,A81000B,00100,0300,HOME OFFICE A&G 71538,A81000B,00200,0300,HOME OFFICE CAPITAL 71538,A81000B,00300,0300,DIVISION OFFICE A&G 71538,A81000B,00500,0300,INSURANCE 71538,A81000B,00600,0300,PHYSICAL THERAPY 71538,A81000B,00700,0300,OCCUPATIONAL THERAPY 71538,A81000B,00800,0300,SPEECH THERAPY 71538,A81000B,00900,0300,AIR FLUIDIZED THERAPY 71538,A81000C,00100,0100,B 71538,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71538,A81000C,00200,0100,G 71538,A81000C,00200,0200,LAURIER INC. 71538,A81000C,00200,0400,EXTENDICARE INC. 71538,A81000C,00200,0600,INSURANCE 71538,A81000C,00300,0100,G 71538,A81000C,00300,0200,UNITED REHABILITATION SVS 71538,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71538,A81000C,00300,0600,THERAPY SERVICE 71538,A81000C,00400,0100,G 71538,A81000C,00400,0200,UNITED PROFESSIONAL CO 71538,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71538,A81000C,00400,0600,MED SUPPLY RX 71538,B100000,00000,0100,00040SQUARE FEET 71538,B100000,00000,0200,00040SQUARE FEET 71538,B100000,00000,0300,00040GROSS SALARIES 71538,B100000,00000,0400,00040ACCUM. COST 71538,B100000,00000,0500,00040SQUARE FEET 71538,B100000,00000,0600,00040PATIENT DAYS 71538,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71538,B100000,00000,0800,00040PATIENT DAYS 71538,B100000,00000,0900,00040PATIENT DAYS 71538,B100000,00000,1000,00040COSTED REQUIS 71538,B100000,00000,1100,00040COSTED REQUIS 71538,B100000,00000,1200,00040GROSS REVENUE 71538,B100000,00000,1300,00040PATIENT DAYS 71538,B100000,00000,1400,00040ASSIGNED TIME 71538,E10A180,00301,0100,06/22/1998 71538,E10A180,00301,0300,06/22/1998 71538,E10A180,00350,0100,06/22/1998 71538,E10A180,00350,0300,06/22/1998 71538,E10A180,00501,0100,02/12/2001 71538,E10A180,00550,0300,02/12/2001 71538,S000000,00100,0200,06/20/2000 71538,S200000,00100,0100,7490 156TH ST 71538,S200000,00200,0100,CHIPPEWA FALLS 71538,S200000,00200,0200,WI 71538,S200000,00300,0100,CHIPPEWA 71538,S200000,00400,0100,LAKESIDE NURSING AND REHABILITATION 71538,S200000,00400,0200,525379 71538,S200000,00400,0300,02/01/1985 71538,S200000,00400,0500,P 71538,S200000,01600,0100,Y 71542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71542,A000000,00300,0000,00300EMPLOYEE BENEFITS 71542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71542,A000000,00700,0000,00700HOUSEKEEPING 71542,A000000,00800,0000,00800DIETARY 71542,A000000,00900,0000,00900NURSING ADMINISTRATION 71542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71542,A000000,01100,0000,01100PHARMACY 71542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71542,A000000,01300,0000,01300SOCIAL SERVICE 71542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71542,A000000,01600,0000,01600SKILLED NURSING FACILITY 71542,A000000,01800,0000,01800NURSING FACILITY 71542,A000000,01810,0000,01810ICF/MR 71542,A000000,02200,0000,02200LABORATORY 71542,A000000,02500,0000,02500PHYSICAL THERAPY 71542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71542,A000000,02700,0000,02700SPEECH PATHOLOGY 71542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71542,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71542,A000000,03550,0000,03550FQHC 71542,A000000,05000,0000,05000CORF 71542,A000000,05010,0000,05010CMHC 71542,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71542,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71542,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71542,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71542,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71542,A81000A,00100,0100,Y 71542,A81000B,00100,0300,BUILDING LEASE 71542,A81000B,00200,0300,OTHER EXPENSE 71542,A81000C,00100,0100,A 71542,A81000C,00100,0200,EDWIN KRUCHTEN 71542,A81000C,00100,0400,SUN PRAIRIE PS 71542,A81000C,00100,0600,REAL ESTATE 71542,B100000,00000,0100,00000SQUARE FEET 71542,B100000,00000,0200,00000SQUARE FEET 71542,B100000,00000,0300,00000GROSS SALARIES 71542,B100000,00000,0400,00000ACCUM COST 71542,B100000,00000,0500,00000SQUARE FEET 71542,B100000,00000,0600,00000PATIENT DAYS 71542,B100000,00000,0700,00000SQUARE FEET 71542,B100000,00000,0800,00000MEALS SERVED 71542,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71542,B100000,00000,1000,00000COSTED REQUISITIO 71542,B100000,00000,1100,00000COSTED REQUISITIO 71542,B100000,00000,1200,00000PATIENT DAYS 71542,B100000,00000,1300,00000PATIENT DAYS 71542,B100000,00000,1400,00000ASSIGNED TIME 71542,S000000,00100,0200,06/06/2000 71542,S200000,00100,0100,228 WEST MAIN STREET 71542,S200000,00200,0100,SUN PRAIRIE 71542,S200000,00200,0200,WISCONSIN 71542,S200000,00200,0300,53590 71542,S200000,00300,0100,DANE 71542,S200000,00400,0100,SUN PRAIRIE HEALTH CARE CENTER 71542,S200000,00400,0200,525380 71542,S200000,00400,0300,01/01/1985 71542,S200000,00400,0500,P 71542,S200000,01600,0100,Y 71551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71551,A000000,00300,0000,00300EMPLOYEE BENEFITS 71551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71551,A000000,00700,0000,00700HOUSEKEEPING 71551,A000000,00800,0000,00800DIETARY 71551,A000000,00900,0000,00900NURSING ADMINISTRATION 71551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71551,A000000,01100,0000,01100PHARMACY 71551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71551,A000000,01300,0000,01300SOCIAL SERVICE 71551,A000000,01350,0000,01500ACTIVITIES 71551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71551,A000000,01600,0000,01600SKILLED NURSING FACILITY 71551,A000000,01810,0000,01810ICF/MR 71551,A000000,02100,0000,02100RADIOLOGY 71551,A000000,02200,0000,02200LABORATORY 71551,A000000,02300,0000,02300INTRAVENOUS THERAPY 71551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71551,A000000,02500,0000,02500PHYSICAL THERAPY 71551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71551,A000000,02700,0000,02700SPEECH PATHOLOGY 71551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71551,A000000,03550,0000,03550FQHC 71551,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 71551,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 71551,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 71551,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 71551,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 71551,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 71551,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 71551,A000000,04701,0000,04701OTHER HOME HEALTH SERVICES - HH 71551,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71551,A000000,05000,0000,05000CORF 71551,A000000,05010,0000,05010CMHC 71551,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71551,A81000A,00100,0100,Y 71551,A81000B,00200,0300,MANAGEMENT FEES 71551,A81000B,00300,0300,CARES ALLOCATION 71551,A81000B,00500,0300,PURCH SERVICE - PT 71551,A81000B,00600,0300,PURCH SERVICE - OT 71551,A81000B,00700,0300,ALLOCATED UTILITIES 71551,A81000B,00900,0300,PURCH SERVICE - ST 71551,A81000C,00100,0100,A 71551,A81000C,00100,0200,CAMILLUS CAMPUS 71551,B100000,00000,0100,00000SQUARE FEET 71551,B100000,00000,0200,00000SQUARE FEET 71551,B100000,00000,0300,00000GROSS SALARIES 71551,B100000,00000,0400,00000ACCUM. COST 71551,B100000,00000,0500,00000SQUARE FEET 71551,B100000,00000,0600,00000POUNDS OF LAUNDRY 71551,B100000,00000,0700,00000SQUARE FEET 71551,B100000,00000,0800,00000MEALS SERVED 71551,B100000,00000,0900,00000PATIENT DAYS 71551,B100000,00000,1000,00000COSTED REQUIS 71551,B100000,00000,1100,00000COSTED REQUIS 71551,B100000,00000,1200,00000GROSS CHARGES 71551,B100000,00000,1300,00000PATIENT DAYS 71551,B100000,00000,1350,00000PATIENT DAYS 71551,B100000,00000,1400,00000ASSIGNED TIME 71551,E10A180,00501,0300,05/30/2000 71551,H510100,00000,0000,5080 71551,H510100,02400,0000,5080 71551,H710000,00501,0100,05/30/2000 71551,H710000,00501,0300,05/30/2000 71551,S000000,00100,0200,03/29/2000 71551,S200000,00100,0100,10101 W. WISCONSIN AVENUE 71551,S200000,00200,0100,WAUWATOSA 71551,S200000,00200,0200,WI 71551,S200000,00300,0100,MILWAUKEE 71551,S200000,00400,0100,ST. CAMILLUS HEALTH CARE CENTER 71551,S200000,00400,0200,525382 71551,S200000,00400,0300,04/01/1985 71551,S200000,00400,0500,P 71551,S200000,00800,0200,527164 71551,S200000,00800,0300,09/01/1985 71551,S200000,00800,0500,P 71551,S200000,01500,0100,Y 71551,S200000,01900,0100,501(C)(3)NON-PROFIT 71551,S200000,02800,0100,Y 71555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71555,A000000,00300,0000,00300EMPLOYEE BENEFITS 71555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71555,A000000,00700,0000,00700HOUSEKEEPING 71555,A000000,00800,0000,00800DIETARY 71555,A000000,00900,0000,00900NURSING ADMINISTRATION 71555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71555,A000000,01100,0000,01100PHARMACY 71555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71555,A000000,01300,0000,01300SOCIAL SERVICE 71555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71555,A000000,01600,0000,01600SKILLED NURSING FACILITY 71555,A000000,01810,0000,01810ICF/MR 71555,A000000,02200,0000,02200LABORATORY 71555,A000000,02500,0000,02500PHYSICAL THERAPY 71555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71555,A000000,02700,0000,02700SPEECH PATHOLOGY 71555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71555,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71555,A000000,03550,0000,03550FQHC 71555,A000000,05000,0000,05000CORF 71555,A000000,05010,0000,05010CMHC 71555,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71555,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71555,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71555,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71555,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71555,B100000,00000,0100,00000SQUARE FEET 71555,B100000,00000,0200,00000SQUARE FEET 71555,B100000,00000,0300,00000GROSS SALARIES 71555,B100000,00000,0400,00000ACCUM COST 71555,B100000,00000,0500,00000SQUARE FEET 71555,B100000,00000,0600,00000PATIENT DAYS 71555,B100000,00000,0700,00000SQUARE FEET 71555,B100000,00000,0800,00000MEALS SERVED 71555,B100000,00000,0900,00000DIRECT NRSG HRS 71555,B100000,00000,1000,00000PATIENT DAYS 71555,B100000,00000,1100,00000COSTED REQUISITIO 71555,B100000,00000,1200,00000TIME SPENT 71555,B100000,00000,1300,00000PATIENT DAYS 71555,B100000,00000,1400,00000ASSIGNED TIME 71555,E10A180,00550,0300,06/26/2000 71555,S000000,00100,0200,06/22/2000 71555,S200000,00100,0100,2000 MEMORIAL DRIVE 71555,S200000,00200,0100,MONDOVI 71555,S200000,00200,0200,WI 71555,S200000,00200,0300,54755 71555,S200000,00300,0100,BUFFALO 71555,S200000,00400,0100,AMERICAN LUTHERAN HOME-MONDOVI 71555,S200000,00400,0200,525383 71555,S200000,00400,0300,04/01/1985 71555,S200000,00400,0500,P 71555,S200000,01500,0100,Y 71567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71567,A000000,00300,0000,00300EMPLOYEE BENEFITS 71567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71567,A000000,00700,0000,00700HOUSEKEEPING 71567,A000000,00800,0000,00800DIETARY 71567,A000000,00900,0000,00900NURSING ADMINISTRATION 71567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71567,A000000,01100,0000,01100PHARMACY 71567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71567,A000000,01300,0000,01300SOCIAL SERVICE 71567,A000000,01301,0000,01301CHAPLAIN 71567,A000000,01302,0000,01302ACTIVITIES 71567,A000000,01350,0000,01500OTHER GENERAL SERVICES 71567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71567,A000000,01600,0000,01600SKILLED NURSING FACILITY 71567,A000000,01810,0000,01810ICF/MR 71567,A000000,02100,0000,02100RADIOLOGY 71567,A000000,02200,0000,02200LABORATORY 71567,A000000,02300,0000,02300INTRAVENOUS THERAPY 71567,A000000,02500,0000,02500PHYSICAL THERAPY 71567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71567,A000000,02700,0000,02700SPEECH PATHOLOGY 71567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71567,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71567,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71567,A000000,03550,0000,03550FQHC 71567,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 71567,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 71567,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 71567,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 71567,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 71567,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 71567,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 71567,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 71567,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71567,A000000,05000,0000,05000CORF 71567,A000000,05010,0000,05010CMHC 71567,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71567,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71567,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71567,A000000,05300,0000,05300INTEREST EXPENSE 71567,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71567,A000000,05801,0000,05801KINDER CARE 71567,A000000,05802,0000,05802SUPPORTIVE HOMECARE 71567,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71567,A000000,06151,0000,06301WELLHAVEN 71567,A81000A,00100,0100,Y 71567,A81000B,00100,0300,HOME OFFICE - SNF 71567,A81000B,00200,0300,HOME OFFICE - KINDER CARE 71567,A81000B,00300,0300,HOME OFFICE - HHA 71567,A81000B,00400,0300,HOME OFFICE - SUPP HOME CARE 71567,B100000,00000,0100,00001SQUARE FEET 71567,B100000,00000,0200,00001SQUARE FEET 71567,B100000,00000,0300,00001GROSS SALARIES 71567,B100000,00000,0400,00001ACCUM. COST 71567,B100000,00000,0500,00001SQUARE FEET 71567,B100000,00000,0600,00001POUNDS OF LAUNDRY 71567,B100000,00000,0700,00001SQUARE FEET 71567,B100000,00000,0800,00001MEALS SERVED 71567,B100000,00000,0900,00001PATIENT DAYS 71567,B100000,00000,1000,00001COSTED REQUIS. 71567,B100000,00000,1100,00001COSTED REQUIS. 71567,B100000,00000,1200,00001PATIENT DAYS 71567,B100000,00000,1300,00001PATIENT DAYS 71567,B100000,00000,1301,00001PATIENT DAYS 71567,B100000,00000,1302,00001PATIENT DAYS 71567,B100000,00000,1350,00001NO STATISTICS 71567,B100000,00000,1400,00001ASSIGNED TIME 71567,H510100,00000,0000,5120 71567,H510100,02400,0000,5120 71567,H510100,02401,0000,9952 71567,H510200,00000,0000,9952 71567,H710000,00501,0100,05/30/2000 71567,S000000,00100,0200,03/29/2000 71567,S200000,00100,0100,640 NORTH MAIN 71567,S200000,00200,0100,RIVER FALLS 71567,S200000,00200,0200,WI 71567,S200000,00300,0100,ST. CROIX 71567,S200000,00400,0100,THE LUTHERAN HOME-RIVER FALLS 71567,S200000,00400,0200,525385 71567,S200000,00400,0300,08/01/1987 71567,S200000,00400,0500,P 71567,S200000,00800,0200,527243 71567,S200000,00800,0300,04/12/1994 71567,S200000,00800,0500,P 71567,S200000,01500,0100,Y 71567,S200000,01900,0100,HEALTH CARE 71575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71575,A000000,00300,0000,00300EMPLOYEE BENEFITS 71575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71575,A000000,00700,0000,00700HOUSEKEEPING 71575,A000000,00800,0000,00800DIETARY 71575,A000000,00900,0000,00900NURSING ADMINISTRATION 71575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71575,A000000,01100,0000,01100PHARMACY 71575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71575,A000000,01300,0000,01300SOCIAL SERVICE 71575,A000000,01301,0000,01301ACTIVITIES 71575,A000000,01350,0000,01500REHAB 71575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71575,A000000,01600,0000,01600SKILLED NURSING FACILITY 71575,A000000,01800,0000,01800NURSING FACILITY 71575,A000000,01810,0000,01810ICF/MR 71575,A000000,02100,0000,02100RADIOLOGY 71575,A000000,02200,0000,02200LABORATORY 71575,A000000,02300,0000,02300INTRAVENOUS THERAPY 71575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71575,A000000,02500,0000,02500PHYSICAL THERAPY 71575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71575,A000000,02700,0000,02700SPEECH PATHOLOGY 71575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71575,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71575,A000000,03550,0000,03550FQHC 71575,A000000,05000,0000,05000CORF 71575,A000000,05010,0000,05010CMHC 71575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 71575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71575,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71575,A81000A,00100,0100,Y 71575,A81000B,00100,0300,HOME OFFICE ALLOCATION 71575,A81000B,00200,0300,NON CERT 71575,A81000B,00300,0300,MEDICAL SUPPLIES 71575,A81000B,00400,0300,REHAB 71575,A81000B,00500,0300,PT 71575,A81000B,00600,0300,OT 71575,A81000B,00700,0300,ST 71575,A81000C,00100,0100,B 71575,A81000C,00100,0200,ASHLAND 14443 71575,A81000C,00100,0400,MARINER POST AC 71575,A81000C,00100,0600,NURSING HOMES 71575,A81000C,00200,0100,G 71575,A81000C,00200,0200,MARINER POST AC 71575,A81000C,00200,0400,AMERICAN PHARMA 71575,A81000C,00200,0600,PHARMACEUTICALS 71575,A81000C,00300,0100,G 71575,A81000C,00300,0200,MARINER POST AC 71575,A81000C,00300,0400,PRISM (ATS ARS 71575,A81000C,00300,0600,THERAPIES 71575,B100000,00000,0100,00000SQUARE FEET 71575,B100000,00000,0200,00000SQUARE FEET 71575,B100000,00000,0300,00000GROSS SALARIES 71575,B100000,00000,0400,00000ACCUM COST 71575,B100000,00000,0500,00000SQUARE FEET 71575,B100000,00000,0600,00000PATIENT DAYS 71575,B100000,00000,0700,00000SQUARE FEET 71575,B100000,00000,0800,00000MEALS SERVED 71575,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71575,B100000,00000,1000,00000PATIENT DAYS 71575,B100000,00000,1100,00000COSTED REQUIS 71575,B100000,00000,1200,00000PATIENT DAYS 71575,B100000,00000,1300,00000PATIENT DAYS 71575,B100000,00000,1301,00000PATIENT DAYS 71575,B100000,00000,1350,00000UNITS OF SERVICE 71575,B100000,00000,1400,00000ASSIGNED TIME 71575,S000000,00100,0200,06/14/2000 71575,S200000,00100,0100,1319 BEASER AVE 71575,S200000,00200,0100,ASHLAND 71575,S200000,00200,0200,WI 71575,S200000,00200,0300,54806 71575,S200000,00300,0100,ASHLAND 71575,S200000,00400,0100,ASHLAND HEALTH AND REHAB CENTER 71575,S200000,00400,0200,525386 71575,S200000,00400,0300,05/01/1985 71575,S200000,00400,0500,P 71585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71585,A000000,00300,0000,00300EMPLOYEE BENEFITS 71585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71585,A000000,00700,0000,00700HOUSEKEEPING 71585,A000000,00800,0000,00800DIETARY 71585,A000000,00900,0000,00900NURSING ADMINISTRATION 71585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71585,A000000,01100,0000,01100PHARMACY 71585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71585,A000000,01300,0000,01300SOCIAL SERVICE 71585,A000000,01350,0000,01500PATIENT ACTIVITIES 71585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71585,A000000,01600,0000,01600SKILLED NURSING FACILITY 71585,A000000,01800,0000,01800NURSING FACILITY 71585,A000000,01810,0000,01810ICF/MR 71585,A000000,02100,0000,02100RADIOLOGY 71585,A000000,02200,0000,02200LABORATORY 71585,A000000,02300,0000,02300INTRAVENOUS THERAPY 71585,A000000,02500,0000,02500PHYSICAL THERAPY 71585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71585,A000000,02700,0000,02700SPEECH PATHOLOGY 71585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71585,A000000,03550,0000,03550FQHC 71585,A000000,05000,0000,05000CORF 71585,A000000,05010,0000,05010CMHC 71585,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71585,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71585,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71585,A81000A,00100,0100,Y 71585,A81000B,00100,0300,MANAGEMENT FEE 71585,A81000B,00200,0300,LEASE EXPENSE 71585,A81000B,00300,0300,LEASE EXPENSE 71585,A81000C,00100,0100,A 71585,A81000C,00100,0200,DAVIDSON MANAGEMENT CO 71585,A81000C,00100,0400,HOME OFFICE 71585,A81000C,00100,0600,HOME OFFICE 71585,A81000C,00200,0100,A 71585,A81000C,00200,0200,COVENANT HEALTHCARE LP 71585,A81000C,00200,0400,COVENANT HEALTHCARE LP 71585,A81000C,00200,0600,REAL ESTATE 71585,B100000,00000,0100,00000SQUARE FEET 71585,B100000,00000,0200,00000SQUARE FEET 71585,B100000,00000,0300,00000GROSS SALARIES 71585,B100000,00000,0400,00000ACCUM. COST 71585,B100000,00000,0500,00000SQUARE FEET 71585,B100000,00000,0600,00000PATIENT DAYS 71585,B100000,00000,0700,00000SQUARE FEET 71585,B100000,00000,0800,00000PATIENT DAYS 71585,B100000,00000,0900,00000DIRECT NRSG HRS 71585,B100000,00000,1000,00000COSTED REQUIS 71585,B100000,00000,1100,00000COSTED REQUIS 71585,B100000,00000,1200,00000TIME SPENT 71585,B100000,00000,1300,00000TIME SPENT 71585,B100000,00000,1350,00000PATIENT DAYS 71585,B100000,00000,1400,00000ASSIGNED TIME 71585,S000000,00100,0200,06/30/2000 71585,S200000,00100,0100,1405 TRUAX BOULEVARD 71585,S200000,00200,0100,EAU CLAIRE 71585,S200000,00200,0200,WI 71585,S200000,00300,0100,EAU CLAIRE 71585,S200000,00400,0100,DOVE HEALTH CARE 71585,S200000,00400,0200,525387 71585,S200000,00400,0300,05/01/1985 71585,S200000,00400,0500,P 71585,S200000,01600,0100,Y 71588,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71588,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71588,A000000,00300,0000,00300EMPLOYEE BENEFITS 71588,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71588,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71588,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71588,A000000,00700,0000,00700HOUSEKEEPING 71588,A000000,00800,0000,00800DIETARY 71588,A000000,00900,0000,00900NURSING ADMINISTRATION 71588,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71588,A000000,01100,0000,01100PHARMACY 71588,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71588,A000000,01300,0000,01300SOCIAL SERVICE 71588,A000000,01350,0000,01500PATIENT ACTIVITIES 71588,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71588,A000000,01600,0000,01600SKILLED NURSING FACILITY 71588,A000000,01800,0000,01800NURSING FACILITY 71588,A000000,01810,0000,01810ICF/MR 71588,A000000,02200,0000,02200LABORATORY 71588,A000000,02300,0000,02300INTRAVENOUS THERAPY 71588,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71588,A000000,02500,0000,02500PHYSICAL THERAPY 71588,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71588,A000000,02700,0000,02700SPEECH PATHOLOGY 71588,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71588,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71588,A000000,03550,0000,03550FQHC 71588,A000000,05000,0000,05000CORF 71588,A000000,05010,0000,05010CMHC 71588,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71588,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71588,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71588,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71588,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71588,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71588,A81000A,00100,0100,Y 71588,A81000B,00100,0300,COUNTY COSTS 71588,A81000C,00100,0100,A 71588,A81000C,00100,0200,ROCK COUNTY 71588,A81000C,00100,0400,COUNTY GOVERNMENT 71588,B100000,00000,0100,00000SQUARE FEET 71588,B100000,00000,0200,00000SQUARE FEET 71588,B100000,00000,0300,00000GROSS SALARIES 71588,B100000,00000,0400,00000ACCUM. COST 71588,B100000,00000,0500,00000SQUARE FEET 71588,B100000,00000,0600,00000POUNDS OF LAUNDRY 71588,B100000,00000,0700,00000SQUARE FEET 71588,B100000,00000,0800,00000MEALS SERVED 71588,B100000,00000,0900,00000DIRECT SALARIES 71588,B100000,00000,1000,00000COSTED REQUIS 71588,B100000,00000,1100,00000COSTED REQUIS 71588,B100000,00000,1200,00000TIME SPENT 71588,B100000,00000,1300,00000TIME SPENT 71588,B100000,00000,1350,00000PATIENT DAYS 71588,B100000,00000,1400,00000ASSIGNED TIME 71588,E10A180,00550,0100,02/12/2001 71588,S000000,00100,0200,06/30/2000 71588,S200000,00100,0100,NORTH PARKER DRIVE 71588,S200000,00100,0300,351 71588,S200000,00200,0100,JANESVILLE 71588,S200000,00200,0200,WI 71588,S200000,00300,0100,ROCK 71588,S200000,00400,0100,ROCK COUNTY HEALTH CARE CENTER 71588,S200000,00400,0200,525390 71588,S200000,00400,0300,07/01/1986 71588,S200000,00400,0500,P 71588,S200000,01600,0100,Y 71596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71596,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 71596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71596,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 71596,A000000,00300,0000,00300EMPLOYEE BENEFITS 71596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71596,A000000,00700,0000,00700HOUSEKEEPING 71596,A000000,00800,0000,00800DIETARY 71596,A000000,00801,0000,00801CAFETERIA 71596,A000000,00900,0000,00900NURSING ADMINISTRATION 71596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71596,A000000,01100,0000,01100PHARMACY 71596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71596,A000000,01300,0000,01300SOCIAL SERVICE 71596,A000000,01350,0000,01500ACTIVITIES 71596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71596,A000000,01600,0000,01600SKILLED NURSING FACILITY 71596,A000000,01800,0000,01800NURSING FACILITY 71596,A000000,01810,0000,01810ICF/MR 71596,A000000,02300,0000,02300INTRAVENOUS THERAPY 71596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71596,A000000,02500,0000,02500PHYSICAL THERAPY 71596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71596,A000000,02700,0000,02700SPEECH PATHOLOGY 71596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71596,A000000,03050,0000,03300OTHER ANCILLARY 71596,A000000,03051,0000,03301OTHER ANCILLARY II 71596,A000000,03052,0000,03302OTHER ANCILLARY III 71596,A000000,03200,0000,03200SUPPORT SURFACES 71596,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 71596,A000000,03550,0000,03550FQHC 71596,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71596,A000000,05000,0000,05000CORF I 71596,A000000,05010,0000,05010CMHC I 71596,A000000,05020,0000,05020OPT I 71596,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71596,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71596,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 71596,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 71596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71596,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71596,B100000,00000,0100,00000(SQUARE FEET) 71596,B100000,00000,0101,00000(SQUARE FEET) 71596,B100000,00000,0200,00000(SQUARE FEET) 71596,B100000,00000,0201,00000(SQUARE FEET) 71596,B100000,00000,0300,00000(GROSS SALARIES) 71596,B100000,00000,0400,00000(ACCUM. COST) 71596,B100000,00000,0500,00000(SQUARE FEET) 71596,B100000,00000,0600,00000(PATIENT DAYS) 71596,B100000,00000,0700,00000(SQUARE FEET) 71596,B100000,00000,0800,00000(MEALS SERVED) 71596,B100000,00000,0801,00000(MEALS SERVED) 71596,B100000,00000,0900,00000(PATIENT DAYS) 71596,B100000,00000,1000,00000(GROSS CHARGES) 71596,B100000,00000,1100,00000(PATIENT DAYS) 71596,B100000,00000,1200,00000(PATIENT DAYS) 71596,B100000,00000,1300,00000(PATIENT DAYS) 71596,B100000,00000,1350,00000(PATIENT DAYS) 71596,B100000,00000,1400,00000(ASSIGNED TIME) 71596,S000000,00100,0200,04/07/2000 71596,S200000,00100,0100,327 S WAUPACA ST 71596,S200000,00200,0100,WAUTOMA 71596,S200000,00200,0200,WI 71596,S200000,00200,0300,54982 71596,S200000,00300,0100,WAUSHARA 71596,S200000,00400,0100,WAUTOMA CARE CENTER 71596,S200000,00400,0200,525392 71596,S200000,00400,0300,10/01/1985 71596,S200000,00400,0500,P 71596,S200000,01600,0100,Y 71597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71597,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 71597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71597,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 71597,A000000,00300,0000,00300EMPLOYEE BENEFITS 71597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71597,A000000,00700,0000,00700HOUSEKEEPING 71597,A000000,00800,0000,00800DIETARY 71597,A000000,00801,0000,00801CAFETERIA 71597,A000000,00900,0000,00900NURSING ADMINISTRATION 71597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71597,A000000,01100,0000,01100PHARMACY 71597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71597,A000000,01300,0000,01300SOCIAL SERVICE 71597,A000000,01350,0000,01500ACTIVITIES 71597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71597,A000000,01600,0000,01600SKILLED NURSING FACILITY 71597,A000000,01800,0000,01800NURSING FACILITY 71597,A000000,01810,0000,01810ICF/MR 71597,A000000,02100,0000,02100RADIOLOGY 71597,A000000,02300,0000,02300INTRAVENOUS THERAPY 71597,A000000,02500,0000,02500PHYSICAL THERAPY 71597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71597,A000000,02700,0000,02700SPEECH PATHOLOGY 71597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71597,A000000,03050,0000,03300OTHER ANCILLARY 71597,A000000,03051,0000,03301OTHER ANCILLARY II 71597,A000000,03052,0000,03302OTHER ANCILLARY III 71597,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 71597,A000000,03550,0000,03550FQHC 71597,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71597,A000000,05000,0000,05000CORF I 71597,A000000,05010,0000,05010CMHC I 71597,A000000,05020,0000,05020OPT I 71597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71597,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 71597,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 71597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71597,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71597,A81000A,00100,0100,Y 71597,A81000B,00100,0300,HO ALLOCATION 71597,A81000C,00100,0100,A 71597,A81000C,00100,0200,HEALTHLINK SERS 71597,A81000C,00100,0600,LTC 71597,B100000,00000,0100,00000(SQUARE FEET) 71597,B100000,00000,0101,00000(SQUARE FEET) 71597,B100000,00000,0200,00000(SQUARE FEET) 71597,B100000,00000,0201,00000(SQUARE FEET) 71597,B100000,00000,0300,00000(GROSS SALARIES) 71597,B100000,00000,0400,00000(ACCUM. COST) 71597,B100000,00000,0500,00000(SQUARE FEET) 71597,B100000,00000,0600,00000(PATIENT DAYS) 71597,B100000,00000,0700,00000(SQUARE FEET) 71597,B100000,00000,0800,00000(MEALS SERVED) 71597,B100000,00000,0801,00000(MEALS SERVED) 71597,B100000,00000,0900,00000(PATIENT DAYS) 71597,B100000,00000,1000,00000(PATIENT DAYS) 71597,B100000,00000,1100,00000(PATIENT DAYS) 71597,B100000,00000,1200,00000(PATIENT DAYS) 71597,B100000,00000,1300,00000(PATIENT DAYS) 71597,B100000,00000,1350,00000(PATIENT DAYS) 71597,B100000,00000,1400,00000(ASSIGNED TIME) 71597,S000000,00100,0200,10/16/2000 71597,S200000,00100,0100,327 S. WAUPACA ST 71597,S200000,00200,0100,WAUTOMA 71597,S200000,00200,0200,WI 71597,S200000,00200,0300,54982 71597,S200000,00300,0100,WAUSHARA 71597,S200000,00400,0100,WAUTOMA CARE CENTER 71597,S200000,00400,0200,525392 71597,S200000,00400,0300,10/01/1985 71597,S200000,00400,0500,P 71597,S200000,01600,0100,Y 71597,S200000,01900,0100,501(C)(3) 71597,S200000,02200,0100,Y 71606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71606,A000000,00300,0000,00300EMPLOYEE BENEFITS 71606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71606,A000000,00700,0000,00700HOUSEKEEPING 71606,A000000,00800,0000,00800DIETARY 71606,A000000,00900,0000,00900NURSING ADMINISTRATION 71606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71606,A000000,01100,0000,01100PHARMACY 71606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71606,A000000,01300,0000,01300SOCIAL SERVICE 71606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71606,A000000,01600,0000,01600SKILLED NURSING FACILITY 71606,A000000,01810,0000,01810ICF/MR 71606,A000000,02100,0000,02100RADIOLOGY 71606,A000000,02200,0000,02200LABORATORY 71606,A000000,02300,0000,02300INTRAVENOUS THERAPY 71606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71606,A000000,02500,0000,02500PHYSICAL THERAPY 71606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71606,A000000,02700,0000,02700SPEECH PATHOLOGY 71606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71606,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71606,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 71606,A000000,03200,0000,03200SUPPORT SURFACES 71606,A000000,03550,0000,03550FQHC 71606,A000000,05000,0000,05000CORF 71606,A000000,05010,0000,05010CMHC 71606,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71606,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71606,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71606,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71606,A81000A,00100,0100,Y 71606,A81000B,00100,0300,DIETARY MEALS 71606,A81000B,00200,0300,FRINGE BENEFITS/ DIETARY 71606,A81000B,00300,0300,LAUNDRY 71606,A81000B,00400,0300,FRINGE BENEFITS/ LAUNDRY 71606,A81000C,00100,0100,B 71606,A81000C,00100,0200,DODGE CTY GOVER 71606,A81000C,00100,0400,CLEARVIEW - NOR 71606,A81000C,00100,0600,LONG TERM CARE 71606,B100000,00000,0100,00000SQUARE FEET 71606,B100000,00000,0200,00000SQUARE FEET 71606,B100000,00000,0300,00000GROSS SALARIES 71606,B100000,00000,0400,00000ACCUM COST 71606,B100000,00000,0500,00000SQUARE FEET 71606,B100000,00000,0600,00000PATIENT DAYS 71606,B100000,00000,0700,00000SQUARE FEET 71606,B100000,00000,0800,00000MEALS SERVED 71606,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71606,B100000,00000,1000,00000PATIENT DAYS 71606,B100000,00000,1100,00000COSTED REQUIS 71606,B100000,00000,1200,00000PATIENT DAYS 71606,B100000,00000,1300,00000PATIENT DAYS 71606,B100000,00000,1400,00000ASSIGNED TIME 71606,S000000,00100,0200,06/30/2000 71606,S200000,00100,0100,198 HOME ROAD 71606,S200000,00200,0100,JUNEAU 71606,S200000,00200,0200,WI 71606,S200000,00200,0300,53039 71606,S200000,00300,0100,DODGE 71606,S200000,00400,0100,CLEARVIEW SOUTH NURSING HOME 71606,S200000,00400,0200,525394 71606,S200000,00400,0300,10/01/1985 71606,S200000,00400,0500,P 71606,S200000,01500,0100,Y 71606,S200000,01900,0100,PROPRIETORSHIP 71611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71611,A000000,00300,0000,00300EMPLOYEE BENEFITS 71611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71611,A000000,00700,0000,00700HOUSEKEEPING 71611,A000000,00800,0000,00800DIETARY 71611,A000000,00900,0000,00900NURSING ADMINISTRATION 71611,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71611,A000000,01100,0000,01100PHARMACY 71611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71611,A000000,01300,0000,01300SOCIAL SERVICE 71611,A000000,01301,0000,01301ACTIVITIES 71611,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71611,A000000,01600,0000,01600SKILLED NURSING FACILITY 71611,A000000,01810,0000,01810ICF/MR 71611,A000000,02100,0000,02100RADIOLOGY 71611,A000000,02200,0000,02200LABORATORY 71611,A000000,02500,0000,02500PHYSICAL THERAPY 71611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71611,A000000,02700,0000,02700SPEECH PATHOLOGY 71611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71611,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71611,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71611,A000000,03550,0000,03550FQHC 71611,A000000,05000,0000,05000CORF 71611,A000000,05010,0000,05010CMHC 71611,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71611,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71611,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71611,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71611,A000000,06151,0000,06301TERRACE APARTMENTS 71611,B100000,00000,0100,00001SQUARE FEET 71611,B100000,00000,0200,00001SQUARE FEET 71611,B100000,00000,0300,00001GROSS SALARIES 71611,B100000,00000,0400,00001ACCUM COST 71611,B100000,00000,0500,00001SQUARE FEET 71611,B100000,00000,0600,00001PATIENT DAYS 71611,B100000,00000,0700,00001PATIENT DAYS 71611,B100000,00000,0800,00001MEALS SERVED 71611,B100000,00000,0900,00001COSTED REQUISITIO 71611,B100000,00000,1000,00001COSTED REQUISITIO 71611,B100000,00000,1100,00001COSTED REQUISITIO 71611,B100000,00000,1200,00001COSTED REQUISITIO 71611,B100000,00000,1300,00001PATIENT DAYS 71611,B100000,00000,1301,00001PATIENT DAYS 71611,B100000,00000,1400,00001ASSIGNED TIME 71611,S000000,00100,0200,10/24/2000 71611,S200000,00100,0100,501 SOUTH WINSTEAD 71611,S200000,00200,0100,SPRING GREEN 71611,S200000,00200,0200,WISCONSIN 71611,S200000,00200,0300,53588 71611,S200000,00300,0100,IOWA 71611,S200000,00300,0200,9952 71611,S200000,00300,0300,R 71611,S200000,00400,0100,GREENWAY MANOR 71611,S200000,00400,0200,525396 71611,S200000,00400,0300,01/01/1987 71611,S200000,00400,0500,P 71611,S200000,01500,0100,Y 71611,S200000,01900,0100,501C3 71622,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71622,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 71622,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71622,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 71622,A000000,00300,0000,00300EMPLOYEE BENEFITS 71622,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71622,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71622,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71622,A000000,00700,0000,00700HOUSEKEEPING 71622,A000000,00800,0000,00800DIETARY 71622,A000000,00801,0000,00801CAFETERIA 71622,A000000,00900,0000,00900NURSING ADMINISTRATION 71622,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71622,A000000,01100,0000,01100PHARMACY 71622,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71622,A000000,01300,0000,01300SOCIAL SERVICE 71622,A000000,01350,0000,01500ACTIVITIES 71622,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71622,A000000,01600,0000,01600SKILLED NURSING FACILITY 71622,A000000,01800,0000,01800NURSING FACILITY 71622,A000000,01810,0000,01810ICF/MR 71622,A000000,02200,0000,02200LABORATORY 71622,A000000,02500,0000,02500PHYSICAL THERAPY 71622,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71622,A000000,02700,0000,02700SPEECH PATHOLOGY 71622,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71622,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71622,A000000,03050,0000,03300OTHER ANCILLARY 71622,A000000,03051,0000,03301OTHER ANCILLARY II 71622,A000000,03052,0000,03302OTHER ANCILLARY III 71622,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 71622,A000000,03550,0000,03550FQHC 71622,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71622,A000000,05000,0000,05000CORF I 71622,A000000,05010,0000,05010CMHC I 71622,A000000,05020,0000,05020OPT I 71622,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71622,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71622,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 71622,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 71622,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71622,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71622,A81000A,00100,0100,Y 71622,A81000B,00200,0300,A&G 71622,A81000C,00100,0100,B 71622,A81000C,00100,0200,ASCEND INC 71622,B100000,00000,0100,00000(SQUARE FEET) 71622,B100000,00000,0101,00000(SQUARE FEET) 71622,B100000,00000,0200,00000(SQUARE FEET) 71622,B100000,00000,0201,00000(SQUARE FEET) 71622,B100000,00000,0300,00000(GROSS SALARIES) 71622,B100000,00000,0400,00000(ACCUM. COST) 71622,B100000,00000,0500,00000(SQUARE FEET) 71622,B100000,00000,0600,00000PAT DAYS 71622,B100000,00000,0700,00000(SQUARE FEET) 71622,B100000,00000,0800,00000(MEALS SERVED) 71622,B100000,00000,0801,00000(MEALS SERVED) 71622,B100000,00000,0900,00000(DIRECT NRSING HRS 71622,B100000,00000,1000,00000PAT DAYS 71622,B100000,00000,1100,00000PAT DAYS 71622,B100000,00000,1200,00000PAT DAYS 71622,B100000,00000,1300,00000PAT DAYS 71622,B100000,00000,1350,00000PAT DAYS 71622,B100000,00000,1400,00000(ASSIGNED TIME) 71622,S000000,00100,0200,06/13/2000 71622,S200000,00100,0100,1800 NEW YORK AVE 71622,S200000,00200,0100,SUPERVISOR 71622,S200000,00200,0200,WI 71622,S200000,00200,0300,54880 71622,S200000,00300,0100,DOUGLAS 71622,S200000,00400,0100,ST. FRANCIS IN THE PARK 71622,S200000,00400,0200,525397 71622,S200000,00400,0300,03/01/1986 71622,S200000,00400,0500,P 71622,S200000,01500,0100,Y 71622,S200000,04300,0100,Y 71632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71632,A000000,00300,0000,00300EMPLOYEE BENEFITS 71632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71632,A000000,00700,0000,00700HOUSEKEEPING 71632,A000000,00800,0000,00800DIETARY 71632,A000000,00900,0000,00900NURSING ADMINISTRATION 71632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71632,A000000,01100,0000,01100PHARMACY 71632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71632,A000000,01300,0000,01300SOCIAL SERVICE 71632,A000000,01350,0000,01500OTHER GENERAL SERVICES 71632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71632,A000000,01600,0000,01600SKILLED NURSING FACILITY 71632,A000000,01810,0000,01810ICF/MR 71632,A000000,02200,0000,02200LABORATORY 71632,A000000,02500,0000,02500PHYSICAL THERAPY 71632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71632,A000000,02700,0000,02700SPEECH PATHOLOGY 71632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71632,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71632,A000000,03550,0000,03550FQHC 71632,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71632,A000000,05000,0000,05000CORF 71632,A000000,05010,0000,05010CMHC 71632,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71632,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71632,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71632,A000000,05300,0000,05300INTEREST EXPENSE 71632,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71632,B100000,00000,0100,00000SQ FEET 71632,B100000,00000,0200,00000SQ FEET 71632,B100000,00000,0300,00000SALARIES 71632,B100000,00000,0400,00000ACCUM. COST 71632,B100000,00000,0500,00000SQ FEET 71632,B100000,00000,0600,00000PATIENT DAYS 71632,B100000,00000,0700,00000SQ FEET 71632,B100000,00000,0800,00000MEALS SERVED 71632,B100000,00000,0900,00000PATIENT DAYS 71632,B100000,00000,1000,00000NO STATISTICS 71632,B100000,00000,1100,00000NO STATISTICS 71632,B100000,00000,1200,00000PATIENT DAYS 71632,B100000,00000,1300,00000PATIENT DAYS 71632,B100000,00000,1350,00000NO STATISTICS 71632,B100000,00000,1400,00000NO STATISTICS 71632,S000000,00100,0200,12/27/2000 71632,S200000,00100,0100,1505 ORRIN ROAD 71632,S200000,00200,0100,PRESCOTT 71632,S200000,00200,0200,WI 71632,S200000,00200,0300,54021 71632,S200000,00300,0100,P 71632,S200000,00400,0100,ST. CROIX CARE CENTER 71632,S200000,00400,0200,525398 71632,S200000,00400,0300,04/01/1986 71632,S200000,00400,0500,P 71632,S200000,01500,0100,Y 71643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71643,A000000,00300,0000,00300EMPLOYEE BENEFITS 71643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71643,A000000,00700,0000,00700HOUSEKEEPING 71643,A000000,00800,0000,00800DIETARY 71643,A000000,00900,0000,00900NURSING ADMINISTRATION 71643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71643,A000000,01100,0000,01100PHARMACY 71643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71643,A000000,01300,0000,01300SOCIAL SERVICE 71643,A000000,01350,0000,01500ACTIVITES 71643,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71643,A000000,01600,0000,01600SKILLED NURSING FACILITY 71643,A000000,01810,0000,01810ICF/MR 71643,A000000,02100,0000,02100RADIOLOGY 71643,A000000,02200,0000,02200LABORATORY 71643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71643,A000000,02500,0000,02500PHYSICAL THERAPY 71643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71643,A000000,02700,0000,02700SPEECH PATHOLOGY 71643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71643,A000000,03200,0000,03200SUPPORT SURFACES 71643,A000000,03550,0000,03550FQHC 71643,A000000,05000,0000,05000CORF 71643,A000000,05010,0000,05010CMHC 71643,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71643,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71643,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71643,A000000,05300,0000,05300INTEREST EXPENSE 71643,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71643,A81000A,00100,0100,Y 71643,A81000B,00100,0300,MGMT SERVICES 71643,A81000B,00200,0300,MGMT SERVICES 71643,A81000C,00100,0100,B 71643,A81000C,00100,0200,COVENANT HEALTH 71643,B100000,00000,0100,00000SQUARE FEET 71643,B100000,00000,0200,00000SQUARE FEET 71643,B100000,00000,0300,00000GROSS SALARIES 71643,B100000,00000,0400,00000ACCUM COST 71643,B100000,00000,0500,00000SQUARE FEET 71643,B100000,00000,0600,00000PATIENT DAYS 71643,B100000,00000,0700,00000SQUARE FEET 71643,B100000,00000,0800,00000MEALS SERVED 71643,B100000,00000,0900,00000PATIENT DAYS 71643,B100000,00000,1000,00000COSTED REQUISITIO 71643,B100000,00000,1100,00000COSTED REQUISITIO 71643,B100000,00000,1200,00000TIME SPENT 71643,B100000,00000,1300,00000PATIENT DAYS 71643,B100000,00000,1350,00000PATIENT DAYS 71643,B100000,00000,1400,00000ASSIGNED TIME 71643,E10A180,00501,0300,03/05/2001 71643,S000000,00100,0200,01/04/2001 71643,S200000,00100,0100,9632 W APPLETON AVE 71643,S200000,00200,0100,MILWAUKEE 71643,S200000,00200,0200,WI 71643,S200000,00200,0300,53225 71643,S200000,00300,0100,M 71643,S200000,00400,0100,MARIAN FRANCISCAN CENTER 71643,S200000,00400,0200,525399 71643,S200000,00400,0300,06/12/1989 71643,S200000,00400,0500,P 71643,S200000,01500,0100,Y 71653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71653,A000000,00300,0000,00300EMPLOYEE BENEFITS 71653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71653,A000000,00700,0000,00700HOUSEKEEPING 71653,A000000,00800,0000,00800DIETARY 71653,A000000,00900,0000,00900NURSING ADMINISTRATION 71653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71653,A000000,01100,0000,01100PHARMACY 71653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71653,A000000,01300,0000,01300SOCIAL SERVICE 71653,A000000,01301,0000,01301ACTIVITIES 71653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71653,A000000,01600,0000,01600SKILLED NURSING FACILITY 71653,A000000,01810,0000,01810ICF/MR 71653,A000000,02200,0000,02200LABORATORY 71653,A000000,02300,0000,02300INTRAVENOUS THERAPY 71653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71653,A000000,02500,0000,02500PHYSICAL THERAPY 71653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71653,A000000,02700,0000,02700SPEECH PATHOLOGY 71653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71653,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71653,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71653,A000000,03550,0000,03550FQHC 71653,A000000,05000,0000,05000CORF 71653,A000000,05010,0000,05010CMHC 71653,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71653,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71653,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71653,B100000,00000,0100,00000SQUARE FEET 71653,B100000,00000,0200,00000SQUARE FEET 71653,B100000,00000,0300,00000GROSS SALARIES 71653,B100000,00000,0400,00000ACCUM COST 71653,B100000,00000,0500,00000SQUARE FEET 71653,B100000,00000,0600,00000PATIENT DAYS 71653,B100000,00000,0700,00000PATIENT DAYS 71653,B100000,00000,0800,00000MEALS SERVED 71653,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71653,B100000,00000,1000,00000COSTED REQUISITIO 71653,B100000,00000,1100,00000COSTED REQUISITIO 71653,B100000,00000,1200,00000PATIENT DAYS 71653,B100000,00000,1300,00000PATIENT DAYS 71653,B100000,00000,1301,00000PATIENT DAYS 71653,B100000,00000,1400,00000ASSIGNED TIME 71653,S000000,00100,0200,06/01/2001 71653,S200000,00100,0100,400 DERONDA STREET 71653,S200000,00200,0100,AMERY 71653,S200000,00200,0200,WI 71653,S200000,00300,0100,POLK 71653,S200000,00400,0100,WILLOW RIDGE 71653,S200000,00400,0200,525402 71653,S200000,00400,0300,01/01/1967 71653,S200000,00400,0500,P 71653,S200000,01500,0100,Y 71662,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71662,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71662,A000000,00300,0000,00300EMPLOYEE BENEFITS 71662,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71662,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71662,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71662,A000000,00700,0000,00700HOUSEKEEPING 71662,A000000,00800,0000,00800DIETARY 71662,A000000,00900,0000,00900NURSING ADMINISTRATION 71662,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71662,A000000,01100,0000,01100PHARMACY 71662,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71662,A000000,01300,0000,01300SOCIAL SERVICE 71662,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71662,A000000,01600,0000,01600SKILLED NURSING FACILITY 71662,A000000,01800,0000,01800NURSING FACILITY 71662,A000000,01810,0000,01810ICF/MR 71662,A000000,01900,0000,01900OTHER LONG TERM CARE 71662,A000000,02500,0000,02500PHYSICAL THERAPY 71662,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71662,A000000,02700,0000,02700SPEECH PATHOLOGY 71662,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71662,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71662,A000000,03450,0000,03600COMMUNITY PROGRAMS 71662,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 71662,A000000,05000,0000,05000CORF 71662,A000000,05010,0000,05010CMHC 71662,A000000,05020,0000,05020OPT 71662,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71662,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71662,A000000,05300,0000,05300INTEREST EXPENSE 71662,A000000,05500,0000,05500HOSPICE 71662,A000000,06150,0000,06300COMMUNITY PROGRAMS 71662,B100000,00000,0100,00000(SQUARE FEET) 71662,B100000,00000,0200,00000(SQUARE FEET) 71662,B100000,00000,0300,00000(GROSS SALARIES) 71662,B100000,00000,0400,00000(ACCUM COST) 71662,B100000,00000,0500,00000(SQUARE FEET) 71662,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 71662,B100000,00000,0700,00000(HOURS OF SERVICE) 71662,B100000,00000,0800,00000(MEALS SERVED) 71662,B100000,00000,0900,00000(DIR NRSG HOURS) 71662,B100000,00000,1000,00000(COSTED REQUIS) 71662,B100000,00000,1100,00000(COSTED REQUIS) 71662,B100000,00000,1200,00000(TIME SPENT) 71662,B100000,00000,1300,00000(TIME SPENT) 71662,B100000,00000,1400,00000(ASSIGNED TIME) 71662,S000000,00100,0200,06/22/2000 71662,S200000,00100,0100,W4266 STATE RD 29 71662,S200000,00100,0300,W4266 STATE RD 29 71662,S200000,00200,0100,OWEN 71662,S200000,00200,0200,WISCONSIN 71662,S200000,00200,0300,54460 71662,S200000,00300,0100,USA 71662,S200000,00400,0100,CLARK COUNTY HEALTH CARE CENTR 71662,S200000,00400,0200,525403 71662,S200000,00400,0300,01/01/1987 71662,S200000,00400,0500,P 71662,S200000,00400,0600,P 71662,S200000,00600,0200,210524 71662,S200000,00600,0300,01/01/1975 71662,S200000,00600,0600,O 71662,S200000,01200,0200,201501 71662,S200000,01200,0300,01/01/1992 71662,S200000,01600,0100,Y 71662,S200000,02800,0100,Y 71670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71670,A000000,00300,0000,00300EMPLOYEE BENEFITS 71670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71670,A000000,00700,0000,00700HOUSEKEEPING 71670,A000000,00800,0000,00800DIETARY 71670,A000000,00900,0000,00900NURSING ADMINISTRATION 71670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71670,A000000,01100,0000,01100PHARMACY 71670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71670,A000000,01300,0000,01300SOCIAL SERVICE 71670,A000000,01350,0000,01500ACTIVITIES 71670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71670,A000000,01600,0000,01600SKILLED NURSING FACILITY 71670,A000000,01800,0000,01800NURSING FACILITY 71670,A000000,01810,0000,01810ICF/MR 71670,A000000,02100,0000,02100RADIOLOGY 71670,A000000,02200,0000,02200LABORATORY 71670,A000000,02300,0000,02300INTRAVENOUS THERAPY 71670,A000000,02500,0000,02500PHYSICAL THERAPY 71670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71670,A000000,02700,0000,02700SPEECH PATHOLOGY 71670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71670,A000000,03550,0000,03550FQHC 71670,A000000,05000,0000,05000CORF 71670,A000000,05010,0000,05010CMHC 71670,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71670,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71670,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71670,A81000A,00100,0100,Y 71670,A81000B,00100,0300,RENT 71670,A81000B,00200,0300,OFFICE ALLOCATIONS - VM 71670,A81000B,00300,0300,OFFICE ALLOCATIONS - HSD 71670,A81000B,00400,0300,MEDICAL SUPPLIES 71670,A81000B,00500,0300,RENT 71670,A81000B,00600,0300,OFFICE ALLOCATIONS 71670,A81000C,00100,0100,A 71670,A81000C,00100,0200,AVANTI GROUP INVESTMENTS 71670,A81000C,00100,0400,ALSO OWNED BY L. KUTZ 71670,A81000C,00100,0600,RENTAL 71670,A81000C,00200,0100,A 71670,A81000C,00200,0200,VILLA MARIA HEALTH CARE 71670,A81000C,00200,0400,ALSO OWNED BY L. KUTZ 71670,A81000C,00200,0600,NURSING HOME 71670,A81000C,00300,0100,A 71670,A81000C,00300,0200,HLTH SERVICES DIVERSIFIED 71670,A81000C,00300,0400,ALSO OWNED BY L. KUTZ 71670,A81000C,00300,0600,PARATRANSIT SERVICES 71670,A81000C,00400,0100,A 71670,A81000C,00400,0200,HOME MEDICAL PRODUCTS 71670,A81000C,00400,0400,ALSO OWNED BY L. KUTZ 71670,A81000C,00400,0600,DME & MEDICAL SUPPLY CO. 71670,A81000C,00500,0100,A 71670,A81000C,00500,0200,AVANTI GROUP INVESTMENTS 71670,A81000C,00500,0400,ALSO OWNED BY L. KUTZ 71670,A81000C,00500,0600,RENTAL 71670,A81000C,00600,0100,A 71670,A81000C,00600,0200,LAWRENCE & GERI KUTZ 71670,A81000C,00600,0400,SAME 71670,A81000C,00600,0600,OWNERS 71670,B100000,00000,0100,00000SQUARE FEET 71670,B100000,00000,0200,00000SQUARE FEET 71670,B100000,00000,0300,00000GROSS SALARIES 71670,B100000,00000,0400,00000ACCUM. COST 71670,B100000,00000,0500,00000SQUARE FEET 71670,B100000,00000,0600,00000PATIENT DAYS 71670,B100000,00000,0700,00000SQUARE FEET 71670,B100000,00000,0800,00000MEALS SERVED 71670,B100000,00000,0900,00000NURSING SALARIES 71670,B100000,00000,1000,00000PATIENT DAYS 71670,B100000,00000,1100,00000COSTED REQUIS. 71670,B100000,00000,1200,00000GROSS CHARGES 71670,B100000,00000,1300,00000TIME SPENT 71670,B100000,00000,1350,00000PATIENT DAYS 71670,B100000,00000,1400,00000ASSIGNED TIME 71670,S000000,00100,0200,06/22/2000 71670,S200000,00100,0100,ROUTE 2 71670,S200000,00100,0300,379 71670,S200000,00200,0100,SOUTH RANGE 71670,S200000,00200,0200,WI 71670,S200000,00300,0100,DOUGLAS 71670,S200000,00400,0100,MIDDLE RIVER HEALTH CARE CENTER INC 71670,S200000,00400,0200,525408 71670,S200000,00400,0300,12/11/1990 71670,S200000,00400,0500,P 71670,S200000,01600,0100,Y 71670,S200000,01900,0100,501-C-3 71678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71678,A000000,00300,0000,00300EMPLOYEE BENEFITS 71678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71678,A000000,00700,0000,00700HOUSEKEEPING 71678,A000000,00800,0000,00800DIETARY 71678,A000000,00900,0000,00900NURSING ADMINISTRATION 71678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71678,A000000,01100,0000,01100PHARMACY 71678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71678,A000000,01300,0000,01300SOCIAL SERVICE 71678,A000000,01350,0000,01500PATIENT ACTIVITIES 71678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71678,A000000,01600,0000,01600SKILLED NURSING FACILITY 71678,A000000,01800,0000,01800NURSING FACILITY 71678,A000000,01810,0000,01810ICF/MR 71678,A000000,02500,0000,02500PHYSICAL THERAPY 71678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71678,A000000,02700,0000,02700SPEECH PATHOLOGY 71678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71678,A000000,03550,0000,03550FQHC 71678,A000000,05000,0000,05000CORF 71678,A000000,05010,0000,05010CMHC 71678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71678,A81000A,00100,0100,Y 71678,A81000B,00100,0300,COUNTY COST ALLOCATION 71678,A81000C,00100,0100,G 71678,A81000C,00100,0200,JACKSON COUNTY 71678,A81000C,00100,0600,COUNTY COSTS 71678,A81000C,00200,0100,G 71678,B100000,00000,0100,00000SQUARE FEET 71678,B100000,00000,0200,00000SQUARE FEET 71678,B100000,00000,0300,00000GROSS SALARIES 71678,B100000,00000,0400,00000ACCUM. COST 71678,B100000,00000,0500,00000SQUARE FEET 71678,B100000,00000,0600,00000POUNDS OF LAUNDRY 71678,B100000,00000,0700,00000SQUARE FEET 71678,B100000,00000,0800,00000PATIENT DAYS 71678,B100000,00000,0900,00000DIRECT NRSG HRS 71678,B100000,00000,1000,00000COSTED REQUIS 71678,B100000,00000,1100,00000COSTED REQUIS 71678,B100000,00000,1200,00000TIME SPENT 71678,B100000,00000,1300,00000TIME SPENT 71678,B100000,00000,1350,00000PATIENT DAYS 71678,B100000,00000,1400,00000ASSIGNED TIME 71678,S000000,00100,0200,06/26/2000 71678,S200000,00100,0100,400 PINE VIEW ROAD 71678,S200000,00200,0100,BLACK RIVER FALLS 71678,S200000,00200,0200,WI 71678,S200000,00300,0100,JACKSON 71678,S200000,00400,0100,PINE VIEW NURSING HOME 71678,S200000,00400,0200,525409 71678,S200000,00400,0300,10/01/1987 71678,S200000,00400,0500,P 71678,S200000,01600,0100,Y 71686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71686,A000000,00300,0000,00300EMPLOYEE BENEFITS 71686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71686,A000000,00700,0000,00700HOUSEKEEPING 71686,A000000,00800,0000,00800DIETARY 71686,A000000,00900,0000,00900NURSING ADMINISTRATION 71686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71686,A000000,01100,0000,01100PHARMACY 71686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71686,A000000,01300,0000,01300SOCIAL SERVICE 71686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71686,A000000,01600,0000,01600SKILLED NURSING FACILITY 71686,A000000,01800,0000,01800NURSING FACILITY 71686,A000000,01810,0000,01810ICF/MR 71686,A000000,02100,0000,02100RADIOLOGY 71686,A000000,02200,0000,02200LABORATORY 71686,A000000,02500,0000,02500PHYSICAL THERAPY 71686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71686,A000000,02700,0000,02700SPEECH PATHOLOGY 71686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71686,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71686,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71686,A000000,03052,0000,03302MEDICAL EQUIPMENT 71686,A000000,03550,0000,03550FQHC 71686,A000000,05000,0000,05000CORF 71686,A000000,05010,0000,05010CMHC 71686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71686,A81000A,00100,0100,Y 71686,A81000B,00100,0300,HOME OFFICE A&G 71686,A81000B,00200,0300,HOME OFFICE CAPITAL 71686,A81000B,00300,0300,DIVISION OFFICE A&G 71686,A81000B,00500,0300,INSURANCE 71686,A81000C,00100,0100,B 71686,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71686,A81000C,00200,0100,G 71686,A81000C,00200,0200,LAURIER INC. 71686,A81000C,00200,0400,EXTENDICARE INC. 71686,A81000C,00200,0600,INSURANCE 71686,A81000C,00300,0100,G 71686,A81000C,00300,0200,UNITED REHABILITATION SVS 71686,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71686,A81000C,00300,0600,THERAPY SERVICE 71686,A81000C,00400,0100,G 71686,A81000C,00400,0200,UNITED PROFESSIONAL CO 71686,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71686,A81000C,00400,0600,MED SUPP RX 71686,B100000,00000,0100,00040SQUARE FEET 71686,B100000,00000,0200,00040SQUARE FEET 71686,B100000,00000,0300,00040GROSS SALARIES 71686,B100000,00000,0400,00040ACCUM. COST 71686,B100000,00000,0500,00040SQUARE FEET 71686,B100000,00000,0600,00040PATIENT DAYS 71686,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71686,B100000,00000,0800,00040PATIENT DAYS 71686,B100000,00000,0900,00040PATIENT DAYS 71686,B100000,00000,1000,00040COSTED REQUIS 71686,B100000,00000,1100,00040COSTED REQUIS 71686,B100000,00000,1200,00040GROSS REVENUE 71686,B100000,00000,1300,00040PATIENT DAYS 71686,B100000,00000,1400,00040ASSIGNED TIME 71686,E10A180,00301,0100,06/22/1998 71686,E10A180,00301,0300,06/22/1998 71686,E10A180,00350,0100,06/22/1998 71686,E10A180,00350,0300,06/22/1998 71686,E10A180,00550,0300,06/09/2000 71686,S000000,00100,0200,06/20/2000 71686,S200000,00100,0100,1610 HOOVER STREET 71686,S200000,00200,0100,NEW HOLSTEIN 71686,S200000,00200,0200,WI 71686,S200000,00300,0100,CALUMET 71686,S200000,00400,0100,WILLOWDALE NURSING & REHAB 71686,S200000,00400,0200,525411 71686,S200000,00400,0300,12/11/1987 71686,S200000,00400,0500,P 71686,S200000,01600,0100,Y 71694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71694,A000000,00300,0000,00300EMPLOYEE BENEFITS 71694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71694,A000000,00700,0000,00700HOUSEKEEPING 71694,A000000,00800,0000,00800DIETARY 71694,A000000,00900,0000,00900NURSING ADMINISTRATION 71694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71694,A000000,01100,0000,01100PHARMACY 71694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71694,A000000,01300,0000,01300SOCIAL SERVICE 71694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71694,A000000,01600,0000,01600SKILLED NURSING FACILITY 71694,A000000,01810,0000,01810ICF/MR 71694,A000000,02200,0000,02200LABORATORY 71694,A000000,02500,0000,02500PHYSICAL THERAPY 71694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71694,A000000,02700,0000,02700SPEECH PATHOLOGY 71694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71694,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71694,A000000,03550,0000,03550FQHC 71694,A000000,05000,0000,05000CORF 71694,A000000,05010,0000,05010CMHC 71694,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71694,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71694,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71694,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71694,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71694,A81000A,00100,0100,Y 71694,A81000B,00100,0300,RENT/BUILDING 71694,A81000B,00200,0300,RENT/ADMIN 71694,A81000B,00300,0300,MANAGE FEE/ADMIN 71694,A81000B,00400,0300,MANAGE FEE/CAPITAL 71694,A81000C,00100,0100,A 71694,A81000C,00100,0200,GLEN URQUHART 71694,A81000C,00100,0400,URQUHART COMPAN 71694,A81000C,00100,0600,REAL ESTATE 71694,A81000C,00200,0100,A 71694,A81000C,00200,0200,GLEN URQUHART 71694,A81000C,00200,0400,HMU MANAGEMENT 71694,A81000C,00200,0600,MANAGEMENT 71694,B100000,00000,0100,00000SQUARE FEET 71694,B100000,00000,0200,00000SQUARE FEET 71694,B100000,00000,0300,00000GROSS SALARIES 71694,B100000,00000,0400,00000ACCUM COST 71694,B100000,00000,0500,00000SQUARE FEET 71694,B100000,00000,0600,00000PATIENT DAYS 71694,B100000,00000,0700,00000SQUARE FEET 71694,B100000,00000,0800,00000MEALS SERVED 71694,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71694,B100000,00000,1000,00000COSTED REQUISITIO 71694,B100000,00000,1100,00000COSTED REQUISITIO 71694,B100000,00000,1200,00000TIME SPENT 71694,B100000,00000,1300,00000PATIENT DAYS 71694,B100000,00000,1400,00000ASSIGNED TIME 71694,E10A180,00550,0300,05/31/2000 71694,S000000,00100,0200,06/22/2000 71694,S200000,00100,0100,1745 BIRCH HILL LANE 71694,S200000,00200,0100,SHAWANO 71694,S200000,00200,0200,WI 71694,S200000,00200,0300,54166 71694,S200000,00300,0100,SHAWANO 71694,S200000,00400,0100,BIRCH HILL HEALTHCARE CENTER 71694,S200000,00400,0200,525412 71694,S200000,00400,0300,06/01/1988 71694,S200000,00400,0500,P 71694,S200000,01500,0100,Y 71703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71703,A000000,00300,0000,00300EMPLOYEE BENEFITS 71703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71703,A000000,00700,0000,00700HOUSEKEEPING 71703,A000000,00800,0000,00800DIETARY 71703,A000000,00900,0000,00900NURSING ADMINISTRATION 71703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71703,A000000,01100,0000,01100PHARMACY 71703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71703,A000000,01300,0000,01300SOCIAL SERVICE 71703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71703,A000000,01600,0000,01600SKILLED NURSING FACILITY 71703,A000000,01800,0000,01800NURSING FACILITY 71703,A000000,01810,0000,01810ICF/MR 71703,A000000,02100,0000,02100RADIOLOGY 71703,A000000,02200,0000,02200LABORATORY 71703,A000000,02300,0000,02300INTRAVENOUS THERAPY 71703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71703,A000000,02500,0000,02500PHYSICAL THERAPY 71703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71703,A000000,02700,0000,02700SPEECH PATHOLOGY 71703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71703,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71703,A000000,03052,0000,03302MEDICAL EQUIPMENT 71703,A000000,03550,0000,03550FQHC 71703,A000000,05000,0000,05000CORF 71703,A000000,05010,0000,05010CMHC 71703,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71703,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71703,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71703,A81000A,00100,0100,Y 71703,A81000B,00100,0300,HOME OFFICE A&G 71703,A81000B,00200,0300,HOME OFFICE CAPITAL 71703,A81000B,00300,0300,DIVISION OFFICE A&G 71703,A81000B,00500,0300,INSURANCE 71703,A81000C,00100,0100,B 71703,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71703,A81000C,00200,0100,G 71703,A81000C,00200,0200,LAURIER INC. 71703,A81000C,00200,0400,EXTENDICARE INC. 71703,A81000C,00200,0600,INSURANCE 71703,A81000C,00300,0100,G 71703,A81000C,00300,0200,UNITED REHABILITATION SVS 71703,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71703,A81000C,00300,0600,THERAPY SERVICE 71703,A81000C,00400,0100,G 71703,A81000C,00400,0200,UNITED PROFESSIONAL CO 71703,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71703,A81000C,00400,0600,MED SUPP RX 71703,B100000,00000,0100,00040SQUARE FEET 71703,B100000,00000,0200,00040SQUARE FEET 71703,B100000,00000,0300,00040GROSS SALARIES 71703,B100000,00000,0400,00040ACCUM. COST 71703,B100000,00000,0500,00040SQUARE FEET 71703,B100000,00000,0600,00040PATIENT DAYS 71703,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71703,B100000,00000,0800,00040PATIENT DAYS 71703,B100000,00000,0900,00040PATIENT DAYS 71703,B100000,00000,1000,00040COSTED REQUIS 71703,B100000,00000,1100,00040COSTED REQUIS 71703,B100000,00000,1200,00040GROSS REVENUE 71703,B100000,00000,1300,00040PATIENT DAYS 71703,B100000,00000,1400,00040ASSIGNED TIME 71703,E10A180,00301,0100,06/22/1998 71703,E10A180,00301,0300,06/22/1998 71703,E10A180,00350,0100,06/22/1998 71703,E10A180,00350,0300,06/22/1998 71703,E10A180,00501,0300,02/12/2001 71703,S000000,00100,0200,06/20/2000 71703,S200000,00100,0100,3821 SOUTH CHICAGO AVENUE 71703,S200000,00200,0100,MILWAUKEE 71703,S200000,00200,0200,WI 71703,S200000,00300,0100,MILWAUKEE 71703,S200000,00400,0100,WILLOWCREST CARE CENTER 71703,S200000,00400,0200,525413 71703,S200000,00400,0300,07/01/1988 71703,S200000,00400,0500,P 71703,S200000,01600,0100,Y 71711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71711,A000000,00300,0000,00300EMPLOYEE BENEFITS 71711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71711,A000000,00700,0000,00700HOUSEKEEPING 71711,A000000,00800,0000,00800DIETARY 71711,A000000,00900,0000,00900NURSING ADMINISTRATION 71711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71711,A000000,01100,0000,01100PHARMACY 71711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71711,A000000,01300,0000,01300SOCIAL SERVICE 71711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71711,A000000,01600,0000,01600SKILLED NURSING FACILITY 71711,A000000,01800,0000,01800NURSING FACILITY 71711,A000000,01810,0000,01810ICF/MR 71711,A000000,02100,0000,02100RADIOLOGY 71711,A000000,02200,0000,02200LABORATORY 71711,A000000,02300,0000,02300INTRAVENOUS THERAPY 71711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71711,A000000,02500,0000,02500PHYSICAL THERAPY 71711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71711,A000000,02700,0000,02700SPEECH PATHOLOGY 71711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71711,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71711,A000000,03052,0000,03302MEDICAL EQUIPMENT 71711,A000000,03550,0000,03550FQHC 71711,A000000,05000,0000,05000CORF 71711,A000000,05010,0000,05010CMHC 71711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71711,A81000A,00100,0100,Y 71711,A81000B,00100,0300,HOME OFFICE A&G 71711,A81000B,00200,0300,HOME OFFICE CAPITAL 71711,A81000B,00300,0300,DIVISION OFFICE A&G 71711,A81000B,00500,0300,INSURANCE 71711,A81000B,00600,0300,PHYSICAL THERAPY 71711,A81000B,00700,0300,OCCUPATIONAL THERAPY 71711,A81000B,00800,0300,SPEECH THERAPY 71711,A81000B,00900,0300,AIR FLUIDIZED THERAPY 71711,A81000C,00100,0100,B 71711,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71711,A81000C,00200,0100,G 71711,A81000C,00200,0200,LAURIER INC. 71711,A81000C,00200,0400,EXTENDICARE INC. 71711,A81000C,00200,0600,INSURANCE 71711,A81000C,00300,0100,G 71711,A81000C,00300,0200,UNITED REHABILITATION SVS 71711,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71711,A81000C,00300,0600,THERAPY SERVICE 71711,A81000C,00400,0100,G 71711,A81000C,00400,0200,UNITED PROFESSIONAL CO 71711,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71711,A81000C,00400,0600,MED SUPP RX 71711,B100000,00000,0100,00040SQUARE FEET 71711,B100000,00000,0200,00040SQUARE FEET 71711,B100000,00000,0300,00040GROSS SALARIES 71711,B100000,00000,0400,00040ACCUM. COST 71711,B100000,00000,0500,00040SQUARE FEET 71711,B100000,00000,0600,00040PATIENT DAYS 71711,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71711,B100000,00000,0800,00040PATIENT DAYS 71711,B100000,00000,0900,00040PATIENT DAYS 71711,B100000,00000,1000,00040COSTED REQUIS 71711,B100000,00000,1100,00040COSTED REQUIS 71711,B100000,00000,1200,00040GROSS REVENUE 71711,B100000,00000,1300,00040PATIENT DAYS 71711,B100000,00000,1400,00040ASSIGNED TIME 71711,E10A180,00301,0100,06/22/1998 71711,E10A180,00301,0300,06/22/1998 71711,E10A180,00350,0100,06/22/1998 71711,E10A180,00350,0300,06/22/1998 71711,E10A180,00501,0300,02/12/2001 71711,S000000,00100,0200,06/20/2000 71711,S200000,00100,0100,2727 WEST MITCHELL ST 71711,S200000,00200,0100,MILWAUKEE 71711,S200000,00200,0200,WI 71711,S200000,00300,0100,MILWAUKEE 71711,S200000,00400,0100,MERCY RESIDENTIAL & REHAB 71711,S200000,00400,0200,525414 71711,S200000,00400,0300,10/08/1988 71711,S200000,00400,0500,P 71711,S200000,01600,0100,Y 71719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71719,A000000,00300,0000,00300EMPLOYEE BENEFITS 71719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71719,A000000,00700,0000,00700HOUSEKEEPING 71719,A000000,00800,0000,00800DIETARY 71719,A000000,00900,0000,00900NURSING ADMINISTRATION 71719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71719,A000000,01100,0000,01100PHARMACY 71719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71719,A000000,01300,0000,01300SOCIAL SERVICE 71719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71719,A000000,01600,0000,01600SKILLED NURSING FACILITY 71719,A000000,01800,0000,01800NURSING FACILITY 71719,A000000,01810,0000,01810ICF/MR 71719,A000000,02100,0000,02100RADIOLOGY 71719,A000000,02200,0000,02200LABORATORY 71719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71719,A000000,02500,0000,02500PHYSICAL THERAPY 71719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71719,A000000,02700,0000,02700SPEECH PATHOLOGY 71719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71719,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71719,A000000,03052,0000,03302MEDICAL EQUIPMENT 71719,A000000,03550,0000,03550FQHC 71719,A000000,05000,0000,05000CORF 71719,A000000,05010,0000,05010CMHC 71719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71719,A81000A,00100,0100,Y 71719,A81000B,00100,0300,HOME OFFICE A&G 71719,A81000B,00200,0300,HOME OFFICE CAPITAL 71719,A81000B,00300,0300,DIVISION OFFICE A&G 71719,A81000B,00500,0300,INSURANCE 71719,A81000C,00100,0100,B 71719,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71719,A81000C,00200,0100,G 71719,A81000C,00200,0200,LAURIER INC. 71719,A81000C,00200,0400,EXTENDICARE INC. 71719,A81000C,00200,0600,INSURANCE 71719,A81000C,00300,0100,G 71719,A81000C,00300,0200,UNITED REHABILITATION SVS 71719,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71719,A81000C,00300,0600,THERAPY SERVICE 71719,A81000C,00400,0100,G 71719,A81000C,00400,0200,UNITED PROF. COMPANIES 71719,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71719,A81000C,00400,0600,MED SUPP RX 71719,B100000,00000,0100,00040SQUARE FEET 71719,B100000,00000,0200,00040SQUARE FEET 71719,B100000,00000,0300,00040GROSS SALARIES 71719,B100000,00000,0400,00040ACCUM. COST 71719,B100000,00000,0500,00040SQUARE FEET 71719,B100000,00000,0600,00040PATIENT DAYS 71719,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71719,B100000,00000,0800,00040PATIENT DAYS 71719,B100000,00000,0900,00040PATIENT DAYS 71719,B100000,00000,1000,00040COSTED REQUIS 71719,B100000,00000,1100,00040COSTED REQUIS 71719,B100000,00000,1200,00040GROSS REVENUE 71719,B100000,00000,1300,00040PATIENT DAYS 71719,B100000,00000,1400,00040ASSIGNED TIME 71719,E10A180,00301,0100,06/22/1998 71719,E10A180,00301,0300,06/22/1998 71719,E10A180,00350,0100,06/22/1998 71719,E10A180,00350,0300,06/22/1998 71719,E10A180,00501,0300,02/12/2001 71719,S000000,00100,0200,06/20/2000 71719,S200000,00100,0100,N84 W17049 MENOMONEE AVE 71719,S200000,00100,0300, 71719,S200000,00200,0100,MENOMONEE FALLS 71719,S200000,00200,0200,WI 71719,S200000,00300,0100,WAUKESHA 71719,S200000,00400,0100,MENOMONEE FALLS HEALTH CARE 71719,S200000,00400,0200,525415 71719,S200000,00400,0300,08/11/1988 71719,S200000,00400,0500,P 71719,S200000,01600,0100,Y 71719,S200000,01900,0100,PRIVATE 71728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71728,A000000,00300,0000,00300EMPLOYEE BENEFITS 71728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71728,A000000,00700,0000,00700HOUSEKEEPING 71728,A000000,00800,0000,00800DIETARY 71728,A000000,00900,0000,00900NURSING ADMINISTRATION 71728,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71728,A000000,01100,0000,01100PHARMACY 71728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71728,A000000,01300,0000,01300SOCIAL SERVICE 71728,A000000,01301,0000,01301ACTIVITIES 71728,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71728,A000000,01600,0000,01600SKILLED NURSING FACILITY 71728,A000000,01810,0000,01810ICF/MR 71728,A000000,02100,0000,02100RADIOLOGY 71728,A000000,02200,0000,02200LABORATORY 71728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71728,A000000,02500,0000,02500PHYSICAL THERAPY 71728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71728,A000000,02700,0000,02700SPEECH PATHOLOGY 71728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71728,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71728,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71728,A000000,03550,0000,03550FQHC 71728,A000000,05000,0000,05000CORF 71728,A000000,05010,0000,05010CMHC 71728,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71728,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71728,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71728,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71728,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71728,B100000,00000,0100,00000SQUARE FEET 71728,B100000,00000,0200,00000SQUARE FEET 71728,B100000,00000,0300,00000GROSS SALARIES 71728,B100000,00000,0400,00000ACCUM COST 71728,B100000,00000,0500,00000SQUARE FEET 71728,B100000,00000,0600,00000PATIENT DAYS 71728,B100000,00000,0700,00000SQUARE FEET 71728,B100000,00000,0800,00000MEALS SERVED 71728,B100000,00000,0900,00000PATIENT DAYS 71728,B100000,00000,1000,00000PATIENT DAYS 71728,B100000,00000,1100,00000COSTED REQUISITIO 71728,B100000,00000,1200,00000PATIENT DAYS 71728,B100000,00000,1300,00000PATIENT DAYS 71728,B100000,00000,1301,00000PATIENT DAYS 71728,B100000,00000,1400,00000ASSIGNED TIME 71728,S000000,00100,0200,06/02/2000 71728,S200000,00100,0100,470 GARFIELD AVENUE 71728,S200000,00200,0100,EVANSVILLE 71728,S200000,00200,0200,WISCONSIN 71728,S200000,00200,0300,53536 71728,S200000,00300,0100,ROCK 71728,S200000,00400,0100,EVANSVILLE MANOR 71728,S200000,00400,0200,525418 71728,S200000,00400,0300,09/06/1988 71728,S200000,00400,0500,P 71728,S200000,01500,0100,Y 71736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71736,A000000,00300,0000,00300EMPLOYEE BENEFITS 71736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71736,A000000,00700,0000,00700HOUSEKEEPING 71736,A000000,00800,0000,00800DIETARY 71736,A000000,00900,0000,00900NURSING ADMINISTRATION 71736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71736,A000000,01100,0000,01100PHARMACY 71736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71736,A000000,01300,0000,01300SOCIAL SERVICE 71736,A000000,01350,0000,01500ACTIVITIES 71736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71736,A000000,01600,0000,01600SKILLED NURSING FACILITY 71736,A000000,01800,0000,01800NURSING FACILITY 71736,A000000,01810,0000,01810ICF/MR 71736,A000000,02100,0000,02100RADIOLOGY 71736,A000000,02200,0000,02200LABORATORY 71736,A000000,02300,0000,02300INTRAVENOUS THERAPY 71736,A000000,02500,0000,02500PHYSICAL THERAPY 71736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71736,A000000,02700,0000,02700SPEECH PATHOLOGY 71736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71736,A000000,03550,0000,03550FQHC 71736,A000000,05000,0000,05000CORF 71736,A000000,05010,0000,05010CMHC 71736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71736,A81000A,00100,0100,Y 71736,A81000B,00100,0300,BUILDING LEASE 71736,A81000C,00100,0100,A 71736,A81000C,00100,0200,DARRELL RUBEL 71736,A81000C,00100,0400,DARRELL RUBEL 71736,A81000C,00100,0600,REAL ESTATE 71736,B100000,00000,0100,00040SQUARE FEET 71736,B100000,00000,0200,00040SQUARE FEET 71736,B100000,00000,0300,00040GROSS SALARIES 71736,B100000,00000,0400,00040ACCUM COST 71736,B100000,00000,0500,00040SQUARE FEET 71736,B100000,00000,0600,00040PATIENT DAYS 71736,B100000,00000,0700,00040SQUARE FEET 71736,B100000,00000,0800,00040MEALS SERVED 71736,B100000,00000,0900,00040PATIENT DAYS 71736,B100000,00000,1000,00040COSTED REQUIS 71736,B100000,00000,1100,00040COSTED REQUIS 71736,B100000,00000,1200,00040TIME SPENT 71736,B100000,00000,1300,00040PATIENT DAYS 71736,B100000,00000,1350,00040PATIENT DAYS 71736,B100000,00000,1400,00040ASSIGNED TIME 71736,S000000,00100,0200,06/22/2000 71736,S200000,00100,0100,222 CHAPMAN ROAD 71736,S200000,00200,0100,CHIPPEWA FALLS 71736,S200000,00200,0200,WI 71736,S200000,00200,0300,54729 71736,S200000,00300,0100,CHIPPEWA 71736,S200000,00400,0100,CHIPPEWA MANOR NURSING HOME 71736,S200000,00400,0200,525419 71736,S200000,00400,0300,02/09/1989 71736,S200000,00400,0500,P 71736,S200000,01600,0100,Y 71753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71753,A000000,00300,0000,00300EMPLOYEE BENEFITS 71753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71753,A000000,00700,0000,00700HOUSEKEEPING 71753,A000000,00800,0000,00800DIETARY 71753,A000000,00900,0000,00900NURSING ADMINISTRATION 71753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71753,A000000,01100,0000,01100PHARMACY 71753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71753,A000000,01300,0000,01300SOCIAL SERVICE 71753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71753,A000000,01600,0000,01600SKILLED NURSING FACILITY 71753,A000000,01810,0000,01810ICF/MR 71753,A000000,02100,0000,02100RADIOLOGY 71753,A000000,02200,0000,02200LABORATORY 71753,A000000,02500,0000,02500PHYSICAL THERAPY 71753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71753,A000000,02700,0000,02700SPEECH PATHOLOGY 71753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71753,A000000,03550,0000,03550FQHC 71753,A000000,05000,0000,05000CORF 71753,A000000,05010,0000,05010CMHC 71753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71753,B100000,00000,0100,00040SQUARE FEET 71753,B100000,00000,0200,00040SQUARE FEET 71753,B100000,00000,0300,00040GROSS SALARIES 71753,B100000,00000,0400,00040ACCUM COST 71753,B100000,00000,0500,00040SQUARE FEET 71753,B100000,00000,0600,00040POUNDS OF LAUNDRY 71753,B100000,00000,0700,00040HOURS OF SERVICE 71753,B100000,00000,0800,00040MEALS SERVED 71753,B100000,00000,0900,00040DIRECT NRSG HRS 71753,B100000,00000,1000,00040COSTED REQUIS 71753,B100000,00000,1100,00040COSTED REQUIS 71753,B100000,00000,1200,00040TIME SPENT 71753,B100000,00000,1300,00040TIME SPENT 71753,B100000,00000,1400,00040ASSIGNED TIME 71753,S000000,00100,0200,12/29/2000 71753,S200000,00100,0100,425 N UNIVERSITY DRIVE 71753,S200000,00200,0100,WAUKESHA 71753,S200000,00200,0200,WI 71753,S200000,00200,0300,53188 71753,S200000,00300,0100,W 71753,S200000,00300,0200,5080 71753,S200000,00300,0300,U 71753,S200000,00400,0100,LINDENGROVE WAUKESHA 71753,S200000,00400,0200,525422 71753,S200000,00400,0300,02/24/1989 71753,S200000,00400,0500,P 71753,S200000,01500,0100,Y 71753,S200000,01900,0100,COMMUNITY 71761,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71761,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71761,A000000,00300,0000,00300EMPLOYEE BENEFITS 71761,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71761,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71761,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71761,A000000,00700,0000,00700HOUSEKEEPING 71761,A000000,00800,0000,00800DIETARY 71761,A000000,00900,0000,00900NURSING ADMINISTRATION 71761,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71761,A000000,01100,0000,01100PHARMACY 71761,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71761,A000000,01300,0000,01300SOCIAL SERVICE 71761,A000000,01301,0000,01301ACTIVITIES 71761,A000000,01350,0000,01500REHAB 71761,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71761,A000000,01600,0000,01600SKILLED NURSING FACILITY 71761,A000000,01800,0000,01800NURSING FACILITY 71761,A000000,01810,0000,01810ICF/MR 71761,A000000,02100,0000,02100RADIOLOGY 71761,A000000,02200,0000,02200LABORATORY 71761,A000000,02300,0000,02300INTRAVENOUS THERAPY 71761,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71761,A000000,02500,0000,02500PHYSICAL THERAPY 71761,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71761,A000000,02700,0000,02700SPEECH PATHOLOGY 71761,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71761,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71761,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71761,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71761,A000000,03550,0000,03550FQHC 71761,A000000,04800,0000,04800AMBULANCE 71761,A000000,05000,0000,05000CORF 71761,A000000,05010,0000,05010CMHC 71761,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71761,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71761,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71761,A000000,05300,0000,05300INTEREST EXPENSE 71761,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71761,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71761,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71761,A81000A,00100,0100,Y 71761,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 71761,A81000B,00200,0300,NON CERT 71761,A81000B,00300,0300,MEDICAL SUPPLIES 71761,A81000B,00400,0300,PT 71761,A81000B,00500,0300,OT 71761,A81000B,00600,0300,ST 71761,A81000C,00100,0100,B 71761,A81000C,00100,0200,WOODLAND 14451 71761,A81000C,00100,0400,MARINER POST AC 71761,A81000C,00100,0600,NURSING HOMES 71761,A81000C,00200,0100,G 71761,A81000C,00200,0200,MARINER POST AC 71761,A81000C,00200,0400,AMERICAN PHARMA 71761,A81000C,00200,0600,PHARMACEUTICALS 71761,A81000C,00300,0100,G 71761,A81000C,00300,0200,MARINER POST AC 71761,A81000C,00300,0400,PRISM (ATS ARS 71761,A81000C,00300,0600,THERAPIES 71761,B100000,00000,0100,00000SQUARE FEET 71761,B100000,00000,0200,00000SQUARE FEET 71761,B100000,00000,0300,00000GROSS SALARIES 71761,B100000,00000,0400,00000ACCUM COST 71761,B100000,00000,0500,00000SQUARE FEET 71761,B100000,00000,0600,00000PATIENT DAYS 71761,B100000,00000,0700,00000SQUARE FEET 71761,B100000,00000,0800,00000MEALS SERVED 71761,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71761,B100000,00000,1000,00000PATIENT DAYS 71761,B100000,00000,1100,00000COSTED REQUIS 71761,B100000,00000,1200,00000PATIENT DAYS 71761,B100000,00000,1300,00000PATIENT DAYS 71761,B100000,00000,1301,00000PATIENT DAYS 71761,B100000,00000,1350,00000UNITS OF SERVICE 71761,B100000,00000,1400,00000ASSIGNED TIME 71761,S000000,00100,0200,06/14/2000 71761,S200000,00100,0100,18740 W. BLUEMOUND RD 71761,S200000,00200,0100,BROOKFIELD 71761,S200000,00200,0200,WI 71761,S200000,00200,0300,53045 71761,S200000,00300,0100,WAUKESHA 71761,S200000,00400,0100,WOODLAND HEALTHCARE CENTER 71761,S200000,00400,0200,525424 71761,S200000,00400,0300,05/01/1989 71761,S200000,00400,0500,P 71761,S200000,04700,0100,Y 71770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71770,A000000,00300,0000,00300EMPLOYEE BENEFITS 71770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71770,A000000,00700,0000,00700HOUSEKEEPING 71770,A000000,00800,0000,00800DIETARY 71770,A000000,00900,0000,00900NURSING ADMINISTRATION 71770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71770,A000000,01100,0000,01100PHARMACY 71770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71770,A000000,01300,0000,01300SOCIAL SERVICE 71770,A000000,01301,0000,01301ACTIVITIES 71770,A000000,01350,0000,01500OTHER GENERAL SERVICES 71770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71770,A000000,01600,0000,01600SKILLED NURSING FACILITY 71770,A000000,01800,0000,01800NURSING FACILITY 71770,A000000,01810,0000,01810ICF/MR 71770,A000000,02100,0000,02100RADIOLOGY 71770,A000000,02200,0000,02200LABORATORY 71770,A000000,02500,0000,02500PHYSICAL THERAPY 71770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71770,A000000,02700,0000,02700SPEECH PATHOLOGY 71770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71770,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71770,A000000,03550,0000,03550FQHC 71770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71770,A000000,05000,0000,05000CORF 71770,A000000,05010,0000,05010CMHC 71770,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71770,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71770,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71770,A81000A,00100,0100,Y 71770,A81000B,00100,0300,COUNTY COSTS 71770,A81000C,00100,0100,A 71770,A81000C,00100,0200,HILLVIEW HEALTH CARE CTR 71770,A81000C,00100,0400,LACROSSE COUNTY 71770,A81000C,00100,0600,COUNTY OPERATIONS 71770,B100000,00000,0100,00000SQUARE FEET 71770,B100000,00000,0200,00000SQUARE FEET 71770,B100000,00000,0300,00000GROSS SALARIES 71770,B100000,00000,0400,00000ACCUM. COST 71770,B100000,00000,0500,00000SQUARE FEET 71770,B100000,00000,0600,00000PATIENT DAYS 71770,B100000,00000,0700,00000SQUARE FEET 71770,B100000,00000,0800,00000MEALS SERVED 71770,B100000,00000,0900,00000DIRECT NRSING HRS 71770,B100000,00000,1000,00000COSTED REQUIS. 71770,B100000,00000,1100,00000COSTED REQUIS. 71770,B100000,00000,1200,00000GROSS CHARGES 71770,B100000,00000,1300,00000PATIENT DAYS 71770,B100000,00000,1301,00000PATIENT DAYS 71770,B100000,00000,1350,00000TIME SPENT 71770,B100000,00000,1400,00000ASSIGNED TIME 71770,S000000,00100,0200,06/21/2000 71770,S200000,00100,0100,3501 PARK LANE DRIVE 71770,S200000,00200,0100,LACROSSE 71770,S200000,00200,0200,WI 71770,S200000,00300,0100,LACROSSE 71770,S200000,00400,0100,HILLVIEW HEALTH CARE CENTER 71770,S200000,00400,0200,525426 71770,S200000,00400,0300,10/01/1989 71770,S200000,00400,0500,P 71770,S200000,01600,0100,Y 71781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71781,A000000,00300,0000,00300EMPLOYEE BENEFITS 71781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71781,A000000,00700,0000,00700HOUSEKEEPING 71781,A000000,00800,0000,00800DIETARY 71781,A000000,00900,0000,00900NURSING ADMINISTRATION 71781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71781,A000000,01100,0000,01100PHARMACY 71781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71781,A000000,01300,0000,01300SOCIAL SERVICE 71781,A000000,01350,0000,01500ACTIVITIES 71781,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71781,A000000,01600,0000,01600SKILLED NURSING FACILITY 71781,A000000,01810,0000,01810ICF/MR 71781,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71781,A000000,02500,0000,02500PHYSICAL THERAPY 71781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71781,A000000,02700,0000,02700SPEECH PATHOLOGY 71781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71781,A000000,03050,0000,03300CLINITRON BED 71781,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71781,A000000,03550,0000,03550FQHC 71781,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 71781,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 71781,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 71781,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 71781,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 71781,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 71781,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 71781,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71781,A000000,05000,0000,05000CORF 71781,A000000,05010,0000,05010CMHC 71781,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71781,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71781,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71781,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71781,A000000,06150,0000,06300CBRF 71781,B100000,00000,0100,00000SQUARE FEET 71781,B100000,00000,0200,00000SQUARE FEET 71781,B100000,00000,0300,00000GROSS SALARIES 71781,B100000,00000,0400,00000ACCUM. COST 71781,B100000,00000,0500,00000SQUARE FEET 71781,B100000,00000,0600,00000LAUNDRY POUNDS 71781,B100000,00000,0700,00000SQUARE FEET 71781,B100000,00000,0800,00000MEALS SERVED 71781,B100000,00000,0900,00000DIRECT NRSING HRS 71781,B100000,00000,1000,00000COSTED REQUIS. 71781,B100000,00000,1100,00000COSTED REQUIS. 71781,B100000,00000,1200,00000TIME SPENT 71781,B100000,00000,1300,00000TIME SPENT 71781,B100000,00000,1350,00000PATIENT DAYS 71781,B100000,00000,1400,00000ASSIGNED TIME 71781,H510100,00000,0000,9952 71781,H510100,02400,0000,9952 71781,S000000,00100,0200,06/02/2000 71781,S200000,00100,0100,105 W PIONEER AVENUE 71781,S200000,00200,0100,CRANDON 71781,S200000,00200,0200,WI 71781,S200000,00300,0100,FOREST 71781,S200000,00400,0100,THE CRANDON NURSING HOME 71781,S200000,00400,0200,525428 71781,S200000,00400,0300,08/01/1989 71781,S200000,00400,0500,P 71781,S200000,00800,0200,527228 71781,S200000,00800,0300,01/01/1993 71781,S200000,00800,0500,P 71781,S200000,01500,0100,Y 71790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71790,A000000,00300,0000,00300EMPLOYEE BENEFITS 71790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71790,A000000,00700,0000,00700HOUSEKEEPING 71790,A000000,00800,0000,00800DIETARY 71790,A000000,00900,0000,00900NURSING ADMINISTRATION 71790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71790,A000000,01100,0000,01100PHARMACY 71790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71790,A000000,01300,0000,01300SOCIAL SERVICE 71790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71790,A000000,01600,0000,01600SKILLED NURSING FACILITY 71790,A000000,01810,0000,01810ICF/MR 71790,A000000,02100,0000,02100RADIOLOGY 71790,A000000,02200,0000,02200LABORATORY 71790,A000000,02500,0000,02500PHYSICAL THERAPY 71790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71790,A000000,02700,0000,02700SPEECH PATHOLOGY 71790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71790,A000000,03550,0000,03550FQHC 71790,A000000,05000,0000,05000CORF 71790,A000000,05010,0000,05010CMHC 71790,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71790,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71790,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71790,A81000A,00100,0100,Y 71790,A81000B,00100,0300,ADMINISTRATIVE EXPENSES 71790,A81000C,00100,0100,B 71790,A81000C,00100,0400,MONROE COUNTY 71790,A81000C,00100,0600,MUNICIPALITY 71790,B100000,00000,0100,00000SQUARE FEET 71790,B100000,00000,0200,00000SQUARE FEET 71790,B100000,00000,0300,00000GROSS SALARIES 71790,B100000,00000,0400,00000ACCUM COST 71790,B100000,00000,0500,00000SQUARE FEET 71790,B100000,00000,0600,00000POUNDS OF LAUNDRY 71790,B100000,00000,0700,00000SQUARE FEET 71790,B100000,00000,0800,00000MEALS SERVED 71790,B100000,00000,0900,00000PATIENT DAYS 71790,B100000,00000,1000,00000COSTED REQUIS 71790,B100000,00000,1100,00000COSTED REQUIS 71790,B100000,00000,1200,00000TIME SPENT 71790,B100000,00000,1300,00000PATIENT DAYS 71790,B100000,00000,1400,00000ASSIGNED TIME 71790,S000000,00100,0200,06/05/2000 71790,S200000,00100,0100,ROUTE 2 71790,S200000,00200,0100,SPARTA 71790,S200000,00200,0200,WI 71790,S200000,00200,0300,54656 71790,S200000,00300,0100,MONROE 71790,S200000,00400,0100,ROLLING HILLS REHAB CENTER 71790,S200000,00400,0200,525430 71790,S200000,00400,0300,08/01/1989 71790,S200000,00400,0500,P 71790,S200000,01500,0100,Y 71799,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71799,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71799,A000000,00300,0000,00300EMPLOYEE BENEFITS 71799,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71799,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71799,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71799,A000000,00700,0000,00700HOUSEKEEPING 71799,A000000,00800,0000,00800DIETARY 71799,A000000,00900,0000,00900NURSING ADMINISTRATION 71799,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71799,A000000,01100,0000,01100PHARMACY 71799,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71799,A000000,01300,0000,01300SOCIAL SERVICE 71799,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71799,A000000,01600,0000,01600SKILLED NURSING FACILITY 71799,A000000,01800,0000,01800NURSING FACILITY 71799,A000000,01810,0000,01810ICF/MR 71799,A000000,02100,0000,02100RADIOLOGY 71799,A000000,02200,0000,02200LABORATORY 71799,A000000,02500,0000,02500PHYSICAL THERAPY 71799,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71799,A000000,02700,0000,02700SPEECH PATHOLOGY 71799,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71799,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71799,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71799,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71799,A000000,03550,0000,03550FQHC 71799,A000000,05000,0000,05000CORF 71799,A000000,05010,0000,05010CMHC 71799,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71799,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71799,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71799,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71799,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71799,A81000A,00100,0100,Y 71799,A81000B,00100,0300,A&G 71799,A81000B,00200,0300,BLDNGS & FIXTURES-MG 71799,A81000B,00300,0300,MOVABLE EQUIPMENT 71799,A81000B,00400,0300,BUILDING RENT 71799,A81000C,00100,0100,A 71799,A81000C,00100,0200,REAL PROPERTIES 71799,B100000,00000,0100,00000SQUARE FEET 71799,B100000,00000,0200,00000SQUARE FEET 71799,B100000,00000,0300,00000GROSS SALARIES 71799,B100000,00000,0400,00000ACCUM COST 71799,B100000,00000,0500,00000SQUARE FEET 71799,B100000,00000,0600,00000PATIENT DAYS 71799,B100000,00000,0700,00000SQUARE FEET 71799,B100000,00000,0800,00000MEALS SERVED 71799,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71799,B100000,00000,1000,00000COSTED REQUISITIO 71799,B100000,00000,1100,00000COSTED REQUISITIO 71799,B100000,00000,1200,00000PATIENT DAYS 71799,B100000,00000,1300,00000PATIENT DAYS 71799,B100000,00000,1400,00000ASSIGNED TIME 71799,S000000,00100,0200,06/21/2000 71799,S200000,00100,0100,1519 60TH STREET 71799,S200000,00200,0100,KENOSHA 71799,S200000,00200,0200,WI 71799,S200000,00200,0300,53140 71799,S200000,00300,0100,KENOSHA 71799,S200000,00400,0100,THE CLAIRIDGE HOUSE 71799,S200000,00400,0200,525431 71799,S200000,00400,0300,08/01/1989 71799,S200000,00400,0500,P 71799,S200000,01600,0100,Y 71799,S200000,01900,0100,OTHER (SPECIFY) 71807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71807,A000000,00300,0000,00300EMPLOYEE BENEFITS 71807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71807,A000000,00700,0000,00700HOUSEKEEPING 71807,A000000,00800,0000,00800DIETARY 71807,A000000,00900,0000,00900NURSING ADMINISTRATION 71807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71807,A000000,01100,0000,01100PHARMACY 71807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71807,A000000,01300,0000,01300SOCIAL SERVICE 71807,A000000,01350,0000,01500ACTIVITIES 71807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71807,A000000,01600,0000,01600SKILLED NURSING FACILITY 71807,A000000,01810,0000,01810ICF/MR 71807,A000000,02100,0000,02100RADIOLOGY 71807,A000000,02200,0000,02200LABORATORY 71807,A000000,02500,0000,02500PHYSICAL THERAPY 71807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71807,A000000,02700,0000,02700SPEECH PATHOLOGY 71807,A000000,02800,0000,02800ELECTROCARDIOLOGY 71807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71807,A000000,03200,0000,03200SUPPORT SURFACES 71807,A000000,03550,0000,03550FQHC 71807,A000000,05000,0000,05000CORF 71807,A000000,05010,0000,05010CMHC 71807,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71807,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71807,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71807,A81000A,00100,0100,Y 71807,A81000B,00100,0300,MANAGEMENT FEES 71807,A81000B,00200,0300,MANAGEMENT FEES 71807,A81000B,00300,0300,MANAGEMENT FEES 71807,A81000B,00400,0300,BUILDING RENT 71807,A81000C,00100,0100,A 71807,A81000C,00100,0200,ALLAN BIRD 71807,A81000C,00100,0400,RPHF 71807,A81000C,00100,0600,REAL ESTATE 71807,B100000,00000,0100,00040SQUARE FEET 71807,B100000,00000,0200,00040SQUARE FEET 71807,B100000,00000,0300,00040GROSS SALARIES 71807,B100000,00000,0400,00040ACCUM COST 71807,B100000,00000,0500,00040SQUARE FEET 71807,B100000,00000,0600,00040PATIENT DAYS 71807,B100000,00000,0700,00040SQUARE FEET 71807,B100000,00000,0800,00040MEALS SERVED 71807,B100000,00000,0900,00040DIRECT NRSG HRS 71807,B100000,00000,1000,00040COSTED REQUIS 71807,B100000,00000,1100,00040COSTED REQUIS 71807,B100000,00000,1200,00040TIME SPENT 71807,B100000,00000,1300,00040PATIENT DAYS 71807,B100000,00000,1350,00040PATIENT DAYS 71807,B100000,00000,1400,00040ASSIGNED TIME 71807,S000000,00100,0200,06/07/2000 71807,S200000,00100,0100,9806 W. LINCOLN AVE 71807,S200000,00200,0100,WEST ALLIS 71807,S200000,00200,0200,WI 71807,S200000,00200,0300,53227 71807,S200000,00300,0100,MILWAUKEE 71807,S200000,00400,0100,MARY JUDE NURSING HOME 71807,S200000,00400,0200,525432 71807,S200000,00400,0300,08/01/1989 71807,S200000,00400,0500,P 71807,S200000,01500,0100,Y 71807,S200000,01900,0100,OTHER (SPECIFY) 71814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71814,A000000,00300,0000,00300EMPLOYEE BENEFITS 71814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71814,A000000,00700,0000,00700HOUSEKEEPING 71814,A000000,00800,0000,00800DIETARY 71814,A000000,00900,0000,00900NURSING ADMINISTRATION 71814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71814,A000000,01100,0000,01100PHARMACY 71814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71814,A000000,01300,0000,01300SOCIAL SERVICE 71814,A000000,01301,0000,01301ACTIVITIES 71814,A000000,01350,0000,01500OTHER GENERAL SERVICES 71814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71814,A000000,01600,0000,01600SKILLED NURSING FACILITY 71814,A000000,01800,0000,01800NURSING FACILITY 71814,A000000,01810,0000,01810ICF/MR 71814,A000000,02100,0000,02100RADIOLOGY 71814,A000000,02200,0000,02200LABORATORY 71814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71814,A000000,02500,0000,02500PHYSICAL THERAPY 71814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71814,A000000,02700,0000,02700SPEECH PATHOLOGY 71814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71814,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71814,A000000,03101,0000,03101PHYSICIAN SERVICES 71814,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71814,A000000,03550,0000,03550FQHC 71814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71814,A000000,05000,0000,05000CORF 71814,A000000,05010,0000,05010CMHC 71814,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71814,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71814,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71814,A81000A,00100,0100,Y 71814,A81000B,00100,0300,ADMIN & GENERAL 71814,A81000C,00100,0100,B 71814,A81000C,00100,0200,DUNN CTY HCC 71814,A81000C,00100,0400,CUNN COUNTY 71814,A81000C,00100,0600,COUNTY OPERATIONS 71814,B100000,00000,0100,00000SQUARE FEET 71814,B100000,00000,0200,00000SQUARE FEET 71814,B100000,00000,0300,00000GROSS SALARIES 71814,B100000,00000,0400,00000ACCUM. COST 71814,B100000,00000,0500,00000SQUARE FEET 71814,B100000,00000,0600,00000PATIENT DAYS 71814,B100000,00000,0700,00000SQUARE FEET 71814,B100000,00000,0800,00000MEALS SERVED 71814,B100000,00000,0900,00000NURSING SALARIES 71814,B100000,00000,1000,00000PATIENT DAYS 71814,B100000,00000,1100,00000PATIENT DAYS 71814,B100000,00000,1200,00000GROSS CHARGES 71814,B100000,00000,1300,00000PATIENT DAYS 71814,B100000,00000,1301,00000PATIENT DAYS 71814,B100000,00000,1350,00000NO STATISTICS 71814,B100000,00000,1400,00000ASSIGNED TIME 71814,E10A180,00550,0300,05/31/2000 71814,S000000,00100,0200,06/22/2000 71814,S200000,00100,0100,ROUTE 2 71814,S200000,00100,0300,150 71814,S200000,00200,0100,MENOMONIE 71814,S200000,00200,0200,WI 71814,S200000,00300,0100,DUNN 71814,S200000,00400,0100,DUNN COUNTY HEALTH CARE CENTER 71814,S200000,00400,0200,525433 71814,S200000,00400,0300,09/01/1989 71814,S200000,00400,0500,P 71814,S200000,01600,0100,Y 71825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71825,A000000,00300,0000,00300EMPLOYEE BENEFITS 71825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71825,A000000,00700,0000,00700HOUSEKEEPING 71825,A000000,00800,0000,00800DIETARY 71825,A000000,00900,0000,00900NURSING ADMINISTRATION 71825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71825,A000000,01100,0000,01100PHARMACY 71825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71825,A000000,01300,0000,01300SOCIAL SERVICE 71825,A000000,01350,0000,01500PATIENT ACTIVITIES 71825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71825,A000000,01600,0000,01600SKILLED NURSING FACILITY 71825,A000000,01800,0000,01800NURSING FACILITY 71825,A000000,01810,0000,01810ICF/MR 71825,A000000,02500,0000,02500PHYSICAL THERAPY 71825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71825,A000000,02700,0000,02700SPEECH PATHOLOGY 71825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71825,A000000,03550,0000,03550FQHC 71825,A000000,05000,0000,05000CORF 71825,A000000,05010,0000,05010CMHC 71825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71825,A81000A,00100,0100,Y 71825,A81000B,00100,0300,HOME OFFICE COSTS 71825,A81000B,00200,0300,DATA PROCESSING 71825,A81000C,00100,0100,A 71825,A81000C,00100,0200,CATHOLIC RESIDENTIAL SVCS 71825,A81000C,00100,0400,CATHOLIC RESIDENTIAL SVCS 71825,A81000C,00100,0600,HOME OFFICE 71825,B100000,00000,0100,00000SQUARE FEET 71825,B100000,00000,0200,00000SQUARE FEET 71825,B100000,00000,0300,00000GROSS SALARIES 71825,B100000,00000,0400,00000ACCUM. COST 71825,B100000,00000,0500,00000SQUARE FEET 71825,B100000,00000,0600,00000PATIENT DAYS 71825,B100000,00000,0700,00000SQUARE FEET 71825,B100000,00000,0800,00000PATIENT DAYS 71825,B100000,00000,0900,00000DIRECT NRSG HRS 71825,B100000,00000,1000,00000COSTED REQUIS 71825,B100000,00000,1100,00000COSTED REQUIS 71825,B100000,00000,1200,00000TIME SPENT 71825,B100000,00000,1300,00000TIME SPENT 71825,B100000,00000,1350,00000PATIENT DAYS 71825,B100000,00000,1400,00000ASSIGNED TIME 71825,S000000,00100,0200,07/03/2000 71825,S200000,00100,0100,2902 EAST AVENUE SOUTH 71825,S200000,00200,0100,LA CROSSE 71825,S200000,00200,0200,WI 71825,S200000,00300,0100,LA CROSSE 71825,S200000,00400,0100,ST. JOSEPHS NURSING HOME 71825,S200000,00400,0200,525438 71825,S200000,00400,0300,09/30/1989 71825,S200000,00400,0500,P 71825,S200000,01600,0100,Y 71835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71835,A000000,00300,0000,00300EMPLOYEE BENEFITS 71835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71835,A000000,00700,0000,00700HOUSEKEEPING 71835,A000000,00800,0000,00800DIETARY 71835,A000000,00900,0000,00900NURSING ADMINISTRATION 71835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71835,A000000,01100,0000,01100PHARMACY 71835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71835,A000000,01300,0000,01300SOCIAL SERVICE 71835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71835,A000000,01600,0000,01600SKILLED NURSING FACILITY 71835,A000000,01810,0000,01810ICF/MR 71835,A000000,02100,0000,02100RADIOLOGY 71835,A000000,02200,0000,02200LABORATORY 71835,A000000,02500,0000,02500PHYSICAL THERAPY 71835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71835,A000000,02700,0000,02700SPEECH PATHOLOGY 71835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71835,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71835,A000000,03200,0000,03200SUPPORT SURFACES 71835,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71835,A000000,03550,0000,03550FQHC 71835,A000000,05000,0000,05000CORF 71835,A000000,05010,0000,05010CMHC 71835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71835,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71835,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71835,B100000,00000,0100,00000SQUARE FEET 71835,B100000,00000,0200,00000SQUARE FEET 71835,B100000,00000,0300,00000GROSS SALARIES 71835,B100000,00000,0400,00000ACCUM COST 71835,B100000,00000,0500,00000SQUARE FEET 71835,B100000,00000,0600,00000PATIENT DAYS 71835,B100000,00000,0700,00000SQUARE FEET 71835,B100000,00000,0800,00000MEALS SERVED 71835,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71835,B100000,00000,1000,00000COSTED REQUISITIO 71835,B100000,00000,1100,00000COSTED REQUISITIO 71835,B100000,00000,1200,00000PATIENT DAYS 71835,B100000,00000,1300,00000PATIENT DAYS 71835,B100000,00000,1400,00000ASSIGNED TIME 71835,S000000,00100,0200,01/30/2001 71835,S200000,00100,0100,3516 W. CENTER STREET 71835,S200000,00200,0100,MILWAUKEE 71835,S200000,00200,0200,WI 71835,S200000,00200,0300,53210 71835,S200000,00300,0100,M 71835,S200000,00400,0100,ST. MARYS NURSING HOME 71835,S200000,00400,0200,525439 71835,S200000,00400,0300,07/01/1989 71835,S200000,00400,0500,P 71835,S200000,01500,0100,Y 71842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71842,A000000,00300,0000,00300EMPLOYEE BENEFITS 71842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71842,A000000,00700,0000,00700HOUSEKEEPING 71842,A000000,00800,0000,00800DIETARY 71842,A000000,00900,0000,00900NURSING ADMINISTRATION 71842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71842,A000000,01100,0000,01100PHARMACY 71842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71842,A000000,01300,0000,01300SOCIAL SERVICE 71842,A000000,01350,0000,01500ACTIVITIES 71842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71842,A000000,01600,0000,01600SKILLED NURSING FACILITY 71842,A000000,01810,0000,01810ICF/MR 71842,A000000,02100,0000,02100RADIOLOGY 71842,A000000,02200,0000,02200LABORATORY 71842,A000000,02500,0000,02500PHYSICAL THERAPY 71842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71842,A000000,02700,0000,02700SPEECH PATHOLOGY 71842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71842,A000000,03550,0000,03550FQHC 71842,A000000,05000,0000,05000CORF 71842,A000000,05010,0000,05010CMHC 71842,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71842,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71842,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71842,A000000,06150,0000,06300CBRF 71842,A81000A,00100,0100,Y 71842,A81000B,00100,0300,BUILDING RENT 71842,A81000B,00200,0300,MANAGEMENT FEES 71842,A81000B,00300,0300,MANAGEMENT FEES 71842,A81000B,00400,0300,LAUNDRY & LINEN 71842,A81000B,00500,0300,MANAGEMENT FEES 71842,A81000B,00600,0300,MANAGEMENT FEES 71842,A81000C,00100,0100,B 71842,A81000C,00100,0200,ALLAN BIRD 71842,A81000C,00100,0400,RPHF 71842,A81000C,00100,0600,HOME OFFICE 71842,B100000,00000,0100,00000SQUARE FEET 71842,B100000,00000,0200,00000SQUARE FEET 71842,B100000,00000,0300,00000GROSS SALARIES 71842,B100000,00000,0400,00000ACCUM COST 71842,B100000,00000,0500,00000SQUARE FEET 71842,B100000,00000,0600,00000POUNDS OF LAUNDRY 71842,B100000,00000,0700,00000SQUARE FEET 71842,B100000,00000,0800,00000MEALS SERVED 71842,B100000,00000,0900,00000DIRECT NRSG HRS 71842,B100000,00000,1000,00000COSTED REQUIS 71842,B100000,00000,1100,00000COSTED REQUIS 71842,B100000,00000,1200,00000TIME SPENT 71842,B100000,00000,1300,00000PATIENT DAYS 71842,B100000,00000,1350,00000PATIENT DAYS 71842,B100000,00000,1400,00000ASSIGNED TIME 71842,S000000,00100,0200,06/12/2000 71842,S200000,00100,0100,301 CHERRY STREET 71842,S200000,00200,0100,PLUM CITY 71842,S200000,00200,0200,WI 71842,S200000,00200,0300,54761 71842,S200000,00300,0100,PIERCE 71842,S200000,00400,0100,PLUM CITY CARE CENTER 71842,S200000,00400,0200,525440 71842,S200000,00400,0300,10/01/1989 71842,S200000,00400,0500,P 71842,S200000,01500,0100,Y 71842,S200000,01900,0100,OTHER (SPECIFY) 71851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71851,A000000,00300,0000,00300EMPLOYEE BENEFITS 71851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71851,A000000,00700,0000,00700HOUSEKEEPING 71851,A000000,00800,0000,00800DIETARY 71851,A000000,00900,0000,00900NURSING ADMINISTRATION 71851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71851,A000000,01100,0000,01100PHARMACY 71851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71851,A000000,01300,0000,01300SOCIAL SERVICE 71851,A000000,01350,0000,01500ACTIVITIES 71851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71851,A000000,01600,0000,01600SKILLED NURSING FACILITY 71851,A000000,01800,0000,01800NURSING FACILITY 71851,A000000,01810,0000,01810ICF/MR 71851,A000000,02100,0000,02100RADIOLOGY 71851,A000000,02200,0000,02200LABORATORY 71851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71851,A000000,02500,0000,02500PHYSICAL THERAPY 71851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71851,A000000,02700,0000,02700SPEECH PATHOLOGY 71851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71851,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71851,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71851,A000000,03550,0000,03550FQHC 71851,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71851,A000000,05000,0000,05000CORF 71851,A000000,05010,0000,05010CMHC 71851,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71851,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71851,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71851,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71851,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71851,A81000A,00100,0100,Y 71851,A81000B,00100,0300,COUNTY ALLOCATION 71851,A81000B,00200,0300,COUNTY ALLOCATION 71851,A81000C,00100,0100,G 71851,A81000C,00100,0200,MANITOWOC COUNTY 71851,A81000C,00100,0400,MANITOWOC COUNTY WI 71851,A81000C,00100,0600,COUNTY GOVERNMENT 71851,B100000,00000,0100,00000SQUARE FEET 71851,B100000,00000,0200,00000SQUARE FEET 71851,B100000,00000,0300,00000GROSS SALARIES 71851,B100000,00000,0400,00000ACCUM. COST 71851,B100000,00000,0500,00000SQUARE FEET 71851,B100000,00000,0600,00000PATIENT DAYS 71851,B100000,00000,0700,00000SQUARE FEET 71851,B100000,00000,0800,00000MEALS SERVED 71851,B100000,00000,0900,00000DIRECT NRSING HRS 71851,B100000,00000,1000,00000COSTED REQUIS 71851,B100000,00000,1100,00000COSTED REQUIS. 71851,B100000,00000,1200,00000GROSS CHARGES 71851,B100000,00000,1300,00000PATIENT DAYS 71851,B100000,00000,1350,00000PATIENT DAYS 71851,B100000,00000,1400,00000ASSIGNED TIME 71851,E10A180,00350,0100,01/01/2000 71851,E10A180,00350,0300,01/01/2000 71851,S000000,00100,0200,06/05/2000 71851,S200000,00100,0100,4200 CALUMET AVENUE 71851,S200000,00200,0100,MANITOWOC 71851,S200000,00200,0200,WI 71851,S200000,00300,0100,MANITOWOC 71851,S200000,00400,0100,MANITOWOC HEALTH CARE CENTER 71851,S200000,00400,0200,525441 71851,S200000,00400,0300,10/01/1989 71851,S200000,00400,0500,P 71851,S200000,01600,0100,Y 71862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71862,A000000,00300,0000,00300EMPLOYEE BENEFITS 71862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71862,A000000,00700,0000,00700HOUSEKEEPING 71862,A000000,00800,0000,00800DIETARY 71862,A000000,00900,0000,00900NURSING ADMINISTRATION 71862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71862,A000000,01100,0000,01100PHARMACY 71862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71862,A000000,01300,0000,01300SOCIAL SERVICE 71862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71862,A000000,01600,0000,01600SKILLED NURSING FACILITY 71862,A000000,01810,0000,01810ICF/MR 71862,A000000,02100,0000,02100RADIOLOGY 71862,A000000,02200,0000,02200LABORATORY 71862,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71862,A000000,02500,0000,02500PHYSICAL THERAPY 71862,A000000,02700,0000,02700SPEECH PATHOLOGY 71862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71862,A000000,03550,0000,03550FQHC 71862,A000000,05000,0000,05000CORF 71862,A000000,05010,0000,05010CMHC 71862,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71862,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71862,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71862,A000000,05300,0000,05300INTEREST EXPENSE 71862,A81000A,00100,0100,Y 71862,A81000B,00100,0300,ALLOCATED BENEFITS 71862,A81000B,00200,0300,ALLOCATED ADMIN 71862,A81000B,00300,0300,ALLOCATED LAUNDRY 71862,A81000B,00400,0300,ALLOCATED COST 71862,A81000B,00500,0300,ALLOCATED COST 71862,A81000B,00600,0300,ALLOCATED COST 71862,A81000B,00700,0300,ALLOCATED COST 71862,A81000B,00800,0300,ALLOCATED COST 71862,A81000B,00900,0300,ALLOCATED COST 71862,A81000B,01000,0300,ALLOCATED COST 71862,A81000B,01100,0300,INTEREST EXP 71862,A81000C,00100,0100,B 71862,A81000C,00100,0400,FSMC 71862,A81000C,00100,0600,HOSPITAL/CLINIC 71862,A81000C,00200,0100,B 71862,A81000C,00200,0400,FHS 71862,A81000C,00200,0600,HEALTH MANAGEMT 71862,A81000C,00300,0100,B 71862,A81000C,00300,0400,GREATER LA CROE 71862,A81000C,00300,0600,HEALTH INS 71862,A81000C,00400,0100,B 71862,A81000C,00400,0400,MAYO FOUNDATION 71862,A81000C,00400,0600,HEALTH CARE 71862,B100000,00000,0100,00000SQUARE FEET 71862,B100000,00000,0200,00000DEPN EXPENSE 71862,B100000,00000,0300,00000GROSS SALARIES 71862,B100000,00000,0400,00000ACCUM. COST 71862,B100000,00000,0500,00000SQUARE FEET 71862,B100000,00000,0600,00000LAUNDRY POUNDS 71862,B100000,00000,0700,00000SQUARE FEET 71862,B100000,00000,0800,00000MEALS 71862,B100000,00000,0900,00000DIRECT NRSG HRS 71862,B100000,00000,1000,00000COSTED REQUIS 71862,B100000,00000,1100,00000COSTED REQUIS 71862,B100000,00000,1200,00000TIME SPENT 71862,B100000,00000,1300,00000TIME SPENT 71862,B100000,00000,1400,00000ASSIGNED TIME 71862,S000000,00100,0200,06/01/2000 71862,S200000,00100,0100,1600 MAIN STREET 71862,S200000,00200,0100,ONALASKA 71862,S200000,00200,0200,WI 71862,S200000,00200,0300,54650 71862,S200000,00300,0100,LA CROSSE 71862,S200000,00400,0100,FSMC ONALASKA NURSING HOME 71862,S200000,00400,0200,525443 71862,S200000,00400,0300,08/01/1995 71862,S200000,00400,0500,P 71862,S200000,01500,0100,Y 71862,S200000,01900,0100,501(C)(3) 71862,S200000,02200,0100,Y 71862,S200000,02800,0100,Y 71862,S200000,03100,0100,Y 71862,S200000,04100,0100,Y 71874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71874,A000000,00300,0000,00300EMPLOYEE BENEFITS 71874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71874,A000000,00700,0000,00700HOUSEKEEPING 71874,A000000,00800,0000,00800DIETARY 71874,A000000,00900,0000,00900NURSING ADMINISTRATION 71874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71874,A000000,01100,0000,01100PHARMACY 71874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71874,A000000,01300,0000,01300SOCIAL SERVICE 71874,A000000,01301,0000,01301ACTIVITIES 71874,A000000,01350,0000,01500REHAB 71874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71874,A000000,01600,0000,01600SKILLED NURSING FACILITY 71874,A000000,01810,0000,01810ICF/MR 71874,A000000,02100,0000,02100RADIOLOGY 71874,A000000,02200,0000,02200LABORATORY 71874,A000000,02300,0000,02300INTRAVENOUS THERAPY 71874,A000000,02500,0000,02500PHYSICAL THERAPY 71874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71874,A000000,02700,0000,02700SPEECH PATHOLOGY 71874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71874,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71874,A000000,03550,0000,03550FQHC 71874,A000000,04800,0000,04800AMBULANCE 71874,A000000,05000,0000,05000CORF 71874,A000000,05010,0000,05010CMHC 71874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71874,A000000,05300,0000,05300INTEREST EXPENSE 71874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71874,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71874,A81000A,00100,0100,Y 71874,A81000B,00100,0300,HOME OFFICE ALLOCATION 71874,A81000B,00200,0300,ADMINISTRATION 71874,A81000B,00400,0300,PT 71874,A81000B,00500,0300,OT 71874,A81000B,00600,0300,ST 71874,A81000C,00100,0100,B 71874,A81000C,00100,0200,HILLSIDE 14454 71874,A81000C,00100,0400,MARINER POST AC 71874,A81000C,00100,0600,NURSING HOMES 71874,A81000C,00200,0100,G 71874,A81000C,00200,0200,MARINER POST AC 71874,A81000C,00200,0400,AMERICAN PHARMA 71874,A81000C,00200,0600,PHARMACEUTICALS 71874,A81000C,00300,0100,G 71874,A81000C,00300,0200,MARINER POST AC 71874,A81000C,00300,0400,PRISM (ATS ARS 71874,A81000C,00300,0600,THERAPIES 71874,B100000,00000,0100,00000SQUARE FEET 71874,B100000,00000,0200,00000SQUARE FEET 71874,B100000,00000,0300,00000GROSS SALARIES 71874,B100000,00000,0400,00000ACCUM COST 71874,B100000,00000,0500,00000SQUARE FEET 71874,B100000,00000,0600,00000PATIENT DAYS 71874,B100000,00000,0700,00000SQUARE FEET 71874,B100000,00000,0800,00000MEALS SERVED 71874,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71874,B100000,00000,1000,00000PATIENT DAYS 71874,B100000,00000,1100,00000COSTED REQUIS 71874,B100000,00000,1200,00000PATIENT DAYS 71874,B100000,00000,1300,00000PATIENT DAYS 71874,B100000,00000,1301,00000PATIENT DAYS 71874,B100000,00000,1350,00000UNITS OF SERVICE 71874,B100000,00000,1400,00000ASSIGNED TIME 71874,E10A180,00550,0300,07/19/2000 71874,S000000,00100,0200,06/14/2000 71874,S200000,00100,0100,8726 W MILL RD 71874,S200000,00200,0100,MILWAUKEE 71874,S200000,00200,0200,WI 71874,S200000,00200,0300,53225 71874,S200000,00300,0100,MILWAUKEE 71874,S200000,00400,0100,HILLSIDE HEALTHCARE CENTER 71874,S200000,00400,0200,525446 71874,S200000,00400,0300,10/01/1989 71874,S200000,00400,0500,P 71874,S200000,01900,0100,PROPRIETORSHIP 71890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71890,A000000,00300,0000,00300EMPLOYEE BENEFITS 71890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71890,A000000,00700,0000,00700HOUSEKEEPING 71890,A000000,00800,0000,00800DIETARY 71890,A000000,00900,0000,00900NURSING ADMINISTRATION 71890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71890,A000000,01100,0000,01100PHARMACY 71890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71890,A000000,01300,0000,01300SOCIAL SERVICE 71890,A000000,01350,0000,01500PATIENT ACTIVITIES 71890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71890,A000000,01600,0000,01600SKILLED NURSING FACILITY 71890,A000000,01800,0000,01800NURSING FACILITY 71890,A000000,01810,0000,01810ICF/MR 71890,A000000,02500,0000,02500PHYSICAL THERAPY 71890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71890,A000000,02700,0000,02700SPEECH PATHOLOGY 71890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71890,A000000,03550,0000,03550FQHC 71890,A000000,05000,0000,05000CORF 71890,A000000,05010,0000,05010CMHC 71890,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71890,A81000A,00100,0100,Y 71890,A81000B,00100,0300,MANAGEMENT FEE 71890,A81000B,00200,0300,BUILDING LEASE 71890,A81000B,00300,0300,HOME OFFICE CAPITAL 71890,A81000C,00100,0100,A 71890,A81000C,00100,0200,TIM RENNES 71890,A81000C,00100,0400,RENNES GROUP 71890,A81000C,00100,0600,HOME OFFICE 71890,A81000C,00200,0100,A 71890,B100000,00000,0100,00000SQUARE FEET 71890,B100000,00000,0200,00000SQUARE FEET 71890,B100000,00000,0300,00000GROSS SALARIES 71890,B100000,00000,0400,00000ACCUM. COST 71890,B100000,00000,0500,00000SQUARE FEET 71890,B100000,00000,0600,00000POUNDS OF LAUNDRY 71890,B100000,00000,0700,00000SQUARE FEET 71890,B100000,00000,0800,00000PATIENT DAYS 71890,B100000,00000,0900,00000DIRECT NRSG HRS 71890,B100000,00000,1000,00000COSTED REQUIS 71890,B100000,00000,1100,00000COSTED REQUIS 71890,B100000,00000,1200,00000TIME SPENT 71890,B100000,00000,1300,00000TIME SPENT 71890,B100000,00000,1350,00000PATIENT DAYS 71890,B100000,00000,1400,00000ASSIGNED TIME 71890,S000000,00100,0200,06/06/2000 71890,S200000,00100,0100,501 N. LAKE STREET 71890,S200000,00200,0100,PESHTIGO 71890,S200000,00200,0200,WI 71890,S200000,00300,0100,MARINETTE 71890,S200000,00400,0100,RENNES HEALTH CENTER - WEST 71890,S200000,00400,0200,525451 71890,S200000,00400,0300,12/01/1989 71890,S200000,00400,0500,P 71890,S200000,01600,0100,Y 71910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71910,A000000,00300,0000,00300EMPLOYEE BENEFITS 71910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71910,A000000,00700,0000,00700HOUSEKEEPING 71910,A000000,00800,0000,00800DIETARY 71910,A000000,00900,0000,00900NURSING ADMINISTRATION 71910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71910,A000000,01100,0000,01100PHARMACY 71910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71910,A000000,01300,0000,01300SOCIAL SERVICE 71910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71910,A000000,01600,0000,01600SKILLED NURSING FACILITY 71910,A000000,01800,0000,01800NURSING FACILITY 71910,A000000,01810,0000,01810ICF/MR 71910,A000000,02100,0000,02100RADIOLOGY 71910,A000000,02200,0000,02200LABORATORY 71910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 71910,A000000,02500,0000,02500PHYSICAL THERAPY 71910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71910,A000000,02700,0000,02700SPEECH PATHOLOGY 71910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71910,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 71910,A000000,03052,0000,03302MEDICAL EQUIPMENT 71910,A000000,03550,0000,03550FQHC 71910,A000000,05000,0000,05000CORF 71910,A000000,05010,0000,05010CMHC 71910,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71910,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71910,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71910,A81000A,00100,0100,Y 71910,A81000B,00100,0300,HOME OFFICE A&G 71910,A81000B,00200,0300,HOME OFFICE CAPITAL 71910,A81000B,00300,0300,DIVISION OFFICE A&G 71910,A81000B,00500,0300,INSURANCE 71910,A81000B,00600,0300,PHYSICAL THERAPY 71910,A81000B,00700,0300,OCCUPATIONAL THERAPY 71910,A81000B,00800,0300,SPEECH THERAPY 71910,A81000B,00900,0300,AIR FLUIDIZED THERAPY 71910,A81000C,00100,0100,B 71910,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 71910,A81000C,00200,0100,G 71910,A81000C,00200,0200,LAURIER INC. 71910,A81000C,00200,0400,EXTENDICARE INC. 71910,A81000C,00200,0600,INSURANCE 71910,A81000C,00300,0100,G 71910,A81000C,00300,0200,UNITED REHABILITATION SVS 71910,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 71910,A81000C,00300,0600,THERAPY SERVICE 71910,A81000C,00400,0100,G 71910,A81000C,00400,0200,UNITED PROFESSIONAL CO 71910,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 71910,A81000C,00400,0600,MED SUPP RX 71910,B100000,00000,0100,00040SQUARE FEET 71910,B100000,00000,0200,00040SQUARE FEET 71910,B100000,00000,0300,00040GROSS SALARIES 71910,B100000,00000,0400,00040ACCUM. COST 71910,B100000,00000,0500,00040SQUARE FEET 71910,B100000,00000,0600,00040PATIENT DAYS 71910,B100000,00000,0700,00040ALTERNATE SQUARE FEE 71910,B100000,00000,0800,00040PATIENT DAYS 71910,B100000,00000,0900,00040PATIENT DAYS 71910,B100000,00000,1000,00040COSTED REQUIS 71910,B100000,00000,1100,00040COSTED REQUIS 71910,B100000,00000,1200,00040GROSS REVENUE 71910,B100000,00000,1300,00040PATIENT DAYS 71910,B100000,00000,1400,00040ASSIGNED TIME 71910,E10A180,00301,0100,06/22/1998 71910,E10A180,00301,0300,06/22/1998 71910,E10A180,00350,0100,06/22/1998 71910,E10A180,00350,0300,06/22/1998 71910,E10A180,00501,0300,02/12/2001 71910,S000000,00100,0200,06/20/2000 71910,S200000,00100,0100,2512 NEW PINE DRIVE 71910,S200000,00200,0100,ALTOONA 71910,S200000,00200,0200,WI 71910,S200000,00300,0100,EAU CLAIRE 71910,S200000,00400,0100,OAKWOOD VILLA 71910,S200000,00400,0200,525454 71910,S200000,00400,0300,01/01/1990 71910,S200000,00400,0500,P 71910,S200000,01600,0100,Y 71910,S200000,01900,0100,PRIVATE 71918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71918,A000000,00300,0000,00300EMPLOYEE BENEFITS 71918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71918,A000000,00700,0000,00700HOUSEKEEPING 71918,A000000,00800,0000,00800DIETARY 71918,A000000,00900,0000,00900NURSING ADMINISTRATION 71918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71918,A000000,01100,0000,01100PHARMACY 71918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71918,A000000,01300,0000,01300SOCIAL SERVICE 71918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71918,A000000,01600,0000,01600SKILLED NURSING FACILITY 71918,A000000,01810,0000,01810ICF/MR 71918,A000000,02100,0000,02100RADIOLOGY 71918,A000000,02200,0000,02200LABORATORY 71918,A000000,02300,0000,02300INTRAVENOUS THERAPY 71918,A000000,02500,0000,02500PHYSICAL THERAPY 71918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71918,A000000,02700,0000,02700SPEECH PATHOLOGY 71918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71918,A000000,03550,0000,03550FQHC 71918,A000000,05000,0000,05000CORF 71918,A000000,05010,0000,05010CMHC 71918,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71918,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71918,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71918,A000000,05300,0000,05300INTEREST EXPENSE 71918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71918,B100000,00000,0100,00000SQUARE FEET 71918,B100000,00000,0200,00000SQUARE FEET 71918,B100000,00000,0300,00000GROSS SALARIES 71918,B100000,00000,0400,00000ACCUM COST 71918,B100000,00000,0500,00000SQUARE FEET 71918,B100000,00000,0600,00000PATIENT DAYS 71918,B100000,00000,0700,00000SQUARE FEET 71918,B100000,00000,0800,00000MEALS SERVED 71918,B100000,00000,0900,00000PATIENT DAYS 71918,B100000,00000,1000,00000COSTED REQUIS 71918,B100000,00000,1100,00000COSTED REQUIS 71918,B100000,00000,1200,00000TIME SPENT 71918,B100000,00000,1300,00000PATIENT DAYS 71918,B100000,00000,1400,00000ASSIGNED TIME 71918,S000000,00100,0200,06/26/2000 71918,S200000,00100,0100,2575 SOUTH 7TH STREET 71918,S200000,00200,0100,LA CROSSE 71918,S200000,00200,0200,WI 71918,S200000,00200,0300,54601 71918,S200000,00300,0100,LA CROSSE 71918,S200000,00400,0100,BETHANY RIVERSIDE 71918,S200000,00400,0200,525455 71918,S200000,00400,0300,01/01/1990 71918,S200000,00400,0500,P 71918,S200000,01500,0100,Y 71918,S200000,02800,0100,Y 71926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71926,A000000,00300,0000,00300EMPLOYEE BENEFITS 71926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71926,A000000,00700,0000,00700HOUSEKEEPING 71926,A000000,00800,0000,00800DIETARY 71926,A000000,00900,0000,00900NURSING ADMINISTRATION 71926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71926,A000000,01100,0000,01100PHARMACY 71926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71926,A000000,01300,0000,01300SOCIAL SERVICE 71926,A000000,01350,0000,01500PATIENT ACTIVITIES 71926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71926,A000000,01600,0000,01600SKILLED NURSING FACILITY 71926,A000000,01800,0000,01800NURSING FACILITY 71926,A000000,01810,0000,01810ICF/MR 71926,A000000,02500,0000,02500PHYSICAL THERAPY 71926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71926,A000000,02700,0000,02700SPEECH PATHOLOGY 71926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71926,A000000,03550,0000,03550FQHC 71926,A000000,05000,0000,05000CORF 71926,A000000,05010,0000,05010CMHC 71926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71926,A81000A,00100,0100,Y 71926,A81000B,00100,0300,MANAGEMENT FEE 71926,A81000B,00200,0300,HOME OFFICE CAPITAL 71926,A81000C,00100,0100,A 71926,A81000C,00100,0200,TIM RENNES 71926,A81000C,00100,0400,RENNES GROUP 71926,A81000C,00100,0600,RENNES GROUP 71926,B100000,00000,0100,00000SQUARE FEET 71926,B100000,00000,0200,00000SQUARE FEET 71926,B100000,00000,0300,00000GROSS SALARIES 71926,B100000,00000,0400,00000ACCUM. COST 71926,B100000,00000,0500,00000SQUARE FEET 71926,B100000,00000,0600,00000POUNDS OF LAUND 71926,B100000,00000,0700,00000SQUARE FEET 71926,B100000,00000,0800,00000PATIENT DAYS 71926,B100000,00000,0900,00000DIRECT NRSG HRS 71926,B100000,00000,1000,00000COSTED REQUIS 71926,B100000,00000,1100,00000COSTED REQUIS 71926,B100000,00000,1200,00000TIME SPENT 71926,B100000,00000,1300,00000TIME SPENT 71926,B100000,00000,1350,00000PATIENT DAYS 71926,B100000,00000,1400,00000ASSIGNED TIME 71926,S000000,00100,0200,06/06/2000 71926,S200000,00100,0100,701 WILLOW STREET 71926,S200000,00200,0100,PESHTIGO 71926,S200000,00200,0200,WI 71926,S200000,00300,0100,MARINETTE 71926,S200000,00400,0100,RENNES HEALTH CENTER - EAST 71926,S200000,00400,0200,525457 71926,S200000,00400,0300,12/01/1989 71926,S200000,00400,0500,P 71926,S200000,01600,0100,Y 71938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71938,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71938,A000000,00300,0000,00300EMPLOYEE BENEFITS 71938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71938,A000000,00700,0000,00700HOUSEKEEPING 71938,A000000,00800,0000,00800DIETARY 71938,A000000,00900,0000,00900NURSING ADMINISTRATION 71938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71938,A000000,01100,0000,01100PHARMACY 71938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71938,A000000,01300,0000,01300SOCIAL SERVICE 71938,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71938,A000000,01600,0000,01600SKILLED NURSING FACILITY 71938,A000000,01800,0000,01800NURSING FACILITY 71938,A000000,01810,0000,01810ICF/MR 71938,A000000,02100,0000,02100RADIOLOGY 71938,A000000,02200,0000,02200LABORATORY 71938,A000000,02300,0000,02300INTRAVENOUS THERAPY 71938,A000000,02500,0000,02500PHYSICAL THERAPY 71938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71938,A000000,02700,0000,02700SPEECH PATHOLOGY 71938,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71938,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 71938,A000000,03200,0000,03200SUPPORT SURFACES 71938,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 71938,A000000,03550,0000,03550FQHC 71938,A000000,05000,0000,05000CORF 71938,A000000,05010,0000,05010CMHC 71938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71938,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71938,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 71938,A81000A,00100,0100,Y 71938,A81000B,00100,0300,BUILDING LEASE 71938,A81000B,00200,0300,PT SERVICES 71938,A81000B,00300,0300,OT SERVICES 71938,A81000B,00400,0300,SP SERVICES 71938,A81000B,00500,0300,HOME OFFICE COSTS 71938,A81000B,00600,0300,HO DRUG COSTS 71938,A81000B,00700,0300,HO PHARMACY EXP 71938,A81000B,00800,0300,HO CAPITAL/ INT 71938,A81000C,00100,0100,B 71938,A81000C,00100,0400,PPF ENTERPRISES 71938,A81000C,00100,0600,REAL ESTATE 71938,A81000C,00200,0100,B 71938,A81000C,00200,0400,PPFII ENTERPRIS 71938,A81000C,00200,0600,MGMT COMPANY 71938,A81000C,00300,0100,B 71938,A81000C,00300,0400,PETERSEN REHAB 71938,A81000C,00300,0600,REHAB CENTER 71938,A81000C,00400,0100,B 71938,A81000C,00400,0400,PETERSEN HEALTH 71938,A81000C,00400,0600,HM OFFICE/ PHAR 71938,B100000,00000,0100,00000SQUARE FEET 71938,B100000,00000,0200,00000SQUARE FEET 71938,B100000,00000,0300,00000GROSS SALARIES 71938,B100000,00000,0400,00000ACCUM COST 71938,B100000,00000,0500,00000SQUARE FEET 71938,B100000,00000,0600,00000POUNDS OF LAUNDRY 71938,B100000,00000,0700,00000SQUARE FEET 71938,B100000,00000,0800,00000MEALS SERVED 71938,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 71938,B100000,00000,1000,00000COSTED REQUISITIO 71938,B100000,00000,1100,00000COSTED REQUISITIO 71938,B100000,00000,1200,00000TIME SPENT 71938,B100000,00000,1300,00000PATIENT DAYS 71938,B100000,00000,1400,00000ASSIGNED TIME 71938,S000000,00100,0200,06/27/2000 71938,S200000,00100,0100,900 BOYCE DRIVE 71938,S200000,00100,0300,P O BOX 857 71938,S200000,00200,0100,RHINELANDER 71938,S200000,00200,0200,WISCONSIN 71938,S200000,00200,0300,54501 71938,S200000,00300,0100,ONEIDA 71938,S200000,00400,0100,FRIENDLY VILLAGE 71938,S200000,00400,0200,525459 71938,S200000,00400,0300,01/01/1991 71938,S200000,00400,0500,P 71938,S200000,01600,0100,Y 71938,S200000,01900,0100,OTHER 71948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71948,A000000,00300,0000,00300EMPLOYEE BENEFITS 71948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71948,A000000,00700,0000,00700HOUSEKEEPING 71948,A000000,00800,0000,00800DIETARY 71948,A000000,00900,0000,00900NURSING ADMINISTRATION 71948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71948,A000000,01100,0000,01100PHARMACY 71948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71948,A000000,01300,0000,01300SOCIAL SERVICE 71948,A000000,01350,0000,01500ACTIVITIES DEPARTMENT 71948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71948,A000000,01600,0000,01600SKILLED NURSING FACILITY 71948,A000000,01810,0000,01810ICF/MR 71948,A000000,02100,0000,02100RADIOLOGY 71948,A000000,02200,0000,02200LABORATORY 71948,A000000,02500,0000,02500PHYSICAL THERAPY 71948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71948,A000000,02700,0000,02700SPEECH PATHOLOGY 71948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71948,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71948,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71948,A000000,03550,0000,03550FQHC 71948,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71948,A000000,05000,0000,05000CORF 71948,A000000,05010,0000,05010CMHC 71948,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71948,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71948,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71948,A000000,05300,0000,05300INTEREST EXPENSE 71948,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71948,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71948,B100000,00000,0100,00000SQUARE FEET 71948,B100000,00000,0200,00000SQUARE FEET 71948,B100000,00000,0300,00000GROSS SALARIES 71948,B100000,00000,0400,00000ACCUM. COST 71948,B100000,00000,0500,00000SQUARE FEET 71948,B100000,00000,0600,00000POUNDS OF LAUNDRY 71948,B100000,00000,0700,00000SQUARE FEET 71948,B100000,00000,0800,00000MEALS SERVED 71948,B100000,00000,0900,00000DIRECT NRSING HRS 71948,B100000,00000,1000,00000COSTED REQUIS. 71948,B100000,00000,1100,00000COSTED REQUIS. 71948,B100000,00000,1200,00000TIME SPENT 71948,B100000,00000,1300,00000PATIENT DAYS 71948,B100000,00000,1350,00000PATIENT DAYS 71948,B100000,00000,1400,00000ASSIGNED TIME 71948,S000000,00100,0200,01/03/2001 71948,S200000,00100,0300,398 71948,S200000,00200,0100,FALL CREEK 71948,S200000,00200,0200,WI 71948,S200000,00200,0300,54742 71948,S200000,00300,0100,EAU CLAIRE 71948,S200000,00400,0100,FALL CREEK VALLEY NURSING HOME 71948,S200000,00400,0200,525460 71948,S200000,00400,0300,03/01/1990 71948,S200000,00400,0500,P 71948,S200000,01500,0100,Y 71948,S200000,01900,0100,OTHER 71956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71956,A000000,00300,0000,00300EMPLOYEE BENEFITS 71956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71956,A000000,00700,0000,00700HOUSEKEEPING 71956,A000000,00800,0000,00800DIETARY 71956,A000000,00900,0000,00900NURSING ADMINISTRATION 71956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71956,A000000,01100,0000,01100PHARMACY 71956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71956,A000000,01300,0000,01300SOCIAL SERVICE 71956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71956,A000000,01600,0000,01600SKILLED NURSING FACILITY 71956,A000000,01800,0000,01800NURSING FACILITY 71956,A000000,01810,0000,01810ICF/MR 71956,A000000,02100,0000,02100RADIOLOGY 71956,A000000,02200,0000,02200LABORATORY 71956,A000000,02500,0000,02500PHYSICAL THERAPY 71956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71956,A000000,02700,0000,02700SPEECH PATHOLOGY 71956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71956,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 71956,A000000,03051,0000,03301DURABLE MEDICAL EQUIPMENT 71956,A000000,03550,0000,03550FQHC 71956,A000000,05000,0000,05000CORF 71956,A000000,05010,0000,05010CMHC 71956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 71956,A81000A,00100,0100,Y 71956,A81000B,00100,0300,LEASE REDUCED TO COSTS 71956,A81000C,00100,0100,A 71956,A81000C,00100,0200,NURSING HOME COMPANY 71956,A81000C,00100,0400,PARTNERSHIP NH 71956,A81000C,00100,0600,REAL ESTATE OWNER 71956,B100000,00000,0100,00000SQUARE FEET 71956,B100000,00000,0200,00000SQUARE FEET 71956,B100000,00000,0300,00000GROSS SALARIES 71956,B100000,00000,0400,00000ACCUM. COST 71956,B100000,00000,0500,00000SQUARE FEET 71956,B100000,00000,0600,00000PATIENT DAYS 71956,B100000,00000,0700,00000SQUARE FEET 71956,B100000,00000,0800,00000MEALS SERVED 71956,B100000,00000,0900,00000DIRECT NURSING HR 71956,B100000,00000,1000,00000NO STATISTICS 71956,B100000,00000,1100,00000NO STATISTICS 71956,B100000,00000,1200,00000NO STATISTICS 71956,B100000,00000,1300,00000PATIENT DAYS 71956,B100000,00000,1400,00000ASSIGNED TIME 71956,E10A180,00301,0100,08/23/1999 71956,E10A180,00302,0100,10/25/1999 71956,E10A180,00501,0300,10/09/2000 71956,E10A180,00550,0100,10/09/2000 71956,S000000,00100,0200,05/19/2000 71956,S200000,00100,0100,245 SYCAMORE STREET 71956,S200000,00200,0100,SAUK CITY 71956,S200000,00200,0200,WI 71956,S200000,00300,0100,SAUK 71956,S200000,00400,0100,MAPLEWOOD OF SAUK PRAIRIE 71956,S200000,00400,0200,525462 71956,S200000,00400,0300,01/01/1990 71956,S200000,00400,0500,P 71956,S200000,01600,0100,Y 71965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71965,A000000,00300,0000,00300EMPLOYEE BENEFITS 71965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71965,A000000,00700,0000,00700HOUSEKEEPING 71965,A000000,00800,0000,00800DIETARY 71965,A000000,00900,0000,00900NURSING ADMINISTRATION 71965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71965,A000000,01100,0000,01100PHARMACY 71965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71965,A000000,01300,0000,01300SOCIAL SERVICE 71965,A000000,01350,0000,01500PATIENT ACTIVITIES 71965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71965,A000000,01600,0000,01600SKILLED NURSING FACILITY 71965,A000000,01800,0000,01800NURSING FACILITY 71965,A000000,01810,0000,01810ICF/MR 71965,A000000,02500,0000,02500PHYSICAL THERAPY 71965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71965,A000000,02700,0000,02700SPEECH PATHOLOGY 71965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71965,A000000,03550,0000,03550FQHC 71965,A000000,05000,0000,05000CORF 71965,A000000,05010,0000,05010CMHC 71965,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71965,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71965,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71965,A81000A,00100,0100,Y 71965,A81000B,00100,0300,LEASE 71965,A81000C,00100,0100,A 71965,A81000C,00100,0200,GARDEN ENTERPRISES 71965,A81000C,00100,0400,GARDEN ENTERPRISES 71965,A81000C,00100,0600,LEASE 71965,A81000C,00200,0100,A 71965,B100000,00000,0100,00040SQUARE FEET 71965,B100000,00000,0200,00040SQUARE FEET 71965,B100000,00000,0300,00040GROSS SALARIES 71965,B100000,00000,0400,00040ACCUM. COST 71965,B100000,00000,0500,00040SQUARE FEET 71965,B100000,00000,0600,00040PATIENT DAYS 71965,B100000,00000,0700,00040SQUARE FEET 71965,B100000,00000,0800,00040PATIENT DAYS 71965,B100000,00000,0900,00040DIRECT NRSG HRS 71965,B100000,00000,1000,00040COSTED REQUIS 71965,B100000,00000,1100,00040COSTED REQUIS 71965,B100000,00000,1200,00040TIME SPENT 71965,B100000,00000,1300,00040TIME SPENT 71965,B100000,00000,1350,00040PATIENT DAYS 71965,B100000,00000,1400,00040ASSIGNED TIME 71965,S000000,00100,0200,06/23/2000 71965,S200000,00100,0100,1700 MIDWAY ROAD 71965,S200000,00200,0100,MENASHA 71965,S200000,00200,0200,WI 71965,S200000,00300,0100,WINNEBAGO 71965,S200000,00400,0100,OAKRIDGE GARDENS NURSING CENTER 71965,S200000,00400,0200,525463 71965,S200000,00400,0300,01/01/1990 71965,S200000,00400,0500,P 71965,S200000,01600,0100,Y 71965,S200000,01900,0100,501(C)(3) 71978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71978,A000000,00300,0000,00300EMPLOYEE BENEFITS 71978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71978,A000000,00700,0000,00700HOUSEKEEPING 71978,A000000,00800,0000,00800DIETARY 71978,A000000,00900,0000,00900NURSING ADMINISTRATION 71978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71978,A000000,01100,0000,01100PHARMACY 71978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71978,A000000,01300,0000,01300SOCIAL SERVICE 71978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71978,A000000,01600,0000,01600SKILLED NURSING FACILITY 71978,A000000,01810,0000,01810ICF/MR 71978,A000000,02100,0000,02100RADIOLOGY 71978,A000000,02200,0000,02200LABORATORY 71978,A000000,02500,0000,02500PHYSICAL THERAPY 71978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71978,A000000,02700,0000,02700SPEECH PATHOLOGY 71978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71978,A000000,03050,0000,03300RESPIRATORY THERAPY 71978,A000000,03201,0000,03201AFT 71978,A000000,03550,0000,03550FQHC 71978,A000000,05000,0000,05000CORF 71978,A000000,05010,0000,05010CMHC 71978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71978,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71978,A000000,05901,0000,05901DENTIST 71978,A000000,05902,0000,05902PARTY LAUNDRY 71978,A000000,05903,0000,05903PERSONAL LAUNDRY 71978,A81000A,00100,0100,Y 71978,A81000B,00100,0300,PHYSICAL THERAPY SERVICES 71978,A81000B,00200,0300,OCCUPATIONAL THERAPY SRVC 71978,A81000B,00300,0300,SPEECH THERAPY SERVICES 71978,A81000C,00100,0100,G 71978,A81000C,00100,0400,CEDAR HAVEN REHAB AGENCY 71978,A81000C,00100,0600,REHAB AGENCY 71978,B100000,00000,0100,00003SQUARE FEET 71978,B100000,00000,0200,00003DOLLAR VALUE 71978,B100000,00000,0300,00003GROSS SALARIES 71978,B100000,00000,0400,00003ACCUM. COST 71978,B100000,00000,0500,00003SQUARE FEET 71978,B100000,00000,0600,00003POUNDS OF LAUNDRY 71978,B100000,00000,0700,00003SQUARE FEET 71978,B100000,00000,0800,00003MEALS SERVED 71978,B100000,00000,0900,00003DIRECT NRSING HRS 71978,B100000,00000,1000,00003COSTED REQUIS. 71978,B100000,00000,1100,00003COSTED REQUIS. 71978,B100000,00000,1200,00003TIME SPENT 71978,B100000,00000,1300,00003TIME SPENT 71978,B100000,00000,1400,00003ASSIGNED TIME 71978,S000000,00100,0200,12/21/2000 71978,S200000,00100,0100,5595 HIGHWAY Z 71978,S200000,00200,0100,WEST BEND 71978,S200000,00200,0200,WI 71978,S200000,00200,0300,53095 71978,S200000,00300,0100,W 71978,S200000,00400,0100,CEDAR LAKE HEALTH CARE CTR 71978,S200000,00400,0200,525465 71978,S200000,00400,0300,07/01/1990 71978,S200000,00400,0500,P 71978,S200000,01500,0100,Y 71978,S200000,01900,0100,501(C)(3) NON-PROFIT CORP. 71978,S200000,02800,0100,Y 71983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71983,A000000,00300,0000,00300EMPLOYEE BENEFITS 71983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71983,A000000,00700,0000,00700HOUSEKEEPING 71983,A000000,00800,0000,00800DIETARY 71983,A000000,00900,0000,00900NURSING ADMINISTRATION 71983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71983,A000000,01100,0000,01100PHARMACY 71983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71983,A000000,01300,0000,01300SOCIAL SERVICE 71983,A000000,01301,0000,01301ACTIVITIES 71983,A000000,01350,0000,01500OTHER GENERAL SERVICES 71983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71983,A000000,01600,0000,01600SKILLED NURSING FACILITY 71983,A000000,01800,0000,01800NURSING FACILITY 71983,A000000,01810,0000,01810ICF/MR 71983,A000000,02100,0000,02100RADIOLOGY 71983,A000000,02200,0000,02200LABORATORY 71983,A000000,02300,0000,02300INTRAVENOUS THERAPY 71983,A000000,02500,0000,02500PHYSICAL THERAPY 71983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71983,A000000,02700,0000,02700SPEECH PATHOLOGY 71983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71983,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 71983,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 71983,A000000,03550,0000,03550FQHC 71983,A000000,04750,0000,05100OTHER REIMBURSABLE COST 71983,A000000,05000,0000,05000CORF 71983,A000000,05010,0000,05010CMHC 71983,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71983,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71983,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71983,A000000,05300,0000,05300INTEREST EXPENSE 71983,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71983,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71983,B100000,00000,0100,00000SQUARE FEET 71983,B100000,00000,0200,00000SQUARE FEET 71983,B100000,00000,0300,00000GROSS SALARIES 71983,B100000,00000,0400,00000ACCUM. COST 71983,B100000,00000,0500,00000SQUARE FEET 71983,B100000,00000,0600,00000PATIENT DAYS 71983,B100000,00000,0700,00000SQUARE FEET 71983,B100000,00000,0800,00000MEALS SERVED 71983,B100000,00000,0900,00000PATIENT DAYS 71983,B100000,00000,1000,00000COSTED REQUIS. 71983,B100000,00000,1100,00000COSTED REQUIS. 71983,B100000,00000,1200,00000PATIENT DAYS 71983,B100000,00000,1300,00000PATIENT DAYS 71983,B100000,00000,1301,00000PATIENT DAYS 71983,B100000,00000,1350,00000TIME SPENT 71983,B100000,00000,1400,00000ASSIGNED TIME 71983,S000000,00100,0200,12/27/2000 71983,S200000,00100,0100,W500 SPRING STREET HWY 29 71983,S200000,00200,0100,SPRING VALLEY 71983,S200000,00200,0200,WI 71983,S200000,00200,0300,54767 71983,S200000,00300,0100,P 71983,S200000,00400,0100,SPRING VALLEY HEALTH CARE CENTER 71983,S200000,00400,0200,525466 71983,S200000,00400,0300,05/01/1990 71983,S200000,00400,0500,P 71983,S200000,01600,0100,Y 71983,S200000,01900,0100,501(C)(3) 71994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 71994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 71994,A000000,00300,0000,00300EMPLOYEE BENEFITS 71994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 71994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 71994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 71994,A000000,00700,0000,00700HOUSEKEEPING 71994,A000000,00800,0000,00800DIETARY 71994,A000000,00900,0000,00900NURSING ADMINISTRATION 71994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 71994,A000000,01100,0000,01100PHARMACY 71994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 71994,A000000,01300,0000,01300SOCIAL SERVICE 71994,A000000,01350,0000,01500OTHER GENERAL SERVICES 71994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 71994,A000000,01600,0000,01600SKILLED NURSING FACILITY 71994,A000000,01810,0000,01810ICF/MR 71994,A000000,02100,0000,02100RADIOLOGY 71994,A000000,02200,0000,02200LABORATORY 71994,A000000,02500,0000,02500PHYSICAL THERAPY 71994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 71994,A000000,02700,0000,02700SPEECH PATHOLOGY 71994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 71994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 71994,A000000,03450,0000,03600EMERGENCY SERVICES 71994,A000000,03550,0000,03550FQHC 71994,A000000,05000,0000,05000CORF 71994,A000000,05010,0000,05010CMHC 71994,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 71994,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 71994,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 71994,A000000,05300,0000,05300INTEREST EXPENSE 71994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 71994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 71994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 71994,A81000A,00100,0100,Y 71994,A81000B,00100,0300,ADMINISTRATIVE SERVICES 71994,A81000C,00100,0100,B 71994,A81000C,00100,0200,SCHOOL SISTERS OF 71994,A81000C,00200,0200,SAINT FRANCIS 71994,B100000,00000,0100,00000SQUARE FEET 71994,B100000,00000,0200,00000SQUARE FEET 71994,B100000,00000,0300,00000GROSS SALARIES 71994,B100000,00000,0400,00000ACCUM. COST 71994,B100000,00000,0500,00000SQUARE FEET 71994,B100000,00000,0600,00000PATIENT DAYS 71994,B100000,00000,0700,00000SQUARE FEET 71994,B100000,00000,0800,00000PATIENT DAYS 71994,B100000,00000,0900,00000HOURS OF SERVICE 71994,B100000,00000,1000,00000COSTED REQUIS. 71994,B100000,00000,1100,00000COSTED REQUIS. 71994,B100000,00000,1200,00000TIME SPENT 71994,B100000,00000,1300,00000PATIENT DAYS 71994,B100000,00000,1350,00000NO STATISTICS 71994,B100000,00000,1400,00000TIME SPENT 71994,S000000,00100,0200,12/11/2000 71994,S200000,00100,0100,501 MADISON AVENUE 71994,S200000,00200,0100,NIAGARA 71994,S200000,00200,0200,WI 71994,S200000,00200,0300,54151 71994,S200000,00300,0100,M 71994,S200000,00400,0100,MARYHILL MANOR INC 71994,S200000,00400,0200,525467 71994,S200000,00400,0300,06/01/1991 71994,S200000,00400,0500,P 71994,S200000,00400,0600,O 71994,S200000,01500,0100,Y 71994,S200000,02200,0100,Y 72004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72004,A000000,00300,0000,00300EMPLOYEE BENEFITS 72004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72004,A000000,00700,0000,00700HOUSEKEEPING 72004,A000000,00800,0000,00800DIETARY 72004,A000000,00900,0000,00900NURSING ADMINISTRATION 72004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72004,A000000,01100,0000,01100PHARMACY 72004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72004,A000000,01300,0000,01300SOCIAL SERVICE 72004,A000000,01350,0000,01500ACTIVITIES 72004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72004,A000000,01600,0000,01600SKILLED NURSING FACILITY 72004,A000000,01800,0000,01800NURSING FACILITY 72004,A000000,01810,0000,01810ICF/MR 72004,A000000,02100,0000,02100RADIOLOGY 72004,A000000,02200,0000,02200LABORATORY 72004,A000000,02300,0000,02300INTRAVENOUS THERAPY 72004,A000000,02500,0000,02500PHYSICAL THERAPY 72004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72004,A000000,02700,0000,02700SPEECH PATHOLOGY 72004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72004,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72004,A000000,03550,0000,03550FQHC 72004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 72004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 72004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 72004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 72004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 72004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 72004,A000000,05000,0000,05000CORF 72004,A000000,05010,0000,05010CMHC 72004,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72004,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72004,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72004,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72004,A81000A,00100,0100,Y 72004,A81000B,00100,0300,COUNTY ADMIN COSTS 72004,A81000B,00200,0300,COUNTY ADMIN COSTS 72004,A81000C,00100,0100,G 72004,A81000C,00100,0200,ST. CROIX COUNT 72004,A81000C,00100,0400,ST. CROIX COUNT 72004,A81000C,00100,0600,GOVT 72004,B100000,00000,0100,00000SQUARE FEET 72004,B100000,00000,0200,00000SQUARE FEET 72004,B100000,00000,0300,00000GROSS SALARIES 72004,B100000,00000,0400,00000ACCUM COST 72004,B100000,00000,0500,00000SQUARE FEET 72004,B100000,00000,0600,00000PATIENT DAYS 72004,B100000,00000,0700,00000SQUARE FEET 72004,B100000,00000,0800,00000MEALS SERVED 72004,B100000,00000,0900,00000PATIENT DAYS 72004,B100000,00000,1000,00000COSTED REQUIS 72004,B100000,00000,1100,00000COSTED REQUIS 72004,B100000,00000,1200,00000TIME SPENT 72004,B100000,00000,1300,00000TIME SPENT 72004,B100000,00000,1350,00000PATIENT DAYS 72004,B100000,00000,1400,00000ASSIGNED TIME 72004,E10A180,00501,0300,08/07/2000 72004,H510100,00000,0000,5120 72004,H510100,02400,0000,5120 72004,H710000,00301,0100,01/03/2000 72004,S000000,00100,0200,06/14/2000 72004,S200000,00100,0100,1445 N. FOURTH STREET 72004,S200000,00200,0100,NEW RICHMOND 72004,S200000,00200,0200,WI 72004,S200000,00200,0300,54017 72004,S200000,00300,0100,ST. CROIX 72004,S200000,00400,0100,ST. CROIX COUNTY HEALTH CENTER 72004,S200000,00400,0200,525468 72004,S200000,00400,0300,06/01/1990 72004,S200000,00400,0500,P 72004,S200000,00800,0200,527047 72004,S200000,00800,0300,01/25/1967 72004,S200000,00800,0500,P 72004,S200000,01600,0100,Y 72004,S200000,02800,0100,Y 72004,S410002,01300,0000,OTHER 72004,S410002,01400,0000,NAL CARE WORKERS 72011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72011,A000000,00300,0000,00300EMPLOYEE BENEFITS 72011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72011,A000000,00700,0000,00700HOUSEKEEPING 72011,A000000,00800,0000,00800DIETARY 72011,A000000,00900,0000,00900NURSING ADMINISTRATION 72011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72011,A000000,01100,0000,01100PHARMACY 72011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72011,A000000,01300,0000,01300SOCIAL SERVICE 72011,A000000,01350,0000,01500OTHER GENERAL SERVICES 72011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72011,A000000,01600,0000,01600SKILLED NURSING FACILITY 72011,A000000,01800,0000,01800NURSING FACILITY 72011,A000000,01810,0000,01810ICF/MR 72011,A000000,02500,0000,02500PHYSICAL THERAPY 72011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72011,A000000,02700,0000,02700SPEECH PATHOLOGY 72011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72011,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72011,A000000,03550,0000,03550FQHC 72011,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72011,A000000,05000,0000,05000CORF 72011,A000000,05010,0000,05010CMHC 72011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72011,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72011,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72011,B100000,00000,0100,00000SQUARE FEET 72011,B100000,00000,0200,00000SQUARE FEET 72011,B100000,00000,0300,00000GROSS SALARIES 72011,B100000,00000,0400,00000ACCUM. COST 72011,B100000,00000,0500,00000SQUARE FEET 72011,B100000,00000,0600,00000PATIENT DAYS 72011,B100000,00000,0700,00000PATIENT DAYS 72011,B100000,00000,0800,00000MEALS SERVED 72011,B100000,00000,0900,00000DIRECT NURSING HR 72011,B100000,00000,1000,00000PATIENT DAYS 72011,B100000,00000,1100,00000NO STATISTICS 72011,B100000,00000,1200,00000NO STATISTICS 72011,B100000,00000,1300,00000TIME SPENT 72011,B100000,00000,1350,00000NO STATISTICS 72011,B100000,00000,1400,00000NO STATISTICS 72011,S000000,00100,0200,06/16/2000 72011,S200000,00100,0100,620 HARPER AVENUE 72011,S200000,00200,0100,PESHTIGO 72011,S200000,00200,0200,WI 72011,S200000,00300,0100,MARINETTE 72011,S200000,00400,0100,WHISPERING OAKS CARE CENTER 72011,S200000,00400,0200,525471 72011,S200000,00400,0300,01/01/1988 72011,S200000,00400,0500,P 72011,S200000,01500,0100,Y 72011,S200000,04300,0100,Y 72020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72020,A000000,00300,0000,00300EMPLOYEE BENEFITS 72020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72020,A000000,00700,0000,00700HOUSEKEEPING 72020,A000000,00800,0000,00800DIETARY 72020,A000000,00900,0000,00900NURSING ADMINISTRATION 72020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72020,A000000,01100,0000,01100PHARMACY 72020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72020,A000000,01300,0000,01300SOCIAL SERVICE 72020,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72020,A000000,01600,0000,01600SKILLED NURSING FACILITY 72020,A000000,01810,0000,01810ICF/MR 72020,A000000,02100,0000,02100RADIOLOGY 72020,A000000,02200,0000,02200LABORATORY 72020,A000000,02500,0000,02500PHYSICAL THERAPY 72020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72020,A000000,02700,0000,02700SPEECH PATHOLOGY 72020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72020,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72020,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72020,A000000,03550,0000,03550FQHC 72020,A000000,05000,0000,05000CORF 72020,A000000,05010,0000,05010CMHC 72020,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72020,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72020,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72020,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72020,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72020,A81000A,00100,0100,Y 72020,A81000B,00100,0300,MANAGEMENT FEES 72020,A81000B,00200,0300,MANAGEMENT FEES 72020,A81000B,00300,0300,MANAGEMENT FEES 72020,A81000B,00400,0300,BUILDING RENT 72020,A81000C,00100,0100,A 72020,A81000C,00100,0200,REAL PROPERTIES 72020,B100000,00000,0100,00000SQUARE FEET 72020,B100000,00000,0200,00000SQUARE FEET 72020,B100000,00000,0300,00000GROSS SALARIES 72020,B100000,00000,0400,00000ACCUM COST 72020,B100000,00000,0500,00000SQUARE FEET 72020,B100000,00000,0600,00000PATIENT DAYS 72020,B100000,00000,0700,00000SQUARE FEET 72020,B100000,00000,0800,00000MEALS SERVED 72020,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72020,B100000,00000,1000,00000COSTED REQUISITIO 72020,B100000,00000,1100,00000COSTED REQUISITIO 72020,B100000,00000,1200,00000PATIENT DAYS 72020,B100000,00000,1300,00000PATIENT DAYS 72020,B100000,00000,1400,00000ASSIGNED TIME 72020,S000000,00100,0200,06/01/2000 72020,S200000,00100,0100,206 WEST PROSPECT STREET 72020,S200000,00200,0100,THORP WI 54771 72020,S200000,00300,0100,CLARK 72020,S200000,00400,0100,OAKBROOK HEALTH AND REHAB 72020,S200000,00400,0200,525472 72020,S200000,00400,0300,04/01/1991 72020,S200000,00400,0500,P 72020,S200000,01500,0100,Y 72020,S200000,01900,0100,OTHER (SPECIFY) 72028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72028,A000000,00300,0000,00300EMPLOYEE BENEFITS 72028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72028,A000000,00700,0000,00700HOUSEKEEPING 72028,A000000,00800,0000,00800DIETARY 72028,A000000,00900,0000,00900NURSING ADMINISTRATION 72028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72028,A000000,01100,0000,01100PHARMACY 72028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72028,A000000,01300,0000,01300SOCIAL SERVICE 72028,A000000,01350,0000,01500ACTIVITIES 72028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72028,A000000,01600,0000,01600SKILLED NURSING FACILITY 72028,A000000,01800,0000,01800NURSING FACILITY 72028,A000000,01810,0000,01810ICF/MR 72028,A000000,02200,0000,02200LABORATORY 72028,A000000,02500,0000,02500PHYSICAL THERAPY 72028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72028,A000000,02700,0000,02700SPEECH PATHOLOGY 72028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72028,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72028,A000000,03550,0000,03550FQHC 72028,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72028,A000000,05000,0000,05000CORF 72028,A000000,05010,0000,05010CMHC 72028,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72028,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72028,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72028,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72028,A81000A,00100,0100,Y 72028,A81000B,00100,0300,SALARY 72028,A81000B,00200,0300,RENT 72028,A81000C,00100,0100,A 72028,A81000C,00100,0200,LEE GUNDERSON 72028,B100000,00000,0100,00000SQUARE FEET 72028,B100000,00000,0200,00000SQUARE FEET 72028,B100000,00000,0300,00000GROSS SALARIES 72028,B100000,00000,0400,00000ACCUM. COST 72028,B100000,00000,0500,00000SQUARE FEET 72028,B100000,00000,0600,00000PATIENT DAYS 72028,B100000,00000,0700,00000SQUARE FEET 72028,B100000,00000,0800,00000MEALS SERVED 72028,B100000,00000,0900,00000DIRECT NRSING HRS 72028,B100000,00000,1000,00000COSTED REQUIS. 72028,B100000,00000,1100,00000COSTED REQUIS. 72028,B100000,00000,1200,00000PATIENT DAYS 72028,B100000,00000,1300,00000PATIENT DAYS 72028,B100000,00000,1350,00000PATIENT DAYS 72028,B100000,00000,1400,00000ASSIGNED TIME 72028,S000000,00100,0200,01/10/2000 72028,S200000,00100,0100,2121 PIONEER DRIVE 72028,S200000,00200,0100,BELOIT 72028,S200000,00200,0200,WI 72028,S200000,00300,0100,ROCK 72028,S200000,00400,0100,PREMIER CARE 72028,S200000,00400,0200,525473 72028,S200000,00400,0300,05/01/1991 72028,S200000,00400,0500,P 72028,S200000,01600,0100,Y 72035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72035,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72035,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72035,A000000,00300,0000,00300EMPLOYEE BENEFITS 72035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72035,A000000,00700,0000,00700HOUSEKEEPING 72035,A000000,00800,0000,00800DIETARY 72035,A000000,00801,0000,00801CAFETERIA 72035,A000000,00900,0000,00900NURSING ADMINISTRATION 72035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72035,A000000,01100,0000,01100PHARMACY 72035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72035,A000000,01300,0000,01300SOCIAL SERVICE 72035,A000000,01350,0000,01500ACTIVITY 72035,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72035,A000000,01600,0000,01600SKILLED NURSING FACILITY 72035,A000000,01810,0000,01810ICF/MR 72035,A000000,02100,0000,02100RADIOLOGY 72035,A000000,02200,0000,02200LABORATORY 72035,A000000,02500,0000,02500PHYSICAL THERAPY 72035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72035,A000000,02700,0000,02700SPEECH PATHOLOGY 72035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72035,A000000,03050,0000,03300OTHER ANCILLARY 72035,A000000,03051,0000,03301OTHER ANCILLARY II 72035,A000000,03052,0000,03302OTHER ANCILLARY III 72035,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72035,A000000,03550,0000,03550FQHC 72035,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72035,A000000,05000,0000,05000CORF I 72035,A000000,05010,0000,05010CMHC I 72035,A000000,05020,0000,05020OPT I 72035,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72035,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72035,A000000,05300,0000,05300INTEREST EXPENSE 72035,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72035,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72035,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72035,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72035,A000000,06200,0000,06200PATIENTS LAUNDRY 72035,A81000A,00100,0100,Y 72035,A81000B,00100,0300,COUNTY ALLOCATION 72035,A81000C,00100,0100,G 72035,A81000C,00100,0200,BLOOMFIELD MANR 72035,A81000C,00100,0400,IOWA CTY 72035,A81000C,00100,0600,COUNTY 72035,B100000,00000,0100,00000(SQUARE FEET) 72035,B100000,00000,0101,00000(SQUARE FEET) 72035,B100000,00000,0200,00000(SQUARE FEET) 72035,B100000,00000,0201,00000(SQUARE FEET) 72035,B100000,00000,0300,00000(GROSS SALARIES) 72035,B100000,00000,0400,00000(ACCUM. COST) 72035,B100000,00000,0500,00000(SQUARE FEET) 72035,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72035,B100000,00000,0700,00000(SQUARE FEET) 72035,B100000,00000,0800,00000(MEALS SERVED) 72035,B100000,00000,0801,00000(MEALS SERVED) 72035,B100000,00000,0900,00000(NURSING SALARIES) 72035,B100000,00000,1000,00000(PATIENT DAYS) 72035,B100000,00000,1100,00000(COSTED REQUIS.) 72035,B100000,00000,1200,00000(PATIENT DAYS) 72035,B100000,00000,1300,00000(PATIENT DAYS) 72035,B100000,00000,1350,00000(PATIENT DAYS) 72035,B100000,00000,1400,00000(ASSIGNED TIME) 72035,S000000,00100,0200,06/26/2000 72035,S200000,00100,0100,RR#3 72035,S200000,00100,0300,55 72035,S200000,00200,0100,DODGEVILLE 72035,S200000,00200,0200,WI 72035,S200000,00200,0300,53533 72035,S200000,00300,0100,IOWA 72035,S200000,00400,0100,BLOOMFIELD MANOR 72035,S200000,00400,0200,525474 72035,S200000,00400,0300,08/01/1991 72035,S200000,00400,0500,P 72035,S200000,01500,0100,Y 72035,S200000,01900,0100,501(C)(3) 72035,S200000,02800,0100,Y 72045,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72045,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72045,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72045,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72045,A000000,00300,0000,00300EMPLOYEE BENEFITS 72045,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72045,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72045,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72045,A000000,00700,0000,00700HOUSEKEEPING 72045,A000000,00800,0000,00800DIETARY 72045,A000000,00801,0000,00801CAFETERIA 72045,A000000,00900,0000,00900NURSING ADMINISTRATION 72045,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72045,A000000,01100,0000,01100PHARMACY 72045,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72045,A000000,01300,0000,01300SOCIAL SERVICE 72045,A000000,01350,0000,01500ACTIVITIES 72045,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72045,A000000,01600,0000,01600SKILLED NURSING FACILITY 72045,A000000,01800,0000,01800NURSING FACILITY 72045,A000000,01810,0000,01810ICF/MR 72045,A000000,02200,0000,02200LABORATORY 72045,A000000,02500,0000,02500PHYSICAL THERAPY 72045,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72045,A000000,02700,0000,02700SPEECH PATHOLOGY 72045,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72045,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72045,A000000,03050,0000,03300OTHER ANCILLARY 72045,A000000,03051,0000,03301OTHER ANCILLARY II 72045,A000000,03052,0000,03302OTHER ANCILLARY III 72045,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72045,A000000,03550,0000,03550FQHC 72045,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72045,A000000,05000,0000,05000CORF I 72045,A000000,05010,0000,05010CMHC I 72045,A000000,05020,0000,05020OPT I 72045,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72045,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72045,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72045,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72045,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72045,A81000A,00100,0100,Y 72045,A81000B,00100,0300,A&G 72045,A81000C,00100,0100,A 72045,A81000C,00100,0200,HEALTHLINK SER 72045,A81000C,00100,0600,LTC 72045,B100000,00000,0100,00000(SQUARE FEET) 72045,B100000,00000,0101,00000(SQUARE FEET) 72045,B100000,00000,0200,00000(SQUARE FEET) 72045,B100000,00000,0201,00000(SQUARE FEET) 72045,B100000,00000,0300,00000(GROSS SALARIES) 72045,B100000,00000,0400,00000(ACCUM. COST) 72045,B100000,00000,0500,00000(SQUARE FEET) 72045,B100000,00000,0600,00000(PATIENT DAYS) 72045,B100000,00000,0700,00000(SQUARE FEET) 72045,B100000,00000,0800,00000(MEALS SERVED) 72045,B100000,00000,0801,00000(MEALS SERVED) 72045,B100000,00000,0900,00000(PATIENT DAYS) 72045,B100000,00000,1000,00000(PATIENT DAYS) 72045,B100000,00000,1100,00000(PATIENT DAYS) 72045,B100000,00000,1200,00000(PATIENT DAYS) 72045,B100000,00000,1300,00000(PATIENT DAYS) 72045,B100000,00000,1350,00000(PATIENT DAYS) 72045,B100000,00000,1400,00000(ASSIGNED TIME) 72045,S000000,00100,0200,10/16/2000 72045,S200000,00100,0100,1308 SO. 22ND 72045,S200000,00200,0100,MANITOWAC 72045,S200000,00200,0200,WI 72045,S200000,00200,0300,54220 72045,S200000,00300,0100,MANITOWAC 72045,S200000,00400,0100,RIVERS BEND HEALTH 72045,S200000,00400,0200,525475 72045,S200000,00400,0300,07/01/1991 72045,S200000,00400,0500,P 72045,S200000,01600,0100,Y 72045,S200000,02200,0100,Y 72051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72051,A000000,00300,0000,00300EMPLOYEE BENEFITS 72051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72051,A000000,00700,0000,00700HOUSEKEEPING 72051,A000000,00800,0000,00800DIETARY 72051,A000000,00900,0000,00900NURSING ADMINISTRATION 72051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72051,A000000,01100,0000,01100PHARMACY 72051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72051,A000000,01300,0000,01300SOCIAL SERVICE 72051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72051,A000000,01600,0000,01600SKILLED NURSING FACILITY 72051,A000000,01800,0000,01800NURSING FACILITY 72051,A000000,01810,0000,01810ICF/MR 72051,A000000,02200,0000,02200LABORATORY 72051,A000000,02500,0000,02500PHYSICAL THERAPY 72051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72051,A000000,02700,0000,02700SPEECH PATHOLOGY 72051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72051,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72051,A000000,03550,0000,03550FQHC 72051,A000000,05000,0000,05000CORF 72051,A000000,05010,0000,05010CMHC 72051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72051,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72051,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72051,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72051,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72051,A81000A,00100,0100,Y 72051,A81000B,00100,0300,POM 72051,A81000B,00200,0300,A & G 72051,A81000B,00300,0300,CAP REL - BLDG 72051,A81000B,00400,0300,CAP REL - MOV. EQUIP. 72051,A81000C,00100,0100,B 72051,A81000C,00100,0200,NORTHLAND LUTHE 72051,A81000C,00100,0400,NORTHLAND LUTHE 72051,B100000,00000,0100,00000SQUARE FEET 72051,B100000,00000,0200,00000SQUARE FEET 72051,B100000,00000,0300,00000GROSS SALARIES 72051,B100000,00000,0400,00000ACCUM COST 72051,B100000,00000,0500,00000SQUARE FEET 72051,B100000,00000,0600,00000PATIENT DAYS 72051,B100000,00000,0700,00000SQUARE FEET 72051,B100000,00000,0800,00000MEALS SERVED 72051,B100000,00000,0900,00000PATIENT DAYS 72051,B100000,00000,1000,00000COSTED REQUIS 72051,B100000,00000,1100,00000COSTED REQUIS 72051,B100000,00000,1200,00000PATIENT DAYS 72051,B100000,00000,1300,00000PATIENT DAYS 72051,B100000,00000,1400,00000ASSIGNED TIME 72051,E10A180,00501,0100,10/09/2000 72051,E10A180,00501,0300,10/09/2000 72051,E10A180,00550,0100,05/09/2000 72051,E10A180,00550,0300,05/09/2000 72051,S000000,00100,0200,05/19/2000 72051,S200000,00100,0100,831 PINE BEACH RD 72051,S200000,00200,0100,MARINETTE 72051,S200000,00200,0200,WI 72051,S200000,00200,0300,54143 72051,S200000,00300,0100,MARINETTE 72051,S200000,00400,0100,NORTHLAND LUTHERAN SERVICES 72051,S200000,00400,0200,525476 72051,S200000,00400,0300,08/01/1991 72051,S200000,00400,0500,P 72051,S200000,01600,0100,Y 72051,S200000,01900,0100,OTHER 72057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72057,A000000,00300,0000,00300EMPLOYEE BENEFITS 72057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72057,A000000,00700,0000,00700HOUSEKEEPING 72057,A000000,00800,0000,00800DIETARY 72057,A000000,00900,0000,00900NURSING ADMINISTRATION 72057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72057,A000000,01100,0000,01100PHARMACY 72057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72057,A000000,01300,0000,01300SOCIAL SERVICE 72057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72057,A000000,01600,0000,01600SKILLED NURSING FACILITY 72057,A000000,01810,0000,01810ICF/MR 72057,A000000,02200,0000,02200LABORATORY 72057,A000000,02500,0000,02500PHYSICAL THERAPY 72057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72057,A000000,02700,0000,02700SPEECH PATHOLOGY 72057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72057,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72057,A000000,03550,0000,03550FQHC 72057,A000000,05000,0000,05000CORF 72057,A000000,05010,0000,05010CMHC 72057,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72057,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72057,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72057,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72057,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72057,B100000,00000,0100,00000SQUARE FEET 72057,B100000,00000,0200,00000SQUARE FEET 72057,B100000,00000,0300,00000GROSS SALARIES 72057,B100000,00000,0400,00000ACCUM COST 72057,B100000,00000,0500,00000SQUARE FEET 72057,B100000,00000,0600,00000PATIENT DAYS 72057,B100000,00000,0700,00000SQUARE FEET 72057,B100000,00000,0800,00000MEALS SERVED 72057,B100000,00000,0900,00000DIRECT NRSG HRS 72057,B100000,00000,1000,00000PATIENT DAYS 72057,B100000,00000,1100,00000COSTED REQUISITIO 72057,B100000,00000,1200,00000TIME SPENT 72057,B100000,00000,1300,00000PATIENT DAYS 72057,B100000,00000,1400,00000ASSIGNED TIME 72057,S000000,00100,0200,06/23/2000 72057,S200000,00100,0100,915 ELM STREET 72057,S200000,00200,0100,MENOMONIE 72057,S200000,00200,0200,WI 72057,S200000,00200,0300,54751 72057,S200000,00300,0100,DUNN 72057,S200000,00400,0100,AMERICAN LUTHERAN HOME-MENOMONIE 72057,S200000,00400,0200,525480 72057,S200000,00400,0300,01/01/1993 72057,S200000,00400,0500,P 72057,S200000,01500,0100,Y 72066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72066,A000000,00300,0000,00300EMPLOYEE BENEFITS 72066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72066,A000000,00700,0000,00700HOUSEKEEPING 72066,A000000,00800,0000,00800DIETARY 72066,A000000,00900,0000,00900NURSING ADMINISTRATION 72066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72066,A000000,01100,0000,01100PHARMACY 72066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72066,A000000,01300,0000,01300SOCIAL SERVICE 72066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72066,A000000,01600,0000,01600SKILLED NURSING FACILITY 72066,A000000,01800,0000,01800NURSING FACILITY 72066,A000000,01810,0000,01810ICF/MR 72066,A000000,02200,0000,02200LABORATORY 72066,A000000,02500,0000,02500PHYSICAL THERAPY 72066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72066,A000000,02700,0000,02700SPEECH PATHOLOGY 72066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72066,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72066,A000000,03550,0000,03550FQHC 72066,A000000,05000,0000,05000CORF 72066,A000000,05010,0000,05010CMHC 72066,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72066,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72066,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72066,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72066,A81000A,00100,0100,Y 72066,A81000B,00100,0300,RENT/BUILDING 72066,A81000B,00200,0300,MANAGE FEE/ADMIN 72066,A81000B,00300,0300,MANGE FEE/CAPITAL 72066,A81000C,00100,0100,A 72066,A81000C,00100,0200,GLEN URQUHART 72066,A81000C,00100,0400,URQUHART COMPAN 72066,A81000C,00100,0600,REAL ESTATE 72066,A81000C,00200,0100,A 72066,A81000C,00200,0200,GLEN URQUHART 72066,A81000C,00200,0400,HMU MANAGEMENT 72066,A81000C,00200,0600,MANAGEMENT 72066,B100000,00000,0100,00000SQUARE FEET 72066,B100000,00000,0200,00000SQUARE FEET 72066,B100000,00000,0300,00000GROSS SALARIES 72066,B100000,00000,0400,00000ACCUM COST 72066,B100000,00000,0500,00000SQUARE FEET 72066,B100000,00000,0600,00000PATIENT DAYS 72066,B100000,00000,0700,00000SQUARE FEET 72066,B100000,00000,0800,00000MEALS SERVED 72066,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72066,B100000,00000,1000,00000COSTED REQUISITIO 72066,B100000,00000,1100,00000COSTED REQUISITIO 72066,B100000,00000,1200,00000TIME SPENT 72066,B100000,00000,1300,00000PATIENT DAYS 72066,B100000,00000,1400,00000ASSIGNED TIME 72066,S000000,00100,0200,06/29/2000 72066,S200000,00100,0100,403 NORTH MAPLE ST. 72066,S200000,00200,0100,ELLSWORTH 72066,S200000,00200,0200,WI 72066,S200000,00200,0300,54011 72066,S200000,00300,0100,PIERCE 72066,S200000,00400,0100,ELLSWORTH CARE CENTER 72066,S200000,00400,0200,525483 72066,S200000,00400,0300,11/01/1994 72066,S200000,00400,0500,P 72066,S200000,01500,0100,Y 72074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72074,A000000,00300,0000,00300EMPLOYEE BENEFITS 72074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72074,A000000,00700,0000,00700HOUSEKEEPING 72074,A000000,00800,0000,00800DIETARY 72074,A000000,00900,0000,00900NURSING ADMINISTRATION 72074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72074,A000000,01100,0000,01100PHARMACY 72074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72074,A000000,01300,0000,01300SOCIAL SERVICE 72074,A000000,01350,0000,01500ACTIVITES 72074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72074,A000000,01600,0000,01600SKILLED NURSING FACILITY 72074,A000000,01800,0000,01800NURSING FACILITY 72074,A000000,01810,0000,01810ICF/MR 72074,A000000,02100,0000,02100RADIOLOGY 72074,A000000,02200,0000,02200LABORATORY 72074,A000000,02500,0000,02500PHYSICAL THERAPY 72074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72074,A000000,02700,0000,02700SPEECH PATHOLOGY 72074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72074,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72074,A000000,03550,0000,03550FQHC 72074,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72074,A000000,05000,0000,05000CORF 72074,A000000,05010,0000,05010CMHC 72074,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72074,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72074,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72074,A81000A,00100,0100,Y 72074,A81000B,00100,0300,A&G SALARIES 72074,A81000B,00200,0300,MANAGEMENT FEES 72074,A81000B,00300,0300,NURSING SALARIES 72074,A81000B,00400,0300,PHYSICAL THERAPY SALARIES 72074,A81000B,00500,0300,SPEECH THERAPY 72074,A81000C,00100,0100,B 72074,A81000C,00100,0400,AFFINITY HEALTH SYSTEMS 72074,A81000C,00100,0600,MANAGEMENT SERVICES 72074,B100000,00000,0100,00000SQUARE FEET 72074,B100000,00000,0200,00000SQUARE FEET 72074,B100000,00000,0300,00000GROSS SALARIES 72074,B100000,00000,0400,00000ACCUM. COST 72074,B100000,00000,0500,00000SQUARE FEET 72074,B100000,00000,0600,00000PATIENT DAYS 72074,B100000,00000,0700,00000SQUARE FEET 72074,B100000,00000,0800,00000MEALS SERVED 72074,B100000,00000,0900,00000PATIENT DAYS 72074,B100000,00000,1000,00000COSTED REQUIS 72074,B100000,00000,1100,00000COSTED REQUIS 72074,B100000,00000,1200,00000TIME SPENT 72074,B100000,00000,1300,00000PATIENT DAYS 72074,B100000,00000,1350,00000PATIENT DAYS 72074,B100000,00000,1400,00000ASSIGNED TIME 72074,S000000,00100,0200,03/28/2000 72074,S200000,00100,0100,2915 N MEADE STREET 72074,S200000,00200,0100,APPLETON 72074,S200000,00200,0200,WI 72074,S200000,00300,0100,OUTAGAMIE 72074,S200000,00400,0100,FRANCISCAN CARE & REHAB CENTER INC. 72074,S200000,00400,0200,525484 72074,S200000,00400,0300,07/01/1992 72074,S200000,00400,0500,P 72074,S200000,01500,0100,Y 72074,S200000,01600,0100,Y 72080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72080,A000000,00300,0000,00300EMPLOYEE BENEFITS 72080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72080,A000000,00700,0000,00700HOUSEKEEPING 72080,A000000,00800,0000,00800DIETARY 72080,A000000,00900,0000,00900NURSING ADMINISTRATION 72080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72080,A000000,01100,0000,01100PHARMACY 72080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72080,A000000,01300,0000,01300SOCIAL SERVICE 72080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72080,A000000,01600,0000,01600SKILLED NURSING FACILITY 72080,A000000,01810,0000,01810ICF/MR 72080,A000000,02100,0000,02100RADIOLOGY 72080,A000000,02200,0000,02200LABORATORY 72080,A000000,02500,0000,02500PHYSICAL THERAPY 72080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72080,A000000,02700,0000,02700SPEECH PATHOLOGY 72080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72080,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72080,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72080,A000000,03550,0000,03550FQHC 72080,A000000,05000,0000,05000CORF 72080,A000000,05010,0000,05010CMHC 72080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72080,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72080,A000000,06150,0000,06300RETIREMENT CENTER 72080,B100000,00000,0100,00000SQUARE FEET 72080,B100000,00000,0200,00000SQUARE FEET 72080,B100000,00000,0300,00000GROSS SALARIES 72080,B100000,00000,0400,00000ACCUM COST 72080,B100000,00000,0500,00000SQUARE FEET 72080,B100000,00000,0600,00000POUNDS OF LAUNDRY 72080,B100000,00000,0700,00000SQUARE FEET 72080,B100000,00000,0800,00000MEALS SERVED 72080,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72080,B100000,00000,1000,00000COSTED REQUISITIO 72080,B100000,00000,1100,00000COSTED REQUISITIO 72080,B100000,00000,1200,00000TIME SPENT 72080,B100000,00000,1300,00000ADMISSIONS 72080,B100000,00000,1400,00000ASSIGNED TIME 72080,S000000,00100,0200,06/27/2000 72080,S200000,00100,0100,7672 MINERAL POINT ROAD 72080,S200000,00200,0100,VERONA 72080,S200000,00200,0200,WI 72080,S200000,00200,0300,53593 72080,S200000,00300,0100,DANE 72080,S200000,00400,0100,REST HAVEN HEALTH CARE CENTER 72080,S200000,00400,0200,525485 72080,S200000,00400,0300,04/01/1992 72080,S200000,00400,0500,P 72080,S200000,01500,0100,Y 72080,S200000,01900,0100,501(C)(3) 72088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72088,A000000,00300,0000,00300EMPLOYEE BENEFITS 72088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72088,A000000,00700,0000,00700HOUSEKEEPING 72088,A000000,00800,0000,00800DIETARY 72088,A000000,00900,0000,00900NURSING ADMINISTRATION 72088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72088,A000000,01100,0000,01100PHARMACY 72088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72088,A000000,01300,0000,01300SOCIAL SERVICE 72088,A000000,01301,0000,01301ACTIVITIES 72088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72088,A000000,01600,0000,01600SKILLED NURSING FACILITY 72088,A000000,01800,0000,01800NURSING FACILITY 72088,A000000,01810,0000,01810ICF/MR 72088,A000000,02100,0000,02100RADIOLOGY 72088,A000000,02200,0000,02200LABORATORY 72088,A000000,02300,0000,02300INTRAVENOUS THERAPY 72088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72088,A000000,02500,0000,02500PHYSICAL THERAPY 72088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72088,A000000,02700,0000,02700SPEECH PATHOLOGY 72088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72088,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72088,A000000,03550,0000,03550FQHC 72088,A000000,05000,0000,05000CORF 72088,A000000,05010,0000,05010CMHC 72088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72088,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72088,A81000A,00100,0100,Y 72088,A81000B,00100,0300,LEASE EXPENSE 72088,A81000C,00100,0100,A 72088,A81000C,00100,0200,DONNA & DONALD 72088,A81000C,00100,0400,DONNA & DONALD 72088,A81000C,00100,0600,LANDLORD 72088,B100000,00000,0100,00000SQUARE FEET 72088,B100000,00000,0200,00000SQUARE FEET 72088,B100000,00000,0300,00000GROSS SALARIES 72088,B100000,00000,0400,00000ACCUM COST 72088,B100000,00000,0500,00000SQUARE FEET 72088,B100000,00000,0600,00000PATIENT DAYS 72088,B100000,00000,0700,00000PATIENT DAYS 72088,B100000,00000,0800,00000MEALS SERVED 72088,B100000,00000,0900,00000PATIENT DAYS 72088,B100000,00000,1000,00000COSTED REQUISITIO 72088,B100000,00000,1100,00000COSTED REQUISITIO 72088,B100000,00000,1200,00000COSTED REQUISITIO 72088,B100000,00000,1300,00000PATIENT DAYS 72088,B100000,00000,1301,00000PATIENT DAYS 72088,B100000,00000,1400,00000ASSIGNED TIME 72088,S000000,00100,0200,06/21/2000 72088,S200000,00100,0100,1555 DOUSMAN STREET 72088,S200000,00200,0100,GREEN BAY 72088,S200000,00200,0200,WISCONSIN 72088,S200000,00200,0300,54303 72088,S200000,00300,0100,BROWN 72088,S200000,00400,0100,GRANCARE NURSING CENTER 72088,S200000,00400,0200,525486 72088,S200000,00400,0300,04/01/1992 72088,S200000,00400,0500,P 72088,S200000,01900,0100,501(C)(3) 72097,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72097,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72097,A000000,00300,0000,00300EMPLOYEE BENEFITS 72097,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72097,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72097,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72097,A000000,00700,0000,00700HOUSEKEEPING 72097,A000000,00800,0000,00800DIETARY 72097,A000000,00900,0000,00900NURSING ADMINISTRATION 72097,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72097,A000000,01100,0000,01100PHARMACY 72097,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72097,A000000,01300,0000,01300SOCIAL SERVICE 72097,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72097,A000000,01600,0000,01600SKILLED NURSING FACILITY 72097,A000000,01810,0000,01810ICF/MR 72097,A000000,02200,0000,02200LABORATORY 72097,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72097,A000000,02500,0000,02500PHYSICAL THERAPY 72097,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72097,A000000,02700,0000,02700SPEECH PATHOLOGY 72097,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72097,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72097,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72097,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72097,A000000,03550,0000,03550FQHC 72097,A000000,05000,0000,05000CORF 72097,A000000,05010,0000,05010CMHC 72097,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72097,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72097,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72097,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72097,A000000,06150,0000,06300APARTMENTS 72097,B100000,00000,0100,00000SQUARE FEET 72097,B100000,00000,0200,00000SQUARE FEET 72097,B100000,00000,0300,00000GROSS SALARIES 72097,B100000,00000,0400,00000ACCUM COST 72097,B100000,00000,0500,00000SQUARE FEET 72097,B100000,00000,0600,00000PATIENT DAYS 72097,B100000,00000,0700,00000SQUARE FEET 72097,B100000,00000,0800,00000MEALS SERVED 72097,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72097,B100000,00000,1000,00000COSTED REQUISITIO 72097,B100000,00000,1100,00000COSTED REQUISITIO 72097,B100000,00000,1200,00000PATIENT DAYS 72097,B100000,00000,1300,00000PATIENT DAYS 72097,B100000,00000,1400,00000ASSIGNED TIME 72097,S000000,00100,0200,06/05/2000 72097,S200000,00100,0100,185 SOUTH WASHINGTON 72097,S200000,00200,0100,IOLA 72097,S200000,00200,0200,WI 72097,S200000,00200,0300,54945 72097,S200000,00300,0100,WAUPACA 72097,S200000,00400,0100,IOLA NURSING HOME 72097,S200000,00400,0200,525487 72097,S200000,00400,0300,05/01/1992 72097,S200000,00400,0500,P 72097,S200000,01500,0100,Y 72104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72104,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72104,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72104,A000000,00300,0000,00300EMPLOYEE BENEFITS 72104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72104,A000000,00700,0000,00700HOUSEKEEPING 72104,A000000,00800,0000,00800DIETARY 72104,A000000,00801,0000,00801CAFETERIA 72104,A000000,00900,0000,00900NURSING ADMINISTRATION 72104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72104,A000000,01100,0000,01100PHARMACY 72104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72104,A000000,01300,0000,01300SOCIAL SERVICE 72104,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72104,A000000,01600,0000,01600SKILLED NURSING FACILITY 72104,A000000,01800,0000,01800NURSING FACILITY 72104,A000000,01810,0000,01810ICF/MR 72104,A000000,02200,0000,02200LABORATORY 72104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72104,A000000,02500,0000,02500PHYSICAL THERAPY 72104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72104,A000000,02700,0000,02700SPEECH PATHOLOGY 72104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72104,A000000,03050,0000,03300OTHER ANCILLARY 72104,A000000,03051,0000,03301OTHER ANCILLARY II 72104,A000000,03052,0000,03302OTHER ANCILLARY III 72104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72104,A000000,03550,0000,03550FQHC 72104,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72104,A000000,05000,0000,05000CORF I 72104,A000000,05010,0000,05010CMHC I 72104,A000000,05020,0000,05020OPT I 72104,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72104,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72104,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72104,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72104,A81000A,00100,0100,Y 72104,A81000B,00100,0300,HOME OFFICE 72104,A81000B,00200,0300,HOME OFFICE 72104,A81000B,00300,0300,HOME OFFICE 72104,A81000C,00100,0100,G 72104,A81000C,00100,0200,ATRIUM LIVING CENTER 72104,A81000C,00100,0400,ATRIUM LIVING CENTER 72104,A81000C,00100,0600,HOME OFFICE 72104,B100000,00000,0100,00000(SQUARE FEET) 72104,B100000,00000,0101,00000(SQUARE FEET) 72104,B100000,00000,0200,00000(SQUARE FEET) 72104,B100000,00000,0201,00000(SQUARE FEET) 72104,B100000,00000,0300,00000(GROSS SALARIES) 72104,B100000,00000,0400,00000(ACCUM. COST) 72104,B100000,00000,0500,00000(SQUARE FEET) 72104,B100000,00000,0600,00000(PATIENT DAYS) 72104,B100000,00000,0700,00000(SQUARE FEET) 72104,B100000,00000,0800,00000(MEALS SERVED) 72104,B100000,00000,0801,00000(MEALS SERVED) 72104,B100000,00000,0900,00000(PATIENT DAYS) 72104,B100000,00000,1000,00000(PATIENT DAYS) 72104,B100000,00000,1100,00000(PATIENT DAYS) 72104,B100000,00000,1200,00000(PATIENT DAYS) 72104,B100000,00000,1300,00000(PATIENT DAYS) 72104,B100000,00000,1350,00000(PATIENT DAYS) 72104,B100000,00000,1400,00000(ASSIGNED TIME) 72104,S000000,00100,0200,04/11/2000 72104,S200000,00100,0100,1311 TYLER STREE 72104,S200000,00200,0100,BALCK RIVER FALLS 72104,S200000,00200,0200,WI 72104,S200000,00200,0300,54615 72104,S200000,00400,0100,FAMILY HERITAGE CARE CENTER 72104,S200000,00400,0200,525488 72104,S200000,00400,0300,10/01/1997 72104,S200000,00400,0500,P 72104,S200000,01500,0100,Y 72104,S200000,01900,0100,PROPRIETORSHIP 72104,S200000,04300,0100,Y 72106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72106,A000000,00300,0000,00300EMPLOYEE BENEFITS 72106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72106,A000000,00700,0000,00700HOUSEKEEPING 72106,A000000,00800,0000,00800DIETARY 72106,A000000,00900,0000,00900NURSING ADMINISTRATION 72106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72106,A000000,01100,0000,01100PHARMACY 72106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72106,A000000,01300,0000,01300SOCIAL SERVICE 72106,A000000,01301,0000,01301ACTIVITIES 72106,A000000,01350,0000,01500OTHER GENERAL SERVICES 72106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72106,A000000,01600,0000,01600SKILLED NURSING FACILITY 72106,A000000,01810,0000,01810ICF/MR 72106,A000000,02500,0000,02500PHYSICAL THERAPY 72106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72106,A000000,02700,0000,02700SPEECH PATHOLOGY 72106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72106,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72106,A000000,03550,0000,03550FQHC 72106,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72106,A000000,05000,0000,05000CORF 72106,A000000,05010,0000,05010CMHC 72106,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72106,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72106,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72106,A000000,06151,0000,06301APARTMENTS / ASSISTED LIVING 72106,A81000A,00100,0100,Y 72106,A81000B,00100,0300,CONTRACTED PT SVCS 72106,A81000B,00200,0300,CONTRACTED OT SVCS 72106,A81000B,00300,0300,CONTRACTED ST SVCS 72106,A81000B,00400,0300,FACILITY LEASE EXPENSE 72106,A81000C,00100,0100,A 72106,A81000C,00100,0200,FAMILY HERITAGE 72106,A81000C,00100,0400,HEYDE COMPANIES INC. 72106,A81000C,00100,0600,THERAPY SERVICES 72106,A81000C,00200,0100,A 72106,A81000C,00200,0200,FAMILY HERITAGE 72106,A81000C,00200,0400,HEYDE COMPANIES INC. 72106,A81000C,00200,0600,THERAPY SERVICES 72106,A81000C,00300,0100,A 72106,A81000C,00300,0200,FAMILY HERITAGE 72106,A81000C,00300,0400,HEYDE COMPANIES INC. 72106,A81000C,00300,0600,THERAPY SERVICES 72106,A81000C,00400,0100,A 72106,A81000C,00400,0200,FAMILY HERITAGE 72106,A81000C,00400,0400,DENNIS HEYDE 72106,A81000C,00400,0600,FACILITY MAMAGEMENT 72106,B100000,00000,0100,00001SQUARE FEET 72106,B100000,00000,0200,00001SQUARE FEET 72106,B100000,00000,0300,00001GROSS SALARIES 72106,B100000,00000,0400,00001ACCUM. COST 72106,B100000,00000,0500,00001SQUARE FEET 72106,B100000,00000,0600,00001PATIENT DAYS 72106,B100000,00000,0700,00001SQUARE FEET 72106,B100000,00000,0800,00001MEALS SERVED 72106,B100000,00000,0900,00001PATIENT DAYS 72106,B100000,00000,1000,00001PATIENT DAYS 72106,B100000,00000,1100,00001PATIENT DAYS 72106,B100000,00000,1200,00001PATIENT DAYS 72106,B100000,00000,1300,00001PATIENT DAYS 72106,B100000,00000,1301,00001PATIENT DAYS 72106,B100000,00000,1350,00001TIME SPENT 72106,B100000,00000,1400,00001ASSIGNED TIME 72106,E10A180,00550,0300,06/06/2000 72106,S000000,00100,0200,06/27/2000 72106,S200000,00100,0100,1311 TYLER STREET 72106,S200000,00200,0100,BLACK RIVER FALLS 72106,S200000,00200,0200,WI 72106,S200000,00300,0100,JACKSON 72106,S200000,00400,0100,FAMILY HERITAGE CARE CENTER 72106,S200000,00400,0200,525488 72106,S200000,00400,0300,05/01/1992 72106,S200000,00400,0500,P 72106,S200000,01500,0100,Y 72116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72116,A000000,00300,0000,00300EMPLOYEE BENEFITS 72116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72116,A000000,00700,0000,00700HOUSEKEEPING 72116,A000000,00800,0000,00800DIETARY 72116,A000000,00900,0000,00900NURSING ADMINISTRATION 72116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72116,A000000,01100,0000,01100PHARMACY 72116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72116,A000000,01300,0000,01300SOCIAL SERVICE 72116,A000000,01301,0000,01301ACTIVITIES 72116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72116,A000000,01600,0000,01600SKILLED NURSING FACILITY 72116,A000000,01810,0000,01810ICF/MR 72116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72116,A000000,02500,0000,02500PHYSICAL THERAPY 72116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72116,A000000,02700,0000,02700SPEECH PATHOLOGY 72116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72116,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72116,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72116,A000000,03550,0000,03550FQHC 72116,A000000,05000,0000,05000CORF 72116,A000000,05010,0000,05010CMHC 72116,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72116,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72116,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72116,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72116,A000000,06150,0000,06300CBRF 72116,A000000,06151,0000,06301TRANSPORTATION 72116,A000000,06152,0000,06302OTHER NON REIMBURSABLE COST 72116,B100000,00000,0100,00002SQUARE FEET 72116,B100000,00000,0200,00002SQUARE FEET 72116,B100000,00000,0300,00002GROSS SALARIES 72116,B100000,00000,0400,00002ACCUM COST 72116,B100000,00000,0500,00002SQUARE FEET 72116,B100000,00000,0600,00002PATIENT DAYS 72116,B100000,00000,0700,00002PATIENT DAYS 72116,B100000,00000,0800,00002MEALS SERVED 72116,B100000,00000,0900,00002COSTED REQUISITIO 72116,B100000,00000,1000,00002COSTED REQUISITIO 72116,B100000,00000,1100,00002COSTED REQUISITIO 72116,B100000,00000,1200,00002COSTED REQUISITIO 72116,B100000,00000,1300,00002PATIENT DAYS 72116,B100000,00000,1301,00002PATIENT DAYS 72116,B100000,00000,1400,00002ASSIGNED TIME 72116,S000000,00100,0200,06/07/2000 72116,S200000,00100,0100,903 MAIN AVENUE 72116,S200000,00100,0300,460 72116,S200000,00200,0100,CRIVITZ 72116,S200000,00200,0200,WISCONSIN 72116,S200000,00300,0100,MARINETTE 72116,S200000,00400,0100,NEWCARE INC 72116,S200000,00400,0200,525489 72116,S200000,00400,0300,04/01/1993 72116,S200000,00400,0500,P 72116,S200000,01600,0100,Y 72125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72125,A000000,00300,0000,00300EMPLOYEE BENEFITS 72125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72125,A000000,00700,0000,00700HOUSEKEEPING 72125,A000000,00800,0000,00800DIETARY 72125,A000000,00900,0000,00900NURSING ADMINISTRATION 72125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72125,A000000,01100,0000,01100PHARMACY 72125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72125,A000000,01300,0000,01300SOCIAL SERVICE 72125,A000000,01301,0000,01301ACTIVITIES 72125,A000000,01350,0000,01500REHAB 72125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72125,A000000,01600,0000,01600SKILLED NURSING FACILITY 72125,A000000,01800,0000,01800NURSING FACILITY 72125,A000000,01810,0000,01810ICF/MR 72125,A000000,02100,0000,02100RADIOLOGY 72125,A000000,02200,0000,02200LABORATORY 72125,A000000,02300,0000,02300INTRAVENOUS THERAPY 72125,A000000,02500,0000,02500PHYSICAL THERAPY 72125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72125,A000000,02700,0000,02700SPEECH PATHOLOGY 72125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72125,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72125,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72125,A000000,03550,0000,03550FQHC 72125,A000000,05000,0000,05000CORF 72125,A000000,05010,0000,05010CMHC 72125,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72125,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72125,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72125,A000000,05300,0000,05300INTEREST EXPENSE 72125,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72125,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72125,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72125,A81000A,00100,0100,Y 72125,A81000B,00100,0300,HOME OFFICE ALLOCATON 72125,A81000B,00200,0300,NON CERT 72125,A81000B,00300,0300,MEDICAL SUPPLIES 72125,A81000B,00400,0300,PLANT 72125,A81000B,00500,0300,DRUGS 72125,A81000B,00600,0300,NURSING ADMIN 72125,A81000B,00700,0300,PT 72125,A81000B,00800,0300,OT 72125,A81000B,00900,0300,ST 72125,A81000C,00100,0100,B 72125,A81000C,00100,0200,THE VIRGINIA 14 72125,A81000C,00100,0400,MARINER POST AC 72125,A81000C,00100,0600,NURSING HOMES 72125,A81000C,00200,0100,G 72125,A81000C,00200,0200,MARINER POST AC 72125,A81000C,00200,0400,AMERICAN PHARMA 72125,A81000C,00200,0600,PHARMACEUTICALS 72125,A81000C,00300,0100,G 72125,A81000C,00300,0200,MARINER POST AC 72125,A81000C,00300,0400,PRISM (ATS ARS 72125,A81000C,00300,0600,THERAPIES 72125,B100000,00000,0100,00000SQUARE FEET 72125,B100000,00000,0200,00000SQUARE FEET 72125,B100000,00000,0300,00000GROSS SALARIES 72125,B100000,00000,0400,00000ACCUM COST 72125,B100000,00000,0500,00000SQUARE FEET 72125,B100000,00000,0600,00000PATIENT DAYS 72125,B100000,00000,0700,00000SQUARE FEET 72125,B100000,00000,0800,00000MEALS SERVED 72125,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72125,B100000,00000,1000,00000PATIENT DAYS 72125,B100000,00000,1100,00000COSTED REQUIS 72125,B100000,00000,1200,00000PATIENT DAYS 72125,B100000,00000,1300,00000PATIENT DAYS 72125,B100000,00000,1301,00000PATIENT DAYS 72125,B100000,00000,1350,00000UNITS OF SERVICE 72125,B100000,00000,1400,00000ASSIGNED TIME 72125,S000000,00100,0200,06/13/2000 72125,S200000,00100,0100,1451 CLEVELAND AVE 72125,S200000,00200,0100,WAUKESHA 72125,S200000,00200,0200,WI 72125,S200000,00200,0300,53186 72125,S200000,00300,0100,WAUKESHA 72125,S200000,00400,0100,THE VIRGINIA HEALTHCARE CENTER 72125,S200000,00400,0200,525490 72125,S200000,00400,0300,06/01/1992 72125,S200000,00400,0500,P 72133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72133,A000000,00300,0000,00300EMPLOYEE BENEFITS 72133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72133,A000000,00700,0000,00700HOUSEKEEPING 72133,A000000,00800,0000,00800DIETARY 72133,A000000,00900,0000,00900NURSING ADMINISTRATION 72133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72133,A000000,01100,0000,01100PHARMACY 72133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72133,A000000,01300,0000,01300SOCIAL SERVICE 72133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72133,A000000,01600,0000,01600SKILLED NURSING FACILITY 72133,A000000,01800,0000,01800NURSING FACILITY 72133,A000000,01810,0000,01810ICF/MR 72133,A000000,02100,0000,02100RADIOLOGY 72133,A000000,02200,0000,02200LABORATORY 72133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72133,A000000,02500,0000,02500PHYSICAL THERAPY 72133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72133,A000000,02700,0000,02700SPEECH PATHOLOGY 72133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72133,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72133,A000000,03052,0000,03302MEDICAL EQUIPMENT 72133,A000000,03550,0000,03550FQHC 72133,A000000,05000,0000,05000CORF 72133,A000000,05010,0000,05010CMHC 72133,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72133,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72133,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72133,A81000A,00100,0100,Y 72133,A81000B,00100,0300,HOME OFFICE A&G 72133,A81000B,00200,0300,HOME OFFICE CAPITAL 72133,A81000B,00300,0300,DIVISION OFFICE A&G 72133,A81000B,00500,0300,INSURANCE 72133,A81000B,00900,0300,AIR FLUIDIZED THERAPY 72133,A81000C,00100,0100,B 72133,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72133,A81000C,00200,0100,G 72133,A81000C,00200,0200,LAURIER INC. 72133,A81000C,00200,0400,EXTENDICARE INC. 72133,A81000C,00200,0600,INSURANCE 72133,A81000C,00300,0100,G 72133,A81000C,00300,0200,UNITED REHABILITATION SVS 72133,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72133,A81000C,00300,0600,THERAPY SERVICE 72133,A81000C,00400,0100,G 72133,A81000C,00400,0200,UNITED PROFESSIONAL CO. 72133,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 72133,A81000C,00400,0600,MED SUPP RX 72133,B100000,00000,0100,00040SQUARE FEET 72133,B100000,00000,0200,00040SQUARE FEET 72133,B100000,00000,0300,00040GROSS SALARIES 72133,B100000,00000,0400,00040ACCUM. COST 72133,B100000,00000,0500,00040SQUARE FEET 72133,B100000,00000,0600,00040PATIENT DAYS 72133,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72133,B100000,00000,0800,00040PATIENT DAYS 72133,B100000,00000,0900,00040PATIENT DAYS 72133,B100000,00000,1000,00040COSTED REQUIS 72133,B100000,00000,1100,00040COSTED REQUIS 72133,B100000,00000,1200,00040GROSS REVENUE 72133,B100000,00000,1300,00040PATIENT DAYS 72133,B100000,00000,1400,00040ASSIGNED TIME 72133,E10A180,00301,0100,06/22/1998 72133,E10A180,00301,0300,06/22/1998 72133,E10A180,00350,0100,06/22/1998 72133,E10A180,00350,0300,06/22/1998 72133,E10A180,00550,0300,06/09/2000 72133,E10A180,00551,0300,02/12/2001 72133,S000000,00100,0200,06/20/2000 72133,S200000,00100,0100,619 WEST WALNUT 72133,S200000,00200,0100,MILWAUKEE 72133,S200000,00200,0200,WI 72133,S200000,00300,0100,MILWAUKEE 72133,S200000,00400,0100,PLYMOUTH MANOR 72133,S200000,00400,0200,525491 72133,S200000,00400,0300,05/01/1976 72133,S200000,00400,0500,P 72133,S200000,01600,0100,Y 72133,S200000,01900,0100,PRIVATE 72141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72141,A000000,00300,0000,00300EMPLOYEE BENEFITS 72141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72141,A000000,00700,0000,00700HOUSEKEEPING 72141,A000000,00800,0000,00800DIETARY 72141,A000000,00900,0000,00900NURSING ADMINISTRATION 72141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72141,A000000,01100,0000,01100PHARMACY 72141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72141,A000000,01300,0000,01300SOCIAL SERVICE 72141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72141,A000000,01600,0000,01600SKILLED NURSING FACILITY 72141,A000000,01810,0000,01810ICF/MR 72141,A000000,02100,0000,02100RADIOLOGY 72141,A000000,02200,0000,02200LABORATORY 72141,A000000,02500,0000,02500PHYSICAL THERAPY 72141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72141,A000000,02700,0000,02700SPEECH PATHOLOGY 72141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72141,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72141,A000000,03550,0000,03550FQHC 72141,A000000,04800,0000,04800AMBULANCE 72141,A000000,05000,0000,05000CORF 72141,A000000,05010,0000,05010CMHC 72141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72141,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72141,A81000A,00100,0100,Y 72141,A81000B,00100,0300,HOME OFFICE 72141,A81000B,00200,0300,HOME OFFICE 72141,A81000B,00300,0300,HOME OFFICE 72141,A81000C,00100,0100,A 72141,A81000C,00100,0200,SUNRISE CARE CE 72141,A81000C,00100,0400,ST. JOHNS ML 72141,A81000C,00100,0600,LT CARE 72141,B100000,00000,0100,00000SQUARE FEET 72141,B100000,00000,0200,00000SQUARE FEET 72141,B100000,00000,0300,00000GROSS SALARIES 72141,B100000,00000,0400,00000ACCUM COST 72141,B100000,00000,0500,00000SQUARE FEET 72141,B100000,00000,0600,00000PATIENT DAYS 72141,B100000,00000,0700,00000SQUARE FEET 72141,B100000,00000,0800,00000MEALS SERVED 72141,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72141,B100000,00000,1000,00000COSTED REQUISITIO 72141,B100000,00000,1100,00000COSTED REQUISITIO 72141,B100000,00000,1200,00000PATIENT DAYS 72141,B100000,00000,1300,00000PATIENT DAYS 72141,B100000,00000,1400,00000ASSIGNED TIME 72141,S000000,00100,0200,06/15/2000 72141,S200000,00100,0100,3540 S. 40TH STREET 72141,S200000,00200,0100,MILWAUKEE 72141,S200000,00200,0200,WI 72141,S200000,00200,0300,53220 72141,S200000,00300,0100,MILWAUKEE 72141,S200000,00400,0100,SUNRISE CARE CENTER 72141,S200000,00400,0200,525493 72141,S200000,00400,0300,08/01/1992 72141,S200000,00400,0500,P 72141,S200000,01500,0100,Y 72141,S200000,01900,0100,OTHER 72141,S200000,04700,0100,Y 72141,S200000,04700,0200,Y 72150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72150,A000000,00300,0000,00300EMPLOYEE BENEFITS 72150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72150,A000000,00700,0000,00700HOUSEKEEPING 72150,A000000,00800,0000,00800DIETARY 72150,A000000,00900,0000,00900NURSING ADMINISTRATION 72150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72150,A000000,01100,0000,01100PHARMACY 72150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72150,A000000,01300,0000,01300SOCIAL SERVICE 72150,A000000,01350,0000,01500PATIENT ACTIVITIES 72150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72150,A000000,01600,0000,01600SKILLED NURSING FACILITY 72150,A000000,01810,0000,01810ICF/MR 72150,A000000,02500,0000,02500PHYSICAL THERAPY 72150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72150,A000000,02700,0000,02700SPEECH PATHOLOGY 72150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72150,A000000,03550,0000,03550FQHC 72150,A000000,05000,0000,05000CORF 72150,A000000,05010,0000,05010CMHC 72150,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72150,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72150,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72150,A81000A,00100,0100,Y 72150,A81000B,00100,0300,MANAGEMENT FEES 72150,A81000B,00200,0300,MANAGEMENT FEES 72150,A81000B,00300,0300,BUILDING LEASE 72150,A81000C,00100,0100,A 72150,A81000C,00100,0200,HAROLD WOODHOUSE 72150,A81000C,00100,0400,HOME OFFICE 72150,A81000C,00100,0600,HOME OFFICE 72150,B100000,00000,0100,00000SQUARE FEET 72150,B100000,00000,0200,00000SQUARE FEET 72150,B100000,00000,0300,00000GROSS SALARIES 72150,B100000,00000,0400,00000ACCUM. COST 72150,B100000,00000,0500,00000SQUARE FEET 72150,B100000,00000,0600,00000PATIENT DAYS 72150,B100000,00000,0700,00000SQUARE FEET 72150,B100000,00000,0800,00000PATIENT DAYS 72150,B100000,00000,0900,00000DIRECT NRSG HRS 72150,B100000,00000,1000,00000COSTED REQUIS 72150,B100000,00000,1100,00000COSTED REQUIS 72150,B100000,00000,1200,00000TIME SPENT 72150,B100000,00000,1300,00000TIME SPENT 72150,B100000,00000,1350,00000PATIENT DAYS 72150,B100000,00000,1400,00000ASSIGNED TIME 72150,E10A180,00501,0100,02/16/2000 72150,E10A180,00550,0300,02/16/2000 72150,S000000,00100,0200,02/25/2000 72150,S200000,00100,0100,425 SUMMIT STREET 72150,S200000,00200,0100,WILD ROSE 72150,S200000,00200,0200,WI 72150,S200000,00300,0100,WAUSHARA 72150,S200000,00400,0100,WILD ROSE MANOR 72150,S200000,00400,0200,525496 72150,S200000,00400,0300,11/02/1992 72150,S200000,00400,0500,P 72150,S200000,01500,0100,Y 72152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72152,A000000,00300,0000,00300EMPLOYEE BENEFITS 72152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72152,A000000,00700,0000,00700HOUSEKEEPING 72152,A000000,00800,0000,00800DIETARY 72152,A000000,00900,0000,00900NURSING ADMINISTRATION 72152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72152,A000000,01100,0000,01100PHARMACY 72152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72152,A000000,01300,0000,01300SOCIAL SERVICE 72152,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72152,A000000,01600,0000,01600SKILLED NURSING FACILITY 72152,A000000,01810,0000,01810ICF/MR 72152,A000000,02100,0000,02100RADIOLOGY 72152,A000000,02200,0000,02200LABORATORY 72152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72152,A000000,02500,0000,02500PHYSICAL THERAPY 72152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72152,A000000,02700,0000,02700SPEECH PATHOLOGY 72152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72152,A000000,03550,0000,03550FQHC 72152,A000000,05000,0000,05000CORF 72152,A000000,05010,0000,05010CMHC 72152,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72152,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72152,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72152,A81000A,00100,0100,Y 72152,A81000B,00100,0300,HOME OFFICE COSTS 72152,A81000C,00100,0100,G 72152,A81000C,00100,0200,WISCONSIN ILLIN 72152,A81000C,00100,0400,HOUSING INC. 72152,A81000C,00100,0600,VOL NON-PROF HE 72152,A81000C,00200,0100,B 72152,A81000C,00200,0200,CONSULTING MAN 72152,A81000C,00200,0400,EDUCATION INC. 72152,A81000C,00200,0600,HEALTHCARE 72152,B100000,00000,0100,00000SQUARE FEET 72152,B100000,00000,0200,00000SQUARE FEET 72152,B100000,00000,0300,00000GROSS SALARIES 72152,B100000,00000,0400,00000ACCUM COST 72152,B100000,00000,0500,00000SQUARE FEET 72152,B100000,00000,0600,00000PATIENT DAYS 72152,B100000,00000,0700,00000SQUARE FEET 72152,B100000,00000,0800,00000MEALS SERVED 72152,B100000,00000,0900,00000PATIENT DAYS 72152,B100000,00000,1000,00000COSTED REQUIS 72152,B100000,00000,1100,00000COSTED REQUIS 72152,B100000,00000,1200,00000PATIENT DAYS 72152,B100000,00000,1300,00000PATIENT DAYS 72152,B100000,00000,1400,00000ASSIGNED TIME 72152,S000000,00100,0200,06/22/2000 72152,S200000,00100,0100,425 SUMMIT STREET 72152,S200000,00200,0100,WILD ROSE 72152,S200000,00200,0200,WI 72152,S200000,00300,0100,WAUSHARA 72152,S200000,00400,0100,WILD ROSE MANOR 72152,S200000,00400,0200,525496 72152,S200000,00400,0300,11/02/1992 72152,S200000,00400,0500,P 72152,S200000,01500,0100,Y 72152,S200000,01900,0100,501(C)(3) 72152,S200000,02800,0100,Y 72160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72160,A000000,00300,0000,00300EMPLOYEE BENEFITS 72160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72160,A000000,00700,0000,00700HOUSEKEEPING 72160,A000000,00800,0000,00800DIETARY 72160,A000000,00900,0000,00900NURSING ADMINISTRATION 72160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72160,A000000,01100,0000,01100PHARMACY 72160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72160,A000000,01300,0000,01300SOCIAL SERVICE 72160,A000000,01301,0000,01301ACTIVITIES 72160,A000000,01350,0000,01500REHAB 72160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72160,A000000,01600,0000,01600SKILLED NURSING FACILITY 72160,A000000,01800,0000,01800NURSING FACILITY 72160,A000000,01810,0000,01810ICF/MR 72160,A000000,02100,0000,02100RADIOLOGY 72160,A000000,02200,0000,02200LABORATORY 72160,A000000,02300,0000,02300INTRAVENOUS THERAPY 72160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72160,A000000,02500,0000,02500PHYSICAL THERAPY 72160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72160,A000000,02700,0000,02700SPEECH PATHOLOGY 72160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72160,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72160,A000000,03550,0000,03550FQHC 72160,A000000,05000,0000,05000CORF 72160,A000000,05010,0000,05010CMHC 72160,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72160,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72160,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72160,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72160,A81000A,00100,0100,Y 72160,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 72160,A81000B,00200,0300,NON CERT 72160,A81000B,00300,0300,MEDICAL SUPPLIES 72160,A81000B,00400,0300,RT 72160,A81000B,00500,0300,PT 72160,A81000B,00600,0300,OT 72160,A81000B,00700,0300,ST 72160,A81000C,00100,0100,B 72160,A81000C,00100,0200,PINE MANOR 1445 72160,A81000C,00100,0400,MARINER POST AC 72160,A81000C,00100,0600,NURSING HOMES 72160,A81000C,00200,0100,G 72160,A81000C,00200,0200,MARINER POST AC 72160,A81000C,00200,0400,AMERICAN PHARMA 72160,A81000C,00200,0600,PHARMACEUTICALS 72160,A81000C,00300,0100,G 72160,A81000C,00300,0200,MARINER POST AC 72160,A81000C,00300,0400,PRISM (ATS ARS 72160,A81000C,00300,0600,THERAPIES 72160,B100000,00000,0100,00000SQUARE FEET 72160,B100000,00000,0200,00000SQUARE FEET 72160,B100000,00000,0300,00000GROSS SALARIES 72160,B100000,00000,0400,00000ACCUM COST 72160,B100000,00000,0500,00000SQUARE FEET 72160,B100000,00000,0600,00000PATIENT DAYS 72160,B100000,00000,0700,00000SQUARE FEET 72160,B100000,00000,0800,00000MEALS SERVED 72160,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72160,B100000,00000,1000,00000PATIENT DAYS 72160,B100000,00000,1100,00000COSTED REQUIS 72160,B100000,00000,1200,00000PATIENT DAYS 72160,B100000,00000,1300,00000PATIENT DAYS 72160,B100000,00000,1301,00000PATIENT DAYS 72160,B100000,00000,1350,00000UNITS OF SERVICE 72160,B100000,00000,1400,00000ASSIGNED TIME 72160,S000000,00100,0200,06/28/2000 72160,S200000,00100,0100,RT 4 BOX 549 72160,S200000,00200,0100,CLINTONVILLE 72160,S200000,00200,0200,WI 72160,S200000,00200,0300,54929 72160,S200000,00300,0100,WAUPACE 72160,S200000,00400,0100,PINE MANOR HEALTHCARE CENTER 72160,S200000,00400,0200,525497 72160,S200000,00400,0300,11/01/1992 72160,S200000,00400,0500,P 72169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72169,A000000,00300,0000,00300EMPLOYEE BENEFITS 72169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72169,A000000,00700,0000,00700HOUSEKEEPING 72169,A000000,00800,0000,00800DIETARY 72169,A000000,00900,0000,00900NURSING ADMINISTRATION 72169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72169,A000000,01100,0000,01100PHARMACY 72169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72169,A000000,01300,0000,01300SOCIAL SERVICE 72169,A000000,01350,0000,01500ACTIVITIES 72169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72169,A000000,01600,0000,01600SKILLED NURSING FACILITY 72169,A000000,01800,0000,01800NURSING FACILITY 72169,A000000,01810,0000,01810ICF/MR 72169,A000000,02100,0000,02100RADIOLOGY 72169,A000000,02200,0000,02200LABORATORY 72169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72169,A000000,02500,0000,02500PHYSICAL THERAPY 72169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72169,A000000,02700,0000,02700SPEECH PATHOLOGY 72169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72169,A000000,03050,0000,03300CLINITRON THERAPY 72169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72169,A000000,03550,0000,03550FQHC 72169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72169,A000000,05000,0000,05000CORF 72169,A000000,05010,0000,05010CMHC 72169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72169,A000000,06150,0000,06300MARKETING 72169,A000000,06151,0000,06301APARTMENTS / ASSISTED LIVING 72169,A81000A,00100,0100,Y 72169,A81000B,00100,0300,HOME OFFICE MANAGEMENT 72169,A81000B,00200,0300,HOME OFFICE CAPITAL 72169,A81000B,00300,0300,INTEREST EXPENSE 72169,A81000B,00400,0300,AURORA EMPLOYEE BENEFITS 72169,A81000C,00100,0100,B 72169,A81000C,00100,0400,AURORA HEALTH CARE 72169,A81000C,00100,0600,HEALTH CARE PROVIDER 72169,B100000,00000,0100,00001SQUARE FEET 72169,B100000,00000,0200,00001SQUARE FEET 72169,B100000,00000,0300,00001GROSS SALARIES 72169,B100000,00000,0400,00001ACCUM. COST 72169,B100000,00000,0500,00001SQUARE FEET 72169,B100000,00000,0600,00001PATIENT DAYS 72169,B100000,00000,0700,00001SQUARE FEET 72169,B100000,00000,0800,00001MEALS SERVED 72169,B100000,00000,0900,00001PATIENT DAYS 72169,B100000,00000,1000,00001PATIENT DAYS 72169,B100000,00000,1100,00001COSTED REQUIS. 72169,B100000,00000,1200,00001PATIENT DAYS 72169,B100000,00000,1300,00001PATIENT DAYS 72169,B100000,00000,1350,00001PATIENT DAYS 72169,B100000,00000,1400,00001ASSIGNED TIME 72169,S000000,00100,0200,06/27/2000 72169,S200000,00100,0100,7300 WEST DEAN ROAD 72169,S200000,00200,0100,MILWAUKEE 72169,S200000,00200,0200,WI 72169,S200000,00300,0100,MILWAUKEE 72169,S200000,00400,0100,FRIENDSHIP VILLAGE OF GREATER MILW 72169,S200000,00400,0200,525498 72169,S200000,00400,0300,10/01/1992 72169,S200000,00400,0500,P 72169,S200000,01600,0100,Y 72169,S200000,01900,0100,501(C)(3) 72176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72176,A000000,00300,0000,00300EMPLOYEE BENEFITS 72176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72176,A000000,00700,0000,00700HOUSEKEEPING 72176,A000000,00800,0000,00800DIETARY 72176,A000000,00900,0000,00900NURSING ADMINISTRATION 72176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72176,A000000,01100,0000,01100PHARMACY 72176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72176,A000000,01300,0000,01300SOCIAL SERVICE 72176,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72176,A000000,01600,0000,01600SKILLED NURSING FACILITY 72176,A000000,01800,0000,01800NURSING FACILITY 72176,A000000,01810,0000,01810ICF/MR 72176,A000000,02100,0000,02100RADIOLOGY 72176,A000000,02200,0000,02200LABORATORY 72176,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72176,A000000,02500,0000,02500PHYSICAL THERAPY 72176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72176,A000000,02700,0000,02700SPEECH PATHOLOGY 72176,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72176,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72176,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72176,A000000,03052,0000,03302MEDICAL EQUIPMENT 72176,A000000,03550,0000,03550FQHC 72176,A000000,05000,0000,05000CORF 72176,A000000,05010,0000,05010CMHC 72176,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72176,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72176,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72176,A81000A,00100,0100,Y 72176,A81000B,00100,0300,HOME OFFICE A&G 72176,A81000B,00200,0300,HOME OFFICE CAPITAL 72176,A81000B,00300,0300,DIVISION OFFICE A&G 72176,A81000B,00500,0300,INSURANCE 72176,A81000B,00600,0300,PHYSICAL THERAPY 72176,A81000B,00700,0300,OCCUPATIONAL THERAPY 72176,A81000B,00800,0300,SPEECH PATHOLOGY 72176,A81000C,00100,0100,B 72176,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72176,A81000C,00200,0100,G 72176,A81000C,00200,0200,LAURIER INC. 72176,A81000C,00200,0400,EXTENDICARE INC. 72176,A81000C,00200,0600,INSURANCE 72176,A81000C,00300,0100,G 72176,A81000C,00300,0200,UNITED REHABILITATION SVS 72176,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72176,A81000C,00300,0600,THERAPY SERVICE 72176,A81000C,00400,0100,G 72176,A81000C,00400,0200,UNITED PROFESSIONAL CO 72176,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 72176,A81000C,00400,0600,MED SUPP RX 72176,B100000,00000,0100,00040SQUARE FEET 72176,B100000,00000,0200,00040SQUARE FEET 72176,B100000,00000,0300,00040GROSS SALARIES 72176,B100000,00000,0400,00040ACCUM. COST 72176,B100000,00000,0500,00040SQUARE FEET 72176,B100000,00000,0600,00040PATIENT DAYS 72176,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72176,B100000,00000,0800,00040PATIENT DAYS 72176,B100000,00000,0900,00040PATIENT DAYS 72176,B100000,00000,1000,00040COSTED REQUIS 72176,B100000,00000,1100,00040COSTED REQUIS 72176,B100000,00000,1200,00040GROSS REVENUE 72176,B100000,00000,1300,00040PATIENT DAYS 72176,B100000,00000,1400,00040ASSIGNED TIME 72176,E10A180,00301,0100,06/22/1998 72176,E10A180,00301,0300,06/22/1998 72176,E10A180,00350,0100,06/22/1998 72176,E10A180,00350,0300,06/22/1998 72176,E10A180,00550,0100,06/12/2000 72176,E10A180,00550,0300,06/12/2000 72176,S000000,00100,0200,06/20/2000 72176,S200000,00100,0100,425 DAVIS STREET 72176,S200000,00200,0100,HAMMOND 72176,S200000,00200,0200,WI 72176,S200000,00300,0100,ST CROIX 72176,S200000,00400,0100,AMERICAN HERITAGE CARE CENTER 72176,S200000,00400,0200,525499 72176,S200000,00400,0300,09/01/1997 72176,S200000,00400,0500,P 72176,S200000,01600,0100,Y 72176,S200000,01900,0100,PRIVATE 72184,S000000,00100,0200,05/25/2000 72196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72196,A000000,00300,0000,00300EMPLOYEE BENEFITS 72196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72196,A000000,00700,0000,00700HOUSEKEEPING 72196,A000000,00800,0000,00800DIETARY 72196,A000000,00900,0000,00900NURSING ADMINISTRATION 72196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72196,A000000,01100,0000,01100PHARMACY 72196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72196,A000000,01300,0000,01300SOCIAL SERVICE 72196,A000000,01350,0000,01500PATIENT ACTIVITIES 72196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72196,A000000,01600,0000,01600SKILLED NURSING FACILITY 72196,A000000,01810,0000,01810ICF/MR 72196,A000000,02500,0000,02500PHYSICAL THERAPY 72196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72196,A000000,02700,0000,02700SPEECH PATHOLOGY 72196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72196,A000000,03550,0000,03550FQHC 72196,A000000,05000,0000,05000CORF 72196,A000000,05010,0000,05010CMHC 72196,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72196,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72196,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72196,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72196,A81000A,00100,0100,Y 72196,A81000B,00100,0300,HOME OFFICE COST 72196,A81000B,00200,0300,HOME OFFICE COST 72196,A81000B,00300,0300,HOME OFFICE COST 72196,A81000C,00100,0100,A 72196,A81000C,00100,0200,CATHOLIC RESIDENTIAL SERV 72196,A81000C,00100,0400,CATHOLIC RESIDENTIAL SERV 72196,A81000C,00100,0600,HOME OFFICE 72196,B100000,00000,0100,00000SQUARE FEET 72196,B100000,00000,0200,00000SQUARE FEET 72196,B100000,00000,0300,00000GROSS SALARIES 72196,B100000,00000,0400,00000ACCUM. COST 72196,B100000,00000,0500,00000SQUARE FEET 72196,B100000,00000,0600,00000PATIENT DAYS 72196,B100000,00000,0700,00000SQUARE FEET 72196,B100000,00000,0800,00000PATIENT DAYS 72196,B100000,00000,0900,00000DIRECT NRSG HRS 72196,B100000,00000,1000,00000COSTED REQUIS 72196,B100000,00000,1100,00000COSTED REQUIS 72196,B100000,00000,1200,00000TIME SPENT 72196,B100000,00000,1300,00000TIME SPENT 72196,B100000,00000,1350,00000PATIENT DAYS 72196,B100000,00000,1400,00000ASSIGNED TIME 72196,S000000,00100,0200,05/31/2000 72196,S200000,00100,0100,1821 NORTH FOURTH AVE 72196,S200000,00200,0100,WAUSAU 72196,S200000,00200,0200,WI 72196,S200000,00200,0300,54401 72196,S200000,00300,0100,MARATHON 72196,S200000,00400,0100,MARYWOOD CONVALESCENT HOME 72196,S200000,00400,0200,525503 72196,S200000,00400,0300,05/01/1993 72196,S200000,00400,0500,P 72196,S200000,01500,0100,Y 72207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72207,A000000,00300,0000,00300EMPLOYEE BENEFITS 72207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72207,A000000,00700,0000,00700HOUSEKEEPING 72207,A000000,00800,0000,00800DIETARY 72207,A000000,00900,0000,00900NURSING ADMINISTRATION 72207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72207,A000000,01100,0000,01100PHARMACY 72207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72207,A000000,01300,0000,01300SOCIAL SERVICE 72207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72207,A000000,01600,0000,01600SKILLED NURSING FACILITY 72207,A000000,01800,0000,01800NURSING FACILITY 72207,A000000,01810,0000,01810ICF/MR 72207,A000000,02500,0000,02500PHYSICAL THERAPY 72207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72207,A000000,02700,0000,02700SPEECH PATHOLOGY 72207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72207,A000000,03550,0000,03550FQHC 72207,A000000,05000,0000,05000CORF 72207,A000000,05010,0000,05010CMHC 72207,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72207,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72207,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72207,A81000A,00100,0100,Y 72207,A81000B,00100,0300,BUILDING RENT 72207,A81000C,00100,0100,A 72207,A81000C,00100,0200,BORISLAV KRESOVIC 72207,A81000C,00100,0600,PARTNERSHIP 72207,A81000C,00200,0100,A 72207,A81000C,00200,0200,DRAGOMIR KRESOVIC 72207,A81000C,00200,0600,PARTNERSHIP 72207,B100000,00000,0100,00000SQUARE FEET 72207,B100000,00000,0200,00000SQUARE FEET 72207,B100000,00000,0300,00000GROSS SALARIES 72207,B100000,00000,0400,00000ACCUM. COST 72207,B100000,00000,0500,00000SQUARE FEET 72207,B100000,00000,0600,00000PATIENT DAYS 72207,B100000,00000,0700,00000SQUARE FEET 72207,B100000,00000,0800,00000PATIENT DAYS 72207,B100000,00000,0900,00000HOURS OF SERVICE 72207,B100000,00000,1000,00000PATIENT DAYS 72207,B100000,00000,1100,00000COSTED REQUIS 72207,B100000,00000,1200,00000TIME SPENT 72207,B100000,00000,1300,00000PATIENT DAYS 72207,B100000,00000,1400,00000ASSIGNED TIME 72207,S000000,00100,0200,01/03/2001 72207,S200000,00100,0100,5790 S 27TH STREET 72207,S200000,00200,0100,MILWAUKEE 72207,S200000,00200,0200,WI 72207,S200000,00200,0300,53221 72207,S200000,00300,0100,M 72207,S200000,00400,0100,CAMEO CARE CENTER 72207,S200000,00400,0200,525504 72207,S200000,00400,0300,03/01/1993 72207,S200000,00400,0500,P 72207,S200000,01600,0100,Y 72207,S200000,01900,0100,OTHER 72214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72214,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72214,A000000,00300,0000,00300EMPLOYEE BENEFITS 72214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72214,A000000,00700,0000,00700HOUSEKEEPING 72214,A000000,00800,0000,00800DIETARY 72214,A000000,00900,0000,00900NURSING ADMINISTRATION 72214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72214,A000000,01100,0000,01100PHARMACY 72214,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72214,A000000,01300,0000,01300SOCIAL SERVICE 72214,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72214,A000000,01600,0000,01600SKILLED NURSING FACILITY 72214,A000000,01810,0000,01810ICF/MR 72214,A000000,02200,0000,02200LABORATORY 72214,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72214,A000000,02500,0000,02500PHYSICAL THERAPY 72214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72214,A000000,02700,0000,02700SPEECH PATHOLOGY 72214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72214,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72214,A000000,03550,0000,03550FQHC 72214,A000000,05000,0000,05000CORF 72214,A000000,05010,0000,05010CMHC 72214,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72214,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72214,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72214,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72214,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72214,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72214,A81000A,00100,0100,Y 72214,A81000B,00100,0300,HOME OFFICE COSTS 72214,A81000C,00100,0100,C 72214,A81000C,00100,0200,GRACE LUTHERAN 72214,B100000,00000,0100,00000SQUARE FEET 72214,B100000,00000,0200,00000SQUARE FEET 72214,B100000,00000,0300,00000GROSS SALARIES 72214,B100000,00000,0400,00000ACCUM COST 72214,B100000,00000,0500,00000SQUARE FEET 72214,B100000,00000,0600,00000PATIENT DAYS 72214,B100000,00000,0700,00000SQUARE FEET 72214,B100000,00000,0800,00000MEALS SERVED 72214,B100000,00000,0900,00000DIRECT NRSG HRS 72214,B100000,00000,1000,00000COSTED REQUIS 72214,B100000,00000,1100,00000COSTED REQUISITIO 72214,B100000,00000,1200,00000PATIENT DAYS 72214,B100000,00000,1300,00000PATIENT DAYS 72214,B100000,00000,1400,00000ASSIGNED TIME 72214,E10A180,00501,0300,02/05/2001 72214,S000000,00100,0200,06/27/2000 72214,S200000,00100,0100,822 PORTER AVENUE 72214,S200000,00200,0100,EAU CLAIRE 72214,S200000,00200,0200,WI 72214,S200000,00200,0300,54701 72214,S200000,00300,0100,EAU CLAIRE 72214,S200000,00400,0100,SYVERSON LUTHERAN HOME 72214,S200000,00400,0200,525505 72214,S200000,00400,0300,03/01/1993 72214,S200000,00400,0500,P 72214,S200000,01500,0100,Y 72228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72228,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72228,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72228,A000000,00300,0000,00300EMPLOYEE BENEFITS 72228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72228,A000000,00700,0000,00700HOUSEKEEPING 72228,A000000,00800,0000,00800DIETARY 72228,A000000,00801,0000,00801CAFETERIA 72228,A000000,00900,0000,00900NURSING ADMINISTRATION 72228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72228,A000000,01100,0000,01100PHARMACY 72228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72228,A000000,01300,0000,01300SOCIAL SERVICE 72228,A000000,01350,0000,01500ACTIVITIES 72228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72228,A000000,01600,0000,01600SKILLED NURSING FACILITY 72228,A000000,01800,0000,01800NURSING FACILITY 72228,A000000,01810,0000,01810ICF/MR 72228,A000000,02100,0000,02100RADIOLOGY 72228,A000000,02200,0000,02200LABORATORY 72228,A000000,02300,0000,02300INTRAVENOUS THERAPY 72228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72228,A000000,02500,0000,02500PHYSICAL THERAPY 72228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72228,A000000,02700,0000,02700SPEECH PATHOLOGY 72228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72228,A000000,03050,0000,03300OTHER ANCILLARY 72228,A000000,03051,0000,03301OTHER ANCILLARY II 72228,A000000,03052,0000,03302OTHER ANCILLARY III 72228,A000000,03200,0000,03200SUPPORT SURFACES 72228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72228,A000000,03550,0000,03550FQHC 72228,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 72228,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72228,A000000,05000,0000,05000CORF I 72228,A000000,05010,0000,05010CMHC I 72228,A000000,05020,0000,05020OPT I 72228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72228,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72228,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72228,A81000A,00100,0100,Y 72228,A81000B,00100,0300,HO ALLOCATION 72228,A81000C,00100,0100,A 72228,A81000C,00100,0200,HEALTHLINK SER 72228,A81000C,00100,0600,LTC 72228,B100000,00000,0100,00000(SQUARE FEET) 72228,B100000,00000,0101,00000(SQUARE FEET) 72228,B100000,00000,0200,00000(SQUARE FEET) 72228,B100000,00000,0201,00000(SQUARE FEET) 72228,B100000,00000,0300,00000(GROSS SALARIES) 72228,B100000,00000,0400,00000(ACCUM. COST) 72228,B100000,00000,0500,00000(SQUARE FEET) 72228,B100000,00000,0600,00000(PATIENT DAYS) 72228,B100000,00000,0700,00000(SQUARE FEET) 72228,B100000,00000,0800,00000(MEALS SERVED) 72228,B100000,00000,0801,00000(MEALS SERVED) 72228,B100000,00000,0900,00000(PATIENT DAYS) 72228,B100000,00000,1000,00000(PATIENT DAYS) 72228,B100000,00000,1100,00000(PATIENT DAYS) 72228,B100000,00000,1200,00000(PATIENT DAYS) 72228,B100000,00000,1300,00000(PATIENT DAYS) 72228,B100000,00000,1350,00000(PATIENT DAYS) 72228,B100000,00000,1400,00000(ASSIGNED TIME) 72228,E10A180,00550,0300,04/30/2001 72228,S000000,00100,0200,08/10/2000 72228,S200000,00100,0100,900 SUNNYVIEW LANE 72228,S200000,00200,0100,PRINCETON 72228,S200000,00200,0200,WI 72228,S200000,00200,0300,54968 72228,S200000,00300,0100,GREEN LAKE 72228,S200000,00400,0100,SUNNYVIEW NURSING & REHAB 72228,S200000,00400,0200,525506 72228,S200000,00400,0300,07/01/1966 72228,S200000,00400,0500,P 72228,S200000,01600,0100,Y 72228,S200000,01900,0100,OTHER 72228,S200000,02200,0100,Y 72240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72240,A000000,00300,0000,00300EMPLOYEE BENEFITS 72240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72240,A000000,00700,0000,00700HOUSEKEEPING 72240,A000000,00800,0000,00800DIETARY 72240,A000000,00900,0000,00900NURSING ADMINISTRATION 72240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72240,A000000,01100,0000,01100PHARMACY 72240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72240,A000000,01300,0000,01300SOCIAL SERVICE 72240,A000000,01350,0000,01500PATIENT ACTIVITIES 72240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72240,A000000,01600,0000,01600SKILLED NURSING FACILITY 72240,A000000,01800,0000,01800NURSING FACILITY 72240,A000000,01810,0000,01810ICF/MR 72240,A000000,02500,0000,02500PHYSICAL THERAPY 72240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72240,A000000,02700,0000,02700SPEECH PATHOLOGY 72240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72240,A000000,03550,0000,03550FQHC 72240,A000000,05000,0000,05000CORF 72240,A000000,05010,0000,05010CMHC 72240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72240,A000000,06200,0000,06200PATIENTS LAUNDRY 72240,A81000A,00100,0100,Y 72240,A81000B,00100,0300,COUNTY COST ALLOCATION 72240,A81000C,00100,0100,G 72240,A81000C,00100,0200,POLK COUNTY 72240,A81000C,00100,0400,POLK COUNTY 72240,A81000C,00100,0600,GOVERNMENT 72240,B100000,00000,0100,00000SQUARE FEET 72240,B100000,00000,0200,00000SQUARE FEET 72240,B100000,00000,0300,00000GROSS SALARIES 72240,B100000,00000,0400,00000ACCUM. COST 72240,B100000,00000,0500,00000SQUARE FEET 72240,B100000,00000,0600,00000POUNDS OF LAUNDRY 72240,B100000,00000,0700,00000SQUARE FEET 72240,B100000,00000,0800,00000PATIENT DAYS 72240,B100000,00000,0900,00000DIRECT NRSG HRS 72240,B100000,00000,1000,00000COSTED REQUIS 72240,B100000,00000,1100,00000COSTED REQUIS 72240,B100000,00000,1200,00000TIME SPENT 72240,B100000,00000,1300,00000TIME SPENT 72240,B100000,00000,1350,00000PATIENT DAYS 72240,B100000,00000,1400,00000ASSIGNED TIME 72240,E10A180,00501,0300,05/25/2001 72240,S000000,00100,0200,06/29/2000 72240,S200000,00100,0100,220 SCHOLL STREET 72240,S200000,00200,0100,AMERY 72240,S200000,00200,0200,WI 72240,S200000,00300,0100,POLK 72240,S200000,00400,0100,GOLDEN AGE MANOR 72240,S200000,00400,0200,525507 72240,S200000,00400,0300,05/01/1993 72240,S200000,00400,0500,P 72240,S200000,01600,0100,Y 72240,S200000,01900,0100,501(C)(3) 72250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72250,A000000,00300,0000,00300EMPLOYEE BENEFITS 72250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72250,A000000,00700,0000,00700HOUSEKEEPING 72250,A000000,00800,0000,00800DIETARY 72250,A000000,00900,0000,00900NURSING ADMINISTRATION 72250,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72250,A000000,01100,0000,01100PHARMACY 72250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72250,A000000,01300,0000,01300SOCIAL SERVICE 72250,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72250,A000000,01600,0000,01600SKILLED NURSING FACILITY 72250,A000000,01800,0000,01800NURSING FACILITY 72250,A000000,01810,0000,01810ICF/MR 72250,A000000,02100,0000,02100RADIOLOGY 72250,A000000,02200,0000,02200LABORATORY 72250,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72250,A000000,02500,0000,02500PHYSICAL THERAPY 72250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72250,A000000,02700,0000,02700SPEECH PATHOLOGY 72250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72250,A000000,03550,0000,03550FQHC 72250,A000000,05000,0000,05000CORF 72250,A000000,05010,0000,05010CMHC 72250,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72250,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72250,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72250,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72250,A000000,05901,0000,05901BAD DEBTS 72250,A81000A,00100,0100,Y 72250,A81000B,00100,0300,MANAGEMENT FEE 72250,A81000B,00200,0300,MANAGEMENT FEE 72250,A81000B,00300,0300,CAP. REL. COSTS-MOVA 72250,A81000B,00400,0300,CENTRAL LAUNDRY 72250,A81000B,00500,0300,CENTRAL LAUNDRY 72250,A81000C,00100,0100,F 72250,A81000C,00100,0200,DEBES CORP 72250,A81000C,00100,0400,DEBES CORP 72250,A81000C,00100,0600,MANAGEMENT COMP 72250,A81000C,00200,0100,F 72250,A81000C,00200,0200,CHAMBRO LEASING 72250,A81000C,00200,0400,CHAMBRO LEASING 72250,A81000C,00200,0600,LEASING COMPANY 72250,A81000C,00300,0100,F 72250,A81000C,00300,0200,DEBES LAUNDRY S 72250,A81000C,00300,0400,DEBES LAUNDRY S 72250,A81000C,00300,0600,CENTRAL LAUNDRY 72250,B100000,00000,0100,00001(SQUARE FEET) 72250,B100000,00000,0200,00001(SQUARE FEET) 72250,B100000,00000,0300,00001(GROSS SALARIES) 72250,B100000,00000,0400,00001(ACCUM COST) 72250,B100000,00000,0500,00001(SQUARE FEET) 72250,B100000,00000,0600,00001PATIENT DAYS 72250,B100000,00000,0700,00001PATIENT DAYS 72250,B100000,00000,0800,00001(MEALS SERVED) 72250,B100000,00000,0900,00001NURSING SALARIES 72250,B100000,00000,1000,00001(COSTED REQUIS) 72250,B100000,00000,1100,00001COSTED REQUIS 72250,B100000,00000,1200,00001TIME SPENT 72250,B100000,00000,1300,00001PATIENT DAYS 72250,B100000,00000,1400,00001ASSIGNED TIME 72250,S000000,00100,0200,06/27/2000 72250,S200000,00100,0100,709 MEADOW PARK DRIVE 72250,S200000,00200,0100,CLINTON 72250,S200000,00200,0200,WI 72250,S200000,00200,0300,55325 72250,S200000,00300,0100,ROCK 72250,S200000,00400,0100,MEADOW PARK HEALTHCARE CENTER 72250,S200000,00400,0200,525508 72250,S200000,00400,0300,04/01/1993 72250,S200000,00400,0500,P 72250,S200000,00600,0200,525508 72250,S200000,00600,0300,04/01/1993 72250,S200000,00600,0600,P 72250,S200000,01600,0100,Y 72250,S200000,01900,0100,501(C)(3) 72250,S200000,02200,0100,Y 72259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72259,A000000,00300,0000,00300EMPLOYEE BENEFITS 72259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72259,A000000,00700,0000,00700HOUSEKEEPING 72259,A000000,00800,0000,00800DIETARY 72259,A000000,00900,0000,00900NURSING ADMINISTRATION 72259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72259,A000000,01100,0000,01100PHARMACY 72259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72259,A000000,01300,0000,01300SOCIAL SERVICE 72259,A000000,01350,0000,01500OTHER GENERAL SERVICES 72259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72259,A000000,01600,0000,01600SKILLED NURSING FACILITY 72259,A000000,01810,0000,01810ICF/MR 72259,A000000,02100,0000,02100RADIOLOGY 72259,A000000,02200,0000,02200LABORATORY 72259,A000000,02300,0000,02300INTRAVENOUS THERAPY 72259,A000000,02500,0000,02500PHYSICAL THERAPY 72259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72259,A000000,02700,0000,02700SPEECH PATHOLOGY 72259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72259,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72259,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72259,A000000,03550,0000,03550FQHC 72259,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72259,A000000,05000,0000,05000CORF 72259,A000000,05010,0000,05010CMHC 72259,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72259,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72259,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72259,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72259,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72259,A000000,05801,0000,05801SENIOR CITIZEN 72259,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72259,A000000,06151,0000,06301DEVELOPMENT DIRECTOR 72259,A81000A,00100,0100,Y 72259,A81000B,00100,0300,PHYSICAL THERAPY 72259,A81000B,00200,0300,OCCUPATIONAL THERAPY 72259,A81000B,00300,0300,SPEECH 72259,A81000C,00100,0100,C 72259,A81000C,00100,0200,GOOD SHEPHERD REHAB 72259,A81000C,00100,0400,REHABILITATION AGENCY 72259,B100000,00000,0100,00001SQUARE FEET 72259,B100000,00000,0200,00001SQUARE FEET 72259,B100000,00000,0300,00001GROSS SALARIES 72259,B100000,00000,0400,00001ACCUM. COST 72259,B100000,00000,0500,00001SQUARE FEET 72259,B100000,00000,0600,00001POUNDS OF LAUNDRY 72259,B100000,00000,0700,00001SQUARE FEET 72259,B100000,00000,0800,00001MEALS SERVED 72259,B100000,00000,0900,00001HOURS OF SERVICE 72259,B100000,00000,1000,00001NO STATISTICS 72259,B100000,00000,1100,00001NO STATISTICS 72259,B100000,00000,1200,00001HOURS OF SERVICE 72259,B100000,00000,1300,00001HOURS OF SERVICE 72259,B100000,00000,1350,00001NO STATISTICS 72259,B100000,00000,1400,00001NO STATISTICS 72259,E10A180,00550,0300,02/12/2001 72259,S000000,00100,0200,06/30/2000 72259,S200000,00100,0100,607 BRONSON ROAD 72259,S200000,00200,0100,SEYMOUR 72259,S200000,00200,0200,WI 72259,S200000,00300,0100,OUTAGAMIE 72259,S200000,00400,0100,GOOD SHEPHERD SERVICES LTD 72259,S200000,00400,0200,525509 72259,S200000,00400,0300,01/01/1994 72259,S200000,00400,0500,P 72259,S200000,01500,0100,Y 72259,S200000,01900,0100,501(C)(3) 72272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72272,A000000,00300,0000,00300EMPLOYEE BENEFITS 72272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72272,A000000,00700,0000,00700HOUSEKEEPING 72272,A000000,00800,0000,00800DIETARY 72272,A000000,00900,0000,00900NURSING ADMINISTRATION 72272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72272,A000000,01100,0000,01100PHARMACY 72272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72272,A000000,01300,0000,01300SOCIAL SERVICE 72272,A000000,01350,0000,01500ACTIVITIES 72272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72272,A000000,01600,0000,01600SKILLED NURSING FACILITY 72272,A000000,01810,0000,01810ICF/MR 72272,A000000,02100,0000,02100RADIOLOGY 72272,A000000,02200,0000,02200LABORATORY 72272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72272,A000000,02500,0000,02500PHYSICAL THERAPY 72272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72272,A000000,02700,0000,02700SPEECH PATHOLOGY 72272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72272,A000000,03200,0000,03200SUPPORT SURFACES 72272,A000000,03550,0000,03550FQHC 72272,A000000,05000,0000,05000CORF 72272,A000000,05010,0000,05010CMHC 72272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72272,A000000,05300,0000,05300INTEREST EXPENSE 72272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72272,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72272,A81000A,00100,0100,Y 72272,A81000B,00100,0300,MANAGEMENT FEES 72272,A81000C,00100,0100,B 72272,A81000C,00100,0200,COVENANT HEALTH 72272,A81000C,00100,0600,MGMT SVCES 72272,A81000C,00200,0100,B 72272,A81000C,00200,0200,WHEATON FRANCIS 72272,A81000C,00200,0600,MGMT SVCES 72272,B100000,00000,0100,00000SQUARE FEET 72272,B100000,00000,0200,00000SQUARE FEET 72272,B100000,00000,0300,00000GROSS SALARIES 72272,B100000,00000,0400,00000ACCUM COST 72272,B100000,00000,0500,00000SQUARE FEET 72272,B100000,00000,0600,00000PATIENT DAYS 72272,B100000,00000,0700,00000SQUARE FEET 72272,B100000,00000,0800,00000MEALS SERVED 72272,B100000,00000,0900,00000PATIENT DAYS 72272,B100000,00000,1000,00000COSTED REQUISITIO 72272,B100000,00000,1100,00000COSTED REQUISITIO 72272,B100000,00000,1200,00000PATIENT DAYS 72272,B100000,00000,1300,00000PATIENT DAYS 72272,B100000,00000,1350,00000PATIENT DAYS 72272,B100000,00000,1400,00000ASSIGNED TIME 72272,E10A180,00501,0300,09/28/2001 72272,S000000,00100,0200,05/15/2001 72272,S200000,00100,0100,3333 W HIGHLAND BLVD 72272,S200000,00200,0100,MILWAUKEE WI 53208 72272,S200000,00300,0100,MILWAUKEE 72272,S200000,00400,0100,MARIAN CATHOLIC CENTER 72272,S200000,00400,0200,525510 72272,S200000,00400,0300,07/01/1993 72272,S200000,00400,0500,P 72272,S200000,01500,0100,Y 72272,S200000,01900,0100,OTHER 72284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72284,A000000,00300,0000,00300EMPLOYEE BENEFITS 72284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72284,A000000,00700,0000,00700HOUSEKEEPING 72284,A000000,00800,0000,00800DIETARY 72284,A000000,00900,0000,00900NURSING ADMINISTRATION 72284,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72284,A000000,01100,0000,01100PHARMACY 72284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72284,A000000,01300,0000,01300SOCIAL SERVICE 72284,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72284,A000000,01600,0000,01600SKILLED NURSING FACILITY 72284,A000000,01800,0000,01800NURSING FACILITY 72284,A000000,01810,0000,01810ICF/MR 72284,A000000,02200,0000,02200LABORATORY 72284,A000000,02500,0000,02500PHYSICAL THERAPY 72284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72284,A000000,02700,0000,02700SPEECH PATHOLOGY 72284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72284,A000000,03050,0000,03300OTHER ANCILLARY SERVICE 72284,A000000,03051,0000,03301AIR FLUIDIZED BED 72284,A000000,03052,0000,03302MEDICAL EQUIPMENT 72284,A000000,03550,0000,03550FQHC 72284,A000000,05000,0000,05000CORF 72284,A000000,05010,0000,05010CMHC 72284,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72284,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72284,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72284,A81000A,00100,0100,Y 72284,A81000B,00100,0300,HOME OFFICE A&G 72284,A81000B,00200,0300,HOME OFFICE CAPITAL 72284,A81000B,00300,0300,DIVISION OFFICE A&G 72284,A81000B,00400,0300,DIVISION OFFICE CAPITAL 72284,A81000B,00500,0300,INSURANCE 72284,A81000B,00600,0300,CRC MOVABLE EQUIP. 72284,A81000C,00100,0100,B 72284,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72284,A81000C,00200,0100,G 72284,A81000C,00200,0200,LAURIER INC. 72284,A81000C,00200,0400,EXTENDICARE INC. 72284,A81000C,00200,0600,INSURANCE 72284,A81000C,00300,0100,G 72284,A81000C,00300,0200,UNITED REHABILITATION SVS 72284,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72284,A81000C,00300,0600,THERAPY SERVICE 72284,B100000,00000,0100,00040SQUARE FEET 72284,B100000,00000,0200,00040SQUARE FEET 72284,B100000,00000,0300,00040GROSS SALARIES 72284,B100000,00000,0400,00040ACCUM. COST 72284,B100000,00000,0500,00040SQUARE FEET 72284,B100000,00000,0600,00040PATIENT DAYS 72284,B100000,00000,0700,00040SQUARE FEET 72284,B100000,00000,0800,00040MEALS SERVED 72284,B100000,00000,0900,00040PATIENT DAYS 72284,B100000,00000,1000,00040COSTED REQUIS 72284,B100000,00000,1100,00040COSTED REQUIS 72284,B100000,00000,1200,00040GROSS CHARGES 72284,B100000,00000,1300,00040PATIENT DAYS 72284,B100000,00000,1400,00040ASSIGNED TIME 72284,E10A180,00501,0100,06/12/2000 72284,E10A180,00501,0300,02/25/2000 72284,E10A180,00550,0100,02/25/2000 72284,E10A180,00550,0300,06/12/2000 72284,S000000,00100,0200,02/27/2000 72284,S200000,00100,0100,1902 MEAD AVENUE 72284,S200000,00200,0100,SHEBOYGAN 72284,S200000,00200,0200,WI 72284,S200000,00300,0100,SHEBOYGAN 72284,S200000,00400,0100,HERITAGE NURSING CENTER 72284,S200000,00400,0200,525511 72284,S200000,00400,0300,08/06/1991 72284,S200000,00400,0500,P 72284,S200000,01600,0100,Y 72285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72285,A000000,00300,0000,00300EMPLOYEE BENEFITS 72285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72285,A000000,00700,0000,00700HOUSEKEEPING 72285,A000000,00800,0000,00800DIETARY 72285,A000000,00900,0000,00900NURSING ADMINISTRATION 72285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72285,A000000,01100,0000,01100PHARMACY 72285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72285,A000000,01300,0000,01300SOCIAL SERVICE 72285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72285,A000000,01600,0000,01600SKILLED NURSING FACILITY 72285,A000000,01810,0000,01810ICF/MR 72285,A000000,02100,0000,02100RADIOLOGY 72285,A000000,02200,0000,02200LABORATORY 72285,A000000,02500,0000,02500PHYSICAL THERAPY 72285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72285,A000000,02700,0000,02700SPEECH PATHOLOGY 72285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72285,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72285,A000000,03052,0000,03302MEDICAL EQUIPMENT 72285,A000000,03550,0000,03550FQHC 72285,A000000,05000,0000,05000CORF 72285,A000000,05010,0000,05010CMHC 72285,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72285,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72285,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72285,A81000A,00100,0100,Y 72285,A81000B,00100,0300,HOME OFFICE A&G 72285,A81000B,00200,0300,HOME OFFICE CAPITAL 72285,A81000B,00300,0300,DIVISION OFFICE A&G 72285,A81000B,00500,0300,INSURANCE 72285,A81000C,00100,0100,B 72285,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72285,A81000C,00200,0100,G 72285,A81000C,00200,0200,LAURIER INC. 72285,A81000C,00200,0400,EXTENDICARE INC. 72285,A81000C,00200,0600,INSURANCE 72285,A81000C,00300,0100,G 72285,A81000C,00300,0200,UNITED REHABILITATION SVS 72285,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72285,A81000C,00300,0600,THERAPY SERVICE 72285,B100000,00000,0100,00040SQUARE FEET 72285,B100000,00000,0200,00040SQUARE FEET 72285,B100000,00000,0300,00040GROSS SALARIES 72285,B100000,00000,0400,00040ACCUM. COST 72285,B100000,00000,0500,00040SQUARE FEET 72285,B100000,00000,0600,00040PATIENT DAYS 72285,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72285,B100000,00000,0800,00040PATIENT DAYS 72285,B100000,00000,0900,00040PATIENT DAYS 72285,B100000,00000,1000,00040COSTED REQUIS 72285,B100000,00000,1100,00040COSTED REQUIS 72285,B100000,00000,1200,00040GROSS REVENUE 72285,B100000,00000,1300,00040PATIENT DAYS 72285,B100000,00000,1400,00040ASSIGNED TIME 72285,E10A180,00301,0100,06/22/1998 72285,E10A180,00301,0300,06/22/1998 72285,E10A180,00350,0100,06/22/1998 72285,E10A180,00350,0300,06/22/1998 72285,E10A180,00501,0300,02/12/2001 72285,E10A180,00550,0100,02/12/2001 72285,S000000,00100,0200,06/20/2000 72285,S200000,00100,0100,1902 MEAD AVENUE 72285,S200000,00200,0100,SHEBOYGAN 72285,S200000,00200,0200,WI 72285,S200000,00300,0100,SHEBOYGAN 72285,S200000,00400,0100,HERITAGE NURSING CENTER 72285,S200000,00400,0200,525511 72285,S200000,00400,0300,08/06/1991 72285,S200000,00400,0500,P 72285,S200000,01600,0100,Y 72285,S200000,01900,0100,PRIVATE 72293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72293,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72293,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72293,A000000,00300,0000,00300EMPLOYEE BENEFITS 72293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72293,A000000,00700,0000,00700HOUSEKEEPING 72293,A000000,00800,0000,00800DIETARY 72293,A000000,00801,0000,00801CAFETERIA 72293,A000000,00900,0000,00900NURSING ADMINISTRATION 72293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72293,A000000,01100,0000,01100PHARMACY 72293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72293,A000000,01300,0000,01300SOCIAL SERVICE 72293,A000000,01350,0000,01500ACTIVITY 72293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72293,A000000,01600,0000,01600SKILLED NURSING FACILITY 72293,A000000,01810,0000,01810ICF/MR 72293,A000000,02100,0000,02100RADIOLOGY 72293,A000000,02200,0000,02200LABORATORY 72293,A000000,02500,0000,02500PHYSICAL THERAPY 72293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72293,A000000,02700,0000,02700SPEECH PATHOLOGY 72293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72293,A000000,03050,0000,03300REHAB UNIT 72293,A000000,03051,0000,03301OTHER ANCILLARY II 72293,A000000,03052,0000,03302OTHER ANCILLARY III 72293,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72293,A000000,03550,0000,03550FQHC 72293,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72293,A000000,05000,0000,05000CORF I 72293,A000000,05010,0000,05010CMHC I 72293,A000000,05020,0000,05020OPT I 72293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72293,A000000,05300,0000,05300INTEREST EXPENSE 72293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72293,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72293,A000000,06200,0000,06200PATIENTS LAUNDRY 72293,A81000A,00100,0100,Y 72293,A81000B,00100,0300,RELATED INT EXP 72293,A81000C,00100,0100,G 72293,A81000C,00100,0200,SKAALEN SUNSET 72293,A81000C,00100,0400,VENNEVOLL 72293,A81000C,00100,0600,HOUSING 72293,B100000,00000,0100,00000(SQUARE FEET) 72293,B100000,00000,0101,00000(SQUARE FEET) 72293,B100000,00000,0200,00000(SQUARE FEET) 72293,B100000,00000,0201,00000(SQUARE FEET) 72293,B100000,00000,0300,00000(GROSS SALARIES) 72293,B100000,00000,0400,00000(ACCUM. COST) 72293,B100000,00000,0500,00000(SQUARE FEET) 72293,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72293,B100000,00000,0700,00000(SQUARE FEET) 72293,B100000,00000,0800,00000(MEALS SERVED) 72293,B100000,00000,0801,00000(MEALS SERVED) 72293,B100000,00000,0900,00000(PATIENT DAYS) 72293,B100000,00000,1000,00000(PATIENT DAYS) 72293,B100000,00000,1100,00000(COSTED REQUIS.) 72293,B100000,00000,1200,00000(PATIENT DAYS) 72293,B100000,00000,1300,00000(PATIENT DAYS) 72293,B100000,00000,1350,00000(PATIENT DAYS) 72293,B100000,00000,1400,00000(ASSIGNED TIME) 72293,S000000,00100,0200,06/07/2000 72293,S200000,00100,0100,400 N MORRIS ST 72293,S200000,00200,0100,STOUGHTON 72293,S200000,00200,0200,WI 72293,S200000,00200,0300,53589 72293,S200000,00300,0100,DANE 72293,S200000,00400,0100,SKAALEN SUNSET HOME 72293,S200000,00400,0200,525512 72293,S200000,00400,0300,06/01/1993 72293,S200000,00400,0500,P 72293,S200000,01500,0100,Y 72302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72302,A000000,00300,0000,00300EMPLOYEE BENEFITS 72302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72302,A000000,00700,0000,00700HOUSEKEEPING 72302,A000000,00800,0000,00800DIETARY 72302,A000000,00900,0000,00900NURSING ADMINISTRATION 72302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72302,A000000,01100,0000,01100PHARMACY 72302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72302,A000000,01300,0000,01300SOCIAL SERVICE 72302,A000000,01350,0000,01500OTHER GENERAL SERVICES 72302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72302,A000000,01600,0000,01600SKILLED NURSING FACILITY 72302,A000000,01810,0000,01810ICF/MR 72302,A000000,02100,0000,02100RADIOLOGY 72302,A000000,02200,0000,02200LABORATORY 72302,A000000,02500,0000,02500PHYSICAL THERAPY 72302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72302,A000000,02700,0000,02700SPEECH PATHOLOGY 72302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72302,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72302,A000000,03550,0000,03550FQHC 72302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72302,A000000,05000,0000,05000CORF 72302,A000000,05010,0000,05010CMHC 72302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72302,A81000A,00100,0100,Y 72302,A81000B,00100,0300,MANAGEMENT FEES 72302,A81000C,00100,0100,E 72302,A81000C,00100,0200,LONG TERM CARE FOUNDATION 72302,A81000C,00100,0400,LONG TERM CARE FOUNDATION 72302,A81000C,00100,0600,CORPORATE OFFICE 72302,B100000,00000,0100,00000SQUARE FEET 72302,B100000,00000,0200,00000SQUARE FEET 72302,B100000,00000,0300,00000GROSS SALARIES 72302,B100000,00000,0400,00000ACCUM. COST 72302,B100000,00000,0500,00000SQUARE FEET 72302,B100000,00000,0600,00000RESIDENT DAYS 72302,B100000,00000,0700,00000SQUARE FEET 72302,B100000,00000,0800,00000MEALS SERVED 72302,B100000,00000,0900,00000RESIDENT DAYS 72302,B100000,00000,1000,00000NO STATISTICS 72302,B100000,00000,1100,00000NO STATISTICS 72302,B100000,00000,1200,00000RESIDENT DAYS 72302,B100000,00000,1300,00000RESIDENT DAYS 72302,B100000,00000,1350,00000NO STATISTICS 72302,B100000,00000,1400,00000NO STATISTICS 72302,E10A180,00550,0300,03/03/2000 72302,S000000,00100,0200,03/28/2000 72302,S200000,00100,0100,1663 EAST DIVISION STREET 72302,S200000,00200,0100,RIVER FALLS 72302,S200000,00200,0200,WI 72302,S200000,00300,0100,ST. CROIX 72302,S200000,00400,0100,LTCF DBA: KINNIC LONG TERM CARE 72302,S200000,00400,0200,525513 72302,S200000,00400,0300,07/01/1993 72302,S200000,00400,0500,P 72302,S200000,01500,0100,Y 72302,S200000,01900,0100,501 C 3 72308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72308,A000000,00300,0000,00300EMPLOYEE BENEFITS 72308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72308,A000000,00700,0000,00700HOUSEKEEPING 72308,A000000,00800,0000,00800DIETARY 72308,A000000,00900,0000,00900NURSING ADMINISTRATION 72308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72308,A000000,01100,0000,01100PHARMACY 72308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72308,A000000,01300,0000,01300SOCIAL SERVICE 72308,A000000,01350,0000,01500PATIENT ACTIVITIES 72308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72308,A000000,01600,0000,01600SKILLED NURSING FACILITY 72308,A000000,01800,0000,01800NURSING FACILITY 72308,A000000,01810,0000,01810ICF/MR 72308,A000000,02500,0000,02500PHYSICAL THERAPY 72308,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72308,A000000,02700,0000,02700SPEECH PATHOLOGY 72308,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72308,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72308,A000000,03550,0000,03550FQHC 72308,A000000,05000,0000,05000CORF 72308,A000000,05010,0000,05010CMHC 72308,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72308,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72308,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72308,A81000A,00100,0100,Y 72308,A81000B,00100,0300,CAPITAL RELATED COSTS 72308,A81000C,00100,0100,A 72308,A81000C,00100,0200,RON & HELEN DESOTELL 72308,A81000C,00100,0400,RON & HELEN DESOTELL 72308,A81000C,00100,0600,RENTAL REAL ESTATE 72308,B100000,00000,0100,00040SQUARE FEET 72308,B100000,00000,0200,00040SQUARE FEET 72308,B100000,00000,0300,00040GROSS SALARIES 72308,B100000,00000,0400,00040ACCUM. COST 72308,B100000,00000,0500,00040SQUARE FEET 72308,B100000,00000,0600,00040PATIENT DAYS 72308,B100000,00000,0700,00040SQUARE FEET 72308,B100000,00000,0800,00040PATIENT DAYS 72308,B100000,00000,0900,00040DIRECT NRSG HRS 72308,B100000,00000,1000,00040COSTED REQUIS 72308,B100000,00000,1100,00040COSTED REQUIS 72308,B100000,00000,1200,00040TIME SPENT 72308,B100000,00000,1300,00040TIME SPENT 72308,B100000,00000,1350,00040PATIENT DAYS 72308,B100000,00000,1400,00040ASSIGNED TIME 72308,S000000,00100,0200,07/06/2000 72308,S200000,00100,0100,3737 DICKENSON ROAD 72308,S200000,00200,0100,DE PERE 72308,S200000,00200,0200,WI 72308,S200000,00300,0100,BROWN 72308,S200000,00400,0100,LEDGE VIEW NURSING CENTER 72308,S200000,00400,0200,525515 72308,S200000,00400,0300,07/01/1993 72308,S200000,00400,0500,P 72308,S200000,01600,0100,Y 72308,S200000,01900,0100,PROPRIETORSHIP 72314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72314,A000000,00300,0000,00300EMPLOYEE BENEFITS 72314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72314,A000000,00700,0000,00700HOUSEKEEPING 72314,A000000,00800,0000,00800DIETARY 72314,A000000,00900,0000,00900NURSING ADMINISTRATION 72314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72314,A000000,01100,0000,01100PHARMACY 72314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72314,A000000,01300,0000,01300SOCIAL SERVICE 72314,A000000,01350,0000,01500ACTIVITIES 72314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72314,A000000,01600,0000,01600SKILLED NURSING FACILITY 72314,A000000,01810,0000,01810ICF/MR 72314,A000000,02100,0000,02100RADIOLOGY 72314,A000000,02200,0000,02200LABORATORY 72314,A000000,02500,0000,02500PHYSICAL THERAPY 72314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72314,A000000,02700,0000,02700SPEECH PATHOLOGY 72314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72314,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72314,A000000,03550,0000,03550FQHC 72314,A000000,05000,0000,05000CORF 72314,A000000,05010,0000,05010CMHC 72314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72314,A000000,05901,0000,05901DENTAL SERVICES 72314,A000000,06150,0000,06300SHERIFF/JUVENILE DETENTION/NIP/ 72314,B100000,00000,0100,00000SQUARE FEET 72314,B100000,00000,0200,00000SQUARE FEET 72314,B100000,00000,0300,00000GROSS SALARIES 72314,B100000,00000,0400,00000ACCUM COST 72314,B100000,00000,0500,00000SQUARE FEET 72314,B100000,00000,0600,00000PATIENT DAYS 72314,B100000,00000,0700,00000SQUARE FEET 72314,B100000,00000,0800,00000MEALS SERVED 72314,B100000,00000,0900,00000HOURS OF SERVICE 72314,B100000,00000,1000,00000PATIENT DAYS 72314,B100000,00000,1100,00000COSTED REQUIS 72314,B100000,00000,1200,00000PATIENT DAYS 72314,B100000,00000,1300,00000PATIENT DAYS 72314,B100000,00000,1350,00000PATIENT DAYS 72314,B100000,00000,1400,00000ASSIGNED TIME 72314,S000000,00100,0200,06/14/2000 72314,S200000,00100,0100,6748 HWY 18 & HWY 151 72314,S200000,00200,0100,VERONA 72314,S200000,00200,0200,WI 72314,S200000,00200,0300,53593 72314,S200000,00300,0100,DANE 72314,S200000,00400,0100,BADGER PRAIRIE HEALTH CARE CENTER 72314,S200000,00400,0200,525516 72314,S200000,00400,0300,08/01/1993 72314,S200000,00400,0500,P 72314,S200000,01500,0100,Y 72314,S200000,01900,0100,501(C)(3) 72314,S200000,02800,0100,Y 72321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72321,A000000,00300,0000,00300EMPLOYEE BENEFITS 72321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72321,A000000,00700,0000,00700HOUSEKEEPING 72321,A000000,00800,0000,00800DIETARY 72321,A000000,00900,0000,00900NURSING ADMINISTRATION 72321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72321,A000000,01100,0000,01100PHARMACY 72321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72321,A000000,01300,0000,01300SOCIAL SERVICE 72321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72321,A000000,01600,0000,01600SKILLED NURSING FACILITY 72321,A000000,01810,0000,01810ICF/MR 72321,A000000,02100,0000,02100RADIOLOGY 72321,A000000,02200,0000,02200LABORATORY 72321,A000000,02500,0000,02500PHYSICAL THERAPY 72321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72321,A000000,02700,0000,02700SPEECH PATHOLOGY 72321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72321,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72321,A000000,03550,0000,03550FQHC 72321,A000000,05000,0000,05000CORF 72321,A000000,05010,0000,05010CMHC 72321,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72321,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72321,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72321,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72321,A81000A,00100,0100,Y 72321,A81000B,00100,0300,MANAGEMENT FEE 72321,A81000C,00100,0100,A 72321,A81000C,00100,0200,VILLAGE AT MANO 72321,A81000C,00100,0400,VILLAGE AT MANO 72321,A81000C,00100,0600,MANAGEMENT 72321,B100000,00000,0100,00000SQUARE FEET 72321,B100000,00000,0200,00000SQUARE FEET 72321,B100000,00000,0300,00000GROSS SALARIES 72321,B100000,00000,0400,00000ACCUM COST 72321,B100000,00000,0500,00000SQUARE FEET 72321,B100000,00000,0600,00000PATIENT DAYS 72321,B100000,00000,0700,00000SQUARE FEET 72321,B100000,00000,0800,00000MEALS SERVED 72321,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72321,B100000,00000,1000,00000PATIENT DAYS 72321,B100000,00000,1100,00000COSTED REQUISITIO 72321,B100000,00000,1200,00000PATIENT DAYS 72321,B100000,00000,1300,00000PATIENT DAYS 72321,B100000,00000,1400,00000ASSIGNED TIME 72321,E10A180,00551,0300,06/06/2000 72321,S000000,00100,0200,06/22/2000 72321,S200000,00100,0100,3025 W. MITCHELL ST. 72321,S200000,00200,0100,MILWAUKEE 72321,S200000,00200,0200,WI 72321,S200000,00200,0300,53215 72321,S200000,00300,0100,MILWAUKEE 72321,S200000,00400,0100,COMSTOCK CARE CENTER 72321,S200000,00400,0200,525517 72321,S200000,00400,0300,09/01/1993 72321,S200000,00400,0500,P 72321,S200000,01500,0100,Y 72321,S200000,01900,0100,OTHER (SPECIFY) 72329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72329,A000000,00300,0000,00300EMPLOYEE BENEFITS 72329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72329,A000000,00700,0000,00700HOUSEKEEPING 72329,A000000,00800,0000,00800DIETARY 72329,A000000,00900,0000,00900NURSING ADMINISTRATION 72329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72329,A000000,01100,0000,01100PHARMACY 72329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72329,A000000,01300,0000,01300SOCIAL SERVICE 72329,A000000,01350,0000,01500ACTIVITIES 72329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72329,A000000,01600,0000,01600SKILLED NURSING FACILITY 72329,A000000,01810,0000,01810ICF/MR 72329,A000000,02100,0000,02100RADIOLOGY 72329,A000000,02200,0000,02200LABORATORY 72329,A000000,02300,0000,02300INTRAVENOUS THERAPY 72329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72329,A000000,02500,0000,02500PHYSICAL THERAPY 72329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72329,A000000,02700,0000,02700SPEECH PATHOLOGY 72329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72329,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72329,A000000,03200,0000,03200SUPPORT SURFACES 72329,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72329,A000000,03550,0000,03550FQHC 72329,A000000,05000,0000,05000CORF 72329,A000000,05010,0000,05010CMHC 72329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72329,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72329,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72329,A81000A,00100,0100,Y 72329,A81000B,00100,0300,INTEREST 72329,A81000B,00200,0300,RENT 72329,A81000C,00100,0100,G 72329,A81000C,00100,0200,CARE-AGE OF BRO 72329,A81000C,00100,0400,CARE-AGE OF BRO 72329,A81000C,00100,0600,BUILDING OWNER 72329,B100000,00000,0100,00000SQUARE FEET 72329,B100000,00000,0200,00000SQUARE FEET 72329,B100000,00000,0300,00000GROSS SALARIES 72329,B100000,00000,0400,00000ACCUM COST 72329,B100000,00000,0500,00000SQUARE FEET 72329,B100000,00000,0600,00000PATIENT DAYS 72329,B100000,00000,0700,00000SQUARE FEET 72329,B100000,00000,0800,00000MEALS SERVED 72329,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72329,B100000,00000,1000,00000COSTED REQUISITIO 72329,B100000,00000,1100,00000COSTED REQUISITIO 72329,B100000,00000,1200,00000PATIENT DAYS 72329,B100000,00000,1300,00000PATIENT DAYS 72329,B100000,00000,1350,00000PATIENT DAYS 72329,B100000,00000,1400,00000ASSIGNED TIME 72329,S000000,00100,0200,06/21/2000 72329,S200000,00100,0100,1755 NORTH BARKER ROAD 72329,S200000,00200,0100,BROOKFIELD 72329,S200000,00200,0200,WI 72329,S200000,00200,0300,53045 72329,S200000,00300,0100,WAUKESHA 72329,S200000,00400,0100,CARE-AGE OF BROOKFIELD 72329,S200000,00400,0200,525519 72329,S200000,00400,0300,07/26/1993 72329,S200000,00400,0500,P 72329,S200000,01500,0100,Y 72333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72333,A000000,00300,0000,00300EMPLOYEE BENEFITS 72333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72333,A000000,00700,0000,00700HOUSEKEEPING 72333,A000000,00800,0000,00800DIETARY 72333,A000000,00900,0000,00900NURSING ADMINISTRATION 72333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72333,A000000,01100,0000,01100PHARMACY 72333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72333,A000000,01300,0000,01300SOCIAL SERVICE 72333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72333,A000000,01600,0000,01600SKILLED NURSING FACILITY 72333,A000000,01810,0000,01810ICF/MR 72333,A000000,02200,0000,02200LABORATORY 72333,A000000,02500,0000,02500PHYSICAL THERAPY 72333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72333,A000000,02700,0000,02700SPEECH PATHOLOGY 72333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72333,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72333,A000000,03550,0000,03550FQHC 72333,A000000,05000,0000,05000CORF 72333,A000000,05010,0000,05010CMHC 72333,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72333,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72333,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72333,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72333,A81000A,00100,0100,Y 72333,A81000B,00100,0300,INSURANCE 72333,A81000B,00200,0300,RENT DEPRECIATION INTEREST 72333,A81000B,00300,0300,EMPLOYEE BENEFITS 72333,A81000B,00400,0300,ADMINISTRATION SALARIES 72333,A81000B,00500,0300,ADMINISTRAION NON-SALARY 72333,A81000B,00600,0300,PLANT OPERATIONS NON-SALARY 72333,A81000B,00700,0300,ADMINISTRATION TRAVEL 72333,A81000B,00800,0300,ADMINISTRATION BOARD FEES 72333,A81000C,00100,0100,B 72333,A81000C,00100,0400,HOME OFFICE 72333,B100000,00000,0100,00000SQUARE FEET 72333,B100000,00000,0200,00000SQUARE FEET 72333,B100000,00000,0300,00000GROSS SALARIES 72333,B100000,00000,0400,00000ACCUM COST 72333,B100000,00000,0500,00000SQUARE FEET 72333,B100000,00000,0600,00000PATIENT DAYS 72333,B100000,00000,0700,00000PATIENT DAYS 72333,B100000,00000,0800,00000PATIENT DAYS 72333,B100000,00000,0900,00000TIME SPENT 72333,B100000,00000,1000,00000COSTED REQUISITIO 72333,B100000,00000,1100,00000COSTED REQUIS 72333,B100000,00000,1200,00000TIME SPENT 72333,B100000,00000,1300,00000TIME SPENT 72333,B100000,00000,1400,00000ASSIGNED TIME 72333,S000000,00100,0200,07/10/2000 72333,S200000,00100,0100,634 CENTER ST. 72333,S200000,00200,0100,BLACK EARTH 72333,S200000,00200,0200,WI 72333,S200000,00200,0300,53515 72333,S200000,00300,0100,DANE 72333,S200000,00400,0100,HEARTLAND COUNTRY VILLAGE 72333,S200000,00400,0200,525521 72333,S200000,00400,0300,12/22/1998 72333,S200000,00400,0500,P 72333,S200000,01500,0100,Y 72333,S200000,03300,0100,Y 72333,S200000,03300,0200,Y 72341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72341,A000000,00300,0000,00300EMPLOYEE BENEFITS 72341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72341,A000000,00700,0000,00700HOUSEKEEPING 72341,A000000,00800,0000,00800DIETARY 72341,A000000,00900,0000,00900NURSING ADMINISTRATION 72341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72341,A000000,01100,0000,01100PHARMACY 72341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72341,A000000,01300,0000,01300SOCIAL SERVICE 72341,A000000,01301,0000,01301ACTIVITIES 72341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72341,A000000,01600,0000,01600SKILLED NURSING FACILITY 72341,A000000,01800,0000,01800NURSING FACILITY 72341,A000000,01810,0000,01810ICF/MR 72341,A000000,02100,0000,02100RADIOLOGY 72341,A000000,02200,0000,02200LABORATORY 72341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72341,A000000,02500,0000,02500PHYSICAL THERAPY 72341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72341,A000000,02700,0000,02700SPEECH PATHOLOGY 72341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72341,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72341,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72341,A000000,03550,0000,03550FQHC 72341,A000000,05000,0000,05000CORF 72341,A000000,05010,0000,05010CMHC 72341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72341,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72341,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72341,B100000,00000,0100,00000SQUARE FEET 72341,B100000,00000,0200,00000SQUARE FEET 72341,B100000,00000,0300,00000GROSS SALARIES 72341,B100000,00000,0400,00000ACCUM COST 72341,B100000,00000,0500,00000SQUARE FEET 72341,B100000,00000,0600,00000PATIENT DAYS 72341,B100000,00000,0700,00000PATIENT DAYS 72341,B100000,00000,0800,00000MEALS SERVED 72341,B100000,00000,0900,00000PATIENT DAYS 72341,B100000,00000,1000,00000COSTED REQUISITIO 72341,B100000,00000,1100,00000COSTED REQUISITIO 72341,B100000,00000,1200,00000COSTED REQUISITIO 72341,B100000,00000,1300,00000PATIENT DAYS 72341,B100000,00000,1301,00000PATIENT DAYS 72341,B100000,00000,1400,00000ASSIGNED TIME 72341,S000000,00100,0200,06/06/2000 72341,S200000,00100,0100,517 EAST DIVISION 72341,S200000,00200,0100,FOND DU LAC 72341,S200000,00300,0100,FOND DU LAC 72341,S200000,00400,0100,GRANCARE NURSING CENTER 72341,S200000,00400,0200,525522 72341,S200000,00400,0300,08/24/1993 72341,S200000,00400,0500,P 72341,S200000,01600,0100,Y 72349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72349,A000000,00300,0000,00300EMPLOYEE BENEFITS 72349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72349,A000000,00700,0000,00700HOUSEKEEPING 72349,A000000,00800,0000,00800DIETARY 72349,A000000,00900,0000,00900NURSING ADMINISTRATION 72349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72349,A000000,01100,0000,01100PHARMACY 72349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72349,A000000,01300,0000,01300SOCIAL SERVICE 72349,A000000,01350,0000,01500OTHER GENERAL SERVICES 72349,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72349,A000000,01600,0000,01600SKILLED NURSING FACILITY 72349,A000000,01810,0000,01810ICF/MR 72349,A000000,01900,0000,01900OTHER LONG TERM CARE 72349,A000000,02100,0000,02100RADIOLOGY 72349,A000000,02200,0000,02200LABORATORY 72349,A000000,02300,0000,02300INTRAVENOUS THERAPY 72349,A000000,02500,0000,02500PHYSICAL THERAPY 72349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72349,A000000,02700,0000,02700SPEECH PATHOLOGY 72349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72349,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72349,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72349,A000000,03550,0000,03550FQHC 72349,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72349,A000000,05000,0000,05000CORF 72349,A000000,05010,0000,05010CMHC 72349,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72349,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72349,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72349,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72349,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72349,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72349,A000000,06151,0000,06301APARTMENTS 72349,A000000,06201,0000,06201ADULT DAY CARE 72349,A81000A,00100,0100,Y 72349,A81000B,00100,0300,HOME OFFICE COSTS 72349,A81000C,00100,0100,B 72349,A81000C,00100,0200,ALEXIAN BROTHERS HEALTH S 72349,A81000C,00100,0600,HEALTH CARE 72349,B100000,00000,0100,00001SQUARE FEET 72349,B100000,00000,0200,00001SQUARE FEET 72349,B100000,00000,0300,00001GROSS SALARIES 72349,B100000,00000,0400,00001ACCUM. COST 72349,B100000,00000,0500,00001SQUARE FEET 72349,B100000,00000,0600,00001RESIDENT DAYS 72349,B100000,00000,0700,00001SQUARE FEET 72349,B100000,00000,0800,00001MEALS SERVED 72349,B100000,00000,0900,00001DIRECT NRSING HRS 72349,B100000,00000,1000,00001COSTED REQUIS. 72349,B100000,00000,1100,00001COSTED REQUIS. 72349,B100000,00000,1200,00001TIME SPENT 72349,B100000,00000,1300,00001TIME SPENT 72349,B100000,00000,1350,00001NO STATISTICS 72349,B100000,00000,1400,00001ASSIGNED TIME 72349,E10A180,00501,0300,02/05/2001 72349,S000000,00100,0200,06/27/2000 72349,S200000,00100,0100,9255 N. 76TH STREET 72349,S200000,00200,0100,MILWAUKEE 72349,S200000,00200,0200,WI 72349,S200000,00300,0100,MILWAUKEE 72349,S200000,00400,0100,ALEXIAN VILLAGE OF MILWAUKEE 72349,S200000,00400,0200,525523 72349,S200000,00400,0300,01/01/1994 72349,S200000,00400,0500,P 72349,S200000,01500,0100,Y 72349,S200000,01900,0100,501 C 3 72349,S200000,02800,0100,Y 72403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72403,A000000,00300,0000,00300EMPLOYEE BENEFITS 72403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72403,A000000,00700,0000,00700HOUSEKEEPING 72403,A000000,00800,0000,00800DIETARY 72403,A000000,00900,0000,00900NURSING ADMINISTRATION 72403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72403,A000000,01100,0000,01100PHARMACY 72403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72403,A000000,01300,0000,01300SOCIAL SERVICE 72403,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72403,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72403,A000000,01600,0000,01600SKILLED NURSING FACILITY 72403,A000000,01810,0000,01810ICF/MR 72403,A000000,02100,0000,02100RADIOLOGY 72403,A000000,02200,0000,02200LABORATORY 72403,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72403,A000000,02500,0000,02500PHYSICAL THERAPY 72403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72403,A000000,02700,0000,02700SPEECH PATHOLOGY 72403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72403,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72403,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72403,A000000,03550,0000,03550FQHC 72403,A000000,05000,0000,05000CORF 72403,A000000,05010,0000,05010CMHC 72403,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72403,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72403,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72403,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72403,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72403,B100000,00000,0100,00000SQUARE FEET 72403,B100000,00000,0200,00000SQUARE FEET 72403,B100000,00000,0300,00000GROSS SALARIES 72403,B100000,00000,0400,00000ACCUM COST 72403,B100000,00000,0500,00000SQUARE FEET 72403,B100000,00000,0600,00000PATIENT DAYS 72403,B100000,00000,0700,00000SQUARE FEET 72403,B100000,00000,0800,00000MEALS SERVED 72403,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72403,B100000,00000,1000,00000COSTED REQUISITIO 72403,B100000,00000,1100,00000COSTED REQUISITIO 72403,B100000,00000,1200,00000TIME SPENT 72403,B100000,00000,1300,00000PATIENT DAYS 72403,B100000,00000,1350,00000 72403,B100000,00000,1400,00000ASSIGNED TIME 72403,E10A180,00501,0300,01/29/2001 72403,S000000,00100,0200,06/01/2000 72403,S200000,00100,0100,331 BLY STREET 72403,S200000,00200,0100,WAUPUN WI 53963 72403,S200000,00300,0100,DODGE 72403,S200000,00400,0100,THE CHRISTIAN HOME & REHAB CTR. INC 72403,S200000,00400,0200,525531 72403,S200000,00400,0300,07/01/1994 72403,S200000,00400,0500,P 72403,S200000,01500,0100,Y 72421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72421,A000000,00300,0000,00300EMPLOYEE BENEFITS 72421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72421,A000000,00700,0000,00700HOUSEKEEPING 72421,A000000,00800,0000,00800DIETARY 72421,A000000,00900,0000,00900NURSING ADMINISTRATION 72421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72421,A000000,01100,0000,01100PHARMACY 72421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72421,A000000,01300,0000,01300SOCIAL SERVICE 72421,A000000,01350,0000,01500PATIENT ACTIVITIES 72421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72421,A000000,01600,0000,01600SKILLED NURSING FACILITY 72421,A000000,01800,0000,01800NURSING FACILITY 72421,A000000,01810,0000,01810ICF/MR 72421,A000000,02500,0000,02500PHYSICAL THERAPY 72421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72421,A000000,02700,0000,02700SPEECH PATHOLOGY 72421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72421,A000000,03550,0000,03550FQHC 72421,A000000,05000,0000,05000CORF 72421,A000000,05010,0000,05010CMHC 72421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72421,A81000A,00100,0100,Y 72421,A81000B,00100,0300,COUNTY COSTS 72421,A81000C,00100,0100,A 72421,A81000C,00100,0200,FOND DU LAC COUNTY 72421,A81000C,00100,0400,COUNTY GOVERNMENT 72421,B100000,00000,0100,00000SQUARE FEET 72421,B100000,00000,0200,00000SQUARE FEET 72421,B100000,00000,0300,00000GROSS SALARIES 72421,B100000,00000,0400,00000ACCUM. COST 72421,B100000,00000,0500,00000SQUARE FEET 72421,B100000,00000,0600,00000PATIENT DAYS 72421,B100000,00000,0700,00000SQUARE FEET 72421,B100000,00000,0800,00000PATIENT DAYS 72421,B100000,00000,0900,00000DIRECT NRSG HRS 72421,B100000,00000,1000,00000PATIENT DAYS 72421,B100000,00000,1100,00000COSTED REQUIS 72421,B100000,00000,1200,00000TIME SPENT 72421,B100000,00000,1300,00000TIME SPENT 72421,B100000,00000,1350,00000PATIENT DAYS 72421,B100000,00000,1400,00000ASSIGNED TIME 72421,S000000,00100,0200,06/01/2000 72421,S200000,00100,0100,1155 SOUTH MILITARY ROAD 72421,S200000,00200,0100,FOND DU LAC 72421,S200000,00200,0200,WI 72421,S200000,00300,0100,FOND DU LAC 72421,S200000,00400,0100,ROLLING MEADOWS NURSING HOME 72421,S200000,00400,0200,525534 72421,S200000,00400,0300,08/01/1994 72421,S200000,00400,0500,P 72421,S200000,01600,0100,Y 72432,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72432,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72432,A000000,00300,0000,00300EMPLOYEE BENEFITS 72432,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72432,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72432,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72432,A000000,00700,0000,00700HOUSEKEEPING 72432,A000000,00800,0000,00800DIETARY 72432,A000000,00900,0000,00900NURSING ADMINISTRATION 72432,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72432,A000000,01100,0000,01100PHARMACY 72432,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72432,A000000,01300,0000,01300SOCIAL SERVICE 72432,A000000,01350,0000,01500PATIENT ACTIVITIES 72432,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72432,A000000,01600,0000,01600SKILLED NURSING FACILITY 72432,A000000,01810,0000,01810ICF/MR 72432,A000000,02500,0000,02500PHYSICAL THERAPY 72432,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72432,A000000,02700,0000,02700SPEECH PATHOLOGY 72432,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72432,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72432,A000000,03550,0000,03550FQHC 72432,A000000,05000,0000,05000CORF 72432,A000000,05010,0000,05010CMHC 72432,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72432,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72432,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72432,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72432,B100000,00000,0100,00000SQUARE FEET 72432,B100000,00000,0200,00000SQUARE FEET 72432,B100000,00000,0300,00000GROSS SALARIES 72432,B100000,00000,0400,00000ACCUM. COST 72432,B100000,00000,0500,00000SQUARE FEET 72432,B100000,00000,0600,00000PATIENT DAYS 72432,B100000,00000,0700,00000SQUARE FEET 72432,B100000,00000,0800,00000PATIENT DAYS 72432,B100000,00000,0900,00000DIRECT NRSG HRS 72432,B100000,00000,1000,00000COSTED REQUIS 72432,B100000,00000,1100,00000COSTED REQUIS 72432,B100000,00000,1200,00000TIME SPENT 72432,B100000,00000,1300,00000TIME SPENT 72432,B100000,00000,1350,00000PATIENT DAYS 72432,B100000,00000,1400,00000ASSIGNED TIME 72432,S000000,00100,0200,07/11/2000 72432,S200000,00100,0100,354 NORTH MAIN STREET 72432,S200000,00200,0100,OREGON 72432,S200000,00200,0200,WI 72432,S200000,00200,0300,53575 72432,S200000,00300,0100,DANE 72432,S200000,00400,0100,OREGON MANOR LTD. 72432,S200000,00400,0200,525536 72432,S200000,00400,0300,05/01/1994 72432,S200000,00400,0500,P 72432,S200000,01500,0100,Y 72442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72442,A000000,00300,0000,00300EMPLOYEE BENEFITS 72442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72442,A000000,00700,0000,00700HOUSEKEEPING 72442,A000000,00800,0000,00800DIETARY 72442,A000000,00900,0000,00900NURSING ADMINISTRATION 72442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72442,A000000,01100,0000,01100PHARMACY 72442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72442,A000000,01300,0000,01300SOCIAL SERVICE 72442,A000000,01350,0000,01500ACTIVITIES 72442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72442,A000000,01600,0000,01600SKILLED NURSING FACILITY 72442,A000000,01800,0000,01800NURSING FACILITY 72442,A000000,01810,0000,01810ICF/MR 72442,A000000,02100,0000,02100RADIOLOGY 72442,A000000,02200,0000,02200LABORATORY 72442,A000000,02300,0000,02300INTRAVENOUS THERAPY 72442,A000000,02500,0000,02500PHYSICAL THERAPY 72442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72442,A000000,02700,0000,02700SPEECH PATHOLOGY 72442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72442,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72442,A000000,03200,0000,03200SUPPORT SURFACES 72442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72442,A000000,03550,0000,03550FQHC 72442,A000000,05000,0000,05000CORF 72442,A000000,05010,0000,05010CMHC 72442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72442,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72442,A81000A,00100,0100,Y 72442,A81000B,00100,0300,DATA PROCESSING 72442,A81000B,00200,0300,SHARE OF COUNTY EXPENSES 72442,A81000C,00100,0100,A 72442,A81000C,00100,0200,OZAUKEE COUNTY 72442,A81000C,00100,0400,OZAUKEE COUNTY 72442,B100000,00000,0100,00000SQUARE FEET 72442,B100000,00000,0200,00000SQUARE FEET 72442,B100000,00000,0300,00000GROSS SALARIES 72442,B100000,00000,0400,00000ACCUM COST 72442,B100000,00000,0500,00000SQUARE FEET 72442,B100000,00000,0600,00000POUNDS OF LAUNDRY 72442,B100000,00000,0700,00000SQUARE FEET 72442,B100000,00000,0800,00000MEALS SERVED 72442,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72442,B100000,00000,1000,00000COSTED REQUISITIO 72442,B100000,00000,1100,00000COSTED REQUISITIO 72442,B100000,00000,1200,00000TIME SPENT 72442,B100000,00000,1300,00000TIME SPENT 72442,B100000,00000,1350,00000PATIENT DAYS 72442,B100000,00000,1400,00000ASSIGNED TIME 72442,S000000,00100,0200,05/30/2000 72442,S200000,00100,0100,W76 N677 WAUWATOSA ROAD 72442,S200000,00200,0100,CEDARBURG 72442,S200000,00200,0200,WI 72442,S200000,00200,0300,53012 72442,S200000,00300,0100,OZAUKEE 72442,S200000,00400,0100,LASATA CARE CENTER 72442,S200000,00400,0200,525537 72442,S200000,00400,0300,07/01/1994 72442,S200000,00400,0500,P 72442,S200000,01600,0100,Y 72452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72452,A000000,00300,0000,00300EMPLOYEE BENEFITS 72452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72452,A000000,00700,0000,00700HOUSEKEEPING 72452,A000000,00800,0000,00800DIETARY 72452,A000000,00900,0000,00900NURSING ADMINISTRATION 72452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72452,A000000,01100,0000,01100PHARMACY 72452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72452,A000000,01300,0000,01300SOCIAL SERVICE 72452,A000000,01350,0000,01500OTHER GENERAL SERVICES 72452,A000000,01351,0000,01501CHAPLAINCY 72452,A000000,01352,0000,01502TRANSPORTATIO 72452,A000000,01354,0000,01504ACTIVITIE 72452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72452,A000000,01600,0000,01600SKILLED NURSING FACILITY 72452,A000000,01810,0000,01810ICF/MR 72452,A000000,02100,0000,02100RADIOLOGY 72452,A000000,02200,0000,02200LABORATORY 72452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72452,A000000,02500,0000,02500PHYSICAL THERAPY 72452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72452,A000000,02700,0000,02700SPEECH PATHOLOGY 72452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72452,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72452,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72452,A000000,03550,0000,03550FQHC 72452,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72452,A000000,05000,0000,05000CORF 72452,A000000,05010,0000,05010CMHC 72452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72452,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72452,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72452,A000000,06151,0000,06301BETHANY PINES 72452,A000000,06152,0000,06302BETHANY SHADOW WOODS 72452,B100000,00000,0100,00002SQUARE FEET 72452,B100000,00000,0200,00002SQUARE FEET 72452,B100000,00000,0300,00002GROSS SALARIES 72452,B100000,00000,0400,00002ACCUM. COST 72452,B100000,00000,0500,00002SQUARE FEET 72452,B100000,00000,0600,00002PATIENT DAYS 72452,B100000,00000,0700,00002SQUARE FEET 72452,B100000,00000,0800,00002PATIENT DAYS 72452,B100000,00000,0900,00002DIRECT NRSING HRS 72452,B100000,00000,1000,00002COSTED REQUIS. 72452,B100000,00000,1100,00002COSTED REQUIS. 72452,B100000,00000,1200,00002PATIENT DAYS 72452,B100000,00000,1300,00002PATIENT DAYS 72452,B100000,00000,1350,00002NO STATISTICS 72452,B100000,00000,1351,00002PATIENT DAYS 72452,B100000,00000,1352,00002PATIENT DAYS 72452,B100000,00000,1354,00002PATIENT DAYS 72452,B100000,00000,1400,00002ASSIGNED TIME 72452,E10A180,00550,0300,02/25/2000 72452,S000000,00100,0200,02/25/2000 72452,S200000,00100,0100,1226 BERLIN STREET 72452,S200000,00200,0100,WAUPACA 72452,S200000,00200,0200,WI 72452,S200000,00200,0300,54981 72452,S200000,00300,0100,WAUPACA 72452,S200000,00400,0100,BETHANY HOME INC. 72452,S200000,00400,0200,525538 72452,S200000,00400,0300,07/01/1994 72452,S200000,00400,0500,P 72452,S200000,01500,0100,Y 72452,S200000,02800,0100,Y 72461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72461,A000000,00300,0000,00300EMPLOYEE BENEFITS 72461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72461,A000000,00700,0000,00700HOUSEKEEPING 72461,A000000,00800,0000,00800DIETARY 72461,A000000,00900,0000,00900NURSING ADMINISTRATION 72461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72461,A000000,01100,0000,01100PHARMACY 72461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72461,A000000,01300,0000,01300SOCIAL SERVICE 72461,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72461,A000000,01600,0000,01600SKILLED NURSING FACILITY 72461,A000000,01810,0000,01810ICF/MR 72461,A000000,02100,0000,02100RADIOLOGY 72461,A000000,02200,0000,02200LABORATORY 72461,A000000,02300,0000,02300INTRAVENOUS THERAPY 72461,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72461,A000000,02500,0000,02500PHYSICAL THERAPY 72461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72461,A000000,02700,0000,02700SPEECH PATHOLOGY 72461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72461,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72461,A000000,03550,0000,03550FQHC 72461,A000000,05000,0000,05000CORF 72461,A000000,05010,0000,05010CMHC 72461,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72461,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72461,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72461,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72461,A81000A,00100,0100,Y 72461,A81000B,00100,0300,CAPITAL - BUILDINGS 72461,A81000B,00200,0300,CAPITAL - EQUIPMENT 72461,A81000B,00300,0300,NON-CAPITAL ALLOCATIONS 72461,A81000C,00100,0100,B 72461,A81000C,00100,0400,ST. JOHNS HOME 72461,A81000C,00100,0600,CCRC 72461,B100000,00000,0100,00000SQUARE FEET 72461,B100000,00000,0200,00000SQUARE FEET 72461,B100000,00000,0300,00000GROSS SALARIES 72461,B100000,00000,0400,00000ACCUM COST 72461,B100000,00000,0500,00000SQUARE FEET 72461,B100000,00000,0600,00000PATIENT DAYS 72461,B100000,00000,0700,00000SQUARE FEET 72461,B100000,00000,0800,00000MEALS SERVED 72461,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72461,B100000,00000,1000,00000PATIENT DAYS 72461,B100000,00000,1100,00000COSTED REQUIS 72461,B100000,00000,1200,00000PATIENT DAYS 72461,B100000,00000,1300,00000PATIENT DAYS 72461,B100000,00000,1400,00000ASSIGNED TIME 72461,E10A180,00501,0300,10/23/2000 72461,S000000,00100,0200,06/22/2000 72461,S200000,00100,0100,1840 N. PROSPECT AVENUE 72461,S200000,00200,0100,MILWAUKEE 72461,S200000,00200,0200,WI 72461,S200000,00200,0300,53202 72461,S200000,00300,0100,MILWAUKEE 72461,S200000,00400,0100,ST. JOHNS HOME 72461,S200000,00400,0200,525539 72461,S200000,00400,0300,07/01/1994 72461,S200000,00400,0500,P 72461,S200000,01500,0100,Y 72461,S200000,01900,0100,OTHER 72470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72470,A000000,00300,0000,00300EMPLOYEE BENEFITS 72470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72470,A000000,00700,0000,00700HOUSEKEEPING 72470,A000000,00800,0000,00800DIETARY 72470,A000000,00900,0000,00900NURSING ADMINISTRATION 72470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72470,A000000,01100,0000,01100PHARMACY 72470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72470,A000000,01300,0000,01300SOCIAL SERVICE 72470,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 72470,A000000,01351,0000,01501ACTIVITIES 72470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72470,A000000,01600,0000,01600SKILLED NURSING FACILITY 72470,A000000,01800,0000,01800NURSING FACILITY 72470,A000000,01810,0000,01810ICF/MR 72470,A000000,02300,0000,02300INTRAVENOUS THERAPY 72470,A000000,02500,0000,02500PHYSICAL THERAPY 72470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72470,A000000,02700,0000,02700SPEECH PATHOLOGY 72470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72470,A000000,03550,0000,03550FQHC 72470,A000000,05000,0000,05000CORF 72470,A000000,05010,0000,05010CMHC 72470,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72470,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72470,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72470,A81000A,00100,0100,Y 72470,A81000B,00100,0300,OWNER COMPENSATION 72470,A81000B,00200,0300,MEDICAL SUPPLIES 72470,A81000B,00300,0300,RENTAL EXPENSE 72470,A81000B,00400,0300,RENTAL EXPENSE 72470,A81000B,00500,0300,RENTAL EXPENSE 72470,A81000B,00600,0300,RENTAL EXPENSE 72470,A81000C,00100,0100,A 72470,A81000C,00100,0200,LAWRENCE & GERI KUTZ 72470,A81000C,00100,0400,SAME 72470,A81000C,00200,0100,A 72470,A81000C,00200,0200,HOME MEDICAL 72470,A81000C,00200,0400,ALSO OWNED BY L. KUTZ 72470,A81000C,00200,0600,DME & MEDICAL SUPP. CO. 72470,A81000C,00300,0100,A 72470,A81000C,00300,0200,SERVICES UNLIMITED 72470,A81000C,00300,0400,ALSO OWNED BY L. KUTZ 72470,A81000C,00300,0600,RENTAL PROPERTY 72470,A81000C,00400,0100,A 72470,A81000C,00400,0200,BEACON AMBULANCE 72470,A81000C,00400,0400,ALSO OWNED BY L. KUTZ 72470,A81000C,00400,0600,AMBULANCE SVC 72470,A81000C,00500,0100,A 72470,A81000C,00500,0200,SERVICES UNLIMITED 72470,A81000C,00500,0400,ALSO OWNED BY L. KUTZ 72470,A81000C,00500,0600,RENTAL PROPERTY 72470,A81000C,00600,0100,A 72470,A81000C,00600,0200,BEACON AMBULANCE 72470,A81000C,00600,0400,ALSO OWNED BY L. KUTZ 72470,A81000C,00600,0600,AMBULANCE SVC 72470,B100000,00000,0100,00000SQUARE FEET 72470,B100000,00000,0200,00000SQUARE FEET 72470,B100000,00000,0300,00000GROSS SALARIES 72470,B100000,00000,0400,00000ACCUM. COST 72470,B100000,00000,0500,00000SQUARE FEET 72470,B100000,00000,0600,00000PATIENT DAYS 72470,B100000,00000,0700,00000SQUARE FEET 72470,B100000,00000,0800,00000MEALS SERVED 72470,B100000,00000,0900,00000NURSING SALARIES 72470,B100000,00000,1000,00000COSTED REQUIS 72470,B100000,00000,1100,00000PATIENT DAYS 72470,B100000,00000,1200,00000GROSS CHARGES 72470,B100000,00000,1300,00000PATIENT DAYS 72470,B100000,00000,1350,00000PATIENT DAYS 72470,B100000,00000,1351,00000PATIENT DAYS 72470,B100000,00000,1400,00000ASSIGNED TIME 72470,S000000,00100,0200,06/21/2000 72470,S200000,00100,0100,VILLA DRIVE 72470,S200000,00200,0100,HURLEY 72470,S200000,00200,0200,WI 72470,S200000,00300,0100,IRON 72470,S200000,00400,0100,VILLA MARIA HEALTH CARE CENTER 72470,S200000,00400,0200,525540 72470,S200000,00400,0300,06/01/1994 72470,S200000,00400,0500,P 72470,S200000,01600,0100,Y 72470,S200000,01900,0100,501-C-3 72478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72478,A000000,00300,0000,00300EMPLOYEE BENEFITS 72478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72478,A000000,00700,0000,00700HOUSEKEEPING 72478,A000000,00800,0000,00800DIETARY 72478,A000000,00900,0000,00900NURSING ADMINISTRATION 72478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72478,A000000,01100,0000,01100PHARMACY 72478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72478,A000000,01300,0000,01300SOCIAL SERVICE 72478,A000000,01350,0000,01500PATIENT ACTIVITIES 72478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72478,A000000,01600,0000,01600SKILLED NURSING FACILITY 72478,A000000,01810,0000,01810ICF/MR 72478,A000000,02500,0000,02500PHYSICAL THERAPY 72478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72478,A000000,02700,0000,02700SPEECH PATHOLOGY 72478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72478,A000000,03550,0000,03550FQHC 72478,A000000,05000,0000,05000CORF 72478,A000000,05010,0000,05010CMHC 72478,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72478,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72478,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72478,A81000A,00100,0100,Y 72478,A81000B,00100,0300,MANAGEMENT FEES 72478,A81000B,00200,0300,BUILDING RENT 72478,A81000C,00100,0100,A 72478,A81000C,00100,0200,HAROLD WOODHOUSE 72478,A81000C,00100,0400,HOME OFFICE 72478,A81000C,00100,0600,HOME OFFICE 72478,B100000,00000,0100,00000SQUARE FEET 72478,B100000,00000,0200,00000SQUARE FEET 72478,B100000,00000,0300,00000GROSS SALARIES 72478,B100000,00000,0400,00000ACCUM. COST 72478,B100000,00000,0500,00000SQUARE FEET 72478,B100000,00000,0600,00000PATIENT DAYS 72478,B100000,00000,0700,00000SQUARE FEET 72478,B100000,00000,0800,00000PATIENT DAYS 72478,B100000,00000,0900,00000DIRECT NRSG HRS 72478,B100000,00000,1000,00000COSTED REQUIS 72478,B100000,00000,1100,00000COSTED REQUIS 72478,B100000,00000,1200,00000TIME SPENT 72478,B100000,00000,1300,00000TIME SPENT 72478,B100000,00000,1350,00000PATIENT DAYS 72478,B100000,00000,1400,00000ASSIGNED TIME 72478,S000000,00100,0200,02/25/2000 72478,S200000,00100,0100,638 N BROAD STREET 72478,S200000,00200,0100,ELKHORN 72478,S200000,00200,0200,WI 72478,S200000,00300,0100,WALWORTH 72478,S200000,00400,0100,HOLTON MANOR 72478,S200000,00400,0200,525541 72478,S200000,00400,0300,08/01/1994 72478,S200000,00400,0500,P 72478,S200000,01500,0100,Y 72501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72501,A000000,00300,0000,00300EMPLOYEE BENEFITS 72501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72501,A000000,00700,0000,00700HOUSEKEEPING 72501,A000000,00800,0000,00800DIETARY 72501,A000000,00900,0000,00900NURSING ADMINISTRATION 72501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72501,A000000,01100,0000,01100PHARMACY 72501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72501,A000000,01300,0000,01300SOCIAL SERVICE 72501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72501,A000000,01600,0000,01600SKILLED NURSING FACILITY 72501,A000000,01810,0000,01810ICF/MR 72501,A000000,02100,0000,02100RADIOLOGY 72501,A000000,02200,0000,02200LABORATORY 72501,A000000,02300,0000,02300INTRAVENOUS THERAPY 72501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72501,A000000,02500,0000,02500PHYSICAL THERAPY 72501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72501,A000000,02700,0000,02700SPEECH PATHOLOGY 72501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72501,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72501,A000000,03550,0000,03550FQHC 72501,A000000,05000,0000,05000CORF 72501,A000000,05010,0000,05010CMHC 72501,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72501,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72501,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72501,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72501,B100000,00000,0100,00000SQUARE FEET 72501,B100000,00000,0200,00000SQUARE FEET 72501,B100000,00000,0300,00000GROSS SALARIES 72501,B100000,00000,0400,00000ACCUM COST 72501,B100000,00000,0500,00000SQUARE FEET 72501,B100000,00000,0600,00000PATIENT DAYS 72501,B100000,00000,0700,00000SQUARE FEET 72501,B100000,00000,0800,00000MEALS SERVED 72501,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72501,B100000,00000,1000,00000COSTED REQUISITIO 72501,B100000,00000,1100,00000PATIENT DAYS 72501,B100000,00000,1200,00000TIME SPENT 72501,B100000,00000,1300,00000PATIENT DAYS 72501,B100000,00000,1400,00000ASSIGNED TIME 72501,S000000,00100,0200,06/22/2000 72501,S200000,00100,0100,7500 W NORTH AVE 72501,S200000,00200,0100,WAUWATOSA 72501,S200000,00200,0200,WI 72501,S200000,00200,0300,53213 72501,S200000,00300,0100,MILWAUKEE 72501,S200000,00400,0100,LUTHERAN HOME FOR THE AGING INC. 72501,S200000,00400,0200,525545 72501,S200000,00400,0300,09/01/1994 72501,S200000,00400,0500,P 72501,S200000,01500,0100,Y 72508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72508,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72508,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72508,A000000,00300,0000,00300EMPLOYEE BENEFITS 72508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72508,A000000,00700,0000,00700HOUSEKEEPING 72508,A000000,00800,0000,00800DIETARY 72508,A000000,00801,0000,00801CAFETERIA 72508,A000000,00900,0000,00900NURSING ADMINISTRATION 72508,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72508,A000000,01100,0000,01100PHARMACY 72508,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72508,A000000,01300,0000,01300SOCIAL SERVICE 72508,A000000,01350,0000,01500ACTIVITY 72508,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72508,A000000,01600,0000,01600SKILLED NURSING FACILITY 72508,A000000,01800,0000,01800NURSING FACILITY 72508,A000000,01810,0000,01810ICF/MR 72508,A000000,02100,0000,02100RADIOLOGY 72508,A000000,02200,0000,02200LABORATORY 72508,A000000,02500,0000,02500PHYSICAL THERAPY 72508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72508,A000000,02700,0000,02700SPEECH PATHOLOGY 72508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72508,A000000,03050,0000,03300OTHER ANCILLARY 72508,A000000,03051,0000,03301OTHER ANCILLARY II 72508,A000000,03052,0000,03302OTHER ANCILLARY III 72508,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72508,A000000,03550,0000,03550FQHC 72508,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72508,A000000,05000,0000,05000CORF I 72508,A000000,05010,0000,05010CMHC I 72508,A000000,05020,0000,05020OPT I 72508,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72508,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72508,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72508,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72508,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72508,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72508,A000000,06200,0000,06200PATIENTS LAUNDRY 72508,A81000A,00100,0100,Y 72508,A81000B,00100,0300,COUNTY ALLOCATION 72508,A81000C,00100,0100,G 72508,A81000C,00100,0200,CALUMET HOMESTD 72508,A81000C,00100,0400,CALUMET CTY 72508,A81000C,00100,0600,COUNTY 72508,B100000,00000,0100,00000(SQUARE FEET) 72508,B100000,00000,0101,00000(SQUARE FEET) 72508,B100000,00000,0200,00000(SQUARE FEET) 72508,B100000,00000,0201,00000(SQUARE FEET) 72508,B100000,00000,0300,00000(GROSS SALARIES) 72508,B100000,00000,0400,00000(ACCUM. COST) 72508,B100000,00000,0500,00000(SQUARE FEET) 72508,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72508,B100000,00000,0700,00000(SQUARE FEET) 72508,B100000,00000,0800,00000(MEALS SERVED) 72508,B100000,00000,0801,00000(MEALS SERVED) 72508,B100000,00000,0900,00000(NURSING SALARIES) 72508,B100000,00000,1000,00000(PATIENT DAYS) 72508,B100000,00000,1100,00000(COSTED REQUIS.) 72508,B100000,00000,1200,00000(PATIENT DAYS) 72508,B100000,00000,1300,00000(PATIENT DAYS) 72508,B100000,00000,1350,00000(PATIENT DAYS) 72508,B100000,00000,1400,00000(ASSIGNED TIME) 72508,E10A180,00550,0300,06/09/2000 72508,S000000,00100,0200,06/01/2000 72508,S200000,00100,0100,1712 MONROE ST 72508,S200000,00200,0100,NEW HOLSTEIN 72508,S200000,00200,0200,WI 72508,S200000,00200,0300,53061 72508,S200000,00300,0100,CALUMET 72508,S200000,00400,0100,CALUMET HOMESTEAD 72508,S200000,00400,0200,525546 72508,S200000,00400,0300,09/01/1994 72508,S200000,00400,0500,P 72508,S200000,01600,0100,Y 72533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72533,A000000,00300,0000,00300EMPLOYEE BENEFITS 72533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72533,A000000,00700,0000,00700HOUSEKEEPING 72533,A000000,00800,0000,00800DIETARY 72533,A000000,00900,0000,00900NURSING ADMINISTRATION 72533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72533,A000000,01100,0000,01100PHARMACY 72533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72533,A000000,01300,0000,01300SOCIAL SERVICE 72533,A000000,01350,0000,01500ACTIVITIES 72533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72533,A000000,01600,0000,01600SKILLED NURSING FACILITY 72533,A000000,01800,0000,01800NURSING FACILITY 72533,A000000,01810,0000,01810ICF/MR 72533,A000000,02100,0000,02100RADIOLOGY 72533,A000000,02200,0000,02200LABORATORY 72533,A000000,02500,0000,02500PHYSICAL THERAPY 72533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72533,A000000,02700,0000,02700SPEECH PATHOLOGY 72533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72533,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72533,A000000,03550,0000,03550FQHC 72533,A000000,05000,0000,05000CORF 72533,A000000,05010,0000,05010CMHC 72533,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72533,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72533,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72533,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72533,A81000A,00100,0100,Y 72533,A81000B,00100,0300,CORPORATE OFFICE ALLOCATIONS 72533,A81000C,00100,0100,B 72533,A81000C,00100,0200,UNITED HEALTH OF WI 72533,B100000,00000,0100,00000SQUARE FEET 72533,B100000,00000,0200,00000SQUARE FEET 72533,B100000,00000,0300,00000GROSS SALARIES 72533,B100000,00000,0400,00000ACCUM. COST 72533,B100000,00000,0500,00000SQUARE FEET 72533,B100000,00000,0600,00000POUNDS OF LAUNDRY 72533,B100000,00000,0700,00000SQUARE FEET 72533,B100000,00000,0800,00000MEALS SERVED 72533,B100000,00000,0900,00000NURSING HOURS 72533,B100000,00000,1000,00000COSTED REQUIS 72533,B100000,00000,1100,00000COSTED REQUIS 72533,B100000,00000,1200,00000NO STATISTICS 72533,B100000,00000,1300,00000NO STATISTICS 72533,B100000,00000,1350,00000PATIENT DAYS 72533,B100000,00000,1400,00000ASSIGNED TIME 72533,S000000,00100,0200,06/01/2000 72533,S200000,00100,0100,720 WEST FIFTH STREET 72533,S200000,00200,0100,APPLETON 72533,S200000,00200,0200,WI 72533,S200000,00200,0300,54914 72533,S200000,00300,0100,OUTAGAMIE 72533,S200000,00400,0100,PEABODY MANOR INC 72533,S200000,00400,0200,525548 72533,S200000,00400,0300,10/01/1994 72533,S200000,00400,0500,P 72533,S200000,01600,0100,Y 72533,S200000,02800,0100,Y 72551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72551,A000000,00300,0000,00300EMPLOYEE BENEFITS 72551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72551,A000000,00700,0000,00700HOUSEKEEPING 72551,A000000,00800,0000,00800DIETARY 72551,A000000,00900,0000,00900NURSING ADMINISTRATION 72551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72551,A000000,01100,0000,01100PHARMACY 72551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72551,A000000,01300,0000,01300SOCIAL SERVICE 72551,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72551,A000000,01600,0000,01600SKILLED NURSING FACILITY 72551,A000000,01810,0000,01810ICF/MR 72551,A000000,02100,0000,02100RADIOLOGY 72551,A000000,02200,0000,02200LABORATORY 72551,A000000,02300,0000,02300INTRAVENOUS THERAPY 72551,A000000,02500,0000,02500PHYSICAL THERAPY 72551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72551,A000000,02700,0000,02700SPEECH PATHOLOGY 72551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72551,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72551,A000000,03200,0000,03200SUPPORT SURFACES 72551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72551,A000000,03550,0000,03550FQHC 72551,A000000,05000,0000,05000CORF 72551,A000000,05010,0000,05010CMHC 72551,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72551,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72551,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72551,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72551,B100000,00000,0100,00000SQUARE FEET 72551,B100000,00000,0200,00000SQUARE FEET 72551,B100000,00000,0300,00000GROSS SALARIES 72551,B100000,00000,0400,00000ACCUM COST 72551,B100000,00000,0500,00000SQUARE FEET 72551,B100000,00000,0600,00000PATIENT DAYS 72551,B100000,00000,0700,00000SQUARE FEET 72551,B100000,00000,0800,00000MEALS SERVED 72551,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72551,B100000,00000,1000,00000COSTED REQUISITIO 72551,B100000,00000,1100,00000COSTED REQUISITIO 72551,B100000,00000,1200,00000TIME SPENT 72551,B100000,00000,1300,00000PATIENT DAYS 72551,B100000,00000,1350,00000PATIENT DAYS 72551,B100000,00000,1400,00000ASSIGNED TIME 72551,E10A180,00501,0300,02/12/2001 72551,S000000,00100,0200,11/21/2000 72551,S200000,00100,0100,50 WOLVERTON AVENUE 72551,S200000,00200,0100,RIPON 72551,S200000,00200,0200,WI 72551,S200000,00200,0300,54971 72551,S200000,00300,0100,FOND DU LAC 72551,S200000,00400,0100,PARKVIEW CARE CENTER 72551,S200000,00400,0200,525551 72551,S200000,00400,0300,10/01/1994 72551,S200000,00400,0500,P 72551,S200000,01500,0100,Y 72560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72560,A000000,00300,0000,00300EMPLOYEE BENEFITS 72560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72560,A000000,00700,0000,00700HOUSEKEEPING 72560,A000000,00800,0000,00800DIETARY 72560,A000000,00900,0000,00900NURSING ADMINISTRATION 72560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72560,A000000,01100,0000,01100PHARMACY 72560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72560,A000000,01300,0000,01300SOCIAL SERVICE 72560,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72560,A000000,01600,0000,01600SKILLED NURSING FACILITY 72560,A000000,01810,0000,01810ICF/MR 72560,A000000,02100,0000,02100RADIOLOGY 72560,A000000,02200,0000,02200LABORATORY 72560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72560,A000000,02500,0000,02500PHYSICAL THERAPY 72560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72560,A000000,02700,0000,02700SPEECH PATHOLOGY 72560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72560,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72560,A000000,03200,0000,03200SUPPORT SURFACES 72560,A000000,03550,0000,03550FQHC 72560,A000000,05000,0000,05000CORF 72560,A000000,05010,0000,05010CMHC 72560,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72560,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72560,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72560,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72560,A81000A,00100,0100,Y 72560,A81000B,00100,0300,MGMT FEES 72560,A81000B,00200,0300,MGMT FEES 72560,A81000B,00300,0300,MGMT FEES 72560,A81000B,00400,0300,DIETARY 72560,A81000B,00500,0300,LAUNDRY 72560,A81000B,00600,0300,OXYGEN THERAPY 72560,A81000B,00700,0300,IV INFUSION 72560,A81000C,00100,0100,B 72560,A81000C,00100,0400,COVENANT 72560,A81000C,00100,0600,MGMT SVCE 72560,A81000C,00200,0100,B 72560,A81000C,00200,0400,WHEATON 72560,A81000C,00200,0600,MGMT SVC 72560,A81000C,00300,0100,B 72560,A81000C,00300,0400,FELICIAN 72560,A81000C,00300,0600,MGMT SVCE 72560,A81000C,00400,0100,G 72560,A81000C,00400,0200,VILLA ST FRANCI 72560,A81000C,00400,0600,ASST LIVING 72560,A81000C,00500,0100,G 72560,A81000C,00500,0200,ST JOSEPHS HOSP 72560,A81000C,00500,0600,HOSPITAL 72560,A81000C,00600,0100,G 72560,A81000C,00600,0200,ST MICHAELS HOS 72560,A81000C,00600,0600,HOSPITAL 72560,B100000,00000,0100,00000SQUARE FEET 72560,B100000,00000,0200,00000SQUARE FEET 72560,B100000,00000,0300,00000GROSS SALARIES 72560,B100000,00000,0400,00000ACCUM COST 72560,B100000,00000,0500,00000SQUARE FEET 72560,B100000,00000,0600,00000POUNDS OF LAUNDRY 72560,B100000,00000,0700,00000SQUARE FEET 72560,B100000,00000,0800,00000MEALS SERVED 72560,B100000,00000,0900,00000PATIENT DAYS 72560,B100000,00000,1000,00000COSTED REQUISITIO 72560,B100000,00000,1100,00000COSTED REQUISITIO 72560,B100000,00000,1200,00000TIME SPENT 72560,B100000,00000,1300,00000PATIENT DAYS 72560,B100000,00000,1350,00000PATIENT DAYS 72560,B100000,00000,1400,00000ASSIGNED TIME 72560,E10A180,00501,0100,09/25/2000 72560,E10A180,00501,0300,09/25/2000 72560,S000000,00100,0200,06/01/2000 72560,S200000,00100,0100,3200 SOUTH 20 STREET 72560,S200000,00200,0100,MILWAUKEE 72560,S200000,00200,0200,WISCONSIN 72560,S200000,00200,0300,53215 72560,S200000,00300,0100,MILWAUKEE 72560,S200000,00400,0100,TERRACE AT ST. FRANCIS 72560,S200000,00400,0200,525552 72560,S200000,00400,0300,09/23/1994 72560,S200000,00400,0500,P 72560,S200000,01500,0100,Y 72560,S200000,01900,0100,OTHER 72577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72577,A000000,00300,0000,00300EMPLOYEE BENEFITS 72577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72577,A000000,00700,0000,00700HOUSEKEEPING 72577,A000000,00800,0000,00800DIETARY 72577,A000000,00900,0000,00900NURSING ADMINISTRATION 72577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72577,A000000,01100,0000,01100PHARMACY 72577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72577,A000000,01300,0000,01300SOCIAL SERVICE 72577,A000000,01350,0000,01500ACTIVITIES 72577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72577,A000000,01600,0000,01600SKILLED NURSING FACILITY 72577,A000000,01800,0000,01800NURSING FACILITY 72577,A000000,01810,0000,01810ICF/MR 72577,A000000,02100,0000,02100RADIOLOGY 72577,A000000,02200,0000,02200LABORATORY 72577,A000000,02500,0000,02500PHYSICAL THERAPY 72577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72577,A000000,02700,0000,02700SPEECH PATHOLOGY 72577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72577,A000000,03050,0000,03300CLINITRON 72577,A000000,03550,0000,03550FQHC 72577,A000000,05000,0000,05000CORF 72577,A000000,05010,0000,05010CMHC 72577,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72577,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72577,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72577,A81000A,00100,0100,Y 72577,A81000B,00100,0300,MANAGEMENT FEE 72577,A81000C,00100,0100,B 72577,A81000C,00100,0200,LHO INC. 72577,A81000C,00100,0600,MANAGEMENT 72577,B100000,00000,0100,00000SQUARE FEET 72577,B100000,00000,0200,00000SQUARE FEET 72577,B100000,00000,0300,00000GROSS SALARIES 72577,B100000,00000,0400,00000ACCUM. COST 72577,B100000,00000,0500,00000SQUARE FEET 72577,B100000,00000,0600,00000RESIDENT DAYS 72577,B100000,00000,0700,00000SQUARE FEET 72577,B100000,00000,0800,00000MEALS SERVED 72577,B100000,00000,0900,00000RESIDENT DAYS 72577,B100000,00000,1000,00000COSTED REQUIS 72577,B100000,00000,1100,00000COSTED REQUIS 72577,B100000,00000,1200,00000GROSS CHARGES 72577,B100000,00000,1300,00000RESIDENT DAYS 72577,B100000,00000,1350,00000RESIDENT DAYS 72577,B100000,00000,1400,00000ASSIGNED TIME 72577,S000000,00100,0200,06/29/2000 72577,S200000,00100,0100,225 NORTH EAGLE STREET 72577,S200000,00200,0100,OSHKOSH 72577,S200000,00200,0200,WI 72577,S200000,00300,0100,WINNEBAGO 72577,S200000,00400,0100,BETHEL HOME 72577,S200000,00400,0200,525554 72577,S200000,00400,0300,12/01/1994 72577,S200000,00400,0500,P 72577,S200000,01600,0100,Y 72601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72601,A000000,00300,0000,00300EMPLOYEE BENEFITS 72601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72601,A000000,00700,0000,00700HOUSEKEEPING 72601,A000000,00800,0000,00800DIETARY 72601,A000000,00900,0000,00900NURSING ADMINISTRATION 72601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72601,A000000,01100,0000,01100PHARMACY 72601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72601,A000000,01300,0000,01300SOCIAL SERVICE 72601,A000000,01350,0000,01500PATIENT ACTIVITIES 72601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72601,A000000,01600,0000,01600SKILLED NURSING FACILITY 72601,A000000,01810,0000,01810ICF/MR 72601,A000000,02100,0000,02100RADIOLOGY 72601,A000000,02200,0000,02200LABORATORY 72601,A000000,02500,0000,02500PHYSICAL THERAPY 72601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72601,A000000,02700,0000,02700SPEECH PATHOLOGY 72601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72601,A000000,03050,0000,03300CLINITRON BED 72601,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 72601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72601,A000000,03550,0000,03550FQHC 72601,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72601,A000000,05000,0000,05000CORF 72601,A000000,05010,0000,05010CMHC 72601,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72601,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72601,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72601,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72601,A000000,05351,0000,05601OTHER SPECIAL PURPOSE CST 72601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72601,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72601,B100000,00000,0100,00000SQUARE FEET 72601,B100000,00000,0200,00000SQUARE FEET 72601,B100000,00000,0300,00000GROSS SALARIES 72601,B100000,00000,0400,00000ACCUM. COST 72601,B100000,00000,0500,00000SQUARE FEET 72601,B100000,00000,0600,00000LAUNDRY POUNDS 72601,B100000,00000,0700,00000SQUARE FEET 72601,B100000,00000,0800,00000MEALS SERVED 72601,B100000,00000,0900,00000HOURS OF SERVICE 72601,B100000,00000,1000,00000COSTED REQUIS. 72601,B100000,00000,1100,00000COSTED REQUIS. 72601,B100000,00000,1200,00000TIME SPENT 72601,B100000,00000,1300,00000TIME SPENT 72601,B100000,00000,1350,00000TIME SPENT 72601,B100000,00000,1400,00000TIME SPENT 72601,S000000,00100,0200,06/05/2000 72601,S200000,00100,0100,1229 S JACKSON 72601,S200000,00200,0100,GREEN BAY 72601,S200000,00200,0200,WI 72601,S200000,00300,0100,BROWN 72601,S200000,00400,0100,ODD FELLOW-REBEKAH HOME ASSOC. INC. 72601,S200000,00400,0200,525559 72601,S200000,00400,0300,01/01/1995 72601,S200000,00400,0500,P 72601,S200000,01500,0100,Y 72601,S200000,02800,0100,Y 72607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72607,A000000,00300,0000,00300EMPLOYEE BENEFITS 72607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72607,A000000,00700,0000,00700HOUSEKEEPING 72607,A000000,00800,0000,00800DIETARY 72607,A000000,00900,0000,00900NURSING ADMINISTRATION 72607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72607,A000000,01100,0000,01100PHARMACY 72607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72607,A000000,01300,0000,01300SOCIAL SERVICE 72607,A000000,01350,0000,01500OTHER GENERAL SERVICES 72607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72607,A000000,01600,0000,01600SKILLED NURSING FACILITY 72607,A000000,01810,0000,01810ICF/MR 72607,A000000,02100,0000,02100RADIOLOGY 72607,A000000,02200,0000,02200LABORATORY 72607,A000000,02500,0000,02500PHYSICAL THERAPY 72607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72607,A000000,02700,0000,02700SPEECH PATHOLOGY 72607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72607,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72607,A000000,03550,0000,03550FQHC 72607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72607,A000000,05000,0000,05000CORF 72607,A000000,05010,0000,05010CMHC 72607,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72607,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72607,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72607,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72607,A000000,06150,0000,06300ADULT DAY CARE 72607,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 72607,B100000,00000,0100,00001SQUARE FEET 72607,B100000,00000,0200,00001SQUARE FEET 72607,B100000,00000,0300,00001GROSS SALARIES 72607,B100000,00000,0400,00001ACCUM. COST 72607,B100000,00000,0500,00001SQUARE FEET 72607,B100000,00000,0600,00001POUNDS OF LAUNDRY 72607,B100000,00000,0700,00001SQUARE FEET 72607,B100000,00000,0800,00001MEALS SERVED 72607,B100000,00000,0900,00001HOURS OF SERVICE 72607,B100000,00000,1000,00001COSTED REQUIS. 72607,B100000,00000,1100,00001COSTED REQUIS. 72607,B100000,00000,1200,00001TIME SPENT 72607,B100000,00000,1300,00001TIME SPENT 72607,B100000,00000,1350,00001NO STATISTICS 72607,B100000,00000,1400,00001TIME SPENT 72607,S000000,00100,0200,06/22/2000 72607,S200000,00100,0100,1306 W. WISCONSIN AVE 72607,S200000,00100,0300,208 72607,S200000,00200,0100,OCONOMOWOC 72607,S200000,00200,0200,WI 72607,S200000,00300,0100,WAUKESHA 72607,S200000,00400,0100,LUTHERAN HOMES OF OCONOMOWOC 72607,S200000,00400,0200,525560 72607,S200000,00400,0300,02/01/1995 72607,S200000,00400,0500,P 72607,S200000,01500,0100,Y 72614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72614,A000000,00300,0000,00300EMPLOYEE BENEFITS 72614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72614,A000000,00700,0000,00700HOUSEKEEPING 72614,A000000,00800,0000,00800DIETARY 72614,A000000,00900,0000,00900NURSING ADMINISTRATION 72614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72614,A000000,01100,0000,01100PHARMACY 72614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72614,A000000,01300,0000,01300SOCIAL SERVICE 72614,A000000,01350,0000,01500PATIENT ACTIVITIES 72614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72614,A000000,01600,0000,01600SKILLED NURSING FACILITY 72614,A000000,01800,0000,01800NURSING FACILITY 72614,A000000,01810,0000,01810ICF/MR 72614,A000000,02500,0000,02500PHYSICAL THERAPY 72614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72614,A000000,02700,0000,02700SPEECH PATHOLOGY 72614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72614,A000000,03550,0000,03550FQHC 72614,A000000,05000,0000,05000CORF 72614,A000000,05010,0000,05010CMHC 72614,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72614,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72614,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72614,B100000,00000,0100,00000SQUARE FEET 72614,B100000,00000,0200,00000SQUARE FEET 72614,B100000,00000,0300,00000GROSS SALARIES 72614,B100000,00000,0400,00000ACCUM. COST 72614,B100000,00000,0500,00000SQUARE FEET 72614,B100000,00000,0600,00000PATIENT DAYS 72614,B100000,00000,0700,00000SQUARE FEET 72614,B100000,00000,0800,00000PATIENT DAYS 72614,B100000,00000,0900,00000DIRECT NRSG HRS 72614,B100000,00000,1000,00000COSTED REQUIS 72614,B100000,00000,1100,00000COSTED REQUIS 72614,B100000,00000,1200,00000TIME SPENT 72614,B100000,00000,1300,00000TIME SPENT 72614,B100000,00000,1350,00000NO STATISTICS 72614,B100000,00000,1400,00000ASSIGNED TIME 72614,S000000,00100,0200,06/26/2000 72614,S200000,00100,0100,3271 NORTH STREET 72614,S200000,00100,0300,292 72614,S200000,00200,0100,EAST TROY 72614,S200000,00200,0200,WI 72614,S200000,00300,0100,WALWORTH 72614,S200000,00400,0100,KIWANIS MANOR 72614,S200000,00400,0200,525561 72614,S200000,00400,0300,04/01/1995 72614,S200000,00400,0500,P 72614,S200000,01600,0100,Y 72620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72620,A000000,00300,0000,00300EMPLOYEE BENEFITS 72620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72620,A000000,00700,0000,00700HOUSEKEEPING 72620,A000000,00800,0000,00800DIETARY 72620,A000000,00900,0000,00900NURSING ADMINISTRATION 72620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72620,A000000,01100,0000,01100PHARMACY 72620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72620,A000000,01300,0000,01300SOCIAL SERVICE 72620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72620,A000000,01600,0000,01600SKILLED NURSING FACILITY 72620,A000000,01810,0000,01810ICF/MR 72620,A000000,02100,0000,02100RADIOLOGY 72620,A000000,02200,0000,02200LABORATORY 72620,A000000,02500,0000,02500PHYSICAL THERAPY 72620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72620,A000000,02700,0000,02700SPEECH PATHOLOGY 72620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72620,A000000,03550,0000,03550FQHC 72620,A000000,05000,0000,05000CORF 72620,A000000,05010,0000,05010CMHC 72620,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72620,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72620,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72620,A81000A,00100,0100,Y 72620,A81000B,00100,0300,COUNTY SERVICE COSTS 72620,A81000C,00100,0100,C 72620,A81000C,00100,0400,VERNON COUNTY 72620,A81000C,00100,0600,COUNTY GOVT 72620,B100000,00000,0100,00040SQUARE FEET 72620,B100000,00000,0200,00040SQUARE FEET 72620,B100000,00000,0300,00040GROSS SALARIES 72620,B100000,00000,0400,00040ACCUM COST 72620,B100000,00000,0500,00040SQUARE FEET 72620,B100000,00000,0600,00040PATIENT DAYS 72620,B100000,00000,0700,00040SQUARE FEET 72620,B100000,00000,0800,00040MEALS SERVED 72620,B100000,00000,0900,00040PATIENT DAYS 72620,B100000,00000,1000,00040COSTED REQUIS 72620,B100000,00000,1100,00040COSTED REQUIS 72620,B100000,00000,1200,00040TIME SPENT 72620,B100000,00000,1300,00040PATIENT DAYS 72620,B100000,00000,1400,00040ASSIGNED TIME 72620,S000000,00100,0200,06/05/2000 72620,S200000,00100,0100,ROUTE 3 72620,S200000,00100,0300,300 72620,S200000,00200,0100,VIROQUA 72620,S200000,00200,0200,WISCONSIN 72620,S200000,00200,0300,54665 72620,S200000,00300,0100,VERNON 72620,S200000,00400,0100,VERNON MANOR 72620,S200000,00400,0200,525562 72620,S200000,00400,0300,05/26/1995 72620,S200000,00400,0500,P 72620,S200000,01500,0100,Y 72620,S200000,02800,0100,Y 72620,S200000,03300,0100,Y 72620,S200000,03300,0200,Y 72632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72632,A000000,00300,0000,00300EMPLOYEE BENEFITS 72632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72632,A000000,00700,0000,00700HOUSEKEEPING 72632,A000000,00800,0000,00800DIETARY 72632,A000000,00900,0000,00900NURSING ADMINISTRATION 72632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72632,A000000,01100,0000,01100PHARMACY 72632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72632,A000000,01300,0000,01300SOCIAL SERVICE 72632,A000000,01350,0000,01500PATIENT ACTIVITIES 72632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72632,A000000,01600,0000,01600SKILLED NURSING FACILITY 72632,A000000,01800,0000,01800NURSING FACILITY 72632,A000000,01810,0000,01810ICF/MR 72632,A000000,02500,0000,02500PHYSICAL THERAPY 72632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72632,A000000,02700,0000,02700SPEECH PATHOLOGY 72632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72632,A000000,03550,0000,03550FQHC 72632,A000000,05000,0000,05000CORF 72632,A000000,05010,0000,05010CMHC 72632,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72632,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72632,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72632,A81000A,00100,0100,Y 72632,A81000B,00100,0300,MANAGEMENT FEE 72632,A81000C,00100,0100,A 72632,A81000C,00100,0200,HAROLD WOODHOUSE 72632,A81000C,00100,0400,HOME OFFICE 72632,A81000C,00100,0600,HOME OFFICE 72632,B100000,00000,0100,00000SQUARE FEET 72632,B100000,00000,0200,00000SQUARE FEET 72632,B100000,00000,0300,00000GROSS SALARIES 72632,B100000,00000,0400,00000ACCUM. COST 72632,B100000,00000,0500,00000SQUARE FEET 72632,B100000,00000,0600,00000PATIENT DAYS 72632,B100000,00000,0700,00000SQUARE FEET 72632,B100000,00000,0800,00000PATIENT DAYS 72632,B100000,00000,0900,00000DIRECT NRSG HRS 72632,B100000,00000,1000,00000COSTED REQUIS 72632,B100000,00000,1100,00000COSTED REQUIS 72632,B100000,00000,1200,00000TIME SPENT 72632,B100000,00000,1300,00000TIME SPENT 72632,B100000,00000,1350,00000PATIENT DAYS 72632,B100000,00000,1400,00000ASSIGNED TIME 72632,S000000,00100,0200,02/25/2000 72632,S200000,00100,0100,211 SOUTH CURTIS STREET 72632,S200000,00200,0100,LAKE GENEVA 72632,S200000,00200,0200,WI 72632,S200000,00300,0100,WALWORTH 72632,S200000,00400,0100,GENEVA LAKE MANOR 72632,S200000,00400,0200,525565 72632,S200000,00400,0300,05/01/1995 72632,S200000,00400,0500,P 72632,S200000,01500,0100,Y 72633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72633,A000000,00300,0000,00300EMPLOYEE BENEFITS 72633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72633,A000000,00700,0000,00700HOUSEKEEPING 72633,A000000,00800,0000,00800DIETARY 72633,A000000,00900,0000,00900NURSING ADMINISTRATION 72633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72633,A000000,01100,0000,01100PHARMACY 72633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72633,A000000,01300,0000,01300SOCIAL SERVICE 72633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72633,A000000,01600,0000,01600SKILLED NURSING FACILITY 72633,A000000,01810,0000,01810ICF/MR 72633,A000000,02100,0000,02100RADIOLOGY 72633,A000000,02200,0000,02200LABORATORY 72633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72633,A000000,02500,0000,02500PHYSICAL THERAPY 72633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72633,A000000,02700,0000,02700SPEECH PATHOLOGY 72633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72633,A000000,03200,0000,03200SUPPORT SURFACES 72633,A000000,03550,0000,03550FQHC 72633,A000000,05000,0000,05000CORF 72633,A000000,05010,0000,05010CMHC 72633,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72633,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72633,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72633,A81000A,00100,0100,Y 72633,A81000B,00100,0300,HOME OFFICE COSTS 72633,A81000C,00100,0100,G 72633,A81000C,00100,0200,WISCONSIN ILLIN 72633,A81000C,00100,0400,HOUSING INC 72633,A81000C,00100,0600,VOL NON-PROF HE 72633,A81000C,00200,0100,B 72633,A81000C,00200,0200,CONSULTING MAN 72633,A81000C,00200,0400,EDUCATION INC. 72633,A81000C,00200,0600,HEALTHCARE 72633,B100000,00000,0100,00000SQUARE FEET 72633,B100000,00000,0200,00000SQUARE FEET 72633,B100000,00000,0300,00000GROSS SALARIES 72633,B100000,00000,0400,00000ACCUM COST 72633,B100000,00000,0500,00000SQUARE FEET 72633,B100000,00000,0600,00000PATIENT DAYS 72633,B100000,00000,0700,00000SQUARE FEET 72633,B100000,00000,0800,00000MEALS SERVED 72633,B100000,00000,0900,00000PATIENT DAYS 72633,B100000,00000,1000,00000COSTED REQUIS 72633,B100000,00000,1100,00000COSTED REQUIS 72633,B100000,00000,1200,00000PATIENT DAYS 72633,B100000,00000,1300,00000PATIENT DAYS 72633,B100000,00000,1400,00000ASSIGNED TIME 72633,S000000,00100,0200,06/27/2000 72633,S200000,00100,0100,211 SOUTH CURTIS STREET 72633,S200000,00200,0100,LAKE GENEVA 72633,S200000,00200,0200,WI 72633,S200000,00200,0300,53147 72633,S200000,00300,0100,WALWORTH 72633,S200000,00400,0100,GENEVA LAKE MANOR 72633,S200000,00400,0200,525565 72633,S200000,00400,0300,05/01/1995 72633,S200000,00400,0500,P 72633,S200000,01500,0100,Y 72633,S200000,01900,0100,OTHER (SPECIFY) 72683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72683,A000000,00300,0000,00300EMPLOYEE BENEFITS 72683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72683,A000000,00700,0000,00700HOUSEKEEPING 72683,A000000,00800,0000,00800DIETARY 72683,A000000,00900,0000,00900NURSING ADMINISTRATION 72683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72683,A000000,01100,0000,01100PHARMACY 72683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72683,A000000,01300,0000,01300SOCIAL SERVICE 72683,A000000,01350,0000,01500PATIENT ACTIVITIES 72683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72683,A000000,01600,0000,01600SKILLED NURSING FACILITY 72683,A000000,01800,0000,01800NURSING FACILITY 72683,A000000,01810,0000,01810ICF/MR 72683,A000000,02500,0000,02500PHYSICAL THERAPY 72683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72683,A000000,02700,0000,02700SPEECH PATHOLOGY 72683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72683,A000000,03550,0000,03550FQHC 72683,A000000,05000,0000,05000CORF 72683,A000000,05010,0000,05010CMHC 72683,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72683,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72683,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72683,A000000,06200,0000,06200PATIENTS LAUNDRY 72683,A81000A,00100,0100,Y 72683,A81000B,00100,0300,MANAGEMENT FEE 72683,A81000B,00200,0300,HOME OFFICE CAPITAL 72683,A81000C,00100,0100,A 72683,A81000C,00100,0200,TIM RENNES 72683,A81000C,00100,0400,RENNES GROUP 72683,A81000C,00100,0600,HOME OFFICE 72683,B100000,00000,0100,00000SQUARE FEET 72683,B100000,00000,0200,00000SQUARE FEET 72683,B100000,00000,0300,00000GROSS SALARIES 72683,B100000,00000,0400,00000ACCUM. COST 72683,B100000,00000,0500,00000SQUARE FEET 72683,B100000,00000,0600,00000POUNDS OF LAUN 72683,B100000,00000,0700,00000SQUARE FEET 72683,B100000,00000,0800,00000PATIENT DAYS 72683,B100000,00000,0900,00000DIRECT NRSG HRS 72683,B100000,00000,1000,00000COSTED REQUIS 72683,B100000,00000,1100,00000COSTED REQUIS 72683,B100000,00000,1200,00000TIME SPENT 72683,B100000,00000,1300,00000TIME SPENT 72683,B100000,00000,1350,00000PATIENT DAYS 72683,B100000,00000,1400,00000ASSIGNED TIME 72683,S000000,00100,0200,06/06/2000 72683,S200000,00100,0100,200 S NINTH STREET 72683,S200000,00200,0100,DEPERE 72683,S200000,00200,0200,WI 72683,S200000,00300,0100,BROWN 72683,S200000,00400,0100,RENNES HEALTH CENTER - DEPERE 72683,S200000,00400,0200,525573 72683,S200000,00400,0300,08/01/1995 72683,S200000,00400,0500,P 72683,S200000,01600,0100,Y 72699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72699,A000000,00300,0000,00300EMPLOYEE BENEFITS 72699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72699,A000000,00700,0000,00700HOUSEKEEPING 72699,A000000,00800,0000,00800DIETARY 72699,A000000,00900,0000,00900NURSING ADMINISTRATION 72699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72699,A000000,01100,0000,01100PHARMACY 72699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72699,A000000,01300,0000,01300SOCIAL SERVICE 72699,A000000,01301,0000,01301ACTIVITIES 72699,A000000,01350,0000,01500OTHER GENERAL SERVICES 72699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72699,A000000,01600,0000,01600SKILLED NURSING FACILITY 72699,A000000,01800,0000,01800NURSING FACILITY 72699,A000000,01810,0000,01810ICF/MR 72699,A000000,02100,0000,02100RADIOLOGY 72699,A000000,02200,0000,02200LABORATORY 72699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72699,A000000,02500,0000,02500PHYSICAL THERAPY 72699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72699,A000000,02700,0000,02700SPEECH PATHOLOGY 72699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72699,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72699,A000000,03550,0000,03550FQHC 72699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72699,A000000,05000,0000,05000CORF 72699,A000000,05010,0000,05010CMHC 72699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72699,B100000,00000,0100,00000SQUARE FEET 72699,B100000,00000,0200,00000SQUARE FEET 72699,B100000,00000,0300,00000GROSS SALARIES 72699,B100000,00000,0400,00000ACCUM. COST 72699,B100000,00000,0500,00000SQUARE FEET 72699,B100000,00000,0600,00000POUNDS OF LAUNDRY 72699,B100000,00000,0700,00000SQUARE FEET 72699,B100000,00000,0800,00000MEALS SERVED 72699,B100000,00000,0900,00000NURSING TIME 72699,B100000,00000,1000,00000COSTED REQUIS. 72699,B100000,00000,1100,00000COSTED REQUIS. 72699,B100000,00000,1200,00000TIME SPENT 72699,B100000,00000,1300,00000RESIDENT DAYS 72699,B100000,00000,1301,00000RESIDENT DAYS 72699,B100000,00000,1350,00000TIME SPENT 72699,B100000,00000,1400,00000TIME SPENT 72699,E10A180,00501,0100,06/12/2000 72699,E10A180,00501,0300,06/12/2000 72699,S000000,00100,0200,03/28/2000 72699,S200000,00100,0100,1235 S 24TH STREET 72699,S200000,00200,0100,MANITOWOC 72699,S200000,00200,0200,WI 72699,S200000,00300,0100,MANITOWOC 72699,S200000,00400,0100,SHADY LANE INC. 72699,S200000,00400,0200,525575 72699,S200000,00400,0300,10/01/1995 72699,S200000,00400,0500,P 72699,S200000,01600,0100,Y 72699,S200000,02200,0100,Y 72699,S200000,02800,0100,Y 72707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72707,A000000,00300,0000,00300EMPLOYEE BENEFITS 72707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72707,A000000,00700,0000,00700HOUSEKEEPING 72707,A000000,00800,0000,00800DIETARY 72707,A000000,00900,0000,00900NURSING ADMINISTRATION 72707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72707,A000000,01100,0000,01100PHARMACY 72707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72707,A000000,01300,0000,01300SOCIAL SERVICE 72707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72707,A000000,01600,0000,01600SKILLED NURSING FACILITY 72707,A000000,01810,0000,01810ICF/MR 72707,A000000,02200,0000,02200LABORATORY 72707,A000000,02500,0000,02500PHYSICAL THERAPY 72707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72707,A000000,02700,0000,02700SPEECH PATHOLOGY 72707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72707,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72707,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72707,A000000,03550,0000,03550FQHC 72707,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72707,A000000,05000,0000,05000CORF 72707,A000000,05010,0000,05010CMHC 72707,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72707,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72707,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72707,B100000,00000,0100,00000SQUARE FEET 72707,B100000,00000,0200,00000SQUARE FEET 72707,B100000,00000,0300,00000GROSS SALARIES 72707,B100000,00000,0400,00000ACCUM. COST 72707,B100000,00000,0500,00000SQUARE FEET 72707,B100000,00000,0600,00000POUNDS OF LAUNDRY 72707,B100000,00000,0700,00000SQUARE FEET 72707,B100000,00000,0800,00000MEALS SERVED 72707,B100000,00000,0900,00000HOURS OF SERVICE 72707,B100000,00000,1000,00000COSTED REQUIS. 72707,B100000,00000,1100,00000COSTED REQUIS. 72707,B100000,00000,1200,00000TIME SPENT 72707,B100000,00000,1300,00000TIME SPENT 72707,B100000,00000,1400,00000ASSIGNED TIME 72707,E10A180,00501,0100,05/22/2000 72707,E10A180,00501,0300,05/22/2000 72707,S000000,00100,0200,03/23/2000 72707,S200000,00100,0100,38 NORTH MAIN STREET 72707,S200000,00200,0100,CLINTONVILLE 72707,S200000,00200,0200,WI 72707,S200000,00300,0100,WAUPACA 72707,S200000,00400,0100,BEHLING MEMORIAL HOME INC. 72707,S200000,00400,0200,525576 72707,S200000,00400,0300,07/01/1995 72707,S200000,00400,0500,P 72707,S200000,01500,0100,Y 72707,S200000,02800,0100,Y 72718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72718,A000000,00300,0000,00300EMPLOYEE BENEFITS 72718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72718,A000000,00700,0000,00700HOUSEKEEPING 72718,A000000,00800,0000,00800DIETARY 72718,A000000,00900,0000,00900NURSING ADMINISTRATION 72718,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72718,A000000,01100,0000,01100PHARMACY 72718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72718,A000000,01300,0000,01300SOCIAL SERVICE 72718,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72718,A000000,01600,0000,01600SKILLED NURSING FACILITY 72718,A000000,01810,0000,01810ICF/MR 72718,A000000,02100,0000,02100RADIOLOGY 72718,A000000,02200,0000,02200LABORATORY 72718,A000000,02500,0000,02500PHYSICAL THERAPY 72718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72718,A000000,02700,0000,02700SPEECH PATHOLOGY 72718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72718,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72718,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72718,A000000,03052,0000,03302MEDICAL EQUIPMENT 72718,A000000,03550,0000,03550FQHC 72718,A000000,05000,0000,05000CORF 72718,A000000,05010,0000,05010CMHC 72718,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72718,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72718,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72718,A81000A,00100,0100,Y 72718,A81000B,00100,0300,HOME OFFICE A&G 72718,A81000B,00200,0300,HOME OFFICE CAPITAL 72718,A81000B,00300,0300,DIVISION OFFICE A&G 72718,A81000B,00500,0300,INSURANCE 72718,A81000B,00600,0300,PHYSICAL THERAPY 72718,A81000B,00700,0300,OCCUPATIONAL THERAPY 72718,A81000B,00800,0300,SPEECH THERAPY 72718,A81000B,00900,0300,AIR FLUIDIZED THERAPY 72718,A81000C,00100,0100,B 72718,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72718,A81000C,00200,0100,G 72718,A81000C,00200,0200,LAURIER INC. 72718,A81000C,00200,0400,EXTENDICARE INC. 72718,A81000C,00200,0600,INSURANCE 72718,A81000C,00300,0100,G 72718,A81000C,00300,0200,UNITED REHABILITATION SVS 72718,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72718,A81000C,00300,0600,THERAPY SERVICE 72718,A81000C,00400,0100,G 72718,A81000C,00400,0200,UNITED PROFESSIONAL CO 72718,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 72718,A81000C,00400,0600,MED SUPP RX 72718,B100000,00000,0100,00040SQUARE FEET 72718,B100000,00000,0200,00040SQUARE FEET 72718,B100000,00000,0300,00040GROSS SALARIES 72718,B100000,00000,0400,00040ACCUM. COST 72718,B100000,00000,0500,00040SQUARE FEET 72718,B100000,00000,0600,00040PATIENT DAYS 72718,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72718,B100000,00000,0800,00040PATIENT DAYS 72718,B100000,00000,0900,00040PATIENT DAYS 72718,B100000,00000,1000,00040COSTED REQUIS 72718,B100000,00000,1100,00040COSTED REQUIS 72718,B100000,00000,1200,00040GROSS REVENUE 72718,B100000,00000,1300,00040PATIENT DAYS 72718,B100000,00000,1400,00040ASSIGNED TIME 72718,E10A180,00301,0100,06/22/1998 72718,E10A180,00301,0300,06/22/1998 72718,E10A180,00350,0100,06/22/1998 72718,E10A180,00350,0300,06/22/1998 72718,E10A180,00501,0300,02/12/2001 72718,S000000,00100,0200,06/20/2000 72718,S200000,00100,0100,N27 W5707 LINCOLN BLVD 72718,S200000,00200,0100,CEDARBURG 72718,S200000,00200,0200,WI 72718,S200000,00300,0100,OZAUKEE 72718,S200000,00400,0100,CEDAR SPRINGS HEALTH & REHAB 72718,S200000,00400,0200,525578 72718,S200000,00400,0300,07/28/1995 72718,S200000,00400,0500,P 72718,S200000,01600,0100,Y 72718,S200000,01900,0100,PRIVATE 72731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72731,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72731,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72731,A000000,00300,0000,00300EMPLOYEE BENEFITS 72731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72731,A000000,00700,0000,00700HOUSEKEEPING 72731,A000000,00800,0000,00800DIETARY 72731,A000000,00801,0000,00801CAFETERIA 72731,A000000,00900,0000,00900NURSING ADMINISTRATION 72731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72731,A000000,01100,0000,01100PHARMACY 72731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72731,A000000,01300,0000,01300SOCIAL SERVICE 72731,A000000,01350,0000,01500ACTIVITY 72731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72731,A000000,01600,0000,01600SKILLED NURSING FACILITY 72731,A000000,01810,0000,01810ICF/MR 72731,A000000,02100,0000,02100RADIOLOGY 72731,A000000,02200,0000,02200LABORATORY 72731,A000000,02500,0000,02500PHYSICAL THERAPY 72731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72731,A000000,02700,0000,02700SPEECH PATHOLOGY 72731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72731,A000000,03050,0000,03300OTHER ANCILLARY 72731,A000000,03051,0000,03301OTHER ANCILLARY II 72731,A000000,03052,0000,03302OTHER ANCILLARY III 72731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72731,A000000,03550,0000,03550FQHC 72731,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72731,A000000,05000,0000,05000CORF I 72731,A000000,05010,0000,05010CMHC I 72731,A000000,05020,0000,05020OPT I 72731,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72731,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72731,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72731,A000000,06200,0000,06200PATIENTS LAUNDRY 72731,A81000A,00100,0100,Y 72731,A81000B,00100,0300,CTY ALLOCATION 72731,A81000B,00200,0300,CTY CHARGES 72731,A81000C,00100,0100,G 72731,A81000C,00100,0200,JUNEAU CTY 72731,A81000C,00100,0400,JUNEAU CTY 72731,A81000C,00100,0600,COUNTY 72731,B100000,00000,0100,00000(SQUARE FEET) 72731,B100000,00000,0101,00000(SQUARE FEET) 72731,B100000,00000,0200,00000(SQUARE FEET) 72731,B100000,00000,0201,00000(SQUARE FEET) 72731,B100000,00000,0300,00000(GROSS SALARIES) 72731,B100000,00000,0400,00000(ACCUM. COST) 72731,B100000,00000,0500,00000(SQUARE FEET) 72731,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72731,B100000,00000,0700,00000(SQUARE FEET) 72731,B100000,00000,0800,00000(MEALS SERVED) 72731,B100000,00000,0801,00000(MEALS SERVED) 72731,B100000,00000,0900,00000(PATIENT DAYS) 72731,B100000,00000,1000,00000(PATIENT DAYS) 72731,B100000,00000,1100,00000(COSTED REQUIS.) 72731,B100000,00000,1200,00000(PATIENT DAYS) 72731,B100000,00000,1300,00000(PATIENT DAYS) 72731,B100000,00000,1350,00000(PATIENT DAYS) 72731,B100000,00000,1400,00000(ASSIGNED TIME) 72731,S000000,00100,0200,05/13/2000 72731,S200000,00100,0100,W8741 CTY B 72731,S200000,00200,0100,NEW LISBON 72731,S200000,00200,0200,WI 72731,S200000,00200,0300,53950 72731,S200000,00300,0100,JUNEAU 72731,S200000,00400,0100,PLEASANT ACRES NH 72731,S200000,00400,0200,525581 72731,S200000,00400,0300,11/01/1995 72731,S200000,00400,0500,P 72731,S200000,01500,0100,Y 72731,S200000,02800,0100,Y 72738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72738,A000000,00300,0000,00300EMPLOYEE BENEFITS 72738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72738,A000000,00700,0000,00700HOUSEKEEPING 72738,A000000,00800,0000,00800DIETARY 72738,A000000,00900,0000,00900NURSING ADMINISTRATION 72738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72738,A000000,01100,0000,01100PHARMACY 72738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72738,A000000,01300,0000,01300SOCIAL SERVICE 72738,A000000,01350,0000,01500PATIENT ACTIVITIES 72738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72738,A000000,01600,0000,01600SKILLED NURSING FACILITY 72738,A000000,01800,0000,01800NURSING FACILITY 72738,A000000,01810,0000,01810ICF/MR 72738,A000000,02500,0000,02500PHYSICAL THERAPY 72738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72738,A000000,02700,0000,02700SPEECH PATHOLOGY 72738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72738,A000000,03550,0000,03550FQHC 72738,A000000,05000,0000,05000CORF 72738,A000000,05010,0000,05010CMHC 72738,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72738,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72738,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72738,A81000A,00100,0100,Y 72738,A81000B,00100,0300,MANAGEMENT FEE 72738,A81000B,00200,0300,HOME OFFICE CAPITAL 72738,A81000C,00100,0100,A 72738,A81000C,00100,0200,TIM RENNES 72738,A81000C,00100,0400,RENNES GROUP 72738,A81000C,00100,0600,HOME OFFICE 72738,B100000,00000,0100,00000SQUARE FEET 72738,B100000,00000,0200,00000SQUARE FEET 72738,B100000,00000,0300,00000GROSS SALARIES 72738,B100000,00000,0400,00000ACCUM. COST 72738,B100000,00000,0500,00000SQUARE FEET 72738,B100000,00000,0600,00000POUNDS OF LAUNDRY 72738,B100000,00000,0700,00000SQUARE FEET 72738,B100000,00000,0800,00000PATIENT DAYS 72738,B100000,00000,0900,00000DIRECT NRSG HRS 72738,B100000,00000,1000,00000COSTED REQUIS 72738,B100000,00000,1100,00000COSTED REQUIS 72738,B100000,00000,1200,00000TIME SPENT 72738,B100000,00000,1300,00000TIME SPENT 72738,B100000,00000,1350,00000PATIENT DAYS 72738,B100000,00000,1400,00000ASSIGNED TIME 72738,S000000,00100,0200,06/06/2000 72738,S200000,00100,0100,325 EAST FLORIDA AVENUE 72738,S200000,00200,0100,APPLETON 72738,S200000,00200,0200,WI 72738,S200000,00300,0100,OUTAGAMIE 72738,S200000,00400,0100,RENNES HEALTH CENTER - APPLETON 72738,S200000,00400,0200,525583 72738,S200000,00400,0300,10/01/1996 72738,S200000,00400,0500,P 72738,S200000,01600,0100,Y 72755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72755,A000000,00300,0000,00300EMPLOYEE BENEFITS 72755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72755,A000000,00700,0000,00700HOUSEKEEPING 72755,A000000,00800,0000,00800DIETARY 72755,A000000,00900,0000,00900NURSING ADMINISTRATION 72755,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72755,A000000,01100,0000,01100PHARMACY 72755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72755,A000000,01300,0000,01300SOCIAL SERVICE 72755,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72755,A000000,01600,0000,01600SKILLED NURSING FACILITY 72755,A000000,01810,0000,01810ICF/MR 72755,A000000,02100,0000,02100RADIOLOGY 72755,A000000,02200,0000,02200LABORATORY 72755,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72755,A000000,02500,0000,02500PHYSICAL THERAPY 72755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72755,A000000,02700,0000,02700SPEECH PATHOLOGY 72755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72755,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72755,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72755,A000000,03052,0000,03302MEDICAL EQUIPMENT 72755,A000000,03550,0000,03550FQHC 72755,A000000,05000,0000,05000CORF 72755,A000000,05010,0000,05010CMHC 72755,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72755,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72755,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72755,A81000A,00100,0100,Y 72755,A81000B,00100,0300,HOME OFFICE A&G 72755,A81000B,00200,0300,HOME OFFICE CAPITAL 72755,A81000B,00300,0300,DIVISION OFFICE A&G 72755,A81000B,00400,0300,DIVISION OFFICE CAPITAL 72755,A81000B,00500,0300,INSURANCE 72755,A81000B,00600,0300,HOME OFFICE 72755,A81000C,00100,0100,B 72755,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72755,A81000C,00200,0100,G 72755,A81000C,00200,0200,LAURIER INC. 72755,A81000C,00200,0400,EXTENDICARE INC. 72755,A81000C,00200,0600,INSURANCE 72755,A81000C,00300,0100,G 72755,A81000C,00300,0200,UNITED REHABILITATION SVS 72755,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72755,A81000C,00300,0600,THERAPY SERVICE 72755,B100000,00000,0100,00040SQUARE FEET 72755,B100000,00000,0200,00040SQUARE FEET 72755,B100000,00000,0300,00040GROSS SALARIES 72755,B100000,00000,0400,00040ACCUM. COST 72755,B100000,00000,0500,00040SQUARE FEET 72755,B100000,00000,0600,00040TIME SPENT 72755,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72755,B100000,00000,0800,00040TIME SPENT 72755,B100000,00000,0900,00040TIME SPENT 72755,B100000,00000,1000,00040COSTED REQUIS 72755,B100000,00000,1100,00040COSTED REQUIS 72755,B100000,00000,1200,00040TIME SPENT 72755,B100000,00000,1300,00040TIME SPENT 72755,B100000,00000,1400,00040ASSIGNED TIME 72755,E10A180,00301,0300,06/22/1998 72755,E10A180,00350,0100,06/22/1998 72755,E10A180,00501,0300,07/31/2000 72755,S000000,00100,0200,06/28/2000 72755,S200000,00100,0100,1119 N. WISCONSIN ST. 72755,S200000,00200,0100,PORT WASHINGTON 72755,S200000,00200,0200,WI 72755,S200000,00300,0100,OZAUKEE 72755,S200000,00400,0100,HERITAGE NURSING HOME 72755,S200000,00400,0200,525586 72755,S200000,00400,0300,06/01/1996 72755,S200000,00400,0500,P 72755,S200000,01500,0100,Y 72757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72757,A000000,00300,0000,00300EMPLOYEE BENEFITS 72757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72757,A000000,00700,0000,00700HOUSEKEEPING 72757,A000000,00800,0000,00800DIETARY 72757,A000000,00900,0000,00900NURSING ADMINISTRATION 72757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72757,A000000,01100,0000,01100PHARMACY 72757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72757,A000000,01300,0000,01300SOCIAL SERVICE 72757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72757,A000000,01600,0000,01600SKILLED NURSING FACILITY 72757,A000000,01810,0000,01810ICF/MR 72757,A000000,02100,0000,02100RADIOLOGY 72757,A000000,02200,0000,02200LABORATORY 72757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72757,A000000,02500,0000,02500PHYSICAL THERAPY 72757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72757,A000000,02700,0000,02700SPEECH PATHOLOGY 72757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72757,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72757,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72757,A000000,03052,0000,03302MEDICAL EQUIPMENT 72757,A000000,03550,0000,03550FQHC 72757,A000000,05000,0000,05000CORF 72757,A000000,05010,0000,05010CMHC 72757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72757,A81000A,00100,0100,Y 72757,A81000B,00100,0300,HOME OFFICE A&G 72757,A81000B,00200,0300,HOME OFFICE CAPITAL 72757,A81000B,00300,0300,DIVISION OFFICE A&G 72757,A81000B,00500,0300,INSURANCE 72757,A81000C,00100,0100,B 72757,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72757,A81000C,00200,0100,G 72757,A81000C,00200,0200,LAURIER INC. 72757,A81000C,00200,0400,EXTENDICARE INC. 72757,A81000C,00200,0600,INSURANCE 72757,A81000C,00300,0100,G 72757,B100000,00000,0100,00040SQUARE FEET 72757,B100000,00000,0200,00040SQUARE FEET 72757,B100000,00000,0300,00040GROSS SALARIES 72757,B100000,00000,0400,00040ACCUM. COST 72757,B100000,00000,0500,00040SQUARE FEET 72757,B100000,00000,0600,00040PATIENT DAYS 72757,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72757,B100000,00000,0800,00040PATIENT DAYS 72757,B100000,00000,0900,00040PATIENT DAYS 72757,B100000,00000,1000,00040COSTED REQUIS 72757,B100000,00000,1100,00040COSTED REQUIS 72757,B100000,00000,1200,00040GROSS REVENUE 72757,B100000,00000,1300,00040PATIENT DAYS 72757,B100000,00000,1400,00040ASSIGNED TIME 72757,E10A180,00301,0100,06/22/1998 72757,E10A180,00301,0300,06/22/1998 72757,E10A180,00350,0100,06/22/1998 72757,E10A180,00350,0300,06/22/1998 72757,E10A180,00550,0300,06/09/2000 72757,S000000,00100,0200,06/20/2000 72757,S200000,00100,0100,1119 N. WISCONSIN ST 72757,S200000,00200,0100,PORT WASHINGTON 72757,S200000,00200,0200,WI 72757,S200000,00300,0100,OZAUKEE 72757,S200000,00400,0100,HERITAGE NURSING HOME 72757,S200000,00400,0200,525586 72757,S200000,00400,0300,06/01/1996 72757,S200000,00400,0500,P 72757,S200000,01600,0100,Y 72757,S200000,01900,0100,PRIVATE 72765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72765,A000000,00300,0000,00300EMPLOYEE BENEFITS 72765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72765,A000000,00700,0000,00700HOUSEKEEPING 72765,A000000,00800,0000,00800DIETARY 72765,A000000,00900,0000,00900NURSING ADMINISTRATION 72765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72765,A000000,01100,0000,01100PHARMACY 72765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72765,A000000,01300,0000,01300SOCIAL SERVICE 72765,A000000,01350,0000,01500ACTIVITIES 72765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72765,A000000,01600,0000,01600SKILLED NURSING FACILITY 72765,A000000,01810,0000,01810ICF/MR 72765,A000000,02100,0000,02100RADIOLOGY 72765,A000000,02200,0000,02200LABORATORY 72765,A000000,02500,0000,02500PHYSICAL THERAPY 72765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72765,A000000,02700,0000,02700SPEECH PATHOLOGY 72765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72765,A000000,03550,0000,03550FQHC 72765,A000000,05000,0000,05000CORF 72765,A000000,05010,0000,05010CMHC 72765,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72765,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72765,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72765,A000000,05300,0000,05300INTEREST EXPENSE 72765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72765,A000000,06201,0000,06201CBRF 72765,B100000,00000,0100,00001SQUARE FEET 72765,B100000,00000,0200,00001SQUARE FEET 72765,B100000,00000,0300,00001GROSS SALARIES 72765,B100000,00000,0400,00001ACCUM. COST 72765,B100000,00000,0500,00001SQUARE FEET 72765,B100000,00000,0600,00001PATIENT DAYS 72765,B100000,00000,0700,00001SQUARE FEET 72765,B100000,00000,0800,00001MEALS SERVED 72765,B100000,00000,0900,00001DIRECT NRSG HRS 72765,B100000,00000,1000,00001COSTED REQUIS 72765,B100000,00000,1100,00001COSTED REQUIS 72765,B100000,00000,1200,00001TIME SPENT 72765,B100000,00000,1300,00001TIME SPENT 72765,B100000,00000,1350,00001TIME SPENT 72765,B100000,00000,1400,00001ASSIGNED TIME 72765,S000000,00100,0200,06/05/2000 72765,S200000,00100,0100,435 STARIN ROAD 72765,S200000,00200,0100,WHITEWATER 72765,S200000,00200,0200,WI 72765,S200000,00300,0100,WALWORTH 72765,S200000,00400,0100,FAIRHAVEN CORPORATION 72765,S200000,00400,0200,525587 72765,S200000,00400,0300,08/01/1996 72765,S200000,00400,0500,P 72765,S200000,01500,0100,Y 72765,S200000,01700,0100,Y 72772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72772,A000000,00300,0000,00300EMPLOYEE BENEFITS 72772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72772,A000000,00700,0000,00700HOUSEKEEPING 72772,A000000,00800,0000,00800DIETARY 72772,A000000,00900,0000,00900NURSING ADMINISTRATION 72772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72772,A000000,01100,0000,01100PHARMACY 72772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72772,A000000,01300,0000,01300SOCIAL SERVICE 72772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72772,A000000,01600,0000,01600SKILLED NURSING FACILITY 72772,A000000,01810,0000,01810ICF/MR 72772,A000000,02100,0000,02100RADIOLOGY 72772,A000000,02200,0000,02200LABORATORY 72772,A000000,02300,0000,02300INTRAVENOUS THERAPY 72772,A000000,02500,0000,02500PHYSICAL THERAPY 72772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72772,A000000,02700,0000,02700SPEECH PATHOLOGY 72772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72772,A000000,03550,0000,03550FQHC 72772,A000000,05000,0000,05000CORF 72772,A000000,05010,0000,05010CMHC 72772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72772,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72772,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72772,B100000,00000,0100,00000SQUARE FEET 72772,B100000,00000,0200,00000SQUARE FEET 72772,B100000,00000,0300,00000GROSS SALARIES 72772,B100000,00000,0400,00000ACCUM COST 72772,B100000,00000,0500,00000SQUARE FEET 72772,B100000,00000,0600,00000PATIENT DAYS 72772,B100000,00000,0700,00000SQUARE FEET 72772,B100000,00000,0800,00000MEALS SERVED 72772,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 72772,B100000,00000,1000,00000COSTED REQUISITIO 72772,B100000,00000,1100,00000COSTED REQUISITIO 72772,B100000,00000,1200,00000TIME SPENT 72772,B100000,00000,1300,00000PATIENT DAYS 72772,B100000,00000,1400,00000ASSIGNED TIME 72772,S000000,00100,0200,06/26/2000 72772,S200000,00100,0100,4545 NORTH 92ND STREET 72772,S200000,00200,0100,WAUWATOSA 72772,S200000,00200,0200,WI 72772,S200000,00200,0300,53225 72772,S200000,00300,0100,MILWAUKEE 72772,S200000,00400,0100,UNITED LUTHERAN PROG FOR THE AGING 72772,S200000,00400,0200,525588 72772,S200000,00400,0300,05/01/1996 72772,S200000,00400,0500,P 72772,S200000,01500,0100,Y 72772,S200000,01900,0100,OTHER (SPECIFY) 72794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72794,A000000,00300,0000,00300EMPLOYEE BENEFITS 72794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72794,A000000,00700,0000,00700HOUSEKEEPING 72794,A000000,00800,0000,00800DIETARY 72794,A000000,00900,0000,00900NURSING ADMINISTRATION 72794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72794,A000000,01100,0000,01100PHARMACY 72794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72794,A000000,01300,0000,01300SOCIAL SERVICE 72794,A000000,01350,0000,01500PATIENT ACTIVITIES 72794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72794,A000000,01600,0000,01600SKILLED NURSING FACILITY 72794,A000000,01810,0000,01810ICF/MR 72794,A000000,02100,0000,02100RADIOLOGY 72794,A000000,02200,0000,02200LABORATORY 72794,A000000,02500,0000,02500PHYSICAL THERAPY 72794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72794,A000000,02700,0000,02700SPEECH PATHOLOGY 72794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72794,A000000,03550,0000,03550FQHC 72794,A000000,05000,0000,05000CORF 72794,A000000,05010,0000,05010CMHC 72794,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72794,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72794,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72794,B100000,00000,0100,00000SQUARE FEET 72794,B100000,00000,0200,00000SQUARE FEET 72794,B100000,00000,0300,00000GROSS SALARIES 72794,B100000,00000,0400,00000ACCUM. COST 72794,B100000,00000,0500,00000SQUARE FEET 72794,B100000,00000,0600,00000PATIENT DAYS 72794,B100000,00000,0700,00000SQUARE FEET 72794,B100000,00000,0800,00000PATIENT DAYS 72794,B100000,00000,0900,00000DIRECT NRSG HRS 72794,B100000,00000,1000,00000COSTED REQUIS 72794,B100000,00000,1100,00000COSTED REQUIS 72794,B100000,00000,1200,00000TIME SPENT 72794,B100000,00000,1300,00000TIME SPENT 72794,B100000,00000,1350,00000PATIENT DAYS 72794,B100000,00000,1400,00000ASSIGNED TIME 72794,S000000,00100,0200,06/29/2000 72794,S200000,00100,0100,614 SOUTH ROCK AVENUE 72794,S200000,00200,0100,VIROQUA 72794,S200000,00200,0200,WI 72794,S200000,00300,0100,VERNON 72794,S200000,00400,0100,BETHEL HOME & SERVICES INC. 72794,S200000,00400,0200,525591 72794,S200000,00400,0300,09/01/1996 72794,S200000,00400,0500,P 72794,S200000,01500,0100,Y 72806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72806,A000000,00300,0000,00300EMPLOYEE BENEFITS 72806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72806,A000000,00700,0000,00700HOUSEKEEPING 72806,A000000,00800,0000,00800DIETARY 72806,A000000,00900,0000,00900NURSING ADMINISTRATION 72806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72806,A000000,01100,0000,01100PHARMACY 72806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72806,A000000,01300,0000,01300SOCIAL SERVICE 72806,A000000,01350,0000,01500PATIENT ACTIVITIES 72806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72806,A000000,01600,0000,01600SKILLED NURSING FACILITY 72806,A000000,01810,0000,01810ICF/MR 72806,A000000,02100,0000,02100RADIOLOGY 72806,A000000,02200,0000,02200LABORATORY 72806,A000000,02500,0000,02500PHYSICAL THERAPY 72806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72806,A000000,02700,0000,02700SPEECH PATHOLOGY 72806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72806,A000000,03550,0000,03550FQHC 72806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72806,A000000,05000,0000,05000CORF 72806,A000000,05010,0000,05010CMHC 72806,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72806,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72806,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72806,A81000A,00100,0100,Y 72806,A81000B,00100,0300,HOME OFFICE OVERHEAD 72806,A81000B,00200,0300,LEASE 72806,A81000C,00100,0100,A 72806,A81000C,00100,0200,WEST ALLIS CARE CENTER 72806,A81000C,00100,0400,RICE MANAGEMENT INC. 72806,A81000C,00100,0600,HOME OFFICE 72806,A81000C,00200,0100,A 72806,A81000C,00200,0200,WEST ALLIS CARE CENTER 72806,A81000C,00200,0400,RICE ENTERPRISES 72806,A81000C,00200,0600,REAL ESTATE 72806,B100000,00000,0100,00000SQUARE FEET 72806,B100000,00000,0200,00000SQUARE FEET 72806,B100000,00000,0300,00000GROSS SALARIES 72806,B100000,00000,0400,00000ACCUM. COST 72806,B100000,00000,0500,00000SQUARE FEET 72806,B100000,00000,0600,00000LAUNDRY POUNDS 72806,B100000,00000,0700,00000SQUARE FEET 72806,B100000,00000,0800,00000MEALS 72806,B100000,00000,0900,00000HOURS WORKED 72806,B100000,00000,1000,00000COSTED REQUIS. 72806,B100000,00000,1100,00000COSTED REQUIS. 72806,B100000,00000,1200,00000TIME SPENT 72806,B100000,00000,1300,00000ADMISSIONS S 72806,B100000,00000,1350,00000HOURS WORKED 72806,B100000,00000,1400,00000TIME SPENT 72806,S000000,00100,0200,06/06/2000 72806,S200000,00100,0100,6700 WEST BELOIT RD. 72806,S200000,00200,0100,WEST ALLIS 72806,S200000,00200,0200,WI 72806,S200000,00300,0100,MILWAUKEE 72806,S200000,00400,0100,WEST ALLIS CARE CENTER 72806,S200000,00400,0200,525594 72806,S200000,00400,0300,05/01/1998 72806,S200000,00400,0500,P 72806,S200000,01500,0100,Y 72866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72866,A000000,00300,0000,00300EMPLOYEE BENEFITS 72866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72866,A000000,00700,0000,00700HOUSEKEEPING 72866,A000000,00800,0000,00800DIETARY 72866,A000000,00900,0000,00900NURSING ADMINISTRATION 72866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72866,A000000,01100,0000,01100PHARMACY 72866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72866,A000000,01300,0000,01300SOCIAL SERVICE 72866,A000000,01301,0000,01301ACTIVITIES 72866,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72866,A000000,01600,0000,01600SKILLED NURSING FACILITY 72866,A000000,01800,0000,01800NURSING FACILITY 72866,A000000,01810,0000,01810ICF/MR 72866,A000000,02100,0000,02100RADIOLOGY 72866,A000000,02200,0000,02200LABORATORY 72866,A000000,02300,0000,02300INTRAVENOUS THERAPY 72866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72866,A000000,02500,0000,02500PHYSICAL THERAPY 72866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72866,A000000,02700,0000,02700SPEECH PATHOLOGY 72866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72866,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 72866,A000000,03051,0000,03301PEN THERAPY 72866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 72866,A000000,03550,0000,03550FQHC 72866,A000000,05000,0000,05000CORF 72866,A000000,05010,0000,05010CMHC 72866,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72866,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72866,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72866,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 72866,A81000A,00100,0100,Y 72866,A81000B,00100,0300,HOME OFFICE COST 72866,A81000B,00200,0300,NON-CERT 72866,A81000B,00300,0300,MEDICAL SUPPLIES 72866,A81000B,00400,0300,CAPITAL 72866,A81000B,00500,0300,EQUIP RENTAL 72866,A81000B,00600,0300,PT 72866,A81000B,00700,0300,OT 72866,A81000B,00800,0300,ST 72866,A81000C,00100,0100,B 72866,A81000C,00100,0200,SOUTHPOINT HCC 72866,A81000C,00100,0400,MARINER POST AC 72866,A81000C,00100,0600,NURSING HOMES 72866,A81000C,00200,0100,G 72866,A81000C,00200,0200,MARINER POST AC 72866,A81000C,00200,0400,AMERICAN PHARMA 72866,A81000C,00200,0600,PHARMACEUTICALS 72866,A81000C,00300,0100,G 72866,A81000C,00300,0200,MARINER POST AC 72866,A81000C,00300,0400,PRISM (ATS ARS 72866,A81000C,00300,0600,THERAPIES 72866,B100000,00000,0100,00000SQUARE FEET 72866,B100000,00000,0200,00000SQUARE FEET 72866,B100000,00000,0300,00000GROSS SALARIES 72866,B100000,00000,0400,00000ACCUM COST 72866,B100000,00000,0500,00000SQUARE FEET 72866,B100000,00000,0600,00000POUNDS OF LAUNDRY 72866,B100000,00000,0700,00000HOURS OF SERVICE 72866,B100000,00000,0800,00000MEALS SERVED 72866,B100000,00000,0900,00000HOURS OF SERVICE 72866,B100000,00000,1000,00000PATIENT DAYS 72866,B100000,00000,1100,00000COSTED REQUISITIO 72866,B100000,00000,1200,00000TIME SPENT 72866,B100000,00000,1300,00000TIME SPENT 72866,B100000,00000,1301,00000TIME SPENT 72866,B100000,00000,1350,00000UNITS OF SERVICE 72866,B100000,00000,1400,00000ASSIGNED TIME 72866,S000000,00100,0200,06/27/2000 72866,S200000,00100,0100,4500 W LOOMIS RD 72866,S200000,00200,0100,GREENFIELD 72866,S200000,00200,0200,WI 72866,S200000,00200,0300,53220 72866,S200000,00300,0100,MILWAUKEE 72866,S200000,00400,0100,SOUTHPOINT HEALTHCARE CENTER 72866,S200000,00400,0200,525604 72866,S200000,00400,0300,09/10/1996 72866,S200000,00400,0500,P 72873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72873,A000000,00300,0000,00300EMPLOYEE BENEFITS 72873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72873,A000000,00700,0000,00700HOUSEKEEPING 72873,A000000,00800,0000,00800DIETARY 72873,A000000,00900,0000,00900NURSING ADMINISTRATION 72873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72873,A000000,01100,0000,01100PHARMACY 72873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72873,A000000,01300,0000,01300SOCIAL SERVICE 72873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72873,A000000,01600,0000,01600SKILLED NURSING FACILITY 72873,A000000,01800,0000,01800NURSING FACILITY 72873,A000000,01810,0000,01810ICF/MR 72873,A000000,02100,0000,02100RADIOLOGY 72873,A000000,02200,0000,02200LABORATORY 72873,A000000,02500,0000,02500PHYSICAL THERAPY 72873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72873,A000000,02700,0000,02700SPEECH PATHOLOGY 72873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72873,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72873,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72873,A000000,03052,0000,03302MEDICAL EQUIPMENT 72873,A000000,03550,0000,03550FQHC 72873,A000000,05000,0000,05000CORF 72873,A000000,05010,0000,05010CMHC 72873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72873,A81000A,00100,0100,Y 72873,A81000B,00100,0300,HOME OFFICE A&G 72873,A81000B,00200,0300,HOME OFFICE CAPITAL 72873,A81000B,00300,0300,DIVISION OFFICE A&G 72873,A81000B,00500,0300,INSURANCE 72873,A81000C,00100,0100,B 72873,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72873,A81000C,00200,0100,G 72873,A81000C,00200,0200,LAURIER INC. 72873,A81000C,00200,0400,EXTENDICARE INC. 72873,A81000C,00200,0600,INSURANCE 72873,A81000C,00300,0100,G 72873,A81000C,00300,0200,UNITED REHABILITATION SVS 72873,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72873,A81000C,00300,0600,THERAPY SERVICE 72873,A81000C,00400,0100,G 72873,A81000C,00400,0200,UNITED PROFESSIONAL CO 72873,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 72873,A81000C,00400,0600,MED SUPP RX 72873,B100000,00000,0100,00040SQUARE FEET 72873,B100000,00000,0200,00040SQUARE FEET 72873,B100000,00000,0300,00040GROSS SALARIES 72873,B100000,00000,0400,00040ACCUM. COST 72873,B100000,00000,0500,00040SQUARE FEET 72873,B100000,00000,0600,00040PATIENT DAYS 72873,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72873,B100000,00000,0800,00040PATIENT DAYS 72873,B100000,00000,0900,00040PATIENT DAYS 72873,B100000,00000,1000,00040COSTED REQUIS 72873,B100000,00000,1100,00040COSTED REQUIS 72873,B100000,00000,1200,00040GROSS REVENUE 72873,B100000,00000,1300,00040PATIENT DAYS 72873,B100000,00000,1400,00040ASSIGNED TIME 72873,E10A180,00301,0100,06/22/1998 72873,E10A180,00301,0300,06/22/1998 72873,E10A180,00350,0100,06/22/1998 72873,E10A180,00350,0300,06/22/1998 72873,E10A180,00501,0300,02/12/2001 72873,S000000,00100,0200,06/20/2000 72873,S200000,00100,0100,3813 N. 13TH STREET 72873,S200000,00200,0100,SHEBOYGAN 72873,S200000,00200,0200,WI 72873,S200000,00300,0100,SHEBOYGAN 72873,S200000,00400,0100,MEADOWVIEW MANOR 72873,S200000,00400,0200,525605 72873,S200000,00400,0300,12/01/1996 72873,S200000,00400,0500,P 72873,S200000,01600,0100,Y 72873,S200000,01900,0100,PRIVATE 72882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72882,A000000,00300,0000,00300EMPLOYEE BENEFITS 72882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72882,A000000,00700,0000,00700HOUSEKEEPING 72882,A000000,00800,0000,00800DIETARY 72882,A000000,00900,0000,00900NURSING ADMINISTRATION 72882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72882,A000000,01100,0000,01100PHARMACY 72882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72882,A000000,01300,0000,01300SOCIAL SERVICE 72882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72882,A000000,01600,0000,01600SKILLED NURSING FACILITY 72882,A000000,01810,0000,01810ICF/MR 72882,A000000,02200,0000,02200LABORATORY 72882,A000000,02500,0000,02500PHYSICAL THERAPY 72882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72882,A000000,02700,0000,02700SPEECH PATHOLOGY 72882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72882,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72882,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72882,A000000,03052,0000,03302MEDICAL EQUIPMENT 72882,A000000,03550,0000,03550FQHC 72882,A000000,05000,0000,05000CORF 72882,A000000,05010,0000,05010CMHC 72882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72882,A81000A,00100,0100,Y 72882,A81000B,00100,0300,HOME OFFICE A&G 72882,A81000B,00200,0300,HOME OFFICE CAPITAL 72882,A81000B,00300,0300,DIVISION OFFICE A&G 72882,A81000B,00400,0300,DIVISION OFFICE CAPITAL 72882,A81000B,00500,0300,INSURANCE 72882,A81000B,00600,0300,HOME OFFICE 72882,A81000C,00100,0100,B 72882,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72882,A81000C,00200,0100,G 72882,A81000C,00200,0200,LAURIER INC. 72882,A81000C,00200,0400,EXTENDICARE INC. 72882,A81000C,00200,0600,INSURANCE 72882,A81000C,00300,0100,G 72882,A81000C,00300,0200,UNITED REHABILITATION SVS 72882,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72882,A81000C,00300,0600,THERAPY SERVICE 72882,B100000,00000,0100,00040SQUARE FEET 72882,B100000,00000,0200,00040SQUARE FEET 72882,B100000,00000,0300,00040GROSS SALARIES 72882,B100000,00000,0400,00040ACCUM. COST 72882,B100000,00000,0500,00040SQUARE FEET 72882,B100000,00000,0600,00040PATIENT DAYS 72882,B100000,00000,0700,00040SQUARE FEET 72882,B100000,00000,0800,00040PATIENT DAYS 72882,B100000,00000,0900,00040PATIENT DAYS 72882,B100000,00000,1000,00040COSTED REQUIS 72882,B100000,00000,1100,00040COSTED REQUIS 72882,B100000,00000,1200,00040GROSS CHARGES 72882,B100000,00000,1300,00040PATIENT DAYS 72882,B100000,00000,1400,00040ASSIGNED TIME 72882,E10A180,00301,0100,06/22/1998 72882,E10A180,00301,0300,06/22/1998 72882,S000000,00100,0200,03/09/2000 72882,S200000,00100,0100,3431 N 13TH 72882,S200000,00200,0100,SHEBOYGAN 72882,S200000,00200,0200,WI 72882,S200000,00300,0100,SHEBOYGAN 72882,S200000,00400,0100,MORNINGSIDE HEALTH CENTER 72882,S200000,00400,0200,525607 72882,S200000,00400,0300,09/01/1997 72882,S200000,00400,0500,P 72882,S200000,01500,0100,Y 72884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72884,A000000,00300,0000,00300EMPLOYEE BENEFITS 72884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72884,A000000,00700,0000,00700HOUSEKEEPING 72884,A000000,00800,0000,00800DIETARY 72884,A000000,00900,0000,00900NURSING ADMINISTRATION 72884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72884,A000000,01100,0000,01100PHARMACY 72884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72884,A000000,01300,0000,01300SOCIAL SERVICE 72884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72884,A000000,01600,0000,01600SKILLED NURSING FACILITY 72884,A000000,01810,0000,01810ICF/MR 72884,A000000,02100,0000,02100RADIOLOGY 72884,A000000,02200,0000,02200LABORATORY 72884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72884,A000000,02500,0000,02500PHYSICAL THERAPY 72884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72884,A000000,02700,0000,02700SPEECH PATHOLOGY 72884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72884,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72884,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72884,A000000,03052,0000,03302MEDICAL EQUIPMENT 72884,A000000,03550,0000,03550FQHC 72884,A000000,05000,0000,05000CORF 72884,A000000,05010,0000,05010CMHC 72884,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72884,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72884,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72884,A81000A,00100,0100,Y 72884,A81000B,00100,0300,HOME OFFICE A&G 72884,A81000B,00200,0300,HOME OFFICE CAPITAL 72884,A81000B,00300,0300,DIVISION OFFICE A&G 72884,A81000B,00500,0300,INSURANCE 72884,A81000C,00100,0100,B 72884,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72884,A81000C,00200,0100,G 72884,A81000C,00200,0200,LAURIER INC. 72884,A81000C,00200,0400,EXTENDICARE INC. 72884,A81000C,00200,0600,INSURANCE 72884,A81000C,00300,0100,G 72884,B100000,00000,0100,00040SQUARE FEET 72884,B100000,00000,0200,00040SQUARE FEET 72884,B100000,00000,0300,00040GROSS SALARIES 72884,B100000,00000,0400,00040ACCUM. COST 72884,B100000,00000,0500,00040SQUARE FEET 72884,B100000,00000,0600,00040PATIENT DAYS 72884,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72884,B100000,00000,0800,00040PATIENT DAYS 72884,B100000,00000,0900,00040PATIENT DAYS 72884,B100000,00000,1000,00040COSTED REQUIS 72884,B100000,00000,1100,00040COSTED REQUIS 72884,B100000,00000,1200,00040GROSS REVENUE 72884,B100000,00000,1300,00040PATIENT DAYS 72884,B100000,00000,1400,00040ASSIGNED TIME 72884,E10A180,00301,0100,06/22/1998 72884,E10A180,00301,0300,06/22/1998 72884,E10A180,00350,0100,06/22/1998 72884,E10A180,00350,0300,06/22/1998 72884,S000000,00100,0200,06/20/2000 72884,S200000,00100,0100,3431 N 13TH 72884,S200000,00200,0100,SHEBOYGAN 72884,S200000,00200,0200,WI 72884,S200000,00300,0100,SHEBOYGAN 72884,S200000,00400,0100,MORNINGSIDE HEALTH 72884,S200000,00400,0200,525607 72884,S200000,00400,0300,09/01/1997 72884,S200000,00400,0500,P 72884,S200000,01600,0100,Y 72884,S200000,01900,0100,PRIVATE 72895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72895,A000000,00300,0000,00300EMPLOYEE BENEFITS 72895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72895,A000000,00700,0000,00700HOUSEKEEPING 72895,A000000,00800,0000,00800DIETARY 72895,A000000,00900,0000,00900NURSING ADMINISTRATION 72895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72895,A000000,01100,0000,01100PHARMACY 72895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72895,A000000,01300,0000,01300SOCIAL SERVICE 72895,A000000,01350,0000,01500ACTIVITIES 72895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72895,A000000,01600,0000,01600SKILLED NURSING FACILITY 72895,A000000,01800,0000,01800NURSING FACILITY 72895,A000000,01810,0000,01810ICF/MR 72895,A000000,02100,0000,02100RADIOLOGY 72895,A000000,02200,0000,02200LABORATORY 72895,A000000,02500,0000,02500PHYSICAL THERAPY 72895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72895,A000000,02700,0000,02700SPEECH PATHOLOGY 72895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72895,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72895,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72895,A000000,03550,0000,03550FQHC 72895,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72895,A000000,05000,0000,05000CORF 72895,A000000,05010,0000,05010CMHC 72895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72895,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72895,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72895,A000000,06150,0000,06300SISTERS MAINTENANCE 72895,A000000,06151,0000,06301HOLY FAMILY MEMORIAL TCU 72895,A000000,06152,0000,06302ST. NICHOLAS TCU 72895,A000000,06153,0000,06303SACRED HEART 72895,A81000A,00100,0100,Y 72895,A81000B,00100,0300,MANAGEMENT FEES 72895,A81000B,00200,0300,CAPITAL COSTS 72895,A81000C,00100,0100,B 72895,A81000C,00100,0400,FELICIAN HEALTH 72895,A81000C,00100,0600,HOME OFFICE 72895,B100000,00000,0100,00003SQUARE FEET 72895,B100000,00000,0200,00003SQUARE FEET 72895,B100000,00000,0300,00003GROSS SALARIES 72895,B100000,00000,0400,00003ACCUM. COST 72895,B100000,00000,0500,00003SQUARE FEET 72895,B100000,00000,0600,00003PATIENT DAYS 72895,B100000,00000,0700,00003SQUARE FEET 72895,B100000,00000,0800,00003MEALS SERVED 72895,B100000,00000,0900,00003PATIENT DAYS 72895,B100000,00000,1000,00003COSTED REQUIS 72895,B100000,00000,1100,00003COSTED REQUIS 72895,B100000,00000,1200,00003PATIENT DAYS 72895,B100000,00000,1300,00003PATIENT DAYS 72895,B100000,00000,1350,00003PATIENT DAYS 72895,B100000,00000,1400,00003ASSIGNED TIME 72895,S000000,00100,0200,06/22/2000 72895,S200000,00100,0100,2005 DIVISION STREET 72895,S200000,00200,0100,MANITOWOC 72895,S200000,00200,0200,WI 72895,S200000,00300,0100,MANITOWOC 72895,S200000,00400,0100,ST. MARYS HOME FOR THE AGED 72895,S200000,00400,0200,525609 72895,S200000,00400,0300,12/01/1996 72895,S200000,00400,0500,P 72895,S200000,01600,0100,Y 72895,S200000,01900,0100,HEALTH CARE 72898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72898,A000000,00300,0000,00300EMPLOYEE BENEFITS 72898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72898,A000000,00700,0000,00700HOUSEKEEPING 72898,A000000,00800,0000,00800DIETARY 72898,A000000,00900,0000,00900NURSING ADMINISTRATION 72898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72898,A000000,01100,0000,01100PHARMACY 72898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72898,A000000,01300,0000,01300SOCIAL SERVICE 72898,A000000,01301,0000,01301ACTIVITIES 72898,A000000,01302,0000,01302RELIGION SERVICES 72898,A000000,01350,0000,01500OTHER GENERAL SERVICES 72898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72898,A000000,01600,0000,01600SKILLED NURSING FACILITY 72898,A000000,01810,0000,01810ICF/MR 72898,A000000,02200,0000,02200LABORATORY 72898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72898,A000000,02500,0000,02500PHYSICAL THERAPY 72898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72898,A000000,02700,0000,02700SPEECH PATHOLOGY 72898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72898,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72898,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72898,A000000,03550,0000,03550FQHC 72898,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72898,A000000,05000,0000,05000CORF 72898,A000000,05010,0000,05010CMHC 72898,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72898,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72898,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72898,A000000,05300,0000,05300INTEREST EXPENSE 72898,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72898,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72898,A81000A,00100,0100,Y 72898,A81000B,00100,0300,HOME OFFICE COSTS 72898,A81000C,00100,0100,B 72898,A81000C,00100,0200,LUTHERAN HOME BELLE PLAIN 72898,A81000C,00100,0400,LUTHERAN HOME BELLE PLAIN 72898,A81000C,00100,0600,HOME OFFICE 72898,B100000,00000,0100,00000SQUARE FEET 72898,B100000,00000,0200,00000SQUARE FEET 72898,B100000,00000,0300,00000GROSS SALARIES 72898,B100000,00000,0400,00000ACCUM. COST 72898,B100000,00000,0500,00000SQUARE FEET 72898,B100000,00000,0600,00000PATIENT DAYS 72898,B100000,00000,0700,00000SQUARE FEET 72898,B100000,00000,0800,00000MEALS SERVED 72898,B100000,00000,0900,00000DIRECT NRSING HRS 72898,B100000,00000,1000,00000COSTED REQUIS. 72898,B100000,00000,1100,00000COSTED REQUIS. 72898,B100000,00000,1200,00000GROSS CHARGES 72898,B100000,00000,1300,00000PATIENT DAYS 72898,B100000,00000,1301,00000PATIENT DAYS 72898,B100000,00000,1302,00000PATIENT DAYS 72898,B100000,00000,1350,00000TIME SPENT 72898,B100000,00000,1400,00000ASSIGNED TIME 72898,E10A180,00501,0100,05/30/2000 72898,E10A180,00501,0300,05/30/2000 72898,E10A180,00550,0100,05/30/2000 72898,E10A180,00550,0300,05/30/2000 72898,S000000,00100,0200,03/29/2000 72898,S200000,00100,0100,270 NORTH STREET 72898,S200000,00200,0100,FOUNTAIN CITY 72898,S200000,00200,0200,WI 72898,S200000,00300,0100,BUFFALO 72898,S200000,00400,0100,ST. MICHAELS LUTHERAN HOME 72898,S200000,00400,0200,525610 72898,S200000,00400,0300,01/01/1997 72898,S200000,00400,0500,P 72898,S200000,01500,0100,Y 72904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72904,A000000,00300,0000,00300EMPLOYEE BENEFITS 72904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72904,A000000,00700,0000,00700HOUSEKEEPING 72904,A000000,00800,0000,00800DIETARY 72904,A000000,00900,0000,00900NURSING ADMINISTRATION 72904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72904,A000000,01100,0000,01100PHARMACY 72904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72904,A000000,01300,0000,01300SOCIAL SERVICE 72904,A000000,01350,0000,01500PATIENT ACTIVITIES 72904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72904,A000000,01600,0000,01600SKILLED NURSING FACILITY 72904,A000000,01800,0000,01800NURSING FACILITY 72904,A000000,01810,0000,01810ICF/MR 72904,A000000,02500,0000,02500PHYSICAL THERAPY 72904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72904,A000000,02700,0000,02700SPEECH PATHOLOGY 72904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72904,A000000,03550,0000,03550FQHC 72904,A000000,05000,0000,05000CORF 72904,A000000,05010,0000,05010CMHC 72904,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72904,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72904,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72904,A81000A,00100,0100,Y 72904,A81000B,00100,0300,COUNTY COST ALLOCATION 72904,A81000C,00100,0100,A 72904,A81000C,00100,0200,COUNTY 72904,B100000,00000,0100,00000SQUARE FEET 72904,B100000,00000,0200,00000SQUARE FEET 72904,B100000,00000,0300,00000GROSS SALARIES 72904,B100000,00000,0400,00000ACCUM. COST 72904,B100000,00000,0500,00000SQUARE FEET 72904,B100000,00000,0600,00000PATIENT DAYS 72904,B100000,00000,0700,00000SQUARE FEET 72904,B100000,00000,0800,00000MEALS SERVED 72904,B100000,00000,0900,00000DIRECT NRSG HRS 72904,B100000,00000,1000,00000COSTED REQUIS 72904,B100000,00000,1100,00000COSTED REQUIS 72904,B100000,00000,1200,00000TIME SPENT 72904,B100000,00000,1300,00000TIME SPENT 72904,B100000,00000,1350,00000PATIENT DAYS 72904,B100000,00000,1400,00000ASSIGNED TIME 72904,S000000,00100,0200,06/29/2000 72904,S200000,00100,0100,825 WHITING AVENUE 72904,S200000,00200,0100,STEVENS POINT 72904,S200000,00200,0200,WI 72904,S200000,00300,0100,PORTAGE 72904,S200000,00400,0100,PORTAGE COUNTY HEALTH CARE CENTER 72904,S200000,00400,0200,525611 72904,S200000,00400,0300,05/01/1997 72904,S200000,00400,0500,P 72904,S200000,01600,0100,Y 72908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72908,A000000,00300,0000,00300EMPLOYEE BENEFITS 72908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72908,A000000,00700,0000,00700HOUSEKEEPING 72908,A000000,00800,0000,00800DIETARY 72908,A000000,00900,0000,00900NURSING ADMINISTRATION 72908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72908,A000000,01100,0000,01100PHARMACY 72908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72908,A000000,01300,0000,01300SOCIAL SERVICE 72908,A000000,01350,0000,01500OTHER GENERAL SERVICES 72908,A000000,01351,0000,01501MEDICAL DIRECTOR 72908,A000000,01352,0000,01502ACTIVITIES 72908,A000000,01353,0000,01503OTHER GENERAL SERVICE COST CENT 72908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72908,A000000,01600,0000,01600SKILLED NURSING FACILITY 72908,A000000,01800,0000,01800NURSING FACILITY 72908,A000000,01810,0000,01810ICF/MR 72908,A000000,02100,0000,02100RADIOLOGY 72908,A000000,02200,0000,02200LABORATORY 72908,A000000,02500,0000,02500PHYSICAL THERAPY 72908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72908,A000000,02700,0000,02700SPEECH PATHOLOGY 72908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72908,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72908,A000000,03550,0000,03550FQHC 72908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72908,A000000,05000,0000,05000CORF 72908,A000000,05010,0000,05010CMHC 72908,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72908,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72908,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72908,A81000A,00100,0100,Y 72908,A81000B,00100,0300,OXYGEN 72908,A81000C,00100,0100,A 72908,A81000C,00100,0200,WANDA PREISLER-NUTTING 72908,A81000C,00100,0400,MANOR MEDICAL SUPPLY INC 72908,A81000C,00100,0600,MEDICAL EQUIPMENT 72908,B100000,00000,0100,00000SQUARE FEET 72908,B100000,00000,0200,00000SQUARE FEET 72908,B100000,00000,0300,00000GROSS SALARIES 72908,B100000,00000,0400,00000ACCUM. COST 72908,B100000,00000,0500,00000SQUARE FEET 72908,B100000,00000,0600,00000POUNDS OF LAUNDRY 72908,B100000,00000,0700,00000SQUARE FEET 72908,B100000,00000,0800,00000MEALS SERVED 72908,B100000,00000,0900,00000DIRECT NRSING HRS 72908,B100000,00000,1000,00000SQUARE FEET 72908,B100000,00000,1100,00000COSTED REQUIS. 72908,B100000,00000,1200,00000TIME SPENT 72908,B100000,00000,1300,00000TIME SPENT 72908,B100000,00000,1350,00000NO STATISTICS 72908,B100000,00000,1351,00000NO STATISTICS 72908,B100000,00000,1352,00000PATIENT DAYS 72908,B100000,00000,1353,00000PATIENT DAYS 72908,B100000,00000,1400,00000ASSIGNED TIME 72908,S000000,00100,0200,06/21/2000 72908,S200000,00100,0100,250 LAWRENCE AVENUE 72908,S200000,00200,0100,PARK FALLS 72908,S200000,00200,0200,WI 72908,S200000,00300,0100,PRICE 72908,S200000,00400,0100,PARK MANOR 72908,S200000,00400,0200,525612 72908,S200000,00400,0300,03/01/1997 72908,S200000,00400,0500,P 72908,S200000,01600,0100,Y 72908,S200000,02800,0100,Y 72915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72915,A000000,00300,0000,00300EMPLOYEE BENEFITS 72915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72915,A000000,00700,0000,00700HOUSEKEEPING 72915,A000000,00800,0000,00800DIETARY 72915,A000000,00900,0000,00900NURSING ADMINISTRATION 72915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72915,A000000,01100,0000,01100PHARMACY 72915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72915,A000000,01300,0000,01300SOCIAL SERVICE 72915,A000000,01350,0000,01500OTHER GENERAL SERVICES 72915,A000000,01351,0000,01501ACTIVITIES 72915,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72915,A000000,01600,0000,01600SKILLED NURSING FACILITY 72915,A000000,01810,0000,01810ICF/MR 72915,A000000,02200,0000,02200LABORATORY 72915,A000000,02500,0000,02500PHYSICAL THERAPY 72915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72915,A000000,02700,0000,02700SPEECH PATHOLOGY 72915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72915,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72915,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72915,A000000,03550,0000,03550FQHC 72915,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72915,A000000,05000,0000,05000CORF 72915,A000000,05010,0000,05010CMHC 72915,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72915,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72915,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72915,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72915,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72915,A81000A,00100,0100,Y 72915,A81000B,00100,0300,FACILITY LEASE & GENERAL 72915,A81000B,00200,0300,HOME OFFICE COSTS GENERAL 72915,A81000B,00300,0300,GARAGE LEASE 72915,A81000B,00400,0300,MEDICAL SUPPLIES 72915,A81000B,00500,0300,FACILITY LEASE & GENERAL 72915,A81000C,00100,0100,A 72915,A81000C,00100,0200,KUTZ MARINER LIMITED PART 72915,A81000C,00100,0400,ALSO OWNED BY L. KUTZ 72915,A81000C,00100,0600,REAL ESTATE 72915,A81000C,00200,0100,A 72915,A81000C,00200,0200,VILLA MARIA HEALTH CARE 72915,A81000C,00200,0400,ALSO OWNED BY L. KUTZRE 72915,A81000C,00200,0600,NURSING HOME 72915,A81000C,00300,0100,A 72915,A81000C,00300,0200,SERVICES UNLIMITED 72915,A81000C,00300,0400,ALSO OWNED BY L. KUTZ 72915,A81000C,00300,0600,MANAGEMENT SERVICES 72915,A81000C,00400,0100,A 72915,A81000C,00400,0200,HOME MEDICALKUTZ 72915,A81000C,00400,0400,ALSO OWNED BY L. KUTZ 72915,A81000C,00400,0600,DME & MEDICAL SUPPLY CO. 72915,A81000C,00500,0100,A 72915,A81000C,00500,0200,KUTZ MARINER LIMITED PART 72915,A81000C,00500,0400,ALSO OWNED BY L. KUTZ 72915,A81000C,00500,0600,REAL ESTATE 72915,B100000,00000,0100,00000SQUARE FEET 72915,B100000,00000,0200,00000SQUARE FEET 72915,B100000,00000,0300,00000GROSS SALARIES 72915,B100000,00000,0400,00000ACCUM. COST 72915,B100000,00000,0500,00000SQUARE FEET 72915,B100000,00000,0600,00000PATIENT DAYS 72915,B100000,00000,0700,00000SQUARE FEET 72915,B100000,00000,0800,00000MEALS SERVED 72915,B100000,00000,0900,00000NO STATISTICS 72915,B100000,00000,1000,00000COSTED REQUIS 72915,B100000,00000,1100,00000COSTED REQUIS 72915,B100000,00000,1200,00000TIME SPENT 72915,B100000,00000,1300,00000PATIENT DAYS 72915,B100000,00000,1350,00000NO STATISTICS 72915,B100000,00000,1351,00000PATIENT DAYS 72915,B100000,00000,1400,00000ASSIGNED TIME 72915,S000000,00100,0200,06/22/2000 72915,S200000,00100,0100,35 N. 28TH STREET 72915,S200000,00200,0100,SUPERIOR 72915,S200000,00200,0200,WI 72915,S200000,00300,0100,DOUGLAS 72915,S200000,00400,0100,VILLA MARINA HEALTH AND REHAB 72915,S200000,00400,0200,525613 72915,S200000,00400,0300,03/01/1997 72915,S200000,00400,0500,P 72915,S200000,01500,0100,Y 72927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72927,A000000,00300,0000,00300EMPLOYEE BENEFITS 72927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72927,A000000,00700,0000,00700HOUSEKEEPING 72927,A000000,00800,0000,00800DIETARY 72927,A000000,00900,0000,00900NURSING ADMINISTRATION 72927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72927,A000000,01100,0000,01100PHARMACY 72927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72927,A000000,01300,0000,01300SOCIAL SERVICE 72927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72927,A000000,01600,0000,01600SKILLED NURSING FACILITY 72927,A000000,01800,0000,01800NURSING FACILITY 72927,A000000,01810,0000,01810ICF/MR 72927,A000000,02100,0000,02100RADIOLOGY 72927,A000000,02200,0000,02200LABORATORY 72927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72927,A000000,02500,0000,02500PHYSICAL THERAPY 72927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72927,A000000,02700,0000,02700SPEECH PATHOLOGY 72927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72927,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72927,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 72927,A000000,03052,0000,03302MEDICAL EQUIPMENT 72927,A000000,03550,0000,03550FQHC 72927,A000000,05000,0000,05000CORF 72927,A000000,05010,0000,05010CMHC 72927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72927,A81000A,00100,0100,Y 72927,A81000B,00100,0300,HOME OFFICE A&G 72927,A81000B,00200,0300,HOME OFFICE CAPITAL 72927,A81000B,00300,0300,DIVISION OFFICE A&G 72927,A81000B,00500,0300,INSURANCE 72927,A81000B,00900,0300,AIR FLUIDIZED THERAPY 72927,A81000C,00100,0100,B 72927,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 72927,A81000C,00200,0100,G 72927,A81000C,00200,0200,LAURIER INC. 72927,A81000C,00200,0400,EXTENDICARE INC. 72927,A81000C,00200,0600,INSURANCE 72927,A81000C,00300,0100,G 72927,A81000C,00300,0200,UNITED REHABILITATION SVS 72927,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 72927,A81000C,00300,0600,THERAPY SERVICE 72927,A81000C,00400,0100,G 72927,A81000C,00400,0200,UNITED PROFESSIONAL CO. 72927,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 72927,A81000C,00400,0600,MED SUPPLY RX 72927,B100000,00000,0100,00040SQUARE FEET 72927,B100000,00000,0200,00040SQUARE FEET 72927,B100000,00000,0300,00040GROSS SALARIES 72927,B100000,00000,0400,00040ACCUM. COST 72927,B100000,00000,0500,00040SQUARE FEET 72927,B100000,00000,0600,00040PATIENT DAYS 72927,B100000,00000,0700,00040ALTERNATE SQUARE FEE 72927,B100000,00000,0800,00040PATIENT DAYS 72927,B100000,00000,0900,00040PATIENT DAYS 72927,B100000,00000,1000,00040COSTED REQUIS 72927,B100000,00000,1100,00040COSTED REQUIS 72927,B100000,00000,1200,00040GROSS REVENUE 72927,B100000,00000,1300,00040PATIENT DAYS 72927,B100000,00000,1400,00040ASSIGNED TIME 72927,E10A180,00301,0100,06/22/1998 72927,E10A180,00301,0300,06/22/1998 72927,E10A180,00350,0100,06/22/1998 72927,E10A180,00350,0300,06/22/1998 72927,E10A180,00501,0300,02/12/2001 72927,S000000,00100,0200,06/20/2000 72927,S200000,00100,0100,305 SOUTH CLARK STREET 72927,S200000,00200,0100,MAYVILLE 72927,S200000,00200,0200,WI 72927,S200000,00300,0100,DODGE 72927,S200000,00400,0100,MAYVILLE NURSING & REHAB 72927,S200000,00400,0200,525616 72927,S200000,00400,0300,03/19/1997 72927,S200000,00400,0500,P 72927,S200000,01600,0100,Y 72927,S200000,01900,0100,PRIVATE 72934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72934,A000000,00300,0000,00300EMPLOYEE BENEFITS 72934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72934,A000000,00700,0000,00700HOUSEKEEPING 72934,A000000,00800,0000,00800DIETARY 72934,A000000,00900,0000,00900NURSING ADMINISTRATION 72934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72934,A000000,01100,0000,01100PHARMACY 72934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72934,A000000,01300,0000,01300SOCIAL SERVICE 72934,A000000,01301,0000,01301ACTIVITIES 72934,A000000,01350,0000,01500OTHER GENERAL SERVICES 72934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72934,A000000,01600,0000,01600SKILLED NURSING FACILITY 72934,A000000,01810,0000,01810ICF/MR 72934,A000000,02100,0000,02100RADIOLOGY 72934,A000000,02200,0000,02200LABORATORY 72934,A000000,02500,0000,02500PHYSICAL THERAPY 72934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72934,A000000,02700,0000,02700SPEECH PATHOLOGY 72934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72934,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72934,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72934,A000000,03550,0000,03550FQHC 72934,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72934,A000000,05000,0000,05000CORF 72934,A000000,05010,0000,05010CMHC 72934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72934,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72934,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72934,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72934,A000000,06151,0000,06301MANOR 72934,A000000,06152,0000,06302CONVENT 72934,A000000,06153,0000,06303OLD HOSPITAL BUILDING 72934,A000000,06154,0000,06304DEVELOPMENT 72934,A81000A,00100,0100,Y 72934,A81000B,00100,0300,CORPORATE SERVICES 72934,A81000B,00200,0300,HOME OFFICE RELATED COSTS 72934,A81000B,00300,0300,HOME OFFICE RENT 72934,A81000C,00100,0100,A 72934,A81000C,00100,0400,FRANCISCAN SISTERS 72934,A81000C,00100,0600,CORP SERVICES & SUPPORT 72934,B100000,00000,0100,00004SQUARE FEET 72934,B100000,00000,0200,00004SQUARE FEET 72934,B100000,00000,0300,00004GROSS SALARIES 72934,B100000,00000,0400,00004ACCUM. COST 72934,B100000,00000,0500,00004SQUARE FEET 72934,B100000,00000,0600,00004PATIENT DAYS 72934,B100000,00000,0700,00004SQUARE FEET 72934,B100000,00000,0800,00004MEALS SERVED 72934,B100000,00000,0900,00004DIRECT NRSING HRS 72934,B100000,00000,1000,00004COSTED REQUIS. 72934,B100000,00000,1100,00004COSTED REQUIS. 72934,B100000,00000,1200,00004TIME SPENT 72934,B100000,00000,1300,00004TIME SPENT 72934,B100000,00000,1301,00004PATIENT DAYS 72934,B100000,00000,1350,00004NO STATISTICS 72934,B100000,00000,1400,00004ASSIGNED TIME 72934,S000000,00100,0200,06/07/2000 72934,S200000,00100,0100,1211 OAK RIDGE AVENUE 72934,S200000,00200,0100,KAUKAUNA 72934,S200000,00200,0200,WI 72934,S200000,00300,0100,OUTAGAMIE 72934,S200000,00400,0100,ST. PAUL HOME INC. 72934,S200000,00400,0200,525617 72934,S200000,00400,0300,07/01/1997 72934,S200000,00400,0500,P 72934,S200000,01500,0100,Y 72934,S200000,02200,0100,Y 72941,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72941,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72941,A000000,00300,0000,00300EMPLOYEE BENEFITS 72941,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72941,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72941,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72941,A000000,00700,0000,00700HOUSEKEEPING 72941,A000000,00800,0000,00800DIETARY 72941,A000000,00801,0000,00801CAFETERIA 72941,A000000,00900,0000,00900NURSING ADMINISTRATION 72941,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72941,A000000,01100,0000,01100PHARMACY 72941,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72941,A000000,01300,0000,01300SOCIAL SERVICE 72941,A000000,01350,0000,01500OTHER GENERAL SERVICES 72941,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72941,A000000,01600,0000,01600SKILLED NURSING FACILITY 72941,A000000,01810,0000,01810ICF/MR 72941,A000000,02100,0000,02100RADIOLOGY 72941,A000000,02200,0000,02200LABORATORY 72941,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72941,A000000,02500,0000,02500PHYSICAL THERAPY 72941,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72941,A000000,02700,0000,02700SPEECH PATHOLOGY 72941,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72941,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72941,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72941,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72941,A000000,03550,0000,03550FQHC 72941,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72941,A000000,05000,0000,05000CORF 72941,A000000,05010,0000,05010CMHC 72941,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72941,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72941,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72941,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72941,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72941,A81000A,00100,0100,Y 72941,A81000B,00100,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00200,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00300,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00400,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00500,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00600,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00700,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00800,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,00900,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000B,01000,0300,ALLOCATED COSTS FROM HOSPITAL 72941,A81000C,00100,0100,G 72941,A81000C,00100,0400,ST. JOSEPHS - WEST BEND 72941,A81000C,00100,0600,HOSPITAL 72941,B100000,00000,0100,00000SQUARE FEET 72941,B100000,00000,0200,00000SQUARE FEET 72941,B100000,00000,0300,00000GROSS SALARIES 72941,B100000,00000,0400,00000ACCUM. COST 72941,B100000,00000,0500,00000SQUARE FEET 72941,B100000,00000,0600,00000LAUNDRY POUNDS 72941,B100000,00000,0700,00000SQUARE FEET 72941,B100000,00000,0800,00000MEALS SERVED 72941,B100000,00000,0801,00000FTES 72941,B100000,00000,0900,00000PATIENT DAYS 72941,B100000,00000,1000,00000COSTED REQS 72941,B100000,00000,1100,00000NO 72941,B100000,00000,1200,00000REVENUE 72941,B100000,00000,1300,00000NO 72941,B100000,00000,1350,00000FTES 72941,B100000,00000,1400,00000NO 72941,E10A180,00350,0100,12/31/1999 72941,S000000,00100,0200,06/27/2000 72941,S200000,00100,0100,551 S. SILVERBROOK DRIVE 72941,S200000,00200,0100,WEST BEND 72941,S200000,00200,0200,WI 72941,S200000,00300,0100,WASHINGTON 72941,S200000,00400,0100,SAMARITAN HEALTH CENTER - SUBACUTE 72941,S200000,00400,0200,525618 72941,S200000,00400,0300,02/25/1997 72941,S200000,00400,0500,P 72941,S200000,01500,0100,Y 72946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72946,A000000,00300,0000,00300EMPLOYEE BENEFITS 72946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72946,A000000,00700,0000,00700HOUSEKEEPING 72946,A000000,00800,0000,00800DIETARY 72946,A000000,00900,0000,00900NURSING ADMINISTRATION 72946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72946,A000000,01100,0000,01100PHARMACY 72946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72946,A000000,01300,0000,01300SOCIAL SERVICE 72946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72946,A000000,01600,0000,01600SKILLED NURSING FACILITY 72946,A000000,01800,0000,01800NURSING FACILITY 72946,A000000,01810,0000,01810ICF/MR 72946,A000000,02200,0000,02200LABORATORY 72946,A000000,02300,0000,02300INTRAVENOUS THERAPY 72946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72946,A000000,02500,0000,02500PHYSICAL THERAPY 72946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72946,A000000,02700,0000,02700SPEECH PATHOLOGY 72946,A000000,02800,0000,02800ELECTROCARDIOLOGY 72946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72946,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 72946,A000000,05000,0000,05000CORF 72946,A000000,05010,0000,05010CMHC 72946,A000000,05020,0000,05020OPT 72946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72946,B100000,00000,0100,00000(SQUARE FEET) 72946,B100000,00000,0200,00000(SQUARE FEET) 72946,B100000,00000,0300,00000(GROSS SALARIES) 72946,B100000,00000,0400,00000(ACCUM COST) 72946,B100000,00000,0500,00000(SQUARE FEET) 72946,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72946,B100000,00000,0700,00000(HOURS OF SERVICE) 72946,B100000,00000,0800,00000(MEALS SERVED) 72946,B100000,00000,0900,00000(DIR NRSG HOURS) 72946,B100000,00000,1000,00000(COSTED REQUIS) 72946,B100000,00000,1100,00000(COSTED REQUIS) 72946,B100000,00000,1200,00000(TIME SPENT) 72946,B100000,00000,1300,00000(TIME SPENT) 72946,B100000,00000,1400,00000(ASSIGNED TIME) 72946,S000000,00100,0200,07/11/2000 72946,S200000,00100,0100,323 BLACK RIVER ROAD 72946,S200000,00200,0100,WESTBY 72946,S200000,00200,0200,WISCONSIN 72946,S200000,00200,0300,54667 72946,S200000,00300,0100,VERNON 72946,S200000,00400,0100,NORSELAND NURSING HOME 72946,S200000,00400,0200,525619 72946,S200000,00400,0300,07/01/1997 72946,S200000,00400,0500,P 72946,S200000,01500,0100,Y 72946,S200000,02200,0100,Y 72952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72952,A000000,00300,0000,00300EMPLOYEE BENEFITS 72952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72952,A000000,00700,0000,00700HOUSEKEEPING 72952,A000000,00800,0000,00800DIETARY 72952,A000000,00900,0000,00900NURSING ADMINISTRATION 72952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72952,A000000,01100,0000,01100PHARMACY 72952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72952,A000000,01300,0000,01300SOCIAL SERVICE 72952,A000000,01350,0000,01500OTHER GENERAL SERVICES 72952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72952,A000000,01600,0000,01600SKILLED NURSING FACILITY 72952,A000000,01810,0000,01810ICF/MR 72952,A000000,02200,0000,02200LABORATORY 72952,A000000,02500,0000,02500PHYSICAL THERAPY 72952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72952,A000000,02700,0000,02700SPEECH PATHOLOGY 72952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72952,A000000,03550,0000,03550FQHC 72952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72952,A000000,05000,0000,05000CORF 72952,A000000,05010,0000,05010CMHC 72952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72952,A000000,05300,0000,05300INTEREST EXPENSE 72952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72952,A81000A,00100,0100,Y 72952,A81000B,00100,0300,NURSING SALARIES 72952,A81000B,00200,0300,ADMINISTRATIVE SALAR 72952,A81000B,00300,0300,ACTIVITIES SALARIES 72952,A81000B,00400,0300,HOUSEKEEPING 72952,A81000B,00500,0300,LAUNDRY 72952,A81000C,00100,0100,G 72952,A81000C,00100,0200,SISTER SERVANTS 72952,A81000C,00100,0400,SISTER SERVANTS 72952,B100000,00000,0100,00000SQUARE FEET 72952,B100000,00000,0200,00000SQUARE FEET 72952,B100000,00000,0300,00000GROSS SALARIES 72952,B100000,00000,0400,00000ACCUM. COST 72952,B100000,00000,0500,00000SQUARE FEET 72952,B100000,00000,0600,00000POUNDS OF LAUNDRY 72952,B100000,00000,0700,00000SQUARE FEET 72952,B100000,00000,0800,00000MEALS SERVED 72952,B100000,00000,0900,00000PATIENT DAYS 72952,B100000,00000,1000,00000SQUARE FEET 72952,B100000,00000,1100,00000NO STATISTICS 72952,B100000,00000,1200,00000PATIENT DAYS 72952,B100000,00000,1300,00000ADMISSIONS S 72952,B100000,00000,1350,00000SQUARE FEET 72952,B100000,00000,1400,00000NO STATISTICS 72952,S000000,00100,0200,01/02/2001 72952,S200000,00100,0100,N8114 CALVARY STREET 72952,S200000,00200,0100,MOUNT CALVARY 72952,S200000,00200,0200,WI 72952,S200000,00200,0300,53057 72952,S200000,00300,0100,F 72952,S200000,00300,0200,9952 72952,S200000,00300,0300,R 72952,S200000,00400,0100,VILLA LORETTO NURSING HOME 72952,S200000,00400,0200,525621 72952,S200000,00400,0300,07/01/1997 72952,S200000,00400,0500,P 72952,S200000,01500,0100,Y 72952,S200000,01900,0100,OTHER 72964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72964,A000000,00300,0000,00300EMPLOYEE BENEFITS 72964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72964,A000000,00700,0000,00700HOUSEKEEPING 72964,A000000,00800,0000,00800DIETARY 72964,A000000,00900,0000,00900NURSING ADMINISTRATION 72964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72964,A000000,01100,0000,01100PHARMACY 72964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72964,A000000,01300,0000,01300SOCIAL SERVICE 72964,A000000,01350,0000,01500ACTIVITIES 72964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72964,A000000,01600,0000,01600SKILLED NURSING FACILITY 72964,A000000,01810,0000,01810ICF/MR 72964,A000000,02100,0000,02100RADIOLOGY 72964,A000000,02200,0000,02200LABORATORY 72964,A000000,02500,0000,02500PHYSICAL THERAPY 72964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72964,A000000,02700,0000,02700SPEECH PATHOLOGY 72964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72964,A000000,03550,0000,03550FQHC 72964,A000000,05000,0000,05000CORF 72964,A000000,05010,0000,05010CMHC 72964,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72964,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72964,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72964,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72964,A000000,06150,0000,06300TRANSPORTATION SERVICE 72964,B100000,00000,0100,00000SQUARE FEET 72964,B100000,00000,0200,00000SQUARE FEET 72964,B100000,00000,0300,00000GROSS SALARIES 72964,B100000,00000,0400,00000ACCUM. COST 72964,B100000,00000,0500,00000SQUARE FEET 72964,B100000,00000,0600,00000PATIENT DAYS 72964,B100000,00000,0700,00000SQUARE FEET 72964,B100000,00000,0800,00000MEALS SERVED 72964,B100000,00000,0900,00000ASSIGNED TIME 72964,B100000,00000,1000,00000ASSIGNED TIME 72964,B100000,00000,1100,00000ASSIGNED TIME 72964,B100000,00000,1200,00000ASSIGNED TIME 72964,B100000,00000,1300,00000PATIENT DAYS 72964,B100000,00000,1350,00000PATIENT DAYS 72964,B100000,00000,1400,00000ASSIGNED TIME 72964,S000000,00100,0200,06/01/2000 72964,S200000,00100,0100,ROUTE 1 72964,S200000,00100,0300,230 72964,S200000,00200,0100,LAONA 72964,S200000,00200,0200,WI 72964,S200000,00300,0100,FOREST 72964,S200000,00400,0100,NU-ROC COMMUNITY HEALTHCARE INC. 72964,S200000,00400,0200,525623 72964,S200000,00400,0300,07/01/1997 72964,S200000,00400,0500,P 72964,S200000,01500,0100,Y 72964,S200000,01900,0100,501-C-3 72969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72969,A000000,00300,0000,00300EMPLOYEE BENEFITS 72969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72969,A000000,00700,0000,00700HOUSEKEEPING 72969,A000000,00800,0000,00800DIETARY 72969,A000000,00900,0000,00900NURSING ADMINISTRATION 72969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72969,A000000,01100,0000,01100PHARMACY 72969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72969,A000000,01300,0000,01300SOCIAL SERVICE 72969,A000000,01301,0000,01301ACTIVITIES 72969,A000000,01350,0000,01500OTHER GENERAL SERVICES 72969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72969,A000000,01600,0000,01600SKILLED NURSING FACILITY 72969,A000000,01810,0000,01810ICF/MR 72969,A000000,02100,0000,02100RADIOLOGY 72969,A000000,02200,0000,02200LABORATORY 72969,A000000,02500,0000,02500PHYSICAL THERAPY 72969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72969,A000000,02700,0000,02700SPEECH PATHOLOGY 72969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72969,A000000,03550,0000,03550FQHC 72969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72969,A000000,05000,0000,05000CORF 72969,A000000,05010,0000,05010CMHC 72969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 72969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72969,B100000,00000,0100,00000SQUARE FEET 72969,B100000,00000,0200,00000SQUARE FEET 72969,B100000,00000,0300,00000GROSS SALARIES 72969,B100000,00000,0400,00000ACCUM. COST 72969,B100000,00000,0500,00000SQUARE FEET 72969,B100000,00000,0600,00000PATIENT DAYS 72969,B100000,00000,0700,00000SQUARE FEET 72969,B100000,00000,0800,00000MEALS SERVED 72969,B100000,00000,0900,00000PATIENT DAYS 72969,B100000,00000,1000,00000COSTED REQUIS. 72969,B100000,00000,1100,00000COSTED REQUIS. 72969,B100000,00000,1200,00000PATIENT DAYS 72969,B100000,00000,1300,00000PATIENT DAYS 72969,B100000,00000,1301,00000PATIENT DAYS 72969,B100000,00000,1350,00000TIME SPENT 72969,B100000,00000,1400,00000ASSIGNED TIME 72969,E10A180,00550,0300,01/08/2001 72969,S000000,00100,0200,01/04/2001 72969,S200000,00100,0100,620 GRAND VIEW AVENUE 72969,S200000,00100,0300,27 72969,S200000,00200,0100,BLAIR 72969,S200000,00200,0200,WI 72969,S200000,00200,0300,54616 72969,S200000,00300,0100,T 72969,S200000,00400,0100,GRAND VIEW CARE CENTER 72969,S200000,00400,0200,525624 72969,S200000,00400,0300,07/01/1997 72969,S200000,00400,0500,P 72969,S200000,01500,0100,Y 72975,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72975,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72975,A000000,00300,0000,00300EMPLOYEE BENEFITS 72975,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72975,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72975,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72975,A000000,00700,0000,00700HOUSEKEEPING 72975,A000000,00800,0000,00800DIETARY 72975,A000000,00900,0000,00900NURSING ADMINISTRATION 72975,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72975,A000000,01100,0000,01100PHARMACY 72975,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72975,A000000,01300,0000,01300SOCIAL SERVICE 72975,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72975,A000000,01600,0000,01600SKILLED NURSING FACILITY 72975,A000000,01800,0000,01800NURSING FACILITY 72975,A000000,01810,0000,01810ICF/MR 72975,A000000,02100,0000,02100RADIOLOGY 72975,A000000,02200,0000,02200LABORATORY 72975,A000000,02300,0000,02300INTRAVENOUS THERAPY 72975,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 72975,A000000,02500,0000,02500PHYSICAL THERAPY 72975,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72975,A000000,02700,0000,02700SPEECH PATHOLOGY 72975,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72975,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72975,A000000,03550,0000,03550FQHC 72975,A000000,05000,0000,05000CORF 72975,A000000,05010,0000,05010CMHC 72975,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72975,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72975,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72975,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 72975,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72975,A81000A,00100,0100,Y 72975,A81000B,00100,0300,COUNTY COST ALLOCATION 72975,A81000C,00100,0100,C 72975,A81000C,00100,0400,WALWORTH COUNTY 72975,A81000C,00100,0600,COUNTY GOVT 72975,B100000,00000,0100,00000SQUARE FEET 72975,B100000,00000,0200,00000SQUARE FEET 72975,B100000,00000,0300,00000GROSS SALARIES 72975,B100000,00000,0400,00000ACCUM COST 72975,B100000,00000,0500,00000SQUARE FEET 72975,B100000,00000,0600,00000PATIENT DAYS 72975,B100000,00000,0700,00000SQUARE FEET 72975,B100000,00000,0800,00000PATIENT DAYS 72975,B100000,00000,0900,00000DIRECT NRSG HRS 72975,B100000,00000,1000,00000COSTED REQUIS 72975,B100000,00000,1100,00000COSTED REQUIS 72975,B100000,00000,1200,00000TIME SPENT 72975,B100000,00000,1300,00000PATIENT DAYS 72975,B100000,00000,1400,00000ASSIGNED TIME 72975,S000000,00100,0200,06/23/2000 72975,S200000,00100,0100,W3930 COUNTY ROAD NN 72975,S200000,00200,0100,ELKHORN 72975,S200000,00200,0200,WISCONSIN 72975,S200000,00200,0300,53121 72975,S200000,00300,0100,WALWORTH 72975,S200000,00400,0100,LAKELAND NURSING HOME 72975,S200000,00400,0200,525625 72975,S200000,00400,0300,08/01/1997 72975,S200000,00400,0500,P 72975,S200000,01600,0100,Y 72975,S200000,01900,0100,501 C 3 72975,S200000,02800,0100,Y 72975,S200000,03300,0100,Y 72980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72980,A000000,00101,0000,00101PINE RIDGE CAPITAL BUILDING & F 72980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72980,A000000,00300,0000,00300EMPLOYEE BENEFITS 72980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72980,A000000,00501,0000,00501CCH UTILITIES 72980,A000000,00502,0000,00502PINE RIDGE UTILITES 72980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72980,A000000,00700,0000,00700HOUSEKEEPING 72980,A000000,00800,0000,00800DIETARY 72980,A000000,00900,0000,00900NURSING ADMINISTRATION 72980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72980,A000000,01100,0000,01100PHARMACY 72980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72980,A000000,01300,0000,01300SOCIAL SERVICE 72980,A000000,01301,0000,01301ACTIVITIES 72980,A000000,01350,0000,01500OTHER GENERAL SERVICES 72980,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72980,A000000,01600,0000,01600SKILLED NURSING FACILITY 72980,A000000,01800,0000,01800NURSING FACILITY 72980,A000000,01810,0000,01810ICF/MR 72980,A000000,02100,0000,02100RADIOLOGY 72980,A000000,02200,0000,02200LABORATORY 72980,A000000,02500,0000,02500PHYSICAL THERAPY 72980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72980,A000000,02700,0000,02700SPEECH PATHOLOGY 72980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72980,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 72980,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 72980,A000000,03550,0000,03550FQHC 72980,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72980,A000000,05000,0000,05000CORF 72980,A000000,05010,0000,05010CMHC 72980,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72980,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72980,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72980,A000000,05300,0000,05300INTEREST EXPENSE 72980,A000000,05350,0000,05600PINE RIDGE INTEREST EXPENSE 72980,A000000,06150,0000,06300PINE RIDGE APARTMENTS 72980,A000000,06151,0000,06301WINTERGREEN APARTMENTS 72980,A000000,06152,0000,06302FOUNDATION 72980,B100000,00000,0100,00002SQUARE FEET 72980,B100000,00000,0101,00002SQAURE FEET 72980,B100000,00000,0200,00002SQUARE FEET 72980,B100000,00000,0300,00002GROSS SALARIES 72980,B100000,00000,0400,00002ACCUM. COST 72980,B100000,00000,0500,00002SQUARE FEET 72980,B100000,00000,0501,00002SQUARE FEET 72980,B100000,00000,0502,00002SQAURE FEET 72980,B100000,00000,0600,00002PATIENT DAYS 72980,B100000,00000,0700,00002SQUARE FEET 72980,B100000,00000,0800,00002MEALS SERVED 72980,B100000,00000,0900,00002NO STATISTICS 72980,B100000,00000,1000,00002NO STATISTICS 72980,B100000,00000,1100,00002NO STATISTICS 72980,B100000,00000,1200,00002NO STATISTICS 72980,B100000,00000,1300,00002TIME SPENT 72980,B100000,00000,1301,00002TIME SPENT 72980,B100000,00000,1350,00002NO STATISTICS 72980,B100000,00000,1400,00002NO STATISTICS 72980,E10A180,00301,0100,08/24/1998 72980,E10A180,00350,0300,08/24/1998 72980,E10A180,00550,0300,05/31/2000 72980,S000000,00100,0200,06/23/2000 72980,S200000,00100,0100,CHRISTIAN COMMUNITY HOME OF HUDSON 72980,S200000,00100,0300,1320 WISCONSIN ST. 72980,S200000,00200,0100,HUDSON 72980,S200000,00200,0200,WI 72980,S200000,00300,0100,ST. CROIX 72980,S200000,00400,0100,CHRISTIAN COMMUNITY HOME OF HUDSON 72980,S200000,00400,0200,525626 72980,S200000,00400,0300,07/01/1997 72980,S200000,00400,0500,P 72980,S200000,01600,0100,Y 72980,S200000,01900,0100,OTHER (SPECIFY) 72980,S200000,02800,0100,Y 72984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72984,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 72984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72984,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 72984,A000000,00300,0000,00300EMPLOYEE BENEFITS 72984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72984,A000000,00700,0000,00700HOUSEKEEPING 72984,A000000,00800,0000,00800DIETARY 72984,A000000,00801,0000,00801CAFETERIA 72984,A000000,00900,0000,00900NURSING ADMINISTRATION 72984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72984,A000000,01100,0000,01100PHARMACY 72984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72984,A000000,01300,0000,01300SOCIAL SERVICE 72984,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 72984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72984,A000000,01600,0000,01600SKILLED NURSING FACILITY 72984,A000000,01810,0000,01810ICF/MR 72984,A000000,02500,0000,02500PHYSICAL THERAPY 72984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72984,A000000,02700,0000,02700SPEECH PATHOLOGY 72984,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72984,A000000,03050,0000,03300OTHER ANCILLARY 72984,A000000,03051,0000,03301OTHER ANCILLARY II 72984,A000000,03052,0000,03302OTHER ANCILLARY III 72984,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 72984,A000000,03550,0000,03550FQHC 72984,A000000,04750,0000,05100OTHER REIMBURSABLE COST 72984,A000000,05000,0000,05000CORF I 72984,A000000,05010,0000,05010CMHC I 72984,A000000,05020,0000,05020OPT I 72984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72984,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 72984,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 72984,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 72984,B100000,00000,0100,00000(SQUARE FEET) 72984,B100000,00000,0101,00000(SQUARE FEET) 72984,B100000,00000,0200,00000(SQUARE FEET) 72984,B100000,00000,0201,00000(SQUARE FEET) 72984,B100000,00000,0300,00000(GROSS SALARIES) 72984,B100000,00000,0400,00000(ACCUM. COST) 72984,B100000,00000,0500,00000(SQUARE FEET) 72984,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72984,B100000,00000,0700,00000(HOURS OF SERVICE) 72984,B100000,00000,0800,00000(MEALS SERVED) 72984,B100000,00000,0801,00000(MEALS SERVED) 72984,B100000,00000,0900,00000(DIRECT NRSING HRS 72984,B100000,00000,1000,00000(COSTED REQUIS.) 72984,B100000,00000,1100,00000(COSTED REQUIS.) 72984,B100000,00000,1200,00000(TIME SPENT) 72984,B100000,00000,1300,00000(TIME SPENT) 72984,B100000,00000,1350,00000 72984,B100000,00000,1400,00000(ASSIGNED TIME) 72984,S000000,00100,0200,02/28/2000 72984,S200000,00100,0100,595 PETERSON DR. 72984,S200000,00200,0100,PHILLIPS 72984,S200000,00200,0200,WI 72984,S200000,00200,0300,54555 72984,S200000,00300,0100,PRICE 72984,S200000,00400,0100,PLEASANT VIEW NURSING HOME 72984,S200000,00400,0200,525627 72984,S200000,00400,0300,07/01/1997 72984,S200000,00400,0500,P 72984,S200000,01500,0100,Y 72984,S200000,01900,0100,OTHER (SPECIFY) 72989,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72989,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72989,A000000,00300,0000,00300EMPLOYEE BENEFITS 72989,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72989,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72989,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72989,A000000,00700,0000,00700HOUSEKEEPING 72989,A000000,00800,0000,00800DIETARY 72989,A000000,00900,0000,00900NURSING ADMINISTRATION 72989,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72989,A000000,01100,0000,01100PHARMACY 72989,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72989,A000000,01300,0000,01300SOCIAL SERVICE 72989,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72989,A000000,01600,0000,01600SKILLED NURSING FACILITY 72989,A000000,01810,0000,01810ICF/MR 72989,A000000,02200,0000,02200LABORATORY 72989,A000000,02500,0000,02500PHYSICAL THERAPY 72989,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72989,A000000,02700,0000,02700SPEECH PATHOLOGY 72989,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72989,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 72989,A000000,05000,0000,05000CORF 72989,A000000,05010,0000,05010CMHC 72989,A000000,05020,0000,05020OPT 72989,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72989,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72989,A000000,05900,0000,05900BARBER & BEAUTY SHOP 72989,B100000,00000,0100,00000(SQUARE FEET) 72989,B100000,00000,0200,00000(SQUARE FEET) 72989,B100000,00000,0300,00000(GROSS SALARIES) 72989,B100000,00000,0400,00000(ACCUM COST) 72989,B100000,00000,0500,00000(SQUARE FEET) 72989,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 72989,B100000,00000,0700,00000(HOURS OF SERVICE) 72989,B100000,00000,0800,00000(MEALS SERVED) 72989,B100000,00000,0900,00000(DIR NRSG HOURS) 72989,B100000,00000,1000,00000(COSTED REQUIS) 72989,B100000,00000,1100,00000(COSTED REQUIS) 72989,B100000,00000,1200,00000(TIME SPENT) 72989,B100000,00000,1300,00000(TIME SPENT) 72989,B100000,00000,1400,00000(ASSIGNED TIME) 72989,S000000,00100,0200,07/10/2000 72989,S200000,00100,0100,19475 SILVER CREEK ROAD 72989,S200000,00200,0100,GALESVILLE 72989,S200000,00200,0200,WISCONSIN 72989,S200000,00200,0300,54630 72989,S200000,00300,0100,TREMPEALEAU 72989,S200000,00400,0100,MARINUKA MANOR 72989,S200000,00400,0200,525628 72989,S200000,00400,0300,08/01/1997 72989,S200000,00400,0500,P 72989,S200000,01500,0100,Y 72989,S200000,01900,0100,OTHER (SPECIFY) 72997,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 72997,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 72997,A000000,00300,0000,00300EMPLOYEE BENEFITS 72997,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 72997,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 72997,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 72997,A000000,00700,0000,00700HOUSEKEEPING 72997,A000000,00800,0000,00800DIETARY 72997,A000000,00900,0000,00900NURSING ADMINISTRATION 72997,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 72997,A000000,01100,0000,01100PHARMACY 72997,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 72997,A000000,01300,0000,01300SOCIAL SERVICE 72997,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 72997,A000000,01600,0000,01600SKILLED NURSING FACILITY 72997,A000000,01810,0000,01810ICF/MR 72997,A000000,02100,0000,02100RADIOLOGY 72997,A000000,02200,0000,02200LABORATORY 72997,A000000,02500,0000,02500PHYSICAL THERAPY 72997,A000000,02600,0000,02600OCCUPATIONAL THERAPY 72997,A000000,02700,0000,02700SPEECH PATHOLOGY 72997,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 72997,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 72997,A000000,03550,0000,03550FQHC 72997,A000000,05000,0000,05000CORF 72997,A000000,05010,0000,05010CMHC 72997,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 72997,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 72997,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 72997,B100000,00000,0100,00040SQUARE FEET 72997,B100000,00000,0200,00040SQUARE FEET 72997,B100000,00000,0300,00040GROSS SALARIES 72997,B100000,00000,0400,00040ACCUM. COST 72997,B100000,00000,0500,00040SQUARE FEET 72997,B100000,00000,0600,00040PATIENT DAYS 72997,B100000,00000,0700,00040SQUARE FEET 72997,B100000,00000,0800,00040MEALS SERVED 72997,B100000,00000,0900,00040DIRECT NRSG HRS 72997,B100000,00000,1000,00040COSTED REQUIS 72997,B100000,00000,1100,00040COSTED REQUIS 72997,B100000,00000,1200,00040TIME SPENT 72997,B100000,00000,1300,00040PATIENT DAYS 72997,B100000,00000,1400,00040ASSIGNED TIME 72997,S000000,00100,0200,11/10/2000 72997,S200000,00100,0100,600 2ND AVENUE 72997,S200000,00200,0100,NEW GLARUS 72997,S200000,00200,0200,WI 72997,S200000,00200,0300,53574 72997,S200000,00300,0100,G 72997,S200000,00400,0100,THE NEW GLARUS HOME INC. 72997,S200000,00400,0200,525630 72997,S200000,00400,0300,07/01/1997 72997,S200000,00400,0500,P 72997,S200000,01500,0100,Y 72997,S200000,01900,0100,NON PROFIT CORPORATION 73003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73003,A000000,00300,0000,00300EMPLOYEE BENEFITS 73003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73003,A000000,00700,0000,00700HOUSEKEEPING 73003,A000000,00800,0000,00800DIETARY 73003,A000000,00900,0000,00900NURSING ADMINISTRATION 73003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73003,A000000,01100,0000,01100PHARMACY 73003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73003,A000000,01300,0000,01300SOCIAL SERVICE 73003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73003,A000000,01600,0000,01600SKILLED NURSING FACILITY 73003,A000000,01810,0000,01810ICF/MR 73003,A000000,02100,0000,02100RADIOLOGY 73003,A000000,02200,0000,02200LABORATORY 73003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73003,A000000,02500,0000,02500PHYSICAL THERAPY 73003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73003,A000000,02700,0000,02700SPEECH PATHOLOGY 73003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73003,A000000,03550,0000,03550FQHC 73003,A000000,05000,0000,05000CORF 73003,A000000,05010,0000,05010CMHC 73003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73003,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73003,A81000A,00100,0100,Y 73003,A81000B,00100,0300,ST MARYS OVERHEAD 73003,A81000C,00100,0100,G 73003,A81000C,00100,0200,ST MARYS HOME FOR A 73003,A81000C,00100,0400,ST MARYS HOME FOR A 73003,A81000C,00100,0600,HOME HEALTH 73003,B100000,00000,0100,00000SQUARE FEET 73003,B100000,00000,0200,00000SQUARE FEET 73003,B100000,00000,0300,00000GROSS SALARIES 73003,B100000,00000,0400,00000ACCUM. COST 73003,B100000,00000,0500,00000SQUARE FEET 73003,B100000,00000,0600,00000PATIENT DAYS 73003,B100000,00000,0700,00000SQUARE FEET 73003,B100000,00000,0800,00000MEALS SERVED 73003,B100000,00000,0900,00000DIRECT NRSG HRS 73003,B100000,00000,1000,00000COSTED REQUIS 73003,B100000,00000,1100,00000COSTED REQUIS 73003,B100000,00000,1200,00000GROSS REVENUE 73003,B100000,00000,1300,00000TIME SPENT 73003,B100000,00000,1400,00000ASSIGNED TIME 73003,S000000,00100,0200,06/23/2000 73003,S200000,00100,0100,1601 NORTH TAYLOR DRIVE 73003,S200000,00200,0100,SHEBOYGAN 73003,S200000,00200,0200,WI 73003,S200000,00300,0100,SHEBOYGAN 73003,S200000,00400,0100,ST. NICHOLAS TRANSITIONAL CARE UNIT 73003,S200000,00400,0200,525634 73003,S200000,00400,0300,08/13/1997 73003,S200000,00400,0500,P 73003,S200000,01500,0100,Y 73003,S200000,01900,0100,OTHER (SPECIFY) 73009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73009,A000000,00101,0000,00101CAP REL COSTS - APARTMENTS 73009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73009,A000000,00300,0000,00300EMPLOYEE BENEFITS 73009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73009,A000000,00700,0000,00700HOUSEKEEPING 73009,A000000,00800,0000,00800DIETARY 73009,A000000,00900,0000,00900NURSING ADMINISTRATION 73009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73009,A000000,01100,0000,01100PHARMACY 73009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73009,A000000,01300,0000,01300SOCIAL SERVICE 73009,A000000,01350,0000,01500ACTIVITIES 73009,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73009,A000000,01600,0000,01600SKILLED NURSING FACILITY 73009,A000000,01800,0000,01800NURSING FACILITY 73009,A000000,01810,0000,01810ICF/MR 73009,A000000,02100,0000,02100RADIOLOGY 73009,A000000,02200,0000,02200LABORATORY 73009,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73009,A000000,02500,0000,02500PHYSICAL THERAPY 73009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73009,A000000,02700,0000,02700SPEECH PATHOLOGY 73009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73009,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73009,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73009,A000000,03550,0000,03550FQHC 73009,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73009,A000000,05000,0000,05000CORF 73009,A000000,05010,0000,05010CMHC 73009,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73009,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73009,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73009,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73009,A000000,06150,0000,06300DAY CARE 73009,A000000,06151,0000,06301APARTMENTS / RESIDENT LIVING 73009,A000000,06152,0000,06302ASST LIV 73009,A000000,06153,0000,06303FUND DEVELOPMENT 73009,B100000,00000,0100,00003SQUARE FEET 73009,B100000,00000,0101,00003SQUARE FEET 73009,B100000,00000,0200,00003SQUARE FEET 73009,B100000,00000,0300,00003GROSS SALARIES 73009,B100000,00000,0400,00003ACCUM. COST 73009,B100000,00000,0500,00003SQUARE FEET 73009,B100000,00000,0600,00003PATIENT DAYS 73009,B100000,00000,0700,00003SQUARE FEET 73009,B100000,00000,0800,00003MEALS SERVED 73009,B100000,00000,0900,00003DIRECT NRSING HRS 73009,B100000,00000,1000,00003COSTED REQUIS. 73009,B100000,00000,1100,00003COSTED REQUIS. 73009,B100000,00000,1200,00003PATIENT DAYS 73009,B100000,00000,1300,00003PATIENT DAYS 73009,B100000,00000,1350,00003PATIENT DAYS 73009,B100000,00000,1400,00003ASSIGNED TIME 73009,S000000,00100,0200,06/22/2000 73009,S200000,00100,0100,2462 N. PROSPECT AVE. 73009,S200000,00200,0100,MILWAUKEE 73009,S200000,00200,0200,WI 73009,S200000,00300,0100,MILWAUKEE 73009,S200000,00400,0100,MILWAUKEE CATHOLIC HOME 73009,S200000,00400,0200,525635 73009,S200000,00400,0300,08/05/1997 73009,S200000,00400,0500,P 73009,S200000,01600,0100,Y 73009,S200000,01900,0100,OTHER (SPECIFY) 73009,S200000,02800,0100,Y 73015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73015,A000000,00300,0000,00300EMPLOYEE BENEFITS 73015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73015,A000000,00700,0000,00700HOUSEKEEPING 73015,A000000,00800,0000,00800DIETARY 73015,A000000,00900,0000,00900NURSING ADMINISTRATION 73015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73015,A000000,01100,0000,01100PHARMACY 73015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73015,A000000,01300,0000,01300SOCIAL SERVICE 73015,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73015,A000000,01600,0000,01600SKILLED NURSING FACILITY 73015,A000000,01800,0000,01800NURSING FACILITY 73015,A000000,01810,0000,01810ICF/MR 73015,A000000,02100,0000,02100RADIOLOGY 73015,A000000,02200,0000,02200LABORATORY 73015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73015,A000000,02500,0000,02500PHYSICAL THERAPY 73015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73015,A000000,02700,0000,02700SPEECH PATHOLOGY 73015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73015,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73015,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73015,A000000,03052,0000,03302MEDICAL EQUIPMENT 73015,A000000,03550,0000,03550FQHC 73015,A000000,05000,0000,05000CORF 73015,A000000,05010,0000,05010CMHC 73015,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73015,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73015,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73015,A81000A,00100,0100,Y 73015,A81000B,00100,0300,HOME OFFICE A&G 73015,A81000B,00200,0300,HOME OFFICE CAPITAL 73015,A81000B,00300,0300,DIVISION OFFICE A&G 73015,A81000B,00500,0300,INSURANCE 73015,A81000C,00100,0100,B 73015,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73015,A81000C,00200,0100,G 73015,A81000C,00200,0200,LAURIER INC. 73015,A81000C,00200,0400,EXTENDICARE INC. 73015,A81000C,00200,0600,INSURANCE 73015,A81000C,00300,0100,G 73015,A81000C,00300,0200,UNITED REHABILITATION SVS 73015,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73015,A81000C,00300,0600,THERAPY SERVICE 73015,A81000C,00400,0100,G 73015,A81000C,00400,0200,UNITED PROFESSIONAL CO 73015,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73015,A81000C,00400,0600,MED SUPP RX 73015,B100000,00000,0100,00040SQUARE FEET 73015,B100000,00000,0200,00040SQUARE FEET 73015,B100000,00000,0300,00040GROSS SALARIES 73015,B100000,00000,0400,00040ACCUM. COST 73015,B100000,00000,0500,00040SQUARE FEET 73015,B100000,00000,0600,00040PATIENT DAYS 73015,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73015,B100000,00000,0800,00040PATIENT DAYS 73015,B100000,00000,0900,00040PATIENT DAYS 73015,B100000,00000,1000,00040COSTED REQUIS 73015,B100000,00000,1100,00040COSTED REQUIS 73015,B100000,00000,1200,00040GROSS REVENUE 73015,B100000,00000,1300,00040PATIENT DAYS 73015,B100000,00000,1400,00040ASSIGNED TIME 73015,E10A180,00301,0100,06/22/1998 73015,E10A180,00301,0300,06/22/1998 73015,E10A180,00350,0100,06/22/1998 73015,E10A180,00350,0300,06/22/1998 73015,S000000,00100,0200,06/20/2000 73015,S200000,00100,0100,320 NORTH 7TH STREET 73015,S200000,00200,0100,CORNELL 73015,S200000,00200,0200,WI 73015,S200000,00300,0100,CHIPPEWA 73015,S200000,00400,0100,CORNELL AREA CARE CENTER 73015,S200000,00400,0200,525637 73015,S200000,00400,0300,09/01/1997 73015,S200000,00400,0500,P 73015,S200000,01600,0100,Y 73022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73022,A000000,00300,0000,00300EMPLOYEE BENEFITS 73022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73022,A000000,00700,0000,00700HOUSEKEEPING 73022,A000000,00800,0000,00800DIETARY 73022,A000000,00900,0000,00900NURSING ADMINISTRATION 73022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73022,A000000,01100,0000,01100PHARMACY 73022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73022,A000000,01300,0000,01300SOCIAL SERVICE 73022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73022,A000000,01600,0000,01600SKILLED NURSING FACILITY 73022,A000000,01800,0000,01800NURSING FACILITY 73022,A000000,01810,0000,01810ICF/MR 73022,A000000,02100,0000,02100RADIOLOGY 73022,A000000,02200,0000,02200LABORATORY 73022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73022,A000000,02500,0000,02500PHYSICAL THERAPY 73022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73022,A000000,02700,0000,02700SPEECH PATHOLOGY 73022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73022,A000000,03550,0000,03550FQHC 73022,A000000,05000,0000,05000CORF 73022,A000000,05010,0000,05010CMHC 73022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73022,A81000A,00100,0100,Y 73022,A81000B,00100,0300,COUNTY COST ALLOC. 73022,A81000C,00100,0100,B 73022,A81000C,00100,0400,WINNEBAGO CTY 73022,A81000C,00100,0600,COUNTY GOVT 73022,B100000,00000,0100,00040SQUARE FEET 73022,B100000,00000,0200,00040SQUARE FEET 73022,B100000,00000,0300,00040GROSS SALARIES 73022,B100000,00000,0400,00040ACCUM COST 73022,B100000,00000,0500,00040SQUARE FEET 73022,B100000,00000,0600,00040PATIENT DAYS 73022,B100000,00000,0700,00040SQUARE FEET 73022,B100000,00000,0800,00040PATIENT DAYS 73022,B100000,00000,0900,00040DIRECT NRSG HRS 73022,B100000,00000,1000,00040COSTED REQUIS 73022,B100000,00000,1100,00040COSTED REQUIS 73022,B100000,00000,1200,00040TIME SPENT 73022,B100000,00000,1300,00040PATIENT DAYS 73022,B100000,00000,1400,00040ASSIGNED TIME 73022,S000000,00100,0200,06/29/2000 73022,S200000,00100,0100,725 BUTLER AVENUE 73022,S200000,00200,0100,WINNEBAGO 73022,S200000,00200,0200,WISCONSIN 73022,S200000,00200,0300,54985 73022,S200000,00300,0100,WINNEBAGO 73022,S200000,00400,0100,PARK VIEW HEALTH CARE CENTER 73022,S200000,00400,0200,525638 73022,S200000,00400,0300,11/01/1997 73022,S200000,00400,0500,P 73022,S200000,01600,0100,Y 73022,S200000,02800,0100,Y 73022,S200000,03300,0100,Y 73032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73032,A000000,00300,0000,00300EMPLOYEE BENEFITS 73032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73032,A000000,00700,0000,00700HOUSEKEEPING 73032,A000000,00800,0000,00800DIETARY 73032,A000000,00900,0000,00900NURSING ADMINISTRATION 73032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73032,A000000,01100,0000,01100PHARMACY 73032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73032,A000000,01300,0000,01300SOCIAL SERVICE 73032,A000000,01350,0000,01500PATIENT ACTIVITIES 73032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73032,A000000,01600,0000,01600SKILLED NURSING FACILITY 73032,A000000,01800,0000,01800NURSING FACILITY 73032,A000000,01810,0000,01810ICF/MR 73032,A000000,02500,0000,02500PHYSICAL THERAPY 73032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73032,A000000,02700,0000,02700SPEECH PATHOLOGY 73032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73032,A000000,03550,0000,03550FQHC 73032,A000000,05000,0000,05000CORF 73032,A000000,05010,0000,05010CMHC 73032,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73032,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73032,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73032,A81000A,00100,0100,Y 73032,A81000B,00100,0300,MANAGEMENT FEE 73032,A81000C,00100,0100,A 73032,A81000C,00100,0200,KG MANAGEMENT 73032,A81000C,00100,0400,MANAGEMENT COMPANY 73032,A81000C,00100,0600,MANAGEMENT COMPANY 73032,B100000,00000,0100,00000SQUARE FEET 73032,B100000,00000,0200,00000SQUARE FEET 73032,B100000,00000,0300,00000GROSS SALARIES 73032,B100000,00000,0400,00000ACCUM. COST 73032,B100000,00000,0500,00000SQUARE FEET 73032,B100000,00000,0600,00000PATIENT DAYS 73032,B100000,00000,0700,00000SQUARE FEET 73032,B100000,00000,0800,00000PATIENT DAYS 73032,B100000,00000,0900,00000DIRECT NRSG HRS 73032,B100000,00000,1000,00000COSTED REQUIS 73032,B100000,00000,1100,00000COSTED REQUIS 73032,B100000,00000,1200,00000TIME SPENT 73032,B100000,00000,1300,00000TIME SPENT 73032,B100000,00000,1350,00000PATIENT DAYS 73032,B100000,00000,1400,00000ASSIGNED TIME 73032,S000000,00100,0200,06/27/2000 73032,S200000,00100,0100,438 ASHFORD AVENUE 73032,S200000,00200,0100,LOMIRA 73032,S200000,00200,0200,WI 73032,S200000,00300,0100,FOND DU LAC 73032,S200000,00400,0100,HOPE HEALTH & REHABILITATION CENTER 73032,S200000,00400,0200,525642 73032,S200000,00400,0300,06/01/1998 73032,S200000,00400,0500,P 73032,S200000,01600,0100,Y 73032,S200000,01900,0100,OTHER 73037,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73037,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73037,A000000,00300,0000,00300EMPLOYEE BENEFITS 73037,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73037,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73037,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73037,A000000,00700,0000,00700HOUSEKEEPING 73037,A000000,00800,0000,00800DIETARY 73037,A000000,00900,0000,00900NURSING ADMINISTRATION 73037,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73037,A000000,01100,0000,01100PHARMACY 73037,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73037,A000000,01300,0000,01300SOCIAL SERVICE 73037,A000000,01350,0000,01500OTHER GENERAL SERVICES 73037,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73037,A000000,01600,0000,01600SKILLED NURSING FACILITY 73037,A000000,01810,0000,01810ICF/MR 73037,A000000,02100,0000,02100RADIOLOGY 73037,A000000,02200,0000,02200LABORATORY 73037,A000000,02300,0000,02300INTRAVENOUS THERAPY 73037,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73037,A000000,02500,0000,02500PHYSICAL THERAPY 73037,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73037,A000000,02700,0000,02700SPEECH PATHOLOGY 73037,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73037,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73037,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73037,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73037,A000000,03550,0000,03550FQHC 73037,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73037,A000000,05000,0000,05000CORF 73037,A000000,05010,0000,05010CMHC 73037,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73037,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73037,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73037,A000000,05300,0000,05300INTEREST EXPENSE 73037,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73037,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73037,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73037,A81000A,00100,0100,Y 73037,A81000B,00100,0300,ADMIN/GENERAL 73037,A81000C,00100,0100,G 73037,A81000C,00100,0200,PLEASANT VIEW NURSING HOM 73037,A81000C,00100,0400,GREEN COUNTY 73037,A81000C,00100,0600,COUNTY GOVERNMENT 73037,B100000,00000,0100,00000SQUARE FEET 73037,B100000,00000,0200,00000SQUARE FEET 73037,B100000,00000,0300,00000GROSS SALARIES 73037,B100000,00000,0400,00000ACCUM. COST 73037,B100000,00000,0500,00000SQUARE FEET 73037,B100000,00000,0600,00000PATIENT DAYS 73037,B100000,00000,0700,00000SQUARE FEET 73037,B100000,00000,0800,00000PATIENT DAYS 73037,B100000,00000,0900,00000NO STATISTICS 73037,B100000,00000,1000,00000NO STATISTICS 73037,B100000,00000,1100,00000PATIENT DAYS 73037,B100000,00000,1200,00000PATIENT DAYS 73037,B100000,00000,1300,00000PATIENT DAYS 73037,B100000,00000,1350,00000PATIENT DAYS 73037,B100000,00000,1400,00000NO STATISTICS 73037,S000000,00100,0200,06/22/2000 73037,S200000,00100,0100,N3150 HIGHWAY 81 73037,S200000,00200,0100,MONROE 73037,S200000,00200,0200,WI 73037,S200000,00300,0100,GREEN 73037,S200000,00400,0100,PLEASANT VIEW NURSING HOME 73037,S200000,00400,0200,525643 73037,S200000,00400,0300,05/01/1998 73037,S200000,00400,0500,P 73037,S200000,01500,0100,Y 73040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73040,A000000,00300,0000,00300EMPLOYEE BENEFITS 73040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73040,A000000,00700,0000,00700HOUSEKEEPING 73040,A000000,00800,0000,00800DIETARY 73040,A000000,00900,0000,00900NURSING ADMINISTRATION 73040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73040,A000000,01100,0000,01100PHARMACY 73040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73040,A000000,01300,0000,01300SOCIAL SERVICE 73040,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73040,A000000,01600,0000,01600SKILLED NURSING FACILITY 73040,A000000,01810,0000,01810ICF/MR 73040,A000000,02200,0000,02200LABORATORY 73040,A000000,02500,0000,02500PHYSICAL THERAPY 73040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73040,A000000,02700,0000,02700SPEECH PATHOLOGY 73040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73040,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73040,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73040,A000000,03550,0000,03550FQHC 73040,A000000,05000,0000,05000CORF 73040,A000000,05010,0000,05010CMHC 73040,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73040,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73040,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73040,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73040,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73040,B100000,00000,0100,00000SQUARE FEET 73040,B100000,00000,0200,00000SQUARE FEET 73040,B100000,00000,0300,00000GROSS SALARIES 73040,B100000,00000,0400,00000ACCUM COST 73040,B100000,00000,0500,00000SQUARE FEET 73040,B100000,00000,0600,00000PATIENT DAYS 73040,B100000,00000,0700,00000SQUARE FEET 73040,B100000,00000,0800,00000MEALS SERVED 73040,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73040,B100000,00000,1000,00000COSTED REQUISITIO 73040,B100000,00000,1100,00000COSTED REQUISITIO 73040,B100000,00000,1200,00000PATIENT DAYS 73040,B100000,00000,1300,00000PATIENT DAYS 73040,B100000,00000,1350,00000 73040,B100000,00000,1400,00000ASSIGNED TIME 73040,E10A180,00550,0100,09/07/2000 73040,E10A180,00550,0300,09/07/2000 73040,S000000,00100,0200,01/06/2000 73040,S200000,00100,0100,602 NORTH SEGOE ROAD 73040,S200000,00200,0100,MADISON 73040,S200000,00200,0200,WI 73040,S200000,00300,0100,DANE 73040,S200000,00400,0100,ATTIC ANGEL HEALTH CENTER 73040,S200000,00400,0200,525644 73040,S200000,00400,0300,10/01/1998 73040,S200000,00400,0500,P 73040,S200000,01500,0100,Y 73040,S200000,02800,0100,Y 73043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73043,A000000,00300,0000,00300EMPLOYEE BENEFITS 73043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73043,A000000,00700,0000,00700HOUSEKEEPING 73043,A000000,00800,0000,00800DIETARY 73043,A000000,00900,0000,00900NURSING ADMINISTRATION 73043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73043,A000000,01100,0000,01100PHARMACY 73043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73043,A000000,01300,0000,01300SOCIAL SERVICE 73043,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73043,A000000,01600,0000,01600SKILLED NURSING FACILITY 73043,A000000,01810,0000,01810ICF/MR 73043,A000000,02100,0000,02100RADIOLOGY 73043,A000000,02200,0000,02200LABORATORY 73043,A000000,02500,0000,02500PHYSICAL THERAPY 73043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73043,A000000,02700,0000,02700SPEECH PATHOLOGY 73043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73043,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73043,A000000,03550,0000,03550FQHC 73043,A000000,05000,0000,05000CORF 73043,A000000,05010,0000,05010CMHC 73043,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73043,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73043,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73043,A000000,06150,0000,06300RETIREMENT TOWER EXPENSES 73043,B100000,00000,0100,00000SQUARE FEET 73043,B100000,00000,0200,00000SQUARE FEET 73043,B100000,00000,0300,00000GROSS SALARIES 73043,B100000,00000,0400,00000ACCUM COST 73043,B100000,00000,0500,00000SQUARE FEET 73043,B100000,00000,0600,00000PATIENT DAYS 73043,B100000,00000,0700,00000SQUARE FEET 73043,B100000,00000,0800,00000MEALS SERVED 73043,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73043,B100000,00000,1000,00000COSTED REQUISITIO 73043,B100000,00000,1100,00000COSTED REQUISITIO 73043,B100000,00000,1200,00000PATIENT DAYS 73043,B100000,00000,1300,00000PATIENT DAYS 73043,B100000,00000,1400,00000ASSIGNED TIME 73043,S000000,00100,0200,09/01/2000 73043,S200000,00100,0100,602 NORTH SEGOE ROAD 73043,S200000,00200,0100,MADISON 73043,S200000,00200,0200,WI 73043,S200000,00300,0100,DANE 73043,S200000,00400,0100,ATTIC ANGEL HEALTH CENTER 73043,S200000,00400,0200,525644 73043,S200000,00400,0300,10/01/1998 73043,S200000,00400,0500,P 73043,S200000,01500,0100,Y 73043,S200000,01900,0100,CORPORATION 73043,S200000,02800,0100,Y 73046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73046,A000000,00300,0000,00300EMPLOYEE BENEFITS 73046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73046,A000000,00700,0000,00700HOUSEKEEPING 73046,A000000,00800,0000,00800DIETARY 73046,A000000,00900,0000,00900NURSING ADMINISTRATION 73046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73046,A000000,01100,0000,01100PHARMACY 73046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73046,A000000,01300,0000,01300SOCIAL SERVICE 73046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73046,A000000,01600,0000,01600SKILLED NURSING FACILITY 73046,A000000,01810,0000,01810ICF/MR 73046,A000000,02100,0000,02100RADIOLOGY 73046,A000000,02200,0000,02200LABORATORY 73046,A000000,02500,0000,02500PHYSICAL THERAPY 73046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73046,A000000,02700,0000,02700SPEECH PATHOLOGY 73046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73046,A000000,03550,0000,03550FQHC 73046,A000000,05000,0000,05000CORF 73046,A000000,05010,0000,05010CMHC 73046,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73046,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73046,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73046,A81000A,00100,0100,Y 73046,A81000B,00100,0300,CRC-B&F (NEW) 73046,A81000B,00200,0300,CRC-M/E (NEW) 73046,A81000B,00300,0300,NON-CAPITAL 73046,A81000C,00100,0100,G 73046,A81000C,00100,0200,LINDENGROVE INC 73046,A81000C,00100,0400,LINDENGROVE INC 73046,A81000C,00100,0600,HOME OFFICE 73046,B100000,00000,0100,00040SQUARE FEET 73046,B100000,00000,0200,00040SQUARE FEET 73046,B100000,00000,0300,00040GROSS SALARIES 73046,B100000,00000,0400,00040ACCUM COST 73046,B100000,00000,0500,00040SQUARE FEET 73046,B100000,00000,0600,00040POUNDS OF LAUNDRY 73046,B100000,00000,0700,00040HOURS OF SERVICE 73046,B100000,00000,0800,00040MEALS SERVED 73046,B100000,00000,0900,00040DIRECT NRSG HRS 73046,B100000,00000,1000,00040COSTED REQUIS 73046,B100000,00000,1100,00040COSTED REQUIS 73046,B100000,00000,1200,00040TIME SPENT 73046,B100000,00000,1300,00040TIME SPENT 73046,B100000,00000,1400,00040ASSIGNED TIME 73046,S000000,00100,0200,01/06/2000 73046,S200000,00100,0100,837 COUNTY ROAD NN E. 73046,S200000,00200,0100,MUKWONAGO 73046,S200000,00200,0200,WI 73046,S200000,00200,0300,53149 73046,S200000,00300,0100,WAUKESHA 73046,S200000,00400,0100,LINDENGROVE MUKWONAGO 73046,S200000,00400,0200,525645 73046,S200000,00400,0300,10/15/1998 73046,S200000,00400,0500,P 73046,S200000,01500,0100,Y 73046,S200000,01900,0100,PRIVATE 73048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73048,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73048,A000000,00300,0000,00300EMPLOYEE BENEFITS 73048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73048,A000000,00700,0000,00700HOUSEKEEPING 73048,A000000,00800,0000,00800DIETARY 73048,A000000,00900,0000,00900NURSING ADMINISTRATION 73048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73048,A000000,01100,0000,01100PHARMACY 73048,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73048,A000000,01300,0000,01300SOCIAL SERVICE 73048,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73048,A000000,01600,0000,01600SKILLED NURSING FACILITY 73048,A000000,01810,0000,01810ICF/MR 73048,A000000,02100,0000,02100RADIOLOGY 73048,A000000,02200,0000,02200LABORATORY 73048,A000000,02500,0000,02500PHYSICAL THERAPY 73048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73048,A000000,02700,0000,02700SPEECH PATHOLOGY 73048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73048,A000000,03550,0000,03550FQHC 73048,A000000,05000,0000,05000CORF 73048,A000000,05010,0000,05010CMHC 73048,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73048,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73048,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73048,B100000,00000,0100,00040SQUARE FEET 73048,B100000,00000,0200,00040SQUARE FEET 73048,B100000,00000,0300,00040GROSS SALARIES 73048,B100000,00000,0400,00040ACCUM COST 73048,B100000,00000,0500,00040SQUARE FEET 73048,B100000,00000,0600,00040POUNDS OF LAUNDRY 73048,B100000,00000,0700,00040HOURS OF SERVICE 73048,B100000,00000,0800,00040MEALS SERVED 73048,B100000,00000,0900,00040DIRECT NRSG HRS 73048,B100000,00000,1000,00040COSTED REQUIS 73048,B100000,00000,1100,00040COSTED REQUIS 73048,B100000,00000,1200,00040TIME SPENT 73048,B100000,00000,1300,00040TIME SPENT 73048,B100000,00000,1400,00040ASSIGNED TIME 73048,E10A180,00501,0100,02/26/2001 73048,S000000,00100,0200,12/29/2000 73048,S200000,00100,0100,837 COUNTY ROAD NN E. 73048,S200000,00200,0100,MUKWONAGO 73048,S200000,00200,0200,WI 73048,S200000,00200,0300,53149 73048,S200000,00300,0100,W 73048,S200000,00300,0200,5080 73048,S200000,00300,0300,U 73048,S200000,00400,0100,LINDENGROVE MUKWONAGO 73048,S200000,00400,0200,525645 73048,S200000,00400,0300,02/24/1989 73048,S200000,00400,0500,P 73048,S200000,01500,0100,Y 73048,S200000,01900,0100,COMMUNITY 73051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73051,A000000,00300,0000,00300EMPLOYEE BENEFITS 73051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73051,A000000,00700,0000,00700HOUSEKEEPING 73051,A000000,00800,0000,00800DIETARY 73051,A000000,00900,0000,00900NURSING ADMINISTRATION 73051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73051,A000000,01100,0000,01100PHARMACY 73051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73051,A000000,01300,0000,01300SOCIAL SERVICE 73051,A000000,01350,0000,01500OTHER GENERAL SERVICES 73051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73051,A000000,01600,0000,01600SKILLED NURSING FACILITY 73051,A000000,01800,0000,01800NURSING FACILITY 73051,A000000,01810,0000,01810ICF/MR 73051,A000000,02100,0000,02100RADIOLOGY 73051,A000000,02200,0000,02200LABORATORY 73051,A000000,02500,0000,02500PHYSICAL THERAPY 73051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73051,A000000,02700,0000,02700SPEECH PATHOLOGY 73051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73051,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73051,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73051,A000000,03550,0000,03550FQHC 73051,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73051,A000000,05000,0000,05000CORF 73051,A000000,05010,0000,05010CMHC 73051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73051,A000000,05300,0000,05300INTEREST EXPENSE 73051,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73051,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73051,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73051,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73051,A000000,06151,0000,06301SHAREHAVEN TERRACE APTS GARD 73051,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 73051,A000000,06153,0000,06303CLINIC 73051,B100000,00000,0100,00003SQUARE FEET 73051,B100000,00000,0200,00003SQUARE FEET 73051,B100000,00000,0300,00003GROSS SALARIES 73051,B100000,00000,0400,00003ACCUM. COST 73051,B100000,00000,0500,00003SQUARE FEET 73051,B100000,00000,0600,00003POUNDS OF LAUNDRY 73051,B100000,00000,0700,00003HOURS OF SERVICE 73051,B100000,00000,0800,00003MEALS SERVED 73051,B100000,00000,0900,00003RESIDENT DAYS 73051,B100000,00000,1000,00003COSTED REQUIS. 73051,B100000,00000,1100,00003COSTED REQUIS. 73051,B100000,00000,1200,00003TIME SPENT 73051,B100000,00000,1300,00003RESIDENT DAYS 73051,B100000,00000,1350,00003NO STATISTICS 73051,B100000,00000,1400,00003ASSIGNED TIME 73051,S000000,00100,0200,07/07/2000 73051,S200000,00100,0100,1130 NORTH WESTFIELD STREET 73051,S200000,00200,0100,OSHKOSH 73051,S200000,00200,0200,WI 73051,S200000,00300,0100,WINNEBAGO 73051,S200000,00400,0100,EVERGREEN HEALTH CENTER 73051,S200000,00400,0200,525647 73051,S200000,00400,0300,04/01/1999 73051,S200000,00400,0500,P 73051,S200000,01600,0100,Y 73054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73054,A000000,00300,0000,00300EMPLOYEE BENEFITS 73054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73054,A000000,00700,0000,00700HOUSEKEEPING 73054,A000000,00800,0000,00800DIETARY 73054,A000000,00900,0000,00900NURSING ADMINISTRATION 73054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73054,A000000,01100,0000,01100PHARMACY 73054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73054,A000000,01300,0000,01300SOCIAL SERVICE 73054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73054,A000000,01600,0000,01600SKILLED NURSING FACILITY 73054,A000000,01800,0000,01800NURSING FACILITY 73054,A000000,01810,0000,01810ICF/MR 73054,A000000,02500,0000,02500PHYSICAL THERAPY 73054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73054,A000000,02700,0000,02700SPEECH PATHOLOGY 73054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73054,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73054,A000000,03550,0000,03550FQHC 73054,A000000,05000,0000,05000CORF 73054,A000000,05010,0000,05010CMHC 73054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73054,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73054,A81000A,00100,0100,Y 73054,A81000B,00100,0300,CAPITAL RELATED COSTS - BLDS & 73054,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 73054,A81000B,00300,0300,CAPITAL RELATED COSTS - BLDGS 73054,A81000B,00400,0300,CAPITAL RELATED COSTS -RIVERSI 73054,A81000B,00500,0300,ADMINISTRATIVE & GENERAL - RIV 73054,A81000C,00100,0100,A 73054,A81000C,00100,0200,GLEN URQUHART 73054,A81000C,00100,0400,RIVERSIDE MANOR 73054,A81000C,00100,0600,REAL ESTATE 73054,A81000C,00200,0100,A 73054,A81000C,00200,0200,GLEN URQUHART 73054,A81000C,00200,0400,HMU MANAGEMENT 73054,A81000C,00200,0600,MANAGEMENT 73054,A81000C,00300,0100,A 73054,A81000C,00300,0200,GLEN URQUHART 73054,A81000C,00300,0400,URQUHART COMPAN 73054,A81000C,00300,0600,REAL ESTATE 73054,B100000,00000,0100,00000SQUARE FEET 73054,B100000,00000,0200,00000SQUARE FEET 73054,B100000,00000,0300,00000GROSS SALARIES 73054,B100000,00000,0400,00000ACCUM COST 73054,B100000,00000,0500,00000SQUARE FEET 73054,B100000,00000,0600,00000PATIENT DAYS 73054,B100000,00000,0700,00000SQUARE FEET 73054,B100000,00000,0800,00000MEALS SERVED 73054,B100000,00000,0900,00000PATIENT DAYS 73054,B100000,00000,1000,00000COSTED REQUISITIO 73054,B100000,00000,1100,00000COSTED REQUISITIO 73054,B100000,00000,1200,00000TIME SPENT 73054,B100000,00000,1300,00000PATIENT DAYS 73054,B100000,00000,1400,00000ASSIGNED TIME 73054,S000000,00100,0200,06/19/2000 73054,S200000,00100,0100,660 EAST BIRCH AVENUE 73054,S200000,00200,0100,BARRON 73054,S200000,00200,0200,WI 73054,S200000,00200,0300,54812 73054,S200000,00300,0100,BARRON 73054,S200000,00400,0100,BARRON HEALTHCARE CENTER 73054,S200000,00400,0200,525648 73054,S200000,00400,0300,06/01/1999 73054,S200000,00400,0500,P 73054,S200000,01500,0100,Y 73059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73059,A000000,00300,0000,00300EMPLOYEE BENEFITS 73059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73059,A000000,00700,0000,00700HOUSEKEEPING 73059,A000000,00800,0000,00800DIETARY 73059,A000000,00900,0000,00900NURSING ADMINISTRATION 73059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73059,A000000,01100,0000,01100PHARMACY 73059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73059,A000000,01300,0000,01300SOCIAL SERVICE 73059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73059,A000000,01600,0000,01600SKILLED NURSING FACILITY 73059,A000000,01810,0000,01810ICF/MR 73059,A000000,02200,0000,02200LABORATORY 73059,A000000,02500,0000,02500PHYSICAL THERAPY 73059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73059,A000000,02700,0000,02700SPEECH PATHOLOGY 73059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73059,A000000,03550,0000,03550FQHC 73059,A000000,05000,0000,05000CORF 73059,A000000,05010,0000,05010CMHC 73059,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73059,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73059,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73059,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73059,A81000A,00100,0100,Y 73059,A81000B,00100,0300,MANAGEMENT FEE 73059,A81000B,00300,0300,BLDG AND FIXT-NEW 73059,A81000B,00400,0300,MOVABLE EQUIP-NEW 73059,A81000B,01000,0300,BLDG AND FIXT-NEW 73059,A81000B,01100,0300,MOVABLE EQUIP-NEW 73059,A81000B,01300,0300,MANAGEMENT FEES 73059,A81000C,00100,0100,B 73059,A81000C,00100,0400,LINCOLN LUTHERA 73059,A81000C,00100,0600,MGT 73059,B100000,00000,0100,00000SQUARE FEET 73059,B100000,00000,0200,00000SQUARE FEET 73059,B100000,00000,0300,00000GROSS SALARIES 73059,B100000,00000,0400,00000ACCUM COST 73059,B100000,00000,0500,00000SQUARE FEET 73059,B100000,00000,0600,00000POUNDS OF LAUNDRY 73059,B100000,00000,0700,00000HOURS OF SERVICE 73059,B100000,00000,0800,00000MEALS SERVED 73059,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73059,B100000,00000,1000,00000COSTED REQUISITIO 73059,B100000,00000,1100,00000COSTED REQUISITIO 73059,B100000,00000,1200,00000TIME SPENT 73059,B100000,00000,1300,00000TIME SPENT 73059,B100000,00000,1400,00000ASSIGNED TIME 73059,S000000,00100,0200,08/08/2001 73059,S200000,00100,0100,2015 PROSPECT ST. 73059,S200000,00200,0100,RACINE 73059,S200000,00200,0200,WI 73059,S200000,00200,0300,53404 73059,S200000,00300,0100,RACINE 73059,S200000,00400,0100,LINCOLN LUTHERAN HOME 73059,S200000,00400,0200,525650 73059,S200000,00400,0300,04/26/1999 73059,S200000,00400,0500,P 73059,S200000,01500,0100,Y 73059,S200000,01900,0100,HEALTH CARE 73073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73073,A000000,00300,0000,00300EMPLOYEE BENEFITS 73073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73073,A000000,00700,0000,00700HOUSEKEEPING 73073,A000000,00800,0000,00800DIETARY 73073,A000000,00900,0000,00900NURSING ADMINISTRATION 73073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73073,A000000,01100,0000,01100PHARMACY 73073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73073,A000000,01300,0000,01300SOCIAL SERVICE 73073,A000000,01350,0000,01500ACTIVITIES DEPARTMENT 73073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73073,A000000,01600,0000,01600SKILLED NURSING FACILITY 73073,A000000,01810,0000,01810ICF/MR 73073,A000000,02100,0000,02100RADIOLOGY 73073,A000000,02200,0000,02200LABORATORY 73073,A000000,02500,0000,02500PHYSICAL THERAPY 73073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73073,A000000,02700,0000,02700SPEECH PATHOLOGY 73073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73073,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73073,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73073,A000000,03550,0000,03550FQHC 73073,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73073,A000000,05000,0000,05000CORF 73073,A000000,05010,0000,05010CMHC 73073,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73073,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73073,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73073,A000000,05300,0000,05300INTEREST EXPENSE 73073,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73073,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73073,B100000,00000,0100,00000SQUARE FEET 73073,B100000,00000,0200,00000SQUARE FEET 73073,B100000,00000,0300,00000GROSS SALARIES 73073,B100000,00000,0400,00000ACCUM. COST 73073,B100000,00000,0500,00000SQUARE FEET 73073,B100000,00000,0600,00000POUNDS OF LAUNDRY 73073,B100000,00000,0700,00000SQUARE FEET 73073,B100000,00000,0800,00000MEALS SERVED 73073,B100000,00000,0900,00000DIRECT NRSING HRS 73073,B100000,00000,1000,00000COSTED REQUIS. 73073,B100000,00000,1100,00000COSTED REQUIS. 73073,B100000,00000,1200,00000TIME SPENT 73073,B100000,00000,1300,00000PATIENT DAYS 73073,B100000,00000,1350,00000PATIENT DAYS 73073,B100000,00000,1400,00000ASSIGNED TIME 73073,S000000,00100,0200,01/03/2001 73073,S200000,00100,0300,398 73073,S200000,00200,0100,FALL CREEK 73073,S200000,00200,0200,WI 73073,S200000,00200,0300,54742 73073,S200000,00300,0100,E 73073,S200000,00400,0100,FALL CREEK VALLEY NURSING HOME 73073,S200000,00400,0200,545460 73073,S200000,00400,0300,03/01/1990 73073,S200000,00400,0500,P 73073,S200000,01500,0100,Y 73080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73080,A000000,00300,0000,00300EMPLOYEE BENEFITS 73080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73080,A000000,00700,0000,00700HOUSEKEEPING 73080,A000000,00800,0000,00800DIETARY 73080,A000000,00900,0000,00900NURSING ADMINISTRATION 73080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73080,A000000,01100,0000,01100PHARMACY 73080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73080,A000000,01300,0000,01300SOCIAL SERVICE 73080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73080,A000000,01600,0000,01600SKILLED NURSING FACILITY 73080,A000000,01800,0000,01800NURSING FACILITY 73080,A000000,01810,0000,01810ICF/MR 73080,A000000,02100,0000,02100RADIOLOGY 73080,A000000,02200,0000,02200LABORATORY 73080,A000000,02500,0000,02500PHYSICAL THERAPY 73080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73080,A000000,02700,0000,02700SPEECH PATHOLOGY 73080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73080,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73080,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73080,A000000,03052,0000,03302MEDICAL EQUIPMENT 73080,A000000,03550,0000,03550FQHC 73080,A000000,05000,0000,05000CORF 73080,A000000,05010,0000,05010CMHC 73080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73080,A81000A,00100,0100,Y 73080,A81000B,00100,0300,HOME OFFICE A&G 73080,A81000B,00200,0300,HOME OFFICE CAPITAL 73080,A81000B,00300,0300,DIVISION OFFICE A&G 73080,A81000B,00500,0300,INSURANCE 73080,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73080,A81000C,00100,0100,B 73080,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73080,A81000C,00200,0100,G 73080,A81000C,00200,0200,LAURIER INC. 73080,A81000C,00200,0400,EXTENDICARE INC. 73080,A81000C,00200,0600,INSURANCE 73080,A81000C,00300,0100,G 73080,A81000C,00300,0200,UNITED REHABILITATION SVS 73080,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73080,A81000C,00300,0600,THERAPY SERVICE 73080,A81000C,00400,0100,G 73080,A81000C,00400,0200,UPC 73080,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73080,A81000C,00400,0600,PHARMACY & THERAPY 73080,B100000,00000,0100,00040SQUARE FEET 73080,B100000,00000,0200,00040SQUARE FEET 73080,B100000,00000,0300,00040GROSS SALARIES 73080,B100000,00000,0400,00040ACCUM. COST 73080,B100000,00000,0500,00040SQUARE FEET 73080,B100000,00000,0600,00040PATIENT DAYS 73080,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73080,B100000,00000,0800,00040PATIENT DAYS 73080,B100000,00000,0900,00040PATIENT DAYS 73080,B100000,00000,1000,00040COSTED REQUIS 73080,B100000,00000,1100,00040COSTED REQUIS 73080,B100000,00000,1200,00040GROSS REVENUE 73080,B100000,00000,1300,00040PATIENT DAYS 73080,B100000,00000,1400,00040ASSIGNED TIME 73080,E10A180,00301,0100,01/24/2000 73080,E10A180,00301,0300,06/22/1998 73080,E10A180,00350,0100,06/22/1998 73080,E10A180,00350,0300,06/22/1998 73080,E10A180,00501,0300,02/12/2001 73080,E10A180,00550,0100,02/12/2001 73080,S000000,00100,0200,06/20/2000 73080,S200000,00100,0100,4306 24TH STREET 73080,S200000,00200,0100,LUBBOCK 73080,S200000,00200,0200,TX 73080,S200000,00300,0100,LUBBOCK 73080,S200000,00400,0100,LAKESIDE REHAB AND CARE CENTER 73080,S200000,00400,0200,675093 73080,S200000,00400,0300,12/07/1992 73080,S200000,00400,0500,P 73080,S200000,01600,0100,Y 73087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73087,A000000,00300,0000,00300EMPLOYEE BENEFITS 73087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73087,A000000,00700,0000,00700HOUSEKEEPING 73087,A000000,00800,0000,00800DIETARY 73087,A000000,00900,0000,00900NURSING ADMINISTRATION 73087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73087,A000000,01100,0000,01100PHARMACY 73087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73087,A000000,01300,0000,01300SOCIAL SERVICE 73087,A000000,01350,0000,01500OTHER GENERAL SERVICES 73087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73087,A000000,01600,0000,01600SKILLED NURSING FACILITY 73087,A000000,01800,0000,01800NURSING FACILITY 73087,A000000,01810,0000,01810ICF/MR 73087,A000000,02100,0000,02100RADIOLOGY 73087,A000000,02200,0000,02200LABORATORY 73087,A000000,02300,0000,02300INTRAVENOUS THERAPY 73087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73087,A000000,02500,0000,02500PHYSICAL THERAPY 73087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73087,A000000,02700,0000,02700SPEECH PATHOLOGY 73087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73087,A000000,03052,0000,03302AIR FLUIDIZED THERAPY 73087,A000000,03053,0000,03303MEDICAL EQUIPMENT 73087,A000000,03550,0000,03550FQHC 73087,A000000,05000,0000,05000CORF 73087,A000000,05010,0000,05010CMHC 73087,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73087,A81000A,00100,0100,Y 73087,A81000B,00100,0300,HOME OFFICE A&G 73087,A81000B,00200,0300,HOME OFFICE CAPITAL 73087,A81000B,00300,0300,DIVISION OFFICE A&G 73087,A81000B,00500,0300,INSURANCE 73087,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73087,A81000B,01000,0300,UPC VARIOUS 73087,A81000B,01100,0300,UPC VARIOUS 73087,A81000B,01200,0300,UPC VARIOUS 73087,A81000B,01300,0300,UPC VARIOUS 73087,A81000C,00100,0100,B 73087,A81000C,00100,0200,EXTENDICARE HEALTH SERV 73087,A81000C,00200,0100,G 73087,A81000C,00200,0200,LAURIER INC. 73087,A81000C,00200,0400,EXTENDICARE INC. 73087,A81000C,00200,0600,INSURANCE 73087,A81000C,00300,0100,G 73087,A81000C,00300,0200,PRO STEP 73087,A81000C,00300,0400,EXTENDICARE HEALTH SERV 73087,A81000C,00300,0600,THERAPY SERVICES 73087,A81000C,00400,0100,G 73087,A81000C,00400,0200,UNITED PROFESSIONAL CO. 73087,A81000C,00400,0400,EXTENDICARE HEALTH SERV 73087,A81000C,00400,0600,MED SUPPS OTHER 73087,B100000,00000,0100,00040SQUARE FEET 73087,B100000,00000,0200,00040SQUARE FEET 73087,B100000,00000,0300,00040GROSS SALARIES 73087,B100000,00000,0400,00040ACCUM. COST 73087,B100000,00000,0500,00040SQUARE FEET 73087,B100000,00000,0600,00040PATIENT DAYS 73087,B100000,00000,0700,00040SQUARE FEET 73087,B100000,00000,0800,00040MEALS SERVED 73087,B100000,00000,0900,00040PATIENT DAYS 73087,B100000,00000,1000,00040COSTED REQUIS 73087,B100000,00000,1100,00040COSTED REQUIS 73087,B100000,00000,1200,00040GROSS REVENUE 73087,B100000,00000,1300,00040PATIENT DAYS 73087,B100000,00000,1350,00040NO STATISTICS 73087,B100000,00000,1400,00040ASSIGNED TIME 73087,E10A180,00501,0300,02/12/2001 73087,E10A180,00550,0100,02/12/2001 73087,S000000,00100,0200,11/30/1999 73087,S200000,00100,0100,4005 GASTON AVENUE 73087,S200000,00200,0100,DALLAS 73087,S200000,00200,0200,TX 73087,S200000,00300,0100,DALLAS 73087,S200000,00400,0100,DALLAS HEALTH AND REHAB CENTER 73087,S200000,00400,0200,675121 73087,S200000,00400,0300,01/08/1993 73087,S200000,00400,0500,P 73087,S200000,01600,0100,Y 73094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73094,A000000,00300,0000,00300EMPLOYEE BENEFITS 73094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73094,A000000,00700,0000,00700HOUSEKEEPING 73094,A000000,00800,0000,00800DIETARY 73094,A000000,00900,0000,00900NURSING ADMINISTRATION 73094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73094,A000000,01100,0000,01100PHARMACY 73094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73094,A000000,01300,0000,01300SOCIAL SERVICE 73094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73094,A000000,01600,0000,01600SKILLED NURSING FACILITY 73094,A000000,01800,0000,01800NURSING FACILITY 73094,A000000,01810,0000,01810ICF/MR 73094,A000000,02100,0000,02100RADIOLOGY 73094,A000000,02200,0000,02200LABORATORY 73094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73094,A000000,02500,0000,02500PHYSICAL THERAPY 73094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73094,A000000,02700,0000,02700SPEECH PATHOLOGY 73094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73094,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73094,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73094,A000000,03052,0000,03302MEDICAL EQUIPMENT 73094,A000000,03550,0000,03550FQHC 73094,A000000,05000,0000,05000CORF 73094,A000000,05010,0000,05010CMHC 73094,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73094,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73094,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73094,A81000A,00100,0100,Y 73094,A81000B,00100,0300,HOME OFFICE A&G 73094,A81000B,00200,0300,HOME OFFICE CAPITAL 73094,A81000B,00300,0300,DIVISION OFFICE A&G 73094,A81000B,00500,0300,INSURANCE 73094,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73094,A81000C,00100,0100,B 73094,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73094,A81000C,00200,0100,G 73094,A81000C,00200,0200,LAURIER INC. 73094,A81000C,00200,0400,EXTENDICARE INC. 73094,A81000C,00200,0600,INSURANCE 73094,A81000C,00300,0100,G 73094,A81000C,00300,0200,UNITED REHABILITATION SVS 73094,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73094,A81000C,00300,0600,THERAPY SERVICE 73094,A81000C,00400,0100,G 73094,A81000C,00400,0200,UPC 73094,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73094,A81000C,00400,0600,PHARMACY & THERAPY 73094,B100000,00000,0100,00040SQUARE FEET 73094,B100000,00000,0200,00040SQUARE FEET 73094,B100000,00000,0300,00040GROSS SALARIES 73094,B100000,00000,0400,00040ACCUM. COST 73094,B100000,00000,0500,00040SQUARE FEET 73094,B100000,00000,0600,00040PATIENT DAYS 73094,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73094,B100000,00000,0800,00040PATIENT DAYS 73094,B100000,00000,0900,00040PATIENT DAYS 73094,B100000,00000,1000,00040COSTED REQUIS 73094,B100000,00000,1100,00040COSTED REQUIS 73094,B100000,00000,1200,00040GROSS REVENUE 73094,B100000,00000,1300,00040PATIENT DAYS 73094,B100000,00000,1400,00040ASSIGNED TIME 73094,E10A180,00301,0100,01/24/2000 73094,E10A180,00301,0300,06/22/1998 73094,E10A180,00350,0100,06/22/1998 73094,E10A180,00350,0300,06/22/1998 73094,E10A180,00501,0300,02/12/2001 73094,E10A180,00550,0100,02/12/2001 73094,S000000,00100,0200,06/20/2000 73094,S200000,00100,0100,200 NORTH MAIN 73094,S200000,00200,0100,BREMOND 73094,S200000,00200,0200,TX 73094,S200000,00300,0100,ROBERTSON 73094,S200000,00400,0100,BREMOND NURSING AND REHAB CENTER 73094,S200000,00400,0200,675132 73094,S200000,00400,0300,01/01/1993 73094,S200000,00400,0500,P 73094,S200000,01600,0100,Y 73102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73102,A000000,00300,0000,00300EMPLOYEE BENEFITS 73102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73102,A000000,00700,0000,00700HOUSEKEEPING 73102,A000000,00800,0000,00800DIETARY 73102,A000000,00900,0000,00900NURSING ADMINISTRATION 73102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73102,A000000,01100,0000,01100PHARMACY 73102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73102,A000000,01300,0000,01300SOCIAL SERVICE 73102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73102,A000000,01600,0000,01600SKILLED NURSING FACILITY 73102,A000000,01800,0000,01800NURSING FACILITY 73102,A000000,01810,0000,01810ICF/MR 73102,A000000,02100,0000,02100RADIOLOGY 73102,A000000,02200,0000,02200LABORATORY 73102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73102,A000000,02500,0000,02500PHYSICAL THERAPY 73102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73102,A000000,02700,0000,02700SPEECH PATHOLOGY 73102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73102,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73102,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73102,A000000,03052,0000,03302MEDICAL EQUIPMENT 73102,A000000,03550,0000,03550FQHC 73102,A000000,05000,0000,05000CORF 73102,A000000,05010,0000,05010CMHC 73102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73102,A81000A,00100,0100,Y 73102,A81000B,00100,0300,HOME OFFICE A&G 73102,A81000B,00200,0300,HOME OFFICE CAPITAL 73102,A81000B,00300,0300,DIVISION OFFICE A&G 73102,A81000B,00500,0300,INSURANCE 73102,A81000C,00100,0100,B 73102,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73102,A81000C,00200,0100,G 73102,A81000C,00200,0200,LAURIER INC. 73102,A81000C,00200,0400,EXTENDICARE INC. 73102,A81000C,00200,0600,INSURANCE 73102,A81000C,00300,0100,G 73102,A81000C,00300,0200,UNITED REHABILITATION SVS 73102,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73102,A81000C,00300,0600,THERAPY SERVICE 73102,A81000C,00400,0100,G 73102,A81000C,00400,0200,UPC 73102,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73102,A81000C,00400,0600,PHARMACY & THERAPY 73102,B100000,00000,0100,00040SQUARE FEET 73102,B100000,00000,0200,00040SQUARE FEET 73102,B100000,00000,0300,00040GROSS SALARIES 73102,B100000,00000,0400,00040ACCUM. COST 73102,B100000,00000,0500,00040SQUARE FEET 73102,B100000,00000,0600,00040PATIENT DAYS 73102,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73102,B100000,00000,0800,00040PATIENT DAYS 73102,B100000,00000,0900,00040PATIENT DAYS 73102,B100000,00000,1000,00040COSTED REQUIS 73102,B100000,00000,1100,00040COSTED REQUIS 73102,B100000,00000,1200,00040GROSS REVENUE 73102,B100000,00000,1300,00040PATIENT DAYS 73102,B100000,00000,1400,00040ASSIGNED TIME 73102,E10A180,00301,0100,01/24/2000 73102,E10A180,00301,0300,06/22/1998 73102,E10A180,00350,0100,06/22/1998 73102,E10A180,00350,0300,06/22/1998 73102,E10A180,00501,0300,02/12/2001 73102,E10A180,00550,0100,02/12/2001 73102,S000000,00100,0200,06/20/2000 73102,S200000,00100,0100,100 WINSDOR DRIVE 73102,S200000,00200,0100,VAN ALSTYNE 73102,S200000,00200,0200,TX 73102,S200000,00300,0100,GRAYSON 73102,S200000,00400,0100,MEADOWBROOK CARE CENTER 73102,S200000,00400,0200,675151 73102,S200000,00400,0300,07/15/1993 73102,S200000,00400,0500,P 73102,S200000,01600,0100,Y 73110,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73110,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73110,A000000,00300,0000,00300EMPLOYEE BENEFITS 73110,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73110,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73110,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73110,A000000,00700,0000,00700HOUSEKEEPING 73110,A000000,00800,0000,00800DIETARY 73110,A000000,00900,0000,00900NURSING ADMINISTRATION 73110,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73110,A000000,01100,0000,01100PHARMACY 73110,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73110,A000000,01300,0000,01300SOCIAL SERVICE 73110,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73110,A000000,01600,0000,01600SKILLED NURSING FACILITY 73110,A000000,01800,0000,01800NURSING FACILITY 73110,A000000,01810,0000,01810ICF/MR 73110,A000000,02100,0000,02100RADIOLOGY 73110,A000000,02200,0000,02200LABORATORY 73110,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73110,A000000,02500,0000,02500PHYSICAL THERAPY 73110,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73110,A000000,02700,0000,02700SPEECH PATHOLOGY 73110,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73110,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73110,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73110,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73110,A000000,03052,0000,03302MEDICAL EQUIPMENT 73110,A000000,03550,0000,03550FQHC 73110,A000000,05000,0000,05000CORF 73110,A000000,05010,0000,05010CMHC 73110,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73110,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73110,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73110,A81000A,00100,0100,Y 73110,A81000B,00100,0300,HOME OFFICE A&G 73110,A81000B,00200,0300,HOME OFFICE CAPITAL 73110,A81000B,00300,0300,DIVISION OFFICE A&G 73110,A81000B,00500,0300,INSURANCE 73110,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73110,A81000C,00100,0100,B 73110,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73110,A81000C,00200,0100,G 73110,A81000C,00200,0200,LAURIER INC. 73110,A81000C,00200,0400,EXTENDICARE INC. 73110,A81000C,00200,0600,INSURANCE 73110,A81000C,00300,0100,G 73110,A81000C,00300,0200,UNITED REHABILITATION SVS 73110,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73110,A81000C,00300,0600,THERAPY SERVICE 73110,A81000C,00400,0100,G 73110,A81000C,00400,0200,UPC 73110,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73110,A81000C,00400,0600,PHARMACY & THERAPY 73110,B100000,00000,0100,00040SQUARE FEET 73110,B100000,00000,0200,00040SQUARE FEET 73110,B100000,00000,0300,00040GROSS SALARIES 73110,B100000,00000,0400,00040ACCUM. COST 73110,B100000,00000,0500,00040SQUARE FEET 73110,B100000,00000,0600,00040PATIENT DAYS 73110,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73110,B100000,00000,0800,00040PATIENT DAYS 73110,B100000,00000,0900,00040PATIENT DAYS 73110,B100000,00000,1000,00040COSTED REQUIS 73110,B100000,00000,1100,00040COSTED REQUIS 73110,B100000,00000,1200,00040GROSS REVENUE 73110,B100000,00000,1300,00040PATIENT DAYS 73110,B100000,00000,1400,00040ASSIGNED TIME 73110,E10A180,00301,0100,01/24/2000 73110,E10A180,00301,0300,06/22/1998 73110,E10A180,00350,0100,06/22/1998 73110,E10A180,00350,0300,06/22/1998 73110,E10A180,00501,0100,02/12/2001 73110,E10A180,00501,0300,02/12/2001 73110,S000000,00100,0200,06/20/2000 73110,S200000,00100,0100,510 SOUTH FIRST STREET 73110,S200000,00200,0100,BROWNFIELD 73110,S200000,00200,0200,TX 73110,S200000,00300,0100,TERRY 73110,S200000,00400,0100,BROWNFIELD REHAB AND CARE CENTER 73110,S200000,00400,0200,675182 73110,S200000,00400,0300,10/07/1993 73110,S200000,00400,0500,P 73110,S200000,01600,0100,Y 73117,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73117,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73117,A000000,00300,0000,00300EMPLOYEE BENEFITS 73117,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73117,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73117,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73117,A000000,00700,0000,00700HOUSEKEEPING 73117,A000000,00800,0000,00800DIETARY 73117,A000000,00900,0000,00900NURSING ADMINISTRATION 73117,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73117,A000000,01100,0000,01100PHARMACY 73117,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73117,A000000,01300,0000,01300SOCIAL SERVICE 73117,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73117,A000000,01600,0000,01600SKILLED NURSING FACILITY 73117,A000000,01800,0000,01800NURSING FACILITY 73117,A000000,01810,0000,01810ICF/MR 73117,A000000,02100,0000,02100RADIOLOGY 73117,A000000,02200,0000,02200LABORATORY 73117,A000000,02500,0000,02500PHYSICAL THERAPY 73117,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73117,A000000,02700,0000,02700SPEECH PATHOLOGY 73117,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73117,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73117,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73117,A000000,03052,0000,03302MEDICAL EQUIPMENT 73117,A000000,03550,0000,03550FQHC 73117,A000000,05000,0000,05000CORF 73117,A000000,05010,0000,05010CMHC 73117,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73117,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73117,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73117,A81000A,00100,0100,Y 73117,A81000B,00100,0300,HOME OFFICE A&G 73117,A81000B,00200,0300,HOME OFFICE CAPITAL 73117,A81000B,00300,0300,DIVISION OFFICE A&G 73117,A81000B,00500,0300,INSURANCE 73117,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73117,A81000C,00100,0100,B 73117,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73117,A81000C,00200,0100,G 73117,A81000C,00200,0200,LAURIER INC. 73117,A81000C,00200,0400,EXTENDICARE INC. 73117,A81000C,00200,0600,INSURANCE 73117,A81000C,00300,0100,G 73117,A81000C,00300,0200,UNITED REHABILITATION SVS 73117,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73117,A81000C,00300,0600,THERAPY SERVICE 73117,A81000C,00400,0100,G 73117,A81000C,00400,0200,UPC 73117,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73117,A81000C,00400,0600,PHARMACY & THERAPY 73117,B100000,00000,0100,00040SQUARE FEET 73117,B100000,00000,0200,00040SQUARE FEET 73117,B100000,00000,0300,00040GROSS SALARIES 73117,B100000,00000,0400,00040ACCUM. COST 73117,B100000,00000,0500,00040SQUARE FEET 73117,B100000,00000,0600,00040PATIENT DAYS 73117,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73117,B100000,00000,0800,00040PATIENT DAYS 73117,B100000,00000,0900,00040PATIENT DAYS 73117,B100000,00000,1000,00040COSTED REQUIS 73117,B100000,00000,1100,00040COSTED REQUIS 73117,B100000,00000,1200,00040GROSS REVENUE 73117,B100000,00000,1300,00040PATIENT DAYS 73117,B100000,00000,1400,00040ASSIGNED TIME 73117,E10A180,00301,0100,01/24/2000 73117,E10A180,00301,0300,06/22/1998 73117,E10A180,00350,0100,06/22/1998 73117,E10A180,00350,0300,06/22/1998 73117,E10A180,00501,0300,07/19/2000 73117,E10A180,00550,0100,07/19/2000 73117,S000000,00100,0200,06/20/2000 73117,S200000,00100,0100,714 SOUTH AUSTIN 73117,S200000,00200,0100,TULIA 73117,S200000,00200,0200,TX 73117,S200000,00300,0100,SWISHER 73117,S200000,00400,0100,TULIA CARE CENTER 73117,S200000,00400,0200,675256 73117,S200000,00400,0300,02/21/1994 73117,S200000,00400,0500,P 73117,S200000,01600,0100,Y 73125,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73125,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73125,A000000,00300,0000,00300EMPLOYEE BENEFITS 73125,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73125,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73125,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73125,A000000,00700,0000,00700HOUSEKEEPING 73125,A000000,00800,0000,00800DIETARY 73125,A000000,00900,0000,00900NURSING ADMINISTRATION 73125,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73125,A000000,01100,0000,01100PHARMACY 73125,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73125,A000000,01300,0000,01300SOCIAL SERVICE 73125,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73125,A000000,01600,0000,01600SKILLED NURSING FACILITY 73125,A000000,01800,0000,01800NURSING FACILITY 73125,A000000,01810,0000,01810ICF/MR 73125,A000000,02100,0000,02100RADIOLOGY 73125,A000000,02200,0000,02200LABORATORY 73125,A000000,02500,0000,02500PHYSICAL THERAPY 73125,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73125,A000000,02700,0000,02700SPEECH PATHOLOGY 73125,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73125,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73125,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73125,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73125,A000000,03052,0000,03302MEDICAL EQUIPMENT 73125,A000000,03550,0000,03550FQHC 73125,A000000,05000,0000,05000CORF 73125,A000000,05010,0000,05010CMHC 73125,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73125,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73125,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73125,A81000A,00100,0100,Y 73125,A81000B,00100,0300,HOME OFFICE A&G 73125,A81000B,00200,0300,HOME OFFICE CAPITAL 73125,A81000B,00300,0300,DIVISION OFFICE A&G 73125,A81000B,00500,0300,INSURANCE 73125,A81000C,00100,0100,B 73125,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73125,A81000C,00200,0100,G 73125,A81000C,00200,0200,LAURIER INC. 73125,A81000C,00200,0400,EXTENDICARE INC. 73125,A81000C,00200,0600,INSURANCE 73125,A81000C,00300,0100,G 73125,A81000C,00300,0200,UNITED REHABILITATION SVS 73125,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73125,A81000C,00300,0600,THERAPY SERVICE 73125,A81000C,00400,0100,G 73125,A81000C,00400,0200,UPC 73125,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73125,A81000C,00400,0600,PHARMACY & THERAPY 73125,B100000,00000,0100,00040SQUARE FEET 73125,B100000,00000,0200,00040SQUARE FEET 73125,B100000,00000,0300,00040GROSS SALARIES 73125,B100000,00000,0400,00040ACCUM. COST 73125,B100000,00000,0500,00040SQUARE FEET 73125,B100000,00000,0600,00040PATIENT DAYS 73125,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73125,B100000,00000,0800,00040PATIENT DAYS 73125,B100000,00000,0900,00040PATIENT DAYS 73125,B100000,00000,1000,00040COSTED REQUIS 73125,B100000,00000,1100,00040COSTED REQUIS 73125,B100000,00000,1200,00040GROSS REVENUE 73125,B100000,00000,1300,00040PATIENT DAYS 73125,B100000,00000,1400,00040ASSIGNED TIME 73125,E10A180,00301,0100,01/24/2000 73125,E10A180,00301,0300,06/22/1998 73125,E10A180,00350,0100,06/22/1998 73125,E10A180,00350,0300,06/22/1998 73125,E10A180,00501,0300,07/19/2000 73125,E10A180,00550,0100,07/19/2000 73125,S000000,00100,0200,06/20/2000 73125,S200000,00100,0100,300 SOUTH JACKSON STREET 73125,S200000,00200,0100,BRECKENRIDGE 73125,S200000,00200,0200,TX 73125,S200000,00300,0100,STEPHENS 73125,S200000,00400,0100,VILLA HAVEN HEALTH AND REHAB CENTER 73125,S200000,00400,0200,675279 73125,S200000,00400,0300,03/18/1994 73125,S200000,00400,0500,P 73125,S200000,01600,0100,Y 73134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73134,A000000,00300,0000,00300EMPLOYEE BENEFITS 73134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73134,A000000,00700,0000,00700HOUSEKEEPING 73134,A000000,00800,0000,00800DIETARY 73134,A000000,00900,0000,00900NURSING ADMINISTRATION 73134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73134,A000000,01100,0000,01100PHARMACY 73134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73134,A000000,01300,0000,01300SOCIAL SERVICE 73134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73134,A000000,01600,0000,01600SKILLED NURSING FACILITY 73134,A000000,01800,0000,01800NURSING FACILITY 73134,A000000,01810,0000,01810ICF/MR 73134,A000000,02100,0000,02100RADIOLOGY 73134,A000000,02200,0000,02200LABORATORY 73134,A000000,02500,0000,02500PHYSICAL THERAPY 73134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73134,A000000,02700,0000,02700SPEECH PATHOLOGY 73134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73134,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73134,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73134,A000000,03052,0000,03302MEDICAL EQUIPMENT 73134,A000000,03550,0000,03550FQHC 73134,A000000,05000,0000,05000CORF 73134,A000000,05010,0000,05010CMHC 73134,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73134,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73134,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73134,A81000A,00100,0100,Y 73134,A81000B,00100,0300,HOME OFFICE A&G 73134,A81000B,00200,0300,HOME OFFICE CAPITAL 73134,A81000B,00300,0300,DIVISION OFFICE A&G 73134,A81000B,00500,0300,INSURANCE 73134,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73134,A81000C,00100,0100,B 73134,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73134,A81000C,00200,0100,G 73134,A81000C,00200,0200,LAURIER INC. 73134,A81000C,00200,0400,EXTENDICARE INC. 73134,A81000C,00200,0600,INSURANCE 73134,A81000C,00300,0100,G 73134,A81000C,00300,0200,UNITED REHABILITATION SVS 73134,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73134,A81000C,00300,0600,THERAPY SERVICE 73134,A81000C,00400,0100,G 73134,A81000C,00400,0200,UPC 73134,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73134,A81000C,00400,0600,PHARMACY & THERAPY 73134,B100000,00000,0100,00040SQUARE FEET 73134,B100000,00000,0200,00040SQUARE FEET 73134,B100000,00000,0300,00040GROSS SALARIES 73134,B100000,00000,0400,00040ACCUM. COST 73134,B100000,00000,0500,00040SQUARE FEET 73134,B100000,00000,0600,00040PATIENT DAYS 73134,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73134,B100000,00000,0800,00040PATIENT DAYS 73134,B100000,00000,0900,00040PATIENT DAYS 73134,B100000,00000,1000,00040COSTED REQUIS 73134,B100000,00000,1100,00040COSTED REQUIS 73134,B100000,00000,1200,00040GROSS REVENUE 73134,B100000,00000,1300,00040PATIENT DAYS 73134,B100000,00000,1400,00040ASSIGNED TIME 73134,E10A180,00301,0100,01/24/2000 73134,E10A180,00301,0300,06/22/1998 73134,E10A180,00350,0100,06/22/1998 73134,E10A180,00350,0300,06/22/1998 73134,E10A180,00501,0300,02/12/2001 73134,E10A180,00550,0100,02/12/2001 73134,S000000,00100,0200,06/20/2000 73134,S200000,00100,0100,222 NORTH FARMER STREET 73134,S200000,00200,0100,CROSBYTON 73134,S200000,00200,0200,TX 73134,S200000,00300,0100,CROSBYTON 73134,S200000,00400,0100,CROSBYTON NURSING AND REHAB CENTER 73134,S200000,00400,0200,675291 73134,S200000,00400,0300,03/21/1994 73134,S200000,00400,0500,P 73134,S200000,01600,0100,Y 73141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73141,A000000,00300,0000,00300EMPLOYEE BENEFITS 73141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73141,A000000,00700,0000,00700HOUSEKEEPING 73141,A000000,00800,0000,00800DIETARY 73141,A000000,00900,0000,00900NURSING ADMINISTRATION 73141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73141,A000000,01100,0000,01100PHARMACY 73141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73141,A000000,01300,0000,01300SOCIAL SERVICE 73141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73141,A000000,01600,0000,01600SKILLED NURSING FACILITY 73141,A000000,01800,0000,01800NURSING FACILITY 73141,A000000,01810,0000,01810ICF/MR 73141,A000000,02100,0000,02100RADIOLOGY 73141,A000000,02200,0000,02200LABORATORY 73141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73141,A000000,02500,0000,02500PHYSICAL THERAPY 73141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73141,A000000,02700,0000,02700SPEECH PATHOLOGY 73141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73141,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73141,A000000,03052,0000,03302MEDICAL EQUIPMENT 73141,A000000,03550,0000,03550FQHC 73141,A000000,05000,0000,05000CORF 73141,A000000,05010,0000,05010CMHC 73141,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73141,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73141,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73141,A81000A,00100,0100,Y 73141,A81000B,00100,0300,HOME OFFICE A&G 73141,A81000B,00200,0300,HOME OFFICE CAPITAL 73141,A81000B,00300,0300,DIVISION OFFICE A&G 73141,A81000B,00500,0300,INSURANCE 73141,A81000B,00900,0300,AIR FLUIDIZED THERAPY 73141,A81000C,00100,0100,B 73141,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73141,A81000C,00200,0100,G 73141,A81000C,00200,0200,LAURIER INC. 73141,A81000C,00200,0400,EXTENDICARE INC. 73141,A81000C,00200,0600,INSURANCE 73141,A81000C,00300,0100,G 73141,A81000C,00300,0200,UNITED REHABILITATION SVS 73141,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73141,A81000C,00300,0600,THERAPY SERVICE 73141,A81000C,00400,0100,G 73141,A81000C,00400,0200,UPC 73141,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73141,A81000C,00400,0600,PHARMACY & THERAPY 73141,B100000,00000,0100,00040SQUARE FEET 73141,B100000,00000,0200,00040SQUARE FEET 73141,B100000,00000,0300,00040GROSS SALARIES 73141,B100000,00000,0400,00040ACCUM. COST 73141,B100000,00000,0500,00040SQUARE FEET 73141,B100000,00000,0600,00040PATIENT DAYS 73141,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73141,B100000,00000,0800,00040PATIENT DAYS 73141,B100000,00000,0900,00040PATIENT DAYS 73141,B100000,00000,1000,00040COSTED REQUIS 73141,B100000,00000,1100,00040COSTED REQUIS 73141,B100000,00000,1200,00040GROSS REVENUE 73141,B100000,00000,1300,00040PATIENT DAYS 73141,B100000,00000,1400,00040ASSIGNED TIME 73141,E10A180,00301,0100,01/24/2000 73141,E10A180,00301,0300,06/22/1998 73141,E10A180,00350,0100,06/22/1998 73141,E10A180,00350,0300,06/22/1998 73141,E10A180,00501,0300,02/12/2001 73141,E10A180,00550,0100,02/12/2001 73141,S000000,00100,0200,06/20/2000 73141,S200000,00100,0100,1601 KIRKLAND DRIVE 73141,S200000,00200,0100,AMARILLO 73141,S200000,00200,0200,TX 73141,S200000,00300,0100,POTTER 73141,S200000,00400,0100,KIRKLAND HEALTH AND REHAB 73141,S200000,00400,0200,675336 73141,S200000,00400,0300,06/13/1994 73141,S200000,00400,0500,P 73141,S200000,01600,0100,Y 73149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73149,A000000,00300,0000,00300EMPLOYEE BENEFITS 73149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73149,A000000,00700,0000,00700HOUSEKEEPING 73149,A000000,00800,0000,00800DIETARY 73149,A000000,00900,0000,00900NURSING ADMINISTRATION 73149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73149,A000000,01100,0000,01100PHARMACY 73149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73149,A000000,01300,0000,01300SOCIAL SERVICE 73149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73149,A000000,01600,0000,01600SKILLED NURSING FACILITY 73149,A000000,01800,0000,01800NURSING FACILITY 73149,A000000,01810,0000,01810ICF/MR 73149,A000000,02100,0000,02100RADIOLOGY 73149,A000000,02200,0000,02200LABORATORY 73149,A000000,02500,0000,02500PHYSICAL THERAPY 73149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73149,A000000,02700,0000,02700SPEECH PATHOLOGY 73149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73149,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73149,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73149,A000000,03052,0000,03302MEDICAL EQUIPMENT 73149,A000000,03550,0000,03550FQHC 73149,A000000,05000,0000,05000CORF 73149,A000000,05010,0000,05010CMHC 73149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73149,A81000A,00100,0100,Y 73149,A81000B,00100,0300,HOME OFFICE A&G 73149,A81000B,00200,0300,HOME OFFICE CAPITAL 73149,A81000B,00300,0300,DIVISION OFFICE A&G 73149,A81000B,00500,0300,INSURANCE 73149,A81000C,00100,0100,B 73149,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73149,A81000C,00200,0100,G 73149,A81000C,00200,0200,LAURIER INC. 73149,A81000C,00200,0400,EXTENDICARE INC. 73149,A81000C,00200,0600,INSURANCE 73149,A81000C,00300,0100,G 73149,A81000C,00300,0200,UNITED REHABILITATION SVS 73149,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73149,A81000C,00300,0600,THERAPY SERVICE 73149,A81000C,00400,0100,G 73149,A81000C,00400,0200,UPC 73149,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73149,A81000C,00400,0600,PHARMACY & THERAPY 73149,B100000,00000,0100,00040SQUARE FEET 73149,B100000,00000,0200,00040SQUARE FEET 73149,B100000,00000,0300,00040GROSS SALARIES 73149,B100000,00000,0400,00040ACCUM. COST 73149,B100000,00000,0500,00040SQUARE FEET 73149,B100000,00000,0600,00040PATIENT DAYS 73149,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73149,B100000,00000,0800,00040PATIENT DAYS 73149,B100000,00000,0900,00040PATIENT DAYS 73149,B100000,00000,1000,00040COSTED REQUIS 73149,B100000,00000,1100,00040COSTED REQUIS 73149,B100000,00000,1200,00040GROSS REVENUE 73149,B100000,00000,1300,00040PATIENT DAYS 73149,B100000,00000,1400,00040ASSIGNED TIME 73149,E10A180,00301,0100,01/24/2000 73149,E10A180,00301,0300,06/22/1998 73149,E10A180,00350,0100,06/22/1998 73149,E10A180,00350,0300,06/22/1998 73149,E10A180,00501,0300,07/19/2000 73149,E10A180,00550,0100,07/19/2000 73149,S000000,00100,0200,06/20/2000 73149,S200000,00100,0100,925 WEST CROCKETT 73149,S200000,00200,0100,FLOYDADA 73149,S200000,00200,0200,TX 73149,S200000,00300,0100,FLOYD 73149,S200000,00400,0100,FLOYDADA REHAB AND CARE CENTER 73149,S200000,00400,0200,675457 73149,S200000,00400,0300,02/15/1995 73149,S200000,00400,0500,P 73149,S200000,01600,0100,Y 73156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73156,A000000,00300,0000,00300EMPLOYEE BENEFITS 73156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73156,A000000,00700,0000,00700HOUSEKEEPING 73156,A000000,00800,0000,00800DIETARY 73156,A000000,00900,0000,00900NURSING ADMINISTRATION 73156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73156,A000000,01100,0000,01100PHARMACY 73156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73156,A000000,01300,0000,01300SOCIAL SERVICE 73156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73156,A000000,01600,0000,01600SKILLED NURSING FACILITY 73156,A000000,01800,0000,01800NURSING FACILITY 73156,A000000,01810,0000,01810ICF/MR 73156,A000000,02200,0000,02200LABORATORY 73156,A000000,02500,0000,02500PHYSICAL THERAPY 73156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73156,A000000,02700,0000,02700SPEECH PATHOLOGY 73156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73156,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73156,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 73156,A000000,03052,0000,03302MEDICAL EQUIPMENT 73156,A000000,03550,0000,03550FQHC 73156,A000000,05000,0000,05000CORF 73156,A000000,05010,0000,05010CMHC 73156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73156,A81000A,00100,0100,Y 73156,A81000B,00100,0300,HOME OFFICE A&G 73156,A81000B,00200,0300,HOME OFFICE CAPITAL 73156,A81000B,00300,0300,DIVISION OFFICE A&G 73156,A81000B,00500,0300,INSURANCE 73156,A81000C,00100,0100,B 73156,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 73156,A81000C,00200,0100,G 73156,A81000C,00200,0200,LAURIER INC. 73156,A81000C,00200,0400,EXTENDICARE INC. 73156,A81000C,00200,0600,INSURANCE 73156,A81000C,00300,0100,G 73156,A81000C,00300,0200,UNITED REHABILITATION SVS 73156,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 73156,A81000C,00300,0600,THERAPY SERVICE 73156,A81000C,00400,0100,G 73156,A81000C,00400,0200,UPC 73156,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 73156,A81000C,00400,0600,PHARMACY & THERAPY 73156,B100000,00000,0100,00040SQUARE FEET 73156,B100000,00000,0200,00040SQUARE FEET 73156,B100000,00000,0300,00040GROSS SALARIES 73156,B100000,00000,0400,00040ACCUM. COST 73156,B100000,00000,0500,00040SQUARE FEET 73156,B100000,00000,0600,00040PATIENT DAYS 73156,B100000,00000,0700,00040ALTERNATE SQUARE FEE 73156,B100000,00000,0800,00040PATIENT DAYS 73156,B100000,00000,0900,00040PATIENT DAYS 73156,B100000,00000,1000,00040COSTED REQUIS 73156,B100000,00000,1100,00040COSTED REQUIS 73156,B100000,00000,1200,00040GROSS REVENUE 73156,B100000,00000,1300,00040PATIENT DAYS 73156,B100000,00000,1400,00040ASSIGNED TIME 73156,E10A180,00301,0100,01/24/2000 73156,E10A180,00301,0300,06/22/1998 73156,E10A180,00350,0100,06/22/1998 73156,E10A180,00350,0300,06/22/1998 73156,E10A180,00501,0300,02/12/2001 73156,S000000,00100,0200,06/20/2000 73156,S200000,00100,0100,401 NORTH MAIN STREET 73156,S200000,00200,0100,LOCKNEY 73156,S200000,00200,0200,TX 73156,S200000,00300,0100,FLOYD 73156,S200000,00400,0100,LOCKNEY HEALTH AND REHAB CENTER 73156,S200000,00400,0200,675485 73156,S200000,00400,0300,05/17/1995 73156,S200000,00400,0500,P 73156,S200000,01600,0100,Y 73160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73160,A000000,00300,0000,00300EMPLOYEE BENEFITS 73160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73160,A000000,00700,0000,00700HOUSEKEEPING 73160,A000000,00800,0000,00800DIETARY 73160,A000000,00900,0000,00900NURSING ADMINISTRATION 73160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73160,A000000,01100,0000,01100PHARMACY 73160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73160,A000000,01300,0000,01300SOCIAL SERVICE 73160,A000000,01350,0000,01500OTHER GENERAL SERVICES 73160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73160,A000000,01600,0000,01600SKILLED NURSING FACILITY 73160,A000000,01810,0000,01810ICF/MR 73160,A000000,02100,0000,02100RADIOLOGY 73160,A000000,02200,0000,02200LABORATORY 73160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73160,A000000,02500,0000,02500PHYSICAL THERAPY 73160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73160,A000000,02700,0000,02700SPEECH PATHOLOGY 73160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73160,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73160,A000000,03550,0000,03550FQHC 73160,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73160,A000000,05000,0000,05000CORF 73160,A000000,05010,0000,05010CMHC 73160,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73160,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73160,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73160,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73160,A81000A,00100,0100,Y 73160,A81000B,00100,0300,MOE 73160,A81000C,00100,0100,B 73160,A81000C,00100,0200,MANISTEE COUNTY 73160,A81000C,00100,0400,COUNTY 73160,A81000C,00100,0600,GOVERNMENT 73160,B100000,00000,0100,00000SQUARE FEET 73160,B100000,00000,0200,00000NO STATISTICS 73160,B100000,00000,0300,00000GROSS SALARIES 73160,B100000,00000,0400,00000ACCUM. COST 73160,B100000,00000,0500,00000SQUARE FEET 73160,B100000,00000,0600,00000POUNDS OF LAUNDRY 73160,B100000,00000,0700,00000SQUARE FEET 73160,B100000,00000,0800,00000MEALS SERVED 73160,B100000,00000,0900,00000DIRECT NURSING HR 73160,B100000,00000,1000,00000NO STATISTICS 73160,B100000,00000,1100,00000NO STATISTICS 73160,B100000,00000,1200,00000NO STATISTICS 73160,B100000,00000,1300,00000TIME SPENT 73160,B100000,00000,1350,00000TIME SPENT 73160,B100000,00000,1400,00000NO STATISTICS 73160,S000000,00100,0200,05/31/2000 73160,S200000,00100,0100,1505 E. PARKDALE 73160,S200000,00200,0100,MANISTEE 73160,S200000,00200,0200,MI 73160,S200000,00300,0100,MANISTEE 73160,S200000,00400,0100,MANISTEE COUNTY MCF 73160,S200000,00400,0200,235003 73160,S200000,00400,0300,07/01/1966 73160,S200000,00400,0500,P 73160,S200000,01500,0100,Y 73160,S200000,03300,0100,Y 73160,S200000,03300,0200,Y 73161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73161,A000000,00300,0000,00300EMPLOYEE BENEFITS 73161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73161,A000000,00700,0000,00700HOUSEKEEPING 73161,A000000,00800,0000,00800DIETARY 73161,A000000,00900,0000,00900NURSING ADMINISTRATION 73161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73161,A000000,01100,0000,01100PHARMACY 73161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73161,A000000,01300,0000,01300SOCIAL SERVICE 73161,A000000,01350,0000,01500DIV THER 73161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73161,A000000,01600,0000,01600SKILLED NURSING FACILITY 73161,A000000,02100,0000,02100RADIOLOGY 73161,A000000,02200,0000,02200LABORATORY 73161,A000000,02500,0000,02500PHYSICAL THERAPY 73161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73161,A000000,02700,0000,02700SPEECH PATHOLOGY 73161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73161,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73161,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73161,A000000,03550,0000,03550FQHC 73161,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73161,A000000,05000,0000,05000CORF 73161,A000000,05010,0000,05010CMHC 73161,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73161,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73161,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73161,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73161,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73161,A81000A,00100,0100,Y 73161,A81000B,00100,0300,BOARD MEMBER EXPENSE 73161,A81000C,00100,0100,E 73161,B100000,00000,0100,00000SQ FT FEET 73161,B100000,00000,0200,00000SQ FT FEET 73161,B100000,00000,0300,00000GROSS SALARIES 73161,B100000,00000,0400,00000ACCUM. COST 73161,B100000,00000,0500,00000SQ FT FEET 73161,B100000,00000,0600,00000POUNDS OF LAUNDRY 73161,B100000,00000,0700,00000SQ FT SERVICE 73161,B100000,00000,0800,00000MEALS SERVED 73161,B100000,00000,0900,00000DIRECT NURS 73161,B100000,00000,1000,00000NO STATISTICS 73161,B100000,00000,1100,00000NO STATISTICS 73161,B100000,00000,1200,00000DIRECT HOURS 73161,B100000,00000,1300,00000DIRECT HOURS 73161,B100000,00000,1350,00000DI 73161,B100000,00000,1400,00000NO STATISTICS 73161,S000000,00100,0200,05/12/2000 73161,S200000,00100,0100,50 SANDERSON LANE 73161,S200000,00200,0100,COLDWATER 73161,S200000,00200,0200,MI 73161,S200000,00300,0100,BRANCH 73161,S200000,00400,0100,MAPLE LAWN MCF 73161,S200000,00400,0200,235008 73161,S200000,00400,0300,10/01/1966 73161,S200000,00400,0500,P 73161,S200000,01500,0100,Y 73162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73162,A000000,00300,0000,00300EMPLOYEE BENEFITS 73162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73162,A000000,00700,0000,00700HOUSEKEEPING 73162,A000000,00800,0000,00800DIETARY 73162,A000000,00900,0000,00900NURSING ADMINISTRATION 73162,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73162,A000000,01100,0000,01100PHARMACY 73162,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73162,A000000,01300,0000,01300SOCIAL SERVICE 73162,A000000,01350,0000,01500DIVERSIONAL THERAPY 73162,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73162,A000000,01600,0000,01600SKILLED NURSING FACILITY 73162,A000000,01810,0000,01810ICF/MR 73162,A000000,02100,0000,02100RADIOLOGY 73162,A000000,02200,0000,02200LABORATORY 73162,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73162,A000000,02500,0000,02500PHYSICAL THERAPY 73162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73162,A000000,02700,0000,02700SPEECH PATHOLOGY 73162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73162,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73162,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73162,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73162,A000000,03550,0000,03550FQHC 73162,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73162,A000000,04800,0000,04800AMBULANCE 73162,A000000,05000,0000,05000CORF 73162,A000000,05010,0000,05010CMHC 73162,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73162,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73162,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73162,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73162,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73162,A81000A,00100,0100,Y 73162,A81000B,00100,0300,COUNTY ALLOCATED COSTS 73162,A81000B,00200,0300,COUNTY WC ALLOCATION 73162,A81000B,00300,0300,BOARD COSTS 73162,A81000C,00100,0100,G 73162,A81000C,00100,0200,BARRY COUNTY 73162,A81000C,00100,0600,GOVERNMENT 73162,B100000,00000,0100,00000SQUARE FEET 73162,B100000,00000,0200,00000SQUARE FEET 73162,B100000,00000,0300,00000GROSS SALARIES 73162,B100000,00000,0400,00000ACCUM. COST 73162,B100000,00000,0500,00000SQUARE FEET 73162,B100000,00000,0600,00000POUNDS OF LAUNDRY 73162,B100000,00000,0700,00000SQUARE FEET 73162,B100000,00000,0800,00000MEALS SERVED 73162,B100000,00000,0900,00000DIRECT NRSING HRS 73162,B100000,00000,1000,00000TIME SPENT 73162,B100000,00000,1100,00000NO STATISTICS 73162,B100000,00000,1200,00000TIME SPENT 73162,B100000,00000,1300,00000TIME SPENT 73162,B100000,00000,1350,00000TIME SPENT 73162,B100000,00000,1400,00000ASSIGNED TIME 73162,S000000,00100,0200,06/19/2000 73162,S200000,00100,0100,2700 NASHVILLE RD 73162,S200000,00200,0100,HASTINGS 73162,S200000,00200,0200,MI 73162,S200000,00300,0100,BARRY 73162,S200000,00400,0100,THORNAPPLE MANOR 73162,S200000,00400,0200,235009 73162,S200000,00400,0300,07/01/1966 73162,S200000,00400,0500,P 73162,S200000,01500,0100,Y 73163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73163,A000000,00300,0000,00300EMPLOYEE BENEFITS 73163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73163,A000000,00700,0000,00700HOUSEKEEPING 73163,A000000,00800,0000,00800DIETARY 73163,A000000,00900,0000,00900NURSING ADMINISTRATION 73163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73163,A000000,01100,0000,01100PHARMACY 73163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73163,A000000,01300,0000,01300SOCIAL SERVICE 73163,A000000,01350,0000,01500DIVERSIONAL THERAPY 73163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73163,A000000,01600,0000,01600SKILLED NURSING FACILITY 73163,A000000,01810,0000,01810ICF/MR 73163,A000000,02100,0000,02100RADIOLOGY 73163,A000000,02200,0000,02200LABORATORY 73163,A000000,02500,0000,02500PHYSICAL THERAPY 73163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73163,A000000,02700,0000,02700SPEECH PATHOLOGY 73163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73163,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73163,A000000,03550,0000,03550FQHC 73163,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73163,A000000,05000,0000,05000CORF 73163,A000000,05010,0000,05010CMHC 73163,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73163,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73163,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73163,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73163,B100000,00000,0100,00000SQUARE FEET 73163,B100000,00000,0200,00000DOLLAR VALUE 73163,B100000,00000,0300,00000GROSS SALARIES 73163,B100000,00000,0400,00000ACCUM. COST 73163,B100000,00000,0500,00000SQUARE FEET 73163,B100000,00000,0600,00000POUNDS OF LAUNDRY 73163,B100000,00000,0700,00000SQUARE FEET 73163,B100000,00000,0800,00000MEALS SERVED 73163,B100000,00000,0900,00000DIRECT NRSING HRS 73163,B100000,00000,1000,00000COSTED REQUIS. 73163,B100000,00000,1100,00000COSTED REQUIS. 73163,B100000,00000,1200,00000TIME SPENT 73163,B100000,00000,1300,00000TIME SPENT 73163,B100000,00000,1350,00000TIME SPENT 73163,B100000,00000,1400,00000ASSIGNED TIME 73163,S000000,00100,0200,05/12/2000 73163,S200000,00100,0100,1201 HARRIS 73163,S200000,00200,0100,TAWAS CITY 73163,S200000,00200,0200,MI 73163,S200000,00300,0100,IOSCO 73163,S200000,00400,0100,IOSCO COUNTY MCF 73163,S200000,00400,0200,235011 73163,S200000,00400,0300,07/01/1966 73163,S200000,00400,0500,P 73163,S200000,01500,0100,Y 73164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73164,A000000,00300,0000,00300EMPLOYEE BENEFITS 73164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73164,A000000,00700,0000,00700HOUSEKEEPING 73164,A000000,00800,0000,00800DIETARY 73164,A000000,00900,0000,00900NURSING ADMINISTRATION 73164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73164,A000000,01100,0000,01100PHARMACY 73164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73164,A000000,01300,0000,01300SOCIAL SERVICE 73164,A000000,01350,0000,01500PROGRAM - ACTIVITIES 73164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73164,A000000,01600,0000,01600SKILLED NURSING FACILITY 73164,A000000,01800,0000,01800NURSING FACILITY 73164,A000000,01810,0000,01810ICF/MR 73164,A000000,01900,0000,01900OTHER LONG TERM CARE 73164,A000000,02100,0000,02100RADIOLOGY 73164,A000000,02200,0000,02200LABORATORY 73164,A000000,02500,0000,02500PHYSICAL THERAPY 73164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73164,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73164,A000000,03550,0000,03550FQHC 73164,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73164,A000000,05000,0000,05000CORF 73164,A000000,05010,0000,05010CMHC 73164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73164,A000000,05300,0000,05300INTEREST EXPENSE 73164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73164,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73164,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73164,A000000,06200,0000,06200PATIENTS LAUNDRY 73164,A81000A,00100,0100,Y 73164,A81000B,00100,0300,MANAGEMENT FEE 73164,A81000B,00200,0300,HOME OFFICE RENT 73164,A81000C,00100,0100,G 73164,A81000C,00100,0200,PRES VILLAGE REDFORD 73164,A81000C,00100,0400,PRES VILLAGES OF MICHIGAN 73164,A81000C,00100,0600,HOME OFFICE 73164,B100000,00000,0100,00000SQUARE FEET 73164,B100000,00000,0200,00000SQUARE FEET 73164,B100000,00000,0300,00000GROSS SALARIES 73164,B100000,00000,0400,00000ACCUM. COST 73164,B100000,00000,0500,00000SQUARE FEET 73164,B100000,00000,0600,00000POUNDS OF LAUNDRY 73164,B100000,00000,0700,00000HOURS OF SERVICE 73164,B100000,00000,0800,00000MEALS SERVED 73164,B100000,00000,0900,00000DIRECT NRSING HRS 73164,B100000,00000,1000,00000COSTED REQUIS. 73164,B100000,00000,1100,00000COSTED REQUIS. 73164,B100000,00000,1200,00000TIME SPENT 73164,B100000,00000,1300,00000SPENT 73164,B100000,00000,1350,00000TIME SPENT 73164,B100000,00000,1400,00000ASSIGNED TIME 73164,S000000,00100,0200,05/31/2000 73164,S200000,00100,0100,17383 GARFIELD 73164,S200000,00200,0100,REDFORD 73164,S200000,00200,0200,MI 73164,S200000,00300,0100,WAYNE 73164,S200000,00400,0100,PRESBYTERIAN VILLAGE REDFORD 73164,S200000,00400,0200,235014 73164,S200000,00400,0300,01/01/1967 73164,S200000,00400,0500,P 73164,S200000,01500,0100,Y 73164,S200000,02200,0100,Y 73165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73165,A000000,00300,0000,00300EMPLOYEE BENEFITS 73165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73165,A000000,00700,0000,00700HOUSEKEEPING 73165,A000000,00800,0000,00800DIETARY 73165,A000000,00900,0000,00900NURSING ADMINISTRATION 73165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73165,A000000,01100,0000,01100PHARMACY 73165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73165,A000000,01300,0000,01300SOCIAL SERVICE 73165,A000000,01350,0000,01500DIVERSIONAL THERAPY 73165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73165,A000000,01600,0000,01600SKILLED NURSING FACILITY 73165,A000000,01810,0000,01810ICF/MR 73165,A000000,02100,0000,02100RADIOLOGY 73165,A000000,02200,0000,02200LABORATORY 73165,A000000,02500,0000,02500PHYSICAL THERAPY 73165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73165,A000000,02700,0000,02700SPEECH PATHOLOGY 73165,A000000,02800,0000,02800ELECTROCARDIOLOGY 73165,A000000,02801,0000,02801ENTERNAL 73165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73165,A000000,03550,0000,03550FQHC 73165,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73165,A000000,05000,0000,05000CORF 73165,A000000,05010,0000,05010CMHC 73165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73165,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73165,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73165,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73165,A81000A,00100,0100,Y 73165,A81000B,00100,0300,MOE 73165,A81000B,00200,0300,COUNTY COSTS 73165,A81000B,00300,0300,INTEREST 73165,A81000C,00100,0100,B 73165,A81000C,00100,0200,INGHAM COUNTY 73165,A81000C,00100,0400,INGHAM COUNTY 73165,A81000C,00100,0600,GOVERNMENT 73165,B100000,00000,0100,00000SQUARE FEET 73165,B100000,00000,0200,00000SQUARE FEET 73165,B100000,00000,0300,00000GROSS SALARIES 73165,B100000,00000,0400,00000ACCUM. COST 73165,B100000,00000,0500,00000SQUARE FEET 73165,B100000,00000,0600,00000POUNDS OF LAUNDRY 73165,B100000,00000,0700,00000SQUARE FEET 73165,B100000,00000,0800,00000MEALS SERVED 73165,B100000,00000,0900,00000DIRECT NRSING HRS 73165,B100000,00000,1000,00000COSTED REQUIS. 73165,B100000,00000,1100,00000COSTED REQUIS. 73165,B100000,00000,1200,00000TIME SPENT 73165,B100000,00000,1300,00000TIME SPENT 73165,B100000,00000,1350,00000TIME SPENT 73165,B100000,00000,1400,00000ASSIGNED TIME 73165,E10A180,00550,0300,05/18/2000 73165,S000000,00100,0200,05/17/2000 73165,S200000,00100,0100,3860 DOBIE ROAD 73165,S200000,00200,0100,OKEMOS 73165,S200000,00200,0200,MI 73165,S200000,00300,0100,INGHAM 73165,S200000,00400,0100,INGHAM COUNTY MCF 73165,S200000,00400,0200,235015 73165,S200000,00400,0300,07/16/1966 73165,S200000,00400,0500,P 73165,S200000,00400,0600,O 73165,S200000,01500,0100,Y 73165,S200000,02800,0100,Y 73166,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73166,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73166,A000000,00300,0000,00300EMPLOYEE BENEFITS 73166,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73166,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73166,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73166,A000000,00700,0000,00700HOUSEKEEPING 73166,A000000,00800,0000,00800DIETARY 73166,A000000,00900,0000,00900NURSING ADMINISTRATION 73166,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73166,A000000,01100,0000,01100PHARMACY 73166,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73166,A000000,01300,0000,01300SOCIAL SERVICE 73166,A000000,01350,0000,01500DIVERSIONAL THERAPY 73166,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73166,A000000,01600,0000,01600SKILLED NURSING FACILITY 73166,A000000,01810,0000,01810ICF/MR 73166,A000000,02100,0000,02100RADIOLOGY 73166,A000000,02200,0000,02200LABORATORY 73166,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73166,A000000,02500,0000,02500PHYSICAL THERAPY 73166,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73166,A000000,02700,0000,02700SPEECH PATHOLOGY 73166,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73166,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73166,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73166,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73166,A000000,03550,0000,03550FQHC 73166,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73166,A000000,05000,0000,05000CORF 73166,A000000,05010,0000,05010CMHC 73166,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73166,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73166,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73166,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73166,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73166,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73166,A81000A,00100,0100,Y 73166,A81000B,00100,0300,RETIREES FRINGES 73166,A81000B,00200,0300,RETIREES FRINGES 73166,A81000B,00300,0300,RETIREES FRINGES 73166,A81000B,00400,0300,RETIREES FRINGES 73166,A81000B,00500,0300,RETIREES FRINGES 73166,A81000B,00600,0300,RETIREES FRINGES 73166,A81000B,00700,0300,RETIREES FRINGES 73166,A81000C,00100,0100,B 73166,A81000C,00100,0200,JACKSON COUNTY 73166,A81000C,00100,0400,JACKSON COUNTY 73166,A81000C,00100,0600,COUNTY 73166,B100000,00000,0100,00000SQUARE FEET 73166,B100000,00000,0200,00000SQUARE FEET 73166,B100000,00000,0300,00000GROSS SALARIES 73166,B100000,00000,0400,00000ACCUM. COST 73166,B100000,00000,0500,00000SQUARE FEET 73166,B100000,00000,0600,00000POUNDS OF LAUNDRY 73166,B100000,00000,0700,00000SQUARE FEET 73166,B100000,00000,0800,00000MEALS SERVED 73166,B100000,00000,0900,00000DIRECT NRSING HRS 73166,B100000,00000,1000,00000COSTED REQUIS. 73166,B100000,00000,1100,00000COSTED REQUIS. 73166,B100000,00000,1200,00000TIME SPENT 73166,B100000,00000,1300,00000TIME SPENT 73166,B100000,00000,1350,00000TIME SPENT 73166,B100000,00000,1400,00000ASSIGNED TIME 73166,E10A180,00501,0300,03/21/2001 73166,S000000,00100,0200,05/11/2000 73166,S200000,00100,0100,1715 LANSING AVE 73166,S200000,00200,0100,JACKSON 73166,S200000,00200,0200,MI 73166,S200000,00300,0100,JACKSON 73166,S200000,00400,0100,JACKSON COUNTY MCF 73166,S200000,00400,0200,235019 73166,S200000,00400,0300,07/01/1966 73166,S200000,00400,0500,P 73166,S200000,00400,0600,O 73166,S200000,01500,0100,Y 73167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73167,A000000,00300,0000,00300EMPLOYEE BENEFITS 73167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73167,A000000,00700,0000,00700HOUSEKEEPING 73167,A000000,00800,0000,00800DIETARY 73167,A000000,00900,0000,00900NURSING ADMINISTRATION 73167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73167,A000000,01100,0000,01100PHARMACY 73167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73167,A000000,01300,0000,01300SOCIAL SERVICE 73167,A000000,01350,0000,01500OTHER GENERAL SERVICES 73167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73167,A000000,01600,0000,01600SKILLED NURSING FACILITY 73167,A000000,01810,0000,01810ICF/MR 73167,A000000,01900,0000,01900OTHER LONG TERM CARE 73167,A000000,02100,0000,02100RADIOLOGY 73167,A000000,02200,0000,02200LABORATORY 73167,A000000,02500,0000,02500PHYSICAL THERAPY 73167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73167,A000000,02700,0000,02700SPEECH PATHOLOGY 73167,A000000,02800,0000,02800ELECTROCARDIOLOGY 73167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73167,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73167,A000000,03550,0000,03550FQHC 73167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73167,A000000,04800,0000,04800AMBULANCE 73167,A000000,05000,0000,05000CORF 73167,A000000,05010,0000,05010CMHC 73167,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73167,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73167,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73167,A000000,05300,0000,05300INTEREST EXPENSE 73167,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73167,B100000,00000,0100,00000SQUARE FEET 73167,B100000,00000,0200,00000SQUARE FEET 73167,B100000,00000,0300,00000GROSS SALARIES 73167,B100000,00000,0400,00000ACCUM. COST 73167,B100000,00000,0500,00000SQUARE FEET 73167,B100000,00000,0600,00000POUNDS OF LAUNDRY 73167,B100000,00000,0700,00000HOURS OF SERVICE 73167,B100000,00000,0800,00000MEALS SERVED 73167,B100000,00000,0900,00000PATIENT DAYS 73167,B100000,00000,1000,00000COST REQUIST 73167,B100000,00000,1100,00000COST REQUISIT 73167,B100000,00000,1200,00000PATIENT DAYS 73167,B100000,00000,1300,00000PATIENT DAYS 73167,B100000,00000,1350,00000NO STATISTICS 73167,B100000,00000,1400,00000HOURS OF SERVICE 73167,S000000,00100,0200,09/21/2000 73167,S200000,00100,0100,1200 WRIGHT AVENUE 73167,S200000,00200,0100,ALMA 73167,S200000,00200,0200,MI 73167,S200000,00300,0100,GRATIOT 73167,S200000,00400,0100,MICHIGAN MASONIC HOME 73167,S200000,00400,0200,235020 73167,S200000,00400,0300,01/01/1980 73167,S200000,00400,0500,P 73167,S200000,01500,0100,Y 73167,S200000,04700,0100,Y 73167,S200000,04700,0200,Y 73169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73169,A000000,00300,0000,00300EMPLOYEE BENEFITS 73169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73169,A000000,00700,0000,00700HOUSEKEEPING 73169,A000000,00800,0000,00800DIETARY 73169,A000000,00900,0000,00900NURSING ADMINISTRATION 73169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73169,A000000,01100,0000,01100PHARMACY 73169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73169,A000000,01300,0000,01300SOCIAL SERVICE 73169,A000000,01350,0000,01500DIVERSIONAL THERAPY 73169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73169,A000000,01600,0000,01600SKILLED NURSING FACILITY 73169,A000000,01810,0000,01810ICF/MR 73169,A000000,02100,0000,02100RADIOLOGY 73169,A000000,02200,0000,02200LABORATORY 73169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73169,A000000,02500,0000,02500PHYSICAL THERAPY 73169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73169,A000000,02700,0000,02700SPEECH PATHOLOGY 73169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73169,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73169,A000000,03550,0000,03550FQHC 73169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73169,A000000,05000,0000,05000CORF 73169,A000000,05010,0000,05010CMHC 73169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73169,A81000A,00100,0100,Y 73169,A81000B,00100,0300,BOARD MEMEBER EXPENSE @ 50% 73169,A81000B,00200,0300,MOE EXPENSE 73169,A81000C,00100,0100,A 73169,A81000C,00100,0200,COUNTY 73169,A81000C,00100,0400,COUNTY HEALTH DEPT 73169,A81000C,00100,0600,GOVERNMENT 73169,B100000,00000,0100,00000SQUARE FEET 73169,B100000,00000,0200,00000DOLLAR VALUE 73169,B100000,00000,0300,00000GROSS SALARIES 73169,B100000,00000,0400,00000ACCUM. COST 73169,B100000,00000,0500,00000SQUARE FEET 73169,B100000,00000,0600,00000POUNDS OF LAUNDRY 73169,B100000,00000,0700,00000HOURS OF SERVICE 73169,B100000,00000,0800,00000MEALS SERVED 73169,B100000,00000,0900,00000DIRECT NRSING HRS 73169,B100000,00000,1000,00000COSTED REQUIS. 73169,B100000,00000,1100,00000COSTED REQUIS. 73169,B100000,00000,1200,00000TIME SPENT 73169,B100000,00000,1300,00000TIME SPENT 73169,B100000,00000,1350,00000HRS 73169,B100000,00000,1400,00000ASSIGNED TIME 73169,S000000,00100,0200,06/15/2000 73169,S200000,00100,0100,4543 SOUTH M-88 HWY 73169,S200000,00200,0100,BELLAIRE 73169,S200000,00200,0200,MI 73169,S200000,00300,0100,ANTRIM 73169,S200000,00400,0100,MEADOWBROOK MCF 73169,S200000,00400,0200,235025 73169,S200000,00400,0300,07/11/1996 73169,S200000,00400,0500,P 73169,S200000,01500,0100,Y 73169,S200000,04300,0100,Y 73171,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73171,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73171,A000000,00300,0000,00300EMPLOYEE BENEFITS 73171,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73171,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73171,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73171,A000000,00700,0000,00700HOUSEKEEPING 73171,A000000,00800,0000,00800DIETARY 73171,A000000,00900,0000,00900NURSING ADMINISTRATION 73171,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73171,A000000,01100,0000,01100PHARMACY 73171,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73171,A000000,01300,0000,01300SOCIAL SERVICE 73171,A000000,01350,0000,01500ACTIVITIES 73171,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73171,A000000,01600,0000,01600SKILLED NURSING FACILITY 73171,A000000,01810,0000,01810ICF/MR 73171,A000000,02100,0000,02100RADIOLOGY 73171,A000000,02200,0000,02200LABORATORY 73171,A000000,02500,0000,02500PHYSICAL THERAPY 73171,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73171,A000000,02700,0000,02700SPEECH PATHOLOGY 73171,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73171,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73171,A000000,03550,0000,03550FQHC 73171,A000000,05000,0000,05000CORF 73171,A000000,05010,0000,05010CMHC 73171,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73171,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73171,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73171,B100000,00000,0100,00040SQUARE FEET 73171,B100000,00000,0200,00040SQUARE FEET 73171,B100000,00000,0300,00040GROSS SALARIES 73171,B100000,00000,0400,00040ACCUM COST 73171,B100000,00000,0500,00040SQUARE FEET 73171,B100000,00000,0600,00040POUNDS OF LAUNDRY 73171,B100000,00000,0700,00040HOURS OF SERVICE 73171,B100000,00000,0800,00040MEALS SERVED 73171,B100000,00000,0900,00040DIRECT NRSG HRS 73171,B100000,00000,1000,00040COSTED REQUIS 73171,B100000,00000,1100,00040COSTED REQUIS 73171,B100000,00000,1200,00040TIME SPENT 73171,B100000,00000,1300,00040TIME SPENT 73171,B100000,00000,1350,00040TIME SPENT 73171,B100000,00000,1400,00040ASSIGNED TIME 73171,S000000,00100,0200,05/31/2000 73171,S200000,00100,0100,402 NORTH STREET 73171,S200000,00200,0100,WAKEFIELD 73171,S200000,00200,0200,MI 73171,S200000,00200,0300,49968 73171,S200000,00300,0100,GOGEBIC 73171,S200000,00400,0100,GOGEBIC MEDICAL CARE FACILITY 73171,S200000,00400,0200,235026 73171,S200000,00400,0300,07/01/1966 73171,S200000,00400,0500,P 73171,S200000,01500,0100,Y 73171,S200000,03300,0100,Y 73171,S200000,03300,0200,Y 73172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73172,A000000,00300,0000,00300EMPLOYEE BENEFITS 73172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73172,A000000,00700,0000,00700HOUSEKEEPING 73172,A000000,00800,0000,00800DIETARY 73172,A000000,00900,0000,00900NURSING ADMINISTRATION 73172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73172,A000000,01100,0000,01100PHARMACY 73172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73172,A000000,01300,0000,01300SOCIAL SERVICE 73172,A000000,01350,0000,01500DIVERSIONAL THERAPY 73172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73172,A000000,01600,0000,01600SKILLED NURSING FACILITY 73172,A000000,01810,0000,01810ICF/MR 73172,A000000,02100,0000,02100RADIOLOGY 73172,A000000,02200,0000,02200LABORATORY 73172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73172,A000000,02500,0000,02500PHYSICAL THERAPY 73172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73172,A000000,02700,0000,02700SPEECH PATHOLOGY 73172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73172,A000000,03550,0000,03550FQHC 73172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73172,A000000,05000,0000,05000CORF 73172,A000000,05010,0000,05010CMHC 73172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73172,A81000A,00100,0100,Y 73172,A81000B,00100,0300,MOE 73172,A81000B,00200,0300,ADMIN & GENERAL 73172,A81000B,00300,0300,PLANT & OPERATIONS 73172,A81000C,00100,0100,B 73172,A81000C,00100,0200,EATON COUNTY 73172,A81000C,00100,0400,EATON COUNTY 73172,A81000C,00100,0600,GOVERNMENT 73172,B100000,00000,0100,00000SQUARE FEET 73172,B100000,00000,0200,00000SQUARE FEET 73172,B100000,00000,0300,00000GROSS SALARIES 73172,B100000,00000,0400,00000ACCUM. COST 73172,B100000,00000,0500,00000SQUARE FEET 73172,B100000,00000,0600,00000POUNDS OF LAUNDRY 73172,B100000,00000,0700,00000SQUARE FEET 73172,B100000,00000,0800,00000MEALS SERVED 73172,B100000,00000,0900,00000DIRECT NRSING HRS 73172,B100000,00000,1000,00000COSTED REQUIS. 73172,B100000,00000,1100,00000COSTED REQUIS. 73172,B100000,00000,1200,00000TIME SPENT 73172,B100000,00000,1300,00000TIME SPENT 73172,B100000,00000,1350,00000TIME SPENT 73172,B100000,00000,1400,00000ASSIGNED TIME 73172,E10A180,00301,0100,05/27/1999 73172,E10A180,00301,0300,07/29/1999 73172,E10A180,00350,0100,07/29/1999 73172,E10A180,00350,0300,07/29/1999 73172,E10A180,00550,0300,02/28/2001 73172,E10A180,00551,0300,03/20/2000 73172,S000000,00100,0200,03/14/2000 73172,S200000,00100,0100,530 BEECH 73172,S200000,00200,0100,CHARLOTTE 73172,S200000,00200,0200,MI 73172,S200000,00300,0100,EATON 73172,S200000,00400,0100,EATON CMCF 73172,S200000,00400,0200,235027 73172,S200000,00400,0300,07/01/1966 73172,S200000,00400,0500,P 73172,S200000,01500,0100,Y 73174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73174,A000000,00300,0000,00300EMPLOYEE BENEFITS 73174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73174,A000000,00700,0000,00700HOUSEKEEPING 73174,A000000,00800,0000,00800DIETARY 73174,A000000,00900,0000,00900NURSING ADMINISTRATION 73174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73174,A000000,01100,0000,01100PHARMACY 73174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73174,A000000,01300,0000,01300SOCIAL SERVICE 73174,A000000,01350,0000,01500ACTIVITIES 73174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73174,A000000,01600,0000,01600SKILLED NURSING FACILITY 73174,A000000,01810,0000,01810ICF/MR 73174,A000000,02100,0000,02100RADIOLOGY 73174,A000000,02200,0000,02200LABORATORY 73174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73174,A000000,02500,0000,02500PHYSICAL THERAPY 73174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73174,A000000,02700,0000,02700SPEECH PATHOLOGY 73174,A000000,02800,0000,02800ELECTROCARDIOLOGY 73174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73174,A000000,03550,0000,03550FQHC 73174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73174,A000000,05000,0000,05000CORF 73174,A000000,05010,0000,05010CMHC 73174,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73174,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73174,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73174,B100000,00000,0100,00000SQUARE FEET 73174,B100000,00000,0200,00000SQUARE FEET 73174,B100000,00000,0300,00000GROSS SALARIES 73174,B100000,00000,0400,00000ACCUM. COST 73174,B100000,00000,0500,00000SQUARE FEET 73174,B100000,00000,0600,00000POUNDS OF LAUNDRY 73174,B100000,00000,0700,00000SQUARE FEET 73174,B100000,00000,0800,00000MEALS SERVED 73174,B100000,00000,0900,00000DIRECT NRSING HRS 73174,B100000,00000,1000,00000TIME SPENT 73174,B100000,00000,1100,00000TIME SPENT 73174,B100000,00000,1200,00000TIME SPENT 73174,B100000,00000,1300,00000TIME SPENT 73174,B100000,00000,1350,00000TIME SPENT 73174,B100000,00000,1400,00000TIME SPENT 73174,E10A180,00550,0300,06/07/2000 73174,S000000,00100,0200,05/26/2000 73174,S200000,00100,0100,1116 S. VAN DYKE 73174,S200000,00200,0100,BAD AXE 73174,S200000,00200,0200,MI 73174,S200000,00300,0100,HURON 73174,S200000,00400,0100,HURON MCF 73174,S200000,00400,0200,235028 73174,S200000,00400,0300,07/01/1966 73174,S200000,00400,0500,P 73174,S200000,01500,0100,Y 73174,S200000,01900,0100,501 (C) (3) 73175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73175,A000000,00300,0000,00300EMPLOYEE BENEFITS 73175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73175,A000000,00700,0000,00700HOUSEKEEPING 73175,A000000,00800,0000,00800DIETARY 73175,A000000,00900,0000,00900NURSING ADMINISTRATION 73175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73175,A000000,01100,0000,01100PHARMACY 73175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73175,A000000,01300,0000,01300SOCIAL SERVICE 73175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73175,A000000,01600,0000,01600SKILLED NURSING FACILITY 73175,A000000,01810,0000,01810ICF/MR 73175,A000000,02100,0000,02100RADIOLOGY 73175,A000000,02200,0000,02200LABORATORY 73175,A000000,02500,0000,02500PHYSICAL THERAPY 73175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73175,A000000,02700,0000,02700SPEECH PATHOLOGY 73175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73175,A000000,03550,0000,03550FQHC 73175,A000000,05000,0000,05000CORF 73175,A000000,05010,0000,05010CMHC 73175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73175,A81000A,00100,0100,Y 73175,A81000B,00100,0300,MAINTENANCE OF EFFOR 73175,A81000C,00100,0100,B 73175,A81000C,00100,0200,COUNTY OF HOUGH 73175,A81000C,00100,0400,COUNTY OF HOUGH 73175,A81000C,00100,0600,COUNTY GOVERNME 73175,B100000,00000,0100,00040SQUARE FEET 73175,B100000,00000,0200,00040SQUARE FEET 73175,B100000,00000,0300,00040GROSS SALARIES 73175,B100000,00000,0400,00040ACCUM COST 73175,B100000,00000,0500,00040SQUARE FEET 73175,B100000,00000,0600,00040POUNDS OF LAUNDRY 73175,B100000,00000,0700,00040HOURS OF SERVICE 73175,B100000,00000,0800,00040MEALS SERVED 73175,B100000,00000,0900,00040DIRECT NRSG HRS 73175,B100000,00000,1000,00040COSTED REQUIS 73175,B100000,00000,1100,00040COSTED REQUIS 73175,B100000,00000,1200,00040TIME SPENT 73175,B100000,00000,1300,00040TIME SPENT 73175,B100000,00000,1400,00040ASSIGNED TIME 73175,E10A180,00501,0100,05/30/2001 73175,E10A180,00551,0300,05/30/2001 73175,S000000,00100,0200,05/31/2000 73175,S200000,00100,0100,1100 QUINCY STREET 73175,S200000,00200,0100,HANCOCK 73175,S200000,00200,0200,MI 73175,S200000,00200,0300,49930 73175,S200000,00300,0100,HOUGHTON 73175,S200000,00400,0100,HOUGHTON COUNTY MEDICAL CARE FAC. 73175,S200000,00400,0200,235031 73175,S200000,00400,0300,10/01/1966 73175,S200000,00400,0500,P 73175,S200000,01500,0100,Y 73175,S200000,02200,0100,Y 73175,S200000,02900,0100,Y 73175,S200000,03000,0100,Y 73176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73176,A000000,00300,0000,00300EMPLOYEE BENEFITS 73176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73176,A000000,00700,0000,00700HOUSEKEEPING 73176,A000000,00800,0000,00800DIETARY 73176,A000000,00900,0000,00900NURSING ADMINISTRATION 73176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73176,A000000,01100,0000,01100PHARMACY 73176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73176,A000000,01300,0000,01300SOCIAL SERVICE 73176,A000000,01350,0000,01500DIVERSIONAL THERAPY 73176,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73176,A000000,01600,0000,01600SKILLED NURSING FACILITY 73176,A000000,01810,0000,01810ICF/MR 73176,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73176,A000000,02500,0000,02500PHYSICAL THERAPY 73176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73176,A000000,02700,0000,02700SPEECH PATHOLOGY 73176,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73176,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73176,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73176,A000000,03550,0000,03550FQHC 73176,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73176,A000000,05000,0000,05000CORF 73176,A000000,05010,0000,05010CMHC 73176,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73176,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73176,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73176,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73176,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73176,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73176,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73176,A81000A,00100,0100,Y 73176,A81000B,00100,0300,MOE 73176,A81000C,00100,0100,B 73176,A81000C,00100,0200,EMMET COUNTY 73176,A81000C,00100,0400,EMMET COUNTY 73176,A81000C,00100,0600,COUNTY 73176,B100000,00000,0100,00000SQUARE FEET 73176,B100000,00000,0200,00000NO STATISTICS 73176,B100000,00000,0300,00000GROSS SALARIES 73176,B100000,00000,0400,00000ACCUM. COST 73176,B100000,00000,0500,00000SQUARE FEET 73176,B100000,00000,0600,00000POUNDS OF LAUNDRY 73176,B100000,00000,0700,00000SQUARE FEET 73176,B100000,00000,0800,00000MEALS SERVED 73176,B100000,00000,0900,00000DIRECTNURS SING HOUR 73176,B100000,00000,1000,00000NO STATISTICS 73176,B100000,00000,1100,00000NO STATISTICS 73176,B100000,00000,1200,00000NO STATISTICS 73176,B100000,00000,1300,00000TIME SPENT 73176,B100000,00000,1350,00000TIME SPENT 73176,B100000,00000,1400,00000NO STATISTICS 73176,S000000,00100,0200,06/29/2000 73176,S200000,00100,0100,750 EAST MAIN 73176,S200000,00200,0100,HARBOR SPRINGS 73176,S200000,00200,0200,MI 73176,S200000,00300,0100,EMMET 73176,S200000,00400,0100,EMMET COUNTY MCF 73176,S200000,00400,0200,235033 73176,S200000,00400,0300,07/01/1966 73176,S200000,00400,0500,P 73176,S200000,01500,0100,Y 73176,S200000,01900,0100,HEALTH CARE 73176,S200000,02800,0100,Y 73176,S200000,04300,0100,Y 73178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73178,A000000,00300,0000,00300EMPLOYEE BENEFITS 73178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73178,A000000,00700,0000,00700HOUSEKEEPING 73178,A000000,00800,0000,00800DIETARY 73178,A000000,00900,0000,00900NURSING ADMINISTRATION 73178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73178,A000000,01100,0000,01100PHARMACY 73178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73178,A000000,01300,0000,01300SOCIAL SERVICE 73178,A000000,01350,0000,01500ACTIVITIES 73178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73178,A000000,01600,0000,01600SKILLED NURSING FACILITY 73178,A000000,02100,0000,02100RADIOLOGY 73178,A000000,02200,0000,02200LABORATORY 73178,A000000,02500,0000,02500PHYSICAL THERAPY 73178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73178,A000000,02700,0000,02700SPEECH PATHOLOGY 73178,A000000,02800,0000,02800ELECTROCARDIOLOGY 73178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73178,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73178,A000000,03550,0000,03550FQHC 73178,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73178,A000000,05000,0000,05000CORF 73178,A000000,05010,0000,05010CMHC 73178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73178,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73178,A000000,06151,0000,06301ADULT DAY CARE 73178,A81000A,00100,0100,Y 73178,A81000B,00100,0300,MOE 73178,A81000B,00200,0300,BOARD MEMBER EXPENSES 73178,A81000C,00100,0100,B 73178,A81000C,00100,0200,ISABELLA COUNTY 73178,A81000C,00100,0400,ISABELLA COUNTY 73178,A81000C,00100,0600,GOVERNMENT 73178,A81000C,00200,0100,B 73178,B100000,00000,0100,00001SQUARE FEET 73178,B100000,00000,0200,00001DOLLAR VALUE 73178,B100000,00000,0300,00001GROSS SALARIES 73178,B100000,00000,0400,00001ACCUM. COST 73178,B100000,00000,0500,00001SQUARE FEET 73178,B100000,00000,0600,00001POUNDS OF LAUNDRY 73178,B100000,00000,0700,00001SQUARE FEET 73178,B100000,00000,0800,00001MEALS SERVED 73178,B100000,00000,0900,00001DIRECT NRSING HRS 73178,B100000,00000,1000,00001COSTED REQUIS. 73178,B100000,00000,1100,00001COSTED REQUIS. 73178,B100000,00000,1200,00001TIME SPENT 73178,B100000,00000,1300,00001TIME SPENT 73178,B100000,00000,1350,00001TIME SPENT 73178,B100000,00000,1400,00001ASSIGNED TIME 73178,S000000,00100,0200,05/17/2000 73178,S200000,00100,0100,1222 NORTH DRIVE 73178,S200000,00200,0100,MT. PLEASANT 73178,S200000,00200,0200,MI 73178,S200000,00300,0100,ISABELLA 73178,S200000,00400,0100,ISABELLA COUNTY MCF 73178,S200000,00400,0200,235037 73178,S200000,00400,0300,01/01/1965 73178,S200000,00400,0500,P 73178,S200000,01500,0100,Y 73178,S200000,02800,0100,Y 73185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73185,A000000,00300,0000,00300EMPLOYEE BENEFITS 73185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73185,A000000,00700,0000,00700HOUSEKEEPING 73185,A000000,00800,0000,00800DIETARY 73185,A000000,00900,0000,00900NURSING ADMINISTRATION 73185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73185,A000000,01100,0000,01100PHARMACY 73185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73185,A000000,01300,0000,01300SOCIAL SERVICE 73185,A000000,01350,0000,01500DIVERSIONAL THERAPY 73185,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73185,A000000,01600,0000,01600SKILLED NURSING FACILITY 73185,A000000,01800,0000,01800NURSING FACILITY 73185,A000000,01810,0000,01810ICF/MR 73185,A000000,02100,0000,02100RADIOLOGY 73185,A000000,02200,0000,02200LABORATORY 73185,A000000,02300,0000,02300INTRAVENOUS THERAPY 73185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73185,A000000,02500,0000,02500PHYSICAL THERAPY 73185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73185,A000000,02700,0000,02700SPEECH PATHOLOGY 73185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73185,A000000,03550,0000,03550FQHC 73185,A000000,05000,0000,05000CORF 73185,A000000,05010,0000,05010CMHC 73185,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73185,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73185,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73185,A000000,06200,0000,06200PATIENTS LAUNDRY 73185,A81000A,00100,0100,Y 73185,A81000B,00100,0300,ADMIN. SALARIES 73185,A81000B,00200,0300,LAUNDRY SERVICE 73185,A81000B,00300,0300,PRESCIPTIONS DRUGS 73185,A81000B,00400,0300,FLOOR STOCK 73185,A81000B,00500,0300,STAFF 73185,A81000B,00600,0300,STAFF 73185,A81000B,00700,0300,STAFF 73185,A81000B,00800,0300,HR STAFF 73185,A81000B,00900,0300,HOME OFFICE COSTS 73185,A81000B,01000,0300,HOME OFFICE COSTS 73185,A81000C,00100,0100,B 73185,A81000C,00100,0200,OHI 73185,A81000C,00100,0600,HEALTHCARE 73185,A81000C,00200,0100,B 73185,A81000C,00200,0200,OHI 73185,A81000C,00200,0600,LAUNDRY 73185,A81000C,00300,0100,B 73185,A81000C,00300,0200,OAKWOOD PHARMAC 73185,A81000C,00300,0600,PHARMACY 73185,A81000C,00400,0100,B 73185,A81000C,00400,0200,OAKWOOD PHARMAC 73185,A81000C,00400,0600,PHARMACY 73185,A81000C,00500,0100,B 73185,A81000C,00500,0200,OHP 73185,A81000C,00500,0600,THERAPY SERVICE 73185,A81000C,00600,0100,B 73185,A81000C,00600,0200,OHP 73185,A81000C,00600,0600,THERAPY SERVICE 73185,A81000C,00700,0100,B 73185,A81000C,00700,0200,OHP 73185,A81000C,00700,0600,THERAPY SERVICE 73185,A81000C,00800,0100,B 73185,A81000C,00800,0200,OHI 73185,A81000C,00800,0600,HEALTHCARE 73185,A81000C,00900,0100,B 73185,A81000C,00900,0200,OHI 73185,A81000C,00900,0600,HOME OFFICE 73185,A81000C,01000,0100,B 73185,A81000C,01000,0200,OHI 73185,A81000C,01000,0600,HOME OFFICE 73185,B100000,00000,0100,00000SQUARE FEET 73185,B100000,00000,0200,00000SQUARE FEET 73185,B100000,00000,0300,00000GROSS SALARIES 73185,B100000,00000,0400,00000ACCUM COST 73185,B100000,00000,0500,00000SQUARE FEET 73185,B100000,00000,0600,00000POUNDS OF LAUNDRY 73185,B100000,00000,0700,00000HOURS OF SERVICE 73185,B100000,00000,0800,00000MEALS SERVED 73185,B100000,00000,0900,00000DIRECT NRSG HRS 73185,B100000,00000,1000,00000COSTED REQUIS 73185,B100000,00000,1100,00000COSTED REQUIS 73185,B100000,00000,1200,00000TIME SPENT 73185,B100000,00000,1300,00000TIME SPENT 73185,B100000,00000,1350,00000PATIENT DAYS 73185,B100000,00000,1400,00000ASSIGNED TIME 73185,S000000,00100,0200,05/31/2000 73185,S200000,00100,0100,5500 FORT ST. 73185,S200000,00200,0100,TRENTON 73185,S200000,00200,0200,MI 73185,S200000,00200,0300,48153 73185,S200000,00300,0100,WAYNE 73185,S200000,00400,0100,OAKWOOD SKILLED TRENTON 73185,S200000,00400,0200,235052 73185,S200000,00400,0300,06/01/1986 73185,S200000,00400,0500,P 73185,S200000,00400,0600,O 73185,S200000,00600,0200,235052 73185,S200000,00600,0300,06/01/1986 73185,S200000,00600,0500,P 73185,S200000,01600,0100,Y 73185,S200000,01900,0100,CORPORATION 73185,S200000,02200,0100,Y 73189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73189,A000000,00300,0000,00300EMPLOYEE BENEFITS 73189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73189,A000000,00700,0000,00700HOUSEKEEPING 73189,A000000,00800,0000,00800DIETARY 73189,A000000,00900,0000,00900NURSING ADMINISTRATION 73189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73189,A000000,01100,0000,01100PHARMACY 73189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73189,A000000,01300,0000,01300SOCIAL SERVICE 73189,A000000,01350,0000,01500DIVERSIONAL THERAPY 73189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73189,A000000,01600,0000,01600SKILLED NURSING FACILITY 73189,A000000,01810,0000,01810ICF/MR 73189,A000000,02100,0000,02100RADIOLOGY 73189,A000000,02200,0000,02200LABORATORY 73189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73189,A000000,02500,0000,02500PHYSICAL THERAPY 73189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73189,A000000,02700,0000,02700SPEECH PATHOLOGY 73189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73189,A000000,03050,0000,03300AIR FLUIDIZED BEDS 73189,A000000,03550,0000,03550FQHC 73189,A000000,05000,0000,05000CORF 73189,A000000,05010,0000,05010CMHC 73189,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73189,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73189,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73189,A81000A,00100,0100,Y 73189,A81000B,00100,0300,RENTAL LAND/BLDG 73189,A81000C,00100,0100,A 73189,A81000C,00100,0200,JON REARDON 73189,A81000C,00100,0400,HOYT NURSING HO 73189,A81000C,00100,0600,RENTAL LAND/BUI 73189,A81000C,00200,0100,D 73189,A81000C,00200,0200,SHARON REARDON 73189,A81000C,00200,0400,HOYT NURSING HO 73189,A81000C,00200,0600,RENTAL LAND/BUI 73189,B100000,00000,0100,00040SQUARE FEET 73189,B100000,00000,0200,00040SQUARE FEET 73189,B100000,00000,0300,00040GROSS SALARIES 73189,B100000,00000,0400,00040ACCUM COST 73189,B100000,00000,0500,00040SQUARE FEET 73189,B100000,00000,0600,00040POUNDS OF LAUNDRY 73189,B100000,00000,0700,00040HOURS OF SERVICE 73189,B100000,00000,0800,00040MEALS SERVED 73189,B100000,00000,0900,00040DIRECT NRSG HRS 73189,B100000,00000,1000,00040COSTED REQUIS 73189,B100000,00000,1100,00040COSTED REQUIS 73189,B100000,00000,1200,00040TIME SPENT 73189,B100000,00000,1300,00040TIME SPENT 73189,B100000,00000,1350,00040(TIME SPENT) 73189,B100000,00000,1400,00040ASSIGNED TIME 73189,S000000,00100,0200,05/31/2000 73189,S200000,00100,0100,1202 WEISS STREET 73189,S200000,00200,0100,SAGINAW 73189,S200000,00200,0200,MI 73189,S200000,00200,0300,48603 73189,S200000,00300,0100,SAGINAW 73189,S200000,00400,0100,HOYT NURSING HOME 73189,S200000,00400,0200,235056 73189,S200000,00400,0300,01/01/1980 73189,S200000,00400,0500,P 73189,S200000,00400,0600,O 73189,S200000,01500,0100,Y 73191,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73191,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73191,A000000,00300,0000,00300EMPLOYEE BENEFITS 73191,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73191,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73191,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73191,A000000,00700,0000,00700HOUSEKEEPING 73191,A000000,00800,0000,00800DIETARY 73191,A000000,00900,0000,00900NURSING ADMINISTRATION 73191,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73191,A000000,01100,0000,01100PHARMACY 73191,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73191,A000000,01300,0000,01300SOCIAL SERVICE 73191,A000000,01350,0000,01500OTHER GENERAL SERVICES 73191,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73191,A000000,01600,0000,01600SKILLED NURSING FACILITY 73191,A000000,01810,0000,01810ICF/MR 73191,A000000,02100,0000,02100RADIOLOGY 73191,A000000,02200,0000,02200LABORATORY 73191,A000000,02500,0000,02500PHYSICAL THERAPY 73191,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73191,A000000,02700,0000,02700SPEECH PATHOLOGY 73191,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73191,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73191,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73191,A000000,03550,0000,03550FQHC 73191,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73191,A000000,05000,0000,05000CORF 73191,A000000,05010,0000,05010CMHC 73191,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73191,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73191,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73191,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73191,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73191,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73191,A81000A,00100,0100,Y 73191,A81000B,00100,0300,BOARD MEMBER EXPENSE 73191,A81000C,00100,0100,B 73191,A81000C,00100,0200,LAPEER COUNTY 73191,B100000,00000,0100,00000SQUARE FEET 73191,B100000,00000,0200,00000SQUARE FEET 73191,B100000,00000,0300,00000GROSS SALARIES 73191,B100000,00000,0400,00000ACCUM. COST 73191,B100000,00000,0500,00000SQUARE FEET 73191,B100000,00000,0600,00000POUNDS OF LAUNDRY 73191,B100000,00000,0700,00000HOURS OF SERVICE 73191,B100000,00000,0800,00000MEALS SERVED 73191,B100000,00000,0900,00000DIRECT NURSING HR 73191,B100000,00000,1000,00000NO STATISTICS 73191,B100000,00000,1100,00000NO STATISTICS 73191,B100000,00000,1200,00000NO STATISTICS 73191,B100000,00000,1300,00000PATIENT DAYS 73191,B100000,00000,1350,00000NO STATISTICS 73191,B100000,00000,1400,00000NO STATISTICS 73191,S000000,00100,0200,05/30/2000 73191,S200000,00100,0100,1455 SUNCREST DRIVE 73191,S200000,00200,0100,LAPEER 73191,S200000,00200,0200,MI 73191,S200000,00300,0100,LAPEER 73191,S200000,00400,0100,LAPEER COUNTY MCF 73191,S200000,00400,0200,235058 73191,S200000,00400,0300,07/01/1966 73191,S200000,00400,0500,P 73191,S200000,01500,0100,Y 73191,S200000,01900,0100,CORPORATION 73191,S200000,02800,0100,Y 73192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73192,A000000,00300,0000,00300EMPLOYEE BENEFITS 73192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73192,A000000,00700,0000,00700HOUSEKEEPING 73192,A000000,00800,0000,00800DIETARY 73192,A000000,00900,0000,00900NURSING ADMINISTRATION 73192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73192,A000000,01100,0000,01100PHARMACY 73192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73192,A000000,01300,0000,01300SOCIAL SERVICE 73192,A000000,01350,0000,01500OTHER GENERAL SERVICES 73192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73192,A000000,01600,0000,01600SKILLED NURSING FACILITY 73192,A000000,01810,0000,01810ICF/MR 73192,A000000,02100,0000,02100RADIOLOGY 73192,A000000,02200,0000,02200LABORATORY 73192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73192,A000000,02500,0000,02500PHYSICAL THERAPY 73192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73192,A000000,02700,0000,02700SPEECH PATHOLOGY 73192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73192,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73192,A000000,03550,0000,03550FQHC 73192,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73192,A000000,05000,0000,05000CORF 73192,A000000,05010,0000,05010CMHC 73192,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73192,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73192,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73192,A81000A,00100,0100,Y 73192,A81000B,00100,0300,BOARD EXPENSE 73192,A81000B,00200,0300,MOE 73192,A81000C,00100,0100,B 73192,A81000C,00100,0200,CHARLEVOIX COUNTY 73192,A81000C,00100,0400,CHARLEVOIX COUNTY 73192,A81000C,00100,0600,COUNTY 73192,B100000,00000,0100,00000SQUARE FEET 73192,B100000,00000,0200,00000DOLLAR VALUE 73192,B100000,00000,0300,00000GROSS SALARIES 73192,B100000,00000,0400,00000ACCUM. COST 73192,B100000,00000,0500,00000SQUARE FEET 73192,B100000,00000,0600,00000POUNDS OF LAUNDRY 73192,B100000,00000,0700,00000HOURS OF SERVICE 73192,B100000,00000,0800,00000MEALS SERVED 73192,B100000,00000,0900,00000DIRECT NRSNG HOUR 73192,B100000,00000,1000,00000COSTED REQUIS. 73192,B100000,00000,1100,00000COSTED REQUIS. 73192,B100000,00000,1200,00000TIME SPENT 73192,B100000,00000,1300,00000TIME SPENT 73192,B100000,00000,1350,00000OTHER 73192,B100000,00000,1400,00000ASSIGNED TIME 73192,S000000,00100,0200,05/30/2000 73192,S200000,00100,0100,1728 S. PENINSULA RD 73192,S200000,00200,0100,EAST JORDAN 73192,S200000,00200,0200,MI 73192,S200000,00300,0100,CHARLEVOIX 73192,S200000,00400,0100,GRANDVUE MCF 73192,S200000,00400,0200,235062 73192,S200000,00400,0300,07/01/1966 73192,S200000,00400,0500,P 73192,S200000,01500,0100,Y 73193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73193,A000000,00300,0000,00300EMPLOYEE BENEFITS 73193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73193,A000000,00700,0000,00700HOUSEKEEPING 73193,A000000,00800,0000,00800DIETARY 73193,A000000,00900,0000,00900NURSING ADMINISTRATION 73193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73193,A000000,01100,0000,01100PHARMACY 73193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73193,A000000,01300,0000,01300SOCIAL SERVICE 73193,A000000,01350,0000,01500ACTIVITIES 73193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73193,A000000,01600,0000,01600SKILLED NURSING FACILITY 73193,A000000,01810,0000,01810ICF/MR 73193,A000000,02100,0000,02100RADIOLOGY 73193,A000000,02200,0000,02200LABORATORY 73193,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73193,A000000,02500,0000,02500PHYSICAL THERAPY 73193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73193,A000000,02700,0000,02700SPEECH PATHOLOGY 73193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73193,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73193,A000000,03200,0000,03200SUPPORT SURFACES 73193,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73193,A000000,03550,0000,03550FQHC 73193,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73193,A000000,05000,0000,05000CORF 73193,A000000,05010,0000,05010CMHC 73193,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73193,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73193,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73193,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73193,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73193,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73193,A81000A,00100,0100,Y 73193,A81000B,00100,0300,WORKERS COMP INSURANCE 73193,A81000C,00100,0100,A 73193,A81000C,00100,0200,SHIAWASSEE 73193,A81000C,00100,0400,SHIAWASSEE COUNTY 73193,A81000C,00100,0600,COUNTY GOVT 73193,B100000,00000,0100,00000SQUARE FEET 73193,B100000,00000,0200,00000SQUARE FEET 73193,B100000,00000,0300,00000GROSS SALARIES 73193,B100000,00000,0400,00000ACCUM. COST 73193,B100000,00000,0500,00000SQUARE FEET 73193,B100000,00000,0600,00000POUNDS OF LAUNDRY 73193,B100000,00000,0700,00000SQUARE FEET 73193,B100000,00000,0800,00000MEALS SERVED 73193,B100000,00000,0900,00000DIRECT NURSING HR 73193,B100000,00000,1000,00000NO STATISTICS 73193,B100000,00000,1100,00000NO STATISTICS 73193,B100000,00000,1200,00000NO STATISTICS 73193,B100000,00000,1300,00000TIME SPENT 73193,B100000,00000,1350,00000TIME SPENT 73193,B100000,00000,1400,00000NO STATISTICS 73193,E10A180,00501,0300,02/21/2001 73193,S000000,00100,0200,05/09/2000 73193,S200000,00100,0100,729 SOUTH NORTON STREET 73193,S200000,00200,0100,CORUNNA 73193,S200000,00200,0200,MI 73193,S200000,00300,0100,SHIAWASSE 73193,S200000,00400,0100,SHIAWASSE COUNTY MCF 73193,S200000,00400,0200,235067 73193,S200000,00400,0300,01/01/1967 73193,S200000,00400,0500,P 73193,S200000,01500,0100,Y 73193,S200000,01900,0100,CORPORATION 73193,S200000,02800,0100,Y 73198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73198,A000000,00300,0000,00300EMPLOYEE BENEFITS 73198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73198,A000000,00700,0000,00700HOUSEKEEPING 73198,A000000,00800,0000,00800DIETARY 73198,A000000,00900,0000,00900NURSING ADMINISTRATION 73198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73198,A000000,01100,0000,01100PHARMACY 73198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73198,A000000,01300,0000,01300SOCIAL SERVICE 73198,A000000,01350,0000,01500DIVERSIONAL THERAPY 73198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73198,A000000,01600,0000,01600SKILLED NURSING FACILITY 73198,A000000,01810,0000,01810ICF/MR 73198,A000000,02100,0000,02100RADIOLOGY 73198,A000000,02200,0000,02200LABORATORY 73198,A000000,02500,0000,02500PHYSICAL THERAPY 73198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73198,A000000,02700,0000,02700SPEECH PATHOLOGY 73198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73198,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73198,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73198,A000000,03550,0000,03550FQHC 73198,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73198,A000000,05000,0000,05000CORF 73198,A000000,05010,0000,05010CMHC 73198,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73198,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73198,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73198,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73198,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73198,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73198,A81000A,00100,0100,Y 73198,A81000B,00100,0300,ADMIN AND GENERAL - FIA BOARD 73198,A81000C,00100,0100,B 73198,A81000C,00100,0200,TUSCOLA COUNTY 73198,A81000C,00100,0400,TUSCOLA COUNTY 73198,A81000C,00100,0600,COUNTY GOVERNMENT 73198,B100000,00000,0100,00000SQUARE FEET 73198,B100000,00000,0200,00000SQUARE FEET 73198,B100000,00000,0300,00000GROSS SALARIES 73198,B100000,00000,0400,00000ACCUM. COST 73198,B100000,00000,0500,00000SQUARE FEET 73198,B100000,00000,0600,00000POUNDS OF LAUNDRY 73198,B100000,00000,0700,00000SQUARE FEET 73198,B100000,00000,0800,00000MEALS SERVED 73198,B100000,00000,0900,00000HOURS OF SERVICE 73198,B100000,00000,1000,00000COST REQUIS. 73198,B100000,00000,1100,00000COST REQUIS. 73198,B100000,00000,1200,00000TIME SPENT 73198,B100000,00000,1300,00000TIME SPENT 73198,B100000,00000,1350,00000TIME SPENT 73198,B100000,00000,1400,00000TIME SPENT 73198,S000000,00100,0200,05/31/2000 73198,S200000,00100,0100,1285 CLEAVER ROAD 73198,S200000,00100,0300,313 73198,S200000,00200,0100,CARO 73198,S200000,00200,0200,MI 73198,S200000,00300,0100,TUSCOLA 73198,S200000,00400,0100,TUSCOLA COUNTY MCF 73198,S200000,00400,0200,235089 73198,S200000,00400,0300,01/01/1999 73198,S200000,00400,0500,P 73198,S200000,01500,0100,Y 73198,S200000,02800,0100,Y 73199,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73199,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73199,A000000,00300,0000,00300EMPLOYEE BENEFITS 73199,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73199,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73199,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73199,A000000,00700,0000,00700HOUSEKEEPING 73199,A000000,00800,0000,00800DIETARY 73199,A000000,00900,0000,00900NURSING ADMINISTRATION 73199,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73199,A000000,01100,0000,01100PHARMACY 73199,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73199,A000000,01300,0000,01300SOCIAL SERVICE 73199,A000000,01350,0000,01500RECREATIONAL THERAPY 73199,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73199,A000000,01600,0000,01600SKILLED NURSING FACILITY 73199,A000000,01810,0000,01810ICF/MR 73199,A000000,02100,0000,02100RADIOLOGY 73199,A000000,02200,0000,02200LABORATORY 73199,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73199,A000000,02500,0000,02500PHYSICAL THERAPY 73199,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73199,A000000,02700,0000,02700SPEECH PATHOLOGY 73199,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73199,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73199,A000000,03050,0000,03300INSULIN TESTING 73199,A000000,03200,0000,03200SUPPORT SURFACES 73199,A000000,03550,0000,03550FQHC 73199,A000000,04800,0000,04800AMBULANCE 73199,A000000,05000,0000,05000CORF 73199,A000000,05010,0000,05010CMHC 73199,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73199,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73199,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73199,A000000,05300,0000,05300INTEREST EXPENSE 73199,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73199,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73199,A000000,06150,0000,06300RENTAL PROPERTIES 73199,A81000A,00100,0100,Y 73199,A81000B,00100,0300,HOME OFFICE COST 73199,A81000B,00200,0300,HOME OFFICE COST 73199,A81000C,00100,0100,B 73199,A81000C,00100,0400,LSSM 73199,A81000C,00100,0600,SOCIAL SERVICE 73199,B100000,00000,0100,00000SQUARE FEET 73199,B100000,00000,0200,00000SQUARE FEET 73199,B100000,00000,0300,00000GROSS SALARIES 73199,B100000,00000,0400,00000ACCUM COST 73199,B100000,00000,0500,00000SQUARE FEET 73199,B100000,00000,0600,00000POUNDS OF LAUNDRY 73199,B100000,00000,0700,00000HOURS OF SERVICE 73199,B100000,00000,0800,00000MEALS SERVED 73199,B100000,00000,0900,00000DIRECT NRSG HRS 73199,B100000,00000,1000,00000COSTED REQUIS 73199,B100000,00000,1100,00000COSTED REQUIS 73199,B100000,00000,1200,00000TIME SPENT 73199,B100000,00000,1300,00000TIME SPENT 73199,B100000,00000,1350,00000TIME SPENT 73199,B100000,00000,1400,00000ASSIGNED TIME 73199,S000000,00100,0200,06/02/2000 73199,S200000,00100,0100,460 PEARL STREET 73199,S200000,00200,0100,CADILLAC 73199,S200000,00200,0200,MI 73199,S200000,00200,0300,49601 73199,S200000,00300,0100,CADILLAC 73199,S200000,00400,0100,LAKEVIEW LUTHERAN MANOR 73199,S200000,00400,0200,235094 73199,S200000,00400,0300,01/01/1980 73199,S200000,00400,0500,P 73199,S200000,01600,0100,Y 73199,S200000,01900,0100,HEALTH CARE 73199,S200000,02800,0100,Y 73199,S200000,04300,0100,Y 73202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73202,A000000,00300,0000,00300EMPLOYEE BENEFITS 73202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73202,A000000,00700,0000,00700HOUSEKEEPING 73202,A000000,00800,0000,00800DIETARY 73202,A000000,00900,0000,00900NURSING ADMINISTRATION 73202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73202,A000000,01100,0000,01100PHARMACY 73202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73202,A000000,01300,0000,01300SOCIAL SERVICE 73202,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 73202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73202,A000000,01600,0000,01600SKILLED NURSING FACILITY 73202,A000000,01800,0000,01800NURSING FACILITY 73202,A000000,01810,0000,01810ICF/MR 73202,A000000,02100,0000,02100RADIOLOGY 73202,A000000,02200,0000,02200LABORATORY 73202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73202,A000000,02500,0000,02500PHYSICAL THERAPY 73202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73202,A000000,02700,0000,02700SPEECH PATHOLOGY 73202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73202,A000000,03200,0000,03200SUPPORT SURFACES 73202,A000000,03550,0000,03550FQHC 73202,A000000,05000,0000,05000CORF 73202,A000000,05010,0000,05010CMHC 73202,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73202,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73202,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73202,A000000,05300,0000,05300INTEREST EXPENSE 73202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73202,A000000,06150,0000,06300PHYSICIAN BILLING 73202,A81000A,00100,0100,Y 73202,A81000B,00100,0300,RENT 73202,A81000B,00200,0300,INTEREST 73202,A81000B,00300,0300,PROPERTY TAX 73202,A81000B,00400,0300,SBT & MISC EXP 73202,A81000C,00100,0100,A 73202,A81000C,00100,0200,ANDREW DEBOER 73202,A81000C,00100,0400,DEBOER ENTERPRISES 73202,A81000C,00100,0600,HOLD R. ESTATE 73202,B100000,00000,0100,00000SQUARE FEET 73202,B100000,00000,0200,00000SQUARE FEET 73202,B100000,00000,0300,00000GROSS SALARIES 73202,B100000,00000,0400,00000ACCUM COST 73202,B100000,00000,0500,00000SQUARE FEET 73202,B100000,00000,0600,00000POUNDS OF LAUNDRY 73202,B100000,00000,0700,00000HOURS OF SERVICE 73202,B100000,00000,0800,00000MEALS SERVED 73202,B100000,00000,0900,00000DIRECT NRSG HRS 73202,B100000,00000,1000,00000COSTED REQUIS 73202,B100000,00000,1100,00000COSTED REQUIS 73202,B100000,00000,1200,00000TIME SPENT 73202,B100000,00000,1300,00000TIME SPENT 73202,B100000,00000,1350,00000HOURS SERVICE 73202,B100000,00000,1400,00000ASSIGNED TIME 73202,S000000,00100,0200,06/07/2000 73202,S200000,00100,0100,1684 VULCAN STREET 73202,S200000,00200,0100,MUSKEGON 73202,S200000,00200,0200,MI 73202,S200000,00200,0300,49442 73202,S200000,00400,0100,DEBOER NURSING HOME 73202,S200000,00400,0200,235116 73202,S200000,00400,0300,01/01/1970 73202,S200000,00400,0500,P 73202,S200000,01600,0100,Y 73202,S200000,04300,0100,Y 73203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73203,A000000,00300,0000,00300EMPLOYEE BENEFITS 73203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73203,A000000,00700,0000,00700HOUSEKEEPING 73203,A000000,00800,0000,00800DIETARY 73203,A000000,00900,0000,00900NURSING ADMINISTRATION 73203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73203,A000000,01100,0000,01100PHARMACY 73203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73203,A000000,01300,0000,01300SOCIAL SERVICE 73203,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 73203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73203,A000000,01600,0000,01600SKILLED NURSING FACILITY 73203,A000000,01810,0000,01810ICF/MR 73203,A000000,02100,0000,02100RADIOLOGY 73203,A000000,02200,0000,02200LABORATORY 73203,A000000,02500,0000,02500PHYSICAL THERAPY 73203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73203,A000000,02700,0000,02700SPEECH PATHOLOGY 73203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73203,A000000,03550,0000,03550FQHC 73203,A000000,05000,0000,05000CORF 73203,A000000,05010,0000,05010CMHC 73203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73203,B100000,00000,0100,00000SQUARE FEET 73203,B100000,00000,0200,00000SQUARE FEET 73203,B100000,00000,0300,00000GROSS SALARIES 73203,B100000,00000,0400,00000ACCUM COST 73203,B100000,00000,0500,00000SQUARE FEET 73203,B100000,00000,0600,00000PATIENT DAYS 73203,B100000,00000,0700,00000SQUARE FEET 73203,B100000,00000,0800,00000MEALS SERVED 73203,B100000,00000,0900,00000PATIENT DAYS 73203,B100000,00000,1000,00000COSTED REQUIS 73203,B100000,00000,1100,00000COSTED REQUIS 73203,B100000,00000,1200,00000PATIENT DAYS 73203,B100000,00000,1300,00000PATIENT DAYS 73203,B100000,00000,1350,00000PATIENT DAYS 73203,B100000,00000,1400,00000ASSIGNED TIME 73203,E10A180,00301,0100,03/29/2000 73203,S000000,00100,0200,08/07/2000 73203,S200000,00100,0100,8750 E. MONROE RD. 73203,S200000,00200,0100,DURAND 73203,S200000,00200,0200,MI 73203,S200000,00200,0300,48429 73203,S200000,00300,0100,SHIAWASEE 73203,S200000,00400,0100,DURAND CONVALESCENT CENTER INC. 73203,S200000,00400,0200,235123 73203,S200000,00400,0300,03/01/1985 73203,S200000,00400,0500,P 73203,S200000,01500,0100,Y 73203,S200000,02800,0100,Y 73205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73205,A000000,00300,0000,00300EMPLOYEE BENEFITS 73205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73205,A000000,00700,0000,00700HOUSEKEEPING 73205,A000000,00800,0000,00800DIETARY 73205,A000000,00900,0000,00900NURSING ADMINISTRATION 73205,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73205,A000000,01100,0000,01100PHARMACY 73205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73205,A000000,01300,0000,01300SOCIAL SERVICE 73205,A000000,01350,0000,01500DIVERSIONAL THERAPY 73205,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73205,A000000,01600,0000,01600SKILLED NURSING FACILITY 73205,A000000,01810,0000,01810ICF/MR 73205,A000000,02100,0000,02100RADIOLOGY 73205,A000000,02200,0000,02200LABORATORY 73205,A000000,02500,0000,02500PHYSICAL THERAPY 73205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73205,A000000,02700,0000,02700SPEECH PATHOLOGY 73205,A000000,02800,0000,02800ELECTROCARDIOLOGY 73205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73205,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73205,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73205,A000000,03550,0000,03550FQHC 73205,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73205,A000000,05000,0000,05000CORF 73205,A000000,05010,0000,05010CMHC 73205,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73205,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73205,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73205,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73205,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73205,A81000A,00100,0100,Y 73205,A81000B,00100,0300,CAP RELATED-BLDGS 73205,A81000C,00100,0100,B 73205,A81000C,00100,0200,SCHOOLCRAFT COUNTY 73205,A81000C,00100,0400,COUNTY 73205,A81000C,00100,0600,GOVERNMENT 73205,B100000,00000,0100,00000SQUARE FEET 73205,B100000,00000,0200,00000SQUARE FFET 73205,B100000,00000,0300,00000GROSS SALARIES 73205,B100000,00000,0400,00000ACCUM. COST 73205,B100000,00000,0500,00000SQUARE FEET 73205,B100000,00000,0600,00000POUNDS OF LAUNDRY 73205,B100000,00000,0700,00000SQUARE FEET 73205,B100000,00000,0800,00000MEALS SERVED 73205,B100000,00000,0900,00000DIRECTNURS SING HRS. 73205,B100000,00000,1000,00000NO STATISTICS 73205,B100000,00000,1100,00000NO STATISTICS 73205,B100000,00000,1200,00000HOURS WORKED 73205,B100000,00000,1300,00000HOURS WORKED 73205,B100000,00000,1350,00000HOURS WORKED 73205,B100000,00000,1400,00000NO STATISTICS 73205,E10A180,00301,0100,01/15/1999 73205,E10A180,00302,0100,02/19/1999 73205,E10A180,00550,0300,03/20/2000 73205,S000000,00100,0200,03/14/2000 73205,S200000,00100,0100,520 MAIN STREET 73205,S200000,00200,0100,MANISTIQUE 73205,S200000,00200,0200,MI 73205,S200000,00300,0100,SCHOOLCRAFT 73205,S200000,00400,0100,SCHOOLCRAFT COUNTY MCF 73205,S200000,00400,0200,235147 73205,S200000,00400,0300,07/01/1966 73205,S200000,00400,0500,P 73205,S200000,01500,0100,Y 73206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73206,A000000,00300,0000,00300EMPLOYEE BENEFITS 73206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73206,A000000,00700,0000,00700HOUSEKEEPING 73206,A000000,00800,0000,00800DIETARY 73206,A000000,00900,0000,00900NURSING ADMINISTRATION 73206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73206,A000000,01100,0000,01100PHARMACY 73206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73206,A000000,01300,0000,01300SOCIAL SERVICE 73206,A000000,01350,0000,01500ACTIVITIES 73206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73206,A000000,01600,0000,01600SKILLED NURSING FACILITY 73206,A000000,01810,0000,01810ICF/MR 73206,A000000,02100,0000,02100RADIOLOGY 73206,A000000,02200,0000,02200LABORATORY 73206,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73206,A000000,02500,0000,02500PHYSICAL THERAPY 73206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73206,A000000,02700,0000,02700SPEECH PATHOLOGY 73206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73206,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73206,A000000,03200,0000,03200SUPPORT SURFACES 73206,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73206,A000000,03550,0000,03550FQHC 73206,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73206,A000000,05000,0000,05000CORF 73206,A000000,05010,0000,05010CMHC 73206,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73206,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73206,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73206,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73206,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73206,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73206,B100000,00000,0100,00000SQUARE FEET 73206,B100000,00000,0200,00000SQUARE FEET 73206,B100000,00000,0300,00000GROSS SALARIES 73206,B100000,00000,0400,00000ACCUM. COST 73206,B100000,00000,0500,00000SQUARE FEET 73206,B100000,00000,0600,00000POUNDS OF LAUNDRY 73206,B100000,00000,0700,00000SQUARE FEET 73206,B100000,00000,0800,00000MEALS SERVED 73206,B100000,00000,0900,00000DIRECT NRSING HRS 73206,B100000,00000,1000,00000COSTED REQUIS. 73206,B100000,00000,1100,00000COSTED REQUIS. 73206,B100000,00000,1200,00000TIME SPENT 73206,B100000,00000,1300,00000TIME SPENT 73206,B100000,00000,1350,00000TIME SPENT 73206,B100000,00000,1400,00000ASSIGNED TIME 73206,E10A180,00551,0300,06/14/2000 73206,S000000,00100,0200,05/31/2000 73206,S200000,00100,0100,43533 ELIZABETH ST 73206,S200000,00200,0100,MT CLEMENS 73206,S200000,00200,0200,MI 73206,S200000,00300,0100,MACOMB 73206,S200000,00400,0100,MARTHA T. BERRY - MCF 73206,S200000,00400,0200,235155 73206,S200000,00400,0300,01/01/1967 73206,S200000,00400,0500,P 73206,S200000,01500,0100,Y 73206,S200000,01900,0100,501 C 3 73207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73207,A000000,00300,0000,00300EMPLOYEE BENEFITS 73207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73207,A000000,00700,0000,00700HOUSEKEEPING 73207,A000000,00800,0000,00800DIETARY 73207,A000000,00900,0000,00900NURSING ADMINISTRATION 73207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73207,A000000,01100,0000,01100PHARMACY 73207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73207,A000000,01300,0000,01300SOCIAL SERVICE 73207,A000000,01350,0000,01500DIVERSIONAL THERAPY 73207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73207,A000000,01600,0000,01600SKILLED NURSING FACILITY 73207,A000000,01810,0000,01810ICF/MR 73207,A000000,02200,0000,02200LABORATORY 73207,A000000,02300,0000,02300INTRAVENOUS THERAPY 73207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73207,A000000,02500,0000,02500PHYSICAL THERAPY 73207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73207,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73207,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73207,A000000,03550,0000,03550FQHC 73207,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73207,A000000,05000,0000,05000CORF 73207,A000000,05010,0000,05010CMHC 73207,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73207,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73207,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73207,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73207,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73207,B100000,00000,0100,00000SQUARE FEET 73207,B100000,00000,0200,00000SQUARE FEET 73207,B100000,00000,0300,00000GROSS SALARIES 73207,B100000,00000,0400,00000ACCUM. COST 73207,B100000,00000,0500,00000SQUARE FEET 73207,B100000,00000,0600,00000POUNDS OF LAUNDRY 73207,B100000,00000,0700,00000SQUARE FEET 73207,B100000,00000,0800,00000MEALS SERVED 73207,B100000,00000,0900,00000DIRECT NRSING HRS 73207,B100000,00000,1000,00000COSTED REQUIS. 73207,B100000,00000,1100,00000COSTED REQUIS. 73207,B100000,00000,1200,00000TIME SPENT 73207,B100000,00000,1300,00000TIME SPENT 73207,B100000,00000,1350,00000TIME SPENT 73207,B100000,00000,1400,00000ASSIGNED TIME 73207,S000000,00100,0200,05/24/2000 73207,S200000,00100,0100,137 N. ELK STREET 73207,S200000,00200,0100,SANDUSKY 73207,S200000,00200,0200,MI 73207,S200000,00300,0100,SANILAC 73207,S200000,00400,0100,SANILAC MCF 73207,S200000,00400,0200,235157 73207,S200000,00400,0300,01/01/1967 73207,S200000,00400,0500,P 73207,S200000,01500,0100,Y 73207,S200000,01900,0100,501 C 3 73207,S200000,02800,0100,Y 73208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73208,A000000,00300,0000,00300EMPLOYEE BENEFITS 73208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73208,A000000,00700,0000,00700HOUSEKEEPING 73208,A000000,00800,0000,00800DIETARY 73208,A000000,00900,0000,00900NURSING ADMINISTRATION 73208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73208,A000000,01100,0000,01100PHARMACY 73208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73208,A000000,01300,0000,01300SOCIAL SERVICE 73208,A000000,01350,0000,01500DIVERSIONAL THERAPY 73208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73208,A000000,01600,0000,01600SKILLED NURSING FACILITY 73208,A000000,01800,0000,01800NURSING FACILITY 73208,A000000,01810,0000,01810ICF/MR 73208,A000000,02100,0000,02100RADIOLOGY 73208,A000000,02200,0000,02200LABORATORY 73208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73208,A000000,02500,0000,02500PHYSICAL THERAPY 73208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73208,A000000,02700,0000,02700SPEECH PATHOLOGY 73208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73208,A000000,03050,0000,03300CLINITRON BEDS 73208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73208,A000000,03550,0000,03550FQHC 73208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73208,A000000,05000,0000,05000CORF 73208,A000000,05010,0000,05010CMHC 73208,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73208,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73208,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73208,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73208,A81000A,00100,0100,Y 73208,A81000B,00100,0300,CNTR THERY 73208,A81000B,00200,0300,CNTR THERY 73208,A81000B,00300,0300,CNTR THERY 73208,A81000B,00400,0300,MANAGMENT SERVICES 73208,A81000B,01000,0300,CNTR THERY 73208,A81000C,00100,0100,B 73208,A81000C,00100,0200,LAKELAND MED CTR 73208,A81000C,00100,0400,LAKELAND MED CTR 73208,A81000C,00100,0600,HOSPITAL 73208,B100000,00000,0100,00000SQUARE FEET 73208,B100000,00000,0200,00000SQUARE FEET 73208,B100000,00000,0300,00000GROSS SALARIES 73208,B100000,00000,0400,00000ACCUM. COST 73208,B100000,00000,0500,00000SQUARE FEET 73208,B100000,00000,0600,00000PATIENT DAYS 73208,B100000,00000,0700,00000SQUARE FEET 73208,B100000,00000,0800,00000MEALS SERVED 73208,B100000,00000,0900,00000PATIENT DAYS 73208,B100000,00000,1000,00000COSTED REQUIS. 73208,B100000,00000,1100,00000COSTED REQUIS. 73208,B100000,00000,1200,00000TIME SPENT 73208,B100000,00000,1300,00000PATIENT DAYS 73208,B100000,00000,1350,00000PATIENT DAYS 73208,B100000,00000,1400,00000ASSIGNED TIME 73208,S000000,00100,0200,05/30/2000 73208,S200000,00100,0100,3425 LAKESHORE 73208,S200000,00200,0100,ST. JOSEPH 73208,S200000,00200,0200,MI 73208,S200000,00300,0100,BERRIEN 73208,S200000,00400,0100,LAKELAND CONTINUING CARE CENTER 73208,S200000,00400,0200,235164 73208,S200000,00400,0300,01/01/1969 73208,S200000,00400,0500,P 73208,S200000,00600,0200,235164 73208,S200000,00600,0300,01/01/1969 73208,S200000,00600,0600,P 73208,S200000,01600,0100,Y 73208,S200000,01900,0100,OWNED BY 501(C)3 HOSPITAL 73211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73211,A000000,00300,0000,00300EMPLOYEE BENEFITS 73211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73211,A000000,00700,0000,00700HOUSEKEEPING 73211,A000000,00800,0000,00800DIETARY 73211,A000000,00900,0000,00900NURSING ADMINISTRATION 73211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73211,A000000,01100,0000,01100PHARMACY 73211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73211,A000000,01300,0000,01300SOCIAL SERVICE 73211,A000000,01350,0000,01500ACTIVITIES 73211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73211,A000000,01600,0000,01600SKILLED NURSING FACILITY 73211,A000000,01800,0000,01800NURSING FACILITY 73211,A000000,01810,0000,01810ICF/MR 73211,A000000,02100,0000,02100RADIOLOGY 73211,A000000,02200,0000,02200LABORATORY 73211,A000000,02300,0000,02300INTRAVENOUS THERAPY 73211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73211,A000000,02500,0000,02500PHYSICAL THERAPY 73211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73211,A000000,02700,0000,02700SPEECH PATHOLOGY 73211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73211,A000000,03050,0000,03300OTHER ANCILLARY 73211,A000000,03051,0000,03301OTHER ANCILLARY II 73211,A000000,03052,0000,03302OTHER ANCILLARY III 73211,A000000,03200,0000,03200SUPPORT SURFACES 73211,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73211,A000000,03550,0000,03550FQHC 73211,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73211,A000000,05000,0000,05000CORF I 73211,A000000,05010,0000,05010CMHC I 73211,A000000,05020,0000,05020OPT I 73211,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73211,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73211,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73211,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73211,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73211,A81000A,00100,0100,Y 73211,A81000B,00100,0300,HO CAPITAL 73211,A81000B,00200,0300,HO A & G 73211,A81000B,00300,0300,HO A & G 73211,A81000B,00400,0300,HO A & G 73211,A81000B,00500,0300,DIETARY 73211,A81000B,00600,0300,MEDICAL SUPPLIES 73211,A81000B,00700,0300,MEDICAL SUPPLIES 73211,A81000C,00100,0100,A 73211,A81000C,00100,0200,DOUG MITTLEIDER 73211,A81000C,00100,0600,LONG TERM 73211,A81000C,00200,0100,A 73211,A81000C,00200,0200,MIKE FOXWORTHY 73211,A81000C,00200,0600,CARE MGMT 73211,B100000,00000,0100,00000(SQUARE FEET) 73211,B100000,00000,0200,00000(SQUARE FEET) 73211,B100000,00000,0300,00000(GROSS SALARIES) 73211,B100000,00000,0400,00000(ACCUM. COST) 73211,B100000,00000,0500,00000(SQUARE FEET) 73211,B100000,00000,0600,00000(PATIENT DAYS) 73211,B100000,00000,0700,00000(SQUARE FEET) 73211,B100000,00000,0800,00000(MEALS SERVED) 73211,B100000,00000,0900,00000(PATIENT DAYS) 73211,B100000,00000,1000,00000(GROSS CHARGES) 73211,B100000,00000,1100,00000(PATIENT DAYS) 73211,B100000,00000,1200,00000(PATIENT DAYS) 73211,B100000,00000,1300,00000(PATIENT DAYS) 73211,B100000,00000,1350,00000(PATIENT DAYS) 73211,B100000,00000,1400,00000(ASSIGNED TIME) 73211,S000000,00100,0200,06/15/2000 73211,S200000,00100,0100,575 N. MADISON STREET 73211,S200000,00200,0100,MARSHALL 73211,S200000,00200,0200,MI 73211,S200000,00200,0300,49068 73211,S200000,00300,0100,CALHOUN 73211,S200000,00400,0100,MARSHALL MANOR 73211,S200000,00400,0200,235174 73211,S200000,00400,0300,01/01/1978 73211,S200000,00400,0500,P 73211,S200000,01600,0100,Y 73211,S200000,02200,0100,Y 73211,S200000,04300,0100,Y 73212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73212,A000000,00300,0000,00300EMPLOYEE BENEFITS 73212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73212,A000000,00700,0000,00700HOUSEKEEPING 73212,A000000,00800,0000,00800DIETARY 73212,A000000,00900,0000,00900NURSING ADMINISTRATION 73212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73212,A000000,01100,0000,01100PHARMACY 73212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73212,A000000,01300,0000,01300SOCIAL SERVICE 73212,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 73212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73212,A000000,01600,0000,01600SKILLED NURSING FACILITY 73212,A000000,01810,0000,01810ICF/MR 73212,A000000,02500,0000,02500PHYSICAL THERAPY 73212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73212,A000000,02700,0000,02700SPEECH PATHOLOGY 73212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73212,A000000,03550,0000,03550FQHC 73212,A000000,05000,0000,05000CORF 73212,A000000,05010,0000,05010CMHC 73212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73212,A000000,05300,0000,05300INTEREST EXPENSE 73212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73212,A81000A,00100,0100,Y 73212,A81000B,00100,0300,RENT 73212,A81000B,00200,0300,.51777*73136INT 73212,A81000B,00300,0300,DEPR: DEFRA SCHED 73212,A81000B,00400,0300,SBT: CPRE 73212,A81000B,00500,0300,ACCTG & OFFICE: CPRE 73212,A81000C,00100,0100,A 73212,A81000C,00100,0200,D ROSS AND BARB 73212,A81000C,00100,0400,CPRE LLC 73212,A81000C,00100,0600,BLDG LESSOR 73212,A81000C,00200,0100,A 73212,A81000C,00200,0200,ROBERT POSSANZA 73212,A81000C,00200,0400,CPRE LLC 73212,A81000C,00200,0600,BLDG LESSOR 73212,A81000C,00300,0100,A 73212,A81000C,00300,0200,D ROSS 73212,A81000C,00300,0400,LANSE/WINKLER 73212,A81000C,00300,0600,SNF 73212,A81000C,00400,0100,A 73212,A81000C,00400,0200,D ROSS POSSANZ 73212,A81000C,00400,0400,CHRISTIAN PARK 73212,A81000C,00400,0600,SISTER SNF 73212,B100000,00000,0100,00000SQUARE FEET 73212,B100000,00000,0200,00000SQUARE FEET 73212,B100000,00000,0300,00000GROSS SALARIES 73212,B100000,00000,0400,00000ACCUM COST 73212,B100000,00000,0500,00000SQUARE FEET 73212,B100000,00000,0600,00000POUNDS OF LAUNDRY 73212,B100000,00000,0700,00000SQUARE FEET 73212,B100000,00000,0800,00000MEALS SERVED 73212,B100000,00000,0900,00000DIRECT NRSG HRS 73212,B100000,00000,1000,00000COSTED REQUIS 73212,B100000,00000,1100,00000COSTED REQUIS 73212,B100000,00000,1200,00000TIME SPENT 73212,B100000,00000,1300,00000TIME SPENT 73212,B100000,00000,1350,00000HOURS 73212,B100000,00000,1400,00000ASSIGNED TIME 73212,S000000,00100,0200,06/07/2000 73212,S200000,00100,0100,2415 5TH AVENUE SOUTH 73212,S200000,00200,0100,ESCANABA 73212,S200000,00200,0200,MI 73212,S200000,00200,0300,49829 73212,S200000,00300,0100,DELTA 73212,S200000,00400,0100,CHRISTIAN PARK HEALTH CARE CTR. 73212,S200000,00400,0200,235244 73212,S200000,00400,0300,03/01/1988 73212,S200000,00400,0500,P 73212,S200000,01500,0100,Y 73212,S200000,01900,0100,FREE STANDING SNF 73212,S200000,02200,0100,Y 73212,S200000,04300,0100,Y 73215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73215,A000000,00300,0000,00300EMPLOYEE BENEFITS 73215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73215,A000000,00700,0000,00700HOUSEKEEPING 73215,A000000,00800,0000,00800DIETARY 73215,A000000,00900,0000,00900NURSING ADMINISTRATION 73215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73215,A000000,01100,0000,01100PHARMACY 73215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73215,A000000,01300,0000,01300SOCIAL SERVICE 73215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73215,A000000,01600,0000,01600SKILLED NURSING FACILITY 73215,A000000,01800,0000,01800NURSING FACILITY 73215,A000000,01810,0000,01810ICF/MR 73215,A000000,02200,0000,02200LABORATORY 73215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73215,A000000,02500,0000,02500PHYSICAL THERAPY 73215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73215,A000000,02700,0000,02700SPEECH PATHOLOGY 73215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73215,A000000,03200,0000,03200SUPPORT SURFACES 73215,A000000,03550,0000,03550FQHC 73215,A000000,05000,0000,05000CORF 73215,A000000,05010,0000,05010CMHC 73215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73215,B100000,00000,0100,00000SQUARE FEET 73215,B100000,00000,0200,00000SQUARE FEET 73215,B100000,00000,0300,00000GROSS SALARIES 73215,B100000,00000,0400,00000ACCUM COST 73215,B100000,00000,0500,00000SQUARE FEET 73215,B100000,00000,0600,00000POUNDS OF LAUNDRY 73215,B100000,00000,0700,00000HOURS OF SERVICE 73215,B100000,00000,0800,00000MEALS SERVED 73215,B100000,00000,0900,00000DIRECT NRSG HRS 73215,B100000,00000,1000,00000COSTED REQUIS 73215,B100000,00000,1100,00000COSTED REQUIS 73215,B100000,00000,1200,00000TIME SPENT 73215,B100000,00000,1300,00000TIME SPENT 73215,B100000,00000,1400,00000ASSIGNED TIME 73215,S000000,00100,0200,05/19/2000 73215,S200000,00100,0100,3615 E. ASHMAN 73215,S200000,00200,0100,MIDLAND 73215,S200000,00200,0200,MI 73215,S200000,00200,0300,48642 73215,S200000,00300,0100,MIDLAND 73215,S200000,00400,0100,TOWN & COUNTRY HEALTH CARE FACILITY 73215,S200000,00400,0200,235245 73215,S200000,00400,0300,05/01/1976 73215,S200000,00400,0500,P 73215,S200000,01600,0100,Y 73216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73216,A000000,00300,0000,00300EMPLOYEE BENEFITS 73216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73216,A000000,00700,0000,00700HOUSEKEEPING 73216,A000000,00800,0000,00800DIETARY 73216,A000000,00900,0000,00900NURSING ADMINISTRATION 73216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73216,A000000,01100,0000,01100PHARMACY 73216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73216,A000000,01300,0000,01300SOCIAL SERVICE 73216,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 73216,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73216,A000000,01600,0000,01600SKILLED NURSING FACILITY 73216,A000000,01810,0000,01810ICF/MR 73216,A000000,02100,0000,02100RADIOLOGY 73216,A000000,02200,0000,02200LABORATORY 73216,A000000,02500,0000,02500PHYSICAL THERAPY 73216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73216,A000000,02700,0000,02700SPEECH PATHOLOGY 73216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73216,A000000,03550,0000,03550FQHC 73216,A000000,05000,0000,05000CORF 73216,A000000,05010,0000,05010CMHC 73216,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73216,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73216,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73216,A81000A,00100,0100,Y 73216,A81000B,00100,0300,MANAGEMENT FEES 73216,A81000C,00100,0100,A 73216,A81000C,00100,0200,MOHAMMAD A. QAZ 73216,A81000C,00100,0400,CIENA HEALTHCAR 73216,A81000C,00100,0600,MANAGEMENT 73216,B100000,00000,0100,00000SQUARE FEET 73216,B100000,00000,0200,00000SQUARE FEET 73216,B100000,00000,0300,00000GROSS SALARIES 73216,B100000,00000,0400,00000ACCUM COST 73216,B100000,00000,0500,00000SQUARE FEET 73216,B100000,00000,0600,00000PATIENT DAYS 73216,B100000,00000,0700,00000SQUARE FEET 73216,B100000,00000,0800,00000MEALS SERVED 73216,B100000,00000,0900,00000PATIENT DAYS 73216,B100000,00000,1000,00000COSTED REQUIS 73216,B100000,00000,1100,00000COSTED REQUIS 73216,B100000,00000,1200,00000PATIENT DAYS 73216,B100000,00000,1300,00000PATIENT DAYS 73216,B100000,00000,1350,00000PATIENT DAYS 73216,B100000,00000,1400,00000ASSIGNED TIME 73216,E10A180,00501,0100,06/21/2000 73216,S000000,00100,0200,06/12/2000 73216,S200000,00100,0100,3615 E. ASHMAN 73216,S200000,00200,0100,MIDLAND 73216,S200000,00200,0200,MI 73216,S200000,00200,0300,48642 73216,S200000,00300,0100,MIDLAND 73216,S200000,00400,0100,BRITTANY MANOR 73216,S200000,00400,0200,235245 73216,S200000,00400,0300,06/01/1999 73216,S200000,00400,0500,P 73216,S200000,01500,0100,Y 73216,S200000,01900,0100,501 C 3 73218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73218,A000000,00300,0000,00300EMPLOYEE BENEFITS 73218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73218,A000000,00700,0000,00700HOUSEKEEPING 73218,A000000,00800,0000,00800DIETARY 73218,A000000,00900,0000,00900NURSING ADMINISTRATION 73218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73218,A000000,01100,0000,01100PHARMACY 73218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73218,A000000,01300,0000,01300SOCIAL SERVICE 73218,A000000,01350,0000,01500OTHER GENERAL SERVICES 73218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73218,A000000,01600,0000,01600SKILLED NURSING FACILITY 73218,A000000,01810,0000,01810ICF/MR 73218,A000000,02100,0000,02100RADIOLOGY 73218,A000000,02200,0000,02200LABORATORY 73218,A000000,02500,0000,02500PHYSICAL THERAPY 73218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73218,A000000,02700,0000,02700SPEECH PATHOLOGY 73218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73218,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73218,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73218,A000000,03550,0000,03550FQHC 73218,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73218,A000000,05000,0000,05000CORF 73218,A000000,05010,0000,05010CMHC 73218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73218,A000000,06100,0000,06100NONPAID WORKERS 73218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73218,B100000,00000,0100,00000SQUARE FEET 73218,B100000,00000,0200,00000SQUARE FEET 73218,B100000,00000,0300,00000GROSS SALARIES 73218,B100000,00000,0400,00000ACCUM. COST 73218,B100000,00000,0500,00000SQUARE FEET 73218,B100000,00000,0600,00000POUNDS OF LAUNDRY 73218,B100000,00000,0700,00000SQUARE FEET 73218,B100000,00000,0800,00000MEALS SERVED 73218,B100000,00000,0900,00000DIRECT NRSING HRS 73218,B100000,00000,1000,00000COSTED REQUIS. 73218,B100000,00000,1100,00000COSTED REQUIS. 73218,B100000,00000,1200,00000PATIENT DAYS 73218,B100000,00000,1300,00000PATIENT DAYS 73218,B100000,00000,1350,00000NO STATISTICS 73218,B100000,00000,1400,00000ASSIGNED TIME 73218,S000000,00100,0200,05/11/2000 73218,S200000,00100,0100,915 NORTH RIVER ROAD 73218,S200000,00200,0100,SAGINAW 73218,S200000,00200,0200,MI 73218,S200000,00300,0100,SAGINAW 73218,S200000,00400,0100,ST. FRANCIS HOME 73218,S200000,00400,0200,235249 73218,S200000,00400,0300,01/01/1976 73218,S200000,00400,0500,P 73218,S200000,01500,0100,Y 73218,S200000,02800,0100,Y 73220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73220,A000000,00300,0000,00300EMPLOYEE BENEFITS 73220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73220,A000000,00700,0000,00700HOUSEKEEPING 73220,A000000,00800,0000,00800DIETARY 73220,A000000,00900,0000,00900NURSING ADMINISTRATION 73220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73220,A000000,01100,0000,01100PHARMACY 73220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73220,A000000,01300,0000,01300SOCIAL SERVICE 73220,A000000,01350,0000,01500RECREATIONAL THERAPY 73220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73220,A000000,01600,0000,01600SKILLED NURSING FACILITY 73220,A000000,01810,0000,01810ICF/MR 73220,A000000,02100,0000,02100RADIOLOGY 73220,A000000,02200,0000,02200LABORATORY 73220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73220,A000000,02500,0000,02500PHYSICAL THERAPY 73220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73220,A000000,02700,0000,02700SPEECH PATHOLOGY 73220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73220,A000000,03550,0000,03550FQHC 73220,A000000,04800,0000,04800AMBULANCE 73220,A000000,05000,0000,05000CORF 73220,A000000,05010,0000,05010CMHC 73220,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73220,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73220,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73220,A000000,05300,0000,05300INTEREST EXPENSE 73220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73220,A81000A,00100,0100,Y 73220,A81000B,00100,0300,HOME OFFICE COST 73220,A81000C,00100,0100,B 73220,A81000C,00100,0400,LSS OF MICHIGAN 73220,A81000C,00100,0600,SOCIAL SERVICES 73220,B100000,00000,0100,00000SQUARE FEET 73220,B100000,00000,0200,00000SQUARE FEET 73220,B100000,00000,0300,00000GROSS SALARIES 73220,B100000,00000,0400,00000ACCUM COST 73220,B100000,00000,0500,00000SQUARE FEET 73220,B100000,00000,0600,00000POUNDS OF LAUNDRY 73220,B100000,00000,0700,00000HOURS OF SERVICE 73220,B100000,00000,0800,00000MEALS SERVED 73220,B100000,00000,0900,00000DIRECT NRSG HRS 73220,B100000,00000,1000,00000COSTED REQUIS 73220,B100000,00000,1100,00000COSTED REQUIS 73220,B100000,00000,1200,00000TIME SPENT 73220,B100000,00000,1300,00000TIME SPENT 73220,B100000,00000,1350,00000TIME SPENT 73220,B100000,00000,1400,00000ASSIGNED TIME 73220,S000000,00100,0200,06/02/2000 73220,S200000,00100,0100,3161DAVENPORT 73220,S200000,00200,0100,SAGINAW 73220,S200000,00200,0200,MI 73220,S200000,00200,0300,48602 73220,S200000,00300,0100,SAGINAW 73220,S200000,00400,0100,LUTHER MANOR 73220,S200000,00400,0200,235250 73220,S200000,00400,0300,12/01/1975 73220,S200000,00400,0500,P 73220,S200000,01500,0100,Y 73220,S200000,02200,0100,Y 73220,S200000,02800,0100,Y 73220,S200000,04700,0100,Y 73222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73222,A000000,00300,0000,00300EMPLOYEE BENEFITS 73222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73222,A000000,00700,0000,00700HOUSEKEEPING 73222,A000000,00800,0000,00800DIETARY 73222,A000000,00900,0000,00900NURSING ADMINISTRATION 73222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73222,A000000,01100,0000,01100PHARMACY 73222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73222,A000000,01300,0000,01300SOCIAL SERVICE 73222,A000000,01301,0000,01301ACTIVITIES 73222,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73222,A000000,01600,0000,01600SKILLED NURSING FACILITY 73222,A000000,01800,0000,01800NURSING FACILITY 73222,A000000,01810,0000,01810ICF/MR 73222,A000000,02100,0000,02100RADIOLOGY 73222,A000000,02300,0000,02300INTRAVENOUS THERAPY 73222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73222,A000000,02500,0000,02500PHYSICAL THERAPY 73222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73222,A000000,02700,0000,02700SPEECH PATHOLOGY 73222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73222,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73222,A000000,03550,0000,03550FQHC 73222,A000000,04800,0000,04800AMBULANCE 73222,A000000,05000,0000,05000CORF 73222,A000000,05010,0000,05010CMHC 73222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73222,A000000,05300,0000,05300INTEREST EXPENSE 73222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73222,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73222,A81000A,00100,0100,Y 73222,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 73222,A81000B,00200,0300,NON CERT 73222,A81000B,00300,0300,MEDICAL SUPPLIES 73222,A81000B,00400,0300,DIETARY 73222,A81000B,00500,0300,CAPITAL 73222,A81000B,00600,0300,ST 73222,A81000B,00700,0300,OT 73222,A81000B,00800,0300,PT 73222,A81000B,00900,0300,PT 73222,A81000B,01000,0300,OT 73222,A81000B,01100,0300,ST 73222,A81000C,00100,0100,B 73222,A81000C,00100,0200,CAMBRIDGE SOUTH 73222,A81000C,00100,0400,MARINER POST AC 73222,A81000C,00100,0600,NURSING HOMES 73222,A81000C,00200,0100,G 73222,A81000C,00200,0200,MARINER POST AC 73222,A81000C,00200,0400,AMERICAN PHARMA 73222,A81000C,00200,0600,PHARMACEUTICALS 73222,A81000C,00300,0100,G 73222,A81000C,00300,0200,MARINER POST AC 73222,A81000C,00300,0400,PRISM (ATS ARS 73222,A81000C,00300,0600,THERAPIES 73222,B100000,00000,0100,00000SQUARE FEET 73222,B100000,00000,0200,00000SQUARE FEET 73222,B100000,00000,0300,00000GROSS SALARIES 73222,B100000,00000,0400,00000ACCUM COST 73222,B100000,00000,0500,00000SQUARE FEET 73222,B100000,00000,0600,00000PATIENT DAYS 73222,B100000,00000,0700,00000SQUARE FEET 73222,B100000,00000,0800,00000MEALS SERVED 73222,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73222,B100000,00000,1000,00000PATIENT DAYS 73222,B100000,00000,1100,00000COSTED REQUIS 73222,B100000,00000,1200,00000TIME SPENT 73222,B100000,00000,1300,00000PATIENT DAYS 73222,B100000,00000,1301,00000PATIENT DAYS 73222,B100000,00000,1350,00000UNITS OF S UNITS OF S 73222,B100000,00000,1400,00000ASSIGNED TIME 73222,S000000,00100,0200,06/06/2000 73222,S200000,00100,0100,18200 13 MILE RD 73222,S200000,00200,0100,BEVERLY HILLS 73222,S200000,00200,0200,MI 73222,S200000,00200,0300,48025 73222,S200000,00300,0100,OAKLAND 73222,S200000,00400,0100,CAMBRIDGE SOUTH HEALTHCARE CENTER 73222,S200000,00400,0200,235251 73222,S200000,00400,0300,09/01/1984 73222,S200000,00400,0500,P 73223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73223,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73223,A000000,00300,0000,00300EMPLOYEE BENEFITS 73223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73223,A000000,00700,0000,00700HOUSEKEEPING 73223,A000000,00800,0000,00800DIETARY 73223,A000000,00900,0000,00900NURSING ADMINISTRATION 73223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73223,A000000,01100,0000,01100PHARMACY 73223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73223,A000000,01300,0000,01300SOCIAL SERVICE 73223,A000000,01350,0000,01500DIVERSIONAL THERAPY 73223,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73223,A000000,01600,0000,01600SKILLED NURSING FACILITY 73223,A000000,01810,0000,01810ICF/MR 73223,A000000,02100,0000,02100RADIOLOGY 73223,A000000,02200,0000,02200LABORATORY 73223,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73223,A000000,02500,0000,02500PHYSICAL THERAPY 73223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73223,A000000,02700,0000,02700SPEECH PATHOLOGY 73223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73223,A000000,03550,0000,03550FQHC 73223,A000000,05000,0000,05000CORF 73223,A000000,05010,0000,05010CMHC 73223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73223,A000000,05300,0000,05300INTEREST EXPENSE 73223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73223,A000000,05901,0000,05910DEVELOPMENT OFFICE 73223,A81000A,00100,0100,Y 73223,A81000B,00100,0300,MEALS/FOOD 73223,A81000B,00200,0300,ADMINISTRATION FEES 73223,A81000B,00300,0300,ADMISTRATION FEES 73223,A81000B,00400,0300,ADMIN FEES 73223,A81000B,00500,0300,ADMIN FEES 73223,A81000B,00600,0300,ADMIN FEES 73223,A81000B,00700,0300,ADMIN FEES 73223,A81000C,00100,0100,G 73223,A81000C,00100,0200,OXFORD DOMINICA 73223,A81000C,00100,0400,ST JUDE HOME IN 73223,A81000C,00100,0600,ASST LIVING 73223,A81000C,00200,0100,G 73223,A81000C,00200,0200,OXFORD DOMINICA 73223,A81000C,00200,0400,CLAUSEN MANOR 73223,A81000C,00200,0600,ALZHEIMERS FACI 73223,A81000C,00300,0100,G 73223,A81000C,00300,0200,OXFORD DOMINICA 73223,A81000C,00300,0400,FOX MANOR 73223,A81000C,00300,0600,SENIOR APARTMEN 73223,A81000C,00400,0100,G 73223,A81000C,00400,0200,OXFORD DOMINICA 73223,A81000C,00400,0400,LOURDES ASST LI 73223,A81000C,00400,0600,ASST LIVING 73223,B100000,00000,0100,00010SQUARE FEET 73223,B100000,00000,0200,00010SQUARE FEET 73223,B100000,00000,0300,00010GROSS SALARIES 73223,B100000,00000,0400,00010ACCUM COST 73223,B100000,00000,0500,00010SQUARE FEET 73223,B100000,00000,0600,00010POUNDS OF LAUNDRY 73223,B100000,00000,0700,00010HOURS OF SERVICE 73223,B100000,00000,0800,00010MEALS SERVED 73223,B100000,00000,0900,00010DIRECT NRSG HRS 73223,B100000,00000,1000,00010COSTED REQUIS 73223,B100000,00000,1100,00010COSTED REQUIS 73223,B100000,00000,1200,00010TIME SPENT 73223,B100000,00000,1300,00010TIME SPENT 73223,B100000,00000,1350,00010TIME SPENT 73223,B100000,00000,1400,00010ASSIGNED TIME 73223,S000000,00100,0200,06/09/2000 73223,S200000,00100,0100,2300 WATKINS LAKE RD 73223,S200000,00200,0100,WATERFORD 73223,S200000,00200,0200,MI 73223,S200000,00200,0300,48328 73223,S200000,00300,0100,OAKLAND 73223,S200000,00400,0100,LOURDES NURSING HOME 73223,S200000,00400,0200,235252 73223,S200000,00400,0300,01/01/1976 73223,S200000,00400,0500,P 73223,S200000,01500,0100,Y 73223,S200000,02800,0100,Y 73225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73225,A000000,00300,0000,00300EMPLOYEE BENEFITS 73225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73225,A000000,00700,0000,00700HOUSEKEEPING 73225,A000000,00800,0000,00800DIETARY 73225,A000000,00900,0000,00900NURSING ADMINISTRATION 73225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73225,A000000,01100,0000,01100PHARMACY 73225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73225,A000000,01300,0000,01300SOCIAL SERVICE 73225,A000000,01350,0000,01500DIVERSIONAL THERAPY 73225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73225,A000000,01600,0000,01600SKILLED NURSING FACILITY 73225,A000000,01810,0000,01810ICF/MR 73225,A000000,02100,0000,02100RADIOLOGY 73225,A000000,02200,0000,02200LABORATORY 73225,A000000,02300,0000,02300INTRAVENOUS THERAPY 73225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73225,A000000,02500,0000,02500PHYSICAL THERAPY 73225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73225,A000000,02700,0000,02700SPEECH PATHOLOGY 73225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73225,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73225,A000000,03550,0000,03550FQHC 73225,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73225,A000000,05000,0000,05000CORF 73225,A000000,05010,0000,05010CMHC 73225,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73225,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73225,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73225,A81000A,00100,0100,Y 73225,A81000B,00100,0300,INTEREST 73225,A81000C,00100,0100,B 73225,A81000C,00100,0200,IRON COUNTY 73225,A81000C,00100,0400,IRON COUNTY 73225,A81000C,00100,0600,GOVERNMENT 73225,B100000,00000,0100,00000SQUARE FEET 73225,B100000,00000,0200,00000SQUARE FEET 73225,B100000,00000,0300,00000GROSS SALARIES 73225,B100000,00000,0400,00000ACCUM. COST 73225,B100000,00000,0500,00000SQUARE FEET 73225,B100000,00000,0600,00000POUNDS OF LAUNDRY 73225,B100000,00000,0700,00000SQUARE FEET 73225,B100000,00000,0800,00000MEALS SERVED 73225,B100000,00000,0900,00000DIRECT NURSING HR 73225,B100000,00000,1000,00000TIME SPENT 73225,B100000,00000,1100,00000TIME SPENT 73225,B100000,00000,1200,00000TIME SPENT 73225,B100000,00000,1300,00000TIME SPENT 73225,B100000,00000,1350,00000TIME SPENT 73225,B100000,00000,1400,00000NO STATISTICS 73225,S000000,00100,0200,05/31/2000 73225,S200000,00100,0100,1523 W. US. 2 73225,S200000,00200,0100,CRYSTAL FALLS 73225,S200000,00200,0200,MI 73225,S200000,00300,0100,IRON 73225,S200000,00400,0100,IRON COUNTY MEDICAL CARE FACILITY 73225,S200000,00400,0200,235257 73225,S200000,00400,0300,07/01/1966 73225,S200000,00400,0500,P 73225,S200000,01500,0100,Y 73225,S200000,03300,0100,Y 73225,S200000,03300,0200,Y 73227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73227,A000000,00300,0000,00300EMPLOYEE BENEFITS 73227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73227,A000000,00700,0000,00700HOUSEKEEPING 73227,A000000,00800,0000,00800DIETARY 73227,A000000,00900,0000,00900NURSING ADMINISTRATION 73227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73227,A000000,01100,0000,01100PHARMACY 73227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73227,A000000,01300,0000,01300SOCIAL SERVICE 73227,A000000,01350,0000,01500ACTIVITIES 73227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73227,A000000,01600,0000,01600SKILLED NURSING FACILITY 73227,A000000,01810,0000,01810ICF/MR 73227,A000000,02100,0000,02100RADIOLOGY 73227,A000000,02200,0000,02200LABORATORY 73227,A000000,02300,0000,02300INTRAVENOUS THERAPY 73227,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73227,A000000,02500,0000,02500PHYSICAL THERAPY 73227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73227,A000000,02700,0000,02700SPEECH PATHOLOGY 73227,A000000,02800,0000,02800ELECTROCARDIOLOGY 73227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73227,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73227,A000000,03200,0000,03200SUPPORT SURFACES 73227,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73227,A000000,03550,0000,03550FQHC 73227,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73227,A000000,05000,0000,05000CORF 73227,A000000,05010,0000,05010CMHC 73227,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73227,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73227,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73227,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73227,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73227,A81000A,00100,0100,Y 73227,A81000B,00100,0300,ADMIN & GENERAL 73227,A81000B,00200,0300,CENTRAL SUPPLY 73227,A81000B,00300,0300,NURSING 73227,A81000B,00400,0300,ACTIVITIES 73227,A81000B,00500,0300,PLANT OPERATIONS 73227,A81000B,00600,0300,PHARMACY 73227,A81000B,00700,0300,SOCIAL SERVICES 73227,A81000B,00800,0300,NURSING ADMIN 73227,A81000B,00900,0300,X-RAY 73227,A81000B,01000,0300,EKG 73227,A81000C,00100,0100,B 73227,A81000C,00100,0200,OAKLAND COUNTY 73227,B100000,00000,0100,00000SQUARE FEET 73227,B100000,00000,0200,00000SQUARE FEET 73227,B100000,00000,0300,00000GROSS SALARIES 73227,B100000,00000,0400,00000ACCUM. COST 73227,B100000,00000,0500,00000SQUARE FEET 73227,B100000,00000,0600,00000LBS OF LAUNDRY 73227,B100000,00000,0700,00000SQUARE FEET 73227,B100000,00000,0800,00000MEALS SERVED 73227,B100000,00000,0900,00000TIME SPENT 73227,B100000,00000,1000,00000TIME SPENT 73227,B100000,00000,1100,00000REVENUE 73227,B100000,00000,1200,00000TIME SPENT 73227,B100000,00000,1300,00000TIME SPENT 73227,B100000,00000,1350,00000TIME SPENT 73227,B100000,00000,1400,00000NO STATISTICS 73227,E10A180,00550,0100,03/03/2000 73227,S000000,00100,0200,05/16/2000 73227,S200000,00100,0100,2200 N TELEGRAPH ROAD 73227,S200000,00200,0100,PONTIAC 73227,S200000,00200,0200,MI 73227,S200000,00300,0100,OAKLAND 73227,S200000,00400,0100,OAKLAND COUNTY MCF 73227,S200000,00400,0200,235260 73227,S200000,00400,0300,01/01/1976 73227,S200000,00400,0500,P 73227,S200000,01500,0100,Y 73227,S200000,02800,0100,Y 73235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73235,A000000,00300,0000,00300EMPLOYEE BENEFITS 73235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73235,A000000,00700,0000,00700HOUSEKEEPING 73235,A000000,00800,0000,00800DIETARY 73235,A000000,00900,0000,00900NURSING ADMINISTRATION 73235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73235,A000000,01100,0000,01100PHARMACY 73235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73235,A000000,01300,0000,01300SOCIAL SERVICE 73235,A000000,01350,0000,01500ACTIVITIES 73235,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73235,A000000,01600,0000,01600SKILLED NURSING FACILITY 73235,A000000,01810,0000,01810ICF/MR 73235,A000000,02200,0000,02200LABORATORY 73235,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73235,A000000,02500,0000,02500PHYSICAL THERAPY 73235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73235,A000000,02700,0000,02700SPEECH PATHOLOGY 73235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73235,A000000,03550,0000,03550FQHC 73235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73235,A000000,05000,0000,05000CORF 73235,A000000,05010,0000,05010CMHC 73235,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73235,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73235,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73235,A81000A,00100,0100,Y 73235,A81000B,00100,0300,RENT 73235,A81000B,00200,0300,SALARY 73235,A81000B,00300,0300,SALARY 73235,A81000C,00100,0100,D 73235,A81000C,00100,0200,JAMES SHARPE 73235,A81000C,00100,0400,SHARPE CARE INC. 73235,A81000C,00100,0600,NURSING HOME 73235,A81000C,00200,0100,D 73235,A81000C,00200,0200,DEBORAH SHARPE 73235,B100000,00000,0100,00000SQUARE FEET 73235,B100000,00000,0200,00000SQUARE FEET 73235,B100000,00000,0300,00000GROSS SALARIES 73235,B100000,00000,0400,00000ACCUM. COST 73235,B100000,00000,0500,00000SQUARE FEET 73235,B100000,00000,0600,00000PATIENT DAYS 73235,B100000,00000,0700,00000SQUARE FEET 73235,B100000,00000,0800,00000MEALS SERVED 73235,B100000,00000,0900,00000DIRECT NRSING HRS 73235,B100000,00000,1000,00000COSTED REQUIS. 73235,B100000,00000,1100,00000PATIENT DAYS 73235,B100000,00000,1200,00000PATIENT DAYS 73235,B100000,00000,1300,00000PATIENT DAYS 73235,B100000,00000,1350,00000PATIENT DAYS 73235,B100000,00000,1400,00000NO STATISTICS 73235,E10A180,00301,0100,12/31/1999 73235,S000000,00100,0200,06/22/2000 73235,S200000,00100,0100,EAST HIGHLAND DRIVE 73235,S200000,00200,0100,OCONTO FALLS 73235,S200000,00200,0200,WI 73235,S200000,00300,0100,OCONTO 73235,S200000,00400,0100,SHARPE CARE INC. 73235,S200000,00400,0200,525449 73235,S200000,00400,0300,12/01/1989 73235,S200000,00400,0500,P 73235,S200000,01500,0100,Y 73236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73236,A000000,00300,0000,00300EMPLOYEE BENEFITS 73236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73236,A000000,00700,0000,00700HOUSEKEEPING 73236,A000000,00800,0000,00800DIETARY 73236,A000000,00900,0000,00900NURSING ADMINISTRATION 73236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73236,A000000,01100,0000,01100PHARMACY 73236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73236,A000000,01300,0000,01300SOCIAL SERVICE 73236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73236,A000000,01600,0000,01600SKILLED NURSING FACILITY 73236,A000000,01810,0000,01810ICF/MR 73236,A000000,02200,0000,02200LABORATORY 73236,A000000,02500,0000,02500PHYSICAL THERAPY 73236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73236,A000000,02700,0000,02700SPEECH PATHOLOGY 73236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73236,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 73236,A000000,05000,0000,05000CORF 73236,A000000,05010,0000,05010CMHC 73236,A000000,05020,0000,05020OPT 73236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73236,B100000,00000,0100,00040(SQUARE FEET) 73236,B100000,00000,0200,00040(SQUARE FEET) 73236,B100000,00000,0300,00040(GROSS SALARIES) 73236,B100000,00000,0400,00040(ACCUM COST) 73236,B100000,00000,0500,00040(SQUARE FEET) 73236,B100000,00000,0600,00040(POUNDS OF LAUNDRY) 73236,B100000,00000,0700,00040(HOURS OF SERVICE) 73236,B100000,00000,0800,00040(MEALS SERVED) 73236,B100000,00000,0900,00040(DIR NRSG HOURS) 73236,B100000,00000,1000,00040(COSTED REQUIS) 73236,B100000,00000,1100,00040(COSTED REQUIS) 73236,B100000,00000,1200,00040(TIME SPENT) 73236,B100000,00000,1300,00040(TIME SPENT) 73236,B100000,00000,1400,00040(ASSIGNED TIME) 73236,S000000,00100,0200,07/11/2000 73236,S200000,00100,0100,307 ROYALL AVENUE 73236,S200000,00100,0300,167 73236,S200000,00200,0100,ELROY 73236,S200000,00200,0200,WISCONSIN 73236,S200000,00200,0300,53929 73236,S200000,00300,0100,JUNEAU 73236,S200000,00400,0100,HERITAGE MANOR 73236,S200000,00400,0200,525452 73236,S200000,00400,0300,01/01/1990 73236,S200000,00400,0500,P 73236,S200000,01500,0100,Y 73236,S200000,04300,0100,Y 73243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73243,A000000,00300,0000,00300EMPLOYEE BENEFITS 73243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73243,A000000,00700,0000,00700HOUSEKEEPING 73243,A000000,00800,0000,00800DIETARY 73243,A000000,00900,0000,00900NURSING ADMINISTRATION 73243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73243,A000000,01100,0000,01100PHARMACY 73243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73243,A000000,01300,0000,01300SOCIAL SERVICE 73243,A000000,01350,0000,01500PATIENT ACTIVITIES 73243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73243,A000000,01600,0000,01600SKILLED NURSING FACILITY 73243,A000000,01800,0000,01800NURSING FACILITY 73243,A000000,01810,0000,01810ICF/MR 73243,A000000,02500,0000,02500PHYSICAL THERAPY 73243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73243,A000000,02700,0000,02700SPEECH PATHOLOGY 73243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73243,A000000,03550,0000,03550FQHC 73243,A000000,05000,0000,05000CORF 73243,A000000,05010,0000,05010CMHC 73243,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73243,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73243,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73243,A81000A,00100,0100,Y 73243,A81000B,00100,0300,MANAGEMENT FEE 73243,A81000B,00200,0300,INTEREST EXPENSE 73243,A81000C,00100,0100,A 73243,A81000C,00100,0200,KG MANAGEMENT 73243,A81000C,00100,0400,MANAGEMENT COMPANY 73243,A81000C,00200,0100,A 73243,A81000C,00600,0200,MANAGEMENT COMPANY 73243,B100000,00000,0100,00000SQUARE FEET 73243,B100000,00000,0200,00000SQUARE FEET 73243,B100000,00000,0300,00000GROSS SALARIES 73243,B100000,00000,0400,00000ACCUM. COST 73243,B100000,00000,0500,00000SQUARE FEET 73243,B100000,00000,0600,00000PATIENT DAYS 73243,B100000,00000,0700,00000SQUARE FEET 73243,B100000,00000,0800,00000PATIENT DAYS 73243,B100000,00000,0900,00000DIRECT NRSG HRS 73243,B100000,00000,1000,00000COSTED REQUIS 73243,B100000,00000,1100,00000COSTED REQUIS 73243,B100000,00000,1200,00000TIME SPENT 73243,B100000,00000,1300,00000TIME SPENT 73243,B100000,00000,1350,00000PATIENT DAYS 73243,B100000,00000,1400,00000ASSIGNED TIME 73243,S000000,00100,0200,06/27/2000 73243,S200000,00100,0100,1400 8TH AVENUE 73243,S200000,00200,0100,UNION GROVE 73243,S200000,00200,0200,WI 73243,S200000,00300,0100,RACINE 73243,S200000,00400,0100,OAK RIDGE CARE CENTER 73243,S200000,00400,0200,525542 73243,S200000,00400,0300,09/01/1994 73243,S200000,00400,0500,P 73243,S200000,00600,0200,525542 73243,S200000,00600,0300,09/01/1994 73243,S200000,00600,0600,P 73243,S200000,01600,0100,Y 73244,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73244,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73244,A000000,00300,0000,00300EMPLOYEE BENEFITS 73244,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73244,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73244,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73244,A000000,00700,0000,00700HOUSEKEEPING 73244,A000000,00800,0000,00800DIETARY 73244,A000000,00900,0000,00900NURSING ADMINISTRATION 73244,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73244,A000000,01100,0000,01100PHARMACY 73244,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73244,A000000,01300,0000,01300SOCIAL SERVICE 73244,A000000,01301,0000,01301ACTIVITIES 73244,A000000,01350,0000,01500OTHER GENERAL SERVICES 73244,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73244,A000000,01600,0000,01600SKILLED NURSING FACILITY 73244,A000000,01810,0000,01810ICF/MR 73244,A000000,02100,0000,02100RADIOLOGY 73244,A000000,02200,0000,02200LABORATORY 73244,A000000,02300,0000,02300INTRAVENOUS THERAPY 73244,A000000,02500,0000,02500PHYSICAL THERAPY 73244,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73244,A000000,02700,0000,02700SPEECH PATHOLOGY 73244,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73244,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73244,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73244,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73244,A000000,03550,0000,03550FQHC 73244,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 73244,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 73244,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 73244,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 73244,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 73244,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 73244,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 73244,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 73244,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73244,A000000,05000,0000,05000CORF 73244,A000000,05010,0000,05010CMHC 73244,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73244,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73244,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73244,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73244,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73244,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73244,A81000A,00100,0100,Y 73244,A81000B,00100,0300,RENT 73244,A81000C,00100,0100,A 73244,A81000C,00100,0200,HUS APARTMENTS 73244,A81000C,00100,0400,HUS APARTMENTS 73244,A81000C,00100,0600,ELDERLY APARTMENTS 73244,A81000C,00200,0100,A 73244,A81000C,00200,0200,MUELLER APARTMENTS 73244,A81000C,00200,0400,MUELLER APARTMENTS 73244,A81000C,00200,0600,ELDERLY APARTMENTS 73244,B100000,00000,0100,00000SQUARE FEET 73244,B100000,00000,0200,00000SQUARE FEET 73244,B100000,00000,0300,00000GROSS SALARIES 73244,B100000,00000,0400,00000ACCUM. COST 73244,B100000,00000,0500,00000SQUARE FEET 73244,B100000,00000,0600,00000PATIENT DAYS 73244,B100000,00000,0700,00000SQUARE FEET 73244,B100000,00000,0800,00000MEALS SERVED 73244,B100000,00000,0900,00000DIRECT NRSING HRS 73244,B100000,00000,1000,00000COSTED REQUIS 73244,B100000,00000,1100,00000COSTED REQUIS 73244,B100000,00000,1200,00000PATIENT DAYS 73244,B100000,00000,1300,00000PATIENT DAYS 73244,B100000,00000,1301,00000PATIENT DAYS 73244,B100000,00000,1350,00000NO STATISTICS 73244,B100000,00000,1400,00000ASSIGNED TIME 73244,E10A180,00550,0300,02/19/2001 73244,H510100,00000,0000,9952 73244,H510100,02400,0000,9952 73244,H710000,00301,0100,03/06/2000 73244,H710000,00501,0100,02/19/2001 73244,S000000,00100,0200,12/28/2000 73244,S200000,00100,0100,1020 HILL STREET 73244,S200000,00200,0100,WATERTOWN 73244,S200000,00200,0200,ID 73244,S200000,00300,0100,D 73244,S200000,00400,0100,MARQUARDT MEMORIAL MANOR INC 73244,S200000,00400,0200,525543 73244,S200000,00400,0300,08/01/1994 73244,S200000,00400,0500,P 73244,S200000,00800,0200,527151 73244,S200000,00800,0300,07/01/1985 73244,S200000,00800,0500,P 73244,S200000,01500,0100,Y 73245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73245,A000000,00300,0000,00300EMPLOYEE BENEFITS 73245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73245,A000000,00700,0000,00700HOUSEKEEPING 73245,A000000,00800,0000,00800DIETARY 73245,A000000,00900,0000,00900NURSING ADMINISTRATION 73245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73245,A000000,01100,0000,01100PHARMACY 73245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73245,A000000,01300,0000,01300SOCIAL SERVICE 73245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73245,A000000,01600,0000,01600SKILLED NURSING FACILITY 73245,A000000,01810,0000,01810ICF/MR 73245,A000000,02100,0000,02100RADIOLOGY 73245,A000000,02200,0000,02200LABORATORY 73245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73245,A000000,02500,0000,02500PHYSICAL THERAPY 73245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73245,A000000,02700,0000,02700SPEECH PATHOLOGY 73245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73245,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73245,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73245,A000000,03550,0000,03550FQHC 73245,A000000,05000,0000,05000CORF 73245,A000000,05010,0000,05010CMHC 73245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73245,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73245,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73245,A81000A,00100,0100,Y 73245,A81000B,00100,0300,PHYSICAL THERAPY 73245,A81000B,00200,0300,OCCUPATIONAL THERAPY 73245,A81000B,00300,0300,SPEECH THERAPY 73245,A81000B,00400,0300,MANAGEMENT FEE 73245,A81000B,00500,0300,MAN FEE-CAPITAL 73245,A81000C,00100,0100,A 73245,A81000C,00100,0200,OMNI THERAPY 73245,A81000C,00100,0400,OMNI THERAPY 73245,A81000C,00100,0600,REHAB AGENCY 73245,A81000C,00200,0100,A 73245,A81000C,00200,0200,LAUREATE GROUP 73245,A81000C,00200,0400,LAUREATE GROUP 73245,A81000C,00200,0600,MNGMT COMPANY 73245,B100000,00000,0100,00000SQUARE FEET 73245,B100000,00000,0200,00000SQUARE FEET 73245,B100000,00000,0300,00000GROSS SALARIES 73245,B100000,00000,0400,00000ACCUM COST 73245,B100000,00000,0500,00000SQUARE FEET 73245,B100000,00000,0600,00000PATIENT DAYS 73245,B100000,00000,0700,00000SQUARE FEET 73245,B100000,00000,0800,00000MEALS SERVED 73245,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73245,B100000,00000,1000,00000COSTED REQUISITIO 73245,B100000,00000,1100,00000COSTED REQUISITIO 73245,B100000,00000,1200,00000PATIENT DAYS 73245,B100000,00000,1300,00000PATIENT DAYS 73245,B100000,00000,1400,00000ASSIGNED TIME 73245,E10A180,00301,0100,02/28/2000 73245,E10A180,00550,0100,10/02/2000 73245,S000000,00100,0200,06/02/2000 73245,S200000,00100,0100,6263 NORTH GREEN BAY AVE. 73245,S200000,00200,0100,MILWAUKEE 73245,S200000,00200,0200,WI 73245,S200000,00200,0300,53209 73245,S200000,00300,0100,MILWAUKEE 73245,S200000,00400,0100,SEVEN OAKS 73245,S200000,00400,0200,525547 73245,S200000,00400,0300,07/07/1994 73245,S200000,00400,0500,P 73245,S200000,01500,0100,Y 73247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73247,A000000,00300,0000,00300EMPLOYEE BENEFITS 73247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73247,A000000,00700,0000,00700HOUSEKEEPING 73247,A000000,00800,0000,00800DIETARY 73247,A000000,00900,0000,00900NURSING ADMINISTRATION 73247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73247,A000000,01100,0000,01100PHARMACY 73247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73247,A000000,01300,0000,01300SOCIAL SERVICE 73247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73247,A000000,01600,0000,01600SKILLED NURSING FACILITY 73247,A000000,01810,0000,01810ICF/MR 73247,A000000,02100,0000,02100RADIOLOGY 73247,A000000,02200,0000,02200LABORATORY 73247,A000000,02300,0000,02300INTRAVENOUS THERAPY 73247,A000000,02500,0000,02500PHYSICAL THERAPY 73247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73247,A000000,02700,0000,02700SPEECH PATHOLOGY 73247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73247,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73247,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73247,A000000,03550,0000,03550FQHC 73247,A000000,05000,0000,05000CORF 73247,A000000,05010,0000,05010CMHC 73247,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73247,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73247,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73247,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73247,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73247,B100000,00000,0100,00000SQUARE FEET 73247,B100000,00000,0200,00000SQUARE FEET 73247,B100000,00000,0300,00000GROSS SALARIES 73247,B100000,00000,0400,00000ACCUM COST 73247,B100000,00000,0500,00000SQUARE FEET 73247,B100000,00000,0600,00000PATIENT DAYS 73247,B100000,00000,0700,00000SQUARE FEET 73247,B100000,00000,0800,00000MEALS SERVED 73247,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73247,B100000,00000,1000,00000COSTED REQUISITIO 73247,B100000,00000,1100,00000COSTED REQUISITIO 73247,B100000,00000,1200,00000TIME SPENT 73247,B100000,00000,1300,00000PATIENT DAYS 73247,B100000,00000,1400,00000ASSIGNED TIME 73247,S000000,00100,0200,06/26/2000 73247,S200000,00100,0100,1130 N MARGARET 73247,S200000,00100,0300,509 73247,S200000,00200,0100,MARKESAN 73247,S200000,00200,0200,WISCONSIN 73247,S200000,00200,0300,53946 73247,S200000,00300,0100,GREEN LAKE 73247,S200000,00400,0100,MARKESAN RESIDENT HOME INC. 73247,S200000,00400,0200,525550 73247,S200000,00400,0300,01/01/1995 73247,S200000,00400,0500,P 73247,S200000,01500,0100,Y 73249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73249,A000000,00300,0000,00300EMPLOYEE BENEFITS 73249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73249,A000000,00700,0000,00700HOUSEKEEPING 73249,A000000,00800,0000,00800DIETARY 73249,A000000,00900,0000,00900NURSING ADMINISTRATION 73249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73249,A000000,01100,0000,01100PHARMACY 73249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73249,A000000,01300,0000,01300SOCIAL SERVICE 73249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73249,A000000,01600,0000,01600SKILLED NURSING FACILITY 73249,A000000,01810,0000,01810ICF/MR 73249,A000000,02100,0000,02100RADIOLOGY 73249,A000000,02200,0000,02200LABORATORY 73249,A000000,02500,0000,02500PHYSICAL THERAPY 73249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73249,A000000,02700,0000,02700SPEECH PATHOLOGY 73249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73249,A000000,03550,0000,03550FQHC 73249,A000000,04800,0000,04800AMBULANCE 73249,A000000,05000,0000,05000CORF 73249,A000000,05010,0000,05010CMHC 73249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73249,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73249,A81000A,00100,0100,Y 73249,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 73249,A81000C,00100,0100,B 73249,A81000C,00100,0200,KENOSHA COUNTY 73249,A81000C,00100,0400,KENOSHA COUNTY 73249,A81000C,00100,0600,COUNTY GOVT. 73249,B100000,00000,0100,00000SQUARE FEET 73249,B100000,00000,0200,00000SQUARE FEET 73249,B100000,00000,0300,00000GROSS SALARIES 73249,B100000,00000,0400,00000ACCUM COST 73249,B100000,00000,0500,00000SQUARE FEET 73249,B100000,00000,0600,00000PATIENT DAYS 73249,B100000,00000,0700,00000SQUARE FEET 73249,B100000,00000,0800,00000MEALS SERVED 73249,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73249,B100000,00000,1000,00000COSTED REQUISITIO 73249,B100000,00000,1100,00000COSTED REQUISITIO 73249,B100000,00000,1200,00000TIME SPENT 73249,B100000,00000,1300,00000PATIENT DAYS 73249,B100000,00000,1400,00000ASSIGNED TIME 73249,S000000,00100,0200,05/12/2000 73249,S200000,00100,0100,3506 WASHINGOTN ROAD 73249,S200000,00200,0100,KENOSHA 73249,S200000,00200,0200,WI 73249,S200000,00200,0300,53144 73249,S200000,00300,0100,KENOSHA 73249,S200000,00400,0100,BROOKSIDE CARE CENTER 73249,S200000,00400,0200,525556 73249,S200000,00400,0300,12/01/1994 73249,S200000,00400,0500,P 73249,S200000,01500,0100,Y 73252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73252,A000000,00300,0000,00300EMPLOYEE BENEFITS 73252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73252,A000000,00700,0000,00700HOUSEKEEPING 73252,A000000,00800,0000,00800DIETARY 73252,A000000,00900,0000,00900NURSING ADMINISTRATION 73252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73252,A000000,01100,0000,01100PHARMACY 73252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73252,A000000,01300,0000,01300SOCIAL SERVICE 73252,A000000,01301,0000,01301ACTIVITIES 73252,A000000,01350,0000,01500OTHER GENERAL SERVICES 73252,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73252,A000000,01600,0000,01600SKILLED NURSING FACILITY 73252,A000000,01810,0000,01810ICF/MR 73252,A000000,02100,0000,02100RADIOLOGY 73252,A000000,02200,0000,02200LABORATORY 73252,A000000,02500,0000,02500PHYSICAL THERAPY 73252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73252,A000000,02700,0000,02700SPEECH PATHOLOGY 73252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73252,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73252,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73252,A000000,03550,0000,03550FQHC 73252,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73252,A000000,05000,0000,05000CORF 73252,A000000,05010,0000,05010CMHC 73252,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73252,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73252,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73252,A000000,05300,0000,05300INTEREST EXPENSE 73252,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73252,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73252,B100000,00000,0100,00000SQUARE FEET 73252,B100000,00000,0200,00000SQUARE FEET 73252,B100000,00000,0300,00000GROSS SALARIES 73252,B100000,00000,0400,00000ACCUM. COST 73252,B100000,00000,0500,00000SQUARE FEET 73252,B100000,00000,0600,00000PATIENT DAYS 73252,B100000,00000,0700,00000SQUARE FEET 73252,B100000,00000,0800,00000MEALS SERVED 73252,B100000,00000,0900,00000NURSING SALARIES 73252,B100000,00000,1000,00000PATIENT DAYS 73252,B100000,00000,1100,00000PATIENT DAYS 73252,B100000,00000,1200,00000GROSS CHARGES 73252,B100000,00000,1300,00000PATIENT DAYS 73252,B100000,00000,1301,00000PATIENT DAYS 73252,B100000,00000,1350,00000TIME SPENT 73252,B100000,00000,1400,00000ASSIGNED TIME 73252,S000000,00100,0200,06/12/2000 73252,S200000,00100,0100,706 BRATLEY DRIVE 73252,S200000,00100,0300,548 73252,S200000,00200,0100,WASHBURN 73252,S200000,00200,0200,WI 73252,S200000,00300,0100,BAYFIELD 73252,S200000,00400,0100,NORTHERN LIGHTS MANOR NURSING HOME 73252,S200000,00400,0200,525567 73252,S200000,00400,0300,03/28/1995 73252,S200000,00400,0500,P 73252,S200000,01500,0100,Y 73254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73254,A000000,00300,0000,00300EMPLOYEE BENEFITS 73254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73254,A000000,00700,0000,00700HOUSEKEEPING 73254,A000000,00800,0000,00800DIETARY 73254,A000000,00900,0000,00900NURSING ADMINISTRATION 73254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73254,A000000,01100,0000,01100PHARMACY 73254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73254,A000000,01300,0000,01300SOCIAL SERVICE 73254,A000000,01350,0000,01500PATIENT ACTIVITIES 73254,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73254,A000000,01600,0000,01600SKILLED NURSING FACILITY 73254,A000000,01800,0000,01800NURSING FACILITY 73254,A000000,01810,0000,01810ICF/MR 73254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73254,A000000,02500,0000,02500PHYSICAL THERAPY 73254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73254,A000000,02700,0000,02700SPEECH PATHOLOGY 73254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73254,A000000,03550,0000,03550FQHC 73254,A000000,05000,0000,05000CORF 73254,A000000,05010,0000,05010CMHC 73254,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73254,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73254,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73254,A81000A,00100,0100,Y 73254,A81000B,00100,0300,COUNTY COSTS 73254,A81000C,00100,0100,A 73254,A81000C,00100,0200,SHEBOYGAN COUNTY 73254,A81000C,00100,0400,COUNTY GOVERNMENT 73254,B100000,00000,0100,00000SQUARE FEET 73254,B100000,00000,0200,00000SQUARE FEET 73254,B100000,00000,0300,00000GROSS SALARIES 73254,B100000,00000,0400,00000ACCUM. COST 73254,B100000,00000,0500,00000SQUARE FEET 73254,B100000,00000,0600,00000PATIENT DAYS 73254,B100000,00000,0700,00000SQUARE FEET 73254,B100000,00000,0800,00000PATIENT DAYS 73254,B100000,00000,0900,00000DIRECT NRSG HRS 73254,B100000,00000,1000,00000PATIENT DAYS 73254,B100000,00000,1100,00000COSTED REQUIS 73254,B100000,00000,1200,00000TIME SPENT 73254,B100000,00000,1300,00000TIME SPENT 73254,B100000,00000,1350,00000PATIENT DAYS 73254,B100000,00000,1400,00000ASSIGNED TIME 73254,S000000,00100,0200,07/03/2000 73254,S200000,00100,0100,3014 ERIE AVENUE 73254,S200000,00200,0100,SHEBOYGAN 73254,S200000,00200,0200,WI 73254,S200000,00300,0100,SHEBOYGAN 73254,S200000,00400,0100,SUNNY RIDGE 73254,S200000,00400,0200,525568 73254,S200000,00400,0300,07/01/1995 73254,S200000,00400,0500,P 73254,S200000,01600,0100,Y 73255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73255,A000000,00300,0000,00300EMPLOYEE BENEFITS 73255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73255,A000000,00700,0000,00700HOUSEKEEPING 73255,A000000,00800,0000,00800DIETARY 73255,A000000,00900,0000,00900NURSING ADMINISTRATION 73255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73255,A000000,01100,0000,01100PHARMACY 73255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73255,A000000,01300,0000,01300SOCIAL SERVICE 73255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73255,A000000,01600,0000,01600SKILLED NURSING FACILITY 73255,A000000,01800,0000,01800NURSING FACILITY 73255,A000000,01810,0000,01810ICF/MR 73255,A000000,02100,0000,02100RADIOLOGY 73255,A000000,02200,0000,02200LABORATORY 73255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73255,A000000,02500,0000,02500PHYSICAL THERAPY 73255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73255,A000000,02700,0000,02700SPEECH PATHOLOGY 73255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73255,A000000,03550,0000,03550FQHC 73255,A000000,05000,0000,05000CORF 73255,A000000,05010,0000,05010CMHC 73255,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73255,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73255,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73255,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST / C 73255,B100000,00000,0100,00000SQUARE FEET 73255,B100000,00000,0200,00000SQUARE FEET 73255,B100000,00000,0300,00000GROSS SALARIES 73255,B100000,00000,0400,00000ACCUM COST 73255,B100000,00000,0500,00000SQUARE FEET 73255,B100000,00000,0600,00000PATIENT DAYS 73255,B100000,00000,0700,00000SQUARE FEET 73255,B100000,00000,0800,00000MEALS SERVED 73255,B100000,00000,0900,00000DIR NSG HOURS 73255,B100000,00000,1000,00000COSTED REQUIS. 73255,B100000,00000,1100,00000COSTED REQUIS 73255,B100000,00000,1200,00000TIME SPENT 73255,B100000,00000,1300,00000PATIENT DAYS 73255,B100000,00000,1400,00000ASSIGNED TIME 73255,E10A180,00501,0100,02/05/2001 73255,E10A180,00501,0300,02/05/2001 73255,E10A180,00550,0100,05/01/2000 73255,E10A180,00550,0300,05/01/2000 73255,S000000,00100,0200,06/29/2000 73255,S200000,00100,0100,226 BORNEMANN STREET 73255,S200000,00200,0100,GREEN BAY 73255,S200000,00200,0200,WI 73255,S200000,00200,0300,54302 73255,S200000,00300,0100,BROWN 73255,S200000,00400,0100,BORNEMANN NURSING HOME INC. 73255,S200000,00400,0200,525571 73255,S200000,00400,0300,08/01/1995 73255,S200000,00400,0500,P 73255,S200000,01600,0100,Y 73257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73257,A000000,00300,0000,00300EMPLOYEE BENEFITS 73257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73257,A000000,00700,0000,00700HOUSEKEEPING 73257,A000000,00800,0000,00800DIETARY 73257,A000000,00900,0000,00900NURSING ADMINISTRATION 73257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73257,A000000,01100,0000,01100PHARMACY 73257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73257,A000000,01300,0000,01300SOCIAL SERVICE 73257,A000000,01350,0000,01500ACTIVITIES 73257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73257,A000000,01600,0000,01600SKILLED NURSING FACILITY 73257,A000000,01810,0000,01810ICF/MR 73257,A000000,02100,0000,02100RADIOLOGY 73257,A000000,02200,0000,02200LABORATORY 73257,A000000,02300,0000,02300INTRAVENOUS THERAPY 73257,A000000,02500,0000,02500PHYSICAL THERAPY 73257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73257,A000000,02700,0000,02700SPEECH PATHOLOGY 73257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73257,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73257,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73257,A000000,03550,0000,03550FQHC 73257,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73257,A000000,05000,0000,05000CORF 73257,A000000,05010,0000,05010CMHC 73257,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73257,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73257,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73257,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73257,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73257,A81000A,00100,0100,Y 73257,A81000B,00100,0300,ALLOCATION OF EXPENSES 73257,A81000B,00200,0300,ALLOCATION OF EXPENSES 73257,A81000B,00300,0300,ALLOCATION OF EXPENSES 73257,A81000B,00400,0300,ALLOCATION OF EXPENSES 73257,A81000B,00500,0300,ALLOCATION OF EXPENSES 73257,A81000B,00600,0300,ALLOCATION OF EXPENSES 73257,A81000B,00700,0300,ALLOCATION OF EXPENSES 73257,A81000B,00800,0300,ALLOCATION OF EXPENSES 73257,A81000C,00100,0100,G 73257,A81000C,00100,0200,WISCONSIN MASONIC HOME 73257,A81000C,00100,0400,WISCONSIN MASONIC HOME 73257,A81000C,00100,0600,INDEPENDENT LIVING 73257,A81000C,00200,0100,G 73257,A81000C,00200,0200,MASONIC VILLAGE 73257,A81000C,00200,0400,MASONIC VILLAGE 73257,A81000C,00200,0600,INDEPENDENT LIVING 73257,B100000,00000,0100,00000SQUARE FEET 73257,B100000,00000,0200,00000SQUARE FEET 73257,B100000,00000,0300,00000GROSS SALARIES 73257,B100000,00000,0400,00000ACCUM. COST 73257,B100000,00000,0500,00000SQUARE FEET 73257,B100000,00000,0600,00000PATIENT DAYS 73257,B100000,00000,0700,00000PATIENT DAYS 73257,B100000,00000,0800,00000MEALS SERVED 73257,B100000,00000,0900,00000DIRECT NRSG HRS 73257,B100000,00000,1000,00000COSTED REQUIS 73257,B100000,00000,1100,00000COSTED REQUIS 73257,B100000,00000,1200,00000GROSS CHARGES 73257,B100000,00000,1300,00000PATIENT DAYS 73257,B100000,00000,1350,00000PATIENT DAYS 73257,B100000,00000,1400,00000ASSIGNED TIME 73257,S000000,00100,0200,12/05/2000 73257,S200000,00100,0100,400 NORTH MAIN STREET 73257,S200000,00200,0100,DOUSMAN 73257,S200000,00200,0200,WI 73257,S200000,00200,0300,53118 73257,S200000,00400,0100,MASONIC HEALTH CARE CENTER 73257,S200000,00400,0200,525572 73257,S200000,00400,0300,08/01/1995 73257,S200000,00400,0500,P 73257,S200000,01500,0100,Y 73258,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73258,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73258,A000000,00300,0000,00300EMPLOYEE BENEFITS 73258,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73258,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73258,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73258,A000000,00700,0000,00700HOUSEKEEPING 73258,A000000,00800,0000,00800DIETARY 73258,A000000,00900,0000,00900NURSING ADMINISTRATION 73258,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73258,A000000,01100,0000,01100PHARMACY 73258,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73258,A000000,01300,0000,01300SOCIAL SERVICE 73258,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73258,A000000,01600,0000,01600SKILLED NURSING FACILITY 73258,A000000,01810,0000,01810ICF/MR 73258,A000000,02100,0000,02100RADIOLOGY 73258,A000000,02200,0000,02200LABORATORY 73258,A000000,02300,0000,02300INTRAVENOUS THERAPY 73258,A000000,02500,0000,02500PHYSICAL THERAPY 73258,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73258,A000000,02700,0000,02700SPEECH PATHOLOGY 73258,A000000,02800,0000,02800ELECTROCARDIOLOGY 73258,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73258,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73258,A000000,03550,0000,03550FQHC 73258,A000000,05000,0000,05000CORF 73258,A000000,05010,0000,05010CMHC 73258,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73258,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73258,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73258,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73258,A81000A,00100,0100,Y 73258,A81000B,00100,0300,COUNTY CENTRAL SERVICE COSTS 73258,A81000B,00200,0300,WORKERS COMP. ALLOCATION 73258,A81000C,00100,0100,B 73258,A81000C,00100,0400,OUTAGAMIE COUNT 73258,A81000C,00100,0600,COUNTY GOVERNME 73258,B100000,00000,0100,00000SQUARE FEET 73258,B100000,00000,0200,00000SQUARE FEET 73258,B100000,00000,0300,00000GROSS SALARIES 73258,B100000,00000,0400,00000ACCUM COST 73258,B100000,00000,0500,00000SQUARE FEET 73258,B100000,00000,0600,00000POUNDS OF LAUNDRY 73258,B100000,00000,0700,00000SQUARE FEET 73258,B100000,00000,0800,00000MEALS SERVED 73258,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73258,B100000,00000,1000,00000PATIENT DAYS 73258,B100000,00000,1100,00000COSTED REQUIS 73258,B100000,00000,1200,00000PATIENT DAYS 73258,B100000,00000,1300,00000PATIENT DAYS 73258,B100000,00000,1400,00000ASSIGNED TIME 73258,E10A180,00501,0100,02/05/2001 73258,E10A180,00501,0300,02/05/2001 73258,S000000,00100,0200,06/27/2000 73258,S200000,00100,0100,3400 W. BREWSTER STREET 73258,S200000,00200,0100,APPLETON 73258,S200000,00200,0200,WI 73258,S200000,00200,0300,54914 73258,S200000,00300,0100,OUTAGAMIE 73258,S200000,00400,0100,OUTAGAMIE COUNTY HEALTH CENTER 73258,S200000,00400,0200,525574 73258,S200000,00400,0300,08/01/1995 73258,S200000,00400,0500,P 73258,S200000,01500,0100,Y 73258,S200000,01900,0100,OTHER (SPECIFY) 73258,S200000,02800,0100,Y 73260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73260,A000000,00300,0000,00300EMPLOYEE BENEFITS 73260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73260,A000000,00700,0000,00700HOUSEKEEPING 73260,A000000,00800,0000,00800DIETARY 73260,A000000,00900,0000,00900NURSING ADMINISTRATION 73260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73260,A000000,01100,0000,01100PHARMACY 73260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73260,A000000,01300,0000,01300SOCIAL SERVICE 73260,A000000,01301,0000,01301ACTIVITY 73260,A000000,01350,0000,01500OTHER GENERAL SERVICES 73260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73260,A000000,01600,0000,01600SKILLED NURSING FACILITY 73260,A000000,01810,0000,01810ICF/MR 73260,A000000,02200,0000,02200LABORATORY 73260,A000000,02500,0000,02500PHYSICAL THERAPY 73260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73260,A000000,02700,0000,02700SPEECH PATHOLOGY 73260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73260,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73260,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73260,A000000,03550,0000,03550FQHC 73260,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73260,A000000,05000,0000,05000CORF 73260,A000000,05010,0000,05010CMHC 73260,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73260,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73260,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73260,A81000A,00100,0100,Y 73260,A81000B,00100,0300,HOME OFFICE COSTS 73260,A81000C,00100,0100,B 73260,A81000C,00100,0200,MONTELLO CARE CENTER 73260,A81000C,00100,0400,MALACHI GROUP 73260,A81000C,00100,0600,HOME OFFICE 73260,B100000,00000,0100,00000SQUARE FEET 73260,B100000,00000,0200,00000SQUARE FEET 73260,B100000,00000,0300,00000GROSS SALARIES 73260,B100000,00000,0400,00000ACCUM. COST 73260,B100000,00000,0500,00000SQUARE FEET 73260,B100000,00000,0600,00000PATIENT DAYS 73260,B100000,00000,0700,00000SQUARE FEET 73260,B100000,00000,0800,00000PATIENT DAYS 73260,B100000,00000,0900,00000DIRECT NRSING HRS 73260,B100000,00000,1000,00000COSTED REQUIS. 73260,B100000,00000,1100,00000COSTED REQUIS. 73260,B100000,00000,1200,00000PATIENT DAYS 73260,B100000,00000,1300,00000PATIENT DAYS 73260,B100000,00000,1301,00000PATIENT DAYS 73260,B100000,00000,1350,00000TIME SPENT 73260,B100000,00000,1400,00000ASSIGNED TIME 73260,E10A180,00501,0100,01/29/2001 73260,E10A180,00550,0100,01/29/2001 73260,S000000,00100,0200,06/23/2000 73260,S200000,00100,0100,251 FOREST LANE 73260,S200000,00200,0100,MONTELLO 73260,S200000,00200,0200,WI 73260,S200000,00300,0100,MARQUETTE 73260,S200000,00400,0100,MONTELLO CARE CENTER 73260,S200000,00400,0200,525577 73260,S200000,00400,0300,01/01/1997 73260,S200000,00400,0500,P 73260,S200000,01500,0100,Y 73262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73262,A000000,00300,0000,00300EMPLOYEE BENEFITS 73262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73262,A000000,00700,0000,00700HOUSEKEEPING 73262,A000000,00800,0000,00800DIETARY 73262,A000000,00900,0000,00900NURSING ADMINISTRATION 73262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73262,A000000,01100,0000,01100PHARMACY 73262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73262,A000000,01300,0000,01300SOCIAL SERVICE 73262,A000000,01350,0000,01500PATIENT ACTIVITIES 73262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73262,A000000,01600,0000,01600SKILLED NURSING FACILITY 73262,A000000,01810,0000,01810ICF/MR 73262,A000000,02100,0000,02100RADIOLOGY 73262,A000000,02500,0000,02500PHYSICAL THERAPY 73262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73262,A000000,02700,0000,02700SPEECH PATHOLOGY 73262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73262,A000000,03550,0000,03550FQHC 73262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73262,A000000,05000,0000,05000CORF 73262,A000000,05010,0000,05010CMHC 73262,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73262,A81000A,00100,0100,Y 73262,A81000B,00100,0300,HOME OFFICE OVERHEAD 73262,A81000B,00200,0300,LEASE 73262,A81000C,00100,0100,A 73262,A81000C,00100,0200,PARKSIDE CARE CENTER 73262,A81000C,00100,0400,RICE MANAGEMENT INC 73262,A81000C,00100,0600,HOME OFFICE 73262,A81000C,00200,0100,A 73262,A81000C,00200,0200,PARKSIDE CARE CENTER 73262,A81000C,00200,0400,RICE ENTERPRISES 73262,A81000C,00200,0600,REAL ESTATE 73262,B100000,00000,0100,00000SQUARE FEET 73262,B100000,00000,0200,00000SQUARE FEET 73262,B100000,00000,0300,00000GROSS SALARIES 73262,B100000,00000,0400,00000ACCUM. COST 73262,B100000,00000,0500,00000SQUARE FEET 73262,B100000,00000,0600,00000LAUNDRY POUNDS 73262,B100000,00000,0700,00000SQUARE FEET 73262,B100000,00000,0800,00000MEALS 73262,B100000,00000,0900,00000HOURS WORKED 73262,B100000,00000,1000,00000COSTED REQUIS. 73262,B100000,00000,1100,00000COSTED REQUIS. 73262,B100000,00000,1200,00000TIME SPENT 73262,B100000,00000,1300,00000ADMISSIONS S 73262,B100000,00000,1350,00000HOURS WORKED 73262,B100000,00000,1400,00000TIME SPENT 73262,E10A180,00501,0100,08/07/2000 73262,E10A180,00501,0300,08/07/2000 73262,S000000,00100,0200,04/03/2000 73262,S200000,00100,0100,1201 GARFIELD AVENUE 73262,S200000,00200,0100,LITTLE CHUTE 73262,S200000,00200,0200,WI 73262,S200000,00300,0100,OUTAGAMIE 73262,S200000,00400,0100,PARKSIDE CARE CENTER 73262,S200000,00400,0200,525579 73262,S200000,00400,0300,11/01/1998 73262,S200000,00400,0500,P 73262,S200000,01500,0100,Y 73265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73265,A000000,00300,0000,00300EMPLOYEE BENEFITS 73265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73265,A000000,00700,0000,00700HOUSEKEEPING 73265,A000000,00800,0000,00800DIETARY 73265,A000000,00900,0000,00900NURSING ADMINISTRATION 73265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73265,A000000,01100,0000,01100PHARMACY 73265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73265,A000000,01300,0000,01300SOCIAL SERVICE 73265,A000000,01350,0000,01500PATIENT ACTIVITIES 73265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73265,A000000,01600,0000,01600SKILLED NURSING FACILITY 73265,A000000,01800,0000,01800NURSING FACILITY 73265,A000000,01810,0000,01810ICF/MR 73265,A000000,02500,0000,02500PHYSICAL THERAPY 73265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73265,A000000,02700,0000,02700SPEECH PATHOLOGY 73265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73265,A000000,03550,0000,03550FQHC 73265,A000000,05000,0000,05000CORF 73265,A000000,05010,0000,05010CMHC 73265,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73265,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73265,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73265,A81000A,00100,0100,Y 73265,A81000B,00100,0300,MANAGEMENT FEES 73265,A81000C,00100,0100,A 73265,A81000C,00100,0200,DOVE 73265,A81000C,00100,0400,DOVE 73265,A81000C,00100,0600,HOME OFFICE 73265,B100000,00000,0100,00040SQUARE FEET 73265,B100000,00000,0200,00040SQUARE FEET 73265,B100000,00000,0300,00040GROSS SALARIES 73265,B100000,00000,0400,00040ACCUM. COST 73265,B100000,00000,0500,00040SQUARE FEET 73265,B100000,00000,0600,00040PATIENT DAYS 73265,B100000,00000,0700,00040SQUARE FEET 73265,B100000,00000,0800,00040PATIENT DAYS 73265,B100000,00000,0900,00040DIRECT NRSG HRS 73265,B100000,00000,1000,00040COSTED REQUIS 73265,B100000,00000,1100,00040COSTED REQUIS 73265,B100000,00000,1200,00040TIME SPENT 73265,B100000,00000,1300,00040TIME SPENT 73265,B100000,00000,1350,00040PATIENT DAYS 73265,B100000,00000,1400,00040ASSIGNED TIME 73265,E10A180,00501,0100,07/06/2000 73265,E10A180,00502,0100,02/19/2001 73265,E10A180,00550,0100,07/06/2000 73265,E10A180,00551,0100,02/19/2001 73265,S000000,00100,0200,07/10/2000 73265,S200000,00100,0100,1615 SOUTH 22ND STREET 73265,S200000,00200,0100,MILWAUKEE 73265,S200000,00200,0200,WI 73265,S200000,00300,0100,MILWAUKEE 73265,S200000,00400,0100,HILLVIEW HEALTHCARE LLC 73265,S200000,00400,0200,525585 73265,S200000,00400,0300,04/16/1996 73265,S200000,00400,0500,P 73265,S200000,01600,0100,Y 73268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73268,A000000,00300,0000,00300EMPLOYEE BENEFITS 73268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73268,A000000,00700,0000,00700HOUSEKEEPING 73268,A000000,00800,0000,00800DIETARY 73268,A000000,00900,0000,00900NURSING ADMINISTRATION 73268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73268,A000000,01100,0000,01100PHARMACY 73268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73268,A000000,01300,0000,01300SOCIAL SERVICE 73268,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73268,A000000,01600,0000,01600SKILLED NURSING FACILITY 73268,A000000,01810,0000,01810ICF/MR 73268,A000000,02100,0000,02100RADIOLOGY 73268,A000000,02200,0000,02200LABORATORY 73268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73268,A000000,02500,0000,02500PHYSICAL THERAPY 73268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73268,A000000,02700,0000,02700SPEECH PATHOLOGY 73268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73268,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73268,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73268,A000000,03550,0000,03550FQHC 73268,A000000,05000,0000,05000CORF 73268,A000000,05010,0000,05010CMHC 73268,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73268,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73268,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73268,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73268,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73268,A81000A,00100,0100,Y 73268,A81000B,00100,0300,PHYSICAL THERAPY 73268,A81000B,00200,0300,OCCUPATIONAL THERAPY 73268,A81000B,00300,0300,SPEECH THERAPY 73268,A81000C,00100,0100,B 73268,A81000C,00100,0200,ST. FRANCIS HOM 73268,A81000C,00100,0400,ST. AGNES HOSPI 73268,A81000C,00100,0600,HOSPITAL 73268,B100000,00000,0100,00000SQUARE FEET 73268,B100000,00000,0200,00000SQUARE FEET 73268,B100000,00000,0300,00000GROSS SALARIES 73268,B100000,00000,0400,00000ACCUM COST 73268,B100000,00000,0500,00000SQUARE FEET 73268,B100000,00000,0600,00000PATIENT DAYS 73268,B100000,00000,0700,00000SQUARE FEET 73268,B100000,00000,0800,00000MEALS SERVED 73268,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73268,B100000,00000,1000,00000COSTED REQUISITIO 73268,B100000,00000,1100,00000COSTED REQUISITIO 73268,B100000,00000,1200,00000TIME SPENT 73268,B100000,00000,1300,00000PATIENT DAYS 73268,B100000,00000,1350,00000GROSS REVENUES 73268,B100000,00000,1400,00000ASSIGNED TIME 73268,E10A180,00550,0300,11/08/2000 73268,S000000,00100,0200,11/06/2000 73268,S200000,00100,0100,33 EVERETT STREET 73268,S200000,00200,0100,FOND DU LAC 73268,S200000,00200,0200,WI 73268,S200000,00200,0300,54935 73268,S200000,00300,0100,FOND DU LAC 73268,S200000,00400,0100,ST. FRANCIS HOME 73268,S200000,00400,0200,525595 73268,S200000,00400,0300,07/01/1996 73268,S200000,00400,0500,P 73268,S200000,01500,0100,Y 73269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73269,A000000,00300,0000,00300EMPLOYEE BENEFITS 73269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73269,A000000,00700,0000,00700HOUSEKEEPING 73269,A000000,00800,0000,00800DIETARY 73269,A000000,00900,0000,00900NURSING ADMINISTRATION 73269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73269,A000000,01100,0000,01100PHARMACY 73269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73269,A000000,01300,0000,01300SOCIAL SERVICE 73269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73269,A000000,01600,0000,01600SKILLED NURSING FACILITY 73269,A000000,01810,0000,01810ICF/MR 73269,A000000,02100,0000,02100RADIOLOGY 73269,A000000,02200,0000,02200LABORATORY 73269,A000000,02300,0000,02300INTRAVENOUS THERAPY 73269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73269,A000000,02500,0000,02500PHYSICAL THERAPY 73269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73269,A000000,02700,0000,02700SPEECH PATHOLOGY 73269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73269,A000000,03550,0000,03550FQHC 73269,A000000,05000,0000,05000CORF 73269,A000000,05010,0000,05010CMHC 73269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73269,A81000A,00100,0100,Y 73269,A81000B,00100,0300,BUILDING RENT 73269,A81000B,00200,0300,PROPERTY INSURANCE 73269,A81000B,00300,0300,MORTGAGE INSURANCE 73269,A81000B,00400,0300,INTERERST EXPENSE 73269,A81000B,00500,0300,DEPRECIATION 73269,A81000B,00600,0300,AMORTIZATION 73269,A81000B,00700,0300,REAL ESTATE TAXES 73269,A81000B,00800,0300,MAINTENANCE EXPENSES 73269,A81000B,00900,0300,MINOR OFFICE EQUIPMENT 73269,A81000B,01000,0300,PROPERTY MANAGEMENT/ADMINISTRA 73269,A81000C,00100,0100,G 73269,A81000C,00100,0200,CARE-AGE OF HAL 73269,A81000C,00100,0400,CARE-AGE OF HAL 73269,A81000C,00100,0600,BUILDING OWNER 73269,B100000,00000,0100,00000SQUARE FEET 73269,B100000,00000,0200,00000SQUARE FEET 73269,B100000,00000,0300,00000GROSS SALARIES 73269,B100000,00000,0400,00000ACCUM COST 73269,B100000,00000,0500,00000SQUARE FEET 73269,B100000,00000,0600,00000PATIENT DAYS 73269,B100000,00000,0700,00000SQUARE FEET 73269,B100000,00000,0800,00000MEALS SERVED 73269,B100000,00000,0900,00000PATIENT DAYS 73269,B100000,00000,1000,00000COSTED REQUIS 73269,B100000,00000,1100,00000COSTED REQUIS 73269,B100000,00000,1200,00000PATIENT DAYS 73269,B100000,00000,1300,00000PATIENT DAYS 73269,B100000,00000,1400,00000ASSIGNED TIME 73269,E10A180,00501,0300,07/31/2000 73269,S000000,00100,0200,05/25/2000 73269,S200000,00100,0100,9449 W. FOREST HOME AVE 73269,S200000,00200,0100,HALES CORNERS 73269,S200000,00200,0200,WISCONSIN 73269,S200000,00200,0300,53130 73269,S200000,00300,0100,MILWAUKEE 73269,S200000,00400,0100,HALES CORNERS CARE CENTER 73269,S200000,00400,0200,525596 73269,S200000,00400,0300,06/10/1996 73269,S200000,00400,0500,P 73269,S200000,01500,0100,Y 73269,S200000,02800,0100,Y 73270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73270,A000000,00300,0000,00300EMPLOYEE BENEFITS 73270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73270,A000000,00700,0000,00700HOUSEKEEPING 73270,A000000,00800,0000,00800DIETARY 73270,A000000,00900,0000,00900NURSING ADMINISTRATION 73270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73270,A000000,01100,0000,01100PHARMACY 73270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73270,A000000,01300,0000,01300SOCIAL SERVICE 73270,A000000,01350,0000,01500OTHER GENERAL SERVICES 73270,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73270,A000000,01600,0000,01600SKILLED NURSING FACILITY 73270,A000000,01810,0000,01810ICF/MR 73270,A000000,02200,0000,02200LABORATORY 73270,A000000,02500,0000,02500PHYSICAL THERAPY 73270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73270,A000000,02700,0000,02700SPEECH PATHOLOGY 73270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73270,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73270,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73270,A000000,03550,0000,03550FQHC 73270,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73270,A000000,05000,0000,05000CORF 73270,A000000,05010,0000,05010CMHC 73270,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73270,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73270,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73270,A000000,05300,0000,05300INTEREST EXPENSE 73270,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73270,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73270,A000000,06151,0000,06301RESIDENTIAL EXPENSES 73270,A000000,06152,0000,06302OTHER 73270,A000000,06200,0000,06200PATIENTS LAUNDRY 73270,B100000,00000,0100,00002SQUARE FEET 73270,B100000,00000,0200,00002SQUARE FEET 73270,B100000,00000,0300,00002GROSS SALARIES 73270,B100000,00000,0400,00002ACCUM. COST 73270,B100000,00000,0500,00002SQUARE FEET 73270,B100000,00000,0600,00002POUNDS OF LAUNDRY 73270,B100000,00000,0700,00002SQUARE FEET 73270,B100000,00000,0800,00002MEALS SERVED 73270,B100000,00000,0900,00002PATIENT DAYS 73270,B100000,00000,1000,00002COSTED REQUIS. 73270,B100000,00000,1100,00002PATIENT DAYS 73270,B100000,00000,1200,00002PATIENT DAYS 73270,B100000,00000,1300,00002ADMISSIONS S 73270,B100000,00000,1350,00002PATIENT DAYS 73270,B100000,00000,1400,00002ASSIGNED TIME 73270,S000000,00100,0200,01/09/2001 73270,S200000,00100,0100,930 N 6TH STREET 73270,S200000,00200,0100,SHEBOYGAN 73270,S200000,00200,0200,WI 73270,S200000,00200,0300,53081 73270,S200000,00300,0100,S 73270,S200000,00400,0100,SHEBOYGAN RETIREMENT HOME 73270,S200000,00400,0200,525598 73270,S200000,00400,0300,10/01/1996 73270,S200000,00400,0500,P 73270,S200000,01500,0100,Y 73271,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73271,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73271,A000000,00300,0000,00300EMPLOYEE BENEFITS 73271,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73271,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73271,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73271,A000000,00700,0000,00700HOUSEKEEPING 73271,A000000,00800,0000,00800DIETARY 73271,A000000,00900,0000,00900NURSING ADMINISTRATION 73271,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73271,A000000,01100,0000,01100PHARMACY 73271,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73271,A000000,01300,0000,01300SOCIAL SERVICE 73271,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73271,A000000,01600,0000,01600SKILLED NURSING FACILITY 73271,A000000,01800,0000,01800NURSING FACILITY 73271,A000000,01810,0000,01810ICF/MR 73271,A000000,02100,0000,02100RADIOLOGY 73271,A000000,02200,0000,02200LABORATORY 73271,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73271,A000000,02500,0000,02500PHYSICAL THERAPY 73271,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73271,A000000,02700,0000,02700SPEECH PATHOLOGY 73271,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73271,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73271,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73271,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73271,A000000,03550,0000,03550FQHC 73271,A000000,05000,0000,05000CORF 73271,A000000,05010,0000,05010CMHC 73271,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73271,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73271,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73271,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73271,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73271,B100000,00000,0100,00000SQUARE FEET 73271,B100000,00000,0200,00000SQUARE FEET 73271,B100000,00000,0300,00000GROSS SALARIES 73271,B100000,00000,0400,00000ACCUM COST 73271,B100000,00000,0500,00000SQUARE FEET 73271,B100000,00000,0600,00000PATIENT DAYS 73271,B100000,00000,0700,00000SQUARE FEET 73271,B100000,00000,0800,00000MEALS SERVED 73271,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73271,B100000,00000,1000,00000COSTED REQUISITIO 73271,B100000,00000,1100,00000COSTED REQUISITIO 73271,B100000,00000,1200,00000TIME SPENT 73271,B100000,00000,1300,00000PATIENT DAYS 73271,B100000,00000,1400,00000ASSIGNED TIME 73271,S000000,00100,0200,06/29/2000 73271,S200000,00100,0100,107 E. BECKERT RD 73271,S200000,00200,0100,NEW LONDON 73271,S200000,00200,0200,WI 73271,S200000,00200,0300,54961 73271,S200000,00300,0100,WAUPACA 73271,S200000,00400,0100,ST. JOSEPH RESIDENCE INC. 73271,S200000,00400,0200,525599 73271,S200000,00400,0300,09/01/1996 73271,S200000,00400,0500,P 73271,S200000,01600,0100,Y 73272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73272,A000000,00300,0000,00300EMPLOYEE BENEFITS 73272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73272,A000000,00700,0000,00700HOUSEKEEPING 73272,A000000,00800,0000,00800DIETARY 73272,A000000,00900,0000,00900NURSING ADMINISTRATION 73272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73272,A000000,01100,0000,01100PHARMACY 73272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73272,A000000,01300,0000,01300SOCIAL SERVICE 73272,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73272,A000000,01600,0000,01600SKILLED NURSING FACILITY 73272,A000000,01810,0000,01810ICF/MR 73272,A000000,02100,0000,02100RADIOLOGY 73272,A000000,02200,0000,02200LABORATORY 73272,A000000,02500,0000,02500PHYSICAL THERAPY 73272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73272,A000000,02700,0000,02700SPEECH PATHOLOGY 73272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73272,A000000,03550,0000,03550FQHC 73272,A000000,05000,0000,05000CORF 73272,A000000,05010,0000,05010CMHC 73272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73272,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73272,A000000,06150,0000,06300CBRF 73272,A000000,06151,0000,06301ADULT DAY CARE 73272,B100000,00000,0100,00001SQUARE FEET 73272,B100000,00000,0200,00001SQUARE FEET 73272,B100000,00000,0300,00001GROSS SALARIES 73272,B100000,00000,0400,00001ACCUM COST 73272,B100000,00000,0500,00001SQUARE FEET 73272,B100000,00000,0600,00001POUNDS OF LAUNDRY 73272,B100000,00000,0700,00001SQUARE FEET 73272,B100000,00000,0800,00001MEALS SERVED 73272,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 73272,B100000,00000,1000,00001COSTED REQUISITIO 73272,B100000,00000,1100,00001COSTED REQUISITIO 73272,B100000,00000,1200,00001TIME SPENT 73272,B100000,00000,1300,00001PATIENT DAYS 73272,B100000,00000,1400,00001ASSIGNED TIME 73272,E10A180,00501,0100,02/05/2001 73272,E10A180,00501,0300,02/05/2001 73272,E10A180,00550,0100,02/05/2001 73272,E10A180,00550,0300,02/05/2001 73272,S000000,00100,0200,06/29/2000 73272,S200000,00100,0100,5301 WEST LINCOLN AVENUE 73272,S200000,00200,0100,WEST ALLIS 73272,S200000,00200,0200,WI 73272,S200000,00200,0300,53219 73272,S200000,00300,0100,MILWAUKEE 73272,S200000,00400,0100,MITCHELL MANOR 73272,S200000,00400,0200,525600 73272,S200000,00400,0300,07/01/1996 73272,S200000,00400,0500,P 73272,S200000,01500,0100,Y 73273,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73273,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73273,A000000,00300,0000,00300EMPLOYEE BENEFITS 73273,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73273,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73273,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73273,A000000,00700,0000,00700HOUSEKEEPING 73273,A000000,00800,0000,00800DIETARY 73273,A000000,00900,0000,00900NURSING ADMINISTRATION 73273,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73273,A000000,01100,0000,01100PHARMACY 73273,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73273,A000000,01300,0000,01300SOCIAL SERVICE 73273,A000000,01350,0000,01500PATIENT ACTIVITIES 73273,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73273,A000000,01600,0000,01600SKILLED NURSING FACILITY 73273,A000000,01800,0000,01800NURSING FACILITY 73273,A000000,01810,0000,01810ICF/MR 73273,A000000,02500,0000,02500PHYSICAL THERAPY 73273,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73273,A000000,02700,0000,02700SPEECH PATHOLOGY 73273,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73273,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73273,A000000,03550,0000,03550FQHC 73273,A000000,05000,0000,05000CORF 73273,A000000,05010,0000,05010CMHC 73273,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73273,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73273,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73273,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73273,A81000A,00100,0100,Y 73273,A81000B,00100,0300,HOME OFFICE COSTS 73273,A81000C,00100,0100,A 73273,A81000C,00100,0200,DOVE 73273,A81000C,00100,0400,DOVE 73273,A81000C,00100,0600,HOME OFFICE 73273,B100000,00000,0100,00000SQUARE FEET 73273,B100000,00000,0200,00000SQUARE FEET 73273,B100000,00000,0300,00000GROSS SALARIES 73273,B100000,00000,0400,00000ACCUM. COST 73273,B100000,00000,0500,00000SQUARE FEET 73273,B100000,00000,0600,00000PATIENT DAYS 73273,B100000,00000,0700,00000SQUARE FEET 73273,B100000,00000,0800,00000PATIENT DAYS 73273,B100000,00000,0900,00000DIRECT NRSG HRS 73273,B100000,00000,1000,00000COSTED REQUIS 73273,B100000,00000,1100,00000COSTED REQUIS 73273,B100000,00000,1200,00000TIME SPENT 73273,B100000,00000,1300,00000TIME SPENT 73273,B100000,00000,1350,00000PATIENT DAYS 73273,B100000,00000,1400,00000ASSIGNED TIME 73273,E10A180,00501,0100,09/08/2000 73273,E10A180,00501,0300,09/08/2000 73273,E10A180,00502,0100,02/12/2001 73273,E10A180,00502,0300,02/12/2001 73273,E10A180,00550,0100,09/08/2000 73273,E10A180,00550,0300,09/08/2000 73273,E10A180,00551,0100,02/12/2001 73273,E10A180,00551,0300,02/12/2001 73273,S000000,00100,0200,07/10/2000 73273,S200000,00100,0100,8534 WEST MILL ROAD 73273,S200000,00200,0100,MILWAUKEE 73273,S200000,00200,0200,WI 73273,S200000,00300,0100,MILWAUKEE 73273,S200000,00400,0100,MILLWAY HEALTHCARE LLC 73273,S200000,00400,0200,525601 73273,S200000,00400,0300,05/29/1996 73273,S200000,00400,0500,P 73273,S200000,01600,0100,Y 73274,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73274,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 73274,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73274,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 73274,A000000,00300,0000,00300EMPLOYEE BENEFITS 73274,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73274,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73274,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73274,A000000,00700,0000,00700HOUSEKEEPING 73274,A000000,00800,0000,00800DIETARY 73274,A000000,00801,0000,00801CAFETERIA 73274,A000000,00900,0000,00900NURSING ADMINISTRATION 73274,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73274,A000000,01100,0000,01100PHARMACY 73274,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73274,A000000,01300,0000,01300SOCIAL SERVICE 73274,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73274,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73274,A000000,01600,0000,01600SKILLED NURSING FACILITY 73274,A000000,01810,0000,01810ICF/MR 73274,A000000,02500,0000,02500PHYSICAL THERAPY 73274,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73274,A000000,02700,0000,02700SPEECH PATHOLOGY 73274,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73274,A000000,03050,0000,03300OTHER ANCILLARY 73274,A000000,03051,0000,03301OTHER ANCILLARY II 73274,A000000,03052,0000,03302OTHER ANCILLARY III 73274,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73274,A000000,03550,0000,03550FQHC 73274,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73274,A000000,05000,0000,05000CORF I 73274,A000000,05010,0000,05010CMHC I 73274,A000000,05020,0000,05020OPT I 73274,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73274,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73274,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73274,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73274,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73274,B100000,00000,0100,00000(SQUARE FEET) 73274,B100000,00000,0101,00000(SQUARE FEET) 73274,B100000,00000,0200,00000(SQUARE FEET) 73274,B100000,00000,0201,00000(SQUARE FEET) 73274,B100000,00000,0300,00000(GROSS SALARIES) 73274,B100000,00000,0400,00000(ACCUM. COST) 73274,B100000,00000,0500,00000(SQUARE FEET) 73274,B100000,00000,0600,00000(PATIENT DAYS) 73274,B100000,00000,0700,00000(SQUARE FEET) 73274,B100000,00000,0800,00000(MEALS SERVED) 73274,B100000,00000,0801,00000(MEALS SERVED) 73274,B100000,00000,0900,00000(DIRECT NRSING HRS 73274,B100000,00000,1000,00000(COSTED REQUIS.) 73274,B100000,00000,1100,00000(COSTED REQUIS.) 73274,B100000,00000,1200,00000(TIME SPENT) 73274,B100000,00000,1300,00000(TIME SPENT) 73274,B100000,00000,1350,00000 73274,B100000,00000,1400,00000(ASSIGNED TIME) 73274,S000000,00100,0200,06/27/2000 73274,S200000,00100,0100,612 EAST OAK ST. 73274,S200000,00200,0100,GLENWOOD CITY 73274,S200000,00200,0200,WI 73274,S200000,00200,0300,54013 73274,S200000,00300,0100,ST. CROIX 73274,S200000,00400,0100,GLENHAVEN INC. 73274,S200000,00400,0200,525602 73274,S200000,00400,0300,10/01/1996 73274,S200000,00400,0500,P 73274,S200000,01500,0100,Y 73275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73275,A000000,00300,0000,00300EMPLOYEE BENEFITS 73275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73275,A000000,00700,0000,00700HOUSEKEEPING 73275,A000000,00800,0000,00800DIETARY 73275,A000000,00900,0000,00900NURSING ADMINISTRATION 73275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73275,A000000,01100,0000,01100PHARMACY 73275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73275,A000000,01300,0000,01300SOCIAL SERVICE 73275,A000000,01350,0000,01500ACTIVITIES 73275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73275,A000000,01600,0000,01600SKILLED NURSING FACILITY 73275,A000000,01810,0000,01810ICF/MR 73275,A000000,02100,0000,02100RADIOLOGY 73275,A000000,02200,0000,02200LABORATORY 73275,A000000,02500,0000,02500PHYSICAL THERAPY 73275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73275,A000000,02700,0000,02700SPEECH PATHOLOGY 73275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73275,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73275,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73275,A000000,03550,0000,03550FQHC 73275,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73275,A000000,05000,0000,05000CORF 73275,A000000,05010,0000,05010CMHC 73275,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73275,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73275,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73275,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73275,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73275,A81000A,00100,0100,Y 73275,A81000B,00100,0300,SALARY 73275,A81000B,00200,0300,RENT 73275,A81000C,00100,0100,A 73275,A81000C,00100,0200,SR. EMMANUEL MARY 73275,A81000C,00100,0400,CARMELITE SISTERS 73275,A81000C,00100,0600,NON-PROFIT RELIGIOUS ORG. 73275,A81000C,00200,0100,B 73275,A81000C,00200,0200,CARMELITE SISTERS 73275,A81000C,00200,0400,CARMELITE SISTERS 73275,A81000C,00200,0600,NON-PROFIT RELIGIOUS ORG. 73275,B100000,00000,0100,00000SQUARE FEET 73275,B100000,00000,0200,00000SQUARE FEET 73275,B100000,00000,0300,00000GROSS SALARIES 73275,B100000,00000,0400,00000ACCUM. COST 73275,B100000,00000,0500,00000SQUARE FEET 73275,B100000,00000,0600,00000PATIENT DAYS 73275,B100000,00000,0700,00000SQUARE FEET 73275,B100000,00000,0800,00000MEALS SERVED 73275,B100000,00000,0900,00000DIRECT NRSG HRS 73275,B100000,00000,1000,00000COSTED REQUIS 73275,B100000,00000,1100,00000COSTED REQUIS 73275,B100000,00000,1200,00000GROSS CHARGES 73275,B100000,00000,1300,00000PATIENT DAYS 73275,B100000,00000,1350,00000PATIENT DAYS 73275,B100000,00000,1400,00000ASSIGNED TIME 73275,S000000,00100,0200,06/05/2000 73275,S200000,00100,0100,9244 29TH STREET 73275,S200000,00200,0100,KENOSHA 73275,S200000,00200,0200,WI 73275,S200000,00300,0100,KENOSHA 73275,S200000,00400,0100,ST JOSEPHS HOME FOR THE AGED 73275,S200000,00400,0200,525603 73275,S200000,00400,0300,11/01/1996 73275,S200000,00400,0500,P 73275,S200000,01500,0100,Y 73276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73276,A000000,00300,0000,00300EMPLOYEE BENEFITS 73276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73276,A000000,00700,0000,00700HOUSEKEEPING 73276,A000000,00800,0000,00800DIETARY 73276,A000000,00900,0000,00900NURSING ADMINISTRATION 73276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73276,A000000,01100,0000,01100PHARMACY 73276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73276,A000000,01300,0000,01300SOCIAL SERVICE 73276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73276,A000000,01600,0000,01600SKILLED NURSING FACILITY 73276,A000000,01810,0000,01810ICF/MR 73276,A000000,02100,0000,02100RADIOLOGY 73276,A000000,02200,0000,02200LABORATORY 73276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73276,A000000,02500,0000,02500PHYSICAL THERAPY 73276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73276,A000000,02700,0000,02700SPEECH PATHOLOGY 73276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73276,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73276,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73276,A000000,03550,0000,03550FQHC 73276,A000000,05000,0000,05000CORF 73276,A000000,05010,0000,05010CMHC 73276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73276,A000000,05300,0000,05300INTEREST EXPENSE 73276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73276,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73276,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73276,A81000A,00100,0100,Y 73276,A81000B,00100,0300,COUNTY COST ALLOCATION 73276,A81000C,00100,0100,B 73276,A81000C,00100,0200,COUNTY COST ALL 73276,A81000C,00100,0400,RACINE COUNTY 73276,A81000C,00100,0600,SNF 73276,B100000,00000,0100,00000SQUARE FEET 73276,B100000,00000,0200,00000SQUARE FEET 73276,B100000,00000,0300,00000GROSS SALARIES 73276,B100000,00000,0400,00000ACCUM COST 73276,B100000,00000,0500,00000SQUARE FEET 73276,B100000,00000,0600,00000PATIENT DAYS 73276,B100000,00000,0700,00000SQUARE FEET 73276,B100000,00000,0800,00000PATIENT DAYS 73276,B100000,00000,0900,00000HOURS OF SERVICE 73276,B100000,00000,1000,00000COSTED REQUISITIO 73276,B100000,00000,1100,00000COSTED REQUISITIO 73276,B100000,00000,1200,00000TIME SPENT 73276,B100000,00000,1300,00000PATIENT DAYS 73276,B100000,00000,1400,00000TIME SPENT 73276,S000000,00100,0200,06/27/2000 73276,S200000,00100,0100,5455 DURAND AVENUE 73276,S200000,00200,0100,RACINE 73276,S200000,00200,0200,WI 73276,S200000,00200,0300,53406 73276,S200000,00300,0100,RACINE 73276,S200000,00400,0100,RIDGEWOOD CARE CENTER 73276,S200000,00400,0200,525608 73276,S200000,00400,0300,01/01/1997 73276,S200000,00400,0500,P 73276,S200000,01500,0100,Y 73276,S200000,03300,0100,Y 73276,S200000,03300,0200,Y 73289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73289,A000000,00300,0000,00300EMPLOYEE BENEFITS 73289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73289,A000000,00700,0000,00700HOUSEKEEPING 73289,A000000,00800,0000,00800DIETARY 73289,A000000,00900,0000,00900NURSING ADMINISTRATION 73289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73289,A000000,01100,0000,01100PHARMACY 73289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73289,A000000,01300,0000,01300SOCIAL SERVICE 73289,A000000,01301,0000,01301ACTIVITIES 73289,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73289,A000000,01600,0000,01600SKILLED NURSING FACILITY 73289,A000000,01800,0000,01800NURSING FACILITY 73289,A000000,01810,0000,01810ICF/MR 73289,A000000,02100,0000,02100RADIOLOGY 73289,A000000,02200,0000,02200LABORATORY 73289,A000000,02300,0000,02300INTRAVENOUS THERAPY 73289,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73289,A000000,02500,0000,02500PHYSICAL THERAPY 73289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73289,A000000,02700,0000,02700SPEECH PATHOLOGY 73289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73289,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73289,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73289,A000000,03550,0000,03550FQHC 73289,A000000,04800,0000,04800AMBULANCE 73289,A000000,05000,0000,05000CORF 73289,A000000,05010,0000,05010CMHC 73289,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73289,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73289,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73289,A000000,05300,0000,05300INTEREST EXPENSE 73289,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73289,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73289,A81000A,00100,0100,Y 73289,A81000B,00100,0300,HOME OFFICE ALLOCATION 73289,A81000B,00200,0300,REHAB 73289,A81000B,00300,0300,PT 73289,A81000B,00400,0300,OT 73289,A81000B,00500,0300,ST 73289,A81000B,00600,0300,ST SUPPLIES 73289,A81000B,00700,0300,OT SUPPLIES 73289,A81000B,00800,0300,PT SUPPLIES 73289,A81000C,00100,0100,B 73289,A81000C,00100,0200,NIGHTINGALE 122 73289,A81000C,00100,0400,MARINER POST AC 73289,A81000C,00100,0600,NURSING HOMES 73289,A81000C,00200,0100,G 73289,A81000C,00200,0200,MARINER POST AC 73289,A81000C,00200,0400,AMERICAN PHARMA 73289,A81000C,00200,0600,PHARMACEUTICALS 73289,A81000C,00300,0100,G 73289,A81000C,00300,0200,MARINER POSTE A 73289,A81000C,00300,0400,PRISM (ATS ARS 73289,A81000C,00300,0600,THERAPIES 73289,B100000,00000,0100,00000SQUARE FEET 73289,B100000,00000,0200,00000SQUARE FEET 73289,B100000,00000,0300,00000GROSS SALARIES 73289,B100000,00000,0400,00000ACCUM COST 73289,B100000,00000,0500,00000SQUARE FEET 73289,B100000,00000,0600,00000PATIENT DAYS 73289,B100000,00000,0700,00000SQUARE FEET 73289,B100000,00000,0800,00000MEALS SERVED 73289,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73289,B100000,00000,1000,00000PATIENT DAYS 73289,B100000,00000,1100,00000COSTED REQUIS 73289,B100000,00000,1200,00000PATIENT DAYS 73289,B100000,00000,1300,00000PATIENT DAYS 73289,B100000,00000,1301,00000PATIENT DAYS 73289,B100000,00000,1350,00000UNITS OF S 73289,B100000,00000,1400,00000ASSIGNED TIME 73289,S000000,00100,0200,06/06/2000 73289,S200000,00100,0100,11525 E TEN MILE RD 73289,S200000,00200,0100,WARREN 73289,S200000,00200,0200,MI 73289,S200000,00200,0300,48089 73289,S200000,00300,0100,MACOMB 73289,S200000,00400,0100,NIGHTINGALE HEALTHCARE CENTER 73289,S200000,00400,0200,235259 73289,S200000,00400,0300,05/01/1986 73289,S200000,00400,0500,P 73291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73291,A000000,00300,0000,00300EMPLOYEE BENEFITS 73291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73291,A000000,00700,0000,00700HOUSEKEEPING 73291,A000000,00800,0000,00800DIETARY 73291,A000000,00900,0000,00900NURSING ADMINISTRATION 73291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73291,A000000,01100,0000,01100PHARMACY 73291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73291,A000000,01300,0000,01300SOCIAL SERVICE 73291,A000000,01350,0000,01500DIVERSIONAL THERAPY 73291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73291,A000000,01600,0000,01600SKILLED NURSING FACILITY 73291,A000000,01800,0000,01800NURSING FACILITY 73291,A000000,01810,0000,01810ICF/MR 73291,A000000,02100,0000,02100RADIOLOGY 73291,A000000,02200,0000,02200LABORATORY 73291,A000000,02300,0000,02300INTRAVENOUS THERAPY 73291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73291,A000000,02500,0000,02500PHYSICAL THERAPY 73291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73291,A000000,02700,0000,02700SPEECH PATHOLOGY 73291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73291,A000000,03001,0000,03010AMBULANCE 73291,A000000,03050,0000,03300AIR FLUIDIZED THERAPY BEDS 73291,A000000,03550,0000,03550FQHC 73291,A000000,05000,0000,05000CORF 73291,A000000,05010,0000,05010CMHC 73291,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73291,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73291,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73291,A81000A,00100,0100,Y 73291,A81000B,00100,0300,CENTRAL OFFICE COSTS 73291,A81000B,00200,0300,CENTRAL OFFICE COSTS 73291,A81000B,00300,0300,SUPPLIES/RENTALS 73291,A81000B,00400,0300,CONTRACTED THERAPY 73291,A81000B,00500,0300,CONTRACTED THERAPY 73291,A81000B,00600,0300,CONTRACTED THERAPY 73291,A81000B,00700,0300,SHARED THERAPY 73291,A81000B,00800,0300,SHARED THERAPY 73291,A81000B,00900,0300,SHARED THERAPY 73291,A81000B,01000,0300,SHARED THERAPY 73291,A81000B,01100,0300,SHARED THERAPY 73291,A81000B,01200,0300,NURSE AIDE TRAINING 73291,A81000B,01300,0300,MAINTENANCE SUPPORT 73291,A81000B,01400,0300,CONTRACTED NURSING 73291,A81000C,00100,0100,A 73291,A81000C,00100,0200,MARVIN L. PIERS 73291,A81000C,00100,0400,METRON INTEGRAT 73291,A81000C,00100,0600,CENTRAL OFFICE 73291,A81000C,00200,0100,A 73291,A81000C,00200,0200,MARVIN L. PIERS 73291,A81000C,00200,0400,CARE SOURCE IN 73291,A81000C,00200,0600,SUPPLIES/RENTAL 73291,A81000C,00300,0100,A 73291,A81000C,00300,0200,MARVIN L. PIERS 73291,A81000C,00300,0400,PEOPLECARE INC 73291,A81000C,00300,0600,CONTRACTED SERV 73291,A81000C,00400,0100,A 73291,A81000C,00400,0200,MARVIN L. PIERS 73291,A81000C,00400,0400,METRON OF FORES 73291,A81000C,00400,0600,SNF 73291,A81000C,00500,0100,A 73291,A81000C,00500,0200,MARVIN L. PIERS 73291,A81000C,00500,0400,METRON OF GREEN 73291,A81000C,00500,0600,SNF 73291,A81000C,00600,0100,A 73291,A81000C,00600,0200,MARVIN L. PIERS 73291,A81000C,00600,0400,METRON OF BELDI 73291,A81000C,00600,0600,SNF 73291,A81000C,00700,0100,A 73291,A81000C,00700,0200,MARVIN L. PIERS 73291,A81000C,00700,0400,METRON OF LAMON 73291,A81000C,00700,0600,SNF 73291,A81000C,00800,0100,A 73291,A81000C,00800,0200,MARVIN L. PIERS 73291,A81000C,00800,0400,METRON OF BLOOM 73291,A81000C,00800,0600,SNF 73291,A81000C,00900,0100,A 73291,A81000C,00900,0200,MARVIN L. PIERS 73291,A81000C,00900,0400,PEOPLECARE SERV 73291,A81000C,00900,0600,CONTRACTED SERV 73291,B100000,00000,0100,00000SQUARE FEET 73291,B100000,00000,0200,00000SQUARE FEET 73291,B100000,00000,0300,00000GROSS SALARIES 73291,B100000,00000,0400,00000ACCUM COST 73291,B100000,00000,0500,00000SQUARE FEET 73291,B100000,00000,0600,00000POUNDS OF LAUNDRY 73291,B100000,00000,0700,00000HOURS OF SERVICE 73291,B100000,00000,0800,00000MEALS SERVED 73291,B100000,00000,0900,00000DIRECT NRSG HRS 73291,B100000,00000,1000,00000COSTED REQUIS 73291,B100000,00000,1100,00000COSTED REQUIS 73291,B100000,00000,1200,00000TIME SPENT 73291,B100000,00000,1300,00000TIME SPENT 73291,B100000,00000,1350,00000(TIME SPENT) 73291,B100000,00000,1400,00000ASSIGNED TIME 73291,E10A180,00501,0300,04/26/2001 73291,S000000,00100,0200,08/04/2000 73291,S200000,00100,0100,1200 ELY STREET 73291,S200000,00200,0100,ALLEGAN 73291,S200000,00200,0200,MI 73291,S200000,00200,0300,49010 73291,S200000,00300,0100,ALLEGAN 73291,S200000,00400,0100,METRON OF ALLEGAN 73291,S200000,00400,0200,235264 73291,S200000,00400,0300,01/01/1980 73291,S200000,00400,0500,P 73291,S200000,00400,0600,O 73291,S200000,00600,0200,235264 73291,S200000,00600,0300,01/01/1980 73291,S200000,00600,0600,P 73291,S200000,01600,0100,Y 73291,S200000,04700,0100,Y 73291,S200000,04700,0200,Y 73292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73292,A000000,00300,0000,00300EMPLOYEE BENEFITS 73292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73292,A000000,00700,0000,00700HOUSEKEEPING 73292,A000000,00800,0000,00800DIETARY 73292,A000000,00900,0000,00900NURSING ADMINISTRATION 73292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73292,A000000,01100,0000,01100PHARMACY 73292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73292,A000000,01300,0000,01300SOCIAL SERVICE 73292,A000000,01350,0000,01500DIVERSIONAL THERAPY 73292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73292,A000000,01600,0000,01600SKILLED NURSING FACILITY 73292,A000000,01810,0000,01810ICF/MR 73292,A000000,01900,0000,01900OTHER LONG TERM CARE 73292,A000000,02100,0000,02100RADIOLOGY 73292,A000000,02200,0000,02200LABORATORY 73292,A000000,02500,0000,02500PHYSICAL THERAPY 73292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73292,A000000,02700,0000,02700SPEECH PATHOLOGY 73292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73292,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73292,A000000,03550,0000,03550FQHC 73292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73292,A000000,05000,0000,05000CORF 73292,A000000,05010,0000,05010CMHC 73292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73292,A81000A,00100,0100,Y 73292,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 73292,A81000B,00200,0300,DEPRECIATION 73292,A81000C,00100,0100,B 73292,A81000C,00100,0200,LUTHERAN HOMES 73292,A81000C,00100,0400,LUTHERAN HOMES 73292,A81000C,00100,0600,NURSING HOME 73292,A81000C,00200,0100,B 73292,A81000C,00200,0200,LUTHERAN HOMES 73292,A81000C,00200,0400,LUTHERAN HOMES 73292,A81000C,00200,0600,NURSING HOME 73292,B100000,00000,0100,00000SQUARE FEET 73292,B100000,00000,0200,00000SQUARE FEET 73292,B100000,00000,0300,00000GROSS SALARIES 73292,B100000,00000,0400,00000ACCUM. COST 73292,B100000,00000,0500,00000SQUARE FEET 73292,B100000,00000,0600,00000PATIENT DAYS 73292,B100000,00000,0700,00000SQUARE FEET 73292,B100000,00000,0800,00000MEALS SERVED 73292,B100000,00000,0900,00000DIRECT NRSING HRS 73292,B100000,00000,1000,00000COSTED REQUIS. 73292,B100000,00000,1100,00000COSTED REQUIS. 73292,B100000,00000,1200,00000TIME SPENT 73292,B100000,00000,1300,00000TIME SPENT 73292,B100000,00000,1350,00000HRS OF SERVICE 73292,B100000,00000,1400,00000ASSIGNED TIME 73292,S000000,00100,0200,09/05/2000 73292,S200000,00100,0100,725 WEST GENESEE 73292,S200000,00200,0100,FRANKENMUTH 73292,S200000,00200,0200,MI 73292,S200000,00300,0100,SAGINAW 73292,S200000,00300,0200,6960 73292,S200000,00300,0300,U 73292,S200000,00400,0100,LUTHERAN HOMES OF MI - FRANKENMUTH 73292,S200000,00400,0200,235269 73292,S200000,00400,0300,03/01/1976 73292,S200000,00400,0500,P 73292,S200000,01500,0100,Y 73293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73293,A000000,00300,0000,00300EMPLOYEE BENEFITS 73293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73293,A000000,00700,0000,00700HOUSEKEEPING 73293,A000000,00800,0000,00800DIETARY 73293,A000000,00900,0000,00900NURSING ADMINISTRATION 73293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73293,A000000,01100,0000,01100PHARMACY 73293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73293,A000000,01300,0000,01300SOCIAL SERVICE 73293,A000000,01350,0000,01500DIVERSIONAL THERAPY 73293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73293,A000000,01600,0000,01600SKILLED NURSING FACILITY 73293,A000000,01810,0000,01810ICF/MR 73293,A000000,01900,0000,01900OTHER LONG TERM CARE 73293,A000000,02100,0000,02100RADIOLOGY 73293,A000000,02200,0000,02200LABORATORY 73293,A000000,02500,0000,02500PHYSICAL THERAPY 73293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73293,A000000,03550,0000,03550FQHC 73293,A000000,05000,0000,05000CORF 73293,A000000,05010,0000,05010CMHC 73293,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73293,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73293,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73293,A000000,05300,0000,05300INTEREST EXPENSE 73293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73293,A81000A,00100,0100,Y 73293,A81000B,00100,0300,LEASE EXPENSE 73293,A81000B,00200,0300,LICENSE FEES 73293,A81000B,00300,0300,BANK CHARGES 73293,A81000B,00400,0300,PROFESSIONAL FEES 73293,A81000B,00500,0300,LONG TERM INTEREST 73293,A81000B,00600,0300,AMORTIZATION 73293,A81000B,00700,0300,DEPRECIATION 73293,A81000B,00800,0300,MANAGEMENT FEES 73293,A81000C,00100,0100,A 73293,A81000C,00100,0200,STEVEN BANDSTRA 73293,A81000C,00100,0400,CCG PROP. - SH 73293,A81000C,00100,0600,REAL ESTATE COM 73293,A81000C,00200,0100,A 73293,A81000C,00200,0200,STEVEN BANDSTRA 73293,A81000C,00200,0400,CCG PROP. - SH 73293,A81000C,00200,0600,REAL ESTATE COM 73293,A81000C,00300,0100,A 73293,A81000C,00300,0200,STEVEN BANDSTRA 73293,A81000C,00300,0400,CCG PROP. - SH 73293,A81000C,00300,0600,REAL ESTATE COM 73293,A81000C,00400,0100,A 73293,A81000C,00400,0200,STEVEN BANDSTRA 73293,A81000C,00400,0400,CCG PROP. - SH 73293,A81000C,00400,0600,REAL ESTATE COM 73293,A81000C,00500,0100,A 73293,A81000C,00500,0200,STEVEN BANDSTRA 73293,A81000C,00500,0400,CCG PROP. - SH 73293,A81000C,00500,0600,REAL ESTATE COM 73293,A81000C,00600,0100,A 73293,A81000C,00600,0200,STEVEN BANDSTRA 73293,A81000C,00600,0400,CCG PROP. - SH 73293,A81000C,00600,0600,REAL ESTATE COM 73293,A81000C,00700,0100,A 73293,A81000C,00700,0200,STEVEN BANDSTRA 73293,A81000C,00700,0400,CCG PROP. - SH 73293,A81000C,00700,0600,REAL ESTATE COM 73293,A81000C,00800,0100,A 73293,A81000C,00800,0200,STEVEN BANDSTRA 73293,A81000C,00800,0400,COMMUNITY CENTR 73293,A81000C,00800,0600,MANAGEMENT COMP 73293,B100000,00000,0100,00000SQUARE FEET 73293,B100000,00000,0200,00000SQUARE FEET 73293,B100000,00000,0300,00000GROSS SALARIES 73293,B100000,00000,0400,00000ACCUM COST 73293,B100000,00000,0500,00000SQUARE FEET 73293,B100000,00000,0600,00000POUNDS OF LAUNDRY 73293,B100000,00000,0700,00000HOURS OF SERVICE 73293,B100000,00000,0800,00000MEALS SERVED 73293,B100000,00000,0900,00000DIRECT NRSG HRS 73293,B100000,00000,1000,00000COSTED REQUIS 73293,B100000,00000,1100,00000COSTED REQUIS 73293,B100000,00000,1200,00000TIME SPENT 73293,B100000,00000,1300,00000TIME SPENT 73293,B100000,00000,1350,00000 73293,B100000,00000,1400,00000ASSIGNED TIME 73293,S000000,00100,0200,05/22/2000 73293,S200000,00100,0100,850 PHILLIPS STREET 73293,S200000,00200,0100,SOUTH HAVEN 73293,S200000,00200,0200,MI 73293,S200000,00300,0100,VAN BUREN 73293,S200000,00400,0100,SOUTH HAVEN HEALTHCARE CENTRE 73293,S200000,00400,0200,235270 73293,S200000,00400,0300,08/01/1998 73293,S200000,00400,0500,P 73293,S200000,01500,0100,Y 73293,S200000,01900,0100,501 C 3 73293,S200000,02200,0100,Y 73294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73294,A000000,00300,0000,00300EMPLOYEE BENEFITS 73294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73294,A000000,00700,0000,00700HOUSEKEEPING 73294,A000000,00800,0000,00800DIETARY 73294,A000000,00900,0000,00900NURSING ADMINISTRATION 73294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73294,A000000,01100,0000,01100PHARMACY 73294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73294,A000000,01300,0000,01300SOCIAL SERVICE 73294,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73294,A000000,01600,0000,01600SKILLED NURSING FACILITY 73294,A000000,01800,0000,01800NURSING FACILITY 73294,A000000,01810,0000,01810ICF/MR 73294,A000000,02100,0000,02100RADIOLOGY 73294,A000000,02200,0000,02200LABORATORY 73294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73294,A000000,02500,0000,02500PHYSICAL THERAPY 73294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73294,A000000,02700,0000,02700SPEECH PATHOLOGY 73294,A000000,02800,0000,02800ELECTROCARDIOLOGY 73294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73294,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73294,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73294,A000000,03550,0000,03550FQHC 73294,A000000,05000,0000,05000CORF 73294,A000000,05010,0000,05010CMHC 73294,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73294,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73294,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73294,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73294,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73294,A000000,06200,0000,06200PATIENTS LAUNDRY 73294,B100000,00000,0100,00000SQUARE FEET 73294,B100000,00000,0200,00000SQUARE FEET 73294,B100000,00000,0300,00000GROSS SALARIES 73294,B100000,00000,0400,00000ACCUM COST 73294,B100000,00000,0500,00000SQUARE FEET 73294,B100000,00000,0600,00000POUNDS OF LAUNDRY 73294,B100000,00000,0700,00000SQUARE FEET 73294,B100000,00000,0800,00000PATIENT DAYS 73294,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73294,B100000,00000,1000,00000HOURS OF SERVICE 73294,B100000,00000,1100,00000COSTED REQUISITIO 73294,B100000,00000,1200,00000PATIENT DAYS 73294,B100000,00000,1300,00000PATIENT DAYS 73294,B100000,00000,1400,00000ASSIGNED TIME 73294,S000000,00100,0200,08/07/2000 73294,S200000,00100,0100,19100 W. SEVEN MILE RD 73294,S200000,00200,0100,DETROIT 73294,S200000,00200,0200,MI 73294,S200000,00200,0300,48219 73294,S200000,00300,0100,WAYE 73294,S200000,00400,0100,HEARTLAND COMMUNITY CARE CENTER 73294,S200000,00400,0200,235272 73294,S200000,00400,0300,11/28/1994 73294,S200000,00400,0500,P 73294,S200000,01600,0100,Y 73294,S200000,01900,0100,SUBSIDIARY 73295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73295,A000000,00300,0000,00300EMPLOYEE BENEFITS 73295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73295,A000000,00700,0000,00700HOUSEKEEPING 73295,A000000,00800,0000,00800DIETARY 73295,A000000,00900,0000,00900NURSING ADMINISTRATION 73295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73295,A000000,01100,0000,01100PHARMACY 73295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73295,A000000,01300,0000,01300SOCIAL SERVICE 73295,A000000,01350,0000,01500DIVERSIONAL THERAPY 73295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73295,A000000,01600,0000,01600SKILLED NURSING FACILITY 73295,A000000,01810,0000,01810ICF/MR 73295,A000000,01900,0000,01900OTHER LONG TERM CARE 73295,A000000,02100,0000,02100RADIOLOGY 73295,A000000,02200,0000,02200LABORATORY 73295,A000000,02500,0000,02500PHYSICAL THERAPY 73295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73295,A000000,02700,0000,02700SPEECH PATHOLOGY 73295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73295,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73295,A000000,03550,0000,03550FQHC 73295,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73295,A000000,05000,0000,05000CORF 73295,A000000,05010,0000,05010CMHC 73295,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73295,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73295,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73295,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73295,A81000A,00100,0100,Y 73295,A81000B,00100,0300,DEPRECIATION 73295,A81000B,00200,0300,HOME OFFICE COSTS 73295,A81000C,00100,0100,B 73295,A81000C,00100,0200,LUTHERAN HOME 73295,A81000C,00100,0400,LUTHERAN HOME 73295,A81000C,00100,0600,NURSING HOME 73295,A81000C,00200,0100,B 73295,A81000C,00200,0200,LUTHERAN HOME 73295,A81000C,00200,0400,LUTHERAN HOME 73295,A81000C,00200,0600,NURSING HOME 73295,B100000,00000,0100,00000SQUARE FEET 73295,B100000,00000,0200,00000SQUARE FEET 73295,B100000,00000,0300,00000GROSS SALARIES 73295,B100000,00000,0400,00000ACCUM. COST 73295,B100000,00000,0500,00000SQUARE FEET 73295,B100000,00000,0600,00000PATIENT DAYS 73295,B100000,00000,0700,00000SQUARE FEET 73295,B100000,00000,0800,00000MEALS SERVED 73295,B100000,00000,0900,00000DIRECT NRSING HRS 73295,B100000,00000,1000,00000COSTED REQUIS. 73295,B100000,00000,1100,00000COSTED REQUIS. 73295,B100000,00000,1200,00000TIME SPENT 73295,B100000,00000,1300,00000TIME SPENT 73295,B100000,00000,1350,00000HOURS OF SERVICE 73295,B100000,00000,1400,00000ASSIGNED TIME 73295,E10A180,00550,0300,09/08/2000 73295,S000000,00100,0200,09/20/2000 73295,S200000,00100,0100,1236 S MONROE STREET 73295,S200000,00200,0100,MONROE 73295,S200000,00200,0200,MI 73295,S200000,00300,0100,MONROE 73295,S200000,00400,0100,LUTHERAN HOMES OF MICHIGAN - MONROE 73295,S200000,00400,0200,235274 73295,S200000,00400,0300,07/31/1994 73295,S200000,00400,0500,P 73295,S200000,01500,0100,Y 73295,S200000,01900,0100,501 (C) (3) 73298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73298,A000000,00300,0000,00300EMPLOYEE BENEFITS 73298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73298,A000000,00700,0000,00700HOUSEKEEPING 73298,A000000,00800,0000,00800DIETARY 73298,A000000,00900,0000,00900NURSING ADMINISTRATION 73298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73298,A000000,01100,0000,01100PHARMACY 73298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73298,A000000,01300,0000,01300SOCIAL SERVICE 73298,A000000,01350,0000,01500DIVERSIONAL THERAPY 73298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73298,A000000,01600,0000,01600SKILLED NURSING FACILITY 73298,A000000,01800,0000,01800NURSING FACILITY 73298,A000000,01810,0000,01810ICF/MR 73298,A000000,02100,0000,02100RADIOLOGY 73298,A000000,02200,0000,02200LABORATORY 73298,A000000,02300,0000,02300INTRAVENOUS THERAPY 73298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73298,A000000,02500,0000,02500PHYSICAL THERAPY 73298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73298,A000000,02700,0000,02700SPEECH PATHOLOGY 73298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73298,A000000,03010,0000,03010AMBULANCE 73298,A000000,03050,0000,03300AIR FLUIDEZED THERAPY BEDS 73298,A000000,03550,0000,03550FQHC 73298,A000000,05000,0000,05000CORF 73298,A000000,05010,0000,05010CMHC 73298,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73298,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73298,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73298,A81000A,00100,0100,Y 73298,A81000B,00100,0300,LEASE LAND/BLDG 73298,A81000B,00200,0300,CENTRAL OFFICE 73298,A81000B,00300,0300,CENTRAL OFFICE-CAPIT 73298,A81000B,00400,0300,SUPPLIES/RENTALS 73298,A81000B,00500,0300,CONTR.PHYS.THERAPY 73298,A81000B,00600,0300,CONTR.OCCUP.THERAPY 73298,A81000B,00700,0300,CONTR.SPEECH THERAPY 73298,A81000B,00800,0300,CONTRACTED NURSING 73298,A81000B,00900,0300,SHARED THERAPY 73298,A81000B,01000,0300,SHARED THERAPY 73298,A81000B,01100,0300,SHARED THERAPY 73298,A81000B,01200,0300,SHARED THERAPY 73298,A81000B,01300,0300,SHARED THERAPY 73298,A81000B,01400,0300,SHARED THERAPY 73298,A81000B,01500,0300,SHARED THERAPY 73298,A81000B,01600,0300,SHARED THERAPY 73298,A81000B,01700,0300,SHARED THERAPY 73298,A81000B,01800,0300,SHARED THERAPY 73298,A81000B,01900,0300,NURSE AIDE TRAINING 73298,A81000C,00100,0100,A 73298,A81000C,00100,0200,MARVIN L. PIERS 73298,A81000C,00100,0400,GREENVILLE REAL 73298,A81000C,00100,0600,LESSOR 73298,A81000C,00200,0100,A 73298,A81000C,00200,0200,MARVIN L. PIERS 73298,A81000C,00200,0400,METRON INTEGRAT 73298,A81000C,00200,0600,CENTRAL OFFICE 73298,A81000C,00300,0100,A 73298,A81000C,00300,0200,MARVIN L. PIERS 73298,A81000C,00300,0400,CARE SOURCE IN 73298,A81000C,00300,0600,SUPPLIES/RENTAL 73298,A81000C,00400,0100,A 73298,A81000C,00400,0200,MARVIN L. PIERS 73298,A81000C,00400,0400,PEOPLECARE 73298,A81000C,00400,0600,CONTRACTED SERV 73298,A81000C,00500,0100,A 73298,A81000C,00500,0200,MARVIN L. PIERS 73298,A81000C,00500,0400,METRON OF ALLEG 73298,A81000C,00500,0600,SNF 73298,A81000C,00600,0100,A 73298,A81000C,00600,0200,MARVIN L. PIERS 73298,A81000C,00600,0400,METRON OF BELDI 73298,A81000C,00600,0600,SNF 73298,A81000C,00700,0100,A 73298,A81000C,00700,0200,MARVIN L. PIERS 73298,A81000C,00700,0400,METRON OF BIG R 73298,A81000C,00700,0600,SNF 73298,A81000C,00800,0100,A 73298,A81000C,00800,0200,MARVIN L. PIERS 73298,A81000C,00800,0400,METRON OF CEDAR 73298,A81000C,00800,0600,SNF 73298,A81000C,00900,0100,A 73298,A81000C,00900,0200,MARVIN L. PIERS 73298,A81000C,00900,0400,METRON OF FRST 73298,A81000C,00900,0600,SNF 73298,A81000C,01000,0100,A 73298,A81000C,01000,0200,MARVIN L. PIERS 73298,A81000C,01000,0400,METRON OF LAMON 73298,A81000C,01000,0600,SNF 73298,B100000,00000,0100,00000SQUARE FEET 73298,B100000,00000,0200,00000SQUARE FEET 73298,B100000,00000,0300,00000GROSS SALARIES 73298,B100000,00000,0400,00000ACCUM COST 73298,B100000,00000,0500,00000SQUARE FEET 73298,B100000,00000,0600,00000POUNDS OF LAUNDRY 73298,B100000,00000,0700,00000HOURS OF SERVICE 73298,B100000,00000,0800,00000MEALS SERVED 73298,B100000,00000,0900,00000DIRECT NRSG HRS 73298,B100000,00000,1000,00000COSTED REQUIS 73298,B100000,00000,1100,00000COSTED REQUIS 73298,B100000,00000,1200,00000TIME SPENT 73298,B100000,00000,1300,00000TIME SPENT 73298,B100000,00000,1350,00000(TIME SPENT) 73298,B100000,00000,1400,00000ASSIGNED TIME 73298,S000000,00100,0200,08/10/2000 73298,S200000,00100,0100,0108 73298,S200000,00200,0100,GREENVILLE 73298,S200000,00200,0200,MI 73298,S200000,00200,0300,48838 73298,S200000,00300,0100,MONCALM 73298,S200000,00400,0100,METRON OF GREENVILLE 73298,S200000,00400,0200,235290 73298,S200000,00400,0300,01/01/1980 73298,S200000,00400,0500,P 73298,S200000,00600,0200,235290 73298,S200000,00600,0300,01/01/1980 73298,S200000,00600,0600,P 73298,S200000,01600,0100,Y 73298,S200000,01900,0100,501 (C) (3) 73298,S200000,04700,0100,Y 73298,S200000,04700,0200,Y 73299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73299,A000000,00300,0000,00300EMPLOYEE BENEFITS 73299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73299,A000000,00700,0000,00700HOUSEKEEPING 73299,A000000,00800,0000,00800DIETARY 73299,A000000,00900,0000,00900NURSING ADMINISTRATION 73299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73299,A000000,01100,0000,01100PHARMACY 73299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73299,A000000,01300,0000,01300SOCIAL SERVICE 73299,A000000,01350,0000,01500DIVERSIONAL THERAPY 73299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73299,A000000,01600,0000,01600SKILLED NURSING FACILITY 73299,A000000,01800,0000,01800NURSING FACILITY 73299,A000000,01810,0000,01810ICF/MR 73299,A000000,02100,0000,02100RADIOLOGY 73299,A000000,02200,0000,02200LABORATORY 73299,A000000,02300,0000,02300INTRAVENOUS THERAPY 73299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73299,A000000,02500,0000,02500PHYSICAL THERAPY 73299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73299,A000000,02700,0000,02700SPEECH PATHOLOGY 73299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73299,A000000,03010,0000,03010AMBULANCE 73299,A000000,03050,0000,03300AIR FLUIDIZED THERPAY BEDS 73299,A000000,03550,0000,03550FQHC 73299,A000000,05000,0000,05000CORF 73299,A000000,05010,0000,05010CMHC 73299,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73299,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73299,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73299,A81000A,00100,0100,Y 73299,A81000B,00100,0300,LEASE LAND/BLDG 73299,A81000B,00200,0300,CENTRAL OFFICE 73299,A81000B,00300,0300,CENTRAL OFFICE 73299,A81000B,00400,0300,SUPPLIES/RENTALS 73299,A81000B,00500,0300,RESPIRATORY THERAPY 73299,A81000B,00600,0300,CONTR. PHYS. THERAPY 73299,A81000B,00700,0300,CONTR.OCCUP.THERAPY 73299,A81000B,00800,0300,CONTR.SPEECH THERAPY 73299,A81000B,00900,0300,RESPIRATORY THERAPY 73299,A81000B,01000,0300,SHARED THERAPY 73299,A81000B,01100,0300,SHARED THERAPY 73299,A81000B,01200,0300,SHARED THERAPY 73299,A81000B,01300,0300,SHARED THERAPY 73299,A81000B,01400,0300,SHARED THERAPY 73299,A81000B,01500,0300,MAINTENANCE SUPPORT 73299,A81000B,01600,0300,SHRED THERAPY 73299,A81000C,00100,0100,A 73299,A81000C,00100,0200,MARVIN L. PIERS 73299,A81000C,00100,0400,BETHANY REAL ES 73299,A81000C,00100,0600,LESSOR 73299,A81000C,00200,0100,A 73299,A81000C,00200,0200,MARVIN L. PIERS 73299,A81000C,00200,0400,METRON INTEGRAT 73299,A81000C,00200,0600,CENTRAL OFFICE 73299,A81000C,00300,0100,A 73299,A81000C,00300,0200,MARVIN L. PIERS 73299,A81000C,00300,0400,CARE SOURCE IN 73299,A81000C,00300,0600,SUPPLIES/RENTAL 73299,A81000C,00400,0100,A 73299,A81000C,00400,0200,MARVIN L. PIERS 73299,A81000C,00400,0400,PEOPLECARE INC. 73299,A81000C,00400,0600,CONTRACTED SEVI 73299,A81000C,00500,0100,A 73299,A81000C,00500,0200,MARVIN L. PIERS 73299,A81000C,00500,0400,METR. OF ALLEGA 73299,A81000C,00500,0600,SNF 73299,A81000C,00600,0100,A 73299,A81000C,00600,0200,MARVIN L. PIERS 73299,A81000C,00600,0400,METR. OF BELDIN 73299,A81000C,00600,0600,SNF 73299,A81000C,00700,0100,A 73299,A81000C,00700,0200,MARVIN L. PIERS 73299,A81000C,00700,0400,METR. OF CDR.SP 73299,A81000C,00700,0600,SNF 73299,A81000C,00800,0100,A 73299,A81000C,00800,0200,MARVIN L. PIERS 73299,A81000C,00800,0400,METR. OF FOREST 73299,A81000C,00800,0600,SNF 73299,A81000C,00900,0100,A 73299,A81000C,00900,0200,MARVIN L. PIERS 73299,A81000C,00900,0400,METR. OF LAMONT 73299,A81000C,00900,0600,SNF 73299,B100000,00000,0100,00000SQUARE FEET 73299,B100000,00000,0200,00000SQUARE FEET 73299,B100000,00000,0300,00000GROSS SALARIES 73299,B100000,00000,0400,00000ACCUM COST 73299,B100000,00000,0500,00000SQUARE FEET 73299,B100000,00000,0600,00000POUNDS OF LAUNDRY 73299,B100000,00000,0700,00000HOURS OF SERVICE 73299,B100000,00000,0800,00000MEALS SERVED 73299,B100000,00000,0900,00000DIRECT NRSG HRS 73299,B100000,00000,1000,00000COSTED REQUIS 73299,B100000,00000,1100,00000COSTED REQUIS 73299,B100000,00000,1200,00000TIME SPENT 73299,B100000,00000,1300,00000TIME SPENT 73299,B100000,00000,1350,00000(TIME SPENT) 73299,B100000,00000,1400,00000ASSIGNED TIME 73299,S000000,00100,0200,07/06/2000 73299,S200000,00100,0100,42235 COUNTY ROAD 390 73299,S200000,00200,0100,BLOOMINGDALE 73299,S200000,00200,0200,MI 73299,S200000,00200,0300,49026 73299,S200000,00300,0100,VAN BUREN 73299,S200000,00400,0100,METRON OF BLOOMINGDALE 73299,S200000,00400,0200,235291 73299,S200000,00400,0300,01/01/1980 73299,S200000,00400,0500,P 73299,S200000,00400,0600,O 73299,S200000,00600,0200,235291 73299,S200000,00600,0300,01/01/1980 73299,S200000,00600,0600,P 73299,S200000,01600,0100,Y 73299,S200000,04700,0100,Y 73299,S200000,04700,0200,Y 73300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73300,A000000,00300,0000,00300EMPLOYEE BENEFITS 73300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73300,A000000,00700,0000,00700HOUSEKEEPING 73300,A000000,00800,0000,00800DIETARY 73300,A000000,00900,0000,00900NURSING ADMINISTRATION 73300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73300,A000000,01100,0000,01100PHARMACY 73300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73300,A000000,01300,0000,01300SOCIAL SERVICE 73300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73300,A000000,01600,0000,01600SKILLED NURSING FACILITY 73300,A000000,01810,0000,01810ICF/MR 73300,A000000,02100,0000,02100RADIOLOGY 73300,A000000,02200,0000,02200LABORATORY 73300,A000000,02500,0000,02500PHYSICAL THERAPY 73300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73300,A000000,02700,0000,02700SPEECH PATHOLOGY 73300,A000000,02800,0000,02800ELECTROCARDIOLOGY 73300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73300,A000000,03550,0000,03550FQHC 73300,A000000,05000,0000,05000CORF 73300,A000000,05010,0000,05010CMHC 73300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73300,A000000,05300,0000,05300INTEREST EXPENSE 73300,A81000A,00100,0100,Y 73300,A81000B,00100,0300,MORTGAGE INTEREST 73300,A81000B,00200,0300,DEFRA INTEREST 73300,A81000C,00100,0100,A 73300,A81000C,00100,0200,COLONIAL CARE C 73300,A81000C,00100,0400,COLONIAL CARE C 73300,A81000C,00100,0600,HOLDING CORPORA 73300,B100000,00000,0100,00000SQUARE FEET 73300,B100000,00000,0200,00000SQUARE FEET 73300,B100000,00000,0300,00000GROSS SALARIES 73300,B100000,00000,0400,00000ACCUM COST 73300,B100000,00000,0500,00000SQUARE FEET 73300,B100000,00000,0600,00000POUNDS OF LAUNDRY 73300,B100000,00000,0700,00000HOURS OF SERVICE 73300,B100000,00000,0800,00000MEALS SERVED 73300,B100000,00000,0900,00000DIRECT NRSG HRS 73300,B100000,00000,1000,00000COSTED REQUIS 73300,B100000,00000,1100,00000COSTED REQUIS 73300,B100000,00000,1200,00000TIME SPENT 73300,B100000,00000,1300,00000TIME SPENT 73300,B100000,00000,1400,00000ASSIGNED TIME 73300,E10A180,00550,0300,02/21/2001 73300,E10A180,00551,0300,02/21/2001 73300,S000000,00100,0200,05/11/2000 73300,S200000,00100,0100,13001 WEST CHICAGO 73300,S200000,00200,0100,DETROIT 73300,S200000,00200,0200,MI 73300,S200000,00200,0300,48228 73300,S200000,00300,0100,WAYNE 73300,S200000,00400,0100,LINCOLN CARE CENTER 73300,S200000,00400,0200,235306 73300,S200000,00400,0300,01/01/1991 73300,S200000,00400,0500,P 73300,S200000,01500,0100,Y 73302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73302,A000000,00300,0000,00300EMPLOYEE BENEFITS 73302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73302,A000000,00700,0000,00700HOUSEKEEPING 73302,A000000,00800,0000,00800DIETARY 73302,A000000,00900,0000,00900NURSING ADMINISTRATION 73302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73302,A000000,01100,0000,01100PHARMACY 73302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73302,A000000,01300,0000,01300SOCIAL SERVICE 73302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73302,A000000,01600,0000,01600SKILLED NURSING FACILITY 73302,A000000,01810,0000,01810ICF/MR 73302,A000000,02200,0000,02200LABORATORY 73302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73302,A000000,02500,0000,02500PHYSICAL THERAPY 73302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73302,A000000,02700,0000,02700SPEECH PATHOLOGY 73302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73302,A000000,03550,0000,03550FQHC 73302,A000000,05000,0000,05000CORF 73302,A000000,05010,0000,05010CMHC 73302,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73302,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73302,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73302,B100000,00000,0100,00000SQUARE FEET 73302,B100000,00000,0200,00000SQUARE FEET 73302,B100000,00000,0300,00000GROSS SALARIES 73302,B100000,00000,0400,00000ACCUM COST 73302,B100000,00000,0500,00000SQUARE FEET 73302,B100000,00000,0600,00000POUNDS OF LAUNDRY 73302,B100000,00000,0700,00000HOURS OF SERVICE 73302,B100000,00000,0800,00000MEALS SERVED 73302,B100000,00000,0900,00000DIRECT NRSG HRS 73302,B100000,00000,1000,00000COSTED REQUIS 73302,B100000,00000,1100,00000COSTED REQUIS 73302,B100000,00000,1200,00000TIME SPENT 73302,B100000,00000,1300,00000TIME SPENT 73302,B100000,00000,1400,00000ASSIGNED TIME 73302,S000000,00100,0200,05/31/2000 73302,S200000,00100,0100,8290 WEST C AVE 73302,S200000,00200,0100,KALAMAZOO 73302,S200000,00200,0200,MI 73302,S200000,00200,0300,49009 73302,S200000,00300,0100,KALAMAZOO 73302,S200000,00400,0100,ALAMO NURSING HOME INC 73302,S200000,00400,0200,235311 73302,S200000,00400,0300,06/17/1976 73302,S200000,00400,0500,P 73302,S200000,01600,0100,Y 73302,S200000,04200,0100,Y 73303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73303,A000000,00300,0000,00300EMPLOYEE BENEFITS 73303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73303,A000000,00700,0000,00700HOUSEKEEPING 73303,A000000,00800,0000,00800DIETARY 73303,A000000,00900,0000,00900NURSING ADMINISTRATION 73303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73303,A000000,01100,0000,01100PHARMACY 73303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73303,A000000,01300,0000,01300SOCIAL SERVICE 73303,A000000,01350,0000,01500DIVERSIONAL THERAPY 73303,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73303,A000000,01600,0000,01600SKILLED NURSING FACILITY 73303,A000000,01800,0000,01800NURSING FACILITY 73303,A000000,01810,0000,01810ICF/MR 73303,A000000,02100,0000,02100RADIOLOGY 73303,A000000,02200,0000,02200LABORATORY 73303,A000000,02300,0000,02300INTRAVENOUS THERAPY 73303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73303,A000000,02500,0000,02500PHYSICAL THERAPY 73303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73303,A000000,02700,0000,02700SPEECH PATHOLOGY 73303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73303,A000000,03050,0000,03300AIR FLUIDIZED THERAPY BEDS 73303,A000000,03550,0000,03550FQHC 73303,A000000,05000,0000,05000CORF 73303,A000000,05010,0000,05010CMHC 73303,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73303,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73303,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73303,A81000A,00100,0100,Y 73303,A81000B,00100,0300,LEASE LAND/BLDG 73303,A81000B,00200,0300,CENTRAL OFFICE COSTS 73303,A81000B,00300,0300,CENTRAL OFFICE COSTS 73303,A81000B,00400,0300,SUPPLIES/RENTALS 73303,A81000B,00500,0300,RESPIRATORY THERAPIS 73303,A81000B,00600,0300,CONTR. PHYS. THER. 73303,A81000B,00700,0300,CONTR. OCCUP. THER. 73303,A81000B,00800,0300,CONTR.SPEECH THER. 73303,A81000B,00900,0300,CONTRACTED NURSING 73303,A81000B,01000,0300,SHARED THERAPY 73303,A81000B,01100,0300,SHARED THERAPY 73303,A81000B,01200,0300,SHARED THERAPY 73303,A81000B,01300,0300,SHARED THERAPY 73303,A81000B,01400,0300,MAINTENANCE SUPPORT 73303,A81000B,01500,0300,SHARED THERAPY 73303,A81000C,00100,0100,A 73303,A81000C,00100,0200,MARVIN L. PIERS 73303,A81000C,00100,0400,GREENRIDGE REAL 73303,A81000C,00100,0600,LESSOR 73303,A81000C,00200,0100,A 73303,A81000C,00200,0200,MARVIN L. PIERS 73303,A81000C,00200,0400,METRON INTEGRAT 73303,A81000C,00200,0600,CENTRAL OFFICE 73303,A81000C,00300,0100,A 73303,A81000C,00300,0200,MARVIN L. PIERS 73303,A81000C,00300,0400,CARE SOURCE IN 73303,A81000C,00300,0600,SUPPLIES/RENTAL 73303,A81000C,00400,0100,A 73303,A81000C,00400,0200,MARVIN L. PIERS 73303,A81000C,00400,0400,PEOPLECARE 73303,A81000C,00400,0600,CONTRACTED SRVC 73303,A81000C,00500,0100,A 73303,A81000C,00500,0200,MARVIN L. PIERS 73303,A81000C,00500,0400,METRON OF BELDI 73303,A81000C,00500,0600,SNF 73303,A81000C,00600,0100,A 73303,A81000C,00600,0200,MARVIN L. PIERS 73303,A81000C,00600,0400,METRON OF CDR S 73303,A81000C,00600,0600,SNF 73303,A81000C,00700,0100,A 73303,A81000C,00700,0200,MARVIN L. PIERS 73303,A81000C,00700,0400,METRON OF FRST. 73303,A81000C,00700,0600,SNF 73303,A81000C,00800,0100,A 73303,A81000C,00800,0200,MARVIN L. PIERS 73303,A81000C,00800,0400,METRON OF GREEN 73303,A81000C,00800,0600,SNF 73303,A81000C,00900,0100,A 73303,A81000C,00900,0200,MARVIN L. PIERS 73303,A81000C,00900,0400,METRON OF LAMON 73303,A81000C,00900,0600,SNF 73303,B100000,00000,0100,00000SQUARE FEET 73303,B100000,00000,0200,00000SQUARE FEET 73303,B100000,00000,0300,00000GROSS SALARIES 73303,B100000,00000,0400,00000ACCUM COST 73303,B100000,00000,0500,00000SQUARE FEET 73303,B100000,00000,0600,00000POUNDS OF LAUNDRY 73303,B100000,00000,0700,00000HOURS OF SERVICE 73303,B100000,00000,0800,00000MEALS SERVED 73303,B100000,00000,0900,00000DIRECT NRSG HRS 73303,B100000,00000,1000,00000COSTED REQUIS 73303,B100000,00000,1100,00000COSTED REQUIS 73303,B100000,00000,1200,00000TIME SPENT 73303,B100000,00000,1300,00000TIME SPENT 73303,B100000,00000,1350,00000(TIME SPENT) 73303,B100000,00000,1400,00000ASSIGNED TIME 73303,E10A180,00501,0100,11/01/2000 73303,S000000,00100,0200,08/04/2000 73303,S200000,00100,0100,725 W. FULLER 73303,S200000,00200,0100,BIG RAPIDS 73303,S200000,00200,0200,MI 73303,S200000,00200,0300,49307 73303,S200000,00300,0100,MECOSTA 73303,S200000,00400,0100,METRON OF BIG RAPIDS 73303,S200000,00400,0200,235312 73303,S200000,00400,0300,01/01/1980 73303,S200000,00400,0500,P 73303,S200000,00600,0200,235312 73303,S200000,00600,0300,01/01/1980 73303,S200000,01600,0100,Y 73304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73304,A000000,00300,0000,00300EMPLOYEE BENEFITS 73304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73304,A000000,00700,0000,00700HOUSEKEEPING 73304,A000000,00800,0000,00800DIETARY 73304,A000000,00900,0000,00900NURSING ADMINISTRATION 73304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73304,A000000,01100,0000,01100PHARMACY 73304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73304,A000000,01300,0000,01300SOCIAL SERVICE 73304,A000000,01350,0000,01500DIVERSIONAL THERAPY 73304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73304,A000000,01600,0000,01600SKILLED NURSING FACILITY 73304,A000000,01800,0000,01800NURSING FACILITY 73304,A000000,01810,0000,01810ICF/MR 73304,A000000,02100,0000,02100RADIOLOGY 73304,A000000,02200,0000,02200LABORATORY 73304,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73304,A000000,02500,0000,02500PHYSICAL THERAPY 73304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73304,A000000,02700,0000,02700SPEECH PATHOLOGY 73304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73304,A000000,03550,0000,03550FQHC 73304,A000000,05000,0000,05000CORF 73304,A000000,05010,0000,05010CMHC 73304,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73304,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73304,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73304,A81000A,00100,0100,Y 73304,A81000B,00100,0300,LAUNDRY & LINEN SVC 73304,A81000C,00100,0100,A 73304,A81000C,00100,0200,DR. D. DREYFUSS 73304,A81000C,00100,0400,TRIPLE H LAUNDR 73304,A81000C,00100,0600,LAUNDRY 73304,B100000,00000,0100,00000SQUARE FEET 73304,B100000,00000,0200,00000SQUARE FEET 73304,B100000,00000,0300,00000GROSS SALARIES 73304,B100000,00000,0400,00000ACCUM COST 73304,B100000,00000,0500,00000SQUARE FEET 73304,B100000,00000,0600,00000PATIENT DAYS 73304,B100000,00000,0700,00000SQUARE FEET 73304,B100000,00000,0800,00000MEALS SERVED 73304,B100000,00000,0900,00000DIRECT NRSG HRS 73304,B100000,00000,1000,00000COSTED REQUIS 73304,B100000,00000,1100,00000COSTED REQUIS 73304,B100000,00000,1200,00000TIME SPENT 73304,B100000,00000,1300,00000PATIENT DAYS 73304,B100000,00000,1350,00000PATIENT DAYS 73304,B100000,00000,1400,00000ASSIGNED TIME 73304,S000000,00100,0200,06/06/2000 73304,S200000,00100,0100,22601 E. NINE MILE RD. 73304,S200000,00200,0100,ST CLAIR SHORES 73304,S200000,00200,0200,MI 73304,S200000,00200,0300,48080 73304,S200000,00300,0100,MACOMB 73304,S200000,00400,0100,ST. MARYS NURSING HOME 73304,S200000,00400,0200,235319 73304,S200000,00400,0300,01/01/1999 73304,S200000,00400,0500,P 73304,S200000,00400,0600,O 73304,S200000,01600,0100,Y 73305,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73305,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73305,A000000,00300,0000,00300EMPLOYEE BENEFITS 73305,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73305,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73305,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73305,A000000,00700,0000,00700HOUSEKEEPING 73305,A000000,00800,0000,00800DIETARY 73305,A000000,00900,0000,00900NURSING ADMINISTRATION 73305,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73305,A000000,01100,0000,01100PHARMACY 73305,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73305,A000000,01300,0000,01300SOCIAL SERVICE 73305,A000000,01350,0000,01500DIVERSIONAL THERAPY 73305,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73305,A000000,01600,0000,01600SKILLED NURSING FACILITY 73305,A000000,01800,0000,01800NURSING FACILITY 73305,A000000,01810,0000,01810ICF/MR 73305,A000000,02100,0000,02100RADIOLOGY 73305,A000000,02200,0000,02200LABORATORY 73305,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73305,A000000,02500,0000,02500PHYSICAL THERAPY 73305,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73305,A000000,02700,0000,02700SPEECH PATHOLOGY 73305,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73305,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73305,A000000,03050,0000,03300ALL ANCILLARIES 73305,A000000,03200,0000,03200SUPPORT SURFACES 73305,A000000,03550,0000,03550FQHC 73305,A000000,05000,0000,05000CORF 73305,A000000,05010,0000,05010CMHC 73305,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73305,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73305,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73305,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73305,A81000A,00100,0100,Y 73305,A81000B,00100,0300,MANAGEMENT FEE 73305,A81000C,00100,0100,A 73305,A81000C,00100,0200,JAMES BRANCSUM 73305,A81000C,00100,0400,NEXCARE HEALTH 73305,A81000C,00100,0600,MANAGEMENT SVC 73305,B100000,00000,0100,00000SQUARE FEET 73305,B100000,00000,0200,00000SQUARE FEET 73305,B100000,00000,0300,00000GROSS SALARIES 73305,B100000,00000,0400,00000ACCUM COST 73305,B100000,00000,0500,00000SQUARE FEET 73305,B100000,00000,0600,00000CENSUS 73305,B100000,00000,0700,00000SQUARE FEET 73305,B100000,00000,0800,00000CENSUS 73305,B100000,00000,0900,00000DIRECT NRSG HRS 73305,B100000,00000,1000,00000COSTED REQUIS 73305,B100000,00000,1100,00000COSTED REQUIS 73305,B100000,00000,1200,00000TIME SPENT 73305,B100000,00000,1300,00000CENSUS 73305,B100000,00000,1350,00000CENSUS 73305,B100000,00000,1400,00000ASSIGNED TIME 73305,E10A180,00501,0100,12/31/1999 73305,S000000,00100,0200,05/30/2000 73305,S200000,00100,0100,32500 LAHSER ROAD 73305,S200000,00200,0100,SOUTHFIELD 73305,S200000,00200,0200,MI 73305,S200000,00200,0300,48076 73305,S200000,00300,0100,OAKLAND 73305,S200000,00400,0100,LAHSER HILLS CARE CENTRE 73305,S200000,00400,0200,235320 73305,S200000,00400,0300,12/01/1976 73305,S200000,00400,0500,P 73305,S200000,00400,0600,P 73305,S200000,00600,0200,235320 73305,S200000,00600,0300,12/01/1976 73305,S200000,00600,0600,O 73305,S200000,01600,0100,Y 73314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73314,A000000,00300,0000,00300EMPLOYEE BENEFITS 73314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73314,A000000,00700,0000,00700HOUSEKEEPING 73314,A000000,00800,0000,00800DIETARY 73314,A000000,00900,0000,00900NURSING ADMINISTRATION 73314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73314,A000000,01100,0000,01100PHARMACY 73314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73314,A000000,01300,0000,01300SOCIAL SERVICE 73314,A000000,01350,0000,01500ACTIVITIES 73314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73314,A000000,01600,0000,01600SKILLED NURSING FACILITY 73314,A000000,01800,0000,01800NURSING FACILITY 73314,A000000,01810,0000,01810ICF/MR 73314,A000000,02500,0000,02500PHYSICAL THERAPY 73314,A000000,02700,0000,02700SPEECH PATHOLOGY 73314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73314,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73314,A000000,03550,0000,03550FQHC 73314,A000000,05000,0000,05000CORF 73314,A000000,05010,0000,05010CMHC 73314,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73314,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73314,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73314,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73314,A000000,06151,0000,06301DENTAL OFFICE 73314,B100000,00000,0100,00001SQUARE FEET 73314,B100000,00000,0200,00001SQUARE FEET 73314,B100000,00000,0300,00001GROSS SALARIES 73314,B100000,00000,0400,00001ACCUM. COST 73314,B100000,00000,0500,00001SQUARE FEET 73314,B100000,00000,0600,00001POUNDS OF LAUNDRY 73314,B100000,00000,0700,00001HOURS OF SERVICE 73314,B100000,00000,0800,00001MEALS SERVED 73314,B100000,00000,0900,00001HOURS OF SERVICE 73314,B100000,00000,1000,00001COSTED REQUIS 73314,B100000,00000,1100,00001COSTED REQUIS 73314,B100000,00000,1200,00001TIME SPENT 73314,B100000,00000,1300,00001TIME SPENT 73314,B100000,00000,1350,00001TIME SPENT 73314,B100000,00000,1400,00001ASSIGNED TIME 73314,E10A180,00501,0100,04/17/2000 73314,S000000,00100,0200,04/04/2000 73314,S200000,00100,0100,2526 NORTH MAIN STREET 73314,S200000,00200,0100,DANVILLE 73314,S200000,00200,0200,VA 73314,S200000,00300,0100,DANVILLE 73314,S200000,00400,0100,ROMAN EAGLE MEMORIAL HOME INC. 73314,S200000,00400,0200,495015 73314,S200000,00400,0300,07/01/1966 73314,S200000,00400,0500,P 73314,S200000,00600,0200,495015 73314,S200000,00600,0300,07/01/1966 73314,S200000,01500,0100,Y 73322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73322,A000000,00300,0000,00300EMPLOYEE BENEFITS 73322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73322,A000000,00700,0000,00700HOUSEKEEPING 73322,A000000,00800,0000,00800DIETARY 73322,A000000,00900,0000,00900NURSING ADMINISTRATION 73322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73322,A000000,01100,0000,01100PHARMACY 73322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73322,A000000,01300,0000,01300SOCIAL SERVICE 73322,A000000,01350,0000,01500ACTIVITIES 73322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73322,A000000,01401,0000,01401NURSING EDUCATION 73322,A000000,01402,0000,01402ACTIVITIES 73322,A000000,01600,0000,01600SKILLED NURSING FACILITY 73322,A000000,01800,0000,01800NURSING FACILITY 73322,A000000,01810,0000,01810ICF/MR 73322,A000000,01900,0000,01900OTHER LONG TERM CARE 73322,A000000,02200,0000,02200LABORATORY 73322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73322,A000000,02500,0000,02500PHYSICAL THERAPY 73322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73322,A000000,02700,0000,02700SPEECH PATHOLOGY 73322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73322,A000000,03050,0000,03300ENTERNAL FEEDINGS 73322,A000000,03051,0000,03301AIR BED THERAPY 73322,A000000,03052,0000,03302XRAY 73322,A000000,03053,0000,03303AMBULANCE / TRANSPORTATION SVCS 73322,A000000,03054,0000,03305RESTORATIVE THERAPY 73322,A000000,03055,0000,03304RADIOLOGY 73322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73322,A000000,03550,0000,03550FQHC 73322,A000000,05000,0000,05000CORF 73322,A000000,05010,0000,05010CMHC 73322,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73322,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73322,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73322,A81000A,00100,0100,Y 73322,A81000B,00100,0300,IV PUMPS 73322,A81000B,00200,0300,PHARMACY CONSULTANT 73322,A81000B,00300,0300,PHARMACY SUPPLIES 73322,A81000B,00400,0300,HOME OFFICE COST 73322,A81000B,00500,0300,HOME OFFICE COST 73322,A81000B,00600,0300,HOME OFFICE COST 73322,A81000B,00700,0300,PHYSICAL THERAPY 73322,A81000B,00800,0300,OCCUPATIONAL THERAPY 73322,A81000B,00900,0300,SPEECH THERAPY 73322,A81000C,00100,0100,A 73322,A81000C,00100,0200,JAMES R. SMITH 73322,A81000C,00100,0400,RX CARE 73322,A81000C,00100,0600,PHARMACY SUPPLIER 73322,A81000C,00200,0100,A 73322,A81000C,00200,0200,JAMES R. SMITH 73322,A81000C,00200,0400,RX CARE 73322,A81000C,00200,0600,PHARMACY SUPPLIER 73322,A81000C,00300,0100,A 73322,A81000C,00300,0200,JAMES R. SMITH 73322,A81000C,00300,0400,RX CARE 73322,A81000C,00300,0600,PHARMACY SUPPLIER 73322,A81000C,00400,0100,A 73322,A81000C,00400,0200,TANDEM HEALTH CARE 73322,A81000C,00400,0400,COLONIAL CARE 73322,A81000C,00400,0600,HOME OFFICE 73322,A81000C,00500,0100,A 73322,A81000C,00500,0200,TANDEM HEALTH CARE 73322,A81000C,00500,0400,COLONIAL CARE 73322,A81000C,00500,0600,HOME OFFICE 73322,A81000C,00600,0100,A 73322,A81000C,00600,0200,TANDEM HEALTH CARE 73322,A81000C,00600,0400,COLONIAL CARE 73322,A81000C,00600,0600,HOME OFFICE 73322,A81000C,00700,0100,A 73322,A81000C,00700,0200,TANDEM REHABILITATION 73322,A81000C,00700,0400,TANDEM HEALTH CARE INC 73322,A81000C,00700,0600,REHAB 73322,A81000C,00800,0100,A 73322,A81000C,00800,0200,TANDEM REHABILITATION 73322,A81000C,00800,0400,TANDEM HEALTH CARE INC 73322,A81000C,00800,0600,REHAB 73322,A81000C,00900,0100,A 73322,A81000C,00900,0200,TANDEM REHABILITATION 73322,A81000C,00900,0400,TANDEM HEALTH CARE INC 73322,A81000C,00900,0600,REHAB 73322,B100000,00000,0100,00000SQUARE FEET 73322,B100000,00000,0200,00000SQUARE FEET 73322,B100000,00000,0300,00000GROSS SALARIES 73322,B100000,00000,0400,00000ACCUM. COST 73322,B100000,00000,0500,00000SQUARE FEET 73322,B100000,00000,0600,00000LBS OF LAUNDRY 73322,B100000,00000,0700,00000SQUARE FEET 73322,B100000,00000,0800,00000MEALS SERVED 73322,B100000,00000,0900,00000HOURS OF SERVICE 73322,B100000,00000,1000,00000COST REQUIS 73322,B100000,00000,1100,00000TIME SPENT 73322,B100000,00000,1200,00000TIME SPENT 73322,B100000,00000,1300,00000TIME SPENT 73322,B100000,00000,1350,00000 73322,B100000,00000,1400,00000ASSIGNED TIME 73322,B100000,00000,1401,00000 73322,B100000,00000,1402,00000 73322,E10A180,00351,0100,09/04/2001 73322,E10A180,00351,0300,09/04/2001 73322,E10A180,00501,0300,08/02/2000 73322,E10A180,00550,0100,08/02/2000 73322,S000000,00100,0200,07/19/2000 73322,S200000,00100,0100,175 HATTON STREET 73322,S200000,00200,0100,PORTSMOUTH 73322,S200000,00200,0200,VA 73322,S200000,00200,0300,23705 73322,S200000,00400,0100,GENERATION DEVELOPMENT CO. L.L.C. 73322,S200000,00400,0200,495047 73322,S200000,00400,0300,01/01/1988 73322,S200000,00400,0500,P 73322,S200000,00600,0200,495047 73322,S200000,00600,0300,01/01/1966 73322,S200000,01600,0100,Y 73322,S200000,02200,0100,Y 73324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73324,A000000,00300,0000,00300EMPLOYEE BENEFITS 73324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73324,A000000,00700,0000,00700HOUSEKEEPING 73324,A000000,00800,0000,00800DIETARY 73324,A000000,00900,0000,00900NURSING ADMINISTRATION 73324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73324,A000000,01100,0000,01100PHARMACY 73324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73324,A000000,01300,0000,01300SOCIAL SERVICE 73324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73324,A000000,01600,0000,01600SKILLED NURSING FACILITY 73324,A000000,01800,0000,01800NURSING FACILITY 73324,A000000,01810,0000,01810ICF/MR 73324,A000000,01900,0000,01900OTHER LONG TERM CARE 73324,A000000,02100,0000,02100RADIOLOGY 73324,A000000,02200,0000,02200LABORATORY 73324,A000000,02500,0000,02500PHYSICAL THERAPY 73324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73324,A000000,02700,0000,02700SPEECH PATHOLOGY 73324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73324,A000000,03550,0000,03550FQHC 73324,A000000,05000,0000,05000CORF 73324,A000000,05010,0000,05010CMHC 73324,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73324,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73324,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73324,A000000,05300,0000,05300INTEREST EXPENSE 73324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73324,B100000,00000,0100,00000SQUARE FEET 73324,B100000,00000,0200,00000DOLLAR VALUE 73324,B100000,00000,0300,00000GROSS SALARY 73324,B100000,00000,0400,00000ACCUM. COST 73324,B100000,00000,0500,00000SQUARE FEET 73324,B100000,00000,0600,00000PATIENT DAY 73324,B100000,00000,0700,00000HOURS 73324,B100000,00000,0800,00000MEALS SERVED 73324,B100000,00000,0900,00000TIME SPENT 73324,B100000,00000,1000,00000COSTED REQUIS 73324,B100000,00000,1100,00000TIME SPENT 73324,B100000,00000,1200,00000PATIENT DAY 73324,B100000,00000,1300,00000PATIENT DAY 73324,B100000,00000,1400,00000ASSIGNED TIME 73324,E10A180,00501,0100,04/17/2000 73324,E10A180,00501,0300,04/17/2000 73324,E10A180,00502,0100,09/10/2001 73324,S000000,00100,0200,02/29/2000 73324,S200000,00100,0100,400 FILLMORE AVENUE 73324,S200000,00200,0100,ALEXANDRIA 73324,S200000,00200,0200,VA 73324,S200000,00300,0100,ALEXANDRIA 73324,S200000,00400,0100,GOODWIN HOUSE 73324,S200000,00400,0200,495057 73324,S200000,00400,0300,07/01/1996 73324,S200000,00400,0500,P 73324,S200000,00600,0200,495057 73324,S200000,00600,0300,07/01/1996 73324,S200000,00600,0600,P 73324,S200000,01700,0100,Y 73324,S200000,01900,0100,NON PROFIT 73327,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73327,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73327,A000000,00300,0000,00300EMPLOYEE BENEFITS 73327,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73327,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73327,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73327,A000000,00700,0000,00700HOUSEKEEPING 73327,A000000,00800,0000,00800DIETARY 73327,A000000,00900,0000,00900NURSING ADMINISTRATION 73327,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73327,A000000,01100,0000,01100PHARMACY 73327,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73327,A000000,01300,0000,01300SOCIAL SERVICE 73327,A000000,01350,0000,01500OTHER GENERAL SERVICES 73327,A000000,01351,0000,01501RECREATIONAL THERAPY 73327,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENT 73327,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73327,A000000,01600,0000,01600SKILLED NURSING FACILITY 73327,A000000,01800,0000,01800NURSING FACILITY 73327,A000000,01810,0000,01810ICF/MR 73327,A000000,02100,0000,02100RADIOLOGY 73327,A000000,02200,0000,02200LABORATORY 73327,A000000,02300,0000,02300INTRAVENOUS THERAPY 73327,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73327,A000000,02500,0000,02500PHYSICAL THERAPY 73327,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73327,A000000,02700,0000,02700SPEECH PATHOLOGY 73327,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73327,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73327,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73327,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73327,A000000,03550,0000,03550FQHC 73327,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73327,A000000,04800,0000,04800AMBULANCE 73327,A000000,05000,0000,05000CORF 73327,A000000,05010,0000,05010CMHC 73327,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73327,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73327,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73327,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73327,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73327,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73327,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73327,A81000A,00100,0100,Y 73327,A81000B,00100,0300,HOME OFFICE CAPITAL 73327,A81000B,00200,0300,HOME OFFICE OTHER 73327,A81000B,00300,0300,HOME OFFICE INTEREST 73327,A81000B,00400,0300,UTILITIES 73327,A81000B,00500,0300,HEALTHCARE SERVICES CAPITAL 73327,A81000B,00600,0300,HEALTHCARE SERVICES OTHER 73327,A81000B,00700,0300,MANAGEMENT CO FEE CAPITAL 73327,A81000B,00800,0300,MANAGEMENT CO FEE OTHER 73327,A81000B,00900,0300,MGMT SAL & BEN ADMIN 73327,A81000B,00901,0300,SUPPORT DIVISION CAPITAL 73327,A81000B,00902,0300,SUPPORT DIVISION MARKETING 73327,A81000B,01000,0300,MGMT SAL AND BEN DIETARY 73327,A81000B,01100,0300,MGMT SAL AND BEN SOCIAL SVC 73327,A81000B,01200,0300,PROTECTION OTHER 73327,A81000B,01300,0300,HOSPITAL SERVICES CAPITAL 73327,A81000B,01400,0300,HOUSEKEEPING SERVICES 73327,A81000B,01500,0300,RISK MANAGEMENT 73327,A81000B,01600,0300,FOOD PRODUCTION CTR FOOD 73327,A81000B,01700,0300,FOOD PRODUCTION CTR OVRHD 73327,A81000B,01800,0300,FOOD PRODUCTION CAPITAL 73327,A81000B,01900,0300,PRINTING NSG ADMIN 73327,A81000B,02000,0300,PRINTING PHYS THER 73327,A81000B,02100,0300,PRINTING SOCIAL SVCS 73327,A81000B,02200,0300,PRINTING DIETARY 73327,A81000B,02300,0300,PRINTING MAINT 73327,A81000B,02400,0300,PRINTING HOUSEKEEPING 73327,A81000B,02500,0300,PRINTING ADMINISTRATION 73327,A81000B,02600,0300,PRINITNG PASTORAL CARE 73327,A81000B,02700,0300,PRINTING VOLUNTEERS 73327,A81000B,02800,0300,SUPPORT DIVISION DIRECT 73327,A81000B,02900,0300,SUPPORT DIVISION INDIRECT 73327,A81000C,00100,0100,B 73327,A81000C,00100,0400,RIVERSIDE HEALTHCARE ASSC 73327,A81000C,00100,0600,HEALTHCARE SERVICES 73327,A81000C,00200,0100,B 73327,A81000C,00200,0400,RIVERSIDE HEALTHCARE SVCS 73327,A81000C,00200,0600,HEALTHCARE SERVICES 73327,A81000C,00300,0100,B 73327,A81000C,00300,0400,RIVERSIDE HOSPITAL SERVIC 73327,A81000C,00300,0600,HEALTHCARE SERVICES 73327,A81000C,00400,0100,B 73327,A81000C,00400,0400,LTC SUPPORT DIVISION 73327,A81000C,00400,0600,FINANCIAL/MNGMNT SERVICES 73327,B100000,00000,0100,00000SQUARE FEET 73327,B100000,00000,0200,00000SQUARE FEET 73327,B100000,00000,0300,00000GROSS SALARIES 73327,B100000,00000,0400,00000ACCUM. COST 73327,B100000,00000,0500,00000SQUARE FEET 73327,B100000,00000,0600,00000PROCESSING G 73327,B100000,00000,0700,00000SQUARE FEET 73327,B100000,00000,0800,00000MEALS SERVED 73327,B100000,00000,0900,00000SERVICE HOURS 73327,B100000,00000,1000,00000PATIENT DAYS 73327,B100000,00000,1100,00000COSTED REQUIS. 73327,B100000,00000,1200,00000TIME SPENT 73327,B100000,00000,1300,00000TIME SPENT 73327,B100000,00000,1350,00000GROSS SALARIES 73327,B100000,00000,1351,00000TIME SPENT 73327,B100000,00000,1352,00000TIME SPENT 73327,B100000,00000,1400,00000ASSIGNED TIME 73327,E10A180,00301,0100,08/23/1999 73327,E10A180,00302,0100,01/13/2000 73327,E10A180,00501,0100,05/31/2000 73327,E10A180,00501,0300,09/28/2001 73327,E10A180,00550,0100,09/28/2001 73327,S000000,00100,0200,05/22/2000 73327,S200000,00100,0100,1000 OLD DENBIGH BLVD 73327,S200000,00200,0100,NEWPORT NEWS 73327,S200000,00200,0200,VA 73327,S200000,00300,0100,NEWPORT NEWS 73327,S200000,00400,0100,RIVERSIDE REGIONAL CONVALESCENT CENT 73327,S200000,00400,0200,495071 73327,S200000,00400,0300,07/01/1966 73327,S200000,00400,0500,P 73327,S200000,01500,0100,Y 73327,S200000,02800,0100,Y 73331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73331,A000000,00300,0000,00300EMPLOYEE BENEFITS 73331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73331,A000000,00700,0000,00700HOUSEKEEPING 73331,A000000,00800,0000,00800DIETARY 73331,A000000,00900,0000,00900NURSING ADMINISTRATION 73331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73331,A000000,01100,0000,01100PHARMACY 73331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73331,A000000,01300,0000,01300SOCIAL SERVICE 73331,A000000,01350,0000,01500ACTIVITIES 73331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73331,A000000,01600,0000,01600SKILLED NURSING FACILITY 73331,A000000,01800,0000,01800NURSING FACILITY 73331,A000000,01810,0000,01810ICF/MR 73331,A000000,02100,0000,02100RADIOLOGY 73331,A000000,02200,0000,02200LABORATORY 73331,A000000,02300,0000,02300INTRAVENOUS THERAPY 73331,A000000,02500,0000,02500PHYSICAL THERAPY 73331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73331,A000000,02700,0000,02700SPEECH PATHOLOGY 73331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73331,A000000,03050,0000,03300CLINITRON 73331,A000000,03051,0000,03301NUTRIONAL THERAPY 73331,A000000,03550,0000,03550FQHC 73331,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 73331,A000000,04800,0000,04800AMBULANCE 73331,A000000,05000,0000,05000CORF 73331,A000000,05010,0000,05010CMHC 73331,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73331,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73331,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73331,A000000,06150,0000,06300SERVICES TO RELATED ORGANIZATIO 73331,A000000,06151,0000,06301DIALYSIS 73331,A000000,06200,0000,06200PATIENTS LAUNDRY 73331,A81000A,00100,0100,Y 73331,A81000B,00100,0300,PHARMACY FOR PATIENT 73331,A81000B,00200,0300,PHARMACY FOR EMPLOYEES 73331,A81000B,00300,0300,SUPPLIES 73331,A81000B,00400,0300,NURSING SUPPLIES 73331,A81000B,00500,0300,PROFESSIONAL SERVICES 73331,A81000B,00600,0300,MAINTENANCE 73331,A81000B,00700,0300,DEPRECIATION 73331,A81000B,00800,0300,DEPRECIATION 73331,A81000C,00100,0100,E 73331,A81000C,00100,0400,FRIENDSHIP PHARMACY INC 73331,A81000C,00100,0600,PHARMACY 73331,A81000C,00200,0100,E 73331,A81000C,00200,0400,FRIENDSHIP PHARMACY INC 73331,A81000C,00200,0600,PHARMACY 73331,A81000C,00300,0100,E 73331,A81000C,00300,0400,FRIENDSHIP PHARMACY INC 73331,A81000C,00300,0600,PHARMACY 73331,A81000C,00400,0100,E 73331,A81000C,00400,0400,FRIENDSHIP PHARMACY INC. 73331,A81000C,00400,0600,PHARMACY 73331,A81000C,00500,0100,E 73331,A81000C,00500,0400,FRIENDSHIP PHARMACY INC. 73331,A81000C,00500,0600,PHARMACY 73331,A81000C,00600,0100,E 73331,A81000C,00600,0400,LONG TERM CARE BUILDERS 73331,A81000C,00600,0600,REPAIRS & MAINTENANCE 73331,A81000C,00700,0100,E 73331,A81000C,00700,0400,LONG TERM CARE BUILDERS 73331,A81000C,00700,0600,REPAIRS & MAINTENANCE 73331,A81000C,00800,0100,E 73331,A81000C,00800,0400,LONG TERM CARE BUILDERS 73331,A81000C,00800,0600,REPAIRS & MAINTENANCE 73331,A81000C,00900,0100,E 73331,A81000C,01000,0100,E 73331,B100000,00000,0100,00001SQUARE FEET 73331,B100000,00000,0200,00001SQUARE FEET 73331,B100000,00000,0300,00001GROSS SALARIES 73331,B100000,00000,0400,00001ACCUM. COST 73331,B100000,00000,0500,00001SQ FEET 73331,B100000,00000,0600,00001POUNDS OF LAUNDRY 73331,B100000,00000,0700,00001SQ FEET 73331,B100000,00000,0800,00001MEALS SERVED 73331,B100000,00000,0900,00001NURSING SALARIES 73331,B100000,00000,1000,00001COSTED REQUIS. 73331,B100000,00000,1100,00001COSTED REQUIS 73331,B100000,00000,1200,00001GROSS REVENUE 73331,B100000,00000,1300,00001ADMISSIONS S 73331,B100000,00000,1350,00001PATIENT DAYS 73331,B100000,00000,1400,00001ASSIGNED TIME 73331,E10A180,00301,0100,10/05/2000 73331,E10A180,00501,0100,03/16/2001 73331,E10A180,00550,0100,03/05/2001 73331,S000000,00100,0200,01/12/2001 73331,S200000,00100,0300,5367 73331,S200000,00200,0100,ROANOKE 73331,S200000,00200,0200,VA 73331,S200000,00300,0100,R 73331,S200000,00300,0200,6800 73331,S200000,00300,0300,U 73331,S200000,00400,0100,FRIENDSHIP MANOR INC. 73331,S200000,00400,0200,495092 73331,S200000,00400,0300,08/01/1974 73331,S200000,00400,0500,P 73331,S200000,00600,0200,495092 73331,S200000,00600,0300,08/01/1974 73331,S200000,00600,0600,P 73331,S200000,00800,0200,497009 73331,S200000,00800,0300,06/05/1977 73331,S200000,00800,0500,P 73331,S200000,01500,0100,Y 73333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73333,A000000,00300,0000,00300EMPLOYEE BENEFITS 73333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73333,A000000,00700,0000,00700HOUSEKEEPING 73333,A000000,00800,0000,00800DIETARY 73333,A000000,00900,0000,00900NURSING ADMINISTRATION 73333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73333,A000000,01100,0000,01100PHARMACY 73333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73333,A000000,01300,0000,01300SOCIAL SERVICE 73333,A000000,01350,0000,01500RECREATION/ACTIVITIES 73333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73333,A000000,01600,0000,01600SKILLED NURSING FACILITY 73333,A000000,01800,0000,01800NURSING FACILITY 73333,A000000,01810,0000,01810ICF/MR 73333,A000000,02100,0000,02100RADIOLOGY 73333,A000000,02200,0000,02200LABORATORY 73333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73333,A000000,02500,0000,02500PHYSICAL THERAPY 73333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73333,A000000,02700,0000,02700SPEECH PATHOLOGY 73333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73333,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73333,A000000,03200,0000,03200SUPPORT SURFACES 73333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73333,A000000,03550,0000,03550FQHC 73333,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73333,A000000,05000,0000,05000CORF 73333,A000000,05010,0000,05010CMHC 73333,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73333,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73333,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73333,A000000,05300,0000,05300INTEREST EXPENSE 73333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73333,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73333,A81000A,00100,0100,Y 73333,A81000B,00100,0300,HOME OFFICE COSTS 73333,A81000B,00200,0300,HOME OFFICE COSTS 73333,A81000B,00300,0300,HOME OFFICE COSTS - THERAPY 73333,A81000B,00400,0300,HOME OFFICE COSTS - THERAPY 73333,A81000B,00500,0300,HOME OFFICE COSTS - THERAPY 73333,A81000B,00600,0300,RELATED PARTY - PHARMACY 73333,A81000B,00700,0300,RELATED PARTY - PHARMACY 73333,A81000B,00800,0300,RELATED PARTY - PHARMACY 73333,A81000B,00900,0300,RELATED PARTY - PHARMACY 73333,A81000B,01000,0300,RELATED PARTY - PHARMACY 73333,A81000C,00100,0100,B 73333,A81000C,00100,0200,MFV I 73333,A81000C,00100,0400,MFA INC 73333,A81000C,00100,0600,HOME OFFICE 73333,A81000C,00200,0100,A 73333,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73333,A81000C,00200,0400,PHARMACY CARE PLUS 73333,A81000C,00200,0600,PHARMACY SERVICES 73333,A81000C,00300,0100,A 73333,A81000C,00300,0200,W HEYWOOD FRALIN 73333,A81000C,00300,0400,PHARMACY CARE PLUS 73333,A81000C,00300,0600,PHARMACY SERVICES 73333,B100000,00000,0100,00000SQUARE FEET 73333,B100000,00000,0200,00000SQUARE FEET 73333,B100000,00000,0300,00000GROSS SALARIES 73333,B100000,00000,0400,00000ACCUM. COST 73333,B100000,00000,0500,00000SQUARE FEET 73333,B100000,00000,0600,00000PATIENT DAYS 73333,B100000,00000,0700,00000SQUARE FEET 73333,B100000,00000,0800,00000MEALS SERVED 73333,B100000,00000,0900,00000TIME SPENT 73333,B100000,00000,1000,00000COSTED REQUIS. 73333,B100000,00000,1100,00000COSTED REQUIS. 73333,B100000,00000,1200,00000TIME SPENT 73333,B100000,00000,1300,00000TIME SPENT 73333,B100000,00000,1350,00000TIME SPENT 73333,B100000,00000,1400,00000ASSIGNED TIME 73333,E10A180,00301,0100,05/20/1999 73333,E10A180,00302,0100,08/26/1999 73333,E10A180,00303,0100,11/23/1999 73333,E10A180,00304,0100,02/10/2000 73333,E10A180,00501,0100,06/16/2000 73333,E10A180,00550,0300,06/16/2000 73333,S000000,00100,0200,05/31/2000 73333,S200000,00100,0100,1225 SOUTH RESERVOIR STREET 73333,S200000,00200,0100,HARRISONBURG 73333,S200000,00200,0200,VA 73333,S200000,00300,0100,CITY OF HARRISONBURG 73333,S200000,00400,0100,CAMELOT HEALTH & REHAB CENTER 73333,S200000,00400,0200,495093 73333,S200000,00400,0300,02/19/1975 73333,S200000,00400,0500,P 73333,S200000,01600,0100,Y 73333,S200000,02800,0100,Y 73334,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73334,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73334,A000000,00300,0000,00300EMPLOYEE BENEFITS 73334,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73334,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73334,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73334,A000000,00700,0000,00700HOUSEKEEPING 73334,A000000,00800,0000,00800DIETARY 73334,A000000,00900,0000,00900NURSING ADMINISTRATION 73334,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73334,A000000,01100,0000,01100PHARMACY 73334,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73334,A000000,01300,0000,01300SOCIAL SERVICE 73334,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73334,A000000,01600,0000,01600SKILLED NURSING FACILITY 73334,A000000,01800,0000,01800NURSING FACILITY 73334,A000000,01810,0000,01810ICF/MR 73334,A000000,02100,0000,02100RADIOLOGY 73334,A000000,02200,0000,02200LABORATORY 73334,A000000,02300,0000,02300INTRAVENOUS THERAPY 73334,A000000,02500,0000,02500PHYSICAL THERAPY 73334,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73334,A000000,02700,0000,02700SPEECH PATHOLOGY 73334,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73334,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73334,A000000,03050,0000,03300SPECIALTY BEDS 73334,A000000,03550,0000,03550FQHC 73334,A000000,05000,0000,05000CORF 73334,A000000,05010,0000,05010CMHC 73334,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73334,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73334,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73334,A000000,05300,0000,05300INTEREST EXPENSE 73334,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73334,A000000,06200,0000,06200PATIENTS LAUNDRY 73334,A81000A,00100,0100,Y 73334,A81000B,00100,0300,COMMUNITY AWARENESS 73334,A81000B,00200,0300,PEN THERAPY 73334,A81000C,00100,0100,A 73334,A81000C,00100,0200,H.L. SEAL 73334,A81000C,00100,0400,CCI INC. 73334,A81000C,00100,0600,NF SUPPORT 73334,A81000C,00200,0100,A 73334,A81000C,00200,0200,RONALD HAMWAY 73334,A81000C,00200,0400,SRM 73334,A81000C,00200,0600,DURABLE MEDICAL 73334,A81000C,00300,0100,A 73334,A81000C,00300,0200,MICHAEL HAMWAY 73334,A81000C,00300,0400,SRM 73334,A81000C,00300,0600,DURABLE MEDICAL 73334,A81000C,00400,0100,A 73334,A81000C,00400,0200,H. SCOTT SEAL 73334,A81000C,00400,0400,SRM 73334,A81000C,00400,0600,DURABLE 73334,B100000,00000,0100,00000SQUARE FEET 73334,B100000,00000,0200,00000SQUARE FEET 73334,B100000,00000,0300,00000GROSS SALARIES 73334,B100000,00000,0400,00000ACCUM COST 73334,B100000,00000,0500,00000SQUARE FEET 73334,B100000,00000,0600,00000PATIENT DAYS 73334,B100000,00000,0700,00000SQUARE FEET 73334,B100000,00000,0800,00000PATIENT DAYS 73334,B100000,00000,0900,00000PATIENT DAYS 73334,B100000,00000,1000,00000COSTED REQUIS 73334,B100000,00000,1100,00000COSTED REQUIS 73334,B100000,00000,1200,00000PATIENT DAYS 73334,B100000,00000,1300,00000PATIENT DAYS 73334,B100000,00000,1400,00000ASSIGNED TIME 73334,E10A180,00501,0100,09/28/2000 73334,S000000,00100,0200,05/30/2000 73334,S200000,00100,0300,2050 73334,S200000,00200,0100,ASHLAND 73334,S200000,00200,0200,VA 73334,S200000,00200,0300,23005 73334,S200000,00300,0100,HANOVER 73334,S200000,00400,0100,ASHLAND CONVALESCENT CENTER 73334,S200000,00400,0200,495094 73334,S200000,00400,0300,05/01/1975 73334,S200000,00400,0500,P 73337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73337,A000000,00300,0000,00300EMPLOYEE BENEFITS 73337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73337,A000000,00700,0000,00700HOUSEKEEPING 73337,A000000,00800,0000,00800DIETARY 73337,A000000,00900,0000,00900NURSING ADMINISTRATION 73337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73337,A000000,01100,0000,01100PHARMACY 73337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73337,A000000,01300,0000,01300SOCIAL SERVICE 73337,A000000,01350,0000,01500RECREATION/ACTIVITIES 73337,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73337,A000000,01600,0000,01600SKILLED NURSING FACILITY 73337,A000000,01800,0000,01800NURSING FACILITY 73337,A000000,01810,0000,01810ICF/MR 73337,A000000,02100,0000,02100RADIOLOGY 73337,A000000,02200,0000,02200LABORATORY 73337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73337,A000000,02500,0000,02500PHYSICAL THERAPY 73337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73337,A000000,02700,0000,02700SPEECH PATHOLOGY 73337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73337,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73337,A000000,03200,0000,03200SUPPORT SURFACES 73337,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73337,A000000,03550,0000,03550FQHC 73337,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73337,A000000,05000,0000,05000CORF 73337,A000000,05010,0000,05010CMHC 73337,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73337,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73337,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73337,A000000,05300,0000,05300INTEREST EXPENSE 73337,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73337,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73337,A81000A,00100,0100,Y 73337,A81000B,00100,0300,HOME OFFICE COSTS 73337,A81000B,00200,0300,HOME OFFICE COSTS 73337,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73337,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73337,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73337,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73337,A81000B,00700,0300,RELATED PARTY - PHARMACY 73337,A81000B,00800,0300,RELATED PARTY - PHARMACY 73337,A81000B,00900,0300,RELATED PARTY - PHARMACY 73337,A81000B,01000,0300,RELATED PARTY - PHARMACY 73337,A81000B,01100,0300,RELATED PARTY - PHARMACY 73337,A81000B,01200,0300,RELATED PARTY - PHARMACY 73337,A81000B,01300,0300,RELATED PARTY - PHARMACY 73337,A81000C,00100,0100,B 73337,A81000C,00100,0200,MFV I 73337,A81000C,00100,0400,MFA INC 73337,A81000C,00100,0600,HOME OFFICE 73337,A81000C,00200,0100,A 73337,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73337,A81000C,00200,0400,PHARMACY CARE PLUS 73337,A81000C,00200,0600,PHARMACY SERVICES 73337,A81000C,00300,0100,A 73337,A81000C,00300,0200,W HEYWOOD FRALIN 73337,A81000C,00300,0400,PHARMACY CARE PLUS 73337,A81000C,00300,0600,PHARMACY SERVICES 73337,B100000,00000,0100,00000SQUARE FEET 73337,B100000,00000,0200,00000SQUARE FEET 73337,B100000,00000,0300,00000GROSS SALARIES 73337,B100000,00000,0400,00000ACCUM. COST 73337,B100000,00000,0500,00000SQUARE FEET 73337,B100000,00000,0600,00000PATIENT DAYS 73337,B100000,00000,0700,00000SQUARE FEET 73337,B100000,00000,0800,00000MEALS 73337,B100000,00000,0900,00000SALARIES 73337,B100000,00000,1000,00000COSTED REQUIS. 73337,B100000,00000,1100,00000COSTED REQUIS. 73337,B100000,00000,1200,00000TIME SPENT 73337,B100000,00000,1300,00000TIME SPENT 73337,B100000,00000,1350,00000TIME SPENT 73337,B100000,00000,1400,00000ASSIGNED TIME 73337,E10A180,00301,0100,05/20/1999 73337,E10A180,00302,0100,11/18/1999 73337,E10A180,00303,0100,02/10/2000 73337,E10A180,00501,0100,06/22/2000 73337,E10A180,00550,0300,06/22/2000 73337,S000000,00100,0200,05/31/2000 73337,S200000,00100,0100,2400 EAST PARHAM ROAD 73337,S200000,00200,0100,RICHMOND 73337,S200000,00200,0200,VA 73337,S200000,00300,0100,HENRICO 73337,S200000,00400,0100,PARHAM HEALTH CARE & REHAB CENTER 73337,S200000,00400,0200,495097 73337,S200000,00400,0300,02/11/1979 73337,S200000,00400,0500,P 73337,S200000,01600,0100,Y 73339,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73339,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73339,A000000,00300,0000,00300EMPLOYEE BENEFITS 73339,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73339,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73339,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73339,A000000,00700,0000,00700HOUSEKEEPING 73339,A000000,00800,0000,00800DIETARY 73339,A000000,00900,0000,00900NURSING ADMINISTRATION 73339,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73339,A000000,01100,0000,01100PHARMACY 73339,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73339,A000000,01300,0000,01300SOCIAL SERVICE 73339,A000000,01350,0000,01500PATIENT ACTIVITIES 73339,A000000,01351,0000,01501STAFF DEVELOPMENT 73339,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73339,A000000,01401,0000,01401STAFF DEVELOPMENT 73339,A000000,01600,0000,01600SKILLED NURSING FACILITY 73339,A000000,01800,0000,01800NURSING FACILITY 73339,A000000,01900,0000,01900OTHER LONG TERM CARE 73339,A000000,02100,0000,02100RADIOLOGY 73339,A000000,02200,0000,02200LABORATORY 73339,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73339,A000000,02500,0000,02500PHYSICAL THERAPY 73339,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73339,A000000,02700,0000,02700SPEECH PATHOLOGY 73339,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73339,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73339,A000000,03050,0000,03300AIR FLUID BED THERAPY 73339,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73339,A000000,03550,0000,03550FQHC 73339,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73339,A000000,04800,0000,04800AMBULANCE 73339,A000000,05000,0000,05000CORF 73339,A000000,05010,0000,05010CMHC 73339,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73339,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73339,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73339,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73339,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73339,A000000,06150,0000,06300CHAPLAIN SERVICES 73339,A000000,06151,0000,06301CONDO/RV EMPLOYEE USAGE 73339,A000000,06152,0000,06302INVESTMENT RELATED COSTS 73339,A81000A,00100,0100,Y 73339,A81000C,00100,0100,G 73339,A81000C,00100,0200,LINDA RENEE & CHARMAINE 73339,A81000C,00100,0400,FNC INC. 73339,A81000C,00100,0600,RECORD STORAGE RENTAL 73339,B100000,00000,0100,00002SQUARE FEET 73339,B100000,00000,0200,00002SQUARE FEET 73339,B100000,00000,0300,00002GROSS SALARIES 73339,B100000,00000,0400,00002ACCUM. COST 73339,B100000,00000,0500,00002SQUARE FEET 73339,B100000,00000,0600,00002PATIENT DAYS 73339,B100000,00000,0700,00002SQUARE FEET 73339,B100000,00000,0800,00002MEALS SERVED 73339,B100000,00000,0900,00002DIRECT NRSING HRS 73339,B100000,00000,1000,00002PATIENT DAYS 73339,B100000,00000,1100,00002NO STATISTICS 73339,B100000,00000,1200,00002GROSS CHARGES 73339,B100000,00000,1300,00002PATIENT DAYS 73339,B100000,00000,1350,00002PATIENT DAYS 73339,B100000,00000,1351,00002PATIENT DAYS 73339,B100000,00000,1400,00002NO STATISTICS 73339,B100000,00000,1401,00002PATIENT DAYS 73339,E10A180,00501,0300,07/17/2000 73339,S000000,00100,0200,05/31/2000 73339,S200000,00100,0100,10701 FAIRFAX STREET 73339,S200000,00200,0100,FIARFAX 73339,S200000,00200,0200,VA 73339,S200000,00200,0300,22030 73339,S200000,00300,0100,FAIRFAX 73339,S200000,00400,0100,FAIRFAX NURSING CENTER 73339,S200000,00400,0200,495099 73339,S200000,00400,0300,07/01/1966 73339,S200000,00400,0500,P 73339,S200000,01600,0100,Y 73341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73341,A000000,00300,0000,00300EMPLOYEE BENEFITS 73341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73341,A000000,00700,0000,00700HOUSEKEEPING 73341,A000000,00800,0000,00800DIETARY 73341,A000000,00900,0000,00900NURSING ADMINISTRATION 73341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73341,A000000,01100,0000,01100PHARMACY 73341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73341,A000000,01300,0000,01300SOCIAL SERVICE 73341,A000000,01350,0000,01500RECREATION/ACTIVITIES 73341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73341,A000000,01600,0000,01600SKILLED NURSING FACILITY 73341,A000000,01800,0000,01800NURSING FACILITY 73341,A000000,01810,0000,01810ICF/MR 73341,A000000,02100,0000,02100RADIOLOGY 73341,A000000,02200,0000,02200LABORATORY 73341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73341,A000000,02500,0000,02500PHYSICAL THERAPY 73341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73341,A000000,02700,0000,02700SPEECH PATHOLOGY 73341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73341,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73341,A000000,03200,0000,03200SUPPORT SURFACES 73341,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73341,A000000,03550,0000,03550FQHC 73341,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73341,A000000,05000,0000,05000CORF 73341,A000000,05010,0000,05010CMHC 73341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73341,A000000,05300,0000,05300INTEREST EXPENSE 73341,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73341,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73341,A81000A,00100,0100,Y 73341,A81000B,00100,0300,HOME OFFICE COSTS 73341,A81000B,00200,0300,HOME OFFICE COSTS 73341,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73341,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73341,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73341,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73341,A81000B,00700,0300,RELATED PARTY - PHARMACY 73341,A81000B,00800,0300,RELATED PARTY - PHARMACY 73341,A81000B,00900,0300,RELATED PARTY - PHARMACY 73341,A81000B,01000,0300,RELATED PARTY - PHARMACY 73341,A81000C,00100,0100,B 73341,A81000C,00100,0200,MFV I 73341,A81000C,00100,0400,MFA INC 73341,A81000C,00100,0600,HOME OFFICE 73341,A81000C,00200,0100,A 73341,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73341,A81000C,00200,0400,PHARMACY CARE PLUS 73341,A81000C,00200,0600,PHARMACY SERVICES 73341,A81000C,00300,0100,A 73341,A81000C,00300,0200,W HEYWOOD FRALIN 73341,A81000C,00300,0400,PHARMACY CARE PLUS 73341,A81000C,00300,0600,PHARMACY SERVICES 73341,B100000,00000,0100,00000SQUARE FEET 73341,B100000,00000,0200,00000SQUARE FEET 73341,B100000,00000,0300,00000GROSS SALARIES 73341,B100000,00000,0400,00000ACCUM. COST 73341,B100000,00000,0500,00000SQUARE FEET 73341,B100000,00000,0600,00000PATIENT DAYS 73341,B100000,00000,0700,00000SQUARE FEET 73341,B100000,00000,0800,00000MEALS 73341,B100000,00000,0900,00000SALARIES 73341,B100000,00000,1000,00000COSTED REQUIS. 73341,B100000,00000,1100,00000COSTED REQUIS. 73341,B100000,00000,1200,00000TIME SPENT 73341,B100000,00000,1300,00000TIME SPENT 73341,B100000,00000,1350,00000TIME SPENT 73341,B100000,00000,1400,00000ASSIGNED TIME 73341,E10A180,00301,0100,08/20/1999 73341,E10A180,00302,0100,08/26/1999 73341,E10A180,00303,0100,11/18/1999 73341,E10A180,00304,0100,02/10/2000 73341,E10A180,00501,0100,06/16/2000 73341,E10A180,00550,0300,06/16/2000 73341,S000000,00100,0200,05/31/2000 73341,S200000,00100,0100,688 KINGSBOROUGH SQUARE 73341,S200000,00200,0100,CHESAPEAKE 73341,S200000,00200,0200,VA 73341,S200000,00300,0100,CITY OF CHESAPEAKE 73341,S200000,00400,0100,CHESAPEAKE HEALTH CARE CENTER 73341,S200000,00400,0200,495108 73341,S200000,00400,0300,09/12/1977 73341,S200000,00400,0500,P 73341,S200000,01600,0100,Y 73341,S200000,02800,0100,Y 73343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73343,A000000,00300,0000,00300EMPLOYEE BENEFITS 73343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73343,A000000,00700,0000,00700HOUSEKEEPING 73343,A000000,00800,0000,00800DIETARY 73343,A000000,00900,0000,00900NURSING ADMINISTRATION 73343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73343,A000000,01100,0000,01100PHARMACY 73343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73343,A000000,01300,0000,01300SOCIAL SERVICE 73343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73343,A000000,01600,0000,01600SKILLED NURSING FACILITY 73343,A000000,01800,0000,01800NURSING FACILITY 73343,A000000,01810,0000,01810ICF/MR 73343,A000000,02100,0000,02100RADIOLOGY 73343,A000000,02200,0000,02200LABORATORY 73343,A000000,02300,0000,02300INTRAVENOUS THERAPY 73343,A000000,02500,0000,02500PHYSICAL THERAPY 73343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73343,A000000,02700,0000,02700SPEECH PATHOLOGY 73343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73343,A000000,03001,0000,03001SPECIALTY BEDS 73343,A000000,03002,0000,03002OTHER MEDICARE EXPENSE 73343,A000000,03550,0000,03550FQHC 73343,A000000,05000,0000,05000CORF 73343,A000000,05010,0000,05010CMHC 73343,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73343,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73343,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73343,A000000,05300,0000,05300INTEREST EXPENSE 73343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73343,A000000,06200,0000,06200PATIENTS LAUNDRY 73343,A81000A,00100,0100,Y 73343,A81000B,00100,0300,HOME OFFICE 73343,A81000B,00200,0300,PEN THERAPY 73343,A81000B,00300,0300,CONSULTING 73343,A81000C,00100,0100,B 73343,A81000C,00100,0200,CONV. CARE. INC 73343,A81000C,00100,0400,CONV. CARE INC. 73343,A81000C,00100,0600,HOME OFFICE 73343,A81000C,00200,0100,E 73343,A81000C,00200,0200,H.L. SEAL 73343,A81000C,00200,0400,TDS SERVICE 73343,A81000C,00200,0600,DURABLE MEDICAL 73343,A81000C,00300,0100,A 73343,A81000C,00300,0200,H.L. SEAL 73343,A81000C,00300,0400,SEALCARE 73343,A81000C,00300,0600,CONSULTING 73343,B100000,00000,0100,00000SQUARE FEET 73343,B100000,00000,0200,00000SQUARE FEET 73343,B100000,00000,0300,00000GROSS SALARIES 73343,B100000,00000,0400,00000ACCUM COST 73343,B100000,00000,0500,00000SQUARE FEET 73343,B100000,00000,0600,00000PATIENT DAYS 73343,B100000,00000,0700,00000SQUARE FEET 73343,B100000,00000,0800,00000PATIENT DAYS 73343,B100000,00000,0900,00000PATIENT DAYS 73343,B100000,00000,1000,00000COSTED REQUIS 73343,B100000,00000,1100,00000COSTED REQUIS 73343,B100000,00000,1200,00000PATIENT DAYS 73343,B100000,00000,1300,00000PATIENT DAYS 73343,B100000,00000,1400,00000ASSIGNED TIME 73343,E10A180,00501,0100,06/30/2000 73343,E10A180,00501,0300,06/30/2000 73343,S000000,00100,0200,05/19/2000 73343,S200000,00100,0100,831 E. ELLERSLIE AVENUE 73343,S200000,00200,0100,COLONIAL HEIGHTS 73343,S200000,00200,0200,VA 73343,S200000,00200,0300,23834 73343,S200000,00300,0100,CITY OF COLONIAL HEIGHTS 73343,S200000,00400,0100,COLONIAL HEIGHTS CONV. CENTER 73343,S200000,00400,0200,495115 73343,S200000,00400,0300,03/01/1979 73343,S200000,00400,0500,P 73347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73347,A000000,00300,0000,00300EMPLOYEE BENEFITS 73347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73347,A000000,00700,0000,00700HOUSEKEEPING 73347,A000000,00800,0000,00800DIETARY 73347,A000000,00900,0000,00900NURSING ADMINISTRATION 73347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73347,A000000,01100,0000,01100PHARMACY 73347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73347,A000000,01300,0000,01300SOCIAL SERVICE 73347,A000000,01350,0000,01500OTHER GENERAL SERVICES 73347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73347,A000000,01600,0000,01600SKILLED NURSING FACILITY 73347,A000000,01800,0000,01800NURSING FACILITY 73347,A000000,01810,0000,01810ICF/MR 73347,A000000,02100,0000,02100RADIOLOGY 73347,A000000,02200,0000,02200LABORATORY 73347,A000000,02300,0000,02300INTRAVENOUS THERAPY 73347,A000000,02500,0000,02500PHYSICAL THERAPY 73347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73347,A000000,02700,0000,02700SPEECH PATHOLOGY 73347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73347,A000000,03050,0000,03300AIR FLUID BED THERAPY 73347,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73347,A000000,03550,0000,03550FQHC 73347,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73347,A000000,04800,0000,04800AMBULANCE 73347,A000000,05000,0000,05000CORF 73347,A000000,05010,0000,05010CMHC 73347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73347,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73347,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73347,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73347,B100000,00000,0100,00000SQUARE FEET 73347,B100000,00000,0200,00000NO STATISTICS 73347,B100000,00000,0300,00000GROSS SALARIES 73347,B100000,00000,0400,00000ACCUM. COST 73347,B100000,00000,0500,00000SQUARE FEET 73347,B100000,00000,0600,00000POUNDS OF LAUNDRY 73347,B100000,00000,0700,00000SQUARE FEET 73347,B100000,00000,0800,00000MEALS SERVED 73347,B100000,00000,0900,00000DIRECT NRSING HRS 73347,B100000,00000,1000,00000PATIENT DAYS 73347,B100000,00000,1100,00000NO STATISTICS 73347,B100000,00000,1200,00000PATIENT DAYS 73347,B100000,00000,1300,00000PATIENT DAYS 73347,B100000,00000,1350,00000NO STATISTICS 73347,B100000,00000,1400,00000ASSIGNED TIME 73347,E10A180,00501,0100,06/27/2000 73347,E10A180,00501,0300,06/27/2000 73347,S000000,00100,0200,05/31/2000 73347,S200000,00100,0100,500 HATCHER STREET 73347,S200000,00200,0100,ROCKY MOUNT 73347,S200000,00200,0200,VA 73347,S200000,00200,0300,24151 73347,S200000,00300,0100,FRANKLIN 73347,S200000,00400,0100,ELDERCARE OF FRANKLIN COUNTY 73347,S200000,00400,0200,495118 73347,S200000,00400,0300,01/01/1980 73347,S200000,00400,0500,P 73347,S200000,01600,0100,Y 73352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73352,A000000,00300,0000,00300EMPLOYEE BENEFITS 73352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73352,A000000,00700,0000,00700HOUSEKEEPING 73352,A000000,00800,0000,00800DIETARY 73352,A000000,00900,0000,00900NURSING ADMINISTRATION 73352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73352,A000000,01100,0000,01100PHARMACY 73352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73352,A000000,01300,0000,01300SOCIAL SERVICE 73352,A000000,01350,0000,01500RECREATION/ACTIVITIES 73352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73352,A000000,01600,0000,01600SKILLED NURSING FACILITY 73352,A000000,01800,0000,01800NURSING FACILITY 73352,A000000,01810,0000,01810ICF/MR 73352,A000000,02100,0000,02100RADIOLOGY 73352,A000000,02200,0000,02200LABORATORY 73352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73352,A000000,02500,0000,02500PHYSICAL THERAPY 73352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73352,A000000,02700,0000,02700SPEECH PATHOLOGY 73352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73352,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73352,A000000,03200,0000,03200SUPPORT SURFACES 73352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73352,A000000,03550,0000,03550FQHC 73352,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73352,A000000,05000,0000,05000CORF 73352,A000000,05010,0000,05010CMHC 73352,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73352,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73352,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73352,A000000,05300,0000,05300INTEREST EXPENSE 73352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73352,A81000A,00100,0100,Y 73352,A81000B,00100,0300,HOME OFFICE COSTS 73352,A81000B,00200,0300,HOME OFFICE COSTS 73352,A81000B,00300,0300,HOME OFFICE COSTS-THERAPY 73352,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73352,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73352,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73352,A81000B,00700,0300,RELATED PARTY - PHARMACY 73352,A81000B,00800,0300,RELATED PARTY - PHARMACY 73352,A81000B,00900,0300,RELATED PARTY - PHARMACY 73352,A81000B,01000,0300,RELATED PARTY - PHARMACY 73352,A81000B,01100,0300,RELATED PARTY - PHARMACY 73352,A81000B,01200,0300,RELATED PARTY - PHARMACY 73352,A81000C,00100,0100,B 73352,A81000C,00100,0200,MFV I 73352,A81000C,00100,0400,MFA INC 73352,A81000C,00100,0600,HOME OFFICE 73352,A81000C,00200,0100,A 73352,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73352,A81000C,00200,0400,PHARMACY CARE PLUS 73352,A81000C,00200,0600,PHARMACY SERVICES 73352,A81000C,00300,0100,A 73352,A81000C,00300,0200,W HEYWOOD FRALIN 73352,A81000C,00300,0400,PHARMACY CARE PLUS 73352,A81000C,00300,0600,PHARMACY SERVICES 73352,B100000,00000,0100,00000SQUARE FEET 73352,B100000,00000,0200,00000SQUARE FEET 73352,B100000,00000,0300,00000GROSS SALARIES 73352,B100000,00000,0400,00000ACCUM. COST 73352,B100000,00000,0500,00000SQUARE FEET 73352,B100000,00000,0600,00000PATIENT DAYS 73352,B100000,00000,0700,00000SQUARE FEET 73352,B100000,00000,0800,00000MEALS SERVED 73352,B100000,00000,0900,00000TIME SPENT 73352,B100000,00000,1000,00000COSTED REQUIS. 73352,B100000,00000,1100,00000COSTED REQUIS. 73352,B100000,00000,1200,00000TIME SPENT 73352,B100000,00000,1300,00000TIME SPENT 73352,B100000,00000,1350,00000TIME SPENT 73352,B100000,00000,1400,00000ASSIGNED TIME 73352,E10A180,00301,0100,08/26/1999 73352,E10A180,00302,0100,11/23/1999 73352,E10A180,00350,0100,05/14/1999 73352,E10A180,00501,0100,06/16/2000 73352,E10A180,00550,0300,06/16/2000 73352,S000000,00100,0200,05/31/2000 73352,S200000,00100,0100,3710 LEE HIGHWAY 73352,S200000,00200,0100,ARLINGTON 73352,S200000,00200,0200,VA 73352,S200000,00300,0100,ARLINGTON 73352,S200000,00400,0100,CHERRYDALE HEALTH CARE CENTER 73352,S200000,00400,0200,495121 73352,S200000,00400,0300,03/05/1980 73352,S200000,00400,0500,P 73352,S200000,01600,0100,Y 73352,S200000,02800,0100,Y 73354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73354,A000000,00300,0000,00300EMPLOYEE BENEFITS 73354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73354,A000000,00700,0000,00700HOUSEKEEPING 73354,A000000,00800,0000,00800DIETARY 73354,A000000,00900,0000,00900NURSING ADMINISTRATION 73354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73354,A000000,01100,0000,01100PHARMACY 73354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73354,A000000,01300,0000,01300SOCIAL SERVICE 73354,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73354,A000000,01600,0000,01600SKILLED NURSING FACILITY 73354,A000000,01800,0000,01800NURSING FACILITY 73354,A000000,01810,0000,01810ICF/MR 73354,A000000,02100,0000,02100RADIOLOGY 73354,A000000,02200,0000,02200LABORATORY 73354,A000000,02300,0000,02300INTRAVENOUS THERAPY 73354,A000000,02500,0000,02500PHYSICAL THERAPY 73354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73354,A000000,02700,0000,02700SPEECH PATHOLOGY 73354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73354,A000000,03001,0000,03001SPECIALTY BEDS 73354,A000000,03002,0000,03002OTHER MEDICARE EXPENSE 73354,A000000,03550,0000,03550FQHC 73354,A000000,05000,0000,05000CORF 73354,A000000,05010,0000,05010CMHC 73354,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73354,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73354,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73354,A000000,05300,0000,05300INTEREST EXPENSE 73354,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73354,A000000,06200,0000,06200PATIENTS LAUNDRY 73354,A81000A,00100,0100,Y 73354,A81000B,00100,0300,HOME OFFICE COSTS 73354,A81000B,00200,0300,CONSULTING 73354,A81000B,00300,0300,PEN THERAPY 73354,A81000C,00100,0100,B 73354,A81000C,00100,0200,CONVAL. CARE 73354,A81000C,00100,0400,CONVAL. CARE 73354,A81000C,00100,0600,HOME OFFICE 73354,A81000C,00200,0100,A 73354,A81000C,00200,0200,H.L. SEAL 73354,A81000C,00200,0400,SEALCARE 73354,A81000C,00200,0600,CONSULTING 73354,A81000C,00300,0100,E 73354,A81000C,00300,0200,H.L. SEAL 73354,A81000C,00300,0400,TDS SERVICE 73354,A81000C,00300,0600,DURABLE MEDICAL 73354,B100000,00000,0100,00000SQUARE FEET 73354,B100000,00000,0200,00000SQUARE FEET 73354,B100000,00000,0300,00000GROSS SALARIES 73354,B100000,00000,0400,00000ACCUM COST 73354,B100000,00000,0500,00000SQUARE FEET 73354,B100000,00000,0600,00000PATIENT DAYS 73354,B100000,00000,0700,00000SQUARE FEET 73354,B100000,00000,0800,00000PATIENT DAYS 73354,B100000,00000,0900,00000PATIENT DAYS 73354,B100000,00000,1000,00000COSTED REQUIS 73354,B100000,00000,1100,00000COSTED REQUIS 73354,B100000,00000,1200,00000PATIENT DAYS 73354,B100000,00000,1300,00000PATIENT DAYS 73354,B100000,00000,1400,00000ASSIGNED TIME 73354,E10A180,00501,0100,06/30/2000 73354,S000000,00100,0200,05/19/2000 73354,S200000,00100,0100,905 COUSINS AVENUE 73354,S200000,00200,0100,HOPEWELL 73354,S200000,00200,0200,VA 73354,S200000,00200,0300,23860 73354,S200000,00300,0100,HOPEWELL 73354,S200000,00400,0100,HOPEWELL CONVALESCENT CENTER 73354,S200000,00400,0200,495123 73354,S200000,00400,0300,01/01/1981 73354,S200000,00400,0500,P 73359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73359,A000000,00300,0000,00300EMPLOYEE BENEFITS 73359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73359,A000000,00700,0000,00700HOUSEKEEPING 73359,A000000,00800,0000,00800DIETARY 73359,A000000,00900,0000,00900NURSING ADMINISTRATION 73359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73359,A000000,01100,0000,01100PHARMACY 73359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73359,A000000,01300,0000,01300SOCIAL SERVICE 73359,A000000,01350,0000,01500RECREATION/ACTIVITIES 73359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73359,A000000,01600,0000,01600SKILLED NURSING FACILITY 73359,A000000,01800,0000,01800NURSING FACILITY 73359,A000000,01810,0000,01810ICF/MR 73359,A000000,02100,0000,02100RADIOLOGY 73359,A000000,02200,0000,02200LABORATORY 73359,A000000,02201,0000,02201LABORATORY 73359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73359,A000000,02500,0000,02500PHYSICAL THERAPY 73359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73359,A000000,02700,0000,02700SPEECH PATHOLOGY 73359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73359,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73359,A000000,03200,0000,03200SUPPORT SURFACES 73359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73359,A000000,03550,0000,03550FQHC 73359,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73359,A000000,05000,0000,05000CORF 73359,A000000,05010,0000,05010CMHC 73359,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73359,A000000,05300,0000,05300INTEREST EXPENSE 73359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73359,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73359,A81000A,00100,0100,Y 73359,A81000B,00100,0300,HOME OFFICE COSTS 73359,A81000B,00200,0300,HOME OFFICE COSTS 73359,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73359,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73359,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73359,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73359,A81000B,00700,0300,RELATED PARTY - PHARMACY 73359,A81000B,00800,0300,RELATED PARTY - PHARMACY 73359,A81000B,00900,0300,RELATED PARTY - PHARMACY 73359,A81000B,01000,0300,RELATED PARTY - PHARMACY 73359,A81000B,01100,0300,RELATED PARTY - PHARMACY 73359,A81000B,01200,0300,RELATED PARTY - PHARMACY 73359,A81000C,00100,0100,B 73359,A81000C,00100,0200,MFV I 73359,A81000C,00100,0400,MFA INC 73359,A81000C,00100,0600,HOME OFFICE 73359,A81000C,00200,0100,A 73359,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73359,A81000C,00200,0400,PHARMACY CARE PLUS 73359,A81000C,00200,0600,PHARMACY SERVICES 73359,A81000C,00300,0100,A 73359,A81000C,00300,0200,W HEYWOOD FRALIN 73359,A81000C,00300,0400,PHARMACY CARE PLUS 73359,A81000C,00300,0600,PHARMACY SERVICES 73359,B100000,00000,0100,00000SQUARE FEET 73359,B100000,00000,0200,00000SQUARE FEET 73359,B100000,00000,0300,00000GROSS SALARIES 73359,B100000,00000,0400,00000ACCUM. COST 73359,B100000,00000,0500,00000SQUARE FEET 73359,B100000,00000,0600,00000PATIENT DAYS 73359,B100000,00000,0700,00000SQUARE FEET 73359,B100000,00000,0800,00000MEALS SERVED 73359,B100000,00000,0900,00000SALARIES 73359,B100000,00000,1000,00000COSTED REQUIS. 73359,B100000,00000,1100,00000COSTED REQUIS. 73359,B100000,00000,1200,00000TIME SPENT 73359,B100000,00000,1300,00000TIME SPENT 73359,B100000,00000,1350,00000TIME SPENT 73359,B100000,00000,1400,00000ASSIGNED TIME 73359,E10A180,00301,0100,08/26/1999 73359,E10A180,00302,0100,11/18/1999 73359,E10A180,00501,0100,06/19/2000 73359,E10A180,00550,0300,06/19/2000 73359,S000000,00100,0200,05/31/2000 73359,S200000,00100,0100,5373 RICHMOND ROAD 73359,S200000,00200,0100,WARSAW 73359,S200000,00200,0200,VA 73359,S200000,00300,0100,RICHMOND 73359,S200000,00400,0100,WARSAW HEALTH CARE CENTER 73359,S200000,00400,0200,495130 73359,S200000,00400,0300,08/23/1982 73359,S200000,00400,0500,P 73359,S200000,01600,0100,Y 73360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73360,A000000,00101,0000,00101CAP REL COSTS-RENOVATION 73360,A000000,00102,0000,00102CAP REL COSTS-ADDITIONS 73360,A000000,00103,0000,00103CAP REL COSTS-H.O. PLANT COST 73360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73360,A000000,00201,0000,00201CAP REL COSTS-INS TXS ECT. 73360,A000000,00202,0000,00202CAP REL COSTS-BOND INT. 73360,A000000,00203,0000,00203CAP REL COSTS-ADDITION 73360,A000000,00300,0000,00300EMPLOYEE BENEFITS 73360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73360,A000000,00700,0000,00700HOUSEKEEPING 73360,A000000,00800,0000,00800DIETARY 73360,A000000,00900,0000,00900NURSING ADMINISTRATION 73360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73360,A000000,01100,0000,01100PHARMACY 73360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73360,A000000,01300,0000,01300SOCIAL SERVICE 73360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73360,A000000,01600,0000,01600SKILLED NURSING FACILITY 73360,A000000,01800,0000,01800NURSING FACILITY 73360,A000000,01810,0000,01810ICF/MR 73360,A000000,02100,0000,02100RADIOLOGY 73360,A000000,02200,0000,02200LABORATORY 73360,A000000,02300,0000,02300INTRAVENOUS THERAPY 73360,A000000,02500,0000,02500PHYSICAL THERAPY 73360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73360,A000000,02700,0000,02700SPEECH PATHOLOGY 73360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73360,A000000,03001,0000,03001OTHER MEDICARE EXPENSE 73360,A000000,03550,0000,03550FQHC 73360,A000000,05000,0000,05000CORF 73360,A000000,05010,0000,05010CMHC 73360,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73360,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73360,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73360,A000000,05300,0000,05300INTEREST EXPENSE 73360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73360,A000000,06150,0000,06300HOME FOR ADULTS 73360,A000000,06200,0000,06200PATIENTS LAUNDRY 73360,A81000A,00100,0100,Y 73360,A81000B,00100,0300,HOME OFFICE 73360,A81000B,00200,0300,PEN THERAPY 73360,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 73360,A81000C,00100,0100,B 73360,A81000C,00100,0200,CONV. CARE INC. 73360,A81000C,00100,0400,CONV. CARE INC. 73360,A81000C,00100,0600,HOME OFFICE 73360,A81000C,00200,0100,E 73360,A81000C,00200,0200,H.L. SEAL 73360,A81000C,00200,0400,TDS SERVICE 73360,A81000C,00200,0600,DURABLE MEDICAL 73360,A81000C,00300,0100,A 73360,A81000C,00300,0200,H.L. SEAL 73360,A81000C,00300,0400,SEALCARE INC. 73360,A81000C,00300,0600,CONSULTING 73360,B100000,00000,0100,00000SQUARE FEET 73360,B100000,00000,0101,00000SQUARE FEET 73360,B100000,00000,0102,00000SQUARE FEET 73360,B100000,00000,0103,00000ROUTINE CHARGES 73360,B100000,00000,0200,00000ACTUAL DEPRECIATI 73360,B100000,00000,0201,00000SQUARE FEET 73360,B100000,00000,0202,00000BOND COST 73360,B100000,00000,0203,00000SQUARE FEET 73360,B100000,00000,0300,00000GROSS SALARIES 73360,B100000,00000,0400,00000ACCUM COST 73360,B100000,00000,0500,00000SQUARE FEET 73360,B100000,00000,0600,00000PERCENT PEUSAGE S 73360,B100000,00000,0700,00000TIME STUDY 73360,B100000,00000,0800,00000PATIENT DAYS 73360,B100000,00000,0900,00000PATIENT DAYS 73360,B100000,00000,1000,00000COSTED REQUIS 73360,B100000,00000,1100,00000COSTED REQUIS 73360,B100000,00000,1200,00000PATIENT DAYS 73360,B100000,00000,1300,00000PATIENT DAYS 73360,B100000,00000,1400,00000ASSIGNED TIME 73360,S000000,00100,0200,05/19/2000 73360,S200000,00100,0100,940 E. LEE HIGHWAY 73360,S200000,00100,0300,746 73360,S200000,00200,0100,CHILHOWIE 73360,S200000,00200,0200,VA 73360,S200000,00200,0300,24319 73360,S200000,00300,0100,SYMTHE 73360,S200000,00400,0100,VALLEY HEALTH CARE CENTER 73360,S200000,00400,0200,495133 73360,S200000,00400,0300,11/11/1982 73360,S200000,00400,0500,P 73363,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73363,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73363,A000000,00300,0000,00300EMPLOYEE BENEFITS 73363,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73363,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73363,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73363,A000000,00700,0000,00700HOUSEKEEPING 73363,A000000,00800,0000,00800DIETARY 73363,A000000,00900,0000,00900NURSING ADMINISTRATION 73363,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73363,A000000,01100,0000,01100PHARMACY 73363,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73363,A000000,01300,0000,01300SOCIAL SERVICE 73363,A000000,01350,0000,01500OTHER GENERAL SERVICES 73363,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73363,A000000,01600,0000,01600SKILLED NURSING FACILITY 73363,A000000,01800,0000,01800NURSING FACILITY 73363,A000000,01810,0000,01810ICF/MR 73363,A000000,02200,0000,02200LABORATORY 73363,A000000,02500,0000,02500PHYSICAL THERAPY 73363,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73363,A000000,02700,0000,02700SPEECH PATHOLOGY 73363,A000000,02800,0000,02800ELECTROCARDIOLOGY 73363,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73363,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73363,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73363,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73363,A000000,03550,0000,03550FQHC 73363,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73363,A000000,05000,0000,05000CORF 73363,A000000,05010,0000,05010CMHC 73363,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73363,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73363,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73363,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73363,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73363,A81000A,00100,0100,Y 73363,A81000B,00100,0300,CONTRACTED LABOR 73363,A81000B,00200,0300,CONTRACTED LABOR 73363,A81000B,00300,0300,CONTRACTED LABOR 73363,A81000B,00400,0300,CONTRACTED LABOR 73363,A81000B,00500,0300,CONTRACTED LABOR 73363,A81000B,00600,0300,CONTRACTED LABOR 73363,A81000B,00700,0300,CONTRACTED LABOR 73363,A81000B,00800,0300,CONTRACTED LABOR 73363,A81000B,00900,0300,PT CONTRACT LABOR CO 73363,A81000B,01000,0300,OT CONTRACT LABOR CO 73363,A81000B,01100,0300,ST CONTRACT LABOR CO 73363,A81000C,00100,0100,G 73363,B100000,00000,0100,00000SQUARE FEET 73363,B100000,00000,0200,00000SQUARE FEET 73363,B100000,00000,0300,00000GROSS SALARIES 73363,B100000,00000,0400,00000ACCUM. COST 73363,B100000,00000,0500,00000SQUARE FEET 73363,B100000,00000,0600,00000PATIENT DAYS 73363,B100000,00000,0700,00000PATIENT DAYS 73363,B100000,00000,0800,00000PATIENT DAYS 73363,B100000,00000,0900,00000PATIENT DAYS 73363,B100000,00000,1000,00000PATIENT DAYS 73363,B100000,00000,1100,00000COSTED REQUIS. 73363,B100000,00000,1200,00000PATIENT DAYS 73363,B100000,00000,1300,00000PATIENT DAYS 73363,B100000,00000,1350,00000NO STATISTICS 73363,B100000,00000,1400,00000ASSIGNED TIME 73363,S000000,00100,0200,05/31/2000 73363,S200000,00100,0100,380 MILLWOOD AVENUE 73363,S200000,00200,0100,WINCHESTER 73363,S200000,00200,0200,VA 73363,S200000,00200,0300,22601 73363,S200000,00300,0100,FREDERICK 73363,S200000,00400,0100,SHAWNEE SPRINGS HEALTH & REHAB 73363,S200000,00400,0200,495142 73363,S200000,00400,0300,09/01/1984 73363,S200000,00400,0500,P 73363,S200000,00600,0200,495142 73363,S200000,00600,0300,09/01/1984 73369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73369,A000000,00300,0000,00300EMPLOYEE BENEFITS 73369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73369,A000000,00700,0000,00700HOUSEKEEPING 73369,A000000,00800,0000,00800DIETARY 73369,A000000,00900,0000,00900NURSING ADMINISTRATION 73369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73369,A000000,01100,0000,01100PHARMACY 73369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73369,A000000,01300,0000,01300SOCIAL SERVICE 73369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73369,A000000,01600,0000,01600SKILLED NURSING FACILITY 73369,A000000,01810,0000,01810ICF/MR 73369,A000000,02500,0000,02500PHYSICAL THERAPY 73369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73369,A000000,02700,0000,02700SPEECH PATHOLOGY 73369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73369,A000000,03550,0000,03550FQHC 73369,A000000,05000,0000,05000CORF 73369,A000000,05010,0000,05010CMHC 73369,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73369,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73369,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73369,A000000,06150,0000,06300INDEPENDENT LIVING 73369,A000000,06151,0000,06310ASSISTED LIVING 73369,B100000,00000,0100,00010SQUARE FEET 73369,B100000,00000,0200,00010SQUARE FEET 73369,B100000,00000,0300,00010GROSS SALARIES 73369,B100000,00000,0400,00010ACCUM COST 73369,B100000,00000,0500,00010SQUARE FEET 73369,B100000,00000,0600,00010POUNDS OF LAUNDRY 73369,B100000,00000,0700,00010HOURS OF SERVICE 73369,B100000,00000,0800,00010MEALS SERVED 73369,B100000,00000,0900,00010DIRECT NRSG HRS 73369,B100000,00000,1000,00010COSTED REQUIS 73369,B100000,00000,1100,00010COSTED REQUIS 73369,B100000,00000,1200,00010TIME SPENT 73369,B100000,00000,1300,00010TIME SPENT 73369,B100000,00000,1400,00010ASSIGNED TIME 73369,E10A180,00501,0300,09/22/2000 73369,E10A180,00550,0100,09/22/2000 73369,S000000,00100,0200,08/31/2000 73369,S200000,00100,0100,132 LANCASTER DRIVE 73369,S200000,00200,0100,IRVINGTON 73369,S200000,00200,0200,VA 73369,S200000,00200,0300,22480 73369,S200000,00300,0100,LANCASTER 73369,S200000,00400,0100,RAPPAHANNOCK WESTMINSTER CANTERBURY 73369,S200000,00400,0200,495160 73369,S200000,00400,0300,11/25/1985 73369,S200000,00400,0500,P 73369,S200000,01500,0100,Y 73369,S200000,02800,0100,Y 73372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73372,A000000,00300,0000,00300EMPLOYEE BENEFITS 73372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73372,A000000,00700,0000,00700HOUSEKEEPING 73372,A000000,00800,0000,00800DIETARY 73372,A000000,00900,0000,00900NURSING ADMINISTRATION 73372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73372,A000000,01100,0000,01100PHARMACY 73372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73372,A000000,01300,0000,01300SOCIAL SERVICE 73372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73372,A000000,01600,0000,01600SKILLED NURSING FACILITY 73372,A000000,01800,0000,01800NURSING FACILITY 73372,A000000,01810,0000,01810ICF/MR 73372,A000000,01900,0000,01900OTHER LONG TERM CARE 73372,A000000,02100,0000,02100RADIOLOGY 73372,A000000,02200,0000,02200LABORATORY 73372,A000000,02500,0000,02500PHYSICAL THERAPY 73372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73372,A000000,02700,0000,02700SPEECH PATHOLOGY 73372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73372,A000000,03550,0000,03550FQHC 73372,A000000,05000,0000,05000CORF 73372,A000000,05010,0000,05010CMHC 73372,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73372,A000000,05300,0000,05300INTEREST EXPENSE 73372,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73372,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73372,A81000A,00100,0100,Y 73372,A81000B,00100,0300,DRUGS 73372,A81000C,00100,0100,E 73372,A81000C,00100,0200,MARVIN OGBURN 73372,A81000C,00100,0400,GOODWIN HOUSE 73372,A81000C,00100,0600,NON PROFIT LIFE 73372,B100000,00000,0100,00000SQUARE FEET 73372,B100000,00000,0200,00000DOLLAR VALUE 73372,B100000,00000,0300,00000GROSS SALARIES 73372,B100000,00000,0400,00000ACCUM. COST 73372,B100000,00000,0500,00000SQUARE FEET 73372,B100000,00000,0600,00000POUNDS OF LAUNDRY 73372,B100000,00000,0700,00000HOURS OF SERVICE 73372,B100000,00000,0800,00000MEALS SERVED 73372,B100000,00000,0900,00000DIRECT NRSING HRS 73372,B100000,00000,1000,00000COSTED REQUIS 73372,B100000,00000,1100,00000COSTED REQUIS. 73372,B100000,00000,1200,00000PATIENT DAYS 73372,B100000,00000,1300,00000PATIENT DAYS 73372,B100000,00000,1400,00000ASSIGNED TIME 73372,E10A180,00501,0100,04/17/2000 73372,E10A180,00501,0300,04/17/2000 73372,E10A180,00502,0100,09/10/2001 73372,S000000,00100,0200,02/29/2000 73372,S200000,00100,0100,3440 SOUTH JEFFERSON STREET 73372,S200000,00200,0100,FALLS CHURCH 73372,S200000,00200,0200,VA 73372,S200000,00300,0100,FAIRFAX 73372,S200000,00400,0100,GOODWIN HOUSE WEST 73372,S200000,00400,0200,495171 73372,S200000,00400,0300,11/04/1987 73372,S200000,00400,0500,P 73372,S200000,00600,0200,495171 73372,S200000,00600,0300,11/04/1987 73372,S200000,00600,0600,P 73372,S200000,01700,0100,Y 73372,S200000,01900,0100,NON PROFIT 73377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73377,A000000,00300,0000,00300EMPLOYEE BENEFITS 73377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73377,A000000,00700,0000,00700HOUSEKEEPING 73377,A000000,00800,0000,00800DIETARY 73377,A000000,00900,0000,00900NURSING ADMINISTRATION 73377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73377,A000000,01100,0000,01100PHARMACY 73377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73377,A000000,01300,0000,01300SOCIAL SERVICE 73377,A000000,01350,0000,01500UTILITIES 73377,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73377,A000000,01600,0000,01600SKILLED NURSING FACILITY 73377,A000000,01800,0000,01800NURSING FACILITY 73377,A000000,01900,0000,01900OTHER LONG TERM CARE 73377,A000000,02100,0000,02100RADIOLOGY 73377,A000000,02200,0000,02200LABORATORY 73377,A000000,02500,0000,02500PHYSICAL THERAPY 73377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73377,A000000,02700,0000,02700SPEECH PATHOLOGY 73377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73377,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73377,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73377,A000000,03550,0000,03550FQHC 73377,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73377,A000000,05000,0000,05000CORF 73377,A000000,05010,0000,05010CMHC 73377,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73377,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73377,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73377,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73377,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73377,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73377,B100000,00000,0100,00000SQUARE FEET 73377,B100000,00000,0200,00000SQUARE FEET 73377,B100000,00000,0300,00000GROSS SALARIES 73377,B100000,00000,0400,00000ACCUM. COST 73377,B100000,00000,0500,00000SQUARE FEET 73377,B100000,00000,0600,00000PATIENT DAYS 73377,B100000,00000,0700,00000SQUARE FEET 73377,B100000,00000,0800,00000MEALS SERVED 73377,B100000,00000,0900,00000DIRECT NRSING HRS 73377,B100000,00000,1000,00000COSTED REQUIS. 73377,B100000,00000,1100,00000COSTED REQUIS. 73377,B100000,00000,1200,00000TIME SPENT 73377,B100000,00000,1300,00000TIME SPENT 73377,B100000,00000,1350,00000SQUARE FOOTAGE 73377,B100000,00000,1400,00000ASSIGNED TIME 73377,E10A180,00350,0100,03/12/2002 73377,E10A180,00501,0300,03/13/2001 73377,S000000,00100,0200,01/15/2001 73377,S200000,00100,0100,14311 BRANDERMILL WOODS TRAIL 73377,S200000,00200,0100,MIDLOTHIAN 73377,S200000,00200,0200,VA 73377,S200000,00200,0300,23122 73377,S200000,00300,0100,C 73377,S200000,00400,0100,BRANDERMILL WOODS HEALTH CARE CTR 73377,S200000,00400,0200,495183 73377,S200000,00400,0300,11/02/1988 73377,S200000,00400,0500,P 73377,S200000,01600,0100,Y 73380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73380,A000000,00300,0000,00300EMPLOYEE BENEFITS 73380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73380,A000000,00700,0000,00700HOUSEKEEPING 73380,A000000,00800,0000,00800DIETARY 73380,A000000,00900,0000,00900NURSING ADMINISTRATION 73380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73380,A000000,01100,0000,01100PHARMACY 73380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73380,A000000,01300,0000,01300SOCIAL SERVICE 73380,A000000,01350,0000,01500RECREATION/ACTIVITIES 73380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73380,A000000,01600,0000,01600SKILLED NURSING FACILITY 73380,A000000,01800,0000,01800NURSING FACILITY 73380,A000000,01810,0000,01810ICF/MR 73380,A000000,02100,0000,02100RADIOLOGY 73380,A000000,02200,0000,02200LABORATORY 73380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73380,A000000,02500,0000,02500PHYSICAL THERAPY 73380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73380,A000000,02700,0000,02700SPEECH PATHOLOGY 73380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73380,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73380,A000000,03200,0000,03200SUPPORT SURFACES 73380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73380,A000000,03550,0000,03550FQHC 73380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73380,A000000,05000,0000,05000CORF 73380,A000000,05010,0000,05010CMHC 73380,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73380,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73380,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73380,A000000,05300,0000,05300INTEREST EXPENSE 73380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73380,A81000A,00100,0100,Y 73380,A81000B,00100,0300,HOME OFFICE COSTS 73380,A81000B,00200,0300,HOME OFFICE COSTS 73380,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73380,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73380,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73380,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73380,A81000B,00700,0300,RELATED PARTY - PHARMACY 73380,A81000B,00800,0300,RELATED PARTY - PHARMACY 73380,A81000B,00900,0300,RELATED PARTY - PHARMACY 73380,A81000B,01000,0300,RELATED PARTY - PHARMACY 73380,A81000B,01100,0300,RELATED PARTY - PHARMACY 73380,A81000B,01200,0300,RELATED PARTY - PHARMACY 73380,A81000C,00100,0100,B 73380,A81000C,00100,0200,MFV II 73380,A81000C,00100,0400,MFA INC 73380,A81000C,00100,0600,HOME OFFICE 73380,A81000C,00200,0100,A 73380,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73380,A81000C,00200,0400,PHARMACY CARE PLUS 73380,A81000C,00200,0600,PHARMACY SERVICES 73380,A81000C,00300,0100,A 73380,A81000C,00300,0200,W HEYWOOD FRALIN 73380,A81000C,00300,0400,PHARMACY CARE PLUS 73380,A81000C,00300,0600,PHARMACY SERVICES 73380,B100000,00000,0100,00000SQUARE FEET 73380,B100000,00000,0200,00000SQUARE FEET 73380,B100000,00000,0300,00000GROSS SALARIES 73380,B100000,00000,0400,00000ACCUM. COST 73380,B100000,00000,0500,00000SQUARE FEET 73380,B100000,00000,0600,00000PATIENT DAYS 73380,B100000,00000,0700,00000SQUARE FEET 73380,B100000,00000,0800,00000MEALS SERVED 73380,B100000,00000,0900,00000SALARIES 73380,B100000,00000,1000,00000COSTED REQUIS. 73380,B100000,00000,1100,00000COSTED REQUIS. 73380,B100000,00000,1200,00000TIME SPENT 73380,B100000,00000,1300,00000TIME SPENT 73380,B100000,00000,1350,00000TIME SPENT 73380,B100000,00000,1400,00000ASSIGNED TIME 73380,E10A180,00301,0100,05/20/1999 73380,E10A180,00302,0100,11/18/1999 73380,E10A180,00303,0100,02/10/2000 73380,E10A180,00501,0100,06/15/2000 73380,E10A180,00550,0300,06/15/2000 73380,S000000,00100,0200,05/31/2000 73380,S200000,00100,0100,456 EAST MAIN STREET 73380,S200000,00100,0300,641 73380,S200000,00200,0100,WAVERLY 73380,S200000,00200,0200,VA 73380,S200000,00300,0100,SUSSEX 73380,S200000,00400,0100,WAVERLY HEALTH CARE CENTER 73380,S200000,00400,0200,495185 73380,S200000,00400,0300,11/10/1988 73380,S200000,00400,0500,P 73380,S200000,01600,0100,Y 73382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73382,A000000,00300,0000,00300EMPLOYEE BENEFITS 73382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73382,A000000,00700,0000,00700HOUSEKEEPING 73382,A000000,00800,0000,00800DIETARY 73382,A000000,00900,0000,00900NURSING ADMINISTRATION 73382,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73382,A000000,01100,0000,01100PHARMACY 73382,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73382,A000000,01300,0000,01300SOCIAL SERVICE 73382,A000000,01350,0000,01500ACTIVITIES 73382,A000000,01351,0000,01501EDUCATION & TRAINING 73382,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73382,A000000,01600,0000,01600SKILLED NURSING FACILITY 73382,A000000,01810,0000,01810ICF/MR 73382,A000000,02200,0000,02200LABORATORY 73382,A000000,02300,0000,02300INTRAVENOUS THERAPY 73382,A000000,02500,0000,02500PHYSICAL THERAPY 73382,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73382,A000000,02700,0000,02700SPEECH PATHOLOGY 73382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73382,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73382,A000000,03051,0000,03301KINECTIC THERAPY 73382,A000000,03052,0000,03302TUBE FEEDING / PEN THERAPY 73382,A000000,03053,0000,03303COLOSTOMY / UROLOGICALS 73382,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73382,A000000,03550,0000,03550FQHC 73382,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73382,A000000,05000,0000,05000CORF 73382,A000000,05010,0000,05010CMHC 73382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73382,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73382,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73382,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73382,A000000,06001,0000,06001DENTAL OFFICE SERVICES 73382,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73382,A000000,06151,0000,06301SANDS FOOD SERVICES 73382,A000000,06152,0000,06302DEVELOPMENT 73382,A000000,06153,0000,06303RELIGIOUS PROGRAM SERVICES 73382,B100000,00000,0100,00003SQUARE FEET 73382,B100000,00000,0200,00003SQUARE FEET 73382,B100000,00000,0300,00003GROSS SALARIES 73382,B100000,00000,0400,00003ACCUM. COST 73382,B100000,00000,0500,00003SQUARE FEET 73382,B100000,00000,0600,00003PATIENT DAYS 73382,B100000,00000,0700,00003SQUARE FEET 73382,B100000,00000,0800,00003MEALS SERVED 73382,B100000,00000,0900,00003PATIENT DAYS 73382,B100000,00000,1000,00003COSTED REQUIS. 73382,B100000,00000,1100,00003COSTED REQUIS. 73382,B100000,00000,1200,00003GROSS PAT. C 73382,B100000,00000,1300,00003PATIENT DAYS 73382,B100000,00000,1350,00003PATIENT DAYS 73382,B100000,00000,1351,00003PATIENT DAYS 73382,B100000,00000,1400,00003ASSIGNED TIME 73382,S000000,00100,0200,01/10/2001 73382,S200000,00100,0100,6401 AUBURN DRIVE 73382,S200000,00200,0100,VIRGINIA BEACH 73382,S200000,00200,0200,VA 73382,S200000,00200,0300,23464 73382,S200000,00300,0100,C 73382,S200000,00400,0100,BETH SHOLOM HOME OF EASTERN 73382,S200000,00400,0200,495186 73382,S200000,00400,0300,01/20/1989 73382,S200000,00400,0500,P 73382,S200000,01500,0100,Y 73382,S200000,02200,0100,Y 73385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73385,A000000,00300,0000,00300EMPLOYEE BENEFITS 73385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73385,A000000,00700,0000,00700HOUSEKEEPING 73385,A000000,00800,0000,00800DIETARY 73385,A000000,00900,0000,00900NURSING ADMINISTRATION 73385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73385,A000000,01100,0000,01100PHARMACY 73385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73385,A000000,01300,0000,01300SOCIAL SERVICE 73385,A000000,01350,0000,01500OTHER GENERAL SERVICES 73385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73385,A000000,01600,0000,01600SKILLED NURSING FACILITY 73385,A000000,01800,0000,01800NURSING FACILITY 73385,A000000,01810,0000,01810ICF/MR 73385,A000000,02200,0000,02200LABORATORY 73385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73385,A000000,02500,0000,02500PHYSICAL THERAPY 73385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73385,A000000,02700,0000,02700SPEECH PATHOLOGY 73385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73385,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73385,A000000,03550,0000,03550FQHC 73385,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73385,A000000,05000,0000,05000CORF 73385,A000000,05010,0000,05010CMHC 73385,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73385,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73385,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73385,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73385,B100000,00000,0100,00000SQUARE FEET 73385,B100000,00000,0200,00000SQUARE FEET 73385,B100000,00000,0300,00000GROSS SALARIES 73385,B100000,00000,0400,00000ACCUM. COST 73385,B100000,00000,0500,00000SQUARE FEET 73385,B100000,00000,0600,00000POUNDS OF LAUNDRY 73385,B100000,00000,0700,00000SQUARE FEET 73385,B100000,00000,0800,00000MEALS SERVED 73385,B100000,00000,0900,00000DIRECT NRSING HRS 73385,B100000,00000,1000,00000COSTED REQUIS 73385,B100000,00000,1100,00000COSTED REQUIS 73385,B100000,00000,1200,00000TIME SPENT 73385,B100000,00000,1300,00000TIME SPENT 73385,B100000,00000,1350,00000NO STATISTICS 73385,B100000,00000,1400,00000ASSIGNED TIME 73385,E10A180,00501,0100,06/19/2001 73385,E10A180,00550,0300,06/19/2000 73385,S000000,00100,0200,05/31/2000 73385,S200000,00100,0100,222 FULCHER STREET 73385,S200000,00200,0100,HILLSVILLE 73385,S200000,00200,0200,VA 73385,S200000,00200,0300,24343 73385,S200000,00300,0100,CARROLL 73385,S200000,00400,0100,ELDERCARE OF HILLSVILLE 73385,S200000,00400,0200,495187 73385,S200000,00400,0300,03/09/1989 73385,S200000,00400,0500,P 73385,S200000,01600,0100,Y 73386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73386,A000000,00300,0000,00300EMPLOYEE BENEFITS 73386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73386,A000000,00700,0000,00700HOUSEKEEPING 73386,A000000,00800,0000,00800DIETARY 73386,A000000,00900,0000,00900NURSING ADMINISTRATION 73386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73386,A000000,01100,0000,01100PHARMACY 73386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73386,A000000,01300,0000,01300SOCIAL SERVICE 73386,A000000,01350,0000,01500RECREATION/ACTIVITIES 73386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73386,A000000,01600,0000,01600SKILLED NURSING FACILITY 73386,A000000,01800,0000,01800NURSING FACILITY 73386,A000000,01810,0000,01810ICF/MR 73386,A000000,02100,0000,02100RADIOLOGY 73386,A000000,02200,0000,02200LABORATORY 73386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73386,A000000,02500,0000,02500PHYSICAL THERAPY 73386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73386,A000000,02700,0000,02700SPEECH PATHOLOGY 73386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73386,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73386,A000000,03200,0000,03200SUPPORT SURFACES 73386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73386,A000000,03550,0000,03550FQHC 73386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73386,A000000,05000,0000,05000CORF 73386,A000000,05010,0000,05010CMHC 73386,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73386,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73386,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73386,A000000,05300,0000,05300INTEREST EXPENSE 73386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73386,A81000A,00100,0100,Y 73386,A81000B,00100,0300,HOME OFFICE COSTS 73386,A81000B,00200,0300,HOME OFFICE COSTS 73386,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73386,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73386,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73386,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73386,A81000B,00700,0300,RELATED PARTY-PHARMACY 73386,A81000B,00800,0300,RELATED PARTY - PHARMACY 73386,A81000B,00900,0300,RELATED PARTY - PHARMACY 73386,A81000B,01000,0300,RELATED PARTY - PHARMACY 73386,A81000B,01100,0300,RELATED PARTY - PHARMACY 73386,A81000C,00100,0100,B 73386,A81000C,00100,0200,MFV II 73386,A81000C,00100,0400,MFA INC 73386,A81000C,00100,0600,HOME OFFICE 73386,A81000C,00200,0100,A 73386,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73386,A81000C,00200,0400,PHARMACY CARE PLUS 73386,A81000C,00200,0600,PHARMACY SERVICES 73386,A81000C,00300,0100,A 73386,A81000C,00300,0200,W HEYWOOD FRALIN 73386,A81000C,00300,0400,PHARMACY CARE PLUS 73386,A81000C,00300,0600,PHARMACY SERVICES 73386,B100000,00000,0100,00000SQUARE FEET 73386,B100000,00000,0200,00000SQUARE FEET 73386,B100000,00000,0300,00000GROSS SALARIES 73386,B100000,00000,0400,00000ACCUM. COST 73386,B100000,00000,0500,00000SQUARE FEET 73386,B100000,00000,0600,00000PATIENT DAYS 73386,B100000,00000,0700,00000SQUARE FEET 73386,B100000,00000,0800,00000MEALS SERVED 73386,B100000,00000,0900,00000SALARIES 73386,B100000,00000,1000,00000COSTED REQUIS. 73386,B100000,00000,1100,00000COSTED REQUIS. 73386,B100000,00000,1200,00000PATIENT DAYS 73386,B100000,00000,1300,00000TIME SPENT 73386,B100000,00000,1350,00000TIME SPENT 73386,B100000,00000,1400,00000ASSIGNED TIME 73386,E10A180,00301,0100,07/29/1999 73386,E10A180,00501,0100,06/19/2000 73386,E10A180,00550,0300,06/19/2000 73386,S000000,00100,0200,05/31/2000 73386,S200000,00100,0100,112 NORTH CONSTITUTION DRIVE 73386,S200000,00200,0100,YORKTOWN 73386,S200000,00200,0200,VA 73386,S200000,00300,0100,YORK 73386,S200000,00400,0100,REGENCY HEALTH CARE CENTER 73386,S200000,00400,0200,495189 73386,S200000,00400,0300,05/02/1989 73386,S200000,00400,0500,P 73386,S200000,01600,0100,Y 73388,S000000,00100,0200,10/16/2000 73389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73389,A000000,00300,0000,00300EMPLOYEE BENEFITS 73389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73389,A000000,00700,0000,00700HOUSEKEEPING 73389,A000000,00800,0000,00800DIETARY 73389,A000000,00900,0000,00900NURSING ADMINISTRATION 73389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73389,A000000,01100,0000,01100PHARMACY 73389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73389,A000000,01300,0000,01300SOCIAL SERVICE 73389,A000000,01350,0000,01500RECREATION/ACTIVITIES 73389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73389,A000000,01600,0000,01600SKILLED NURSING FACILITY 73389,A000000,01800,0000,01800NURSING FACILITY 73389,A000000,01810,0000,01810ICF/MR 73389,A000000,02100,0000,02100RADIOLOGY 73389,A000000,02200,0000,02200LABORATORY 73389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73389,A000000,02500,0000,02500PHYSICAL THERAPY 73389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73389,A000000,02700,0000,02700SPEECH PATHOLOGY 73389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73389,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73389,A000000,03200,0000,03200SUPPORT SURFACES 73389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73389,A000000,03550,0000,03550FQHC 73389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73389,A000000,05000,0000,05000CORF 73389,A000000,05010,0000,05010CMHC 73389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73389,A000000,05300,0000,05300INTEREST EXPENSE 73389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73389,A81000A,00100,0100,Y 73389,A81000B,00100,0300,HOME OFFICE COSTS 73389,A81000B,00200,0300,HOME OFFICE COSTS 73389,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73389,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73389,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73389,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73389,A81000B,00700,0300,RELATED PARTY - PHARMACY 73389,A81000B,00800,0300,RELATED PARTY - PHARMACY 73389,A81000B,00900,0300,RELATED PARTY - PHARMACY 73389,A81000B,01000,0300,RELATED PARTY - PHARMACY 73389,A81000B,01100,0300,RELATED PARTY - PHARMACY 73389,A81000B,01200,0300,RELATED PARTY - PHARMACY 73389,A81000C,00100,0100,B 73389,A81000C,00100,0200,MFV II 73389,A81000C,00100,0400,MFA INC 73389,A81000C,00100,0600,HOME OFFICE 73389,A81000C,00200,0100,A 73389,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73389,A81000C,00200,0400,PHARMACY CARE PLUS 73389,A81000C,00200,0600,PHARMACY SERVICES 73389,A81000C,00300,0100,A 73389,A81000C,00300,0200,W HEYWOOD FRALIN 73389,A81000C,00300,0400,PHARMACY CARE PLUS 73389,A81000C,00300,0600,PHARMACY SERVICES 73389,B100000,00000,0100,00000SQUARE FEET 73389,B100000,00000,0200,00000SQUARE FEET 73389,B100000,00000,0300,00000GROSS SALARIES 73389,B100000,00000,0400,00000ACCUM. COST 73389,B100000,00000,0500,00000SQUARE FEET 73389,B100000,00000,0600,00000PATIENT DAYS 73389,B100000,00000,0700,00000SQUARE FEET 73389,B100000,00000,0800,00000MEALS SERVED 73389,B100000,00000,0900,00000SALARIES 73389,B100000,00000,1000,00000COSTED REQUIS. 73389,B100000,00000,1100,00000COSTED REQUIS. 73389,B100000,00000,1200,00000TIME SPENT 73389,B100000,00000,1300,00000TIME SPENT 73389,B100000,00000,1350,00000TIME SPENT 73389,B100000,00000,1400,00000ASSIGNED TIME 73389,E10A180,00301,0100,05/20/1999 73389,E10A180,00302,0100,08/26/1999 73389,E10A180,00303,0100,02/10/1999 73389,E10A180,00501,0300,06/15/2000 73389,E10A180,00550,0100,06/15/2000 73389,S000000,00100,0200,05/31/2000 73389,S200000,00100,0100,561 NORTH AIRPORT DRIVE 73389,S200000,00200,0100,HIGHLAND SPRINGS 73389,S200000,00200,0200,VA 73389,S200000,00300,0100,HENRICO 73389,S200000,00400,0100,HENRICO HEALTH CARE CENTER 73389,S200000,00400,0200,495193 73389,S200000,00400,0300,07/01/1989 73389,S200000,00400,0500,P 73389,S200000,01600,0100,Y 73394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73394,A000000,00300,0000,00300EMPLOYEE BENEFITS 73394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73394,A000000,00700,0000,00700HOUSEKEEPING 73394,A000000,00800,0000,00800DIETARY 73394,A000000,00900,0000,00900NURSING ADMINISTRATION 73394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73394,A000000,01100,0000,01100PHARMACY 73394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73394,A000000,01300,0000,01300SOCIAL SERVICE 73394,A000000,01350,0000,01500RECREATION/ACTIVITIES 73394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73394,A000000,01600,0000,01600SKILLED NURSING FACILITY 73394,A000000,01800,0000,01800NURSING FACILITY 73394,A000000,01810,0000,01810ICF/MR 73394,A000000,02200,0000,02200LABORATORY 73394,A000000,02500,0000,02500PHYSICAL THERAPY 73394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73394,A000000,02700,0000,02700SPEECH PATHOLOGY 73394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73394,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73394,A000000,03200,0000,03200SUPPORT SURFACES 73394,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73394,A000000,03550,0000,03550FQHC 73394,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73394,A000000,05000,0000,05000CORF 73394,A000000,05010,0000,05010CMHC 73394,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73394,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73394,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73394,A000000,05300,0000,05300INTEREST EXPENSE 73394,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73394,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73394,A81000A,00100,0100,Y 73394,A81000B,00100,0300,HOME OFFICE COSTS 73394,A81000B,00200,0300,HOME OFFICE COSTS 73394,A81000B,00300,0300,HOME OFFICE COSTS-THERAPY 73394,A81000B,00400,0300,HOME OFFICE COSTS-THERAPY 73394,A81000B,00500,0300,HOME OFFICE COSTS-THERAPY 73394,A81000B,00600,0300,RELATED PARTY - PHARMACY 73394,A81000B,00700,0300,RELATED PARTY - PHARMACY 73394,A81000B,00800,0300,RELATED PARTY - PHARMACY 73394,A81000B,00900,0300,RELATED PARTY - PHARMACY 73394,A81000B,01000,0300,RELATED PARTY - PHARMACY 73394,A81000C,00100,0100,B 73394,A81000C,00100,0200,MFV II 73394,A81000C,00100,0400,MFA INC 73394,A81000C,00100,0600,HOME OFFICE 73394,A81000C,00200,0100,A 73394,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73394,A81000C,00200,0400,PHARMACY CARE PLUS 73394,A81000C,00200,0600,PHARMACY SERVICES 73394,A81000C,00300,0100,A 73394,A81000C,00300,0200,W HEYWOOD FRALIN 73394,A81000C,00300,0400,PHARMACY CARE PLUS 73394,A81000C,00300,0600,PHARMACY SERVICES 73394,B100000,00000,0100,00000SQUARE FEET 73394,B100000,00000,0200,00000SQUARE FEET 73394,B100000,00000,0300,00000GROSS SALARIES 73394,B100000,00000,0400,00000ACCUM. COST 73394,B100000,00000,0500,00000SQUARE FEET 73394,B100000,00000,0600,00000PATIENT DAYS 73394,B100000,00000,0700,00000SQUARE FEET 73394,B100000,00000,0800,00000MEALS SERVED 73394,B100000,00000,0900,00000SALARIES 73394,B100000,00000,1000,00000COSTED REQUIS. 73394,B100000,00000,1100,00000COSTED REQUIS. 73394,B100000,00000,1200,00000TIME SPENT 73394,B100000,00000,1300,00000TIME SPENT 73394,B100000,00000,1350,00000TIME SPENT 73394,B100000,00000,1400,00000ASSIGNED TIME 73394,E10A180,00301,0100,07/29/1999 73394,E10A180,00302,0100,12/30/1999 73394,E10A180,00303,0100,05/07/1999 73394,E10A180,00501,0100,06/15/2000 73394,E10A180,00550,0300,06/15/2000 73394,S000000,00100,0200,05/31/2000 73394,S200000,00100,0100,ROUTE 40 WEST 73394,S200000,00100,0300,577 73394,S200000,00200,0100,GRETNA 73394,S200000,00200,0200,VA 73394,S200000,00300,0100,PITTSYLVANIA 73394,S200000,00400,0100,GRETNA HEALTH CARE CENTER 73394,S200000,00400,0200,495202 73394,S200000,00400,0300,10/09/1989 73394,S200000,00400,0500,P 73394,S200000,01600,0100,Y 73395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73395,A000000,00300,0000,00300EMPLOYEE BENEFITS 73395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73395,A000000,00700,0000,00700HOUSEKEEPING 73395,A000000,00800,0000,00800DIETARY 73395,A000000,00900,0000,00900NURSING ADMINISTRATION 73395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73395,A000000,01100,0000,01100PHARMACY 73395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73395,A000000,01300,0000,01300SOCIAL SERVICE 73395,A000000,01350,0000,01500RECREATION/ACTIVITIES 73395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73395,A000000,01600,0000,01600SKILLED NURSING FACILITY 73395,A000000,01800,0000,01800NURSING FACILITY 73395,A000000,01810,0000,01810ICF/MR 73395,A000000,02100,0000,02100RADIOLOGY 73395,A000000,02200,0000,02200LABORATORY 73395,A000000,02500,0000,02500PHYSICAL THERAPY 73395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73395,A000000,02700,0000,02700SPEECH PATHOLOGY 73395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73395,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73395,A000000,03200,0000,03200SUPPORT SURFACES 73395,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73395,A000000,03550,0000,03550FQHC 73395,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73395,A000000,05000,0000,05000CORF 73395,A000000,05010,0000,05010CMHC 73395,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73395,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73395,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73395,A000000,05300,0000,05300INTEREST EXPENSE 73395,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73395,A81000A,00100,0100,Y 73395,A81000B,00100,0300,HOME OFFICE COSTS 73395,A81000B,00200,0300,HOME OFFICE COSTS 73395,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73395,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73395,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73395,A81000B,00600,0300,RELATED PARTY - PHARMACY 73395,A81000B,00700,0300,RELATED PARTY - PHARMACY 73395,A81000B,00800,0300,RELATED PARTY - PHARMACY 73395,A81000B,00900,0300,RELATED PARTY - PHARMACY 73395,A81000B,01000,0300,RELATED PARTY - PHARMACY 73395,A81000B,01100,0300,RELATED PARTY - PHARMACY 73395,A81000C,00100,0100,B 73395,A81000C,00100,0200,MFV II 73395,A81000C,00100,0400,MFA INC 73395,A81000C,00100,0600,HOME OFFICE COSTS 73395,A81000C,00200,0100,A 73395,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73395,A81000C,00200,0400,PHARMACY CARE PLUS 73395,A81000C,00200,0600,PHARMACY SERIVCES 73395,A81000C,00300,0100,A 73395,A81000C,00300,0200,W HEYWOOD FRALIN 73395,A81000C,00300,0400,PHARMACY CARE PLUS 73395,A81000C,00300,0600,PHARMACY SERIVCES 73395,B100000,00000,0100,00000SQUARE FEET 73395,B100000,00000,0200,00000SQUARE FEET 73395,B100000,00000,0300,00000GROSS SALARIES 73395,B100000,00000,0400,00000ACCUM. COST 73395,B100000,00000,0500,00000SQUARE FEET 73395,B100000,00000,0600,00000PATIENT DAYS 73395,B100000,00000,0700,00000SQUARE FEET 73395,B100000,00000,0800,00000MEALS SERVED 73395,B100000,00000,0900,00000SALARIES 73395,B100000,00000,1000,00000COSTED REQUIS. 73395,B100000,00000,1100,00000COSTED REQUIS. 73395,B100000,00000,1200,00000TIME SPENT 73395,B100000,00000,1300,00000TIME SPENT 73395,B100000,00000,1350,00000TIME SPENT 73395,B100000,00000,1400,00000ASSIGNED TIME 73395,E10A180,00301,0100,05/20/1999 73395,E10A180,00302,0100,11/18/1999 73395,E10A180,00501,0300,06/15/2000 73395,E10A180,00550,0100,06/15/2000 73395,S000000,00100,0200,05/31/2000 73395,S200000,00100,0100,1527 GRANDIN ROAD SW 73395,S200000,00200,0100,ROANOKE 73395,S200000,00200,0200,VA 73395,S200000,00300,0100,CITY OF ROANOKE 73395,S200000,00400,0100,RALEIGH COURT HEALTH CARE CENTER 73395,S200000,00400,0200,495209 73395,S200000,00400,0300,03/19/1990 73395,S200000,00400,0500,P 73395,S200000,01600,0100,Y 73395,S200000,02800,0100,Y 73396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73396,A000000,00300,0000,00300EMPLOYEE BENEFITS 73396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73396,A000000,00700,0000,00700HOUSEKEEPING 73396,A000000,00800,0000,00800DIETARY 73396,A000000,00900,0000,00900NURSING ADMINISTRATION 73396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73396,A000000,01100,0000,01100PHARMACY 73396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73396,A000000,01300,0000,01300SOCIAL SERVICE 73396,A000000,01350,0000,01500RECREATION/ACTIVITIES 73396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73396,A000000,01600,0000,01600SKILLED NURSING FACILITY 73396,A000000,01800,0000,01800NURSING FACILITY 73396,A000000,01810,0000,01810ICF/MR 73396,A000000,02200,0000,02200LABORATORY 73396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73396,A000000,02500,0000,02500PHYSICAL THERAPY 73396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73396,A000000,02700,0000,02700SPEECH PATHOLOGY 73396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73396,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73396,A000000,03200,0000,03200SUPPORT SURFACES 73396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73396,A000000,03550,0000,03550FQHC 73396,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73396,A000000,05000,0000,05000CORF 73396,A000000,05010,0000,05010CMHC 73396,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73396,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73396,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73396,A000000,05300,0000,05300INTEREST EXPENSE 73396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73396,A81000A,00100,0100,Y 73396,A81000B,00100,0300,HOME OFFICE COSTS 73396,A81000B,00200,0300,HOME OFFICE COSTS 73396,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73396,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73396,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73396,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73396,A81000B,00700,0300,RELATED PARTY - PHARMACY 73396,A81000B,00800,0300,RELATED PARTY - PHARMACY 73396,A81000B,00900,0300,RELATED PARTY - PHARMACY 73396,A81000B,01000,0300,RELATED PARTY - PHARMACY 73396,A81000B,01100,0300,RELATED PARTY - PHARMACY 73396,A81000C,00100,0100,B 73396,A81000C,00100,0200,MFV II 73396,A81000C,00100,0400,MFA INC 73396,A81000C,00100,0600,HOME OFFICE 73396,A81000C,00200,0100,A 73396,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73396,A81000C,00200,0400,PHARMACY CARE PLUS 73396,A81000C,00200,0600,PHARMACY SERVICES 73396,A81000C,00300,0100,A 73396,A81000C,00300,0200,W HEYWOOD FRALIN 73396,A81000C,00300,0400,PHARMACY CARE PLUS 73396,A81000C,00300,0600,PHARMACY SERVICES 73396,B100000,00000,0100,00000SQUARE FEET 73396,B100000,00000,0200,00000SQUARE FEET 73396,B100000,00000,0300,00000GROSS SALARIES 73396,B100000,00000,0400,00000ACCUM. COST 73396,B100000,00000,0500,00000SQUARE FEET 73396,B100000,00000,0600,00000PATIENT DAYS 73396,B100000,00000,0700,00000SQUARE FEET 73396,B100000,00000,0800,00000MEALS SERVED 73396,B100000,00000,0900,00000SALARIES 73396,B100000,00000,1000,00000COSTED REQUIS. 73396,B100000,00000,1100,00000COSTED REQUIS. 73396,B100000,00000,1200,00000TIME SPENT 73396,B100000,00000,1300,00000TIME SPENT 73396,B100000,00000,1350,00000TIME SPENT 73396,B100000,00000,1400,00000ASSIGNED TIME 73396,E10A180,00301,0100,05/20/1999 73396,E10A180,00302,0100,08/26/1999 73396,E10A180,00303,0100,02/10/2000 73396,E10A180,00501,0100,06/19/2000 73396,E10A180,00550,0300,06/19/2000 73396,S000000,00100,0200,05/31/2000 73396,S200000,00100,0100,901 EAST PRINCESS ANNE ROAD 73396,S200000,00200,0100,NORFOLK 73396,S200000,00200,0200,VA 73396,S200000,00300,0100,CITY OF NORFOLK 73396,S200000,00400,0100,NORFOLK HEALTH CARE CENTER 73396,S200000,00400,0200,495210 73396,S200000,00400,0300,05/01/1990 73396,S200000,00400,0500,P 73396,S200000,01600,0100,Y 73396,S200000,02800,0100,Y 73397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73397,A000000,00300,0000,00300EMPLOYEE BENEFITS 73397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73397,A000000,00700,0000,00700HOUSEKEEPING 73397,A000000,00800,0000,00800DIETARY 73397,A000000,00900,0000,00900NURSING ADMINISTRATION 73397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73397,A000000,01100,0000,01100PHARMACY 73397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73397,A000000,01300,0000,01300SOCIAL SERVICE 73397,A000000,01301,0000,01301ACTIVITIES 73397,A000000,01350,0000,01500OTHER GENERAL SERVICES 73397,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73397,A000000,01600,0000,01600SKILLED NURSING FACILITY 73397,A000000,01800,0000,01800NURSING FACILITY 73397,A000000,01810,0000,01810ICF/MR 73397,A000000,02100,0000,02100RADIOLOGY 73397,A000000,02200,0000,02200LABORATORY 73397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73397,A000000,02500,0000,02500PHYSICAL THERAPY 73397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73397,A000000,02700,0000,02700SPEECH PATHOLOGY 73397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73397,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73397,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73397,A000000,03550,0000,03550FQHC 73397,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73397,A000000,05000,0000,05000CORF 73397,A000000,05010,0000,05010CMHC 73397,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73397,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73397,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73397,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73397,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73397,A81000A,00100,0100,Y 73397,A81000B,00100,0300,MANAGEMENT FEES 73397,A81000B,00200,0300,PROFESSIONAL SERVICES 73397,A81000C,00100,0100,A 73397,A81000C,00100,0200,S L HINSON 73397,A81000C,00100,0400,RMG INC 73397,A81000C,00100,0600,MGT CO 73397,B100000,00000,0100,00000SQUARE FEET 73397,B100000,00000,0200,00000SQUARE FEET 73397,B100000,00000,0300,00000GROSS SALARIES 73397,B100000,00000,0400,00000ACCUM. COST 73397,B100000,00000,0500,00000SQUARE FEET 73397,B100000,00000,0600,00000POUNDS OF LAUNDRY 73397,B100000,00000,0700,00000SQUARE FEET 73397,B100000,00000,0800,00000MEALS SERVED 73397,B100000,00000,0900,00000PATIENT DAYS 73397,B100000,00000,1000,00000PATIENT DAYS 73397,B100000,00000,1100,00000COSTED REQUIS. 73397,B100000,00000,1200,00000PATIENT DAYS 73397,B100000,00000,1300,00000PATIENT DAYS 73397,B100000,00000,1301,00000PATIENT DAYS 73397,B100000,00000,1350,00000PATIENT DAYS 73397,B100000,00000,1400,00000ASSIGNED TIME 73397,E10A180,00501,0100,07/21/2000 73397,E10A180,00501,0300,07/21/2000 73397,S000000,00100,0200,05/31/2000 73397,S200000,00100,0100,8111 TISWELL DRIVE 73397,S200000,00200,0100,ALEXANDRIA 73397,S200000,00200,0200,VA 73397,S200000,00200,0300,22306 73397,S200000,00300,0100,CITY OF ALEXANDRIA 73397,S200000,00400,0100,MOUNT VERNON NURSING CENTER 73397,S200000,00400,0200,495211 73397,S200000,00400,0300,08/31/1990 73397,S200000,00400,0500,P 73397,S200000,01600,0100,Y 73398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73398,A000000,00300,0000,00300EMPLOYEE BENEFITS 73398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73398,A000000,00700,0000,00700HOUSEKEEPING 73398,A000000,00800,0000,00800DIETARY 73398,A000000,00900,0000,00900NURSING ADMINISTRATION 73398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73398,A000000,01100,0000,01100PHARMACY 73398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73398,A000000,01300,0000,01300SOCIAL SERVICE 73398,A000000,01350,0000,01500RECREATION/ACTIVITIES 73398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73398,A000000,01600,0000,01600SKILLED NURSING FACILITY 73398,A000000,01800,0000,01800NURSING FACILITY 73398,A000000,01810,0000,01810ICF/MR 73398,A000000,02100,0000,02100RADIOLOGY 73398,A000000,02200,0000,02200LABORATORY 73398,A000000,02500,0000,02500PHYSICAL THERAPY 73398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73398,A000000,02700,0000,02700SPEECH PATHOLOGY 73398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73398,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73398,A000000,03200,0000,03200SUPPORT SURFACES 73398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73398,A000000,03550,0000,03550FQHC 73398,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73398,A000000,05000,0000,05000CORF 73398,A000000,05010,0000,05010CMHC 73398,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73398,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73398,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73398,A000000,05300,0000,05300INTEREST EXPENSE 73398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73398,A81000A,00100,0100,Y 73398,A81000B,00100,0300,HOME OFFICE COSTS 73398,A81000B,00200,0300,HOME OFFICE COSTS 73398,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73398,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73398,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73398,A81000B,00600,0300,RELATED PARTY - PHARMACY 73398,A81000B,00700,0300,RELATED PARTY - PHARMACY 73398,A81000B,00800,0300,RELATED PARTY - PHARMACY 73398,A81000B,00900,0300,RELATED PARTY - PHARMACY 73398,A81000B,01000,0300,RELATED PARTY - PHARMACY 73398,A81000B,01100,0300,RELATED PARTY - PHARMACY 73398,A81000C,00100,0100,B 73398,A81000C,00100,0200,MFV II 73398,A81000C,00100,0400,MFA INC 73398,A81000C,00100,0600,HOME OFFICE 73398,A81000C,00200,0100,A 73398,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73398,A81000C,00200,0400,PHARMACY CARE PLUS 73398,A81000C,00200,0600,PHARMACY SERVICES 73398,A81000C,00300,0100,A 73398,A81000C,00300,0200,W HEYWOOD FRALIN 73398,A81000C,00300,0400,PHARMACY CARE PLUS 73398,A81000C,00300,0600,PHARMACY SERVICES 73398,B100000,00000,0100,00000SQUARE FEET 73398,B100000,00000,0200,00000SQUARE FEET 73398,B100000,00000,0300,00000GROSS SALARIES 73398,B100000,00000,0400,00000ACCUM. COST 73398,B100000,00000,0500,00000SQUARE FEET 73398,B100000,00000,0600,00000PATIENT DAYS 73398,B100000,00000,0700,00000SQUARE FEET 73398,B100000,00000,0800,00000MEALS SERVED 73398,B100000,00000,0900,00000SALARIES 73398,B100000,00000,1000,00000COSTED REQUIS. 73398,B100000,00000,1100,00000COSTED REQUIS. 73398,B100000,00000,1200,00000PATIENT DAYS 73398,B100000,00000,1300,00000TIME SPENT 73398,B100000,00000,1350,00000TIME SPENT 73398,B100000,00000,1400,00000ASSIGNED TIME 73398,E10A180,00301,0100,12/30/1999 73398,E10A180,00501,0100,06/15/2000 73398,E10A180,00502,0100,09/10/2001 73398,E10A180,00502,0300,09/10/2001 73398,E10A180,00550,0300,06/15/2000 73398,S000000,00100,0200,05/31/2000 73398,S200000,00100,0100,STATE ROUTE 682 & 57-A 73398,S200000,00200,0100,STANLEYTOWN 73398,S200000,00200,0200,VA 73398,S200000,00300,0100,HENRY 73398,S200000,00400,0100,STANLEYTOWN HEALTH CARE CENTER 73398,S200000,00400,0200,495216 73398,S200000,00400,0300,09/04/1990 73398,S200000,00400,0500,P 73398,S200000,01600,0100,Y 73398,S200000,01900,0100,NON PROFIT 73403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73403,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 73403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73403,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 73403,A000000,00300,0000,00300EMPLOYEE BENEFITS 73403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73403,A000000,00700,0000,00700HOUSEKEEPING 73403,A000000,00800,0000,00800DIETARY 73403,A000000,00801,0000,00801CAFETERIA 73403,A000000,00900,0000,00900NURSING ADMINISTRATION 73403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73403,A000000,01100,0000,01100PHARMACY 73403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73403,A000000,01300,0000,01300SOCIAL SERVICE 73403,A000000,01350,0000,01500ACTIVITIES 73403,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73403,A000000,01600,0000,01600SKILLED NURSING FACILITY 73403,A000000,01800,0000,01800NURSING FACILITY 73403,A000000,01810,0000,01810ICF/MR 73403,A000000,02200,0000,02200LABORATORY 73403,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73403,A000000,02500,0000,02500PHYSICAL THERAPY 73403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73403,A000000,02700,0000,02700SPEECH PATHOLOGY 73403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73403,A000000,03050,0000,03300OTHER ANCILLARY 73403,A000000,03051,0000,03301OTHER ANCILLARY II 73403,A000000,03052,0000,03302OTHER ANCILLARY III 73403,A000000,03200,0000,03200SUPPORT SURFACES 73403,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73403,A000000,03550,0000,03550FQHC 73403,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73403,A000000,05000,0000,05000CORF I 73403,A000000,05010,0000,05010CMHC I 73403,A000000,05020,0000,05020OPT I 73403,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73403,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73403,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73403,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73403,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73403,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73403,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73403,A81000A,00100,0100,Y 73403,A81000B,00100,0300,CAPITAL 73403,A81000B,00200,0300,A&G 73403,A81000B,00300,0300,A&G 73403,A81000B,00400,0300,A&G 73403,A81000B,00500,0300,DIETARY 73403,A81000B,00600,0300,MEDICAL SUPPLIES 73403,A81000B,00700,0300,MEDICAL SUPPLIES 73403,A81000C,00100,0100,A 73403,A81000C,00100,0200,DOUG MITTLEIDER 73403,A81000C,00100,0600,LONG TERM 73403,A81000C,00200,0100,A 73403,A81000C,00200,0200,MIKE FOXWORTHY 73403,A81000C,00200,0600,CARE MGMT 73403,B100000,00000,0100,00000(SQUARE FEET) 73403,B100000,00000,0101,00000(SQUARE FEET) 73403,B100000,00000,0200,00000(SQUARE FEET) 73403,B100000,00000,0201,00000(SQUARE FEET) 73403,B100000,00000,0300,00000(GROSS SALARIES) 73403,B100000,00000,0400,00000(ACCUM. COST) 73403,B100000,00000,0500,00000(SQUARE FEET) 73403,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 73403,B100000,00000,0700,00000(SQUARE FEET) 73403,B100000,00000,0800,00000(MEALS SERVED) 73403,B100000,00000,0801,00000(MEALS SERVED) 73403,B100000,00000,0900,00000TIME SPENT 73403,B100000,00000,1000,00000(GROSS CHARGES) 73403,B100000,00000,1100,00000(PATIENT DAYS) 73403,B100000,00000,1200,00000TIME SPENT 73403,B100000,00000,1300,00000TIME SPENT 73403,B100000,00000,1350,00000(PATIENT DAYS) 73403,B100000,00000,1400,00000(ASSIGNED TIME) 73403,E10A180,00501,0100,06/20/2000 73403,S000000,00100,0200,06/13/2000 73403,S200000,00100,0100,230 SE MAIN STREET 73403,S200000,00100,0300,2409 73403,S200000,00200,0100,LEBANON 73403,S200000,00200,0200,VA 73403,S200000,00200,0300,24266 73403,S200000,00300,0100,RUSSELL 73403,S200000,00400,0100,MAPLE GROVE HEALTH CARE 73403,S200000,00400,0200,495224 73403,S200000,00400,0300,10/01/1990 73403,S200000,00400,0500,P 73403,S200000,01600,0100,Y 73403,S200000,02200,0100,Y 73407,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73407,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73407,A000000,00300,0000,00300EMPLOYEE BENEFITS 73407,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73407,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73407,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73407,A000000,00700,0000,00700HOUSEKEEPING 73407,A000000,00800,0000,00800DIETARY 73407,A000000,00900,0000,00900NURSING ADMINISTRATION 73407,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73407,A000000,01100,0000,01100PHARMACY 73407,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73407,A000000,01300,0000,01300SOCIAL SERVICE 73407,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73407,A000000,01600,0000,01600SKILLED NURSING FACILITY 73407,A000000,01800,0000,01800NURSING FACILITY 73407,A000000,01810,0000,01810ICF/MR 73407,A000000,02100,0000,02100RADIOLOGY 73407,A000000,02200,0000,02200LABORATORY 73407,A000000,02300,0000,02300INTRAVENOUS THERAPY 73407,A000000,02500,0000,02500PHYSICAL THERAPY 73407,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73407,A000000,02700,0000,02700SPEECH PATHOLOGY 73407,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73407,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73407,A000000,03001,0000,03001SPECIALTY BEDS 73407,A000000,03002,0000,03002OTHER MEDICARE EXPENSE 73407,A000000,03550,0000,03550FQHC 73407,A000000,05000,0000,05000CORF 73407,A000000,05010,0000,05010CMHC 73407,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73407,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73407,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73407,A000000,05300,0000,05300INTEREST EXPENSE 73407,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73407,A000000,06200,0000,06200PATIENTS LAUNDRY 73407,A81000A,00100,0100,Y 73407,A81000B,00100,0300,HOME OFFICE 73407,A81000B,00200,0300,PEN THERAPY 73407,A81000B,00300,0300,CONSULTING 73407,A81000C,00100,0100,B 73407,A81000C,00100,0200,CONV. CARE INC. 73407,A81000C,00100,0400,CONV. CARE INC. 73407,A81000C,00100,0600,HOME OFFICE 73407,A81000C,00200,0100,E 73407,A81000C,00200,0200,H.L. SEAL 73407,A81000C,00200,0400,TDS 73407,A81000C,00200,0600,DURABLE MEDICAL 73407,A81000C,00300,0100,A 73407,A81000C,00300,0200,H.L. SEAL 73407,A81000C,00300,0400,SEALCARE 73407,A81000C,00300,0600,CONSUL 73407,B100000,00000,0100,00000SQUARE FEET 73407,B100000,00000,0200,00000SQUARE FEET 73407,B100000,00000,0300,00000GROSS SALARIES 73407,B100000,00000,0400,00000ACCUM COST 73407,B100000,00000,0500,00000SQUARE FEET 73407,B100000,00000,0600,00000PATIENT DAYS 73407,B100000,00000,0700,00000SQUARE FEET 73407,B100000,00000,0800,00000PATIENT DAYS 73407,B100000,00000,0900,00000PATIENT DAYS 73407,B100000,00000,1000,00000COSTED REQUIS 73407,B100000,00000,1100,00000COSTED REQUIS 73407,B100000,00000,1200,00000PATIENT DAYS 73407,B100000,00000,1300,00000PATIENT DAYS 73407,B100000,00000,1400,00000ASSIGNED TIME 73407,E10A180,00501,0300,06/27/2000 73407,E10A180,00550,0100,06/27/2000 73407,S000000,00100,0200,05/31/2000 73407,S200000,00100,0100,7300 FOREST AVENUE 73407,S200000,00200,0100,RICHMOND 73407,S200000,00200,0200,VA 73407,S200000,00200,0300,23226 73407,S200000,00300,0100,HENRICO 73407,S200000,00400,0100,WESTPORT CONVALESCENT CENTER 73407,S200000,00400,0200,495227 73407,S200000,00400,0300,01/08/1991 73407,S200000,00400,0500,P 73408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73408,A000000,00300,0000,00300EMPLOYEE BENEFITS 73408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73408,A000000,00700,0000,00700HOUSEKEEPING 73408,A000000,00800,0000,00800DIETARY 73408,A000000,00900,0000,00900NURSING ADMINISTRATION 73408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73408,A000000,01100,0000,01100PHARMACY 73408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73408,A000000,01300,0000,01300SOCIAL SERVICE 73408,A000000,01301,0000,01301ACTIVITIES 73408,A000000,01350,0000,01500OTHER GENERAL SERVICES 73408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73408,A000000,01600,0000,01600SKILLED NURSING FACILITY 73408,A000000,01800,0000,01800NURSING FACILITY 73408,A000000,02100,0000,02100RADIOLOGY 73408,A000000,02200,0000,02200LABORATORY 73408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73408,A000000,02500,0000,02500PHYSICAL THERAPY 73408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73408,A000000,02700,0000,02700SPEECH PATHOLOGY 73408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73408,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73408,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73408,A000000,03550,0000,03550FQHC 73408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73408,A000000,05000,0000,05000CORF 73408,A000000,05010,0000,05010CMHC 73408,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73408,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73408,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73408,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73408,A81000A,00100,0100,Y 73408,A81000B,00100,0300,HOME OFFICE - A&G 73408,A81000B,00200,0300,HOME OFFICE - CAPITAL 73408,A81000C,00100,0100,B 73408,A81000C,00100,0200,OAKWOOD LIVING CENTERS 73408,A81000C,00100,0400,OAKWOOD LIVING CENTERS 73408,A81000C,00100,0600,HOME OFFICE 73408,A81000C,00200,0100,B 73408,A81000C,00200,0200,OAKWOOD LIVING CENTERS 73408,A81000C,00200,0400,OAKWOOD LIVING CENTERS 73408,A81000C,00200,0600,HOME OFFICE 73408,B100000,00000,0100,00000SQUARE FEET 73408,B100000,00000,0200,00000DOLLAR VALUE 73408,B100000,00000,0300,00000GROSS SALARIES 73408,B100000,00000,0400,00000ACCUM. COST 73408,B100000,00000,0500,00000SQUARE FEET 73408,B100000,00000,0600,00000PATIENT DAYS 73408,B100000,00000,0700,00000MODIFIED SQ. FT. 73408,B100000,00000,0800,00000PATIENT DAYS 73408,B100000,00000,0900,00000DIRECT NRSING HRS 73408,B100000,00000,1000,00000PATIENT DAYS 73408,B100000,00000,1100,00000COSTED REQUIS. 73408,B100000,00000,1200,00000PATIENT DAYS 73408,B100000,00000,1300,00000PATIENT DAYS 73408,B100000,00000,1301,00000PATIENT DAYS 73408,B100000,00000,1350,00000NO STATISTICS 73408,B100000,00000,1400,00000ASSIGNED TIME 73408,E10A180,00301,0100,03/30/2000 73408,E10A180,00501,0100,07/20/2000 73408,S000000,00100,0200,05/31/2000 73408,S200000,00100,0100,5520 INDIAN RIVER ROAD 73408,S200000,00200,0100,VIRGINIA BEACH 73408,S200000,00200,0200,VA 73408,S200000,00200,0300,23464 73408,S200000,00300,0100,VIRGINIA BEACH 73408,S200000,00400,0100,OAKWOOD OF VIRGINIA BEACH 73408,S200000,00400,0200,495232 73408,S200000,00400,0300,02/28/1991 73408,S200000,00400,0500,P 73408,S200000,00600,0200,495232 73408,S200000,00600,0300,02/28/1991 73408,S200000,01600,0100,Y 73410,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73410,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73410,A000000,00300,0000,00300EMPLOYEE BENEFITS 73410,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73410,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73410,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73410,A000000,00700,0000,00700HOUSEKEEPING 73410,A000000,00800,0000,00800DIETARY 73410,A000000,00900,0000,00900NURSING ADMINISTRATION 73410,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73410,A000000,01100,0000,01100PHARMACY 73410,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73410,A000000,01300,0000,01300SOCIAL SERVICE 73410,A000000,01350,0000,01500RECREATION/ACTIVITIES 73410,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73410,A000000,01600,0000,01600SKILLED NURSING FACILITY 73410,A000000,01800,0000,01800NURSING FACILITY 73410,A000000,01810,0000,01810ICF/MR 73410,A000000,02100,0000,02100RADIOLOGY 73410,A000000,02200,0000,02200LABORATORY 73410,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73410,A000000,02500,0000,02500PHYSICAL THERAPY 73410,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73410,A000000,02700,0000,02700SPEECH PATHOLOGY 73410,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73410,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73410,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73410,A000000,03200,0000,03200SUPPORT SURFACES 73410,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73410,A000000,03550,0000,03550FQHC 73410,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73410,A000000,05000,0000,05000CORF 73410,A000000,05010,0000,05010CMHC 73410,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73410,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73410,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73410,A000000,05300,0000,05300INTEREST EXPENSE 73410,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73410,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73410,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73410,A81000A,00100,0100,Y 73410,A81000B,00100,0300,HOME OFFICE COSTS 73410,A81000B,00200,0300,HOME OFFICE COSTS 73410,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73410,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73410,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73410,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73410,A81000B,00700,0300,RELATED PARTY - PHARMACY 73410,A81000B,00800,0300,RELATED PARTY - PHARMACY 73410,A81000B,00900,0300,RELATED PARTY - PHARMACY 73410,A81000B,01000,0300,RELATED PARTY - PHARMACY 73410,A81000B,01100,0300,RELATED PARTY - PHARMACY 73410,A81000B,01200,0300,RELATED PARTY - PHARMACY 73410,A81000C,00100,0100,B 73410,A81000C,00100,0200,MFV I 73410,A81000C,00100,0400,MFA INC 73410,A81000C,00100,0600,HOME OFFICE 73410,A81000C,00200,0100,A 73410,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73410,A81000C,00200,0400,PHARMACY CARE PLUS 73410,A81000C,00200,0600,PHARMACY SERVICES 73410,A81000C,00300,0100,A 73410,A81000C,00300,0200,W HEYWOOD FRALIN 73410,A81000C,00300,0400,PHARMACY CARE PLUS 73410,A81000C,00300,0600,PHARMACY SERVICES 73410,B100000,00000,0100,00000SQUARE FEET 73410,B100000,00000,0200,00000SQUARE FEET 73410,B100000,00000,0300,00000GROSS SALARIES 73410,B100000,00000,0400,00000ACCUM. COST 73410,B100000,00000,0500,00000SQUARE FEET 73410,B100000,00000,0600,00000PATIENT DAYS 73410,B100000,00000,0700,00000SQUARE FEET 73410,B100000,00000,0800,00000MEALS 73410,B100000,00000,0900,00000TIME SPENT 73410,B100000,00000,1000,00000COSTED REQUIS. 73410,B100000,00000,1100,00000COSTED REQUIS. 73410,B100000,00000,1200,00000TIME SPENT 73410,B100000,00000,1300,00000TIME SPENT 73410,B100000,00000,1350,00000TIME SPENT 73410,B100000,00000,1400,00000ASSIGNED TIME 73410,E10A180,00301,0100,11/18/1999 73410,E10A180,00302,0100,02/10/2000 73410,E10A180,00350,0100,08/24/1999 73410,E10A180,00550,0100,06/15/2000 73410,E10A180,00550,0300,06/15/2000 73410,S000000,00100,0200,05/31/2000 73410,S200000,00100,0100,1801 CAMELOT DRIVE 73410,S200000,00200,0100,VIRGINIA BEACH 73410,S200000,00200,0200,VA 73410,S200000,00300,0100,CITY OF VIRGINIA BEACH 73410,S200000,00400,0100,VA BEACH HEALTH CARE & REHAB CENTER 73410,S200000,00400,0200,495237 73410,S200000,00400,0300,01/03/1977 73410,S200000,00400,0500,P 73410,S200000,01600,0100,Y 73417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73417,A000000,00300,0000,00300EMPLOYEE BENEFITS 73417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73417,A000000,00700,0000,00700HOUSEKEEPING 73417,A000000,00800,0000,00800DIETARY 73417,A000000,00900,0000,00900NURSING ADMINISTRATION 73417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73417,A000000,01100,0000,01100PHARMACY 73417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73417,A000000,01300,0000,01300SOCIAL SERVICE 73417,A000000,01350,0000,01500OTHER GENERAL SERVICES 73417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73417,A000000,01600,0000,01600SKILLED NURSING FACILITY 73417,A000000,01800,0000,01800NURSING FACILITY 73417,A000000,01810,0000,01810ICF/MR 73417,A000000,02200,0000,02200LABORATORY 73417,A000000,02300,0000,02300INTRAVENOUS THERAPY 73417,A000000,02500,0000,02500PHYSICAL THERAPY 73417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73417,A000000,02700,0000,02700SPEECH PATHOLOGY 73417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73417,A000000,03050,0000,03300AIR FLUID BED THERAPY 73417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73417,A000000,03550,0000,03550FQHC 73417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73417,A000000,05000,0000,05000CORF 73417,A000000,05010,0000,05010CMHC 73417,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73417,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73417,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73417,B100000,00000,0100,00000SQUARE FEET 73417,B100000,00000,0200,00000NO STATISTICS 73417,B100000,00000,0300,00000GROSS SALARIES 73417,B100000,00000,0400,00000ACCUM. COST 73417,B100000,00000,0500,00000SQUARE FEET 73417,B100000,00000,0600,00000POUNDS OF LAUNDRY 73417,B100000,00000,0700,00000SQUARE FEET 73417,B100000,00000,0800,00000MEALS SERVED 73417,B100000,00000,0900,00000DIRECT NRSING HRS 73417,B100000,00000,1000,00000PATIENT DAYS 73417,B100000,00000,1100,00000NO STATISTICS 73417,B100000,00000,1200,00000PATIENT DAYS 73417,B100000,00000,1300,00000TIME SPENT 73417,B100000,00000,1350,00000NO STATISTICS 73417,B100000,00000,1400,00000ASSIGNED TIME 73417,E10A180,00301,0100,03/24/2000 73417,E10A180,00501,0100,07/14/2000 73417,S000000,00100,0200,05/31/2000 73417,S200000,00100,0100,ROUTE 4 SCOTT DRIVE 73417,S200000,00200,0100,FARMVILLE 73417,S200000,00200,0200,VA 73417,S200000,00200,0300,23901 73417,S200000,00300,0100,PRINCE EDWARD 73417,S200000,00400,0100,ELDERCARE OF FARMVILLE 73417,S200000,00400,0200,495249 73417,S200000,00400,0300,08/01/1991 73417,S200000,00400,0500,P 73417,S200000,01600,0100,Y 73418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73418,A000000,00300,0000,00300EMPLOYEE BENEFITS 73418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73418,A000000,00700,0000,00700HOUSEKEEPING 73418,A000000,00800,0000,00800DIETARY 73418,A000000,00900,0000,00900NURSING ADMINISTRATION 73418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73418,A000000,01100,0000,01100PHARMACY 73418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73418,A000000,01300,0000,01300SOCIAL SERVICE 73418,A000000,01350,0000,01500PATIENT ACTIVITIES 73418,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73418,A000000,01600,0000,01600SKILLED NURSING FACILITY 73418,A000000,01800,0000,01800NURSING FACILITY 73418,A000000,01810,0000,01810ICF/MR 73418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73418,A000000,02500,0000,02500PHYSICAL THERAPY 73418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73418,A000000,02700,0000,02700SPEECH PATHOLOGY 73418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73418,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73418,A000000,03550,0000,03550FQHC 73418,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73418,A000000,05000,0000,05000CORF 73418,A000000,05010,0000,05010CMHC 73418,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73418,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73418,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73418,A81000A,00100,0100,Y 73418,A81000B,00100,0300,CENTRAL OFICE OVHD 73418,A81000B,00200,0300,CENTRAL OFICE CAPITAL 73418,A81000B,00300,0300,RENT 73418,A81000C,00100,0100,B 73418,A81000C,00100,0200,AUTUMN CORPORATION 73418,A81000C,00100,0400,AUTUMN CORPORATION 73418,A81000C,00100,0600,HOME OFFICE 73418,A81000C,00200,0100,B 73418,A81000C,00200,0200,AUTUMN CORPORATIONFOLK 73418,A81000C,00200,0400,AUTUMN CORPORATION 73418,A81000C,00200,0600,HOME OFFICE 73418,A81000C,00300,0100,B 73418,A81000C,00300,0200,AUTUMN CARE OF NORFOLK 73418,A81000C,00300,0400,AUTUMN CARE OF NORFOLK 73418,A81000C,00300,0600,LAND&BLDG RENTAL 73418,B100000,00000,0100,00000SQUARE FEET 73418,B100000,00000,0200,00000SQUARE FEET 73418,B100000,00000,0300,00000GROSS SALARIES 73418,B100000,00000,0400,00000ACCUM. COST 73418,B100000,00000,0500,00000SQUARE FEET 73418,B100000,00000,0600,00000POUNDS OF LAUNDRY 73418,B100000,00000,0700,00000SQ FT W/O DI 73418,B100000,00000,0800,00000PATIENT DAYS 73418,B100000,00000,0900,00000HOURS OF SERVICE 73418,B100000,00000,1000,00000PATIENT DAYS 73418,B100000,00000,1100,00000PATIENT DAYS 73418,B100000,00000,1200,00000PATIENT DAYS 73418,B100000,00000,1300,00000PATIENT DAYS 73418,B100000,00000,1350,00000PATIENT DAYS 73418,B100000,00000,1400,00000ASSIGNED TIME 73418,E10A180,00301,0100,05/27/1999 73418,E10A180,00501,0100,04/27/2000 73418,E10A180,00550,0300,04/27/2000 73418,S000000,00100,0200,03/30/2000 73418,S200000,00100,0100,1401 HALSTEAD AVE 73418,S200000,00100,0300,12569 73418,S200000,00200,0100,NORFOLK 73418,S200000,00200,0200,VA 73418,S200000,00300,0100,TIDEWATER DISTRICT 73418,S200000,00400,0100,AUTUMN CARE OF NORFOLK 73418,S200000,00400,0200,495253 73418,S200000,00400,0300,08/23/1991 73418,S200000,00400,0500,P 73418,S200000,01600,0100,Y 73421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73421,A000000,00300,0000,00300EMPLOYEE BENEFITS 73421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73421,A000000,00700,0000,00700HOUSEKEEPING 73421,A000000,00800,0000,00800DIETARY 73421,A000000,00900,0000,00900NURSING ADMINISTRATION 73421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73421,A000000,01100,0000,01100PHARMACY 73421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73421,A000000,01300,0000,01300SOCIAL SERVICE 73421,A000000,01350,0000,01500PATIENT ACTIVITIES 73421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73421,A000000,01600,0000,01600SKILLED NURSING FACILITY 73421,A000000,01800,0000,01800NURSING FACILITY 73421,A000000,01810,0000,01810ICF/MR 73421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73421,A000000,02500,0000,02500PHYSICAL THERAPY 73421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73421,A000000,02700,0000,02700SPEECH PATHOLOGY 73421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73421,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73421,A000000,03550,0000,03550FQHC 73421,A000000,05000,0000,05000CORF 73421,A000000,05010,0000,05010CMHC 73421,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73421,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73421,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73421,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73421,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73421,A81000A,00100,0100,Y 73421,A81000B,00100,0300,CENTRAL OFFICE OVHD 73421,A81000B,00200,0300,CENTRAL OFICE CAPITAL 73421,A81000C,00100,0100,B 73421,A81000C,00100,0200,AUTUMN CORPORATION 73421,A81000C,00100,0400,AUTUMN CORPORATION 73421,A81000C,00100,0600,HOME OFFICE 73421,A81000C,00200,0100,B 73421,A81000C,00200,0200,AUTUMN CORPORATION 73421,A81000C,00200,0400,AUTUMN CORPORATION 73421,A81000C,00200,0600,HOME OFFICE 73421,B100000,00000,0100,00000SQUARE FEET 73421,B100000,00000,0200,00000SQUARE FEET 73421,B100000,00000,0300,00000GROSS SALARIES 73421,B100000,00000,0400,00000ACCUM. COST 73421,B100000,00000,0500,00000SQUARE FEET 73421,B100000,00000,0600,00000POUNDS OF LAUNDRY 73421,B100000,00000,0700,00000SQ FT W/O DIETARY 73421,B100000,00000,0800,00000PATIENT DAYS 73421,B100000,00000,0900,00000HOURS OF SERVICE 73421,B100000,00000,1000,00000PATIENT DAYS 73421,B100000,00000,1100,00000PATIENT DAYS 73421,B100000,00000,1200,00000PATIENT DAYS 73421,B100000,00000,1300,00000PATIENT DAYS 73421,B100000,00000,1350,00000PATIENT DAYS 73421,B100000,00000,1400,00000ASSIGNED TIME 73421,E10A180,00301,0100,05/27/1999 73421,E10A180,00501,0100,04/27/2000 73421,E10A180,00501,0300,04/27/2000 73421,S000000,00100,0200,03/30/2000 73421,S200000,00100,0100,821 CEDAR ROAD 73421,S200000,00100,0300,15224 73421,S200000,00200,0100,CHESAPEAKE 73421,S200000,00200,0200,VA 73421,S200000,00300,0100,TIDEWATER DISTRICT 73421,S200000,00400,0100,AUTUMN CARE OF GREAT BRIDGE 73421,S200000,00400,0200,495256 73421,S200000,00400,0300,05/24/1991 73421,S200000,00400,0500,P 73421,S200000,01600,0100,Y 73424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73424,A000000,00300,0000,00300EMPLOYEE BENEFITS 73424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73424,A000000,00700,0000,00700HOUSEKEEPING 73424,A000000,00800,0000,00800DIETARY 73424,A000000,00900,0000,00900NURSING ADMINISTRATION 73424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73424,A000000,01100,0000,01100PHARMACY 73424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73424,A000000,01300,0000,01300SOCIAL SERVICE 73424,A000000,01350,0000,01500ACTIVITIES 73424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73424,A000000,01600,0000,01600SKILLED NURSING FACILITY 73424,A000000,01800,0000,01800NURSING FACILITY 73424,A000000,01810,0000,01810ICF/MR 73424,A000000,02100,0000,02100RADIOLOGY 73424,A000000,02200,0000,02200LABORATORY 73424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73424,A000000,02401,0000,02401RESPIRATORY THERAPY 73424,A000000,02500,0000,02500PHYSICAL THERAPY 73424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73424,A000000,02700,0000,02700SPEECH PATHOLOGY 73424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73424,A000000,03550,0000,03550FQHC 73424,A000000,05000,0000,05000CORF 73424,A000000,05010,0000,05010CMHC 73424,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73424,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73424,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73424,A81000A,00100,0100,Y 73424,A81000B,00100,0300,MANAGEMENT FEES 73424,A81000B,00200,0300,QUALITY ASSURANCE - HOME OFFIC 73424,A81000B,00300,0300,HOME OFFICE - CAPITAL 73424,A81000B,00400,0300,HOME OFFICE - OTHER 73424,A81000C,00100,0100,B 73424,A81000C,00100,0400,LAUREL HEALTH 73424,A81000C,00100,0600,MANAGEMENT CO. 73424,B100000,00000,0100,00000SQUARE FEET 73424,B100000,00000,0200,00000SQUARE FEET 73424,B100000,00000,0300,00000GROSS SAL 73424,B100000,00000,0400,00000ACCUM. COST 73424,B100000,00000,0500,00000SQUARE FEET 73424,B100000,00000,0600,00000PAT DAYS 73424,B100000,00000,0700,00000SQUARE FEET 73424,B100000,00000,0800,00000PAT DAYS 73424,B100000,00000,0900,00000PAT DAYS 73424,B100000,00000,1000,00000PAT DAYS 73424,B100000,00000,1100,00000BLANK 73424,B100000,00000,1200,00000PAT DAYS 73424,B100000,00000,1300,00000DISCHARGES 73424,B100000,00000,1350,00000PAT DAYS 73424,B100000,00000,1400,00000BLANK 73424,E10A180,00501,0100,07/20/2000 73424,S000000,00100,0200,05/25/2000 73424,S200000,00100,0100,11611 ROBIOUS ROAD 73424,S200000,00200,0100,MIDLOTHIAN 73424,S200000,00200,0200,VA 73424,S200000,00200,0300,23113 73424,S200000,00300,0100,CHESTERFIELD 73424,S200000,00400,0100,THE LAURELS OF WILLOW CREEK 73424,S200000,00400,0200,495257 73424,S200000,00400,0300,09/24/1991 73424,S200000,00400,0500,P 73424,S200000,01600,0100,Y 73424,S200000,02200,0100,Y 73425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73425,A000000,00300,0000,00300EMPLOYEE BENEFITS 73425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73425,A000000,00700,0000,00700HOUSEKEEPING 73425,A000000,00800,0000,00800DIETARY 73425,A000000,00900,0000,00900NURSING ADMINISTRATION 73425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73425,A000000,01100,0000,01100PHARMACY 73425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73425,A000000,01300,0000,01300SOCIAL SERVICE 73425,A000000,01350,0000,01500PATIENT ACTIVITIES 73425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73425,A000000,01600,0000,01600SKILLED NURSING FACILITY 73425,A000000,01800,0000,01800NURSING FACILITY 73425,A000000,01810,0000,01810ICF/MR 73425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73425,A000000,02500,0000,02500PHYSICAL THERAPY 73425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73425,A000000,02700,0000,02700SPEECH PATHOLOGY 73425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73425,A000000,03200,0000,03200SUPPORT SURFACES 73425,A000000,03550,0000,03550FQHC 73425,A000000,05000,0000,05000CORF 73425,A000000,05010,0000,05010CMHC 73425,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73425,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73425,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73425,A81000A,00100,0100,Y 73425,A81000B,00100,0300,CENTRAL OFFICE OVHD 73425,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 73425,A81000B,00300,0300,BUILDING RENTAL 73425,A81000C,00100,0100,B 73425,A81000C,00100,0200,AUTUMN CORPORATION 73425,A81000C,00100,0400,HOME OFFICE 73425,A81000C,00200,0100,B 73425,A81000C,00200,0200,AUTUMN CORPORATION 73425,A81000C,00200,0400,HOME OFFICE 73425,A81000C,00300,0100,B 73425,A81000C,00300,0200,SUFFOLK HEALTHCARE 73425,A81000C,00300,0400,BUILDING RENTAL 73425,B100000,00000,0100,00000SQUARE FEET 73425,B100000,00000,0200,00000SQUARE FEET 73425,B100000,00000,0300,00000GROSS SALARIES 73425,B100000,00000,0400,00000ACCUM. COST 73425,B100000,00000,0500,00000SQUARE FEET 73425,B100000,00000,0600,00000POUNDS OF LAUNDRY 73425,B100000,00000,0700,00000SQ FT W/O DIETARY 73425,B100000,00000,0800,00000PATIENT DAYS 73425,B100000,00000,0900,00000HOURS OF SERVICE 73425,B100000,00000,1000,00000PATIENT DAYS 73425,B100000,00000,1100,00000PATIENT DAYS 73425,B100000,00000,1200,00000PATIENT DAYS 73425,B100000,00000,1300,00000PATIENT DAYS 73425,B100000,00000,1350,00000PATIENT DAYS 73425,B100000,00000,1400,00000ASSIGNED TIME 73425,E10A180,00301,0100,05/27/1999 73425,E10A180,00501,0100,04/27/2000 73425,E10A180,00501,0300,04/27/2000 73425,S000000,00100,0200,03/30/2000 73425,S200000,00100,0100,2580 PRUDEN BLVD 73425,S200000,00100,0300,1548 73425,S200000,00200,0100,SUFFOLK 73425,S200000,00200,0200,VA 73425,S200000,00300,0100,TIDEWATER DISTRICT 73425,S200000,00400,0100,AUTUMN CARE OF SUFFOLK 73425,S200000,00400,0200,495258 73425,S200000,00400,0300,10/15/1991 73425,S200000,00400,0500,P 73425,S200000,01600,0100,Y 73429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73429,A000000,00300,0000,00300EMPLOYEE BENEFITS 73429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73429,A000000,00700,0000,00700HOUSEKEEPING 73429,A000000,00800,0000,00800DIETARY 73429,A000000,00900,0000,00900NURSING ADMINISTRATION 73429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73429,A000000,01100,0000,01100PHARMACY 73429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73429,A000000,01300,0000,01300SOCIAL SERVICE 73429,A000000,01350,0000,01500PATIENT ACTIVITIES 73429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73429,A000000,01600,0000,01600SKILLED NURSING FACILITY 73429,A000000,01800,0000,01800NURSING FACILITY 73429,A000000,01810,0000,01810ICF/MR 73429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73429,A000000,02500,0000,02500PHYSICAL THERAPY 73429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73429,A000000,02700,0000,02700SPEECH PATHOLOGY 73429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73429,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73429,A000000,03550,0000,03550FQHC 73429,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73429,A000000,05000,0000,05000CORF 73429,A000000,05010,0000,05010CMHC 73429,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73429,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73429,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73429,A81000A,00100,0100,Y 73429,A81000B,00100,0300,CENTRAL OFFICE CAPITAL SOCT 73429,A81000B,00200,0300,CENTRAL OFFICE OVERHEAD 73429,A81000C,00100,0100,B 73429,A81000C,00100,0200,AUTUMN CORPORATION 73429,A81000C,00100,0400,AUTUMN CORPORATION 73429,A81000C,00100,0600,CENTRAL OFFICE 73429,A81000C,00200,0100,B 73429,A81000C,00200,0200,AUTUMN CORPORATION 73429,A81000C,00200,0400,AUTUMN CORPORATION 73429,A81000C,00200,0600,CENTRAL OFFICE 73429,A81000C,00300,0100,B 73429,B100000,00000,0100,00000SQUARE FEET 73429,B100000,00000,0200,00000SQUARE FEET 73429,B100000,00000,0300,00000GROSS SALARIES 73429,B100000,00000,0400,00000ACCUM. COST 73429,B100000,00000,0500,00000SQUARE FEET 73429,B100000,00000,0600,00000POUNDS OF LAUNDRY 73429,B100000,00000,0700,00000SQ FT W/O DIETARY 73429,B100000,00000,0800,00000PATIENT DAYS 73429,B100000,00000,0900,00000HOURS OF SERVICE 73429,B100000,00000,1000,00000PATIENT DAYS 73429,B100000,00000,1100,00000PATIENT DAYS 73429,B100000,00000,1200,00000PATIENT DAYS 73429,B100000,00000,1300,00000PATIENT DAYS 73429,B100000,00000,1350,00000PATIENT DAYS 73429,B100000,00000,1400,00000ASSIGNED TIME 73429,E10A180,00501,0100,04/12/2000 73429,S000000,00100,0200,03/31/2000 73429,S200000,00100,0100,803 WESTMINISTER DR 73429,S200000,00100,0300,406 73429,S200000,00200,0100,FISHERVILLE 73429,S200000,00200,0200,VA 73429,S200000,00300,0100,AUGUSTA 73429,S200000,00400,0100,SHENANDOAH NURSING HOME 73429,S200000,00400,0200,495262 73429,S200000,00400,0300,04/21/1992 73429,S200000,00400,0500,P 73429,S200000,01600,0100,Y 73433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73433,A000000,00300,0000,00300EMPLOYEE BENEFITS 73433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73433,A000000,00700,0000,00700HOUSEKEEPING 73433,A000000,00800,0000,00800DIETARY 73433,A000000,00900,0000,00900NURSING ADMINISTRATION 73433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73433,A000000,01100,0000,01100PHARMACY 73433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73433,A000000,01300,0000,01300SOCIAL SERVICE 73433,A000000,01350,0000,01500OTHER GENERAL SERVICES 73433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73433,A000000,01600,0000,01600SKILLED NURSING FACILITY 73433,A000000,01800,0000,01800NURSING FACILITY 73433,A000000,01900,0000,01900OTHER LONG TERM CARE 73433,A000000,02100,0000,02100RADIOLOGY 73433,A000000,02200,0000,02200LABORATORY 73433,A000000,02300,0000,02300INTRAVENOUS THERAPY 73433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73433,A000000,02500,0000,02500PHYSICAL THERAPY 73433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73433,A000000,02700,0000,02700SPEECH PATHOLOGY 73433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73433,A000000,03200,0000,03200SUPPORT SURFACES 73433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73433,A000000,03550,0000,03550FQHC 73433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73433,A000000,05000,0000,05000CORF 73433,A000000,05010,0000,05010CMHC 73433,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73433,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73433,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73433,A81000A,00100,0100,Y 73433,A81000B,00100,0300,RENTAL EXPENSE 73433,A81000B,00200,0300,RENTAL EXPENSE 73433,A81000B,00300,0300,MANAGEMENT FEE 73433,A81000B,00400,0300,MANAGEMENT FEE 73433,A81000B,00500,0300,MANAGEMENT FEE 73433,A81000C,00100,0100,B 73433,A81000C,00100,0200,MECICORP HLTHSY 73433,A81000C,00100,0400,MEDICORP HLTHSY 73433,A81000C,00100,0600,MANAGEMENT 73433,A81000C,00200,0100,B 73433,A81000C,00200,0200,MEDICORP HLTHSY 73433,A81000C,00200,0400,MEDICORP HLTHSY 73433,A81000C,00200,0600,MANAGEMENT 73433,A81000C,00300,0100,B 73433,A81000C,00300,0200,MEDICORP HLTHSY 73433,A81000C,00300,0400,MEDICORP HLTHSY 73433,A81000C,00300,0600,MANAGEMENT 73433,A81000C,00400,0100,B 73433,A81000C,00400,0200,MEDICORP HLTHSY 73433,A81000C,00400,0400,MEDICORP HLTHSY 73433,A81000C,00400,0600,MANAGEMENT 73433,B100000,00000,0100,00000SQUARE FEET 73433,B100000,00000,0200,00000SQUARE FEET 73433,B100000,00000,0300,00000GROSS SALARIES 73433,B100000,00000,0400,00000ACCUM. COST 73433,B100000,00000,0500,00000SQUARE FEET 73433,B100000,00000,0600,00000POUNDS OF LAUNDRY 73433,B100000,00000,0700,00000SQUARE FEET 73433,B100000,00000,0800,00000MEALS SERVED 73433,B100000,00000,0900,00000PATIENT DAYS 73433,B100000,00000,1000,00000PATIENT DAYS 73433,B100000,00000,1100,00000COSTED REQUIS. 73433,B100000,00000,1200,00000PATIENT DAYS 73433,B100000,00000,1300,00000PATIENT DAYS 73433,B100000,00000,1350,00000NO STATISTICS 73433,B100000,00000,1400,00000ASSIGNED TIME 73433,E10A180,00301,0100,03/09/2000 73433,E10A180,00501,0100,06/13/2000 73433,E10A180,00501,0300,06/13/2000 73433,S000000,00100,0200,05/31/2000 73433,S200000,00100,0100,5040 PLANK ROAD 73433,S200000,00200,0100,FREDERICKSBURG 73433,S200000,00200,0200,VA 73433,S200000,00200,0300,22401 73433,S200000,00300,0100,SPOTSYLVANIA 73433,S200000,00400,0100,CARRIAGE HILL NURSING HOME 73433,S200000,00400,0200,495265 73433,S200000,00400,0300,06/01/1992 73433,S200000,00400,0500,P 73433,S200000,00600,0200,495265 73433,S200000,00600,0300,06/01/1992 73433,S200000,00600,0600,P 73433,S200000,01500,0100,Y 73436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73436,A000000,00300,0000,00300EMPLOYEE BENEFITS 73436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73436,A000000,00700,0000,00700HOUSEKEEPING 73436,A000000,00800,0000,00800DIETARY 73436,A000000,00900,0000,00900NURSING ADMINISTRATION 73436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73436,A000000,01100,0000,01100PHARMACY 73436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73436,A000000,01300,0000,01300SOCIAL SERVICE 73436,A000000,01350,0000,01500OTHER GENERAL SERVICES 73436,A000000,01351,0000,01501ACTIVITIES 73436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73436,A000000,01600,0000,01600SKILLED NURSING FACILITY 73436,A000000,01800,0000,01800NURSING FACILITY 73436,A000000,02100,0000,02100RADIOLOGY 73436,A000000,02200,0000,02200LABORATORY 73436,A000000,02300,0000,02300INTRAVENOUS THERAPY 73436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73436,A000000,02500,0000,02500PHYSICAL THERAPY 73436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73436,A000000,02700,0000,02700SPEECH PATHOLOGY 73436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73436,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73436,A000000,03201,0000,03201THERAPUETIC BEDS 73436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73436,A000000,03550,0000,03550FQHC 73436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73436,A000000,05000,0000,05000CORF 73436,A000000,05010,0000,05010CMHC 73436,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73436,A81000A,00100,0100,Y 73436,A81000B,00100,0300,CAP REL COSTS-BLDGS AND FIX 73436,A81000B,00200,0300,A&G 73436,A81000C,00100,0100,B 73436,A81000C,00100,0400,SAGE HEALTH SERV. OF IN 73436,A81000C,00100,0600,NURSING HOME MANAGERS 73436,B100000,00000,0100,00000SQUARE FEET 73436,B100000,00000,0200,00000DOLLAR VALUE 73436,B100000,00000,0300,00000GROSS SALARIES 73436,B100000,00000,0400,00000ACCUM. COST 73436,B100000,00000,0500,00000SQUARE FEET 73436,B100000,00000,0600,00000PATIENT DAYS 73436,B100000,00000,0700,00000SQUARE FEET 73436,B100000,00000,0800,00000MEALS SERVED 73436,B100000,00000,0900,00000DIRECT NRSING HRS 73436,B100000,00000,1000,00000COSTED REQUIS. 73436,B100000,00000,1100,00000COSTED REQUIS. 73436,B100000,00000,1200,00000PATIENT DAYS 73436,B100000,00000,1300,00000PATIENT DAYS 73436,B100000,00000,1350,00000NO STATISTICS 73436,B100000,00000,1351,00000PATIENT DAYS 73436,B100000,00000,1400,00000ASSIGNED TIME 73436,E10A180,00501,0100,08/30/2000 73436,E10A180,00501,0300,08/30/2000 73436,E10A180,00502,0100,09/19/2001 73436,S000000,00100,0200,07/06/2000 73436,S200000,00100,0100,1776 CAMBRIDGE DRIVE 73436,S200000,00200,0100,RICHMOND 73436,S200000,00200,0200,VA 73436,S200000,00200,0300,23233 73436,S200000,00300,0100,HENRICO 73436,S200000,00400,0100,BETHANY HEALHPLEX 73436,S200000,00400,0200,495272 73436,S200000,00400,0300,01/01/1993 73436,S200000,00400,0500,P 73436,S200000,01600,0100,Y 73438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73438,A000000,00300,0000,00300EMPLOYEE BENEFITS 73438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73438,A000000,00700,0000,00700HOUSEKEEPING 73438,A000000,00800,0000,00800DIETARY 73438,A000000,00900,0000,00900NURSING ADMINISTRATION 73438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73438,A000000,01100,0000,01100PHARMACY 73438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73438,A000000,01300,0000,01300SOCIAL SERVICE 73438,A000000,01350,0000,01500OTHER GENERAL SERVICES 73438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73438,A000000,01600,0000,01600SKILLED NURSING FACILITY 73438,A000000,01800,0000,01800NURSING FACILITY 73438,A000000,02100,0000,02100RADIOLOGY 73438,A000000,02200,0000,02200LABORATORY 73438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73438,A000000,02500,0000,02500PHYSICAL THERAPY 73438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73438,A000000,02700,0000,02700SPEECH PATHOLOGY 73438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73438,A000000,03550,0000,03550FQHC 73438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73438,A000000,04800,0000,04800AMBULANCE 73438,A000000,05000,0000,05000CORF 73438,A000000,05010,0000,05010CMHC 73438,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73438,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73438,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73438,A000000,06201,0000,06201OTHER FACILITY LAUNDRY 73438,A81000A,00100,0100,Y 73438,A81000B,00100,0300,MEDICAL SUPPLIES 73438,A81000B,00200,0300,NUTRITIONAL SUPPLIES 73438,A81000B,00300,0300,PART B BILLING FEES 73438,A81000B,00400,0300,THERAPY COSTS 73438,A81000C,00100,0100,B 73438,A81000C,00100,0200,VA HEALTH ENTERPRISES 73438,A81000C,00100,0600,MEDICAL BILLING 73438,A81000C,00200,0100,B 73438,A81000C,00200,0200,VA HEALTH REHABILITATION 73438,A81000C,00200,0600,THERAPY PROVIDER 73438,B100000,00000,0100,00000SQUARE FEET 73438,B100000,00000,0200,00000SQUARE FEET 73438,B100000,00000,0300,00000GROSS SALARIES 73438,B100000,00000,0400,00000ACCUM. COST 73438,B100000,00000,0500,00000SQUARE FEET 73438,B100000,00000,0600,00000POUNDS OF LAUNDRY 73438,B100000,00000,0700,00000HOURS OF SERVICE 73438,B100000,00000,0800,00000MEALS SERVED 73438,B100000,00000,0900,00000DIRECT NRSING HRS 73438,B100000,00000,1000,00000PATIENT DAYS 73438,B100000,00000,1100,00000COSTED REQUIS. 73438,B100000,00000,1200,00000TIME SPENT 73438,B100000,00000,1300,00000TIME SPENT 73438,B100000,00000,1350,00000NO STATISTICS 73438,B100000,00000,1400,00000ASSIGNED TIME 73438,S000000,00100,0200,05/31/2000 73438,S200000,00100,0100,RT. 17 & MERIDITH DRIVE 73438,S200000,00200,0100,GLOUCESTER 73438,S200000,00200,0200,VA 73438,S200000,00200,0300,23061 73438,S200000,00300,0100,GLOUCESTER 73438,S200000,00400,0100,WALTER REED CONVALESCENT CENTER 73438,S200000,00400,0200,495276 73438,S200000,00400,0300,05/01/1993 73438,S200000,00400,0500,P 73438,S200000,01600,0100,Y 73438,S200000,01900,0100,NON PROFIT 73440,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73440,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73440,A000000,00300,0000,00300EMPLOYEE BENEFITS 73440,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73440,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73440,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73440,A000000,00700,0000,00700HOUSEKEEPING 73440,A000000,00800,0000,00800DIETARY 73440,A000000,00900,0000,00900NURSING ADMINISTRATION 73440,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73440,A000000,01100,0000,01100PHARMACY 73440,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73440,A000000,01300,0000,01300SOCIAL SERVICE 73440,A000000,01350,0000,01500RECREATION/ACTIVITIES 73440,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73440,A000000,01600,0000,01600SKILLED NURSING FACILITY 73440,A000000,01800,0000,01800NURSING FACILITY 73440,A000000,01810,0000,01810ICF/MR 73440,A000000,02100,0000,02100RADIOLOGY 73440,A000000,02200,0000,02200LABORATORY 73440,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73440,A000000,02500,0000,02500PHYSICAL THERAPY 73440,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73440,A000000,02700,0000,02700SPEECH PATHOLOGY 73440,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73440,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73440,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73440,A000000,03200,0000,03200SUPPORT SURFACES 73440,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73440,A000000,03550,0000,03550FQHC 73440,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73440,A000000,05000,0000,05000CORF 73440,A000000,05010,0000,05010CMHC 73440,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73440,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73440,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73440,A000000,05300,0000,05300INTEREST EXPENSE 73440,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73440,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73440,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73440,A81000A,00100,0100,Y 73440,A81000B,00100,0300,HOME OFFICE COSTS 73440,A81000B,00200,0300,HOME OFFICE COSTS 73440,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73440,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73440,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73440,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73440,A81000B,00700,0300,RELATED PARTY - PHARMACY 73440,A81000B,00800,0300,RELATED PARTY- PHARMACY 73440,A81000B,00900,0300,RELATED PARTY - PHARMACY 73440,A81000B,01000,0300,RELATED PARTY - PHARMACY 73440,A81000B,01100,0300,RELATED PARTY - PHARMACY 73440,A81000B,01200,0300,RELATED PARTY - PHARMACY 73440,A81000C,00100,0100,B 73440,A81000C,00100,0200,MFV I 73440,A81000C,00100,0400,MFA INC 73440,A81000C,00100,0600,HOME OFFICE 73440,A81000C,00200,0100,A 73440,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73440,A81000C,00200,0400,PHARMACY CARE PLUS 73440,A81000C,00200,0600,PHARMACY SERVICES 73440,A81000C,00300,0100,A 73440,A81000C,00300,0200,W HEYWOOD FRALIN 73440,A81000C,00300,0400,PHARMACY CARE PLUS 73440,A81000C,00300,0600,PHARMACY SERVICES 73440,B100000,00000,0100,00000SQUARE FEET 73440,B100000,00000,0200,00000SQUARE FEET 73440,B100000,00000,0300,00000GROSS SALARIES 73440,B100000,00000,0400,00000ACCUM. COST 73440,B100000,00000,0500,00000SQUARE FEET 73440,B100000,00000,0600,00000PATIENT DAYS 73440,B100000,00000,0700,00000SQUARE FEET 73440,B100000,00000,0800,00000MEALS 73440,B100000,00000,0900,00000SALARIES 73440,B100000,00000,1000,00000COSTED REQUIS. 73440,B100000,00000,1100,00000COSTED REQUIS. 73440,B100000,00000,1200,00000TIME SPENT 73440,B100000,00000,1300,00000TIME SPENT 73440,B100000,00000,1350,00000TIME SPENT 73440,B100000,00000,1400,00000ASSIGNED TIME 73440,E10A180,00301,0100,08/26/1999 73440,E10A180,00302,0100,11/18/1999 73440,E10A180,00501,0100,06/16/2000 73440,E10A180,00501,0300,06/16/2000 73440,S000000,00100,0200,05/31/2000 73440,S200000,00100,0100,602 MADISON ROAD 73440,S200000,00200,0100,CULPEPER 73440,S200000,00200,0200,VA 73440,S200000,00300,0100,CULPEPER 73440,S200000,00400,0100,CULPEPER HEALTH CARE CENTER 73440,S200000,00400,0200,495279 73440,S200000,00400,0300,07/19/1982 73440,S200000,00400,0500,P 73440,S200000,01600,0100,Y 73440,S200000,01900,0100,NON PROFIT 73440,S200000,02800,0100,Y 73442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73442,A000000,00300,0000,00300EMPLOYEE BENEFITS 73442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73442,A000000,00700,0000,00700HOUSEKEEPING 73442,A000000,00800,0000,00800DIETARY 73442,A000000,00900,0000,00900NURSING ADMINISTRATION 73442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73442,A000000,01100,0000,01100PHARMACY 73442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73442,A000000,01300,0000,01300SOCIAL SERVICE 73442,A000000,01350,0000,01500RECREATION 73442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73442,A000000,01600,0000,01600SKILLED NURSING FACILITY 73442,A000000,01800,0000,01800NURSING FACILITY 73442,A000000,01900,0000,01900OTHER LONG TERM CARE 73442,A000000,02500,0000,02500PHYSICAL THERAPY 73442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73442,A000000,02700,0000,02700SPEECH PATHOLOGY 73442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73442,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73442,A000000,03550,0000,03550FQHC 73442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73442,A000000,05000,0000,05000CORF 73442,A000000,05010,0000,05010CMHC 73442,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73442,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73442,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73442,A000000,05300,0000,05300INTEREST EXPENSE 73442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73442,B100000,00000,0100,00000SQUARE FEET 73442,B100000,00000,0200,00000SQUARE FEET 73442,B100000,00000,0300,00000GROSS SALARIES 73442,B100000,00000,0400,00000ACCUM. COST 73442,B100000,00000,0500,00000SQUARE FEET 73442,B100000,00000,0600,00000PATIENT DAYS 73442,B100000,00000,0700,00000SQUARE FEET 73442,B100000,00000,0800,00000MEALS SERVED 73442,B100000,00000,0900,00000PATIENT DAYS 73442,B100000,00000,1000,00000PATIENT DAYS 73442,B100000,00000,1100,00000COSTED REQUIS. 73442,B100000,00000,1200,00000PATIENT DAYS 73442,B100000,00000,1300,00000PATIENT DAYS 73442,B100000,00000,1350,00000PATIENT DAYS 73442,B100000,00000,1400,00000ASSIGNED TIME 73442,E10A180,00501,0100,07/21/2000 73442,E10A180,00550,0300,07/21/2000 73442,S000000,00100,0200,07/03/2000 73442,S200000,00100,0100,12191 CLIPPER DRIVE 73442,S200000,00200,0100,LAKE RIDGE 73442,S200000,00200,0200,VA 73442,S200000,00200,0300,22192 73442,S200000,00300,0100,PRINCE WILLIAM 73442,S200000,00400,0100,WESTMINSTER AT LAKE RIDGE 73442,S200000,00400,0200,495280 73442,S200000,00400,0300,07/09/1993 73442,S200000,00400,0500,P 73442,S200000,01600,0100,Y 73443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73443,A000000,00300,0000,00300EMPLOYEE BENEFITS 73443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73443,A000000,00700,0000,00700HOUSEKEEPING 73443,A000000,00800,0000,00800DIETARY 73443,A000000,00900,0000,00900NURSING ADMINISTRATION 73443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73443,A000000,01100,0000,01100PHARMACY 73443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73443,A000000,01300,0000,01300SOCIAL SERVICE 73443,A000000,01350,0000,01500RECREATION/ACTIVITIES 73443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73443,A000000,01600,0000,01600SKILLED NURSING FACILITY 73443,A000000,01800,0000,01800NURSING FACILITY 73443,A000000,01810,0000,01810ICF/MR 73443,A000000,02100,0000,02100RADIOLOGY 73443,A000000,02200,0000,02200LABORATORY 73443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73443,A000000,02500,0000,02500PHYSICAL THERAPY 73443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73443,A000000,02700,0000,02700SPEECH PATHOLOGY 73443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73443,A000000,03200,0000,03200SUPPORT SURFACES 73443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73443,A000000,03550,0000,03550FQHC 73443,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73443,A000000,05000,0000,05000CORF 73443,A000000,05010,0000,05010CMHC 73443,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73443,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73443,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73443,A000000,05300,0000,05300INTEREST EXPENSE 73443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73443,A81000A,00100,0100,Y 73443,A81000B,00100,0300,HOME OFFICE COSTS 73443,A81000B,00200,0300,HOME OFFICE COSTS 73443,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73443,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73443,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73443,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73443,A81000B,00700,0300,RELATED PARTY - PHARMACY 73443,A81000B,00800,0300,RELATED PARTY - PHARMACY 73443,A81000B,00900,0300,RELATED PARTY - PHARMACY 73443,A81000B,01000,0300,RELATED PARTY - PHARMACY 73443,A81000B,01100,0300,RELATED PARTY - PHARMACY 73443,A81000B,01200,0300,RELATED PARTY - PHARMACY 73443,A81000B,01300,0300,RELATED PARTY - PHARMACY 73443,A81000C,00100,0100,B 73443,A81000C,00100,0200,MFV I 73443,A81000C,00100,0400,MFA INC 73443,A81000C,00100,0600,HOME OFFICE 73443,A81000C,00200,0100,A 73443,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73443,A81000C,00200,0400,PHARMACY CARE PLUS 73443,A81000C,00200,0600,PHARMACY SERVICES 73443,A81000C,00300,0100,A 73443,A81000C,00300,0200,W HEYWOOD FRALIN 73443,A81000C,00300,0400,PHARMACY CARE PLUS 73443,A81000C,00300,0600,PHARMACY SERVICES 73443,B100000,00000,0100,00000SQUARE FEET 73443,B100000,00000,0200,00000SQUARE FEET 73443,B100000,00000,0300,00000GROSS SALARIES 73443,B100000,00000,0400,00000ACCUM. COST 73443,B100000,00000,0500,00000SQUARE FEET 73443,B100000,00000,0600,00000PATIENT DAYS 73443,B100000,00000,0700,00000SQUARE FEET 73443,B100000,00000,0800,00000MEALS SERVED 73443,B100000,00000,0900,00000SALARIES SERVICE 73443,B100000,00000,1000,00000COSTED REQUIS. 73443,B100000,00000,1100,00000COSTED REQUIS. 73443,B100000,00000,1200,00000TIME SPENT 73443,B100000,00000,1300,00000TIME SPENT 73443,B100000,00000,1350,00000TIME SPENT 73443,B100000,00000,1400,00000ASSIGNED TIME 73443,E10A180,00301,0100,07/29/1999 73443,E10A180,00302,0100,12/30/1999 73443,E10A180,00501,0100,06/19/2000 73443,E10A180,00501,0300,06/19/2000 73443,S000000,00100,0200,05/31/2000 73443,S200000,00100,0100,210 ELM STREET 73443,S200000,00100,0300,1310 73443,S200000,00200,0100,LOUISA 73443,S200000,00200,0200,VA 73443,S200000,00200,0300,23093 73443,S200000,00300,0100,LOUISA 73443,S200000,00400,0100,LOUISA HEALTH CARE CENTER 73443,S200000,00400,0200,495282 73443,S200000,00400,0300,09/13/1984 73443,S200000,00400,0500,P 73443,S200000,01600,0100,Y 73443,S200000,01900,0100,NON PROFIT 73443,S200000,02800,0100,Y 73445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73445,A000000,00300,0000,00300EMPLOYEE BENEFITS 73445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73445,A000000,00700,0000,00700HOUSEKEEPING 73445,A000000,00800,0000,00800DIETARY 73445,A000000,00900,0000,00900NURSING ADMINISTRATION 73445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73445,A000000,01100,0000,01100PHARMACY 73445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73445,A000000,01300,0000,01300SOCIAL SERVICE 73445,A000000,01350,0000,01500OTHER GENERAL SERVICES 73445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73445,A000000,01600,0000,01600SKILLED NURSING FACILITY 73445,A000000,01800,0000,01800NURSING FACILITY 73445,A000000,01810,0000,01810ICF/MR 73445,A000000,02100,0000,02100RADIOLOGY 73445,A000000,02200,0000,02200LABORATORY 73445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73445,A000000,02500,0000,02500PHYSICAL THERAPY 73445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73445,A000000,02700,0000,02700SPEECH PATHOLOGY 73445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73445,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73445,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73445,A000000,03550,0000,03550FQHC 73445,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73445,A000000,04800,0000,04800AMBULANCE 73445,A000000,05000,0000,05000CORF 73445,A000000,05010,0000,05010CMHC 73445,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73445,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73445,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73445,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73445,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73445,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73445,A000000,06201,0000,06201OTHER FACILITY LAUNDRY 73445,A81000A,00100,0100,Y 73445,A81000B,00100,0300,MEDICAL SUPPLIES 73445,A81000B,00200,0300,NUTRITIONAL SUPPLIES 73445,A81000B,00300,0300,THERAPY COSTS 73445,A81000B,00400,0300,BILLING FEES 73445,A81000C,00100,0100,B 73445,A81000C,00100,0200,VA HEALTH ENTERPRISES 73445,A81000C,00100,0600,MEDICAL BILLING SERVICE 73445,A81000C,00200,0100,B 73445,A81000C,00200,0200,VA HEALTH REHABILITATION 73445,A81000C,00200,0600,THERAPY PROVIDER 73445,B100000,00000,0100,00000SQUARE FEET 73445,B100000,00000,0200,00000SQUARE FEET 73445,B100000,00000,0300,00000GROSS SALARIES 73445,B100000,00000,0400,00000ACCUM. COST 73445,B100000,00000,0500,00000SQUARE FEET 73445,B100000,00000,0600,00000POUNDS OF LAUNDRY 73445,B100000,00000,0700,00000HOURS OF SERVICE 73445,B100000,00000,0800,00000MEALS SERVED 73445,B100000,00000,0900,00000DIRECT NURSE HOUR 73445,B100000,00000,1000,00000PATIENT DAYS 73445,B100000,00000,1100,00000NO STATISTICS 73445,B100000,00000,1200,00000NO STATISTICS 73445,B100000,00000,1300,00000TIME SPENT 73445,B100000,00000,1350,00000NO STATISTICS 73445,B100000,00000,1400,00000NO STATISTICS 73445,S000000,00100,0200,05/31/2000 73445,S200000,00100,0100,540 ABERTHAW AVENUE 73445,S200000,00200,0100,NEWPORT NEWS 73445,S200000,00200,0200,VA 73445,S200000,00200,0300,23601 73445,S200000,00300,0100,NEWPORT NEWS 73445,S200000,00400,0100,JAMES RIVER CONVALESCENT CENTER 73445,S200000,00400,0200,495286 73445,S200000,00400,0300,01/01/1994 73445,S200000,00400,0500,P 73445,S200000,01600,0100,Y 73445,S200000,01900,0100,NON PROFIT 73446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73446,A000000,00300,0000,00300EMPLOYEE BENEFITS 73446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73446,A000000,00700,0000,00700HOUSEKEEPING 73446,A000000,00800,0000,00800DIETARY 73446,A000000,00900,0000,00900NURSING ADMINISTRATION 73446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73446,A000000,01100,0000,01100PHARMACY 73446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73446,A000000,01300,0000,01300SOCIAL SERVICE 73446,A000000,01350,0000,01500PATIENT ACTIVITIES 73446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73446,A000000,01600,0000,01600SKILLED NURSING FACILITY 73446,A000000,01800,0000,01800NURSING FACILITY 73446,A000000,01810,0000,01810ICF/MR 73446,A000000,02100,0000,02100RADIOLOGY 73446,A000000,02200,0000,02200LABORATORY 73446,A000000,02300,0000,02300INTRAVENOUS THERAPY 73446,A000000,02500,0000,02500PHYSICAL THERAPY 73446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73446,A000000,02700,0000,02700SPEECH PATHOLOGY 73446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73446,A000000,03050,0000,03300AIR FLUID BED THERAPY 73446,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73446,A000000,03550,0000,03550FQHC 73446,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73446,A000000,05000,0000,05000CORF 73446,A000000,05010,0000,05010CMHC 73446,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73446,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73446,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73446,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73446,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73446,A000000,05901,0000,05901DENTAL OFFICE 73446,A000000,06150,0000,06300WOODS FOOD SERVICES 73446,A000000,06151,0000,06301RELIGOUS PROGRAM SERVICES 73446,B100000,00000,0100,00001SQUARE FEET 73446,B100000,00000,0200,00001SQUARE FEET 73446,B100000,00000,0300,00001GROSS SALARIES 73446,B100000,00000,0400,00001ACCUM. COST 73446,B100000,00000,0500,00001SQUARE FEET 73446,B100000,00000,0600,00001POUNDS OF LAUNDRY 73446,B100000,00000,0700,00001SQUARE FEET 73446,B100000,00000,0800,00001MEALS SERVED 73446,B100000,00000,0900,00001DIRECT NRSING HRS 73446,B100000,00000,1000,00001PATIENT DAYS 73446,B100000,00000,1100,00001NO STATISTICS 73446,B100000,00000,1200,00001GROSS PAT. CHAGE 73446,B100000,00000,1300,00001TIME SPENT 73446,B100000,00000,1350,00001TIME SPENT 73446,B100000,00000,1400,00001NO STATISTICS 73446,E10A180,00501,0100,04/17/2000 73446,E10A180,00550,0300,04/17/2000 73446,S000000,00100,0200,02/21/2000 73446,S200000,00100,0100,1600 JOHN ROLFE PARKWAY 73446,S200000,00200,0100,RICHMOND 73446,S200000,00200,0200,VA 73446,S200000,00300,0100,HENRICO 73446,S200000,00400,0100,BETH SHOLOM HOME OF VIRGINIA 73446,S200000,00400,0200,495291 73446,S200000,00400,0300,01/01/1995 73446,S200000,00400,0500,P 73446,S200000,01600,0100,Y 73446,S200000,02800,0100,Y 73448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73448,A000000,00300,0000,00300EMPLOYEE BENEFITS 73448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73448,A000000,00700,0000,00700HOUSEKEEPING 73448,A000000,00800,0000,00800DIETARY 73448,A000000,00900,0000,00900NURSING ADMINISTRATION 73448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73448,A000000,01100,0000,01100PHARMACY 73448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73448,A000000,01300,0000,01300SOCIAL SERVICE 73448,A000000,01350,0000,01500RECREATION/ACTIVITIES 73448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73448,A000000,01600,0000,01600SKILLED NURSING FACILITY 73448,A000000,01800,0000,01800NURSING FACILITY 73448,A000000,01810,0000,01810ICF/MR 73448,A000000,02100,0000,02100RADIOLOGY 73448,A000000,02200,0000,02200LABORATORY 73448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73448,A000000,02500,0000,02500PHYSICAL THERAPY 73448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73448,A000000,02700,0000,02700SPEECH PATHOLOGY 73448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73448,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73448,A000000,03200,0000,03200SUPPORT SURFACES 73448,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73448,A000000,03550,0000,03550FQHC 73448,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73448,A000000,05000,0000,05000CORF 73448,A000000,05010,0000,05010CMHC 73448,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73448,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73448,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73448,A000000,05300,0000,05300INTEREST EXPENSE 73448,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73448,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73448,A81000A,00100,0100,Y 73448,A81000B,00100,0300,HOME OFFICE COSTS 73448,A81000B,00200,0300,HOME OFFICE COSTS 73448,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73448,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73448,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73448,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73448,A81000B,00700,0300,RELATED PARTY - PHARMACY 73448,A81000B,00800,0300,RELATED PARTY - PHARMACY 73448,A81000B,00900,0300,RELATED PARTY - PHARMACY 73448,A81000B,01000,0300,RELATED PARTY - PHARMACY 73448,A81000C,00100,0100,B 73448,A81000C,00100,0200,MFV I 73448,A81000C,00100,0400,MFA INC 73448,A81000C,00100,0600,HOME OFFICE 73448,A81000C,00200,0100,A 73448,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73448,A81000C,00200,0400,PHARMACY CARE PLUS 73448,A81000C,00200,0600,PHARMACY SERVICES 73448,A81000C,00300,0100,A 73448,A81000C,00300,0200,W HEYWOOD FRALIN 73448,A81000C,00300,0400,PHARMACY CARE PLUS 73448,A81000C,00300,0600,PHARMACY SERVICES 73448,B100000,00000,0100,00000SQUARE FEET 73448,B100000,00000,0200,00000SQUARE FEET 73448,B100000,00000,0300,00000GROSS SALARIES 73448,B100000,00000,0400,00000ACCUM. COST 73448,B100000,00000,0500,00000SQUARE FEET 73448,B100000,00000,0600,00000PATIENT DAYS 73448,B100000,00000,0700,00000SQUARE FEET 73448,B100000,00000,0800,00000MEALS SERVED 73448,B100000,00000,0900,00000SALARIES 73448,B100000,00000,1000,00000COSTED REQUIS. 73448,B100000,00000,1100,00000COSTED REQUIS. 73448,B100000,00000,1200,00000PATIENT DAYS 73448,B100000,00000,1300,00000TIME SPENT 73448,B100000,00000,1350,00000TIME SPENT 73448,B100000,00000,1400,00000ASSIGNED TIME 73448,E10A180,00301,0100,07/29/1999 73448,E10A180,00302,0100,12/30/1999 73448,E10A180,00501,0100,06/19/2000 73448,E10A180,00550,0300,06/19/2000 73448,S000000,00100,0200,05/31/2000 73448,S200000,00100,0100,BUSINESS ROUTE 29 73448,S200000,00100,0300,398 73448,S200000,00200,0100,LOVINGSTON 73448,S200000,00200,0200,VA 73448,S200000,00300,0100,NELSON 73448,S200000,00400,0100,LOVINGSTON HEALTH CARE CENTER 73448,S200000,00400,0200,495292 73448,S200000,00400,0300,04/29/1986 73448,S200000,00400,0500,P 73448,S200000,01600,0100,Y 73448,S200000,01900,0100,NON PROFIT 73450,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73450,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73450,A000000,00300,0000,00300EMPLOYEE BENEFITS 73450,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73450,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73450,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73450,A000000,00700,0000,00700HOUSEKEEPING 73450,A000000,00800,0000,00800DIETARY 73450,A000000,00900,0000,00900NURSING ADMINISTRATION 73450,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73450,A000000,01100,0000,01100PHARMACY 73450,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73450,A000000,01300,0000,01300SOCIAL SERVICE 73450,A000000,01350,0000,01500RECREATION/ACTIVITIES 73450,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73450,A000000,01600,0000,01600SKILLED NURSING FACILITY 73450,A000000,01800,0000,01800NURSING FACILITY 73450,A000000,01810,0000,01810ICF/MR 73450,A000000,02100,0000,02100RADIOLOGY 73450,A000000,02200,0000,02200LABORATORY 73450,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73450,A000000,02500,0000,02500PHYSICAL THERAPY 73450,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73450,A000000,02700,0000,02700SPEECH PATHOLOGY 73450,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73450,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73450,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73450,A000000,03200,0000,03200SUPPORT SURFACES 73450,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73450,A000000,03550,0000,03550FQHC 73450,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73450,A000000,05000,0000,05000CORF 73450,A000000,05010,0000,05010CMHC 73450,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73450,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73450,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73450,A000000,05300,0000,05300INTEREST EXPENSE 73450,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73450,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73450,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73450,A81000A,00100,0100,Y 73450,A81000B,00100,0300,HOME OFFICE COSTS 73450,A81000B,00200,0300,HOME OFFICE COSTS 73450,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73450,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73450,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73450,A81000B,00600,0300,RELATED PARTY - PHARMACY 73450,A81000B,00700,0300,RELATED PARTY - PHARMACY 73450,A81000B,00800,0300,RELATED PARTY - PHARMACY 73450,A81000B,00900,0300,RELATED PARTY - PHARMACY 73450,A81000C,00100,0100,B 73450,A81000C,00100,0200,MFV II 73450,A81000C,00100,0400,MFA INC 73450,A81000C,00100,0600,HOME OFFICE 73450,A81000C,00200,0100,A 73450,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73450,A81000C,00200,0400,PHARMACY CARE PLUS 73450,A81000C,00200,0600,PHARMACY SERVICES 73450,A81000C,00300,0100,A 73450,A81000C,00300,0200,W HEYWOOD FRALIN 73450,A81000C,00300,0400,PHARMACY CARE PLUS 73450,A81000C,00300,0600,PHARMACY SERVICES 73450,B100000,00000,0100,00000SQUARE FEET 73450,B100000,00000,0200,00000SQUARE FEET 73450,B100000,00000,0300,00000GROSS SALARIES 73450,B100000,00000,0400,00000ACCUM. COST 73450,B100000,00000,0500,00000SQUARE FEET 73450,B100000,00000,0600,00000PATIENT DAYS 73450,B100000,00000,0700,00000SQUARE FEET 73450,B100000,00000,0800,00000MEALS 73450,B100000,00000,0900,00000SALARIES 73450,B100000,00000,1000,00000COSTED REQUIS. 73450,B100000,00000,1100,00000COSTED REQUIS. 73450,B100000,00000,1200,00000TIME SPENT 73450,B100000,00000,1300,00000TIME SPENT 73450,B100000,00000,1350,00000TIME SPENT 73450,B100000,00000,1400,00000ASSIGNED TIME 73450,E10A180,00301,0100,05/20/1999 73450,E10A180,00302,0100,08/26/1999 73450,E10A180,00303,0100,11/18/1999 73450,E10A180,00550,0100,06/15/2000 73450,E10A180,00550,0300,06/15/2000 73450,S000000,00100,0200,05/31/2000 73450,S200000,00100,0100,705 CLEARVIEW DRIVE 73450,S200000,00200,0100,VINTON 73450,S200000,00200,0200,VA 73450,S200000,00300,0100,ROANOKE 73450,S200000,00400,0100,THE BERKSHIRE HEALTH CARE CENTER 73450,S200000,00400,0200,495293 73450,S200000,00400,0300,08/21/1978 73450,S200000,00400,0500,P 73450,S200000,01600,0100,Y 73450,S200000,01900,0100,NON PROFIT 73451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73451,A000000,00300,0000,00300EMPLOYEE BENEFITS 73451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73451,A000000,00700,0000,00700HOUSEKEEPING 73451,A000000,00800,0000,00800DIETARY 73451,A000000,00900,0000,00900NURSING ADMINISTRATION 73451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73451,A000000,01100,0000,01100PHARMACY 73451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73451,A000000,01300,0000,01300SOCIAL SERVICE 73451,A000000,01350,0000,01500RECREATION/ACTIVITIES 73451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73451,A000000,01600,0000,01600SKILLED NURSING FACILITY 73451,A000000,01800,0000,01800NURSING FACILITY 73451,A000000,01810,0000,01810ICF/MR 73451,A000000,02200,0000,02200LABORATORY 73451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73451,A000000,02500,0000,02500PHYSICAL THERAPY 73451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73451,A000000,02700,0000,02700SPEECH PATHOLOGY 73451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73451,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73451,A000000,03200,0000,03200SUPPORT SURFACES 73451,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73451,A000000,03550,0000,03550FQHC 73451,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73451,A000000,05000,0000,05000CORF 73451,A000000,05010,0000,05010CMHC 73451,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73451,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73451,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73451,A000000,05300,0000,05300INTEREST EXPENSE 73451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73451,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73451,A000000,06151,0000,06301PULASKI RETIREMENT CENTER 73451,A81000A,00100,0100,Y 73451,A81000B,00100,0300,HOME OFFICE COSTS 73451,A81000B,00200,0300,HOME OFFICE COSTS 73451,A81000B,00300,0300,HOME OFFICE COST-TRAINING 73451,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73451,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73451,A81000B,00600,0300,HOME OFFICE COST-THERAPY 73451,A81000B,00700,0300,RELATED PARTY - PHARMACY 73451,A81000B,00800,0300,RELATED PARTY - PHARMACY 73451,A81000B,00900,0300,RELATED PARTY - PHARMACY 73451,A81000B,01000,0300,RELATED PARTY - PHARMACY 73451,A81000B,01100,0300,RELATED PARTY - PHARMACY 73451,A81000C,00100,0100,B 73451,A81000C,00100,0200,MFV I 73451,A81000C,00100,0400,MFA INC 73451,A81000C,00100,0600,HOME OFFICE 73451,A81000C,00200,0100,A 73451,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73451,A81000C,00200,0400,PHARMACY CARE PLUS 73451,A81000C,00200,0600,PHARMACY SERVICES 73451,A81000C,00300,0100,A 73451,A81000C,00300,0200,W HEYWOOD FRALIN 73451,A81000C,00300,0400,PHARMACY CARE PLUS 73451,A81000C,00300,0600,PHARMACY SERVICES 73451,B100000,00000,0100,00001SQUARE FEET 73451,B100000,00000,0200,00001SQUARE FEET 73451,B100000,00000,0300,00001GROSS SALARIES 73451,B100000,00000,0400,00001ACCUM. COST 73451,B100000,00000,0500,00001SQUARE FEET 73451,B100000,00000,0600,00001POUNDS OF LAUNDRY 73451,B100000,00000,0700,00001SQUARE FEET 73451,B100000,00000,0800,00001MEALS 73451,B100000,00000,0900,00001SALARIES 73451,B100000,00000,1000,00001COSTED REQUIS. 73451,B100000,00000,1100,00001COSTED REQUIS. 73451,B100000,00000,1200,00001PATIENT DAYS 73451,B100000,00000,1300,00001TIME SPENT 73451,B100000,00000,1350,00001TIME SPENT 73451,B100000,00000,1400,00001ASSIGNED TIME 73451,E10A180,00301,0100,07/29/1999 73451,E10A180,00302,0100,12/30/1999 73451,E10A180,00501,0100,06/19/2000 73451,E10A180,00501,0300,06/19/2000 73451,S000000,00100,0200,05/31/2000 73451,S200000,00100,0100,2401 LEE HIGHWAY 73451,S200000,00200,0100,PULASKI 73451,S200000,00200,0200,VA 73451,S200000,00300,0100,PULASKI 73451,S200000,00400,0100,PULASKI HEALTH CARE CENTER 73451,S200000,00400,0200,495294 73451,S200000,00400,0300,07/07/1982 73451,S200000,00400,0500,P 73451,S200000,01600,0100,Y 73451,S200000,01900,0100,NON PROFIT 73451,S200000,02800,0100,Y 73452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73452,A000000,00300,0000,00300EMPLOYEE BENEFITS 73452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73452,A000000,00700,0000,00700HOUSEKEEPING 73452,A000000,00800,0000,00800DIETARY 73452,A000000,00900,0000,00900NURSING ADMINISTRATION 73452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73452,A000000,01100,0000,01100PHARMACY 73452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73452,A000000,01300,0000,01300SOCIAL SERVICE 73452,A000000,01350,0000,01500RECREATION/ACTIVITIES 73452,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73452,A000000,01600,0000,01600SKILLED NURSING FACILITY 73452,A000000,01800,0000,01800NURSING FACILITY 73452,A000000,01810,0000,01810ICF/MR 73452,A000000,02200,0000,02200LABORATORY 73452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73452,A000000,02500,0000,02500PHYSICAL THERAPY 73452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73452,A000000,02700,0000,02700SPEECH PATHOLOGY 73452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73452,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73452,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73452,A000000,03550,0000,03550FQHC 73452,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73452,A000000,05000,0000,05000CORF 73452,A000000,05010,0000,05010CMHC 73452,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73452,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73452,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73452,A000000,05300,0000,05300INTEREST EXPENSE 73452,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73452,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73452,A81000A,00100,0100,Y 73452,A81000B,00100,0300,HOME OFFICE COSTS 73452,A81000B,00200,0300,HOME OFFICE COSTS 73452,A81000B,00300,0300,HOME OFFICE COST-THERAPY 73452,A81000B,00400,0300,HOME OFFICE COST-THERAPY 73452,A81000B,00500,0300,HOME OFFICE COST-THERAPY 73452,A81000B,00600,0300,RELATED PARTY - PHARMACY 73452,A81000B,00700,0300,RELATED PARTY - PHARMACY 73452,A81000B,00800,0300,RELATED PARTY - PHARMACY 73452,A81000B,00900,0300,RELATED PARTY - PHARMACY 73452,A81000B,01000,0300,RELATED PARTY - PHARMACY 73452,A81000C,00100,0100,B 73452,A81000C,00100,0200,MFV I 73452,A81000C,00100,0400,MFA INC 73452,A81000C,00100,0600,HOME OFFICE 73452,A81000C,00200,0100,A 73452,A81000C,00200,0200,ESTATE OF ELBERT WALDRON 73452,A81000C,00200,0400,PHARMACY CARE PLUS 73452,A81000C,00200,0600,PHARMACY SERIVCES 73452,A81000C,00300,0100,A 73452,A81000C,00300,0200,W HEYWOOD FRALIN 73452,A81000C,00300,0400,PHARMACY CARE PLUS 73452,A81000C,00300,0600,PHARMACY SERVICES 73452,B100000,00000,0100,00000SQUARE FEET 73452,B100000,00000,0200,00000SQUARE FEET 73452,B100000,00000,0300,00000GROSS SALARIES 73452,B100000,00000,0400,00000ACCUM. COST 73452,B100000,00000,0500,00000SQUARE FEET 73452,B100000,00000,0600,00000PATIENT DAYS 73452,B100000,00000,0700,00000SQUARE FEET 73452,B100000,00000,0800,00000MEALS SERVED 73452,B100000,00000,0900,00000SALARIES 73452,B100000,00000,1000,00000COSTED REQUIS. 73452,B100000,00000,1100,00000COSTED REQUIS. 73452,B100000,00000,1200,00000TIME SPENT 73452,B100000,00000,1300,00000TIME SPENT 73452,B100000,00000,1350,00000TIME SPENT 73452,B100000,00000,1400,00000ASSIGNED TIME 73452,E10A180,00301,0100,07/29/1999 73452,E10A180,00302,0100,12/30/1999 73452,E10A180,00501,0100,06/19/2000 73452,E10A180,00501,0300,06/19/2000 73452,S000000,00100,0200,05/31/2000 73452,S200000,00100,0100,2344 RIVERSIDE DRIVE 73452,S200000,00200,0100,DANVILLE 73452,S200000,00200,0200,VA 73452,S200000,00300,0100,CITY OF DANVILLE 73452,S200000,00400,0100,RIVERSIDE HEALTH CARE CENTER 73452,S200000,00400,0200,495295 73452,S200000,00400,0300,01/04/1983 73452,S200000,00400,0500,P 73452,S200000,01600,0100,Y 73452,S200000,01900,0100,NON PROFIT 73452,S200000,02800,0100,Y 73456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73456,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 73456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73456,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 73456,A000000,00300,0000,00300EMPLOYEE BENEFITS 73456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73456,A000000,00700,0000,00700HOUSEKEEPING 73456,A000000,00800,0000,00800DIETARY 73456,A000000,00801,0000,00801CAFETERIA 73456,A000000,00900,0000,00900NURSING ADMINISTRATION 73456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73456,A000000,01100,0000,01100PHARMACY 73456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73456,A000000,01300,0000,01300SOCIAL SERVICE 73456,A000000,01350,0000,01500ACTIVITIES 73456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73456,A000000,01600,0000,01600SKILLED NURSING FACILITY 73456,A000000,01800,0000,01800NURSING FACILITY 73456,A000000,01810,0000,01810ICF/MR 73456,A000000,02100,0000,02100RADIOLOGY 73456,A000000,02200,0000,02200LABORATORY 73456,A000000,02500,0000,02500PHYSICAL THERAPY 73456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73456,A000000,02700,0000,02700SPEECH PATHOLOGY 73456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73456,A000000,03050,0000,03300OTHER ANCILLARY 73456,A000000,03051,0000,03301OTHER ANCILLARY II 73456,A000000,03052,0000,03302OTHER ANCILLARY III 73456,A000000,03200,0000,03200SUPPORT SURFACES 73456,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73456,A000000,03550,0000,03550FQHC 73456,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 73456,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 73456,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 73456,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 73456,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 73456,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 73456,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 73456,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73456,A000000,05000,0000,05000CORF I 73456,A000000,05010,0000,05010CMHC I 73456,A000000,05020,0000,05020OPT I 73456,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73456,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73456,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73456,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73456,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73456,A81000A,00100,0100,Y 73456,A81000B,00100,0300,CAPITAL 73456,A81000B,00200,0300,A&G 73456,A81000B,00300,0300,A&G 73456,A81000B,00400,0300,A&G 73456,A81000B,00500,0300,DIETARY 73456,A81000B,00600,0300,MEDICAL SUPPLIES 73456,A81000B,00700,0300,MEDICAL SUPPLIES 73456,A81000B,00800,0300,HOME HEALTH 73456,A81000C,00100,0100,A 73456,A81000C,00100,0200,DOUG MITTLEIDER 73456,A81000C,00100,0600,LONG TERM 73456,A81000C,00200,0100,A 73456,A81000C,00200,0200,MIKE FOXWORTHY 73456,A81000C,00200,0600,CARE MGMT 73456,B100000,00000,0100,00000(SQUARE FEET) 73456,B100000,00000,0101,00000(SQUARE FEET) 73456,B100000,00000,0200,00000(SQUARE FEET) 73456,B100000,00000,0201,00000(SQUARE FEET) 73456,B100000,00000,0300,00000(GROSS SALARIES) 73456,B100000,00000,0400,00000(ACCUM. COST) 73456,B100000,00000,0500,00000(SQUARE FEET) 73456,B100000,00000,0600,00000(PATIENT DAYS) 73456,B100000,00000,0700,00000(SQUARE FEET) 73456,B100000,00000,0800,00000(MEALS SERVED) 73456,B100000,00000,0801,00000(MEALS SERVED) 73456,B100000,00000,0900,00000TIME SPENT 73456,B100000,00000,1000,00000(GROSS CHARGES) 73456,B100000,00000,1100,00000(PATIENT DAYS) 73456,B100000,00000,1200,00000(PATIENT DAYS) 73456,B100000,00000,1300,00000(TIME SPENT) 73456,B100000,00000,1350,00000(PATIENT DAYS) 73456,B100000,00000,1400,00000(ASSIGNED TIME) 73456,E10A180,00501,0100,07/28/2000 73456,H510100,00000,0000,4640 73456,H510100,02400,0000,4640 73456,H710000,00501,0100,07/28/2000 73456,S000000,00100,0200,06/21/2000 73456,S200000,00100,0100,2406 ADERHOLT ROAD 73456,S200000,00200,0100,LYNCHBURG 73456,S200000,00200,0200,VA 73456,S200000,00200,0300,24501 73456,S200000,00300,0100,CAMPBELL 73456,S200000,00400,0100,THE CARRINGTON 73456,S200000,00400,0200,495302 73456,S200000,00400,0300,07/01/1995 73456,S200000,00400,0500,P 73456,S200000,00800,0200,497533 73456,S200000,00800,0300,04/03/1997 73456,S200000,00800,0500,P 73456,S200000,01600,0100,Y 73456,S200000,02200,0100,Y 73456,S200000,04300,0100,Y 73457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73457,A000000,00300,0000,00300EMPLOYEE BENEFITS 73457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73457,A000000,00700,0000,00700HOUSEKEEPING 73457,A000000,00800,0000,00800DIETARY 73457,A000000,00900,0000,00900NURSING ADMINISTRATION 73457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73457,A000000,01100,0000,01100PHARMACY 73457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73457,A000000,01300,0000,01300SOCIAL SERVICE 73457,A000000,01350,0000,01500OTHER GENERAL SERVICES 73457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73457,A000000,01600,0000,01600SKILLED NURSING FACILITY 73457,A000000,01800,0000,01800NURSING FACILITY 73457,A000000,01810,0000,01810ICF/MR 73457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73457,A000000,02500,0000,02500PHYSICAL THERAPY 73457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73457,A000000,02700,0000,02700SPEECH PATHOLOGY 73457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73457,A000000,03200,0000,03200SUPPORT SURFACES 73457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73457,A000000,03550,0000,03550FQHC 73457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73457,A000000,05000,0000,05000CORF 73457,A000000,05010,0000,05010CMHC 73457,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73457,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73457,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73457,A81000A,00100,0100,Y 73457,A81000B,00100,0300,MANAGEMENT FEES 73457,A81000C,00100,0100,A 73457,A81000C,00100,0200,DORN V. WILLIAMS 73457,A81000C,00100,0400,LANDMARK GROUP L.L.C. 73457,A81000C,00100,0600,MANAGEMENT COMPANY 73457,B100000,00000,0100,00000SQUARE FEET 73457,B100000,00000,0200,00000SQUARE FEET 73457,B100000,00000,0300,00000GROSS SALARIES 73457,B100000,00000,0400,00000ACCUM. COST 73457,B100000,00000,0500,00000SQUARE FEET 73457,B100000,00000,0600,00000POUNDS OF LAUNDRY 73457,B100000,00000,0700,00000SQUARE FEET 73457,B100000,00000,0800,00000MEALS SERVED 73457,B100000,00000,0900,00000HOURS WORKED 73457,B100000,00000,1000,00000SQUARE FEET 73457,B100000,00000,1100,00000PATIENT DAYS 73457,B100000,00000,1200,00000PATIENT DAYS 73457,B100000,00000,1300,00000PATIENT DAYS 73457,B100000,00000,1350,00000PATIENT DAYS 73457,B100000,00000,1400,00000PATIENT DAYS 73457,E10A180,00301,0100,02/17/2000 73457,E10A180,00501,0100,09/26/2000 73457,S000000,00100,0200,06/15/2000 73457,S200000,00100,0100,COMMERCE STREET 73457,S200000,00100,0300,459 73457,S200000,00200,0100,STUART 73457,S200000,00200,0200,VA 73457,S200000,00200,0300,24171 73457,S200000,00300,0100,PATRICK 73457,S200000,00400,0100,BLUE RIDGE NURSING CENTER 73457,S200000,00400,0200,495306 73457,S200000,00400,0300,05/09/1996 73457,S200000,00400,0500,P 73457,S200000,00600,0200,495306 73457,S200000,00600,0300,05/09/1996 73457,S200000,01600,0100,Y 73460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73460,A000000,00300,0000,00300EMPLOYEE BENEFITS 73460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73460,A000000,00700,0000,00700HOUSEKEEPING 73460,A000000,00800,0000,00800DIETARY 73460,A000000,00900,0000,00900NURSING ADMINISTRATION 73460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73460,A000000,01100,0000,01100PHARMACY 73460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73460,A000000,01300,0000,01300SOCIAL SERVICE 73460,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 73460,A000000,01351,0000,01501RECREATIONAL THERAPY 73460,A000000,01352,0000,01502OTHER GENERAL SERVICE COST CENT 73460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73460,A000000,01600,0000,01600SKILLED NURSING FACILITY 73460,A000000,01800,0000,01800NURSING FACILITY 73460,A000000,01810,0000,01810ICF/MR 73460,A000000,02100,0000,02100RADIOLOGY 73460,A000000,02200,0000,02200LABORATORY 73460,A000000,02300,0000,02300INTRAVENOUS THERAPY 73460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73460,A000000,02500,0000,02500PHYSICAL THERAPY 73460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73460,A000000,02700,0000,02700SPEECH PATHOLOGY 73460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73460,A000000,03050,0000,03300THERAUPETIC BEDS 73460,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CE 73460,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73460,A000000,03550,0000,03550FQHC 73460,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73460,A000000,04800,0000,04800AMBULANCE 73460,A000000,05000,0000,05000CORF 73460,A000000,05010,0000,05010CMHC 73460,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73460,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73460,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73460,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73460,A81000A,00100,0100,Y 73460,A81000B,00100,0300,HEALTHCARE SVCS CAPITAL 73460,A81000B,00200,0300,HEALTHCARE SVCS OTHER 73460,A81000B,00300,0300,HOME OFFICE OTHER 73460,A81000B,00400,0300,HOME OFFICE CAPITAL 73460,A81000B,00500,0300,HOUSEKEEPING SUPPLIES 73460,A81000B,00600,0300,MANAGMENT CO FEE CAPITAL 73460,A81000B,00700,0300,MANGEMENT CO FEE OTHER 73460,A81000B,00800,0300,MANAGEMENT SVC SALARY 73460,A81000B,00900,0300,PROTECTION OTHER 73460,A81000B,01000,0300,RISK OVERHEAD 73460,A81000B,01100,0300,FOOD PRODUCTION CTR FOOD 73460,A81000B,01200,0300,FOOD PROD CTR OVERHEAD 73460,A81000B,01300,0300,FOOD PROD CTR CAPITAL 73460,A81000B,01400,0300,HOSPITAL SVS CAPITAL 73460,A81000B,01500,0300,HOSPITAL SVC OTHER 73460,A81000B,01600,0300,PRINT SHOP CAPITAL 73460,A81000B,01700,0300,PRINT SHOP OTHER 73460,A81000B,01800,0300,SUPPORT ADMIN & GENERAL 73460,A81000B,01900,0300,SUPPORT DIVISION INDIRECT 73460,A81000B,02000,0300,SUPPORT DIVISION CAPITAL 73460,A81000C,00100,0100,B 73460,A81000C,00100,0400,RIVERSIDE HEALTHCARE ASSO 73460,A81000C,00100,0600,HEALTHCARE SERVICES 73460,A81000C,00200,0100,B 73460,A81000C,00200,0400,RIVERSIDE HEALTHCARE SVC 73460,A81000C,00200,0600,HEALTHCARE SERVICES 73460,A81000C,00300,0100,B 73460,A81000C,00300,0400,RIVERSIDE HOSPITAL SVCS 73460,A81000C,00300,0600,HEALTHCARE SERVICES 73460,A81000C,00400,0100,B 73460,A81000C,00400,0400,LT CARE SUPPORT DIVISION 73460,A81000C,00400,0600,FINANCIAL/MGMT SUPPORT 73460,B100000,00000,0100,00000SQ. FT 73460,B100000,00000,0200,00000SQ. FT. 73460,B100000,00000,0300,00000GROSS SALARIES 73460,B100000,00000,0400,00000ACCUM. COST 73460,B100000,00000,0500,00000SQ. FT. 73460,B100000,00000,0600,00000PATIENT DAYS 73460,B100000,00000,0700,00000SQ.FT. 73460,B100000,00000,0800,00000MEALS SERVED 73460,B100000,00000,0900,00000SERVICE HOURS 73460,B100000,00000,1000,00000NO STATISTICS 73460,B100000,00000,1100,00000NO STATISTICS 73460,B100000,00000,1200,00000HOURS SPENT 73460,B100000,00000,1300,00000HOURS SPENT 73460,B100000,00000,1350,00000NO STATISTICS 73460,B100000,00000,1351,00000TIME SPENT 73460,B100000,00000,1352,00000TIME SPENT 73460,B100000,00000,1400,00000NO STATISTICS 73460,E10A180,00301,0100,08/23/1999 73460,E10A180,00302,0100,01/13/2000 73460,S000000,00100,0200,05/17/2000 73460,S200000,00100,0100,414 ALGONQUIN ROAD 73460,S200000,00200,0100,HAMPTON 73460,S200000,00200,0200,AL 73460,S200000,00400,0100,RIVERSIDE CONV CTR-HAMPTON 73460,S200000,00400,0200,495308 73460,S200000,00400,0300,03/06/1996 73460,S200000,00400,0500,P 73460,S200000,01500,0100,Y 73464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73464,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 73464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73464,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 73464,A000000,00300,0000,00300EMPLOYEE BENEFITS 73464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73464,A000000,00700,0000,00700HOUSEKEEPING 73464,A000000,00800,0000,00800DIETARY 73464,A000000,00801,0000,00801CAFETERIA 73464,A000000,00900,0000,00900NURSING ADMINISTRATION 73464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73464,A000000,01100,0000,01100PHARMACY 73464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73464,A000000,01300,0000,01300SOCIAL SERVICE 73464,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73464,A000000,01600,0000,01600SKILLED NURSING FACILITY 73464,A000000,01800,0000,01800NURSING FACILITY 73464,A000000,01810,0000,01810ICF/MR 73464,A000000,01900,0000,01900OTHER LONG TERM CARE 73464,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73464,A000000,02500,0000,02500PHYSICAL THERAPY 73464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73464,A000000,02700,0000,02700SPEECH PATHOLOGY 73464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73464,A000000,03050,0000,03300OTHER ANCILLARY 73464,A000000,03051,0000,03301OTHER ANCILLARY II 73464,A000000,03052,0000,03302OTHER ANCILLARY III 73464,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73464,A000000,03550,0000,03550FQHC 73464,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73464,A000000,05000,0000,05000CORF I 73464,A000000,05010,0000,05010CMHC I 73464,A000000,05020,0000,05020OPT I 73464,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73464,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73464,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73464,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73464,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73464,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73464,B100000,00000,0100,00000(SQUARE FEET) 73464,B100000,00000,0101,00000(SQUARE FEET) 73464,B100000,00000,0200,00000(SQUARE FEET) 73464,B100000,00000,0201,00000(SQUARE FEET) 73464,B100000,00000,0300,00000(GROSS SALARIES) 73464,B100000,00000,0400,00000(ACCUM. COST) 73464,B100000,00000,0500,00000(SQUARE FEET) 73464,B100000,00000,0600,00000(PATIENT DAYS) 73464,B100000,00000,0700,00000(SQUARE FEET) 73464,B100000,00000,0800,00000(MEALS SERVED) 73464,B100000,00000,0801,00000(MEALS SERVED) 73464,B100000,00000,0900,00000(NURSING SALARIES) 73464,B100000,00000,1000,00000(COSTED REQUIS.) 73464,B100000,00000,1100,00000(COSTED REQUIS.) 73464,B100000,00000,1200,00000(PATIENT DAYS) 73464,B100000,00000,1300,00000(PATIENT DAYS) 73464,B100000,00000,1350,00000(PATIENT DAYS) 73464,B100000,00000,1400,00000(ASSIGNED TIME) 73464,E10A180,00501,0100,06/27/2000 73464,E10A180,00550,0100,09/10/2001 73464,S000000,00100,0200,05/31/2000 73464,S200000,00100,0100,20522 FALCON LANDING 73464,S200000,00200,0100,STERLING 73464,S200000,00200,0200,VA 73464,S200000,00200,0300,20165 73464,S200000,00300,0100,LOUDONN 73464,S200000,00400,0100,THE JOHNSON CTR AT FALCONS LANDING 73464,S200000,00400,0200,495312 73464,S200000,00400,0300,12/30/1996 73464,S200000,00400,0500,P 73464,S200000,01600,0100,Y 73464,S200000,04100,0100,Y 73465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73465,A000000,00300,0000,00300EMPLOYEE BENEFITS 73465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73465,A000000,00700,0000,00700HOUSEKEEPING 73465,A000000,00800,0000,00800DIETARY 73465,A000000,00900,0000,00900NURSING ADMINISTRATION 73465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73465,A000000,01100,0000,01100PHARMACY 73465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73465,A000000,01300,0000,01300SOCIAL SERVICE 73465,A000000,01350,0000,01500ACTIVITIES 73465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73465,A000000,01600,0000,01600SKILLED NURSING FACILITY 73465,A000000,01800,0000,01800NURSING FACILITY 73465,A000000,01810,0000,01810ICF/MR 73465,A000000,02500,0000,02500PHYSICAL THERAPY 73465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73465,A000000,02700,0000,02700SPEECH PATHOLOGY 73465,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73465,A000000,03050,0000,03300EQUIPMENT RENTAL 73465,A000000,03550,0000,03550FQHC 73465,A000000,05000,0000,05000CORF 73465,A000000,05010,0000,05010CMHC 73465,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73465,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73465,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73465,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73465,B100000,00000,0100,00000SQ FT 73465,B100000,00000,0200,00000SQ FT 73465,B100000,00000,0300,00000GROSS SALARIES 73465,B100000,00000,0400,00000ACCUM. COST 73465,B100000,00000,0500,00000SQ FT 73465,B100000,00000,0600,00000POUNDS OF LAUNDRY 73465,B100000,00000,0700,00000SQ FT 73465,B100000,00000,0800,00000MEALS SERVED 73465,B100000,00000,0900,00000PATIENT DAYS 73465,B100000,00000,1000,00000COSTEDREQU UISITIONS 73465,B100000,00000,1100,00000COSTEDREQU UISITIONS 73465,B100000,00000,1200,00000PATIENT DAYS 73465,B100000,00000,1300,00000PATIENT DAYS 73465,B100000,00000,1350,00000PATIENT DAYS 73465,B100000,00000,1400,00000ASSIGNED TIME 73465,E10A180,00501,0100,06/27/2000 73465,E10A180,00501,0300,06/27/2000 73465,S000000,00100,0200,06/01/2000 73465,S200000,00100,0100,200 WEAVER AVENUE 73465,S200000,00200,0100,EMPORIA 73465,S200000,00200,0200,VA 73465,S200000,00200,0300,23847 73465,S200000,00300,0100,GREENSVILLE 73465,S200000,00400,0100,EMPORIA HEALTH INV. D/B/A AVIS B ADA 73465,S200000,00400,0200,495313 73465,S200000,00400,0300,11/21/1996 73465,S200000,00400,0500,P 73465,S200000,00600,0200,495313 73465,S200000,00600,0300,01/01/1982 73465,S200000,01500,0100,Y 73471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73471,A000000,00300,0000,00300EMPLOYEE BENEFITS 73471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73471,A000000,00700,0000,00700HOUSEKEEPING 73471,A000000,00800,0000,00800DIETARY 73471,A000000,00900,0000,00900NURSING ADMINISTRATION 73471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73471,A000000,01100,0000,01100PHARMACY 73471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73471,A000000,01300,0000,01300SOCIAL SERVICE 73471,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73471,A000000,01600,0000,01600SKILLED NURSING FACILITY 73471,A000000,01800,0000,01800NURSING FACILITY 73471,A000000,01810,0000,01810ICF/MR 73471,A000000,02100,0000,02100RADIOLOGY 73471,A000000,02200,0000,02200LABORATORY 73471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73471,A000000,02500,0000,02500PHYSICAL THERAPY 73471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73471,A000000,02700,0000,02700SPEECH PATHOLOGY 73471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73471,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73471,A000000,03550,0000,03550FQHC 73471,A000000,04800,0000,04800AMBULANCE 73471,A000000,05000,0000,05000CORF 73471,A000000,05010,0000,05010CMHC 73471,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73471,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73471,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73471,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73471,A81000A,00100,0100,Y 73471,A81000B,00100,0300,RENT 73471,A81000B,00200,0300,INTEREST EXPENSE 73471,A81000B,00300,0300,DEPRECIATION EXPENSE 73471,A81000B,00400,0300,REAL ESTATE TAXES 73471,A81000B,00500,0300,INSURANCE 73471,A81000B,00600,0300,BANK FEES 73471,A81000C,00100,0100,A 73471,A81000C,00100,0200,G.C. STEVENS 73471,A81000C,00100,0400,BERRY HILL LTD 73471,A81000C,00100,0600,REAL ESTATE 73471,A81000C,00200,0100,A 73471,A81000C,00200,0200,G.C. STEVENS 73471,A81000C,00200,0400,BERRY HILL LTD 73471,A81000C,00200,0600,REAL ESTATE 73471,A81000C,00300,0100,A 73471,A81000C,00300,0200,G.C. STEVENS 73471,A81000C,00300,0400,BERRY HILL LTD 73471,A81000C,00300,0600,REAL ESTATE 73471,A81000C,00400,0100,A 73471,A81000C,00400,0200,G.C. STEVENS 73471,A81000C,00400,0400,BERRY HILL LTD 73471,A81000C,00400,0600,REAL ESTATE 73471,A81000C,00500,0100,A 73471,A81000C,00500,0200,G.C. STEVENS 73471,A81000C,00500,0400,BERRY HILL LTD 73471,A81000C,00500,0600,REAL ESTATE 73471,A81000C,00600,0100,A 73471,A81000C,00600,0200,G.C. STEVENS 73471,A81000C,00600,0400,BERRY HILL LTD 73471,A81000C,00600,0600,REAL ESTATE 73471,B100000,00000,0100,00000SQUARE FEET 73471,B100000,00000,0200,00000SQUARE FEET 73471,B100000,00000,0300,00000GROSS SALARIES 73471,B100000,00000,0400,00000ACCUM COST 73471,B100000,00000,0500,00000SQUARE FEET 73471,B100000,00000,0600,00000POUNDS OF LAUNDRY 73471,B100000,00000,0700,00000HOURS OF SERVICE 73471,B100000,00000,0800,00000MEALS SERVED 73471,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73471,B100000,00000,1000,00000COSTED REQUISITIO 73471,B100000,00000,1100,00000COSTED REQUISITIO 73471,B100000,00000,1200,00000TIME SPENT 73471,B100000,00000,1300,00000TIME SPENT 73471,B100000,00000,1350,00000 73471,B100000,00000,1400,00000ASSIGNED TIME 73471,E10A180,00501,0100,03/15/2001 73471,E10A180,00501,0300,03/15/2001 73471,S000000,00100,0200,01/30/2001 73471,S200000,00100,0100,621 BERRY HILL ROAD 73471,S200000,00200,0100,SOUTH BOSTON 73471,S200000,00200,0200,VA 73471,S200000,00200,0300,24592 73471,S200000,00300,0100,H 73471,S200000,00400,0100,BERRY HILL NURSING HOME 73471,S200000,00400,0200,495318 73471,S200000,00400,0300,03/27/1997 73471,S200000,00400,0500,P 73471,S200000,01600,0100,Y 73476,S000000,00100,0200,02/01/2001 73479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73479,A000000,00300,0000,00300EMPLOYEE BENEFITS 73479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73479,A000000,00700,0000,00700HOUSEKEEPING 73479,A000000,00800,0000,00800DIETARY 73479,A000000,00900,0000,00900NURSING ADMINISTRATION 73479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73479,A000000,01100,0000,01100PHARMACY 73479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73479,A000000,01300,0000,01300SOCIAL SERVICE 73479,A000000,01350,0000,01500OTHER GENERAL SERVICES 73479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73479,A000000,01600,0000,01600SKILLED NURSING FACILITY 73479,A000000,01800,0000,01800NURSING FACILITY 73479,A000000,01810,0000,01810ICF/MR 73479,A000000,02100,0000,02100RADIOLOGY 73479,A000000,02200,0000,02200LABORATORY 73479,A000000,02300,0000,02300INTRAVENOUS THERAPY 73479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73479,A000000,02500,0000,02500PHYSICAL THERAPY 73479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73479,A000000,02700,0000,02700SPEECH PATHOLOGY 73479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73479,A000000,03050,0000,03300AIR FLUID BED THERAPY 73479,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73479,A000000,03550,0000,03550FQHC 73479,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73479,A000000,04800,0000,04800AMBULANCE 73479,A000000,05000,0000,05000CORF 73479,A000000,05010,0000,05010CMHC 73479,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73479,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73479,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73479,B100000,00000,0100,00000SQUARE FEET 73479,B100000,00000,0200,00000SQUARE FEET 73479,B100000,00000,0300,00000GROSS SALARIES 73479,B100000,00000,0400,00000ACCUM. COST 73479,B100000,00000,0500,00000SQUARE FEET 73479,B100000,00000,0600,00000POUNDS OF LAUNDRY 73479,B100000,00000,0700,00000SQUARE FEET 73479,B100000,00000,0800,00000PATIENT DAYS 73479,B100000,00000,0900,00000DIRECT NRSING HRS 73479,B100000,00000,1000,00000PATIENT DAYS 73479,B100000,00000,1100,00000COSTED REQUIS 73479,B100000,00000,1200,00000TIME SPENT 73479,B100000,00000,1300,00000TIME SPENT 73479,B100000,00000,1350,00000NO STATISTICS 73479,B100000,00000,1400,00000ASSIGNED TIME 73479,E10A180,00501,0100,06/27/2000 73479,E10A180,00550,0100,09/19/2001 73479,E10A180,00550,0300,06/27/2000 73479,E10A180,00551,0300,09/19/2001 73479,S000000,00100,0200,05/31/2000 73479,S200000,00100,0100,1150 NORTHWEST DRIVE 73479,S200000,00200,0100,CHARLOTTESVILLE 73479,S200000,00200,0200,VA 73479,S200000,00200,0300,22901 73479,S200000,00300,0100,ALBEMARLE 73479,S200000,00400,0100,ELDERCARE GARDENS 73479,S200000,00400,0200,495326 73479,S200000,00400,0300,02/27/1998 73479,S200000,00400,0500,P 73479,S200000,01600,0100,Y 73481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73481,A000000,00300,0000,00300EMPLOYEE BENEFITS 73481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73481,A000000,00700,0000,00700HOUSEKEEPING 73481,A000000,00800,0000,00800DIETARY 73481,A000000,00900,0000,00900NURSING ADMINISTRATION 73481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73481,A000000,01100,0000,01100PHARMACY 73481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73481,A000000,01201,0000,01201MEDICAL RECORDS & LIBRARY 73481,A000000,01202,0000,01202MEDICAL RECORDS & LIBRARY 73481,A000000,01300,0000,01300SOCIAL SERVICE 73481,A000000,01302,0000,01302ACTIVITIES 73481,A000000,01350,0000,01500OTHER GENERAL SERVICES 73481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73481,A000000,01600,0000,01600SKILLED NURSING FACILITY 73481,A000000,01800,0000,01800NURSING FACILITY 73481,A000000,01810,0000,01810ICF/MR 73481,A000000,02100,0000,02100RADIOLOGY 73481,A000000,02200,0000,02200LABORATORY 73481,A000000,02500,0000,02500PHYSICAL THERAPY 73481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73481,A000000,02700,0000,02700SPEECH PATHOLOGY 73481,A000000,02801,0000,02801AIR FLUID THERAPY 73481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73481,A000000,03001,0000,03001SPECIALTY BEDS 73481,A000000,03002,0000,03002OTHER MEDICARE EXPENSE 73481,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73481,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73481,A000000,03550,0000,03550FQHC 73481,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73481,A000000,05000,0000,05000CORF 73481,A000000,05010,0000,05010CMHC 73481,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73481,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73481,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73481,A000000,05300,0000,05300INTEREST EXPENSE 73481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73481,A000000,06200,0000,06200PATIENTS LAUNDRY 73481,A81000A,00100,0100,Y 73481,A81000B,00100,0300,HOME OFFICE 73481,A81000B,00200,0300,PEN THERAPY 73481,A81000B,00300,0300,CONSULTING 73481,A81000C,00100,0100,B 73481,A81000C,00100,0200,CONV. CARE INC. 73481,A81000C,00100,0400,CONV. CARE INC. 73481,A81000C,00100,0600,HOME OFFICE 73481,A81000C,00200,0100,E 73481,A81000C,00200,0200,H.L. SEAL 73481,A81000C,00200,0400,TDS SERVICE 73481,A81000C,00200,0600,DURABLE MEDICAL 73481,A81000C,00300,0100,A 73481,A81000C,00300,0200,H.L. SEAL 73481,A81000C,00300,0400,CONSULTING 73481,A81000C,00300,0600,CONSULTING 73481,B100000,00000,0100,00000SQUARE FEET 73481,B100000,00000,0200,00000SQUARE FEET 73481,B100000,00000,0300,00000GROSS SALARIES 73481,B100000,00000,0400,00000ACCUM COST 73481,B100000,00000,0500,00000SQUARE FEET 73481,B100000,00000,0600,00000PATIENT DAYS 73481,B100000,00000,0700,00000SQUARE FEET 73481,B100000,00000,0800,00000PATIENT DAYS 73481,B100000,00000,0900,00000PATIENT DAYS 73481,B100000,00000,1000,00000COSTED REQUIS 73481,B100000,00000,1100,00000COSTED REQUIS 73481,B100000,00000,1200,00000PATIENT DAYS 73481,B100000,00000,1201,00000GROSS CHARGES 73481,B100000,00000,1202,00000PATIENT DAYS 73481,B100000,00000,1300,00000PATIENT DAYS 73481,B100000,00000,1302,00000PATIENT DAYS 73481,B100000,00000,1350,00000NO STATISTICS 73481,B100000,00000,1400,00000ASSIGNED TIME 73481,E10A180,00501,0100,07/12/2000 73481,S000000,00100,0200,05/31/2000 73481,S200000,00100,0100,7300 FOREST HILL AVENUE 73481,S200000,00200,0100,RICHMOND 73481,S200000,00200,0200,VA 73481,S200000,00200,0300,23226 73481,S200000,00300,0100,HENRICO 73481,S200000,00400,0100,FOREST HILL CONVALESCENT CENTER 73481,S200000,00400,0200,495327 73481,S200000,00400,0300,01/10/1991 73481,S200000,00400,0500,P 73481,S200000,02800,0100,Y 73483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73483,A000000,00300,0000,00300EMPLOYEE BENEFITS 73483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73483,A000000,00700,0000,00700HOUSEKEEPING 73483,A000000,00800,0000,00800DIETARY 73483,A000000,00900,0000,00900NURSING ADMINISTRATION 73483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73483,A000000,01100,0000,01100PHARMACY 73483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73483,A000000,01300,0000,01300SOCIAL SERVICE 73483,A000000,01350,0000,01500RECREATION 73483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73483,A000000,01600,0000,01600SKILLED NURSING FACILITY 73483,A000000,01800,0000,01800NURSING FACILITY 73483,A000000,01810,0000,01810ICF/MR 73483,A000000,02500,0000,02500PHYSICAL THERAPY 73483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73483,A000000,02700,0000,02700SPEECH PATHOLOGY 73483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73483,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73483,A000000,03550,0000,03550FQHC 73483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73483,A000000,05000,0000,05000CORF 73483,A000000,05010,0000,05010CMHC 73483,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73483,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73483,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73483,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73483,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73483,A81000A,00100,0100,Y 73483,A81000B,00100,0300,RENT 73483,A81000B,00200,0300,HOME OFFICE EXPENSES 73483,A81000B,00300,0300,HOME OFFICE EXPENSES 73483,A81000B,00400,0300,PHARMACY CONSULTING 73483,A81000C,00100,0100,A 73483,A81000C,00100,0200,JAMES R SMITH 73483,A81000C,00100,0400,STAUNTON HEALTH INVESTORS 73483,A81000C,00100,0600,BUILDING RENTAL 73483,A81000C,00200,0100,B 73483,A81000C,00200,0200,TANDEM HEALTHCARE 73483,A81000C,00200,0400,COLONIAL CARE 73483,A81000C,00200,0600,HOME OFFICE 73483,A81000C,00300,0100,B 73483,A81000C,00300,0200,TANDEM HEALTHCARE 73483,A81000C,00300,0400,COLONIAL CARE 73483,A81000C,00300,0600,HOME OFFICE 73483,A81000C,00400,0100,A 73483,A81000C,00400,0200,JAMES R SMITH 73483,A81000C,00400,0400,RX CARE 73483,A81000C,00400,0600,PHARMACY CARE 73483,B100000,00000,0100,00000SQUARE FEET 73483,B100000,00000,0200,00000SQUARE FEET 73483,B100000,00000,0300,00000GROSS SALARIES 73483,B100000,00000,0400,00000ACCUM. COST 73483,B100000,00000,0500,00000SQUARE FEET 73483,B100000,00000,0600,00000PATIENT DAYS 73483,B100000,00000,0700,00000SQUARE FEET 73483,B100000,00000,0800,00000PATIENT DAYS 73483,B100000,00000,0900,00000PATIENT DAYS 73483,B100000,00000,1000,00000COSTED REQUIS. 73483,B100000,00000,1100,00000PATIENT DAYS 73483,B100000,00000,1200,00000PATIENT DAYS 73483,B100000,00000,1300,00000PATIENT DAYS 73483,B100000,00000,1350,00000PATIENT DAYS 73483,B100000,00000,1400,00000ASSIGNED TIME 73483,E10A180,00501,0100,08/09/2000 73483,S000000,00100,0200,05/31/2000 73483,S200000,00100,0100,35 CROSSROADS LANE 73483,S200000,00200,0100,FISHERSVILLE 73483,S200000,00200,0200,VA 73483,S200000,00200,0300,22939 73483,S200000,00300,0100,AUGUSTA 73483,S200000,00400,0100,AUGUSTA NURSING & REHAB CENTER 73483,S200000,00400,0200,495336 73483,S200000,00400,0300,01/28/1999 73483,S200000,00400,0500,P 73483,S200000,00600,0200,496594 73483,S200000,00600,0300,01/28/1999 73483,S200000,01600,0100,Y 73485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73485,A000000,00300,0000,00300EMPLOYEE BENEFITS 73485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73485,A000000,00700,0000,00700HOUSEKEEPING 73485,A000000,00800,0000,00800DIETARY 73485,A000000,00900,0000,00900NURSING ADMINISTRATION 73485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73485,A000000,01100,0000,01100PHARMACY 73485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73485,A000000,01300,0000,01300SOCIAL SERVICE 73485,A000000,01350,0000,01500ACTIVITIES 73485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73485,A000000,01600,0000,01600SKILLED NURSING FACILITY 73485,A000000,01810,0000,01810ICF/MR 73485,A000000,02200,0000,02200LABORATORY 73485,A000000,02500,0000,02500PHYSICAL THERAPY 73485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73485,A000000,02700,0000,02700SPEECH PATHOLOGY 73485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73485,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73485,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73485,A000000,03550,0000,03550FQHC 73485,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73485,A000000,05000,0000,05000CORF 73485,A000000,05010,0000,05010CMHC 73485,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73485,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73485,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73485,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73485,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73485,B100000,00000,0100,00000SQUARE FEET 73485,B100000,00000,0200,00000SQUARE FEET 73485,B100000,00000,0300,00000GROSS SALARIES 73485,B100000,00000,0400,00000ACCUM. COST 73485,B100000,00000,0500,00000SQUARE FEET 73485,B100000,00000,0600,00000PATIENT DAYS 73485,B100000,00000,0700,00000SQUARE FEET 73485,B100000,00000,0800,00000MEALS SERVED 73485,B100000,00000,0900,00000PATIENT DAYS 73485,B100000,00000,1000,00000COSTED REQUIS 73485,B100000,00000,1100,00000COSTED REQUIS 73485,B100000,00000,1200,00000PATIENT DAYS 73485,B100000,00000,1300,00000PATIENT DAYS 73485,B100000,00000,1350,00000PATIENT DAYS 73485,B100000,00000,1400,00000ASSIGNED TIME 73485,S000000,00100,0200,10/23/2000 73485,S200000,00100,0100,600 WALDEN ROAD 73485,S200000,00200,0100,ABINGDON 73485,S200000,00200,0200,VA 73485,S200000,00400,0100,GRACE HEALTHCARE OF ABINGDON 73485,S200000,00400,0200,495338 73485,S200000,00400,0300,07/01/1999 73485,S200000,00400,0500,P 73485,S200000,00400,0600,O 73485,S200000,01500,0100,Y 73487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73487,A000000,00300,0000,00300EMPLOYEE BENEFITS 73487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73487,A000000,00700,0000,00700HOUSEKEEPING 73487,A000000,00800,0000,00800DIETARY 73487,A000000,00900,0000,00900NURSING ADMINISTRATION 73487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73487,A000000,01100,0000,01100PHARMACY 73487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73487,A000000,01300,0000,01300SOCIAL SERVICE 73487,A000000,01350,0000,01500OTHER GENERAL SERVICES 73487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73487,A000000,01600,0000,01600SKILLED NURSING FACILITY 73487,A000000,01800,0000,01800NURSING FACILITY 73487,A000000,02500,0000,02500PHYSICAL THERAPY 73487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73487,A000000,02700,0000,02700SPEECH PATHOLOGY 73487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73487,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73487,A000000,03550,0000,03550FQHC 73487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73487,A000000,05000,0000,05000CORF 73487,A000000,05010,0000,05010CMHC 73487,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73487,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73487,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73487,A000000,05300,0000,05300INTEREST EXPENSE 73487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73487,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73487,A000000,06200,0000,06200PATIENTS LAUNDRY 73487,A81000A,00100,0100,Y 73487,A81000B,00100,0300,AUTO INSURANCE 73487,A81000B,00200,0300,MEDICAL DIRECTOR 73487,A81000C,00100,0100,A 73487,A81000C,00100,0200,JAMES M WATSON 73487,A81000C,00100,0400,W.A. WATSON INSURANCE CO 73487,A81000C,00100,0600,INSURANCE AGENCY 73487,A81000C,00200,0100,A 73487,A81000C,00200,0200,DR. RAY A MOORE JR 73487,A81000C,00200,0400,DR RAY A MOORE JR MD 73487,A81000C,00200,0600,PHYSICIAN 73487,B100000,00000,0100,00000SQUARE FEET 73487,B100000,00000,0200,00000NO STATISTICS 73487,B100000,00000,0300,00000GROSS SALARY 73487,B100000,00000,0400,00000ACCUM. COST 73487,B100000,00000,0500,00000SQUARE FEET 73487,B100000,00000,0600,00000LOADS OF LAUNDRY 73487,B100000,00000,0700,00000% TIME SPENT 73487,B100000,00000,0800,00000MEALS SERVED 73487,B100000,00000,0900,00000DIRECT NSG 73487,B100000,00000,1000,00000NO STATISTICS 73487,B100000,00000,1100,00000NO STATISTICS 73487,B100000,00000,1200,00000% TIME SPENT 73487,B100000,00000,1300,00000% TIME SPENT 73487,B100000,00000,1350,00000NO STATISTICS 73487,B100000,00000,1400,00000NO STATISTICS 73487,S000000,00100,0200,05/23/2000 73487,S200000,00100,0100,2003 COBB STREET 73487,S200000,00200,0100,FARMVILLE 73487,S200000,00200,0200,VA 73487,S200000,00300,0100,PRINCE EDWARD 73487,S200000,00400,0100,HOLLY MANOR NURSING HOME 73487,S200000,00400,0200,495339 73487,S200000,00400,0300,06/01/1999 73487,S200000,00400,0500,P 73487,S200000,01600,0100,Y 73494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73494,A000000,00300,0000,00300EMPLOYEE BENEFITS 73494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73494,A000000,00700,0000,00700HOUSEKEEPING 73494,A000000,00800,0000,00800DIETARY 73494,A000000,00900,0000,00900NURSING ADMINISTRATION 73494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73494,A000000,01100,0000,01100PHARMACY 73494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73494,A000000,01300,0000,01300SOCIAL SERVICE 73494,A000000,01350,0000,01500OTHER GENERAL SERVICES 73494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73494,A000000,01600,0000,01600SKILLED NURSING FACILITY 73494,A000000,01800,0000,01800NURSING FACILITY 73494,A000000,02100,0000,02100RADIOLOGY 73494,A000000,02200,0000,02200LABORATORY 73494,A000000,02500,0000,02500PHYSICAL THERAPY 73494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73494,A000000,02700,0000,02700SPEECH PATHOLOGY 73494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73494,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73494,A000000,03550,0000,03550FQHC 73494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73494,A000000,04800,0000,04800AMBULANCE 73494,A000000,05000,0000,05000CORF 73494,A000000,05010,0000,05010CMHC 73494,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73494,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73494,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73494,A81000A,00100,0100,Y 73494,A81000B,00100,0300,MANAGEMENT FEES 73494,A81000C,00100,0100,G 73494,A81000C,00100,0200,CUMBERLAND CARE CENTER 73494,A81000C,00100,0400,BLUEFIELD HEALTH SYSTEMS 73494,A81000C,00100,0600,HEALTHCARE 73494,B100000,00000,0100,00000SQUARE FEET 73494,B100000,00000,0200,00000SQUARE FEET 73494,B100000,00000,0300,00000GROSS SALARIES 73494,B100000,00000,0400,00000ACCUM. COST 73494,B100000,00000,0500,00000SQUARE FEET 73494,B100000,00000,0600,00000POUNDS OF LAUNDRY 73494,B100000,00000,0700,00000HOURS OF SERVICE 73494,B100000,00000,0800,00000MEALS SERVED 73494,B100000,00000,0900,00000DIRECT NRSING HRS 73494,B100000,00000,1000,00000COSTED REQUIS. 73494,B100000,00000,1100,00000COSTED REQUIS. 73494,B100000,00000,1200,00000TIME SPENT 73494,B100000,00000,1300,00000TIME SPENT 73494,B100000,00000,1350,00000NO STATISTICS 73494,B100000,00000,1400,00000ASSIGNED TIME 73494,E10A180,00301,0100,08/24/2000 73494,E10A180,00501,0100,02/16/2001 73494,E10A180,00550,0300,02/16/2001 73494,S000000,00100,0200,11/29/2000 73494,S200000,00100,0300,410 73494,S200000,00200,0100,BLUEFIELD 73494,S200000,00200,0200,WV 73494,S200000,00200,0300,24701 73494,S200000,00400,0100,CUMBERLAND CARE CENTER 73494,S200000,00400,0200,515052 73494,S200000,00400,0300,07/01/1979 73494,S200000,00400,0500,P 73494,S200000,00600,0200,515052 73494,S200000,00600,0300,07/01/1979 73494,S200000,00600,0600,P 73494,S200000,01600,0100,Y 73494,S200000,02200,0100,Y 73496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73496,A000000,00300,0000,00300EMPLOYEE BENEFITS 73496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73496,A000000,00700,0000,00700HOUSEKEEPING 73496,A000000,00800,0000,00800DIETARY 73496,A000000,00900,0000,00900NURSING ADMINISTRATION 73496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73496,A000000,01100,0000,01100PHARMACY 73496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73496,A000000,01300,0000,01300SOCIAL SERVICE 73496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73496,A000000,01600,0000,01600SKILLED NURSING FACILITY 73496,A000000,01810,0000,01810ICF/MR 73496,A000000,02100,0000,02100RADIOLOGY 73496,A000000,02200,0000,02200LABORATORY 73496,A000000,02500,0000,02500PHYSICAL THERAPY 73496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73496,A000000,02700,0000,02700SPEECH PATHOLOGY 73496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73496,A000000,03050,0000,03300OTHER ANCILLARY - AMBULANCE 73496,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 73496,A000000,05000,0000,05000CORF 73496,A000000,05010,0000,05010CMHC 73496,A000000,05020,0000,05020OPT 73496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73496,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73496,A000000,05300,0000,05300INTEREST EXPENSE 73496,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 73496,A81000A,00100,0100,Y 73496,A81000B,00100,0300,FACILITY RENTAL 73496,A81000B,00200,0300,CENTRAL OFFICE 73496,A81000B,00300,0300,DIRECTOR FEES 73496,A81000B,00400,0300,OFFICER SALARY & MED. INS. 73496,A81000B,00500,0300,FRINGE BENEFITS ON ABOVE 73496,A81000C,00100,0100,A 73496,A81000C,00100,0200,HERMAN HAUPSTEIN 73496,A81000C,00100,0400,MLC & WWM 73496,A81000C,00100,0600,LEASING C/O LAUND 73496,A81000C,00200,0100,A 73496,A81000C,00200,0200,GEORGE HAUPSTEIN 73496,A81000C,00200,0400,MLC & WWM 73496,A81000C,00200,0600,LEASING C/O LAUND 73496,A81000C,00300,0100,E 73496,A81000C,00300,0200,HERMAN HAUPSTEIN 73496,A81000C,00300,0400,SELF 73496,A81000C,00300,0600,ADMIN. & DIRECTOR 73496,A81000C,00400,0100,E 73496,A81000C,00400,0200,GEORGE HAUPSTEIN 73496,A81000C,00400,0400,SELF 73496,A81000C,00400,0600,ADMIN. & DIRECTOR 73496,B100000,00000,0100,00000(SQUARE FEET) 73496,B100000,00000,0200,00000(SQUARE FEET) 73496,B100000,00000,0300,00000(GROSS SALARIES) 73496,B100000,00000,0400,00000(ACCUM COST) 73496,B100000,00000,0500,00000(SQUARE FEET) 73496,B100000,00000,0600,00000(ALL TO SNF) 73496,B100000,00000,0700,00000(SQUARE FEET) 73496,B100000,00000,0800,00000(ALL TO SNF) 73496,B100000,00000,0900,00000(GROSS SALARIES) 73496,B100000,00000,1000,00000(ALL TO SNF) 73496,B100000,00000,1100,00000(COSTED REQUIS) 73496,B100000,00000,1200,00000(ALL TO SNF) 73496,B100000,00000,1300,00000(ALL TO SNF) 73496,B100000,00000,1400,00000(ASSIGNED TIME) 73496,E10A180,00301,0100,03/23/2000 73496,S000000,00100,0200,06/13/2000 73496,S200000,00100,0100,1539 COUNTRY CLUB ROAD 73496,S200000,00200,0100,FAIRMONT 73496,S200000,00200,0200,WV 73496,S200000,00200,0300,26554 73496,S200000,00300,0100,MARION 73496,S200000,00400,0100,WWHC 73496,S200000,00400,0200,515053 73496,S200000,00400,0300,02/13/1975 73496,S200000,00400,0500,P 73496,S200000,01500,0100,Y 73496,S200000,04700,0100,Y 73496,S200000,04700,0200,Y 73498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73498,A000000,00300,0000,00300EMPLOYEE BENEFITS 73498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73498,A000000,00700,0000,00700HOUSEKEEPING 73498,A000000,00800,0000,00800DIETARY 73498,A000000,00900,0000,00900NURSING ADMINISTRATION 73498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73498,A000000,01100,0000,01100PHARMACY 73498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73498,A000000,01300,0000,01300SOCIAL SERVICE 73498,A000000,01301,0000,01301RESTORATIVE 73498,A000000,01302,0000,01302ACTIVITIES 73498,A000000,01350,0000,01500OTHER GENERAL SERVICES 73498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73498,A000000,01600,0000,01600SKILLED NURSING FACILITY 73498,A000000,01800,0000,01800NURSING FACILITY 73498,A000000,02100,0000,02100RADIOLOGY 73498,A000000,02200,0000,02200LABORATORY 73498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73498,A000000,02500,0000,02500PHYSICAL THERAPY 73498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73498,A000000,02700,0000,02700SPEECH PATHOLOGY 73498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73498,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73498,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 73498,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73498,A000000,03550,0000,03550FQHC 73498,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73498,A000000,05000,0000,05000CORF 73498,A000000,05010,0000,05010CMHC 73498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73498,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73498,A81000A,00100,0100,Y 73498,A81000B,00100,0300,ADMINISTRATION 73498,A81000B,00200,0300,INTEREST 73498,A81000B,00300,0300,BUILDING 73498,A81000B,00400,0300,EQUIPMENT 73498,A81000B,00500,0300,DIETARY 73498,A81000B,00600,0300,NURSING ADMINISTRATION 73498,A81000B,00700,0300,MEDICAL SUPPLIES 73498,A81000B,00800,0300,DRUGS 73498,A81000B,00900,0300,PHYSICAL THERAPY 73498,A81000B,01000,0300,OCCUPATIONAL THERAPY 73498,A81000B,01100,0300,SPEECH THERAPY 73498,A81000C,00100,0100,B 73498,A81000C,00100,0200,GENESIS HEALTH VENTURES 73498,A81000C,00100,0600,MANAGEMENT COMPANY 73498,A81000C,00200,0100,B 73498,A81000C,00200,0200,GENESIS HEALTH VENTURES 73498,A81000C,00200,0600,MANAGEMENT COMPANY 73498,A81000C,00300,0100,B 73498,A81000C,00300,0200,GENESIS HEALTH VENTURES 73498,A81000C,00300,0600,MANAGEMENT COMPANY 73498,A81000C,00400,0100,B 73498,A81000C,00400,0200,NEIGHBORCARE 73498,A81000C,00400,0400,GENESIS HEALTH VENTURES 73498,A81000C,00400,0600,PHARMACY/MED SUPPLIES 73498,A81000C,00500,0100,B 73498,A81000C,00500,0200,NEIGHBORCARE 73498,A81000C,00500,0400,GENESIS HEALTH VENTURES 73498,A81000C,00500,0600,PHARMACY/MED SUPPLIES 73498,A81000C,00600,0100,B 73498,A81000C,00600,0200,NEIGHBORCARE 73498,A81000C,00600,0400,GENESIS HEALTH VENTURES 73498,A81000C,00600,0600,PHARMACY/MED SUPPLIES 73498,A81000C,00700,0100,B 73498,A81000C,00700,0200,NEIGHBORCARE 73498,A81000C,00700,0400,GENESIS HEALTH VENTURES 73498,A81000C,00700,0600,PHARMACY/MED SUPPLIES 73498,A81000C,00800,0100,B 73498,A81000C,00800,0200,NEIGHBORCARE 73498,A81000C,00800,0400,GENESIS HEALTH VENTURES 73498,A81000C,00800,0600,PHARMACY/MED SUPPLIES 73498,A81000C,00900,0100,B 73498,A81000C,00900,0200,GENESIS REHAB 73498,A81000C,00900,0400,GENESIS HEALTH VENTURES 73498,A81000C,00900,0600,REHAB SERVICES 73498,A81000C,01000,0100,B 73498,A81000C,01000,0200,GENESIS REHAB 73498,A81000C,01000,0400,GENESIS HEALTH VENTURES 73498,A81000C,01000,0600,REHAB SERVICES 73498,A81000C,01100,0100,B 73498,A81000C,01100,0200,GENESIS REHAB 73498,A81000C,01100,0400,GENESIS HEALTH VENTURES 73498,A81000C,01100,0600,REHAB SERVICES 73498,B100000,00000,0100,00000SQUARE FEET 73498,B100000,00000,0200,00000SQUARE FEET 73498,B100000,00000,0300,00000GROSS SALARIES 73498,B100000,00000,0400,00000ACCUM. COST 73498,B100000,00000,0500,00000SQUARE FEET 73498,B100000,00000,0600,00000PATIENT DAYS 73498,B100000,00000,0700,00000SQUARE FEET 73498,B100000,00000,0800,00000PATIENT DAYS 73498,B100000,00000,0900,00000DIRECT NRSING HRS 73498,B100000,00000,1000,00000NO STATISTICS 73498,B100000,00000,1100,00000NO STATISTICS 73498,B100000,00000,1200,00000PATIENT DAYS 73498,B100000,00000,1300,00000PATIENT DAYS 73498,B100000,00000,1301,00000LABOR HOURS 73498,B100000,00000,1302,00000PATIENT DAYS 73498,B100000,00000,1350,00000NO STATISTICS 73498,B100000,00000,1400,00000NO STATISTICS 73498,E10A180,00301,0100,03/02/2000 73498,E10A180,00301,0300,03/02/2000 73498,E10A180,00550,0300,06/08/2000 73498,S000000,00100,0200,05/31/2000 73498,S200000,00100,0100,101 13TH STREET 73498,S200000,00200,0100,HUNTINGTON 73498,S200000,00200,0200,WV 73498,S200000,00300,0100,CABELL 73498,S200000,00400,0100,HERITAGE CENTER 73498,S200000,00400,0200,515060 73498,S200000,00400,0300,01/01/1978 73498,S200000,00400,0500,P 73498,S200000,01600,0100,Y 73500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73500,A000000,00300,0000,00300EMPLOYEE BENEFITS 73500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73500,A000000,00700,0000,00700HOUSEKEEPING 73500,A000000,00800,0000,00800DIETARY 73500,A000000,00900,0000,00900NURSING ADMINISTRATION 73500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73500,A000000,01100,0000,01100PHARMACY 73500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73500,A000000,01300,0000,01300SOCIAL SERVICE 73500,A000000,01350,0000,01500OTHER GENERAL SERVICES 73500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73500,A000000,01600,0000,01600SKILLED NURSING FACILITY 73500,A000000,01800,0000,01800NURSING FACILITY 73500,A000000,01810,0000,01810ICF/MR 73500,A000000,02100,0000,02100RADIOLOGY 73500,A000000,02200,0000,02200LABORATORY 73500,A000000,02300,0000,02300INTRAVENOUS THERAPY 73500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73500,A000000,02500,0000,02500PHYSICAL THERAPY 73500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73500,A000000,02700,0000,02700SPEECH PATHOLOGY 73500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73500,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73500,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73500,A000000,03550,0000,03550FQHC 73500,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73500,A000000,05000,0000,05000CORF 73500,A000000,05010,0000,05010CMHC 73500,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73500,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73500,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73500,A81000A,00100,0100,Y 73500,A81000B,00100,0300,NONCAPITAL H.O. COSTS 73500,A81000C,00100,0100,B 73500,A81000C,00100,0200,VANGUARD 73500,A81000C,00100,0400,IHCA 73500,A81000C,00100,0600,HOME OFFICE 73500,B100000,00000,0100,00000SQUARE FEET 73500,B100000,00000,0200,00000SQUARE FEET 73500,B100000,00000,0300,00000GROSS SALARIES 73500,B100000,00000,0400,00000ACCUM. COST 73500,B100000,00000,0500,00000SQUARE FEET 73500,B100000,00000,0600,00000POUNDS OF LAUNDRY 73500,B100000,00000,0700,00000SQUARE FEET 73500,B100000,00000,0800,00000MEALS SERVED 73500,B100000,00000,0900,00000DIRECT NRSING HRS 73500,B100000,00000,1000,00000PATIENT DAYS 73500,B100000,00000,1100,00000COSTED REQUIS 73500,B100000,00000,1200,00000TIME SPENT 73500,B100000,00000,1300,00000TIME SPENT 73500,B100000,00000,1350,00000NO STATISTICS 73500,B100000,00000,1400,00000ASSIGNED TIME 73500,E10A180,00550,0300,06/05/2000 73500,S000000,00100,0200,06/02/2000 73500,S200000,00100,0100,107 MILLER DRIVE 73500,S200000,00200,0100,RIPLEY 73500,S200000,00200,0200,WV 73500,S200000,00300,0100,JACKSON 73500,S200000,00400,0100,ELDERCARE OF WEST VIRGINIA 73500,S200000,00400,0200,515065 73500,S200000,00400,0300,03/01/1989 73500,S200000,00400,0500,P 73500,S200000,01600,0100,Y 73501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73501,A000000,00300,0000,00300EMPLOYEE BENEFITS 73501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73501,A000000,00700,0000,00700HOUSEKEEPING 73501,A000000,00800,0000,00800DIETARY 73501,A000000,00900,0000,00900NURSING ADMINISTRATION 73501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73501,A000000,01100,0000,01100PHARMACY 73501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73501,A000000,01300,0000,01300SOCIAL SERVICE 73501,A000000,01350,0000,01500OTHER GENERAL SERVICES 73501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73501,A000000,01600,0000,01600SKILLED NURSING FACILITY 73501,A000000,01810,0000,01810ICF/MR 73501,A000000,02100,0000,02100RADIOLOGY 73501,A000000,02200,0000,02200LABORATORY 73501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73501,A000000,02500,0000,02500PHYSICAL THERAPY 73501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73501,A000000,02700,0000,02700SPEECH PATHOLOGY 73501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73501,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73501,A000000,03550,0000,03550FQHC 73501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73501,A000000,05000,0000,05000CORF 73501,A000000,05010,0000,05010CMHC 73501,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73501,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73501,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73501,B100000,00000,0100,00000SQUARE FEET 73501,B100000,00000,0200,00000SQUARE FEET 73501,B100000,00000,0300,00000GROSS SALARIES 73501,B100000,00000,0400,00000ACCUM. COST 73501,B100000,00000,0500,00000SQUARE FEET 73501,B100000,00000,0600,00000POUNDS OF LAUNDRY 73501,B100000,00000,0700,00000HOURS OF SERVICE 73501,B100000,00000,0800,00000MEALS SERVED 73501,B100000,00000,0900,00000DIRECT NRSING HRS 73501,B100000,00000,1000,00000COSTED REQUIS. 73501,B100000,00000,1100,00000COSTED REQUIS. 73501,B100000,00000,1200,00000TIME SPENT 73501,B100000,00000,1300,00000TIME SPENT 73501,B100000,00000,1350,00000NO STATISTICS 73501,B100000,00000,1400,00000ASSIGNED TIME 73501,E10A180,00301,0100,10/05/2000 73501,S000000,00100,0200,11/17/2000 73501,S200000,00100,0100,500 MORRIS STREET 73501,S200000,00200,0100,CHARLESTON 73501,S200000,00200,0200,WV 73501,S200000,00200,0300,25301 73501,S200000,00300,0100,KANAWHA 73501,S200000,00400,0100,ARTHUR B. HODGES CENTER 73501,S200000,00400,0200,515068 73501,S200000,00400,0300,06/07/1981 73501,S200000,00400,0500,P 73501,S200000,01500,0100,Y 73501,S200000,02200,0100,Y 73503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73503,A000000,00300,0000,00300EMPLOYEE BENEFITS 73503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73503,A000000,00700,0000,00700HOUSEKEEPING 73503,A000000,00800,0000,00800DIETARY 73503,A000000,00900,0000,00900NURSING ADMINISTRATION 73503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73503,A000000,01100,0000,01100PHARMACY 73503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73503,A000000,01300,0000,01300SOCIAL SERVICE 73503,A000000,01350,0000,01500OTHER GENERAL SERVICES 73503,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73503,A000000,01600,0000,01600SKILLED NURSING FACILITY 73503,A000000,01800,0000,01800NURSING FACILITY 73503,A000000,01810,0000,01810ICF/MR 73503,A000000,02100,0000,02100RADIOLOGY 73503,A000000,02200,0000,02200LABORATORY 73503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73503,A000000,02500,0000,02500PHYSICAL THERAPY 73503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73503,A000000,02700,0000,02700SPEECH PATHOLOGY 73503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73503,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73503,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73503,A000000,03550,0000,03550FQHC 73503,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73503,A000000,05000,0000,05000CORF 73503,A000000,05010,0000,05010CMHC 73503,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73503,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73503,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73503,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73503,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73503,A81000A,00100,0100,Y 73503,A81000B,00100,0300,BUILDING RENTAL 73503,A81000C,00100,0100,A 73503,A81000C,00100,0200,MR. RAGLAND 73503,A81000C,00100,0400,AMERICAN SOUTHERN 73503,A81000C,00100,0600,HEALTHCARE 73503,B100000,00000,0100,00000SQUARE FEET 73503,B100000,00000,0200,00000SQUARE FEET 73503,B100000,00000,0300,00000GROSS SALARIES 73503,B100000,00000,0400,00000ACCUM. COST 73503,B100000,00000,0500,00000SQUARE FEET 73503,B100000,00000,0600,00000POUNDS OF LAUNDRY 73503,B100000,00000,0700,00000SQUARE FEET 73503,B100000,00000,0800,00000MEALS SERVED 73503,B100000,00000,0900,00000PATIENT DAYS 73503,B100000,00000,1000,00000NO STATISTICS 73503,B100000,00000,1100,00000NO STATISTICS 73503,B100000,00000,1200,00000PATIENT DAYS 73503,B100000,00000,1300,00000PATIENT DAYS 73503,B100000,00000,1350,00000NO STATISTICS 73503,B100000,00000,1400,00000NO STATISTICS 73503,E10A180,00301,0100,03/09/2000 73503,E10A180,00501,0100,07/27/2000 73503,E10A180,00501,0300,07/27/2000 73503,S000000,00100,0200,06/09/2000 73503,S200000,00100,0100,100 HILLCREST DRIVE 73503,S200000,00200,0100,WILLIAMSON 73503,S200000,00200,0200,WV 73503,S200000,00300,0100,MINGO 73503,S200000,00400,0100,MINGO HEALTH CARE CENTER INC. 73503,S200000,00400,0200,515069 73503,S200000,00400,0300,11/01/1981 73503,S200000,00400,0500,P 73503,S200000,00600,0200,150975 73503,S200000,00600,0300,11/01/1981 73503,S200000,01600,0100,Y 73505,S000000,00100,0200,10/03/2000 73507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73507,A000000,00300,0000,00300EMPLOYEE BENEFITS 73507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73507,A000000,00700,0000,00700HOUSEKEEPING 73507,A000000,00800,0000,00800DIETARY 73507,A000000,00900,0000,00900NURSING ADMINISTRATION 73507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73507,A000000,01100,0000,01100PHARMACY 73507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73507,A000000,01300,0000,01300SOCIAL SERVICE 73507,A000000,01350,0000,01500OTHER GENERAL SERVICES 73507,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73507,A000000,01600,0000,01600SKILLED NURSING FACILITY 73507,A000000,01900,0000,01900OTHER LONG TERM CARE 73507,A000000,02100,0000,02100RADIOLOGY 73507,A000000,02200,0000,02200LABORATORY 73507,A000000,02500,0000,02500PHYSICAL THERAPY 73507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73507,A000000,02700,0000,02700SPEECH PATHOLOGY 73507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73507,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73507,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73507,A000000,03550,0000,03550FQHC 73507,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73507,A000000,05000,0000,05000CORF 73507,A000000,05010,0000,05010CMHC 73507,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73507,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73507,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73507,A000000,05300,0000,05300INTEREST EXPENSE 73507,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73507,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73507,A81000A,00100,0100,Y 73507,A81000B,00100,0300,RENT EXPENSE 73507,A81000C,00100,0100,E 73507,A81000C,00100,0200,AVIS HAWKINS 73507,A81000C,00100,0400,HOLBROOK NURSING HOME 73507,A81000C,00100,0600,NURSING HOME 73507,B100000,00000,0100,00000SQUARE FEET 73507,B100000,00000,0200,00000SQUARE FEET 73507,B100000,00000,0300,00000GROSS SALARIES 73507,B100000,00000,0400,00000ACCUM. COST 73507,B100000,00000,0500,00000SQUARE FEET 73507,B100000,00000,0600,00000POUNDS OF LAUNDRY 73507,B100000,00000,0700,00000HOURS OF SERVICE 73507,B100000,00000,0800,00000MEALS SERVED 73507,B100000,00000,0900,00000DIRECT NRSING HRS 73507,B100000,00000,1000,00000COSTED REQUIS. 73507,B100000,00000,1100,00000COSTED REQUIS. 73507,B100000,00000,1200,00000TIME SPENT 73507,B100000,00000,1300,00000TIME SPENT 73507,B100000,00000,1350,00000NO STATISTICS 73507,B100000,00000,1400,00000ASSIGNED TIME 73507,S000000,00100,0200,01/18/2001 73507,S200000,00100,0100,346 SOUTH FLORDIA STREET 73507,S200000,00200,0100,BUCKHANNON 73507,S200000,00200,0200,WV 73507,S200000,00200,0300,26201 73507,S200000,00300,0100,U 73507,S200000,00400,0100,HOLBROOK NURSING HOME INC. 73507,S200000,00400,0200,515076 73507,S200000,00400,0300,02/01/1992 73507,S200000,00400,0500,P 73507,S200000,01600,0100,Y 73507,S200000,02800,0100,Y 73507,S200000,04600,0100,Y 73509,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73509,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73509,A000000,00300,0000,00300EMPLOYEE BENEFITS 73509,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73509,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73509,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73509,A000000,00700,0000,00700HOUSEKEEPING 73509,A000000,00800,0000,00800DIETARY 73509,A000000,00900,0000,00900NURSING ADMINISTRATION 73509,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73509,A000000,01100,0000,01100PHARMACY 73509,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73509,A000000,01300,0000,01300SOCIAL SERVICE 73509,A000000,01350,0000,01500OTHER GENERAL SERVICES 73509,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73509,A000000,01600,0000,01600SKILLED NURSING FACILITY 73509,A000000,01810,0000,01810ICF/MR 73509,A000000,02100,0000,02100RADIOLOGY 73509,A000000,02200,0000,02200LABORATORY 73509,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73509,A000000,02500,0000,02500PHYSICAL THERAPY 73509,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73509,A000000,02700,0000,02700SPEECH PATHOLOGY 73509,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73509,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73509,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73509,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73509,A000000,03550,0000,03550FQHC 73509,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73509,A000000,05000,0000,05000CORF 73509,A000000,05010,0000,05010CMHC 73509,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73509,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73509,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73509,A000000,05300,0000,05300INTEREST EXPENSE 73509,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73509,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73509,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73509,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73509,A000000,06200,0000,06200PATIENTS LAUNDRY 73509,B100000,00000,0100,00000SQUARE FEET 73509,B100000,00000,0200,00000SQUARE FEET 73509,B100000,00000,0300,00000GROSS SALARIES 73509,B100000,00000,0400,00000ACCUM. COST 73509,B100000,00000,0500,00000SQUARE FEET 73509,B100000,00000,0600,00000POUNDS OF LAUNDRY 73509,B100000,00000,0700,00000SQUARE FEET 73509,B100000,00000,0800,00000MEALS SERVED 73509,B100000,00000,0900,00000DIRECT NRSING HRS 73509,B100000,00000,1000,00000COSTED REQUIS. 73509,B100000,00000,1100,00000COSTED REQUIS. 73509,B100000,00000,1200,00000TIME SPENT 73509,B100000,00000,1300,00000TIME SPENT 73509,B100000,00000,1350,00000NO STATISTICS 73509,B100000,00000,1400,00000NO STATISTICS 73509,E10A180,00301,0100,03/02/2000 73509,E10A180,00501,0300,05/30/2000 73509,E10A180,00550,0100,05/30/2000 73509,S000000,00100,0200,05/30/2000 73509,S200000,00100,0100,800 J.D. ANDERSON DRIVE 73509,S200000,00200,0100,MORGANTOWN 73509,S200000,00200,0200,WV 73509,S200000,00300,0100,MONONGALIA 73509,S200000,00400,0100,MONONGALIA HOME CORPORATION 73509,S200000,00400,0200,515083 73509,S200000,00400,0300,06/15/1988 73509,S200000,00400,0500,P 73509,S200000,01500,0100,Y 73511,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73511,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73511,A000000,00300,0000,00300EMPLOYEE BENEFITS 73511,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73511,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73511,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73511,A000000,00700,0000,00700HOUSEKEEPING 73511,A000000,00800,0000,00800DIETARY 73511,A000000,00900,0000,00900NURSING ADMINISTRATION 73511,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73511,A000000,01100,0000,01100PHARMACY 73511,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73511,A000000,01300,0000,01300SOCIAL SERVICE 73511,A000000,01301,0000,01301RESTORATIVE 73511,A000000,01302,0000,01302ACTIVITIES 73511,A000000,01350,0000,01500OTHER GENERAL SERVICES 73511,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73511,A000000,01600,0000,01600SKILLED NURSING FACILITY 73511,A000000,01800,0000,01800NURSING FACILITY 73511,A000000,01810,0000,01810ICF/MR 73511,A000000,02100,0000,02100RADIOLOGY 73511,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73511,A000000,02500,0000,02500PHYSICAL THERAPY 73511,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73511,A000000,02700,0000,02700SPEECH PATHOLOGY 73511,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73511,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73511,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73511,A000000,03200,0000,03200SUPPORT SURFACES 73511,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 73511,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73511,A000000,03550,0000,03550FQHC 73511,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73511,A000000,05000,0000,05000CORF 73511,A000000,05010,0000,05010CMHC 73511,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73511,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73511,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73511,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73511,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73511,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73511,A81000A,00100,0100,Y 73511,A81000B,00100,0300,ADMINISTRATION 73511,A81000B,00200,0300,BUILDING 73511,A81000B,00300,0300,BUILDING 73511,A81000B,00400,0300,EQUIPMENT 73511,A81000B,00500,0300,A & G 73511,A81000B,00600,0300,NURSING ADMINISTRATION 73511,A81000B,00700,0300,MEDICAL SUPPLIES 73511,A81000B,00800,0300,DRUGHS 73511,A81000B,00900,0300,PHYSICAL THERAPY 73511,A81000B,01000,0300,OCCUPATIONAL THERAPY 73511,A81000B,01100,0300,SPEECH THERAPY 73511,A81000B,01200,0300,DIETARY 73511,A81000C,00100,0100,B 73511,A81000C,00100,0200,GENESIS HEALTH VENTURES 73511,A81000C,00100,0600,MANAGEMENT COMPANY 73511,A81000C,00200,0100,B 73511,A81000C,00200,0200,GENESIS HEALTH VENTURES 73511,A81000C,00200,0600,MANAGEMENT COMPANY 73511,A81000C,00300,0100,B 73511,A81000C,00300,0200,GLENMARK PROPERTIES INC 73511,A81000C,00300,0400,GENESIS HEALTH VENTURES 73511,A81000C,00300,0600,PROPERTY OWNER 73511,A81000C,00400,0100,B 73511,A81000C,00400,0200,GLENMARK PROPERTIES INC 73511,A81000C,00400,0400,GENESIS HEALTH VENTURES 73511,A81000C,00400,0600,PROPERTY OWNER 73511,A81000C,00500,0100,B 73511,A81000C,00500,0200,GLENMARK PROPERTIES INC 73511,A81000C,00500,0400,GENESIS HEATLH VENTURES 73511,A81000C,00500,0600,PROPERTY OWNER 73511,A81000C,00600,0100,B 73511,A81000C,00600,0200,NEIGHBORCARE 73511,A81000C,00600,0400,GENESIS HEALTH VENTURES 73511,A81000C,00600,0600,PHARMACY/MED SUPPLIES 73511,A81000C,00700,0100,B 73511,A81000C,00700,0200,NEIGHBORCARE 73511,A81000C,00700,0400,GENESIS HEALTH VENTURES 73511,A81000C,00700,0600,PHARMACY/MED SUPPLIES 73511,A81000C,00800,0100,B 73511,A81000C,00800,0200,NEIGHBORCARE 73511,A81000C,00800,0400,GENESIS HEALTH VENTURES 73511,A81000C,00800,0600,PHARMACY/MED SUPPLIES 73511,A81000C,00900,0100,B 73511,A81000C,00900,0200,GENESIS REHAB 73511,A81000C,00900,0400,GENESIS HEALTH VENTURES 73511,A81000C,00900,0600,REHAB SERVICES 73511,A81000C,01000,0100,B 73511,A81000C,01000,0200,GENESIS REHAB 73511,A81000C,01000,0400,GENESIS HEALTH VENTURES 73511,A81000C,01000,0600,REHAB SERVICES 73511,A81000C,01100,0100,B 73511,A81000C,01100,0200,GENESIS REHAB 73511,A81000C,01100,0400,GENESIS HEALTH VENTURES 73511,A81000C,01100,0600,REHAB SERVICES 73511,A81000C,01200,0100,B 73511,A81000C,01200,0200,GENESIS HOSPITALITY 73511,A81000C,01200,0400,GENESIS HEALTH VENTURES 73511,A81000C,01200,0600,DIETARY SERVICES 73511,B100000,00000,0100,00000SQUARE FEET 73511,B100000,00000,0200,00000SQUARE FEET 73511,B100000,00000,0300,00000GROSS SALARIES 73511,B100000,00000,0400,00000ACCUM. COST 73511,B100000,00000,0500,00000SQUARE FEET 73511,B100000,00000,0600,00000PATIENT DAYS 73511,B100000,00000,0700,00000SQUARE FEET 73511,B100000,00000,0800,00000PATIENT DAYS 73511,B100000,00000,0900,00000DIRECT NRSING HRS 73511,B100000,00000,1000,00000NO STATISTICS 73511,B100000,00000,1100,00000NO STATISTICS 73511,B100000,00000,1200,00000PATIENT DAYS 73511,B100000,00000,1300,00000PATIENT DAYS 73511,B100000,00000,1301,00000LABOR HOURS 73511,B100000,00000,1302,00000PATIENT DAYS 73511,B100000,00000,1350,00000NO STATISTICS 73511,B100000,00000,1400,00000NO STATISTICS 73511,E10A180,00301,0100,11/18/1999 73511,E10A180,00301,0300,03/02/2000 73511,E10A180,00302,0100,03/02/2000 73511,S000000,00100,0200,05/26/2000 73511,S200000,00100,0100,302 CEDAR RIDGE ROAD 73511,S200000,00200,0100,SISSONVILLE 73511,S200000,00200,0200,WV 73511,S200000,00300,0100,KANAWHA 73511,S200000,00400,0100,CEDAR RIDGE CENTER 73511,S200000,00400,0200,515087 73511,S200000,00400,0300,04/14/1989 73511,S200000,00400,0500,P 73511,S200000,01600,0100,Y 73511,S200000,02200,0100,Y 73514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73514,A000000,00300,0000,00300EMPLOYEE BENEFITS 73514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73514,A000000,00700,0000,00700HOUSEKEEPING 73514,A000000,00800,0000,00800DIETARY 73514,A000000,00900,0000,00900NURSING ADMINISTRATION 73514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73514,A000000,01100,0000,01100PHARMACY 73514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73514,A000000,01300,0000,01300SOCIAL SERVICE 73514,A000000,01301,0000,01301RESTORATIVE 73514,A000000,01302,0000,01302ACTIVITIES 73514,A000000,01350,0000,01500OTHER GENERAL SERVICES 73514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73514,A000000,01600,0000,01600SKILLED NURSING FACILITY 73514,A000000,01800,0000,01800NURSING FACILITY 73514,A000000,01810,0000,01810ICF/MR 73514,A000000,02100,0000,02100RADIOLOGY 73514,A000000,02200,0000,02200LABORATORY 73514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73514,A000000,02500,0000,02500PHYSICAL THERAPY 73514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73514,A000000,02700,0000,02700SPEECH PATHOLOGY 73514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73514,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73514,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 73514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73514,A000000,03550,0000,03550FQHC 73514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73514,A000000,05000,0000,05000CORF 73514,A000000,05010,0000,05010CMHC 73514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 73514,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73514,A81000A,00100,0100,Y 73514,A81000B,00100,0300,ADMINISTRATION 73514,A81000B,00200,0300,INTEREST 73514,A81000B,00300,0300,BUILDING 73514,A81000B,00400,0300,EQUIPMENT 73514,A81000B,00500,0300,A&G 73514,A81000B,00600,0300,DIETARY 73514,A81000B,00700,0300,NURSING ADMINISTRATION 73514,A81000B,00800,0300,MEDICAL SUPPLIES 73514,A81000B,00900,0300,DRUGS 73514,A81000B,01000,0300,PHYSICAL THERAPY 73514,A81000B,01100,0300,OCCUPATIONAL THERAPY 73514,A81000B,01200,0300,SPEECH THERAPY 73514,A81000C,00100,0100,B 73514,A81000C,00100,0200,GENESIS HEALTH VENTURES 73514,A81000C,00100,0600,MANAGEMENT COMPANY 73514,A81000C,00200,0100,B 73514,A81000C,00200,0200,GENESIS HEALTH VENTURES 73514,A81000C,00200,0600,MANAGEMENT COMPANY 73514,A81000C,00300,0100,B 73514,A81000C,00300,0200,GENESIS HEALTH VENTURES 73514,A81000C,00300,0600,MANAGEMENT COMPANY 73514,A81000C,00400,0100,B 73514,A81000C,00400,0200,NEIGHBORCARE 73514,A81000C,00400,0400,GENESIS HEALTH VENTURES 73514,A81000C,00400,0600,PHARMACY/MED SUPPLIES 73514,A81000C,00500,0100,B 73514,A81000C,00500,0200,NEIGHBORCARE 73514,A81000C,00500,0400,GENESIS HEALTH VENTURES 73514,A81000C,00500,0600,PHARMACY/MED SUPPLIES 73514,A81000C,00600,0100,B 73514,A81000C,00600,0200,NEIGHBORCARE 73514,A81000C,00600,0400,GENESIS HEALTH VENTURES 73514,A81000C,00600,0600,PHARMACY/MED SUPPLIES 73514,A81000C,00700,0100,B 73514,A81000C,00700,0200,NEIGHBORCARE 73514,A81000C,00700,0400,GENESIS HEALTH VENTURES 73514,A81000C,00700,0600,PHARMACY/MED SUPPLIES 73514,A81000C,00800,0100,B 73514,A81000C,00800,0200,NEIGHBORCARE 73514,A81000C,00800,0400,GENESIS HEALTH VENTURES 73514,A81000C,00800,0600,PHARMACY/MED SUPPLIES 73514,A81000C,00900,0100,B 73514,A81000C,00900,0200,NEIGHBORCARE 73514,A81000C,00900,0400,GENESIS HEALTH VENTURES 73514,A81000C,00900,0600,PHARMACY/MED SUPPLIES 73514,A81000C,01000,0100,B 73514,A81000C,01000,0200,GENESIS REHAB 73514,A81000C,01000,0400,GENESIS HEALTH VENTURES 73514,A81000C,01000,0600,REHAB SERVICES 73514,A81000C,01100,0100,B 73514,A81000C,01100,0200,GENESIS REHAB 73514,A81000C,01100,0400,GENESIS HEALTH VENTURES 73514,A81000C,01100,0600,REHAB SERVICES 73514,A81000C,01200,0100,B 73514,A81000C,01200,0200,GENESIS REHAB 73514,A81000C,01200,0400,GENESIS HEALTH VENTURES 73514,A81000C,01200,0600,REHAB SERVICES 73514,B100000,00000,0100,00000SQUARE FEET 73514,B100000,00000,0200,00000SQUARE FEET 73514,B100000,00000,0300,00000GROSS SALARIES 73514,B100000,00000,0400,00000ACCUM. COST 73514,B100000,00000,0500,00000SQUARE FEET 73514,B100000,00000,0600,00000PATIENT DAYS 73514,B100000,00000,0700,00000SQUARE FEET 73514,B100000,00000,0800,00000PATIENT DAYS 73514,B100000,00000,0900,00000DIRECT NRSING HRS 73514,B100000,00000,1000,00000NO STATISTICS 73514,B100000,00000,1100,00000NO STATISTICS 73514,B100000,00000,1200,00000PATIENT DAYS 73514,B100000,00000,1300,00000PATIENT DAYS 73514,B100000,00000,1301,00000LABOR HOURS 73514,B100000,00000,1302,00000PATIENT DAYS 73514,B100000,00000,1350,00000NO STATISTICS 73514,B100000,00000,1400,00000NO STATISTICS 73514,E10A180,00301,0100,10/21/1999 73514,E10A180,00301,0300,03/02/2000 73514,E10A180,00302,0100,03/02/2000 73514,E10A180,00350,0300,10/21/1999 73514,E10A180,00501,0300,06/21/2000 73514,S000000,00100,0200,05/30/2000 73514,S200000,00100,0100,161 BAKERS RIDGE ROAD 73514,S200000,00200,0100,MORGANTOWN 73514,S200000,00200,0200,WV 73514,S200000,00300,0100,MONONGALIA 73514,S200000,00400,0100,MADISON CENTER 73514,S200000,00400,0200,515104 73514,S200000,00400,0300,10/11/1989 73514,S200000,00400,0500,P 73514,S200000,01600,0100,Y 73514,S200000,02800,0100,Y 73518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73518,A000000,00300,0000,00300EMPLOYEE BENEFITS 73518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73518,A000000,00700,0000,00700HOUSEKEEPING 73518,A000000,00800,0000,00800DIETARY 73518,A000000,00900,0000,00900NURSING ADMINISTRATION 73518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73518,A000000,01100,0000,01100PHARMACY 73518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73518,A000000,01300,0000,01300SOCIAL SERVICE 73518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73518,A000000,01600,0000,01600SKILLED NURSING FACILITY 73518,A000000,01800,0000,01800NURSING FACILITY 73518,A000000,01810,0000,01810ICF/MR 73518,A000000,02200,0000,02200LABORATORY 73518,A000000,02300,0000,02300INTRAVENOUS THERAPY 73518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73518,A000000,02500,0000,02500PHYSICAL THERAPY 73518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73518,A000000,02700,0000,02700SPEECH PATHOLOGY 73518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73518,A000000,03550,0000,03550FQHC 73518,A000000,05000,0000,05000CORF 73518,A000000,05010,0000,05010CMHC 73518,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73518,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73518,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73518,A81000A,00100,0100,Y 73518,A81000B,00100,0300,MANAGEMENT FEES 73518,A81000B,00200,0300,MEDICAL SUPPLIES 73518,A81000B,00300,0300,NURSING SUPPLIES 73518,A81000B,00400,0300,NURSING SUPPLIES 73518,A81000B,00500,0300,NOURISHMENTS 73518,A81000C,00100,0100,B 73518,A81000C,00100,0200,DIVERSICARE MGM 73518,A81000C,00100,0400,ADVOCAT INC. 73518,A81000C,00100,0600,MANAGEMENT CO. 73518,A81000C,00200,0100,B 73518,A81000C,00200,0200,ADVOCAT DISTR. 73518,A81000C,00200,0400,ADVOCAT INC. 73518,A81000C,00200,0600,MEDICAL SUPPLIE 73518,A81000C,00300,0100,B 73518,A81000C,00300,0200,ADVOCAT DISTR. 73518,A81000C,00300,0400,ADVOCAT INC. 73518,A81000C,00300,0600,MEDICAL SUPPLIE 73518,A81000C,00400,0100,B 73518,A81000C,00400,0200,ADVOCAT DISTR. 73518,A81000C,00400,0400,ADVOCAT INC. 73518,A81000C,00400,0600,MEDICAL SUPPLIE 73518,A81000C,00500,0100,B 73518,A81000C,00500,0200,ADVOCAT DISTR. 73518,A81000C,00500,0400,ADVOCAT INC. 73518,A81000C,00500,0600,MEDICAL SUPPLES 73518,B100000,00000,0100,00000SQUARE FEET 73518,B100000,00000,0200,00000SQUARE FEET 73518,B100000,00000,0300,00000GROSS SALARIES 73518,B100000,00000,0400,00000ACCUM COST 73518,B100000,00000,0500,00000SQUARE FEET 73518,B100000,00000,0600,00000PATIENT DAYS 73518,B100000,00000,0700,00000SQUARE FEET 73518,B100000,00000,0800,00000PATIENT DAYS 73518,B100000,00000,0900,00000NURSING & REHAB HRS. 73518,B100000,00000,1000,00000COSTED REQUIS 73518,B100000,00000,1100,00000COSTED REQUIS 73518,B100000,00000,1200,00000PATIENT DAYS 73518,B100000,00000,1300,00000PATIENT DAYS 73518,B100000,00000,1400,00000ASSIGNED TIME 73518,E10A180,00501,0100,03/28/2001 73518,E10A180,00501,0300,03/28/2001 73518,S000000,00100,0200,01/16/2001 73518,S200000,00100,0100,LICK CREEK ROAD 73518,S200000,00100,0300,605 73518,S200000,00200,0100,DANVILLE 73518,S200000,00200,0200,WV 73518,S200000,00200,0300,25053 73518,S200000,00300,0100,B 73518,S200000,00400,0100,BOONE NURSING & REHAB 73518,S200000,00400,0200,515117 73518,S200000,00400,0300,07/01/1992 73518,S200000,00400,0500,P 73518,S200000,01600,0100,Y 73518,S200000,02200,0100,Y 73524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73524,A000000,00300,0000,00300EMPLOYEE BENEFITS 73524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73524,A000000,00700,0000,00700HOUSEKEEPING 73524,A000000,00800,0000,00800DIETARY 73524,A000000,00900,0000,00900NURSING ADMINISTRATION 73524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73524,A000000,01100,0000,01100PHARMACY 73524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73524,A000000,01300,0000,01300SOCIAL SERVICE 73524,A000000,01350,0000,01500OTHER GENERAL SERVICES 73524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73524,A000000,01600,0000,01600SKILLED NURSING FACILITY 73524,A000000,01810,0000,01810ICF/MR 73524,A000000,01900,0000,01900OTHER LONG TERM CARE 73524,A000000,02200,0000,02200LABORATORY 73524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73524,A000000,02500,0000,02500PHYSICAL THERAPY 73524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73524,A000000,02700,0000,02700SPEECH PATHOLOGY 73524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73524,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73524,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73524,A000000,03550,0000,03550FQHC 73524,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73524,A000000,05000,0000,05000CORF 73524,A000000,05010,0000,05010CMHC 73524,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73524,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73524,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73524,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73524,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73524,A81000A,00100,0100,Y 73524,A81000B,00100,0300,DAYSPRING 73524,A81000B,00200,0300,RENT 73524,A81000C,00100,0100,B 73524,A81000C,00100,0400,NATIONAL HEALTH CARE 73524,A81000C,00100,0600,MANAGEMENT CONTRACTS 73524,A81000C,00200,0100,B 73524,A81000C,00200,0400,NATIONAL HEALTH CARE 73524,A81000C,00200,0600,LEASE FACILITIES 73524,B100000,00000,0100,00000SQUARE FEET 73524,B100000,00000,0200,00000SQUARE FEET 73524,B100000,00000,0300,00000GROSS SALARIES 73524,B100000,00000,0400,00000ACCUM. COST 73524,B100000,00000,0500,00000SQUARE FEET 73524,B100000,00000,0600,00000POUNDS 73524,B100000,00000,0700,00000SQUARE FEET 73524,B100000,00000,0800,00000PATIENT DAYS 73524,B100000,00000,0900,00000PATIENT DAYS 73524,B100000,00000,1000,00000PATIENT DAYS 73524,B100000,00000,1100,00000PATIENT DAYS 73524,B100000,00000,1200,00000PATIENT DAYS 73524,B100000,00000,1300,00000PATIENT DAYS 73524,B100000,00000,1350,00000NO STATISTICS 73524,B100000,00000,1400,00000NO STATISTICS 73524,E10A180,00301,0100,10/05/2000 73524,E10A180,00501,0100,03/15/2001 73524,S000000,00100,0200,06/16/2001 73524,S200000,00100,0100,ROUTE 3 BOX 277A 73524,S200000,00200,0100,BERKELEY SPRINGS 73524,S200000,00200,0200,WV 73524,S200000,00200,0300,25411 73524,S200000,00300,0100,B 73524,S200000,00400,0100,DAYSPRING INC 73524,S200000,00400,0200,515137 73524,S200000,00400,0300,02/01/1996 73524,S200000,00400,0500,P 73524,S200000,01600,0100,Y 73526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73526,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73526,A000000,00300,0000,00300EMPLOYEE BENEFITS 73526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73526,A000000,00700,0000,00700HOUSEKEEPING 73526,A000000,00800,0000,00800DIETARY 73526,A000000,00900,0000,00900NURSING ADMINISTRATION 73526,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73526,A000000,01100,0000,01100PHARMACY 73526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73526,A000000,01300,0000,01300SOCIAL SERVICE 73526,A000000,01350,0000,01500OTHER GENERAL SERVICES 73526,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73526,A000000,01600,0000,01600SKILLED NURSING FACILITY 73526,A000000,01800,0000,01800NURSING FACILITY 73526,A000000,01810,0000,01810ICF/MR 73526,A000000,02200,0000,02200LABORATORY 73526,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73526,A000000,02500,0000,02500PHYSICAL THERAPY 73526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73526,A000000,02700,0000,02700SPEECH PATHOLOGY 73526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73526,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73526,A000000,03550,0000,03550FQHC 73526,A000000,05000,0000,05000CORF 73526,A000000,05010,0000,05010CMHC 73526,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73526,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73526,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73526,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73526,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73526,A81000A,00100,0100,Y 73526,A81000B,00100,0300,BUILDING RENTAL 73526,A81000C,00100,0100,A 73526,A81000C,00100,0200,MR. RAGLAND 73526,A81000C,00100,0400,AMERICAN SOUTHERN 73526,A81000C,00100,0600,HEALTHCARE 73526,B100000,00000,0100,00000SQUARE FEET 73526,B100000,00000,0200,00000SQUARE FEET 73526,B100000,00000,0300,00000GROSS SALARIES 73526,B100000,00000,0400,00000ACCUM. COST 73526,B100000,00000,0500,00000SQUARE FEET 73526,B100000,00000,0600,00000POUNDS OF LAUNDRY 73526,B100000,00000,0700,00000SQUARE FEET 73526,B100000,00000,0800,00000MEALS SERVED 73526,B100000,00000,0900,00000PATIENT DAYS 73526,B100000,00000,1000,00000COSTED REQUIS. 73526,B100000,00000,1100,00000COSTED REQUIS. 73526,B100000,00000,1200,00000PATIENT DAYS 73526,B100000,00000,1300,00000PATIENT DAYS 73526,B100000,00000,1350,00000NO STATISTICS 73526,B100000,00000,1400,00000ASSIGNED TIME 73526,E10A180,00301,0100,03/02/2000 73526,E10A180,00301,0300,02/16/1998 73526,E10A180,00550,0100,07/20/2000 73526,S000000,00100,0200,05/31/2000 73526,S200000,00100,0100,1000 WEST PARK AVENUE 73526,S200000,00200,0100,LOGAN 73526,S200000,00200,0200,WV 73526,S200000,00300,0100,LOGAN 73526,S200000,00400,0100,LOGAN PARK CARE CENTER INC. 73526,S200000,00400,0200,515140 73526,S200000,00400,0300,01/19/1996 73526,S200000,00400,0500,P 73526,S200000,00600,0200,150878 73526,S200000,00600,0300,11/01/1981 73526,S200000,01600,0100,Y 73532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73532,A000000,00300,0000,00300EMPLOYEE BENEFITS 73532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73532,A000000,00700,0000,00700HOUSEKEEPING 73532,A000000,00800,0000,00800DIETARY 73532,A000000,00900,0000,00900NURSING ADMINISTRATION 73532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73532,A000000,01100,0000,01100PHARMACY 73532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73532,A000000,01300,0000,01300SOCIAL SERVICE 73532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73532,A000000,01600,0000,01600SKILLED NURSING FACILITY 73532,A000000,01810,0000,01810ICF/MR 73532,A000000,02100,0000,02100RADIOLOGY 73532,A000000,02200,0000,02200LABORATORY 73532,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73532,A000000,02500,0000,02500PHYSICAL THERAPY 73532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73532,A000000,02700,0000,02700SPEECH PATHOLOGY 73532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73532,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73532,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73532,A000000,03550,0000,03550FQHC 73532,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73532,A000000,05000,0000,05000CORF 73532,A000000,05010,0000,05010CMHC 73532,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73532,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73532,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73532,A000000,05300,0000,05300INTEREST EXPENSE 73532,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73532,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73532,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73532,A81000A,00100,0100,Y 73532,A81000B,00100,0300,BUILDING RENT 73532,A81000B,00200,0300,ACCOUNTING 73532,A81000C,00100,0100,B 73532,A81000C,00100,0200,SUTPHIN ASSOCIATES LLC 73532,A81000C,00100,0600,RENTAL COMPANY 73532,A81000C,00200,0100,A 73532,A81000C,00200,0200,PACK HAWLEY LAMBERT&BUR 73532,A81000C,00200,0600,CPA FIRM 73532,B100000,00000,0100,00000SQUARE FEET 73532,B100000,00000,0200,00000SQUARE FEET 73532,B100000,00000,0300,00000GROSS SALARIES 73532,B100000,00000,0400,00000ACCUM. COST 73532,B100000,00000,0500,00000SQUARE FEET 73532,B100000,00000,0600,00000LAUNDRY WEIGHT 73532,B100000,00000,0700,00000HOURS OF SERVICE 73532,B100000,00000,0800,00000DIETARY MEALS 73532,B100000,00000,0900,00000HOURS OF SERVICE 73532,B100000,00000,1000,00000NO STATISTICS 73532,B100000,00000,1100,00000NO STATISTICS 73532,B100000,00000,1200,00000PATIENT DAYS 73532,B100000,00000,1300,00000PATIENT DAYS 73532,B100000,00000,1400,00000ASSIGNED TIME 73532,E10A180,00301,0100,03/02/2000 73532,S000000,00100,0200,05/30/2000 73532,S200000,00100,0100,422 23RD STREET 73532,S200000,00200,0100,OAK HILL 73532,S200000,00200,0200,WV 73532,S200000,00300,0100,FAYETTE 73532,S200000,00400,0100,HIDDEN VALLEY HEALTH CARE CENTER 73532,S200000,00400,0200,515147 73532,S200000,00400,0300,10/02/1996 73532,S200000,00400,0500,P 73532,S200000,00600,0200,150065 73532,S200000,00600,0300,06/14/1988 73532,S200000,01500,0100,Y 73534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73534,A000000,00300,0000,00300EMPLOYEE BENEFITS 73534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73534,A000000,00700,0000,00700HOUSEKEEPING 73534,A000000,00800,0000,00800DIETARY 73534,A000000,00900,0000,00900NURSING ADMINISTRATION 73534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73534,A000000,01100,0000,01100PHARMACY 73534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73534,A000000,01300,0000,01300SOCIAL SERVICE 73534,A000000,01350,0000,01500OTHER GENERAL SERVICES 73534,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73534,A000000,01600,0000,01600SKILLED NURSING FACILITY 73534,A000000,01810,0000,01810ICF/MR 73534,A000000,02100,0000,02100RADIOLOGY 73534,A000000,02200,0000,02200LABORATORY 73534,A000000,02500,0000,02500PHYSICAL THERAPY 73534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73534,A000000,02700,0000,02700SPEECH PATHOLOGY 73534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73534,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73534,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73534,A000000,03550,0000,03550FQHC 73534,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73534,A000000,05000,0000,05000CORF 73534,A000000,05010,0000,05010CMHC 73534,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73534,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73534,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73534,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73534,A000000,06150,0000,06300VENDING MACHINES 73534,A000000,06151,0000,06301ELDERLY HOUSING 73534,A000000,06200,0000,06200PATIENTS LAUNDRY 73534,B100000,00000,0100,00001SQUARE FEET 73534,B100000,00000,0200,00001SQUARE FEET 73534,B100000,00000,0300,00001GROSS SALARIES 73534,B100000,00000,0400,00001ACCUM. COST 73534,B100000,00000,0500,00001SQUARE FEET 73534,B100000,00000,0600,00001POUNDS OF LAUNDRY 73534,B100000,00000,0700,00001HOURS OF SERVICE 73534,B100000,00000,0800,00001MEALS SERVED 73534,B100000,00000,0900,00001DIRECT NRSING HRS 73534,B100000,00000,1000,00001COSTED REQUIS. 73534,B100000,00000,1100,00001COSTED REQUIS. 73534,B100000,00000,1200,00001TIME SPENT 73534,B100000,00000,1300,00001TIME SPENT 73534,B100000,00000,1350,00001NO STATISTICS 73534,B100000,00000,1400,00001ASSIGNED TIME 73534,E10A180,00301,0100,08/14/2000 73534,E10A180,00501,0100,01/18/2001 73534,S000000,00100,0200,12/15/2000 73534,S200000,00100,0100,27 EARLY AVENUE 73534,S200000,00200,0100,PETERSBURG 73534,S200000,00200,0200,WV 73534,S200000,00200,0300,26847 73534,S200000,00300,0100,G 73534,S200000,00400,0100,GRANT COUNTY NURSING HOME 73534,S200000,00400,0200,515151 73534,S200000,00400,0300,04/01/1997 73534,S200000,00400,0500,P 73534,S200000,01500,0100,Y 73534,S200000,04100,0100,Y 73538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73538,A000000,00300,0000,00300EMPLOYEE BENEFITS 73538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73538,A000000,00700,0000,00700HOUSEKEEPING 73538,A000000,00800,0000,00800DIETARY 73538,A000000,00900,0000,00900NURSING ADMINISTRATION 73538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73538,A000000,01100,0000,01100PHARMACY 73538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73538,A000000,01300,0000,01300SOCIAL SERVICE 73538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73538,A000000,01600,0000,01600SKILLED NURSING FACILITY 73538,A000000,01800,0000,01800NURSING FACILITY 73538,A000000,01810,0000,01810ICF/MR 73538,A000000,01900,0000,01900OTHER LONG TERM CARE 73538,A000000,02100,0000,02100RADIOLOGY 73538,A000000,02200,0000,02200LABORATORY 73538,A000000,02500,0000,02500PHYSICAL THERAPY 73538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73538,A000000,02700,0000,02700SPEECH PATHOLOGY 73538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73538,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENT 73538,A000000,05000,0000,05000CORF 73538,A000000,05010,0000,05010CMHC 73538,A000000,05020,0000,05020OPT 73538,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73538,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73538,A000000,05300,0000,05300INTEREST EXPENSE 73538,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COST 73538,A81000A,00100,0100,Y 73538,A81000B,00100,0300,C/O ADM. SERVICE 73538,A81000B,00200,0300,LAUNDRY SERVICE 73538,A81000B,00300,0300,DIRECTOR FEES 73538,A81000B,00400,0300,RENTAL INCOME OFFSET 73538,A81000B,00500,0300,FRINGE BENEFITS 73538,A81000B,00600,0300,OFFICER SALARY 73538,A81000C,00100,0100,A 73538,A81000C,00100,0200,HERMAN HAUPSTEIN 73538,A81000C,00100,0400,MLC 73538,A81000C,00100,0600,RENT&C/O SERVICE 73538,A81000C,00200,0100,A 73538,A81000C,00200,0200,GEORGE HAUSPTEIN 73538,A81000C,00200,0400,MLC 73538,A81000C,00200,0600,RENT&C/O SERVICE 73538,A81000C,00400,0100,A 73538,A81000C,00400,0200,HERMAN HAUPSTEIN 73538,A81000C,00400,0400,WWHC 73538,A81000C,00400,0600,LAUNDRY SERVICE 73538,A81000C,00500,0100,A 73538,A81000C,00500,0200,GEORGE HAUPSTEIN 73538,A81000C,00500,0400,WWHC 73538,A81000C,00500,0600,LAUNDRY SERVICE 73538,A81000C,00700,0100,E 73538,A81000C,00700,0200,HERMAN HAUPSTEIN 73538,A81000C,00700,0400,SELF 73538,A81000C,00700,0600,ASST. ADM. & DIR. 73538,A81000C,00800,0100,E 73538,A81000C,00800,0200,GEORGE HAUPSTEIN 73538,A81000C,00800,0400,SELF 73538,A81000C,00800,0600,ADM. & DIRECTOR 73538,B100000,00000,0100,00000(SQUARE FEET) 73538,B100000,00000,0200,00000(SQUARE FEET) 73538,B100000,00000,0300,00000(GROSS SALARIES) 73538,B100000,00000,0400,00000(ACCUM COST) 73538,B100000,00000,0500,00000(SQUARE FEET) 73538,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 73538,B100000,00000,0700,00000(SQUARE FEET) 73538,B100000,00000,0800,00000(PATIENT DAYS) 73538,B100000,00000,0900,00000(GROSS SALARIES) 73538,B100000,00000,1000,00000(PATIENT DAYS) 73538,B100000,00000,1100,00000(COSTED REQUIS) 73538,B100000,00000,1200,00000(PATIENT DAYS) 73538,B100000,00000,1300,00000(PATIENT DAYS) 73538,B100000,00000,1400,00000(ASSIGNED TIME) 73538,S000000,00100,0200,06/24/2000 73538,S200000,00100,0100,1543 COUNTRY CLUB ROAD 73538,S200000,00200,0100,FAIRMONT 73538,S200000,00200,0200,WV 73538,S200000,00200,0300,26554 73538,S200000,00300,0100,MARION 73538,S200000,00400,0100,WWM 73538,S200000,00400,0200,515155 73538,S200000,00400,0300,05/14/1997 73538,S200000,00400,0500,P 73538,S200000,01600,0100,Y 73538,S200000,01700,0100,Y 73540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73540,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 73540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73540,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 73540,A000000,00300,0000,00300EMPLOYEE BENEFITS 73540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73540,A000000,00700,0000,00700HOUSEKEEPING 73540,A000000,00800,0000,00800DIETARY 73540,A000000,00801,0000,00801CAFETERIA 73540,A000000,00900,0000,00900NURSING ADMINISTRATION 73540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73540,A000000,01100,0000,01100PHARMACY 73540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73540,A000000,01300,0000,01300SOCIAL SERVICE 73540,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73540,A000000,01600,0000,01600SKILLED NURSING FACILITY 73540,A000000,01810,0000,01810ICF/MR 73540,A000000,01900,0000,01900OTHER LONG TERM CARE 73540,A000000,02100,0000,02100RADIOLOGY 73540,A000000,02200,0000,02200LABORATORY 73540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73540,A000000,02500,0000,02500PHYSICAL THERAPY 73540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73540,A000000,02700,0000,02700SPEECH PATHOLOGY 73540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73540,A000000,03050,0000,03300OTHER ANCILLARY 73540,A000000,03051,0000,03301OTHER ANCILLARY II 73540,A000000,03052,0000,03302OTHER ANCILLARY III 73540,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 73540,A000000,03550,0000,03550FQHC 73540,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73540,A000000,05000,0000,05000CORF I 73540,A000000,05010,0000,05010CMHC I 73540,A000000,05020,0000,05020OPT I 73540,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73540,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73540,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 73540,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 73540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73540,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73540,A81000A,00100,0100,Y 73540,A81000B,00100,0300,ACCOUNTING FEES 73540,A81000C,00100,0100,A 73540,A81000C,00100,0200,COMMUNITY PROPY 73540,A81000C,00100,0400,CPC 73540,A81000C,00100,0600,OWNERSHIP 73540,B100000,00000,0100,00000(SQUARE FEET) 73540,B100000,00000,0101,00000(SQUARE FEET) 73540,B100000,00000,0200,00000(SQUARE FEET) 73540,B100000,00000,0201,00000(SQUARE FEET) 73540,B100000,00000,0300,00000(GROSS SALARIES) 73540,B100000,00000,0400,00000(ACCUM. COST) 73540,B100000,00000,0500,00000(SQUARE FEET) 73540,B100000,00000,0600,00000(PATIENT DAYS) 73540,B100000,00000,0700,00000(SQUARE FEET) 73540,B100000,00000,0800,00000(MEALS SERVED) 73540,B100000,00000,0801,00000(MEALS SERVED) 73540,B100000,00000,0900,00000(NURSING SALARIES) 73540,B100000,00000,1000,00000(PATIENT DAYS) 73540,B100000,00000,1100,00000(PATIENT DAYS) 73540,B100000,00000,1200,00000(PATIENT DAYS) 73540,B100000,00000,1300,00000(PATIENT DAYS) 73540,B100000,00000,1350,00000 73540,B100000,00000,1400,00000(ASSIGNED TIME) 73540,E10A180,00301,0100,05/01/2000 73540,E10A180,00550,0100,03/13/2001 73540,S000000,00100,0200,03/06/2001 73540,S200000,00100,0300,967 73540,S200000,00200,0100,JANE LEW 73540,S200000,00200,0200,WV 73540,S200000,00200,0300,26378 73540,S200000,00300,0100,L 73540,S200000,00400,0100,CRESTVIEW MANOR NURSING HOME 73540,S200000,00400,0200,515160 73540,S200000,00400,0300,12/10/1997 73540,S200000,00400,0500,P 73540,S200000,01500,0100,Y 73540,S200000,02200,0100,Y 73543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73543,A000000,00300,0000,00300EMPLOYEE BENEFITS 73543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73543,A000000,00700,0000,00700HOUSEKEEPING 73543,A000000,00800,0000,00800DIETARY 73543,A000000,00900,0000,00900NURSING ADMINISTRATION 73543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73543,A000000,01100,0000,01100PHARMACY 73543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73543,A000000,01300,0000,01300SOCIAL SERVICE 73543,A000000,01301,0000,01301RESTORATIVE 73543,A000000,01302,0000,01302ACTIVITIES 73543,A000000,01350,0000,01500OTHER GENERAL SERVICES 73543,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73543,A000000,01600,0000,01600SKILLED NURSING FACILITY 73543,A000000,01810,0000,01810ICF/MR 73543,A000000,02100,0000,02100RADIOLOGY 73543,A000000,02200,0000,02200LABORATORY 73543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73543,A000000,02500,0000,02500PHYSICAL THERAPY 73543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73543,A000000,02700,0000,02700SPEECH PATHOLOGY 73543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73543,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73543,A000000,03201,0000,03201ANCILLARY CHARGEABLE SUPPLIES 73543,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73543,A000000,03550,0000,03550FQHC 73543,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73543,A000000,05000,0000,05000CORF 73543,A000000,05010,0000,05010CMHC 73543,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73543,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73543,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73543,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73543,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73543,A81000A,00100,0100,Y 73543,A81000B,00100,0300,ADMINISTRATION 73543,A81000B,00200,0300,BUILDING 73543,A81000B,00300,0300,BUILDING 73543,A81000B,00400,0300,EQUIPMENT 73543,A81000B,00500,0300,A & G 73543,A81000B,00600,0300,EQUIPMENT 73543,A81000B,00700,0300,A&G 73543,A81000B,00800,0300,DIETARY 73543,A81000B,00900,0300,NURSING ADMINISTRATION 73543,A81000B,01000,0300,MEDICAL SUPPLIES 73543,A81000B,01100,0300,DRUGS 73543,A81000B,01200,0300,PHYSICAL THERAPY 73543,A81000B,01300,0300,OCCUPATIONAL THERAPY 73543,A81000B,01400,0300,SPEECH THERAPY 73543,A81000C,00100,0100,B 73543,A81000C,00100,0200,GENESIS HEALTH VENTURES 73543,A81000C,00100,0600,MANAGEMENT COMPANY 73543,A81000C,00200,0100,B 73543,A81000C,00200,0200,GENESIS HEALTH VENTURES 73543,A81000C,00200,0600,MANAGEMENT COMPANY 73543,A81000C,00300,0100,B 73543,A81000C,00300,0200,GMA/DAWNVIEW 73543,A81000C,00300,0400,GENESIS HEALTH VENTURES 73543,A81000C,00300,0600,PROPERTY OWNER 73543,A81000C,00400,0100,B 73543,A81000C,00400,0200,GMA/DAWNVIEW 73543,A81000C,00400,0400,GENESIS HEALTH VENTURES 73543,A81000C,00400,0600,PROPERTY OWNER 73543,A81000C,00500,0100,B 73543,A81000C,00500,0200,GMA/DAWNVIEW 73543,A81000C,00500,0400,GENESIS HEALTH VENTURES 73543,A81000C,00500,0600,PROPERTY OWNER 73543,A81000C,00600,0100,B 73543,A81000C,00600,0200,NEIGHBORCARE 73543,A81000C,00600,0400,GENESIS HEALTH VENTURES 73543,A81000C,00600,0600,PHARMACY/MED SUPPLIES 73543,A81000C,00700,0100,B 73543,A81000C,00700,0200,NEIGHBORCARE 73543,A81000C,00700,0400,GENESIS HEALTH VENTURES 73543,A81000C,00700,0600,PHARMACY/MED SUPPLIES 73543,A81000C,00800,0100,B 73543,A81000C,00800,0200,NEIGHBORCARE 73543,A81000C,00800,0400,GENESIS HEALTH VENTURES 73543,A81000C,00800,0600,PHARMACY/MED SUPPLIES 73543,A81000C,00900,0100,B 73543,A81000C,00900,0200,NEIGHBORCARE 73543,A81000C,00900,0400,GENESIS HEALTH VENTURES 73543,A81000C,00900,0600,PHARMACY/MED SUPPLIES 73543,A81000C,01000,0100,B 73543,A81000C,01000,0200,GENESIS REHAB 73543,A81000C,01000,0400,GENESIS HEALTH VENTURES 73543,A81000C,01000,0600,REHAB SERVICES 73543,A81000C,01100,0100,B 73543,A81000C,01100,0200,GENESIS REHAB 73543,A81000C,01100,0400,GENESIS HEALTH VENTURES 73543,A81000C,01100,0600,REHAB SERVICES 73543,A81000C,01200,0100,B 73543,A81000C,01200,0200,GENESIS REHAB 73543,A81000C,01200,0400,GENESIS HEALTH VENTURES 73543,A81000C,01200,0600,REHAB SERVICES 73543,B100000,00000,0100,00000SQUARE FEET 73543,B100000,00000,0200,00000SQUARE FEET 73543,B100000,00000,0300,00000GROSS SALARIES 73543,B100000,00000,0400,00000ACCUM. COST 73543,B100000,00000,0500,00000SQUARE FEET 73543,B100000,00000,0600,00000PATIENT DAYS 73543,B100000,00000,0700,00000SQUARE FEET 73543,B100000,00000,0800,00000PATIENT DAYS 73543,B100000,00000,0900,00000DIRECT NRSING HRS 73543,B100000,00000,1000,00000NO STATISTICS 73543,B100000,00000,1100,00000NO STATISTICS 73543,B100000,00000,1200,00000PATIENT DAYS 73543,B100000,00000,1300,00000PATIENT DAYS 73543,B100000,00000,1301,00000LABOR HOURS 73543,B100000,00000,1302,00000PATIENT DAYS 73543,B100000,00000,1350,00000NO STATISTICS 73543,B100000,00000,1400,00000NO STATISTICS 73543,E10A180,00301,0100,03/02/2000 73543,E10A180,00302,0100,11/18/1999 73543,S000000,00100,0200,05/26/2000 73543,S200000,00100,0100,DIANE DRIVE 73543,S200000,00100,0300,686 73543,S200000,00200,0100,FORT ASHBY 73543,S200000,00200,0200,WV 73543,S200000,00300,0100,MINERAL 73543,S200000,00400,0100,DAWNVIEW CENTER 73543,S200000,00400,0200,515163 73543,S200000,00400,0300,06/15/1998 73543,S200000,00400,0500,P 73543,S200000,01600,0100,Y 73547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73547,A000000,00300,0000,00300EMPLOYEE BENEFITS 73547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73547,A000000,00700,0000,00700HOUSEKEEPING 73547,A000000,00800,0000,00800DIETARY 73547,A000000,00900,0000,00900NURSING ADMINISTRATION 73547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73547,A000000,01100,0000,01100PHARMACY 73547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73547,A000000,01300,0000,01300SOCIAL SERVICE 73547,A000000,01350,0000,01500OTHER GENERAL SERVICES 73547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73547,A000000,01600,0000,01600SKILLED NURSING FACILITY 73547,A000000,01810,0000,01810ICF/MR 73547,A000000,02200,0000,02200LABORATORY 73547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73547,A000000,02500,0000,02500PHYSICAL THERAPY 73547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73547,A000000,02700,0000,02700SPEECH PATHOLOGY 73547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73547,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73547,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73547,A000000,03550,0000,03550FQHC 73547,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73547,A000000,05000,0000,05000CORF 73547,A000000,05010,0000,05010CMHC 73547,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73547,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73547,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73547,A000000,05300,0000,05300INTEREST EXPENSE 73547,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73547,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73547,A81000A,00100,0100,Y 73547,A81000B,00100,0300,NURSING MANAGEMENT 73547,A81000B,00200,0300,ACTIVITIES 73547,A81000B,00300,0300,MEDICAL RECORDS 73547,A81000B,00400,0300,DIETARY 73547,A81000B,00500,0300,PLANT OPERATIONS 73547,A81000B,00600,0300,ADMINISTRATION 73547,A81000C,00100,0100,A 73547,A81000C,00100,0200,JOHN ELLIOT 73547,A81000C,00100,0400,AMFM INC. 73547,A81000C,00100,0600,MANAGEMENT COMPANY 73547,B100000,00000,0100,00000SQ. FEET 73547,B100000,00000,0200,00000SQ. FEET 73547,B100000,00000,0300,00000GROSS SALARIES 73547,B100000,00000,0400,00000ACCUM. COST 73547,B100000,00000,0500,00000SQ. FEET 73547,B100000,00000,0600,00000PATIENT DAYS 73547,B100000,00000,0700,00000SQ. FEET 73547,B100000,00000,0800,00000MEALS SERVED 73547,B100000,00000,0900,00000DIRECT NURS. 73547,B100000,00000,1000,00000PATIENT DAYS 73547,B100000,00000,1100,00000PATIENT DAYS 73547,B100000,00000,1200,00000PATIENT DAYS 73547,B100000,00000,1300,00000PATIENT DAYS 73547,B100000,00000,1350,00000 73547,B100000,00000,1400,00000NO STATISTICS 73547,S000000,00100,0200,05/31/2000 73547,S200000,00100,0100,RR1 BOX 1372 73547,S200000,00100,0300,1372 73547,S200000,00200,0100,WAYNE 73547,S200000,00200,0200,WV 73547,S200000,00300,0100,WAYNE 73547,S200000,00400,0100,AMFM OF WAYNE COUNTY 73547,S200000,00400,0200,515168 73547,S200000,00400,0300,01/01/1999 73547,S200000,00400,0500,P 73547,S200000,01500,0100,Y 73616,S000000,00100,0200,05/26/2000 73618,S000000,00100,0200,03/26/2001 73629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73629,A000000,00300,0000,00300EMPLOYEE BENEFITS 73629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73629,A000000,00700,0000,00700HOUSEKEEPING 73629,A000000,00800,0000,00800DIETARY 73629,A000000,00900,0000,00900NURSING ADMINISTRATION 73629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73629,A000000,01100,0000,01100PHARMACY 73629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73629,A000000,01300,0000,01300SOCIAL SERVICE 73629,A000000,01350,0000,01500OTHER GENERAL SERVICES 73629,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73629,A000000,01600,0000,01600SKILLED NURSING FACILITY 73629,A000000,01800,0000,01800NURSING FACILITY 73629,A000000,01810,0000,01810ICF/MR 73629,A000000,02100,0000,02100RADIOLOGY 73629,A000000,02200,0000,02200LABORATORY 73629,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73629,A000000,02500,0000,02500PHYSICAL THERAPY 73629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73629,A000000,02700,0000,02700SPEECH PATHOLOGY 73629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73629,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 73629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73629,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73629,A000000,03550,0000,03550FQHC 73629,A000000,05000,0000,05000CORF 73629,A000000,05010,0000,05010CMHC 73629,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73629,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73629,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73629,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73629,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73629,B100000,00000,0100,00000SQUARE FEET 73629,B100000,00000,0200,00000SQUARE FEET 73629,B100000,00000,0300,00000GROSS SALARIES 73629,B100000,00000,0400,00000ACCUM. COST 73629,B100000,00000,0500,00000SQUARE FEET 73629,B100000,00000,0600,00000PATIENT DAYS 73629,B100000,00000,0700,00000SQUARE FEET 73629,B100000,00000,0800,00000PATIENT DAYS 73629,B100000,00000,0900,00000PATIENT DAYS 73629,B100000,00000,1000,00000COSTED REQUIS. 73629,B100000,00000,1100,00000COSTED REQUIS. 73629,B100000,00000,1200,00000GROSS REVENUE 73629,B100000,00000,1300,00000TIME SPENT 73629,B100000,00000,1350,00000NO STATISTICS 73629,B100000,00000,1400,00000ASSIGNED TIME 73629,E10A180,00350,0300,10/01/1999 73629,E10A180,00501,0100,06/28/2000 73629,E10A180,00550,0300,06/28/2000 73629,S000000,00100,0200,05/31/2000 73629,S200000,00100,0100,2625 SOUTH MAPLE AVENUE 73629,S200000,00200,0100,LOS ANGELES 73629,S200000,00200,0200,CA 73629,S200000,00200,0300,90011 73629,S200000,00300,0100,LOS ANGELES 73629,S200000,00400,0100,COUNTRY VILLA MAPLE HEALTHCARE CENTE 73629,S200000,00400,0200,055036 73629,S200000,00400,0300,03/23/1992 73629,S200000,00400,0500,P 73629,S200000,00600,0200,055036 73629,S200000,00600,0300,03/23/1992 73629,S200000,00600,0600,P 73629,S200000,01600,0100,Y 73639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73639,A000000,00300,0000,00300EMPLOYEE BENEFITS 73639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73639,A000000,00700,0000,00700HOUSEKEEPING 73639,A000000,00800,0000,00800DIETARY 73639,A000000,00900,0000,00900NURSING ADMINISTRATION 73639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73639,A000000,01100,0000,01100PHARMACY 73639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73639,A000000,01300,0000,01300SOCIAL SERVICE 73639,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73639,A000000,01600,0000,01600SKILLED NURSING FACILITY 73639,A000000,01810,0000,01810ICF/MR 73639,A000000,02100,0000,02100RADIOLOGY 73639,A000000,02200,0000,02200LABORATORY 73639,A000000,02300,0000,02300INTRAVENOUS THERAPY 73639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73639,A000000,02500,0000,02500PHYSICAL THERAPY 73639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73639,A000000,02700,0000,02700SPEECH PATHOLOGY 73639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73639,A000000,03550,0000,03550FQHC 73639,A000000,05000,0000,05000CORF 73639,A000000,05010,0000,05010CMHC 73639,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73639,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73639,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73639,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73639,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73639,A81000A,00100,0100,Y 73639,A81000B,00100,0300,HO CAPITAL COST 73639,A81000B,00200,0300,HO ADMIN & GENERAL COST 73639,A81000C,00100,0100,B 73639,A81000C,00100,0400,PARACELSUS HEALTHCARE COR 73639,A81000C,00100,0600,HEALTHCARE MGMT 73639,A81000C,00200,0100,B 73639,A81000C,00200,0400,PARACELSUS REAL ESTATE 73639,B100000,00000,0100,00000SQUARE FEET 73639,B100000,00000,0200,00000SQUARE FEET 73639,B100000,00000,0300,00000GROSS SALARIES 73639,B100000,00000,0400,00000ACCUM. COST 73639,B100000,00000,0500,00000SQUARE FEET 73639,B100000,00000,0600,00000POUNDS OF LAUNDRY 73639,B100000,00000,0700,00000SQUARE FEET 73639,B100000,00000,0800,00000MEALS SERVED 73639,B100000,00000,0900,00000DIRECT NRSING HRS 73639,B100000,00000,1000,00000COSTED REQUIS. 73639,B100000,00000,1100,00000COSTED REQUIS. 73639,B100000,00000,1200,00000TIME SPENT 73639,B100000,00000,1300,00000TIME SPENT 73639,B100000,00000,1400,00000ASSIGNED TIME 73639,E10A180,00501,0100,01/27/2000 73639,E10A180,00550,0300,01/27/2000 73639,S000000,00100,0200,12/01/1999 73639,S200000,00100,0100,1625 OAK PARK BLVD 73639,S200000,00200,0100,PLEASANT HILL 73639,S200000,00200,0200,CA 73639,S200000,00300,0100,CONTRA COSTA 73639,S200000,00400,0100,OAK PARK CONVALESCENT HOSPITAL 73639,S200000,00400,0200,055049 73639,S200000,00400,0300,10/01/1966 73639,S200000,00400,0500,P 73639,S200000,01500,0100,Y 73640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73640,A000000,00300,0000,00300EMPLOYEE BENEFITS 73640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73640,A000000,00700,0000,00700HOUSEKEEPING 73640,A000000,00800,0000,00800DIETARY 73640,A000000,00900,0000,00900NURSING ADMINISTRATION 73640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73640,A000000,01100,0000,01100PHARMACY 73640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73640,A000000,01300,0000,01300SOCIAL SERVICE 73640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73640,A000000,01600,0000,01600SKILLED NURSING FACILITY 73640,A000000,01810,0000,01810ICF/MR 73640,A000000,02100,0000,02100RADIOLOGY 73640,A000000,02200,0000,02200LABORATORY 73640,A000000,02300,0000,02300INTRAVENOUS THERAPY 73640,A000000,02500,0000,02500PHYSICAL THERAPY 73640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73640,A000000,02700,0000,02700SPEECH PATHOLOGY 73640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73640,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73640,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73640,A000000,03550,0000,03550FQHC 73640,A000000,05000,0000,05000CORF 73640,A000000,05010,0000,05010CMHC 73640,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73640,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73640,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73640,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73640,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73640,A81000A,00100,0100,Y 73640,A81000B,00100,0300,HOME OFFICE _MANAGEMENT FEE 73640,A81000C,00100,0100,A 73640,A81000C,00100,0200,DOUG WRIGHT JR 73640,A81000C,00100,0400,RIGHT CARE INC 73640,A81000C,00100,0600,MANAGEMENT 73640,B100000,00000,0100,00000SQUARE FEET 73640,B100000,00000,0200,00000SQUARE FEET 73640,B100000,00000,0300,00000GROSS SALARIES 73640,B100000,00000,0400,00000ACCUM COST 73640,B100000,00000,0500,00000SQUARE FEET 73640,B100000,00000,0600,00000PATIENT DAYS 73640,B100000,00000,0700,00000HOURS OF SERVICE 73640,B100000,00000,0800,00000MEALS SERVED 73640,B100000,00000,0900,00000HOURS OF SERVICE 73640,B100000,00000,1000,00000COSTED REQUISITIO 73640,B100000,00000,1100,00000COSTED REQUISITIO 73640,B100000,00000,1200,00000PATIENT DAYS 73640,B100000,00000,1300,00000PATIENT DAYS 73640,B100000,00000,1400,00000ASSIGNED TIME 73640,E10A180,00501,0300,01/26/2001 73640,E10A180,00550,0100,01/26/2001 73640,S000000,00100,0200,11/03/2000 73640,S200000,00100,0100,1625 OAK PARK BLVD 73640,S200000,00200,0100,PLEASANT HILL 73640,S200000,00200,0200,CA 73640,S200000,00200,0300,94523 73640,S200000,00300,0100,CONTRA COSTA 73640,S200000,00400,0100,OAK PARK CONVALESCENT HOSPITAL 73640,S200000,00400,0200,055049 73640,S200000,00400,0300,10/01/1966 73640,S200000,00400,0500,P 73640,S200000,01500,0100,Y 73645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73645,A000000,00300,0000,00300EMPLOYEE BENEFITS 73645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73645,A000000,00700,0000,00700HOUSEKEEPING 73645,A000000,00800,0000,00800DIETARY 73645,A000000,00900,0000,00900NURSING ADMINISTRATION 73645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73645,A000000,01100,0000,01100PHARMACY 73645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73645,A000000,01300,0000,01300SOCIAL SERVICE 73645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73645,A000000,01600,0000,01600SKILLED NURSING FACILITY 73645,A000000,01800,0000,01800NURSING FACILITY 73645,A000000,01810,0000,01810ICF/MR 73645,A000000,02200,0000,02200LABORATORY 73645,A000000,02300,0000,02300INTRAVENOUS THERAPY 73645,A000000,02500,0000,02500PHYSICAL THERAPY 73645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73645,A000000,02700,0000,02700SPEECH PATHOLOGY 73645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73645,A000000,03550,0000,03550FQHC 73645,A000000,05000,0000,05000CORF 73645,A000000,05010,0000,05010CMHC 73645,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73645,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73645,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73645,A81000A,00100,0100,Y 73645,A81000B,00100,0300,MANAGEMENT FEES 73645,A81000B,00200,0300,HOME OFFICE - BUILDING 73645,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 73645,A81000C,00100,0100,B 73645,A81000C,00100,0200,MARTHA LANG 73645,A81000C,00100,0400,MARLINDA MANAGEMENT 73645,A81000C,00100,0600,MANAGEMENT COMPANY 73645,B100000,00000,0100,00000SQUARE FEET 73645,B100000,00000,0200,00000SQUARE FEET 73645,B100000,00000,0300,00000GROSS SALARIES 73645,B100000,00000,0400,00000ACCUM. COST 73645,B100000,00000,0500,00000SQUARE FEET 73645,B100000,00000,0600,00000POUNDS OF LAUNDRY 73645,B100000,00000,0700,00000SQUARE FEET 73645,B100000,00000,0800,00000MEALS SERVED 73645,B100000,00000,0900,00000DIRECT NRSING HRS 73645,B100000,00000,1000,00000COSTED REQUIS 73645,B100000,00000,1100,00000COSTED REQUIS 73645,B100000,00000,1200,00000GROSS REVENUE 73645,B100000,00000,1300,00000PATIENT DAYS 73645,B100000,00000,1400,00000ASSIGNED TIME 73645,E10A180,00501,0100,07/07/2000 73645,S000000,00100,0200,05/30/2000 73645,S200000,00100,0100,3615 E. IMPERIAL HIGHWAY 73645,S200000,00200,0100,LYNWOOD 73645,S200000,00200,0200,CA 73645,S200000,00200,0300,90262 73645,S200000,00300,0100,LOS ANGELES 73645,S200000,00400,0100,MARLINDA NURSING HOME-EAST 73645,S200000,00400,0200,055052 73645,S200000,00400,0300,01/01/1989 73645,S200000,00400,0500,P 73645,S200000,00400,0600,O 73645,S200000,00600,0200,055052 73645,S200000,00600,0300,01/01/1989 73645,S200000,00600,0600,P 73645,S200000,01600,0100,Y 73647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73647,A000000,00300,0000,00300EMPLOYEE BENEFITS 73647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73647,A000000,00700,0000,00700HOUSEKEEPING 73647,A000000,00800,0000,00800DIETARY 73647,A000000,00900,0000,00900NURSING ADMINISTRATION 73647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73647,A000000,01100,0000,01100PHARMACY 73647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73647,A000000,01300,0000,01300SOCIAL SERVICE 73647,A000000,01350,0000,01500OTHER GENERAL SERVICES 73647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73647,A000000,01600,0000,01600SKILLED NURSING FACILITY 73647,A000000,01810,0000,01810ICF/MR 73647,A000000,02100,0000,02100RADIOLOGY 73647,A000000,02200,0000,02200LABORATORY 73647,A000000,02300,0000,02300INTRAVENOUS THERAPY 73647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73647,A000000,02500,0000,02500PHYSICAL THERAPY 73647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73647,A000000,02700,0000,02700SPEECH PATHOLOGY 73647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73647,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73647,A000000,03200,0000,03200SUPPORT SURFACES 73647,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73647,A000000,03550,0000,03550FQHC 73647,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73647,A000000,05000,0000,05000CORF 73647,A000000,05010,0000,05010CMHC 73647,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73647,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73647,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73647,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73647,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73647,B100000,00000,0100,00000SQUARE FEET 73647,B100000,00000,0200,00000SQUARE FEET 73647,B100000,00000,0300,00000GROSS SALARIES 73647,B100000,00000,0400,00000ACCUM. COST 73647,B100000,00000,0500,00000SQUARE FEET 73647,B100000,00000,0600,00000POUNDS OF LAUNDRY 73647,B100000,00000,0700,00000SQUARE FEET 73647,B100000,00000,0800,00000MEALS SERVED 73647,B100000,00000,0900,00000NO STATISTICS 73647,B100000,00000,1000,00000NO STATISTICS 73647,B100000,00000,1100,00000NO STATISTICS 73647,B100000,00000,1200,00000NO STATISTICS 73647,B100000,00000,1300,00000PATIENT DAYS 73647,B100000,00000,1350,00000NO STATISTICS 73647,B100000,00000,1400,00000NO STATISTICS 73647,E10A180,00550,0100,05/31/2000 73647,S000000,00100,0200,06/02/2000 73647,S200000,00100,0100,1437 14 STREET 73647,S200000,00200,0100,SANTA MONICA 73647,S200000,00200,0200,CA 73647,S200000,00200,0300,90404 73647,S200000,00300,0100,LOS ANGELES 73647,S200000,00400,0100,CRESCENT BAY CONV HOSPITAL 73647,S200000,00400,0200,055053 73647,S200000,00400,0300,01/01/1967 73647,S200000,00400,0500,P 73647,S200000,01500,0100,Y 73648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73648,A000000,00300,0000,00300EMPLOYEE BENEFITS 73648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73648,A000000,00700,0000,00700HOUSEKEEPING 73648,A000000,00800,0000,00800DIETARY 73648,A000000,00900,0000,00900NURSING ADMINISTRATION 73648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73648,A000000,01100,0000,01100PHARMACY 73648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73648,A000000,01300,0000,01300SOCIAL SERVICE 73648,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73648,A000000,01600,0000,01600SKILLED NURSING FACILITY 73648,A000000,01810,0000,01810ICF/MR 73648,A000000,02100,0000,02100RADIOLOGY 73648,A000000,02200,0000,02200LABORATORY 73648,A000000,02500,0000,02500PHYSICAL THERAPY 73648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73648,A000000,02700,0000,02700SPEECH PATHOLOGY 73648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73648,A000000,03550,0000,03550FQHC 73648,A000000,05000,0000,05000CORF 73648,A000000,05010,0000,05010CMHC 73648,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73648,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73648,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73648,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73648,A81000A,00100,0100,Y 73648,A81000B,00100,0300,BUILDING RENT 73648,A81000B,00200,0300,BUILDING DEPRECIATION 73648,A81000C,00200,0100,B 73648,A81000C,00200,0200,B. GARRETT 73648,A81000C,00200,0400,GARRETT 73648,A81000C,00200,0600,RENTAL 73648,B100000,00000,0100,00000SQUARE FEET 73648,B100000,00000,0200,00000DOLLAR VALUE 73648,B100000,00000,0300,00000GROSS SALARIES 73648,B100000,00000,0400,00000ACCUM. COST 73648,B100000,00000,0500,00000SQUARE FEET 73648,B100000,00000,0600,00000POUNDS OF LAUNDRY 73648,B100000,00000,0700,00000HOURS OF SERVICE 73648,B100000,00000,0800,00000MEALS SERVED 73648,B100000,00000,0900,00000DIRECT NRSING HRS 73648,B100000,00000,1000,00000COSTED REQUIS. 73648,B100000,00000,1100,00000COSTED REQUIS. 73648,B100000,00000,1200,00000TIME SPENT 73648,B100000,00000,1300,00000TIME SPENT 73648,B100000,00000,1400,00000ASSIGNED TIME 73648,E10A180,00501,0100,06/21/2000 73648,E10A180,00550,0100,05/30/2000 73648,E10A180,00550,0300,05/30/2000 73648,E10A180,00551,0300,06/21/2000 73648,S000000,00100,0200,06/01/2000 73648,S200000,00100,0100,126 NO. SAN GABRIEL BLVD. 73648,S200000,00200,0100,SAN GABRIEL 73648,S200000,00200,0200,CA 73648,S200000,00200,0300,91775 73648,S200000,00300,0100,LOS ANGELES 73648,S200000,00400,0100,FERNVIEW CONVALESCENT HOSPITAL 73648,S200000,00400,0200,055056 73648,S200000,00400,0300,11/01/1979 73648,S200000,00400,0500,P 73648,S200000,01500,0100,Y 73648,S200000,04300,0100,Y 73650,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73650,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73650,A000000,00300,0000,00300EMPLOYEE BENEFITS 73650,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73650,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73650,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73650,A000000,00700,0000,00700HOUSEKEEPING 73650,A000000,00800,0000,00800DIETARY 73650,A000000,00900,0000,00900NURSING ADMINISTRATION 73650,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73650,A000000,01100,0000,01100PHARMACY 73650,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73650,A000000,01300,0000,01300SOCIAL SERVICE 73650,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73650,A000000,01600,0000,01600SKILLED NURSING FACILITY 73650,A000000,01810,0000,01810ICF/MR 73650,A000000,02100,0000,02100RADIOLOGY 73650,A000000,02200,0000,02200LABORATORY 73650,A000000,02300,0000,02300INTRAVENOUS THERAPY 73650,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73650,A000000,02500,0000,02500PHYSICAL THERAPY 73650,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73650,A000000,02700,0000,02700SPEECH PATHOLOGY 73650,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73650,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73650,A000000,03550,0000,03550FQHC 73650,A000000,05000,0000,05000CORF 73650,A000000,05010,0000,05010CMHC 73650,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73650,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73650,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73650,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73650,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73650,A81000A,00100,0100,Y 73650,A81000B,00100,0300,HOME OFFICE CAPITAL COST 73650,A81000B,00200,0300,HOME OFFICE A&G 73650,A81000C,00100,0100,B 73650,A81000C,00100,0200,PARACELSUS HLTHCARE 73650,A81000C,00100,0400,HEALTHCARE MGMT 73650,A81000C,00200,0100,B 73650,A81000C,00200,0200,PARACELSUS REAL ESTA 73650,B100000,00000,0100,00000SQUARE FEET 73650,B100000,00000,0200,00000SQUARE FEET 73650,B100000,00000,0300,00000GROSS SALARIES 73650,B100000,00000,0400,00000ACCUM. COST 73650,B100000,00000,0500,00000SQUARE FEET 73650,B100000,00000,0600,00000POUNDS OF LAUNDRY 73650,B100000,00000,0700,00000SQUARE FEET 73650,B100000,00000,0800,00000MEALS SERVED 73650,B100000,00000,0900,00000DIRECT NRSING HRS 73650,B100000,00000,1000,00000COSTED REQUIS. 73650,B100000,00000,1100,00000COSTED REQUIS. 73650,B100000,00000,1200,00000TIME SPENT 73650,B100000,00000,1300,00000TIME SPENT 73650,B100000,00000,1400,00000ASSIGNED TIME 73650,E10A180,00501,0100,01/27/2000 73650,E10A180,00550,0300,01/27/2000 73650,S000000,00100,0200,12/01/1999 73650,S200000,00100,0100,1010 FIRST STREET 73650,S200000,00200,0100,LAFAYETTE 73650,S200000,00200,0200,CA 73650,S200000,00300,0100,CONTRA COSTA 73650,S200000,00400,0100,LAFAYETTE CONVALESCENT HOSPITAL 73650,S200000,00400,0200,055057 73650,S200000,00400,0300,10/01/1967 73650,S200000,00400,0500,P 73650,S200000,01500,0100,Y 73651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73651,A000000,00300,0000,00300EMPLOYEE BENEFITS 73651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73651,A000000,00700,0000,00700HOUSEKEEPING 73651,A000000,00800,0000,00800DIETARY 73651,A000000,00900,0000,00900NURSING ADMINISTRATION 73651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73651,A000000,01100,0000,01100PHARMACY 73651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73651,A000000,01300,0000,01300SOCIAL SERVICE 73651,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73651,A000000,01600,0000,01600SKILLED NURSING FACILITY 73651,A000000,01810,0000,01810ICF/MR 73651,A000000,02100,0000,02100RADIOLOGY 73651,A000000,02200,0000,02200LABORATORY 73651,A000000,02300,0000,02300INTRAVENOUS THERAPY 73651,A000000,02500,0000,02500PHYSICAL THERAPY 73651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73651,A000000,02700,0000,02700SPEECH PATHOLOGY 73651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73651,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73651,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73651,A000000,03550,0000,03550FQHC 73651,A000000,05000,0000,05000CORF 73651,A000000,05010,0000,05010CMHC 73651,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73651,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73651,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73651,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73651,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73651,A81000A,00100,0100,Y 73651,A81000B,00100,0300,HOME OFFICE - MANAGEMENT FEE 73651,A81000C,00100,0100,A 73651,A81000C,00100,0200,DOUG WRIGHT SR 73651,A81000C,00100,0400,RIGHT CARE INC 73651,A81000C,00100,0600,MANAGEMENT 73651,B100000,00000,0100,00000SQUARE FEET 73651,B100000,00000,0200,00000SQUARE FEET 73651,B100000,00000,0300,00000GROSS SALARIES 73651,B100000,00000,0400,00000ACCUM COST 73651,B100000,00000,0500,00000SQUARE FEET 73651,B100000,00000,0600,00000PATIENT DAYS 73651,B100000,00000,0700,00000PATIENT DAYS 73651,B100000,00000,0800,00000MEALS SERVED 73651,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73651,B100000,00000,1000,00000COSTED REQUISITIO 73651,B100000,00000,1100,00000COSTED REQUISITIO 73651,B100000,00000,1200,00000PATIENT DAYS 73651,B100000,00000,1300,00000PATIENT DAYS 73651,B100000,00000,1400,00000ASSIGNED TIME 73651,E10A180,00501,0300,01/26/2001 73651,E10A180,00551,0100,01/26/2001 73651,S000000,00100,0200,11/03/2000 73651,S200000,00100,0100,1010 FIRST STREET 73651,S200000,00200,0100,LAFAYETTE 73651,S200000,00200,0200,CA 73651,S200000,00200,0300,94549 73651,S200000,00300,0100,CONTRA COSTA 73651,S200000,00400,0100,LAFAYETTE CONVALESCENT HOSPITAL 73651,S200000,00400,0200,055057 73651,S200000,00400,0300,10/01/1967 73651,S200000,00400,0500,P 73651,S200000,00600,0200,055057 73651,S200000,00600,0300,10/01/1967 73651,S200000,00600,0600,P 73651,S200000,01500,0100,Y 73655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73655,A000000,00300,0000,00300EMPLOYEE BENEFITS 73655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73655,A000000,00700,0000,00700HOUSEKEEPING 73655,A000000,00800,0000,00800DIETARY 73655,A000000,00900,0000,00900NURSING ADMINISTRATION 73655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73655,A000000,01100,0000,01100PHARMACY 73655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73655,A000000,01300,0000,01300SOCIAL SERVICE 73655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73655,A000000,01600,0000,01600SKILLED NURSING FACILITY 73655,A000000,01800,0000,01800NURSING FACILITY 73655,A000000,01810,0000,01810ICF/MR 73655,A000000,02100,0000,02100RADIOLOGY 73655,A000000,02200,0000,02200LABORATORY 73655,A000000,02300,0000,02300INTRAVENOUS THERAPY 73655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73655,A000000,02500,0000,02500PHYSICAL THERAPY 73655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73655,A000000,02700,0000,02700SPEECH PATHOLOGY 73655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73655,A000000,03101,0000,03101EQUIPMENT RENTAL 73655,A000000,03550,0000,03550FQHC 73655,A000000,05000,0000,05000CORF 73655,A000000,05010,0000,05010CMHC 73655,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73655,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73655,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73655,A81000A,00100,0100,Y 73655,A81000B,00100,0300,RENT 73655,A81000B,00200,0300,MORTGAGE INTEREST 73655,A81000B,00300,0300,DEPRECIATION 73655,A81000C,00100,0100,G 73655,A81000C,00100,0200,KEN & MARIE-TRU 73655,A81000C,00100,0400,KEN & MARIE-TRU 73655,A81000C,00100,0600,LIVING TRUST 73655,B100000,00000,0100,00040SQUARE FEET 73655,B100000,00000,0200,00040SQUARE FEET 73655,B100000,00000,0300,00040GROSS SALARIES 73655,B100000,00000,0400,00040ACCUM COST 73655,B100000,00000,0500,00040SQUARE FEET 73655,B100000,00000,0600,00040POUNDS OF LAUNDRY 73655,B100000,00000,0700,00040SQUARE FEET 73655,B100000,00000,0800,00040MEALS SERVED 73655,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 73655,B100000,00000,1000,00040PATIENT DAYS 73655,B100000,00000,1100,00040PATIENT DAYS 73655,B100000,00000,1200,00040GROSS CHARGES 73655,B100000,00000,1300,00040PATIENT DAYS 73655,B100000,00000,1400,00040ASSIGNED TIME 73655,E10A180,00501,0100,06/14/2000 73655,E10A180,00501,0300,06/14/2000 73655,E10A180,00550,0100,05/25/2000 73655,E10A180,00550,0300,05/25/2000 73655,S000000,00100,0200,05/26/2000 73655,S200000,00100,0100,14973 HESPERIA RD 73655,S200000,00200,0100,VICTORVILLE 73655,S200000,00200,0200,CA 73655,S200000,00200,0300,92392 73655,S200000,00300,0100,SAN BERNANDINO 73655,S200000,00400,0100,DESERT KNOLLS CONV. HOSPITAL 73655,S200000,00400,0200,055076 73655,S200000,00400,0300,01/01/1980 73655,S200000,00400,0500,P 73655,S200000,00600,0200,055076 73655,S200000,00600,0300,01/01/1980 73655,S200000,00600,0600,P 73657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73657,A000000,00300,0000,00300EMPLOYEE BENEFITS 73657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73657,A000000,00700,0000,00700HOUSEKEEPING 73657,A000000,00800,0000,00800DIETARY 73657,A000000,00900,0000,00900NURSING ADMINISTRATION 73657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73657,A000000,01100,0000,01100PHARMACY 73657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73657,A000000,01300,0000,01300SOCIAL SERVICE 73657,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73657,A000000,01600,0000,01600SKILLED NURSING FACILITY 73657,A000000,01810,0000,01810ICF/MR 73657,A000000,02100,0000,02100RADIOLOGY 73657,A000000,02200,0000,02200LABORATORY 73657,A000000,02300,0000,02300INTRAVENOUS THERAPY 73657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73657,A000000,02500,0000,02500PHYSICAL THERAPY 73657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73657,A000000,02700,0000,02700SPEECH PATHOLOGY 73657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73657,A000000,03200,0000,03200SUPPORT SURFACES 73657,A000000,03550,0000,03550FQHC 73657,A000000,05000,0000,05000CORF 73657,A000000,05010,0000,05010CMHC 73657,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73657,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73657,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73657,A81000A,00100,0100,Y 73657,A81000B,00100,0300,ADMINISTRATION 73657,A81000C,00100,0100,A 73657,A81000C,00100,0200,C VAN HORST 73657,A81000C,00100,0400,BHA 73657,A81000C,00100,0600,MGT 73657,B100000,00000,0100,00040SQUARE FEET 73657,B100000,00000,0200,00040DOLLAR VALUE 73657,B100000,00000,0300,00040GROSS SALARIES 73657,B100000,00000,0400,00040ACCUM. COST 73657,B100000,00000,0500,00040SQUARE FEET 73657,B100000,00000,0600,00040POUNDS OF LAUNDRY 73657,B100000,00000,0700,00040HOURS OF SERVICE 73657,B100000,00000,0800,00040MEALS SERVED 73657,B100000,00000,0900,00040DIRECT NRSING HRS 73657,B100000,00000,1000,00040COSTED REQUIS. 73657,B100000,00000,1100,00040COSTED REQUIS. 73657,B100000,00000,1200,00040TIME SPENT 73657,B100000,00000,1300,00040TIME SPENT 73657,B100000,00000,1400,00040ASSIGNED TIME 73657,E10A180,00501,0100,06/06/2000 73657,E10A180,00502,0100,09/20/2001 73657,E10A180,00502,0300,09/20/2001 73657,E10A180,00550,0100,08/08/2000 73657,E10A180,00550,0300,06/06/2000 73657,E10A180,00551,0300,08/08/2000 73657,S000000,00100,0200,06/16/2000 73657,S200000,00100,0100,7760 PARKWAY DRIVE 73657,S200000,00200,0100,LA MESA 73657,S200000,00200,0200,CA 73657,S200000,00200,0300,91942 73657,S200000,00300,0100,SAN DIEGO 73657,S200000,00400,0100,BRIGHTON PLACE LA MESA 73657,S200000,00400,0200,055078 73657,S200000,00400,0300,01/01/1980 73657,S200000,00400,0500,P 73657,S200000,01500,0100,Y 73660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73660,A000000,00300,0000,00300EMPLOYEE BENEFITS 73660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73660,A000000,00700,0000,00700HOUSEKEEPING 73660,A000000,00800,0000,00800DIETARY 73660,A000000,00900,0000,00900NURSING ADMINISTRATION 73660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73660,A000000,01100,0000,01100PHARMACY 73660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73660,A000000,01300,0000,01300SOCIAL SERVICE 73660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73660,A000000,01600,0000,01600SKILLED NURSING FACILITY 73660,A000000,01810,0000,01810ICF/MR 73660,A000000,02100,0000,02100RADIOLOGY 73660,A000000,02200,0000,02200LABORATORY 73660,A000000,02300,0000,02300INTRAVENOUS THERAPY 73660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73660,A000000,02500,0000,02500PHYSICAL THERAPY 73660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73660,A000000,02700,0000,02700SPEECH PATHOLOGY 73660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73660,A000000,03550,0000,03550FQHC 73660,A000000,05000,0000,05000CORF 73660,A000000,05010,0000,05010CMHC 73660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73660,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73660,A81000A,00100,0100,Y 73660,A81000B,00100,0300,HOME OFFICE COSTS 73660,A81000B,00200,0300,HOME OFFICE COSTS 73660,A81000C,00100,0100,B 73660,A81000C,00100,0400,PARACELSUS HEALTHCARE COR 73660,A81000C,00100,0600,HEALTHCARE MGMT 73660,A81000C,00200,0100,B 73660,A81000C,00200,0400,PARACELSUS REAL ESTATE 73660,A81000C,00200,0600,REAL ESTATE MGMT 73660,B100000,00000,0100,00000SQUARE FEET 73660,B100000,00000,0200,00000SQUARE FEET 73660,B100000,00000,0300,00000GROSS SALARIES 73660,B100000,00000,0400,00000ACCUM. COST 73660,B100000,00000,0500,00000SQUARE FEET 73660,B100000,00000,0600,00000POUNDS OF LAUNDRY 73660,B100000,00000,0700,00000SQUARE FEET 73660,B100000,00000,0800,00000MEALS SERVED 73660,B100000,00000,0900,00000DIRECT NRSING HRS 73660,B100000,00000,1000,00000COSTED REQUIS. 73660,B100000,00000,1100,00000COSTED REQUIS. 73660,B100000,00000,1200,00000TIME SPENT 73660,B100000,00000,1300,00000TIME SPENT 73660,B100000,00000,1400,00000ASSIGNED TIME 73660,E10A180,00501,0100,01/27/2000 73660,E10A180,00550,0300,01/27/2000 73660,S000000,00100,0200,12/01/1999 73660,S200000,00100,0100,348 RHEEM BLVD 73660,S200000,00200,0100,MORAGE 73660,S200000,00200,0200,CA 73660,S200000,00300,0100,CONTRA COSTA 73660,S200000,00400,0100,RHEEM VALLEY CONVALESCENT HOSPITAL 73660,S200000,00400,0200,055085 73660,S200000,00400,0300,10/01/1967 73660,S200000,00400,0500,P 73660,S200000,01500,0100,Y 73661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73661,A000000,00300,0000,00300EMPLOYEE BENEFITS 73661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73661,A000000,00700,0000,00700HOUSEKEEPING 73661,A000000,00800,0000,00800DIETARY 73661,A000000,00900,0000,00900NURSING ADMINISTRATION 73661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73661,A000000,01100,0000,01100PHARMACY 73661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73661,A000000,01300,0000,01300SOCIAL SERVICE 73661,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73661,A000000,01600,0000,01600SKILLED NURSING FACILITY 73661,A000000,01810,0000,01810ICF/MR 73661,A000000,02100,0000,02100RADIOLOGY 73661,A000000,02200,0000,02200LABORATORY 73661,A000000,02300,0000,02300INTRAVENOUS THERAPY 73661,A000000,02500,0000,02500PHYSICAL THERAPY 73661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73661,A000000,02700,0000,02700SPEECH PATHOLOGY 73661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73661,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73661,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73661,A000000,03550,0000,03550FQHC 73661,A000000,05000,0000,05000CORF 73661,A000000,05010,0000,05010CMHC 73661,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73661,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73661,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73661,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73661,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73661,A81000A,00100,0100,Y 73661,A81000B,00100,0300,HOME OFFICE COSTS 73661,A81000C,00100,0100,A 73661,A81000C,00100,0200,DOUG WRIGHT SR 73661,A81000C,00100,0400,RIGHT CARE INC 73661,A81000C,00100,0600,MANAGEMENT 73661,B100000,00000,0100,00000SQUARE FEET 73661,B100000,00000,0200,00000SQUARE FEET 73661,B100000,00000,0300,00000GROSS SALARIES 73661,B100000,00000,0400,00000ACCUM COST 73661,B100000,00000,0500,00000SQUARE FEET 73661,B100000,00000,0600,00000PATIENT DAYS 73661,B100000,00000,0700,00000PATIENT DAYS 73661,B100000,00000,0800,00000MEALS SERVED 73661,B100000,00000,0900,00000HOURS OF SERVICE 73661,B100000,00000,1000,00000COSTED REQUISITIO 73661,B100000,00000,1100,00000COSTED REQUISITIO 73661,B100000,00000,1200,00000TIME SPENT 73661,B100000,00000,1300,00000HOURS OF SERVICE 73661,B100000,00000,1400,00000ASSIGNED TIME 73661,E10A180,00501,0100,02/22/2001 73661,E10A180,00550,0300,02/22/2001 73661,S000000,00100,0200,11/03/2000 73661,S200000,00100,0100,348 RHEEM BLVD. 73661,S200000,00200,0100,MORAGE 73661,S200000,00200,0200,CA 73661,S200000,00300,0100,CONTRA COSTA 73661,S200000,00400,0100,RHEEM VALLEY CONVALESCENT HOSPITAL 73661,S200000,00400,0200,055085 73661,S200000,00400,0300,10/01/1967 73661,S200000,00400,0500,P 73661,S200000,01500,0100,Y 73665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73665,A000000,00300,0000,00300EMPLOYEE BENEFITS 73665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73665,A000000,00700,0000,00700HOUSEKEEPING 73665,A000000,00800,0000,00800DIETARY 73665,A000000,00900,0000,00900NURSING ADMINISTRATION 73665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73665,A000000,01100,0000,01100PHARMACY 73665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73665,A000000,01300,0000,01300SOCIAL SERVICE 73665,A000000,01301,0000,01301ACTIVITIES 73665,A000000,01350,0000,01500REHAB 73665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73665,A000000,01600,0000,01600SKILLED NURSING FACILITY 73665,A000000,01800,0000,01800NURSING FACILITY 73665,A000000,01810,0000,01810ICF/MR 73665,A000000,02100,0000,02100RADIOLOGY 73665,A000000,02200,0000,02200LABORATORY 73665,A000000,02300,0000,02300INTRAVENOUS THERAPY 73665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73665,A000000,02500,0000,02500PHYSICAL THERAPY 73665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73665,A000000,02700,0000,02700SPEECH PATHOLOGY 73665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73665,A000000,03050,0000,03300EQUIPMENT RENTAL 73665,A000000,03051,0000,03301PEN THERAPY 73665,A000000,03550,0000,03550FQHC 73665,A000000,05000,0000,05000CORF 73665,A000000,05010,0000,05010CMHC 73665,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73665,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73665,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73665,A000000,06150,0000,06300VENDING 73665,A000000,06151,0000,06301OTHER & STAND-BY 73665,A81000A,00100,0100,Y 73665,A81000B,00100,0300,ADMIN & GENERAL 73665,A81000B,00200,0300,CENTRAL SUPPLY 73665,A81000B,00300,0300,MEDICAL SUPPLIES 73665,A81000C,00100,0100,B 73665,A81000C,00100,0200,CREEKSIDE HEALT 73665,A81000C,00100,0400,MARINER PAN 73665,A81000C,00100,0600,NURSING HOMES 73665,A81000C,00200,0100,G 73665,A81000C,00200,0200,MARINER PAN 73665,A81000C,00200,0400,AMERICAN PHARMA 73665,A81000C,00200,0600,PHARMACEUTICALS 73665,A81000C,00300,0100,G 73665,A81000C,00300,0200,MARINER PAN 73665,A81000C,00300,0400,PRISM (ATS ARS 73665,A81000C,00300,0600,THERAPIES 73665,B100000,00000,0100,00001SQUARE FEET 73665,B100000,00000,0200,00001SQUARE FEET 73665,B100000,00000,0300,00001GROSS SALARIES 73665,B100000,00000,0400,00001ACCUM COST 73665,B100000,00000,0500,00001SQUARE FEET 73665,B100000,00000,0600,00001PATIENT DAYS 73665,B100000,00000,0700,00001SQUARE FEET 73665,B100000,00000,0800,00001MEALS SERVED 73665,B100000,00000,0900,00001HOURS OF SERVICE 73665,B100000,00000,1000,00001PATIENT DAYS 73665,B100000,00000,1100,00001COSTED REQUIS 73665,B100000,00000,1200,00001PATIENT DAYS 73665,B100000,00000,1300,00001PATIENT DAYS 73665,B100000,00000,1301,00001PATIENT DAYS 73665,B100000,00000,1350,00001UNITS OF SERVICE 73665,B100000,00000,1400,00001ASSIGNED TIME 73665,E10A180,00501,0100,05/31/2000 73665,E10A180,00550,0300,05/31/2000 73665,E10A180,00551,0100,06/20/2000 73665,E10A180,00551,0300,06/20/2000 73665,S000000,00100,0200,06/01/2000 73665,S200000,00100,0100,1900 CHURCH STREET 73665,S200000,00200,0100,SAN PABLO 73665,S200000,00200,0200,CA 73665,S200000,00200,0300,94806 73665,S200000,00300,0100,CONTRA COSTA 73665,S200000,00400,0100,CREEKSIDE HEALTHCARE CENTER 73665,S200000,00400,0200,055099 73665,S200000,00400,0300,04/01/1994 73665,S200000,00400,0500,P 73665,S200000,00600,0200,055099 73665,S200000,00600,0300,04/01/1994 73665,S200000,00600,0600,P 73665,S200000,01600,0100,Y 73667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73667,A000000,00300,0000,00300EMPLOYEE BENEFITS 73667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73667,A000000,00700,0000,00700HOUSEKEEPING 73667,A000000,00800,0000,00800DIETARY 73667,A000000,00900,0000,00900NURSING ADMINISTRATION 73667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73667,A000000,01100,0000,01100PHARMACY 73667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73667,A000000,01300,0000,01300SOCIAL SERVICE 73667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73667,A000000,01600,0000,01600SKILLED NURSING FACILITY 73667,A000000,01800,0000,01800NURSING FACILITY 73667,A000000,01810,0000,01810ICF/MR 73667,A000000,02100,0000,02100RADIOLOGY 73667,A000000,02200,0000,02200LABORATORY 73667,A000000,02300,0000,02300INTRAVENOUS THERAPY 73667,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73667,A000000,02500,0000,02500PHYSICAL THERAPY 73667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73667,A000000,02700,0000,02700SPEECH PATHOLOGY 73667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73667,A000000,03200,0000,03200SUPPORT SURFACES 73667,A000000,03550,0000,03550FQHC 73667,A000000,05000,0000,05000CORF 73667,A000000,05010,0000,05010CMHC 73667,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73667,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73667,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73667,A81000A,00100,0100,Y 73667,A81000B,00100,0300,A&G 73667,A81000C,00100,0100,B 73667,A81000C,00100,0200,FRANK JOHNSON 73667,A81000C,00100,0400,SUN MAR MANAGEMENT 73667,A81000C,00100,0600,MANAGEMENT COMPANY 73667,B100000,00000,0100,00040SQUARE FEET 73667,B100000,00000,0200,00040SQUARE FEET 73667,B100000,00000,0300,00040GROSS SALARIES 73667,B100000,00000,0400,00040ACCUM. COST 73667,B100000,00000,0500,00040SQUARE FEET 73667,B100000,00000,0600,00040POUNDS OF LAUNDRY 73667,B100000,00000,0700,00040SQUARE FEET 73667,B100000,00000,0800,00040MEALS SERVED 73667,B100000,00000,0900,00040DIRECT NRSING HRS 73667,B100000,00000,1000,00040COSTED REQUIS. 73667,B100000,00000,1100,00040COSTED REQUIS 73667,B100000,00000,1200,00040GROSS REVENUE 73667,B100000,00000,1300,00040PATIENT DAYS 73667,B100000,00000,1400,00040ASSIGNED TIME 73667,E10A180,00501,0100,10/27/2000 73667,E10A180,00501,0300,10/27/2000 73667,E10A180,00550,0100,10/17/2000 73667,E10A180,00550,0300,08/30/2000 73667,E10A180,00551,0300,10/17/2000 73667,S000000,00100,0200,08/31/2000 73667,S200000,00100,0100,2720 NEVADA AVENUE 73667,S200000,00200,0100,EL MONTE 73667,S200000,00200,0200,CA 73667,S200000,00200,0300,91733 73667,S200000,00300,0100,LOS ANGELES 73667,S200000,00400,0100,SUNSET MANOR CONVALESCENT HOSPITAL 73667,S200000,00400,0200,055104 73667,S200000,00400,0300,04/01/1987 73667,S200000,00400,0500,P 73667,S200000,00400,0600,O 73667,S200000,00600,0200,055104 73667,S200000,00600,0300,04/01/1987 73667,S200000,00600,0600,P 73667,S200000,01600,0100,Y 73668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73668,A000000,00300,0000,00300EMPLOYEE BENEFITS 73668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73668,A000000,00700,0000,00700HOUSEKEEPING 73668,A000000,00800,0000,00800DIETARY 73668,A000000,00900,0000,00900NURSING ADMINISTRATION 73668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73668,A000000,01100,0000,01100PHARMACY 73668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73668,A000000,01300,0000,01300SOCIAL SERVICE 73668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73668,A000000,01600,0000,01600SKILLED NURSING FACILITY 73668,A000000,01800,0000,01800NURSING FACILITY 73668,A000000,01810,0000,01810ICF/MR 73668,A000000,02100,0000,02100RADIOLOGY 73668,A000000,02200,0000,02200LABORATORY 73668,A000000,02500,0000,02500PHYSICAL THERAPY 73668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73668,A000000,02700,0000,02700SPEECH PATHOLOGY 73668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73668,A000000,03550,0000,03550FQHC 73668,A000000,05000,0000,05000CORF 73668,A000000,05010,0000,05010CMHC 73668,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73668,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73668,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73668,A81000A,00100,0100,Y 73668,A81000B,00100,0300,CRC BUILDING & FIXTURES 73668,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 73668,A81000B,00300,0300,PHYSICAL THERAPY 73668,A81000B,00400,0300,OCCUPATIONAL THERAPY 73668,A81000B,00500,0300,SPEECH THERAPY 73668,A81000B,00600,0300,CRC MOVABLE EQUIPMENT 73668,A81000C,00600,0100,B 73668,A81000C,00600,0200,STAN LELAND 73668,A81000C,00600,0400,RESOURCE REH 73668,A81000C,00600,0600,THER MGMT 73668,B100000,00000,0100,00040SQUARE FEET 73668,B100000,00000,0200,00040DOLLAR VALUE 73668,B100000,00000,0300,00040GROSS SALARIES 73668,B100000,00000,0400,00040ACCUM. COST 73668,B100000,00000,0500,00040SQUARE FEET 73668,B100000,00000,0600,00040POUNDS OF LAUNDRY 73668,B100000,00000,0700,00040HOURS OF SERVICE 73668,B100000,00000,0800,00040MEALS SERVED 73668,B100000,00000,0900,00040DIRECT NRSING HRS 73668,B100000,00000,1000,00040COSTED REQUIS. 73668,B100000,00000,1100,00040COSTED REQUIS. 73668,B100000,00000,1200,00040TIME SPENT 73668,B100000,00000,1300,00040TIME SPENT 73668,B100000,00000,1400,00040ASSIGNED TIME 73668,E10A180,00350,0300,11/16/1999 73668,E10A180,00501,0100,07/24/2000 73668,E10A180,00550,0100,05/26/2000 73668,E10A180,00550,0300,05/26/2000 73668,E10A180,00551,0300,07/24/2000 73668,S000000,00100,0200,05/30/2000 73668,S200000,00100,0100,8799 BALBOA AVENUE SUITE 200 73668,S200000,00200,0100,SAN DIEGO 73668,S200000,00200,0200,CA 73668,S200000,00200,0300,92123 73668,S200000,00300,0100,SAN DIEGO 73668,S200000,00400,0100,STANFORD COURT NURSING-LA MESA 73668,S200000,00400,0200,055114 73668,S200000,00400,0300,12/01/1987 73668,S200000,00400,0500,P 73668,S200000,00600,0200,055114 73668,S200000,00600,0300,12/01/1987 73668,S200000,00600,0600,P 73668,S200000,01600,0100,Y 73668,S200000,04300,0100,Y 73671,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73671,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73671,A000000,00300,0000,00300EMPLOYEE BENEFITS 73671,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73671,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73671,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73671,A000000,00700,0000,00700HOUSEKEEPING 73671,A000000,00800,0000,00800DIETARY 73671,A000000,00900,0000,00900NURSING ADMINISTRATION 73671,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73671,A000000,01100,0000,01100PHARMACY 73671,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73671,A000000,01300,0000,01300SOCIAL SERVICE 73671,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73671,A000000,01600,0000,01600SKILLED NURSING FACILITY 73671,A000000,01800,0000,01800NURSING FACILITY 73671,A000000,01810,0000,01810ICF/MR 73671,A000000,02100,0000,02100RADIOLOGY 73671,A000000,02200,0000,02200LABORATORY 73671,A000000,02300,0000,02300INTRAVENOUS THERAPY 73671,A000000,02500,0000,02500PHYSICAL THERAPY 73671,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73671,A000000,02700,0000,02700SPEECH PATHOLOGY 73671,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73671,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73671,A000000,03001,0000,03001EQUIPMENT RENTAL 73671,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73671,A000000,03550,0000,03550FQHC 73671,A000000,05000,0000,05000CORF 73671,A000000,05010,0000,05010CMHC 73671,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73671,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73671,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73671,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73671,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73671,A81000A,00100,0100,Y 73671,A81000B,00100,0300,MANAGEMENT SRVCS 73671,A81000B,00200,0300,CRC-BLDG.& FIX. 73671,A81000B,00300,0300,ADMIN.& GEN. 73671,A81000B,00400,0300,CRC-EQUIP. 73671,A81000C,00100,0100,A 73671,A81000C,00100,0200,E. NEWMAN 73671,A81000C,00100,0400,US CARE & MANAG 73671,A81000C,00100,0600,HOME OFFICE 73671,A81000C,00200,0100,A 73671,A81000C,00200,0200,B. MANDELBAUM 73671,A81000C,00200,0400,US CARE & MANAG 73671,A81000C,00200,0600,HOME OFFICE 73671,B100000,00000,0100,00000SQUARE FEET 73671,B100000,00000,0200,00000SQUARE FEET 73671,B100000,00000,0300,00000GROSS SALARIES 73671,B100000,00000,0400,00000ACCUM COST 73671,B100000,00000,0500,00000SQUARE FEET 73671,B100000,00000,0600,00000POUNDS OF LAUNDRY 73671,B100000,00000,0700,00000PATIENT DAYS 73671,B100000,00000,0800,00000MEALS SERVED 73671,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73671,B100000,00000,1000,00000PATIENT DAYS 73671,B100000,00000,1100,00000PATIENT DAYS 73671,B100000,00000,1200,00000TIME SPENT 73671,B100000,00000,1300,00000TIME SPENT 73671,B100000,00000,1400,00000ASSIGNED TIME 73671,E10A180,00301,0300,09/16/1999 73671,E10A180,00501,0100,06/28/2000 73671,E10A180,00550,0300,06/28/2000 73671,S000000,00100,0200,05/31/2000 73671,S200000,00100,0100,3294 SANTA FE 73671,S200000,00200,0100,LONG BEACH 73671,S200000,00200,0200,CA 73671,S200000,00200,0300,90810 73671,S200000,00300,0100,LOS ANGELES 73671,S200000,00400,0100,SANTA FE CONVALESCENT HOSPITAL 73671,S200000,00400,0200,055123 73671,S200000,00400,0300,06/01/1977 73671,S200000,00400,0500,P 73671,S200000,00600,0200,055123 73671,S200000,00600,0300,06/01/1977 73671,S200000,00600,0600,P 73671,S200000,01600,0100,Y 73673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73673,A000000,00300,0000,00300EMPLOYEE BENEFITS 73673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73673,A000000,00700,0000,00700HOUSEKEEPING 73673,A000000,00800,0000,00800DIETARY 73673,A000000,00900,0000,00900NURSING ADMINISTRATION 73673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73673,A000000,01100,0000,01100PHARMACY 73673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73673,A000000,01300,0000,01300SOCIAL SERVICE 73673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73673,A000000,01600,0000,01600SKILLED NURSING FACILITY 73673,A000000,01810,0000,01810ICF/MR 73673,A000000,02100,0000,02100RADIOLOGY 73673,A000000,02200,0000,02200LABORATORY 73673,A000000,02300,0000,02300INTRAVENOUS THERAPY 73673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73673,A000000,02500,0000,02500PHYSICAL THERAPY 73673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73673,A000000,02700,0000,02700SPEECH PATHOLOGY 73673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73673,A000000,03200,0000,03200SUPPORT SURFACES 73673,A000000,03550,0000,03550FQHC 73673,A000000,05000,0000,05000CORF 73673,A000000,05010,0000,05010CMHC 73673,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73673,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73673,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73673,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73673,A81000A,00100,0100,Y 73673,A81000B,00100,0300,MANAGEMENT FEES 73673,A81000B,00200,0300,CAP-REL BLDG 73673,A81000B,00300,0300,CAP-REL EQUIP 73673,A81000C,00300,0100,B 73673,A81000C,00300,0200,J&L FRIEDMAN 73673,A81000C,00300,0400,LONGWOOD MGT 73673,A81000C,00300,0600,MANAGEMENT 73673,B100000,00000,0100,00000SQUARE FEET 73673,B100000,00000,0200,00000DOLLAR VALUE 73673,B100000,00000,0300,00000GROSS SALARIES 73673,B100000,00000,0400,00000ACCUM. COST 73673,B100000,00000,0500,00000SQUARE FEET 73673,B100000,00000,0600,00000POUNDS OF LAUNDRY 73673,B100000,00000,0700,00000HOURS OF SERVICE 73673,B100000,00000,0800,00000MEALS SERVED 73673,B100000,00000,0900,00000DIRECT NRSING HRS 73673,B100000,00000,1000,00000COSTED REQUIS. 73673,B100000,00000,1100,00000COSTED REQUIS. 73673,B100000,00000,1200,00000TIME SPENT 73673,B100000,00000,1300,00000TIME SPENT 73673,B100000,00000,1400,00000ASSIGNED TIME 73673,E10A180,00301,0300,11/09/1999 73673,E10A180,00550,0100,06/20/2000 73673,E10A180,00550,0300,06/20/2000 73673,S000000,00100,0200,06/02/2000 73673,S200000,00100,0100,2351 S. TOWNE AVENUE 73673,S200000,00200,0100,POMONA 73673,S200000,00200,0200,CA 73673,S200000,00200,0300,91766 73673,S200000,00300,0100,LOS ANGELES 73673,S200000,00400,0100,CHINO VALLEY REHAB CENTER 73673,S200000,00400,0200,055126 73673,S200000,00400,0300,06/01/1995 73673,S200000,00400,0500,P 73673,S200000,00600,0200,055126 73673,S200000,00600,0300,06/01/1995 73673,S200000,00600,0600,P 73673,S200000,01600,0100,Y 73673,S200000,04300,0100,Y 73676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73676,A000000,00300,0000,00300EMPLOYEE BENEFITS 73676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73676,A000000,00700,0000,00700HOUSEKEEPING 73676,A000000,00800,0000,00800DIETARY 73676,A000000,00900,0000,00900NURSING ADMINISTRATION 73676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73676,A000000,01100,0000,01100PHARMACY 73676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73676,A000000,01300,0000,01300SOCIAL SERVICE 73676,A000000,01350,0000,01500OTHER GENERAL SERVICES 73676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73676,A000000,01600,0000,01600SKILLED NURSING FACILITY 73676,A000000,01810,0000,01810ICF/MR 73676,A000000,02100,0000,02100RADIOLOGY 73676,A000000,02200,0000,02200LABORATORY 73676,A000000,02500,0000,02500PHYSICAL THERAPY 73676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73676,A000000,02700,0000,02700SPEECH PATHOLOGY 73676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73676,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73676,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73676,A000000,03550,0000,03550FQHC 73676,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73676,A000000,05000,0000,05000CORF 73676,A000000,05010,0000,05010CMHC 73676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73676,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73676,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73676,A81000A,00100,0100,Y 73676,B100000,00000,0100,00000SQUARE FEET 73676,B100000,00000,0200,00000SQUARE FEET 73676,B100000,00000,0300,00000GROSS WAGES 73676,B100000,00000,0400,00000ACCUM. COST 73676,B100000,00000,0500,00000SQUARE FEET 73676,B100000,00000,0600,00000POUNDS OF LAUNDRY 73676,B100000,00000,0700,00000SQUARE FEET 73676,B100000,00000,0800,00000MEALS SERVED 73676,B100000,00000,0900,00000NO STATISTICS 73676,B100000,00000,1000,00000NO STATISTICS 73676,B100000,00000,1100,00000NO STATISTICS 73676,B100000,00000,1200,00000NO STATISTICS 73676,B100000,00000,1300,00000TIME SPENT 73676,B100000,00000,1350,00000NO STATISTICS 73676,B100000,00000,1400,00000NO STATISTICS 73676,S000000,00100,0200,07/26/2000 73676,S200000,00100,0100,16 COLEMAN PLACE 73676,S200000,00200,0100,MENLO PARK 73676,S200000,00200,0200,CA 73676,S200000,00200,0300,94025 73676,S200000,00300,0100,SAN MATEO 73676,S200000,00400,0100,NURSING INN OF MENLO PARK 73676,S200000,00400,0200,055133 73676,S200000,00400,0300,12/07/1992 73676,S200000,00400,0500,P 73676,S200000,01500,0100,Y 73678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73678,A000000,00300,0000,00300EMPLOYEE BENEFITS 73678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73678,A000000,00700,0000,00700HOUSEKEEPING 73678,A000000,00800,0000,00800DIETARY 73678,A000000,00900,0000,00900NURSING ADMINISTRATION 73678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73678,A000000,01100,0000,01100PHARMACY 73678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73678,A000000,01300,0000,01300SOCIAL SERVICE 73678,A000000,01350,0000,01500OTHER GENERAL SERVICES 73678,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73678,A000000,01600,0000,01600SKILLED NURSING FACILITY 73678,A000000,01810,0000,01810ICF/MR 73678,A000000,02100,0000,02100RADIOLOGY 73678,A000000,02200,0000,02200LABORATORY 73678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73678,A000000,02500,0000,02500PHYSICAL THERAPY 73678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73678,A000000,02700,0000,02700SPEECH PATHOLOGY 73678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73678,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73678,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73678,A000000,03550,0000,03550FQHC 73678,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73678,A000000,05000,0000,05000CORF 73678,A000000,05010,0000,05010CMHC 73678,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73678,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73678,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73678,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73678,A81000A,00100,0100,Y 73678,A81000B,00100,0300,LEASE EXPENSE 73678,A81000C,00100,0100,B 73678,A81000C,00100,0200,NEW ARIZONA PROPERTIES 73678,B100000,00000,0100,00000SQUARE FEET 73678,B100000,00000,0200,00000SQUARE FEET 73678,B100000,00000,0300,00000GROSS SALARIES 73678,B100000,00000,0400,00000ACCUM. COST 73678,B100000,00000,0500,00000SQUARE FEET 73678,B100000,00000,0600,00000POUNDS OF LAUNDRY 73678,B100000,00000,0700,00000SQUARE FEET 73678,B100000,00000,0800,00000MEALS SERVED 73678,B100000,00000,0900,00000ADMISSIONS S 73678,B100000,00000,1000,00000NO STATISTICS 73678,B100000,00000,1100,00000NO STATISTICS 73678,B100000,00000,1200,00000NO STATISTICS 73678,B100000,00000,1300,00000TIME SPENT 73678,B100000,00000,1350,00000NO STATISTICS 73678,B100000,00000,1400,00000NO STATISTICS 73678,E10A180,00501,0300,08/25/2000 73678,E10A180,00550,0300,08/16/2000 73678,S000000,00100,0200,06/01/2000 73678,S200000,00100,0100,1623 ARIZONA AVE 73678,S200000,00200,0100,SANTA MONICA 73678,S200000,00200,0200,CA 73678,S200000,00200,0300,90404 73678,S200000,00300,0100,LOS ANGELES 73678,S200000,00400,0100,BERKLEY WEST CONVALESCENT HOSPITAL 73678,S200000,00400,0200,055136 73678,S200000,00400,0300,01/01/1998 73678,S200000,00400,0500,P 73678,S200000,00600,0200,055136 73678,S200000,00600,0300,01/01/1998 73678,S200000,00600,0600,P 73678,S200000,01500,0100,Y 73682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73682,A000000,00300,0000,00300EMPLOYEE BENEFITS 73682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73682,A000000,00700,0000,00700HOUSEKEEPING 73682,A000000,00800,0000,00800DIETARY 73682,A000000,00900,0000,00900NURSING ADMINISTRATION 73682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73682,A000000,01100,0000,01100PHARMACY 73682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73682,A000000,01300,0000,01300SOCIAL SERVICE 73682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73682,A000000,01600,0000,01600SKILLED NURSING FACILITY 73682,A000000,01800,0000,01800NURSING FACILITY 73682,A000000,01810,0000,01810ICF/MR 73682,A000000,02100,0000,02100RADIOLOGY 73682,A000000,02200,0000,02200LABORATORY 73682,A000000,02300,0000,02300INTRAVENOUS THERAPY 73682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73682,A000000,02500,0000,02500PHYSICAL THERAPY 73682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73682,A000000,02700,0000,02700SPEECH PATHOLOGY 73682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73682,A000000,03200,0000,03200SUPPORT SURFACES 73682,A000000,03550,0000,03550FQHC 73682,A000000,05000,0000,05000CORF 73682,A000000,05010,0000,05010CMHC 73682,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73682,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73682,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73682,A81000A,00100,0100,Y 73682,A81000B,00100,0300,ADM. & GENERAL 73682,A81000C,00100,0100,B 73682,A81000C,00100,0200,FRANK JOHNSON 73682,A81000C,00100,0400,SUN MAR MANAGEMENT 73682,A81000C,00100,0600,MANAGEMENT COMPANY 73682,B100000,00000,0100,00000SQUARE FEET 73682,B100000,00000,0200,00000SQUARE FEET 73682,B100000,00000,0300,00000GROSS SALARIES 73682,B100000,00000,0400,00000ACCUM. COST 73682,B100000,00000,0500,00000SQUARE FEET 73682,B100000,00000,0600,00000POUNDS OF LAUNDRY 73682,B100000,00000,0700,00000SQUARE FEET 73682,B100000,00000,0800,00000MEALS SERVED 73682,B100000,00000,0900,00000DIRECT NRSING HRS 73682,B100000,00000,1000,00000COSTED REQUIS. 73682,B100000,00000,1100,00000COSTED REQUIS 73682,B100000,00000,1200,00000GROSS REVENUE 73682,B100000,00000,1300,00000PATIENT DAYS 73682,B100000,00000,1400,00000ASSIGNED TIME 73682,E10A180,00501,0100,10/17/2000 73682,E10A180,00550,0300,10/17/2000 73682,S000000,00100,0200,08/31/2000 73682,S200000,00100,0100,7660 WYNGATE STREET 73682,S200000,00200,0100,TUJUNGA 73682,S200000,00200,0200,CA 73682,S200000,00200,0300,91042 73682,S200000,00300,0100,LOS ANGELES 73682,S200000,00400,0100,NORTH VALLEY NURSING CENTER 73682,S200000,00400,0200,055146 73682,S200000,00400,0300,04/01/1992 73682,S200000,00400,0500,P 73682,S200000,00400,0600,O 73682,S200000,00600,0200,055146 73682,S200000,00600,0300,04/01/1992 73682,S200000,00600,0600,P 73682,S200000,01600,0100,Y 73684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73684,A000000,00300,0000,00300EMPLOYEE BENEFITS 73684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73684,A000000,00700,0000,00700HOUSEKEEPING 73684,A000000,00800,0000,00800DIETARY 73684,A000000,00900,0000,00900NURSING ADMINISTRATION 73684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73684,A000000,01100,0000,01100PHARMACY 73684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73684,A000000,01300,0000,01300SOCIAL SERVICE 73684,A000000,01310,0000,01301ACTIVITIES 73684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73684,A000000,01600,0000,01600SKILLED NURSING FACILITY 73684,A000000,01810,0000,01810ICF/MR 73684,A000000,02100,0000,02100RADIOLOGY 73684,A000000,02200,0000,02200LABORATORY 73684,A000000,02300,0000,02300INTRAVENOUS THERAPY 73684,A000000,02500,0000,02500PHYSICAL THERAPY 73684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73684,A000000,02700,0000,02700SPEECH PATHOLOGY 73684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73684,A000000,03200,0000,03200SUPPORT SURFACES 73684,A000000,03550,0000,03550FQHC 73684,A000000,05000,0000,05000CORF 73684,A000000,05010,0000,05010CMHC 73684,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73684,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73684,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73684,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73684,A81000A,00100,0100,Y 73684,A81000B,00100,0300,A AND G MGMT FEES - H.O. 73684,A81000C,00100,0100,B 73684,A81000C,00100,0200,VIRGIL CONV. 73684,A81000C,00100,0400,GSHC 73684,A81000C,00100,0600,LTC 73684,B100000,00000,0100,00000SQUARE FEET 73684,B100000,00000,0200,00000SQUARE FEET 73684,B100000,00000,0300,00000GROSS SALARIES 73684,B100000,00000,0400,00000ACCUM. COST 73684,B100000,00000,0500,00000SQUARE FEET 73684,B100000,00000,0600,00000POUNDS OF LAUNDRY 73684,B100000,00000,0700,00000SQUARE FEET 73684,B100000,00000,0800,00000MEALS SERVED 73684,B100000,00000,0900,00000DIRECT NRSING HRS 73684,B100000,00000,1000,00000COSTED REQUIS. 73684,B100000,00000,1100,00000COSTED REQUIS. 73684,B100000,00000,1200,00000GROSS REVENUE 73684,B100000,00000,1300,00000GROSS REVENUE 73684,B100000,00000,1301,00000I/P DAYS 73684,B100000,00000,1400,00000ASSIGNED TIME 73684,E10A180,00301,0300,11/10/1999 73684,E10A180,00501,0100,07/19/2000 73684,E10A180,00550,0300,07/19/2000 73684,S000000,00100,0200,06/01/2000 73684,S200000,00100,0100,975 NORTH VIRGIL AVENUE 73684,S200000,00200,0100,LOS ANGELES 73684,S200000,00200,0200,CA 73684,S200000,00200,0300,90029 73684,S200000,00300,0100,LOS ANGELES 73684,S200000,00400,0100,VIRGIL SANITARIUM & CONV. HOSP. 73684,S200000,00400,0200,055157 73684,S200000,00400,0300,01/01/1974 73684,S200000,00400,0500,P 73684,S200000,01600,0100,Y 73686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73686,A000000,00300,0000,00300EMPLOYEE BENEFITS 73686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73686,A000000,00700,0000,00700HOUSEKEEPING 73686,A000000,00800,0000,00800DIETARY 73686,A000000,00900,0000,00900NURSING ADMINISTRATION 73686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73686,A000000,01100,0000,01100PHARMACY 73686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73686,A000000,01300,0000,01300SOCIAL SERVICE 73686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73686,A000000,01600,0000,01600SKILLED NURSING FACILITY 73686,A000000,01800,0000,01800NURSING FACILITY 73686,A000000,01810,0000,01810ICF/MR 73686,A000000,01900,0000,01900OTHER LONG TERM CARE 73686,A000000,02100,0000,02100RADIOLOGY 73686,A000000,02200,0000,02200LABORATORY 73686,A000000,02500,0000,02500PHYSICAL THERAPY 73686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73686,A000000,02700,0000,02700SPEECH PATHOLOGY 73686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73686,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73686,A000000,03200,0000,03200SUPPORT SURFACES 73686,A000000,03550,0000,03550FQHC 73686,A000000,05000,0000,05000CORF 73686,A000000,05010,0000,05010CMHC 73686,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73686,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73686,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73686,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73686,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73686,A81000A,00100,0100,Y 73686,A81000B,00100,0300,BUILDING LEASE 73686,A81000B,00200,0300,INTEREST EXPENSE 73686,A81000B,00300,0300,DEPRECIATION 73686,A81000B,00400,0300,REPAIRS & MAINT 73686,A81000B,00500,0300,OTHER COSTS 73686,A81000C,00100,0100,A 73686,A81000C,00100,0200,PAUL BARRON 73686,A81000C,00100,0400,BARRON PARTNERS 73686,A81000C,00100,0600,PROPERTY 73686,B100000,00000,0100,00000SQUARE FEET 73686,B100000,00000,0200,00000SQUARE FEET 73686,B100000,00000,0300,00000GROSS SALARIES 73686,B100000,00000,0400,00000ACCUM COST 73686,B100000,00000,0500,00000SQUARE FEET 73686,B100000,00000,0600,00000POUNDS OF LAUNDRY 73686,B100000,00000,0700,00000SQUARE FEET 73686,B100000,00000,0800,00000MEALS SERVED 73686,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73686,B100000,00000,1000,00000COSTED REQUIS 73686,B100000,00000,1100,00000PATIENT DAYS 73686,B100000,00000,1200,00000GROSS REVENUES 73686,B100000,00000,1300,00000PATIENT DAYS 73686,B100000,00000,1400,00000ASSIGNED TIME 73686,E10A180,00301,0300,11/10/1999 73686,E10A180,00350,0300,11/10/1999 73686,E10A180,00501,0100,08/09/2000 73686,E10A180,00501,0300,08/17/2001 73686,E10A180,00550,0100,08/17/2001 73686,E10A180,00550,0300,08/09/2000 73686,S000000,00100,0200,06/01/2000 73686,S200000,00100,0100,909 LUCILLE 73686,S200000,00200,0100,LOS ANGELES 73686,S200000,00200,0200,CA 73686,S200000,00200,0300,90026 73686,S200000,00300,0100,LOS ANGELES 73686,S200000,00400,0100,GARDEN CREST 73686,S200000,00400,0200,055161 73686,S200000,00400,0300,01/01/1967 73686,S200000,00400,0500,P 73686,S200000,00600,0200,055161 73686,S200000,00600,0300,01/01/1967 73686,S200000,00600,0600,P 73686,S200000,01600,0100,Y 73692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73692,A000000,00300,0000,00300EMPLOYEE BENEFITS 73692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73692,A000000,00700,0000,00700HOUSEKEEPING 73692,A000000,00800,0000,00800DIETARY 73692,A000000,00900,0000,00900NURSING ADMINISTRATION 73692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73692,A000000,01100,0000,01100PHARMACY 73692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73692,A000000,01300,0000,01300SOCIAL SERVICE 73692,A000000,01350,0000,01500OTHER GENERAL SERVICES 73692,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73692,A000000,01600,0000,01600SKILLED NURSING FACILITY 73692,A000000,01810,0000,01810ICF/MR 73692,A000000,02100,0000,02100RADIOLOGY 73692,A000000,02200,0000,02200LABORATORY 73692,A000000,02300,0000,02300INTRAVENOUS THERAPY 73692,A000000,02500,0000,02500PHYSICAL THERAPY 73692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73692,A000000,02700,0000,02700SPEECH PATHOLOGY 73692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73692,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73692,A000000,03200,0000,03200SUPPORT SURFACES 73692,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73692,A000000,03550,0000,03550FQHC 73692,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73692,A000000,05000,0000,05000CORF 73692,A000000,05010,0000,05010CMHC 73692,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73692,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73692,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73692,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73692,A81000A,00100,0100,Y 73692,A81000B,00100,0300,RENT 73692,A81000B,00200,0300,DEPRECIATION 73692,A81000B,00300,0300,MANAGEMENT FEES 73692,A81000B,00400,0300,HOME OFFICE COST 73692,B100000,00000,0100,00000SQUARE FEET 73692,B100000,00000,0200,00000SQUARE FEET 73692,B100000,00000,0300,00000GROSS SALARIES 73692,B100000,00000,0400,00000ACCUM. COST 73692,B100000,00000,0500,00000SQUARE FEET 73692,B100000,00000,0600,00000POUNDS OF LAUNDRY 73692,B100000,00000,0700,00000SQUARE FEET 73692,B100000,00000,0800,00000MEALS SERVED 73692,B100000,00000,0900,00000ADMISSIONS S 73692,B100000,00000,1000,00000COSTED REQUIS. 73692,B100000,00000,1100,00000COSTED REQUIS. 73692,B100000,00000,1200,00000TIME SPENT 73692,B100000,00000,1300,00000TIME SPENT 73692,B100000,00000,1350,00000NO STATISTICS 73692,B100000,00000,1400,00000ASSIGNED TIME 73692,E10A180,00350,0300,12/09/1999 73692,E10A180,00501,0100,07/07/2001 73692,E10A180,00550,0300,07/07/2001 73692,S000000,00100,0200,06/05/2000 73692,S200000,00100,0100,7931 SORENSON AVENUE 73692,S200000,00200,0100,WHITTIER 73692,S200000,00200,0200,CO 73692,S200000,00200,0300,90606 73692,S200000,00300,0100,LOS ANGELES 73692,S200000,00400,0100,SORENSON CONVALESCENT HOSPITAL 73692,S200000,00400,0200,055168 73692,S200000,00400,0300,08/01/1998 73692,S200000,00400,0500,P 73692,S200000,00600,0200,055168 73692,S200000,00600,0300,08/01/1998 73692,S200000,00600,0600,P 73692,S200000,01500,0100,Y 73695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73695,A000000,00300,0000,00300EMPLOYEE BENEFITS 73695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73695,A000000,00700,0000,00700HOUSEKEEPING 73695,A000000,00800,0000,00800DIETARY 73695,A000000,00900,0000,00900NURSING ADMINISTRATION 73695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73695,A000000,01100,0000,01100PHARMACY 73695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73695,A000000,01300,0000,01300SOCIAL SERVICE 73695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73695,A000000,01600,0000,01600SKILLED NURSING FACILITY 73695,A000000,01800,0000,01800NURSING FACILITY 73695,A000000,01810,0000,01810ICF/MR 73695,A000000,02100,0000,02100RADIOLOGY 73695,A000000,02200,0000,02200LABORATORY 73695,A000000,02300,0000,02300INTRAVENOUS THERAPY 73695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73695,A000000,02500,0000,02500PHYSICAL THERAPY 73695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73695,A000000,02700,0000,02700SPEECH PATHOLOGY 73695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73695,A000000,03200,0000,03200SUPPORT SURFACES 73695,A000000,03550,0000,03550FQHC 73695,A000000,05000,0000,05000CORF 73695,A000000,05010,0000,05010CMHC 73695,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73695,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73695,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73695,A81000A,00100,0100,Y 73695,A81000B,00100,0300,MANAGEMENT FEES 73695,A81000B,00200,0300,CAP REL-BLDG 73695,A81000B,00300,0300,CAP REL-EQUIP 73695,A81000B,00400,0300,RENT EXPENSE 73695,A81000C,00400,0100,B 73695,A81000C,00400,0200,J&L FRIEDMAN 73695,A81000C,00400,0400,LONGWOOD MGT 73695,A81000C,00400,0600,MANAGEMENT 73695,B100000,00000,0100,00000SQUARE FEET 73695,B100000,00000,0200,00000DOLLAR VALUE 73695,B100000,00000,0300,00000GROSS SALARIES 73695,B100000,00000,0400,00000ACCUM. COST 73695,B100000,00000,0500,00000SQUARE FEET 73695,B100000,00000,0600,00000POUNDS OF LAUNDRY 73695,B100000,00000,0700,00000HOURS OF SERVICE 73695,B100000,00000,0800,00000MEALS SERVED 73695,B100000,00000,0900,00000DIRECT NRSING HRS 73695,B100000,00000,1000,00000COSTED REQUIS. 73695,B100000,00000,1100,00000COSTED REQUIS. 73695,B100000,00000,1200,00000TIME SPENT 73695,B100000,00000,1300,00000TIME SPENT 73695,B100000,00000,1400,00000ASSIGNED TIME 73695,E10A180,00301,0300,10/11/1999 73695,E10A180,00501,0100,06/30/2000 73695,E10A180,00551,0300,06/30/2000 73695,S000000,00100,0200,06/15/2000 73695,S200000,00100,0100,8035 E. HILL DRIVE 73695,S200000,00200,0100,ROSEMEAD 73695,S200000,00200,0200,CA 73695,S200000,00200,0300,91770 73695,S200000,00300,0100,LOS ANGELES 73695,S200000,00400,0100,SAN GABRIEL CONVALESCENT HOSP 73695,S200000,00400,0200,055181 73695,S200000,00400,0300,01/01/1987 73695,S200000,00400,0500,P 73695,S200000,00600,0200,055181 73695,S200000,00600,0300,01/01/1987 73695,S200000,00600,0600,P 73695,S200000,01600,0100,Y 73695,S200000,04300,0100,Y 73698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73698,A000000,00300,0000,00300EMPLOYEE BENEFITS 73698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73698,A000000,00700,0000,00700HOUSEKEEPING 73698,A000000,00800,0000,00800DIETARY 73698,A000000,00900,0000,00900NURSING ADMINISTRATION 73698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73698,A000000,01100,0000,01100PHARMACY 73698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73698,A000000,01300,0000,01300SOCIAL SERVICE 73698,A000000,01350,0000,01500OTHER GENERAL SERVICES 73698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73698,A000000,01600,0000,01600SKILLED NURSING FACILITY 73698,A000000,01800,0000,01800NURSING FACILITY 73698,A000000,01810,0000,01810ICF/MR 73698,A000000,02100,0000,02100RADIOLOGY 73698,A000000,02200,0000,02200LABORATORY 73698,A000000,02500,0000,02500PHYSICAL THERAPY 73698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73698,A000000,02700,0000,02700SPEECH PATHOLOGY 73698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73698,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73698,A000000,03200,0000,03200SUPPORT SURFACES 73698,A000000,03550,0000,03550FQHC 73698,A000000,05000,0000,05000CORF 73698,A000000,05010,0000,05010CMHC 73698,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73698,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73698,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73698,A81000A,00100,0100,Y 73698,A81000B,00100,0300,MANAGEMENT FEE 73698,A81000B,00200,0300,HOME OFFICE BUILDING 73698,A81000B,00300,0300,HOME OFFICE EQUIP 73698,A81000B,00400,0300,BUILDING LEASE 73698,A81000B,00500,0300,CWIC WORK COMP 73698,A81000B,00600,0300,CWIC INSURANCE 73698,A81000B,00700,0300,EMERALD FIXED ASSETS 73698,A81000B,00800,0300,EMERALD ADMIN SUPP 73698,A81000B,00900,0300,EMERALD MAINT 73698,A81000B,01000,0300,EMERALD L&L 73698,A81000B,01100,0300,EMERALD NURSE ADMIN 73698,A81000B,01200,0300,EMERALD MED SUPP 73698,A81000B,01300,0300,PWP ADMIN 73698,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 73698,A81000B,01500,0300,PWP HOUSE SUPPLIES 73698,A81000B,01800,0300,PWP MED SUPP 73698,A81000B,01900,0300,PWP PHARMACY 73698,A81000B,02000,0300,BUILDING INTEREST 73698,A81000C,00100,0100,F 73698,A81000C,00100,0200,MARTIN HARMON 73698,A81000C,00200,0100,C 73698,A81000C,00200,0400,CARE WEST INSURANCE CO. 73698,A81000C,00200,0600,CAPTIVE INSURANCE CO 73698,A81000C,00300,0100,C 73698,A81000C,00300,0400,PACIFIC WEST PHARMACY 73698,A81000C,00300,0600,PHARMACY 73698,A81000C,00400,0100,C 73698,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73698,A81000C,00400,0600,DISTRIBUTORSHIP 73698,A81000C,00500,0100,B 73698,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 73698,A81000C,00500,0600,HOME OFFICE 73698,B100000,00000,0100,00000SQUARE FEET 73698,B100000,00000,0200,00000SQUARE FEET 73698,B100000,00000,0300,00000GROSS SALARIES 73698,B100000,00000,0400,00000ACCUM. COST 73698,B100000,00000,0500,00000SQUARE FEET 73698,B100000,00000,0600,00000POUNDS OF LAUNDRY 73698,B100000,00000,0700,00000NON-DIETAR RY SQ. 73698,B100000,00000,0800,00000MEALS SERVED 73698,B100000,00000,0900,00000DIRECT NURSING HR 73698,B100000,00000,1000,00000COSTED REQS 73698,B100000,00000,1100,00000NO STATISTICS 73698,B100000,00000,1200,00000GROSS REVENUE 73698,B100000,00000,1300,00000CENSUS 73698,B100000,00000,1350,00000NO STATISTICS 73698,B100000,00000,1400,00000ASSIGNED TIME 73698,E10A180,00501,0100,01/29/2001 73698,E10A180,00501,0300,01/29/2001 73698,S000000,00100,0200,01/10/2001 73698,S200000,00100,0100,1260 TRAVIS BLVD 73698,S200000,00200,0100,FAIRFIELD 73698,S200000,00200,0200,CA 73698,S200000,00200,0300,94533 73698,S200000,00300,0100,S 73698,S200000,00400,0100,SIERRA SOLANO CARE CENTER 73698,S200000,00400,0200,055189 73698,S200000,00400,0300,07/01/1967 73698,S200000,00400,0500,P 73698,S200000,00400,0600,O 73698,S200000,00600,0200,055189 73698,S200000,00600,0300,07/01/1967 73698,S200000,00600,0600,P 73698,S200000,01600,0100,Y 73702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73702,A000000,00300,0000,00300EMPLOYEE BENEFITS 73702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73702,A000000,00700,0000,00700HOUSEKEEPING 73702,A000000,00800,0000,00800DIETARY 73702,A000000,00900,0000,00900NURSING ADMINISTRATION 73702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73702,A000000,01100,0000,01100PHARMACY 73702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73702,A000000,01300,0000,01300SOCIAL SERVICE 73702,A000000,01350,0000,01500OTHER GENERAL SERVICES 73702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73702,A000000,01600,0000,01600SKILLED NURSING FACILITY 73702,A000000,01810,0000,01810ICF/MR 73702,A000000,02100,0000,02100RADIOLOGY 73702,A000000,02200,0000,02200LABORATORY 73702,A000000,02500,0000,02500PHYSICAL THERAPY 73702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73702,A000000,02700,0000,02700SPEECH PATHOLOGY 73702,A000000,02800,0000,02800ELECTROCARDIOLOGY 73702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73702,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73702,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73702,A000000,03550,0000,03550FQHC 73702,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73702,A000000,05000,0000,05000CORF 73702,A000000,05010,0000,05010CMHC 73702,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73702,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73702,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73702,A000000,05300,0000,05300INTEREST EXPENSE 73702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73702,A81000A,00100,0100,Y 73702,A81000B,00100,0300,ADMINISTRATION COSTS 73702,A81000B,00200,0300,BUILDING CAPITAL COSTS 73702,A81000C,00100,0100,B 73702,A81000C,00100,0200,SISTER OF PROVIDENCE HLTH 73702,A81000C,00600,0200,HEALTHCARE 73702,B100000,00000,0100,00000SQUARE FEET 73702,B100000,00000,0200,00000SQUARE FEET 73702,B100000,00000,0300,00000GROSS SALARIES 73702,B100000,00000,0400,00000ACCUM. COST 73702,B100000,00000,0500,00000SQUARE FEET 73702,B100000,00000,0600,00000POUNDS OF LAUNDRY 73702,B100000,00000,0700,00000SQUARE FEET 73702,B100000,00000,0800,00000MEALS SERVED 73702,B100000,00000,0900,00000DIRECT NRSING HRS 73702,B100000,00000,1000,00000COSTED REQUIS. 73702,B100000,00000,1100,00000COSTED REQUIS. 73702,B100000,00000,1200,00000TIME SPENT 73702,B100000,00000,1300,00000TIME SPENT 73702,B100000,00000,1350,00000NO STATISTICS 73702,B100000,00000,1400,00000NO STATISTICS 73702,E10A180,00301,0100,09/30/1999 73702,E10A180,00301,0300,09/30/1999 73702,E10A180,00501,0100,07/24/2000 73702,E10A180,00501,0300,07/24/2000 73702,S000000,00100,0200,06/20/2000 73702,S200000,00100,0100,10425 MAGNOLIA BLVD. 73702,S200000,00200,0100,NO. HOLLYWOOD 73702,S200000,00200,0200,CA 73702,S200000,00200,0300,91601 73702,S200000,00300,0100,LOS ANGELES 73702,S200000,00400,0100,PROVIDENCE ST. ELIZABETH CARE CENTER 73702,S200000,00400,0200,055192 73702,S200000,00400,0300,06/01/1973 73702,S200000,00400,0500,P 73702,S200000,00400,0600,O 73702,S200000,01500,0100,Y 73706,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73706,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73706,A000000,00300,0000,00300EMPLOYEE BENEFITS 73706,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73706,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73706,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73706,A000000,00700,0000,00700HOUSEKEEPING 73706,A000000,00800,0000,00800DIETARY 73706,A000000,00900,0000,00900NURSING ADMINISTRATION 73706,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73706,A000000,01100,0000,01100PHARMACY 73706,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73706,A000000,01300,0000,01300SOCIAL SERVICE 73706,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73706,A000000,01600,0000,01600SKILLED NURSING FACILITY 73706,A000000,01810,0000,01810ICF/MR 73706,A000000,02100,0000,02100RADIOLOGY 73706,A000000,02200,0000,02200LABORATORY 73706,A000000,02500,0000,02500PHYSICAL THERAPY 73706,A000000,02700,0000,02700SPEECH PATHOLOGY 73706,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73706,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73706,A000000,03200,0000,03200SUPPORT SURFACES 73706,A000000,03550,0000,03550FQHC 73706,A000000,05000,0000,05000CORF 73706,A000000,05010,0000,05010CMHC 73706,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73706,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73706,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73706,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73706,A81000A,00100,0100,Y 73706,A81000B,00100,0300,BUILDING LEASE 73706,A81000C,00100,0100,A 73706,A81000C,00100,0200,LILLY TELLES TRUST 73706,A81000C,00100,0400,EL MONTE CONV. HOSPITAL 73706,A81000C,00100,0600,SNF 73706,B100000,00000,0100,00000SQUARE FEET 73706,B100000,00000,0200,00000SQUARE FEET 73706,B100000,00000,0300,00000GROSS SALARIES 73706,B100000,00000,0400,00000ACCUM. COST 73706,B100000,00000,0500,00000SQUARE FEET 73706,B100000,00000,0600,00000POUNDS OF LAUNDRY 73706,B100000,00000,0700,00000SQUARE FEET 73706,B100000,00000,0800,00000MEALS SERVED 73706,B100000,00000,0900,00000DIRECT NRSING HRS 73706,B100000,00000,1000,00000COSTED REQUIS 73706,B100000,00000,1100,00000COSTED REQUIS 73706,B100000,00000,1200,00000TIME SPENT 73706,B100000,00000,1300,00000PATIENT DAYS 73706,B100000,00000,1400,00000ASSIGNED TIME 73706,E10A180,00301,0300,09/10/1999 73706,E10A180,00501,0100,05/10/2000 73706,E10A180,00502,0100,06/22/2000 73706,E10A180,00550,0300,05/10/2000 73706,E10A180,00551,0300,06/22/2000 73706,S000000,00100,0200,05/12/2000 73706,S200000,00100,0100,4096 EASY STREET 73706,S200000,00200,0100,EL MONTE CONVALESCENT HOSPITAL 73706,S200000,00200,0200,055202 73706,S200000,00200,0300,91731 73706,S200000,00300,0100,LOS ANGELES 73706,S200000,00400,0100,EL MONTE CONVALESCENT HOSPITAL 73706,S200000,00400,0200,055202 73706,S200000,00400,0300,07/01/1966 73706,S200000,00400,0500,P 73706,S200000,00400,0600,O 73706,S200000,01500,0100,Y 73709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73709,A000000,00300,0000,00300EMPLOYEE BENEFITS 73709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73709,A000000,00700,0000,00700HOUSEKEEPING 73709,A000000,00800,0000,00800DIETARY 73709,A000000,00900,0000,00900NURSING ADMINISTRATION 73709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73709,A000000,01100,0000,01100PHARMACY 73709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73709,A000000,01300,0000,01300SOCIAL SERVICE 73709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73709,A000000,01600,0000,01600SKILLED NURSING FACILITY 73709,A000000,01810,0000,01810ICF/MR 73709,A000000,02100,0000,02100RADIOLOGY 73709,A000000,02200,0000,02200LABORATORY 73709,A000000,02300,0000,02300INTRAVENOUS THERAPY 73709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73709,A000000,02500,0000,02500PHYSICAL THERAPY 73709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73709,A000000,02700,0000,02700SPEECH PATHOLOGY 73709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73709,A000000,03200,0000,03200SUPPORT SURFACES 73709,A000000,03550,0000,03550FQHC 73709,A000000,05000,0000,05000CORF 73709,A000000,05010,0000,05010CMHC 73709,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73709,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73709,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73709,B100000,00000,0100,00000SQUARE FEET 73709,B100000,00000,0200,00000SQUARE FEET 73709,B100000,00000,0300,00000GROSS SALARIES 73709,B100000,00000,0400,00000ACCUM. COST 73709,B100000,00000,0500,00000SQUARE FEET 73709,B100000,00000,0600,00000POUNDS OF LAUNDRY 73709,B100000,00000,0700,00000SQUARE FEET 73709,B100000,00000,0800,00000MEALS SERVED 73709,B100000,00000,0900,00000DIRECT NRSING HRS 73709,B100000,00000,1000,00000COSTED REQUIS. 73709,B100000,00000,1100,00000COSTED REQUIS 73709,B100000,00000,1200,00000GROSS REVENUE 73709,B100000,00000,1300,00000PATIENT DAYS 73709,B100000,00000,1400,00000ASSIGNED TIME 73709,E10A180,00301,0300,07/16/1999 73709,E10A180,00501,0100,07/10/2000 73709,E10A180,00501,0300,07/10/2000 73709,S000000,00100,0200,05/25/2000 73709,S200000,00100,0100,1471 S. RIVERSIDE AVENUE 73709,S200000,00200,0100,RIALTO 73709,S200000,00200,0200,CA 73709,S200000,00200,0300,92376 73709,S200000,00300,0100,RIVERSIDE 73709,S200000,00400,0100,CRESTVIEW CONVALESCENT HOSPITAL 73709,S200000,00400,0200,055213 73709,S200000,00400,0300,01/01/1986 73709,S200000,00400,0500,P 73709,S200000,00400,0600,O 73709,S200000,01500,0100,Y 73714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73714,A000000,00300,0000,00300EMPLOYEE BENEFITS 73714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73714,A000000,00700,0000,00700HOUSEKEEPING 73714,A000000,00800,0000,00800DIETARY 73714,A000000,00900,0000,00900NURSING ADMINISTRATION 73714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73714,A000000,01100,0000,01100PHARMACY 73714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73714,A000000,01300,0000,01300SOCIAL SERVICE 73714,A000000,01301,0000,01301ACTIVITIES 73714,A000000,01350,0000,01500OTHER GENERAL SERVICES 73714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73714,A000000,01600,0000,01600SKILLED NURSING FACILITY 73714,A000000,01810,0000,01810ICF/MR 73714,A000000,02100,0000,02100RADIOLOGY 73714,A000000,02200,0000,02200LABORATORY 73714,A000000,02300,0000,02300INTRAVENOUS THERAPY 73714,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73714,A000000,02500,0000,02500PHYSICAL THERAPY 73714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73714,A000000,02700,0000,02700SPEECH PATHOLOGY 73714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73714,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73714,A000000,03200,0000,03200SUPPORT SURFACES 73714,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73714,A000000,03550,0000,03550FQHC 73714,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73714,A000000,05000,0000,05000CORF 73714,A000000,05010,0000,05010CMHC 73714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73714,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73714,A000000,06151,0000,06301GRANDE APARTMENTS 73714,A000000,06152,0000,06302RESIDENCE 73714,B100000,00000,0100,00002SQUARE FEET 73714,B100000,00000,0200,00002SQUARE FEET 73714,B100000,00000,0300,00002GROSS SALARIES 73714,B100000,00000,0400,00002ACCUM. COST 73714,B100000,00000,0500,00002SQUARE FEET 73714,B100000,00000,0600,00002PATIENT DAYS 73714,B100000,00000,0700,00002SQUARE FEET 73714,B100000,00000,0800,00002MEALS SERVED 73714,B100000,00000,0900,00002PATIENT DAYS 73714,B100000,00000,1000,00002PATIENT DAYS 73714,B100000,00000,1100,00002COSTED REQUIS. 73714,B100000,00000,1200,00002GROSS REVENUE 73714,B100000,00000,1300,00002PATIENT DAYS 73714,B100000,00000,1301,00002PATIENT DAYS 73714,B100000,00000,1350,00002NO STATISTICS 73714,B100000,00000,1400,00002ASSIGNED TIME 73714,E10A180,00351,0300,09/10/1999 73714,E10A180,00501,0100,04/20/2000 73714,E10A180,00550,0300,04/20/2000 73714,E10A180,00551,0300,02/29/2000 73714,S000000,00100,0200,03/01/2000 73714,S200000,00100,0100,2035 W. ADAMS BLVD 73714,S200000,00200,0100,LOS ANGELES 73714,S200000,00200,0200,CA 73714,S200000,00300,0100,LOS ANGELES 73714,S200000,00400,0100,ST. JOHN LOF GOD RETIREMENT CENTER 73714,S200000,00400,0200,055253 73714,S200000,00400,0300,05/03/1971 73714,S200000,00400,0500,P 73714,S200000,01500,0100,Y 73714,S200000,02800,0100,Y 73717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73717,A000000,00300,0000,00300EMPLOYEE BENEFITS 73717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73717,A000000,00700,0000,00700HOUSEKEEPING 73717,A000000,00800,0000,00800DIETARY 73717,A000000,00900,0000,00900NURSING ADMINISTRATION 73717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73717,A000000,01100,0000,01100PHARMACY 73717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73717,A000000,01300,0000,01300SOCIAL SERVICE 73717,A000000,01350,0000,01500OTHER GENERAL SERVICES 73717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73717,A000000,01600,0000,01600SKILLED NURSING FACILITY 73717,A000000,01810,0000,01810ICF/MR 73717,A000000,02100,0000,02100RADIOLOGY 73717,A000000,02200,0000,02200LABORATORY 73717,A000000,02300,0000,02300INTRAVENOUS THERAPY 73717,A000000,02500,0000,02500PHYSICAL THERAPY 73717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73717,A000000,02700,0000,02700SPEECH PATHOLOGY 73717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73717,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73717,A000000,03200,0000,03200SUPPORT SURFACES 73717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73717,A000000,03550,0000,03550FQHC 73717,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73717,A000000,05000,0000,05000CORF 73717,A000000,05010,0000,05010CMHC 73717,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73717,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73717,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73717,A81000A,00100,0100,Y 73717,A81000B,00100,0300,MANAGEMENT FEES 73717,B100000,00000,0100,00000SQUARE FEET 73717,B100000,00000,0200,00000SQUARE FEET 73717,B100000,00000,0300,00000GROSS SALARIES 73717,B100000,00000,0400,00000ACCUM. COST 73717,B100000,00000,0500,00000SQUARE FEET 73717,B100000,00000,0600,00000POUNDS OF LAUNDRY 73717,B100000,00000,0700,00000SQUARE FEET 73717,B100000,00000,0800,00000MEALS SERVED 73717,B100000,00000,0900,00000PATIENT DAYS 73717,B100000,00000,1000,00000COSTED REQUIS. 73717,B100000,00000,1100,00000COSTED REQUIS. 73717,B100000,00000,1200,00000TIME SPENT 73717,B100000,00000,1300,00000PATIENT DAYS 73717,B100000,00000,1350,00000NO STATISTICS 73717,B100000,00000,1400,00000ASSIGNED TIME 73717,E10A180,00350,0300,09/08/1999 73717,E10A180,00501,0300,07/06/2000 73717,E10A180,00550,0100,07/06/2000 73717,S000000,00100,0200,05/30/2000 73717,S200000,00100,0100,1220 E HUNTINGTON DR 73717,S200000,00100,0300,216 73717,S200000,00200,0100,DUARTE 73717,S200000,00200,0200,CA 73717,S200000,00200,0300,91010 73717,S200000,00300,0100,LOS ANGELES 73717,S200000,00400,0100,MONROVIA CONVALESCENT HOSPITAL 73717,S200000,00400,0200,055259 73717,S200000,00400,0300,01/01/1998 73717,S200000,00400,0500,P 73717,S200000,00600,0200,055259 73717,S200000,00600,0300,01/01/1998 73717,S200000,00600,0600,P 73717,S200000,01500,0100,Y 73720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73720,A000000,00300,0000,00300EMPLOYEE BENEFITS 73720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73720,A000000,00700,0000,00700HOUSEKEEPING 73720,A000000,00800,0000,00800DIETARY 73720,A000000,00900,0000,00900NURSING ADMINISTRATION 73720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73720,A000000,01100,0000,01100PHARMACY 73720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73720,A000000,01300,0000,01300SOCIAL SERVICE 73720,A000000,01350,0000,01500OTHER GENERAL SERVICES 73720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73720,A000000,01600,0000,01600SKILLED NURSING FACILITY 73720,A000000,01800,0000,01800NURSING FACILITY 73720,A000000,01810,0000,01810ICF/MR 73720,A000000,02100,0000,02100RADIOLOGY 73720,A000000,02200,0000,02200LABORATORY 73720,A000000,02300,0000,02300INTRAVENOUS THERAPY 73720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73720,A000000,02500,0000,02500PHYSICAL THERAPY 73720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73720,A000000,02700,0000,02700SPEECH PATHOLOGY 73720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73720,A000000,03050,0000,03300EQUIPMENT RENTAL 73720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73720,A000000,03550,0000,03550FQHC 73720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73720,A000000,05000,0000,05000CORF 73720,A000000,05010,0000,05010CMHC 73720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73720,A81000A,00100,0100,Y 73720,A81000B,00100,0300,ACCOUNTING 73720,A81000B,00200,0300,LEGAL 73720,A81000C,00100,0100,F 73720,A81000C,00100,0200,VARIOUS 73720,A81000C,00100,0400,KELLOGG & ANDELSON 73720,A81000C,00100,0600,CPA FIRM 73720,A81000C,00200,0100,F 73720,A81000C,00200,0200,VARIOUS 73720,A81000C,00200,0400,FENIGSTEIN & KAUFMAN 73720,A81000C,00200,0600,LAW FIRM 73720,B100000,00000,0100,00000SQUARE FEET 73720,B100000,00000,0200,00000SQUARE FEET 73720,B100000,00000,0300,00000GROSS SALARIES 73720,B100000,00000,0400,00000ACCUM. COST 73720,B100000,00000,0500,00000SQUARE FEET 73720,B100000,00000,0600,00000POUNDS OF LAUNDRY 73720,B100000,00000,0700,00000SQUARE FEET 73720,B100000,00000,0800,00000MEALS SERVED 73720,B100000,00000,0900,00000DIRECT NRSING HRS 73720,B100000,00000,1000,00000COSTED REQUIS. 73720,B100000,00000,1100,00000COSTED REQUIS. 73720,B100000,00000,1200,00000GROSS REVENUE 73720,B100000,00000,1300,00000TIME SPENT 73720,B100000,00000,1350,00000NO STATISTICS 73720,B100000,00000,1400,00000ASSIGNED TIME 73720,E10A180,00501,0100,08/15/2000 73720,E10A180,00501,0300,08/15/2000 73720,S000000,00100,0200,05/30/2000 73720,S200000,00100,0100,1633 ECHO PARK AVENUE 73720,S200000,00200,0100,LOS ANGELES 73720,S200000,00200,0200,CA 73720,S200000,00200,0300,90026 73720,S200000,00300,0100,LOS ANGELES 73720,S200000,00400,0100,ECHO PARK SNF HOSPITAL 73720,S200000,00400,0200,055284 73720,S200000,00400,0300,01/01/1980 73720,S200000,00400,0500,P 73720,S200000,00600,0200,055284 73720,S200000,00600,0300,01/01/1980 73720,S200000,00600,0600,P 73720,S200000,01600,0100,Y 73723,S000000,00100,0200,06/02/2000 73725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73725,A000000,00300,0000,00300EMPLOYEE BENEFITS 73725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73725,A000000,00700,0000,00700HOUSEKEEPING 73725,A000000,00800,0000,00800DIETARY 73725,A000000,00900,0000,00900NURSING ADMINISTRATION 73725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73725,A000000,01100,0000,01100PHARMACY 73725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73725,A000000,01300,0000,01300SOCIAL SERVICE 73725,A000000,01310,0000,01301ACTIVITIES 73725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73725,A000000,01600,0000,01600SKILLED NURSING FACILITY 73725,A000000,01800,0000,01800NURSING FACILITY 73725,A000000,01810,0000,01810ICF/MR 73725,A000000,02100,0000,02100RADIOLOGY 73725,A000000,02200,0000,02200LABORATORY 73725,A000000,02300,0000,02300INTRAVENOUS THERAPY 73725,A000000,02500,0000,02500PHYSICAL THERAPY 73725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73725,A000000,02700,0000,02700SPEECH PATHOLOGY 73725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73725,A000000,03200,0000,03200SUPPORT SURFACES 73725,A000000,03550,0000,03550FQHC 73725,A000000,05000,0000,05000CORF 73725,A000000,05010,0000,05010CMHC 73725,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73725,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73725,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73725,A81000A,00100,0100,Y 73725,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 73725,A81000C,00100,0100,B 73725,A81000C,00100,0200,CONV. HOSPITAL 73725,A81000C,00100,0400,GSHC 73725,A81000C,00100,0600,LTC 73725,B100000,00000,0100,00000SQUARE FEET 73725,B100000,00000,0200,00000SQUARE FEET 73725,B100000,00000,0300,00000GROSS SALARIES 73725,B100000,00000,0400,00000ACCUM. COST 73725,B100000,00000,0500,00000SQUARE FEET 73725,B100000,00000,0600,00000POUNDS OF LAUNDRY 73725,B100000,00000,0700,00000SQUARE FEET 73725,B100000,00000,0800,00000MEALS SERVED 73725,B100000,00000,0900,00000DIRECT NRSING HRS 73725,B100000,00000,1000,00000COSTED REQUIS. 73725,B100000,00000,1100,00000COSTED REQUIS. 73725,B100000,00000,1200,00000GROSS REVENUE 73725,B100000,00000,1300,00000I/P DAYS 73725,B100000,00000,1301,00000I/P DAYS 73725,B100000,00000,1400,00000ASSIGNED TIME 73725,E10A180,00350,0300,09/08/1999 73725,E10A180,00501,0300,07/18/2000 73725,E10A180,00550,0100,07/18/2000 73725,S000000,00100,0200,06/01/2000 73725,S200000,00100,0100,5522 GRACEWOOD AVENUE 73725,S200000,00200,0100,TEMPLE CITY 73725,S200000,00200,0200,CA 73725,S200000,00200,0300,91780 73725,S200000,00300,0100,LOS ANGELES 73725,S200000,00400,0100,SANTA ANITA CONV. HOSPITAL 73725,S200000,00400,0200,055293 73725,S200000,00400,0300,01/01/1986 73725,S200000,00400,0500,P 73725,S200000,00600,0200,055293 73725,S200000,00600,0300,01/01/1986 73725,S200000,00600,0600,P 73725,S200000,01600,0100,Y 73725,S200000,02200,0100,Y 73729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73729,A000000,00300,0000,00300EMPLOYEE BENEFITS 73729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73729,A000000,00700,0000,00700HOUSEKEEPING 73729,A000000,00800,0000,00800DIETARY 73729,A000000,00900,0000,00900NURSING ADMINISTRATION 73729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73729,A000000,01100,0000,01100PHARMACY 73729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73729,A000000,01300,0000,01300SOCIAL SERVICE 73729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73729,A000000,01600,0000,01600SKILLED NURSING FACILITY 73729,A000000,01810,0000,01810ICF/MR 73729,A000000,02100,0000,02100RADIOLOGY 73729,A000000,02200,0000,02200LABORATORY 73729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73729,A000000,02500,0000,02500PHYSICAL THERAPY 73729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73729,A000000,02700,0000,02700SPEECH PATHOLOGY 73729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73729,A000000,03200,0000,03200SUPPORT SURFACES 73729,A000000,03550,0000,03550FQHC 73729,A000000,05000,0000,05000CORF 73729,A000000,05010,0000,05010CMHC 73729,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73729,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73729,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73729,A81000A,00100,0100,Y 73729,A81000B,00100,0300,ADMINISTRATION 73729,A81000C,00100,0100,A 73729,A81000C,00100,0200,C VAN HORST 73729,A81000C,00100,0400,BHA 73729,A81000C,00100,0600,MGT 73729,B100000,00000,0100,00040SQUARE FEET 73729,B100000,00000,0200,00040DOLLAR VALUE 73729,B100000,00000,0300,00040GROSS SALARIES 73729,B100000,00000,0400,00040ACCUM. COST 73729,B100000,00000,0500,00040SQUARE FEET 73729,B100000,00000,0600,00040POUNDS OF LAUNDRY 73729,B100000,00000,0700,00040HOURS OF SERVICE 73729,B100000,00000,0800,00040MEALS SERVED 73729,B100000,00000,0900,00040DIRECT NRSING HRS 73729,B100000,00000,1000,00040COSTED REQUIS. 73729,B100000,00000,1100,00040COSTED REQUIS. 73729,B100000,00000,1200,00040TIME SPENT 73729,B100000,00000,1300,00040TIME SPENT 73729,B100000,00000,1400,00040ASSIGNED TIME 73729,E10A180,00501,0300,08/02/2000 73729,E10A180,00550,0100,08/02/2000 73729,E10A180,00550,0300,06/06/2000 73729,S000000,00100,0200,06/06/2000 73729,S200000,00100,0100,3202 DUKE STREET 73729,S200000,00200,0100,SAN DIEGO 73729,S200000,00200,0200,CA 73729,S200000,00200,0300,92110 73729,S200000,00300,0100,SAN DIEGO 73729,S200000,00400,0100,POINT LOMA CONVALESCENT HOSPITL 73729,S200000,00400,0200,055322 73729,S200000,00400,0300,01/01/1980 73729,S200000,00400,0500,P 73729,S200000,00600,0200,055322 73729,S200000,00600,0300,01/01/1980 73729,S200000,00600,0600,P 73732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73732,A000000,00300,0000,00300EMPLOYEE BENEFITS 73732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73732,A000000,00700,0000,00700HOUSEKEEPING 73732,A000000,00800,0000,00800DIETARY 73732,A000000,00900,0000,00900NURSING ADMINISTRATION 73732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73732,A000000,01100,0000,01100PHARMACY 73732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73732,A000000,01300,0000,01300SOCIAL SERVICE 73732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73732,A000000,01600,0000,01600SKILLED NURSING FACILITY 73732,A000000,01810,0000,01810ICF/MR 73732,A000000,02100,0000,02100RADIOLOGY 73732,A000000,02200,0000,02200LABORATORY 73732,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73732,A000000,02500,0000,02500PHYSICAL THERAPY 73732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73732,A000000,02700,0000,02700SPEECH PATHOLOGY 73732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73732,A000000,03550,0000,03550FQHC 73732,A000000,05000,0000,05000CORF 73732,A000000,05010,0000,05010CMHC 73732,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73732,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73732,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73732,A81000A,00100,0100,Y 73732,A81000B,00100,0300,BUILDING DEPRECIATION 73732,A81000B,00200,0300,HMH EMP BEN 73732,A81000B,00300,0300,HMH PURCHASING 73732,A81000B,00400,0300,HMH ADMIN 73732,A81000B,00500,0300,HMH LAUNDRY 73732,A81000B,00600,0300,HMH NURSING ADMIN 73732,A81000B,00700,0300,HMH CENTRAL SERVICE 73732,A81000B,00800,0300,HMH PHARMACY 73732,A81000C,00100,0100,A 73732,A81000C,00100,0400,HUNT MEM HOSP 73732,A81000C,00100,0600,ACUTE CARE HOSP 73732,A81000C,00200,0100,A 73732,A81000C,00200,0400,HUNTINGON TRUST 73732,A81000C,00200,0600,ASSET HOLDING 73732,B100000,00000,0100,00040SQUARE FEET 73732,B100000,00000,0200,00040SQUARE FEET 73732,B100000,00000,0300,00040GROSS SAL 73732,B100000,00000,0400,00040ACCUM. COST 73732,B100000,00000,0500,00040SQUARE FEET 73732,B100000,00000,0600,00040POUNDS OF LAUNDRY 73732,B100000,00000,0700,00040SQUARE FEET 73732,B100000,00000,0800,00040MEALS SERVED 73732,B100000,00000,0900,00040DIRECT NURSE HOUR 73732,B100000,00000,1000,00040SUP COSTED REQ 73732,B100000,00000,1100,00040PHARM COSTED REQ 73732,B100000,00000,1200,00040GROSS REV 73732,B100000,00000,1300,00040PATIENT CONTACTS 73732,B100000,00000,1400,00040DIRECT NURSE HOUR 73732,E10A180,00550,0100,10/19/2000 73732,E10A180,00550,0300,10/19/2000 73732,S000000,00100,0200,08/15/2000 73732,S200000,00100,0100,100 W. CALIFORNIA BLVD. 73732,S200000,00200,0100,PASADENA 73732,S200000,00200,0200,CA 73732,S200000,00300,0100,LOS ANGELES 73732,S200000,00400,0100,HUNTINGTON TRANSITIONAL CARE CENTER 73732,S200000,00400,0200,055341 73732,S200000,00400,0300,09/19/1966 73732,S200000,00400,0500,P 73732,S200000,01500,0100,Y 73732,S200000,02200,0100,Y 73734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73734,A000000,00300,0000,00300EMPLOYEE BENEFITS 73734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73734,A000000,00700,0000,00700HOUSEKEEPING 73734,A000000,00800,0000,00800DIETARY 73734,A000000,00900,0000,00900NURSING ADMINISTRATION 73734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73734,A000000,01100,0000,01100PHARMACY 73734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73734,A000000,01300,0000,01300SOCIAL SERVICE 73734,A000000,01301,0000,01301ACTIVITIES 73734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73734,A000000,01600,0000,01600SKILLED NURSING FACILITY 73734,A000000,01800,0000,01800NURSING FACILITY 73734,A000000,01810,0000,01810ICF/MR 73734,A000000,02100,0000,02100RADIOLOGY 73734,A000000,02200,0000,02200LABORATORY 73734,A000000,02300,0000,02300INTRAVENOUS THERAPY 73734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73734,A000000,02500,0000,02500PHYSICAL THERAPY 73734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73734,A000000,02700,0000,02700SPEECH PATHOLOGY 73734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73734,A000000,03101,0000,03101PEN 73734,A000000,03102,0000,03102DME 73734,A000000,03550,0000,03550FQHC 73734,A000000,05000,0000,05000CORF 73734,A000000,05010,0000,05010CMHC 73734,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73734,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73734,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73734,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73734,A81000A,00100,0100,Y 73734,A81000B,00100,0300,LINEN MANAGEMENT FEE 73734,A81000B,00200,0300,LINEN EXPENSE 73734,A81000B,00300,0300,HOME OFFICE-BLDGS 73734,A81000B,00400,0300,HOME OFFICE-EQUIP 73734,A81000B,00500,0300,HOME OFFICE-ADMIN 73734,A81000C,00100,0100,E 73734,A81000C,00100,0400,AEM MMGT INC 73734,A81000C,00100,0600,HEALTHCARE 73734,A81000C,00200,0100,D 73734,A81000C,00200,0400,HEALTHCARE LINE 73734,A81000C,00200,0600,LAUNDRY AND LIN 73734,B100000,00000,0100,00000SQUARE FEET 73734,B100000,00000,0200,00000SQUARE FEET 73734,B100000,00000,0300,00000GROSS SALARIES 73734,B100000,00000,0400,00000ACCUM COST 73734,B100000,00000,0500,00000SQUARE FEET 73734,B100000,00000,0600,00000PATIENT DAYS 73734,B100000,00000,0700,00000SQUARE FEET 73734,B100000,00000,0800,00000PATIENT DAYS 73734,B100000,00000,0900,00000DIRECT NRSG HRS 73734,B100000,00000,1000,00000COSTED REQUIS 73734,B100000,00000,1100,00000COSTED REQUIS 73734,B100000,00000,1200,00000GROSS REVENUE 73734,B100000,00000,1300,00000TIME SPENT 73734,B100000,00000,1301,00000TIME SPENT 73734,B100000,00000,1400,00000ASSIGNED TIME 73734,E10A180,00501,0100,06/14/2000 73734,E10A180,00501,0300,06/14/2000 73734,S000000,00100,0200,05/24/2000 73734,S200000,00100,0100,4029 EAST ANAHEIM STREET 73734,S200000,00200,0100,LONG BEACH 73734,S200000,00200,0200,CA 73734,S200000,00200,0300,90804 73734,S200000,00300,0100,LOS ANGELES 73734,S200000,00400,0100,EASTWOOD CONVALESCENT HOSPITAL 73734,S200000,00400,0200,055353 73734,S200000,00400,0300,01/01/1967 73734,S200000,00400,0500,P 73734,S200000,00600,0200,055353 73734,S200000,00600,0300,01/01/1967 73734,S200000,00600,0600,P 73734,S200000,01600,0100,Y 73736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73736,A000000,00300,0000,00300EMPLOYEE BENEFITS 73736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73736,A000000,00700,0000,00700HOUSEKEEPING 73736,A000000,00800,0000,00800DIETARY 73736,A000000,00900,0000,00900NURSING ADMINISTRATION 73736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73736,A000000,01100,0000,01100PHARMACY 73736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73736,A000000,01300,0000,01300SOCIAL SERVICE 73736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73736,A000000,01600,0000,01600SKILLED NURSING FACILITY 73736,A000000,01810,0000,01810ICF/MR 73736,A000000,02100,0000,02100RADIOLOGY 73736,A000000,02200,0000,02200LABORATORY 73736,A000000,02500,0000,02500PHYSICAL THERAPY 73736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73736,A000000,02700,0000,02700SPEECH PATHOLOGY 73736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73736,A000000,03050,0000,03300CLINITRON BEDS 73736,A000000,03550,0000,03550FQHC 73736,A000000,05000,0000,05000CORF 73736,A000000,05010,0000,05010CMHC 73736,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73736,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73736,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73736,A81000A,00100,0100,Y 73736,A81000B,00100,0300,BUILDING RENT 73736,A81000B,00200,0300,BUILDING DEPRECIATION 73736,A81000C,00200,0100,B 73736,A81000C,00200,0200,B. GARRETT 73736,A81000C,00200,0400,GARRETT 73736,A81000C,00200,0600,RENTALS 73736,B100000,00000,0100,00000SQUARE FEET 73736,B100000,00000,0200,00000DOLLAR VALUE 73736,B100000,00000,0300,00000GROSS SALARIES 73736,B100000,00000,0400,00000ACCUM. COST 73736,B100000,00000,0500,00000SQUARE FEET 73736,B100000,00000,0600,00000POUNDS OF LAUNDRY 73736,B100000,00000,0700,00000HOURS OF SERVICE 73736,B100000,00000,0800,00000MEALS SERVED 73736,B100000,00000,0900,00000DIRECT NRSING HRS 73736,B100000,00000,1000,00000COSTED REQUIS. 73736,B100000,00000,1100,00000COSTED REQUIS. 73736,B100000,00000,1200,00000TIME SPENT 73736,B100000,00000,1300,00000TIME SPENT 73736,B100000,00000,1400,00000ASSIGNED TIME 73736,E10A180,00301,0300,08/13/1999 73736,E10A180,00501,0300,07/26/2000 73736,E10A180,00550,0100,07/26/2000 73736,S000000,00100,0200,06/01/2000 73736,S200000,00100,0100,9166 TUJUNGA CANYON 73736,S200000,00200,0100,TUJUNGA 73736,S200000,00200,0200,CA 73736,S200000,00200,0300,91042 73736,S200000,00300,0100,LOS ANGELES 73736,S200000,00400,0100,OAKVIEW CONVALESCENT 73736,S200000,00400,0200,055360 73736,S200000,00400,0300,11/01/1986 73736,S200000,00400,0500,P 73736,S200000,00600,0200,055360 73736,S200000,00600,0300,11/01/1986 73736,S200000,00600,0600,P 73736,S200000,01500,0100,Y 73736,S200000,04300,0100,Y 73738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73738,A000000,00300,0000,00300EMPLOYEE BENEFITS 73738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73738,A000000,00700,0000,00700HOUSEKEEPING 73738,A000000,00800,0000,00800DIETARY 73738,A000000,00900,0000,00900NURSING ADMINISTRATION 73738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73738,A000000,01100,0000,01100PHARMACY 73738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73738,A000000,01300,0000,01300SOCIAL SERVICE 73738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73738,A000000,01600,0000,01600SKILLED NURSING FACILITY 73738,A000000,01810,0000,01810ICF/MR 73738,A000000,02100,0000,02100RADIOLOGY 73738,A000000,02200,0000,02200LABORATORY 73738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73738,A000000,02500,0000,02500PHYSICAL THERAPY 73738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73738,A000000,02700,0000,02700SPEECH PATHOLOGY 73738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73738,A000000,03200,0000,03200SUPPORT SURFACES 73738,A000000,03550,0000,03550FQHC 73738,A000000,05000,0000,05000CORF 73738,A000000,05010,0000,05010CMHC 73738,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73738,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73738,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73738,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73738,A81000A,00100,0100,Y 73738,A81000B,00100,0300,BUILDING - LEASE 73738,A81000B,00200,0300,DEPRECIATION - ZISMAN 73738,A81000B,00300,0300,DEPRECIATION 73738,A81000C,00100,0100,A 73738,A81000C,00100,0200,MRS. ZISMAN 73738,A81000C,00100,0400,HILLCREST CONV. HOSPITAL 73738,A81000C,00100,0600,LANDLORD 73738,A81000C,00200,0100,A 73738,A81000C,00200,0200,MARA STROE 73738,A81000C,00200,0400,HILLCREST CONV. HOSPITAL 73738,A81000C,00200,0600,LANLORD 73738,B100000,00000,0100,00000SQUARE FEET 73738,B100000,00000,0200,00000SQUARE FEET 73738,B100000,00000,0300,00000GROSS SALARIES 73738,B100000,00000,0400,00000ACCUM. COST 73738,B100000,00000,0500,00000SQUARE FEET 73738,B100000,00000,0600,00000POUNDS OF LAUNDRY 73738,B100000,00000,0700,00000SQUARE FEET 73738,B100000,00000,0800,00000MEALS SERVED 73738,B100000,00000,0900,00000DIRECT NRSING HRS 73738,B100000,00000,1000,00000COSTED REQUIS 73738,B100000,00000,1100,00000COSTED REQUIS 73738,B100000,00000,1200,00000GROSS REVENUE 73738,B100000,00000,1300,00000PATIENT DAYS 73738,B100000,00000,1400,00000ASSIGNED TIME 73738,E10A180,00350,0300,07/07/1999 73738,E10A180,00501,0100,02/07/2000 73738,E10A180,00501,0300,03/16/2000 73738,E10A180,00502,0100,03/16/2000 73738,E10A180,00550,0300,02/07/2000 73738,S000000,00100,0200,02/09/2000 73738,S200000,00100,0100,3401 CEDAR AVENUE 73738,S200000,00200,0100,LONG BEACH 73738,S200000,00200,0200,CA 73738,S200000,00300,0100,LOS ANGELES 73738,S200000,00400,0100,HILLCREST CONVALESCENT HOSPITAL 73738,S200000,00400,0200,055364 73738,S200000,00400,0300,10/01/1996 73738,S200000,00400,0500,P 73738,S200000,00400,0600,O 73738,S200000,01500,0100,Y 73745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73745,A000000,00300,0000,00300EMPLOYEE BENEFITS 73745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73745,A000000,00700,0000,00700HOUSEKEEPING 73745,A000000,00800,0000,00800DIETARY 73745,A000000,00900,0000,00900NURSING ADMINISTRATION 73745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73745,A000000,01100,0000,01100PHARMACY 73745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73745,A000000,01300,0000,01300SOCIAL SERVICE 73745,A000000,01350,0000,01500OTHER GENERAL SERVICES 73745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73745,A000000,01600,0000,01600SKILLED NURSING FACILITY 73745,A000000,01810,0000,01810ICF/MR 73745,A000000,02100,0000,02100RADIOLOGY 73745,A000000,02300,0000,02300INTRAVENOUS THERAPY 73745,A000000,02500,0000,02500PHYSICAL THERAPY 73745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73745,A000000,02700,0000,02700SPEECH PATHOLOGY 73745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73745,A000000,03200,0000,03200SUPPORT SURFACES 73745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73745,A000000,03550,0000,03550FQHC 73745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73745,A000000,05000,0000,05000CORF 73745,A000000,05010,0000,05010CMHC 73745,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73745,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73745,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73745,A81000A,00100,0100,Y 73745,A81000B,00100,0300,BLDGS DEPRECIATION 73745,A81000B,00200,0300,MORTGAGE INTEREST 73745,A81000C,00100,0100,A 73745,A81000C,00100,0200,JOHN HAEDRICH 73745,A81000C,00100,0400,LESSOR 73745,B100000,00000,0100,00000SQUARE FEET 73745,B100000,00000,0200,00000SQUARE FEET 73745,B100000,00000,0300,00000GROSS SALARIES 73745,B100000,00000,0400,00000ACCUM. COST 73745,B100000,00000,0500,00000SQUARE FEET 73745,B100000,00000,0600,00000POUNDS OF LAUNDRY 73745,B100000,00000,0700,00000SQUARE FEET 73745,B100000,00000,0800,00000MEALS SERVED 73745,B100000,00000,0900,00000ADMISSIONS S 73745,B100000,00000,1000,00000COSTED REQUIS. 73745,B100000,00000,1100,00000COSTED REQUIS. 73745,B100000,00000,1200,00000TIME SPENT 73745,B100000,00000,1300,00000TIME SPENT 73745,B100000,00000,1350,00000NO STATISTICS 73745,B100000,00000,1400,00000ASSIGNED TIME 73745,E10A180,00350,0300,08/03/1999 73745,E10A180,00501,0100,06/20/2000 73745,E10A180,00501,0300,06/20/2000 73745,S000000,00100,0200,05/26/2000 73745,S200000,00100,0100,1400 WEST GLENOAKS BLVD. 73745,S200000,00200,0100,GLENDALE 73745,S200000,00200,0200,CA 73745,S200000,00200,0300,91201 73745,S200000,00300,0100,LOS ANGELES 73745,S200000,00400,0100,DREIERS NURSING CARE CENTER 73745,S200000,00400,0200,055379 73745,S200000,00400,0300,03/26/1999 73745,S200000,00400,0500,P 73745,S200000,01500,0100,Y 73752,S000000,00100,0200,11/29/2000 73753,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73753,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73753,A000000,00300,0000,00300EMPLOYEE BENEFITS 73753,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73753,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73753,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73753,A000000,00700,0000,00700HOUSEKEEPING 73753,A000000,00800,0000,00800DIETARY 73753,A000000,00900,0000,00900NURSING ADMINISTRATION 73753,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73753,A000000,01100,0000,01100PHARMACY 73753,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73753,A000000,01300,0000,01300SOCIAL SERVICE 73753,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73753,A000000,01600,0000,01600SKILLED NURSING FACILITY 73753,A000000,01810,0000,01810ICF/MR 73753,A000000,02100,0000,02100RADIOLOGY 73753,A000000,02200,0000,02200LABORATORY 73753,A000000,02300,0000,02300INTRAVENOUS THERAPY 73753,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73753,A000000,02500,0000,02500PHYSICAL THERAPY 73753,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73753,A000000,02700,0000,02700SPEECH PATHOLOGY 73753,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73753,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73753,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73753,A000000,03550,0000,03550FQHC 73753,A000000,05000,0000,05000CORF 73753,A000000,05010,0000,05010CMHC 73753,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73753,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73753,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73753,A81000A,00100,0100,Y 73753,A81000B,00100,0300,MANAGEMENT FEES 73753,A81000B,00200,0300,HOME OFFICE - BUILDING 73753,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 73753,A81000B,00400,0300,INTEREST 73753,A81000B,00500,0300,BUILDING 73753,A81000C,00100,0100,B 73753,A81000C,00100,0200,BEN BENNETT INC. 73753,A81000C,00100,0400,COMM. CARE & REHAB. CENTE 73753,A81000C,00100,0600,SNF 73753,A81000C,00200,0100,A 73753,A81000C,00200,0200,BEN & ELIZABETH BENNETT 73753,A81000C,00200,0400,PEDRINI-BENNETT 73753,A81000C,00200,0600,PROPERTY COMPANY 73753,B100000,00000,0100,00040SQUARE FEET 73753,B100000,00000,0200,00040SQUARE FEET 73753,B100000,00000,0300,00040GROSS SALARIES 73753,B100000,00000,0400,00040ACCUM. COST 73753,B100000,00000,0500,00040SQUARE FEET 73753,B100000,00000,0600,00040POUNDS OF LAUNDRY 73753,B100000,00000,0700,00040SQUARE FEET 73753,B100000,00000,0800,00040MEALS SERVED 73753,B100000,00000,0900,00040DIRECT NRSING HRS 73753,B100000,00000,1000,00040COSTED REQUIS 73753,B100000,00000,1100,00040COSTED REQUIS 73753,B100000,00000,1200,00040GROSS REVENUE 73753,B100000,00000,1300,00040PATIENT DAYS 73753,B100000,00000,1400,00040ASSIGNED TIME 73753,E10A180,00350,0300,08/04/1999 73753,E10A180,00501,0100,06/19/2000 73753,E10A180,00550,0300,05/23/2000 73753,E10A180,00551,0300,06/19/2000 73753,S000000,00100,0200,05/26/2000 73753,S200000,00100,0100,4070 JURUPA AVENUE 73753,S200000,00200,0100,RIVERSIDE 73753,S200000,00200,0200,CA 73753,S200000,00200,0300,92506 73753,S200000,00300,0100,RIVERSIDE 73753,S200000,00400,0100,COMMUNITY CARE & REHAB. CENTER 73753,S200000,00400,0200,055409 73753,S200000,00400,0300,07/01/1986 73753,S200000,00400,0500,P 73753,S200000,00400,0600,O 73753,S200000,00600,0200,055409 73753,S200000,00600,0300,07/01/1986 73753,S200000,00600,0600,P 73753,S200000,01500,0100,Y 73755,S000000,00100,0200,12/21/2000 73757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73757,A000000,00300,0000,00300EMPLOYEE BENEFITS 73757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73757,A000000,00700,0000,00700HOUSEKEEPING 73757,A000000,00800,0000,00800DIETARY 73757,A000000,00900,0000,00900NURSING ADMINISTRATION 73757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73757,A000000,01100,0000,01100PHARMACY 73757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73757,A000000,01300,0000,01300SOCIAL SERVICE 73757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73757,A000000,01600,0000,01600SKILLED NURSING FACILITY 73757,A000000,01810,0000,01810ICF/MR 73757,A000000,02100,0000,02100RADIOLOGY 73757,A000000,02200,0000,02200LABORATORY 73757,A000000,02300,0000,02300INTRAVENOUS THERAPY 73757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73757,A000000,02500,0000,02500PHYSICAL THERAPY 73757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73757,A000000,02700,0000,02700SPEECH PATHOLOGY 73757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73757,A000000,03050,0000,03300CLINITRON BEDS 73757,A000000,03550,0000,03550FQHC 73757,A000000,05000,0000,05000CORF 73757,A000000,05010,0000,05010CMHC 73757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73757,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73757,A81000A,00100,0100,Y 73757,A81000B,00100,0300,BUILDING RENT 73757,A81000B,00200,0300,BUILDING DEPRECIATION 73757,A81000C,00200,0100,B 73757,A81000C,00200,0200,E. CASNER 73757,A81000C,00200,0400,CONSOL. 73757,A81000C,00200,0600,HEALTHCARE 73757,B100000,00000,0100,00000SQUARE FEET 73757,B100000,00000,0200,00000DOLLAR VALUE 73757,B100000,00000,0300,00000GROSS SALARIES 73757,B100000,00000,0400,00000ACCUM. COST 73757,B100000,00000,0500,00000SQUARE FEET 73757,B100000,00000,0600,00000POUNDS OF LAUNDRY 73757,B100000,00000,0700,00000HOURS OF SERVICE 73757,B100000,00000,0800,00000MEALS SERVED 73757,B100000,00000,0900,00000DIRECT NRSING HRS 73757,B100000,00000,1000,00000COSTED REQUIS. 73757,B100000,00000,1100,00000COSTED REQUIS. 73757,B100000,00000,1200,00000TIME SPENT 73757,B100000,00000,1300,00000TIME SPENT 73757,B100000,00000,1400,00000ASSIGNED TIME 73757,E10A180,00301,0300,11/18/1999 73757,E10A180,00550,0100,05/30/2000 73757,E10A180,00550,0300,07/10/2000 73757,E10A180,00551,0300,05/30/2000 73757,S000000,00100,0200,06/01/2000 73757,S200000,00100,0100,115 BRIDGE STREET 73757,S200000,00200,0100,SAN GABRIEL 73757,S200000,00200,0200,CA 73757,S200000,00200,0300,91775 73757,S200000,00300,0100,LOS ANGELES 73757,S200000,00400,0100,ALDERWOOD MANOR CONVALESCENT 73757,S200000,00400,0200,055441 73757,S200000,00400,0300,04/01/1985 73757,S200000,00400,0500,P 73757,S200000,00400,0600,O 73757,S200000,01500,0100,Y 73757,S200000,04300,0100,Y 73759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73759,A000000,00300,0000,00300EMPLOYEE BENEFITS 73759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73759,A000000,00700,0000,00700HOUSEKEEPING 73759,A000000,00800,0000,00800DIETARY 73759,A000000,00900,0000,00900NURSING ADMINISTRATION 73759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73759,A000000,01100,0000,01100PHARMACY 73759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73759,A000000,01300,0000,01300SOCIAL SERVICE 73759,A000000,01350,0000,01500OTHER GENERAL SERVICES 73759,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73759,A000000,01600,0000,01600SKILLED NURSING FACILITY 73759,A000000,01800,0000,01800NURSING FACILITY 73759,A000000,01810,0000,01810ICF/MR 73759,A000000,02100,0000,02100RADIOLOGY 73759,A000000,02200,0000,02200LABORATORY 73759,A000000,02300,0000,02300INTRAVENOUS THERAPY 73759,A000000,02500,0000,02500PHYSICAL THERAPY 73759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73759,A000000,02700,0000,02700SPEECH PATHOLOGY 73759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73759,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73759,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73759,A000000,03550,0000,03550FQHC 73759,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73759,A000000,05000,0000,05000CORF 73759,A000000,05010,0000,05010CMHC 73759,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73759,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73759,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73759,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73759,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73759,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73759,B100000,00000,0100,00000SQUARE FEET 73759,B100000,00000,0200,00000DOLLAR VALUE 73759,B100000,00000,0300,00000GROSS SALARIES 73759,B100000,00000,0400,00000ACCUM. COST 73759,B100000,00000,0500,00000SQUARE FEET 73759,B100000,00000,0600,00000POUNDS OF LAUNDRY 73759,B100000,00000,0700,00000HOURS OF SERVICE 73759,B100000,00000,0800,00000MEALS SERVED 73759,B100000,00000,0900,00000DIRECT NRSING HRS 73759,B100000,00000,1000,00000COSTED REQUIS. 73759,B100000,00000,1100,00000COSTED REQUIS. 73759,B100000,00000,1200,00000COSTED REQUIS 73759,B100000,00000,1300,00000TIME SPENT 73759,B100000,00000,1350,00000NO STATISTICS 73759,B100000,00000,1400,00000ASSIGNED TIME 73759,E10A180,00350,0300,09/23/1999 73759,E10A180,00501,0100,10/20/2000 73759,E10A180,00501,0300,10/20/2000 73759,E10A180,00550,0300,07/03/2000 73759,S000000,00100,0200,07/12/2000 73759,S200000,00100,0100,45-700 ALADDIN AVENUE 73759,S200000,00200,0100,INDIO 73759,S200000,00200,0200,CA 73759,S200000,00200,0300,92201 73759,S200000,00300,0100,RIVERSIDE 73759,S200000,00400,0100,MULCARE SKILLED NURSING CENTER 73759,S200000,00400,0200,055442 73759,S200000,00400,0300,08/01/1993 73759,S200000,00400,0500,P 73759,S200000,00600,0200,055442 73759,S200000,00600,0300,08/01/1993 73759,S200000,00600,0600,P 73759,S200000,01600,0100,Y 73760,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73760,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73760,A000000,00300,0000,00300EMPLOYEE BENEFITS 73760,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73760,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73760,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73760,A000000,00700,0000,00700HOUSEKEEPING 73760,A000000,00800,0000,00800DIETARY 73760,A000000,00900,0000,00900NURSING ADMINISTRATION 73760,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73760,A000000,01100,0000,01100PHARMACY 73760,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73760,A000000,01300,0000,01300SOCIAL SERVICE 73760,A000000,01310,0000,01301ACTIVITIES 73760,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73760,A000000,01600,0000,01600SKILLED NURSING FACILITY 73760,A000000,01810,0000,01810ICF/MR 73760,A000000,02100,0000,02100RADIOLOGY 73760,A000000,02200,0000,02200LABORATORY 73760,A000000,02300,0000,02300INTRAVENOUS THERAPY 73760,A000000,02500,0000,02500PHYSICAL THERAPY 73760,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73760,A000000,02700,0000,02700SPEECH PATHOLOGY 73760,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73760,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73760,A000000,03200,0000,03200SUPPORT SURFACES 73760,A000000,03550,0000,03550FQHC 73760,A000000,05000,0000,05000CORF 73760,A000000,05010,0000,05010CMHC 73760,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73760,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73760,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73760,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73760,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73760,A81000A,00100,0100,Y 73760,A81000B,00100,0300,A AND G MGMT FEES 73760,A81000C,00100,0100,B 73760,A81000C,00100,0200,CONV. HOSPITAL 73760,A81000C,00100,0400,GSHC 73760,A81000C,00100,0600,LTC 73760,B100000,00000,0100,00000SQUARE FEET 73760,B100000,00000,0200,00000SQUARE FEET 73760,B100000,00000,0300,00000GROSS SALARIES 73760,B100000,00000,0400,00000ACCUM. COST 73760,B100000,00000,0500,00000SQUARE FEET 73760,B100000,00000,0600,00000POUNDS OF LAUNDRY 73760,B100000,00000,0700,00000SQUARE FEET 73760,B100000,00000,0800,00000MEALS SERVED 73760,B100000,00000,0900,00000DIRECT NRSING HRS 73760,B100000,00000,1000,00000COSTED REQUIS. 73760,B100000,00000,1100,00000COSTED REQUIS. 73760,B100000,00000,1200,00000I/P DAYS 73760,B100000,00000,1300,00000I/P DAYS 73760,B100000,00000,1301,00000I/P DAYS 73760,B100000,00000,1400,00000ASSIGNED TIME 73760,E10A180,00301,0300,09/08/1999 73760,E10A180,00501,0100,07/11/2000 73760,E10A180,00501,0300,07/11/2000 73760,S000000,00100,0200,06/01/2000 73760,S200000,00100,0100,7057 SHOUP AVENUE 73760,S200000,00200,0100,WEST HILLS 73760,S200000,00200,0200,CA 73760,S200000,00200,0300,91307 73760,S200000,00300,0100,LOS ANGELES 73760,S200000,00400,0100,WEST VALLEY CONV HOSPITAL 73760,S200000,00400,0200,055443 73760,S200000,00400,0300,01/01/1988 73760,S200000,00400,0500,P 73760,S200000,01600,0100,Y 73760,S200000,02200,0100,Y 73764,S000000,00100,0200,06/05/2000 73768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73768,A000000,00300,0000,00300EMPLOYEE BENEFITS 73768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73768,A000000,00700,0000,00700HOUSEKEEPING 73768,A000000,00800,0000,00800DIETARY 73768,A000000,00900,0000,00900NURSING ADMINISTRATION 73768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73768,A000000,01100,0000,01100PHARMACY 73768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73768,A000000,01300,0000,01300SOCIAL SERVICE 73768,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73768,A000000,01600,0000,01600SKILLED NURSING FACILITY 73768,A000000,01810,0000,01810ICF/MR 73768,A000000,02100,0000,02100RADIOLOGY 73768,A000000,02200,0000,02200LABORATORY 73768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73768,A000000,02500,0000,02500PHYSICAL THERAPY 73768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73768,A000000,02700,0000,02700SPEECH PATHOLOGY 73768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73768,A000000,03550,0000,03550FQHC 73768,A000000,05000,0000,05000CORF 73768,A000000,05010,0000,05010CMHC 73768,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73768,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73768,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73768,A81000A,00100,0100,Y 73768,A81000B,00100,0300,HOME OFFICE RECON 73768,A81000B,00200,0300,HOME OFFICE RECON 73768,A81000B,00300,0300,HOME OFFICE RECON 73768,B100000,00000,0100,00000SQUARE FEET 73768,B100000,00000,0200,00000SQUARE FEET 73768,B100000,00000,0300,00000GROSS SALARIES 73768,B100000,00000,0400,00000ACCUM COST 73768,B100000,00000,0500,00000SQUARE FEET 73768,B100000,00000,0600,00000POUNDS OF LAUNDRY 73768,B100000,00000,0700,00000HOURS OF SERVICE 73768,B100000,00000,0800,00000MEALS SERVED 73768,B100000,00000,0900,00000DIRECT NRSG HRS 73768,B100000,00000,1000,00000COSTED REQUIS 73768,B100000,00000,1100,00000COSTED REQUIS 73768,B100000,00000,1200,00000TIME SPENT 73768,B100000,00000,1300,00000TIME SPENT 73768,B100000,00000,1400,00000ASSIGNED TIME 73768,E10A180,00501,0100,08/25/2000 73768,E10A180,00550,0300,08/25/2000 73768,S000000,00100,0200,06/05/2000 73768,S200000,00100,0100,1516 SAWTELLE BOULEVARD 73768,S200000,00200,0100,LOS ANGELES 73768,S200000,00200,0200,CA 73768,S200000,00200,0300,90025 73768,S200000,00300,0100,LOS ANGELES 73768,S200000,00400,0100,NEW VISTA POST ACUTE CARE CENTER 73768,S200000,00400,0200,055473 73768,S200000,00400,0300,01/01/1967 73768,S200000,00400,0500,P 73768,S200000,00600,0200,055473 73768,S200000,00600,0300,01/01/1967 73768,S200000,00600,0600,P 73768,S200000,01500,0100,Y 73768,S200000,04300,0100,Y 73770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73770,A000000,00300,0000,00300EMPLOYEE BENEFITS 73770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73770,A000000,00700,0000,00700HOUSEKEEPING 73770,A000000,00800,0000,00800DIETARY 73770,A000000,00900,0000,00900NURSING ADMINISTRATION 73770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73770,A000000,01100,0000,01100PHARMACY 73770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73770,A000000,01300,0000,01300SOCIAL SERVICE 73770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73770,A000000,01600,0000,01600SKILLED NURSING FACILITY 73770,A000000,01810,0000,01810ICF/MR 73770,A000000,02100,0000,02100RADIOLOGY 73770,A000000,02200,0000,02200LABORATORY 73770,A000000,02300,0000,02300INTRAVENOUS THERAPY 73770,A000000,02500,0000,02500PHYSICAL THERAPY 73770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73770,A000000,02700,0000,02700SPEECH PATHOLOGY 73770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73770,A000000,03200,0000,03200SUPPORT SURFACES 73770,A000000,03550,0000,03550FQHC 73770,A000000,05000,0000,05000CORF 73770,A000000,05010,0000,05010CMHC 73770,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73770,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73770,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73770,A000000,05500,0000,05500HOSPICE 73770,A81000A,00100,0100,Y 73770,A81000B,00100,0300,BUILDING LEASE 73770,A81000C,00100,0100,A 73770,A81000C,00100,0200,JOE MAYS 73770,A81000C,00100,0400,MAGNOLIA CONV. HOSPITAL 73770,A81000C,00100,0600,SNF 73770,B100000,00000,0100,00000SQUARE FEET 73770,B100000,00000,0200,00000SQUARE FEET 73770,B100000,00000,0300,00000GROSS SALARIES 73770,B100000,00000,0400,00000ACCUM. COST 73770,B100000,00000,0500,00000SQUARE FEET 73770,B100000,00000,0600,00000POUNDS OF LAUNDRY 73770,B100000,00000,0700,00000SQUARE FEET 73770,B100000,00000,0800,00000MEALS SERVED 73770,B100000,00000,0900,00000DIRECT NRSING HRS 73770,B100000,00000,1000,00000COSTED REQUIS 73770,B100000,00000,1100,00000COSTED REQUIS 73770,B100000,00000,1200,00000GROSS REVENUE 73770,B100000,00000,1300,00000PATIENT DAYS 73770,B100000,00000,1400,00000ASSIGNED TIME 73770,S000000,00100,0200,07/05/2000 73770,S200000,00100,0100,8133 MAGNOLIA AVENUE 73770,S200000,00200,0100,RIVERSIDE 73770,S200000,00200,0200,CA 73770,S200000,00200,0300,92504 73770,S200000,00300,0100,RIVERSIDE 73770,S200000,00400,0100,MAGNOLIA CONVALESCENT HOSPITAL 73770,S200000,00400,0200,055474 73770,S200000,00400,0300,02/01/1966 73770,S200000,00400,0500,P 73770,S200000,00400,0600,O 73770,S200000,01200,0200,051641 73770,S200000,01200,0300,04/01/1994 73770,S200000,01500,0100,Y 73772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73772,A000000,00300,0000,00300EMPLOYEE BENEFITS 73772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73772,A000000,00700,0000,00700HOUSEKEEPING 73772,A000000,00800,0000,00800DIETARY 73772,A000000,00900,0000,00900NURSING ADMINISTRATION 73772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73772,A000000,01100,0000,01100PHARMACY 73772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73772,A000000,01300,0000,01300SOCIAL SERVICE 73772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73772,A000000,01600,0000,01600SKILLED NURSING FACILITY 73772,A000000,01810,0000,01810ICF/MR 73772,A000000,02100,0000,02100RADIOLOGY 73772,A000000,02200,0000,02200LABORATORY 73772,A000000,02500,0000,02500PHYSICAL THERAPY 73772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73772,A000000,02700,0000,02700SPEECH PATHOLOGY 73772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73772,A000000,03050,0000,03300CLINITRON BEDS 73772,A000000,03550,0000,03550FQHC 73772,A000000,05000,0000,05000CORF 73772,A000000,05010,0000,05010CMHC 73772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73772,A81000A,00100,0100,Y 73772,A81000B,00100,0300,BUILDING RENT 73772,A81000C,00100,0100,B 73772,A81000C,00100,0200,CASNER/SHEA 73772,A81000C,00100,0600,MGMT. 73772,B100000,00000,0100,00000SQUARE FEET 73772,B100000,00000,0200,00000DOLLAR VALUE 73772,B100000,00000,0300,00000GROSS SALARIES 73772,B100000,00000,0400,00000ACCUM. COST 73772,B100000,00000,0500,00000SQUARE FEET 73772,B100000,00000,0600,00000POUNDS OF LAUNDRY 73772,B100000,00000,0700,00000HOURS OF SERVICE 73772,B100000,00000,0800,00000MEALS SERVED 73772,B100000,00000,0900,00000DIRECT NRSING HRS 73772,B100000,00000,1000,00000COSTED REQUIS. 73772,B100000,00000,1100,00000COSTED REQUIS. 73772,B100000,00000,1200,00000TIME SPENT 73772,B100000,00000,1300,00000TIME SPENT 73772,B100000,00000,1400,00000ASSIGNED TIME 73772,E10A180,00350,0300,08/05/1999 73772,E10A180,00501,0100,07/17/2000 73772,E10A180,00550,0100,05/30/2000 73772,E10A180,00550,0300,07/17/2000 73772,E10A180,00551,0300,05/30/2000 73772,S000000,00100,0200,06/01/2000 73772,S200000,00100,0100,120 BELLIFONTAINE 73772,S200000,00200,0100,PASADENA 73772,S200000,00200,0200,CA 73772,S200000,00200,0300,91105 73772,S200000,00300,0100,LOS ANGELES 73772,S200000,00400,0100,THE CALIFORNIAN-PASADENA CONV. 73772,S200000,00400,0200,055480 73772,S200000,00400,0300,02/15/1965 73772,S200000,00400,0500,P 73772,S200000,01500,0100,Y 73772,S200000,04300,0100,Y 73776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73776,A000000,00300,0000,00300EMPLOYEE BENEFITS 73776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73776,A000000,00700,0000,00700HOUSEKEEPING 73776,A000000,00800,0000,00800DIETARY 73776,A000000,00900,0000,00900NURSING ADMINISTRATION 73776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73776,A000000,01100,0000,01100PHARMACY 73776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73776,A000000,01300,0000,01300SOCIAL SERVICE 73776,A000000,01350,0000,01500OTHER GENERAL SERVICES 73776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73776,A000000,01600,0000,01600SKILLED NURSING FACILITY 73776,A000000,01800,0000,01800NURSING FACILITY 73776,A000000,01810,0000,01810ICF/MR 73776,A000000,02100,0000,02100RADIOLOGY 73776,A000000,02200,0000,02200LABORATORY 73776,A000000,02500,0000,02500PHYSICAL THERAPY 73776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73776,A000000,02700,0000,02700SPEECH PATHOLOGY 73776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73776,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73776,A000000,03200,0000,03200SUPPORT SURFACES 73776,A000000,03550,0000,03550FQHC 73776,A000000,05000,0000,05000CORF 73776,A000000,05010,0000,05010CMHC 73776,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73776,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73776,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73776,A81000A,00100,0100,Y 73776,A81000B,00100,0300,MANAGEMENT FEE 73776,A81000B,00200,0300,HOME OFFICE BUILDING 73776,A81000B,00300,0300,HOME OFFICE EQUIP 73776,A81000B,00400,0300,BUILDING LEASE 73776,A81000B,00500,0300,CWIC WORK COMP 73776,A81000B,00600,0300,CWIC INSURANCE 73776,A81000B,00700,0300,EMERALD FIXED ASSETS 73776,A81000B,00800,0300,EMERALD ADMIN SUPP 73776,A81000B,00900,0300,EMERALD MAINT 73776,A81000B,01000,0300,EMERALD L&L 73776,A81000B,01100,0300,EMRALD HSKG 73776,A81000B,01200,0300,EMERALD DIETARY 73776,A81000B,01300,0300,EMERALD NURSE ADMIN 73776,A81000B,01400,0300,EMERALD ACTIVITIES 73776,A81000B,01500,0300,EMERALD THERAPY SUPP 73776,A81000B,01600,0300,PWP ADMIN 73776,A81000B,01700,0300,PWP FOOD SUPPLEMENTS 73776,A81000B,01800,0300,PWP HOUSE SUPPLIES 73776,A81000B,01900,0300,PWP MED SUPP 73776,A81000B,02000,0300,PWP PHARMACY 73776,A81000C,00100,0100,F 73776,A81000C,00100,0200,MARTIN HARMON 73776,A81000C,00200,0100,C 73776,A81000C,00200,0400,CARE WEST INSURANCE CO 73776,A81000C,00200,0600,CAPTIVE INSURANCE CO 73776,A81000C,00300,0100,C 73776,A81000C,00300,0400,PACIFIC WEST PHARMACY 73776,A81000C,00300,0600,PHARMACY 73776,A81000C,00400,0100,C 73776,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73776,A81000C,00400,0600,DISTRIBUTORSHIP 73776,A81000C,00500,0100,B 73776,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 73776,A81000C,00500,0600,HOME OFFICE 73776,B100000,00000,0100,00000SQUARE FEET 73776,B100000,00000,0200,00000SQUARE FEET 73776,B100000,00000,0300,00000GROSS SALARIES 73776,B100000,00000,0400,00000ACCUM. COST 73776,B100000,00000,0500,00000SQUARE FEET 73776,B100000,00000,0600,00000POUNDS OF LAUNDRY 73776,B100000,00000,0700,00000NON-DIETAR RY SQ. 73776,B100000,00000,0800,00000MEALS SERVED 73776,B100000,00000,0900,00000DIRECT NURSING HR 73776,B100000,00000,1000,00000COSTED REQS 73776,B100000,00000,1100,00000NO STATISTICS 73776,B100000,00000,1200,00000GROSS REVENUE 73776,B100000,00000,1300,00000CENSUS 73776,B100000,00000,1350,00000NO STATISTICS 73776,B100000,00000,1400,00000ASSIGNED TIME 73776,E10A180,00501,0300,01/31/2001 73776,S000000,00100,0200,01/10/2001 73776,S200000,00100,0100,1040 MARSHALL WAY 73776,S200000,00200,0100,PLACERVILLE 73776,S200000,00200,0200,CA 73776,S200000,00200,0300,95667 73776,S200000,00300,0100,E 73776,S200000,00400,0100,PLACERVILLE PINES CONVALSNT HOSPITAL 73776,S200000,00400,0200,055497 73776,S200000,00400,0300,01/01/1977 73776,S200000,00400,0500,P 73776,S200000,00400,0600,O 73776,S200000,00600,0200,055497 73776,S200000,00600,0300,01/01/1977 73776,S200000,00600,0600,P 73776,S200000,01600,0100,Y 73779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73779,A000000,00300,0000,00300EMPLOYEE BENEFITS 73779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73779,A000000,00700,0000,00700HOUSEKEEPING 73779,A000000,00800,0000,00800DIETARY 73779,A000000,00900,0000,00900NURSING ADMINISTRATION 73779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73779,A000000,01100,0000,01100PHARMACY 73779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73779,A000000,01300,0000,01300SOCIAL SERVICE 73779,A000000,01350,0000,01500OTHER GENERAL SERVICES 73779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73779,A000000,01600,0000,01600SKILLED NURSING FACILITY 73779,A000000,01800,0000,01800NURSING FACILITY 73779,A000000,01810,0000,01810ICF/MR 73779,A000000,02100,0000,02100RADIOLOGY 73779,A000000,02200,0000,02200LABORATORY 73779,A000000,02500,0000,02500PHYSICAL THERAPY 73779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73779,A000000,02700,0000,02700SPEECH PATHOLOGY 73779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73779,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73779,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73779,A000000,03200,0000,03200SUPPORT SURFACES 73779,A000000,03550,0000,03550FQHC 73779,A000000,05000,0000,05000CORF 73779,A000000,05010,0000,05010CMHC 73779,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73779,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73779,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73779,A81000A,00100,0100,Y 73779,A81000B,00100,0300,HOME OFFICE 73779,A81000B,00200,0300,HOME OFFICE 73779,A81000B,00300,0300,HOME OFFICE 73779,A81000B,00400,0300,BUILDING LEASE 73779,A81000B,00500,0300,CWIC WORK COMP 73779,A81000B,00600,0300,CWIC INSURANCE 73779,A81000B,00700,0300,EMERALD FIXED ASSETS 73779,A81000B,00800,0300,EMERALD SUPP 73779,A81000B,00900,0300,EMERALD MAINT 73779,A81000B,01000,0300,EMERALD L&L 73779,A81000B,01100,0300,EMEREALD HSKG 73779,A81000B,01200,0300,EMERALD DIETARY 73779,A81000B,01300,0300,EMERALD NURSE ADMIN 73779,A81000B,01400,0300,EMERALD THERAPY SUPP 73779,A81000B,01500,0300,PWP ADMIN 73779,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 73779,A81000B,01700,0300,PWP HOUSE SUPPLIES 73779,A81000B,01800,0300,PWP MED SUPP 73779,A81000B,01900,0300,PWP PHARMACY 73779,A81000C,00100,0100,F 73779,A81000C,00100,0200,MARTIN HARMON 73779,A81000C,00200,0100,C 73779,A81000C,00200,0400,CARE WEST INSURANCE CO. 73779,A81000C,00200,0600,CAPTIVE INSURANCE CO 73779,A81000C,00300,0100,C 73779,A81000C,00300,0400,PACIFIC WEST PHARMACY 73779,A81000C,00300,0600,PHARMACY 73779,A81000C,00400,0100,C 73779,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73779,A81000C,00400,0600,DISTRIBUTORSHIP 73779,A81000C,00500,0100,B 73779,A81000C,00500,0400,HORIZON WEST HDQTRS INC 73779,A81000C,00500,0600,HOME OFFICE 73779,B100000,00000,0100,00000SQUARE FEET 73779,B100000,00000,0200,00000SQUARE FEET 73779,B100000,00000,0300,00000GROSS SALARIES 73779,B100000,00000,0400,00000ACCUM. COST 73779,B100000,00000,0500,00000SQUARE FEET 73779,B100000,00000,0600,00000POUNDS OF LAUNDRY 73779,B100000,00000,0700,00000NON-DIETAR RY SQ. 73779,B100000,00000,0800,00000MEALS SERVED 73779,B100000,00000,0900,00000DIRECT NURSING HR 73779,B100000,00000,1000,00000COSTED REQS 73779,B100000,00000,1100,00000NO STATISTICS 73779,B100000,00000,1200,00000GROSS REVENUE 73779,B100000,00000,1300,00000CENSUS 73779,B100000,00000,1350,00000NO STATISTICS 73779,B100000,00000,1400,00000ASSIGNED TIME 73779,E10A180,00501,0300,01/31/2001 73779,E10A180,00551,0100,01/31/2001 73779,S000000,00100,0200,01/10/2001 73779,S200000,00100,0100,625 16TH STREET 73779,S200000,00200,0100,LAKEPORT 73779,S200000,00200,0200,CA 73779,S200000,00200,0300,95453 73779,S200000,00300,0100,L 73779,S200000,00400,0100,LAKEPORT SKILLED NURSING CENTER 73779,S200000,00400,0200,055499 73779,S200000,00400,0300,03/01/1984 73779,S200000,00400,0500,P 73779,S200000,00400,0600,O 73779,S200000,00600,0200,055499 73779,S200000,00600,0300,03/01/1984 73779,S200000,00600,0600,P 73779,S200000,01600,0100,Y 73783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73783,A000000,00300,0000,00300EMPLOYEE BENEFITS 73783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73783,A000000,00700,0000,00700HOUSEKEEPING 73783,A000000,00800,0000,00800DIETARY 73783,A000000,00900,0000,00900NURSING ADMINISTRATION 73783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73783,A000000,01100,0000,01100PHARMACY 73783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73783,A000000,01300,0000,01300SOCIAL SERVICE 73783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73783,A000000,01600,0000,01600SKILLED NURSING FACILITY 73783,A000000,01800,0000,01800NURSING FACILITY 73783,A000000,01810,0000,01810ICF/MR 73783,A000000,02100,0000,02100RADIOLOGY 73783,A000000,02200,0000,02200LABORATORY 73783,A000000,02300,0000,02300INTRAVENOUS THERAPY 73783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73783,A000000,02500,0000,02500PHYSICAL THERAPY 73783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73783,A000000,02700,0000,02700SPEECH PATHOLOGY 73783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73783,A000000,03200,0000,03200SUPPORT SURFACES 73783,A000000,03550,0000,03550FQHC 73783,A000000,05000,0000,05000CORF 73783,A000000,05010,0000,05010CMHC 73783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73783,A81000A,00100,0100,Y 73783,A81000B,00200,0300,HOME OFFICE 73783,A81000C,00200,0100,B 73783,A81000C,00200,0200,PREMIER MGT. 73783,B100000,00000,0100,00040SQUARE FEET 73783,B100000,00000,0200,00040SQUARE FEET 73783,B100000,00000,0300,00040GROSS SALARIES 73783,B100000,00000,0400,00040ACCUM COST 73783,B100000,00000,0500,00040SQUARE FEET 73783,B100000,00000,0600,00040PATIENT DAYS 73783,B100000,00000,0700,00040SQUARE FEET 73783,B100000,00000,0800,00040PATIENT DAYS 73783,B100000,00000,0900,00040PATIENT DAYS 73783,B100000,00000,1000,00040PATIENT DAYS 73783,B100000,00000,1100,00040COSTED REQUIS 73783,B100000,00000,1200,00040PATIENT DAYS 73783,B100000,00000,1300,00040PATIENT DAYS 73783,B100000,00000,1400,00040ASSIGNED TIME 73783,E10A180,00501,0100,08/07/2000 73783,E10A180,00550,0300,08/07/2000 73783,S000000,00100,0200,06/09/2000 73783,S200000,00100,0100,4075 54TH STREET 73783,S200000,00200,0100,SAN DIEGO 73783,S200000,00200,0200,CA 73783,S200000,00200,0300,92105 73783,S200000,00300,0100,SAN DIEGO 73783,S200000,00400,0100,JACOB HEALTH CARE CENTER 73783,S200000,00400,0200,055508 73783,S200000,00400,0300,07/01/1985 73783,S200000,00400,0500,P 73783,S200000,00600,0200,055508 73783,S200000,00600,0300,07/01/1985 73783,S200000,00600,0600,P 73783,S200000,01600,0100,Y 73788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73788,A000000,00300,0000,00300EMPLOYEE BENEFITS 73788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73788,A000000,00700,0000,00700HOUSEKEEPING 73788,A000000,00800,0000,00800DIETARY 73788,A000000,00900,0000,00900NURSING ADMINISTRATION 73788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73788,A000000,01100,0000,01100PHARMACY 73788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73788,A000000,01300,0000,01300SOCIAL SERVICE 73788,A000000,01350,0000,01500OTHER GENERAL SERVICES 73788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73788,A000000,01600,0000,01600SKILLED NURSING FACILITY 73788,A000000,01800,0000,01800NURSING FACILITY 73788,A000000,01810,0000,01810ICF/MR 73788,A000000,02100,0000,02100RADIOLOGY 73788,A000000,02200,0000,02200LABORATORY 73788,A000000,02500,0000,02500PHYSICAL THERAPY 73788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73788,A000000,02700,0000,02700SPEECH PATHOLOGY 73788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73788,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73788,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73788,A000000,03200,0000,03200SUPPORT SURFACES 73788,A000000,03550,0000,03550FQHC 73788,A000000,05000,0000,05000CORF 73788,A000000,05010,0000,05010CMHC 73788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73788,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73788,A81000A,00100,0100,Y 73788,A81000B,00100,0300,MANAGEMENT FEE 73788,A81000B,00200,0300,HOME OFFICE BUILDING 73788,A81000B,00300,0300,HOME OFFICE EQUIP 73788,A81000B,00400,0300,BUILDING LEASE 73788,A81000B,00500,0300,CWIC WORK COMP 73788,A81000B,00600,0300,CWIC INSURANCE 73788,A81000B,00700,0300,EMERALD FIXED ASSETS 73788,A81000B,00800,0300,EMERALD A&G SUPP 73788,A81000B,00900,0300,EMERALD MAINT 73788,A81000B,01000,0300,EMERALD L&L 73788,A81000B,01100,0300,EMERALD HSKG 73788,A81000B,01200,0300,EMERALD DIETARY 73788,A81000B,01300,0300,EMERALD NURSE ADMIN 73788,A81000B,01400,0300,EMERALD ACTIVITIES 73788,A81000B,01500,0300,EMEREADL THERAPY SUPP 73788,A81000B,01600,0300,EMERALD MED SUPP 73788,A81000B,01700,0300,PWP ADMIN 73788,A81000B,01800,0300,PWP FOOD SUPPLEMENTS 73788,A81000B,01900,0300,PWP HOUSE SUPPLIES 73788,A81000B,02000,0300,PWP MED SUPP 73788,A81000B,02100,0300,PWP PHARMACY 73788,A81000C,00100,0100,F 73788,A81000C,00100,0200,MARTIN HARMON 73788,A81000C,00200,0100,C 73788,A81000C,00200,0400,CARE WEST INSURANCE CO. 73788,A81000C,00200,0600,CAPTIVE INSURANCE CO 73788,A81000C,00300,0100,C 73788,A81000C,00300,0400,PACIFIC WEST PHARMACY 73788,A81000C,00300,0600,PHARMACY 73788,A81000C,00400,0100,C 73788,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73788,A81000C,00400,0600,DISTRIBUTORSHIP 73788,A81000C,00500,0100,B 73788,A81000C,00500,0400,HORIZON WEST HDQTRS 73788,A81000C,00500,0600,HOME OFFICE 73788,B100000,00000,0100,00000SQUARE FEET 73788,B100000,00000,0200,00000SQUARE FEET 73788,B100000,00000,0300,00000GROSS SALARIES 73788,B100000,00000,0400,00000ACCUM. COST 73788,B100000,00000,0500,00000SQUARE FEET 73788,B100000,00000,0600,00000POUNDS OF LAUNDRY 73788,B100000,00000,0700,00000NON-DIETAR RY SQ. 73788,B100000,00000,0800,00000MEALS SERVED 73788,B100000,00000,0900,00000DIRECT NURSING HR 73788,B100000,00000,1000,00000COSTED REQUIS. 73788,B100000,00000,1100,00000NO STATISTICS 73788,B100000,00000,1200,00000GROSS REVENUE 73788,B100000,00000,1300,00000CENSUS 73788,B100000,00000,1350,00000COSTED REQUIS. 73788,B100000,00000,1400,00000ASSIGNED TIME 73788,E10A180,00501,0100,01/31/2001 73788,E10A180,00501,0300,01/31/2001 73788,S000000,00100,0200,01/10/2001 73788,S200000,00100,0100,107 CATHERINE LANE 73788,S200000,00200,0100,GRASS VALLEY 73788,S200000,00200,0200,CA 73788,S200000,00200,0300,95945 73788,S200000,00300,0100,N 73788,S200000,00400,0100,GRASS VALLEY CONVALESCENT HOSPITAL 73788,S200000,00400,0200,055512 73788,S200000,00400,0300,04/01/1983 73788,S200000,00400,0500,P 73788,S200000,00600,0200,055512 73788,S200000,00600,0300,04/01/1983 73788,S200000,00600,0600,P 73788,S200000,01600,0100,Y 73794,S000000,00100,0200,02/21/2001 73800,S000000,00100,0200,05/26/2000 73804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73804,A000000,00300,0000,00300EMPLOYEE BENEFITS 73804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73804,A000000,00700,0000,00700HOUSEKEEPING 73804,A000000,00800,0000,00800DIETARY 73804,A000000,00900,0000,00900NURSING ADMINISTRATION 73804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73804,A000000,01100,0000,01100PHARMACY 73804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73804,A000000,01300,0000,01300SOCIAL SERVICE 73804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73804,A000000,01600,0000,01600SKILLED NURSING FACILITY 73804,A000000,01810,0000,01810ICF/MR 73804,A000000,02100,0000,02100RADIOLOGY 73804,A000000,02200,0000,02200LABORATORY 73804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73804,A000000,02500,0000,02500PHYSICAL THERAPY 73804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73804,A000000,02700,0000,02700SPEECH PATHOLOGY 73804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73804,A000000,03201,0000,03201CLINITRON BEDS 73804,A000000,03550,0000,03550FQHC 73804,A000000,05000,0000,05000CORF 73804,A000000,05010,0000,05010CMHC 73804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73804,A81000A,00100,0100,Y 73804,A81000B,00100,0300,BUILDING RENT 73804,A81000B,00200,0300,BUILDING INTEREST 73804,A81000B,00300,0300,BUILING DEPRECIATION 73804,A81000C,00300,0100,C 73804,A81000C,00300,0200,BONNIE BARTSCH 73804,B100000,00000,0100,00000SQUARE FEET 73804,B100000,00000,0200,00000SQUARE FEET 73804,B100000,00000,0300,00000GROSS SALARIES 73804,B100000,00000,0400,00000ACCUM. COST 73804,B100000,00000,0500,00000SQUARE FEET 73804,B100000,00000,0600,00000POUNDS OF LAUNDRY 73804,B100000,00000,0700,00000PATIENTD DAYS 73804,B100000,00000,0800,00000MEALS SERVED 73804,B100000,00000,0900,00000DIRECT NRSING HRS 73804,B100000,00000,1000,00000COSTED REQUIS. 73804,B100000,00000,1100,00000COSTED REQUIS. 73804,B100000,00000,1200,00000GROSS REVENUE 73804,B100000,00000,1300,00000PATIENT DAYS 73804,B100000,00000,1400,00000ASSIGNED TIME 73804,E10A180,00501,0100,02/23/2001 73804,E10A180,00501,0300,06/22/2001 73804,E10A180,00502,0100,08/17/2000 73804,E10A180,00550,0100,05/18/2001 73804,E10A180,00550,0300,02/23/2001 73804,E10A180,00551,0300,05/18/2001 73804,E10A180,00552,0300,08/17/2000 73804,S000000,00100,0200,02/26/2001 73804,S200000,00100,0100,1340 S. HIGHLAND AVE. 73804,S200000,00200,0100,DUARTE 73804,S200000,00200,0200,CA 73804,S200000,00200,0300,91010 73804,S200000,00300,0100,L 73804,S200000,00400,0100,HIGHLAND CONVALECENT HOSPITAL 73804,S200000,00400,0200,055541 73804,S200000,00400,0300,01/01/1977 73804,S200000,00400,0500,P 73804,S200000,01500,0100,Y 73804,S200000,02800,0100,Y 73804,S200000,04300,0100,Y 73808,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73808,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73808,A000000,00300,0000,00300EMPLOYEE BENEFITS 73808,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73808,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73808,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73808,A000000,00700,0000,00700HOUSEKEEPING 73808,A000000,00800,0000,00800DIETARY 73808,A000000,00900,0000,00900NURSING ADMINISTRATION 73808,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73808,A000000,01100,0000,01100PHARMACY 73808,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73808,A000000,01300,0000,01300SOCIAL SERVICE 73808,A000000,01350,0000,01500OTHER GENERAL SERVICES 73808,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73808,A000000,01600,0000,01600SKILLED NURSING FACILITY 73808,A000000,01810,0000,01810ICF/MR 73808,A000000,02100,0000,02100RADIOLOGY 73808,A000000,02200,0000,02200LABORATORY 73808,A000000,02300,0000,02300INTRAVENOUS THERAPY 73808,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73808,A000000,02500,0000,02500PHYSICAL THERAPY 73808,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73808,A000000,02700,0000,02700SPEECH PATHOLOGY 73808,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73808,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73808,A000000,03200,0000,03200SUPPORT SURFACES 73808,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73808,A000000,03550,0000,03550FQHC 73808,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73808,A000000,05000,0000,05000CORF 73808,A000000,05010,0000,05010CMHC 73808,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73808,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73808,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73808,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73808,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73808,A81000A,00100,0100,Y 73808,A81000B,00100,0300,OWNERS COMPENSATION 73808,A81000C,00100,0100,A 73808,A81000C,00100,0200,DUANE J. VAN DYKE 73808,A81000C,00100,0400,OWNERS COMPENSATION 73808,B100000,00000,0100,00000NO STATISTICS 73808,B100000,00000,0200,00000NO STATISTICS 73808,B100000,00000,0300,00000NO STATISTICS 73808,B100000,00000,0400,00000ACCUM. COST 73808,B100000,00000,0500,00000NO STATISTICS 73808,B100000,00000,0600,00000NO STATISTICS 73808,B100000,00000,0700,00000NO STATISTICS 73808,B100000,00000,0800,00000NO STATISTICS 73808,B100000,00000,0900,00000NO STATISTICS 73808,B100000,00000,1000,00000NO STATISTICS 73808,B100000,00000,1100,00000NO STATISTICS 73808,B100000,00000,1200,00000NO STATISTICS 73808,B100000,00000,1300,00000NO STATISTICS 73808,B100000,00000,1350,00000NO STATISTICS 73808,B100000,00000,1400,00000NO STATISTICS 73808,S000000,00100,0200,06/02/2000 73808,S200000,00100,0100,519 WEST BADILLO STREET 73808,S200000,00200,0100,COVINA 73808,S200000,00200,0200,CA 73808,S200000,00200,0300,91722 73808,S200000,00300,0100,LOS ANGELES 73808,S200000,00400,0100,BADILLO CONVALESCENT HOSPITAL 73808,S200000,00400,0200,055544 73808,S200000,00400,0300,10/01/1983 73808,S200000,00400,0500,P 73808,S200000,01500,0100,Y 73814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73814,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73814,A000000,00300,0000,00300EMPLOYEE BENEFITS 73814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73814,A000000,00700,0000,00700HOUSEKEEPING 73814,A000000,00800,0000,00800DIETARY 73814,A000000,00900,0000,00900NURSING ADMINISTRATION 73814,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73814,A000000,01100,0000,01100PHARMACY 73814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73814,A000000,01300,0000,01300SOCIAL SERVICE 73814,A000000,01350,0000,01500OTHER GENERAL SERVICES 73814,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73814,A000000,01600,0000,01600SKILLED NURSING FACILITY 73814,A000000,01810,0000,01810ICF/MR 73814,A000000,02100,0000,02100RADIOLOGY 73814,A000000,02200,0000,02200LABORATORY 73814,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73814,A000000,02500,0000,02500PHYSICAL THERAPY 73814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73814,A000000,02700,0000,02700SPEECH PATHOLOGY 73814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73814,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73814,A000000,03200,0000,03200SUPPORT SURFACES 73814,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73814,A000000,03550,0000,03550FQHC 73814,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73814,A000000,05000,0000,05000CORF 73814,A000000,05010,0000,05010CMHC 73814,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73814,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73814,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73814,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73814,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73814,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73814,A81000A,00100,0100,Y 73814,A81000B,00100,0300,BUILDING LEASE 73814,A81000B,00200,0300,DEPRECIATION 73814,A81000B,00300,0300,INTEREST 73814,A81000C,00100,0100,A 73814,A81000C,00100,0200,WESLEY JORDAN 73814,B100000,00000,0100,00000SQUARE FEET 73814,B100000,00000,0200,00000SQUARE FEET 73814,B100000,00000,0300,00000GROSS SALARIES 73814,B100000,00000,0400,00000ACCUM. COST 73814,B100000,00000,0500,00000SQUARE FEET 73814,B100000,00000,0600,00000POUNDS OF LAUNDRY 73814,B100000,00000,0700,00000SQUARE FEET 73814,B100000,00000,0800,00000MEALS SERVED 73814,B100000,00000,0900,00000ADMISSIONS S 73814,B100000,00000,1000,00000COSTED REQUIS. 73814,B100000,00000,1100,00000COSTED REQUIS. 73814,B100000,00000,1200,00000ADMISSIONS S 73814,B100000,00000,1300,00000TIME SPENT 73814,B100000,00000,1350,00000NO STATISTICS 73814,B100000,00000,1400,00000ASSIGNED TIME 73814,E10A180,00501,0300,08/18/2000 73814,E10A180,00550,0100,08/18/2000 73814,S000000,00100,0200,06/05/2000 73814,S200000,00100,0100,350 NORTH VILLA 73814,S200000,00200,0100,PORTERVILLE 73814,S200000,00200,0200,CA 73814,S200000,00200,0300,93257 73814,S200000,00300,0100,TULARE 73814,S200000,00400,0100,VILLA MANOR CARE CENTER 73814,S200000,00400,0200,055551 73814,S200000,00400,0300,02/01/1978 73814,S200000,00400,0500,P 73814,S200000,00600,0200,055551 73814,S200000,00600,0300,02/01/1978 73814,S200000,00600,0600,P 73814,S200000,01500,0100,Y 73816,S000000,00100,0200,06/02/2000 73823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73823,A000000,00300,0000,00300EMPLOYEE BENEFITS 73823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73823,A000000,00700,0000,00700HOUSEKEEPING 73823,A000000,00800,0000,00800DIETARY 73823,A000000,00900,0000,00900NURSING ADMINISTRATION 73823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73823,A000000,01100,0000,01100PHARMACY 73823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73823,A000000,01300,0000,01300SOCIAL SERVICE 73823,A000000,01350,0000,01500ACTIVITIES 73823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73823,A000000,01600,0000,01600SKILLED NURSING FACILITY 73823,A000000,01800,0000,01800NURSING FACILITY 73823,A000000,01810,0000,01810ICF/MR 73823,A000000,02100,0000,02100RADIOLOGY 73823,A000000,02200,0000,02200LABORATORY 73823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73823,A000000,02500,0000,02500PHYSICAL THERAPY 73823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73823,A000000,02700,0000,02700SPEECH PATHOLOGY 73823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73823,A000000,03050,0000,03300CLINTRON 73823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73823,A000000,03550,0000,03550FQHC 73823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73823,A000000,05000,0000,05000CORF 73823,A000000,05010,0000,05010CMHC 73823,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73823,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73823,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73823,A81000A,00100,0100,Y 73823,A81000B,00100,0300,FACILITY LEASE 73823,A81000B,00200,0300,MANAGEMENT FEES 73823,A81000B,00300,0300,BUILDING DEPRECIATION 73823,A81000B,00400,0300,OWNERS COMPENSATION 73823,A81000B,00500,0300,HOME OFFICE COST 73823,A81000C,00100,0100,A 73823,A81000C,00100,0200,MR PLOTT 73823,A81000C,00200,0100,A 73823,A81000C,00200,0200,MRS PLOTT 73823,B100000,00000,0100,00000SQUARE FEET 73823,B100000,00000,0200,00000SQUARE FEET 73823,B100000,00000,0300,00000GROSS SALARY 73823,B100000,00000,0400,00000ACCUM. COST 73823,B100000,00000,0500,00000SQUARE FEET 73823,B100000,00000,0600,00000POUNDS OF LAUNDRY 73823,B100000,00000,0700,00000SQUARE FEET 73823,B100000,00000,0800,00000MEALS SERVED 73823,B100000,00000,0900,00000HOURS OF SERVICE 73823,B100000,00000,1000,00000COSTED REQUIS 73823,B100000,00000,1100,00000COSTED REQUIS 73823,B100000,00000,1200,00000REVENUE 73823,B100000,00000,1300,00000PATIENT DAYS 73823,B100000,00000,1350,00000PATIENT DAYS 73823,B100000,00000,1400,00000ASSIGNED TIME 73823,E10A180,00301,0300,11/17/1999 73823,E10A180,00501,0100,07/07/2000 73823,E10A180,00501,0300,07/07/2000 73823,S000000,00100,0200,06/14/2000 73823,S200000,00100,0100,1850 N. WATERMAN AVE. 73823,S200000,00200,0100,SAN BERNARDINO 73823,S200000,00200,0200,CA 73823,S200000,00200,0300,92404 73823,S200000,00300,0100,SAN BERNARDINO 73823,S200000,00400,0100,WATERMAN CONVALESCENT HOSPITAL 73823,S200000,00400,0200,055565 73823,S200000,00400,0300,07/01/1978 73823,S200000,00400,0500,P 73823,S200000,00600,0200,055565 73823,S200000,00600,0300,07/01/1978 73823,S200000,00600,0600,P 73823,S200000,01600,0100,Y 73823,S200000,02800,0100,Y 73825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73825,A000000,00300,0000,00300EMPLOYEE BENEFITS 73825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73825,A000000,00700,0000,00700HOUSEKEEPING 73825,A000000,00800,0000,00800DIETARY 73825,A000000,00900,0000,00900NURSING ADMINISTRATION 73825,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73825,A000000,01100,0000,01100PHARMACY 73825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73825,A000000,01300,0000,01300SOCIAL SERVICE 73825,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73825,A000000,01600,0000,01600SKILLED NURSING FACILITY 73825,A000000,01800,0000,01800NURSING FACILITY 73825,A000000,01810,0000,01810ICF/MR 73825,A000000,02100,0000,02100RADIOLOGY 73825,A000000,02200,0000,02200LABORATORY 73825,A000000,02300,0000,02300INTRAVENOUS THERAPY 73825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73825,A000000,02500,0000,02500PHYSICAL THERAPY 73825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73825,A000000,02700,0000,02700SPEECH PATHOLOGY 73825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73825,A000000,02901,0000,02901EQUIPMENT RENTAL 73825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73825,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73825,A000000,03550,0000,03550FQHC 73825,A000000,05000,0000,05000CORF 73825,A000000,05010,0000,05010CMHC 73825,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73825,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73825,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73825,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73825,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73825,A81000A,00100,0100,Y 73825,A81000B,00100,0300,HOME OFFICE ALLOCATION 73825,A81000B,00200,0300,CAPITAL RELATED LEASE 73825,A81000B,00300,0300,MANAGEMENT FEES 73825,A81000B,00400,0300,CRC BLDG - HOME OFFICE 73825,A81000C,00100,0100,A 73825,A81000C,00100,0200,URI MANDELBAUM 73825,A81000C,00100,0400,MANDELBAUM TRUS 73825,A81000C,00100,0600,FACILITY LEASE 73825,A81000C,00200,0100,A 73825,A81000C,00200,0200,B.MANDELBAUM 73825,A81000C,00200,0400,US CARE MANGEME 73825,A81000C,00200,0600,HOME OFFICE 73825,B100000,00000,0100,00000SQUARE FEET 73825,B100000,00000,0200,00000SQUARE FEET 73825,B100000,00000,0300,00000GROSS SALARIES 73825,B100000,00000,0400,00000ACCUM COST 73825,B100000,00000,0500,00000SQUARE FEET 73825,B100000,00000,0600,00000POUNDS OF LAUNDRY 73825,B100000,00000,0700,00000SQUARE FEET 73825,B100000,00000,0800,00000MEALS SERVED 73825,B100000,00000,0900,00000TIME SPENT 73825,B100000,00000,1000,00000PATIENT DAYS 73825,B100000,00000,1100,00000PATIENT DAYS 73825,B100000,00000,1200,00000GROSS REVENUES 73825,B100000,00000,1300,00000PATIENT DAYS 73825,B100000,00000,1400,00000ASSIGNED TIME 73825,E10A180,00501,0100,05/31/2000 73825,E10A180,00550,0300,05/31/2000 73825,S000000,00100,0200,05/31/2000 73825,S200000,00100,0100,8520 WESTERN AVENUE 73825,S200000,00200,0100,BUENA PARK 73825,S200000,00200,0200,CA 73825,S200000,00200,0300,90620 73825,S200000,00300,0100,ORANGE 73825,S200000,00400,0100,BUENA PARK NURSING CENTER 73825,S200000,00400,0200,055571 73825,S200000,00400,0300,01/01/1989 73825,S200000,00400,0500,P 73825,S200000,00600,0200,055571 73825,S200000,00600,0300,01/01/1989 73825,S200000,00600,0600,P 73825,S200000,01600,0100,Y 73827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73827,A000000,00300,0000,00300EMPLOYEE BENEFITS 73827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73827,A000000,00700,0000,00700HOUSEKEEPING 73827,A000000,00800,0000,00800DIETARY 73827,A000000,00900,0000,00900NURSING ADMINISTRATION 73827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73827,A000000,01100,0000,01100PHARMACY 73827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73827,A000000,01300,0000,01300SOCIAL SERVICE 73827,A000000,01350,0000,01500ACTIVITIES 73827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73827,A000000,01600,0000,01600SKILLED NURSING FACILITY 73827,A000000,01800,0000,01800NURSING FACILITY 73827,A000000,01810,0000,01810ICF/MR 73827,A000000,02100,0000,02100RADIOLOGY 73827,A000000,02200,0000,02200LABORATORY 73827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73827,A000000,02500,0000,02500PHYSICAL THERAPY 73827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73827,A000000,02700,0000,02700SPEECH PATHOLOGY 73827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73827,A000000,03050,0000,03300CLINTRON 73827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73827,A000000,03550,0000,03550FQHC 73827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73827,A000000,05000,0000,05000CORF 73827,A000000,05010,0000,05010CMHC 73827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73827,A81000A,00100,0100,Y 73827,A81000B,00100,0300,FACILITY LEASE 73827,A81000B,00200,0300,MANAGEMENT FEES 73827,A81000B,00300,0300,BUILDING DEPRECIATION 73827,A81000B,00400,0300,HOME OFFICE COST 73827,A81000C,00100,0100,A 73827,A81000C,00100,0200,MR. PLOTT 73827,A81000C,00200,0100,A 73827,A81000C,00200,0200,MRS. PLOTT 73827,B100000,00000,0100,00000SQUARE FEET 73827,B100000,00000,0200,00000SQUARE FEET 73827,B100000,00000,0300,00000GROSS SALARY 73827,B100000,00000,0400,00000ACCUM. COST 73827,B100000,00000,0500,00000SQUARE FEET 73827,B100000,00000,0600,00000POUNDS OF LAUNDRY 73827,B100000,00000,0700,00000SQUARE FEET 73827,B100000,00000,0800,00000MEALS SERVED 73827,B100000,00000,0900,00000HOURS OF SERVICE 73827,B100000,00000,1000,00000COSTED REQUIS 73827,B100000,00000,1100,00000COSTED REQUIS 73827,B100000,00000,1200,00000REVENUE 73827,B100000,00000,1300,00000PATIENT DAYS 73827,B100000,00000,1350,00000PATIENT DAYS 73827,B100000,00000,1400,00000ASSIGNED TIME 73827,E10A180,00350,0300,09/21/1999 73827,E10A180,00501,0300,07/07/2000 73827,S000000,00100,0200,06/14/2000 73827,S200000,00100,0100,6401 33RD STREET 73827,S200000,00200,0100,RIVERSIDE 73827,S200000,00200,0200,CA 73827,S200000,00200,0300,92509 73827,S200000,00300,0100,RIVERSIDE 73827,S200000,00400,0100,MT. RUBIDOUX CONVALESCENT 73827,S200000,00400,0200,055581 73827,S200000,00400,0300,01/20/1967 73827,S200000,00400,0500,P 73827,S200000,00600,0200,055581 73827,S200000,00600,0300,01/20/1967 73827,S200000,00600,0600,P 73827,S200000,01600,0100,Y 73827,S200000,02800,0100,Y 73833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73833,A000000,00300,0000,00300EMPLOYEE BENEFITS 73833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73833,A000000,00700,0000,00700HOUSEKEEPING 73833,A000000,00800,0000,00800DIETARY 73833,A000000,00900,0000,00900NURSING ADMINISTRATION 73833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73833,A000000,01100,0000,01100PHARMACY 73833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73833,A000000,01300,0000,01300SOCIAL SERVICE 73833,A000000,01350,0000,01500OTHER GENERAL SERVICES 73833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73833,A000000,01600,0000,01600SKILLED NURSING FACILITY 73833,A000000,01810,0000,01810ICF/MR 73833,A000000,02100,0000,02100RADIOLOGY 73833,A000000,02200,0000,02200LABORATORY 73833,A000000,02500,0000,02500PHYSICAL THERAPY 73833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73833,A000000,02700,0000,02700SPEECH PATHOLOGY 73833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73833,A000000,03200,0000,03200SUPPORT SURFACES 73833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73833,A000000,03550,0000,03550FQHC 73833,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73833,A000000,05000,0000,05000CORF 73833,A000000,05010,0000,05010CMHC 73833,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73833,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73833,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73833,B100000,00000,0100,00000SQUARE FEET 73833,B100000,00000,0200,00000SQUARE FEET 73833,B100000,00000,0300,00000GROSS SALARIES 73833,B100000,00000,0400,00000ACCUM. COST 73833,B100000,00000,0500,00000SQUARE FEET 73833,B100000,00000,0600,00000POUNDS OF LAUNDRY 73833,B100000,00000,0700,00000SQUARE FEET 73833,B100000,00000,0800,00000MEALS SERVED 73833,B100000,00000,0900,00000ADMISSIONS S 73833,B100000,00000,1000,00000COSTED REQUIS. 73833,B100000,00000,1100,00000COSTED REQUIS. 73833,B100000,00000,1200,00000TIME SPENT 73833,B100000,00000,1300,00000TIME SPENT 73833,B100000,00000,1350,00000NO STATISTICS 73833,B100000,00000,1400,00000ASSIGNED TIME 73833,E10A180,00501,0100,06/20/2000 73833,E10A180,00550,0300,06/20/2000 73833,S000000,00100,0200,05/31/2000 73833,S200000,00100,0100,515 CENTINELA AVENUE 73833,S200000,00200,0100,LOS ANGELES 73833,S200000,00200,0200,CA 73833,S200000,00200,0300,90302 73833,S200000,00300,0100,LOS ANGELES 73833,S200000,00400,0100,CENTINELA PARK CONVALESCENT HOSPITAL 73833,S200000,00400,0200,055608 73833,S200000,00400,0300,08/01/1997 73833,S200000,00400,0500,P 73833,S200000,00600,0200,055608 73833,S200000,00600,0300,08/01/1997 73833,S200000,00600,0600,P 73833,S200000,01500,0100,Y 73837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73837,A000000,00300,0000,00300EMPLOYEE BENEFITS 73837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73837,A000000,00700,0000,00700HOUSEKEEPING 73837,A000000,00800,0000,00800DIETARY 73837,A000000,00900,0000,00900NURSING ADMINISTRATION 73837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73837,A000000,01100,0000,01100PHARMACY 73837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73837,A000000,01300,0000,01300SOCIAL SERVICE 73837,A000000,01350,0000,01500OTHER GENERAL SERVICES 73837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73837,A000000,01600,0000,01600SKILLED NURSING FACILITY 73837,A000000,01800,0000,01800NURSING FACILITY 73837,A000000,01810,0000,01810ICF/MR 73837,A000000,02100,0000,02100RADIOLOGY 73837,A000000,02200,0000,02200LABORATORY 73837,A000000,02500,0000,02500PHYSICAL THERAPY 73837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73837,A000000,02700,0000,02700SPEECH PATHOLOGY 73837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73837,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73837,A000000,03200,0000,03200SUPPORT SURFACES 73837,A000000,03550,0000,03550FQHC 73837,A000000,05000,0000,05000CORF 73837,A000000,05010,0000,05010CMHC 73837,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73837,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73837,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73837,A81000A,00100,0100,Y 73837,A81000B,00100,0300,MANAGEMENT FEE 73837,A81000B,00200,0300,HOME OFFICE BUILDING 73837,A81000B,00300,0300,HOME OFFICE EQUIP 73837,A81000B,00400,0300,BUILDING LEASE 73837,A81000B,00500,0300,CWIC WORK COMP 73837,A81000B,00600,0300,CWIC INSURANCE 73837,A81000B,00700,0300,EMERALD FIXED ASSETS 73837,A81000B,00800,0300,EMERALD SUPPLIES 73837,A81000B,00900,0300,EMERALD MAINT 73837,A81000B,01000,0300,EMERALD L&L 73837,A81000B,01100,0300,EMERALD DIETARY 73837,A81000B,01200,0300,EMERALD NURSE ADMIN 73837,A81000B,01300,0300,EMERALD THERAPY 73837,A81000B,01400,0300,EMERALD SUPPLIES 73837,A81000B,01500,0300,PWP ADMIN 73837,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 73837,A81000B,01700,0300,PWP HOUSE SUPPLIES 73837,A81000B,01800,0300,PWP CHGBLE SUPPLIES 73837,A81000B,01900,0300,PWP PHARMACY 73837,A81000C,00100,0100,F 73837,A81000C,00100,0200,MARTIN HARMON 73837,A81000C,00200,0100,C 73837,A81000C,00200,0400,CARE WEST INSURANCE CO 73837,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 73837,A81000C,00300,0100,C 73837,A81000C,00300,0400,PACIFIC WEST PHARM INC 73837,A81000C,00300,0600,PHARMACY 73837,A81000C,00400,0100,C 73837,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73837,A81000C,00400,0600,DISTRIBUTORSHIP 73837,A81000C,00500,0100,B 73837,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 73837,A81000C,00500,0600,HOME OFFICE 73837,B100000,00000,0100,00000SQUARE FEET 73837,B100000,00000,0200,00000SQUARE FEET 73837,B100000,00000,0300,00000GROSS SALARIES 73837,B100000,00000,0400,00000ACCUM. COST 73837,B100000,00000,0500,00000SQUARE FEET 73837,B100000,00000,0600,00000POUNDS OF LAUNDRY 73837,B100000,00000,0700,00000NON-DIETAR RY SQ. 73837,B100000,00000,0800,00000MEALS SERVED 73837,B100000,00000,0900,00000DIRECT NURSING HR 73837,B100000,00000,1000,00000COSTED REQS 73837,B100000,00000,1100,00000NO STATISTICS 73837,B100000,00000,1200,00000GROSS REVENUE 73837,B100000,00000,1300,00000CENSUS 73837,B100000,00000,1350,00000NO STATISTICS 73837,B100000,00000,1400,00000NO STATISTICS 73837,E10A180,00501,0300,01/31/2001 73837,S000000,00100,0200,01/10/2001 73837,S200000,00100,0100,900 SERANO DRIVE 73837,S200000,00200,0100,VALLEJO 73837,S200000,00200,0200,CA 73837,S200000,00200,0300,94589 73837,S200000,00300,0100,S 73837,S200000,00400,0100,VALLEJO CONVALESCENT HOSPITAL 73837,S200000,00400,0200,055614 73837,S200000,00400,0300,01/01/1983 73837,S200000,00400,0500,P 73837,S200000,00600,0200,055614 73837,S200000,00600,0300,01/01/1983 73837,S200000,00600,0600,P 73837,S200000,01600,0100,Y 73839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73839,A000000,00300,0000,00300EMPLOYEE BENEFITS 73839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73839,A000000,00700,0000,00700HOUSEKEEPING 73839,A000000,00800,0000,00800DIETARY 73839,A000000,00900,0000,00900NURSING ADMINISTRATION 73839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73839,A000000,01100,0000,01100PHARMACY 73839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73839,A000000,01300,0000,01300SOCIAL SERVICE 73839,A000000,01350,0000,01500OTHER GENERAL SERVICES 73839,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73839,A000000,01600,0000,01600SKILLED NURSING FACILITY 73839,A000000,01800,0000,01800NURSING FACILITY 73839,A000000,01810,0000,01810ICF/MR 73839,A000000,02100,0000,02100RADIOLOGY 73839,A000000,02200,0000,02200LABORATORY 73839,A000000,02300,0000,02300INTRAVENOUS THERAPY 73839,A000000,02500,0000,02500PHYSICAL THERAPY 73839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73839,A000000,02700,0000,02700SPEECH PATHOLOGY 73839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73839,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73839,A000000,03200,0000,03200SUPPORT SURFACES 73839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73839,A000000,03550,0000,03550FQHC 73839,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73839,A000000,05000,0000,05000CORF 73839,A000000,05010,0000,05010CMHC 73839,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73839,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73839,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73839,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73839,A81000A,00100,0100,Y 73839,A81000B,00100,0300,RENT 73839,A81000B,00200,0300,OWNERS COMPENSATION 73839,A81000B,00300,0300,OWNERS COMPENSATION 73839,A81000C,00100,0100,A 73839,A81000C,00100,0200,DAVID BERGER 73839,A81000C,00100,0400,LANDLORD 73839,B100000,00000,0100,00000SQUARE FEET 73839,B100000,00000,0200,00000SQUARE FEET 73839,B100000,00000,0300,00000GROSS SALARIES 73839,B100000,00000,0400,00000ACCUM. COST 73839,B100000,00000,0500,00000SQUARE FEET 73839,B100000,00000,0600,00000POUNDS OF LAUNDRY 73839,B100000,00000,0700,00000SQUARE FEET 73839,B100000,00000,0800,00000MEALS SERVED 73839,B100000,00000,0900,00000CENSUS 73839,B100000,00000,1000,00000NO STATISTICS 73839,B100000,00000,1100,00000NO STATISTICS 73839,B100000,00000,1200,00000NO STATISTICS 73839,B100000,00000,1300,00000CENSUS 73839,B100000,00000,1350,00000NO STATISTICS 73839,B100000,00000,1400,00000NO STATISTICS 73839,E10A180,00351,0300,09/30/1999 73839,E10A180,00501,0100,06/30/2000 73839,E10A180,00551,0300,06/30/2000 73839,S000000,00100,0200,06/02/2000 73839,S200000,00100,0100,1470 N. FAIR OAKS AVENUE 73839,S200000,00200,0100,PASADENA 73839,S200000,00200,0200,CA 73839,S200000,00200,0300,91103 73839,S200000,00300,0100,LOS ANGELES 73839,S200000,00400,0100,EISENHOWER CONVALESCENT HOSPITAL 73839,S200000,00400,0200,055617 73839,S200000,00400,0300,01/01/1986 73839,S200000,00400,0500,P 73839,S200000,00600,0200,055617 73839,S200000,00600,0300,01/01/1986 73839,S200000,00600,0600,P 73839,S200000,01600,0100,Y 73841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73841,A000000,00300,0000,00300EMPLOYEE BENEFITS 73841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73841,A000000,00700,0000,00700HOUSEKEEPING 73841,A000000,00800,0000,00800DIETARY 73841,A000000,00900,0000,00900NURSING ADMINISTRATION 73841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73841,A000000,01100,0000,01100PHARMACY 73841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73841,A000000,01300,0000,01300SOCIAL SERVICE 73841,A000000,01350,0000,01500ACTIVITIES 73841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73841,A000000,01600,0000,01600SKILLED NURSING FACILITY 73841,A000000,01800,0000,01800NURSING FACILITY 73841,A000000,01810,0000,01810ICF/MR 73841,A000000,02100,0000,02100RADIOLOGY 73841,A000000,02200,0000,02200LABORATORY 73841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73841,A000000,02500,0000,02500PHYSICAL THERAPY 73841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73841,A000000,02700,0000,02700SPEECH PATHOLOGY 73841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73841,A000000,03050,0000,03300CLINTRON BED RENTAL 73841,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73841,A000000,03550,0000,03550FQHC 73841,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73841,A000000,05000,0000,05000CORF 73841,A000000,05010,0000,05010CMHC 73841,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73841,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73841,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73841,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 73841,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73841,A81000A,00100,0100,Y 73841,A81000B,00100,0300,FACILITY LEASE 73841,A81000B,00200,0300,MANAGEMENT FEES 73841,A81000B,00300,0300,BUILDING DEPRECIATION 73841,A81000B,00400,0300,HOME OFFICE COST 73841,A81000C,00100,0100,A 73841,A81000C,00100,0200,MR. PLOTT 73841,A81000C,00200,0100,A 73841,A81000C,00200,0200,MRS. PLOTT 73841,B100000,00000,0100,00000SQUARE FEET 73841,B100000,00000,0200,00000SQUARE FEET 73841,B100000,00000,0300,00000GROSS SALARY 73841,B100000,00000,0400,00000ACCUM. COST 73841,B100000,00000,0500,00000SQUARE FEET 73841,B100000,00000,0600,00000POUNDS OF LAUNDRY 73841,B100000,00000,0700,00000SQUARE FEET 73841,B100000,00000,0800,00000MEALS SERVED 73841,B100000,00000,0900,00000HOURS OF SERVICE 73841,B100000,00000,1000,00000COSTED REQUIS 73841,B100000,00000,1100,00000COSTED REQUIS 73841,B100000,00000,1200,00000REVENUE 73841,B100000,00000,1300,00000PATIENT DAYS 73841,B100000,00000,1350,00000PATIENT DAYS 73841,B100000,00000,1400,00000ASSIGNED TIME 73841,E10A180,00350,0300,11/10/1999 73841,E10A180,00501,0300,06/27/2000 73841,E10A180,00550,0100,06/27/2000 73841,S000000,00100,0200,06/14/2000 73841,S200000,00100,0100,800 E. FIFTH STREET 73841,S200000,00200,0100,ONTARIO 73841,S200000,00200,0200,CA 73841,S200000,00200,0300,91764 73841,S200000,00300,0100,SAN BERNARDINO 73841,S200000,00400,0100,PLOTT NURSING HOME 73841,S200000,00400,0200,055619 73841,S200000,00400,0300,07/01/1990 73841,S200000,00400,0500,P 73841,S200000,00600,0200,055619 73841,S200000,00600,0300,07/01/1990 73841,S200000,00600,0600,P 73841,S200000,01600,0100,Y 73841,S200000,02800,0100,Y 73846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73846,A000000,00101,0000,00101CAP REL COSTS - BLDG/FIX #2 73846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73846,A000000,00300,0000,00300EMPLOYEE BENEFITS 73846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73846,A000000,00700,0000,00700HOUSEKEEPING 73846,A000000,00800,0000,00800DIETARY 73846,A000000,00900,0000,00900NURSING ADMINISTRATION 73846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73846,A000000,01100,0000,01100PHARMACY 73846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73846,A000000,01300,0000,01300SOCIAL SERVICE 73846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73846,A000000,01600,0000,01600SKILLED NURSING FACILITY 73846,A000000,01800,0000,01800NURSING FACILITY 73846,A000000,01810,0000,01810ICF/MR 73846,A000000,01900,0000,01900OTHER LONG TERM CARE 73846,A000000,02100,0000,02100RADIOLOGY 73846,A000000,02200,0000,02200LABORATORY 73846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73846,A000000,02500,0000,02500PHYSICAL THERAPY 73846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73846,A000000,02700,0000,02700SPEECH PATHOLOGY 73846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73846,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73846,A000000,03550,0000,03550FQHC 73846,A000000,04800,0000,04800AMBULANCE 73846,A000000,05000,0000,05000CORF 73846,A000000,05010,0000,05010CMHC 73846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73846,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73846,A81000A,00100,0100,Y 73846,A81000B,00100,0300,INTEREST EXPENSE 73846,A81000B,00200,0300,HOME OFFICE COSTS 73846,A81000C,00100,0100,B 73846,A81000C,00100,0200,DEVON GABLES LA 73846,A81000C,00100,0400,PARTNERS 73846,A81000C,00100,0600,HOME OFFICE 73846,A81000C,00200,0100,B 73846,A81000C,00200,0200,M. A. KANTOR 73846,A81000C,00200,0400,SHAREHOLDER 73846,B100000,00000,0100,00000SQUARE FEET 73846,B100000,00000,0101,00000SQUARE FEET 73846,B100000,00000,0200,00000SQUARE FEET 73846,B100000,00000,0300,00000GROSS SALARIES 73846,B100000,00000,0400,00000ACCUM COST 73846,B100000,00000,0500,00000SQUARE FEET 73846,B100000,00000,0600,00000POUNDS OF LAUNDRY 73846,B100000,00000,0700,00000SQUARE FEET 73846,B100000,00000,0800,00000MEALS SERVED 73846,B100000,00000,0900,00000PATIENT DAYS 73846,B100000,00000,1000,00000PATIENT DAYS 73846,B100000,00000,1100,00000PATIENT DAYS 73846,B100000,00000,1200,00000GROSS CHARGES 73846,B100000,00000,1300,00000PATIENT DAYS 73846,B100000,00000,1400,00000ASSIGNED TIME 73846,E10A180,00501,0100,06/22/2000 73846,E10A180,00550,0100,05/26/2000 73846,E10A180,00550,0300,06/22/2000 73846,S000000,00100,0200,05/30/2000 73846,S200000,00100,0100,1030 W. WARNER AVE. 73846,S200000,00200,0100,SANTA ANA 73846,S200000,00200,0200,CA 73846,S200000,00200,0300,92707 73846,S200000,00300,0100,ORANGE 73846,S200000,00400,0100,ROYALE HEALTH CARE CENTER 73846,S200000,00400,0200,055653 73846,S200000,00400,0300,07/01/1994 73846,S200000,00400,0500,P 73846,S200000,00600,0200,055653 73846,S200000,00600,0300,07/01/1994 73846,S200000,00600,0600,P 73846,S200000,01600,0100,Y 73849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73849,A000000,00300,0000,00300EMPLOYEE BENEFITS 73849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73849,A000000,00700,0000,00700HOUSEKEEPING 73849,A000000,00800,0000,00800DIETARY 73849,A000000,00900,0000,00900NURSING ADMINISTRATION 73849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73849,A000000,01100,0000,01100PHARMACY 73849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73849,A000000,01300,0000,01300SOCIAL SERVICE 73849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73849,A000000,01600,0000,01600SKILLED NURSING FACILITY 73849,A000000,01810,0000,01810ICF/MR 73849,A000000,02100,0000,02100RADIOLOGY 73849,A000000,02200,0000,02200LABORATORY 73849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73849,A000000,02500,0000,02500PHYSICAL THERAPY 73849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73849,A000000,02700,0000,02700SPEECH PATHOLOGY 73849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73849,A000000,03050,0000,03300CLINITRON BEDS 73849,A000000,03550,0000,03550FQHC 73849,A000000,05000,0000,05000CORF 73849,A000000,05010,0000,05010CMHC 73849,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73849,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73849,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73849,A81000A,00100,0100,Y 73849,A81000B,00100,0300,BUILDING RENT 73849,A81000B,00200,0300,INTEREST EXPENSE 73849,A81000B,00300,0300,BUILDING DEPRECIATION 73849,A81000C,00300,0100,B 73849,A81000C,00300,0400,CASNERCONSO 73849,A81000C,00300,0600,HEALTHCARE 73849,B100000,00000,0100,00040SQUARE FEET 73849,B100000,00000,0200,00040DOLLAR VALUE 73849,B100000,00000,0300,00040GROSS SALARIES 73849,B100000,00000,0400,00040ACCUM. COST 73849,B100000,00000,0500,00040SQUARE FEET 73849,B100000,00000,0600,00040POUNDS OF LAUNDRY 73849,B100000,00000,0700,00040HOURS OF SERVICE 73849,B100000,00000,0800,00040MEALS SERVED 73849,B100000,00000,0900,00040DIRECT NRSING HRS 73849,B100000,00000,1000,00040COSTED REQUIS. 73849,B100000,00000,1100,00040COSTED REQUIS. 73849,B100000,00000,1200,00040TIME SPENT 73849,B100000,00000,1300,00040TIME SPENT 73849,B100000,00000,1400,00040ASSIGNED TIME 73849,E10A180,00501,0300,08/11/2000 73849,E10A180,00550,0100,08/11/2000 73849,S000000,00100,0200,06/01/2000 73849,S200000,00100,0100,6071 YORK BLVD. 73849,S200000,00200,0100,HIGHLAND PARK 73849,S200000,00200,0200,CA 73849,S200000,00200,0300,90042 73849,S200000,00300,0100,LOS ANGELES 73849,S200000,00400,0100,AMBERWOOD CONVALESCENT 73849,S200000,00400,0200,055664 73849,S200000,00400,0300,03/01/1983 73849,S200000,00400,0500,P 73849,S200000,01600,0100,Y 73849,S200000,04300,0100,Y 73851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73851,A000000,00300,0000,00300EMPLOYEE BENEFITS 73851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73851,A000000,00700,0000,00700HOUSEKEEPING 73851,A000000,00800,0000,00800DIETARY 73851,A000000,00900,0000,00900NURSING ADMINISTRATION 73851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73851,A000000,01100,0000,01100PHARMACY 73851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73851,A000000,01300,0000,01300SOCIAL SERVICE 73851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73851,A000000,01600,0000,01600SKILLED NURSING FACILITY 73851,A000000,01810,0000,01810ICF/MR 73851,A000000,02100,0000,02100RADIOLOGY 73851,A000000,02200,0000,02200LABORATORY 73851,A000000,02300,0000,02300INTRAVENOUS THERAPY 73851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73851,A000000,02500,0000,02500PHYSICAL THERAPY 73851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73851,A000000,02700,0000,02700SPEECH PATHOLOGY 73851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73851,A000000,03200,0000,03200SUPPORT SURFACES 73851,A000000,03550,0000,03550FQHC 73851,A000000,05000,0000,05000CORF 73851,A000000,05010,0000,05010CMHC 73851,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73851,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73851,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73851,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73851,A81000A,00100,0100,Y 73851,A81000B,00100,0300,MANAGEMENT FEES 73851,A81000B,00200,0300,CAP REL-BLDG 73851,A81000B,00300,0300,CAP REL-EQUIP 73851,A81000B,00400,0300,RENT EXPENSE 73851,A81000C,00400,0100,B 73851,A81000C,00400,0200,J&L FRIEDMAN 73851,A81000C,00400,0400,LONGWOOD MGT 73851,A81000C,00400,0600,MANAGEMENT 73851,B100000,00000,0100,00000SQUARE FEET 73851,B100000,00000,0200,00000DOLLAR VALUE 73851,B100000,00000,0300,00000GROSS SALARIES 73851,B100000,00000,0400,00000ACCUM. COST 73851,B100000,00000,0500,00000SQUARE FEET 73851,B100000,00000,0600,00000POUNDS OF LAUNDRY 73851,B100000,00000,0700,00000HOURS OF SERVICE 73851,B100000,00000,0800,00000MEALS SERVED 73851,B100000,00000,0900,00000DIRECT NRSING HRS 73851,B100000,00000,1000,00000COSTED REQUIS. 73851,B100000,00000,1100,00000COSTED REQUIS. 73851,B100000,00000,1200,00000TIME SPENT 73851,B100000,00000,1300,00000TIME SPENT 73851,B100000,00000,1400,00000ASSIGNED TIME 73851,E10A180,00301,0300,09/03/1999 73851,E10A180,00550,0100,06/30/2000 73851,E10A180,00550,0300,06/30/2000 73851,S000000,00100,0200,06/15/2000 73851,S200000,00100,0100,605 W. BROADWAY 73851,S200000,00200,0100,GLENDALE 73851,S200000,00200,0200,CA 73851,S200000,00200,0300,91204 73851,S200000,00300,0100,LOS ANGELES 73851,S200000,00400,0100,BROADWAY MANOR 73851,S200000,00400,0200,055670 73851,S200000,00400,0300,01/01/1978 73851,S200000,00400,0500,P 73851,S200000,00600,0200,055670 73851,S200000,00600,0300,01/01/1978 73851,S200000,00600,0600,P 73851,S200000,01500,0100,Y 73851,S200000,04300,0100,Y 73853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73853,A000000,00300,0000,00300EMPLOYEE BENEFITS 73853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73853,A000000,00700,0000,00700HOUSEKEEPING 73853,A000000,00800,0000,00800DIETARY 73853,A000000,00900,0000,00900NURSING ADMINISTRATION 73853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73853,A000000,01100,0000,01100PHARMACY 73853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73853,A000000,01300,0000,01300SOCIAL SERVICE 73853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73853,A000000,01600,0000,01600SKILLED NURSING FACILITY 73853,A000000,01810,0000,01810ICF/MR 73853,A000000,01900,0000,01900OTHER LONG TERM CARE 73853,A000000,02100,0000,02100RADIOLOGY 73853,A000000,02200,0000,02200LABORATORY 73853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73853,A000000,02500,0000,02500PHYSICAL THERAPY 73853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73853,A000000,02700,0000,02700SPEECH PATHOLOGY 73853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73853,A000000,03201,0000,03201SPECIAL BEDS 73853,A000000,03550,0000,03550FQHC 73853,A000000,05000,0000,05000CORF 73853,A000000,05010,0000,05010CMHC 73853,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73853,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73853,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73853,B100000,00000,0100,00000SQUARE FEET 73853,B100000,00000,0200,00000SQUARE FEET 73853,B100000,00000,0300,00000GROSS SALARIES 73853,B100000,00000,0400,00000ACCUM. COST 73853,B100000,00000,0500,00000SQUARE FEET 73853,B100000,00000,0600,00000POUNDS OF LAUNDRY 73853,B100000,00000,0700,00000SQUARE FEET 73853,B100000,00000,0800,00000MEALS SERVED 73853,B100000,00000,0900,00000DIRECT NRSING HRS 73853,B100000,00000,1000,00000COSTED REQUIS. 73853,B100000,00000,1100,00000COSTED REQUIS. 73853,B100000,00000,1200,00000GROSS REVENUE 73853,B100000,00000,1300,00000PATIENT DAYS 73853,B100000,00000,1400,00000ASSIGNED TIME 73853,E10A180,00301,0300,09/08/1999 73853,E10A180,00501,0100,05/31/2000 73853,E10A180,00550,0100,07/27/2000 73853,E10A180,00550,0300,05/31/2000 73853,E10A180,00551,0300,07/27/2000 73853,S000000,00100,0200,06/02/2000 73853,S200000,00100,0100,638 E. COLORADO AVE. 73853,S200000,00200,0100,GLENDORA 73853,S200000,00200,0200,CA 73853,S200000,00200,0300,91740 73853,S200000,00300,0100,LOS ANGELES 73853,S200000,00400,0100,COMM. CONVAL. HOSP OF GLENDORA 73853,S200000,00400,0200,055676 73853,S200000,00400,0300,01/01/1988 73853,S200000,00400,0500,P 73853,S200000,00600,0200,055676 73853,S200000,00600,0300,01/01/1998 73853,S200000,01500,0100,Y 73853,S200000,04300,0100,Y 73857,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73857,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73857,A000000,00300,0000,00300EMPLOYEE BENEFITS 73857,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73857,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73857,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73857,A000000,00700,0000,00700HOUSEKEEPING 73857,A000000,00800,0000,00800DIETARY 73857,A000000,00900,0000,00900NURSING ADMINISTRATION 73857,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73857,A000000,01100,0000,01100PHARMACY 73857,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73857,A000000,01300,0000,01300SOCIAL SERVICE 73857,A000000,01350,0000,01500OTHER GENERAL SERVICES 73857,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73857,A000000,01600,0000,01600SKILLED NURSING FACILITY 73857,A000000,01800,0000,01800NURSING FACILITY 73857,A000000,01810,0000,01810ICF/MR 73857,A000000,02100,0000,02100RADIOLOGY 73857,A000000,02200,0000,02200LABORATORY 73857,A000000,02500,0000,02500PHYSICAL THERAPY 73857,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73857,A000000,02700,0000,02700SPEECH PATHOLOGY 73857,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73857,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73857,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73857,A000000,03200,0000,03200SUPPORT SURFACES 73857,A000000,03550,0000,03550FQHC 73857,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73857,A000000,05000,0000,05000CORF 73857,A000000,05010,0000,05010CMHC 73857,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73857,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73857,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73857,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73857,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73857,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73857,A81000A,00100,0100,Y 73857,A81000B,00100,0300,MANAGEMENT FEE 73857,A81000B,00200,0300,HOME OFFICE BLDG 73857,A81000B,00300,0300,HOME OFFICE EQUIP 73857,A81000B,00400,0300,BUILDING LEASE 73857,A81000B,00500,0300,WORK COMP 73857,A81000B,00600,0300,INSURANCE 73857,A81000B,00700,0300,EMERALD FIXED ASSETS 73857,A81000B,00800,0300,EMERALD INVENTORY & SUPP 73857,A81000B,00900,0300,EMERALD MAINT 73857,A81000B,01000,0300,EMERALD L&L 73857,A81000B,01100,0300,EMERALD HSKG 73857,A81000B,01200,0300,EMERALD DIETARY 73857,A81000B,01300,0300,EMERALD NURS ADMIN 73857,A81000B,01400,0300,EMERALD OTHER ANC 73857,A81000B,01500,0300,PWP ADMIN 73857,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 73857,A81000B,01700,0300,PWP HOUSE SUPP 73857,A81000B,01800,0300,PWP CHGBLE SUPP 73857,A81000B,01900,0300,PWP PHARMACY 73857,A81000B,02000,0300,BUILDING INTEREST 73857,A81000C,00100,0100,F 73857,A81000C,00100,0200,MARTIN HARMON 73857,A81000C,00200,0100,C 73857,A81000C,00200,0400,CARE WEST INSURANCE CO 73857,A81000C,00200,0600,CAPTIVE INSURANCE CO 73857,A81000C,00300,0100,C 73857,A81000C,00300,0400,PACIFIC WEST PHARMACY 73857,A81000C,00300,0600,PHARMACY 73857,A81000C,00400,0100,C 73857,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73857,A81000C,00400,0600,DISTRIBUTORSHIP 73857,A81000C,00500,0100,B 73857,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 73857,A81000C,00500,0600,HOME OFFICE 73857,B100000,00000,0100,00000SQUARE FEET 73857,B100000,00000,0200,00000SQUARE FEET 73857,B100000,00000,0300,00000GROSS SALARIES 73857,B100000,00000,0400,00000ACCUM. COST 73857,B100000,00000,0500,00000SQUARE FEET 73857,B100000,00000,0600,00000POUNDS OF LAUNDRY 73857,B100000,00000,0700,00000NON-DIETAR RY SQ. 73857,B100000,00000,0800,00000MEALS SERVED 73857,B100000,00000,0900,00000DIRECT NURSING HR 73857,B100000,00000,1000,00000COSTED REQS 73857,B100000,00000,1100,00000NO STATISTICS 73857,B100000,00000,1200,00000GROSS REVENUE 73857,B100000,00000,1300,00000PATIENT DAYS 73857,B100000,00000,1350,00000NO STATISTICS 73857,B100000,00000,1400,00000NO STATISTICS 73857,E10A180,00501,0100,01/31/2001 73857,E10A180,00501,0300,01/31/2001 73857,S000000,00100,0200,01/10/2001 73857,S200000,00100,0100,715 POLE LINE ROAD 73857,S200000,00200,0100,DAVIS 73857,S200000,00200,0200,CA 73857,S200000,00200,0300,95616 73857,S200000,00300,0100,Y 73857,S200000,00400,0100,SIERRA HEALTH CARE CONVALESCENT HOSP 73857,S200000,00400,0200,055681 73857,S200000,00400,0300,03/01/1981 73857,S200000,00400,0500,P 73857,S200000,00600,0200,055681 73857,S200000,00600,0300,03/01/1981 73857,S200000,00600,0600,P 73857,S200000,01600,0100,Y 73859,S000000,00100,0200,05/31/2000 73863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73863,A000000,00300,0000,00300EMPLOYEE BENEFITS 73863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73863,A000000,00700,0000,00700HOUSEKEEPING 73863,A000000,00800,0000,00800DIETARY 73863,A000000,00900,0000,00900NURSING ADMINISTRATION 73863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73863,A000000,01100,0000,01100PHARMACY 73863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73863,A000000,01300,0000,01300SOCIAL SERVICE 73863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73863,A000000,01600,0000,01600SKILLED NURSING FACILITY 73863,A000000,01810,0000,01810ICF/MR 73863,A000000,02100,0000,02100RADIOLOGY 73863,A000000,02200,0000,02200LABORATORY 73863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73863,A000000,02500,0000,02500PHYSICAL THERAPY 73863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73863,A000000,02700,0000,02700SPEECH PATHOLOGY 73863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73863,A000000,03200,0000,03200SUPPORT SURFACES 73863,A000000,03550,0000,03550FQHC 73863,A000000,05000,0000,05000CORF 73863,A000000,05010,0000,05010CMHC 73863,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73863,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73863,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73863,A81000A,00100,0100,Y 73863,A81000B,00100,0300,TO ADJUST HOME OFFICE COSTS 73863,A81000C,00100,0100,A 73863,A81000C,00100,0200,C VAN HORST 73863,A81000C,00100,0400,BHA 73863,A81000C,00100,0600,MGT 73863,B100000,00000,0100,00040SQUARE FEET 73863,B100000,00000,0200,00040DOLLAR VALUE 73863,B100000,00000,0300,00040GROSS SALARIES 73863,B100000,00000,0400,00040ACCUM. COST 73863,B100000,00000,0500,00040SQUARE FEET 73863,B100000,00000,0600,00040POUNDS OF LAUNDRY 73863,B100000,00000,0700,00040HOURS OF SERVICE 73863,B100000,00000,0800,00040MEALS SERVED 73863,B100000,00000,0900,00040DIRECT NRSING HRS 73863,B100000,00000,1000,00040COSTED REQUIS. 73863,B100000,00000,1100,00040COSTED REQUIS. 73863,B100000,00000,1200,00040TIME SPENT 73863,B100000,00000,1300,00040TIME SPENT 73863,B100000,00000,1400,00040ASSIGNED TIME 73863,E10A180,00501,0100,08/08/2000 73863,E10A180,00501,0300,08/08/2000 73863,S000000,00100,0200,06/23/2000 73863,S200000,00100,0100,9009 CAMPO RD 73863,S200000,00200,0100,SPRING VALLEY 73863,S200000,00200,0200,CA 73863,S200000,00200,0300,91977 73863,S200000,00300,0100,SAN DIEGO 73863,S200000,00400,0100,BRIGHTON PLACE SPRING VALLEY 73863,S200000,00400,0200,055685 73863,S200000,00400,0300,04/01/1989 73863,S200000,00400,0500,P 73863,S200000,01500,0100,Y 73865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73865,A000000,00300,0000,00300EMPLOYEE BENEFITS 73865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73865,A000000,00700,0000,00700HOUSEKEEPING 73865,A000000,00800,0000,00800DIETARY 73865,A000000,00900,0000,00900NURSING ADMINISTRATION 73865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73865,A000000,01100,0000,01100PHARMACY 73865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73865,A000000,01300,0000,01300SOCIAL SERVICE 73865,A000000,01350,0000,01500OTHER GENERAL SERVICES 73865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73865,A000000,01600,0000,01600SKILLED NURSING FACILITY 73865,A000000,01810,0000,01810ICF/MR 73865,A000000,02100,0000,02100RADIOLOGY 73865,A000000,02200,0000,02200LABORATORY 73865,A000000,02300,0000,02300INTRAVENOUS THERAPY 73865,A000000,02500,0000,02500PHYSICAL THERAPY 73865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73865,A000000,02700,0000,02700SPEECH PATHOLOGY 73865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73865,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73865,A000000,03200,0000,03200SUPPORT SURFACES 73865,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73865,A000000,03550,0000,03550FQHC 73865,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73865,A000000,05000,0000,05000CORF 73865,A000000,05010,0000,05010CMHC 73865,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73865,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73865,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73865,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73865,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73865,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73865,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73865,A81000A,00100,0100,Y 73865,A81000B,00100,0300,FACILITY LEASE 73865,A81000B,00200,0300,INTEREST 73865,A81000B,00300,0300,DEPRECIATION 73865,A81000B,00400,0300,MANAGEMENT FEES 73865,A81000C,00100,0100,A 73865,A81000C,00100,0200,ED & STEVE KEH 73865,A81000C,00100,0400,B.V. MANAGEMENT 73865,A81000C,00100,0600,HOME OFFICE 73865,A81000C,00200,0100,A 73865,A81000C,00200,0200,ED & STEVE KEH 73865,A81000C,00200,0400,MEK ASSOCIATES 73865,A81000C,00200,0600,LESSOR 73865,B100000,00000,0100,00000SQUARE FEET 73865,B100000,00000,0200,00000SQUARE FEET 73865,B100000,00000,0300,00000GROSS SALARIES 73865,B100000,00000,0400,00000ACCUM. COST 73865,B100000,00000,0500,00000SQUARE FEET 73865,B100000,00000,0600,00000POUNDS OF LAUNDRY 73865,B100000,00000,0700,00000SQUARE FEET 73865,B100000,00000,0800,00000MEALS SERVED 73865,B100000,00000,0900,00000ADMISSIONS S 73865,B100000,00000,1000,00000COSTED REQUIS. 73865,B100000,00000,1100,00000COSTED REQUIS. 73865,B100000,00000,1200,00000ADMISSIONS S 73865,B100000,00000,1300,00000TIME SPENT 73865,B100000,00000,1350,00000NO STATISTICS 73865,B100000,00000,1400,00000ASSIGNED TIME 73865,E10A180,00351,0300,11/04/1999 73865,E10A180,00502,0100,08/08/2000 73865,E10A180,00502,0300,08/08/2000 73865,S000000,00100,0200,06/01/2000 73865,S200000,00100,0100,1016 SOUTH RECORD STREET 73865,S200000,00200,0100,LOS ANGELES 73865,S200000,00200,0200,CA 73865,S200000,00200,0300,90023 73865,S200000,00300,0100,LOS ANGELES 73865,S200000,00400,0100,BUENA VENTURA CARE CENTER 73865,S200000,00400,0200,055697 73865,S200000,00400,0300,01/01/1989 73865,S200000,00400,0500,P 73865,S200000,01500,0100,Y 73868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73868,A000000,00300,0000,00300EMPLOYEE BENEFITS 73868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73868,A000000,00700,0000,00700HOUSEKEEPING 73868,A000000,00800,0000,00800DIETARY 73868,A000000,00900,0000,00900NURSING ADMINISTRATION 73868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73868,A000000,01100,0000,01100PHARMACY 73868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73868,A000000,01300,0000,01300SOCIAL SERVICE 73868,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73868,A000000,01600,0000,01600SKILLED NURSING FACILITY 73868,A000000,01810,0000,01810ICF/MR 73868,A000000,02100,0000,02100RADIOLOGY 73868,A000000,02200,0000,02200LABORATORY 73868,A000000,02300,0000,02300INTRAVENOUS THERAPY 73868,A000000,02500,0000,02500PHYSICAL THERAPY 73868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73868,A000000,02700,0000,02700SPEECH PATHOLOGY 73868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73868,A000000,03200,0000,03200SUPPORT SURFACES 73868,A000000,03550,0000,03550FQHC 73868,A000000,05000,0000,05000CORF 73868,A000000,05010,0000,05010CMHC 73868,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73868,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73868,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73868,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73868,B100000,00000,0100,00000SQUARE FEET 73868,B100000,00000,0200,00000SQUARE FEET 73868,B100000,00000,0300,00000GROSS SALARIES 73868,B100000,00000,0400,00000ACCUM. COST 73868,B100000,00000,0500,00000SQUARE FEET 73868,B100000,00000,0600,00000I/P DAYS 73868,B100000,00000,0700,00000SQUARE FEET 73868,B100000,00000,0800,00000MEALS SERVED 73868,B100000,00000,0900,00000DIRECT NRSING HRS 73868,B100000,00000,1000,00000COSTED REQUIS. 73868,B100000,00000,1100,00000COSTED REQUIS. 73868,B100000,00000,1200,00000GROSS REVENUE 73868,B100000,00000,1300,00000GROSS REVENUE 73868,B100000,00000,1400,00000ASSIGNED TIME 73868,E10A180,00501,0100,08/22/2000 73868,E10A180,00501,0300,08/22/2000 73868,S000000,00100,0200,07/26/2000 73868,S200000,00100,0100,415 S UNION AVE 73868,S200000,00200,0100,LOS ANGELES 73868,S200000,00200,0200,CA 73868,S200000,00200,0300,90017 73868,S200000,00300,0100,LOS ANGELES 73868,S200000,00400,0100,ANGELS NURSING CENTER 73868,S200000,00400,0200,055704 73868,S200000,00400,0300,05/01/1993 73868,S200000,00400,0500,P 73868,S200000,01500,0100,Y 73871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73871,A000000,00300,0000,00300EMPLOYEE BENEFITS 73871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73871,A000000,00700,0000,00700HOUSEKEEPING 73871,A000000,00800,0000,00800DIETARY 73871,A000000,00900,0000,00900NURSING ADMINISTRATION 73871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73871,A000000,01100,0000,01100PHARMACY 73871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73871,A000000,01300,0000,01300SOCIAL SERVICE 73871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73871,A000000,01600,0000,01600SKILLED NURSING FACILITY 73871,A000000,01810,0000,01810ICF/MR 73871,A000000,02100,0000,02100RADIOLOGY 73871,A000000,02200,0000,02200LABORATORY 73871,A000000,02300,0000,02300INTRAVENOUS THERAPY 73871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73871,A000000,02500,0000,02500PHYSICAL THERAPY 73871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73871,A000000,02700,0000,02700SPEECH PATHOLOGY 73871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73871,A000000,03550,0000,03550FQHC 73871,A000000,05000,0000,05000CORF 73871,A000000,05010,0000,05010CMHC 73871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73871,A81000A,00100,0100,Y 73871,A81000B,00100,0300,A&G 73871,A81000C,00100,0100,A 73871,A81000C,00100,0200,EDWARD SHEA 73871,A81000C,00100,0400,MONTECITO LIMITED 73871,A81000C,00100,0600,OWNER 73871,B100000,00000,0100,00000SQUARE FEET 73871,B100000,00000,0200,00000SQUARE FEET 73871,B100000,00000,0300,00000GROSS SALARIES 73871,B100000,00000,0400,00000ACCUM. COST 73871,B100000,00000,0500,00000SQUARE FEET 73871,B100000,00000,0600,00000POUNDS OF LAUNDRY 73871,B100000,00000,0700,00000SQUARE FEET 73871,B100000,00000,0800,00000MEALS SERVED 73871,B100000,00000,0900,00000DIRECT NRSING HRS 73871,B100000,00000,1000,00000COSTED REQUIS 73871,B100000,00000,1100,00000COSTED REQUIS 73871,B100000,00000,1200,00000GROSS REVENUE 73871,B100000,00000,1300,00000PATIENT DAYS 73871,B100000,00000,1400,00000ASSIGNED TIME 73871,E10A180,00301,0300,08/03/1999 73871,E10A180,00350,0300,06/23/2000 73871,E10A180,00501,0100,06/23/2000 73871,E10A180,00550,0300,06/23/2000 73871,S000000,00100,0200,05/21/2001 73871,S200000,00100,0100,1661 S. EUCLID AVENUE 73871,S200000,00200,0100,ONTARIO 73871,S200000,00200,0200,CA 73871,S200000,00200,0300,91761 73871,S200000,00300,0100,SAN BERNARDINO 73871,S200000,00400,0100,ONTARIO CARE CENTER 73871,S200000,00400,0200,055707 73871,S200000,00400,0300,09/01/1990 73871,S200000,00400,0500,P 73871,S200000,00400,0600,O 73871,S200000,01500,0100,Y 73873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73873,A000000,00300,0000,00300EMPLOYEE BENEFITS 73873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73873,A000000,00700,0000,00700HOUSEKEEPING 73873,A000000,00800,0000,00800DIETARY 73873,A000000,00900,0000,00900NURSING ADMINISTRATION 73873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73873,A000000,01100,0000,01100PHARMACY 73873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73873,A000000,01300,0000,01300SOCIAL SERVICE 73873,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73873,A000000,01600,0000,01600SKILLED NURSING FACILITY 73873,A000000,01810,0000,01810ICF/MR 73873,A000000,02200,0000,02200LABORATORY 73873,A000000,02300,0000,02300INTRAVENOUS THERAPY 73873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73873,A000000,02500,0000,02500PHYSICAL THERAPY 73873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73873,A000000,02700,0000,02700SPEECH PATHOLOGY 73873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73873,A000000,03550,0000,03550FQHC 73873,A000000,05000,0000,05000CORF 73873,A000000,05010,0000,05010CMHC 73873,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73873,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73873,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73873,A81000A,00100,0100,Y 73873,A81000B,00100,0300,MANAGEMENT FEES 73873,A81000C,00100,0100,B 73873,A81000C,00100,0200,W.R.S. STEELE & ASSOCIATE 73873,A81000C,00100,0400,SHEA CONV. HOSP.-UPLAND 73873,A81000C,00100,0600,SNF 73873,A81000C,00200,0400,BLYTHE NURSING HOME 73873,A81000C,00200,0600,SNF 73873,A81000C,00300,0400,ONTARIO CARE CENTER 73873,A81000C,00300,0600,SNF 73873,B100000,00000,0100,00000SQUARE FEET 73873,B100000,00000,0200,00000SQUARE FEET 73873,B100000,00000,0300,00000GROSS SALARIES 73873,B100000,00000,0400,00000ACCUM. COST 73873,B100000,00000,0500,00000SQUARE FEET 73873,B100000,00000,0600,00000POUNDS OF LAUNDRY 73873,B100000,00000,0700,00000SQUARE FEET 73873,B100000,00000,0800,00000MEALS SERVED 73873,B100000,00000,0900,00000DIRECT NRSING HRS 73873,B100000,00000,1000,00000COSTED REQUIS 73873,B100000,00000,1100,00000COSTED REQUIS 73873,B100000,00000,1200,00000GROSS REVENUE 73873,B100000,00000,1300,00000PATIENT DAYS 73873,B100000,00000,1400,00000ASSIGNED TIME 73873,S000000,00100,0200,06/11/2001 73873,S200000,00100,0100,1661 S. EUCLID 73873,S200000,00200,0100,ONTARIO 73873,S200000,00200,0200,CA 73873,S200000,00200,0300,91761 73873,S200000,00300,0100,SAN BERNARDINO 73873,S200000,00400,0100,ONTARIO NURSING CARE CENTER 73873,S200000,00400,0200,055707 73873,S200000,00400,0300,09/01/1990 73873,S200000,00400,0500,P 73873,S200000,00400,0600,O 73873,S200000,00600,0200,055707 73873,S200000,00600,0300,09/01/1990 73873,S200000,00600,0600,P 73873,S200000,01500,0100,Y 73876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73876,A000000,00300,0000,00300EMPLOYEE BENEFITS 73876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73876,A000000,00700,0000,00700HOUSEKEEPING 73876,A000000,00800,0000,00800DIETARY 73876,A000000,00900,0000,00900NURSING ADMINISTRATION 73876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73876,A000000,01100,0000,01100PHARMACY 73876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73876,A000000,01300,0000,01300SOCIAL SERVICE 73876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73876,A000000,01600,0000,01600SKILLED NURSING FACILITY 73876,A000000,01800,0000,01800NURSING FACILITY 73876,A000000,01810,0000,01810ICF/MR 73876,A000000,02100,0000,02100RADIOLOGY 73876,A000000,02200,0000,02200LABORATORY 73876,A000000,02300,0000,02300INTRAVENOUS THERAPY 73876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73876,A000000,02500,0000,02500PHYSICAL THERAPY 73876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73876,A000000,02700,0000,02700SPEECH PATHOLOGY 73876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73876,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73876,A000000,03200,0000,03200SUPPORT SURFACES 73876,A000000,03550,0000,03550FQHC 73876,A000000,05000,0000,05000CORF 73876,A000000,05010,0000,05010CMHC 73876,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73876,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73876,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73876,A81000A,00100,0100,Y 73876,A81000B,00100,0300,MANAGEMENT SERVICES 73876,A81000B,00200,0300,HOME OFFICE - BUILDING 73876,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 73876,A81000C,00100,0100,A 73876,A81000C,00100,0200,JEFF HENDRICKSON 73876,A81000C,00100,0400,LEGACY HEALTH CARE INC. 73876,A81000C,00100,0600,MANAGEMENT COMPANY 73876,A81000C,00200,0100,A 73876,A81000C,00200,0200,BLAINE HENDRICKSON 73876,A81000C,00200,0400,LEGACY HEALTH CARE INC. 73876,A81000C,00200,0600,MANAGEMENT COMPANY 73876,B100000,00000,0100,00000SQUARE FEET 73876,B100000,00000,0200,00000SQUARE FEET 73876,B100000,00000,0300,00000GROSS SALARIES 73876,B100000,00000,0400,00000ACCUM. COST 73876,B100000,00000,0500,00000SQUARE FEET 73876,B100000,00000,0600,00000POUNDS OF LAUNDRY 73876,B100000,00000,0700,00000SQUARE FEET 73876,B100000,00000,0800,00000MEALS SERVED 73876,B100000,00000,0900,00000DIRECT NRSING HRS 73876,B100000,00000,1000,00000COSTED REQUIS. 73876,B100000,00000,1100,00000COSTED REQUIS 73876,B100000,00000,1200,00000GROSS REVENUE 73876,B100000,00000,1300,00000PATIENT DAYS 73876,B100000,00000,1400,00000ASSIGNED TIME 73876,E10A180,00350,0300,09/17/1999 73876,E10A180,00501,0100,06/29/2000 73876,E10A180,00501,0300,07/26/2000 73876,E10A180,00550,0100,07/26/2000 73876,E10A180,00550,0300,06/29/2000 73876,S000000,00100,0200,07/05/2000 73876,S200000,00100,0100,1335 N. WATERMAN AVENUE 73876,S200000,00200,0100,SAN BERNARDINO 73876,S200000,00200,0200,CA 73876,S200000,00200,0300,92404 73876,S200000,00300,0100,SAN BERNARDINO 73876,S200000,00400,0100,SHEA HEALTH CENTER-SAN BERNARDINO 73876,S200000,00400,0200,055708 73876,S200000,00400,0300,07/01/1988 73876,S200000,00400,0500,P 73876,S200000,00400,0600,O 73876,S200000,00600,0200,055708 73876,S200000,00600,0300,07/01/1988 73876,S200000,00600,0600,P 73876,S200000,01600,0100,Y 73880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73880,A000000,00300,0000,00300EMPLOYEE BENEFITS 73880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73880,A000000,00700,0000,00700HOUSEKEEPING 73880,A000000,00800,0000,00800DIETARY 73880,A000000,00900,0000,00900NURSING ADMINISTRATION 73880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73880,A000000,01100,0000,01100PHARMACY 73880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73880,A000000,01300,0000,01300SOCIAL SERVICE 73880,A000000,01350,0000,01500OTHER GENERAL SERVICES 73880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73880,A000000,01600,0000,01600SKILLED NURSING FACILITY 73880,A000000,01800,0000,01800NURSING FACILITY 73880,A000000,01810,0000,01810ICF/MR 73880,A000000,02100,0000,02100RADIOLOGY 73880,A000000,02200,0000,02200LABORATORY 73880,A000000,02500,0000,02500PHYSICAL THERAPY 73880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73880,A000000,02700,0000,02700SPEECH PATHOLOGY 73880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73880,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73880,A000000,03200,0000,03200SUPPORT SURFACES 73880,A000000,03550,0000,03550FQHC 73880,A000000,05000,0000,05000CORF 73880,A000000,05010,0000,05010CMHC 73880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73880,A81000A,00100,0100,Y 73880,A81000B,00100,0300,MANAGEMENT FEE 73880,A81000B,00200,0300,HOME OFFICE BLDG 73880,A81000B,00300,0300,HOME OFFICE EQUIP 73880,A81000B,00400,0300,BUILDING LEASE 73880,A81000B,00500,0300,CWIC WORK COMP 73880,A81000B,00600,0300,CWIC INSURANCE 73880,A81000B,00700,0300,EMERALD FIXED ASSETS 73880,A81000B,00800,0300,EMERALD SUPPLIES 73880,A81000B,00900,0300,EMERALD MAINTENANCE 73880,A81000B,01000,0300,EMERALD L&L 73880,A81000B,01100,0300,EMERALD HSKG 73880,A81000B,01200,0300,EMERALD DIETARY 73880,A81000B,01300,0300,EMERALD NURS ADMIN 73880,A81000B,01400,0300,PWP ADMIN 73880,A81000B,01500,0300,PWP FOOD SUPP 73880,A81000B,01600,0300,PWP HOUSE SUPPLIES 73880,A81000B,01700,0300,PWP CHGBLE SUPPLIES 73880,A81000B,01800,0300,PWP PHARMACY 73880,A81000B,01900,0300,BUILDING INTERST 73880,A81000C,00100,0100,F 73880,A81000C,00100,0200,MARTIN HARMON 73880,A81000C,00200,0100,C 73880,A81000C,00200,0400,CARE WEST INSURANCE CO 73880,A81000C,00200,0600,CAPTIVE INSURANCE CO 73880,A81000C,00300,0100,C 73880,A81000C,00300,0400,PACIFIC WEST PHARMACY 73880,A81000C,00300,0600,PHARMACY 73880,A81000C,00400,0100,C 73880,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73880,A81000C,00400,0600,DISTRIBUTORSHIP 73880,A81000C,00500,0100,B 73880,A81000C,00500,0400,HORIZON WEST HDQTRS INC 73880,A81000C,00500,0600,HOME OFFICE 73880,A81000C,00600,0100,B 73880,B100000,00000,0100,00000SQUARE FEET 73880,B100000,00000,0200,00000SQUARE FEET 73880,B100000,00000,0300,00000GROSS SALARIES 73880,B100000,00000,0400,00000ACCUM. COST 73880,B100000,00000,0500,00000SQUARE FEET 73880,B100000,00000,0600,00000POUNDS OF LAUNDRY 73880,B100000,00000,0700,00000NON-DIETAR RY SQ. 73880,B100000,00000,0800,00000MEALS SERVED 73880,B100000,00000,0900,00000DIRECT NURSING HR 73880,B100000,00000,1000,00000COSTED REQS 73880,B100000,00000,1100,00000NO STATISTICS 73880,B100000,00000,1200,00000GROSS REVENUE 73880,B100000,00000,1300,00000CENSUS 73880,B100000,00000,1350,00000NO STATISTICS 73880,B100000,00000,1400,00000NO STATISTICS 73880,E10A180,00501,0100,01/31/2001 73880,E10A180,00501,0300,01/31/2001 73880,S000000,00100,0200,01/10/2001 73880,S200000,00100,0100,5119 BANDERA STREET 73880,S200000,00200,0100,MONTCLAIR 73880,S200000,00200,0200,CA 73880,S200000,00200,0300,91763 73880,S200000,00300,0100,S 73880,S200000,00400,0100,MONTCLAIR MANOR CONVALESCENT HOSP. 73880,S200000,00400,0200,055718 73880,S200000,00400,0300,01/01/1982 73880,S200000,00400,0500,P 73880,S200000,00600,0200,055718 73880,S200000,00600,0300,01/01/1982 73880,S200000,00600,0600,P 73880,S200000,01600,0100,Y 73882,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73882,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73882,A000000,00300,0000,00300EMPLOYEE BENEFITS 73882,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73882,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73882,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73882,A000000,00700,0000,00700HOUSEKEEPING 73882,A000000,00800,0000,00800DIETARY 73882,A000000,00900,0000,00900NURSING ADMINISTRATION 73882,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73882,A000000,01100,0000,01100PHARMACY 73882,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73882,A000000,01300,0000,01300SOCIAL SERVICE 73882,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73882,A000000,01600,0000,01600SKILLED NURSING FACILITY 73882,A000000,01810,0000,01810ICF/MR 73882,A000000,02100,0000,02100RADIOLOGY 73882,A000000,02200,0000,02200LABORATORY 73882,A000000,02500,0000,02500PHYSICAL THERAPY 73882,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73882,A000000,02700,0000,02700SPEECH PATHOLOGY 73882,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73882,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73882,A000000,03200,0000,03200SUPPORT SURFACES 73882,A000000,03550,0000,03550FQHC 73882,A000000,05000,0000,05000CORF 73882,A000000,05010,0000,05010CMHC 73882,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73882,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73882,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73882,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73882,A81000A,00100,0100,Y 73882,A81000B,00100,0300,MANAGEMENT FEES 73882,A81000C,00100,0100,A 73882,A81000C,00100,0200,ROGER SHEA 73882,B100000,00000,0100,00000SQUARE FEET 73882,B100000,00000,0200,00000DOLLAR VALUE 73882,B100000,00000,0300,00000GROSS SALARIES 73882,B100000,00000,0400,00000ACCUM. COST 73882,B100000,00000,0500,00000SQUARE FEET 73882,B100000,00000,0600,00000POUNDS OF LAUNDRY 73882,B100000,00000,0700,00000HOURS OF SERVICE 73882,B100000,00000,0800,00000MEALS SERVED 73882,B100000,00000,0900,00000DIRECT NRSING HRS 73882,B100000,00000,1000,00000COSTED REQUIS. 73882,B100000,00000,1100,00000COSTED REQUIS. 73882,B100000,00000,1200,00000TIME SPENT 73882,B100000,00000,1300,00000TIME SPENT 73882,B100000,00000,1400,00000ASSIGNED TIME 73882,E10A180,00501,0100,06/09/2000 73882,E10A180,00550,0300,06/09/2000 73882,E10A180,00551,0100,08/04/2000 73882,S000000,00100,0200,06/12/2000 73882,S200000,00100,0100,4020 LOMA VISTA ROAD 73882,S200000,00200,0100,VENTURA 73882,S200000,00200,0200,CA 73882,S200000,00200,0300,93003 73882,S200000,00300,0100,VENTURA 73882,S200000,00400,0100,VENTURA CONVALESCENT HOSPITAL 73882,S200000,00400,0200,055719 73882,S200000,00400,0300,01/01/1989 73882,S200000,00400,0500,P 73882,S200000,01500,0100,Y 73885,S000000,00100,0200,05/24/2000 73888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73888,A000000,00300,0000,00300EMPLOYEE BENEFITS 73888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73888,A000000,00700,0000,00700HOUSEKEEPING 73888,A000000,00800,0000,00800DIETARY 73888,A000000,00900,0000,00900NURSING ADMINISTRATION 73888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73888,A000000,01100,0000,01100PHARMACY 73888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73888,A000000,01300,0000,01300SOCIAL SERVICE 73888,A000000,01301,0000,01301ACTIVITIES 73888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73888,A000000,01600,0000,01600SKILLED NURSING FACILITY 73888,A000000,01800,0000,01800NURSING FACILITY 73888,A000000,01810,0000,01810ICF/MR 73888,A000000,02100,0000,02100RADIOLOGY 73888,A000000,02200,0000,02200LABORATORY 73888,A000000,02300,0000,02300INTRAVENOUS THERAPY 73888,A000000,02500,0000,02500PHYSICAL THERAPY 73888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73888,A000000,02700,0000,02700SPEECH PATHOLOGY 73888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73888,A000000,03101,0000,03101PEN 73888,A000000,03102,0000,03102DME 73888,A000000,03550,0000,03550FQHC 73888,A000000,05000,0000,05000CORF 73888,A000000,05010,0000,05010CMHC 73888,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73888,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73888,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73888,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73888,A81000A,00100,0100,Y 73888,A81000B,00100,0300,LAUN & LINEN PURCH 73888,A81000B,00200,0300,LINEN EXPENSE 73888,A81000B,00300,0300,HOME OFFICE-BLDGS 73888,A81000B,00400,0300,HOME OFFICE-EQUIP 73888,A81000B,00500,0300,HOME OFFICE-ADMIN 73888,A81000C,00100,0100,E 73888,A81000C,00100,0200,RON AKIN SR. 73888,A81000C,00100,0400,AEM MANAGEMENT 73888,A81000C,00100,0600,HEALTHCARE 73888,A81000C,00200,0100,D 73888,A81000C,00200,0200,RON AKIN SR. 73888,A81000C,00200,0400,HEALTHCARE LINE 73888,A81000C,00200,0600,LINEN SERVICES 73888,B100000,00000,0100,00000SQUARE FEET 73888,B100000,00000,0200,00000SQUARE FEET 73888,B100000,00000,0300,00000GROSS SALARIES 73888,B100000,00000,0400,00000ACCUM COST 73888,B100000,00000,0500,00000SQUARE FEET 73888,B100000,00000,0600,00000PATIENT DAYS 73888,B100000,00000,0700,00000SQUARE FEET 73888,B100000,00000,0800,00000PATIENT DAYS 73888,B100000,00000,0900,00000DIRECT NRSG HRS 73888,B100000,00000,1000,00000COSTED REQUIS 73888,B100000,00000,1100,00000COSTED REQUIS 73888,B100000,00000,1200,00000GROSS REVENUE 73888,B100000,00000,1300,00000TIME SPENT 73888,B100000,00000,1301,00000TIME SPENT 73888,B100000,00000,1400,00000ASSIGNED TIME 73888,E10A180,00301,0300,11/12/1999 73888,E10A180,00501,0100,05/23/2000 73888,E10A180,00550,0100,06/14/2000 73888,E10A180,00550,0300,05/23/2000 73888,E10A180,00551,0300,06/14/2000 73888,S000000,00100,0200,05/24/2000 73888,S200000,00100,0100,2750 ATLANTIC AVENUE 73888,S200000,00200,0100,LONG BEACH 73888,S200000,00200,0200,CA 73888,S200000,00200,0300,90806 73888,S200000,00300,0100,LOS ANGELES 73888,S200000,00400,0100,AKINS POST ACUTE REHAB. HOSPITAL 73888,S200000,00400,0200,055744 73888,S200000,00400,0300,01/01/1967 73888,S200000,00400,0500,P 73888,S200000,00600,0200,055744 73888,S200000,00600,0300,01/01/1967 73888,S200000,00600,0600,P 73888,S200000,01600,0100,Y 73898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73898,A000000,00300,0000,00300EMPLOYEE BENEFITS 73898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73898,A000000,00700,0000,00700HOUSEKEEPING 73898,A000000,00800,0000,00800DIETARY 73898,A000000,00900,0000,00900NURSING ADMINISTRATION 73898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73898,A000000,01100,0000,01100PHARMACY 73898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73898,A000000,01300,0000,01300SOCIAL SERVICE 73898,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73898,A000000,01600,0000,01600SKILLED NURSING FACILITY 73898,A000000,01810,0000,01810ICF/MR 73898,A000000,02100,0000,02100RADIOLOGY 73898,A000000,02200,0000,02200LABORATORY 73898,A000000,02500,0000,02500PHYSICAL THERAPY 73898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73898,A000000,02700,0000,02700SPEECH PATHOLOGY 73898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73898,A000000,03050,0000,03300CLINITRON BEDS 73898,A000000,03550,0000,03550FQHC 73898,A000000,05000,0000,05000CORF 73898,A000000,05010,0000,05010CMHC 73898,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73898,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73898,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73898,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73898,A81000A,00100,0100,Y 73898,A81000B,00100,0300,BUILDING RENT 73898,A81000B,00200,0300,INTEREST EXPENSE 73898,A81000B,00300,0300,BUILDING DEPRECIATION 73898,A81000C,00300,0100,B 73898,A81000C,00300,0200,E. CASNER 73898,A81000C,00300,0400,CONSOL. 73898,A81000C,00300,0600,HEALTHCARE 73898,B100000,00000,0100,00000SQUARE FEET 73898,B100000,00000,0200,00000DOLLAR VALUE 73898,B100000,00000,0300,00000GROSS SALARIES 73898,B100000,00000,0400,00000ACCUM. COST 73898,B100000,00000,0500,00000SQUARE FEET 73898,B100000,00000,0600,00000POUNDS OF LAUNDRY 73898,B100000,00000,0700,00000HOURS OF SERVICE 73898,B100000,00000,0800,00000MEALS SERVED 73898,B100000,00000,0900,00000DIRECT NRSING HRS 73898,B100000,00000,1000,00000COSTED REQUIS. 73898,B100000,00000,1100,00000COSTED REQUIS. 73898,B100000,00000,1200,00000TIME SPENT 73898,B100000,00000,1300,00000TIME SPENT 73898,B100000,00000,1400,00000ASSIGNED TIME 73898,E10A180,00501,0100,07/11/2000 73898,E10A180,00550,0100,05/30/2000 73898,E10A180,00550,0300,05/30/2000 73898,E10A180,00551,0300,07/11/2000 73898,S000000,00100,0200,06/01/2000 73898,S200000,00100,0100,415 SO. GARFIELD 73898,S200000,00200,0100,ALHAMBRA 73898,S200000,00200,0200,CA 73898,S200000,00200,0300,91801 73898,S200000,00300,0100,LOS ANGELES 73898,S200000,00400,0100,ALHAMBRA CONVALESCENT HOSPITAL 73898,S200000,00400,0200,055760 73898,S200000,00400,0300,11/30/1973 73898,S200000,00400,0500,P 73898,S200000,01500,0100,Y 73898,S200000,04300,0100,Y 73901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73901,A000000,00300,0000,00300EMPLOYEE BENEFITS 73901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73901,A000000,00700,0000,00700HOUSEKEEPING 73901,A000000,00800,0000,00800DIETARY 73901,A000000,00900,0000,00900NURSING ADMINISTRATION 73901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73901,A000000,01100,0000,01100PHARMACY 73901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73901,A000000,01300,0000,01300SOCIAL SERVICE 73901,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73901,A000000,01600,0000,01600SKILLED NURSING FACILITY 73901,A000000,01800,0000,01800NURSING FACILITY 73901,A000000,01810,0000,01810ICF/MR 73901,A000000,02200,0000,02200LABORATORY 73901,A000000,02500,0000,02500PHYSICAL THERAPY 73901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73901,A000000,02700,0000,02700SPEECH PATHOLOGY 73901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73901,A000000,03550,0000,03550FQHC 73901,A000000,05000,0000,05000CORF 73901,A000000,05010,0000,05010CMHC 73901,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73901,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73901,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73901,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73901,A81000A,00100,0100,Y 73901,A81000B,00100,0300,HOME OFFICE COSTS 73901,A81000B,00200,0300,HOME OFFICE COSTS 73901,A81000B,00300,0300,HOME OFFICE COSTS 73901,A81000C,00100,0100,B 73901,A81000C,00100,0400,SCRIPPSHEALTH 73901,A81000C,00100,0600,HEALTHCARE MGMT 73901,B100000,00000,0100,00000SQUARE FEET 73901,B100000,00000,0200,00000SQUARE FEET 73901,B100000,00000,0300,00000GROSS SALARIES 73901,B100000,00000,0400,00000ACCUM. COST 73901,B100000,00000,0500,00000SQUARE FEET 73901,B100000,00000,0600,00000LAUNDRY POUNDS 73901,B100000,00000,0700,00000SQUARE FEET 73901,B100000,00000,0800,00000PATIENT MEALS 73901,B100000,00000,0900,00000DIRECT NSG HOURS 73901,B100000,00000,1000,00000COSTED REQS. 73901,B100000,00000,1100,00000COSTED REQUIS 73901,B100000,00000,1200,00000GROSS PT REVENUE 73901,B100000,00000,1300,00000PATIENT DAYS 73901,B100000,00000,1400,00000ASSIGNED TIME 73901,E10A180,00350,0300,08/06/1999 73901,E10A180,00501,0100,02/23/2000 73901,E10A180,00502,0100,04/25/2000 73901,E10A180,00550,0100,03/30/2000 73901,E10A180,00550,0300,02/23/2000 73901,E10A180,00551,0300,03/30/2000 73901,S000000,00100,0200,02/25/2000 73901,S200000,00100,0100,900 SANTA FE DRIVE 73901,S200000,00200,0100,ENCINITAS 73901,S200000,00200,0200,CA 73901,S200000,00300,0100,SAN DIEGO 73901,S200000,00400,0100,OCEAN VIEW CONVALESCENT HOSPITAL 73901,S200000,00400,0200,055761 73901,S200000,00400,0300,07/01/1966 73901,S200000,00400,0500,P 73901,S200000,00600,0200,055761 73901,S200000,00600,0300,07/01/1966 73901,S200000,00600,0600,P 73901,S200000,01600,0100,Y 73904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73904,A000000,00300,0000,00300EMPLOYEE BENEFITS 73904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73904,A000000,00700,0000,00700HOUSEKEEPING 73904,A000000,00800,0000,00800DIETARY 73904,A000000,00900,0000,00900NURSING ADMINISTRATION 73904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73904,A000000,01100,0000,01100PHARMACY 73904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73904,A000000,01300,0000,01300SOCIAL SERVICE 73904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73904,A000000,01600,0000,01600SKILLED NURSING FACILITY 73904,A000000,01800,0000,01800NURSING FACILITY 73904,A000000,01810,0000,01810ICF/MR 73904,A000000,02100,0000,02100RADIOLOGY 73904,A000000,02200,0000,02200LABORATORY 73904,A000000,02300,0000,02300INTRAVENOUS THERAPY 73904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73904,A000000,02500,0000,02500PHYSICAL THERAPY 73904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73904,A000000,02700,0000,02700SPEECH PATHOLOGY 73904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73904,A000000,03200,0000,03200SUPPORT SURFACES 73904,A000000,03550,0000,03550FQHC 73904,A000000,05000,0000,05000CORF 73904,A000000,05010,0000,05010CMHC 73904,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73904,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73904,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73904,A81000A,00100,0100,Y 73904,A81000B,00100,0300,MANAGEMENT FEES 73904,A81000B,00200,0300,CAP REL-BLDG 73904,A81000B,00300,0300,CAP REL-EQUIP 73904,A81000B,00400,0300,RENT EXPENSE 73904,A81000C,00400,0100,B 73904,A81000C,00400,0200,J&L FRIEDMAN 73904,A81000C,00400,0400,LONGWOOD MGT 73904,A81000C,00400,0600,MANAGEMENT 73904,B100000,00000,0100,00000SQUARE FEET 73904,B100000,00000,0200,00000DOLLAR VALUE 73904,B100000,00000,0300,00000GROSS SALARIES 73904,B100000,00000,0400,00000ACCUM. COST 73904,B100000,00000,0500,00000SQUARE FEET 73904,B100000,00000,0600,00000POUNDS OF LAUNDRY 73904,B100000,00000,0700,00000HOURS OF SERVICE 73904,B100000,00000,0800,00000MEALS SERVED 73904,B100000,00000,0900,00000DIRECT NRSING HRS 73904,B100000,00000,1000,00000COSTED REQUIS. 73904,B100000,00000,1100,00000COSTED REQUIS. 73904,B100000,00000,1200,00000TIME SPENT 73904,B100000,00000,1300,00000TIME SPENT 73904,B100000,00000,1400,00000ASSIGNED TIME 73904,E10A180,00501,0100,07/21/2000 73904,E10A180,00550,0100,06/30/2000 73904,E10A180,00550,0300,06/30/2000 73904,S000000,00100,0200,07/05/2000 73904,S200000,00100,0100,7716 S. PICKERING AVE. 73904,S200000,00200,0100,WHITTIER 73904,S200000,00200,0200,CA 73904,S200000,00200,0300,90602 73904,S200000,00300,0100,LOS ANGELES 73904,S200000,00400,0100,SHEA CONVALESCENT HOSPITAL 73904,S200000,00400,0200,055764 73904,S200000,00400,0300,01/01/1989 73904,S200000,00400,0500,P 73904,S200000,00600,0200,055764 73904,S200000,00600,0300,01/01/1989 73904,S200000,00600,0600,P 73904,S200000,01600,0100,Y 73904,S200000,04300,0100,Y 73907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73907,A000000,00300,0000,00300EMPLOYEE BENEFITS 73907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73907,A000000,00700,0000,00700HOUSEKEEPING 73907,A000000,00800,0000,00800DIETARY 73907,A000000,00900,0000,00900NURSING ADMINISTRATION 73907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73907,A000000,01100,0000,01100PHARMACY 73907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73907,A000000,01300,0000,01300SOCIAL SERVICE 73907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73907,A000000,01600,0000,01600SKILLED NURSING FACILITY 73907,A000000,01810,0000,01810ICF/MR 73907,A000000,02100,0000,02100RADIOLOGY 73907,A000000,02200,0000,02200LABORATORY 73907,A000000,02500,0000,02500PHYSICAL THERAPY 73907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73907,A000000,02700,0000,02700SPEECH PATHOLOGY 73907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73907,A000000,03550,0000,03550FQHC 73907,A000000,05000,0000,05000CORF 73907,A000000,05010,0000,05010CMHC 73907,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73907,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73907,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73907,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73907,A81000A,00100,0100,Y 73907,A81000B,00100,0300,REL PTY LEASE RECON 73907,A81000C,00100,0100,A 73907,A81000C,00100,0200,S&D CRONIN J M 73907,A81000C,00100,0400,CRONIN TRUST ET 73907,A81000C,00100,0600,PROPERTY MANAGE 73907,B100000,00000,0100,00000SQUARE FEET 73907,B100000,00000,0200,00000SQUARE FEET 73907,B100000,00000,0300,00000GROSS SALARIES 73907,B100000,00000,0400,00000ACCUM COST 73907,B100000,00000,0500,00000SQUARE FEET 73907,B100000,00000,0600,00000PATIENT DAYS 73907,B100000,00000,0700,00000SQUARE FEET 73907,B100000,00000,0800,00000PATIENT DAYS 73907,B100000,00000,0900,00000DIRECT NRSG HRS 73907,B100000,00000,1000,00000COSTED REQUIS 73907,B100000,00000,1100,00000COSTED REQUIS 73907,B100000,00000,1200,00000TIME SPENT 73907,B100000,00000,1300,00000PATIENT DAYS 73907,B100000,00000,1400,00000ASSIGNED TIME 73907,E10A180,00350,0300,09/23/1999 73907,E10A180,00501,0100,10/10/2000 73907,E10A180,00501,0300,03/09/2001 73907,E10A180,00550,0100,06/21/2000 73907,E10A180,00550,0300,06/21/2000 73907,E10A180,00551,0100,09/20/2001 73907,E10A180,00551,0300,09/20/2001 73907,S000000,00100,0200,05/15/2000 73907,S200000,00100,0100,11 ALTARINDA ROAD 73907,S200000,00200,0100,ORINDA 73907,S200000,00200,0200,CA 73907,S200000,00200,0300,94563 73907,S200000,00300,0100,ALAMEDA 73907,S200000,00400,0100,ORINDA REHAB & CONV HOSP 73907,S200000,00400,0200,055775 73907,S200000,00400,0300,01/01/1967 73907,S200000,00400,0500,P 73907,S200000,01500,0100,Y 73913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73913,A000000,00300,0000,00300EMPLOYEE BENEFITS 73913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73913,A000000,00700,0000,00700HOUSEKEEPING 73913,A000000,00800,0000,00800DIETARY 73913,A000000,00900,0000,00900NURSING ADMINISTRATION 73913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73913,A000000,01100,0000,01100PHARMACY 73913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73913,A000000,01300,0000,01300SOCIAL SERVICE 73913,A000000,01350,0000,01500OTHER GENERAL SERVICES 73913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73913,A000000,01600,0000,01600SKILLED NURSING FACILITY 73913,A000000,01800,0000,01800NURSING FACILITY 73913,A000000,01810,0000,01810ICF/MR 73913,A000000,02100,0000,02100RADIOLOGY 73913,A000000,02200,0000,02200LABORATORY 73913,A000000,02500,0000,02500PHYSICAL THERAPY 73913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73913,A000000,02700,0000,02700SPEECH PATHOLOGY 73913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73913,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73913,A000000,03200,0000,03200SUPPORT SURFACES 73913,A000000,03550,0000,03550FQHC 73913,A000000,05000,0000,05000CORF 73913,A000000,05010,0000,05010CMHC 73913,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73913,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73913,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73913,A81000A,00100,0100,Y 73913,A81000B,00100,0300,MANAGEMENT FEE 73913,A81000B,00200,0300,HOME OFFICE BLDG 73913,A81000B,00300,0300,HOME OFFICE EQUIP 73913,A81000B,00400,0300,BUILDING LEASE 73913,A81000B,00500,0300,CWIC WORK COMP 73913,A81000B,00600,0300,CWIC INSURANCE 73913,A81000B,00700,0300,EMERALD FIXED ASSETS 73913,A81000B,00800,0300,EMERALD A&G SUPP 73913,A81000B,00900,0300,EMERALD MAINT 73913,A81000B,01000,0300,EMERALD L&L 73913,A81000B,01100,0300,EMERALD HSKG 73913,A81000B,01200,0300,EMERALD DIETARY 73913,A81000B,01300,0300,EMERALD NURS ADMIN 73913,A81000B,01400,0300,EMERALD THERAPY SUPP 73913,A81000B,01500,0300,PWP ADMIN 73913,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 73913,A81000B,01700,0300,PWP HOUSE SUPPLIES 73913,A81000B,01800,0300,PWP MED SUPP 73913,A81000B,01900,0300,PWP PHARMACY 73913,A81000B,02100,0300,PWP MED SUPP (ADMIN) 73913,A81000C,00100,0100,F 73913,A81000C,00100,0200,MARTIN HARMON 73913,A81000C,00200,0100,C 73913,A81000C,00200,0400,CARE WEST INSURANCE CO 73913,A81000C,00200,0600,CAPTIVE INS CO 73913,A81000C,00300,0100,C 73913,A81000C,00300,0400,PACIFIC WEST PHARMACY 73913,A81000C,00300,0600,PHARMACY 73913,A81000C,00400,0100,C 73913,A81000C,00400,0400,EMERALD DISTRIBUTING 73913,A81000C,00400,0600,DISTRIBUTORSHIP 73913,A81000C,00500,0100,B 73913,A81000C,00500,0400,HORIZON HDQTRS INC. 73913,A81000C,00500,0600,HOME OFFICE 73913,B100000,00000,0100,00000SQUARE FEET 73913,B100000,00000,0200,00000SQUARE FEET 73913,B100000,00000,0300,00000GROSS SALARIES 73913,B100000,00000,0400,00000ACCUM. COST 73913,B100000,00000,0500,00000SQUARE FEET 73913,B100000,00000,0600,00000POUNDS OF LAUNDRY 73913,B100000,00000,0700,00000NON-DIETAR RY SQ. 73913,B100000,00000,0800,00000MEALS SERVED 73913,B100000,00000,0900,00000DIRECT NURSING HR 73913,B100000,00000,1000,00000COSTED REQS 73913,B100000,00000,1100,00000NO STATISTICS 73913,B100000,00000,1200,00000GROSS REVENUE 73913,B100000,00000,1300,00000CENSUS 73913,B100000,00000,1350,00000NO STATISTICS 73913,B100000,00000,1400,00000ASSIGNED TIME 73913,E10A180,00501,0100,01/26/2001 73913,E10A180,00501,0300,01/24/2001 73913,E10A180,00502,0300,01/26/2001 73913,E10A180,00550,0100,01/24/2001 73913,S000000,00100,0200,01/10/2001 73913,S200000,00100,0100,12225 SHALE RIDGE LANE 73913,S200000,00200,0100,AUBURN 73913,S200000,00200,0200,CA 73913,S200000,00200,0300,95602 73913,S200000,00300,0100,P 73913,S200000,00400,0100,HILLTOP MANOR CONVALESCENT HOSPITAL 73913,S200000,00400,0200,055776 73913,S200000,00400,0300,01/01/1968 73913,S200000,00400,0500,P 73913,S200000,00400,0600,O 73913,S200000,00600,0200,055776 73913,S200000,00600,0300,01/01/1968 73913,S200000,00600,0600,P 73913,S200000,01600,0100,Y 73915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73915,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73915,A000000,00300,0000,00300EMPLOYEE BENEFITS 73915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73915,A000000,00700,0000,00700HOUSEKEEPING 73915,A000000,00800,0000,00800DIETARY 73915,A000000,00900,0000,00900NURSING ADMINISTRATION 73915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73915,A000000,01100,0000,01100PHARMACY 73915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73915,A000000,01300,0000,01300SOCIAL SERVICE 73915,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73915,A000000,01600,0000,01600SKILLED NURSING FACILITY 73915,A000000,01810,0000,01810ICF/MR 73915,A000000,02100,0000,02100RADIOLOGY 73915,A000000,02200,0000,02200LABORATORY 73915,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73915,A000000,02500,0000,02500PHYSICAL THERAPY 73915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73915,A000000,02700,0000,02700SPEECH PATHOLOGY 73915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73915,A000000,03200,0000,03200SUPPORT SURFACES 73915,A000000,03550,0000,03550FQHC 73915,A000000,05000,0000,05000CORF 73915,A000000,05010,0000,05010CMHC 73915,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73915,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73915,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73915,A81000A,00100,0100,Y 73915,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 73915,A81000C,00100,0100,A 73915,A81000C,00100,0200,C VAN HORST 73915,A81000C,00100,0400,BHA 73915,A81000C,00100,0600,MGT 73915,B100000,00000,0100,00040SQUARE FEET 73915,B100000,00000,0200,00040DOLLAR VALUE 73915,B100000,00000,0300,00040GROSS SALARIES 73915,B100000,00000,0400,00040ACCUM. COST 73915,B100000,00000,0500,00040SQUARE FEET 73915,B100000,00000,0600,00040POUNDS OF LAUNDRY 73915,B100000,00000,0700,00040HOURS OF SERVICE 73915,B100000,00000,0800,00040MEALS SERVED 73915,B100000,00000,0900,00040DIRECT NRSING HRS 73915,B100000,00000,1000,00040COSTED REQUIS. 73915,B100000,00000,1100,00040COSTED REQUIS. 73915,B100000,00000,1200,00040TIME SPENT 73915,B100000,00000,1300,00040TIME SPENT 73915,B100000,00000,1400,00040ASSIGNED TIME 73915,E10A180,00501,0100,07/28/2000 73915,E10A180,00501,0300,07/28/2000 73915,S000000,00100,0200,06/06/2000 73915,S200000,00100,0100,1350 N. EUCLID 73915,S200000,00200,0100,SAN DIEGO 73915,S200000,00200,0200,CA 73915,S200000,00200,0300,92105 73915,S200000,00300,0100,SAN DIEGO 73915,S200000,00400,0100,RIGHTON PLACE SAN DIEGO 73915,S200000,00400,0200,055795 73915,S200000,00400,0300,03/01/1989 73915,S200000,00400,0500,P 73915,S200000,01500,0100,Y 73920,S000000,00100,0200,06/08/2000 73923,S000000,00100,0200,05/30/2000 73930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73930,A000000,00300,0000,00300EMPLOYEE BENEFITS 73930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73930,A000000,00700,0000,00700HOUSEKEEPING 73930,A000000,00800,0000,00800DIETARY 73930,A000000,00900,0000,00900NURSING ADMINISTRATION 73930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73930,A000000,01100,0000,01100PHARMACY 73930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73930,A000000,01300,0000,01300SOCIAL SERVICE 73930,A000000,01350,0000,01500OTHER GENERAL SERVICES 73930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73930,A000000,01600,0000,01600SKILLED NURSING FACILITY 73930,A000000,01810,0000,01810ICF/MR 73930,A000000,02100,0000,02100RADIOLOGY 73930,A000000,02200,0000,02200LABORATORY 73930,A000000,02300,0000,02300INTRAVENOUS THERAPY 73930,A000000,02500,0000,02500PHYSICAL THERAPY 73930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73930,A000000,02700,0000,02700SPEECH PATHOLOGY 73930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73930,A000000,03200,0000,03200SUPPORT SURFACES 73930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73930,A000000,03550,0000,03550FQHC 73930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73930,A000000,05000,0000,05000CORF 73930,A000000,05010,0000,05010CMHC 73930,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73930,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73930,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73930,A81000A,00100,0100,Y 73930,A81000B,00100,0300,FACILITY LEASE 73930,A81000B,00200,0300,DEPRECIATION 73930,A81000B,00300,0300,INTEREST 73930,A81000B,00400,0300,MANAGEMENT FEES 73930,A81000B,00500,0300,CRC-BLDG.& FIXTURES 73930,A81000B,00600,0300,CRC-EQUIPMENTS 73930,A81000C,00100,0100,A 73930,A81000C,00100,0200,ED & STEVE KEH 73930,A81000C,00100,0400,B.V. MANAGEMENT 73930,A81000C,00100,0600,HOME OFFICE 73930,A81000C,00200,0100,A 73930,A81000C,00200,0200,ED & STEVE KEH 73930,A81000C,00200,0400,MEK ASSOCIATES 73930,A81000C,00200,0600,LESSOR 73930,B100000,00000,0100,00000SQUARE FEET 73930,B100000,00000,0200,00000SQUARE FEET 73930,B100000,00000,0300,00000GROSS SALARIES 73930,B100000,00000,0400,00000ACCUM. COST 73930,B100000,00000,0500,00000SQUARE FEET 73930,B100000,00000,0600,00000POUNDS OF LAUNDRY 73930,B100000,00000,0700,00000SQUARE FEET 73930,B100000,00000,0800,00000MEALS SERVED 73930,B100000,00000,0900,00000ADMISSIONS S 73930,B100000,00000,1000,00000COSTED REQUIS. 73930,B100000,00000,1100,00000COSTED REQUIS. 73930,B100000,00000,1200,00000TIME SPENT 73930,B100000,00000,1300,00000TIME SPENT 73930,B100000,00000,1350,00000NO STATISTICS 73930,B100000,00000,1400,00000ASSIGNED TIME 73930,E10A180,00301,0300,09/03/1999 73930,E10A180,00501,0300,07/11/2000 73930,E10A180,00550,0100,07/11/2000 73930,S000000,00100,0200,05/30/2000 73930,S200000,00100,0100,1505 COLBY DRIVE 73930,S200000,00200,0100,GLENDALE 73930,S200000,00200,0200,CA 73930,S200000,00200,0300,91205 73930,S200000,00300,0100,LOS ANGELES 73930,S200000,00400,0100,LEISURE GLEN CARE CENTER 73930,S200000,00400,0200,055845 73930,S200000,00400,0300,11/21/1989 73930,S200000,00400,0500,P 73930,S200000,01500,0100,Y 73934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73934,A000000,00300,0000,00300EMPLOYEE BENEFITS 73934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73934,A000000,00700,0000,00700HOUSEKEEPING 73934,A000000,00800,0000,00800DIETARY 73934,A000000,00900,0000,00900NURSING ADMINISTRATION 73934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73934,A000000,01100,0000,01100PHARMACY 73934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73934,A000000,01300,0000,01300SOCIAL SERVICE 73934,A000000,01350,0000,01500OTHER GENERAL SERVICES 73934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73934,A000000,01600,0000,01600SKILLED NURSING FACILITY 73934,A000000,01800,0000,01800NURSING FACILITY 73934,A000000,01810,0000,01810ICF/MR 73934,A000000,02100,0000,02100RADIOLOGY 73934,A000000,02200,0000,02200LABORATORY 73934,A000000,02500,0000,02500PHYSICAL THERAPY 73934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73934,A000000,02700,0000,02700SPEECH PATHOLOGY 73934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73934,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73934,A000000,03200,0000,03200SUPPORT SURFACES 73934,A000000,03550,0000,03550FQHC 73934,A000000,05000,0000,05000CORF 73934,A000000,05010,0000,05010CMHC 73934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73934,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73934,A81000A,00100,0100,Y 73934,A81000B,00100,0300,MANAGEMENT FEE 73934,A81000B,00200,0300,HOME OFFICE BLDG 73934,A81000B,00300,0300,HOME OFFICE EQUIP 73934,A81000B,00400,0300,BUILDING LEASE 73934,A81000B,00500,0300,CWIC WORK COMP 73934,A81000B,00600,0300,CWIC INSURANCE 73934,A81000B,00700,0300,EMERALD FIXED ASSETS 73934,A81000B,00800,0300,EMERALD ADMIN 73934,A81000B,00900,0300,EMERALD MAINT 73934,A81000B,01000,0300,EMERALD L&L 73934,A81000B,01100,0300,EMERALD HSKG 73934,A81000B,01200,0300,EMERALD DIETARY 73934,A81000B,01300,0300,EMERALD NURSE ADMIN 73934,A81000B,01400,0300,EMERALD ACTIVITIES 73934,A81000B,01500,0300,EMERALD THERAPY 73934,A81000B,01600,0300,PWP ADMIN 73934,A81000B,01700,0300,PWP FOOD SUPPLEMENTS 73934,A81000B,01800,0300,PWP HOUSE SUPPLIES 73934,A81000B,01900,0300,PWP MED SUPP 73934,A81000C,00100,0100,F 73934,A81000C,00100,0200,MARTIN HARMON 73934,A81000C,00200,0100,C 73934,A81000C,00200,0400,CARE WEST INSURANCE CO 73934,A81000C,00200,0600,CAPTIVE INSURANCE CO 73934,A81000C,00300,0100,C 73934,A81000C,00300,0400,PACIFIC WEST PHARMACY 73934,A81000C,00300,0600,PHARMACY 73934,A81000C,00400,0100,C 73934,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73934,A81000C,00400,0600,DISTRIBUTORSHIP 73934,A81000C,00500,0100,B 73934,A81000C,00500,0400,HORIZON WEST HDQTRS INC 73934,A81000C,00500,0600,HOME OFFICE 73934,B100000,00000,0100,00000SQUARE FEET 73934,B100000,00000,0200,00000SQUARE FEET 73934,B100000,00000,0300,00000GROSS SALARIES 73934,B100000,00000,0400,00000ACCUM. COST 73934,B100000,00000,0500,00000SQUARE FEET 73934,B100000,00000,0600,00000POUNDS OF LAUNDRY 73934,B100000,00000,0700,00000NON-DIETAR RY SQ. 73934,B100000,00000,0800,00000MEALS SERVED 73934,B100000,00000,0900,00000DIRECT NURSING HR 73934,B100000,00000,1000,00000COSTED REQS 73934,B100000,00000,1100,00000NO STATISTICS 73934,B100000,00000,1200,00000GROSS REVENUE 73934,B100000,00000,1300,00000CENSUS 73934,B100000,00000,1350,00000NO STATISTICS 73934,B100000,00000,1400,00000ASSIGNED TIME 73934,E10A180,00501,0100,01/29/2001 73934,E10A180,00501,0300,01/29/2001 73934,S000000,00100,0200,01/10/2001 73934,S200000,00100,0100,1162 SOUTH DORA 73934,S200000,00200,0100,UKIAH 73934,S200000,00200,0200,CA 73934,S200000,00200,0300,95482 73934,S200000,00300,0100,M 73934,S200000,00400,0100,VALLEY VIEW SKILLED NURSING CENTER 73934,S200000,00400,0200,055853 73934,S200000,00400,0300,03/16/1984 73934,S200000,00400,0500,P 73934,S200000,00400,0600,O 73934,S200000,00600,0200,055853 73934,S200000,00600,0300,03/16/1984 73934,S200000,00600,0600,P 73934,S200000,01600,0100,Y 73938,S000000,00100,0200,01/12/2001 73943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73943,A000000,00300,0000,00300EMPLOYEE BENEFITS 73943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73943,A000000,00700,0000,00700HOUSEKEEPING 73943,A000000,00800,0000,00800DIETARY 73943,A000000,00900,0000,00900NURSING ADMINISTRATION 73943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73943,A000000,01100,0000,01100PHARMACY 73943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73943,A000000,01300,0000,01300SOCIAL SERVICE 73943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73943,A000000,01600,0000,01600SKILLED NURSING FACILITY 73943,A000000,01800,0000,01800NURSING FACILITY 73943,A000000,01810,0000,01810ICF/MR 73943,A000000,02100,0000,02100RADIOLOGY 73943,A000000,02200,0000,02200LABORATORY 73943,A000000,02300,0000,02300INTRAVENOUS THERAPY 73943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73943,A000000,02500,0000,02500PHYSICAL THERAPY 73943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73943,A000000,02700,0000,02700SPEECH PATHOLOGY 73943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73943,A000000,03550,0000,03550FQHC 73943,A000000,05000,0000,05000CORF 73943,A000000,05010,0000,05010CMHC 73943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73943,A81000A,00100,0100,Y 73943,A81000B,00100,0300,ADJ. HOME OFFICE COST 73943,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 73943,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 73943,A81000C,00100,0100,A 73943,A81000C,00100,0200,FRANK JOHNSON 73943,A81000C,00100,0400,SUN MAR MANAGEMENT SER. 73943,A81000C,00100,0600,MANAGEMENT COMPANY 73943,B100000,00000,0100,00000SQUARE FEET 73943,B100000,00000,0200,00000SQUARE FEET 73943,B100000,00000,0300,00000GROSS SALARIES 73943,B100000,00000,0400,00000ACCUM. COST 73943,B100000,00000,0500,00000SQUARE FEET 73943,B100000,00000,0600,00000POUNDS OF LAUNDRY 73943,B100000,00000,0700,00000SQUARE FEET 73943,B100000,00000,0800,00000MEALS SERVED 73943,B100000,00000,0900,00000DIRECT NRSING HRS 73943,B100000,00000,1000,00000COSTED REQUIS. 73943,B100000,00000,1100,00000COSTED REQUIS 73943,B100000,00000,1200,00000GROSS REVENUE 73943,B100000,00000,1300,00000PATIENT DAYS 73943,B100000,00000,1400,00000ASSIGNED TIME 73943,E10A180,00501,0100,06/20/2000 73943,E10A180,00550,0300,06/20/2000 73943,S000000,00100,0200,05/25/2000 73943,S200000,00100,0100,9440 CITRUS AVENUE 73943,S200000,00200,0100,FONTANA 73943,S200000,00200,0200,CA 73943,S200000,00200,0300,92335 73943,S200000,00300,0100,SAN BERNARDINO 73943,S200000,00400,0100,CITRUS NURSING CENTER 73943,S200000,00400,0200,055872 73943,S200000,00400,0300,01/01/1991 73943,S200000,00400,0500,P 73943,S200000,00600,0200,055872 73943,S200000,00600,0300,01/01/1991 73943,S200000,00600,0600,P 73943,S200000,01600,0100,Y 73946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73946,A000000,00300,0000,00300EMPLOYEE BENEFITS 73946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73946,A000000,00700,0000,00700HOUSEKEEPING 73946,A000000,00800,0000,00800DIETARY 73946,A000000,00900,0000,00900NURSING ADMINISTRATION 73946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73946,A000000,01100,0000,01100PHARMACY 73946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73946,A000000,01300,0000,01300SOCIAL SERVICE 73946,A000000,01350,0000,01500OTHER GENERAL SERVICES 73946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73946,A000000,01600,0000,01600SKILLED NURSING FACILITY 73946,A000000,01800,0000,01800NURSING FACILITY 73946,A000000,01810,0000,01810ICF/MR 73946,A000000,02100,0000,02100RADIOLOGY 73946,A000000,02200,0000,02200LABORATORY 73946,A000000,02500,0000,02500PHYSICAL THERAPY 73946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73946,A000000,02700,0000,02700SPEECH PATHOLOGY 73946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73946,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 73946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73946,A000000,03200,0000,03200SUPPORT SURFACES 73946,A000000,03550,0000,03550FQHC 73946,A000000,05000,0000,05000CORF 73946,A000000,05010,0000,05010CMHC 73946,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73946,A81000A,00100,0100,Y 73946,A81000B,00100,0300,MANAGEMENT FEE 73946,A81000B,00200,0300,HOME OFFICE BUILDING 73946,A81000B,00300,0300,HOME OFFICE EQUIP 73946,A81000B,00400,0300,BUILDING LEASE 73946,A81000B,00500,0300,CWIC WORK COMP 73946,A81000B,00600,0300,CWIC INSURANCE 73946,A81000B,00700,0300,EMERALD FIXED ASSETS 73946,A81000B,00800,0300,EMERALD ADMIN SUPP 73946,A81000B,00900,0300,EMERALD MAINT 73946,A81000B,01000,0300,EMERALD L&L 73946,A81000B,01100,0300,EMERALD DIETARY 73946,A81000B,01200,0300,EMERALD NURSE ADMIN 73946,A81000B,01300,0300,EMERALD THERAPY 73946,A81000B,01400,0300,EMERALD MED SUPP 73946,A81000B,01500,0300,PWP ADMIN 73946,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 73946,A81000B,01700,0300,PWP HOUSE SUPPLIES 73946,A81000B,01800,0300,PWP MED SUPP 73946,A81000B,01900,0300,PWP PHARMACY 73946,A81000C,00100,0100,F 73946,A81000C,00100,0200,MARTIN HARMON 73946,A81000C,00200,0100,C 73946,A81000C,00200,0400,CARE WEST INSURANCE CO 73946,A81000C,00200,0600,CAPTIVE INSURANCE CO 73946,A81000C,00300,0100,C 73946,A81000C,00300,0400,PACIFIC WEST PHARMACY 73946,A81000C,00300,0600,PHARMACY 73946,A81000C,00400,0100,C 73946,A81000C,00400,0400,EMERALD DISTRIBUTING INC 73946,A81000C,00400,0600,DISTRIBUTORSHIP 73946,A81000C,00500,0100,B 73946,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 73946,A81000C,00500,0600,HOME OFFICE 73946,B100000,00000,0100,00000SQUARE FEET 73946,B100000,00000,0200,00000SQUARE FEET 73946,B100000,00000,0300,00000GROSS SALARIES 73946,B100000,00000,0400,00000ACCUM. COST 73946,B100000,00000,0500,00000SQUARE FEET 73946,B100000,00000,0600,00000POUNDS OF LAUNDRY 73946,B100000,00000,0700,00000NON-DIETAR RY SQ. 73946,B100000,00000,0800,00000MEALS SERVED 73946,B100000,00000,0900,00000DIRECT NURSING HR 73946,B100000,00000,1000,00000COSTED REQS 73946,B100000,00000,1100,00000NO STATISTICS 73946,B100000,00000,1200,00000GROSS REVENUE 73946,B100000,00000,1300,00000CENSUS 73946,B100000,00000,1350,00000NO STATISTICS 73946,B100000,00000,1400,00000ASSIGNED TIME 73946,E10A180,00350,0300,03/23/2000 73946,E10A180,00501,0100,01/26/2001 73946,E10A180,00501,0300,01/24/2001 73946,E10A180,00502,0300,02/07/2001 73946,E10A180,00550,0100,01/24/2001 73946,E10A180,00550,0300,01/26/2001 73946,S000000,00100,0200,01/10/2001 73946,S200000,00100,0100,1161 CIRBY WAY 73946,S200000,00200,0100,ROSEVILLE 73946,S200000,00200,0200,CA 73946,S200000,00200,0300,95661 73946,S200000,00300,0100,P 73946,S200000,00400,0100,ROSEVILLE CONVALESCENT HOSPITAL 73946,S200000,00400,0200,055886 73946,S200000,00400,0300,07/01/1968 73946,S200000,00400,0500,P 73946,S200000,00400,0600,O 73946,S200000,00600,0200,055886 73946,S200000,00600,0300,07/01/1968 73946,S200000,00600,0600,P 73946,S200000,01600,0100,Y 73948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73948,A000000,00300,0000,00300EMPLOYEE BENEFITS 73948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73948,A000000,00700,0000,00700HOUSEKEEPING 73948,A000000,00800,0000,00800DIETARY 73948,A000000,00900,0000,00900NURSING ADMINISTRATION 73948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73948,A000000,01100,0000,01100PHARMACY 73948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73948,A000000,01300,0000,01300SOCIAL SERVICE 73948,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73948,A000000,01600,0000,01600SKILLED NURSING FACILITY 73948,A000000,01800,0000,01800NURSING FACILITY 73948,A000000,01810,0000,01810ICF/MR 73948,A000000,02100,0000,02100RADIOLOGY 73948,A000000,02200,0000,02200LABORATORY 73948,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73948,A000000,02500,0000,02500PHYSICAL THERAPY 73948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73948,A000000,02700,0000,02700SPEECH PATHOLOGY 73948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73948,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73948,A000000,03200,0000,03200SUPPORT SURFACES 73948,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73948,A000000,03550,0000,03550FQHC 73948,A000000,05000,0000,05000CORF 73948,A000000,05010,0000,05010CMHC 73948,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73948,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73948,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73948,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73948,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73948,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73948,A81000A,00100,0100,Y 73948,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 73948,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 73948,A81000C,00100,0100,A 73948,A81000C,00100,0200,KENNON S. SHEA 73948,B100000,00000,0100,00000SQUARE FEET 73948,B100000,00000,0200,00000SQUARE FEET 73948,B100000,00000,0300,00000GROSS SALARIES 73948,B100000,00000,0400,00000ACCUM COST 73948,B100000,00000,0500,00000SQUARE FEET 73948,B100000,00000,0600,00000POUNDS OF LAUNDRY 73948,B100000,00000,0700,00000HOURS OF SERVICE 73948,B100000,00000,0800,00000MEALS SERVED 73948,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 73948,B100000,00000,1000,00000COSTED REQUISITIO 73948,B100000,00000,1100,00000COSTED REQUISITIO 73948,B100000,00000,1200,00000TIME SPENT 73948,B100000,00000,1300,00000TIME SPENT 73948,B100000,00000,1350,00000 73948,B100000,00000,1400,00000ASSIGNED TIME 73948,E10A180,00501,0100,07/07/2000 73948,E10A180,00550,0300,07/07/2000 73948,S000000,00100,0200,05/30/2000 73948,S200000,00100,0100,635 SOUTH MAGNOLIA 73948,S200000,00200,0100,EL CAJON 73948,S200000,00200,0200,CA 73948,S200000,00200,0300,92020 73948,S200000,00300,0100,SAN DIEGO 73948,S200000,00400,0100,MAGNOLIA SPECIAL CARE CENTER 73948,S200000,00400,0200,055890 73948,S200000,00400,0300,07/07/1970 73948,S200000,00400,0500,P 73948,S200000,00600,0200,055890 73948,S200000,00600,0300,07/07/1970 73948,S200000,00600,0600,P 73948,S200000,01600,0100,Y 73950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73950,A000000,00300,0000,00300EMPLOYEE BENEFITS 73950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73950,A000000,00700,0000,00700HOUSEKEEPING 73950,A000000,00800,0000,00800DIETARY 73950,A000000,00900,0000,00900NURSING ADMINISTRATION 73950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73950,A000000,01100,0000,01100PHARMACY 73950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73950,A000000,01300,0000,01300SOCIAL SERVICE 73950,A000000,01350,0000,01500OTHER GENERAL SERVICES 73950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73950,A000000,01600,0000,01600SKILLED NURSING FACILITY 73950,A000000,01810,0000,01810ICF/MR 73950,A000000,02100,0000,02100RADIOLOGY 73950,A000000,02200,0000,02200LABORATORY 73950,A000000,02300,0000,02300INTRAVENOUS THERAPY 73950,A000000,02500,0000,02500PHYSICAL THERAPY 73950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73950,A000000,02700,0000,02700SPEECH PATHOLOGY 73950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73950,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73950,A000000,03200,0000,03200SUPPORT SURFACES 73950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73950,A000000,03550,0000,03550FQHC 73950,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73950,A000000,05000,0000,05000CORF 73950,A000000,05010,0000,05010CMHC 73950,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73950,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73950,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73950,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73950,B100000,00000,0100,00000SQUARE FEET 73950,B100000,00000,0200,00000SQUARE FEET 73950,B100000,00000,0300,00000GROSS SALARIES 73950,B100000,00000,0400,00000ACCUM. COST 73950,B100000,00000,0500,00000SQUARE FEET 73950,B100000,00000,0600,00000POUNDS OF LAUNDRY 73950,B100000,00000,0700,00000SQUARE FEET 73950,B100000,00000,0800,00000MEALS SERVED 73950,B100000,00000,0900,00000ADMISSIONS S 73950,B100000,00000,1000,00000COSTED REQUIS. 73950,B100000,00000,1100,00000COSTED REQUIS. 73950,B100000,00000,1200,00000TIME SPENT 73950,B100000,00000,1300,00000TIME SPENT 73950,B100000,00000,1350,00000NO STATISTICS 73950,B100000,00000,1400,00000ASSIGNED TIME 73950,E10A180,00501,0100,07/28/2000 73950,E10A180,00550,0300,07/28/2000 73950,S000000,00100,0200,06/05/2000 73950,S200000,00100,0100,16553 RINALDI STREET 73950,S200000,00200,0100,GRANADA HILLS 73950,S200000,00200,0200,CA 73950,S200000,00200,0300,91344 73950,S200000,00300,0100,LOS ANGELES 73950,S200000,00400,0100,RINALDI CONVALESCENT HOSPITAL 73950,S200000,00400,0200,055906 73950,S200000,00400,0300,11/01/1967 73950,S200000,00400,0500,P 73950,S200000,01500,0100,Y 73956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73956,A000000,00300,0000,00300EMPLOYEE BENEFITS 73956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73956,A000000,00700,0000,00700HOUSEKEEPING 73956,A000000,00800,0000,00800DIETARY 73956,A000000,00900,0000,00900NURSING ADMINISTRATION 73956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73956,A000000,01100,0000,01100PHARMACY 73956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73956,A000000,01300,0000,01300SOCIAL SERVICE 73956,A000000,01350,0000,01500RECREATION 73956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73956,A000000,01600,0000,01600SKILLED NURSING FACILITY 73956,A000000,01800,0000,01800NURSING FACILITY 73956,A000000,01810,0000,01810ICF/MR 73956,A000000,02100,0000,02100RADIOLOGY 73956,A000000,02200,0000,02200LABORATORY 73956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73956,A000000,02500,0000,02500PHYSICAL THERAPY 73956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73956,A000000,02700,0000,02700SPEECH PATHOLOGY 73956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73956,A000000,03550,0000,03550FQHC 73956,A000000,05000,0000,05000CORF 73956,A000000,05010,0000,05010CMHC 73956,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73956,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73956,A81000A,00100,0100,Y 73956,A81000B,00100,0300,ADJUST HOME OFFICE COSTS 73956,A81000B,00200,0300,ADJUST HOME OFFICE COSTS 73956,A81000C,00100,0100,B 73956,A81000C,00100,0200,MOYLE CENTRAL 73956,B100000,00000,0100,00000SQUARE FEET 73956,B100000,00000,0200,00000SQUARE FEET 73956,B100000,00000,0300,00000GROSS SALARIES 73956,B100000,00000,0400,00000ACCUM COST 73956,B100000,00000,0500,00000SQUARE FEET 73956,B100000,00000,0600,00000PATIENT DAYS 73956,B100000,00000,0700,00000SQUARE FOOTAGE 73956,B100000,00000,0800,00000PATIENT DAYS 73956,B100000,00000,0900,00000PATIENT DAYS 73956,B100000,00000,1000,00000COSTED REQUIS 73956,B100000,00000,1100,00000COSTED REQUIS 73956,B100000,00000,1200,00000PATIENT DAYS 73956,B100000,00000,1300,00000PATIENT DAYS 73956,B100000,00000,1350,00000PATIENT DAYS 73956,B100000,00000,1400,00000ASSIGNED TIME 73956,E10A180,00501,0100,06/28/2000 73956,E10A180,00501,0300,06/08/2000 73956,E10A180,00550,0100,06/08/2000 73956,S000000,00100,0200,05/23/2000 73956,S200000,00100,0100,3710 WEST TULARE AVENUE 73956,S200000,00200,0100,TULARE 73956,S200000,00200,0200,CA 73956,S200000,00200,0300,93277 73956,S200000,00300,0100,TULARE 73956,S200000,00400,0100,KAWEAH MANOR 73956,S200000,00400,0200,055916 73956,S200000,00400,0300,01/01/1991 73956,S200000,00400,0500,P 73956,S200000,00600,0200,055916 73956,S200000,00600,0300,01/01/1991 73956,S200000,00600,0600,P 73956,S200000,01600,0100,Y 73959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73959,A000000,00300,0000,00300EMPLOYEE BENEFITS 73959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73959,A000000,00700,0000,00700HOUSEKEEPING 73959,A000000,00800,0000,00800DIETARY 73959,A000000,00900,0000,00900NURSING ADMINISTRATION 73959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73959,A000000,01100,0000,01100PHARMACY 73959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73959,A000000,01300,0000,01300SOCIAL SERVICE 73959,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73959,A000000,01600,0000,01600SKILLED NURSING FACILITY 73959,A000000,01810,0000,01810ICF/MR 73959,A000000,02100,0000,02100RADIOLOGY 73959,A000000,02200,0000,02200LABORATORY 73959,A000000,02300,0000,02300INTRAVENOUS THERAPY 73959,A000000,02500,0000,02500PHYSICAL THERAPY 73959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73959,A000000,02700,0000,02700SPEECH PATHOLOGY 73959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73959,A000000,03550,0000,03550FQHC 73959,A000000,05000,0000,05000CORF 73959,A000000,05010,0000,05010CMHC 73959,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73959,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73959,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73959,A81000A,00100,0100,Y 73959,A81000B,00100,0300,A&G 73959,A81000C,00100,0100,B 73959,A81000C,00100,0200,SUN MAR MGMT SERVICE 73959,B100000,00000,0100,00040SQUARE FEET 73959,B100000,00000,0200,00040SQUARE FEET 73959,B100000,00000,0300,00040GROSS SALARIES 73959,B100000,00000,0400,00040ACCUM COST 73959,B100000,00000,0500,00040SQUARE FEET 73959,B100000,00000,0600,00040POUNDS OF LAUNDRY 73959,B100000,00000,0700,00040HOURS OF SERVICE 73959,B100000,00000,0800,00040MEALS SERVED 73959,B100000,00000,0900,00040DIRECT NRSG HRS 73959,B100000,00000,1000,00040COSTED REQUIS 73959,B100000,00000,1100,00040COSTED REQUIS 73959,B100000,00000,1200,00040TIME SPENT 73959,B100000,00000,1300,00040TIME SPENT 73959,B100000,00000,1400,00040ASSIGNED TIME 73959,S000000,00100,0200,06/01/2000 73959,S200000,00100,0100,1850 E. 8TH STREET 73959,S200000,00200,0100,DAVIS 73959,S200000,00200,0200,CA 73959,S200000,00200,0300,95616 73959,S200000,00300,0100,YOLO 73959,S200000,00400,0100,COURTYARD HEALTH CARE CENTER 73959,S200000,00400,0200,055922 73959,S200000,00400,0300,06/01/1995 73959,S200000,00400,0500,P 73959,S200000,00600,0200,055922 73959,S200000,00600,0300,06/01/1995 73959,S200000,00600,0600,P 73959,S200000,01500,0100,Y 73959,S200000,04300,0100,Y 73961,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73961,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73961,A000000,00300,0000,00300EMPLOYEE BENEFITS 73961,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73961,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73961,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73961,A000000,00700,0000,00700HOUSEKEEPING 73961,A000000,00800,0000,00800DIETARY 73961,A000000,00900,0000,00900NURSING ADMINISTRATION 73961,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73961,A000000,01100,0000,01100PHARMACY 73961,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73961,A000000,01300,0000,01300SOCIAL SERVICE 73961,A000000,01350,0000,01500OTHER GENERAL SERVICES 73961,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73961,A000000,01600,0000,01600SKILLED NURSING FACILITY 73961,A000000,01810,0000,01810ICF/MR 73961,A000000,02100,0000,02100RADIOLOGY 73961,A000000,02200,0000,02200LABORATORY 73961,A000000,02300,0000,02300INTRAVENOUS THERAPY 73961,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73961,A000000,02500,0000,02500PHYSICAL THERAPY 73961,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73961,A000000,02700,0000,02700SPEECH PATHOLOGY 73961,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73961,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73961,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73961,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73961,A000000,03550,0000,03550FQHC 73961,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73961,A000000,05000,0000,05000CORF 73961,A000000,05010,0000,05010CMHC 73961,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73961,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73961,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73961,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73961,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73961,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73961,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73961,A81000A,00100,0100,Y 73961,A81000B,00100,0300,RENT 73961,A81000B,00200,0300,ADMINISTRATOR WAGES 73961,A81000C,00100,0100,A 73961,A81000C,00100,0200,HELENE KOHN 73961,A81000C,00100,0400,HELENE KOHN 73961,B100000,00000,0100,00000SQUARE FEET 73961,B100000,00000,0200,00000SQUARE FEET 73961,B100000,00000,0300,00000GROSS WAGES 73961,B100000,00000,0400,00000ACCUM. COST 73961,B100000,00000,0500,00000SQUARE FEET 73961,B100000,00000,0600,00000POUNDS OF LAUNDRY 73961,B100000,00000,0700,00000SQUARE FEET 73961,B100000,00000,0800,00000MEALS 73961,B100000,00000,0900,00000CENSUS 73961,B100000,00000,1000,00000NO STATISTICS 73961,B100000,00000,1100,00000NO STATISTICS 73961,B100000,00000,1200,00000NO STATISTICS 73961,B100000,00000,1300,00000CENSUS 73961,B100000,00000,1350,00000NO STATISTICS 73961,B100000,00000,1400,00000NO STATISTICS 73961,E10A180,00301,0300,11/17/1999 73961,E10A180,00501,0100,05/26/2000 73961,E10A180,00502,0100,08/14/2000 73961,E10A180,00550,0300,05/26/2000 73961,E10A180,00551,0300,08/14/2000 73961,S000000,00100,0200,05/31/2000 73961,S200000,00100,0100,904 MISSION STREET 73961,S200000,00200,0100,SOUTH PASADENA 73961,S200000,00200,0200,CA 73961,S200000,00200,0300,91030 73961,S200000,00300,0100,LOS ANGELES 73961,S200000,00400,0100,SOUTH PASADENA CONVALESCENT HOSPITAL 73961,S200000,00400,0200,055931 73961,S200000,00400,0300,01/01/1985 73961,S200000,00400,0500,P 73961,S200000,01500,0100,Y 73963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73963,A000000,00300,0000,00300EMPLOYEE BENEFITS 73963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73963,A000000,00700,0000,00700HOUSEKEEPING 73963,A000000,00800,0000,00800DIETARY 73963,A000000,00900,0000,00900NURSING ADMINISTRATION 73963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73963,A000000,01100,0000,01100PHARMACY 73963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73963,A000000,01300,0000,01300SOCIAL SERVICE 73963,A000000,01350,0000,01500OTHER GENERAL SERVICES 73963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73963,A000000,01600,0000,01600SKILLED NURSING FACILITY 73963,A000000,01800,0000,01800NURSING FACILITY 73963,A000000,01810,0000,01810ICF/MR 73963,A000000,02100,0000,02100RADIOLOGY 73963,A000000,02200,0000,02200LABORATORY 73963,A000000,02300,0000,02300INTRAVENOUS THERAPY 73963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73963,A000000,02500,0000,02500PHYSICAL THERAPY 73963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73963,A000000,02700,0000,02700SPEECH PATHOLOGY 73963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73963,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73963,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73963,A000000,03550,0000,03550FQHC 73963,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73963,A000000,05000,0000,05000CORF 73963,A000000,05010,0000,05010CMHC 73963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73963,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73963,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73963,A81000A,00100,0100,Y 73963,A81000B,00100,0300,MANAGEMENT FEES 73963,A81000C,00100,0100,A 73963,A81000C,00100,0200,ALLAN KANDEL 73963,A81000C,00100,0400,WCCNC 73963,A81000C,00100,0600,REAL ESTATE 73963,A81000C,00200,0100,A 73963,A81000C,00200,0200,JEFFREY KANDEL 73963,A81000C,00200,0600,REAL ESTATE 73963,A81000C,00300,0100,A 73963,A81000C,00300,0200,RAFAEL KATZ 73963,A81000C,00300,0600,REAL ESTATE 73963,A81000C,00400,0100,A 73963,A81000C,00400,0200,DAVID HERSKOVIZ 73963,A81000C,00400,0600,REAL ESTATE 73963,A81000C,00500,0100,A 73963,A81000C,00500,0200,JANIS ROSZLER 73963,A81000C,00500,0600,REAL ESTATE 73963,B100000,00000,0100,00000SQUARE FEET 73963,B100000,00000,0200,00000SQUARE FEET 73963,B100000,00000,0300,00000GROSS SALARIES 73963,B100000,00000,0400,00000ACCUM. COST 73963,B100000,00000,0500,00000SQUARE FEET 73963,B100000,00000,0600,00000POUNDS OF LAUNDRY 73963,B100000,00000,0700,00000SQUARE FEET 73963,B100000,00000,0800,00000MEALS SERVED 73963,B100000,00000,0900,00000TIME SPENT 73963,B100000,00000,1000,00000COSTED REQUIS. 73963,B100000,00000,1100,00000COSTED REQUIS. 73963,B100000,00000,1200,00000GROSS REVENUE 73963,B100000,00000,1300,00000TIME SPENT 73963,B100000,00000,1350,00000NO STATISTICS 73963,B100000,00000,1400,00000ASSIGNED TIME 73963,E10A180,00501,0100,05/31/2000 73963,E10A180,00550,0300,05/31/2000 73963,S000000,00100,0200,06/02/2000 73963,S200000,00100,0100,220 EAST 24TH STREET 73963,S200000,00200,0100,NATIONAL CITY 73963,S200000,00200,0200,CA 73963,S200000,00200,0300,91950 73963,S200000,00300,0100,SAN DIEGO 73963,S200000,00400,0100,WINDSOR GARDENS OF SAN DIEGO 73963,S200000,00400,0200,055954 73963,S200000,00400,0300,10/01/1992 73963,S200000,00400,0500,P 73963,S200000,00600,0200,055954 73963,S200000,00600,0300,10/01/1992 73963,S200000,00600,0600,P 73963,S200000,01600,0100,Y 73969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73969,A000000,00300,0000,00300EMPLOYEE BENEFITS 73969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73969,A000000,00700,0000,00700HOUSEKEEPING 73969,A000000,00800,0000,00800DIETARY 73969,A000000,00900,0000,00900NURSING ADMINISTRATION 73969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73969,A000000,01100,0000,01100PHARMACY 73969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73969,A000000,01300,0000,01300SOCIAL SERVICE 73969,A000000,01350,0000,01500OTHER GENERAL SERVICES 73969,A000000,01351,0000,01501ICF/MR 73969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73969,A000000,01600,0000,01600SKILLED NURSING FACILITY 73969,A000000,01810,0000,01810ICF/MR 73969,A000000,02500,0000,02500PHYSICAL THERAPY 73969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73969,A000000,02700,0000,02700SPEECH PATHOLOGY 73969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73969,A000000,03550,0000,03550FQHC 73969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73969,A000000,05000,0000,05000CORF 73969,A000000,05010,0000,05010CMHC 73969,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73969,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73969,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73969,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 73969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73969,B100000,00000,0100,00000SQUARE FEET 73969,B100000,00000,0200,00000NO STATISTICS 73969,B100000,00000,0300,00000GROSS SALARIES 73969,B100000,00000,0400,00000ACCUM. COST 73969,B100000,00000,0500,00000SQUARE FEET 73969,B100000,00000,0600,00000POUNDS OF LAUNDRY 73969,B100000,00000,0700,00000SQUARE FEET 73969,B100000,00000,0800,00000MEALS SERVED 73969,B100000,00000,0900,00000COSTEDREQU UISITIONS 73969,B100000,00000,1000,00000NO STATISTICS 73969,B100000,00000,1100,00000NO STATISTICS 73969,B100000,00000,1200,00000NO STATISTICS 73969,B100000,00000,1300,00000COSTEDREQU UISITIONS 73969,B100000,00000,1350,00000NO STATISTICS 73969,B100000,00000,1351,00000 73969,B100000,00000,1400,00000NO STATISTICS 73969,E10A180,00350,0100,09/30/1999 73969,E10A180,00350,0300,02/10/2000 73969,E10A180,00501,0300,04/18/2000 73969,E10A180,00550,0300,02/29/2000 73969,S000000,00100,0200,03/27/2000 73969,S200000,00100,0100,1889 NATIONAL CITY BOULEVARD 73969,S200000,00200,0100,NATIONAL CITY 73969,S200000,00200,0200,CA 73969,S200000,00300,0100,SAN DIEGO 73969,S200000,00400,0100,HILLCREST SANITARIUM 73969,S200000,00400,0200,055975 73969,S200000,00400,0300,10/01/1976 73969,S200000,00400,0500,O 73969,S200000,01500,0100,Y 73972,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73972,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73972,A000000,00300,0000,00300EMPLOYEE BENEFITS 73972,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73972,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73972,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73972,A000000,00700,0000,00700HOUSEKEEPING 73972,A000000,00800,0000,00800DIETARY 73972,A000000,00900,0000,00900NURSING ADMINISTRATION 73972,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73972,A000000,01100,0000,01100PHARMACY 73972,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73972,A000000,01300,0000,01300SOCIAL SERVICE 73972,A000000,01350,0000,01500OTHER GENERAL SERVICES 73972,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73972,A000000,01600,0000,01600SKILLED NURSING FACILITY 73972,A000000,01810,0000,01810ICF/MR 73972,A000000,02100,0000,02100RADIOLOGY 73972,A000000,02200,0000,02200LABORATORY 73972,A000000,02300,0000,02300INTRAVENOUS THERAPY 73972,A000000,02500,0000,02500PHYSICAL THERAPY 73972,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73972,A000000,02700,0000,02700SPEECH PATHOLOGY 73972,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73972,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73972,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73972,A000000,03200,0000,03200SUPPORT SURFACES 73972,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73972,A000000,03550,0000,03550FQHC 73972,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73972,A000000,05000,0000,05000CORF 73972,A000000,05010,0000,05010CMHC 73972,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73972,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73972,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73972,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73972,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73972,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73972,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73972,A81000A,00100,0100,Y 73972,A81000B,00100,0300,MANAGEMENT FEES 73972,A81000B,00200,0300,HOME OFFICE COSTS 73972,A81000C,00100,0100,A 73972,A81000C,00100,0200,ED & STEVE KEH 73972,A81000C,00100,0400,B.V. MANAGEMENT 73972,A81000C,00100,0600,HOME OFFICE 73972,B100000,00000,0100,00000SQUARE FEET 73972,B100000,00000,0200,00000SQUARE FEET 73972,B100000,00000,0300,00000GROSS SALARIES 73972,B100000,00000,0400,00000ACCUM. COST 73972,B100000,00000,0500,00000SQUARE FEET 73972,B100000,00000,0600,00000POUNDS OF LAUNDRY 73972,B100000,00000,0700,00000SQUARE FEET 73972,B100000,00000,0800,00000MEALS SERVED 73972,B100000,00000,0900,00000ADMISSIONS S 73972,B100000,00000,1000,00000COSTED REQUIS. 73972,B100000,00000,1100,00000COSTED REQUIS. 73972,B100000,00000,1200,00000TIME SPENT 73972,B100000,00000,1300,00000TIME SPENT 73972,B100000,00000,1350,00000NO STATISTICS 73972,B100000,00000,1400,00000ASSIGNED TIME 73972,E10A180,00350,0300,11/18/1999 73972,E10A180,00501,0100,07/10/2000 73972,E10A180,00501,0300,07/10/2000 73972,S000000,00100,0200,05/30/2000 73972,S200000,00100,0100,619 NORTH FAIRFAX AVENUE 73972,S200000,00200,0100,LOS ANGELES 73972,S200000,00200,0200,CA 73972,S200000,00200,0300,90036 73972,S200000,00300,0100,LOS ANGELES 73972,S200000,00400,0100,KENNEDY CARE CENTER 73972,S200000,00400,0200,055977 73972,S200000,00400,0300,05/18/1997 73972,S200000,00400,0500,P 73972,S200000,01500,0100,Y 73977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73977,A000000,00300,0000,00300EMPLOYEE BENEFITS 73977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73977,A000000,00700,0000,00700HOUSEKEEPING 73977,A000000,00800,0000,00800DIETARY 73977,A000000,00900,0000,00900NURSING ADMINISTRATION 73977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73977,A000000,01100,0000,01100PHARMACY 73977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73977,A000000,01300,0000,01300SOCIAL SERVICE 73977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73977,A000000,01600,0000,01600SKILLED NURSING FACILITY 73977,A000000,01800,0000,01800NURSING FACILITY 73977,A000000,01810,0000,01810ICF/MR 73977,A000000,02100,0000,02100RADIOLOGY 73977,A000000,02200,0000,02200LABORATORY 73977,A000000,02300,0000,02300INTRAVENOUS THERAPY 73977,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73977,A000000,02500,0000,02500PHYSICAL THERAPY 73977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73977,A000000,02700,0000,02700SPEECH PATHOLOGY 73977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73977,A000000,03200,0000,03200SUPPORT SURFACES 73977,A000000,03550,0000,03550FQHC 73977,A000000,05000,0000,05000CORF 73977,A000000,05010,0000,05010CMHC 73977,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73977,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73977,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73977,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73977,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73977,A81000A,00100,0100,Y 73977,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 73977,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 73977,A81000B,00300,0300,ADJ. HOME OFFICE COSTS 73977,A81000C,00100,0100,A 73977,A81000C,00100,0200,FRANK JOHNSON 73977,A81000C,00100,0400,SUN MAR MANAGEMENT 73977,A81000C,00100,0600,MANAGEMENT COMPANY 73977,B100000,00000,0100,00000SQUARE FEET 73977,B100000,00000,0200,00000SQUARE FEET 73977,B100000,00000,0300,00000GROSS SALARIES 73977,B100000,00000,0400,00000ACCUM. COST 73977,B100000,00000,0500,00000SQUARE FEET 73977,B100000,00000,0600,00000POUNDS OF LAUNDRY 73977,B100000,00000,0700,00000SQUARE FEET 73977,B100000,00000,0800,00000MEALS SERVED 73977,B100000,00000,0900,00000DIRECT NRSING HRS 73977,B100000,00000,1000,00000COSTED REQUIS. 73977,B100000,00000,1100,00000COSTED REQUIS 73977,B100000,00000,1200,00000GROSS REVENUE 73977,B100000,00000,1300,00000PATIENT DAYS 73977,B100000,00000,1400,00000ASSIGNED TIME 73977,E10A180,00501,0100,06/20/2000 73977,E10A180,00550,0300,06/20/2000 73977,S000000,00100,0200,05/25/2000 73977,S200000,00100,0100,501 N. BEACH BLVD. 73977,S200000,00200,0100,ANAHEIM 73977,S200000,00200,0200,CA 73977,S200000,00200,0300,92804 73977,S200000,00300,0100,ORANGE 73977,S200000,00400,0100,ANAHEIM HEALTHCARE CENTER 73977,S200000,00400,0200,055984 73977,S200000,00400,0300,06/18/1996 73977,S200000,00400,0500,P 73977,S200000,00400,0600,O 73977,S200000,00600,0200,055984 73977,S200000,00600,0300,06/18/1996 73977,S200000,00600,0600,P 73977,S200000,01600,0100,Y 73981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73981,A000000,00300,0000,00300EMPLOYEE BENEFITS 73981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73981,A000000,00700,0000,00700HOUSEKEEPING 73981,A000000,00800,0000,00800DIETARY 73981,A000000,00900,0000,00900NURSING ADMINISTRATION 73981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73981,A000000,01100,0000,01100PHARMACY 73981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73981,A000000,01300,0000,01300SOCIAL SERVICE 73981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73981,A000000,01600,0000,01600SKILLED NURSING FACILITY 73981,A000000,01800,0000,01800NURSING FACILITY 73981,A000000,01810,0000,01810ICF/MR 73981,A000000,02100,0000,02100RADIOLOGY 73981,A000000,02200,0000,02200LABORATORY 73981,A000000,02300,0000,02300INTRAVENOUS THERAPY 73981,A000000,02500,0000,02500PHYSICAL THERAPY 73981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73981,A000000,02700,0000,02700SPEECH PATHOLOGY 73981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73981,A000000,03200,0000,03200SUPPORT SURFACES 73981,A000000,03550,0000,03550FQHC 73981,A000000,05000,0000,05000CORF 73981,A000000,05010,0000,05010CMHC 73981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73981,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73981,A81000A,00100,0100,Y 73981,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 73981,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 73981,A81000B,00300,0300,ADJ. HOME OFFICE COSTS 73981,A81000C,00100,0100,A 73981,A81000C,00100,0200,FRANK JOHNSON 73981,A81000C,00100,0400,SUN MAR MANAGEMENT 73981,A81000C,00100,0600,MANAGEMENT COMPANY 73981,B100000,00000,0100,00000SQUARE FEET 73981,B100000,00000,0200,00000SQUARE FEET 73981,B100000,00000,0300,00000GROSS SALARIES 73981,B100000,00000,0400,00000ACCUM. COST 73981,B100000,00000,0500,00000SQUARE FEET 73981,B100000,00000,0600,00000POUNDS OF LAUNDRY 73981,B100000,00000,0700,00000SQUARE FEET 73981,B100000,00000,0800,00000MEALS SERVED 73981,B100000,00000,0900,00000DIRECT NRSING HRS 73981,B100000,00000,1000,00000COSTED REQUIS. 73981,B100000,00000,1100,00000COSTED REQUIS 73981,B100000,00000,1200,00000GROSS REVENUE 73981,B100000,00000,1300,00000PATIENT DAYS 73981,B100000,00000,1400,00000ASSIGNED TIME 73981,E10A180,00501,0300,06/23/2000 73981,E10A180,00550,0100,06/23/2000 73981,S000000,00100,0200,05/25/2000 73981,S200000,00100,0100,610 N. GARFIELD 73981,S200000,00200,0100,MONTEREY PARK 73981,S200000,00200,0200,CA 73981,S200000,00200,0300,91755 73981,S200000,00300,0100,LOS ANGELES 73981,S200000,00400,0100,HERITAGE MANOR HEALTH CARE 73981,S200000,00400,0200,055989 73981,S200000,00400,0300,01/01/1996 73981,S200000,00400,0500,P 73981,S200000,00400,0600,P 73981,S200000,00600,0200,055989 73981,S200000,00600,0300,01/01/1996 73981,S200000,00600,0600,P 73981,S200000,01600,0100,Y 73985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73985,A000000,00300,0000,00300EMPLOYEE BENEFITS 73985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73985,A000000,00700,0000,00700HOUSEKEEPING 73985,A000000,00800,0000,00800DIETARY 73985,A000000,00900,0000,00900NURSING ADMINISTRATION 73985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73985,A000000,01100,0000,01100PHARMACY 73985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73985,A000000,01300,0000,01300SOCIAL SERVICE 73985,A000000,01350,0000,01500OTHER GENERAL SERVICES 73985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73985,A000000,01600,0000,01600SKILLED NURSING FACILITY 73985,A000000,01810,0000,01810ICF/MR 73985,A000000,02100,0000,02100RADIOLOGY 73985,A000000,02200,0000,02200LABORATORY 73985,A000000,02500,0000,02500PHYSICAL THERAPY 73985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73985,A000000,02700,0000,02700SPEECH PATHOLOGY 73985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73985,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73985,A000000,03550,0000,03550FQHC 73985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73985,A000000,05000,0000,05000CORF 73985,A000000,05010,0000,05010CMHC 73985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73985,A81000A,00100,0100,Y 73985,A81000B,00100,0300,MISC 73985,A81000C,00100,0100,B 73985,A81000C,00100,0200,INDEPENDENT QUALITY CARE 73985,A81000C,00100,0400,MCCLURE REHAB 73985,A81000C,00100,0600,SNF 73985,A81000C,00200,0400,NORTHGATE CARE CENTER 73985,A81000C,00200,0600,SNF 73985,A81000C,00300,0400,NURSING INN OF MENLO PARK 73985,A81000C,00300,0600,SNF 73985,A81000C,00400,0400,SAN BRUNO SKILLED NURSING 73985,A81000C,00400,0600,SNF 73985,A81000C,00500,0400,VALLEY POINTE NURSING CTR 73985,A81000C,00500,0600,SNF 73985,A81000C,00600,0400,WOODLAND NURSING INN 73985,A81000C,00600,0600,SNF 73985,B100000,00000,0100,00000SQUARE FEET 73985,B100000,00000,0200,00000SQUARE FEET 73985,B100000,00000,0300,00000GROSS SALARIES 73985,B100000,00000,0400,00000ACCUM. COST 73985,B100000,00000,0500,00000SQUARE FEET 73985,B100000,00000,0600,00000POUNDS OF LAUNDRY 73985,B100000,00000,0700,00000SQUARE FEET 73985,B100000,00000,0800,00000MEALS SERVED 73985,B100000,00000,0900,00000DIRECT NRSING HRS 73985,B100000,00000,1000,00000COSTED REQUIS. 73985,B100000,00000,1100,00000COSTED REQUIS. 73985,B100000,00000,1200,00000TIME SPENT 73985,B100000,00000,1300,00000TIME SPENT 73985,B100000,00000,1350,00000NO STATISTICS 73985,B100000,00000,1400,00000ASSIGNED TIME 73985,E10A180,00501,0100,07/18/2000 73985,E10A180,00501,0300,07/18/2000 73985,S000000,00100,0200,06/30/2000 73985,S200000,00100,0100,1625 DENTON AVENUE 73985,S200000,00200,0100,HAYWARD 73985,S200000,00200,0200,CA 73985,S200000,00200,0300,94545 73985,S200000,00300,0100,ALAMEDA 73985,S200000,00400,0100,COURTARD CARE CENTER 73985,S200000,00400,0200,055999 73985,S200000,00400,0300,06/01/1987 73985,S200000,00400,0500,P 73985,S200000,01500,0100,Y 73988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73988,A000000,00300,0000,00300EMPLOYEE BENEFITS 73988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73988,A000000,00700,0000,00700HOUSEKEEPING 73988,A000000,00800,0000,00800DIETARY 73988,A000000,00900,0000,00900NURSING ADMINISTRATION 73988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73988,A000000,01100,0000,01100PHARMACY 73988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73988,A000000,01300,0000,01300SOCIAL SERVICE 73988,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 73988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73988,A000000,01600,0000,01600SKILLED NURSING FACILITY 73988,A000000,01800,0000,01800NURSING FACILITY 73988,A000000,01810,0000,01810ICF/MR 73988,A000000,02100,0000,02100RADIOLOGY 73988,A000000,02200,0000,02200LABORATORY 73988,A000000,02300,0000,02300INTRAVENOUS THERAPY 73988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73988,A000000,02500,0000,02500PHYSICAL THERAPY 73988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73988,A000000,02700,0000,02700SPEECH PATHOLOGY 73988,A000000,02800,0000,02800ELECTROCARDIOLOGY 73988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73988,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 73988,A000000,03200,0000,03200SUPPORT SURFACES 73988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 73988,A000000,03550,0000,03550FQHC 73988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 73988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 73988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 73988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 73988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 73988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 73988,A000000,04750,0000,05100OCCUPATIONAL THERAPY 73988,A000000,05000,0000,05000CORF 73988,A000000,05010,0000,05010CMHC 73988,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73988,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73988,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73988,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73988,A000000,06151,0000,06350RHC 73988,A000000,06152,0000,06360FQHC 73988,B100000,00000,0100,00060SQUARE FEET 73988,B100000,00000,0200,00060SQUARE FEET 73988,B100000,00000,0300,00060GROSS SALARIES 73988,B100000,00000,0400,00060ACCUM COST 73988,B100000,00000,0500,00060SQUARE FEET 73988,B100000,00000,0600,00060PATIENT DAYS 73988,B100000,00000,0700,00060SQUARE FEET 73988,B100000,00000,0800,00060MEALS SERVED 73988,B100000,00000,0900,00060PATIENT DAYS 73988,B100000,00000,1000,00060PATIENT DAYS 73988,B100000,00000,1100,00060COSTED REQUISITIO 73988,B100000,00000,1200,00060PATIENT DAYS 73988,B100000,00000,1300,00060PATIENT DAYS 73988,B100000,00000,1350,00060COSTED REQUIS. 73988,B100000,00000,1400,00060ASSIGNED TIME 73988,E10A180,00550,0100,01/20/2001 73988,E10A180,00550,0300,01/20/2001 73988,E10A180,00551,0100,04/20/2001 73988,E10A180,00551,0300,04/20/2001 73988,H510100,00000,0000,4480 73988,H510100,02400,0000,4480 73988,H710000,00501,0300,04/20/2001 73988,H710000,00550,0100,04/20/2001 73988,S000000,00100,0200,02/20/2001 73988,S200000,00100,0100,22029 SATICOY STREET 73988,S200000,00200,0100,CANOGA PARK 73988,S200000,00200,0200,CA 73988,S200000,00200,0300,91303 73988,S200000,00300,0100,L 73988,S200000,00400,0100,CANOGA CARE CENTER 73988,S200000,00400,0200,056005 73988,S200000,00400,0300,09/16/1990 73988,S200000,00400,0500,P 73988,S200000,00600,0200,056005 73988,S200000,00600,0300,09/16/1990 73988,S200000,00600,0600,P 73988,S200000,00800,0200,557687 73988,S200000,00800,0300,04/12/1996 73988,S200000,00800,0500,P 73988,S200000,01600,0100,Y 73990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73990,A000000,00300,0000,00300EMPLOYEE BENEFITS 73990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73990,A000000,00700,0000,00700HOUSEKEEPING 73990,A000000,00800,0000,00800DIETARY 73990,A000000,00900,0000,00900NURSING ADMINISTRATION 73990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73990,A000000,01100,0000,01100PHARMACY 73990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73990,A000000,01300,0000,01300SOCIAL SERVICE 73990,A000000,01350,0000,01500OTHER GENERAL SERVICES 73990,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73990,A000000,01600,0000,01600SKILLED NURSING FACILITY 73990,A000000,01810,0000,01810ICF/MR 73990,A000000,02100,0000,02100RADIOLOGY 73990,A000000,02200,0000,02200LABORATORY 73990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73990,A000000,02500,0000,02500PHYSICAL THERAPY 73990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73990,A000000,02700,0000,02700SPEECH PATHOLOGY 73990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73990,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 73990,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 73990,A000000,03550,0000,03550FQHC 73990,A000000,04750,0000,05100OTHER REIMBURSABLE COST 73990,A000000,05000,0000,05000CORF 73990,A000000,05010,0000,05010CMHC 73990,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73990,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73990,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73990,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 73990,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73990,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 73990,B100000,00000,0100,00000SQUARE FEET 73990,B100000,00000,0200,00000SQUARE FEET 73990,B100000,00000,0300,00000GROSS SALARIES 73990,B100000,00000,0400,00000ACCUM. COST 73990,B100000,00000,0500,00000SQUARE FEET 73990,B100000,00000,0600,00000PATIENT DAYS 73990,B100000,00000,0700,00000SQUARE FEET 73990,B100000,00000,0800,00000MEALS SERVED 73990,B100000,00000,0900,00000DIRECT NRSING HRS 73990,B100000,00000,1000,00000COSTED REQUIS. 73990,B100000,00000,1100,00000COSTED REQUIS. 73990,B100000,00000,1200,00000TIME SPENT 73990,B100000,00000,1300,00000TIME SPENT 73990,B100000,00000,1350,00000NO STATISTICS 73990,B100000,00000,1400,00000ASSIGNED TIME 73990,E10A180,00301,0100,10/28/1999 73990,E10A180,00501,0300,04/27/2000 73990,E10A180,00550,0100,04/27/2000 73990,S000000,00100,0200,03/30/2000 73990,S200000,00100,0100,533 S FAIRFAX 73990,S200000,00200,0100,LOS ANGELES 73990,S200000,00200,0200,CA 73990,S200000,00300,0100,LOS ANGELES 73990,S200000,00400,0100,GUARDIAN REHABILITATION HOSPITAL 73990,S200000,00400,0200,056008 73990,S200000,00400,0300,01/01/1967 73990,S200000,00400,0500,P 73990,S200000,00600,0200,056008 73990,S200000,00600,0300,01/01/1967 73990,S200000,00600,0600,P 73990,S200000,01500,0100,Y 73996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 73996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 73996,A000000,00300,0000,00300EMPLOYEE BENEFITS 73996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 73996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 73996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 73996,A000000,00700,0000,00700HOUSEKEEPING 73996,A000000,00800,0000,00800DIETARY 73996,A000000,00900,0000,00900NURSING ADMINISTRATION 73996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 73996,A000000,01100,0000,01100PHARMACY 73996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 73996,A000000,01300,0000,01300SOCIAL SERVICE 73996,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 73996,A000000,01600,0000,01600SKILLED NURSING FACILITY 73996,A000000,01800,0000,01800NURSING FACILITY 73996,A000000,01810,0000,01810ICF/MR 73996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 73996,A000000,02500,0000,02500PHYSICAL THERAPY 73996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 73996,A000000,02700,0000,02700SPEECH PATHOLOGY 73996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 73996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 73996,A000000,03210,0000,03201DURABLE EQUIPT 73996,A000000,03220,0000,03202ENTERAL FEEDING 73996,A000000,03550,0000,03550FQHC 73996,A000000,05000,0000,05000CORF 73996,A000000,05010,0000,05010CMHC 73996,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 73996,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 73996,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 73996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 73996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 73996,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 73996,B100000,00000,0100,00000SQUARE FEET 73996,B100000,00000,0200,00000DOLLAR VALUE 73996,B100000,00000,0300,00000GROSS SALARIES 73996,B100000,00000,0400,00000ACCUM. COST 73996,B100000,00000,0500,00000SQUARE FEET 73996,B100000,00000,0600,00000POUNDS OF LAUNDRY 73996,B100000,00000,0700,00000HOURS OF SERVICE 73996,B100000,00000,0800,00000MEALS SERVED 73996,B100000,00000,0900,00000DIRECT NRSING HRS 73996,B100000,00000,1000,00000COSTED REQUIS. 73996,B100000,00000,1100,00000COSTED REQUIS. 73996,B100000,00000,1200,00000TIME SPENT 73996,B100000,00000,1300,00000TIME SPENT 73996,B100000,00000,1400,00000ASSIGNED TIME 73996,E10A180,00301,0300,01/19/2000 73996,E10A180,00501,0100,08/25/2000 73996,E10A180,00501,0300,08/25/2000 73996,S000000,00100,0200,06/12/2000 73996,S200000,00100,0100,12029 S. AVALON BLVD. 73996,S200000,00200,0100,LOS ANGELES 73996,S200000,00200,0200,CA 73996,S200000,00200,0300,90061 73996,S200000,00300,0100,LOS ANGELES 73996,S200000,00400,0100,GARDEN PLAZA CONVALESCENT HOSP 73996,S200000,00400,0200,056023 73996,S200000,00400,0300,06/01/1982 73996,S200000,00400,0500,P 73996,S200000,00600,0200,056023 73996,S200000,00600,0300,06/01/1982 73996,S200000,00600,0600,P 73996,S200000,01600,0100,Y 73996,S200000,02200,0100,Y 74000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74000,A000000,00300,0000,00300EMPLOYEE BENEFITS 74000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74000,A000000,00700,0000,00700HOUSEKEEPING 74000,A000000,00800,0000,00800DIETARY 74000,A000000,00900,0000,00900NURSING ADMINISTRATION 74000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74000,A000000,01100,0000,01100PHARMACY 74000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74000,A000000,01300,0000,01300SOCIAL SERVICE 74000,A000000,01350,0000,01500OTHER GENERAL SERVICES 74000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74000,A000000,01600,0000,01600SKILLED NURSING FACILITY 74000,A000000,01810,0000,01810ICF/MR 74000,A000000,02100,0000,02100RADIOLOGY 74000,A000000,02200,0000,02200LABORATORY 74000,A000000,02500,0000,02500PHYSICAL THERAPY 74000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74000,A000000,02700,0000,02700SPEECH PATHOLOGY 74000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74000,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74000,A000000,03200,0000,03200SUPPORT SURFACES 74000,A000000,03550,0000,03550FQHC 74000,A000000,05000,0000,05000CORF 74000,A000000,05010,0000,05010CMHC 74000,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74000,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74000,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74000,A81000A,00100,0100,Y 74000,A81000B,00100,0300,MANAGEMENT FEE 74000,A81000B,00200,0300,HOME OFFICE BLDG 74000,A81000B,00300,0300,HOME OFFICE EQUIP 74000,A81000B,00400,0300,BUILDING LEASE 74000,A81000B,00500,0300,CWIC WORK COMP 74000,A81000B,00600,0300,CWIC INSURANCE 74000,A81000B,00700,0300,EMERALD FIXED ASSETS 74000,A81000B,00800,0300,EMERALD A&G SUPP 74000,A81000B,00900,0300,EMERALD MAINT 74000,A81000B,01000,0300,EMERALD L&L 74000,A81000B,01100,0300,EMERALD HSKG 74000,A81000B,01200,0300,EMERALD DIETARY 74000,A81000B,01300,0300,EMERALD NURSE ADMIN 74000,A81000B,01400,0300,PWP ADMIN 74000,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74000,A81000B,01600,0300,PWP HOUSE SUPPLIES 74000,A81000B,01700,0300,PWP MED SUPP 74000,A81000B,01800,0300,PWP PHARMACY 74000,A81000C,00100,0100,F 74000,A81000C,00100,0200,MARTIN HARMON 74000,A81000C,00200,0100,C 74000,A81000C,00200,0400,CARE WEST INSURANCE CO 74000,A81000C,00200,0600,CAPTIVE INSURANCE CO 74000,A81000C,00300,0100,C 74000,A81000C,00300,0400,PACIFIC WEST PHARMACY 74000,A81000C,00300,0600,PHARMACY 74000,A81000C,00400,0100,C 74000,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74000,A81000C,00400,0600,DISTRIBUTORSHIP 74000,A81000C,00500,0100,B 74000,A81000C,00500,0400,HORIZON WEST HDQTRS 74000,A81000C,00500,0600,HOME OFFICD 74000,B100000,00000,0100,00000SQUARE FEET 74000,B100000,00000,0200,00000SQUARE FEET 74000,B100000,00000,0300,00000GROSS SALARIES 74000,B100000,00000,0400,00000ACCUM. COST 74000,B100000,00000,0500,00000SQUARE FEET 74000,B100000,00000,0600,00000CENSUS 74000,B100000,00000,0700,00000NON-DIETAR RY SQ. 74000,B100000,00000,0800,00000MEALS SERVED 74000,B100000,00000,0900,00000DIRECT NURSING HR 74000,B100000,00000,1000,00000COSTED REQS 74000,B100000,00000,1100,00000NO STATISTICS 74000,B100000,00000,1200,00000GROSS REVENUE 74000,B100000,00000,1300,00000CENSUS 74000,B100000,00000,1350,00000NO STATISTICS 74000,B100000,00000,1400,00000ASSIGNED TIME 74000,E10A180,00501,0100,01/09/2001 74000,E10A180,00550,0300,01/09/2001 74000,S000000,00100,0200,01/10/2001 74000,S200000,00100,0100,1299 BASCOM AVE. 74000,S200000,00200,0100,SAN JOSE 74000,S200000,00200,0200,CA 74000,S200000,00200,0300,95128 74000,S200000,00300,0100,S 74000,S200000,00400,0100,EMPRESS CONVALESCENT HOSPITAL 74000,S200000,00400,0200,056026 74000,S200000,00400,0300,08/01/1983 74000,S200000,00400,0500,P 74000,S200000,00400,0600,O 74000,S200000,01500,0100,Y 74003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74003,A000000,00300,0000,00300EMPLOYEE BENEFITS 74003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74003,A000000,00700,0000,00700HOUSEKEEPING 74003,A000000,00800,0000,00800DIETARY 74003,A000000,00900,0000,00900NURSING ADMINISTRATION 74003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74003,A000000,01100,0000,01100PHARMACY 74003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74003,A000000,01300,0000,01300SOCIAL SERVICE 74003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74003,A000000,01600,0000,01600SKILLED NURSING FACILITY 74003,A000000,01810,0000,01810ICF/MR 74003,A000000,02100,0000,02100RADIOLOGY 74003,A000000,02200,0000,02200LABORATORY 74003,A000000,02500,0000,02500PHYSICAL THERAPY 74003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74003,A000000,02700,0000,02700SPEECH PATHOLOGY 74003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74003,A000000,03550,0000,03550FQHC 74003,A000000,05000,0000,05000CORF 74003,A000000,05010,0000,05010CMHC 74003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74003,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74003,A81000A,00100,0100,Y 74003,A81000B,00100,0300,CAP REL COST-BLDG & FIXTURES 74003,A81000B,00200,0300,CAP REL COST-EQUIPMENT 74003,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 74003,A81000C,00100,0100,A 74003,A81000C,00100,0200,NEW VISTA HEALT 74003,A81000C,00100,0400,NEW VISTA HEALT 74003,A81000C,00100,0600,HOME OFFICE 74003,B100000,00000,0100,00000SQUARE FEET 74003,B100000,00000,0200,00000SQUARE FEET 74003,B100000,00000,0300,00000GROSS SALARIES 74003,B100000,00000,0400,00000ACCUM COST 74003,B100000,00000,0500,00000SQUARE FEET 74003,B100000,00000,0600,00000POUNDS OF LAUNDRY 74003,B100000,00000,0700,00000HOURS OF SERVICE 74003,B100000,00000,0800,00000MEALS SERVED 74003,B100000,00000,0900,00000DIRECT NRSG HRS 74003,B100000,00000,1000,00000COSTED REQUIS 74003,B100000,00000,1100,00000COSTED REQUIS 74003,B100000,00000,1200,00000TIME SPENT 74003,B100000,00000,1300,00000TIME SPENT 74003,B100000,00000,1400,00000ASSIGNED TIME 74003,E10A180,00350,0300,11/17/1999 74003,E10A180,00501,0100,08/24/2000 74003,E10A180,00550,0300,08/24/2000 74003,S000000,00100,0200,06/05/2000 74003,S200000,00100,0100,8647 FENWICK STREET 74003,S200000,00200,0100,SUNLAND 74003,S200000,00200,0200,CA 74003,S200000,00200,0300,90028 74003,S200000,00300,0100,SAN FERNANDO 74003,S200000,00400,0100,NEW VISTA NURSING AND REHAB CENTER 74003,S200000,00400,0200,056031 74003,S200000,00400,0300,01/01/1967 74003,S200000,00400,0500,P 74003,S200000,01500,0100,Y 74003,S200000,04300,0100,Y 74006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74006,A000000,00300,0000,00300EMPLOYEE BENEFITS 74006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74006,A000000,00700,0000,00700HOUSEKEEPING 74006,A000000,00800,0000,00800DIETARY 74006,A000000,00900,0000,00900NURSING ADMINISTRATION 74006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74006,A000000,01100,0000,01100PHARMACY 74006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74006,A000000,01300,0000,01300SOCIAL SERVICE 74006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74006,A000000,01600,0000,01600SKILLED NURSING FACILITY 74006,A000000,01800,0000,01800NURSING FACILITY 74006,A000000,01810,0000,01810ICF/MR 74006,A000000,02100,0000,02100RADIOLOGY 74006,A000000,02200,0000,02200LABORATORY 74006,A000000,02300,0000,02300INTRAVENOUS THERAPY 74006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74006,A000000,02500,0000,02500PHYSICAL THERAPY 74006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74006,A000000,02700,0000,02700SPEECH PATHOLOGY 74006,A000000,02800,0000,02800ELECTROCARDIOLOGY 74006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74006,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74006,A000000,03200,0000,03200SUPPORT SURFACES 74006,A000000,03550,0000,03550FQHC 74006,A000000,04800,0000,04800AMBULANCE 74006,A000000,05000,0000,05000CORF 74006,A000000,05010,0000,05010CMHC 74006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74006,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74006,A81000A,00100,0100,Y 74006,A81000B,00100,0300,RENT 74006,A81000B,00200,0300,DEPRECIATION BUILDING 74006,A81000B,00300,0300,INTEREST 74006,A81000B,00400,0300,LOAN FEE AMORTIZATION 74006,A81000B,00500,0300,INSURANCE 74006,A81000B,00600,0300,OTHER EXPENSES 74006,A81000B,00700,0300,MANAGEMENT FEES - STUDIO CITY 74006,A81000C,00100,0100,A 74006,A81000C,00100,0200,ALLEN GOLDEN 74006,A81000C,00100,0400,AVCH PARTNERSH 74006,B100000,00000,0100,00000SQUARE FEET 74006,B100000,00000,0200,00000SQUARE FEET 74006,B100000,00000,0300,00000GROSS SALARIES 74006,B100000,00000,0400,00000ACCUM COST 74006,B100000,00000,0500,00000SQUARE FEET 74006,B100000,00000,0600,00000POUNDS OF LAUNDRY 74006,B100000,00000,0700,00000SQUARE FEET 74006,B100000,00000,0800,00000MEALS SERVED 74006,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74006,B100000,00000,1000,00000PATIENT DAYS 74006,B100000,00000,1100,00000COSTED REQUISITIO 74006,B100000,00000,1200,00000GROSS REVENUES 74006,B100000,00000,1300,00000PATIENT DAYS 74006,B100000,00000,1400,00000ASSIGNED TIME 74006,E10A180,00301,0300,08/31/1999 74006,E10A180,00501,0300,07/11/2000 74006,E10A180,00502,0300,10/27/2000 74006,E10A180,00550,0100,04/28/2000 74006,E10A180,00550,0300,04/28/2000 74006,E10A180,00551,0100,06/23/2000 74006,E10A180,00551,0300,06/23/2000 74006,E10A180,00552,0100,10/27/2000 74006,S000000,00100,0200,05/01/2000 74006,S200000,00100,0100,44445 N. 15TH STREET 74006,S200000,00200,0100,W. LANCASTER 74006,S200000,00200,0200,CALIFORNIA 74006,S200000,00300,0100,LOS ANGELES 74006,S200000,00400,0100,ANTELOPE VALLEY CONVALESCENT HOSP 74006,S200000,00400,0200,056039 74006,S200000,00400,0300,02/17/1969 74006,S200000,00400,0500,P 74006,S200000,00600,0200,056039 74006,S200000,00600,0300,02/17/1969 74006,S200000,00600,0600,P 74006,S200000,01600,0100,Y 74006,S200000,01900,0100,OTHER (SPECIFY) 74006,S200000,04300,0100,Y 74012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74012,A000000,00300,0000,00300EMPLOYEE BENEFITS 74012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74012,A000000,00700,0000,00700HOUSEKEEPING 74012,A000000,00800,0000,00800DIETARY 74012,A000000,00900,0000,00900NURSING ADMINISTRATION 74012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74012,A000000,01100,0000,01100PHARMACY 74012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74012,A000000,01300,0000,01300SOCIAL SERVICE 74012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74012,A000000,01600,0000,01600SKILLED NURSING FACILITY 74012,A000000,01800,0000,01800NURSING FACILITY 74012,A000000,01810,0000,01810ICF/MR 74012,A000000,02100,0000,02100RADIOLOGY 74012,A000000,02200,0000,02200LABORATORY 74012,A000000,02300,0000,02300INTRAVENOUS THERAPY 74012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74012,A000000,02500,0000,02500PHYSICAL THERAPY 74012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74012,A000000,02700,0000,02700SPEECH PATHOLOGY 74012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74012,A000000,03200,0000,03200SUPPORT SURFACES 74012,A000000,03550,0000,03550FQHC 74012,A000000,05000,0000,05000CORF 74012,A000000,05010,0000,05010CMHC 74012,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74012,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74012,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74012,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74012,A81000A,00100,0100,Y 74012,A81000B,00100,0300,MGT FEES 74012,A81000B,00200,0300,CAP REL-BLDG 74012,A81000B,00300,0300,CAP REL-EQUIP 74012,A81000B,00400,0300,RENT EXPENSE 74012,A81000C,00400,0100,B 74012,A81000C,00400,0200,J&L FRIEDMAN 74012,A81000C,00400,0400,LONGWOOD MGT 74012,A81000C,00400,0600,MANAGEMENT 74012,B100000,00000,0100,00000SQUARE FEET 74012,B100000,00000,0200,00000DOLLAR VALUE 74012,B100000,00000,0300,00000GROSS SALARIES 74012,B100000,00000,0400,00000ACCUM. COST 74012,B100000,00000,0500,00000SQUARE FEET 74012,B100000,00000,0600,00000POUNDS OF LAUNDRY 74012,B100000,00000,0700,00000HOURS OF SERVICE 74012,B100000,00000,0800,00000MEALS SERVED 74012,B100000,00000,0900,00000DIRECT NRSING HRS 74012,B100000,00000,1000,00000COSTED REQUIS. 74012,B100000,00000,1100,00000COSTED REQUIS. 74012,B100000,00000,1200,00000TIME SPENT 74012,B100000,00000,1300,00000TIME SPENT 74012,B100000,00000,1400,00000ASSIGNED TIME 74012,E10A180,00301,0300,09/17/1999 74012,E10A180,00501,0100,06/12/2000 74012,E10A180,00550,0100,07/06/2000 74012,E10A180,00550,0300,07/06/2000 74012,E10A180,00551,0300,06/12/2000 74012,S000000,00100,0200,06/15/2000 74012,S200000,00100,0100,1914 E. 5TH ST. 74012,S200000,00200,0100,LONG BEACH 74012,S200000,00200,0200,CA 74012,S200000,00200,0300,90802 74012,S200000,00300,0100,LOS ANGELES 74012,S200000,00400,0100,COLONIAL CARE CENTER 74012,S200000,00400,0200,056043 74012,S200000,00400,0300,01/01/1989 74012,S200000,00400,0500,P 74012,S200000,00600,0200,056043 74012,S200000,00600,0300,01/01/1989 74012,S200000,00600,0600,P 74012,S200000,01600,0100,Y 74012,S200000,04300,0100,Y 74016,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74016,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74016,A000000,00300,0000,00300EMPLOYEE BENEFITS 74016,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74016,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74016,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74016,A000000,00700,0000,00700HOUSEKEEPING 74016,A000000,00800,0000,00800DIETARY 74016,A000000,00900,0000,00900NURSING ADMINISTRATION 74016,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74016,A000000,01100,0000,01100PHARMACY 74016,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74016,A000000,01300,0000,01300SOCIAL SERVICE 74016,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74016,A000000,01600,0000,01600SKILLED NURSING FACILITY 74016,A000000,01810,0000,01810ICF/MR 74016,A000000,02100,0000,02100RADIOLOGY 74016,A000000,02200,0000,02200LABORATORY 74016,A000000,02500,0000,02500PHYSICAL THERAPY 74016,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74016,A000000,02700,0000,02700SPEECH PATHOLOGY 74016,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74016,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74016,A000000,03200,0000,03200SUPPORT SURFACES 74016,A000000,03550,0000,03550FQHC 74016,A000000,05000,0000,05000CORF 74016,A000000,05010,0000,05010CMHC 74016,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74016,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74016,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74016,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74016,A81000A,00100,0100,Y 74016,A81000B,00100,0300,MANAGEMENT FEES 74016,A81000C,00100,0100,A 74016,A81000C,00100,0200,C VAN HORST 74016,A81000C,00100,0400,BRIGHTON 74016,A81000C,00100,0600,MGT 74016,A81000C,00200,0100,A 74016,A81000C,00200,0200,BERRY CROW 74016,A81000C,00200,0400,GRIGHTON 74016,A81000C,00200,0600,MGT 74016,B100000,00000,0100,00000SQUARE FEET 74016,B100000,00000,0200,00000DOLLAR VALUE 74016,B100000,00000,0300,00000GROSS SALARIES 74016,B100000,00000,0400,00000ACCUM. COST 74016,B100000,00000,0500,00000SQUARE FEET 74016,B100000,00000,0600,00000POUNDS OF LAUNDRY 74016,B100000,00000,0700,00000HOURS OF SERVICE 74016,B100000,00000,0800,00000MEALS SERVED 74016,B100000,00000,0900,00000DIRECT NRSING HRS 74016,B100000,00000,1000,00000COSTED REQUIS. 74016,B100000,00000,1100,00000COSTED REQUIS. 74016,B100000,00000,1200,00000TIME SPENT 74016,B100000,00000,1300,00000TIME SPENT 74016,B100000,00000,1400,00000ASSIGNED TIME 74016,E10A180,00501,0100,07/26/2000 74016,E10A180,00501,0300,07/26/2000 74016,S000000,00100,0200,06/06/2000 74016,S200000,00100,0100,8625 LA MAR STREET 74016,S200000,00200,0100,SPRING VALLEY 74016,S200000,00200,0200,CA 74016,S200000,00200,0300,91977 74016,S200000,00300,0100,SAN DIEGO 74016,S200000,00400,0100,BRIGHTON PLACE EAST 74016,S200000,00400,0200,056062 74016,S200000,00400,0300,04/01/1989 74016,S200000,00400,0500,P 74016,S200000,01500,0100,Y 74021,S000000,00100,0200,06/05/2000 74024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74024,A000000,00300,0000,00300EMPLOYEE BENEFITS 74024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74024,A000000,00700,0000,00700HOUSEKEEPING 74024,A000000,00800,0000,00800DIETARY 74024,A000000,00900,0000,00900NURSING ADMINISTRATION 74024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74024,A000000,01100,0000,01100PHARMACY 74024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74024,A000000,01300,0000,01300SOCIAL SERVICE 74024,A000000,01350,0000,01500OTHER GENERAL SERVICES 74024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74024,A000000,01600,0000,01600SKILLED NURSING FACILITY 74024,A000000,01800,0000,01800NURSING FACILITY 74024,A000000,01810,0000,01810ICF/MR 74024,A000000,02100,0000,02100RADIOLOGY 74024,A000000,02200,0000,02200LABORATORY 74024,A000000,02500,0000,02500PHYSICAL THERAPY 74024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74024,A000000,02700,0000,02700SPEECH PATHOLOGY 74024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74024,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74024,A000000,03200,0000,03200SUPPORT SURFACES 74024,A000000,03550,0000,03550FQHC 74024,A000000,05000,0000,05000CORF 74024,A000000,05010,0000,05010CMHC 74024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74024,A81000A,00100,0100,Y 74024,A81000B,00100,0300,MANAGEMENT FEE 74024,A81000B,00200,0300,HOME OFFICE BLDG 74024,A81000B,00300,0300,HOME OFFICE EQUIP 74024,A81000B,00400,0300,BUILDING LEASE 74024,A81000B,00500,0300,CWIC WORK COMP 74024,A81000B,00600,0300,CWIC INSURANCE 74024,A81000B,00700,0300,EMERALD FIXED ASSETS 74024,A81000B,00800,0300,EMERALD A&G SUPP 74024,A81000B,00900,0300,EMERALD MAINT 74024,A81000B,01000,0300,EMERALD L&L 74024,A81000B,01100,0300,EMERALD DIETARY 74024,A81000B,01200,0300,EMERALD NURSE ADMIN 74024,A81000B,01300,0300,EMERALD THERAPY SUPP 74024,A81000B,01400,0300,EMERALD MED SUPP 74024,A81000B,01500,0300,PWP ADMIN 74024,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 74024,A81000B,01700,0300,PWP HOUSE SUPPLIES 74024,A81000B,01800,0300,PWP MED SUPP 74024,A81000B,01900,0300,PWP PHARMACY 74024,A81000C,00100,0100,F 74024,A81000C,00100,0200,MARTIN HARMON 74024,A81000C,00200,0100,C 74024,A81000C,00200,0400,CARE WEST INSURANCE CO\ 74024,A81000C,00200,0600,CAPTIVE INSURANCE CO 74024,A81000C,00300,0100,C 74024,A81000C,00300,0400,PACIFIC WEST PHARMACY 74024,A81000C,00300,0600,PHARMACY 74024,A81000C,00400,0100,C 74024,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74024,A81000C,00400,0600,DISTRIBUTORSHIP 74024,A81000C,00500,0100,B 74024,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74024,A81000C,00500,0600,HOME OFFICE 74024,B100000,00000,0100,00000SQUARE FEET 74024,B100000,00000,0200,00000SQUARE FEET 74024,B100000,00000,0300,00000GROSS SALARIES 74024,B100000,00000,0400,00000ACCUM. COST 74024,B100000,00000,0500,00000SQUARE FEET 74024,B100000,00000,0600,00000POUNDS OF LAUNDRY 74024,B100000,00000,0700,00000NON-DIETAR RY SQ. 74024,B100000,00000,0800,00000MEALS SERVED 74024,B100000,00000,0900,00000DIRECT NURSING HR 74024,B100000,00000,1000,00000COSTED REQS 74024,B100000,00000,1100,00000NO STATISTICS 74024,B100000,00000,1200,00000GROSS REVENUE 74024,B100000,00000,1300,00000CENSUS 74024,B100000,00000,1350,00000NO STATISTICS 74024,B100000,00000,1400,00000ASSIGNED TIME 74024,E10A180,00501,0100,01/31/2001 74024,E10A180,00501,0300,01/31/2001 74024,S000000,00100,0200,01/10/2001 74024,S200000,00100,0100,5255 HEMLOCK STREET 74024,S200000,00200,0100,SACRAMENTO 74024,S200000,00200,0200,CA 74024,S200000,00200,0300,95841 74024,S200000,00300,0100,S 74024,S200000,00400,0100,HERITAGE CONVALESCENT HOSPITAL 74024,S200000,00400,0200,056073 74024,S200000,00400,0300,07/01/1974 74024,S200000,00400,0500,P 74024,S200000,00400,0600,O 74024,S200000,00600,0200,056073 74024,S200000,00600,0300,07/01/1974 74024,S200000,00600,0600,P 74024,S200000,01600,0100,Y 74029,S000000,00100,0200,06/02/2000 74032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74032,A000000,00300,0000,00300EMPLOYEE BENEFITS 74032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74032,A000000,00700,0000,00700HOUSEKEEPING 74032,A000000,00800,0000,00800DIETARY 74032,A000000,00900,0000,00900NURSING ADMINISTRATION 74032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74032,A000000,01100,0000,01100PHARMACY 74032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74032,A000000,01300,0000,01300SOCIAL SERVICE 74032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74032,A000000,01600,0000,01600SKILLED NURSING FACILITY 74032,A000000,01800,0000,01800NURSING FACILITY 74032,A000000,01810,0000,01810ICF/MR 74032,A000000,02100,0000,02100RADIOLOGY 74032,A000000,02200,0000,02200LABORATORY 74032,A000000,02300,0000,02300INTRAVENOUS THERAPY 74032,A000000,02500,0000,02500PHYSICAL THERAPY 74032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74032,A000000,02700,0000,02700SPEECH PATHOLOGY 74032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74032,A000000,03200,0000,03200SUPPORT SURFACES 74032,A000000,03550,0000,03550FQHC 74032,A000000,05000,0000,05000CORF 74032,A000000,05010,0000,05010CMHC 74032,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74032,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74032,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74032,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74032,A81000A,00100,0100,Y 74032,A81000B,00100,0300,MANAGEMENT SERVICES 74032,A81000B,00200,0300,HOME OFFICE BUILDING 74032,A81000B,00300,0300,HOME OFFICE EQUIPMENT 74032,A81000C,00100,0100,A 74032,A81000C,00100,0200,MARTHA LANG 74032,A81000C,00100,0400,MARLINDA MANAGEMENT 74032,A81000C,00100,0600,MANAGEMENT COMPANY 74032,B100000,00000,0100,00000SQUARE FEET 74032,B100000,00000,0200,00000SQUARE FEET 74032,B100000,00000,0300,00000GROSS SALARIES 74032,B100000,00000,0400,00000ACCUM. COST 74032,B100000,00000,0500,00000SQUARE FEET 74032,B100000,00000,0600,00000POUNDS OF LAUNDRY 74032,B100000,00000,0700,00000SQUARE FEET 74032,B100000,00000,0800,00000MEALS SERVED 74032,B100000,00000,0900,00000DIRECT NRSING HRS 74032,B100000,00000,1000,00000COSTED REQUIS 74032,B100000,00000,1100,00000COSTED REQUIS 74032,B100000,00000,1200,00000GROSS REVENUE 74032,B100000,00000,1300,00000PATIENT DAYS 74032,B100000,00000,1400,00000ASSIGNED TIME 74032,E10A180,00501,0100,06/28/2000 74032,S000000,00100,0200,05/30/2000 74032,S200000,00100,0100,150 BELLEFONTAINE 74032,S200000,00200,0100,PASADENA 74032,S200000,00200,0200,CA 74032,S200000,00200,0300,91105 74032,S200000,00300,0100,LOS ANGELES 74032,S200000,00400,0100,MARLINDA IMPERIAL CONVALESCENT HOSP. 74032,S200000,00400,0200,056080 74032,S200000,00400,0300,01/01/1979 74032,S200000,00400,0500,P 74032,S200000,00600,0200,056080 74032,S200000,00600,0300,01/01/1979 74032,S200000,00600,0600,P 74032,S200000,01600,0100,Y 74035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74035,A000000,00300,0000,00300EMPLOYEE BENEFITS 74035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74035,A000000,00700,0000,00700HOUSEKEEPING 74035,A000000,00800,0000,00800DIETARY 74035,A000000,00900,0000,00900NURSING ADMINISTRATION 74035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74035,A000000,01100,0000,01100PHARMACY 74035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74035,A000000,01300,0000,01300SOCIAL SERVICE 74035,A000000,01350,0000,01500OTHER GENERAL SERVICES 74035,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74035,A000000,01600,0000,01600SKILLED NURSING FACILITY 74035,A000000,02100,0000,02100RADIOLOGY 74035,A000000,02500,0000,02500PHYSICAL THERAPY 74035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74035,A000000,02700,0000,02700SPEECH PATHOLOGY 74035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74035,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74035,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74035,A000000,03550,0000,03550FQHC 74035,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74035,A000000,05000,0000,05000CORF 74035,A000000,05010,0000,05010CMHC 74035,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74035,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74035,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74035,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74035,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74035,B100000,00000,0100,00000SQUARE FEET 74035,B100000,00000,0200,00000SQUARE FEET 74035,B100000,00000,0300,00000GROSS SALARIES 74035,B100000,00000,0400,00000ACCUM. COST 74035,B100000,00000,0500,00000SQUARE FEET 74035,B100000,00000,0600,00000POUNDS OF LAUNDRY 74035,B100000,00000,0700,00000HOURS OF SERVICE 74035,B100000,00000,0800,00000MEALS SERVED 74035,B100000,00000,0900,00000DIRECT NRSING HRS 74035,B100000,00000,1000,00000COSTED REQUIS. 74035,B100000,00000,1100,00000COSTED REQUIS. 74035,B100000,00000,1200,00000TIME SPENT 74035,B100000,00000,1300,00000TIME SPENT 74035,B100000,00000,1350,00000NO STATISTICS 74035,B100000,00000,1400,00000ASSIGNED TIME 74035,E10A180,00550,0100,02/07/2001 74035,E10A180,00550,0300,02/07/2001 74035,S000000,00100,0200,01/16/2001 74035,S200000,00100,0100,2600 A STREET 74035,S200000,00200,0100,LA VERNE 74035,S200000,00200,0200,CA 74035,S200000,00200,0300,91750 74035,S200000,00300,0100,L 74035,S200000,00400,0100,WOODS HEALTH SERVICES 74035,S200000,00400,0200,056083 74035,S200000,00400,0300,06/09/1976 74035,S200000,00400,0500,P 74035,S200000,01500,0100,Y 74038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74038,A000000,00300,0000,00300EMPLOYEE BENEFITS 74038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74038,A000000,00700,0000,00700HOUSEKEEPING 74038,A000000,00800,0000,00800DIETARY 74038,A000000,00900,0000,00900NURSING ADMINISTRATION 74038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74038,A000000,01100,0000,01100PHARMACY 74038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74038,A000000,01300,0000,01300SOCIAL SERVICE 74038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74038,A000000,01600,0000,01600SKILLED NURSING FACILITY 74038,A000000,01800,0000,01800NURSING FACILITY 74038,A000000,01810,0000,01810ICF/MR 74038,A000000,02100,0000,02100RADIOLOGY 74038,A000000,02200,0000,02200LABORATORY 74038,A000000,02300,0000,02300INTRAVENOUS THERAPY 74038,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74038,A000000,02500,0000,02500PHYSICAL THERAPY 74038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74038,A000000,02700,0000,02700SPEECH PATHOLOGY 74038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74038,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74038,A000000,03550,0000,03550FQHC 74038,A000000,05000,0000,05000CORF 74038,A000000,05010,0000,05010CMHC 74038,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74038,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74038,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74038,B100000,00000,0100,00040SQUARE FEET 74038,B100000,00000,0200,00040DOLLAR VALUE 74038,B100000,00000,0300,00040GROSS SALARIES 74038,B100000,00000,0400,00040ACCUM. COST 74038,B100000,00000,0500,00040SQUARE FEET 74038,B100000,00000,0600,00040POUNDS OF LAUNDRY 74038,B100000,00000,0700,00040HOURS OF SERVICE 74038,B100000,00000,0800,00040MEALS SERVED 74038,B100000,00000,0900,00040DIRECT NRSING HRS 74038,B100000,00000,1000,00040COSTED REQUIS. 74038,B100000,00000,1100,00040COSTED REQUIS. 74038,B100000,00000,1200,00040TIME SPENT 74038,B100000,00000,1300,00040TIME SPENT 74038,B100000,00000,1400,00040ASSIGNED TIME 74038,E10A180,00350,0300,09/08/1999 74038,E10A180,00550,0100,06/28/2000 74038,E10A180,00550,0300,06/28/2000 74038,S000000,00100,0200,06/19/2000 74038,S200000,00100,0100,14040 ASTORIA STREET 74038,S200000,00200,0100,SYLMAR 74038,S200000,00200,0200,CA 74038,S200000,00200,0300,91342 74038,S200000,00300,0100,LOS ANGELES 74038,S200000,00400,0100,ASTORIA CONVALESCENT HOSPITAL 74038,S200000,00400,0200,056084 74038,S200000,00400,0300,01/01/1970 74038,S200000,00400,0500,P 74038,S200000,00600,0200,056084 74038,S200000,00600,0300,01/01/1970 74038,S200000,00600,0600,P 74038,S200000,01600,0100,Y 74041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74041,A000000,00300,0000,00300EMPLOYEE BENEFITS 74041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74041,A000000,00700,0000,00700HOUSEKEEPING 74041,A000000,00800,0000,00800DIETARY 74041,A000000,00900,0000,00900NURSING ADMINISTRATION 74041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74041,A000000,01100,0000,01100PHARMACY 74041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74041,A000000,01300,0000,01300SOCIAL SERVICE 74041,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74041,A000000,01600,0000,01600SKILLED NURSING FACILITY 74041,A000000,01800,0000,01800NURSING FACILITY 74041,A000000,01810,0000,01810ICF/MR 74041,A000000,02100,0000,02100RADIOLOGY 74041,A000000,02200,0000,02200LABORATORY 74041,A000000,02300,0000,02300INTRAVENOUS THERAPY 74041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74041,A000000,02500,0000,02500PHYSICAL THERAPY 74041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74041,A000000,02700,0000,02700SPEECH PATHOLOGY 74041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74041,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74041,A000000,03200,0000,03200SUPPORT SURFACES 74041,A000000,03550,0000,03550FQHC 74041,A000000,05000,0000,05000CORF 74041,A000000,05010,0000,05010CMHC 74041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74041,A81000A,00100,0100,Y 74041,A81000B,00100,0300,SUPPORT SERVICES 74041,A81000B,00200,0300,RELATED PARTY RENT 74041,A81000B,00300,0300,INTEREST EXPENSE 74041,A81000B,00400,0300,DEPRECIATION EXPENSE 74041,A81000B,00500,0300,SUPPORT SERVICES 74041,A81000C,00100,0100,B 74041,A81000C,00100,0400,QUALITY HEALTH 74041,A81000C,00100,0600,SUPPORT SERVICE 74041,A81000C,00200,0100,B 74041,A81000C,00200,0200,TOPANGA FAC LLC 74041,A81000C,00200,0400,TOPANGA FAC LLC 74041,A81000C,00200,0600,PROPERTY MGT. 74041,B100000,00000,0100,00000SQUARE FEET 74041,B100000,00000,0200,00000SQUARE FEET 74041,B100000,00000,0300,00000GROSS SALARIES 74041,B100000,00000,0400,00000ACCUM COST 74041,B100000,00000,0500,00000SQUARE FEET 74041,B100000,00000,0600,00000POUNDS OF LAUNDRY 74041,B100000,00000,0700,00000SQUARE FEET 74041,B100000,00000,0800,00000MEALS SERVED 74041,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74041,B100000,00000,1000,00000COSTED REQUISITIO 74041,B100000,00000,1100,00000PATIENT DAYS 74041,B100000,00000,1200,00000GROSS REVENUES 74041,B100000,00000,1300,00000PATIENT DAYS 74041,B100000,00000,1400,00000ASSIGNED TIME 74041,E10A180,00501,0100,08/08/2000 74041,E10A180,00550,0300,08/08/2000 74041,S000000,00100,0200,06/01/2000 74041,S200000,00100,0100,22125 ROSCOE BLVD. 74041,S200000,00200,0100,CANOGA PARK 74041,S200000,00200,0200,91304 74041,S200000,00300,0100,LOS ANGELES 74041,S200000,00400,0100,TOPANGA TERRACE 74041,S200000,00400,0200,056092 74041,S200000,00400,0300,01/01/1973 74041,S200000,00400,0500,P 74041,S200000,00600,0200,056092 74041,S200000,00600,0300,01/01/1973 74041,S200000,00600,0600,P 74041,S200000,01600,0100,Y 74051,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74051,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74051,A000000,00300,0000,00300EMPLOYEE BENEFITS 74051,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74051,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74051,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74051,A000000,00700,0000,00700HOUSEKEEPING 74051,A000000,00800,0000,00800DIETARY 74051,A000000,00900,0000,00900NURSING ADMINISTRATION 74051,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74051,A000000,01100,0000,01100PHARMACY 74051,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74051,A000000,01300,0000,01300SOCIAL SERVICE 74051,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74051,A000000,01600,0000,01600SKILLED NURSING FACILITY 74051,A000000,01800,0000,01800NURSING FACILITY 74051,A000000,01810,0000,01810ICF/MR 74051,A000000,02100,0000,02100RADIOLOGY 74051,A000000,02200,0000,02200LABORATORY 74051,A000000,02300,0000,02300INTRAVENOUS THERAPY 74051,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74051,A000000,02500,0000,02500PHYSICAL THERAPY 74051,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74051,A000000,02700,0000,02700SPEECH PATHOLOGY 74051,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74051,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74051,A000000,03200,0000,03200SUPPORT SURFACES 74051,A000000,03550,0000,03550FQHC 74051,A000000,05000,0000,05000CORF 74051,A000000,05010,0000,05010CMHC 74051,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74051,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74051,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74051,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74051,A81000A,00100,0100,Y 74051,A81000B,00100,0300,MANAGEMENT FEES 74051,A81000B,00200,0300,PHYSICAL THERAPY 74051,A81000B,00300,0300,OCCUPATIONAL THERAPY 74051,A81000B,00400,0300,RESPIRATORY THERAPY 74051,A81000B,00500,0300,SPEECH THERAPY 74051,A81000B,00600,0300,MEDICAL SUPPLIES 74051,A81000B,00700,0300,MEDICAL SUPPLIES 74051,A81000B,00800,0300,MEDICAL SUPPLIES 74051,A81000B,00900,0300,IV THERAPY 74051,A81000B,01000,0300,PHARMACY 74051,A81000B,01100,0300,HOME OFFICE - BUILDING 74051,A81000B,01200,0300,HOME OFFICE - EQUIPMENT 74051,A81000B,01300,0300,ENTERAL FEEDINGS 74051,A81000C,00100,0100,B 74051,A81000C,00100,0200,FOUNTAIN VIEW INC. 74051,A81000C,00100,0400,ALEXANDRIA CONV. HOSPITAL 74051,A81000C,00100,0600,SNF 74051,A81000C,00200,0100,B 74051,A81000C,00200,0200,FOUNTAIN VIEW INC. 74051,A81000C,00200,0400,LOCOMOTION 74051,A81000C,00200,0600,THERAPY COMPANY 74051,A81000C,00300,0100,B 74051,A81000C,00300,0200,FOUNTAIN VIEW INC 74051,A81000C,00300,0400,I N O 74051,A81000C,00300,0600,MEDICAL SUPPLY 74051,A81000C,00400,0100,B 74051,A81000C,00400,0200,FOUNTAIN VIEW INC. 74051,A81000C,00400,0400,SKILLED CARE PHARMACY 74051,A81000C,00400,0600,PHARMACY 74051,B100000,00000,0100,00000SQUARE FEET 74051,B100000,00000,0200,00000SQUARE FEET 74051,B100000,00000,0300,00000GROSS SALARIES 74051,B100000,00000,0400,00000ACCUM. COST 74051,B100000,00000,0500,00000SQUARE FEET 74051,B100000,00000,0600,00000POUNDS OF LAUNDRY 74051,B100000,00000,0700,00000SQUARE FEET 74051,B100000,00000,0800,00000MEALS SERVED 74051,B100000,00000,0900,00000DIRECT NRSING HRS 74051,B100000,00000,1000,00000COSTED REQUIS 74051,B100000,00000,1100,00000COSTED REQUIS 74051,B100000,00000,1200,00000GROSS REVENUE 74051,B100000,00000,1300,00000PATIENT DAYS 74051,B100000,00000,1400,00000ASSIGNED TIME 74051,E10A180,00350,0300,09/16/1999 74051,E10A180,00501,0100,08/23/2000 74051,E10A180,00550,0300,08/23/2000 74051,S000000,00100,0200,06/01/2000 74051,S200000,00100,0100,1515 N. ALEXANDRIA AVENUE 74051,S200000,00200,0100,LOS ANGELES 74051,S200000,00200,0200,CA 74051,S200000,00200,0300,90027 74051,S200000,00300,0100,LOS ANGELES 74051,S200000,00400,0100,ALEXANDRIA CONVALESCENT HOSPITAL 74051,S200000,00400,0200,056113 74051,S200000,00400,0300,11/01/1992 74051,S200000,00400,0500,P 74051,S200000,00600,0200,056113 74051,S200000,00600,0300,11/01/1992 74051,S200000,00600,0600,P 74051,S200000,01600,0100,Y 74053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74053,A000000,00300,0000,00300EMPLOYEE BENEFITS 74053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74053,A000000,00700,0000,00700HOUSEKEEPING 74053,A000000,00800,0000,00800DIETARY 74053,A000000,00900,0000,00900NURSING ADMINISTRATION 74053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74053,A000000,01100,0000,01100PHARMACY 74053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74053,A000000,01300,0000,01300SOCIAL SERVICE 74053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74053,A000000,01600,0000,01600SKILLED NURSING FACILITY 74053,A000000,01800,0000,01800NURSING FACILITY 74053,A000000,01810,0000,01810ICF/MR 74053,A000000,02100,0000,02100RADIOLOGY 74053,A000000,02200,0000,02200LABORATORY 74053,A000000,02500,0000,02500PHYSICAL THERAPY 74053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74053,A000000,02700,0000,02700SPEECH PATHOLOGY 74053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74053,A000000,03550,0000,03550FQHC 74053,A000000,05000,0000,05000CORF 74053,A000000,05010,0000,05010CMHC 74053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74053,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74053,B100000,00000,0100,00000SQUARE FEET 74053,B100000,00000,0200,00000SQUARE FEET 74053,B100000,00000,0300,00000GROSS SALARIES 74053,B100000,00000,0400,00000ACCUM. COST 74053,B100000,00000,0500,00000SQUARE FEET 74053,B100000,00000,0600,00000POUNDS OF LAUNDRY 74053,B100000,00000,0700,00000SQUARE FEET 74053,B100000,00000,0800,00000MEALS SERVED 74053,B100000,00000,0900,00000DIRECT NRSING HRS 74053,B100000,00000,1000,00000COSTED REQUIS 74053,B100000,00000,1100,00000COSTED REQUIS 74053,B100000,00000,1200,00000TIME SPENT 74053,B100000,00000,1300,00000PATIENT DAYS 74053,B100000,00000,1400,00000ASSIGNED TIME 74053,E10A180,00501,0100,10/17/2000 74053,E10A180,00550,0300,10/17/2000 74053,S000000,00100,0200,08/31/2000 74053,S200000,00100,0100,330 W. ROWLAND AVENUE 74053,S200000,00200,0100,COVINA 74053,S200000,00200,0200,CA 74053,S200000,00200,0300,91723 74053,S200000,00300,0100,LOS ANGELES 74053,S200000,00400,0100,THE ROWLAND CONVALESCENT HOSPITAL 74053,S200000,00400,0200,056117 74053,S200000,00400,0300,04/01/1980 74053,S200000,00400,0500,P 74053,S200000,00400,0600,O 74053,S200000,00600,0200,056117 74053,S200000,00600,0300,04/01/1980 74053,S200000,00600,0600,P 74053,S200000,01600,0100,Y 74054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74054,A000000,00300,0000,00300EMPLOYEE BENEFITS 74054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74054,A000000,00700,0000,00700HOUSEKEEPING 74054,A000000,00800,0000,00800DIETARY 74054,A000000,00900,0000,00900NURSING ADMINISTRATION 74054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74054,A000000,01100,0000,01100PHARMACY 74054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74054,A000000,01300,0000,01300SOCIAL SERVICE 74054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74054,A000000,01600,0000,01600SKILLED NURSING FACILITY 74054,A000000,01810,0000,01810ICF/MR 74054,A000000,02100,0000,02100RADIOLOGY 74054,A000000,02200,0000,02200LABORATORY 74054,A000000,02500,0000,02500PHYSICAL THERAPY 74054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74054,A000000,02700,0000,02700SPEECH PATHOLOGY 74054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74054,A000000,03200,0000,03200SUPPORT SURFACES 74054,A000000,03550,0000,03550FQHC 74054,A000000,05000,0000,05000CORF 74054,A000000,05010,0000,05010CMHC 74054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74054,B100000,00000,0100,00040SQUARE FEET 74054,B100000,00000,0200,00040DOLLAR VALUE 74054,B100000,00000,0300,00040GROSS SALARIES 74054,B100000,00000,0400,00040ACCUM. COST 74054,B100000,00000,0500,00040SQUARE FEET 74054,B100000,00000,0600,00040POUNDS OF LAUNDRY 74054,B100000,00000,0700,00040HOURS OF SERVICE 74054,B100000,00000,0800,00040MEALS SERVED 74054,B100000,00000,0900,00040DIRECT NRSING HRS 74054,B100000,00000,1000,00040COSTED REQUIS. 74054,B100000,00000,1100,00040COSTED REQUIS. 74054,B100000,00000,1200,00040TIME SPENT 74054,B100000,00000,1300,00040TIME SPENT 74054,B100000,00000,1400,00040ASSIGNED TIME 74054,E10A180,00550,0300,06/22/2000 74054,S000000,00100,0200,06/23/2000 74054,S200000,00100,0100,1515 N FAIR OAKS AVE 74054,S200000,00200,0100,PASADENA 74054,S200000,00200,0200,CA 74054,S200000,00200,0300,91103 74054,S200000,00300,0100,LOS ANGELES 74054,S200000,00400,0100,VILLA OAKS CONVALESCENT HOSP 74054,S200000,00400,0200,056123 74054,S200000,00400,0300,03/01/1989 74054,S200000,00400,0500,P 74054,S200000,01500,0100,Y 74056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74056,A000000,00300,0000,00300EMPLOYEE BENEFITS 74056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74056,A000000,00700,0000,00700HOUSEKEEPING 74056,A000000,00800,0000,00800DIETARY 74056,A000000,00900,0000,00900NURSING ADMINISTRATION 74056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74056,A000000,01100,0000,01100PHARMACY 74056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74056,A000000,01300,0000,01300SOCIAL SERVICE 74056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74056,A000000,01600,0000,01600SKILLED NURSING FACILITY 74056,A000000,01800,0000,01800NURSING FACILITY 74056,A000000,01810,0000,01810ICF/MR 74056,A000000,02100,0000,02100RADIOLOGY 74056,A000000,02200,0000,02200LABORATORY 74056,A000000,02300,0000,02300INTRAVENOUS THERAPY 74056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74056,A000000,02500,0000,02500PHYSICAL THERAPY 74056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74056,A000000,02700,0000,02700SPEECH PATHOLOGY 74056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74056,A000000,03200,0000,03200SUPPORT SURFACES 74056,A000000,03550,0000,03550FQHC 74056,A000000,05000,0000,05000CORF 74056,A000000,05010,0000,05010CMHC 74056,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74056,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74056,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74056,A81000A,00100,0100,Y 74056,A81000B,00100,0300,MANAGEMENT FEES 74056,A81000B,00200,0300,CAP REL-BLDG 74056,A81000B,00300,0300,CAP REL-EQUIP 74056,A81000B,00400,0300,RENT EXPENSE 74056,A81000C,00400,0100,B 74056,A81000C,00400,0200,J&L FRIEDMAN 74056,A81000C,00400,0400,LONGWOOD MGT 74056,A81000C,00400,0600,MANAGEMENT 74056,B100000,00000,0100,00000SQUARE FEET 74056,B100000,00000,0200,00000DOLLAR VALUE 74056,B100000,00000,0300,00000GROSS SALARIES 74056,B100000,00000,0400,00000ACCUM. COST 74056,B100000,00000,0500,00000SQUARE FEET 74056,B100000,00000,0600,00000POUNDS OF LAUNDRY 74056,B100000,00000,0700,00000HOURS OF SERVICE 74056,B100000,00000,0800,00000MEALS SERVED 74056,B100000,00000,0900,00000DIRECT NRSING HRS 74056,B100000,00000,1000,00000COSTED REQUIS. 74056,B100000,00000,1100,00000COSTED REQUIS. 74056,B100000,00000,1200,00000TIME SPENT 74056,B100000,00000,1300,00000TIME SPENT 74056,B100000,00000,1400,00000ASSIGNED TIME 74056,E10A180,00501,0100,07/14/2000 74056,E10A180,00501,0300,07/14/2000 74056,S000000,00100,0200,06/15/2000 74056,S200000,00100,0100,537 W. LIVE OAK 74056,S200000,00200,0100,SAN GABRIEL 74056,S200000,00200,0200,CA 74056,S200000,00200,0300,91776 74056,S200000,00300,0100,LOS ANGELES 74056,S200000,00400,0100,COMMUNITY CONV OF SAN GABRIEL 74056,S200000,00400,0200,056127 74056,S200000,00400,0300,11/03/1993 74056,S200000,00400,0500,P 74056,S200000,00600,0200,056127 74056,S200000,00600,0300,11/03/1993 74056,S200000,00600,0600,P 74056,S200000,01600,0100,Y 74056,S200000,04300,0100,Y 74061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74061,A000000,00300,0000,00300EMPLOYEE BENEFITS 74061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74061,A000000,00700,0000,00700HOUSEKEEPING 74061,A000000,00800,0000,00800DIETARY 74061,A000000,00900,0000,00900NURSING ADMINISTRATION 74061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74061,A000000,01100,0000,01100PHARMACY 74061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74061,A000000,01300,0000,01300SOCIAL SERVICE 74061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74061,A000000,01600,0000,01600SKILLED NURSING FACILITY 74061,A000000,01800,0000,01800NURSING FACILITY 74061,A000000,01810,0000,01810ICF/MR 74061,A000000,02100,0000,02100RADIOLOGY 74061,A000000,02200,0000,02200LABORATORY 74061,A000000,02300,0000,02300INTRAVENOUS THERAPY 74061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74061,A000000,02500,0000,02500PHYSICAL THERAPY 74061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74061,A000000,02700,0000,02700SPEECH PATHOLOGY 74061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74061,A000000,03550,0000,03550FQHC 74061,A000000,05000,0000,05000CORF 74061,A000000,05010,0000,05010CMHC 74061,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74061,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74061,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74061,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74061,A81000A,00100,0100,Y 74061,A81000B,00100,0300,AUDITED H. O. COST 74061,A81000B,00200,0300,HOME OFFICE - BUILDING 74061,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 74061,A81000C,00100,0100,A 74061,A81000C,00100,0200,WILLIAM & JANICE STEELE 74061,A81000C,00100,0400,W.R.S. STEELE & ASSOCIATE 74061,A81000C,00100,0600,MANAGEMENT COMPANY 74061,B100000,00000,0100,00000SQUARE FEET 74061,B100000,00000,0200,00000SQUARE FEET 74061,B100000,00000,0300,00000GROSS SALARIES 74061,B100000,00000,0400,00000ACCUM. COST 74061,B100000,00000,0500,00000SQUARE FEET 74061,B100000,00000,0600,00000POUNDS OF LAUNDRY 74061,B100000,00000,0700,00000SQUARE FEET 74061,B100000,00000,0800,00000MEALS SERVED 74061,B100000,00000,0900,00000DIRECT NRSING HRS 74061,B100000,00000,1000,00000COSTED REQUIS. 74061,B100000,00000,1100,00000COSTED REQUIS 74061,B100000,00000,1200,00000GROSS REVENUE 74061,B100000,00000,1300,00000PATIENT DAYS 74061,B100000,00000,1400,00000ASSIGNED TIME 74061,E10A180,00501,0100,07/18/2000 74061,E10A180,00550,0300,07/18/2000 74061,S000000,00100,0200,06/05/2000 74061,S200000,00100,0100,867 E. 11TH 74061,S200000,00200,0100,UPLAND 74061,S200000,00200,0200,CA 74061,S200000,00200,0300,91786 74061,S200000,00300,0100,SAN BERNARDINO 74061,S200000,00400,0100,SHEA CONVALESCENT HOSPITAL-UPLAND 74061,S200000,00400,0200,056136 74061,S200000,00400,0300,07/01/1993 74061,S200000,00400,0500,P 74061,S200000,00600,0200,056136 74061,S200000,00600,0300,07/01/1993 74061,S200000,00600,0600,P 74061,S200000,01600,0100,Y 74063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74063,A000000,00300,0000,00300EMPLOYEE BENEFITS 74063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74063,A000000,00700,0000,00700HOUSEKEEPING 74063,A000000,00800,0000,00800DIETARY 74063,A000000,00900,0000,00900NURSING ADMINISTRATION 74063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74063,A000000,01100,0000,01100PHARMACY 74063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74063,A000000,01300,0000,01300SOCIAL SERVICE 74063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74063,A000000,01600,0000,01600SKILLED NURSING FACILITY 74063,A000000,01800,0000,01800NURSING FACILITY 74063,A000000,01810,0000,01810ICF/MR 74063,A000000,02100,0000,02100RADIOLOGY 74063,A000000,02200,0000,02200LABORATORY 74063,A000000,02300,0000,02300INTRAVENOUS THERAPY 74063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74063,A000000,02500,0000,02500PHYSICAL THERAPY 74063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74063,A000000,02700,0000,02700SPEECH PATHOLOGY 74063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74063,A000000,03001,0000,03001EQUIPMENT RENT 74063,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74063,A000000,03550,0000,03550FQHC 74063,A000000,05000,0000,05000CORF 74063,A000000,05010,0000,05010CMHC 74063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74063,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74063,A81000A,00100,0100,Y 74063,A81000B,00100,0300,MANAGEMENT FEES 74063,A81000B,00200,0300,CAPILTAL RELATED-HOME OFFICE 74063,A81000B,00300,0300,HOME OFFICE COSTS 74063,A81000B,00400,0300,CRC - EQUIPMENT 74063,A81000C,00100,0100,A 74063,A81000C,00100,0200,B. MANDELAUM 74063,A81000C,00100,0400,US CARE MANAGEM 74063,A81000C,00100,0600,HOME OFFICE 74063,B100000,00000,0100,00000SQUARE FEET 74063,B100000,00000,0200,00000SQUARE FEET 74063,B100000,00000,0300,00000GROSS SALARIES 74063,B100000,00000,0400,00000ACCUM COST 74063,B100000,00000,0500,00000SQUARE FEET 74063,B100000,00000,0600,00000POUNDS OF LAUNDRY 74063,B100000,00000,0700,00000PATIENT DAYS 74063,B100000,00000,0800,00000MEALS SERVED 74063,B100000,00000,0900,00000TIME SPENT 74063,B100000,00000,1000,00000PATIENT DAYS 74063,B100000,00000,1100,00000PATIENT DAYS 74063,B100000,00000,1200,00000TIME SPENT 74063,B100000,00000,1300,00000TIME SPENT 74063,B100000,00000,1400,00000ASSIGNED TIME 74063,E10A180,00501,0100,05/31/2000 74063,E10A180,00501,0300,08/22/2000 74063,E10A180,00550,0100,08/22/2000 74063,E10A180,00550,0300,05/31/2000 74063,S000000,00100,0200,05/31/2000 74063,S200000,00100,0100,14857 ROSCOE BLVD 74063,S200000,00200,0100,PANORAMA CITY 74063,S200000,00200,0200,CA 74063,S200000,00200,0300,91402 74063,S200000,00300,0100,LOS ANGELES 74063,S200000,00400,0100,SUN AIR CONVALESCENT HOSPITAL 74063,S200000,00400,0200,056137 74063,S200000,00400,0300,01/01/1987 74063,S200000,00400,0500,P 74063,S200000,00600,0200,056137 74063,S200000,00600,0300,01/01/1987 74063,S200000,00600,0600,P 74063,S200000,01600,0100,Y 74067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74067,A000000,00300,0000,00300EMPLOYEE BENEFITS 74067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74067,A000000,00700,0000,00700HOUSEKEEPING 74067,A000000,00800,0000,00800DIETARY 74067,A000000,00900,0000,00900NURSING ADMINISTRATION 74067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74067,A000000,01100,0000,01100PHARMACY 74067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74067,A000000,01300,0000,01300SOCIAL SERVICE 74067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74067,A000000,01600,0000,01600SKILLED NURSING FACILITY 74067,A000000,01800,0000,01800NURSING FACILITY 74067,A000000,01810,0000,01810ICF/MR 74067,A000000,02100,0000,02100RADIOLOGY 74067,A000000,02200,0000,02200LABORATORY 74067,A000000,02300,0000,02300INTRAVENOUS THERAPY 74067,A000000,02500,0000,02500PHYSICAL THERAPY 74067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74067,A000000,02700,0000,02700SPEECH PATHOLOGY 74067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74067,A000000,03001,0000,03001EQUIPMENT RENTAL 74067,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74067,A000000,03550,0000,03550FQHC 74067,A000000,05000,0000,05000CORF 74067,A000000,05010,0000,05010CMHC 74067,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74067,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74067,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74067,A000000,06201,0000,06201RESIDENTIAL CARE UNIT 74067,A81000A,00100,0100,Y 74067,A81000B,00100,0300,CAPITAL RELATED LEASE 74067,A81000B,00200,0300,MANAGEMENT FEES HO 74067,A81000B,00300,0300,CAPITAL RELATED HO 74067,A81000B,00400,0300,HOME OFFICE COSTS 74067,A81000B,00500,0300,CAP.REL.COSTS-EQUIPMENT 74067,A81000C,00100,0100,A 74067,A81000C,00100,0200,B. MANDELBAUM 74067,A81000C,00100,0400,U.S CARE HEALTH 74067,A81000C,00100,0600,HOME OFFICE 74067,A81000C,00200,0100,A 74067,A81000C,00200,0200,U MANDELBAUM 74067,A81000C,00200,0400,MANDELBAUM TRUS 74067,A81000C,00200,0600,BUILDING LEASE 74067,B100000,00000,0100,00001SQUARE FEET 74067,B100000,00000,0200,00001SQUARE FEET 74067,B100000,00000,0300,00001GROSS SALARIES 74067,B100000,00000,0400,00001ACCUM COST 74067,B100000,00000,0500,00001SQUARE FEET 74067,B100000,00000,0600,00001POUNDS OF LAUNDRY 74067,B100000,00000,0700,00001HOURS OF SERVICE 74067,B100000,00000,0800,00001MEALS SERVED 74067,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 74067,B100000,00000,1000,00001PATIENT DAYS 74067,B100000,00000,1100,00001PATIENT DAYS 74067,B100000,00000,1200,00001TIME SPENT 74067,B100000,00000,1300,00001TIME SPENT 74067,B100000,00000,1400,00001ASSIGNED TIME 74067,E10A180,00301,0300,11/10/1999 74067,E10A180,00501,0100,08/17/2000 74067,E10A180,00501,0300,08/17/2000 74067,S000000,00100,0200,05/31/2000 74067,S200000,00100,0100,12882 SHAKELFORD LN 74067,S200000,00200,0100,GARDEN GROVE 74067,S200000,00200,0200,CA 74067,S200000,00300,0100,ORANGE 74067,S200000,00400,0100,GARDEN GROVE CONV. HOSPITAL 74067,S200000,00400,0200,056145 74067,S200000,00400,0300,07/07/1970 74067,S200000,00400,0500,P 74067,S200000,00600,0200,056145 74067,S200000,00600,0300,01/01/1970 74067,S200000,00600,0600,P 74067,S200000,01600,0100,Y 74069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74069,A000000,00300,0000,00300EMPLOYEE BENEFITS 74069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74069,A000000,00700,0000,00700HOUSEKEEPING 74069,A000000,00800,0000,00800DIETARY 74069,A000000,00900,0000,00900NURSING ADMINISTRATION 74069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74069,A000000,01100,0000,01100PHARMACY 74069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74069,A000000,01300,0000,01300SOCIAL SERVICE 74069,A000000,01350,0000,01500OTHER GENERAL SERVICES 74069,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74069,A000000,01600,0000,01600SKILLED NURSING FACILITY 74069,A000000,01810,0000,01810ICF/MR 74069,A000000,02100,0000,02100RADIOLOGY 74069,A000000,02200,0000,02200LABORATORY 74069,A000000,02300,0000,02300INTRAVENOUS THERAPY 74069,A000000,02500,0000,02500PHYSICAL THERAPY 74069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74069,A000000,02700,0000,02700SPEECH PATHOLOGY 74069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74069,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74069,A000000,03200,0000,03200SUPPORT SURFACES 74069,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74069,A000000,03550,0000,03550FQHC 74069,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74069,A000000,05000,0000,05000CORF 74069,A000000,05010,0000,05010CMHC 74069,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74069,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74069,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74069,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74069,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74069,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74069,B100000,00000,0100,00000SQUARE FEET 74069,B100000,00000,0200,00000SQUARE FEET 74069,B100000,00000,0300,00000GROSS SALARIES 74069,B100000,00000,0400,00000ACCUM. COST 74069,B100000,00000,0500,00000SQUARE FEET 74069,B100000,00000,0600,00000POUNDS OF LAUNDRY 74069,B100000,00000,0700,00000SQUARE FEET 74069,B100000,00000,0800,00000MEALS SERVED 74069,B100000,00000,0900,00000ADMISSIONS S 74069,B100000,00000,1000,00000COSTED REQUIS. 74069,B100000,00000,1100,00000COSTED REQUIS. 74069,B100000,00000,1200,00000TIME SPENT 74069,B100000,00000,1300,00000TIME SPENT 74069,B100000,00000,1350,00000NO STATISTICS 74069,B100000,00000,1400,00000ASSIGNED TIME 74069,E10A180,00501,0100,08/01/2000 74069,E10A180,00501,0300,08/01/2000 74069,S000000,00100,0200,06/05/2000 74069,S200000,00100,0100,10626 BALBOA BLVD. 74069,S200000,00200,0100,GRANADA HILLS 74069,S200000,00200,0200,CA 74069,S200000,00200,0300,91344 74069,S200000,00300,0100,LOS ANGELES 74069,S200000,00400,0100,CASITAS CARE CENTER 74069,S200000,00400,0200,056148 74069,S200000,00400,0300,05/01/1981 74069,S200000,00400,0500,P 74069,S200000,01500,0100,Y 74075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74075,A000000,00300,0000,00300EMPLOYEE BENEFITS 74075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74075,A000000,00700,0000,00700HOUSEKEEPING 74075,A000000,00800,0000,00800DIETARY 74075,A000000,00900,0000,00900NURSING ADMINISTRATION 74075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74075,A000000,01100,0000,01100PHARMACY 74075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74075,A000000,01300,0000,01300SOCIAL SERVICE 74075,A000000,01350,0000,01500OTHER GENERAL SERVICES 74075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74075,A000000,01600,0000,01600SKILLED NURSING FACILITY 74075,A000000,01800,0000,01800NURSING FACILITY 74075,A000000,01810,0000,01810ICF/MR 74075,A000000,02100,0000,02100RADIOLOGY 74075,A000000,02200,0000,02200LABORATORY 74075,A000000,02500,0000,02500PHYSICAL THERAPY 74075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74075,A000000,02700,0000,02700SPEECH PATHOLOGY 74075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74075,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74075,A000000,03200,0000,03200SUPPORT SURFACES 74075,A000000,03550,0000,03550FQHC 74075,A000000,05000,0000,05000CORF 74075,A000000,05010,0000,05010CMHC 74075,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74075,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74075,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74075,A81000A,00100,0100,Y 74075,A81000B,00100,0300,MANAGEMENT FEE 74075,A81000B,00200,0300,HOME OFFICE BLDG 74075,A81000B,00300,0300,HOME OFFICE EQUIP 74075,A81000B,00400,0300,BUILDING LEASE 74075,A81000B,00500,0300,CWIC WORK COMP 74075,A81000B,00600,0300,CWIC INSURANCE 74075,A81000B,00700,0300,EMERALD FIXED ASSETS 74075,A81000B,00800,0300,EMERALD ADMIN SUPP 74075,A81000B,00900,0300,EMERALD MAINT 74075,A81000B,01000,0300,EMERALD L&L 74075,A81000B,01100,0300,EMERALD DIETARY 74075,A81000B,01200,0300,EMERALD NURSE ADMIN 74075,A81000B,01300,0300,EMERALD THERAPY 74075,A81000B,01400,0300,PWP ADMIN 74075,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74075,A81000B,01600,0300,PWP HOUSE SUPPLIES 74075,A81000B,01700,0300,PWP MED SUPP 74075,A81000B,01800,0300,PWP PHARMACY 74075,A81000B,01900,0300,BUILDING INTEREST 74075,A81000C,00100,0100,F 74075,A81000C,00100,0200,MARTIN HARMON 74075,A81000C,00200,0100,C 74075,A81000C,00200,0400,CARE WEST INSURANCE CO 74075,A81000C,00200,0600,CAPTIVE INSURANCE CO 74075,A81000C,00300,0100,C 74075,A81000C,00300,0400,PACIFIC WEST PHARMACY 74075,A81000C,00300,0600,PHARMACY 74075,A81000C,00400,0100,C 74075,A81000C,00400,0400,EMERALD DISTRIBUTOR INC. 74075,A81000C,00400,0600,DISTRIBUTORSHIP 74075,A81000C,00500,0100,B 74075,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74075,A81000C,00500,0600,HOME OFFICE 74075,B100000,00000,0100,00000SQUARE FEET 74075,B100000,00000,0200,00000SQUARE FEET 74075,B100000,00000,0300,00000GROSS SALARIES 74075,B100000,00000,0400,00000ACCUM. COST 74075,B100000,00000,0500,00000SQUARE FEET 74075,B100000,00000,0600,00000POUNDS OF LAUNDRY 74075,B100000,00000,0700,00000NON-DIETAR RY SQ. 74075,B100000,00000,0800,00000MEALS SERVED 74075,B100000,00000,0900,00000DIRECT NURSING HR 74075,B100000,00000,1000,00000COSTED REQS 74075,B100000,00000,1100,00000NO STATISTICS 74075,B100000,00000,1200,00000GROSS REVENEUE 74075,B100000,00000,1300,00000CENSUS 74075,B100000,00000,1350,00000NO STATISTICS 74075,B100000,00000,1400,00000ASSIGNED TIME 74075,E10A180,00550,0300,01/31/2001 74075,S000000,00100,0200,01/10/2001 74075,S200000,00100,0100,330 W. BASTANCHURY ROAD 74075,S200000,00200,0100,FULLERTON 74075,S200000,00200,0200,CA 74075,S200000,00200,0300,92635 74075,S200000,00300,0100,O 74075,S200000,00400,0100,SUNNY HILLS CONVALESCENT HOSPITAL 74075,S200000,00400,0200,056151 74075,S200000,00400,0300,09/01/1987 74075,S200000,00400,0500,P 74075,S200000,00400,0600,O 74075,S200000,00600,0200,056151 74075,S200000,00600,0300,09/01/1987 74075,S200000,00600,0600,P 74075,S200000,01600,0100,Y 74078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74078,A000000,00300,0000,00300EMPLOYEE BENEFITS 74078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74078,A000000,00700,0000,00700HOUSEKEEPING 74078,A000000,00800,0000,00800DIETARY 74078,A000000,00900,0000,00900NURSING ADMINISTRATION 74078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74078,A000000,01100,0000,01100PHARMACY 74078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74078,A000000,01300,0000,01300SOCIAL SERVICE 74078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74078,A000000,01600,0000,01600SKILLED NURSING FACILITY 74078,A000000,01810,0000,01810ICF/MR 74078,A000000,02100,0000,02100RADIOLOGY 74078,A000000,02200,0000,02200LABORATORY 74078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74078,A000000,02500,0000,02500PHYSICAL THERAPY 74078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74078,A000000,02700,0000,02700SPEECH PATHOLOGY 74078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74078,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74078,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74078,A000000,03550,0000,03550FQHC 74078,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74078,A000000,05000,0000,05000CORF 74078,A000000,05010,0000,05010CMHC 74078,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74078,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74078,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74078,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74078,B100000,00000,0100,00000SQUARE FEET 74078,B100000,00000,0200,00000DOLLAR VALUE 74078,B100000,00000,0300,00000GROSS SALARIES 74078,B100000,00000,0400,00000ACCUM. COST 74078,B100000,00000,0500,00000SQUARE FEET 74078,B100000,00000,0600,00000POUNDS OF LAUNDRY 74078,B100000,00000,0700,00000SQUARE FEET 74078,B100000,00000,0800,00000MEALS SERVED 74078,B100000,00000,0900,00000DIRECT NRSG HRS 74078,B100000,00000,1000,00000COSTED REQUIS 74078,B100000,00000,1100,00000COSTED REQUIS 74078,B100000,00000,1200,00000GROSS REVENUES 74078,B100000,00000,1300,00000PATIENT DAYS 74078,B100000,00000,1400,00000ASSIGNED TIME 74078,E10A180,00351,0300,11/04/1999 74078,E10A180,00501,0100,08/11/2000 74078,E10A180,00550,0300,08/11/2000 74078,S000000,00100,0200,06/01/2000 74078,S200000,00100,0100,1154 SOUTH ALVARADO 74078,S200000,00200,0100,LOS ANGELES 74078,S200000,00200,0200,CA 74078,S200000,00200,0300,90367 74078,S200000,00300,0100,LOS ANGELES 74078,S200000,00400,0100,EMERALD TERRACE 74078,S200000,00400,0200,056157 74078,S200000,00400,0300,12/31/1994 74078,S200000,00400,0500,P 74078,S200000,00600,0200,056157 74078,S200000,00600,0300,12/31/1994 74078,S200000,00600,0600,P 74078,S200000,01500,0100,Y 74081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74081,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74081,A000000,00300,0000,00300EMPLOYEE BENEFITS 74081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74081,A000000,00700,0000,00700HOUSEKEEPING 74081,A000000,00800,0000,00800DIETARY 74081,A000000,00900,0000,00900NURSING ADMINISTRATION 74081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74081,A000000,01100,0000,01100PHARMACY 74081,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74081,A000000,01300,0000,01300SOCIAL SERVICE 74081,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74081,A000000,01600,0000,01600SKILLED NURSING FACILITY 74081,A000000,01800,0000,01800NURSING FACILITY 74081,A000000,01810,0000,01810ICF/MR 74081,A000000,02100,0000,02100RADIOLOGY 74081,A000000,02200,0000,02200LABORATORY 74081,A000000,02300,0000,02300INTRAVENOUS THERAPY 74081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74081,A000000,02500,0000,02500PHYSICAL THERAPY 74081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74081,A000000,02700,0000,02700SPEECH PATHOLOGY 74081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74081,A000000,03200,0000,03200SUPPORT SURFACES 74081,A000000,03550,0000,03550FQHC 74081,A000000,05000,0000,05000CORF 74081,A000000,05010,0000,05010CMHC 74081,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74081,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74081,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74081,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74081,A81000A,00100,0100,Y 74081,A81000B,00100,0300,MANAGEMENT FEES 74081,A81000B,00200,0300,HOME OFFICE - BUILDING 74081,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 74081,A81000C,00100,0100,B 74081,A81000C,00100,0200,FRANK JOHNSON 74081,A81000C,00100,0400,SUN MAR MANAGEMENT 74081,A81000C,00100,0600,MANAGEMENT SERVICES 74081,B100000,00000,0100,00000SQUARE FEET 74081,B100000,00000,0200,00000SQUARE FEET 74081,B100000,00000,0300,00000GROSS SALARIES 74081,B100000,00000,0400,00000ACCUM. COST 74081,B100000,00000,0500,00000SQUARE FEET 74081,B100000,00000,0600,00000POUNDS OF LAUNDRY 74081,B100000,00000,0700,00000SQUARE FEET 74081,B100000,00000,0800,00000MEALS SERVED 74081,B100000,00000,0900,00000DIRECT NRSING HRS 74081,B100000,00000,1000,00000COSTED REQUIS. 74081,B100000,00000,1100,00000COSTED REQUIS 74081,B100000,00000,1200,00000GROSS REVENUE 74081,B100000,00000,1300,00000PATIENT DAYS 74081,B100000,00000,1400,00000ASSIGNED TIME 74081,E10A180,00350,0300,09/21/1999 74081,E10A180,00501,0100,07/20/2000 74081,E10A180,00501,0300,07/20/2000 74081,S000000,00100,0200,06/30/2000 74081,S200000,00100,0100,8171 MAGNOLIA STREET 74081,S200000,00200,0100,RIVERSIDE 74081,S200000,00200,0200,CA 74081,S200000,00200,0300,92504 74081,S200000,00300,0100,RIVERSIDE 74081,S200000,00400,0100,EXTENDED CARE HOSPITAL - RIVERSIDE 74081,S200000,00400,0200,056162 74081,S200000,00400,0300,02/01/1993 74081,S200000,00400,0500,P 74081,S200000,00400,0600,O 74081,S200000,00600,0200,056162 74081,S200000,00600,0300,02/01/1993 74081,S200000,00600,0600,P 74081,S200000,01600,0100,Y 74085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74085,A000000,00300,0000,00300EMPLOYEE BENEFITS 74085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74085,A000000,00700,0000,00700HOUSEKEEPING 74085,A000000,00800,0000,00800DIETARY 74085,A000000,00900,0000,00900NURSING ADMINISTRATION 74085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74085,A000000,01100,0000,01100PHARMACY 74085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74085,A000000,01300,0000,01300SOCIAL SERVICE 74085,A000000,01350,0000,01500OTHER GENERAL SERVICES 74085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74085,A000000,01600,0000,01600SKILLED NURSING FACILITY 74085,A000000,01800,0000,01800NURSING FACILITY 74085,A000000,01810,0000,01810ICF/MR 74085,A000000,02100,0000,02100RADIOLOGY 74085,A000000,02200,0000,02200LABORATORY 74085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74085,A000000,02500,0000,02500PHYSICAL THERAPY 74085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74085,A000000,02700,0000,02700SPEECH PATHOLOGY 74085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74085,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74085,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74085,A000000,03550,0000,03550FQHC 74085,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74085,A000000,05000,0000,05000CORF 74085,A000000,05010,0000,05010CMHC 74085,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74085,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74085,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74085,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74085,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74085,A81000A,00100,0100,Y 74085,A81000B,00100,0300,MGMT & ACCOUNTING 74085,A81000C,00100,0100,A 74085,A81000C,00100,0200,JOHN B GOODMAN 74085,A81000C,00100,0400,SAGE COMPANY 74085,A81000C,00100,0600,MANAGEMENT COMPANY 74085,A81000C,00200,0100,A 74085,A81000C,00200,0200,SIDNEY A GOODMAN 74085,A81000C,00200,0400,SAGE COMPANY 74085,A81000C,00200,0600,MANAGEMENT COMPANY 74085,A81000C,00300,0100,B 74085,A81000C,00300,0200,SAGE COMPANY 74085,A81000C,00300,0600,MGMT CO/PARTNER-PROVIDER 74085,A81000C,00400,0100,B 74085,A81000C,00400,0200,KATELLA PROPERTIES 74085,A81000C,00400,0400,KATELLA MANOR 74085,A81000C,00400,0600,RESIDENTIAL CARE FACILITY 74085,B100000,00000,0100,00000SQUARE FOOTAGE 74085,B100000,00000,0200,00000NO STATISTICS 74085,B100000,00000,0300,00000NO STATISTICS 74085,B100000,00000,0400,00000ACCUM. COST 74085,B100000,00000,0500,00000SQUARE FOOTAGE 74085,B100000,00000,0600,00000POUNDS OF LAUNDRY 74085,B100000,00000,0700,00000SQUARE FOOTAGE 74085,B100000,00000,0800,00000MEALS SERVED 74085,B100000,00000,0900,00000DIRECT HOURS 74085,B100000,00000,1000,00000NO STATISTICS 74085,B100000,00000,1100,00000NO STATISTICS 74085,B100000,00000,1200,00000BILLED CHARGES 74085,B100000,00000,1300,00000PATIENT DAYS 74085,B100000,00000,1350,00000NO STATISTICS 74085,B100000,00000,1400,00000NO STATISTICS 74085,E10A180,00301,0300,08/31/1999 74085,E10A180,00501,0300,05/24/2000 74085,E10A180,00550,0100,05/24/2000 74085,S000000,00100,0200,04/20/2000 74085,S200000,00100,0100,3902 KATELLA AVENUE 74085,S200000,00200,0100,LOS ALAMITOS 74085,S200000,00200,0200,CA 74085,S200000,00300,0100,ORANGE 74085,S200000,00400,0100,ALAMITOS WEST CONV HOSPITAL 74085,S200000,00400,0200,056169 74085,S200000,00400,0300,05/01/1978 74085,S200000,00400,0500,P 74085,S200000,00600,0200,056169 74085,S200000,00600,0300,05/01/1978 74085,S200000,00600,0600,P 74085,S200000,01600,0100,Y 74085,S200000,02800,0100,Y 74088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74088,A000000,00300,0000,00300EMPLOYEE BENEFITS 74088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74088,A000000,00700,0000,00700HOUSEKEEPING 74088,A000000,00800,0000,00800DIETARY 74088,A000000,00900,0000,00900NURSING ADMINISTRATION 74088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74088,A000000,01100,0000,01100PHARMACY 74088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74088,A000000,01300,0000,01300SOCIAL SERVICE 74088,A000000,01350,0000,01500OTHER GENERAL SERVICES 74088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74088,A000000,01600,0000,01600SKILLED NURSING FACILITY 74088,A000000,01810,0000,01810ICF/MR 74088,A000000,02100,0000,02100RADIOLOGY 74088,A000000,02200,0000,02200LABORATORY 74088,A000000,02500,0000,02500PHYSICAL THERAPY 74088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74088,A000000,02700,0000,02700SPEECH PATHOLOGY 74088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74088,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74088,A000000,03550,0000,03550FQHC 74088,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74088,A000000,05000,0000,05000CORF 74088,A000000,05010,0000,05010CMHC 74088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74088,B100000,00000,0100,00000NO STATISTICS 74088,B100000,00000,0200,00000NO STATISTICS 74088,B100000,00000,0300,00000NO STATISTICS 74088,B100000,00000,0400,00000ACCUM. COST 74088,B100000,00000,0500,00000NO STATISTICS 74088,B100000,00000,0600,00000NO STATISTICS 74088,B100000,00000,0700,00000NO STATISTICS 74088,B100000,00000,0800,00000NO STATISTICS 74088,B100000,00000,0900,00000NO STATISTICS 74088,B100000,00000,1000,00000NO STATISTICS 74088,B100000,00000,1100,00000NO STATISTICS 74088,B100000,00000,1200,00000NO STATISTICS 74088,B100000,00000,1300,00000NO STATISTICS 74088,B100000,00000,1350,00000NO STATISTICS 74088,B100000,00000,1400,00000NO STATISTICS 74088,E10A180,00351,0300,12/03/1999 74088,E10A180,00550,0300,07/13/2000 74088,S000000,00100,0200,06/28/2000 74088,S200000,00100,0100,919 FREEDOM BL. 74088,S200000,00200,0100,WATSONVILLE 74088,S200000,00200,0200,CA 74088,S200000,00200,0300,95076 74088,S200000,00300,0100,SANTA CRUZ 74088,S200000,00400,0100,VALLEY CONVALESCENT HOSPITAL 74088,S200000,00400,0200,056178 74088,S200000,00400,0300,08/01/1970 74088,S200000,00400,0500,P 74088,S200000,00400,0600,O 74088,S200000,00600,0200,056178 74088,S200000,00600,0300,08/01/1970 74088,S200000,00600,0600,P 74088,S200000,01500,0100,Y 74090,S000000,00100,0200,05/26/2000 74093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74093,A000000,00300,0000,00300EMPLOYEE BENEFITS 74093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74093,A000000,00700,0000,00700HOUSEKEEPING 74093,A000000,00800,0000,00800DIETARY 74093,A000000,00900,0000,00900NURSING ADMINISTRATION 74093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74093,A000000,01100,0000,01100PHARMACY 74093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74093,A000000,01300,0000,01300SOCIAL SERVICE 74093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74093,A000000,01600,0000,01600SKILLED NURSING FACILITY 74093,A000000,01800,0000,01800NURSING FACILITY 74093,A000000,01810,0000,01810ICF/MR 74093,A000000,02100,0000,02100RADIOLOGY 74093,A000000,02300,0000,02300INTRAVENOUS THERAPY 74093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74093,A000000,02500,0000,02500PHYSICAL THERAPY 74093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74093,A000000,02700,0000,02700SPEECH PATHOLOGY 74093,A000000,02800,0000,02800ELECTROCARDIOLOGY 74093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 74093,A000000,03550,0000,03550FQHC 74093,A000000,05000,0000,05000CORF 74093,A000000,05010,0000,05010CMHC 74093,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74093,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74093,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74093,A81000A,00100,0100,Y 74093,A81000B,00100,0300,HOME OFFICE EXPENSES 74093,A81000C,00100,0100,A 74093,A81000C,00100,0200,E.I. BERNABE 74093,A81000C,00100,0400,PLEASANT CARE C 74093,A81000C,00100,0600,HEALTH CARE PRO 74093,A81000C,00200,0100,A 74093,A81000C,00200,0200,E.I. BERNABE 74093,A81000C,00200,0400,PCC HEALTH SERV 74093,A81000C,00200,0600,HEALTH CARE PRO 74093,A81000C,00300,0100,A 74093,A81000C,00300,0200,E.I. BERNABE 74093,A81000C,00300,0400,EMBER CARE CORP 74093,A81000C,00300,0600,HEALTH CARE PRO 74093,A81000C,00400,0100,A 74093,A81000C,00400,0200,E.I. BERNABE 74093,A81000C,00400,0400,ATLAS CARE ENTE 74093,A81000C,00400,0600,HEALTH CARE PRO 74093,A81000C,00500,0100,A 74093,A81000C,00500,0200,E.I. BERNABE 74093,A81000C,00500,0400,SNF PROPERTIES 74093,A81000C,00500,0600,HEALTH CARE PRO 74093,A81000C,00600,0100,A 74093,A81000C,00600,0200,E.I. BERNABE 74093,A81000C,00600,0400,STOCKTON EDISON 74093,A81000C,00600,0600,HEALTH CARE PRO 74093,B100000,00000,0100,00000SQUARE FEET 74093,B100000,00000,0200,00000SQUARE FEET 74093,B100000,00000,0300,00000GROSS SALARIES 74093,B100000,00000,0400,00000ACCUM COST 74093,B100000,00000,0500,00000SQUARE FEET 74093,B100000,00000,0600,00000POUNDS OF LAUNDRY 74093,B100000,00000,0700,00000SQUARE FEET 74093,B100000,00000,0800,00000MEALS SERVED 74093,B100000,00000,0900,00000GROSS SALARIES 74093,B100000,00000,1000,00000COSTED REQUIS 74093,B100000,00000,1100,00000COSTED REQUIS 74093,B100000,00000,1200,00000GROSS REVENUES 74093,B100000,00000,1300,00000TIME SPENT 74093,B100000,00000,1400,00000ASSIGNED TIME 74093,E10A180,00501,0100,03/30/2000 74093,E10A180,00501,0300,03/16/2000 74093,E10A180,00550,0100,03/16/2000 74093,E10A180,00550,0300,03/30/2000 74093,S000000,00100,0200,02/02/2000 74093,S200000,00100,0100,2225 N. PERRIS BLVD. 74093,S200000,00200,0100,PERRIS 74093,S200000,00200,0200,CA 74093,S200000,00200,0300,92571 74093,S200000,00300,0100,RIVERSIDE 74093,S200000,00400,0100,EMBER CARE HEALTH CENTER-PERRIS 74093,S200000,00400,0200,056186 74093,S200000,00400,0300,10/01/1998 74093,S200000,00400,0500,P 74093,S200000,00600,0200,056186 74093,S200000,00600,0300,10/01/1998 74093,S200000,00600,0600,P 74093,S200000,01600,0100,Y 74096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74096,A000000,00300,0000,00300EMPLOYEE BENEFITS 74096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74096,A000000,00700,0000,00700HOUSEKEEPING 74096,A000000,00800,0000,00800DIETARY 74096,A000000,00900,0000,00900NURSING ADMINISTRATION 74096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74096,A000000,01100,0000,01100PHARMACY 74096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74096,A000000,01300,0000,01300SOCIAL SERVICE 74096,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74096,A000000,01600,0000,01600SKILLED NURSING FACILITY 74096,A000000,01810,0000,01810ICF/MR 74096,A000000,02100,0000,02100RADIOLOGY 74096,A000000,02200,0000,02200LABORATORY 74096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74096,A000000,02500,0000,02500PHYSICAL THERAPY 74096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74096,A000000,02700,0000,02700SPEECH PATHOLOGY 74096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74096,A000000,03550,0000,03550FQHC 74096,A000000,05000,0000,05000CORF 74096,A000000,05010,0000,05010CMHC 74096,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74096,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74096,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74096,B100000,00000,0100,00040SQUARE FEET 74096,B100000,00000,0200,00040SQUARE FEET 74096,B100000,00000,0300,00040GROSS SALARIES 74096,B100000,00000,0400,00040ACCUM. COST 74096,B100000,00000,0500,00040SQUARE FEET 74096,B100000,00000,0600,00040POUNDS OF LAUNDRY 74096,B100000,00000,0700,00040SQUARE FEET 74096,B100000,00000,0800,00040MEALS SERVED 74096,B100000,00000,0900,00040PATIENT DAYS 74096,B100000,00000,1000,00040COSTED REQUIS 74096,B100000,00000,1100,00040COSTED REQUIS 74096,B100000,00000,1200,00040REVENUE 74096,B100000,00000,1300,00040PATIENT DAYS 74096,B100000,00000,1400,00040ASSIGNED TIME 74096,E10A180,00350,0300,11/23/1999 74096,E10A180,00501,0100,07/11/2000 74096,E10A180,00550,0300,07/11/2000 74096,S000000,00100,0200,06/01/2000 74096,S200000,00100,0100,2615 GRAND AVENUE 74096,S200000,00200,0100,LONG BEACH 74096,S200000,00200,0200,CA 74096,S200000,00200,0300,90815 74096,S200000,00300,0100,LOS ANGELES 74096,S200000,00400,0100,WILLOW LAKE NURSING CARE CENTER 74096,S200000,00400,0200,056188 74096,S200000,00400,0300,07/07/1970 74096,S200000,00400,0500,P 74096,S200000,01500,0100,Y 74102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74102,A000000,00300,0000,00300EMPLOYEE BENEFITS 74102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74102,A000000,00700,0000,00700HOUSEKEEPING 74102,A000000,00800,0000,00800DIETARY 74102,A000000,00900,0000,00900NURSING ADMINISTRATION 74102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74102,A000000,01100,0000,01100PHARMACY 74102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74102,A000000,01300,0000,01300SOCIAL SERVICE 74102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74102,A000000,01600,0000,01600SKILLED NURSING FACILITY 74102,A000000,01810,0000,01810ICF/MR 74102,A000000,02100,0000,02100RADIOLOGY 74102,A000000,02200,0000,02200LABORATORY 74102,A000000,02500,0000,02500PHYSICAL THERAPY 74102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74102,A000000,02700,0000,02700SPEECH PATHOLOGY 74102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74102,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74102,A000000,03550,0000,03550FQHC 74102,A000000,05000,0000,05000CORF 74102,A000000,05010,0000,05010CMHC 74102,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74102,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74102,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74102,B100000,00000,0100,00000SQUARE FEET 74102,B100000,00000,0200,00000SQUARE FEET 74102,B100000,00000,0300,00000GROSS SALARIES 74102,B100000,00000,0400,00000ACCUM COST 74102,B100000,00000,0500,00000SQUARE FEET 74102,B100000,00000,0600,00000POUNDS OF LAUNDRY 74102,B100000,00000,0700,00000SQUARE FEET 74102,B100000,00000,0800,00000MEALS SERVED 74102,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74102,B100000,00000,1000,00000PATIENT DAYS 74102,B100000,00000,1100,00000PATIENT DAYS 74102,B100000,00000,1200,00000GROSS CHARGES 74102,B100000,00000,1300,00000PATIENT DAYS 74102,B100000,00000,1400,00000ASSIGNED TIME 74102,S000000,00100,0200,05/30/2000 74102,S200000,00100,0100,915 ESTATES DR. 74102,S200000,00200,0100,NEWBERRY PARK 74102,S200000,00200,0200,CA 74102,S200000,00200,0300,91320 74102,S200000,00300,0100,VENTURA 74102,S200000,00400,0100,VENTURA ESTATES 74102,S200000,00400,0200,056193 74102,S200000,00400,0300,06/01/1970 74102,S200000,00400,0500,P 74102,S200000,01500,0100,Y 74108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74108,A000000,00300,0000,00300EMPLOYEE BENEFITS 74108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74108,A000000,00700,0000,00700HOUSEKEEPING 74108,A000000,00800,0000,00800DIETARY 74108,A000000,00900,0000,00900NURSING ADMINISTRATION 74108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74108,A000000,01100,0000,01100PHARMACY 74108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74108,A000000,01300,0000,01300SOCIAL SERVICE 74108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74108,A000000,01600,0000,01600SKILLED NURSING FACILITY 74108,A000000,01800,0000,01800NURSING FACILITY 74108,A000000,01810,0000,01810ICF/MR 74108,A000000,02100,0000,02100RADIOLOGY 74108,A000000,02200,0000,02200LABORATORY 74108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74108,A000000,02500,0000,02500PHYSICAL THERAPY 74108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74108,A000000,02700,0000,02700SPEECH PATHOLOGY 74108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74108,A000000,03550,0000,03550FQHC 74108,A000000,05000,0000,05000CORF 74108,A000000,05010,0000,05010CMHC 74108,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74108,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74108,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74108,A81000A,00100,0100,Y 74108,A81000B,00100,0300,CAPITAL RELATED-BLDG H.O. 74108,A81000B,00200,0300,A & G RELATED H.O. 74108,A81000B,00300,0300,PHYSICAL T. RELATED PARTY 74108,A81000B,00400,0300,OCCUP. T. RELATED PARTY 74108,A81000B,00500,0300,SPEECH T. RELATED PARTY 74108,A81000B,00600,0300,CAP REL RENT ON BUILDING 74108,A81000B,00700,0300,CAP REL H.O. EQUIPMENT 74108,A81000C,00700,0100,B 74108,A81000C,00700,0200,STAN LELAND 74108,A81000C,00700,0400,RAMONA BLDG 74108,A81000C,00700,0600,SNF 74108,B100000,00000,0100,00040SQUARE FEET 74108,B100000,00000,0200,00040DOLLAR VALUE 74108,B100000,00000,0300,00040GROSS SALARIES 74108,B100000,00000,0400,00040ACCUM. COST 74108,B100000,00000,0500,00040SQUARE FEET 74108,B100000,00000,0600,00040POUNDS OF LAUNDRY 74108,B100000,00000,0700,00040HOURS OF SERVICE 74108,B100000,00000,0800,00040MEALS SERVED 74108,B100000,00000,0900,00040DIRECT NRSING HRS 74108,B100000,00000,1000,00040COSTED REQUIS. 74108,B100000,00000,1100,00040COSTED REQUIS. 74108,B100000,00000,1200,00040TIME SPENT 74108,B100000,00000,1300,00040TIME SPENT 74108,B100000,00000,1400,00040ASSIGNED TIME 74108,E10A180,00301,0300,11/17/1999 74108,E10A180,00501,0100,05/31/2000 74108,E10A180,00550,0100,07/21/2000 74108,E10A180,00550,0300,07/21/2000 74108,E10A180,00551,0300,05/31/2000 74108,S000000,00100,0200,06/02/2000 74108,S200000,00100,0100,8799 BALBOA AVENUE 74108,S200000,00200,0100,SAN DIEGO 74108,S200000,00200,0200,CA 74108,S200000,00200,0300,92123 74108,S200000,00300,0100,SAN DIEGO 74108,S200000,00400,0100,RAMONA MANOR CONV. HOSPITAL 74108,S200000,00400,0200,056214 74108,S200000,00400,0300,01/01/1990 74108,S200000,00400,0500,P 74108,S200000,00600,0200,056214 74108,S200000,00600,0300,01/01/1990 74108,S200000,00600,0600,P 74108,S200000,01600,0100,Y 74113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74113,A000000,00300,0000,00300EMPLOYEE BENEFITS 74113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74113,A000000,00700,0000,00700HOUSEKEEPING 74113,A000000,00800,0000,00800DIETARY 74113,A000000,00900,0000,00900NURSING ADMINISTRATION 74113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74113,A000000,01100,0000,01100PHARMACY 74113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74113,A000000,01300,0000,01300SOCIAL SERVICE 74113,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74113,A000000,01600,0000,01600SKILLED NURSING FACILITY 74113,A000000,01800,0000,01800NURSING FACILITY 74113,A000000,01810,0000,01810ICF/MR 74113,A000000,02100,0000,02100RADIOLOGY 74113,A000000,02200,0000,02200LABORATORY 74113,A000000,02300,0000,02300INTRAVENOUS THERAPY 74113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74113,A000000,02500,0000,02500PHYSICAL THERAPY 74113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74113,A000000,02700,0000,02700SPEECH PATHOLOGY 74113,A000000,02800,0000,02800ELECTROCARDIOLOGY 74113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74113,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74113,A000000,03200,0000,03200SUPPORT SURFACES 74113,A000000,03550,0000,03550FQHC 74113,A000000,05000,0000,05000CORF 74113,A000000,05010,0000,05010CMHC 74113,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74113,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74113,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74113,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74113,A81000A,00100,0100,Y 74113,A81000B,00100,0300,RELATED LEASE PMT 74113,A81000B,00200,0300,DEPRECIATION COSTS 74113,A81000B,00300,0300,ABANDONMENT COSTS 74113,A81000B,00400,0300,RELATED LEASE PMT 74113,A81000B,00500,0300,INTEREST ON LOAN 74113,A81000B,00600,0300,TAXES 74113,A81000B,00700,0300,UTILITIES 74113,A81000B,00800,0300,AMORTIZATION COSTS 74113,A81000B,00900,0300,DEPRECIATION COSTS 74113,A81000C,00100,0100,G 74113,A81000C,00100,0200,MARION AKIN TRU 74113,A81000C,00100,0400,MARLORA MANOR L 74113,A81000C,00100,0600,LEASOR 74113,A81000C,00200,0100,G 74113,A81000C,00200,0200,LORA AKIN TRUST 74113,A81000C,00200,0400,MARLORA MANOR L 74113,A81000C,00200,0600,LEASOR 74113,B100000,00000,0100,00000SQUARE FEET 74113,B100000,00000,0200,00000SQUARE FEET 74113,B100000,00000,0300,00000GROSS SALARIES 74113,B100000,00000,0400,00000ACCUM COST 74113,B100000,00000,0500,00000SQUARE FEET 74113,B100000,00000,0600,00000POUNDS OF LAUNDRY 74113,B100000,00000,0700,00000SQUARE FEET 74113,B100000,00000,0800,00000MEALS SERVED 74113,B100000,00000,0900,00000TIME SPENT 74113,B100000,00000,1000,00000PATIENT DAYS 74113,B100000,00000,1100,00000PATIENT DAYS 74113,B100000,00000,1200,00000GROSS REVENUES 74113,B100000,00000,1300,00000TIME SPENT 74113,B100000,00000,1400,00000ASSIGNED TIME 74113,E10A180,00501,0100,06/19/2000 74113,E10A180,00502,0100,08/31/2000 74113,E10A180,00550,0300,06/19/2000 74113,S000000,00100,0200,05/25/2000 74113,S200000,00100,0100,3801 EAST ANAHEIM STREET 74113,S200000,00200,0100,LONG BEACH 74113,S200000,00200,0200,CA 74113,S200000,00200,0300,90804 74113,S200000,00300,0100,LOS ANGELES 74113,S200000,00400,0100,MARLORA POST ACUTE REHAB HOSP 74113,S200000,00400,0200,056234 74113,S200000,00400,0300,01/01/1990 74113,S200000,00400,0500,P 74113,S200000,00600,0200,056234 74113,S200000,00600,0300,01/01/1990 74113,S200000,00600,0600,P 74113,S200000,02800,0100,Y 74116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74116,A000000,00300,0000,00300EMPLOYEE BENEFITS 74116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74116,A000000,00700,0000,00700HOUSEKEEPING 74116,A000000,00800,0000,00800DIETARY 74116,A000000,00900,0000,00900NURSING ADMINISTRATION 74116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74116,A000000,01100,0000,01100PHARMACY 74116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74116,A000000,01300,0000,01300SOCIAL SERVICE 74116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74116,A000000,01600,0000,01600SKILLED NURSING FACILITY 74116,A000000,01810,0000,01810ICF/MR 74116,A000000,02100,0000,02100RADIOLOGY 74116,A000000,02200,0000,02200LABORATORY 74116,A000000,02300,0000,02300INTRAVENOUS THERAPY 74116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74116,A000000,02500,0000,02500PHYSICAL THERAPY 74116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74116,A000000,02700,0000,02700SPEECH PATHOLOGY 74116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74116,A000000,03200,0000,03200SUPPORT SURFACES 74116,A000000,03550,0000,03550FQHC 74116,A000000,05000,0000,05000CORF 74116,A000000,05010,0000,05010CMHC 74116,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74116,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74116,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74116,B100000,00000,0100,00000SQUARE FEET 74116,B100000,00000,0200,00000SQUARE FEET 74116,B100000,00000,0300,00000GROSS SALARIES 74116,B100000,00000,0400,00000ACCUM. COST 74116,B100000,00000,0500,00000SQUARE FEET 74116,B100000,00000,0600,00000POUNDS OF LAUNDRY 74116,B100000,00000,0700,00000HOURS OF SERVICE 74116,B100000,00000,0800,00000MEALS SERVED 74116,B100000,00000,0900,00000DIRECT NRSING HRS 74116,B100000,00000,1000,00000COSTED REQUIS. 74116,B100000,00000,1100,00000COSTED REQUIS. 74116,B100000,00000,1200,00000TIME SPENT 74116,B100000,00000,1300,00000TIME SPENT 74116,B100000,00000,1400,00000ASSIGNED TIME 74116,E10A180,00350,0300,11/16/1999 74116,E10A180,00501,0100,08/16/2000 74116,E10A180,00501,0300,08/16/2000 74116,S000000,00100,0200,07/13/2000 74116,S200000,00100,0100,316 S. WESTLAKE AVENUE 74116,S200000,00200,0100,LOS ANGELES 74116,S200000,00200,0200,CA 74116,S200000,00200,0300,90057 74116,S200000,00300,0100,LOS ANGELES 74116,S200000,00400,0100,WESTLAKE CONVALESCENT HOSPITAL 74116,S200000,00400,0200,056242 74116,S200000,00400,0300,08/01/1993 74116,S200000,00400,0500,P 74116,S200000,01600,0100,Y 74120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74120,A000000,00300,0000,00300EMPLOYEE BENEFITS 74120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74120,A000000,00700,0000,00700HOUSEKEEPING 74120,A000000,00800,0000,00800DIETARY 74120,A000000,00900,0000,00900NURSING ADMINISTRATION 74120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74120,A000000,01100,0000,01100PHARMACY 74120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74120,A000000,01300,0000,01300SOCIAL SERVICE 74120,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74120,A000000,01600,0000,01600SKILLED NURSING FACILITY 74120,A000000,01800,0000,01800NURSING FACILITY 74120,A000000,01810,0000,01810ICF/MR 74120,A000000,02100,0000,02100RADIOLOGY 74120,A000000,02200,0000,02200LABORATORY 74120,A000000,02500,0000,02500PHYSICAL THERAPY 74120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74120,A000000,02700,0000,02700SPEECH PATHOLOGY 74120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74120,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74120,A000000,03200,0000,03200SUPPORT SURFACES 74120,A000000,03550,0000,03550FQHC 74120,A000000,05000,0000,05000CORF 74120,A000000,05010,0000,05010CMHC 74120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74120,A81000A,00100,0100,Y 74120,A81000B,00100,0300,MANAGEMENT FEE 74120,A81000B,00200,0300,HOME OFFICE BUILDING 74120,A81000B,00300,0300,HOME OFFICE EQUIP 74120,A81000B,00400,0300,BUILDING LEASE 74120,A81000B,00500,0300,CWIC WORK COMP 74120,A81000B,00600,0300,CWIC INSURANCE 74120,A81000B,00700,0300,EMERALD FIXED ASSETS 74120,A81000B,00800,0300,EMERALD A&G SUPP 74120,A81000B,00900,0300,EMERALD MAINT 74120,A81000B,01000,0300,EMERALD L&L 74120,A81000B,01100,0300,EMERALD DIETARY 74120,A81000B,01200,0300,EMERALD NURSE ADMIN 74120,A81000B,01300,0300,PWP ADMIN 74120,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74120,A81000B,01500,0300,PWP HOUSE SUPPLIES 74120,A81000B,01600,0300,PWP MED SUPP 74120,A81000B,01700,0300,PWP PHARMACY 74120,A81000C,00100,0100,F 74120,A81000C,00100,0200,MARTIN HARMON 74120,A81000C,00200,0100,C 74120,A81000C,00200,0400,CARE WEST INSURANCE CO 74120,A81000C,00200,0600,CAPTIVE INSURANCE CO. 74120,A81000C,00300,0100,C 74120,A81000C,00300,0400,PACIFIC WEST PHARMACY 74120,A81000C,00300,0600,PHARMACY 74120,A81000C,00400,0100,C 74120,A81000C,00400,0400,EMERALD DISTRIBUTING 74120,A81000C,00400,0600,DISTRIBUTORSHIP 74120,A81000C,00500,0100,B 74120,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74120,A81000C,00500,0600,HOME OFFICE 74120,B100000,00000,0100,00000SQUARE FEET 74120,B100000,00000,0200,00000SQUARE FEET 74120,B100000,00000,0300,00000GROSS SALARIES 74120,B100000,00000,0400,00000ACCUM. COST 74120,B100000,00000,0500,00000SQUARE FEET 74120,B100000,00000,0600,00000POUNDS OF LAUNDRY 74120,B100000,00000,0700,00000NON-DIETAR RY SQ. 74120,B100000,00000,0800,00000MEALS SERVED 74120,B100000,00000,0900,00000DIRECT NURSING HR 74120,B100000,00000,1000,00000COSTED REQS 74120,B100000,00000,1100,00000NO STATISTICS 74120,B100000,00000,1200,00000GROSS REVENEU 74120,B100000,00000,1300,00000CENSUS 74120,B100000,00000,1400,00000ASSIGNED TIME 74120,E10A180,00501,0100,01/26/2001 74120,E10A180,00501,0300,01/24/2001 74120,E10A180,00550,0100,01/24/2001 74120,S000000,00100,0200,01/10/2001 74120,S200000,00100,0100,3280 WASHINGTON ST. 74120,S200000,00200,0100,PLACERVILLE 74120,S200000,00200,0200,CA 74120,S200000,00200,0300,95667 74120,S200000,00300,0100,E 74120,S200000,00400,0100,EL DORADO CONVALESCENT HOSPITAL 74120,S200000,00400,0200,056243 74120,S200000,00400,0300,11/01/1970 74120,S200000,00400,0500,P 74120,S200000,00400,0600,O 74120,S200000,00600,0200,056243 74120,S200000,00600,0300,11/01/1970 74120,S200000,00600,0600,P 74120,S200000,01600,0100,Y 74123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74123,A000000,00300,0000,00300EMPLOYEE BENEFITS 74123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74123,A000000,00700,0000,00700HOUSEKEEPING 74123,A000000,00800,0000,00800DIETARY 74123,A000000,00900,0000,00900NURSING ADMINISTRATION 74123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74123,A000000,01100,0000,01100PHARMACY 74123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74123,A000000,01300,0000,01300SOCIAL SERVICE 74123,A000000,01350,0000,01500OTHER GENERAL SERVICES 74123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74123,A000000,01600,0000,01600SKILLED NURSING FACILITY 74123,A000000,01810,0000,01810ICF/MR 74123,A000000,02100,0000,02100RADIOLOGY 74123,A000000,02200,0000,02200LABORATORY 74123,A000000,02300,0000,02300INTRAVENOUS THERAPY 74123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74123,A000000,02500,0000,02500PHYSICAL THERAPY 74123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74123,A000000,02700,0000,02700SPEECH PATHOLOGY 74123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74123,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74123,A000000,03200,0000,03200SUPPORT SURFACES 74123,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74123,A000000,03550,0000,03550FQHC 74123,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74123,A000000,05000,0000,05000CORF 74123,A000000,05010,0000,05010CMHC 74123,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74123,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74123,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74123,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74123,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74123,A81000A,00100,0100,Y 74123,A81000B,00100,0300,MANAGEMENT FEES 74123,A81000C,00100,0100,A 74123,A81000C,00100,0200,BARRY KOHN 74123,A81000C,00100,0400,HOME OFFICE SERVICES 74123,A81000C,00100,0600,HOME OFFICE 74123,B100000,00000,0100,00000SQUARE FEET 74123,B100000,00000,0200,00000SQUARE FEET 74123,B100000,00000,0300,00000GROSS SALARIES 74123,B100000,00000,0400,00000ACCUM. COST 74123,B100000,00000,0500,00000SQUARE FEET 74123,B100000,00000,0600,00000POUNDS OF LAUNDRY 74123,B100000,00000,0700,00000SQUARE FEET 74123,B100000,00000,0800,00000MEALS SERVED 74123,B100000,00000,0900,00000PATIENT DAYS 74123,B100000,00000,1000,00000COSTED REQUIS. 74123,B100000,00000,1100,00000COSTED REQUIS. 74123,B100000,00000,1200,00000TIME SPENT 74123,B100000,00000,1300,00000PATIENT DAYS 74123,B100000,00000,1350,00000NO STATISTICS 74123,B100000,00000,1400,00000ASSIGNED TIME 74123,E10A180,00350,0300,12/31/1999 74123,E10A180,00501,0100,07/10/2000 74123,E10A180,00501,0300,07/10/2000 74123,S000000,00100,0200,05/31/2000 74123,S200000,00100,0100,2312 W EIGHTH ST 74123,S200000,00200,0100,LOS ANGELES 74123,S200000,00200,0200,CA 74123,S200000,00200,0300,90057 74123,S200000,00300,0100,LOS ANGELES 74123,S200000,00400,0100,GRAND PARK CONVALESCENT HOSPITAL 74123,S200000,00400,0200,056244 74123,S200000,00400,0300,03/01/1976 74123,S200000,00400,0500,P 74123,S200000,00600,0200,056244 74123,S200000,00600,0300,03/01/1976 74123,S200000,00600,0600,P 74123,S200000,01500,0100,Y 74126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74126,A000000,00300,0000,00300EMPLOYEE BENEFITS 74126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74126,A000000,00700,0000,00700HOUSEKEEPING 74126,A000000,00800,0000,00800DIETARY 74126,A000000,00900,0000,00900NURSING ADMINISTRATION 74126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74126,A000000,01100,0000,01100PHARMACY 74126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74126,A000000,01300,0000,01300SOCIAL SERVICE 74126,A000000,01350,0000,01500OTHER GENERAL SERVICES 74126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74126,A000000,01600,0000,01600SKILLED NURSING FACILITY 74126,A000000,01800,0000,01800NURSING FACILITY 74126,A000000,01810,0000,01810ICF/MR 74126,A000000,02100,0000,02100RADIOLOGY 74126,A000000,02200,0000,02200LABORATORY 74126,A000000,02500,0000,02500PHYSICAL THERAPY 74126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74126,A000000,02700,0000,02700SPEECH PATHOLOGY 74126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74126,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74126,A000000,03200,0000,03200SUPPORT SURFACES 74126,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74126,A000000,03550,0000,03550FQHC 74126,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74126,A000000,05000,0000,05000CORF 74126,A000000,05010,0000,05010CMHC 74126,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74126,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74126,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74126,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74126,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74126,A81000A,00100,0100,Y 74126,A81000B,00100,0300,FACILITY LEASE 74126,A81000B,00200,0300,DEPRECIATION 74126,A81000B,00300,0300,INTEREST 74126,A81000C,00100,0100,A 74126,A81000C,00100,0200,SOL STEVE NORM GALPER 74126,A81000C,00100,0400,SEPULVEDA PROPERTIES 74126,A81000C,00100,0600,LESSOR 74126,B100000,00000,0100,00000SQUARE FEET 74126,B100000,00000,0200,00000SQUARE FEET 74126,B100000,00000,0300,00000GROSS SALARIES 74126,B100000,00000,0400,00000ACCUM. COST 74126,B100000,00000,0500,00000SQUARE FEET 74126,B100000,00000,0600,00000POUNDS OF LAUNDRY 74126,B100000,00000,0700,00000SQUARE FEET 74126,B100000,00000,0800,00000MEALS SERVED 74126,B100000,00000,0900,00000ADMISSIONS S 74126,B100000,00000,1000,00000COSTED REQUIS. 74126,B100000,00000,1100,00000COSTED REQUIS. 74126,B100000,00000,1200,00000TIME SPENT 74126,B100000,00000,1300,00000TIME SPENT 74126,B100000,00000,1350,00000NO STATISTICS 74126,B100000,00000,1400,00000ASSIGNED TIME 74126,E10A180,00501,0300,07/06/2000 74126,S000000,00100,0200,06/01/2000 74126,S200000,00100,0100,6600 SEPULVEDA BLVD 74126,S200000,00200,0100,VAN NUYS 74126,S200000,00200,0200,CA 74126,S200000,00200,0300,91411 74126,S200000,00300,0100,LOS ANGELES 74126,S200000,00400,0100,BERKLEY VALLEY CONVALESCENT HOSPITAL 74126,S200000,00400,0200,056253 74126,S200000,00400,0300,01/01/1984 74126,S200000,00400,0500,P 74126,S200000,00600,0200,056253 74126,S200000,00600,0300,01/01/1984 74126,S200000,00600,0600,P 74126,S200000,01600,0100,Y 74130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74130,A000000,00300,0000,00300EMPLOYEE BENEFITS 74130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74130,A000000,00700,0000,00700HOUSEKEEPING 74130,A000000,00800,0000,00800DIETARY 74130,A000000,00900,0000,00900NURSING ADMINISTRATION 74130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74130,A000000,01100,0000,01100PHARMACY 74130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74130,A000000,01300,0000,01300SOCIAL SERVICE 74130,A000000,01350,0000,01500RECREATION 74130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74130,A000000,01600,0000,01600SKILLED NURSING FACILITY 74130,A000000,01800,0000,01800NURSING FACILITY 74130,A000000,01810,0000,01810ICF/MR 74130,A000000,02100,0000,02100RADIOLOGY 74130,A000000,02200,0000,02200LABORATORY 74130,A000000,02500,0000,02500PHYSICAL THERAPY 74130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74130,A000000,02700,0000,02700SPEECH PATHOLOGY 74130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74130,A000000,03200,0000,03200SUPPORT SURFACES 74130,A000000,03550,0000,03550FQHC 74130,A000000,05000,0000,05000CORF 74130,A000000,05010,0000,05010CMHC 74130,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74130,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74130,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74130,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74130,A81000A,00100,0100,Y 74130,A81000B,00100,0300,HOME OFFICE ADM 74130,A81000B,00200,0300,HOME OFFICE CAPITAL 74130,A81000C,00100,0100,B 74130,A81000C,00100,0200,MOYLE CENTRAL 74130,B100000,00000,0100,00000SQUARE FEET 74130,B100000,00000,0200,00000SQUARE FEET 74130,B100000,00000,0300,00000GROSS SALARIES 74130,B100000,00000,0400,00000ACCUM COST 74130,B100000,00000,0500,00000SQUARE FEET 74130,B100000,00000,0600,00000PATIENT DAYS 74130,B100000,00000,0700,00000SQUARE FOOTAGE 74130,B100000,00000,0800,00000PATIENT DAYS 74130,B100000,00000,0900,00000DIRECT NURSING 74130,B100000,00000,1000,00000COSTED REQUIS 74130,B100000,00000,1100,00000COSTED REQUIS 74130,B100000,00000,1200,00000PATIENT DAYS 74130,B100000,00000,1300,00000PATIENT DAYS 74130,B100000,00000,1350,00000PATIENT DAYS 74130,B100000,00000,1400,00000ASSIGNED TIME 74130,E10A180,00350,0300,09/02/1999 74130,E10A180,00501,0100,05/22/2000 74130,E10A180,00501,0300,07/20/2000 74130,E10A180,00502,0100,07/20/2000 74130,E10A180,00550,0300,05/22/2000 74130,S000000,00100,0200,05/23/2000 74130,S200000,00100,0100,604 EAST MERRITT AVENUE 74130,S200000,00200,0100,TULARE 74130,S200000,00200,0200,CA 74130,S200000,00200,0300,93275 74130,S200000,00300,0100,TULARE 74130,S200000,00400,0100,MERRITT MANOR 74130,S200000,00400,0200,056261 74130,S200000,00400,0300,01/01/1991 74130,S200000,00400,0500,P 74130,S200000,00600,0200,056261 74130,S200000,00600,0300,01/01/1991 74130,S200000,00600,0600,P 74130,S200000,01600,0100,Y 74137,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74137,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74137,A000000,00300,0000,00300EMPLOYEE BENEFITS 74137,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74137,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74137,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74137,A000000,00700,0000,00700HOUSEKEEPING 74137,A000000,00800,0000,00800DIETARY 74137,A000000,00900,0000,00900NURSING ADMINISTRATION 74137,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74137,A000000,01100,0000,01100PHARMACY 74137,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74137,A000000,01300,0000,01300SOCIAL SERVICE 74137,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74137,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74137,A000000,01600,0000,01600SKILLED NURSING FACILITY 74137,A000000,01810,0000,01810ICF/MR 74137,A000000,02100,0000,02100RADIOLOGY 74137,A000000,02200,0000,02200LABORATORY 74137,A000000,02500,0000,02500PHYSICAL THERAPY 74137,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74137,A000000,02700,0000,02700SPEECH PATHOLOGY 74137,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74137,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74137,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74137,A000000,03200,0000,03200SUPPORT SURFACES 74137,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74137,A000000,03550,0000,03550FQHC 74137,A000000,05000,0000,05000CORF 74137,A000000,05010,0000,05010CMHC 74137,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74137,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74137,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74137,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74137,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74137,A000000,06150,0000,06300RESIDENTIAL 74137,A81000A,00100,0100,Y 74137,A81000B,00100,0300,HOME OFICE COSTS 74137,A81000B,00200,0300,HOME OFFICE COSTS 74137,A81000C,00100,0100,B 74137,A81000C,00100,0400,RHF 74137,B100000,00000,0100,00000SQUARE FEET 74137,B100000,00000,0200,00000SQUARE FEET 74137,B100000,00000,0300,00000GROSS SALARIES 74137,B100000,00000,0400,00000ACCUM COST 74137,B100000,00000,0500,00000SQUARE FEET 74137,B100000,00000,0600,00000PATIENT DAYS 74137,B100000,00000,0700,00000SQUARE FEET 74137,B100000,00000,0800,00000MEALS SERVED 74137,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74137,B100000,00000,1000,00000HOURS OF SERVICE 74137,B100000,00000,1100,00000COSTED REQUISITIO 74137,B100000,00000,1200,00000PATIENT DAYS 74137,B100000,00000,1300,00000PATIENT DAYS 74137,B100000,00000,1350,00000 74137,B100000,00000,1400,00000ASSIGNED TIME 74137,S000000,00100,0200,08/31/2000 74137,S200000,00100,0100,6570 WEST AVENUE M 74137,S200000,00200,0100,LANCASTER 74137,S200000,00200,0200,CA 74137,S200000,00200,0300,93536 74137,S200000,00300,0100,LOS ANGELES 74137,S200000,00400,0100,MAYFLOWER GARDENS CONVALESCENT HOSP 74137,S200000,00400,0200,056286 74137,S200000,00400,0300,12/01/1984 74137,S200000,00400,0500,P 74137,S200000,01500,0100,Y 74137,S200000,01800,0100,Y 74140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74140,A000000,00300,0000,00300EMPLOYEE BENEFITS 74140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74140,A000000,00700,0000,00700HOUSEKEEPING 74140,A000000,00800,0000,00800DIETARY 74140,A000000,00900,0000,00900NURSING ADMINISTRATION 74140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74140,A000000,01100,0000,01100PHARMACY 74140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74140,A000000,01300,0000,01300SOCIAL SERVICE 74140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74140,A000000,01600,0000,01600SKILLED NURSING FACILITY 74140,A000000,01800,0000,01800NURSING FACILITY 74140,A000000,01810,0000,01810ICF/MR 74140,A000000,02100,0000,02100RADIOLOGY 74140,A000000,02200,0000,02200LABORATORY 74140,A000000,02300,0000,02300INTRAVENOUS THERAPY 74140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74140,A000000,02500,0000,02500PHYSICAL THERAPY 74140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74140,A000000,02700,0000,02700SPEECH PATHOLOGY 74140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74140,A000000,03200,0000,03200SUPPORT SURFACES 74140,A000000,03550,0000,03550FQHC 74140,A000000,05000,0000,05000CORF 74140,A000000,05010,0000,05010CMHC 74140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74140,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74140,A81000A,00100,0100,Y 74140,A81000B,00100,0300,MANAGEMENT FEES 74140,A81000B,00200,0300,CAP REL-BLDG 74140,A81000B,00300,0300,CAP REL-EQUIP 74140,A81000B,00400,0300,RENT EXPENSE 74140,A81000C,00400,0100,B 74140,A81000C,00400,0200,J&L FRIEDMAN 74140,A81000C,00400,0400,LONGWOOD MGT 74140,A81000C,00400,0600,MANAGEMENT 74140,B100000,00000,0100,00000SQUARE FEET 74140,B100000,00000,0200,00000DOLLAR VALUE 74140,B100000,00000,0300,00000GROSS SALARIES 74140,B100000,00000,0400,00000ACCUM. COST 74140,B100000,00000,0500,00000SQUARE FEET 74140,B100000,00000,0600,00000POUNDS OF LAUNDRY 74140,B100000,00000,0700,00000HOURS OF SERVICE 74140,B100000,00000,0800,00000MEALS SERVED 74140,B100000,00000,0900,00000DIRECT NRSING HRS 74140,B100000,00000,1000,00000COSTED REQUIS. 74140,B100000,00000,1100,00000COSTED REQUIS. 74140,B100000,00000,1200,00000TIME SPENT 74140,B100000,00000,1300,00000TIME SPENT 74140,B100000,00000,1400,00000ASSIGNED TIME 74140,E10A180,00301,0300,11/09/1999 74140,E10A180,00501,0300,06/30/2000 74140,E10A180,00550,0100,06/30/2000 74140,S000000,00100,0200,06/02/2000 74140,S200000,00100,0100,535 E. BONITA AVENUE 74140,S200000,00200,0100,SAN DIMAS 74140,S200000,00200,0200,CA 74140,S200000,00200,0300,91773 74140,S200000,00300,0100,LOS ANGELES 74140,S200000,00400,0100,CASA BONITA CONVALESCENT HOSP 74140,S200000,00400,0200,056291 74140,S200000,00400,0300,08/01/1989 74140,S200000,00400,0500,P 74140,S200000,00600,0200,056291 74140,S200000,00600,0300,08/01/1989 74140,S200000,00600,0600,P 74140,S200000,01600,0100,Y 74140,S200000,04300,0100,Y 74146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74146,A000000,00300,0000,00300EMPLOYEE BENEFITS 74146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74146,A000000,00700,0000,00700HOUSEKEEPING 74146,A000000,00800,0000,00800DIETARY 74146,A000000,00900,0000,00900NURSING ADMINISTRATION 74146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74146,A000000,01100,0000,01100PHARMACY 74146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74146,A000000,01300,0000,01300SOCIAL SERVICE 74146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74146,A000000,01600,0000,01600SKILLED NURSING FACILITY 74146,A000000,01810,0000,01810ICF/MR 74146,A000000,02100,0000,02100RADIOLOGY 74146,A000000,02200,0000,02200LABORATORY 74146,A000000,02300,0000,02300INTRAVENOUS THERAPY 74146,A000000,02500,0000,02500PHYSICAL THERAPY 74146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74146,A000000,02700,0000,02700SPEECH PATHOLOGY 74146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74146,A000000,03200,0000,03200SUPPORT SURFACES 74146,A000000,03550,0000,03550FQHC 74146,A000000,05000,0000,05000CORF 74146,A000000,05010,0000,05010CMHC 74146,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74146,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74146,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74146,A000000,05500,0000,05500HOSPICE 74146,A81000A,00100,0100,Y 74146,A81000B,00100,0300,BUILDING LEASE 74146,A81000B,00200,0300,EQUIPMENT LEASE 74146,A81000C,00100,0100,A 74146,A81000C,00100,0200,SEPULVEDA ASSOCIATES 74146,A81000C,00100,0400,CYPRESS GARDENS 74146,A81000C,00100,0600,PROPERTY MANAGEMENT 74146,B100000,00000,0100,00000SQUARE FEET 74146,B100000,00000,0200,00000SQUARE FEET 74146,B100000,00000,0300,00000GROSS SALARIES 74146,B100000,00000,0400,00000ACCUM. COST 74146,B100000,00000,0500,00000SQUARE FEET 74146,B100000,00000,0600,00000POUNDS OF LAUNDRY 74146,B100000,00000,0700,00000SQUARE FEET 74146,B100000,00000,0800,00000MEALS SERVED 74146,B100000,00000,0900,00000DIRECT NRSING HRS 74146,B100000,00000,1000,00000COSTED REQUIS 74146,B100000,00000,1100,00000COSTED REQUIS 74146,B100000,00000,1200,00000GROSS REVENUE 74146,B100000,00000,1300,00000PATIENT DAYS 74146,B100000,00000,1400,00000ASSIGNED TIME 74146,E10A180,00550,0300,06/15/2000 74146,E10A180,00551,0100,09/13/2000 74146,E10A180,00551,0300,09/13/2000 74146,S000000,00100,0200,06/20/2000 74146,S200000,00100,0100,9025 COLORADO 74146,S200000,00200,0100,RIVERSIDE 74146,S200000,00200,0200,CA 74146,S200000,00200,0300,92503 74146,S200000,00300,0100,RIVERSIDE 74146,S200000,00400,0100,CYPRESS GARDENS REHAB. & CARE CENTER 74146,S200000,00400,0200,056315 74146,S200000,00400,0300,01/19/1989 74146,S200000,00400,0500,P 74146,S200000,00400,0600,O 74146,S200000,00600,0200,056315 74146,S200000,00600,0300,01/19/1989 74146,S200000,00600,0600,P 74146,S200000,01200,0200,056136 74146,S200000,01200,0300,07/15/1994 74146,S200000,01500,0100,Y 74149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74149,A000000,00300,0000,00300EMPLOYEE BENEFITS 74149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74149,A000000,00700,0000,00700HOUSEKEEPING 74149,A000000,00800,0000,00800DIETARY 74149,A000000,00900,0000,00900NURSING ADMINISTRATION 74149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74149,A000000,01100,0000,01100PHARMACY 74149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74149,A000000,01300,0000,01300SOCIAL SERVICE 74149,A000000,01310,0000,01301ACTIVITIES 74149,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74149,A000000,01600,0000,01600SKILLED NURSING FACILITY 74149,A000000,01810,0000,01810ICF/MR 74149,A000000,02100,0000,02100RADIOLOGY 74149,A000000,02200,0000,02200LABORATORY 74149,A000000,02500,0000,02500PHYSICAL THERAPY 74149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74149,A000000,02700,0000,02700SPEECH PATHOLOGY 74149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74149,A000000,03200,0000,03200SUPPORT SURFACES 74149,A000000,03550,0000,03550FQHC 74149,A000000,05000,0000,05000CORF 74149,A000000,05010,0000,05010CMHC 74149,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74149,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74149,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74149,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 74149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74149,A81000A,00100,0100,Y 74149,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 74149,A81000C,00100,0100,B 74149,A81000C,00100,0200,HOSPITAL 74149,A81000C,00100,0400,GSHC 74149,A81000C,00100,0600,LTC 74149,B100000,00000,0100,00000SQUARE FEET 74149,B100000,00000,0200,00000SQUARE FEET 74149,B100000,00000,0300,00000GROSS SALARIES 74149,B100000,00000,0400,00000ACCUM. COST 74149,B100000,00000,0500,00000SQUARE FEET 74149,B100000,00000,0600,00000POUNDS OF LAUNDRY 74149,B100000,00000,0700,00000SQUARE FEET 74149,B100000,00000,0800,00000MEALS SERVED 74149,B100000,00000,0900,00000DIRECT NRSING HRS 74149,B100000,00000,1000,00000COSTED REQUIS. 74149,B100000,00000,1100,00000COSTED REQUIS. 74149,B100000,00000,1200,00000GROSS REVENUE 74149,B100000,00000,1300,00000GROSS REVENUE 74149,B100000,00000,1301,00000I/P DAYS 74149,B100000,00000,1400,00000ASSIGNED TIME 74149,E10A180,00301,0300,11/12/1999 74149,E10A180,00501,0100,07/13/2000 74149,E10A180,00501,0300,07/13/2000 74149,S000000,00100,0200,04/01/2000 74149,S200000,00100,0100,409 WEST GLENOAKS BLVD. 74149,S200000,00200,0100,GLENDALE 74149,S200000,00200,0200,CA 74149,S200000,00200,0300,91202 74149,S200000,00300,0100,LOS ANGELES 74149,S200000,00400,0100,GLENOAKS CONVALESCENT HOSPITAL 74149,S200000,00400,0200,056317 74149,S200000,00400,0300,01/01/1988 74149,S200000,00400,0500,P 74149,S200000,01600,0100,Y 74151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74151,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74151,A000000,00300,0000,00300EMPLOYEE BENEFITS 74151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74151,A000000,00700,0000,00700HOUSEKEEPING 74151,A000000,00800,0000,00800DIETARY 74151,A000000,00900,0000,00900NURSING ADMINISTRATION 74151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74151,A000000,01100,0000,01100PHARMACY 74151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74151,A000000,01300,0000,01300SOCIAL SERVICE 74151,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74151,A000000,01600,0000,01600SKILLED NURSING FACILITY 74151,A000000,01810,0000,01810ICF/MR 74151,A000000,02100,0000,02100RADIOLOGY 74151,A000000,02200,0000,02200LABORATORY 74151,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74151,A000000,02500,0000,02500PHYSICAL THERAPY 74151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74151,A000000,02700,0000,02700SPEECH PATHOLOGY 74151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74151,A000000,03550,0000,03550FQHC 74151,A000000,05000,0000,05000CORF 74151,A000000,05010,0000,05010CMHC 74151,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74151,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74151,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74151,A000000,05300,0000,05300INTEREST EXPENSE 74151,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74151,A81000A,00100,0100,Y 74151,A81000B,00100,0300,INTEREST EXPENSE 74151,A81000B,00200,0300,OVERHEAD EXPENSE 74151,A81000B,00300,0300,LAUNDRY EXPENSE 74151,A81000B,00400,0300,O2 THERAPY 74151,A81000B,00500,0300,PHYSICAL THERAPY 74151,A81000C,00100,0100,C 74151,A81000C,00100,0200,METHODIST HOSPITAL 74151,A81000C,00100,0600,HEALTHCARE 74151,A81000C,00200,0100,C 74151,A81000C,00200,0200,METHODIST HOSPITAL 74151,A81000C,00200,0600,HEALTHCARE 74151,A81000C,00300,0100,C 74151,A81000C,00300,0200,METHODIST HOSPITAL 74151,A81000C,00300,0600,HEALTHCARE 74151,A81000C,00400,0100,C 74151,A81000C,00400,0200,HUNTINGTON E.V. 74151,A81000C,00400,0600,HEALTHCARE 74151,A81000C,00500,0100,C 74151,A81000C,00500,0200,METHODIST HOSPITAL 74151,A81000C,00500,0600,HEALTHCARE 74151,B100000,00000,0100,00000SQUARE FEET 74151,B100000,00000,0200,00000SQUARE FEET 74151,B100000,00000,0300,00000GROSS SALARIES 74151,B100000,00000,0400,00000ACCUM. COST 74151,B100000,00000,0500,00000SQUARE FEET 74151,B100000,00000,0600,00000POUNDS OF LAUNDRY 74151,B100000,00000,0700,00000SQUARE FEET 74151,B100000,00000,0800,00000MEALS SERVED 74151,B100000,00000,0900,00000DIRECT NRSING HRS 74151,B100000,00000,1000,00000COSTED REQUIS. 74151,B100000,00000,1100,00000COSTED REQUIS. 74151,B100000,00000,1200,00000TIME SPENT 74151,B100000,00000,1300,00000TIME SPENT 74151,B100000,00000,1400,00000ASSIGNED TIME 74151,E10A180,00350,0300,11/12/1999 74151,E10A180,00501,0100,08/07/2000 74151,E10A180,00551,0300,05/26/2000 74151,E10A180,00552,0300,08/07/2000 74151,S000000,00100,0200,05/30/2000 74151,S200000,00100,0100,225 W. SIERRA MADRE BLVD. 74151,S200000,00200,0100,SIERRA MADRE 74151,S200000,00200,0200,CA 74151,S200000,00200,0300,91204 74151,S200000,00300,0100,LOS ANGELES 74151,S200000,00400,0100,SIERRA MADRE SNF 74151,S200000,00400,0200,056318 74151,S200000,00400,0300,01/01/1972 74151,S200000,00400,0500,P 74151,S200000,00600,0200,056318 74151,S200000,00600,0300,01/01/1972 74151,S200000,00600,0600,P 74151,S200000,01500,0100,Y 74151,S200000,01900,0100,COMMUNITY 74154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74154,A000000,00300,0000,00300EMPLOYEE BENEFITS 74154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74154,A000000,00700,0000,00700HOUSEKEEPING 74154,A000000,00800,0000,00800DIETARY 74154,A000000,00900,0000,00900NURSING ADMINISTRATION 74154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74154,A000000,01100,0000,01100PHARMACY 74154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74154,A000000,01300,0000,01300SOCIAL SERVICE 74154,A000000,01310,0000,01301ACTIVITIES 74154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74154,A000000,01600,0000,01600SKILLED NURSING FACILITY 74154,A000000,01810,0000,01810ICF/MR 74154,A000000,02100,0000,02100RADIOLOGY 74154,A000000,02200,0000,02200LABORATORY 74154,A000000,02300,0000,02300INTRAVENOUS THERAPY 74154,A000000,02500,0000,02500PHYSICAL THERAPY 74154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74154,A000000,02700,0000,02700SPEECH PATHOLOGY 74154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74154,A000000,03200,0000,03200SUPPORT SURFACES 74154,A000000,03550,0000,03550FQHC 74154,A000000,05000,0000,05000CORF 74154,A000000,05010,0000,05010CMHC 74154,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74154,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74154,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74154,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74154,A81000A,00100,0100,Y 74154,A81000B,00100,0300,HOME 0FFICE-MANAGEMENT FEES 74154,A81000C,00100,0100,B 74154,A81000C,00100,0200,HOSPITAL 74154,A81000C,00100,0400,HEALTH CTRS 74154,A81000C,00100,0600,LTC 74154,B100000,00000,0100,00000SQUARE FEET 74154,B100000,00000,0200,00000SQUARE FEET 74154,B100000,00000,0300,00000GROSS SALARIES 74154,B100000,00000,0400,00000ACCUM. COST 74154,B100000,00000,0500,00000SQUARE FEET 74154,B100000,00000,0600,00000POUNDS OF LAUNDRY 74154,B100000,00000,0700,00000SQUARE FEET 74154,B100000,00000,0800,00000MEALS SERVED 74154,B100000,00000,0900,00000DIRECT NRSING HRS 74154,B100000,00000,1000,00000COSTED REQUIS. 74154,B100000,00000,1100,00000COSTED REQUIS. 74154,B100000,00000,1200,00000GROSS REVENUE 74154,B100000,00000,1300,00000GROSS REVENUE 74154,B100000,00000,1301,00000I/P DAYS 74154,B100000,00000,1400,00000ASSIGNED TIME 74154,E10A180,00501,0300,07/13/2000 74154,E10A180,00550,0100,07/13/2000 74154,S000000,00100,0200,06/01/2000 74154,S200000,00100,0100,1100 S ALVARADO STREET 74154,S200000,00200,0100,LOS ANGELES 74154,S200000,00200,0200,CA 74154,S200000,00200,0300,90006 74154,S200000,00300,0100,LOS ANGELES 74154,S200000,00400,0100,OLYMPIA CONVALESCENT HOSPITAL 74154,S200000,00400,0200,056321 74154,S200000,00400,0300,01/01/1989 74154,S200000,00400,0500,P 74154,S200000,00600,0200,056321 74154,S200000,00600,0300,01/01/1989 74154,S200000,00600,0600,P 74154,S200000,01600,0100,Y 74156,S000000,00100,0200,05/24/2000 74164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74164,A000000,00300,0000,00300EMPLOYEE BENEFITS 74164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74164,A000000,00700,0000,00700HOUSEKEEPING 74164,A000000,00800,0000,00800DIETARY 74164,A000000,00900,0000,00900NURSING ADMINISTRATION 74164,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74164,A000000,01100,0000,01100PHARMACY 74164,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74164,A000000,01300,0000,01300SOCIAL SERVICE 74164,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74164,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74164,A000000,01600,0000,01600SKILLED NURSING FACILITY 74164,A000000,01810,0000,01810ICF/MR 74164,A000000,02100,0000,02100RADIOLOGY 74164,A000000,02200,0000,02200LABORATORY 74164,A000000,02300,0000,02300INTRAVENOUS THERAPY 74164,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74164,A000000,02500,0000,02500PHYSICAL THERAPY 74164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74164,A000000,02700,0000,02700SPEECH PATHOLOGY 74164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74164,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74164,A000000,03201,0000,03201ENTERAL FEEDING 74164,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74164,A000000,03550,0000,03550FQHC 74164,A000000,05000,0000,05000CORF 74164,A000000,05010,0000,05010CMHC 74164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74164,A000000,05300,0000,05300INTEREST EXPENSE 74164,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74164,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74164,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74164,A81000A,00100,0100,Y 74164,A81000B,00100,0300,LEASE EXPENSE 74164,A81000B,00300,0300,HOME OFFICE 74164,A81000B,00400,0300,NURSING INSERVICE 74164,A81000C,00100,0100,B 74164,A81000C,00100,0200,COLONIAL MANOR 74164,A81000C,00100,0400,K & D ENTERPRIS 74164,A81000C,00100,0600,BLDG RENTAL 74164,A81000C,00200,0100,B 74164,A81000C,00200,0200,COLONIAL MANOR 74164,A81000C,00200,0400,CARE TECH 74164,A81000C,00200,0600,HOME OFFICE 74164,B100000,00000,0100,00000SQUARE FEET 74164,B100000,00000,0200,00000SQUARE FEET 74164,B100000,00000,0300,00000GROSS SALARIES 74164,B100000,00000,0400,00000ACCUM COST 74164,B100000,00000,0500,00000SQUARE FEET 74164,B100000,00000,0600,00000POUNDS OF LAUNDRY 74164,B100000,00000,0700,00000HOURS OF SERVICE 74164,B100000,00000,0800,00000MEALS SERVED 74164,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74164,B100000,00000,1000,00000COSTED REQUISITIO 74164,B100000,00000,1100,00000COSTED REQUISITIO 74164,B100000,00000,1200,00000TIME SPENT 74164,B100000,00000,1300,00000TIME SPENT 74164,B100000,00000,1350,00000SQUARE FEET 74164,B100000,00000,1400,00000ASSIGNED TIME 74164,E10A180,00301,0300,06/09/2000 74164,E10A180,00501,0100,04/19/2001 74164,E10A180,00501,0300,04/19/2001 74164,S000000,00100,0200,03/13/2001 74164,S200000,00100,0100,919 N. SUNSET AVENUE 74164,S200000,00200,0100,WEST COVINA 74164,S200000,00200,0200,CALIF. 74164,S200000,00200,0300,91790 74164,S200000,00300,0100,LOS ANGELES 74164,S200000,00400,0100,COLONIAL MANOR CONVALESCENT HOSP. 74164,S200000,00400,0200,056331 74164,S200000,00400,0300,07/01/1972 74164,S200000,00400,0500,P 74164,S200000,00600,0200,056331 74164,S200000,00600,0300,07/01/1972 74164,S200000,00600,0600,P 74164,S200000,01500,0100,Y 74164,S200000,01900,0100,OTHER (SPECIFY) 74169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74169,A000000,00300,0000,00300EMPLOYEE BENEFITS 74169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74169,A000000,00700,0000,00700HOUSEKEEPING 74169,A000000,00800,0000,00800DIETARY 74169,A000000,00900,0000,00900NURSING ADMINISTRATION 74169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74169,A000000,01100,0000,01100PHARMACY 74169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74169,A000000,01300,0000,01300SOCIAL SERVICE 74169,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 74169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74169,A000000,01600,0000,01600SKILLED NURSING FACILITY 74169,A000000,01800,0000,01800NURSING FACILITY 74169,A000000,01810,0000,01810ICF/MR 74169,A000000,02100,0000,02100RADIOLOGY 74169,A000000,02200,0000,02200LABORATORY 74169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74169,A000000,02500,0000,02500PHYSICAL THERAPY 74169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74169,A000000,02700,0000,02700SPEECH PATHOLOGY 74169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74169,A000000,03550,0000,03550FQHC 74169,A000000,05000,0000,05000CORF 74169,A000000,05010,0000,05010CMHC 74169,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74169,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74169,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74169,A81000A,00100,0100,Y 74169,A81000B,00100,0300,MGT FEE/HOME OFFICE 74169,A81000B,00200,0300,HOME OFFICE CAPITAL 74169,A81000B,00300,0300,MEDICAL SUPPLIES 74169,A81000B,00400,0300,DRUGS 74169,A81000B,00500,0300,PHYSICAL THERAPY 74169,A81000B,00600,0300,OCCUPATIONAL THERAPY 74169,A81000B,00700,0300,SPEECH THERAPY 74169,A81000B,00800,0300,RESPIRATORY THERAPY 74169,A81000C,00100,0100,B 74169,A81000C,00100,0400,FOUNTAIN VIEW INC. 74169,A81000C,00100,0600,MANAGEMENT 74169,A81000C,00200,0100,B 74169,A81000C,00200,0400,SKILLED CARE PHARMACY 74169,A81000C,00200,0600,INSTITUTIONAL PHARMACY 74169,A81000C,00300,0100,B 74169,A81000C,00300,0400,LOCOMOTION THERAPY INC. 74169,A81000C,00300,0600,THERAPY PROVIDER 74169,B100000,00000,0100,00000SQUARE FEET 74169,B100000,00000,0200,00000DOLLAR VALUE 74169,B100000,00000,0300,00000GROSS SALARY 74169,B100000,00000,0400,00000ACCUM. COST 74169,B100000,00000,0500,00000SQUARE FEET 74169,B100000,00000,0600,00000PATIENT DAYS 74169,B100000,00000,0700,00000SQUARE FEET 74169,B100000,00000,0800,00000MEALS SERVED 74169,B100000,00000,0900,00000NURSING HOURS 74169,B100000,00000,1000,00000COSTED REQUIS 74169,B100000,00000,1100,00000COSTED REQUIS 74169,B100000,00000,1200,00000GROSS REVENUE 74169,B100000,00000,1300,00000PATIENT DAYS 74169,B100000,00000,1350,00000PATIENT DAYS 74169,B100000,00000,1400,00000ASSIGNED TIME 74169,S000000,00100,0200,06/06/2000 74169,S200000,00100,0100,1800 OLD TUSTIN ROAD 74169,S200000,00200,0100,SANTA ANA 74169,S200000,00200,0200,CA 74169,S200000,00200,0300,92705 74169,S200000,00300,0100,ORANGE 74169,S200000,00400,0100,CAREHOUSE CONVALESCENT CENTER 74169,S200000,00400,0200,056332 74169,S200000,00400,0300,07/01/1983 74169,S200000,00400,0500,P 74169,S200000,00600,0200,056332 74169,S200000,00600,0300,07/01/1983 74169,S200000,00600,0600,P 74169,S200000,01600,0100,Y 74170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74170,A000000,00300,0000,00300EMPLOYEE BENEFITS 74170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74170,A000000,00700,0000,00700HOUSEKEEPING 74170,A000000,00800,0000,00800DIETARY 74170,A000000,00900,0000,00900NURSING ADMINISTRATION 74170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74170,A000000,01100,0000,01100PHARMACY 74170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74170,A000000,01300,0000,01300SOCIAL SERVICE 74170,A000000,01350,0000,01500OTHER GENERAL SERVICES 74170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74170,A000000,01600,0000,01600SKILLED NURSING FACILITY 74170,A000000,01810,0000,01810ICF/MR 74170,A000000,02100,0000,02100RADIOLOGY 74170,A000000,02200,0000,02200LABORATORY 74170,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74170,A000000,02500,0000,02500PHYSICAL THERAPY 74170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74170,A000000,02700,0000,02700SPEECH PATHOLOGY 74170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74170,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74170,A000000,03200,0000,03200SUPPORT SURFACES 74170,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74170,A000000,03550,0000,03550FQHC 74170,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74170,A000000,05000,0000,05000CORF 74170,A000000,05010,0000,05010CMHC 74170,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74170,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74170,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74170,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74170,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74170,B100000,00000,0100,00000SQUARE FEET 74170,B100000,00000,0200,00000SQUARE FEET 74170,B100000,00000,0300,00000GROSS SALARIES 74170,B100000,00000,0400,00000ACCUM. COST 74170,B100000,00000,0500,00000SQUARE FEET 74170,B100000,00000,0600,00000POUNDS OF LAUNDRY 74170,B100000,00000,0700,00000SQUARE FEET 74170,B100000,00000,0800,00000MEALS SERVED 74170,B100000,00000,0900,00000PATIENT DAYS 74170,B100000,00000,1000,00000COSTED REQUIS. 74170,B100000,00000,1100,00000COSTED REQUIS. 74170,B100000,00000,1200,00000CENSUS 74170,B100000,00000,1300,00000PATIENT DAYS 74170,B100000,00000,1350,00000NO STATISTICS 74170,B100000,00000,1400,00000ASSIGNED TIME 74170,E10A180,00350,0300,08/31/1999 74170,E10A180,00501,0300,07/11/2000 74170,E10A180,00550,0100,07/11/2000 74170,S000000,00100,0200,06/05/2000 74170,S200000,00100,0100,13333 FENTON AVE 74170,S200000,00200,0100,SYLMAR 74170,S200000,00200,0200,CA 74170,S200000,00200,0300,91342 74170,S200000,00300,0100,LOS ANGELES 74170,S200000,00400,0100,MOUNTAIN VIEW CONVALESCENT HOSPITAL 74170,S200000,00400,0200,056333 74170,S200000,00400,0300,06/15/1998 74170,S200000,00400,0500,P 74170,S200000,01500,0100,Y 74172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74172,A000000,00300,0000,00300EMPLOYEE BENEFITS 74172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74172,A000000,00700,0000,00700HOUSEKEEPING 74172,A000000,00800,0000,00800DIETARY 74172,A000000,00900,0000,00900NURSING ADMINISTRATION 74172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74172,A000000,01100,0000,01100PHARMACY 74172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74172,A000000,01300,0000,01300SOCIAL SERVICE 74172,A000000,01310,0000,01301ACTIVITIES 74172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74172,A000000,01600,0000,01600SKILLED NURSING FACILITY 74172,A000000,01810,0000,01810ICF/MR 74172,A000000,02100,0000,02100RADIOLOGY 74172,A000000,02200,0000,02200LABORATORY 74172,A000000,02300,0000,02300INTRAVENOUS THERAPY 74172,A000000,02500,0000,02500PHYSICAL THERAPY 74172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74172,A000000,02700,0000,02700SPEECH PATHOLOGY 74172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74172,A000000,03050,0000,03300OTHER ANCILLARIES 74172,A000000,03200,0000,03200SUPPORT SURFACES 74172,A000000,03550,0000,03550FQHC 74172,A000000,05000,0000,05000CORF 74172,A000000,05010,0000,05010CMHC 74172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74172,A81000A,00100,0100,Y 74172,A81000B,00100,0300,HOME OFFICE-MANAGEMENT FEES 74172,A81000C,00100,0100,B 74172,A81000C,00100,0200,HOSPITAL 74172,A81000C,00100,0400,GSHC 74172,A81000C,00100,0600,LTC 74172,B100000,00000,0100,00000SQUARE FEET 74172,B100000,00000,0200,00000SQUARE FEET 74172,B100000,00000,0300,00000GROSS SALARIES 74172,B100000,00000,0400,00000ACCUM. COST 74172,B100000,00000,0500,00000SQUARE FEET 74172,B100000,00000,0600,00000POUNDS OF LAUNDRY 74172,B100000,00000,0700,00000SQUARE FEET 74172,B100000,00000,0800,00000MEALS SERVED 74172,B100000,00000,0900,00000DIRECT NRSING HRS 74172,B100000,00000,1000,00000COSTED REQUIS. 74172,B100000,00000,1100,00000COSTED REQUIS. 74172,B100000,00000,1200,00000GROSS REVENUE 74172,B100000,00000,1300,00000GROSS REVENUE 74172,B100000,00000,1301,00000I/P DAYS 74172,B100000,00000,1400,00000ASSIGNED TIME 74172,E10A180,00501,0100,07/24/2000 74172,E10A180,00501,0300,07/24/2000 74172,S000000,00100,0200,06/01/2000 74172,S200000,00100,0100,1340 15TH STREET 74172,S200000,00200,0100,SANTA MONICA 74172,S200000,00200,0200,CA 74172,S200000,00200,0300,90404 74172,S200000,00300,0100,LOS ANGELES 74172,S200000,00400,0100,OCEANVIEW CONVALESCENT HOSPITAL 74172,S200000,00400,0200,056334 74172,S200000,00400,0300,06/01/1991 74172,S200000,00400,0500,P 74172,S200000,01600,0100,Y 74176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74176,A000000,00300,0000,00300EMPLOYEE BENEFITS 74176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74176,A000000,00700,0000,00700HOUSEKEEPING 74176,A000000,00800,0000,00800DIETARY 74176,A000000,00900,0000,00900NURSING ADMINISTRATION 74176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74176,A000000,01100,0000,01100PHARMACY 74176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74176,A000000,01300,0000,01300SOCIAL SERVICE 74176,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74176,A000000,01600,0000,01600SKILLED NURSING FACILITY 74176,A000000,01800,0000,01800NURSING FACILITY 74176,A000000,01810,0000,01810ICF/MR 74176,A000000,02100,0000,02100RADIOLOGY 74176,A000000,02200,0000,02200LABORATORY 74176,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74176,A000000,02500,0000,02500PHYSICAL THERAPY 74176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74176,A000000,02700,0000,02700SPEECH PATHOLOGY 74176,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74176,A000000,03200,0000,03200SUPPORT SURFACES 74176,A000000,03550,0000,03550FQHC 74176,A000000,04800,0000,04800AMBULANCE 74176,A000000,05000,0000,05000CORF 74176,A000000,05010,0000,05010CMHC 74176,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74176,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74176,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74176,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74176,A81000A,00100,0100,Y 74176,A81000B,00100,0300,PURCHASED SERVICES 74176,A81000B,00200,0300,RENTED LAUNDRY SPACE 74176,A81000B,00300,0300,LAUNDRY UTILITIES 74176,A81000B,00400,0300,LEASED ADMINISTRATION BUILDING 74176,A81000C,00100,0100,A 74176,A81000C,00100,0200,T & M DUARTE 74176,A81000C,00100,0400,ANNEX LAUNDRY 74176,A81000C,00100,0600,RENTAL 74176,A81000C,00200,0100,A 74176,A81000C,00200,0200,T & M DUARTE 74176,A81000C,00200,0400,ANNEX LAUNDRY 74176,A81000C,00200,0600,RENTAL 74176,A81000C,00300,0100,A 74176,A81000C,00300,0200,T & M DUARTE 74176,A81000C,00300,0400,ANNEX LAUNDRY 74176,A81000C,00300,0600,RENTAL 74176,A81000C,00400,0100,A 74176,A81000C,00400,0200,T & M DUARTE 74176,A81000C,00400,0400,ADMIN BUILDING 74176,A81000C,00400,0600,RENTAL 74176,B100000,00000,0100,00000SQUARE FEET 74176,B100000,00000,0200,00000SQUARE FEET 74176,B100000,00000,0300,00000GROSS SALARIES 74176,B100000,00000,0400,00000ACCUM COST 74176,B100000,00000,0500,00000SQUARE FEET 74176,B100000,00000,0600,00000NUMBER OF BEDS 74176,B100000,00000,0700,00000SQUARE FEET 74176,B100000,00000,0800,00000PATIENT DAYS 74176,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74176,B100000,00000,1000,00000GROSS REVENUES 74176,B100000,00000,1100,00000COSTED REQUIS 74176,B100000,00000,1200,00000PATIENT DAYS 74176,B100000,00000,1300,00000PATIENT DAYS 74176,B100000,00000,1400,00000ASSIGNED TIME 74176,E10A180,00501,0100,07/14/2000 74176,E10A180,00501,0300,07/14/2000 74176,S000000,00100,0200,05/19/2000 74176,S200000,00100,0100,1833 10TH AVENUE 74176,S200000,00200,0100,OAKLAND 74176,S200000,00200,0200,CA 74176,S200000,00200,0300,94606 74176,S200000,00300,0100,ALAMEDA 74176,S200000,00400,0100,CLINTON VILLAGE CONV HOSPITAL 74176,S200000,00400,0200,056341 74176,S200000,00400,0300,01/01/1986 74176,S200000,00400,0500,P 74176,S200000,00600,0200,056341 74176,S200000,00600,0300,01/01/1986 74176,S200000,00600,0600,P 74176,S200000,01600,0100,Y 74178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74178,A000000,00300,0000,00300EMPLOYEE BENEFITS 74178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74178,A000000,00700,0000,00700HOUSEKEEPING 74178,A000000,00800,0000,00800DIETARY 74178,A000000,00900,0000,00900NURSING ADMINISTRATION 74178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74178,A000000,01100,0000,01100PHARMACY 74178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74178,A000000,01300,0000,01300SOCIAL SERVICE 74178,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74178,A000000,01600,0000,01600SKILLED NURSING FACILITY 74178,A000000,01810,0000,01810ICF/MR 74178,A000000,02100,0000,02100RADIOLOGY 74178,A000000,02200,0000,02200LABORATORY 74178,A000000,02500,0000,02500PHYSICAL THERAPY 74178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74178,A000000,02700,0000,02700SPEECH PATHOLOGY 74178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74178,A000000,03550,0000,03550FQHC 74178,A000000,05000,0000,05000CORF 74178,A000000,05010,0000,05010CMHC 74178,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74178,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74178,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74178,B100000,00000,0100,00000SQUARE FEET 74178,B100000,00000,0200,00000DOLLAR VALUE 74178,B100000,00000,0300,00000GROSS SALARIES 74178,B100000,00000,0400,00000ACCUM. COST 74178,B100000,00000,0500,00000SQUARE FEET 74178,B100000,00000,0600,00000POUNDS OF LAUNDRY 74178,B100000,00000,0700,00000HOURS OF SERVICE 74178,B100000,00000,0800,00000MEALS SERVED 74178,B100000,00000,0900,00000DIRECT NRSING HRS 74178,B100000,00000,1000,00000COSTED REQUIS. 74178,B100000,00000,1100,00000COSTED REQUIS. 74178,B100000,00000,1200,00000TIME SPENT 74178,B100000,00000,1300,00000TIME SPENT 74178,B100000,00000,1400,00000ASSIGNED TIME 74178,E10A180,00301,0100,01/19/2000 74178,E10A180,00551,0300,08/19/2000 74178,S000000,00100,0200,06/23/2000 74178,S200000,00100,0100,1570 N FAIROAKS AVE. 74178,S200000,00200,0100,PASADENA 74178,S200000,00200,0200,CA 74178,S200000,00200,0300,91103 74178,S200000,00300,0100,LOS ANGELES 74178,S200000,00400,0100,SOPHIA LYN CONVALESCENT HOSPITL 74178,S200000,00400,0200,056343 74178,S200000,00400,0300,03/01/1989 74178,S200000,00400,0500,P 74178,S200000,01500,0100,Y 74180,S000000,00100,0200,05/25/2000 74183,S000000,00100,0200,05/11/2000 74187,S000000,00100,0200,06/02/2000 74190,S000000,00100,0200,11/20/2000 74196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74196,A000000,00300,0000,00300EMPLOYEE BENEFITS 74196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74196,A000000,00700,0000,00700HOUSEKEEPING 74196,A000000,00800,0000,00800DIETARY 74196,A000000,00900,0000,00900NURSING ADMINISTRATION 74196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74196,A000000,01100,0000,01100PHARMACY 74196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74196,A000000,01300,0000,01300SOCIAL SERVICE 74196,A000000,01350,0000,01500OTHER GENERAL SERVICES 74196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74196,A000000,01600,0000,01600SKILLED NURSING FACILITY 74196,A000000,01800,0000,01800NURSING FACILITY 74196,A000000,01810,0000,01810ICF/MR 74196,A000000,02100,0000,02100RADIOLOGY 74196,A000000,02200,0000,02200LABORATORY 74196,A000000,02500,0000,02500PHYSICAL THERAPY 74196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74196,A000000,02700,0000,02700SPEECH PATHOLOGY 74196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74196,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74196,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74196,A000000,03550,0000,03550FQHC 74196,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74196,A000000,05000,0000,05000CORF 74196,A000000,05010,0000,05010CMHC 74196,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74196,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74196,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74196,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74196,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74196,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74196,B100000,00000,0100,00000SQUARE FEET 74196,B100000,00000,0200,00000SQUARE FEET 74196,B100000,00000,0300,00000GROSS SALARIES 74196,B100000,00000,0400,00000ACCUM. COST 74196,B100000,00000,0500,00000SQUARE FEET 74196,B100000,00000,0600,00000POUNDS OF LAUNDRY 74196,B100000,00000,0700,00000HOURS OF SERVICE 74196,B100000,00000,0800,00000MEALS SERVED 74196,B100000,00000,0900,00000DIR NRSG LABOR COST 74196,B100000,00000,1000,00000COSTED REQUIS. 74196,B100000,00000,1100,00000COSTED REQUIS. 74196,B100000,00000,1200,00000TIME SPENT 74196,B100000,00000,1300,00000TIME SPENT 74196,B100000,00000,1350,00000NO STATISTICS 74196,B100000,00000,1400,00000ASSIGNED TIME 74196,E10A180,00351,0300,11/11/1999 74196,E10A180,00502,0300,07/31/2000 74196,E10A180,00552,0100,07/31/2000 74196,S000000,00100,0200,06/05/2000 74196,S200000,00100,0100,300 NEAL STREET 74196,S200000,00200,0100,PLEASANTON 74196,S200000,00200,0200,CA 74196,S200000,00200,0300,94566 74196,S200000,00300,0100,ALAMEDA 74196,S200000,00400,0100,PLEASANTON CONV. HOSPITAL 74196,S200000,00400,0200,056392 74196,S200000,00400,0300,07/17/1973 74196,S200000,00400,0500,P 74196,S200000,00600,0200,056392 74196,S200000,00600,0300,01/17/1973 74196,S200000,00600,0600,P 74196,S200000,01600,0100,Y 74196,S200000,02800,0100,Y 74198,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74198,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74198,A000000,00300,0000,00300EMPLOYEE BENEFITS 74198,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74198,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74198,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74198,A000000,00700,0000,00700HOUSEKEEPING 74198,A000000,00800,0000,00800DIETARY 74198,A000000,00900,0000,00900NURSING ADMINISTRATION 74198,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74198,A000000,01100,0000,01100PHARMACY 74198,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74198,A000000,01300,0000,01300SOCIAL SERVICE 74198,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74198,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74198,A000000,01600,0000,01600SKILLED NURSING FACILITY 74198,A000000,01800,0000,01800NURSING FACILITY 74198,A000000,01810,0000,01810ICF/MR 74198,A000000,02100,0000,02100RADIOLOGY 74198,A000000,02200,0000,02200LABORATORY 74198,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74198,A000000,02500,0000,02500PHYSICAL THERAPY 74198,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74198,A000000,02700,0000,02700SPEECH PATHOLOGY 74198,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74198,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74198,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74198,A000000,03200,0000,03200SUPPORT SURFACES 74198,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74198,A000000,03550,0000,03550FQHC 74198,A000000,05000,0000,05000CORF 74198,A000000,05010,0000,05010CMHC 74198,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74198,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74198,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74198,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74198,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74198,A81000A,00100,0100,Y 74198,A81000B,00100,0300,HOME OFFICE CAPITAL 74198,A81000B,00200,0300,HOME OFFICE ALLOCATION 74198,A81000C,00100,0100,A 74198,A81000C,00100,0200,KENNON S. SHEA 74198,B100000,00000,0100,00000SQUARE FEET 74198,B100000,00000,0200,00000SQUARE FEET 74198,B100000,00000,0300,00000GROSS SALARIES 74198,B100000,00000,0400,00000ACCUM COST 74198,B100000,00000,0500,00000SQUARE FEET 74198,B100000,00000,0600,00000POUNDS OF LAUNDRY 74198,B100000,00000,0700,00000HOURS OF SERVICE 74198,B100000,00000,0800,00000MEALS SERVED 74198,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74198,B100000,00000,1000,00000COSTED REQUISITIO 74198,B100000,00000,1100,00000COSTED REQUISITIO 74198,B100000,00000,1200,00000TIME SPENT 74198,B100000,00000,1300,00000TIME SPENT 74198,B100000,00000,1350,00000 74198,B100000,00000,1400,00000ASSIGNED TIME 74198,E10A180,00550,0100,07/06/2000 74198,E10A180,00550,0300,05/16/2000 74198,E10A180,00551,0300,07/06/2000 74198,S000000,00100,0200,05/18/2000 74198,S200000,00100,0100,3680 REYNARD WAY 74198,S200000,00200,0100,SAN DIEGO 74198,S200000,00200,0200,CA 74198,S200000,00200,0300,92103 74198,S200000,00300,0100,SAN DIEGO 74198,S200000,00400,0100,THE CLOISTERS OF MISSION HILL 74198,S200000,00400,0200,056401 74198,S200000,00400,0300,02/01/1992 74198,S200000,00400,0500,P 74198,S200000,00600,0200,056401 74198,S200000,00600,0300,02/01/1992 74198,S200000,00600,0600,P 74198,S200000,01600,0100,Y 74200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74200,A000000,00300,0000,00300EMPLOYEE BENEFITS 74200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74200,A000000,00700,0000,00700HOUSEKEEPING 74200,A000000,00800,0000,00800DIETARY 74200,A000000,00900,0000,00900NURSING ADMINISTRATION 74200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74200,A000000,01100,0000,01100PHARMACY 74200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74200,A000000,01300,0000,01300SOCIAL SERVICE 74200,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74200,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74200,A000000,01600,0000,01600SKILLED NURSING FACILITY 74200,A000000,01800,0000,01800NURSING FACILITY 74200,A000000,01810,0000,01810ICF/MR 74200,A000000,02100,0000,02100RADIOLOGY 74200,A000000,02200,0000,02200LABORATORY 74200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74200,A000000,02500,0000,02500PHYSICAL THERAPY 74200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74200,A000000,02700,0000,02700SPEECH PATHOLOGY 74200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74200,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74200,A000000,03200,0000,03200SUPPORT SURFACES 74200,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74200,A000000,03550,0000,03550FQHC 74200,A000000,05000,0000,05000CORF 74200,A000000,05010,0000,05010CMHC 74200,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74200,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74200,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74200,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74200,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74200,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74200,B100000,00000,0100,00000SQUARE FEET 74200,B100000,00000,0200,00000SQUARE FEET 74200,B100000,00000,0300,00000GROSS SALARIES 74200,B100000,00000,0400,00000ACCUM COST 74200,B100000,00000,0500,00000SQUARE FEET 74200,B100000,00000,0600,00000POUNDS OF LAUNDRY 74200,B100000,00000,0700,00000SQUARE FEET 74200,B100000,00000,0800,00000MEALS SERVED 74200,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74200,B100000,00000,1000,00000PATIENT DAYS 74200,B100000,00000,1100,00000PATIENT DAYS 74200,B100000,00000,1200,00000GROSS REVENUES 74200,B100000,00000,1300,00000PATIENT DAYS 74200,B100000,00000,1350,00000 74200,B100000,00000,1400,00000ASSIGNED TIME 74200,E10A180,00501,0100,09/01/2000 74200,E10A180,00551,0300,09/01/2000 74200,S000000,00100,0200,06/08/2000 74200,S200000,00100,0100,17836 WOODRUFF AVENUE 74200,S200000,00200,0100,BELLFLOWER 74200,S200000,00200,0200,CA 74200,S200000,00200,0300,90706 74200,S200000,00300,0100,LOS ANGELES 74200,S200000,00400,0100,WOODRUFF CONVALESCENT CENTER 74200,S200000,00400,0200,056405 74200,S200000,00400,0300,01/01/1989 74200,S200000,00400,0500,P 74200,S200000,00600,0200,056405 74200,S200000,00600,0300,01/01/1989 74200,S200000,00600,0600,P 74200,S200000,01600,0100,Y 74200,S200000,01900,0100,COMMUNITY 74203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74203,A000000,00300,0000,00300EMPLOYEE BENEFITS 74203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74203,A000000,00700,0000,00700HOUSEKEEPING 74203,A000000,00800,0000,00800DIETARY 74203,A000000,00900,0000,00900NURSING ADMINISTRATION 74203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74203,A000000,01100,0000,01100PHARMACY 74203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74203,A000000,01300,0000,01300SOCIAL SERVICE 74203,A000000,01350,0000,01500OTHER GENERAL SERVICES 74203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74203,A000000,01600,0000,01600SKILLED NURSING FACILITY 74203,A000000,01800,0000,01800NURSING FACILITY 74203,A000000,01810,0000,01810ICF/MR 74203,A000000,02100,0000,02100RADIOLOGY 74203,A000000,02200,0000,02200LABORATORY 74203,A000000,02500,0000,02500PHYSICAL THERAPY 74203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74203,A000000,02700,0000,02700SPEECH PATHOLOGY 74203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74203,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74203,A000000,03200,0000,03200SUPPORT SURFACES 74203,A000000,03550,0000,03550FQHC 74203,A000000,05000,0000,05000CORF 74203,A000000,05010,0000,05010CMHC 74203,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74203,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74203,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74203,A81000A,00100,0100,Y 74203,A81000B,00100,0300,A&G 74203,A81000B,00200,0300,BLDGS & FIXTURE 74203,A81000B,00300,0300,MOVABLE EQUIPME 74203,A81000B,00400,0300,BUILDING LEASE 74203,A81000B,00500,0300,CWIC WORK COMP 74203,A81000B,00600,0300,CWIC INSURANCE 74203,A81000B,00700,0300,EMERALD FIXED ASSETS 74203,A81000B,00800,0300,EMERALD ADMIN SUPP 74203,A81000B,00900,0300,EMERALD MAIANT 74203,A81000B,01000,0300,EMERALD L&L 74203,A81000B,01100,0300,EMERALD DIETARY 74203,A81000B,01200,0300,EMERALD NURSE ADMIN 74203,A81000B,01300,0300,EMERALD MED SUPP 74203,A81000B,01400,0300,PWP ADMIN 74203,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74203,A81000B,01600,0300,PWP HOUSE SUPPLIES 74203,A81000B,01700,0300,PWP MED SUPP 74203,A81000B,01800,0300,PWP PHARMACY 74203,A81000C,00100,0100,F 74203,A81000C,00100,0200,MARTIN HARMON 74203,A81000C,00200,0100,C 74203,A81000C,00200,0400,CARE WEST INSURANCE CO 74203,A81000C,00200,0600,CAPTIVE INSURANCE CO 74203,A81000C,00300,0100,C 74203,A81000C,00300,0400,PACIFIC WEST PHARMACY 74203,A81000C,00300,0600,PHARMACY 74203,A81000C,00400,0100,C 74203,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74203,A81000C,00400,0600,DISTRIBUTORSHIP 74203,A81000C,00500,0100,B 74203,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74203,A81000C,00500,0600,HOME OFFICE 74203,B100000,00000,0100,00000SQUARE FEET 74203,B100000,00000,0200,00000SQUARE FEET 74203,B100000,00000,0300,00000GROSS SALARIES 74203,B100000,00000,0400,00000ACCUM. COST 74203,B100000,00000,0500,00000SQUARE FEET 74203,B100000,00000,0600,00000POUNDS OF LAUNDRY 74203,B100000,00000,0700,00000NON-DIETAR RY SQ. 74203,B100000,00000,0800,00000MEALS SERVED 74203,B100000,00000,0900,00000DIRECT NURSING HR 74203,B100000,00000,1000,00000COSTED REQS 74203,B100000,00000,1100,00000NO STATISTICS 74203,B100000,00000,1200,00000GROSS REVENUE 74203,B100000,00000,1300,00000CENSUS 74203,B100000,00000,1350,00000NO STATISTICS 74203,B100000,00000,1400,00000ASSIGNED TIME 74203,E10A180,00501,0100,01/29/2001 74203,E10A180,00503,0300,01/29/2001 74203,S000000,00100,0200,01/10/2001 74203,S200000,00100,0100,3529 WALNUT AVE. 74203,S200000,00200,0100,CARMICHAEL 74203,S200000,00200,0200,CA 74203,S200000,00200,0300,95608 74203,S200000,00300,0100,S 74203,S200000,00400,0100,WALNUT WHITNEY CONVALESCENT HOSPITAL 74203,S200000,00400,0200,056410 74203,S200000,00400,0300,10/01/1973 74203,S200000,00400,0500,P 74203,S200000,00400,0600,O 74203,S200000,00600,0200,056410 74203,S200000,00600,0300,10/01/1973 74203,S200000,00600,0600,P 74203,S200000,01600,0100,Y 74212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74212,A000000,00300,0000,00300EMPLOYEE BENEFITS 74212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74212,A000000,00700,0000,00700HOUSEKEEPING 74212,A000000,00800,0000,00800DIETARY 74212,A000000,00900,0000,00900NURSING ADMINISTRATION 74212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74212,A000000,01100,0000,01100PHARMACY 74212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74212,A000000,01300,0000,01300SOCIAL SERVICE 74212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74212,A000000,01600,0000,01600SKILLED NURSING FACILITY 74212,A000000,01800,0000,01800NURSING FACILITY 74212,A000000,01810,0000,01810ICF/MR 74212,A000000,02100,0000,02100RADIOLOGY 74212,A000000,02200,0000,02200LABORATORY 74212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74212,A000000,02500,0000,02500PHYSICAL THERAPY 74212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74212,A000000,02700,0000,02700SPEECH PATHOLOGY 74212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74212,A000000,03200,0000,03200SUPPORT SURFACES 74212,A000000,03550,0000,03550FQHC 74212,A000000,05000,0000,05000CORF 74212,A000000,05010,0000,05010CMHC 74212,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74212,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74212,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74212,A81000A,00100,0100,Y 74212,A81000B,00100,0300,HEADQUARTERED ALLOCATION 74212,A81000B,00200,0300,HOME OFFICE CAPITAL 74212,A81000C,00100,0100,A 74212,A81000C,00100,0200,KENNON S. SHEA 74212,B100000,00000,0100,00040SQUARE FEET 74212,B100000,00000,0200,00040SQUARE FEET 74212,B100000,00000,0300,00040GROSS SALARIES 74212,B100000,00000,0400,00040ACCUM. COST 74212,B100000,00000,0500,00040SQUARE FEET 74212,B100000,00000,0600,00040POUNDS OF LAUNDRY 74212,B100000,00000,0700,00040SQUARE FEET 74212,B100000,00000,0800,00040MEALS SERVED 74212,B100000,00000,0900,00040DIRECT NRSING HRS 74212,B100000,00000,1000,00040PATIENT DAYS 74212,B100000,00000,1100,00040PATIENT DAYS 74212,B100000,00000,1200,00040GROSS CHARGES 74212,B100000,00000,1300,00040TIME SPENT 74212,B100000,00000,1400,00040ASSIGNED TIME 74212,E10A180,00501,0100,09/28/2000 74212,E10A180,00501,0300,09/28/2000 74212,E10A180,00502,0100,06/26/2001 74212,S000000,00100,0200,09/13/1999 74212,S200000,00100,0100,2299 NORTH INDIAN CANYON 74212,S200000,00200,0100,PALM SPRINGS 74212,S200000,00200,0200,CA 74212,S200000,00200,0300,92662 74212,S200000,00300,0100,RIVERSIDE 74212,S200000,00400,0100,CALIF. NRSG & REHAB OF PALM SPRINGS 74212,S200000,00400,0200,056428 74212,S200000,00400,0300,01/01/1983 74212,S200000,00400,0500,P 74212,S200000,00600,0200,056428 74212,S200000,00600,0300,01/01/1983 74212,S200000,00600,0600,P 74212,S200000,01600,0100,Y 74213,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74213,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74213,A000000,00300,0000,00300EMPLOYEE BENEFITS 74213,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74213,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74213,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74213,A000000,00700,0000,00700HOUSEKEEPING 74213,A000000,00800,0000,00800DIETARY 74213,A000000,00900,0000,00900NURSING ADMINISTRATION 74213,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74213,A000000,01100,0000,01100PHARMACY 74213,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74213,A000000,01300,0000,01300SOCIAL SERVICE 74213,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74213,A000000,01600,0000,01600SKILLED NURSING FACILITY 74213,A000000,01810,0000,01810ICF/MR 74213,A000000,02100,0000,02100RADIOLOGY 74213,A000000,02200,0000,02200LABORATORY 74213,A000000,02300,0000,02300INTRAVENOUS THERAPY 74213,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74213,A000000,02500,0000,02500PHYSICAL THERAPY 74213,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74213,A000000,02700,0000,02700SPEECH PATHOLOGY 74213,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74213,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74213,A000000,03200,0000,03200SUPPORT SURFACES 74213,A000000,03550,0000,03550FQHC 74213,A000000,05000,0000,05000CORF 74213,A000000,05010,0000,05010CMHC 74213,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74213,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74213,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74213,A81000A,00100,0100,Y 74213,A81000B,00100,0300,MANAGEMENT FEES 74213,A81000C,00100,0100,A 74213,A81000C,00100,0200,C VAN HORST 74213,A81000C,00100,0400,BHA 74213,A81000C,00100,0600,MGT 74213,B100000,00000,0100,00040SQUARE FEET 74213,B100000,00000,0200,00040DOLLAR VALUE 74213,B100000,00000,0300,00040GROSS SALARIES 74213,B100000,00000,0400,00040ACCUM. COST 74213,B100000,00000,0500,00040SQUARE FEET 74213,B100000,00000,0600,00040POUNDS OF LAUNDRY 74213,B100000,00000,0700,00040HOURS OF SERVICE 74213,B100000,00000,0800,00040MEALS SERVED 74213,B100000,00000,0900,00040DIRECT NRSING HRS 74213,B100000,00000,1000,00040COSTED REQUIS. 74213,B100000,00000,1100,00040COSTED REQUIS. 74213,B100000,00000,1200,00040TIME SPENT 74213,B100000,00000,1300,00040TIME SPENT 74213,B100000,00000,1400,00040ASSIGNED TIME 74213,E10A180,00501,0100,09/01/2000 74213,E10A180,00550,0300,06/07/2000 74213,S000000,00100,0200,06/23/2000 74213,S200000,00100,0100,2299 NORTH INDIAN CANYON 74213,S200000,00200,0100,PALM SPRINGS 74213,S200000,00200,0200,CA 74213,S200000,00200,0300,92662 74213,S200000,00300,0100,RIVERSIDE 74213,S200000,00400,0100,BRIGHTON PLACE PALM SPRINGS 74213,S200000,00400,0200,056428 74213,S200000,00400,0300,01/01/1983 74213,S200000,00400,0500,P 74213,S200000,01500,0100,Y 74217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74217,A000000,00300,0000,00300EMPLOYEE BENEFITS 74217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74217,A000000,00700,0000,00700HOUSEKEEPING 74217,A000000,00800,0000,00800DIETARY 74217,A000000,00900,0000,00900NURSING ADMINISTRATION 74217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74217,A000000,01100,0000,01100PHARMACY 74217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74217,A000000,01300,0000,01300SOCIAL SERVICE 74217,A000000,01350,0000,01500OTHER GENERAL SERVICES 74217,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74217,A000000,01600,0000,01600SKILLED NURSING FACILITY 74217,A000000,01810,0000,01810ICF/MR 74217,A000000,02100,0000,02100RADIOLOGY 74217,A000000,02200,0000,02200LABORATORY 74217,A000000,02500,0000,02500PHYSICAL THERAPY 74217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74217,A000000,02700,0000,02700SPEECH PATHOLOGY 74217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74217,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74217,A000000,03200,0000,03200SUPPORT SURFACES 74217,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74217,A000000,03550,0000,03550FQHC 74217,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74217,A000000,05000,0000,05000CORF 74217,A000000,05010,0000,05010CMHC 74217,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74217,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74217,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74217,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74217,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74217,A81000A,00100,0100,Y 74217,A81000B,00100,0300,RENT 74217,A81000C,00100,0100,A 74217,A81000C,00100,0200,SANDRA MENDELL 74217,A81000C,00100,0400,HYDE PARK CONV HOSPITAL 74217,A81000C,00100,0600,LANDLORD 74217,B100000,00000,0100,00000NO STATISTICS 74217,B100000,00000,0200,00000NO STATISTICS 74217,B100000,00000,0300,00000NO STATISTICS 74217,B100000,00000,0400,00000ACCUM. COST 74217,B100000,00000,0500,00000NO STATISTICS 74217,B100000,00000,0600,00000NO STATISTICS 74217,B100000,00000,0700,00000NO STATISTICS 74217,B100000,00000,0800,00000NO STATISTICS 74217,B100000,00000,0900,00000NO STATISTICS 74217,B100000,00000,1000,00000NO STATISTICS 74217,B100000,00000,1100,00000NO STATISTICS 74217,B100000,00000,1200,00000NO STATISTICS 74217,B100000,00000,1300,00000NO STATISTICS 74217,B100000,00000,1350,00000NO STATISTICS 74217,B100000,00000,1400,00000NO STATISTICS 74217,E10A180,00550,0300,08/24/2000 74217,S000000,00100,0200,06/02/2000 74217,S200000,00100,0100,6520 WEST BOULEVARD 74217,S200000,00200,0100,LOS ANGELES 74217,S200000,00200,0200,CA 74217,S200000,00200,0300,90043 74217,S200000,00300,0100,LOS ANGELS 74217,S200000,00400,0100,HYDE PARK CONVALESCENT HOSPITAL 74217,S200000,00400,0200,056435 74217,S200000,00400,0300,01/01/1968 74217,S200000,00400,0500,P 74217,S200000,00600,0200,056435 74217,S200000,00600,0300,01/01/1968 74217,S200000,00600,0600,P 74217,S200000,01500,0100,Y 74222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74222,A000000,00300,0000,00300EMPLOYEE BENEFITS 74222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74222,A000000,00700,0000,00700HOUSEKEEPING 74222,A000000,00800,0000,00800DIETARY 74222,A000000,00900,0000,00900NURSING ADMINISTRATION 74222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74222,A000000,01100,0000,01100PHARMACY 74222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74222,A000000,01300,0000,01300SOCIAL SERVICE 74222,A000000,01350,0000,01500OTHER GENERAL SERVICES 74222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74222,A000000,01600,0000,01600SKILLED NURSING FACILITY 74222,A000000,01800,0000,01800NURSING FACILITY 74222,A000000,01810,0000,01810ICF/MR 74222,A000000,02100,0000,02100RADIOLOGY 74222,A000000,02200,0000,02200LABORATORY 74222,A000000,02500,0000,02500PHYSICAL THERAPY 74222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74222,A000000,02700,0000,02700SPEECH PATHOLOGY 74222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74222,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74222,A000000,03200,0000,03200SUPPORT SURFACES 74222,A000000,03550,0000,03550FQHC 74222,A000000,05000,0000,05000CORF 74222,A000000,05010,0000,05010CMHC 74222,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74222,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74222,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74222,A81000A,00100,0100,Y 74222,A81000B,00100,0300,A&G 74222,A81000B,00200,0300,BLDGS & FIXTURE 74222,A81000B,00300,0300,MOVABLE EQUIPME 74222,A81000B,00400,0300,CWIC WORK COMP 74222,A81000B,00500,0300,CWIC INSURANCE 74222,A81000B,00600,0300,EMERALD A&G SUPP 74222,A81000B,00700,0300,EMERALD MAINT 74222,A81000B,00800,0300,EMERALD L&L 74222,A81000B,00900,0300,EMERALD DIETARY 74222,A81000B,01000,0300,EMERALD NURSE ADMIN 74222,A81000B,01100,0300,EMERALD ACTIVITIES 74222,A81000B,01200,0300,EMERALD CHGBLE SUPP 74222,A81000B,01300,0300,PWP ADMIN 74222,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74222,A81000B,01500,0300,PWP HOUSE SUPPLIES 74222,A81000B,01600,0300,PWP MED SUPP 74222,A81000B,01700,0300,PWP PHARMACY 74222,A81000C,00100,0100,F 74222,A81000C,00100,0200,MARTIN HARMON 74222,A81000C,00200,0100,C 74222,A81000C,00200,0400,CAREWEST INSURANCE CO. 74222,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 74222,A81000C,00300,0100,C 74222,A81000C,00300,0400,PACIFIC WEST PHARM INC. 74222,A81000C,00300,0600,PHARMACY 74222,A81000C,00400,0100,C 74222,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74222,A81000C,00400,0600,DISTRIBUTORSHIP 74222,A81000C,00500,0100,B 74222,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74222,A81000C,00500,0600,HOME OFFICE 74222,B100000,00000,0100,00000SQUARE FEET 74222,B100000,00000,0200,00000SQUARE FEET 74222,B100000,00000,0300,00000GROSS SALARIES 74222,B100000,00000,0400,00000ACCUM. COST 74222,B100000,00000,0500,00000SQUARE FEET 74222,B100000,00000,0600,00000POUNDS OF LAUNDRY 74222,B100000,00000,0700,00000NON-DIETAR RY SQ. 74222,B100000,00000,0800,00000MEALS SERVED 74222,B100000,00000,0900,00000DIRECT NURSING HR 74222,B100000,00000,1000,00000PATIENT DAYS 74222,B100000,00000,1100,00000NO STATISTICS 74222,B100000,00000,1200,00000GROSS REVENUE 74222,B100000,00000,1300,00000CENSUS 74222,B100000,00000,1350,00000NO STATISTICS 74222,B100000,00000,1400,00000NO STATISTICS 74222,E10A180,00501,0100,02/16/2001 74222,E10A180,00501,0300,02/14/2001 74222,E10A180,00551,0100,02/14/2001 74222,S000000,00100,0200,01/10/2001 74222,S200000,00100,0100,467 EAST GILBERT 74222,S200000,00200,0100,SAN BERNADINO 74222,S200000,00200,0200,CA 74222,S200000,00200,0300,92404 74222,S200000,00300,0100,S 74222,S200000,00400,0100,MEDICAL CENTER CONVALESCENT HOSPITAL 74222,S200000,00400,0200,056436 74222,S200000,00400,0300,09/01/1983 74222,S200000,00400,0500,P 74222,S200000,00400,0600,O 74222,S200000,00600,0200,056436 74222,S200000,00600,0300,09/01/1983 74222,S200000,00600,0600,P 74222,S200000,01600,0100,Y 74224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74224,A000000,00300,0000,00300EMPLOYEE BENEFITS 74224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74224,A000000,00700,0000,00700HOUSEKEEPING 74224,A000000,00800,0000,00800DIETARY 74224,A000000,00900,0000,00900NURSING ADMINISTRATION 74224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74224,A000000,01100,0000,01100PHARMACY 74224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74224,A000000,01300,0000,01300SOCIAL SERVICE 74224,A000000,01350,0000,01500OTHER GENERAL SERVICES 74224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74224,A000000,01600,0000,01600SKILLED NURSING FACILITY 74224,A000000,01800,0000,01800NURSING FACILITY 74224,A000000,01810,0000,01810ICF/MR 74224,A000000,02100,0000,02100RADIOLOGY 74224,A000000,02200,0000,02200LABORATORY 74224,A000000,02500,0000,02500PHYSICAL THERAPY 74224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74224,A000000,02700,0000,02700SPEECH PATHOLOGY 74224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74224,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74224,A000000,03200,0000,03200SUPPORT SURFACES 74224,A000000,03550,0000,03550FQHC 74224,A000000,05000,0000,05000CORF 74224,A000000,05010,0000,05010CMHC 74224,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74224,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74224,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74224,A81000A,00100,0100,Y 74224,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 74224,A81000B,00200,0300,BLDGS & FIXTURE 74224,A81000B,00300,0300,MOVABLE EQUIPME 74224,A81000B,00400,0300,BUILDING LEASE 74224,A81000B,00500,0300,CWIC WORK COMP 74224,A81000B,00600,0300,CWIC INSURANCE 74224,A81000B,00700,0300,EMERALD FIXED ASSETS 74224,A81000B,00800,0300,EMERALD ADMIN SUPP 74224,A81000B,00900,0300,EMERALD MAINT 74224,A81000B,01000,0300,EMERALD L&L 74224,A81000B,01100,0300,EMERALD HSKG 74224,A81000B,01200,0300,EMERALD DIETARY 74224,A81000B,01300,0300,EMERALD NURSE ADMIN 74224,A81000B,01400,0300,PWP ADMIN 74224,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74224,A81000B,01600,0300,PWP HOUSE SUPPLIES 74224,A81000B,01700,0300,PWP MED SUPP 74224,A81000B,01800,0300,PWP PHARMACY 74224,A81000B,01900,0300,BUILDING INTEREST 74224,A81000C,00100,0100,F 74224,A81000C,00100,0200,MARTIN HARMON 74224,A81000C,00200,0100,C 74224,A81000C,00200,0400,CARE WEST INSURANCE CO 74224,A81000C,00200,0600,CAPTIVE INSURANCE CO 74224,A81000C,00300,0100,C 74224,A81000C,00300,0400,PACIFIC WEST PHARMACY 74224,A81000C,00300,0600,PHARMACY 74224,A81000C,00400,0100,C 74224,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74224,A81000C,00400,0600,DISTRIBUTORSHIP 74224,A81000C,00500,0100,B 74224,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74224,A81000C,00500,0600,HOME OFFICE 74224,B100000,00000,0100,00000SQUARE FEET 74224,B100000,00000,0200,00000SQUARE FEET 74224,B100000,00000,0300,00000GROSS SALARIES 74224,B100000,00000,0400,00000ACCUM. COST 74224,B100000,00000,0500,00000SQUARE FEET 74224,B100000,00000,0600,00000POUNDS OF LAUNDRY 74224,B100000,00000,0700,00000NON-DIETAR RY SQ. 74224,B100000,00000,0800,00000MEALS SERVED 74224,B100000,00000,0900,00000DIRECT NURSING HR 74224,B100000,00000,1000,00000COSTED REQS 74224,B100000,00000,1100,00000NO STATISTICS 74224,B100000,00000,1200,00000GROSS REVENUE 74224,B100000,00000,1300,00000CENSUS 74224,B100000,00000,1350,00000NO STATISTICS 74224,B100000,00000,1400,00000ASSIGNED TIME 74224,E10A180,00350,0300,04/10/2000 74224,E10A180,00501,0100,01/30/2001 74224,E10A180,00501,0300,01/30/2001 74224,S000000,00100,0200,01/10/2001 74224,S200000,00100,0100,1501 SKYLINE DRIVE 74224,S200000,00200,0100,MONTEREY 74224,S200000,00200,0200,CA 74224,S200000,00200,0300,93940 74224,S200000,00300,0100,M 74224,S200000,00400,0100,MONTEREY PINES SKLLD NRSNG FACILITY 74224,S200000,00400,0200,056437 74224,S200000,00400,0300,08/01/1981 74224,S200000,00400,0500,P 74224,S200000,00400,0600,O 74224,S200000,00600,0200,056437 74224,S200000,00600,0300,08/01/1981 74224,S200000,00600,0600,P 74224,S200000,01600,0100,Y 74226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74226,A000000,00300,0000,00300EMPLOYEE BENEFITS 74226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74226,A000000,00700,0000,00700HOUSEKEEPING 74226,A000000,00800,0000,00800DIETARY 74226,A000000,00900,0000,00900NURSING ADMINISTRATION 74226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74226,A000000,01100,0000,01100PHARMACY 74226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74226,A000000,01300,0000,01300SOCIAL SERVICE 74226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74226,A000000,01600,0000,01600SKILLED NURSING FACILITY 74226,A000000,01800,0000,01800NURSING FACILITY 74226,A000000,01810,0000,01810ICF/MR 74226,A000000,02100,0000,02100RADIOLOGY 74226,A000000,02200,0000,02200LABORATORY 74226,A000000,02300,0000,02300INTRAVENOUS THERAPY 74226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74226,A000000,02500,0000,02500PHYSICAL THERAPY 74226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74226,A000000,02700,0000,02700SPEECH PATHOLOGY 74226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74226,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74226,A000000,03101,0000,03101EQUIPMENT RENTAL 74226,A000000,03550,0000,03550FQHC 74226,A000000,05000,0000,05000CORF 74226,A000000,05010,0000,05010CMHC 74226,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74226,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74226,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74226,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74226,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74226,A81000A,00100,0100,Y 74226,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 74226,A81000B,00200,0300,CAPITAL REL COST 74226,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 74226,A81000B,00400,0300,CAPITAL REL. COST-EQUIPMENT 74226,A81000C,00100,0100,A 74226,A81000C,00100,0200,B. MANDELABAUM 74226,A81000C,00100,0400,US CARE & MANAG 74226,A81000C,00100,0600,HOME OFFICE 74226,B100000,00000,0100,00000SQUARE FEET 74226,B100000,00000,0200,00000SQUARE FEET 74226,B100000,00000,0300,00000GROSS SALARIES 74226,B100000,00000,0400,00000ACCUM COST 74226,B100000,00000,0500,00000SQUARE FEET 74226,B100000,00000,0600,00000POUNDS OF LAUNDRY 74226,B100000,00000,0700,00000SQUARE FEET 74226,B100000,00000,0800,00000MEALS SERVED 74226,B100000,00000,0900,00000TIME SPENT 74226,B100000,00000,1000,00000PATIENT DAYS 74226,B100000,00000,1100,00000PATIENT DAYS 74226,B100000,00000,1200,00000TIME SPENT 74226,B100000,00000,1300,00000TIME SPENT 74226,B100000,00000,1400,00000ASSIGNED TIME 74226,E10A180,00301,0300,09/09/1999 74226,E10A180,00350,0300,09/09/1999 74226,E10A180,00501,0100,08/23/2000 74226,E10A180,00550,0300,08/23/2000 74226,S000000,00100,0200,05/31/2000 74226,S200000,00100,0100,9620 FREEMONT AVE 74226,S200000,00200,0100,MONTCLAIR 74226,S200000,00200,0200,CA 74226,S200000,00200,0300,91763 74226,S200000,00300,0100,SAN BERNANDINO 74226,S200000,00400,0100,COMM. EXTENDED CARE HOSP-MONTCLAIR 74226,S200000,00400,0200,056444 74226,S200000,00400,0300,07/07/1970 74226,S200000,00400,0500,P 74226,S200000,00600,0200,056444 74226,S200000,00600,0300,07/07/1970 74226,S200000,00600,0600,P 74226,S200000,01600,0100,Y 74228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74228,A000000,00300,0000,00300EMPLOYEE BENEFITS 74228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74228,A000000,00700,0000,00700HOUSEKEEPING 74228,A000000,00800,0000,00800DIETARY 74228,A000000,00900,0000,00900NURSING ADMINISTRATION 74228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74228,A000000,01100,0000,01100PHARMACY 74228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74228,A000000,01300,0000,01300SOCIAL SERVICE 74228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74228,A000000,01600,0000,01600SKILLED NURSING FACILITY 74228,A000000,01800,0000,01800NURSING FACILITY 74228,A000000,01810,0000,01810ICF/MR 74228,A000000,02100,0000,02100RADIOLOGY 74228,A000000,02200,0000,02200LABORATORY 74228,A000000,02300,0000,02300INTRAVENOUS THERAPY 74228,A000000,02500,0000,02500PHYSICAL THERAPY 74228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74228,A000000,02700,0000,02700SPEECH PATHOLOGY 74228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74228,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74228,A000000,03550,0000,03550FQHC 74228,A000000,05000,0000,05000CORF 74228,A000000,05010,0000,05010CMHC 74228,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74228,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74228,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74228,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74228,A81000A,00100,0100,Y 74228,A81000B,00100,0300,MANAGEMENT FEES 74228,A81000B,00200,0300,HOME OFFICE BUILDING 74228,A81000B,00300,0300,HOME OFFICE EQUIPMENT 74228,A81000B,00400,0300,HOME OFFICE INTEREST 74228,A81000C,00100,0100,B 74228,A81000C,00100,0200,FRANK JOHNSON 74228,A81000C,00100,0400,SUN MAR MANAGEMENT 74228,A81000C,00100,0600,MANAGEMENT COMPANY 74228,B100000,00000,0100,00000SQUARE FEET 74228,B100000,00000,0200,00000SQUARE FEET 74228,B100000,00000,0300,00000GROSS SALARIES 74228,B100000,00000,0400,00000ACCUM. COST 74228,B100000,00000,0500,00000SQUARE FEET 74228,B100000,00000,0600,00000POUNDS OF LAUNDRY 74228,B100000,00000,0700,00000SQUARE FEET 74228,B100000,00000,0800,00000MEALS SERVED 74228,B100000,00000,0900,00000DIRECT NRSING HRS 74228,B100000,00000,1000,00000COSTED REQUIS 74228,B100000,00000,1100,00000COSTED REQUIS 74228,B100000,00000,1200,00000TIME SPENT 74228,B100000,00000,1300,00000TIME SPENT 74228,B100000,00000,1400,00000ASSIGNED TIME 74228,E10A180,00501,0100,07/18/2000 74228,E10A180,00550,0300,07/18/2000 74228,S000000,00100,0200,05/01/2000 74228,S200000,00100,0100,8558 E. ROSECRANS 74228,S200000,00200,0100,PARAMOUNT 74228,S200000,00200,0200,CA 74228,S200000,00300,0100,ORANGE 74228,S200000,00400,0100,PARAMOUNT CONVALESCENT HOSPITAL 74228,S200000,00400,0200,056446 74228,S200000,00400,0300,12/01/1998 74228,S200000,00400,0500,P 74228,S200000,00400,0600,O 74228,S200000,00600,0200,056446 74228,S200000,00600,0300,12/01/1998 74228,S200000,00600,0600,P 74228,S200000,01600,0100,Y 74233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74233,A000000,00300,0000,00300EMPLOYEE BENEFITS 74233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74233,A000000,00700,0000,00700HOUSEKEEPING 74233,A000000,00800,0000,00800DIETARY 74233,A000000,00900,0000,00900NURSING ADMINISTRATION 74233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74233,A000000,01100,0000,01100PHARMACY 74233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74233,A000000,01300,0000,01300SOCIAL SERVICE 74233,A000000,01350,0000,01500OTHER GENERAL SERVICES 74233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74233,A000000,01600,0000,01600SKILLED NURSING FACILITY 74233,A000000,01800,0000,01800NURSING FACILITY 74233,A000000,01810,0000,01810ICF/MR 74233,A000000,02100,0000,02100RADIOLOGY 74233,A000000,02200,0000,02200LABORATORY 74233,A000000,02500,0000,02500PHYSICAL THERAPY 74233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74233,A000000,02700,0000,02700SPEECH PATHOLOGY 74233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74233,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74233,A000000,03200,0000,03200SUPPORT SURFACES 74233,A000000,03550,0000,03550FQHC 74233,A000000,05000,0000,05000CORF 74233,A000000,05010,0000,05010CMHC 74233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74233,A81000A,00100,0100,Y 74233,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 74233,A81000B,00200,0300,BLDGS & FIXTURE 74233,A81000B,00300,0300,MOVABLE EQUIPME 74233,A81000B,00400,0300,BUILDING LEASE 74233,A81000B,00500,0300,CWIC WORK COMP 74233,A81000B,00600,0300,CWIC INSURANCE 74233,A81000B,00700,0300,EMERALD FIXED ASSETS 74233,A81000B,00800,0300,EMERALD A&G 74233,A81000B,00900,0300,EMERALD MAINT 74233,A81000B,01000,0300,EMERALD L&L 74233,A81000B,01100,0300,EMERALD DIETARY 74233,A81000B,01200,0300,EMERALD NURSE ADMIN 74233,A81000B,01300,0300,EMERALD ACTIVITIES 74233,A81000B,01400,0300,EMERALD SUPPLIES 74233,A81000B,01500,0300,PWP ADMIN 74233,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 74233,A81000B,01700,0300,PWP HOUSE SUPPLIES 74233,A81000B,01800,0300,PWP MED SUPP 74233,A81000B,01900,0300,PWP PHARMACY 74233,A81000C,00100,0100,F 74233,A81000C,00100,0200,MARTIN HARMON 74233,A81000C,00200,0100,C 74233,A81000C,00200,0400,CARE WEST INSURANCE CO 74233,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 74233,A81000C,00300,0100,C 74233,A81000C,00300,0400,PACIFIC WEST PHARMACY 74233,A81000C,00300,0600,PHARMACY 74233,A81000C,00400,0100,C 74233,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74233,A81000C,00400,0600,DISTRIBUTORSHIP 74233,A81000C,00500,0100,B 74233,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74233,A81000C,00500,0600,HOME OFFICE 74233,B100000,00000,0100,00000SQUARE FEET 74233,B100000,00000,0200,00000SQUARE FEET 74233,B100000,00000,0300,00000GROSS SALARIES 74233,B100000,00000,0400,00000ACCUM. COST 74233,B100000,00000,0500,00000SQUARE FEET 74233,B100000,00000,0600,00000POUNDS OF LAUNDRY 74233,B100000,00000,0700,00000NON-DIETAR RY SQ. 74233,B100000,00000,0800,00000MEALS SERVED 74233,B100000,00000,0900,00000DIRECT NURSING HR 74233,B100000,00000,1000,00000COSTED REQS 74233,B100000,00000,1100,00000NO STATISTICS 74233,B100000,00000,1200,00000GROSS REVENUE 74233,B100000,00000,1300,00000CENSUS 74233,B100000,00000,1350,00000NO STATISTICS 74233,B100000,00000,1400,00000ASSIGNED TIME 74233,E10A180,00501,0300,01/29/2001 74233,S000000,00100,0200,01/10/2001 74233,S200000,00100,0100,8455 STATE STREET 74233,S200000,00200,0100,SOUTH GATE 74233,S200000,00200,0200,CA 74233,S200000,00200,0300,90280 74233,S200000,00300,0100,L 74233,S200000,00400,0100,CASA DEL REY MANOR 74233,S200000,00400,0200,056458 74233,S200000,00400,0300,07/01/1977 74233,S200000,00400,0500,P 74233,S200000,00400,0600,O 74233,S200000,00600,0200,056458 74233,S200000,00600,0300,07/01/1977 74233,S200000,00600,0600,P 74233,S200000,01600,0100,Y 74234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74234,A000000,00300,0000,00300EMPLOYEE BENEFITS 74234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74234,A000000,00700,0000,00700HOUSEKEEPING 74234,A000000,00800,0000,00800DIETARY 74234,A000000,00900,0000,00900NURSING ADMINISTRATION 74234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74234,A000000,01100,0000,01100PHARMACY 74234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74234,A000000,01300,0000,01300SOCIAL SERVICE 74234,A000000,01350,0000,01500OTHER GENERAL SERVICES 74234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74234,A000000,01600,0000,01600SKILLED NURSING FACILITY 74234,A000000,01810,0000,01810ICF/MR 74234,A000000,02100,0000,02100RADIOLOGY 74234,A000000,02200,0000,02200LABORATORY 74234,A000000,02500,0000,02500PHYSICAL THERAPY 74234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74234,A000000,02700,0000,02700SPEECH PATHOLOGY 74234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74234,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74234,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74234,A000000,03550,0000,03550FQHC 74234,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74234,A000000,05000,0000,05000CORF 74234,A000000,05010,0000,05010CMHC 74234,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74234,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74234,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74234,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74234,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74234,A81000A,00100,0100,Y 74234,A81000B,00100,0300,MISC 74234,A81000C,00100,0100,B 74234,A81000C,00100,0200,INDEPENDENT QUALITY CARE 74234,A81000C,00100,0400,COURTYARD CARE CENTER 74234,A81000C,00100,0600,SNF 74234,A81000C,00200,0400,MCCLURE REHAB 74234,A81000C,00200,0600,SNF 74234,A81000C,00300,0400,NORTHGATE CARE CENTER 74234,A81000C,00300,0600,SNF 74234,A81000C,00400,0400,NURSING INN OF MENLO PARK 74234,A81000C,00400,0600,SNF 74234,A81000C,00500,0400,VALLEY POINTE NURSING CTR 74234,A81000C,00500,0600,SNF 74234,A81000C,00600,0400,WOODLAND NURSING INN 74234,A81000C,00600,0600,SNF 74234,B100000,00000,0100,00000SQUARE FEET 74234,B100000,00000,0200,00000SQUARE FEET 74234,B100000,00000,0300,00000GROSS WAGES 74234,B100000,00000,0400,00000ACCUM. COST 74234,B100000,00000,0500,00000SQUARE FEET 74234,B100000,00000,0600,00000POUNDS OF LAUNDRY 74234,B100000,00000,0700,00000SQUARE FEET 74234,B100000,00000,0800,00000MEALS SERVED 74234,B100000,00000,0900,00000NURSING WAGES 74234,B100000,00000,1000,00000NO STATISTICS 74234,B100000,00000,1100,00000NO STATISTICS 74234,B100000,00000,1200,00000NO STATISTICS 74234,B100000,00000,1300,00000TIME SPENT 74234,B100000,00000,1350,00000NO STATISTICS 74234,B100000,00000,1400,00000NO STATISTICS 74234,E10A180,00550,0100,09/01/2000 74234,E10A180,00550,0300,09/01/2000 74234,S000000,00100,0200,06/30/2000 74234,S200000,00100,0100,2710 MT. DIABLO BLVD 74234,S200000,00200,0100,LAFAYETTE 74234,S200000,00200,0200,CA 74234,S200000,00200,0300,94549 74234,S200000,00300,0100,CONTRA COSTA 74234,S200000,00400,0100,WOODLAND NURSING INN 74234,S200000,00400,0200,056469 74234,S200000,00400,0300,04/01/1990 74234,S200000,00400,0500,P 74234,S200000,01500,0100,Y 74236,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74236,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74236,A000000,00300,0000,00300EMPLOYEE BENEFITS 74236,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74236,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74236,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74236,A000000,00700,0000,00700HOUSEKEEPING 74236,A000000,00800,0000,00800DIETARY 74236,A000000,00900,0000,00900NURSING ADMINISTRATION 74236,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74236,A000000,01100,0000,01100PHARMACY 74236,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74236,A000000,01300,0000,01300SOCIAL SERVICE 74236,A000000,01350,0000,01500OTHER GENERAL SERVICES 74236,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74236,A000000,01600,0000,01600SKILLED NURSING FACILITY 74236,A000000,01800,0000,01800NURSING FACILITY 74236,A000000,01810,0000,01810ICF/MR 74236,A000000,02100,0000,02100RADIOLOGY 74236,A000000,02200,0000,02200LABORATORY 74236,A000000,02300,0000,02300INTRAVENOUS THERAPY 74236,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74236,A000000,02500,0000,02500PHYSICAL THERAPY 74236,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74236,A000000,02700,0000,02700SPEECH PATHOLOGY 74236,A000000,02800,0000,02800ELECTROCARDIOLOGY 74236,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74236,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74236,A000000,03050,0000,03300EQUIPMENT RENTAL 74236,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74236,A000000,03550,0000,03550FQHC 74236,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74236,A000000,05000,0000,05000CORF 74236,A000000,05010,0000,05010CMHC 74236,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74236,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74236,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74236,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74236,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74236,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74236,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74236,A81000A,00100,0100,Y 74236,A81000B,00100,0300,LEGAL FEES 74236,A81000B,00200,0300,ADMINISTRATIVE AND GENERAL 74236,A81000C,00100,0100,A 74236,A81000C,00100,0200,VARIOUS 74236,A81000C,00100,0400,FENIGSTEIN & KAUFMAN 74236,A81000C,00100,0600,LAW FIRM 74236,A81000C,00200,0100,A 74236,A81000C,00200,0200,VARIOUS 74236,A81000C,00200,0400,KELLOGG & ANDELSON 74236,A81000C,00200,0600,ACCOUNTING FIRM 74236,B100000,00000,0100,00000SQUARE FEET 74236,B100000,00000,0200,00000SQUARE FEET 74236,B100000,00000,0300,00000GROSS SALARIES 74236,B100000,00000,0400,00000ACCUM. COST 74236,B100000,00000,0500,00000SQUARE FEET 74236,B100000,00000,0600,00000POUNDS OF LAUNDRY 74236,B100000,00000,0700,00000SQUARE FEET 74236,B100000,00000,0800,00000MEALS SERVED 74236,B100000,00000,0900,00000DIRECT NRSING HRS 74236,B100000,00000,1000,00000COSTED REQUIS. 74236,B100000,00000,1100,00000COSTED REQUIS. 74236,B100000,00000,1200,00000TIME SPENT 74236,B100000,00000,1300,00000TIME SPENT 74236,B100000,00000,1350,00000NO STATISTICS 74236,B100000,00000,1400,00000ASSIGNED TIME 74236,E10A180,00501,0100,07/12/2000 74236,E10A180,00551,0300,07/12/2000 74236,S000000,00100,0200,05/30/2000 74236,S200000,00100,0100,3825 N DURFEE AVENUE 74236,S200000,00200,0100,EL MONTE 74236,S200000,00200,0200,CA 74236,S200000,00200,0300,91732 74236,S200000,00300,0100,LOS ANGELES 74236,S200000,00400,0100,ALLIANCE NURSING & REHAB CENTER 74236,S200000,00400,0200,056477 74236,S200000,00400,0300,10/01/1996 74236,S200000,00400,0500,P 74236,S200000,00600,0200,056477 74236,S200000,00600,0300,10/01/1996 74236,S200000,00600,0600,P 74236,S200000,01600,0100,Y 74240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74240,A000000,00300,0000,00300EMPLOYEE BENEFITS 74240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74240,A000000,00700,0000,00700HOUSEKEEPING 74240,A000000,00800,0000,00800DIETARY 74240,A000000,00900,0000,00900NURSING ADMINISTRATION 74240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74240,A000000,01100,0000,01100PHARMACY 74240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74240,A000000,01300,0000,01300SOCIAL SERVICE 74240,A000000,01350,0000,01500OTHER GENERAL SERVICES 74240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74240,A000000,01600,0000,01600SKILLED NURSING FACILITY 74240,A000000,01800,0000,01800NURSING FACILITY 74240,A000000,01810,0000,01810ICF/MR 74240,A000000,02100,0000,02100RADIOLOGY 74240,A000000,02200,0000,02200LABORATORY 74240,A000000,02500,0000,02500PHYSICAL THERAPY 74240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74240,A000000,02700,0000,02700SPEECH PATHOLOGY 74240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74240,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74240,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74240,A000000,03200,0000,03200SUPPORT SURFACES 74240,A000000,03550,0000,03550FQHC 74240,A000000,05000,0000,05000CORF 74240,A000000,05010,0000,05010CMHC 74240,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74240,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74240,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74240,A81000A,00100,0100,Y 74240,A81000B,00100,0300,ADMINISTATIVE & GENERAL 74240,A81000B,00200,0300,BLDGS & FIXTURE 74240,A81000B,00300,0300,MOVABLE EQUIPME 74240,A81000B,00400,0300,BUILDING LEASE 74240,A81000B,00500,0300,CWIC WORK COMP 74240,A81000B,00600,0300,CWIC INSURANCE 74240,A81000B,00700,0300,EMERALD FIXED ASSETS 74240,A81000B,00800,0300,EMERALD A&G SUPP 74240,A81000B,00900,0300,EMERALD MAINT 74240,A81000B,01000,0300,EMERALD L&L 74240,A81000B,01100,0300,EMERALD DIETARY 74240,A81000B,01200,0300,EMERALD NURSE ADMIN SUPP 74240,A81000B,01300,0300,PWP ADMIN 74240,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74240,A81000B,01500,0300,PWP HOUSE SUPPLIES 74240,A81000B,01600,0300,PWP MED SUPP 74240,A81000B,01700,0300,PWP PHARMACY 74240,A81000C,00100,0100,F 74240,A81000C,00100,0200,MARTIN HARMON 74240,A81000C,00200,0100,C 74240,A81000C,00200,0400,CARE WEST INSURANCE CO 74240,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 74240,A81000C,00300,0100,C 74240,A81000C,00300,0400,PACIFIC WEST PHARMACY IN 74240,A81000C,00300,0600,PHARMACY 74240,A81000C,00400,0100,C 74240,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74240,A81000C,00400,0600,DISTRIBUTORSHIP 74240,A81000C,00500,0100,B 74240,A81000C,00500,0400,HORIZON WEST HEDQTRS INC 74240,A81000C,00500,0600,HOME OFFICE 74240,B100000,00000,0100,00000SQUARE FEET 74240,B100000,00000,0200,00000SQUARE FEET 74240,B100000,00000,0300,00000GROSS SALARIES 74240,B100000,00000,0400,00000ACCUM. COST 74240,B100000,00000,0500,00000SQUARE FEET 74240,B100000,00000,0600,00000POUNDS OF LAUNDRY 74240,B100000,00000,0700,00000NON-DIETAR RY SQ. 74240,B100000,00000,0800,00000MEALS SERVED 74240,B100000,00000,0900,00000DIRECT NURSING HR 74240,B100000,00000,1000,00000COSTED REQS 74240,B100000,00000,1100,00000NO STATISTICS 74240,B100000,00000,1200,00000GROSS REVENUE 74240,B100000,00000,1300,00000CENSUS 74240,B100000,00000,1350,00000NO STATISTICS 74240,B100000,00000,1400,00000ASSIGNED TIME 74240,E10A180,00501,0100,01/29/2001 74240,E10A180,00550,0300,01/29/2001 74240,S000000,00100,0200,01/10/2001 74240,S200000,00100,0100,3766 NYE AVE. 74240,S200000,00200,0100,RIVERSIDE 74240,S200000,00200,0200,CA 74240,S200000,00200,0300,92505 74240,S200000,00300,0100,R 74240,S200000,00400,0100,ARLINGTON GARDENS CONVALESCENT HOSP. 74240,S200000,00400,0200,056485 74240,S200000,00400,0300,01/01/1982 74240,S200000,00400,0500,P 74240,S200000,00400,0600,O 74240,S200000,00600,0200,056485 74240,S200000,00600,0300,01/01/1982 74240,S200000,00600,0600,P 74240,S200000,01600,0100,Y 74241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74241,A000000,00300,0000,00300EMPLOYEE BENEFITS 74241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74241,A000000,00700,0000,00700HOUSEKEEPING 74241,A000000,00800,0000,00800DIETARY 74241,A000000,00900,0000,00900NURSING ADMINISTRATION 74241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74241,A000000,01100,0000,01100PHARMACY 74241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74241,A000000,01300,0000,01300SOCIAL SERVICE 74241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74241,A000000,01600,0000,01600SKILLED NURSING FACILITY 74241,A000000,01800,0000,01800NURSING FACILITY 74241,A000000,01810,0000,01810ICF/MR 74241,A000000,02100,0000,02100RADIOLOGY 74241,A000000,02200,0000,02200LABORATORY 74241,A000000,02500,0000,02500PHYSICAL THERAPY 74241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74241,A000000,02700,0000,02700SPEECH PATHOLOGY 74241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74241,A000000,02901,0000,02901ENTERAL THERAPY 74241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74241,A000000,03050,0000,03300EQUIPMENT RENTAL 74241,A000000,03550,0000,03550FQHC 74241,A000000,05000,0000,05000CORF 74241,A000000,05010,0000,05010CMHC 74241,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74241,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74241,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74241,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74241,A81000A,00100,0100,Y 74241,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 74241,B100000,00000,0100,00000SQUARE FEET 74241,B100000,00000,0200,00000SQUARE FEET 74241,B100000,00000,0300,00000GROSS SALARY 74241,B100000,00000,0400,00000ACCUM. COST 74241,B100000,00000,0500,00000SQUARE FEET 74241,B100000,00000,0600,00000PATIENT DAYS 74241,B100000,00000,0700,00000SQUARE FEET 74241,B100000,00000,0800,00000PATIENT DAYS 74241,B100000,00000,0900,00000PATIENT DAYS 74241,B100000,00000,1000,00000SUPPLY COSTS 74241,B100000,00000,1100,00000COSTED REQUIS 74241,B100000,00000,1200,00000GROSS REVENUE 74241,B100000,00000,1300,00000PATIENT DAYS 74241,B100000,00000,1400,00000ASSIGNED TIME 74241,E10A180,00350,0300,09/23/1999 74241,E10A180,00501,0100,08/20/2000 74241,E10A180,00501,0300,08/20/2000 74241,S000000,00100,0200,06/07/2000 74241,S200000,00100,0100,22617 S VERMONT 74241,S200000,00200,0100,LOS ANGELES 74241,S200000,00200,0200,CA 74241,S200000,00200,0300,90502 74241,S200000,00300,0100,LOS ANGELES 74241,S200000,00400,0100,SUNNYSIDE NURSING CENTER 74241,S200000,00400,0200,056488 74241,S200000,00400,0300,01/01/1981 74241,S200000,00400,0500,P 74241,S200000,00600,0200,056488 74241,S200000,00600,0300,01/01/1981 74241,S200000,00600,0600,P 74241,S200000,01600,0100,Y 74241,S200000,04200,0100,Y 74316,S000000,00100,0200,03/02/2001 74320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74320,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74320,A000000,00300,0000,00300EMPLOYEE BENEFITS 74320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74320,A000000,00700,0000,00700HOUSEKEEPING 74320,A000000,00800,0000,00800DIETARY 74320,A000000,00900,0000,00900NURSING ADMINISTRATION 74320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74320,A000000,01100,0000,01100PHARMACY 74320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74320,A000000,01300,0000,01300SOCIAL SERVICE 74320,A000000,01350,0000,01500LONG TERM CARE 74320,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74320,A000000,01600,0000,01600SKILLED NURSING FACILITY 74320,A000000,01800,0000,01800NURSING FACILITY 74320,A000000,01810,0000,01810ICF/MR 74320,A000000,02100,0000,02100RADIOLOGY 74320,A000000,02200,0000,02200LABORATORY 74320,A000000,02500,0000,02500PHYSICAL THERAPY 74320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74320,A000000,02700,0000,02700SPEECH PATHOLOGY 74320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74320,A000000,03050,0000,03300MEDICAL EQUIPMENT 74320,A000000,03550,0000,03550FQHC 74320,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 74320,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 74320,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 74320,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 74320,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 74320,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 74320,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 74320,A000000,05000,0000,05000CORF 74320,A000000,05010,0000,05010CMHC 74320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74320,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 74320,A000000,05300,0000,05300INTEREST EXPENSE 74320,A000000,06150,0000,06300HM FOUNDATION 74320,A000000,06151,0000,06301HMPC 74320,A000000,06152,0000,06302DAY HEALTH CARE 74320,A000000,06153,0000,06303HALE MAKUA HEALTH SERVICE CORP 74320,A81000A,00100,0100,Y 74320,A81000B,00100,0300,OTHER EXPENSE 74320,A81000B,00200,0300,OTHER EXPENSE 74320,A81000B,00300,0300,OTHER EXPENSE 74320,A81000C,00100,0100,C 74320,A81000C,00100,0400,ACTION MEDICAL 74320,A81000C,00100,0600,PRIV. DUTY NSG. 74320,B100000,00000,0100,00003SQUARE FEET 74320,B100000,00000,0200,00003SQUARE FEET 74320,B100000,00000,0300,00003GROSS SAL 74320,B100000,00000,0400,00003ACCUM. COST 74320,B100000,00000,0500,00003SQUARE FEET 74320,B100000,00000,0600,00003LBS OF LAUNDRY 74320,B100000,00000,0700,00003HOURS OF SERVICE 74320,B100000,00000,0800,00003MEALS SERVED 74320,B100000,00000,0900,00003TIME SPENT- NA 74320,B100000,00000,1000,00003COSTED REQUIS 74320,B100000,00000,1100,00003COSTED REQUIS 74320,B100000,00000,1200,00003TIME SPENT 74320,B100000,00000,1300,00003TIME SPENT- SS 74320,B100000,00000,1350,00003PATIENT DAYS 74320,B100000,00000,1400,00003ASSIGNED TIME 74320,E10A180,00501,0100,08/01/2000 74320,E10A180,00501,0300,08/01/2000 74320,H510100,00000,0000,3320 74320,H510100,02400,0000,3320 74320,H710000,00502,0100,08/01/2000 74320,H710000,00502,0300,08/01/2000 74320,S000000,00100,0200,07/05/2000 74320,S200000,00100,0100,472 KAULANA STREET 74320,S200000,00200,0100,KAHULUI 74320,S200000,00200,0200,HI 74320,S200000,00200,0300,96732 74320,S200000,00300,0100,MAUI 74320,S200000,00400,0100,HALE MAKUA - KAHULUI 74320,S200000,00400,0200,125007 74320,S200000,00400,0300,07/31/1978 74320,S200000,00400,0500,P 74320,S200000,00400,0600,O 74320,S200000,00600,0200,H43631 74320,S200000,00600,0300,12/04/1985 74320,S200000,00600,0600,P 74320,S200000,00800,0200,127003 74320,S200000,00800,0300,07/31/1978 74320,S200000,00800,0500,P 74320,S200000,00800,0600,P 74320,S200000,01500,0100,Y 74320,S200000,01900,0100,NONPROFIT ORGANIZATION 74320,S200000,02200,0100,Y 74320,S200000,02800,0100,Y 74322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74322,A000000,00300,0000,00300EMPLOYEE BENEFITS 74322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74322,A000000,00700,0000,00700HOUSEKEEPING 74322,A000000,00800,0000,00800DIETARY 74322,A000000,00801,0000,00801CAFETERIA 74322,A000000,00900,0000,00900NURSING ADMINISTRATION 74322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74322,A000000,01100,0000,01100PHARMACY 74322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74322,A000000,01300,0000,01300SOCIAL SERVICE 74322,A000000,01350,0000,01500MEDICAL STAFF 74322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74322,A000000,01600,0000,01600SKILLED NURSING FACILITY 74322,A000000,01810,0000,01810ICF/MR 74322,A000000,02100,0000,02100RADIOLOGY 74322,A000000,02200,0000,02200LABORATORY 74322,A000000,02500,0000,02500PHYSICAL THERAPY 74322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74322,A000000,02700,0000,02700SPEECH PATHOLOGY 74322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74322,A000000,03550,0000,03550FQHC 74322,A000000,05000,0000,05000CORF 74322,A000000,05010,0000,05010CMHC 74322,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74322,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74322,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 74322,A000000,06001,0000,06001STATE DENTAL/IPC PHARMACY 74322,A000000,06201,0000,06201HOME HEALTH AGENCY 74322,A000000,06202,0000,06202PACE 74322,A81000A,00100,0100,Y 74322,A81000B,00100,0300,BOND INTEREST 74322,A81000B,00200,0300,HI DEPT. OF HEALTH 74322,A81000B,00300,0300,OAHU REGIONAL CFO 74322,A81000B,00400,0300,HHSC 74322,A81000B,00500,0300,HHSC 74322,A81000B,00600,0300,HHSC 74322,A81000C,00100,0100,G 74322,A81000C,00100,0200,LEAHI HOSPITAL 74322,A81000C,00100,0400,LEAHI HOSPITAL 74322,A81000C,00100,0600,HOSPITAL 74322,A81000C,00200,0100,G 74322,A81000C,00200,0200,STATE OF HI 74322,A81000C,00200,0400,HI DEPT OF HEAL 74322,A81000C,00200,0600,GOVERNMENT 74322,A81000C,00300,0100,G 74322,A81000C,00300,0200,HHSC 74322,A81000C,00300,0400,HHSC 74322,A81000C,00300,0600,CORPORATE OFFIC 74322,B100000,00000,0100,00002SQUARE FEET 74322,B100000,00000,0200,00002SQUARE FEET 74322,B100000,00000,0300,00002GROSS SALARIES 74322,B100000,00000,0400,00002ACCUM COST 74322,B100000,00000,0500,00002SQUARE FEET 74322,B100000,00000,0600,00002POUNDS OF LAUNDRY 74322,B100000,00000,0700,00002HOURS OF SERVICE 74322,B100000,00000,0800,00002MEALS SERVED 74322,B100000,00000,0801,00002 74322,B100000,00000,0900,00002DIRECT NRSG HRS 74322,B100000,00000,1000,00002COSTED REQUIS 74322,B100000,00000,1100,00002COSTED REQUIS 74322,B100000,00000,1200,00002TIME SPENT 74322,B100000,00000,1300,00002TIME SPENT 74322,B100000,00000,1350,00002PERCENT OF SALARIES 74322,B100000,00000,1400,00002ASSIGNED TIME 74322,E10A180,00350,0300,03/21/2000 74322,E10A180,00501,0300,03/16/2001 74322,E10A180,00550,0100,03/16/2001 74322,S000000,00100,0200,01/22/2001 74322,S200000,00100,0100,1027 HALA DRIVE 74322,S200000,00200,0100,HONOLULU 74322,S200000,00200,0200,HI 74322,S200000,00200,0300,96817 74322,S200000,00300,0100,H 74322,S200000,00400,0100,MALUHIA HOSPITAL 74322,S200000,00400,0200,125009 74322,S200000,00400,0300,01/19/1966 74322,S200000,00400,0500,P 74322,S200000,00400,0600,O 74322,S200000,01500,0100,Y 74322,S200000,02100,0100,A 74322,S200000,02800,0100,Y 74326,S000000,00100,0200,12/06/2000 74329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74329,A000000,00300,0000,00300EMPLOYEE BENEFITS 74329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74329,A000000,00700,0000,00700HOUSEKEEPING 74329,A000000,00800,0000,00800DIETARY 74329,A000000,00900,0000,00900NURSING ADMINISTRATION 74329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74329,A000000,01100,0000,01100PHARMACY 74329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74329,A000000,01300,0000,01300SOCIAL SERVICE 74329,A000000,01350,0000,01500RECREATION THER. (ACTIV) 74329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74329,A000000,01600,0000,01600SKILLED NURSING FACILITY 74329,A000000,01810,0000,01810ICF/MR 74329,A000000,02500,0000,02500PHYSICAL THERAPY 74329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74329,A000000,02700,0000,02700SPEECH PATHOLOGY 74329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74329,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74329,A000000,03550,0000,03550FQHC 74329,A000000,05000,0000,05000CORF 74329,A000000,05010,0000,05010CMHC 74329,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74329,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74329,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74329,A000000,05300,0000,05300INTEREST EXPENSE 74329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74329,A000000,06100,0000,06100NONPAID WORKERS 74329,A81000A,00100,0100,Y 74329,A81000B,00100,0300,MANAGEMENT FEES 74329,A81000B,00200,0300,HOME OFC CAPITAL BLDG 74329,A81000B,00300,0300,HOME OFC CAPITAL EQUIP 74329,A81000C,00100,0100,B 74329,A81000C,00100,0200,VARIOUS 74329,A81000C,00100,0400,REDWOOD HOSPITAL MNGMT 74329,A81000C,00100,0600,HEALTHCARE MANAGEMENT 74329,B100000,00000,0100,00000SQUARE FEET 74329,B100000,00000,0200,00000SQUARE FEET 74329,B100000,00000,0300,00000GROSS SALARIES 74329,B100000,00000,0400,00000ACCUM. COST 74329,B100000,00000,0500,00000SQUARE FEET 74329,B100000,00000,0600,00000POUNDS OF LAUNDRY 74329,B100000,00000,0700,00000SQUARE FEET 74329,B100000,00000,0800,00000MEALS SERVED 74329,B100000,00000,0900,00000DIRECT NRSING HRS 74329,B100000,00000,1000,00000CS COSTED 74329,B100000,00000,1100,00000PH COSTED 74329,B100000,00000,1200,00000PATIENT REVENUE 74329,B100000,00000,1300,00000SS TIME SPENT 74329,B100000,00000,1350,00000ACT TIME SPENT 74329,B100000,00000,1400,00000ASSIGNED TIME 74329,E10A180,00501,0100,08/14/2000 74329,E10A180,00550,0100,07/27/2000 74329,E10A180,00550,0300,07/27/2000 74329,S000000,00100,0200,07/27/2000 74329,S200000,00100,0100,1900 BACHELOT ST. 74329,S200000,00200,0100,HONOLULU 74329,S200000,00200,0200,HI 74329,S200000,00200,0300,96817 74329,S200000,00300,0100,HONOLULU 74329,S200000,00400,0100,CONVALESCENT CENTER OF HONOLULU 74329,S200000,00400,0200,125019 74329,S200000,00400,0300,07/01/1966 74329,S200000,00400,0500,P 74329,S200000,00400,0600,O 74329,S200000,01500,0100,Y 74331,S000000,00100,0200,06/01/2000 74338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74338,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74338,A000000,00300,0000,00300EMPLOYEE BENEFITS 74338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74338,A000000,00700,0000,00700HOUSEKEEPING 74338,A000000,00800,0000,00800DIETARY 74338,A000000,00900,0000,00900NURSING ADMINISTRATION 74338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74338,A000000,01100,0000,01100PHARMACY 74338,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74338,A000000,01300,0000,01300SOCIAL SERVICE 74338,A000000,01350,0000,01500LONG TERM CARE 74338,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74338,A000000,01600,0000,01600SKILLED NURSING FACILITY 74338,A000000,01800,0000,01800NURSING FACILITY 74338,A000000,01810,0000,01810ICF/MR 74338,A000000,02100,0000,02100RADIOLOGY 74338,A000000,02500,0000,02500PHYSICAL THERAPY 74338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74338,A000000,02700,0000,02700SPEECH PATHOLOGY 74338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74338,A000000,03550,0000,03550FQHC 74338,A000000,05000,0000,05000CORF 74338,A000000,05010,0000,05010CMHC 74338,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74338,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74338,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74338,A000000,06150,0000,06300DENTAL CONSULTANT 74338,A000000,06151,0000,06301UNOCCUPIED SPACE 74338,A81000A,00100,0100,Y 74338,A81000B,00100,0300,A&G CAPITAL 74338,A81000B,00200,0300,A&G CAPITAL 74338,A81000C,00100,0100,F 74338,A81000C,00100,0200,GORDON ITO 74338,A81000C,00100,0400,PEARL CITY 74338,A81000C,00100,0600,NURSING FAC 74338,B100000,00000,0100,00001SQUARE FEET 74338,B100000,00000,0200,00001SQUARE FEET 74338,B100000,00000,0300,00001GROSS SAL 74338,B100000,00000,0400,00001ACCUM. COST 74338,B100000,00000,0500,00001SQUARE FEET 74338,B100000,00000,0600,00001%OF LAUNDRY 74338,B100000,00000,0700,00001HOURS OF SERVICE 74338,B100000,00000,0800,00001MEALS SERVED 74338,B100000,00000,0900,00001HOURS OF SERVICE 74338,B100000,00000,1000,00001%COSTED REQ- CSS 74338,B100000,00000,1100,00001%COSTED REQ- PHARM 74338,B100000,00000,1200,00001%OF TIME SPENT 74338,B100000,00000,1300,00001SQUARE FEET 2 74338,B100000,00000,1350,00001PATIENT DAYS 74338,B100000,00000,1400,00001ASSIGNED TIME 74338,E10A180,00301,0100,10/25/1999 74338,S000000,00100,0200,06/01/2000 74338,S200000,00100,0100,1810 S. BERETANIA STREET 74338,S200000,00200,0100,HONOLULU 74338,S200000,00200,0200,HI 74338,S200000,00200,0300,92826 74338,S200000,00300,0100,HONOLULU 74338,S200000,00400,0100,OAHU CARE FACILITY 74338,S200000,00400,0200,125042 74338,S200000,00400,0300,09/14/1995 74338,S200000,00400,0500,P 74338,S200000,00400,0600,O 74338,S200000,00600,0200,088906 74338,S200000,00600,0300,06/01/1991 74338,S200000,00600,0600,P 74338,S200000,01500,0100,Y 74341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74341,A000000,00300,0000,00300EMPLOYEE BENEFITS 74341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74341,A000000,00700,0000,00700HOUSEKEEPING 74341,A000000,00800,0000,00800DIETARY 74341,A000000,00900,0000,00900NURSING ADMINISTRATION 74341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74341,A000000,01100,0000,01100PHARMACY 74341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74341,A000000,01300,0000,01300SOCIAL SERVICE 74341,A000000,01350,0000,01500LONG TERM CARE 74341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74341,A000000,01600,0000,01600SKILLED NURSING FACILITY 74341,A000000,01800,0000,01800NURSING FACILITY 74341,A000000,01810,0000,01810ICF/MR 74341,A000000,02100,0000,02100RADIOLOGY 74341,A000000,02200,0000,02200LABORATORY 74341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74341,A000000,02500,0000,02500PHYSICAL THERAPY 74341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74341,A000000,02700,0000,02700SPEECH PATHOLOGY 74341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74341,A000000,03550,0000,03550FQHC 74341,A000000,05000,0000,05000CORF 74341,A000000,05010,0000,05010CMHC 74341,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74341,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74341,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74341,A000000,06150,0000,06300DENTAL 74341,A81000A,00100,0100,Y 74341,A81000B,00100,0300,A&G CAPITAL 74341,A81000B,00200,0300,A&G CAPITAL 74341,A81000C,00100,0100,F 74341,A81000C,00100,0200,GORDON ITO 74341,A81000C,00100,0400,OAHU CARE FAC 74341,A81000C,00100,0600,NURSING FAC 74341,B100000,00000,0100,00000SQUARE FEET 74341,B100000,00000,0200,00000SQUARE FEET 74341,B100000,00000,0300,00000GROSS SAL 74341,B100000,00000,0400,00000ACCUM. COST 74341,B100000,00000,0500,00000SQUARE FEET 74341,B100000,00000,0600,00000%OF POUNDS 74341,B100000,00000,0700,00000HOURS OF SERVICE 74341,B100000,00000,0800,00000MEALS SERVED 74341,B100000,00000,0900,00000DIRECT NRSG HRS 74341,B100000,00000,1000,00000ACCRUED PURCHASES 74341,B100000,00000,1100,00000PATIENT REQUISITIO 74341,B100000,00000,1200,00000TIME SPENT 74341,B100000,00000,1300,00000%TIME SPENT 74341,B100000,00000,1350,00000WEIGHTED PT DAYS 74341,B100000,00000,1400,00000ASSIGNED TIME 74341,E10A180,00501,0300,07/25/2000 74341,E10A180,00550,0100,07/25/2000 74341,S000000,00100,0200,06/01/2000 74341,S200000,00100,0100,919 LEHUA AVENUE 74341,S200000,00200,0100,PEARL CITY 74341,S200000,00200,0200,HI 74341,S200000,00200,0300,96782 74341,S200000,00300,0100,HONOLULU 74341,S200000,00400,0100,PEARL CITY NURSING HOME 74341,S200000,00400,0200,125043 74341,S200000,00400,0300,11/17/1995 74341,S200000,00400,0500,P 74341,S200000,00400,0600,O 74341,S200000,00600,0200,A20453 74341,S200000,00600,0300,11/17/1995 74341,S200000,00600,0600,P 74341,S200000,01500,0100,Y 74341,S200000,02800,0100,Y 74343,S000000,00100,0200,11/03/1999 74345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74345,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74345,A000000,00300,0000,00300EMPLOYEE BENEFITS 74345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74345,A000000,00700,0000,00700HOUSEKEEPING 74345,A000000,00800,0000,00800DIETARY 74345,A000000,00900,0000,00900NURSING ADMINISTRATION 74345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74345,A000000,01100,0000,01100PHARMACY 74345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74345,A000000,01300,0000,01300SOCIAL SERVICE 74345,A000000,01301,0000,01301ACTIVITIES 74345,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74345,A000000,01600,0000,01600SKILLED NURSING FACILITY 74345,A000000,01810,0000,01810ICF/MR 74345,A000000,02100,0000,02100RADIOLOGY 74345,A000000,02200,0000,02200LABORATORY 74345,A000000,02300,0000,02300INTRAVENOUS THERAPY 74345,A000000,02500,0000,02500PHYSICAL THERAPY 74345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74345,A000000,02700,0000,02700SPEECH PATHOLOGY 74345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74345,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74345,A000000,03200,0000,03200SUPPORT SURFACES 74345,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74345,A000000,03550,0000,03550FQHC 74345,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74345,A000000,05000,0000,05000CORF 74345,A000000,05010,0000,05010CMHC 74345,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74345,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74345,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74345,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74345,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74345,A81000A,00100,0100,Y 74345,A81000B,00100,0300,BUILDING LEASE EXPENSE 74345,A81000C,00100,0100,A 74345,A81000C,00100,0200,KIYOKO AKASE 74345,B100000,00000,0100,00000SQUARE FEET 74345,B100000,00000,0200,00000SQUARE FEET 74345,B100000,00000,0300,00000GROSS SALARIES 74345,B100000,00000,0400,00000ACCUM. COST 74345,B100000,00000,0500,00000SQUARE FEET 74345,B100000,00000,0600,00000PATIENT DAYS 74345,B100000,00000,0700,00000SQUARE FEET 74345,B100000,00000,0800,00000PATIENT DAYS 74345,B100000,00000,0900,00000NURSING SALARIES 74345,B100000,00000,1000,00000COSTED REQUIS. 74345,B100000,00000,1100,00000COSTED REQUIS. 74345,B100000,00000,1200,00000PATIENT REVENUE 74345,B100000,00000,1300,00000PATIENT DAYS 74345,B100000,00000,1301,00000PATIENT DAYS 74345,B100000,00000,1400,00000ASSIGNED TIME 74345,S000000,00100,0200,05/24/2000 74345,S200000,00100,0100,84-390 JADE STREET 74345,S200000,00200,0100,WAIANAE 74345,S200000,00200,0200,HI 74345,S200000,00200,0300,96792 74345,S200000,00300,0100,HONOLULU 74345,S200000,00400,0100,LEEWARD INTEGRATED HEALTH SERVICES 74345,S200000,00400,0200,125046 74345,S200000,00400,0300,07/03/1997 74345,S200000,00400,0500,P 74345,S200000,00400,0600,O 74345,S200000,00600,0200,125046 74345,S200000,00600,0300,07/17/1979 74345,S200000,00600,0600,P 74345,S200000,01500,0100,Y 74347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74347,A000000,00300,0000,00300EMPLOYEE BENEFITS 74347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74347,A000000,00700,0000,00700HOUSEKEEPING 74347,A000000,00800,0000,00800DIETARY 74347,A000000,00900,0000,00900NURSING ADMINISTRATION 74347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74347,A000000,01100,0000,01100PHARMACY 74347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74347,A000000,01300,0000,01300SOCIAL SERVICE 74347,A000000,01301,0000,01301ACTVITIES 74347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74347,A000000,01600,0000,01600SKILLED NURSING FACILITY 74347,A000000,01810,0000,01810ICF/MR 74347,A000000,02100,0000,02100RADIOLOGY 74347,A000000,02200,0000,02200LABORATORY 74347,A000000,02500,0000,02500PHYSICAL THERAPY 74347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74347,A000000,02700,0000,02700SPEECH PATHOLOGY 74347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74347,A000000,03200,0000,03200SUPPORT SURFACES 74347,A000000,03550,0000,03550FQHC 74347,A000000,05000,0000,05000CORF 74347,A000000,05010,0000,05010CMHC 74347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74347,A000000,05300,0000,05300INTEREST EXPENSE 74347,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74347,A81000A,00100,0100,Y 74347,A81000B,00100,0300,RENT-OFFICE PARKING STORAGE 74347,A81000C,00100,0100,A 74347,A81000C,00100,0200,KISHABA RICHARD & SANDRA 74347,A81000C,00100,0400,KISHABA RICHARD & SANDRA 74347,A81000C,00100,0600,OWNER OF REAL ESTATE 74347,B100000,00000,0100,00000SQUARE FEET 74347,B100000,00000,0200,00000SQUARE FEET 74347,B100000,00000,0300,00000GROSS SALARIES 74347,B100000,00000,0400,00000ACCUM. COST 74347,B100000,00000,0500,00000SQUARE FEET 74347,B100000,00000,0600,00000TIME SPENT 74347,B100000,00000,0700,00000SQUARE FEET 74347,B100000,00000,0800,00000MEALS SERVED 74347,B100000,00000,0900,00000TIME SPENT 74347,B100000,00000,1000,00000COSTED REQUIS. 74347,B100000,00000,1100,00000COSTED REQUIS. 74347,B100000,00000,1200,00000TIME SPENT 74347,B100000,00000,1300,00000TIME SPENT 74347,B100000,00000,1301,00000TIME SPENT 74347,B100000,00000,1400,00000ASSIGNED TIME 74347,E10A180,00501,0100,02/29/2000 74347,E10A180,00502,0100,03/29/2000 74347,E10A180,00550,0300,02/29/2000 74347,S000000,00100,0200,03/02/2000 74347,S200000,00100,0100,45-181 WAIKALUA ROAD 74347,S200000,00200,0100,KANEOHE 74347,S200000,00200,0200,HI 74347,S200000,00300,0100,HONOLULU 74347,S200000,00400,0100,ANN PEARL NURSING FACILITY 74347,S200000,00400,0200,125048 74347,S200000,00400,0300,12/28/1998 74347,S200000,00400,0500,P 74347,S200000,00400,0600,P 74347,S200000,00600,0200,004079 74347,S200000,00600,0300,01/01/1976 74347,S200000,00600,0600,O 74347,S200000,01500,0100,Y 74350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74350,A000000,00300,0000,00300EMPLOYEE BENEFITS 74350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74350,A000000,00700,0000,00700HOUSEKEEPING 74350,A000000,00800,0000,00800DIETARY 74350,A000000,00900,0000,00900NURSING ADMINISTRATION 74350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74350,A000000,01100,0000,01100PHARMACY 74350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74350,A000000,01300,0000,01300SOCIAL SERVICE 74350,A000000,01350,0000,01500LONG TERM CARE 74350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74350,A000000,01600,0000,01600SKILLED NURSING FACILITY 74350,A000000,01800,0000,01800NURSING FACILITY 74350,A000000,01810,0000,01810ICF/MR 74350,A000000,02100,0000,02100RADIOLOGY 74350,A000000,02200,0000,02200LABORATORY 74350,A000000,02500,0000,02500PHYSICAL THERAPY 74350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74350,A000000,02700,0000,02700SPEECH PATHOLOGY 74350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74350,A000000,03550,0000,03550FQHC 74350,A000000,05000,0000,05000CORF 74350,A000000,05010,0000,05010CMHC 74350,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74350,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74350,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 74350,A000000,05300,0000,05300INTEREST EXPENSE 74350,A000000,06150,0000,06300FOSTER FAMILY 74350,A000000,06151,0000,06301DAY HEALTH 74350,A81000A,00100,0100,Y 74350,A81000B,00100,0300,OTHER EXPENSE 74350,A81000C,00100,0100,C 74350,A81000C,00100,0400,ACTION MEDICAL 74350,A81000C,00100,0600,PRIV. DUTY NSG. 74350,B100000,00000,0100,00001SQUARE FEET 74350,B100000,00000,0200,00001SQUARE FEET 74350,B100000,00000,0300,00001GROSS SAL 74350,B100000,00000,0400,00001ACCUM. COST 74350,B100000,00000,0500,00001SQUARE FEET 74350,B100000,00000,0600,00001LBS OF LAUNDRY 74350,B100000,00000,0700,00001HOURS OF SVC 74350,B100000,00000,0800,00001MEALS SERVED 74350,B100000,00000,0900,00001TIME SPENT- NA 74350,B100000,00000,1000,00001COSTED REQUIS 74350,B100000,00000,1100,00001COSTED REQUIS 74350,B100000,00000,1200,00001BLANK 74350,B100000,00000,1300,00001TIME SPENT- SS 74350,B100000,00000,1350,00001PATIENT DAYS 74350,B100000,00000,1400,00001ASSIGNED TIME 74350,E10A180,00550,0100,05/31/2000 74350,E10A180,00550,0300,05/31/2000 74350,S000000,00100,0200,06/01/2000 74350,S200000,00100,0100,1540 LOWER MAIN STREET 74350,S200000,00200,0100,WAILUKU 74350,S200000,00200,0200,HI 74350,S200000,00200,0300,96793 74350,S200000,00300,0100,MAUI 74350,S200000,00400,0100,HALE MAKUA - WAILUKU 74350,S200000,00400,0200,125049 74350,S200000,00400,0300,07/31/1978 74350,S200000,00400,0500,P 74350,S200000,00400,0600,O 74350,S200000,00600,0200,A43636 74350,S200000,00600,0300,07/31/1978 74350,S200000,00600,0600,P 74350,S200000,01500,0100,Y 74350,S200000,01900,0100,NONPROFIT ORGANIZATION 74350,S200000,02200,0100,Y 74350,S200000,02800,0100,Y 74548,S000000,00100,0200,06/02/2000 74553,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74553,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 74553,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74553,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 74553,A000000,00300,0000,00300EMPLOYEE BENEFITS 74553,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74553,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74553,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74553,A000000,00700,0000,00700HOUSEKEEPING 74553,A000000,00800,0000,00800DIETARY 74553,A000000,00801,0000,00801CAFETERIA 74553,A000000,00900,0000,00900NURSING ADMINISTRATION 74553,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74553,A000000,01100,0000,01100PHARMACY 74553,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74553,A000000,01300,0000,01300SOCIAL SERVICE 74553,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74553,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74553,A000000,01600,0000,01600SKILLED NURSING FACILITY 74553,A000000,01810,0000,01810ICF/MR 74553,A000000,02200,0000,02200LABORATORY 74553,A000000,02300,0000,02300INTRAVENOUS THERAPY 74553,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74553,A000000,02500,0000,02500PHYSICAL THERAPY 74553,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74553,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74553,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74553,A000000,03050,0000,03300OTHER ANCILLARY 74553,A000000,03051,0000,03301OTHER ANCILLARY II 74553,A000000,03052,0000,03302OTHER ANCILLARY III 74553,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 74553,A000000,03550,0000,03550FQHC 74553,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74553,A000000,05000,0000,05000CORF I 74553,A000000,05010,0000,05010CMHC I 74553,A000000,05020,0000,05020OPT I 74553,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74553,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74553,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 74553,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 74553,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74553,A81000A,00100,0100,Y 74553,A81000B,00100,0300,MANAGEMENT FEES 74553,A81000B,00200,0300,ACCOUNTING FEES 74553,A81000C,00100,0100,D 74553,A81000C,00100,0200,RANDY KIRTON 74553,A81000C,00100,0400,HERITAGE MANAGT 74553,A81000C,00100,0600,MANAGEMENT 74553,A81000C,00200,0100,D 74553,A81000C,00200,0200,LEWIS GARRETT 74553,A81000C,00200,0400,HERITAGE MANAGT 74553,A81000C,00200,0600,MANAGEMENT 74553,A81000C,00300,0100,D 74553,A81000C,00300,0200,JOHN MORRIS 74553,A81000C,00300,0400,HERITAGE MANAGT 74553,A81000C,00300,0600,MANAGEMENT 74553,B100000,00000,0100,00000(SQUARE FEET) 74553,B100000,00000,0101,00000(SQUARE FEET) 74553,B100000,00000,0200,00000(SQUARE FEET) 74553,B100000,00000,0201,00000(SQUARE FEET) 74553,B100000,00000,0300,00000(GROSS SALARIES) 74553,B100000,00000,0400,00000(ACCUM. COST) 74553,B100000,00000,0500,00000(SQUARE FEET) 74553,B100000,00000,0600,00000(PATIENT DAYS) 74553,B100000,00000,0700,00000(SQUARE FEET) 74553,B100000,00000,0800,00000(MEALS SERVED) 74553,B100000,00000,0801,00000(MEALS SERVED) 74553,B100000,00000,0900,00000(NURSING SALARIES) 74553,B100000,00000,1000,00000(COSTED REQUIS.) 74553,B100000,00000,1100,00000(COSTED REQUIS.) 74553,B100000,00000,1200,00000(PATIENT DAYS) 74553,B100000,00000,1300,00000(PATIENT DAYS) 74553,B100000,00000,1350,00000 74553,B100000,00000,1400,00000(ASSIGNED TIME) 74553,S000000,00100,0200,05/31/2000 74553,S200000,00100,0100,701 WALNUT STREET 74553,S200000,00200,0100,ELKO 74553,S200000,00200,0200,NV 74553,S200000,00200,0300,89801 74553,S200000,00400,0100,HERITAGE REHAB CENTER OF ELKO 74553,S200000,00400,0200,295042 74553,S200000,00400,0300,06/19/1988 74553,S200000,00400,0500,P 74553,S200000,01500,0100,Y 74711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74711,A000000,00300,0000,00300EMPLOYEE BENEFITS 74711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74711,A000000,00700,0000,00700HOUSEKEEPING 74711,A000000,00800,0000,00800DIETARY 74711,A000000,00900,0000,00900NURSING ADMINISTRATION 74711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74711,A000000,01100,0000,01100PHARMACY 74711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74711,A000000,01300,0000,01300SOCIAL SERVICE 74711,A000000,01350,0000,01500OTHER GENERAL SERVICES 74711,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74711,A000000,01600,0000,01600SKILLED NURSING FACILITY 74711,A000000,01800,0000,01800NURSING FACILITY 74711,A000000,01810,0000,01810ICF/MR 74711,A000000,02200,0000,02200LABORATORY 74711,A000000,02500,0000,02500PHYSICAL THERAPY 74711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74711,A000000,02700,0000,02700SPEECH PATHOLOGY 74711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74711,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74711,A000000,03200,0000,03200SUPPORT SURFACES 74711,A000000,03550,0000,03550FQHC 74711,A000000,05000,0000,05000CORF 74711,A000000,05010,0000,05010CMHC 74711,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74711,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74711,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74711,A81000A,00100,0100,Y 74711,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 74711,A81000B,00200,0300,BLDGS & FIXTURE 74711,A81000B,00300,0300,MOVABLE EQUIPME 74711,A81000B,00400,0300,BUILDING LEASE 74711,A81000B,00500,0300,CWIC INSURANCE 74711,A81000B,00600,0300,EMERALD FIXED ASSETS 74711,A81000B,00700,0300,EMERALD ADMIN SUPP 74711,A81000B,00800,0300,EMERALD MAINT 74711,A81000B,00900,0300,EMERALD L&L 74711,A81000B,01000,0300,EMERALD HSKG 74711,A81000B,01100,0300,EMERALD DIETARY 74711,A81000B,01200,0300,EMERALD NURSE ADMIN 74711,A81000B,01300,0300,EMERALD THERAPY 74711,A81000B,01400,0300,PWP ADMIN 74711,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74711,A81000B,01600,0300,PWP HOUSE SUPPLIES 74711,A81000C,00100,0100,F 74711,A81000C,00100,0200,MARTIN HARMON 74711,A81000C,00200,0100,C 74711,A81000C,00200,0400,CARE WEST INSURANCE CO 74711,A81000C,00200,0600,CAPTIVE INSURANCE CO 74711,A81000C,00300,0100,C 74711,A81000C,00300,0400,PACIFIC WEST PHARMACY 74711,A81000C,00300,0600,PHARMACY 74711,A81000C,00400,0100,C 74711,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74711,A81000C,00400,0600,DISTRIBUTORSHIP 74711,A81000C,00500,0100,B 74711,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74711,A81000C,00500,0600,HOME OFFICE 74711,B100000,00000,0100,00000SQUARE FEET 74711,B100000,00000,0200,00000SQUARE FEET 74711,B100000,00000,0300,00000GROSS SALARIES 74711,B100000,00000,0400,00000ACCUM. COST 74711,B100000,00000,0500,00000SQUARE FEET 74711,B100000,00000,0600,00000POUNDS OF LAUNDRY 74711,B100000,00000,0700,00000NON-DIETAR RY SQ. 74711,B100000,00000,0800,00000MEALS SERVED 74711,B100000,00000,0900,00000DIRECT NURSING HR 74711,B100000,00000,1000,00000COSTED RERQS 74711,B100000,00000,1100,00000NO STATISTICS 74711,B100000,00000,1200,00000GROSS REVENUE 74711,B100000,00000,1300,00000CENSUS 74711,B100000,00000,1350,00000NO STATISTICS 74711,B100000,00000,1400,00000ASSIGNED TIME 74711,E10A180,00501,0300,01/30/2001 74711,E10A180,00550,0100,01/30/2001 74711,S000000,00100,0200,01/10/2001 74711,S200000,00100,0100,930 NORTH 400 WEST 74711,S200000,00200,0100,BLANDING 74711,S200000,00200,0200,UT 74711,S200000,00200,0300,84511 74711,S200000,00300,0100,SAN JUAN 74711,S200000,00400,0100,FOUR CORNERS REGIONAL CARE CENTER 74711,S200000,00400,0200,465057 74711,S200000,00400,0300,08/01/1982 74711,S200000,00400,0500,P 74711,S200000,00400,0600,O 74711,S200000,00600,0200,465057 74711,S200000,00600,0300,08/01/1982 74711,S200000,00600,0600,P 74711,S200000,01600,0100,Y 74714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74714,A000000,00300,0000,00300EMPLOYEE BENEFITS 74714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74714,A000000,00700,0000,00700HOUSEKEEPING 74714,A000000,00800,0000,00800DIETARY 74714,A000000,00900,0000,00900NURSING ADMINISTRATION 74714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74714,A000000,01100,0000,01100PHARMACY 74714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74714,A000000,01300,0000,01300SOCIAL SERVICE 74714,A000000,01350,0000,01500OTHER GENERAL SERVICES 74714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74714,A000000,01600,0000,01600SKILLED NURSING FACILITY 74714,A000000,01800,0000,01800NURSING FACILITY 74714,A000000,01810,0000,01810ICF/MR 74714,A000000,02200,0000,02200LABORATORY 74714,A000000,02500,0000,02500PHYSICAL THERAPY 74714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74714,A000000,02700,0000,02700SPEECH PATHOLOGY 74714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74714,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74714,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74714,A000000,03200,0000,03200SUPPORT SURFACES 74714,A000000,03550,0000,03550FQHC 74714,A000000,05000,0000,05000CORF 74714,A000000,05010,0000,05010CMHC 74714,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74714,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74714,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74714,A81000A,00100,0100,Y 74714,A81000B,00100,0300,A&G 74714,A81000B,00200,0300,BLDGS & FIXTURE 74714,A81000B,00300,0300,MOVBLE EQUIPME 74714,A81000B,00400,0300,BUILDING LEASE 74714,A81000B,00500,0300,CWIC INSURANCE 74714,A81000B,00600,0300,EMERALD FIXED ASSETS 74714,A81000B,00700,0300,EMERALD ADMIN SUPP 74714,A81000B,00800,0300,EMERALD MAINT 74714,A81000B,00900,0300,EMERALD L&L 74714,A81000B,01000,0300,EMERALD HSKG 74714,A81000B,01100,0300,EMERALD DIETARY 74714,A81000B,01200,0300,EMERALD NURSE AMDIN 74714,A81000B,01300,0300,EMERALD ACTIVITIES 74714,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74714,A81000B,01500,0300,PWP HOUSE SUPPLIES 74714,A81000B,01600,0300,PWP MED SUPP 74714,A81000B,01700,0300,PWP PHARMACY 74714,A81000C,00100,0100,F 74714,A81000C,00100,0200,MARTIN HARMON 74714,A81000C,00200,0100,C 74714,A81000C,00200,0400,CARE WEST INSURANCE CO 74714,A81000C,00200,0600,CAPTIVE INSURANCE CO 74714,A81000C,00300,0100,C 74714,A81000C,00300,0400,PACIFIC WEST PHARMACY 74714,A81000C,00300,0600,PHARMACY 74714,A81000C,00400,0100,C 74714,A81000C,00400,0400,EMERALD DISTRIBUTING 74714,A81000C,00400,0600,DISTRIBUTORSHIP 74714,A81000C,00500,0100,B 74714,A81000C,00500,0400,HORIZON WEST HDQTRS INC 74714,A81000C,00500,0600,HOME OFFICE 74714,B100000,00000,0100,00000SQUARE FEET 74714,B100000,00000,0200,00000SQUARE FEET 74714,B100000,00000,0300,00000GROSS SALARIES 74714,B100000,00000,0400,00000ACCUM. COST 74714,B100000,00000,0500,00000SQUARE FEET 74714,B100000,00000,0600,00000POUNDS OF LAUNDRY 74714,B100000,00000,0700,00000NON-DIETAR RY SQ. 74714,B100000,00000,0800,00000MEALS SERVED 74714,B100000,00000,0900,00000DIRECT NURSING HR 74714,B100000,00000,1000,00000COSTED REQS 74714,B100000,00000,1100,00000NO STATISTICS 74714,B100000,00000,1200,00000GROSS REVENUE 74714,B100000,00000,1300,00000CENSUS 74714,B100000,00000,1350,00000NO STATISTICS 74714,B100000,00000,1400,00000NO STATISTICS 74714,S000000,00100,0200,01/10/2001 74714,S200000,00100,0100,250 EAST 600 NORTH 74714,S200000,00200,0100,PRICE 74714,S200000,00200,0200,UT 74714,S200000,00200,0300,84501 74714,S200000,00300,0100,C 74714,S200000,00400,0100,PARKDALE CARE CENTER 74714,S200000,00400,0200,465102 74714,S200000,00400,0300,11/01/1985 74714,S200000,00400,0500,P 74714,S200000,00400,0600,O 74714,S200000,00600,0200,465102 74714,S200000,00600,0300,11/01/1985 74714,S200000,00600,0600,P 74714,S200000,01600,0100,Y 74719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74719,A000000,00300,0000,00300EMPLOYEE BENEFITS 74719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74719,A000000,00700,0000,00700HOUSEKEEPING 74719,A000000,00800,0000,00800DIETARY 74719,A000000,00900,0000,00900NURSING ADMINISTRATION 74719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74719,A000000,01100,0000,01100PHARMACY 74719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74719,A000000,01300,0000,01300SOCIAL SERVICE 74719,A000000,01350,0000,01500OTHER GENERAL SERVICES 74719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74719,A000000,01600,0000,01600SKILLED NURSING FACILITY 74719,A000000,01800,0000,01800NURSING FACILITY 74719,A000000,01810,0000,01810ICF/MR 74719,A000000,02100,0000,02100RADIOLOGY 74719,A000000,02200,0000,02200LABORATORY 74719,A000000,02500,0000,02500PHYSICAL THERAPY 74719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74719,A000000,02700,0000,02700SPEECH PATHOLOGY 74719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74719,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74719,A000000,03200,0000,03200SUPPORT SURFACES 74719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74719,A000000,03550,0000,03550FQHC 74719,A000000,05000,0000,05000CORF 74719,A000000,05010,0000,05010CMHC 74719,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74719,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74719,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74719,A81000A,00100,0100,Y 74719,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 74719,A81000B,00200,0300,BLDGS & FIXTURE 74719,A81000B,00300,0300,MOVABLE EQUIPME 74719,A81000B,00400,0300,BUILDING LEASE 74719,A81000B,00500,0300,CWIC INSURANCE 74719,A81000B,00600,0300,EMERALD FIXED ASSETS 74719,A81000B,00700,0300,EMERALD A&G 74719,A81000B,00800,0300,EMERALD MAINT 74719,A81000B,00900,0300,EMERALD L&L 74719,A81000B,01000,0300,EMERALD HSKG 74719,A81000B,01100,0300,EMERALD DIETARY 74719,A81000B,01200,0300,EMERALD NURSE ADMIN 74719,A81000B,01300,0300,EMERALD MED SUPP 74719,A81000B,01400,0300,PWP ADMIN 74719,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74719,A81000B,01600,0300,PWP HOUSE SUPPLIES 74719,A81000B,01700,0300,PWP MED SUPP 74719,A81000B,01800,0300,BUILDING INTEREST 74719,A81000C,00100,0100,F 74719,A81000C,00100,0200,MARTIN HARMON 74719,A81000C,00200,0100,C 74719,A81000C,00200,0400,CARE WEST INSURANCE CO 74719,A81000C,00200,0600,CAPTIVE INSURANCE CO 74719,A81000C,00300,0100,C 74719,A81000C,00300,0400,PACIFIC WEST PHARMACY 74719,A81000C,00300,0600,PHARMACY 74719,A81000C,00400,0100,C 74719,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74719,A81000C,00400,0600,DISTRIBUTORSHIP 74719,A81000C,00500,0100,B 74719,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74719,A81000C,00500,0600,HOME OFFICE 74719,B100000,00000,0100,00000SQUARE FEET 74719,B100000,00000,0200,00000SQUARE FEET 74719,B100000,00000,0300,00000GROSS SALARIES 74719,B100000,00000,0400,00000ACCUM. COST 74719,B100000,00000,0500,00000SQUARE FEET 74719,B100000,00000,0600,00000POUNDS OF LAUNDRY 74719,B100000,00000,0700,00000NON-DIETAR RY SQ. 74719,B100000,00000,0800,00000MEALS SERVED 74719,B100000,00000,0900,00000DIRECT NURSING HR 74719,B100000,00000,1000,00000COSTED REQS 74719,B100000,00000,1100,00000NO STATISTICS 74719,B100000,00000,1200,00000GROSS REVENUE 74719,B100000,00000,1300,00000CENSUS 74719,B100000,00000,1350,00000NO STATISTICS 74719,B100000,00000,1400,00000NO STATISTICS 74719,E10A180,00501,0100,01/31/2001 74719,E10A180,00501,0300,01/30/2001 74719,S000000,00100,0200,01/10/2001 74719,S200000,00100,0100,50 EAST 9000 SOUTH 74719,S200000,00200,0100,SANDY 74719,S200000,00200,0200,UT 74719,S200000,00200,0300,84070 74719,S200000,00300,0100,S 74719,S200000,00400,0100,SANDY REGIONAL CONV. & REHAB. CENTER 74719,S200000,00400,0200,465111 74719,S200000,00400,0300,03/19/1987 74719,S200000,00400,0500,P 74719,S200000,00600,0200,465111 74719,S200000,00600,0300,03/19/1987 74719,S200000,00600,0600,P 74719,S200000,01600,0100,Y 74722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74722,A000000,00300,0000,00300EMPLOYEE BENEFITS 74722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74722,A000000,00700,0000,00700HOUSEKEEPING 74722,A000000,00800,0000,00800DIETARY 74722,A000000,00900,0000,00900NURSING ADMINISTRATION 74722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74722,A000000,01100,0000,01100PHARMACY 74722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74722,A000000,01300,0000,01300SOCIAL SERVICE 74722,A000000,01350,0000,01500OTHER GENERAL SERVICES 74722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74722,A000000,01600,0000,01600SKILLED NURSING FACILITY 74722,A000000,01800,0000,01800NURSING FACILITY 74722,A000000,01810,0000,01810ICF/MR 74722,A000000,02100,0000,02100RADIOLOGY 74722,A000000,02200,0000,02200LABORATORY 74722,A000000,02500,0000,02500PHYSICAL THERAPY 74722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74722,A000000,02700,0000,02700SPEECH PATHOLOGY 74722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74722,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74722,A000000,03200,0000,03200SUPPORT SURFACES 74722,A000000,03550,0000,03550FQHC 74722,A000000,05000,0000,05000CORF 74722,A000000,05010,0000,05010CMHC 74722,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74722,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74722,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74722,A81000A,00100,0100,Y 74722,A81000B,00100,0300,A&G 74722,A81000B,00200,0300,BLDGS & FIXTURE 74722,A81000B,00300,0300,MOVABLE EQUIPME 74722,A81000B,00500,0300,CWIC INSURANCE 74722,A81000B,00600,0300,EMERALD FIXED ASSETS 74722,A81000B,00700,0300,EMERALD ADMIN SUPP 74722,A81000B,00800,0300,EMERALD MAINT 74722,A81000B,00900,0300,EMERALD L&L 74722,A81000B,01000,0300,EMERALD HSKG 74722,A81000B,01100,0300,EMERALD DIETARY 74722,A81000B,01200,0300,EMERALD NURSE ADMIN 74722,A81000B,01300,0300,PWP ADMIN 74722,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74722,A81000B,01500,0300,PWP HOUSE SUPPLIES 74722,A81000B,01600,0300,BUILDING INTEREST 74722,A81000C,00100,0100,F 74722,A81000C,00100,0200,MARTIN HARMON 74722,A81000C,00200,0100,C 74722,A81000C,00200,0400,CARE WEST INSURANCE CO 74722,A81000C,00200,0600,CAPTIVE INSURANCE CO 74722,A81000C,00300,0100,C 74722,A81000C,00300,0400,PACIFIC WEST PHARMACY 74722,A81000C,00300,0600,PHARMACY 74722,A81000C,00400,0100,C 74722,A81000C,00400,0400,EMERALD DISTRIBUTING INC. 74722,A81000C,00400,0600,DISTRIBUTORSHIP 74722,A81000C,00500,0100,B 74722,A81000C,00500,0400,HORIZON WEST HDQTRS INC 74722,A81000C,00500,0600,HOME OFFICE 74722,B100000,00000,0100,00000SQUARE FEET 74722,B100000,00000,0200,00000SQUARE FEET 74722,B100000,00000,0300,00000GROSS SALARIES 74722,B100000,00000,0400,00000ACCUM. COST 74722,B100000,00000,0500,00000SQUARE FEET 74722,B100000,00000,0600,00000POUNDS OF LAUNDRY 74722,B100000,00000,0700,00000NON-DIETAR RY SQ. 74722,B100000,00000,0800,00000MEALS SERVED 74722,B100000,00000,0900,00000DIRECT NURSING HR 74722,B100000,00000,1000,00000COSTED REQS 74722,B100000,00000,1100,00000NO STATISTICS 74722,B100000,00000,1200,00000GROSS REVENUE 74722,B100000,00000,1300,00000CENSUS 74722,B100000,00000,1350,00000NO STATISTICS 74722,B100000,00000,1400,00000ASSIGNED TIME 74722,E10A180,00501,0100,01/30/2001 74722,E10A180,00501,0300,01/30/2001 74722,S000000,00100,0200,01/10/2001 74722,S200000,00100,0100,1745 EAST 280 NORTH 74722,S200000,00200,0100,ST. GEORGE 74722,S200000,00200,0200,UT 74722,S200000,00200,0300,84770 74722,S200000,00300,0100,W 74722,S200000,00400,0100,RED CLIFFS REGNL REHAB & CONV CENTER 74722,S200000,00400,0200,465137 74722,S200000,00400,0300,12/22/1993 74722,S200000,00400,0500,P 74722,S200000,00600,0200,465137 74722,S200000,00600,0300,12/22/1993 74722,S200000,00600,0600,P 74722,S200000,01600,0100,Y 74781,S000000,00100,0200,01/24/2001 74783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74783,A000000,00300,0000,00300EMPLOYEE BENEFITS 74783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74783,A000000,00700,0000,00700HOUSEKEEPING 74783,A000000,00800,0000,00800DIETARY 74783,A000000,00900,0000,00900NURSING ADMINISTRATION 74783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74783,A000000,01100,0000,01100PHARMACY 74783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74783,A000000,01300,0000,01300SOCIAL SERVICE 74783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74783,A000000,01600,0000,01600SKILLED NURSING FACILITY 74783,A000000,01800,0000,01800NURSING FACILITY 74783,A000000,01810,0000,01810ICF/MR 74783,A000000,02100,0000,02100RADIOLOGY 74783,A000000,02200,0000,02200LABORATORY 74783,A000000,02300,0000,02300INTRAVENOUS THERAPY 74783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74783,A000000,02500,0000,02500PHYSICAL THERAPY 74783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74783,A000000,02700,0000,02700SPEECH PATHOLOGY 74783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74783,A000000,03550,0000,03550FQHC 74783,A000000,05000,0000,05000CORF 74783,A000000,05010,0000,05010CMHC 74783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74783,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74783,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 74783,A81000A,00100,0100,Y 74783,A81000B,00100,0300,MANAGEMENT FEE 74783,A81000C,00100,0100,A 74783,A81000C,00100,0200,LEE SAMSON 74783,A81000C,00100,0400,WHM 74783,A81000C,00100,0600,MANAGEMENT CO. 74783,B100000,00000,0100,00000SQ FEET 74783,B100000,00000,0200,00000SQ FEET 74783,B100000,00000,0300,00000GROSS SAL 74783,B100000,00000,0400,00000ACCUM. COST 74783,B100000,00000,0500,00000SQ FEET 74783,B100000,00000,0600,00000LBS OF LAUNDRY 74783,B100000,00000,0700,00000SQ FEET 74783,B100000,00000,0800,00000MEALS SERVED 74783,B100000,00000,0900,00000NURSING HOURS 74783,B100000,00000,1000,00000COSTED REQUISITIO 74783,B100000,00000,1100,00000COSTED REQUIS 74783,B100000,00000,1200,00000GROSS REV 74783,B100000,00000,1300,00000TIME SPENT 74783,B100000,00000,1400,00000ASSIGNED TIME 74783,E10A180,00350,0300,09/16/1999 74783,E10A180,00501,0100,08/24/2000 74783,E10A180,00501,0300,08/24/2000 74783,S000000,00100,0200,05/31/2000 74783,S200000,00100,0100,13000 VICTORY BLVD 74783,S200000,00200,0100,NORTH HOLLYWOOD 74783,S200000,00200,0200,CA 74783,S200000,00200,0300,91606 74783,S200000,00400,0100,WINDSOR GARDENS OF THE VALLEY 74783,S200000,00400,0200,555012 74783,S200000,00400,0300,01/01/1980 74783,S200000,00400,0500,P 74783,S200000,00600,0200,555012 74783,S200000,00600,0300,01/01/1980 74783,S200000,00600,0600,P 74783,S200000,01600,0100,Y 74788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74788,A000000,00300,0000,00300EMPLOYEE BENEFITS 74788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74788,A000000,00700,0000,00700HOUSEKEEPING 74788,A000000,00800,0000,00800DIETARY 74788,A000000,00900,0000,00900NURSING ADMINISTRATION 74788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74788,A000000,01100,0000,01100PHARMACY 74788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74788,A000000,01300,0000,01300SOCIAL SERVICE 74788,A000000,01350,0000,01500ACTIVITIES 74788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74788,A000000,01600,0000,01600SKILLED NURSING FACILITY 74788,A000000,01800,0000,01800NURSING FACILITY 74788,A000000,01810,0000,01810ICF/MR 74788,A000000,02100,0000,02100RADIOLOGY 74788,A000000,02200,0000,02200LABORATORY 74788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74788,A000000,02500,0000,02500PHYSICAL THERAPY 74788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74788,A000000,02700,0000,02700SPEECH PATHOLOGY 74788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74788,A000000,03050,0000,03300CLINTRON 74788,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74788,A000000,03550,0000,03550FQHC 74788,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74788,A000000,05000,0000,05000CORF 74788,A000000,05010,0000,05010CMHC 74788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74788,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74788,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74788,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74788,A81000A,00100,0100,Y 74788,A81000B,00100,0300,FACILITY LEASE 74788,A81000B,00200,0300,MANAGEMENT FEES 74788,A81000B,00300,0300,BUILDING DEPRECIATION 74788,A81000B,00400,0300,OWNERS SALARY 74788,A81000B,00500,0300,HOME OFFICE COSTS 74788,A81000C,00100,0100,A 74788,A81000C,00100,0200,MR. PLOTT 74788,A81000C,00200,0100,A 74788,A81000C,00200,0200,MRS. PLOTT 74788,B100000,00000,0100,00000SQUARE FEET 74788,B100000,00000,0200,00000SQUARE FEET 74788,B100000,00000,0300,00000GROSS SALARY 74788,B100000,00000,0400,00000ACCUM. COST 74788,B100000,00000,0500,00000SQUARE FEET 74788,B100000,00000,0600,00000POUNDS OF LAUNDRY 74788,B100000,00000,0700,00000SQUARE FEET 74788,B100000,00000,0800,00000MEALS SERVED 74788,B100000,00000,0900,00000HOURS OF SERVICE 74788,B100000,00000,1000,00000COSTED REQUIS 74788,B100000,00000,1100,00000COSTED REQUIS 74788,B100000,00000,1200,00000REVENUE 74788,B100000,00000,1300,00000PATIENT DAYS 74788,B100000,00000,1350,00000PATIENT DAYS 74788,B100000,00000,1400,00000ASSIGNED TIME 74788,E10A180,00501,0300,07/07/2000 74788,E10A180,00550,0100,07/07/2000 74788,S000000,00100,0200,06/14/2000 74788,S200000,00100,0100,4000 HARRISON STREET 74788,S200000,00100,0300,Q 74788,S200000,00200,0100,RIVERSIDE 74788,S200000,00200,0200,CA 74788,S200000,00200,0300,92503 74788,S200000,00300,0100,RIVERSIDE 74788,S200000,00400,0100,ORANGETREE CONVALESCENT HOSPITAL 74788,S200000,00400,0200,555017 74788,S200000,00400,0300,04/22/1976 74788,S200000,00400,0500,P 74788,S200000,00600,0200,555017 74788,S200000,00600,0300,04/22/1976 74788,S200000,00600,0600,P 74788,S200000,01600,0100,Y 74788,S200000,02800,0100,Y 74790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74790,A000000,00300,0000,00300EMPLOYEE BENEFITS 74790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74790,A000000,00700,0000,00700HOUSEKEEPING 74790,A000000,00800,0000,00800DIETARY 74790,A000000,00900,0000,00900NURSING ADMINISTRATION 74790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74790,A000000,01100,0000,01100PHARMACY 74790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74790,A000000,01300,0000,01300SOCIAL SERVICE 74790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74790,A000000,01600,0000,01600SKILLED NURSING FACILITY 74790,A000000,01800,0000,01800NURSING FACILITY 74790,A000000,01810,0000,01810ICF/MR 74790,A000000,02100,0000,02100RADIOLOGY 74790,A000000,02200,0000,02200LABORATORY 74790,A000000,02300,0000,02300INTRAVENOUS THERAPY 74790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74790,A000000,02500,0000,02500PHYSICAL THERAPY 74790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74790,A000000,02700,0000,02700SPEECH PATHOLOGY 74790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74790,A000000,03550,0000,03550FQHC 74790,A000000,05000,0000,05000CORF 74790,A000000,05010,0000,05010CMHC 74790,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74790,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74790,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74790,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOS 74790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74790,A81000A,00100,0100,Y 74790,A81000B,00100,0300,HOME OFFICE COSTS 74790,A81000B,00200,0300,HOME OFFICE COSTS 74790,A81000C,00100,0100,B 74790,A81000C,00100,0400,PARACELSUS HEALTHCARE COR 74790,A81000C,00100,0600,HEALTHCARE MGMT 74790,A81000C,00200,0100,B 74790,A81000C,00200,0400,PARACELSUS REALESTATE 74790,A81000C,00200,0600,REAL ESTATE MGMT 74790,B100000,00000,0100,00000SQUARE FEET 74790,B100000,00000,0200,00000SQUARE FEET 74790,B100000,00000,0300,00000GROSS SALARIES 74790,B100000,00000,0400,00000ACCUM. COST 74790,B100000,00000,0500,00000SQUARE FEET 74790,B100000,00000,0600,00000POUNDS OF LAUNDRY 74790,B100000,00000,0700,00000SQUARE FEET 74790,B100000,00000,0800,00000MEALS SERVED 74790,B100000,00000,0900,00000DIRECT NRSING HRS 74790,B100000,00000,1000,00000COSTED REQUIS. 74790,B100000,00000,1100,00000COSTED REQUIS. 74790,B100000,00000,1200,00000TIME SPENT 74790,B100000,00000,1300,00000TIME SPENT 74790,B100000,00000,1400,00000ASSIGNED TIME 74790,E10A180,00301,0100,08/17/1999 74790,E10A180,00301,0300,08/17/1999 74790,E10A180,00302,0300,05/28/1999 74790,E10A180,00501,0100,01/27/2000 74790,E10A180,00501,0300,01/27/2000 74790,S000000,00100,0200,12/01/1999 74790,S200000,00100,0100,2122 SANTA CRUZ AVE 74790,S200000,00200,0100,MENLO PARK 74790,S200000,00200,0200,CA 74790,S200000,00300,0100,SAN MATEO 74790,S200000,00400,0100,UNIVERSITY CONVALESCENT HOSPITAL 74790,S200000,00400,0200,555018 74790,S200000,00400,0300,10/01/1966 74790,S200000,00400,0500,P 74790,S200000,00600,0200,555018 74790,S200000,00600,0300,10/01/1966 74790,S200000,00600,0600,P 74790,S200000,01600,0100,Y 74791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74791,A000000,00300,0000,00300EMPLOYEE BENEFITS 74791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74791,A000000,00700,0000,00700HOUSEKEEPING 74791,A000000,00800,0000,00800DIETARY 74791,A000000,00900,0000,00900NURSING ADMINISTRATION 74791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74791,A000000,01100,0000,01100PHARMACY 74791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74791,A000000,01300,0000,01300SOCIAL SERVICE 74791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74791,A000000,01600,0000,01600SKILLED NURSING FACILITY 74791,A000000,01800,0000,01800NURSING FACILITY 74791,A000000,01810,0000,01810ICF/MR 74791,A000000,02100,0000,02100RADIOLOGY 74791,A000000,02200,0000,02200LABORATORY 74791,A000000,02300,0000,02300INTRAVENOUS THERAPY 74791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74791,A000000,02500,0000,02500PHYSICAL THERAPY 74791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74791,A000000,02700,0000,02700SPEECH PATHOLOGY 74791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74791,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74791,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74791,A000000,03550,0000,03550FQHC 74791,A000000,05000,0000,05000CORF 74791,A000000,05010,0000,05010CMHC 74791,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74791,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74791,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74791,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74791,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74791,A81000A,00100,0100,Y 74791,A81000B,00100,0300,HOME OFFICE COSTS 74791,A81000C,00100,0100,A 74791,A81000C,00100,0200,DOUG WRIGHT JR 74791,A81000C,00100,0400,RIGHT CARE INC 74791,A81000C,00100,0600,MANAGEMENT 74791,B100000,00000,0100,00000SQUARE FEET 74791,B100000,00000,0200,00000SQUARE FEET 74791,B100000,00000,0300,00000GROSS SALARIES 74791,B100000,00000,0400,00000ACCUM COST 74791,B100000,00000,0500,00000SQUARE FEET 74791,B100000,00000,0600,00000POUNDS OF LAUNDRY 74791,B100000,00000,0700,00000PATIENT DAYS 74791,B100000,00000,0800,00000MEALS SERVED 74791,B100000,00000,0900,00000HOURS OF SERVICE 74791,B100000,00000,1000,00000COSTED REQUIS 74791,B100000,00000,1100,00000COSTED REQUISITIO 74791,B100000,00000,1200,00000PATIENT DAYS 74791,B100000,00000,1300,00000PATIENT DAYS 74791,B100000,00000,1400,00000ASSIGNED TIME 74791,E10A180,00501,0100,01/29/2001 74791,E10A180,00501,0300,01/29/2001 74791,S000000,00100,0200,11/03/2000 74791,S200000,00100,0100,2122 SANTA CRUZ AVENUE 74791,S200000,00200,0100,MENLO PARK 74791,S200000,00200,0200,CA 74791,S200000,00200,0300,94025 74791,S200000,00300,0100,SAN MATEO 74791,S200000,00400,0100,UNIVERSITY CONVALESCENT HOSPITAL 74791,S200000,00400,0200,555018 74791,S200000,00400,0300,10/01/1966 74791,S200000,00400,0500,P 74791,S200000,00600,0200,555018 74791,S200000,00600,0300,10/18/1966 74791,S200000,00600,0600,P 74791,S200000,01600,0100,Y 74794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74794,A000000,00300,0000,00300EMPLOYEE BENEFITS 74794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74794,A000000,00700,0000,00700HOUSEKEEPING 74794,A000000,00800,0000,00800DIETARY 74794,A000000,00900,0000,00900NURSING ADMINISTRATION 74794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74794,A000000,01100,0000,01100PHARMACY 74794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74794,A000000,01300,0000,01300SOCIAL SERVICE 74794,A000000,01350,0000,01500OTHER GENERAL SERVICES 74794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74794,A000000,01600,0000,01600SKILLED NURSING FACILITY 74794,A000000,01810,0000,01810ICF/MR 74794,A000000,02100,0000,02100RADIOLOGY 74794,A000000,02200,0000,02200LABORATORY 74794,A000000,02300,0000,02300INTRAVENOUS THERAPY 74794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74794,A000000,02500,0000,02500PHYSICAL THERAPY 74794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74794,A000000,02700,0000,02700SPEECH PATHOLOGY 74794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74794,A000000,03200,0000,03200SUPPORT SURFACES 74794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74794,A000000,03550,0000,03550FQHC 74794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74794,A000000,05000,0000,05000CORF 74794,A000000,05010,0000,05010CMHC 74794,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74794,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74794,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74794,A81000A,00100,0100,Y 74794,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 74794,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 74794,A81000B,00300,0300,INSURANCE 74794,A81000C,00100,0100,A 74794,B100000,00000,0100,00000SQUARE FEET 74794,B100000,00000,0200,00000SQUARE FEET 74794,B100000,00000,0300,00000GROSS SALARIES 74794,B100000,00000,0400,00000ACCUM. COST 74794,B100000,00000,0500,00000SQUARE FEET 74794,B100000,00000,0600,00000POUNDS OF LAUNDRY 74794,B100000,00000,0700,00000SQUARE FEET 74794,B100000,00000,0800,00000MEALS SERVED 74794,B100000,00000,0900,00000PATIENT DAYS 74794,B100000,00000,1000,00000NO STATISTICS 74794,B100000,00000,1100,00000NO STATISTICS 74794,B100000,00000,1200,00000NO STATISTICS 74794,B100000,00000,1300,00000PATIENT DAYS 74794,B100000,00000,1350,00000NO STATISTICS 74794,B100000,00000,1400,00000NO STATISTICS 74794,E10A180,00350,0300,11/04/1999 74794,E10A180,00501,0100,06/28/2000 74794,E10A180,00550,0300,06/28/2000 74794,S000000,00100,0200,06/01/2000 74794,S200000,00100,0100,2411 WEST TEMPLE ST 74794,S200000,00200,0100,LOS ANGELES 74794,S200000,00200,0200,CA 74794,S200000,00200,0300,90026 74794,S200000,00300,0100,LOS ANGELES 74794,S200000,00400,0100,TEMPLE PARK CONVALESCENT 74794,S200000,00400,0200,555019 74794,S200000,00400,0300,10/10/1979 74794,S200000,00400,0500,P 74794,S200000,01500,0100,Y 74802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74802,A000000,00300,0000,00300EMPLOYEE BENEFITS 74802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74802,A000000,00700,0000,00700HOUSEKEEPING 74802,A000000,00800,0000,00800DIETARY 74802,A000000,00900,0000,00900NURSING ADMINISTRATION 74802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74802,A000000,01100,0000,01100PHARMACY 74802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74802,A000000,01300,0000,01300SOCIAL SERVICE 74802,A000000,01350,0000,01500RECREATION 74802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74802,A000000,01600,0000,01600SKILLED NURSING FACILITY 74802,A000000,01810,0000,01810ICF/MR 74802,A000000,02100,0000,02100RADIOLOGY 74802,A000000,02200,0000,02200LABORATORY 74802,A000000,02500,0000,02500PHYSICAL THERAPY 74802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74802,A000000,02700,0000,02700SPEECH PATHOLOGY 74802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74802,A000000,03550,0000,03550FQHC 74802,A000000,05000,0000,05000CORF 74802,A000000,05010,0000,05010CMHC 74802,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74802,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74802,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74802,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74802,A81000A,00100,0100,Y 74802,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 74802,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 74802,A81000C,00100,0100,B 74802,A81000C,00100,0200,MOYLE CENTRAL V 74802,B100000,00000,0100,00000SQUARE FEET 74802,B100000,00000,0200,00000SQUARE FEET 74802,B100000,00000,0300,00000GROSS SALARIES 74802,B100000,00000,0400,00000ACCUM COST 74802,B100000,00000,0500,00000SQUARE FEET 74802,B100000,00000,0600,00000PATIENT DAYS 74802,B100000,00000,0700,00000SQUARE FOOTAGE 74802,B100000,00000,0800,00000PATIENT DAYS 74802,B100000,00000,0900,00000PATIENT DAYS 74802,B100000,00000,1000,00000COSTED REQUIS 74802,B100000,00000,1100,00000COSTED REQUIS 74802,B100000,00000,1200,00000PATIENT DAYS 74802,B100000,00000,1300,00000PATIENT DAYS 74802,B100000,00000,1350,00000PATIENT DAYS 74802,B100000,00000,1400,00000ASSIGNED TIME 74802,E10A180,00301,0300,09/03/1999 74802,E10A180,00501,0100,07/05/2000 74802,E10A180,00550,0300,07/05/2000 74802,E10A180,00551,0300,07/28/2000 74802,S000000,00100,0200,05/23/2000 74802,S200000,00100,0100,729 BROWNING ROAD 74802,S200000,00200,0100,DELANO 74802,S200000,00200,0200,CA 74802,S200000,00200,0300,93214 74802,S200000,00300,0100,KERN 74802,S200000,00400,0100,BROWNING MANOR 74802,S200000,00400,0200,555053 74802,S200000,00400,0300,01/01/1991 74802,S200000,00400,0500,P 74802,S200000,00600,0200,555053 74802,S200000,00600,0300,01/01/1991 74802,S200000,00600,0600,P 74802,S200000,01500,0100,Y 74804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74804,A000000,00300,0000,00300EMPLOYEE BENEFITS 74804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74804,A000000,00700,0000,00700HOUSEKEEPING 74804,A000000,00800,0000,00800DIETARY 74804,A000000,00900,0000,00900NURSING ADMINISTRATION 74804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74804,A000000,01100,0000,01100PHARMACY 74804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74804,A000000,01300,0000,01300SOCIAL SERVICE 74804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74804,A000000,01600,0000,01600SKILLED NURSING FACILITY 74804,A000000,01810,0000,01810ICF/MR 74804,A000000,02100,0000,02100RADIOLOGY 74804,A000000,02200,0000,02200LABORATORY 74804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74804,A000000,02500,0000,02500PHYSICAL THERAPY 74804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74804,A000000,02700,0000,02700SPEECH PATHOLOGY 74804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74804,A000000,03200,0000,03200SUPPORT SURFACES 74804,A000000,03550,0000,03550FQHC 74804,A000000,05000,0000,05000CORF 74804,A000000,05010,0000,05010CMHC 74804,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74804,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74804,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74804,A81000A,00100,0100,Y 74804,A81000B,00100,0300,MANAGEMENT FEES 74804,A81000B,00200,0300,CAP REL-BLDG 74804,A81000C,00200,0100,B 74804,A81000C,00200,0200,LEE 74804,A81000C,00200,0400,JPH MGT 74804,A81000C,00200,0600,MANAGEMENT 74804,B100000,00000,0100,00000SQUARE FEET 74804,B100000,00000,0200,00000DOLLAR VALUE 74804,B100000,00000,0300,00000GROSS SALARIES 74804,B100000,00000,0400,00000ACCUM. COST 74804,B100000,00000,0500,00000SQUARE FEET 74804,B100000,00000,0600,00000POUNDS OF LAUNDRY 74804,B100000,00000,0700,00000HOURS OF SERVICE 74804,B100000,00000,0800,00000MEALS SERVED 74804,B100000,00000,0900,00000DIRECT NRSING HRS 74804,B100000,00000,1000,00000COSTED REQUIS. 74804,B100000,00000,1100,00000COSTED REQUIS. 74804,B100000,00000,1200,00000TIME SPENT 74804,B100000,00000,1300,00000TIME SPENT 74804,B100000,00000,1400,00000ASSIGNED TIME 74804,E10A180,00501,0100,08/09/2000 74804,E10A180,00501,0300,08/09/2000 74804,S000000,00100,0200,07/05/2000 74804,S200000,00100,0100,1131 ARIZONA AVENUE 74804,S200000,00200,0100,SANTA MONICA 74804,S200000,00200,0200,CA 74804,S200000,00200,0300,90401 74804,S200000,00300,0100,LOS ANGELES 74804,S200000,00400,0100,GOOD SHEPHERD HEALTH CARE CTR. 74804,S200000,00400,0200,555061 74804,S200000,00400,0300,01/01/1979 74804,S200000,00400,0500,P 74804,S200000,01500,0100,Y 74804,S200000,04300,0100,Y 74809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74809,A000000,00300,0000,00300EMPLOYEE BENEFITS 74809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74809,A000000,00700,0000,00700HOUSEKEEPING 74809,A000000,00800,0000,00800DIETARY 74809,A000000,00900,0000,00900NURSING ADMINISTRATION 74809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74809,A000000,01100,0000,01100PHARMACY 74809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74809,A000000,01300,0000,01300SOCIAL SERVICE 74809,A000000,01350,0000,01500OTHER GENERAL SERVICES 74809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74809,A000000,01600,0000,01600SKILLED NURSING FACILITY 74809,A000000,01810,0000,01810ICF/MR 74809,A000000,02100,0000,02100RADIOLOGY 74809,A000000,02200,0000,02200LABORATORY 74809,A000000,02500,0000,02500PHYSICAL THERAPY 74809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74809,A000000,02700,0000,02700SPEECH PATHOLOGY 74809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74809,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74809,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74809,A000000,03550,0000,03550FQHC 74809,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74809,A000000,05000,0000,05000CORF 74809,A000000,05010,0000,05010CMHC 74809,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74809,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74809,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74809,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74809,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74809,A81000A,00100,0100,Y 74809,A81000B,00100,0300,ADMIN. & GENERAL 74809,A81000C,00100,0100,B 74809,A81000C,00100,0200,INDEPENDENT QUALITY CARE 74809,A81000C,00100,0400,COURTYARD CARE CENTER 74809,A81000C,00100,0600,SNF 74809,A81000C,00200,0100,B 74809,A81000C,00200,0400,NORTHGATE CARE CENTER 74809,A81000C,00200,0600,SNF 74809,A81000C,00300,0100,B 74809,A81000C,00300,0400,NURSING INN OF MENLO PARK 74809,A81000C,00300,0600,SNF 74809,A81000C,00400,0100,B 74809,A81000C,00400,0400,SAN BRUNO SKILLED NURSING 74809,A81000C,00400,0600,SNF 74809,A81000C,00500,0100,B 74809,A81000C,00500,0400,VALLEY POINT NURSING CENT 74809,A81000C,00500,0600,SNF 74809,A81000C,00600,0100,B 74809,A81000C,00600,0400,WOODLAND NURSING INN 74809,A81000C,00600,0600,SNF 74809,A81000C,00700,0100,B 74809,B100000,00000,0100,00000SQUARE FEET 74809,B100000,00000,0200,00000SQUARE FEET 74809,B100000,00000,0300,00000GROSS WAGES 74809,B100000,00000,0400,00000ACCUM. COST 74809,B100000,00000,0500,00000SQUARE FEET 74809,B100000,00000,0600,00000POUNDS OF LAUNDRY 74809,B100000,00000,0700,00000SQUARE FEET 74809,B100000,00000,0800,00000MEALS SERVED 74809,B100000,00000,0900,00000NO STATISTICS 74809,B100000,00000,1000,00000NO STATISTICS 74809,B100000,00000,1100,00000NO STATISTICS 74809,B100000,00000,1200,00000NO STATISTICS 74809,B100000,00000,1300,00000TIME SPENT 74809,B100000,00000,1350,00000NO STATISTICS 74809,B100000,00000,1400,00000NO STATISTICS 74809,E10A180,00501,0100,08/08/2000 74809,E10A180,00550,0100,06/26/2000 74809,E10A180,00550,0300,06/26/2000 74809,E10A180,00551,0300,08/08/2000 74809,S000000,00100,0200,06/28/2000 74809,S200000,00100,0100,2910 MCCLURE STREET 74809,S200000,00200,0100,OAKLAND 74809,S200000,00200,0200,CA 74809,S200000,00200,0300,94609 74809,S200000,00300,0100,ALAMEDA 74809,S200000,00400,0100,MCCLURE REHAB & CONVALESCENT 74809,S200000,00400,0200,555067 74809,S200000,00400,0300,04/25/1977 74809,S200000,00400,0500,P 74809,S200000,00600,0200,555067 74809,S200000,00600,0300,04/25/1977 74809,S200000,00600,0600,P 74809,S200000,01500,0100,Y 74812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74812,A000000,00300,0000,00300EMPLOYEE BENEFITS 74812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74812,A000000,00700,0000,00700HOUSEKEEPING 74812,A000000,00800,0000,00800DIETARY 74812,A000000,00900,0000,00900NURSING ADMINISTRATION 74812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74812,A000000,01100,0000,01100PHARMACY 74812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74812,A000000,01300,0000,01300SOCIAL SERVICE 74812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74812,A000000,01600,0000,01600SKILLED NURSING FACILITY 74812,A000000,01800,0000,01800NURSING FACILITY 74812,A000000,01810,0000,01810ICF/MR 74812,A000000,02100,0000,02100RADIOLOGY 74812,A000000,02200,0000,02200LABORATORY 74812,A000000,02300,0000,02300INTRAVENOUS THERAPY 74812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74812,A000000,02500,0000,02500PHYSICAL THERAPY 74812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74812,A000000,02700,0000,02700SPEECH PATHOLOGY 74812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74812,A000000,03200,0000,03200SUPPORT SURFACES 74812,A000000,03550,0000,03550FQHC 74812,A000000,05000,0000,05000CORF 74812,A000000,05010,0000,05010CMHC 74812,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74812,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74812,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74812,A81000A,00100,0100,Y 74812,A81000B,00100,0300,MANAGEMENT FEES 74812,A81000B,00200,0300,CAP REL-BLDG 74812,A81000B,00300,0300,CAP REL-EQUIP 74812,A81000B,00400,0300,RENT EXPENSE 74812,A81000C,00400,0100,B 74812,A81000C,00400,0200,J&L FRIEDMAN 74812,A81000C,00400,0400,LONGWOOD MGT 74812,A81000C,00400,0600,MANAGEMENT 74812,B100000,00000,0100,00000SQUARE FEET 74812,B100000,00000,0200,00000DOLLAR VALUE 74812,B100000,00000,0300,00000GROSS SALARIES 74812,B100000,00000,0400,00000ACCUM. COST 74812,B100000,00000,0500,00000SQUARE FEET 74812,B100000,00000,0600,00000POUNDS OF LAUNDRY 74812,B100000,00000,0700,00000HOURS OF SERVICE 74812,B100000,00000,0800,00000MEALS SERVED 74812,B100000,00000,0900,00000DIRECT NRSING HRS 74812,B100000,00000,1000,00000COSTED REQUIS. 74812,B100000,00000,1100,00000COSTED REQUIS. 74812,B100000,00000,1200,00000TIME SPENT 74812,B100000,00000,1300,00000TIME SPENT 74812,B100000,00000,1400,00000ASSIGNED TIME 74812,E10A180,00301,0300,12/14/1999 74812,E10A180,00501,0300,07/06/2000 74812,E10A180,00550,0100,07/06/2000 74812,S000000,00100,0200,06/02/2000 74812,S200000,00100,0100,2190 W. ADAMS BLVD. 74812,S200000,00200,0100,LOS ANGELES 74812,S200000,00200,0200,CA 74812,S200000,00200,0300,90018 74812,S200000,00300,0100,LOS ANGELES 74812,S200000,00400,0100,WESTERN CONVALESCENT HOSPITAL 74812,S200000,00400,0200,555069 74812,S200000,00400,0300,01/01/1996 74812,S200000,00400,0500,P 74812,S200000,00600,0200,555069 74812,S200000,00600,0300,01/01/1996 74812,S200000,00600,0600,P 74812,S200000,01600,0100,Y 74812,S200000,04300,0100,Y 74815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74815,A000000,00300,0000,00300EMPLOYEE BENEFITS 74815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74815,A000000,00700,0000,00700HOUSEKEEPING 74815,A000000,00800,0000,00800DIETARY 74815,A000000,00900,0000,00900NURSING ADMINISTRATION 74815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74815,A000000,01100,0000,01100PHARMACY 74815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74815,A000000,01300,0000,01300SOCIAL SERVICE 74815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74815,A000000,01600,0000,01600SKILLED NURSING FACILITY 74815,A000000,01810,0000,01810ICF/MR 74815,A000000,02100,0000,02100RADIOLOGY 74815,A000000,02200,0000,02200LABORATORY 74815,A000000,02300,0000,02300INTRAVENOUS THERAPY 74815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74815,A000000,02500,0000,02500PHYSICAL THERAPY 74815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74815,A000000,02700,0000,02700SPEECH PATHOLOGY 74815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74815,A000000,03200,0000,03200SUPPORT SURFACES 74815,A000000,03550,0000,03550FQHC 74815,A000000,05000,0000,05000CORF 74815,A000000,05010,0000,05010CMHC 74815,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74815,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74815,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74815,A81000A,00100,0100,Y 74815,A81000B,00100,0300,ADMIN.& GEN. 74815,A81000B,00200,0300,CAP REL COST-BLDGS & FIXTURE 74815,A81000B,00300,0300,CAP REL COST-MOV.EQUIP. 74815,A81000B,00400,0300,BLDG.& FIXTURE-RENT EXPENSE 74815,A81000C,00400,0100,B 74815,A81000C,00400,0200,J&L FRIEDMAN 74815,A81000C,00400,0400,LONGWOOD MGT 74815,A81000C,00400,0600,MANAGEMENT 74815,B100000,00000,0100,00000SQUARE FEET 74815,B100000,00000,0200,00000DOLLAR VALUE 74815,B100000,00000,0300,00000GROSS SALARIES 74815,B100000,00000,0400,00000ACCUM. COST 74815,B100000,00000,0500,00000SQUARE FEET 74815,B100000,00000,0600,00000POUNDS OF LAUNDRY 74815,B100000,00000,0700,00000HOURS OF SERVICE 74815,B100000,00000,0800,00000MEALS SERVED 74815,B100000,00000,0900,00000DIRECT NRSING HRS 74815,B100000,00000,1000,00000COSTED REQUIS. 74815,B100000,00000,1100,00000COSTED REQUIS. 74815,B100000,00000,1200,00000TIME SPENT 74815,B100000,00000,1300,00000TIME SPENT 74815,B100000,00000,1400,00000ASSIGNED TIME 74815,E10A180,00301,0300,11/09/1999 74815,E10A180,00550,0100,07/25/2000 74815,E10A180,00550,0300,07/25/2000 74815,S000000,00100,0200,07/05/2000 74815,S200000,00100,0100,2000 WASHINGTON AVE. 74815,S200000,00200,0100,LOS ANGELES 74815,S200000,00200,0200,CA 74815,S200000,00200,0300,90018 74815,S200000,00300,0100,LOS ANGELES 74815,S200000,00400,0100,SUNNYVIEW CONVALESCENT HOSPITAL 74815,S200000,00400,0200,555071 74815,S200000,00400,0300,01/01/1990 74815,S200000,00400,0500,P 74815,S200000,01600,0100,Y 74815,S200000,04300,0100,Y 74817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74817,A000000,00300,0000,00300EMPLOYEE BENEFITS 74817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74817,A000000,00700,0000,00700HOUSEKEEPING 74817,A000000,00800,0000,00800DIETARY 74817,A000000,00900,0000,00900NURSING ADMINISTRATION 74817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74817,A000000,01100,0000,01100PHARMACY 74817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74817,A000000,01300,0000,01300SOCIAL SERVICE 74817,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74817,A000000,01600,0000,01600SKILLED NURSING FACILITY 74817,A000000,01800,0000,01800NURSING FACILITY 74817,A000000,01810,0000,01810ICF/MR 74817,A000000,02100,0000,02100RADIOLOGY 74817,A000000,02200,0000,02200LABORATORY 74817,A000000,02300,0000,02300INTRAVENOUS THERAPY 74817,A000000,02500,0000,02500PHYSICAL THERAPY 74817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74817,A000000,02700,0000,02700SPEECH PATHOLOGY 74817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74817,A000000,03550,0000,03550FQHC 74817,A000000,05000,0000,05000CORF 74817,A000000,05010,0000,05010CMHC 74817,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74817,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74817,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74817,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74817,A81000A,00100,0100,Y 74817,A81000B,00100,0300,A&G MANAGEMENT FEE 74817,A81000C,00100,0100,B 74817,A81000C,00100,0200,FRANK JOHNSON 74817,A81000C,00100,0400,SUN MAR MANAGEMENT 74817,A81000C,00100,0600,MANAGEMENT COMPANY 74817,B100000,00000,0100,00000SQUARE FEET 74817,B100000,00000,0200,00000SQUARE FEET 74817,B100000,00000,0300,00000GROSS SALARIES 74817,B100000,00000,0400,00000ACCUM. COST 74817,B100000,00000,0500,00000SQUARE FEET 74817,B100000,00000,0600,00000POUNDS OF LAUNDRY 74817,B100000,00000,0700,00000SQUARE FEET 74817,B100000,00000,0800,00000MEALS SERVED 74817,B100000,00000,0900,00000DIRECT NRSING HRS 74817,B100000,00000,1000,00000COSTED REQUIS 74817,B100000,00000,1100,00000COSTED REQUIS 74817,B100000,00000,1200,00000GROSS REVENUE 74817,B100000,00000,1300,00000PATIENT DAYS 74817,B100000,00000,1400,00000ASSIGNED TIME 74817,E10A180,00501,0100,10/17/2000 74817,E10A180,00501,0300,10/17/2000 74817,S000000,00100,0200,08/31/2000 74817,S200000,00100,0100,3136 N. DEL MAR AVENUE 74817,S200000,00200,0100,ROSEMEAD 74817,S200000,00200,0200,CA 74817,S200000,00200,0300,91770 74817,S200000,00300,0100,LOS ANGELES 74817,S200000,00400,0100,DEL MAR CONVALESCENT HOSPITAL 74817,S200000,00400,0200,555081 74817,S200000,00400,0300,04/01/1987 74817,S200000,00400,0500,P 74817,S200000,00400,0600,O 74817,S200000,00600,0200,555081 74817,S200000,00600,0300,04/01/1987 74817,S200000,00600,0600,P 74817,S200000,01600,0100,Y 74818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74818,A000000,00300,0000,00300EMPLOYEE BENEFITS 74818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74818,A000000,00700,0000,00700HOUSEKEEPING 74818,A000000,00800,0000,00800DIETARY 74818,A000000,00900,0000,00900NURSING ADMINISTRATION 74818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74818,A000000,01100,0000,01100PHARMACY 74818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74818,A000000,01300,0000,01300SOCIAL SERVICE 74818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74818,A000000,01600,0000,01600SKILLED NURSING FACILITY 74818,A000000,01800,0000,01800NURSING FACILITY 74818,A000000,01810,0000,01810ICF/MR 74818,A000000,02100,0000,02100RADIOLOGY 74818,A000000,02200,0000,02200LABORATORY 74818,A000000,02300,0000,02300INTRAVENOUS THERAPY 74818,A000000,02500,0000,02500PHYSICAL THERAPY 74818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74818,A000000,02700,0000,02700SPEECH PATHOLOGY 74818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74818,A000000,03200,0000,03200SUPPORT SURFACES 74818,A000000,03550,0000,03550FQHC 74818,A000000,04800,0000,04800AMBULANCE 74818,A000000,05000,0000,05000CORF 74818,A000000,05010,0000,05010CMHC 74818,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74818,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74818,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74818,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74818,A81000A,00100,0100,Y 74818,A81000B,00100,0300,MANAGEMENT FEES 74818,A81000C,00100,0100,A 74818,A81000C,00100,0200,BLAINE HENDRICKSON 74818,A81000C,00100,0400,LEGACY HEALTHCARE 74818,A81000C,00100,0600,MANAGEMENT COMPANY 74818,B100000,00000,0100,00000SQUARE FEET 74818,B100000,00000,0200,00000SQUARE FEET 74818,B100000,00000,0300,00000GROSS SALARIES 74818,B100000,00000,0400,00000ACCUM. COST 74818,B100000,00000,0500,00000SQUARE FEET 74818,B100000,00000,0600,00000POUNDS OF LAUNDRY 74818,B100000,00000,0700,00000SQUARE FEET 74818,B100000,00000,0800,00000MEALS SERVED 74818,B100000,00000,0900,00000DIRECT NRSING HRS 74818,B100000,00000,1000,00000COSTED REQUIS. 74818,B100000,00000,1100,00000COSTED REQUIS 74818,B100000,00000,1200,00000GROSS REVENUE 74818,B100000,00000,1300,00000PATIENT DAYS 74818,B100000,00000,1400,00000ASSIGNED TIME 74818,E10A180,00501,0100,07/17/2000 74818,E10A180,00501,0300,07/17/2000 74818,S000000,00100,0200,06/02/2000 74818,S200000,00100,0100,82-262 VALENCIA AVENUE 74818,S200000,00200,0100,INDIO 74818,S200000,00200,0200,CA 74818,S200000,00300,0100,SAN BERNARDINO 74818,S200000,00400,0100,VALENCIA PALMS NURSING CENTER 74818,S200000,00400,0200,555084 74818,S200000,00400,0300,05/01/1997 74818,S200000,00400,0500,P 74818,S200000,00400,0600,O 74818,S200000,00600,0200,555084 74818,S200000,00600,0300,05/01/1997 74818,S200000,00600,0600,P 74818,S200000,01600,0100,Y 74821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74821,A000000,00300,0000,00300EMPLOYEE BENEFITS 74821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74821,A000000,00700,0000,00700HOUSEKEEPING 74821,A000000,00800,0000,00800DIETARY 74821,A000000,00900,0000,00900NURSING ADMINISTRATION 74821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74821,A000000,01100,0000,01100PHARMACY 74821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74821,A000000,01300,0000,01300SOCIAL SERVICE 74821,A000000,01350,0000,01500OTHER GENERAL SERVICES 74821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74821,A000000,01600,0000,01600SKILLED NURSING FACILITY 74821,A000000,01800,0000,01800NURSING FACILITY 74821,A000000,01810,0000,01810ICF/MR 74821,A000000,02100,0000,02100RADIOLOGY 74821,A000000,02200,0000,02200LABORATORY 74821,A000000,02500,0000,02500PHYSICAL THERAPY 74821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74821,A000000,02700,0000,02700SPEECH PATHOLOGY 74821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74821,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74821,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74821,A000000,03200,0000,03200SUPPORT SURFACES 74821,A000000,03550,0000,03550FQHC 74821,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74821,A000000,05000,0000,05000CORF 74821,A000000,05010,0000,05010CMHC 74821,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74821,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74821,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74821,A81000A,00100,0100,Y 74821,A81000B,00100,0300,MANAGEMENT FEE 74821,A81000B,00200,0300,BUILDING LEASE 74821,A81000B,00300,0300,WORKERS COMP 74821,A81000B,00400,0300,INSURANCE 74821,A81000B,00500,0300,FIXED ASSETS 74821,A81000B,00600,0300,INVENTORY & SUPPLIES 74821,A81000B,00700,0300,EMERALD PURCHASES 74821,A81000B,00800,0300,EMERALD L&L 74821,A81000B,00900,0300,EMERALD DIETARY 74821,A81000B,01000,0300,EMERALD NURSE ADMIN 74821,A81000B,01100,0300,EMERALD MED SUPP 74821,A81000B,01200,0300,PWP ADMIN 74821,A81000B,01300,0300,PWP FOOD SUPPLEMENTS 74821,A81000B,01400,0300,PWP HOUSE SUPPLIES 74821,A81000B,01500,0300,PWP MED SUPPLIES 74821,A81000B,01600,0300,HOME OFFICE BLDG 74821,A81000B,01700,0300,HOME OFFICE EQUIP 74821,A81000B,01800,0300,PWP PHARMACY 74821,A81000C,00100,0100,F 74821,A81000C,00100,0200,MARTIN HARMON 74821,A81000C,00200,0100,C 74821,A81000C,00200,0400,CARE WEST INSURANCE CO 74821,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 74821,A81000C,00300,0100,C 74821,A81000C,00300,0400,PACIFIC WEST PHARMACY INC 74821,A81000C,00300,0600,PHARMACY 74821,A81000C,00400,0100,C 74821,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74821,A81000C,00400,0600,DISTRIBUTORSHIP 74821,A81000C,00500,0100,B 74821,A81000C,00500,0400,HORIZON WEST HDQTRS INC 74821,A81000C,00500,0600,HOME OFFICE 74821,B100000,00000,0100,00000SQUARE FEET 74821,B100000,00000,0200,00000SQUARE FEET 74821,B100000,00000,0300,00000GROSS SALARIES 74821,B100000,00000,0400,00000ACCUM. COST 74821,B100000,00000,0500,00000SQUARE FEET 74821,B100000,00000,0600,00000POUNDS OF LAUNDRY 74821,B100000,00000,0700,00000NON-DIETAR RY SQ. 74821,B100000,00000,0800,00000MEALS SERVED 74821,B100000,00000,0900,00000DIRECT NURSING HR 74821,B100000,00000,1000,00000CENSUS 74821,B100000,00000,1100,00000NO STATISTICS 74821,B100000,00000,1200,00000GROSS REVENUE 74821,B100000,00000,1300,00000CENSUS 74821,B100000,00000,1350,00000NO STATISTICS 74821,B100000,00000,1400,00000NO STATISTICS 74821,E10A180,00501,0100,01/26/2001 74821,E10A180,00501,0300,01/24/2001 74821,E10A180,00551,0100,01/24/2001 74821,E10A180,00551,0300,01/26/2001 74821,S000000,00100,0200,01/10/2001 74821,S200000,00100,0100,11210 LOWER AZUSA ROAD 74821,S200000,00200,0100,EL MONTE 74821,S200000,00200,0200,CA 74821,S200000,00200,0300,91731 74821,S200000,00300,0100,L 74821,S200000,00400,0100,WELLESLEY MANOR CONVALESCENT HOSP. 74821,S200000,00400,0200,555088 74821,S200000,00400,0300,08/01/1978 74821,S200000,00400,0500,P 74821,S200000,00600,0200,555088 74821,S200000,00600,0300,08/01/1978 74821,S200000,00600,0600,P 74821,S200000,01600,0100,Y 74824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74824,A000000,00300,0000,00300EMPLOYEE BENEFITS 74824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74824,A000000,00700,0000,00700HOUSEKEEPING 74824,A000000,00800,0000,00800DIETARY 74824,A000000,00900,0000,00900NURSING ADMINISTRATION 74824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74824,A000000,01100,0000,01100PHARMACY 74824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74824,A000000,01300,0000,01300SOCIAL SERVICE 74824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74824,A000000,01600,0000,01600SKILLED NURSING FACILITY 74824,A000000,01800,0000,01800NURSING FACILITY 74824,A000000,01810,0000,01810ICF/MR 74824,A000000,02100,0000,02100RADIOLOGY 74824,A000000,02200,0000,02200LABORATORY 74824,A000000,02300,0000,02300INTRAVENOUS THERAPY 74824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74824,A000000,02500,0000,02500PHYSICAL THERAPY 74824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74824,A000000,02700,0000,02700SPEECH PATHOLOGY 74824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74824,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74824,A000000,03550,0000,03550FQHC 74824,A000000,05000,0000,05000CORF 74824,A000000,05010,0000,05010CMHC 74824,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74824,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74824,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74824,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74824,A81000A,00100,0100,Y 74824,A81000B,00100,0300,ADJ. HOME OFFICE COST 74824,A81000B,00200,0300,ADJ. HOME OFFICE COSTS 74824,A81000B,00300,0300,ADJ. HOME OFFICE COSTS 74824,A81000C,00100,0100,A 74824,A81000C,00100,0200,FRANK JOHNSON 74824,A81000C,00100,0400,SUN MAR MANAGEMENT 74824,A81000C,00100,0600,MANAGEMENT COMPANY 74824,B100000,00000,0100,00000SQUARE FEET 74824,B100000,00000,0200,00000SQUARE FEET 74824,B100000,00000,0300,00000GROSS SALARIES 74824,B100000,00000,0400,00000ACCUM. COST 74824,B100000,00000,0500,00000SQUARE FEET 74824,B100000,00000,0600,00000POUNDS OF LAUNDRY 74824,B100000,00000,0700,00000SQUARE FEET 74824,B100000,00000,0800,00000MEALS SERVED 74824,B100000,00000,0900,00000DIRECT NRSING HRS 74824,B100000,00000,1000,00000COSTED REQUIS. 74824,B100000,00000,1100,00000COSTED REQUIS 74824,B100000,00000,1200,00000GROSS REVENUE 74824,B100000,00000,1300,00000PATIENT DAYS 74824,B100000,00000,1400,00000ASSIGNED TIME 74824,S000000,00100,0200,05/25/2000 74824,S200000,00100,0100,600 N. WASHINGTON AVENUE 74824,S200000,00200,0100,SANTA ANA 74824,S200000,00200,0200,CA 74824,S200000,00200,0300,92701 74824,S200000,00300,0100,ORANGE 74824,S200000,00400,0100,BARTLETT CARE CENTER 74824,S200000,00400,0200,555103 74824,S200000,00400,0300,04/07/1998 74824,S200000,00400,0500,P 74824,S200000,00600,0200,555103 74824,S200000,00600,0300,04/07/1998 74824,S200000,00600,0600,P 74824,S200000,01600,0100,Y 74827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74827,A000000,00300,0000,00300EMPLOYEE BENEFITS 74827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74827,A000000,00700,0000,00700HOUSEKEEPING 74827,A000000,00800,0000,00800DIETARY 74827,A000000,00900,0000,00900NURSING ADMINISTRATION 74827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74827,A000000,01100,0000,01100PHARMACY 74827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74827,A000000,01300,0000,01300SOCIAL SERVICE 74827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74827,A000000,01600,0000,01600SKILLED NURSING FACILITY 74827,A000000,01810,0000,01810ICF/MR 74827,A000000,02200,0000,02200LABORATORY 74827,A000000,02300,0000,02300INTRAVENOUS THERAPY 74827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74827,A000000,02500,0000,02500PHYSICAL THERAPY 74827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74827,A000000,02700,0000,02700SPEECH PATHOLOGY 74827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74827,A000000,03550,0000,03550FQHC 74827,A000000,05000,0000,05000CORF 74827,A000000,05010,0000,05010CMHC 74827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74827,B100000,00000,0100,00040SQUARE FEET 74827,B100000,00000,0200,00040SQUARE FEET 74827,B100000,00000,0300,00040GROSS SALARIES 74827,B100000,00000,0400,00040ACCUM. COST 74827,B100000,00000,0500,00040SQUARE FEET 74827,B100000,00000,0600,00040POUNDS OF LAUNDRY 74827,B100000,00000,0700,00040SQUARE FEET 74827,B100000,00000,0800,00040MEALS SERVED 74827,B100000,00000,0900,00040DIRECT NRSG HRS 74827,B100000,00000,1000,00040COSTED REQUIS 74827,B100000,00000,1100,00040COSTED REQUIS 74827,B100000,00000,1200,00040TIME SPENT 74827,B100000,00000,1300,00040PATIENT DAYS 74827,B100000,00000,1400,00040ASSIGNED TIME 74827,S000000,00100,0200,06/02/2000 74827,S200000,00100,0100,1950 S. MOUNTAIN AVENUE 74827,S200000,00200,0100,ONTARIO 74827,S200000,00200,0200,CA 74827,S200000,00200,0300,91761 74827,S200000,00300,0100,SAN BERNARDINO 74827,S200000,00400,0100,INLAND CHRISTIAN HOME 74827,S200000,00400,0200,555108 74827,S200000,00400,0300,01/01/1993 74827,S200000,00400,0500,P 74827,S200000,00400,0600,O 74827,S200000,01500,0100,Y 74830,S000000,00100,0200,02/22/2001 74833,S000000,00100,0200,11/30/2000 74837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74837,A000000,00300,0000,00300EMPLOYEE BENEFITS 74837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74837,A000000,00700,0000,00700HOUSEKEEPING 74837,A000000,00800,0000,00800DIETARY 74837,A000000,00900,0000,00900NURSING ADMINISTRATION 74837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74837,A000000,01100,0000,01100PHARMACY 74837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74837,A000000,01300,0000,01300SOCIAL SERVICE 74837,A000000,01350,0000,01500OTHER GENERAL SERVICES 74837,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74837,A000000,01600,0000,01600SKILLED NURSING FACILITY 74837,A000000,01800,0000,01800NURSING FACILITY 74837,A000000,01810,0000,01810ICF/MR 74837,A000000,01900,0000,01900OTHER LONG TERM CARE 74837,A000000,02100,0000,02100RADIOLOGY 74837,A000000,02200,0000,02200LABORATORY 74837,A000000,02500,0000,02500PHYSICAL THERAPY 74837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74837,A000000,02700,0000,02700SPEECH PATHOLOGY 74837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74837,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74837,A000000,03200,0000,03200SUPPORT SURFACES 74837,A000000,03550,0000,03550FQHC 74837,A000000,05000,0000,05000CORF 74837,A000000,05010,0000,05010CMHC 74837,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74837,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74837,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74837,A81000A,00100,0100,Y 74837,A81000B,00100,0300,MANAGEMENT FEE 74837,A81000B,00200,0300,HOME OFFICE BUILDING 74837,A81000B,00300,0300,HOME OFFICE EQUIP 74837,A81000B,00400,0300,BUILDING LEASE 74837,A81000B,00500,0300,CWIC WORK COMP 74837,A81000B,00600,0300,CWIC INSURANCE 74837,A81000B,00700,0300,EMERALD FIXED ASSETS 74837,A81000B,00800,0300,EMERALD SUPPLIES 74837,A81000B,00900,0300,EMERALD MAINT 74837,A81000B,01000,0300,EMERALD L&L 74837,A81000B,01100,0300,EMERALD HSKG 74837,A81000B,01200,0300,EMERALD DIETARY 74837,A81000B,01300,0300,EMERALD NURSE ADMIN 74837,A81000B,01400,0300,PWP ADMIN 74837,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74837,A81000B,01600,0300,PWP HOUSE SUPPLIES 74837,A81000B,01700,0300,PWP CHARGEABLE SUPPLIES 74837,A81000B,01800,0300,PWP PHARMACY 74837,A81000C,00100,0100,F 74837,A81000C,00100,0200,MARTIN HARMON 74837,A81000C,00200,0100,C 74837,A81000C,00200,0400,CARE WEST INSURNACE CO 74837,A81000C,00200,0600,CAPTIVE INSURANCE CO 74837,A81000C,00300,0100,C 74837,A81000C,00300,0400,PACIFIC WEST PHARMACY 74837,A81000C,00300,0600,PHARMACY 74837,A81000C,00400,0100,C 74837,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74837,A81000C,00400,0600,DISTRIBUTORSHIP 74837,A81000C,00500,0100,B 74837,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74837,A81000C,00500,0600,HOME OFFICE 74837,B100000,00000,0100,00000SQUARE FEET 74837,B100000,00000,0200,00000SQUARE FEET 74837,B100000,00000,0300,00000GROSS SALARIES 74837,B100000,00000,0400,00000ACCUM. COST 74837,B100000,00000,0500,00000SQUARE FEET 74837,B100000,00000,0600,00000POUNDS OF LAUNDRY 74837,B100000,00000,0700,00000NON-DIETAR RY SQ. 74837,B100000,00000,0800,00000MEALS SERVED 74837,B100000,00000,0900,00000DIRECT NURSING HR 74837,B100000,00000,1000,00000COSTED REQS 74837,B100000,00000,1100,00000NO STATISTICS 74837,B100000,00000,1200,00000GROSS REVENUE 74837,B100000,00000,1300,00000CENSUS 74837,B100000,00000,1350,00000NO STATISTICS 74837,B100000,00000,1400,00000ASSIGNED TIME 74837,E10A180,00501,0100,01/29/2001 74837,E10A180,00501,0300,01/29/2001 74837,S000000,00100,0200,01/10/2001 74837,S200000,00100,0100,3700 H STREET 74837,S200000,00200,0100,SACRAMENTO 74837,S200000,00200,0200,CA 74837,S200000,00200,0300,95816 74837,S200000,00300,0100,S 74837,S200000,00400,0100,SACRAMENTO CONVALESCENT HOSPITAL 74837,S200000,00400,0200,555122 74837,S200000,00400,0300,11/01/1979 74837,S200000,00400,0500,P 74837,S200000,00600,0200,555122 74837,S200000,00600,0300,11/01/1979 74837,S200000,00600,0600,P 74837,S200000,01600,0100,Y 74840,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74840,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74840,A000000,00300,0000,00300EMPLOYEE BENEFITS 74840,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74840,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74840,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74840,A000000,00700,0000,00700HOUSEKEEPING 74840,A000000,00800,0000,00800DIETARY 74840,A000000,00900,0000,00900NURSING ADMINISTRATION 74840,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74840,A000000,01100,0000,01100PHARMACY 74840,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74840,A000000,01300,0000,01300SOCIAL SERVICE 74840,A000000,01350,0000,01500OTHER GENERAL SERVICES 74840,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74840,A000000,01600,0000,01600SKILLED NURSING FACILITY 74840,A000000,01800,0000,01800NURSING FACILITY 74840,A000000,01810,0000,01810ICF/MR 74840,A000000,02100,0000,02100RADIOLOGY 74840,A000000,02200,0000,02200LABORATORY 74840,A000000,02500,0000,02500PHYSICAL THERAPY 74840,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74840,A000000,02700,0000,02700SPEECH PATHOLOGY 74840,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74840,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74840,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74840,A000000,03200,0000,03200SUPPORT SURFACES 74840,A000000,03550,0000,03550FQHC 74840,A000000,05000,0000,05000CORF 74840,A000000,05010,0000,05010CMHC 74840,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74840,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74840,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74840,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74840,A81000A,00100,0100,Y 74840,A81000B,00100,0300,MANAGEMENT SERVICES 74840,A81000B,00200,0300,HOME OFFICE BUILDING 74840,A81000B,00300,0300,HOME OFFICE EQUIP 74840,A81000B,00400,0300,BUILDING LEASE 74840,A81000B,00500,0300,CWIC WORK COMP 74840,A81000B,00600,0300,CWIC INSURANCE 74840,A81000B,00700,0300,EMERALD FIXED ASSETS 74840,A81000B,00800,0300,EMERALD ADMIN SUPP 74840,A81000B,00900,0300,EMERALD MAINT 74840,A81000B,01000,0300,EMERALD L&L 74840,A81000B,01100,0300,EMERALD HSKG 74840,A81000B,01200,0300,EMERALD DIETARY 74840,A81000B,01300,0300,EMERALD NURSE ADMIN 74840,A81000B,01400,0300,EMERALD CHGBL SUPP 74840,A81000B,01500,0300,PWP ADMIN 74840,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 74840,A81000B,01700,0300,PWP MED RECORDS 74840,A81000B,01900,0300,PWP HOUSE SUPPLIES 74840,A81000B,02000,0300,PWP CHGBLE SUPPLIES 74840,A81000B,02100,0300,PWP PHARMACY 74840,A81000C,00100,0100,F 74840,A81000C,00100,0200,MARTIN HARMON 74840,A81000C,00200,0100,C 74840,A81000C,00200,0400,CARE WEST INSURANCE CO. 74840,A81000C,00200,0600,CAPTIVE INSURANCE COMPANY 74840,A81000C,00300,0100,C 74840,A81000C,00300,0400,PACIFIC WEST PHARMACY IN 74840,A81000C,00300,0600,PHARMACY 74840,A81000C,00400,0100,C 74840,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74840,A81000C,00400,0600,DISTRIBUTORSHIP 74840,A81000C,00500,0100,B 74840,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74840,A81000C,00500,0600,HOME OFFICE 74840,B100000,00000,0100,00000SQUARE FEET 74840,B100000,00000,0200,00000SQUARE FEET 74840,B100000,00000,0300,00000GROSS SALARIES 74840,B100000,00000,0400,00000ACCUM. COST 74840,B100000,00000,0500,00000SQUARE FEET 74840,B100000,00000,0600,00000POUNDS OF LAUNDRY 74840,B100000,00000,0700,00000NON-DIETAR RY SQ. 74840,B100000,00000,0800,00000MEALS SERVED 74840,B100000,00000,0900,00000DIRECT NURSING HR 74840,B100000,00000,1000,00000COSTED REQS 74840,B100000,00000,1100,00000NO STATISTICS 74840,B100000,00000,1200,00000GROSS REVENUE 74840,B100000,00000,1300,00000CENSUS 74840,B100000,00000,1350,00000NO STATISTICS 74840,B100000,00000,1400,00000NO STATISTICS 74840,E10A180,00501,0100,01/26/2001 74840,E10A180,00501,0300,01/24/2001 74840,E10A180,00550,0100,01/24/2001 74840,S000000,00100,0200,01/10/2001 74840,S200000,00100,0100,4444 WEST MEADOW LANE 74840,S200000,00200,0100,VISALIA 74840,S200000,00200,0200,CA 74840,S200000,00200,0300,93277 74840,S200000,00300,0100,T 74840,S200000,00400,0100,LINWOOD GARDENS CONVALESCENT HOSP. 74840,S200000,00400,0200,555125 74840,S200000,00400,0300,04/01/1980 74840,S200000,00400,0500,P 74840,S200000,00600,0200,555125 74840,S200000,00600,0300,04/01/1980 74840,S200000,00600,0600,P 74840,S200000,01600,0100,Y 74844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74844,A000000,00300,0000,00300EMPLOYEE BENEFITS 74844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74844,A000000,00700,0000,00700HOUSEKEEPING 74844,A000000,00800,0000,00800DIETARY 74844,A000000,00900,0000,00900NURSING ADMINISTRATION 74844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74844,A000000,01100,0000,01100PHARMACY 74844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74844,A000000,01300,0000,01300SOCIAL SERVICE 74844,A000000,01350,0000,01500OTHER GENERAL SERVICES 74844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74844,A000000,01600,0000,01600SKILLED NURSING FACILITY 74844,A000000,01810,0000,01810ICF/MR 74844,A000000,02100,0000,02100RADIOLOGY 74844,A000000,02200,0000,02200LABORATORY 74844,A000000,02300,0000,02300INTRAVENOUS THERAPY 74844,A000000,02500,0000,02500PHYSICAL THERAPY 74844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74844,A000000,02700,0000,02700SPEECH PATHOLOGY 74844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74844,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74844,A000000,03200,0000,03200SUPPORT SURFACES 74844,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74844,A000000,03550,0000,03550FQHC 74844,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74844,A000000,05000,0000,05000CORF 74844,A000000,05010,0000,05010CMHC 74844,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74844,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74844,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74844,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74844,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74844,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74844,B100000,00000,0100,00000SQUARE FEET 74844,B100000,00000,0200,00000SQUARE FEET 74844,B100000,00000,0300,00000GROSS SALARIES 74844,B100000,00000,0400,00000ACCUM. COST 74844,B100000,00000,0500,00000SQUARE FEET 74844,B100000,00000,0600,00000POUNDS OF LAUNDRY 74844,B100000,00000,0700,00000SQUARE FEET 74844,B100000,00000,0800,00000MEALS SERVED 74844,B100000,00000,0900,00000CENSUS 74844,B100000,00000,1000,00000TIME SPENT 74844,B100000,00000,1100,00000TIME SPENT 74844,B100000,00000,1200,00000TIME SPENT 74844,B100000,00000,1300,00000CENSUS 74844,B100000,00000,1350,00000TIME SPENT 74844,B100000,00000,1400,00000NO STATISTICS 74844,E10A180,00501,0100,05/31/2000 74844,E10A180,00550,0100,08/09/2000 74844,E10A180,00550,0300,08/09/2000 74844,E10A180,00551,0300,05/31/2000 74844,S000000,00100,0200,06/02/2000 74844,S200000,00100,0100,8425 IOWA ST 74844,S200000,00200,0100,DOWNEY 74844,S200000,00200,0200,CA 74844,S200000,00200,0300,90241 74844,S200000,00300,0100,LOS ANGELES 74844,S200000,00400,0100,DOWNEY COMMUNITY HEALTH CENTER 74844,S200000,00400,0200,555128 74844,S200000,00400,0300,03/25/1980 74844,S200000,00400,0500,P 74844,S200000,00600,0200,555128 74844,S200000,00600,0300,03/25/1980 74844,S200000,00600,0600,P 74844,S200000,01500,0100,Y 74850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74850,A000000,00300,0000,00300EMPLOYEE BENEFITS 74850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74850,A000000,00700,0000,00700HOUSEKEEPING 74850,A000000,00800,0000,00800DIETARY 74850,A000000,00900,0000,00900NURSING ADMINISTRATION 74850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74850,A000000,01100,0000,01100PHARMACY 74850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74850,A000000,01300,0000,01300SOCIAL SERVICE 74850,A000000,01350,0000,01500OTHER GENERAL SERVICES 74850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74850,A000000,01600,0000,01600SKILLED NURSING FACILITY 74850,A000000,01800,0000,01800NURSING FACILITY 74850,A000000,01810,0000,01810ICF/MR 74850,A000000,01900,0000,01900OTHER LONG TERM CARE 74850,A000000,02100,0000,02100RADIOLOGY 74850,A000000,02200,0000,02200LABORATORY 74850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74850,A000000,02500,0000,02500PHYSICAL THERAPY 74850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74850,A000000,02700,0000,02700SPEECH PATHOLOGY 74850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74850,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 74850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74850,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74850,A000000,03550,0000,03550FQHC 74850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74850,A000000,05000,0000,05000CORF 74850,A000000,05010,0000,05010CMHC 74850,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74850,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74850,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74850,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74850,B100000,00000,0100,00000SQUARE FEET 74850,B100000,00000,0200,00000SQUARE FEET 74850,B100000,00000,0300,00000GROSS SALARIES 74850,B100000,00000,0400,00000ACCUM. COST 74850,B100000,00000,0500,00000SQUARE FEET 74850,B100000,00000,0600,00000PATIENT DAYS 74850,B100000,00000,0700,00000SQUARE FEET 74850,B100000,00000,0800,00000PATIENT DAYS 74850,B100000,00000,0900,00000DIRECT NRSING HRS 74850,B100000,00000,1000,00000COSTED REQUIS. 74850,B100000,00000,1100,00000COSTED REQUIS. 74850,B100000,00000,1200,00000GROSS REVENUE 74850,B100000,00000,1300,00000PATIENT DAYS 74850,B100000,00000,1350,00000NO STATISTICS 74850,B100000,00000,1400,00000ASSIGNED TIME 74850,E10A180,00501,0300,05/31/2000 74850,E10A180,00550,0100,05/31/2000 74850,S000000,00100,0200,06/15/2000 74850,S200000,00100,0100,555 EAST MEMORY LANE 74850,S200000,00200,0100,SANTA ANA 74850,S200000,00200,0200,CA 74850,S200000,00200,0300,92705 74850,S200000,00300,0100,ORANGE 74850,S200000,00400,0100,TOWN AND COUNTRY 74850,S200000,00400,0200,555141 74850,S200000,00400,0300,11/13/1981 74850,S200000,00400,0500,P 74850,S200000,00400,0600,O 74850,S200000,00600,0200,555141 74850,S200000,00600,0300,11/01/1975 74850,S200000,00600,0600,P 74850,S200000,01600,0100,Y 74855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74855,A000000,00300,0000,00300EMPLOYEE BENEFITS 74855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74855,A000000,00700,0000,00700HOUSEKEEPING 74855,A000000,00800,0000,00800DIETARY 74855,A000000,00900,0000,00900NURSING ADMINISTRATION 74855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74855,A000000,01100,0000,01100PHARMACY 74855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74855,A000000,01300,0000,01300SOCIAL SERVICE 74855,A000000,01350,0000,01500OTHER GENERAL SERVICES 74855,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74855,A000000,01600,0000,01600SKILLED NURSING FACILITY 74855,A000000,01800,0000,01800NURSING FACILITY 74855,A000000,01810,0000,01810ICF/MR 74855,A000000,02100,0000,02100RADIOLOGY 74855,A000000,02200,0000,02200LABORATORY 74855,A000000,02300,0000,02300INTRAVENOUS THERAPY 74855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74855,A000000,02500,0000,02500PHYSICAL THERAPY 74855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74855,A000000,02700,0000,02700SPEECH PATHOLOGY 74855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74855,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74855,A000000,03200,0000,03200SUPPORT SURFACES 74855,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74855,A000000,03550,0000,03550FQHC 74855,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74855,A000000,05000,0000,05000CORF 74855,A000000,05010,0000,05010CMHC 74855,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74855,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74855,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74855,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 74855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74855,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74855,A81000A,00100,0100,Y 74855,A81000B,00100,0300,MANAGEMENT FEES 74855,A81000B,00200,0300,H.O. COST REPORT ALLOC. 74855,A81000B,00300,0300,H.O. COST REPORT ALLOC. 74855,A81000B,00400,0300,H.O. COST REPORT ALLOC. 74855,A81000C,00100,0100,B 74855,A81000C,00100,0200,SO.CA. PRESBYTERIAN HOMES 74855,A81000C,00100,0400,SO.CA. PRESBYTERIAN HOMES 74855,A81000C,00100,0600,HOME OFFICE 74855,B100000,00000,0100,00000SQUARE FEET 74855,B100000,00000,0200,00000SQUARE FEET 74855,B100000,00000,0300,00000GROSS SALARIES 74855,B100000,00000,0400,00000ACCUM. COST 74855,B100000,00000,0500,00000SQUARE FEET 74855,B100000,00000,0600,00000POUNDS OF LAUNDRY 74855,B100000,00000,0700,00000HOURS OF SERVICE 74855,B100000,00000,0800,00000MEALS SERVED 74855,B100000,00000,0900,00000DIRECT NRSING HRS 74855,B100000,00000,1000,00000COSTED REQUIS. 74855,B100000,00000,1100,00000COSTED REQUIS. 74855,B100000,00000,1200,00000GROSS REVENUE 74855,B100000,00000,1300,00000TIME SPENT 74855,B100000,00000,1350,00000NO STATISTICS 74855,B100000,00000,1400,00000ASSIGNED TIME 74855,E10A180,00501,0100,05/31/2000 74855,E10A180,00502,0100,06/19/2000 74855,E10A180,00550,0300,05/31/2000 74855,S000000,00100,0200,06/02/2000 74855,S200000,00100,0100,710 WEST 13TH STREET 74855,S200000,00200,0100,ESCONDIDO 74855,S200000,00200,0200,CA 74855,S200000,00200,0300,92025 74855,S200000,00300,0100,SAN DIEGO 74855,S200000,00400,0100,REDWOOD TERRACE HEALTH CT. 74855,S200000,00400,0200,555146 74855,S200000,00400,0300,03/12/1980 74855,S200000,00400,0500,P 74855,S200000,00600,0200,555146 74855,S200000,00600,0300,03/12/1980 74855,S200000,00600,0600,P 74855,S200000,01600,0100,Y 74862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74862,A000000,00300,0000,00300EMPLOYEE BENEFITS 74862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74862,A000000,00700,0000,00700HOUSEKEEPING 74862,A000000,00800,0000,00800DIETARY 74862,A000000,00900,0000,00900NURSING ADMINISTRATION 74862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74862,A000000,01100,0000,01100PHARMACY 74862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74862,A000000,01300,0000,01300SOCIAL SERVICE 74862,A000000,01350,0000,01500OTHER GENERAL SERVICES 74862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74862,A000000,01600,0000,01600SKILLED NURSING FACILITY 74862,A000000,01800,0000,01800NURSING FACILITY 74862,A000000,01810,0000,01810ICF/MR 74862,A000000,02100,0000,02100RADIOLOGY 74862,A000000,02200,0000,02200LABORATORY 74862,A000000,02500,0000,02500PHYSICAL THERAPY 74862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74862,A000000,02700,0000,02700SPEECH PATHOLOGY 74862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74862,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74862,A000000,03200,0000,03200SUPPORT SURFACES 74862,A000000,03550,0000,03550FQHC 74862,A000000,05000,0000,05000CORF 74862,A000000,05010,0000,05010CMHC 74862,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74862,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74862,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74862,A81000A,00100,0100,Y 74862,A81000B,00100,0300,MANAGEMENT FEE 74862,A81000B,00200,0300,HOME OFFICE BUILDING 74862,A81000B,00300,0300,HOME OFFICE EQUIP 74862,A81000B,00400,0300,BUILDING LEASE 74862,A81000B,00500,0300,CWIC WORK COMP 74862,A81000B,00600,0300,CWIC INSURANCE 74862,A81000B,00700,0300,EMERALD FIXED ASSETS 74862,A81000B,00800,0300,EMERALD ADMIN SUPP 74862,A81000B,00900,0300,EMERALD MAINT 74862,A81000B,01000,0300,EMERALD L&L 74862,A81000B,01100,0300,EMERALD DIETARY 74862,A81000B,01200,0300,EMERALD NURSE ADMIN 74862,A81000B,01300,0300,PWP ADMIN 74862,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74862,A81000B,01500,0300,PWP HOUSE SUPPLIES 74862,A81000B,01600,0300,PWP MED SUPP 74862,A81000B,01700,0300,PWP PHARMACY 74862,A81000B,01800,0300,BUILDING INTEREST 74862,A81000C,00100,0100,F 74862,A81000C,00100,0200,MARTIN HARMON 74862,A81000C,00200,0100,C 74862,A81000C,00200,0400,CARE WEST INSURANCE CO 74862,A81000C,00200,0600,CAPTIVE INSURANCE CO 74862,A81000C,00300,0100,C 74862,A81000C,00300,0400,PACIFIC WEST PHARMACY 74862,A81000C,00300,0600,PHARMACY 74862,A81000C,00400,0100,C 74862,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74862,A81000C,00400,0600,DISTRIBUTORSHIP 74862,A81000C,00500,0100,B 74862,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74862,A81000C,00500,0600,HOME OFFICE 74862,B100000,00000,0100,00000SQUARE FEET 74862,B100000,00000,0200,00000SQUARE FEET 74862,B100000,00000,0300,00000GROSS SALARIES 74862,B100000,00000,0400,00000ACCUM. COST 74862,B100000,00000,0500,00000SQUARE FEET 74862,B100000,00000,0600,00000POUNDS OF LAUNDRY 74862,B100000,00000,0700,00000NON-DIETAR RY SQ. 74862,B100000,00000,0800,00000MEALS SERVED 74862,B100000,00000,0900,00000DIRECT NURSING HR 74862,B100000,00000,1000,00000COSTED RERQS 74862,B100000,00000,1100,00000NO STATISTICS 74862,B100000,00000,1200,00000GROSS REVENUE 74862,B100000,00000,1300,00000CENSUS 74862,B100000,00000,1350,00000NO STATISTICS 74862,B100000,00000,1400,00000ASSIGNED TIME 74862,E10A180,00501,0100,01/30/2001 74862,E10A180,00501,0300,01/30/2001 74862,S000000,00100,0200,01/10/2001 74862,S200000,00100,0100,3275 VILLA LANE 74862,S200000,00200,0100,NAPA 74862,S200000,00200,0200,CA 74862,S200000,00200,0300,94558 74862,S200000,00300,0100,N 74862,S200000,00400,0100,NAPA NURSING CENTER 74862,S200000,00400,0200,555161 74862,S200000,00400,0300,01/01/1984 74862,S200000,00400,0500,P 74862,S200000,00600,0200,555161 74862,S200000,00600,0300,01/01/1984 74862,S200000,00600,0600,P 74862,S200000,01600,0100,Y 74864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74864,A000000,00300,0000,00300EMPLOYEE BENEFITS 74864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74864,A000000,00700,0000,00700HOUSEKEEPING 74864,A000000,00800,0000,00800DIETARY 74864,A000000,00900,0000,00900NURSING ADMINISTRATION 74864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74864,A000000,01100,0000,01100PHARMACY 74864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74864,A000000,01300,0000,01300SOCIAL SERVICE 74864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74864,A000000,01600,0000,01600SKILLED NURSING FACILITY 74864,A000000,01800,0000,01800NURSING FACILITY 74864,A000000,01810,0000,01810ICF/MR 74864,A000000,02100,0000,02100RADIOLOGY 74864,A000000,02200,0000,02200LABORATORY 74864,A000000,02300,0000,02300INTRAVENOUS THERAPY 74864,A000000,02500,0000,02500PHYSICAL THERAPY 74864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74864,A000000,02700,0000,02700SPEECH PATHOLOGY 74864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74864,A000000,03200,0000,03200SUPPORT SURFACES 74864,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74864,A000000,03550,0000,03550FQHC 74864,A000000,05000,0000,05000CORF 74864,A000000,05010,0000,05010CMHC 74864,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74864,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74864,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74864,B100000,00000,0100,00000SQUARE FEET 74864,B100000,00000,0200,00000SQUARE FEET 74864,B100000,00000,0300,00000GROSS SALARIES 74864,B100000,00000,0400,00000ACCUM. COST 74864,B100000,00000,0500,00000SQUARE FEET 74864,B100000,00000,0600,00000PATIENT DAYS 74864,B100000,00000,0700,00000SQUARE FEET 74864,B100000,00000,0800,00000MEALS SERVED 74864,B100000,00000,0900,00000DIRECT NRSG 74864,B100000,00000,1000,00000PATIENT DAYS 74864,B100000,00000,1100,00000COSTED REQUIS 74864,B100000,00000,1200,00000PATIENT DAYS 74864,B100000,00000,1300,00000PATIENT DAYS 74864,B100000,00000,1400,00000ASSIGNED TIME 74864,S000000,00100,0200,06/06/2000 74864,S200000,00100,0100,323 CAMPUS DRIVE 74864,S200000,00200,0100,ARVIN 74864,S200000,00200,0200,CA 74864,S200000,00200,0300,93203 74864,S200000,00300,0100,KERN 74864,S200000,00400,0100,PACIFIC REGENCY - ARVIN 74864,S200000,00400,0200,555170 74864,S200000,00400,0300,01/01/1980 74864,S200000,00400,0500,P 74864,S200000,00600,0200,555170 74864,S200000,00600,0300,01/01/1980 74864,S200000,00600,0600,P 74864,S200000,01600,0100,Y 74866,S000000,00100,0200,02/22/2001 74869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74869,A000000,00300,0000,00300EMPLOYEE BENEFITS 74869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74869,A000000,00700,0000,00700HOUSEKEEPING 74869,A000000,00800,0000,00800DIETARY 74869,A000000,00900,0000,00900NURSING ADMINISTRATION 74869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74869,A000000,01100,0000,01100PHARMACY 74869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74869,A000000,01300,0000,01300SOCIAL SERVICE 74869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74869,A000000,01600,0000,01600SKILLED NURSING FACILITY 74869,A000000,01810,0000,01810ICF/MR 74869,A000000,01900,0000,01900OTHER LONG TERM CARE 74869,A000000,02200,0000,02200LABORATORY 74869,A000000,02500,0000,02500PHYSICAL THERAPY 74869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74869,A000000,02700,0000,02700SPEECH PATHOLOGY 74869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74869,A000000,03550,0000,03550FQHC 74869,A000000,05000,0000,05000CORF 74869,A000000,05010,0000,05010CMHC 74869,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74869,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74869,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74869,A000000,06150,0000,06300NON-REIMBURSABLE COST 74869,A81000A,00100,0100,Y 74869,A81000B,00100,0300,MANAGEMENT FEES 74869,A81000B,00200,0300,HO DEPR - BLDG 74869,A81000B,00300,0300,HO DEPR - EQPT 74869,A81000B,00400,0300,HO COSTS 74869,A81000B,00500,0300,HO ADM WAGES 74869,A81000B,00600,0300,HO ADM EMP BENEF. 74869,A81000B,00700,0300,HO INTEREST EXP 74869,A81000C,00100,0100,B 74869,A81000C,00100,0200,ELDER CARE ALLI 74869,A81000C,00100,0400,ELDER CARE ALLI 74869,A81000C,00100,0600,HOME OFFICE 74869,A81000C,00200,0100,B 74869,A81000C,00200,0400,SALEMS CARE CEN 74869,A81000C,00200,0600,SNF 74869,B100000,00000,0100,00000SQUARE FEET 74869,B100000,00000,0200,00000SQUARE FEET 74869,B100000,00000,0300,00000GROSS SALARIES 74869,B100000,00000,0400,00000ACCUM COST 74869,B100000,00000,0500,00000SQUARE FEET 74869,B100000,00000,0600,00000POUNDS OF LAUNDRY 74869,B100000,00000,0700,00000HOURS OF SERVICE 74869,B100000,00000,0800,00000MEALS SERVED 74869,B100000,00000,0900,00000DIRECT NRSG HRS 74869,B100000,00000,1000,00000COSTED REQUIS 74869,B100000,00000,1100,00000COSTED REQUIS 74869,B100000,00000,1200,00000TIME SPENT 74869,B100000,00000,1300,00000TIME SPENT 74869,B100000,00000,1400,00000ASSIGNED TIME 74869,E10A180,00501,0300,02/20/2001 74869,S000000,00100,0200,01/18/2001 74869,S200000,00100,0100,3431 FOOTHILL BLVD 74869,S200000,00200,0100,OAKLAND 74869,S200000,00200,0200,CA 74869,S200000,00200,0300,94601 74869,S200000,00300,0100,A 74869,S200000,00400,0100,MERCY RETIREMENT 74869,S200000,00400,0200,555189 74869,S200000,00400,0300,01/17/1985 74869,S200000,00400,0500,P 74869,S200000,01500,0100,Y 74869,S200000,02800,0100,Y 74871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74871,A000000,00300,0000,00300EMPLOYEE BENEFITS 74871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74871,A000000,00700,0000,00700HOUSEKEEPING 74871,A000000,00800,0000,00800DIETARY 74871,A000000,00900,0000,00900NURSING ADMINISTRATION 74871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74871,A000000,01100,0000,01100PHARMACY 74871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74871,A000000,01300,0000,01300SOCIAL SERVICE 74871,A000000,01350,0000,01500ACTIVITIES 74871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74871,A000000,01600,0000,01600SKILLED NURSING FACILITY 74871,A000000,01800,0000,01800NURSING FACILITY 74871,A000000,01810,0000,01810ICF/MR 74871,A000000,02100,0000,02100RADIOLOGY 74871,A000000,02200,0000,02200LABORATORY 74871,A000000,02500,0000,02500PHYSICAL THERAPY 74871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74871,A000000,02700,0000,02700SPEECH PATHOLOGY 74871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74871,A000000,03050,0000,03300CLINTRON 74871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74871,A000000,03550,0000,03550FQHC 74871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74871,A000000,05000,0000,05000CORF 74871,A000000,05010,0000,05010CMHC 74871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74871,A81000A,00100,0100,Y 74871,A81000B,00100,0300,FACILITY LEASE 74871,A81000B,00200,0300,MANAGEMENT FEE 74871,A81000B,00300,0300,HOME OFFICE COST 74871,A81000B,00400,0300,H.O. CAP-REL COSTS - BLDG. 74871,A81000B,00500,0300,H.O. CAP-REL COSTS - MMV 74871,A81000C,00100,0100,A 74871,A81000C,00100,0200,MR. PLOTT 74871,A81000C,00200,0100,A 74871,A81000C,00200,0200,MRS. PLOTT 74871,B100000,00000,0100,00000SQUARE FEET 74871,B100000,00000,0200,00000SQUARE FEET 74871,B100000,00000,0300,00000GROSS SALARY 74871,B100000,00000,0400,00000ACCUM. COST 74871,B100000,00000,0500,00000SQUARE FEET 74871,B100000,00000,0600,00000POUNDS OF LAUNDRY 74871,B100000,00000,0700,00000SQUARE FEET 74871,B100000,00000,0800,00000MEALS SERVED 74871,B100000,00000,0900,00000HOURS SPENT 74871,B100000,00000,1000,00000COSTED REQUIS 74871,B100000,00000,1100,00000COSTED REQUIS 74871,B100000,00000,1200,00000REVENUE 74871,B100000,00000,1300,00000PATIENT DAYS 74871,B100000,00000,1350,00000PATIENT DAYS 74871,B100000,00000,1400,00000ASSIGNED TIME 74871,E10A180,00350,0300,11/17/1999 74871,E10A180,00501,0100,07/25/2000 74871,E10A180,00501,0300,07/25/2000 74871,E10A180,00550,0100,08/13/2001 74871,E10A180,00550,0300,08/13/2001 74871,S000000,00100,0200,07/05/2000 74871,S200000,00100,0100,2018 DEL ROSA AVENUE 74871,S200000,00200,0100,SAN BERNARDINO 74871,S200000,00200,0200,CA 74871,S200000,00200,0300,92404 74871,S200000,00300,0100,SAN BERNARDINO 74871,S200000,00400,0100,DEL ROSA VILLA 74871,S200000,00400,0200,555195 74871,S200000,00400,0300,09/10/1984 74871,S200000,00400,0500,P 74871,S200000,00600,0200,555195 74871,S200000,00600,0300,09/10/1984 74871,S200000,00600,0600,P 74871,S200000,01600,0100,Y 74875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74875,A000000,00300,0000,00300EMPLOYEE BENEFITS 74875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74875,A000000,00700,0000,00700HOUSEKEEPING 74875,A000000,00800,0000,00800DIETARY 74875,A000000,00900,0000,00900NURSING ADMINISTRATION 74875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74875,A000000,01100,0000,01100PHARMACY 74875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74875,A000000,01300,0000,01300SOCIAL SERVICE 74875,A000000,01350,0000,01500OTHER GENERAL SERVICES 74875,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74875,A000000,01600,0000,01600SKILLED NURSING FACILITY 74875,A000000,01800,0000,01800NURSING FACILITY 74875,A000000,01810,0000,01810ICF/MR 74875,A000000,02100,0000,02100RADIOLOGY 74875,A000000,02200,0000,02200LABORATORY 74875,A000000,02500,0000,02500PHYSICAL THERAPY 74875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74875,A000000,02700,0000,02700SPEECH PATHOLOGY 74875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74875,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74875,A000000,03200,0000,03200SUPPORT SURFACES 74875,A000000,03550,0000,03550FQHC 74875,A000000,05000,0000,05000CORF 74875,A000000,05010,0000,05010CMHC 74875,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74875,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74875,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74875,A81000A,00100,0100,Y 74875,A81000B,00100,0300,MANAGEMENT FEE 74875,A81000B,00200,0300,HOME OFFICE BUILDING 74875,A81000B,00300,0300,HOME OFFICE EQUIP 74875,A81000B,00400,0300,BUILDING LEASE 74875,A81000B,00500,0300,CWIC WORK COMP 74875,A81000B,00600,0300,CWIC INSURANCE 74875,A81000B,00700,0300,EMERALD FIXED ASSETS 74875,A81000B,00800,0300,EMERALD A&G SUPP 74875,A81000B,00900,0300,EMERALD MAINT 74875,A81000B,01000,0300,EMERALD L&L 74875,A81000B,01100,0300,EMERALD DIETARY 74875,A81000B,01200,0300,EMERALD NURSE ADMIN 74875,A81000B,01300,0300,PWP ADMIN 74875,A81000B,01400,0300,PWP FOOD SUPPLEMENT 74875,A81000B,01500,0300,PWP HOUSE SUPPLIES 74875,A81000B,01600,0300,PWP CHGBL SUPPLIES 74875,A81000B,01700,0300,PWP PHARMACY 74875,A81000B,01800,0300,BUILDING INTEREST 74875,A81000C,00100,0100,F 74875,A81000C,00100,0200,MARTIN HARMON 74875,A81000C,00200,0100,C 74875,A81000C,00200,0400,CARE WEST INSURANCE CO 74875,A81000C,00200,0600,CAPTIVE INSURANCE CO 74875,A81000C,00300,0100,C 74875,A81000C,00300,0400,PACIFIC WEST PHARMACY 74875,A81000C,00300,0600,PHARMACY 74875,A81000C,00400,0100,C 74875,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74875,A81000C,00400,0600,DISTRIBUTORSHIP 74875,A81000C,00500,0100,B 74875,A81000C,00500,0400,HORIZON WEST HDQTRS INC 74875,A81000C,00500,0600,HOME OFFICE 74875,B100000,00000,0100,00000SQUARE FEET 74875,B100000,00000,0200,00000SQUARE FEET 74875,B100000,00000,0300,00000GROSS SALARIES 74875,B100000,00000,0400,00000ACCUM. COST 74875,B100000,00000,0500,00000SQUARE FEET 74875,B100000,00000,0600,00000POUNDS OF LAUNDRY 74875,B100000,00000,0700,00000NON-DIETAR RY SQ. 74875,B100000,00000,0800,00000MEALS SERVED 74875,B100000,00000,0900,00000DIRECT NURSING HR 74875,B100000,00000,1000,00000COSTED REQS 74875,B100000,00000,1100,00000NO STATISTICS 74875,B100000,00000,1200,00000GROSS REVENUE 74875,B100000,00000,1300,00000CENSUS 74875,B100000,00000,1350,00000NO STATISTICS 74875,B100000,00000,1400,00000NO STATISTICS 74875,E10A180,00301,0100,04/10/2000 74875,E10A180,00301,0300,04/10/2000 74875,E10A180,00501,0100,01/29/2001 74875,E10A180,00501,0300,01/29/2001 74875,S000000,00100,0200,01/10/2001 74875,S200000,00100,0100,4525 WEST TULARE AVE. 74875,S200000,00200,0100,VISALIA 74875,S200000,00200,0200,CA 74875,S200000,00200,0300,93277 74875,S200000,00300,0100,T 74875,S200000,00400,0100,WESTGATE GARDENS CONVALESCENT HOSP. 74875,S200000,00400,0200,555208 74875,S200000,00400,0300,09/30/1985 74875,S200000,00400,0500,P 74875,S200000,00600,0200,555208 74875,S200000,00600,0300,09/30/1985 74875,S200000,00600,0600,P 74875,S200000,01600,0100,Y 74878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74878,A000000,00300,0000,00300EMPLOYEE BENEFITS 74878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74878,A000000,00700,0000,00700HOUSEKEEPING 74878,A000000,00800,0000,00800DIETARY 74878,A000000,00900,0000,00900NURSING ADMINISTRATION 74878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74878,A000000,01100,0000,01100PHARMACY 74878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74878,A000000,01300,0000,01300SOCIAL SERVICE 74878,A000000,01350,0000,01500OTHER GENERAL SERVICES 74878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74878,A000000,01600,0000,01600SKILLED NURSING FACILITY 74878,A000000,01800,0000,01800NURSING FACILITY 74878,A000000,01810,0000,01810ICF/MR 74878,A000000,02100,0000,02100RADIOLOGY 74878,A000000,02200,0000,02200LABORATORY 74878,A000000,02500,0000,02500PHYSICAL THERAPY 74878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74878,A000000,02700,0000,02700SPEECH PATHOLOGY 74878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74878,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74878,A000000,03200,0000,03200SUPPORT SURFACES 74878,A000000,03550,0000,03550FQHC 74878,A000000,05000,0000,05000CORF 74878,A000000,05010,0000,05010CMHC 74878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74878,A81000A,00100,0100,Y 74878,A81000B,00100,0300,MANAGEMENT FEE 74878,A81000B,00200,0300,HOME OFFICE BUILDING 74878,A81000B,00300,0300,HOME OFFICE EQUIP 74878,A81000B,00400,0300,BUILDING LEASE 74878,A81000B,00500,0300,CWIC WORK COMP 74878,A81000B,00600,0300,CWIC INSURANCE 74878,A81000B,00700,0300,EMERALD FIXED ASSETS 74878,A81000B,00800,0300,EMERALD A&G SUPP 74878,A81000B,00900,0300,EMERALD MAINT 74878,A81000B,01000,0300,EMERALD L&L 74878,A81000B,01100,0300,EMERALD HSKG 74878,A81000B,01200,0300,EMERALD DIETARY 74878,A81000B,01300,0300,EMERALD NURSE ADMIN 74878,A81000B,01400,0300,PWP ADMIN 74878,A81000B,01500,0300,PWP FOOD SUPPLEMENTS 74878,A81000B,01600,0300,PWP HOUSE SUPPLIES 74878,A81000B,01700,0300,PWP MED SUPP 74878,A81000B,01800,0300,PWP PHARMACY 74878,A81000B,01900,0300,BUILDING INTEREST 74878,A81000C,00100,0100,F 74878,A81000C,00100,0200,MARTIN HARMON 74878,A81000C,00200,0100,C 74878,A81000C,00200,0400,CARE WEST INSURANCE CO 74878,A81000C,00200,0600,CAPITIVE INSURANCE CO 74878,A81000C,00300,0100,C 74878,A81000C,00300,0400,PACIFIC WEST PHARMACY 74878,A81000C,00300,0600,PHARMACY 74878,A81000C,00400,0100,C 74878,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74878,A81000C,00400,0600,DISTRIBUTORSHIP 74878,A81000C,00500,0100,B 74878,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74878,A81000C,00500,0600,HOME OFFICE 74878,B100000,00000,0100,00000SQUARE FEET 74878,B100000,00000,0200,00000SQUARE FEET 74878,B100000,00000,0300,00000GROSS SALARIES 74878,B100000,00000,0400,00000ACCUM. COST 74878,B100000,00000,0500,00000SQUARE FEET 74878,B100000,00000,0600,00000POUNDS OF LAUNDRY 74878,B100000,00000,0700,00000NON-DIETAR RY SQ. 74878,B100000,00000,0800,00000MEALS SERVED 74878,B100000,00000,0900,00000DIRECT NURSING HR 74878,B100000,00000,1000,00000COSTED REQS 74878,B100000,00000,1100,00000NO STATISTICS 74878,B100000,00000,1200,00000GROSS REVENUE 74878,B100000,00000,1300,00000CENSUS 74878,B100000,00000,1350,00000NO STATISTICS 74878,B100000,00000,1400,00000ASSIGNED TIME 74878,E10A180,00501,0100,01/30/2001 74878,E10A180,00501,0300,01/30/2001 74878,S000000,00100,0200,01/10/2001 74878,S200000,00100,0100,3400 BELL ROAD 74878,S200000,00200,0100,AUBURN 74878,S200000,00200,0200,CA 74878,S200000,00200,0300,95602 74878,S200000,00300,0100,P 74878,S200000,00400,0100,FOOTHILL OAKS CARE CENTER 74878,S200000,00400,0200,555219 74878,S200000,00400,0300,03/01/1986 74878,S200000,00400,0500,P 74878,S200000,00600,0200,555219 74878,S200000,00600,0300,03/01/1986 74878,S200000,00600,0600,P 74878,S200000,01600,0100,Y 74881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74881,A000000,00300,0000,00300EMPLOYEE BENEFITS 74881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74881,A000000,00700,0000,00700HOUSEKEEPING 74881,A000000,00800,0000,00800DIETARY 74881,A000000,00900,0000,00900NURSING ADMINISTRATION 74881,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74881,A000000,01100,0000,01100PHARMACY 74881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74881,A000000,01300,0000,01300SOCIAL SERVICE 74881,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74881,A000000,01600,0000,01600SKILLED NURSING FACILITY 74881,A000000,01810,0000,01810ICF/MR 74881,A000000,01900,0000,01900OTHER LONG TERM CARE 74881,A000000,02100,0000,02100RADIOLOGY 74881,A000000,02500,0000,02500PHYSICAL THERAPY 74881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74881,A000000,02700,0000,02700SPEECH PATHOLOGY 74881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74881,A000000,03550,0000,03550FQHC 74881,A000000,05000,0000,05000CORF 74881,A000000,05010,0000,05010CMHC 74881,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74881,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74881,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74881,B100000,00000,0100,00040SQUARE FEET 74881,B100000,00000,0200,00040SQUARE FEET 74881,B100000,00000,0300,00040GROSS SALARIES 74881,B100000,00000,0400,00040ACCUM COST 74881,B100000,00000,0500,00040SQUARE FEET 74881,B100000,00000,0600,00040POUNDS OF LAUNDRY 74881,B100000,00000,0700,00040HOURS OF SERVICE 74881,B100000,00000,0800,00040MEALS SERVED 74881,B100000,00000,0900,00040DIRECT NRSG HRS 74881,B100000,00000,1000,00040COSTED REQUIS 74881,B100000,00000,1100,00040COSTED REQUIS 74881,B100000,00000,1200,00040TIME SPENT 74881,B100000,00000,1300,00040TIME SPENT 74881,B100000,00000,1400,00040ASSIGNED TIME 74881,E10A180,00501,0300,05/23/2000 74881,S000000,00100,0200,04/27/2000 74881,S200000,00100,0100,100 THORNDALE DRIVE 74881,S200000,00200,0100,SAN RAFAEL 74881,S200000,00200,0200,CA 74881,S200000,00200,0300,94903 74881,S200000,00300,0100,MARIN 74881,S200000,00400,0100,VILLA MARIN 74881,S200000,00400,0200,555227 74881,S200000,00400,0300,12/01/1996 74881,S200000,00400,0500,P 74881,S200000,01500,0100,Y 74881,S200000,01900,0100,CORPORATION 74881,S200000,04300,0100,Y 74886,S000000,00100,0200,05/26/2000 74891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74891,A000000,00300,0000,00300EMPLOYEE BENEFITS 74891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74891,A000000,00700,0000,00700HOUSEKEEPING 74891,A000000,00800,0000,00800DIETARY 74891,A000000,00900,0000,00900NURSING ADMINISTRATION 74891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74891,A000000,01100,0000,01100PHARMACY 74891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74891,A000000,01300,0000,01300SOCIAL SERVICE 74891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74891,A000000,01600,0000,01600SKILLED NURSING FACILITY 74891,A000000,01800,0000,01800NURSING FACILITY 74891,A000000,01810,0000,01810ICF/MR 74891,A000000,02100,0000,02100RADIOLOGY 74891,A000000,02200,0000,02200LABORATORY 74891,A000000,02300,0000,02300INTRAVENOUS THERAPY 74891,A000000,02500,0000,02500PHYSICAL THERAPY 74891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74891,A000000,02700,0000,02700SPEECH PATHOLOGY 74891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74891,A000000,03200,0000,03200SUPPORT SURFACES 74891,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74891,A000000,03550,0000,03550FQHC 74891,A000000,05000,0000,05000CORF 74891,A000000,05010,0000,05010CMHC 74891,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74891,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74891,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74891,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74891,A000000,06200,0000,06200PATIENTS LAUNDRY 74891,B100000,00000,0100,00000SQUARE FEET 74891,B100000,00000,0200,00000SQUARE FEET 74891,B100000,00000,0300,00000GROSS SALARIES 74891,B100000,00000,0400,00000ACCUM. COST 74891,B100000,00000,0500,00000SQUARE FEET 74891,B100000,00000,0600,00000PATIENT DAYS 74891,B100000,00000,0700,00000SQUARE FEET 74891,B100000,00000,0800,00000MEALS SERVED 74891,B100000,00000,0900,00000DIRECT NRSG 74891,B100000,00000,1000,00000PATIENT DAYS 74891,B100000,00000,1100,00000COSTED REQUIS 74891,B100000,00000,1200,00000PATIENT DAYS 74891,B100000,00000,1300,00000PATIENT DAYS 74891,B100000,00000,1400,00000ASSIGNED TIME 74891,S000000,00100,0200,06/06/2000 74891,S200000,00100,0100,6212 TUDOR WAY 74891,S200000,00200,0100,BAKERSFIELD 74891,S200000,00200,0200,CA 74891,S200000,00200,0300,93306 74891,S200000,00300,0100,KERN 74891,S200000,00400,0100,PACIFIC REGENCY - BAKERSFIELD 74891,S200000,00400,0200,555260 74891,S200000,00400,0300,03/01/1987 74891,S200000,00400,0500,P 74891,S200000,00600,0200,555260 74891,S200000,00600,0300,03/01/1987 74891,S200000,00600,0600,P 74891,S200000,01600,0100,Y 74894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74894,A000000,00300,0000,00300EMPLOYEE BENEFITS 74894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74894,A000000,00700,0000,00700HOUSEKEEPING 74894,A000000,00800,0000,00800DIETARY 74894,A000000,00900,0000,00900NURSING ADMINISTRATION 74894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74894,A000000,01100,0000,01100PHARMACY 74894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74894,A000000,01300,0000,01300SOCIAL SERVICE 74894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74894,A000000,01600,0000,01600SKILLED NURSING FACILITY 74894,A000000,01800,0000,01800NURSING FACILITY 74894,A000000,01810,0000,01810ICF/MR 74894,A000000,02100,0000,02100RADIOLOGY 74894,A000000,02200,0000,02200LABORATORY 74894,A000000,02300,0000,02300INTRAVENOUS THERAPY 74894,A000000,02500,0000,02500PHYSICAL THERAPY 74894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74894,A000000,02700,0000,02700SPEECH PATHOLOGY 74894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74894,A000000,03200,0000,03200SUPPORT SURFACES 74894,A000000,03550,0000,03550FQHC 74894,A000000,05000,0000,05000CORF 74894,A000000,05010,0000,05010CMHC 74894,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74894,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74894,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74894,A81000A,00100,0100,Y 74894,A81000B,00100,0300,ADMIN. & GENERAL 74894,A81000C,00100,0100,B 74894,A81000C,00100,0200,FRANK JOHNSON 74894,A81000C,00100,0400,SUN MAR MANAGEMENT 74894,A81000C,00100,0600,MANAGEMENT COMPANY 74894,B100000,00000,0100,00000SQUARE FEET 74894,B100000,00000,0200,00000SQUARE FEET 74894,B100000,00000,0300,00000GROSS SALARIES 74894,B100000,00000,0400,00000ACCUM. COST 74894,B100000,00000,0500,00000SQUARE FEET 74894,B100000,00000,0600,00000POUNDS OF LAUNDRY 74894,B100000,00000,0700,00000SQUARE FEET 74894,B100000,00000,0800,00000MEALS SERVED 74894,B100000,00000,0900,00000DIRECT NRSING HRS 74894,B100000,00000,1000,00000COSTED REQUIS 74894,B100000,00000,1100,00000COSTED REQUIS 74894,B100000,00000,1200,00000GROSS REVENUE 74894,B100000,00000,1300,00000PATIENT DAYS 74894,B100000,00000,1400,00000ASSIGNED TIME 74894,E10A180,00501,0100,10/27/2000 74894,S000000,00100,0200,09/28/2000 74894,S200000,00100,0100,1720 W. ORANGE AVENUE 74894,S200000,00200,0100,ANAHEIM 74894,S200000,00200,0200,CA 74894,S200000,00200,0300,92804 74894,S200000,00300,0100,ORANGE 74894,S200000,00400,0100,SUN MAR NURSING 74894,S200000,00400,0200,555266 74894,S200000,00400,0300,06/04/1987 74894,S200000,00400,0500,P 74894,S200000,00600,0200,555266 74894,S200000,00600,0300,06/04/1987 74894,S200000,00600,0600,P 74894,S200000,01600,0100,Y 74895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74895,A000000,00300,0000,00300EMPLOYEE BENEFITS 74895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74895,A000000,00700,0000,00700HOUSEKEEPING 74895,A000000,00800,0000,00800DIETARY 74895,A000000,00900,0000,00900NURSING ADMINISTRATION 74895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74895,A000000,01100,0000,01100PHARMACY 74895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74895,A000000,01300,0000,01300SOCIAL SERVICE 74895,A000000,01350,0000,01500CAPITAL COSTS-RESIDENTIAL CARE 74895,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74895,A000000,01600,0000,01600SKILLED NURSING FACILITY 74895,A000000,01810,0000,01810ICF/MR 74895,A000000,01900,0000,01900OTHER LONG TERM CARE 74895,A000000,02100,0000,02100RADIOLOGY 74895,A000000,02200,0000,02200LABORATORY 74895,A000000,02500,0000,02500PHYSICAL THERAPY 74895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74895,A000000,02700,0000,02700SPEECH PATHOLOGY 74895,A000000,02800,0000,02800ELECTROCARDIOLOGY 74895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74895,A000000,03550,0000,03550FQHC 74895,A000000,05000,0000,05000CORF 74895,A000000,05010,0000,05010CMHC 74895,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74895,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74895,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74895,A000000,05300,0000,05300INTEREST EXPENSE 74895,B100000,00000,0100,00000SQUARE FEET- SNF 74895,B100000,00000,0200,00000SQUARE FEET- SNF 74895,B100000,00000,0300,00000GROSS SAL 74895,B100000,00000,0400,00000ACCUM. COST 74895,B100000,00000,0500,00000SQUARE FEET- COMB 74895,B100000,00000,0600,00000POUNDS OF LAUNDRY 74895,B100000,00000,0700,00000HOUSEKEEPI HOURS 74895,B100000,00000,0800,00000MEALS 74895,B100000,00000,0900,00000TOTAL REVENUE 74895,B100000,00000,1000,00000ACCUM. COST 74895,B100000,00000,1100,00000ACCUM. COST 74895,B100000,00000,1200,00000ACCUM. COST 74895,B100000,00000,1300,00000HOURS- SOCIAL SER 74895,B100000,00000,1350,00000SQUARE FEET- COMB 74895,B100000,00000,1400,00000ACCUM. COST 74895,E10A180,00301,0300,11/16/1999 74895,E10A180,00501,0300,06/13/2000 74895,E10A180,00551,0100,06/13/2000 74895,S000000,00100,0200,05/25/2000 74895,S200000,00100,0100,214 SO. ATLANTIC BLVD. 74895,S200000,00200,0100,ALHAMBRA 74895,S200000,00200,0200,CA 74895,S200000,00200,0300,91801 74895,S200000,00300,0100,LOS ANGELES 74895,S200000,00400,0100,SAM B WEST HCC-ATHERTON BAPTIST HOME 74895,S200000,00400,0200,555272 74895,S200000,00400,0300,08/05/1987 74895,S200000,00400,0500,P 74895,S200000,01500,0100,Y 74895,S200000,02100,0100,A 74895,S200000,02200,0100,Y 74895,S200000,02800,0100,Y 74897,S000000,00100,0200,12/06/2000 74899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74899,A000000,00300,0000,00300EMPLOYEE BENEFITS 74899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74899,A000000,00700,0000,00700HOUSEKEEPING 74899,A000000,00800,0000,00800DIETARY 74899,A000000,00900,0000,00900NURSING ADMINISTRATION 74899,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74899,A000000,01100,0000,01100PHARMACY 74899,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74899,A000000,01300,0000,01300SOCIAL SERVICE 74899,A000000,01350,0000,01500OTHER GENERAL SERVICES 74899,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74899,A000000,01600,0000,01600SKILLED NURSING FACILITY 74899,A000000,01810,0000,01810ICF/MR 74899,A000000,02100,0000,02100RADIOLOGY 74899,A000000,02200,0000,02200LABORATORY 74899,A000000,02500,0000,02500PHYSICAL THERAPY 74899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74899,A000000,02700,0000,02700SPEECH PATHOLOGY 74899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74899,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74899,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74899,A000000,03550,0000,03550FQHC 74899,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74899,A000000,05000,0000,05000CORF 74899,A000000,05010,0000,05010CMHC 74899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74899,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74899,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74899,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74899,A81000A,00100,0100,Y 74899,A81000B,00100,0300,MISC 74899,A81000C,00100,0100,B 74899,A81000C,00100,0200,INDEPENDENT QUALITY CARE 74899,A81000C,00100,0400,COURTYARD CARE CENTER 74899,A81000C,00100,0600,SNF 74899,A81000C,00200,0400,MCCLURE REHAB 74899,A81000C,00200,0600,SNF 74899,A81000C,00300,0400,NORTHGATE CARE CENTER 74899,A81000C,00300,0600,SNF 74899,A81000C,00400,0400,NURSING INN OF MENLO PARK 74899,A81000C,00400,0600,SNF 74899,A81000C,00500,0400,VALLEY POINTE NURSING CTR 74899,A81000C,00500,0600,SNF 74899,A81000C,00600,0400,WOODLAND NURSING INN 74899,A81000C,00600,0600,SNF 74899,B100000,00000,0100,00000SQUARE FEET 74899,B100000,00000,0200,00000SQUARE FEET 74899,B100000,00000,0300,00000GROSS WAGES 74899,B100000,00000,0400,00000ACCUM. COST 74899,B100000,00000,0500,00000SQUARE FEET 74899,B100000,00000,0600,00000POUNDS OF LAUNDRY 74899,B100000,00000,0700,00000SQUARE FEET 74899,B100000,00000,0800,00000MEALS SERVED 74899,B100000,00000,0900,00000NO STATISTICS 74899,B100000,00000,1000,00000NO STATISTICS 74899,B100000,00000,1100,00000NO STATISTICS 74899,B100000,00000,1200,00000NO STATISTICS 74899,B100000,00000,1300,00000TIME SPENT 74899,B100000,00000,1350,00000NO STATISTICS 74899,B100000,00000,1400,00000NO STATISTICS 74899,E10A180,00550,0100,09/11/2000 74899,E10A180,00550,0300,09/11/2000 74899,S000000,00100,0200,06/30/2000 74899,S200000,00100,0100,890 EL CAMINO REAL 74899,S200000,00200,0100,SAN BRUNO 74899,S200000,00200,0200,CA 74899,S200000,00200,0300,94066 74899,S200000,00300,0100,SAN MATEO 74899,S200000,00400,0100,SAN BRUNO SKILLED NURSING HOSPITAL 74899,S200000,00400,0200,555276 74899,S200000,00400,0300,02/27/1987 74899,S200000,00400,0500,P 74899,S200000,01500,0100,Y 74902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74902,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74902,A000000,00300,0000,00300EMPLOYEE BENEFITS 74902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74902,A000000,00700,0000,00700HOUSEKEEPING 74902,A000000,00800,0000,00800DIETARY 74902,A000000,00900,0000,00900NURSING ADMINISTRATION 74902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74902,A000000,01100,0000,01100PHARMACY 74902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74902,A000000,01300,0000,01300SOCIAL SERVICE 74902,A000000,01350,0000,01500OTHER GENERAL SERVICES 74902,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74902,A000000,01600,0000,01600SKILLED NURSING FACILITY 74902,A000000,01800,0000,01800NURSING FACILITY 74902,A000000,01810,0000,01810ICF/MR 74902,A000000,02100,0000,02100RADIOLOGY 74902,A000000,02200,0000,02200LABORATORY 74902,A000000,02500,0000,02500PHYSICAL THERAPY 74902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74902,A000000,02700,0000,02700SPEECH PATHOLOGY 74902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74902,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74902,A000000,03200,0000,03200SUPPORT SURFACES 74902,A000000,03550,0000,03550FQHC 74902,A000000,05000,0000,05000CORF 74902,A000000,05010,0000,05010CMHC 74902,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74902,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74902,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74902,A81000A,00100,0100,Y 74902,A81000B,00100,0300,MANAGEMENT FEE 74902,A81000B,00200,0300,HOME OFFICE BUILDING 74902,A81000B,00300,0300,HOME OFFICE EQUIP 74902,A81000B,00400,0300,BUILDING LEASE 74902,A81000B,00500,0300,CWIC WORK COMP 74902,A81000B,00600,0300,CWIC INSURANCE 74902,A81000B,00700,0300,EMERALD FIXED ASSETS 74902,A81000B,00800,0300,EMERALD ADMIN SUPP 74902,A81000B,00900,0300,EMERALD MAINT 74902,A81000B,01000,0300,EMERALD L&L 74902,A81000B,01100,0300,EMERALD DIETARY 74902,A81000B,01200,0300,EMERALD NURSING ADMIN 74902,A81000B,01300,0300,PWP ADMIN 74902,A81000B,01400,0300,PWP FOOD SUPPLEMENTS 74902,A81000B,01500,0300,PWP HOUSE SUPPLIES 74902,A81000B,01600,0300,PWP MED SUPP 74902,A81000B,01700,0300,PWP PHARMACY 74902,A81000B,01800,0300,BUILDING INTEREST 74902,A81000C,00100,0100,F 74902,A81000C,00100,0200,MARTIN HARMON 74902,A81000C,00200,0100,C 74902,A81000C,00200,0400,CARE WEST INSURANCE CO 74902,A81000C,00200,0600,CAPTIVE INSURANCE CO 74902,A81000C,00300,0100,C 74902,A81000C,00300,0400,PACIFIC WEST PHARMACY 74902,A81000C,00300,0600,PHARMACY 74902,A81000C,00400,0100,C 74902,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74902,A81000C,00400,0600,DISTRIBUTORSHIP 74902,A81000C,00500,0100,B 74902,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74902,A81000C,00500,0600,HOME OFFICE 74902,B100000,00000,0100,00000SQUARE FEET 74902,B100000,00000,0200,00000SQUARE FEET 74902,B100000,00000,0300,00000GROSS SALARIES 74902,B100000,00000,0400,00000ACCUM. COST 74902,B100000,00000,0500,00000SQUARE FEET 74902,B100000,00000,0600,00000POUNDS OF LAUNDRY 74902,B100000,00000,0700,00000NON-DIETAR RY SQ. 74902,B100000,00000,0800,00000MEALS SERVED 74902,B100000,00000,0900,00000DIRECT NURSING HR 74902,B100000,00000,1000,00000COSTED REQS 74902,B100000,00000,1100,00000NO STATISTICS 74902,B100000,00000,1200,00000GROSS REVENUE 74902,B100000,00000,1300,00000CENSUS 74902,B100000,00000,1350,00000NO STATISTICS 74902,B100000,00000,1400,00000ASSIGNED TIME 74902,E10A180,00501,0100,01/26/2001 74902,E10A180,00501,0300,01/24/2001 74902,E10A180,00550,0100,01/24/2001 74902,S000000,00100,0200,01/10/2001 74902,S200000,00100,0100,396 DORSEY DRIVE 74902,S200000,00200,0100,GRASS VALLEY 74902,S200000,00200,0200,CA 74902,S200000,00200,0300,95945 74902,S200000,00300,0100,N 74902,S200000,00400,0100,MEADOW VIEW MANOR 74902,S200000,00400,0200,555283 74902,S200000,00400,0300,07/01/1989 74902,S200000,00400,0500,P 74902,S200000,00600,0200,555283 74902,S200000,00600,0300,07/01/1989 74902,S200000,00600,0600,P 74902,S200000,01600,0100,Y 74904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74904,A000000,00300,0000,00300EMPLOYEE BENEFITS 74904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74904,A000000,00700,0000,00700HOUSEKEEPING 74904,A000000,00800,0000,00800DIETARY 74904,A000000,00900,0000,00900NURSING ADMINISTRATION 74904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74904,A000000,01100,0000,01100PHARMACY 74904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74904,A000000,01300,0000,01300SOCIAL SERVICE 74904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74904,A000000,01600,0000,01600SKILLED NURSING FACILITY 74904,A000000,01800,0000,01800NURSING FACILITY 74904,A000000,01810,0000,01810ICF/MR 74904,A000000,02100,0000,02100RADIOLOGY 74904,A000000,02200,0000,02200LABORATORY 74904,A000000,02500,0000,02500PHYSICAL THERAPY 74904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74904,A000000,02700,0000,02700SPEECH PATHOLOGY 74904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74904,A000000,03550,0000,03550FQHC 74904,A000000,05000,0000,05000CORF 74904,A000000,05010,0000,05010CMHC 74904,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74904,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74904,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74904,A81000A,00100,0100,Y 74904,A81000B,00100,0300,CRC-BLDG & FIXTURES 74904,A81000B,00200,0300,A&G 74904,A81000B,00300,0300,P.T. FROM RELATED PARTY 74904,A81000B,00400,0300,O.T. FROM RELATED PARTY 74904,A81000B,00500,0300,S.T. FROM RELATED PARTY 74904,A81000B,00600,0300,CRC-EQUIPMENT 74904,A81000C,00600,0100,B 74904,A81000C,00600,0200,STAN LELAND 74904,A81000C,00600,0400,RESOURCE HLT 74904,A81000C,00600,0600,THER MGMT 74904,B100000,00000,0100,00040SQUARE FEET 74904,B100000,00000,0200,00040DOLLAR VALUE 74904,B100000,00000,0300,00040GROSS SALARIES 74904,B100000,00000,0400,00040ACCUM. COST 74904,B100000,00000,0500,00040SQUARE FEET 74904,B100000,00000,0600,00040POUNDS OF LAUNDRY 74904,B100000,00000,0700,00040HOURS OF SERVICE 74904,B100000,00000,0800,00040MEALS SERVED 74904,B100000,00000,0900,00040DIRECT NRSING HRS 74904,B100000,00000,1000,00040COSTED REQUIS. 74904,B100000,00000,1100,00040COSTED REQUIS. 74904,B100000,00000,1200,00040TIME SPENT 74904,B100000,00000,1300,00040TIME SPENT 74904,B100000,00000,1400,00040ASSIGNED TIME 74904,E10A180,00501,0100,07/24/2000 74904,E10A180,00550,0300,05/26/2000 74904,E10A180,00551,0300,07/24/2000 74904,S000000,00100,0200,05/30/2000 74904,S200000,00100,0100,8799 BALBOA AVENUE 74904,S200000,00200,0100,SAN DIEGO 74904,S200000,00200,0200,CA 74904,S200000,00200,0300,92123 74904,S200000,00300,0100,SAN DIEGO 74904,S200000,00400,0100,STANFORD COURT NURSING-SANTEE 74904,S200000,00400,0200,555290 74904,S200000,00400,0300,11/27/1987 74904,S200000,00400,0500,P 74904,S200000,00600,0200,555290 74904,S200000,00600,0300,11/27/1987 74904,S200000,00600,0600,P 74904,S200000,01600,0100,Y 74904,S200000,03000,0100,Y 74907,S000000,00100,0200,06/02/2000 74909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74909,A000000,00300,0000,00300EMPLOYEE BENEFITS 74909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74909,A000000,00700,0000,00700HOUSEKEEPING 74909,A000000,00800,0000,00800DIETARY 74909,A000000,00900,0000,00900NURSING ADMINISTRATION 74909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74909,A000000,01100,0000,01100PHARMACY 74909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74909,A000000,01300,0000,01300SOCIAL SERVICE 74909,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENT 74909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74909,A000000,01600,0000,01600SKILLED NURSING FACILITY 74909,A000000,01800,0000,01800NURSING FACILITY 74909,A000000,01810,0000,01810ICF/MR 74909,A000000,02100,0000,02100RADIOLOGY 74909,A000000,02200,0000,02200LABORATORY 74909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74909,A000000,02500,0000,02500PHYSICAL THERAPY 74909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74909,A000000,02700,0000,02700SPEECH PATHOLOGY 74909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74909,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74909,A000000,03200,0000,03200SUPPORT SURFACES 74909,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST C 74909,A000000,03550,0000,03550FQHC 74909,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74909,A000000,05000,0000,05000CORF 74909,A000000,05010,0000,05010CMHC 74909,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74909,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74909,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENT 74909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74909,A81000A,00100,0100,Y 74909,A81000B,00100,0300,MANAGEMENT FEES 74909,A81000B,00200,0300,H.O. COST REPORT ALLOCATION 74909,A81000B,00300,0300,H.O. COST REPORT ALLOCATION 74909,A81000B,00400,0300,H.O. COST REPORT ALLOCATION 74909,A81000C,00100,0100,B 74909,A81000C,00100,0200,SO.CA. PRESBYTERIAN HOMES 74909,A81000C,00100,0400,SO.CA. PRESBYTERIAN HOMES 74909,A81000C,00100,0600,HOME OFFICE 74909,B100000,00000,0100,00000SQUARE FEET 74909,B100000,00000,0200,00000SQUARE FEET 74909,B100000,00000,0300,00000GROSS SALARIES 74909,B100000,00000,0400,00000ACCUM. COST 74909,B100000,00000,0500,00000SQUARE FEET 74909,B100000,00000,0600,00000PATIENT DAYS 74909,B100000,00000,0700,00000SQUARE FEET 74909,B100000,00000,0800,00000MEALS SERVED 74909,B100000,00000,0900,00000PATIENT DAYS 74909,B100000,00000,1000,00000COSTED REQUIS. 74909,B100000,00000,1100,00000COSTED REQUIS. 74909,B100000,00000,1200,00000GROSS REVENUE 74909,B100000,00000,1300,00000PATIENT DAYS 74909,B100000,00000,1350,00000NO STATISTICS 74909,B100000,00000,1400,00000ASSIGNED TIME 74909,E10A180,00301,0100,01/01/2000 74909,E10A180,00301,0300,01/01/2000 74909,E10A180,00350,0300,11/19/1999 74909,E10A180,00501,0100,07/18/2000 74909,E10A180,00501,0300,07/18/2000 74909,E10A180,00502,0100,06/06/2000 74909,E10A180,00550,0300,06/06/2000 74909,S000000,00100,0200,06/08/2000 74909,S200000,00100,0100,19191 HARVARD AVENUE 74909,S200000,00200,0100,IRVINE 74909,S200000,00200,0200,CA 74909,S200000,00200,0300,92715 74909,S200000,00300,0100,ORANGE 74909,S200000,00400,0100,REGENTS POINT - WINDCREST 74909,S200000,00400,0200,555295 74909,S200000,00400,0300,02/04/1988 74909,S200000,00400,0500,P 74909,S200000,00600,0200,555295 74909,S200000,00600,0300,02/04/1988 74909,S200000,00600,0600,P 74909,S200000,01500,0100,Y 74912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74912,A000000,00300,0000,00300EMPLOYEE BENEFITS 74912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74912,A000000,00700,0000,00700HOUSEKEEPING 74912,A000000,00800,0000,00800DIETARY 74912,A000000,00900,0000,00900NURSING ADMINISTRATION 74912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74912,A000000,01100,0000,01100PHARMACY 74912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74912,A000000,01300,0000,01300SOCIAL SERVICE 74912,A000000,01350,0000,01500OTHER GENERAL SERVICES 74912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74912,A000000,01600,0000,01600SKILLED NURSING FACILITY 74912,A000000,01810,0000,01810ICF/MR 74912,A000000,02100,0000,02100RADIOLOGY 74912,A000000,02200,0000,02200LABORATORY 74912,A000000,02300,0000,02300INTRAVENOUS THERAPY 74912,A000000,02500,0000,02500PHYSICAL THERAPY 74912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74912,A000000,02700,0000,02700SPEECH PATHOLOGY 74912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74912,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74912,A000000,03550,0000,03550FQHC 74912,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74912,A000000,05000,0000,05000CORF 74912,A000000,05010,0000,05010CMHC 74912,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74912,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74912,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74912,A000000,05300,0000,05300INTEREST EXPENSE 74912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74912,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74912,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74912,A81000A,00100,0100,Y 74912,A81000B,00100,0300,HOME OFFICE CAPITAL 74912,A81000B,00200,0300,HOME OFFICE ADMIN 74912,A81000B,00300,0300,HOME OFFICE PHARMACY 74912,A81000C,00100,0100,B 74912,B100000,00000,0100,00000SQUARE FEET 74912,B100000,00000,0200,00000SQUARE FEET 74912,B100000,00000,0300,00000GROSS SALARIES 74912,B100000,00000,0400,00000ACCUM. COST 74912,B100000,00000,0500,00000SQUARE FEET 74912,B100000,00000,0600,00000POUNDS OF LAUNDRY 74912,B100000,00000,0700,00000SQUARE FEET 74912,B100000,00000,0800,00000MEALS SERVED 74912,B100000,00000,0900,00000DIRECT NRSING HRS 74912,B100000,00000,1000,00000COSTED REQUIS. 74912,B100000,00000,1100,00000COSTED REQUIS. 74912,B100000,00000,1200,00000TIME SPENT 74912,B100000,00000,1300,00000TIME SPENT 74912,B100000,00000,1350,00000NO STATISTICS 74912,B100000,00000,1400,00000ASSIGNED TIME 74912,E10A180,00350,0300,09/10/1999 74912,E10A180,00501,0100,06/07/2000 74912,E10A180,00501,0300,09/07/2000 74912,S000000,00100,0200,05/10/2000 74912,S200000,00100,0100,15115 SOUTH VERMONT AVE. 74912,S200000,00200,0100,GARDENA 74912,S200000,00200,0200,CA 74912,S200000,00200,0300,90247 74912,S200000,00300,0100,LOS ANGELES 74912,S200000,00400,0100,SOUTH BAY KEIRO NURSING HOME 74912,S200000,00400,0200,555306 74912,S200000,00400,0300,10/01/1987 74912,S200000,00400,0500,P 74912,S200000,00400,0600,O 74912,S200000,01500,0100,Y 74912,S200000,04300,0100,Y 74917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74917,A000000,00300,0000,00300EMPLOYEE BENEFITS 74917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74917,A000000,00700,0000,00700HOUSEKEEPING 74917,A000000,00800,0000,00800DIETARY 74917,A000000,00900,0000,00900NURSING ADMINISTRATION 74917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74917,A000000,01100,0000,01100PHARMACY 74917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74917,A000000,01300,0000,01300SOCIAL SERVICE 74917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74917,A000000,01600,0000,01600SKILLED NURSING FACILITY 74917,A000000,01800,0000,01800NURSING FACILITY 74917,A000000,01810,0000,01810ICF/MR 74917,A000000,02100,0000,02100RADIOLOGY 74917,A000000,02200,0000,02200LABORATORY 74917,A000000,02300,0000,02300INTRAVENOUS THERAPY 74917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74917,A000000,02500,0000,02500PHYSICAL THERAPY 74917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74917,A000000,02700,0000,02700SPEECH PATHOLOGY 74917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74917,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74917,A000000,03550,0000,03550FQHC 74917,A000000,05000,0000,05000CORF 74917,A000000,05010,0000,05010CMHC 74917,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74917,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74917,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74917,A81000A,00100,0100,Y 74917,A81000B,00100,0300,MANAGEMENT FEES 74917,A81000B,00200,0300,HOME OFFICE - BUILDING 74917,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 74917,A81000C,00100,0100,A 74917,A81000C,00100,0200,FRANK JOHNSON 74917,A81000C,00100,0400,SUN MAR MANAGEMENT 74917,A81000C,00100,0600,MANAGEMENT COMPANY 74917,B100000,00000,0100,00040SQUARE FEET 74917,B100000,00000,0200,00040SQUARE FEET 74917,B100000,00000,0300,00040GROSS SALARIES 74917,B100000,00000,0400,00040ACCUM. COST 74917,B100000,00000,0500,00040SQUARE FEET 74917,B100000,00000,0600,00040POUNDS OF LAUNDRY 74917,B100000,00000,0700,00040SQUARE FEET 74917,B100000,00000,0800,00040MEALS SERVED 74917,B100000,00000,0900,00040DIRECT NRSING HRS 74917,B100000,00000,1000,00040COSTREQUIS SITIONS 74917,B100000,00000,1100,00040COSTED REQUIS 74917,B100000,00000,1200,00040GROSS REVENUE 74917,B100000,00000,1300,00040PATIENT DAYS 74917,B100000,00000,1400,00040ASSIGNED TIME 74917,E10A180,00501,0300,06/28/2000 74917,E10A180,00550,0100,06/28/2000 74917,S000000,00100,0200,05/25/2000 74917,S200000,00100,0100,15720 BERNARDO CENTER DRIVE 74917,S200000,00200,0100,SAN DIEGO 74917,S200000,00200,0200,CA 74917,S200000,00200,0300,92127 74917,S200000,00300,0100,SAN DIEGO 74917,S200000,00400,0100,VILLA RANCHO BERNARDO 74917,S200000,00400,0200,555318 74917,S200000,00400,0300,10/01/1996 74917,S200000,00400,0500,P 74917,S200000,00600,0200,555318 74917,S200000,00600,0300,10/01/1996 74917,S200000,00600,0600,P 74917,S200000,01600,0100,Y 74920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74920,A000000,00300,0000,00300EMPLOYEE BENEFITS 74920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74920,A000000,00700,0000,00700HOUSEKEEPING 74920,A000000,00800,0000,00800DIETARY 74920,A000000,00900,0000,00900NURSING ADMINISTRATION 74920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74920,A000000,01100,0000,01100PHARMACY 74920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74920,A000000,01300,0000,01300SOCIAL SERVICE 74920,A000000,01350,0000,01500OTHER GENERAL SERVICES 74920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74920,A000000,01600,0000,01600SKILLED NURSING FACILITY 74920,A000000,01800,0000,01800NURSING FACILITY 74920,A000000,01810,0000,01810ICF/MR 74920,A000000,02100,0000,02100RADIOLOGY 74920,A000000,02200,0000,02200LABORATORY 74920,A000000,02500,0000,02500PHYSICAL THERAPY 74920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74920,A000000,02700,0000,02700SPEECH PATHOLOGY 74920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74920,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74920,A000000,03200,0000,03200SUPPORT SURFACES 74920,A000000,03550,0000,03550FQHC 74920,A000000,05000,0000,05000CORF 74920,A000000,05010,0000,05010CMHC 74920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74920,A81000A,00100,0100,Y 74920,A81000B,00100,0300,MANAGEMENT FEE 74920,A81000B,00200,0300,HOME OFFICE BUILDING 74920,A81000B,00300,0300,HOME OFFICE EQUIP 74920,A81000B,00400,0300,BUILDING LEASE 74920,A81000B,00500,0300,CWIC WORK COMP 74920,A81000B,00600,0300,CWIC INSURANCE 74920,A81000B,00700,0300,EMERALD FIXED ASSETS 74920,A81000B,00800,0300,EMERALD A&G SUPP 74920,A81000B,00900,0300,EMERALD MAINT 74920,A81000B,01000,0300,EMERALD L&L 74920,A81000B,01100,0300,EMERALD DIETARY 74920,A81000B,01200,0300,EMERALD NURSE ADMIN 74920,A81000B,01300,0300,EMERALD THERAPY 74920,A81000B,01400,0300,EMERALD MED SUPP 74920,A81000B,01500,0300,PWP ADMIN 74920,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 74920,A81000B,01700,0300,PWP HOUSE SUPPLIES 74920,A81000B,01800,0300,PWP MED SUPP 74920,A81000B,01900,0300,PWP PHARMACY 74920,A81000C,00100,0100,F 74920,A81000C,00100,0200,MARTIN HARMON 74920,A81000C,00200,0100,C 74920,A81000C,00200,0400,CARE WEST INSURANCE CO 74920,A81000C,00200,0600,CAPTIVE INSURANCE CO 74920,A81000C,00300,0100,C 74920,A81000C,00300,0400,PACIFIC WEST PHARMACY 74920,A81000C,00300,0600,PHARMACY 74920,A81000C,00400,0100,C 74920,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74920,A81000C,00400,0600,DISTRIBUTORSHIP 74920,A81000C,00500,0100,B 74920,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74920,A81000C,00500,0600,HOME OFFICE 74920,B100000,00000,0100,00000SQUARE FEET 74920,B100000,00000,0200,00000SQUARE FEET 74920,B100000,00000,0300,00000GROSS SALARIES 74920,B100000,00000,0400,00000ACCUM. COST 74920,B100000,00000,0500,00000SQUARE FEET 74920,B100000,00000,0600,00000POUNDS OF LAUNDRY 74920,B100000,00000,0700,00000NON-DIETAR RY SQ. 74920,B100000,00000,0800,00000MEALS SERVED 74920,B100000,00000,0900,00000DIRECT NURSING HR 74920,B100000,00000,1000,00000COSTED REQS 74920,B100000,00000,1100,00000NO STATISTICS 74920,B100000,00000,1200,00000GROSS REVENUE 74920,B100000,00000,1300,00000CENSUS 74920,B100000,00000,1350,00000NO STATISTICS 74920,B100000,00000,1400,00000ASSIGNED TIME 74920,E10A180,00501,0100,01/29/2001 74920,E10A180,00501,0300,01/29/2001 74920,S000000,00100,0200,01/10/2001 74920,S200000,00100,0100,1550 THIRD STREET 74920,S200000,00200,0100,LINCOLN 74920,S200000,00200,0200,CA 74920,S200000,00200,0300,95648 74920,S200000,00300,0100,P 74920,S200000,00400,0100,LINCOLN MANOR 74920,S200000,00400,0200,555333 74920,S200000,00400,0300,12/22/1994 74920,S200000,00400,0500,P 74920,S200000,00600,0200,555333 74920,S200000,00600,0300,12/22/1994 74920,S200000,00600,0600,P 74920,S200000,01600,0100,Y 74923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74923,A000000,00300,0000,00300EMPLOYEE BENEFITS 74923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74923,A000000,00700,0000,00700HOUSEKEEPING 74923,A000000,00800,0000,00800DIETARY 74923,A000000,00900,0000,00900NURSING ADMINISTRATION 74923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74923,A000000,01100,0000,01100PHARMACY 74923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74923,A000000,01300,0000,01300SOCIAL SERVICE 74923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74923,A000000,01600,0000,01600SKILLED NURSING FACILITY 74923,A000000,01800,0000,01800NURSING FACILITY 74923,A000000,01810,0000,01810ICF/MR 74923,A000000,02100,0000,02100RADIOLOGY 74923,A000000,02200,0000,02200LABORATORY 74923,A000000,02300,0000,02300INTRAVENOUS THERAPY 74923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74923,A000000,02500,0000,02500PHYSICAL THERAPY 74923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74923,A000000,02700,0000,02700SPEECH PATHOLOGY 74923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74923,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74923,A000000,03550,0000,03550FQHC 74923,A000000,05000,0000,05000CORF 74923,A000000,05010,0000,05010CMHC 74923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74923,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74923,B100000,00000,0100,00000SQUARE FEET 74923,B100000,00000,0200,00000SQUARE FEET 74923,B100000,00000,0300,00000GROSS SALARIES 74923,B100000,00000,0400,00000ACCUM COST 74923,B100000,00000,0500,00000SQUARE FEET 74923,B100000,00000,0600,00000POUNDS OF LAUNDRY 74923,B100000,00000,0700,00000SQUARE FEET 74923,B100000,00000,0800,00000MEALS SERVED 74923,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74923,B100000,00000,1000,00000PATIENT DAYS 74923,B100000,00000,1100,00000PATIENT DAYS 74923,B100000,00000,1200,00000GROSS REVENUES 74923,B100000,00000,1300,00000PATIENT DAYS 74923,B100000,00000,1400,00000ASSIGNED TIME 74923,E10A180,00501,0100,03/24/2000 74923,E10A180,00501,0300,03/24/2000 74923,S000000,00100,0200,03/02/2000 74923,S200000,00100,0100,5240 SEPULVEDA STREET 74923,S200000,00200,0100,CULVER CITY 74923,S200000,00200,0200,CA 74923,S200000,00200,0300,90230 74923,S200000,00300,0100,LOS ANGELES 74923,S200000,00400,0100,MARINA CARE CENTER 74923,S200000,00400,0200,555340 74923,S200000,00400,0300,03/13/1989 74923,S200000,00400,0500,P 74923,S200000,00600,0200,555340 74923,S200000,00600,0300,03/13/1989 74923,S200000,00600,0600,P 74923,S200000,01600,0100,Y 74926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74926,A000000,00300,0000,00300EMPLOYEE BENEFITS 74926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74926,A000000,00700,0000,00700HOUSEKEEPING 74926,A000000,00800,0000,00800DIETARY 74926,A000000,00900,0000,00900NURSING ADMINISTRATION 74926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74926,A000000,01100,0000,01100PHARMACY 74926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74926,A000000,01300,0000,01300SOCIAL SERVICE 74926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74926,A000000,01600,0000,01600SKILLED NURSING FACILITY 74926,A000000,01810,0000,01810ICF/MR 74926,A000000,02200,0000,02200LABORATORY 74926,A000000,02300,0000,02300INTRAVENOUS THERAPY 74926,A000000,02500,0000,02500PHYSICAL THERAPY 74926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74926,A000000,03550,0000,03550FQHC 74926,A000000,05000,0000,05000CORF 74926,A000000,05010,0000,05010CMHC 74926,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74926,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74926,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74926,A81000A,00100,0100,Y 74926,A81000B,00100,0300,MANAGEMENT FEES 74926,A81000B,00200,0300,HOME OFFICE - BUILDING 74926,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 74926,A81000C,00100,0100,B 74926,A81000C,00100,0200,W.R.S. STEELE & ASSOCIATE 74926,A81000C,00100,0400,BLYTHE NURSING CARE CEN. 74926,A81000C,00100,0600,SNF 74926,B100000,00000,0100,00000SQUARE FEET 74926,B100000,00000,0200,00000SQUARE FEET 74926,B100000,00000,0300,00000GROSS SALARIES 74926,B100000,00000,0400,00000ACCUM. COST 74926,B100000,00000,0500,00000SQUARE FEET 74926,B100000,00000,0600,00000POUNDS OF LAUNDRY 74926,B100000,00000,0700,00000SQUARE FEET 74926,B100000,00000,0800,00000MEALS SERVED 74926,B100000,00000,0900,00000DIRECT NRSING HRS 74926,B100000,00000,1000,00000COSTED REQUIS. 74926,B100000,00000,1100,00000COSTED REQUIS 74926,B100000,00000,1200,00000GROSS REVENUE 74926,B100000,00000,1300,00000PATIENT DAYS 74926,B100000,00000,1400,00000ASSIGNED TIME 74926,E10A180,00501,0100,08/18/2000 74926,E10A180,00550,0300,08/18/2000 74926,S000000,00100,0200,06/05/2000 74926,S200000,00100,0100,285 W. CHANSLOR WAY 74926,S200000,00200,0100,BLYTHE 74926,S200000,00200,0200,CA 74926,S200000,00200,0300,92225 74926,S200000,00300,0100,RIVERSIDE 74926,S200000,00400,0100,BLYTHE NURSING CARE CENTER 74926,S200000,00400,0200,555383 74926,S200000,00400,0300,08/01/1989 74926,S200000,00400,0500,P 74926,S200000,00400,0600,O 74926,S200000,01500,0100,Y 74930,S000000,00100,0200,05/31/2000 74934,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74934,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74934,A000000,00300,0000,00300EMPLOYEE BENEFITS 74934,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74934,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74934,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74934,A000000,00700,0000,00700HOUSEKEEPING 74934,A000000,00800,0000,00800DIETARY 74934,A000000,00900,0000,00900NURSING ADMINISTRATION 74934,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74934,A000000,01100,0000,01100PHARMACY 74934,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74934,A000000,01300,0000,01300SOCIAL SERVICE 74934,A000000,01350,0000,01500OTHER GENERAL SERVICES 74934,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74934,A000000,01600,0000,01600SKILLED NURSING FACILITY 74934,A000000,01800,0000,01800NURSING FACILITY 74934,A000000,01810,0000,01810ICF/MR 74934,A000000,02100,0000,02100RADIOLOGY 74934,A000000,02200,0000,02200LABORATORY 74934,A000000,02500,0000,02500PHYSICAL THERAPY 74934,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74934,A000000,02700,0000,02700SPEECH PATHOLOGY 74934,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74934,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74934,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74934,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74934,A000000,03550,0000,03550FQHC 74934,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74934,A000000,05000,0000,05000CORF 74934,A000000,05010,0000,05010CMHC 74934,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74934,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74934,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74934,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74934,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74934,B100000,00000,0100,00000SQUARE FEET 74934,B100000,00000,0200,00000DOLLAR VALUE 74934,B100000,00000,0300,00000GROSS SALARIES 74934,B100000,00000,0400,00000ACCUM. COST 74934,B100000,00000,0500,00000SQUARE FEET 74934,B100000,00000,0600,00000POUNDS OF LAUNDRY 74934,B100000,00000,0700,00000SQUARE FEET 74934,B100000,00000,0800,00000MEALS SERVED 74934,B100000,00000,0900,00000DIRECT NRSING HRS 74934,B100000,00000,1000,00000COSTED REQUIS. 74934,B100000,00000,1100,00000COSTED REQUIS. 74934,B100000,00000,1200,00000TIME SPENT 74934,B100000,00000,1300,00000TIME SPENT 74934,B100000,00000,1350,00000NO STATISTICS 74934,B100000,00000,1400,00000ASSIGNED TIME 74934,E10A180,00350,0300,11/11/1999 74934,E10A180,00501,0100,07/24/2000 74934,E10A180,00501,0300,05/31/2000 74934,E10A180,00550,0100,05/31/2000 74934,E10A180,00550,0300,07/24/2000 74934,S000000,00100,0200,06/02/2000 74934,S200000,00100,0100,2212 N EL MOLINO AVE 74934,S200000,00200,0100,ALTADENA 74934,S200000,00200,0200,CA 74934,S200000,00200,0300,91001 74934,S200000,00300,0100,LOS ANGELES 74934,S200000,00400,0100,THE SCRIPPS HOME FOR THE AGED 74934,S200000,00400,0200,555407 74934,S200000,00400,0300,03/28/1990 74934,S200000,00400,0500,P 74934,S200000,00600,0200,555407 74934,S200000,00600,0300,03/28/1990 74934,S200000,00600,0600,P 74934,S200000,01500,0100,Y 74936,S000000,00100,0200,08/17/2000 74943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74943,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIPME 74943,A000000,00202,0000,00202CAP REL COSTS - MOVABLE EQUIPME 74943,A000000,00300,0000,00300EMPLOYEE BENEFITS 74943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74943,A000000,00700,0000,00700HOUSEKEEPING 74943,A000000,00800,0000,00800DIETARY 74943,A000000,00900,0000,00900NURSING ADMINISTRATION 74943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74943,A000000,01100,0000,01100PHARMACY 74943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74943,A000000,01300,0000,01300SOCIAL SERVICE 74943,A000000,01350,0000,01500OTHER GENERAL SERVICES 74943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74943,A000000,01600,0000,01600SKILLED NURSING FACILITY 74943,A000000,01810,0000,01810ICF/MR 74943,A000000,01900,0000,01900OTHER LONG TERM CARE 74943,A000000,02100,0000,02100RADIOLOGY 74943,A000000,02200,0000,02200LABORATORY 74943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74943,A000000,02500,0000,02500PHYSICAL THERAPY 74943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74943,A000000,02700,0000,02700SPEECH PATHOLOGY 74943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74943,A000000,03200,0000,03200SUPPORT SURFACES 74943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74943,A000000,03550,0000,03550FQHC 74943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74943,A000000,05000,0000,05000CORF 74943,A000000,05010,0000,05010CMHC 74943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74943,A000000,05300,0000,05300INTEREST EXPENSE 74943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 74943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74943,B100000,00000,0100,00000SQUARE FEET 74943,B100000,00000,0200,00000SQUARE FEET 74943,B100000,00000,0201,00000NO STATISTICS 74943,B100000,00000,0202,00000NO STATISTICS 74943,B100000,00000,0300,00000GROSS SALARIES 74943,B100000,00000,0400,00000ACCUM. COST 74943,B100000,00000,0500,00000SQUARE FEET 74943,B100000,00000,0600,00000POUNDS OF LAUNDRY 74943,B100000,00000,0700,00000HOURS OF SERVICE 74943,B100000,00000,0800,00000MEALS SERVED 74943,B100000,00000,0900,00000DIRECT NRSING HRS 74943,B100000,00000,1000,00000COSTED REQUIS. 74943,B100000,00000,1100,00000COSTED REQUIS. 74943,B100000,00000,1200,00000SNF REVENUE 74943,B100000,00000,1300,00000TIME SPENT 74943,B100000,00000,1350,00000NO STATISTICS 74943,B100000,00000,1400,00000ASSIGNED TIME 74943,E10A180,00301,0100,01/01/2000 74943,E10A180,00350,0300,01/01/2000 74943,S000000,00100,0200,06/02/2000 74943,S200000,00100,0100,2236 MERTON AVENUE 74943,S200000,00200,0100,LOS ANGELES 74943,S200000,00200,0200,CA 74943,S200000,00200,0300,90041 74943,S200000,00300,0100,LOS ANGELES 74943,S200000,00400,0100,SOLHEIM LUTHERAN HOME 74943,S200000,00400,0200,555432 74943,S200000,00400,0300,05/15/1990 74943,S200000,00400,0500,P 74943,S200000,01500,0100,Y 74943,S200000,01700,0100,Y 74943,S200000,02800,0100,Y 74946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74946,A000000,00300,0000,00300EMPLOYEE BENEFITS 74946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74946,A000000,00700,0000,00700HOUSEKEEPING 74946,A000000,00800,0000,00800DIETARY 74946,A000000,00900,0000,00900NURSING ADMINISTRATION 74946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74946,A000000,01100,0000,01100PHARMACY 74946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74946,A000000,01300,0000,01300SOCIAL SERVICE 74946,A000000,01350,0000,01500RECREATION 74946,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74946,A000000,01600,0000,01600SKILLED NURSING FACILITY 74946,A000000,01800,0000,01800NURSING FACILITY 74946,A000000,01810,0000,01810ICF/MR 74946,A000000,02100,0000,02100RADIOLOGY 74946,A000000,02200,0000,02200LABORATORY 74946,A000000,02300,0000,02300INTRAVENOUS THERAPY 74946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74946,A000000,02500,0000,02500PHYSICAL THERAPY 74946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74946,A000000,02700,0000,02700SPEECH PATHOLOGY 74946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74946,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74946,A000000,03051,0000,03301DME 74946,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74946,A000000,03550,0000,03550FQHC 74946,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74946,A000000,05000,0000,05000CORF 74946,A000000,05010,0000,05010CMHC 74946,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74946,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74946,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74946,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74946,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74946,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74946,A81000A,00100,0100,Y 74946,A81000B,00100,0300,H.O. CAPITAL 74946,A81000B,00200,0300,H.O. ADMIN & GENERAL 74946,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 74946,A81000C,00100,0100,B 74946,A81000C,00100,0200,KEIRO SERVICES 74946,B100000,00000,0100,00000SQUARE FEET 74946,B100000,00000,0200,00000SQUARE FEET 74946,B100000,00000,0300,00000GROSS SALARY 74946,B100000,00000,0400,00000ACCUM. COST 74946,B100000,00000,0500,00000SQUARE FEET 74946,B100000,00000,0600,00000POUNDS OF LAUNDRY 74946,B100000,00000,0700,00000SQUARE FEET 74946,B100000,00000,0800,00000MEALS SERVED 74946,B100000,00000,0900,00000DIRECT NRSING HRS 74946,B100000,00000,1000,00000COSTED REQUIS. 74946,B100000,00000,1100,00000COSTED REQUIS. 74946,B100000,00000,1200,00000TIME SPENT 74946,B100000,00000,1300,00000TIME SPENT 74946,B100000,00000,1350,00000PATIENT DAYS 74946,B100000,00000,1400,00000ASSIGNED TIME 74946,E10A180,00301,0300,09/17/1999 74946,E10A180,00501,0100,08/07/2000 74946,E10A180,00501,0300,08/07/2000 74946,S000000,00100,0200,05/10/2000 74946,S200000,00100,0100,2221 LINCOLN PARK AVENUE 74946,S200000,00200,0100,LOS ANGELES 74946,S200000,00200,0200,CA 74946,S200000,00200,0300,90031 74946,S200000,00300,0100,LOS ANGELES 74946,S200000,00400,0100,KEIRO NURSING HOME 74946,S200000,00400,0200,555438 74946,S200000,00400,0300,09/25/1990 74946,S200000,00400,0500,P 74946,S200000,00400,0600,O 74946,S200000,01600,0100,Y 74948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74948,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74948,A000000,00300,0000,00300EMPLOYEE BENEFITS 74948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74948,A000000,00700,0000,00700HOUSEKEEPING 74948,A000000,00800,0000,00800DIETARY 74948,A000000,00900,0000,00900NURSING ADMINISTRATION 74948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74948,A000000,01100,0000,01100PHARMACY 74948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74948,A000000,01300,0000,01300SOCIAL SERVICE 74948,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74948,A000000,01600,0000,01600SKILLED NURSING FACILITY 74948,A000000,01810,0000,01810ICF/MR 74948,A000000,02100,0000,02100RADIOLOGY 74948,A000000,02200,0000,02200LABORATORY 74948,A000000,02300,0000,02300INTRAVENOUS THERAPY 74948,A000000,02500,0000,02500PHYSICAL THERAPY 74948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74948,A000000,02700,0000,02700SPEECH PATHOLOGY 74948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74948,A000000,03200,0000,03200SUPPORT SURFACES 74948,A000000,03550,0000,03550FQHC 74948,A000000,05000,0000,05000CORF 74948,A000000,05010,0000,05010CMHC 74948,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74948,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74948,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74948,A81000A,00100,0100,Y 74948,A81000B,00100,0300,BUILDING LEASE 74948,A81000B,00200,0300,ALLOWABLE DEPRECIATION 74948,A81000B,00300,0300,INTEREST 74948,A81000B,00400,0300,A&G 74948,A81000B,00500,0300,UNAMORTIZED LOAN COST 74948,A81000C,00100,0100,D 74948,A81000C,00100,0200,AL GOLDEN 74948,A81000C,00100,0400,AVNCC PARTNERSH 74948,A81000C,00100,0600,RENTAL 74948,B100000,00000,0100,00040SQUARE FEET 74948,B100000,00000,0200,00040SQUARE FEET 74948,B100000,00000,0300,00040GROSS SALARIES 74948,B100000,00000,0400,00040ACCUM COST 74948,B100000,00000,0500,00040SQUARE FEET 74948,B100000,00000,0600,00040POUNDS OF LAUNDRY 74948,B100000,00000,0700,00040SQUARE FEET 74948,B100000,00000,0800,00040MEALS SERVED 74948,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 74948,B100000,00000,1000,00040PATIENT DAYS 74948,B100000,00000,1100,00040COSTED REQUISITIO 74948,B100000,00000,1200,00040GROSS REVENUES 74948,B100000,00000,1300,00040TIME SPENT 74948,B100000,00000,1400,00040ASSIGNED TIME 74948,E10A180,00501,0300,07/13/2000 74948,E10A180,00550,0100,07/13/2000 74948,S000000,00100,0200,05/30/2000 74948,S200000,00100,0100,44567 N. 15TH STREET 74948,S200000,00200,0100,LANCASTER 74948,S200000,00200,0200,CA 74948,S200000,00200,0300,93536 74948,S200000,00300,0100,LOS ANGELES 74948,S200000,00400,0100,ANTELOPE VALLEY NURSING CARE CENTER 74948,S200000,00400,0200,555456 74948,S200000,00400,0300,02/22/1991 74948,S200000,00400,0500,P 74948,S200000,01500,0100,Y 74951,S000000,00100,0200,05/02/2001 74957,S000000,00100,0200,06/09/2000 74960,S000000,00100,0200,06/06/2000 74963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74963,A000000,00300,0000,00300EMPLOYEE BENEFITS 74963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74963,A000000,00700,0000,00700HOUSEKEEPING 74963,A000000,00800,0000,00800DIETARY 74963,A000000,00900,0000,00900NURSING ADMINISTRATION 74963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74963,A000000,01100,0000,01100PHARMACY 74963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74963,A000000,01300,0000,01300SOCIAL SERVICE 74963,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74963,A000000,01600,0000,01600SKILLED NURSING FACILITY 74963,A000000,01810,0000,01810ICF/MR 74963,A000000,02100,0000,02100RADIOLOGY 74963,A000000,02500,0000,02500PHYSICAL THERAPY 74963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74963,A000000,02700,0000,02700SPEECH PATHOLOGY 74963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74963,A000000,03550,0000,03550FQHC 74963,A000000,05000,0000,05000CORF 74963,A000000,05010,0000,05010CMHC 74963,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74963,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74963,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74963,B100000,00000,0100,00040SQUARE FEET 74963,B100000,00000,0200,00040SQUARE FEET 74963,B100000,00000,0300,00040GROSS SALARIES 74963,B100000,00000,0400,00040ACCUM. COST 74963,B100000,00000,0500,00040SQUARE FEET 74963,B100000,00000,0600,00040POUNDS OF LAUNDRY 74963,B100000,00000,0700,00040SQUARE FEET 74963,B100000,00000,0800,00040MEALS SERVED 74963,B100000,00000,0900,00040DIRECT NRSING HRS 74963,B100000,00000,1000,00040COSTED REQUIS 74963,B100000,00000,1100,00040COSTED REQUIS 74963,B100000,00000,1200,00040TIME SPENT 74963,B100000,00000,1300,00040PATIENT DAYS 74963,B100000,00000,1400,00040ASSIGNED TIME 74963,E10A180,00301,0300,11/17/1999 74963,E10A180,00501,0100,07/07/2000 74963,E10A180,00501,0300,07/07/2000 74963,S000000,00100,0200,05/30/2000 74963,S200000,00100,0100,RANCHO MESA CARE CENTER 74963,S200000,00200,0100,ALTA LOMA 74963,S200000,00200,0200,CA 74963,S200000,00200,0300,91701 74963,S200000,00300,0100,SAN BERNARDINO 74963,S200000,00400,0100,RANCHO MESA CARE CENTER 74963,S200000,00400,0200,555521 74963,S200000,00400,0300,10/01/1997 74963,S200000,00400,0500,P 74963,S200000,00400,0600,O 74963,S200000,01500,0100,Y 74966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74966,A000000,00300,0000,00300EMPLOYEE BENEFITS 74966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74966,A000000,00700,0000,00700HOUSEKEEPING 74966,A000000,00800,0000,00800DIETARY 74966,A000000,00900,0000,00900NURSING ADMINISTRATION 74966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74966,A000000,01100,0000,01100PHARMACY 74966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74966,A000000,01300,0000,01300SOCIAL SERVICE 74966,A000000,01350,0000,01500OTHER GENERAL SERVICES 74966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74966,A000000,01600,0000,01600SKILLED NURSING FACILITY 74966,A000000,01800,0000,01800NURSING FACILITY 74966,A000000,01810,0000,01810ICF/MR 74966,A000000,02100,0000,02100RADIOLOGY 74966,A000000,02200,0000,02200LABORATORY 74966,A000000,02500,0000,02500PHYSICAL THERAPY 74966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74966,A000000,02700,0000,02700SPEECH PATHOLOGY 74966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74966,A000000,02901,0000,02901OXYGEN SUPPLIES CHARGED TO PATI 74966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74966,A000000,03200,0000,03200SUPPORT SURFACES 74966,A000000,03550,0000,03550FQHC 74966,A000000,05000,0000,05000CORF 74966,A000000,05010,0000,05010CMHC 74966,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74966,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74966,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74966,A81000A,00100,0100,Y 74966,A81000B,00100,0300,MANAGEMENT FEE 74966,A81000B,00200,0300,HOME OFFICE BLDG 74966,A81000B,00300,0300,HOME OFFICE EQUIP 74966,A81000B,00400,0300,BUILDING LEASE 74966,A81000B,00500,0300,CWIC WORK COMP 74966,A81000B,00600,0300,CWIC INSURANCE 74966,A81000B,00700,0300,EMERALD FIXED ASSETS 74966,A81000B,00800,0300,EMERALD A&G SUPP 74966,A81000B,00900,0300,EMERALD MAINT 74966,A81000B,01000,0300,EMERALD L&L 74966,A81000B,01100,0300,EMERALD HSKG 74966,A81000B,01200,0300,EMERALD DIETARY 74966,A81000B,01300,0300,EMERALD NURSE ADMIN 74966,A81000B,01400,0300,EMERALD ACTIVITIES 74966,A81000B,01500,0300,PWP ADMIN 74966,A81000B,01600,0300,PWP FOOD SUPPLEMENTS 74966,A81000B,01700,0300,PWP HOUSE SUPPLIES 74966,A81000B,01800,0300,PWP MED SUPP 74966,A81000B,01900,0300,PWP PHARMACY 74966,A81000B,02000,0300,BUILDING INTEREST 74966,A81000C,00100,0100,F 74966,A81000C,00100,0200,MARTIN HARMON 74966,A81000C,00200,0100,C 74966,A81000C,00200,0400,CARE WEST INSURANCE CO 74966,A81000C,00200,0600,CAPTIVE INSURANCE CO 74966,A81000C,00300,0100,C 74966,A81000C,00300,0400,PACIFIC WEST PHARMACY 74966,A81000C,00300,0600,PHARMACY 74966,A81000C,00400,0100,C 74966,A81000C,00400,0400,EMERALD DISTRIBUTING INC 74966,A81000C,00400,0600,DISTRIBUTORSHIP 74966,A81000C,00500,0100,B 74966,A81000C,00500,0400,HORIZON WEST HDQTRS INC. 74966,A81000C,00500,0600,HOME OFFICE 74966,B100000,00000,0100,00000SQUARE FEET 74966,B100000,00000,0200,00000SQUARE FEET 74966,B100000,00000,0300,00000GROSS SALARIES 74966,B100000,00000,0400,00000ACCUM. COST 74966,B100000,00000,0500,00000SQUARE FEET 74966,B100000,00000,0600,00000POUNDS OF LAUNDRY 74966,B100000,00000,0700,00000NON-DIETAR RY SQ. 74966,B100000,00000,0800,00000MEALS SERVED 74966,B100000,00000,0900,00000DIRECT NURSING HR 74966,B100000,00000,1000,00000COSTED REQS 74966,B100000,00000,1100,00000NO STATISTICS 74966,B100000,00000,1200,00000GROSS REVENUE 74966,B100000,00000,1300,00000CENSUS 74966,B100000,00000,1350,00000NO STATISTICS 74966,B100000,00000,1400,00000ASSIGNED TIME 74966,E10A180,00501,0100,01/30/2001 74966,E10A180,00551,0100,01/09/2001 74966,E10A180,00551,0300,01/09/2001 74966,E10A180,00552,0300,01/30/2001 74966,S000000,00100,0200,01/10/2001 74966,S200000,00100,0100,9000 LARKIN ROAD 74966,S200000,00200,0100,LIVE OAK 74966,S200000,00200,0200,CA 74966,S200000,00200,0300,95949 74966,S200000,00300,0100,S 74966,S200000,00400,0100,LIVE OAK MANOR 74966,S200000,00400,0200,555535 74966,S200000,00400,0300,06/01/1995 74966,S200000,00400,0500,P 74966,S200000,00600,0200,555535 74966,S200000,00600,0300,06/01/1995 74966,S200000,00600,0600,P 74966,S200000,01600,0100,Y 74968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74968,A000000,00300,0000,00300EMPLOYEE BENEFITS 74968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74968,A000000,00700,0000,00700HOUSEKEEPING 74968,A000000,00800,0000,00800DIETARY 74968,A000000,00900,0000,00900NURSING ADMINISTRATION 74968,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74968,A000000,01100,0000,01100PHARMACY 74968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74968,A000000,01300,0000,01300SOCIAL SERVICE 74968,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 74968,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74968,A000000,01600,0000,01600SKILLED NURSING FACILITY 74968,A000000,01810,0000,01810ICF/MR 74968,A000000,02100,0000,02100RADIOLOGY 74968,A000000,02200,0000,02200LABORATORY 74968,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74968,A000000,02500,0000,02500PHYSICAL THERAPY 74968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74968,A000000,02700,0000,02700SPEECH PATHOLOGY 74968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74968,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74968,A000000,03200,0000,03200SUPPORT SURFACES 74968,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 74968,A000000,03550,0000,03550FQHC 74968,A000000,05000,0000,05000CORF 74968,A000000,05010,0000,05010CMHC 74968,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74968,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74968,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74968,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74968,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74968,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 74968,A81000A,00100,0100,Y 74968,A81000B,00100,0300,HOME OFFICE CAPITAL 74968,A81000B,00200,0300,HEADQUARTER ALLOCATION 74968,A81000C,00100,0100,A 74968,A81000C,00100,0400,KENNON S SHEA ASSOC. 74968,A81000C,00100,0600,HOME OFFICE 74968,B100000,00000,0100,00000SQUARE FEET 74968,B100000,00000,0200,00000SQUARE FEET 74968,B100000,00000,0300,00000GROSS SALARIES 74968,B100000,00000,0400,00000ACCUM COST 74968,B100000,00000,0500,00000SQUARE FEET 74968,B100000,00000,0600,00000POUNDS OF LAUNDRY 74968,B100000,00000,0700,00000SQUARE FEET 74968,B100000,00000,0800,00000MEALS SERVED 74968,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 74968,B100000,00000,1000,00000PATIENT DAYS 74968,B100000,00000,1100,00000PATIENT DAYS 74968,B100000,00000,1200,00000GROSS REVENUES 74968,B100000,00000,1300,00000PATIENT DAYS 74968,B100000,00000,1350,00000 74968,B100000,00000,1400,00000ASSIGNED TIME 74968,E10A180,00501,0100,05/08/2000 74968,E10A180,00550,0300,05/08/2000 74968,S000000,00100,0200,05/11/2000 74968,S200000,00100,0100,7180 FAY AVENUE 74968,S200000,00200,0100,LA JOLLA 74968,S200000,00200,0200,CA 74968,S200000,00200,0300,92037 74968,S200000,00300,0100,SAN DIEGO 74968,S200000,00400,0100,THE CLOISTERS OF LA JOLLA 74968,S200000,00400,0200,555545 74968,S200000,00400,0300,07/07/1970 74968,S200000,00400,0500,P 74968,S200000,01500,0100,Y 74970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74970,A000000,00300,0000,00300EMPLOYEE BENEFITS 74970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74970,A000000,00700,0000,00700HOUSEKEEPING 74970,A000000,00800,0000,00800DIETARY 74970,A000000,00900,0000,00900NURSING ADMINISTRATION 74970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74970,A000000,01100,0000,01100PHARMACY 74970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74970,A000000,01300,0000,01300SOCIAL SERVICE 74970,A000000,01310,0000,01301ACTIVITIES 74970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74970,A000000,01600,0000,01600SKILLED NURSING FACILITY 74970,A000000,01800,0000,01800NURSING FACILITY 74970,A000000,01810,0000,01810ICF/MR 74970,A000000,02100,0000,02100RADIOLOGY 74970,A000000,02200,0000,02200LABORATORY 74970,A000000,02500,0000,02500PHYSICAL THERAPY 74970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74970,A000000,02700,0000,02700SPEECH PATHOLOGY 74970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74970,A000000,03200,0000,03200SUPPORT SURFACES 74970,A000000,03550,0000,03550FQHC 74970,A000000,05000,0000,05000CORF 74970,A000000,05010,0000,05010CMHC 74970,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74970,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74970,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74970,A81000A,00100,0100,Y 74970,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEES 74970,A81000C,00100,0100,B 74970,A81000C,00100,0200,CARE CTRS 74970,A81000C,00100,0400,HEALTH CTRS 74970,A81000C,00100,0600,LTC 74970,B100000,00000,0100,00000SQUARE FEET 74970,B100000,00000,0200,00000SQUARE FEET 74970,B100000,00000,0300,00000GROSS SALARIES 74970,B100000,00000,0400,00000ACCUM. COST 74970,B100000,00000,0500,00000SQUARE FEET 74970,B100000,00000,0600,00000POUNDS OF LAUNDRY 74970,B100000,00000,0700,00000SQUARE FEET 74970,B100000,00000,0800,00000MEALS SERVED 74970,B100000,00000,0900,00000DIRECT NRSING HRS 74970,B100000,00000,1000,00000COSTED REQUIS. 74970,B100000,00000,1100,00000COSTED REQUIS. 74970,B100000,00000,1200,00000GROSS REVENUE 74970,B100000,00000,1300,00000I/P DAYS 74970,B100000,00000,1301,00000I/P DAYS 74970,B100000,00000,1400,00000ASSIGNED TIME 74970,E10A180,00301,0300,11/19/1999 74970,E10A180,00501,0100,07/18/2000 74970,E10A180,00550,0100,05/31/2000 74970,E10A180,00550,0300,05/31/2000 74970,E10A180,00551,0300,07/18/2000 74970,S000000,00100,0200,06/01/2000 74970,S200000,00100,0100,21820 CRAGGY VIEW 74970,S200000,00200,0100,CHATSWORTH 74970,S200000,00200,0200,CA 74970,S200000,00200,0300,91311 74970,S200000,00300,0100,LOS ANGELES 74970,S200000,00400,0100,GOLDEN STATE CARE CENTER 74970,S200000,00400,0200,555574 74970,S200000,00400,0300,10/14/1993 74970,S200000,00400,0500,P 74970,S200000,01600,0100,Y 74970,S200000,02200,0100,Y 74974,S000000,00100,0200,06/23/2000 74978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74978,A000000,00300,0000,00300EMPLOYEE BENEFITS 74978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74978,A000000,00700,0000,00700HOUSEKEEPING 74978,A000000,00800,0000,00800DIETARY 74978,A000000,00900,0000,00900NURSING ADMINISTRATION 74978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74978,A000000,01100,0000,01100PHARMACY 74978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74978,A000000,01300,0000,01300SOCIAL SERVICE 74978,A000000,01350,0000,01500OTHER GENERAL SERVICES 74978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74978,A000000,01600,0000,01600SKILLED NURSING FACILITY 74978,A000000,01810,0000,01810ICF/MR 74978,A000000,02100,0000,02100RADIOLOGY 74978,A000000,02200,0000,02200LABORATORY 74978,A000000,02500,0000,02500PHYSICAL THERAPY 74978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74978,A000000,02700,0000,02700SPEECH PATHOLOGY 74978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74978,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 74978,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 74978,A000000,03550,0000,03550FQHC 74978,A000000,04750,0000,05100OTHER REIMBURSABLE COST 74978,A000000,05000,0000,05000CORF 74978,A000000,05010,0000,05010CMHC 74978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74978,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 74978,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 74978,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 74978,A81000A,00100,0100,Y 74978,A81000B,00100,0300,MANAGEMENT FEE 74978,A81000B,00200,0300,H.O. COST REPORT ALLOCATION 74978,A81000B,00300,0300,H.O. COST REPORT ALLOCATION 74978,A81000B,00400,0300,H.O. COST REPORT ALLOCATION 74978,A81000C,00100,0100,B 74978,A81000C,00100,0200,SO.CA. PRESBYTERIAN HOMES 74978,A81000C,00100,0400,SO.CA. PRESBYTERIAN HOMES 74978,A81000C,00100,0600,HOME OFFICE 74978,B100000,00000,0100,00000SQUARE FEET 74978,B100000,00000,0200,00000SQUARE FEET 74978,B100000,00000,0300,00000GROSS SALARIES 74978,B100000,00000,0400,00000ACCUM. COST 74978,B100000,00000,0500,00000SQUARE FEET 74978,B100000,00000,0600,00000PATIENT DAYS 74978,B100000,00000,0700,00000SQUARE FEET 74978,B100000,00000,0800,00000MEALS SERVED 74978,B100000,00000,0900,00000PATIENT DAYS 74978,B100000,00000,1000,00000COSTED REQUIS. 74978,B100000,00000,1100,00000COSTED REQUIS. 74978,B100000,00000,1200,00000GROSS REVENUE 74978,B100000,00000,1300,00000PATIENT DAYS 74978,B100000,00000,1350,00000NO STATISTICS 74978,B100000,00000,1400,00000NO STATISTICS 74978,E10A180,00301,0100,12/31/1999 74978,E10A180,00301,0300,12/31/1999 74978,E10A180,00350,0300,11/16/1999 74978,E10A180,00501,0100,06/30/2000 74978,E10A180,00501,0300,06/30/2000 74978,S000000,00100,0200,06/08/2000 74978,S200000,00100,0100,1208 S. CENTRAL AVENUE 74978,S200000,00200,0100,GLENDALE 74978,S200000,00200,0200,CA 74978,S200000,00200,0300,91204 74978,S200000,00300,0100,LOS ANGELES 74978,S200000,00400,0100,CASA VERDUGO CONVALESCENT LODGE 74978,S200000,00400,0200,555609 74978,S200000,00400,0300,09/21/1994 74978,S200000,00400,0500,P 74978,S200000,01500,0100,Y 74981,S000000,00100,0200,06/02/2000 74984,S000000,00100,0200,09/11/2000 74986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74986,A000000,00300,0000,00300EMPLOYEE BENEFITS 74986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74986,A000000,00700,0000,00700HOUSEKEEPING 74986,A000000,00800,0000,00800DIETARY 74986,A000000,00900,0000,00900NURSING ADMINISTRATION 74986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74986,A000000,01100,0000,01100PHARMACY 74986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74986,A000000,01300,0000,01300SOCIAL SERVICE 74986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74986,A000000,01600,0000,01600SKILLED NURSING FACILITY 74986,A000000,01810,0000,01810ICF/MR 74986,A000000,02100,0000,02100RADIOLOGY 74986,A000000,02200,0000,02200LABORATORY 74986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74986,A000000,02500,0000,02500PHYSICAL THERAPY 74986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74986,A000000,02700,0000,02700SPEECH PATHOLOGY 74986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74986,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 74986,A000000,03550,0000,03550FQHC 74986,A000000,05000,0000,05000CORF 74986,A000000,05010,0000,05010CMHC 74986,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74986,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74986,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74986,B100000,00000,0100,00040SQUARE FEET 74986,B100000,00000,0200,00040SQUARE FEET 74986,B100000,00000,0300,00040GROSS SALARIES 74986,B100000,00000,0400,00040ACCUM COST 74986,B100000,00000,0500,00040SQUARE FEET 74986,B100000,00000,0600,00040PATIENT DAYS 74986,B100000,00000,0700,00040SQUARE FEET 74986,B100000,00000,0800,00040MEALS SERVED 74986,B100000,00000,0900,00040DIR NURSIN HRS OF SVC 74986,B100000,00000,1000,00040COSTED REQUISITIO 74986,B100000,00000,1100,00040COSTED REQUISITIO 74986,B100000,00000,1200,00040GROSS REVENUES 74986,B100000,00000,1300,00040PATIENT DAYS 74986,B100000,00000,1400,00040ASSIGNED TIME 74986,E10A180,00501,0100,05/31/2000 74986,E10A180,00550,0300,05/31/2000 74986,S000000,00100,0200,07/19/2000 74986,S200000,00100,0100,4282 BALBOA AVENUE 74986,S200000,00200,0100,SAN DIEGO 74986,S200000,00200,0200,CA 74986,S200000,00200,0300,92117 74986,S200000,00300,0100,SAN DIEGO 74986,S200000,00400,0100,CANYON VILLAS 74986,S200000,00400,0200,555633 74986,S200000,00400,0300,06/01/1995 74986,S200000,00400,0500,P 74986,S200000,01500,0100,Y 74989,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74989,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74989,A000000,00300,0000,00300EMPLOYEE BENEFITS 74989,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74989,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74989,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74989,A000000,00700,0000,00700HOUSEKEEPING 74989,A000000,00800,0000,00800DIETARY 74989,A000000,00900,0000,00900NURSING ADMINISTRATION 74989,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74989,A000000,01100,0000,01100PHARMACY 74989,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74989,A000000,01300,0000,01300SOCIAL SERVICE 74989,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74989,A000000,01600,0000,01600SKILLED NURSING FACILITY 74989,A000000,01810,0000,01810ICF/MR 74989,A000000,02100,0000,02100RADIOLOGY 74989,A000000,02200,0000,02200LABORATORY 74989,A000000,02500,0000,02500PHYSICAL THERAPY 74989,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74989,A000000,02700,0000,02700SPEECH PATHOLOGY 74989,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74989,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74989,A000000,03550,0000,03550FQHC 74989,A000000,05000,0000,05000CORF 74989,A000000,05010,0000,05010CMHC 74989,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74989,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74989,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74989,B100000,00000,0100,00040SQUARE FEET 74989,B100000,00000,0200,00040SQUARE FEET 74989,B100000,00000,0300,00040GROSS SALARIES 74989,B100000,00000,0400,00040ACCUM. COST 74989,B100000,00000,0500,00040SQUARE FEET 74989,B100000,00000,0600,00040POUNDS OF LAUNDRY 74989,B100000,00000,0700,00040SQUARE FEET 74989,B100000,00000,0800,00040MEALS SERVED 74989,B100000,00000,0900,00040DIRECT NRSG HRS 74989,B100000,00000,1000,00040COSTED REQUIS 74989,B100000,00000,1100,00040COSTED REQUIS 74989,B100000,00000,1200,00040GROSS REVENUE 74989,B100000,00000,1300,00040PATIENT DAYS 74989,B100000,00000,1400,00040ASSIGNED TIME 74989,E10A180,00501,0300,08/22/2000 74989,S000000,00100,0200,08/10/2000 74989,S200000,00100,0100,2889 SAN PASQUAL STREET 74989,S200000,00200,0100,PASADENA 74989,S200000,00200,0200,CA 74989,S200000,00200,0300,91107 74989,S200000,00300,0100,LOS ANGELES 74989,S200000,00400,0100,MONTE VISTA GROVE HOMES 74989,S200000,00400,0200,555650 74989,S200000,00400,0300,09/28/1995 74989,S200000,00400,0500,P 74989,S200000,01500,0100,Y 74994,S000000,00100,0200,07/05/2000 74998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 74998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 74998,A000000,00300,0000,00300EMPLOYEE BENEFITS 74998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 74998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 74998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 74998,A000000,00700,0000,00700HOUSEKEEPING 74998,A000000,00800,0000,00800DIETARY 74998,A000000,00900,0000,00900NURSING ADMINISTRATION 74998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 74998,A000000,01100,0000,01100PHARMACY 74998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 74998,A000000,01300,0000,01300SOCIAL SERVICE 74998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 74998,A000000,01600,0000,01600SKILLED NURSING FACILITY 74998,A000000,01800,0000,01800NURSING FACILITY 74998,A000000,01810,0000,01810ICF/MR 74998,A000000,02100,0000,02100RADIOLOGY 74998,A000000,02200,0000,02200LABORATORY 74998,A000000,02300,0000,02300INTRAVENOUS THERAPY 74998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 74998,A000000,02500,0000,02500PHYSICAL THERAPY 74998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 74998,A000000,02700,0000,02700SPEECH PATHOLOGY 74998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 74998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 74998,A000000,03200,0000,03200SUPPORT SURFACES 74998,A000000,03550,0000,03550FQHC 74998,A000000,05000,0000,05000CORF 74998,A000000,05010,0000,05010CMHC 74998,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 74998,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 74998,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 74998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 74998,A81000A,00100,0100,Y 74998,A81000B,00100,0300,A&G 74998,A81000B,00200,0300,CRC-BUILDING AND FIXTURES 74998,A81000B,00300,0300,CRC-EQUIPMENT 74998,A81000C,00100,0100,A 74998,A81000C,00100,0200,FRANK JOHNSON 74998,A81000C,00100,0400,SUN MAR MANAGEMENT 74998,A81000C,00100,0600,MANAGEMENT COMPANY 74998,B100000,00000,0100,00000SQUARE FEET 74998,B100000,00000,0200,00000SQUARE FEET 74998,B100000,00000,0300,00000GROSS SALARIES 74998,B100000,00000,0400,00000ACCUM. COST 74998,B100000,00000,0500,00000SQUARE FEET 74998,B100000,00000,0600,00000POUNDS OF LAUNDRY 74998,B100000,00000,0700,00000SQUARE FEET 74998,B100000,00000,0800,00000MEALS SERVED 74998,B100000,00000,0900,00000DIRECT NRSING HRS 74998,B100000,00000,1000,00000COSTED REQUIS. 74998,B100000,00000,1100,00000COSTED REQUIS 74998,B100000,00000,1200,00000GROSS REVENUE 74998,B100000,00000,1300,00000PATIENT DAYS 74998,B100000,00000,1400,00000ASSIGNED TIME 74998,E10A180,00501,0300,06/23/2000 74998,E10A180,00550,0100,06/23/2000 74998,S000000,00100,0200,05/25/2000 74998,S200000,00100,0100,12681 HASTER STREET 74998,S200000,00200,0100,GARDEN GROVE 74998,S200000,00200,0200,CA 74998,S200000,00200,0300,91755 74998,S200000,00300,0100,ORANGE 74998,S200000,00400,0100,GARDEN PARK CARE CENTER 74998,S200000,00400,0200,555667 74998,S200000,00400,0300,05/16/1996 74998,S200000,00400,0500,P 74998,S200000,00400,0600,O 74998,S200000,00600,0200,555667 74998,S200000,00600,0300,05/16/1996 74998,S200000,00600,0600,P 74998,S200000,01600,0100,Y 75003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75003,A000000,00300,0000,00300EMPLOYEE BENEFITS 75003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75003,A000000,00700,0000,00700HOUSEKEEPING 75003,A000000,00800,0000,00800DIETARY 75003,A000000,00900,0000,00900NURSING ADMINISTRATION 75003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75003,A000000,01100,0000,01100PHARMACY 75003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75003,A000000,01300,0000,01300SOCIAL SERVICE 75003,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75003,A000000,01600,0000,01600SKILLED NURSING FACILITY 75003,A000000,01800,0000,01800NURSING FACILITY 75003,A000000,01810,0000,01810ICF/MR 75003,A000000,02100,0000,02100RADIOLOGY 75003,A000000,02200,0000,02200LABORATORY 75003,A000000,02300,0000,02300INTRAVENOUS THERAPY 75003,A000000,02500,0000,02500PHYSICAL THERAPY 75003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75003,A000000,02700,0000,02700SPEECH PATHOLOGY 75003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75003,A000000,03200,0000,03200SUPPORT SURFACES 75003,A000000,03550,0000,03550FQHC 75003,A000000,05000,0000,05000CORF 75003,A000000,05010,0000,05010CMHC 75003,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75003,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75003,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75003,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75003,A81000A,00100,0100,Y 75003,A81000B,00100,0300,MANAGEMENT FEES 75003,A81000B,00200,0300,CAP REL-BLDG 75003,A81000B,00300,0300,CAP REL-EQUIP 75003,A81000B,00400,0300,RENT EXPENSE 75003,A81000C,00400,0100,B 75003,A81000C,00400,0200,FAMILY 75003,A81000C,00400,0400,LONGWOOD MGT 75003,A81000C,00400,0600,MANAGEMENT 75003,B100000,00000,0100,00000SQUARE FEET 75003,B100000,00000,0200,00000DOLLAR VALUE 75003,B100000,00000,0300,00000GROSS SALARIES 75003,B100000,00000,0400,00000ACCUM. COST 75003,B100000,00000,0500,00000SQUARE FEET 75003,B100000,00000,0600,00000POUNDS OF LAUNDRY 75003,B100000,00000,0700,00000HOURS OF SERVICE 75003,B100000,00000,0800,00000MEALS SERVED 75003,B100000,00000,0900,00000DIRECT NRSING HRS 75003,B100000,00000,1000,00000COSTED REQUIS. 75003,B100000,00000,1100,00000COSTED REQUIS. 75003,B100000,00000,1200,00000TIME SPENT 75003,B100000,00000,1300,00000TIME SPENT 75003,B100000,00000,1400,00000ASSIGNED TIME 75003,E10A180,00301,0300,11/12/1999 75003,E10A180,00501,0100,06/28/2000 75003,E10A180,00550,0300,06/28/2000 75003,S000000,00100,0200,06/02/2000 75003,S200000,00100,0100,11429 VENTURA BLVD. 75003,S200000,00200,0100,STUDIO CITY 75003,S200000,00200,0200,CA 75003,S200000,00200,0300,91604 75003,S200000,00300,0100,LOS ANGELES 75003,S200000,00400,0100,STUDIO CITY CONVALESCENT HOSP 75003,S200000,00400,0200,555686 75003,S200000,00400,0300,09/04/1996 75003,S200000,00400,0500,P 75003,S200000,00600,0200,555686 75003,S200000,00600,0300,09/04/1996 75003,S200000,00600,0600,P 75003,S200000,01600,0100,Y 75003,S200000,04300,0100,Y 75005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75005,A000000,00300,0000,00300EMPLOYEE BENEFITS 75005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75005,A000000,00700,0000,00700HOUSEKEEPING 75005,A000000,00800,0000,00800DIETARY 75005,A000000,00900,0000,00900NURSING ADMINISTRATION 75005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75005,A000000,01100,0000,01100PHARMACY 75005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75005,A000000,01300,0000,01300SOCIAL SERVICE 75005,A000000,01350,0000,01500OTHER GENERAL SERVICES 75005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75005,A000000,01600,0000,01600SKILLED NURSING FACILITY 75005,A000000,01800,0000,01800NURSING FACILITY 75005,A000000,01810,0000,01810ICF/MR 75005,A000000,02100,0000,02100RADIOLOGY 75005,A000000,02200,0000,02200LABORATORY 75005,A000000,02300,0000,02300INTRAVENOUS THERAPY 75005,A000000,02500,0000,02500PHYSICAL THERAPY 75005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75005,A000000,02700,0000,02700SPEECH PATHOLOGY 75005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75005,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 75005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 75005,A000000,03550,0000,03550FQHC 75005,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75005,A000000,05000,0000,05000CORF 75005,A000000,05010,0000,05010CMHC 75005,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75005,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75005,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 75005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75005,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75005,A81000A,00100,0100,Y 75005,A81000B,00100,0300,MANAGEMENT FEES 75005,A81000C,00100,0100,A 75005,A81000C,00100,0200,LEE C. SAMSON 75005,A81000C,00100,0400,WHM INC 75005,B100000,00000,0100,00000SQUARE FEET 75005,B100000,00000,0200,00000SQUARE FEET 75005,B100000,00000,0300,00000GROSS SALARIES 75005,B100000,00000,0400,00000ACCUM. COST 75005,B100000,00000,0500,00000SQUARE FEET 75005,B100000,00000,0600,00000POUNDS OF LAUNDRY 75005,B100000,00000,0700,00000SQUARE FEET 75005,B100000,00000,0800,00000MEALS SERVED 75005,B100000,00000,0900,00000TIME SPENT 75005,B100000,00000,1000,00000COSTED REQUIS. 75005,B100000,00000,1100,00000COSTED REQUIS. 75005,B100000,00000,1200,00000GROSS REVENUE 75005,B100000,00000,1300,00000TIME SPENT 75005,B100000,00000,1350,00000NO STATISTICS 75005,B100000,00000,1400,00000ASSIGNED TIME 75005,E10A180,00350,0300,12/13/1999 75005,E10A180,00501,0300,08/11/2000 75005,S000000,00100,0200,06/02/2000 75005,S200000,00100,0100,3415 W. BALL ROAD 75005,S200000,00200,0100,ANAHEIM 75005,S200000,00200,0200,CA 75005,S200000,00200,0300,92804 75005,S200000,00300,0100,ORANGE 75005,S200000,00400,0100,WINDSOR GARDENS OF ANAHEIM 75005,S200000,00400,0200,555688 75005,S200000,00400,0300,01/03/1997 75005,S200000,00400,0500,P 75005,S200000,00600,0200,555688 75005,S200000,00600,0300,01/03/1997 75005,S200000,00600,0600,P 75005,S200000,01600,0100,Y 75009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75009,A000000,00300,0000,00300EMPLOYEE BENEFITS 75009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75009,A000000,00700,0000,00700HOUSEKEEPING 75009,A000000,00800,0000,00800DIETARY 75009,A000000,00900,0000,00900NURSING ADMINISTRATION 75009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75009,A000000,01100,0000,01100PHARMACY 75009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75009,A000000,01300,0000,01300SOCIAL SERVICE 75009,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75009,A000000,01600,0000,01600SKILLED NURSING FACILITY 75009,A000000,01810,0000,01810ICF/MR 75009,A000000,02100,0000,02100RADIOLOGY 75009,A000000,02200,0000,02200LABORATORY 75009,A000000,02300,0000,02300INTRAVENOUS THERAPY 75009,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75009,A000000,02500,0000,02500PHYSICAL THERAPY 75009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75009,A000000,02700,0000,02700SPEECH PATHOLOGY 75009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75009,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 75009,A000000,03200,0000,03200SUPPORT SURFACES 75009,A000000,03550,0000,03550FQHC 75009,A000000,05000,0000,05000CORF 75009,A000000,05010,0000,05010CMHC 75009,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75009,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75009,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75009,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75009,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 75009,A81000A,00100,0100,Y 75009,A81000B,00100,0300,CAPITAL RELATED RENT 75009,A81000B,00200,0300,CAPITAL RELATED BUILDING DEPRE 75009,A81000B,00300,0300,CAPITAL RELATED EQUIP DEP 75009,A81000B,00400,0300,ADMINISTRATIVE 75009,A81000B,00500,0300,CAPITAL RELATED INTEREST 75009,A81000B,00600,0300,ADMINISTRATIVE LEAGAL 75009,A81000B,00700,0300,REPAIRS & MAINT 75009,A81000C,00100,0100,A 75009,A81000C,00100,0200,CARY BUCHMAN 75009,A81000C,00100,0400,MEDICAL LANDMAR 75009,A81000C,00100,0600,REAL ESTATE 75009,A81000C,00200,0100,A 75009,A81000C,00200,0200,KEN KAHAN 75009,A81000C,00200,0400,MEDICAL LANDMAR 75009,A81000C,00200,0600,REAL ESTATE 75009,A81000C,00300,0100,A 75009,A81000C,00300,0200,GARDNER FAMILY 75009,A81000C,00300,0400,MEDICAL LANDMAR 75009,A81000C,00300,0600,REAL ESTATE 75009,A81000C,00400,0100,A 75009,A81000C,00400,0200,KAHAN FAMILY 75009,A81000C,00400,0400,MEDICAL LANDMAR 75009,A81000C,00400,0600,REAL ESTATE 75009,A81000C,00500,0100,A 75009,A81000C,00500,0200,STANLEY KAHAN 75009,A81000C,00500,0400,MEDICAL LANDMAR 75009,A81000C,00500,0600,REAL ESTATE 75009,A81000C,00600,0100,A 75009,A81000C,00600,0200,DENNIS KSHAN 75009,A81000C,00600,0400,MEDICAL LANDMAR 75009,A81000C,00600,0600,REAL ESTATE 75009,B100000,00000,0100,00000SQUARE FEET 75009,B100000,00000,0200,00000SQUARE FEET 75009,B100000,00000,0300,00000GROSS SALARIES 75009,B100000,00000,0400,00000ACCUM COST 75009,B100000,00000,0500,00000SQUARE FEET 75009,B100000,00000,0600,00000POUNDS OF LAUNDRY 75009,B100000,00000,0700,00000SQUARE FEET 75009,B100000,00000,0800,00000MEALS SERVED 75009,B100000,00000,0900,00000HOURS OF SERVICE 75009,B100000,00000,1000,00000PATIENT DAYS 75009,B100000,00000,1100,00000PATIENT DAYS 75009,B100000,00000,1200,00000GROSS REVENUES 75009,B100000,00000,1300,00000PATIENT DAYS 75009,B100000,00000,1400,00000ASSIGNED TIME 75009,E10A180,00350,0300,11/12/1999 75009,E10A180,00501,0100,06/21/2000 75009,E10A180,00501,0300,06/21/2000 75009,S000000,00100,0200,06/01/2000 75009,S200000,00100,0100,580 SAN VICENTE BOULEVARD 75009,S200000,00200,0100,LOS ANGELES 75009,S200000,00200,0200,CALIFORNIA 75009,S200000,00300,0100,LOS ANGLES 75009,S200000,00400,0100,REHAB CENTER OF BEVERLY HILLS 75009,S200000,00400,0200,555700 75009,S200000,00400,0300,04/16/1997 75009,S200000,00400,0500,P 75009,S200000,01500,0100,Y 75011,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75011,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75011,A000000,00300,0000,00300EMPLOYEE BENEFITS 75011,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75011,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75011,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75011,A000000,00700,0000,00700HOUSEKEEPING 75011,A000000,00800,0000,00800DIETARY 75011,A000000,00900,0000,00900NURSING ADMINISTRATION 75011,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75011,A000000,01100,0000,01100PHARMACY 75011,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75011,A000000,01300,0000,01300SOCIAL SERVICE 75011,A000000,01350,0000,01500OTHER GENERAL SERVICES 75011,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75011,A000000,01600,0000,01600SKILLED NURSING FACILITY 75011,A000000,01800,0000,01800NURSING FACILITY 75011,A000000,01810,0000,01810ICF/MR 75011,A000000,02100,0000,02100RADIOLOGY 75011,A000000,02200,0000,02200LABORATORY 75011,A000000,02300,0000,02300INTRAVENOUS THERAPY 75011,A000000,02500,0000,02500PHYSICAL THERAPY 75011,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75011,A000000,02700,0000,02700SPEECH PATHOLOGY 75011,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75011,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75011,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 75011,A000000,03200,0000,03200SUPPORT SURFACES 75011,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 75011,A000000,03550,0000,03550FQHC 75011,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75011,A000000,05000,0000,05000CORF 75011,A000000,05010,0000,05010CMHC 75011,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75011,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75011,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75011,A000000,05300,0000,05300INTEREST EXPENSE 75011,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 75011,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75011,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75011,A81000A,00100,0100,Y 75011,A81000B,00100,0300,HOME OFFICE - BUILDINGS 75011,A81000B,00200,0300,HOME OFFICE - EQUIPMENT 75011,A81000B,00300,0300,OFFICE ADMIN & GENERAL 75011,A81000C,00100,0100,A 75011,A81000C,00100,0200,MORRIS WEISS 75011,A81000C,00100,0400,COLLEGE HEALTH ENT 75011,A81000C,00100,0600,HEALTHCARE MANAGEMENT 75011,A81000C,00200,0100,A 75011,A81000C,00200,0200,BARRY WEISS 75011,A81000C,00200,0400,COLLEGE HEALTH ENT 75011,A81000C,00200,0600,HEALTHCARE MANAGEMENT 75011,A81000C,00300,0100,A 75011,A81000C,00300,0200,HARRY JACOBS 75011,A81000C,00300,0400,COLLEGE HEALTH EMPLOYEE 75011,B100000,00000,0100,00000SQUARE FEET 75011,B100000,00000,0200,00000SQUARE FEET 75011,B100000,00000,0300,00000GROSS SALARIES 75011,B100000,00000,0400,00000ACCUM. COST 75011,B100000,00000,0500,00000SQUARE FEET 75011,B100000,00000,0600,00000POUNDS OF LAUNDRY 75011,B100000,00000,0700,00000SQUARE FEET 75011,B100000,00000,0800,00000MEALS SERVED 75011,B100000,00000,0900,00000DIRECT NRSING HRS 75011,B100000,00000,1000,00000COSTED REQUIS. 75011,B100000,00000,1100,00000COSTED REQUIS. 75011,B100000,00000,1200,00000GROSS REVENUE 75011,B100000,00000,1300,00000GROSS REVENUE 75011,B100000,00000,1350,00000NO STATISTICS 75011,B100000,00000,1400,00000ASSIGNED TIME 75011,E10A180,00501,0100,05/30/2000 75011,E10A180,00502,0100,06/28/2000 75011,E10A180,00550,0300,05/30/2000 75011,E10A180,00551,0300,06/28/2000 75011,S000000,00100,0200,05/31/2000 75011,S200000,00100,0100,22419 KENT AVE 75011,S200000,00200,0100,TORRANCE 75011,S200000,00200,0200,CA 75011,S200000,00200,0300,90505 75011,S200000,00300,0100,LOS ANGELES 75011,S200000,00400,0100,DEL AMO GARDENS CONVALESCENT HOSPITA 75011,S200000,00400,0200,555706 75011,S200000,00400,0300,06/29/1997 75011,S200000,00400,0500,P 75011,S200000,00600,0200,555706 75011,S200000,00600,0300,06/29/1997 75011,S200000,00600,0600,P 75011,S200000,01600,0100,Y 75014,S000000,00100,0200,06/02/2000 75017,S000000,00100,0200,06/05/2000 75019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75019,A000000,00300,0000,00300EMPLOYEE BENEFITS 75019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75019,A000000,00700,0000,00700HOUSEKEEPING 75019,A000000,00800,0000,00800DIETARY 75019,A000000,00900,0000,00900NURSING ADMINISTRATION 75019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75019,A000000,01100,0000,01100PHARMACY 75019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75019,A000000,01300,0000,01300SOCIAL SERVICE 75019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75019,A000000,01600,0000,01600SKILLED NURSING FACILITY 75019,A000000,01810,0000,01810ICF/MR 75019,A000000,02100,0000,02100RADIOLOGY 75019,A000000,02200,0000,02200LABORATORY 75019,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75019,A000000,02500,0000,02500PHYSICAL THERAPY 75019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75019,A000000,03550,0000,03550FQHC 75019,A000000,05000,0000,05000CORF 75019,A000000,05010,0000,05010CMHC 75019,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75019,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75019,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75019,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75019,B100000,00000,0100,00000SQUARE FEET 75019,B100000,00000,0200,00000SQUARE FEET 75019,B100000,00000,0300,00000GROSS SALARIES 75019,B100000,00000,0400,00000ACCUM. COST 75019,B100000,00000,0500,00000SQUARE FEET 75019,B100000,00000,0600,00000POUNDS OF LAUNDRY 75019,B100000,00000,0700,00000SQUARE FEET 75019,B100000,00000,0800,00000MEALS SERVED 75019,B100000,00000,0900,00000PATIENT DAYS 75019,B100000,00000,1000,00000COSTED REQUIS. 75019,B100000,00000,1100,00000COSTED REQUIS 75019,B100000,00000,1200,00000GROSS REVENUE 75019,B100000,00000,1300,00000PATIENT DAYS 75019,B100000,00000,1400,00000ASSIGNED TIME 75019,E10A180,00550,0300,05/30/2000 75019,S000000,00100,0200,06/01/2000 75019,S200000,00100,0100,2109 N. SANTA FE AVENUE 75019,S200000,00200,0100,COMPTON 75019,S200000,00200,0200,CA 75019,S200000,00200,0300,90222 75019,S200000,00300,0100,LOS ANGELES 75019,S200000,00400,0100,COMPTON CARE CENTER 75019,S200000,00400,0200,555732 75019,S200000,00400,0300,07/07/1970 75019,S200000,00400,0500,P 75019,S200000,01500,0100,Y 75022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75022,A000000,00300,0000,00300EMPLOYEE BENEFITS 75022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75022,A000000,00700,0000,00700HOUSEKEEPING 75022,A000000,00800,0000,00800DIETARY 75022,A000000,00900,0000,00900NURSING ADMINISTRATION 75022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75022,A000000,01100,0000,01100PHARMACY 75022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75022,A000000,01300,0000,01300SOCIAL SERVICE 75022,A000000,01350,0000,01500OTHER GENERAL SERVICES 75022,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75022,A000000,01600,0000,01600SKILLED NURSING FACILITY 75022,A000000,01810,0000,01810ICF/MR 75022,A000000,02100,0000,02100RADIOLOGY 75022,A000000,02200,0000,02200LABORATORY 75022,A000000,02300,0000,02300INTRAVENOUS THERAPY 75022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75022,A000000,02500,0000,02500PHYSICAL THERAPY 75022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75022,A000000,02700,0000,02700SPEECH PATHOLOGY 75022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75022,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 75022,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 75022,A000000,03550,0000,03550FQHC 75022,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75022,A000000,05000,0000,05000CORF 75022,A000000,05010,0000,05010CMHC 75022,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75022,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75022,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75022,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 75022,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75022,B100000,00000,0100,00000SQUARE FEET 75022,B100000,00000,0200,00000SQUARE FEET 75022,B100000,00000,0300,00000GROSS SALARIES 75022,B100000,00000,0400,00000ACCUM. COST 75022,B100000,00000,0500,00000SQUARE FEET 75022,B100000,00000,0600,00000POUNDS OF LAUNDRY 75022,B100000,00000,0700,00000SQUARE FEET 75022,B100000,00000,0800,00000MEALS SERVED 75022,B100000,00000,0900,00000TIME SPENT 75022,B100000,00000,1000,00000COSTED REQUIS. 75022,B100000,00000,1100,00000COSTED REQUIS. 75022,B100000,00000,1200,00000GROSS REVENUE 75022,B100000,00000,1300,00000TIME SPENT 75022,B100000,00000,1350,00000NO STATISTICS 75022,B100000,00000,1400,00000ASSIGNED TIME 75022,E10A180,00550,0100,06/28/2000 75022,E10A180,00550,0300,06/28/2000 75022,S000000,00100,0200,06/13/2000 75022,S200000,00100,0100,7447 SEPULVEDA BOULEVARD 75022,S200000,00200,0100,VAN NUYS 75022,S200000,00200,0200,CA 75022,S200000,00200,0300,91405 75022,S200000,00300,0100,LOS ANGELES 75022,S200000,00400,0100,WINDSOR TERRACE HEALTHCARE 75022,S200000,00400,0200,555738 75022,S200000,00400,0300,07/08/1999 75022,S200000,00400,0500,P 75022,S200000,01500,0100,Y 75024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75024,A000000,00300,0000,00300EMPLOYEE BENEFITS 75024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75024,A000000,00700,0000,00700HOUSEKEEPING 75024,A000000,00800,0000,00800DIETARY 75024,A000000,00900,0000,00900NURSING ADMINISTRATION 75024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75024,A000000,01100,0000,01100PHARMACY 75024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75024,A000000,01300,0000,01300SOCIAL SERVICE 75024,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75024,A000000,01600,0000,01600SKILLED NURSING FACILITY 75024,A000000,01810,0000,01810ICF/MR 75024,A000000,02100,0000,02100RADIOLOGY 75024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75024,A000000,02500,0000,02500PHYSICAL THERAPY 75024,A000000,02700,0000,02700SPEECH PATHOLOGY 75024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75024,A000000,03200,0000,03200SUPPORT SURFACES 75024,A000000,03550,0000,03550FQHC 75024,A000000,05000,0000,05000CORF 75024,A000000,05010,0000,05010CMHC 75024,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75024,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75024,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75024,A81000A,00100,0100,Y 75024,A81000B,00100,0300,LEASE AND RENTALS - BLDG. 75024,A81000B,00200,0300,LEASE AND RENTALS - BLDG 75024,A81000C,00200,0100,A 75024,A81000C,00200,0200,O T DAVID 75024,A81000C,00200,0400,WILSON INV 75024,A81000C,00200,0600,REALTY 75024,B100000,00000,0100,00000SQUARE FEET 75024,B100000,00000,0200,00000DOLLAR VALUE 75024,B100000,00000,0300,00000GROSS SALARIES 75024,B100000,00000,0400,00000ACCUM. COST 75024,B100000,00000,0500,00000SQUARE FEET 75024,B100000,00000,0600,00000POUNDS OF LAUNDRY 75024,B100000,00000,0700,00000HOURS OF SERVICE 75024,B100000,00000,0800,00000MEALS SERVED 75024,B100000,00000,0900,00000DIRECT NRSING HRS 75024,B100000,00000,1000,00000COSTED REQUIS. 75024,B100000,00000,1100,00000COSTED REQUIS. 75024,B100000,00000,1200,00000TIME SPENT 75024,B100000,00000,1300,00000TIME SPENT 75024,B100000,00000,1400,00000ASSIGNED TIME 75024,E10A180,00501,0100,12/28/2000 75024,S000000,00100,0200,10/04/2000 75024,S200000,00100,0100,1665 EAST EIGHT AVENUE 75024,S200000,00200,0100,BEAUMONT 75024,S200000,00200,0200,CA 75024,S200000,00200,0300,92223 75024,S200000,00300,0100,RIVERSIDE 75024,S200000,00400,0100,PALM GROVE HEALTHCARE 75024,S200000,00400,0200,555740 75024,S200000,00400,0300,06/01/1999 75024,S200000,00400,0500,P 75024,S200000,01500,0100,Y 75026,S000000,00100,0200,06/02/2000 75064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75064,A000000,00300,0000,00300EMPLOYEE BENEFITS 75064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75064,A000000,00700,0000,00700HOUSEKEEPING 75064,A000000,00800,0000,00800DIETARY 75064,A000000,00900,0000,00900NURSING ADMINISTRATION 75064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75064,A000000,01100,0000,01100PHARMACY 75064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75064,A000000,01300,0000,01300SOCIAL SERVICE 75064,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75064,A000000,01600,0000,01600SKILLED NURSING FACILITY 75064,A000000,01800,0000,01800NURSING FACILITY 75064,A000000,01810,0000,01810ICF/MR 75064,A000000,02500,0000,02500PHYSICAL THERAPY 75064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75064,A000000,02700,0000,02700SPEECH PATHOLOGY 75064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75064,A000000,03550,0000,03550FQHC 75064,A000000,05000,0000,05000CORF 75064,A000000,05010,0000,05010CMHC 75064,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75064,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75064,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75064,A000000,05850,0000,05850APARTMENT COSTS 75064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75064,A000000,05950,0000,05950HOME HEALTH 75064,A000000,06050,0000,06050EMPLOYEE / GUEST MEALS 75064,B100000,00000,0100,00050SQUARE FEET 75064,B100000,00000,0200,00050SQUARE FEET 75064,B100000,00000,0300,00050GROSS SALARIES 75064,B100000,00000,0400,00050ACCUM COST 75064,B100000,00000,0500,00050SQUARE FEET 75064,B100000,00000,0600,00050PATIENT DAYS 75064,B100000,00000,0700,00050SQUARE FEET 75064,B100000,00000,0800,00050MEALS SERVED 75064,B100000,00000,0900,00050PATIENT DAYS 75064,B100000,00000,1000,00050COSTED REQUIS 75064,B100000,00000,1100,00050COSTED REQUIS 75064,B100000,00000,1200,00050PATIENT DAYS 75064,B100000,00000,1300,00050PATIENT DAYS 75064,B100000,00000,1400,00050ASSIGNED TIME 75064,S000000,00100,0200,11/30/2000 75064,S200000,00100,0100,333 NORTH BRIDGER AVENUE 75064,S200000,00100,0300,788 75064,S200000,00200,0100,PINEDALE 75064,S200000,00200,0200,WY 75064,S200000,00200,0300,82941 75064,S200000,00300,0100,SUBLETTE 75064,S200000,00400,0100,SUBLETTE CENTER 75064,S200000,00400,0200,535017 75064,S200000,00400,0300,05/01/1982 75064,S200000,00400,0500,P 75064,S200000,00400,0600,O 75064,S200000,01600,0100,Y 75064,S200000,01900,0100,PRIVATE NON-PROFIT 75064,S200000,02200,0100,Y 75064,S200000,02800,0100,Y 75072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75072,A000000,00300,0000,00300EMPLOYEE BENEFITS 75072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75072,A000000,00700,0000,00700HOUSEKEEPING 75072,A000000,00800,0000,00800DIETARY 75072,A000000,00801,0000,00801CAFETERIA 75072,A000000,00900,0000,00900NURSING ADMINISTRATION 75072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75072,A000000,01100,0000,01100PHARMACY 75072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75072,A000000,01300,0000,01300SOCIAL SERVICE 75072,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75072,A000000,01600,0000,01600SKILLED NURSING FACILITY 75072,A000000,01810,0000,01810ICF/MR 75072,A000000,02100,0000,02100RADIOLOGY 75072,A000000,02200,0000,02200LABORATORY 75072,A000000,02500,0000,02500PHYSICAL THERAPY 75072,A000000,02700,0000,02700SPEECH PATHOLOGY 75072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75072,A000000,03500,0000,03500RURAL HEALTH CLINIC 75072,A000000,03550,0000,03550FQHC 75072,A000000,05000,0000,05000CORF 75072,A000000,05010,0000,05010CMHC 75072,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75072,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75072,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75072,A000000,06201,0000,06201DOCTOR AND GUEST MEALS 75072,B100000,00000,0100,00001SQUARE FEET 2 75072,B100000,00000,0200,00001SQUARE FEET 2 75072,B100000,00000,0300,00001GROSS SAL 75072,B100000,00000,0400,00001ACCUM. COST 75072,B100000,00000,0500,00001SQUARE FEET 2 75072,B100000,00000,0600,00001LAUNDRY POUNDS 75072,B100000,00000,0700,00001SQUARE FEET 1 75072,B100000,00000,0800,00001MEALS SERVED 75072,B100000,00000,0801,00001FTE 75072,B100000,00000,0900,00001NURSING HOURS 75072,B100000,00000,1000,00001SUPPLY BY DEPT 75072,B100000,00000,1100,00001DRUGS BY DEPT 75072,B100000,00000,1200,00001TIME SPENT 75072,B100000,00000,1300,00001TIME SPENT 75072,B100000,00000,1400,00001ASSIGNED TIME 75072,S000000,00100,0200,11/28/2000 75072,S200000,00100,0100,388 HWY 20 SOUTH 75072,S200000,00200,0100,BASIN 75072,S200000,00200,0200,WY 75072,S200000,00200,0300,82410 75072,S200000,00300,0100,SOUTH BIG HORN 75072,S200000,00400,0100,BONNIE BLUEJACKET NURSING HOME 75072,S200000,00400,0200,535019 75072,S200000,00400,0300,07/01/1985 75072,S200000,00400,0500,P 75072,S200000,01100,0200,533981 75072,S200000,01100,0300,04/24/1995 75072,S200000,01100,0500,P 75072,S200000,01500,0100,Y 75072,S200000,01900,0100,PRIVATE NON-PROFIT 75072,S200000,02800,0100,Y 75072,S200000,04000,0200,Y 75072,S200000,04300,0100,Y 75072,S51R000,00100,0100,388 HWY 20 SOUTH 75072,S51R000,00100,0200,SOUTH BIG HORN 75072,S51R000,00200,0100,BASIN 75072,S51R000,00200,0200,WY 75072,S51R000,00200,0300,82410 75072,S51R000,01000,0100,JOEL PULL 75072,S51R000,01001,0100,DEMAR HILL 75072,S51R000,01100,0100,JOEL PULL 75072,S51R000,01101,0100,DEMAR HILL 75072,S51R000,01300,0300,0800 75072,S51R000,01300,0400,1900 75072,S51R000,01300,0500,0800 75072,S51R000,01300,0600,1900 75072,S51R000,01300,0700,0800 75072,S51R000,01300,0800,1900 75072,S51R000,01300,0900,0800 75072,S51R000,01300,1000,1900 75072,S51R000,01300,1100,0800 75072,S51R000,01300,1200,1900 75072,S51R000,01300,1300,0900 75072,S51R000,01300,1400,1200 75072,S51R000,01501,0000,BONNIE BLUEJACKET NURSING HOME 75079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75079,A000000,00300,0000,00300EMPLOYEE BENEFITS 75079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75079,A000000,00700,0000,00700HOUSEKEEPING 75079,A000000,00800,0000,00800DIETARY 75079,A000000,00900,0000,00900NURSING ADMINISTRATION 75079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75079,A000000,01100,0000,01100PHARMACY 75079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75079,A000000,01300,0000,01300SOCIAL SERVICE 75079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75079,A000000,01600,0000,01600SKILLED NURSING FACILITY 75079,A000000,01810,0000,01810ICF/MR 75079,A000000,02500,0000,02500PHYSICAL THERAPY 75079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75079,A000000,02700,0000,02700SPEECH PATHOLOGY 75079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75079,A000000,03550,0000,03550FQHC 75079,A000000,05000,0000,05000CORF 75079,A000000,05010,0000,05010CMHC 75079,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75079,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75079,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75079,B100000,00000,0100,00040(SQUARE FEET) 75079,B100000,00000,0200,00040(SQUARE FEET) 75079,B100000,00000,0300,00040(GROSS SALARIES) 75079,B100000,00000,0400,00040(ACCUM COST) 75079,B100000,00000,0500,00040(SQUARE FEET) 75079,B100000,00000,0600,00040POUNDS OF LAUNDRY 75079,B100000,00000,0700,00040(HOURS OF SERVICE) 75079,B100000,00000,0800,00040(MEALS SERVED) 75079,B100000,00000,0900,00040(DIR NRSG HOURS) 75079,B100000,00000,1000,00040(COSTED REQUIS) 75079,B100000,00000,1100,00040(COSTED REQUIS) 75079,B100000,00000,1200,00040(TIME SPENT) 75079,B100000,00000,1300,00040(TIME SPENT) 75079,B100000,00000,1400,00040ASSIGNED TIME 75079,S000000,00100,0200,05/22/2001 75079,S200000,00100,0100,890 HIGHWAY 20 SOUTH 75079,S200000,00200,0100,BASIN 75079,S200000,00200,0200,WY 75079,S200000,00200,0300,82410 75079,S200000,00300,0100,USA 75079,S200000,00400,0100,WYOMING RETIREMENT CENTER 75079,S200000,00400,0200,535021 75079,S200000,00400,0300,09/12/1984 75079,S200000,00400,0500,P 75079,S200000,00400,0600,P 75079,S200000,01600,0100,Y 75079,S200000,01900,0100,PRIVATE NON-PROFIT 75079,S200000,02800,0100,Y 75087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75087,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 75087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75087,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 75087,A000000,00300,0000,00300EMPLOYEE BENEFITS 75087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75087,A000000,00700,0000,00700HOUSEKEEPING 75087,A000000,00800,0000,00800DIETARY 75087,A000000,00801,0000,00801CAFETERIA 75087,A000000,00900,0000,00900NURSING ADMINISTRATION 75087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75087,A000000,01100,0000,01100PHARMACY 75087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75087,A000000,01300,0000,01300SOCIAL SERVICE 75087,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 75087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75087,A000000,01600,0000,01600SKILLED NURSING FACILITY 75087,A000000,01810,0000,01810ICF/MR 75087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75087,A000000,02500,0000,02500PHYSICAL THERAPY 75087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75087,A000000,02700,0000,02700SPEECH PATHOLOGY 75087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75087,A000000,03050,0000,03300OTHER ANCILLARY 75087,A000000,03051,0000,03301OTHER ANCILLARY II 75087,A000000,03052,0000,03302OTHER ANCILLARY III 75087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 75087,A000000,03550,0000,03550FQHC 75087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 75087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 75087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 75087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 75087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 75087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HH 75087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75087,A000000,05000,0000,05000CORF I 75087,A000000,05010,0000,05010CMHC I 75087,A000000,05020,0000,05020OPT I 75087,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75087,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75087,A000000,05300,0000,05300INTEREST EXPENSE 75087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 75087,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 75087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CA 75087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75087,A000000,06150,0000,06300CNGRGT HSNG & MGMT SERV. 75087,A81000A,00100,0100,Y 75087,A81000B,00100,0300,ADMINISTRATIVE COSTS 75087,A81000B,00200,0300,CAPITAL COSTS 75087,A81000B,00300,0300,ADMINISTRATIVE COST 75087,A81000B,00400,0300,SERVICE CENTER ALLOCATION 75087,A81000C,00100,0100,B 75087,A81000C,00100,0200,BANNER HEALTH 75087,A81000C,00100,0400,PIONEER MANOR 75087,A81000C,00100,0600,HEALTH CARE 75087,A81000C,00200,0100,B 75087,A81000C,00200,0200,BANNER HEALTH 75087,A81000C,00200,0400,PIONEER MAN HHA 75087,A81000C,00200,0600,HEALTH CARE 75087,A81000C,00300,0100,B 75087,A81000C,00300,0200,PIONEER MANOR 75087,A81000C,00300,0400,PIONEER MAN HHA 75087,A81000C,00300,0600,HEALTH CARE 75087,B100000,00000,0100,00000(SQUARE FEET) 75087,B100000,00000,0101,00000(SQUARE FEET) 75087,B100000,00000,0200,00000(SQUARE FEET) 75087,B100000,00000,0201,00000(SQUARE FEET) 75087,B100000,00000,0300,00000(GROSS SALARIES) 75087,B100000,00000,0400,00000(ACCUM. COST) 75087,B100000,00000,0500,00000(SQUARE FEET) 75087,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 75087,B100000,00000,0700,00000(HOURS OF SERVICE) 75087,B100000,00000,0800,00000(MEALS SERVED) 75087,B100000,00000,0801,00000(MEALS SERVED) 75087,B100000,00000,0900,00000(DIRECT NRSING HRS 75087,B100000,00000,1000,00000(COSTED REQUIS.) 75087,B100000,00000,1100,00000(COSTED REQUIS.) 75087,B100000,00000,1200,00000(TIME SPENT) 75087,B100000,00000,1300,00000(TIME SPENT) 75087,B100000,00000,1350,00000TIME SPENT 75087,B100000,00000,1400,00000(ASSIGNED TIME) 75087,H510100,00000,0000,9953 75087,H510100,02400,0000,9953 75087,S000000,00100,0200,05/31/2000 75087,S200000,00100,0100,900 WEST EIGHTH STREET 75087,S200000,00200,0100,GILLETTE 75087,S200000,00200,0200,WY 75087,S200000,00200,0300,82716 75087,S200000,00300,0100,CAMPBELL 75087,S200000,00400,0100,PIONEER MANOR NURSING HOME 75087,S200000,00400,0200,535022 75087,S200000,00400,0300,12/31/1987 75087,S200000,00400,0500,P 75087,S200000,00800,0200,537051 75087,S200000,00800,0300,12/01/1993 75087,S200000,00800,0500,P 75087,S200000,01500,0100,Y 75087,S200000,01900,0100,PRIVATE NON-PROFIT 75087,S200000,02200,0100,Y 75087,S200000,02800,0100,Y 75087,S410002,01300,0000,OTHER 75095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75095,A000000,00300,0000,00300EMPLOYEE BENEFITS 75095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75095,A000000,00700,0000,00700HOUSEKEEPING 75095,A000000,00800,0000,00800DIETARY 75095,A000000,00900,0000,00900NURSING ADMINISTRATION 75095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75095,A000000,01100,0000,01100PHARMACY 75095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75095,A000000,01300,0000,01300SOCIAL SERVICE 75095,A000000,01301,0000,01301ACTIVITES 75095,A000000,01350,0000,01500REHABILITATION 75095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75095,A000000,01600,0000,01600SKILLED NURSING FACILITY 75095,A000000,01800,0000,01800NURSING FACILITY 75095,A000000,01810,0000,01810ICF/MR 75095,A000000,02100,0000,02100RADIOLOGY 75095,A000000,02200,0000,02200LABORATORY 75095,A000000,02300,0000,02300INTRAVENOUS THERAPY 75095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75095,A000000,02500,0000,02500PHYSICAL THERAPY 75095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75095,A000000,02700,0000,02700SPEECH PATHOLOGY 75095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75095,A000000,03050,0000,03300EQUIPMENT RENTAL 75095,A000000,03051,0000,03301PEN THERAPY 75095,A000000,03550,0000,03550FQHC 75095,A000000,05000,0000,05000CORF 75095,A000000,05010,0000,05010CMHC 75095,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75095,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75095,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75095,A000000,06150,0000,06300VENDING 75095,A000000,06151,0000,06301STAND-BY 75095,A81000A,00100,0100,Y 75095,A81000B,00100,0300,HOME OFFICE COST 75095,A81000B,00200,0300,DIETARY SUPPLEMENTS 75095,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 75095,A81000B,00500,0300,MEDICAL SUPPLIES 75095,A81000B,00600,0300,ADMIN COSTS 75095,A81000B,01000,0300,THERAPY CONSULTING 75095,A81000B,01100,0300,PHYSICAL THERAPY 75095,A81000B,01200,0300,OCCUPATIONAL THERAPY 75095,A81000B,01300,0300,SPEECH THERAPY 75095,A81000B,01500,0300,CAPITAL 75095,A81000C,00100,0100,B 75095,A81000C,00100,0200,POPLAR LIVING C 75095,A81000C,00100,0400,MARINER PAN 75095,A81000C,00100,0600,NURSING HOMES 75095,A81000C,00200,0100,G 75095,A81000C,00200,0200,MARINER PAN 75095,A81000C,00200,0400,AMER PHARM SVCS 75095,A81000C,00200,0600,PHARMACEUTICALS 75095,A81000C,00300,0100,G 75095,A81000C,00300,0200,MARINER PAN 75095,A81000C,00300,0400,PRISM-ATS-ARS-T 75095,A81000C,00300,0600,THERAPIES 75095,B100000,00000,0100,00001SQUARE FEET 75095,B100000,00000,0200,00001SQUARE FEET 75095,B100000,00000,0300,00001GROSS SALARIES 75095,B100000,00000,0400,00001ACCUM COST 75095,B100000,00000,0500,00001SQUARE FEET 75095,B100000,00000,0600,00001PATIENT DAYS 75095,B100000,00000,0700,00001SQUARE FEET 75095,B100000,00000,0800,00001MEALS SERVED 75095,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 75095,B100000,00000,1000,00001COSTED REQUISITIO 75095,B100000,00000,1100,00001COSTED REQUIS 75095,B100000,00000,1200,00001PATIENT DAYS 75095,B100000,00000,1300,00001PATIENT DAYS 75095,B100000,00000,1301,00001PATIENT DAYS 75095,B100000,00000,1350,00001UNITS OF SERVICE 75095,B100000,00000,1400,00001ASSIGNED TIME 75095,S000000,00100,0200,02/29/2000 75095,S200000,00100,0100,4305 S POPLAR 75095,S200000,00200,0100,CASPER 75095,S200000,00200,0200,WY 75095,S200000,00200,0300,82601 75095,S200000,00300,0100,NATRONA 75095,S200000,00400,0100,POPLAR LIVING CENTER 75095,S200000,00400,0200,535024 75095,S200000,00400,0300,10/15/1984 75095,S200000,00400,0500,P 75095,S200000,01600,0100,Y 75095,S200000,01900,0100,PRIVATE NON-PROFIT 75095,S200000,02200,0100,Y 75095,S200000,04300,0100,Y 75105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75105,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75105,A000000,00300,0000,00300EMPLOYEE BENEFITS 75105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75105,A000000,00700,0000,00700HOUSEKEEPING 75105,A000000,00800,0000,00800DIETARY 75105,A000000,00900,0000,00900NURSING ADMINISTRATION 75105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75105,A000000,01100,0000,01100PHARMACY 75105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75105,A000000,01300,0000,01300SOCIAL SERVICE 75105,A000000,01301,0000,01301ACTIVITES 75105,A000000,01350,0000,01500REHABILITATION 75105,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75105,A000000,01600,0000,01600SKILLED NURSING FACILITY 75105,A000000,01800,0000,01800NURSING FACILITY 75105,A000000,01810,0000,01810ICF/MR 75105,A000000,02200,0000,02200LABORATORY 75105,A000000,02300,0000,02300INTRAVENOUS THERAPY 75105,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75105,A000000,02500,0000,02500PHYSICAL THERAPY 75105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75105,A000000,02700,0000,02700SPEECH PATHOLOGY 75105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75105,A000000,03050,0000,03300EQUIPMENT RENTAL 75105,A000000,03051,0000,03301PEN THERAPY 75105,A000000,03550,0000,03550FQHC 75105,A000000,05000,0000,05000CORF 75105,A000000,05010,0000,05010CMHC 75105,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75105,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75105,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75105,A000000,06150,0000,06300VENDING 75105,A000000,06151,0000,06301STAND-BY 75105,A81000A,00100,0100,Y 75105,A81000B,00100,0300,HOME OFFICE COST 75105,A81000B,00200,0300,DIETARY SUPPLEMENTS 75105,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 75105,A81000B,00400,0300,PRESCRIPTION DRUGS 75105,A81000B,00500,0300,MEDICAL SUPPLIES 75105,A81000B,00600,0300,ADMIN COSTS 75105,A81000B,01000,0300,THERAPY CONSULTING 75105,A81000B,01100,0300,PHYSICAL THERAPY 75105,A81000B,01200,0300,OCCUPATIONAL THERAPY 75105,A81000B,01300,0300,SPEECH THERAPY 75105,A81000B,01400,0300,ANC EQUIP RENTAL 75105,A81000B,01500,0300,RT 75105,A81000B,01600,0300,CAPITAL 75105,A81000B,01700,0300,PEN 75105,A81000C,00100,0100,B 75105,A81000C,00100,0200,CHEYENNE 14661 75105,A81000C,00100,0400,MARINER PAN 75105,A81000C,00100,0600,NURSING HOMES 75105,A81000C,00200,0100,G 75105,A81000C,00200,0200,MARINER PAN 75105,A81000C,00200,0400,AMER PHARM SVCS 75105,A81000C,00200,0600,PHARMACEUTICALS 75105,A81000C,00300,0100,G 75105,A81000C,00300,0200,MARINER PAN 75105,A81000C,00300,0400,PRISM-ATS-ARS-T 75105,A81000C,00300,0600,THERAPIES 75105,B100000,00000,0100,00001SQUARE FEET 75105,B100000,00000,0200,00001SQUARE FEET 75105,B100000,00000,0300,00001GROSS SALARIES 75105,B100000,00000,0400,00001ACCUM COST 75105,B100000,00000,0500,00001SQUARE FEET 75105,B100000,00000,0600,00001PATIENT DAYS 75105,B100000,00000,0700,00001SQUARE FEET 75105,B100000,00000,0800,00001MEALS SERVED 75105,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 75105,B100000,00000,1000,00001COSTED REQUISITIO 75105,B100000,00000,1100,00001COSTED REQUIS 75105,B100000,00000,1200,00001PATIENT DAYS 75105,B100000,00000,1300,00001PATIENT DAYS 75105,B100000,00000,1301,00001PATIENT DAYS 75105,B100000,00000,1350,00001UNITS OF SERVICE 75105,B100000,00000,1400,00001ASSIGNED TIME 75105,S000000,00100,0200,02/29/2000 75105,S200000,00100,0100,2700 E. 12TH AVE 75105,S200000,00200,0100,CHEYENNE 75105,S200000,00200,0200,WY 75105,S200000,00200,0300,82001 75105,S200000,00300,0100,LARAMIE 75105,S200000,00400,0100,CHEYENNE HEALTH CARE CENTER 75105,S200000,00400,0200,535025 75105,S200000,00400,0300,10/16/1984 75105,S200000,00400,0500,P 75105,S200000,01600,0100,Y 75105,S200000,01900,0100,PRIVATE NON-PROFIT 75105,S200000,02200,0100,Y 75105,S200000,04300,0100,Y 75115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75115,A000000,00300,0000,00300EMPLOYEE BENEFITS 75115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75115,A000000,00700,0000,00700HOUSEKEEPING 75115,A000000,00800,0000,00800DIETARY 75115,A000000,00900,0000,00900NURSING ADMINISTRATION 75115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75115,A000000,01100,0000,01100PHARMACY 75115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75115,A000000,01300,0000,01300SOCIAL SERVICE 75115,A000000,01301,0000,01301ACTIVITES 75115,A000000,01350,0000,01500REHABILITATION 75115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75115,A000000,01600,0000,01600SKILLED NURSING FACILITY 75115,A000000,01800,0000,01800NURSING FACILITY 75115,A000000,01810,0000,01810ICF/MR 75115,A000000,02100,0000,02100RADIOLOGY 75115,A000000,02200,0000,02200LABORATORY 75115,A000000,02300,0000,02300INTRAVENOUS THERAPY 75115,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75115,A000000,02500,0000,02500PHYSICAL THERAPY 75115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75115,A000000,02700,0000,02700SPEECH PATHOLOGY 75115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75115,A000000,03050,0000,03300EQUIPMENT RENTAL 75115,A000000,03051,0000,03301PEN THERAPY 75115,A000000,03550,0000,03550FQHC 75115,A000000,05000,0000,05000CORF 75115,A000000,05010,0000,05010CMHC 75115,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75115,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75115,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75115,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75115,A000000,06150,0000,06300VENDING 75115,A000000,06151,0000,06301STAND-BY 75115,A81000A,00100,0100,Y 75115,A81000B,00100,0300,HOME OFFICE COST 75115,A81000B,00200,0300,DIETARY SUPPLEMENTS 75115,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 75115,A81000B,00400,0300,PRESCRIPTION DRUGS 75115,A81000B,00500,0300,MEDICAL SUPPLIES 75115,A81000B,00600,0300,ADMIN COSTS 75115,A81000B,00700,0300,HOME OFFICE INTEREST 75115,A81000B,00800,0300,EQUIPMENT REPLACEMENT 75115,A81000B,00900,0300,IV THERAPY 75115,A81000B,01000,0300,THERAPY CONSULTING 75115,A81000B,01100,0300,PHYSICAL THERAPY 75115,A81000B,01200,0300,OCCUPATIONAL THERAPY 75115,A81000B,01300,0300,SPEECH THERAPY 75115,A81000B,01400,0300,ANC EQUIP RENTAL 75115,A81000B,01500,0300,CAPITAL 75115,A81000C,00100,0100,B 75115,A81000C,00100,0200,SHERIDAN MANOR 75115,A81000C,00100,0400,MARINER PAN 75115,A81000C,00100,0600,NURSING HOMES 75115,A81000C,00200,0100,G 75115,A81000C,00200,0200,MARINER PAN 75115,A81000C,00200,0400,AMER PHARM SVCS 75115,A81000C,00200,0600,PHARMACEUTICALS 75115,A81000C,00300,0100,G 75115,A81000C,00300,0200,MARINER PAN 75115,A81000C,00300,0400,PRISM-ATS-ARS-T 75115,A81000C,00300,0600,THERAPIES 75115,B100000,00000,0100,00001SQUARE FEET 75115,B100000,00000,0200,00001SQUARE FEET 75115,B100000,00000,0300,00001GROSS SALARIES 75115,B100000,00000,0400,00001ACCUM COST 75115,B100000,00000,0500,00001SQUARE FEET 75115,B100000,00000,0600,00001PATIENT DAYS 75115,B100000,00000,0700,00001SQUARE FEET 75115,B100000,00000,0800,00001MEALS SERVED 75115,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 75115,B100000,00000,1000,00001COSTED REQUISITIO 75115,B100000,00000,1100,00001COSTED REQUIS 75115,B100000,00000,1200,00001PATIENT DAYS 75115,B100000,00000,1300,00001PATIENT DAYS 75115,B100000,00000,1301,00001PATIENT DAYS 75115,B100000,00000,1350,00001UNITS OF SERVICE 75115,B100000,00000,1400,00001ASSIGNED TIME 75115,S000000,00100,0200,02/29/2000 75115,S200000,00100,0100,1851 BIG HORN AVE 75115,S200000,00200,0100,SHERIDAN 75115,S200000,00200,0200,WY 75115,S200000,00200,0300,82801 75115,S200000,00300,0100,SHERIDAN 75115,S200000,00400,0100,SHERIDAN MANOR 75115,S200000,00400,0200,535026 75115,S200000,00400,0300,01/01/1985 75115,S200000,00400,0500,P 75115,S200000,01600,0100,Y 75115,S200000,01900,0100,PRIVATE NON-PROFIT 75115,S200000,02200,0100,Y 75115,S200000,04300,0100,Y 75124,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75124,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75124,A000000,00300,0000,00300EMPLOYEE BENEFITS 75124,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75124,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75124,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75124,A000000,00700,0000,00700HOUSEKEEPING 75124,A000000,00800,0000,00800DIETARY 75124,A000000,00900,0000,00900NURSING ADMINISTRATION 75124,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75124,A000000,01100,0000,01100PHARMACY 75124,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75124,A000000,01300,0000,01300SOCIAL SERVICE 75124,A000000,01301,0000,01301ACTIVITIES 75124,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75124,A000000,01600,0000,01600SKILLED NURSING FACILITY 75124,A000000,01810,0000,01810ICF/MR 75124,A000000,02100,0000,02100RADIOLOGY 75124,A000000,02200,0000,02200LABORATORY 75124,A000000,02500,0000,02500PHYSICAL THERAPY 75124,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75124,A000000,02700,0000,02700SPEECH PATHOLOGY 75124,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75124,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75124,A000000,03050,0000,03300AMBULANCE 75124,A000000,03550,0000,03550FQHC 75124,A000000,05000,0000,05000CORF 75124,A000000,05010,0000,05010CMHC 75124,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75124,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75124,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75124,A000000,05300,0000,05300INTEREST EXPENSE 75124,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75124,A81000A,00100,0100,Y 75124,A81000B,00100,0300,HOSPITAL DISTRICT ALLOCATION 75124,A81000C,00100,0100,B 75124,A81000C,00100,0400,HOSP. DISTRICT 75124,A81000C,00100,0600,VARIOUS 75124,B100000,00000,0100,00000SQUARE FEET 75124,B100000,00000,0200,00000SQUARE FEET 75124,B100000,00000,0300,00000GROSS SAL 75124,B100000,00000,0400,00000ACCUM. COST 75124,B100000,00000,0500,00000SQUARE FEET 75124,B100000,00000,0600,00000LBS OF LAUNDRY 75124,B100000,00000,0700,00000SQUARE FEET 75124,B100000,00000,0800,00000MEALS 75124,B100000,00000,0900,00000NURSING TIME 75124,B100000,00000,1000,00000COSTED REQUIS. 75124,B100000,00000,1100,00000COSTED REQUIS. 75124,B100000,00000,1200,00000TIME SPENT 75124,B100000,00000,1300,00000TIME SPENT 75124,B100000,00000,1301,00000TIME SPENT 75124,B100000,00000,1400,00000ASSIGNED TIME 75124,S000000,00100,0200,09/21/2000 75124,S200000,00100,0100,1445 UINTA DRIVE 75124,S200000,00100,0300,219 75124,S200000,00200,0100,GREEN RIVER 75124,S200000,00200,0200,WY 75124,S200000,00200,0300,82935 75124,S200000,00300,0100,SWEETWATER 75124,S200000,00400,0100,CASTLE ROCK CONVALESCENT CENTER 75124,S200000,00400,0200,535033 75124,S200000,00400,0300,11/01/1988 75124,S200000,00400,0500,P 75124,S200000,01500,0100,Y 75124,S200000,01900,0100,PRIVATE NON-PROFIT 75124,S200000,02200,0100,Y 75124,S200000,02800,0100,Y 75131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75131,A000000,00300,0000,00300EMPLOYEE BENEFITS 75131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75131,A000000,00700,0000,00700HOUSEKEEPING 75131,A000000,00800,0000,00800DIETARY 75131,A000000,00900,0000,00900NURSING ADMINISTRATION 75131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75131,A000000,01100,0000,01100PHARMACY 75131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75131,A000000,01300,0000,01300SOCIAL SERVICE 75131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75131,A000000,01600,0000,01600SKILLED NURSING FACILITY 75131,A000000,01800,0000,01800NURSING FACILITY 75131,A000000,01810,0000,01810ICF/MR 75131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75131,A000000,02500,0000,02500PHYSICAL THERAPY 75131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75131,A000000,02700,0000,02700SPEECH PATHOLOGY 75131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75131,A000000,03550,0000,03550FQHC 75131,A000000,05000,0000,05000CORF 75131,A000000,05010,0000,05010CMHC 75131,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75131,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75131,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75131,B100000,00000,0100,00000(SQUARE FEET) 75131,B100000,00000,0200,00000(SQUARE FEET) 75131,B100000,00000,0300,00000(GROSS SALARIES) 75131,B100000,00000,0400,00000(ACCUM COST) 75131,B100000,00000,0500,00000(SQUARE FEET) 75131,B100000,00000,0600,00000(PATIENT DAYS) 75131,B100000,00000,0700,00000(SQUARE FEET) 75131,B100000,00000,0800,00000(PATIENT DAYS) 75131,B100000,00000,0900,00000(PATIENT DAYS) 75131,B100000,00000,1000,00000(COSTED REQUIS) 75131,B100000,00000,1100,00000(COSTED REQUIS) 75131,B100000,00000,1200,00000(PATIENT DAYS) 75131,B100000,00000,1300,00000(PATIENT DAYS) 75131,B100000,00000,1400,00000(ASSIGNED TIME) 75131,S000000,00100,0200,05/18/2000 75131,S200000,00100,0100,150 CARING WAY 75131,S200000,00200,0100,LANDER 75131,S200000,00200,0200,WY 75131,S200000,00200,0300,82520 75131,S200000,00300,0100,FREMONT 75131,S200000,00400,0100,WESTWARD HEIGHTS NURSING HOME 75131,S200000,00400,0200,535034 75131,S200000,00400,0300,04/05/1989 75131,S200000,00400,0500,P 75131,S200000,01600,0100,Y 75131,S200000,01900,0100,PRIVATE NON-PROFIT 75140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75140,A000000,00300,0000,00300EMPLOYEE BENEFITS 75140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75140,A000000,00700,0000,00700HOUSEKEEPING 75140,A000000,00800,0000,00800DIETARY 75140,A000000,00900,0000,00900NURSING ADMINISTRATION 75140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75140,A000000,01100,0000,01100PHARMACY 75140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75140,A000000,01300,0000,01300SOCIAL SERVICE 75140,A000000,01350,0000,01500ACTIVITIES 75140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75140,A000000,01600,0000,01600SKILLED NURSING FACILITY 75140,A000000,01800,0000,01800NURSING FACILITY 75140,A000000,01810,0000,01810ICF/MR 75140,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75140,A000000,02500,0000,02500PHYSICAL THERAPY 75140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75140,A000000,02700,0000,02700SPEECH PATHOLOGY 75140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75140,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 75140,A000000,03550,0000,03550FQHC 75140,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 75140,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 75140,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 75140,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 75140,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 75140,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 75140,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75140,A000000,05000,0000,05000CORF 75140,A000000,05010,0000,05010CMHC 75140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75140,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75140,A81000A,00100,0100,Y 75140,A81000B,00100,0300,MANAGEMENT FEES 75140,A81000B,00200,0300,EQUIPMENT LEASE 75140,A81000C,00100,0100,E 75140,A81000C,00100,0400,ROCKY MOUNTAIN CARE 75140,A81000C,00100,0600,MANAGEMENT COMPANY 75140,A81000C,00200,0100,E 75140,A81000C,00200,0400,HEALTH CARE LEASING 75140,A81000C,00200,0600,EQUIPMENT LEASING 75140,B100000,00000,0100,00000SQUARE FEET 75140,B100000,00000,0200,00000SQUARE FEET 75140,B100000,00000,0300,00000GROSS SALARIES 75140,B100000,00000,0400,00000ACCUM. COST 75140,B100000,00000,0500,00000SQUARE FEET 75140,B100000,00000,0600,00000PATIENT DAYS 75140,B100000,00000,0700,00000SQUARE FEET 75140,B100000,00000,0800,00000MEALS SERVED 75140,B100000,00000,0900,00000NURSING SALARIES 75140,B100000,00000,1000,00000PATIENT DAYS 75140,B100000,00000,1100,00000COSTED REQUIS 75140,B100000,00000,1200,00000REVENUE 75140,B100000,00000,1300,00000PATIENT DAYS 75140,B100000,00000,1350,00000PATIENT DAYS 75140,B100000,00000,1400,00000ASSIGNED TIME 75140,E10A180,00301,0100,12/20/2000 75140,E10A180,00501,0100,01/01/2001 75140,S000000,00100,0200,11/01/2000 75140,S200000,00100,0100,475 YELLOW CREEK ROAD 75140,S200000,00200,0100,EVANSTON 75140,S200000,00200,0200,WY 75140,S200000,00200,0300,82840 75140,S200000,00400,0100,ROCKY MOUNTAIN CARE - EVANSTON 75140,S200000,00400,0200,535038 75140,S200000,00400,0300,09/19/1990 75140,S200000,00400,0500,P 75140,S200000,01600,0100,Y 75140,S200000,01900,0100,PRIVATE NON-PROFIT 75148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75148,A000000,00300,0000,00300EMPLOYEE BENEFITS 75148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75148,A000000,00700,0000,00700HOUSEKEEPING 75148,A000000,00800,0000,00800DIETARY 75148,A000000,00900,0000,00900NURSING ADMINISTRATION 75148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75148,A000000,01100,0000,01100PHARMACY 75148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75148,A000000,01300,0000,01300SOCIAL SERVICE 75148,A000000,01301,0000,01301ACTIVITES 75148,A000000,01350,0000,01500REHABILITATION 75148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75148,A000000,01600,0000,01600SKILLED NURSING FACILITY 75148,A000000,01800,0000,01800NURSING FACILITY 75148,A000000,01810,0000,01810ICF/MR 75148,A000000,02100,0000,02100RADIOLOGY 75148,A000000,02200,0000,02200LABORATORY 75148,A000000,02300,0000,02300INTRAVENOUS THERAPY 75148,A000000,02500,0000,02500PHYSICAL THERAPY 75148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75148,A000000,02700,0000,02700SPEECH PATHOLOGY 75148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75148,A000000,03050,0000,03300EQUIPMENT RENTAL 75148,A000000,03051,0000,03301PEN THERAPY 75148,A000000,03550,0000,03550FQHC 75148,A000000,05000,0000,05000CORF 75148,A000000,05010,0000,05010CMHC 75148,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75148,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75148,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75148,A000000,06150,0000,06300VENDING 75148,A000000,06151,0000,06301STAND-BY 75148,A000000,06200,0000,06200PATIENTS LAUNDRY 75148,A81000A,00100,0100,Y 75148,A81000B,00100,0300,HOME OFFICE COST 75148,A81000B,00200,0300,DIETARY SUPPLEMENTS 75148,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 75148,A81000B,00400,0300,PRESCRIPTION DRUGS 75148,A81000B,00500,0300,MEDICAL SUPPLIES 75148,A81000B,00600,0300,ADMIN COSTS 75148,A81000B,00700,0300,HOME OFFICE INTEREST 75148,A81000B,00800,0300,EQUIPMENT REPLACEMENT 75148,A81000B,00900,0300,IV THERAPY 75148,A81000B,01300,0300,SPEECH THERAPY 75148,A81000B,01400,0300,ANC EQUIP RENTAL 75148,A81000B,01500,0300,CAPITAL 75148,A81000C,00100,0100,B 75148,A81000C,00100,0200,MICHAEL MANOR 75148,A81000C,00100,0400,MARINER PAN 75148,A81000C,00100,0600,NURSING HOMES 75148,A81000C,00200,0100,G 75148,A81000C,00200,0200,MARINER PAN 75148,A81000C,00200,0400,AMER PHARM SVCS 75148,A81000C,00200,0600,PHARMACEUTICALS 75148,A81000C,00300,0100,G 75148,A81000C,00300,0200,MARINER PAN 75148,A81000C,00300,0400,PRISM-ATS-ARS-T 75148,A81000C,00300,0600,THERAPIES 75148,B100000,00000,0100,00001SQUARE FEET 75148,B100000,00000,0200,00001SQUARE FEET 75148,B100000,00000,0300,00001GROSS SALARIES 75148,B100000,00000,0400,00001ACCUM COST 75148,B100000,00000,0500,00001SQUARE FEET 75148,B100000,00000,0600,00001PATIENT DAYS 75148,B100000,00000,0700,00001SQUARE FEET 75148,B100000,00000,0800,00001MEALS SERVED 75148,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 75148,B100000,00000,1000,00001COSTED REQUISITIO 75148,B100000,00000,1100,00001COSTED REQUIS 75148,B100000,00000,1200,00001PATIENT DAYS 75148,B100000,00000,1300,00001PATIENT DAYS 75148,B100000,00000,1301,00001PATIENT DAYS 75148,B100000,00000,1350,00001UNITS OF SERVICE 75148,B100000,00000,1400,00001ASSIGNED TIME 75148,S000000,00100,0200,02/29/2000 75148,S200000,00100,0100,1108 BIRCH 75148,S200000,00200,0100,DOUGLAS 75148,S200000,00200,0200,WY 75148,S200000,00200,0300,82633 75148,S200000,00300,0100,CONVERSE 75148,S200000,00400,0100,MICHAEL MANOR 75148,S200000,00400,0200,535040 75148,S200000,00400,0300,01/01/1990 75148,S200000,00400,0500,P 75148,S200000,01600,0100,Y 75148,S200000,01900,0100,PRIVATE NON-PROFIT 75148,S200000,02200,0100,Y 75148,S200000,04300,0100,Y 75157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75157,A000000,00300,0000,00300EMPLOYEE BENEFITS 75157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75157,A000000,00700,0000,00700HOUSEKEEPING 75157,A000000,00800,0000,00800DIETARY 75157,A000000,00900,0000,00900NURSING ADMINISTRATION 75157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75157,A000000,01100,0000,01100PHARMACY 75157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75157,A000000,01300,0000,01300SOCIAL SERVICE 75157,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 75157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75157,A000000,01600,0000,01600SKILLED NURSING FACILITY 75157,A000000,01810,0000,01810ICF/MR 75157,A000000,02100,0000,02100RADIOLOGY 75157,A000000,02200,0000,02200LABORATORY 75157,A000000,02500,0000,02500PHYSICAL THERAPY 75157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75157,A000000,02700,0000,02700SPEECH PATHOLOGY 75157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75157,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 75157,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 75157,A000000,03550,0000,03550FQHC 75157,A000000,05000,0000,05000CORF 75157,A000000,05010,0000,05010CMHC 75157,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75157,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75157,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75157,A000000,05300,0000,05300INTEREST EXPENSE 75157,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 75157,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 75157,B100000,00000,0100,00000SQUARE FEET 75157,B100000,00000,0200,00000SQUARE FEET 75157,B100000,00000,0300,00000GROSS SALARIES 75157,B100000,00000,0400,00000ACCUM COST 75157,B100000,00000,0500,00000SQUARE FEET 75157,B100000,00000,0600,00000POUNDS OF LAUNDRY 75157,B100000,00000,0700,00000HOURS OF SERVICE 75157,B100000,00000,0800,00000MEALS SERVED 75157,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 75157,B100000,00000,1000,00000COSTED REQUISITIO 75157,B100000,00000,1100,00000COSTED REQUISITIO 75157,B100000,00000,1200,00000TIME SPENT 75157,B100000,00000,1300,00000TIME SPENT 75157,B100000,00000,1350,00000 75157,B100000,00000,1400,00000ASSIGNED TIME 75157,E10A180,00550,0100,06/02/2000 75157,S000000,00100,0200,05/31/2000 75157,S200000,00100,0100,60 MAGNOLIA 75157,S200000,00200,0100,CASPER 75157,S200000,00200,0200,WYOMING 75157,S200000,00200,0300,82604 75157,S200000,00300,0100,NATRONA 75157,S200000,00400,0100,SHEPHERD OF THE VALLEY 75157,S200000,00400,0200,535042 75157,S200000,00400,0300,01/01/1991 75157,S200000,00400,0500,P 75157,S200000,01900,0100,PRIVATE NON-PROFIT 75165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75165,A000000,00300,0000,00300EMPLOYEE BENEFITS 75165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75165,A000000,00700,0000,00700HOUSEKEEPING 75165,A000000,00800,0000,00800DIETARY 75165,A000000,00900,0000,00900NURSING ADMINISTRATION 75165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75165,A000000,01100,0000,01100PHARMACY 75165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75165,A000000,01300,0000,01300SOCIAL SERVICE 75165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75165,A000000,01600,0000,01600SKILLED NURSING FACILITY 75165,A000000,01810,0000,01810ICF/MR 75165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75165,A000000,02500,0000,02500PHYSICAL THERAPY 75165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75165,A000000,02700,0000,02700SPEECH PATHOLOGY 75165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75165,A000000,03550,0000,03550FQHC 75165,A000000,04800,0000,04800AMBULANCE 75165,A000000,05000,0000,05000CORF 75165,A000000,05010,0000,05010CMHC 75165,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75165,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75165,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75165,A000000,05300,0000,05300INTEREST EXPENSE 75165,B100000,00000,0100,00000SQUARE FEET 75165,B100000,00000,0200,00000SQUARE FEET 75165,B100000,00000,0300,00000GROSS SALARIES 75165,B100000,00000,0400,00000ACCUM. COST 75165,B100000,00000,0500,00000SQUARE FEET 75165,B100000,00000,0600,00000POUNDS OF LAUNDRY 75165,B100000,00000,0700,00000HOURS OF SERVICE 75165,B100000,00000,0800,00000MEALS SERVED 75165,B100000,00000,0900,00000DIRECT NRGS HRS 75165,B100000,00000,1000,00000COSTED REQUIS. 75165,B100000,00000,1100,00000COSTED REQUIS. 75165,B100000,00000,1200,00000TIME SPENT 75165,B100000,00000,1300,00000TIME SPENT 75165,B100000,00000,1400,00000ASSIGNED TIME 75165,S000000,00100,0200,05/30/2000 75165,S200000,00100,0100,4 NORTH FORK ROAD 75165,S200000,00100,0300,859 75165,S200000,00200,0100,FT WASHAKIE 75165,S200000,00200,0200,WY 75165,S200000,00300,0100,FREMONT 75165,S200000,00400,0100,MORNING STAR CARE CENTER 75165,S200000,00400,0200,535050 75165,S200000,00400,0300,05/15/1994 75165,S200000,00400,0500,P 75165,S200000,01500,0100,Y 75165,S200000,01800,0100,Y 75165,S200000,01900,0100,AMERICAN INDIAN OWNE 75173,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75173,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75173,A000000,00300,0000,00300EMPLOYEE BENEFITS 75173,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75173,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75173,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75173,A000000,00700,0000,00700HOUSEKEEPING 75173,A000000,00800,0000,00800DIETARY 75173,A000000,00900,0000,00900NURSING ADMINISTRATION 75173,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75173,A000000,01100,0000,01100PHARMACY 75173,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75173,A000000,01300,0000,01300SOCIAL SERVICE 75173,A000000,01301,0000,01301ACTIVITES 75173,A000000,01350,0000,01500REHABILITATION 75173,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75173,A000000,01600,0000,01600SKILLED NURSING FACILITY 75173,A000000,01800,0000,01800NURSING FACILITY 75173,A000000,01810,0000,01810ICF/MR 75173,A000000,02100,0000,02100RADIOLOGY 75173,A000000,02200,0000,02200LABORATORY 75173,A000000,02300,0000,02300INTRAVENOUS THERAPY 75173,A000000,02500,0000,02500PHYSICAL THERAPY 75173,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75173,A000000,02700,0000,02700SPEECH PATHOLOGY 75173,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75173,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75173,A000000,03050,0000,03300EQUIPMENT RENTAL 75173,A000000,03051,0000,03301PEN THERAPY 75173,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 75173,A000000,03550,0000,03550FQHC 75173,A000000,04800,0000,04800AMBULANCE 75173,A000000,05000,0000,05000CORF 75173,A000000,05010,0000,05010CMHC 75173,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75173,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75173,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75173,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75173,A000000,06150,0000,06300VENDING 75173,A000000,06151,0000,06301STAND-BY 75173,A81000A,00100,0100,Y 75173,A81000B,00100,0300,HOME OFFICE COST 75173,A81000B,00200,0300,DIETARY SUPPLEMENTS 75173,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 75173,A81000B,00400,0300,PRESCRIPTION DRUGS 75173,A81000B,01000,0300,THERAPY CONSULTING 75173,A81000B,01100,0300,PHYSICAL THERAPY 75173,A81000B,01200,0300,OCCUPATIONAL THERAPY 75173,A81000B,01300,0300,SPEECH THERAPY 75173,A81000B,01400,0300,ANC EQUIP RENTAL 75173,A81000B,01500,0300,CAPITAL 75173,A81000C,00100,0100,B 75173,A81000C,00100,0200,CANYON HILLS 14 75173,A81000C,00100,0400,MARINER PAN 75173,A81000C,00100,0600,NURSING HOMES 75173,A81000C,00200,0100,G 75173,A81000C,00200,0200,MARINER PAN 75173,A81000C,00200,0400,AMER PHARM SVCS 75173,A81000C,00200,0600,PHARMACEUTICALS 75173,A81000C,00300,0100,G 75173,A81000C,00300,0200,MARINER PAN 75173,A81000C,00300,0400,PRISM-ATS-ARS-T 75173,A81000C,00300,0600,THERAPIES 75173,B100000,00000,0100,00001SQUARE FEET 75173,B100000,00000,0200,00001SQUARE FEET 75173,B100000,00000,0300,00001GROSS SALARIES 75173,B100000,00000,0400,00001ACCUM COST 75173,B100000,00000,0500,00001SQUARE FEET 75173,B100000,00000,0600,00001PATIENT DAYS 75173,B100000,00000,0700,00001SQUARE FEET 75173,B100000,00000,0800,00001MEALS SERVED 75173,B100000,00000,0900,00001DIR NURSIN HRS OF SVC 75173,B100000,00000,1000,00001COSTED REQUISITIO 75173,B100000,00000,1100,00001COSTED REQUIS 75173,B100000,00000,1200,00001PATIENT DAYS 75173,B100000,00000,1300,00001PATIENT DAYS 75173,B100000,00000,1301,00001PATIENT DAYS 75173,B100000,00000,1350,00001UNITS OF SERVICE 75173,B100000,00000,1400,00001ASSIGNED TIME 75173,S000000,00100,0200,02/29/2000 75173,S200000,00100,0100,1210 CAYON HILLS RD 75173,S200000,00200,0100,THERMOPOLIS 75173,S200000,00200,0200,WY 75173,S200000,00200,0300,82443 75173,S200000,00300,0100,HOT SPRINGS 75173,S200000,00400,0100,CANYON HILLS MANOR 75173,S200000,00400,0200,535051 75173,S200000,00400,0300,06/01/1994 75173,S200000,00400,0500,P 75173,S200000,01600,0100,Y 75173,S200000,01900,0100,PRIVATE NON-PROFIT 75173,S200000,02200,0100,Y 75173,S200000,04300,0100,Y 75189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 75189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 75189,A000000,00300,0000,00300EMPLOYEE BENEFITS 75189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 75189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75189,A000000,00700,0000,00700HOUSEKEEPING 75189,A000000,00800,0000,00800DIETARY 75189,A000000,00900,0000,00900NURSING ADMINISTRATION 75189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75189,A000000,01100,0000,01100PHARMACY 75189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75189,A000000,01300,0000,01300SOCIAL SERVICE 75189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 75189,A000000,01600,0000,01600SKILLED NURSING FACILITY 75189,A000000,01800,0000,01800NURSING FACILITY 75189,A000000,01900,0000,01900OTHER LONG TERM CARE 75189,A000000,02100,0000,02100RADIOLOGY 75189,A000000,02200,0000,02200LABORATORY 75189,A000000,02300,0000,02300INTRAVENOUS THERAPY 75189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75189,A000000,02500,0000,02500PHYSICAL THERAPY 75189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75189,A000000,02700,0000,02700SPEECH PATHOLOGY 75189,A000000,02800,0000,02800ELECTROCARDIOLOGY 75189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 75189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75189,A000000,03050,0000,03300 75189,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 75189,A000000,03200,0000,03200SUPPORT SURFACES 75189,A000000,03400,0000,03400CLINIC 75189,A000000,03450,0000,03600 75189,A000000,03500,0000,03500RURAL HEALTH CLINIC 75189,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 75189,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 75189,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 75189,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 75189,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 75189,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 75189,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 75189,A000000,04400,0000,04400DME RENTED - HHA 75189,A000000,04500,0000,04500DME SOLD - HHA 75189,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 75189,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 75189,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 75189,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 75189,A000000,05300,0000,05300INTEREST EXPENSE 75189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75189,A000000,05500,0000,05500HOSPICE 75189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 75189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 75189,A000000,06100,0000,06100NONPAID WORKERS 75189,A000000,06150,0000,06300ASC 75189,A000000,06151,0000,06301HOUSING FOR THE ERDERLY 75189,A000000,06200,0000,06200PATIENTS LAUNDRY 75189,A81000A,00100,0100,Y 75189,A81000B,00100,0300,RENT EXPENSE 75189,A81000B,00200,0300,RENT EXPENSE 75189,A81000C,00100,0100,A 75189,A81000C,00100,0200,RAMON SUAREZ 75189,B100000,00000,0100,00001SQUARE FEETS :CAP REL COSTS - BLDG 75189,B100000,00000,0250,00001SQUARE FEETS :CAP REL COSTS - MOVA 75189,B100000,00000,0300,00001GROSS SAL :EMPLOYEE BENEFITS 75189,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 75189,B100000,00000,0500,00001SQUARE FEETS :PLANT OPERATION MAI 75189,B100000,00000,0750,00001SQUARE FEETS :HOUSEKEEPING 75189,B100000,00000,0800,00001MEALS SERVED :DIETARY 75189,B100000,00000,0950,00001TIME SPENT :NURSING ADMINISTRATION 75189,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 75189,B100000,00000,1100,00001COSTED REQUISITIO :PHARMACY 75189,B100000,00000,1250,00001HOURS :MEDICAL RECORDS & LIBRARY 75189,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 75189,E10A180,00501,0100,12/26/2000 75189,S000000,00100,0200,11/20/2000 75189,S200000,00100,0100,CALLE DE DIEGO NUM. 41245 75189,S200000,00200,0100,SANTURCE 75189,S200000,00200,0200,PR 75189,S200000,00200,0300,09400- 75189,S200000,00300,0100,SAN JUAN 75189,S200000,00300,0200,7440 75189,S200000,00300,0300,U 75189,S200000,00400,0100,HOSPITAL MIMIYA INC. 75189,S200000,00400,0200,405026 75189,S200000,00400,0300,05/01/1991 75189,S200000,00400,0500,P 75189,S200000,01500,0100,Y 75189,S200000,03300,0100,Y 75195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 75195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 75195,A000000,00300,0000,00300EMPLOYEE BENEFITS 75195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 75195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75195,A000000,00700,0000,00700HOUSEKEEPING 75195,A000000,00800,0000,00800DIETARY 75195,A000000,00900,0000,00900NURSING ADMINISTRATION 75195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75195,A000000,01100,0000,01100PHARMACY 75195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75195,A000000,01300,0000,01300SOCIAL SERVICE 75195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 75195,A000000,01600,0000,01600SKILLED NURSING FACILITY 75195,A000000,01900,0000,01900OTHER LONG TERM CARE 75195,A000000,02100,0000,02100RADIOLOGY 75195,A000000,02200,0000,02200LABORATORY 75195,A000000,02300,0000,02300INTRAVENOUS THERAPY 75195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75195,A000000,02500,0000,02500PHYSICAL THERAPY 75195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75195,A000000,02700,0000,02700SPEECH PATHOLOGY 75195,A000000,02800,0000,02800ELECTROCARDIOLOGY 75195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 75195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75195,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 75195,A000000,03200,0000,03200SUPPORT SURFACES 75195,A000000,03400,0000,03400CLINIC 75195,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 75195,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 75195,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 75195,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 75195,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 75195,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 75195,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 75195,A000000,04400,0000,04400DME RENTED - HHA 75195,A000000,04500,0000,04500DME SOLD - HHA 75195,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 75195,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 75195,A000000,04800,0000,04800AMBULANCE 75195,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 75195,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 75195,A000000,05300,0000,05300INTEREST EXPENSE 75195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 75195,A000000,05500,0000,05500HOSPICE 75195,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 75195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75195,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 75195,A000000,06100,0000,06100NONPAID WORKERS 75195,A000000,06200,0000,06200PATIENTS LAUNDRY 75195,B100000,00000,0100,00000SQ. FEET :CAP REL COSTS - BLDGS & 75195,B100000,00000,0300,00000GROSS SAL. :EMPLOYEE BENEFITS 75195,B100000,00000,0400,00000ACCUM. COSTS :ADMINISTRATIVE & GEN 75195,B100000,00000,0500,00000SQ. FEET :PLANT OPERATION MAINT. 75195,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 75195,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 75195,B100000,00000,0800,00000MEALS SERVED :DIETARY 75195,B100000,00000,0950,00000NURSING SAL. :NURSING ADMINISTRATI 75195,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 75195,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 75195,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 75195,S000000,00100,0200,07/31/2000 75195,S200000,00100,0100,7500 BOLONGO BAY 75195,S200000,00200,0100,ST. THOMAS 75195,S200000,00200,0200,PR 75195,S200000,00200,0300,00802- 75195,S200000,00300,0100,US VIRGIN ISLAND 75195,S200000,00300,0200,0040 75195,S200000,00300,0300,R 75195,S200000,00400,0100,SEA VIEW NURSING & REHABILITATION 75195,S200000,00400,0200,485000 75195,S200000,00400,0300,09/01/1993 75195,S200000,00400,0500,P 75195,S200000,01500,0100,Y 75268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75268,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75268,A000000,00300,0000,00300EMPLOYEE BENEFITS 75268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75268,A000000,00700,0000,00700HOUSEKEEPING 75268,A000000,00800,0000,00800DIETARY 75268,A000000,00900,0000,00900NURSING ADMINISTRATION 75268,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75268,A000000,01100,0000,01100PHARMACY 75268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75268,A000000,01300,0000,01300SOCIAL SERVICE 75268,A000000,01350,0000,01500RECREATION 75268,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75268,A000000,01600,0000,01600SKILLED NURSING FACILITY 75268,A000000,01810,0000,01810ICF/MR 75268,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 75268,A000000,02500,0000,02500PHYSICAL THERAPY 75268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75268,A000000,02700,0000,02700SPEECH PATHOLOGY 75268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75268,A000000,03550,0000,03550FQHC 75268,A000000,05000,0000,05000CORF 75268,A000000,05010,0000,05010CMHC 75268,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 75268,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75268,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 75268,B100000,00000,0100,00000(SQUARE FEET) 75268,B100000,00000,0200,00000(SQUARE FEET) 75268,B100000,00000,0300,00000(GROSS SALARIES) 75268,B100000,00000,0400,00000(ACCUM COST) 75268,B100000,00000,0500,00000(SQUARE FEET) 75268,B100000,00000,0600,00000(POUNDS OF LAUNDRY) 75268,B100000,00000,0700,00000(HOURS OF SERVICE) 75268,B100000,00000,0800,00000(MEALS SERVED) 75268,B100000,00000,0900,00000(DIRECT NRSG HRS) 75268,B100000,00000,1000,00000(COSTED REQUIS) 75268,B100000,00000,1100,00000(COSTED REQUIS) 75268,B100000,00000,1200,00000(TIME SPENT) 75268,B100000,00000,1300,00000(TIME SPENT) 75268,B100000,00000,1350,00000 75268,B100000,00000,1400,00000(ASSIGNED TIME) 75268,E10A180,00350,0100,03/23/2000 75268,S000000,00100,0200,08/26/1999 75268,S200000,00100,0100,GLEN HILL ROAD 75268,S200000,00200,0100,DANBURY 75268,S200000,00200,0200,CT 75268,S200000,00200,0300,06810 75268,S200000,00300,0100,FAIRFIELD 75268,S200000,00400,0100,GLEN HILL CONVALESCENT 75268,S200000,00400,0200,075031 75268,S200000,00400,0300,01/11/1979 75268,S200000,00400,0500,P 75268,S200000,00400,0600,O 75268,S200000,01500,0100,Y 75268,S200000,02800,0100,Y 75372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 75372,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. # 75372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 75372,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. 75372,A000000,00300,0000,00300EMPLOYEE BENEFITS 75372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 75372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 75372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 75372,A000000,00700,0000,00700HOUSEKEEPING 75372,A000000,00800,0000,00800DIETARY 75372,A000000,00801,0000,00801CAFETERIA 75372,A000000,00900,0000,00900NURSING ADMINISTRATION 75372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 75372,A000000,01100,0000,01100PHARMACY 75372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 75372,A000000,01300,0000,01300SOCIAL SERVICE 75372,A000000,01350,0000,01500ACTIVITIES 75372,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 75372,A000000,01600,0000,01600SKILLED NURSING FACILITY 75372,A000000,01800,0000,01800NURSING FACILITY 75372,A000000,01810,0000,01810ICF/MR 75372,A000000,02100,0000,02100RADIOLOGY 75372,A000000,02200,0000,02200LABORATORY 75372,A000000,02300,0000,02300INTRAVENOUS THERAPY 75372,A000000,02500,0000,02500PHYSICAL THERAPY 75372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 75372,A000000,02700,0000,02700SPEECH PATHOLOGY 75372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 75372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 75372,A000000,03050,0000,03300OTHER ANCILLARY 75372,A000000,03051,0000,03301OTHER ANCILLARY II 75372,A000000,03052,0000,03302OTHER ANCILLARY III 75372,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 75372,A000000,03550,0000,03550FQHC 75372,A000000,04750,0000,05100OTHER REIMBURSABLE COST 75372,A000000,04800,0000,04800AMBULANCE 75372,A000000,05000,0000,05000CORF I 75372,A000000,05010,0000,05010CMHC I 75372,A000000,05020,0000,05020OPT I 75372,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 75372,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 75372,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 75372,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 75372,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 75372,A81000A,00100,0100,Y 75372,A81000B,00100,0300,INTEREST PAYMENTS 75372,A81000C,00100,0100,B 75372,A81000C,00100,0400,OMEGA 75372,A81000C,00100,0600,PARENT COMPANY 75372,B100000,00000,0100,00000(SQUARE FEET) 75372,B100000,00000,0101,00000(SQUARE FEET) 75372,B100000,00000,0200,00000(SQUARE FEET) 75372,B100000,00000,0201,00000(SQUARE FEET) 75372,B100000,00000,0300,00000(GROSS SALARIES) 75372,B100000,00000,0400,00000(ACCUM. COST) 75372,B100000,00000,0500,00000(SQUARE FEET) 75372,B100000,00000,0600,00000(PATIENT DAYS) 75372,B100000,00000,0700,00000(SQUARE FEET) 75372,B100000,00000,0800,00000(MEALS SERVED) 75372,B100000,00000,0801,00000(MEALS SERVED) 75372,B100000,00000,0900,00000(NURSING SALARIES) 75372,B100000,00000,1000,00000(COSTED REQUIS.) 75372,B100000,00000,1100,00000(COSTED REQUIS.) 75372,B100000,00000,1200,00000(GROSS CHARGES) 75372,B100000,00000,1300,00000(PATIENT DAYS) 75372,B100000,00000,1350,00000(PATIENT DAYS) 75372,B100000,00000,1400,00000(ASSIGNED TIME) 75372,S000000,00100,0200,05/25/2000 75372,S200000,00100,0100,97 PRESTON RD. 75372,S200000,00200,0100,GRISWOLD 75372,S200000,00200,0200,CT 75372,S200000,00200,0300,06351 75372,S200000,00300,0100,NEW LONDON 75372,S200000,00400,0100,SUMMIT CENTER 75372,S200000,00400,0200,075093 75372,S200000,00400,0300,05/08/1996 75372,S200000,00400,0500,P 75372,S200000,01600,0100,Y 76352,S000000,00100,0200,06/05/2000 77044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 77044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 77044,A000000,00300,0000,00300EMPLOYEE BENEFITS 77044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 77044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 77044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 77044,A000000,00700,0000,00700HOUSEKEEPING 77044,A000000,00800,0000,00800DIETARY 77044,A000000,00900,0000,00900NURSING ADMINISTRATION 77044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 77044,A000000,01100,0000,01100PHARMACY 77044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 77044,A000000,01300,0000,01300SOCIAL SERVICE 77044,A000000,01350,0000,01500ACTIVITIES 77044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 77044,A000000,01600,0000,01600SKILLED NURSING FACILITY 77044,A000000,01800,0000,01800NURSING FACILITY 77044,A000000,02100,0000,02100RADIOLOGY 77044,A000000,02200,0000,02200LABORATORY 77044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 77044,A000000,02500,0000,02500PHYSICAL THERAPY 77044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 77044,A000000,02700,0000,02700SPEECH PATHOLOGY 77044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 77044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 77044,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CE 77044,A000000,03200,0000,03200SUPPORT SURFACES 77044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 77044,A000000,03550,0000,03550FQHC 77044,A000000,05000,0000,05000CORF 77044,A000000,05010,0000,05010CMHC 77044,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 77044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 77044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 77044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 77044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 77044,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 77044,A81000A,00100,0100,Y 77044,A81000B,00100,0300,HOME OFFICE 77044,A81000B,00200,0300,HOME OFFICE CAPITAL 77044,A81000B,00300,0300,RENT 77044,A81000B,00400,0300,INTEREST 77044,A81000B,00500,0300,DEPRECIATION 77044,A81000B,00600,0300,LEGAL & ACCOUNTING 77044,A81000B,00700,0300,CAPITAL-RICHMOND DEVELOPMENTAL 77044,A81000C,00100,0100,A 77044,A81000C,00100,0200,FRANK WRONSKI 77044,A81000C,00100,0400,THE MEDILODGE G 77044,A81000C,00100,0600,HOME OFFICE 77044,A81000C,00200,0100,A 77044,A81000C,00200,0200,FRANK WRONSKI 77044,A81000C,00200,0400,BLUE WATER INVE 77044,A81000C,00200,0600,RENTAL 77044,A81000C,00300,0100,A 77044,A81000C,00300,0200,LEO EISENBERG 77044,A81000C,00300,0400,BLUE WATER INVE 77044,A81000C,00300,0600,RENTAL 77044,A81000C,00400,0100,A 77044,A81000C,00400,0200,FRANK WRONSKI 77044,A81000C,00400,0400,ALL MED MEDICAL 77044,A81000C,00400,0600,NURSING SUPPLIE 77044,A81000C,00500,0100,A 77044,A81000C,00500,0200,LEO EISENBERG 77044,A81000C,00500,0400,NURSING HOME GR 77044,A81000C,00500,0600,ANCILLARY SEVIC 77044,B100000,00000,0100,00000SQUARE FEET 77044,B100000,00000,0200,00000SQUARE FEET 77044,B100000,00000,0300,00000GROSS SALARIES 77044,B100000,00000,0400,00000ACCUM COST 77044,B100000,00000,0500,00000SQUARE FEET 77044,B100000,00000,0600,00000PATIENT DAYS 77044,B100000,00000,0700,00000SQUARE FEET 77044,B100000,00000,0800,00000MEALS SERVED 77044,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 77044,B100000,00000,1000,00000PATIENT DAYS 77044,B100000,00000,1100,00000COSTED REQUIS 77044,B100000,00000,1200,00000TIME SPENT 77044,B100000,00000,1300,00000PATIENT DAYS 77044,B100000,00000,1350,00000PATIENT DAYS 77044,B100000,00000,1400,00000ASSIGNED TIME 77044,S000000,00100,0200,05/30/2000 77044,S200000,00100,0100,34901 DIVISION RD 77044,S200000,00200,0100,RICHMOND 77044,S200000,00200,0200,MI 77044,S200000,00200,0300,48062 77044,S200000,00300,0100,MACOMB 77044,S200000,00400,0100,MEDILODGE OF RICHMOND 77044,S200000,00400,0200,235486 77044,S200000,00400,0300,03/06/1990 77044,S200000,00400,0500,P 77044,S200000,01600,0100,Y 77365,S000000,00100,0200,08/31/1999 79158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79158,A000000,00300,0000,00300EMPLOYEE BENEFITS 79158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79158,A000000,00700,0000,00700HOUSEKEEPING 79158,A000000,00800,0000,00800DIETARY 79158,A000000,00900,0000,00900NURSING ADMINISTRATION 79158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79158,A000000,01100,0000,01100PHARMACY 79158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79158,A000000,01300,0000,01300SOCIAL SERVICE 79158,A000000,01301,0000,01301ACTIVITIES 79158,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 79158,A000000,01600,0000,01600SKILLED NURSING FACILITY 79158,A000000,01800,0000,01800NURSING FACILITY 79158,A000000,01900,0000,01900OTHER LONG TERM CARE 79158,A000000,02100,0000,02100RADIOLOGY 79158,A000000,02200,0000,02200LABORATORY 79158,A000000,02300,0000,02300INTRAVENOUS THERAPY 79158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79158,A000000,02500,0000,02500PHYSICAL THERAPY 79158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79158,A000000,02700,0000,02700SPEECH PATHOLOGY 79158,A000000,02800,0000,02800ELECTROCARDIOLOGY 79158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79158,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79158,A000000,03051,0000,03301PEN THERAPY 79158,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79158,A000000,03200,0000,03200SUPPORT SURFACES 79158,A000000,03400,0000,03400CLINIC 79158,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79158,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79158,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79158,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79158,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79158,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79158,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79158,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79158,A000000,04400,0000,04400DME RENTED - HHA 79158,A000000,04500,0000,04500DME SOLD - HHA 79158,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79158,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79158,A000000,04800,0000,04800AMBULANCE 79158,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79158,A000000,05000,0000,05000CORF 79158,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79158,A000000,05300,0000,05300INTEREST EXPENSE 79158,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79158,A000000,05500,0000,05500HOSPICE 79158,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79158,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79158,A000000,06100,0000,06100NONPAID WORKERS 79158,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79158,A000000,06200,0000,06200PATIENTS LAUNDRY 79158,A81000A,00100,0100,Y 79158,A81000B,00100,0300,NURSING SUPPLIES 79158,A81000B,00200,0300,MEDICAL SUPPLIES 79158,A81000B,00300,0300,ADMIN COST 79158,A81000B,00400,0300,DIETARY SUPPLEMENTS 79158,A81000B,00500,0300,CAPITAL- RENTAL EQMT 79158,A81000B,00600,0300,PRESCRIPTION DRUGS 79158,A81000B,00700,0300,PEN THERAPY 79158,A81000B,00800,0300,CONTRACT CONSULTANT 79158,A81000B,00900,0300,IV THERAPY 79158,A81000B,01000,0300,PT CONSULTANT 79158,A81000B,01100,0300,PT THERAPY 79158,A81000B,01200,0300,RT THERAPY 79158,A81000B,01300,0300,OT THERAPY 79158,A81000B,01400,0300,ST THERAPY 79158,A81000B,01500,0300,HOME OFFICE INTEREST 79158,A81000B,01600,0300,HOME OFFICE COST 79158,A81000C,00100,0100,B 79158,A81000C,00100,0200,MONTROSE BAY 79158,A81000C,00100,0400,MARINER POST AC 79158,A81000C,00100,0600,NURSING HOMES 79158,A81000C,00200,0100,G 79158,A81000C,00200,0200,MARINER POST AC 79158,A81000C,00200,0400,AMERICAN PHARMA 79158,A81000C,00200,0600,PHARMACEUTICALS 79158,A81000C,00300,0100,G 79158,A81000C,00300,0200,MARINER POST AC 79158,A81000C,00300,0400,PRISM (ATS ARS 79158,A81000C,00300,0600,THERAPIES 79158,A81000C,03100,0000,MARINER POST ACUTE NETWORK 79158,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79158,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79158,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79158,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79158,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79158,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79158,B100000,00000,0800,00000MEALS SERVED :DIETARY 79158,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79158,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79158,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79158,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79158,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79158,B100000,00000,1331,00000PT DAYS :ACTIVITIES 79158,B100000,00000,1350,00000 UNITS OF SERVICE:OTHER GENERAL SER 79158,S000000,00100,0200,03/02/2000 79158,S200000,00100,0100,22670 MAIN STREET 79158,S200000,00200,0100,MONTROSE 79158,S200000,00200,0200,AL 79158,S200000,00200,0300,36559- 79158,S200000,00300,0100,BALDWIN 79158,S200000,00400,0100,MONTROSE BAY HEALTH CARE CENTER 79158,S200000,00400,0200,015011 79158,S200000,00400,0300,07/01/1967 79158,S200000,00400,0500,P 79158,S200000,01600,0100,Y 79158,S700003,00000,0100,1 79167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79167,A000000,00300,0000,00300EMPLOYEE BENEFITS 79167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79167,A000000,00700,0000,00700HOUSEKEEPING 79167,A000000,00800,0000,00800DIETARY 79167,A000000,00900,0000,00900NURSING ADMINISTRATION 79167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79167,A000000,01100,0000,01100PHARMACY 79167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79167,A000000,01300,0000,01300SOCIAL SERVICE 79167,A000000,01350,0000,01500OTHER GENERAL SERVICES 79167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79167,A000000,01600,0000,01600SKILLED NURSING FACILITY 79167,A000000,01800,0000,01800NURSING FACILITY 79167,A000000,01900,0000,01900OTHER LONG TERM CARE 79167,A000000,02100,0000,02100RADIOLOGY 79167,A000000,02200,0000,02200LABORATORY 79167,A000000,02300,0000,02300INTRAVENOUS THERAPY 79167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79167,A000000,02500,0000,02500PHYSICAL THERAPY 79167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79167,A000000,02700,0000,02700SPEECH PATHOLOGY 79167,A000000,02800,0000,02800ELECTROCARDIOLOGY 79167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79167,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79167,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79167,A000000,03200,0000,03200SUPPORT SURFACES 79167,A000000,03400,0000,03400CLINIC 79167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79167,A000000,03500,0000,03500RURAL HEALTH CLINIC 79167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79167,A000000,04800,0000,04800AMBULANCE 79167,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79167,A000000,05000,0000,05000CORF 79167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79167,A000000,05300,0000,05300INTEREST EXPENSE 79167,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79167,A000000,05500,0000,05500HOSPICE 79167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79167,A000000,06100,0000,06100NONPAID WORKERS 79167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79167,A000000,06200,0000,06200PATIENTS LAUNDRY 79167,A81000A,00100,0100,Y 79167,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 79167,A81000B,00200,0300,LAUNDRY & LINEN 79167,A81000B,00300,0300,EMPLOYEE BENEFITS 79167,A81000B,00400,0300,CAP REL COSTS-BLDGS & FIX 79167,A81000C,00100,0100,B 79167,A81000C,00100,0200,THE BAPTIST HEALTH SYSTEM 79167,A81000C,00100,0400,MONTCLAIR-BMC 79167,A81000C,00100,0600,HEALTHCARE 79167,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 79167,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 79167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79167,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 79167,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 79167,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 79167,B100000,00000,0850,00000NO STATISTICS :DIETARY 79167,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 79167,S000000,00100,0200,08/03/2000 79167,S200000,00100,0100,7755 FOURTH AVENUE SOUTH 79167,S200000,00200,0100,BIRMINGHAM 79167,S200000,00200,0200,AL 79167,S200000,00200,0300,35206- 79167,S200000,00300,0100,JEFFERSON 79167,S200000,00300,0200,1 79167,S200000,00300,0300,U 79167,S200000,00400,0100,MONTCLAIR EAST NURSING CENTER 79167,S200000,00400,0200,015014 79167,S200000,00400,0300,11/10/1989 79167,S200000,00400,0500,P 79167,S200000,01500,0100,Y 79169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79169,A000000,00300,0000,00300EMPLOYEE BENEFITS 79169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79169,A000000,00700,0000,00700HOUSEKEEPING 79169,A000000,00800,0000,00800DIETARY 79169,A000000,00900,0000,00900NURSING ADMINISTRATION 79169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79169,A000000,01100,0000,01100PHARMACY 79169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79169,A000000,01300,0000,01300SOCIAL SERVICE 79169,A000000,01350,0000,01500ACTIVITIES 79169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79169,A000000,01600,0000,01600SKILLED NURSING FACILITY 79169,A000000,01800,0000,01800NURSING FACILITY 79169,A000000,01900,0000,01900OTHER LONG TERM CARE 79169,A000000,02100,0000,02100RADIOLOGY 79169,A000000,02200,0000,02200LABORATORY 79169,A000000,02300,0000,02300INTRAVENOUS THERAPY 79169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79169,A000000,02500,0000,02500PHYSICAL THERAPY 79169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79169,A000000,02700,0000,02700SPEECH PATHOLOGY 79169,A000000,02800,0000,02800ELECTROCARDIOLOGY 79169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79169,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79169,A000000,03200,0000,03200SUPPORT SURFACES 79169,A000000,03400,0000,03400CLINIC 79169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79169,A000000,03500,0000,03500RURAL HEALTH CLINIC 79169,A000000,04800,0000,04800AMBULANCE 79169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79169,A000000,05000,0000,05000CORF 79169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79169,A000000,05300,0000,05300INTEREST EXPENSE 79169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79169,A000000,05500,0000,05500HOSPICE 79169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79169,A000000,06100,0000,06100NONPAID WORKERS 79169,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79169,A000000,06200,0000,06200PATIENTS LAUNDRY 79169,A81000A,00100,0100,Y 79169,A81000B,00100,0300,HOME OFFICE 79169,A81000B,00200,0300,HOME OFFICE 79169,A81000B,00300,0300,HOME OFFICE 79169,A81000B,00400,0300,HOME OFFICE 79169,A81000B,00500,0300,RELATED PARTY LEASE 79169,A81000C,00100,0100,A 79169,A81000C,00100,0200,CLARENCE BALL 79169,A81000C,00100,0400,HOME OFFICE 79169,A81000C,00100,0600,MANAGEMENT 79169,A81000C,00200,0100,A 79169,A81000C,00200,0200,CLARENCE BAL 79169,A81000C,00200,0400,BALL HEALTHCARE 79169,A81000C,00200,0600,RENTAL 79169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79169,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79169,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79169,B100000,00000,0800,00000MEALS SERVED :DIETARY 79169,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79169,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79169,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79169,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79169,S000000,00100,0200,12/12/2000 79169,S200000,00100,0100,7755 4TH AVENUE SOUTH 79169,S200000,00200,0100,BIRMINGHAM 79169,S200000,00200,0200,AL 79169,S200000,00200,0300,35206- 79169,S200000,00300,0100,JEFFERSON 79169,S200000,00300,0200,1000 79169,S200000,00300,0300,U 79169,S200000,00400,0100,BALL HEALTHCARE-EASTVIEW INC. 79169,S200000,00400,0200,015014 79169,S200000,00400,0300,09/01/1999 79169,S200000,00400,0500,P 79169,S200000,01600,0100,Y 79177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79177,A000000,00300,0000,00300EMPLOYEE BENEFITS 79177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79177,A000000,00700,0000,00700HOUSEKEEPING 79177,A000000,00800,0000,00800DIETARY 79177,A000000,00900,0000,00900NURSING ADMINISTRATION 79177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79177,A000000,01100,0000,01100PHARMACY 79177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79177,A000000,01300,0000,01300SOCIAL SERVICE 79177,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 79177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79177,A000000,01600,0000,01600SKILLED NURSING FACILITY 79177,A000000,01800,0000,01800NURSING FACILITY 79177,A000000,01810,0000,01810ICF/MR 79177,A000000,01900,0000,01900OTHER LONG TERM CARE 79177,A000000,02100,0000,02100RADIOLOGY 79177,A000000,02200,0000,02200LABORATORY 79177,A000000,02300,0000,02300INTRAVENOUS THERAPY 79177,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79177,A000000,02500,0000,02500PHYSICAL THERAPY 79177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79177,A000000,02700,0000,02700SPEECH PATHOLOGY 79177,A000000,02800,0000,02800ELECTROCARDIOLOGY 79177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79177,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79177,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79177,A000000,03200,0000,03200SUPPORT SURFACES 79177,A000000,03400,0000,03400CLINIC 79177,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79177,A000000,03500,0000,03500RURAL HEALTH CLINIC 79177,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79177,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79177,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79177,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79177,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79177,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79177,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79177,A000000,04400,0000,04400DME RENTED - HHA 79177,A000000,04500,0000,04500DME SOLD - HHA 79177,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79177,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79177,A000000,04800,0000,04800AMBULANCE 79177,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79177,A000000,05000,0000,05000CORF 79177,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79177,A000000,05300,0000,05300INTEREST EXPENSE 79177,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79177,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79177,A000000,05500,0000,05500HOSPICE 79177,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79177,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79177,A000000,06100,0000,06100NONPAID WORKERS 79177,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79177,A000000,06200,0000,06200PATIENTS LAUNDRY 79177,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79177,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79177,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79177,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79177,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79177,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79177,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79177,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79177,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79177,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79177,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 79177,E10A180,00550,0100,12/22/2000 79177,S000000,00100,0200,12/04/2000 79177,S200000,00100,0100,6450 OLD TUSCALOOSA HIGHWAY 79177,S200000,00200,0100,MCCALLA 79177,S200000,00200,0200,AL 79177,S200000,00200,0300,35111- 79177,S200000,00300,0100,JEFFERSON 79177,S200000,00300,0200,1000 79177,S200000,00300,0300,U 79177,S200000,00400,0100,PLANTATION MANOR 79177,S200000,00400,0200,015015 79177,S200000,00400,0300,01/01/1967 79177,S200000,00400,0500,P 79177,S200000,02800,0100,Y 79205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79205,A000000,00300,0000,00300EMPLOYEE BENEFITS 79205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79205,A000000,00700,0000,00700HOUSEKEEPING 79205,A000000,00800,0000,00800DIETARY 79205,A000000,00900,0000,00900NURSING ADMINISTRATION 79205,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79205,A000000,01300,0000,01300SOCIAL SERVICE 79205,A000000,01301,0000,01301ACTIVITIES 79205,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 79205,A000000,01600,0000,01600SKILLED NURSING FACILITY 79205,A000000,01800,0000,01800NURSING FACILITY 79205,A000000,01900,0000,01900OTHER LONG TERM CARE 79205,A000000,02100,0000,02100RADIOLOGY 79205,A000000,02200,0000,02200LABORATORY 79205,A000000,02300,0000,02300INTRAVENOUS THERAPY 79205,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79205,A000000,02500,0000,02500PHYSICAL THERAPY 79205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79205,A000000,02700,0000,02700SPEECH PATHOLOGY 79205,A000000,02800,0000,02800ELECTROCARDIOLOGY 79205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79205,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79205,A000000,03051,0000,03301PEN THERAPY 79205,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79205,A000000,03200,0000,03200SUPPORT SURFACES 79205,A000000,03400,0000,03400CLINIC 79205,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79205,A000000,04800,0000,04800AMBULANCE 79205,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79205,A000000,05000,0000,05000CORF 79205,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79205,A000000,05300,0000,05300INTEREST EXPENSE 79205,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79205,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79205,A000000,05500,0000,05500HOSPICE 79205,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79205,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79205,A000000,06100,0000,06100NONPAID WORKERS 79205,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79205,A000000,06200,0000,06200PATIENTS LAUNDRY 79205,A81000A,00100,0100,Y 79205,A81000B,00100,0300,HOME OFFICE INTEREST 79205,A81000B,00200,0300,HOME OFFICE COST 79205,A81000B,00300,0300,NURSING SUPPLIES 79205,A81000B,00400,0300,MEDICAL SUPPLIES 79205,A81000B,00500,0300,ADMIN COST 79205,A81000B,00600,0300,DIETARY 79205,A81000B,00700,0300,PRESCRIPTION DRUGS 79205,A81000B,00800,0300,PEN 79205,A81000B,00900,0300,NURSING ADMINISTRATION 79205,A81000B,01000,0300,IV THERAPY 79205,A81000B,01100,0300,PHYSICAL THERAPY 79205,A81000B,01200,0300,PT CONSULTANT 79205,A81000B,01300,0300,OT THERAPY 79205,A81000B,01400,0300,ST THERAPY 79205,A81000C,00100,0100,B 79205,A81000C,00100,0200,WOODLEY MANOR 79205,A81000C,00100,0400,MARINER POST AC 79205,A81000C,00100,0600,NURSING HOMES 79205,A81000C,00200,0100,G 79205,A81000C,00200,0200,MARINER POST AC 79205,A81000C,00200,0400,AMERICAN PHARMA 79205,A81000C,00200,0600,PHARMACEUTICALS 79205,A81000C,00300,0100,G 79205,A81000C,00300,0200,MARINER POST AC 79205,A81000C,00300,0400,PRISM (ATS ARS 79205,A81000C,00300,0600,THERAPIES 79205,A81000C,03100,0000,MARINER POST ACUTE NETWORK 79205,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79205,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79205,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79205,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79205,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79205,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79205,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79205,B100000,00000,0800,00000MEALS SERVED :DIETARY 79205,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79205,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79205,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79205,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79205,B100000,00000,1331,00000PT DAYS :ACTIVITIES 79205,B100000,00000,1350,00000UNIT OF SERVICE :OTHER GENERAL SERV 79205,E10A180,00301,0100,07/22/1999 79205,S000000,00100,0200,03/02/2000 79205,S200000,00100,0100,3312 WOODLEY ROAD 79205,S200000,00200,0100,MONTGOMERY 79205,S200000,00200,0200,AL 79205,S200000,00200,0300,36116- 79205,S200000,00300,0100,MONTGOMERY 79205,S200000,00400,0100,WOODLEY MANOR NURSING HOME 79205,S200000,00400,0200,015037 79205,S200000,00400,0300,01/04/1967 79205,S200000,00400,0500,P 79205,S200000,01600,0100,Y 79216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79216,A000000,00300,0000,00300EMPLOYEE BENEFITS 79216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79216,A000000,00700,0000,00700HOUSEKEEPING 79216,A000000,00800,0000,00800DIETARY 79216,A000000,00900,0000,00900NURSING ADMINISTRATION 79216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79216,A000000,01100,0000,01100PHARMACY 79216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79216,A000000,01300,0000,01300SOCIAL SERVICE 79216,A000000,01301,0000,01301ACTIVITIES 79216,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 79216,A000000,01600,0000,01600SKILLED NURSING FACILITY 79216,A000000,01800,0000,01800NURSING FACILITY 79216,A000000,01900,0000,01900OTHER LONG TERM CARE 79216,A000000,02100,0000,02100RADIOLOGY 79216,A000000,02200,0000,02200LABORATORY 79216,A000000,02300,0000,02300INTRAVENOUS THERAPY 79216,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79216,A000000,02500,0000,02500PHYSICAL THERAPY 79216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79216,A000000,02700,0000,02700SPEECH PATHOLOGY 79216,A000000,02800,0000,02800ELECTROCARDIOLOGY 79216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79216,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79216,A000000,03051,0000,03301PEN THERAPY 79216,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79216,A000000,03200,0000,03200SUPPORT SURFACES 79216,A000000,03400,0000,03400CLINIC 79216,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79216,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79216,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79216,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79216,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79216,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79216,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79216,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79216,A000000,04400,0000,04400DME RENTED - HHA 79216,A000000,04500,0000,04500DME SOLD - HHA 79216,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79216,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79216,A000000,04800,0000,04800AMBULANCE 79216,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79216,A000000,05000,0000,05000CORF 79216,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79216,A000000,05300,0000,05300INTEREST EXPENSE 79216,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79216,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79216,A000000,05500,0000,05500HOSPICE 79216,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79216,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79216,A000000,06100,0000,06100NONPAID WORKERS 79216,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79216,A000000,06200,0000,06200PATIENTS LAUNDRY 79216,A81000A,00100,0100,Y 79216,A81000B,00100,0300,HOME OFFICE INTEREST 79216,A81000B,00200,0300,HOME OFFICE COST 79216,A81000B,00300,0300,NURSING SUPPLIES 79216,A81000B,00400,0300,MEDICAL SUPPLIES 79216,A81000B,00500,0300,ADMIN COST 79216,A81000B,00600,0300,DIETARY SUPPLEMENTS 79216,A81000B,00700,0300,PRESCRIPTION DRUGS 79216,A81000B,00800,0300,IV THERAPY 79216,A81000B,00900,0300,PT CONSULTANT 79216,A81000B,01000,0300,PT THERAPY 79216,A81000B,01100,0300,OT THERAPY 79216,A81000B,01200,0300,ST THERAPY 79216,A81000C,00100,0100,B 79216,A81000C,00100,0200,SOUTH HAVEN 79216,A81000C,00100,0400,MARINER POST AC 79216,A81000C,00100,0600,NURSING HOMES 79216,A81000C,00200,0100,G 79216,A81000C,00200,0200,MARINER POST AC 79216,A81000C,00200,0400,AMERICAN PHARMA 79216,A81000C,00200,0600,PHARMACEUTICALS 79216,A81000C,00300,0100,G 79216,A81000C,00300,0200,MARINER POST AC 79216,A81000C,00300,0400,PRISM (ATS ARS 79216,A81000C,00300,0600,THERAPIES 79216,A81000C,03100,0000,MARINER POST ACUTE NETWORK 79216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79216,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79216,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79216,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79216,B100000,00000,0800,00000MEALS SERVED :DIETARY 79216,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79216,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79216,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79216,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79216,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79216,B100000,00000,1331,00000PT DAYS :ACTIVITIES 79216,B100000,00000,1350,00000 UNITS OF SERVICE:OTHER GENERAL SER 79216,S000000,00100,0200,03/02/2000 79216,S200000,00100,0100,1300 EAST SOUTH BLVD 79216,S200000,00200,0100,MONTGOMERY 79216,S200000,00200,0200,AL 79216,S200000,00200,0300,36116- 79216,S200000,00300,0100,MONTGOMERY 79216,S200000,00400,0100,SOUTH HAVEN MANOR NURSING HOME 79216,S200000,00400,0200,015043 79216,S200000,00400,0300,06/01/1983 79216,S200000,00400,0500,P 79216,S200000,01600,0100,Y 79224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79224,A000000,00300,0000,00300EMPLOYEE BENEFITS 79224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79224,A000000,00700,0000,00700HOUSEKEEPING 79224,A000000,00800,0000,00800DIETARY 79224,A000000,00900,0000,00900NURSING ADMINISTRATION 79224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79224,A000000,01100,0000,01100PHARMACY 79224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79224,A000000,01300,0000,01300SOCIAL SERVICE 79224,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 79224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79224,A000000,01600,0000,01600SKILLED NURSING FACILITY 79224,A000000,01800,0000,01800NURSING FACILITY 79224,A000000,01900,0000,01900OTHER LONG TERM CARE 79224,A000000,02100,0000,02100RADIOLOGY 79224,A000000,02200,0000,02200LABORATORY 79224,A000000,02300,0000,02300INTRAVENOUS THERAPY 79224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79224,A000000,02500,0000,02500PHYSICAL THERAPY 79224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79224,A000000,02700,0000,02700SPEECH PATHOLOGY 79224,A000000,02800,0000,02800ELECTROCARDIOLOGY 79224,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 79224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79224,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79224,A000000,03200,0000,03200SUPPORT SURFACES 79224,A000000,03400,0000,03400CLINIC 79224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79224,A000000,03500,0000,03500RURAL HEALTH CLINIC 79224,A000000,04800,0000,04800AMBULANCE 79224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79224,A000000,05000,0000,05000CORF 79224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79224,A000000,05300,0000,05300INTEREST EXPENSE 79224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79224,A000000,05500,0000,05500HOSPICE 79224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79224,A000000,06100,0000,06100NONPAID WORKERS 79224,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79224,A000000,06200,0000,06200PATIENTS LAUNDRY 79224,A81000A,00100,0100,Y 79224,A81000B,00100,0300,CORPORATE OFFICE 79224,A81000B,00200,0300,CORPORATE OFFICE 79224,A81000C,00100,0100,C 79224,A81000C,00100,0200,NHS INC. 79224,A81000C,00100,0400,NHS INC. 79224,A81000C,00100,0600,HOME OFFICE 79224,A81000C,00200,0100,C 79224,A81000C,00200,0200,NHS INC. STOCK 79224,A81000C,00200,0400,NORTHGATE SERVI 79224,A81000C,00200,0600,PHARMACY 79224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79224,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79224,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79224,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79224,B100000,00000,0800,00000MEALS SERVED :DIETARY 79224,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79224,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79224,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79224,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79224,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79224,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 79224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79224,S000000,00100,0200,12/01/2000 79224,S200000,00100,0100,1424 NORTH 25TH STREET 79224,S200000,00200,0100,BIRMINGHAM 79224,S200000,00200,0200,AL 79224,S200000,00200,0300,35234- 79224,S200000,00300,0100,JEFFERSON 79224,S200000,00400,0100,ESTES NURSING FACILITY - NORTHWAY 79224,S200000,00400,0200,015047 79224,S200000,00400,0300,09/01/1982 79224,S200000,00400,0500,P 79224,S700003,00000,0200,2 79245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79245,A000000,00300,0000,00300EMPLOYEE BENEFITS 79245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79245,A000000,00700,0000,00700HOUSEKEEPING 79245,A000000,00800,0000,00800DIETARY 79245,A000000,00900,0000,00900NURSING ADMINISTRATION 79245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79245,A000000,01100,0000,01100PHARMACY 79245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79245,A000000,01300,0000,01300SOCIAL SERVICE 79245,A000000,01350,0000,01500ACTIVITIES 79245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79245,A000000,01600,0000,01600SKILLED NURSING FACILITY 79245,A000000,01800,0000,01800NURSING FACILITY 79245,A000000,01900,0000,01900OTHER LONG TERM CARE 79245,A000000,02100,0000,02100RADIOLOGY 79245,A000000,02200,0000,02200LABORATORY 79245,A000000,02300,0000,02300INTRAVENOUS THERAPY 79245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79245,A000000,02500,0000,02500PHYSICAL THERAPY 79245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79245,A000000,02700,0000,02700SPEECH PATHOLOGY 79245,A000000,02800,0000,02800ELECTROCARDIOLOGY 79245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79245,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79245,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79245,A000000,03200,0000,03200SUPPORT SURFACES 79245,A000000,03400,0000,03400CLINIC 79245,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79245,A000000,03500,0000,03500RURAL HEALTH CLINIC 79245,A000000,04800,0000,04800AMBULANCE 79245,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79245,A000000,05000,0000,05000CORF 79245,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79245,A000000,05300,0000,05300INTEREST EXPENSE 79245,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79245,A000000,05500,0000,05500HOSPICE 79245,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79245,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79245,A000000,06100,0000,06100NONPAID WORKERS 79245,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79245,A000000,06200,0000,06200PATIENTS LAUNDRY 79245,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79245,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79245,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79245,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79245,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79245,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79245,B100000,00000,0800,00000MEALS SERVED :DIETARY 79245,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79245,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79245,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79245,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79245,E10A180,00501,0100,01/17/2001 79245,S000000,00100,0200,12/04/2000 79245,S200000,00100,0100,515 MABRY STREET 79245,S200000,00200,0100,SELMA 79245,S200000,00200,0200,AL 79245,S200000,00200,0300,36701- 79245,S200000,00300,0100,DALLAS 79245,S200000,00300,0200,01 79245,S200000,00300,0300,R 79245,S200000,00400,0100,DUNN NURSING HOME INC. 79245,S200000,00400,0200,015084 79245,S200000,00400,0300,01/01/1995 79245,S200000,00400,0500,P 79245,S200000,01500,0100,Y 79264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79264,A000000,00300,0000,00300EMPLOYEE BENEFITS 79264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79264,A000000,00700,0000,00700HOUSEKEEPING 79264,A000000,00800,0000,00800DIETARY 79264,A000000,00900,0000,00900NURSING ADMINISTRATION 79264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79264,A000000,01100,0000,01100PHARMACY 79264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79264,A000000,01300,0000,01300SOCIAL SERVICE 79264,A000000,01350,0000,01500ACTIVITIES 79264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79264,A000000,01600,0000,01600SKILLED NURSING FACILITY 79264,A000000,01800,0000,01800NURSING FACILITY 79264,A000000,01900,0000,01900OTHER LONG TERM CARE 79264,A000000,02100,0000,02100RADIOLOGY 79264,A000000,02200,0000,02200LABORATORY 79264,A000000,02300,0000,02300INTRAVENOUS THERAPY 79264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79264,A000000,02500,0000,02500PHYSICAL THERAPY 79264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79264,A000000,02700,0000,02700SPEECH PATHOLOGY 79264,A000000,02800,0000,02800ELECTROCARDIOLOGY 79264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79264,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79264,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79264,A000000,03200,0000,03200SUPPORT SURFACES 79264,A000000,03400,0000,03400CLINIC 79264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79264,A000000,03500,0000,03500RURAL HEALTH CLINIC 79264,A000000,04800,0000,04800AMBULANCE 79264,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79264,A000000,05000,0000,05000CORF 79264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79264,A000000,05300,0000,05300INTEREST EXPENSE 79264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79264,A000000,05500,0000,05500HOSPICE 79264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79264,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79264,A000000,06100,0000,06100NONPAID WORKERS 79264,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79264,A000000,06200,0000,06200PATIENTS LAUNDRY 79264,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79264,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79264,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79264,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79264,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79264,B100000,00000,0800,00000MEALS SERVED :DIETARY 79264,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79264,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79264,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79264,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79264,S000000,00100,0200,11/14/2000 79264,S200000,00100,0100,500 SHIVERS TERRACE 79264,S200000,00200,0100,MARION 79264,S200000,00200,0200,AL 79264,S200000,00200,0300,36756- 79264,S200000,00300,0100,PERRY 79264,S200000,00300,0200,01 79264,S200000,00300,0300,R 79264,S200000,00400,0100,SOUTHLAND NURSING HOME INC. 79264,S200000,00400,0200,015104 79264,S200000,00400,0300,07/01/1997 79264,S200000,00400,0500,P 79264,S200000,01004,0500,O 79264,S200000,01500,0100,Y 79309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79309,A000000,00300,0000,00300EMPLOYEE BENEFITS 79309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79309,A000000,00700,0000,00700HOUSEKEEPING 79309,A000000,00800,0000,00800DIETARY 79309,A000000,00900,0000,00900NURSING ADMINISTRATION 79309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79309,A000000,01100,0000,01100PHARMACY 79309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79309,A000000,01300,0000,01300SOCIAL SERVICE 79309,A000000,01301,0000,01301ACTIVITIES 79309,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 79309,A000000,01600,0000,01600SKILLED NURSING FACILITY 79309,A000000,01800,0000,01800NURSING FACILITY 79309,A000000,01900,0000,01900OTHER LONG TERM CARE 79309,A000000,02100,0000,02100RADIOLOGY 79309,A000000,02200,0000,02200LABORATORY 79309,A000000,02300,0000,02300INTRAVENOUS THERAPY 79309,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79309,A000000,02500,0000,02500PHYSICAL THERAPY 79309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79309,A000000,02700,0000,02700SPEECH PATHOLOGY 79309,A000000,02800,0000,02800ELECTROCARDIOLOGY 79309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79309,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79309,A000000,03051,0000,03301PEN THERAPY 79309,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79309,A000000,03200,0000,03200SUPPORT SURFACES 79309,A000000,03400,0000,03400CLINIC 79309,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79309,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79309,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79309,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79309,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79309,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79309,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79309,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79309,A000000,04400,0000,04400DME RENTED - HHA 79309,A000000,04500,0000,04500DME SOLD - HHA 79309,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79309,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79309,A000000,04800,0000,04800AMBULANCE 79309,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79309,A000000,05000,0000,05000CORF 79309,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79309,A000000,05300,0000,05300INTEREST EXPENSE 79309,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79309,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79309,A000000,05500,0000,05500HOSPICE 79309,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79309,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79309,A000000,06100,0000,06100NONPAID WORKERS 79309,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79309,A000000,06151,0000,06301STAND-BY 79309,A000000,06200,0000,06200PATIENTS LAUNDRY 79309,A81000A,00100,0100,Y 79309,A81000B,00100,0300,NRSG SUPP/OSHA SUPP 79309,A81000B,00200,0300,MEDICAL SUPPLIES 79309,A81000B,00300,0300,DIETARY SUPPLEMENTS 79309,A81000B,00400,0300,PRESCRIPTION DRUGS 79309,A81000B,00500,0300,PEN THERAPY 79309,A81000B,00600,0300,IV THERAPY 79309,A81000B,00700,0300,REHAB 79309,A81000B,00800,0300,PHYSICAL THERAPY 79309,A81000B,00900,0300,OCCUPATIONAL THERAPY 79309,A81000B,01000,0300,SPEECH THERAPY 79309,A81000B,01100,0300,HOME OFC. INTEREST 79309,A81000B,01200,0300,HOME OFC. COST 79309,A81000C,00100,0100,B 79309,A81000C,00100,0200,WARREN MANOR-#1 79309,A81000C,00100,0400,MARINER PAN 79309,A81000C,00100,0600,NURSING HOMES 79309,A81000C,00200,0100,G 79309,A81000C,00200,0200,MARINER PAN 79309,A81000C,00200,0400,AMER PHARM SVCS 79309,A81000C,00200,0600,PHARMACEUTICALS 79309,A81000C,00300,0100,G 79309,A81000C,00300,0200,MARINER PAN 79309,A81000C,00300,0400,PRISM-ATS-ARS-T 79309,A81000C,00300,0600,THERAPIES 79309,A81000C,03100,0000,MARINER PAN 79309,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 79309,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 79309,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 79309,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 79309,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 79309,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 79309,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 79309,B100000,00000,0800,00001MEALS SERVED :DIETARY 79309,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 79309,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 79309,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 79309,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 79309,B100000,00000,1331,00001PT DAYS :ACTIVITIES 79309,B100000,00000,1350,00001UNITS OF SVC :OTHER GENERAL SERVICE 79309,E10A180,00301,0100,07/26/1999 79309,S000000,00100,0200,03/02/2000 79309,S200000,00100,0100,11 BELL ROAD 79309,S200000,00200,0100,SELMA 79309,S200000,00200,0200,AL 79309,S200000,00200,0300,36701- 79309,S200000,00300,0100,DALLAS 79309,S200000,00300,0200,01 79309,S200000,00300,0300,R 79309,S200000,00400,0100,WARREN MANOR NURSING HOME 79309,S200000,00400,0200,015119 79309,S200000,00400,0300,06/01/1983 79309,S200000,00400,0500,P 79309,S200000,01600,0100,Y 79318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79318,A000000,00300,0000,00300EMPLOYEE BENEFITS 79318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79318,A000000,00700,0000,00700HOUSEKEEPING 79318,A000000,00800,0000,00800DIETARY 79318,A000000,00900,0000,00900NURSING ADMINISTRATION 79318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79318,A000000,01100,0000,01100PHARMACY 79318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79318,A000000,01300,0000,01300SOCIAL SERVICE 79318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79318,A000000,01600,0000,01600SKILLED NURSING FACILITY 79318,A000000,01800,0000,01800NURSING FACILITY 79318,A000000,01810,0000,01810ICF/MR 79318,A000000,02200,0000,02200LABORATORY 79318,A000000,02500,0000,02500PHYSICAL THERAPY 79318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79318,A000000,02700,0000,02700SPEECH PATHOLOGY 79318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79318,A000000,03550,0000,03550FQHC 79318,A000000,05000,0000,05000CORF 79318,A000000,05010,0000,05010CMHC 79318,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79318,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79318,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79318,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 79318,A000000,06200,0000,06200PATIENTS LAUNDRY 79318,A81000A,00100,0100,Y 79318,A81000B,00100,0300,HOME OFFICE COST 79318,A81000B,00200,0300,HOME OFFICE COST 79318,A81000B,00300,0300,RENT 79318,A81000B,00400,0300,SUPPLIES 79318,A81000B,00500,0300,SUPPLIES 79318,A81000B,00600,0300,SUPPLIES 79318,A81000B,00700,0300,SUPPLIES 79318,A81000B,00800,0300,SUPPLIES 79318,A81000B,00900,0300,SUPPLIES 79318,A81000B,01000,0300,SUPPLIES 79318,A81000B,01100,0300,SUPPLIES 79318,A81000B,01200,0300,SUPPLIES 79318,A81000B,01300,0300,SUPPLIES 79318,A81000B,01400,0300,SUPPLIES 79318,A81000B,01500,0300,SUPPLIES 79318,A81000B,01600,0300,SUPPLIES 79318,A81000B,01700,0300,SUPPLIES 79318,A81000B,01800,0300,SUPPLIES 79318,A81000B,01900,0300,SUUPLIES 79318,A81000B,02000,0300,SUPPLIES 79318,A81000B,02100,0300,SUPPLIES 79318,A81000B,02200,0300,SUPPLIES 79318,A81000C,00100,0100,A 79318,A81000C,00100,0200,SEE HCFA 339 79318,A81000C,00100,0400,DELTA HEALTH GR 79318,A81000C,00100,0600,NRSG HOME OPERA 79318,A81000C,00200,0100,B 79318,A81000C,00200,0200,SEE HCFA 339 79318,A81000C,00200,0400,DELTA DURABLES 79318,A81000C,00200,0600,SUPPLIES 79318,A81000C,00300,0100,A 79318,A81000C,00300,0200,SEE HCFA 339 79318,A81000C,00300,0400,SKYLER MS INC. 79318,A81000C,00300,0600,PROPERTY LESSOR 79318,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79318,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79318,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79318,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79318,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79318,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79318,B100000,00000,0800,00000MEALS SERVED :DIETARY 79318,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79318,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79318,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 79318,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 79318,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79318,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79318,S000000,00100,0200,05/31/2000 79318,S200000,00100,0100,108 N. 4TH STREET 79318,S200000,00100,0300,38 79318,S200000,00200,0100,CITRONELLE 79318,S200000,00200,0200,AL 79318,S200000,00200,0300,36522- 79318,S200000,00300,0100,MOBILE 79318,S200000,00400,0100,CITRONELLE CONVALESCENT HOME 79318,S200000,00400,0200,015121 79318,S200000,00400,0300,12/31/1973 79318,S200000,00400,0500,P 79318,S200000,00400,0600,O 79318,S200000,00600,0200,015121 79318,S200000,00600,0300,12/31/1973 79318,S200000,00600,0600,P 79318,S200000,01004,0500,O 79318,S200000,01600,0100,Y 79318,S700003,00000,0100,1 79333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79333,A000000,00300,0000,00300EMPLOYEE BENEFITS 79333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79333,A000000,00700,0000,00700HOUSEKEEPING 79333,A000000,00800,0000,00800DIETARY 79333,A000000,00900,0000,00900NURSING ADMINISTRATION 79333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79333,A000000,01100,0000,01100PHARMACY 79333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79333,A000000,01300,0000,01300SOCIAL SERVICE 79333,A000000,01350,0000,01500ACTIVITIES 79333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79333,A000000,01600,0000,01600SKILLED NURSING FACILITY 79333,A000000,01800,0000,01800NURSING FACILITY 79333,A000000,01900,0000,01900OTHER LONG TERM CARE 79333,A000000,02100,0000,02100RADIOLOGY 79333,A000000,02200,0000,02200LABORATORY 79333,A000000,02300,0000,02300INTRAVENOUS THERAPY 79333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79333,A000000,02500,0000,02500PHYSICAL THERAPY 79333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79333,A000000,02700,0000,02700SPEECH PATHOLOGY 79333,A000000,02800,0000,02800ELECTROCARDIOLOGY 79333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79333,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79333,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79333,A000000,03200,0000,03200SUPPORT SURFACES 79333,A000000,03400,0000,03400CLINIC 79333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79333,A000000,03500,0000,03500RURAL HEALTH CLINIC 79333,A000000,04800,0000,04800AMBULANCE 79333,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79333,A000000,05000,0000,05000CORF 79333,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79333,A000000,05300,0000,05300INTEREST EXPENSE 79333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79333,A000000,05500,0000,05500HOSPICE 79333,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79333,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79333,A000000,06100,0000,06100NONPAID WORKERS 79333,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79333,A000000,06200,0000,06200PATIENTS LAUNDRY 79333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79333,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79333,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79333,B100000,00000,0800,00000MEALS SERVED :DIETARY 79333,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79333,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79333,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79333,S000000,00100,0200,12/01/2000 79333,S200000,00100,0100,1235 YANCEY STREET 79333,S200000,00200,0100,ROANOKE 79333,S200000,00200,0200,AL 79333,S200000,00200,0300,36274- 79333,S200000,00300,0100,RANDOLPH 79333,S200000,00300,0200,01 79333,S200000,00300,0300,R 79333,S200000,00400,0100,TRAYLOR NURSING HOME INC. 79333,S200000,00400,0200,015126 79333,S200000,00400,0300,07/01/1999 79333,S200000,00400,0500,P 79333,S200000,01004,0500,O 79333,S200000,01500,0100,Y 79342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79342,A000000,00300,0000,00300EMPLOYEE BENEFITS 79342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79342,A000000,00700,0000,00700HOUSEKEEPING 79342,A000000,00800,0000,00800DIETARY 79342,A000000,00900,0000,00900NURSING ADMINISTRATION 79342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79342,A000000,01300,0000,01300SOCIAL SERVICE 79342,A000000,01600,0000,01600SKILLED NURSING FACILITY 79342,A000000,01800,0000,01800NURSING FACILITY 79342,A000000,02100,0000,02100RADIOLOGY 79342,A000000,02200,0000,02200LABORATORY 79342,A000000,02300,0000,02300INTRAVENOUS THERAPY 79342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79342,A000000,02500,0000,02500PHYSICAL THERAPY 79342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79342,A000000,02700,0000,02700SPEECH PATHOLOGY 79342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79342,A000000,03200,0000,03200SUPPORT SURFACES 79342,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79342,A81000A,00100,0100,Y 79342,A81000B,00100,0300,HOME OFFICE COSTS 79342,A81000C,00100,0100,B 79342,A81000C,00100,0200,ADVOCAT INC. 79342,A81000C,00100,0400,DVCR LEASING CO 79342,A81000C,00100,0600,L/T CARE MGT CO 79342,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79342,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79342,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79342,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79342,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79342,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79342,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79342,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79342,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 79342,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 79342,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79342,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79342,S000000,00100,0200,12/01/2000 79342,S200000,00100,0100,4320 JUDITH LANE 79342,S200000,00200,0100,HUNTSVILLE 79342,S200000,00200,0200,AL 79342,S200000,00200,0300,35805- 79342,S200000,00300,0100,MADISON 79342,S200000,00300,0200,3440 79342,S200000,00300,0300,U 79342,S200000,00400,0100,WESTSIDE HEALTH CARE 79342,S200000,00400,0200,015127 79342,S200000,00400,0300,11/01/1975 79342,S200000,00400,0500,P 79342,S200000,01600,0100,Y 79342,S200000,02200,0100,Y 79352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79352,A000000,00300,0000,00300EMPLOYEE BENEFITS 79352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79352,A000000,00700,0000,00700HOUSEKEEPING 79352,A000000,00800,0000,00800DIETARY 79352,A000000,00900,0000,00900NURSING ADMINISTRATION 79352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79352,A000000,01100,0000,01100PHARMACY 79352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79352,A000000,01300,0000,01300SOCIAL SERVICE 79352,A000000,01600,0000,01600SKILLED NURSING FACILITY 79352,A000000,01800,0000,01800NURSING FACILITY 79352,A000000,01900,0000,01900OTHER LONG TERM CARE 79352,A000000,02100,0000,02100RADIOLOGY 79352,A000000,02200,0000,02200LABORATORY 79352,A000000,02300,0000,02300INTRAVENOUS THERAPY 79352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79352,A000000,02500,0000,02500PHYSICAL THERAPY 79352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79352,A000000,02700,0000,02700SPEECH PATHOLOGY 79352,A000000,02800,0000,02800ELECTROCARDIOLOGY 79352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79352,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79352,A000000,03051,0000,03301NUTRITIONAL THERAPY 79352,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 79352,A000000,03053,0000,03303PHYSICIAN SERVICES 79352,A000000,03054,0000,03304MEDICAL SERVICES 79352,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 79352,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79352,A000000,03200,0000,03200SUPPORT SURFACES 79352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79352,A000000,04800,0000,04800AMBULANCE 79352,A000000,05300,0000,05300INTEREST EXPENSE 79352,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79352,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79352,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79352,A000000,06100,0000,06100NONPAID WORKERS 79352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79352,A000000,06200,0000,06200PATIENTS LAUNDRY 79352,A81000A,00100,0100,Y 79352,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 79352,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 79352,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 79352,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 79352,A81000B,00500,0300,REGIONAL ALLOCATION 79352,A81000B,00600,0300,SEE ATTACHMENT A-8-1 79352,A81000C,00100,0100,B 79352,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 79352,A81000C,00200,0200,A-8-1. 79352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79352,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79352,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79352,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 79352,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79352,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79352,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79352,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 79352,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79352,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79352,S000000,00100,0200,06/02/2000 79352,S200000,00100,0100,420 DEAN DRIVE 79352,S200000,00200,0100,GARDENDALE 79352,S200000,00200,0200,AL 79352,S200000,00200,0300,35071- 79352,S200000,00300,0100,JEFFERSON 79352,S200000,00400,0100,SUNBRIDGE CARE & REHAB GARDENDALE 79352,S200000,00400,0200,015133 79352,S200000,00400,0300,07/01/1976 79352,S200000,00400,0500,P 79352,S200000,01500,0100,Y 79352,S200000,02200,0100,Y 79352,S700003,00000,0200,2 79359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79359,A000000,00300,0000,00300EMPLOYEE BENEFITS 79359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79359,A000000,00700,0000,00700HOUSEKEEPING 79359,A000000,00800,0000,00800DIETARY 79359,A000000,00900,0000,00900NURSING ADMINISTRATION 79359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79359,A000000,01100,0000,01100PHARMACY 79359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79359,A000000,01300,0000,01300SOCIAL SERVICE 79359,A000000,01600,0000,01600SKILLED NURSING FACILITY 79359,A000000,01800,0000,01800NURSING FACILITY 79359,A000000,01900,0000,01900OTHER LONG TERM CARE 79359,A000000,02100,0000,02100RADIOLOGY 79359,A000000,02200,0000,02200LABORATORY 79359,A000000,02300,0000,02300INTRAVENOUS THERAPY 79359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79359,A000000,02500,0000,02500PHYSICAL THERAPY 79359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79359,A000000,02700,0000,02700SPEECH PATHOLOGY 79359,A000000,02800,0000,02800ELECTROCARDIOLOGY 79359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79359,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79359,A000000,03200,0000,03200SUPPORT SURFACES 79359,A000000,03400,0000,03400CLINIC 79359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79359,A000000,04800,0000,04800AMBULANCE 79359,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79359,A000000,05300,0000,05300INTEREST EXPENSE 79359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79359,A000000,05500,0000,05500HOSPICE 79359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79359,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79359,A000000,06100,0000,06100NONPAID WORKERS 79359,A000000,06150,0000,06300BAD DEBT 79359,A000000,06200,0000,06200PATIENTS LAUNDRY 79359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79359,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79359,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79359,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79359,B100000,00000,0800,00000MEALS SERVED :DIETARY 79359,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79359,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79359,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79359,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79359,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79359,S000000,00100,0200,09/06/2000 79359,S200000,00100,0100,4401 NARROW LANE ROAD 79359,S200000,00200,0100,MONTGOMERY 79359,S200000,00200,0200,AL 79359,S200000,00200,0300,36116- 79359,S200000,00300,0100,MONTGOMERY 79359,S200000,00400,0100,JOHN KNOX MANOR II 79359,S200000,00400,0200,015135 79359,S200000,00400,0300,05/10/1976 79359,S200000,00400,0500,P 79359,S200000,01500,0100,Y 79359,S700003,00000,0100,1 79375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79375,A000000,00300,0000,00300EMPLOYEE BENEFITS 79375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79375,A000000,00700,0000,00700HOUSEKEEPING 79375,A000000,00800,0000,00800DIETARY 79375,A000000,00900,0000,00900NURSING ADMINISTRATION 79375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79375,A000000,01100,0000,01100PHARMACY 79375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79375,A000000,01300,0000,01300SOCIAL SERVICE 79375,A000000,01350,0000,01500ACTIVITIES 79375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79375,A000000,01600,0000,01600SKILLED NURSING FACILITY 79375,A000000,01800,0000,01800NURSING FACILITY 79375,A000000,01900,0000,01900OTHER LONG TERM CARE 79375,A000000,02100,0000,02100RADIOLOGY 79375,A000000,02200,0000,02200LABORATORY 79375,A000000,02300,0000,02300INTRAVENOUS THERAPY 79375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79375,A000000,02500,0000,02500PHYSICAL THERAPY 79375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79375,A000000,02700,0000,02700SPEECH PATHOLOGY 79375,A000000,02800,0000,02800ELECTROCARDIOLOGY 79375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79375,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79375,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79375,A000000,03200,0000,03200SUPPORT SURFACES 79375,A000000,03400,0000,03400CLINIC 79375,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79375,A000000,03500,0000,03500RURAL HEALTH CLINIC 79375,A000000,04800,0000,04800AMBULANCE 79375,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79375,A000000,05000,0000,05000CORF 79375,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79375,A000000,05300,0000,05300INTEREST EXPENSE 79375,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79375,A000000,05500,0000,05500HOSPICE 79375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79375,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79375,A000000,06100,0000,06100NONPAID WORKERS 79375,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79375,A000000,06200,0000,06200PATIENTS LAUNDRY 79375,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79375,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79375,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79375,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79375,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79375,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79375,B100000,00000,0800,00000MEALS SERVED :DIETARY 79375,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79375,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79375,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79375,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79375,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79375,E10A180,00501,0100,01/11/2001 79375,S000000,00100,0200,11/14/2000 79375,S200000,00100,0100,703 17TH STREET NORTHWEST 79375,S200000,00200,0100,ALICEVILLE 79375,S200000,00200,0200,AL 79375,S200000,00300,0100,PICKENS 79375,S200000,00300,0200,01 79375,S200000,00300,0300,R 79375,S200000,00400,0100,WHEAT NURSING HOME INC. 79375,S200000,00400,0200,015137 79375,S200000,00400,0300,07/01/1999 79375,S200000,00400,0500,P 79375,S200000,01500,0100,Y 79414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79414,A000000,00300,0000,00300EMPLOYEE BENEFITS 79414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79414,A000000,00700,0000,00700HOUSEKEEPING 79414,A000000,00800,0000,00800DIETARY 79414,A000000,00900,0000,00900NURSING ADMINISTRATION 79414,A000000,01300,0000,01300SOCIAL SERVICE 79414,A000000,01600,0000,01600SKILLED NURSING FACILITY 79414,A000000,01800,0000,01800NURSING FACILITY 79414,A000000,02100,0000,02100RADIOLOGY 79414,A000000,02200,0000,02200LABORATORY 79414,A000000,02500,0000,02500PHYSICAL THERAPY 79414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79414,A000000,02700,0000,02700SPEECH PATHOLOGY 79414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79414,A000000,05300,0000,05300INTEREST EXPENSE 79414,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79414,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79414,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79414,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79414,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79414,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79414,B100000,00000,0800,00000MEALS SERVED :DIETARY 79414,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79414,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79414,E10A180,00501,0100,04/21/2000 79414,S000000,00100,0200,11/29/2000 79414,S200000,00100,0100,2215 23RD STREET 79414,S200000,00200,0100,NORTHPORT 79414,S200000,00200,0200,AL 79414,S200000,00200,0300,35476- 79414,S200000,00300,0100,TUSCALOOSA 79414,S200000,00300,0200,8600 79414,S200000,00300,0300,U 79414,S200000,00400,0100,FOREST MANOR INC. 79414,S200000,00400,0200,015143 79414,S200000,00400,0300,08/01/1982 79414,S200000,00400,0500,P 79414,S200000,01600,0100,Y 79433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79433,A000000,00300,0000,00300EMPLOYEE BENEFITS 79433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79433,A000000,00700,0000,00700HOUSEKEEPING 79433,A000000,00800,0000,00800DIETARY 79433,A000000,00900,0000,00900NURSING ADMINISTRATION 79433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79433,A000000,01100,0000,01100PHARMACY 79433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79433,A000000,01300,0000,01300SOCIAL SERVICE 79433,A000000,01350,0000,01500ACTIVITIES 79433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79433,A000000,01600,0000,01600SKILLED NURSING FACILITY 79433,A000000,01800,0000,01800NURSING FACILITY 79433,A000000,01900,0000,01900OTHER LONG TERM CARE 79433,A000000,02100,0000,02100RADIOLOGY 79433,A000000,02200,0000,02200LABORATORY 79433,A000000,02300,0000,02300INTRAVENOUS THERAPY 79433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79433,A000000,02500,0000,02500PHYSICAL THERAPY 79433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79433,A000000,02700,0000,02700SPEECH PATHOLOGY 79433,A000000,02800,0000,02800ELECTROCARDIOLOGY 79433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79433,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79433,A000000,03200,0000,03200SUPPORT SURFACES 79433,A000000,03400,0000,03400CLINIC 79433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79433,A000000,03500,0000,03500RURAL HEALTH CLINIC 79433,A000000,04800,0000,04800AMBULANCE 79433,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79433,A000000,05000,0000,05000CORF 79433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79433,A000000,05300,0000,05300INTEREST EXPENSE 79433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79433,A000000,05500,0000,05500HOSPICE 79433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79433,A000000,06100,0000,06100NONPAID WORKERS 79433,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79433,A000000,06200,0000,06200PATIENTS LAUNDRY 79433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79433,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79433,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79433,B100000,00000,0800,00000MEALS SERVED :DIETARY 79433,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79433,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79433,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79433,S000000,00100,0200,12/04/2000 79433,S200000,00100,0100,251 SUNSET PLACE 79433,S200000,00200,0100,GUIN 79433,S200000,00200,0200,AL 79433,S200000,00200,0300,35563-2209 79433,S200000,00300,0100,MARION 79433,S200000,00300,0200,01 79433,S200000,00300,0300,R 79433,S200000,00400,0100,SUNSET MANOR INC. 79433,S200000,00400,0200,015149 79433,S200000,00400,0300,07/01/1997 79433,S200000,00400,0500,P 79433,S200000,01004,0500,O 79433,S200000,01500,0100,Y 79448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79448,A000000,00300,0000,00300EMPLOYEE BENEFITS 79448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79448,A000000,00700,0000,00700HOUSEKEEPING 79448,A000000,00800,0000,00800DIETARY 79448,A000000,00900,0000,00900NURSING ADMINISTRATION 79448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79448,A000000,01100,0000,01100PHARMACY 79448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79448,A000000,01300,0000,01300SOCIAL SERVICE 79448,A000000,01350,0000,01500ACTIVITIES 79448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79448,A000000,01600,0000,01600SKILLED NURSING FACILITY 79448,A000000,01800,0000,01800NURSING FACILITY 79448,A000000,01900,0000,01900OTHER LONG TERM CARE 79448,A000000,02100,0000,02100RADIOLOGY 79448,A000000,02200,0000,02200LABORATORY 79448,A000000,02300,0000,02300INTRAVENOUS THERAPY 79448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79448,A000000,02500,0000,02500PHYSICAL THERAPY 79448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79448,A000000,02700,0000,02700SPEECH PATHOLOGY 79448,A000000,02800,0000,02800ELECTROCARDIOLOGY 79448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79448,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79448,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79448,A000000,03200,0000,03200SUPPORT SURFACES 79448,A000000,03400,0000,03400CLINIC 79448,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79448,A000000,03500,0000,03500RURAL HEALTH CLINIC 79448,A000000,04800,0000,04800AMBULANCE 79448,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79448,A000000,05000,0000,05000CORF 79448,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79448,A000000,05300,0000,05300INTEREST EXPENSE 79448,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79448,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79448,A000000,05500,0000,05500HOSPICE 79448,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79448,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79448,A000000,06100,0000,06100NONPAID WORKERS 79448,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79448,A000000,06200,0000,06200PATIENTS LAUNDRY 79448,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79448,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79448,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79448,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79448,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79448,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79448,B100000,00000,0800,00000MEALS SERVED :DIETARY 79448,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79448,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79448,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79448,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79448,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79448,E10A180,00501,0100,01/11/2001 79448,S000000,00100,0200,11/27/2000 79448,S200000,00100,0100,907 11TH STREET NE 79448,S200000,00200,0100,JASPER 79448,S200000,00200,0200,AL 79448,S200000,00200,0300,35501- 79448,S200000,00300,0100,WALKER 79448,S200000,00300,0200,01 79448,S200000,00300,0300,R 79448,S200000,00400,0100,RIDGEVIEW HEALTH CARE CENTER INC. 79448,S200000,00400,0200,015155 79448,S200000,00400,0300,07/01/1994 79448,S200000,00400,0500,P 79448,S200000,01600,0100,Y 79472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79472,A000000,00300,0000,00300EMPLOYEE BENEFITS 79472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79472,A000000,00700,0000,00700HOUSEKEEPING 79472,A000000,00800,0000,00800DIETARY 79472,A000000,00900,0000,00900NURSING ADMINISTRATION 79472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79472,A000000,01300,0000,01300SOCIAL SERVICE 79472,A000000,01600,0000,01600SKILLED NURSING FACILITY 79472,A000000,01800,0000,01800NURSING FACILITY 79472,A000000,02500,0000,02500PHYSICAL THERAPY 79472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79472,A000000,02700,0000,02700SPEECH PATHOLOGY 79472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79472,A000000,05300,0000,05300INTEREST EXPENSE 79472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79472,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79472,A000000,06200,0000,06200PATIENTS LAUNDRY 79472,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79472,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79472,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79472,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79472,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79472,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79472,B100000,00000,0800,00000MEALS SERVED :DIETARY 79472,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79472,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79472,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79472,S000000,00100,0200,07/09/2001 79472,S200000,00100,0300,P.O. BOX 749 79472,S200000,00200,0100,ALBERTVILLE 79472,S200000,00200,0200,AL 79472,S200000,00200,0300,35950- 79472,S200000,00300,0100,MARSHALL 79472,S200000,00300,0200,9901 79472,S200000,00300,0300,R 79472,S200000,00400,0100,ALBERTVILLE NURSING HOME INC 79472,S200000,00400,0200,015163 79472,S200000,00400,0300,07/01/1974 79472,S200000,00400,0500,P 79472,S200000,01500,0100,Y 79473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79473,A000000,00300,0000,00300EMPLOYEE BENEFITS 79473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79473,A000000,00700,0000,00700HOUSEKEEPING 79473,A000000,00800,0000,00800DIETARY 79473,A000000,00900,0000,00900NURSING ADMINISTRATION 79473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79473,A000000,01100,0000,01100PHARMACY 79473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79473,A000000,01300,0000,01300SOCIAL SERVICE 79473,A000000,01350,0000,01500OTHER GENERAL SERVICES 79473,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79473,A000000,01600,0000,01600SKILLED NURSING FACILITY 79473,A000000,01800,0000,01800NURSING FACILITY 79473,A000000,01810,0000,01810ICF/MR 79473,A000000,01900,0000,01900OTHER LONG TERM CARE 79473,A000000,02100,0000,02100RADIOLOGY 79473,A000000,02200,0000,02200LABORATORY 79473,A000000,02300,0000,02300INTRAVENOUS THERAPY 79473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79473,A000000,02500,0000,02500PHYSICAL THERAPY 79473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79473,A000000,02700,0000,02700SPEECH PATHOLOGY 79473,A000000,02800,0000,02800ELECTROCARDIOLOGY 79473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79473,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79473,A000000,03200,0000,03200SUPPORT SURFACES 79473,A000000,03400,0000,03400CLINIC 79473,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79473,A000000,03500,0000,03500RURAL HEALTH CLINIC 79473,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79473,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79473,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79473,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79473,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79473,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79473,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79473,A000000,04400,0000,04400DME RENTED - HHA 79473,A000000,04500,0000,04500DME SOLD - HHA 79473,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79473,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79473,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79473,A000000,04800,0000,04800AMBULANCE 79473,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79473,A000000,05000,0000,05000CORF 79473,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79473,A000000,05300,0000,05300INTEREST EXPENSE 79473,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79473,A000000,05500,0000,05500HOSPICE 79473,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79473,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79473,A000000,06100,0000,06100NONPAID WORKERS 79473,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79473,A000000,06200,0000,06200PATIENTS LAUNDRY 79473,A81000A,00100,0100,Y 79473,A81000B,00100,0300,RELATED PARTY LEASE 79473,A81000B,00200,0300,HOME OFFICE COST 79473,A81000B,00300,0300,HOME OFFICE COST 79473,A81000B,00400,0300,ROUTINE/BILLABLE SUPPLIES 79473,A81000B,00500,0300,INTEREST 79473,A81000C,00100,0100,A 79473,A81000C,00100,0200,ROGER & PATTI TURENE 79473,A81000C,00100,0400,TURENNE PROPERTIES LTD 79473,A81000C,00100,0600,PROPERTY MANAGEMENT 79473,A81000C,00200,0100,A 79473,A81000C,00200,0200,ROGER & PATTI TURENE 79473,A81000C,00200,0400,TURENNE & ASSOCIATES 79473,A81000C,00200,0600,HOME OFFICE 79473,A81000C,00300,0100,A 79473,A81000C,00300,0200,ROGER & PATTI TURENE 79473,A81000C,00300,0400,TURENNE & ASSOCIATES 79473,A81000C,00300,0600,HOME OFFICE 79473,A81000C,00400,0100,A 79473,A81000C,00400,0200,ROGER & PATTI TURENE 79473,A81000C,00400,0400,PHARMEDCO 79473,A81000C,00400,0600,SUPPLY COMPANY 79473,A81000C,00500,0100,A 79473,A81000C,00500,0200,ROGER & PATTI TURENE 79473,A81000C,00500,0400,TURENE & ASSOCIATES 79473,A81000C,00500,0600,HOME OFFICE 79473,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79473,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79473,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79473,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79473,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79473,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79473,B100000,00000,0800,00000MEALS SERVED :DIETARY 79473,B100000,00000,0900,00000DIRECT NSG HOURS :NURSING ADMINISTR 79473,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 79473,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79473,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79473,S000000,00100,0200,03/26/2001 79473,S200000,00100,0100,750 ALABAMA HWY N 79473,S200000,00100,0300,749 79473,S200000,00200,0100,ALBERTVILLE 79473,S200000,00200,0200,AL 79473,S200000,00200,0300,35950- 79473,S200000,00300,0100,MARSHALL 79473,S200000,00300,0200,01 79473,S200000,00300,0300,R 79473,S200000,00400,0100,ALBERTVILLE NURSING HOME 79473,S200000,00400,0200,015163 79473,S200000,00400,0300,09/01/1999 79473,S200000,00400,0500,P 79473,S200000,01500,0100,Y 79480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79480,A000000,00300,0000,00300EMPLOYEE BENEFITS 79480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79480,A000000,00700,0000,00700HOUSEKEEPING 79480,A000000,00800,0000,00800DIETARY 79480,A000000,00900,0000,00900NURSING ADMINISTRATION 79480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79480,A000000,01100,0000,01100PHARMACY 79480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79480,A000000,01300,0000,01300SOCIAL SERVICE 79480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79480,A000000,01600,0000,01600SKILLED NURSING FACILITY 79480,A000000,01800,0000,01800NURSING FACILITY 79480,A000000,01810,0000,01810ICF/MR 79480,A000000,02200,0000,02200LABORATORY 79480,A000000,02500,0000,02500PHYSICAL THERAPY 79480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79480,A000000,02700,0000,02700SPEECH PATHOLOGY 79480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79480,A000000,03550,0000,03550FQHC 79480,A000000,05000,0000,05000CORF 79480,A000000,05010,0000,05010CMHC 79480,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79480,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79480,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79480,A000000,06150,0000,06300PATIENT PERSONAL NEEDS 79480,A000000,06200,0000,06200PATIENTS LAUNDRY 79480,A81000A,00100,0100,Y 79480,A81000B,00100,0300,HOME OFFICE COST 79480,A81000B,00200,0300,HOME OFFICE COST 79480,A81000B,00300,0300,RENT 79480,A81000B,00400,0300,SUPPLIES 79480,A81000B,00500,0300,SUPPLIES 79480,A81000B,00600,0300,SUPPLIES 79480,A81000B,00700,0300,SUPPLIES 79480,A81000B,00800,0300,SUPPLIES 79480,A81000B,00900,0300,SUPPLIES 79480,A81000B,01000,0300,SUPPLIES 79480,A81000B,01100,0300,SUPPLIES 79480,A81000B,01200,0300,SUPPLIES 79480,A81000B,01300,0300,SUPPLIES 79480,A81000C,00100,0100,B 79480,A81000C,00100,0200,SEE HCFA 339 79480,A81000C,00100,0400,DELTA HEALTH GR 79480,A81000C,00100,0600,OPERATE NURSING 79480,A81000C,00200,0100,A 79480,A81000C,00200,0200,SEE HCFA 339 79480,A81000C,00200,0400,DELTA DURABLES 79480,A81000C,00200,0600,SUPPLIES 79480,A81000C,00300,0100,A 79480,A81000C,00300,0200,SEE HCFA 339 79480,A81000C,00300,0400,SKYLER PROPERTI 79480,A81000C,00300,0600,PROPERTY LESSOR 79480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79480,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79480,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79480,B100000,00000,0800,00000MEALS SERVED :DIETARY 79480,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79480,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79480,B100000,00000,1250,00000NURSING SALARIES :MEDICAL RECORDS 79480,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79480,S000000,00100,0200,05/31/2000 79480,S200000,00100,0100,1406 EAST PUSHMATAHA STREET 79480,S200000,00200,0100,BUTLER 79480,S200000,00200,0200,AL 79480,S200000,00200,0300,36904- 79480,S200000,00300,0100,CHOCTAW 79480,S200000,00300,0200,01 79480,S200000,00300,0300,R 79480,S200000,00400,0100,WILLOW TRACE NURSING CTR. 79480,S200000,00400,0200,015164 79480,S200000,00400,0300,09/01/1993 79480,S200000,00400,0500,P 79480,S200000,00400,0600,O 79480,S200000,00600,0200,015164 79480,S200000,00600,0300,09/01/1993 79480,S200000,00600,0600,P 79480,S200000,01004,0500,O 79480,S200000,01600,0100,Y 79500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79500,A000000,00300,0000,00300EMPLOYEE BENEFITS 79500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79500,A000000,00700,0000,00700HOUSEKEEPING 79500,A000000,00800,0000,00800DIETARY 79500,A000000,00900,0000,00900NURSING ADMINISTRATION 79500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79500,A000000,01100,0000,01100PHARMACY 79500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79500,A000000,01300,0000,01300SOCIAL SERVICE 79500,A000000,01350,0000,01500ACTIVITIES 79500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79500,A000000,01600,0000,01600SKILLED NURSING FACILITY 79500,A000000,01800,0000,01800NURSING FACILITY 79500,A000000,01900,0000,01900OTHER LONG TERM CARE 79500,A000000,02100,0000,02100RADIOLOGY 79500,A000000,02200,0000,02200LABORATORY 79500,A000000,02300,0000,02300INTRAVENOUS THERAPY 79500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79500,A000000,02500,0000,02500PHYSICAL THERAPY 79500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79500,A000000,02700,0000,02700SPEECH PATHOLOGY 79500,A000000,02800,0000,02800ELECTROCARDIOLOGY 79500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79500,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79500,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79500,A000000,03200,0000,03200SUPPORT SURFACES 79500,A000000,03400,0000,03400CLINIC 79500,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79500,A000000,03500,0000,03500RURAL HEALTH CLINIC 79500,A000000,04800,0000,04800AMBULANCE 79500,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79500,A000000,05000,0000,05000CORF 79500,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79500,A000000,05300,0000,05300INTEREST EXPENSE 79500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79500,A000000,05500,0000,05500HOSPICE 79500,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79500,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79500,A000000,06100,0000,06100NONPAID WORKERS 79500,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79500,A000000,06200,0000,06200PATIENTS LAUNDRY 79500,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79500,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79500,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79500,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79500,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79500,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 79500,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79500,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79500,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79500,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79500,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79500,S000000,00100,0200,11/29/2000 79500,S200000,00100,0100,412 CLOVERDALE ROAD 79500,S200000,00200,0100,SCOTTSBORO 79500,S200000,00200,0200,AL 79500,S200000,00200,0300,35768- 79500,S200000,00300,0100,JACKSON 79500,S200000,00300,0200,0100 79500,S200000,00300,0300,R 79500,S200000,00400,0100,SCOTTSBORO HEALTH CARE INC. 79500,S200000,00400,0200,015184 79500,S200000,00400,0300,07/01/1999 79500,S200000,00400,0500,P 79500,S200000,01600,0100,Y 79526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79526,A000000,00300,0000,00300EMPLOYEE BENEFITS 79526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79526,A000000,00700,0000,00700HOUSEKEEPING 79526,A000000,00800,0000,00800DIETARY 79526,A000000,00900,0000,00900NURSING ADMINISTRATION 79526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79526,A000000,01300,0000,01300SOCIAL SERVICE 79526,A000000,01600,0000,01600SKILLED NURSING FACILITY 79526,A000000,01800,0000,01800NURSING FACILITY 79526,A000000,02100,0000,02100RADIOLOGY 79526,A000000,02200,0000,02200LABORATORY 79526,A000000,02500,0000,02500PHYSICAL THERAPY 79526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79526,A000000,02700,0000,02700SPEECH PATHOLOGY 79526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79526,A000000,05300,0000,05300INTEREST EXPENSE 79526,A81000A,00100,0100,Y 79526,A81000B,00100,0300,CENTRAL OFFICE CAPITAL EXPENSES 79526,A81000B,00200,0300,CENTRAL OFFICE ADMINISTRATIVE EXPENS 79526,A81000C,00100,0100,A 79526,A81000C,00100,0200,JOHN JAMISON II 79526,A81000C,00100,0400,CARECORPS MANAG 79526,A81000C,00100,0600,CENTAL OFFICE 79526,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79526,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79526,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79526,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79526,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79526,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79526,B100000,00000,0800,00000MEALS SERVED :DIETARY 79526,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 79526,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79526,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79526,S000000,00100,0200,12/01/2000 79526,S200000,00100,0100,1908 1/2 PEPPERELL PWY 79526,S200000,00200,0100,OPELIKA 79526,S200000,00200,0200,AL 79526,S200000,00200,0300,36801- 79526,S200000,00300,0100,LEE 79526,S200000,00300,0200,0001 79526,S200000,00300,0300,R 79526,S200000,00400,0100,CARE CENTER OF OPELIKA 79526,S200000,00400,0200,015192 79526,S200000,00400,0300,01/01/1967 79526,S200000,00400,0500,P 79526,S200000,01600,0100,Y 79534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79534,A000000,00300,0000,00300EMPLOYEE BENEFITS 79534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79534,A000000,00700,0000,00700HOUSEKEEPING 79534,A000000,00800,0000,00800DIETARY 79534,A000000,00900,0000,00900NURSING ADMINISTRATION 79534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79534,A000000,01300,0000,01300SOCIAL SERVICE 79534,A000000,01600,0000,01600SKILLED NURSING FACILITY 79534,A000000,01800,0000,01800NURSING FACILITY 79534,A000000,02200,0000,02200LABORATORY 79534,A000000,02500,0000,02500PHYSICAL THERAPY 79534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79534,A000000,02700,0000,02700SPEECH PATHOLOGY 79534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79534,A000000,05300,0000,05300INTEREST EXPENSE 79534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79534,A81000A,00100,0100,Y 79534,A81000B,00100,0300,CAPITAL COSTS 79534,A81000B,00200,0300,ADMINISTRATIVE COSTS 79534,A81000C,00100,0100,A 79534,A81000C,00100,0200,CARE CENTER OF RED BAY 79534,A81000C,00100,0400,CARE CENTER OF RED BAY 79534,A81000C,00100,0600,CORPORATION 79534,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79534,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79534,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79534,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79534,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79534,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79534,B100000,00000,0800,00000MEALS SERVED :DIETARY 79534,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 79534,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79534,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79534,S000000,00100,0200,06/01/2000 79534,S200000,00100,0100,106 10TH STREET 79534,S200000,00200,0100,RED BAY 79534,S200000,00200,0200,AL 79534,S200000,00200,0300,35582- 79534,S200000,00300,0100,FRANKLIN 79534,S200000,00400,0100,CARE CENTER OF RED BAY 79534,S200000,00400,0200,015201 79534,S200000,00400,0300,11/15/1991 79534,S200000,00400,0500,P 79534,S200000,01004,0500,O 79534,S200000,01600,0100,Y 79534,S700003,00000,0100,1 79544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79544,A000000,00300,0000,00300EMPLOYEE BENEFITS 79544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79544,A000000,00700,0000,00700HOUSEKEEPING 79544,A000000,00800,0000,00800DIETARY 79544,A000000,00900,0000,00900NURSING ADMINISTRATION 79544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79544,A000000,01100,0000,01100PHARMACY 79544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79544,A000000,01300,0000,01300SOCIAL SERVICE 79544,A000000,01350,0000,01500OTHER GENERAL SERVICES 79544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79544,A000000,01600,0000,01600SKILLED NURSING FACILITY 79544,A000000,01800,0000,01800NURSING FACILITY 79544,A000000,01810,0000,01810ICF/MR 79544,A000000,01900,0000,01900OTHER LONG TERM CARE 79544,A000000,02100,0000,02100RADIOLOGY 79544,A000000,02200,0000,02200LABORATORY 79544,A000000,02300,0000,02300INTRAVENOUS THERAPY 79544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79544,A000000,02500,0000,02500PHYSICAL THERAPY 79544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79544,A000000,02700,0000,02700SPEECH PATHOLOGY 79544,A000000,02800,0000,02800ELECTROCARDIOLOGY 79544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79544,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79544,A000000,03200,0000,03200SUPPORT SURFACES 79544,A000000,03400,0000,03400CLINIC 79544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79544,A000000,03500,0000,03500RURAL HEALTH CLINIC 79544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79544,A000000,04400,0000,04400DME RENTED - HHA 79544,A000000,04500,0000,04500DME SOLD - HHA 79544,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79544,A000000,04800,0000,04800AMBULANCE 79544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79544,A000000,05000,0000,05000CORF 79544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79544,A000000,05300,0000,05300INTEREST EXPENSE 79544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79544,A000000,05500,0000,05500HOSPICE 79544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79544,A000000,06100,0000,06100NONPAID WORKERS 79544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79544,A000000,06200,0000,06200PATIENTS LAUNDRY 79544,A81000A,00100,0100,Y 79544,A81000B,00100,0300,HOME OFFICE COSTS 79544,A81000B,00200,0300,HOME OFFICE COSTS-CAPITAL 79544,A81000B,00300,0300,HOME OFFICE COSTS CAPITAL 79544,A81000B,00400,0300,RAW FOOD - ENTERALS 79544,A81000B,00500,0300,PHARMACY FORMS 79544,A81000B,00600,0300,ROUTINE/BILLABLE SUPPLIES 79544,A81000B,00700,0300,PT SUPPLIES 79544,A81000B,00800,0300,ST SUPPLIES 79544,A81000B,00900,0300,MED SUPPLIES CHARGEABLE 79544,A81000B,01000,0300,DRUGS 79544,A81000B,01100,0300,SPECIAL MED EQUIP RENTAL 79544,A81000B,01200,0300,PHARMACY CONSULTANT 79544,A81000C,00100,0100,A 79544,A81000C,00100,0200,ROGER & PATTI TURENNE 79544,A81000C,00100,0400,TURENNE & ASSOCIATES 79544,A81000C,00100,0600,MANAGEMENT COMPANY 79544,A81000C,00200,0100,A 79544,A81000C,00200,0200,ROGER & PATTI TURENNE 79544,A81000C,00200,0400,PHARMEDCO 79544,A81000C,00200,0600,PHARMACY/SUPPLY COMPANY 79544,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79544,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79544,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79544,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79544,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79544,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79544,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 79544,B100000,00000,0800,00000MEALS SERVED :DIETARY 79544,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 79544,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 79544,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79544,S000000,00100,0200,10/23/2000 79544,S200000,00100,0100,2301 RAINBOW DRIVE 79544,S200000,00200,0100,GADSDEN 79544,S200000,00200,0200,AL 79544,S200000,00200,0300,35999- 79544,S200000,00300,0100,ETOWAH 79544,S200000,00300,0200,2880 79544,S200000,00300,0300,U 79544,S200000,00400,0100,MCGUFFEY HEALTH CARE CENTER 79544,S200000,00400,0200,015202 79544,S200000,00400,0300,12/01/1977 79544,S200000,00400,0500,P 79544,S200000,01004,0500,O 79544,S200000,01600,0100,Y 79544,S200000,04300,0100,Y 79544,S200000,04700,0100,Y 79544,S200000,04700,0200,Y 79560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79560,A000000,00300,0000,00300EMPLOYEE BENEFITS 79560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79560,A000000,00700,0000,00700HOUSEKEEPING 79560,A000000,00800,0000,00800DIETARY 79560,A000000,00900,0000,00900NURSING ADMINISTRATION 79560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79560,A000000,01100,0000,01100PHARMACY 79560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79560,A000000,01300,0000,01300SOCIAL SERVICE 79560,A000000,01600,0000,01600SKILLED NURSING FACILITY 79560,A000000,01800,0000,01800NURSING FACILITY 79560,A000000,01810,0000,01810ICF/MR 79560,A000000,01900,0000,01900OTHER LONG TERM CARE 79560,A000000,02100,0000,02100RADIOLOGY 79560,A000000,02200,0000,02200LABORATORY 79560,A000000,02300,0000,02300INTRAVENOUS THERAPY 79560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79560,A000000,02500,0000,02500PHYSICAL THERAPY 79560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79560,A000000,02700,0000,02700SPEECH PATHOLOGY 79560,A000000,02800,0000,02800ELECTROCARDIOLOGY 79560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79560,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79560,A000000,03200,0000,03200SUPPORT SURFACES 79560,A000000,03400,0000,03400CLINIC 79560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79560,A000000,03500,0000,03500RURAL HEALTH CLINIC 79560,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79560,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79560,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79560,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79560,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79560,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79560,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79560,A000000,04400,0000,04400DME RENTED - HHA 79560,A000000,04500,0000,04500DME SOLD - HHA 79560,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79560,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79560,A000000,04800,0000,04800AMBULANCE 79560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79560,A000000,05000,0000,05000CORF 79560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79560,A000000,05300,0000,05300INTEREST EXPENSE 79560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79560,A000000,05500,0000,05500HOSPICE 79560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79560,A000000,06100,0000,06100NONPAID WORKERS 79560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79560,A000000,06200,0000,06200PATIENTS LAUNDRY 79560,A81000A,00100,0100,Y 79560,A81000B,00100,0300,ADJUST RELATED PARTY EXP 79560,A81000C,00100,0100,A 79560,A81000C,00100,0200,MR. JAMES COKER 79560,A81000C,00100,0400,PERSONAL 79560,A81000C,00100,0600,BUILDING LEASE 79560,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79560,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79560,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79560,B100000,00000,0800,00000MEALS SERVED :DIETARY 79560,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 79560,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 79560,B100000,00000,1100,00000COST OF REQUISTION :PHARMACY 79560,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79560,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79560,E10A180,00501,0100,01/10/2001 79560,E10A180,00501,0300,01/10/2001 79560,S000000,00100,0200,12/01/2000 79560,S200000,00100,0100,HIGHWAY 11 NORTH 79560,S200000,00100,0300,DRAWER G 79560,S200000,00200,0100,COLLINSVILLE 79560,S200000,00200,0200,AL 79560,S200000,00200,0300,35961- 79560,S200000,00300,0100,DEKALB 79560,S200000,00300,0300,R 79560,S200000,00400,0100,COLLINSVILLE NURSING HOME 79560,S200000,00400,0200,015207 79560,S200000,00400,0300,12/01/1997 79560,S200000,00400,0500,P 79560,S200000,01600,0100,Y 79583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79583,A000000,00300,0000,00300EMPLOYEE BENEFITS 79583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79583,A000000,00700,0000,00700HOUSEKEEPING 79583,A000000,00800,0000,00800DIETARY 79583,A000000,00900,0000,00900NURSING ADMINISTRATION 79583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79583,A000000,01100,0000,01100PHARMACY 79583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79583,A000000,01300,0000,01300SOCIAL SERVICE 79583,A000000,01350,0000,01500ACTIVITIES 79583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79583,A000000,01600,0000,01600SKILLED NURSING FACILITY 79583,A000000,01800,0000,01800NURSING FACILITY 79583,A000000,01900,0000,01900OTHER LONG TERM CARE 79583,A000000,02100,0000,02100RADIOLOGY 79583,A000000,02200,0000,02200LABORATORY 79583,A000000,02300,0000,02300INTRAVENOUS THERAPY 79583,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79583,A000000,02500,0000,02500PHYSICAL THERAPY 79583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79583,A000000,02700,0000,02700SPEECH PATHOLOGY 79583,A000000,02800,0000,02800ELECTROCARDIOLOGY 79583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79583,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79583,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79583,A000000,03200,0000,03200SUPPORT SURFACES 79583,A000000,03400,0000,03400CLINIC 79583,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79583,A000000,03500,0000,03500RURAL HEALTH CLINIC 79583,A000000,04800,0000,04800AMBULANCE 79583,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79583,A000000,05000,0000,05000CORF 79583,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79583,A000000,05300,0000,05300INTEREST EXPENSE 79583,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79583,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79583,A000000,05500,0000,05500HOSPICE 79583,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79583,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79583,A000000,06100,0000,06100NONPAID WORKERS 79583,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79583,A000000,06200,0000,06200PATIENTS LAUNDRY 79583,A81000A,00100,0100,Y 79583,A81000B,00100,0300,MEDICAL SUPPLIES 79583,A81000C,00100,0100,A 79583,A81000C,00100,0200,ANDY SELF / LIN 79583,A81000C,00100,0400,MEDCO LLC 79583,A81000C,00100,0600,PARTNERSHIP 79583,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79583,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79583,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79583,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79583,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79583,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79583,B100000,00000,0800,00000MEALS SERVED :DIETARY 79583,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 79583,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79583,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79583,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79583,E10A180,00501,0100,01/11/2001 79583,S000000,00100,0200,12/05/2000 79583,S200000,00100,0100,131 CREST ROAD 79583,S200000,00200,0100,HUEYTOWN 79583,S200000,00200,0200,AL 79583,S200000,00200,0300,35023- 79583,S200000,00300,0100,JEFFERSON 79583,S200000,00300,0200,1000 79583,S200000,00300,0300,U 79583,S200000,00400,0100,SELF NURSING HOME INC. 79583,S200000,00400,0200,015212 79583,S200000,00400,0300,01/01/1978 79583,S200000,00400,0500,P 79583,S200000,01500,0100,Y 79591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79591,A000000,00300,0000,00300EMPLOYEE BENEFITS 79591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79591,A000000,00700,0000,00700HOUSEKEEPING 79591,A000000,00800,0000,00800DIETARY 79591,A000000,00900,0000,00900NURSING ADMINISTRATION 79591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79591,A000000,01300,0000,01300SOCIAL SERVICE 79591,A000000,01350,0000,01500ACTIVITIES 79591,A000000,01600,0000,01600SKILLED NURSING FACILITY 79591,A000000,01800,0000,01800NURSING FACILITY 79591,A000000,02100,0000,02100RADIOLOGY 79591,A000000,02200,0000,02200LABORATORY 79591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79591,A000000,02500,0000,02500PHYSICAL THERAPY 79591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79591,A000000,02700,0000,02700SPEECH PATHOLOGY 79591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79591,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79591,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79591,A000000,04800,0000,04800AMBULANCE 79591,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79591,A000000,05300,0000,05300INTEREST EXPENSE 79591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79591,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79591,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79591,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79591,B100000,00000,0800,00000MEALS SERVED :DIETARY 79591,B100000,00000,0950,00000SALARY SALARIES :NURSING ADMINISTR 79591,B100000,00000,1050,00000TIME SPENT :CENTRAL SERVICES & SUP 79591,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79591,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79591,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 79591,E10A180,00301,0100,12/06/1999 79591,S000000,00100,0200,11/27/2000 79591,S200000,00100,0100,ELBA HIGHWAY 79591,S200000,00200,0100,TROY 79591,S200000,00200,0200,AL 79591,S200000,00200,0300,36081- 79591,S200000,00300,0100,PIKE 79591,S200000,00300,0200,01 79591,S200000,00300,0300,R 79591,S200000,00400,0100,PIKE HEALTH SERVICES INC. 79591,S200000,00400,0200,015213 79591,S200000,00400,0300,12/11/1985 79591,S200000,00400,0500,P 79591,S200000,01600,0100,Y 79591,S200000,04700,0100,Y 79601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79601,A000000,00300,0000,00300EMPLOYEE BENEFITS 79601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79601,A000000,00700,0000,00700HOUSEKEEPING 79601,A000000,00800,0000,00800DIETARY 79601,A000000,00900,0000,00900NURSING ADMINISTRATION 79601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79601,A000000,01300,0000,01300SOCIAL SERVICE 79601,A000000,01600,0000,01600SKILLED NURSING FACILITY 79601,A000000,01800,0000,01800NURSING FACILITY 79601,A000000,02100,0000,02100RADIOLOGY 79601,A000000,02200,0000,02200LABORATORY 79601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79601,A000000,02500,0000,02500PHYSICAL THERAPY 79601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79601,A000000,02700,0000,02700SPEECH PATHOLOGY 79601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79601,A000000,03200,0000,03200SUPPORT SURFACES 79601,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79601,A81000A,00100,0100,Y 79601,A81000B,00100,0300,HOME OFFICE COSTS 79601,A81000C,00100,0100,B 79601,A81000C,00100,0200,ADVOCAT INC. 79601,A81000C,00100,0400,DVCR LEASING CO 79601,A81000C,00100,0600,L/T CARE MGT CO 79601,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79601,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79601,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79601,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79601,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79601,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79601,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79601,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79601,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 79601,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 79601,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79601,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79601,S000000,00100,0200,12/01/2000 79601,S200000,00100,0100,700 HUTCHINS ST. 79601,S200000,00200,0100,GADSDEN 79601,S200000,00200,0200,AL 79601,S200000,00200,0300,35904- 79601,S200000,00300,0100,ETOWAH 79601,S200000,00300,0200,2880 79601,S200000,00300,0300,U 79601,S200000,00400,0100,NORTHSIDE HEALTH CARE 79601,S200000,00400,0200,015223 79601,S200000,00400,0300,08/21/1978 79601,S200000,00400,0500,P 79601,S200000,01600,0100,Y 79601,S200000,02200,0100,Y 79613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79613,A000000,00300,0000,00300EMPLOYEE BENEFITS 79613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79613,A000000,00700,0000,00700HOUSEKEEPING 79613,A000000,00800,0000,00800DIETARY 79613,A000000,00900,0000,00900NURSING ADMINISTRATION 79613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79613,A000000,01300,0000,01300SOCIAL SERVICE 79613,A000000,01600,0000,01600SKILLED NURSING FACILITY 79613,A000000,01800,0000,01800NURSING FACILITY 79613,A000000,02200,0000,02200LABORATORY 79613,A000000,02500,0000,02500PHYSICAL THERAPY 79613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79613,A000000,02700,0000,02700SPEECH PATHOLOGY 79613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79613,A000000,05300,0000,05300INTEREST EXPENSE 79613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79613,A81000A,00100,0100,Y 79613,A81000B,00100,0300,CAPITAL COSTS 79613,A81000B,00200,0300,ADMINISTRATIVE COSTS 79613,A81000C,00100,0100,A 79613,A81000C,00100,0200,JOHN JMISON III 79613,A81000C,00100,0400,CARECORPS MGT 79613,A81000C,00100,0600,CENT OFF 79613,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79613,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79613,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79613,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79613,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79613,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79613,B100000,00000,0800,00000MEALS SERVED :DIETARY 79613,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 79613,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79613,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79613,S000000,00100,0200,06/01/2000 79613,S200000,00100,0100,1050 CONVALESCENT ROAD 79613,S200000,00200,0100,VERNON 79613,S200000,00200,0200,AL 79613,S200000,00200,0300,35592- 79613,S200000,00300,0100,LAMAT 79613,S200000,00300,0200,01 79613,S200000,00300,0300,R 79613,S200000,00400,0100,CARE CENTER OF VERNON 79613,S200000,00400,0200,015227 79613,S200000,00400,0300,11/15/1979 79613,S200000,00400,0500,P 79613,S200000,01600,0100,Y 79613,S200000,04300,0100,Y 79623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79623,A000000,00300,0000,00300EMPLOYEE BENEFITS 79623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79623,A000000,00700,0000,00700HOUSEKEEPING 79623,A000000,00800,0000,00800DIETARY 79623,A000000,00900,0000,00900NURSING ADMINISTRATION 79623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79623,A000000,01100,0000,01100PHARMACY 79623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79623,A000000,01300,0000,01300SOCIAL SERVICE 79623,A000000,01301,0000,01301ACTIVITIES 79623,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 79623,A000000,01600,0000,01600SKILLED NURSING FACILITY 79623,A000000,01800,0000,01800NURSING FACILITY 79623,A000000,01900,0000,01900OTHER LONG TERM CARE 79623,A000000,02100,0000,02100RADIOLOGY 79623,A000000,02200,0000,02200LABORATORY 79623,A000000,02300,0000,02300INTRAVENOUS THERAPY 79623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79623,A000000,02500,0000,02500PHYSICAL THERAPY 79623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79623,A000000,02700,0000,02700SPEECH PATHOLOGY 79623,A000000,02800,0000,02800ELECTROCARDIOLOGY 79623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79623,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79623,A000000,03051,0000,03301PEN THERAPY 79623,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79623,A000000,03200,0000,03200SUPPORT SURFACES 79623,A000000,03400,0000,03400CLINIC 79623,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79623,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79623,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79623,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79623,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79623,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79623,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79623,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79623,A000000,04400,0000,04400DME RENTED - HHA 79623,A000000,04500,0000,04500DME SOLD - HHA 79623,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79623,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79623,A000000,04800,0000,04800AMBULANCE 79623,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79623,A000000,05000,0000,05000CORF 79623,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79623,A000000,05300,0000,05300INTEREST EXPENSE 79623,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79623,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79623,A000000,05500,0000,05500HOSPICE 79623,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79623,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79623,A000000,06100,0000,06100NONPAID WORKERS 79623,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79623,A000000,06200,0000,06200PATIENTS LAUNDRY 79623,A81000A,00100,0100,Y 79623,A81000B,00100,0300,HOME OFFICE INTEREST 79623,A81000B,00200,0300,HOME OFFICE COST 79623,A81000B,00300,0300,NURSING SUPPLIES 79623,A81000B,00400,0300,MEDICAL SUPPLIES 79623,A81000B,00500,0300,ADMIN COST 79623,A81000B,00600,0300,PLANT 79623,A81000B,00700,0300,DIETARY SUPPLEMENTS 79623,A81000B,00800,0300,PRESCRIPTION DRUGS 79623,A81000B,00900,0300,IV THERAPY 79623,A81000B,01000,0300,OTHER GENERAL SERVICE COST 79623,A81000B,01100,0300,PT THERAPY 79623,A81000B,01200,0300,OT THERAPY 79623,A81000B,01300,0300,ST THERAPY 79623,A81000C,00100,0100,B 79623,A81000C,00100,0200,CEDAR CREST 79623,A81000C,00100,0400,MARINER POST AC 79623,A81000C,00100,0600,NURSING HOMES 79623,A81000C,00200,0100,G 79623,A81000C,00200,0200,MARINER POST AC 79623,A81000C,00200,0400,AMERICAN PHARMA 79623,A81000C,00200,0600,PHARMACEUTICALS 79623,A81000C,00300,0100,G 79623,A81000C,00300,0200,MARINER POST AC 79623,A81000C,00300,0400,PRISM (ATS ARS 79623,A81000C,00300,0600,THERAPIES 79623,A81000C,03100,0000,MARINER POST ACUTE NETWORK 79623,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79623,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79623,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79623,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79623,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79623,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79623,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79623,B100000,00000,0800,00000MEALS SERVED :DIETARY 79623,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79623,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79623,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79623,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79623,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79623,B100000,00000,1331,00000PT DAYS :ACTIVITIES 79623,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST CENT 79623,S000000,00100,0200,03/02/2000 79623,S200000,00100,0100,4490 VIRGINIA LOOP ROAD 79623,S200000,00200,0100,MONTGOMERY 79623,S200000,00200,0200,AL 79623,S200000,00200,0300,36116- 79623,S200000,00300,0100,MONTGOMERY 79623,S200000,00400,0100,CEDAR CREST 79623,S200000,00400,0200,015228 79623,S200000,00400,0300,06/01/1983 79623,S200000,00400,0500,P 79623,S200000,01600,0100,Y 79623,S700003,00000,0100,1 79631,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79631,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79631,A000000,00300,0000,00300EMPLOYEE BENEFITS 79631,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79631,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79631,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79631,A000000,00700,0000,00700HOUSEKEEPING 79631,A000000,00800,0000,00800DIETARY 79631,A000000,00900,0000,00900NURSING ADMINISTRATION 79631,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79631,A000000,01100,0000,01100PHARMACY 79631,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79631,A000000,01300,0000,01300SOCIAL SERVICE 79631,A000000,01301,0000,01301ACTIVITIES 79631,A000000,01350,0000,01500REHAB 79631,A000000,01600,0000,01600SKILLED NURSING FACILITY 79631,A000000,01800,0000,01800NURSING FACILITY 79631,A000000,01900,0000,01900OTHER LONG TERM CARE 79631,A000000,02100,0000,02100RADIOLOGY 79631,A000000,02200,0000,02200LABORATORY 79631,A000000,02300,0000,02300INTRAVENOUS THERAPY 79631,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79631,A000000,02500,0000,02500PHYSICAL THERAPY 79631,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79631,A000000,02700,0000,02700SPEECH PATHOLOGY 79631,A000000,02800,0000,02800ELECTROCARDIOLOGY 79631,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79631,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79631,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79631,A000000,03051,0000,03301PEN THERAPY 79631,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79631,A000000,03200,0000,03200SUPPORT SURFACES 79631,A000000,03400,0000,03400CLINIC 79631,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79631,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79631,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79631,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79631,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79631,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79631,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79631,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79631,A000000,04400,0000,04400DME RENTED - HHA 79631,A000000,04500,0000,04500DME SOLD - HHA 79631,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79631,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79631,A000000,04800,0000,04800AMBULANCE 79631,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79631,A000000,05000,0000,05000CORF 79631,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79631,A000000,05300,0000,05300INTEREST EXPENSE 79631,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79631,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79631,A000000,05500,0000,05500HOSPICE 79631,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79631,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79631,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79631,A000000,06100,0000,06100NONPAID WORKERS 79631,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79631,A000000,06200,0000,06200PATIENTS LAUNDRY 79631,A81000A,00100,0100,Y 79631,A81000B,00100,0300,NON-CERT 79631,A81000B,00200,0300,MEDICAL SUPPLIES 79631,A81000B,00300,0300,ADMINISTRATION 79631,A81000B,00400,0300,PLANT 79631,A81000B,00500,0300,DIETARY 79631,A81000B,00600,0300,DRUGS 79631,A81000B,00700,0300,NURSING ADMIN 79631,A81000B,00800,0300,IV 79631,A81000B,00900,0300,REHAB 79631,A81000B,01000,0300,PT 79631,A81000B,01100,0300,OT 79631,A81000B,01200,0300,ST 79631,A81000B,01300,0300,BLDG CAPITAL 79631,A81000B,01400,0300,ADMIN & GENERAL 79631,A81000C,00100,0100,B 79631,A81000C,00100,0200,FAIRVIEW 10103 79631,A81000C,00100,0400,MARINER PAN 79631,A81000C,00100,0600,NURSING HOME 79631,A81000C,00200,0100,G 79631,A81000C,00200,0200,MARINER PAN 79631,A81000C,00200,0400,AMERICAN PHARM. 79631,A81000C,00200,0600,PHARMACEUTICALS 79631,A81000C,00300,0100,G 79631,A81000C,00300,0200,MARINER PAN 79631,A81000C,00300,0400,PRISM 79631,A81000C,00300,0600,THERAPIES 79631,A81000C,03100,0000,MARINER PAN 79631,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79631,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79631,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79631,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79631,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79631,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79631,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79631,B100000,00000,0800,00000MEALS SERVED :DIETARY 79631,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79631,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79631,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79631,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79631,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79631,B100000,00000,1331,00000PT DAYS :ACTIVITIES 79631,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 79631,E10A180,00301,0100,08/02/1999 79631,S000000,00100,0200,03/02/2000 79631,S200000,00100,0100,1028 BESSEMER 79631,S200000,00200,0100,BIRMINGHAM 79631,S200000,00200,0200,AL 79631,S200000,00200,0300,35228- 79631,S200000,00300,0100,JEFFERSON 79631,S200000,00400,0100,FAIRVIEW NURSING HOME 79631,S200000,00400,0200,015303 79631,S200000,00400,0300,02/01/1973 79631,S200000,00400,0500,P 79631,S200000,01600,0100,Y 79631,S700003,00000,0100,1 79638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79638,A000000,00300,0000,00300EMPLOYEE BENEFITS 79638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79638,A000000,00700,0000,00700HOUSEKEEPING 79638,A000000,00800,0000,00800DIETARY 79638,A000000,00900,0000,00900NURSING ADMINISTRATION 79638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79638,A000000,01100,0000,01100PHARMACY 79638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79638,A000000,01300,0000,01300SOCIAL SERVICE 79638,A000000,01350,0000,01500ACTIVITIES 79638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79638,A000000,01600,0000,01600SKILLED NURSING FACILITY 79638,A000000,01800,0000,01800NURSING FACILITY 79638,A000000,01900,0000,01900OTHER LONG TERM CARE 79638,A000000,02100,0000,02100RADIOLOGY 79638,A000000,02200,0000,02200LABORATORY 79638,A000000,02300,0000,02300INTRAVENOUS THERAPY 79638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79638,A000000,02500,0000,02500PHYSICAL THERAPY 79638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79638,A000000,02700,0000,02700SPEECH PATHOLOGY 79638,A000000,02800,0000,02800ELECTROCARDIOLOGY 79638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79638,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79638,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79638,A000000,03200,0000,03200SUPPORT SURFACES 79638,A000000,03400,0000,03400CLINIC 79638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79638,A000000,03500,0000,03500RURAL HEALTH CLINIC 79638,A000000,04800,0000,04800AMBULANCE 79638,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79638,A000000,05000,0000,05000CORF 79638,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79638,A000000,05300,0000,05300INTEREST EXPENSE 79638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79638,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79638,A000000,05500,0000,05500HOSPICE 79638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79638,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79638,A000000,06100,0000,06100NONPAID WORKERS 79638,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79638,A000000,06200,0000,06200PATIENTS LAUNDRY 79638,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79638,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79638,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79638,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79638,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79638,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79638,B100000,00000,0800,00000MEALS SERVED :DIETARY 79638,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79638,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79638,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79638,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79638,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79638,S000000,00100,0200,11/27/2000 79638,S200000,00100,0100,300 PLAZA DRIVE 79638,S200000,00100,0300,P.O. BOX 311227 79638,S200000,00200,0100,ENTERPRISE 79638,S200000,00200,0200,AL 79638,S200000,00200,0300,36331- 79638,S200000,00300,0100,COFFEE 79638,S200000,00300,0200,01 79638,S200000,00300,0300,R 79638,S200000,00400,0100,ENTERPRISE NURSING HOME 79638,S200000,00400,0200,015320 79638,S200000,00400,0300,07/01/1999 79638,S200000,00400,0500,P 79638,S200000,01500,0100,Y 79648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79648,A000000,00300,0000,00300EMPLOYEE BENEFITS 79648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79648,A000000,00700,0000,00700HOUSEKEEPING 79648,A000000,00800,0000,00800DIETARY 79648,A000000,00900,0000,00900NURSING ADMINISTRATION 79648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79648,A000000,01100,0000,01100PHARMACY 79648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79648,A000000,01300,0000,01300SOCIAL SERVICE 79648,A000000,01350,0000,01500ACTIVITIES 79648,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79648,A000000,01600,0000,01600SKILLED NURSING FACILITY 79648,A000000,01800,0000,01800NURSING FACILITY 79648,A000000,01810,0000,01810ICF/MR 79648,A000000,01900,0000,01900OTHER LONG TERM CARE 79648,A000000,02100,0000,02100RADIOLOGY 79648,A000000,02200,0000,02200LABORATORY 79648,A000000,02300,0000,02300INTRAVENOUS THERAPY 79648,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79648,A000000,02500,0000,02500PHYSICAL THERAPY 79648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79648,A000000,02700,0000,02700SPEECH PATHOLOGY 79648,A000000,02800,0000,02800ELECTROCARDIOLOGY 79648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79648,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79648,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79648,A000000,03200,0000,03200SUPPORT SURFACES 79648,A000000,03400,0000,03400CLINIC 79648,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79648,A000000,03500,0000,03500RURAL HEALTH CLINIC 79648,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79648,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79648,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79648,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79648,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79648,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79648,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79648,A000000,04400,0000,04400DME RENTED - HHA 79648,A000000,04500,0000,04500DME SOLD - HHA 79648,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79648,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79648,A000000,04800,0000,04800AMBULANCE 79648,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79648,A000000,05000,0000,05000CORF 79648,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79648,A000000,05300,0000,05300INTEREST EXPENSE 79648,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79648,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79648,A000000,05500,0000,05500HOSPICE 79648,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79648,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79648,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79648,A000000,06100,0000,06100NONPAID WORKERS 79648,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79648,A000000,06200,0000,06200PATIENTS LAUNDRY 79648,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79648,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79648,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79648,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79648,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79648,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79648,B100000,00000,0800,00000MEALS SERVED :DIETARY 79648,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79648,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79648,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79648,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79648,S000000,00100,0200,11/27/2000 79648,S200000,00100,0100,3141 OLD COLUMBIANA ROAD 79648,S200000,00200,0100,BIRMINGHAM 79648,S200000,00200,0200,AL 79648,S200000,00200,0300,35226- 79648,S200000,00300,0100,JEFFERSON 79648,S200000,00300,0200,1000 79648,S200000,00300,0300,U 79648,S200000,00400,0100,THE SOUTH HAVEN CORPORATION 79648,S200000,00400,0200,015321 79648,S200000,00400,0300,07/01/1999 79648,S200000,00400,0500,P 79648,S200000,01500,0100,Y 79674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79674,A000000,00300,0000,00300EMPLOYEE BENEFITS 79674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79674,A000000,00700,0000,00700HOUSEKEEPING 79674,A000000,00800,0000,00800DIETARY 79674,A000000,00900,0000,00900NURSING ADMINISTRATION 79674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79674,A000000,01100,0000,01100PHARMACY 79674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79674,A000000,01300,0000,01300SOCIAL SERVICE 79674,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 79674,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79674,A000000,01600,0000,01600SKILLED NURSING FACILITY 79674,A000000,01800,0000,01800NURSING FACILITY 79674,A000000,01900,0000,01900OTHER LONG TERM CARE 79674,A000000,02100,0000,02100RADIOLOGY 79674,A000000,02200,0000,02200LABORATORY 79674,A000000,02300,0000,02300INTRAVENOUS THERAPY 79674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79674,A000000,02500,0000,02500PHYSICAL THERAPY 79674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79674,A000000,02700,0000,02700SPEECH PATHOLOGY 79674,A000000,02800,0000,02800ELECTROCARDIOLOGY 79674,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 79674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79674,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79674,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79674,A000000,03200,0000,03200SUPPORT SURFACES 79674,A000000,03400,0000,03400CLINIC 79674,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79674,A000000,03500,0000,03500RURAL HEALTH CLINIC 79674,A000000,04800,0000,04800AMBULANCE 79674,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79674,A000000,05000,0000,05000CORF 79674,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79674,A000000,05300,0000,05300INTEREST EXPENSE 79674,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79674,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79674,A000000,05500,0000,05500HOSPICE 79674,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79674,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79674,A000000,06100,0000,06100NONPAID WORKERS 79674,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79674,A000000,06200,0000,06200PATIENTS LAUNDRY 79674,A81000A,00100,0100,Y 79674,A81000B,00100,0300,CORPORATE OFFICE 79674,A81000B,00200,0300,CORPORATE OFFICE 79674,A81000C,00100,0100,C 79674,A81000C,00100,0200,NHS INC. 79674,A81000C,00100,0400,NHS INC. 79674,A81000C,00100,0600,HOME OFFICE 79674,A81000C,00200,0100,C 79674,A81000C,00200,0200,NHS INC. STOCK 79674,A81000C,00200,0400,NORTHGATE SERVI 79674,A81000C,00200,0600,PHARMACY 79674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79674,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79674,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79674,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79674,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79674,B100000,00000,0800,00000MEALS SERVED :DIETARY 79674,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79674,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79674,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79674,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79674,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79674,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 79674,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79674,S000000,00100,0200,12/01/2000 79674,S200000,00100,0100,142 WEST 3RD STREET 79674,S200000,00200,0100,LUVERNE 79674,S200000,00200,0200,AL 79674,S200000,00200,0300,36049- 79674,S200000,00300,0100,CRENSHAW 79674,S200000,00400,0100,LUVERNE NURSING FACILITY 79674,S200000,00400,0200,015336 79674,S200000,00400,0300,10/16/1973 79674,S200000,00400,0500,P 79674,S700003,00000,0200,2 79688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79688,A000000,00300,0000,00300EMPLOYEE BENEFITS 79688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79688,A000000,00700,0000,00700HOUSEKEEPING 79688,A000000,00800,0000,00800DIETARY 79688,A000000,00900,0000,00900NURSING ADMINISTRATION 79688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79688,A000000,01100,0000,01100PHARMACY 79688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79688,A000000,01300,0000,01300SOCIAL SERVICE 79688,A000000,01350,0000,01500ACTIVITIES 79688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79688,A000000,01600,0000,01600SKILLED NURSING FACILITY 79688,A000000,01800,0000,01800NURSING FACILITY 79688,A000000,01900,0000,01900OTHER LONG TERM CARE 79688,A000000,02100,0000,02100RADIOLOGY 79688,A000000,02200,0000,02200LABORATORY 79688,A000000,02300,0000,02300INTRAVENOUS THERAPY 79688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79688,A000000,02500,0000,02500PHYSICAL THERAPY 79688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79688,A000000,02700,0000,02700SPEECH PATHOLOGY 79688,A000000,02800,0000,02800ELECTROCARDIOLOGY 79688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79688,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79688,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79688,A000000,03200,0000,03200SUPPORT SURFACES 79688,A000000,03400,0000,03400CLINIC 79688,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79688,A000000,03500,0000,03500RURAL HEALTH CLINIC 79688,A000000,04800,0000,04800AMBULANCE 79688,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79688,A000000,05000,0000,05000CORF 79688,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79688,A000000,05300,0000,05300INTEREST EXPENSE 79688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79688,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79688,A000000,05500,0000,05500HOSPICE 79688,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79688,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79688,A000000,06100,0000,06100NONPAID WORKERS 79688,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79688,A000000,06200,0000,06200PATIENTS LAUNDRY 79688,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 79688,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79688,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79688,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 79688,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79688,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 79688,B100000,00000,0800,00000MEALS SERVED :DIETARY 79688,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79688,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79688,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79688,S000000,00100,0200,11/15/2000 79688,S200000,00100,0100,1101 SNOWS MILL AVENUE 79688,S200000,00200,0100,TUSCALOOSA 79688,S200000,00200,0200,AL 79688,S200000,00300,0100,TUSCALOOSA 79688,S200000,00300,0200,8600 79688,S200000,00300,0300,U 79688,S200000,00400,0100,HERITAGE HEALTH CARE CENTER INC. 79688,S200000,00400,0200,015371 79688,S200000,00400,0300,07/01/1999 79688,S200000,00400,0500,P 79688,S200000,01004,0500,O 79688,S200000,01500,0100,Y 79697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79697,A000000,00300,0000,00300EMPLOYEE BENEFITS 79697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79697,A000000,00700,0000,00700HOUSEKEEPING 79697,A000000,00800,0000,00800DIETARY 79697,A000000,00900,0000,00900NURSING ADMINISTRATION 79697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79697,A000000,01100,0000,01100PHARMACY 79697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79697,A000000,01300,0000,01300SOCIAL SERVICE 79697,A000000,01350,0000,01500ACTIVITIES 79697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79697,A000000,01600,0000,01600SKILLED NURSING FACILITY 79697,A000000,01800,0000,01800NURSING FACILITY 79697,A000000,01900,0000,01900OTHER LONG TERM CARE 79697,A000000,02100,0000,02100RADIOLOGY 79697,A000000,02200,0000,02200LABORATORY 79697,A000000,02300,0000,02300INTRAVENOUS THERAPY 79697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79697,A000000,02500,0000,02500PHYSICAL THERAPY 79697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79697,A000000,02700,0000,02700SPEECH PATHOLOGY 79697,A000000,02800,0000,02800ELECTROCARDIOLOGY 79697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79697,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79697,A000000,03200,0000,03200SUPPORT SURFACES 79697,A000000,03400,0000,03400CLINIC 79697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79697,A000000,03500,0000,03500RURAL HEALTH CLINIC 79697,A000000,04800,0000,04800AMBULANCE 79697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79697,A000000,05000,0000,05000CORF 79697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79697,A000000,05300,0000,05300INTEREST EXPENSE 79697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79697,A000000,05500,0000,05500HOSPICE 79697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79697,A000000,06100,0000,06100NONPAID WORKERS 79697,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79697,A000000,06200,0000,06200PATIENTS LAUNDRY 79697,A81000A,00100,0100,Y 79697,A81000B,00100,0300,LEASE 79697,A81000C,00100,0100,A 79697,A81000C,00100,0200,R. BROCKMAN 79697,A81000C,00100,0400,WE CARE OF CAMD 79697,A81000C,00100,0600,LESSOR 79697,A81000C,00200,0100,A 79697,A81000C,00200,0200,H. STEWART 79697,A81000C,00200,0400,WE CARE OF CAMD 79697,A81000C,00200,0600,LESSOR 79697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79697,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79697,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79697,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79697,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79697,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79697,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79697,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79697,S000000,00100,0200,11/21/2000 79697,S200000,00100,0100,PONDEROSA DRIVE 79697,S200000,00200,0100,CAMDEN 79697,S200000,00200,0200,AL 79697,S200000,00200,0300,36726- 79697,S200000,00300,0100,WILCOX 79697,S200000,00300,0200,01 79697,S200000,00300,0300,R 79697,S200000,00400,0100,CAMDEN NURSING HOME INC. 79697,S200000,00400,0200,015374 79697,S200000,00400,0300,07/01/1995 79697,S200000,00400,0500,P 79697,S200000,01004,0500,O 79697,S200000,01500,0100,Y 79736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79736,A000000,00300,0000,00300EMPLOYEE BENEFITS 79736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79736,A000000,00700,0000,00700HOUSEKEEPING 79736,A000000,00800,0000,00800DIETARY 79736,A000000,00900,0000,00900NURSING ADMINISTRATION 79736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79736,A000000,01100,0000,01100PHARMACY 79736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79736,A000000,01300,0000,01300SOCIAL SERVICE 79736,A000000,01350,0000,01500ACTIVITIES 79736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79736,A000000,01600,0000,01600SKILLED NURSING FACILITY 79736,A000000,01800,0000,01800NURSING FACILITY 79736,A000000,01900,0000,01900OTHER LONG TERM CARE 79736,A000000,02100,0000,02100RADIOLOGY 79736,A000000,02200,0000,02200LABORATORY 79736,A000000,02300,0000,02300INTRAVENOUS THERAPY 79736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79736,A000000,02500,0000,02500PHYSICAL THERAPY 79736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79736,A000000,02700,0000,02700SPEECH PATHOLOGY 79736,A000000,02800,0000,02800ELECTROCARDIOLOGY 79736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79736,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79736,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79736,A000000,03200,0000,03200SUPPORT SURFACES 79736,A000000,03400,0000,03400CLINIC 79736,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79736,A000000,04800,0000,04800AMBULANCE 79736,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79736,A000000,05000,0000,05000CORF 79736,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79736,A000000,05300,0000,05300INTEREST EXPENSE 79736,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79736,A000000,05500,0000,05500HOSPICE 79736,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79736,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79736,A000000,06100,0000,06100NONPAID WORKERS 79736,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79736,A000000,06200,0000,06200PATIENTS LAUNDRY 79736,A81000A,00100,0100,Y 79736,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 79736,A81000B,00200,0300,MANAGEMENT FEES 79736,A81000C,00100,0100,A 79736,A81000C,00100,0200,H. MAX HUIE 79736,A81000C,00100,0400,THE HUIE GROUP 79736,A81000C,00100,0600,MANAGEMENT 79736,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79736,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79736,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79736,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79736,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79736,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79736,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79736,B100000,00000,0800,00000MEALS SERVED :DIETARY 79736,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79736,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79736,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79736,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79736,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79736,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79736,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79736,E10A180,00301,0100,01/06/2000 79736,S000000,00100,0200,06/27/2000 79736,S200000,00100,0100,410 WEST WILSON STREET 79736,S200000,00200,0100,JACKSONVILLE 79736,S200000,00200,0200,AL 79736,S200000,00200,0300,36265- 79736,S200000,00300,0100,CALHOUN 79736,S200000,00400,0100,WESSEX HOUSE OF JACKSONVILLE INC. 79736,S200000,00400,0200,015391 79736,S200000,00400,0300,07/01/1998 79736,S200000,00400,0500,P 79736,S200000,01600,0100,Y 79736,S200000,03100,0100,Y 79736,S700003,00000,0200,2 79757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79757,A000000,00300,0000,00300EMPLOYEE BENEFITS 79757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79757,A000000,00700,0000,00700HOUSEKEEPING 79757,A000000,00800,0000,00800DIETARY 79757,A000000,00900,0000,00900NURSING ADMINISTRATION 79757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79757,A000000,01300,0000,01300SOCIAL SERVICE 79757,A000000,01600,0000,01600SKILLED NURSING FACILITY 79757,A000000,01800,0000,01800NURSING FACILITY 79757,A000000,01900,0000,01900OTHER LONG TERM CARE 79757,A000000,02100,0000,02100RADIOLOGY 79757,A000000,02200,0000,02200LABORATORY 79757,A000000,02300,0000,02300INTRAVENOUS THERAPY 79757,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79757,A000000,02500,0000,02500PHYSICAL THERAPY 79757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79757,A000000,02700,0000,02700SPEECH PATHOLOGY 79757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79757,A000000,03200,0000,03200SUPPORT SURFACES 79757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79757,A81000A,00100,0100,Y 79757,A81000B,00100,0300,HOME OFFICE COSTS 79757,A81000C,00100,0100,B 79757,A81000C,00100,0200,ADVOCAT INC. 79757,A81000C,00100,0400,DVCR LEASING CO 79757,A81000C,00100,0600,L/T CARE MGT CO 79757,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79757,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79757,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79757,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79757,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79757,B100000,00000,0650,00000WEIGHTED PT DAYS :LAUNDRY & LINEN S 79757,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79757,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79757,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 79757,B100000,00000,1250,00000SNF PT DAYS :MEDICAL RECORDS & LIBR 79757,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79757,S000000,00100,0200,12/01/2000 79757,S200000,00100,0100,4411 MCALLISTER DRIVE 79757,S200000,00200,0100,HUNTSVILLE 79757,S200000,00200,0200,AL 79757,S200000,00200,0300,35805- 79757,S200000,00300,0100,MADISON 79757,S200000,00300,0200,3440 79757,S200000,00300,0300,U 79757,S200000,00400,0100,WINDSOR HOUSE OF HUNTSVILLE 79757,S200000,00400,0200,015397 79757,S200000,00400,0300,09/01/1987 79757,S200000,00400,0500,P 79757,S200000,01600,0100,Y 79757,S200000,02200,0100,Y 79769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79769,A000000,00300,0000,00300EMPLOYEE BENEFITS 79769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79769,A000000,00700,0000,00700HOUSEKEEPING 79769,A000000,00800,0000,00800DIETARY 79769,A000000,00900,0000,00900NURSING ADMINISTRATION 79769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79769,A000000,01100,0000,01100PHARMACY 79769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79769,A000000,01300,0000,01300SOCIAL SERVICE 79769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79769,A000000,01600,0000,01600SKILLED NURSING FACILITY 79769,A000000,01800,0000,01800NURSING FACILITY 79769,A000000,01810,0000,01810ICF/MR 79769,A000000,01900,0000,01900OTHER LONG TERM CARE 79769,A000000,02100,0000,02100RADIOLOGY 79769,A000000,02200,0000,02200LABORATORY 79769,A000000,02300,0000,02300INTRAVENOUS THERAPY 79769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79769,A000000,02500,0000,02500PHYSICAL THERAPY 79769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79769,A000000,02700,0000,02700SPEECH PATHOLOGY 79769,A000000,02800,0000,02800ELECTROCARDIOLOGY 79769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79769,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79769,A000000,03200,0000,03200SUPPORT SURFACES 79769,A000000,03400,0000,03400CLINIC 79769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79769,A000000,03500,0000,03500RURAL HEALTH CLINIC 79769,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79769,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79769,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79769,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79769,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79769,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79769,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79769,A000000,04400,0000,04400DME RENTED - HHA 79769,A000000,04500,0000,04500DME SOLD - HHA 79769,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79769,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79769,A000000,04800,0000,04800AMBULANCE 79769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79769,A000000,05000,0000,05000CORF 79769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79769,A000000,05300,0000,05300INTEREST EXPENSE 79769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79769,A000000,05500,0000,05500HOSPICE 79769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79769,A000000,06100,0000,06100NONPAID WORKERS 79769,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79769,A000000,06200,0000,06200PATIENTS LAUNDRY 79769,A81000A,00100,0100,Y 79769,A81000B,00100,0300,INTEREST INS. TAXES 79769,A81000B,00200,0300,DEPRECIATION 79769,A81000B,00300,0300,ADMINISTRATIVE COSTS 79769,A81000B,00400,0300,PHARMACY CONSULTANT 79769,A81000B,00500,0300,DRUGS SOLD TO PATIENTS 79769,A81000C,00100,0100,B 79769,A81000C,00100,0200,COGBURN HOLDING 79769,A81000C,00100,0600,PARENT 79769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79769,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79769,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79769,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79769,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79769,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79769,S000000,00100,0200,12/31/2000 79769,S200000,00100,0100,3104 DAUPHIN SQUARE CONNECTOR 79769,S200000,00200,0100,MOBILE 79769,S200000,00200,0200,AL 79769,S200000,00200,0300,36607- 79769,S200000,00300,0100,MOBILE 79769,S200000,00300,0200,5160 79769,S200000,00300,0300,U 79769,S200000,00400,0100,COGBURN NURSING CENTER-MIDTOWN INC. 79769,S200000,00400,0200,015403 79769,S200000,00400,0300,10/05/1989 79769,S200000,00400,0500,P 79769,S200000,01600,0100,Y 79776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79776,A000000,00300,0000,00300EMPLOYEE BENEFITS 79776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79776,A000000,00700,0000,00700HOUSEKEEPING 79776,A000000,00800,0000,00800DIETARY 79776,A000000,00900,0000,00900NURSING ADMINISTRATION 79776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79776,A000000,01300,0000,01300SOCIAL SERVICE 79776,A000000,01600,0000,01600SKILLED NURSING FACILITY 79776,A000000,02100,0000,02100RADIOLOGY 79776,A000000,02200,0000,02200LABORATORY 79776,A000000,02500,0000,02500PHYSICAL THERAPY 79776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79776,A000000,02700,0000,02700SPEECH PATHOLOGY 79776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79776,A000000,05300,0000,05300INTEREST EXPENSE 79776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79776,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79776,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79776,B100000,00000,0800,00000MEALS SERVED :DIETARY 79776,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79776,E10A180,00550,0100,01/16/2001 79776,S000000,00100,0200,12/04/2000 79776,S200000,00100,0100,HIGHWAY 90 WEST 79776,S200000,00100,0300,P.O.BOX 328 79776,S200000,00200,0100,GRAND BAY 79776,S200000,00200,0200,AL 79776,S200000,00200,0300,36541- 79776,S200000,00300,0100,MOBILE 79776,S200000,00300,0200,5160 79776,S200000,00300,0300,U 79776,S200000,00400,0100,GRAND BAY CONVALESCENT HOME 79776,S200000,00400,0200,015406 79776,S200000,00400,0300,07/01/1994 79776,S200000,00400,0500,P 79776,S200000,01500,0100,Y 79782,S000000,00100,0200,11/27/2000 79789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79789,A000000,00300,0000,00300EMPLOYEE BENEFITS 79789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79789,A000000,00700,0000,00700HOUSEKEEPING 79789,A000000,00800,0000,00800DIETARY 79789,A000000,00900,0000,00900NURSING ADMINISTRATION 79789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79789,A000000,01100,0000,01100PHARMACY 79789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79789,A000000,01300,0000,01300SOCIAL SERVICE 79789,A000000,01350,0000,01500ACTIVITIES 79789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79789,A000000,01600,0000,01600SKILLED NURSING FACILITY 79789,A000000,01800,0000,01800NURSING FACILITY 79789,A000000,01900,0000,01900OTHER LONG TERM CARE 79789,A000000,02100,0000,02100RADIOLOGY 79789,A000000,02200,0000,02200LABORATORY 79789,A000000,02300,0000,02300INTRAVENOUS THERAPY 79789,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79789,A000000,02500,0000,02500PHYSICAL THERAPY 79789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79789,A000000,02700,0000,02700SPEECH PATHOLOGY 79789,A000000,02800,0000,02800ELECTROCARDIOLOGY 79789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79789,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79789,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79789,A000000,03200,0000,03200SUPPORT SURFACES 79789,A000000,03400,0000,03400CLINIC 79789,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79789,A000000,03500,0000,03500RURAL HEALTH CLINIC 79789,A000000,04800,0000,04800AMBULANCE 79789,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79789,A000000,05000,0000,05000CORF 79789,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79789,A000000,05300,0000,05300INTEREST EXPENSE 79789,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79789,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79789,A000000,05500,0000,05500HOSPICE 79789,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79789,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79789,A000000,06100,0000,06100NONPAID WORKERS 79789,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79789,A000000,06200,0000,06200PATIENTS LAUNDRY 79789,A81000A,00100,0100,Y 79789,A81000B,00100,0300,HOME OFFICE 79789,A81000B,00200,0300,HOME OFFICE 79789,A81000B,00300,0300,HOME OFFICE 79789,A81000C,00100,0100,A 79789,A81000C,00100,0200,CLARENCE BALL 79789,A81000C,00100,0400,BALL HEALTHCARE 79789,A81000C,00100,0600,MANAGEMENT 79789,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79789,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79789,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79789,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79789,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79789,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79789,B100000,00000,0800,00000MEALS SERVED :DIETARY 79789,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79789,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79789,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79789,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79789,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79789,E10A180,00550,0300,01/09/2001 79789,S000000,00100,0200,12/04/2000 79789,S200000,00100,0100,2911 EARL GOODWIN PARKWAY 79789,S200000,00200,0100,SELMA 79789,S200000,00200,0200,AL 79789,S200000,00200,0300,36701- 79789,S200000,00300,0100,DALLAS 79789,S200000,00300,0200,01 79789,S200000,00300,0300,R 79789,S200000,00400,0100,BALL HEALTHCARE-DALLAS LLC 79789,S200000,00400,0200,015413 79789,S200000,00400,0300,07/01/1999 79789,S200000,00400,0500,P 79789,S200000,01500,0100,Y 79798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79798,A000000,00300,0000,00300EMPLOYEE BENEFITS 79798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79798,A000000,00700,0000,00700HOUSEKEEPING 79798,A000000,00800,0000,00800DIETARY 79798,A000000,00900,0000,00900NURSING ADMINISTRATION 79798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79798,A000000,01100,0000,01100PHARMACY 79798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79798,A000000,01300,0000,01300SOCIAL SERVICE 79798,A000000,01350,0000,01500ACTIVITIES 79798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79798,A000000,01600,0000,01600SKILLED NURSING FACILITY 79798,A000000,01800,0000,01800NURSING FACILITY 79798,A000000,01900,0000,01900OTHER LONG TERM CARE 79798,A000000,02100,0000,02100RADIOLOGY 79798,A000000,02200,0000,02200LABORATORY 79798,A000000,02300,0000,02300INTRAVENOUS THERAPY 79798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79798,A000000,02500,0000,02500PHYSICAL THERAPY 79798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79798,A000000,02700,0000,02700SPEECH PATHOLOGY 79798,A000000,02800,0000,02800ELECTROCARDIOLOGY 79798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79798,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79798,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79798,A000000,03200,0000,03200SUPPORT SURFACES 79798,A000000,03400,0000,03400CLINIC 79798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79798,A000000,03500,0000,03500RURAL HEALTH CLINIC 79798,A000000,04800,0000,04800AMBULANCE 79798,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79798,A000000,05000,0000,05000CORF 79798,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79798,A000000,05300,0000,05300INTEREST EXPENSE 79798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79798,A000000,05500,0000,05500HOSPICE 79798,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79798,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79798,A000000,06100,0000,06100NONPAID WORKERS 79798,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79798,A000000,06200,0000,06200PATIENTS LAUNDRY 79798,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 79798,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79798,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 79798,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79798,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 79798,B100000,00000,0800,00000MEALS SERVED :DIETARY 79798,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79798,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79798,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79798,E10A180,00501,0100,01/09/2001 79798,S000000,00100,0200,11/17/2000 79798,S200000,00100,0100,555 B STREET SW 79798,S200000,00100,0300,109 79798,S200000,00200,0100,LAFAYETTE 79798,S200000,00200,0200,AL 79798,S200000,00200,0300,36862- 79798,S200000,00300,0100,CHAMBERS 79798,S200000,00300,0200,01 79798,S200000,00300,0300,R 79798,S200000,00400,0100,LAFAYETTE NURSING HOME INC. 79798,S200000,00400,0200,015414 79798,S200000,00400,0300,07/01/1997 79798,S200000,00400,0500,P 79798,S200000,01500,0100,Y 79804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79804,A000000,00300,0000,00300EMPLOYEE BENEFITS 79804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79804,A000000,00700,0000,00700HOUSEKEEPING 79804,A000000,00800,0000,00800DIETARY 79804,A000000,00900,0000,00900NURSING ADMINISTRATION 79804,A000000,01300,0000,01300SOCIAL SERVICE 79804,A000000,01600,0000,01600SKILLED NURSING FACILITY 79804,A000000,02100,0000,02100RADIOLOGY 79804,A000000,02200,0000,02200LABORATORY 79804,A000000,02500,0000,02500PHYSICAL THERAPY 79804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79804,A000000,02700,0000,02700SPEECH PATHOLOGY 79804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79804,A000000,04800,0000,04800AMBULANCE 79804,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79804,A000000,05300,0000,05300INTEREST EXPENSE 79804,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79804,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79804,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79804,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79804,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79804,B100000,00000,0800,00000MEALS SERVED :DIETARY 79804,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79804,E10A180,00550,0100,01/09/2001 79804,S000000,00100,0200,12/04/2000 79804,S200000,00100,0100,3900 OLD SHELL ROAD 79804,S200000,00200,0100,MOBILE 79804,S200000,00200,0200,AL 79804,S200000,00200,0300,36608- 79804,S200000,00300,0100,MOBILE 79804,S200000,00300,0200,5160 79804,S200000,00300,0300,U 79804,S200000,00400,0100,SPRING HILL MANOR NURSING HOME 79804,S200000,00400,0200,015415 79804,S200000,00400,0300,07/01/1997 79804,S200000,00400,0500,P 79804,S200000,01500,0100,Y 79804,S200000,02800,0100,Y 79812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79812,A000000,00300,0000,00300EMPLOYEE BENEFITS 79812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79812,A000000,00700,0000,00700HOUSEKEEPING 79812,A000000,00800,0000,00800DIETARY 79812,A000000,00900,0000,00900NURSING ADMINISTRATION 79812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79812,A000000,01100,0000,01100PHARMACY 79812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79812,A000000,01300,0000,01300SOCIAL SERVICE 79812,A000000,01350,0000,01500ACTIVITIES 79812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79812,A000000,01600,0000,01600SKILLED NURSING FACILITY 79812,A000000,01800,0000,01800NURSING FACILITY 79812,A000000,01900,0000,01900OTHER LONG TERM CARE 79812,A000000,02100,0000,02100RADIOLOGY 79812,A000000,02200,0000,02200LABORATORY 79812,A000000,02300,0000,02300INTRAVENOUS THERAPY 79812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79812,A000000,02500,0000,02500PHYSICAL THERAPY 79812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79812,A000000,02700,0000,02700SPEECH PATHOLOGY 79812,A000000,02800,0000,02800ELECTROCARDIOLOGY 79812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79812,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79812,A000000,03200,0000,03200SUPPORT SURFACES 79812,A000000,03400,0000,03400CLINIC 79812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79812,A000000,03500,0000,03500RURAL HEALTH CLINIC 79812,A000000,04800,0000,04800AMBULANCE 79812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79812,A000000,05000,0000,05000CORF 79812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79812,A000000,05300,0000,05300INTEREST EXPENSE 79812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79812,A000000,05500,0000,05500HOSPICE 79812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79812,A000000,06100,0000,06100NONPAID WORKERS 79812,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79812,A000000,06200,0000,06200PATIENTS LAUNDRY 79812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79812,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79812,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79812,B100000,00000,0800,00000MEALS SERVED :DIETARY 79812,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79812,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79812,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 79812,S000000,00100,0200,11/14/2000 79812,S200000,00100,0100,670 MOORE ROAD 79812,S200000,00200,0100,ANDALUSIA 79812,S200000,00200,0200,AL 79812,S200000,00200,0300,36420- 79812,S200000,00300,0100,COVINGTON 79812,S200000,00300,0200,01 79812,S200000,00300,0300,R 79812,S200000,00400,0100,ANDALUSIA MANOR INC. 79812,S200000,00400,0200,015416 79812,S200000,00400,0300,07/01/1999 79812,S200000,00400,0500,P 79812,S200000,01004,0500,O 79812,S200000,01500,0100,Y 79820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79820,A000000,00300,0000,00300EMPLOYEE BENEFITS 79820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79820,A000000,00700,0000,00700HOUSEKEEPING 79820,A000000,00800,0000,00800DIETARY 79820,A000000,00900,0000,00900NURSING ADMINISTRATION 79820,A000000,01300,0000,01300SOCIAL SERVICE 79820,A000000,01600,0000,01600SKILLED NURSING FACILITY 79820,A000000,02500,0000,02500PHYSICAL THERAPY 79820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79820,A000000,02700,0000,02700SPEECH PATHOLOGY 79820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79820,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79820,A000000,05300,0000,05300INTEREST EXPENSE 79820,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79820,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79820,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79820,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79820,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79820,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79820,B100000,00000,0800,00000MEALS SERVED :DIETARY 79820,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79820,S000000,00100,0200,01/25/2000 79820,S200000,00100,0100,2010 MEDICAL CENTER DRIVE 79820,S200000,00200,0100,BAY MINETTE 79820,S200000,00200,0200,AL 79820,S200000,00200,0300,36507- 79820,S200000,00300,0100,BALDWIN 79820,S200000,00300,0200,5160 79820,S200000,00300,0300,U 79820,S200000,00400,0100,OAKWOOD NORTH BALDWIN CENTER 79820,S200000,00400,0200,015417 79820,S200000,00400,0300,06/12/1991 79820,S200000,00400,0500,P 79820,S200000,01500,0100,Y 79830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79830,A000000,00300,0000,00300EMPLOYEE BENEFITS 79830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79830,A000000,00700,0000,00700HOUSEKEEPING 79830,A000000,00800,0000,00800DIETARY 79830,A000000,00900,0000,00900NURSING ADMINISTRATION 79830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79830,A000000,01300,0000,01300SOCIAL SERVICE 79830,A000000,01600,0000,01600SKILLED NURSING FACILITY 79830,A000000,01800,0000,01800NURSING FACILITY 79830,A000000,02100,0000,02100RADIOLOGY 79830,A000000,02200,0000,02200LABORATORY 79830,A000000,02300,0000,02300INTRAVENOUS THERAPY 79830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79830,A000000,02500,0000,02500PHYSICAL THERAPY 79830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79830,A000000,02700,0000,02700SPEECH PATHOLOGY 79830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79830,A000000,03200,0000,03200SUPPORT SURFACES 79830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79830,A81000A,00100,0100,Y 79830,A81000B,00100,0300,HOME OFFICE COSTS 79830,A81000C,00100,0100,B 79830,A81000C,00100,0200,ADVOCAT INC. 79830,A81000C,00100,0400,DVCR LEASING CO 79830,A81000C,00100,0600,L/T CARE MGT CO 79830,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79830,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79830,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79830,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79830,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79830,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79830,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79830,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79830,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 79830,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 79830,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79830,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79830,S000000,00100,0200,12/01/2000 79830,S200000,00100,0100,TORO ROAD 79830,S200000,00100,0300,190 79830,S200000,00200,0100,HARTFORD 79830,S200000,00200,0200,AL 79830,S200000,00200,0300,36344- 79830,S200000,00300,0100,GENEVA 79830,S200000,00300,0200,0001 79830,S200000,00300,0300,R 79830,S200000,00400,0100,HARTFORD HEALTH CARE 79830,S200000,00400,0200,015419 79830,S200000,00400,0300,02/26/1992 79830,S200000,00400,0500,P 79830,S200000,01600,0100,Y 79830,S200000,02200,0100,Y 79848,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79848,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79848,A000000,00300,0000,00300EMPLOYEE BENEFITS 79848,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79848,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79848,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79848,A000000,00700,0000,00700HOUSEKEEPING 79848,A000000,00800,0000,00800DIETARY 79848,A000000,00900,0000,00900NURSING ADMINISTRATION 79848,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79848,A000000,01100,0000,01100PHARMACY 79848,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79848,A000000,01300,0000,01300SOCIAL SERVICE 79848,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79848,A000000,01600,0000,01600SKILLED NURSING FACILITY 79848,A000000,01800,0000,01800NURSING FACILITY 79848,A000000,01900,0000,01900OTHER LONG TERM CARE 79848,A000000,02100,0000,02100RADIOLOGY 79848,A000000,02200,0000,02200LABORATORY 79848,A000000,02300,0000,02300INTRAVENOUS THERAPY 79848,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79848,A000000,02500,0000,02500PHYSICAL THERAPY 79848,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79848,A000000,02700,0000,02700SPEECH PATHOLOGY 79848,A000000,02800,0000,02800ELECTROCARDIOLOGY 79848,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79848,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79848,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79848,A000000,03200,0000,03200SUPPORT SURFACES 79848,A000000,03400,0000,03400CLINIC 79848,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79848,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79848,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79848,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79848,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79848,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79848,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79848,A000000,04400,0000,04400DME RENTED - HHA 79848,A000000,04500,0000,04500DME SOLD - HHA 79848,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79848,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79848,A000000,04800,0000,04800AMBULANCE 79848,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79848,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79848,A000000,05300,0000,05300INTEREST EXPENSE 79848,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79848,A000000,05500,0000,05500HOSPICE 79848,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79848,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79848,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79848,A000000,06100,0000,06100NONPAID WORKERS 79848,A000000,06200,0000,06200PATIENTS LAUNDRY 79848,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 79848,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 79848,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 79848,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79848,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 79848,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 79848,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 79848,B100000,00000,0850,00000PAT DAYS :DIETARY 79848,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 79848,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 79848,B100000,00000,1150,00000PAT DAYS :PHARMACY 79848,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 79848,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 79848,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 79848,S000000,00100,0200,05/19/2000 79848,S200000,00100,0100,550 CONGRESS STREET 79848,S200000,00200,0100,MOBILE 79848,S200000,00200,0200,AL 79848,S200000,00200,0300,36603- 79848,S200000,00300,0100,MOBILE 79848,S200000,00400,0100,SEABREEZE HEALTH & REHAB CENTER 79848,S200000,00400,0200,015429 79848,S200000,00400,0300,01/24/1995 79848,S200000,00400,0500,P 79848,S200000,00400,0600,O 79848,S200000,01500,0100,Y 79858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79858,A000000,00300,0000,00300EMPLOYEE BENEFITS 79858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79858,A000000,00700,0000,00700HOUSEKEEPING 79858,A000000,00800,0000,00800DIETARY 79858,A000000,00900,0000,00900NURSING ADMINISTRATION 79858,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79858,A000000,01100,0000,01100PHARMACY 79858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79858,A000000,01300,0000,01300SOCIAL SERVICE 79858,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 79858,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79858,A000000,01600,0000,01600SKILLED NURSING FACILITY 79858,A000000,01800,0000,01800NURSING FACILITY 79858,A000000,01900,0000,01900OTHER LONG TERM CARE 79858,A000000,02100,0000,02100RADIOLOGY 79858,A000000,02200,0000,02200LABORATORY 79858,A000000,02300,0000,02300INTRAVENOUS THERAPY 79858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79858,A000000,02500,0000,02500PHYSICAL THERAPY 79858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79858,A000000,02700,0000,02700SPEECH PATHOLOGY 79858,A000000,02800,0000,02800ELECTROCARDIOLOGY 79858,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 79858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79858,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 79858,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79858,A000000,03200,0000,03200SUPPORT SURFACES 79858,A000000,03400,0000,03400CLINIC 79858,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 79858,A000000,03500,0000,03500RURAL HEALTH CLINIC 79858,A000000,04800,0000,04800AMBULANCE 79858,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79858,A000000,05000,0000,05000CORF 79858,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79858,A000000,05300,0000,05300INTEREST EXPENSE 79858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79858,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79858,A000000,05500,0000,05500HOSPICE 79858,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79858,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79858,A000000,06100,0000,06100NONPAID WORKERS 79858,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79858,A000000,06200,0000,06200PATIENTS LAUNDRY 79858,A81000A,00100,0100,Y 79858,A81000B,00100,0300,CORPORATE OFFICE 79858,A81000B,00200,0300,CORPORATE OFFICE 79858,A81000C,00100,0100,C 79858,A81000C,00100,0200,NHS INC. 79858,A81000C,00100,0400,NHS INC. 79858,A81000C,00100,0600,HOME OFFICE 79858,A81000C,00200,0100,C 79858,A81000C,00200,0200,NHS INC. STOCK 79858,A81000C,00200,0400,NORTHGATE SERVI 79858,A81000C,00200,0600,PHARMACY 79858,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79858,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79858,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79858,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79858,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79858,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79858,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79858,B100000,00000,0800,00000MEALS SERVED :DIETARY 79858,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 79858,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79858,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79858,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79858,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79858,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 79858,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79858,S000000,00100,0200,12/01/2000 79858,S200000,00100,0100,5968 WALL TRIANA HIGHWAY 79858,S200000,00200,0100,MADISON 79858,S200000,00200,0200,AL 79858,S200000,00200,0300,35757- 79858,S200000,00300,0100,MADISON 79858,S200000,00400,0100,VALLEY VIEW NRSG & REHAB CENTER 79858,S200000,00400,0200,015431 79858,S200000,00400,0300,03/18/1996 79858,S200000,00400,0500,P 79858,S700003,00000,0400,4 79864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79864,A000000,00300,0000,00300EMPLOYEE BENEFITS 79864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79864,A000000,00700,0000,00700HOUSEKEEPING 79864,A000000,00800,0000,00800DIETARY 79864,A000000,00900,0000,00900NURSING ADMINISTRATION 79864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79864,A000000,01300,0000,01300SOCIAL SERVICE 79864,A000000,01600,0000,01600SKILLED NURSING FACILITY 79864,A000000,01800,0000,01800NURSING FACILITY 79864,A000000,01900,0000,01900OTHER LONG TERM CARE 79864,A000000,02200,0000,02200LABORATORY 79864,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79864,A000000,02500,0000,02500PHYSICAL THERAPY 79864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79864,A000000,02700,0000,02700SPEECH PATHOLOGY 79864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79864,A000000,05300,0000,05300INTEREST EXPENSE 79864,A81000A,00100,0100,Y 79864,A81000B,00100,0300,HOME OFFICE CAPITAL 79864,A81000B,00200,0300,HOME OFFICE-OTHER 79864,A81000B,00300,0300,NURSING SUPPLIES 79864,A81000B,00400,0300,DRUGS 79864,A81000B,00500,0300,SPEECH THERAPY 79864,A81000B,00600,0300,OCCUPATIONAL THERAPY 79864,A81000B,00700,0300,PHYSICAL THERAPY 79864,A81000B,00800,0300,SOCIAL WORKER 79864,A81000B,00900,0300,INTEREST EXPENSE 79864,A81000B,01000,0300,CONTRACT LABOR 79864,A81000B,01100,0300,INTEREST EXPENSE 79864,A81000B,01200,0300,NURSING SUPPLIES 79864,A81000C,00100,0100,A 79864,A81000C,00100,0200,SAAD FAMILY 79864,A81000C,00100,0400,SAAD ENTERPRISE 79864,A81000C,00100,0600,HOME OFFICE 79864,A81000C,00200,0100,A 79864,A81000C,00200,0200,SAAD FAMILY 79864,A81000C,00200,0400,SAAD ENTREPRISE 79864,A81000C,00200,0600,HOME OFFICE 79864,A81000C,00300,0100,A 79864,A81000C,00300,0200,SAAD FAMILY 79864,A81000C,00300,0400,WOUND THERAPY S 79864,A81000C,00300,0600,MED SUPPLY 79864,A81000C,00400,0100,A 79864,A81000C,00400,0200,SAAD FAMILY 79864,A81000C,00400,0400,HERITAGE PHARMA 79864,A81000C,00400,0600,PHARMACY 79864,A81000C,00500,0100,A 79864,A81000C,00500,0200,SAAD FAMILY 79864,A81000C,00500,0400,SAADS PROFESSI 79864,A81000C,00500,0600,THERAPY 79864,A81000C,00600,0100,A 79864,A81000C,00600,0200,SAAD FAMILY 79864,A81000C,00600,0400,SAADS PROFESSI 79864,A81000C,00600,0600,THERAPY 79864,A81000C,00700,0100,A 79864,A81000C,00700,0200,SAAD FAMILY 79864,A81000C,00700,0400,SAADS PROFESSI 79864,A81000C,00700,0600,THERAPY 79864,A81000C,00800,0100,A 79864,A81000C,00800,0200,SAAD FAMILY 79864,A81000C,00800,0400,SAADS NURSING 79864,A81000C,00800,0600,NURSING 79864,A81000C,00900,0100,A 79864,A81000C,00900,0200,SAAD FAMILY 79864,A81000C,00900,0400,SAADS NURSING 79864,A81000C,00900,0600,NURSING 79864,A81000C,01000,0100,A 79864,A81000C,01000,0200,SAAD FAMILY 79864,A81000C,01000,0400,DOROTHY SAAD 79864,A81000C,01000,0600,INDIVIDUAL 79864,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79864,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79864,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79864,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79864,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 79864,B100000,00000,0800,00000MEALS SERVED :DIETARY 79864,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 79864,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79864,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79864,S000000,00100,0200,11/20/2000 79864,S200000,00100,0100,3151 KNOLLWOOD DRIVE 79864,S200000,00200,0100,MOBILE 79864,S200000,00200,0200,AL 79864,S200000,00200,0300,36693- 79864,S200000,00300,0200,5160 79864,S200000,00300,0300,U 79864,S200000,00400,0100,GPRDON OAKS CONVALESCNET CTR INC. 79864,S200000,00400,0200,015432 79864,S200000,00400,0300,10/23/1996 79864,S200000,00400,0500,P 79864,S200000,01004,0500,O 79864,S200000,01600,0100,Y 79869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79869,A000000,00300,0000,00300EMPLOYEE BENEFITS 79869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79869,A000000,00700,0000,00700HOUSEKEEPING 79869,A000000,00800,0000,00800DIETARY 79869,A000000,00900,0000,00900NURSING ADMINISTRATION 79869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79869,A000000,01100,0000,01100PHARMACY 79869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79869,A000000,01300,0000,01300SOCIAL SERVICE 79869,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 79869,A000000,01600,0000,01600SKILLED NURSING FACILITY 79869,A000000,01800,0000,01800NURSING FACILITY 79869,A000000,02100,0000,02100RADIOLOGY 79869,A000000,02200,0000,02200LABORATORY 79869,A000000,02300,0000,02300INTRAVENOUS THERAPY 79869,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79869,A000000,02500,0000,02500PHYSICAL THERAPY 79869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79869,A000000,02700,0000,02700SPEECH PATHOLOGY 79869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79869,A000000,03200,0000,03200SUPPORT SURFACES 79869,A000000,05300,0000,05300INTEREST EXPENSE 79869,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79869,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79869,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 79869,A000000,06200,0000,06200PATIENTS LAUNDRY 79869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79869,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79869,B100000,00000,0800,00000MEALS SERVED :DIETARY 79869,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 79869,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79869,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 79869,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 79869,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79869,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 79869,E10A180,00550,0100,01/16/2001 79869,E10A180,00550,0300,01/16/2001 79869,S000000,00100,0200,12/12/2000 79869,S200000,00100,0100,4941 MONTEVALLO ROAD 79869,S200000,00200,0100,BIRMINGHAM 79869,S200000,00200,0200,AL 79869,S200000,00200,0300,35210- 79869,S200000,00300,0100,JEFFERSON 79869,S200000,00300,0200,1000 79869,S200000,00300,0300,U 79869,S200000,00400,0100,ST. MARTINS-IN-THE-PINES 79869,S200000,00400,0200,015433 79869,S200000,00400,0300,07/09/1997 79869,S200000,00400,0500,P 79869,S200000,01600,0100,Y 79869,S200000,02200,0100,Y 79879,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79879,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79879,A000000,00300,0000,00300EMPLOYEE BENEFITS 79879,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79879,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79879,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79879,A000000,00700,0000,00700HOUSEKEEPING 79879,A000000,00800,0000,00800DIETARY 79879,A000000,00900,0000,00900NURSING ADMINISTRATION 79879,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79879,A000000,01100,0000,01100PHARMACY 79879,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79879,A000000,01300,0000,01300SOCIAL SERVICE 79879,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79879,A000000,01600,0000,01600SKILLED NURSING FACILITY 79879,A000000,01900,0000,01900OTHER LONG TERM CARE 79879,A000000,02100,0000,02100RADIOLOGY 79879,A000000,02200,0000,02200LABORATORY 79879,A000000,02300,0000,02300INTRAVENOUS THERAPY 79879,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79879,A000000,02500,0000,02500PHYSICAL THERAPY 79879,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79879,A000000,02700,0000,02700SPEECH PATHOLOGY 79879,A000000,02800,0000,02800ELECTROCARDIOLOGY 79879,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79879,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79879,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79879,A000000,03200,0000,03200SUPPORT SURFACES 79879,A000000,03400,0000,03400CLINIC 79879,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79879,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79879,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79879,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79879,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79879,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79879,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79879,A000000,04400,0000,04400DME RENTED - HHA 79879,A000000,04500,0000,04500DME SOLD - HHA 79879,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79879,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79879,A000000,04800,0000,04800AMBULANCE 79879,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79879,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79879,A000000,05300,0000,05300INTEREST EXPENSE 79879,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79879,A000000,05500,0000,05500HOSPICE 79879,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79879,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79879,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79879,A000000,06100,0000,06100NONPAID WORKERS 79879,A000000,06200,0000,06200PATIENTS LAUNDRY 79879,A81000A,00100,0100,Y 79879,A81000B,00100,0300,HOME OFFICE DIRECT 79879,A81000B,00200,0300,HOME OFFICE POOLED 79879,A81000B,00300,0300,HOME OFFICE OLD CAPITAL 79879,A81000B,00400,0300,HOME OFFICE NEW CAPITAL 79879,A81000B,00500,0300,INTERCOMPANY RENT 79879,A81000B,00600,0300,SMH ALLOCATION OF CSR 79879,A81000B,00700,0300,SMH ALLOCATION OF ENGINEERING 79879,A81000B,00800,0300,SMH ALLOCATION OF HR 79879,A81000B,00900,0300,SMH ALLOCATION OF INFECTION CONTROL 79879,A81000B,01000,0300,SUPPLIES 79879,A81000B,01100,0300,SUPPLIES 79879,A81000B,01200,0300,INTEREST 79879,A81000C,00100,0100,B 79879,A81000C,00100,0400,SOUTHERN MED 79879,A81000C,00100,0600,MEDICAL CORP 79879,A81000C,00200,0100,F 79879,A81000C,00200,0200,CELIA WALLACE 79879,A81000C,00200,0400,CHUNCHULA 79879,A81000C,00200,0600,LEASING 79879,A81000C,00300,0100,F 79879,A81000C,00300,0200,CELIA WALLACE 79879,A81000C,00300,0400,SPRINGHILL MEM 79879,A81000C,00300,0600,ACUTE HOSP 79879,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79879,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 79879,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79879,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79879,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79879,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79879,B100000,00000,0850,00000PAT DAYS :DIETARY 79879,B100000,00000,0950,00000FTES :NURSING ADMINISTRATION 79879,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 79879,B100000,00000,1100,00000RX REQUISITIO :PHARMACY 79879,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 79879,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79879,E10A180,00501,0100,06/15/2000 79879,E10A180,00550,0300,06/15/2000 79879,S000000,00100,0200,06/06/2000 79879,S200000,00100,0100,3717 DAUPHIN STREET 79879,S200000,00200,0100,MOBILE 79879,S200000,00200,0200,AL 79879,S200000,00200,0300,36608- 79879,S200000,00300,0100,MOBILE 79879,S200000,00300,0200,5160 79879,S200000,00300,0300,U 79879,S200000,00400,0100,SPRINGHILL SENIOR RESIDENCE 79879,S200000,00400,0200,015435 79879,S200000,00400,0300,11/06/1997 79879,S200000,00400,0500,P 79879,S200000,00400,0600,O 79879,S200000,01600,0100,Y 79885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79885,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 79885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79885,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 79885,A000000,00300,0000,00300EMPLOYEE BENEFITS 79885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79885,A000000,00700,0000,00700HOUSEKEEPING 79885,A000000,00800,0000,00800DIETARY 79885,A000000,00801,0000,00801CAFETERIA 79885,A000000,00900,0000,00900NURSING ADMINISTRATION 79885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79885,A000000,01100,0000,01100PHARMACY 79885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79885,A000000,01300,0000,01300SOCIAL SERVICE 79885,A000000,01350,0000,01500ACTIVITIES 79885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79885,A000000,01600,0000,01600SKILLED NURSING FACILITY 79885,A000000,01800,0000,01800NURSING FACILITY 79885,A000000,01900,0000,01900OTHER LONG TERM CARE 79885,A000000,02100,0000,02100RADIOLOGY 79885,A000000,02200,0000,02200LABORATORY 79885,A000000,02300,0000,02300INTRAVENOUS THERAPY 79885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79885,A000000,02500,0000,02500PHYSICAL THERAPY 79885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79885,A000000,02700,0000,02700SPEECH PATHOLOGY 79885,A000000,02800,0000,02800ELECTROCARDIOLOGY 79885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79885,A000000,03050,0000,03300OTHER ANCILLARY 79885,A000000,03051,0000,03301OTHER ANCILLARY II 79885,A000000,03052,0000,03302OTHER ANCILLARY III 79885,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79885,A000000,03200,0000,03200SUPPORT SURFACES 79885,A000000,03400,0000,03400CLINIC 79885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 79885,A000000,03500,0000,03500RURAL HEALTH CLINIC 79885,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79885,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79885,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79885,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79885,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79885,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79885,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79885,A000000,04400,0000,04400DME RENTED - HHA 79885,A000000,04500,0000,04500DME SOLD - HHA 79885,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79885,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79885,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79885,A000000,04800,0000,04800AMBULANCE 79885,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79885,A000000,05000,0000,05000CORF 79885,A000000,05010,0000,05010CMHC I 79885,A000000,05020,0000,05020OPT I 79885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79885,A000000,05300,0000,05300INTEREST EXPENSE 79885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 79885,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 79885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79885,A000000,05500,0000,05500HOSPICE 79885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79885,A000000,06100,0000,06100NONPAID WORKERS 79885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79885,A000000,06200,0000,06200PATIENTS LAUNDRY 79885,A81000A,00100,0100,Y 79885,A81000B,00100,0300,A & G 79885,A81000C,00100,0100,B 79885,A81000C,00100,0200,SALEM HOUSIING 79885,A81000C,00100,0600,HOME OFFICE 79885,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 79885,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 79885,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 79885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79885,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 79885,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 79885,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 79885,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 79885,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 79885,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 79885,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 79885,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 79885,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 79885,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 79885,S000000,00100,0200,12/06/1999 79885,S200000,00100,0100,502 GAUTIER ST 79885,S200000,00100,0300,830599 79885,S200000,00200,0100,TUSKEGEE 79885,S200000,00200,0200,AL 79885,S200000,00200,0300,36083- 79885,S200000,00300,0100,MACON 79885,S200000,00300,0200,01 79885,S200000,00300,0300,R 79885,S200000,00400,0100,SALEM NURSING & REHAB OF TUSKEGEE 79885,S200000,00400,0200,015438 79885,S200000,00400,0300,02/22/1999 79885,S200000,00400,0500,P 79885,S200000,01500,0100,Y 79927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79927,A000000,00300,0000,00300EMPLOYEE BENEFITS 79927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79927,A000000,00700,0000,00700HOUSEKEEPING 79927,A000000,00800,0000,00800DIETARY 79927,A000000,00900,0000,00900NURSING ADMINISTRATION 79927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79927,A000000,01100,0000,01100PHARMACY 79927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79927,A000000,01300,0000,01300SOCIAL SERVICE 79927,A000000,01301,0000,01301ACTIVITIES 79927,A000000,01350,0000,01500OTHER GENERAL SERVICES 79927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79927,A000000,01600,0000,01600SKILLED NURSING FACILITY 79927,A000000,01800,0000,01800NURSING FACILITY 79927,A000000,01900,0000,01900OTHER LONG TERM CARE 79927,A000000,02100,0000,02100RADIOLOGY 79927,A000000,02200,0000,02200LABORATORY 79927,A000000,02300,0000,02300INTRAVENOUS THERAPY 79927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79927,A000000,02500,0000,02500PHYSICAL THERAPY 79927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79927,A000000,02700,0000,02700SPEECH PATHOLOGY 79927,A000000,02800,0000,02800ELECTROCARDIOLOGY 79927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79927,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79927,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79927,A000000,03200,0000,03200SUPPORT SURFACES 79927,A000000,03400,0000,03400CLINIC 79927,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79927,A000000,03500,0000,03500RURAL HEALTH CLINIC 79927,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 79927,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 79927,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 79927,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 79927,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 79927,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 79927,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 79927,A000000,04400,0000,04400DME RENTED - HHA 79927,A000000,04500,0000,04500DME SOLD - HHA 79927,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 79927,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 79927,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79927,A000000,04800,0000,04800AMBULANCE 79927,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79927,A000000,05000,0000,05000CORF 79927,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79927,A000000,05300,0000,05300INTEREST EXPENSE 79927,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79927,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79927,A000000,05500,0000,05500HOSPICE 79927,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79927,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79927,A000000,06100,0000,06100NONPAID WORKERS 79927,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79927,A000000,06200,0000,06200PATIENTS LAUNDRY 79927,A81000A,00100,0100,Y 79927,A81000B,00100,0300,ADMINISTARATIVE & GENERAL 79927,A81000B,00200,0300,CAPITAL 79927,A81000C,00100,0100,A 79927,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 79927,A81000C,00100,0400,LENOX HEALTHCARE INC 79927,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79927,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79927,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79927,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79927,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79927,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 79927,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79927,B100000,00000,0800,00000MEALS SERVED :DIETARY 79927,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 79927,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 79927,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 79927,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 79927,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 79927,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 79927,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 79927,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 79927,S000000,00100,0200,03/02/2000 79927,S200000,00100,0100,2222 AVENUE A 79927,S200000,00200,0100,YUMA 79927,S200000,00200,0200,AZ 79927,S200000,00200,0300,85364- 79927,S200000,00300,0100,YUMA 79927,S200000,00400,0100,PALM VIEW REHAB & HEALTHCARE CENTER 79927,S200000,00400,0200,035096 79927,S200000,00400,0300,05/01/1985 79927,S200000,00400,0500,P 79927,S200000,01600,0100,Y 79927,S700003,00000,0100,1 79935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79935,A000000,00300,0000,00300EMPLOYEE BENEFITS 79935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79935,A000000,00700,0000,00700HOUSEKEEPING 79935,A000000,00800,0000,00800DIETARY 79935,A000000,00900,0000,00900NURSING ADMINISTRATION 79935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79935,A000000,01100,0000,01100PHARMACY 79935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79935,A000000,01300,0000,01300SOCIAL SERVICE 79935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79935,A000000,01600,0000,01600SKILLED NURSING FACILITY 79935,A000000,01800,0000,01800NURSING FACILITY 79935,A000000,01810,0000,01810ICF/MR 79935,A000000,02200,0000,02200LABORATORY 79935,A000000,02300,0000,02300INTRAVENOUS THERAPY 79935,A000000,02500,0000,02500PHYSICAL THERAPY 79935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79935,A000000,02700,0000,02700SPEECH PATHOLOGY 79935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79935,A000000,03200,0000,03200SUPPORT SURFACES 79935,A000000,03550,0000,03550FQHC 79935,A000000,05000,0000,05000CORF 79935,A000000,05010,0000,05010CMHC 79935,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79935,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79935,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79935,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79935,A81000A,00100,0100,Y 79935,A81000B,00100,0300,ADMINISTRATOR SALARY 79935,A81000B,00200,0300,D.O.N/ SALARY 79935,A81000B,00300,0300,RELATED PARTY PT 79935,A81000B,00400,0300,RELATED PARTY OT 79935,A81000B,00500,0300,RELATED PARTY ST 79935,A81000B,00600,0300,EQUIPMENT LEASE RP 79935,A81000B,00700,0300,EQUIPMENT LEASE RP 79935,A81000B,00800,0300,EQUIPMENT LEASE RP 79935,A81000B,00900,0300,EQUIPMENT LEASE RP 79935,A81000B,01000,0300,HOME OFFICE COST 79935,A81000B,01100,0300,FACILITY LEASE 79935,A81000C,00100,0100,A 79935,A81000C,00100,0200,DON C BEDELL 79935,A81000C,00100,0400,HEARTLAND PERSO 79935,A81000C,00100,0600,LEASING COMPANY 79935,A81000C,00200,0100,A 79935,A81000C,00200,0200,DON C BEDELL 79935,A81000C,00200,0400,HEARTLAND PERSO 79935,A81000C,00200,0600,LEASING COMPANY 79935,A81000C,00300,0100,A 79935,A81000C,00300,0200,DON C BEDELL 79935,A81000C,00300,0400,HFRS 79935,A81000C,00300,0600,REHAB COMPANY 79935,A81000C,00400,0100,A 79935,A81000C,00400,0200,DON C BEDELL 79935,A81000C,00400,0400,HFRS 79935,A81000C,00400,0600,REHAB COMPANY 79935,A81000C,00500,0100,A 79935,A81000C,00500,0200,DON C BEDELL 79935,A81000C,00500,0400,HFRS 79935,A81000C,00500,0600,REHAB COMPANY 79935,A81000C,00600,0100,A 79935,A81000C,00600,0200,DON C BEDELL 79935,A81000C,00600,0400,CEO FINANCIAL S 79935,A81000C,00600,0600,LEASING COMPANY 79935,A81000C,00700,0100,A 79935,A81000C,00700,0200,DON C BEDELL 79935,A81000C,00700,0400,CEO FINANCIAL S 79935,A81000C,00700,0600,LEASING COMPANY 79935,A81000C,00800,0100,A 79935,A81000C,00800,0200,DON C BEDELL 79935,A81000C,00800,0400,CEO FINANCIAL S 79935,A81000C,00800,0600,LEASING COMPANY 79935,A81000C,00900,0100,A 79935,A81000C,00900,0200,DON C BEDELL 79935,A81000C,00900,0400,CEO FINANCIAL S 79935,A81000C,00900,0600,LEASING COMPANY 79935,A81000C,01000,0100,A 79935,A81000C,01000,0200,DON C BEDELL 79935,A81000C,01000,0400,HFMC 79935,A81000C,01000,0600,MANAGEMENT COMP 79935,A81000C,01001,0100,A 79935,A81000C,01001,0200,DON C BEDELLL 79935,A81000C,01001,0400,HAVASU #1 79935,A81000C,01001,0600,REAL ESTATE COM 79935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79935,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79935,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79935,B100000,00000,0800,00000MEALS SERVED :DIETARY 79935,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79935,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79935,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 79935,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79935,S000000,00100,0200,12/01/2000 79935,S200000,00100,0100,3576 KEARSAGE 79935,S200000,00200,0100,LAKE HAVASU 79935,S200000,00200,0200,AZ 79935,S200000,00200,0300,86406- 79935,S200000,00300,0100,MOHAVE 79935,S200000,00300,0200,4120 79935,S200000,00300,0300,U 79935,S200000,00400,0100,HAVASU NURSING CENTER 79935,S200000,00400,0200,035100 79935,S200000,00400,0300,11/01/1995 79935,S200000,00400,0500,P 79935,S200000,00600,0200,035100 79935,S200000,00600,0300,11/01/1995 79935,S200000,00600,0600,P 79935,S200000,00601,0600,P 79935,S200000,01600,0100,Y 79952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79952,A000000,00300,0000,00300EMPLOYEE BENEFITS 79952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79952,A000000,00700,0000,00700HOUSEKEEPING 79952,A000000,00800,0000,00800DIETARY 79952,A000000,00900,0000,00900NURSING ADMINISTRATION 79952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79952,A000000,01100,0000,01100PHARMACY 79952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79952,A000000,01300,0000,01300SOCIAL SERVICE 79952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79952,A000000,01600,0000,01600SKILLED NURSING FACILITY 79952,A000000,01800,0000,01800NURSING FACILITY 79952,A000000,01810,0000,01810ICF/MR 79952,A000000,02100,0000,02100RADIOLOGY 79952,A000000,02200,0000,02200LABORATORY 79952,A000000,02300,0000,02300INTRAVENOUS THERAPY 79952,A000000,02500,0000,02500PHYSICAL THERAPY 79952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79952,A000000,02700,0000,02700SPEECH PATHOLOGY 79952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79952,A000000,03200,0000,03200SUPPORT SURFACES 79952,A000000,03550,0000,03550FQHC 79952,A000000,05000,0000,05000CORF 79952,A000000,05010,0000,05010CMHC 79952,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79952,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79952,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79952,A81000A,00100,0100,Y 79952,A81000B,00100,0300,ADMINISTRATOR SALARY 79952,A81000B,00200,0300,D.O.N. SALARY 79952,A81000B,00300,0300,RELATED PARTY PT 79952,A81000B,00400,0300,RELATED PARTY OT 79952,A81000B,00500,0300,RELATED PARTY SPEECH 79952,A81000B,00600,0300,EQUIPMENT LEASE RP 79952,A81000B,00700,0300,EQUPMENT LEASE RP 79952,A81000B,00800,0300,EQUIPMENT LEASE RP 79952,A81000B,00900,0300,EQUIPMENT LEASE RP 79952,A81000B,01000,0300,EQUIPMENT LEASE RP 79952,A81000B,01100,0300,EQUIPMENT LEASE RP 79952,A81000B,01200,0300,HOME OFFICE COST 79952,A81000B,01300,0300,FACILITY LEASE 79952,A81000B,01400,0300,VEHICLE LEASE 79952,A81000C,00100,0100,A 79952,A81000C,00100,0200,DON C BEDELL 79952,A81000C,00100,0400,HEARTLAND PERSO 79952,A81000C,00100,0600,LEASING COMPANY 79952,A81000C,00200,0100,A 79952,A81000C,00200,0200,DON C BEDELL 79952,A81000C,00200,0400,HEARTLAND PERSO 79952,A81000C,00200,0600,LEASING COMPANY 79952,A81000C,00300,0100,A 79952,A81000C,00300,0200,DON C BEDELL 79952,A81000C,00300,0400,HFRS 79952,A81000C,00300,0600,REHAB COMPANY 79952,A81000C,00400,0100,A 79952,A81000C,00400,0200,DON C BEDELL 79952,A81000C,00400,0400,HFRS 79952,A81000C,00400,0600,REHAB COMPANY 79952,A81000C,00500,0100,A 79952,A81000C,00500,0200,DON C BEDELL 79952,A81000C,00500,0400,HFRS 79952,A81000C,00500,0600,REHAB COMPANY 79952,A81000C,00600,0100,A 79952,A81000C,00600,0200,DON C BEDELL 79952,A81000C,00600,0400,CEO FINANCIAL S 79952,A81000C,00600,0600,LEASING COMPANY 79952,A81000C,00700,0100,A 79952,A81000C,00700,0200,DON C BEDELL 79952,A81000C,00700,0400,CEO FINANCIAL S 79952,A81000C,00700,0600,LEASING COMPANY 79952,A81000C,00800,0100,A 79952,A81000C,00800,0200,DON C BEDELL 79952,A81000C,00800,0400,CEO FINANCIAL S 79952,A81000C,00800,0600,LEASING COMPANY 79952,A81000C,00900,0100,A 79952,A81000C,00900,0200,DON C BEDELL 79952,A81000C,00900,0400,CEO FINANCIAL S 79952,A81000C,00900,0600,LEASING COMPANY 79952,A81000C,01000,0100,A 79952,A81000C,01000,0200,DON C BEDELL 79952,A81000C,01000,0400,CEO FINANCIAL S 79952,A81000C,01000,0600,LEASING COMPANY 79952,A81000C,01001,0100,A 79952,A81000C,01001,0200,DON C BEDELL 79952,A81000C,01001,0400,CEO FINANCIAL S 79952,A81000C,01001,0600,LEASING COMPANY 79952,A81000C,01002,0100,A 79952,A81000C,01002,0200,DON C BEDELL 79952,A81000C,01002,0400,HFMC 79952,A81000C,01002,0600,MANAGEMENT COMP 79952,A81000C,01003,0100,A 79952,A81000C,01003,0200,DON C BEDELL 79952,A81000C,01003,0400,MOUNTAIN VIEW # 79952,A81000C,01003,0600,REAL ESTATE COM 79952,A81000C,01004,0100,A 79952,A81000C,01004,0200,DON C BEDELL 79952,A81000C,01004,0400,MOUNTIAN VIEW # 79952,A81000C,01004,0600,REAL ESTATE COM 79952,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79952,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79952,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79952,B100000,00000,0800,00000MEALS SERVED :DIETARY 79952,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79952,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79952,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 79952,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79952,S000000,00100,0200,12/01/2000 79952,S200000,00100,0100,1045 SANDRETTO DRIVE 79952,S200000,00200,0100,PRESCOTT 79952,S200000,00200,0200,AZ 79952,S200000,00200,0300,86301- 79952,S200000,00300,0100,YAVAPAI 79952,S200000,00300,0200,03 79952,S200000,00300,0300,R 79952,S200000,00400,0100,MOUNTAIN VIEW MANOR 79952,S200000,00400,0200,035114 79952,S200000,00400,0300,11/01/1985 79952,S200000,00400,0500,P 79952,S200000,00600,0200,035114 79952,S200000,00600,0300,11/01/1985 79952,S200000,00600,0600,P 79952,S200000,00601,0600,O 79952,S200000,01600,0100,Y 79952,S200000,04700,0100,Y 79952,S200000,04700,0200,Y 79962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79962,A000000,00300,0000,00300EMPLOYEE BENEFITS 79962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79962,A000000,00700,0000,00700HOUSEKEEPING 79962,A000000,00800,0000,00800DIETARY 79962,A000000,00900,0000,00900NURSING ADMINISTRATION 79962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79962,A000000,01100,0000,01100PHARMACY 79962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79962,A000000,01300,0000,01300SOCIAL SERVICE 79962,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79962,A000000,01600,0000,01600SKILLED NURSING FACILITY 79962,A000000,01800,0000,01800NURSING FACILITY 79962,A000000,01810,0000,01810ICF/MR 79962,A000000,02100,0000,02100RADIOLOGY 79962,A000000,02200,0000,02200LABORATORY 79962,A000000,02300,0000,02300INTRAVENOUS THERAPY 79962,A000000,02500,0000,02500PHYSICAL THERAPY 79962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79962,A000000,02700,0000,02700SPEECH PATHOLOGY 79962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79962,A000000,03200,0000,03200SUPPORT SURFACES 79962,A000000,03550,0000,03550FQHC 79962,A000000,05000,0000,05000CORF 79962,A000000,05010,0000,05010CMHC 79962,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79962,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79962,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79962,A81000A,00100,0100,Y 79962,A81000B,00100,0300,ADMINISTRATOR SALARY 79962,A81000B,00200,0300,D.O.N. SALARY 79962,A81000B,00300,0300,RELATED PARTY PT 79962,A81000B,00400,0300,RELATED PARTY OT 79962,A81000B,00500,0300,RELATED PARTY ST 79962,A81000B,00600,0300,EQUIPMENT LEASE RP 79962,A81000B,00700,0300,EQUIPMENT LEASE RP 79962,A81000B,00800,0300,EQUIPMENT LEASE RP 79962,A81000B,00900,0300,EQUIPMENT LEASE RP 79962,A81000B,01000,0300,EQUIPMENT LEASE RP 79962,A81000B,01100,0300,EQUIPMENT LEASE RO 79962,A81000B,01200,0300,HOME OFFICE COST 79962,A81000B,01300,0300,FACILITY LEASE 79962,A81000C,00100,0100,A 79962,A81000C,00100,0200,DON C BEDELL 79962,A81000C,00100,0400,HEARTLAND PERSO 79962,A81000C,00100,0600,LEASING COMPANY 79962,A81000C,00200,0100,A 79962,A81000C,00200,0200,DON C BEDELL 79962,A81000C,00200,0400,HEARTLAND PERSO 79962,A81000C,00200,0600,LEASING COMPANY 79962,A81000C,00300,0100,A 79962,A81000C,00300,0200,DON C BEDELL 79962,A81000C,00300,0400,HFRS 79962,A81000C,00300,0600,REHAB COMPANY 79962,A81000C,00400,0100,A 79962,A81000C,00400,0200,DON C BEDELL 79962,A81000C,00400,0400,HFRS 79962,A81000C,00400,0600,REHAB COMPANY 79962,A81000C,00500,0100,A 79962,A81000C,00500,0200,DON C BEDELL 79962,A81000C,00500,0400,HFRS 79962,A81000C,00500,0600,REHAB COMPANY 79962,A81000C,00600,0100,A 79962,A81000C,00600,0200,DON C BEDELL 79962,A81000C,00600,0400,CEO FINANCIAL S 79962,A81000C,00600,0600,LEASING COMPANY 79962,A81000C,00700,0100,A 79962,A81000C,00700,0200,DON C BEDELL 79962,A81000C,00700,0400,CEO FINANCIAL S 79962,A81000C,00700,0600,LEASING COMPANY 79962,A81000C,00800,0100,A 79962,A81000C,00800,0200,DON C BEDELL 79962,A81000C,00800,0400,CEO FINANCIAL S 79962,A81000C,00800,0600,LEASING COMPANY 79962,A81000C,00900,0100,A 79962,A81000C,00900,0200,DON C BEDELL 79962,A81000C,00900,0400,CEO FINANCIAL S 79962,A81000C,00900,0600,LEASING COMPANY 79962,A81000C,01000,0100,A 79962,A81000C,01000,0200,DON C BEDELL 79962,A81000C,01000,0400,CEO FINANCIAL S 79962,A81000C,01000,0600,LEASING COMPANY 79962,A81000C,01001,0100,A 79962,A81000C,01001,0200,DON C BEDELL 79962,A81000C,01001,0400,CEO FINANCIAL S 79962,A81000C,01001,0600,LEASING COMPANY 79962,A81000C,01002,0100,A 79962,A81000C,01002,0200,DON C BEDELL 79962,A81000C,01002,0400,CEO FINANCIAL S 79962,A81000C,01002,0600,LEASING COMPANY 79962,A81000C,01003,0100,A 79962,A81000C,01003,0200,DON C BEDELL 79962,A81000C,01003,0400,HFMC 79962,A81000C,01003,0600,MANAGEMENT COMP 79962,A81000C,01004,0100,A 79962,A81000C,01004,0200,DON C BEDELL 79962,A81000C,01004,0400,YUMA #1 INC 79962,A81000C,01004,0600,REAL ESTATE COM 79962,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79962,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79962,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79962,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79962,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79962,B100000,00000,0800,00000MEALS SERVED :DIETARY 79962,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79962,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79962,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 79962,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79962,S000000,00100,0200,12/01/2000 79962,S200000,00100,0100,1850 WEST 25TH STREET 79962,S200000,00200,0100,YUMA 79962,S200000,00200,0200,AZ 79962,S200000,00200,0300,85364- 79962,S200000,00300,0100,YUMA 79962,S200000,00300,0200,9360 79962,S200000,00300,0300,U 79962,S200000,00400,0100,YUMA NURSING CENTER 79962,S200000,00400,0200,035152 79962,S200000,00400,0300,02/01/1988 79962,S200000,00400,0500,P 79962,S200000,00600,0200,035152 79962,S200000,00600,0300,02/01/1988 79962,S200000,00600,0600,P 79962,S200000,01600,0100,Y 79962,S200000,01900,0100,CORPORATION 79962,S200000,04700,0100,Y 79962,S200000,04700,0200,Y 79967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79967,A000000,00300,0000,00300EMPLOYEE BENEFITS 79967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79967,A000000,00700,0000,00700HOUSEKEEPING 79967,A000000,00800,0000,00800DIETARY 79967,A000000,00900,0000,00900NURSING ADMINISTRATION 79967,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79967,A000000,01100,0000,01100PHARMACY 79967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79967,A000000,01300,0000,01300SOCIAL SERVICE 79967,A000000,01350,0000,01500RECREATION 79967,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79967,A000000,01600,0000,01600SKILLED NURSING FACILITY 79967,A000000,01800,0000,01800NURSING FACILITY 79967,A000000,01810,0000,01810ICF/MR 79967,A000000,02500,0000,02500PHYSICAL THERAPY 79967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79967,A000000,02700,0000,02700SPEECH PATHOLOGY 79967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79967,A000000,03550,0000,03550FQHC 79967,A000000,05000,0000,05000CORF 79967,A000000,05010,0000,05010CMHC 79967,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79967,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79967,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79967,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 79967,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 79967,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 79967,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 79967,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 79967,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 79967,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 79967,B100000,00000,0850,00040PATIENT DAYS :DIETARY 79967,B100000,00000,0950,00040NURSING SALARIES :NURSING ADMINIST 79967,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 79967,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 79967,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 79967,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 79967,B100000,00000,1350,00040PATIENT DAYS :RECREATION 79967,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 79967,S000000,00100,0200,07/21/2000 79967,S200000,00100,0100,31 WEST MARYLAND AVENUE 79967,S200000,00200,0100,PHOENIX 79967,S200000,00200,0200,AZ 79967,S200000,00200,0300,85013- 79967,S200000,00300,0100,PHOENIX 79967,S200000,00400,0100,MARYLAND GARDENS CARE CENTER 79967,S200000,00400,0200,035247 79967,S200000,00400,0300,07/20/1997 79967,S200000,00400,0500,P 79967,S200000,01004,0500,O 79967,S200000,01600,0100,Y 79967,S700003,00000,0400,4 79974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79974,A000000,00300,0000,00300EMPLOYEE BENEFITS 79974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79974,A000000,00700,0000,00700HOUSEKEEPING 79974,A000000,00800,0000,00800DIETARY 79974,A000000,00900,0000,00900NURSING ADMINISTRATION 79974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79974,A000000,01100,0000,01100PHARMACY 79974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79974,A000000,01300,0000,01300SOCIAL SERVICE 79974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79974,A000000,01600,0000,01600SKILLED NURSING FACILITY 79974,A000000,01800,0000,01800NURSING FACILITY 79974,A000000,01810,0000,01810ICF/MR 79974,A000000,02100,0000,02100RADIOLOGY 79974,A000000,02200,0000,02200LABORATORY 79974,A000000,02300,0000,02300INTRAVENOUS THERAPY 79974,A000000,02500,0000,02500PHYSICAL THERAPY 79974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79974,A000000,02700,0000,02700SPEECH PATHOLOGY 79974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79974,A000000,03200,0000,03200SUPPORT SURFACES 79974,A000000,03550,0000,03550FQHC 79974,A000000,05000,0000,05000CORF 79974,A000000,05010,0000,05010CMHC 79974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79974,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79974,A81000A,00100,0100,Y 79974,A81000B,00100,0300,ADMINISTRATOR SALARY 79974,A81000B,00200,0300,D.O.N. SALARY 79974,A81000B,00300,0300,RELATED PARTY PT 79974,A81000B,00400,0300,RELATED PARTY OT 79974,A81000B,00500,0300,RELATED PARTY SPEECH 79974,A81000B,00600,0300,EQUIPMENT RENTAL RP 79974,A81000B,00700,0300,EQUIPMENT RENTAL RP 79974,A81000B,00800,0300,EQUIPMENT RENTAL RP 79974,A81000B,00900,0300,EQUIPMENT RENTAL RP 79974,A81000B,01000,0300,EQUIPMENT RENTAL RP 79974,A81000B,01100,0300,HOME OFFICE COST 79974,A81000C,00100,0100,A 79974,A81000C,00100,0200,DON C BEDELL 79974,A81000C,00100,0400,HEARTLAND PERSO 79974,A81000C,00100,0600,LEASING COMPANY 79974,A81000C,00200,0100,A 79974,A81000C,00200,0200,DON C BEDELL 79974,A81000C,00200,0400,HEARTLAND PERSO 79974,A81000C,00200,0600,LEASING COMPANY 79974,A81000C,00300,0100,A 79974,A81000C,00300,0200,DON C BEDELL 79974,A81000C,00300,0400,HFRS 79974,A81000C,00300,0600,REHAB COMPANY 79974,A81000C,00400,0100,A 79974,A81000C,00400,0200,DON C BEDELL 79974,A81000C,00400,0400,HFRS 79974,A81000C,00400,0600,REHAB COMPANY 79974,A81000C,00500,0100,A 79974,A81000C,00500,0200,DON C BEDELL 79974,A81000C,00500,0400,HRFS 79974,A81000C,00500,0600,REHAB COMPANY 79974,A81000C,00600,0100,A 79974,A81000C,00600,0200,DON C BEDELL 79974,A81000C,00600,0400,CEO FINANCIAL S 79974,A81000C,00600,0600,LEASING COMPANY 79974,A81000C,00700,0100,A 79974,A81000C,00700,0200,DON C BEDELL 79974,A81000C,00700,0400,CEO FINANCIAL S 79974,A81000C,00700,0600,LEASING COMPANY 79974,A81000C,00800,0100,A 79974,A81000C,00800,0200,DON C BEDELL 79974,A81000C,00800,0400,CEO FINANCIAL S 79974,A81000C,00800,0600,LEASING COMPANY 79974,A81000C,00900,0100,A 79974,A81000C,00900,0200,DON C BEDELL 79974,A81000C,00900,0400,CEO FINANCIAL S 79974,A81000C,00900,0600,LEASING COMPANY 79974,A81000C,01000,0100,A 79974,A81000C,01000,0200,DON C BEDELL 79974,A81000C,01000,0400,CEO FINANCIAL S 79974,A81000C,01000,0600,LEASING COMPANY 79974,A81000C,01001,0100,A 79974,A81000C,01001,0200,DON C BEDELL 79974,A81000C,01001,0400,HFMC 79974,A81000C,01001,0600,MANAGEMENT COMP 79974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79974,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79974,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79974,B100000,00000,0800,00000MEALS SERVED :DIETARY 79974,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79974,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79974,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 79974,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79974,S000000,00100,0200,12/01/2000 79974,S200000,00100,0100,5720 WEST MARKHAM 79974,S200000,00200,0100,LITTLE ROCK 79974,S200000,00200,0200,AR 79974,S200000,00200,0300,72205- 79974,S200000,00300,0100,LITTLE ROCK 79974,S200000,00300,0200,4400 79974,S200000,00300,0300,U 79974,S200000,00400,0100,LITTLE ROCK HEALTHCARE & REHAB 79974,S200000,00400,0200,045063 79974,S200000,00400,0300,04/01/1996 79974,S200000,00400,0500,P 79974,S200000,00600,0200,045063 79974,S200000,00600,0300,04/01/1996 79974,S200000,00600,0600,P 79974,S200000,01600,0100,Y 79974,S200000,04700,0100,Y 79974,S200000,04700,0200,Y 79985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79985,A000000,00300,0000,00300EMPLOYEE BENEFITS 79985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79985,A000000,00700,0000,00700HOUSEKEEPING 79985,A000000,00800,0000,00800DIETARY 79985,A000000,00900,0000,00900NURSING ADMINISTRATION 79985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79985,A000000,01100,0000,01100PHARMACY 79985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79985,A000000,01300,0000,01300SOCIAL SERVICE 79985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79985,A000000,01600,0000,01600SKILLED NURSING FACILITY 79985,A000000,01800,0000,01800NURSING FACILITY 79985,A000000,01810,0000,01810ICF/MR 79985,A000000,02100,0000,02100RADIOLOGY 79985,A000000,02200,0000,02200LABORATORY 79985,A000000,02500,0000,02500PHYSICAL THERAPY 79985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79985,A000000,02700,0000,02700SPEECH PATHOLOGY 79985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79985,A000000,03200,0000,03200SUPPORT SURFACES 79985,A000000,03550,0000,03550FQHC 79985,A000000,05000,0000,05000CORF 79985,A000000,05010,0000,05010CMHC 79985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 79985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 79985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 79985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79985,A81000A,00100,0100,Y 79985,A81000B,00100,0300,ADMINISTRATOR SALARY 79985,A81000B,00200,0300,D.O.N. SALARY 79985,A81000B,00300,0300,RELATED PARTY PT 79985,A81000B,00400,0300,RELATED PARTY OT 79985,A81000B,00500,0300,RELATED PARTY SPEECH 79985,A81000B,00600,0300,EQUIPMENT LEASE RP 79985,A81000B,00700,0300,EQUIPMENT LEASE RP 79985,A81000B,00800,0300,EQUIPMENT LEASE RP 79985,A81000B,00900,0300,EQUIPMENT LEASE RP 79985,A81000B,01000,0300,HOME OFFICE COST 79985,A81000C,00100,0100,A 79985,A81000C,00100,0200,DON C BEDELL 79985,A81000C,00100,0400,HEARTLAND PERSO 79985,A81000C,00100,0600,LEASING COMPANY 79985,A81000C,00200,0100,A 79985,A81000C,00200,0200,DON C BEDELL 79985,A81000C,00200,0400,HEARTLAND PERSO 79985,A81000C,00200,0600,LEASING COMPANY 79985,A81000C,00300,0100,A 79985,A81000C,00300,0200,DON C BEDELL 79985,A81000C,00300,0400,HFRS 79985,A81000C,00300,0600,REHAB COMPANY 79985,A81000C,00400,0100,A 79985,A81000C,00400,0200,DON C BEDELL 79985,A81000C,00400,0400,HFRS 79985,A81000C,00400,0600,REHAB COMPANY 79985,A81000C,00500,0100,A 79985,A81000C,00500,0200,DON C BEDELLL 79985,A81000C,00500,0400,HFRS 79985,A81000C,00500,0600,REHAB COMPANY 79985,A81000C,00600,0100,A 79985,A81000C,00600,0200,DON C BEDELL 79985,A81000C,00600,0400,CEO FINANCIAL S 79985,A81000C,00600,0600,LEASING COMPANY 79985,A81000C,00700,0100,A 79985,A81000C,00700,0200,DON C BEDELL 79985,A81000C,00700,0400,CEO FINANCIAL S 79985,A81000C,00700,0600,LEASING COMPANY 79985,A81000C,00800,0100,A 79985,A81000C,00800,0200,DON C BEDELL 79985,A81000C,00800,0400,CEO FINANCIAL S 79985,A81000C,00800,0600,LEASING COMPANY 79985,A81000C,00900,0100,A 79985,A81000C,00900,0200,DON C BEDELLL 79985,A81000C,00900,0400,CEO FINANCIAL S 79985,A81000C,00900,0600,LEASING COMPANY 79985,A81000C,01000,0100,A 79985,A81000C,01000,0200,DON C BEDELL 79985,A81000C,01000,0400,HFMC 79985,A81000C,01000,0600,MANAGMENT COMPA 79985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79985,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79985,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79985,B100000,00000,0800,00000MEALS SERVED :DIETARY 79985,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 79985,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79985,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 79985,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 79985,S000000,00100,0200,12/01/2000 79985,S200000,00100,0100,1316 PARK AVENUE 79985,S200000,00200,0100,HOT SPRINGS 79985,S200000,00200,0200,AR 79985,S200000,00200,0300,71901- 79985,S200000,00300,0100,GARLAND 79985,S200000,00300,0200,04 79985,S200000,00300,0300,R 79985,S200000,00400,0100,ROSEWOOD MANOR 79985,S200000,00400,0200,045263 79985,S200000,00400,0300,09/01/1993 79985,S200000,00400,0500,P 79985,S200000,00600,0200,045263 79985,S200000,00600,0300,09/01/1993 79985,S200000,00600,0600,P 79985,S200000,01004,0500,O 79985,S200000,01600,0100,Y 79985,S200000,04700,0100,Y 79985,S200000,04700,0200,Y 79991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79991,A000000,00300,0000,00300EMPLOYEE BENEFITS 79991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79991,A000000,00700,0000,00700HOUSEKEEPING 79991,A000000,00800,0000,00800DIETARY 79991,A000000,00900,0000,00900NURSING ADMINISTRATION 79991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79991,A000000,01100,0000,01100PHARMACY 79991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79991,A000000,01300,0000,01300SOCIAL SERVICE 79991,A000000,01350,0000,01500PATIENT ACTIVITIES 79991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 79991,A000000,01600,0000,01600SKILLED NURSING FACILITY 79991,A000000,01800,0000,01800NURSING FACILITY 79991,A000000,01900,0000,01900OTHER LONG TERM CARE 79991,A000000,02100,0000,02100RADIOLOGY 79991,A000000,02200,0000,02200LABORATORY 79991,A000000,02300,0000,02300INTRAVENOUS THERAPY 79991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79991,A000000,02500,0000,02500PHYSICAL THERAPY 79991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79991,A000000,02700,0000,02700SPEECH PATHOLOGY 79991,A000000,02800,0000,02800ELECTROCARDIOLOGY 79991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 79991,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 79991,A000000,03200,0000,03200SUPPORT SURFACES 79991,A000000,03400,0000,03400CLINIC 79991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 79991,A000000,03500,0000,03500RURAL HEALTH CLINIC 79991,A000000,04750,0000,05100OTHER REIMBURSABLE COST 79991,A000000,04800,0000,04800AMBULANCE 79991,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 79991,A000000,05000,0000,05000CORF 79991,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79991,A000000,05300,0000,05300INTEREST EXPENSE 79991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 79991,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79991,A000000,05500,0000,05500HOSPICE 79991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79991,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 79991,A000000,06100,0000,06100NONPAID WORKERS 79991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 79991,A000000,06200,0000,06200PATIENTS LAUNDRY 79991,A81000A,00100,0100,Y 79991,A81000B,00100,0300,MANAGEMENT FEE 79991,A81000C,00100,0100,B 79991,A81000C,00100,0400,HEALTHMARK PARTNERS LLC 79991,A81000C,00100,0600,MANAGEMENT COMPANY 79991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 79991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79991,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 79991,B100000,00000,0750,00000SQ FEET EXCL DIET:HOUSEKEEPING 79991,B100000,00000,0850,00000PATIENT DAYS :DIETARY 79991,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 79991,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 79991,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 79991,S000000,00100,0200,02/09/2001 79991,S200000,00100,0100,6301 SOUTH HAZEL 79991,S200000,00200,0100,PINE BLUFF 79991,S200000,00200,0200,AR 79991,S200000,00200,0300,71603- 79991,S200000,00300,0100,JEFFERSON 79991,S200000,00300,0200,6240 79991,S200000,00300,0300,U 79991,S200000,00400,0100,ARKANSAS CONVALESCENT CENTER 79991,S200000,00400,0200,045277 79991,S200000,00400,0300,05/01/1995 79991,S200000,00400,0500,P 79991,S200000,01600,0100,Y 79996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 79996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 79996,A000000,00300,0000,00300EMPLOYEE BENEFITS 79996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 79996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 79996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 79996,A000000,00700,0000,00700HOUSEKEEPING 79996,A000000,00800,0000,00800DIETARY 79996,A000000,00900,0000,00900NURSING ADMINISTRATION 79996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 79996,A000000,01100,0000,01100PHARMACY 79996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 79996,A000000,01300,0000,01300SOCIAL SERVICE 79996,A000000,01600,0000,01600SKILLED NURSING FACILITY 79996,A000000,01800,0000,01800NURSING FACILITY 79996,A000000,02100,0000,02100RADIOLOGY 79996,A000000,02200,0000,02200LABORATORY 79996,A000000,02300,0000,02300INTRAVENOUS THERAPY 79996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 79996,A000000,02500,0000,02500PHYSICAL THERAPY 79996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 79996,A000000,02700,0000,02700SPEECH PATHOLOGY 79996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 79996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 79996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 79996,A000000,05300,0000,05300INTEREST EXPENSE 79996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 79996,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 79996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 79996,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 79996,A81000A,00100,0100,Y 79996,A81000B,00100,0300,MANAGEMENT FEE 79996,A81000B,00200,0300,HOME OFFICE COST 79996,A81000C,00100,0100,A 79996,A81000C,00100,0200,CHANCELLOR H.C. 79996,A81000C,00100,0400,CHANCELLOR H.C. 79996,A81000C,00100,0600,MGMT SERVICES 79996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 79996,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 79996,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 79996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 79996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 79996,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 79996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 79996,B100000,00000,0800,00000MEALS SERVED :DIETARY 79996,B100000,00000,0950,00000 PAT DAYS :NURSING ADMINISTRATION 79996,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 79996,B100000,00000,1150,00000PAT DAYS :PHARMACY 79996,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 79996,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 79996,S000000,00100,0200,04/28/2000 79996,S200000,00100,0100,1620 W. FERN AVENUE 79996,S200000,00200,0100,REDLANDS 79996,S200000,00200,0200,CA 79996,S200000,00200,0300,92373- 79996,S200000,00300,0100,SAN BERNARDINO 79996,S200000,00400,0100,CHANCELLOR CARE CENTER OF REDLANDS 79996,S200000,00400,0200,055001 79996,S200000,00400,0300,08/01/1976 79996,S200000,00400,0500,P 79996,S200000,00600,0200,055001 79996,S200000,00600,0300,08/01/1976 79996,S200000,00600,0600,P 79996,S200000,01500,0100,Y 79996,S700003,00000,0100,1 80009,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80009,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80009,A000000,00300,0000,00300EMPLOYEE BENEFITS 80009,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80009,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80009,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80009,A000000,00700,0000,00700HOUSEKEEPING 80009,A000000,00800,0000,00800DIETARY 80009,A000000,00900,0000,00900NURSING ADMINISTRATION 80009,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80009,A000000,01100,0000,01100PHARMACY 80009,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80009,A000000,01300,0000,01300SOCIAL SERVICE 80009,A000000,01350,0000,01500OTHER GENERAL SERVICES 80009,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80009,A000000,01600,0000,01600SKILLED NURSING FACILITY 80009,A000000,01800,0000,01800NURSING FACILITY 80009,A000000,01900,0000,01900OTHER LONG TERM CARE 80009,A000000,02100,0000,02100RADIOLOGY 80009,A000000,02200,0000,02200LABORATORY 80009,A000000,02300,0000,02300INTRAVENOUS THERAPY 80009,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80009,A000000,02500,0000,02500PHYSICAL THERAPY 80009,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80009,A000000,02700,0000,02700SPEECH PATHOLOGY 80009,A000000,02800,0000,02800ELECTROCARDIOLOGY 80009,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80009,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80009,A000000,03050,0000,03300EQUIPMENT RENTAL 80009,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80009,A000000,03200,0000,03200SUPPORT SURFACES 80009,A000000,03400,0000,03400CLINIC 80009,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80009,A000000,03500,0000,03500RURAL HEALTH CLINIC 80009,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80009,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80009,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80009,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80009,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80009,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80009,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80009,A000000,04400,0000,04400DME RENTED - HHA 80009,A000000,04500,0000,04500DME SOLD - HHA 80009,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80009,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80009,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80009,A000000,04800,0000,04800AMBULANCE 80009,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80009,A000000,05000,0000,05000CORF 80009,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80009,A000000,05300,0000,05300INTEREST EXPENSE 80009,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80009,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80009,A000000,05500,0000,05500HOSPICE 80009,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80009,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80009,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80009,A000000,06100,0000,06100NONPAID WORKERS 80009,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80009,A000000,06200,0000,06200PATIENTS LAUNDRY 80009,A81000A,00100,0100,Y 80009,A81000B,00100,0300,RELATED LEASE 80009,A81000B,00200,0300,OWNER BASIS DEPRECIATION 80009,A81000B,00300,0300,OWNER BASIS INTEREST 80009,A81000C,00100,0100,A 80009,A81000C,00100,0200,SHARON JENNINGS 80009,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 80009,A81000C,00100,0600,PROPERTY MANAGEMENT 80009,A81000C,00200,0100,A 80009,A81000C,00200,0200,GLADYS JENNINGS 80009,A81000C,00200,0400,SEASCAPE MANAGEMENT CO. 80009,A81000C,00200,0600,PROPERTY MANAGEMENT 80009,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80009,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80009,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80009,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80009,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80009,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80009,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80009,B100000,00000,0800,00000MEALS SERVED :DIETARY 80009,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 80009,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80009,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80009,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80009,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80009,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80009,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80009,S000000,00100,0200,03/30/2000 80009,S200000,00100,0100,1611 SCENIC DRIVE 80009,S200000,00200,0100,MODESTO 80009,S200000,00200,0200,CA 80009,S200000,00200,0300,95350- 80009,S200000,00300,0100,STANISLAUS 80009,S200000,00400,0100,SCENIC CIRCLE CARE CENTER 80009,S200000,00400,0200,055011 80009,S200000,00400,0300,01/01/1967 80009,S200000,00400,0500,P 80009,S200000,01500,0100,Y 80009,S700003,00000,0100,1 80019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80019,A000000,00300,0000,00300EMPLOYEE BENEFITS 80019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80019,A000000,00700,0000,00700HOUSEKEEPING 80019,A000000,00800,0000,00800DIETARY 80019,A000000,00900,0000,00900NURSING ADMINISTRATION 80019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80019,A000000,01100,0000,01100PHARMACY 80019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80019,A000000,01300,0000,01300SOCIAL SERVICE 80019,A000000,01350,0000,01500OTHER GENERAL SERVICES 80019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80019,A000000,01600,0000,01600SKILLED NURSING FACILITY 80019,A000000,01800,0000,01800NURSING FACILITY 80019,A000000,01900,0000,01900OTHER LONG TERM CARE 80019,A000000,02100,0000,02100RADIOLOGY 80019,A000000,02200,0000,02200LABORATORY 80019,A000000,02300,0000,02300INTRAVENOUS THERAPY 80019,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80019,A000000,02500,0000,02500PHYSICAL THERAPY 80019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80019,A000000,02700,0000,02700SPEECH PATHOLOGY 80019,A000000,02800,0000,02800ELECTROCARDIOLOGY 80019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80019,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80019,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80019,A000000,03200,0000,03200SUPPORT SURFACES 80019,A000000,03400,0000,03400CLINIC 80019,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80019,A000000,03500,0000,03500RURAL HEALTH CLINIC 80019,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80019,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80019,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80019,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80019,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80019,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80019,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80019,A000000,04400,0000,04400DME RENTED - HHA 80019,A000000,04500,0000,04500DME SOLD - HHA 80019,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80019,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80019,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80019,A000000,04800,0000,04800AMBULANCE 80019,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80019,A000000,05000,0000,05000CORF 80019,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80019,A000000,05300,0000,05300INTEREST EXPENSE 80019,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80019,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80019,A000000,05500,0000,05500HOSPICE 80019,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80019,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80019,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80019,A000000,06100,0000,06100NONPAID WORKERS 80019,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80019,A000000,06200,0000,06200PATIENTS LAUNDRY 80019,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80019,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80019,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80019,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80019,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80019,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80019,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80019,B100000,00000,0800,00000MEALS SERVED :DIETARY 80019,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 80019,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80019,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80019,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80019,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80019,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80019,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80019,S000000,00100,0200,02/29/2000 80019,S200000,00100,0100,900 E. HARRISON AVENUE 80019,S200000,00200,0100,POMONA 80019,S200000,00200,0200,CA 80019,S200000,00200,0300,91767- 80019,S200000,00300,0100,LOS ANGELES 80019,S200000,00400,0100,MT. SAN ANTONIO GARDENS 80019,S200000,00400,0200,055016 80019,S200000,00400,0300,07/01/1966 80019,S200000,00400,0500,P 80019,S200000,01500,0100,Y 80019,S200000,02800,0100,Y 80019,S700003,00000,0100,1 80031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80031,A000000,00300,0000,00300EMPLOYEE BENEFITS 80031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80031,A000000,00700,0000,00700HOUSEKEEPING 80031,A000000,00800,0000,00800DIETARY 80031,A000000,00900,0000,00900NURSING ADMINISTRATION 80031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80031,A000000,01100,0000,01100PHARMACY 80031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80031,A000000,01300,0000,01300SOCIAL SERVICE 80031,A000000,01350,0000,01500OTHER GENERAL SERVICES 80031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80031,A000000,01600,0000,01600SKILLED NURSING FACILITY 80031,A000000,01800,0000,01800NURSING FACILITY 80031,A000000,01900,0000,01900OTHER LONG TERM CARE 80031,A000000,02100,0000,02100RADIOLOGY 80031,A000000,02200,0000,02200LABORATORY 80031,A000000,02300,0000,02300INTRAVENOUS THERAPY 80031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80031,A000000,02500,0000,02500PHYSICAL THERAPY 80031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80031,A000000,02700,0000,02700SPEECH PATHOLOGY 80031,A000000,02800,0000,02800ELECTROCARDIOLOGY 80031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80031,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80031,A000000,03200,0000,03200SUPPORT SURFACES 80031,A000000,03400,0000,03400CLINIC 80031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80031,A000000,03500,0000,03500RURAL HEALTH CLINIC 80031,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80031,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80031,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80031,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80031,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80031,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80031,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80031,A000000,04400,0000,04400DME RENTED - HHA 80031,A000000,04500,0000,04500DME SOLD - HHA 80031,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80031,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80031,A000000,04800,0000,04800AMBULANCE 80031,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80031,A000000,05000,0000,05000CORF 80031,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80031,A000000,05300,0000,05300INTEREST EXPENSE 80031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80031,A000000,05500,0000,05500HOSPICE 80031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80031,A000000,06100,0000,06100NONPAID WORKERS 80031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80031,A000000,06200,0000,06200PATIENTS LAUNDRY 80031,A81000A,00100,0100,Y 80031,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80031,A81000C,00100,0100,B 80031,A81000C,00100,0200,WILSHIRE FOUNDATION INC 80031,B100000,00000,0100,00000SQUARE FOOT :CAP REL COSTS - BLDGS 80031,B100000,00000,0250,00000SQUARE FOOT :CAP REL COSTS - MOVAB 80031,B100000,00000,0350,00000TOTAL SALARI :EMPLOYEE BENEFITS 80031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80031,B100000,00000,0500,00000SQUARE FOOT :PLANT OPERATION MAIN 80031,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80031,B100000,00000,0750,00000SQUARE FOOT :HOUSEKEEPING 80031,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80031,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80031,S000000,00100,0200,11/27/2000 80031,S200000,00100,0100,931 IDAHO AVENUE 80031,S200000,00200,0100,LOS BANOS 80031,S200000,00200,0200,CA 80031,S200000,00200,0300,93635- 80031,S200000,00300,0100,MERCED 80031,S200000,00300,0200,4940 80031,S200000,00300,0300,U 80031,S200000,00400,0100,WNRC-LOS BANOS 80031,S200000,00400,0200,055028 80031,S200000,00400,0300,07/01/1966 80031,S200000,00400,0500,P 80031,S200000,00400,0600,O 80031,S200000,01500,0100,Y 80031,S200000,02200,0100,Y 80040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80040,A000000,00300,0000,00300EMPLOYEE BENEFITS 80040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80040,A000000,00700,0000,00700HOUSEKEEPING 80040,A000000,00800,0000,00800DIETARY 80040,A000000,00900,0000,00900NURSING ADMINISTRATION 80040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80040,A000000,01600,0000,01600SKILLED NURSING FACILITY 80040,A000000,01800,0000,01800NURSING FACILITY 80040,A000000,02100,0000,02100RADIOLOGY 80040,A000000,02200,0000,02200LABORATORY 80040,A000000,02300,0000,02300INTRAVENOUS THERAPY 80040,A000000,02500,0000,02500PHYSICAL THERAPY 80040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80040,A000000,02700,0000,02700SPEECH PATHOLOGY 80040,A000000,02800,0000,02800ELECTROCARDIOLOGY 80040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80040,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80040,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80040,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80040,B100000,00000,0800,00000MEALS SERVED :DIETARY 80040,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 80040,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80040,S000000,00100,0200,02/29/2000 80040,S200000,00100,0100,1630 N. EDISON STREET 80040,S200000,00200,0100,STOCKTON 80040,S200000,00200,0200,CA 80040,S200000,00200,0300,95204- 80040,S200000,00300,0100,SAN JOAQUIN 80040,S200000,00300,0200,8120 80040,S200000,00300,0300,U 80040,S200000,00400,0100,GOOD SAMARITAN REHAB & CARE CENTER 80040,S200000,00400,0200,055039 80040,S200000,00400,0300,10/01/1988 80040,S200000,00400,0500,P 80040,S200000,00600,0200,055039 80040,S200000,00600,0300,10/01/1988 80040,S200000,00600,0600,P 80040,S200000,01600,0100,Y 80056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80056,A000000,00300,0000,00300EMPLOYEE BENEFITS 80056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80056,A000000,00700,0000,00700HOUSEKEEPING 80056,A000000,00800,0000,00800DIETARY 80056,A000000,00900,0000,00900NURSING ADMINISTRATION 80056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80056,A000000,01100,0000,01100PHARMACY 80056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80056,A000000,01300,0000,01300SOCIAL SERVICE 80056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80056,A000000,01600,0000,01600SKILLED NURSING FACILITY 80056,A000000,02100,0000,02100RADIOLOGY 80056,A000000,02200,0000,02200LABORATORY 80056,A000000,02300,0000,02300INTRAVENOUS THERAPY 80056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80056,A000000,02500,0000,02500PHYSICAL THERAPY 80056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80056,A000000,02700,0000,02700SPEECH PATHOLOGY 80056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80056,A000000,03200,0000,03200SUPPORT SURFACES 80056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80056,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80056,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80056,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80056,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80056,B100000,00000,0800,00000MEALS SERVED :DIETARY 80056,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80056,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80056,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80056,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80056,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80056,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80056,S000000,00100,0200,12/26/2000 80056,S200000,00100,0100,15100 S. PRAIRIE 80056,S200000,00200,0100,LAWNDALE 80056,S200000,00200,0200,CA 80056,S200000,00200,0300,91394- 80056,S200000,00300,0100,LOS ANGELES 80056,S200000,00400,0100,PARK IMPERIAL CONVALESCENT CENT 80056,S200000,00400,0200,055059 80056,S200000,00400,0300,09/01/1994 80056,S200000,00400,0500,P 80056,S200000,01500,0100,Y 80064,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80064,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80064,A000000,00300,0000,00300EMPLOYEE BENEFITS 80064,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80064,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80064,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80064,A000000,00700,0000,00700HOUSEKEEPING 80064,A000000,00800,0000,00800DIETARY 80064,A000000,00900,0000,00900NURSING ADMINISTRATION 80064,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80064,A000000,01100,0000,01100PHARMACY 80064,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80064,A000000,01300,0000,01300SOCIAL SERVICE 80064,A000000,01350,0000,01500OTHER GENERAL SERVICES 80064,A000000,01600,0000,01600SKILLED NURSING FACILITY 80064,A000000,01800,0000,01800NURSING FACILITY 80064,A000000,01900,0000,01900OTHER LONG TERM CARE 80064,A000000,02100,0000,02100RADIOLOGY 80064,A000000,02200,0000,02200LABORATORY 80064,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80064,A000000,02500,0000,02500PHYSICAL THERAPY 80064,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80064,A000000,02700,0000,02700SPEECH PATHOLOGY 80064,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80064,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80064,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80064,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80064,A000000,04800,0000,04800AMBULANCE 80064,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80064,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80064,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80064,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80064,A81000A,00100,0100,Y 80064,A81000B,00100,0300,MANAGEMENT FEE 80064,A81000B,00200,0300,CAPITAL 80064,A81000B,00300,0300,DATA PROCESSING FEE 80064,A81000B,00400,0300,RESPIRATORY THERAPY 80064,A81000B,00500,0300,PHYSICAL THERAPY 80064,A81000B,00600,0300,OCCUPATIONAL THERAPY 80064,A81000B,00700,0300,SPEECH THERAPY 80064,A81000C,00100,0100,A 80064,A81000C,00100,0200,CVHS CORP 80064,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80064,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80064,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80064,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80064,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80064,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80064,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80064,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80064,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80064,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80064,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80064,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80064,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80064,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80064,S000000,00100,0200,05/31/2000 80064,S200000,00100,0100,12121 SANTA MONICA BOULEVARD 80064,S200000,00200,0100,LOS ANGELES 80064,S200000,00200,0200,CA 80064,S200000,00200,0300,90025- 80064,S200000,00300,0100,LOS ANGELES 80064,S200000,00400,0100,COUNTRY VILLA WESTWOOD 80064,S200000,00400,0200,055060 80064,S200000,00400,0300,07/01/1980 80064,S200000,00400,0500,P 80064,S200000,01600,0100,Y 80064,S200000,02200,0100,Y 80064,S200000,02800,0100,Y 80064,S700003,00000,0100,1 80073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80073,A000000,00300,0000,00300EMPLOYEE BENEFITS 80073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80073,A000000,00700,0000,00700HOUSEKEEPING 80073,A000000,00800,0000,00800DIETARY 80073,A000000,00900,0000,00900NURSING ADMINISTRATION 80073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80073,A000000,01100,0000,01100PHARMACY 80073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80073,A000000,01300,0000,01300SOCIAL SERVICE 80073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80073,A000000,01600,0000,01600SKILLED NURSING FACILITY 80073,A000000,01800,0000,01800NURSING FACILITY 80073,A000000,02100,0000,02100RADIOLOGY 80073,A000000,02200,0000,02200LABORATORY 80073,A000000,02201,0000,02201O/P LAB GLUCOSE MONITORING 80073,A000000,02300,0000,02300INTRAVENOUS THERAPY 80073,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80073,A000000,02500,0000,02500PHYSICAL THERAPY 80073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80073,A000000,02700,0000,02700SPEECH PATHOLOGY 80073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80073,A000000,03200,0000,03200SUPPORT SURFACES 80073,A000000,04800,0000,04800AMBULANCE 80073,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80073,A81000A,00100,0100,Y 80073,A81000B,00100,0300,HOME OFFICE COSTS 80073,A81000B,00200,0300,CAPITAL 80073,A81000B,00300,0300,CAPITAL 80073,A81000C,00100,0100,B 80073,A81000C,00100,0200,UNIFIED CARE CENTER 80073,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80073,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80073,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80073,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80073,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80073,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80073,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80073,B100000,00000,0800,00000MEALS SERVED :DIETARY 80073,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80073,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80073,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80073,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80073,S000000,00100,0200,09/08/2000 80073,S200000,00100,0100,1391 E. MADISON AVENUE 80073,S200000,00200,0100,EL CAJON 80073,S200000,00200,0200,CA 80073,S200000,00200,0300,92021- 80073,S200000,00300,0100,SAN DIEGO 80073,S200000,00300,0200,7320 80073,S200000,00300,0300,U 80073,S200000,00400,0100,MADISON CARE CENTER 80073,S200000,00400,0200,055064 80073,S200000,00400,0300,10/01/1995 80073,S200000,00400,0500,P 80073,S200000,00600,0200,055064 80073,S200000,00600,0300,10/01/1995 80073,S200000,00600,0600,P 80073,S200000,01600,0100,Y 80073,S200000,04700,0100,Y 80083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80083,A000000,00300,0000,00300EMPLOYEE BENEFITS 80083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80083,A000000,00700,0000,00700HOUSEKEEPING 80083,A000000,00800,0000,00800DIETARY 80083,A000000,00900,0000,00900NURSING ADMINISTRATION 80083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80083,A000000,01100,0000,01100PHARMACY 80083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80083,A000000,01300,0000,01300SOCIAL SERVICE 80083,A000000,01350,0000,01500OTHER GENERAL SERVICES 80083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80083,A000000,01600,0000,01600SKILLED NURSING FACILITY 80083,A000000,01800,0000,01800NURSING FACILITY 80083,A000000,01810,0000,01801ICF/MR 80083,A000000,01900,0000,01900OTHER LONG TERM CARE 80083,A000000,02100,0000,02100RADIOLOGY 80083,A000000,02200,0000,02200LABORATORY 80083,A000000,02300,0000,02300INTRAVENOUS THERAPY 80083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80083,A000000,02500,0000,02500PHYSICAL THERAPY 80083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80083,A000000,02700,0000,02700SPEECH PATHOLOGY 80083,A000000,02800,0000,02800ELECTROCARDIOLOGY 80083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80083,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80083,A000000,03200,0000,03200SUPPORT SURFACES 80083,A000000,03400,0000,03400CLINIC 80083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80083,A000000,03500,0000,03500RURAL HEALTH CLINIC 80083,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80083,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80083,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80083,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80083,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80083,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80083,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80083,A000000,04400,0000,04400DME RENTED - HHA 80083,A000000,04500,0000,04500DME SOLD - HHA 80083,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80083,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80083,A000000,04800,0000,04800AMBULANCE 80083,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80083,A000000,05000,0000,05000CORF 80083,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80083,A000000,05300,0000,05300INTEREST EXPENSE 80083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80083,A000000,05500,0000,05500HOSPICE 80083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80083,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80083,A000000,06100,0000,06100NONPAID WORKERS 80083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80083,A000000,06200,0000,06200PATIENTS LAUNDRY 80083,A81000A,00100,0100,Y 80083,A81000B,00100,0300,ADMIN H. O. MGMT. FEES 80083,A81000B,00200,0300,CRC BLDG. 80083,A81000C,00100,0100,A 80083,A81000C,00100,0200,EBENEZER HOME INC. 80083,A81000C,00100,0400,EBENEZER HOME INC. 80083,A81000C,00100,0600,HEALTHCARE MGMT. 80083,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80083,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80083,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80083,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80083,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80083,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80083,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80083,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 80083,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 80083,B100000,00000,1150,00000NO STATISTICS :PHARMACY 80083,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80083,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80083,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80083,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80083,S000000,00100,0200,09/14/2000 80083,S200000,00100,0100,1416 WEST 16TH STREET 80083,S200000,00200,0100,SAN PEDRO 80083,S200000,00200,0200,CA 80083,S200000,00200,0300,90732- 80083,S200000,00300,0100,LOS ANGELES 80083,S200000,00400,0100,SEACREST CONVALESCENT HOSP. 80083,S200000,00400,0200,055070 80083,S200000,00400,0300,01/01/1997 80083,S200000,00400,0500,P 80083,S200000,01500,0100,Y 80083,S700003,00000,0100,1 80089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80089,A000000,00300,0000,00300EMPLOYEE BENEFITS 80089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80089,A000000,00700,0000,00700HOUSEKEEPING 80089,A000000,00800,0000,00800DIETARY 80089,A000000,00900,0000,00900NURSING ADMINISTRATION 80089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80089,A000000,01100,0000,01100PHARMACY 80089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80089,A000000,01300,0000,01300SOCIAL SERVICE 80089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80089,A000000,01600,0000,01600SKILLED NURSING FACILITY 80089,A000000,02100,0000,02100RADIOLOGY 80089,A000000,02200,0000,02200LABORATORY 80089,A000000,02300,0000,02300INTRAVENOUS THERAPY 80089,A000000,02500,0000,02500PHYSICAL THERAPY 80089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80089,A000000,02700,0000,02700SPEECH PATHOLOGY 80089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80089,A000000,03200,0000,03200SUPPORT SURFACES 80089,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80089,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80089,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80089,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80089,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80089,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80089,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80089,B100000,00000,0800,00000MEALS SERVED :DIETARY 80089,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80089,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80089,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80089,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80089,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80089,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80089,S000000,00100,0200,06/16/2000 80089,S200000,00100,0100,1140 W. ROSECRANS AVE. 80089,S200000,00200,0100,GARDENA 80089,S200000,00200,0200,CA 80089,S200000,00200,0300,90247- 80089,S200000,00300,0100,LOS ANGELES 80089,S200000,00400,0100,ROSECRANS CARE CENTER 80089,S200000,00400,0200,055072 80089,S200000,00400,0300,01/01/1990 80089,S200000,00400,0500,P 80089,S200000,01500,0100,Y 80089,S700003,00000,0100,1 80092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80092,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80092,A000000,00300,0000,00300EMPLOYEE BENEFITS 80092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80092,A000000,00700,0000,00700HOUSEKEEPING 80092,A000000,00800,0000,00800DIETARY 80092,A000000,00900,0000,00900NURSING ADMINISTRATION 80092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80092,A000000,01100,0000,01100PHARMACY 80092,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80092,A000000,01300,0000,01300SOCIAL SERVICE 80092,A000000,01350,0000,01500OTHER GENERAL SERVICES 80092,A000000,01600,0000,01600SKILLED NURSING FACILITY 80092,A000000,01800,0000,01800NURSING FACILITY 80092,A000000,01900,0000,01900OTHER LONG TERM CARE 80092,A000000,02100,0000,02100RADIOLOGY 80092,A000000,02200,0000,02200LABORATORY 80092,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80092,A000000,02500,0000,02500PHYSICAL THERAPY 80092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80092,A000000,02700,0000,02700SPEECH PATHOLOGY 80092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80092,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80092,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80092,A000000,04800,0000,04800AMBULANCE 80092,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80092,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80092,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80092,A81000A,00100,0100,Y 80092,A81000B,00100,0300,MANAGEMENT FEE 80092,A81000B,00200,0300,CAPITAL 80092,A81000B,00300,0300,DATA PROCESSING FEE 80092,A81000B,00400,0300,RESPIRATORY THERAPY 80092,A81000B,00500,0300,PHYSICAL THERAPY 80092,A81000B,00600,0300,OCCUPATIONAL THERAPY 80092,A81000B,00700,0300,SPEECH THERAPY 80092,A81000C,00100,0100,A 80092,A81000C,00100,0200,CVHS CORP 80092,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80092,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80092,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80092,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80092,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80092,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80092,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80092,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80092,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80092,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80092,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80092,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80092,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80092,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80092,S000000,00100,0200,05/31/2000 80092,S200000,00100,0100,1730 GRAND AVENUE 80092,S200000,00200,0100,LONG BEACH 80092,S200000,00200,0200,CA 80092,S200000,00200,0300,90804- 80092,S200000,00300,0100,LONG BEACH 80092,S200000,00400,0100,COUNTRY VILLA BELMONT HEIGHTS 80092,S200000,00400,0200,055077 80092,S200000,00400,0300,09/01/1998 80092,S200000,00400,0500,P 80092,S200000,01600,0100,Y 80092,S200000,02200,0100,Y 80108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80108,A000000,00300,0000,00300EMPLOYEE BENEFITS 80108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80108,A000000,00700,0000,00700HOUSEKEEPING 80108,A000000,00800,0000,00800DIETARY 80108,A000000,00900,0000,00900NURSING ADMINISTRATION 80108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80108,A000000,01100,0000,01100PHARMACY 80108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80108,A000000,01300,0000,01300SOCIAL SERVICE 80108,A000000,01350,0000,01500OTHER GENERAL SERVICES 80108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80108,A000000,01600,0000,01600SKILLED NURSING FACILITY 80108,A000000,01800,0000,01800NURSING FACILITY 80108,A000000,01810,0000,01810ICF/MR 80108,A000000,01900,0000,01900OTHER LONG TERM CARE 80108,A000000,02100,0000,02100RADIOLOGY 80108,A000000,02200,0000,02200LABORATORY 80108,A000000,02300,0000,02300INTRAVENOUS THERAPY 80108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80108,A000000,02500,0000,02500PHYSICAL THERAPY 80108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80108,A000000,02700,0000,02700SPEECH PATHOLOGY 80108,A000000,02800,0000,02800ELECTROCARDIOLOGY 80108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80108,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80108,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80108,A000000,03200,0000,03200SUPPORT SURFACES 80108,A000000,03400,0000,03400CLINIC 80108,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80108,A000000,03500,0000,03500RURAL HEALTH CLINIC 80108,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80108,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80108,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80108,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80108,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80108,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80108,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80108,A000000,04400,0000,04400DME RENTED - HHA 80108,A000000,04500,0000,04500DME SOLD - HHA 80108,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80108,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80108,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80108,A000000,04800,0000,04800AMBULANCE 80108,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80108,A000000,05000,0000,05000CORF 80108,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80108,A000000,05300,0000,05300INTEREST EXPENSE 80108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80108,A000000,05500,0000,05500HOSPICE 80108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80108,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80108,A000000,06100,0000,06100NONPAID WORKERS 80108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80108,A000000,06200,0000,06200PATIENTS LAUNDRY 80108,A81000A,00100,0100,Y 80108,A81000B,00100,0300,RELATED LEASE 80108,A81000B,00200,0300,OWNER BASIS RELATED DEPRECIATION 80108,A81000B,00300,0300,OWNER BASIS BLDG. INTEREST 80108,A81000C,00100,0100,A 80108,A81000C,00100,0200,SHARON JENNINGS 80108,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 80108,A81000C,00100,0600,PROPERTY MANAGEMENT 80108,A81000C,00200,0100,A 80108,A81000C,00200,0200,GLADYS JENNINGS 80108,A81000C,00200,0400,SEASCAPE MANAGEMENT CO. 80108,A81000C,00200,0600,PROPERTY MANAGEMENT 80108,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80108,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80108,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80108,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80108,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80108,B100000,00000,0800,00000MEALS SERVED :DIETARY 80108,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 80108,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80108,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80108,S000000,00100,0200,12/04/2000 80108,S200000,00100,0100,2649 W. TOPEKA STREET 80108,S200000,00200,0100,RIVERBANK 80108,S200000,00200,0200,CA 80108,S200000,00200,0300,95637- 80108,S200000,00300,0100,STANISLAUS 80108,S200000,00300,0200,5170 80108,S200000,00300,0300,U 80108,S200000,00400,0100,VALLEY VIEW CARE CENTER 80108,S200000,00400,0200,055084 80108,S200000,00400,0300,01/01/1967 80108,S200000,00400,0500,P 80108,S200000,01600,0100,Y 80122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80122,A000000,00300,0000,00300EMPLOYEE BENEFITS 80122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80122,A000000,00700,0000,00700HOUSEKEEPING 80122,A000000,00800,0000,00800DIETARY 80122,A000000,00900,0000,00900NURSING ADMINISTRATION 80122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80122,A000000,01100,0000,01100PHARMACY 80122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80122,A000000,01300,0000,01300SOCIAL SERVICE 80122,A000000,01301,0000,01301ACTIVITIES 80122,A000000,01350,0000,01500OTHER GENERAL SERVICES 80122,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80122,A000000,01600,0000,01600SKILLED NURSING FACILITY 80122,A000000,01800,0000,01800NURSING FACILITY 80122,A000000,01810,0000,01801ICF/MR 80122,A000000,01900,0000,01900OTHER LONG TERM CARE 80122,A000000,02100,0000,02100RADIOLOGY 80122,A000000,02200,0000,02200LABORATORY 80122,A000000,02300,0000,02300INTRAVENOUS THERAPY 80122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80122,A000000,02500,0000,02500PHYSICAL THERAPY 80122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80122,A000000,02700,0000,02700SPEECH PATHOLOGY 80122,A000000,02800,0000,02800ELECTROCARDIOLOGY 80122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80122,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80122,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80122,A000000,03200,0000,03200SUPPORT SURFACES 80122,A000000,03201,0000,03201EQUIPMENT RENTAL 80122,A000000,03400,0000,03400CLINIC 80122,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80122,A000000,03500,0000,03500RURAL HEALTH CLINIC 80122,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80122,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80122,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80122,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80122,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80122,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80122,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80122,A000000,04400,0000,04400DME RENTED - HHA 80122,A000000,04500,0000,04500DME SOLD - HHA 80122,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80122,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80122,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80122,A000000,04800,0000,04800AMBULANCE 80122,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80122,A000000,05000,0000,05000CORF 80122,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80122,A000000,05300,0000,05300INTEREST EXPENSE 80122,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80122,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80122,A000000,05500,0000,05500HOSPICE 80122,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80122,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80122,A000000,06100,0000,06100NONPAID WORKERS 80122,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80122,A000000,06200,0000,06200PATIENTS LAUNDRY 80122,A81000A,00100,0100,Y 80122,A81000B,00100,0300,PHARMACY 80122,A81000B,00200,0300,PHARMACY CONSULTANT 80122,A81000B,00300,0300,HO ADMIN 80122,A81000B,00400,0300,HO ADMIN 80122,A81000B,00500,0300,HO CAPITAL COSTS 80122,A81000B,00600,0300,HO CAPITAL COSTS 80122,A81000C,00100,0100,B 80122,A81000C,00100,0200,GUARDIAN HEALTH GROUP 80122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80122,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80122,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80122,B100000,00000,0800,00000MEALS SERVED :DIETARY 80122,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80122,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80122,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80122,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80122,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80122,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 80122,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80122,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80122,S000000,00100,0200,09/29/2000 80122,S200000,00100,0100,1220 E ELISEO DRIVE 80122,S200000,00200,0100,GREENBRAE 80122,S200000,00200,0200,CA 80122,S200000,00200,0300,94904-2006 80122,S200000,00300,0100,MARIN 80122,S200000,00400,0100,GUARDIAN OF GREENBRAE 80122,S200000,00400,0200,055093 80122,S200000,00400,0300,09/10/1975 80122,S200000,00400,0500,P 80122,S200000,01600,0100,Y 80122,S700003,00000,0100,1 80131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80131,A000000,00300,0000,00300EMPLOYEE BENEFITS 80131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80131,A000000,00700,0000,00700HOUSEKEEPING 80131,A000000,00800,0000,00800DIETARY 80131,A000000,00900,0000,00900NURSING ADMINISTRATION 80131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80131,A000000,01300,0000,01300SOCIAL SERVICE 80131,A000000,01600,0000,01600SKILLED NURSING FACILITY 80131,A000000,01800,0000,01800NURSING FACILITY 80131,A000000,01900,0000,01900OTHER LONG TERM CARE 80131,A000000,02100,0000,02100RADIOLOGY 80131,A000000,02200,0000,02200LABORATORY 80131,A000000,02300,0000,02300INTRAVENOUS THERAPY 80131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80131,A000000,02500,0000,02500PHYSICAL THERAPY 80131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80131,A000000,02700,0000,02700SPEECH PATHOLOGY 80131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80131,A000000,02901,0000,02901ENTERAL NUTRITION 80131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80131,A000000,03051,0000,03201EQUIPMENT RENTAL 80131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80131,A000000,03200,0000,03200SUPPORT SURFACES 80131,A000000,03400,0000,03400CLINIC 80131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80131,A000000,03500,0000,03500RURAL HEALTH CLINIC 80131,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80131,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80131,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80131,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80131,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80131,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80131,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80131,A000000,04400,0000,04400DME RENTED - HHA 80131,A000000,04500,0000,04500DME SOLD - HHA 80131,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80131,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80131,A000000,04800,0000,04800AMBULANCE 80131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80131,A000000,05000,0000,05000CORF 80131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80131,A000000,05300,0000,05300INTEREST EXPENSE 80131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80131,A000000,05500,0000,05500HOSPICE 80131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80131,A000000,06100,0000,06100NONPAID WORKERS 80131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80131,A000000,06151,0000,06301BOARD AND CARE 80131,A000000,06200,0000,06200PATIENTS LAUNDRY 80131,A81000A,00100,0100,Y 80131,A81000B,00100,0300,ADMINSTRATIVE/GENERAL 80131,A81000C,00100,0100,B 80131,A81000C,00100,0200,WESTLINE MEDICAL MANAGEME 80131,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 80131,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 80131,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 80131,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 80131,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 80131,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 80131,B100000,00000,0750,00001SQUARE FEET - DIE:HOUSEKEEPING 80131,B100000,00000,0800,00001MEALS SERVED :DIETARY 80131,B100000,00000,0950,00001NURSING SALARIES :NURSING ADMINIST 80131,B100000,00000,1050,00001NURSING SALARIES :CENTRAL SERVICES 80131,B100000,00000,1250,00001 ACCUM. COST :MEDICAL RECORDS & LIB 80131,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 80131,S000000,00100,0200,12/01/2000 80131,S200000,00100,0100,17933 SAN BERNARDINO AVE 80131,S200000,00200,0100,FONTANA 80131,S200000,00200,0200,CA 80131,S200000,00200,0300,92335- 80131,S200000,00300,0100,SAN BERNARDINO 80131,S200000,00300,0200,6780 80131,S200000,00300,0300,U 80131,S200000,00400,0100,CASA MARIA CONVALESCENT HOSPITAL 80131,S200000,00400,0200,055106 80131,S200000,00400,0300,01/01/1967 80131,S200000,00400,0500,P 80131,S200000,01600,0100,Y 80139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80139,A000000,00300,0000,00300EMPLOYEE BENEFITS 80139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80139,A000000,00700,0000,00700HOUSEKEEPING 80139,A000000,00800,0000,00800DIETARY 80139,A000000,01300,0000,01300SOCIAL SERVICE 80139,A000000,01600,0000,01600SKILLED NURSING FACILITY 80139,A000000,02100,0000,02100RADIOLOGY 80139,A000000,02200,0000,02200LABORATORY 80139,A000000,02500,0000,02500PHYSICAL THERAPY 80139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80139,A000000,02700,0000,02700SPEECH PATHOLOGY 80139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80139,A000000,03550,0000,03550FQHC 80139,A000000,05010,0000,05010CMHC 80139,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80139,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80139,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80139,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80139,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80139,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80139,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80139,S000000,00100,0200,04/25/2000 80139,S200000,00100,0100,1475 BANCROFT 80139,S200000,00200,0100,SAN LEANDRO 80139,S200000,00200,0200,CA 80139,S200000,00200,0300,94577- 80139,S200000,00300,0100,ALAMEDA 80139,S200000,00400,0100,BANCROFT CONV. HOSPITAL 80139,S200000,00400,0200,055107 80139,S200000,00400,0300,01/01/1967 80139,S200000,00400,0500,P 80139,S200000,00400,0600,P 80139,S200000,01500,0100,Y 80139,S700003,00000,0100,1 80148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80148,A000000,00300,0000,00300EMPLOYEE BENEFITS 80148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80148,A000000,00700,0000,00700HOUSEKEEPING 80148,A000000,00800,0000,00800DIETARY 80148,A000000,00900,0000,00900NURSING ADMINISTRATION 80148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80148,A000000,01300,0000,01300SOCIAL SERVICE 80148,A000000,01301,0000,01301ACTIVITIES 80148,A000000,01350,0000,01500REHAB 80148,A000000,01600,0000,01600SKILLED NURSING FACILITY 80148,A000000,01800,0000,01800NURSING FACILITY 80148,A000000,01900,0000,01900OTHER LONG TERM CARE 80148,A000000,02100,0000,02100RADIOLOGY 80148,A000000,02200,0000,02200LABORATORY 80148,A000000,02300,0000,02300INTRAVENOUS THERAPY 80148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80148,A000000,02500,0000,02500PHYSICAL THERAPY 80148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80148,A000000,02700,0000,02700SPEECH PATHOLOGY 80148,A000000,02800,0000,02800ELECTROCARDIOLOGY 80148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80148,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80148,A000000,03051,0000,03301PEN THERAPY 80148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80148,A000000,03200,0000,03200SUPPORT SURFACES 80148,A000000,03400,0000,03400CLINIC 80148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80148,A000000,04800,0000,04800AMBULANCE 80148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80148,A000000,05000,0000,05000CORF 80148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80148,A000000,05300,0000,05300INTEREST EXPENSE 80148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80148,A000000,05500,0000,05500HOSPICE 80148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80148,A000000,06100,0000,06100NONPAID WORKERS 80148,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80148,A000000,06200,0000,06200PATIENTS LAUNDRY 80148,A81000A,00100,0100,Y 80148,A81000B,00100,0300,HOME OFFICE ALLOCATION 80148,A81000B,00200,0300,MEDICAL SUPPLIES 80148,A81000B,00300,0300,PT 80148,A81000B,00400,0300,OT 80148,A81000B,00500,0300,ST 80148,A81000C,00100,0100,B 80148,A81000C,00100,0200,DRIFTWOOD SANTA 80148,A81000C,00100,0400,MARINER POST AC 80148,A81000C,00100,0600,NURSING HOMES 80148,A81000C,00200,0100,G 80148,A81000C,00200,0200,MARINER POST AC 80148,A81000C,00200,0400,AMERICAN PHARMA 80148,A81000C,00200,0600,PHARMACEUTICALS 80148,A81000C,00300,0100,G 80148,A81000C,00300,0200,MARINER POST AC 80148,A81000C,00300,0400,PRISM (ATS ARS 80148,A81000C,00300,0600,THERAPIES 80148,A81000C,03100,0000,MARINER POST ACUTE NETWORK 80148,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80148,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80148,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80148,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80148,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80148,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80148,B100000,00000,0800,00000MEALS SERVED :DIETARY 80148,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80148,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80148,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80148,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80148,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80148,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 80148,S000000,00100,0200,06/05/2000 80148,S200000,00100,0100,675 24TH AVE 80148,S200000,00200,0100,SANTA CRUZ 80148,S200000,00200,0200,CA 80148,S200000,00200,0300,95062- 80148,S200000,00300,0100,SANTA CRUZ 80148,S200000,00300,0200,7485 80148,S200000,00300,0300,U 80148,S200000,00400,0100,DRIFTWOOD HEALTHCARE CTR-SANTA CRUZ 80148,S200000,00400,0200,055109 80148,S200000,00400,0300,04/01/1978 80148,S200000,00400,0500,P 80155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80155,A000000,00300,0000,00300EMPLOYEE BENEFITS 80155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80155,A000000,00700,0000,00700HOUSEKEEPING 80155,A000000,00800,0000,00800DIETARY 80155,A000000,00900,0000,00900NURSING ADMINISTRATION 80155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80155,A000000,01300,0000,01300SOCIAL SERVICE 80155,A000000,01600,0000,01600SKILLED NURSING FACILITY 80155,A000000,01800,0000,01800NURSING FACILITY 80155,A000000,02100,0000,02100RADIOLOGY 80155,A000000,02200,0000,02200LABORATORY 80155,A000000,02300,0000,02300INTRAVENOUS THERAPY 80155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80155,A000000,02500,0000,02500PHYSICAL THERAPY 80155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80155,A000000,02700,0000,02700SPEECH PATHOLOGY 80155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80155,A000000,03200,0000,03200SUPPORT SURFACES 80155,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80155,A81000A,00100,0100,Y 80155,A81000B,00100,0300,MANAGEMENT FEE 80155,A81000B,00200,0300,HOME OFFICE - BUILDING 80155,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 80155,A81000B,00400,0300,SUB-ACUTE THERAPY 80155,A81000B,00500,0300,PHYSICAL THERAPY 80155,A81000B,00600,0300,OCCUPATIONAL THERAPY 80155,A81000B,00700,0300,RESPIRATORY THERAPY 80155,A81000B,00800,0300,SCU MEDICAL SUPPLIES 80155,A81000B,00900,0300,CDP MEDICAL SUPPLIES 80155,A81000B,01000,0300,CHARGABLE SUPPLIES 80155,A81000B,01100,0300,IV THERAPY 80155,A81000B,01200,0300,ENTERAL SUPPLIES 80155,A81000B,01300,0300,PHARMACY 80155,A81000B,01400,0300,BUILDING LEASE 80155,A81000C,00100,0100,B 80155,A81000C,00100,0200,FOUNTAIN VIEW INC. 80155,A81000C,00100,0400,FOUNTAIN VIEW CONV. HOSPI 80155,A81000C,00100,0600,SNF 80155,A81000C,00200,0100,B 80155,A81000C,00200,0200,FOUNTAIN VIEW INC. 80155,A81000C,00200,0400,LOCOMOTION 80155,A81000C,00200,0600,THERAPY COMPANY 80155,A81000C,00300,0100,B 80155,A81000C,00300,0200,FOUNTAIN VIEW INC 80155,A81000C,00300,0400,I N O 80155,A81000C,00300,0600,MEDICAL SUPPLIES 80155,A81000C,00400,0100,B 80155,A81000C,00400,0200,FOUNTAIN VIEW INC. 80155,A81000C,00400,0400,SKILLED CARE PHARMACY 80155,A81000C,00400,0600,PHARMACY 80155,A81000C,00500,0100,A 80155,A81000C,00500,0200,ROBERT & SHEILA SNUKAL 80155,A81000C,00500,0400,FOUNTAIN VIEW REALTY 80155,A81000C,00500,0600,BUILDING MANAGEMENT 80155,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80155,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80155,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80155,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80155,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80155,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80155,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80155,B100000,00000,0800,00000MEALS SERVED :DIETARY 80155,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80155,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80155,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80155,S000000,00100,0200,06/01/2000 80155,S200000,00100,0100,5310 FOUNTAIN AVENUE 80155,S200000,00200,0100,LOS ANGELES 80155,S200000,00200,0200,CA 80155,S200000,00200,0300,90242- 80155,S200000,00300,0100,LOS ANGELES 80155,S200000,00400,0100,FOUNTAIN VIEW CONVALESCENT HOSPITAL 80155,S200000,00400,0200,055111 80155,S200000,00400,0300,07/01/1985 80155,S200000,00400,0500,P 80155,S200000,00400,0600,O 80155,S200000,00600,0200,055111 80155,S200000,00600,0300,07/01/1985 80155,S200000,00600,0600,P 80155,S200000,01600,0100,Y 80155,S700003,00000,0100,1 80163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80163,A000000,00300,0000,00300EMPLOYEE BENEFITS 80163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80163,A000000,00700,0000,00700HOUSEKEEPING 80163,A000000,00800,0000,00800DIETARY 80163,A000000,00900,0000,00900NURSING ADMINISTRATION 80163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80163,A000000,01100,0000,01100PHARMACY 80163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80163,A000000,01300,0000,01300SOCIAL SERVICE 80163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80163,A000000,01600,0000,01600SKILLED NURSING FACILITY 80163,A000000,01800,0000,01800NURSING FACILITY 80163,A000000,01900,0000,01900OTHER LONG TERM CARE 80163,A000000,02100,0000,02100RADIOLOGY 80163,A000000,02200,0000,02200LABORATORY 80163,A000000,02500,0000,02500PHYSICAL THERAPY 80163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80163,A000000,02700,0000,02700SPEECH PATHOLOGY 80163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80163,A000000,03200,0000,03200SUPPORT SURFACES 80163,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80163,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80163,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80163,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80163,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80163,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80163,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80163,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80163,B100000,00000,0800,00000MEALS SERVED :DIETARY 80163,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80163,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80163,S000000,00100,0200,12/05/2000 80163,S200000,00100,0100,573 BOYLE AVENUE 80163,S200000,00200,0100,LOS ANGELES 80163,S200000,00200,0200,CA 80163,S200000,00200,0300,90033- 80163,S200000,00300,0100,LOS ANGELES 80163,S200000,00300,0200,4480 80163,S200000,00300,0300,U 80163,S200000,00400,0100,HOLLENBECK HOME FOR THE AGED 80163,S200000,00400,0200,055115 80163,S200000,00400,0300,07/01/1966 80163,S200000,00400,0500,P 80163,S200000,01600,0100,Y 80163,S200000,04300,0100,Y 80169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80169,A000000,00300,0000,00300EMPLOYEE BENEFITS 80169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80169,A000000,00700,0000,00700HOUSEKEEPING 80169,A000000,00800,0000,00800DIETARY 80169,A000000,00900,0000,00900NURSING ADMINISTRATION 80169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80169,A000000,01100,0000,01100PHARMACY 80169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80169,A000000,01300,0000,01300SOCIAL SERVICE 80169,A000000,01350,0000,01500OTHER GENERAL SERVICES 80169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80169,A000000,01600,0000,01600SKILLED NURSING FACILITY 80169,A000000,01800,0000,01800NURSING FACILITY 80169,A000000,01810,0000,01810ICF/MR 80169,A000000,01900,0000,01900OTHER LONG TERM CARE 80169,A000000,02100,0000,02100RADIOLOGY 80169,A000000,02200,0000,02200LABORATORY 80169,A000000,02300,0000,02300INTRAVENOUS THERAPY 80169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80169,A000000,02500,0000,02500PHYSICAL THERAPY 80169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80169,A000000,02700,0000,02700SPEECH PATHOLOGY 80169,A000000,02800,0000,02800ELECTROCARDIOLOGY 80169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80169,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80169,A000000,03200,0000,03200SUPPORT SURFACES 80169,A000000,03400,0000,03400CLINIC 80169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80169,A000000,03500,0000,03500RURAL HEALTH CLINIC 80169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80169,A000000,04800,0000,04800AMBULANCE 80169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80169,A000000,05000,0000,05000CORF 80169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80169,A000000,05300,0000,05300INTEREST EXPENSE 80169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80169,A000000,05500,0000,05500HOSPICE 80169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80169,A000000,06100,0000,06100NONPAID WORKERS 80169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80169,A000000,06200,0000,06200PATIENTS LAUNDRY 80169,A81000A,00100,0100,Y 80169,A81000B,00100,0300,MANAGEMENT FEES 80169,A81000C,00100,0100,F 80169,A81000C,00100,0200,J & S SORENSEN D LAWS 80169,A81000C,00100,0400,NORTH AMERICAN HEALTHCARE 80169,A81000C,00100,0600,MANAGEMENT 80169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80169,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 80169,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 80169,B100000,00000,0800,00000MEALS SRVD :DIETARY 80169,B100000,00000,0950,00000NSG HRS :NURSING ADMINISTRATION 80169,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80169,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80169,S000000,00100,0200,09/21/2001 80169,S200000,00100,0100,751 SAN PEDRO TERRACE ROAD 80169,S200000,00200,0100,PACIFICA 80169,S200000,00200,0200,CA 80169,S200000,00300,0100,SAN MATEO 80169,S200000,00300,0200,7360 80169,S200000,00300,0300,U 80169,S200000,00400,0100,LINDA MAR CARE CENTER 80169,S200000,00400,0200,055116 80169,S200000,00400,0300,01/01/1967 80169,S200000,00400,0500,P 80169,S200000,00600,0200,055116 80169,S200000,00600,0300,01/01/1967 80169,S200000,00600,0600,P 80169,S200000,01600,0100,Y 80178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80178,A000000,00300,0000,00300EMPLOYEE BENEFITS 80178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80178,A000000,00700,0000,00700HOUSEKEEPING 80178,A000000,00800,0000,00800DIETARY 80178,A000000,00900,0000,00900NURSING ADMINISTRATION 80178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80178,A000000,01100,0000,01100PHARMACY 80178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80178,A000000,01300,0000,01300SOCIAL SERVICE 80178,A000000,01350,0000,01500OTHER GENERAL SERVICES 80178,A000000,01600,0000,01600SKILLED NURSING FACILITY 80178,A000000,01800,0000,01800NURSING FACILITY 80178,A000000,01900,0000,01900OTHER LONG TERM CARE 80178,A000000,02100,0000,02100RADIOLOGY 80178,A000000,02200,0000,02200LABORATORY 80178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80178,A000000,02500,0000,02500PHYSICAL THERAPY 80178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80178,A000000,02700,0000,02700SPEECH PATHOLOGY 80178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80178,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80178,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80178,A000000,04800,0000,04800AMBULANCE 80178,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80178,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80178,A81000A,00100,0100,Y 80178,A81000B,00100,0300,MANAGEMENT FEE 80178,A81000B,00200,0300,CAPITAL 80178,A81000B,00300,0300,DATA PROCESSING FEE 80178,A81000B,00400,0300,RESPIRATORY THERAPY 80178,A81000B,00500,0300,PHYSICAL THERAPY 80178,A81000B,00600,0300,OCCUPATIONAL THERAPY 80178,A81000B,00700,0300,SPEECH THERAPY 80178,A81000C,00100,0100,A 80178,A81000C,00100,0200,CVHS CORP 80178,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80178,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80178,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80178,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80178,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80178,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80178,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80178,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80178,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80178,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80178,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80178,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80178,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80178,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80178,S000000,00100,0200,05/26/2000 80178,S200000,00100,0100,6070 W. PICO BOULEVARD 80178,S200000,00200,0100,LOS ANGELES 80178,S200000,00200,0200,CA 80178,S200000,00200,0300,90035- 80178,S200000,00300,0100,LOS ANGELES 80178,S200000,00400,0100,COUNTRY VILLA TERRACE 80178,S200000,00400,0200,055119 80178,S200000,00400,0300,01/01/1969 80178,S200000,00400,0500,P 80178,S200000,00600,0200,055119 80178,S200000,00600,0300,01/01/1969 80178,S200000,00600,0600,P 80178,S200000,01600,0100,Y 80178,S200000,02200,0100,Y 80178,S700003,00000,0100,1 80186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80186,A000000,00300,0000,00300EMPLOYEE BENEFITS 80186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80186,A000000,00700,0000,00700HOUSEKEEPING 80186,A000000,00800,0000,00800DIETARY 80186,A000000,00900,0000,00900NURSING ADMINISTRATION 80186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80186,A000000,01300,0000,01300SOCIAL SERVICE 80186,A000000,01301,0000,01301ACTIVITIES 80186,A000000,01350,0000,01500REHAB 80186,A000000,01600,0000,01600SKILLED NURSING FACILITY 80186,A000000,01800,0000,01800NURSING FACILITY 80186,A000000,01900,0000,01900OTHER LONG TERM CARE 80186,A000000,02100,0000,02100RADIOLOGY 80186,A000000,02200,0000,02200LABORATORY 80186,A000000,02300,0000,02300INTRAVENOUS THERAPY 80186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80186,A000000,02500,0000,02500PHYSICAL THERAPY 80186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80186,A000000,02700,0000,02700SPEECH PATHOLOGY 80186,A000000,02800,0000,02800ELECTROCARDIOLOGY 80186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80186,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80186,A000000,03051,0000,03301PEN THERAPY 80186,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80186,A000000,03200,0000,03200SUPPORT SURFACES 80186,A000000,03400,0000,03400CLINIC 80186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80186,A000000,04800,0000,04800AMBULANCE 80186,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80186,A000000,05000,0000,05000CORF 80186,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80186,A000000,05300,0000,05300INTEREST EXPENSE 80186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80186,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80186,A000000,05500,0000,05500HOSPICE 80186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80186,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80186,A000000,06100,0000,06100NONPAID WORKERS 80186,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80186,A000000,06200,0000,06200PATIENTS LAUNDRY 80186,A81000A,00100,0100,Y 80186,A81000B,00100,0300,HOME OFFICE ALLOCATION 80186,A81000B,00200,0300,CENTRAL SUPPLY 80186,A81000B,00300,0300,MEDICAL SUPPLIES 80186,A81000B,00400,0300,PT 80186,A81000B,00500,0300,OT 80186,A81000B,00600,0300,ST 80186,A81000C,00100,0100,B 80186,A81000C,00100,0200,FLAGSHIP 10468 80186,A81000C,00100,0400,MARINER POST AC 80186,A81000C,00100,0600,NURSING HOMES 80186,A81000C,00200,0100,G 80186,A81000C,00200,0200,MARINER POST AC 80186,A81000C,00200,0400,AMERICAN PHARMA 80186,A81000C,00200,0600,PHARMACEUTICALS 80186,A81000C,00300,0100,G 80186,A81000C,00300,0200,MARINER POST AC 80186,A81000C,00300,0400,PRISM (ATS ARS 80186,A81000C,00300,0600,THERAPIES 80186,A81000C,03100,0000,MARINER POST ACUTE NETWORK 80186,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80186,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80186,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80186,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80186,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80186,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80186,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80186,B100000,00000,0800,00000MEALS SERVED :DIETARY 80186,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80186,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80186,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80186,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80186,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80186,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 80186,S000000,00100,0200,06/05/2000 80186,S200000,00100,0100,466 FLAGSHIP RD 80186,S200000,00200,0100,NEWPORT BEACH 80186,S200000,00200,0200,CA 80186,S200000,00200,0300,92663- 80186,S200000,00300,0100,ORANGE 80186,S200000,00400,0100,FLAGSHIP HEALTHCARE CENTER 80186,S200000,00400,0200,055121 80186,S200000,00400,0300,01/01/1980 80186,S200000,00400,0500,P 80196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80196,A000000,00300,0000,00300EMPLOYEE BENEFITS 80196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80196,A000000,00700,0000,00700HOUSEKEEPING 80196,A000000,00800,0000,00800DIETARY 80196,A000000,00900,0000,00900NURSING ADMINISTRATION 80196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80196,A000000,01100,0000,01100PHARMACY 80196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80196,A000000,01300,0000,01300SOCIAL SERVICE 80196,A000000,01350,0000,01500OTHER GENERAL SERVICES 80196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80196,A000000,01600,0000,01600SKILLED NURSING FACILITY 80196,A000000,01800,0000,01800NURSING FACILITY 80196,A000000,01900,0000,01900OTHER LONG TERM CARE 80196,A000000,02100,0000,02100RADIOLOGY 80196,A000000,02200,0000,02200LABORATORY 80196,A000000,02300,0000,02300INTRAVENOUS THERAPY 80196,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80196,A000000,02500,0000,02500PHYSICAL THERAPY 80196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80196,A000000,02700,0000,02700SPEECH PATHOLOGY 80196,A000000,02800,0000,02800ELECTROCARDIOLOGY 80196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80196,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80196,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80196,A000000,03200,0000,03200SUPPORT SURFACES 80196,A000000,03400,0000,03400CLINIC 80196,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80196,A000000,03500,0000,03500RURAL HEALTH CLINIC 80196,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80196,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80196,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80196,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80196,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80196,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80196,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80196,A000000,04400,0000,04400DME RENTED - HHA 80196,A000000,04500,0000,04500DME SOLD - HHA 80196,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80196,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80196,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80196,A000000,04800,0000,04800AMBULANCE 80196,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80196,A000000,05000,0000,05000CORF 80196,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80196,A000000,05300,0000,05300INTEREST EXPENSE 80196,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80196,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80196,A000000,05500,0000,05500HOSPICE 80196,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80196,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80196,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80196,A000000,06100,0000,06100NONPAID WORKERS 80196,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80196,A000000,06200,0000,06200PATIENTS LAUNDRY 80196,A81000A,00100,0100,Y 80196,A81000B,00100,0300,MANAGEMENT FEES 80196,A81000B,00200,0300,HOME OFFICE-EQPT 80196,A81000B,00300,0300,HOME OFFICE COSTS 80196,A81000B,00400,0300,HOME OFFICE-INTEREST EXP 80196,A81000C,00100,0100,B 80196,A81000C,00100,0200,TIMBERLAKE-FORREST INC. 80196,A81000C,00100,0400,MISSION VILLA CONV. HOSPI 80196,A81000C,00100,0600,SNF 80196,A81000C,00200,0100,B 80196,A81000C,00200,0400,CALIFORNIA CONV. HOSPITAL 80196,A81000C,00200,0600,SNF 80196,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80196,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80196,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80196,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80196,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80196,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80196,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80196,B100000,00000,0800,00000MEALS SERVED :DIETARY 80196,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 80196,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80196,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80196,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80196,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80196,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80196,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80196,S000000,00100,0200,03/17/2000 80196,S200000,00100,0100,1133 S. VAN NESS AVENUE 80196,S200000,00200,0100,SAN FRANCISCO 80196,S200000,00200,0200,CA 80196,S200000,00200,0300,94110- 80196,S200000,00300,0100,SAN FRANCISCO 80196,S200000,00400,0100,SHEFFIELD CONVALESCENT HOSPITAL 80196,S200000,00400,0200,055132 80196,S200000,00400,0300,01/01/1967 80196,S200000,00400,0500,P 80196,S200000,01004,0500,O 80196,S200000,01500,0100,Y 80196,S700003,00000,0100,1 80202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80202,A000000,00300,0000,00300EMPLOYEE BENEFITS 80202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80202,A000000,00700,0000,00700HOUSEKEEPING 80202,A000000,00800,0000,00800DIETARY 80202,A000000,00900,0000,00900NURSING ADMINISTRATION 80202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80202,A000000,01100,0000,01100PHARMACY 80202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80202,A000000,01300,0000,01300SOCIAL SERVICE 80202,A000000,01350,0000,01500OTHER GENERAL SERVICES 80202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80202,A000000,01600,0000,01600SKILLED NURSING FACILITY 80202,A000000,01800,0000,01800NURSING FACILITY 80202,A000000,01900,0000,01900OTHER LONG TERM CARE 80202,A000000,02100,0000,02100RADIOLOGY 80202,A000000,02200,0000,02200LABORATORY 80202,A000000,02300,0000,02300INTRAVENOUS THERAPY 80202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80202,A000000,02500,0000,02500PHYSICAL THERAPY 80202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80202,A000000,02700,0000,02700SPEECH PATHOLOGY 80202,A000000,02800,0000,02800ELECTROCARDIOLOGY 80202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80202,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80202,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80202,A000000,03200,0000,03200SUPPORT SURFACES 80202,A000000,03400,0000,03400CLINIC 80202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80202,A000000,03500,0000,03500RURAL HEALTH CLINIC 80202,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80202,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80202,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80202,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80202,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80202,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80202,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80202,A000000,04400,0000,04400DME RENTED - HHA 80202,A000000,04500,0000,04500DME SOLD - HHA 80202,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80202,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80202,A000000,04800,0000,04800AMBULANCE 80202,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80202,A000000,05000,0000,05000CORF 80202,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80202,A000000,05300,0000,05300INTEREST EXPENSE 80202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80202,A000000,05500,0000,05500HOSPICE 80202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80202,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80202,A000000,06100,0000,06100NONPAID WORKERS 80202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80202,A000000,06200,0000,06200PATIENTS LAUNDRY 80202,A81000A,00100,0100,Y 80202,A81000B,00100,0300,MANAGEMENT FEE 80202,A81000C,00100,0100,F 80202,A81000C,00100,0200,J. & D. SORNSEN D. LAWS 80202,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 80202,A81000C,00100,0600,MANAGEMENT 80202,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80202,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 80202,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80202,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80202,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80202,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80202,B100000,00000,0800,00000MEALS SERVED :DIETARY 80202,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 80202,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 80202,B100000,00000,1150,00000NO STATISTICS :PHARMACY 80202,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80202,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80202,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80202,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80202,E10A180,00301,0100,07/01/1998 80202,S000000,00100,0200,05/05/2000 80202,S200000,00100,0100,11900 RAMONA BLVD. 80202,S200000,00200,0100,EL MONTE 80202,S200000,00200,0200,CA 80202,S200000,00200,0300,91732- 80202,S200000,00300,0100,LOS ANGELES 80202,S200000,00400,0100,RAMONA CARE CENTER 80202,S200000,00400,0200,055141 80202,S200000,00400,0300,01/01/1990 80202,S200000,00400,0500,P 80202,S200000,00600,0200,055141 80202,S200000,00600,0300,01/01/1990 80202,S200000,00600,0600,P 80202,S200000,01600,0100,Y 80202,S200000,02200,0100,Y 80202,S700003,00000,0100,1 80210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80210,A000000,00700,0000,00700HOUSEKEEPING 80210,A000000,00800,0000,00800DIETARY 80210,A000000,00900,0000,00900NURSING ADMINISTRATION 80210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80210,A000000,01300,0000,01300SOCIAL SERVICE 80210,A000000,01600,0000,01600SKILLED NURSING FACILITY 80210,A000000,01800,0000,01800NURSING FACILITY 80210,A000000,02100,0000,02100RADIOLOGY 80210,A000000,02200,0000,02200LABORATORY 80210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80210,A000000,02500,0000,02500PHYSICAL THERAPY 80210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80210,A000000,02700,0000,02700SPEECH PATHOLOGY 80210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80210,A000000,03050,0000,03300REHABILITATION MANAGEMENT 80210,A000000,05300,0000,05300INTEREST EXPENSE 80210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80210,A81000A,00100,0100,Y 80210,A81000B,00100,0300,FACILITY LEASE 80210,A81000B,00200,0300,MANAGEMENT FEES 80210,A81000B,00300,0300,HOME OFFICE BUILDING 80210,A81000B,00400,0300,HOME OFFICE EQUIPMENT 80210,A81000C,00100,0100,G 80210,A81000C,00100,0200,ONE CORPORATION 80210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80210,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80210,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80210,B100000,00000,0800,00000MEALS SERVED :DIETARY 80210,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80210,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80210,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80210,S000000,00100,0200,05/25/2000 80210,S200000,00100,0100,517 SOUTH A STREET 80210,S200000,00200,0100,MADERA 80210,S200000,00200,0200,CA 80210,S200000,00200,0300,93638- 80210,S200000,00300,0100,MADERA 80210,S200000,00400,0100,MADERA REHAB & CONVALESCENT CENTER 80210,S200000,00400,0200,055147 80210,S200000,00400,0300,07/01/1966 80210,S200000,00400,0500,P 80210,S200000,01500,0100,Y 80210,S700003,00000,0100,1 80220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80220,A000000,00300,0000,00300EMPLOYEE BENEFITS 80220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80220,A000000,00700,0000,00700HOUSEKEEPING 80220,A000000,00800,0000,00800DIETARY 80220,A000000,00900,0000,00900NURSING ADMINISTRATION 80220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80220,A000000,01300,0000,01300SOCIAL SERVICE 80220,A000000,01600,0000,01600SKILLED NURSING FACILITY 80220,A000000,01800,0000,01800NURSING FACILITY 80220,A000000,01900,0000,01900OTHER LONG TERM CARE 80220,A000000,02100,0000,02100RADIOLOGY 80220,A000000,02200,0000,02200LABORATORY 80220,A000000,02300,0000,02300INTRAVENOUS THERAPY 80220,A000000,02500,0000,02500PHYSICAL THERAPY 80220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80220,A000000,02700,0000,02700SPEECH PATHOLOGY 80220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80220,A000000,03200,0000,03200SUPPORT SURFACES 80220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80220,A81000A,00100,0100,Y 80220,A81000B,00100,0300,MANAGEMENT FEES 80220,A81000B,00200,0300,HOME OFFICE - BUILDING 80220,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 80220,A81000B,00400,0300,PHYSICAL THERAPY 80220,A81000B,00500,0300,OCCUPATIONAL THERAPY 80220,A81000B,00600,0300,SPEECH THERAPY 80220,A81000B,00700,0300,MEDICAL SUPPLIES 80220,A81000B,00800,0300,CDP MEDICAL SUPPLIES 80220,A81000B,00900,0300,SCU MEDICAL SUPPLIES 80220,A81000B,01000,0300,IV THERAPY 80220,A81000B,01100,0300,ENTERAL FEEDINGS 80220,A81000B,01200,0300,PHARMACY 80220,A81000B,01300,0300,BUILDING LEASE 80220,A81000C,00100,0100,B 80220,A81000C,00100,0200,FOUNTAIN VIEW INC. 80220,A81000C,00100,0400,MONTEBELLO CONV. HOSPITAL 80220,A81000C,00100,0600,SNF 80220,A81000C,00200,0100,B 80220,A81000C,00200,0200,FOUNTAIN VIEW INC. 80220,A81000C,00200,0400,LOCOMOTION 80220,A81000C,00200,0600,THERAPY COMPANY 80220,A81000C,00300,0100,B 80220,A81000C,00300,0200,FOUNTAIN VIEW INC. 80220,A81000C,00300,0400,I N O 80220,A81000C,00300,0600,MEDICAL SUPPLIES 80220,A81000C,00400,0100,B 80220,A81000C,00400,0200,FOUNTAIN VIEW INC. 80220,A81000C,00400,0400,SKILLED CARE PHARMACY 80220,A81000C,00400,0600,PHARMACY 80220,A81000C,00500,0100,A 80220,A81000C,00500,0200,ROBERT & SHEILA SNUKAL 80220,A81000C,00500,0400,GRANVIEW REALTY 80220,A81000C,00500,0600,BUILDING MANAGEMENT 80220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80220,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80220,B100000,00000,0800,00000MEALS SERVED :DIETARY 80220,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80220,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80220,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80220,S000000,00100,0200,06/01/2000 80220,S200000,00100,0100,1035 BEVERLY BLVD. 80220,S200000,00200,0100,MONTEBELLO 80220,S200000,00200,0200,CA 80220,S200000,00200,0300,90640- 80220,S200000,00300,0100,LOS ANGELES 80220,S200000,00400,0100,MONTEBELLO CONVALESCENT HOSPITAL 80220,S200000,00400,0200,055153 80220,S200000,00400,0300,06/01/1990 80220,S200000,00400,0500,P 80220,S200000,00400,0600,O 80220,S200000,00600,0200,055153 80220,S200000,00600,0300,06/01/1990 80220,S200000,00600,0600,P 80220,S200000,01600,0100,Y 80220,S700003,00000,0100,1 80231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80231,A000000,00300,0000,00300EMPLOYEE BENEFITS 80231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80231,A000000,00700,0000,00700HOUSEKEEPING 80231,A000000,00800,0000,00800DIETARY 80231,A000000,00900,0000,00900NURSING ADMINISTRATION 80231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80231,A000000,01100,0000,01100PHARMACY 80231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80231,A000000,01300,0000,01300SOCIAL SERVICE 80231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80231,A000000,01600,0000,01600SKILLED NURSING FACILITY 80231,A000000,02100,0000,02100RADIOLOGY 80231,A000000,02200,0000,02200LABORATORY 80231,A000000,02500,0000,02500PHYSICAL THERAPY 80231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80231,A000000,02700,0000,02700SPEECH PATHOLOGY 80231,A000000,02800,0000,02800ELECTROCARDIOLOGY 80231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80231,A000000,06150,0000,06300RESIDENTIAL CARE 80231,A000000,06151,0000,06301MARKETING/ADVERTISING 80231,A81000A,00100,0100,Y 80231,A81000B,00100,0300,ADMIN & GEN-MGMT FEES 80231,A81000B,00200,0300,ADMIN-ACCOUNTING FEES 80231,A81000B,00300,0300,HOME OFFICE COSTS 80231,A81000C,00300,0100,B 80231,A81000C,00300,0400,E.H.F. 80231,A81000C,00300,0600,HEALTHCARE 80231,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 80231,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 80231,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 80231,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 80231,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 80231,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 80231,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 80231,B100000,00000,0800,00001MEALS SERVED :DIETARY 80231,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 80231,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 80231,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 80231,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 80231,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 80231,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 80231,S000000,00100,0200,09/05/2000 80231,S200000,00100,0100,100 BAY PLACE 80231,S200000,00200,0100,OAKLAND 80231,S200000,00200,0200,CA 80231,S200000,00200,0300,94610- 80231,S200000,00300,0100,ALAMEDA 80231,S200000,00400,0100,ST. PAULS TOWERS-SNF 80231,S200000,00400,0200,055156 80231,S200000,00400,0300,12/16/1966 80231,S200000,00400,0500,P 80231,S200000,01700,0100,Y 80231,S700003,00000,0100,1 80239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80239,A000000,00300,0000,00300EMPLOYEE BENEFITS 80239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80239,A000000,00700,0000,00700HOUSEKEEPING 80239,A000000,00800,0000,00800DIETARY 80239,A000000,00900,0000,00900NURSING ADMINISTRATION 80239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80239,A000000,01100,0000,01100PHARMACY 80239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80239,A000000,01300,0000,01300SOCIAL SERVICE 80239,A000000,01350,0000,01500OTHER GENERAL SERVICES 80239,A000000,01600,0000,01600SKILLED NURSING FACILITY 80239,A000000,01800,0000,01800NURSING FACILITY 80239,A000000,01900,0000,01900OTHER LONG TERM CARE 80239,A000000,02100,0000,02100RADIOLOGY 80239,A000000,02200,0000,02200LABORATORY 80239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80239,A000000,02500,0000,02500PHYSICAL THERAPY 80239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80239,A000000,02700,0000,02700SPEECH PATHOLOGY 80239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80239,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80239,A000000,04800,0000,04800AMBULANCE 80239,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80239,A81000A,00100,0100,Y 80239,A81000B,00100,0300,MANAGEMENT FEE 80239,A81000B,00200,0300,CAPITAL 80239,A81000B,00300,0300,DATA PROCESSING FEE 80239,A81000B,00400,0300,RESPIRATORY THERAPY 80239,A81000B,00500,0300,PHYSICAL THERAPY 80239,A81000B,00600,0300,OCCUPATIONAL THERAPY 80239,A81000B,00700,0300,SPEECH THERAPY 80239,A81000C,00100,0100,A 80239,A81000C,00100,0200,CVHS CORP 80239,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80239,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80239,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80239,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80239,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80239,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80239,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80239,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80239,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80239,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80239,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80239,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80239,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80239,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80239,E10A180,00350,0300,01/01/1999 80239,S000000,00100,0200,05/30/2000 80239,S200000,00100,0100,5916 W. PICO BOULEVARD 80239,S200000,00200,0100,LOS ANGELES 80239,S200000,00200,0200,CA 80239,S200000,00200,0300,90035- 80239,S200000,00300,0100,LOS ANGELES 80239,S200000,00400,0100,COUNTRY VILLA PAVILION 80239,S200000,00400,0200,055160 80239,S200000,00400,0300,01/01/1969 80239,S200000,00400,0500,P 80239,S200000,01600,0100,Y 80239,S200000,02200,0100,Y 80239,S700003,00000,0100,1 80248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80248,A000000,00300,0000,00300EMPLOYEE BENEFITS 80248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80248,A000000,00700,0000,00700HOUSEKEEPING 80248,A000000,00800,0000,00800DIETARY 80248,A000000,00900,0000,00900NURSING ADMINISTRATION 80248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80248,A000000,01300,0000,01300SOCIAL SERVICE 80248,A000000,01600,0000,01600SKILLED NURSING FACILITY 80248,A000000,01800,0000,01800NURSING FACILITY 80248,A000000,02100,0000,02100RADIOLOGY 80248,A000000,02200,0000,02200LABORATORY 80248,A000000,02300,0000,02300INTRAVENOUS THERAPY 80248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80248,A000000,02500,0000,02500PHYSICAL THERAPY 80248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80248,A000000,02700,0000,02700SPEECH PATHOLOGY 80248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80248,A000000,03200,0000,03200SUPPORT SURFACES 80248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80248,A81000A,00100,0100,Y 80248,A81000B,00100,0300,MANAGEMENT FEES 80248,A81000B,00200,0300,HOME OFFICE - BUILDING 80248,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 80248,A81000B,00400,0300,RESPIRATORY THERAPY 80248,A81000B,00500,0300,PHYSICAL THERAPY 80248,A81000B,00600,0300,OCCUPATIONAL THERAPY 80248,A81000B,00700,0300,SPEECH THERAPY 80248,A81000B,00800,0300,CDP MEDICAL SUPPLIES 80248,A81000B,00900,0300,SCU MEDICAL SUPPLIES 80248,A81000B,01000,0300,IV THERAPY 80248,A81000B,01100,0300,MEDICAL SUPPLIES 80248,A81000B,01200,0300,ENTERAL SUPPLIES 80248,A81000B,01300,0300,PHARMACY 80248,A81000B,01400,0300,BUILDING - RENT 80248,A81000C,00100,0100,B 80248,A81000C,00100,0200,FOUNTAIN VIEW INC. 80248,A81000C,00100,0400,SYCAMORE PARK CONV. HOSP. 80248,A81000C,00100,0600,SNF 80248,A81000C,00200,0100,B 80248,A81000C,00200,0200,FOUNTAIN VIEW INC. 80248,A81000C,00200,0400,LOCOMOTION 80248,A81000C,00200,0600,THERAPY COMPANY 80248,A81000C,00300,0100,B 80248,A81000C,00300,0200,FOUNTAIN VIEW INC. 80248,A81000C,00300,0400,I N O 80248,A81000C,00300,0600,MEDICAL SUPPLIES 80248,A81000C,00400,0100,B 80248,A81000C,00400,0200,FOUNTAIN VIEW INC. 80248,A81000C,00400,0400,SKILLED CARE PHARMACY 80248,A81000C,00400,0600,PHARMACY 80248,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80248,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80248,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80248,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80248,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80248,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80248,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80248,B100000,00000,0800,00000MEALS SERVED :DIETARY 80248,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80248,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80248,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80248,S000000,00100,0200,06/01/2000 80248,S200000,00100,0100,4585 N. FIGUEROA 80248,S200000,00200,0100,LOS ANGELES 80248,S200000,00200,0200,CA 80248,S200000,00200,0300,90065- 80248,S200000,00300,0100,LOS ANGELES 80248,S200000,00400,0100,SYCAMORE PARK CONVALESCENT HOSPITAL 80248,S200000,00400,0200,055163 80248,S200000,00400,0300,07/01/1985 80248,S200000,00400,0500,P 80248,S200000,00400,0600,O 80248,S200000,00600,0200,055163 80248,S200000,00600,0300,07/01/1985 80248,S200000,00600,0600,P 80248,S200000,01600,0100,Y 80248,S700003,00000,0100,1 80255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80255,A000000,00300,0000,00300EMPLOYEE BENEFITS 80255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80255,A000000,00700,0000,00700HOUSEKEEPING 80255,A000000,00800,0000,00800DIETARY 80255,A000000,00900,0000,00900NURSING ADMINISTRATION 80255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80255,A000000,01100,0000,01100PHARMACY 80255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80255,A000000,01300,0000,01300SOCIAL SERVICE 80255,A000000,01350,0000,01500OTHER GENERAL SERVICES 80255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80255,A000000,01600,0000,01600SKILLED NURSING FACILITY 80255,A000000,01800,0000,01800NURSING FACILITY 80255,A000000,01810,0000,01801ICF/MR 80255,A000000,01900,0000,01900OTHER LONG TERM CARE 80255,A000000,02100,0000,02100RADIOLOGY 80255,A000000,02200,0000,02200LABORATORY 80255,A000000,02300,0000,02300INTRAVENOUS THERAPY 80255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80255,A000000,02500,0000,02500PHYSICAL THERAPY 80255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80255,A000000,02700,0000,02700SPEECH PATHOLOGY 80255,A000000,02800,0000,02800ELECTROCARDIOLOGY 80255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80255,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80255,A000000,03200,0000,03200SUPPORT SURFACES 80255,A000000,03400,0000,03400CLINIC 80255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80255,A000000,03500,0000,03500RURAL HEALTH CLINIC 80255,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80255,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80255,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80255,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80255,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80255,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80255,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80255,A000000,04400,0000,04400DME RENTED - HHA 80255,A000000,04500,0000,04500DME SOLD - HHA 80255,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80255,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80255,A000000,04800,0000,04800AMBULANCE 80255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80255,A000000,05000,0000,05000CORF 80255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80255,A000000,05300,0000,05300INTEREST EXPENSE 80255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80255,A000000,05500,0000,05500HOSPICE 80255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80255,A000000,06100,0000,06100NONPAID WORKERS 80255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80255,A000000,06200,0000,06200PATIENTS LAUNDRY 80255,A81000A,00100,0100,Y 80255,A81000B,00100,0300,FACILITY LEASE 80255,A81000B,00200,0300,DEPRECIATION 80255,A81000B,00300,0300,INTEREST 80255,A81000B,00400,0300,HOME OFFICE COSTS 80255,A81000C,00100,0100,A 80255,A81000C,00100,0200,JACK MARKOVITZ 80255,A81000C,00100,0400,JK HEALTH CARE MGMT 80255,A81000C,00100,0600,LESSOR/HOME OFFICE 80255,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80255,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80255,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80255,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80255,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80255,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80255,B100000,00000,0800,00000MEALS SERVED :DIETARY 80255,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 80255,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80255,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80255,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80255,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80255,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80255,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80255,S000000,00100,0200,06/05/2000 80255,S200000,00100,0100,1037 W. VERNON AVENUE 80255,S200000,00200,0100,LOS ANGELES 80255,S200000,00200,0200,CA 80255,S200000,00200,0300,90037- 80255,S200000,00300,0100,LOS ANGELES 80255,S200000,00400,0100,VERNON CONVALESCENT HOSPITAL 80255,S200000,00400,0200,055167 80255,S200000,00400,0300,01/01/1967 80255,S200000,00400,0500,P 80255,S200000,01600,0100,Y 80255,S700003,00000,0100,1 80264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80264,A000000,00300,0000,00300EMPLOYEE BENEFITS 80264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80264,A000000,00700,0000,00700HOUSEKEEPING 80264,A000000,00800,0000,00800DIETARY 80264,A000000,00900,0000,00900NURSING ADMINISTRATION 80264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80264,A000000,01100,0000,01100PHARMACY 80264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80264,A000000,01300,0000,01300SOCIAL SERVICE 80264,A000000,01350,0000,01500OTHER GENERAL SERVICES 80264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80264,A000000,01600,0000,01600SKILLED NURSING FACILITY 80264,A000000,01800,0000,01800NURSING FACILITY 80264,A000000,01900,0000,01900OTHER LONG TERM CARE 80264,A000000,02100,0000,02100RADIOLOGY 80264,A000000,02200,0000,02200LABORATORY 80264,A000000,02300,0000,02300INTRAVENOUS THERAPY 80264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80264,A000000,02500,0000,02500PHYSICAL THERAPY 80264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80264,A000000,02700,0000,02700SPEECH PATHOLOGY 80264,A000000,02800,0000,02800ELECTROCARDIOLOGY 80264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80264,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80264,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80264,A000000,03200,0000,03200SUPPORT SURFACES 80264,A000000,03400,0000,03400CLINIC 80264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80264,A000000,03500,0000,03500RURAL HEALTH CLINIC 80264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80264,A000000,04800,0000,04800AMBULANCE 80264,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80264,A000000,05000,0000,05000CORF 80264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80264,A000000,05300,0000,05300INTEREST EXPENSE 80264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80264,A000000,06100,0000,06100NONPAID WORKERS 80264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80264,A000000,06200,0000,06200PATIENTS LAUNDRY 80264,A81000A,00100,0100,Y 80264,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80264,A81000C,00100,0100,B 80264,A81000C,00100,0200,CALLAWAY ENTERPRISES 80264,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80264,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80264,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80264,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80264,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80264,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80264,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80264,B100000,00000,0950,00000COSTED REQUIS. :NURSING ADMINISTRA 80264,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80264,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80264,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80264,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80264,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80264,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80264,S000000,00100,0200,06/02/2000 80264,S200000,00100,0100,510 MILL STREET 80264,S200000,00200,0100,FOLSOM 80264,S200000,00200,0200,CA 80264,S200000,00200,0300,95630- 80264,S200000,00300,0100,SACRAMENTO 80264,S200000,00400,0100,FOLSOM CONVALESCENT HOSPITAL 80264,S200000,00400,0200,055173 80264,S200000,00400,0300,01/01/1967 80264,S200000,00400,0500,P 80264,S200000,01600,0100,Y 80264,S700003,00000,0100,1 80285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80285,A000000,00300,0000,00300EMPLOYEE BENEFITS 80285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80285,A000000,00700,0000,00700HOUSEKEEPING 80285,A000000,00800,0000,00800DIETARY 80285,A000000,00900,0000,00900NURSING ADMINISTRATION 80285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80285,A000000,01300,0000,01300SOCIAL SERVICE 80285,A000000,01600,0000,01600SKILLED NURSING FACILITY 80285,A000000,01900,0000,01900OTHER LONG TERM CARE 80285,A000000,02100,0000,02100RADIOLOGY 80285,A000000,02200,0000,02200LABORATORY 80285,A000000,02300,0000,02300INTRAVENOUS THERAPY 80285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80285,A000000,02500,0000,02500PHYSICAL THERAPY 80285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80285,A000000,02700,0000,02700SPEECH PATHOLOGY 80285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80285,A000000,03200,0000,03200SUPPORT SURFACES 80285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80285,A81000A,00100,0100,Y 80285,A81000B,00100,0300,MANAGEMENT FEE 80285,A81000B,00200,0300,BUILDING LEASE 80285,A81000B,00300,0300,PARKING LOT 80285,A81000B,00400,0300,LEASEHOLD IMPROVEMENTS 80285,A81000C,00100,0100,A 80285,A81000C,00100,0200,EVERETT GOINGS 80285,A81000C,00100,0400,PROGRESSIVE HEALTH CARE 80285,A81000C,00100,0600,MANAGEMENT COMPANY 80285,A81000C,00200,0100,A 80285,A81000C,00200,0200,GREGORY GOINGS 80285,A81000C,00200,0400,PROGRESSIVE HEALTH CARE 80285,A81000C,00200,0600,MANAGEMENT COMPANY 80285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80285,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80285,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80285,B100000,00000,0800,00000MEALS SERVED :DIETARY 80285,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80285,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80285,S000000,00100,0200,12/04/2000 80285,S200000,00100,0100,25271 BARTON ROAD 80285,S200000,00200,0100,LOMA LINDA 80285,S200000,00200,0200,CA 80285,S200000,00200,0300,91786- 80285,S200000,00300,0100,SAN BERNARDINO 80285,S200000,00300,0200,6780 80285,S200000,00300,0300,U 80285,S200000,00400,0100,HERITAGE GARDENS NURSING HOME 80285,S200000,00400,0200,055183 80285,S200000,00400,0300,07/01/1975 80285,S200000,00400,0500,P 80285,S200000,00400,0600,O 80285,S200000,00600,0200,055183 80285,S200000,00600,0300,07/01/1975 80285,S200000,00600,0600,P 80285,S200000,01600,0100,Y 80292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80292,A000000,00300,0000,00300EMPLOYEE BENEFITS 80292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80292,A000000,00700,0000,00700HOUSEKEEPING 80292,A000000,00800,0000,00800DIETARY 80292,A000000,00900,0000,00900NURSING ADMINISTRATION 80292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80292,A000000,01100,0000,01100PHARMACY 80292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80292,A000000,01300,0000,01300SOCIAL SERVICE 80292,A000000,01301,0000,01301ACTIVITIES 80292,A000000,01350,0000,01500OTHER GENERAL SERVICES 80292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80292,A000000,01600,0000,01600SKILLED NURSING FACILITY 80292,A000000,01800,0000,01800NURSING FACILITY 80292,A000000,01900,0000,01900OTHER LONG TERM CARE 80292,A000000,02100,0000,02100RADIOLOGY 80292,A000000,02200,0000,02200LABORATORY 80292,A000000,02300,0000,02300INTRAVENOUS THERAPY 80292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80292,A000000,02500,0000,02500PHYSICAL THERAPY 80292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80292,A000000,02700,0000,02700SPEECH PATHOLOGY 80292,A000000,02800,0000,02800ELECTROCARDIOLOGY 80292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80292,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80292,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80292,A000000,03200,0000,03200SUPPORT SURFACES 80292,A000000,03400,0000,03400CLINIC 80292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80292,A000000,03500,0000,03500RURAL HEALTH CLINIC 80292,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80292,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80292,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80292,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80292,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80292,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80292,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80292,A000000,04400,0000,04400DME RENTED - HHA 80292,A000000,04500,0000,04500DME SOLD - HHA 80292,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80292,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80292,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80292,A000000,04800,0000,04800AMBULANCE 80292,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80292,A000000,05000,0000,05000CORF 80292,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80292,A000000,05300,0000,05300INTEREST EXPENSE 80292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80292,A000000,05500,0000,05500HOSPICE 80292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80292,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80292,A000000,06100,0000,06100NONPAID WORKERS 80292,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80292,A000000,06200,0000,06200PATIENTS LAUNDRY 80292,A81000A,00100,0100,Y 80292,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80292,A81000B,00200,0300,CAPITAL 80292,A81000C,00100,0100,A 80292,A81000C,00100,0200,THOMAS M &LINDA M CLARKE 80292,A81000C,00100,0400,LENOX HEALTHCARE INC. 80292,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80292,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80292,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80292,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80292,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80292,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80292,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80292,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80292,B100000,00000,0900,00000DIRECTNRSI ING HOURS :NURSING ADMIN 80292,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 80292,B100000,00000,1150,00000NO STATISTICS :PHARMACY 80292,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80292,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80292,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80292,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80292,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80292,S000000,00100,0200,03/02/2000 80292,S200000,00100,0100,1310 WEST GRANGER AVENUE 80292,S200000,00200,0100,MODESTO 80292,S200000,00200,0200,CA 80292,S200000,00200,0300,95350- 80292,S200000,00300,0100,STANISLAUS 80292,S200000,00400,0100,ARBOR VALLEY NURSING & REHAB 80292,S200000,00400,0200,055185 80292,S200000,00400,0300,12/01/1983 80292,S200000,00400,0500,P 80292,S200000,01600,0100,Y 80292,S700003,00000,0100,1 80298,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80298,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80298,A000000,00300,0000,00300EMPLOYEE BENEFITS 80298,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80298,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80298,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80298,A000000,00700,0000,00700HOUSEKEEPING 80298,A000000,00800,0000,00800DIETARY 80298,A000000,00900,0000,00900NURSING ADMINISTRATION 80298,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80298,A000000,01100,0000,01100PHARMACY 80298,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80298,A000000,01300,0000,01300SOCIAL SERVICE 80298,A000000,01350,0000,01500OTHER GENERAL SERVICES 80298,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80298,A000000,01600,0000,01600SKILLED NURSING FACILITY 80298,A000000,01800,0000,01800NURSING FACILITY 80298,A000000,01900,0000,01900OTHER LONG TERM CARE 80298,A000000,02100,0000,02100RADIOLOGY 80298,A000000,02200,0000,02200LABORATORY 80298,A000000,02300,0000,02300INTRAVENOUS THERAPY 80298,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80298,A000000,02500,0000,02500PHYSICAL THERAPY 80298,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80298,A000000,02700,0000,02700SPEECH PATHOLOGY 80298,A000000,02800,0000,02800ELECTROCARDIOLOGY 80298,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80298,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80298,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80298,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80298,A000000,03200,0000,03200SUPPORT SURFACES 80298,A000000,03400,0000,03400CLINIC 80298,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80298,A000000,03500,0000,03500RURAL HEALTH CLINIC 80298,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80298,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80298,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80298,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80298,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80298,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80298,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80298,A000000,04400,0000,04400DME RENTED - HHA 80298,A000000,04500,0000,04500DME SOLD - HHA 80298,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80298,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80298,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80298,A000000,04800,0000,04800AMBULANCE 80298,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80298,A000000,05000,0000,05000CORF 80298,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80298,A000000,05300,0000,05300INTEREST EXPENSE 80298,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80298,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80298,A000000,05500,0000,05500HOSPICE 80298,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80298,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80298,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80298,A000000,06100,0000,06100NONPAID WORKERS 80298,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80298,A000000,06200,0000,06200PATIENTS LAUNDRY 80298,A81000A,00100,0100,Y 80298,A81000B,00100,0300,MANAGEMENT FEE 80298,A81000C,00100,0100,F 80298,A81000C,00100,0200,J & D SORENSEN D. LAWS 80298,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 80298,A81000C,00100,0600,MANAGEMENT 80298,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80298,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 80298,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80298,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80298,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80298,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80298,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80298,B100000,00000,0800,00000MEALS SERVED :DIETARY 80298,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 80298,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 80298,B100000,00000,1150,00000NO STATISTICS :PHARMACY 80298,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80298,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80298,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80298,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80298,E10A180,00301,0100,07/01/1998 80298,S000000,00100,0200,05/08/2000 80298,S200000,00100,0100,14475 GARDEN VIEW LANE 80298,S200000,00200,0100,BALDWIN PARK 80298,S200000,00200,0200,CA 80298,S200000,00200,0300,91706- 80298,S200000,00300,0100,LOS ANGELES 80298,S200000,00400,0100,GARDEN VIEW CARE CENTER 80298,S200000,00400,0200,055187 80298,S200000,00400,0300,01/01/1990 80298,S200000,00400,0500,P 80298,S200000,00600,0200,055187 80298,S200000,00600,0300,01/01/1990 80298,S200000,00600,0600,P 80298,S200000,01600,0100,Y 80298,S200000,02200,0100,Y 80298,S700003,00000,0100,1 80306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80306,A000000,00300,0000,00300EMPLOYEE BENEFITS 80306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80306,A000000,00700,0000,00700HOUSEKEEPING 80306,A000000,00800,0000,00800DIETARY 80306,A000000,00900,0000,00900NURSING ADMINISTRATION 80306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80306,A000000,01100,0000,01100PHARMACY 80306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80306,A000000,01300,0000,01300SOCIAL SERVICE 80306,A000000,01350,0000,01500OTHER GENERAL SERVICES 80306,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80306,A000000,01600,0000,01600SKILLED NURSING FACILITY 80306,A000000,01800,0000,01800NURSING FACILITY 80306,A000000,01810,0000,01801ICF/MR 80306,A000000,01900,0000,01900OTHER LONG TERM CARE 80306,A000000,02100,0000,02100RADIOLOGY 80306,A000000,02200,0000,02200LABORATORY 80306,A000000,02300,0000,02300INTRAVENOUS THERAPY 80306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80306,A000000,02500,0000,02500PHYSICAL THERAPY 80306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80306,A000000,02700,0000,02700SPEECH PATHOLOGY 80306,A000000,02800,0000,02800ELECTROCARDIOLOGY 80306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80306,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80306,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80306,A000000,03200,0000,03200SUPPORT SURFACES 80306,A000000,03400,0000,03400CLINIC 80306,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80306,A000000,03500,0000,03500RURAL HEALTH CLINIC 80306,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80306,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80306,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80306,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80306,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80306,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80306,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80306,A000000,04400,0000,04400DME RENTED - HHA 80306,A000000,04500,0000,04500DME SOLD - HHA 80306,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80306,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80306,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80306,A000000,04800,0000,04800AMBULANCE 80306,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80306,A000000,05000,0000,05000CORF 80306,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80306,A000000,05300,0000,05300INTEREST EXPENSE 80306,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80306,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80306,A000000,05500,0000,05500HOSPICE 80306,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80306,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80306,A000000,06100,0000,06100NONPAID WORKERS 80306,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80306,A000000,06200,0000,06200PATIENTS LAUNDRY 80306,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80306,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80306,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80306,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80306,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80306,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80306,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80306,B100000,00000,0800,00000MEALS SERVED :DIETARY 80306,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80306,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80306,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80306,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80306,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80306,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80306,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80306,S000000,00100,0200,05/25/2000 80306,S200000,00100,0100,2620 FLORES STREET 80306,S200000,00200,0100,SAN MATEO 80306,S200000,00200,0200,CA 80306,S200000,00200,0300,94403- 80306,S200000,00300,0100,SAN MATEO 80306,S200000,00400,0100,BROOKSIDE SKILLED NURSING HOSPITAL 80306,S200000,00400,0200,055188 80306,S200000,00400,0300,01/01/1978 80306,S200000,00400,0500,P 80306,S200000,01500,0100,Y 80306,S700003,00000,0100,1 80315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80315,A000000,00300,0000,00300EMPLOYEE BENEFITS 80315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80315,A000000,00700,0000,00700HOUSEKEEPING 80315,A000000,00800,0000,00800DIETARY 80315,A000000,00900,0000,00900NURSING ADMINISTRATION 80315,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80315,A000000,01100,0000,01100PHARMACY 80315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80315,A000000,01300,0000,01300SOCIAL SERVICE 80315,A000000,01350,0000,01500OTHER GENERAL SERVICES 80315,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80315,A000000,01600,0000,01600SKILLED NURSING FACILITY 80315,A000000,01800,0000,01800NURSING FACILITY 80315,A000000,01810,0000,01810ICF/MR 80315,A000000,01900,0000,01900OTHER LONG TERM CARE 80315,A000000,02100,0000,02100RADIOLOGY 80315,A000000,02200,0000,02200LABORATORY 80315,A000000,02300,0000,02300INTRAVENOUS THERAPY 80315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80315,A000000,02500,0000,02500PHYSICAL THERAPY 80315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80315,A000000,02700,0000,02700SPEECH PATHOLOGY 80315,A000000,02800,0000,02800ELECTROCARDIOLOGY 80315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80315,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80315,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80315,A000000,03200,0000,03200SUPPORT SURFACES 80315,A000000,03400,0000,03400CLINIC 80315,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80315,A000000,03500,0000,03500RURAL HEALTH CLINIC 80315,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80315,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80315,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80315,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80315,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80315,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80315,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80315,A000000,04400,0000,04400DME RENTED - HHA 80315,A000000,04500,0000,04500DME SOLD - HHA 80315,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80315,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80315,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80315,A000000,04800,0000,04800AMBULANCE 80315,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80315,A000000,05000,0000,05000CORF 80315,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80315,A000000,05300,0000,05300INTEREST EXPENSE 80315,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80315,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80315,A000000,05500,0000,05500HOSPICE 80315,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80315,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80315,A000000,06100,0000,06100NONPAID WORKERS 80315,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80315,A000000,06200,0000,06200PATIENTS LAUNDRY 80315,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80315,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80315,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80315,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80315,B100000,00000,0650,00000USAGE PERCENT :LAUNDRY & LINEN SER 80315,B100000,00000,0750,00000USAGE PERCENT :HOUSEKEEPING 80315,B100000,00000,0850,00000SQUARE FEET :DIETARY 80315,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 80315,B100000,00000,1330,00000SQUARE FEET :SOCIAL SERVICE 80315,B100000,00000,1350,00000USAGE PERCENT :OTHER GENERAL SERVI 80315,S000000,00100,0200,11/27/2000 80315,S200000,00100,0100,10664 ST. JAMES DRIVE 80315,S200000,00200,0100,CULVER CITY 80315,S200000,00200,0200,CA 80315,S200000,00200,0300,90230-5498 80315,S200000,00300,0100,LOS ANGELES 80315,S200000,00300,0200,4480 80315,S200000,00300,0300,U 80315,S200000,00400,0100,MARYCREST MANOR 80315,S200000,00400,0200,055196 80315,S200000,00400,0300,01/01/1967 80315,S200000,00400,0500,P 80315,S200000,01500,0100,Y 80315,S200000,02800,0100,Y 80325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80325,A000000,00300,0000,00300EMPLOYEE BENEFITS 80325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80325,A000000,00700,0000,00700HOUSEKEEPING 80325,A000000,00800,0000,00800DIETARY 80325,A000000,00900,0000,00900NURSING ADMINISTRATION 80325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80325,A000000,01100,0000,01100PHARMACY 80325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80325,A000000,01300,0000,01300SOCIAL SERVICE 80325,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 80325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80325,A000000,01600,0000,01600SKILLED NURSING FACILITY 80325,A000000,01800,0000,01800NURSING FACILITY 80325,A000000,01810,0000,01810ICF/MR 80325,A000000,01900,0000,01900OTHER LONG TERM CARE 80325,A000000,02100,0000,02100RADIOLOGY 80325,A000000,02200,0000,02200LABORATORY 80325,A000000,02300,0000,02300INTRAVENOUS THERAPY 80325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80325,A000000,02500,0000,02500PHYSICAL THERAPY 80325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80325,A000000,02700,0000,02700SPEECH PATHOLOGY 80325,A000000,02800,0000,02800ELECTROCARDIOLOGY 80325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80325,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80325,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80325,A000000,03200,0000,03200SUPPORT SURFACES 80325,A000000,03400,0000,03400CLINIC 80325,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80325,A000000,03500,0000,03500RURAL HEALTH CLINIC 80325,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80325,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80325,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80325,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80325,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80325,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80325,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80325,A000000,04400,0000,04400DME RENTED - HHA 80325,A000000,04500,0000,04500DME SOLD - HHA 80325,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80325,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80325,A000000,04800,0000,04800AMBULANCE 80325,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80325,A000000,05000,0000,05000CORF 80325,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80325,A000000,05300,0000,05300INTEREST EXPENSE 80325,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80325,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80325,A000000,05500,0000,05500HOSPICE 80325,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80325,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80325,A000000,06100,0000,06100NONPAID WORKERS 80325,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80325,A000000,06200,0000,06200PATIENTS LAUNDRY 80325,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80325,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80325,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80325,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80325,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80325,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80325,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80325,B100000,00000,0800,00000MEALS SERVED :DIETARY 80325,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80325,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 80325,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 80325,B100000,00000,1250,00000 GROSS CHARGES :MEDICAL RECORDS & L 80325,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 80325,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 80325,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80325,S000000,00100,0200,06/05/2000 80325,S200000,00100,0100,2020 NORTH WEBER 80325,S200000,00200,0100,FRESNO 80325,S200000,00200,0200,CA 80325,S200000,00200,0300,93705- 80325,S200000,00300,0100,FRESNO 80325,S200000,00400,0100,HORIZON HEALTH & SUBACUTE CENTER 80325,S200000,00400,0200,055199 80325,S200000,00400,0300,08/01/1985 80325,S200000,00400,0500,P 80325,S200000,01600,0100,Y 80333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80333,A000000,00300,0000,00300EMPLOYEE BENEFITS 80333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80333,A000000,00700,0000,00700HOUSEKEEPING 80333,A000000,00800,0000,00800DIETARY 80333,A000000,00900,0000,00900NURSING ADMINISTRATION 80333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80333,A000000,01100,0000,01100PHARMACY 80333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80333,A000000,01300,0000,01300SOCIAL SERVICE 80333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80333,A000000,01600,0000,01600SKILLED NURSING FACILITY 80333,A000000,01900,0000,01900OTHER LONG TERM CARE 80333,A000000,02100,0000,02100RADIOLOGY 80333,A000000,02200,0000,02200LABORATORY 80333,A000000,02300,0000,02300INTRAVENOUS THERAPY 80333,A000000,02500,0000,02500PHYSICAL THERAPY 80333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80333,A000000,02700,0000,02700SPEECH PATHOLOGY 80333,A000000,02800,0000,02800ELECTROCARDIOLOGY 80333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80333,A000000,06150,0000,06300MARKETING/FUND RAISING 80333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80333,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80333,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80333,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80333,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80333,B100000,00000,0800,00000MEALS SERVED :DIETARY 80333,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80333,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80333,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80333,S000000,00100,0200,12/05/2000 80333,S200000,00100,0100,1428 SO. MARENGO 80333,S200000,00200,0100,ALHAMBRA 80333,S200000,00200,0200,CA 80333,S200000,00200,0300,91803- 80333,S200000,00300,0100,LOS ANGELES 80333,S200000,00300,0200,4480 80333,S200000,00300,0300,U 80333,S200000,00400,0100,HOME FOR THE AGED P.E.C. 80333,S200000,00400,0200,055203 80333,S200000,00400,0300,07/01/1995 80333,S200000,00400,0500,P 80333,S200000,01500,0100,Y 80333,S200000,02800,0100,Y 80342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80342,A000000,00300,0000,00300EMPLOYEE BENEFITS 80342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80342,A000000,00700,0000,00700HOUSEKEEPING 80342,A000000,00800,0000,00800DIETARY 80342,A000000,00900,0000,00900NURSING ADMINISTRATION 80342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80342,A000000,01100,0000,01100PHARMACY 80342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80342,A000000,01300,0000,01300SOCIAL SERVICE 80342,A000000,01350,0000,01500OTHER GENERAL SERVICES 80342,A000000,01600,0000,01600SKILLED NURSING FACILITY 80342,A000000,01800,0000,01800NURSING FACILITY 80342,A000000,01900,0000,01900OTHER LONG TERM CARE 80342,A000000,02100,0000,02100RADIOLOGY 80342,A000000,02200,0000,02200LABORATORY 80342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80342,A000000,02500,0000,02500PHYSICAL THERAPY 80342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80342,A000000,02700,0000,02700SPEECH PATHOLOGY 80342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80342,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80342,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80342,A000000,04800,0000,04800AMBULANCE 80342,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80342,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80342,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80342,A81000A,00100,0100,Y 80342,A81000B,00100,0300,MANAGEMENT FEE 80342,A81000B,00200,0300,CAPITAL 80342,A81000B,00300,0300,DATA PROCESSING FEE 80342,A81000B,00400,0300,RESPIRATORY THERAPY 80342,A81000B,00500,0300,PHYSICAL THERAPY 80342,A81000B,00600,0300,OCCUPATIONAL THERAPY 80342,A81000B,00700,0300,SPEECH THERAPY 80342,A81000C,00100,0100,A 80342,A81000C,00100,0200,CVHS CORP 80342,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80342,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80342,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80342,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80342,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80342,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80342,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80342,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80342,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80342,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80342,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80342,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80342,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80342,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80342,S000000,00100,0200,06/01/2000 80342,S200000,00100,0100,1209 HEMLOCK WAY 80342,S200000,00200,0100,SANTA ANA 80342,S200000,00200,0200,CA 80342,S200000,00200,0300,92707- 80342,S200000,00300,0100,ORANGE 80342,S200000,00400,0100,COUNTRY VILLA PLAZA 80342,S200000,00400,0200,055206 80342,S200000,00400,0300,05/01/1979 80342,S200000,00400,0500,P 80342,S200000,01600,0100,Y 80342,S200000,02200,0100,Y 80342,S200000,02800,0100,Y 80342,S700003,00000,0100,1 80354,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80354,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80354,A000000,00300,0000,00300EMPLOYEE BENEFITS 80354,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80354,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80354,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80354,A000000,00700,0000,00700HOUSEKEEPING 80354,A000000,00800,0000,00800DIETARY 80354,A000000,00900,0000,00900NURSING ADMINISTRATION 80354,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80354,A000000,01100,0000,01100PHARMACY 80354,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80354,A000000,01300,0000,01300SOCIAL SERVICE 80354,A000000,01600,0000,01600SKILLED NURSING FACILITY 80354,A000000,01800,0000,01800NURSING FACILITY 80354,A000000,01900,0000,01900OTHER LONG TERM CARE 80354,A000000,02100,0000,02100RADIOLOGY 80354,A000000,02200,0000,02200LABORATORY 80354,A000000,02500,0000,02500PHYSICAL THERAPY 80354,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80354,A000000,02700,0000,02700SPEECH PATHOLOGY 80354,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80354,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80354,A81000A,00100,0100,Y 80354,A81000B,00100,0300,CORPORATE EXPRESS 80354,A81000B,00200,0300,ALLOWABLE HOME OFFICE COST 80354,A81000B,00300,0300,CAPITAL - BUILDING 80354,A81000B,00400,0300,CAPITAL - EQUIPMENT 80354,A81000C,00100,0100,B 80354,A81000C,00100,0200,ABHOW 80354,A81000C,00100,0600,ACCTG & MGMT 80354,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80354,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80354,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80354,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80354,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80354,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80354,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80354,B100000,00000,0800,00000MEALS SERVED :DIETARY 80354,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80354,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 80354,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80354,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80354,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80354,S000000,00100,0200,03/01/2000 80354,S200000,00100,0100,373 PINE LANE 80354,S200000,00200,0100,LOS ALTOS 80354,S200000,00200,0200,CA 80354,S200000,00200,0300,94022- 80354,S200000,00300,0100,SANTA CLARA 80354,S200000,00400,0100,ABHOW - PILGRIM HAVEN 80354,S200000,00400,0200,055210 80354,S200000,00400,0300,02/01/1968 80354,S200000,00400,0500,P 80354,S200000,01500,0100,Y 80354,S700003,00000,0100,1 80364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80364,A000000,00300,0000,00300EMPLOYEE BENEFITS 80364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80364,A000000,00700,0000,00700HOUSEKEEPING 80364,A000000,00800,0000,00800DIETARY 80364,A000000,00900,0000,00900NURSING ADMINISTRATION 80364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80364,A000000,01100,0000,01100PHARMACY 80364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80364,A000000,01300,0000,01300SOCIAL SERVICE 80364,A000000,01350,0000,01500OTHER GENERAL SERVICES 80364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80364,A000000,01600,0000,01600SKILLED NURSING FACILITY 80364,A000000,01800,0000,01800NURSING FACILITY 80364,A000000,01810,0000,01801ICF/MR 80364,A000000,01900,0000,01900OTHER LONG TERM CARE 80364,A000000,02100,0000,02100RADIOLOGY 80364,A000000,02200,0000,02200LABORATORY 80364,A000000,02300,0000,02300INTRAVENOUS THERAPY 80364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80364,A000000,02500,0000,02500PHYSICAL THERAPY 80364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80364,A000000,02700,0000,02700SPEECH PATHOLOGY 80364,A000000,02800,0000,02800ELECTROCARDIOLOGY 80364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80364,A000000,03200,0000,03200SUPPORT SURFACES 80364,A000000,03400,0000,03400CLINIC 80364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80364,A000000,03500,0000,03500RURAL HEALTH CLINIC 80364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80364,A000000,04400,0000,04400DME RENTED - HHA 80364,A000000,04500,0000,04500DME SOLD - HHA 80364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80364,A000000,04800,0000,04800AMBULANCE 80364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80364,A000000,05000,0000,05000CORF 80364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80364,A000000,05300,0000,05300INTEREST EXPENSE 80364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80364,A000000,05500,0000,05500HOSPICE 80364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80364,A000000,06100,0000,06100NONPAID WORKERS 80364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80364,A000000,06200,0000,06200PATIENTS LAUNDRY 80364,A81000A,00100,0100,Y 80364,A81000B,00100,0300,FACILITY LEASE 80364,A81000B,00200,0300,INTEREST 80364,A81000B,00300,0300,DEPRECIATION 80364,A81000B,00400,0300,GROUND LEASE COST 80364,A81000B,00500,0300,HOME OFFICE COSTS 80364,A81000C,00100,0100,A 80364,A81000C,00100,0200,DOBBINS ET AL 80364,A81000C,00100,0400,IDYLWOOD HOSP. LIMITED 80364,A81000C,00100,0600,REAL ESTATE 80364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80364,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80364,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80364,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 80364,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80364,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80364,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80364,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80364,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80364,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80364,S000000,00100,0200,06/01/2000 80364,S200000,00100,0100,1002 W. FREMONT STREET 80364,S200000,00200,0100,SUNNYVALE 80364,S200000,00200,0200,CA 80364,S200000,00200,0300,94087- 80364,S200000,00300,0100,SANTA CLARA 80364,S200000,00400,0100,IDYLWOOD CARE CENTER 80364,S200000,00400,0200,055211 80364,S200000,00400,0300,01/01/1967 80364,S200000,00400,0500,P 80364,S200000,01600,0100,Y 80364,S700003,00000,0100,1 80376,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80376,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80376,A000000,00300,0000,00300EMPLOYEE BENEFITS 80376,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80376,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80376,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80376,A000000,00700,0000,00700HOUSEKEEPING 80376,A000000,00800,0000,00800DIETARY 80376,A000000,00900,0000,00900NURSING ADMINISTRATION 80376,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80376,A000000,01100,0000,01100PHARMACY 80376,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80376,A000000,01300,0000,01300SOCIAL SERVICE 80376,A000000,01301,0000,01301ACTIVITIES 80376,A000000,01350,0000,01500OTHER GENERAL SERVICES 80376,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80376,A000000,01600,0000,01600SKILLED NURSING FACILITY 80376,A000000,01800,0000,01800NURSING FACILITY 80376,A000000,01900,0000,01900OTHER LONG TERM CARE 80376,A000000,02100,0000,02100RADIOLOGY 80376,A000000,02200,0000,02200LABORATORY 80376,A000000,02300,0000,02300INTRAVENOUS THERAPY 80376,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80376,A000000,02500,0000,02500PHYSICAL THERAPY 80376,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80376,A000000,02700,0000,02700SPEECH PATHOLOGY 80376,A000000,02800,0000,02800ELECTROCARDIOLOGY 80376,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80376,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80376,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80376,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80376,A000000,03200,0000,03200SUPPORT SURFACES 80376,A000000,03400,0000,03400CLINIC 80376,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80376,A000000,03500,0000,03500RURAL HEALTH CLINIC 80376,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80376,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80376,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80376,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80376,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80376,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80376,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80376,A000000,04400,0000,04400DME RENTED - HHA 80376,A000000,04500,0000,04500DME SOLD - HHA 80376,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80376,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80376,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80376,A000000,04800,0000,04800AMBULANCE 80376,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80376,A000000,05000,0000,05000CORF 80376,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80376,A000000,05300,0000,05300INTEREST EXPENSE 80376,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80376,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80376,A000000,05500,0000,05500HOSPICE 80376,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80376,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80376,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80376,A000000,06100,0000,06100NONPAID WORKERS 80376,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80376,A000000,06200,0000,06200PATIENTS LAUNDRY 80376,A81000A,00100,0100,Y 80376,A81000B,00100,0300,ADMINISTRATIVE 7 GENERAL 80376,A81000B,00200,0300,CAPITAL 80376,A81000C,00100,0100,A 80376,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 80376,A81000C,00100,0400,LENOX HEALTHCARE INC. 80376,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80376,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80376,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80376,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80376,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80376,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80376,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80376,B100000,00000,0800,00000MEALS SERVED :DIETARY 80376,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80376,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80376,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80376,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80376,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80376,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80376,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80376,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80376,S000000,00100,0200,03/02/2000 80376,S200000,00100,0100,3030 WEBSTER STREET 80376,S200000,00200,0100,OAKLAND 80376,S200000,00200,0200,CA 80376,S200000,00200,0300,94609- 80376,S200000,00300,0100,ALAMEDA 80376,S200000,00400,0100,OAKLAND NURSING & REHAB CENTER 80376,S200000,00400,0200,055215 80376,S200000,00400,0300,01/01/1967 80376,S200000,00400,0500,P 80376,S200000,01600,0100,Y 80376,S700003,00000,0100,1 80382,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80382,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80382,A000000,00300,0000,00300EMPLOYEE BENEFITS 80382,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80382,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80382,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80382,A000000,00700,0000,00700HOUSEKEEPING 80382,A000000,00800,0000,00800DIETARY 80382,A000000,01300,0000,01300SOCIAL SERVICE 80382,A000000,01600,0000,01600SKILLED NURSING FACILITY 80382,A000000,01810,0000,01810ICF/MR 80382,A000000,02500,0000,02500PHYSICAL THERAPY 80382,A000000,02700,0000,02700SPEECH PATHOLOGY 80382,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80382,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80382,A000000,03550,0000,03550FQHC 80382,A000000,05000,0000,05000CORF 80382,A000000,05010,0000,05010CMHC 80382,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80382,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80382,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80382,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80382,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80382,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80382,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80382,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80382,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 80382,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 80382,B100000,00000,0800,00040MEALS SERVED :DIETARY 80382,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 80382,S000000,00100,0200,05/24/2000 80382,S200000,00100,0100,331 PENNSYLVANIA AVENUE 80382,S200000,00200,0100,SAN FRANCISCO 80382,S200000,00200,0200,CA 80382,S200000,00200,0300,94107- 80382,S200000,00300,0100,SAN FRANCISCO 80382,S200000,00400,0100,MISSION BAY CONV. HOSP. 80382,S200000,00400,0200,055220 80382,S200000,00400,0300,01/01/1967 80382,S200000,00400,0500,P 80382,S200000,01004,0500,O 80382,S200000,01500,0100,Y 80382,S200000,04300,0100,Y 80382,S700003,00000,0100,1 80395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80395,A000000,00300,0000,00300EMPLOYEE BENEFITS 80395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80395,A000000,00700,0000,00700HOUSEKEEPING 80395,A000000,00800,0000,00800DIETARY 80395,A000000,00900,0000,00900NURSING ADMINISTRATION 80395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80395,A000000,01300,0000,01300SOCIAL SERVICE 80395,A000000,01600,0000,01600SKILLED NURSING FACILITY 80395,A000000,01800,0000,01800NURSING FACILITY 80395,A000000,01900,0000,01900OTHER LONG TERM CARE 80395,A000000,02100,0000,02100RADIOLOGY 80395,A000000,02200,0000,02200LABORATORY 80395,A000000,02300,0000,02300INTRAVENOUS THERAPY 80395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80395,A000000,02500,0000,02500PHYSICAL THERAPY 80395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80395,A000000,02700,0000,02700SPEECH PATHOLOGY 80395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80395,A000000,03200,0000,03200SUPPORT SURFACES 80395,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80395,A000000,05300,0000,05300INTEREST EXPENSE 80395,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80395,A000000,06200,0000,06200PATIENTS LAUNDRY 80395,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80395,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80395,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80395,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80395,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80395,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80395,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80395,B100000,00000,0800,00000MEALS SERVED :DIETARY 80395,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 80395,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80395,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80395,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80395,S000000,00100,0200,06/05/2000 80395,S200000,00100,0100,1527 SPRINGS ROAD 80395,S200000,00200,0100,VALLEJO 80395,S200000,00200,0200,CA 80395,S200000,00200,0300,94591- 80395,S200000,00300,0100,SOLANO 80395,S200000,00400,0100,SPRINGS ROAD LIVING CENTER 80395,S200000,00400,0200,055222 80395,S200000,00400,0300,01/01/1971 80395,S200000,00400,0500,P 80395,S200000,01600,0100,Y 80395,S700003,00000,0100,1 80402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80402,A000000,00300,0000,00300EMPLOYEE BENEFITS 80402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80402,A000000,00700,0000,00700HOUSEKEEPING 80402,A000000,00800,0000,00800DIETARY 80402,A000000,00900,0000,00900NURSING ADMINISTRATION 80402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80402,A000000,01100,0000,01100PHARMACY 80402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80402,A000000,01300,0000,01300SOCIAL SERVICE 80402,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80402,A000000,01600,0000,01600SKILLED NURSING FACILITY 80402,A000000,01800,0000,01800NURSING FACILITY 80402,A000000,02100,0000,02100RADIOLOGY 80402,A000000,02200,0000,02200LABORATORY 80402,A000000,02210,0000,02201LAB - O/P - GLUCOSE 80402,A000000,02300,0000,02300INTRAVENOUS THERAPY 80402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80402,A000000,02500,0000,02500PHYSICAL THERAPY 80402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80402,A000000,02700,0000,02700SPEECH PATHOLOGY 80402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80402,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80402,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80402,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80402,B100000,00000,0800,00000MEALS SERVED :DIETARY 80402,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80402,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80402,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80402,S000000,00100,0200,12/01/2000 80402,S200000,00100,0100,275 N. SAN JACINTO 80402,S200000,00200,0100,HEMET 80402,S200000,00200,0200,CA 80402,S200000,00200,0300,92343- 80402,S200000,00300,0100,RIVERSIDE 80402,S200000,00300,0200,4480 80402,S200000,00300,0300,U 80402,S200000,00400,0100,CLOVERLEAF HEALTHCARE 80402,S200000,00400,0200,055223 80402,S200000,00400,0300,01/01/1990 80402,S200000,00400,0500,P 80402,S200000,00600,0200,055223 80402,S200000,00600,0300,01/01/1990 80402,S200000,00600,0600,P 80402,S200000,01500,0100,Y 80404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80404,A000000,00300,0000,00300EMPLOYEE BENEFITS 80404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80404,A000000,00700,0000,00700HOUSEKEEPING 80404,A000000,00800,0000,00800DIETARY 80404,A000000,00900,0000,00900NURSING ADMINISTRATION 80404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80404,A000000,01100,0000,01100PHARMACY 80404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80404,A000000,01300,0000,01300SOCIAL SERVICE 80404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80404,A000000,01600,0000,01600SKILLED NURSING FACILITY 80404,A000000,01800,0000,01800NURSING FACILITY 80404,A000000,01810,0000,01810ICF/MR 80404,A000000,02100,0000,02100RADIOLOGY 80404,A000000,02200,0000,02200LABORATORY 80404,A000000,02300,0000,02300INTRAVENOUS THERAPY 80404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80404,A000000,02500,0000,02500PHYSICAL THERAPY 80404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80404,A000000,02700,0000,02700SPEECH PATHOLOGY 80404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80404,A000000,03550,0000,03550FQHC 80404,A000000,05000,0000,05000CORF 80404,A000000,05010,0000,05010CMHC 80404,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80404,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80404,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80404,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80404,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80404,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80404,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80404,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80404,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80404,B100000,00000,0800,00000MEALS SERVED :DIETARY 80404,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 80404,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 80404,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80404,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80404,S000000,00100,0200,05/31/2000 80404,S200000,00100,0100,275 NORTH SAN JACINTO 80404,S200000,00200,0100,HEMET 80404,S200000,00200,0200,CA 80404,S200000,00200,0300,92543- 80404,S200000,00300,0200,6780 80404,S200000,00300,0300,U 80404,S200000,00400,0100,CLOVERLEAF HEALTHCARE CENTER 80404,S200000,00400,0200,055223 80404,S200000,00400,0300,01/01/1990 80404,S200000,00400,0500,P 80404,S200000,01600,0100,Y 80418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80418,A000000,00300,0000,00300EMPLOYEE BENEFITS 80418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80418,A000000,00700,0000,00700HOUSEKEEPING 80418,A000000,00800,0000,00800DIETARY 80418,A000000,00900,0000,00900NURSING ADMINISTRATION 80418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80418,A000000,01300,0000,01300SOCIAL SERVICE 80418,A000000,01600,0000,01600SKILLED NURSING FACILITY 80418,A000000,01800,0000,01800NURSING FACILITY 80418,A000000,01900,0000,01900OTHER LONG TERM CARE 80418,A000000,02100,0000,02100RADIOLOGY 80418,A000000,02200,0000,02200LABORATORY 80418,A000000,02300,0000,02300INTRAVENOUS THERAPY 80418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80418,A000000,02500,0000,02500PHYSICAL THERAPY 80418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80418,A000000,02700,0000,02700SPEECH PATHOLOGY 80418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80418,A000000,03200,0000,03200SUPPORT SURFACES 80418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80418,A000000,04800,0000,04800AMBULANCE 80418,A000000,05300,0000,05300INTEREST EXPENSE 80418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80418,A000000,06200,0000,06200PATIENTS LAUNDRY 80418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80418,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80418,B100000,00000,0800,00000MEALS SERVED :DIETARY 80418,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 80418,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80418,S000000,00100,0200,06/05/2000 80418,S200000,00100,0100,1101 LOUISIANA AVENUE 80418,S200000,00200,0100,VALLEJO 80418,S200000,00200,0200,CA 80418,S200000,00200,0300,94591- 80418,S200000,00300,0100,SOLANO 80418,S200000,00400,0100,LOUISIANA LIVING CENTER 80418,S200000,00400,0200,055234 80418,S200000,00400,0300,02/01/1974 80418,S200000,00400,0500,P 80418,S200000,01600,0100,Y 80418,S700003,00000,0100,1 80425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80425,A000000,00300,0000,00300EMPLOYEE BENEFITS 80425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80425,A000000,00700,0000,00700HOUSEKEEPING 80425,A000000,00800,0000,00800DIETARY 80425,A000000,00900,0000,00900NURSING ADMINISTRATION 80425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80425,A000000,01300,0000,01300SOCIAL SERVICE 80425,A000000,01600,0000,01600SKILLED NURSING FACILITY 80425,A000000,01800,0000,01800NURSING FACILITY 80425,A000000,01900,0000,01900OTHER LONG TERM CARE 80425,A000000,02100,0000,02100RADIOLOGY 80425,A000000,02200,0000,02200LABORATORY 80425,A000000,02300,0000,02300INTRAVENOUS THERAPY 80425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80425,A000000,02500,0000,02500PHYSICAL THERAPY 80425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80425,A000000,02700,0000,02700SPEECH PATHOLOGY 80425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80425,A000000,03200,0000,03200SUPPORT SURFACES 80425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80425,A000000,05300,0000,05300INTEREST EXPENSE 80425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80425,A000000,06200,0000,06200PATIENTS LAUNDRY 80425,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80425,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80425,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80425,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80425,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80425,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80425,B100000,00000,0800,00000MEALS SERVED :DIETARY 80425,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 80425,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80425,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80425,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80425,S000000,00100,0200,06/05/2000 80425,S200000,00100,0100,20259 LAKE CHABOT ROAD 80425,S200000,00200,0100,CASTRO VALLEY 80425,S200000,00200,0200,CA 80425,S200000,00200,0300,94546- 80425,S200000,00300,0100,ALAMEDA 80425,S200000,00400,0100,CASTRO VALLEY CARE CENTER 80425,S200000,00400,0200,055239 80425,S200000,00400,0300,04/01/1993 80425,S200000,00400,0500,P 80425,S200000,01600,0100,Y 80435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80435,A000000,00300,0000,00300EMPLOYEE BENEFITS 80435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80435,A000000,00700,0000,00700HOUSEKEEPING 80435,A000000,00800,0000,00800DIETARY 80435,A000000,00900,0000,00900NURSING ADMINISTRATION 80435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80435,A000000,01100,0000,01100PHARMACY 80435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80435,A000000,01300,0000,01300SOCIAL SERVICE 80435,A000000,01301,0000,01301ACTIVITIES 80435,A000000,01350,0000,01500OTHER GENERAL SERVICES 80435,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80435,A000000,01600,0000,01600SKILLED NURSING FACILITY 80435,A000000,01800,0000,01800NURSING FACILITY 80435,A000000,01900,0000,01900OTHER LONG TERM CARE 80435,A000000,02100,0000,02100RADIOLOGY 80435,A000000,02200,0000,02200LABORATORY 80435,A000000,02300,0000,02300INTRAVENOUS THERAPY 80435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80435,A000000,02500,0000,02500PHYSICAL THERAPY 80435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80435,A000000,02700,0000,02700SPEECH PATHOLOGY 80435,A000000,02800,0000,02800ELECTROCARDIOLOGY 80435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80435,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80435,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80435,A000000,03200,0000,03200SUPPORT SURFACES 80435,A000000,03400,0000,03400CLINIC 80435,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80435,A000000,03500,0000,03500RURAL HEALTH CLINIC 80435,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80435,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80435,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80435,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80435,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80435,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80435,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80435,A000000,04400,0000,04400DME RENTED - HHA 80435,A000000,04500,0000,04500DME SOLD - HHA 80435,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80435,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80435,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80435,A000000,04800,0000,04800AMBULANCE 80435,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80435,A000000,05000,0000,05000CORF 80435,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80435,A000000,05300,0000,05300INTEREST EXPENSE 80435,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80435,A000000,05500,0000,05500HOSPICE 80435,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80435,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80435,A000000,06100,0000,06100NONPAID WORKERS 80435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80435,A000000,06200,0000,06200PATIENTS LAUNDRY 80435,A81000A,00100,0100,Y 80435,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80435,A81000B,00200,0300,CAPITAL 80435,A81000C,00100,0100,A 80435,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 80435,A81000C,00100,0400,LENOX HEALTHCARE INC 80435,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80435,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80435,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80435,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80435,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80435,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80435,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80435,B100000,00000,0800,00000MEALS SERVED :DIETARY 80435,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80435,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80435,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80435,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80435,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80435,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80435,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 80435,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80435,S000000,00100,0200,03/02/2000 80435,S200000,00100,0100,3318 WILLOW PASS 80435,S200000,00200,0100,CONCORD 80435,S200000,00200,0200,CA 80435,S200000,00200,0300,94519- 80435,S200000,00300,0100,CONTRA COSTA 80435,S200000,00400,0100,WILLOW PASS HEALTHCARE CENTER 80435,S200000,00400,0200,055241 80435,S200000,00400,0300,01/01/1984 80435,S200000,00400,0500,P 80435,S200000,01600,0100,Y 80435,S200000,02200,0100,Y 80435,S700003,00000,0100,1 80442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80442,A000000,00300,0000,00300EMPLOYEE BENEFITS 80442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80442,A000000,00700,0000,00700HOUSEKEEPING 80442,A000000,00800,0000,00800DIETARY 80442,A000000,00900,0000,00900NURSING ADMINISTRATION 80442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80442,A000000,01100,0000,01100PHARMACY 80442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80442,A000000,01300,0000,01300SOCIAL SERVICE 80442,A000000,01350,0000,01500OTHER GENERAL SERVICES 80442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80442,A000000,01600,0000,01600SKILLED NURSING FACILITY 80442,A000000,01800,0000,01800NURSING FACILITY 80442,A000000,01810,0000,01801ICF/MR 80442,A000000,01900,0000,01900OTHER LONG TERM CARE 80442,A000000,02100,0000,02100RADIOLOGY 80442,A000000,02200,0000,02200LABORATORY 80442,A000000,02300,0000,02300INTRAVENOUS THERAPY 80442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80442,A000000,02500,0000,02500PHYSICAL THERAPY 80442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80442,A000000,02700,0000,02700SPEECH PATHOLOGY 80442,A000000,02800,0000,02800ELECTROCARDIOLOGY 80442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80442,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80442,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80442,A000000,03200,0000,03200SUPPORT SURFACES 80442,A000000,03400,0000,03400CLINIC 80442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80442,A000000,03500,0000,03500RURAL HEALTH CLINIC 80442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80442,A000000,04800,0000,04800AMBULANCE 80442,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80442,A000000,05000,0000,05000CORF 80442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80442,A000000,05300,0000,05300INTEREST EXPENSE 80442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80442,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80442,A000000,05500,0000,05500HOSPICE 80442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80442,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80442,A000000,06100,0000,06100NONPAID WORKERS 80442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80442,A000000,06200,0000,06200PATIENTS LAUNDRY 80442,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80442,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80442,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80442,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80442,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80442,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 80442,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80442,B100000,00000,0800,00000MEALS SERVED :DIETARY 80442,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 80442,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 80442,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 80442,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80442,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80442,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80442,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80442,S000000,00100,0200,07/10/2000 80442,S200000,00100,0100,215 W PEARL ST 80442,S200000,00200,0100,POMONA 80442,S200000,00200,0200,CA 80442,S200000,00200,0300,91768- 80442,S200000,00300,0100,LOS ANGELES 80442,S200000,00400,0100,COUNTRY OAKS CARE CENTER 80442,S200000,00400,0200,055247 80442,S200000,00400,0300,01/01/1997 80442,S200000,00400,0500,P 80442,S200000,00600,0200,055247 80442,S200000,00600,0300,01/01/1997 80442,S200000,00600,0600,P 80442,S200000,01500,0100,Y 80442,S700003,00000,0100,1 80451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80451,A000000,00700,0000,00700HOUSEKEEPING 80451,A000000,00800,0000,00800DIETARY 80451,A000000,00900,0000,00900NURSING ADMINISTRATION 80451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80451,A000000,01300,0000,01300SOCIAL SERVICE 80451,A000000,01600,0000,01600SKILLED NURSING FACILITY 80451,A000000,01800,0000,01800NURSING FACILITY 80451,A000000,02100,0000,02100RADIOLOGY 80451,A000000,02200,0000,02200LABORATORY 80451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80451,A000000,02500,0000,02500PHYSICAL THERAPY 80451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80451,A000000,02700,0000,02700SPEECH PATHOLOGY 80451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80451,A000000,03050,0000,03300REHABILITATION PROGRAM MGT 80451,A000000,05300,0000,05300INTEREST EXPENSE 80451,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80451,A81000A,00100,0100,Y 80451,A81000B,00100,0300,FACILITY LEASE 80451,A81000B,00200,0300,MANAGEMENT FEES 80451,A81000B,00300,0300,HOME OFFICE BUILDING 80451,A81000B,00400,0300,HOME OFFICE EQUIPMENT 80451,A81000C,00100,0100,B 80451,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80451,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80451,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80451,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80451,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80451,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80451,B100000,00000,0800,00000MEALS SERVED :DIETARY 80451,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80451,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80451,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80451,S000000,00100,0200,05/25/2000 80451,S200000,00100,0100,510 WEST 26TH STREET 80451,S200000,00200,0100,MERCED 80451,S200000,00200,0200,CA 80451,S200000,00200,0300,95340- 80451,S200000,00300,0100,MERCED 80451,S200000,00400,0100,MERCED LIVING CARE CENTER 80451,S200000,00400,0200,055249 80451,S200000,00400,0300,01/01/1967 80451,S200000,00400,0500,P 80451,S200000,01500,0100,Y 80451,S700003,00000,0100,1 80463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80463,A000000,00300,0000,00300EMPLOYEE BENEFITS 80463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80463,A000000,00700,0000,00700HOUSEKEEPING 80463,A000000,00800,0000,00800DIETARY 80463,A000000,00900,0000,00900NURSING ADMINISTRATION 80463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80463,A000000,01600,0000,01600SKILLED NURSING FACILITY 80463,A000000,01800,0000,01800NURSING FACILITY 80463,A000000,02100,0000,02100RADIOLOGY 80463,A000000,02200,0000,02200LABORATORY 80463,A000000,02300,0000,02300INTRAVENOUS THERAPY 80463,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80463,A000000,02500,0000,02500PHYSICAL THERAPY 80463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80463,A000000,02700,0000,02700SPEECH PATHOLOGY 80463,A000000,02800,0000,02800ELECTROCARDIOLOGY 80463,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80463,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80463,A81000A,00100,0100,Y 80463,A81000B,00100,0300,HOME OFFICE EXPENSES 80463,A81000C,00100,0100,A 80463,A81000C,00100,0200,E.I. BERNABE 80463,A81000C,00100,0400,PLEASANT CARE C 80463,A81000C,00100,0600,HEALTH CARE PRO 80463,A81000C,00200,0100,A 80463,A81000C,00200,0200,E.I. BERNABE 80463,A81000C,00200,0400,PCC HEALTH SERV 80463,A81000C,00200,0600,HEALTH CARE PRO 80463,A81000C,00300,0100,A 80463,A81000C,00300,0200,E.I. BERNABE 80463,A81000C,00300,0400,EMBER CARE CORP 80463,A81000C,00300,0600,HEALTH CARE PRO 80463,A81000C,00400,0100,A 80463,A81000C,00400,0200,E.I. BERNABE 80463,A81000C,00400,0400,ATLAS CARE ENTE 80463,A81000C,00400,0600,HEALTH CARE PRO 80463,A81000C,00500,0100,A 80463,A81000C,00500,0200,E.I. BERNABE 80463,A81000C,00500,0400,SNF PROPERTIES 80463,A81000C,00500,0600,HEALTH CARE PRO 80463,A81000C,00600,0100,A 80463,A81000C,00600,0200,E.I. BERNABE 80463,A81000C,00600,0400,STOCKTON EDISON 80463,A81000C,00600,0600,HEALTH CARE PRO 80463,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80463,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80463,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80463,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80463,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80463,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80463,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80463,B100000,00000,0800,00000MEALS SERVED :DIETARY 80463,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 80463,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80463,S000000,00100,0200,03/01/2000 80463,S200000,00100,0100,1400 CIRCLE CITY DRIVE 80463,S200000,00200,0100,CORONA 80463,S200000,00200,0200,CA 80463,S200000,00200,0300,91719- 80463,S200000,00300,0100,RIVERSIDE 80463,S200000,00300,0200,6780 80463,S200000,00300,0300,U 80463,S200000,00400,0100,PLEASANT CARE CONVALESCENT - CORONA 80463,S200000,00400,0200,055255 80463,S200000,00400,0300,10/01/1997 80463,S200000,00400,0500,P 80463,S200000,00600,0200,055255 80463,S200000,00600,0300,10/01/1997 80463,S200000,00600,0600,P 80463,S200000,01600,0100,Y 80471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80471,A000000,00300,0000,00300EMPLOYEE BENEFITS 80471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80471,A000000,00700,0000,00700HOUSEKEEPING 80471,A000000,00800,0000,00800DIETARY 80471,A000000,00900,0000,00900NURSING ADMINISTRATION 80471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80471,A000000,01100,0000,01100PHARMACY 80471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80471,A000000,01300,0000,01300SOCIAL SERVICE 80471,A000000,01350,0000,01500OTHER GENERAL SERVICES 80471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80471,A000000,01600,0000,01600SKILLED NURSING FACILITY 80471,A000000,01800,0000,01800NURSING FACILITY 80471,A000000,01810,0000,01801ICF/MR 80471,A000000,01900,0000,01900OTHER LONG TERM CARE 80471,A000000,02100,0000,02100RADIOLOGY 80471,A000000,02200,0000,02200LABORATORY 80471,A000000,02300,0000,02300INTRAVENOUS THERAPY 80471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80471,A000000,02500,0000,02500PHYSICAL THERAPY 80471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80471,A000000,02700,0000,02700SPEECH PATHOLOGY 80471,A000000,02800,0000,02800ELECTROCARDIOLOGY 80471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80471,A000000,03050,0000,03300PODIATRY 80471,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80471,A000000,03200,0000,03200SUPPORT SURFACES 80471,A000000,03400,0000,03400CLINIC 80471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80471,A000000,03500,0000,03500RURAL HEALTH CLINIC 80471,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80471,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80471,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80471,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80471,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80471,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80471,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80471,A000000,04400,0000,04400DME RENTED - HHA 80471,A000000,04500,0000,04500DME SOLD - HHA 80471,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80471,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80471,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80471,A000000,04800,0000,04800AMBULANCE 80471,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80471,A000000,05000,0000,05000CORF 80471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80471,A000000,05300,0000,05300INTEREST EXPENSE 80471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80471,A000000,05500,0000,05500HOSPICE 80471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80471,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80471,A000000,06100,0000,06100NONPAID WORKERS 80471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80471,A000000,06200,0000,06200PATIENTS LAUNDRY 80471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80471,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80471,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80471,B100000,00000,0800,00000MEALS SERVED :DIETARY 80471,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80471,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80471,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80471,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80471,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80471,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80471,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80471,S000000,00100,0200,05/26/2000 80471,S200000,00100,0100,721 HARRISON AVENUE 80471,S200000,00200,0100,CLAREMONT 80471,S200000,00200,0200,CA 80471,S200000,00200,0300,91711- 80471,S200000,00300,0100,LOS ANGELES 80471,S200000,00400,0100,PILGRIM PLACE 80471,S200000,00400,0200,055261 80471,S200000,00400,0300,01/01/1967 80471,S200000,00400,0500,P 80471,S200000,01500,0100,Y 80471,S200000,02800,0100,Y 80471,S700003,00000,0100,1 80478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80478,A000000,00300,0000,00300EMPLOYEE BENEFITS 80478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80478,A000000,00700,0000,00700HOUSEKEEPING 80478,A000000,00800,0000,00800DIETARY 80478,A000000,00900,0000,00900NURSING ADMINISTRATION 80478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80478,A000000,01100,0000,01100PHARMACY 80478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80478,A000000,01300,0000,01300SOCIAL SERVICE 80478,A000000,01350,0000,01500OTHER GENERAL SERVICES 80478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80478,A000000,01600,0000,01600SKILLED NURSING FACILITY 80478,A000000,01800,0000,01800NURSING FACILITY 80478,A000000,01900,0000,01900OTHER LONG TERM CARE 80478,A000000,02100,0000,02100RADIOLOGY 80478,A000000,02200,0000,02200LABORATORY 80478,A000000,02300,0000,02300INTRAVENOUS THERAPY 80478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80478,A000000,02500,0000,02500PHYSICAL THERAPY 80478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80478,A000000,02700,0000,02700SPEECH PATHOLOGY 80478,A000000,02800,0000,02800ELECTROCARDIOLOGY 80478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80478,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80478,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80478,A000000,03200,0000,03200SUPPORT SURFACES 80478,A000000,03400,0000,03400CLINIC 80478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80478,A000000,03500,0000,03500RURAL HEALTH CLINIC 80478,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80478,A000000,04800,0000,04800AMBULANCE 80478,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80478,A000000,05000,0000,05000CORF 80478,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80478,A000000,05300,0000,05300INTEREST EXPENSE 80478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80478,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80478,A000000,05500,0000,05500HOSPICE 80478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80478,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80478,A000000,06100,0000,06100NONPAID WORKERS 80478,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80478,A000000,06200,0000,06200PATIENTS LAUNDRY 80478,A81000A,00100,0100,Y 80478,A81000B,00100,0300,MANAGEMENT FEE 80478,A81000C,00100,0100,F 80478,A81000C,00100,0200,NORTH AMERICAN HEALTH CAR 80478,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80478,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 80478,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80478,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80478,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80478,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80478,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80478,B100000,00000,0800,00000MEALS SERVED :DIETARY 80478,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 80478,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 80478,B100000,00000,1150,00000NO STATISTICS :PHARMACY 80478,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80478,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80478,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80478,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80478,E10A180,00301,0100,07/10/1998 80478,E10A180,00302,0100,08/01/1998 80478,S000000,00100,0200,05/05/2000 80478,S200000,00100,0100,1955 W. LOMITA BLVD. 80478,S200000,00200,0100,LOMITA 80478,S200000,00200,0200,CA 80478,S200000,00200,0300,90717- 80478,S200000,00300,0100,LOS ANGELES 80478,S200000,00400,0100,LOMITA CARE CENTER 80478,S200000,00400,0200,055262 80478,S200000,00400,0300,03/01/1989 80478,S200000,00400,0500,P 80478,S200000,00600,0200,055262 80478,S200000,00600,0300,03/01/1989 80478,S200000,00600,0600,P 80478,S200000,01600,0100,Y 80478,S700003,00000,0100,1 80487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80487,A000000,00700,0000,00700HOUSEKEEPING 80487,A000000,00800,0000,00800DIETARY 80487,A000000,00900,0000,00900NURSING ADMINISTRATION 80487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80487,A000000,01300,0000,01300SOCIAL SERVICE 80487,A000000,01600,0000,01600SKILLED NURSING FACILITY 80487,A000000,01800,0000,01800NURSING FACILITY 80487,A000000,02100,0000,02100RADIOLOGY 80487,A000000,02200,0000,02200LABORATORY 80487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80487,A000000,02500,0000,02500PHYSICAL THERAPY 80487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80487,A000000,02700,0000,02700SPEECH PATHOLOGY 80487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80487,A000000,03050,0000,03300REHABILITATION MANAGER 80487,A000000,05300,0000,05300INTEREST EXPENSE 80487,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80487,A81000A,00100,0100,Y 80487,A81000B,00100,0300,FACILITY LEASE EXPENSE 80487,A81000B,00200,0300,MANAGEMENT FEES 80487,A81000B,00300,0300,HOME OFFICE BUILDING 80487,A81000B,00400,0300,HOME OFFICE EQUIPMENT 80487,A81000C,00100,0100,C 80487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80487,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80487,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80487,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80487,B100000,00000,0800,00000MEALS SERVED :DIETARY 80487,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80487,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80487,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80487,S000000,00100,0200,05/25/2000 80487,S200000,00100,0100,2424 M STREET 80487,S200000,00200,0100,MERCED 80487,S200000,00200,0200,CA 80487,S200000,00200,0300,95340- 80487,S200000,00300,0100,MERCED 80487,S200000,00400,0100,LA SIERRA CARE CENTER 80487,S200000,00400,0200,055271 80487,S200000,00400,0300,07/01/1967 80487,S200000,00400,0500,P 80487,S200000,01500,0100,Y 80497,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80497,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80497,A000000,00300,0000,00300EMPLOYEE BENEFITS 80497,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80497,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80497,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80497,A000000,00700,0000,00700HOUSEKEEPING 80497,A000000,00800,0000,00800DIETARY 80497,A000000,00900,0000,00900NURSING ADMINISTRATION 80497,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80497,A000000,01100,0000,01100PHARMACY 80497,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80497,A000000,01300,0000,01300SOCIAL SERVICE 80497,A000000,01350,0000,01500OTHER GENERAL SERVICES 80497,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80497,A000000,01600,0000,01600SKILLED NURSING FACILITY 80497,A000000,01800,0000,01800NURSING FACILITY 80497,A000000,01810,0000,01810ICF/MR 80497,A000000,01900,0000,01900OTHER LONG TERM CARE 80497,A000000,02100,0000,02100RADIOLOGY 80497,A000000,02200,0000,02200LABORATORY 80497,A000000,02300,0000,02300INTRAVENOUS THERAPY 80497,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80497,A000000,02500,0000,02500PHYSICAL THERAPY 80497,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80497,A000000,02700,0000,02700SPEECH PATHOLOGY 80497,A000000,02800,0000,02800ELECTROCARDIOLOGY 80497,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80497,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80497,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80497,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80497,A000000,03200,0000,03200SUPPORT SURFACES 80497,A000000,03400,0000,03400CLINIC 80497,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80497,A000000,03500,0000,03500RURAL HEALTH CLINIC 80497,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80497,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80497,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80497,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80497,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80497,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80497,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80497,A000000,04400,0000,04400DME RENTED - HHA 80497,A000000,04500,0000,04500DME SOLD - HHA 80497,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80497,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80497,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80497,A000000,04800,0000,04800AMBULANCE 80497,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80497,A000000,05000,0000,05000CORF 80497,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80497,A000000,05300,0000,05300INTEREST EXPENSE 80497,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80497,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80497,A000000,05500,0000,05500HOSPICE 80497,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80497,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80497,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80497,A000000,06100,0000,06100NONPAID WORKERS 80497,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80497,A000000,06200,0000,06200PATIENTS LAUNDRY 80497,A81000A,00100,0100,Y 80497,A81000B,00100,0300,CAPITAL RELATED COSTS 80497,A81000C,00100,0100,A 80497,A81000C,00100,0200,IRENE M. LIEBERMAN 80497,A81000C,00100,0400,CENTRAL CONV. HOMES INC 80497,A81000C,00100,0600,OWNS LAND & BUILDING 80497,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80497,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80497,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80497,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80497,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80497,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80497,B100000,00000,0800,00000MEALS SERVED :DIETARY 80497,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80497,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80497,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 80497,S000000,00100,0200,06/05/2000 80497,S200000,00100,0100,1355 ELLIS ST. 80497,S200000,00200,0100,SAN FRANCISCO 80497,S200000,00200,0200,CA 80497,S200000,00200,0300,94115-4215 80497,S200000,00300,0100,SAN FRANCISCO 80497,S200000,00300,0200,7360 80497,S200000,00300,0300,U 80497,S200000,00400,0100,CENTRAL GARDENS 80497,S200000,00400,0200,055280 80497,S200000,00400,0300,01/01/1975 80497,S200000,00400,0500,P 80497,S200000,00400,0600,O 80497,S200000,01500,0100,Y 80505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80505,A000000,00300,0000,00300EMPLOYEE BENEFITS 80505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80505,A000000,00700,0000,00700HOUSEKEEPING 80505,A000000,00800,0000,00800DIETARY 80505,A000000,00900,0000,00900NURSING ADMINISTRATION 80505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80505,A000000,01100,0000,01100PHARMACY 80505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80505,A000000,01300,0000,01300SOCIAL SERVICE 80505,A000000,01350,0000,01500OTHER GENERAL SERVICES 80505,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80505,A000000,01600,0000,01600SKILLED NURSING FACILITY 80505,A000000,01800,0000,01800NURSING FACILITY 80505,A000000,01900,0000,01900OTHER LONG TERM CARE 80505,A000000,02100,0000,02100RADIOLOGY 80505,A000000,02200,0000,02200LABORATORY 80505,A000000,02300,0000,02300INTRAVENOUS THERAPY 80505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80505,A000000,02500,0000,02500PHYSICAL THERAPY 80505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80505,A000000,02700,0000,02700SPEECH PATHOLOGY 80505,A000000,02800,0000,02800ELECTROCARDIOLOGY 80505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80505,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80505,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80505,A000000,03200,0000,03200SUPPORT SURFACES 80505,A000000,03400,0000,03400CLINIC 80505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80505,A000000,03500,0000,03500RURAL HEALTH CLINIC 80505,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80505,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80505,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80505,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80505,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80505,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80505,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80505,A000000,04400,0000,04400DME RENTED - HHA 80505,A000000,04500,0000,04500DME SOLD - HHA 80505,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80505,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80505,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80505,A000000,04800,0000,04800AMBULANCE 80505,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80505,A000000,05000,0000,05000CORF 80505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80505,A000000,05300,0000,05300INTEREST EXPENSE 80505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80505,A000000,05500,0000,05500HOSPICE 80505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80505,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80505,A000000,06100,0000,06100NONPAID WORKERS 80505,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80505,A000000,06200,0000,06200PATIENTS LAUNDRY 80505,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80505,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80505,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80505,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80505,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80505,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80505,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80505,B100000,00000,0800,00000MEALS SERVED :DIETARY 80505,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80505,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80505,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80505,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80505,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80505,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80505,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80505,S000000,00100,0200,07/13/2000 80505,S200000,00100,0100,651 N MAIN ST 80505,S200000,00200,0100,POMONA 80505,S200000,00200,0200,CA 80505,S200000,00200,0300,91768- 80505,S200000,00300,0100,LOS ANGELES 80505,S200000,00400,0100,POMONA VISTA ALZHEIMERS CENTER 80505,S200000,00400,0200,055282 80505,S200000,00400,0300,11/01/1996 80505,S200000,00400,0500,P 80505,S200000,01500,0100,Y 80505,S700003,00000,0100,1 80513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80513,A000000,00300,0000,00300EMPLOYEE BENEFITS 80513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80513,A000000,00700,0000,00700HOUSEKEEPING 80513,A000000,00800,0000,00800DIETARY 80513,A000000,00900,0000,00900NURSING ADMINISTRATION 80513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80513,A000000,01100,0000,01100PHARMACY 80513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80513,A000000,01300,0000,01300SOCIAL SERVICE 80513,A000000,01350,0000,01500OTHER GENERAL SERVICES 80513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80513,A000000,01600,0000,01600SKILLED NURSING FACILITY 80513,A000000,01800,0000,01800NURSING FACILITY 80513,A000000,01810,0000,01810ICF/MR 80513,A000000,01900,0000,01900OTHER LONG TERM CARE 80513,A000000,02100,0000,02100RADIOLOGY 80513,A000000,02200,0000,02200LABORATORY 80513,A000000,02300,0000,02300INTRAVENOUS THERAPY 80513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80513,A000000,02500,0000,02500PHYSICAL THERAPY 80513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80513,A000000,02700,0000,02700SPEECH PATHOLOGY 80513,A000000,02800,0000,02800ELECTROCARDIOLOGY 80513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80513,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80513,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80513,A000000,03200,0000,03200SUPPORT SURFACES 80513,A000000,03400,0000,03400CLINIC 80513,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80513,A000000,03500,0000,03500RURAL HEALTH CLINIC 80513,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80513,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80513,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80513,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80513,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80513,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80513,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80513,A000000,04400,0000,04400DME RENTED - HHA 80513,A000000,04500,0000,04500DME SOLD - HHA 80513,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80513,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80513,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80513,A000000,04800,0000,04800AMBULANCE 80513,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80513,A000000,05000,0000,05000CORF 80513,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80513,A000000,05300,0000,05300INTEREST EXPENSE 80513,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80513,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80513,A000000,05500,0000,05500HOSPICE 80513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80513,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80513,A000000,06100,0000,06100NONPAID WORKERS 80513,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80513,A000000,06200,0000,06200PATIENTS LAUNDRY 80513,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80513,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80513,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80513,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80513,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80513,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80513,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80513,B100000,00000,0800,00000MEALS SERVED :DIETARY 80513,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80513,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80513,S000000,00100,0200,06/05/2000 80513,S200000,00100,0100,13400 SHERMAN WAY 80513,S200000,00200,0100,NORTH HOLLYWOOD 80513,S200000,00200,0200,CA 80513,S200000,00200,0300,91605- 80513,S200000,00300,0100,LOS ANGELES 80513,S200000,00300,0200,4480 80513,S200000,00300,0300,U 80513,S200000,00400,0100,VALLEY PALMS CARE CENTER 80513,S200000,00400,0200,055287 80513,S200000,00400,0300,01/01/1988 80513,S200000,00400,0500,P 80513,S200000,01500,0100,Y 80522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80522,A000000,00300,0000,00300EMPLOYEE BENEFITS 80522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80522,A000000,00700,0000,00700HOUSEKEEPING 80522,A000000,00800,0000,00800DIETARY 80522,A000000,00900,0000,00900NURSING ADMINISTRATION 80522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80522,A000000,01100,0000,01100PHARMACY 80522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80522,A000000,01300,0000,01300SOCIAL SERVICE 80522,A000000,01301,0000,01301ACTIVITIES 80522,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 80522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80522,A000000,01600,0000,01600SKILLED NURSING FACILITY 80522,A000000,01800,0000,01800NURSING FACILITY 80522,A000000,01900,0000,01900OTHER LONG TERM CARE 80522,A000000,02100,0000,02100RADIOLOGY 80522,A000000,02200,0000,02200LABORATORY 80522,A000000,02300,0000,02300INTRAVENOUS THERAPY 80522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80522,A000000,02500,0000,02500PHYSICAL THERAPY 80522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80522,A000000,02700,0000,02700SPEECH PATHOLOGY 80522,A000000,02800,0000,02800ELECTROCARDIOLOGY 80522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80522,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80522,A000000,03051,0000,03301P.E.N. THERAPY 80522,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80522,A000000,03200,0000,03200SUPPORT SURFACES 80522,A000000,03400,0000,03400CLINIC 80522,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80522,A000000,04800,0000,04800AMBULANCE 80522,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80522,A000000,05000,0000,05000CORF 80522,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80522,A000000,05300,0000,05300INTEREST EXPENSE 80522,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80522,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80522,A000000,05500,0000,05500HOSPICE 80522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80522,A000000,06100,0000,06100NONPAID WORKERS 80522,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80522,A000000,06200,0000,06200PATIENTS LAUNDRY 80522,A81000A,00100,0100,Y 80522,A81000B,00100,0300,NURSING SUPPLIES 80522,A81000B,00200,0300,COST OF OXYGEN 80522,A81000B,00300,0300,DME 80522,A81000B,00400,0300,HOME OFFICE COST 80522,A81000C,00100,0100,B 80522,A81000C,00100,0200,AUTUMN HILLS HC 80522,A81000C,00100,0400,MARINER POST- A 80522,A81000C,00100,0600,NURSING HOMES 80522,A81000C,00200,0100,G 80522,A81000C,00200,0200,MARINER POST-AC 80522,A81000C,00200,0400,AMERICAN PHARMA 80522,A81000C,00200,0600,PHARMACEUTICAL 80522,A81000C,00300,0100,G 80522,A81000C,00300,0200,MERINER POST-AC 80522,A81000C,00300,0400,PRISM (ATS ARS 80522,A81000C,00300,0600,THERAPIES 80522,A81000C,03100,0000,MERINER POST-ACUTE NETWORK 80522,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80522,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80522,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80522,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80522,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80522,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80522,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80522,B100000,00000,0800,00000MEALS SERVED :DIETARY 80522,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 80522,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80522,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80522,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80522,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80522,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 80522,S000000,00100,0200,06/05/2000 80522,S200000,00100,0100,430 N GLENDALE AVE 80522,S200000,00200,0100,GLENDALE 80522,S200000,00200,0200,CA 80522,S200000,00200,0300,91206- 80522,S200000,00300,0100,LOS ANGELES 80522,S200000,00300,0200,4480 80522,S200000,00300,0300,U 80522,S200000,00400,0100,AUTUMN HILLS HEALTH CARE CENTER 80522,S200000,00400,0200,055288 80522,S200000,00400,0300,10/01/1981 80522,S200000,00400,0500,P 80530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80530,A000000,00300,0000,00300EMPLOYEE BENEFITS 80530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80530,A000000,00700,0000,00700HOUSEKEEPING 80530,A000000,00800,0000,00800DIETARY 80530,A000000,00900,0000,00900NURSING ADMINISTRATION 80530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80530,A000000,01100,0000,01100PHARMACY 80530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80530,A000000,01300,0000,01300SOCIAL SERVICE 80530,A000000,01350,0000,01500OTHER GENERAL SERVICES 80530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80530,A000000,01600,0000,01600SKILLED NURSING FACILITY 80530,A000000,01800,0000,01800NURSING FACILITY 80530,A000000,01810,0000,01801ICF/MR 80530,A000000,01900,0000,01900OTHER LONG TERM CARE 80530,A000000,02100,0000,02100RADIOLOGY 80530,A000000,02200,0000,02200LABORATORY 80530,A000000,02300,0000,02300INTRAVENOUS THERAPY 80530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80530,A000000,02500,0000,02500PHYSICAL THERAPY 80530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80530,A000000,02700,0000,02700SPEECH PATHOLOGY 80530,A000000,02800,0000,02800ELECTROCARDIOLOGY 80530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80530,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80530,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80530,A000000,03200,0000,03200SUPPORT SURFACES 80530,A000000,03400,0000,03400CLINIC 80530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80530,A000000,03500,0000,03500RURAL HEALTH CLINIC 80530,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80530,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80530,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80530,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80530,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80530,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80530,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80530,A000000,04400,0000,04400DME RENTED - HHA 80530,A000000,04500,0000,04500DME SOLD - HHA 80530,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80530,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80530,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80530,A000000,04800,0000,04800AMBULANCE 80530,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80530,A000000,05000,0000,05000CORF 80530,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80530,A000000,05300,0000,05300INTEREST EXPENSE 80530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80530,A000000,05500,0000,05500HOSPICE 80530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80530,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80530,A000000,06100,0000,06100NONPAID WORKERS 80530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80530,A000000,06200,0000,06200PATIENTS LAUNDRY 80530,A81000A,00100,0100,Y 80530,A81000B,00100,0300,BUILDING LEASE 80530,A81000B,00200,0300,PROPERTY TAXES 80530,A81000B,00300,0300,DEPRECIATION-BUILDING 80530,A81000C,00100,0100,A 80530,A81000C,00100,0200,OSCAR GROSS 80530,A81000C,00100,0400,GROSS CONV. HOSPITAL INC 80530,A81000C,00100,0600,LESSOR 80530,A81000C,00200,0100,A 80530,A81000C,00200,0200,ELSA GROSS 80530,A81000C,00200,0400,GROSS CONV. HOSPITAL INC 80530,A81000C,00200,0600,LESSOR 80530,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80530,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80530,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80530,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80530,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80530,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80530,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80530,B100000,00000,0800,00000MEALS SERVED :DIETARY 80530,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80530,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80530,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80530,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80530,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80530,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80530,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80530,S000000,00100,0200,04/25/2000 80530,S200000,00100,0100,321 WEST TURNER ROAD 80530,S200000,00200,0100,LODI 80530,S200000,00200,0200,CA 80530,S200000,00200,0300,95240- 80530,S200000,00300,0100,SAN JOAQUIN 80530,S200000,00400,0100,GROSS CONVALESCENT HOSPITAL 80530,S200000,00400,0200,055289 80530,S200000,00400,0300,01/01/1967 80530,S200000,00400,0500,P 80530,S200000,01500,0100,Y 80530,S700003,00000,0100,1 80538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80538,A000000,00300,0000,00300EMPLOYEE BENEFITS 80538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80538,A000000,00700,0000,00700HOUSEKEEPING 80538,A000000,00800,0000,00800DIETARY 80538,A000000,00900,0000,00900NURSING ADMINISTRATION 80538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80538,A000000,01100,0000,01100PHARMACY 80538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80538,A000000,01300,0000,01300SOCIAL SERVICE 80538,A000000,01350,0000,01500OTHER GENERAL SERVICES 80538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80538,A000000,01600,0000,01600SKILLED NURSING FACILITY 80538,A000000,01800,0000,01800NURSING FACILITY 80538,A000000,01810,0000,01801ICF/MR 80538,A000000,01900,0000,01900OTHER LONG TERM CARE 80538,A000000,02100,0000,02100RADIOLOGY 80538,A000000,02200,0000,02200LABORATORY 80538,A000000,02300,0000,02300INTRAVENOUS THERAPY 80538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80538,A000000,02500,0000,02500PHYSICAL THERAPY 80538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80538,A000000,02700,0000,02700SPEECH PATHOLOGY 80538,A000000,02800,0000,02800ELECTROCARDIOLOGY 80538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80538,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80538,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80538,A000000,03200,0000,03200SUPPORT SURFACES 80538,A000000,03400,0000,03400CLINIC 80538,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80538,A000000,03500,0000,03500RURAL HEALTH CLINIC 80538,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80538,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80538,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80538,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80538,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80538,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80538,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80538,A000000,04400,0000,04400DME RENTED - HHA 80538,A000000,04500,0000,04500DME SOLD - HHA 80538,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80538,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80538,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80538,A000000,04800,0000,04800AMBULANCE 80538,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80538,A000000,05000,0000,05000CORF 80538,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80538,A000000,05300,0000,05300INTEREST EXPENSE 80538,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80538,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80538,A000000,05500,0000,05500HOSPICE 80538,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80538,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80538,A000000,06100,0000,06100NONPAID WORKERS 80538,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80538,A000000,06200,0000,06200PATIENTS LAUNDRY 80538,A81000A,00100,0100,Y 80538,A81000B,00100,0300,MANAGEMENT FEES 80538,A81000B,00200,0300,HOME OFFICE-BUILDING 80538,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 80538,A81000B,00400,0300,HOME OFFICE COSTS 80538,A81000B,00500,0300,BUILDING LEASE 80538,A81000B,00600,0300,DEPRECIATION-BUILDING 80538,A81000B,00700,0300,MORTGAGE INTEREST EXP 80538,A81000B,00800,0300,AMORTIZATION COST-LOAN 80538,A81000C,00100,0100,A 80538,A81000C,00100,0200,W. C. SHIELDS 80538,A81000C,00100,0400,SHIELDS NURSING CENTER 80538,A81000C,00100,0600,LESSOR 80538,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80538,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80538,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80538,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80538,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80538,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80538,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80538,B100000,00000,0800,00000MEALS SERVED :DIETARY 80538,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80538,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80538,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80538,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80538,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80538,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80538,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80538,S000000,00100,0200,06/23/2000 80538,S200000,00100,0100,1919 CUTTING BLVD. 80538,S200000,00200,0100,RICHMOND 80538,S200000,00200,0200,CA 80538,S200000,00200,0300,94804- 80538,S200000,00300,0100,CONTRA COSTA 80538,S200000,00400,0100,SHIELDS/RICHMOND NURSING CENTER 80538,S200000,00400,0200,055292 80538,S200000,00400,0300,08/01/1991 80538,S200000,00400,0500,P 80538,S200000,01600,0100,Y 80538,S200000,02800,0100,Y 80538,S700003,00000,0100,1 80544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80544,A000000,00300,0000,00300EMPLOYEE BENEFITS 80544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80544,A000000,00700,0000,00700HOUSEKEEPING 80544,A000000,00800,0000,00800DIETARY 80544,A000000,00900,0000,00900NURSING ADMINISTRATION 80544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80544,A000000,01100,0000,01100PHARMACY 80544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80544,A000000,01300,0000,01300SOCIAL SERVICE 80544,A000000,01350,0000,01500OTHER GENERAL SERVICES 80544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80544,A000000,01600,0000,01600SKILLED NURSING FACILITY 80544,A000000,01800,0000,01800NURSING FACILITY 80544,A000000,01810,0000,01801ICF/MR 80544,A000000,01900,0000,01900OTHER LONG TERM CARE 80544,A000000,02100,0000,02100RADIOLOGY 80544,A000000,02200,0000,02200LABORATORY 80544,A000000,02300,0000,02300INTRAVENOUS THERAPY 80544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80544,A000000,02500,0000,02500PHYSICAL THERAPY 80544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80544,A000000,02700,0000,02700SPEECH PATHOLOGY 80544,A000000,02800,0000,02800ELECTROCARDIOLOGY 80544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80544,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80544,A000000,03051,0000,03301DURABLE MEDICAL EQUIPMENT 80544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80544,A000000,03200,0000,03200SUPPORT SURFACES 80544,A000000,03400,0000,03400CLINIC 80544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80544,A000000,03500,0000,03500RURAL HEALTH CLINIC 80544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80544,A000000,04800,0000,04800AMBULANCE 80544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80544,A000000,05000,0000,05000CORF 80544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80544,A000000,05300,0000,05300INTEREST EXPENSE 80544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80544,A000000,05500,0000,05500HOSPICE 80544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80544,A000000,06100,0000,06100NONPAID WORKERS 80544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80544,A000000,06200,0000,06200PATIENTS LAUNDRY 80544,A81000A,00100,0100,Y 80544,A81000B,00100,0300,OWNER BASIS RELATED LEASE 80544,A81000C,00100,0100,B 80544,A81000C,00100,0200,SHARON JENNINGS 80544,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 80544,A81000C,00100,0600,PROPERTY MANAGEMENT 80544,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80544,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80544,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80544,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80544,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80544,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80544,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80544,B100000,00000,0800,00000MEALS SERVED :DIETARY 80544,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 80544,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80544,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80544,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80544,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80544,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80544,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80544,S000000,00100,0200,09/05/2000 80544,S200000,00100,0100,1090 RIO LANE 80544,S200000,00200,0100,SACRAMENTO 80544,S200000,00200,0200,CA 80544,S200000,00200,0300,95822- 80544,S200000,00300,0100,SACRAMENTO 80544,S200000,00400,0100,RIVERSIDE CONVALESCENT HOSPITAL 80544,S200000,00400,0200,055296 80544,S200000,00400,0300,01/01/1967 80544,S200000,00400,0500,P 80544,S200000,01500,0100,Y 80544,S700003,00000,0100,1 80554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80554,A000000,00300,0000,00300EMPLOYEE BENEFITS 80554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80554,A000000,00700,0000,00700HOUSEKEEPING 80554,A000000,00800,0000,00800DIETARY 80554,A000000,00900,0000,00900NURSING ADMINISTRATION 80554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80554,A000000,01100,0000,01100PHARMACY 80554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80554,A000000,01300,0000,01300SOCIAL SERVICE 80554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80554,A000000,01600,0000,01600SKILLED NURSING FACILITY 80554,A000000,01800,0000,01800NURSING FACILITY 80554,A000000,01810,0000,01810ICF/MR 80554,A000000,02100,0000,02100RADIOLOGY 80554,A000000,02200,0000,02200LABORATORY 80554,A000000,02300,0000,02300INTRAVENOUS THERAPY 80554,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80554,A000000,02500,0000,02500PHYSICAL THERAPY 80554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80554,A000000,02700,0000,02700SPEECH PATHOLOGY 80554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80554,A000000,03200,0000,03200SUPPORT SURFACES 80554,A000000,03550,0000,03550FQHC 80554,A000000,05000,0000,05000CORF 80554,A000000,05010,0000,05010CMHC 80554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80554,A81000A,00100,0100,Y 80554,A81000B,00200,0300,HOME OFFICE 80554,A81000C,00200,0100,B 80554,A81000C,00200,0200,PREMIER MGT. 80554,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80554,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80554,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80554,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80554,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80554,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 80554,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 80554,B100000,00000,0850,00040PATIENT DAYS :DIETARY 80554,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 80554,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 80554,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 80554,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 80554,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 80554,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 80554,S000000,00100,0200,06/09/2000 80554,S200000,00100,0100,10625 LEFFINGWELL ROAD 80554,S200000,00200,0100,NORWALK 80554,S200000,00200,0200,CA 80554,S200000,00200,0300,90650- 80554,S200000,00300,0100,LOS ANGELES 80554,S200000,00400,0100,NORWALK MEADOWS NURSING CENTER 80554,S200000,00400,0200,055297 80554,S200000,00400,0300,01/01/1986 80554,S200000,00400,0500,P 80554,S200000,01004,0500,O 80554,S200000,01600,0100,Y 80554,S700003,00000,0400,4 80561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80561,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 80561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80561,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 80561,A000000,00300,0000,00300EMPLOYEE BENEFITS 80561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80561,A000000,00700,0000,00700HOUSEKEEPING 80561,A000000,00800,0000,00800DIETARY 80561,A000000,00801,0000,00801CAFETERIA 80561,A000000,00900,0000,00900NURSING ADMINISTRATION 80561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80561,A000000,01100,0000,01100PHARMACY 80561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80561,A000000,01300,0000,01300SOCIAL SERVICE 80561,A000000,01350,0000,01500ACTIVITIES 80561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80561,A000000,01600,0000,01600SKILLED NURSING FACILITY 80561,A000000,01800,0000,01800NURSING FACILITY 80561,A000000,01900,0000,01900OTHER LONG TERM CARE 80561,A000000,02100,0000,02100RADIOLOGY 80561,A000000,02200,0000,02200LABORATORY 80561,A000000,02300,0000,02300INTRAVENOUS THERAPY 80561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80561,A000000,02500,0000,02500PHYSICAL THERAPY 80561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80561,A000000,02700,0000,02700SPEECH PATHOLOGY 80561,A000000,02800,0000,02800ELECTROCARDIOLOGY 80561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80561,A000000,03050,0000,03300CLINITRON 80561,A000000,03051,0000,03301OTHER ANCILLARY II 80561,A000000,03052,0000,03302OTHER ANCILLARY III 80561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80561,A000000,03200,0000,03200SUPPORT SURFACES 80561,A000000,03400,0000,03400CLINIC 80561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 80561,A000000,03500,0000,03500RURAL HEALTH CLINIC 80561,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80561,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80561,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80561,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80561,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80561,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80561,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80561,A000000,04400,0000,04400DME RENTED - HHA 80561,A000000,04500,0000,04500DME SOLD - HHA 80561,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80561,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80561,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80561,A000000,04800,0000,04800AMBULANCE 80561,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80561,A000000,05000,0000,05000CORF 80561,A000000,05010,0000,05010CMHC I 80561,A000000,05020,0000,05020OPT I 80561,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80561,A000000,05300,0000,05300INTEREST EXPENSE 80561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 80561,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 80561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80561,A000000,05500,0000,05500HOSPICE 80561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80561,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80561,A000000,06100,0000,06100NONPAID WORKERS 80561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80561,A000000,06200,0000,06200PATIENTS LAUNDRY 80561,A81000A,00100,0100,Y 80561,A81000B,00100,0300,MANAGEMENT FEES 80561,A81000B,00200,0300,HOME OFFICE ALLOC 80561,A81000B,00300,0300,HOME OFFICE ALLOC 80561,A81000B,00400,0300,HOME OFFICE ALLOC 80561,A81000C,00100,0100,A 80561,A81000C,00100,0200,CHANCELLOR HEAL 80561,A81000C,00100,0400,CHANCELLOR HEAL 80561,A81000C,00100,0600,MGMT SERVICE 80561,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 80561,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 80561,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 80561,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 80561,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 80561,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80561,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 80561,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 80561,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 80561,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 80561,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 80561,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 80561,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 80561,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 80561,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 80561,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 80561,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 80561,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 80561,S000000,00100,0200,05/26/2000 80561,S200000,00100,0100,25383 COLE STREET 80561,S200000,00200,0100,LOMA LINDA 80561,S200000,00200,0200,CA 80561,S200000,00200,0300,92354- 80561,S200000,00300,0100,SAN BERNADINO 80561,S200000,00400,0100,LINDA VALLEY CARE CENTER 80561,S200000,00400,0200,055299 80561,S200000,00400,0300,09/01/1993 80561,S200000,00400,0500,P 80561,S200000,01500,0100,Y 80561,S200000,02200,0100,Y 80561,S700003,00000,0100,1 80570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80570,A000000,00300,0000,00300EMPLOYEE BENEFITS 80570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80570,A000000,00700,0000,00700HOUSEKEEPING 80570,A000000,00800,0000,00800DIETARY 80570,A000000,01300,0000,01300SOCIAL SERVICE 80570,A000000,01600,0000,01600SKILLED NURSING FACILITY 80570,A000000,01810,0000,01810ICF/MR 80570,A000000,02100,0000,02100RADIOLOGY 80570,A000000,02200,0000,02200LABORATORY 80570,A000000,02500,0000,02500PHYSICAL THERAPY 80570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80570,A000000,02700,0000,02700SPEECH PATHOLOGY 80570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80570,A000000,03550,0000,03550FQHC 80570,A000000,05000,0000,05000CORF 80570,A000000,05010,0000,05010CMHC 80570,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80570,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80570,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80570,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80570,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80570,B100000,00000,0800,00000MEALS SERVED :DIETARY 80570,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80570,S000000,00100,0200,06/20/2000 80570,S200000,00100,0100,830 PRATT AVENUE 80570,S200000,00200,0100,ST. HELENA 80570,S200000,00200,0200,CA 80570,S200000,00200,0300,94574- 80570,S200000,00300,0100,NAPA 80570,S200000,00300,0200,8720 80570,S200000,00300,0300,U 80570,S200000,00400,0100,MARLINDA CONV. HOSP. - ST. HELENA 80570,S200000,00400,0200,055301 80570,S200000,00400,0300,08/01/1989 80570,S200000,00400,0500,P 80570,S200000,01500,0100,Y 80570,S200000,04300,0100,Y 80579,S000000,00100,0200,09/05/2000 80587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80587,A000000,00300,0000,00300EMPLOYEE BENEFITS 80587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80587,A000000,00700,0000,00700HOUSEKEEPING 80587,A000000,00800,0000,00800DIETARY 80587,A000000,00900,0000,00900NURSING ADMINISTRATION 80587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80587,A000000,01300,0000,01300SOCIAL SERVICE 80587,A000000,01600,0000,01600SKILLED NURSING FACILITY 80587,A000000,01800,0000,01800NURSING FACILITY 80587,A000000,01900,0000,01900OTHER LONG TERM CARE 80587,A000000,02100,0000,02100RADIOLOGY 80587,A000000,02200,0000,02200LABORATORY 80587,A000000,02300,0000,02300INTRAVENOUS THERAPY 80587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80587,A000000,02500,0000,02500PHYSICAL THERAPY 80587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80587,A000000,02700,0000,02700SPEECH PATHOLOGY 80587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80587,A000000,03200,0000,03200SUPPORT SURFACES 80587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80587,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80587,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80587,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80587,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80587,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80587,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80587,B100000,00000,0800,00000MEALS SERVED :DIETARY 80587,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80587,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80587,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80587,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80587,S000000,00100,0200,11/30/2000 80587,S200000,00100,0100,4700 ELVAS AVENUE 80587,S200000,00200,0100,SACRAMENTO 80587,S200000,00200,0200,CA 80587,S200000,00200,0300,95819- 80587,S200000,00300,0100,SACRAMENTO 80587,S200000,00300,0200,6920 80587,S200000,00300,0300,U 80587,S200000,00400,0100,SHERWOOD HEALTHCARE CENTER 80587,S200000,00400,0200,055305 80587,S200000,00400,0300,02/01/1971 80587,S200000,00400,0500,P 80587,S200000,01600,0100,Y 80595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80595,A000000,00300,0000,00300EMPLOYEE BENEFITS 80595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80595,A000000,00700,0000,00700HOUSEKEEPING 80595,A000000,00800,0000,00800DIETARY 80595,A000000,00900,0000,00900NURSING ADMINISTRATION 80595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80595,A000000,01300,0000,01300SOCIAL SERVICE 80595,A000000,01301,0000,01301ACTIVITIES 80595,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 80595,A000000,01600,0000,01600SKILLED NURSING FACILITY 80595,A000000,01800,0000,01800NURSING FACILITY 80595,A000000,01810,0000,01810ICF/MR 80595,A000000,01900,0000,01900OTHER LONG TERM CARE 80595,A000000,02100,0000,02100RADIOLOGY 80595,A000000,02200,0000,02200LABORATORY 80595,A000000,02300,0000,02300INTRAVENOUS THERAPY 80595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80595,A000000,02500,0000,02500PHYSICAL THERAPY 80595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80595,A000000,02700,0000,02700SPEECH PATHOLOGY 80595,A000000,02800,0000,02800ELECTROCARDIOLOGY 80595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80595,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80595,A000000,03051,0000,03301PEN THERAPY 80595,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80595,A000000,03200,0000,03200SUPPORT SURFACES 80595,A000000,03400,0000,03400CLINIC 80595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80595,A000000,03500,0000,03500RURAL HEALTH CLINIC 80595,A000000,04800,0000,04800AMBULANCE 80595,A000000,05000,0000,05000CORF 80595,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80595,A000000,05300,0000,05300INTEREST EXPENSE 80595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80595,A000000,05500,0000,05500HOSPICE 80595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80595,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80595,A000000,06100,0000,06100NONPAID WORKERS 80595,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80595,A000000,06200,0000,06200PATIENTS LAUNDRY 80595,A81000A,00100,0100,Y 80595,A81000B,00100,0300,HOME OFFICE ALLOCATION 80595,A81000B,00200,0300,NON CERT 80595,A81000B,00300,0300,MEDICAL SUPPLIES 80595,A81000B,00400,0300,CAPITAL 80595,A81000B,00500,0300,LAB 80595,A81000B,00600,0300,XRAY 80595,A81000B,00700,0300,RT 80595,A81000C,00100,0100,B 80595,A81000C,00100,0200,LANCASTER 10474 80595,A81000C,00100,0400,MARINER POST AC 80595,A81000C,00100,0600,NURSING HOMES 80595,A81000C,00200,0100,G 80595,A81000C,00200,0200,MARINER POST AC 80595,A81000C,00200,0400,AMERICAN PHARMA 80595,A81000C,00200,0600,PHARMACEUTICALS 80595,A81000C,00300,0100,G 80595,A81000C,00300,0200,MARINER POST AC 80595,A81000C,00300,0400,PRISM (ATS ARS 80595,A81000C,00300,0600,THERAPIES 80595,A81000C,03100,0000,MARINER POST ACUTE NETWORK 80595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80595,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80595,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80595,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80595,B100000,00000,0800,00000MEALS SERVED :DIETARY 80595,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80595,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80595,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80595,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80595,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80595,B100000,00000,1350,00000UNITS OF SVC :OTHER GENERAL SERVICE 80595,S000000,00100,0200,06/05/2000 80595,S200000,00100,0100,1624 W. AVENUE J 80595,S200000,00200,0100,LANCASTER 80595,S200000,00200,0200,CA 80595,S200000,00200,0300,93534- 80595,S200000,00300,0100,LOS ANGELES 80595,S200000,00400,0100,LANCASTER HEATHCARE CENTER 80595,S200000,00400,0200,055307 80595,S200000,00400,0300,01/01/1980 80595,S200000,00400,0500,P 80595,S700003,00000,0100,1 80602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80602,A000000,00300,0000,00300EMPLOYEE BENEFITS 80602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80602,A000000,00700,0000,00700HOUSEKEEPING 80602,A000000,00800,0000,00800DIETARY 80602,A000000,00900,0000,00900NURSING ADMINISTRATION 80602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80602,A000000,01100,0000,01100PHARMACY 80602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80602,A000000,01300,0000,01300SOCIAL SERVICE 80602,A000000,01350,0000,01500OTHER GENERAL SERVICES 80602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80602,A000000,01600,0000,01600SKILLED NURSING FACILITY 80602,A000000,01800,0000,01800NURSING FACILITY 80602,A000000,01810,0000,01810ICF/MR 80602,A000000,01900,0000,01900OTHER LONG TERM CARE 80602,A000000,02100,0000,02100RADIOLOGY 80602,A000000,02200,0000,02200LABORATORY 80602,A000000,02300,0000,02300INTRAVENOUS THERAPY 80602,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80602,A000000,02500,0000,02500PHYSICAL THERAPY 80602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80602,A000000,02700,0000,02700SPEECH PATHOLOGY 80602,A000000,02800,0000,02800ELECTROCARDIOLOGY 80602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80602,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80602,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80602,A000000,03200,0000,03200SUPPORT SURFACES 80602,A000000,03400,0000,03400CLINIC 80602,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80602,A000000,03500,0000,03500RURAL HEALTH CLINIC 80602,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80602,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80602,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80602,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80602,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80602,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80602,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80602,A000000,04400,0000,04400DME RENTED - HHA 80602,A000000,04500,0000,04500DME SOLD - HHA 80602,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80602,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80602,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80602,A000000,04800,0000,04800AMBULANCE 80602,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80602,A000000,05000,0000,05000CORF 80602,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80602,A000000,05300,0000,05300INTEREST EXPENSE 80602,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80602,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80602,A000000,05500,0000,05500HOSPICE 80602,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80602,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80602,A000000,06100,0000,06100NONPAID WORKERS 80602,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80602,A000000,06200,0000,06200PATIENTS LAUNDRY 80602,A81000A,00100,0100,Y 80602,A81000B,00100,0300,BUILDING LEASE 80602,A81000B,00200,0300,DEPP. EXP-BUILDING 80602,A81000C,00100,0100,B 80602,A81000C,00100,0200,EGAN PROPERTIES 80602,A81000C,00100,0400,EGAN PROPERTIES 80602,A81000C,00100,0600,INVESTMENTS 80602,A81000C,00200,0100,E 80602,A81000C,00200,0200,TIMOTHY EGAN 80602,A81000C,00200,0400,EGAN PROPERTIES 80602,A81000C,00200,0600,LESSOR 80602,A81000C,00300,0100,E 80602,A81000C,00300,0200,MICHAEL EGAN 80602,A81000C,00300,0400,EGAN PROPERTIES 80602,A81000C,00300,0600,LESSOR 80602,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80602,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80602,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80602,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80602,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80602,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80602,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80602,B100000,00000,0800,00000MEALS SERVED :DIETARY 80602,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80602,S000000,00100,0200,12/12/2000 80602,S200000,00100,0100,234 NORTH SAN PEDRO ROAD 80602,S200000,00200,0100,SAN RAFAEL 80602,S200000,00200,0200,CA 80602,S200000,00200,0300,94903- 80602,S200000,00300,0100,MARIN 80602,S200000,00300,0200,7360 80602,S200000,00300,0300,U 80602,S200000,00400,0100,RAFAEL CONVALESCENT HOSPITAL 80602,S200000,00400,0200,055310 80602,S200000,00400,0300,01/01/1967 80602,S200000,00400,0500,P 80602,S200000,01004,0500,O 80602,S200000,01500,0100,Y 80610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80610,A000000,00300,0000,00300EMPLOYEE BENEFITS 80610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80610,A000000,00700,0000,00700HOUSEKEEPING 80610,A000000,00800,0000,00800DIETARY 80610,A000000,00900,0000,00900NURSING ADMINISTRATION 80610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80610,A000000,01300,0000,01300SOCIAL SERVICE 80610,A000000,01600,0000,01600SKILLED NURSING FACILITY 80610,A000000,01800,0000,01800NURSING FACILITY 80610,A000000,01900,0000,01900OTHER LONG TERM CARE 80610,A000000,02100,0000,02100RADIOLOGY 80610,A000000,02200,0000,02200LABORATORY 80610,A000000,02300,0000,02300INTRAVENOUS THERAPY 80610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80610,A000000,02500,0000,02500PHYSICAL THERAPY 80610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80610,A000000,02700,0000,02700SPEECH PATHOLOGY 80610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80610,A000000,03200,0000,03200SUPPORT SURFACES 80610,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80610,A000000,04800,0000,04800AMBULANCE 80610,A000000,05300,0000,05300INTEREST EXPENSE 80610,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80610,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80610,A000000,06200,0000,06200PATIENTS LAUNDRY 80610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80610,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80610,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80610,B100000,00000,0800,00000MEALS SERVED :DIETARY 80610,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 80610,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80610,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80610,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80610,S000000,00100,0200,06/05/2000 80610,S200000,00100,0100,315 ALAMEDA AVE 80610,S200000,00200,0100,SALINAS 80610,S200000,00200,0200,CA 80610,S200000,00200,0300,93901- 80610,S200000,00300,0100,MONTEREY 80610,S200000,00300,0200,7120 80610,S200000,00300,0300,U 80610,S200000,00400,0100,KATHERINE CONVALESENT HOSPITAL 80610,S200000,00400,0200,055311 80610,S200000,00400,0300,05/01/1991 80610,S200000,00400,0500,P 80610,S200000,01600,0100,Y 80624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80624,A000000,00300,0000,00300EMPLOYEE BENEFITS 80624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80624,A000000,00700,0000,00700HOUSEKEEPING 80624,A000000,00800,0000,00800DIETARY 80624,A000000,00900,0000,00900NURSING ADMINISTRATION 80624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80624,A000000,01100,0000,01100PHARMACY 80624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80624,A000000,01300,0000,01300SOCIAL SERVICE 80624,A000000,01350,0000,01500OTHER GENERAL SERVICES 80624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80624,A000000,01600,0000,01600SKILLED NURSING FACILITY 80624,A000000,01800,0000,01800NURSING FACILITY 80624,A000000,01810,0000,01801ICF/MR 80624,A000000,01900,0000,01900OTHER LONG TERM CARE 80624,A000000,02100,0000,02100RADIOLOGY 80624,A000000,02200,0000,02200LABORATORY 80624,A000000,02300,0000,02300INTRAVENOUS THERAPY 80624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80624,A000000,02500,0000,02500PHYSICAL THERAPY 80624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80624,A000000,02700,0000,02700SPEECH PATHOLOGY 80624,A000000,02800,0000,02800ELECTROCARDIOLOGY 80624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80624,A000000,03200,0000,03200SUPPORT SURFACES 80624,A000000,03400,0000,03400CLINIC 80624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80624,A000000,03500,0000,03500RURAL HEALTH CLINIC 80624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80624,A000000,04400,0000,04400DME RENTED - HHA 80624,A000000,04500,0000,04500DME SOLD - HHA 80624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80624,A000000,04800,0000,04800AMBULANCE 80624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80624,A000000,05000,0000,05000CORF 80624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80624,A000000,05300,0000,05300INTEREST EXPENSE 80624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80624,A000000,05500,0000,05500HOSPICE 80624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80624,A000000,06100,0000,06100NONPAID WORKERS 80624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80624,A000000,06200,0000,06200PATIENTS LAUNDRY 80624,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 80624,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 80624,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 80624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80624,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 80624,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80624,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 80624,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80624,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 80624,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80624,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 80624,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80624,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80624,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80624,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80624,S000000,00100,0200,06/01/2000 80624,S200000,00100,0100,2530 SOLACE PL 80624,S200000,00200,0100,MOUNTAINVIEW 80624,S200000,00200,0200,CA 80624,S200000,00200,0300,94040- 80624,S200000,00300,0100,SANTA CLARA 80624,S200000,00400,0100,MOUNTAIN VIEW HEALTH CARE CTR 80624,S200000,00400,0200,055316 80624,S200000,00400,0300,01/01/1967 80624,S200000,00400,0500,P 80624,S200000,01600,0100,Y 80624,S700003,00000,0100,1 80633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80633,A000000,00300,0000,00300EMPLOYEE BENEFITS 80633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80633,A000000,00700,0000,00700HOUSEKEEPING 80633,A000000,00800,0000,00800DIETARY 80633,A000000,00900,0000,00900NURSING ADMINISTRATION 80633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80633,A000000,01300,0000,01300SOCIAL SERVICE 80633,A000000,01301,0000,01301ACTIVITIES 80633,A000000,01350,0000,01500REHAB 80633,A000000,01600,0000,01600SKILLED NURSING FACILITY 80633,A000000,01800,0000,01800NURSING FACILITY 80633,A000000,01900,0000,01900OTHER LONG TERM CARE 80633,A000000,02100,0000,02100RADIOLOGY 80633,A000000,02200,0000,02200LABORATORY 80633,A000000,02300,0000,02300INTRAVENOUS THERAPY 80633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80633,A000000,02500,0000,02500PHYSICAL THERAPY 80633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80633,A000000,02700,0000,02700SPEECH PATHOLOGY 80633,A000000,02800,0000,02800ELECTROCARDIOLOGY 80633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80633,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80633,A000000,03051,0000,03301PEN THERAPY 80633,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80633,A000000,03200,0000,03200SUPPORT SURFACES 80633,A000000,03400,0000,03400CLINIC 80633,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80633,A000000,04800,0000,04800AMBULANCE 80633,A000000,05000,0000,05000CORF 80633,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80633,A000000,05300,0000,05300INTEREST EXPENSE 80633,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80633,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80633,A000000,05500,0000,05500HOSPICE 80633,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80633,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80633,A000000,06100,0000,06100NONPAID WORKERS 80633,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80633,A000000,06200,0000,06200PATIENTS LAUNDRY 80633,A81000A,00100,0100,Y 80633,A81000B,00100,0300,HOME OFFICE ALLOCATION 80633,A81000B,00200,0300,NON CERT 80633,A81000B,00300,0300,MEDICAL SUPPLIES 80633,A81000B,00400,0300,CAPITAL 80633,A81000B,00500,0300,NURSING HOME 80633,A81000B,00600,0300,PT 80633,A81000B,00700,0300,OT 80633,A81000B,00800,0300,ST 80633,A81000C,00100,0100,B 80633,A81000C,00100,0200,SKYLINE SAN JOS 80633,A81000C,00100,0400,MARINE POST ACU 80633,A81000C,00100,0600,NURSING HOMES 80633,A81000C,00200,0100,G 80633,A81000C,00200,0200,MARINER POST AC 80633,A81000C,00200,0400,AMERICAN PHARMA 80633,A81000C,00200,0600,PHARMACEUTICALS 80633,A81000C,00300,0100,G 80633,A81000C,00300,0200,MARINER POST AC 80633,A81000C,00300,0400,PRISM (ATS ARS 80633,A81000C,00300,0600,THERAPIES 80633,A81000C,03100,0000,MARINER POST ACUTE NETWORK 80633,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80633,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80633,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80633,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80633,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80633,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80633,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80633,B100000,00000,0800,00000MEALS SERVED :DIETARY 80633,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80633,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80633,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80633,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80633,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80633,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 80633,S000000,00100,0200,06/05/2000 80633,S200000,00100,0100,2065 FOREST AVE 80633,S200000,00200,0100,SAN JOSE 80633,S200000,00200,0200,CA 80633,S200000,00200,0300,95128- 80633,S200000,00300,0100,SANTA CLARA 80633,S200000,00400,0100,SKYLINE HEALTHCARE CTR-SAN JOSE 80633,S200000,00400,0200,055318 80633,S200000,00400,0300,10/01/1980 80633,S200000,00400,0500,P 80633,S700003,00000,0100,1 80638,S000000,00100,0200,04/10/2001 80645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80645,A000000,00300,0000,00300EMPLOYEE BENEFITS 80645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80645,A000000,00700,0000,00700HOUSEKEEPING 80645,A000000,00800,0000,00800DIETARY 80645,A000000,00900,0000,00900NURSING ADMINISTRATION 80645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80645,A000000,01100,0000,01100PHARMACY 80645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80645,A000000,01300,0000,01300SOCIAL SERVICE 80645,A000000,01350,0000,01500OTHER GENERAL SERVICES 80645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80645,A000000,01600,0000,01600SKILLED NURSING FACILITY 80645,A000000,01800,0000,01800NURSING FACILITY 80645,A000000,01900,0000,01900OTHER LONG TERM CARE 80645,A000000,02100,0000,02100RADIOLOGY 80645,A000000,02200,0000,02200LABORATORY 80645,A000000,02300,0000,02300INTRAVENOUS THERAPY 80645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80645,A000000,02500,0000,02500PHYSICAL THERAPY 80645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80645,A000000,02700,0000,02700SPEECH PATHOLOGY 80645,A000000,02800,0000,02800ELECTROCARDIOLOGY 80645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80645,A000000,03200,0000,03200SUPPORT SURFACES 80645,A000000,03400,0000,03400CLINIC 80645,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80645,A000000,03500,0000,03500RURAL HEALTH CLINIC 80645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80645,A000000,04400,0000,04400DME RENTED - HHA 80645,A000000,04500,0000,04500DME SOLD - HHA 80645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80645,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80645,A000000,04800,0000,04800AMBULANCE 80645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80645,A000000,05000,0000,05000CORF 80645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80645,A000000,05300,0000,05300INTEREST EXPENSE 80645,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80645,A000000,05500,0000,05500HOSPICE 80645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80645,A000000,06100,0000,06100NONPAID WORKERS 80645,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80645,A000000,06200,0000,06200PATIENTS LAUNDRY 80645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80645,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80645,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80645,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80645,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80645,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80645,B100000,00000,0800,00000MEALS SERVED :DIETARY 80645,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80645,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80645,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80645,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80645,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80645,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80645,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80645,S000000,00100,0200,07/11/2000 80645,S200000,00100,0100,723 E 9TH STREET 80645,S200000,00200,0100,LONG BEACH 80645,S200000,00200,0200,CA 80645,S200000,00200,0300,90813- 80645,S200000,00300,0100,LOS ANGELES 80645,S200000,00400,0100,VILLA MARIA CARE CENTER 80645,S200000,00400,0200,055329 80645,S200000,00400,0300,02/01/1989 80645,S200000,00400,0500,P 80645,S200000,01500,0100,Y 80645,S700003,00000,0100,1 80656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80656,A000000,00300,0000,00300EMPLOYEE BENEFITS 80656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80656,A000000,00700,0000,00700HOUSEKEEPING 80656,A000000,00800,0000,00800DIETARY 80656,A000000,00900,0000,00900NURSING ADMINISTRATION 80656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80656,A000000,01100,0000,01100PHARMACY 80656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80656,A000000,01300,0000,01300SOCIAL SERVICE 80656,A000000,01301,0000,01301ACTIVITIES 80656,A000000,01350,0000,01500OTHER GENERAL SERVICES 80656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80656,A000000,01600,0000,01600SKILLED NURSING FACILITY 80656,A000000,01800,0000,01800NURSING FACILITY 80656,A000000,01810,0000,01801ICF/MR 80656,A000000,01900,0000,01900OTHER LONG TERM CARE 80656,A000000,02100,0000,02100RADIOLOGY 80656,A000000,02200,0000,02200LABORATORY 80656,A000000,02300,0000,02300INTRAVENOUS THERAPY 80656,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80656,A000000,02500,0000,02500PHYSICAL THERAPY 80656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80656,A000000,02700,0000,02700SPEECH PATHOLOGY 80656,A000000,02800,0000,02800ELECTROCARDIOLOGY 80656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80656,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80656,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80656,A000000,03200,0000,03200SUPPORT SURFACES 80656,A000000,03400,0000,03400CLINIC 80656,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80656,A000000,03500,0000,03500RURAL HEALTH CLINIC 80656,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80656,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80656,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80656,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80656,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80656,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80656,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80656,A000000,04400,0000,04400DME RENTED - HHA 80656,A000000,04500,0000,04500DME SOLD - HHA 80656,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80656,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80656,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80656,A000000,04800,0000,04800AMBULANCE 80656,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80656,A000000,05000,0000,05000CORF 80656,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80656,A000000,05300,0000,05300INTEREST EXPENSE 80656,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80656,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80656,A000000,05500,0000,05500HOSPICE 80656,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80656,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80656,A000000,06100,0000,06100NONPAID WORKERS 80656,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80656,A000000,06200,0000,06200PATIENTS LAUNDRY 80656,A81000A,00100,0100,Y 80656,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80656,A81000B,00200,0300,CAPITAL 80656,A81000C,00100,0100,A 80656,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 80656,A81000C,00100,0400,LENOX HEALTHCARE IN. 80656,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80656,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80656,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80656,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80656,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80656,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80656,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80656,B100000,00000,0800,00000MEALS SERVED :DIETARY 80656,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80656,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80656,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80656,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80656,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80656,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80656,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 80656,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80656,S000000,00100,0200,03/02/2000 80656,S200000,00100,0100,1601 FIFTH AVENUE 80656,S200000,00200,0100,SAN RAFAEL 80656,S200000,00200,0200,CA 80656,S200000,00200,0300,94901- 80656,S200000,00300,0100,MARIN 80656,S200000,00400,0100,FIFTH AVENUE HEALTHCARE CENTER 80656,S200000,00400,0200,055331 80656,S200000,00400,0300,01/01/1980 80656,S200000,00400,0500,P 80656,S200000,01600,0100,Y 80656,S700003,00000,0100,1 80685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80685,A000000,00300,0000,00300EMPLOYEE BENEFITS 80685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80685,A000000,00700,0000,00700HOUSEKEEPING 80685,A000000,00800,0000,00800DIETARY 80685,A000000,00900,0000,00900NURSING ADMINISTRATION 80685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80685,A000000,01300,0000,01300SOCIAL SERVICE 80685,A000000,01301,0000,01301ACTIVITIES 80685,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 80685,A000000,01600,0000,01600SKILLED NURSING FACILITY 80685,A000000,01800,0000,01800NURSING FACILITY 80685,A000000,01810,0000,01810ICF/MR 80685,A000000,01900,0000,01900OTHER LONG TERM CARE 80685,A000000,02100,0000,02100RADIOLOGY 80685,A000000,02200,0000,02200LABORATORY 80685,A000000,02300,0000,02300INTRAVENOUS THERAPY 80685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80685,A000000,02500,0000,02500PHYSICAL THERAPY 80685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80685,A000000,02700,0000,02700SPEECH PATHOLOGY 80685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80685,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80685,A000000,03051,0000,03301PEN THERAPY 80685,A000000,03200,0000,03200SUPPORT SURFACES 80685,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80685,A000000,04800,0000,04800AMBULANCE 80685,A000000,05000,0000,05000CORF 80685,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80685,A000000,05300,0000,05300INTEREST EXPENSE 80685,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80685,A000000,05500,0000,05500HOSPICE 80685,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80685,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80685,A000000,06100,0000,06100NONPAID WORKERS 80685,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80685,A000000,06200,0000,06200PATIENTS LAUNDRY 80685,A81000A,00100,0100,Y 80685,A81000B,00100,0300,HOME OFFICE ALLOCATION 80685,A81000B,00200,0300,CENTRAL SUPPLY 80685,A81000B,00300,0300,MEDICAL SUPPLIES 80685,A81000B,00400,0300,PLANT 80685,A81000B,00500,0300,PT 80685,A81000B,00600,0300,OT 80685,A81000B,00700,0300,ST 80685,A81000C,00100,0100,B 80685,A81000C,00100,0200,HAYWARD 10491 80685,A81000C,00100,0400,MPAN 80685,A81000C,00100,0600,NURSING HOMES 80685,A81000C,00200,0100,G 80685,A81000C,00200,0200,MPAN 80685,A81000C,00200,0400,AMERICAN PHARMA 80685,A81000C,00200,0600,PHARMACEUTICALS 80685,A81000C,00300,0100,G 80685,A81000C,00300,0200,MPAN 80685,A81000C,00300,0400,PRISM (ATS ARS 80685,A81000C,00300,0600,THERAPIES 80685,A81000C,03100,0000,THERAPIES 80685,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80685,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80685,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80685,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80685,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80685,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80685,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80685,B100000,00000,0800,00000MEALS SERVED :DIETARY 80685,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80685,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80685,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80685,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80685,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80685,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 80685,S000000,00100,0200,12/01/2000 80685,S200000,00100,0100,1832 B STREET 80685,S200000,00200,0100,HAYWARD 80685,S200000,00200,0200,CA 80685,S200000,00200,0300,94541- 80685,S200000,00300,0100,ALAMEDA 80685,S200000,00300,0200,5775 80685,S200000,00300,0300,U 80685,S200000,00400,0100,HAYWARD CONVALESCENT HOSPITAL 80685,S200000,00400,0200,055338 80685,S200000,00400,0300,11/01/1984 80685,S200000,00400,0500,P 80693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80693,A000000,00300,0000,00300EMPLOYEE BENEFITS 80693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80693,A000000,00700,0000,00700HOUSEKEEPING 80693,A000000,00800,0000,00800DIETARY 80693,A000000,00900,0000,00900NURSING ADMINISTRATION 80693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80693,A000000,01300,0000,01300SOCIAL SERVICE 80693,A000000,01301,0000,01301ACTIVITIES 80693,A000000,01350,0000,01500REHAB 80693,A000000,01600,0000,01600SKILLED NURSING FACILITY 80693,A000000,01800,0000,01800NURSING FACILITY 80693,A000000,01900,0000,01900OTHER LONG TERM CARE 80693,A000000,02100,0000,02100RADIOLOGY 80693,A000000,02200,0000,02200LABORATORY 80693,A000000,02300,0000,02300INTRAVENOUS THERAPY 80693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80693,A000000,02500,0000,02500PHYSICAL THERAPY 80693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80693,A000000,02700,0000,02700SPEECH PATHOLOGY 80693,A000000,02800,0000,02800ELECTROCARDIOLOGY 80693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80693,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80693,A000000,03051,0000,03301PEN THERAPY 80693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80693,A000000,03200,0000,03200SUPPORT SURFACES 80693,A000000,03400,0000,03400CLINIC 80693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80693,A000000,04800,0000,04800AMBULANCE 80693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80693,A000000,05000,0000,05000CORF 80693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80693,A000000,05300,0000,05300INTEREST EXPENSE 80693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80693,A000000,05500,0000,05500HOSPICE 80693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80693,A000000,06100,0000,06100NONPAID WORKERS 80693,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80693,A000000,06200,0000,06200PATIENTS LAUNDRY 80693,A81000A,00100,0100,Y 80693,A81000B,00100,0300,HOME OFFICE ALLOCATION 80693,A81000B,00200,0300,NON CERT 80693,A81000B,00300,0300,MEDICAL SUPPLIES 80693,A81000B,00400,0300,CAPITAL 80693,A81000B,00500,0300,PT 80693,A81000B,00600,0300,OT 80693,A81000B,00700,0300,ST 80693,A81000C,00100,0100,B 80693,A81000C,00100,0200,THOUSAND OAKS 1 80693,A81000C,00100,0400,MARINER POST AC 80693,A81000C,00100,0600,NURSING HOMES 80693,A81000C,00200,0100,G 80693,A81000C,00200,0200,MARINER POST AC 80693,A81000C,00200,0400,AMERICAN PHARMA 80693,A81000C,00200,0600,PHARMACEUTICALS 80693,A81000C,00300,0100,G 80693,A81000C,00300,0200,MARINER POST AC 80693,A81000C,00300,0400,PRISM (ATS ARS 80693,A81000C,00300,0600,THERAPIES 80693,A81000C,03100,0000,MARINER POST ACUTE NETWORK 80693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80693,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80693,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80693,B100000,00000,0800,00000MEALS SERVED :DIETARY 80693,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80693,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 80693,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80693,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80693,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 80693,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 80693,S000000,00100,0200,06/05/2000 80693,S200000,00100,0100,93 W AVENIDA DE LOS ARBOLES 80693,S200000,00200,0100,THOUSAND OAKS 80693,S200000,00200,0200,CA 80693,S200000,00200,0300,91360- 80693,S200000,00300,0100,VENTURA 80693,S200000,00400,0100,THOUSAND OAKS HEALTH CARE CENTER 80693,S200000,00400,0200,055342 80693,S200000,00400,0300,01/01/1980 80693,S200000,00400,0500,P 80693,S700003,00000,0100,1 80700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80700,A000000,00300,0000,00300EMPLOYEE BENEFITS 80700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80700,A000000,00700,0000,00700HOUSEKEEPING 80700,A000000,00800,0000,00800DIETARY 80700,A000000,00900,0000,00900NURSING ADMINISTRATION 80700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80700,A000000,01100,0000,01100PHARMACY 80700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80700,A000000,01300,0000,01300SOCIAL SERVICE 80700,A000000,01301,0000,01301ACTIVITIES 80700,A000000,01350,0000,01500OTHER GENERAL SERVICES 80700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80700,A000000,01600,0000,01600SKILLED NURSING FACILITY 80700,A000000,01800,0000,01800NURSING FACILITY 80700,A000000,01900,0000,01900OTHER LONG TERM CARE 80700,A000000,02100,0000,02100RADIOLOGY 80700,A000000,02200,0000,02200LABORATORY 80700,A000000,02300,0000,02300INTRAVENOUS THERAPY 80700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80700,A000000,02500,0000,02500PHYSICAL THERAPY 80700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80700,A000000,02700,0000,02700SPEECH PATHOLOGY 80700,A000000,02800,0000,02800ELECTROCARDIOLOGY 80700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80700,A000000,03200,0000,03200SUPPORT SURFACES 80700,A000000,03400,0000,03400CLINIC 80700,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80700,A000000,03500,0000,03500RURAL HEALTH CLINIC 80700,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80700,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80700,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80700,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80700,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80700,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80700,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80700,A000000,04400,0000,04400DME RENTED - HHA 80700,A000000,04500,0000,04500DME SOLD - HHA 80700,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80700,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80700,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80700,A000000,04800,0000,04800AMBULANCE 80700,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80700,A000000,05000,0000,05000CORF 80700,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80700,A000000,05300,0000,05300INTEREST EXPENSE 80700,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80700,A000000,05500,0000,05500HOSPICE 80700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80700,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80700,A000000,06100,0000,06100NONPAID WORKERS 80700,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80700,A000000,06200,0000,06200PATIENTS LAUNDRY 80700,A81000A,00100,0100,Y 80700,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80700,A81000B,00200,0300,CAPITAL 80700,A81000C,00100,0100,A 80700,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 80700,A81000C,00100,0400,LENOX HEALTHCARE INC. 80700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80700,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80700,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80700,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80700,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80700,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80700,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80700,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80700,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80700,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80700,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80700,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80700,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 80700,S000000,00100,0200,03/02/2000 80700,S200000,00100,0100,590 SOUTH INDIAN HILL BOULEVARD 80700,S200000,00200,0100,CLAREMONT 80700,S200000,00200,0200,CA 80700,S200000,00200,0300,91711- 80700,S200000,00300,0100,LOS ANGELES 80700,S200000,00400,0100,INDIAN HILL NURSING & REHAB CENTER 80700,S200000,00400,0200,055344 80700,S200000,00400,0300,01/01/1967 80700,S200000,00400,0500,P 80700,S200000,01600,0100,Y 80700,S700003,00000,0100,1 80709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80709,A000000,00300,0000,00300EMPLOYEE BENEFITS 80709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80709,A000000,00700,0000,00700HOUSEKEEPING 80709,A000000,00800,0000,00800DIETARY 80709,A000000,00900,0000,00900NURSING ADMINISTRATION 80709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80709,A000000,01100,0000,01100PHARMACY 80709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80709,A000000,01300,0000,01300SOCIAL SERVICE 80709,A000000,01350,0000,01500OTHER GENERAL SERVICES 80709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80709,A000000,01600,0000,01600SKILLED NURSING FACILITY 80709,A000000,01800,0000,01800NURSING FACILITY 80709,A000000,01810,0000,01801ICF/MR 80709,A000000,01900,0000,01900OTHER LONG TERM CARE 80709,A000000,02100,0000,02100RADIOLOGY 80709,A000000,02200,0000,02200LABORATORY 80709,A000000,02300,0000,02300INTRAVENOUS THERAPY 80709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80709,A000000,02500,0000,02500PHYSICAL THERAPY 80709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80709,A000000,02700,0000,02700SPEECH PATHOLOGY 80709,A000000,02800,0000,02800ELECTROCARDIOLOGY 80709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80709,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80709,A000000,03200,0000,03200SUPPORT SURFACES 80709,A000000,03400,0000,03400CLINIC 80709,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80709,A000000,03500,0000,03500RURAL HEALTH CLINIC 80709,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80709,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80709,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80709,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80709,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80709,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80709,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80709,A000000,04400,0000,04400DME RENTED - HHA 80709,A000000,04500,0000,04500DME SOLD - HHA 80709,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80709,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80709,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80709,A000000,04800,0000,04800AMBULANCE 80709,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80709,A000000,05000,0000,05000CORF 80709,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80709,A000000,05300,0000,05300INTEREST EXPENSE 80709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80709,A000000,05500,0000,05500HOSPICE 80709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80709,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80709,A000000,06100,0000,06100NONPAID WORKERS 80709,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80709,A000000,06200,0000,06200PATIENTS LAUNDRY 80709,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80709,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80709,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80709,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80709,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80709,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80709,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80709,B100000,00000,0800,00000MEALS SERVED :DIETARY 80709,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 80709,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80709,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80709,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80709,B100000,00000,1330,00000ADMITS & DISCHARGES :SOCIAL SERVICE 80709,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80709,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80709,S000000,00100,0200,06/02/2000 80709,S200000,00100,0100,4035 GRAND VIEW BLVD 80709,S200000,00200,0100,LOS ANGELES 80709,S200000,00200,0200,CA 80709,S200000,00200,0300,90066- 80709,S200000,00300,0100,LOS ANGELES 80709,S200000,00400,0100,CULVER WEST CONVALESCENT HOSPITAL 80709,S200000,00400,0200,055350 80709,S200000,00400,0300,03/01/1996 80709,S200000,00400,0500,P 80709,S200000,01600,0100,Y 80709,S700003,00000,0100,1 80717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80717,A000000,00300,0000,00300EMPLOYEE BENEFITS 80717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80717,A000000,00700,0000,00700HOUSEKEEPING 80717,A000000,00800,0000,00800DIETARY 80717,A000000,00900,0000,00900NURSING ADMINISTRATION 80717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80717,A000000,01300,0000,01300SOCIAL SERVICE 80717,A000000,01600,0000,01600SKILLED NURSING FACILITY 80717,A000000,01800,0000,01800NURSING FACILITY 80717,A000000,01900,0000,01900OTHER LONG TERM CARE 80717,A000000,02100,0000,02100RADIOLOGY 80717,A000000,02200,0000,02200LABORATORY 80717,A000000,02300,0000,02300INTRAVENOUS THERAPY 80717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80717,A000000,02500,0000,02500PHYSICAL THERAPY 80717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80717,A000000,02700,0000,02700SPEECH PATHOLOGY 80717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80717,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80717,A000000,03200,0000,03200SUPPORT SURFACES 80717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80717,A81000A,00100,0100,Y 80717,A81000B,00100,0300,MANAGEMENT FEES 80717,A81000B,00200,0300,INTEREST EXPENSE 80717,A81000B,00400,0300,PHARMACY 80717,A81000C,00100,0100,B 80717,A81000C,00100,0200,INTERNEXT GROUP 80717,A81000C,00100,0400,INTERNEXT GROUP 80717,A81000C,00100,0600,HOME OFFICE 80717,A81000C,00200,0100,B 80717,A81000C,00200,0200,INTERNEXT GROUP 80717,A81000C,00200,0400,LA JOLLA CARE C 80717,A81000C,00200,0600,SNF 80717,A81000C,00300,0100,B 80717,A81000C,00300,0200,INTERNEXT GROUP 80717,A81000C,00300,0400,CLAREMONT CARE 80717,A81000C,00300,0600,RCF & SNF 80717,A81000C,00400,0100,B 80717,A81000C,00400,0200,INTERNEXT GROUP 80717,A81000C,00400,0400,KINGSLEY MANOR 80717,A81000C,00400,0600,RCF & SNF 80717,A81000C,00500,0100,B 80717,A81000C,00500,0200,INTERNEXT GROUP 80717,A81000C,00500,0400,THE ALHAMBRA 80717,A81000C,00500,0600,RCF & SNF 80717,A81000C,00600,0100,B 80717,A81000C,00600,0200,INTERNEXT GROUP 80717,A81000C,00600,0400,CARLSBAD BY THE 80717,A81000C,00600,0600,RCF & SNF 80717,A81000C,00700,0100,B 80717,A81000C,00700,0200,INTERNEXT GROUP 80717,A81000C,00700,0400,WALNUT MANOR CA 80717,A81000C,00700,0600,RCF & SNF 80717,A81000C,00800,0100,B 80717,A81000C,00800,0200,INTERNEXT GROUP 80717,A81000C,00800,0400,SOUTHALND GERIA 80717,A81000C,00800,0600,RCF & SNF 80717,A81000C,00900,0100,B 80717,A81000C,00900,0200,INTERNEXT GROUP 80717,A81000C,00900,0400,VILLA GARDENS 80717,A81000C,00900,0600,RCF & SNF 80717,A81000C,01000,0100,B 80717,A81000C,01000,0200,INTERNEXT GROUP 80717,A81000C,01000,0400,VISTA DEL MONTE 80717,A81000C,01000,0600,RCF & SNF 80717,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80717,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80717,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80717,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80717,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80717,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80717,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80717,B100000,00000,0800,00000MEALS SERVED :DIETARY 80717,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80717,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80717,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80717,S000000,00100,0200,09/25/2000 80717,S200000,00100,0100,111 THIRD AVENUE 80717,S200000,00200,0100,CHULA VISTA 80717,S200000,00200,0200,CA 80717,S200000,00200,0300,92010- 80717,S200000,00300,0100,SAN DIEGO 80717,S200000,00300,0200,7320 80717,S200000,00300,0300,U 80717,S200000,00400,0100,FREDERICKA MANOR CARE CENTER 80717,S200000,00400,0200,055354 80717,S200000,00400,0300,01/01/1967 80717,S200000,00400,0500,P 80717,S200000,01600,0100,Y 80724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80724,A000000,00300,0000,00300EMPLOYEE BENEFITS 80724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80724,A000000,00700,0000,00700HOUSEKEEPING 80724,A000000,00800,0000,00800DIETARY 80724,A000000,01300,0000,01300SOCIAL SERVICE 80724,A000000,01600,0000,01600SKILLED NURSING FACILITY 80724,A000000,02100,0000,02100RADIOLOGY 80724,A000000,02200,0000,02200LABORATORY 80724,A000000,02500,0000,02500PHYSICAL THERAPY 80724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80724,A000000,02700,0000,02700SPEECH PATHOLOGY 80724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80724,A000000,03550,0000,03550FQHC 80724,A000000,05000,0000,05000CORF 80724,A000000,05010,0000,05010CMHC 80724,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80724,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80724,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80724,A81000A,00100,0100,Y 80724,A81000B,00100,0300,HOME OFFICE RECON 80724,A81000B,00200,0300,HOME OFFICE ALLOC 80724,A81000C,00100,0100,A 80724,A81000C,00100,0200,CAL-NEVADA METH 80724,A81000C,00100,0400,CAL-NEVADA METH 80724,A81000C,00100,0600,HEALTH FACILITY 80724,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80724,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80724,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80724,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80724,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80724,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 80724,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 80724,B100000,00000,0850,00040PATIENT DAYS :DIETARY 80724,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 80724,S000000,00100,0200,09/01/2000 80724,S200000,00100,0100,200 LIGHTHOUSE AVENUE 80724,S200000,00200,0100,PACIFIC GROVE 80724,S200000,00200,0200,CA 80724,S200000,00200,0300,93950- 80724,S200000,00300,0100,MONTEREY 80724,S200000,00400,0100,PACIFIC GROVE CONV. HOSPITAL 80724,S200000,00400,0200,055356 80724,S200000,00400,0300,01/01/1967 80724,S200000,00400,0500,P 80724,S200000,01500,0100,Y 80724,S200000,01900,0100,NOT FOR PROFIT 80724,S700003,00000,0100,1 80731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80731,A000000,00300,0000,00300EMPLOYEE BENEFITS 80731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80731,A000000,00700,0000,00700HOUSEKEEPING 80731,A000000,00800,0000,00800DIETARY 80731,A000000,00900,0000,00900NURSING ADMINISTRATION 80731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80731,A000000,01300,0000,01300SOCIAL SERVICE 80731,A000000,01600,0000,01600SKILLED NURSING FACILITY 80731,A000000,02100,0000,02100RADIOLOGY 80731,A000000,02200,0000,02200LABORATORY 80731,A000000,02500,0000,02500PHYSICAL THERAPY 80731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80731,A000000,02700,0000,02700SPEECH PATHOLOGY 80731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80731,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80731,A000000,03200,0000,03200SUPPORT SURFACES 80731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80731,A81000A,00100,0100,Y 80731,A81000B,00100,0300,SERVICE & SUPPLIES 80731,A81000B,00200,0300,CORPORATE OFFICE ALLOCATION 80731,A81000C,00100,0100,B 80731,A81000C,00100,0200,AL & RUTH BRASWELL 80731,A81000C,00100,0400,VISTA PACIFICA HEALTH CTR 80731,A81000C,00100,0600,MENTALLY DISORDERED FAC 80731,A81000C,00200,0100,B 80731,A81000C,00200,0200,AL & RUTH BRASWELL 80731,A81000C,00200,0400,VISTA PACIFICA ENT. INC. 80731,A81000C,00200,0600,CORPORATION 80731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80731,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80731,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80731,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80731,B100000,00000,0800,00000MEALS SERVED :DIETARY 80731,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80731,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80731,S000000,00100,0200,02/29/2000 80731,S200000,00100,0100,3662 PACIFIC AVENUE 80731,S200000,00200,0100,RIVERSIDE 80731,S200000,00200,0200,CA 80731,S200000,00200,0300,92509- 80731,S200000,00300,0100,RIVERSIDE 80731,S200000,00400,0100,VISTA PACIFICA CONVALESCENT HOSPITAL 80731,S200000,00400,0200,055361 80731,S200000,00400,0300,01/01/1967 80731,S200000,00400,0500,P 80731,S200000,00400,0600,O 80731,S200000,01500,0100,Y 80731,S700003,00000,0100,1 80741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80741,A000000,00300,0000,00300EMPLOYEE BENEFITS 80741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80741,A000000,00700,0000,00700HOUSEKEEPING 80741,A000000,00800,0000,00800DIETARY 80741,A000000,00900,0000,00900NURSING ADMINISTRATION 80741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80741,A000000,01300,0000,01300SOCIAL SERVICE 80741,A000000,01600,0000,01600SKILLED NURSING FACILITY 80741,A000000,01800,0000,01800NURSING FACILITY 80741,A000000,02100,0000,02100RADIOLOGY 80741,A000000,02200,0000,02200LABORATORY 80741,A000000,02300,0000,02300INTRAVENOUS THERAPY 80741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80741,A000000,02500,0000,02500PHYSICAL THERAPY 80741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80741,A000000,02700,0000,02700SPEECH PATHOLOGY 80741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80741,A000000,03200,0000,03200SUPPORT SURFACES 80741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80741,A81000A,00100,0100,Y 80741,A81000B,00100,0300,MANAGEMENT FEES 80741,A81000B,00200,0300,HOME OFFICE - BUILDING 80741,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 80741,A81000B,00400,0300,RESPIRATORY THERAPY 80741,A81000B,00500,0300,PHYSICAL THERAPY 80741,A81000B,00600,0300,OCCUPATIONAL THERAPY 80741,A81000B,00700,0300,SPEECH THERAPY 80741,A81000B,00800,0300,CDP MEDICAL SUPPLIES 80741,A81000B,00900,0300,SCU MEDICAL SUPPLIES 80741,A81000B,01000,0300,IV THERAPY 80741,A81000B,01100,0300,MEDICAL SUPPLIES 80741,A81000B,01200,0300,ENTERAL SUPPLIES 80741,A81000B,01300,0300,PHARMACY 80741,A81000C,00100,0100,B 80741,A81000C,00100,0200,FOUNTAIN VIEW INC. 80741,A81000C,00100,0400,ELMCREST CONV. HOSPITAL 80741,A81000C,00100,0600,SNF 80741,A81000C,00200,0100,B 80741,A81000C,00200,0200,FOUNTAIN VIEW INC. 80741,A81000C,00200,0400,LOCOMOTION 80741,A81000C,00200,0600,THERAPY COMPANY 80741,A81000C,00300,0100,B 80741,A81000C,00300,0200,FOUNTAIN VIEW INC. 80741,A81000C,00300,0400,I N O 80741,A81000C,00300,0600,MEDICAL SUPPLIES 80741,A81000C,00400,0100,B 80741,A81000C,00400,0200,FOUNTAIN VIEW INC. 80741,A81000C,00400,0400,SKILLED CARE PHARMACY 80741,A81000C,00400,0600,PHARMACY 80741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80741,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80741,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80741,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80741,B100000,00000,0800,00000MEALS SERVED :DIETARY 80741,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80741,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80741,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80741,S000000,00100,0200,06/01/2000 80741,S200000,00100,0100,3111 SANTA ANITA 80741,S200000,00200,0100,EL MONTE 80741,S200000,00200,0200,CA 80741,S200000,00200,0300,97133- 80741,S200000,00300,0100,LOS ANGELES 80741,S200000,00400,0100,ELMCREST CONVALESCENT HOSPITAL 80741,S200000,00400,0200,055372 80741,S200000,00400,0300,06/01/1990 80741,S200000,00400,0500,P 80741,S200000,00400,0600,O 80741,S200000,00600,0200,055372 80741,S200000,00600,0300,06/01/1990 80741,S200000,00600,0600,P 80741,S200000,01600,0100,Y 80741,S700003,00000,0100,1 80749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80749,A000000,00300,0000,00300EMPLOYEE BENEFITS 80749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80749,A000000,00700,0000,00700HOUSEKEEPING 80749,A000000,00800,0000,00800DIETARY 80749,A000000,00900,0000,00900NURSING ADMINISTRATION 80749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80749,A000000,01100,0000,01100PHARMACY 80749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80749,A000000,01300,0000,01300SOCIAL SERVICE 80749,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 80749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80749,A000000,01600,0000,01600SKILLED NURSING FACILITY 80749,A000000,01800,0000,01800NURSING FACILITY 80749,A000000,01810,0000,01810ICF/MR 80749,A000000,01900,0000,01900OTHER LONG TERM CARE 80749,A000000,02100,0000,02100RADIOLOGY 80749,A000000,02200,0000,02200LABORATORY 80749,A000000,02300,0000,02300INTRAVENOUS THERAPY 80749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80749,A000000,02500,0000,02500PHYSICAL THERAPY 80749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80749,A000000,02700,0000,02700SPEECH PATHOLOGY 80749,A000000,02800,0000,02800ELECTROCARDIOLOGY 80749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80749,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80749,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80749,A000000,03200,0000,03200SUPPORT SURFACES 80749,A000000,03400,0000,03400CLINIC 80749,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 80749,A000000,03500,0000,03500RURAL HEALTH CLINIC 80749,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80749,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80749,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80749,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80749,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80749,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80749,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80749,A000000,04400,0000,04400DME RENTED - HHA 80749,A000000,04500,0000,04500DME SOLD - HHA 80749,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80749,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80749,A000000,04800,0000,04800AMBULANCE 80749,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80749,A000000,05000,0000,05000CORF 80749,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80749,A000000,05300,0000,05300INTEREST EXPENSE 80749,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80749,A000000,05500,0000,05500HOSPICE 80749,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80749,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80749,A000000,06100,0000,06100NONPAID WORKERS 80749,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 80749,A000000,06200,0000,06200PATIENTS LAUNDRY 80749,A81000A,00100,0100,Y 80749,A81000B,00100,0300,BUILDING LEASE 80749,A81000B,00200,0300,DEPRECIATION EXPENSE 80749,A81000B,00300,0300,PROPERTY TAX 80749,A81000C,00100,0100,C 80749,A81000C,00100,0200,BILL MILTON 80749,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80749,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80749,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80749,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80749,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80749,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80749,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80749,B100000,00000,0800,00000MEALS SERVED :DIETARY 80749,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80749,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 80749,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 80749,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80749,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80749,S000000,00100,0200,06/01/2000 80749,S200000,00100,0100,1221 EAST ARROW HIGHWAY 80749,S200000,00200,0100,UPLAND 80749,S200000,00200,0200,CA 80749,S200000,00200,0300,91785- 80749,S200000,00300,0100,SAN BERNARDINO 80749,S200000,00300,0200,6780 80749,S200000,00300,0300,U 80749,S200000,00400,0100,UPLAND CONVALESCENT 80749,S200000,00400,0200,055374 80749,S200000,00400,0300,07/07/1970 80749,S200000,00400,0500,P 80749,S200000,01600,0100,Y 80758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80758,A000000,00300,0000,00300EMPLOYEE BENEFITS 80758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80758,A000000,00700,0000,00700HOUSEKEEPING 80758,A000000,00800,0000,00800DIETARY 80758,A000000,00900,0000,00900NURSING ADMINISTRATION 80758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80758,A000000,01100,0000,01100PHARMACY 80758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80758,A000000,01300,0000,01300SOCIAL SERVICE 80758,A000000,01301,0000,01301ACTIVITIES 80758,A000000,01350,0000,01500OTHER GENERAL SERVICES 80758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80758,A000000,01600,0000,01600SKILLED NURSING FACILITY 80758,A000000,01800,0000,01800NURSING FACILITY 80758,A000000,01810,0000,01810ICF/MR 80758,A000000,01900,0000,01900OTHER LONG TERM CARE 80758,A000000,02100,0000,02100RADIOLOGY 80758,A000000,02200,0000,02200LABORATORY 80758,A000000,02300,0000,02300INTRAVENOUS THERAPY 80758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80758,A000000,02500,0000,02500PHYSICAL THERAPY 80758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80758,A000000,02700,0000,02700SPEECH PATHOLOGY 80758,A000000,02800,0000,02800ELECTROCARDIOLOGY 80758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80758,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80758,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80758,A000000,03200,0000,03200SUPPORT SURFACES 80758,A000000,03201,0000,03201EQUIPMENT RENTAL 80758,A000000,03400,0000,03400CLINIC 80758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80758,A000000,03500,0000,03500RURAL HEALTH CLINIC 80758,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80758,A000000,04800,0000,04800AMBULANCE 80758,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80758,A000000,05000,0000,05000CORF 80758,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80758,A000000,05300,0000,05300INTEREST EXPENSE 80758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80758,A000000,05500,0000,05500HOSPICE 80758,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80758,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80758,A000000,06100,0000,06100NONPAID WORKERS 80758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80758,A000000,06200,0000,06200PATIENTS LAUNDRY 80758,A81000A,00100,0100,Y 80758,A81000B,00100,0300,PHARMACY 80758,A81000B,00200,0300,PHARMACY CONSULTANT 80758,A81000B,00300,0300,HO ADMIN 80758,A81000B,00400,0300,HO ADMIN 80758,A81000B,00500,0300,HO CAPITAL COSTS 80758,A81000B,00600,0300,HO CAPITAL COSTS 80758,A81000C,00100,0100,B 80758,A81000C,00100,0200,GUARDIAN HEALTH GROUP 80758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80758,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80758,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80758,B100000,00000,0800,00000MEALS SERVED :DIETARY 80758,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80758,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80758,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80758,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80758,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80758,S000000,00100,0200,12/12/2000 80758,S200000,00100,0100,75 NORTH 13TH STREET 80758,S200000,00200,0100,SAN JOSE 80758,S200000,00200,0200,CA 80758,S200000,00200,0300,95112- 80758,S200000,00300,0100,SANTA CLARA 80758,S200000,00300,0200,7400 80758,S200000,00300,0300,U 80758,S200000,00400,0100,GUARDIAN OF SAN JOSE 80758,S200000,00400,0200,055388 80758,S200000,00400,0300,09/10/1975 80758,S200000,00400,0500,P 80758,S200000,00400,0600,O 80758,S200000,01600,0100,Y 80768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80768,A000000,00300,0000,00300EMPLOYEE BENEFITS 80768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80768,A000000,00700,0000,00700HOUSEKEEPING 80768,A000000,00800,0000,00800DIETARY 80768,A000000,00900,0000,00900NURSING ADMINISTRATION 80768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80768,A000000,01300,0000,01300SOCIAL SERVICE 80768,A000000,01600,0000,01600SKILLED NURSING FACILITY 80768,A000000,01800,0000,01800NURSING FACILITY 80768,A000000,02100,0000,02100RADIOLOGY 80768,A000000,02200,0000,02200LABORATORY 80768,A000000,02300,0000,02300INTRAVENOUS THERAPY 80768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80768,A000000,02500,0000,02500PHYSICAL THERAPY 80768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80768,A000000,02700,0000,02700SPEECH PATHOLOGY 80768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80768,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80768,A81000A,00100,0100,Y 80768,A81000B,00100,0300,MANAGEMENT FEES 80768,A81000B,00200,0300,PHYSICAL THERAPY 80768,A81000B,00300,0300,OCCUPATIONAL THERAPY 80768,A81000B,00400,0300,SPEECH THERAPY 80768,A81000B,00500,0300,RESPIRTORY THERAPY 80768,A81000C,00100,0100,A 80768,A81000C,00100,0200,GARY DEVOIR 80768,A81000C,00100,0400,QUALITY CARE CONV. MGMT. 80768,A81000C,00100,0600,MANAGEMENT COMPANY 80768,A81000C,00200,0100,A 80768,A81000C,00200,0200,GARY DEVOIR 80768,A81000C,00200,0400,WESTERN CONS. & ANCILLARY 80768,A81000C,00200,0600,ANCILLARY COMPANY 80768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80768,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80768,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80768,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80768,B100000,00000,0800,00000MEALS SERVED :DIETARY 80768,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80768,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80768,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80768,S000000,00100,0200,03/06/2000 80768,S200000,00100,0100,1340 E. MADISON AVENUE 80768,S200000,00200,0100,EL CAJON 80768,S200000,00200,0200,CA 80768,S200000,00200,0300,92021- 80768,S200000,00300,0100,SAN DIEGO 80768,S200000,00400,0100,GRANITE HILLS CONVALESCENT HOSPITAL 80768,S200000,00400,0200,055392 80768,S200000,00400,0300,12/01/1990 80768,S200000,00400,0500,P 80768,S200000,00400,0600,O 80768,S200000,00600,0200,055392 80768,S200000,00600,0300,12/01/1990 80768,S200000,00600,0600,P 80768,S200000,01600,0100,Y 80768,S700003,00000,0100,1 80794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80794,A000000,00300,0000,00300EMPLOYEE BENEFITS 80794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80794,A000000,00700,0000,00700HOUSEKEEPING 80794,A000000,00800,0000,00800DIETARY 80794,A000000,00900,0000,00900NURSING ADMINISTRATION 80794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80794,A000000,01100,0000,01100PHARMACY 80794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80794,A000000,01300,0000,01300SOCIAL SERVICE 80794,A000000,01350,0000,01500OTHER GENERAL SERVICES 80794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80794,A000000,01600,0000,01600SKILLED NURSING FACILITY 80794,A000000,01800,0000,01800NURSING FACILITY 80794,A000000,01810,0000,01801ICF/MR 80794,A000000,01900,0000,01900OTHER LONG TERM CARE 80794,A000000,02100,0000,02100RADIOLOGY 80794,A000000,02200,0000,02200LABORATORY 80794,A000000,02300,0000,02300INTRAVENOUS THERAPY 80794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80794,A000000,02500,0000,02500PHYSICAL THERAPY 80794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80794,A000000,02700,0000,02700SPEECH PATHOLOGY 80794,A000000,02800,0000,02800ELECTROCARDIOLOGY 80794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80794,A000000,03200,0000,03200SUPPORT SURFACES 80794,A000000,03400,0000,03400CLINIC 80794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80794,A000000,03500,0000,03500RURAL HEALTH CLINIC 80794,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80794,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80794,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80794,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80794,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80794,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80794,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80794,A000000,04400,0000,04400DME RENTED - HHA 80794,A000000,04500,0000,04500DME SOLD - HHA 80794,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80794,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80794,A000000,04800,0000,04800AMBULANCE 80794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80794,A000000,05000,0000,05000CORF 80794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80794,A000000,05300,0000,05300INTEREST EXPENSE 80794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80794,A000000,05500,0000,05500HOSPICE 80794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80794,A000000,06100,0000,06100NONPAID WORKERS 80794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80794,A000000,06200,0000,06200PATIENTS LAUNDRY 80794,A81000A,00100,0100,Y 80794,A81000B,00100,0300,MANAGEMENT FEES 80794,A81000B,00200,0300,HOME OFFICE-BUILDING 80794,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 80794,A81000B,00400,0300,HOME OFFICE COSTS 80794,A81000B,00500,0300,BUILDING LEASE 80794,A81000B,00600,0300,DEPRECIATION-BUILDING 80794,A81000B,00700,0300,DEPRECIATION-EQUIPMENT 80794,A81000C,00100,0100,C 80794,A81000C,00100,0200,KENNETH V. DUNTON 80794,A81000C,00100,0400,PLEASANT VIEW ASSOC. 80794,A81000C,00100,0600,LESSOR 80794,A81000C,00200,0100,B 80794,A81000C,00200,0200,STENEN V. DUNTON 80794,A81000C,00200,0400,PLEASANT VIEW ASSOC. 80794,A81000C,00200,0600,LESSOR 80794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80794,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80794,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80794,B100000,00000,0800,00000MEALS SERVED :DIETARY 80794,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80794,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80794,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80794,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80794,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80794,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80794,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80794,S000000,00100,0200,06/29/2000 80794,S200000,00100,0100,22590 VOSS AVENUE 80794,S200000,00200,0100,CUPERTINO 80794,S200000,00200,0200,CA 80794,S200000,00200,0300,95014- 80794,S200000,00300,0100,SANTA CLARA 80794,S200000,00400,0100,PLEASANT VIEW CONV. HOSPITAL 80794,S200000,00400,0200,055407 80794,S200000,00400,0300,08/31/1981 80794,S200000,00400,0500,P 80794,S200000,01500,0100,Y 80794,S200000,02800,0100,Y 80794,S700003,00000,0100,1 80802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80802,A000000,00300,0000,00300EMPLOYEE BENEFITS 80802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80802,A000000,00700,0000,00700HOUSEKEEPING 80802,A000000,00800,0000,00800DIETARY 80802,A000000,00900,0000,00900NURSING ADMINISTRATION 80802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80802,A000000,01100,0000,01100PHARMACY 80802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80802,A000000,01300,0000,01300SOCIAL SERVICE 80802,A000000,01350,0000,01500ACTIVITIES 80802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80802,A000000,01600,0000,01600SKILLED NURSING FACILITY 80802,A000000,01800,0000,01800NURSING FACILITY 80802,A000000,02100,0000,02100RADIOLOGY 80802,A000000,02200,0000,02200LABORATORY 80802,A000000,02300,0000,02300INTRAVENOUS THERAPY 80802,A000000,02500,0000,02500PHYSICAL THERAPY 80802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80802,A000000,02700,0000,02700SPEECH PATHOLOGY 80802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80802,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80802,A81000A,00100,0100,Y 80802,A81000B,00100,0300,ADMIN & GEN MGMT/ACCT FEES 80802,A81000C,00100,0100,A 80802,A81000C,00100,0200,ROBERT STOTTS 80802,A81000C,00100,0400,SUN PACIFIC 80802,A81000C,00100,0600,MGMT 80802,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80802,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 80802,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80802,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80802,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80802,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80802,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80802,B100000,00000,0800,00000MEALS SERVED :DIETARY 80802,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80802,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80802,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80802,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80802,B100000,00000,1350,00000 :ACTIVITIES 80802,S000000,00100,0200,12/04/2000 80802,S200000,00100,0100,361 EAST ORANGEVILLE BLVD. 80802,S200000,00200,0100,HANFORD 80802,S200000,00200,0200,CA 80802,S200000,00200,0300,93230- 80802,S200000,00300,0100,KINGS 80802,S200000,00300,0200,05 80802,S200000,00300,0300,U 80802,S200000,00400,0100,HACIENDA HEALTH CARE INC 80802,S200000,00400,0200,055410 80802,S200000,00400,0300,01/01/1989 80802,S200000,00400,0500,P 80802,S200000,01600,0100,Y 80809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80809,A000000,00300,0000,00300EMPLOYEE BENEFITS 80809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80809,A000000,00700,0000,00700HOUSEKEEPING 80809,A000000,00800,0000,00800DIETARY 80809,A000000,00900,0000,00900NURSING ADMINISTRATION 80809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80809,A000000,01100,0000,01100PHARMACY 80809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80809,A000000,01300,0000,01300SOCIAL SERVICE 80809,A000000,01350,0000,01500OTHER GENERAL SERVICES 80809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80809,A000000,01600,0000,01600SKILLED NURSING FACILITY 80809,A000000,01800,0000,01800NURSING FACILITY 80809,A000000,01810,0000,01810ICF/MR 80809,A000000,01900,0000,01900OTHER LONG TERM CARE 80809,A000000,02100,0000,02100RADIOLOGY 80809,A000000,02200,0000,02200LABORATORY 80809,A000000,02300,0000,02300INTRAVENOUS THERAPY 80809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80809,A000000,02500,0000,02500PHYSICAL THERAPY 80809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80809,A000000,02700,0000,02700SPEECH PATHOLOGY 80809,A000000,02800,0000,02800ELECTROCARDIOLOGY 80809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80809,A000000,03050,0000,03300EQUIPMENT RENTAL 80809,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80809,A000000,03200,0000,03200SUPPORT SURFACES 80809,A000000,03400,0000,03400CLINIC 80809,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80809,A000000,03500,0000,03500RURAL HEALTH CLINIC 80809,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80809,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80809,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80809,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80809,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80809,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80809,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80809,A000000,04400,0000,04400DME RENTED - HHA 80809,A000000,04500,0000,04500DME SOLD - HHA 80809,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80809,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80809,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80809,A000000,04800,0000,04800AMBULANCE 80809,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80809,A000000,05000,0000,05000CORF 80809,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80809,A000000,05300,0000,05300INTEREST EXPENSE 80809,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80809,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80809,A000000,05500,0000,05500HOSPICE 80809,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80809,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80809,A000000,06100,0000,06100NONPAID WORKERS 80809,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80809,A000000,06200,0000,06200PATIENTS LAUNDRY 80809,A81000A,00100,0100,Y 80809,A81000B,00100,0300,BUILDING LEASE 80809,A81000B,00200,0300,EQUIPMENT LEASE 80809,A81000C,00100,0100,A 80809,A81000C,00100,0200,SHARON JENNINGS 80809,A81000C,00100,0400,SEASCAPE MANAGMENT CO. 80809,A81000C,00100,0600,PROPERTY MANAGEMENT 80809,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80809,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80809,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80809,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80809,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80809,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80809,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80809,B100000,00000,0800,00000MEALS SERVED :DIETARY 80809,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 80809,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80809,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80809,S000000,00100,0200,11/30/2000 80809,S200000,00100,0100,101 SO. ORCHARD AVE. 80809,S200000,00200,0100,VACAVILLE 80809,S200000,00200,0200,CA 80809,S200000,00200,0300,95688- 80809,S200000,00300,0100,SOLANO 80809,S200000,00300,0200,8720 80809,S200000,00300,0300,R 80809,S200000,00400,0100,WINSOR HOUSE CONV. HOSPITAL 80809,S200000,00400,0200,055412 80809,S200000,00400,0300,10/01/1967 80809,S200000,00400,0500,P 80809,S200000,01500,0100,Y 80818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80818,A000000,00300,0000,00300EMPLOYEE BENEFITS 80818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80818,A000000,00700,0000,00700HOUSEKEEPING 80818,A000000,00800,0000,00800DIETARY 80818,A000000,00900,0000,00900NURSING ADMINISTRATION 80818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80818,A000000,01100,0000,01100PHARMACY 80818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80818,A000000,01300,0000,01300SOCIAL SERVICE 80818,A000000,01350,0000,01500OTHER GENERAL SERVICES 80818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80818,A000000,01600,0000,01600SKILLED NURSING FACILITY 80818,A000000,01800,0000,01800NURSING FACILITY 80818,A000000,01810,0000,01810ICF/MR 80818,A000000,01900,0000,01900OTHER LONG TERM CARE 80818,A000000,02100,0000,02100RADIOLOGY 80818,A000000,02200,0000,02200LABORATORY 80818,A000000,02300,0000,02300INTRAVENOUS THERAPY 80818,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80818,A000000,02500,0000,02500PHYSICAL THERAPY 80818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80818,A000000,02700,0000,02700SPEECH PATHOLOGY 80818,A000000,02800,0000,02800ELECTROCARDIOLOGY 80818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80818,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80818,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80818,A000000,03200,0000,03200SUPPORT SURFACES 80818,A000000,03400,0000,03400CLINIC 80818,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80818,A000000,03500,0000,03500RURAL HEALTH CLINIC 80818,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80818,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80818,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80818,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80818,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80818,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80818,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80818,A000000,04400,0000,04400DME RENTED - HHA 80818,A000000,04500,0000,04500DME SOLD - HHA 80818,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80818,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80818,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80818,A000000,04800,0000,04800AMBULANCE 80818,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80818,A000000,05000,0000,05000CORF 80818,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80818,A000000,05300,0000,05300INTEREST EXPENSE 80818,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80818,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80818,A000000,05500,0000,05500HOSPICE 80818,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80818,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80818,A000000,06100,0000,06100NONPAID WORKERS 80818,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80818,A000000,06200,0000,06200PATIENTS LAUNDRY 80818,A81000A,00100,0100,Y 80818,A81000B,00100,0300,MANAGEMENT FEES 80818,A81000B,00200,0300,HOME OFFICE-BUILDING 80818,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 80818,A81000B,00400,0300,HOME OFFICE COSTS 80818,A81000B,00500,0300,LEGAL FEES 80818,A81000C,00100,0100,B 80818,A81000C,00100,0200,SR MANAGEMENT SVC INC. 80818,A81000C,00100,0600,HOME OFFICE 80818,A81000C,00200,0100,B 80818,A81000C,00200,0400,ST. FRANCIS EXTENDED CARE 80818,A81000C,00200,0600,SNF 80818,A81000C,00300,0100,B 80818,A81000C,00300,0400,ST. MICHAEL CONV HOSPITAL 80818,A81000C,00300,0600,SNF 80818,A81000C,00400,0100,B 80818,A81000C,00400,0400,VINTAGE ESTATES OF SACRAM 80818,A81000C,00400,0600,SNF 80818,A81000C,00500,0100,B 80818,A81000C,00500,0400,VINTAGE ESTATES OF RICHMO 80818,A81000C,00500,0600,SNF 80818,A81000C,00600,0100,B 80818,A81000C,00600,0400,NORTHWEST DMES 80818,A81000C,00600,0600,MEDICAL SUPPLY 80818,A81000C,00700,0100,B 80818,A81000C,00700,0400,LIVE OAK-GREENRIDGE HGTS 80818,A81000C,00700,0600,MANAGER 80818,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80818,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80818,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80818,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80818,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80818,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80818,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80818,B100000,00000,0800,00000MEALS SERVED :DIETARY 80818,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80818,S000000,00100,0200,05/30/2001 80818,S200000,00100,0100,3500 FOLSOM BLVD. 80818,S200000,00200,0100,SACRAMENTO 80818,S200000,00200,0200,CA 80818,S200000,00200,0300,95816- 80818,S200000,00300,0100,SACRAMENTO 80818,S200000,00300,0300,U 80818,S200000,00400,0100,SAYLOR LANE HEALTHCARE CENTER 80818,S200000,00400,0200,055417 80818,S200000,00400,0300,12/31/1971 80818,S200000,00400,0500,P 80818,S200000,01500,0100,Y 80818,S200000,02800,0100,Y 80828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80828,A000000,00300,0000,00300EMPLOYEE BENEFITS 80828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80828,A000000,00700,0000,00700HOUSEKEEPING 80828,A000000,00800,0000,00800DIETARY 80828,A000000,00900,0000,00900NURSING ADMINISTRATION 80828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80828,A000000,01300,0000,01300SOCIAL SERVICE 80828,A000000,01600,0000,01600SKILLED NURSING FACILITY 80828,A000000,01800,0000,01800NURSING FACILITY 80828,A000000,02100,0000,02100RADIOLOGY 80828,A000000,02200,0000,02200LABORATORY 80828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80828,A000000,02500,0000,02500PHYSICAL THERAPY 80828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80828,A000000,02700,0000,02700SPEECH PATHOLOGY 80828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80828,A000000,03200,0000,03200SUPPORT SURFACES 80828,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80828,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80828,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80828,A81000A,00100,0100,Y 80828,A81000B,00100,0300,HOME OFFICE COSTS 80828,A81000B,00200,0300,HOME OFFICE COSTS 80828,A81000B,00300,0300,HOME OFFICE COSTS 80828,A81000B,00400,0300,BUILDING DEPRECIATION & INTEREST 80828,A81000B,00500,0300,EQUIPMENT DEPRECIATION 80828,A81000B,00600,0300,EQUIPMENT DEPRECIATION 80828,A81000B,00700,0300,UTILITIES & MAINTENANCE 80828,A81000B,00800,0300,UTILITIES & MAINTENANCE 80828,A81000C,00100,0100,B 80828,A81000C,00100,0200,BERRYMAN HEALTH 80828,A81000C,00100,0400,BERRYMAN HEALTH 80828,A81000C,00100,0600,HOME OFFICE 80828,A81000C,00200,0100,B 80828,A81000C,00200,0200,BERRYMAN HEALTH 80828,A81000C,00200,0400,BERRYMAN HEALTH 80828,A81000C,00200,0600,HOME OFFICE 80828,A81000C,00300,0100,B 80828,A81000C,00300,0200,BERRYMAN HEALTH 80828,A81000C,00300,0400,BERRYMAN HEALTH 80828,A81000C,00300,0600,HOME OFFICE 80828,A81000C,00400,0100,C 80828,A81000C,00400,0200,BERRYMAN HEALTH 80828,A81000C,00400,0400,WHITTIER EAST 80828,A81000C,00400,0600,BUILDING RENTAL 80828,A81000C,00500,0100,C 80828,A81000C,00500,0200,BERRYMAN HEALTH 80828,A81000C,00500,0400,WHITTIER EAST 80828,A81000C,00500,0600,EQUIPMENT RENTA 80828,A81000C,00600,0100,A 80828,A81000C,00600,0200,ALAUX & PATZKE 80828,A81000C,00600,0400,PAR EQUIPMENT L 80828,A81000C,00600,0600,EQUIPMENT & UTI 80828,A81000C,00700,0100,A 80828,A81000C,00700,0200,ALAUX & PATZKE 80828,A81000C,00700,0400,PAR EQUIPMENT L 80828,A81000C,00700,0600,EQUIPMENT & UTI 80828,A81000C,00800,0100,A 80828,A81000C,00800,0200,ALAUX & PATZKE 80828,A81000C,00800,0400,PAR EQUIPMENT L 80828,A81000C,00800,0600,EQUIPMENT & UTI 80828,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80828,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80828,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80828,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80828,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80828,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80828,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80828,B100000,00000,0800,00000MEALS SERVED :DIETARY 80828,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 80828,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 80828,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80828,S000000,00100,0200,06/02/2000 80828,S200000,00100,0100,10426 BOGARDUS AVENUE 80828,S200000,00200,0100,WHITTIER 80828,S200000,00200,0200,CA 80828,S200000,00200,0300,90603- 80828,S200000,00300,0100,LOS ANGELES 80828,S200000,00300,0200,4480 80828,S200000,00300,0300,U 80828,S200000,00400,0100,BERRYMAN HEALTH-EAST WHITTIER 80828,S200000,00400,0200,055430 80828,S200000,00400,0300,09/01/1987 80828,S200000,00400,0500,P 80828,S200000,01600,0100,Y 80838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80838,A000000,00300,0000,00300EMPLOYEE BENEFITS 80838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80838,A000000,00700,0000,00700HOUSEKEEPING 80838,A000000,00800,0000,00800DIETARY 80838,A000000,00900,0000,00900NURSING ADMINISTRATION 80838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80838,A000000,01100,0000,01100PHARMACY 80838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80838,A000000,01300,0000,01300SOCIAL SERVICE 80838,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80838,A000000,01600,0000,01600SKILLED NURSING FACILITY 80838,A000000,01810,0000,01810ICF/MR 80838,A000000,02500,0000,02500PHYSICAL THERAPY 80838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80838,A000000,03550,0000,03550FQHC 80838,A000000,05000,0000,05000CORF 80838,A000000,05010,0000,05010CMHC 80838,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80838,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80838,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80838,A000000,06100,0000,06100NONPAID WORKERS 80838,A81000A,00100,0100,Y 80838,A81000B,00100,0300,AFFILIATION FEE 80838,A81000B,00200,0300,BLDG-DEPR (HO) 80838,A81000B,00300,0300,EQUIP DEPR (HO) 80838,A81000B,00400,0300,OTHER CAP (HO) 80838,A81000B,00500,0300,NON-CAP (HO) 80838,A81000C,00100,0100,B 80838,A81000C,00100,0200,CATHOLIC HEALTH 80838,A81000C,00100,0400,CATHOLIC HEALTH 80838,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80838,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80838,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80838,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80838,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80838,B100000,00000,0850,00000GROSS SALARIES :DIETARY 80838,B100000,00000,1330,00000DOLLAR VALUE :SOCIAL SERVICE 80838,E10A180,00550,0100,01/12/2001 80838,E10A180,00550,0300,01/12/2001 80838,S000000,00100,0200,11/30/2000 80838,S200000,00100,0100,20400 SARATOGA 80838,S200000,00200,0100,LOS GATOS / SARATOGA 80838,S200000,00200,0200,CA 80838,S200000,00200,0300,95070- 80838,S200000,00300,0100,SANTA CLARA 80838,S200000,00300,0200,7400 80838,S200000,00300,0300,U 80838,S200000,00400,0100,OUR LADY OF FATIMA VILLA 80838,S200000,00400,0200,055435 80838,S200000,00400,0300,01/01/1967 80838,S200000,00400,0500,P 80838,S200000,01500,0100,Y 80846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80846,A000000,00300,0000,00300EMPLOYEE BENEFITS 80846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80846,A000000,00700,0000,00700HOUSEKEEPING 80846,A000000,00800,0000,00800DIETARY 80846,A000000,00900,0000,00900NURSING ADMINISTRATION 80846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80846,A000000,01100,0000,01100PHARMACY 80846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80846,A000000,01300,0000,01300SOCIAL SERVICE 80846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80846,A000000,01600,0000,01600SKILLED NURSING FACILITY 80846,A000000,01800,0000,01800NURSING FACILITY 80846,A000000,01810,0000,01810ICF/MR 80846,A000000,02500,0000,02500PHYSICAL THERAPY 80846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80846,A000000,02700,0000,02700SPEECH PATHOLOGY 80846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80846,A000000,03550,0000,03550FQHC 80846,A000000,05000,0000,05000CORF 80846,A000000,05010,0000,05010CMHC 80846,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80846,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80846,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80846,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80846,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80846,A81000A,00100,0100,Y 80846,A81000B,00100,0300,RELATED PARTY ADJUST 80846,A81000B,00200,0300,RELATED PARTY ADJUST 80846,A81000B,00300,0300,RELATED PARTY ADJUST 80846,A81000C,00100,0100,B 80846,A81000C,00100,0200,UHS / ALDERSON CO 80846,A81000C,00100,0400,LEONIDAS INC. 80846,A81000C,00100,0600,PROPERTY MANAGE 80846,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80846,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80846,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80846,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80846,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80846,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80846,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80846,B100000,00000,0800,00000MEALS SERVED :DIETARY 80846,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 80846,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 80846,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 80846,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80846,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80846,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80846,S000000,00100,0200,03/03/2000 80846,S200000,00100,0100,124 WALNUT STREET 80846,S200000,00200,0100,WOODLAND 80846,S200000,00200,0200,CA 80846,S200000,00200,0300,95695- 80846,S200000,00300,0100,YOLO 80846,S200000,00400,0100,ALDERSON CONVALESCENT HOSPITAL 80846,S200000,00400,0200,055438 80846,S200000,00400,0300,01/01/1967 80846,S200000,00400,0500,P 80846,S200000,01500,0100,Y 80846,S200000,04300,0100,Y 80846,S700003,00000,0100,1 80855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80855,A000000,00700,0000,00700HOUSEKEEPING 80855,A000000,00800,0000,00800DIETARY 80855,A000000,00900,0000,00900NURSING ADMINISTRATION 80855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80855,A000000,01300,0000,01300SOCIAL SERVICE 80855,A000000,01600,0000,01600SKILLED NURSING FACILITY 80855,A000000,01800,0000,01800NURSING FACILITY 80855,A000000,02100,0000,02100RADIOLOGY 80855,A000000,02200,0000,02200LABORATORY 80855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80855,A000000,02500,0000,02500PHYSICAL THERAPY 80855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80855,A000000,02700,0000,02700SPEECH PATHOLOGY 80855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80855,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 80855,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80855,A000000,05300,0000,05300INTEREST EXPENSE 80855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80855,A81000A,00100,0100,Y 80855,A81000B,00100,0300,MANAGEMENT FEES 80855,A81000B,00200,0300,LEASES & RENTALS 80855,A81000B,00300,0300,CAPITAL-BULD & FIX 80855,A81000B,00400,0300,CAPITAL-MOVEABLE EQUIP 80855,A81000C,00100,0100,B 80855,A81000C,00100,0200,AUBURN GARDENS CONV 80855,A81000C,00100,0400,HEALTH CARE MANAGEMENT 80855,A81000C,00100,0600,MANAGEMENT COMPANY 80855,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80855,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80855,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80855,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80855,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80855,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80855,B100000,00000,0800,00000MEALS SERVED :DIETARY 80855,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80855,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 80855,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80855,S000000,00100,0200,05/25/2000 80855,S200000,00100,0100,260 RACETRACK STREET 80855,S200000,00200,0100,AUBURN 80855,S200000,00200,0200,CA 80855,S200000,00200,0300,95603- 80855,S200000,00300,0100,PLACER 80855,S200000,00300,0200,6920 80855,S200000,00300,0300,U 80855,S200000,00400,0100,AUBURN GARDENS CONVALESCENT CENTER 80855,S200000,00400,0200,055446 80855,S200000,00400,0300,12/01/1991 80855,S200000,00400,0500,P 80855,S200000,01500,0100,Y 80863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80863,A000000,00300,0000,00300EMPLOYEE BENEFITS 80863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80863,A000000,00700,0000,00700HOUSEKEEPING 80863,A000000,00800,0000,00800DIETARY 80863,A000000,00900,0000,00900NURSING ADMINISTRATION 80863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80863,A000000,01100,0000,01100PHARMACY 80863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80863,A000000,01300,0000,01300SOCIAL SERVICE 80863,A000000,01350,0000,01500OTHER GENERAL SERVICES 80863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80863,A000000,01600,0000,01600SKILLED NURSING FACILITY 80863,A000000,01800,0000,01800NURSING FACILITY 80863,A000000,01900,0000,01900OTHER LONG TERM CARE 80863,A000000,02100,0000,02100RADIOLOGY 80863,A000000,02200,0000,02200LABORATORY 80863,A000000,02300,0000,02300INTRAVENOUS THERAPY 80863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80863,A000000,02500,0000,02500PHYSICAL THERAPY 80863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80863,A000000,02700,0000,02700SPEECH PATHOLOGY 80863,A000000,02800,0000,02800ELECTROCARDIOLOGY 80863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80863,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80863,A000000,03200,0000,03200SUPPORT SURFACES 80863,A000000,03400,0000,03400CLINIC 80863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80863,A000000,03500,0000,03500RURAL HEALTH CLINIC 80863,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80863,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80863,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80863,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80863,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80863,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80863,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80863,A000000,04400,0000,04400DME RENTED - HHA 80863,A000000,04500,0000,04500DME SOLD - HHA 80863,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80863,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80863,A000000,04800,0000,04800AMBULANCE 80863,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80863,A000000,05000,0000,05000CORF 80863,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80863,A000000,05300,0000,05300INTEREST EXPENSE 80863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80863,A000000,05500,0000,05500HOSPICE 80863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80863,A000000,06100,0000,06100NONPAID WORKERS 80863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80863,A000000,06200,0000,06200PATIENTS LAUNDRY 80863,A81000A,00100,0100,Y 80863,A81000B,00100,0300,MANAGEMENT FEES 80863,A81000B,00200,0300,BUILDING LEASE 80863,A81000B,00300,0300,HOME OFFICE-BUILDING 80863,A81000B,00400,0300,HOME OFFICE DEPR-EQPT 80863,A81000B,00500,0300,HOME OFFICE COSTS 80863,A81000B,00600,0300,DEPRECIATION-BUILDING 80863,A81000C,00100,0100,B 80863,A81000C,00100,0200,PTLA MANAGEMENT CORP. 80863,A81000C,00100,0400,SAN MARCO NURSING & REHAB 80863,A81000C,00100,0600,SNF 80863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80863,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80863,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80863,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80863,B100000,00000,0800,00000MEALS SERVED :DIETARY 80863,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 80863,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80863,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80863,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80863,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80863,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80863,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80863,S000000,00100,0200,02/07/2000 80863,S200000,00100,0100,1730 SOUTH COLLEGE AVENUE 80863,S200000,00200,0100,DINUBA 80863,S200000,00200,0200,CA 80863,S200000,00200,0300,93618- 80863,S200000,00300,0100,TULARE 80863,S200000,00400,0100,NEW COVENANT CARE CTR OF DINUBA 80863,S200000,00400,0200,055448 80863,S200000,00400,0300,11/01/1988 80863,S200000,00400,0500,P 80863,S200000,01600,0100,Y 80863,S200000,02800,0100,Y 80863,S700003,00000,0100,1 80878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80878,A000000,00300,0000,00300EMPLOYEE BENEFITS 80878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80878,A000000,00700,0000,00700HOUSEKEEPING 80878,A000000,00800,0000,00800DIETARY 80878,A000000,00900,0000,00900NURSING ADMINISTRATION 80878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80878,A000000,01300,0000,01300SOCIAL SERVICE 80878,A000000,01301,0000,01301ACTIVITIES 80878,A000000,01350,0000,01500REHAB 80878,A000000,01600,0000,01600SKILLED NURSING FACILITY 80878,A000000,01800,0000,01800NURSING FACILITY 80878,A000000,01900,0000,01900OTHER LONG TERM CARE 80878,A000000,02100,0000,02100RADIOLOGY 80878,A000000,02200,0000,02200LABORATORY 80878,A000000,02300,0000,02300INTRAVENOUS THERAPY 80878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80878,A000000,02500,0000,02500PHYSICAL THERAPY 80878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80878,A000000,02700,0000,02700SPEECH PATHOLOGY 80878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80878,A000000,03050,0000,03300EQUIPMENT RENTAL 80878,A000000,03051,0000,03301PEN THERAPY 80878,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80878,A000000,04800,0000,04800AMBULANCE 80878,A000000,05300,0000,05300INTEREST EXPENSE 80878,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80878,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80878,A000000,06150,0000,06300VENDING 80878,A000000,06151,0000,06301OTHER & STAND-BY 80878,A81000A,00100,0100,Y 80878,A81000B,00100,0300,CENTRAL SUPPLY 80878,A81000B,00200,0300,MEDICAL SUPPLIES 80878,A81000B,00300,0300,ADMINISTRATION 80878,A81000B,00400,0300,PT 80878,A81000B,00500,0300,OT 80878,A81000B,00600,0300,ST 80878,A81000C,00100,0100,B 80878,A81000C,00100,0200,HILLSDALE MANOR 80878,A81000C,00100,0400,MARINER PAN 80878,A81000C,00100,0600,NURSING HOMES 80878,A81000C,00200,0100,G 80878,A81000C,00200,0200,MARINER PAN 80878,A81000C,00200,0400,AMERICAN PHARMA 80878,A81000C,00200,0600,PHARMACEUTICALS 80878,A81000C,00300,0100,G 80878,A81000C,00300,0200,MARINER PAN 80878,A81000C,00300,0400,PRISM (ATS ARS 80878,A81000C,00300,0600,THERAPIES 80878,A81000C,03100,0000,MARINER PAN 80878,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 80878,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 80878,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 80878,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 80878,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 80878,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 80878,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 80878,B100000,00000,0800,00001MEALS SERVED :DIETARY 80878,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 80878,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 80878,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 80878,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 80878,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 80878,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 80878,S000000,00100,0200,06/05/2000 80878,S200000,00100,0100,2883 SOUTH NORFOLK AVENUE 80878,S200000,00200,0100,SAN MATEO 80878,S200000,00200,0200,CA 80878,S200000,00200,0300,94403- 80878,S200000,00300,0100,SAN MATEO 80878,S200000,00400,0100,HILLSDALE MANOR 80878,S200000,00400,0200,055458 80878,S200000,00400,0300,01/01/1980 80878,S200000,00400,0500,P 80878,S200000,01600,0100,Y 80878,S700003,00000,0100,1 80886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80886,A000000,00300,0000,00300EMPLOYEE BENEFITS 80886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80886,A000000,00700,0000,00700HOUSEKEEPING 80886,A000000,00800,0000,00800DIETARY 80886,A000000,00900,0000,00900NURSING ADMINISTRATION 80886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80886,A000000,01100,0000,01100PHARMACY 80886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80886,A000000,01300,0000,01300SOCIAL SERVICE 80886,A000000,01301,0000,01301ACTIVITIES 80886,A000000,01350,0000,01500OTHER GENERAL SERVICES 80886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80886,A000000,01600,0000,01600SKILLED NURSING FACILITY 80886,A000000,01800,0000,01800NURSING FACILITY 80886,A000000,01900,0000,01900OTHER LONG TERM CARE 80886,A000000,02100,0000,02100RADIOLOGY 80886,A000000,02200,0000,02200LABORATORY 80886,A000000,02300,0000,02300INTRAVENOUS THERAPY 80886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80886,A000000,02500,0000,02500PHYSICAL THERAPY 80886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80886,A000000,02700,0000,02700SPEECH PATHOLOGY 80886,A000000,02800,0000,02800ELECTROCARDIOLOGY 80886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80886,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80886,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80886,A000000,03200,0000,03200SUPPORT SURFACES 80886,A000000,03400,0000,03400CLINIC 80886,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80886,A000000,03500,0000,03500RURAL HEALTH CLINIC 80886,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80886,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80886,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80886,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80886,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80886,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80886,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80886,A000000,04400,0000,04400DME RENTED - HHA 80886,A000000,04500,0000,04500DME SOLD - HHA 80886,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80886,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80886,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80886,A000000,04800,0000,04800AMBULANCE 80886,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80886,A000000,05000,0000,05000CORF 80886,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80886,A000000,05300,0000,05300INTEREST EXPENSE 80886,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80886,A000000,05500,0000,05500HOSPICE 80886,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80886,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80886,A000000,06100,0000,06100NONPAID WORKERS 80886,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80886,A000000,06200,0000,06200PATIENTS LAUNDRY 80886,A81000A,00100,0100,Y 80886,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 80886,A81000B,00200,0300,CAPITAL 80886,A81000C,00100,0100,A 80886,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 80886,A81000C,00100,0400,LENOX HEALTHCARE INC 80886,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80886,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80886,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80886,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80886,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80886,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80886,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80886,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80886,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80886,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80886,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80886,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80886,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80886,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 80886,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80886,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80886,S000000,00100,0200,03/02/2000 80886,S200000,00100,0100,1440 SOUTH EUCLID AVE 80886,S200000,00200,0100,ANAHEIM 80886,S200000,00200,0200,CA 80886,S200000,00200,0300,92802- 80886,S200000,00300,0100,ORANGE 80886,S200000,00400,0100,BUENA VISTA CARE CENTER 80886,S200000,00400,0200,055459 80886,S200000,00400,0300,08/01/1987 80886,S200000,00400,0500,P 80886,S200000,01600,0100,Y 80886,S700003,00000,0100,1 80892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80892,A000000,00300,0000,00300EMPLOYEE BENEFITS 80892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80892,A000000,00700,0000,00700HOUSEKEEPING 80892,A000000,00800,0000,00800DIETARY 80892,A000000,01300,0000,01300SOCIAL SERVICE 80892,A000000,01600,0000,01600SKILLED NURSING FACILITY 80892,A000000,01810,0000,01810ICF/MR 80892,A000000,02100,0000,02100RADIOLOGY 80892,A000000,02200,0000,02200LABORATORY 80892,A000000,02500,0000,02500PHYSICAL THERAPY 80892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80892,A000000,02700,0000,02700SPEECH PATHOLOGY 80892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80892,A000000,03550,0000,03550FQHC 80892,A000000,05000,0000,05000CORF 80892,A000000,05010,0000,05010CMHC 80892,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80892,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80892,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80892,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80892,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80892,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80892,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80892,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80892,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80892,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80892,B100000,00000,0800,00000MEALS SERVED :DIETARY 80892,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80892,S000000,00100,0200,06/20/2000 80892,S200000,00100,0100,2637 WASHINGTON BLVD. 80892,S200000,00200,0100,PASADENA 80892,S200000,00200,0200,CA 80892,S200000,00200,0300,91107- 80892,S200000,00300,0100,LOS ANGELES 80892,S200000,00300,0200,4480 80892,S200000,00300,0300,U 80892,S200000,00400,0100,MARLINDA CONV. HOSP. - PASADENA 80892,S200000,00400,0200,055464 80892,S200000,00400,0300,01/01/1996 80892,S200000,00400,0500,P 80892,S200000,01500,0100,Y 80892,S200000,04300,0100,Y 80899,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80899,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80899,A000000,00300,0000,00300EMPLOYEE BENEFITS 80899,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80899,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80899,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80899,A000000,00700,0000,00700HOUSEKEEPING 80899,A000000,00800,0000,00800DIETARY 80899,A000000,01300,0000,01300SOCIAL SERVICE 80899,A000000,01600,0000,01600SKILLED NURSING FACILITY 80899,A000000,01810,0000,01810ICF/MR 80899,A000000,02100,0000,02100RADIOLOGY 80899,A000000,02200,0000,02200LABORATORY 80899,A000000,02500,0000,02500PHYSICAL THERAPY 80899,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80899,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80899,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80899,A000000,03550,0000,03550FQHC 80899,A000000,05000,0000,05000CORF 80899,A000000,05010,0000,05010CMHC 80899,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80899,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80899,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80899,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80899,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80899,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80899,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80899,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80899,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80899,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80899,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80899,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80899,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80899,S000000,00100,0200,06/09/2000 80899,S200000,00100,0100,3201 FERNSIDE BOULEVARD 80899,S200000,00200,0100,ALAMEDA 80899,S200000,00200,0200,CA 80899,S200000,00200,0300,94501- 80899,S200000,00300,0100,ALAMEDA 80899,S200000,00400,0100,MARINA C.H. 80899,S200000,00400,0200,055465 80899,S200000,00400,0300,01/01/1967 80899,S200000,00400,0500,P 80899,S200000,01500,0100,Y 80899,S200000,04300,0100,Y 80899,S700003,00000,0100,1 80906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80906,A000000,00300,0000,00300EMPLOYEE BENEFITS 80906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80906,A000000,00700,0000,00700HOUSEKEEPING 80906,A000000,00800,0000,00800DIETARY 80906,A000000,00900,0000,00900NURSING ADMINISTRATION 80906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80906,A000000,01100,0000,01100PHARMACY 80906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80906,A000000,01300,0000,01300SOCIAL SERVICE 80906,A000000,01350,0000,01500OTHER GENERAL SERVICES 80906,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80906,A000000,01600,0000,01600SKILLED NURSING FACILITY 80906,A000000,01800,0000,01800NURSING FACILITY 80906,A000000,01810,0000,01810ICF/MR 80906,A000000,01900,0000,01900OTHER LONG TERM CARE 80906,A000000,02100,0000,02100RADIOLOGY 80906,A000000,02200,0000,02200LABORATORY 80906,A000000,02300,0000,02300INTRAVENOUS THERAPY 80906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80906,A000000,02500,0000,02500PHYSICAL THERAPY 80906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80906,A000000,02700,0000,02700SPEECH PATHOLOGY 80906,A000000,02800,0000,02800ELECTROCARDIOLOGY 80906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80906,A000000,03200,0000,03200SUPPORT SURFACES 80906,A000000,03400,0000,03400CLINIC 80906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80906,A000000,03500,0000,03500RURAL HEALTH CLINIC 80906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80906,A000000,04400,0000,04400DME RENTED - HHA 80906,A000000,04500,0000,04500DME SOLD - HHA 80906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80906,A000000,04800,0000,04800AMBULANCE 80906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80906,A000000,05000,0000,05000CORF 80906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80906,A000000,05300,0000,05300INTEREST EXPENSE 80906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80906,A000000,05500,0000,05500HOSPICE 80906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80906,A000000,06100,0000,06100NONPAID WORKERS 80906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80906,A000000,06200,0000,06200PATIENTS LAUNDRY 80906,A81000A,00100,0100,Y 80906,A81000B,00100,0300,MANAGEMENT FEES 80906,A81000B,00200,0300,BUILDING LEASE 80906,A81000B,00300,0300,DEPR-BUILDING 80906,A81000B,00400,0300,MORTGAGE INTEREST 80906,A81000B,00500,0300,SHARED COST W/BEL-AIR 80906,A81000B,00600,0300,HOME OFFICE-EQPT 80906,A81000B,00700,0300,HOME OFFICE COSTS 80906,A81000C,00100,0100,A 80906,A81000C,00100,0200,MARY BAKER 80906,A81000C,00100,0400,ELNESS/BAKER PARTNERS 80906,A81000C,00100,0600,LESSOR 80906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80906,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80906,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 80906,B100000,00000,0800,00000MEALS SERVED :DIETARY 80906,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 80906,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80906,S000000,00100,0200,04/11/2000 80906,S200000,00100,0100,812 W. MAIN STREET 80906,S200000,00200,0100,TURLOCK 80906,S200000,00200,0200,CA 80906,S200000,00200,0300,95830- 80906,S200000,00300,0100,STANISLAUS 80906,S200000,00300,0300,U 80906,S200000,00400,0100,ELNESS CONVALESCENT HOSPITAL 80906,S200000,00400,0200,055475 80906,S200000,00400,0300,10/01/1977 80906,S200000,00400,0500,P 80906,S200000,01500,0100,Y 80906,S200000,02800,0100,Y 80914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80914,A000000,00300,0000,00300EMPLOYEE BENEFITS 80914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80914,A000000,00700,0000,00700HOUSEKEEPING 80914,A000000,00800,0000,00800DIETARY 80914,A000000,01300,0000,01300SOCIAL SERVICE 80914,A000000,01600,0000,01600SKILLED NURSING FACILITY 80914,A000000,01810,0000,01810ICF/MR 80914,A000000,02100,0000,02100RADIOLOGY 80914,A000000,02200,0000,02200LABORATORY 80914,A000000,02500,0000,02500PHYSICAL THERAPY 80914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80914,A000000,02700,0000,02700SPEECH PATHOLOGY 80914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80914,A000000,03550,0000,03550FQHC 80914,A000000,05000,0000,05000CORF 80914,A000000,05010,0000,05010CMHC 80914,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80914,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80914,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80914,A81000A,00100,0100,Y 80914,A81000B,00100,0300,HOME OFFICE RECON 80914,A81000B,00200,0300,HOME OFFICE RECON 80914,A81000B,00300,0300,HOME OFFICE RECON 80914,A81000C,00100,0100,A 80914,A81000C,00100,0200,HERMITAGE HEALT 80914,A81000C,00100,0400,HERMITAGE HEALT 80914,A81000C,00100,0600,HOME OFFICE 80914,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80914,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80914,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80914,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80914,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80914,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 80914,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 80914,B100000,00000,0800,00040MEALS SERVED :DIETARY 80914,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 80914,S000000,00100,0200,06/05/2000 80914,S200000,00100,0100,7025 CORELINE COURT 80914,S200000,00200,0100,SEBASTOPOL 80914,S200000,00200,0200,CA 80914,S200000,00200,0300,95472- 80914,S200000,00300,0100,SONOMA 80914,S200000,00300,0200,7500 80914,S200000,00300,0300,U 80914,S200000,00400,0100,FIRCREST CONV. HOSP. 80914,S200000,00400,0200,055476 80914,S200000,00400,0300,01/01/1967 80914,S200000,00400,0500,P 80914,S200000,01500,0100,Y 80914,S200000,04300,0100,Y 80921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80921,A000000,00300,0000,00300EMPLOYEE BENEFITS 80921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80921,A000000,00700,0000,00700HOUSEKEEPING 80921,A000000,00800,0000,00800DIETARY 80921,A000000,01300,0000,01300SOCIAL SERVICE 80921,A000000,01600,0000,01600SKILLED NURSING FACILITY 80921,A000000,01810,0000,01810ICF/MR 80921,A000000,02100,0000,02100RADIOLOGY 80921,A000000,02200,0000,02200LABORATORY 80921,A000000,02500,0000,02500PHYSICAL THERAPY 80921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80921,A000000,02700,0000,02700SPEECH PATHOLOGY 80921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80921,A000000,03550,0000,03550FQHC 80921,A000000,05000,0000,05000CORF 80921,A000000,05010,0000,05010CMHC 80921,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80921,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80921,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80921,A81000A,00100,0100,Y 80921,A81000B,00100,0300,HOME OFFICE RECON 80921,A81000B,00200,0300,HOME OFFICE RECON 80921,A81000B,00300,0300,HOME OFFICE RECON 80921,A81000C,00100,0100,A 80921,A81000C,00100,0200,HERMITAGE HEALT 80921,A81000C,00100,0400,HERMITAGE HEALT 80921,A81000C,00100,0600,HOME OFFICE 80921,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80921,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80921,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80921,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80921,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80921,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 80921,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 80921,B100000,00000,0800,00040MEALS SERVED :DIETARY 80921,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 80921,S000000,00100,0200,06/05/2000 80921,S200000,00100,0100,3780 MASSACHUSETTES AVENUE 80921,S200000,00200,0100,LA MESA 80921,S200000,00200,0200,CA 80921,S200000,00200,0300,91941- 80921,S200000,00300,0100,SAN DIEGO 80921,S200000,00300,0200,7320 80921,S200000,00300,0300,U 80921,S200000,00400,0100,HERMITAGE CARE CENTER 80921,S200000,00400,0200,055488 80921,S200000,00400,0300,01/01/1967 80921,S200000,00400,0500,P 80921,S200000,01500,0100,Y 80921,S200000,04300,0100,Y 80930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80930,A000000,00300,0000,00300EMPLOYEE BENEFITS 80930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80930,A000000,00700,0000,00700HOUSEKEEPING 80930,A000000,00800,0000,00800DIETARY 80930,A000000,00900,0000,00900NURSING ADMINISTRATION 80930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80930,A000000,01100,0000,01100PHARMACY 80930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80930,A000000,01300,0000,01300SOCIAL SERVICE 80930,A000000,01350,0000,01500OTHER GENERAL SERVICES 80930,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80930,A000000,01600,0000,01600SKILLED NURSING FACILITY 80930,A000000,01800,0000,01800NURSING FACILITY 80930,A000000,01810,0000,01810ICF/MR 80930,A000000,01900,0000,01900OTHER LONG TERM CARE 80930,A000000,02100,0000,02100RADIOLOGY 80930,A000000,02200,0000,02200LABORATORY 80930,A000000,02300,0000,02300INTRAVENOUS THERAPY 80930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80930,A000000,02500,0000,02500PHYSICAL THERAPY 80930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80930,A000000,02700,0000,02700SPEECH PATHOLOGY 80930,A000000,02800,0000,02800ELECTROCARDIOLOGY 80930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80930,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80930,A000000,03200,0000,03200SUPPORT SURFACES 80930,A000000,03400,0000,03400CLINIC 80930,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80930,A000000,03500,0000,03500RURAL HEALTH CLINIC 80930,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80930,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80930,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80930,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80930,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80930,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80930,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80930,A000000,04400,0000,04400DME RENTED - HHA 80930,A000000,04500,0000,04500DME SOLD - HHA 80930,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80930,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80930,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80930,A000000,04800,0000,04800AMBULANCE 80930,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80930,A000000,05000,0000,05000CORF 80930,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80930,A000000,05300,0000,05300INTEREST EXPENSE 80930,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80930,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80930,A000000,05500,0000,05500HOSPICE 80930,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80930,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80930,A000000,06100,0000,06100NONPAID WORKERS 80930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80930,A000000,06200,0000,06200PATIENTS LAUNDRY 80930,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80930,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80930,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80930,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80930,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80930,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80930,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80930,B100000,00000,0800,00000MEALS SERVED :DIETARY 80930,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 80930,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80930,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 80930,S000000,00100,0200,12/04/2000 80930,S200000,00100,0100,1795 WALNUT STREET 80930,S200000,00200,0100,RED BLUFF 80930,S200000,00200,0200,CA 80930,S200000,00200,0300,96080- 80930,S200000,00300,0100,TEHAMA 80930,S200000,00300,0300,R 80930,S200000,00400,0100,BRENTWOOD SNF & REHAB. CENTER 80930,S200000,00400,0200,055489 80930,S200000,00400,0300,07/01/1997 80930,S200000,00400,0500,P 80930,S200000,01600,0100,Y 80943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80943,A000000,00300,0000,00300EMPLOYEE BENEFITS 80943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80943,A000000,00700,0000,00700HOUSEKEEPING 80943,A000000,00800,0000,00800DIETARY 80943,A000000,00900,0000,00900NURSING ADMINISTRATION 80943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80943,A000000,01300,0000,01300SOCIAL SERVICE 80943,A000000,01600,0000,01600SKILLED NURSING FACILITY 80943,A000000,01800,0000,01800NURSING FACILITY 80943,A000000,02100,0000,02100RADIOLOGY 80943,A000000,02200,0000,02200LABORATORY 80943,A000000,02500,0000,02500PHYSICAL THERAPY 80943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80943,A000000,02700,0000,02700SPEECH PATHOLOGY 80943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80943,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80943,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80943,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 80943,B100000,00000,1050,00000DIRECT NRSG HOURS :CENTRAL SERVICES 80943,B100000,00000,1250,00000DISCHARGES :MEDICAL RECORDS & LIB 80943,B100000,00000,1330,00000WEIGHTED DISCHARGE :SOCIAL SERVICE 80943,S000000,00100,0200,03/07/2000 80943,S200000,00100,0100,1633 CYPRESS LANE 80943,S200000,00200,0100,PARADISE 80943,S200000,00200,0200,CA 80943,S200000,00200,0300,95969- 80943,S200000,00300,0100,BUTTE 80943,S200000,00400,0100,CYPRESS ACRES CONVALESCENT HOSPITAL 80943,S200000,00400,0200,055494 80943,S200000,00400,0300,01/01/1976 80943,S200000,00400,0500,P 80943,S200000,00400,0600,P 80943,S200000,00600,0200,055494 80943,S200000,00600,0300,01/01/1976 80943,S200000,00600,0600,P 80943,S200000,01600,0100,Y 80943,S700003,00000,0200,2 80959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80959,A000000,00300,0000,00300EMPLOYEE BENEFITS 80959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80959,A000000,00700,0000,00700HOUSEKEEPING 80959,A000000,00800,0000,00800DIETARY 80959,A000000,00900,0000,00900NURSING ADMINISTRATION 80959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80959,A000000,01100,0000,01100PHARMACY 80959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80959,A000000,01300,0000,01300SOCIAL SERVICE 80959,A000000,01350,0000,01500OTHER GENERAL SERVICES 80959,A000000,01600,0000,01600SKILLED NURSING FACILITY 80959,A000000,01800,0000,01800NURSING FACILITY 80959,A000000,01900,0000,01900OTHER LONG TERM CARE 80959,A000000,02100,0000,02100RADIOLOGY 80959,A000000,02200,0000,02200LABORATORY 80959,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80959,A000000,02500,0000,02500PHYSICAL THERAPY 80959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80959,A000000,02700,0000,02700SPEECH PATHOLOGY 80959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80959,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 80959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80959,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80959,A000000,04800,0000,04800AMBULANCE 80959,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80959,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80959,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80959,A81000A,00100,0100,Y 80959,A81000B,00100,0300,MANAGEMENT FEE 80959,A81000B,00200,0300,CAPITAL 80959,A81000B,00300,0300,DATA PROCESSING FEE 80959,A81000B,00400,0300,RESPIRATORY THERAPY 80959,A81000B,00500,0300,PHYSICAL THERAPY 80959,A81000B,00600,0300,OCCUPATIONAL THERAPY 80959,A81000B,00700,0300,SPEECH THERAPY 80959,A81000C,00100,0100,A 80959,A81000C,00100,0200,CVHS CORP 80959,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80959,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80959,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80959,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80959,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80959,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 80959,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80959,B100000,00000,0850,00000PATIENT DAYS :DIETARY 80959,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80959,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80959,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80959,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 80959,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80959,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80959,S000000,00100,0200,05/26/2000 80959,S200000,00100,0100,3515 OVERLAND AVENUE 80959,S200000,00200,0100,LOS ANGELES 80959,S200000,00200,0200,CA 80959,S200000,00200,0300,90034- 80959,S200000,00300,0100,LOS ANGELES 80959,S200000,00400,0100,COUNTRY VILLA SOUTH 80959,S200000,00400,0200,055504 80959,S200000,00400,0300,01/01/1967 80959,S200000,00400,0500,P 80959,S200000,01600,0100,Y 80959,S200000,02200,0100,Y 80959,S200000,02800,0100,Y 80959,S700003,00000,0100,1 80983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80983,A000000,00300,0000,00300EMPLOYEE BENEFITS 80983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80983,A000000,00700,0000,00700HOUSEKEEPING 80983,A000000,00800,0000,00800DIETARY 80983,A000000,00900,0000,00900NURSING ADMINISTRATION 80983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80983,A000000,01100,0000,01100PHARMACY 80983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80983,A000000,01300,0000,01300SOCIAL SERVICE 80983,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80983,A000000,01600,0000,01600SKILLED NURSING FACILITY 80983,A000000,01810,0000,01810ICF/MR 80983,A000000,02100,0000,02100RADIOLOGY 80983,A000000,02200,0000,02200LABORATORY 80983,A000000,02500,0000,02500PHYSICAL THERAPY 80983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80983,A000000,02700,0000,02700SPEECH PATHOLOGY 80983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80983,A000000,03550,0000,03550FQHC 80983,A000000,05000,0000,05000CORF 80983,A000000,05010,0000,05010CMHC 80983,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 80983,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 80983,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 80983,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 80983,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 80983,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 80983,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 80983,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 80983,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 80983,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 80983,B100000,00000,0850,00040PATIENT DAYS :DIETARY 80983,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 80983,S000000,00100,0200,11/27/2000 80983,S200000,00100,0100,477 PETALUMA AVENUE 80983,S200000,00200,0100,SEBASTOPOL 80983,S200000,00200,0200,CA 80983,S200000,00200,0300,95472- 80983,S200000,00300,0100,SONOMA 80983,S200000,00300,0200,7500 80983,S200000,00300,0300,U 80983,S200000,00400,0100,SEBASTOPOL CONVALESCENT HOSPITAL 80983,S200000,00400,0200,055520 80983,S200000,00400,0300,01/01/1967 80983,S200000,00400,0500,P 80983,S200000,01500,0100,Y 80991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 80991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 80991,A000000,00300,0000,00300EMPLOYEE BENEFITS 80991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 80991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 80991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 80991,A000000,00700,0000,00700HOUSEKEEPING 80991,A000000,00800,0000,00800DIETARY 80991,A000000,00900,0000,00900NURSING ADMINISTRATION 80991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 80991,A000000,01100,0000,01100PHARMACY 80991,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 80991,A000000,01300,0000,01300SOCIAL SERVICE 80991,A000000,01350,0000,01500OTHER GENERAL SERVICES 80991,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 80991,A000000,01600,0000,01600SKILLED NURSING FACILITY 80991,A000000,01800,0000,01800NURSING FACILITY 80991,A000000,01810,0000,01801ICF/MR 80991,A000000,01900,0000,01900OTHER LONG TERM CARE 80991,A000000,02100,0000,02100RADIOLOGY 80991,A000000,02200,0000,02200LABORATORY 80991,A000000,02300,0000,02300INTRAVENOUS THERAPY 80991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 80991,A000000,02500,0000,02500PHYSICAL THERAPY 80991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 80991,A000000,02700,0000,02700SPEECH PATHOLOGY 80991,A000000,02800,0000,02800ELECTROCARDIOLOGY 80991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 80991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 80991,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 80991,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 80991,A000000,03200,0000,03200SUPPORT SURFACES 80991,A000000,03400,0000,03400CLINIC 80991,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 80991,A000000,03500,0000,03500RURAL HEALTH CLINIC 80991,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 80991,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 80991,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 80991,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 80991,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 80991,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 80991,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 80991,A000000,04400,0000,04400DME RENTED - HHA 80991,A000000,04500,0000,04500DME SOLD - HHA 80991,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 80991,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 80991,A000000,04750,0000,05100OTHER REIMBURSABLE COST 80991,A000000,04800,0000,04800AMBULANCE 80991,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 80991,A000000,05000,0000,05000CORF 80991,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 80991,A000000,05300,0000,05300INTEREST EXPENSE 80991,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 80991,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 80991,A000000,05500,0000,05500HOSPICE 80991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 80991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 80991,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 80991,A000000,06100,0000,06100NONPAID WORKERS 80991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 80991,A000000,06200,0000,06200PATIENTS LAUNDRY 80991,A81000A,00100,0100,Y 80991,A81000B,00100,0300,FACILITY LEASE 80991,A81000B,00200,0300,HOME OFFICE COSTS 80991,A81000C,00100,0100,A 80991,A81000C,00100,0200,GEORGE HARDI 80991,A81000C,00100,0400,HARDI NURSING HOME MGMT 80991,A81000C,00100,0600,OWNER/HOME OFFICE 80991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 80991,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 80991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 80991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 80991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 80991,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 80991,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 80991,B100000,00000,0800,00000MEALS SERVED :DIETARY 80991,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 80991,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 80991,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 80991,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 80991,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 80991,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 80991,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 80991,S000000,00100,0200,05/30/2000 80991,S200000,00100,0100,250 N. VERDUGO ROAD 80991,S200000,00200,0100,GLENDALE 80991,S200000,00200,0200,CA 80991,S200000,00200,0300,91206- 80991,S200000,00300,0100,LOS ANGELES 80991,S200000,00400,0100,ROYAL OAKS CONVALESCENT HOSPITAL 80991,S200000,00400,0200,055523 80991,S200000,00400,0300,06/01/1989 80991,S200000,00400,0500,P 80991,S200000,01500,0100,Y 80991,S700003,00000,0100,1 81000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81000,A000000,00300,0000,00300EMPLOYEE BENEFITS 81000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81000,A000000,00700,0000,00700HOUSEKEEPING 81000,A000000,00800,0000,00800DIETARY 81000,A000000,00900,0000,00900NURSING ADMINISTRATION 81000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81000,A000000,01300,0000,01300SOCIAL SERVICE 81000,A000000,01301,0000,01301ACTIVITIES 81000,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 81000,A000000,01600,0000,01600SKILLED NURSING FACILITY 81000,A000000,01800,0000,01800NURSING FACILITY 81000,A000000,01810,0000,01810ICF/MR 81000,A000000,01900,0000,01900OTHER LONG TERM CARE 81000,A000000,02100,0000,02100RADIOLOGY 81000,A000000,02200,0000,02200LABORATORY 81000,A000000,02300,0000,02300INTRAVENOUS THERAPY 81000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81000,A000000,02500,0000,02500PHYSICAL THERAPY 81000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81000,A000000,02700,0000,02700SPEECH PATHOLOGY 81000,A000000,02800,0000,02800ELECTROCARDIOLOGY 81000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81000,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81000,A000000,03051,0000,03301PEN THERAPY 81000,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81000,A000000,03200,0000,03200SUPPORT SURFACES 81000,A000000,03400,0000,03400CLINIC 81000,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81000,A000000,03500,0000,03500RURAL HEALTH CLINIC 81000,A000000,04800,0000,04800AMBULANCE 81000,A000000,05000,0000,05000CORF 81000,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81000,A000000,05300,0000,05300INTEREST EXPENSE 81000,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81000,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81000,A000000,05500,0000,05500HOSPICE 81000,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81000,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81000,A000000,06100,0000,06100NONPAID WORKERS 81000,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81000,A000000,06200,0000,06200PATIENTS LAUNDRY 81000,A81000A,00100,0100,Y 81000,A81000B,00100,0300,HOME OFFICE ALLOCATION 81000,A81000B,00200,0300,NON CERT 81000,A81000B,00300,0300,MEDICAL SUPPLIES 81000,A81000B,00400,0300,CAPITAL 81000,A81000C,00100,0100,B 81000,A81000C,00100,0200,INGLEWOOD 10472 81000,A81000C,00100,0400,MARINER POST AC 81000,A81000C,00100,0600,NURSING HOMES 81000,A81000C,00200,0100,G 81000,A81000C,00200,0200,MARINER POST AC 81000,A81000C,00200,0400,AMERICAN PHARMA 81000,A81000C,00200,0600,PHARMACEUTICALS 81000,A81000C,00300,0100,G 81000,A81000C,00300,0200,MARINER POST AC 81000,A81000C,00300,0400,PRISM (ATS ARS 81000,A81000C,00300,0600,THERAPIES 81000,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81000,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81000,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81000,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81000,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81000,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81000,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81000,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81000,B100000,00000,0800,00000MEALS SERVED :DIETARY 81000,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81000,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81000,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81000,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81000,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81000,B100000,00000,1350,00000UNITS OF SVC :OTHER GENERAL SERVICE 81000,S000000,00100,0200,06/05/2000 81000,S200000,00100,0100,100 S HILLCREST BLVD 81000,S200000,00200,0100,INGLEWOOD 81000,S200000,00200,0200,CA 81000,S200000,00200,0300,90301- 81000,S200000,00300,0100,LOS ANGELES 81000,S200000,00300,0200,4480 81000,S200000,00300,0300,U 81000,S200000,00400,0100,INGLEWOOD HEALTHCARE CENTER 81000,S200000,00400,0200,055526 81000,S200000,00400,0300,01/01/1980 81000,S200000,00400,0500,P 81008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81008,A000000,00300,0000,00300EMPLOYEE BENEFITS 81008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81008,A000000,00700,0000,00700HOUSEKEEPING 81008,A000000,00800,0000,00800DIETARY 81008,A000000,00900,0000,00900NURSING ADMINISTRATION 81008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81008,A000000,01100,0000,01100PHARMACY 81008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81008,A000000,01300,0000,01300SOCIAL SERVICE 81008,A000000,01350,0000,01500OTHER GENERAL SERVICES 81008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81008,A000000,01600,0000,01600SKILLED NURSING FACILITY 81008,A000000,01800,0000,01800NURSING FACILITY 81008,A000000,01810,0000,01801ICF/MR 81008,A000000,01900,0000,01900OTHER LONG TERM CARE 81008,A000000,02100,0000,02100RADIOLOGY 81008,A000000,02200,0000,02200LABORATORY 81008,A000000,02300,0000,02300INTRAVENOUS THERAPY 81008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81008,A000000,02500,0000,02500PHYSICAL THERAPY 81008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81008,A000000,02700,0000,02700SPEECH PATHOLOGY 81008,A000000,02800,0000,02800ELECTROCARDIOLOGY 81008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81008,A000000,03200,0000,03200SUPPORT SURFACES 81008,A000000,03400,0000,03400CLINIC 81008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81008,A000000,03500,0000,03500RURAL HEALTH CLINIC 81008,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81008,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81008,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81008,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81008,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81008,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81008,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81008,A000000,04400,0000,04400DME RENTED - HHA 81008,A000000,04500,0000,04500DME SOLD - HHA 81008,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81008,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81008,A000000,04800,0000,04800AMBULANCE 81008,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81008,A000000,05000,0000,05000CORF 81008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81008,A000000,05300,0000,05300INTEREST EXPENSE 81008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81008,A000000,05500,0000,05500HOSPICE 81008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81008,A000000,06100,0000,06100NONPAID WORKERS 81008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81008,A000000,06200,0000,06200PATIENTS LAUNDRY 81008,A81000A,00100,0100,Y 81008,A81000B,00100,0300,MANAGEMENT FEES 81008,A81000B,00200,0300,LEASE BLDG.-MIRALESTE PROP. 81008,A81000C,00100,0100,B 81008,A81000C,00100,0200,EBENEZER HOME INC. 81008,A81000C,00100,0400,EBENEZER HOME INC. 81008,A81000C,00100,0600,MANAGEMENT COMPANY 81008,A81000C,00200,0100,B 81008,A81000C,00200,0400,MIRALESTE PROPERTIES INC 81008,A81000C,00200,0600,PROPERTY MGMT. 81008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81008,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81008,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81008,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81008,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81008,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 81008,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81008,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81008,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81008,S000000,00100,0200,09/14/2000 81008,S200000,00100,0100,1430 WEST 6TH STREET 81008,S200000,00200,0100,SAN PEDRO 81008,S200000,00200,0200,CA 81008,S200000,00200,0300,90732- 81008,S200000,00300,0100,LOS ANGELES 81008,S200000,00400,0100,LOS PALOS CONVALESCENT HOSP. 81008,S200000,00400,0200,055527 81008,S200000,00400,0300,01/01/1982 81008,S200000,00400,0500,P 81008,S200000,01500,0100,Y 81008,S700003,00000,0100,1 81017,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81017,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81017,A000000,00300,0000,00300EMPLOYEE BENEFITS 81017,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81017,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81017,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81017,A000000,00700,0000,00700HOUSEKEEPING 81017,A000000,00800,0000,00800DIETARY 81017,A000000,00900,0000,00900NURSING ADMINISTRATION 81017,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81017,A000000,01100,0000,01100PHARMACY 81017,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81017,A000000,01300,0000,01300SOCIAL SERVICE 81017,A000000,01600,0000,01600SKILLED NURSING FACILITY 81017,A000000,01800,0000,01800NURSING FACILITY 81017,A000000,01900,0000,01900OTHER LONG TERM CARE 81017,A000000,02100,0000,02100RADIOLOGY 81017,A000000,02200,0000,02200LABORATORY 81017,A000000,02300,0000,02300INTRAVENOUS THERAPY 81017,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81017,A000000,02500,0000,02500PHYSICAL THERAPY 81017,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81017,A000000,02700,0000,02700SPEECH PATHOLOGY 81017,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81017,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81017,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81017,A000000,03200,0000,03200SUPPORT SURFACES 81017,A000000,04800,0000,04800AMBULANCE 81017,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81017,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81017,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81017,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81017,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81017,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81017,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81017,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81017,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81017,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81017,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81017,B100000,00000,0800,00000MEALS SERVED :DIETARY 81017,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 81017,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81017,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81017,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81017,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81017,S000000,00100,0200,11/30/2000 81017,S200000,00100,0100,4000 CAMINO TASSAJARA 81017,S200000,00200,0100,DANVILLE 81017,S200000,00200,0200,CA 81017,S200000,00200,0300,94025- 81017,S200000,00300,0100,CONTRA COSTA 81017,S200000,00300,0200,5775 81017,S200000,00300,0300,U 81017,S200000,00400,0100,REUTLINGER COMM. FOR JEWISH LIVING 81017,S200000,00400,0200,055534 81017,S200000,00400,0300,01/01/1990 81017,S200000,00400,0500,P 81017,S200000,01500,0100,Y 81024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81024,A000000,00300,0000,00300EMPLOYEE BENEFITS 81024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81024,A000000,00700,0000,00700HOUSEKEEPING 81024,A000000,00800,0000,00800DIETARY 81024,A000000,00900,0000,00900NURSING ADMINISTRATION 81024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81024,A000000,01300,0000,01300SOCIAL SERVICE 81024,A000000,01301,0000,01301ACTIVITIES 81024,A000000,01350,0000,01500REHAB 81024,A000000,01600,0000,01600SKILLED NURSING FACILITY 81024,A000000,01800,0000,01800NURSING FACILITY 81024,A000000,01900,0000,01900OTHER LONG TERM CARE 81024,A000000,02100,0000,02100RADIOLOGY 81024,A000000,02200,0000,02200LABORATORY 81024,A000000,02300,0000,02300INTRAVENOUS THERAPY 81024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81024,A000000,02500,0000,02500PHYSICAL THERAPY 81024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81024,A000000,02700,0000,02700SPEECH PATHOLOGY 81024,A000000,02800,0000,02800ELECTROCARDIOLOGY 81024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81024,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81024,A000000,03051,0000,03301PEN THERAPY 81024,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81024,A000000,03200,0000,03200SUPPORT SURFACES 81024,A000000,03400,0000,03400CLINIC 81024,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81024,A000000,04800,0000,04800AMBULANCE 81024,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81024,A000000,05000,0000,05000CORF 81024,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81024,A000000,05300,0000,05300INTEREST EXPENSE 81024,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81024,A000000,05500,0000,05500HOSPICE 81024,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81024,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81024,A000000,06100,0000,06100NONPAID WORKERS 81024,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81024,A000000,06200,0000,06200PATIENTS LAUNDRY 81024,A81000A,00100,0100,Y 81024,A81000B,00100,0300,HOME OFFICE ALLOCATION 81024,A81000B,00200,0300,NON CERT 81024,A81000B,00300,0300,MEDICAL SUPPLIES 81024,A81000B,00400,0300,REHAB 81024,A81000B,00500,0300,PT 81024,A81000B,00600,0300,OT 81024,A81000B,00700,0300,ST 81024,A81000C,00100,0100,B 81024,A81000C,00100,0200,SANTA MONICA 10 81024,A81000C,00100,0400,MARINER POST AC 81024,A81000C,00100,0600,NURSING HOMES 81024,A81000C,00200,0100,G 81024,A81000C,00200,0200,MARINER POST AC 81024,A81000C,00200,0400,AMERICAN PHARMA 81024,A81000C,00200,0600,PHARMACEUTICALS 81024,A81000C,00300,0100,G 81024,A81000C,00300,0200,MARINER POST AC 81024,A81000C,00300,0400,PRISM (ATS ARS 81024,A81000C,00300,0600,THERAPIES 81024,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81024,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81024,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81024,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81024,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81024,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81024,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81024,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81024,B100000,00000,0800,00000MEALS SERVED :DIETARY 81024,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81024,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81024,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81024,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81024,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81024,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 81024,S000000,00100,0200,06/05/2000 81024,S200000,00100,0100,1320 20TH ST 81024,S200000,00200,0100,SANTA MONICA 81024,S200000,00200,0200,CA 81024,S200000,00200,0300,90404- 81024,S200000,00300,0100,LOS ANGELES 81024,S200000,00400,0100,SANTA MONICA HEALTHCARE CENTER 81024,S200000,00400,0200,055540 81024,S200000,00400,0300,01/26/1967 81024,S200000,00400,0500,P 81024,S700003,00000,0100,1 81032,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81032,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81032,A000000,00300,0000,00300EMPLOYEE BENEFITS 81032,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81032,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81032,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81032,A000000,00700,0000,00700HOUSEKEEPING 81032,A000000,00800,0000,00800DIETARY 81032,A000000,00900,0000,00900NURSING ADMINISTRATION 81032,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81032,A000000,01100,0000,01100PHARMACY 81032,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81032,A000000,01300,0000,01300SOCIAL SERVICE 81032,A000000,01350,0000,01500OTHER GENERAL SERVICES 81032,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81032,A000000,01600,0000,01600SKILLED NURSING FACILITY 81032,A000000,01800,0000,01800NURSING FACILITY 81032,A000000,01900,0000,01900OTHER LONG TERM CARE 81032,A000000,02100,0000,02100RADIOLOGY 81032,A000000,02200,0000,02200LABORATORY 81032,A000000,02300,0000,02300INTRAVENOUS THERAPY 81032,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81032,A000000,02500,0000,02500PHYSICAL THERAPY 81032,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81032,A000000,02700,0000,02700SPEECH PATHOLOGY 81032,A000000,02800,0000,02800ELECTROCARDIOLOGY 81032,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81032,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81032,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81032,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81032,A000000,03200,0000,03200SUPPORT SURFACES 81032,A000000,03400,0000,03400CLINIC 81032,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81032,A000000,03500,0000,03500RURAL HEALTH CLINIC 81032,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81032,A000000,04800,0000,04800AMBULANCE 81032,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81032,A000000,05000,0000,05000CORF 81032,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81032,A000000,05300,0000,05300INTEREST EXPENSE 81032,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81032,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81032,A000000,05500,0000,05500HOSPICE 81032,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81032,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81032,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81032,A000000,06100,0000,06100NONPAID WORKERS 81032,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81032,A000000,06200,0000,06200PATIENTS LAUNDRY 81032,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81032,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81032,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81032,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81032,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81032,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81032,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81032,B100000,00000,0800,00000MEALS SERVED :DIETARY 81032,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81032,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81032,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81032,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81032,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81032,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81032,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81032,S000000,00100,0200,07/13/2000 81032,S200000,00100,0100,8487 MAGNOLIA AVE 81032,S200000,00200,0100,RIVERSIDE 81032,S200000,00200,0200,CA 81032,S200000,00200,0300,92504- 81032,S200000,00300,0100,RIVERSIDE 81032,S200000,00400,0100,MISSION NURSING CENTER 81032,S200000,00400,0200,055542 81032,S200000,00400,0300,11/01/1996 81032,S200000,00400,0500,P 81032,S200000,01500,0100,Y 81032,S700003,00000,0100,1 81044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81044,A000000,00300,0000,00300EMPLOYEE BENEFITS 81044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81044,A000000,00700,0000,00700HOUSEKEEPING 81044,A000000,00800,0000,00800DIETARY 81044,A000000,00900,0000,00900NURSING ADMINISTRATION 81044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81044,A000000,01100,0000,01100PHARMACY 81044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81044,A000000,01300,0000,01300SOCIAL SERVICE 81044,A000000,01350,0000,01500OTHER GENERAL SERVICES 81044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81044,A000000,01600,0000,01600SKILLED NURSING FACILITY 81044,A000000,01800,0000,01800NURSING FACILITY 81044,A000000,01810,0000,01801ICF/MR 81044,A000000,01900,0000,01900OTHER LONG TERM CARE 81044,A000000,02100,0000,02100RADIOLOGY 81044,A000000,02200,0000,02200LABORATORY 81044,A000000,02300,0000,02300INTRAVENOUS THERAPY 81044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81044,A000000,02500,0000,02500PHYSICAL THERAPY 81044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81044,A000000,02700,0000,02700SPEECH PATHOLOGY 81044,A000000,02800,0000,02800ELECTROCARDIOLOGY 81044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81044,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81044,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81044,A000000,03200,0000,03200SUPPORT SURFACES 81044,A000000,03400,0000,03400CLINIC 81044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81044,A000000,03500,0000,03500RURAL HEALTH CLINIC 81044,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81044,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81044,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81044,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81044,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81044,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81044,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81044,A000000,04400,0000,04400DME RENTED - HHA 81044,A000000,04500,0000,04500DME SOLD - HHA 81044,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81044,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81044,A000000,04800,0000,04800AMBULANCE 81044,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81044,A000000,05000,0000,05000CORF 81044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81044,A000000,05300,0000,05300INTEREST EXPENSE 81044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81044,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81044,A000000,05500,0000,05500HOSPICE 81044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81044,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81044,A000000,06100,0000,06100NONPAID WORKERS 81044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81044,A000000,06200,0000,06200PATIENTS LAUNDRY 81044,A81000A,00100,0100,Y 81044,A81000B,00100,0300,HOME OFFICE COST 81044,A81000B,00200,0300,HOME OFFICE COST 81044,A81000B,00300,0300,HOME OFFICE COST 81044,A81000B,00400,0300,INTEREST EXPENSE 81044,A81000C,00100,0100,G 81044,A81000C,00100,0200,REDWOOD HOSPITAL MGMT 81044,A81000C,00100,0400,REDWOOD HOSPITAL MGMT 81044,A81000C,00100,0600,HOME OFFICE 81044,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81044,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81044,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81044,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81044,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81044,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81044,B100000,00000,0800,00000MEALS SERVED :DIETARY 81044,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81044,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81044,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81044,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81044,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81044,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81044,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81044,S000000,00100,0200,07/26/2000 81044,S200000,00100,0100,2585 EAST WASHINGTON 81044,S200000,00200,0100,PASADENA 81044,S200000,00200,0200,CA 81044,S200000,00200,0300,91107- 81044,S200000,00300,0100,LOS ANGELES 81044,S200000,00400,0100,PARK MARINO CONVALESCENT CTR 81044,S200000,00400,0200,055548 81044,S200000,00400,0300,01/01/1967 81044,S200000,00400,0500,P 81044,S200000,01500,0100,Y 81053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81053,A000000,00300,0000,00300EMPLOYEE BENEFITS 81053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81053,A000000,00700,0000,00700HOUSEKEEPING 81053,A000000,00800,0000,00800DIETARY 81053,A000000,00900,0000,00900NURSING ADMINISTRATION 81053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81053,A000000,01600,0000,01600SKILLED NURSING FACILITY 81053,A000000,01800,0000,01800NURSING FACILITY 81053,A000000,02100,0000,02100RADIOLOGY 81053,A000000,02200,0000,02200LABORATORY 81053,A000000,02300,0000,02300INTRAVENOUS THERAPY 81053,A000000,02500,0000,02500PHYSICAL THERAPY 81053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81053,A000000,02700,0000,02700SPEECH PATHOLOGY 81053,A000000,02800,0000,02800ELECTROCARDIOLOGY 81053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81053,A81000A,00100,0100,Y 81053,A81000B,00100,0300,HOME OFFICE EXPENSE 81053,A81000C,00100,0100,A 81053,A81000C,00100,0200,EMMANUEL I. BER 81053,A81000C,00100,0400,PLEASANT CARE C 81053,A81000C,00100,0600,HEALTH CARE PRO 81053,A81000C,00200,0100,A 81053,A81000C,00200,0200,EMMANUEL I. BER 81053,A81000C,00200,0400,PCC HEALTH SERV 81053,A81000C,00200,0600,HEALTH CARE PRO 81053,A81000C,00300,0100,A 81053,A81000C,00300,0200,EMMANUEL I. BER 81053,A81000C,00300,0400,ATLAS CARE CORP 81053,A81000C,00300,0600,HEALTH CARE PRO 81053,A81000C,00400,0100,A 81053,A81000C,00400,0200,EMMANUEL I. BER 81053,A81000C,00400,0400,EMBER CARE CORP 81053,A81000C,00400,0600,HEALTH CARE PRO 81053,A81000C,00500,0100,A 81053,A81000C,00500,0200,EMMANUEL I. BER 81053,A81000C,00500,0400,SNF PROPERTIES 81053,A81000C,00500,0600,HEALTH CARE PRO 81053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81053,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81053,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81053,B100000,00000,0800,00000MEALS SERVED :DIETARY 81053,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 81053,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81053,S000000,00100,0200,11/01/2000 81053,S200000,00100,0100,2465 REDWOOD RD. 81053,S200000,00200,0100,NAPA 81053,S200000,00200,0200,CA 81053,S200000,00200,0300,94558- 81053,S200000,00300,0100,NAPA 81053,S200000,00300,0200,8720 81053,S200000,00300,0300,U 81053,S200000,00400,0100,PLEASANT CARE CONVALESCENT - NAPA 81053,S200000,00400,0200,055549 81053,S200000,00400,0300,06/01/1993 81053,S200000,00400,0500,P 81053,S200000,00600,0200,055549 81053,S200000,00600,0300,06/01/1993 81053,S200000,00600,0600,P 81053,S200000,01600,0100,Y 81063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81063,A000000,00300,0000,00300EMPLOYEE BENEFITS 81063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81063,A000000,00700,0000,00700HOUSEKEEPING 81063,A000000,00800,0000,00800DIETARY 81063,A000000,01300,0000,01300SOCIAL SERVICE 81063,A000000,01600,0000,01600SKILLED NURSING FACILITY 81063,A000000,01810,0000,01810ICF/MR 81063,A000000,02100,0000,02100RADIOLOGY 81063,A000000,02200,0000,02200LABORATORY 81063,A000000,02500,0000,02500PHYSICAL THERAPY 81063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81063,A000000,02700,0000,02700SPEECH PATHOLOGY 81063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81063,A000000,03550,0000,03550FQHC 81063,A000000,05000,0000,05000CORF 81063,A000000,05010,0000,05010CMHC 81063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 81063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 81063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 81063,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 81063,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 81063,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 81063,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 81063,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 81063,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 81063,B100000,00000,0750,00040SUQARE FEET :HOUSEKEEPING 81063,B100000,00000,0850,00040PATIENT DAYS :DIETARY 81063,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 81063,S000000,00100,0200,06/09/2000 81063,S200000,00100,0100,38650 MISSION BLVD 81063,S200000,00200,0100,FREMONT 81063,S200000,00200,0200,CA 81063,S200000,00200,0300,94536- 81063,S200000,00300,0100,ALAMEDA 81063,S200000,00300,0200,5775 81063,S200000,00300,0300,U 81063,S200000,00400,0100,HILLSIDE C.H. 81063,S200000,00400,0200,055562 81063,S200000,00400,0300,01/01/1967 81063,S200000,00400,0500,P 81063,S200000,01004,0500,O 81063,S200000,01500,0100,Y 81070,S000000,00100,0200,07/05/2000 81079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81079,A000000,00300,0000,00300EMPLOYEE BENEFITS 81079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81079,A000000,00700,0000,00700HOUSEKEEPING 81079,A000000,00800,0000,00800DIETARY 81079,A000000,00900,0000,00900NURSING ADMINISTRATION 81079,A000000,01300,0000,01300SOCIAL SERVICE 81079,A000000,01600,0000,01600SKILLED NURSING FACILITY 81079,A000000,02100,0000,02100RADIOLOGY 81079,A000000,02200,0000,02200LABORATORY 81079,A000000,02500,0000,02500PHYSICAL THERAPY 81079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81079,A000000,02700,0000,02700SPEECH PATHOLOGY 81079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81079,A000000,03200,0000,03200SUPPORT SURFACES 81079,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81079,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81079,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81079,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81079,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81079,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81079,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81079,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81079,B100000,00000,0800,00000MEALS SERVED :DIETARY 81079,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81079,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81079,S000000,00100,0200,05/25/2000 81079,S200000,00100,0100,4094 TELEGRAPH RD 81079,S200000,00200,0100,VENTURA 81079,S200000,00200,0200,CA 81079,S200000,00200,0300,93003- 81079,S200000,00300,0100,VENTURA 81079,S200000,00400,0100,VENTURAN CONVALESCENT HOSPITAL 81079,S200000,00400,0200,055566 81079,S200000,00400,0300,01/01/1967 81079,S200000,00400,0500,P 81079,S200000,00400,0600,O 81079,S200000,01500,0100,Y 81079,S700003,00000,0100,1 81088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81088,A000000,00300,0000,00300EMPLOYEE BENEFITS 81088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81088,A000000,00700,0000,00700HOUSEKEEPING 81088,A000000,00800,0000,00800DIETARY 81088,A000000,00900,0000,00900NURSING ADMINISTRATION 81088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81088,A000000,01100,0000,01100PHARMACY 81088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81088,A000000,01300,0000,01300SOCIAL SERVICE 81088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81088,A000000,01600,0000,01600SKILLED NURSING FACILITY 81088,A000000,01800,0000,01800NURSING FACILITY 81088,A000000,02100,0000,02100RADIOLOGY 81088,A000000,02200,0000,02200LABORATORY 81088,A000000,02201,0000,02201LABORATORY GLUCOSE MONITORIN 81088,A000000,02300,0000,02300INTRAVENOUS THERAPY 81088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81088,A000000,02500,0000,02500PHYSICAL THERAPY 81088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81088,A000000,02700,0000,02700SPEECH PATHOLOGY 81088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81088,A000000,03200,0000,03200SUPPORT SURFACES 81088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81088,A81000A,00100,0100,Y 81088,A81000B,00100,0300,LEASES & RENTALS - BUILDING 81088,A81000B,00200,0300,BUILDING DEPRECIATION 81088,A81000B,00300,0300,EQUIPMENT DEPRECIATION 81088,A81000B,00400,0300,LOAN FEE AMORTIZATION 81088,A81000B,00500,0300,INCIDENTAL COSTS AMORTIZATIO 81088,A81000B,00600,0300,INTEREST 81088,A81000B,00700,0300,LOAN EXPENSES 81088,A81000B,00800,0300,PROPERTY INSURANCE 81088,A81000B,00900,0300,PROPERTY TAXES 81088,A81000C,00900,0100,A 81088,A81000C,00900,0200,R. VILLALUZ 81088,A81000C,00900,0400,WILSON INV. 81088,A81000C,00900,0600,REALTY 81088,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81088,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81088,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81088,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81088,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81088,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81088,B100000,00000,0800,00000MEALS SERVED :DIETARY 81088,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81088,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81088,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81088,E10A180,00301,0100,03/22/2000 81088,S000000,00100,0200,09/08/2000 81088,S200000,00100,0100,301 W. PUTNAM 81088,S200000,00200,0100,PORTERVILLE 81088,S200000,00200,0200,CA 81088,S200000,00200,0300,93257- 81088,S200000,00300,0100,TULARE 81088,S200000,00300,0200,8780 81088,S200000,00300,0300,U 81088,S200000,00400,0100,SIERRA VALLEY REHAB CENTER 81088,S200000,00400,0200,055568 81088,S200000,00400,0300,07/01/1990 81088,S200000,00400,0500,P 81088,S200000,00600,0200,055568 81088,S200000,00600,0300,07/01/1990 81088,S200000,00600,0600,P 81088,S200000,01600,0100,Y 81102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81102,A000000,00300,0000,00300EMPLOYEE BENEFITS 81102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81102,A000000,00700,0000,00700HOUSEKEEPING 81102,A000000,00800,0000,00800DIETARY 81102,A000000,00900,0000,00900NURSING ADMINISTRATION 81102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81102,A000000,01100,0000,01100PHARMACY 81102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81102,A000000,01300,0000,01300SOCIAL SERVICE 81102,A000000,01600,0000,01600SKILLED NURSING FACILITY 81102,A000000,01800,0000,01800NURSING FACILITY 81102,A000000,01900,0000,01900OTHER LONG TERM CARE 81102,A000000,02100,0000,02100RADIOLOGY 81102,A000000,02200,0000,02200LABORATORY 81102,A000000,02300,0000,02300INTRAVENOUS THERAPY 81102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81102,A000000,02500,0000,02500PHYSICAL THERAPY 81102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81102,A000000,02700,0000,02700SPEECH PATHOLOGY 81102,A000000,02800,0000,02800ELECTROCARDIOLOGY 81102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81102,A000000,02901,0000,02901EQUIPMENT RENTAL 81102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81102,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81102,A000000,03200,0000,03200SUPPORT SURFACES 81102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81102,A000000,05000,0000,05000CORF 81102,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81102,A000000,05300,0000,05300INTEREST EXPENSE 81102,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81102,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81102,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81102,A000000,06200,0000,06200PATIENTS LAUNDRY 81102,A81000A,00100,0100,Y 81102,A81000B,00100,0300,BUILDING LEASE 81102,A81000B,00200,0300,MORTGAGE INTEREST 81102,A81000B,00300,0300,BUILDING DEPRECIATION 81102,A81000B,00400,0300,FURNITURE & FIXTURE DEPRECIATION 81102,A81000C,00100,0100,A 81102,A81000C,00100,0200,URANGA M. & FAM 81102,A81000C,00100,0400,SWANCARE LTD. 81102,A81000C,00100,0600,LANDLORD 81102,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81102,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81102,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81102,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81102,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81102,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81102,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81102,B100000,00000,0800,00000MEALS SERVED :DIETARY 81102,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81102,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81102,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81102,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81102,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81102,S000000,00100,0200,06/02/2000 81102,S200000,00100,0100,12072 TRASK AVENUE 81102,S200000,00200,0100,GARDEN GROVE 81102,S200000,00200,0200,CA 81102,S200000,00200,0300,92643- 81102,S200000,00300,0100,ORANGE 81102,S200000,00400,0100,PACIFIC HAVEN HEALTH CARE CENTER 81102,S200000,00400,0200,055575 81102,S200000,00400,0300,01/01/1992 81102,S200000,00400,0500,P 81102,S200000,01600,0100,Y 81102,S700003,00000,0100,1 81109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81109,A000000,00300,0000,00300EMPLOYEE BENEFITS 81109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81109,A000000,00700,0000,00700HOUSEKEEPING 81109,A000000,00800,0000,00800DIETARY 81109,A000000,00900,0000,00900NURSING ADMINISTRATION 81109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81109,A000000,01100,0000,01100PHARMACY 81109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81109,A000000,01300,0000,01300SOCIAL SERVICE 81109,A000000,01350,0000,01500OTHER GENERAL SERVICES 81109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81109,A000000,01600,0000,01600SKILLED NURSING FACILITY 81109,A000000,01800,0000,01800NURSING FACILITY 81109,A000000,01900,0000,01900OTHER LONG TERM CARE 81109,A000000,02100,0000,02100RADIOLOGY 81109,A000000,02200,0000,02200LABORATORY 81109,A000000,02300,0000,02300INTRAVENOUS THERAPY 81109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81109,A000000,02500,0000,02500PHYSICAL THERAPY 81109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81109,A000000,02700,0000,02700SPEECH PATHOLOGY 81109,A000000,02800,0000,02800ELECTROCARDIOLOGY 81109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81109,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81109,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81109,A000000,03200,0000,03200SUPPORT SURFACES 81109,A000000,03400,0000,03400CLINIC 81109,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81109,A000000,03500,0000,03500RURAL HEALTH CLINIC 81109,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81109,A000000,04800,0000,04800AMBULANCE 81109,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81109,A000000,05000,0000,05000CORF 81109,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81109,A000000,05300,0000,05300INTEREST EXPENSE 81109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81109,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81109,A000000,05500,0000,05500HOSPICE 81109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81109,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81109,A000000,06100,0000,06100NONPAID WORKERS 81109,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81109,A000000,06200,0000,06200PATIENTS LAUNDRY 81109,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81109,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81109,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81109,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81109,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81109,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81109,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81109,B100000,00000,0800,00000MEALS SERVED :DIETARY 81109,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81109,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81109,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81109,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81109,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81109,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81109,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81109,S000000,00100,0200,06/01/2000 81109,S200000,00100,0100,COUNTY ROAD 81109,S200000,00100,0300,998 81109,S200000,00200,0100,BIG PINE 81109,S200000,00200,0200,CA 81109,S200000,00200,0300,93513- 81109,S200000,00300,0100,INYO 81109,S200000,00400,0100,BIG PINE CARE CENTER 81109,S200000,00400,0200,055586 81109,S200000,00400,0300,12/01/1992 81109,S200000,00400,0500,P 81109,S200000,01500,0100,Y 81109,S700003,00000,0100,1 81122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81122,A000000,00300,0000,00300EMPLOYEE BENEFITS 81122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81122,A000000,00700,0000,00700HOUSEKEEPING 81122,A000000,00800,0000,00800DIETARY 81122,A000000,00900,0000,00900NURSING ADMINISTRATION 81122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81122,A000000,01100,0000,01100PHARMACY 81122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81122,A000000,01300,0000,01300SOCIAL SERVICE 81122,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81122,A000000,01600,0000,01600SKILLED NURSING FACILITY 81122,A000000,02100,0000,02100RADIOLOGY 81122,A000000,02200,0000,02200LABORATORY 81122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81122,A000000,02500,0000,02500PHYSICAL THERAPY 81122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81122,A000000,02700,0000,02700SPEECH PATHOLOGY 81122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81122,A81000A,00100,0100,Y 81122,A81000B,00100,0300,MANAGEMENT FEES 81122,A81000C,00100,0100,B 81122,A81000C,00100,0400,HLTH CARE MG 81122,A81000C,00100,0600,MGT CO 81122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81122,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81122,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81122,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81122,B100000,00000,0800,00000MEALS SERVED :DIETARY 81122,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81122,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81122,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81122,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81122,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81122,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81122,S000000,00100,0200,07/28/2000 81122,S200000,00100,0100,980 WEST SEVENTH ST. 81122,S200000,00200,0100,SAN JACINTO 81122,S200000,00200,0200,CA 81122,S200000,00200,0300,92383- 81122,S200000,00300,0100,RIVERSIDE 81122,S200000,00400,0100,THE BRADLEY GARDENS 81122,S200000,00400,0200,055598 81122,S200000,00400,0300,10/01/1997 81122,S200000,00400,0500,P 81122,S700003,00000,0100,1 81130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81130,A000000,00300,0000,00300EMPLOYEE BENEFITS 81130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81130,A000000,00700,0000,00700HOUSEKEEPING 81130,A000000,00800,0000,00800DIETARY 81130,A000000,00900,0000,00900NURSING ADMINISTRATION 81130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81130,A000000,01100,0000,01100PHARMACY 81130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81130,A000000,01300,0000,01300SOCIAL SERVICE 81130,A000000,01301,0000,01301ACTIVITIES 81130,A000000,01350,0000,01500OTHER GENERAL SERVICES 81130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81130,A000000,01600,0000,01600SKILLED NURSING FACILITY 81130,A000000,01800,0000,01800NURSING FACILITY 81130,A000000,01900,0000,01900OTHER LONG TERM CARE 81130,A000000,02100,0000,02100RADIOLOGY 81130,A000000,02200,0000,02200LABORATORY 81130,A000000,02300,0000,02300INTRAVENOUS THERAPY 81130,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81130,A000000,02500,0000,02500PHYSICAL THERAPY 81130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81130,A000000,02700,0000,02700SPEECH PATHOLOGY 81130,A000000,02800,0000,02800ELECTROCARDIOLOGY 81130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81130,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81130,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81130,A000000,03200,0000,03200SUPPORT SURFACES 81130,A000000,03400,0000,03400CLINIC 81130,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81130,A000000,03500,0000,03500RURAL HEALTH CLINIC 81130,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81130,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81130,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81130,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81130,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81130,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81130,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81130,A000000,04400,0000,04400DME RENTED - HHA 81130,A000000,04500,0000,04500DME SOLD - HHA 81130,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81130,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81130,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81130,A000000,04800,0000,04800AMBULANCE 81130,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81130,A000000,05000,0000,05000CORF 81130,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81130,A000000,05300,0000,05300INTEREST EXPENSE 81130,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81130,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81130,A000000,05500,0000,05500HOSPICE 81130,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81130,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81130,A000000,06100,0000,06100NONPAID WORKERS 81130,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81130,A000000,06200,0000,06200PATIENTS LAUNDRY 81130,A81000A,00100,0100,Y 81130,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 81130,A81000B,00200,0300,CAPITAL 81130,A81000C,00100,0100,A 81130,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 81130,A81000C,00100,0400,LENOX HEALTHCARE INC 81130,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81130,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81130,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81130,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81130,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81130,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81130,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81130,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81130,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81130,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81130,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81130,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81130,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81130,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 81130,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81130,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81130,S000000,00100,0200,03/02/2000 81130,S200000,00100,0100,220 WEST MAIN STREET 81130,S200000,00200,0100,SANTA PAULA 81130,S200000,00200,0200,CA 81130,S200000,00200,0300,93060- 81130,S200000,00300,0100,VENTURA 81130,S200000,00400,0100,SANTA PAULA HEALTHCARE CENTER 81130,S200000,00400,0200,055603 81130,S200000,00400,0300,01/01/1973 81130,S200000,00400,0500,P 81130,S200000,01600,0100,Y 81130,S700003,00000,0100,1 81136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81136,A000000,00300,0000,00300EMPLOYEE BENEFITS 81136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81136,A000000,00700,0000,00700HOUSEKEEPING 81136,A000000,00800,0000,00800DIETARY 81136,A000000,00900,0000,00900NURSING ADMINISTRATION 81136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81136,A000000,01100,0000,01100PHARMACY 81136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81136,A000000,01300,0000,01300SOCIAL SERVICE 81136,A000000,01350,0000,01500OTHER GENERAL SERVICES 81136,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81136,A000000,01600,0000,01600SKILLED NURSING FACILITY 81136,A000000,01800,0000,01800NURSING FACILITY 81136,A000000,01810,0000,01801ICF/MR 81136,A000000,01900,0000,01900OTHER LONG TERM CARE 81136,A000000,02100,0000,02100RADIOLOGY 81136,A000000,02200,0000,02200LABORATORY 81136,A000000,02300,0000,02300INTRAVENOUS THERAPY 81136,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81136,A000000,02500,0000,02500PHYSICAL THERAPY 81136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81136,A000000,02700,0000,02700SPEECH PATHOLOGY 81136,A000000,02800,0000,02800ELECTROCARDIOLOGY 81136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81136,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81136,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81136,A000000,03200,0000,03200SUPPORT SURFACES 81136,A000000,03400,0000,03400CLINIC 81136,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81136,A000000,03500,0000,03500RURAL HEALTH CLINIC 81136,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81136,A000000,04800,0000,04800AMBULANCE 81136,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81136,A000000,05000,0000,05000CORF 81136,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81136,A000000,05300,0000,05300INTEREST EXPENSE 81136,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81136,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81136,A000000,05500,0000,05500HOSPICE 81136,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81136,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81136,A000000,06100,0000,06100NONPAID WORKERS 81136,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81136,A000000,06200,0000,06200PATIENTS LAUNDRY 81136,A81000A,00100,0100,Y 81136,A81000B,00100,0300,RENT 81136,A81000B,00200,0300,OWNER COMP 96HRS * $75 81136,A81000C,00100,0100,A 81136,A81000C,00100,0200,CHARLES WICK 81136,A81000C,00100,0400,WICK FINANCIAL 81136,A81000C,00100,0600,NURSING HOME RENTAL 81136,A81000C,00200,0100,A 81136,A81000C,00200,0200,CHARLES WICK 81136,A81000C,00200,0400,C WICK 81136,A81000C,00200,0600,NURSING HOME MANAGER 81136,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 81136,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 81136,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81136,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81136,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 81136,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 81136,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 81136,B100000,00000,0800,00000MEALS :DIETARY 81136,B100000,00000,0900,00000NURSE HOURS :NURSING ADMINISTRATIO 81136,B100000,00000,1050,00000BILLED CHGS :CENTRAL SERVICES & SU 81136,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81136,B100000,00000,1250,00000GROSS REVENU :MEDICAL RECORDS & LI 81136,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81136,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81136,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81136,S000000,00100,0200,05/30/2000 81136,S200000,00100,0100,1925 EAST HOUSTON AVENUE 81136,S200000,00200,0100,VISALIA 81136,S200000,00200,0200,CA 81136,S200000,00200,0300,93292- 81136,S200000,00300,0100,TULARE 81136,S200000,00400,0100,VISALIA NURSING & REHAB CENTER 81136,S200000,00400,0200,055604 81136,S200000,00400,0300,11/01/1986 81136,S200000,00400,0500,P 81136,S200000,01600,0100,Y 81136,S700003,00000,0100,1 81144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81144,A000000,00300,0000,00300EMPLOYEE BENEFITS 81144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81144,A000000,00700,0000,00700HOUSEKEEPING 81144,A000000,00800,0000,00800DIETARY 81144,A000000,00900,0000,00900NURSING ADMINISTRATION 81144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81144,A000000,01100,0000,01100PHARMACY 81144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81144,A000000,01300,0000,01300SOCIAL SERVICE 81144,A000000,01350,0000,01350ACTIVITIES 81144,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81144,A000000,01600,0000,01600SKILLED NURSING FACILITY 81144,A000000,01800,0000,01800NURSING FACILITY 81144,A000000,01810,0000,01810ICF/MR 81144,A000000,02100,0000,02100RADIOLOGY 81144,A000000,02200,0000,02200LABORATORY 81144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81144,A000000,02500,0000,02500PHYSICAL THERAPY 81144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81144,A000000,03550,0000,03550FQHC 81144,A000000,05000,0000,05000CORF 81144,A000000,05010,0000,05010CMHC 81144,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 81144,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 81144,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 81144,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81144,A81000A,00100,0100,Y 81144,A81000C,00100,0100,B 81144,A81000C,00100,0200,BERKELEY LONG T 81144,A81000C,00200,0200,ALTA BATES MEDI 81144,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81144,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81144,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81144,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81144,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81144,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81144,B100000,00000,0800,00000MEALS SERVED :DIETARY 81144,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 81144,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 81144,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 81144,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81144,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81144,B100000,00000,1350,00000AG :ACTIVITIES 81144,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81144,S000000,00100,0200,06/05/2000 81144,S200000,00100,0100,2829 SHATTUCK AVENUE 81144,S200000,00200,0100,BERKELEY 81144,S200000,00200,0200,CA 81144,S200000,00200,0300,94705- 81144,S200000,00300,0100,ALAMEDA 81144,S200000,00400,0100,ELMWOOD 81144,S200000,00400,0200,055607 81144,S200000,00400,0300,01/19/1967 81144,S200000,00400,0500,P 81144,S200000,00600,0200,055607 81144,S200000,00600,0300,01/19/1967 81144,S200000,01600,0100,Y 81144,S200000,01900,0100,NONPROFIT CORPORATIO 81144,S700003,00000,0100,1 81154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81154,A000000,00300,0000,00300EMPLOYEE BENEFITS 81154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81154,A000000,00700,0000,00700HOUSEKEEPING 81154,A000000,00800,0000,00800DIETARY 81154,A000000,00900,0000,00900NURSING ADMINISTRATION 81154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81154,A000000,01100,0000,01100PHARMACY 81154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81154,A000000,01300,0000,01300SOCIAL SERVICE 81154,A000000,01350,0000,01500OTHER GENERAL SERVICES 81154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81154,A000000,01600,0000,01600SKILLED NURSING FACILITY 81154,A000000,01800,0000,01800NURSING FACILITY 81154,A000000,01900,0000,01900OTHER LONG TERM CARE 81154,A000000,02100,0000,02100RADIOLOGY 81154,A000000,02200,0000,02200LABORATORY 81154,A000000,02300,0000,02300INTRAVENOUS THERAPY 81154,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81154,A000000,02500,0000,02500PHYSICAL THERAPY 81154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81154,A000000,02700,0000,02700SPEECH PATHOLOGY 81154,A000000,02800,0000,02800ELECTROCARDIOLOGY 81154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81154,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81154,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81154,A000000,03200,0000,03200SUPPORT SURFACES 81154,A000000,03400,0000,03400CLINIC 81154,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81154,A000000,03500,0000,03500RURAL HEALTH CLINIC 81154,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81154,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81154,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81154,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81154,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81154,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81154,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81154,A000000,04400,0000,04400DME RENTED - HHA 81154,A000000,04500,0000,04500DME SOLD - HHA 81154,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81154,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81154,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81154,A000000,04800,0000,04800AMBULANCE 81154,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81154,A000000,05000,0000,05000CORF 81154,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81154,A000000,05300,0000,05300INTEREST EXPENSE 81154,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81154,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81154,A000000,05500,0000,05500HOSPICE 81154,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81154,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81154,A000000,06100,0000,06100NONPAID WORKERS 81154,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81154,A000000,06200,0000,06200PATIENTS LAUNDRY 81154,A81000A,00100,0100,Y 81154,A81000B,00100,0300,OWNER LEASE 81154,A81000B,00200,0300,OWNER BASIS INTEREST 81154,A81000B,00300,0300,OWNER BASIS DEPRECITION 81154,A81000C,00100,0100,A 81154,A81000C,00100,0200,SHARON JENNINGS 81154,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 81154,A81000C,00100,0600,PROPERTY MANAGEMENT 81154,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81154,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81154,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81154,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81154,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81154,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81154,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81154,B100000,00000,0800,00000MEALS SERVED :DIETARY 81154,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81154,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81154,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81154,S000000,00100,0200,03/30/2000 81154,S200000,00100,0100,1 GILMORE LANE 81154,S200000,00200,0100,OROVILLE 81154,S200000,00200,0200,CA 81154,S200000,00200,0300,95965- 81154,S200000,00300,0100,PLACER 81154,S200000,00300,0300,U 81154,S200000,00400,0100,SHADOWBROOK CONV. HOSPITAL 81154,S200000,00400,0200,055612 81154,S200000,00400,0300,01/01/1967 81154,S200000,00400,0500,P 81154,S200000,01500,0100,Y 81164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81164,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81164,A000000,00300,0000,00300EMPLOYEE BENEFITS 81164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81164,A000000,00700,0000,00700HOUSEKEEPING 81164,A000000,00800,0000,00800DIETARY 81164,A000000,01300,0000,01300SOCIAL SERVICE 81164,A000000,01600,0000,01600SKILLED NURSING FACILITY 81164,A000000,01810,0000,01810ICF/MR 81164,A000000,02100,0000,02100RADIOLOGY 81164,A000000,02200,0000,02200LABORATORY 81164,A000000,02500,0000,02500PHYSICAL THERAPY 81164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81164,A000000,02700,0000,02700SPEECH PATHOLOGY 81164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81164,A000000,03550,0000,03550FQHC 81164,A000000,05000,0000,05000CORF 81164,A000000,05010,0000,05010CMHC 81164,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 81164,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 81164,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 81164,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81164,A000000,05500,0000,05500HOSPICE 81164,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81164,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81164,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81164,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81164,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81164,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81164,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81164,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81164,B100000,00000,0800,00000MEALS SERVED :DIETARY 81164,B100000,00000,1330,00000PATI DAYS :SOCIAL SERVICE 81164,S000000,00100,0200,05/24/2000 81164,S200000,00100,0100,1665 M STREET 81164,S200000,00200,0100,FRESNO 81164,S200000,00200,0200,CA 81164,S200000,00200,0300,93721- 81164,S200000,00300,0100,FRESNO 81164,S200000,00400,0100,HOPE MANOR NURSING HOME 81164,S200000,00400,0200,055626 81164,S200000,00400,0300,02/13/1967 81164,S200000,00400,0500,P 81164,S200000,01500,0100,Y 81164,S200000,04300,0100,Y 81190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81190,A000000,00300,0000,00300EMPLOYEE BENEFITS 81190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81190,A000000,00700,0000,00700HOUSEKEEPING 81190,A000000,00800,0000,00800DIETARY 81190,A000000,00900,0000,00900NURSING ADMINISTRATION 81190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81190,A000000,01300,0000,01300SOCIAL SERVICE 81190,A000000,01600,0000,01600SKILLED NURSING FACILITY 81190,A000000,01800,0000,01800NURSING FACILITY 81190,A000000,01900,0000,01900OTHER LONG TERM CARE 81190,A000000,02100,0000,02100RADIOLOGY 81190,A000000,02200,0000,02200LABORATORY 81190,A000000,02300,0000,02300INTRAVENOUS THERAPY 81190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81190,A000000,02500,0000,02500PHYSICAL THERAPY 81190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81190,A000000,02700,0000,02700SPEECH PATHOLOGY 81190,A000000,02800,0000,02800ELECTROCARDIOLOGY 81190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81190,A000000,05000,0000,05000CORF 81190,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81190,A000000,05300,0000,05300INTEREST EXPENSE 81190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81190,A81000A,00100,0100,Y 81190,A81000B,00100,0300,HOME OFFICE CAPITAL 81190,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 81190,A81000C,00100,0100,B 81190,A81000C,00100,0200,MISSION MEDICAL 81190,A81000C,00100,0400,MISSION MEDICAL 81190,A81000C,00100,0600,HEALTHCARE 81190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81190,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81190,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81190,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81190,B100000,00000,0800,00000MEALS SERVED :DIETARY 81190,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81190,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81190,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81190,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81190,S000000,00100,0200,06/29/2000 81190,S200000,00100,0100,680 EAST MERRITT AVENUE 81190,S200000,00200,0100,TULARE 81190,S200000,00200,0200,CA 81190,S200000,00200,0300,93274- 81190,S200000,00300,0100,TULARE 81190,S200000,00400,0100,TULARE NURSING & REHAB 81190,S200000,00400,0200,055649 81190,S200000,00400,0300,08/18/1990 81190,S200000,00400,0500,P 81190,S200000,01600,0100,Y 81190,S700003,00000,0100,1 81197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81197,A000000,00300,0000,00300EMPLOYEE BENEFITS 81197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81197,A000000,00700,0000,00700HOUSEKEEPING 81197,A000000,00800,0000,00800DIETARY 81197,A000000,00900,0000,00900NURSING ADMINISTRATION 81197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81197,A000000,01100,0000,01100PHARMACY 81197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81197,A000000,01300,0000,01300SOCIAL SERVICE 81197,A000000,01350,0000,01500OTHER GENERAL SERVICES 81197,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81197,A000000,01600,0000,01600SKILLED NURSING FACILITY 81197,A000000,01800,0000,01800NURSING FACILITY 81197,A000000,01810,0000,01810ICF/MR 81197,A000000,01900,0000,01900OTHER LONG TERM CARE 81197,A000000,02100,0000,02100RADIOLOGY 81197,A000000,02200,0000,02200LABORATORY 81197,A000000,02300,0000,02300INTRAVENOUS THERAPY 81197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81197,A000000,02500,0000,02500PHYSICAL THERAPY 81197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81197,A000000,02700,0000,02700SPEECH PATHOLOGY 81197,A000000,02800,0000,02800ELECTROCARDIOLOGY 81197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81197,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81197,A000000,03051,0000,03301EQUIPMENT RENTAL 81197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81197,A000000,03200,0000,03200SUPPORT SURFACES 81197,A000000,03400,0000,03400CLINIC 81197,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81197,A000000,03500,0000,03500RURAL HEALTH CLINIC 81197,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81197,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81197,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81197,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81197,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81197,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81197,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81197,A000000,04400,0000,04400DME RENTED - HHA 81197,A000000,04500,0000,04500DME SOLD - HHA 81197,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81197,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81197,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81197,A000000,04800,0000,04800AMBULANCE 81197,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81197,A000000,05000,0000,05000CORF 81197,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81197,A000000,05300,0000,05300INTEREST EXPENSE 81197,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81197,A000000,05500,0000,05500HOSPICE 81197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81197,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81197,A000000,06100,0000,06100NONPAID WORKERS 81197,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81197,A000000,06200,0000,06200PATIENTS LAUNDRY 81197,A81000A,00100,0100,Y 81197,A81000B,00100,0300,RELATED LEASE BUILDING 81197,A81000B,00200,0300,OWNER BASIS DEPRECIATION 81197,A81000C,00100,0100,A 81197,A81000C,00100,0200,GLADYS JENNINGS 81197,A81000C,00100,0400,GLAD INVESTMENTS 81197,A81000C,00100,0600,PROPERTY MANAGEMENT 81197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81197,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81197,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81197,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81197,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81197,B100000,00000,0800,00000MEALS SERVED :DIETARY 81197,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81197,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81197,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81197,S000000,00100,0200,09/05/2000 81197,S200000,00100,0100,375 COHASSET ROAD 81197,S200000,00200,0100,CHICO 81197,S200000,00200,0200,CA 81197,S200000,00200,0300,95926- 81197,S200000,00300,0100,BUTTE 81197,S200000,00300,0200,1620 81197,S200000,00300,0300,R 81197,S200000,00400,0100,RIVERSIDE CONVALESCENT HOSPITAL 81197,S200000,00400,0200,055656 81197,S200000,00400,0300,01/01/1972 81197,S200000,00400,0500,P 81197,S200000,01500,0100,Y 81202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81202,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81202,A000000,00300,0000,00300EMPLOYEE BENEFITS 81202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81202,A000000,00700,0000,00700HOUSEKEEPING 81202,A000000,00800,0000,00800DIETARY 81202,A000000,00900,0000,00900NURSING ADMINISTRATION 81202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81202,A000000,01100,0000,01100PHARMACY 81202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81202,A000000,01300,0000,01300SOCIAL SERVICE 81202,A000000,01350,0000,01500OTHER GENERAL SERVICES 81202,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81202,A000000,01600,0000,01600SKILLED NURSING FACILITY 81202,A000000,01800,0000,01800NURSING FACILITY 81202,A000000,01810,0000,01801ICF/MR 81202,A000000,01900,0000,01900OTHER LONG TERM CARE 81202,A000000,02100,0000,02100RADIOLOGY 81202,A000000,02200,0000,02200LABORATORY 81202,A000000,02300,0000,02300INTRAVENOUS THERAPY 81202,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81202,A000000,02500,0000,02500PHYSICAL THERAPY 81202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81202,A000000,02700,0000,02700SPEECH PATHOLOGY 81202,A000000,02800,0000,02800ELECTROCARDIOLOGY 81202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81202,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81202,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81202,A000000,03200,0000,03200SUPPORT SURFACES 81202,A000000,03400,0000,03400CLINIC 81202,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81202,A000000,03500,0000,03500RURAL HEALTH CLINIC 81202,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81202,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81202,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81202,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81202,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81202,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81202,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81202,A000000,04400,0000,04400DME RENTED - HHA 81202,A000000,04500,0000,04500DME SOLD - HHA 81202,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81202,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81202,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81202,A000000,04800,0000,04800AMBULANCE 81202,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81202,A000000,05000,0000,05000CORF 81202,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81202,A000000,05300,0000,05300INTEREST EXPENSE 81202,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81202,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81202,A000000,05500,0000,05500HOSPICE 81202,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81202,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81202,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81202,A000000,06100,0000,06100NONPAID WORKERS 81202,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81202,A000000,06200,0000,06200PATIENTS LAUNDRY 81202,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81202,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81202,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81202,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81202,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81202,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81202,B100000,00000,0800,00000MEALS SERVED :DIETARY 81202,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81202,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81202,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81202,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81202,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81202,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81202,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81202,S000000,00100,0200,05/30/2000 81202,S200000,00100,0100,1717 SO. WINERY AVENUE 81202,S200000,00200,0100,FRESNO 81202,S200000,00200,0200,CA 81202,S200000,00200,0300,93727- 81202,S200000,00300,0100,FRESNO 81202,S200000,00400,0100,TWILIGHT HAVEN 81202,S200000,00400,0200,055658 81202,S200000,00400,0300,11/17/1992 81202,S200000,00400,0500,P 81202,S200000,01500,0100,Y 81202,S200000,02800,0100,Y 81202,S700003,00000,0100,1 81212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81212,A000000,00300,0000,00300EMPLOYEE BENEFITS 81212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81212,A000000,00700,0000,00700HOUSEKEEPING 81212,A000000,00800,0000,00800DIETARY 81212,A000000,00900,0000,00900NURSING ADMINISTRATION 81212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81212,A000000,01100,0000,01100PHARMACY 81212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81212,A000000,01300,0000,01300SOCIAL SERVICE 81212,A000000,01350,0000,01500OTHER GENERAL SERVICES 81212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81212,A000000,01600,0000,01600SKILLED NURSING FACILITY 81212,A000000,01800,0000,01800NURSING FACILITY 81212,A000000,01900,0000,01900OTHER LONG TERM CARE 81212,A000000,02100,0000,02100RADIOLOGY 81212,A000000,02200,0000,02200LABORATORY 81212,A000000,02300,0000,02300INTRAVENOUS THERAPY 81212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81212,A000000,02500,0000,02500PHYSICAL THERAPY 81212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81212,A000000,02700,0000,02700SPEECH PATHOLOGY 81212,A000000,02800,0000,02800ELECTROCARDIOLOGY 81212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81212,A000000,03200,0000,03200SUPPORT SURFACES 81212,A000000,03400,0000,03400CLINIC 81212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81212,A000000,03500,0000,03500RURAL HEALTH CLINIC 81212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81212,A000000,04400,0000,04400DME RENTED - HHA 81212,A000000,04500,0000,04500DME SOLD - HHA 81212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81212,A000000,04800,0000,04800AMBULANCE 81212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81212,A000000,05000,0000,05000CORF 81212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81212,A000000,05300,0000,05300INTEREST EXPENSE 81212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81212,A000000,05500,0000,05500HOSPICE 81212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81212,A000000,06100,0000,06100NONPAID WORKERS 81212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81212,A000000,06200,0000,06200PATIENTS LAUNDRY 81212,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81212,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81212,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81212,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81212,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81212,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81212,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81212,B100000,00000,0800,00000MEALS SERVED :DIETARY 81212,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81212,S000000,00100,0200,04/05/2000 81212,S200000,00100,0100,930 WEST MAIN STREET 81212,S200000,00200,0100,RIPON 81212,S200000,00200,0200,CA 81212,S200000,00200,0300,95366- 81212,S200000,00300,0100,SAN JOAQUIN 81212,S200000,00300,0200,8120 81212,S200000,00300,0300,U 81212,S200000,00400,0100,BETHANY HOME SOCIETY OF SAN JOAQUIN 81212,S200000,00400,0200,055662 81212,S200000,00400,0300,02/25/1967 81212,S200000,00400,0500,P 81212,S200000,01004,0500,O 81212,S200000,01500,0100,Y 81222,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81222,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81222,A000000,00300,0000,00300EMPLOYEE BENEFITS 81222,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81222,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81222,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81222,A000000,00700,0000,00700HOUSEKEEPING 81222,A000000,00800,0000,00800DIETARY 81222,A000000,00900,0000,00900NURSING ADMINISTRATION 81222,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81222,A000000,01100,0000,01100PHARMACY 81222,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81222,A000000,01300,0000,01300SOCIAL SERVICE 81222,A000000,01350,0000,01500OTHER GENERAL SERVICES 81222,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81222,A000000,01600,0000,01600SKILLED NURSING FACILITY 81222,A000000,01800,0000,01800NURSING FACILITY 81222,A000000,01810,0000,01810ICF/MR 81222,A000000,01900,0000,01900OTHER LONG TERM CARE 81222,A000000,02100,0000,02100RADIOLOGY 81222,A000000,02200,0000,02200LABORATORY 81222,A000000,02300,0000,02300INTRAVENOUS THERAPY 81222,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81222,A000000,02500,0000,02500PHYSICAL THERAPY 81222,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81222,A000000,02700,0000,02700SPEECH PATHOLOGY 81222,A000000,02800,0000,02800ELECTROCARDIOLOGY 81222,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81222,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81222,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81222,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81222,A000000,03200,0000,03200SUPPORT SURFACES 81222,A000000,03400,0000,03400CLINIC 81222,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81222,A000000,03500,0000,03500RURAL HEALTH CLINIC 81222,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81222,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81222,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81222,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81222,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81222,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81222,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81222,A000000,04400,0000,04400DME RENTED - HHA 81222,A000000,04500,0000,04500DME SOLD - HHA 81222,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81222,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81222,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81222,A000000,04800,0000,04800AMBULANCE 81222,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81222,A000000,05000,0000,05000CORF 81222,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81222,A000000,05300,0000,05300INTEREST EXPENSE 81222,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81222,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81222,A000000,05500,0000,05500HOSPICE 81222,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81222,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81222,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81222,A000000,06100,0000,06100NONPAID WORKERS 81222,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81222,A000000,06200,0000,06200PATIENTS LAUNDRY 81222,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81222,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81222,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81222,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81222,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81222,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81222,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81222,B100000,00000,0800,00000MEALS SERVED :DIETARY 81222,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81222,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81222,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81222,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81222,S000000,00100,0200,12/15/2000 81222,S200000,00100,0100,1185 MONTE ROSA DRIVE 81222,S200000,00200,0100,MENLO PARK 81222,S200000,00200,0200,CA 81222,S200000,00200,0300,94025- 81222,S200000,00300,0100,SAN MATEO 81222,S200000,00300,0200,7360 81222,S200000,00300,0300,U 81222,S200000,00400,0100,SHARON HEIGHTS CARE & REHAB 81222,S200000,00400,0200,055669 81222,S200000,00400,0300,08/12/1968 81222,S200000,00400,0500,P 81222,S200000,01600,0100,Y 81222,S200000,02800,0100,Y 81229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81229,A000000,00300,0000,00300EMPLOYEE BENEFITS 81229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81229,A000000,00700,0000,00700HOUSEKEEPING 81229,A000000,00800,0000,00800DIETARY 81229,A000000,00900,0000,00900NURSING ADMINISTRATION 81229,A000000,01300,0000,01300SOCIAL SERVICE 81229,A000000,01600,0000,01600SKILLED NURSING FACILITY 81229,A000000,02100,0000,02100RADIOLOGY 81229,A000000,02200,0000,02200LABORATORY 81229,A000000,02500,0000,02500PHYSICAL THERAPY 81229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81229,A000000,02700,0000,02700SPEECH PATHOLOGY 81229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81229,A000000,03200,0000,03200SUPPORT SURFACES 81229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81229,A81000A,00100,0100,Y 81229,A81000B,00100,0300,MANAGEMENT FEES 81229,A81000B,00200,0300,HOME OFFICE - EQUIPMENT 81229,A81000C,00100,0100,A 81229,A81000C,00100,0200,E.E. GOINGS 81229,A81000C,00100,0400,PROGRESSIVE HEALTHCARE 81229,A81000C,00100,0600,MANAGEMENT COMPANY 81229,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81229,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81229,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81229,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81229,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81229,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81229,B100000,00000,0800,00000MEALS SERVED :DIETARY 81229,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81229,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81229,S000000,00100,0200,06/01/2000 81229,S200000,00100,0100,1514 E. LINCOLN 81229,S200000,00200,0100,ANAHEIM 81229,S200000,00200,0200,CA 81229,S200000,00200,0300,92805- 81229,S200000,00300,0100,ORANGE 81229,S200000,00300,0200,5945 81229,S200000,00300,0300,U 81229,S200000,00400,0100,PARKVIEW HEALTHCARE CENTER 81229,S200000,00400,0200,055671 81229,S200000,00400,0300,01/01/1981 81229,S200000,00400,0500,P 81229,S200000,00400,0600,O 81229,S200000,01500,0100,Y 81238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81238,A000000,00300,0000,00300EMPLOYEE BENEFITS 81238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81238,A000000,00700,0000,00700HOUSEKEEPING 81238,A000000,00800,0000,00800DIETARY 81238,A000000,00900,0000,00900NURSING ADMINISTRATION 81238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81238,A000000,01100,0000,01100PHARMACY 81238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81238,A000000,01300,0000,01300SOCIAL SERVICE 81238,A000000,01350,0000,01500OTHER GENERAL SERVICES 81238,A000000,01600,0000,01600SKILLED NURSING FACILITY 81238,A000000,01800,0000,01800NURSING FACILITY 81238,A000000,01900,0000,01900OTHER LONG TERM CARE 81238,A000000,02100,0000,02100RADIOLOGY 81238,A000000,02200,0000,02200LABORATORY 81238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81238,A000000,02500,0000,02500PHYSICAL THERAPY 81238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81238,A000000,02700,0000,02700SPEECH PATHOLOGY 81238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81238,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 81238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81238,A000000,04800,0000,04800AMBULANCE 81238,A000000,05300,0000,05300INTEREST EXPENSE 81238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81238,A81000A,00100,0100,Y 81238,A81000B,00100,0300,MANAGEMENT FEES 81238,A81000C,00100,0100,A 81238,A81000C,00100,0200,PHIL CHASE 81238,A81000C,00100,0400,THE CHASE GROUP 81238,A81000C,00100,0600,MANAGEMENT COMPANY 81238,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81238,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81238,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81238,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81238,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81238,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81238,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81238,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81238,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81238,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81238,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81238,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81238,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81238,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81238,S000000,00100,0200,06/19/2000 81238,S200000,00100,0100,9021 KNOTT AVENUE 81238,S200000,00200,0100,BUENA PARK 81238,S200000,00200,0200,CA 81238,S200000,00200,0300,90620- 81238,S200000,00300,0100,LOS ANGELES 81238,S200000,00400,0100,KNOTT AVENUE CARE CENTER 81238,S200000,00400,0200,055674 81238,S200000,00400,0300,05/01/1998 81238,S200000,00400,0500,P 81238,S200000,01600,0100,Y 81238,S700003,00000,0100,1 81247,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81247,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81247,A000000,00300,0000,00300EMPLOYEE BENEFITS 81247,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81247,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81247,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81247,A000000,00700,0000,00700HOUSEKEEPING 81247,A000000,00800,0000,00800DIETARY 81247,A000000,00900,0000,00900NURSING ADMINISTRATION 81247,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81247,A000000,01100,0000,01100PHARMACY 81247,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81247,A000000,01300,0000,01300SOCIAL SERVICE 81247,A000000,01350,0000,01500OTHER GENERAL SERVICES 81247,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81247,A000000,01600,0000,01600SKILLED NURSING FACILITY 81247,A000000,01800,0000,01800NURSING FACILITY 81247,A000000,01810,0000,01810ICF/MR 81247,A000000,01900,0000,01900OTHER LONG TERM CARE 81247,A000000,02100,0000,02100RADIOLOGY 81247,A000000,02200,0000,02200LABORATORY 81247,A000000,02300,0000,02300INTRAVENOUS THERAPY 81247,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81247,A000000,02500,0000,02500PHYSICAL THERAPY 81247,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81247,A000000,02700,0000,02700SPEECH PATHOLOGY 81247,A000000,02800,0000,02800ELECTROCARDIOLOGY 81247,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81247,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81247,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81247,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81247,A000000,03200,0000,03200SUPPORT SURFACES 81247,A000000,03400,0000,03400CLINIC 81247,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81247,A000000,03500,0000,03500RURAL HEALTH CLINIC 81247,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81247,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81247,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81247,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81247,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81247,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81247,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81247,A000000,04400,0000,04400DME RENTED - HHA 81247,A000000,04500,0000,04500DME SOLD - HHA 81247,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81247,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81247,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81247,A000000,04800,0000,04800AMBULANCE 81247,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81247,A000000,05000,0000,05000CORF 81247,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81247,A000000,05300,0000,05300INTEREST EXPENSE 81247,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81247,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81247,A000000,05500,0000,05500HOSPICE 81247,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81247,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81247,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81247,A000000,06100,0000,06100NONPAID WORKERS 81247,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81247,A000000,06200,0000,06200PATIENTS LAUNDRY 81247,A81000A,00100,0100,Y 81247,A81000B,00100,0300,MANAGEMENT FEES 81247,A81000B,00200,0300,HOME OFFICE-BUILDING 81247,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 81247,A81000B,00400,0300,HOME OFFICE COSTS 81247,A81000C,00100,0100,A 81247,A81000C,00100,0200,ALBA TILLER 81247,A81000C,00100,0400,A.T. ASSOCIATES INC. 81247,A81000C,00100,0600,HOME OFFICE 81247,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81247,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81247,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81247,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81247,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81247,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81247,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81247,B100000,00000,0800,00000MEALS SERVED :DIETARY 81247,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81247,S000000,00100,0200,06/19/2000 81247,S200000,00100,0100,535 SCHOOL STREET 81247,S200000,00200,0100,PITTSBURG 81247,S200000,00200,0200,CA 81247,S200000,00200,0300,94565- 81247,S200000,00300,0100,CONTRA COSTA 81247,S200000,00300,0200,5775 81247,S200000,00300,0300,U 81247,S200000,00400,0100,PITTSBURG CARE CENTER LTD. 81247,S200000,00400,0200,055677 81247,S200000,00400,0300,01/10/1974 81247,S200000,00400,0500,P 81247,S200000,01500,0100,Y 81247,S200000,02800,0100,Y 81253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81253,A000000,00300,0000,00300EMPLOYEE BENEFITS 81253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81253,A000000,00700,0000,00700HOUSEKEEPING 81253,A000000,00800,0000,00800DIETARY 81253,A000000,00900,0000,00900NURSING ADMINISTRATION 81253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81253,A000000,01100,0000,01100PHARMACY 81253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81253,A000000,01300,0000,01300SOCIAL SERVICE 81253,A000000,01350,0000,01500OTHER GENERAL SERVICES 81253,A000000,01600,0000,01600SKILLED NURSING FACILITY 81253,A000000,01800,0000,01800NURSING FACILITY 81253,A000000,01900,0000,01900OTHER LONG TERM CARE 81253,A000000,02100,0000,02100RADIOLOGY 81253,A000000,02200,0000,02200LABORATORY 81253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81253,A000000,02500,0000,02500PHYSICAL THERAPY 81253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81253,A000000,02700,0000,02700SPEECH PATHOLOGY 81253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81253,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 81253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81253,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81253,A000000,04800,0000,04800AMBULANCE 81253,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81253,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81253,A81000A,00100,0100,Y 81253,A81000B,00100,0300,MANAGEMENT FEE 81253,A81000B,00200,0300,CAPITAL 81253,A81000B,00300,0300,DATA PROCESSING FEE 81253,A81000B,00400,0300,RESPIRATORY THERAPY 81253,A81000B,00500,0300,PHYSICAL THERAPY 81253,A81000B,00600,0300,OCCUPATIONAL THERAPY 81253,A81000B,00700,0300,SPEECH THERAPY 81253,A81000C,00100,0100,A 81253,A81000C,00100,0200,CVHS CORP 81253,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81253,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81253,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81253,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81253,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81253,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81253,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81253,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81253,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81253,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81253,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81253,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81253,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81253,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81253,S000000,00100,0200,05/31/2000 81253,S200000,00100,0100,933 EAST DEODAR STREET 81253,S200000,00200,0100,ONTARIO 81253,S200000,00200,0200,CA 81253,S200000,00200,0300,91764- 81253,S200000,00300,0100,SAN BERNARDINO 81253,S200000,00400,0100,COUNTRY VILLA BELLA VISTA 81253,S200000,00400,0200,055693 81253,S200000,00400,0300,01/01/1985 81253,S200000,00400,0500,P 81253,S200000,01600,0100,Y 81253,S200000,02200,0100,Y 81253,S700003,00000,0100,1 81263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81263,A000000,00300,0000,00300EMPLOYEE BENEFITS 81263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81263,A000000,00700,0000,00700HOUSEKEEPING 81263,A000000,00800,0000,00800DIETARY 81263,A000000,00900,0000,00900NURSING ADMINISTRATION 81263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81263,A000000,01300,0000,01300SOCIAL SERVICE 81263,A000000,01600,0000,01600SKILLED NURSING FACILITY 81263,A000000,01800,0000,01800NURSING FACILITY 81263,A000000,02100,0000,02100RADIOLOGY 81263,A000000,02200,0000,02200LABORATORY 81263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81263,A000000,02500,0000,02500PHYSICAL THERAPY 81263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81263,A000000,02700,0000,02700SPEECH PATHOLOGY 81263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81263,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81263,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81263,A81000A,00100,0100,Y 81263,A81000B,00100,0300,MANAGEMENT FEES 81263,A81000B,00200,0300,HOME OFFICE - BUILDING 81263,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 81263,A81000B,00400,0300,PHYSICAL THERAPY 81263,A81000B,00500,0300,OCCUPATIONAL THERAPY 81263,A81000B,00600,0300,SPEECH THERAPY 81263,A81000B,00700,0300,HOME OFFICE INTEREST 81263,A81000B,00800,0300,ANCILLARY CONSULTING 81263,A81000C,00100,0100,A 81263,A81000C,00100,0200,GARY DEVOIR 81263,A81000C,00100,0400,CARE WITH DIGNITY 81263,A81000C,00100,0600,SKILLED NURSING FACILITY 81263,A81000C,00200,0100,A 81263,A81000C,00200,0200,GARY DEVOIR 81263,A81000C,00200,0400,WESTERN ANCILLARY CONSLT 81263,A81000C,00200,0600,ANCILARY SERVICES 81263,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81263,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81263,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81263,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81263,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81263,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81263,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81263,B100000,00000,0800,00000MEALS SERVED :DIETARY 81263,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81263,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81263,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81263,S000000,00100,0200,03/07/2000 81263,S200000,00100,0100,8060 FROST STREET 81263,S200000,00200,0100,SAN DIEGO 81263,S200000,00200,0200,CA 81263,S200000,00200,0300,92123- 81263,S200000,00300,0100,SAN DIEGO 81263,S200000,00400,0100,CARE WITH DIGNITY 81263,S200000,00400,0200,055698 81263,S200000,00400,0300,10/01/1991 81263,S200000,00400,0500,P 81263,S200000,00400,0600,O 81263,S200000,00600,0200,055698 81263,S200000,00600,0300,10/01/1991 81263,S200000,00600,0600,P 81263,S200000,01600,0100,Y 81263,S700003,00000,0100,1 81272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81272,A000000,00300,0000,00300EMPLOYEE BENEFITS 81272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81272,A000000,00700,0000,00700HOUSEKEEPING 81272,A000000,00800,0000,00800DIETARY 81272,A000000,00900,0000,00900NURSING ADMINISTRATION 81272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81272,A000000,01300,0000,01300SOCIAL SERVICE 81272,A000000,01600,0000,01600SKILLED NURSING FACILITY 81272,A000000,01800,0000,01800NURSING FACILITY 81272,A000000,02100,0000,02100RADIOLOGY 81272,A000000,02200,0000,02200LABORATORY 81272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81272,A000000,02500,0000,02500PHYSICAL THERAPY 81272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81272,A000000,02700,0000,02700SPEECH PATHOLOGY 81272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81272,A000000,03200,0000,03200SUPPORT SURFACES 81272,A000000,04800,0000,04800AMBULANCE 81272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81272,A81000A,00100,0100,Y 81272,A81000B,00100,0300,HOME OFFICE COSTS 81272,A81000B,00200,0300,HOME OFFICE COSTS 81272,A81000B,00300,0300,HOME OFFICE COSTS 81272,A81000B,00400,0300,BUILDING DEPRECIATION & INTEREST 81272,A81000B,00500,0300,EQUIPMENT DEPRECIATION 81272,A81000B,00600,0300,EQUIPMENT DEPRECIATION 81272,A81000B,00700,0300,UTILITIES & MAINTENANCE 81272,A81000B,00800,0300,UTILITIES & MAINTENANCE 81272,A81000C,00100,0100,B 81272,A81000C,00100,0200,BERRYMAN HEALTH 81272,A81000C,00100,0400,BERRYMAN HEALTH 81272,A81000C,00100,0600,HOME OFFICE 81272,A81000C,00200,0100,B 81272,A81000C,00200,0200,BERRYMAN HEALTH 81272,A81000C,00200,0400,BERRYMAN HEALTH 81272,A81000C,00200,0600,HOME OFFICE 81272,A81000C,00300,0100,B 81272,A81000C,00300,0200,BERRYMAN HEALTH 81272,A81000C,00300,0400,BERRYMAN HEATH 81272,A81000C,00300,0600,HOME OFFICE 81272,A81000C,00400,0100,C 81272,A81000C,00400,0200,BERRYMAN HEALTH 81272,A81000C,00400,0400,WHITTIER WEST 81272,A81000C,00400,0600,BUILDING RENTAL 81272,A81000C,00500,0100,C 81272,A81000C,00500,0200,BERRYMAN HEALTH 81272,A81000C,00500,0400,WHITTIER WEST 81272,A81000C,00500,0600,EQUIPMENT RENTA 81272,A81000C,00600,0100,A 81272,A81000C,00600,0200,ALAUX & PATZKE 81272,A81000C,00600,0400,PAR EQUIPMENT L 81272,A81000C,00600,0600,EQUIPMENT & UTI 81272,A81000C,00700,0100,A 81272,A81000C,00700,0200,ALAUX & PATZKE 81272,A81000C,00700,0400,PAR EQUIPMENT L 81272,A81000C,00700,0600,EQUIPMENT & UTI 81272,A81000C,00800,0100,A 81272,A81000C,00800,0200,ALAUX & PATZKE 81272,A81000C,00800,0400,PAR EQUIPMENT L 81272,A81000C,00800,0600,EQUIPMENT 81272,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81272,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81272,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81272,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81272,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81272,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81272,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81272,B100000,00000,0800,00000MEALS SERVED :DIETARY 81272,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81272,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 81272,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81272,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81272,S000000,00100,0200,06/02/2000 81272,S200000,00100,0100,12385 E. WASHINGTON BLVD 81272,S200000,00200,0100,WHITTIER 81272,S200000,00200,0200,CA 81272,S200000,00200,0300,90606- 81272,S200000,00300,0100,LOS ANGELES 81272,S200000,00400,0100,BERRYMAN HEALTH-WEST WHITTIER 81272,S200000,00400,0200,055706 81272,S200000,00400,0300,09/01/1987 81272,S200000,00400,0500,P 81272,S200000,01600,0100,Y 81272,S200000,04700,0100,Y 81272,S700003,00000,0100,1 81281,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81281,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81281,A000000,00300,0000,00300EMPLOYEE BENEFITS 81281,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81281,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81281,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81281,A000000,00700,0000,00700HOUSEKEEPING 81281,A000000,00800,0000,00800DIETARY 81281,A000000,00900,0000,00900NURSING ADMINISTRATION 81281,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81281,A000000,01100,0000,01100PHARMACY 81281,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81281,A000000,01300,0000,01300SOCIAL SERVICE 81281,A000000,01350,0000,01500OTHER GENERAL SERVICES 81281,A000000,01600,0000,01600SKILLED NURSING FACILITY 81281,A000000,01800,0000,01800NURSING FACILITY 81281,A000000,01900,0000,01900OTHER LONG TERM CARE 81281,A000000,02100,0000,02100RADIOLOGY 81281,A000000,02200,0000,02200LABORATORY 81281,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81281,A000000,02500,0000,02500PHYSICAL THERAPY 81281,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81281,A000000,02700,0000,02700SPEECH PATHOLOGY 81281,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81281,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 81281,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81281,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81281,A000000,04800,0000,04800AMBULANCE 81281,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81281,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81281,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81281,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81281,A81000A,00100,0100,Y 81281,A81000B,00100,0300,MANAGEMENT FEE 81281,A81000B,00200,0300,CAPITAL 81281,A81000B,00300,0300,DATA PROCESSING FEE 81281,A81000B,00400,0300,RESPIRATORY THERAPY 81281,A81000B,00500,0300,PHYSICAL THERAPY 81281,A81000B,00600,0300,OCCUPATIONAL THERAPY 81281,A81000B,00700,0300,SPEECH THERAPY 81281,A81000C,00100,0100,A 81281,A81000C,00100,0200,CVHS CORP 81281,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81281,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81281,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81281,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81281,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81281,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81281,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81281,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81281,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81281,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81281,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81281,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81281,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81281,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81281,S000000,00100,0200,05/31/2000 81281,S200000,00100,0100,855 NORTH FAIRFAX AVENUE 81281,S200000,00200,0100,LOS ANGELES 81281,S200000,00200,0200,CA 81281,S200000,00200,0300,90046- 81281,S200000,00300,0100,LOS ANGELES 81281,S200000,00400,0100,COUNTRY VILLA WILSHIRE 81281,S200000,00400,0200,055710 81281,S200000,00400,0300,10/23/1976 81281,S200000,00400,0500,P 81281,S200000,01600,0100,Y 81281,S200000,02200,0100,Y 81281,S200000,02800,0100,Y 81281,S700003,00000,0100,1 81294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81294,A000000,00300,0000,00300EMPLOYEE BENEFITS 81294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81294,A000000,00700,0000,00700HOUSEKEEPING 81294,A000000,00800,0000,00800DIETARY 81294,A000000,00900,0000,00900NURSING ADMINISTRATION 81294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81294,A000000,01100,0000,01100PHARMACY 81294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81294,A000000,01300,0000,01300SOCIAL SERVICE 81294,A000000,01600,0000,01600SKILLED NURSING FACILITY 81294,A000000,01800,0000,01800NURSING FACILITY 81294,A000000,01900,0000,01900OTHER LONG TERM CARE 81294,A000000,02100,0000,02100RADIOLOGY 81294,A000000,02200,0000,02200LABORATORY 81294,A000000,02300,0000,02300INTRAVENOUS THERAPY 81294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81294,A000000,02500,0000,02500PHYSICAL THERAPY 81294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81294,A000000,02700,0000,02700SPEECH PATHOLOGY 81294,A000000,02800,0000,02800ELECTROCARDIOLOGY 81294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81294,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81294,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81294,A000000,03200,0000,03200SUPPORT SURFACES 81294,A000000,04800,0000,04800AMBULANCE 81294,A000000,05000,0000,05000CORF 81294,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81294,A000000,05300,0000,05300INTEREST EXPENSE 81294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81294,A81000A,00100,0100,Y 81294,A81000B,00100,0300,ADMIN. CONSULTANTS 81294,A81000B,00200,0300,INTEREST EXPENSE 81294,A81000B,00300,0300,BLDG LEASE 81294,A81000B,00400,0300,PHARMACY CONSULTANT 81294,A81000B,00500,0300,PHARMACY 81294,A81000C,00100,0100,A 81294,A81000C,00100,0200,HOWARD STRAUSE 81294,A81000C,00100,0400,RIDGECREST PHAR 81294,A81000C,00100,0600,PHARMACY 81294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81294,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81294,B100000,00000,0800,00000MEALS SERVED :DIETARY 81294,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81294,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81294,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81294,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 81294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81294,S000000,00100,0200,05/26/2000 81294,S200000,00100,0100,2131 CARLETON STREET 81294,S200000,00200,0100,BERKELEY 81294,S200000,00200,0200,CA 81294,S200000,00200,0300,94704- 81294,S200000,00300,0100,ALAMEDA 81294,S200000,00300,0200,5775 81294,S200000,00300,0300,U 81294,S200000,00400,0100,KYAKAMEENA SKILLED NURSING FACILITY 81294,S200000,00400,0200,055715 81294,S200000,00400,0300,01/01/1967 81294,S200000,00400,0500,P 81294,S200000,01500,0100,Y 81303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81303,A000000,00300,0000,00300EMPLOYEE BENEFITS 81303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81303,A000000,00700,0000,00700HOUSEKEEPING 81303,A000000,00800,0000,00800DIETARY 81303,A000000,00900,0000,00900NURSING ADMINISTRATION 81303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81303,A000000,01100,0000,01100PHARMACY 81303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81303,A000000,01300,0000,01300SOCIAL SERVICE 81303,A000000,01600,0000,01600SKILLED NURSING FACILITY 81303,A000000,01800,0000,01800NURSING FACILITY 81303,A000000,02100,0000,02100RADIOLOGY 81303,A000000,02200,0000,02200LABORATORY 81303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81303,A000000,02500,0000,02500PHYSICAL THERAPY 81303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81303,A000000,02700,0000,02700SPEECH PATHOLOGY 81303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81303,A81000A,00100,0100,Y 81303,A81000B,00100,0300,CORPORATE SERVICES 81303,A81000B,00200,0300,ALLOWABLE HOME OFFICE COST 81303,A81000B,00300,0300,CAPITAL - BUILDING 81303,A81000B,00400,0300,CAPITAL - EQUIPMENT 81303,A81000C,00100,0100,B 81303,A81000C,00100,0200,ABHOW 81303,A81000C,00100,0600,ACCTG & MANAGEMENT 81303,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81303,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81303,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81303,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81303,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81303,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81303,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81303,B100000,00000,0800,00000MEALS SERVED :DIETARY 81303,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81303,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 81303,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81303,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81303,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81303,S000000,00100,0200,03/01/2000 81303,S200000,00100,0100,900 CALLE DE LOS AMIGOS 81303,S200000,00200,0100,SANTA BARBARA 81303,S200000,00200,0200,CA 81303,S200000,00200,0300,93105- 81303,S200000,00300,0100,SANTA BARBARA 81303,S200000,00400,0100,ABHOW-VALLE VERDE 81303,S200000,00400,0200,055733 81303,S200000,00400,0300,10/17/1972 81303,S200000,00400,0500,P 81303,S200000,01500,0100,Y 81303,S700003,00000,0100,1 81313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81313,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81313,A000000,00300,0000,00300EMPLOYEE BENEFITS 81313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81313,A000000,00700,0000,00700HOUSEKEEPING 81313,A000000,00800,0000,00800DIETARY 81313,A000000,00900,0000,00900NURSING ADMINISTRATION 81313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81313,A000000,01300,0000,01300SOCIAL SERVICE 81313,A000000,01600,0000,01600SKILLED NURSING FACILITY 81313,A000000,01800,0000,01800NURSING FACILITY 81313,A000000,01900,0000,01900OTHER LONG TERM CARE 81313,A000000,02100,0000,02100RADIOLOGY 81313,A000000,02200,0000,02200LABORATORY 81313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81313,A000000,02500,0000,02500PHYSICAL THERAPY 81313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81313,A000000,02700,0000,02700SPEECH PATHOLOGY 81313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81313,A000000,03200,0000,03200SUPPORT SURFACES 81313,A000000,04800,0000,04800AMBULANCE 81313,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81313,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81313,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81313,A81000A,00100,0100,Y 81313,A81000B,00100,0300,HOME OFFICE COSTS 81313,A81000B,00200,0300,HOME OFFCIE COSTS 81313,A81000B,00300,0300,HOME OFFCIE COSTS 81313,A81000B,00400,0300,BUILDING DEPRECIATION & INTEREST 81313,A81000B,00500,0300,EQUIPMENT DEPRECIATION 81313,A81000C,00100,0100,B 81313,A81000C,00100,0200,BERRYMAN HEALTH 81313,A81000C,00100,0400,BERRYMAN HEALTH 81313,A81000C,00100,0600,HOME OFFICE 81313,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81313,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81313,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81313,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81313,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81313,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81313,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81313,B100000,00000,0800,00000MEALS SERVED :DIETARY 81313,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81313,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81313,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81313,S000000,00100,0200,06/02/2000 81313,S200000,00100,0100,1349 SOUTH DORA STREET 81313,S200000,00200,0100,UKIAH 81313,S200000,00200,0200,CA 81313,S200000,00200,0300,95482- 81313,S200000,00300,0100,MENDECINO 81313,S200000,00300,0200,0005 81313,S200000,00300,0300,R 81313,S200000,00400,0100,BERRYMAN HEALTH-UKIAH 81313,S200000,00400,0200,055734 81313,S200000,00400,0300,05/05/1987 81313,S200000,00400,0500,P 81313,S200000,01600,0100,Y 81313,S200000,02200,0100,Y 81313,S200000,02800,0100,Y 81313,S200000,04700,0100,Y 81313,S200000,04700,0200,Y 81322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81322,A000000,00300,0000,00300EMPLOYEE BENEFITS 81322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81322,A000000,00700,0000,00700HOUSEKEEPING 81322,A000000,00800,0000,00800DIETARY 81322,A000000,00900,0000,00900NURSING ADMINISTRATION 81322,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81322,A000000,01100,0000,01100PHARMACY 81322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81322,A000000,01300,0000,01300SOCIAL SERVICE 81322,A000000,01350,0000,01500OTHER GENERAL SERVICES 81322,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81322,A000000,01600,0000,01600SKILLED NURSING FACILITY 81322,A000000,01800,0000,01800NURSING FACILITY 81322,A000000,01810,0000,01801ICF/MR 81322,A000000,01900,0000,01900OTHER LONG TERM CARE 81322,A000000,02100,0000,02100RADIOLOGY 81322,A000000,02200,0000,02200LABORATORY 81322,A000000,02300,0000,02300INTRAVENOUS THERAPY 81322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81322,A000000,02500,0000,02500PHYSICAL THERAPY 81322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81322,A000000,02700,0000,02700SPEECH PATHOLOGY 81322,A000000,02800,0000,02800ELECTROCARDIOLOGY 81322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81322,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81322,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81322,A000000,03200,0000,03200SUPPORT SURFACES 81322,A000000,03400,0000,03400CLINIC 81322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81322,A000000,03500,0000,03500RURAL HEALTH CLINIC 81322,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81322,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81322,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81322,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81322,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81322,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81322,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81322,A000000,04400,0000,04400DME RENTED - HHA 81322,A000000,04500,0000,04500DME SOLD - HHA 81322,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81322,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81322,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81322,A000000,04800,0000,04800AMBULANCE 81322,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81322,A000000,05000,0000,05000CORF 81322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81322,A000000,05300,0000,05300INTEREST EXPENSE 81322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81322,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81322,A000000,05500,0000,05500HOSPICE 81322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81322,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81322,A000000,06100,0000,06100NONPAID WORKERS 81322,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81322,A000000,06200,0000,06200PATIENTS LAUNDRY 81322,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81322,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81322,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81322,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81322,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81322,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81322,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81322,B100000,00000,0800,00000MEALS SERVED :DIETARY 81322,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 81322,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81322,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81322,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 81322,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81322,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81322,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81322,S000000,00100,0200,05/23/2000 81322,S200000,00100,0100,861 SOUTH HARBOR BLVD. 81322,S200000,00200,0100,ANAHEIM 81322,S200000,00200,0200,CA 81322,S200000,00200,0300,90805- 81322,S200000,00300,0100,ORANGE 81322,S200000,00400,0100,CASA PACIFICA CONVALESCENT HOSPITAL 81322,S200000,00400,0200,055742 81322,S200000,00400,0300,01/01/1992 81322,S200000,00400,0500,P 81322,S200000,01600,0100,Y 81322,S700003,00000,0100,1 81330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81330,A000000,00300,0000,00300EMPLOYEE BENEFITS 81330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81330,A000000,00700,0000,00700HOUSEKEEPING 81330,A000000,00800,0000,00800DIETARY 81330,A000000,00900,0000,00900NURSING ADMINISTRATION 81330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81330,A000000,01100,0000,01100PHARMACY 81330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81330,A000000,01300,0000,01300SOCIAL SERVICE 81330,A000000,01350,0000,01500OTHER GENERAL SERVICES 81330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81330,A000000,01600,0000,01600SKILLED NURSING FACILITY 81330,A000000,01800,0000,01800NURSING FACILITY 81330,A000000,01810,0000,01810ICF/MR 81330,A000000,01900,0000,01900OTHER LONG TERM CARE 81330,A000000,02100,0000,02100RADIOLOGY 81330,A000000,02200,0000,02200LABORATORY 81330,A000000,02300,0000,02300INTRAVENOUS THERAPY 81330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81330,A000000,02500,0000,02500PHYSICAL THERAPY 81330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81330,A000000,02700,0000,02700SPEECH PATHOLOGY 81330,A000000,02800,0000,02800ELECTROCARDIOLOGY 81330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81330,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81330,A000000,03051,0000,03301NUTRITIONAL SUPPLIES 81330,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81330,A000000,03200,0000,03200SUPPORT SURFACES 81330,A000000,03400,0000,03400CLINIC 81330,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81330,A000000,03500,0000,03500RURAL HEALTH CLINIC 81330,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81330,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81330,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81330,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81330,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81330,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81330,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81330,A000000,04400,0000,04400DME RENTED - HHA 81330,A000000,04500,0000,04500DME SOLD - HHA 81330,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81330,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81330,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81330,A000000,04800,0000,04800AMBULANCE 81330,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81330,A000000,05000,0000,05000CORF 81330,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81330,A000000,05300,0000,05300INTEREST EXPENSE 81330,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81330,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81330,A000000,05500,0000,05500HOSPICE 81330,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81330,A000000,06100,0000,06100NONPAID WORKERS 81330,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81330,A000000,06200,0000,06200PATIENTS LAUNDRY 81330,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81330,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81330,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81330,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81330,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81330,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81330,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81330,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81330,S000000,00100,0200,05/31/2000 81330,S200000,00100,0100,2250 29TH STREET 81330,S200000,00200,0100,SANTA MONICA 81330,S200000,00200,0200,CA 81330,S200000,00200,0300,90405- 81330,S200000,00300,0100,LOS ANGELES 81330,S200000,00300,0200,4480 81330,S200000,00300,0300,U 81330,S200000,00400,0100,SANTA MONICA CONVALESCENT CENTER 81330,S200000,00400,0200,055748 81330,S200000,00400,0300,02/01/1991 81330,S200000,00400,0500,P 81330,S200000,01600,0100,Y 81342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81342,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81342,A000000,00300,0000,00300EMPLOYEE BENEFITS 81342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81342,A000000,00700,0000,00700HOUSEKEEPING 81342,A000000,00800,0000,00800DIETARY 81342,A000000,00900,0000,00900NURSING ADMINISTRATION 81342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81342,A000000,01100,0000,01100PHARMACY 81342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81342,A000000,01300,0000,01300SOCIAL SERVICE 81342,A000000,01350,0000,01500OTHER GENERAL SERVICES 81342,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81342,A000000,01600,0000,01600SKILLED NURSING FACILITY 81342,A000000,01800,0000,01800NURSING FACILITY 81342,A000000,01900,0000,01900OTHER LONG TERM CARE 81342,A000000,02100,0000,02100RADIOLOGY 81342,A000000,02200,0000,02200LABORATORY 81342,A000000,02300,0000,02300INTRAVENOUS THERAPY 81342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81342,A000000,02500,0000,02500PHYSICAL THERAPY 81342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81342,A000000,02700,0000,02700SPEECH PATHOLOGY 81342,A000000,02800,0000,02800ELECTROCARDIOLOGY 81342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81342,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81342,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81342,A000000,03200,0000,03200SUPPORT SURFACES 81342,A000000,03400,0000,03400CLINIC 81342,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81342,A000000,03500,0000,03500RURAL HEALTH CLINIC 81342,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81342,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81342,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81342,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81342,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81342,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81342,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81342,A000000,04400,0000,04400DME RENTED - HHA 81342,A000000,04500,0000,04500DME SOLD - HHA 81342,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81342,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81342,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81342,A000000,04800,0000,04800AMBULANCE 81342,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81342,A000000,05000,0000,05000CORF 81342,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81342,A000000,05300,0000,05300INTEREST EXPENSE 81342,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81342,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81342,A000000,05500,0000,05500HOSPICE 81342,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81342,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81342,A000000,06100,0000,06100NONPAID WORKERS 81342,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81342,A000000,06200,0000,06200PATIENTS LAUNDRY 81342,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81342,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81342,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81342,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81342,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81342,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81342,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81342,B100000,00000,0800,00000MEALS SERVED :DIETARY 81342,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 81342,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 81342,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81342,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81342,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81342,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81342,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 81342,S000000,00100,0200,07/10/2000 81342,S200000,00100,0100,1440 168TH AVE 81342,S200000,00200,0100,SAN LEANDRO 81342,S200000,00200,0200,CA 81342,S200000,00200,0300,94578- 81342,S200000,00300,0100,ALAMEDA 81342,S200000,00400,0100,QUAIL RIDGE HEALTH CARE CENTER 81342,S200000,00400,0200,055782 81342,S200000,00400,0300,01/01/1995 81342,S200000,00400,0500,P 81342,S200000,00600,0200,055872 81342,S200000,00600,0300,01/01/1995 81342,S200000,00600,0600,P 81342,S200000,01600,0100,Y 81342,S700003,00000,0100,1 81355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81355,A000000,00300,0000,00300EMPLOYEE BENEFITS 81355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81355,A000000,00700,0000,00700HOUSEKEEPING 81355,A000000,00800,0000,00800DIETARY 81355,A000000,00900,0000,00900NURSING ADMINISTRATION 81355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81355,A000000,01100,0000,01100PHARMACY 81355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81355,A000000,01300,0000,01300SOCIAL SERVICE 81355,A000000,01301,0000,01301ACTIVITIES 81355,A000000,01350,0000,01500OTHER GENERAL SERVICES 81355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81355,A000000,01600,0000,01600SKILLED NURSING FACILITY 81355,A000000,01800,0000,01800NURSING FACILITY 81355,A000000,01810,0000,01801ICF/MR 81355,A000000,01900,0000,01900OTHER LONG TERM CARE 81355,A000000,02100,0000,02100RADIOLOGY 81355,A000000,02200,0000,02200LABORATORY 81355,A000000,02300,0000,02300INTRAVENOUS THERAPY 81355,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81355,A000000,02500,0000,02500PHYSICAL THERAPY 81355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81355,A000000,02700,0000,02700SPEECH PATHOLOGY 81355,A000000,02800,0000,02800ELECTROCARDIOLOGY 81355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81355,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81355,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81355,A000000,03200,0000,03200SUPPORT SURFACES 81355,A000000,03201,0000,03201EQUIPMENT RENTAL 81355,A000000,03400,0000,03400CLINIC 81355,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81355,A000000,03500,0000,03500RURAL HEALTH CLINIC 81355,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81355,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81355,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81355,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81355,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81355,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81355,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81355,A000000,04400,0000,04400DME RENTED - HHA 81355,A000000,04500,0000,04500DME SOLD - HHA 81355,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81355,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81355,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81355,A000000,04800,0000,04800AMBULANCE 81355,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81355,A000000,05000,0000,05000CORF 81355,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81355,A000000,05300,0000,05300INTEREST EXPENSE 81355,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81355,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81355,A000000,05500,0000,05500HOSPICE 81355,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81355,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81355,A000000,06100,0000,06100NONPAID WORKERS 81355,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81355,A000000,06200,0000,06200PATIENTS LAUNDRY 81355,A81000A,00100,0100,Y 81355,A81000B,00100,0300,PHARMACY 81355,A81000B,00200,0300,PHARMACY CONSULTANT 81355,A81000B,00300,0300,H.O. - ADMIN 81355,A81000B,00400,0300,H.O. - ADMIN 81355,A81000B,00500,0300,H.O. CAPITAL COSTS 81355,A81000B,00600,0300,H.O. CAPITAL COSTS 81355,A81000C,00100,0100,B 81355,A81000C,00100,0200,GUARDIAN HEALTH GROUP 81355,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81355,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81355,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81355,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81355,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81355,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81355,B100000,00000,0800,00000MEALS SERVED :DIETARY 81355,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81355,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81355,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81355,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81355,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81355,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 81355,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81355,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81355,S000000,00100,0200,10/02/2000 81355,S200000,00100,0100,16412 LOS GATOS BLVD. 81355,S200000,00200,0100,LOS GATOS 81355,S200000,00200,0200,CA 81355,S200000,00200,0300,95124- 81355,S200000,00300,0100,SANTA CLARA 81355,S200000,00400,0100,GUARDIAN REHABILITATION CENTER 81355,S200000,00400,0200,055798 81355,S200000,00400,0300,11/01/1995 81355,S200000,00400,0500,P 81355,S200000,00400,0600,O 81355,S200000,01600,0100,Y 81355,S700003,00000,0100,1 81369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81369,A000000,00300,0000,00300EMPLOYEE BENEFITS 81369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81369,A000000,00700,0000,00700HOUSEKEEPING 81369,A000000,00800,0000,00800DIETARY 81369,A000000,00900,0000,00900NURSING ADMINISTRATION 81369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81369,A000000,01100,0000,01100PHARMACY 81369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81369,A000000,01300,0000,01300SOCIAL SERVICE 81369,A000000,01350,0000,01500OTHER GENERAL SERVICES 81369,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81369,A000000,01600,0000,01600SKILLED NURSING FACILITY 81369,A000000,01800,0000,01800NURSING FACILITY 81369,A000000,01810,0000,01801ICF/MR 81369,A000000,01900,0000,01900OTHER LONG TERM CARE 81369,A000000,02100,0000,02100RADIOLOGY 81369,A000000,02200,0000,02200LABORATORY 81369,A000000,02300,0000,02300INTRAVENOUS THERAPY 81369,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81369,A000000,02500,0000,02500PHYSICAL THERAPY 81369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81369,A000000,02700,0000,02700SPEECH PATHOLOGY 81369,A000000,02800,0000,02800ELECTROCARDIOLOGY 81369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81369,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81369,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81369,A000000,03200,0000,03200SUPPORT SURFACES 81369,A000000,03400,0000,03400CLINIC 81369,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81369,A000000,03500,0000,03500RURAL HEALTH CLINIC 81369,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81369,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81369,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81369,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81369,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81369,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81369,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81369,A000000,04400,0000,04400DME RENTED - HHA 81369,A000000,04500,0000,04500DME SOLD - HHA 81369,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81369,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81369,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81369,A000000,04800,0000,04800AMBULANCE 81369,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81369,A000000,05000,0000,05000CORF 81369,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81369,A000000,05300,0000,05300INTEREST EXPENSE 81369,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81369,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81369,A000000,05500,0000,05500HOSPICE 81369,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81369,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81369,A000000,06100,0000,06100NONPAID WORKERS 81369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81369,A000000,06200,0000,06200PATIENTS LAUNDRY 81369,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81369,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81369,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81369,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81369,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81369,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81369,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81369,B100000,00000,0800,00000MEALS SERVED :DIETARY 81369,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 81369,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81369,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81369,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81369,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81369,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81369,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81369,S000000,00100,0200,08/14/2000 81369,S200000,00100,0100,553 SMALLEY AVENUE 81369,S200000,00200,0100,HAYWARD 81369,S200000,00200,0200,CA 81369,S200000,00200,0300,94541- 81369,S200000,00300,0100,ALAMEDA 81369,S200000,00400,0100,ST. ANTHONY CARE CENTER INC. 81369,S200000,00400,0200,055809 81369,S200000,00400,0300,10/01/1967 81369,S200000,00400,0500,P 81369,S200000,01500,0100,Y 81369,S700003,00000,0100,1 81378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81378,A000000,00300,0000,00300EMPLOYEE BENEFITS 81378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81378,A000000,00700,0000,00700HOUSEKEEPING 81378,A000000,00800,0000,00800DIETARY 81378,A000000,00900,0000,00900NURSING ADMINISTRATION 81378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81378,A000000,01100,0000,01100PHARMACY 81378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81378,A000000,01300,0000,01300SOCIAL SERVICE 81378,A000000,01600,0000,01600SKILLED NURSING FACILITY 81378,A000000,01800,0000,01800NURSING FACILITY 81378,A000000,01900,0000,01900OTHER LONG TERM CARE 81378,A000000,02100,0000,02100RADIOLOGY 81378,A000000,02200,0000,02200LABORATORY 81378,A000000,02300,0000,02300INTRAVENOUS THERAPY 81378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81378,A000000,02500,0000,02500PHYSICAL THERAPY 81378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81378,A000000,02700,0000,02700SPEECH PATHOLOGY 81378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81378,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81378,A000000,03200,0000,03200SUPPORT SURFACES 81378,A000000,04800,0000,04800AMBULANCE 81378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81378,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81378,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81378,A81000A,00100,0100,Y 81378,A81000B,00100,0300,HOME OFFICE CAPITAL 81378,A81000B,00200,0300,HOME OFFICE RELATED EXP. 81378,A81000C,00100,0100,A 81378,A81000C,00100,0200,LYDIA GOODELL 81378,A81000C,00100,0400,LTG MGMT SVCS. 81378,A81000C,00100,0600,HOME OFFICE 81378,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81378,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81378,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81378,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81378,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81378,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81378,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81378,B100000,00000,0800,00000MEALS SERVED :DIETARY 81378,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81378,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81378,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81378,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81378,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81378,S000000,00100,0200,03/24/2000 81378,S200000,00100,0100,12232 CHAPMAN AVE. 81378,S200000,00200,0100,GARDEN GROVE 81378,S200000,00200,0200,CA 81378,S200000,00200,0300,92640- 81378,S200000,00300,0100,ORANGE 81378,S200000,00300,0200,5945 81378,S200000,00300,0300,U 81378,S200000,00400,0100,CHAPMAN HARBOR SKILLED NURSING CTR. 81378,S200000,00400,0200,055816 81378,S200000,00400,0300,09/01/1967 81378,S200000,00400,0500,P 81378,S200000,01600,0100,Y 81389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81389,A000000,00300,0000,00300EMPLOYEE BENEFITS 81389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81389,A000000,00700,0000,00700HOUSEKEEPING 81389,A000000,00800,0000,00800DIETARY 81389,A000000,00900,0000,00900NURSING ADMINISTRATION 81389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81389,A000000,01100,0000,01100PHARMACY 81389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81389,A000000,01300,0000,01300SOCIAL SERVICE 81389,A000000,01350,0000,01500OTHER GENERAL SERVICES 81389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81389,A000000,01600,0000,01600SKILLED NURSING FACILITY 81389,A000000,01800,0000,01800NURSING FACILITY 81389,A000000,01810,0000,01801ICF/MR 81389,A000000,01900,0000,01900OTHER LONG TERM CARE 81389,A000000,02100,0000,02100RADIOLOGY 81389,A000000,02200,0000,02200LABORATORY 81389,A000000,02300,0000,02300INTRAVENOUS THERAPY 81389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81389,A000000,02500,0000,02500PHYSICAL THERAPY 81389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81389,A000000,02700,0000,02700SPEECH PATHOLOGY 81389,A000000,02800,0000,02800ELECTROCARDIOLOGY 81389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81389,A000000,03200,0000,03200SUPPORT SURFACES 81389,A000000,03400,0000,03400CLINIC 81389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81389,A000000,03500,0000,03500RURAL HEALTH CLINIC 81389,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81389,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81389,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81389,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81389,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81389,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81389,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81389,A000000,04400,0000,04400DME RENTED - HHA 81389,A000000,04500,0000,04500DME SOLD - HHA 81389,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81389,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81389,A000000,04800,0000,04800AMBULANCE 81389,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81389,A000000,05000,0000,05000CORF 81389,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81389,A000000,05300,0000,05300INTEREST EXPENSE 81389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81389,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81389,A000000,05500,0000,05500HOSPICE 81389,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81389,A000000,06100,0000,06100NONPAID WORKERS 81389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81389,A000000,06200,0000,06200PATIENTS LAUNDRY 81389,A81000A,00100,0100,Y 81389,A81000B,00100,0300,BUILDING LEASE 81389,A81000B,00200,0300,DEPRECIATION-BUILDING 81389,A81000B,00300,0300,MORTGAGE INTEREST EXP 81389,A81000C,00100,0100,A 81389,A81000C,00100,0200,JOHN HENNING 81389,A81000C,00100,0400,COUNTRY OAKS CARE CENTER 81389,A81000C,00100,0600,LESSOR 81389,A81000C,00200,0100,A 81389,A81000C,00200,0200,SHARON HENNING 81389,A81000C,00200,0400,COUNTRY OAKS CARE CENTER 81389,A81000C,00200,0600,LESSOR 81389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81389,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81389,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81389,B100000,00000,0800,00000MEALS SERVED :DIETARY 81389,B100000,00000,0950,00000DIR NURSG LABOR COST:NURSING ADMINI 81389,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81389,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81389,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81389,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81389,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81389,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81389,S000000,00100,0200,06/13/2000 81389,S200000,00100,0100,830 EAST CHAPEL STREET 81389,S200000,00200,0100,SANTA MARIA 81389,S200000,00200,0200,CA 81389,S200000,00200,0300,93454- 81389,S200000,00300,0100,SANTA BARBARA 81389,S200000,00400,0100,COUNTRY OAKS CARE CENTER INC. 81389,S200000,00400,0200,055826 81389,S200000,00400,0300,04/01/1968 81389,S200000,00400,0500,P 81389,S200000,01600,0100,Y 81389,S700003,00000,0100,1 81396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81396,A000000,00300,0000,00300EMPLOYEE BENEFITS 81396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81396,A000000,00700,0000,00700HOUSEKEEPING 81396,A000000,00800,0000,00800DIETARY 81396,A000000,00900,0000,00900NURSING ADMINISTRATION 81396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81396,A000000,01300,0000,01300SOCIAL SERVICE 81396,A000000,01301,0000,01301ACTIVITIES 81396,A000000,01350,0000,01500REHAB 81396,A000000,01600,0000,01600SKILLED NURSING FACILITY 81396,A000000,01800,0000,01800NURSING FACILITY 81396,A000000,01900,0000,01900OTHER LONG TERM CARE 81396,A000000,02100,0000,02100RADIOLOGY 81396,A000000,02200,0000,02200LABORATORY 81396,A000000,02300,0000,02300INTRAVENOUS THERAPY 81396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81396,A000000,02500,0000,02500PHYSICAL THERAPY 81396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81396,A000000,02700,0000,02700SPEECH PATHOLOGY 81396,A000000,02800,0000,02800ELECTROCARDIOLOGY 81396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81396,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81396,A000000,03200,0000,03200SUPPORT SURFACES 81396,A000000,03400,0000,03400CLINIC 81396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81396,A000000,04800,0000,04800AMBULANCE 81396,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81396,A000000,05000,0000,05000CORF 81396,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81396,A000000,05300,0000,05300INTEREST EXPENSE 81396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81396,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81396,A000000,05500,0000,05500HOSPICE 81396,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81396,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81396,A000000,06100,0000,06100NONPAID WORKERS 81396,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81396,A000000,06200,0000,06200PATIENTS LAUNDRY 81396,A81000A,00100,0100,Y 81396,A81000B,00100,0300,HOME OFFICE ALLOCATION 81396,A81000B,00200,0300,MEDICAL SUPPLIES 81396,A81000B,00300,0300,CAPITAL 81396,A81000B,00400,0300,RT 81396,A81000C,00100,0100,B 81396,A81000C,00100,0200,LASALETTE 10473 81396,A81000C,00100,0400,MARINER POST AC 81396,A81000C,00100,0600,NURSING HOMES 81396,A81000C,00200,0100,G 81396,A81000C,00200,0200,MARINER POST AC 81396,A81000C,00200,0400,AMERICAN PHARMA 81396,A81000C,00200,0600,PHARMACEUTICALS 81396,A81000C,00300,0100,G 81396,A81000C,00300,0200,MARINER POST AC 81396,A81000C,00300,0400,PRISM (ATS ARS 81396,A81000C,00300,0600,THERAPIES 81396,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81396,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81396,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81396,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81396,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81396,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81396,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81396,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81396,B100000,00000,0800,00000MEALS SERVED :DIETARY 81396,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81396,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81396,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81396,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81396,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81396,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 81396,S000000,00100,0200,06/05/2000 81396,S200000,00100,0100,537 E FULTON 81396,S200000,00200,0100,STOCKTON 81396,S200000,00200,0200,CA 81396,S200000,00200,0300,95204- 81396,S200000,00300,0100,SAN JOAQUIN 81396,S200000,00300,0200,8120 81396,S200000,00300,0300,U 81396,S200000,00400,0100,LA SALETTE HEALTH & REHAB CENTER 81396,S200000,00400,0200,055833 81396,S200000,00400,0300,01/01/1995 81396,S200000,00400,0500,P 81403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81403,A000000,00300,0000,00300EMPLOYEE BENEFITS 81403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81403,A000000,00700,0000,00700HOUSEKEEPING 81403,A000000,00800,0000,00800DIETARY 81403,A000000,00900,0000,00900NURSING ADMINISTRATION 81403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81403,A000000,01100,0000,01100PHARMACY 81403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81403,A000000,01300,0000,01300SOCIAL SERVICE 81403,A000000,01600,0000,01600SKILLED NURSING FACILITY 81403,A000000,01800,0000,01800NURSING FACILITY 81403,A000000,02100,0000,02100RADIOLOGY 81403,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81403,A000000,02500,0000,02500PHYSICAL THERAPY 81403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81403,A000000,02700,0000,02700SPEECH PATHOLOGY 81403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81403,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81403,A81000A,00100,0100,Y 81403,A81000B,00100,0300,COPORATE SERVICES 81403,A81000B,00200,0300,ALLOWABLE - HOME OFFICE COSTS 81403,A81000B,00300,0300,CAPITAL - BUILDING 81403,A81000B,00400,0300,CAPITAL - EQUIPMENT 81403,A81000C,00100,0100,B 81403,A81000C,00100,0200,ABHOW 81403,A81000C,00100,0600,ACCTG & MGMT 81403,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81403,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81403,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81403,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81403,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81403,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81403,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81403,B100000,00000,0800,00000MEALS SERVED :DIETARY 81403,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81403,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 81403,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81403,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81403,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81403,S000000,00100,0200,03/01/2000 81403,S200000,00100,0100,5555 FRESNO STREET 81403,S200000,00200,0100,FRESNO 81403,S200000,00200,0200,CA 81403,S200000,00200,0300,93710- 81403,S200000,00300,0100,FRESNO 81403,S200000,00400,0100,ABHOW-SAN JOAQUIN GARDENS 81403,S200000,00400,0200,055846 81403,S200000,00400,0300,11/26/1989 81403,S200000,00400,0500,P 81403,S200000,01600,0100,Y 81403,S700003,00000,0100,1 81418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81418,A000000,00700,0000,00700HOUSEKEEPING 81418,A000000,00800,0000,00800DIETARY 81418,A000000,00900,0000,00900NURSING ADMINISTRATION 81418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81418,A000000,01300,0000,01300SOCIAL SERVICE 81418,A000000,01600,0000,01600SKILLED NURSING FACILITY 81418,A000000,01800,0000,01800NURSING FACILITY 81418,A000000,02100,0000,02100RADIOLOGY 81418,A000000,02200,0000,02200LABORATORY 81418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81418,A000000,02500,0000,02500PHYSICAL THERAPY 81418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81418,A000000,02700,0000,02700SPEECH PATHOLOGY 81418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81418,A000000,03050,0000,03300REHABILITATION MANAGER 81418,A000000,05300,0000,05300INTEREST EXPENSE 81418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81418,A81000A,00100,0100,Y 81418,A81000B,00100,0300,MANAGEMENT FEES 81418,A81000B,00200,0300,LEASES AND RENTALS 81418,A81000B,00300,0300,HOME OFFICE BUILDING 81418,A81000B,00400,0300,HOME OFFICE EQUIPMENT 81418,A81000C,00100,0100,G 81418,A81000C,00100,0200,HEALTHCARE MGT CO 81418,A81000C,00100,0400,MGT CO 81418,A81000C,00100,0600,HOME OFFICE 81418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81418,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81418,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81418,B100000,00000,0800,00000MEALS SERVED :DIETARY 81418,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81418,S000000,00100,0200,05/25/2000 81418,S200000,00100,0100,159 ORANGEBURG 81418,S200000,00200,0100,MODESTO 81418,S200000,00200,0200,CA 81418,S200000,00200,0300,95360- 81418,S200000,00300,0100,MODESTO 81418,S200000,00400,0100,COLONY PARK CARE CENTER 81418,S200000,00400,0200,055849 81418,S200000,00400,0300,12/07/1967 81418,S200000,00400,0500,P 81418,S200000,01500,0100,Y 81418,S700003,00000,0100,1 81426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81426,A000000,00300,0000,00300EMPLOYEE BENEFITS 81426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81426,A000000,00700,0000,00700HOUSEKEEPING 81426,A000000,00800,0000,00800DIETARY 81426,A000000,00900,0000,00900NURSING ADMINISTRATION 81426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81426,A000000,01300,0000,01300SOCIAL SERVICE 81426,A000000,01301,0000,01301ACTIVITIES 81426,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 81426,A000000,01600,0000,01600SKILLED NURSING FACILITY 81426,A000000,01800,0000,01800NURSING FACILITY 81426,A000000,01810,0000,01810ICF/MR 81426,A000000,01900,0000,01900OTHER LONG TERM CARE 81426,A000000,02100,0000,02100RADIOLOGY 81426,A000000,02200,0000,02200LABORATORY 81426,A000000,02300,0000,02300INTRAVENOUS THERAPY 81426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81426,A000000,02500,0000,02500PHYSICAL THERAPY 81426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81426,A000000,02700,0000,02700SPEECH PATHOLOGY 81426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81426,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81426,A000000,03051,0000,03301PEN THERAPY 81426,A000000,03200,0000,03200SUPPORT SURFACES 81426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81426,A000000,04800,0000,04800AMBULANCE 81426,A000000,05000,0000,05000CORF 81426,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81426,A000000,05300,0000,05300INTEREST EXPENSE 81426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81426,A000000,05500,0000,05500HOSPICE 81426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81426,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81426,A000000,06100,0000,06100NONPAID WORKERS 81426,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81426,A000000,06200,0000,06200PATIENTS LAUNDRY 81426,A81000A,00100,0100,Y 81426,A81000B,00100,0300,HOME OFFICE ALLOCATION 81426,A81000B,00200,0300,CENTRAL SUPPLY 81426,A81000B,00300,0300,MEDICAL SUPPLIES 81426,A81000B,00400,0300,DRUGS 81426,A81000B,00500,0300,XRAY 81426,A81000B,00600,0300,LAB 81426,A81000B,00700,0300,PT 81426,A81000B,00800,0300,OT 81426,A81000B,00900,0300,ST 81426,A81000C,00100,0100,B 81426,A81000C,00100,0200,PINE RIDGE 1049 81426,A81000C,00100,0400,MPAN 81426,A81000C,00100,0600,NURSING HOMES 81426,A81000C,00200,0100,G 81426,A81000C,00200,0200,MPAN 81426,A81000C,00200,0400,AMERICAN PHARMA 81426,A81000C,00200,0600,PHARMACEUTICALS 81426,A81000C,00300,0100,G 81426,A81000C,00300,0200,MPAN 81426,A81000C,00300,0400,PRISM (ATS ARS 81426,A81000C,00300,0600,THERAPIES 81426,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81426,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81426,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81426,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81426,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81426,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81426,B100000,00000,0800,00000MEALS SERVED :DIETARY 81426,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81426,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81426,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81426,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81426,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81426,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 81426,S000000,00100,0200,12/01/2000 81426,S200000,00100,0100,45 PROFESSIONAL CENTER PARKWAY 81426,S200000,00200,0100,SAN RAFAEL 81426,S200000,00200,0200,CA 81426,S200000,00200,0300,94903- 81426,S200000,00300,0100,MARIN 81426,S200000,00300,0200,7360 81426,S200000,00300,0300,U 81426,S200000,00400,0100,PINERIDGE CARE CENTER 81426,S200000,00400,0200,055850 81426,S200000,00400,0300,10/11/1985 81426,S200000,00400,0500,P 81434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81434,A000000,00300,0000,00300EMPLOYEE BENEFITS 81434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81434,A000000,00700,0000,00700HOUSEKEEPING 81434,A000000,00800,0000,00800DIETARY 81434,A000000,00900,0000,00900NURSING ADMINISTRATION 81434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81434,A000000,01300,0000,01300SOCIAL SERVICE 81434,A000000,01600,0000,01600SKILLED NURSING FACILITY 81434,A000000,01800,0000,01800NURSING FACILITY 81434,A000000,02100,0000,02100RADIOLOGY 81434,A000000,02200,0000,02200LABORATORY 81434,A000000,02500,0000,02500PHYSICAL THERAPY 81434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81434,A000000,02700,0000,02700SPEECH PATHOLOGY 81434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81434,A000000,03200,0000,03200SUPPORT SURFACES 81434,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81434,A81000A,00100,0100,Y 81434,A81000B,00100,0300,HOME OFFICE COSTS 81434,A81000B,00200,0300,HOME OFFICE COSTS 81434,A81000B,00300,0300,HOME OFFICE COSTS 81434,A81000C,00100,0100,B 81434,A81000C,00100,0200,BERRYMAN HEALTH 81434,A81000C,00100,0400,BERRYMAN HEALTH 81434,A81000C,00100,0600,HOME OFFICE 81434,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81434,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81434,B100000,00000,0300,00000GROSS REVENUES :EMPLOYEE BENEFITS 81434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81434,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81434,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81434,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81434,B100000,00000,0800,00000MEALS SERVED :DIETARY 81434,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81434,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81434,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81434,S000000,00100,0200,06/02/2000 81434,S200000,00100,0100,14745 GROVE STREET 81434,S200000,00200,0100,HEALDSBURG 81434,S200000,00200,0200,CA 81434,S200000,00200,0300,95448- 81434,S200000,00300,0100,SONOMA 81434,S200000,00400,0100,BERRYMAN HEALTH-HEALDSBURG 81434,S200000,00400,0200,055851 81434,S200000,00400,0300,05/05/1987 81434,S200000,00400,0500,P 81434,S200000,01500,0100,Y 81434,S700003,00000,0100,1 81448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81448,A000000,00300,0000,00300EMPLOYEE BENEFITS 81448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81448,A000000,00700,0000,00700HOUSEKEEPING 81448,A000000,00800,0000,00800DIETARY 81448,A000000,00900,0000,00900NURSING ADMINISTRATION 81448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81448,A000000,01100,0000,01100PHARMACY 81448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81448,A000000,01300,0000,01300SOCIAL SERVICE 81448,A000000,01350,0000,01500OTHER GENERAL SERVICES 81448,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81448,A000000,01600,0000,01600SKILLED NURSING FACILITY 81448,A000000,01800,0000,01800NURSING FACILITY 81448,A000000,01810,0000,01801ICF/MR 81448,A000000,01900,0000,01900OTHER LONG TERM CARE 81448,A000000,02100,0000,02100RADIOLOGY 81448,A000000,02200,0000,02200LABORATORY 81448,A000000,02300,0000,02300INTRAVENOUS THERAPY 81448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81448,A000000,02500,0000,02500PHYSICAL THERAPY 81448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81448,A000000,02700,0000,02700SPEECH PATHOLOGY 81448,A000000,02800,0000,02800ELECTROCARDIOLOGY 81448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81448,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81448,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81448,A000000,03200,0000,03200SUPPORT SURFACES 81448,A000000,03400,0000,03400CLINIC 81448,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81448,A000000,03500,0000,03500RURAL HEALTH CLINIC 81448,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81448,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81448,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81448,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81448,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81448,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81448,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81448,A000000,04400,0000,04400DME RENTED - HHA 81448,A000000,04500,0000,04500DME SOLD - HHA 81448,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81448,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81448,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81448,A000000,04800,0000,04800AMBULANCE 81448,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81448,A000000,05000,0000,05000CORF 81448,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81448,A000000,05300,0000,05300INTEREST EXPENSE 81448,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81448,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81448,A000000,05500,0000,05500HOSPICE 81448,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81448,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81448,A000000,06100,0000,06100NONPAID WORKERS 81448,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81448,A000000,06200,0000,06200PATIENTS LAUNDRY 81448,A81000A,00100,0100,Y 81448,A81000B,00100,0300,FACILITY LEASE 81448,A81000B,00200,0300,DEPRECIATION 81448,A81000B,00300,0300,INTEREST 81448,A81000C,00100,0100,A 81448,A81000C,00100,0200,PAULINE ALBERT 81448,A81000C,00100,0400,TOPLEY LANE LLC 81448,A81000C,00100,0600,LESSOR 81448,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81448,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81448,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81448,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81448,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81448,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81448,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81448,B100000,00000,0800,00000MEALS SERVED :DIETARY 81448,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 81448,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81448,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81448,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81448,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81448,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81448,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81448,S000000,00100,0200,05/02/2000 81448,S200000,00100,0100,7912 TOPLEY LANE 81448,S200000,00200,0100,SUNLAND 81448,S200000,00200,0200,CA 81448,S200000,00200,0300,91040- 81448,S200000,00300,0100,LOS ANGELES 81448,S200000,00400,0100,HIGH VALLEY LODGE 81448,S200000,00400,0200,055856 81448,S200000,00400,0300,01/01/1988 81448,S200000,00400,0500,P 81448,S200000,01500,0100,Y 81448,S700003,00000,0100,1 81456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81456,A000000,00300,0000,00300EMPLOYEE BENEFITS 81456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81456,A000000,00700,0000,00700HOUSEKEEPING 81456,A000000,00800,0000,00800DIETARY 81456,A000000,00900,0000,00900NURSING ADMINISTRATION 81456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81456,A000000,01100,0000,01100PHARMACY 81456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81456,A000000,01300,0000,01300SOCIAL SERVICE 81456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81456,A000000,01600,0000,01600SKILLED NURSING FACILITY 81456,A000000,02100,0000,02100RADIOLOGY 81456,A000000,02200,0000,02200LABORATORY 81456,A000000,02300,0000,02300INTRAVENOUS THERAPY 81456,A000000,02500,0000,02500PHYSICAL THERAPY 81456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81456,A000000,02700,0000,02700SPEECH PATHOLOGY 81456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81456,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81456,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81456,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81456,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81456,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81456,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81456,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81456,B100000,00000,0800,00000MEALS SERVED :DIETARY 81456,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81456,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81456,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81456,S000000,00100,0200,04/20/2000 81456,S200000,00100,0100,1899 N. RAYMOND 81456,S200000,00200,0100,PASADENA 81456,S200000,00200,0200,CA 81456,S200000,00200,0300,91103- 81456,S200000,00300,0100,LOS ANGELES 81456,S200000,00300,0200,4480 81456,S200000,00300,0300,U 81456,S200000,00400,0100,ROSEGARDEN CONVALESCENT HOSP 81456,S200000,00400,0200,055862 81456,S200000,00400,0300,01/01/1985 81456,S200000,00400,0500,P 81456,S200000,01500,0100,Y 81456,S200000,04600,0100,Y 81464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81464,A000000,00300,0000,00300EMPLOYEE BENEFITS 81464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81464,A000000,00700,0000,00700HOUSEKEEPING 81464,A000000,00800,0000,00800DIETARY 81464,A000000,00900,0000,00900NURSING ADMINISTRATION 81464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81464,A000000,01100,0000,01100PHARMACY 81464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81464,A000000,01300,0000,01300SOCIAL SERVICE 81464,A000000,01301,0000,01301ACTIVITIES 81464,A000000,01350,0000,01500OTHER GENERAL SERVICES 81464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81464,A000000,01600,0000,01600SKILLED NURSING FACILITY 81464,A000000,01800,0000,01800NURSING FACILITY 81464,A000000,01810,0000,01801ICF/MR 81464,A000000,01900,0000,01900OTHER LONG TERM CARE 81464,A000000,02100,0000,02100RADIOLOGY 81464,A000000,02200,0000,02200LABORATORY 81464,A000000,02300,0000,02300INTRAVENOUS THERAPY 81464,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81464,A000000,02500,0000,02500PHYSICAL THERAPY 81464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81464,A000000,02700,0000,02700SPEECH PATHOLOGY 81464,A000000,02800,0000,02800ELECTROCARDIOLOGY 81464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81464,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81464,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81464,A000000,03200,0000,03200SUPPORT SURFACES 81464,A000000,03201,0000,03201EQUIPMENT RENTAL 81464,A000000,03400,0000,03400CLINIC 81464,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81464,A000000,03500,0000,03500RURAL HEALTH CLINIC 81464,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81464,A000000,04800,0000,04800AMBULANCE 81464,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81464,A000000,05000,0000,05000CORF 81464,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81464,A000000,05300,0000,05300INTEREST EXPENSE 81464,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81464,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81464,A000000,05500,0000,05500HOSPICE 81464,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81464,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81464,A000000,06100,0000,06100NONPAID WORKERS 81464,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81464,A000000,06200,0000,06200PATIENTS LAUNDRY 81464,A81000A,00100,0100,Y 81464,A81000B,00100,0300,PHARMACY 81464,A81000B,00200,0300,PHARMACY CONSULTANT 81464,A81000B,00300,0300,HO ADMIN 81464,A81000B,00400,0300,HO ADMIN 81464,A81000B,00500,0300,HO CAPITAL COSTS 81464,A81000B,00600,0300,HO CAPITAL COSTS 81464,A81000C,00100,0100,B 81464,A81000C,00100,0200,GUARDIAN HEALTH GROUP 81464,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81464,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81464,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81464,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81464,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81464,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81464,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81464,B100000,00000,0800,00000MEALS SERVED :DIETARY 81464,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81464,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81464,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81464,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81464,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81464,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 81464,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81464,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81464,S000000,00100,0200,12/12/2000 81464,S200000,00100,0100,2580 SAMARITAN DRIVE 81464,S200000,00200,0100,LOS GATOS 81464,S200000,00200,0200,CA 81464,S200000,00200,0300,95124- 81464,S200000,00300,0100,SANTA CLARA 81464,S200000,00400,0100,GUARDIAN OF LOS GATOS 81464,S200000,00400,0200,055866 81464,S200000,00400,0300,01/01/1970 81464,S200000,00400,0500,P 81464,S200000,01600,0100,Y 81464,S700003,00000,0100,1 81470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81470,A000000,00300,0000,00300EMPLOYEE BENEFITS 81470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81470,A000000,00700,0000,00700HOUSEKEEPING 81470,A000000,00800,0000,00800DIETARY 81470,A000000,00900,0000,00900NURSING ADMINISTRATION 81470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81470,A000000,01100,0000,01100PHARMACY 81470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81470,A000000,01300,0000,01300SOCIAL SERVICE 81470,A000000,01350,0000,01500OTHER GENERAL SERVICES 81470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81470,A000000,01600,0000,01600SKILLED NURSING FACILITY 81470,A000000,01800,0000,01800NURSING FACILITY 81470,A000000,01810,0000,01801ICF/MR 81470,A000000,01900,0000,01900OTHER LONG TERM CARE 81470,A000000,02100,0000,02100RADIOLOGY 81470,A000000,02200,0000,02200LABORATORY 81470,A000000,02300,0000,02300INTRAVENOUS THERAPY 81470,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81470,A000000,02500,0000,02500PHYSICAL THERAPY 81470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81470,A000000,02700,0000,02700SPEECH PATHOLOGY 81470,A000000,02800,0000,02800ELECTROCARDIOLOGY 81470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81470,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81470,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81470,A000000,03200,0000,03200SUPPORT SURFACES 81470,A000000,03400,0000,03400CLINIC 81470,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81470,A000000,03500,0000,03500RURAL HEALTH CLINIC 81470,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81470,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81470,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81470,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81470,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81470,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81470,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81470,A000000,04400,0000,04400DME RENTED - HHA 81470,A000000,04500,0000,04500DME SOLD - HHA 81470,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81470,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81470,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81470,A000000,04800,0000,04800AMBULANCE 81470,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81470,A000000,05000,0000,05000CORF 81470,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81470,A000000,05300,0000,05300INTEREST EXPENSE 81470,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81470,A000000,05500,0000,05500HOSPICE 81470,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81470,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81470,A000000,06100,0000,06100NONPAID WORKERS 81470,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81470,A000000,06200,0000,06200PATIENTS LAUNDRY 81470,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 81470,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 81470,B100000,00000,0350,00000WAGES :EMPLOYEE BENEFITS 81470,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 81481,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81481,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81481,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81481,B100000,00000,0800,00000MEALS SERVED :DIETARY 81481,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 81481,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81481,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81481,B100000,00000,1250,00000ADMISSIONS S :MEDICAL RECORDS & LI 81481,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81481,B100000,00000,1350,00000 ACCUM. COST :OTHER GENERAL SERVICE 81481,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81481,S000000,00100,0200,06/01/2000 81481,S200000,00100,0100,8665 LA MESA BLVD 81481,S200000,00200,0100,LA MESA 81481,S200000,00200,0200,CA 81481,S200000,00200,0300,92041- 81481,S200000,00300,0100,SAN DIEGO 81481,S200000,00400,0100,COMMUNITY CONV HOSPITAL OF LA MESA 81481,S200000,00400,0200,055873 81481,S200000,00400,0300,02/08/1968 81481,S200000,00400,0500,P 81481,S200000,01500,0100,Y 81481,S700003,00000,0100,1 81489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81489,A000000,00300,0000,00300EMPLOYEE BENEFITS 81489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81489,A000000,00700,0000,00700HOUSEKEEPING 81489,A000000,00800,0000,00800DIETARY 81489,A000000,00900,0000,00900NURSING ADMINISTRATION 81489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81489,A000000,01100,0000,01100PHARMACY 81489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81489,A000000,01300,0000,01300SOCIAL SERVICE 81489,A000000,01350,0000,01500OTHER GENERAL SERVICES 81489,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81489,A000000,01600,0000,01600SKILLED NURSING FACILITY 81489,A000000,01800,0000,01800NURSING FACILITY 81489,A000000,01810,0000,01801ICF/MR 81489,A000000,01900,0000,01900OTHER LONG TERM CARE 81489,A000000,02100,0000,02100RADIOLOGY 81489,A000000,02200,0000,02200LABORATORY 81489,A000000,02300,0000,02300INTRAVENOUS THERAPY 81489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81489,A000000,02500,0000,02500PHYSICAL THERAPY 81489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81489,A000000,02700,0000,02700SPEECH PATHOLOGY 81489,A000000,02800,0000,02800ELECTROCARDIOLOGY 81489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81489,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81489,A000000,03200,0000,03200SUPPORT SURFACES 81489,A000000,03400,0000,03400CLINIC 81489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81489,A000000,03500,0000,03500RURAL HEALTH CLINIC 81489,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81489,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81489,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81489,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81489,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81489,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81489,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81489,A000000,04400,0000,04400DME RENTED - HHA 81489,A000000,04500,0000,04500DME SOLD - HHA 81489,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81489,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81489,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81489,A000000,04800,0000,04800AMBULANCE 81489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81489,A000000,05000,0000,05000CORF 81489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81489,A000000,05300,0000,05300INTEREST EXPENSE 81489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81489,A000000,05500,0000,05500HOSPICE 81489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81489,A000000,06100,0000,06100NONPAID WORKERS 81489,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81489,A000000,06200,0000,06200PATIENTS LAUNDRY 81489,A81000A,00100,0100,Y 81489,A81000B,00100,0300,MANAGEMENT FEES 81489,A81000B,00200,0300,HOME OFFICE-BUILDING 81489,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 81489,A81000B,00400,0300,HOME OFFICE COSTS 81489,A81000B,00500,0300,ACCOUNTING FEES 81489,A81000C,00100,0100,A 81489,A81000C,00100,0200,KENNETH DUNTON 81489,A81000C,00100,0400,KENCO MEDICAL 81489,A81000C,00200,0100,E 81489,A81000C,00200,0200,S. ENGLESON 81489,A81000C,00200,0400,ENGLESON/HUNTER 81489,A81000C,00200,0600,CPA 81489,A81000C,00300,0100,A 81489,A81000C,00300,0200,STEVEN DUNTON 81489,A81000C,00300,0400,SVD MANAGEMENT LLC 81489,A81000C,00300,0600,MANAGER 81489,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81489,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81489,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81489,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81489,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81489,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81489,B100000,00000,0800,00000MEALS SERVED :DIETARY 81489,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 81489,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81489,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81489,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81489,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81489,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81489,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81489,S000000,00100,0200,06/30/2000 81489,S200000,00100,0100,1805 WEST STREET 81489,S200000,00200,0100,HAYWARD 81489,S200000,00200,0200,CA 81489,S200000,00200,0300,94545- 81489,S200000,00300,0100,ALAMEDA 81489,S200000,00400,0100,EDEN WEST CONVALESCENT HOSPITAL 81489,S200000,00400,0200,055874 81489,S200000,00400,0300,10/01/1988 81489,S200000,00400,0500,P 81489,S200000,01600,0100,Y 81489,S700003,00000,0100,1 81504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81504,A000000,00300,0000,00300EMPLOYEE BENEFITS 81504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81504,A000000,00700,0000,00700HOUSEKEEPING 81504,A000000,00800,0000,00800DIETARY 81504,A000000,00900,0000,00900NURSING ADMINISTRATION 81504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81504,A000000,01100,0000,01100PHARMACY 81504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81504,A000000,01300,0000,01300SOCIAL SERVICE 81504,A000000,01350,0000,01500OTHER GENERAL SERVICES 81504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81504,A000000,01600,0000,01600SKILLED NURSING FACILITY 81504,A000000,01800,0000,01800NURSING FACILITY 81504,A000000,01810,0000,01810ICF/MR 81504,A000000,01900,0000,01900OTHER LONG TERM CARE 81504,A000000,02100,0000,02100RADIOLOGY 81504,A000000,02200,0000,02200LABORATORY 81504,A000000,02300,0000,02300INTRAVENOUS THERAPY 81504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81504,A000000,02500,0000,02500PHYSICAL THERAPY 81504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81504,A000000,02700,0000,02700SPEECH PATHOLOGY 81504,A000000,02800,0000,02800ELECTROCARDIOLOGY 81504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81504,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81504,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81504,A000000,03200,0000,03200SUPPORT SURFACES 81504,A000000,03400,0000,03400CLINIC 81504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81504,A000000,03500,0000,03500RURAL HEALTH CLINIC 81504,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81504,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81504,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81504,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81504,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81504,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81504,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81504,A000000,04400,0000,04400DME RENTED - HHA 81504,A000000,04500,0000,04500DME SOLD - HHA 81504,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81504,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81504,A000000,04800,0000,04800AMBULANCE 81504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81504,A000000,05000,0000,05000CORF 81504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81504,A000000,05300,0000,05300INTEREST EXPENSE 81504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81504,A000000,05500,0000,05500HOSPICE 81504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81504,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81504,A000000,06100,0000,06100NONPAID WORKERS 81504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81504,A000000,06200,0000,06200PATIENTS LAUNDRY 81504,A81000A,00100,0100,Y 81504,A81000B,00100,0300,MANAGEMENT FEES(1/1-5/31/99) 81504,A81000B,00200,0300,BUILDING LEASE 81504,A81000B,00300,0300,PROPERTY INTEREST EXP 81504,A81000B,00400,0300,DEPR EXP-LEASEHOLD 81504,A81000C,00100,0100,A 81504,A81000C,00100,0200,KENNETH V. DUNTON 81504,A81000C,00100,0600,TRUST 81504,A81000C,00200,0100,B 81504,A81000C,00200,0400,KENCO MEDICAL CORPORATION 81504,A81000C,00200,0600,MANAGEMENT 81504,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81504,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81504,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81504,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81504,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81504,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81504,B100000,00000,0800,00000MEALS SERVED :DIETARY 81504,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81504,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81504,S000000,00100,0200,09/19/2000 81504,S200000,00100,0100,3580 PAYNE AVENUE 81504,S200000,00200,0100,SAN JOSE 81504,S200000,00200,0200,CA 81504,S200000,00200,0300,95117- 81504,S200000,00300,0100,SANTA CLARA 81504,S200000,00300,0200,7400 81504,S200000,00300,0300,U 81504,S200000,00400,0100,SAN TOMAS CONV. HOSPITAL 81504,S200000,00400,0200,055884 81504,S200000,00400,0300,03/12/1986 81504,S200000,00400,0500,P 81504,S200000,01004,0500,O 81504,S200000,01500,0100,Y 81504,S200000,02800,0100,Y 81515,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81515,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81515,A000000,00300,0000,00300EMPLOYEE BENEFITS 81515,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81515,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81515,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81515,A000000,00700,0000,00700HOUSEKEEPING 81515,A000000,00800,0000,00800DIETARY 81515,A000000,00900,0000,00900NURSING ADMINISTRATION 81515,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81515,A000000,01100,0000,01100PHARMACY 81515,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81515,A000000,01300,0000,01300SOCIAL SERVICE 81515,A000000,01350,0000,01500OTHER GENERAL SERVICES 81515,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81515,A000000,01600,0000,01600SKILLED NURSING FACILITY 81515,A000000,01800,0000,01800NURSING FACILITY 81515,A000000,01810,0000,01801ICF/MR 81515,A000000,01900,0000,01900OTHER LONG TERM CARE 81515,A000000,02100,0000,02100RADIOLOGY 81515,A000000,02200,0000,02200LABORATORY 81515,A000000,02300,0000,02300INTRAVENOUS THERAPY 81515,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81515,A000000,02500,0000,02500PHYSICAL THERAPY 81515,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81515,A000000,02700,0000,02700SPEECH PATHOLOGY 81515,A000000,02800,0000,02800ELECTROCARDIOLOGY 81515,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81515,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81515,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81515,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81515,A000000,03200,0000,03200SUPPORT SURFACES 81515,A000000,03400,0000,03400CLINIC 81515,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81515,A000000,03500,0000,03500RURAL HEALTH CLINIC 81515,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81515,A000000,04800,0000,04800AMBULANCE 81515,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81515,A000000,05000,0000,05000CORF 81515,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81515,A000000,05300,0000,05300INTEREST EXPENSE 81515,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81515,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81515,A000000,05500,0000,05500HOSPICE 81515,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81515,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81515,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81515,A000000,06100,0000,06100NONPAID WORKERS 81515,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81515,A000000,06200,0000,06200PATIENTS LAUNDRY 81515,A81000A,00100,0100,Y 81515,A81000B,00100,0300,DEPRECIATION-BUILDING 81515,A81000B,00200,0300,MORTGAGE INTEREST 81515,A81000B,00300,0300,DEPRECIATION-EQUIPMENT 81515,A81000C,00100,0100,A 81515,A81000C,00100,0200,L. KREPELKA 81515,A81000C,00100,0400,SOMERSET NURSING CTR INC. 81515,A81000C,00100,0600,LESSOR 81515,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81515,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81515,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81515,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81515,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81515,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81515,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81515,B100000,00000,0800,00000MEALS SERVED :DIETARY 81515,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81515,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81515,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81515,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81515,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81515,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81515,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81515,S000000,00100,0200,06/01/2000 81515,S200000,00100,0100,2215 OAKMONT STREET 81515,S200000,00200,0100,WEST SACRAMENTO 81515,S200000,00200,0200,CA 81515,S200000,00200,0300,95619- 81515,S200000,00300,0100,YOLO 81515,S200000,00400,0100,SOMERSET NURSING CENTER INC. 81515,S200000,00400,0200,055887 81515,S200000,00400,0300,01/01/1968 81515,S200000,00400,0500,P 81515,S200000,01600,0100,Y 81515,S200000,02800,0100,Y 81528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81528,A000000,00300,0000,00300EMPLOYEE BENEFITS 81528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81528,A000000,00700,0000,00700HOUSEKEEPING 81528,A000000,00800,0000,00800DIETARY 81528,A000000,00900,0000,00900NURSING ADMINISTRATION 81528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81528,A000000,01100,0000,01100PHARMACY 81528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81528,A000000,01300,0000,01300SOCIAL SERVICE 81528,A000000,01350,0000,01500OTHER GENERAL SERVICES 81528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81528,A000000,01600,0000,01600SKILLED NURSING FACILITY 81528,A000000,01800,0000,01800NURSING FACILITY 81528,A000000,01810,0000,01801ICF/MR 81528,A000000,01900,0000,01900OTHER LONG TERM CARE 81528,A000000,02100,0000,02100RADIOLOGY 81528,A000000,02200,0000,02200LABORATORY 81528,A000000,02300,0000,02300INTRAVENOUS THERAPY 81528,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81528,A000000,02500,0000,02500PHYSICAL THERAPY 81528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81528,A000000,02700,0000,02700SPEECH PATHOLOGY 81528,A000000,02800,0000,02800ELECTROCARDIOLOGY 81528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81528,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81528,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81528,A000000,03200,0000,03200SUPPORT SURFACES 81528,A000000,03400,0000,03400CLINIC 81528,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81528,A000000,03500,0000,03500RURAL HEALTH CLINIC 81528,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81528,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81528,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81528,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81528,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81528,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81528,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81528,A000000,04400,0000,04400DME RENTED - HHA 81528,A000000,04500,0000,04500DME SOLD - HHA 81528,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81528,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81528,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81528,A000000,04800,0000,04800AMBULANCE 81528,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81528,A000000,05000,0000,05000CORF 81528,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81528,A000000,05300,0000,05300INTEREST EXPENSE 81528,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81528,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81528,A000000,05500,0000,05500HOSPICE 81528,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81528,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81528,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81528,A000000,06100,0000,06100NONPAID WORKERS 81528,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81528,A000000,06200,0000,06200PATIENTS LAUNDRY 81528,A81000A,00100,0100,Y 81528,A81000B,00100,0300,MANAGEMENT FEES 81528,A81000B,00200,0300,HOME OFFICE-BUILDING 81528,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 81528,A81000B,00400,0300,HOME OFFICE COSTS 81528,A81000C,00100,0100,A 81528,A81000C,00100,0200,ALBA TILLER 81528,A81000C,00100,0400,A.T. ASSOCIATES INC. 81528,A81000C,00100,0600,HOME OFFICE/MANAGER 81528,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81528,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81528,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81528,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81528,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81528,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81528,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81528,B100000,00000,0800,00000MEALS SERVED :DIETARY 81528,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81528,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81528,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81528,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81528,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81528,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81528,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81528,S000000,00100,0200,06/16/2000 81528,S200000,00100,0100,2223 ASHBY AVENUE 81528,S200000,00200,0100,BERKELEY 81528,S200000,00200,0200,CA 81528,S200000,00200,0300,94705- 81528,S200000,00300,0100,ALAMEDA 81528,S200000,00400,0100,BERKELEY PINES CARE CENTER 81528,S200000,00400,0200,055892 81528,S200000,00400,0300,08/01/1982 81528,S200000,00400,0500,P 81528,S200000,01500,0100,Y 81528,S200000,02800,0100,Y 81528,S700003,00000,0100,1 81539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81539,A000000,00300,0000,00300EMPLOYEE BENEFITS 81539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81539,A000000,00700,0000,00700HOUSEKEEPING 81539,A000000,00800,0000,00800DIETARY 81539,A000000,00900,0000,00900NURSING ADMINISTRATION 81539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81539,A000000,01100,0000,01100PHARMACY 81539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81539,A000000,01300,0000,01300SOCIAL SERVICE 81539,A000000,01350,0000,01500OTHER GENERAL SERVICES 81539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81539,A000000,01600,0000,01600SKILLED NURSING FACILITY 81539,A000000,01800,0000,01800NURSING FACILITY 81539,A000000,01900,0000,01900OTHER LONG TERM CARE 81539,A000000,02100,0000,02100RADIOLOGY 81539,A000000,02200,0000,02200LABORATORY 81539,A000000,02300,0000,02300INTRAVENOUS THERAPY 81539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81539,A000000,02500,0000,02500PHYSICAL THERAPY 81539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81539,A000000,02700,0000,02700SPEECH PATHOLOGY 81539,A000000,02800,0000,02800ELECTROCARDIOLOGY 81539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81539,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81539,A000000,03200,0000,03200SUPPORT SURFACES 81539,A000000,03400,0000,03400CLINIC 81539,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81539,A000000,03500,0000,03500RURAL HEALTH CLINIC 81539,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81539,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81539,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81539,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81539,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81539,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81539,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81539,A000000,04400,0000,04400DME RENTED - HHA 81539,A000000,04500,0000,04500DME SOLD - HHA 81539,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81539,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81539,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81539,A000000,04800,0000,04800AMBULANCE 81539,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81539,A000000,05000,0000,05000CORF 81539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81539,A000000,05300,0000,05300INTEREST EXPENSE 81539,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81539,A000000,05500,0000,05500HOSPICE 81539,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81539,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81539,A000000,06100,0000,06100NONPAID WORKERS 81539,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81539,A000000,06200,0000,06200PATIENTS LAUNDRY 81539,A81000A,00100,0100,Y 81539,A81000B,00100,0300,MANAGEMENT FEE 81539,A81000C,00100,0100,F 81539,A81000C,00100,0200,J & D SORENSEN D. LAWS 81539,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81539,A81000C,00100,0600,MANAGEMENT 81539,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81539,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81539,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81539,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81539,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81539,B100000,00000,0800,00000MEALS SERVED :DIETARY 81539,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81539,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81539,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81539,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81539,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81539,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81539,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81539,S000000,00100,0200,05/22/2000 81539,S200000,00100,0100,2725 EAST BROADWAY 81539,S200000,00200,0100,LONG BEACH 81539,S200000,00200,0200,CA 81539,S200000,00200,0300,90803- 81539,S200000,00300,0100,LOS ANGELES 81539,S200000,00400,0100,HACIENDA CONV HOSPITAL 81539,S200000,00400,0200,055894 81539,S200000,00400,0300,11/06/1985 81539,S200000,00400,0500,P 81539,S200000,00600,0200,055894 81539,S200000,00600,0300,11/06/1985 81539,S200000,00600,0600,P 81539,S200000,01500,0100,Y 81539,S200000,02200,0100,Y 81539,S700003,00000,0100,1 81548,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81548,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81548,A000000,00300,0000,00300EMPLOYEE BENEFITS 81548,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81548,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81548,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81548,A000000,00700,0000,00700HOUSEKEEPING 81548,A000000,00800,0000,00800DIETARY 81548,A000000,00900,0000,00900NURSING ADMINISTRATION 81548,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81548,A000000,01100,0000,01100PHARMACY 81548,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81548,A000000,01300,0000,01300SOCIAL SERVICE 81548,A000000,01350,0000,01500OTHER GENERAL SERVICES 81548,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81548,A000000,01600,0000,01600SKILLED NURSING FACILITY 81548,A000000,01800,0000,01800NURSING FACILITY 81548,A000000,01810,0000,01801ICF/MR 81548,A000000,01900,0000,01900OTHER LONG TERM CARE 81548,A000000,02100,0000,02100RADIOLOGY 81548,A000000,02200,0000,02200LABORATORY 81548,A000000,02300,0000,02300INTRAVENOUS THERAPY 81548,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81548,A000000,02500,0000,02500PHYSICAL THERAPY 81548,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81548,A000000,02700,0000,02700SPEECH PATHOLOGY 81548,A000000,02800,0000,02800ELECTROCARDIOLOGY 81548,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81548,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81548,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81548,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81548,A000000,03200,0000,03200SUPPORT SURFACES 81548,A000000,03400,0000,03400CLINIC 81548,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81548,A000000,03500,0000,03500RURAL HEALTH CLINIC 81548,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81548,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81548,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81548,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81548,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81548,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81548,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81548,A000000,04400,0000,04400DME RENTED - HHA 81548,A000000,04500,0000,04500DME SOLD - HHA 81548,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81548,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81548,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81548,A000000,04800,0000,04800AMBULANCE 81548,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81548,A000000,05000,0000,05000CORF 81548,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81548,A000000,05300,0000,05300INTEREST EXPENSE 81548,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81548,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81548,A000000,05500,0000,05500HOSPICE 81548,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81548,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81548,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81548,A000000,06100,0000,06100NONPAID WORKERS 81548,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81548,A000000,06200,0000,06200PATIENTS LAUNDRY 81548,A81000A,00100,0100,Y 81548,A81000B,00100,0300,LEASE EXPENSE 81548,A81000B,00200,0300,HOME OFFICE COSTS 81548,A81000C,00100,0100,A 81548,A81000C,00100,0200,GEORGE HARDI 81548,A81000C,00100,0400,HARDI NURSING HOME MGMT 81548,A81000C,00100,0600,HOME OFFICE 81548,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81548,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81548,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81548,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81548,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81548,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81548,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81548,B100000,00000,0800,00000MEALS SERVED :DIETARY 81548,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81548,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81548,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81548,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81548,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81548,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81548,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81548,S000000,00100,0200,05/23/2000 81548,S200000,00100,0100,630 W. BROADWAY 81548,S200000,00200,0100,GLENDALE 81548,S200000,00200,0200,CA 81548,S200000,00200,0300,91204- 81548,S200000,00300,0100,LOS ANGELES 81548,S200000,00400,0100,ROYAL PALMS CONVALESCENT HOSPITAL 81548,S200000,00400,0200,055899 81548,S200000,00400,0300,06/01/1989 81548,S200000,00400,0500,P 81548,S200000,01500,0100,Y 81548,S700003,00000,0100,1 81556,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81556,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81556,A000000,00300,0000,00300EMPLOYEE BENEFITS 81556,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81556,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81556,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81556,A000000,00700,0000,00700HOUSEKEEPING 81556,A000000,00800,0000,00800DIETARY 81556,A000000,00900,0000,00900NURSING ADMINISTRATION 81556,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81556,A000000,01100,0000,01100PHARMACY 81556,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81556,A000000,01300,0000,01300SOCIAL SERVICE 81556,A000000,01600,0000,01600SKILLED NURSING FACILITY 81556,A000000,01800,0000,01800NURSING FACILITY 81556,A000000,01810,0000,01801ICF/MR 81556,A000000,02100,0000,02100RADIOLOGY 81556,A000000,02200,0000,02200LABORATORY 81556,A000000,02300,0000,02300INTRAVENOUS THERAPY 81556,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81556,A000000,02500,0000,02500PHYSICAL THERAPY 81556,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81556,A000000,02700,0000,02700SPEECH PATHOLOGY 81556,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81556,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81556,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81556,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81556,A81000A,00100,0100,Y 81556,A81000B,00100,0300,CORPORATE EXPRESS 81556,A81000B,00200,0300,ALLOWABLE HOME OFFICE COST 81556,A81000B,00300,0300,CAPITAL - BUILDING 81556,A81000B,00400,0300,CAPITAL - EQUIPMENT 81556,A81000C,00100,0100,B 81556,A81000C,00100,0200,ABHOW 81556,A81000C,00100,0600,ACCTG & MGMT 81556,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81556,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81556,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81556,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81556,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81556,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81556,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81556,B100000,00000,0800,00000MEALS SERVED :DIETARY 81556,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81556,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 81556,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81556,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81556,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81556,S000000,00100,0200,03/01/2000 81556,S200000,00100,0100,900 SALEM DRIVE 81556,S200000,00200,0100,REDLANDS 81556,S200000,00200,0200,CA 81556,S200000,00200,0300,92372- 81556,S200000,00300,0100,SAN BERNADINO 81556,S200000,00400,0100,ABHOW - PLYMOUTH VILLAGE 81556,S200000,00400,0200,055914 81556,S200000,00400,0300,05/26/1969 81556,S200000,00400,0500,P 81556,S200000,01500,0100,Y 81556,S700003,00000,0100,1 81566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81566,A000000,00300,0000,00300EMPLOYEE BENEFITS 81566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81566,A000000,00700,0000,00700HOUSEKEEPING 81566,A000000,00800,0000,00800DIETARY 81566,A000000,00900,0000,00900NURSING ADMINISTRATION 81566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81566,A000000,01100,0000,01100PHARMACY 81566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81566,A000000,01300,0000,01300SOCIAL SERVICE 81566,A000000,01350,0000,01500OTHER GENERAL SERVICES 81566,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81566,A000000,01600,0000,01600SKILLED NURSING FACILITY 81566,A000000,01800,0000,01800NURSING FACILITY 81566,A000000,01810,0000,01801ICF/MR 81566,A000000,01900,0000,01900OTHER LONG TERM CARE 81566,A000000,02100,0000,02100RADIOLOGY 81566,A000000,02200,0000,02200LABORATORY 81566,A000000,02300,0000,02300INTRAVENOUS THERAPY 81566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81566,A000000,02500,0000,02500PHYSICAL THERAPY 81566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81566,A000000,02700,0000,02700SPEECH PATHOLOGY 81566,A000000,02800,0000,02800ELECTROCARDIOLOGY 81566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81566,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81566,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81566,A000000,03200,0000,03200SUPPORT SURFACES 81566,A000000,03400,0000,03400CLINIC 81566,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81566,A000000,03500,0000,03500RURAL HEALTH CLINIC 81566,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81566,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81566,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81566,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81566,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81566,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81566,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81566,A000000,04400,0000,04400DME RENTED - HHA 81566,A000000,04500,0000,04500DME SOLD - HHA 81566,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81566,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81566,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81566,A000000,04800,0000,04800AMBULANCE 81566,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81566,A000000,05000,0000,05000CORF 81566,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81566,A000000,05300,0000,05300INTEREST EXPENSE 81566,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81566,A000000,05500,0000,05500HOSPICE 81566,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81566,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81566,A000000,06100,0000,06100NONPAID WORKERS 81566,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81566,A000000,06200,0000,06200PATIENTS LAUNDRY 81566,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81566,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81566,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81566,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81566,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81566,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81566,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81566,B100000,00000,0800,00000MEALS SERVED :DIETARY 81566,B100000,00000,0900,00000DIR NURSG HOURS :NURSING ADMINISTRA 81566,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81566,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81566,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81566,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81566,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81566,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81566,S000000,00100,0200,05/19/2000 81566,S200000,00100,0100,469 EAST NORTH STREET 81566,S200000,00200,0100,MANTECA 81566,S200000,00200,0200,CA 81566,S200000,00200,0300,95336- 81566,S200000,00300,0100,SAN JOAQUIN 81566,S200000,00400,0100,PALM HAVEN CARE CENTER 81566,S200000,00400,0200,055917 81566,S200000,00400,0300,04/10/1968 81566,S200000,00400,0500,P 81566,S200000,01600,0100,Y 81566,S200000,02800,0100,Y 81566,S700003,00000,0100,1 81575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81575,A000000,00300,0000,00300EMPLOYEE BENEFITS 81575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81575,A000000,00700,0000,00700HOUSEKEEPING 81575,A000000,00800,0000,00800DIETARY 81575,A000000,00900,0000,00900NURSING ADMINISTRATION 81575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81575,A000000,01100,0000,01100PHARMACY 81575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81575,A000000,01300,0000,01300SOCIAL SERVICE 81575,A000000,01350,0000,01500OTHER GENERAL SERVICES 81575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81575,A000000,01600,0000,01600SKILLED NURSING FACILITY 81575,A000000,01800,0000,01800NURSING FACILITY 81575,A000000,01900,0000,01900OTHER LONG TERM CARE 81575,A000000,02100,0000,02100RADIOLOGY 81575,A000000,02200,0000,02200LABORATORY 81575,A000000,02300,0000,02300INTRAVENOUS THERAPY 81575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81575,A000000,02500,0000,02500PHYSICAL THERAPY 81575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81575,A000000,02700,0000,02700SPEECH PATHOLOGY 81575,A000000,02800,0000,02800ELECTROCARDIOLOGY 81575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81575,A000000,03200,0000,03200SUPPORT SURFACES 81575,A000000,03400,0000,03400CLINIC 81575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81575,A000000,03500,0000,03500RURAL HEALTH CLINIC 81575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81575,A000000,04400,0000,04400DME RENTED - HHA 81575,A000000,04500,0000,04500DME SOLD - HHA 81575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81575,A000000,04800,0000,04800AMBULANCE 81575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81575,A000000,05000,0000,05000CORF 81575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81575,A000000,05300,0000,05300INTEREST EXPENSE 81575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81575,A000000,05500,0000,05500HOSPICE 81575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81575,A000000,06100,0000,06100NONPAID WORKERS 81575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81575,A000000,06200,0000,06200PATIENTS LAUNDRY 81575,A81000A,00100,0100,Y 81575,A81000B,00100,0300,MANAGEMENT FEE 81575,A81000C,00100,0100,F 81575,A81000C,00100,0200,J & D SORENSEN D. LAWS 81575,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81575,A81000C,00100,0600,MANAGEMENT 81575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81575,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81575,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 81575,B100000,00000,0750,00000HRS OF SERVC :HOUSEKEEPING 81575,B100000,00000,0800,00000MEALS SERVED :DIETARY 81575,B100000,00000,0900,00000NSG HOURS :NURSING ADMINISTRATION 81575,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81575,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81575,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81575,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81575,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81575,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81575,S000000,00100,0200,05/15/2000 81575,S200000,00100,0100,1035 GRAVENSTEIN HWY SOUTH 81575,S200000,00200,0100,SEBASTOPOL 81575,S200000,00200,0200,CA 81575,S200000,00200,0300,95472- 81575,S200000,00300,0100,SONOMA 81575,S200000,00400,0100,APPLE VALLEY CONVALESCENT HOSPITAL 81575,S200000,00400,0200,055919 81575,S200000,00400,0300,05/01/1995 81575,S200000,00400,0500,P 81575,S200000,00600,0200,055919 81575,S200000,00600,0300,05/01/1995 81575,S200000,00600,0600,P 81575,S200000,01600,0100,Y 81575,S200000,02200,0100,Y 81575,S700003,00000,0100,1 81585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81585,A000000,00300,0000,00300EMPLOYEE BENEFITS 81585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81585,A000000,00700,0000,00700HOUSEKEEPING 81585,A000000,00800,0000,00800DIETARY 81585,A000000,00900,0000,00900NURSING ADMINISTRATION 81585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81585,A000000,01100,0000,01100PHARMACY 81585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81585,A000000,01300,0000,01300SOCIAL SERVICE 81585,A000000,01600,0000,01600SKILLED NURSING FACILITY 81585,A000000,01800,0000,01800NURSING FACILITY 81585,A000000,01900,0000,01900OTHER LONG TERM CARE 81585,A000000,02100,0000,02100RADIOLOGY 81585,A000000,02200,0000,02200LABORATORY 81585,A000000,02300,0000,02300INTRAVENOUS THERAPY 81585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81585,A000000,02500,0000,02500PHYSICAL THERAPY 81585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81585,A000000,02700,0000,02700SPEECH PATHOLOGY 81585,A000000,02800,0000,02800ELECTROCARDIOLOGY 81585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81585,A000000,03200,0000,03200SUPPORT SURFACES 81585,A000000,04800,0000,04800AMBULANCE 81585,A000000,05000,0000,05000CORF 81585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81585,A000000,05300,0000,05300INTEREST EXPENSE 81585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81585,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81585,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81585,B100000,00000,0800,00000MEALS SERVED :DIETARY 81585,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 81585,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81585,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 81585,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 81585,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81585,S000000,00100,0200,06/05/2000 81585,S200000,00100,0100,1445 SUPERIOR AVE 81585,S200000,00200,0100,NEWPORT BEACH 81585,S200000,00200,0200,CA 81585,S200000,00200,0300,92663- 81585,S200000,00300,0100,ORANGE 81585,S200000,00400,0100,PARK SUPERIOR HEALTHCARE 81585,S200000,00400,0200,055929 81585,S200000,00400,0300,06/01/1987 81585,S200000,00400,0500,P 81585,S200000,01600,0100,Y 81585,S700003,00000,0100,1 81593,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81593,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81593,A000000,00300,0000,00300EMPLOYEE BENEFITS 81593,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81593,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81593,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81593,A000000,00700,0000,00700HOUSEKEEPING 81593,A000000,00800,0000,00800DIETARY 81593,A000000,00900,0000,00900NURSING ADMINISTRATION 81593,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81593,A000000,01100,0000,01100PHARMACY 81593,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81593,A000000,01300,0000,01300SOCIAL SERVICE 81593,A000000,01350,0000,01500OTHER GENERAL SERVICES 81593,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81593,A000000,01600,0000,01600SKILLED NURSING FACILITY 81593,A000000,01800,0000,01800NURSING FACILITY 81593,A000000,01810,0000,01810ICF/MR 81593,A000000,01900,0000,01900OTHER LONG TERM CARE 81593,A000000,02100,0000,02100RADIOLOGY 81593,A000000,02200,0000,02200LABORATORY 81593,A000000,02300,0000,02300INTRAVENOUS THERAPY 81593,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81593,A000000,02500,0000,02500PHYSICAL THERAPY 81593,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81593,A000000,02700,0000,02700SPEECH PATHOLOGY 81593,A000000,02800,0000,02800ELECTROCARDIOLOGY 81593,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81593,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81593,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81593,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81593,A000000,03200,0000,03200SUPPORT SURFACES 81593,A000000,03400,0000,03400CLINIC 81593,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81593,A000000,03500,0000,03500RURAL HEALTH CLINIC 81593,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81593,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81593,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81593,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81593,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81593,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81593,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81593,A000000,04400,0000,04400DME RENTED - HHA 81593,A000000,04500,0000,04500DME SOLD - HHA 81593,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81593,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81593,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81593,A000000,04800,0000,04800AMBULANCE 81593,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81593,A000000,05000,0000,05000CORF 81593,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81593,A000000,05300,0000,05300INTEREST EXPENSE 81593,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81593,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81593,A000000,05500,0000,05500HOSPICE 81593,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81593,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81593,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81593,A000000,06100,0000,06100NONPAID WORKERS 81593,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81593,A000000,06200,0000,06200PATIENTS LAUNDRY 81593,A81000A,00100,0100,Y 81593,A81000B,00100,0300,CAP REL COSTS -RENT 81593,A81000B,00200,0300,MORTGAGE INTEREST 81593,A81000C,00100,0100,A 81593,A81000C,00100,0200,SANFORD DEUTSCH 81593,A81000C,00100,0400,CHANLAUR INVESTMENT 81593,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81593,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81593,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81593,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81593,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81593,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81593,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81593,B100000,00000,0800,00000MEALS SERVED :DIETARY 81593,B100000,00000,0950,00000CENSUS :NURSING ADMINISTRATION 81593,B100000,00000,1330,00000CENSUS :SOCIAL SERVICE 81593,S000000,00100,0200,07/19/2000 81593,S200000,00100,0100,5335 LAUREL CANYON BLVD 81593,S200000,00200,0100,NORTH HOLLYWOOD 81593,S200000,00200,0200,CA 81593,S200000,00200,0300,91606- 81593,S200000,00300,0100,LOS ANGELES 81593,S200000,00300,0200,4480 81593,S200000,00300,0300,U 81593,S200000,00400,0100,CHANDLER CONVALESCENT HOSPITAL 81593,S200000,00400,0200,055932 81593,S200000,00400,0300,08/01/1988 81593,S200000,00400,0500,P 81593,S200000,01600,0100,Y 81603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81603,A000000,00300,0000,00300EMPLOYEE BENEFITS 81603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81603,A000000,00700,0000,00700HOUSEKEEPING 81603,A000000,00800,0000,00800DIETARY 81603,A000000,00900,0000,00900NURSING ADMINISTRATION 81603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81603,A000000,01100,0000,01100PHARMACY 81603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81603,A000000,01300,0000,01300SOCIAL SERVICE 81603,A000000,01350,0000,01500OTHER GENERAL SERVICES 81603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81603,A000000,01600,0000,01600SKILLED NURSING FACILITY 81603,A000000,01800,0000,01800NURSING FACILITY 81603,A000000,01810,0000,01801ICF/MR 81603,A000000,01900,0000,01900OTHER LONG TERM CARE 81603,A000000,02100,0000,02100RADIOLOGY 81603,A000000,02200,0000,02200LABORATORY 81603,A000000,02300,0000,02300INTRAVENOUS THERAPY 81603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81603,A000000,02500,0000,02500PHYSICAL THERAPY 81603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81603,A000000,02700,0000,02700SPEECH PATHOLOGY 81603,A000000,02800,0000,02800ELECTROCARDIOLOGY 81603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81603,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81603,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81603,A000000,03200,0000,03200SUPPORT SURFACES 81603,A000000,03400,0000,03400CLINIC 81603,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81603,A000000,03500,0000,03500RURAL HEALTH CLINIC 81603,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81603,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81603,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81603,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81603,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81603,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81603,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81603,A000000,04400,0000,04400DME RENTED - HHA 81603,A000000,04500,0000,04500DME SOLD - HHA 81603,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81603,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81603,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81603,A000000,04800,0000,04800AMBULANCE 81603,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81603,A000000,05000,0000,05000CORF 81603,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81603,A000000,05300,0000,05300INTEREST EXPENSE 81603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81603,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81603,A000000,05500,0000,05500HOSPICE 81603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81603,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81603,A000000,06100,0000,06100NONPAID WORKERS 81603,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81603,A000000,06200,0000,06200PATIENTS LAUNDRY 81603,A81000A,00100,0100,Y 81603,A81000B,00100,0300,MANAGEMENT FEES 81603,A81000B,00200,0300,DEPR-EQPT HOME OFFICE 81603,A81000B,00300,0300,HOME OFFICE COSTS 81603,A81000C,00100,0100,B 81603,A81000C,00100,0400,MARK ONE CORPORATION 81603,A81000C,00100,0600,HOME OFFICE 81603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81603,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81603,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81603,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81603,B100000,00000,0800,00000MEALS SERVED :DIETARY 81603,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81603,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81603,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81603,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81603,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81603,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81603,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81603,S000000,00100,0200,04/06/2000 81603,S200000,00100,0100,1711 RICHLAND AVENUE 81603,S200000,00200,0100,CERES 81603,S200000,00200,0200,CA 81603,S200000,00200,0300,95307- 81603,S200000,00300,0100,STANISLAUS 81603,S200000,00400,0100,HA-LE ALOHA CONVALESCENT HOSPITAL 81603,S200000,00400,0200,055935 81603,S200000,00400,0300,10/01/1977 81603,S200000,00400,0500,P 81603,S200000,01500,0100,Y 81603,S200000,02800,0100,Y 81603,S700003,00000,0100,1 81613,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81613,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81613,A000000,00300,0000,00300EMPLOYEE BENEFITS 81613,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81613,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81613,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81613,A000000,00700,0000,00700HOUSEKEEPING 81613,A000000,00800,0000,00800DIETARY 81613,A000000,00900,0000,00900NURSING ADMINISTRATION 81613,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81613,A000000,01100,0000,01100PHARMACY 81613,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81613,A000000,01300,0000,01300SOCIAL SERVICE 81613,A000000,01350,0000,01500OTHER GENERAL SERVICES 81613,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81613,A000000,01600,0000,01600SKILLED NURSING FACILITY 81613,A000000,01800,0000,01800NURSING FACILITY 81613,A000000,01900,0000,01900OTHER LONG TERM CARE 81613,A000000,02100,0000,02100RADIOLOGY 81613,A000000,02200,0000,02200LABORATORY 81613,A000000,02300,0000,02300INTRAVENOUS THERAPY 81613,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81613,A000000,02500,0000,02500PHYSICAL THERAPY 81613,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81613,A000000,02700,0000,02700SPEECH PATHOLOGY 81613,A000000,02800,0000,02800ELECTROCARDIOLOGY 81613,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81613,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81613,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81613,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81613,A000000,03200,0000,03200SUPPORT SURFACES 81613,A000000,03400,0000,03400CLINIC 81613,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81613,A000000,03500,0000,03500RURAL HEALTH CLINIC 81613,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81613,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81613,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81613,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81613,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81613,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81613,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81613,A000000,04400,0000,04400DME RENTED - HHA 81613,A000000,04500,0000,04500DME SOLD - HHA 81613,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81613,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81613,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81613,A000000,04800,0000,04800AMBULANCE 81613,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81613,A000000,05000,0000,05000CORF 81613,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81613,A000000,05300,0000,05300INTEREST EXPENSE 81613,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81613,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81613,A000000,05500,0000,05500HOSPICE 81613,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81613,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81613,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81613,A000000,06100,0000,06100NONPAID WORKERS 81613,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81613,A000000,06200,0000,06200PATIENTS LAUNDRY 81613,A81000A,00100,0100,Y 81613,A81000B,00100,0300,RELATED LEASE BLDG. 81613,A81000C,00100,0100,B 81613,A81000C,00100,0200,SHARON JENNINGS 81613,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 81613,A81000C,00100,0600,PROPERTY MANAGEMENT 81613,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81613,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81613,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81613,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81613,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81613,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81613,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81613,B100000,00000,0800,00000MEALS SERVED :DIETARY 81613,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81613,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81613,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81613,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81613,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81613,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81613,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81613,S000000,00100,0200,02/25/2000 81613,S200000,00100,0100,5901 LEMON HILL ROAD 81613,S200000,00200,0100,SACRAMENTO 81613,S200000,00200,0200,CA 81613,S200000,00200,0300,95824- 81613,S200000,00300,0100,SACRAMENTO 81613,S200000,00400,0100,ROYAL MANOR H/C DBA BRIARWOOD 81613,S200000,00400,0200,055956 81613,S200000,00400,0300,01/01/1967 81613,S200000,00400,0500,P 81613,S200000,01500,0100,Y 81613,S200000,02800,0100,Y 81613,S700003,00000,0100,1 81621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81621,A000000,00300,0000,00300EMPLOYEE BENEFITS 81621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81621,A000000,00700,0000,00700HOUSEKEEPING 81621,A000000,00800,0000,00800DIETARY 81621,A000000,00900,0000,00900NURSING ADMINISTRATION 81621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81621,A000000,01100,0000,01100PHARMACY 81621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81621,A000000,01300,0000,01300SOCIAL SERVICE 81621,A000000,01301,0000,01301ACTIVITIES 81621,A000000,01350,0000,01500OTHER GENERAL SERVICES 81621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81621,A000000,01600,0000,01600SKILLED NURSING FACILITY 81621,A000000,01800,0000,01800NURSING FACILITY 81621,A000000,01900,0000,01900OTHER LONG TERM CARE 81621,A000000,02100,0000,02100RADIOLOGY 81621,A000000,02200,0000,02200LABORATORY 81621,A000000,02300,0000,02300INTRAVENOUS THERAPY 81621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81621,A000000,02500,0000,02500PHYSICAL THERAPY 81621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81621,A000000,02700,0000,02700SPEECH PATHOLOGY 81621,A000000,02800,0000,02800ELECTROCARDIOLOGY 81621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81621,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81621,A000000,03200,0000,03200SUPPORT SURFACES 81621,A000000,03400,0000,03400CLINIC 81621,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81621,A000000,03500,0000,03500RURAL HEALTH CLINIC 81621,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81621,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81621,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81621,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81621,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81621,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81621,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81621,A000000,04400,0000,04400DME RENTED - HHA 81621,A000000,04500,0000,04500DME SOLD - HHA 81621,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81621,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81621,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81621,A000000,04800,0000,04800AMBULANCE 81621,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81621,A000000,05000,0000,05000CORF 81621,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81621,A000000,05300,0000,05300INTEREST EXPENSE 81621,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81621,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81621,A000000,05500,0000,05500HOSPICE 81621,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81621,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81621,A000000,06100,0000,06100NONPAID WORKERS 81621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81621,A000000,06200,0000,06200PATIENTS LAUNDRY 81621,A81000A,00100,0100,Y 81621,A81000B,00100,0300,ADMINISTRATIVE & GENERL 81621,A81000B,00200,0300,CAPITAL 81621,A81000C,00100,0100,A 81621,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 81621,A81000C,00100,0400,LENOX HEALTHCARE INC 81621,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81621,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81621,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81621,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81621,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81621,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81621,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81621,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81621,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81621,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81621,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81621,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81621,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81621,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 81621,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81621,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81621,S000000,00100,0200,03/02/2000 81621,S200000,00100,0100,250 MARCH STREET 81621,S200000,00200,0100,SANTA PAULA 81621,S200000,00200,0200,CA 81621,S200000,00200,0300,93060- 81621,S200000,00300,0100,VENTURA 81621,S200000,00400,0100,TWIN PINES HEALTHCARE CENTER 81621,S200000,00400,0200,055957 81621,S200000,00400,0300,01/01/1973 81621,S200000,00400,0500,P 81621,S200000,01600,0100,Y 81621,S700003,00000,0100,1 81632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81632,A000000,00300,0000,00300EMPLOYEE BENEFITS 81632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81632,A000000,00700,0000,00700HOUSEKEEPING 81632,A000000,00800,0000,00800DIETARY 81632,A000000,00900,0000,00900NURSING ADMINISTRATION 81632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81632,A000000,01300,0000,01300SOCIAL SERVICE 81632,A000000,01301,0000,01301ACTIVITIES 81632,A000000,01350,0000,01500REHAB 81632,A000000,01600,0000,01600SKILLED NURSING FACILITY 81632,A000000,01800,0000,01800NURSING FACILITY 81632,A000000,01900,0000,01900OTHER LONG TERM CARE 81632,A000000,02100,0000,02100RADIOLOGY 81632,A000000,02200,0000,02200LABORATORY 81632,A000000,02300,0000,02300INTRAVENOUS THERAPY 81632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81632,A000000,02500,0000,02500PHYSICAL THERAPY 81632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81632,A000000,02700,0000,02700SPEECH PATHOLOGY 81632,A000000,02800,0000,02800ELECTROCARDIOLOGY 81632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81632,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81632,A000000,03051,0000,03301P.E.N. THERAPY 81632,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81632,A000000,03200,0000,03200SUPPORT SURFACES 81632,A000000,03400,0000,03400CLINIC 81632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81632,A000000,04800,0000,04800AMBULANCE 81632,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81632,A000000,05000,0000,05000CORF 81632,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81632,A000000,05300,0000,05300INTEREST EXPENSE 81632,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81632,A000000,05500,0000,05500HOSPICE 81632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81632,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81632,A000000,06100,0000,06100NONPAID WORKERS 81632,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81632,A000000,06200,0000,06200PATIENTS LAUNDRY 81632,A81000A,00100,0100,Y 81632,A81000B,00100,0300,HOME OFFICE ALLOCATION 81632,A81000B,00200,0300,NON CERT 81632,A81000B,00300,0300,MEDICAL SUPPLIES 81632,A81000B,00400,0300,ADMIN 81632,A81000B,00500,0300,ACTIVITIES 81632,A81000B,00600,0300,CAPITAL 81632,A81000B,00700,0300,EQPT RENTAL 81632,A81000B,00800,0300,IV 81632,A81000B,00900,0300,RT 81632,A81000C,00100,0100,B 81632,A81000C,00100,0200,VERDUGO VISTA 1 81632,A81000C,00100,0400,MARINER POST AC 81632,A81000C,00100,0600,NURSING HOMES 81632,A81000C,00200,0100,G 81632,A81000C,00200,0200,MARINER POST AC 81632,A81000C,00200,0400,AMERICAN PHARMA 81632,A81000C,00200,0600,PHARMACEUTICALS 81632,A81000C,00300,0100,G 81632,A81000C,00300,0200,MARINER POST AC 81632,A81000C,00300,0400,PRISM (ATS ARS 81632,A81000C,00300,0600,THERAPIES 81632,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81632,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81632,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81632,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81632,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81632,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81632,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81632,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81632,B100000,00000,0800,00000MEALS SERVED :DIETARY 81632,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81632,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81632,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81632,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81632,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81632,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 81632,S000000,00100,0200,06/05/2000 81632,S200000,00100,0100,3050 MONTROSE AVE 81632,S200000,00200,0100,LACRESCENTA 81632,S200000,00200,0200,CA 81632,S200000,00200,0300,91214- 81632,S200000,00300,0100,LOS ANGELES 81632,S200000,00400,0100,VERDUGO VISTA HELATHCARE CENTER 81632,S200000,00400,0200,055960 81632,S200000,00400,0300,10/01/1981 81632,S200000,00400,0500,P 81632,S700003,00000,0100,1 81639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81639,A000000,00300,0000,00300EMPLOYEE BENEFITS 81639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81639,A000000,00700,0000,00700HOUSEKEEPING 81639,A000000,00800,0000,00800DIETARY 81639,A000000,00900,0000,00900NURSING ADMINISTRATION 81639,A000000,00901,0000,00901OTHER NURSING 81639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81639,A000000,01100,0000,01100PHARMACY 81639,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81639,A000000,01300,0000,01300SOCIAL SERVICE 81639,A000000,01600,0000,01600SKILLED NURSING FACILITY 81639,A000000,01800,0000,01800NURSING FACILITY 81639,A000000,02100,0000,02100RADIOLOGY 81639,A000000,02200,0000,02200LABORATORY 81639,A000000,02300,0000,02300INTRAVENOUS THERAPY 81639,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81639,A000000,02500,0000,02500PHYSICAL THERAPY 81639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81639,A000000,02700,0000,02700SPEECH PATHOLOGY 81639,A000000,02800,0000,02800ELECTROCARDIOLOGY 81639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81639,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81639,A000000,03051,0000,03301NUTRITIONAL THERAPY 81639,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 81639,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 81639,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81639,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81639,A000000,04800,0000,04800AMBULANCE 81639,A000000,05300,0000,05300INTEREST EXPENSE 81639,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81639,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81639,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81639,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81639,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 81639,A000000,06152,0000,06302GUEST MEALS/M.O.W. 81639,A000000,06153,0000,06303DISTRICT OFFICE SPACE 81639,A000000,06200,0000,06200PATIENTS LAUNDRY 81639,A81000A,00100,0100,Y 81639,A81000B,00100,0300,HOME OFFICE COSTS 81639,A81000B,00200,0300,LIABILITY INSURANCE 81639,A81000B,00300,0300,INTEREST ON REL PARTY DEPR 81639,A81000B,00400,0300,VC PHARMACY - EMPL BENEFITS 81639,A81000B,00500,0300,VC PHARMACY - ADMIN 81639,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 81639,A81000B,00700,0300,VC PHARMACY - LAUNDRY 81639,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 81639,A81000B,00900,0300,VC PHARMACY - DIETARY 81639,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 81639,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 81639,A81000B,01200,0300,VC PHARMACY - NONLEGEND 81639,A81000B,01300,0300,VC PHARMACY - MED RECORDS 81639,A81000B,01400,0300,VC PHARMACY - SOC SVCS/ACTIV 81639,A81000B,01500,0300,VC PHARMACY - ROUTINE CERT 81639,A81000B,01600,0300,VC PHARMACY - ROUTINE NONCT 81639,A81000B,01700,0300,MOBILE RADIOLOGY - XRAY 81639,A81000B,01800,0300,VC PHARMACY - LAB 81639,A81000B,01900,0300,VC PHARMACY - IV THERAPY 81639,A81000B,02000,0300,VC HOSPITAL - INHALATION THER 81639,A81000B,02100,0300,VC PHARMACY - PHYS THER 81639,A81000B,02200,0300,VC PHARMACY - OCCP THER 81639,A81000B,02300,0300,VC PHARMACY - SPEECH THER 81639,A81000B,02400,0300,VC PHARMACY - MEDICAL SUPP 81639,A81000B,02500,0300,VC PHARMACY - LEGEND 81639,A81000B,02600,0300,VC PHARMACY - OTHER MEDICAL 81639,A81000B,02700,0300,VC PHARMACY - NUTR THER 81639,A81000B,02800,0300,VC PHARMACY - COMPLEX MEDICAL 81639,A81000B,02900,0300,VC PHARMACY - PROS & ORTHOS 81639,A81000B,02901,0300,VC PHARMACY - NONREIMB 81639,A81000B,02902,0300,VENCARE ANCILLARY 81639,A81000B,02903,0300,VENCARE ANCILLARY 81639,A81000B,02904,0300,VENCARE ANCILLARY 81639,A81000C,00100,0100,B 81639,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 81639,A81000C,00100,0400,CORNERSTONE INSURANCE CO 81639,A81000C,00100,0600,LIABILITY INSURANCE 81639,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 81639,A81000C,00200,0600,PHARMACY 81639,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 81639,A81000C,00300,0600,RESPIRATORY THERAPY 81639,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 81639,A81000C,00500,0400,HEALTHCARE RESPIRATORY 81639,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 81639,A81000C,00700,0400,VENCARE ANCILLARY 81639,A81000C,00700,0600,THERAPY MANAGEMENT 81639,A81000C,00800,0400,VENCOR HOSP MOBILE X-RAY 81639,A81000C,00800,0600,PORTABLE X-RAY SERVICES 81639,A81000C,00900,0100,C 81639,A81000C,00900,0200,VENCOR - MSC PARTNERSHIP 81639,A81000C,00900,0400,MERCY SERVICE CORP 81639,A81000C,00900,0600,OPERATE SKILLED NURSING 81639,A81000C,01000,0200,VENCOR - MSC PARTNERSHIP 81639,A81000C,01000,0400,VENCOR INC 81639,A81000C,01000,0600,MANAGE SKILLED NURSING 81639,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 81639,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 81639,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 81639,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 81639,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 81639,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 81639,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 81639,B100000,00000,0850,00003PATIENT DAYS :DIETARY 81639,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 81639,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 81639,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 81639,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 81639,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 81639,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 81639,E10A180,00350,0100,05/05/1999 81639,E10A180,00351,0100,04/04/2000 81639,S000000,00100,0200,06/01/2000 81639,S200000,00100,0100,2043 19TH AVENUE 81639,S200000,00200,0100,SAN FRANCISCO 81639,S200000,00200,0200,CA 81639,S200000,00200,0300,94116- 81639,S200000,00300,0100,SAN FRANCISCO 81639,S200000,00400,0100,19TH AVENUE HEALTHCARE CENTER 81639,S200000,00400,0200,055963 81639,S200000,00400,0300,03/29/1974 81639,S200000,00400,0500,P 81639,S200000,01600,0100,Y 81639,S700003,00000,0100,1 81645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81645,A000000,00300,0000,00300EMPLOYEE BENEFITS 81645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81645,A000000,00700,0000,00700HOUSEKEEPING 81645,A000000,00800,0000,00800DIETARY 81645,A000000,00900,0000,00900NURSING ADMINISTRATION 81645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81645,A000000,01100,0000,01100PHARMACY 81645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81645,A000000,01300,0000,01300SOCIAL SERVICE 81645,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81645,A000000,01600,0000,01600SKILLED NURSING FACILITY 81645,A000000,01800,0000,01800NURSING FACILITY 81645,A000000,01810,0000,01810ICF/MR 81645,A000000,02100,0000,02100RADIOLOGY 81645,A000000,02200,0000,02200LABORATORY 81645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81645,A000000,02500,0000,02500PHYSICAL THERAPY 81645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81645,A000000,02700,0000,02700SPEECH PATHOLOGY 81645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81645,A000000,03050,0000,03050EQUIPMENT RENTAL 81645,A000000,03550,0000,03550FQHC 81645,A000000,05000,0000,05000CORF 81645,A000000,05010,0000,05010CMHC 81645,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 81645,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 81645,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 81645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81645,A81000A,00100,0100,Y 81645,A81000B,00100,0300,GHC HOME OFFICE 81645,A81000B,00200,0300,GHC HOME OFFICE 81645,A81000B,00300,0300,GHC HOME OFFICE 81645,A81000B,00400,0300,GHN REGIONAL OFFICE 81645,A81000B,00500,0300,LAUNDRY AND LINEN 81645,A81000B,00600,0300,BASIC 4 FOODS 81645,A81000B,00700,0300,THERAGEN 81645,A81000B,00800,0300,THERAGEN 81645,A81000B,00900,0300,THERAGEN 81645,A81000B,01000,0300,DIRECT COST TRANS 81645,A81000B,01100,0300,DIRECT COST TRANS 81645,A81000B,01200,0300,DIRECT COST TRANS 81645,A81000B,01300,0300,DIRECT COST TRANS 81645,A81000B,01400,0300,DIRECT COST TRANS 81645,A81000B,01500,0300,DIRECT COST TRANS 81645,A81000B,01600,0300,DIRECT COST TRANS 81645,A81000B,01700,0300,DIRECT COST TRANS 81645,A81000B,01800,0300,DIRECT COST TRANS 81645,A81000B,01900,0300,DIRECT COST TRANS 81645,A81000C,00100,0100,G 81645,A81000C,00100,0400,GENERATIONS HEA 81645,A81000C,00100,0600,HEALTHCARE 81645,A81000C,00200,0100,G 81645,A81000C,00200,0400,GENERATIONS REG 81645,A81000C,00200,0600,HEALTHCARE 81645,A81000C,00300,0100,G 81645,A81000C,00300,0400,R & E LAUNDRY 81645,A81000C,00300,0600,LAUNDRY SERVICE 81645,A81000C,00400,0100,G 81645,A81000C,00400,0400,BASIC 4 FOOD SE 81645,A81000C,00400,0600,FOOD SERVICES 81645,A81000C,00500,0100,G 81645,A81000C,00500,0400,THERAGEN THERAP 81645,A81000C,00500,0600,THERAPY SERVICE 81645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81645,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81645,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81645,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81645,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81645,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81645,B100000,00000,0800,00000MEALS SERVED :DIETARY 81645,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 81645,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81645,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 81645,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 81645,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81645,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81645,S000000,00100,0200,05/31/2000 81645,S200000,00100,0100,902 SOUTH EUCLID 81645,S200000,00200,0100,NATIONAL CITY 81645,S200000,00200,0200,CA 81645,S200000,00200,0300,91950- 81645,S200000,00300,0100,SAN DIEGO 81645,S200000,00400,0100,FRIENDSHIP MANOR 81645,S200000,00400,0200,055964 81645,S200000,00400,0300,01/01/1990 81645,S200000,00400,0500,P 81645,S200000,00400,0600,O 81645,S200000,00600,0200,055964 81645,S200000,00600,0300,01/01/1990 81645,S200000,00600,0600,P 81645,S200000,01600,0100,Y 81645,S700003,00000,0100,1 81655,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81655,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81655,A000000,00300,0000,00300EMPLOYEE BENEFITS 81655,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81655,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81655,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81655,A000000,00700,0000,00700HOUSEKEEPING 81655,A000000,00800,0000,00800DIETARY 81655,A000000,00900,0000,00900NURSING ADMINISTRATION 81655,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81655,A000000,01100,0000,01100PHARMACY 81655,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81655,A000000,01300,0000,01300SOCIAL SERVICE 81655,A000000,01350,0000,01500OTHER GENERAL SERVICES 81655,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81655,A000000,01600,0000,01600SKILLED NURSING FACILITY 81655,A000000,01800,0000,01800NURSING FACILITY 81655,A000000,01810,0000,01801ICF/MR 81655,A000000,01900,0000,01900OTHER LONG TERM CARE 81655,A000000,02100,0000,02100RADIOLOGY 81655,A000000,02200,0000,02200LABORATORY 81655,A000000,02300,0000,02300INTRAVENOUS THERAPY 81655,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81655,A000000,02500,0000,02500PHYSICAL THERAPY 81655,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81655,A000000,02700,0000,02700SPEECH PATHOLOGY 81655,A000000,02800,0000,02800ELECTROCARDIOLOGY 81655,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81655,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81655,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81655,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81655,A000000,03200,0000,03200SUPPORT SURFACES 81655,A000000,03400,0000,03400CLINIC 81655,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81655,A000000,03500,0000,03500RURAL HEALTH CLINIC 81655,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81655,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81655,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81655,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81655,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81655,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81655,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81655,A000000,04400,0000,04400DME RENTED - HHA 81655,A000000,04500,0000,04500DME SOLD - HHA 81655,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81655,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81655,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81655,A000000,04800,0000,04800AMBULANCE 81655,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81655,A000000,05000,0000,05000CORF 81655,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81655,A000000,05300,0000,05300INTEREST EXPENSE 81655,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81655,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81655,A000000,05500,0000,05500HOSPICE 81655,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81655,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81655,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81655,A000000,06100,0000,06100NONPAID WORKERS 81655,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81655,A000000,06200,0000,06200PATIENTS LAUNDRY 81655,A81000A,00100,0100,Y 81655,A81000B,00100,0300,MANAGEMENT FEES 81655,A81000B,00200,0300,HOME OFFICE-BUILDING 81655,A81000B,00300,0300,HOME OFFICE COSTS 81655,A81000B,00400,0300,DRUG COSTS 81655,A81000B,00500,0300,MEDICAL SUPPLIES 81655,A81000B,00600,0300,NURSING SUPPLIES 81655,A81000B,00700,0300,NURSING SUPPLIES 81655,A81000B,00800,0300,BUILDING LEASE 81655,A81000B,00900,0300,DEPRECIATION-BUILDING 81655,A81000B,01000,0300,MORTGAGE INTEREST EXP 81655,A81000B,01100,0300,AMORTIZATION-LOAN FEES 81655,A81000C,00100,0100,B 81655,A81000C,00100,0200,VERLIN RHOADES 81655,A81000C,00100,0400,FORTE ENTERPRISES INC. 81655,A81000C,00100,0600,HOME OFFICE/MANAGER 81655,A81000C,00200,0100,B 81655,A81000C,00200,0200,THOMAS NICO 81655,A81000C,00200,0400,FORTE ENTERPRISES INC. 81655,A81000C,00200,0600,HOME OFFICE/MANAGER 81655,A81000C,00300,0100,B 81655,A81000C,00300,0200,VERLIN RHOADES 81655,A81000C,00300,0400,BAY ASSOCIATES INC. 81655,A81000C,00300,0600,PHARMACY/MEDICAL SUPPLY 81655,A81000C,00400,0100,B 81655,A81000C,00400,0200,THOMAS NICO 81655,A81000C,00400,0400,BAY ASSOCIATES INC. 81655,A81000C,00400,0600,PHARMACY/MEDICAL SUPPLY 81655,A81000C,00500,0100,B 81655,A81000C,00500,0200,VERLIN RHOADES 81655,A81000C,00500,0400,ST. FRANCIS HEIGHTS C.H. 81655,A81000C,00500,0600,LESSOR 81655,A81000C,00600,0100,B 81655,A81000C,00600,0200,THOMAS NICO 81655,A81000C,00600,0400,ST. FRANCIS HEIGHTS C.H. 81655,A81000C,00600,0600,LESSOR 81655,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81655,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81655,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81655,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81655,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81655,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81655,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81655,B100000,00000,0800,00000MEALS SERVED :DIETARY 81655,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81655,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81655,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81655,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81655,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81655,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81655,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81655,S000000,00100,0200,05/31/2000 81655,S200000,00100,0100,35 ESCUELA DRIVE 81655,S200000,00200,0100,DALY CITY 81655,S200000,00200,0200,CA 81655,S200000,00200,0300,94015- 81655,S200000,00300,0100,SAN MATEO 81655,S200000,00400,0100,SAINT FRANCIS HEIGHTS CONV. HOSPITAL 81655,S200000,00400,0200,055968 81655,S200000,00400,0300,01/01/1967 81655,S200000,00400,0500,P 81655,S200000,01600,0100,Y 81655,S700003,00000,0100,1 81663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81663,A000000,00300,0000,00300EMPLOYEE BENEFITS 81663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81663,A000000,00700,0000,00700HOUSEKEEPING 81663,A000000,00800,0000,00800DIETARY 81663,A000000,00900,0000,00900NURSING ADMINISTRATION 81663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81663,A000000,01100,0000,01100PHARMACY 81663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81663,A000000,01300,0000,01300SOCIAL SERVICE 81663,A000000,01350,0000,01500OTHER GENERAL SERVICES 81663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81663,A000000,01600,0000,01600SKILLED NURSING FACILITY 81663,A000000,01800,0000,01800NURSING FACILITY 81663,A000000,01900,0000,01900OTHER LONG TERM CARE 81663,A000000,02100,0000,02100RADIOLOGY 81663,A000000,02200,0000,02200LABORATORY 81663,A000000,02300,0000,02300INTRAVENOUS THERAPY 81663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81663,A000000,02500,0000,02500PHYSICAL THERAPY 81663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81663,A000000,02700,0000,02700SPEECH PATHOLOGY 81663,A000000,02800,0000,02800ELECTROCARDIOLOGY 81663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81663,A000000,03200,0000,03200SUPPORT SURFACES 81663,A000000,03400,0000,03400CLINIC 81663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81663,A000000,03500,0000,03500RURAL HEALTH CLINIC 81663,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81663,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81663,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81663,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81663,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81663,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81663,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81663,A000000,04400,0000,04400DME RENTED - HHA 81663,A000000,04500,0000,04500DME SOLD - HHA 81663,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81663,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81663,A000000,04800,0000,04800AMBULANCE 81663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81663,A000000,05000,0000,05000CORF 81663,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81663,A000000,05300,0000,05300INTEREST EXPENSE 81663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81663,A000000,05500,0000,05500HOSPICE 81663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81663,A000000,06100,0000,06100NONPAID WORKERS 81663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81663,A000000,06200,0000,06200PATIENTS LAUNDRY 81663,A81000A,00100,0100,Y 81663,A81000B,00100,0300,MANAGEMENT FEE 81663,A81000C,00100,0100,F 81663,A81000C,00100,0200,J & D SORENSEN D. LAWS 81663,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81663,A81000C,00100,0600,MANAGEMENT 81663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81663,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81663,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 81663,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 81663,B100000,00000,0800,00000MEALS SERVED :DIETARY 81663,B100000,00000,0900,00000NSG HOURS :NURSING ADMINISTRATION 81663,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81663,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81663,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81663,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81663,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81663,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81663,S000000,00100,0200,05/15/2000 81663,S200000,00100,0100,2040 SOUTH EUCLID AVE. 81663,S200000,00200,0100,ANAHEIM 81663,S200000,00200,0200,CA 81663,S200000,00200,0300,92802- 81663,S200000,00300,0100,ORANGE 81663,S200000,00400,0100,COVENTRY COURT HEALTH CENTER 81663,S200000,00400,0200,055983 81663,S200000,00400,0300,07/01/1996 81663,S200000,00400,0500,P 81663,S200000,00600,0200,055983 81663,S200000,00600,0300,07/01/1996 81663,S200000,00600,0600,P 81663,S200000,01600,0100,Y 81663,S200000,02200,0100,Y 81663,S700003,00000,0100,1 81675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81675,A000000,00300,0000,00300EMPLOYEE BENEFITS 81675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81675,A000000,00700,0000,00700HOUSEKEEPING 81675,A000000,00800,0000,00800DIETARY 81675,A000000,00900,0000,00900NURSING ADMINISTRATION 81675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81675,A000000,01100,0000,01100PHARMACY 81675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81675,A000000,01300,0000,01300SOCIAL SERVICE 81675,A000000,01350,0000,01500RESPIRATORY THERAPY 81675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81675,A000000,01600,0000,01600SKILLED NURSING FACILITY 81675,A000000,01800,0000,01800NURSING FACILITY 81675,A000000,01810,0000,01801ICF/MR 81675,A000000,01900,0000,01900OTHER LONG TERM CARE 81675,A000000,02100,0000,02100RADIOLOGY 81675,A000000,02200,0000,02200LABORATORY 81675,A000000,02300,0000,02300INTRAVENOUS THERAPY 81675,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81675,A000000,02500,0000,02500PHYSICAL THERAPY 81675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81675,A000000,02700,0000,02700SPEECH PATHOLOGY 81675,A000000,02800,0000,02800ELECTROCARDIOLOGY 81675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81675,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81675,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81675,A000000,03200,0000,03200SUPPORT SURFACES 81675,A000000,03400,0000,03400CLINIC 81675,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81675,A000000,03500,0000,03500RURAL HEALTH CLINIC 81675,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81675,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81675,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81675,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81675,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81675,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81675,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81675,A000000,04400,0000,04400DME RENTED - HHA 81675,A000000,04500,0000,04500DME SOLD - HHA 81675,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81675,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81675,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81675,A000000,04800,0000,04800AMBULANCE 81675,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81675,A000000,05000,0000,05000CORF 81675,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81675,A000000,05300,0000,05300INTEREST EXPENSE 81675,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81675,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81675,A000000,05500,0000,05500HOSPICE 81675,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81675,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81675,A000000,06100,0000,06100NONPAID WORKERS 81675,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81675,A000000,06200,0000,06200PATIENTS LAUNDRY 81675,A81000A,00100,0100,Y 81675,A81000B,00100,0300,BUILDING LEASE 81675,A81000B,00200,0300,DEPRECIATION EXP-BUILDING 81675,A81000B,00300,0300,MORTGAGE INTEREST 81675,A81000C,00100,0100,A 81675,A81000C,00100,0200,MICHAEL MURPHY 81675,A81000C,00100,0400,MISSION TERRACE C.H. 81675,A81000C,00100,0600,LESSOR 81675,A81000C,00200,0100,A 81675,A81000C,00200,0200,EVE MURPHY 81675,A81000C,00200,0400,MISSION TERRACE C.H. 81675,A81000C,00200,0600,LESSOR 81675,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81675,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81675,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81675,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81675,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81675,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81675,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81675,B100000,00000,0800,00000MEALS SERVED :DIETARY 81675,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 81675,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81675,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81675,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81675,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81675,B100000,00000,1350,00000PATIENT DAYS :RESPIRATORY THERAPY 81675,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81675,S000000,00100,0200,05/12/2000 81675,S200000,00100,0100,623 W. JUNIPERO STREET 81675,S200000,00200,0100,SANTA BARBARA 81675,S200000,00200,0200,CA 81675,S200000,00200,0300,93105- 81675,S200000,00300,0100,SANTA BARBARA 81675,S200000,00400,0100,MISSION TERRACE CONV. HOSPITAL 81675,S200000,00400,0200,055991 81675,S200000,00400,0300,07/01/1969 81675,S200000,00400,0500,P 81675,S200000,01600,0100,Y 81675,S200000,02800,0100,Y 81675,S700003,00000,0100,1 81691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81691,A000000,00300,0000,00300EMPLOYEE BENEFITS 81691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81691,A000000,00700,0000,00700HOUSEKEEPING 81691,A000000,00800,0000,00800DIETARY 81691,A000000,00900,0000,00900NURSING ADMINISTRATION 81691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81691,A000000,01100,0000,01100PHARMACY 81691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81691,A000000,01300,0000,01300SOCIAL SERVICE 81691,A000000,01350,0000,01500OTHER GENERAL SERVICES 81691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81691,A000000,01600,0000,01600SKILLED NURSING FACILITY 81691,A000000,01800,0000,01800NURSING FACILITY 81691,A000000,01810,0000,01801ICF/MR 81691,A000000,01900,0000,01900OTHER LONG TERM CARE 81691,A000000,02100,0000,02100RADIOLOGY 81691,A000000,02200,0000,02200LABORATORY 81691,A000000,02300,0000,02300INTRAVENOUS THERAPY 81691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81691,A000000,02500,0000,02500PHYSICAL THERAPY 81691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81691,A000000,02700,0000,02700SPEECH PATHOLOGY 81691,A000000,02800,0000,02800ELECTROCARDIOLOGY 81691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81691,A000000,03200,0000,03200SUPPORT SURFACES 81691,A000000,03400,0000,03400CLINIC 81691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81691,A000000,03500,0000,03500RURAL HEALTH CLINIC 81691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81691,A000000,04400,0000,04400DME RENTED - HHA 81691,A000000,04500,0000,04500DME SOLD - HHA 81691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81691,A000000,04800,0000,04800AMBULANCE 81691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81691,A000000,05000,0000,05000CORF 81691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81691,A000000,05300,0000,05300INTEREST EXPENSE 81691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81691,A000000,05500,0000,05500HOSPICE 81691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81691,A000000,06100,0000,06100NONPAID WORKERS 81691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81691,A000000,06200,0000,06200PATIENTS LAUNDRY 81691,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81691,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81691,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81691,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81691,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81691,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81691,B100000,00000,0800,00000MEALS SERVED :DIETARY 81691,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 81691,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81691,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81691,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81691,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81691,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81691,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81691,S000000,00100,0200,05/26/2000 81691,S200000,00100,0100,3355 PACIFIC PLACE 81691,S200000,00200,0100,LONG BEACH 81691,S200000,00200,0200,CA 81691,S200000,00200,0300,90806- 81691,S200000,00300,0100,LOS ANGELES 81691,S200000,00400,0100,PALMCREST MEDALLION CONV HOSPITAL 81691,S200000,00400,0200,056007 81691,S200000,00400,0300,01/01/1988 81691,S200000,00400,0500,P 81691,S200000,01600,0100,Y 81691,S700003,00000,0100,1 81702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81702,A000000,00300,0000,00300EMPLOYEE BENEFITS 81702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81702,A000000,00700,0000,00700HOUSEKEEPING 81702,A000000,00800,0000,00800DIETARY 81702,A000000,00900,0000,00900NURSING ADMINISTRATION 81702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81702,A000000,01100,0000,01100PHARMACY 81702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81702,A000000,01300,0000,01300SOCIAL SERVICE 81702,A000000,01600,0000,01600SKILLED NURSING FACILITY 81702,A000000,01800,0000,01800NURSING FACILITY 81702,A000000,02100,0000,02100RADIOLOGY 81702,A000000,02500,0000,02500PHYSICAL THERAPY 81702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81702,A000000,02700,0000,02700SPEECH PATHOLOGY 81702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81702,A000000,05300,0000,05300INTEREST EXPENSE 81702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81702,A81000A,00100,0100,Y 81702,A81000B,00100,0300,HOME OFFICE COSTS 81702,A81000B,00200,0300,HOME OFFICE COSTS 81702,A81000B,00300,0300,HOME OFFICE COSTS 81702,A81000C,00100,0100,B 81702,A81000C,00100,0400,SCRIPPSHEALTH 81702,A81000C,00100,0600,HEALTHCARE MGMT 81702,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81702,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81702,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81702,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81702,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81702,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81702,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81702,B100000,00000,0800,00000MEALS SERVED :DIETARY 81702,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81702,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81702,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81702,B100000,00000,1250,00000GROSS PT REVENUE :MEDICAL RECORDS & 81702,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81702,S000000,00100,0200,02/28/2000 81702,S200000,00100,0100,2552 TORREY PINES ROAD 81702,S200000,00200,0100,LA JOLLA 81702,S200000,00200,0200,CA 81702,S200000,00200,0300,92037- 81702,S200000,00300,0100,SAN DIEGO 81702,S200000,00400,0100,TORREY PINES CONVALESCENT HOSPITAL 81702,S200000,00400,0200,056017 81702,S200000,00400,0300,08/01/1970 81702,S200000,00400,0500,P 81702,S200000,01600,0100,Y 81702,S700003,00000,0100,1 81711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81711,A000000,00300,0000,00300EMPLOYEE BENEFITS 81711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81711,A000000,00700,0000,00700HOUSEKEEPING 81711,A000000,00800,0000,00800DIETARY 81711,A000000,00900,0000,00900NURSING ADMINISTRATION 81711,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81711,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81711,A000000,01300,0000,01300SOCIAL SERVICE 81711,A000000,01350,0000,01500OTHER GENERAL SERVICES 81711,A000000,01600,0000,01600SKILLED NURSING FACILITY 81711,A000000,01800,0000,01800NURSING FACILITY 81711,A000000,02100,0000,02100RADIOLOGY 81711,A000000,02200,0000,02200LABORATORY 81711,A000000,02300,0000,02300INTRAVENOUS THERAPY 81711,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81711,A000000,02500,0000,02500PHYSICAL THERAPY 81711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81711,A000000,02700,0000,02700SPEECH PATHOLOGY 81711,A000000,02800,0000,02800ELECTROCARDIOLOGY 81711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81711,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81711,A000000,03200,0000,03200SUPPORT SURFACES 81711,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81711,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81711,A000000,04800,0000,04800AMBULANCE 81711,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81711,A000000,05000,0000,05000CORF 81711,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81711,A000000,05300,0000,05300INTEREST EXPENSE 81711,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81711,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81711,A000000,06100,0000,06100NONPAID WORKERS 81711,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81711,A000000,06200,0000,06200PATIENTS LAUNDRY 81711,A81000A,00100,0100,Y 81711,A81000B,00100,0300,MANAGEMENT FEES 81711,A81000C,00100,0100,A 81711,A81000C,00100,0200,LOWELL CALLAWAY 81711,A81000C,00100,0400,L.C. SYSTEMS 81711,A81000C,00100,0600,MANAGEMENT COMPANY 81711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81711,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81711,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81711,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81711,B100000,00000,0800,00000MEALS SERVED :DIETARY 81711,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81711,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81711,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81711,S000000,00100,0200,10/02/2000 81711,S200000,00100,0100,4001 LONE TREE WAY 81711,S200000,00200,0100,ANTIOCH 81711,S200000,00200,0200,CA 81711,S200000,00200,0300,94509- 81711,S200000,00300,0100,CONTRA COSTA 81711,S200000,00300,0200,5775 81711,S200000,00300,0300,U 81711,S200000,00400,0100,LONE TREE CONVALESCENT HOSP 81711,S200000,00400,0200,056021 81711,S200000,00400,0300,01/01/1988 81711,S200000,00400,0500,P 81711,S200000,01600,0100,Y 81717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81717,A000000,00300,0000,00300EMPLOYEE BENEFITS 81717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81717,A000000,00700,0000,00700HOUSEKEEPING 81717,A000000,00800,0000,00800DIETARY 81717,A000000,00900,0000,00900NURSING ADMINISTRATION 81717,A000000,00901,0000,00901OTHER NURSING 81717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81717,A000000,01100,0000,01100PHARMACY 81717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81717,A000000,01300,0000,01300SOCIAL SERVICE 81717,A000000,01301,0000,01301ACTIVITIES 81717,A000000,01600,0000,01600SKILLED NURSING FACILITY 81717,A000000,01800,0000,01800NURSING FACILITY 81717,A000000,02100,0000,02100RADIOLOGY 81717,A000000,02200,0000,02200LABORATORY 81717,A000000,02300,0000,02300INTRAVENOUS THERAPY 81717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81717,A000000,02500,0000,02500PHYSICAL THERAPY 81717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81717,A000000,02700,0000,02700SPEECH PATHOLOGY 81717,A000000,02800,0000,02800ELECTROCARDIOLOGY 81717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81717,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81717,A000000,03051,0000,03301NUTRITIONAL THERAPY 81717,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 81717,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 81717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81717,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81717,A000000,04800,0000,04800AMBULANCE 81717,A000000,05300,0000,05300INTEREST EXPENSE 81717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81717,A000000,06151,0000,06301DAY CARE 81717,A000000,06152,0000,06302REVIEW AND ANALYZE ACCOUNTS 81717,A000000,06153,0000,06303DISTRICT OFFICE SPACE 81717,A000000,06200,0000,06200PATIENTS LAUNDRY 81717,A81000A,00100,0100,Y 81717,A81000B,00100,0300,HOME OFFICE COSTS 81717,A81000B,00200,0300,LIABILITY INSURANCE 81717,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 81717,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 81717,A81000B,00500,0300,VC PHARMACY - ADMIN 81717,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 81717,A81000B,00700,0300,VC PHARMACY - LAUNDRY 81717,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 81717,A81000B,00900,0300,VC PHARMACY - DIETARY 81717,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 81717,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 81717,A81000B,01200,0300,VC PHARMACY - NONLEGEND 81717,A81000B,01300,0300,VC PHARMACY - MED RECORDS 81717,A81000B,01400,0300,VC PHARMACY - SOC SVCS 81717,A81000B,01500,0300,VC PHARMACY - ACTIVITY 81717,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 81717,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 81717,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 81717,A81000B,01900,0300,VC PHARMACY - LAB 81717,A81000B,02000,0300,VC PHARMACY - IV THERAPY 81717,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 81717,A81000B,02200,0300,VENCARE REHAB - PHYS THER 81717,A81000B,02300,0300,VENCARE REHAB - OCCP THER 81717,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 81717,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 81717,A81000B,02600,0300,VC PHARMACY - LEGEND 81717,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 81717,A81000B,02800,0300,VC PHARMACY - NUTR THER 81717,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 81717,A81000B,02901,0300,VC PHARMACY - PROS & ORTHOS 81717,A81000B,02902,0300,VC PHARMACY - NONREIMB 81717,A81000B,02903,0300,VC PHARMACY - EMPL BENEFITS 81717,A81000C,00100,0100,B 81717,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 81717,A81000C,00100,0400,CORNERSTONE INSURANCE CO 81717,A81000C,00100,0600,LIABILITY INSURANCE 81717,A81000C,00200,0400,VENCARE PHARMACY SERVICES 81717,A81000C,00200,0600,PHARMACY 81717,A81000C,00300,0400,VENCARE RESPIRATORY 81717,A81000C,00300,0600,RESPIRATORY THERAPY 81717,A81000C,00400,0400,THERAPY SERVICES 81717,A81000C,00500,0400,VENCARE REHAB SERVICES 81717,A81000C,00500,0600,REHAB 81717,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 81717,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 81717,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 81717,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 81717,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 81717,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 81717,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 81717,B100000,00000,0850,00003PATIENT DAYS :DIETARY 81717,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 81717,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 81717,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 81717,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 81717,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 81717,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 81717,B100000,00000,1331,00003PATIENT DAYS :ACTIVITIES 81717,E10A180,00350,0100,11/30/2000 81717,S000000,00100,0200,12/01/2000 81717,S200000,00100,0100,7534 PALM AVENUE 81717,S200000,00200,0100,HIGHLAND 81717,S200000,00200,0200,CA 81717,S200000,00200,0300,92346- 81717,S200000,00300,0100,SAN BERNADINO 81717,S200000,00400,0100,415 - HIGHLAND NURSING & REHAB CENTE 81717,S200000,00400,0200,056024 81717,S200000,00400,0300,01/01/1973 81717,S200000,00400,0500,P 81717,S200000,01500,0100,Y 81717,S200000,02200,0100,Y 81717,S700003,00000,0200,2 81731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81731,A000000,00300,0000,00300EMPLOYEE BENEFITS 81731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81731,A000000,00700,0000,00700HOUSEKEEPING 81731,A000000,00800,0000,00800DIETARY 81731,A000000,00900,0000,00900NURSING ADMINISTRATION 81731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81731,A000000,01100,0000,01100PHARMACY 81731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81731,A000000,01300,0000,01300SOCIAL SERVICE 81731,A000000,01350,0000,01500OTHER GENERAL SERVICES 81731,A000000,01600,0000,01600SKILLED NURSING FACILITY 81731,A000000,01800,0000,01800NURSING FACILITY 81731,A000000,01900,0000,01900OTHER LONG TERM CARE 81731,A000000,02100,0000,02100RADIOLOGY 81731,A000000,02200,0000,02200LABORATORY 81731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81731,A000000,02500,0000,02500PHYSICAL THERAPY 81731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81731,A000000,02700,0000,02700SPEECH PATHOLOGY 81731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81731,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 81731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81731,A000000,04800,0000,04800AMBULANCE 81731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81731,A81000A,00100,0100,Y 81731,A81000B,00100,0300,MANAGEMENT FEE 81731,A81000B,00200,0300,CAPITAL 81731,A81000B,00300,0300,DATA PROCESSING FEE 81731,A81000B,00400,0300,PHYSICAL THERAPY 81731,A81000B,00500,0300,OCCUPATIONAL THERAPY 81731,A81000B,00600,0300,SPEECH THERAPY 81731,A81000C,00100,0100,A 81731,A81000C,00100,0200,CVHS CORP 81731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81731,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81731,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81731,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81731,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81731,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81731,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81731,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81731,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81731,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81731,S000000,00100,0200,06/01/2000 81731,S200000,00100,0100,5901 DOWNEY AVENUE 81731,S200000,00200,0100,LONG BEACH 81731,S200000,00200,0200,CA 81731,S200000,00200,0300,90805- 81731,S200000,00300,0100,LONG BEACH 81731,S200000,00400,0100,COUNTRY VILLA BAY VISTA 81731,S200000,00400,0200,056042 81731,S200000,00400,0300,09/01/1998 81731,S200000,00400,0500,P 81731,S200000,00600,0200,056042 81731,S200000,00600,0300,09/01/1998 81731,S200000,00600,0600,P 81731,S200000,01600,0100,Y 81731,S200000,02200,0100,Y 81731,S700003,00000,0200,2 81739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81739,A000000,00300,0000,00300EMPLOYEE BENEFITS 81739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81739,A000000,00700,0000,00700HOUSEKEEPING 81739,A000000,00800,0000,00800DIETARY 81739,A000000,00900,0000,00900NURSING ADMINISTRATION 81739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81739,A000000,01300,0000,01300SOCIAL SERVICE 81739,A000000,01301,0000,01301ACTIVITIES 81739,A000000,01350,0000,01500REHAB 81739,A000000,01600,0000,01600SKILLED NURSING FACILITY 81739,A000000,01800,0000,01800NURSING FACILITY 81739,A000000,01900,0000,01900OTHER LONG TERM CARE 81739,A000000,02100,0000,02100RADIOLOGY 81739,A000000,02200,0000,02200LABORATORY 81739,A000000,02300,0000,02300INTRAVENOUS THERAPY 81739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81739,A000000,02500,0000,02500PHYSICAL THERAPY 81739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81739,A000000,02700,0000,02700SPEECH PATHOLOGY 81739,A000000,02800,0000,02800ELECTROCARDIOLOGY 81739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81739,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81739,A000000,03200,0000,03200SUPPORT SURFACES 81739,A000000,03400,0000,03400CLINIC 81739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81739,A000000,04800,0000,04800AMBULANCE 81739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81739,A000000,05000,0000,05000CORF 81739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81739,A000000,05300,0000,05300INTEREST EXPENSE 81739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81739,A000000,05500,0000,05500HOSPICE 81739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81739,A000000,06100,0000,06100NONPAID WORKERS 81739,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81739,A000000,06200,0000,06200PATIENTS LAUNDRY 81739,A81000A,00100,0100,Y 81739,A81000B,00100,0300,HOME OFFICE ALLOCATIOAN 81739,A81000B,00200,0300,NON CERT 81739,A81000B,00300,0300,MEDICAL SUPPLIES 81739,A81000B,00400,0300,REHAB 81739,A81000B,00500,0300,PT 81739,A81000B,00600,0300,OT 81739,A81000B,00700,0300,ST 81739,A81000C,00100,0100,B 81739,A81000C,00100,0200,PARKVIEW 10478 81739,A81000C,00100,0400,MARINER POST AC 81739,A81000C,00100,0600,NURSING HOMES 81739,A81000C,00200,0100,G 81739,A81000C,00200,0200,MARINER POST AC 81739,A81000C,00200,0400,AMERICAN PHARMA 81739,A81000C,00200,0600,PHARMACUTICALS 81739,A81000C,00300,0100,G 81739,A81000C,00300,0200,MARINER POST AC 81739,A81000C,00300,0400,PRISM (ATS ARS 81739,A81000C,00300,0600,THERAPIES 81739,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81739,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81739,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81739,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81739,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81739,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81739,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81739,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81739,B100000,00000,0800,00000MEALS SERVED :DIETARY 81739,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81739,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81739,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81739,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81739,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81739,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 81739,S000000,00100,0200,06/05/2000 81739,S200000,00100,0100,27350 TAMPA AVE 81739,S200000,00200,0100,HAYWARD 81739,S200000,00200,0200,CA 81739,S200000,00200,0300,94544- 81739,S200000,00300,0100,ALAMEDA 81739,S200000,00400,0100,PARKVIEW HEALTHCARE CENTER 81739,S200000,00400,0200,056052 81739,S200000,00400,0300,10/01/1981 81739,S200000,00400,0500,P 81739,S700003,00000,0100,1 81746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81746,A000000,00300,0000,00300EMPLOYEE BENEFITS 81746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81746,A000000,00700,0000,00700HOUSEKEEPING 81746,A000000,00800,0000,00800DIETARY 81746,A000000,00900,0000,00900NURSING ADMINISTRATION 81746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81746,A000000,01100,0000,01100PHARMACY 81746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81746,A000000,01300,0000,01300SOCIAL SERVICE 81746,A000000,01301,0000,01301ACTIVITIES 81746,A000000,01350,0000,01500OTHER GENERAL SERVICES 81746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81746,A000000,01600,0000,01600SKILLED NURSING FACILITY 81746,A000000,01800,0000,01800NURSING FACILITY 81746,A000000,01900,0000,01900OTHER LONG TERM CARE 81746,A000000,02100,0000,02100RADIOLOGY 81746,A000000,02200,0000,02200LABORATORY 81746,A000000,02300,0000,02300INTRAVENOUS THERAPY 81746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81746,A000000,02500,0000,02500PHYSICAL THERAPY 81746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81746,A000000,02700,0000,02700SPEECH PATHOLOGY 81746,A000000,02800,0000,02800ELECTROCARDIOLOGY 81746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81746,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81746,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81746,A000000,03200,0000,03200SUPPORT SURFACES 81746,A000000,03400,0000,03400CLINIC 81746,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81746,A000000,03500,0000,03500RURAL HEALTH CLINIC 81746,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81746,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81746,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81746,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81746,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81746,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81746,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81746,A000000,04400,0000,04400DME RENTED - HHA 81746,A000000,04500,0000,04500DME SOLD - HHA 81746,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81746,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81746,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81746,A000000,04800,0000,04800AMBULANCE 81746,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81746,A000000,05000,0000,05000CORF 81746,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81746,A000000,05300,0000,05300INTEREST EXPENSE 81746,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81746,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81746,A000000,05500,0000,05500HOSPICE 81746,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81746,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81746,A000000,06100,0000,06100NONPAID WORKERS 81746,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81746,A000000,06200,0000,06200PATIENTS LAUNDRY 81746,A81000A,00100,0100,Y 81746,A81000B,00100,0300,ADMINISTRAIVE & GENERAL 81746,A81000B,00200,0300,CAPITAL 81746,A81000C,00100,0100,A 81746,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 81746,A81000C,00100,0400,LENOX HEALTHCARE INC. 81746,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81746,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81746,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81746,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81746,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81746,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81746,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81746,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81746,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81746,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81746,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81746,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81746,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81746,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 81746,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81746,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81746,S000000,00100,0200,03/02/2000 81746,S200000,00100,0100,1311 EAST DATE STREET 81746,S200000,00200,0100,SAN BERNADINO 81746,S200000,00200,0200,CA 81746,S200000,00200,0300,92404- 81746,S200000,00300,0100,SAN BERNADINO 81746,S200000,00400,0100,MOUNTAINSIDE HEALTHCARE CENTER 81746,S200000,00400,0200,056053 81746,S200000,00400,0300,09/01/1982 81746,S200000,00400,0500,P 81746,S200000,01600,0100,Y 81746,S700003,00000,0100,1 81754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81754,A000000,00300,0000,00300EMPLOYEE BENEFITS 81754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81754,A000000,00700,0000,00700HOUSEKEEPING 81754,A000000,00800,0000,00800DIETARY 81754,A000000,00900,0000,00900NURSING ADMINISTRATION 81754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81754,A000000,01300,0000,01300SOCIAL SERVICE 81754,A000000,01600,0000,01600SKILLED NURSING FACILITY 81754,A000000,01800,0000,01800NURSING FACILITY 81754,A000000,02100,0000,02100RADIOLOGY 81754,A000000,02200,0000,02200LABORATORY 81754,A000000,02300,0000,02300INTRAVENOUS THERAPY 81754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81754,A000000,02500,0000,02500PHYSICAL THERAPY 81754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81754,A000000,02700,0000,02700SPEECH PATHOLOGY 81754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81754,A000000,03200,0000,03200SUPPORT SURFACES 81754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81754,A81000A,00100,0100,Y 81754,A81000B,00100,0300,MANAGEMENT FEES 81754,A81000B,00200,0300,HOME OFFICE - BUILDING 81754,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 81754,A81000B,00400,0300,PHYSICAL THERAPY 81754,A81000B,00500,0300,OCCUPATIONAL THERAPY 81754,A81000B,00600,0300,SPEECH THERAPY 81754,A81000B,00700,0300,RESPIRATORY THERAPY 81754,A81000B,00800,0300,CDP MEDICAL SUPPLIES 81754,A81000B,00900,0300,SCU MEDICAL SUPPLIES 81754,A81000B,01000,0300,MEDICAL SUPPLIES 81754,A81000B,01100,0300,IV THERAPY 81754,A81000B,01200,0300,PHARMACY 81754,A81000B,01300,0300,ENTERAL FEEDINGS 81754,A81000C,00100,0100,B 81754,A81000C,00100,0200,FOUNTAIN VIEW INC. 81754,A81000C,00100,0400,BRIER OAK TERRACE 81754,A81000C,00100,0600,SNF 81754,A81000C,00200,0100,B 81754,A81000C,00200,0200,FOUNTAIN VIEW INC. 81754,A81000C,00200,0400,LOCOMOTION 81754,A81000C,00200,0600,THERAPY COMPANY 81754,A81000C,00300,0100,B 81754,A81000C,00300,0200,FOUNTAIN VIEW INC. 81754,A81000C,00300,0400,I N O 81754,A81000C,00300,0600,MEDICAL SUPPLIES 81754,A81000C,00400,0100,B 81754,A81000C,00400,0200,FOUNTAIN VIEW INC. 81754,A81000C,00400,0400,SKILLED CARE PHARMACY 81754,A81000C,00400,0600,PHARMACY 81754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81754,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81754,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81754,B100000,00000,0800,00000MEALS SERVED :DIETARY 81754,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81754,S000000,00100,0200,06/01/2000 81754,S200000,00100,0100,5154 SUNSET BLVD. 81754,S200000,00200,0100,LOS ANGELES 81754,S200000,00200,0200,CA 81754,S200000,00200,0300,90027- 81754,S200000,00300,0100,LOS ANGELES 81754,S200000,00400,0100,BRIER OAK CONVALESCENT HOSPITAL 81754,S200000,00400,0200,056056 81754,S200000,00400,0300,05/16/1989 81754,S200000,00400,0500,P 81754,S200000,00400,0600,O 81754,S200000,00600,0200,056056 81754,S200000,00600,0300,05/16/1989 81754,S200000,00600,0600,P 81754,S200000,01600,0100,Y 81754,S700003,00000,0100,1 81762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81762,A000000,00300,0000,00300EMPLOYEE BENEFITS 81762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81762,A000000,00700,0000,00700HOUSEKEEPING 81762,A000000,00800,0000,00800DIETARY 81762,A000000,00900,0000,00900NURSING ADMINISTRATION 81762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81762,A000000,01300,0000,01300SOCIAL SERVICE 81762,A000000,01301,0000,01301ACTIVITIES 81762,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 81762,A000000,01600,0000,01600SKILLED NURSING FACILITY 81762,A000000,01800,0000,01800NURSING FACILITY 81762,A000000,01810,0000,01810ICF/MR 81762,A000000,01900,0000,01900OTHER LONG TERM CARE 81762,A000000,02100,0000,02100RADIOLOGY 81762,A000000,02200,0000,02200LABORATORY 81762,A000000,02300,0000,02300INTRAVENOUS THERAPY 81762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81762,A000000,02500,0000,02500PHYSICAL THERAPY 81762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81762,A000000,02700,0000,02700SPEECH PATHOLOGY 81762,A000000,02800,0000,02800ELECTROCARDIOLOGY 81762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81762,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81762,A000000,03200,0000,03200SUPPORT SURFACES 81762,A000000,03400,0000,03400CLINIC 81762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81762,A000000,03500,0000,03500RURAL HEALTH CLINIC 81762,A000000,04800,0000,04800AMBULANCE 81762,A000000,05000,0000,05000CORF 81762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81762,A000000,05300,0000,05300INTEREST EXPENSE 81762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81762,A000000,05500,0000,05500HOSPICE 81762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81762,A000000,06100,0000,06100NONPAID WORKERS 81762,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81762,A000000,06200,0000,06200PATIENTS LAUNDRY 81762,A81000A,00100,0100,Y 81762,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 81762,A81000B,00200,0300,NON CERT 81762,A81000B,00300,0300,MEDICAL SUPPLIES 81762,A81000B,00400,0300,EQPT RENTAL 81762,A81000B,00500,0300,REHAB 81762,A81000B,00600,0300,PT 81762,A81000B,00700,0300,OT 81762,A81000B,00800,0300,ST 81762,A81000C,00100,0100,B 81762,A81000C,00100,0200,ALMADEN 10463 81762,A81000C,00100,0400,MARINER POST AC 81762,A81000C,00100,0600,NURSING HOMES 81762,A81000C,00200,0100,G 81762,A81000C,00200,0200,MARINER POST AC 81762,A81000C,00200,0400,AMERICAN PHARMA 81762,A81000C,00200,0600,PHARMACEUTICALS 81762,A81000C,00300,0100,G 81762,A81000C,00300,0200,MARINER POST AC 81762,A81000C,00300,0400,PRISM (ATS ARS 81762,A81000C,00300,0600,THERAPIES 81762,A81000C,03100,0000,MARINER POST ACUTE NETWORK 81762,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81762,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81762,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81762,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81762,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81762,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81762,B100000,00000,0800,00000MEALS SERVED :DIETARY 81762,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81762,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81762,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81762,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81762,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81762,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 81762,S000000,00100,0200,06/05/2000 81762,S200000,00100,0100,2065 LOS GATOS-ALLMADEN 81762,S200000,00200,0100,SAN JOSE 81762,S200000,00200,0200,CA 81762,S200000,00200,0300,95124- 81762,S200000,00300,0100,SANTA CLARA 81762,S200000,00400,0100,ALMADEN HEALTH AND REHAB CTR 81762,S200000,00400,0200,056058 81762,S200000,00400,0300,07/01/1980 81762,S200000,00400,0500,P 81762,S700003,00000,0100,1 81769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81769,A000000,00300,0000,00300EMPLOYEE BENEFITS 81769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81769,A000000,00700,0000,00700HOUSEKEEPING 81769,A000000,00800,0000,00800DIETARY 81769,A000000,00900,0000,00900NURSING ADMINISTRATION 81769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81769,A000000,01600,0000,01600SKILLED NURSING FACILITY 81769,A000000,01800,0000,01800NURSING FACILITY 81769,A000000,02100,0000,02100RADIOLOGY 81769,A000000,02200,0000,02200LABORATORY 81769,A000000,02300,0000,02300INTRAVENOUS THERAPY 81769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81769,A000000,02500,0000,02500PHYSICAL THERAPY 81769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81769,A000000,02700,0000,02700SPEECH PATHOLOGY 81769,A000000,02800,0000,02800ELECTROCARDIOLOGY 81769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81769,A81000A,00100,0100,Y 81769,A81000B,00100,0300,HOME OFFICE EXPENSE 81769,A81000C,00100,0100,A 81769,A81000C,00100,0200,EMMANUEL I. BER 81769,A81000C,00100,0400,PLEASANT CARE C 81769,A81000C,00100,0600,HEALTH CARE PRO 81769,A81000C,00200,0100,A 81769,A81000C,00200,0200,EMMANUEL I. BER 81769,A81000C,00200,0400,PCC HEALTH SVCS 81769,A81000C,00200,0600,HEALTH CARE PRO 81769,A81000C,00300,0100,A 81769,A81000C,00300,0200,EMMANUEL I. BER 81769,A81000C,00300,0400,ATLAS CARE CORP 81769,A81000C,00300,0600,HEALTH CARE PRO 81769,A81000C,00400,0100,A 81769,A81000C,00400,0200,EMMANUEL I. BER 81769,A81000C,00400,0400,EMBER CARE CORP 81769,A81000C,00400,0600,HEALTH CARE PRO 81769,A81000C,00500,0100,A 81769,A81000C,00500,0200,EMMANUEL I. BER 81769,A81000C,00500,0400,SNF PROPERTIES 81769,A81000C,00500,0600,HEALTH CARE PRO 81769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81769,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81769,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81769,B100000,00000,0800,00000MEALS SERVED :DIETARY 81769,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 81769,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81769,S000000,00100,0200,06/05/2000 81769,S200000,00100,0100,101 S. FICKETT STREET 81769,S200000,00200,0100,LOS ANGELES 81769,S200000,00200,0200,CA 81769,S200000,00200,0300,90033- 81769,S200000,00300,0100,LOS ANGELES 81769,S200000,00300,0200,4480 81769,S200000,00300,0300,U 81769,S200000,00400,0100,EAST LOS ANGELES CONVALESCENT HOSP. 81769,S200000,00400,0200,056063 81769,S200000,00400,0300,08/01/1995 81769,S200000,00400,0500,P 81769,S200000,00600,0200,056063 81769,S200000,00600,0300,08/01/1995 81769,S200000,00600,0600,P 81769,S200000,01600,0100,Y 81787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81787,A000000,00300,0000,00300EMPLOYEE BENEFITS 81787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81787,A000000,00700,0000,00700HOUSEKEEPING 81787,A000000,00800,0000,00800DIETARY 81787,A000000,00900,0000,00900NURSING ADMINISTRATION 81787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81787,A000000,01300,0000,01300SOCIAL SERVICE 81787,A000000,01301,0000,01301ACTIVITIES 81787,A000000,01350,0000,01500REHAB 81787,A000000,01600,0000,01600SKILLED NURSING FACILITY 81787,A000000,01800,0000,01800NURSING FACILITY 81787,A000000,01900,0000,01900OTHER LONG TERM CARE 81787,A000000,02100,0000,02100RADIOLOGY 81787,A000000,02200,0000,02200LABORATORY 81787,A000000,02300,0000,02300INTRAVENOUS THERAPY 81787,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81787,A000000,02500,0000,02500PHYSICAL THERAPY 81787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81787,A000000,02700,0000,02700SPEECH PATHOLOGY 81787,A000000,02800,0000,02800ELECTROCARDIOLOGY 81787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81787,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81787,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81787,A000000,03200,0000,03200SUPPORT SURFACES 81787,A000000,03400,0000,03400CLINIC 81787,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 81787,A000000,04800,0000,04800AMBULANCE 81787,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81787,A000000,05000,0000,05000CORF 81787,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81787,A000000,05300,0000,05300INTEREST EXPENSE 81787,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81787,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81787,A000000,05500,0000,05500HOSPICE 81787,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81787,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81787,A000000,06100,0000,06100NONPAID WORKERS 81787,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 81787,A000000,06200,0000,06200PATIENTS LAUNDRY 81787,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81787,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81787,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81787,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81787,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81787,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81787,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81787,B100000,00000,0800,00000MEALS SERVED :DIETARY 81787,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81787,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81787,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81787,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81787,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 81787,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 81787,S000000,00100,0200,06/05/2000 81787,S200000,00100,0100,991 CLYDE AVE 81787,S200000,00200,0100,SANTA CLARA 81787,S200000,00200,0200,CA 81787,S200000,00200,0300,95054- 81787,S200000,00300,0100,SANTA CLARA 81787,S200000,00400,0100,VALLEY HOUSE 81787,S200000,00400,0200,056069 81787,S200000,00400,0300,09/01/1993 81787,S200000,00400,0500,P 81787,S700003,00000,0100,1 81794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81794,A000000,00300,0000,00300EMPLOYEE BENEFITS 81794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81794,A000000,00700,0000,00700HOUSEKEEPING 81794,A000000,00800,0000,00800DIETARY 81794,A000000,00900,0000,00900NURSING ADMINISTRATION 81794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81794,A000000,01100,0000,01100PHARMACY 81794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81794,A000000,01300,0000,01300SOCIAL SERVICE 81794,A000000,01350,0000,01500OTHER GENERAL SERVICES 81794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81794,A000000,01600,0000,01600SKILLED NURSING FACILITY 81794,A000000,01800,0000,01800NURSING FACILITY 81794,A000000,01810,0000,01810ICF/MR 81794,A000000,01900,0000,01900OTHER LONG TERM CARE 81794,A000000,02100,0000,02100RADIOLOGY 81794,A000000,02200,0000,02200LABORATORY 81794,A000000,02300,0000,02300INTRAVENOUS THERAPY 81794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81794,A000000,02500,0000,02500PHYSICAL THERAPY 81794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81794,A000000,02700,0000,02700SPEECH PATHOLOGY 81794,A000000,02800,0000,02800ELECTROCARDIOLOGY 81794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81794,A000000,03200,0000,03200SUPPORT SURFACES 81794,A000000,03400,0000,03400CLINIC 81794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81794,A000000,03500,0000,03500RURAL HEALTH CLINIC 81794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81794,A000000,04800,0000,04800AMBULANCE 81794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81794,A000000,05000,0000,05000CORF 81794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81794,A000000,05300,0000,05300INTEREST EXPENSE 81794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81794,A000000,05500,0000,05500HOSPICE 81794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81794,A000000,06100,0000,06100NONPAID WORKERS 81794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81794,A000000,06200,0000,06200PATIENTS LAUNDRY 81794,A81000A,00100,0100,Y 81794,A81000B,00100,0300,MANAGEMENT FEES 81794,A81000C,00100,0100,F 81794,A81000C,00100,0200,D & J SORENSEN & D LAWS 81794,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81794,A81000C,00100,0600,SUPPORT SERVICES 81794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81794,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81794,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81794,B100000,00000,0800,00000MEALS SERVED :DIETARY 81794,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81794,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81794,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81794,S000000,00100,0200,08/29/2001 81794,S200000,00100,0100,1115 B STRET 81794,S200000,00200,0100,PETALUMA 81794,S200000,00200,0200,CA 81794,S200000,00200,0300,94952- 81794,S200000,00300,0100,SONOMA 81794,S200000,00300,0200,7500 81794,S200000,00300,0300,U 81794,S200000,00400,0100,PETALUMA CARE AND REHAB 81794,S200000,00400,0200,056072 81794,S200000,00400,0300,05/22/1969 81794,S200000,00400,0500,P 81794,S200000,01600,0100,Y 81803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81803,A000000,00300,0000,00300EMPLOYEE BENEFITS 81803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81803,A000000,00700,0000,00700HOUSEKEEPING 81803,A000000,00800,0000,00800DIETARY 81803,A000000,00900,0000,00900NURSING ADMINISTRATION 81803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81803,A000000,01100,0000,01100PHARMACY 81803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81803,A000000,01300,0000,01300SOCIAL SERVICE 81803,A000000,01350,0000,01500OTHER GENERAL SERVICES 81803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81803,A000000,01600,0000,01600SKILLED NURSING FACILITY 81803,A000000,01800,0000,01800NURSING FACILITY 81803,A000000,01810,0000,01810ICF/MR 81803,A000000,01900,0000,01900OTHER LONG TERM CARE 81803,A000000,02100,0000,02100RADIOLOGY 81803,A000000,02200,0000,02200LABORATORY 81803,A000000,02300,0000,02300INTRAVENOUS THERAPY 81803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81803,A000000,02500,0000,02500PHYSICAL THERAPY 81803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81803,A000000,02700,0000,02700SPEECH PATHOLOGY 81803,A000000,02800,0000,02800ELECTROCARDIOLOGY 81803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81803,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81803,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81803,A000000,03200,0000,03200SUPPORT SURFACES 81803,A000000,03400,0000,03400CLINIC 81803,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81803,A000000,03500,0000,03500RURAL HEALTH CLINIC 81803,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81803,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81803,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81803,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81803,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81803,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81803,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81803,A000000,04400,0000,04400DME RENTED - HHA 81803,A000000,04500,0000,04500DME SOLD - HHA 81803,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81803,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81803,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81803,A000000,04800,0000,04800AMBULANCE 81803,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81803,A000000,05000,0000,05000CORF 81803,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81803,A000000,05300,0000,05300INTEREST EXPENSE 81803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81803,A000000,05500,0000,05500HOSPICE 81803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81803,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81803,A000000,06100,0000,06100NONPAID WORKERS 81803,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81803,A000000,06200,0000,06200PATIENTS LAUNDRY 81803,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81803,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81803,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81803,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81803,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81803,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81803,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81803,B100000,00000,0800,00000MEALS SERVED :DIETARY 81803,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81803,S000000,00100,0200,12/04/2000 81803,S200000,00100,0100,831 S LAKE ST 81803,S200000,00200,0100,LOS ANGELES 81803,S200000,00200,0200,CA 81803,S200000,00200,0300,90057- 81803,S200000,00300,0100,LOS ANGELES 81803,S200000,00300,0200,4480 81803,S200000,00300,0300,U 81803,S200000,00400,0100,LAKEWOOD MANOR NORTH 81803,S200000,00400,0200,056078 81803,S200000,00400,0300,01/01/1997 81803,S200000,00400,0500,P 81803,S200000,01500,0100,Y 81811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81811,A000000,00300,0000,00300EMPLOYEE BENEFITS 81811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81811,A000000,00700,0000,00700HOUSEKEEPING 81811,A000000,00800,0000,00800DIETARY 81811,A000000,00900,0000,00900NURSING ADMINISTRATION 81811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81811,A000000,01600,0000,01600SKILLED NURSING FACILITY 81811,A000000,01800,0000,01800NURSING FACILITY 81811,A000000,02100,0000,02100RADIOLOGY 81811,A000000,02200,0000,02200LABORATORY 81811,A000000,02300,0000,02300INTRAVENOUS THERAPY 81811,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81811,A000000,02500,0000,02500PHYSICAL THERAPY 81811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81811,A000000,02700,0000,02700SPEECH PATHOLOGY 81811,A000000,02800,0000,02800ELECTROCARDIOLOGY 81811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81811,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81811,A81000A,00100,0100,Y 81811,A81000B,00100,0300,HOME OFFICE EXPENSE 81811,A81000C,00100,0100,A 81811,A81000C,00100,0200,EMMANUEL I. BER 81811,A81000C,00100,0400,PLEASANT CARE C 81811,A81000C,00100,0600,HEALTH CARE PRO 81811,A81000C,00200,0100,A 81811,A81000C,00200,0200,EMMANUEL I. BER 81811,A81000C,00200,0400,PCC HEALTH SVCS 81811,A81000C,00200,0600,HEALTH CARE PRO 81811,A81000C,00300,0100,A 81811,A81000C,00300,0200,EMMANUEL I. BER 81811,A81000C,00300,0400,ATLAS CARE CORP 81811,A81000C,00300,0600,HEALTH CARE PRO 81811,A81000C,00400,0100,A 81811,A81000C,00400,0200,EMMANUEL I. BER 81811,A81000C,00400,0400,EMBER CARE CORP 81811,A81000C,00400,0600,HEALTH CARE PRO 81811,A81000C,00500,0100,A 81811,A81000C,00500,0200,EMMANUEL I. BER 81811,A81000C,00500,0400,SNF PROPERTIES 81811,A81000C,00500,0600,HEALTH CARE PRO 81811,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81811,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81811,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81811,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81811,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81811,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81811,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81811,B100000,00000,0800,00000MEALS SERVED :DIETARY 81811,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 81811,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81811,S000000,00100,0200,07/12/2000 81811,S200000,00100,0100,805 WEST ARROW H-WAY 81811,S200000,00200,0100,GLENDORA 81811,S200000,00200,0200,CA 81811,S200000,00200,0300,91740- 81811,S200000,00300,0100,LOS ANGELES 81811,S200000,00300,0200,4480 81811,S200000,00300,0300,U 81811,S200000,00400,0100,EMMANUEL HEALTH CARE - GLENDORA 81811,S200000,00400,0200,056079 81811,S200000,00400,0300,02/01/1995 81811,S200000,00400,0500,P 81811,S200000,00600,0200,056079 81811,S200000,00600,0300,02/01/1995 81811,S200000,00600,0600,P 81811,S200000,01600,0100,Y 81820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81820,A000000,00300,0000,00300EMPLOYEE BENEFITS 81820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81820,A000000,00700,0000,00700HOUSEKEEPING 81820,A000000,00800,0000,00800DIETARY 81820,A000000,00900,0000,00900NURSING ADMINISTRATION 81820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81820,A000000,01600,0000,01600SKILLED NURSING FACILITY 81820,A000000,01800,0000,01800NURSING FACILITY 81820,A000000,02100,0000,02100RADIOLOGY 81820,A000000,02200,0000,02200LABORATORY 81820,A000000,02300,0000,02300INTRAVENOUS THERAPY 81820,A000000,02500,0000,02500PHYSICAL THERAPY 81820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81820,A000000,02700,0000,02700SPEECH PATHOLOGY 81820,A000000,02800,0000,02800ELECTROCARDIOLOGY 81820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81820,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81820,A81000A,00100,0100,Y 81820,A81000B,00100,0300,HOME OFFICE EXPENSES 81820,A81000C,00100,0100,A 81820,A81000C,00100,0200,E.I. BERNABE 81820,A81000C,00100,0400,PLEASANT CARE C 81820,A81000C,00100,0600,HEALTH CARE PRO 81820,A81000C,00200,0100,A 81820,A81000C,00200,0200,E.I. BERNABE 81820,A81000C,00200,0400,PCC HEALTH SERV 81820,A81000C,00200,0600,HEALTH CARE PRO 81820,A81000C,00300,0100,A 81820,A81000C,00300,0200,E.I. BERNABE 81820,A81000C,00300,0400,EMBER CARE CORP 81820,A81000C,00300,0600,HEALTH CARE PRO 81820,A81000C,00400,0100,A 81820,A81000C,00400,0200,E.I. BERNABE 81820,A81000C,00400,0400,ATLAS CARE CORP 81820,A81000C,00400,0600,HEALTH CARE PRO 81820,A81000C,00500,0100,A 81820,A81000C,00500,0200,E.I. BERNABE 81820,A81000C,00500,0400,SNF PROPERTIES 81820,A81000C,00500,0600,HEALTH CARE PRO 81820,A81000C,00600,0100,A 81820,A81000C,00600,0200,E.I. BERNABE 81820,A81000C,00600,0400,STOCKTON EDISON 81820,A81000C,00600,0600,HEALTH CARE PRO 81820,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81820,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81820,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81820,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81820,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81820,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81820,B100000,00000,0800,00000MEALS SERVED :DIETARY 81820,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 81820,B100000,00000,1250,00000 GROSS REVENUES :MEDICAL RECORDS & 81820,S000000,00100,0200,05/17/2000 81820,S200000,00100,0100,180 N. JACKSON AVENUE 81820,S200000,00200,0100,SAN JOSE 81820,S200000,00200,0200,CA 81820,S200000,00200,0300,95116- 81820,S200000,00300,0100,SANTA CLARA 81820,S200000,00300,0200,7400 81820,S200000,00300,0300,U 81820,S200000,00400,0100,EMMANUEL CONVAL. HOSPITAL - SAN JOSE 81820,S200000,00400,0200,056082 81820,S200000,00400,0300,12/30/1994 81820,S200000,00400,0500,P 81820,S200000,00600,0200,056082 81820,S200000,00600,0300,12/30/1994 81820,S200000,00600,0600,P 81820,S200000,01600,0100,Y 81832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81832,A000000,00300,0000,00300EMPLOYEE BENEFITS 81832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81832,A000000,00700,0000,00700HOUSEKEEPING 81832,A000000,00800,0000,00800DIETARY 81832,A000000,01300,0000,01300SOCIAL SERVICE 81832,A000000,01600,0000,01600SKILLED NURSING FACILITY 81832,A000000,01810,0000,01810ICF/MR 81832,A000000,01900,0000,01900OTHER LONG TERM CARE 81832,A000000,02100,0000,02100RADIOLOGY 81832,A000000,02500,0000,02500PHYSICAL THERAPY 81832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81832,A000000,02700,0000,02700SPEECH PATHOLOGY 81832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81832,A000000,03550,0000,03550FQHC 81832,A000000,05000,0000,05000CORF 81832,A000000,05010,0000,05010CMHC 81832,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 81832,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 81832,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 81832,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81832,A81000A,00100,0100,Y 81832,A81000B,00100,0300,HOME OFFICE RECON 81832,A81000B,00200,0300,HOME OFFICE RECON 81832,A81000B,00300,0300,HOME OFFICE RECON 81832,A81000C,00100,0100,A 81832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81832,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81832,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81832,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81832,B100000,00000,0800,00000MEALS SERVED :DIETARY 81832,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81832,S000000,00100,0200,06/05/2000 81832,S200000,00100,0100,850 SONOMA AVENUE 81832,S200000,00200,0100,SANTA ROSA 81832,S200000,00200,0200,CA 81832,S200000,00200,0300,95403- 81832,S200000,00300,0100,SONOMA 81832,S200000,00300,0200,7500 81832,S200000,00300,0300,U 81832,S200000,00400,0100,CREEKSIDE CONV. HOSP. 81832,S200000,00400,0200,056090 81832,S200000,00400,0300,01/01/1967 81832,S200000,00400,0500,P 81832,S200000,01500,0100,Y 81832,S200000,04300,0100,Y 81839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81839,A000000,00300,0000,00300EMPLOYEE BENEFITS 81839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81839,A000000,00700,0000,00700HOUSEKEEPING 81839,A000000,00800,0000,00800DIETARY 81839,A000000,00900,0000,00900NURSING ADMINISTRATION 81839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81839,A000000,01100,0000,01100PHARMACY 81839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81839,A000000,01300,0000,01300SOCIAL SERVICE 81839,A000000,01600,0000,01600SKILLED NURSING FACILITY 81839,A000000,01800,0000,01800NURSING FACILITY 81839,A000000,02100,0000,02100RADIOLOGY 81839,A000000,02200,0000,02200LABORATORY 81839,A000000,02500,0000,02500PHYSICAL THERAPY 81839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81839,A000000,02700,0000,02700SPEECH PATHOLOGY 81839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81839,A81000A,00100,0100,Y 81839,A81000B,00100,0300,CORPORATE SERVICES 81839,A81000B,00200,0300,ALLOWABLE HOME OFFICE COST 81839,A81000B,00300,0300,CAPITAL - BUILDING 81839,A81000B,00400,0300,CAPITAL - EQUIPMENT 81839,A81000C,00100,0100,B 81839,A81000C,00100,0200,ABHOW 81839,A81000C,00100,0600,ACCTG & MGMT 81839,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81839,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81839,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81839,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81839,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81839,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81839,B100000,00000,0800,00000MEALS SERVED :DIETARY 81839,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81839,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 81839,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81839,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81839,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81839,S000000,00100,0200,03/01/2000 81839,S200000,00100,0100,110 41ST STREET 81839,S200000,00200,0100,OAKLAND 81839,S200000,00200,0200,CA 81839,S200000,00200,0300,94611- 81839,S200000,00300,0100,ALAMEDA 81839,S200000,00300,0200,5775 81839,S200000,00300,0300,U 81839,S200000,00400,0100,ABHOW - PIEDMONT GARDENS 81839,S200000,00400,0200,056096 81839,S200000,00400,0300,07/07/1969 81839,S200000,00400,0500,P 81839,S200000,01500,0100,Y 81849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81849,A000000,00300,0000,00300EMPLOYEE BENEFITS 81849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81849,A000000,00700,0000,00700HOUSEKEEPING 81849,A000000,00800,0000,00800DIETARY 81849,A000000,00900,0000,00900NURSING ADMINISTRATION 81849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81849,A000000,01100,0000,01100PHARMACY 81849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81849,A000000,01300,0000,01300SOCIAL SERVICE 81849,A000000,01350,0000,01500OTHER GENERAL SERVICES 81849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81849,A000000,01600,0000,01600SKILLED NURSING FACILITY 81849,A000000,01800,0000,01800NURSING FACILITY 81849,A000000,01810,0000,01810ICF/MR 81849,A000000,01900,0000,01900OTHER LONG TERM CARE 81849,A000000,02100,0000,02100RADIOLOGY 81849,A000000,02200,0000,02200LABORATORY 81849,A000000,02300,0000,02300INTRAVENOUS THERAPY 81849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81849,A000000,02500,0000,02500PHYSICAL THERAPY 81849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81849,A000000,02700,0000,02700SPEECH PATHOLOGY 81849,A000000,02800,0000,02800ELECTROCARDIOLOGY 81849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81849,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81849,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81849,A000000,03200,0000,03200SUPPORT SURFACES 81849,A000000,03400,0000,03400CLINIC 81849,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81849,A000000,03500,0000,03500RURAL HEALTH CLINIC 81849,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81849,A000000,04800,0000,04800AMBULANCE 81849,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81849,A000000,05000,0000,05000CORF 81849,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81849,A000000,05300,0000,05300INTEREST EXPENSE 81849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81849,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81849,A000000,05500,0000,05500HOSPICE 81849,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81849,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81849,A000000,06100,0000,06100NONPAID WORKERS 81849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81849,A000000,06200,0000,06200PATIENTS LAUNDRY 81849,A81000A,00100,0100,Y 81849,A81000B,00100,0300,MANAGEMENT FEES 81849,A81000C,00100,0100,F 81849,A81000C,00100,0200,NORTH AMERICAN HEALCH CAR 81849,A81000C,00100,0600,MANAGMENT SERVICES 81849,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81849,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81849,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81849,B100000,00000,0650,00000LBS OF DRY LA:LAUNDRY & LINEN SERVI 81849,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 81849,B100000,00000,0800,00000MEALS SERVED :DIETARY 81849,B100000,00000,0900,00000HOURS WORKED :NURSING ADMINISTRATI 81849,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81849,B100000,00000,1330,00000ADMISSIONS S :SOCIAL SERVICE 81849,S000000,00100,0200,05/30/2001 81849,S200000,00100,0100,625 COTTONWOOD STREET 81849,S200000,00200,0100,WOODLAND 81849,S200000,00200,0200,CA 81849,S200000,00200,0300,95695- 81849,S200000,00300,0100,YOLO 81849,S200000,00300,0200,9270 81849,S200000,00300,0300,U 81849,S200000,00400,0100,COTTONWOOD HEALTHCARE 81849,S200000,00400,0200,056098 81849,S200000,00400,0300,07/01/1999 81849,S200000,00400,0500,P 81849,S200000,01500,0100,Y 81862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81862,A000000,00300,0000,00300EMPLOYEE BENEFITS 81862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81862,A000000,00700,0000,00700HOUSEKEEPING 81862,A000000,00800,0000,00800DIETARY 81862,A000000,00900,0000,00900NURSING ADMINISTRATION 81862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81862,A000000,01600,0000,01600SKILLED NURSING FACILITY 81862,A000000,01800,0000,01800NURSING FACILITY 81862,A000000,02100,0000,02100RADIOLOGY 81862,A000000,02200,0000,02200LABORATORY 81862,A000000,02300,0000,02300INTRAVENOUS THERAPY 81862,A000000,02500,0000,02500PHYSICAL THERAPY 81862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81862,A000000,02700,0000,02700SPEECH PATHOLOGY 81862,A000000,02800,0000,02800ELECTROCARDIOLOGY 81862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81862,A81000A,00100,0100,Y 81862,A81000B,00100,0300,HOME OFFICE EXPENSE 81862,A81000C,00100,0100,A 81862,A81000C,00100,0200,EMMANUEL BERNAB 81862,A81000C,00100,0400,PLEASANT CARE C 81862,A81000C,00100,0600,HEALTH CARE PRO 81862,A81000C,00200,0100,A 81862,A81000C,00200,0200,EMMANUEL BERNAB 81862,A81000C,00200,0400,PCC HEALTH SVCS 81862,A81000C,00200,0600,HEALTH CARE PRO 81862,A81000C,00300,0100,A 81862,A81000C,00300,0200,EMMANUEL BERNAB 81862,A81000C,00300,0400,ATLAS CARE CORP 81862,A81000C,00300,0600,HEALTH CARE PRO 81862,A81000C,00400,0100,A 81862,A81000C,00400,0200,EMMANUEL BERNAB 81862,A81000C,00400,0400,EMBER CARE CORP 81862,A81000C,00400,0600,HEALTH CARE PRO 81862,A81000C,00500,0100,A 81862,A81000C,00500,0200,EMMANUEL BERNAB 81862,A81000C,00500,0400,SNF PROPERTIES 81862,A81000C,00500,0600,HEALTH CARE PRO 81862,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81862,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81862,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81862,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81862,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81862,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81862,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81862,B100000,00000,0800,00000MEALS SERVED :DIETARY 81862,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81862,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81862,S000000,00100,0200,03/21/2000 81862,S200000,00100,0100,508 WESTLINE DRIVE 81862,S200000,00200,0100,ALAMEDA 81862,S200000,00200,0200,CA 81862,S200000,00200,0300,94501- 81862,S200000,00300,0100,ALAMEDA 81862,S200000,00300,0200,5775 81862,S200000,00300,0300,U 81862,S200000,00400,0100,EMMANUEL CONVALESCENT HOSP-ALAMEDA 81862,S200000,00400,0200,056103 81862,S200000,00400,0300,12/01/1994 81862,S200000,00400,0500,P 81862,S200000,00600,0200,056103 81862,S200000,00600,0300,12/01/1994 81862,S200000,00600,0600,P 81862,S200000,01600,0100,Y 81862,S200000,04300,0100,Y 81873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81873,A000000,00300,0000,00300EMPLOYEE BENEFITS 81873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81873,A000000,00700,0000,00700HOUSEKEEPING 81873,A000000,00800,0000,00800DIETARY 81873,A000000,00900,0000,00900NURSING ADMINISTRATION 81873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81873,A000000,01300,0000,01300SOCIAL SERVICE 81873,A000000,01600,0000,01600SKILLED NURSING FACILITY 81873,A000000,01800,0000,01800NURSING FACILITY 81873,A000000,01900,0000,01900OTHER LONG TERM CARE 81873,A000000,02100,0000,02100RADIOLOGY 81873,A000000,02200,0000,02200LABORATORY 81873,A000000,02300,0000,02300INTRAVENOUS THERAPY 81873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81873,A000000,02500,0000,02500PHYSICAL THERAPY 81873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81873,A000000,02700,0000,02700SPEECH PATHOLOGY 81873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81873,A000000,03200,0000,03200SUPPORT SURFACES 81873,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81873,A000000,04800,0000,04800AMBULANCE 81873,A000000,05300,0000,05300INTEREST EXPENSE 81873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81873,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81873,A000000,06150,0000,06300OUT OF PERIOD ADJUSTMENT 81873,A000000,06200,0000,06200PATIENTS LAUNDRY 81873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81873,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81873,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81873,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81873,B100000,00000,0800,00000MEALS SERVED :DIETARY 81873,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 81873,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81873,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81873,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81873,S000000,00100,0200,06/05/2000 81873,S200000,00100,0100,5320 FOURTH AVE 81873,S200000,00200,0100,SAN DIEGO 81873,S200000,00200,0200,CA 81873,S200000,00200,0300,92103- 81873,S200000,00300,0100,SAN DIEGO 81873,S200000,00300,0200,7320 81873,S200000,00300,0300,U 81873,S200000,00400,0100,BAYSIDE REHABILITATION & CARE CENTER 81873,S200000,00400,0200,056105 81873,S200000,00400,0300,10/10/1969 81873,S200000,00400,0500,P 81873,S200000,01600,0100,Y 81880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81880,A000000,00300,0000,00300EMPLOYEE BENEFITS 81880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81880,A000000,00700,0000,00700HOUSEKEEPING 81880,A000000,00800,0000,00800DIETARY 81880,A000000,00900,0000,00900NURSING ADMINISTRATION 81880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81880,A000000,01100,0000,01100PHARMACY 81880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81880,A000000,01300,0000,01300SOCIAL SERVICE 81880,A000000,01350,0000,01500OTHER GENERAL SERVICES 81880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81880,A000000,01600,0000,01600SKILLED NURSING FACILITY 81880,A000000,01800,0000,01800NURSING FACILITY 81880,A000000,01900,0000,01900OTHER LONG TERM CARE 81880,A000000,02100,0000,02100RADIOLOGY 81880,A000000,02200,0000,02200LABORATORY 81880,A000000,02300,0000,02300INTRAVENOUS THERAPY 81880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81880,A000000,02500,0000,02500PHYSICAL THERAPY 81880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81880,A000000,02700,0000,02700SPEECH PATHOLOGY 81880,A000000,02800,0000,02800ELECTROCARDIOLOGY 81880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81880,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81880,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81880,A000000,03200,0000,03200SUPPORT SURFACES 81880,A000000,03400,0000,03400CLINIC 81880,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81880,A000000,03500,0000,03500RURAL HEALTH CLINIC 81880,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81880,A000000,04800,0000,04800AMBULANCE 81880,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81880,A000000,05000,0000,05000CORF 81880,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81880,A000000,05300,0000,05300INTEREST EXPENSE 81880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81880,A000000,05500,0000,05500HOSPICE 81880,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81880,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81880,A000000,06100,0000,06100NONPAID WORKERS 81880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81880,A000000,06200,0000,06200PATIENTS LAUNDRY 81880,A81000A,00100,0100,Y 81880,A81000B,00100,0300,MANAGEMENT FEE 81880,A81000C,00100,0100,F 81880,A81000C,00100,0200,J & D SORENSEN D. LAWS 81880,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81880,A81000C,00100,0600,MANAGEMENT 81880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81880,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 81880,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 81880,B100000,00000,0800,00000MEALS SERVED :DIETARY 81880,B100000,00000,0900,00000NSG HOURS :NURSING ADMINISTRATION 81880,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81880,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81880,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81880,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81880,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81880,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81880,E10A180,00301,0100,07/01/1998 81880,S000000,00100,0200,05/15/2000 81880,S200000,00100,0100,678 3RD STREET 81880,S200000,00200,0100,WOODLAND 81880,S200000,00200,0200,CA 81880,S200000,00200,0300,95695- 81880,S200000,00300,0100,YOLO 81880,S200000,00400,0100,WOODLAND SKILLED NURSING FACILITY 81880,S200000,00400,0200,056109 81880,S200000,00400,0300,01/01/1996 81880,S200000,00400,0500,P 81880,S200000,00600,0200,056109 81880,S200000,00600,0300,01/01/1996 81880,S200000,00600,0600,P 81880,S200000,01600,0100,Y 81880,S200000,02200,0100,Y 81880,S700003,00000,0400,4 81890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81890,A000000,00300,0000,00300EMPLOYEE BENEFITS 81890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81890,A000000,00700,0000,00700HOUSEKEEPING 81890,A000000,00800,0000,00800DIETARY 81890,A000000,00900,0000,00900NURSING ADMINISTRATION 81890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81890,A000000,01600,0000,01600SKILLED NURSING FACILITY 81890,A000000,01800,0000,01800NURSING FACILITY 81890,A000000,02100,0000,02100RADIOLOGY 81890,A000000,02200,0000,02200LABORATORY 81890,A000000,02300,0000,02300INTRAVENOUS THERAPY 81890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81890,A000000,02500,0000,02500PHYSICAL THERAPY 81890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81890,A000000,02700,0000,02700SPEECH PATHOLOGY 81890,A000000,02800,0000,02800ELECTROCARDIOLOGY 81890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81890,A81000A,00100,0100,Y 81890,A81000B,00100,0300,HOME OFFICE EXPENSE 81890,A81000C,00100,0100,A 81890,A81000C,00100,0200,EMMANUEL BERNAB 81890,A81000C,00100,0400,PLEASANT CARE C 81890,A81000C,00100,0600,HEALTH CARE PRO 81890,A81000C,00200,0100,A 81890,A81000C,00200,0200,EMMANUEL BERNAB 81890,A81000C,00200,0400,PCC HEALTH SVCS 81890,A81000C,00200,0600,HEALTH CARE PRO 81890,A81000C,00300,0100,A 81890,A81000C,00300,0200,EMMANUEL BERNAB 81890,A81000C,00300,0400,ATLAS CARE CORP 81890,A81000C,00300,0600,HEALTH CARE PRO 81890,A81000C,00400,0100,A 81890,A81000C,00400,0200,EMMANUEL BERNAB 81890,A81000C,00400,0400,EMBER CARE CORP 81890,A81000C,00400,0600,HEALTH CARE PRO 81890,A81000C,00500,0100,A 81890,A81000C,00500,0200,EMMANUEL BERNAB 81890,A81000C,00500,0400,SNF PROPERTIES 81890,A81000C,00500,0600,HEALTH CARE PRO 81890,A81000C,00600,0100,A 81890,A81000C,00600,0200,EMMANUEL BERNAB 81890,A81000C,00600,0400,STOCKTON EDISON 81890,A81000C,00600,0600,HEALTH CARE PRO 81890,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81890,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81890,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81890,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81890,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81890,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81890,B100000,00000,0800,00000MEALS SERVED :DIETARY 81890,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 81890,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81890,S000000,00100,0200,12/01/2000 81890,S200000,00100,0100,201 ALLEN AVENUE 81890,S200000,00200,0100,GLENDALE 81890,S200000,00200,0200,CA 81890,S200000,00200,0300,91201- 81890,S200000,00300,0100,LOS ANGELES 81890,S200000,00300,0200,4480 81890,S200000,00300,0300,U 81890,S200000,00400,0100,EMBER CARE HEALTH CENTER - GLENDALE 81890,S200000,00400,0200,056111 81890,S200000,00400,0300,07/01/1997 81890,S200000,00400,0500,P 81890,S200000,00600,0200,056111 81890,S200000,00600,0300,07/01/1997 81890,S200000,00600,0600,P 81890,S200000,01600,0100,Y 81890,S200000,04300,0100,Y 81898,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81898,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81898,A000000,00300,0000,00300EMPLOYEE BENEFITS 81898,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81898,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81898,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81898,A000000,00700,0000,00700HOUSEKEEPING 81898,A000000,00800,0000,00800DIETARY 81898,A000000,00900,0000,00900NURSING ADMINISTRATION 81898,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81898,A000000,01100,0000,01100PHARMACY 81898,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81898,A000000,01300,0000,01300SOCIAL SERVICE 81898,A000000,01350,0000,01500OTHER GENERAL SERVICES 81898,A000000,01600,0000,01600SKILLED NURSING FACILITY 81898,A000000,01800,0000,01800NURSING FACILITY 81898,A000000,01900,0000,01900OTHER LONG TERM CARE 81898,A000000,02100,0000,02100RADIOLOGY 81898,A000000,02200,0000,02200LABORATORY 81898,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81898,A000000,02500,0000,02500PHYSICAL THERAPY 81898,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81898,A000000,02700,0000,02700SPEECH PATHOLOGY 81898,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81898,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 81898,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81898,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81898,A000000,04800,0000,04800AMBULANCE 81898,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81898,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81898,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81898,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81898,A81000A,00100,0100,Y 81898,A81000B,00100,0300,MANAGEMENT FEE 81898,A81000B,00200,0300,CAPITAL 81898,A81000B,00300,0300,DATA PROCESSING FEE 81898,A81000B,00400,0300,RESPIRATORY THERAPY 81898,A81000B,00500,0300,PHYSICAL THERAPY 81898,A81000B,00600,0300,OCCUPATIONAL THERAPY 81898,A81000B,00700,0300,SPEECH THERAPY 81898,A81000C,00100,0100,A 81898,A81000C,00100,0200,CVHS CORP 81898,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81898,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81898,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81898,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81898,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81898,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81898,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81898,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81898,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 81898,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81898,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81898,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 81898,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81898,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81898,S000000,00100,0200,05/30/2000 81898,S200000,00100,0100,2415 SOUTH WESTERN AVENUE 81898,S200000,00200,0100,LOS ANGELES 81898,S200000,00200,0200,CA 81898,S200000,00200,0300,90018- 81898,S200000,00300,0100,LOS ANGELES 81898,S200000,00400,0100,COUNTRY VILLA EAST 81898,S200000,00400,0200,056114 81898,S200000,00400,0300,09/02/1969 81898,S200000,00400,0500,P 81898,S200000,01600,0100,Y 81898,S200000,02200,0100,Y 81898,S200000,02800,0100,Y 81898,S700003,00000,0100,1 81925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81925,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81925,A000000,00300,0000,00300EMPLOYEE BENEFITS 81925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81925,A000000,00700,0000,00700HOUSEKEEPING 81925,A000000,00800,0000,00800DIETARY 81925,A000000,00900,0000,00900NURSING ADMINISTRATION 81925,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81925,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81925,A000000,01300,0000,01300SOCIAL SERVICE 81925,A000000,01600,0000,01600SKILLED NURSING FACILITY 81925,A000000,01800,0000,01800NURSING FACILITY 81925,A000000,01900,0000,01900OTHER LONG TERM CARE 81925,A000000,02100,0000,02100RADIOLOGY 81925,A000000,02200,0000,02200LABORATORY 81925,A000000,02300,0000,02300INTRAVENOUS THERAPY 81925,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81925,A000000,02500,0000,02500PHYSICAL THERAPY 81925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81925,A000000,02700,0000,02700SPEECH PATHOLOGY 81925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81925,A000000,03200,0000,03200SUPPORT SURFACES 81925,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81925,A000000,04800,0000,04800AMBULANCE 81925,A000000,05300,0000,05300INTEREST EXPENSE 81925,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81925,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81925,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81925,A000000,06150,0000,06300OUT OF PERIOD ITEMS 81925,A000000,06200,0000,06200PATIENTS LAUNDRY 81925,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81925,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81925,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81925,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81925,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81925,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 81925,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81925,B100000,00000,0800,00000MEALS SERVED :DIETARY 81925,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 81925,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81925,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 81925,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 81925,E10A180,00301,0100,03/06/2000 81925,S000000,00100,0200,06/05/2000 81925,S200000,00100,0100,300 DOUGLAS STREET 81925,S200000,00200,0100,PETALUMA 81925,S200000,00200,0200,CA 81925,S200000,00200,0300,94952- 81925,S200000,00300,0100,SONOMA 81925,S200000,00400,0100,WESTSIDE CARE CENTER 81925,S200000,00400,0200,056120 81925,S200000,00400,0300,04/01/1993 81925,S200000,00400,0500,P 81925,S200000,01600,0100,Y 81925,S700003,00000,0100,1 81937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81937,A000000,00300,0000,00300EMPLOYEE BENEFITS 81937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81937,A000000,00700,0000,00700HOUSEKEEPING 81937,A000000,00800,0000,00800DIETARY 81937,A000000,00900,0000,00900NURSING ADMINISTRATION 81937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81937,A000000,01600,0000,01600SKILLED NURSING FACILITY 81937,A000000,01800,0000,01800NURSING FACILITY 81937,A000000,02100,0000,02100RADIOLOGY 81937,A000000,02200,0000,02200LABORATORY 81937,A000000,02300,0000,02300INTRAVENOUS THERAPY 81937,A000000,02500,0000,02500PHYSICAL THERAPY 81937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81937,A000000,02700,0000,02700SPEECH PATHOLOGY 81937,A000000,02800,0000,02800ELECTROCARDIOLOGY 81937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81937,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81937,A81000A,00100,0100,Y 81937,A81000B,00100,0300,HOME OFFICE EXPENSES 81937,A81000C,00100,0100,A 81937,A81000C,00100,0200,E.I. BERNABE 81937,A81000C,00100,0400,PLEASANT CARE C 81937,A81000C,00100,0600,HEALTH CARE PRO 81937,A81000C,00200,0100,A 81937,A81000C,00200,0200,E.I. BERNABE 81937,A81000C,00200,0400,PCC HEALTH SERV 81937,A81000C,00200,0600,HEALTH CARE PRO 81937,A81000C,00300,0100,A 81937,A81000C,00300,0200,E.I. BERNABE 81937,A81000C,00300,0400,EMBER CARE CORP 81937,A81000C,00300,0600,HEALTH CARE PRO 81937,A81000C,00400,0100,A 81937,A81000C,00400,0200,E.I. BERNABE 81937,A81000C,00400,0400,ATLAS CARE ENTE 81937,A81000C,00400,0600,HEALTH CARE PRO 81937,A81000C,00500,0100,A 81937,A81000C,00500,0200,E.I. BERNABE 81937,A81000C,00500,0400,SNF PROPERTIES 81937,A81000C,00500,0600,HEALTH CARE PRO 81937,A81000C,00600,0100,A 81937,A81000C,00600,0200,E.I. BERNABE 81937,A81000C,00600,0400,STOCKTON EDISON 81937,A81000C,00600,0600,HEALTH CARE PRO 81937,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81937,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81937,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81937,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81937,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81937,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81937,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81937,B100000,00000,0800,00000MEALS SERVED :DIETARY 81937,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 81937,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81937,S000000,00100,0200,03/20/2000 81937,S200000,00100,0100,33 MATEO AVENUE 81937,S200000,00200,0100,MILLBRAE 81937,S200000,00200,0200,CA 81937,S200000,00200,0300,94030- 81937,S200000,00300,0100,SAN MATEO 81937,S200000,00300,0200,7360 81937,S200000,00300,0300,U 81937,S200000,00400,0100,EMMANUEL CONVALESCENT HOSP-MILLBRAE 81937,S200000,00400,0200,056122 81937,S200000,00400,0300,11/01/1995 81937,S200000,00400,0500,P 81937,S200000,00600,0200,056122 81937,S200000,00600,0300,11/01/1995 81937,S200000,00600,0600,P 81937,S200000,01600,0100,Y 81946,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81946,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81946,A000000,00300,0000,00300EMPLOYEE BENEFITS 81946,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81946,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81946,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81946,A000000,00700,0000,00700HOUSEKEEPING 81946,A000000,00800,0000,00800DIETARY 81946,A000000,00900,0000,00900NURSING ADMINISTRATION 81946,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81946,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81946,A000000,01300,0000,01300SOCIAL SERVICE 81946,A000000,01301,0000,01301ACTIVITIES 81946,A000000,01350,0000,01500REHAB 81946,A000000,01600,0000,01600SKILLED NURSING FACILITY 81946,A000000,01800,0000,01800NURSING FACILITY 81946,A000000,01900,0000,01900OTHER LONG TERM CARE 81946,A000000,02100,0000,02100RADIOLOGY 81946,A000000,02200,0000,02200LABORATORY 81946,A000000,02300,0000,02300INTRAVENOUS THERAPY 81946,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81946,A000000,02500,0000,02500PHYSICAL THERAPY 81946,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81946,A000000,02700,0000,02700SPEECH PATHOLOGY 81946,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81946,A000000,02901,0000,02901OXYGEN 81946,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81946,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81946,A000000,03051,0000,03301PEN THERAPY 81946,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81946,A000000,04800,0000,04800AMBULANCE 81946,A000000,05300,0000,05300INTEREST EXPENSE 81946,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81946,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81946,A000000,06150,0000,06300VENDING 81946,A000000,06151,0000,06301OTHER & STAND-BY 81946,A81000A,00100,0100,Y 81946,A81000B,00100,0300,ADMIN & GENERAL 81946,A81000B,00200,0300,NON-CERT 81946,A81000B,00300,0300,MEDICAL SUPPLIES 81946,A81000B,00400,0300,PLANT 81946,A81000C,00100,0100,B 81946,A81000C,00100,0200,TARZANA-HEALTH 81946,A81000C,00100,0400,MARINER PAN 81946,A81000C,00100,0600,NURSING HOMES 81946,A81000C,00200,0100,G 81946,A81000C,00200,0200,MARINER PAN 81946,A81000C,00200,0400,AMERICAN PHARM 81946,A81000C,00200,0600,PHARMACEUTICALS 81946,A81000C,00300,0100,G 81946,A81000C,00300,0200,MARINER PAN 81946,A81000C,00300,0400,PRISM(ATS ARS T 81946,A81000C,00300,0600,THERAPIES 81946,A81000C,03100,0000,MARINER PAN 81946,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 81946,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 81946,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 81946,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 81946,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 81946,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 81946,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 81946,B100000,00000,0800,00001MEALS SERVED :DIETARY 81946,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 81946,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 81946,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 81946,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 81946,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 81946,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 81946,S000000,00100,0200,06/05/2000 81946,S200000,00100,0100,5650 RESEDA BLVD 81946,S200000,00200,0100,TARZANA 81946,S200000,00200,0200,CA 81946,S200000,00200,0300,91356-2230 81946,S200000,00300,0100,LOS ANGELES 81946,S200000,00400,0100,TARZANA HEALTH & REHAB CENTER 81946,S200000,00400,0200,056124 81946,S200000,00400,0300,01/01/1980 81946,S200000,00400,0500,P 81946,S200000,01600,0100,Y 81946,S700003,00000,0100,1 81951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81951,A000000,00300,0000,00300EMPLOYEE BENEFITS 81951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81951,A000000,00700,0000,00700HOUSEKEEPING 81951,A000000,00800,0000,00800DIETARY 81951,A000000,00900,0000,00900NURSING ADMINISTRATION 81951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81951,A000000,01100,0000,01100PHARMACY 81951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81951,A000000,01300,0000,01300SOCIAL SERVICE 81951,A000000,01350,0000,01500OTHER GENERAL SERVICES 81951,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81951,A000000,01600,0000,01600SKILLED NURSING FACILITY 81951,A000000,01800,0000,01800NURSING FACILITY 81951,A000000,01900,0000,01900OTHER LONG TERM CARE 81951,A000000,02100,0000,02100RADIOLOGY 81951,A000000,02200,0000,02200LABORATORY 81951,A000000,02300,0000,02300INTRAVENOUS THERAPY 81951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81951,A000000,02500,0000,02500PHYSICAL THERAPY 81951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81951,A000000,02700,0000,02700SPEECH PATHOLOGY 81951,A000000,02800,0000,02800ELECTROCARDIOLOGY 81951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81951,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81951,A000000,03200,0000,03200SUPPORT SURFACES 81951,A000000,03400,0000,03400CLINIC 81951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81951,A000000,03500,0000,03500RURAL HEALTH CLINIC 81951,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81951,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81951,A000000,04800,0000,04800AMBULANCE 81951,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81951,A000000,05000,0000,05000CORF 81951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81951,A000000,05300,0000,05300INTEREST EXPENSE 81951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81951,A000000,05500,0000,05500HOSPICE 81951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81951,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81951,A000000,06100,0000,06100NONPAID WORKERS 81951,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81951,A000000,06200,0000,06200PATIENTS LAUNDRY 81951,A81000A,00100,0100,Y 81951,A81000B,00100,0300,MANAGEMENT FEE 81951,A81000C,00100,0100,F 81951,A81000C,00100,0200,J & D SORENSEN D. LAWS 81951,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 81951,A81000C,00100,0600,MANAGEMENT 81951,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81951,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 81951,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 81951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81951,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81951,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 81951,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 81951,B100000,00000,0800,00000MEALS SERVED :DIETARY 81951,B100000,00000,0950,00000NSG. HRS. :NURSING ADMINISTRATION 81951,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81951,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81951,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81951,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81951,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81951,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 81951,S000000,00100,0200,05/22/2000 81951,S200000,00100,0100,3901 EAST FOURTH ST. 81951,S200000,00200,0100,LONG BEACH 81951,S200000,00200,0200,CA 81951,S200000,00200,0300,90814- 81951,S200000,00300,0100,LOS ANGELES 81951,S200000,00400,0100,ALAMITOS BELMONT REHAB. HOSPITAL 81951,S200000,00400,0200,056125 81951,S200000,00400,0300,09/01/1969 81951,S200000,00400,0500,P 81951,S200000,00600,0200,056125 81951,S200000,00600,0300,09/01/1969 81951,S200000,00600,0600,P 81951,S200000,01600,0100,Y 81951,S200000,02200,0100,Y 81951,S700003,00000,0100,1 81958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81958,A000000,00300,0000,00300EMPLOYEE BENEFITS 81958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81958,A000000,00700,0000,00700HOUSEKEEPING 81958,A000000,00800,0000,00800DIETARY 81958,A000000,00900,0000,00900NURSING ADMINISTRATION 81958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81958,A000000,01100,0000,01100PHARMACY 81958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81958,A000000,01300,0000,01300SOCIAL SERVICE 81958,A000000,01301,0000,01301ACTIVITIES 81958,A000000,01350,0000,01500OTHER GENERAL SERVICES 81958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81958,A000000,01600,0000,01600SKILLED NURSING FACILITY 81958,A000000,01800,0000,01800NURSING FACILITY 81958,A000000,01900,0000,01900OTHER LONG TERM CARE 81958,A000000,02100,0000,02100RADIOLOGY 81958,A000000,02200,0000,02200LABORATORY 81958,A000000,02300,0000,02300INTRAVENOUS THERAPY 81958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81958,A000000,02500,0000,02500PHYSICAL THERAPY 81958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81958,A000000,02700,0000,02700SPEECH PATHOLOGY 81958,A000000,02800,0000,02800ELECTROCARDIOLOGY 81958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81958,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81958,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81958,A000000,03200,0000,03200SUPPORT SURFACES 81958,A000000,03400,0000,03400CLINIC 81958,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81958,A000000,03500,0000,03500RURAL HEALTH CLINIC 81958,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 81958,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 81958,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 81958,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 81958,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 81958,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 81958,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 81958,A000000,04400,0000,04400DME RENTED - HHA 81958,A000000,04500,0000,04500DME SOLD - HHA 81958,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 81958,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 81958,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81958,A000000,04800,0000,04800AMBULANCE 81958,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81958,A000000,05000,0000,05000CORF 81958,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81958,A000000,05300,0000,05300INTEREST EXPENSE 81958,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81958,A000000,05500,0000,05500HOSPICE 81958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81958,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81958,A000000,06100,0000,06100NONPAID WORKERS 81958,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81958,A000000,06200,0000,06200PATIENTS LAUNDRY 81958,A81000A,00100,0100,Y 81958,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 81958,A81000B,00200,0300,CAPITAL 81958,A81000C,00100,0100,A 81958,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 81958,A81000C,00100,0400,LENOX HEALTHCARE INC. 81958,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81958,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81958,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81958,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81958,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81958,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81958,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81958,B100000,00000,0850,00000PATIENT DAYS :DIETARY 81958,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81958,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81958,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81958,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81958,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81958,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 81958,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81958,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81958,S000000,00100,0200,03/02/2000 81958,S200000,00100,0100,600 SUNRISE AVENUE 81958,S200000,00200,0100,ROSEVILLE 81958,S200000,00200,0200,CA 81958,S200000,00200,0300,95661- 81958,S200000,00300,0100,PLACER 81958,S200000,00400,0100,SUNRISE HEALTHCARE CENTER 81958,S200000,00400,0200,056139 81958,S200000,00400,0300,01/01/1984 81958,S200000,00400,0500,P 81958,S200000,01600,0100,Y 81958,S700003,00000,0100,1 81965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81965,A000000,00300,0000,00300EMPLOYEE BENEFITS 81965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81965,A000000,00700,0000,00700HOUSEKEEPING 81965,A000000,00800,0000,00800DIETARY 81965,A000000,00900,0000,00900NURSING ADMINISTRATION 81965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81965,A000000,01100,0000,01100PHARMACY 81965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81965,A000000,01300,0000,01300SOCIAL SERVICE 81965,A000000,01350,0000,01500OTHER GENERAL SERVICES 81965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81965,A000000,01600,0000,01600SKILLED NURSING FACILITY 81965,A000000,01800,0000,01800NURSING FACILITY 81965,A000000,01810,0000,01801ICF/MR 81965,A000000,01900,0000,01900OTHER LONG TERM CARE 81965,A000000,02100,0000,02100RADIOLOGY 81965,A000000,02200,0000,02200LABORATORY 81965,A000000,02300,0000,02300INTRAVENOUS THERAPY 81965,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81965,A000000,02500,0000,02500PHYSICAL THERAPY 81965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81965,A000000,02700,0000,02700SPEECH PATHOLOGY 81965,A000000,02800,0000,02800ELECTROCARDIOLOGY 81965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81965,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 81965,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81965,A000000,03200,0000,03200SUPPORT SURFACES 81965,A000000,03400,0000,03400CLINIC 81965,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 81965,A000000,03500,0000,03500RURAL HEALTH CLINIC 81965,A000000,04750,0000,05100OTHER REIMBURSABLE COST 81965,A000000,04800,0000,04800AMBULANCE 81965,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 81965,A000000,05000,0000,05000CORF 81965,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81965,A000000,05300,0000,05300INTEREST EXPENSE 81965,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 81965,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81965,A000000,05500,0000,05500HOSPICE 81965,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 81965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81965,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 81965,A000000,06100,0000,06100NONPAID WORKERS 81965,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 81965,A000000,06200,0000,06200PATIENTS LAUNDRY 81965,A81000A,00100,0100,Y 81965,A81000B,00100,0300,BUILDING LEASE 81965,A81000C,00100,0100,A 81965,A81000C,00100,0200,WILLIAM NELSON 81965,A81000C,00100,0400,ANGELUS HOLDING COMPANY 81965,A81000C,00100,0600,INVESTMENTS 81965,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 81965,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 81965,B100000,00000,0300,00000GROSS :EMPLOYEE BENEFITS 81965,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81965,B100000,00000,0500,00000SQUARE :PLANT OPERATION MAINT. & 81965,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81965,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81965,B100000,00000,0800,00000MEALS :DIETARY 81965,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 81965,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 81965,B100000,00000,1150,00000NO STATISTICS :PHARMACY 81965,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 81965,B100000,00000,1300,00000TIME :SOCIAL SERVICE 81965,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 81965,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 81965,S000000,00100,0200,06/27/2000 81965,S200000,00100,0100,1001 S. OSAGE AVENUE 81965,S200000,00200,0100,INGLEWOOD 81965,S200000,00200,0200,CA 81965,S200000,00200,0300,90301- 81965,S200000,00300,0100,LOS ANGELES 81965,S200000,00400,0100,CENTINELA VALLEY CARE CTR EAST 81965,S200000,00400,0200,056143 81965,S200000,00400,0300,07/01/1967 81965,S200000,00400,0500,P 81965,S200000,01600,0100,Y 81965,S700003,00000,0100,1 81988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81988,A000000,00300,0000,00300EMPLOYEE BENEFITS 81988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81988,A000000,00700,0000,00700HOUSEKEEPING 81988,A000000,00800,0000,00800DIETARY 81988,A000000,00900,0000,00900NURSING ADMINISTRATION 81988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81988,A000000,01100,0000,01100PHARMACY 81988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81988,A000000,01300,0000,01300SOCIAL SERVICE 81988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 81988,A000000,01600,0000,01600SKILLED NURSING FACILITY 81988,A000000,01800,0000,01800NURSING FACILITY 81988,A000000,02100,0000,02100RADIOLOGY 81988,A000000,02200,0000,02200LABORATORY 81988,A000000,02300,0000,02300INTRAVENOUS THERAPY 81988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81988,A000000,02500,0000,02500PHYSICAL THERAPY 81988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81988,A000000,02700,0000,02700SPEECH PATHOLOGY 81988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81988,A000000,03200,0000,03200SUPPORT SURFACES 81988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81988,A81000A,00100,0100,Y 81988,A81000B,00100,0300,MANAGEMENT FEES 81988,A81000B,00200,0300,CAP REL-BLDG 81988,A81000B,00300,0300,CAP REL-EQUIP 81988,A81000B,00400,0300,RENT EXPENSE 81988,A81000C,00400,0100,B 81988,A81000C,00400,0200,J&L FRIEDMAN 81988,A81000C,00400,0400,LONGWOOD MGT 81988,A81000C,00400,0600,MANAGEMENT 81988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81988,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 81988,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81988,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81988,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 81988,B100000,00000,0800,00000MEALS SERVED :DIETARY 81988,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 81988,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 81988,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 81988,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 81988,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81988,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 81988,S000000,00100,0200,07/10/2000 81988,S200000,00100,0100,12750 RIVERSIDE DRIVE 81988,S200000,00200,0100,NORTH HOLLYWOOD 81988,S200000,00200,0200,CA 81988,S200000,00200,0300,91604- 81988,S200000,00300,0100,LOS ANGELES 81988,S200000,00400,0100,SHERMAN VILLAGE HEALTHCARE CTR 81988,S200000,00400,0200,056159 81988,S200000,00400,0300,05/19/1986 81988,S200000,00400,0500,P 81988,S200000,01600,0100,Y 81988,S200000,04300,0100,Y 81988,S700003,00000,0100,1 81996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 81996,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 81996,A000000,00300,0000,00300EMPLOYEE BENEFITS 81996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 81996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 81996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 81996,A000000,00700,0000,00700HOUSEKEEPING 81996,A000000,00800,0000,00800DIETARY 81996,A000000,00900,0000,00900NURSING ADMINISTRATION 81996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 81996,A000000,01100,0000,01100PHARMACY 81996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 81996,A000000,01300,0000,01300SOCIAL SERVICE 81996,A000000,01600,0000,01600SKILLED NURSING FACILITY 81996,A000000,01800,0000,01800NURSING FACILITY 81996,A000000,01900,0000,01900OTHER LONG TERM CARE 81996,A000000,02100,0000,02100RADIOLOGY 81996,A000000,02200,0000,02200LABORATORY 81996,A000000,02300,0000,02300INTRAVENOUS THERAPY 81996,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 81996,A000000,02500,0000,02500PHYSICAL THERAPY 81996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 81996,A000000,02700,0000,02700SPEECH PATHOLOGY 81996,A000000,02800,0000,02800ELECTROCARDIOLOGY 81996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 81996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 81996,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 81996,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 81996,A000000,03200,0000,03200SUPPORT SURFACES 81996,A000000,04800,0000,04800AMBULANCE 81996,A000000,05000,0000,05000CORF 81996,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 81996,A000000,05300,0000,05300INTEREST EXPENSE 81996,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 81996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 81996,A81000A,00100,0100,Y 81996,A81000B,00100,0300,CAP COSTS - BLDG & FIXTURES 81996,A81000C,00100,0100,B 81996,A81000C,00100,0200,DOROTHY PINE 81996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 81996,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 81996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 81996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 81996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 81996,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 81996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 81996,B100000,00000,0800,00000MEALS SERVED :DIETARY 81996,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 81996,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 81996,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 81996,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 81996,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 81996,S000000,00100,0200,05/30/2000 81996,S200000,00100,0100,1020 TERMINO AVENUE 81996,S200000,00200,0100,LONG BEACH 81996,S200000,00300,0100,LOS ANGELES 81996,S200000,00400,0100,EMPRESS REHABILITATION CENTER 81996,S200000,00400,0200,056164 81996,S200000,00400,0300,01/01/1965 81996,S200000,00400,0500,P 81996,S200000,01500,0100,Y 81996,S200000,02100,0100,E 81996,S700003,00000,0100,1 82005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82005,A000000,00300,0000,00300EMPLOYEE BENEFITS 82005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82005,A000000,00700,0000,00700HOUSEKEEPING 82005,A000000,00800,0000,00800DIETARY 82005,A000000,00900,0000,00900NURSING ADMINISTRATION 82005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82005,A000000,01100,0000,01100PHARMACY 82005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82005,A000000,01300,0000,01300SOCIAL SERVICE 82005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82005,A000000,01600,0000,01600SKILLED NURSING FACILITY 82005,A000000,01800,0000,01800NURSING FACILITY 82005,A000000,01810,0000,01810ICF/MR 82005,A000000,02100,0000,02100RADIOLOGY 82005,A000000,02200,0000,02200LABORATORY 82005,A000000,02300,0000,02300INTRAVENOUS THERAPY 82005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82005,A000000,02500,0000,02500PHYSICAL THERAPY 82005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82005,A000000,02700,0000,02700SPEECH PATHOLOGY 82005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82005,A000000,03200,0000,03200SUPPORT SURFACES 82005,A000000,03550,0000,03550FQHC 82005,A000000,05000,0000,05000CORF 82005,A000000,05010,0000,05010CMHC 82005,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82005,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82005,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82005,A81000A,00100,0100,Y 82005,A81000B,00200,0300,HOME OFFICE 82005,A81000C,00200,0100,B 82005,A81000C,00200,0200,PREMIER MGT. 82005,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 82005,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 82005,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 82005,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 82005,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 82005,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 82005,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 82005,B100000,00000,0850,00040PATIENT DAYS :DIETARY 82005,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 82005,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 82005,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 82005,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 82005,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 82005,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 82005,S000000,00100,0200,06/09/2000 82005,S200000,00100,0100,7039 ALONDRA BLVD. 82005,S200000,00200,0100,PARAMOUNT 82005,S200000,00200,0200,CA 82005,S200000,00200,0300,90723- 82005,S200000,00300,0100,LOS ANGELES 82005,S200000,00400,0100,PARAMOUNT MEADOWS NURSING CENTER 82005,S200000,00400,0200,056166 82005,S200000,00400,0300,07/13/1970 82005,S200000,00400,0500,P 82005,S200000,01004,0500,O 82005,S200000,01600,0100,Y 82005,S700003,00000,0100,1 82012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82012,A000000,00300,0000,00300EMPLOYEE BENEFITS 82012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82012,A000000,00700,0000,00700HOUSEKEEPING 82012,A000000,00800,0000,00800DIETARY 82012,A000000,00900,0000,00900NURSING ADMINISTRATION 82012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82012,A000000,01100,0000,01100PHARMACY 82012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82012,A000000,01300,0000,01300SOCIAL SERVICE 82012,A000000,01350,0000,01500OTHER GENERAL SERVICES 82012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82012,A000000,01600,0000,01600SKILLED NURSING FACILITY 82012,A000000,01800,0000,01800NURSING FACILITY 82012,A000000,01810,0000,01801ICF/MR 82012,A000000,01900,0000,01900OTHER LONG TERM CARE 82012,A000000,02100,0000,02100RADIOLOGY 82012,A000000,02200,0000,02200LABORATORY 82012,A000000,02300,0000,02300INTRAVENOUS THERAPY 82012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82012,A000000,02500,0000,02500PHYSICAL THERAPY 82012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82012,A000000,02700,0000,02700SPEECH PATHOLOGY 82012,A000000,02800,0000,02800ELECTROCARDIOLOGY 82012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82012,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82012,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82012,A000000,03200,0000,03200SUPPORT SURFACES 82012,A000000,03400,0000,03400CLINIC 82012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82012,A000000,03500,0000,03500RURAL HEALTH CLINIC 82012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82012,A000000,04800,0000,04800AMBULANCE 82012,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82012,A000000,05000,0000,05000CORF 82012,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82012,A000000,05300,0000,05300INTEREST EXPENSE 82012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82012,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82012,A000000,05500,0000,05500HOSPICE 82012,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82012,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82012,A000000,06100,0000,06100NONPAID WORKERS 82012,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82012,A000000,06200,0000,06200PATIENTS LAUNDRY 82012,A81000A,00100,0100,Y 82012,A81000B,00100,0300,BUILDING LEASE 82012,A81000C,00100,0100,A 82012,A81000C,00100,0200,WILLIAM NELSON 82012,A81000C,00100,0400,ANGELUS HOLDING COMPANY 82012,A81000C,00100,0600,INVESTMENTS 82012,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 82012,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 82012,B100000,00000,0350,00000DIRECT WAGES :EMPLOYEE BENEFITS 82012,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82012,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 82012,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82012,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82012,B100000,00000,0800,00000MEALS :DIETARY 82012,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 82012,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 82012,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82012,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 82012,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82012,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82012,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82012,S000000,00100,0200,05/31/2000 82012,S200000,00100,0100,950 S. FLOWER AVENUE 82012,S200000,00200,0100,INGLEWOOD 82012,S200000,00200,0200,CA 82012,S200000,00200,0300,90301- 82012,S200000,00300,0100,LOS ANGELES 82012,S200000,00400,0100,CENTINELA VALLEY CARE CTR WEST 82012,S200000,00400,0200,056167 82012,S200000,00400,0300,07/01/1967 82012,S200000,00400,0500,P 82012,S200000,01600,0100,Y 82012,S700003,00000,0100,1 82020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82020,A000000,00300,0000,00300EMPLOYEE BENEFITS 82020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82020,A000000,00700,0000,00700HOUSEKEEPING 82020,A000000,00800,0000,00800DIETARY 82020,A000000,00900,0000,00900NURSING ADMINISTRATION 82020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82020,A000000,01300,0000,01300SOCIAL SERVICE 82020,A000000,01301,0000,01301ACTIVITIES 82020,A000000,01350,0000,01500REHAB 82020,A000000,01600,0000,01600SKILLED NURSING FACILITY 82020,A000000,01800,0000,01800NURSING FACILITY 82020,A000000,01900,0000,01900OTHER LONG TERM CARE 82020,A000000,02100,0000,02100RADIOLOGY 82020,A000000,02200,0000,02200LABORATORY 82020,A000000,02300,0000,02300INTRAVENOUS THERAPY 82020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82020,A000000,02500,0000,02500PHYSICAL THERAPY 82020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82020,A000000,02700,0000,02700SPEECH PATHOLOGY 82020,A000000,02800,0000,02800ELECTROCARDIOLOGY 82020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82020,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82020,A000000,03051,0000,03301P.E.N. THERAPY 82020,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82020,A000000,03200,0000,03200SUPPORT SURFACES 82020,A000000,03400,0000,03400CLINIC 82020,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82020,A000000,04800,0000,04800AMBULANCE 82020,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82020,A000000,05000,0000,05000CORF 82020,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82020,A000000,05300,0000,05300INTEREST EXPENSE 82020,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82020,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82020,A000000,05500,0000,05500HOSPICE 82020,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82020,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82020,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82020,A000000,06100,0000,06100NONPAID WORKERS 82020,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82020,A000000,06200,0000,06200PATIENTS LAUNDRY 82020,A81000A,00100,0100,Y 82020,A81000B,00100,0300,HOME OFFICE ALLOCATION 82020,A81000B,00200,0300,NON CERT 82020,A81000B,00300,0300,MEDICAL SUPPLIES 82020,A81000B,00400,0300,CAPITAL 82020,A81000B,00500,0300,DRUGS 82020,A81000B,00600,0300,EQPT RENTAL 82020,A81000B,00700,0300,REHAB 82020,A81000B,00800,0300,PT 82020,A81000B,00900,0300,OT 82020,A81000B,01000,0300,ST 82020,A81000C,00100,0100,B 82020,A81000C,00100,0200,EXCELL 10467 82020,A81000C,00100,0400,MARINER POST AC 82020,A81000C,00100,0600,NURSING HOMES 82020,A81000C,00200,0100,G 82020,A81000C,00200,0200,MARINER POST AC 82020,A81000C,00200,0400,AMERICAN PHARMA 82020,A81000C,00200,0600,PHARMACUETICALS 82020,A81000C,00300,0100,G 82020,A81000C,00300,0200,MARINER POST AC 82020,A81000C,00300,0400,PRISM (ATS ARS 82020,A81000C,00300,0600,THERAPIES 82020,A81000C,03100,0000,MARINER POST ACUTE NETWORK 82020,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82020,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82020,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82020,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82020,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82020,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82020,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82020,B100000,00000,0800,00000MEALS SERVED :DIETARY 82020,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82020,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82020,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82020,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82020,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82020,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 82020,S000000,00100,0200,06/05/2000 82020,S200000,00100,0100,3025 HIGH ST 82020,S200000,00200,0100,OAKLAND 82020,S200000,00200,0200,CA 82020,S200000,00200,0300,94619- 82020,S200000,00300,0100,ALAMEDA 82020,S200000,00300,0200,5775 82020,S200000,00300,0300,U 82020,S200000,00400,0100,EXCELL HEALTHCARE CENTER 82020,S200000,00400,0200,056170 82020,S200000,00400,0300,01/01/1995 82020,S200000,00400,0500,P 82029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82029,A000000,00300,0000,00300EMPLOYEE BENEFITS 82029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82029,A000000,00700,0000,00700HOUSEKEEPING 82029,A000000,00800,0000,00800DIETARY 82029,A000000,00900,0000,00900NURSING ADMINISTRATION 82029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82029,A000000,01100,0000,01100PHARMACY 82029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82029,A000000,01300,0000,01300SOCIAL SERVICE 82029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82029,A000000,01600,0000,01600SKILLED NURSING FACILITY 82029,A000000,02100,0000,02100RADIOLOGY 82029,A000000,02200,0000,02200LABORATORY 82029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82029,A000000,02500,0000,02500PHYSICAL THERAPY 82029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82029,A000000,02700,0000,02700SPEECH PATHOLOGY 82029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82029,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82029,A81000A,00100,0100,Y 82029,A81000B,00100,0300,MANAGEMENT FEES 82029,A81000C,00100,0100,B 82029,A81000C,00100,0200,JEOUNG LEE 82029,A81000C,00100,0400,JPH MGT 82029,A81000C,00100,0600,MANAGEMENT 82029,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82029,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82029,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82029,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82029,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82029,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82029,B100000,00000,0800,00000MEALS SERVED :DIETARY 82029,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82029,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82029,S000000,00100,0200,01/09/2001 82029,S200000,00100,0100,676 SOUTH BONNIE BREA 82029,S200000,00200,0100,LOS ANGELES 82029,S200000,00200,0200,CA 82029,S200000,00200,0300,90057- 82029,S200000,00300,0100,LOS ANGELES 82029,S200000,00300,0200,4480 82029,S200000,00300,0300,U 82029,S200000,00400,0100,MID-WILSHIRE HEALTH CARE CENTER 82029,S200000,00400,0200,056174 82029,S200000,00400,0300,01/01/1988 82029,S200000,00400,0500,P 82029,S200000,01500,0100,Y 82029,S200000,04300,0100,Y 82043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82043,A000000,00300,0000,00300EMPLOYEE BENEFITS 82043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82043,A000000,00700,0000,00700HOUSEKEEPING 82043,A000000,00800,0000,00800DIETARY 82043,A000000,00900,0000,00900NURSING ADMINISTRATION 82043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82043,A000000,01300,0000,01300SOCIAL SERVICE 82043,A000000,01301,0000,01301ACTIVITIES 82043,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 82043,A000000,01600,0000,01600SKILLED NURSING FACILITY 82043,A000000,01800,0000,01800NURSING FACILITY 82043,A000000,01810,0000,01810ICF/MR 82043,A000000,01900,0000,01900OTHER LONG TERM CARE 82043,A000000,02100,0000,02100RADIOLOGY 82043,A000000,02200,0000,02200LABORATORY 82043,A000000,02201,0000,02201LAB/BLOOD GLUCOSE 82043,A000000,02300,0000,02300INTRAVENOUS THERAPY 82043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82043,A000000,02500,0000,02500PHYSICAL THERAPY 82043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82043,A000000,02700,0000,02700SPEECH PATHOLOGY 82043,A000000,02800,0000,02800ELECTROCARDIOLOGY 82043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82043,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82043,A000000,03051,0000,03301PEN THERAPY 82043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82043,A000000,03200,0000,03200SUPPORT SURFACES 82043,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82043,A000000,04800,0000,04800AMBULANCE 82043,A000000,05000,0000,05000CORF 82043,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82043,A000000,05300,0000,05300INTEREST EXPENSE 82043,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82043,A000000,05500,0000,05500HOSPICE 82043,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82043,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82043,A000000,06100,0000,06100NONPAID WORKERS 82043,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82043,A000000,06200,0000,06200PATIENTS LAUNDRY 82043,A81000A,00100,0100,Y 82043,A81000B,00100,0300,HOME OFFICE ALLOCATION 82043,A81000B,00200,0300,CENTRAL SUPPLY 82043,A81000B,00300,0300,MEDICAL SUPPLIES 82043,A81000C,00100,0100,B 82043,A81000C,00100,0200,FLORIN 10469 82043,A81000C,00100,0400,MARINER POST AC 82043,A81000C,00100,0600,NURSING HOMES 82043,A81000C,00200,0100,G 82043,A81000C,00200,0200,MARINER POST AC 82043,A81000C,00200,0400,AMERICAN PHARMA 82043,A81000C,00200,0600,PHARMACEUTICALS 82043,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82043,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82043,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82043,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82043,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82043,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82043,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82043,B100000,00000,0800,00000MEALS SERVED :DIETARY 82043,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82043,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82043,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82043,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82043,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82043,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 82043,S000000,00100,0200,05/25/2001 82043,S200000,00100,0100,7400 24TH ST 82043,S200000,00200,0100,SACRAMENTO 82043,S200000,00200,0200,CA 82043,S200000,00200,0300,95822- 82043,S200000,00300,0100,SACRAMENTO 82043,S200000,00400,0100,FLORIN HEALTHCARE CENTER 82043,S200000,00400,0200,056177 82043,S200000,00400,0300,12/01/1978 82043,S200000,00400,0500,P 82050,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82050,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82050,A000000,00300,0000,00300EMPLOYEE BENEFITS 82050,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82050,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82050,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82050,A000000,00700,0000,00700HOUSEKEEPING 82050,A000000,00800,0000,00800DIETARY 82050,A000000,00900,0000,00900NURSING ADMINISTRATION 82050,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82050,A000000,01100,0000,01100PHARMACY 82050,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82050,A000000,01300,0000,01300SOCIAL SERVICE 82050,A000000,01350,0000,01500OTHER GENERAL SERVICES 82050,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82050,A000000,01600,0000,01600SKILLED NURSING FACILITY 82050,A000000,01800,0000,01800NURSING FACILITY 82050,A000000,01810,0000,01801ICF/MR 82050,A000000,01900,0000,01900OTHER LONG TERM CARE 82050,A000000,02100,0000,02100RADIOLOGY 82050,A000000,02200,0000,02200LABORATORY 82050,A000000,02300,0000,02300INTRAVENOUS THERAPY 82050,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82050,A000000,02500,0000,02500PHYSICAL THERAPY 82050,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82050,A000000,02700,0000,02700SPEECH PATHOLOGY 82050,A000000,02800,0000,02800ELECTROCARDIOLOGY 82050,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82050,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82050,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82050,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82050,A000000,03200,0000,03200SUPPORT SURFACES 82050,A000000,03400,0000,03400CLINIC 82050,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82050,A000000,03500,0000,03500RURAL HEALTH CLINIC 82050,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82050,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82050,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82050,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82050,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82050,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82050,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82050,A000000,04400,0000,04400DME RENTED - HHA 82050,A000000,04500,0000,04500DME SOLD - HHA 82050,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82050,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82050,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82050,A000000,04800,0000,04800AMBULANCE 82050,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82050,A000000,05000,0000,05000CORF 82050,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82050,A000000,05300,0000,05300INTEREST EXPENSE 82050,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82050,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82050,A000000,05500,0000,05500HOSPICE 82050,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82050,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82050,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82050,A000000,06100,0000,06100NONPAID WORKERS 82050,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82050,A000000,06200,0000,06200PATIENTS LAUNDRY 82050,A81000A,00100,0100,Y 82050,A81000B,00100,0300,MANAGEMENT FEE 82050,A81000C,00100,0100,A 82050,A81000C,00100,0200,LEE SAMSON 82050,A81000C,00100,0400,WHM INC. 82050,A81000C,00100,0600,MANAGEMENT CO 82050,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82050,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82050,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82050,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82050,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82050,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82050,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82050,B100000,00000,0800,00000MEALS SERVED :DIETARY 82050,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 82050,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82050,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82050,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82050,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82050,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82050,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82050,S000000,00100,0200,06/06/2000 82050,S200000,00100,0100,1201 34TH STREET 82050,S200000,00200,0100,SAN DIEGO 82050,S200000,00200,0200,CA 82050,S200000,00200,0300,92102- 82050,S200000,00300,0100,SAN DIEGO 82050,S200000,00400,0100,WINDSOR GARDENS OF GOLDEN HILL 82050,S200000,00400,0200,056182 82050,S200000,00400,0300,08/22/1972 82050,S200000,00400,0500,P 82050,S200000,01600,0100,Y 82059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82059,A000000,00300,0000,00300EMPLOYEE BENEFITS 82059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82059,A000000,00700,0000,00700HOUSEKEEPING 82059,A000000,00800,0000,00800DIETARY 82059,A000000,00900,0000,00900NURSING ADMINISTRATION 82059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82059,A000000,01300,0000,01300SOCIAL SERVICE 82059,A000000,01600,0000,01600SKILLED NURSING FACILITY 82059,A000000,02100,0000,02100RADIOLOGY 82059,A000000,02200,0000,02200LABORATORY 82059,A000000,02300,0000,02300INTRAVENOUS THERAPY 82059,A000000,02500,0000,02500PHYSICAL THERAPY 82059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82059,A000000,02700,0000,02700SPEECH PATHOLOGY 82059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82059,A000000,03200,0000,03200SUPPORT SURFACES 82059,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82059,A81000A,00100,0100,Y 82059,A81000B,00100,0300,MANAGEMENT FEES 82059,A81000B,00200,0300,BUILDING LEASE 82059,A81000C,00100,0100,A 82059,A81000C,00100,0200,EVERETT GOINGS 82059,A81000C,00100,0400,PROGRESSIVE HEALTHCARE 82059,A81000C,00100,0600,MANAGEMENT COMPANY 82059,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82059,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82059,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82059,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82059,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82059,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82059,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82059,B100000,00000,0800,00000MEALS SERVED :DIETARY 82059,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82059,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82059,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82059,S000000,00100,0200,12/04/2000 82059,S200000,00100,0100,1680 WATERMAN AVENUE 82059,S200000,00200,0100,SAN BERNARDINO 82059,S200000,00200,0200,CA 82059,S200000,00200,0300,92354- 82059,S200000,00300,0100,SAN BERNARDINO 82059,S200000,00300,0200,6780 82059,S200000,00300,0300,U 82059,S200000,00400,0100,VALLEY HEALTHCARE CENTER 82059,S200000,00400,0200,056183 82059,S200000,00400,0300,09/01/1971 82059,S200000,00400,0500,P 82059,S200000,00400,0600,O 82059,S200000,00600,0200,056183 82059,S200000,00600,0300,09/01/1971 82059,S200000,00600,0600,P 82059,S200000,01600,0100,Y 82067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82067,A000000,00300,0000,00300EMPLOYEE BENEFITS 82067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82067,A000000,00700,0000,00700HOUSEKEEPING 82067,A000000,00800,0000,00800DIETARY 82067,A000000,00900,0000,00900NURSING ADMINISTRATION 82067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82067,A000000,01100,0000,01100PHARMACY 82067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82067,A000000,01300,0000,01300SOCIAL SERVICE 82067,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82067,A000000,01600,0000,01600SKILLED NURSING FACILITY 82067,A000000,01800,0000,01800NURSING FACILITY 82067,A000000,02100,0000,02100RADIOLOGY 82067,A000000,02200,0000,02200LABORATORY 82067,A000000,02210,0000,02201O/P - LAB - GLUCOSE 82067,A000000,02300,0000,02300INTRAVENOUS THERAPY 82067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82067,A000000,02500,0000,02500PHYSICAL THERAPY 82067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82067,A000000,02700,0000,02700SPEECH PATHOLOGY 82067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82067,A000000,03200,0000,03200SUPPORT SURFACES 82067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82067,A81000A,00100,0100,Y 82067,A81000B,00100,0300,LEASE AND RENTALS - BLDG. 82067,A81000C,00100,0100,A 82067,A81000C,00100,0200,R T VILLALUZ 82067,A81000C,00100,0400,UNIFIED INV 82067,A81000C,00100,0600,REALTY 82067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82067,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82067,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82067,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82067,B100000,00000,0800,00000MEALS SERVED :DIETARY 82067,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82067,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82067,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82067,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82067,S000000,00100,0200,11/16/2000 82067,S200000,00100,0100,21521 SOUTH VERMONT AVENUE 82067,S200000,00200,0100,TORRANCE 82067,S200000,00200,0200,CA 82067,S200000,00200,0300,90502- 82067,S200000,00300,0100,LOS ANGELES 82067,S200000,00300,0200,4480 82067,S200000,00300,0300,U 82067,S200000,00400,0100,HARBOR CARE CENTER 82067,S200000,00400,0200,056192 82067,S200000,00400,0300,04/01/1997 82067,S200000,00400,0500,P 82067,S200000,00600,0200,056192 82067,S200000,00600,0300,04/01/1997 82067,S200000,00600,0600,P 82067,S200000,01600,0100,Y 82075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82075,A000000,00300,0000,00300EMPLOYEE BENEFITS 82075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82075,A000000,00700,0000,00700HOUSEKEEPING 82075,A000000,00800,0000,00800DIETARY 82075,A000000,00900,0000,00900NURSING ADMINISTRATION 82075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82075,A000000,01100,0000,01100PHARMACY 82075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82075,A000000,01300,0000,01300SOCIAL SERVICE 82075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82075,A000000,01600,0000,01600SKILLED NURSING FACILITY 82075,A000000,01800,0000,01800NURSING FACILITY 82075,A000000,01900,0000,01900OTHER LONG TERM CARE 82075,A000000,02100,0000,02100RADIOLOGY 82075,A000000,02200,0000,02200LABORATORY 82075,A000000,02300,0000,02300INTRAVENOUS THERAPY 82075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82075,A000000,02500,0000,02500PHYSICAL THERAPY 82075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82075,A000000,02700,0000,02700SPEECH PATHOLOGY 82075,A000000,02800,0000,02800ELECTROCARDIOLOGY 82075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82075,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82075,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82075,A000000,05300,0000,05300INTEREST EXPENSE 82075,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82075,A000000,05500,0000,05500HOSPICE 82075,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82075,A000000,06200,0000,06200PATIENTS LAUNDRY 82075,A81000A,00100,0100,Y 82075,A81000B,00100,0300,MANAGEMENT FEES 82075,A81000C,00100,0100,A 82075,A81000C,00100,0200,LEE SAMSON 82075,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82075,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82075,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 82075,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82075,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82075,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 82075,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82075,B100000,00000,0800,00000MEALS SERVED :DIETARY 82075,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 82075,B100000,00000,1000,00000COSTED REQUISITI :CENTRAL SERVICES 82075,B100000,00000,1100,00000COSTED REQUISITI :PHARMACY 82075,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 82075,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82075,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 82075,S000000,00100,0200,06/06/2000 82075,S200000,00100,0100,915 SOUTH CRENSHAW BLVD. 82075,S200000,00200,0100,LOS ANGELES 82075,S200000,00200,0200,CA 82075,S200000,00200,0300,90019- 82075,S200000,00300,0100,LOS ANGELES 82075,S200000,00400,0100,WINDSOR GARDENS CONVALESCENT HOSPITA 82075,S200000,00400,0200,056194 82075,S200000,00400,0300,03/01/1990 82075,S200000,00400,0500,P 82075,S200000,00600,0200,056194 82075,S200000,00600,0300,03/01/1990 82075,S200000,00600,0600,P 82075,S200000,01600,0100,Y 82085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82085,A000000,00300,0000,00300EMPLOYEE BENEFITS 82085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82085,A000000,00700,0000,00700HOUSEKEEPING 82085,A000000,00800,0000,00800DIETARY 82085,A000000,00900,0000,00900NURSING ADMINISTRATION 82085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82085,A000000,01300,0000,01300SOCIAL SERVICE 82085,A000000,01600,0000,01600SKILLED NURSING FACILITY 82085,A000000,01800,0000,01800NURSING FACILITY 82085,A000000,02100,0000,02100RADIOLOGY 82085,A000000,02200,0000,02200LABORATORY 82085,A000000,02300,0000,02300INTRAVENOUS THERAPY 82085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82085,A000000,02500,0000,02500PHYSICAL THERAPY 82085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82085,A000000,02700,0000,02700SPEECH PATHOLOGY 82085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82085,A000000,03200,0000,03200SUPPORT SURFACES 82085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82085,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82085,A000000,06151,0000,06301RETIREMENT DIETARY 82085,A81000A,00100,0100,Y 82085,A81000B,00100,0300,MANAGEMENT FEES 82085,A81000B,00200,0300,HOME OFFICE - BUILDING 82085,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 82085,A81000B,00400,0300,PHYSICAL THERAPY 82085,A81000B,00500,0300,OCCUPATIONAL THERAPY 82085,A81000B,00600,0300,SPEECH THERAPY 82085,A81000B,00700,0300,RESPIRATORY THERAPY 82085,A81000B,00800,0300,CDP MEDICAL SUPPLIES 82085,A81000B,00900,0300,SCU MEDICAL SUPPLIES 82085,A81000B,01000,0300,MEDICAL SUPPLIES 82085,A81000B,01100,0300,IV THERAPY 82085,A81000B,01200,0300,PHARMACY 82085,A81000B,01300,0300,ENTERAL SUPPLIES 82085,A81000C,00100,0100,B 82085,A81000C,00100,0200,FOUNTAIN VIEW INC. 82085,A81000C,00100,0400,HANCOCK PARK CONV. HOSP. 82085,A81000C,00100,0600,SNF 82085,A81000C,00200,0100,B 82085,A81000C,00200,0200,FOUNTAIN VIEW INC. 82085,A81000C,00200,0400,LOCOMOTION 82085,A81000C,00200,0600,THERAPY COMPANY 82085,A81000C,00300,0100,B 82085,A81000C,00300,0200,FOUNTAIN VIEW INC. 82085,A81000C,00300,0400,I N O 82085,A81000C,00300,0600,MEDICAL SUPPLIES 82085,A81000C,00400,0100,B 82085,A81000C,00400,0200,FOUNTAIN VIEW INC. 82085,A81000C,00400,0400,SKILLED CARE PHARMACY 82085,A81000C,00400,0600,PHARMACY 82085,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 82085,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 82085,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 82085,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 82085,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 82085,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 82085,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 82085,B100000,00000,0800,00001MEALS SERVED :DIETARY 82085,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 82085,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 82085,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 82085,S000000,00100,0200,06/01/2000 82085,S200000,00100,0100,505 N. LA BREA 82085,S200000,00200,0100,LOS ANGELES 82085,S200000,00200,0200,CA 82085,S200000,00200,0300,90036- 82085,S200000,00300,0100,LOS ANGELES 82085,S200000,00400,0100,HANCOCK PARK CONVALESCENT HOSPITAL 82085,S200000,00400,0200,056195 82085,S200000,00400,0300,06/01/1982 82085,S200000,00400,0500,P 82085,S200000,00400,0600,O 82085,S200000,00600,0200,056195 82085,S200000,00600,0300,06/01/1982 82085,S200000,00600,0600,P 82085,S200000,01600,0100,Y 82085,S700003,00000,0100,1 82101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82101,A000000,00300,0000,00300EMPLOYEE BENEFITS 82101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82101,A000000,00700,0000,00700HOUSEKEEPING 82101,A000000,00800,0000,00800DIETARY 82101,A000000,00900,0000,00900NURSING ADMINISTRATION 82101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82101,A000000,01100,0000,01100PHARMACY 82101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82101,A000000,01300,0000,01300SOCIAL SERVICE 82101,A000000,01350,0000,01500OTHER GENERAL SERVICES 82101,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82101,A000000,01600,0000,01600SKILLED NURSING FACILITY 82101,A000000,01800,0000,01800NURSING FACILITY 82101,A000000,01900,0000,01900OTHER LONG TERM CARE 82101,A000000,02100,0000,02100RADIOLOGY 82101,A000000,02200,0000,02200LABORATORY 82101,A000000,02300,0000,02300INTRAVENOUS THERAPY 82101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82101,A000000,02500,0000,02500PHYSICAL THERAPY 82101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82101,A000000,02700,0000,02700SPEECH PATHOLOGY 82101,A000000,02800,0000,02800ELECTROCARDIOLOGY 82101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82101,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82101,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82101,A000000,03200,0000,03200SUPPORT SURFACES 82101,A000000,03400,0000,03400CLINIC 82101,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82101,A000000,03500,0000,03500RURAL HEALTH CLINIC 82101,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82101,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82101,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82101,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82101,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82101,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82101,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82101,A000000,04400,0000,04400DME RENTED - HHA 82101,A000000,04500,0000,04500DME SOLD - HHA 82101,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82101,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82101,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82101,A000000,04800,0000,04800AMBULANCE 82101,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82101,A000000,05000,0000,05000CORF 82101,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82101,A000000,05300,0000,05300INTEREST EXPENSE 82101,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82101,A000000,05500,0000,05500HOSPICE 82101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82101,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82101,A000000,06100,0000,06100NONPAID WORKERS 82101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82101,A000000,06200,0000,06200PATIENTS LAUNDRY 82101,A81000A,00100,0100,Y 82101,A81000B,00100,0300,MANAGEMENT FEE 82101,A81000C,00100,0100,F 82101,A81000C,00100,0200,J & D SORENSEN D. LAWS 82101,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 82101,A81000C,00100,0600,MANAGEMENT 82101,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82101,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82101,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82101,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82101,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82101,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82101,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82101,B100000,00000,0800,00000MEALS SERVED :DIETARY 82101,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 82101,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 82101,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82101,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82101,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82101,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82101,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82101,E10A180,00301,0100,07/01/1998 82101,S000000,00100,0200,05/15/2000 82101,S200000,00100,0100,385 ESPLANADE 82101,S200000,00200,0100,PACIFICA 82101,S200000,00200,0200,CA 82101,S200000,00200,0300,94044- 82101,S200000,00300,0100,SAN MATEO 82101,S200000,00400,0100,PACIFICA NURSING & REHAB CENTER 82101,S200000,00400,0200,056205 82101,S200000,00400,0300,12/01/1996 82101,S200000,00400,0500,P 82101,S200000,00600,0200,056205 82101,S200000,00600,0300,12/01/1996 82101,S200000,00600,0600,P 82101,S200000,01600,0100,Y 82101,S200000,02200,0100,Y 82101,S700003,00000,0400,4 82122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82122,A000000,00300,0000,00300EMPLOYEE BENEFITS 82122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82122,A000000,00700,0000,00700HOUSEKEEPING 82122,A000000,00800,0000,00800DIETARY 82122,A000000,00900,0000,00900NURSING ADMINISTRATION 82122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82122,A000000,01100,0000,01100PHARMACY 82122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82122,A000000,01300,0000,01300SOCIAL SERVICE 82122,A000000,01350,0000,01500OTHER GENERAL SERVICES 82122,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82122,A000000,01600,0000,01600SKILLED NURSING FACILITY 82122,A000000,01800,0000,01800NURSING FACILITY 82122,A000000,01810,0000,01801ICF/MR 82122,A000000,01900,0000,01900OTHER LONG TERM CARE 82122,A000000,02100,0000,02100RADIOLOGY 82122,A000000,02200,0000,02200LABORATORY 82122,A000000,02300,0000,02300INTRAVENOUS THERAPY 82122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82122,A000000,02500,0000,02500PHYSICAL THERAPY 82122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82122,A000000,02700,0000,02700SPEECH PATHOLOGY 82122,A000000,02800,0000,02800ELECTROCARDIOLOGY 82122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82122,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82122,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82122,A000000,03200,0000,03200SUPPORT SURFACES 82122,A000000,03400,0000,03400CLINIC 82122,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82122,A000000,03500,0000,03500RURAL HEALTH CLINIC 82122,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82122,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82122,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82122,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82122,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82122,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82122,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82122,A000000,04400,0000,04400DME RENTED - HHA 82122,A000000,04500,0000,04500DME SOLD - HHA 82122,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82122,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82122,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82122,A000000,04800,0000,04800AMBULANCE 82122,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82122,A000000,05000,0000,05000CORF 82122,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82122,A000000,05300,0000,05300INTEREST EXPENSE 82122,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82122,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82122,A000000,05500,0000,05500HOSPICE 82122,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82122,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82122,A000000,06100,0000,06100NONPAID WORKERS 82122,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82122,A000000,06200,0000,06200PATIENTS LAUNDRY 82122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82122,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82122,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82122,B100000,00000,0800,00000MEALS SERVED :DIETARY 82122,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 82122,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82122,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82122,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82122,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82122,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82122,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82122,S000000,00100,0200,06/05/2000 82122,S200000,00100,0100,1267 MERIDIAN 82122,S200000,00200,0100,SAN JOSE 82122,S200000,00200,0200,CA 82122,S200000,00200,0300,95125- 82122,S200000,00300,0100,SANTA CLARA 82122,S200000,00400,0100,WILLOW GLEN CONVALESCENT HOSPITAL 82122,S200000,00400,0200,056212 82122,S200000,00400,0300,05/06/1990 82122,S200000,00400,0500,P 82122,S200000,01004,0500,O 82122,S200000,01600,0100,Y 82122,S700003,00000,0100,1 82132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82132,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82132,A000000,00300,0000,00300EMPLOYEE BENEFITS 82132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82132,A000000,00700,0000,00700HOUSEKEEPING 82132,A000000,00800,0000,00800DIETARY 82132,A000000,00900,0000,00900NURSING ADMINISTRATION 82132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82132,A000000,01100,0000,01100PHARMACY 82132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82132,A000000,01300,0000,01300SOCIAL SERVICE 82132,A000000,01350,0000,01500OTHER GENERAL SERVICES 82132,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82132,A000000,01600,0000,01600SKILLED NURSING FACILITY 82132,A000000,01800,0000,01800NURSING FACILITY 82132,A000000,01900,0000,01900OTHER LONG TERM CARE 82132,A000000,02100,0000,02100RADIOLOGY 82132,A000000,02200,0000,02200LABORATORY 82132,A000000,02300,0000,02300INTRAVENOUS THERAPY 82132,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82132,A000000,02500,0000,02500PHYSICAL THERAPY 82132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82132,A000000,02700,0000,02700SPEECH PATHOLOGY 82132,A000000,02800,0000,02800ELECTROCARDIOLOGY 82132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82132,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82132,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82132,A000000,03200,0000,03200SUPPORT SURFACES 82132,A000000,03400,0000,03400CLINIC 82132,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82132,A000000,03500,0000,03500RURAL HEALTH CLINIC 82132,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82132,A000000,04800,0000,04800AMBULANCE 82132,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82132,A000000,05000,0000,05000CORF 82132,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82132,A000000,05300,0000,05300INTEREST EXPENSE 82132,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82132,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82132,A000000,05500,0000,05500HOSPICE 82132,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82132,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82132,A000000,06100,0000,06100NONPAID WORKERS 82132,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82132,A000000,06200,0000,06200PATIENTS LAUNDRY 82132,A81000A,00100,0100,Y 82132,A81000B,00100,0300,HOME OFFICE COSTS 82132,A81000B,00200,0300,BUILDING LEASE 82132,A81000B,00300,0300,HOME OFFICE - BUILDING 82132,A81000B,00400,0300,HOME OFFICE DEPR-EQPT 82132,A81000B,00500,0300,HOME OFFICE COSTS 82132,A81000B,00600,0300,AMORTIZATION-LEASEHOLD 82132,A81000B,00700,0300,LEASE EXPENSE 82132,A81000C,00100,0100,B 82132,A81000C,00100,0200,PTLA MGMT CORP 82132,A81000C,00100,0400,NEW COVENANT CARE-DINUBA 82132,A81000C,00100,0600,SNF 82132,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82132,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82132,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82132,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82132,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82132,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82132,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82132,B100000,00000,0800,00000MEALS SERVED :DIETARY 82132,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 82132,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82132,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82132,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82132,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82132,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82132,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82132,S000000,00100,0200,02/07/2000 82132,S200000,00100,0100,130 TAMPICO 82132,S200000,00200,0100,WALNUT CREEK 82132,S200000,00200,0200,CA 82132,S200000,00200,0300,94598- 82132,S200000,00300,0100,CONTRA COSTA 82132,S200000,00400,0100,SAN MARCO NURSING & REHAB CTR 82132,S200000,00400,0200,056213 82132,S200000,00400,0300,07/09/1970 82132,S200000,00400,0500,P 82132,S200000,01600,0100,Y 82132,S200000,02800,0100,Y 82132,S700003,00000,0100,1 82146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82146,A000000,00300,0000,00300EMPLOYEE BENEFITS 82146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82146,A000000,00700,0000,00700HOUSEKEEPING 82146,A000000,00800,0000,00800DIETARY 82146,A000000,00900,0000,00900NURSING ADMINISTRATION 82146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82146,A000000,01100,0000,01100PHARMACY 82146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82146,A000000,01300,0000,01300SOCIAL SERVICE 82146,A000000,01350,0000,01500OTHER GENERAL SERVICES 82146,A000000,01600,0000,01600SKILLED NURSING FACILITY 82146,A000000,01800,0000,01800NURSING FACILITY 82146,A000000,01900,0000,01900OTHER LONG TERM CARE 82146,A000000,02100,0000,02100RADIOLOGY 82146,A000000,02200,0000,02200LABORATORY 82146,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82146,A000000,02500,0000,02500PHYSICAL THERAPY 82146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82146,A000000,02700,0000,02700SPEECH PATHOLOGY 82146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82146,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 82146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82146,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82146,A000000,04800,0000,04800AMBULANCE 82146,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82146,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82146,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82146,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82146,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82146,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82146,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82146,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82146,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82146,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82146,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82146,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82146,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82146,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82146,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82146,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82146,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82146,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82146,S000000,00100,0200,06/01/2000 82146,S200000,00100,0100,4900 EAST FLORENCE AVENUE 82146,S200000,00200,0100,BELL 82146,S200000,00200,0200,CA 82146,S200000,00200,0300,90201- 82146,S200000,00300,0100,LOS ANGELES 82146,S200000,00400,0100,BELL CONVALESCENT HOSPITAL 82146,S200000,00400,0200,056218 82146,S200000,00400,0300,03/01/1990 82146,S200000,00400,0500,P 82146,S200000,01600,0100,Y 82146,S200000,02200,0100,Y 82154,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82154,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82154,A000000,00300,0000,00300EMPLOYEE BENEFITS 82154,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82154,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82154,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82154,A000000,00700,0000,00700HOUSEKEEPING 82154,A000000,00800,0000,00800DIETARY 82154,A000000,00900,0000,00900NURSING ADMINISTRATION 82154,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82154,A000000,01100,0000,01100PHARMACY 82154,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82154,A000000,01300,0000,01300SOCIAL SERVICE 82154,A000000,01350,0000,01500OTHER GENERAL SERVICES 82154,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82154,A000000,01600,0000,01600SKILLED NURSING FACILITY 82154,A000000,01800,0000,01800NURSING FACILITY 82154,A000000,01810,0000,01801ICF/MR 82154,A000000,01900,0000,01900OTHER LONG TERM CARE 82154,A000000,02100,0000,02100RADIOLOGY 82154,A000000,02200,0000,02200LABORATORY 82154,A000000,02300,0000,02300INTRAVENOUS THERAPY 82154,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82154,A000000,02500,0000,02500PHYSICAL THERAPY 82154,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82154,A000000,02700,0000,02700SPEECH PATHOLOGY 82154,A000000,02800,0000,02800ELECTROCARDIOLOGY 82154,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82154,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82154,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82154,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82154,A000000,03200,0000,03200SUPPORT SURFACES 82154,A000000,03400,0000,03400CLINIC 82154,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82154,A000000,03500,0000,03500RURAL HEALTH CLINIC 82154,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82154,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82154,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82154,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82154,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82154,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82154,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82154,A000000,04400,0000,04400DME RENTED - HHA 82154,A000000,04500,0000,04500DME SOLD - HHA 82154,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82154,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82154,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82154,A000000,04800,0000,04800AMBULANCE 82154,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82154,A000000,05000,0000,05000CORF 82154,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82154,A000000,05300,0000,05300INTEREST EXPENSE 82154,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82154,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82154,A000000,05500,0000,05500HOSPICE 82154,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82154,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82154,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82154,A000000,06100,0000,06100NONPAID WORKERS 82154,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82154,A000000,06200,0000,06200PATIENTS LAUNDRY 82154,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 82154,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 82154,B100000,00000,0350,00000WAGES :EMPLOYEE BENEFITS 82154,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82154,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 82154,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 82154,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 82154,B100000,00000,0850,00000NO STATISTICS :DIETARY 82154,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 82154,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 82154,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82154,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 82154,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 82154,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82154,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82154,S000000,00100,0200,05/30/2000 82154,S200000,00100,0100,5648 GOTHAM STREET 82154,S200000,00200,0100,BELL GARDENS 82154,S200000,00200,0200,CA 82154,S200000,00200,0300,90211- 82154,S200000,00300,0100,LOS ANGELES 82154,S200000,00400,0100,BELL GARDENS 82154,S200000,00400,0200,056220 82154,S200000,00400,0300,01/01/1994 82154,S200000,00400,0500,P 82154,S200000,01600,0100,Y 82154,S700003,00000,0100,1 82165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82165,A000000,00300,0000,00300EMPLOYEE BENEFITS 82165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82165,A000000,00700,0000,00700HOUSEKEEPING 82165,A000000,00800,0000,00800DIETARY 82165,A000000,00900,0000,00900NURSING ADMINISTRATION 82165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82165,A000000,01100,0000,01100PHARMACY 82165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82165,A000000,01300,0000,01300SOCIAL SERVICE 82165,A000000,01350,0000,01500ACTIVITY 82165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82165,A000000,01600,0000,01600SKILLED NURSING FACILITY 82165,A000000,01800,0000,01800NURSING FACILITY 82165,A000000,01900,0000,01900OTHER LONG TERM CARE 82165,A000000,02100,0000,02100RADIOLOGY 82165,A000000,02200,0000,02200LABORATORY 82165,A000000,02300,0000,02300INTRAVENOUS THERAPY 82165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82165,A000000,02500,0000,02500PHYSICAL THERAPY 82165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82165,A000000,02700,0000,02700SPEECH PATHOLOGY 82165,A000000,02800,0000,02800ELECTROCARDIOLOGY 82165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82165,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82165,A000000,03200,0000,03200SUPPORT SURFACES 82165,A000000,03400,0000,03400CLINIC 82165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82165,A000000,03500,0000,03500RURAL HEALTH CLINIC 82165,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82165,A000000,04800,0000,04800AMBULANCE 82165,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82165,A000000,05000,0000,05000CORF 82165,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82165,A000000,05300,0000,05300INTEREST EXPENSE 82165,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82165,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82165,A000000,05500,0000,05500HOSPICE 82165,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82165,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82165,A000000,06100,0000,06100NONPAID WORKERS 82165,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82165,A000000,06200,0000,06200PATIENTS LAUNDRY 82165,A81000A,00100,0100,Y 82165,A81000B,00100,0300,MANAGEMENT 82165,A81000B,00200,0300,LEASE 82165,A81000C,00100,0100,A 82165,A81000C,00100,0200,DON OSTROM 82165,A81000C,00100,0400,OSTROM INC. 82165,A81000C,00100,0600,MANAGEMENT 82165,A81000C,00200,0100,A 82165,A81000C,00200,0200,DON OSTROM 82165,A81000C,00200,0400,LESSOR 82165,A81000C,00200,0600,LEASE 82165,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82165,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82165,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82165,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82165,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82165,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82165,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 82165,B100000,00000,0800,00000MEALS SERVED :DIETARY 82165,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82165,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82165,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82165,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82165,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82165,B100000,00000,1350,00000PPD :ACTIVITY 82165,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82165,S000000,00100,0200,04/11/2000 82165,S200000,00100,0100,3550 CHURCH CREEK RD. 82165,S200000,00200,0100,REDDING 82165,S200000,00200,0200,CA 82165,S200000,00200,0300,96002- 82165,S200000,00300,0100,SHASTA 82165,S200000,00400,0100,SHASTA HEALTH CARE 82165,S200000,00400,0200,056222 82165,S200000,00400,0300,01/01/1971 82165,S200000,00400,0500,P 82165,S200000,00400,0600,P 82165,S200000,01600,0100,Y 82165,S700003,00000,0100,1 82174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82174,A000000,00300,0000,00300EMPLOYEE BENEFITS 82174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82174,A000000,00700,0000,00700HOUSEKEEPING 82174,A000000,00800,0000,00800DIETARY 82174,A000000,00900,0000,00900NURSING ADMINISTRATION 82174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82174,A000000,01600,0000,01600SKILLED NURSING FACILITY 82174,A000000,01800,0000,01800NURSING FACILITY 82174,A000000,02100,0000,02100RADIOLOGY 82174,A000000,02300,0000,02300INTRAVENOUS THERAPY 82174,A000000,02500,0000,02500PHYSICAL THERAPY 82174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82174,A000000,02700,0000,02700SPEECH PATHOLOGY 82174,A000000,02800,0000,02800ELECTROCARDIOLOGY 82174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82174,A81000A,00100,0100,Y 82174,A81000B,00100,0300,HOME OFFICE EXPENSE 82174,A81000C,00100,0100,A 82174,A81000C,00100,0200,E.I. BERNABE 82174,A81000C,00100,0400,PLEASANT CARE C 82174,A81000C,00100,0600,HEALTH CARE PRO 82174,A81000C,00200,0100,A 82174,A81000C,00200,0200,E.I. BERNABE 82174,A81000C,00200,0400,PCC HEALTH SERV 82174,A81000C,00200,0600,HEALTH CARE PRO 82174,A81000C,00300,0100,A 82174,A81000C,00300,0200,E.I. BERNABE 82174,A81000C,00300,0400,EMBER CARE CORP 82174,A81000C,00300,0600,HEALTH CARE PRO 82174,A81000C,00400,0100,A 82174,A81000C,00400,0200,E.I. BERNABE 82174,A81000C,00400,0400,ATLAS CARE CORP 82174,A81000C,00400,0600,HEALTH CARE PRO 82174,A81000C,00500,0100,A 82174,A81000C,00500,0200,E. I. BERNABE 82174,A81000C,00500,0400,SNF PROPERTIES 82174,A81000C,00500,0600,HEALTH CARE PRO 82174,A81000C,00600,0100,A 82174,A81000C,00600,0200,E. I. BERNABE 82174,A81000C,00600,0400,STOCKTON EDISON 82174,A81000C,00600,0600,HEALTH CARE PRO 82174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82174,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82174,B100000,00000,0800,00000MEALS SERVED :DIETARY 82174,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 82174,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82174,S000000,00100,0200,10/02/2000 82174,S200000,00100,0100,1565 HILL ROAD 82174,S200000,00200,0100,NOVATO 82174,S200000,00200,0200,CA 82174,S200000,00200,0300,94947- 82174,S200000,00300,0100,MARIN 82174,S200000,00300,0200,7360 82174,S200000,00300,0300,U 82174,S200000,00400,0100,NOVATO CONVALESCENT HOSPITAL 82174,S200000,00400,0200,056226 82174,S200000,00400,0300,05/15/1991 82174,S200000,00400,0500,P 82174,S200000,00600,0200,056226 82174,S200000,00600,0300,05/15/1991 82174,S200000,00600,0600,P 82174,S200000,01600,0100,Y 82182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82182,A000000,00300,0000,00300EMPLOYEE BENEFITS 82182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82182,A000000,00700,0000,00700HOUSEKEEPING 82182,A000000,00800,0000,00800DIETARY 82182,A000000,00900,0000,00900NURSING ADMINISTRATION 82182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82182,A000000,01600,0000,01600SKILLED NURSING FACILITY 82182,A000000,01800,0000,01800NURSING FACILITY 82182,A000000,02100,0000,02100RADIOLOGY 82182,A000000,02200,0000,02200LABORATORY 82182,A000000,02300,0000,02300INTRAVENOUS THERAPY 82182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82182,A000000,02500,0000,02500PHYSICAL THERAPY 82182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82182,A000000,02700,0000,02700SPEECH PATHOLOGY 82182,A000000,02800,0000,02800ELECTROCARDIOLOGY 82182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82182,A81000A,00100,0100,Y 82182,A81000B,00100,0300,HOME OFFICE EXPENSE 82182,A81000C,00100,0100,A 82182,A81000C,00100,0200,EMMANUEL I. BER 82182,A81000C,00100,0400,PLEASANT CARE C 82182,A81000C,00100,0600,HEALTH CARE PRO 82182,A81000C,00200,0100,A 82182,A81000C,00200,0200,EMMANUEL I. BER 82182,A81000C,00200,0400,PCC HEALTH SVCS 82182,A81000C,00200,0600,HEALTH CARE PRO 82182,A81000C,00300,0100,A 82182,A81000C,00300,0200,EMMANUEL I. BER 82182,A81000C,00300,0400,ATLAS CARE CORP 82182,A81000C,00300,0600,HEALTH CARE PRO 82182,A81000C,00400,0100,A 82182,A81000C,00400,0200,EMMANUEL I. BER 82182,A81000C,00400,0400,EMBER CARE CORP 82182,A81000C,00400,0600,HEALTH CARE PRO 82182,A81000C,00500,0100,A 82182,A81000C,00500,0200,EMMANUEL I. BER 82182,A81000C,00500,0400,SNF PROPERTIES 82182,A81000C,00500,0600,HEALTH CARE PRO 82182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82182,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82182,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82182,B100000,00000,0800,00000MEALS SERVED :DIETARY 82182,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 82182,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82182,S000000,00100,0200,08/01/2000 82182,S200000,00100,0100,1495 WEST CAMERON AVENUE 82182,S200000,00200,0100,WEST COVINA 82182,S200000,00200,0200,CA 82182,S200000,00200,0300,91790- 82182,S200000,00300,0100,LOS ANGELES 82182,S200000,00300,0200,4480 82182,S200000,00300,0300,U 82182,S200000,00400,0100,EMMANUEL HEALTH CARE WEST COVINA 82182,S200000,00400,0200,056228 82182,S200000,00400,0300,03/01/1995 82182,S200000,00400,0500,P 82182,S200000,00600,0200,056228 82182,S200000,00600,0300,03/01/1995 82182,S200000,00600,0600,P 82182,S200000,01600,0100,Y 82192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82192,A000000,00300,0000,00300EMPLOYEE BENEFITS 82192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82192,A000000,00700,0000,00700HOUSEKEEPING 82192,A000000,00800,0000,00800DIETARY 82192,A000000,00900,0000,00900NURSING ADMINISTRATION 82192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82192,A000000,01300,0000,01300SOCIAL SERVICE 82192,A000000,01301,0000,01301ACTIVITIES 82192,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 82192,A000000,01600,0000,01600SKILLED NURSING FACILITY 82192,A000000,01800,0000,01800NURSING FACILITY 82192,A000000,01810,0000,01810ICF/MR 82192,A000000,01900,0000,01900OTHER LONG TERM CARE 82192,A000000,02100,0000,02100RADIOLOGY 82192,A000000,02200,0000,02200LABORATORY 82192,A000000,02300,0000,02300INTRAVENOUS THERAPY 82192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82192,A000000,02500,0000,02500PHYSICAL THERAPY 82192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82192,A000000,02700,0000,02700SPEECH PATHOLOGY 82192,A000000,02800,0000,02800ELECTROCARDIOLOGY 82192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82192,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82192,A000000,03051,0000,03301PEN THERAPY 82192,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82192,A000000,03200,0000,03200SUPPORT SURFACES 82192,A000000,03400,0000,03400CLINIC 82192,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82192,A000000,03500,0000,03500RURAL HEALTH CLINIC 82192,A000000,04800,0000,04800AMBULANCE 82192,A000000,05000,0000,05000CORF 82192,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82192,A000000,05300,0000,05300INTEREST EXPENSE 82192,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82192,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82192,A000000,05500,0000,05500HOSPICE 82192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82192,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82192,A000000,06100,0000,06100NONPAID WORKERS 82192,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82192,A000000,06200,0000,06200PATIENTS LAUNDRY 82192,A81000A,00100,0100,Y 82192,A81000B,00100,0300,HOME OFFICE ALLOCATION 82192,A81000B,00200,0300,CENTRAL SUPPLY 82192,A81000B,00300,0300,REHAB 82192,A81000B,00400,0300,PT 82192,A81000B,00500,0300,OT 82192,A81000B,00600,0300,ST 82192,A81000C,00100,0100,B 82192,A81000C,00100,0200,PALM SPRINGS 10 82192,A81000C,00100,0400,MARINER POST AC 82192,A81000C,00100,0600,NURSING HOMES 82192,A81000C,00200,0100,G 82192,A81000C,00200,0200,MARINER POST AC 82192,A81000C,00200,0400,AMERICAN PHARMA 82192,A81000C,00200,0600,PHARMACEUTICALS 82192,A81000C,00300,0100,G 82192,A81000C,00300,0200,MARINER POST AC 82192,A81000C,00300,0400,PRISM (ATS ARS 82192,A81000C,00300,0600,THERAPIES 82192,A81000C,03100,0000,MARINER POST ACUTE NETWORK 82192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82192,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82192,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82192,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82192,B100000,00000,0800,00000MEALS SERVED :DIETARY 82192,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82192,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82192,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82192,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82192,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82192,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 82192,S000000,00100,0200,06/05/2000 82192,S200000,00100,0100,277 S SUNRISE WAY 82192,S200000,00200,0100,PALM SPRINGS 82192,S200000,00200,0200,CA 82192,S200000,00200,0300,92262- 82192,S200000,00300,0100,RIVERSIDE 82192,S200000,00400,0100,PALM SPRINGS HEALTH CARE CENTER 82192,S200000,00400,0200,056229 82192,S200000,00400,0300,01/01/1980 82192,S200000,00400,0500,P 82192,S700003,00000,0100,1 82205,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82205,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82205,A000000,00300,0000,00300EMPLOYEE BENEFITS 82205,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82205,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82205,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82205,A000000,00700,0000,00700HOUSEKEEPING 82205,A000000,00800,0000,00800DIETARY 82205,A000000,00900,0000,00900NURSING ADMINISTRATION 82205,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82205,A000000,01600,0000,01600SKILLED NURSING FACILITY 82205,A000000,01800,0000,01800NURSING FACILITY 82205,A000000,02100,0000,02100RADIOLOGY 82205,A000000,02200,0000,02200LABORATORY 82205,A000000,02300,0000,02300INTRAVENOUS THERAPY 82205,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82205,A000000,02500,0000,02500PHYSICAL THERAPY 82205,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82205,A000000,02700,0000,02700SPEECH PATHOLOGY 82205,A000000,02800,0000,02800ELECTROCARDIOLOGY 82205,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82205,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82205,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82205,A81000A,00100,0100,Y 82205,A81000B,00100,0300,HOME OFFICE EXPENSE 82205,A81000C,00100,0100,A 82205,A81000C,00100,0200,E.I. BERNABE 82205,A81000C,00100,0400,PLEASANT CARE C 82205,A81000C,00100,0600,HEALTH CARE PRO 82205,A81000C,00200,0100,A 82205,A81000C,00200,0200,E.I. BERNABE 82205,A81000C,00200,0400,PCC HEALTH SERV 82205,A81000C,00200,0600,HEALTH CARE PRO 82205,A81000C,00300,0100,A 82205,A81000C,00300,0200,E.I. BERNABE 82205,A81000C,00300,0400,EMBER CARE CORP 82205,A81000C,00300,0600,HEALTH CARE PRO 82205,A81000C,00400,0100,A 82205,A81000C,00400,0200,E.I. BERNABE 82205,A81000C,00400,0400,ATLAS CARE CORP 82205,A81000C,00400,0600,HEALTH CARE PRO 82205,A81000C,00500,0100,A 82205,A81000C,00500,0200,E.I. BERNABE 82205,A81000C,00500,0400,SNF PROPERTIES 82205,A81000C,00500,0600,HEALTH CARE PRO 82205,A81000C,00600,0100,A 82205,A81000C,00600,0200,E.I. BERNABE 82205,A81000C,00600,0400,STOCKTON EDISON 82205,A81000C,00600,0600,HEALTH CARE PRO 82205,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82205,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82205,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82205,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82205,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82205,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82205,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82205,B100000,00000,0800,00000MEALS SERVED :DIETARY 82205,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 82205,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82205,S000000,00100,0200,12/11/2000 82205,S200000,00100,0100,1550 NORTH PARK AVENUE 82205,S200000,00200,0100,POMONA 82205,S200000,00200,0200,CA 82205,S200000,00200,0300,91768- 82205,S200000,00300,0100,LOS ANGELES 82205,S200000,00300,0200,4480 82205,S200000,00300,0300,U 82205,S200000,00400,0100,EMBER CARE HEALTH CENTER POMONA 82205,S200000,00400,0200,056241 82205,S200000,00400,0300,07/01/1997 82205,S200000,00400,0500,P 82205,S200000,00600,0200,056241 82205,S200000,00600,0300,07/01/1997 82205,S200000,00600,0600,P 82205,S200000,01600,0100,Y 82215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82215,A000000,00300,0000,00300EMPLOYEE BENEFITS 82215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82215,A000000,00700,0000,00700HOUSEKEEPING 82215,A000000,00800,0000,00800DIETARY 82215,A000000,01300,0000,01300SOCIAL SERVICE 82215,A000000,01600,0000,01600SKILLED NURSING FACILITY 82215,A000000,01810,0000,01810ICF/MR 82215,A000000,02100,0000,02100RADIOLOGY 82215,A000000,02200,0000,02200LABORATORY 82215,A000000,02500,0000,02500PHYSICAL THERAPY 82215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82215,A000000,02700,0000,02700SPEECH PATHOLOGY 82215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82215,A000000,03550,0000,03550FQHC 82215,A000000,05000,0000,05000CORF 82215,A000000,05010,0000,05010CMHC 82215,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82215,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82215,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82215,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82215,A81000A,00100,0100,Y 82215,A81000B,00100,0300,RELATED PARTY LEASE 82215,A81000C,00100,0100,A 82215,A81000C,00100,0200,ROBERT BENSON 82215,A81000C,00100,0400,ASHLEY LTC 82215,A81000C,00100,0600,HEALTH FACILITY 82215,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82215,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82215,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82215,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82215,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82215,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82215,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82215,B100000,00000,0800,00000MEALS SERVED :DIETARY 82215,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82215,S000000,00100,0200,06/01/2000 82215,S200000,00100,0100,446 ARROWOOD DRIVE 82215,S200000,00200,0100,SANTA ROSA 82215,S200000,00200,0200,CA 82215,S200000,00200,0300,95407- 82215,S200000,00300,0100,SONOMA 82215,S200000,00400,0100,SANTA ROSA CONVALESCENT HOSPITAL 82215,S200000,00400,0200,056259 82215,S200000,00400,0300,01/01/1967 82215,S200000,00400,0500,P 82215,S200000,01500,0100,Y 82215,S200000,04300,0100,Y 82224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82224,A000000,00300,0000,00300EMPLOYEE BENEFITS 82224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82224,A000000,00700,0000,00700HOUSEKEEPING 82224,A000000,00800,0000,00800DIETARY 82224,A000000,00900,0000,00900NURSING ADMINISTRATION 82224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82224,A000000,01100,0000,01100PHARMACY 82224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82224,A000000,01300,0000,01300SOCIAL SERVICE 82224,A000000,01301,0000,01301ACTIVITIES 82224,A000000,01350,0000,01500OTHER GENERAL SERVICES 82224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82224,A000000,01600,0000,01600SKILLED NURSING FACILITY 82224,A000000,01800,0000,01800NURSING FACILITY 82224,A000000,01810,0000,01801ICF/MR 82224,A000000,01900,0000,01900OTHER LONG TERM CARE 82224,A000000,02100,0000,02100RADIOLOGY 82224,A000000,02200,0000,02200LABORATORY 82224,A000000,02300,0000,02300INTRAVENOUS THERAPY 82224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82224,A000000,02500,0000,02500PHYSICAL THERAPY 82224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82224,A000000,02700,0000,02700SPEECH PATHOLOGY 82224,A000000,02800,0000,02800ELECTROCARDIOLOGY 82224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82224,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82224,A000000,03200,0000,03200SUPPORT SURFACES 82224,A000000,03201,0000,03201EQUIPMENT RENTAL 82224,A000000,03400,0000,03400CLINIC 82224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82224,A000000,03500,0000,03500RURAL HEALTH CLINIC 82224,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82224,A000000,04800,0000,04800AMBULANCE 82224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82224,A000000,05000,0000,05000CORF 82224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82224,A000000,05300,0000,05300INTEREST EXPENSE 82224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82224,A000000,05500,0000,05500HOSPICE 82224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82224,A000000,06100,0000,06100NONPAID WORKERS 82224,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82224,A000000,06200,0000,06200PATIENTS LAUNDRY 82224,A81000A,00100,0100,Y 82224,A81000B,00100,0300,PHARMACY 82224,A81000B,00200,0300,PHARMACY CONSULTANT 82224,A81000B,00300,0300,HO ADMIN 82224,A81000B,00400,0300,HO ADMIN 82224,A81000B,00500,0300,HO CAPITAL COSTS 82224,A81000B,00600,0300,HO CAPITAL COSTS 82224,A81000C,00100,0100,B 82224,A81000C,00100,0200,GUARDIAN HEALTH GROUP 82224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82224,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82224,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82224,B100000,00000,0800,00000MEALS SERVED :DIETARY 82224,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82224,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82224,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82224,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82224,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82224,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 82224,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82224,S000000,00100,0200,10/02/2000 82224,S200000,00100,0100,1800 ADOBE STREET 82224,S200000,00200,0100,CONCORD 82224,S200000,00200,0200,CA 82224,S200000,00200,0300,94520- 82224,S200000,00300,0100,CONTRA COSTA 82224,S200000,00400,0100,GUARDIAN OF CONCORD 82224,S200000,00400,0200,056260 82224,S200000,00400,0300,10/21/1975 82224,S200000,00400,0500,P 82224,S200000,01600,0100,Y 82224,S700003,00000,0100,1 82233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82233,A000000,00201,0000,00201CAP REL COSTS - INTEREST 82233,A000000,00300,0000,00300EMPLOYEE BENEFITS 82233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82233,A000000,00700,0000,00700HOUSEKEEPING 82233,A000000,00800,0000,00800DIETARY 82233,A000000,00900,0000,00900NURSING ADMINISTRATION 82233,A000000,01600,0000,01600SKILLED NURSING FACILITY 82233,A000000,01800,0000,01800NURSING FACILITY 82233,A000000,01810,0000,01810ICF/MR 82233,A000000,01900,0000,01900OTHER LONG TERM CARE 82233,A000000,02100,0000,02100RADIOLOGY 82233,A000000,02200,0000,02200LABORATORY 82233,A000000,02300,0000,02300INTRAVENOUS THERAPY 82233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82233,A000000,02500,0000,02500PHYSICAL THERAPY 82233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82233,A000000,02700,0000,02700SPEECH PATHOLOGY 82233,A000000,02800,0000,02800ELECTROCARDIOLOGY 82233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82233,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82233,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82233,A000000,03200,0000,03200SUPPORT SURFACES 82233,A000000,03400,0000,03400CLINIC 82233,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82233,A000000,03500,0000,03500RURAL HEALTH CLINIC 82233,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82233,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82233,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82233,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82233,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82233,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82233,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82233,A000000,04400,0000,04400DME RENTED - HHA 82233,A000000,04500,0000,04500DME SOLD - HHA 82233,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82233,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82233,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82233,A000000,04800,0000,04800AMBULANCE 82233,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82233,A000000,05000,0000,05000CORF 82233,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82233,A000000,05300,0000,05300INTEREST EXPENSE 82233,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82233,A000000,05500,0000,05500HOSPICE 82233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82233,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82233,A000000,06100,0000,06100NONPAID WORKERS 82233,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82233,A000000,06200,0000,06200PATIENTS LAUNDRY 82233,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 82233,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 82233,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82233,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 82233,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 82233,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 82233,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 82233,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 82233,S000000,00100,0200,05/31/2000 82233,S200000,00100,0100,1155 EAST SPRINGFIELD 82233,S200000,00200,0100,REEDLEY 82233,S200000,00200,0200,CA 82233,S200000,00200,0300,93654- 82233,S200000,00300,0100,FRESNO 82233,S200000,00300,0200,2840 82233,S200000,00300,0300,U 82233,S200000,00400,0100,SIERRA VIEW HOMES 82233,S200000,00400,0200,056279 82233,S200000,00400,0300,01/01/1999 82233,S200000,00400,0500,P 82241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82241,A000000,00300,0000,00300EMPLOYEE BENEFITS 82241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82241,A000000,00700,0000,00700HOUSEKEEPING 82241,A000000,00800,0000,00800DIETARY 82241,A000000,00900,0000,00900NURSING ADMINISTRATION 82241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82241,A000000,01100,0000,01100PHARMACY 82241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82241,A000000,01300,0000,01300SOCIAL SERVICE 82241,A000000,01350,0000,01500OTHER GENERAL SERVICES 82241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82241,A000000,01600,0000,01600SKILLED NURSING FACILITY 82241,A000000,01800,0000,01800NURSING FACILITY 82241,A000000,01810,0000,01801ICF/MR 82241,A000000,01900,0000,01900OTHER LONG TERM CARE 82241,A000000,02100,0000,02100RADIOLOGY 82241,A000000,02200,0000,02200LABORATORY 82241,A000000,02300,0000,02300INTRAVENOUS THERAPY 82241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82241,A000000,02500,0000,02500PHYSICAL THERAPY 82241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82241,A000000,02700,0000,02700SPEECH PATHOLOGY 82241,A000000,02800,0000,02800ELECTROCARDIOLOGY 82241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82241,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82241,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82241,A000000,03200,0000,03200SUPPORT SURFACES 82241,A000000,03400,0000,03400CLINIC 82241,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82241,A000000,03500,0000,03500RURAL HEALTH CLINIC 82241,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82241,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82241,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82241,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82241,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82241,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82241,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82241,A000000,04400,0000,04400DME RENTED - HHA 82241,A000000,04500,0000,04500DME SOLD - HHA 82241,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82241,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82241,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82241,A000000,04800,0000,04800AMBULANCE 82241,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82241,A000000,05000,0000,05000CORF 82241,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82241,A000000,05300,0000,05300INTEREST EXPENSE 82241,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82241,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82241,A000000,05500,0000,05500HOSPICE 82241,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82241,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82241,A000000,06100,0000,06100NONPAID WORKERS 82241,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82241,A000000,06200,0000,06200PATIENTS LAUNDRY 82241,A81000A,00100,0100,Y 82241,A81000B,00100,0300,MANAGEMENT FEES 82241,A81000B,00200,0300,HOME OFFICE-BUILDING 82241,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 82241,A81000B,00400,0300,HOME OFFICE COSTS 82241,A81000C,00100,0100,A 82241,A81000C,00100,0200,ALBA TILLER 82241,A81000C,00100,0400,A.T. ASSOCIATES INC. 82241,A81000C,00100,0600,HOME OFFICE 82241,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82241,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82241,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82241,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82241,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82241,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82241,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82241,B100000,00000,0800,00000MEALS SERVED :DIETARY 82241,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 82241,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82241,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82241,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82241,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82241,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82241,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82241,S000000,00100,0200,06/13/2000 82241,S200000,00100,0100,2919 FRUITVALE AVENUE 82241,S200000,00200,0100,OAKLAND 82241,S200000,00200,0200,CA 82241,S200000,00200,0300,94602- 82241,S200000,00300,0100,ALAMEDA 82241,S200000,00400,0100,OAKRIDGE CARE CENTER 82241,S200000,00400,0200,056280 82241,S200000,00400,0300,09/01/1982 82241,S200000,00400,0500,P 82241,S200000,01600,0100,Y 82253,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82253,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82253,A000000,00300,0000,00300EMPLOYEE BENEFITS 82253,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82253,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82253,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82253,A000000,00700,0000,00700HOUSEKEEPING 82253,A000000,00800,0000,00800DIETARY 82253,A000000,00900,0000,00900NURSING ADMINISTRATION 82253,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82253,A000000,01100,0000,01100PHARMACY 82253,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82253,A000000,01300,0000,01300SOCIAL SERVICE 82253,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 82253,A000000,01600,0000,01600SKILLED NURSING FACILITY 82253,A000000,01800,0000,01800NURSING FACILITY 82253,A000000,01900,0000,01900OTHER LONG TERM CARE 82253,A000000,02100,0000,02100RADIOLOGY 82253,A000000,02200,0000,02200LABORATORY 82253,A000000,02300,0000,02300INTRAVENOUS THERAPY 82253,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82253,A000000,02500,0000,02500PHYSICAL THERAPY 82253,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82253,A000000,02700,0000,02700SPEECH PATHOLOGY 82253,A000000,02800,0000,02800ELECTROCARDIOLOGY 82253,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82253,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82253,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82253,A000000,03200,0000,03200SUPPORT SURFACES 82253,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82253,A000000,04800,0000,04800AMBULANCE 82253,A000000,05000,0000,05000CORF 82253,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82253,A000000,05300,0000,05300INTEREST EXPENSE 82253,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82253,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82253,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82253,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82253,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82253,A000000,06100,0000,06100NONPAID WORKERS 82253,A000000,06150,0000,06300ASSISTED LIVING 82253,A000000,06151,0000,06301RESIDENTIAL 82253,A000000,06200,0000,06200PATIENTS LAUNDRY 82253,A81000A,00100,0100,Y 82253,A81000B,00100,0300,HOME OFFICE COSTS 82253,A81000B,00200,0300,HOME OFFICE COSTS 82253,A81000C,00100,0100,B 82253,A81000C,00100,0400,RHF 82253,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 82253,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 82253,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 82253,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 82253,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 82253,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 82253,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 82253,B100000,00000,0800,00001MEALS SERVED :DIETARY 82253,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 82253,B100000,00000,1050,00001HOURS OF SERVICE :CENTRAL SERVICES 82253,B100000,00000,1100,00001COSTED REQUISITIO :PHARMACY 82253,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 82253,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 82253,B100000,00000,1350,00001 :OTHER GENERAL SERVICE COST 82253,S000000,00100,0200,08/31/2000 82253,S200000,00100,0100,3737 ATLANTIC AVE. 82253,S200000,00200,0100,LONG BEACH 82253,S200000,00200,0200,CA 82253,S200000,00200,0300,90807- 82253,S200000,00300,0100,LOS ANGELES 82253,S200000,00400,0100,BIXBY KNOLLS TOWER HEALTHCARE CENTER 82253,S200000,00400,0200,056283 82253,S200000,00400,0300,12/01/1985 82253,S200000,00400,0500,P 82253,S200000,01004,0500,O 82253,S200000,01600,0100,Y 82253,S200000,01900,0100,OTHER (SPECIFY) 82262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82262,A000000,00300,0000,00300EMPLOYEE BENEFITS 82262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82262,A000000,00700,0000,00700HOUSEKEEPING 82262,A000000,00800,0000,00800DIETARY 82262,A000000,00900,0000,00900NURSING ADMINISTRATION 82262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82262,A000000,01600,0000,01600SKILLED NURSING FACILITY 82262,A000000,01800,0000,01800NURSING FACILITY 82262,A000000,02100,0000,02100RADIOLOGY 82262,A000000,02200,0000,02200LABORATORY 82262,A000000,02500,0000,02500PHYSICAL THERAPY 82262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82262,A000000,02700,0000,02700SPEECH PATHOLOGY 82262,A000000,02800,0000,02800ELECTROCARDIOLOGY 82262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82262,A81000A,00100,0100,Y 82262,A81000B,00100,0300,HOME OFFICE EXPENSE 82262,A81000C,00100,0100,A 82262,A81000C,00100,0200,E.I. BERNABE 82262,A81000C,00100,0400,PLEASANT CARE C 82262,A81000C,00100,0600,HEALTH CARE PRO 82262,A81000C,00200,0100,A 82262,A81000C,00200,0200,E.I. BERNABE 82262,A81000C,00200,0400,PCC HEALTH SERV 82262,A81000C,00200,0600,HEALTH CARE PRO 82262,A81000C,00300,0100,A 82262,A81000C,00300,0200,E.I. BERNABE 82262,A81000C,00300,0400,EMBER CARE CORP 82262,A81000C,00300,0600,HEALTH CARE PRO 82262,A81000C,00400,0100,A 82262,A81000C,00400,0200,E.I. BERNABE 82262,A81000C,00400,0400,ATLAS CARE CORP 82262,A81000C,00400,0600,HEALTH CARE PRO 82262,A81000C,00500,0100,A 82262,A81000C,00500,0200,E. I. BERNABE 82262,A81000C,00500,0400,SNF PROPERTIES 82262,A81000C,00500,0600,HEALTH CARE PRO 82262,A81000C,00600,0100,A 82262,A81000C,00600,0200,E.I. BERNABE 82262,A81000C,00600,0400,STOCKTON EDISON 82262,A81000C,00600,0600,HEALTH CARE PRO 82262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82262,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82262,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82262,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82262,B100000,00000,0800,00000MEALS SERVED :DIETARY 82262,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 82262,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82262,S000000,00100,0200,11/15/2000 82262,S200000,00100,0100,131 WHITMORE LANE 82262,S200000,00200,0100,UKIAH 82262,S200000,00200,0200,CA 82262,S200000,00200,0300,95482- 82262,S200000,00300,0100,MENDOCINO 82262,S200000,00300,0200,05 82262,S200000,00300,0300,R 82262,S200000,00400,0100,PLEASANT CARE CONVALESCENT UKIAH 82262,S200000,00400,0200,056284 82262,S200000,00400,0300,06/01/1996 82262,S200000,00400,0500,P 82262,S200000,00600,0200,056284 82262,S200000,00600,0300,06/01/1996 82262,S200000,00600,0600,P 82262,S200000,01600,0100,Y 82270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82270,A000000,00300,0000,00300EMPLOYEE BENEFITS 82270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82270,A000000,00700,0000,00700HOUSEKEEPING 82270,A000000,00800,0000,00800DIETARY 82270,A000000,00900,0000,00900NURSING ADMINISTRATION 82270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82270,A000000,01100,0000,01100PHARMACY 82270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82270,A000000,01300,0000,01300SOCIAL SERVICE 82270,A000000,01600,0000,01600SKILLED NURSING FACILITY 82270,A000000,01800,0000,01800NURSING FACILITY 82270,A000000,01900,0000,01900OTHER LONG TERM CARE 82270,A000000,02100,0000,02100RADIOLOGY 82270,A000000,02200,0000,02200LABORATORY 82270,A000000,02300,0000,02300INTRAVENOUS THERAPY 82270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82270,A000000,02500,0000,02500PHYSICAL THERAPY 82270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82270,A000000,02700,0000,02700SPEECH PATHOLOGY 82270,A000000,02800,0000,02800ELECTROCARDIOLOGY 82270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82270,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82270,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82270,A000000,03200,0000,03200SUPPORT SURFACES 82270,A000000,04800,0000,04800AMBULANCE 82270,A000000,05000,0000,05000CORF 82270,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82270,A000000,05300,0000,05300INTEREST EXPENSE 82270,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82270,A81000A,00100,0100,Y 82270,A81000B,00100,0300,HOME OFFICE CAPITAL 82270,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 82270,A81000C,00100,0100,B 82270,A81000C,00100,0200,MISSION MEDICAL 82270,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82270,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82270,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82270,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82270,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82270,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82270,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82270,B100000,00000,0800,00000MEALS SERVED :DIETARY 82270,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82270,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82270,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 82270,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82270,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82270,S000000,00100,0200,06/28/2000 82270,S200000,00100,0100,1007 WEST LACEY BLVD 82270,S200000,00200,0100,HANFORD 82270,S200000,00200,0200,CA 82270,S200000,00200,0300,93232- 82270,S200000,00300,0100,KINGS 82270,S200000,00400,0100,HANFORD NURSING & REHAB 82270,S200000,00400,0200,056288 82270,S200000,00400,0300,01/01/1973 82270,S200000,00400,0500,P 82270,S200000,01600,0100,Y 82270,S700003,00000,0100,1 82277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82277,A000000,00300,0000,00300EMPLOYEE BENEFITS 82277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82277,A000000,00700,0000,00700HOUSEKEEPING 82277,A000000,00800,0000,00800DIETARY 82277,A000000,00900,0000,00900NURSING ADMINISTRATION 82277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82277,A000000,01100,0000,01100PHARMACY 82277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82277,A000000,01300,0000,01300SOCIAL SERVICE 82277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82277,A000000,01600,0000,01600SKILLED NURSING FACILITY 82277,A000000,01900,0000,01900OTHER LONG TERM CARE 82277,A000000,02100,0000,02100RADIOLOGY 82277,A000000,02500,0000,02500PHYSICAL THERAPY 82277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82277,A000000,02700,0000,02700SPEECH PATHOLOGY 82277,A000000,02800,0000,02800ELECTROCARDIOLOGY 82277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82277,A000000,06150,0000,06300MARKETING/ADVERTISING 82277,A81000A,00100,0100,Y 82277,A81000B,00100,0300,ADMIN & GEN-MGMT FEES 82277,A81000B,00200,0300,ADMIN-(ACCOUNTING FEES) 82277,A81000B,00300,0300,HOME OFFICE EXPENSE 82277,A81000C,00300,0100,B 82277,A81000C,00300,0400,E.H.F. 82277,A81000C,00300,0600,HEALTHCARE 82277,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82277,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82277,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82277,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82277,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82277,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82277,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82277,B100000,00000,0800,00000MEALS SERVED :DIETARY 82277,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82277,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82277,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82277,S000000,00100,0200,09/05/2000 82277,S200000,00100,0100,110 WOOD ROAD 82277,S200000,00200,0100,LOS GATOS 82277,S200000,00200,0200,CA 82277,S200000,00200,0300,95030- 82277,S200000,00300,0100,SANTA CLARA 82277,S200000,00300,0200,7400 82277,S200000,00300,0300,U 82277,S200000,00400,0100,LOS GATOS MEADOWS-SNF 82277,S200000,00400,0200,056290 82277,S200000,00400,0300,03/31/1974 82277,S200000,00400,0500,P 82277,S200000,01700,0100,Y 82277,S200000,02800,0100,Y 82286,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82286,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82286,A000000,00300,0000,00300EMPLOYEE BENEFITS 82286,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82286,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82286,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82286,A000000,00700,0000,00700HOUSEKEEPING 82286,A000000,00800,0000,00800DIETARY 82286,A000000,00900,0000,00900NURSING ADMINISTRATION 82286,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82286,A000000,01300,0000,01300SOCIAL SERVICE 82286,A000000,01600,0000,01600SKILLED NURSING FACILITY 82286,A000000,01800,0000,01800NURSING FACILITY 82286,A000000,02100,0000,02100RADIOLOGY 82286,A000000,02200,0000,02200LABORATORY 82286,A000000,02500,0000,02500PHYSICAL THERAPY 82286,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82286,A000000,02700,0000,02700SPEECH PATHOLOGY 82286,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82286,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82286,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82286,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82286,A81000A,00100,0100,Y 82286,A81000B,00100,0300,MANAGEMENT FEES 82286,A81000B,00200,0300,HOME OFFICE BUILDING 82286,A81000B,00300,0300,HOME OFFICE EQUIPMENT 82286,A81000B,00400,0300,INTEREST 82286,A81000C,00100,0100,A 82286,A81000C,00100,0200,GARY DEVOIR 82286,A81000C,00100,0400,CAMARILLO CONV. HOSPITAL 82286,A81000C,00100,0600,SNF 82286,A81000C,00200,0100,A 82286,A81000C,00200,0200,GARY DEVOIR 82286,A81000C,00200,0400,WESTERN ANCILLARY & CONSL 82286,A81000C,00200,0600,MANAGEMENT COMPANY 82286,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82286,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82286,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82286,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82286,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82286,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82286,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82286,B100000,00000,0800,00000MEALS SERVED :DIETARY 82286,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82286,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82286,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82286,S000000,00100,0200,03/13/2000 82286,S200000,00100,0100,205 GRANADA STREET 82286,S200000,00200,0100,CAMARILLO 82286,S200000,00200,0200,CA 82286,S200000,00200,0300,93010- 82286,S200000,00300,0100,VENTURA 82286,S200000,00400,0100,CAMARILLO CONVALESCENT HOSPITAL 82286,S200000,00400,0200,056292 82286,S200000,00400,0300,07/01/1977 82286,S200000,00400,0500,P 82286,S200000,00400,0600,O 82286,S200000,00600,0200,056292 82286,S200000,00600,0300,07/01/1977 82286,S200000,00600,0600,P 82286,S200000,01600,0100,Y 82286,S700003,00000,0100,1 82294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82294,A000000,00300,0000,00300EMPLOYEE BENEFITS 82294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82294,A000000,00700,0000,00700HOUSEKEEPING 82294,A000000,00800,0000,00800DIETARY 82294,A000000,00900,0000,00900NURSING ADMINISTRATION 82294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82294,A000000,01300,0000,01300SOCIAL SERVICE 82294,A000000,01600,0000,01600SKILLED NURSING FACILITY 82294,A000000,01800,0000,01800NURSING FACILITY 82294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82294,A000000,02500,0000,02500PHYSICAL THERAPY 82294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82294,A000000,02700,0000,02700SPEECH PATHOLOGY 82294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82294,A000000,03550,0000,03550FQHC 82294,A000000,05000,0000,05000CORF 82294,A000000,05010,0000,05010CMHC 82294,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82294,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82294,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82294,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82294,B100000,00000,0950,00000DIRECT NSG DOLLAR :NURSING ADMINIST 82294,B100000,00000,1050,00000GROSS NSG SALARIES :CENTRAL SERVICE 82294,B100000,00000,1250,00000NSG SALARIES :MEDICAL RECORDS & LI 82294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82294,S000000,00100,0200,03/10/2000 82294,S200000,00100,0100,1280 MARSHALL ROAD 82294,S200000,00200,0100,CRESCENT CITY 82294,S200000,00200,0200,CA 82294,S200000,00200,0300,95531- 82294,S200000,00300,0100,DEL NORTE 82294,S200000,00400,0100,CRESCENT CITY CONVALESCENT HOSP 82294,S200000,00400,0200,056296 82294,S200000,00400,0300,01/01/1967 82294,S200000,00400,0500,P 82294,S200000,00600,0200,056296 82294,S200000,00600,0300,01/01/1967 82294,S200000,00600,0600,O 82294,S200000,01600,0100,Y 82294,S200000,01900,0100,PROPRIETORSHIP 82294,S700003,00000,0400,4 82321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82321,A000000,00300,0000,00300EMPLOYEE BENEFITS 82321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82321,A000000,00700,0000,00700HOUSEKEEPING 82321,A000000,00800,0000,00800DIETARY 82321,A000000,00900,0000,00900NURSING ADMINISTRATION 82321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82321,A000000,01100,0000,01100PHARMACY 82321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82321,A000000,01300,0000,01300SOCIAL SERVICE 82321,A000000,01350,0000,01500OTHER GENERAL SERVICES 82321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82321,A000000,01600,0000,01600SKILLED NURSING FACILITY 82321,A000000,01800,0000,01800NURSING FACILITY 82321,A000000,01810,0000,01801ICF/MR 82321,A000000,01900,0000,01900OTHER LONG TERM CARE 82321,A000000,02100,0000,02100RADIOLOGY 82321,A000000,02200,0000,02200LABORATORY 82321,A000000,02300,0000,02300INTRAVENOUS THERAPY 82321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82321,A000000,02500,0000,02500PHYSICAL THERAPY 82321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82321,A000000,02700,0000,02700SPEECH PATHOLOGY 82321,A000000,02800,0000,02800ELECTROCARDIOLOGY 82321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82321,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82321,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82321,A000000,03200,0000,03200SUPPORT SURFACES 82321,A000000,03400,0000,03400CLINIC 82321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82321,A000000,03500,0000,03500RURAL HEALTH CLINIC 82321,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82321,A000000,04800,0000,04800AMBULANCE 82321,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82321,A000000,05000,0000,05000CORF 82321,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82321,A000000,05300,0000,05300INTEREST EXPENSE 82321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82321,A000000,05500,0000,05500HOSPICE 82321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82321,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82321,A000000,06100,0000,06100NONPAID WORKERS 82321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82321,A000000,06200,0000,06200PATIENTS LAUNDRY 82321,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82321,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82321,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82321,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82321,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82321,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82321,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82321,B100000,00000,0800,00000MEALS SERVED :DIETARY 82321,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 82321,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82321,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82321,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82321,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82321,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82321,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82321,S000000,00100,0200,06/05/2000 82321,S200000,00100,0100,3501 CEDAR AVENUE 82321,S200000,00200,0100,LONG BEACH 82321,S200000,00200,0200,CA 82321,S200000,00200,0300,90807- 82321,S200000,00300,0100,LOS ANGELES 82321,S200000,00400,0100,PALMCREST NORTH CONVALESCENT HOSP 82321,S200000,00400,0200,056313 82321,S200000,00400,0300,01/01/1988 82321,S200000,00400,0500,P 82321,S200000,01600,0100,Y 82321,S700003,00000,0100,1 82329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82329,A000000,00300,0000,00300EMPLOYEE BENEFITS 82329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82329,A000000,00700,0000,00700HOUSEKEEPING 82329,A000000,00800,0000,00800DIETARY 82329,A000000,00900,0000,00900NURSING ADMINISTRATION 82329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82329,A000000,01100,0000,01100PHARMACY 82329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82329,A000000,01300,0000,01300SOCIAL SERVICE 82329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82329,A000000,01600,0000,01600SKILLED NURSING FACILITY 82329,A000000,01800,0000,01800NURSING FACILITY 82329,A000000,02100,0000,02100RADIOLOGY 82329,A000000,02200,0000,02200LABORATORY 82329,A000000,02300,0000,02300INTRAVENOUS THERAPY 82329,A000000,02500,0000,02500PHYSICAL THERAPY 82329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82329,A000000,02700,0000,02700SPEECH PATHOLOGY 82329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82329,A000000,03200,0000,03200SUPPORT SURFACES 82329,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82329,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82329,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82329,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82329,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82329,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82329,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82329,B100000,00000,0800,00000MEALS SERVED :DIETARY 82329,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82329,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82329,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82329,S000000,00100,0200,09/29/2000 82329,S200000,00100,0100,1920 N. FAIR OAKS AVE. 82329,S200000,00200,0100,PASADENA 82329,S200000,00200,0200,CA 82329,S200000,00200,0300,91103- 82329,S200000,00300,0100,LOS ANGELES 82329,S200000,00300,0200,4280 82329,S200000,00300,0300,U 82329,S200000,00400,0100,CAMELLIA GARDENS CARE CENTER 82329,S200000,00400,0200,056316 82329,S200000,00400,0300,04/01/1993 82329,S200000,00400,0500,P 82329,S200000,01600,0100,Y 82336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82336,A000000,00300,0000,00300EMPLOYEE BENEFITS 82336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82336,A000000,00700,0000,00700HOUSEKEEPING 82336,A000000,00800,0000,00800DIETARY 82336,A000000,00900,0000,00900NURSING ADMINISTRATION 82336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82336,A000000,01600,0000,01600SKILLED NURSING FACILITY 82336,A000000,01800,0000,01800NURSING FACILITY 82336,A000000,02100,0000,02100RADIOLOGY 82336,A000000,02200,0000,02200LABORATORY 82336,A000000,02300,0000,02300INTRAVENOUS THERAPY 82336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82336,A000000,02500,0000,02500PHYSICAL THERAPY 82336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82336,A000000,02700,0000,02700SPEECH PATHOLOGY 82336,A000000,02800,0000,02800ELECTROCARDIOLOGY 82336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82336,A81000A,00100,0100,Y 82336,A81000B,00100,0300,HOME OFFICE EXPENSE 82336,A81000C,00100,0100,A 82336,A81000C,00100,0200,E.I. BERNABE 82336,A81000C,00100,0400,PLEASANT CARE C 82336,A81000C,00100,0600,HEALTH CARE PRO 82336,A81000C,00200,0100,A 82336,A81000C,00200,0200,E.I. BERNABE 82336,A81000C,00200,0400,PCC HEALTH SERV 82336,A81000C,00200,0600,HEALTH CARE PRO 82336,A81000C,00300,0100,A 82336,A81000C,00300,0200,E.I. BERNABE 82336,A81000C,00300,0400,EMBER CARE CORP 82336,A81000C,00300,0600,HEALTH CARE PRO 82336,A81000C,00400,0100,A 82336,A81000C,00400,0200,E.I. BERNABE 82336,A81000C,00400,0400,ATLAS CARE CORP 82336,A81000C,00400,0600,HEALTH CARE PRO 82336,A81000C,00500,0100,A 82336,A81000C,00500,0200,E.I. BERNABE 82336,A81000C,00500,0400,SNF PROPERTIES 82336,A81000C,00500,0600,HEALTH CARE PRO 82336,A81000C,00600,0100,A 82336,A81000C,00600,0200,E.I. BERNABE 82336,A81000C,00600,0400,STOCKTON EDISON 82336,A81000C,00600,0600,HEALTH CARE PRO 82336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82336,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82336,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82336,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82336,B100000,00000,0800,00000MEALS SERVED :DIETARY 82336,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 82336,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82336,S000000,00100,0200,08/31/2000 82336,S200000,00100,0100,1611 HEIGHT STREET 82336,S200000,00200,0100,BAKERSFIELD 82336,S200000,00200,0200,CA 82336,S200000,00200,0300,93309- 82336,S200000,00300,0100,KERN 82336,S200000,00300,0200,0680 82336,S200000,00300,0300,U 82336,S200000,00400,0100,EMMANUEL CONVALESCENT SAN JOAQUIN 82336,S200000,00400,0200,056323 82336,S200000,00400,0300,04/01/1997 82336,S200000,00400,0500,P 82336,S200000,00600,0200,056323 82336,S200000,00600,0300,04/01/1997 82336,S200000,00600,0600,P 82336,S200000,01600,0100,Y 82346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82346,A000000,00300,0000,00300EMPLOYEE BENEFITS 82346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82346,A000000,00700,0000,00700HOUSEKEEPING 82346,A000000,00800,0000,00800DIETARY 82346,A000000,00900,0000,00900NURSING ADMINISTRATION 82346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82346,A000000,01100,0000,01100PHARMACY 82346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82346,A000000,01300,0000,01300SOCIAL SERVICE 82346,A000000,01301,0000,01301ACTIVITIES 82346,A000000,01350,0000,01500OTHER GENERAL SERVICES 82346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82346,A000000,01600,0000,01600SKILLED NURSING FACILITY 82346,A000000,01800,0000,01800NURSING FACILITY 82346,A000000,01810,0000,01801ICF/MR 82346,A000000,01900,0000,01900OTHER LONG TERM CARE 82346,A000000,02100,0000,02100RADIOLOGY 82346,A000000,02200,0000,02200LABORATORY 82346,A000000,02300,0000,02300INTRAVENOUS THERAPY 82346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82346,A000000,02500,0000,02500PHYSICAL THERAPY 82346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82346,A000000,02700,0000,02700SPEECH PATHOLOGY 82346,A000000,02800,0000,02800ELECTROCARDIOLOGY 82346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82346,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82346,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82346,A000000,03200,0000,03200SUPPORT SURFACES 82346,A000000,03201,0000,03201EQUIPMENT RENTAL 82346,A000000,03400,0000,03400CLINIC 82346,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82346,A000000,03500,0000,03500RURAL HEALTH CLINIC 82346,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82346,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82346,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82346,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82346,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82346,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82346,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82346,A000000,04400,0000,04400DME RENTED - HHA 82346,A000000,04500,0000,04500DME SOLD - HHA 82346,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82346,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82346,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82346,A000000,04800,0000,04800AMBULANCE 82346,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82346,A000000,05000,0000,05000CORF 82346,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82346,A000000,05300,0000,05300INTEREST EXPENSE 82346,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82346,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82346,A000000,05500,0000,05500HOSPICE 82346,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82346,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82346,A000000,06100,0000,06100NONPAID WORKERS 82346,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82346,A000000,06200,0000,06200PATIENTS LAUNDRY 82346,A81000A,00100,0100,Y 82346,A81000B,00100,0300,PHARMACY 82346,A81000B,00200,0300,PHARMACY CONSULTANT 82346,A81000B,00300,0300,HO ADMIN 82346,A81000B,00400,0300,HO ADMIN 82346,A81000B,00500,0300,HO CAPITAL COSTS 82346,A81000B,00600,0300,HO CAPITAL COSTS 82346,A81000C,00100,0100,B 82346,A81000C,00100,0200,GUARDIAN HEALTH GROUP 82346,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82346,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82346,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82346,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82346,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82346,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82346,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82346,B100000,00000,0800,00000MEALS SERVED :DIETARY 82346,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82346,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82346,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82346,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82346,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82346,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 82346,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82346,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82346,S000000,00100,0200,10/02/2000 82346,S200000,00100,0100,1224 ROSSMOOR PARKWAY 82346,S200000,00200,0100,WALNUT CREEK 82346,S200000,00200,0200,CA 82346,S200000,00200,0300,94595- 82346,S200000,00300,0100,CONTRA COSTA 82346,S200000,00400,0100,GUARDIAN OF ROSSMOOR 82346,S200000,00400,0200,056327 82346,S200000,00400,0300,06/29/1972 82346,S200000,00400,0500,P 82346,S200000,01600,0100,Y 82346,S700003,00000,0100,1 82355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82355,A000000,00300,0000,00300EMPLOYEE BENEFITS 82355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82355,A000000,00700,0000,00700HOUSEKEEPING 82355,A000000,00800,0000,00800DIETARY 82355,A000000,00900,0000,00900NURSING ADMINISTRATION 82355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82355,A000000,01100,0000,01100PHARMACY 82355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82355,A000000,01300,0000,01300SOCIAL SERVICE 82355,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 82355,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82355,A000000,01600,0000,01600SKILLED NURSING FACILITY 82355,A000000,01800,0000,01800NURSING FACILITY 82355,A000000,01810,0000,01810ICF/MR 82355,A000000,01900,0000,01900OTHER LONG TERM CARE 82355,A000000,02100,0000,02100RADIOLOGY 82355,A000000,02200,0000,02200LABORATORY 82355,A000000,02300,0000,02300INTRAVENOUS THERAPY 82355,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82355,A000000,02500,0000,02500PHYSICAL THERAPY 82355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82355,A000000,02700,0000,02700SPEECH PATHOLOGY 82355,A000000,02800,0000,02800ELECTROCARDIOLOGY 82355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82355,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82355,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82355,A000000,03200,0000,03200SUPPORT SURFACES 82355,A000000,03400,0000,03400CLINIC 82355,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82355,A000000,03500,0000,03500RURAL HEALTH CLINIC 82355,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82355,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82355,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82355,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82355,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82355,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82355,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82355,A000000,04400,0000,04400DME RENTED - HHA 82355,A000000,04500,0000,04500DME SOLD - HHA 82355,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82355,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82355,A000000,04800,0000,04800AMBULANCE 82355,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82355,A000000,05000,0000,05000CORF 82355,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82355,A000000,05300,0000,05300INTEREST EXPENSE 82355,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82355,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82355,A000000,05500,0000,05500HOSPICE 82355,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82355,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82355,A000000,06100,0000,06100NONPAID WORKERS 82355,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82355,A000000,06200,0000,06200PATIENTS LAUNDRY 82355,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82355,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82355,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82355,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82355,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82355,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82355,B100000,00000,0800,00000MEALS SERVED :DIETARY 82355,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82355,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 82355,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 82355,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82355,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82355,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 82355,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82355,S000000,00100,0200,05/18/2000 82355,S200000,00100,0100,6061 BANBURY STREET 82355,S200000,00200,0100,SAN DIEGO 82355,S200000,00200,0200,CA 82355,S200000,00200,0300,92139- 82355,S200000,00300,0100,SAN DIEGO 82355,S200000,00400,0100,PARADISE HILLS CONVALESCENT CENTER 82355,S200000,00400,0200,056330 82355,S200000,00400,0300,07/01/1972 82355,S200000,00400,0500,P 82355,S200000,01600,0100,Y 82355,S200000,02800,0100,Y 82355,S700003,00000,0100,1 82364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82364,A000000,00300,0000,00300EMPLOYEE BENEFITS 82364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82364,A000000,00700,0000,00700HOUSEKEEPING 82364,A000000,00800,0000,00800DIETARY 82364,A000000,00900,0000,00900NURSING ADMINISTRATION 82364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82364,A000000,01100,0000,01100PHARMACY 82364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82364,A000000,01300,0000,01300SOCIAL SERVICE 82364,A000000,01301,0000,01301ACTIVITIES 82364,A000000,01350,0000,01500OTHER GENERAL SERVICES 82364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82364,A000000,01600,0000,01600SKILLED NURSING FACILITY 82364,A000000,01800,0000,01800NURSING FACILITY 82364,A000000,01900,0000,01900OTHER LONG TERM CARE 82364,A000000,02100,0000,02100RADIOLOGY 82364,A000000,02200,0000,02200LABORATORY 82364,A000000,02300,0000,02300INTRAVENOUS THERAPY 82364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82364,A000000,02500,0000,02500PHYSICAL THERAPY 82364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82364,A000000,02700,0000,02700SPEECH PATHOLOGY 82364,A000000,02800,0000,02800ELECTROCARDIOLOGY 82364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82364,A000000,03200,0000,03200SUPPORT SURFACES 82364,A000000,03400,0000,03400CLINIC 82364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82364,A000000,03500,0000,03500RURAL HEALTH CLINIC 82364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82364,A000000,04400,0000,04400DME RENTED - HHA 82364,A000000,04500,0000,04500DME SOLD - HHA 82364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82364,A000000,04800,0000,04800AMBULANCE 82364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82364,A000000,05000,0000,05000CORF 82364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82364,A000000,05300,0000,05300INTEREST EXPENSE 82364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82364,A000000,05500,0000,05500HOSPICE 82364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82364,A000000,06100,0000,06100NONPAID WORKERS 82364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82364,A000000,06200,0000,06200PATIENTS LAUNDRY 82364,A81000A,00100,0100,Y 82364,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 82364,A81000B,00200,0300,CAPITAL 82364,A81000C,00100,0100,A 82364,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 82364,A81000C,00100,0400,LENOX HEALTHCARE INC 82364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82364,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82364,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82364,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82364,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82364,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82364,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82364,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82364,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82364,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82364,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82364,S000000,00100,0200,03/02/2000 82364,S200000,00100,0100,368 JUANA AVE 82364,S200000,00200,0100,SAN LEANDRO 82364,S200000,00200,0200,CA 82364,S200000,00200,0300,94577- 82364,S200000,00300,0100,ALAMEDA 82364,S200000,00400,0100,SAN LEANDRO HEALTHCARE CENTER 82364,S200000,00400,0200,056345 82364,S200000,00400,0300,09/01/1982 82364,S200000,00400,0500,P 82364,S200000,01600,0100,Y 82364,S700003,00000,0100,1 82372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82372,A000000,00300,0000,00300EMPLOYEE BENEFITS 82372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82372,A000000,00700,0000,00700HOUSEKEEPING 82372,A000000,00800,0000,00800DIETARY 82372,A000000,00900,0000,00900NURSING ADMINISTRATION 82372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82372,A000000,01600,0000,01600SKILLED NURSING FACILITY 82372,A000000,01800,0000,01800NURSING FACILITY 82372,A000000,02100,0000,02100RADIOLOGY 82372,A000000,02500,0000,02500PHYSICAL THERAPY 82372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82372,A000000,02700,0000,02700SPEECH PATHOLOGY 82372,A000000,02800,0000,02800ELECTROCARDIOLOGY 82372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82372,A81000A,00100,0100,Y 82372,A81000B,00100,0300,HOME OFFICE EXPENSES 82372,A81000C,00100,0100,A 82372,A81000C,00100,0200,E.I. BERNABE 82372,A81000C,00100,0400,PCC HEALTH SERV 82372,A81000C,00100,0600,HEALTH CARE PRO 82372,A81000C,00200,0100,A 82372,A81000C,00200,0200,E.I. BERNABE 82372,A81000C,00200,0400,PLEASANT CARE C 82372,A81000C,00200,0600,HEALTH CARE PRO 82372,A81000C,00300,0100,A 82372,A81000C,00300,0200,E.I. BERNABE 82372,A81000C,00300,0400,EMBER CARE CORP 82372,A81000C,00300,0600,HEALTH CARE PRO 82372,A81000C,00400,0100,A 82372,A81000C,00400,0200,E.I. BERNABE 82372,A81000C,00400,0400,ATLAS CARE ENTE 82372,A81000C,00400,0600,HEALTH CARE PRO 82372,A81000C,00500,0100,A 82372,A81000C,00500,0200,E.I. BERNABE 82372,A81000C,00500,0400,SNF PROPERTIES 82372,A81000C,00500,0600,HEALTH CARE PRO 82372,A81000C,00600,0100,A 82372,A81000C,00600,0200,E.I. BERNABE 82372,A81000C,00600,0400,STOCKTON EDISON 82372,A81000C,00600,0600,HEALTH CARE PRO 82372,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82372,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82372,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82372,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82372,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82372,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82372,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82372,B100000,00000,0800,00000MEALS SERVED :DIETARY 82372,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 82372,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82372,S000000,00100,0200,11/27/2000 82372,S200000,00100,0100,521 LOREL WAY 82372,S200000,00200,0100,YUBA CITY 82372,S200000,00200,0200,CA 82372,S200000,00200,0300,95991- 82372,S200000,00300,0100,SUTTER 82372,S200000,00300,0200,9340 82372,S200000,00300,0300,U 82372,S200000,00400,0100,EMMANUEL CONVALESCENT - YUBA CITY 82372,S200000,00400,0200,056346 82372,S200000,00400,0300,06/01/1997 82372,S200000,00400,0500,P 82372,S200000,00600,0200,056346 82372,S200000,00600,0300,06/01/1997 82372,S200000,00600,0600,P 82372,S200000,01600,0100,Y 82384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82384,A000000,00300,0000,00300EMPLOYEE BENEFITS 82384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82384,A000000,00700,0000,00700HOUSEKEEPING 82384,A000000,00800,0000,00800DIETARY 82384,A000000,00900,0000,00900NURSING ADMINISTRATION 82384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82384,A000000,01100,0000,01100PHARMACY 82384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82384,A000000,01300,0000,01300SOCIAL SERVICE 82384,A000000,01350,0000,01500OTHER GENERAL SERVICES 82384,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82384,A000000,01600,0000,01600SKILLED NURSING FACILITY 82384,A000000,01800,0000,01800NURSING FACILITY 82384,A000000,01900,0000,01900OTHER LONG TERM CARE 82384,A000000,02100,0000,02100RADIOLOGY 82384,A000000,02200,0000,02200LABORATORY 82384,A000000,02300,0000,02300INTRAVENOUS THERAPY 82384,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82384,A000000,02500,0000,02500PHYSICAL THERAPY 82384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82384,A000000,02700,0000,02700SPEECH PATHOLOGY 82384,A000000,02800,0000,02800ELECTROCARDIOLOGY 82384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82384,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82384,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82384,A000000,03200,0000,03200SUPPORT SURFACES 82384,A000000,03400,0000,03400CLINIC 82384,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82384,A000000,03500,0000,03500RURAL HEALTH CLINIC 82384,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82384,A000000,04800,0000,04800AMBULANCE 82384,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82384,A000000,05000,0000,05000CORF 82384,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82384,A000000,05300,0000,05300INTEREST EXPENSE 82384,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82384,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82384,A000000,05500,0000,05500HOSPICE 82384,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82384,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82384,A000000,06100,0000,06100NONPAID WORKERS 82384,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82384,A000000,06200,0000,06200PATIENTS LAUNDRY 82384,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82384,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82384,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82384,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82384,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82384,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82384,B100000,00000,0800,00000MEALS SERVED :DIETARY 82384,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82384,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82384,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82384,S000000,00100,0200,07/12/2000 82384,S200000,00100,0100,309 MACARTHUR BL 82384,S200000,00200,0100,OAKLAND 82384,S200000,00200,0200,CA 82384,S200000,00200,0300,94610- 82384,S200000,00300,0100,ALAMEDA 82384,S200000,00300,0200,5775 82384,S200000,00300,0300,U 82384,S200000,00400,0100,MACARTHUR NURSING CENTER 82384,S200000,00400,0200,056350 82384,S200000,00400,0300,11/01/1994 82384,S200000,00400,0500,P 82384,S200000,01500,0100,Y 82394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82394,A000000,00300,0000,00300EMPLOYEE BENEFITS 82394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82394,A000000,00700,0000,00700HOUSEKEEPING 82394,A000000,00800,0000,00800DIETARY 82394,A000000,00900,0000,00900NURSING ADMINISTRATION 82394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82394,A000000,01100,0000,01100PHARMACY 82394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82394,A000000,01300,0000,01300SOCIAL SERVICE 82394,A000000,01350,0000,01500OTHER GENERAL SERVICES 82394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82394,A000000,01600,0000,01600SKILLED NURSING FACILITY 82394,A000000,01800,0000,01800NURSING FACILITY 82394,A000000,01900,0000,01900OTHER LONG TERM CARE 82394,A000000,02100,0000,02100RADIOLOGY 82394,A000000,02200,0000,02200LABORATORY 82394,A000000,02300,0000,02300INTRAVENOUS THERAPY 82394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82394,A000000,02500,0000,02500PHYSICAL THERAPY 82394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82394,A000000,02700,0000,02700SPEECH PATHOLOGY 82394,A000000,02800,0000,02800ELECTROCARDIOLOGY 82394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82394,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82394,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82394,A000000,03200,0000,03200SUPPORT SURFACES 82394,A000000,03400,0000,03400CLINIC 82394,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82394,A000000,03500,0000,03500RURAL HEALTH CLINIC 82394,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82394,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82394,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82394,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82394,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82394,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82394,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82394,A000000,04400,0000,04400DME RENTED - HHA 82394,A000000,04500,0000,04500DME SOLD - HHA 82394,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82394,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82394,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82394,A000000,04800,0000,04800AMBULANCE 82394,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82394,A000000,05000,0000,05000CORF 82394,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82394,A000000,05300,0000,05300INTEREST EXPENSE 82394,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82394,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82394,A000000,05500,0000,05500HOSPICE 82394,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82394,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82394,A000000,06100,0000,06100NONPAID WORKERS 82394,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82394,A000000,06200,0000,06200PATIENTS LAUNDRY 82394,A81000A,00100,0100,Y 82394,A81000B,00100,0300,MANAGEMENT FEES 82394,A81000C,00100,0100,F 82394,A81000C,00100,0200,J. & D. SORENSEN D. LAWS 82394,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 82394,A81000C,00100,0600,MANAGEMENT 82394,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82394,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82394,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82394,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82394,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82394,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 82394,B100000,00000,0750,00000HRS OF SERV. :HOUSEKEEPING 82394,B100000,00000,0800,00000MEALS SERVED :DIETARY 82394,B100000,00000,0950,00000NRSG HRS. :NURSING ADMINISTRATION 82394,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 82394,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82394,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82394,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82394,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82394,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82394,E10A180,00301,0100,07/01/1998 82394,S000000,00100,0200,05/08/2000 82394,S200000,00100,0100,10610 OWENSMOUTH 82394,S200000,00200,0100,CHATSWORTH 82394,S200000,00200,0200,CA 82394,S200000,00200,0300,91311- 82394,S200000,00300,0100,LOS ANGELES 82394,S200000,00400,0100,CHATSWORTH PARK CARE CENTER 82394,S200000,00400,0200,056351 82394,S200000,00400,0300,09/01/1990 82394,S200000,00400,0500,P 82394,S200000,00600,0200,056351 82394,S200000,00600,0300,09/01/1990 82394,S200000,00600,0600,P 82394,S200000,01600,0100,Y 82394,S200000,02200,0100,Y 82394,S700003,00000,0100,1 82403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82403,A000000,00300,0000,00300EMPLOYEE BENEFITS 82403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82403,A000000,00700,0000,00700HOUSEKEEPING 82403,A000000,00800,0000,00800DIETARY 82403,A000000,00900,0000,00900NURSING ADMINISTRATION 82403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82403,A000000,01100,0000,01100PHARMACY 82403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82403,A000000,01300,0000,01300SOCIAL SERVICE 82403,A000000,01301,0000,01301ACTIVITIES 82403,A000000,01350,0000,01500OTHER GENERAL SERVICES 82403,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82403,A000000,01600,0000,01600SKILLED NURSING FACILITY 82403,A000000,01800,0000,01800NURSING FACILITY 82403,A000000,01900,0000,01900OTHER LONG TERM CARE 82403,A000000,02100,0000,02100RADIOLOGY 82403,A000000,02200,0000,02200LABORATORY 82403,A000000,02300,0000,02300INTRAVENOUS THERAPY 82403,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82403,A000000,02500,0000,02500PHYSICAL THERAPY 82403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82403,A000000,02700,0000,02700SPEECH PATHOLOGY 82403,A000000,02800,0000,02800ELECTROCARDIOLOGY 82403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82403,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82403,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82403,A000000,03200,0000,03200SUPPORT SURFACES 82403,A000000,03400,0000,03400CLINIC 82403,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82403,A000000,03500,0000,03500RURAL HEALTH CLINIC 82403,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82403,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82403,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82403,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82403,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82403,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82403,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82403,A000000,04400,0000,04400DME RENTED - HHA 82403,A000000,04500,0000,04500DME SOLD - HHA 82403,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82403,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82403,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82403,A000000,04800,0000,04800AMBULANCE 82403,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82403,A000000,05000,0000,05000CORF 82403,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82403,A000000,05300,0000,05300INTEREST EXPENSE 82403,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82403,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82403,A000000,05500,0000,05500HOSPICE 82403,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82403,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82403,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82403,A000000,06100,0000,06100NONPAID WORKERS 82403,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82403,A000000,06200,0000,06200PATIENTS LAUNDRY 82403,A81000A,00100,0100,Y 82403,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 82403,A81000B,00200,0300,CAPITAL 82403,A81000C,00100,0100,A 82403,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 82403,A81000C,00100,0400,LENOX HEALTHCARE INC 82403,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82403,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82403,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82403,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82403,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82403,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82403,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82403,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82403,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82403,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82403,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82403,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82403,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82403,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82403,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82403,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82403,S000000,00100,0200,03/02/2000 82403,S200000,00100,0100,13328 SAN PABLO AVENUE 82403,S200000,00200,0100,SAN PABLO 82403,S200000,00200,0200,CA 82403,S200000,00200,0300,94806- 82403,S200000,00300,0100,MARIN 82403,S200000,00400,0100,SAN PABLO HEALTHCARE CENTER 82403,S200000,00400,0200,056359 82403,S200000,00400,0300,09/01/1982 82403,S200000,00400,0500,P 82403,S200000,01600,0100,Y 82403,S700003,00000,0100,1 82413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82413,A000000,00300,0000,00300EMPLOYEE BENEFITS 82413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82413,A000000,00700,0000,00700HOUSEKEEPING 82413,A000000,00800,0000,00800DIETARY 82413,A000000,00900,0000,00900NURSING ADMINISTRATION 82413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82413,A000000,01100,0000,01100PHARMACY 82413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82413,A000000,01300,0000,01300SOCIAL SERVICE 82413,A000000,01600,0000,01600SKILLED NURSING FACILITY 82413,A000000,01800,0000,01800NURSING FACILITY 82413,A000000,01900,0000,01900OTHER LONG TERM CARE 82413,A000000,02100,0000,02100RADIOLOGY 82413,A000000,02200,0000,02200LABORATORY 82413,A000000,02300,0000,02300INTRAVENOUS THERAPY 82413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82413,A000000,02500,0000,02500PHYSICAL THERAPY 82413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82413,A000000,02700,0000,02700SPEECH PATHOLOGY 82413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82413,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82413,A000000,03200,0000,03200SUPPORT SURFACES 82413,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82413,A81000A,00100,0100,Y 82413,A81000B,00100,0300,LEASE PAYMENT 82413,A81000B,00200,0300,OWNERS DEPRECIATION 82413,A81000B,00300,0300,OWNERS MORTGATGE INTEREST 82413,A81000B,00400,0300,OTHER RENTAL EXPENSES 82413,A81000B,00500,0300,LEASE PAYMENT 82413,A81000B,00600,0300,OWNERS DEPRECIATION 82413,A81000B,00700,0300,OWNERS MORTGAGE INTEREST 82413,A81000C,00100,0100,A 82413,A81000C,00100,0200,CENTER STREET P 82413,A81000C,00100,0400,MESA VERDE 82413,A81000C,00100,0600,PROPERTY OWNER 82413,A81000C,00200,0100,D 82413,A81000C,00200,0200,J&J LAUTENSCHLE 82413,A81000C,00200,0400,MESA VERDE 82413,A81000C,00200,0600,PROPERTY OWNERS 82413,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82413,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82413,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82413,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82413,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82413,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82413,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82413,B100000,00000,0800,00000MEALS SERVED :DIETARY 82413,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82413,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82413,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82413,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82413,S000000,00100,0200,11/30/2000 82413,S200000,00100,0100,661 CENTER STREET 82413,S200000,00200,0100,COSTA MESA 82413,S200000,00200,0200,CA 82413,S200000,00200,0300,92627- 82413,S200000,00300,0100,ORANGE COUNTY 82413,S200000,00300,0200,5945 82413,S200000,00300,0300,U 82413,S200000,00400,0100,MESA VERDE CONV. HOSP. 82413,S200000,00400,0200,056362 82413,S200000,00400,0300,09/01/1972 82413,S200000,00400,0500,P 82413,S200000,01500,0100,Y 82416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82416,A000000,00300,0000,00300EMPLOYEE BENEFITS 82416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82416,A000000,00700,0000,00700HOUSEKEEPING 82416,A000000,00800,0000,00800DIETARY 82416,A000000,00900,0000,00900NURSING ADMINISTRATION 82416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82416,A000000,01100,0000,01100PHARMACY 82416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82416,A000000,01300,0000,01300SOCIAL SERVICE 82416,A000000,01350,0000,01500OTHER GENERAL SERVICES 82416,A000000,01600,0000,01600SKILLED NURSING FACILITY 82416,A000000,01800,0000,01800NURSING FACILITY 82416,A000000,01900,0000,01900OTHER LONG TERM CARE 82416,A000000,02100,0000,02100RADIOLOGY 82416,A000000,02200,0000,02200LABORATORY 82416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82416,A000000,02500,0000,02500PHYSICAL THERAPY 82416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82416,A000000,02700,0000,02700SPEECH PATHOLOGY 82416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82416,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 82416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82416,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82416,A000000,04800,0000,04800AMBULANCE 82416,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82416,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82416,A81000A,00100,0100,Y 82416,A81000B,00100,0300,MANAGEMENT FEE 82416,A81000B,00200,0300,CAPITAL 82416,A81000B,00300,0300,DATA PROCESSING FEE 82416,A81000C,00100,0100,A 82416,A81000C,00100,0200,COUNTRY VILLA HEALTH 82416,A81000C,00100,0400,SERVICES 82416,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82416,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82416,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82416,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82416,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82416,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82416,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82416,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82416,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 82416,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82416,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82416,B100000,00000,1250,00000 GROSS CHARGES :MEDICAL RECORDS & L 82416,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82416,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82416,S000000,00100,0200,12/13/1999 82416,S200000,00100,0100,13524 SHERMAN WAY 82416,S200000,00200,0100,VAN NUYS 82416,S200000,00200,0200,CA 82416,S200000,00200,0300,91405- 82416,S200000,00300,0100,LOS ANGELES 82416,S200000,00400,0100,COUNTRY VILLA WOODMAN 82416,S200000,00400,0200,056363 82416,S200000,00400,0300,01/01/1989 82416,S200000,00400,0500,P 82416,S200000,00600,0200,056363 82416,S200000,00600,0300,01/01/1989 82416,S200000,00600,0600,P 82416,S200000,01600,0100,Y 82416,S200000,02200,0100,Y 82416,S700003,00000,0100,1 82418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82418,A000000,00300,0000,00300EMPLOYEE BENEFITS 82418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82418,A000000,00700,0000,00700HOUSEKEEPING 82418,A000000,00800,0000,00800DIETARY 82418,A000000,00900,0000,00900NURSING ADMINISTRATION 82418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82418,A000000,01100,0000,01100PHARMACY 82418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82418,A000000,01300,0000,01300SOCIAL SERVICE 82418,A000000,01350,0000,01500OTHER GENERAL SERVICES 82418,A000000,01600,0000,01600SKILLED NURSING FACILITY 82418,A000000,01800,0000,01800NURSING FACILITY 82418,A000000,01900,0000,01900OTHER LONG TERM CARE 82418,A000000,02100,0000,02100RADIOLOGY 82418,A000000,02200,0000,02200LABORATORY 82418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82418,A000000,02500,0000,02500PHYSICAL THERAPY 82418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82418,A000000,02700,0000,02700SPEECH PATHOLOGY 82418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82418,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 82418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82418,A000000,04800,0000,04800AMBULANCE 82418,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82418,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82418,A81000A,00100,0100,Y 82418,A81000B,00100,0300,MANAGEMENT FEE 82418,A81000B,00200,0300,CAPITAL 82418,A81000B,00300,0300,DATA PROCESSING FEE 82418,A81000B,00400,0300,PHYSICAL THERAPY 82418,A81000B,00500,0300,OCCUPATIONAL THERAPY 82418,A81000B,00600,0300,SPEECH THERAPY 82418,A81000C,00100,0100,A 82418,A81000C,00100,0200,CVHS CORP 82418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82418,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82418,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82418,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82418,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82418,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82418,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82418,S000000,00100,0200,06/01/2000 82418,S200000,00100,0100,13524 SHERMAN WAY 82418,S200000,00200,0100,VAN NUYS 82418,S200000,00200,0200,CA 82418,S200000,00200,0300,91405- 82418,S200000,00300,0100,LOS ANGELES 82418,S200000,00300,0200,4480 82418,S200000,00300,0300,U 82418,S200000,00400,0100,COUNTRY VILLA WOODMAN 82418,S200000,00400,0200,056363 82418,S200000,00400,0300,01/01/1989 82418,S200000,00400,0500,P 82418,S200000,00600,0200,056363 82418,S200000,00600,0300,01/01/1989 82418,S200000,00600,0600,P 82418,S200000,01600,0100,Y 82418,S200000,02200,0100,Y 82426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82426,A000000,00300,0000,00300EMPLOYEE BENEFITS 82426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82426,A000000,00700,0000,00700HOUSEKEEPING 82426,A000000,00800,0000,00800DIETARY 82426,A000000,00900,0000,00900NURSING ADMINISTRATION 82426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82426,A000000,01300,0000,01300SOCIAL SERVICE 82426,A000000,01600,0000,01600SKILLED NURSING FACILITY 82426,A000000,01800,0000,01800NURSING FACILITY 82426,A000000,02100,0000,02100RADIOLOGY 82426,A000000,02200,0000,02200LABORATORY 82426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82426,A000000,02500,0000,02500PHYSICAL THERAPY 82426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82426,A000000,02700,0000,02700SPEECH PATHOLOGY 82426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82426,A000000,03200,0000,03200SUPPORT SURFACES 82426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82426,A81000A,00100,0100,Y 82426,A81000B,00100,0300,HOME OFFICE COSTS 82426,A81000B,00200,0300,HOME OFFICE COSTS 82426,A81000B,00300,0300,HOME OFFICE COSTS 82426,A81000C,00100,0100,B 82426,A81000C,00100,0200,BERRYMAN HEALTH 82426,A81000C,00100,0400,BERRYMAN HEALTH 82426,A81000C,00100,0600,HOME OFFICE 82426,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82426,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82426,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82426,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82426,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82426,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82426,B100000,00000,0800,00000MEALS SERVED :DIETARY 82426,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82426,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 82426,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82426,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82426,S000000,00100,0200,06/02/2000 82426,S200000,00100,0100,1280 SUMMERFIELD ROAD 82426,S200000,00200,0100,SANTA ROSA 82426,S200000,00200,0200,CA 82426,S200000,00200,0300,95405- 82426,S200000,00300,0100,SONOMA 82426,S200000,00400,0100,BERRYMAN HEALTH-SUMMERFIELD 82426,S200000,00400,0200,056364 82426,S200000,00400,0300,05/05/1987 82426,S200000,00400,0500,P 82426,S200000,01500,0100,Y 82426,S700003,00000,0100,1 82443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82443,A000000,00300,0000,00300EMPLOYEE BENEFITS 82443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82443,A000000,00700,0000,00700HOUSEKEEPING 82443,A000000,00800,0000,00800DIETARY 82443,A000000,00900,0000,00900NURSING ADMINISTRATION 82443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82443,A000000,01300,0000,01300SOCIAL SERVICE 82443,A000000,01600,0000,01600SKILLED NURSING FACILITY 82443,A000000,02100,0000,02100RADIOLOGY 82443,A000000,02200,0000,02200LABORATORY 82443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82443,A000000,02500,0000,02500PHYSICAL THERAPY 82443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82443,A000000,02700,0000,02700SPEECH PATHOLOGY 82443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82443,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82443,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82443,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82443,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82443,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82443,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82443,B100000,00000,0750,00000SQUAREE FEET :HOUSEKEEPING 82443,B100000,00000,0800,00000MEALS SERVED :DIETARY 82443,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82443,B100000,00000,1250,00000 ACCUM. COST :MEDICAL RECORDS & LIB 82443,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82443,S000000,00100,0200,05/01/2000 82443,S200000,00100,0100,105 TERRACINA BLVD. 82443,S200000,00200,0100,REDLANDS 82443,S200000,00200,0200,CA 82443,S200000,00200,0300,92373- 82443,S200000,00300,0100,RIVERSIDE 82443,S200000,00400,0100,BROOKSIDE HEALTHCARE CENTER 82443,S200000,00400,0200,056372 82443,S200000,00400,0300,07/01/1990 82443,S200000,00400,0500,P 82443,S200000,00400,0600,O 82443,S200000,01500,0100,Y 82443,S700003,00000,0100,1 82451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82451,A000000,00300,0000,00300EMPLOYEE BENEFITS 82451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82451,A000000,00700,0000,00700HOUSEKEEPING 82451,A000000,00800,0000,00800DIETARY 82451,A000000,00900,0000,00900NURSING ADMINISTRATION 82451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82451,A000000,01100,0000,01100PHARMACY 82451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82451,A000000,01300,0000,01300SOCIAL SERVICE 82451,A000000,01350,0000,01500OTHER GENERAL SERVICES 82451,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82451,A000000,01600,0000,01600SKILLED NURSING FACILITY 82451,A000000,01800,0000,01800NURSING FACILITY 82451,A000000,01810,0000,01801ICF/MR 82451,A000000,01900,0000,01900OTHER LONG TERM CARE 82451,A000000,02100,0000,02100RADIOLOGY 82451,A000000,02200,0000,02200LABORATORY 82451,A000000,02300,0000,02300INTRAVENOUS THERAPY 82451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82451,A000000,02500,0000,02500PHYSICAL THERAPY 82451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82451,A000000,02700,0000,02700SPEECH PATHOLOGY 82451,A000000,02800,0000,02800ELECTROCARDIOLOGY 82451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82451,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82451,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82451,A000000,03200,0000,03200SUPPORT SURFACES 82451,A000000,03400,0000,03400CLINIC 82451,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82451,A000000,03500,0000,03500RURAL HEALTH CLINIC 82451,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82451,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82451,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82451,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82451,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82451,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82451,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82451,A000000,04400,0000,04400DME RENTED - HHA 82451,A000000,04500,0000,04500DME SOLD - HHA 82451,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82451,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82451,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82451,A000000,04800,0000,04800AMBULANCE 82451,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82451,A000000,05000,0000,05000CORF 82451,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82451,A000000,05300,0000,05300INTEREST EXPENSE 82451,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82451,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82451,A000000,05500,0000,05500HOSPICE 82451,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82451,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82451,A000000,06100,0000,06100NONPAID WORKERS 82451,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82451,A000000,06200,0000,06200PATIENTS LAUNDRY 82451,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82451,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82451,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82451,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82451,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82451,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82451,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82451,B100000,00000,0800,00000MEALS SERVED :DIETARY 82451,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 82451,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82451,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82451,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82451,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82451,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82451,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82451,S000000,00100,0200,06/29/2000 82451,S200000,00100,0100,1250 S. WINCHESTER BLVD. 82451,S200000,00200,0100,SAN JOSE 82451,S200000,00200,0200,CA 82451,S200000,00200,0300,95128- 82451,S200000,00300,0100,SANTA CLARA 82451,S200000,00400,0100,WINCHESTER CONV. HOSPITAL 82451,S200000,00400,0200,056376 82451,S200000,00400,0300,04/01/1974 82451,S200000,00400,0500,P 82451,S200000,01600,0100,Y 82451,S200000,02800,0100,Y 82451,S700003,00000,0100,1 82459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82459,A000000,00300,0000,00300EMPLOYEE BENEFITS 82459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82459,A000000,00700,0000,00700HOUSEKEEPING 82459,A000000,00800,0000,00800DIETARY 82459,A000000,00900,0000,00900NURSING ADMINISTRATION 82459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82459,A000000,01100,0000,01100PHARMACY 82459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82459,A000000,01300,0000,01300SOCIAL SERVICE 82459,A000000,01350,0000,01500OTHER GENERAL SERVICES 82459,A000000,01600,0000,01600SKILLED NURSING FACILITY 82459,A000000,01800,0000,01800NURSING FACILITY 82459,A000000,01900,0000,01900OTHER LONG TERM CARE 82459,A000000,02100,0000,02100RADIOLOGY 82459,A000000,02200,0000,02200LABORATORY 82459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82459,A000000,02500,0000,02500PHYSICAL THERAPY 82459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82459,A000000,02700,0000,02700SPEECH PATHOLOGY 82459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82459,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 82459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82459,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82459,A000000,04800,0000,04800AMBULANCE 82459,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82459,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82459,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82459,A81000A,00100,0100,Y 82459,A81000B,00100,0300,MANAGEMENT FEE 82459,A81000B,00200,0300,CAPITAL 82459,A81000B,00300,0300,DATA PROCESSING FEE 82459,A81000B,00400,0300,PHYSICAL THERAPY 82459,A81000B,00500,0300,OCCUPATIONAL THERAPY 82459,A81000B,00600,0300,SPEECH THERAPY 82459,A81000C,00100,0100,A 82459,A81000C,00100,0200,CVHS CORP 82459,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82459,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82459,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82459,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82459,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82459,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82459,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82459,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82459,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82459,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82459,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82459,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82459,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82459,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82459,S000000,00100,0200,06/01/2000 82459,S200000,00100,0100,3233 W. PICO BOULEVARD 82459,S200000,00200,0100,LOS ANGELES 82459,S200000,00200,0200,CA 82459,S200000,00200,0300,90019- 82459,S200000,00300,0100,LOS ANGELES 82459,S200000,00400,0100,COUNTRY VILLA NORTH 82459,S200000,00400,0200,056377 82459,S200000,00400,0300,07/01/1985 82459,S200000,00400,0500,P 82459,S200000,01600,0100,Y 82459,S200000,02200,0100,Y 82459,S200000,02800,0100,Y 82459,S700003,00000,0100,1 82468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82468,A000000,00300,0000,00300EMPLOYEE BENEFITS 82468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82468,A000000,00700,0000,00700HOUSEKEEPING 82468,A000000,00800,0000,00800DIETARY 82468,A000000,00900,0000,00900NURSING ADMINISTRATION 82468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82468,A000000,01100,0000,01100PHARMACY 82468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82468,A000000,01300,0000,01300SOCIAL SERVICE 82468,A000000,01600,0000,01600SKILLED NURSING FACILITY 82468,A000000,01800,0000,01800NURSING FACILITY 82468,A000000,01900,0000,01900OTHER LONG TERM CARE 82468,A000000,02100,0000,02100RADIOLOGY 82468,A000000,02200,0000,02200LABORATORY 82468,A000000,02300,0000,02300INTRAVENOUS THERAPY 82468,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82468,A000000,02500,0000,02500PHYSICAL THERAPY 82468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82468,A000000,02700,0000,02700SPEECH PATHOLOGY 82468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82468,A000000,02901,0000,02901EQUIPMENT RENTAL 82468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82468,A000000,05000,0000,05000CORF 82468,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82468,A000000,05300,0000,05300INTEREST EXPENSE 82468,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82468,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82468,A81000A,00100,0100,Y 82468,A81000B,00100,0300,FACILITY LEASE 82468,A81000B,00200,0300,DEPRECIATION 82468,A81000B,00300,0300,PROPERTY TAX 82468,A81000B,00400,0300,MANAGEMENT FEE 82468,A81000B,00500,0300,INTEREST 82468,A81000C,00100,0100,A 82468,A81000C,00100,0200,JOAN RUSSEL 82468,A81000C,00100,0400,TRUST 82468,A81000C,00100,0600,MANAGEMENT 82468,A81000C,00200,0100,A 82468,A81000C,00200,0200,SCOTT COOK 82468,A81000C,00200,0400,TRUST 82468,A81000C,00200,0600,MANAGEMENT 82468,A81000C,00300,0100,A 82468,A81000C,00300,0200,VICKI JOYLOOK 82468,A81000C,00300,0400,TRUST 82468,A81000C,00300,0600,MANAGEMENT 82468,A81000C,00400,0100,A 82468,A81000C,00400,0200,DAVID BURRIS 82468,A81000C,00400,0400,TRUST 82468,A81000C,00400,0600,MANAGEMENT 82468,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82468,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82468,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82468,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82468,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82468,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82468,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82468,B100000,00000,0800,00000MEALS SERVED :DIETARY 82468,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82468,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82468,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 82468,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82468,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82468,S000000,00100,0200,06/01/2000 82468,S200000,00100,0100,3850 E. ESTHER STREET 82468,S200000,00200,0100,LONG BEACH 82468,S200000,00200,0200,CA 82468,S200000,00200,0300,90804- 82468,S200000,00300,0100,LOS ANGELES 82468,S200000,00400,0100,REGENCY OAKS 82468,S200000,00400,0200,056378 82468,S200000,00400,0300,03/22/1973 82468,S200000,00400,0500,P 82468,S200000,01600,0100,Y 82468,S700003,00000,0100,1 82475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82475,A000000,00300,0000,00300EMPLOYEE BENEFITS 82475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82475,A000000,00700,0000,00700HOUSEKEEPING 82475,A000000,00800,0000,00800DIETARY 82475,A000000,00900,0000,00900NURSING ADMINISTRATION 82475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82475,A000000,01100,0000,01100PHARMACY 82475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82475,A000000,01300,0000,01300SOCIAL SERVICE 82475,A000000,01350,0000,01500OTHER GENERAL SERVICES 82475,A000000,01600,0000,01600SKILLED NURSING FACILITY 82475,A000000,01800,0000,01800NURSING FACILITY 82475,A000000,01900,0000,01900OTHER LONG TERM CARE 82475,A000000,02100,0000,02100RADIOLOGY 82475,A000000,02200,0000,02200LABORATORY 82475,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82475,A000000,02500,0000,02500PHYSICAL THERAPY 82475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82475,A000000,02700,0000,02700SPEECH PATHOLOGY 82475,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82475,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 82475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82475,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82475,A000000,04800,0000,04800AMBULANCE 82475,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82475,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82475,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82475,A81000A,00100,0100,Y 82475,A81000B,00100,0300,MANAGEMENT FEE 82475,A81000B,00200,0300,CAPITAL 82475,A81000B,00300,0300,DATA PROCESSING FEE 82475,A81000B,00400,0300,RESPIRATORY THERAPY 82475,A81000B,00500,0300,PHYSICAL THERAPY 82475,A81000B,00600,0300,OCCUPATIONAL THERAPY 82475,A81000B,00700,0300,SPEECH THERAPY 82475,A81000C,00100,0100,A 82475,A81000C,00100,0200,CVHS CORP 82475,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82475,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82475,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82475,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82475,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82475,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82475,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82475,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82475,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82475,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82475,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82475,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 82475,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82475,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82475,S000000,00100,0200,05/30/2000 82475,S200000,00100,0100,3002 ROWENA AVENUE 82475,S200000,00200,0100,LOS ANGELES 82475,S200000,00200,0200,CA 82475,S200000,00200,0300,90039- 82475,S200000,00300,0100,LOS ANGELES 82475,S200000,00400,0100,COUNTRY VILLA LOS FELIZ 82475,S200000,00400,0200,056380 82475,S200000,00400,0300,11/02/1982 82475,S200000,00400,0500,P 82475,S200000,00600,0200,056380 82475,S200000,00600,0300,11/02/1982 82475,S200000,00600,0600,P 82475,S200000,01600,0100,Y 82475,S200000,02200,0100,Y 82475,S700003,00000,0100,1 82485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82485,A000000,00300,0000,00300EMPLOYEE BENEFITS 82485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82485,A000000,00700,0000,00700HOUSEKEEPING 82485,A000000,00800,0000,00800DIETARY 82485,A000000,00900,0000,00900NURSING ADMINISTRATION 82485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82485,A000000,01100,0000,01100PHARMACY 82485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82485,A000000,01300,0000,01300SOCIAL SERVICE 82485,A000000,01350,0000,01500OTHER GENERAL SERVICES 82485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82485,A000000,01600,0000,01600SKILLED NURSING FACILITY 82485,A000000,01800,0000,01800NURSING FACILITY 82485,A000000,01900,0000,01900OTHER LONG TERM CARE 82485,A000000,02100,0000,02100RADIOLOGY 82485,A000000,02200,0000,02200LABORATORY 82485,A000000,02300,0000,02300INTRAVENOUS THERAPY 82485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82485,A000000,02500,0000,02500PHYSICAL THERAPY 82485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82485,A000000,02700,0000,02700SPEECH PATHOLOGY 82485,A000000,02800,0000,02800ELECTROCARDIOLOGY 82485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82485,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82485,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82485,A000000,03200,0000,03200SUPPORT SURFACES 82485,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82485,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82485,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82485,A000000,05000,0000,05000CORF 82485,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82485,A000000,05300,0000,05300INTEREST EXPENSE 82485,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82485,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82485,A000000,05500,0000,05500HOSPICE 82485,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82485,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82485,A81000A,00100,0100,Y 82485,A81000B,00100,0300,MANAGEMENT FEES 82485,A81000B,00200,0300,HOME OFFICE COSTS 82485,A81000B,00300,0300,OTHER PROFESSIONAL FEES 82485,A81000C,00100,0100,A 82485,A81000C,00100,0200,LOWELL CALLAWAY 82485,A81000C,00100,0400,LC SYSTEMS 82485,A81000C,00100,0600,MANAGEMENT SERVICES 82485,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82485,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82485,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82485,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82485,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82485,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82485,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82485,B100000,00000,0800,00000MEALS SERVED :DIETARY 82485,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82485,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82485,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82485,S000000,00100,0200,04/12/2000 82485,S200000,00100,0100,1210 A STREET 82485,S200000,00200,0100,ANTIOCH 82485,S200000,00200,0200,CA 82485,S200000,00200,0300,94509- 82485,S200000,00300,0100,CONTRA COSTA 82485,S200000,00300,0200,5775 82485,S200000,00300,0300,U 82485,S200000,00400,0100,ANTIOCH CONVALESCENT HOSP. 82485,S200000,00400,0200,056381 82485,S200000,00400,0300,01/01/1988 82485,S200000,00400,0500,P 82485,S200000,00600,0200,056381 82485,S200000,00600,0300,01/01/1988 82485,S200000,00600,0600,P 82485,S200000,01600,0100,Y 82494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82494,A000000,00300,0000,00300EMPLOYEE BENEFITS 82494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82494,A000000,00700,0000,00700HOUSEKEEPING 82494,A000000,00800,0000,00800DIETARY 82494,A000000,00900,0000,00900NURSING ADMINISTRATION 82494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82494,A000000,01100,0000,01100PHARMACY 82494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82494,A000000,01300,0000,01300SOCIAL SERVICE 82494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82494,A000000,01600,0000,01600SKILLED NURSING FACILITY 82494,A000000,01800,0000,01800NURSING FACILITY 82494,A000000,01810,0000,01810ICF/MR 82494,A000000,01900,0000,01900OTHER LONG TERM CARE 82494,A000000,02100,0000,02100RADIOLOGY 82494,A000000,02200,0000,02200LABORATORY 82494,A000000,02300,0000,02300INTRAVENOUS THERAPY 82494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82494,A000000,02500,0000,02500PHYSICAL THERAPY 82494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82494,A000000,02700,0000,02700SPEECH PATHOLOGY 82494,A000000,02800,0000,02800ELECTROCARDIOLOGY 82494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82494,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82494,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82494,A000000,03200,0000,03200SUPPORT SURFACES 82494,A000000,03400,0000,03400CLINIC 82494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82494,A000000,03500,0000,03500RURAL HEALTH CLINIC 82494,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82494,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82494,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82494,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82494,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82494,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82494,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82494,A000000,04400,0000,04400DME RENTED - HHA 82494,A000000,04500,0000,04500DME SOLD - HHA 82494,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82494,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82494,A000000,04800,0000,04800AMBULANCE 82494,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82494,A000000,05000,0000,05000CORF 82494,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82494,A000000,05300,0000,05300INTEREST EXPENSE 82494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82494,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82494,A000000,05500,0000,05500HOSPICE 82494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82494,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82494,A000000,06100,0000,06100NONPAID WORKERS 82494,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82494,A000000,06200,0000,06200PATIENTS LAUNDRY 82494,A81000A,00100,0100,Y 82494,A81000B,00100,0300,CAPITAL RELATED 82494,A81000B,00200,0300,CAPITAL RELATED 82494,A81000B,00300,0300,EMPLOYEE BENEFIT 82494,A81000B,00400,0300,ADMIN & GENERAL 82494,A81000B,00500,0300,PLANT OPERATIONS 82494,A81000C,00100,0100,E 82494,A81000C,00100,0200,STEVE PAVLOW 82494,A81000C,00100,0400,QLTC 82494,A81000C,00100,0600,MGMT SVCS 82494,A81000C,00200,0100,E 82494,A81000C,00200,0200,SCOTT DALE 82494,A81000C,00200,0400,QLTC 82494,A81000C,00200,0600,MGMT SVCS 82494,A81000C,00300,0100,E 82494,A81000C,00300,0200,VATSALA SHARMA 82494,A81000C,00300,0400,CALIF REHAB 82494,A81000C,00300,0600,PT 82494,A81000C,00400,0100,E 82494,A81000C,00400,0200,GEORGIA JESSUP 82494,A81000C,00400,0400,G.JESSUP & ASSO 82494,A81000C,00400,0600,SPEECH THERAPY 82494,A81000C,00500,0100,E 82494,A81000C,00500,0200,SHELLE DANIELS 82494,A81000C,00500,0400,CALWEST THERAPY 82494,A81000C,00500,0600,OCCUPATIONAL TH 82494,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82494,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82494,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82494,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82494,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82494,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82494,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82494,B100000,00000,0800,00000MEALS SERVED :DIETARY 82494,B100000,00000,0950,00000DIR NURSIN H :NURSING ADMINISTRATIO 82494,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82494,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82494,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82494,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82494,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82494,S000000,00100,0200,05/24/2000 82494,S200000,00100,0100,14122 HUBBARD STREE 82494,S200000,00200,0100,SYLMAR 82494,S200000,00200,0200,CA 82494,S200000,00200,0300,91342- 82494,S200000,00300,0100,LOS ANGELES 82494,S200000,00400,0100,PINERIDGE CARE CENTER 82494,S200000,00400,0200,056382 82494,S200000,00400,0300,01/18/1973 82494,S200000,00400,0500,P 82494,S200000,01600,0100,Y 82494,S700003,00000,0100,1 82501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82501,A000000,00300,0000,00300EMPLOYEE BENEFITS 82501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82501,A000000,00700,0000,00700HOUSEKEEPING 82501,A000000,00800,0000,00800DIETARY 82501,A000000,00900,0000,00900NURSING ADMINISTRATION 82501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82501,A000000,01100,0000,01100PHARMACY 82501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82501,A000000,01300,0000,01300SOCIAL SERVICE 82501,A000000,01350,0000,01500OTHER GENERAL SERVICES 82501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82501,A000000,01600,0000,01600SKILLED NURSING FACILITY 82501,A000000,01800,0000,01800NURSING FACILITY 82501,A000000,01900,0000,01900OTHER LONG TERM CARE 82501,A000000,02100,0000,02100RADIOLOGY 82501,A000000,02200,0000,02200LABORATORY 82501,A000000,02300,0000,02300INTRAVENOUS THERAPY 82501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82501,A000000,02500,0000,02500PHYSICAL THERAPY 82501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82501,A000000,02700,0000,02700SPEECH PATHOLOGY 82501,A000000,02800,0000,02800ELECTROCARDIOLOGY 82501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82501,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82501,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82501,A000000,03200,0000,03200SUPPORT SURFACES 82501,A000000,03400,0000,03400CLINIC 82501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82501,A000000,03500,0000,03500RURAL HEALTH CLINIC 82501,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82501,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82501,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82501,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82501,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82501,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82501,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82501,A000000,04400,0000,04400DME RENTED - HHA 82501,A000000,04500,0000,04500DME SOLD - HHA 82501,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82501,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82501,A000000,04800,0000,04800AMBULANCE 82501,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82501,A000000,05000,0000,05000CORF 82501,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82501,A000000,05300,0000,05300INTEREST EXPENSE 82501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82501,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82501,A000000,05500,0000,05500HOSPICE 82501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82501,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82501,A000000,06100,0000,06100NONPAID WORKERS 82501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82501,A000000,06200,0000,06200PATIENTS LAUNDRY 82501,A81000A,00100,0100,Y 82501,A81000B,00100,0300,SALARIES & WAGES 82501,A81000B,00200,0300,OTHER A&G 82501,A81000B,00300,0300,MAINTENANCE & REPAIRS 82501,A81000B,00400,0300,BUILDINGS & PROPERTY INSURANCE 82501,A81000B,00500,0300,MOVABLE & CAPITAL RELATED EQUIPMENT 82501,A81000C,00100,0100,B 82501,A81000C,00100,0200,GUY R. SEATON 82501,A81000C,00100,0400,SEATON CORPORATION 82501,A81000C,00100,0600,MANAGEMENT 82501,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82501,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82501,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82501,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82501,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82501,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82501,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82501,B100000,00000,0800,00000MEALS SERVED :DIETARY 82501,B100000,00000,0950,00000HRS OF SERVICE :NURSING ADMINISTRAT 82501,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82501,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82501,S000000,00100,0200,07/06/2000 82501,S200000,00100,0100,1652 MONO AVE 82501,S200000,00200,0100,SAN LEANDRO 82501,S200000,00200,0200,CA 82501,S200000,00200,0300,94578- 82501,S200000,00300,0100,ALAMEDA 82501,S200000,00300,0200,5775 82501,S200000,00300,0300,U 82501,S200000,00400,0100,SEATON REHABILITATION 82501,S200000,00400,0200,056384 82501,S200000,00400,0300,01/01/1997 82501,S200000,00400,0500,P 82501,S200000,01600,0100,Y 82508,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82508,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82508,A000000,00300,0000,00300EMPLOYEE BENEFITS 82508,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82508,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82508,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82508,A000000,00700,0000,00700HOUSEKEEPING 82508,A000000,00800,0000,00800DIETARY 82508,A000000,00900,0000,00900NURSING ADMINISTRATION 82508,A000000,01300,0000,01300SOCIAL SERVICE 82508,A000000,01600,0000,01600SKILLED NURSING FACILITY 82508,A000000,02100,0000,02100RADIOLOGY 82508,A000000,02200,0000,02200LABORATORY 82508,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82508,A000000,02500,0000,02500PHYSICAL THERAPY 82508,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82508,A000000,02700,0000,02700SPEECH PATHOLOGY 82508,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82508,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82508,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82508,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82508,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82508,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82508,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82508,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82508,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82508,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82508,B100000,00000,0800,00000MEALS SERVED :DIETARY 82508,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82508,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82508,S000000,00100,0200,06/05/2000 82508,S200000,00100,0100,2575 E. 8TH STREET 82508,S200000,00200,0100,NATIONAL CITY 82508,S200000,00200,0200,CA 82508,S200000,00200,0300,91950- 82508,S200000,00300,0100,SAN DIEGO 82508,S200000,00400,0100,PARADISE VALLEY HEALTH CARE CENTER 82508,S200000,00400,0200,056388 82508,S200000,00400,0300,01/01/1992 82508,S200000,00400,0500,P 82508,S200000,00400,0600,O 82508,S200000,01500,0100,Y 82508,S700003,00000,0100,1 82517,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82517,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82517,A000000,00300,0000,00300EMPLOYEE BENEFITS 82517,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82517,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82517,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82517,A000000,00700,0000,00700HOUSEKEEPING 82517,A000000,00800,0000,00800DIETARY 82517,A000000,00900,0000,00900NURSING ADMINISTRATION 82517,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82517,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82517,A000000,01300,0000,01300SOCIAL SERVICE 82517,A000000,01301,0000,01301ACTIVITIES 82517,A000000,01350,0000,01500REHAB 82517,A000000,01600,0000,01600SKILLED NURSING FACILITY 82517,A000000,01800,0000,01800NURSING FACILITY 82517,A000000,01900,0000,01900OTHER LONG TERM CARE 82517,A000000,02100,0000,02100RADIOLOGY 82517,A000000,02200,0000,02200LABORATORY 82517,A000000,02300,0000,02300INTRAVENOUS THERAPY 82517,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82517,A000000,02500,0000,02500PHYSICAL THERAPY 82517,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82517,A000000,02700,0000,02700SPEECH PATHOLOGY 82517,A000000,02800,0000,02800ELECTROCARDIOLOGY 82517,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82517,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82517,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82517,A000000,03051,0000,03301PEN THERAPY 82517,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82517,A000000,03200,0000,03200SUPPORT SURFACES 82517,A000000,03400,0000,03400CLINIC 82517,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82517,A000000,04800,0000,04800AMBULANCE 82517,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82517,A000000,05000,0000,05000CORF 82517,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82517,A000000,05300,0000,05300INTEREST EXPENSE 82517,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82517,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82517,A000000,05500,0000,05500HOSPICE 82517,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82517,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82517,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82517,A000000,06100,0000,06100NONPAID WORKERS 82517,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82517,A000000,06200,0000,06200PATIENTS LAUNDRY 82517,A81000A,00100,0100,Y 82517,A81000B,00100,0300,HOME OFFICE ALLOCATION 82517,A81000B,00200,0300,NON CERT 82517,A81000B,00300,0300,MEDICAL SUPPLIES 82517,A81000B,00400,0300,REHAB 82517,A81000B,00500,0300,PT 82517,A81000B,00600,0300,OT 82517,A81000B,00700,0300,ST 82517,A81000C,00100,0100,B 82517,A81000C,00100,0200,VALE 10486 82517,A81000C,00100,0400,MARINER POST AC 82517,A81000C,00100,0600,NURSING HOMES 82517,A81000C,00200,0100,G 82517,A81000C,00200,0200,MARINER POST AC 82517,A81000C,00200,0400,AMERICAN PHARMA 82517,A81000C,00200,0600,PHARMACEUTICALS 82517,A81000C,00300,0100,G 82517,A81000C,00300,0200,MARINER POST AC 82517,A81000C,00300,0400,PRISM (ATS ARS 82517,A81000C,00300,0600,THERAPIES 82517,A81000C,03100,0000,MARINER POST ACUTE NETWORK 82517,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82517,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82517,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82517,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82517,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82517,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82517,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82517,B100000,00000,0800,00000MEALS SERVED :DIETARY 82517,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82517,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82517,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82517,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82517,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82517,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 82517,S000000,00100,0200,06/05/2000 82517,S200000,00100,0100,13484 SAN PABLO 82517,S200000,00200,0100,SAN PABLO 82517,S200000,00200,0200,CA 82517,S200000,00200,0300,94806- 82517,S200000,00300,0100,CONTRA COSTA 82517,S200000,00400,0100,VALE HEALTHCARE CENTER 82517,S200000,00400,0200,056389 82517,S200000,00400,0300,01/01/1995 82517,S200000,00400,0500,P 82525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82525,A000000,00300,0000,00300EMPLOYEE BENEFITS 82525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82525,A000000,00700,0000,00700HOUSEKEEPING 82525,A000000,00800,0000,00800DIETARY 82525,A000000,01300,0000,01300SOCIAL SERVICE 82525,A000000,01600,0000,01600SKILLED NURSING FACILITY 82525,A000000,01810,0000,01810ICF/MR 82525,A000000,02100,0000,02100RADIOLOGY 82525,A000000,02200,0000,02200LABORATORY 82525,A000000,02500,0000,02500PHYSICAL THERAPY 82525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82525,A000000,02700,0000,02700SPEECH PATHOLOGY 82525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82525,A000000,03550,0000,03550FQHC 82525,A000000,05000,0000,05000CORF 82525,A000000,05010,0000,05010CMHC 82525,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82525,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82525,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82525,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82525,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82525,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82525,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82525,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82525,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82525,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82525,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82525,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82525,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 82525,S000000,00100,0200,05/16/2000 82525,S200000,00100,0100,121 DORSEY DRIVE 82525,S200000,00200,0100,GRASS VALLEY 82525,S200000,00200,0200,CA 82525,S200000,00200,0300,94945- 82525,S200000,00300,0100,NEVADA COUNTY 82525,S200000,00400,0100,GOLDEN EMPIRE C.H. 82525,S200000,00400,0200,056391 82525,S200000,00400,0300,01/01/1967 82525,S200000,00400,0500,P 82525,S200000,00400,0600,P 82525,S200000,01500,0100,Y 82525,S700003,00000,0100,1 82536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82536,A000000,00300,0000,00300EMPLOYEE BENEFITS 82536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82536,A000000,00700,0000,00700HOUSEKEEPING 82536,A000000,00800,0000,00800DIETARY 82536,A000000,00900,0000,00900NURSING ADMINISTRATION 82536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82536,A000000,01100,0000,01100PHARMACY 82536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82536,A000000,01300,0000,01300SOCIAL SERVICE 82536,A000000,01350,0000,01500OTHER GENERAL SERVICES 82536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82536,A000000,01600,0000,01600SKILLED NURSING FACILITY 82536,A000000,01800,0000,01800NURSING FACILITY 82536,A000000,01810,0000,01810ICF/MR 82536,A000000,01900,0000,01900OTHER LONG TERM CARE 82536,A000000,02100,0000,02100RADIOLOGY 82536,A000000,02200,0000,02200LABORATORY 82536,A000000,02300,0000,02300INTRAVENOUS THERAPY 82536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82536,A000000,02500,0000,02500PHYSICAL THERAPY 82536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82536,A000000,02700,0000,02700SPEECH PATHOLOGY 82536,A000000,02800,0000,02800ELECTROCARDIOLOGY 82536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82536,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82536,A000000,03200,0000,03200SUPPORT SURFACES 82536,A000000,03400,0000,03400CLINIC 82536,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82536,A000000,03500,0000,03500RURAL HEALTH CLINIC 82536,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82536,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82536,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82536,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82536,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82536,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82536,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82536,A000000,04400,0000,04400DME RENTED - HHA 82536,A000000,04500,0000,04500DME SOLD - HHA 82536,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82536,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82536,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82536,A000000,04800,0000,04800AMBULANCE 82536,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82536,A000000,05000,0000,05000CORF 82536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82536,A000000,05300,0000,05300INTEREST EXPENSE 82536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82536,A000000,05500,0000,05500HOSPICE 82536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82536,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82536,A000000,06100,0000,06100NONPAID WORKERS 82536,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82536,A000000,06200,0000,06200PATIENTS LAUNDRY 82536,A81000A,00100,0100,Y 82536,A81000B,00100,0300,MANAGEMENT FEES 82536,A81000B,00200,0300,HOME OFFICE-BUILDING 82536,A81000B,00300,0300,HOME OFFICE COSTS 82536,A81000B,00400,0300,DRUGS COSTS 82536,A81000B,00500,0300,MEDICAL SUPPLY 82536,A81000B,00600,0300,NURSING SUPPLY 82536,A81000B,00700,0300,NURSING SUPPLY 82536,A81000C,00100,0100,B 82536,A81000C,00100,0200,VERLIN RHOADES 82536,A81000C,00100,0400,FORTE ENTERPRISES INC. 82536,A81000C,00100,0600,HOME OFFICE/MANAGER 82536,A81000C,00200,0100,B 82536,A81000C,00200,0200,THOMAS NICO 82536,A81000C,00200,0400,FORTE ENTERPRISES INC. 82536,A81000C,00200,0600,HOME OFFICE/MANAGER 82536,A81000C,00300,0100,B 82536,A81000C,00300,0200,VERLIN RHOADES 82536,A81000C,00300,0400,BAY ASSOCIATES INC. 82536,A81000C,00300,0600,PHARMACY/MEDICAL SUPPLY 82536,A81000C,00400,0100,B 82536,A81000C,00400,0200,THOMAS NICO 82536,A81000C,00400,0400,BAY ASSOCIATES INC. 82536,A81000C,00400,0600,PHARMACY/MEDICAL SUPPLY 82536,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82536,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82536,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82536,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82536,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82536,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82536,B100000,00000,0800,00000MEALS SERVED :DIETARY 82536,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82536,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82536,S000000,00100,0200,05/26/2000 82536,S200000,00100,0100,99 ESCUELA DRIVE 82536,S200000,00200,0100,DALY CITY 82536,S200000,00200,0200,CA 82536,S200000,00200,0300,94015- 82536,S200000,00300,0100,SAN MATEO 82536,S200000,00300,0200,7360 82536,S200000,00300,0300,U 82536,S200000,00400,0100,SAINT FRANCIS CONV. PAVILION 82536,S200000,00400,0200,056394 82536,S200000,00400,0300,01/01/1967 82536,S200000,00400,0500,P 82536,S200000,01600,0100,Y 82545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82545,A000000,00300,0000,00300EMPLOYEE BENEFITS 82545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82545,A000000,00700,0000,00700HOUSEKEEPING 82545,A000000,00800,0000,00800DIETARY 82545,A000000,00900,0000,00900NURSING ADMINISTRATION 82545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82545,A000000,01100,0000,01100PHARMACY 82545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82545,A000000,01300,0000,01300SOCIAL SERVICE 82545,A000000,01301,0000,01301ACTIVITIES 82545,A000000,01350,0000,01500OTHER GENERAL SERVICES 82545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82545,A000000,01600,0000,01600SKILLED NURSING FACILITY 82545,A000000,01800,0000,01800NURSING FACILITY 82545,A000000,01810,0000,01801ICF/MR 82545,A000000,01900,0000,01900OTHER LONG TERM CARE 82545,A000000,02100,0000,02100RADIOLOGY 82545,A000000,02200,0000,02200LABORATORY 82545,A000000,02300,0000,02300INTRAVENOUS THERAPY 82545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82545,A000000,02500,0000,02500PHYSICAL THERAPY 82545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82545,A000000,02700,0000,02700SPEECH PATHOLOGY 82545,A000000,02800,0000,02800ELECTROCARDIOLOGY 82545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82545,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82545,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82545,A000000,03200,0000,03200SUPPORT SURFACES 82545,A000000,03201,0000,03201EQUIPMENT RENTAL 82545,A000000,03400,0000,03400CLINIC 82545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82545,A000000,03500,0000,03500RURAL HEALTH CLINIC 82545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82545,A000000,04400,0000,04400DME RENTED - HHA 82545,A000000,04500,0000,04500DME SOLD - HHA 82545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82545,A000000,04800,0000,04800AMBULANCE 82545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82545,A000000,05000,0000,05000CORF 82545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82545,A000000,05300,0000,05300INTEREST EXPENSE 82545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82545,A000000,05500,0000,05500HOSPICE 82545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82545,A000000,06100,0000,06100NONPAID WORKERS 82545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82545,A000000,06200,0000,06200PATIENTS LAUNDRY 82545,A81000A,00100,0100,Y 82545,A81000B,00100,0300,PHARMACY 82545,A81000B,00200,0300,PHARMACY CONSULTANT 82545,A81000B,00300,0300,HO ADMIN 82545,A81000B,00400,0300,HO ADMIN 82545,A81000B,00500,0300,HO CAPITAL COSTS 82545,A81000B,00600,0300,HO CAPITAL COSTS 82545,A81000C,00100,0100,B 82545,A81000C,00100,0200,GUARDIAN HEALTH GROUP 82545,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82545,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82545,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82545,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82545,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82545,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82545,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82545,B100000,00000,0800,00000MEALS SERVED :DIETARY 82545,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82545,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82545,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82545,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82545,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82545,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 82545,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82545,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82545,S000000,00100,0200,10/02/2000 82545,S200000,00100,0100,1449 YGNACIO VALLEY ROAD 82545,S200000,00200,0100,WALNUT CREEK 82545,S200000,00200,0200,CA 82545,S200000,00200,0300,94598- 82545,S200000,00300,0100,CONTRA COSTA 82545,S200000,00400,0100,GUARDIAN OF YGNACIO 82545,S200000,00400,0200,056399 82545,S200000,00400,0300,04/15/1974 82545,S200000,00400,0500,P 82545,S200000,01600,0100,Y 82545,S700003,00000,0100,1 82555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82555,A000000,00300,0000,00300EMPLOYEE BENEFITS 82555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82555,A000000,00700,0000,00700HOUSEKEEPING 82555,A000000,00800,0000,00800DIETARY 82555,A000000,00900,0000,00900NURSING ADMINISTRATION 82555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82555,A000000,01100,0000,01100PHARMACY 82555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82555,A000000,01300,0000,01300SOCIAL SERVICE 82555,A000000,01350,0000,01500OTHER GENERAL SERVICES 82555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82555,A000000,01600,0000,01600SKILLED NURSING FACILITY 82555,A000000,01800,0000,01800NURSING FACILITY 82555,A000000,01810,0000,01810ICF/MR 82555,A000000,01900,0000,01900OTHER LONG TERM CARE 82555,A000000,02100,0000,02100RADIOLOGY 82555,A000000,02200,0000,02200LABORATORY 82555,A000000,02300,0000,02300INTRAVENOUS THERAPY 82555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82555,A000000,02500,0000,02500PHYSICAL THERAPY 82555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82555,A000000,02700,0000,02700SPEECH PATHOLOGY 82555,A000000,02800,0000,02800ELECTROCARDIOLOGY 82555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82555,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82555,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82555,A000000,03200,0000,03200SUPPORT SURFACES 82555,A000000,03400,0000,03400CLINIC 82555,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82555,A000000,03500,0000,03500RURAL HEALTH CLINIC 82555,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82555,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82555,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82555,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82555,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82555,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82555,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82555,A000000,04400,0000,04400DME RENTED - HHA 82555,A000000,04500,0000,04500DME SOLD - HHA 82555,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82555,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82555,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82555,A000000,04800,0000,04800AMBULANCE 82555,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82555,A000000,05000,0000,05000CORF 82555,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82555,A000000,05300,0000,05300INTEREST EXPENSE 82555,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82555,A000000,05500,0000,05500HOSPICE 82555,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82555,A000000,06100,0000,06100NONPAID WORKERS 82555,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82555,A000000,06200,0000,06200PATIENTS LAUNDRY 82555,A81000A,00100,0100,Y 82555,A81000B,00100,0300,HOME OFFICE COSTS 82555,A81000C,00100,0100,A 82555,A81000C,00100,0200,GEORGE HARDI 82555,A81000C,00100,0400,HARDI NURSING HOME MGMT 82555,A81000C,00100,0600,HOME OFFICE 82555,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82555,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82555,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82555,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82555,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82555,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82555,B100000,00000,0800,00000MEALS SERVED :DIETARY 82555,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82555,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82555,S000000,00100,0200,05/31/2000 82555,S200000,00100,0100,130 WEST LOS FELIZ ROAD 82555,S200000,00200,0100,GLENDALE 82555,S200000,00200,0200,CA 82555,S200000,00200,0300,91204- 82555,S200000,00300,0100,LOS ANGELES 82555,S200000,00300,0200,4480 82555,S200000,00300,0300,U 82555,S200000,00400,0100,ROYAL VILLA HEALTH CARE 82555,S200000,00400,0200,056402 82555,S200000,00400,0300,03/01/1998 82555,S200000,00400,0500,P 82555,S200000,01500,0100,Y 82566,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82566,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82566,A000000,00300,0000,00300EMPLOYEE BENEFITS 82566,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82566,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82566,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82566,A000000,00700,0000,00700HOUSEKEEPING 82566,A000000,00800,0000,00800DIETARY 82566,A000000,00900,0000,00900NURSING ADMINISTRATION 82566,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82566,A000000,01100,0000,01100PHARMACY 82566,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82566,A000000,01300,0000,01300SOCIAL SERVICE 82566,A000000,01600,0000,01600SKILLED NURSING FACILITY 82566,A000000,01800,0000,01800NURSING FACILITY 82566,A000000,01900,0000,01900OTHER LONG TERM CARE 82566,A000000,02100,0000,02100RADIOLOGY 82566,A000000,02200,0000,02200LABORATORY 82566,A000000,02300,0000,02300INTRAVENOUS THERAPY 82566,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82566,A000000,02500,0000,02500PHYSICAL THERAPY 82566,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82566,A000000,02700,0000,02700SPEECH PATHOLOGY 82566,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82566,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82566,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82566,A000000,03200,0000,03200SUPPORT SURFACES 82566,A000000,04800,0000,04800AMBULANCE 82566,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82566,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82566,A81000A,00100,0100,Y 82566,A81000B,00100,0300,MANAGEMENT FEE 82566,A81000B,00200,0300,LEASE PAYMENT 82566,A81000B,00300,0300,ACCOUNTING FEES 82566,A81000B,00400,0300,INTEREST EXPENSE 82566,A81000C,00100,0100,B 82566,A81000C,00100,0200,DARBUN ENTERPRI 82566,A81000C,00100,0400,ALL SAINTS HEAL 82566,A81000C,00100,0600,CORPORATE 82566,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82566,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82566,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82566,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82566,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82566,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82566,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82566,B100000,00000,0800,00000MEALS SERVED :DIETARY 82566,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82566,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82566,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 82566,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82566,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82566,S000000,00100,0200,12/01/2000 82566,S200000,00100,0100,11180 SATICOY STREET 82566,S200000,00200,0100,NORTH HOLLYWOOD 82566,S200000,00200,0200,CA 82566,S200000,00200,0300,91605- 82566,S200000,00300,0100,LOS ANGELES 82566,S200000,00300,0200,4480 82566,S200000,00300,0300,U 82566,S200000,00400,0100,ALL SAINTS CONVALESCENT HOSPITAL 82566,S200000,00400,0200,056407 82566,S200000,00400,0300,10/27/1976 82566,S200000,00400,0500,P 82566,S200000,01600,0100,Y 82573,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82573,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82573,A000000,00300,0000,00300EMPLOYEE BENEFITS 82573,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82573,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82573,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82573,A000000,00700,0000,00700HOUSEKEEPING 82573,A000000,00800,0000,00800DIETARY 82573,A000000,01300,0000,01300SOCIAL SERVICE 82573,A000000,01600,0000,01600SKILLED NURSING FACILITY 82573,A000000,01810,0000,01810ICF/MR 82573,A000000,02100,0000,02100RADIOLOGY 82573,A000000,02500,0000,02500PHYSICAL THERAPY 82573,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82573,A000000,02700,0000,02700SPEECH PATHOLOGY 82573,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82573,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82573,A000000,03550,0000,03550FQHC 82573,A000000,05000,0000,05000CORF 82573,A000000,05010,0000,05010CMHC 82573,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82573,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82573,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82573,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82573,A81000A,00100,0100,Y 82573,A81000B,00100,0300,HOME OFFICE RECON 82573,A81000B,00200,0300,HOME OFFICE RECON 82573,A81000B,00300,0300,HOME OFFICE RECON 82573,A81000C,00100,0100,A 82573,A81000C,00100,0200,HERMITAGE HEALT 82573,A81000C,00100,0400,HERMITAGE HEALT 82573,A81000C,00100,0600,HOME OFFICE 82573,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82573,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82573,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82573,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82573,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82573,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82573,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82573,B100000,00000,0800,00000MEALS SERVED :DIETARY 82573,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82573,S000000,00100,0200,06/05/2000 82573,S200000,00100,0100,3751 MONTGOMERY DRIVE 82573,S200000,00200,0100,SANTA ROSA 82573,S200000,00200,0200,CA 82573,S200000,00200,0300,95402- 82573,S200000,00300,0100,SONOMA 82573,S200000,00300,0200,7500 82573,S200000,00300,0300,U 82573,S200000,00400,0100,MONTGOMERY CONV. HOSP. 82573,S200000,00400,0200,056411 82573,S200000,00400,0300,01/01/1967 82573,S200000,00400,0500,P 82573,S200000,01500,0100,Y 82573,S200000,04300,0100,Y 82583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82583,A000000,00300,0000,00300EMPLOYEE BENEFITS 82583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82583,A000000,00700,0000,00700HOUSEKEEPING 82583,A000000,00800,0000,00800DIETARY 82583,A000000,00900,0000,00900NURSING ADMINISTRATION 82583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82583,A000000,01100,0000,01100PHARMACY 82583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82583,A000000,01300,0000,01300SOCIAL SERVICE 82583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82583,A000000,01600,0000,01600SKILLED NURSING FACILITY 82583,A000000,02100,0000,02100RADIOLOGY 82583,A000000,02200,0000,02200LABORATORY 82583,A000000,02500,0000,02500PHYSICAL THERAPY 82583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82583,A000000,02700,0000,02700SPEECH PATHOLOGY 82583,A000000,02800,0000,02800ELECTROCARDIOLOGY 82583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82583,A000000,03200,0000,03200SUPPORT SURFACES 82583,A000000,03201,0000,03201THERAPY BEDS 82583,A000000,03202,0000,03202UTILIZATION REVIEW 82583,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 82583,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 82583,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 82583,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 82583,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 82583,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 82583,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 82583,B100000,00000,0800,00002MEALS SERVED :DIETARY 82583,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 82583,B100000,00000,1250,00002GROSS REVENUE :MEDICAL RECORDS & L 82583,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 82583,S000000,00100,0200,05/26/2000 82583,S200000,00100,0100,5105 TYLER AVENUE 82583,S200000,00200,0100,TEMPLE CITY 82583,S200000,00200,0200,CA 82583,S200000,00200,0300,91780- 82583,S200000,00300,0100,LOS ANGELES 82583,S200000,00300,0200,4480 82583,S200000,00300,0300,U 82583,S200000,00400,0100,TEMPLE CITY CONVALESCENT HOSP. 82583,S200000,00400,0200,056413 82583,S200000,00400,0300,06/01/1971 82583,S200000,00400,0500,P 82583,S200000,01500,0100,Y 82583,S200000,04300,0100,Y 82590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82590,A000000,00300,0000,00300EMPLOYEE BENEFITS 82590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82590,A000000,00700,0000,00700HOUSEKEEPING 82590,A000000,00800,0000,00800DIETARY 82590,A000000,00900,0000,00900NURSING ADMINISTRATION 82590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82590,A000000,01300,0000,01300SOCIAL SERVICE 82590,A000000,01301,0000,01301ACTIVITIES 82590,A000000,01350,0000,01500REHAB 82590,A000000,01600,0000,01600SKILLED NURSING FACILITY 82590,A000000,01800,0000,01800NURSING FACILITY 82590,A000000,01900,0000,01900OTHER LONG TERM CARE 82590,A000000,02100,0000,02100RADIOLOGY 82590,A000000,02200,0000,02200LABORATORY 82590,A000000,02300,0000,02300INTRAVENOUS THERAPY 82590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82590,A000000,02500,0000,02500PHYSICAL THERAPY 82590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82590,A000000,02700,0000,02700SPEECH PATHOLOGY 82590,A000000,02800,0000,02800ELECTROCARDIOLOGY 82590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82590,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82590,A000000,03200,0000,03200SUPPORT SURFACES 82590,A000000,03400,0000,03400CLINIC 82590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82590,A000000,04800,0000,04800AMBULANCE 82590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82590,A000000,05000,0000,05000CORF 82590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82590,A000000,05300,0000,05300INTEREST EXPENSE 82590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82590,A000000,05500,0000,05500HOSPICE 82590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82590,A000000,06100,0000,06100NONPAID WORKERS 82590,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82590,A000000,06200,0000,06200PATIENTS LAUNDRY 82590,A81000A,00100,0100,Y 82590,A81000B,00100,0300,HOME OFFICE ALLOCATION 82590,A81000B,00200,0300,CENTRAL SUPPLY 82590,A81000B,00300,0300,MEDICAL SUPPLIES 82590,A81000B,00400,0300,RT 82590,A81000C,00100,0100,B 82590,A81000C,00100,0200,FREMONT 10461 82590,A81000C,00100,0400,MARINER POST AC 82590,A81000C,00100,0600,NURSING HOMES 82590,A81000C,00200,0100,G 82590,A81000C,00200,0200,MARINER POST AC 82590,A81000C,00200,0400,AMERICAN PHARMA 82590,A81000C,00200,0600,PHARMACUTICALS 82590,A81000C,00300,0100,G 82590,A81000C,00300,0200,MARINER POST AC 82590,A81000C,00300,0400,PRISM (ATS ARS 82590,A81000C,00300,0600,THERAPIES 82590,A81000C,03100,0000,MARINER POST ACUTE NETWORK 82590,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82590,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82590,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82590,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82590,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82590,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82590,B100000,00000,0800,00000MEALS SERVED :DIETARY 82590,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82590,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82590,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82590,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82590,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82590,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 82590,S000000,00100,0200,06/05/2000 82590,S200000,00100,0100,39022 PRESIDIO WAY 82590,S200000,00200,0100,FREMONT 82590,S200000,00200,0200,CA 82590,S200000,00200,0300,94538- 82590,S200000,00300,0100,ALAMEDA 82590,S200000,00400,0100,FREMONT HEALTHCARE CENTER 82590,S200000,00400,0200,056422 82590,S200000,00400,0300,07/01/1980 82590,S200000,00400,0500,P 82598,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82598,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82598,A000000,00300,0000,00300EMPLOYEE BENEFITS 82598,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82598,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82598,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82598,A000000,00700,0000,00700HOUSEKEEPING 82598,A000000,00800,0000,00800DIETARY 82598,A000000,00900,0000,00900NURSING ADMINISTRATION 82598,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82598,A000000,01300,0000,01300SOCIAL SERVICE 82598,A000000,01600,0000,01600SKILLED NURSING FACILITY 82598,A000000,02100,0000,02100RADIOLOGY 82598,A000000,02200,0000,02200LABORATORY 82598,A000000,02300,0000,02300INTRAVENOUS THERAPY 82598,A000000,02500,0000,02500PHYSICAL THERAPY 82598,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82598,A000000,02700,0000,02700SPEECH PATHOLOGY 82598,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82598,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82598,A000000,03200,0000,03200SUPPORT SURFACES 82598,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82598,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82598,A81000A,00100,0100,Y 82598,A81000B,00100,0300,MANAGEMENT FEES 82598,A81000B,00200,0300,HOME OFFICE - EQUIPMENT 82598,A81000B,00300,0300,BUILDING RENTAL 82598,A81000C,00100,0100,A 82598,A81000C,00100,0200,E.E. GOINGS 82598,A81000C,00100,0400,PROGRESSIVE HEALTHCARE 82598,A81000C,00100,0600,MANAGEMENT COMPANY 82598,A81000C,00200,0100,A 82598,A81000C,00200,0200,E.E. GOINGS 82598,A81000C,00200,0400,VILLA ELENA PROPERTIES 82598,A81000C,00200,0600,REAL ESTATE 82598,A81000C,00300,0100,A 82598,A81000C,00300,0200,FLOYD LOUPONT 82598,A81000C,00300,0400,VILLA ELENA PROPERTIES 82598,A81000C,00300,0600,REAL ESTATE 82598,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82598,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82598,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82598,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82598,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82598,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82598,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82598,B100000,00000,0800,00000MEALS SERVED :DIETARY 82598,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82598,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82598,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82598,S000000,00100,0200,06/01/2000 82598,S200000,00100,0100,13226 STUDEBAKER RD. 82598,S200000,00200,0100,NORWALK 82598,S200000,00200,0200,CA 82598,S200000,00200,0300,90650- 82598,S200000,00300,0100,LOS ANGELES 82598,S200000,00300,0200,4480 82598,S200000,00300,0300,U 82598,S200000,00400,0100,VILLA ELENA HEALTHCARE CENTER 82598,S200000,00400,0200,056425 82598,S200000,00400,0300,01/01/1991 82598,S200000,00400,0500,P 82598,S200000,00400,0600,O 82598,S200000,01500,0100,Y 82609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82609,A000000,00300,0000,00300EMPLOYEE BENEFITS 82609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82609,A000000,00700,0000,00700HOUSEKEEPING 82609,A000000,00800,0000,00800DIETARY 82609,A000000,00900,0000,00900NURSING ADMINISTRATION 82609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82609,A000000,01100,0000,01100PHARMACY 82609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82609,A000000,01300,0000,01300SOCIAL SERVICE 82609,A000000,01350,0000,01500OTHER GENERAL SERVICES 82609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82609,A000000,01600,0000,01600SKILLED NURSING FACILITY 82609,A000000,01800,0000,01800NURSING FACILITY 82609,A000000,01810,0000,01801ICF/MR 82609,A000000,01900,0000,01900OTHER LONG TERM CARE 82609,A000000,02100,0000,02100RADIOLOGY 82609,A000000,02200,0000,02200LABORATORY 82609,A000000,02300,0000,02300INTRAVENOUS THERAPY 82609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82609,A000000,02500,0000,02500PHYSICAL THERAPY 82609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82609,A000000,02700,0000,02700SPEECH PATHOLOGY 82609,A000000,02800,0000,02800ELECTROCARDIOLOGY 82609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82609,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82609,A000000,03200,0000,03200SUPPORT SURFACES 82609,A000000,03400,0000,03400CLINIC 82609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82609,A000000,03500,0000,03500RURAL HEALTH CLINIC 82609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82609,A000000,04400,0000,04400DME RENTED - HHA 82609,A000000,04500,0000,04500DME SOLD - HHA 82609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82609,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82609,A000000,04800,0000,04800AMBULANCE 82609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82609,A000000,05000,0000,05000CORF 82609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82609,A000000,05300,0000,05300INTEREST EXPENSE 82609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82609,A000000,05500,0000,05500HOSPICE 82609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82609,A000000,06100,0000,06100NONPAID WORKERS 82609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82609,A000000,06200,0000,06200PATIENTS LAUNDRY 82609,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82609,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82609,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82609,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82609,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82609,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82609,B100000,00000,0800,00000MEALS SERVED :DIETARY 82609,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82609,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82609,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82609,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82609,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82609,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82609,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82609,S000000,00100,0200,06/28/2000 82609,S200000,00100,0100,40 PROFESSIONAL CENTER PARKWAY 82609,S200000,00200,0100,SAN RAFAEL 82609,S200000,00200,0200,CA 82609,S200000,00200,0300,94903- 82609,S200000,00300,0100,MARIN 82609,S200000,00400,0100,NORTHGATE CARE CENTER 82609,S200000,00400,0200,056430 82609,S200000,00400,0300,11/01/1997 82609,S200000,00400,0500,P 82609,S200000,01500,0100,Y 82609,S700003,00000,0100,1 82618,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82618,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82618,A000000,00300,0000,00300EMPLOYEE BENEFITS 82618,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82618,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82618,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82618,A000000,00700,0000,00700HOUSEKEEPING 82618,A000000,00800,0000,00800DIETARY 82618,A000000,00900,0000,00900NURSING ADMINISTRATION 82618,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82618,A000000,01100,0000,01100PHARMACY 82618,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82618,A000000,01300,0000,01300SOCIAL SERVICE 82618,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82618,A000000,01600,0000,01600SKILLED NURSING FACILITY 82618,A000000,01800,0000,01800NURSING FACILITY 82618,A000000,02100,0000,02100RADIOLOGY 82618,A000000,02200,0000,02200LABORATORY 82618,A000000,02201,0000,02201GLUCOSE MONITORING 82618,A000000,02300,0000,02300INTRAVENOUS THERAPY 82618,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82618,A000000,02500,0000,02500PHYSICAL THERAPY 82618,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82618,A000000,02700,0000,02700SPEECH PATHOLOGY 82618,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82618,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82618,A000000,03200,0000,03200SUPPORT SURFACES 82618,A000000,03201,0000,03300AMBULANCE SERVICES 82618,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82618,A81000A,00100,0100,Y 82618,A81000B,00100,0300,MANAGEMENT FEE 82618,A81000C,00100,0100,A 82618,A81000C,00100,0200,O. T. DAVID 82618,A81000C,00100,0400,UNIFIED CARE 82618,A81000C,00100,0600,MGT. SERV 82618,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82618,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82618,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82618,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82618,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82618,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82618,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82618,B100000,00000,0800,00000MEALS SERVED :DIETARY 82618,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82618,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82618,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82618,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82618,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82618,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82618,S000000,00100,0200,09/08/2000 82618,S200000,00100,0100,22035 S. VERMONT AVENUE 82618,S200000,00200,0100,TORRANCE 82618,S200000,00200,0200,CA 82618,S200000,00200,0300,90502- 82618,S200000,00300,0100,LOS ANGELES 82618,S200000,00400,0100,VERMONT CARE CENTER 82618,S200000,00400,0200,056433 82618,S200000,00400,0300,01/01/1999 82618,S200000,00400,0500,P 82618,S200000,00600,0200,056433 82618,S200000,00600,0300,01/01/1999 82618,S200000,00600,0600,P 82618,S200000,01600,0100,Y 82618,S200000,03100,0100,Y 82618,S200000,04700,0100,Y 82618,S700003,00000,0100,1 82625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82625,A000000,00300,0000,00300EMPLOYEE BENEFITS 82625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82625,A000000,00700,0000,00700HOUSEKEEPING 82625,A000000,00800,0000,00800DIETARY 82625,A000000,00900,0000,00900NURSING ADMINISTRATION 82625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82625,A000000,01100,0000,01100PHARMACY 82625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82625,A000000,01300,0000,01300SOCIAL SERVICE 82625,A000000,01350,0000,01500OTHER GENERAL SERVICES 82625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82625,A000000,01600,0000,01600SKILLED NURSING FACILITY 82625,A000000,01800,0000,01800NURSING FACILITY 82625,A000000,01810,0000,01810ICF/MR 82625,A000000,01900,0000,01900OTHER LONG TERM CARE 82625,A000000,02100,0000,02100RADIOLOGY 82625,A000000,02200,0000,02200LABORATORY 82625,A000000,02300,0000,02300INTRAVENOUS THERAPY 82625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82625,A000000,02500,0000,02500PHYSICAL THERAPY 82625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82625,A000000,02700,0000,02700SPEECH PATHOLOGY 82625,A000000,02800,0000,02800ELECTROCARDIOLOGY 82625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82625,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82625,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82625,A000000,03200,0000,03200SUPPORT SURFACES 82625,A000000,03400,0000,03400CLINIC 82625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82625,A000000,03500,0000,03500RURAL HEALTH CLINIC 82625,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82625,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82625,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82625,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82625,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82625,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82625,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82625,A000000,04400,0000,04400DME RENTED - HHA 82625,A000000,04500,0000,04500DME SOLD - HHA 82625,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82625,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82625,A000000,04800,0000,04800AMBULANCE 82625,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82625,A000000,05000,0000,05000CORF 82625,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82625,A000000,05300,0000,05300INTEREST EXPENSE 82625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82625,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82625,A000000,05500,0000,05500HOSPICE 82625,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82625,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82625,A000000,06100,0000,06100NONPAID WORKERS 82625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82625,A000000,06200,0000,06200PATIENTS LAUNDRY 82625,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 82625,B100000,00000,0300,00000GROSS WAGES :EMPLOYEE BENEFITS 82625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82625,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 82625,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 82625,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 82625,B100000,00000,0800,00000MEALS :DIETARY 82625,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 82625,S000000,00100,0200,05/30/2000 82625,S200000,00100,0100,12001 SANTA MONICA BLVD 82625,S200000,00200,0100,SANTA MONICA 82625,S200000,00200,0200,CA 82625,S200000,00200,0300,90025- 82625,S200000,00300,0100,LOS ANGELES 82625,S200000,00300,0200,4480 82625,S200000,00300,0300,U 82625,S200000,00400,0100,SANTA MONICA PAVILION 82625,S200000,00400,0200,056445 82625,S200000,00400,0300,01/01/1999 82625,S200000,00400,0500,P 82625,S200000,01500,0100,Y 82634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82634,A000000,00300,0000,00300EMPLOYEE BENEFITS 82634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82634,A000000,00700,0000,00700HOUSEKEEPING 82634,A000000,00800,0000,00800DIETARY 82634,A000000,00900,0000,00900NURSING ADMINISTRATION 82634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82634,A000000,01300,0000,01300SOCIAL SERVICE 82634,A000000,01301,0000,01301ACTIVITIES 82634,A000000,01350,0000,01500REHAB 82634,A000000,01600,0000,01600SKILLED NURSING FACILITY 82634,A000000,01800,0000,01800NURSING FACILITY 82634,A000000,01900,0000,01900OTHER LONG TERM CARE 82634,A000000,02100,0000,02100RADIOLOGY 82634,A000000,02200,0000,02200LABORATORY 82634,A000000,02300,0000,02300INTRAVENOUS THERAPY 82634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82634,A000000,02500,0000,02500PHYSICAL THERAPY 82634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82634,A000000,02700,0000,02700SPEECH PATHOLOGY 82634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82634,A000000,03050,0000,03300EQUIPMENT RENTAL 82634,A000000,03051,0000,03301PEN THERAPY 82634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82634,A000000,04800,0000,04800AMBULANCE 82634,A000000,05300,0000,05300INTEREST EXPENSE 82634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82634,A000000,06150,0000,06300VENDING 82634,A000000,06151,0000,06301OTHER & STAND-BY 82634,A81000A,00100,0100,Y 82634,A81000B,00100,0300,ADMIN & GENERAL 82634,A81000B,00200,0300,MEDICAL SUPPLIES 82634,A81000B,00300,0300,CAPITAL 82634,A81000B,00400,0300,REHAB 82634,A81000B,00500,0300,PT 82634,A81000B,00600,0300,OT 82634,A81000B,00700,0300,ST 82634,A81000B,00800,0300,NON-CERT 82634,A81000C,00100,0100,B 82634,A81000C,00100,0200,HAYWARD HILLS 0 82634,A81000C,00100,0400,MARINER PAN 82634,A81000C,00100,0600,NURSING HOMES 82634,A81000C,00200,0100,G 82634,A81000C,00200,0200,MARINER PAN 82634,A81000C,00200,0400,AMERICAN PHARMA 82634,A81000C,00200,0600,PHARMACEUTICALS 82634,A81000C,00300,0100,G 82634,A81000C,00300,0200,MARINER PAN 82634,A81000C,00300,0400,PRISM(ATS ARS T 82634,A81000C,00300,0600,THERAPIES 82634,A81000C,03100,0000,MARINER PAN 82634,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 82634,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 82634,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 82634,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 82634,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 82634,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 82634,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 82634,B100000,00000,0800,00001MEALS SERVED :DIETARY 82634,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 82634,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 82634,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 82634,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 82634,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 82634,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 82634,S000000,00100,0200,06/05/2000 82634,S200000,00100,0100,1768 B STREET 82634,S200000,00200,0100,HAYWARD 82634,S200000,00200,0200,CA 82634,S200000,00200,0300,94541-3102 82634,S200000,00300,0100,ALAMEDA 82634,S200000,00300,0200,5775 82634,S200000,00300,0300,U 82634,S200000,00400,0100,HAYWARD HILLS 82634,S200000,00400,0200,056447 82634,S200000,00400,0300,10/01/1981 82634,S200000,00400,0500,P 82634,S200000,01600,0100,Y 82640,S000000,00100,0200,09/25/2000 82649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82649,A000000,00300,0000,00300EMPLOYEE BENEFITS 82649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82649,A000000,00700,0000,00700HOUSEKEEPING 82649,A000000,00800,0000,00800DIETARY 82649,A000000,00900,0000,00900NURSING ADMINISTRATION 82649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82649,A000000,01100,0000,01100PHARMACY 82649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82649,A000000,01300,0000,01300SOCIAL SERVICE 82649,A000000,01350,0000,01500OTHER GENERAL SERVICES 82649,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82649,A000000,01600,0000,01600SKILLED NURSING FACILITY 82649,A000000,01800,0000,01800NURSING FACILITY 82649,A000000,01810,0000,01801ICF/MR 82649,A000000,01900,0000,01900OTHER LONG TERM CARE 82649,A000000,02100,0000,02100RADIOLOGY 82649,A000000,02200,0000,02200LABORATORY 82649,A000000,02300,0000,02300INTRAVENOUS THERAPY 82649,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82649,A000000,02500,0000,02500PHYSICAL THERAPY 82649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82649,A000000,02700,0000,02700SPEECH PATHOLOGY 82649,A000000,02800,0000,02800ELECTROCARDIOLOGY 82649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82649,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82649,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82649,A000000,03200,0000,03200SUPPORT SURFACES 82649,A000000,03400,0000,03400CLINIC 82649,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82649,A000000,03500,0000,03500RURAL HEALTH CLINIC 82649,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82649,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82649,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82649,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82649,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82649,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82649,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82649,A000000,04400,0000,04400DME RENTED - HHA 82649,A000000,04500,0000,04500DME SOLD - HHA 82649,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82649,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82649,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82649,A000000,04800,0000,04800AMBULANCE 82649,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82649,A000000,05000,0000,05000CORF 82649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82649,A000000,05300,0000,05300INTEREST EXPENSE 82649,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82649,A000000,05500,0000,05500HOSPICE 82649,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82649,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82649,A000000,06100,0000,06100NONPAID WORKERS 82649,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82649,A000000,06200,0000,06200PATIENTS LAUNDRY 82649,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82649,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82649,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82649,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82649,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82649,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82649,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82649,B100000,00000,0800,00000MEALS SERVED :DIETARY 82649,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82649,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82649,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82649,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82649,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82649,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82649,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82649,S000000,00100,0200,05/26/2000 82649,S200000,00100,0100,5767 MISSION STREET 82649,S200000,00200,0100,SAN FRANCISCO 82649,S200000,00200,0200,CA 82649,S200000,00200,0300,94112- 82649,S200000,00300,0100,SAN FRANCISCO 82649,S200000,00400,0100,CONVALESCENT CENTER MISSION STREET 82649,S200000,00400,0200,056449 82649,S200000,00400,0300,07/21/1977 82649,S200000,00400,0500,P 82649,S200000,01500,0100,Y 82649,S700003,00000,0100,1 82657,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82657,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82657,A000000,00300,0000,00300EMPLOYEE BENEFITS 82657,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82657,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82657,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82657,A000000,00700,0000,00700HOUSEKEEPING 82657,A000000,00800,0000,00800DIETARY 82657,A000000,00900,0000,00900NURSING ADMINISTRATION 82657,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82657,A000000,01100,0000,01100PHARMACY 82657,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82657,A000000,01300,0000,01300SOCIAL SERVICE 82657,A000000,01600,0000,01600SKILLED NURSING FACILITY 82657,A000000,01800,0000,01800NURSING FACILITY 82657,A000000,01900,0000,01900OTHER LONG TERM CARE 82657,A000000,02100,0000,02100RADIOLOGY 82657,A000000,02200,0000,02200LABORATORY 82657,A000000,02300,0000,02300INTRAVENOUS THERAPY 82657,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82657,A000000,02500,0000,02500PHYSICAL THERAPY 82657,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82657,A000000,02700,0000,02700SPEECH PATHOLOGY 82657,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82657,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82657,A000000,05000,0000,05000CORF 82657,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82657,A000000,05300,0000,05300INTEREST EXPENSE 82657,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82657,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82657,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82657,A81000A,00100,0100,Y 82657,A81000B,00100,0300,HOME OFFICE ALLOCATION 82657,A81000C,00100,0100,A 82657,A81000C,00100,0200,CRESCENT HEALTH 82657,A81000C,00100,0400,CRESCENT HEALTH 82657,A81000C,00100,0600,HEALTHCARE 82657,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82657,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82657,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82657,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 82663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82663,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82663,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82663,B100000,00000,0800,00000MEALS SERVED :DIETARY 82663,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82663,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82663,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82663,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82663,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82663,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82663,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82663,S000000,00100,0200,06/05/2000 82663,S200000,00100,0100,5400 FOUNTAIN AVENUE 82663,S200000,00200,0100,LOS ANGELES 82663,S200000,00200,0200,CA 82663,S200000,00200,0300,90029- 82663,S200000,00300,0100,LOS ANGELES 82663,S200000,00400,0100,SERRANO SOUTH CONVALESCENT HOSPITAL 82663,S200000,00400,0200,056456 82663,S200000,00400,0300,01/01/1974 82663,S200000,00400,0500,P 82663,S200000,01500,0100,Y 82663,S700003,00000,0100,1 82679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82679,A000000,00300,0000,00300EMPLOYEE BENEFITS 82679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82679,A000000,00700,0000,00700HOUSEKEEPING 82679,A000000,00800,0000,00800DIETARY 82679,A000000,00900,0000,00900NURSING ADMINISTRATION 82679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82679,A000000,01100,0000,01100PHARMACY 82679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82679,A000000,01300,0000,01300SOCIAL SERVICE 82679,A000000,01350,0000,01500OTHER GENERAL SERVICES 82679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82679,A000000,01600,0000,01600SKILLED NURSING FACILITY 82679,A000000,01800,0000,01800NURSING FACILITY 82679,A000000,01900,0000,01900OTHER LONG TERM CARE 82679,A000000,02100,0000,02100RADIOLOGY 82679,A000000,02200,0000,02200LABORATORY 82679,A000000,02300,0000,02300INTRAVENOUS THERAPY 82679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82679,A000000,02500,0000,02500PHYSICAL THERAPY 82679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82679,A000000,02700,0000,02700SPEECH PATHOLOGY 82679,A000000,02800,0000,02800ELECTROCARDIOLOGY 82679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82679,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82679,A000000,03200,0000,03200SUPPORT SURFACES 82679,A000000,03400,0000,03400CLINIC 82679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82679,A000000,03500,0000,03500RURAL HEALTH CLINIC 82679,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82679,A000000,04800,0000,04800AMBULANCE 82679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82679,A000000,05000,0000,05000CORF 82679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82679,A000000,05300,0000,05300INTEREST EXPENSE 82679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82679,A000000,05500,0000,05500HOSPICE 82679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82679,A000000,06100,0000,06100NONPAID WORKERS 82679,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82679,A000000,06200,0000,06200PATIENTS LAUNDRY 82679,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82679,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82679,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82679,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82679,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82679,B100000,00000,0800,00000MEALS SERVED :DIETARY 82679,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 82679,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 82679,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82679,S000000,00100,0200,07/10/2000 82679,S200000,00100,0100,14318 OHIO ST 82679,S200000,00200,0100,BALDWIN PARK 82679,S200000,00200,0200,CA 82679,S200000,00200,0300,91706- 82679,S200000,00300,0100,LOS ANGELES 82679,S200000,00300,0200,4480 82679,S200000,00300,0300,U 82679,S200000,00400,0100,SIERRA VIEW CARE AND REHAB CENTER 82679,S200000,00400,0200,056466 82679,S200000,00400,0300,01/01/1989 82679,S200000,00400,0500,P 82679,S200000,00600,0200,056466 82679,S200000,00600,0300,01/01/1989 82679,S200000,00600,0600,P 82679,S200000,01600,0100,Y 82690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82690,A000000,00300,0000,00300EMPLOYEE BENEFITS 82690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82690,A000000,00700,0000,00700HOUSEKEEPING 82690,A000000,00800,0000,00800DIETARY 82690,A000000,00900,0000,00900NURSING ADMINISTRATION 82690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82690,A000000,01100,0000,01100PHARMACY 82690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82690,A000000,01300,0000,01300SOCIAL SERVICE 82690,A000000,01301,0000,01301ACTIVITIES 82690,A000000,01350,0000,01500OTHER GENERAL SERVICES 82690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82690,A000000,01600,0000,01600SKILLED NURSING FACILITY 82690,A000000,01800,0000,01800NURSING FACILITY 82690,A000000,01900,0000,01900OTHER LONG TERM CARE 82690,A000000,02100,0000,02100RADIOLOGY 82690,A000000,02200,0000,02200LABORATORY 82690,A000000,02300,0000,02300INTRAVENOUS THERAPY 82690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82690,A000000,02500,0000,02500PHYSICAL THERAPY 82690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82690,A000000,02700,0000,02700SPEECH PATHOLOGY 82690,A000000,02800,0000,02800ELECTROCARDIOLOGY 82690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82690,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82690,A000000,03200,0000,03200SUPPORT SURFACES 82690,A000000,03400,0000,03400CLINIC 82690,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82690,A000000,03500,0000,03500RURAL HEALTH CLINIC 82690,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82690,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82690,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82690,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82690,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82690,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82690,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82690,A000000,04400,0000,04400DME RENTED - HHA 82690,A000000,04500,0000,04500DME SOLD - HHA 82690,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82690,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82690,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82690,A000000,04800,0000,04800AMBULANCE 82690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82690,A000000,05000,0000,05000CORF 82690,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82690,A000000,05300,0000,05300INTEREST EXPENSE 82690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82690,A000000,05500,0000,05500HOSPICE 82690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82690,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82690,A000000,06100,0000,06100NONPAID WORKERS 82690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82690,A000000,06200,0000,06200PATIENTS LAUNDRY 82690,A81000A,00100,0100,Y 82690,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 82690,A81000B,00200,0300,CAPITAL 82690,A81000C,00100,0100,A 82690,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 82690,A81000C,00100,0400,LENOX HEALTHCARE INC 82690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82690,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82690,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82690,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82690,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 82690,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82690,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82690,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82690,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82690,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 82690,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82690,S000000,00100,0200,03/02/2000 82690,S200000,00100,0100,442 SUNSET BOULEVARD 82690,S200000,00200,0100,HAYWARD 82690,S200000,00200,0200,CA 82690,S200000,00200,0300,94541- 82690,S200000,00300,0100,ALAMEDA 82690,S200000,00400,0100,BAY POINT HEALTHCARE CENTER 82690,S200000,00400,0200,056471 82690,S200000,00400,0300,07/01/1986 82690,S200000,00400,0500,P 82690,S200000,01600,0100,Y 82690,S700003,00000,0100,1 82699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82699,A000000,00300,0000,00300EMPLOYEE BENEFITS 82699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82699,A000000,00700,0000,00700HOUSEKEEPING 82699,A000000,00800,0000,00800DIETARY 82699,A000000,00900,0000,00900NURSING ADMINISTRATION 82699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82699,A000000,01100,0000,01100PHARMACY 82699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82699,A000000,01300,0000,01300SOCIAL SERVICE 82699,A000000,01350,0000,01500OTHER GENERAL SERVICES 82699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82699,A000000,01600,0000,01600SKILLED NURSING FACILITY 82699,A000000,01800,0000,01800NURSING FACILITY 82699,A000000,01810,0000,01801ICF/MR 82699,A000000,01900,0000,01900OTHER LONG TERM CARE 82699,A000000,02100,0000,02100RADIOLOGY 82699,A000000,02200,0000,02200LABORATORY 82699,A000000,02300,0000,02300INTRAVENOUS THERAPY 82699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82699,A000000,02500,0000,02500PHYSICAL THERAPY 82699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82699,A000000,02700,0000,02700SPEECH PATHOLOGY 82699,A000000,02800,0000,02800ELECTROCARDIOLOGY 82699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82699,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82699,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82699,A000000,03200,0000,03200SUPPORT SURFACES 82699,A000000,03400,0000,03400CLINIC 82699,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82699,A000000,03500,0000,03500RURAL HEALTH CLINIC 82699,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82699,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82699,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82699,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82699,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82699,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82699,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82699,A000000,04400,0000,04400DME RENTED - HHA 82699,A000000,04500,0000,04500DME SOLD - HHA 82699,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82699,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82699,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82699,A000000,04800,0000,04800AMBULANCE 82699,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82699,A000000,05000,0000,05000CORF 82699,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82699,A000000,05300,0000,05300INTEREST EXPENSE 82699,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82699,A000000,05500,0000,05500HOSPICE 82699,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82699,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82699,A000000,06100,0000,06100NONPAID WORKERS 82699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82699,A000000,06200,0000,06200PATIENTS LAUNDRY 82699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82699,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82699,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82699,B100000,00000,0800,00000MEALS SERVED :DIETARY 82699,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82699,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82699,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82699,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82699,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82699,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82699,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82699,S000000,00100,0200,05/26/2000 82699,S200000,00100,0100,3269 D STREET 82699,S200000,00200,0100,HAYWARD 82699,S200000,00200,0200,CA 82699,S200000,00200,0300,94541- 82699,S200000,00300,0100,ALAMEDA 82699,S200000,00400,0100,BASSARD CONVALESCENT HOSPITAL 82699,S200000,00400,0200,056475 82699,S200000,00400,0300,04/08/1975 82699,S200000,00400,0500,P 82699,S700003,00000,0100,1 82710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82710,A000000,00300,0000,00300EMPLOYEE BENEFITS 82710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82710,A000000,00700,0000,00700HOUSEKEEPING 82710,A000000,00800,0000,00800DIETARY 82710,A000000,00900,0000,00900NURSING ADMINISTRATION 82710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82710,A000000,01100,0000,01100PHARMACY 82710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82710,A000000,01300,0000,01300SOCIAL SERVICE 82710,A000000,01350,0000,01500OTHER GENERAL SERVICES 82710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82710,A000000,01600,0000,01600SKILLED NURSING FACILITY 82710,A000000,01800,0000,01800NURSING FACILITY 82710,A000000,01810,0000,01801ICF/MR 82710,A000000,01900,0000,01900OTHER LONG TERM CARE 82710,A000000,02100,0000,02100RADIOLOGY 82710,A000000,02200,0000,02200LABORATORY 82710,A000000,02300,0000,02300INTRAVENOUS THERAPY 82710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82710,A000000,02500,0000,02500PHYSICAL THERAPY 82710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82710,A000000,02700,0000,02700SPEECH PATHOLOGY 82710,A000000,02800,0000,02800ELECTROCARDIOLOGY 82710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82710,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82710,A000000,03200,0000,03200SUPPORT SURFACES 82710,A000000,03400,0000,03400CLINIC 82710,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82710,A000000,03500,0000,03500RURAL HEALTH CLINIC 82710,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82710,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82710,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82710,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82710,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82710,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82710,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82710,A000000,04400,0000,04400DME RENTED - HHA 82710,A000000,04500,0000,04500DME SOLD - HHA 82710,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82710,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82710,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82710,A000000,04800,0000,04800AMBULANCE 82710,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82710,A000000,05000,0000,05000CORF 82710,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82710,A000000,05300,0000,05300INTEREST EXPENSE 82710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82710,A000000,05500,0000,05500HOSPICE 82710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82710,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82710,A000000,06100,0000,06100NONPAID WORKERS 82710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82710,A000000,06200,0000,06200PATIENTS LAUNDRY 82710,A81000A,00100,0100,Y 82710,A81000B,00100,0300,FACILITY LEASE 82710,A81000B,00200,0300,DEPRECIATION 82710,A81000B,00300,0300,INTEREST 82710,A81000B,00400,0300,MANAGEMENT FEES 82710,A81000C,00100,0100,A 82710,A81000C,00100,0200,JACK MARKOVITZ 82710,A81000C,00100,0400,JK HEALTH CARE MGMT 82710,A81000C,00100,0600,LESSOR/HOME OFFICE 82710,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82710,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82710,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82710,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82710,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82710,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82710,B100000,00000,0800,00000MEALS SERVED :DIETARY 82710,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 82710,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82710,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82710,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82710,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82710,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82710,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82710,S000000,00100,0200,06/05/2000 82710,S200000,00100,0100,2222 SANTA ANA BLVD. 82710,S200000,00200,0100,LOS ANGELES 82710,S200000,00200,0200,CA 82710,S200000,00200,0300,90059- 82710,S200000,00300,0100,LOS ANGELES 82710,S200000,00400,0100,FOUNTAIN GARDENS CONVALESCENT HOSP 82710,S200000,00400,0200,056478 82710,S200000,00400,0300,01/01/1988 82710,S200000,00400,0500,P 82710,S200000,01600,0100,Y 82710,S700003,00000,0100,1 82719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82719,A000000,00300,0000,00300EMPLOYEE BENEFITS 82719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82719,A000000,00700,0000,00700HOUSEKEEPING 82719,A000000,00800,0000,00800DIETARY 82719,A000000,00900,0000,00900NURSING ADMINISTRATION 82719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82719,A000000,01100,0000,01100PHARMACY 82719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82719,A000000,01300,0000,01300SOCIAL SERVICE 82719,A000000,01350,0000,01500OTHER GENERAL SERVICES 82719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82719,A000000,01600,0000,01600SKILLED NURSING FACILITY 82719,A000000,01800,0000,01800NURSING FACILITY 82719,A000000,01810,0000,01810ICF/MR 82719,A000000,01900,0000,01900OTHER LONG TERM CARE 82719,A000000,02100,0000,02100RADIOLOGY 82719,A000000,02200,0000,02200LABORATORY 82719,A000000,02300,0000,02300INTRAVENOUS THERAPY 82719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82719,A000000,02500,0000,02500PHYSICAL THERAPY 82719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82719,A000000,02700,0000,02700SPEECH PATHOLOGY 82719,A000000,02800,0000,02800ELECTROCARDIOLOGY 82719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82719,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82719,A000000,03200,0000,03200SUPPORT SURFACES 82719,A000000,03400,0000,03400CLINIC 82719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82719,A000000,03500,0000,03500RURAL HEALTH CLINIC 82719,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82719,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82719,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82719,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82719,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82719,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82719,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82719,A000000,04400,0000,04400DME RENTED - HHA 82719,A000000,04500,0000,04500DME SOLD - HHA 82719,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82719,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82719,A000000,04800,0000,04800AMBULANCE 82719,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82719,A000000,05000,0000,05000CORF 82719,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82719,A000000,05300,0000,05300INTEREST EXPENSE 82719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82719,A000000,05500,0000,05500HOSPICE 82719,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82719,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82719,A000000,06100,0000,06100NONPAID WORKERS 82719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82719,A000000,06200,0000,06200PATIENTS LAUNDRY 82719,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82719,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82719,B100000,00000,0300,00000GROSS SALAIRES :EMPLOYEE BENEFITS 82719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82719,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82719,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82719,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82719,B100000,00000,0800,00000MEALS SERVED :DIETARY 82719,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82719,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82719,S000000,00100,0200,11/27/2000 82719,S200000,00100,0100,130 DANA STREET 82719,S200000,00200,0100,FORT BRAGG 82719,S200000,00200,0200,CA 82719,S200000,00200,0300,95437- 82719,S200000,00300,0100,MENDOCINO 82719,S200000,00300,0200,9905 82719,S200000,00300,0300,R 82719,S200000,00400,0100,SHERWOOD OAKS HEALTH CENTER 82719,S200000,00400,0200,056483 82719,S200000,00400,0300,09/01/1978 82719,S200000,00400,0500,P 82719,S200000,01004,0500,O 82719,S200000,01500,0100,Y 82719,S200000,02800,0100,Y 82728,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82728,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82728,A000000,00300,0000,00300EMPLOYEE BENEFITS 82728,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82728,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82728,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82728,A000000,00700,0000,00700HOUSEKEEPING 82728,A000000,00800,0000,00800DIETARY 82728,A000000,00900,0000,00900NURSING ADMINISTRATION 82728,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82728,A000000,01300,0000,01300SOCIAL SERVICE 82728,A000000,01600,0000,01600SKILLED NURSING FACILITY 82728,A000000,01800,0000,01800NURSING FACILITY 82728,A000000,02100,0000,02100RADIOLOGY 82728,A000000,02200,0000,02200LABORATORY 82728,A000000,02300,0000,02300INTRAVENOUS THERAPY 82728,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82728,A000000,02500,0000,02500PHYSICAL THERAPY 82728,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82728,A000000,02700,0000,02700SPEECH PATHOLOGY 82728,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82728,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82728,A000000,03200,0000,03200SUPPORT SURFACES 82728,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82728,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82728,A81000A,00100,0100,Y 82728,A81000B,00100,0300,MANAGEMENT FEES 82728,A81000B,00200,0300,HOME OFFICE - BUILDING 82728,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 82728,A81000B,00400,0300,SUB-ACUTE THERAPY 82728,A81000B,00500,0300,PHYSICAL THERAPY 82728,A81000B,00600,0300,OCCUPATIONAL THERAPY 82728,A81000B,00700,0300,SPEECH THERAPY 82728,A81000B,00800,0300,RESPIRATORY THERAPY 82728,A81000B,00900,0300,SCU MEDICAL SUPPLIES 82728,A81000B,01000,0300,CDP MEDICAL SUPPLIES 82728,A81000B,01100,0300,MEDICAL SUPPLIES 82728,A81000B,01200,0300,IV THERAPY 82728,A81000B,01300,0300,ENTERAL SUPPLIES 82728,A81000B,01400,0300,PHARMACY 82728,A81000B,01500,0300,BUILDING RENT 82728,A81000C,00100,0100,B 82728,A81000C,00100,0200,FOUNTAIN VIEW INC. 82728,A81000C,00100,0400,RIO HONDO CONV. HOSPITAL 82728,A81000C,00100,0600,SNF 82728,A81000C,00200,0100,B 82728,A81000C,00200,0200,FOUNTAIN VIEW INC. 82728,A81000C,00200,0400,LOCOMOTION 82728,A81000C,00200,0600,THERAPY COMPANY 82728,A81000C,00300,0100,B 82728,A81000C,00300,0200,FOUNTAIN VIEW INC 82728,A81000C,00300,0400,I N O 82728,A81000C,00300,0600,MEDICAL SUPPLIES 82728,A81000C,00400,0100,B 82728,A81000C,00400,0200,FOUNTAIN VIEW INC 82728,A81000C,00400,0400,GRANVIEW REALTY 82728,A81000C,00400,0600,REALTY MANAGEMENT 82728,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82728,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82728,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82728,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82728,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82728,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82728,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82728,B100000,00000,0800,00000MEALS SERVED :DIETARY 82728,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82728,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82728,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82728,S000000,00100,0200,06/01/2000 82728,S200000,00100,0100,273 E. BEVERLY BLVD. 82728,S200000,00200,0100,MONTEBELLO 82728,S200000,00200,0200,CA 82728,S200000,00200,0300,90640- 82728,S200000,00300,0100,LOS ANGELES 82728,S200000,00400,0100,RIO HONDO CONVALESCENT HOSPITAL 82728,S200000,00400,0200,056487 82728,S200000,00400,0300,06/01/1990 82728,S200000,00400,0500,P 82728,S200000,00400,0600,O 82728,S200000,00600,0200,056487 82728,S200000,00600,0300,06/01/1990 82728,S200000,00600,0600,P 82728,S200000,01600,0100,Y 82728,S700003,00000,0100,1 82736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82736,A000000,00300,0000,00300EMPLOYEE BENEFITS 82736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82736,A000000,00700,0000,00700HOUSEKEEPING 82736,A000000,00800,0000,00800DIETARY 82736,A000000,00900,0000,00900NURSING ADMINISTRATION 82736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82736,A000000,01100,0000,01100PHARMACY 82736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82736,A000000,01300,0000,01300SOCIAL SERVICE 82736,A000000,01350,0000,01500OTHER GENERAL SERVICES 82736,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82736,A000000,01600,0000,01600SKILLED NURSING FACILITY 82736,A000000,01800,0000,01800NURSING FACILITY 82736,A000000,01810,0000,01801ICF/MR 82736,A000000,01900,0000,01900OTHER LONG TERM CARE 82736,A000000,02100,0000,02100RADIOLOGY 82736,A000000,02200,0000,02200LABORATORY 82736,A000000,02300,0000,02300INTRAVENOUS THERAPY 82736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82736,A000000,02500,0000,02500PHYSICAL THERAPY 82736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82736,A000000,02700,0000,02700SPEECH PATHOLOGY 82736,A000000,02800,0000,02800ELECTROCARDIOLOGY 82736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82736,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82736,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82736,A000000,03200,0000,03200SUPPORT SURFACES 82736,A000000,03400,0000,03400CLINIC 82736,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82736,A000000,03500,0000,03500RURAL HEALTH CLINIC 82736,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82736,A000000,04800,0000,04800AMBULANCE 82736,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82736,A000000,05000,0000,05000CORF 82736,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82736,A000000,05300,0000,05300INTEREST EXPENSE 82736,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82736,A000000,05500,0000,05500HOSPICE 82736,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82736,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82736,A000000,06100,0000,06100NONPAID WORKERS 82736,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82736,A000000,06200,0000,06200PATIENTS LAUNDRY 82736,A81000A,00100,0100,Y 82736,A81000B,00100,0300,LEASE 82736,A81000B,00200,0300,INTEREST 82736,A81000B,00300,0300,DEPRECIATION 82736,A81000B,00400,0300,OTHER RENTAL EXPENSES 82736,A81000B,00500,0300,HOME OFFICE COST 82736,A81000B,00600,0300,MANAGEMENT FEES 82736,A81000C,00100,0100,A 82736,A81000C,00100,0200,GEORGE HARDI 82736,A81000C,00100,0400,PETER INVESTMENT COMPANY 82736,A81000C,00100,0600,LESSOR 82736,A81000C,00200,0100,A 82736,A81000C,00200,0200,GEORGE HARDI 82736,A81000C,00200,0400,HARDI NURSING HOME MGMT 82736,A81000C,00200,0600,HOME OFFICE 82736,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82736,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82736,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82736,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82736,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82736,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82736,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82736,B100000,00000,0800,00000MEALS SERVED :DIETARY 82736,B100000,00000,0900,00000 DIRECT NRSG HOURS:NURSING ADMINIST 82736,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82736,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82736,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82736,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82736,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82736,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82736,S000000,00100,0200,06/02/2000 82736,S200000,00100,0100,5401 FOUNTAIN AVENUE 82736,S200000,00200,0100,LOS ANGELES 82736,S200000,00200,0200,CA 82736,S200000,00200,0300,90029- 82736,S200000,00300,0100,LOS ANGELES 82736,S200000,00400,0100,SERRANO NORTH CONVALESCENT HOSPITAL 82736,S200000,00400,0200,056489 82736,S200000,00400,0300,01/01/1980 82736,S200000,00400,0500,P 82736,S200000,01500,0100,Y 82736,S700003,00000,0100,1 82742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82742,A000000,00300,0000,00300EMPLOYEE BENEFITS 82742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82742,A000000,00700,0000,00700HOUSEKEEPING 82742,A000000,00800,0000,00800DIETARY 82742,A000000,00900,0000,00900NURSING ADMINISTRATION 82742,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82742,A000000,01100,0000,01100PHARMACY 82742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82742,A000000,01300,0000,01300SOCIAL SERVICE 82742,A000000,01350,0000,01500OTHER GENERAL SERVICES 82742,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82742,A000000,01600,0000,01600SKILLED NURSING FACILITY 82742,A000000,01800,0000,01800NURSING FACILITY 82742,A000000,01810,0000,01801ICF/MR 82742,A000000,01900,0000,01900OTHER LONG TERM CARE 82742,A000000,02100,0000,02100RADIOLOGY 82742,A000000,02200,0000,02200LABORATORY 82742,A000000,02300,0000,02300INTRAVENOUS THERAPY 82742,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82742,A000000,02500,0000,02500PHYSICAL THERAPY 82742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82742,A000000,02700,0000,02700SPEECH PATHOLOGY 82742,A000000,02800,0000,02800ELECTROCARDIOLOGY 82742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82742,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82742,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82742,A000000,03200,0000,03200SUPPORT SURFACES 82742,A000000,03400,0000,03400CLINIC 82742,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82742,A000000,03500,0000,03500RURAL HEALTH CLINIC 82742,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82742,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82742,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82742,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82742,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82742,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82742,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82742,A000000,04400,0000,04400DME RENTED - HHA 82742,A000000,04500,0000,04500DME SOLD - HHA 82742,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82742,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82742,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82742,A000000,04800,0000,04800AMBULANCE 82742,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82742,A000000,05000,0000,05000CORF 82742,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82742,A000000,05300,0000,05300INTEREST EXPENSE 82742,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82742,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82742,A000000,05500,0000,05500HOSPICE 82742,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82742,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82742,A000000,06100,0000,06100NONPAID WORKERS 82742,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82742,A000000,06200,0000,06200PATIENTS LAUNDRY 82742,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82742,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82742,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82742,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82742,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82742,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82742,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82742,B100000,00000,0800,00000MEALS SERVED :DIETARY 82742,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82742,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 82742,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 82742,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82742,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82742,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 82742,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82742,S000000,00100,0200,06/01/2000 82742,S200000,00100,0100,10410 COLOMA ROAD 82742,S200000,00200,0100,RANCHO CORDOVA 82742,S200000,00200,0200,CA 82742,S200000,00200,0300,95670- 82742,S200000,00300,0100,SACRAMENTO 82742,S200000,00400,0100,CASA COLOMA HEALTH CARE CENTER 82742,S200000,00400,0200,056495 82742,S200000,00400,0300,11/19/1975 82742,S200000,00400,0500,P 82742,S200000,01600,0100,Y 82742,S700003,00000,0100,1 82751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82751,A000000,00300,0000,00300EMPLOYEE BENEFITS 82751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82751,A000000,00700,0000,00700HOUSEKEEPING 82751,A000000,00800,0000,00800DIETARY 82751,A000000,00900,0000,00900NURSING ADMINISTRATION 82751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82751,A000000,01100,0000,01100PHARMACY 82751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82751,A000000,01300,0000,01300SOCIAL SERVICE 82751,A000000,01600,0000,01600SKILLED NURSING FACILITY 82751,A000000,01800,0000,01800NURSING FACILITY 82751,A000000,01900,0000,01900OTHER LONG TERM CARE 82751,A000000,02100,0000,02100RADIOLOGY 82751,A000000,02200,0000,02200LABORATORY 82751,A000000,02300,0000,02300INTRAVENOUS THERAPY 82751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82751,A000000,02500,0000,02500PHYSICAL THERAPY 82751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82751,A000000,02700,0000,02700SPEECH PATHOLOGY 82751,A000000,02800,0000,02800ELECTROCARDIOLOGY 82751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82751,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82751,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82751,A000000,03200,0000,03200SUPPORT SURFACES 82751,A000000,04800,0000,04800AMBULANCE 82751,A000000,05000,0000,05000CORF 82751,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82751,A000000,05300,0000,05300INTEREST EXPENSE 82751,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82751,A81000A,00100,0100,Y 82751,A81000B,00100,0300,HEADQUARTERS ALLOCATION 82751,A81000B,00200,0300,INTEREST ALLOCATION 82751,A81000B,00300,0300,RELATED PHARMACY 82751,A81000C,00100,0100,B 82751,A81000C,00100,0200,INTERNEXT 82751,A81000C,00100,0400,INTERNEXT 82751,A81000C,00100,0600,HOME OFFICE 82751,A81000C,00200,0100,B 82751,A81000C,00200,0200,INTERNEXT 82751,A81000C,00200,0400,SOUTHLAND 82751,A81000C,00200,0600,SENIOR HOUSING 82751,A81000C,00300,0100,B 82751,A81000C,00300,0200,INTERNEXT 82751,A81000C,00300,0400,THE ALHAMBRA 82751,A81000C,00300,0600,SENIOR HOUSING 82751,A81000C,00400,0100,B 82751,A81000C,00400,0200,INTERNEXT 82751,A81000C,00400,0400,WALNUT MANOR 82751,A81000C,00400,0600,SENIOR 82751,A81000C,00500,0100,B 82751,A81000C,00500,0200,INTERNEXT 82751,A81000C,00500,0400,KINGSLEY MANOR 82751,A81000C,00500,0600,SENIOR 82751,A81000C,00600,0100,B 82751,A81000C,00600,0200,INTERNEXT 82751,A81000C,00600,0400,FREDERICKA MANO 82751,A81000C,00600,0600,SENIOR 82751,A81000C,00700,0100,B 82751,A81000C,00700,0200,INTERNEXT 82751,A81000C,00700,0400,CLAREMONT MANOR 82751,A81000C,00700,0600,SENIOR 82751,A81000C,00800,0100,B 82751,A81000C,00800,0200,INTERNEXT 82751,A81000C,00800,0400,LA JOLLA CARE C 82751,A81000C,00800,0600,SENIOR 82751,A81000C,00900,0100,B 82751,A81000C,00900,0200,INTERNEXT 82751,A81000C,00900,0400,VISTA DEL MONTE 82751,A81000C,00900,0600,SENIOR 82751,A81000C,01000,0100,B 82751,A81000C,01000,0200,INTERNEXT 82751,A81000C,01000,0400,VILLA GARDENS 82751,A81000C,01000,0600,SENIOR 82751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82751,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82751,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82751,B100000,00000,0800,00000MEALS SERVED :DIETARY 82751,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82751,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82751,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 82751,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82751,S000000,00100,0200,09/25/2000 82751,S200000,00100,0100,2855 CARLSBAD BLVD 82751,S200000,00200,0100,CARLSBAD 82751,S200000,00200,0200,CA 82751,S200000,00200,0300,92008- 82751,S200000,00300,0100,SAN DIEGO 82751,S200000,00300,0200,7320 82751,S200000,00300,0300,U 82751,S200000,00400,0100,CARLSBAD BY THE SEA 82751,S200000,00400,0200,056496 82751,S200000,00400,0300,01/01/1989 82751,S200000,00400,0500,P 82751,S200000,01500,0100,Y 82757,S000000,00100,0200,02/13/2001 82778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82778,A000000,00300,0000,00300EMPLOYEE BENEFITS 82778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82778,A000000,00700,0000,00700HOUSEKEEPING 82778,A000000,00800,0000,00800DIETARY 82778,A000000,00900,0000,00900NURSING ADMINISTRATION 82778,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82778,A000000,01100,0000,01100PHARMACY 82778,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82778,A000000,01300,0000,01300SOCIAL SERVICE 82778,A000000,01350,0000,01301TRANSPORTATION 82778,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82778,A000000,01600,0000,01600SKILLED NURSING FACILITY 82778,A000000,01810,0000,01810ICF/MR 82778,A000000,02100,0000,02100RADIOLOGY 82778,A000000,02200,0000,02200LABORATORY 82778,A000000,02500,0000,02500PHYSICAL THERAPY 82778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82778,A000000,02700,0000,02700SPEECH PATHOLOGY 82778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82778,A000000,03550,0000,03550FQHC 82778,A000000,05000,0000,05000CORF 82778,A000000,05010,0000,05010CMHC 82778,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82778,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82778,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82778,A000000,05300,0000,05300INTEREST EXPENSE 82778,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82778,A000000,06153,0000,06300DEVELOPMENT 82778,A000000,06154,0000,06301ASSISTED LIVING 82778,A000000,06155,0000,06302LIFECARE 82778,A81000A,00100,0100,Y 82778,A81000B,00100,0300,CENTURA COSTS 82778,A81000B,00200,0300,CHI ADMIN COSTS 82778,A81000B,00300,0300,CHI INTEREST 82778,A81000B,00400,0300,CHI CAPITAL INS 82778,A81000B,00500,0300,CHI CAPITAL INS 82778,A81000C,00100,0100,B 82778,A81000C,00100,0400,CHI 82778,A81000C,00100,0600,HEALTHCARE 82778,A81000C,00200,0100,B 82778,A81000C,00200,0400,CENTURA HEALTH 82778,A81000C,00200,0600,HEALTHCARE 82778,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 82778,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 82778,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 82778,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 82778,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 82778,B100000,00000,0650,00002SQUARE FEET :LAUNDRY & LINEN SERVI 82778,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 82778,B100000,00000,0800,00002MEALS SERVED :DIETARY 82778,B100000,00000,1350,00002TIME SPENT :TRANSPORTATION 82778,E10A180,00301,0100,01/12/2000 82778,S000000,00100,0200,12/01/2000 82778,S200000,00100,0100,2501 SOUTH 104TH AVENUE 82778,S200000,00200,0100,THORTON 82778,S200000,00200,0200,CO 82778,S200000,00200,0300,80233- 82778,S200000,00300,0100,ADAMS 82778,S200000,00300,0200,2080 82778,S200000,00300,0300,U 82778,S200000,00400,0100,VILLA AT SUNNY ACRES 82778,S200000,00400,0200,065108 82778,S200000,00400,0300,05/01/1983 82778,S200000,00400,0500,P 82778,S200000,01500,0100,Y 82778,S200000,01900,0100,CORPORATION 82778,S200000,02200,0100,Y 82787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82787,A000000,00300,0000,00300EMPLOYEE BENEFITS 82787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82787,A000000,00700,0000,00700HOUSEKEEPING 82787,A000000,00800,0000,00800DIETARY 82787,A000000,00900,0000,00900NURSING ADMINISTRATION 82787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82787,A000000,01100,0000,01100PHARMACY 82787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82787,A000000,01300,0000,01300SOCIAL SERVICE 82787,A000000,01350,0000,01301TRANSPORT 82787,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82787,A000000,01600,0000,01600SKILLED NURSING FACILITY 82787,A000000,01810,0000,01810ICF/MR 82787,A000000,02100,0000,02100RADIOLOGY 82787,A000000,02200,0000,02200LABORATORY 82787,A000000,02500,0000,02500PHYSICAL THERAPY 82787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82787,A000000,02700,0000,02700SPEECH PATHOLOGY 82787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82787,A000000,03550,0000,03550FQHC 82787,A000000,05000,0000,05000CORF 82787,A000000,05010,0000,05010CMHC 82787,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82787,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82787,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82787,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82787,A000000,06150,0000,06300OTHER NONREIMB 82787,A000000,06151,0000,06301LIFECARE 82787,A000000,06152,0000,06302ASSISTED LIVING 82787,A81000A,00100,0100,Y 82787,A81000B,00100,0300,CHI INTEREST EXP 82787,A81000B,00200,0300,CHI INSURANCE EXP 82787,A81000B,00300,0300,CHI CAPITAL INS EXP 82787,A81000B,00400,0300,CHI ADMIN SERVICES 82787,A81000B,00500,0300,CENTURA ADMIN SRVCS 82787,A81000B,00600,0300,CENTURA EHW COSTS 82787,A81000C,00100,0100,B 82787,A81000C,00100,0200,CENTURA HEALTH 82787,A81000C,00200,0100,B 82787,A81000C,00200,0200,CHI 82787,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 82787,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 82787,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 82787,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 82787,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 82787,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 82787,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 82787,B100000,00000,0800,00002MEALS SERVED :DIETARY 82787,B100000,00000,1350,00002TIME SPENT :TRANSPORT 82787,E10A180,00301,0100,01/07/2000 82787,E10A180,00501,0100,01/11/2001 82787,E10A180,00501,0300,01/11/2001 82787,S000000,00100,0200,12/01/2000 82787,S200000,00100,0100,1719 EAST BIJOU STREET 82787,S200000,00200,0100,COLORADO SPRINGS 82787,S200000,00200,0200,CO 82787,S200000,00200,0300,80909- 82787,S200000,00300,0100,EL PASO 82787,S200000,00300,0200,1720 82787,S200000,00300,0300,U 82787,S200000,00400,0100,MEDALION MEDICAL CENTER 82787,S200000,00400,0200,065113 82787,S200000,00400,0300,09/20/1970 82787,S200000,00400,0500,P 82787,S200000,01500,0100,Y 82787,S200000,01900,0100,CORPORATION 82796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82796,A000000,00300,0000,00300EMPLOYEE BENEFITS 82796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82796,A000000,00700,0000,00700HOUSEKEEPING 82796,A000000,00800,0000,00800DIETARY 82796,A000000,00900,0000,00900NURSING ADMINISTRATION 82796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82796,A000000,01100,0000,01100PHARMACY 82796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82796,A000000,01300,0000,01300SOCIAL SERVICE 82796,A000000,01350,0000,01301TRANSPORTATION 82796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82796,A000000,01600,0000,01600SKILLED NURSING FACILITY 82796,A000000,01810,0000,01810ICF/MR 82796,A000000,02100,0000,02100RADIOLOGY 82796,A000000,02500,0000,02500PHYSICAL THERAPY 82796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82796,A000000,02700,0000,02700SPEECH PATHOLOGY 82796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82796,A000000,03550,0000,03550FQHC 82796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82796,A000000,05000,0000,05000CORF 82796,A000000,05010,0000,05010CMHC 82796,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82796,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82796,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82796,A000000,05300,0000,05300INTEREST EXPENSE 82796,A000000,06150,0000,06300ASSISTED LIVING 82796,A000000,06151,0000,06301CATERED LIVING 82796,A000000,06152,0000,06302INDEPENDENT LIVING 82796,A81000A,00100,0100,Y 82796,A81000B,00100,0300,CENTURA COSTS 82796,A81000B,00200,0300,CENTURA EHW COSTS 82796,A81000B,00300,0300,CHI OTHER COSTS 82796,A81000B,00400,0300,CHI INTEREST 82796,A81000B,00500,0300,CHI INSURANCE COST 82796,A81000B,00600,0300,CHI INSURANCE COSTS 82796,A81000C,00100,0100,B 82796,A81000C,00100,0400,CENTURA HEALTH 82796,A81000C,00100,0600,HEALTHCARE 82796,A81000C,00200,0100,B 82796,A81000C,00200,0400,CHI 82796,A81000C,00200,0600,HEALTHCARE 82796,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 82796,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 82796,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 82796,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 82796,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 82796,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 82796,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 82796,B100000,00000,0800,00002MEALS SERVED :DIETARY 82796,B100000,00000,1350,00002TIME SPENT :TRANSPORTATION 82796,E10A180,00501,0100,01/17/2001 82796,E10A180,00501,0300,01/17/2001 82796,S000000,00100,0200,12/01/2000 82796,S200000,00100,0100,1111 BONFORTE BOULEVARD 82796,S200000,00200,0100,PUEBLO 82796,S200000,00200,0200,CO 82796,S200000,00200,0300,81001- 82796,S200000,00300,0100,PUEBLO 82796,S200000,00300,0200,2080 82796,S200000,00300,0300,U 82796,S200000,00400,0100,VILLA PUEBLO TOWERS 82796,S200000,00400,0200,065121 82796,S200000,00400,0300,01/01/1983 82796,S200000,00400,0500,P 82796,S200000,01500,0100,Y 82796,S200000,01900,0100,CORPORATION 82796,S200000,02800,0100,Y 82802,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82802,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 82802,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82802,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 82802,A000000,00300,0000,00300EMPLOYEE BENEFITS 82802,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82802,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82802,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82802,A000000,00700,0000,00700HOUSEKEEPING 82802,A000000,00800,0000,00800DIETARY 82802,A000000,00801,0000,00801CAFETERIA 82802,A000000,00900,0000,00900NURSING ADMINISTRATION 82802,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82802,A000000,01100,0000,01100PHARMACY 82802,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82802,A000000,01300,0000,01300SOCIAL SERVICE 82802,A000000,01350,0000,01500ACTIVITIES 82802,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82802,A000000,01600,0000,01600SKILLED NURSING FACILITY 82802,A000000,01800,0000,01800NURSING FACILITY 82802,A000000,01900,0000,01900OTHER LONG TERM CARE 82802,A000000,02100,0000,02100RADIOLOGY 82802,A000000,02200,0000,02200LABORATORY 82802,A000000,02300,0000,02300INTRAVENOUS THERAPY 82802,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82802,A000000,02500,0000,02500PHYSICAL THERAPY 82802,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82802,A000000,02700,0000,02700SPEECH PATHOLOGY 82802,A000000,02800,0000,02800ELECTROCARDIOLOGY 82802,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82802,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82802,A000000,03050,0000,03300OTHER ANCILLARY 82802,A000000,03051,0000,03301OTHER ANCILLARY II 82802,A000000,03052,0000,03302OTHER ANCILLARY III 82802,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82802,A000000,03200,0000,03200SUPPORT SURFACES 82802,A000000,03400,0000,03400CLINIC 82802,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 82802,A000000,03500,0000,03500RURAL HEALTH CLINIC 82802,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82802,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82802,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82802,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82802,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82802,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82802,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82802,A000000,04400,0000,04400DME RENTED - HHA 82802,A000000,04500,0000,04500DME SOLD - HHA 82802,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82802,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82802,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82802,A000000,04800,0000,04800AMBULANCE 82802,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82802,A000000,05000,0000,05000CORF 82802,A000000,05010,0000,05010CMHC I 82802,A000000,05020,0000,05020OPT I 82802,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82802,A000000,05300,0000,05300INTEREST EXPENSE 82802,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 82802,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 82802,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82802,A000000,05500,0000,05500HOSPICE 82802,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82802,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82802,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82802,A000000,06100,0000,06100NONPAID WORKERS 82802,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82802,A000000,06200,0000,06200PATIENTS LAUNDRY 82802,A81000A,00100,0100,Y 82802,A81000B,00100,0300,MANAGEMENT FEE 82802,A81000C,00100,0100,B 82802,A81000C,00100,0200,CHANCELLOR HC 82802,A81000C,00200,0100,A 82802,A81000C,00200,0200,ROSENTHAL TRUST 82802,A81000C,00300,0100,A 82802,A81000C,00300,0200,L&A HENDERSHOT 82802,A81000C,00400,0100,A 82802,A81000C,00400,0200,D. GRONZY 82802,A81000C,00500,0100,A 82802,A81000C,00500,0200,A. DIBIASE 82802,A81000C,00600,0100,A 82802,A81000C,00600,0200,S&C VITRANO 82802,A81000C,00700,0100,A 82802,A81000C,00700,0200,R&S BLADES 82802,A81000C,00800,0100,A 82802,A81000C,00800,0200,WARREN FRANCIS 82802,A81000C,00900,0100,A 82802,A81000C,00900,0200,SUDDARTH/CHILD 82802,A81000C,01000,0100,A 82802,A81000C,01000,0200,COLLETT/DIBIAS 82802,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 82802,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 82802,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 82802,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 82802,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 82802,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82802,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 82802,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 82802,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 82802,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 82802,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 82802,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 82802,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 82802,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 82802,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 82802,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 82802,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 82802,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 82802,S000000,00100,0200,05/30/2000 82802,S200000,00100,0100,1330 N. SIDNEY AVENUE 82802,S200000,00200,0100,STERLING 82802,S200000,00200,0200,CO 82802,S200000,00200,0300,80751- 82802,S200000,00300,0100,LOGAN 82802,S200000,00400,0100,CHANCELLOR HEALTH CARE OF COLORADO 82802,S200000,00400,0200,065150 82802,S200000,00400,0300,05/17/1979 82802,S200000,00400,0500,P 82802,S200000,01500,0100,Y 82802,S700003,00000,0100,1 82835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82835,A000000,00300,0000,00300EMPLOYEE BENEFITS 82835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82835,A000000,00700,0000,00700HOUSEKEEPING 82835,A000000,00800,0000,00800DIETARY 82835,A000000,00900,0000,00900NURSING ADMINISTRATION 82835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82835,A000000,01100,0000,01100PHARMACY 82835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82835,A000000,01300,0000,01300SOCIAL SERVICE 82835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82835,A000000,01600,0000,01600SKILLED NURSING FACILITY 82835,A000000,02100,0000,02100RADIOLOGY 82835,A000000,02200,0000,02200LABORATORY 82835,A000000,02300,0000,02300INTRAVENOUS THERAPY 82835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82835,A000000,02500,0000,02500PHYSICAL THERAPY 82835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82835,A000000,02700,0000,02700SPEECH PATHOLOGY 82835,A000000,02800,0000,02800ELECTROCARDIOLOGY 82835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82835,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82835,A000000,03200,0000,03200SUPPORT SURFACES 82835,A000000,03400,0000,03400CLINIC 82835,A000000,04800,0000,04800AMBULANCE 82835,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82835,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82835,A000000,05300,0000,05300INTEREST EXPENSE 82835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82835,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82835,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82835,A000000,06100,0000,06100NONPAID WORKERS 82835,A000000,06200,0000,06200PATIENTS LAUNDRY 82835,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82835,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 82835,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82835,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82835,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82835,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82835,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82835,B100000,00000,0800,00000MEALS SERVED :DIETARY 82835,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 82835,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82835,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82835,E10A180,00501,0100,06/11/2000 82835,E10A180,00501,0300,06/11/2000 82835,S000000,00100,0200,06/01/2000 82835,S200000,00100,0100,7991 W. 71ST AVENUE 82835,S200000,00200,0100,ARVADA 82835,S200000,00200,0200,CO 82835,S200000,00200,0300,80004- 82835,S200000,00300,0100,JEFFERSON 82835,S200000,00300,0200,2080 82835,S200000,00300,0300,U 82835,S200000,00400,0100,EXEMPLA COLORADO LUTHERAN HOME 82835,S200000,00400,0200,065330 82835,S200000,00400,0300,09/26/1994 82835,S200000,00400,0500,P 82835,S200000,00400,0600,O 82835,S200000,01500,0100,Y 82844,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82844,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82844,A000000,00300,0000,00300EMPLOYEE BENEFITS 82844,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82844,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82844,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82844,A000000,00700,0000,00700HOUSEKEEPING 82844,A000000,00800,0000,00800DIETARY 82844,A000000,00900,0000,00900NURSING ADMINISTRATION 82844,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82844,A000000,01100,0000,01100PHARMACY 82844,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82844,A000000,01300,0000,01300SOCIAL SERVICE 82844,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82844,A000000,01600,0000,01600SKILLED NURSING FACILITY 82844,A000000,01800,0000,01800NURSING FACILITY 82844,A000000,01900,0000,01900OTHER LONG TERM CARE 82844,A000000,02100,0000,02100RADIOLOGY 82844,A000000,02200,0000,02200LABORATORY 82844,A000000,02201,0000,02201SURGERY 82844,A000000,02300,0000,02300INTRAVENOUS THERAPY 82844,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82844,A000000,02401,0000,02401CARDIAC THERAPY 82844,A000000,02402,0000,02402HYPERBARIC 82844,A000000,02403,0000,02403WOUNDCARE 82844,A000000,02404,0000,02404SLEEP DISORDER 82844,A000000,02405,0000,02405VASCULAR LAB 82844,A000000,02406,0000,02406OTHER ANCILLARY 82844,A000000,02407,0000,02407OTHER ANCILLARY 82844,A000000,02408,0000,02408OTHER ANCILLARY 82844,A000000,02500,0000,02500PHYSICAL THERAPY 82844,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82844,A000000,02700,0000,02700SPEECH PATHOLOGY 82844,A000000,02800,0000,02800ELECTROCARDIOLOGY 82844,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82844,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82844,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82844,A000000,03200,0000,03200SUPPORT SURFACES 82844,A000000,03400,0000,03400CLINIC 82844,A000000,03500,0000,03500RURAL HEALTH CLINIC 82844,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82844,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82844,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82844,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82844,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82844,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82844,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82844,A000000,04400,0000,04400DME RENTED - HHA 82844,A000000,04500,0000,04500DME SOLD - HHA 82844,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82844,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82844,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82844,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82844,A000000,05300,0000,05300INTEREST EXPENSE 82844,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82844,A000000,05500,0000,05500HOSPICE 82844,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82844,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82844,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82844,A000000,06100,0000,06100NONPAID WORKERS 82844,A000000,06150,0000,06300INN AT PARK MANOR 82844,A000000,06151,0000,06301TOTAL LONG TERM CARE 82844,A000000,06152,0000,06302ASSISTED LIVING 82844,A000000,06200,0000,06200PATIENTS LAUNDRY 82844,A81000A,00100,0100,Y 82844,A81000B,00100,0300,MANAGEMENT FEES PART II EX 3 82844,A81000B,00200,0300,MALPRACTICE PART II EX 4 82844,A81000B,00300,0300,DENVER SUPPORT SVCS PART II EX 3C 82844,A81000B,00400,0300,ALLOCATE OVERHEAD EX 3E & 3D 82844,A81000B,00500,0300,ALLOCATE OVERHEAD EX 3E & 3D 82844,A81000B,00600,0300,ALLOCATE OVERHEAD EX 3E & 3D 82844,A81000B,00700,0300,ALLOCATE OVERHEAD EX 3E & 3D 82844,A81000B,00800,0300,ALLOCATE OVERHEAD EX 3E & 3D 82844,A81000B,00900,0300,ALLOCATE OVERHEAD EX 3D 82844,A81000B,01000,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01100,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01200,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01300,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01400,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01500,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01600,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01700,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01800,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000B,01900,0300,ANCILLARY COST EX 3E & 3F-1 82844,A81000C,00100,0100,B 82844,A81000C,00100,0400,HCA HEALTHCARE 82844,A81000C,00100,0600,CORPORATION JV 82844,A81000C,00200,0100,B 82844,A81000C,00200,0400,HEALTHONE 82844,A81000C,00200,0600,CORPORATION JV 82844,B100000,00000,0100,00002SQ FT :CAP REL COSTS - BLDGS & FIX 82844,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 82844,B100000,00000,0300,00002GROSS SAL :EMPLOYEE BENEFITS 82844,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 82844,B100000,00000,0500,00002MAINT&PLNT SQ FT :PLANT OPERATION 82844,B100000,00000,0600,00002LAUNDRY POUNDS :LAUNDRY & LINEN SE 82844,B100000,00000,0750,00002HSKPG SQ FT :HOUSEKEEPING 82844,B100000,00000,0800,00002MEALS SERVED :DIETARY 82844,B100000,00000,1000,00002COST OF REQUIS SUP:CENTRAL SERVICES 82844,B100000,00000,1100,00002COST OF REQUIS DRU:PHARMACY 82844,B100000,00000,1250,00002GROSS REV :MEDICAL RECORDS & LIBRA 82844,S000000,00100,0200,11/28/2000 82844,S200000,00100,0100,1801 EAST 19TH AVENUE 82844,S200000,00200,0100,DENVER 82844,S200000,00200,0200,CO 82844,S200000,00200,0300,80218- 82844,S200000,00300,0100,DENVER 82844,S200000,00300,0200,2080 82844,S200000,00300,0300,U 82844,S200000,00400,0100,PROGRESSIVE CARE CENTER 82844,S200000,00400,0200,065363 82844,S200000,00400,0300,09/23/1997 82844,S200000,00400,0500,P 82844,S200000,01500,0100,Y 82844,S200000,02200,0100,Y 82844,S200000,02800,0100,Y 82844,S200000,04300,0100,Y 82905,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82905,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82905,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82905,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82905,A000000,00700,0000,00700HOUSEKEEPING 82905,A000000,00800,0000,00800DIETARY 82905,A000000,00900,0000,00900NURSING ADMINISTRATION 82905,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82905,A000000,01100,0000,01100PHARMACY 82905,A000000,01300,0000,01300SOCIAL SERVICE 82905,A000000,01350,0000,01500OTHER GENERAL SERVICES 82905,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82905,A000000,01600,0000,01600SKILLED NURSING FACILITY 82905,A000000,01800,0000,01800NURSING FACILITY 82905,A000000,01810,0000,01810ICF/MR 82905,A000000,01900,0000,01900OTHER LONG TERM CARE 82905,A000000,02100,0000,02100RADIOLOGY 82905,A000000,02200,0000,02200LABORATORY 82905,A000000,02300,0000,02300INTRAVENOUS THERAPY 82905,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82905,A000000,02500,0000,02500PHYSICAL THERAPY 82905,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82905,A000000,02700,0000,02700SPEECH PATHOLOGY 82905,A000000,02800,0000,02800ELECTROCARDIOLOGY 82905,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82905,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82905,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82905,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82905,A000000,03200,0000,03200SUPPORT SURFACES 82905,A000000,03400,0000,03400CLINIC 82905,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82905,A000000,03500,0000,03500RURAL HEALTH CLINIC 82905,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82905,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82905,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82905,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82905,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82905,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82905,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82905,A000000,04400,0000,04400DME RENTED - HHA 82905,A000000,04500,0000,04500DME SOLD - HHA 82905,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82905,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82905,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82905,A000000,04800,0000,04800AMBULANCE 82905,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82905,A000000,05000,0000,05000CORF 82905,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82905,A000000,05300,0000,05300INTEREST EXPENSE 82905,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82905,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82905,A000000,05500,0000,05500HOSPICE 82905,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82905,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82905,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82905,A000000,06100,0000,06100NONPAID WORKERS 82905,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82905,A000000,06200,0000,06200PATIENTS LAUNDRY 82905,A81000A,00100,0100,Y 82905,A81000B,00100,0300,MANAGEMENT FEES 82905,A81000B,00200,0300,RENT 82905,A81000B,00300,0300,AMORTIZATION 82905,A81000B,00400,0300,REAL ESTATE TAXES 82905,A81000B,00500,0300,DEPRECIATION 82905,A81000B,00600,0300,INTEREST 82905,A81000C,00100,0100,A 82905,A81000C,00100,0200,HARRY TRACTMAN 82905,A81000C,00100,0400,ACCORD HEALTH SERVICES 82905,A81000C,00100,0600,HOME OFFICE 82905,A81000C,00200,0100,A 82905,A81000C,00200,0200,HARRY TRACTMAN 82905,A81000C,00200,0400,BRANDYWINE PROPERTIES 82905,A81000C,00200,0600,REAL ESTATE 82905,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82905,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82905,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82905,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82905,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82905,B100000,00000,0800,00000MEALS SERVES :DIETARY 82905,B100000,00000,0950,00000DIRECT NURSE HRS :NURSING ADMINISTR 82905,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82905,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 82905,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82905,E10A180,00501,0100,01/23/2001 82905,E10A180,00501,0300,01/23/2001 82905,S000000,00100,0200,11/30/2000 82905,S200000,00100,0100,505 GREENBANK ROAD 82905,S200000,00200,0100,WILMINGTON 82905,S200000,00200,0200,DE 82905,S200000,00200,0300,19808- 82905,S200000,00300,0100,NEW CASTLE 82905,S200000,00300,0200,9160 82905,S200000,00300,0300,U 82905,S200000,00400,0100,BRANDYWINE NURSING & REHAB 82905,S200000,00400,0200,085004 82905,S200000,00400,0300,01/01/1967 82905,S200000,00400,0500,P 82905,S200000,01500,0100,Y 82913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82913,A000000,00300,0000,00300EMPLOYEE BENEFITS 82913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82913,A000000,00700,0000,00700HOUSEKEEPING 82913,A000000,00800,0000,00800DIETARY 82913,A000000,00900,0000,00900NURSING ADMINISTRATION 82913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82913,A000000,01100,0000,01100PHARMACY 82913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82913,A000000,01300,0000,01300SOCIAL SERVICE 82913,A000000,01350,0000,00801CAFETERIA 82913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82913,A000000,01600,0000,01600SKILLED NURSING FACILITY 82913,A000000,01800,0000,01800NURSING FACILITY 82913,A000000,02100,0000,02100RADIOLOGY 82913,A000000,02200,0000,02200LABORATORY 82913,A000000,02300,0000,02300INTRAVENOUS THERAPY 82913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82913,A000000,02500,0000,02500PHYSICAL THERAPY 82913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82913,A000000,02700,0000,02700SPEECH PATHOLOGY 82913,A000000,02800,0000,02800ELECTROCARDIOLOGY 82913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82913,A000000,03050,0000,03300CLINITRON BEDS 82913,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82913,A000000,03200,0000,03200SUPPORT SURFACES 82913,A000000,03400,0000,03400CLINIC 82913,A000000,04800,0000,04800AMBULANCE 82913,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82913,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82913,A000000,05300,0000,05300INTEREST EXPENSE 82913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82913,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82913,A000000,06100,0000,06100NONPAID WORKERS 82913,A000000,06200,0000,06200PATIENTS LAUNDRY 82913,A000000,06201,0000,06201DAY CARE 82913,A000000,06202,0000,06202WSWC 82913,A000000,06203,0000,06203LIVINGSTON 82913,A000000,06204,0000,06204CONSULTING INC 82913,A000000,06205,0000,06205DENTAL 82913,A81000A,00100,0100,Y 82913,A81000B,00100,0300,H/O - CAPITAL - BLDGS 82913,A81000B,00200,0300,H/O - CAPITAL - MME 82913,A81000B,00300,0300,H/O - ADMIN 82913,A81000B,00400,0300,PHYSICAL THERAPY 82913,A81000B,00500,0300,OCCUPATIONAL THERAPY 82913,A81000B,00600,0300,SPEECH PATHOLOGY 82913,A81000B,00700,0300,LAB EXPENSE 82913,A81000C,00100,0100,B 82913,A81000C,00100,0200,GSEMC 82913,A81000C,00100,0400,GSEMC 82913,A81000C,00100,0600,MGMT 82913,A81000C,00200,0100,B 82913,A81000C,00200,0200,GSEMC 82913,A81000C,00200,0400,GSEMC 82913,A81000C,00200,0600,MGMT 82913,A81000C,00300,0100,B 82913,A81000C,00300,0200,GSEMC 82913,A81000C,00300,0400,GSEMC 82913,A81000C,00300,0600,MGMT 82913,A81000C,00400,0100,G 82913,A81000C,00400,0200,GSECH 82913,A81000C,00400,0400,GSEMC 82913,A81000C,00400,0600,HEALTH CARE 82913,A81000C,00500,0100,G 82913,A81000C,00500,0200,GSECH 82913,A81000C,00500,0400,GSEMC 82913,A81000C,00500,0600,HEALTH CARE 82913,A81000C,00600,0100,G 82913,A81000C,00600,0200,GSECH 82913,A81000C,00600,0400,GSEMC 82913,A81000C,00600,0600,HEALTH CARE 82913,A81000C,00700,0100,G 82913,A81000C,00700,0200,GSECH 82913,A81000C,00700,0400,GSEMC 82913,A81000C,00700,0600,HEALTH CARE 82913,A81000C,03100,0000,GSECH 82913,B100000,00000,0100,00005SQUARE FEET :CAP REL COSTS - BLDGS 82913,B100000,00000,0250,00005 SQUARE FEET :CAP REL COSTS - MOVAB 82913,B100000,00000,0300,00005GROSS SALARIES :EMPLOYEE BENEFITS 82913,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 82913,B100000,00000,0500,00005SQUARE FEET :PLANT OPERATION MAIN 82913,B100000,00000,0600,00005POUNDS OF LAUNDRY :LAUNDRY & LINEN 82913,B100000,00000,0700,00005HOURS OF SERVICE :HOUSEKEEPING 82913,B100000,00000,0800,00005MEALS SERVED :DIETARY 82913,B100000,00000,0950,00005DIRECT NRSING HRS :NURSING ADMINIST 82913,B100000,00000,1250,00005DOLLAR VALUE :MEDICAL RECORDS & LI 82913,B100000,00000,1300,00005TIME SPENT :SOCIAL SERVICE 82913,B100000,00000,1350,00005MEALS SERVED :CAFETERIA 82913,S000000,00100,0200,06/02/2000 82913,S200000,00100,0100,1380 SOUTHERN AVENUE 82913,S200000,00200,0100,WASHINGTON 82913,S200000,00200,0200,DC 82913,S200000,00200,0300,20032- 82913,S200000,00300,0100,NONE 82913,S200000,00300,0300,U 82913,S200000,00400,0100,HEALTH CARE INSTITUTE 82913,S200000,00400,0200,095015 82913,S200000,00400,0300,08/26/1982 82913,S200000,00400,0500,P 82913,S200000,00600,0200,250820 82913,S200000,00600,0300,08/26/1982 82913,S200000,00600,0600,P 82913,S200000,01900,0100,OTHER 82921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82921,A000000,00300,0000,00300EMPLOYEE BENEFITS 82921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82921,A000000,00700,0000,00700HOUSEKEEPING 82921,A000000,00800,0000,00800DIETARY 82921,A000000,00900,0000,00900NURSING ADMINISTRATION 82921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82921,A000000,01300,0000,01300SOCIAL SERVICE 82921,A000000,01600,0000,01600SKILLED NURSING FACILITY 82921,A000000,01800,0000,01800NURSING FACILITY 82921,A000000,02100,0000,02100RADIOLOGY 82921,A000000,02200,0000,02200LABORATORY 82921,A000000,02500,0000,02500PHYSICAL THERAPY 82921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82921,A000000,02700,0000,02700SPEECH PATHOLOGY 82921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82921,A000000,03200,0000,03200SUPPORT SURFACES 82921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82921,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82921,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82921,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82921,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82921,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82921,B100000,00000,0750,00000SQUARE FEEET :HOUSEKEEPING 82921,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82921,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 82921,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82921,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82921,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82921,S000000,00100,0200,05/31/2000 82921,S200000,00100,0100,1818 NEWTON STREET 82921,S200000,00200,0100,WASHINGTON D.C. 82921,S200000,00200,0300,20010- 82921,S200000,00400,0100,STODDARD BAPTIST NURSING HOME 82921,S200000,00400,0200,095020 82921,S200000,00400,0300,01/01/1987 82921,S200000,00400,0500,P 82921,S200000,00600,0200,095020 82921,S200000,00600,0300,01/01/1987 82921,S200000,00600,0600,O 82921,S200000,01600,0100,Y 82921,S200000,04300,0100,Y 82921,S700003,00000,0100,1 82927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82927,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 82927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82927,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 82927,A000000,00300,0000,00300EMPLOYEE BENEFITS 82927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82927,A000000,00700,0000,00700HOUSEKEEPING 82927,A000000,00800,0000,00800DIETARY 82927,A000000,00801,0000,00801CAFETERIA 82927,A000000,00900,0000,00900NURSING ADMINISTRATION 82927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82927,A000000,01100,0000,01100PHARMACY 82927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82927,A000000,01300,0000,01300SOCIAL SERVICE 82927,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 82927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82927,A000000,01600,0000,01600SKILLED NURSING FACILITY 82927,A000000,01800,0000,01800NURSING FACILITY 82927,A000000,01900,0000,01900OTHER LONG TERM CARE 82927,A000000,02100,0000,02100RADIOLOGY 82927,A000000,02200,0000,02200LABORATORY 82927,A000000,02300,0000,02300INTRAVENOUS THERAPY 82927,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82927,A000000,02500,0000,02500PHYSICAL THERAPY 82927,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82927,A000000,02700,0000,02700SPEECH PATHOLOGY 82927,A000000,02800,0000,02800ELECTROCARDIOLOGY 82927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82927,A000000,03050,0000,03300OTHER ANCILLARY 82927,A000000,03051,0000,03301OTHER ANCILLARY II 82927,A000000,03052,0000,03302OTHER ANCILLARY III 82927,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82927,A000000,03200,0000,03200SUPPORT SURFACES 82927,A000000,03400,0000,03400CLINIC 82927,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 82927,A000000,03500,0000,03500RURAL HEALTH CLINIC 82927,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82927,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82927,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82927,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82927,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82927,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82927,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82927,A000000,04400,0000,04400DME RENTED - HHA 82927,A000000,04500,0000,04500DME SOLD - HHA 82927,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82927,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82927,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82927,A000000,04800,0000,04800AMBULANCE 82927,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82927,A000000,05000,0000,05000CORF 82927,A000000,05010,0000,05010CMHC I 82927,A000000,05020,0000,05020OPT I 82927,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82927,A000000,05300,0000,05300INTEREST EXPENSE 82927,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 82927,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 82927,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82927,A000000,05500,0000,05500HOSPICE 82927,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82927,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82927,A000000,06100,0000,06100NONPAID WORKERS 82927,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82927,A000000,06200,0000,06200PATIENTS LAUNDRY 82927,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 82927,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 82927,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 82927,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82927,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 82927,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 82927,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 82927,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 82927,B100000,00000,0851,00000FTE :CAFETERIA 82927,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 82927,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 82927,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 82927,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 82927,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 82927,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICE 82927,S000000,00100,0200,11/30/2000 82927,S200000,00100,0100,5425 WESTERN AVE NW 82927,S200000,00200,0100,WASHINGTON DC 82927,S200000,00200,0200,DC 82927,S200000,00200,0300,20015- 82927,S200000,00300,0100,N/A 82927,S200000,00300,0200,8840 82927,S200000,00300,0300,U 82927,S200000,00400,0100,LISNER LOUISE DICKSON HURT HOME 82927,S200000,00400,0200,095025 82927,S200000,00400,0300,11/12/1992 82927,S200000,00400,0500,P 82927,S200000,01004,0500,O 82927,S200000,01700,0100,Y 82933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82933,A000000,00300,0000,00300EMPLOYEE BENEFITS 82933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82933,A000000,00700,0000,00700HOUSEKEEPING 82933,A000000,00800,0000,00800DIETARY 82933,A000000,00900,0000,00900NURSING ADMINISTRATION 82933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82933,A000000,01100,0000,01100PHARMACY 82933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82933,A000000,01300,0000,01300SOCIAL SERVICE 82933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82933,A000000,01600,0000,01600SKILLED NURSING FACILITY 82933,A000000,01900,0000,01900OTHER LONG TERM CARE 82933,A000000,03550,0000,03550FQHC 82933,A000000,05000,0000,05000CORF 82933,A000000,05010,0000,05010CMHC 82933,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82933,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82933,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82933,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82933,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82933,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82933,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 82933,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 82933,B100000,00000,0800,00000MEALS SERVED :DIETARY 82933,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 82933,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 82933,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 82933,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 82933,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 82933,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82933,S000000,00100,0200,05/01/2000 82933,S200000,00100,0100,6200 OREGON AVENUE NW 82933,S200000,00200,0100,WASHINGTON 82933,S200000,00200,0200,DC 82933,S200000,00200,0300,20015-1543 82933,S200000,00300,0100,DISTRICT OF COLUMBIA 82933,S200000,00400,0100,KNOLLWOOD 82933,S200000,00400,0200,095026 82933,S200000,00400,0300,12/28/1992 82933,S200000,00400,0500,P 82933,S200000,01500,0100,Y 82933,S200000,01900,0100,NOT-FOR-PROFIT CHARI 82933,S700003,00000,0100,1 82940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82940,A000000,00300,0000,00300EMPLOYEE BENEFITS 82940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82940,A000000,00700,0000,00700HOUSEKEEPING 82940,A000000,00800,0000,00800DIETARY 82940,A000000,00900,0000,00900NURSING ADMINISTRATION 82940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82940,A000000,01100,0000,01100PHARMACY 82940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82940,A000000,01300,0000,01300SOCIAL SERVICE 82940,A000000,01350,0000,01500RECREATION 82940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82940,A000000,01600,0000,01600SKILLED NURSING FACILITY 82940,A000000,01800,0000,01800NURSING FACILITY 82940,A000000,01810,0000,01801ICF/MR 82940,A000000,01900,0000,01900OTHER LONG TERM CARE 82940,A000000,02100,0000,02100RADIOLOGY 82940,A000000,02200,0000,02200LABORATORY 82940,A000000,02300,0000,02300INTRAVENOUS THERAPY 82940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82940,A000000,02500,0000,02500PHYSICAL THERAPY 82940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82940,A000000,02700,0000,02700SPEECH PATHOLOGY 82940,A000000,02800,0000,02800ELECTROCARDIOLOGY 82940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82940,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 82940,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82940,A000000,03200,0000,03200SUPPORT SURFACES 82940,A000000,03400,0000,03400CLINIC 82940,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 82940,A000000,03500,0000,03500RURAL HEALTH CLINIC 82940,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82940,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82940,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82940,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82940,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82940,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82940,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82940,A000000,04400,0000,04400DME RENTED - HHA 82940,A000000,04500,0000,04500DME SOLD - HHA 82940,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82940,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82940,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82940,A000000,04800,0000,04800AMBULANCE 82940,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82940,A000000,05000,0000,05000CORF 82940,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82940,A000000,05300,0000,05300INTEREST EXPENSE 82940,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82940,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82940,A000000,05500,0000,05500HOSPICE 82940,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82940,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82940,A000000,06100,0000,06100NONPAID WORKERS 82940,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82940,A000000,06200,0000,06200PATIENTS LAUNDRY 82940,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82940,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82940,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82940,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82940,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82940,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82940,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82940,B100000,00000,0800,00000MEALS SERVED :DIETARY 82940,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82940,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82940,B100000,00000,1150,00000NO STATISTICS :PHARMACY 82940,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82940,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82940,B100000,00000,1350,00000PATIENT DAYS :RECREATION 82940,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 82940,S000000,00100,0200,05/25/2000 82940,S200000,00100,0100,3050 MILITARY RD. N.W. 82940,S200000,00200,0100,WASHINGTON 82940,S200000,00200,0200,DC 82940,S200000,00200,0300,20015- 82940,S200000,00300,0100,DISTRICT OF COLUMBIA 82940,S200000,00400,0100,INGLESIDE AT ROCK CREEK 82940,S200000,00400,0200,095028 82940,S200000,00400,0300,11/17/1993 82940,S200000,00400,0500,P 82940,S200000,00400,0600,P 82940,S200000,01500,0100,Y 82940,S700003,00000,0100,1 82947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82947,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 82947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82947,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 82947,A000000,00300,0000,00300EMPLOYEE BENEFITS 82947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82947,A000000,00700,0000,00700HOUSEKEEPING 82947,A000000,00800,0000,00800DIETARY 82947,A000000,00801,0000,00801CAFETERIA 82947,A000000,00900,0000,00900NURSING ADMINISTRATION 82947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82947,A000000,01100,0000,01100PHARMACY 82947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82947,A000000,01300,0000,01300SOCIAL SERVICE 82947,A000000,01350,0000,01500ACTIVITIES 82947,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82947,A000000,01600,0000,01600SKILLED NURSING FACILITY 82947,A000000,01800,0000,01800NURSING FACILITY 82947,A000000,01900,0000,01900OTHER LONG TERM CARE 82947,A000000,02100,0000,02100RADIOLOGY 82947,A000000,02200,0000,02200LABORATORY 82947,A000000,02300,0000,02300INTRAVENOUS THERAPY 82947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82947,A000000,02500,0000,02500PHYSICAL THERAPY 82947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82947,A000000,02700,0000,02700SPEECH PATHOLOGY 82947,A000000,02800,0000,02800ELECTROCARDIOLOGY 82947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82947,A000000,03050,0000,03300OTHER ANCILLARY 82947,A000000,03051,0000,03301OTHER ANCILLARY II 82947,A000000,03052,0000,03302OTHER ANCILLARY III 82947,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82947,A000000,03200,0000,03200SUPPORT SURFACES 82947,A000000,03400,0000,03400CLINIC 82947,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 82947,A000000,03500,0000,03500RURAL HEALTH CLINIC 82947,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82947,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82947,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82947,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82947,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82947,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82947,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82947,A000000,04400,0000,04400DME RENTED - HHA 82947,A000000,04500,0000,04500DME SOLD - HHA 82947,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82947,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82947,A000000,04750,0000,05100OTHER REIMBURSABLE COST 82947,A000000,04800,0000,04800AMBULANCE 82947,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82947,A000000,05000,0000,05000CORF 82947,A000000,05010,0000,05010CMHC I 82947,A000000,05020,0000,05020OPT I 82947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82947,A000000,05300,0000,05300INTEREST EXPENSE 82947,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 82947,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 82947,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82947,A000000,05500,0000,05500HOSPICE 82947,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82947,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82947,A000000,06100,0000,06100NONPAID WORKERS 82947,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 82947,A000000,06200,0000,06200PATIENTS LAUNDRY 82947,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 82947,B100000,00000,0151,00000PATIENT DAYS :CAP REL COSTS - BLDG 82947,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 82947,B100000,00000,0251,00000PATIENT DAYS :CAP REL COSTS - MOVA 82947,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 82947,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82947,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 82947,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 82947,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 82947,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 82947,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 82947,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 82947,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 82947,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 82947,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 82947,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 82947,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 82947,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 82947,S000000,00100,0200,06/13/2000 82947,S200000,00100,0100,2131 O STREET NW 82947,S200000,00200,0100,WASHINGTON DC 82947,S200000,00200,0200,DC 82947,S200000,00200,0300,20037- 82947,S200000,00300,0100,DISTRICT OF COLUMBIA 82947,S200000,00400,0100,ROCK CREEK NURSING CENTER INC. 82947,S200000,00400,0200,095031 82947,S200000,00400,0300,03/21/1995 82947,S200000,00400,0500,P 82947,S200000,01500,0100,Y 82947,S200000,02200,0100,Y 82947,S700003,00000,0100,1 82954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82954,A000000,00300,0000,00300EMPLOYEE BENEFITS 82954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82954,A000000,00700,0000,00700HOUSEKEEPING 82954,A000000,00800,0000,00800DIETARY 82954,A000000,00900,0000,00900NURSING ADMINISTRATION 82954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82954,A000000,01100,0000,01100PHARMACY 82954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82954,A000000,01300,0000,01300SOCIAL SERVICE 82954,A000000,01350,0000,01500ACTIVITIES 82954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82954,A000000,01600,0000,01600SKILLED NURSING FACILITY 82954,A000000,01810,0000,01810ICF/MR 82954,A000000,02500,0000,02500PHYSICAL THERAPY 82954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82954,A000000,02700,0000,02700SPEECH PATHOLOGY 82954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82954,A000000,03050,0000,03300ENTERAL FEEDING SUPPLIES 82954,A000000,03550,0000,03550FQHC 82954,A000000,05000,0000,05000CORF 82954,A000000,05010,0000,05010CMHC 82954,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 82954,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 82954,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 82954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82954,A81000A,00100,0100,Y 82954,A81000B,00100,0300,ADMIN & SUPPORT 82954,A81000B,00200,0300,ADMIN & SUPPORT 82954,A81000B,00300,0300,ADMIN & SUPPORT 82954,A81000C,00100,0100,A 82954,A81000C,00100,0200,MEDSTAR ENTERPR 82954,A81000C,00100,0400,MEDSTAR ENTERPR 82954,A81000C,00100,0600,PARENT/HOME OFF 82954,A81000C,00200,0100,B 82954,A81000C,00200,0200,MEDLANTIC MANAG 82954,A81000C,00200,0400,MEDLANTIC HEALT 82954,A81000C,00200,0600,ADMIN & SUPPORT 82954,A81000C,00300,0100,B 82954,A81000C,00300,0200,MEDSTAR HEALTH 82954,A81000C,00300,0400,ENSIGN INST PHA 82954,A81000C,00300,0600,PHARMACY SVCS 82954,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82954,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82954,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82954,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82954,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82954,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82954,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82954,B100000,00000,0800,00000MEALS SERVED :DIETARY 82954,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82954,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 82954,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82954,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82954,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 82954,S000000,00100,0200,12/01/2000 82954,S200000,00100,0100,6000 NEW HAMPSHIRE AVENUE 82954,S200000,00200,0100,WASHINGTON 82954,S200000,00200,0200,DC 82954,S200000,00200,0300,20011- 82954,S200000,00300,0100,DISTRICT OF COLUMBIA 82954,S200000,00300,0200,8840 82954,S200000,00300,0300,U 82954,S200000,00400,0100,MEDLANTIC MANOR AT LAMOND RIGGS 82954,S200000,00400,0200,095032 82954,S200000,00400,0300,05/22/1994 82954,S200000,00400,0500,P 82954,S200000,01004,0500,O 82954,S200000,01500,0100,Y 82954,S200000,01900,0100,NON PROFIT CORPORATI 82954,S200000,02800,0100,Y 82965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82965,A000000,00300,0000,00300EMPLOYEE BENEFITS 82965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82965,A000000,00700,0000,00700HOUSEKEEPING 82965,A000000,00800,0000,00800DIETARY 82965,A000000,00900,0000,00900NURSING ADMINISTRATION 82965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82965,A000000,01300,0000,01300SOCIAL SERVICE 82965,A000000,01600,0000,01600SKILLED NURSING FACILITY 82965,A000000,01800,0000,01800NURSING FACILITY 82965,A000000,01810,0000,01810ICF/MR 82965,A000000,01900,0000,01900OTHER LONG TERM CARE 82965,A000000,02100,0000,02100RADIOLOGY 82965,A000000,02200,0000,02200LABORATORY 82965,A000000,02300,0000,02300INTRAVENOUS THERAPY 82965,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82965,A000000,02500,0000,02500PHYSICAL THERAPY 82965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82965,A000000,02700,0000,02700SPEECH PATHOLOGY 82965,A000000,02800,0000,02800ELECTROCARDIOLOGY 82965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82965,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82965,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82965,A000000,03200,0000,03200SUPPORT SURFACES 82965,A000000,03400,0000,03400CLINIC 82965,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82965,A000000,03500,0000,03500RURAL HEALTH CLINIC 82965,A000000,04800,0000,04800AMBULANCE 82965,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82965,A000000,05000,0000,05000CORF 82965,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82965,A000000,05300,0000,05300INTEREST EXPENSE 82965,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82965,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82965,A000000,05500,0000,05500HOSPICE 82965,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82965,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82965,A000000,06100,0000,06100NONPAID WORKERS 82965,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82965,A000000,06200,0000,06200PATIENTS LAUNDRY 82965,A81000A,00100,0100,Y 82965,A81000B,00100,0300,HOME OFFICE - ADMIN 82965,A81000B,00200,0300,HOME OFFICE - PROPERTY 82965,A81000B,00300,0300,RENT 82965,A81000B,00400,0300,RELATED PARTY DEPRECIATION 82965,A81000B,00500,0300,RELATED PARTY INTEREST 82965,A81000B,00600,0300,PHYSICAL THERAPY 82965,A81000B,00700,0300,OCCUPATIONAL THERAPY 82965,A81000B,00800,0300,SPEECH THERAPY 82965,A81000B,00900,0300,PHARMACY 82965,A81000B,01000,0300,PHARMACY CONSULTANT 82965,A81000C,00100,0100,A 82965,A81000C,00100,0200,BARTON WEISMAN 82965,A81000C,00100,0400,HBA INC. 82965,A81000C,00100,0600,MANAGEMENT CO. 82965,A81000C,00200,0100,A 82965,A81000C,00200,0200,BARTON WEISMAN 82965,A81000C,00200,0400,HBA INC. 82965,A81000C,00200,0600,MANAGEMENT CO. 82965,A81000C,00300,0100,A 82965,A81000C,00300,0200,BARTON WEISMAN 82965,A81000C,00300,0400,WEISMAN ASSOC. 82965,A81000C,00300,0600,REAL ESTATE DEV 82965,A81000C,00400,0100,A 82965,A81000C,00400,0200,BARTON WEISMAN 82965,A81000C,00400,0400,WEISMAN ASSOC. 82965,A81000C,00400,0600,REAL ESTATE DEV 82965,A81000C,00500,0100,A 82965,A81000C,00500,0200,BARTON WEISMAN 82965,A81000C,00500,0400,WEISMAN ASSOC. 82965,A81000C,00500,0600,REAL ESTATE DEV 82965,A81000C,00600,0100,A 82965,A81000C,00600,0200,BARTON WEISMAN 82965,A81000C,00600,0400,FOCUS REHAB 82965,A81000C,00600,0600,THERAPY CO 82965,A81000C,00700,0100,A 82965,A81000C,00700,0200,BARTON WEISMAN 82965,A81000C,00700,0400,FOCUS REHAB 82965,A81000C,00700,0600,THERAPY CO. 82965,A81000C,00800,0100,A 82965,A81000C,00800,0200,BARTON WEISMAN 82965,A81000C,00800,0400,FOCUS REHAB 82965,A81000C,00800,0600,THERAPY CO. 82965,A81000C,00900,0100,A 82965,A81000C,00900,0200,BARTON WEISMAN 82965,A81000C,00900,0400,COMPREHENSIVE P 82965,A81000C,00900,0600,PHARMACY CO. 82965,A81000C,01000,0100,A 82965,A81000C,01000,0200,BARTON WEISMAN 82965,A81000C,01000,0400,COMPREHENSICE P 82965,A81000C,01000,0600,PHARMACY CO. 82965,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82965,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82965,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82965,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82965,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82965,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82965,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82965,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 82965,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 82965,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82965,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82965,E10A180,00301,0100,04/25/2000 82965,E10A180,00350,0100,04/28/1999 82965,E10A180,00351,0100,05/12/1999 82965,E10A180,00352,0100,08/04/1999 82965,E10A180,00353,0100,10/27/1999 82965,S000000,00100,0200,06/30/2000 82965,S200000,00100,0100,2810 S. ATLANTIC AVENUE 82965,S200000,00200,0100,NEW SMYRNA BEACH 82965,S200000,00200,0200,FL 82965,S200000,00200,0300,32069- 82965,S200000,00300,0100,VOLUSIA 82965,S200000,00300,0200,2020 82965,S200000,00300,0300,U 82965,S200000,00400,0100,OCEAN VIEW NURSING & REHAB 82965,S200000,00400,0200,105038 82965,S200000,00400,0300,09/02/1980 82965,S200000,00400,0500,P 82965,S200000,01600,0100,Y 82981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 82981,A000000,00300,0000,00300EMPLOYEE BENEFITS 82981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82981,A000000,00700,0000,00700HOUSEKEEPING 82981,A000000,00800,0000,00800DIETARY 82981,A000000,00900,0000,00900NURSING ADMINISTRATION 82981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82981,A000000,01100,0000,01100PHARMACY 82981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82981,A000000,01300,0000,01300SOCIAL SERVICE 82981,A000000,01301,0000,01301ACTIVITIES 82981,A000000,01350,0000,01500REHAB 82981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 82981,A000000,01600,0000,01600SKILLED NURSING FACILITY 82981,A000000,01800,0000,01800NURSING FACILITY 82981,A000000,01900,0000,01900OTHER LONG TERM CARE 82981,A000000,02100,0000,02100RADIOLOGY 82981,A000000,02200,0000,02200LABORATORY 82981,A000000,02300,0000,02300INTRAVENOUS THERAPY 82981,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82981,A000000,02500,0000,02500PHYSICAL THERAPY 82981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82981,A000000,02700,0000,02700SPEECH PATHOLOGY 82981,A000000,02800,0000,02800ELECTROCARDIOLOGY 82981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82981,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82981,A000000,03051,0000,03301PEN THERAPY 82981,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82981,A000000,03200,0000,03200SUPPORT SURFACES 82981,A000000,03400,0000,03400CLINIC 82981,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82981,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 82981,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 82981,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 82981,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 82981,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 82981,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 82981,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 82981,A000000,04400,0000,04400DME RENTED - HHA 82981,A000000,04500,0000,04500DME SOLD - HHA 82981,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 82981,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 82981,A000000,04800,0000,04800AMBULANCE 82981,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82981,A000000,05000,0000,05000CORF 82981,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82981,A000000,05300,0000,05300INTEREST EXPENSE 82981,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82981,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82981,A000000,05500,0000,05500HOSPICE 82981,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82981,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82981,A000000,06100,0000,06100NONPAID WORKERS 82981,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82981,A000000,06200,0000,06200PATIENTS LAUNDRY 82981,A81000A,00100,0100,Y 82981,A81000B,00100,0300,NON-CERT 82981,A81000B,00200,0300,MEDICAL SUPPLIES 82981,A81000B,00300,0300,CAPITAL 82981,A81000B,00400,0300,DRUGS 82981,A81000B,00500,0300,NURSING ADMIN 82981,A81000B,00600,0300,REHAB 82981,A81000B,00700,0300,PT 82981,A81000B,00800,0300,OT 82981,A81000B,00900,0300,ST 82981,A81000B,01000,0300,BLDG CAPITAL 82981,A81000B,01100,0300,ADMIN & GENERAL 82981,A81000C,00100,0100,B 82981,A81000C,00100,0200,BOULEVARD 70760 82981,A81000C,00100,0400,MARINER PAN 82981,A81000C,00100,0600,NURSING HOMES 82981,A81000C,00200,0100,G 82981,A81000C,00200,0200,MARINER PAN 82981,A81000C,00200,0400,AMERICAN PHARM. 82981,A81000C,00200,0600,PHARMACEUTICALS 82981,A81000C,00300,0100,G 82981,A81000C,00300,0200,MARINER PAN 82981,A81000C,00300,0400,PRISM (ATS ARS 82981,A81000C,00300,0600,THERAPIES 82981,A81000C,03100,0000,MARINER PAN 82981,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82981,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 82981,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82981,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82981,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82981,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82981,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82981,B100000,00000,0800,00000MEALS SERVED :DIETARY 82981,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 82981,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 82981,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 82981,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82981,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82981,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 82981,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 82981,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 82981,E10A180,00301,0100,07/30/1999 82981,S000000,00100,0200,03/02/2000 82981,S200000,00100,0100,2839 S. SEACREAST BLVD 82981,S200000,00200,0100,BOYNTON BEACH 82981,S200000,00200,0200,FL 82981,S200000,00200,0300,33435- 82981,S200000,00300,0100,PALM BEACH 82981,S200000,00400,0100,BOULEVARD MANOR NURSING CENTER 82981,S200000,00400,0200,105067 82981,S200000,00400,0300,07/01/1980 82981,S200000,00400,0500,P 82981,S200000,01600,0100,Y 82994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 82994,A000000,00300,0000,00300EMPLOYEE BENEFITS 82994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 82994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 82994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 82994,A000000,00700,0000,00700HOUSEKEEPING 82994,A000000,00800,0000,00800DIETARY 82994,A000000,00900,0000,00900NURSING ADMINISTRATION 82994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 82994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 82994,A000000,01300,0000,01300SOCIAL SERVICE 82994,A000000,01600,0000,01600SKILLED NURSING FACILITY 82994,A000000,01800,0000,01800NURSING FACILITY 82994,A000000,01900,0000,01900OTHER LONG TERM CARE 82994,A000000,02100,0000,02100RADIOLOGY 82994,A000000,02200,0000,02200LABORATORY 82994,A000000,02300,0000,02300INTRAVENOUS THERAPY 82994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 82994,A000000,02500,0000,02500PHYSICAL THERAPY 82994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 82994,A000000,02700,0000,02700SPEECH PATHOLOGY 82994,A000000,02800,0000,02800ELECTROCARDIOLOGY 82994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 82994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 82994,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 82994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 82994,A000000,03200,0000,03200SUPPORT SURFACES 82994,A000000,03400,0000,03400CLINIC 82994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 82994,A000000,04800,0000,04800AMBULANCE 82994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 82994,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 82994,A000000,05300,0000,05300INTEREST EXPENSE 82994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 82994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 82994,A000000,05500,0000,05500HOSPICE 82994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 82994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 82994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 82994,A000000,06100,0000,06100NONPAID WORKERS 82994,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 82994,A000000,06200,0000,06200PATIENTS LAUNDRY 82994,A81000A,00100,0100,Y 82994,A81000B,00100,0300,HOME OFFICE -ADMIN 82994,A81000B,00200,0300,HOME OFFICE - PROPERTY 82994,A81000B,00300,0300,RENT 82994,A81000B,00400,0300,DEPRECIATION 82994,A81000B,00500,0300,INTEREST EXPENSE 82994,A81000B,00600,0300,PHYSICAL THERAPY 82994,A81000B,00700,0300,OCCUPATIONAL THERAPY 82994,A81000B,00800,0300,SPEECH THERAPY 82994,A81000B,00900,0300,DRUG EXPENSE 82994,A81000B,01000,0300,PHARMACY CONSULTANT 82994,A81000C,00100,0100,A 82994,A81000C,00100,0200,HOME OFFICE 82994,A81000C,00100,0400,HBA CORP. 82994,A81000C,00100,0600,HOME OFFICE 82994,A81000C,00200,0100,A 82994,A81000C,00200,0200,HOME OFFICE 82994,A81000C,00200,0400,HBA CORP. 82994,A81000C,00200,0600,HOME OFFICE 82994,A81000C,00300,0100,B 82994,A81000C,00300,0200,HOWARD LIPSCHUT 82994,A81000C,00300,0400,WEISMAN ASSOCIA 82994,A81000C,00300,0600,REAL ESTATE 82994,A81000C,00400,0100,B 82994,A81000C,00400,0200,BARTON WEISMAN 82994,A81000C,00400,0400,WEISMAN ASSOCIA 82994,A81000C,00400,0600,REAL ESTATE DEV 82994,A81000C,00500,0100,B 82994,A81000C,00500,0200,ARTHUR KROSNICK 82994,A81000C,00500,0400,WEISMAN ASSOCIA 82994,A81000C,00500,0600,REAL ESTATE DEV 82994,A81000C,00600,0100,A 82994,A81000C,00600,0200,BARTON WEISMAN 82994,A81000C,00600,0400,FOCUS REHAB 82994,A81000C,00600,0600,REHAB THERAPY C 82994,A81000C,00700,0100,A 82994,A81000C,00700,0200,BARTON WEISMAN 82994,A81000C,00700,0400,FOCUS REHAB 82994,A81000C,00700,0600,REHAB THERAPY 82994,A81000C,00800,0100,A 82994,A81000C,00800,0200,BARTON WEISMAN 82994,A81000C,00800,0400,FOCUS REHAB 82994,A81000C,00800,0600,REHAB THERAPY 82994,A81000C,00900,0100,A 82994,A81000C,00900,0200,BARTON WEISMAN 82994,A81000C,00900,0400,COMPREHENSIVE P 82994,A81000C,00900,0600,PHARMACY CO. 82994,A81000C,01000,0100,A 82994,A81000C,01000,0200,BARTON WEISMAN 82994,A81000C,01000,0400,COMPREHENSIVE P 82994,A81000C,01000,0600,PHARMACY CO. 82994,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 82994,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 82994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 82994,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 82994,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 82994,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 82994,B100000,00000,0850,00000PATIENT DAYS :DIETARY 82994,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 82994,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 82994,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 82994,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 82994,E10A180,00301,0100,11/24/1999 82994,E10A180,00302,0100,04/25/2000 82994,E10A180,00350,0100,04/14/1999 82994,E10A180,00351,0100,08/04/1999 82994,S000000,00100,0200,06/30/2000 82994,S200000,00100,0100,1330 SOUTH ANDREW AVENUE 82994,S200000,00200,0100,FORT LAUDERDALE 82994,S200000,00200,0200,FL 82994,S200000,00200,0300,33316- 82994,S200000,00300,0100,BROWARD 82994,S200000,00400,0100,BROWARD NURSING & REHAB 82994,S200000,00400,0200,105083 82994,S200000,00400,0300,09/01/1976 82994,S200000,00400,0500,P 82994,S200000,01600,0100,Y 83005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83005,A000000,00300,0000,00300EMPLOYEE BENEFITS 83005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83005,A000000,00700,0000,00700HOUSEKEEPING 83005,A000000,00800,0000,00800DIETARY 83005,A000000,00900,0000,00900NURSING ADMINISTRATION 83005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83005,A000000,01100,0000,01100PHARMACY 83005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83005,A000000,01300,0000,01300SOCIAL SERVICE 83005,A000000,01350,0000,01500ACTIVITIES 83005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83005,A000000,01600,0000,01600SKILLED NURSING FACILITY 83005,A000000,01800,0000,01800NURSING FACILITY 83005,A000000,01810,0000,01810ICF/MR 83005,A000000,01900,0000,01900OTHER LONG TERM CARE 83005,A000000,02100,0000,02100RADIOLOGY 83005,A000000,02200,0000,02200LABORATORY 83005,A000000,02300,0000,02300INTRAVENOUS THERAPY 83005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83005,A000000,02500,0000,02500PHYSICAL THERAPY 83005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83005,A000000,02700,0000,02700SPEECH PATHOLOGY 83005,A000000,02800,0000,02800ELECTROCARDIOLOGY 83005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83005,A000000,03050,0000,03300AIR FLUIDIZED BEDS 83005,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83005,A000000,03200,0000,03200SUPPORT SURFACES 83005,A000000,03400,0000,03400CLINIC 83005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83005,A000000,03500,0000,03500RURAL HEALTH CLINIC 83005,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83005,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83005,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83005,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83005,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83005,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83005,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83005,A000000,04400,0000,04400DME RENTED - HHA 83005,A000000,04500,0000,04500DME SOLD - HHA 83005,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83005,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83005,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83005,A000000,04800,0000,04800AMBULANCE 83005,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83005,A000000,05000,0000,05000CORF 83005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83005,A000000,05300,0000,05300INTEREST EXPENSE 83005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83005,A000000,05500,0000,05500HOSPICE 83005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83005,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83005,A000000,06100,0000,06100NONPAID WORKERS 83005,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83005,A000000,06200,0000,06200PATIENTS LAUNDRY 83005,A81000A,00100,0100,Y 83005,A81000B,00100,0300,MANAGEMENT FEE 83005,A81000C,00100,0100,B 83005,A81000C,00100,0200,ROBERT L. HURLBUT 83005,A81000C,00100,0400,ROHM SERVICES CORPORATION 83005,A81000C,00100,0600,MANAGEMENT CORP 83005,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83005,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83005,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83005,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83005,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83005,B100000,00000,0750,00000SQUARE FEET(MOD) :HOUSEKEEPING 83005,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83005,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83005,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83005,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83005,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83005,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83005,S000000,00100,0200,06/01/2000 83005,S200000,00100,0100,3800 NORTH FEDERAL HWY 83005,S200000,00200,0100,BOCA RATON 83005,S200000,00200,0200,FL 83005,S200000,00200,0300,33427- 83005,S200000,00300,0100,PALM BEACH 83005,S200000,00300,0200,8960 83005,S200000,00300,0300,U 83005,S200000,00400,0100,THE FOUNTAINS NURSING HOME 83005,S200000,00400,0200,105101 83005,S200000,00400,0300,07/15/1968 83005,S200000,00400,0500,P 83005,S200000,01500,0100,Y 83013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83013,A000000,00300,0000,00300EMPLOYEE BENEFITS 83013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83013,A000000,00700,0000,00700HOUSEKEEPING 83013,A000000,00800,0000,00800DIETARY 83013,A000000,00900,0000,00900NURSING ADMINISTRATION 83013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83013,A000000,01100,0000,01100PHARMACY 83013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83013,A000000,01300,0000,01300SOCIAL SERVICE 83013,A000000,01350,0000,01500OTHER GENERAL SERVICES 83013,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83013,A000000,01600,0000,01600SKILLED NURSING FACILITY 83013,A000000,01800,0000,01800NURSING FACILITY 83013,A000000,01810,0000,01810ICF/MR 83013,A000000,01900,0000,01900OTHER LONG TERM CARE 83013,A000000,02100,0000,02100RADIOLOGY 83013,A000000,02200,0000,02200LABORATORY 83013,A000000,02300,0000,02300INTRAVENOUS THERAPY 83013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83013,A000000,02500,0000,02500PHYSICAL THERAPY 83013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83013,A000000,02700,0000,02700SPEECH PATHOLOGY 83013,A000000,02800,0000,02800ELECTROCARDIOLOGY 83013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83013,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83013,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83013,A000000,03200,0000,03200SUPPORT SURFACES 83013,A000000,03400,0000,03400CLINIC 83013,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83013,A000000,03500,0000,03500RURAL HEALTH CLINIC 83013,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83013,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83013,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83013,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83013,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83013,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83013,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83013,A000000,04400,0000,04400DME RENTED - HHA 83013,A000000,04500,0000,04500DME SOLD - HHA 83013,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83013,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83013,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83013,A000000,04800,0000,04800AMBULANCE 83013,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83013,A000000,05000,0000,05000CORF 83013,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83013,A000000,05300,0000,05300INTEREST EXPENSE 83013,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83013,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83013,A000000,05500,0000,05500HOSPICE 83013,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83013,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83013,A000000,06100,0000,06100NONPAID WORKERS 83013,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83013,A000000,06200,0000,06200PATIENTS LAUNDRY 83013,A81000A,00100,0100,Y 83013,A81000B,00100,0300,BUILDING LEASE 83013,A81000B,00200,0300,HOME OFFICE ALLOCATION 83013,A81000C,00100,0100,A 83013,A81000C,00100,0200,JIM SELLARS 83013,A81000C,00100,0400,HERITAGE ADVISORY GROUP 83013,A81000C,00100,0600,LTC MANAGEMENT 83013,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83013,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83013,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83013,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83013,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83013,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83013,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83013,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83013,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83013,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83013,B100000,00000,1150,00000NO STATISTICS :PHARMACY 83013,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83013,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83013,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83013,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 83013,S000000,00100,0200,12/19/2000 83013,S200000,00100,0100,16650 WEST DIXIE HIGHWAY 83013,S200000,00200,0100,NORTH MIAMI BEACH 83013,S200000,00200,0200,FL 83013,S200000,00200,0300,33160- 83013,S200000,00300,0100,DADE 83013,S200000,00400,0100,BAYSHORE CONVALESCENT CENTER 83013,S200000,00400,0200,105120 83013,S200000,00400,0300,09/21/1970 83013,S200000,00400,0500,P 83013,S200000,01600,0100,Y 83028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83028,A000000,00300,0000,00300EMPLOYEE BENEFITS 83028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83028,A000000,00700,0000,00700HOUSEKEEPING 83028,A000000,00800,0000,00800DIETARY 83028,A000000,00900,0000,00900NURSING ADMINISTRATION 83028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83028,A000000,01300,0000,01300SOCIAL SERVICE 83028,A000000,01600,0000,01600SKILLED NURSING FACILITY 83028,A000000,01800,0000,01800NURSING FACILITY 83028,A000000,01810,0000,01810ICF/MR 83028,A000000,01900,0000,01900OTHER LONG TERM CARE 83028,A000000,02100,0000,02100RADIOLOGY 83028,A000000,02200,0000,02200LABORATORY 83028,A000000,02300,0000,02300INTRAVENOUS THERAPY 83028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83028,A000000,02500,0000,02500PHYSICAL THERAPY 83028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83028,A000000,02700,0000,02700SPEECH PATHOLOGY 83028,A000000,02800,0000,02800ELECTROCARDIOLOGY 83028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83028,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83028,A000000,03200,0000,03200SUPPORT SURFACES 83028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83028,A000000,05300,0000,05300INTEREST EXPENSE 83028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83028,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83028,A81000A,00100,0100,Y 83028,A81000B,00100,0300,HOME OFFICE - ADMIN 83028,A81000B,00200,0300,HOME OFFICE - PROPERTY 83028,A81000B,00300,0300,RENT 83028,A81000B,00400,0300,DEPRECIATION 83028,A81000B,00500,0300,RELATED PARTY INTEREST 83028,A81000B,00600,0300,PHYSICAL THERAPY 83028,A81000B,00700,0300,OCCUPATIONAL THERAPY 83028,A81000B,00800,0300,SPEECH THERAPY 83028,A81000B,00900,0300,PHARMACY 83028,A81000C,00100,0100,A 83028,A81000C,00100,0200,BARTON WEISMAN 83028,A81000C,00100,0400,HBA 83028,A81000C,00100,0600,MANAGEMENT COMP 83028,A81000C,00200,0100,B 83028,A81000C,00200,0200,BARTON WEISMAN 83028,A81000C,00200,0400,WEISMAN ASSOCIA 83028,A81000C,00200,0600,REAL ESTATE DEV 83028,A81000C,00300,0100,B 83028,A81000C,00300,0200,BARTON WEISMAN 83028,A81000C,00300,0400,WEISMAN ASSOCIA 83028,A81000C,00300,0600,REAL ESTATE DEV 83028,A81000C,00400,0100,A 83028,A81000C,00400,0200,ARTHUR KROSNIK 83028,A81000C,00400,0400,WEISMAN ASSOCIA 83028,A81000C,00400,0600,REAL ESTATE DEV 83028,A81000C,00500,0100,A 83028,A81000C,00500,0200,BARTON WEISMAN 83028,A81000C,00500,0400,HBA 83028,A81000C,00500,0600,MANAGEMENT COMP 83028,A81000C,00600,0100,A 83028,A81000C,00600,0200,BARTON WEISMAN 83028,A81000C,00600,0400,FOCUS REHAB 83028,A81000C,00600,0600,REHAB THERAPY C 83028,A81000C,00700,0100,A 83028,A81000C,00700,0200,BARTON WEISMAN 83028,A81000C,00700,0400,FOCUS REHAB 83028,A81000C,00700,0600,REHAB THERAPY C 83028,A81000C,00800,0100,A 83028,A81000C,00800,0200,BARTON WEISMAN 83028,A81000C,00800,0400,FOCUS REHAB 83028,A81000C,00800,0600,REHAB THERAPY C 83028,A81000C,00900,0100,A 83028,A81000C,00900,0200,BARTON WEISMAN 83028,A81000C,00900,0400,COMPREHENSIVE P 83028,A81000C,00900,0600,PHARMACY COMPAN 83028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83028,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83028,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83028,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83028,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83028,E10A180,00301,0100,08/04/1999 83028,E10A180,00302,0100,10/27/1999 83028,E10A180,00303,0100,04/25/2000 83028,E10A180,00350,0100,05/26/1999 83028,E10A180,00351,0100,06/09/1999 83028,E10A180,00352,0100,06/23/1999 83028,S000000,00100,0200,06/30/2000 83028,S200000,00100,0100,4250 NW 5TH STREET 83028,S200000,00200,0100,PLANTATION 83028,S200000,00200,0200,FL 83028,S200000,00200,0300,33317- 83028,S200000,00300,0100,BROWARD 83028,S200000,00300,0200,2680 83028,S200000,00300,0300,U 83028,S200000,00400,0100,PLANTATION NURSING & REHAB 83028,S200000,00400,0200,105175 83028,S200000,00400,0300,03/01/1974 83028,S200000,00400,0500,P 83033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83033,A000000,00300,0000,00300EMPLOYEE BENEFITS 83033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83033,A000000,00700,0000,00700HOUSEKEEPING 83033,A000000,00800,0000,00800DIETARY 83033,A000000,00900,0000,00900NURSING ADMINISTRATION 83033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83033,A000000,01100,0000,01100PHARMACY 83033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83033,A000000,01300,0000,01300SOCIAL SERVICE 83033,A000000,01350,0000,01500OTHER GENERAL SERVICES 83033,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83033,A000000,01600,0000,01600SKILLED NURSING FACILITY 83033,A000000,01800,0000,01800NURSING FACILITY 83033,A000000,01810,0000,01810ICF/MR 83033,A000000,01900,0000,01900OTHER LONG TERM CARE 83033,A000000,02100,0000,02100RADIOLOGY 83033,A000000,02200,0000,02200LABORATORY 83033,A000000,02300,0000,02300INTRAVENOUS THERAPY 83033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83033,A000000,02500,0000,02500PHYSICAL THERAPY 83033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83033,A000000,02700,0000,02700SPEECH PATHOLOGY 83033,A000000,02800,0000,02800ELECTROCARDIOLOGY 83033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83033,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83033,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83033,A000000,03200,0000,03200SUPPORT SURFACES 83033,A000000,03400,0000,03400CLINIC 83033,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83033,A000000,03500,0000,03500RURAL HEALTH CLINIC 83033,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83033,A000000,04800,0000,04800AMBULANCE 83033,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83033,A000000,05000,0000,05000CORF 83033,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83033,A000000,05300,0000,05300INTEREST EXPENSE 83033,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83033,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83033,A000000,05500,0000,05500HOSPICE 83033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83033,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83033,A000000,06100,0000,06100NONPAID WORKERS 83033,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83033,A000000,06200,0000,06200PATIENTS LAUNDRY 83033,A81000A,00100,0100,Y 83033,A81000B,00100,0300,MANAGEMENT FEES 83033,A81000B,00200,0300,HOME OFFICE PROPERTY COSTS 83033,A81000C,00100,0100,A 83033,A81000C,00100,0200,GEORGE WAGNER 83033,A81000C,00100,0400,LSL MGMT CORPORATION 83033,A81000C,00100,0600,HEALTHCARE MGMT 83033,A81000C,00200,0100,A 83033,A81000C,00200,0200,THOMAS RAWLES 83033,A81000C,00200,0400,LSL MGMT CORPORATION 83033,A81000C,00200,0600,HEALTHCARE MGMT 83033,A81000C,00300,0100,A 83033,A81000C,00300,0200,ALAN PARRISH 83033,A81000C,00300,0400,LSL MGMT CORPORATION 83033,A81000C,00300,0600,HEALTHCARE MGMT 83033,A81000C,00400,0100,A 83033,A81000C,00400,0200,SHARON OSWALD 83033,A81000C,00400,0400,LSL MGMT CORPORATION 83033,A81000C,00400,0600,HEALTHCARE MGMT 83033,A81000C,00500,0100,A 83033,A81000C,00600,0100,A 83033,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83033,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 83033,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 83033,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83033,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83033,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83033,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83033,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83033,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 83033,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83033,B100000,00000,1150,00000NO STATISTICS :PHARMACY 83033,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83033,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83033,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83033,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 83033,S000000,00100,0200,07/31/2000 83033,S200000,00100,0100,5010 40TH STREET 83033,S200000,00200,0100,TAMPA 83033,S200000,00200,0200,FL 83033,S200000,00200,0300,33601- 83033,S200000,00300,0100,HILLSBOROUGH 83033,S200000,00400,0100,CENTRAL TAMPA NURSING HOME 83033,S200000,00400,0200,105181 83033,S200000,00400,0300,09/15/1995 83033,S200000,00400,0500,P 83033,S200000,01004,0500,O 83033,S200000,01600,0100,Y 83033,S200000,03100,0100,Y 83040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83040,A000000,00300,0000,00300EMPLOYEE BENEFITS 83040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83040,A000000,00700,0000,00700HOUSEKEEPING 83040,A000000,00800,0000,00800DIETARY 83040,A000000,00900,0000,00900NURSING ADMINISTRATION 83040,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83040,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83040,A000000,01300,0000,01300SOCIAL SERVICE 83040,A000000,01600,0000,01600SKILLED NURSING FACILITY 83040,A000000,02100,0000,02100RADIOLOGY 83040,A000000,02200,0000,02200LABORATORY 83040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83040,A000000,02500,0000,02500PHYSICAL THERAPY 83040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83040,A000000,02700,0000,02700SPEECH PATHOLOGY 83040,A000000,02800,0000,02800ELECTROCARDIOLOGY 83040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83040,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83040,A000000,03200,0000,03200SUPPORT SURFACES 83040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83040,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83040,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 83040,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83040,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83040,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83040,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83040,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83040,B100000,00000,1050,00000NURSING SALARIES :CENTRAL SERVICES 83040,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83040,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83040,S000000,00100,0200,05/26/2000 83040,S200000,00100,0100,17400 W. DIXIE HIGHWAY 83040,S200000,00200,0100,NORTH MIAMI BEACH 83040,S200000,00200,0200,FL 83040,S200000,00200,0300,33160- 83040,S200000,00300,0100,MIAMI-DADE 83040,S200000,00300,0200,5000 83040,S200000,00300,0300,U 83040,S200000,00400,0100,GREYNOLDS PARK MANOR INC. 83040,S200000,00400,0200,105201 83040,S200000,00400,0300,03/17/1969 83040,S200000,00400,0500,P 83040,S200000,01500,0100,Y 83040,S200000,04300,0100,Y 83062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83062,A000000,00300,0000,00300EMPLOYEE BENEFITS 83062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83062,A000000,00700,0000,00700HOUSEKEEPING 83062,A000000,00800,0000,00800DIETARY 83062,A000000,00900,0000,00900NURSING ADMINISTRATION 83062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83062,A000000,01100,0000,01100PHARMACY 83062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83062,A000000,01300,0000,01300SOCIAL SERVICE 83062,A000000,01301,0000,01301ACTIVITIES 83062,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83062,A000000,01600,0000,01600SKILLED NURSING FACILITY 83062,A000000,01800,0000,01800NURSING FACILITY 83062,A000000,01900,0000,01900OTHER LONG TERM CARE 83062,A000000,02100,0000,02100RADIOLOGY 83062,A000000,02200,0000,02200LABORATORY 83062,A000000,02300,0000,02300INTRAVENOUS THERAPY 83062,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83062,A000000,02500,0000,02500PHYSICAL THERAPY 83062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83062,A000000,02700,0000,02700SPEECH PATHOLOGY 83062,A000000,02800,0000,02800ELECTROCARDIOLOGY 83062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83062,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83062,A000000,03051,0000,03301PEN THERAPY 83062,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83062,A000000,03200,0000,03200SUPPORT SURFACES 83062,A000000,03400,0000,03400CLINIC 83062,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83062,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83062,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83062,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83062,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83062,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83062,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83062,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83062,A000000,04400,0000,04400DME RENTED - HHA 83062,A000000,04500,0000,04500DME SOLD - HHA 83062,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83062,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83062,A000000,04800,0000,04800AMBULANCE 83062,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83062,A000000,05000,0000,05000CORF 83062,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83062,A000000,05300,0000,05300INTEREST EXPENSE 83062,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83062,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83062,A000000,05500,0000,05500HOSPICE 83062,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83062,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83062,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83062,A000000,06100,0000,06100NONPAID WORKERS 83062,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83062,A000000,06200,0000,06200PATIENTS LAUNDRY 83062,A81000A,00100,0100,Y 83062,A81000B,00100,0300,ADMIN & GENERAL 83062,A81000B,00200,0300,NON-CERT 83062,A81000B,00300,0300,MEDICAL SUPPLIES 83062,A81000B,00400,0300,ADMINISTRATION 83062,A81000B,00500,0300,CAPITAL 83062,A81000B,00600,0300,DRUGS 83062,A81000B,00700,0300,IV 83062,A81000B,00800,0300,PHYSICAL THERAPY 83062,A81000B,00900,0300,REHAB 83062,A81000B,01000,0300,OT 83062,A81000B,01100,0300,ST 83062,A81000B,01200,0300,BLDG CAPITAL 83062,A81000C,00100,0100,B 83062,A81000C,00100,0200,MEDICANA 83062,A81000C,00100,0400,MARINER PAN 83062,A81000C,00100,0600,NURSING HOMES 83062,A81000C,00200,0100,G 83062,A81000C,00200,0200,MARINER POST-AC 83062,A81000C,00200,0400,AMERICAN PHARMA 83062,A81000C,00200,0600,PHARMACEUTICALS 83062,A81000C,00300,0100,G 83062,A81000C,00300,0200,MARINER POST-AC 83062,A81000C,00300,0400,PRISM (ATS ARS 83062,A81000C,00300,0600,THERAPIES 83062,A81000C,03100,0000,MARINER POST-ACUTE NETWORK 83062,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83062,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83062,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83062,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83062,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83062,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83062,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83062,B100000,00000,0800,00000MEALS SERVED :DIETARY 83062,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83062,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83062,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 83062,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83062,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83062,B100000,00000,1331,00000PT DAYS :ACTIVITIES 83062,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 83062,S000000,00100,0200,03/02/2000 83062,S200000,00100,0100,1710 LAKE WORTH ROAD 83062,S200000,00200,0100,MEDICANA 83062,S200000,00200,0200,FL 83062,S200000,00200,0300,33460- 83062,S200000,00300,0100,PALM BEACH 83062,S200000,00400,0100,MEDICANA NURSING CENTER 83062,S200000,00400,0200,105259 83062,S200000,00400,0300,01/01/1973 83062,S200000,00400,0500,P 83062,S200000,01600,0100,Y 83062,S700003,00000,0100,1 83071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83071,A000000,00300,0000,00300EMPLOYEE BENEFITS 83071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83071,A000000,00700,0000,00700HOUSEKEEPING 83071,A000000,00800,0000,00800DIETARY 83071,A000000,00900,0000,00900NURSING ADMINISTRATION 83071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83071,A000000,01100,0000,01100PHARMACY 83071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83071,A000000,01300,0000,01300SOCIAL SERVICE 83071,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83071,A000000,01600,0000,01600SKILLED NURSING FACILITY 83071,A000000,01800,0000,01800NURSING FACILITY 83071,A000000,01900,0000,01900OTHER LONG TERM CARE 83071,A000000,02100,0000,02100RADIOLOGY 83071,A000000,02200,0000,02200LABORATORY 83071,A000000,02300,0000,02300INTRAVENOUS THERAPY 83071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83071,A000000,02500,0000,02500PHYSICAL THERAPY 83071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83071,A000000,02700,0000,02700SPEECH PATHOLOGY 83071,A000000,02800,0000,02800ELECTROCARDIOLOGY 83071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83071,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83071,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83071,A000000,04800,0000,04800AMBULANCE 83071,A000000,05000,0000,05000CORF 83071,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83071,A000000,05300,0000,05300INTEREST EXPENSE 83071,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83071,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83071,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83071,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83071,A000000,06100,0000,06100NONPAID WORKERS 83071,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83071,A000000,06200,0000,06200PATIENTS LAUNDRY 83071,A81000A,00100,0100,Y 83071,A81000B,00100,0300,HOME OFFICE COSTS 83071,A81000B,00200,0300,MANAGEMENT FEES 83071,A81000B,00300,0300,HOME OFFICE COSTS 83071,A81000B,00400,0300,MANAGEMENT FEES 83071,A81000C,00100,0100,A 83071,A81000C,00100,0200,SERVICEMASTER 83071,A81000C,00100,0400,MANAGEMENT FEES 83071,A81000C,00100,0600,HOME OFFICE 83071,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83071,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83071,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83071,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83071,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83071,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83071,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83071,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83071,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 83071,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83071,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83071,S000000,00100,0200,05/30/2000 83071,S200000,00100,0100,606 EAST SHERIDAN DR. 83071,S200000,00200,0100,MELBOURNE 83071,S200000,00200,0200,FL 83071,S200000,00200,0300,32901- 83071,S200000,00300,0100,BREVARD 83071,S200000,00300,0200,4900 83071,S200000,00300,0300,U 83071,S200000,00400,0100,HOLMES REGIONAL NURSING CENTER 83071,S200000,00400,0200,105291 83071,S200000,00400,0300,01/01/1985 83071,S200000,00400,0500,P 83071,S200000,01600,0100,Y 83074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83074,A000000,00300,0000,00300EMPLOYEE BENEFITS 83074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83074,A000000,00700,0000,00700HOUSEKEEPING 83074,A000000,00800,0000,00800DIETARY 83074,A000000,00900,0000,00900NURSING ADMINISTRATION 83074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83074,A000000,01100,0000,01100PHARMACY 83074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83074,A000000,01300,0000,01300SOCIAL SERVICE 83074,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83074,A000000,01600,0000,01600SKILLED NURSING FACILITY 83074,A000000,01800,0000,01800NURSING FACILITY 83074,A000000,01900,0000,01900OTHER LONG TERM CARE 83074,A000000,02100,0000,02100RADIOLOGY 83074,A000000,02200,0000,02200LABORATORY 83074,A000000,02300,0000,02300INTRAVENOUS THERAPY 83074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83074,A000000,02500,0000,02500PHYSICAL THERAPY 83074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83074,A000000,02700,0000,02700SPEECH PATHOLOGY 83074,A000000,02800,0000,02800ELECTROCARDIOLOGY 83074,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 83074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83074,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83074,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83074,A000000,03200,0000,03200SUPPORT SURFACES 83074,A000000,03400,0000,03400CLINIC 83074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83074,A000000,03500,0000,03500RURAL HEALTH CLINIC 83074,A000000,04800,0000,04800AMBULANCE 83074,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83074,A000000,05000,0000,05000CORF 83074,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83074,A000000,05300,0000,05300INTEREST EXPENSE 83074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83074,A000000,05500,0000,05500HOSPICE 83074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83074,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83074,A000000,06100,0000,06100NONPAID WORKERS 83074,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83074,A000000,06200,0000,06200PATIENTS LAUNDRY 83074,A81000A,00100,0100,Y 83074,A81000B,00100,0300,CORPORATE OFFICE 83074,A81000B,00200,0300,CORPORATE OFFICE 83074,A81000C,00100,0100,C 83074,A81000C,00100,0200,NHS INC. 83074,A81000C,00100,0400,NHS INC. 83074,A81000C,00100,0600,HOME OFFICE 83074,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83074,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83074,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83074,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83074,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83074,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83074,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83074,B100000,00000,0800,00000MEALS SERVED :DIETARY 83074,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83074,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83074,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 83074,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83074,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83074,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 83074,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 83074,S000000,00100,0200,12/01/2000 83074,S200000,00100,0100,1055 3RD AVENUE 83074,S200000,00200,0100,DAYTONA BEACH 83074,S200000,00200,0200,FL 83074,S200000,00200,0300,32117- 83074,S200000,00300,0100,VOLUSIA 83074,S200000,00400,0100,DAYTONA BEACH HEALTH & REHAB CTR 83074,S200000,00400,0200,105311 83074,S200000,00400,0300,08/01/1982 83074,S200000,00400,0500,P 83076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83076,A000000,00300,0000,00300EMPLOYEE BENEFITS 83076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83076,A000000,00700,0000,00700HOUSEKEEPING 83076,A000000,00800,0000,00800DIETARY 83076,A000000,00900,0000,00900NURSING ADMINISTRATION 83076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83076,A000000,01100,0000,01100PHARMACY 83076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83076,A000000,01300,0000,01300SOCIAL SERVICE 83076,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83076,A000000,01600,0000,01600SKILLED NURSING FACILITY 83076,A000000,01800,0000,01800NURSING FACILITY 83076,A000000,01900,0000,01900OTHER LONG TERM CARE 83076,A000000,02100,0000,02100RADIOLOGY 83076,A000000,02200,0000,02200LABORATORY 83076,A000000,02300,0000,02300INTRAVENOUS THERAPY 83076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83076,A000000,02500,0000,02500PHYSICAL THERAPY 83076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83076,A000000,02700,0000,02700SPEECH PATHOLOGY 83076,A000000,02800,0000,02800ELECTROCARDIOLOGY 83076,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 83076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83076,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83076,A000000,03200,0000,03200SUPPORT SURFACES 83076,A000000,03400,0000,03400CLINIC 83076,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83076,A000000,03500,0000,03500RURAL HEALTH CLINIC 83076,A000000,04800,0000,04800AMBULANCE 83076,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83076,A000000,05000,0000,05000CORF 83076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83076,A000000,05300,0000,05300INTEREST EXPENSE 83076,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83076,A000000,05500,0000,05500HOSPICE 83076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83076,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83076,A000000,06100,0000,06100NONPAID WORKERS 83076,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83076,A000000,06200,0000,06200PATIENTS LAUNDRY 83076,A81000A,00100,0100,Y 83076,A81000B,00100,0300,CORPORATE OFFICE 83076,A81000B,00200,0300,CORPORATE OFFICE 83076,A81000C,00100,0100,C 83076,A81000C,00100,0200,NHS INC. 83076,A81000C,00100,0400,NHS INC. 83076,A81000C,00100,0600,HOME OFFICE 83076,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83076,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83076,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83076,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83076,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83076,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83076,B100000,00000,0800,00000MEALS SERVED :DIETARY 83076,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83076,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83076,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83076,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83076,E10A180,00501,0300,01/19/2001 83076,E10A180,00550,0100,01/19/2001 83076,S000000,00100,0200,12/01/2000 83076,S200000,00100,0100,51 SUNRISE BOULEVARD 83076,S200000,00200,0100,ST. AUGUSTINE 83076,S200000,00200,0200,FL 83076,S200000,00200,0300,32086- 83076,S200000,00300,0100,ST. JOHNS 83076,S200000,00300,0200,3600 83076,S200000,00300,0300,U 83076,S200000,00400,0100,ST. AUGUSTINE HEALTH & REHAB CTR 83076,S200000,00400,0200,105315 83076,S200000,00400,0300,08/01/1982 83076,S200000,00400,0500,P 83078,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83078,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83078,A000000,00300,0000,00300EMPLOYEE BENEFITS 83078,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83078,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83078,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83078,A000000,00700,0000,00700HOUSEKEEPING 83078,A000000,00800,0000,00800DIETARY 83078,A000000,00900,0000,00900NURSING ADMINISTRATION 83078,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83078,A000000,01100,0000,01100PHARMACY 83078,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83078,A000000,01300,0000,01300SOCIAL SERVICE 83078,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83078,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83078,A000000,01600,0000,01600SKILLED NURSING FACILITY 83078,A000000,01800,0000,01800NURSING FACILITY 83078,A000000,01900,0000,01900OTHER LONG TERM CARE 83078,A000000,02100,0000,02100RADIOLOGY 83078,A000000,02200,0000,02200LABORATORY 83078,A000000,02300,0000,02300INTRAVENOUS THERAPY 83078,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83078,A000000,02500,0000,02500PHYSICAL THERAPY 83078,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83078,A000000,02700,0000,02700SPEECH PATHOLOGY 83078,A000000,02800,0000,02800ELECTROCARDIOLOGY 83078,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 83078,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83078,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83078,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83078,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83078,A000000,03200,0000,03200SUPPORT SURFACES 83078,A000000,03400,0000,03400CLINIC 83078,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83078,A000000,03500,0000,03500RURAL HEALTH CLINIC 83078,A000000,04800,0000,04800AMBULANCE 83078,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83078,A000000,05000,0000,05000CORF 83078,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83078,A000000,05300,0000,05300INTEREST EXPENSE 83078,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83078,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83078,A000000,05500,0000,05500HOSPICE 83078,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83078,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83078,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83078,A000000,06100,0000,06100NONPAID WORKERS 83078,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83078,A000000,06200,0000,06200PATIENTS LAUNDRY 83078,A81000A,00100,0100,Y 83078,A81000B,00100,0300,CORPORATE OFFICE 83078,A81000B,00200,0300,CORPORATE OFFICE 83078,A81000C,00100,0100,C 83078,A81000C,00100,0200,NHS INC. 83078,A81000C,00100,0400,NHS INC. 83078,A81000C,00100,0600,HOME OFFICE 83078,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83078,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83078,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83078,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83078,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83078,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83078,B100000,00000,0800,00000MEALS SERVED :DIETARY 83078,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83078,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83078,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83078,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83078,S000000,00100,0200,12/01/2000 83078,S200000,00100,0100,136 NORTHEAST 12TH AVENUE 83078,S200000,00200,0100,CRYSTAL RIVER 83078,S200000,00200,0200,FL 83078,S200000,00200,0300,34429- 83078,S200000,00300,0100,CITRUS 83078,S200000,00300,0200,10 83078,S200000,00300,0300,R 83078,S200000,00400,0100,CRYSTAL RIVER HLTH & REHAB CENTER 83078,S200000,00400,0200,105317 83078,S200000,00400,0300,08/26/1977 83078,S200000,00400,0500,P 83080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83080,A000000,00300,0000,00300EMPLOYEE BENEFITS 83080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83080,A000000,00700,0000,00700HOUSEKEEPING 83080,A000000,00800,0000,00800DIETARY 83080,A000000,00900,0000,00900NURSING ADMINISTRATION 83080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83080,A000000,01100,0000,01100PHARMACY 83080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83080,A000000,01300,0000,01300SOCIAL SERVICE 83080,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83080,A000000,01600,0000,01600SKILLED NURSING FACILITY 83080,A000000,01800,0000,01800NURSING FACILITY 83080,A000000,01900,0000,01900OTHER LONG TERM CARE 83080,A000000,02100,0000,02100RADIOLOGY 83080,A000000,02200,0000,02200LABORATORY 83080,A000000,02300,0000,02300INTRAVENOUS THERAPY 83080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83080,A000000,02500,0000,02500PHYSICAL THERAPY 83080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83080,A000000,02700,0000,02700SPEECH PATHOLOGY 83080,A000000,02800,0000,02800ELECTROCARDIOLOGY 83080,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 83080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83080,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83080,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83080,A000000,03200,0000,03200SUPPORT SURFACES 83080,A000000,03400,0000,03400CLINIC 83080,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83080,A000000,03500,0000,03500RURAL HEALTH CLINIC 83080,A000000,04800,0000,04800AMBULANCE 83080,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83080,A000000,05000,0000,05000CORF 83080,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83080,A000000,05300,0000,05300INTEREST EXPENSE 83080,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83080,A000000,05500,0000,05500HOSPICE 83080,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83080,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83080,A000000,06100,0000,06100NONPAID WORKERS 83080,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83080,A000000,06200,0000,06200PATIENTS LAUNDRY 83080,A81000A,00100,0100,Y 83080,A81000B,00100,0300,CORPORATE OFFICE 83080,A81000B,00200,0300,CORPORATE OFFICE 83080,A81000C,00100,0100,C 83080,A81000C,00100,0200,NHS INC. 83080,A81000C,00100,0400,NHS INC. 83080,A81000C,00100,0600,HOME OFFICE 83080,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83080,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83080,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83080,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83080,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83080,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83080,B100000,00000,0800,00000MEALS SERVED :DIETARY 83080,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83080,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83080,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83080,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83080,S000000,00100,0200,12/01/2000 83080,S200000,00100,0100,1201 SOUTHEAST 24TH RAOD 83080,S200000,00200,0100,OCALA 83080,S200000,00200,0200,FL 83080,S200000,00200,0300,34471- 83080,S200000,00300,0100,MARION 83080,S200000,00300,0200,5790 83080,S200000,00300,0300,U 83080,S200000,00400,0100,OCALA HEALTH AND REHAB CENTER 83080,S200000,00400,0200,105321 83080,S200000,00400,0300,08/01/1982 83080,S200000,00400,0500,P 83093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83093,A000000,00300,0000,00300EMPLOYEE BENEFITS 83093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83093,A000000,00700,0000,00700HOUSEKEEPING 83093,A000000,00800,0000,00800DIETARY 83093,A000000,00900,0000,00900NURSING ADMINISTRATION 83093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83093,A000000,01100,0000,01100PHARMACY 83093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83093,A000000,01300,0000,01300SOCIAL SERVICE 83093,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 83093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83093,A000000,01600,0000,01600SKILLED NURSING FACILITY 83093,A000000,01800,0000,01800NURSING FACILITY 83093,A000000,01900,0000,01900OTHER LONG TERM CARE 83093,A000000,02100,0000,02100RADIOLOGY 83093,A000000,02200,0000,02200LABORATORY 83093,A000000,02300,0000,02300INTRAVENOUS THERAPY 83093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83093,A000000,02500,0000,02500PHYSICAL THERAPY 83093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83093,A000000,02700,0000,02700SPEECH PATHOLOGY 83093,A000000,02800,0000,02800ELECTROCARDIOLOGY 83093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83093,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83093,A000000,03200,0000,03200SUPPORT SURFACES 83093,A000000,03400,0000,03400CLINIC 83093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 83093,A000000,03500,0000,03500RURAL HEALTH CLINIC 83093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83093,A000000,04400,0000,04400DME RENTED - HHA 83093,A000000,04500,0000,04500DME SOLD - HHA 83093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83093,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 83093,A000000,04800,0000,04800AMBULANCE 83093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83093,A000000,05000,0000,05000CORF 83093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83093,A000000,05300,0000,05300INTEREST EXPENSE 83093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 83093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83093,A000000,05500,0000,05500HOSPICE 83093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83093,A000000,06100,0000,06100NONPAID WORKERS 83093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83093,A000000,06151,0000,06301ENTERALS 83093,A000000,06152,0000,06302VENDING 83093,A000000,06200,0000,06200PATIENTS LAUNDRY 83093,A81000A,00100,0100,Y 83093,A81000B,00100,0300,RENT 83093,A81000B,00200,0300,DEPRECIATION 83093,A81000B,00300,0300,INTEREST 83093,A81000B,00400,0300,H.O. COSTS 83093,A81000B,00500,0300,SHARED SVC 83093,A81000B,00600,0300,SHARED SVC 83093,A81000B,00700,0300,H.O. COSTS 83093,A81000B,00800,0300,SHARED SVC 83093,A81000B,00900,0300,SALARY EQUIV 83093,A81000B,01000,0300,SALARY EQUIV. 83093,A81000B,01100,0300,SALARY EQUIV. 83093,A81000B,01200,0300,SALARY EQUIV. 83093,A81000C,00100,0100,A 83093,A81000C,00100,0200,EDMOND M. FORTUNE 83093,A81000C,00100,0400,SANTALAND INC. 83093,A81000C,00100,0600,LESSOR 83093,A81000C,00200,0100,D 83093,A81000C,00200,0200,EDMOND M. FORTUNE 83093,A81000C,00200,0400,THERACARE 83093,A81000C,00200,0600,THERAPY PROVIDER 83093,A81000C,00300,0100,A 83093,A81000C,00300,0200,EDMOND M. FORTUNE 83093,A81000C,00300,0400,SANDY RIDGE CARE CENTER 83093,A81000C,00300,0600,NURSING HOME 83093,A81000C,00400,0100,A 83093,A81000C,00400,0200,EDMOND M. FORTUNE 83093,A81000C,00400,0400,CENTURY CARE CENTER 83093,A81000C,00400,0600,NURSING HOME 83093,A81000C,00500,0100,A 83093,A81000C,00600,0100,A 83093,A81000C,00700,0100,A 83093,A81000C,00800,0100,A 83093,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 83093,B100000,00000,0400,00002ACCUM COST :ADMINISTRATIVE & GENER 83093,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 83093,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 83093,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 83093,B100000,00000,0800,00002MEALS SERVED :DIETARY 83093,B100000,00000,0950,00002NURSING $ :NURSING ADMINISTRATION 83093,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 83093,E10A180,00301,0100,01/06/2000 83093,S000000,00100,0200,09/20/2000 83093,S200000,00100,0100,500 BROAD STREET 83093,S200000,00200,0100,MILTON 83093,S200000,00200,0200,FL 83093,S200000,00200,0300,32570- 83093,S200000,00300,0100,SANTA ROSA 83093,S200000,00300,0200,6080 83093,S200000,00300,0300,U 83093,S200000,00400,0100,SANTA ROSA CONVALESCENT CENTER 83093,S200000,00400,0200,105328 83093,S200000,00400,0300,05/01/1979 83093,S200000,00400,0500,P 83093,S200000,00400,0600,O 83093,S200000,01500,0100,Y 83115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83115,A000000,00300,0000,00300EMPLOYEE BENEFITS 83115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83115,A000000,00700,0000,00700HOUSEKEEPING 83115,A000000,00800,0000,00800DIETARY 83115,A000000,00900,0000,00900NURSING ADMINISTRATION 83115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83115,A000000,01100,0000,01100PHARMACY 83115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83115,A000000,01300,0000,01300SOCIAL SERVICE 83115,A000000,01350,0000,01500ACTIVITIES 83115,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83115,A000000,01600,0000,01600SKILLED NURSING FACILITY 83115,A000000,01800,0000,01800NURSING FACILITY 83115,A000000,01810,0000,01810ICF/MR 83115,A000000,01900,0000,01900OTHER LONG TERM CARE 83115,A000000,02100,0000,02100RADIOLOGY 83115,A000000,02200,0000,02200LABORATORY 83115,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83115,A000000,02500,0000,02500PHYSICAL THERAPY 83115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83115,A000000,02700,0000,02700SPEECH PATHOLOGY 83115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83115,A000000,03050,0000,03300AIR FLUIDIZED BEDS 83115,A000000,04800,0000,04800AMBULANCE 83115,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83115,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83115,A000000,05300,0000,05300INTEREST EXPENSE 83115,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83115,A000000,05500,0000,05500HOSPICE 83115,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83115,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83115,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83115,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83115,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83115,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83115,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83115,B100000,00000,0750,00000SQ FEET MODIFIED :HOUSEKEEPING 83115,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83115,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83115,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83115,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83115,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83115,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83115,S000000,00100,0200,11/27/2000 83115,S200000,00100,0100,1351 SAN CHRISTOPHER DRIVE 83115,S200000,00200,0100,DUNEDIN 83115,S200000,00200,0200,FL 83115,S200000,00200,0300,34698- 83115,S200000,00300,0100,PINELLAS 83115,S200000,00300,0200,8280 83115,S200000,00300,0300,U 83115,S200000,00400,0100,DUNEDIN CARE CENTER 83115,S200000,00400,0200,105350 83115,S200000,00400,0300,07/30/1979 83115,S200000,00400,0500,P 83115,S200000,01004,0500,O 83115,S200000,01600,0100,Y 83122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83122,A000000,00300,0000,00300EMPLOYEE BENEFITS 83122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83122,A000000,00700,0000,00700HOUSEKEEPING 83122,A000000,00800,0000,00800DIETARY 83122,A000000,00900,0000,00900NURSING ADMINISTRATION 83122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83122,A000000,01300,0000,01300SOCIAL SERVICE 83122,A000000,01600,0000,01600SKILLED NURSING FACILITY 83122,A000000,01800,0000,01800NURSING FACILITY 83122,A000000,01810,0000,01810ICF/MR 83122,A000000,01900,0000,01900OTHER LONG TERM CARE 83122,A000000,02100,0000,02100RADIOLOGY 83122,A000000,02200,0000,02200LABORATORY 83122,A000000,02300,0000,02300INTRAVENOUS THERAPY 83122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83122,A000000,02500,0000,02500PHYSICAL THERAPY 83122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83122,A000000,02700,0000,02700SPEECH PATHOLOGY 83122,A000000,02800,0000,02800ELECTROCARDIOLOGY 83122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83122,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83122,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83122,A000000,03200,0000,03200SUPPORT SURFACES 83122,A000000,03400,0000,03400CLINIC 83122,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83122,A000000,03500,0000,03500RURAL HEALTH CLINIC 83122,A000000,04800,0000,04800AMBULANCE 83122,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83122,A000000,05000,0000,05000CORF 83122,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83122,A000000,05300,0000,05300INTEREST EXPENSE 83122,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83122,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83122,A000000,05500,0000,05500HOSPICE 83122,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83122,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83122,A000000,06100,0000,06100NONPAID WORKERS 83122,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83122,A000000,06200,0000,06200PATIENTS LAUNDRY 83122,A81000A,00100,0100,Y 83122,A81000B,00100,0300,HOME OFFICE - ADMIN 83122,A81000B,00200,0300,HOME OFFICE - PROPERTY 83122,A81000B,00300,0300,RENT 83122,A81000B,00400,0300,PHYSICAL THERAPY 83122,A81000B,00500,0300,OCCUPATIONAL THERAPY 83122,A81000B,00600,0300,SPEECH THERAPY 83122,A81000B,00700,0300,DRUG EXPENSE 83122,A81000B,00800,0300,RX CONSULTANT 83122,A81000B,00900,0300,DEPRECIATION EXPENSE 83122,A81000B,01000,0300,MORTGAGE INTEREST EXPENSE 83122,A81000C,00100,0100,B 83122,A81000C,00100,0200,BARTON WEISMAN 83122,A81000C,00100,0400,HBA CORP. 83122,A81000C,00100,0600,MANAGEMENT CO. 83122,A81000C,00200,0100,B 83122,A81000C,00200,0200,BARTON WEISMAN 83122,A81000C,00200,0400,HBA CORP. 83122,A81000C,00200,0600,MANAGEMENT CO. 83122,A81000C,00300,0100,B 83122,A81000C,00300,0200,HOWARD LIPSCHUT 83122,A81000C,00300,0400,TAMARAC ASSOC. 83122,A81000C,00300,0600,REAL ESTATE DEV 83122,A81000C,00400,0100,A 83122,A81000C,00400,0200,BARTON WEISMAN 83122,A81000C,00400,0400,FOCUS REHAB 83122,A81000C,00400,0600,REHAB THERAPY 83122,A81000C,00500,0100,A 83122,A81000C,00500,0200,BARTON WEISMAN 83122,A81000C,00500,0400,FOCUS REHAB 83122,A81000C,00500,0600,REHAB THERAPY 83122,A81000C,00600,0100,A 83122,A81000C,00600,0200,BARTON WEISMAN 83122,A81000C,00600,0400,FOCUS REHAB 83122,A81000C,00600,0600,REHAB THERAPY C 83122,A81000C,00700,0100,A 83122,A81000C,00700,0200,BARTON WEISMAN 83122,A81000C,00700,0400,COMPREHENSIVE P 83122,A81000C,00700,0600,PHARMACY CO. 83122,A81000C,00800,0100,A 83122,A81000C,00800,0200,BARTON WEISMAN 83122,A81000C,00800,0400,COMPREHENSICE P 83122,A81000C,00800,0600,PHARMACY CO. 83122,A81000C,00900,0100,B 83122,A81000C,00900,0200,BARTON WEISMAN 83122,A81000C,00900,0400,TAMARAC ASSOC. 83122,A81000C,00900,0600,REAL ESTATE DEV 83122,A81000C,01000,0100,B 83122,A81000C,01000,0200,BARTON WEISMAN 83122,A81000C,01000,0400,TAMARAC ASSOC. 83122,A81000C,01000,0600,REAL ESTATE DEV 83122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83122,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83122,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83122,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83122,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83122,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83122,E10A180,00301,0100,04/28/1999 83122,E10A180,00302,0100,08/18/1999 83122,E10A180,00303,0100,11/10/1999 83122,E10A180,00350,0100,04/25/2000 83122,E10A180,00501,0100,07/21/2000 83122,E10A180,00550,0100,07/21/2000 83122,S000000,00100,0200,06/30/2000 83122,S200000,00100,0100,7901 NW 88TH AVENUE 83122,S200000,00200,0100,TAMARAC 83122,S200000,00300,0100,BROWARD 83122,S200000,00300,0200,2680 83122,S200000,00300,0300,U 83122,S200000,00400,0100,TAMARAC NURSING & REHAB 83122,S200000,00400,0200,105360 83122,S200000,00400,0300,02/01/1983 83122,S200000,00400,0500,P 83122,S200000,01600,0100,Y 83126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83126,A000000,00300,0000,00300EMPLOYEE BENEFITS 83126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83126,A000000,00700,0000,00700HOUSEKEEPING 83126,A000000,00800,0000,00800DIETARY 83126,A000000,00900,0000,00900NURSING ADMINISTRATION 83126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83126,A000000,01100,0000,01100PHARMACY 83126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83126,A000000,01300,0000,01300SOCIAL SERVICE 83126,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83126,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83126,A000000,01600,0000,01600SKILLED NURSING FACILITY 83126,A000000,01800,0000,01800NURSING FACILITY 83126,A000000,01900,0000,01900OTHER LONG TERM CARE 83126,A000000,02100,0000,02100RADIOLOGY 83126,A000000,02200,0000,02200LABORATORY 83126,A000000,02300,0000,02300INTRAVENOUS THERAPY 83126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83126,A000000,02500,0000,02500PHYSICAL THERAPY 83126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83126,A000000,02700,0000,02700SPEECH PATHOLOGY 83126,A000000,02800,0000,02800ELECTROCARDIOLOGY 83126,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 83126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83126,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83126,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83126,A000000,03200,0000,03200SUPPORT SURFACES 83126,A000000,03400,0000,03400CLINIC 83126,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83126,A000000,03500,0000,03500RURAL HEALTH CLINIC 83126,A000000,04800,0000,04800AMBULANCE 83126,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83126,A000000,05000,0000,05000CORF 83126,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83126,A000000,05300,0000,05300INTEREST EXPENSE 83126,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83126,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83126,A000000,05500,0000,05500HOSPICE 83126,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83126,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83126,A000000,06100,0000,06100NONPAID WORKERS 83126,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83126,A000000,06200,0000,06200PATIENTS LAUNDRY 83126,A81000A,00100,0100,Y 83126,A81000B,00100,0300,CORPORATE OFFICE 83126,A81000B,00200,0300,CORPORATE OFFICE 83126,A81000C,00100,0100,C 83126,A81000C,00100,0200,NHS INC. 83126,A81000C,00100,0400,NHS INC. 83126,A81000C,00100,0600,HOME OFFICE 83126,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83126,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83126,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83126,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83126,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83126,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83126,B100000,00000,0800,00000MEALS SERVED :DIETARY 83126,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83126,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83126,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83126,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83126,E10A180,00550,0100,02/09/2001 83126,E10A180,00550,0300,02/09/2001 83126,S000000,00100,0200,12/01/2000 83126,S200000,00100,0100,2125 WEST NEW HAVEN AVENUE 83126,S200000,00200,0100,WEST MELBOURNE 83126,S200000,00200,0200,FL 83126,S200000,00200,0300,32904- 83126,S200000,00300,0100,BREVARD 83126,S200000,00300,0200,4900 83126,S200000,00300,0300,U 83126,S200000,00400,0100,WEST MELBOURNE HEALTH & REHAB CTR 83126,S200000,00400,0200,105376 83126,S200000,00400,0300,08/01/1982 83126,S200000,00400,0500,P 83148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83148,A000000,00101,0000,00101CAP REL COSTS - B&F SS 83148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83148,A000000,00300,0000,00300EMPLOYEE BENEFITS 83148,A000000,00401,0000,00401A&G 83148,A000000,00402,0000,00402A&G SHARED SERVICES 83148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83148,A000000,00700,0000,00700HOUSEKEEPING 83148,A000000,00800,0000,00800DIETARY 83148,A000000,00900,0000,00900NURSING ADMINISTRATION 83148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83148,A000000,01100,0000,01100PHARMACY 83148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83148,A000000,01300,0000,01300SOCIAL SERVICE 83148,A000000,01350,0000,01500ACTIVITIES 83148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83148,A000000,01600,0000,01600SKILLED NURSING FACILITY 83148,A000000,01800,0000,01800NURSING FACILITY 83148,A000000,01810,0000,01810ICF/MR 83148,A000000,01900,0000,01900OTHER LONG TERM CARE 83148,A000000,02100,0000,02100RADIOLOGY 83148,A000000,02200,0000,02200LABORATORY 83148,A000000,02300,0000,02300INTRAVENOUS THERAPY 83148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83148,A000000,02500,0000,02500PHYSICAL THERAPY 83148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83148,A000000,02700,0000,02700SPEECH PATHOLOGY 83148,A000000,02800,0000,02800ELECTROCARDIOLOGY 83148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83148,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83148,A000000,03200,0000,03200SUPPORT SURFACES 83148,A000000,03400,0000,03400CLINIC 83148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83148,A000000,03500,0000,03500RURAL HEALTH CLINIC 83148,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83148,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83148,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83148,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83148,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83148,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83148,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83148,A000000,04400,0000,04400DME RENTED - HHA 83148,A000000,04500,0000,04500DME SOLD - HHA 83148,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83148,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83148,A000000,04800,0000,04800AMBULANCE 83148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83148,A000000,05000,0000,05000CORF 83148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83148,A000000,05300,0000,05300INTEREST EXPENSE 83148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83148,A000000,05500,0000,05500HOSPICE 83148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83148,A000000,06100,0000,06100NONPAID WORKERS 83148,A000000,06150,0000,06300ORCHID TERRACE 83148,A000000,06151,0000,06301PRIVATE HHA DUTY 83148,A000000,06152,0000,06302INDEPENDENT LIVING 83148,A000000,06153,0000,06303THE COVE 83148,A000000,06154,0000,06304OTHER NONREIMBURSABLE 83148,A000000,06200,0000,06200PATIENTS LAUNDRY 83148,B100000,00000,0100,00004SQUARE FEET HC :CAP REL COSTS - BLD 83148,B100000,00000,0101,00004TOTAL SQ FR :CAP REL COSTS - B&F SS 83148,B100000,00000,0401,00004 ACCUM. COST :A&G 83148,B100000,00000,0402,00004ACCUM. COST :A&G SHARED SERVICES 83148,B100000,00000,0500,00004SQUARE FEET HC :PLANT OPERATION MA 83148,B100000,00000,0600,00004POUNDS OF LAUNDRY :LAUNDRY & LINEN 83148,B100000,00000,0750,00004SQ FT MODIFIED :HOUSEKEEPING 83148,B100000,00000,0800,00004MEALS SERVED :DIETARY 83148,B100000,00000,0950,00004NURSING SALARIES :NURSING ADMINIST 83148,B100000,00000,1050,00004PATIENT DAYS :CENTRAL SERVICES & S 83148,B100000,00000,1250,00004PATIENT DAYS :MEDICAL RECORDS & LI 83148,B100000,00000,1330,00004PATIENT DAYS :SOCIAL SERVICE 83148,B100000,00000,1350,00004PATIENT DAYS :ACTIVITIES 83148,H510100,00000,0000,5345 83148,H510100,02400,0000,5345 83148,S000000,00100,0200,06/02/2000 83148,S200000,00100,0100,120 MOORINGS PARK DRIVE 83148,S200000,00200,0100,NAPLES 83148,S200000,00200,0200,FL 83148,S200000,00200,0300,34105- 83148,S200000,00300,0100,COLLIER 83148,S200000,00300,0200,5345 83148,S200000,00300,0300,U 83148,S200000,00400,0100,MOORINGS PARK 83148,S200000,00400,0200,105396 83148,S200000,00400,0300,11/19/1981 83148,S200000,00400,0500,P 83148,S200000,00800,0200,107518 83148,S200000,00800,0300,02/21/1996 83148,S200000,00800,0500,P 83148,S200000,01500,0100,Y 83159,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83159,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83159,A000000,00300,0000,00300EMPLOYEE BENEFITS 83159,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83159,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83159,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83159,A000000,00700,0000,00700HOUSEKEEPING 83159,A000000,00800,0000,00800DIETARY 83159,A000000,00900,0000,00900NURSING ADMINISTRATION 83159,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83159,A000000,01100,0000,01100PHARMACY 83159,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83159,A000000,01300,0000,01300SOCIAL SERVICE 83159,A000000,01600,0000,01600SKILLED NURSING FACILITY 83159,A000000,01800,0000,01800NURSING FACILITY 83159,A000000,01900,0000,01900OTHER LONG TERM CARE 83159,A000000,02100,0000,02100RADIOLOGY 83159,A000000,02200,0000,02200LABORATORY 83159,A000000,02300,0000,02300INTRAVENOUS THERAPY 83159,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83159,A000000,02500,0000,02500PHYSICAL THERAPY 83159,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83159,A000000,02700,0000,02700SPEECH PATHOLOGY 83159,A000000,02800,0000,02800ELECTROCARDIOLOGY 83159,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83159,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83159,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83159,A000000,03051,0000,03301NUTRITIONAL THERAPY 83159,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83159,A000000,03053,0000,03303PHYSICIAN SERVICES 83159,A000000,03054,0000,03304MEDICAL SERVICES 83159,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83159,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83159,A000000,03200,0000,03200SUPPORT SURFACES 83159,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83159,A000000,04800,0000,04800AMBULANCE 83159,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83159,A000000,05300,0000,05300INTEREST EXPENSE 83159,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83159,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83159,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83159,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83159,A000000,06100,0000,06100NONPAID WORKERS 83159,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83159,A000000,06200,0000,06200PATIENTS LAUNDRY 83159,A81000A,00100,0100,Y 83159,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83159,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83159,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83159,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83159,A81000B,00500,0300,REGIONAL ALLOC REL PARTY 83159,A81000B,00600,0300,PLEASE SEE ATTACHED TOTAL 83159,A81000C,00100,0100,B 83159,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83159,A81000C,00200,0200,A-8-1. 83159,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83159,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83159,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83159,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83159,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83159,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83159,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83159,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83159,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83159,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83159,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83159,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83159,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83159,S000000,00100,0200,06/02/2000 83159,S200000,00100,0100,1311 SOUTHWEST 16TH STREET 83159,S200000,00200,0100,GAINESVILLE 83159,S200000,00200,0200,FL 83159,S200000,00200,0300,32608- 83159,S200000,00300,0100,ALACHUA 83159,S200000,00400,0100,SUNBRIDGE CARE & REHAB GAINESVILLE 83159,S200000,00400,0200,105434 83159,S200000,00400,0300,01/01/1994 83159,S200000,00400,0500,P 83159,S200000,01600,0100,Y 83159,S200000,02200,0100,Y 83159,S700003,00000,0200,2 83187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83187,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83187,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83187,A000000,00300,0000,00300EMPLOYEE BENEFITS 83187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83187,A000000,00700,0000,00700HOUSEKEEPING 83187,A000000,00800,0000,00800DIETARY 83187,A000000,00801,0000,00801CAFETERIA 83187,A000000,00900,0000,00900NURSING ADMINISTRATION 83187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83187,A000000,01100,0000,01100PHARMACY 83187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83187,A000000,01300,0000,01300SOCIAL SERVICE 83187,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83187,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83187,A000000,01600,0000,01600SKILLED NURSING FACILITY 83187,A000000,01800,0000,01800NURSING FACILITY 83187,A000000,01900,0000,01900OTHER LONG TERM CARE 83187,A000000,02100,0000,02100RADIOLOGY 83187,A000000,02200,0000,02200LABORATORY 83187,A000000,02300,0000,02300INTRAVENOUS THERAPY 83187,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83187,A000000,02500,0000,02500PHYSICAL THERAPY 83187,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83187,A000000,02700,0000,02700SPEECH PATHOLOGY 83187,A000000,02800,0000,02800ELECTROCARDIOLOGY 83187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83187,A000000,03050,0000,03300OTHER ANCILLARY 83187,A000000,03051,0000,03301OTHER ANCILLARY II 83187,A000000,03052,0000,03302OTHER ANCILLARY III 83187,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83187,A000000,03200,0000,03200SUPPORT SURFACES 83187,A000000,03400,0000,03400CLINIC 83187,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83187,A000000,03500,0000,03500RURAL HEALTH CLINIC 83187,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83187,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83187,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83187,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83187,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83187,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83187,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83187,A000000,04400,0000,04400DME RENTED - HHA 83187,A000000,04500,0000,04500DME SOLD - HHA 83187,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83187,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83187,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83187,A000000,04800,0000,04800AMBULANCE 83187,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83187,A000000,05000,0000,05000CORF 83187,A000000,05010,0000,05010CMHC I 83187,A000000,05020,0000,05020OPT I 83187,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83187,A000000,05300,0000,05300INTEREST EXPENSE 83187,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83187,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83187,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83187,A000000,05500,0000,05500HOSPICE 83187,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83187,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83187,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83187,A000000,06100,0000,06100NONPAID WORKERS 83187,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83187,A000000,06200,0000,06200PATIENTS LAUNDRY 83187,A81000A,00100,0100,Y 83187,A81000B,00100,0300,MANAGEMENT FEES 83187,A81000C,00100,0100,A 83187,A81000C,00100,0200,ROBERT W. HAGAN 83187,A81000C,00100,0400,PRIME HEALTH 83187,A81000C,00100,0600,MGT CO 83187,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83187,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83187,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83187,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83187,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 83187,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 83187,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83187,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 83187,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 83187,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 83187,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 83187,E10A180,00501,0100,07/20/2001 83187,S000000,00100,0200,05/29/2001 83187,S200000,00100,0100,808 SOUTH COLLEY ROAD 83187,S200000,00200,0100,STARKE 83187,S200000,00200,0200,FL 83187,S200000,00200,0300,32091- 83187,S200000,00300,0100,BRADFORD 83187,S200000,00300,0200,10 83187,S200000,00300,0300,R 83187,S200000,00400,0100,STARKE NURSING CENTER LLC 83187,S200000,00400,0200,105488 83187,S200000,00400,0300,07/01/1997 83187,S200000,00400,0500,P 83187,S200000,01500,0100,Y 83189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83189,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83189,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83189,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83189,A000000,00300,0000,00300EMPLOYEE BENEFITS 83189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83189,A000000,00700,0000,00700HOUSEKEEPING 83189,A000000,00800,0000,00800DIETARY 83189,A000000,00801,0000,00801CAFETERIA 83189,A000000,00900,0000,00900NURSING ADMINISTRATION 83189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83189,A000000,01100,0000,01100PHARMACY 83189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83189,A000000,01300,0000,01300SOCIAL SERVICE 83189,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83189,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83189,A000000,01600,0000,01600SKILLED NURSING FACILITY 83189,A000000,01800,0000,01800NURSING FACILITY 83189,A000000,01900,0000,01900OTHER LONG TERM CARE 83189,A000000,02100,0000,02100RADIOLOGY 83189,A000000,02200,0000,02200LABORATORY 83189,A000000,02300,0000,02300INTRAVENOUS THERAPY 83189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83189,A000000,02500,0000,02500PHYSICAL THERAPY 83189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83189,A000000,02700,0000,02700SPEECH PATHOLOGY 83189,A000000,02800,0000,02800ELECTROCARDIOLOGY 83189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83189,A000000,03050,0000,03300OTHER ANCILLARY 83189,A000000,03051,0000,03301OTHER ANCILLARY II 83189,A000000,03052,0000,03302OTHER ANCILLARY III 83189,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83189,A000000,03200,0000,03200SUPPORT SURFACES 83189,A000000,03400,0000,03400CLINIC 83189,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83189,A000000,03500,0000,03500RURAL HEALTH CLINIC 83189,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83189,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83189,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83189,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83189,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83189,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83189,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83189,A000000,04400,0000,04400DME RENTED - HHA 83189,A000000,04500,0000,04500DME SOLD - HHA 83189,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83189,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83189,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83189,A000000,04800,0000,04800AMBULANCE 83189,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83189,A000000,05000,0000,05000CORF 83189,A000000,05010,0000,05010CMHC I 83189,A000000,05020,0000,05020OPT I 83189,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83189,A000000,05300,0000,05300INTEREST EXPENSE 83189,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83189,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83189,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83189,A000000,05500,0000,05500HOSPICE 83189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83189,A000000,06100,0000,06100NONPAID WORKERS 83189,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83189,A000000,06200,0000,06200PATIENTS LAUNDRY 83189,A81000A,00100,0100,Y 83189,A81000B,00100,0300,MANAGEMENT FEES 83189,A81000C,00100,0100,A 83189,A81000C,00100,0200,ROBERT W. HAGAN 83189,A81000C,00100,0400,PRIME HEALTH 83189,A81000C,00100,0600,MGT CO 83189,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83189,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83189,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83189,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 83189,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 83189,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83189,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 83189,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 83189,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 83189,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 83189,S000000,00100,0200,12/12/2000 83189,S200000,00100,0100,808 SOUTH COLLEY ROAD 83189,S200000,00200,0100,STARKE 83189,S200000,00200,0200,FL 83189,S200000,00200,0300,32091- 83189,S200000,00300,0100,BRADFORD 83189,S200000,00300,0200,0010 83189,S200000,00300,0300,R 83189,S200000,00400,0100,STARKE NURSING CENTER LLC 83189,S200000,00400,0200,105488 83189,S200000,00400,0300,07/01/1997 83189,S200000,00400,0500,P 83189,S200000,01500,0100,Y 83194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83194,A000000,00300,0000,00300EMPLOYEE BENEFITS 83194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83194,A000000,00700,0000,00700HOUSEKEEPING 83194,A000000,00800,0000,00800DIETARY 83194,A000000,00900,0000,00900NURSING ADMINISTRATION 83194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83194,A000000,01100,0000,01100PHARMACY 83194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83194,A000000,01300,0000,01300SOCIAL SERVICE 83194,A000000,01350,0000,01500OTHER GENERAL SERVICES 83194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83194,A000000,01600,0000,01600SKILLED NURSING FACILITY 83194,A000000,01800,0000,01800NURSING FACILITY 83194,A000000,01810,0000,01810ICF/MR 83194,A000000,01900,0000,01900OTHER LONG TERM CARE 83194,A000000,02100,0000,02100RADIOLOGY 83194,A000000,02200,0000,02200LABORATORY 83194,A000000,02300,0000,02300INTRAVENOUS THERAPY 83194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83194,A000000,02500,0000,02500PHYSICAL THERAPY 83194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83194,A000000,02700,0000,02700SPEECH PATHOLOGY 83194,A000000,02800,0000,02800ELECTROCARDIOLOGY 83194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83194,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83194,A000000,03200,0000,03200SUPPORT SURFACES 83194,A000000,03400,0000,03400CLINIC 83194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83194,A000000,03500,0000,03500RURAL HEALTH CLINIC 83194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83194,A000000,04400,0000,04400DME RENTED - HHA 83194,A000000,04500,0000,04500DME SOLD - HHA 83194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83194,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83194,A000000,04800,0000,04800AMBULANCE 83194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83194,A000000,05000,0000,05000CORF 83194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83194,A000000,05300,0000,05300INTEREST EXPENSE 83194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83194,A000000,05500,0000,05500HOSPICE 83194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83194,A000000,06100,0000,06100NONPAID WORKERS 83194,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83194,A000000,06200,0000,06200PATIENTS LAUNDRY 83194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83194,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83194,B100000,00000,0800,00000MEALS SERVED :DIETARY 83194,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83194,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83194,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83194,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83194,S000000,00100,0200,10/31/2000 83194,S200000,00100,0100,8785 NW 32ND AVENUE 83194,S200000,00200,0100,MIAMI 83194,S200000,00200,0200,FL 83194,S200000,00200,0300,33147- 83194,S200000,00300,0100,DADE 83194,S200000,00300,0200,5000 83194,S200000,00300,0300,U 83194,S200000,00400,0100,MIAMI SOUTHWOOD INC 83194,S200000,00400,0200,105511 83194,S200000,00400,0300,02/01/1993 83194,S200000,00400,0500,P 83194,S200000,01004,0500,O 83194,S200000,01600,0100,Y 83208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83208,A000000,00300,0000,00300EMPLOYEE BENEFITS 83208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83208,A000000,00700,0000,00700HOUSEKEEPING 83208,A000000,00800,0000,00800DIETARY 83208,A000000,00900,0000,00900NURSING ADMINISTRATION 83208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83208,A000000,01100,0000,01100PHARMACY 83208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83208,A000000,01300,0000,01300SOCIAL SERVICE 83208,A000000,01350,0000,01500ACTIVITIES 83208,A000000,01600,0000,01600SKILLED NURSING FACILITY 83208,A000000,01800,0000,01800NURSING FACILITY 83208,A000000,01900,0000,01900OTHER LONG TERM CARE 83208,A000000,02100,0000,02100RADIOLOGY 83208,A000000,02200,0000,02200LABORATORY 83208,A000000,02300,0000,02300INTRAVENOUS THERAPY 83208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83208,A000000,02500,0000,02500PHYSICAL THERAPY 83208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83208,A000000,02700,0000,02700SPEECH PATHOLOGY 83208,A000000,02800,0000,02800ELECTROCARDIOLOGY 83208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83208,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 83208,A000000,03200,0000,03200SUPPORT SURFACES 83208,A000000,03400,0000,03400CLINIC 83208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83208,A000000,04800,0000,04800AMBULANCE 83208,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83208,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83208,A000000,05300,0000,05300INTEREST EXPENSE 83208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83208,A000000,05500,0000,05500HOSPICE 83208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83208,A000000,06100,0000,06100NONPAID WORKERS 83208,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83208,A000000,06200,0000,06200PATIENTS LAUNDRY 83208,A81000A,00100,0100,Y 83208,A81000B,00100,0300,MANAGEMENT FEES 83208,A81000B,00200,0300,HOME OFFICE CAPITAL 83208,A81000C,00100,0100,B 83208,A81000C,00100,0200,WESLEY HEALTH SERV INC 83208,A81000C,00100,0400,WESLEY HEALTH SERV INC 83208,A81000C,00100,0600,HOME OFFICE 83208,A81000C,00200,0100,B 83208,A81000C,00300,0100,B 83208,A81000C,00400,0100,B 83208,A81000C,00500,0100,B 83208,A81000C,00600,0100,B 83208,A81000C,00700,0100,B 83208,A81000C,00800,0100,B 83208,A81000C,00900,0100,B 83208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83208,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83208,B100000,00000,0800,00000MEALS SERVED :DIETARY 83208,B100000,00000,0900,00000NSG LABOR HOURS :NURSING ADMINISTRA 83208,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 83208,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83208,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 83208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83208,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83208,S000000,00100,0200,12/04/2000 83208,S200000,00100,0100,1550 LEE BOULEVARD 83208,S200000,00200,0100,LEHIGH ACRES 83208,S200000,00200,0200,FL 83208,S200000,00200,0300,33936- 83208,S200000,00300,0100,LEE 83208,S200000,00400,0100,CROSS KEY MANOR 83208,S200000,00400,0200,105522 83208,S200000,00400,0300,01/01/1986 83208,S200000,00400,0500,P 83208,S200000,01600,0100,Y 83221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83221,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83221,A000000,00300,0000,00300EMPLOYEE BENEFITS 83221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83221,A000000,00700,0000,00700HOUSEKEEPING 83221,A000000,00800,0000,00800DIETARY 83221,A000000,00900,0000,00900NURSING ADMINISTRATION 83221,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83221,A000000,01100,0000,01100PHARMACY 83221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83221,A000000,01300,0000,01300SOCIAL SERVICE 83221,A000000,01350,0000,01500OTHER GENERAL SERVICES 83221,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83221,A000000,01600,0000,01600SKILLED NURSING FACILITY 83221,A000000,01800,0000,01800NURSING FACILITY 83221,A000000,01810,0000,01810ICF/MR 83221,A000000,01900,0000,01900OTHER LONG TERM CARE 83221,A000000,02100,0000,02100RADIOLOGY 83221,A000000,02200,0000,02200LABORATORY 83221,A000000,02300,0000,02300INTRAVENOUS THERAPY 83221,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83221,A000000,02500,0000,02500PHYSICAL THERAPY 83221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83221,A000000,02700,0000,02700SPEECH PATHOLOGY 83221,A000000,02800,0000,02800ELECTROCARDIOLOGY 83221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83221,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83221,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83221,A000000,03200,0000,03200SUPPORT SURFACES 83221,A000000,03400,0000,03400CLINIC 83221,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83221,A000000,03500,0000,03500RURAL HEALTH CLINIC 83221,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83221,A000000,04800,0000,04800AMBULANCE 83221,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83221,A000000,05000,0000,05000CORF 83221,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83221,A000000,05300,0000,05300INTEREST EXPENSE 83221,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83221,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83221,A000000,05500,0000,05500HOSPICE 83221,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83221,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83221,A000000,06100,0000,06100NONPAID WORKERS 83221,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83221,A000000,06200,0000,06200PATIENTS LAUNDRY 83221,A81000A,00100,0100,Y 83221,A81000B,00100,0300,HOME OFFICE - ADMIN 83221,A81000C,00100,0100,A 83221,A81000C,00100,0200,SALEM HOUSING INC. 83221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83221,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83221,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83221,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83221,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83221,B100000,00000,1050,00000SNF PATIENT :CENTRAL SERVICES & SU 83221,B100000,00000,1250,00000SNF PATIENT :MEDICAL RECORDS & LIB 83221,B100000,00000,1330,00000SNF PATIENT :SOCIAL SERVICE 83221,S000000,00100,0200,06/02/2000 83221,S200000,00100,0100,1330 NW FIRST AVENUE 83221,S200000,00200,0100,HOMESTEAD 83221,S200000,00200,0200,FL 83221,S200000,00200,0300,33030- 83221,S200000,00300,0100,DADE 83221,S200000,00300,0200,5000 83221,S200000,00300,0300,U 83221,S200000,00400,0100,SALEM HOUSING & REHAB CENTER 83221,S200000,00400,0200,105541 83221,S200000,00400,0300,11/11/1989 83221,S200000,00400,0500,P 83221,S200000,01004,0500,O 83221,S200000,01600,0100,Y 83229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83229,A000000,00300,0000,00300EMPLOYEE BENEFITS 83229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83229,A000000,00700,0000,00700HOUSEKEEPING 83229,A000000,00800,0000,00800DIETARY 83229,A000000,00900,0000,00900NURSING ADMINISTRATION 83229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83229,A000000,01100,0000,01100PHARMACY 83229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83229,A000000,01300,0000,01300SOCIAL SERVICE 83229,A000000,01350,0000,01500OTHER GENERAL SERVICES 83229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83229,A000000,01600,0000,01600SKILLED NURSING FACILITY 83229,A000000,01800,0000,01800NURSING FACILITY 83229,A000000,01900,0000,01900OTHER LONG TERM CARE 83229,A000000,02100,0000,02100RADIOLOGY 83229,A000000,02200,0000,02200LABORATORY 83229,A000000,02300,0000,02300INTRAVENOUS THERAPY 83229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83229,A000000,02500,0000,02500PHYSICAL THERAPY 83229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83229,A000000,02700,0000,02700SPEECH PATHOLOGY 83229,A000000,02800,0000,02800ELECTROCARDIOLOGY 83229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83229,A000000,03050,0000,03300OXYGEN 83229,A000000,03053,0000,03301EKG EXPENSE 83229,A000000,03054,0000,03302X-RAY EXPENSE 83229,A000000,03055,0000,03303EQUIPMENT RENTAL 83229,A000000,03200,0000,03200SUPPORT SURFACES 83229,A000000,03400,0000,03400CLINIC 83229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83229,A000000,03500,0000,03500RURAL HEALTH CLINIC 83229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83229,A000000,05000,0000,05000CORF 83229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83229,A000000,05300,0000,05300INTEREST EXPENSE 83229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83229,A000000,05500,0000,05500HOSPICE 83229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83229,A000000,05801,0000,05801PARENTAL/ENTERAL 83229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83229,A000000,06100,0000,06100NONPAID WORKERS 83229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83229,A000000,06201,0000,06201ADULT DAY CARE SERVICES 83229,A81000A,00100,0100,Y 83229,A81000B,00100,0300,HOUSEKEEPING EXPENSE 83229,A81000B,00200,0300,ACTIVITIES EXPENSE 83229,A81000B,00300,0300,LAUNDRY EXPENSE 83229,A81000B,00400,0300,PURCHASED SERVICES 83229,A81000B,00500,0300,ACCOUNTING FEES 83229,A81000B,00600,0300,DIETARY EXPENSE 83229,A81000B,00700,0300,WATER GARBAGE SEWER 83229,A81000B,00800,0300,GROUND MAINTENANCE 83229,A81000B,00900,0300,NURSE PURCHASE SERVICE 83229,A81000B,01000,0300,CATERING INN 83229,A81000B,01100,0300,HOUSEKEEPING EXPENSE 83229,A81000B,01200,0300,PURCHASED SERVICES 83229,A81000B,01300,0300,PURCHASED SERVICES 83229,A81000B,01400,0300,PURCHASED SERVICES 83229,A81000B,01500,0300,PURCHASED SERVICES 83229,A81000C,00100,0100,A 83229,A81000C,00100,0200,ROLAND A. GOEHRING 83229,A81000C,00100,0400,THE INN AT LAKESHORE 83229,A81000C,00100,0600,ACLF 83229,A81000C,00200,0400,LSV INC. 83229,A81000C,00200,0600,MOBILE HOME PARK 83229,A81000C,00300,0400,GOEHRING CONSTRUCTION 83229,A81000C,00300,0600,CONSTRUCTION 83229,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83229,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83229,B100000,00000,0400,00000ACCUM. COST :ADMINISTRATIVE & GENE 83229,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83229,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83229,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83229,B100000,00000,0800,00000MEALS SERVED :DIETARY 83229,B100000,00000,0950,00000NURSING $ :NURSING ADMINISTRATION 83229,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83229,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83229,S000000,00100,0200,05/23/2000 83229,S200000,00100,0100,LAKESHORE VILLAS HEALTH CARE CENTER 83229,S200000,00100,0300,16002 LAKESHORE VILLAS DRIVE 83229,S200000,00200,0100,TAMPA 83229,S200000,00200,0200,FL 83229,S200000,00200,0300,33613- 83229,S200000,00300,0100,HILLSBOROUGH 83229,S200000,00300,0200,8280 83229,S200000,00300,0300,U 83229,S200000,00400,0100,LAKESHORE VILLAS HCC 83229,S200000,00400,0200,105542 83229,S200000,00400,0300,02/01/1987 83229,S200000,00400,0500,P 83229,S200000,00600,0200,105542 83229,S200000,00600,0300,02/01/1987 83229,S200000,00600,0600,P 83229,S200000,01600,0100,Y 83231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83231,A000000,00300,0000,00300EMPLOYEE BENEFITS 83231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83231,A000000,00700,0000,00700HOUSEKEEPING 83231,A000000,00800,0000,00800DIETARY 83231,A000000,00900,0000,00900NURSING ADMINISTRATION 83231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83231,A000000,01300,0000,01300SOCIAL SERVICE 83231,A000000,01600,0000,01600SKILLED NURSING FACILITY 83231,A000000,01800,0000,01800NURSING FACILITY 83231,A000000,02100,0000,02100RADIOLOGY 83231,A000000,02200,0000,02200LABORATORY 83231,A000000,02300,0000,02300INTRAVENOUS THERAPY 83231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83231,A000000,02500,0000,02500PHYSICAL THERAPY 83231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83231,A000000,02700,0000,02700SPEECH PATHOLOGY 83231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83231,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83231,A000000,05300,0000,05300INTEREST EXPENSE 83231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83231,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83231,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83231,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 83231,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83231,B100000,00000,0850,00000RESIDENT DAYS :DIETARY 83231,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 83231,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 83231,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 83231,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 83231,E10A180,00550,0100,01/17/2001 83231,E10A180,00550,0300,01/17/2001 83231,S000000,00100,0200,12/21/2000 83231,S200000,00100,0100,16002 LAKESHORE VILLA DRIVE 83231,S200000,00200,0100,TAMPA 83231,S200000,00200,0200,FL 83231,S200000,00200,0300,33613- 83231,S200000,00300,0100,HILLSBOROUGH 83231,S200000,00300,0200,8280 83231,S200000,00300,0300,U 83231,S200000,00400,0100,LAKESHORE VILLAS HEALTHCARE 83231,S200000,00400,0200,105542 83231,S200000,00400,0300,07/01/1999 83231,S200000,00400,0500,P 83231,S200000,01600,0100,Y 83243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83243,A000000,00300,0000,00300EMPLOYEE BENEFITS 83243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83243,A000000,00700,0000,00700HOUSEKEEPING 83243,A000000,00800,0000,00800DIETARY 83243,A000000,00900,0000,00900NURSING ADMINISTRATION 83243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83243,A000000,01100,0000,01100PHARMACY 83243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83243,A000000,01300,0000,01300SOCIAL SERVICE 83243,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 83243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83243,A000000,01600,0000,01600SKILLED NURSING FACILITY 83243,A000000,01800,0000,01800NURSING FACILITY 83243,A000000,01900,0000,01900OTHER LONG TERM CARE 83243,A000000,02100,0000,02100RADIOLOGY 83243,A000000,02200,0000,02200LABORATORY 83243,A000000,02300,0000,02300INTRAVENOUS THERAPY 83243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83243,A000000,02500,0000,02500PHYSICAL THERAPY 83243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83243,A000000,02700,0000,02700SPEECH PATHOLOGY 83243,A000000,02800,0000,02800ELECTROCARDIOLOGY 83243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83243,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83243,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83243,A000000,03200,0000,03200SUPPORT SURFACES 83243,A000000,03400,0000,03400CLINIC 83243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 83243,A000000,03500,0000,03500RURAL HEALTH CLINIC 83243,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83243,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83243,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83243,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83243,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83243,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83243,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83243,A000000,04400,0000,04400DME RENTED - HHA 83243,A000000,04500,0000,04500DME SOLD - HHA 83243,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83243,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83243,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 83243,A000000,04800,0000,04800AMBULANCE 83243,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83243,A000000,05000,0000,05000CORF 83243,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83243,A000000,05300,0000,05300INTEREST EXPENSE 83243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 83243,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83243,A000000,05500,0000,05500HOSPICE 83243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83243,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83243,A000000,06100,0000,06100NONPAID WORKERS 83243,A000000,06150,0000,06300ENTERALS 83243,A000000,06151,0000,06301VENDING/MEDICARE PART B PPS 83243,A000000,06200,0000,06200PATIENTS LAUNDRY 83243,A81000A,00100,0100,Y 83243,A81000B,00100,0300,DEPR. BLDG & RENT 83243,A81000B,00200,0300,DEPR. BLDG & DEPRECIATION 83243,A81000B,00300,0300,DEPR. BLDG & AMORTIZATION 83243,A81000B,00400,0300,DEPR. BLDG & INTEREST 83243,A81000B,00500,0300,DEPR. BLDG & H.O. COST 83243,A81000B,00600,0300,ADMIN SHARED SVC 83243,A81000B,00700,0300,ADMIN H.O. COST 83243,A81000B,00800,0300,PLANT SHARED SVC 83243,A81000B,00900,0300,LAUNDRY SHARED SVC 83243,A81000B,01000,0300,PHYSICAL THERAPY EQUIV 83243,A81000B,01100,0300,OCCUP. THER. SALARY EQUIV 83243,A81000B,01200,0300,SPEECH THER. SALARY EQUIV 83243,A81000C,00100,0100,A 83243,A81000C,00100,0200,EDMOND M. FORTUNE 83243,A81000C,00100,0400,SANTALAND INC. 83243,A81000C,00100,0600,DEVELOPMENT 83243,A81000C,00200,0100,A 83243,A81000C,00200,0200,EDMOND M. FORTUNE 83243,A81000C,00200,0400,THERACARE 83243,A81000C,00200,0600,THERAPY RELATED 83243,A81000C,00300,0100,A 83243,A81000C,00300,0200,EDMOND M. FORTUNE 83243,A81000C,00300,0400,SANTA ROSA CONV. HOME INC 83243,A81000C,00300,0600,NURSING HOME 83243,A81000C,00400,0100,A 83243,A81000C,00500,0100,A 83243,A81000C,00600,0100,A 83243,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 83243,B100000,00000,0400,00001ACCUM COST :ADMINISTRATIVE & GENER 83243,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 83243,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 83243,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 83243,B100000,00000,0800,00001MEALS SERVED :DIETARY 83243,B100000,00000,0950,00001NURSING DOLLARS :NURSING ADMINISTR 83243,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 83243,E10A180,00301,0100,12/22/1999 83243,S000000,00100,0200,09/20/2000 83243,S200000,00100,0100,101 GLOVER LANE 83243,S200000,00200,0100,MILTON 83243,S200000,00200,0200,FL 83243,S200000,00200,0300,32570- 83243,S200000,00300,0100,SANTA ROSA 83243,S200000,00300,0200,6080 83243,S200000,00300,0300,U 83243,S200000,00400,0100,SANDY RIDGE CARE CENTER 83243,S200000,00400,0200,105552 83243,S200000,00400,0300,05/01/1987 83243,S200000,00400,0500,P 83243,S200000,01500,0100,Y 83257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83257,A000000,00300,0000,00300EMPLOYEE BENEFITS 83257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83257,A000000,00700,0000,00700HOUSEKEEPING 83257,A000000,00800,0000,00800DIETARY 83257,A000000,00900,0000,00900NURSING ADMINISTRATION 83257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83257,A000000,01100,0000,01100PHARMACY 83257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83257,A000000,01300,0000,01300SOCIAL SERVICE 83257,A000000,01600,0000,01600SKILLED NURSING FACILITY 83257,A000000,01800,0000,01800NURSING FACILITY 83257,A000000,02100,0000,02100RADIOLOGY 83257,A000000,02200,0000,02200LABORATORY 83257,A000000,02300,0000,02300INTRAVENOUS THERAPY 83257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83257,A000000,02500,0000,02500PHYSICAL THERAPY 83257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83257,A000000,02700,0000,02700SPEECH PATHOLOGY 83257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83257,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83257,A81000A,00100,0100,Y 83257,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 83257,A81000C,00100,0100,B 83257,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 83257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83257,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83257,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83257,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83257,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 83257,B100000,00000,0800,00000MEALS SERVED :DIETARY 83257,B100000,00000,0950,00000DIRECT NRSING $$ :NURSING ADMINISTR 83257,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83257,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83257,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83257,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83257,S000000,00100,0200,05/31/2000 83257,S200000,00100,0100,7979 SOUTH TAMIAMI TRAIL 83257,S200000,00200,0100,SARASOTA 83257,S200000,00200,0200,FL 83257,S200000,00200,0300,34231- 83257,S200000,00300,0100,SARASOTA 83257,S200000,00400,0100,THE SPRINGS AT LAKE POINTE WOODS 83257,S200000,00400,0200,105567 83257,S200000,00400,0300,11/10/1986 83257,S200000,00400,0500,P 83257,S200000,01600,0100,Y 83257,S700003,00000,0100,1 83285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83285,A000000,00300,0000,00300EMPLOYEE BENEFITS 83285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83285,A000000,00700,0000,00700HOUSEKEEPING 83285,A000000,00800,0000,00800DIETARY 83285,A000000,00900,0000,00900NURSING ADMINISTRATION 83285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83285,A000000,01100,0000,01100PHARMACY 83285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83285,A000000,01300,0000,01300SOCIAL SERVICE 83285,A000000,01350,0000,01500ACTIVITIES 83285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83285,A000000,01600,0000,01600SKILLED NURSING FACILITY 83285,A000000,01800,0000,01800NURSING FACILITY 83285,A000000,01810,0000,01801ICF/MR 83285,A000000,01900,0000,01900OTHER LONG TERM CARE 83285,A000000,02100,0000,02100RADIOLOGY 83285,A000000,02200,0000,02200LABORATORY 83285,A000000,02300,0000,02300INTRAVENOUS THERAPY 83285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83285,A000000,02500,0000,02500PHYSICAL THERAPY 83285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83285,A000000,02700,0000,02700SPEECH PATHOLOGY 83285,A000000,02800,0000,02800ELECTROCARDIOLOGY 83285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83285,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83285,A000000,03200,0000,03200SUPPORT SURFACES 83285,A000000,03400,0000,03400CLINIC 83285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83285,A000000,03500,0000,03500RURAL HEALTH CLINIC 83285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83285,A000000,04800,0000,04800AMBULANCE 83285,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83285,A000000,05000,0000,05000CORF 83285,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83285,A000000,05300,0000,05300INTEREST EXPENSE 83285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83285,A000000,05500,0000,05500HOSPICE 83285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83285,A000000,06100,0000,06100NONPAID WORKERS 83285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83285,A000000,06200,0000,06200PATIENTS LAUNDRY 83285,A81000A,00100,0100,Y 83285,A81000B,00100,0300,HOME OFFICE CAPITAL 83285,A81000B,00200,0300,HOME OFFICE A & G 83285,A81000C,00100,0100,B 83285,A81000C,00100,0400,SENIOR CARE PROP. INC. 83285,A81000C,00100,0600,HOME OFFICE 83285,A81000C,00200,0100,B 83285,A81000C,00200,0400,SENIOR CARE PROP. INC. 83285,A81000C,00200,0600,HOME OFFICE 83285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83285,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 83285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83285,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83285,B100000,00000,0750,00000MODIFIED SQ. FEET :HOUSEKEEPING 83285,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83285,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 83285,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83285,B100000,00000,1150,00000NO STATISTICS :PHARMACY 83285,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83285,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83285,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 83285,S000000,00100,0200,09/06/2000 83285,S200000,00100,0100,150 10TH STREET 83285,S200000,00200,0100,APALACHICOLA 83285,S200000,00200,0200,FL 83285,S200000,00200,0300,32339- 83285,S200000,00300,0100,FRANKLIN 83285,S200000,00400,0100,APALACHICOLA HEALTH CARE CENTER 83285,S200000,00400,0200,105614 83285,S200000,00400,0300,07/01/1988 83285,S200000,00400,0500,P 83285,S200000,01500,0100,Y 83285,S700003,00000,0400,4 83307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83307,A000000,00300,0000,00300EMPLOYEE BENEFITS 83307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83307,A000000,00700,0000,00700HOUSEKEEPING 83307,A000000,00800,0000,00800DIETARY 83307,A000000,00900,0000,00900NURSING ADMINISTRATION 83307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83307,A000000,01100,0000,01100PHARMACY 83307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83307,A000000,01300,0000,01300SOCIAL SERVICE 83307,A000000,01350,0000,01500ACTIVITIES 83307,A000000,01600,0000,01600SKILLED NURSING FACILITY 83307,A000000,01800,0000,01800NURSING FACILITY 83307,A000000,01900,0000,01900OTHER LONG TERM CARE 83307,A000000,02100,0000,02100RADIOLOGY 83307,A000000,02200,0000,02200LABORATORY 83307,A000000,02300,0000,02300INTRAVENOUS THERAPY 83307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83307,A000000,02500,0000,02500PHYSICAL THERAPY 83307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83307,A000000,02700,0000,02700SPEECH PATHOLOGY 83307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83307,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83307,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83307,A000000,03200,0000,03200SUPPORT SURFACES 83307,A000000,04800,0000,04800AMBULANCE 83307,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83307,A000000,05000,0000,05000CORF 83307,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83307,A000000,05300,0000,05300INTEREST EXPENSE 83307,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83307,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83307,A000000,05500,0000,05500HOSPICE 83307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83307,A000000,06100,0000,06100NONPAID WORKERS 83307,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83307,A000000,06200,0000,06200PATIENTS LAUNDRY 83307,A81000A,00100,0100,Y 83307,A81000B,00100,0300,HOME OFFICE ALLOCATION 83307,A81000C,00100,0100,B 83307,A81000C,00100,0200,RHA FLORIDA IN 83307,A81000C,00100,0400,RHA FLORDIA IN 83307,A81000C,00100,0600,LTC OPERATION 83307,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83307,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83307,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83307,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83307,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83307,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83307,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83307,B100000,00000,0800,00000MEALS SERVED :DIETARY 83307,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83307,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83307,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83307,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83307,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83307,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83307,S000000,00100,0200,12/15/2000 83307,S200000,00100,0100,1100 PINE STREET 83307,S200000,00200,0100,CLEARWATER 83307,S200000,00200,0200,FL 83307,S200000,00200,0300,34616- 83307,S200000,00300,0100,PINELLAS 83307,S200000,00400,0100,GLEN OAKS HEALTH CARE CENTER 83307,S200000,00400,0200,105634 83307,S200000,00400,0300,02/06/1989 83307,S200000,00400,0500,P 83307,S200000,01600,0100,Y 83307,S200000,02200,0100,Y 83307,S700003,00000,0200,2 83314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83314,A000000,00300,0000,00300EMPLOYEE BENEFITS 83314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83314,A000000,00700,0000,00700HOUSEKEEPING 83314,A000000,00800,0000,00800DIETARY 83314,A000000,00900,0000,00900NURSING ADMINISTRATION 83314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83314,A000000,01100,0000,01100PHARMACY 83314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83314,A000000,01300,0000,01300SOCIAL SERVICE 83314,A000000,01600,0000,01600SKILLED NURSING FACILITY 83314,A000000,01800,0000,01800NURSING FACILITY 83314,A000000,01900,0000,01900OTHER LONG TERM CARE 83314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83314,A000000,02500,0000,02500PHYSICAL THERAPY 83314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83314,A000000,02700,0000,02700SPEECH PATHOLOGY 83314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83314,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83314,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83314,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83314,A000000,05300,0000,05300INTEREST EXPENSE 83314,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83314,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83314,A000000,06200,0000,06200PATIENTS LAUNDRY 83314,A81000A,00100,0100,Y 83314,A81000B,00100,0300,CITY ADMINISTRATIVE FEEF 83314,A81000C,00100,0100,B 83314,A81000C,00100,0200,CITY OF MARIANN 83314,A81000C,00100,0400,CITY OF MARIANN 83314,A81000C,00100,0600,MUNICIPALITY 83314,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83314,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83314,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83314,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83314,S000000,00100,0200,03/01/2000 83314,S200000,00100,0100,4925 5TH AVENUE 83314,S200000,00200,0100,MARIANNA 83314,S200000,00200,0200,FL 83314,S200000,00200,0300,32447- 83314,S200000,00300,0100,FRANKLIN 83314,S200000,00300,0200,10 83314,S200000,00300,0300,U 83314,S200000,00400,0100,MARIANNA CONVALESCENT CENTER 83314,S200000,00400,0200,105637 83314,S200000,00400,0300,03/02/1989 83314,S200000,00400,0500,P 83314,S200000,01500,0100,Y 83314,S200000,02800,0100,Y 83322,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83322,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83322,A000000,00300,0000,00300EMPLOYEE BENEFITS 83322,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83322,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83322,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83322,A000000,00700,0000,00700HOUSEKEEPING 83322,A000000,00800,0000,00800DIETARY 83322,A000000,00900,0000,00900NURSING ADMINISTRATION 83322,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83322,A000000,01300,0000,01300SOCIAL SERVICE 83322,A000000,01600,0000,01600SKILLED NURSING FACILITY 83322,A000000,01800,0000,01800NURSING FACILITY 83322,A000000,02100,0000,02100RADIOLOGY 83322,A000000,02200,0000,02200LABORATORY 83322,A000000,02300,0000,02300INTRAVENOUS THERAPY 83322,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83322,A000000,02500,0000,02500PHYSICAL THERAPY 83322,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83322,A000000,02700,0000,02700SPEECH PATHOLOGY 83322,A000000,02800,0000,02800ELECTROCARDIOLOGY 83322,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83322,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83322,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83322,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83322,A000000,04800,0000,04800AMBULANCE 83322,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83322,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83322,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83322,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83322,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83322,A000000,06200,0000,06200PATIENTS LAUNDRY 83322,A81000A,00100,0100,Y 83322,A81000B,00100,0300,MANAGEMENT FEES 83322,A81000B,00200,0300,MGMT FEES-PROP COSTS 83322,A81000C,00100,0100,A 83322,A81000C,00100,0200,JAMES C. ROSNER 83322,A81000C,00100,0400,COMPREHENSIVE H 83322,A81000C,00100,0600,MGMT CO 83322,A81000C,00200,0100,A 83322,A81000C,00200,0200,LEO C. SAENGER 83322,A81000C,00200,0400,CHCA 83322,A81000C,00200,0600,MGMT CO 83322,A81000C,00300,0100,A 83322,A81000C,00300,0200,RICHARD L. KIST 83322,A81000C,00300,0400,CHCA 83322,A81000C,00300,0600,MGMT CO 83322,A81000C,00400,0100,A 83322,A81000C,00400,0200,H.D.BURKEMPER T 83322,A81000C,00400,0400,CHCA 83322,A81000C,00400,0600,MGMT CO 83322,A81000C,00500,0100,A 83322,A81000C,00500,0200,H.D. BALL TRUST 83322,A81000C,00500,0400,CHCA 83322,A81000C,00500,0600,MGMT CO 83322,A81000C,00600,0100,A 83322,A81000C,00600,0200,H.D. ROSNER TRU 83322,A81000C,00600,0400,CHCA 83322,A81000C,00600,0600,MGMT CO 83322,A81000C,00700,0100,F 83322,A81000C,00700,0200,JAMES J. THORPE 83322,A81000C,00800,0100,F 83322,A81000C,00800,0200,RICHARD WISDAHL 83322,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83322,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83322,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83322,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83322,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83322,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83322,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83322,B100000,00000,0800,00000MEALS SERVED :DIETARY 83322,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83322,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83322,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83322,S000000,00100,0200,05/30/2000 83322,S200000,00100,0100,189 SAN MARCO 83322,S200000,00200,0100,ST AUGUSTINE 83322,S200000,00200,0200,FL 83322,S200000,00200,0300,32084-2974 83322,S200000,00300,0100,ST. JOHNS 83322,S200000,00400,0100,ST. JOHNS HEALTH CARE CENTER 83322,S200000,00400,0200,105645 83322,S200000,00400,0300,06/01/1989 83322,S200000,00400,0500,P 83322,S200000,01600,0100,Y 83322,S700003,00000,0100,1 83330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83330,A000000,00300,0000,00300EMPLOYEE BENEFITS 83330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83330,A000000,00700,0000,00700HOUSEKEEPING 83330,A000000,00800,0000,00800DIETARY 83330,A000000,00900,0000,00900NURSING ADMINISTRATION 83330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83330,A000000,01100,0000,01100PHARMACY 83330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83330,A000000,01300,0000,01300SOCIAL SERVICE 83330,A000000,01600,0000,01600SKILLED NURSING FACILITY 83330,A000000,01800,0000,01800NURSING FACILITY 83330,A000000,01810,0000,01810ICF/MR 83330,A000000,01900,0000,01900OTHER LONG TERM CARE 83330,A000000,02100,0000,02100RADIOLOGY 83330,A000000,02200,0000,02200LABORATORY 83330,A000000,02300,0000,02300INTRAVENOUS THERAPY 83330,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83330,A000000,02500,0000,02500PHYSICAL THERAPY 83330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83330,A000000,02700,0000,02700SPEECH PATHOLOGY 83330,A000000,02800,0000,02800ELECTROCARDIOLOGY 83330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83330,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83330,A000000,03200,0000,03200SUPPORT SURFACES 83330,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83330,A000000,05300,0000,05300INTEREST EXPENSE 83330,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83330,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83330,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83330,A000000,06150,0000,06300RETIREMENT CENTER 83330,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83330,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83330,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83330,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83330,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83330,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83330,B100000,00000,0800,00000MEALS SERVED :DIETARY 83330,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83330,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83330,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83330,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83330,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83330,S000000,00100,0200,05/26/2000 83330,S200000,00100,0100,1333 SANTA BARBARA BOULEVARD 83330,S200000,00200,0100,CAPE CORAL 83330,S200000,00200,0200,FL 83330,S200000,00200,0300,33991- 83330,S200000,00300,0100,LEE 83330,S200000,00300,0200,2700 83330,S200000,00300,0300,U 83330,S200000,00400,0100,GULF COAST VILLAGE 83330,S200000,00400,0200,105672 83330,S200000,00400,0300,08/28/1989 83330,S200000,00400,0500,P 83330,S200000,01500,0100,Y 83330,S200000,01700,0100,Y 83330,S200000,02200,0100,Y 83343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83343,A000000,00300,0000,00300EMPLOYEE BENEFITS 83343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83343,A000000,00700,0000,00700HOUSEKEEPING 83343,A000000,00800,0000,00800DIETARY 83343,A000000,00900,0000,00900NURSING ADMINISTRATION 83343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83343,A000000,01300,0000,01300SOCIAL SERVICE 83343,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83343,A000000,01351,0000,01501RECREATONAL THERAPY 83343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83343,A000000,01600,0000,01600SKILLED NURSING FACILITY 83343,A000000,01800,0000,01800NURSING FACILITY 83343,A000000,01900,0000,01900OTHER LONG TERM CARE 83343,A000000,02100,0000,02100RADIOLOGY 83343,A000000,02200,0000,02200LABORATORY 83343,A000000,02300,0000,02300INTRAVENOUS THERAPY 83343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83343,A000000,02500,0000,02500PHYSICAL THERAPY 83343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83343,A000000,02700,0000,02700SPEECH PATHOLOGY 83343,A000000,02800,0000,02800ELECTROCARDIOLOGY 83343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83343,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83343,A000000,03200,0000,03200SUPPORT SURFACES 83343,A000000,03400,0000,03400CLINIC 83343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83343,A000000,04800,0000,04800AMBULANCE 83343,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83343,A000000,05300,0000,05300INTEREST EXPENSE 83343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83343,A000000,05500,0000,05500HOSPICE 83343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83343,A000000,06100,0000,06100NONPAID WORKERS 83343,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83343,A000000,06200,0000,06200PATIENTS LAUNDRY 83343,A81000A,00100,0100,Y 83343,A81000B,00100,0300,HOME OFFICE PROPERTY 83343,A81000B,00200,0300,HOME OFFICE ADMIN 83343,A81000B,00300,0300,PHYSICAL THERAPY 83343,A81000B,00400,0300,OCCUPATIONAL THERAPY 83343,A81000B,00500,0300,SPEECH THERAPY 83343,A81000B,00600,0300,PHARMACY 83343,A81000B,00700,0300,PHARMACY CONSULTANT 83343,A81000C,00100,0100,A 83343,A81000C,00100,0200,BARTON WESMAN 83343,A81000C,00100,0400,HBA CORP 83343,A81000C,00100,0600,MANAGEMENT CO. 83343,A81000C,00200,0100,A 83343,A81000C,00200,0200,BARTON WESMAN 83343,A81000C,00200,0400,HBA CORP 83343,A81000C,00200,0600,MANAGEMENT CO. 83343,A81000C,00300,0100,A 83343,A81000C,00300,0200,BARTON WESMAN 83343,A81000C,00300,0400,FOCUS REHAB 83343,A81000C,00300,0600,THERAPY CO. 83343,A81000C,00400,0100,A 83343,A81000C,00400,0200,BARTON WESMAN 83343,A81000C,00400,0400,FOCUS REHAB 83343,A81000C,00400,0600,THERAPY CO. 83343,A81000C,00500,0100,A 83343,A81000C,00500,0200,BARTON WESMAN 83343,A81000C,00500,0400,FOCUS REHAB 83343,A81000C,00500,0600,THERAPY CO. 83343,A81000C,00600,0100,A 83343,A81000C,00600,0200,BARTON WESMAN 83343,A81000C,00600,0400,COMP. PHARMACY 83343,A81000C,00600,0600,PHARMACY 83343,A81000C,00700,0100,A 83343,A81000C,00700,0200,BARTON WESMAN 83343,A81000C,00700,0400,COMP. PHARMACY 83343,A81000C,00700,0600,PHARMACY 83343,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83343,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83343,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83343,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83343,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83343,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83343,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 83343,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83343,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83343,B100000,00000,1351,00000PATIENT DAYS :RECREATONAL THERAPY 83343,E10A180,00301,0100,03/17/1999 83343,E10A180,00302,0100,01/01/1999 83343,E10A180,00351,0100,06/23/1999 83343,E10A180,00352,0100,09/29/1999 83343,E10A180,00353,0100,04/11/2000 83343,S000000,00100,0200,06/05/2000 83343,S200000,00100,0100,4251 SPRINGTREE DRIVE 83343,S200000,00200,0100,SUNRISE 83343,S200000,00200,0200,FL 83343,S200000,00200,0300,33351- 83343,S200000,00300,0100,BROWARD 83343,S200000,00300,0200,2680 83343,S200000,00300,0300,U 83343,S200000,00400,0100,SPRINGTREE NURSING & REHAB 83343,S200000,00400,0200,105686 83343,S200000,00400,0300,10/06/1990 83343,S200000,00400,0500,P 83343,S200000,01600,0100,Y 83359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83359,A000000,00300,0000,00300EMPLOYEE BENEFITS 83359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83359,A000000,00700,0000,00700HOUSEKEEPING 83359,A000000,00800,0000,00800DIETARY 83359,A000000,00900,0000,00900NURSING ADMINISTRATION 83359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83359,A000000,01100,0000,01100PHARMACY 83359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83359,A000000,01300,0000,01300SOCIAL SERVICE 83359,A000000,01350,0000,01500ACTIVITIES 83359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83359,A000000,01600,0000,01600SKILLED NURSING FACILITY 83359,A000000,01800,0000,01800NURSING FACILITY 83359,A000000,01900,0000,01900OTHER LONG TERM CARE 83359,A000000,02100,0000,02100RADIOLOGY 83359,A000000,02200,0000,02200LABORATORY 83359,A000000,02300,0000,02300INTRAVENOUS THERAPY 83359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83359,A000000,02500,0000,02500PHYSICAL THERAPY 83359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83359,A000000,02700,0000,02700SPEECH PATHOLOGY 83359,A000000,02800,0000,02800ELECTROCARDIOLOGY 83359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83359,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83359,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83359,A000000,03200,0000,03200SUPPORT SURFACES 83359,A000000,03400,0000,03400CLINIC 83359,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83359,A000000,03500,0000,03500RURAL HEALTH CLINIC 83359,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83359,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83359,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83359,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83359,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83359,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83359,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83359,A000000,04400,0000,04400DME RENTED - HHA 83359,A000000,04500,0000,04500DME SOLD - HHA 83359,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83359,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83359,A000000,04800,0000,04800AMBULANCE 83359,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83359,A000000,05000,0000,05000CORF 83359,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83359,A000000,05300,0000,05300INTEREST EXPENSE 83359,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83359,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83359,A000000,05500,0000,05500HOSPICE 83359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83359,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83359,A000000,06100,0000,06100NONPAID WORKERS 83359,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83359,A000000,06200,0000,06200PATIENTS LAUNDRY 83359,A81000A,00100,0100,Y 83359,A81000B,00100,0300,HOME OFFICE ALLOCATION 83359,A81000C,00100,0100,B 83359,A81000C,00100,0200,RHA INC. 83359,A81000C,00100,0400,RHA INC. 83359,A81000C,00100,0600,LTC 83359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83359,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83359,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83359,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83359,B100000,00000,0800,00000MEALS SERVED :DIETARY 83359,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83359,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83359,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83359,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83359,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83359,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83359,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 83359,S000000,00100,0200,12/15/2000 83359,S200000,00100,0100,STRONG ROAD RTE 83359,S200000,00200,0100,QUINCY 83359,S200000,00200,0200,FL 83359,S200000,00200,0300,32351- 83359,S200000,00300,0100,GADSEN 83359,S200000,00400,0100,RIVERCHASE CARE CENTER 83359,S200000,00400,0200,105704 83359,S200000,00400,0300,07/01/1990 83359,S200000,00400,0500,P 83359,S200000,01600,0100,Y 83359,S700003,00000,0200,2 83374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83374,A000000,00300,0000,00300EMPLOYEE BENEFITS 83374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83374,A000000,00700,0000,00700HOUSEKEEPING 83374,A000000,00800,0000,00800DIETARY 83374,A000000,00900,0000,00900NURSING ADMINISTRATION 83374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83374,A000000,01300,0000,01300SOCIAL SERVICE 83374,A000000,01600,0000,01600SKILLED NURSING FACILITY 83374,A000000,01800,0000,01800NURSING FACILITY 83374,A000000,01900,0000,01900OTHER LONG TERM CARE 83374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83374,A000000,02500,0000,02500PHYSICAL THERAPY 83374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83374,A000000,02700,0000,02700SPEECH PATHOLOGY 83374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83374,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83374,A000000,05300,0000,05300INTEREST EXPENSE 83374,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83374,A000000,06150,0000,06300INDEPENDENT LIVING CENTER 83374,A000000,06200,0000,06200PATIENTS LAUNDRY 83374,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83374,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83374,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83374,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83374,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83374,B100000,00000,0800,00000MEALS SERVED :DIETARY 83374,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 83374,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83374,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83374,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83374,S000000,00100,0200,06/01/2000 83374,S200000,00100,0100,1 FLEET LANDING BOULEVARD 83374,S200000,00200,0100,ATLANTIC BEACH 83374,S200000,00200,0200,FL 83374,S200000,00200,0300,32233- 83374,S200000,00300,0100,DUVAL 83374,S200000,00300,0200,3600 83374,S200000,00300,0300,U 83374,S200000,00400,0100,FLEET LANDING 83374,S200000,00400,0200,105743 83374,S200000,00400,0300,10/02/1991 83374,S200000,00400,0500,P 83374,S200000,00800,0200,107568 83374,S200000,00800,0300,07/08/1997 83374,S200000,00800,0500,P 83374,S200000,01600,0100,Y 83404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83404,A000000,00300,0000,00300EMPLOYEE BENEFITS 83404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83404,A000000,00700,0000,00700HOUSEKEEPING 83404,A000000,00800,0000,00800DIETARY 83404,A000000,00900,0000,00900NURSING ADMINISTRATION 83404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83404,A000000,01100,0000,01100PHARMACY 83404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83404,A000000,01300,0000,01300SOCIAL SERVICE 83404,A000000,01600,0000,01600SKILLED NURSING FACILITY 83404,A000000,01800,0000,01800NURSING FACILITY 83404,A000000,01900,0000,01900OTHER LONG TERM CARE 83404,A000000,02100,0000,02100RADIOLOGY 83404,A000000,02200,0000,02200LABORATORY 83404,A000000,02300,0000,02300INTRAVENOUS THERAPY 83404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83404,A000000,02500,0000,02500PHYSICAL THERAPY 83404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83404,A000000,02700,0000,02700SPEECH PATHOLOGY 83404,A000000,02800,0000,02800ELECTROCARDIOLOGY 83404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83404,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83404,A000000,03051,0000,03301NUTRITIONAL THERAPY 83404,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83404,A000000,03053,0000,03303PHYSICIAN SERVICES 83404,A000000,03054,0000,03304MEDICAL SERVICES 83404,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83404,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83404,A000000,03200,0000,03200SUPPORT SURFACES 83404,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83404,A000000,04800,0000,04800AMBULANCE 83404,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83404,A000000,05300,0000,05300INTEREST EXPENSE 83404,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83404,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83404,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83404,A000000,06100,0000,06100NONPAID WORKERS 83404,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83404,A000000,06200,0000,06200PATIENTS LAUNDRY 83404,A81000A,00100,0100,Y 83404,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83404,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83404,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83404,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83404,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 83404,A81000B,00600,0300,ADMINISTRATIVE & GENERAL 83404,A81000B,00700,0300,OXYGEN THERAPY 83404,A81000B,00800,0300,CONTRACT PHYSICAL THERAPY 83404,A81000B,00900,0300,CONTRACT OCCUPATIONAL THERAPY 83404,A81000B,01000,0300,SUPPLIES 83404,A81000B,01100,0300,CONTRACT SPEECH THERAPY 83404,A81000B,01200,0300,MEDICAL SUPPLIES 83404,A81000B,01300,0300,MEDICAL SUPPLIES 83404,A81000B,01400,0300,PHARMACY 83404,A81000B,01500,0300,SOFTWARE MAINTENANCE 83404,A81000C,00100,0100,B 83404,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83404,A81000C,00200,0200,A-8-1. 83404,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83404,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83404,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83404,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83404,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83404,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83404,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83404,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83404,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83404,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83404,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83404,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83404,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83404,S000000,00100,0200,09/26/2001 83404,S200000,00100,0100,3339 HWY 17 83404,S200000,00200,0100,GREEN COVE SPRINGS 83404,S200000,00200,0200,FL 83404,S200000,00200,0300,32043- 83404,S200000,00300,0100,CLAY 83404,S200000,00300,0200,3600 83404,S200000,00300,0300,U 83404,S200000,00400,0100,SUNBRIDGE CARE &REHAB-MAGNOLIA MANOR 83404,S200000,00400,0200,105788 83404,S200000,00400,0300,03/08/1993 83404,S200000,00400,0500,P 83404,S200000,01600,0100,Y 83404,S200000,03100,0100,Y 83404,S200000,05000,0100,Y 83410,S000000,00100,0200,05/09/2000 83411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83411,A000000,00300,0000,00300EMPLOYEE BENEFITS 83411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83411,A000000,00700,0000,00700HOUSEKEEPING 83411,A000000,00800,0000,00800DIETARY 83411,A000000,00900,0000,00900NURSING ADMINISTRATION 83411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83411,A000000,01100,0000,01100PHARMACY 83411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83411,A000000,01300,0000,01300SOCIAL SERVICE 83411,A000000,01350,0000,01500OTHER GENERAL SERVICES 83411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83411,A000000,01600,0000,01600SKILLED NURSING FACILITY 83411,A000000,01800,0000,01800NURSING FACILITY 83411,A000000,01810,0000,01810ICF/MR 83411,A000000,01900,0000,01900OTHER LONG TERM CARE 83411,A000000,02100,0000,02100RADIOLOGY 83411,A000000,02200,0000,02200LABORATORY 83411,A000000,02300,0000,02300INTRAVENOUS THERAPY 83411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83411,A000000,02500,0000,02500PHYSICAL THERAPY 83411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83411,A000000,02700,0000,02700SPEECH PATHOLOGY 83411,A000000,02800,0000,02800ELECTROCARDIOLOGY 83411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83411,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83411,A000000,03200,0000,03200SUPPORT SURFACES 83411,A000000,03400,0000,03400CLINIC 83411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83411,A000000,03500,0000,03500RURAL HEALTH CLINIC 83411,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83411,A000000,04800,0000,04800AMBULANCE 83411,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83411,A000000,05000,0000,05000CORF 83411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83411,A000000,05300,0000,05300INTEREST EXPENSE 83411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83411,A000000,05500,0000,05500HOSPICE 83411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83411,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83411,A000000,06100,0000,06100NONPAID WORKERS 83411,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83411,A000000,06200,0000,06200PATIENTS LAUNDRY 83411,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83411,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83411,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 83411,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83411,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 83411,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83411,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83411,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83411,E10A180,00501,0100,10/10/2000 83411,S000000,00100,0200,08/18/2000 83411,S200000,00100,0100,14433 5TH AVENUE NORTH 83411,S200000,00200,0100,DADE CITY 83411,S200000,00200,0200,FL 83411,S200000,00200,0300,33523- 83411,S200000,00300,0100,PASCO 83411,S200000,00300,0200,8280 83411,S200000,00300,0300,U 83411,S200000,00400,0100,PASCO NURSING CENTER 83411,S200000,00400,0200,105798 83411,S200000,00400,0300,05/01/1993 83411,S200000,00400,0500,P 83411,S200000,01600,0100,Y 83413,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83413,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83413,A000000,00300,0000,00300EMPLOYEE BENEFITS 83413,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83413,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83413,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83413,A000000,00700,0000,00700HOUSEKEEPING 83413,A000000,00800,0000,00800DIETARY 83413,A000000,00900,0000,00900NURSING ADMINISTRATION 83413,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83413,A000000,01100,0000,01100PHARMACY 83413,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83413,A000000,01300,0000,01300SOCIAL SERVICE 83413,A000000,01350,0000,01500OTHER GENERAL SERVICES 83413,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83413,A000000,01600,0000,01600SKILLED NURSING FACILITY 83413,A000000,01800,0000,01800NURSING FACILITY 83413,A000000,01810,0000,01810ICF/MR 83413,A000000,01900,0000,01900OTHER LONG TERM CARE 83413,A000000,02100,0000,02100RADIOLOGY 83413,A000000,02200,0000,02200LABORATORY 83413,A000000,02300,0000,02300INTRAVENOUS THERAPY 83413,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83413,A000000,02500,0000,02500PHYSICAL THERAPY 83413,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83413,A000000,02700,0000,02700SPEECH PATHOLOGY 83413,A000000,02800,0000,02800ELECTROCARDIOLOGY 83413,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83413,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83413,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83413,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83413,A000000,03200,0000,03200SUPPORT SURFACES 83413,A000000,03400,0000,03400CLINIC 83413,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83413,A000000,03500,0000,03500RURAL HEALTH CLINIC 83413,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83413,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83413,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83413,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83413,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83413,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83413,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83413,A000000,04400,0000,04400DME RENTED - HHA 83413,A000000,04500,0000,04500DME SOLD - HHA 83413,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83413,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83413,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83413,A000000,04800,0000,04800AMBULANCE 83413,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83413,A000000,05000,0000,05000CORF 83413,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83413,A000000,05300,0000,05300INTEREST EXPENSE 83413,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83413,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83413,A000000,05500,0000,05500HOSPICE 83413,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83413,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83413,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83413,A000000,06100,0000,06100NONPAID WORKERS 83413,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83413,A000000,06200,0000,06200PATIENTS LAUNDRY 83413,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83413,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83413,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83413,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83413,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83413,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83413,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83413,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83413,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83413,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83413,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83413,E10A180,00550,0100,01/11/2001 83413,E10A180,00550,0300,01/11/2001 83413,S000000,00100,0200,12/01/2000 83413,S200000,00100,0100,14433 5TH AVENUE NORTH 83413,S200000,00200,0100,DADE CITY 83413,S200000,00200,0200,FL 83413,S200000,00200,0300,33523- 83413,S200000,00300,0100,PASCO 83413,S200000,00300,0200,8280 83413,S200000,00300,0300,U 83413,S200000,00400,0100,PASCO NURSING CENTER 83413,S200000,00400,0200,105798 83413,S200000,00400,0300,05/01/1993 83413,S200000,00400,0500,P 83413,S200000,01600,0100,Y 83421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83421,A000000,00300,0000,00300EMPLOYEE BENEFITS 83421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83421,A000000,00700,0000,00700HOUSEKEEPING 83421,A000000,00800,0000,00800DIETARY 83421,A000000,00900,0000,00900NURSING ADMINISTRATION 83421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83421,A000000,01300,0000,01300SOCIAL SERVICE 83421,A000000,01600,0000,01600SKILLED NURSING FACILITY 83421,A000000,01800,0000,01800NURSING FACILITY 83421,A000000,01900,0000,01900OTHER LONG TERM CARE 83421,A000000,02100,0000,02100RADIOLOGY 83421,A000000,02200,0000,02200LABORATORY 83421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83421,A000000,02500,0000,02500PHYSICAL THERAPY 83421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83421,A000000,02700,0000,02700SPEECH PATHOLOGY 83421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83421,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83421,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83421,A000000,05300,0000,05300INTEREST EXPENSE 83421,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83421,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83421,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83421,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83421,A000000,06200,0000,06200PATIENTS LAUNDRY 83421,A81000A,00100,0100,Y 83421,A81000B,00100,0300,HOME OFFICE COSTS 83421,A81000C,00100,0100,A 83421,A81000C,00100,0200,BAT MANAGEMENT 83421,A81000C,00100,0400,BAT MANAGEMENT 83421,A81000C,00100,0600,HOME OFFICE 83421,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83421,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83421,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83421,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83421,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83421,B100000,00000,0800,00000MEALS SERVED :DIETARY 83421,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83421,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83421,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83421,S000000,00100,0200,11/27/2000 83421,S200000,00100,0100,501 SOUTH PALM AVENUE 83421,S200000,00200,0100,PALATKA 83421,S200000,00200,0200,FL 83421,S200000,00200,0300,32177- 83421,S200000,00300,0100,PUTMAN 83421,S200000,00300,0300,R 83421,S200000,00400,0100,PUTNAM NURSING HOME 83421,S200000,00400,0200,105805 83421,S200000,00400,0300,07/01/1993 83421,S200000,00400,0500,P 83427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83427,A000000,00300,0000,00300EMPLOYEE BENEFITS 83427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83427,A000000,00700,0000,00700HOUSEKEEPING 83427,A000000,00800,0000,00800DIETARY 83427,A000000,00900,0000,00900NURSING ADMINISTRATION 83427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83427,A000000,01100,0000,01100PHARMACY 83427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83427,A000000,01300,0000,01300SOCIAL SERVICE 83427,A000000,01600,0000,01600SKILLED NURSING FACILITY 83427,A000000,01800,0000,01800NURSING FACILITY 83427,A000000,01900,0000,01900OTHER LONG TERM CARE 83427,A000000,02100,0000,02100RADIOLOGY 83427,A000000,02200,0000,02200LABORATORY 83427,A000000,02300,0000,02300INTRAVENOUS THERAPY 83427,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83427,A000000,02500,0000,02500PHYSICAL THERAPY 83427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83427,A000000,02700,0000,02700SPEECH PATHOLOGY 83427,A000000,02800,0000,02800ELECTROCARDIOLOGY 83427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83427,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83427,A000000,03051,0000,03301NUTRITIONAL THERAPY 83427,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83427,A000000,03053,0000,03303PHYSICIAN SERVICES 83427,A000000,03054,0000,03304MEDICAL SERVICES 83427,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83427,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83427,A000000,03200,0000,03200SUPPORT SURFACES 83427,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83427,A000000,04800,0000,04800AMBULANCE 83427,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83427,A000000,05300,0000,05300INTEREST EXPENSE 83427,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83427,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83427,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83427,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83427,A000000,06100,0000,06100NONPAID WORKERS 83427,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83427,A000000,06200,0000,06200PATIENTS LAUNDRY 83427,A81000A,00100,0100,Y 83427,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83427,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83427,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83427,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83427,A81000B,00500,0300,REGIONAL ALLOCATION 83427,A81000B,00600,0300,PLEASE SEE ATTACHED 83427,A81000C,00100,0100,B 83427,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83427,A81000C,00200,0200,A-8-1. 83427,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83427,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83427,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83427,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83427,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83427,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83427,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83427,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83427,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83427,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83427,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83427,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83427,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83427,S000000,00100,0200,06/02/2000 83427,S200000,00100,0100,2000 NORTH SEMORAN BLVD 83427,S200000,00200,0100,ORLANDO 83427,S200000,00200,0200,FL 83427,S200000,00200,0300,32807- 83427,S200000,00300,0100,ORANGE 83427,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR ORLANDO 83427,S200000,00400,0200,105806 83427,S200000,00400,0300,04/01/1997 83427,S200000,00400,0500,P 83427,S200000,01600,0100,Y 83427,S200000,02200,0100,Y 83427,S700003,00000,0200,2 83436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83436,A000000,00300,0000,00300EMPLOYEE BENEFITS 83436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83436,A000000,00700,0000,00700HOUSEKEEPING 83436,A000000,00800,0000,00800DIETARY 83436,A000000,00900,0000,00900NURSING ADMINISTRATION 83436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83436,A000000,01300,0000,01300SOCIAL SERVICE 83436,A000000,01600,0000,01600SKILLED NURSING FACILITY 83436,A000000,01800,0000,01800NURSING FACILITY 83436,A000000,01900,0000,01900OTHER LONG TERM CARE 83436,A000000,02100,0000,02100RADIOLOGY 83436,A000000,02200,0000,02200LABORATORY 83436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83436,A000000,02500,0000,02500PHYSICAL THERAPY 83436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83436,A000000,02700,0000,02700SPEECH PATHOLOGY 83436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83436,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83436,A000000,05300,0000,05300INTEREST EXPENSE 83436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83436,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83436,A000000,06200,0000,06200PATIENTS LAUNDRY 83436,A81000A,00100,0100,Y 83436,A81000B,00100,0300,HOME OFFICE COSTS 83436,A81000C,00100,0100,A 83436,A81000C,00100,0200,BAT MANAGEMENT 83436,A81000C,00100,0400,BAT MANAGEMENT 83436,A81000C,00100,0600,HOME OFFICE 83436,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83436,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83436,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83436,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83436,B100000,00000,0800,00000MEALS SERVED :DIETARY 83436,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83436,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83436,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83436,S000000,00100,0200,11/27/2000 83436,S200000,00100,0100,100 LAKE STREET 83436,S200000,00200,0100,CRESENT CITY FL 32013 83436,S200000,00200,0200,CA 83436,S200000,00300,0100,PUTNAM 83436,S200000,00300,0200,10 83436,S200000,00300,0300,R 83436,S200000,00400,0100,LAKESHORE NURSING HOME 83436,S200000,00400,0200,105808 83436,S200000,00400,0300,07/01/1993 83436,S200000,00400,0500,P 83436,S200000,01600,0100,Y 83436,S200000,03300,0100,Y 83436,S200000,03300,0200,Y 83446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83446,A000000,00300,0000,00300EMPLOYEE BENEFITS 83446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83446,A000000,00700,0000,00700HOUSEKEEPING 83446,A000000,00800,0000,00800DIETARY 83446,A000000,00900,0000,00900NURSING ADMINISTRATION 83446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83446,A000000,01100,0000,01100PHARMACY 83446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83446,A000000,01300,0000,01300SOCIAL SERVICE 83446,A000000,01350,0000,01500OTHER GENERAL SERVICES 83446,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83446,A000000,01600,0000,01600SKILLED NURSING FACILITY 83446,A000000,01800,0000,01800NURSING FACILITY 83446,A000000,01900,0000,01900OTHER LONG TERM CARE 83446,A000000,02100,0000,02100RADIOLOGY 83446,A000000,02200,0000,02200LABORATORY 83446,A000000,02300,0000,02300INTRAVENOUS THERAPY 83446,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83446,A000000,02500,0000,02500PHYSICAL THERAPY 83446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83446,A000000,02700,0000,02700SPEECH PATHOLOGY 83446,A000000,02800,0000,02800ELECTROCARDIOLOGY 83446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83446,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83446,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83446,A000000,03200,0000,03200SUPPORT SURFACES 83446,A000000,03400,0000,03400CLINIC 83446,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83446,A000000,03500,0000,03500RURAL HEALTH CLINIC 83446,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83446,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83446,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83446,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83446,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83446,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83446,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83446,A000000,04400,0000,04400DME RENTED - HHA 83446,A000000,04500,0000,04500DME SOLD - HHA 83446,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83446,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83446,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83446,A000000,04800,0000,04800AMBULANCE 83446,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83446,A000000,05000,0000,05000CORF 83446,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83446,A000000,05300,0000,05300INTEREST EXPENSE 83446,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83446,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83446,A000000,05500,0000,05500HOSPICE 83446,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83446,A000000,05801,0000,05801BARBER & BEAUTY SHOP 83446,A000000,05901,0000,05901PART B PPS THERAPIES 83446,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83446,A000000,06100,0000,06100NONPAID WORKERS 83446,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83446,A000000,06200,0000,06200PATIENTS LAUNDRY 83446,A81000A,00100,0100,Y 83446,A81000B,00100,0300,HOME OFFICE COSTS 83446,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83446,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83446,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83446,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83446,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83446,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83446,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83446,B100000,00000,0800,00000MEALS SERVED :DIETARY 83446,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 83446,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83446,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 83446,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83446,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83446,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83446,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 83446,S000000,00100,0200,09/15/2000 83446,S200000,00100,0100,730 COLLEGE ST 83446,S200000,00200,0100,JACKSONVILLE 83446,S200000,00200,0200,FL 83446,S200000,00200,0300,32204- 83446,S200000,00300,0100,DUVAL 83446,S200000,00400,0100,JACKSONVILLE CONVALESCENT CENTER 83446,S200000,00400,0200,105813 83446,S200000,00400,0300,07/01/1993 83446,S200000,00400,0500,P 83446,S200000,00600,0200,105813 83446,S200000,00600,0300,08/28/1995 83446,S200000,00600,0600,P 83446,S200000,01004,0500,O 83446,S200000,01600,0100,Y 83446,S700003,00000,0100,1 83453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83453,A000000,00300,0000,00300EMPLOYEE BENEFITS 83453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83453,A000000,00700,0000,00700HOUSEKEEPING 83453,A000000,00800,0000,00800DIETARY 83453,A000000,00900,0000,00900NURSING ADMINISTRATION 83453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83453,A000000,01100,0000,01100PHARMACY 83453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83453,A000000,01300,0000,01300SOCIAL SERVICE 83453,A000000,01600,0000,01600SKILLED NURSING FACILITY 83453,A000000,01800,0000,01800NURSING FACILITY 83453,A000000,01900,0000,01900OTHER LONG TERM CARE 83453,A000000,02100,0000,02100RADIOLOGY 83453,A000000,02200,0000,02200LABORATORY 83453,A000000,02300,0000,02300INTRAVENOUS THERAPY 83453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83453,A000000,02500,0000,02500PHYSICAL THERAPY 83453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83453,A000000,02700,0000,02700SPEECH PATHOLOGY 83453,A000000,02800,0000,02800ELECTROCARDIOLOGY 83453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83453,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83453,A000000,03051,0000,03301NUTRITIONAL THERAPY 83453,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83453,A000000,03053,0000,03303PHYSICIAN SERVICES 83453,A000000,03054,0000,03304MEDICAL SERVICES 83453,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83453,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83453,A000000,03200,0000,03200SUPPORT SURFACES 83453,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83453,A000000,04800,0000,04800AMBULANCE 83453,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83453,A000000,05300,0000,05300INTEREST EXPENSE 83453,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83453,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83453,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83453,A000000,06100,0000,06100NONPAID WORKERS 83453,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83453,A000000,06200,0000,06200PATIENTS LAUNDRY 83453,A81000A,00100,0100,Y 83453,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83453,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83453,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83453,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83453,A81000B,00600,0300,SEE ATTACHMENT TO A-8-1 83453,A81000C,00100,0100,B 83453,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83453,A81000C,00200,0200,A-8-1. 83453,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83453,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83453,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83453,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83453,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83453,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83453,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83453,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83453,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83453,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83453,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83453,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83453,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83453,S000000,00100,0200,06/02/2000 83453,S200000,00100,0100,1771 EDGEWOOD AVENUE W. 83453,S200000,00200,0100,JACKSONVILLE 83453,S200000,00200,0200,FL 83453,S200000,00200,0300,32208- 83453,S200000,00300,0100,DUVAL 83453,S200000,00400,0100,LAKE FOREST HEALTH CARE CENTER 83453,S200000,00400,0200,105826 83453,S200000,00400,0300,11/02/1993 83453,S200000,00400,0500,P 83453,S200000,01600,0100,Y 83453,S200000,02200,0100,Y 83453,S700003,00000,0200,2 83462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83462,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83462,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83462,A000000,00300,0000,00300EMPLOYEE BENEFITS 83462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83462,A000000,00700,0000,00700HOUSEKEEPING 83462,A000000,00800,0000,00800DIETARY 83462,A000000,00801,0000,00801CAFETERIA 83462,A000000,00900,0000,00900NURSING ADMINISTRATION 83462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83462,A000000,01100,0000,01100PHARMACY 83462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83462,A000000,01300,0000,01300SOCIAL SERVICE 83462,A000000,01350,0000,01500ACTIVITIES 83462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83462,A000000,01600,0000,01600SKILLED NURSING FACILITY 83462,A000000,01800,0000,01800NURSING FACILITY 83462,A000000,01900,0000,01900OTHER LONG TERM CARE 83462,A000000,02100,0000,02100RADIOLOGY 83462,A000000,02200,0000,02200LABORATORY 83462,A000000,02300,0000,02300INTRAVENOUS THERAPY 83462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83462,A000000,02500,0000,02500PHYSICAL THERAPY 83462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83462,A000000,02700,0000,02700SPEECH PATHOLOGY 83462,A000000,02800,0000,02800ELECTROCARDIOLOGY 83462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83462,A000000,03050,0000,03300OTHER ANCILLARY 83462,A000000,03051,0000,03301OTHER ANCILLARY II 83462,A000000,03052,0000,03302OTHER ANCILLARY III 83462,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83462,A000000,03200,0000,03200SUPPORT SURFACES 83462,A000000,03400,0000,03400CLINIC 83462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83462,A000000,03500,0000,03500RURAL HEALTH CLINIC 83462,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83462,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83462,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83462,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83462,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83462,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83462,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83462,A000000,04400,0000,04400DME RENTED - HHA 83462,A000000,04500,0000,04500DME SOLD - HHA 83462,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83462,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83462,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83462,A000000,04800,0000,04800AMBULANCE 83462,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83462,A000000,05000,0000,05000CORF 83462,A000000,05010,0000,05010CMHC I 83462,A000000,05020,0000,05020OPT I 83462,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83462,A000000,05300,0000,05300INTEREST EXPENSE 83462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83462,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83462,A000000,05500,0000,05500HOSPICE 83462,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83462,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83462,A000000,06100,0000,06100NONPAID WORKERS 83462,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83462,A000000,06200,0000,06200PATIENTS LAUNDRY 83462,A81000A,00100,0100,Y 83462,A81000B,00100,0300,CAPITAL 83462,A81000B,00200,0300,A&G 83462,A81000B,00300,0300,A&G 83462,A81000B,00400,0300,A&G 83462,A81000B,00500,0300,DIETARY 83462,A81000B,00600,0300,MEDICAL SUPPLIES 83462,A81000B,00700,0300,MEDICAL SUPPLIES 83462,A81000C,00100,0100,A 83462,A81000C,00100,0200,DOUG MITTLEIDER 83462,A81000C,00100,0600,LTC MGMT 83462,A81000C,00200,0100,A 83462,A81000C,00200,0200,MIKE FOXWORTHY 83462,A81000C,00200,0600,LTC MGMT 83462,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83462,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 83462,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 83462,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 83462,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83462,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83462,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83462,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 83462,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 83462,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83462,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 83462,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 83462,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 83462,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 83462,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 83462,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 83462,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 83462,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 83462,S000000,00100,0200,05/31/2000 83462,S200000,00100,0100,1001 SOUTH ERMINE ST 83462,S200000,00200,0100,LAKE CITY 83462,S200000,00200,0300,32025- 83462,S200000,00300,0100,COLUMBIA 83462,S200000,00400,0100,LAKE CITY EXTENDED CARE CENTER 83462,S200000,00400,0200,105846 83462,S200000,00400,0300,01/25/1994 83462,S200000,00400,0500,P 83462,S200000,01600,0100,Y 83462,S200000,02200,0100,Y 83476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83476,A000000,00300,0000,00300EMPLOYEE BENEFITS 83476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83476,A000000,00700,0000,00700HOUSEKEEPING 83476,A000000,00800,0000,00800DIETARY 83476,A000000,00900,0000,00900NURSING ADMINISTRATION 83476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83476,A000000,01100,0000,01100PHARMACY 83476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83476,A000000,01300,0000,01300SOCIAL SERVICE 83476,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83476,A000000,01600,0000,01600SKILLED NURSING FACILITY 83476,A000000,01800,0000,01800NURSING FACILITY 83476,A000000,01900,0000,01900OTHER LONG TERM CARE 83476,A000000,02100,0000,02100RADIOLOGY 83476,A000000,02200,0000,02200LABORATORY 83476,A000000,02300,0000,02300INTRAVENOUS THERAPY 83476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83476,A000000,02500,0000,02500PHYSICAL THERAPY 83476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83476,A000000,02700,0000,02700SPEECH PATHOLOGY 83476,A000000,02800,0000,02800ELECTROCARDIOLOGY 83476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83476,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83476,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83476,A000000,04800,0000,04800AMBULANCE 83476,A000000,05000,0000,05000CORF 83476,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83476,A000000,05300,0000,05300INTEREST EXPENSE 83476,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83476,A000000,06100,0000,06100NONPAID WORKERS 83476,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83476,A000000,06200,0000,06200PATIENTS LAUNDRY 83476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83476,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83476,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83476,B100000,00000,0800,00000MEALS SERVED :DIETARY 83476,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83476,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 83476,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83476,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83476,S000000,00100,0200,12/05/2000 83476,S200000,00100,0100,701 MEDICAL COURT EAST 83476,S200000,00200,0100,INVERNESS 83476,S200000,00200,0200,FL 83476,S200000,00200,0300,34452- 83476,S200000,00300,0100,CITRUS 83476,S200000,00300,0200,10 83476,S200000,00300,0300,R 83476,S200000,00400,0100,CITRUS HEALTH & REHAB 83476,S200000,00400,0200,105858 83476,S200000,00400,0300,08/01/1994 83476,S200000,00400,0500,P 83476,S200000,01600,0100,Y 83485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83485,A000000,00300,0000,00300EMPLOYEE BENEFITS 83485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83485,A000000,00700,0000,00700HOUSEKEEPING 83485,A000000,00800,0000,00800DIETARY 83485,A000000,00900,0000,00900NURSING ADMINISTRATION 83485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83485,A000000,01100,0000,01100PHARMACY 83485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83485,A000000,01300,0000,01300SOCIAL SERVICE 83485,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 83485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83485,A000000,01600,0000,01600SKILLED NURSING FACILITY 83485,A000000,01800,0000,01800NURSING FACILITY 83485,A000000,01900,0000,01900OTHER LONG TERM CARE 83485,A000000,02100,0000,02100RADIOLOGY 83485,A000000,02200,0000,02200LABORATORY 83485,A000000,02300,0000,02300INTRAVENOUS THERAPY 83485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83485,A000000,02500,0000,02500PHYSICAL THERAPY 83485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83485,A000000,02700,0000,02700SPEECH PATHOLOGY 83485,A000000,02800,0000,02800ELECTROCARDIOLOGY 83485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83485,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83485,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83485,A000000,03200,0000,03200SUPPORT SURFACES 83485,A000000,03400,0000,03400CLINIC 83485,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 83485,A000000,03500,0000,03500RURAL HEALTH CLINIC 83485,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83485,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83485,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83485,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83485,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83485,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83485,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83485,A000000,04400,0000,04400DME RENTED - HHA 83485,A000000,04500,0000,04500DME SOLD - HHA 83485,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83485,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83485,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 83485,A000000,04800,0000,04800AMBULANCE 83485,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83485,A000000,05000,0000,05000CORF 83485,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83485,A000000,05300,0000,05300INTEREST EXPENSE 83485,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 83485,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83485,A000000,05500,0000,05500HOSPICE 83485,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83485,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83485,A000000,06100,0000,06100NONPAID WORKERS 83485,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83485,A000000,06200,0000,06200PATIENTS LAUNDRY 83485,A81000A,00100,0100,Y 83485,A81000B,00300,0300,SHARED SVC 83485,A81000B,00400,0300,H.O. ADMIN 83485,A81000B,00500,0300,SHARED SVC 83485,A81000B,00600,0300,SALARY EQUIV. 83485,A81000B,00700,0300,SALARY EQUIV. 83485,A81000B,00800,0300,SALARY EQUIV. 83485,A81000B,00900,0300,H.O. PROP 83485,A81000C,00100,0100,A 83485,A81000C,00100,0200,EDMOND M. FORTUNE 83485,A81000C,00100,0400,SANTALAND INC. 83485,A81000C,00100,0600,LESSOR 83485,A81000C,00200,0100,D 83485,A81000C,00200,0200,EDMOND M. FORTUNE 83485,A81000C,00200,0400,THERACARE 83485,A81000C,00200,0600,THERAPY PROVIDER 83485,A81000C,00300,0100,A 83485,A81000C,00300,0200,EDMOND M. FORTUNE 83485,A81000C,00300,0400,SANDY RIDGE CARE CENTER 83485,A81000C,00300,0600,NURSING HOME 83485,A81000C,00400,0100,A 83485,A81000C,00400,0200,EDMOND M. FORTUNE 83485,A81000C,00400,0400,SANTA ROSA CONVALESCENT 83485,A81000C,00400,0600,NURSING HOME 83485,A81000C,00500,0100,A 83485,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83485,B100000,00000,0400,00000ACCUM COST :ADMINISTRATIVE & GENER 83485,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83485,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83485,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83485,B100000,00000,0800,00000MEALS SERVED :DIETARY 83485,B100000,00000,0950,00000NURSING DOLLARS :NURSING ADMINISTR 83485,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83485,S000000,00100,0200,09/20/2000 83485,S200000,00100,0100,406 BROAD STREET 83485,S200000,00200,0100,MILTON 83485,S200000,00200,0200,FL 83485,S200000,00200,0300,32570-4921 83485,S200000,00300,0100,SANTA ROSA 83485,S200000,00300,0200,6080 83485,S200000,00300,0300,U 83485,S200000,00400,0100,CENTURY CARE CENTER INC. 83485,S200000,00400,0200,105860 83485,S200000,00400,0300,08/12/1994 83485,S200000,00400,0500,P 83485,S200000,01500,0100,Y 83504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83504,A000000,00300,0000,00300EMPLOYEE BENEFITS 83504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83504,A000000,00700,0000,00700HOUSEKEEPING 83504,A000000,00800,0000,00800DIETARY 83504,A000000,00900,0000,00900NURSING ADMINISTRATION 83504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83504,A000000,01100,0000,01100PHARMACY 83504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83504,A000000,01300,0000,01300SOCIAL SERVICE 83504,A000000,01350,0000,01500OTHER GENERAL SERVICES 83504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83504,A000000,01600,0000,01600SKILLED NURSING FACILITY 83504,A000000,01800,0000,01800NURSING FACILITY 83504,A000000,01900,0000,01900OTHER LONG TERM CARE 83504,A000000,02100,0000,02100RADIOLOGY 83504,A000000,02200,0000,02200LABORATORY 83504,A000000,02300,0000,02300INTRAVENOUS THERAPY 83504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83504,A000000,02500,0000,02500PHYSICAL THERAPY 83504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83504,A000000,02700,0000,02700SPEECH PATHOLOGY 83504,A000000,02800,0000,02800ELECTROCARDIOLOGY 83504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83504,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83504,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83504,A000000,03200,0000,03200SUPPORT SURFACES 83504,A000000,03400,0000,03400CLINIC 83504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83504,A000000,03500,0000,03500RURAL HEALTH CLINIC 83504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83504,A000000,04800,0000,04800AMBULANCE 83504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83504,A000000,05000,0000,05000CORF 83504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83504,A000000,05300,0000,05300INTEREST EXPENSE 83504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83504,A000000,05500,0000,05500HOSPICE 83504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83504,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83504,A000000,06100,0000,06100NONPAID WORKERS 83504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83504,A000000,06200,0000,06200PATIENTS LAUNDRY 83504,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83504,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 83504,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83504,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83504,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83504,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83504,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83504,B100000,00000,0950,00000NURINSG SALARIES :NURSING ADMINIST 83504,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83504,B100000,00000,1150,00000NO STATISTICS :PHARMACY 83504,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83504,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83504,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83504,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 83504,S000000,00100,0200,07/21/2000 83504,S200000,00100,0100,800 N.W. 1ST AVENUE 83504,S200000,00200,0100,MIAMI 83504,S200000,00200,0200,FL 83504,S200000,00200,0300,33150- 83504,S200000,00300,0100,DADE 83504,S200000,00400,0100,FRANCO NURSING & REHAB CENTER 83504,S200000,00400,0200,105903 83504,S200000,00400,0300,01/04/1996 83504,S200000,00400,0500,P 83504,S200000,01600,0100,Y 83504,S700003,00000,0100,1 83510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83510,A000000,00300,0000,00300EMPLOYEE BENEFITS 83510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83510,A000000,00700,0000,00700HOUSEKEEPING 83510,A000000,00800,0000,00800DIETARY 83510,A000000,00900,0000,00900NURSING ADMINISTRATION 83510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83510,A000000,01100,0000,01100PHARMACY 83510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83510,A000000,01300,0000,01300SOCIAL SERVICE 83510,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 83510,A000000,01600,0000,01600SKILLED NURSING FACILITY 83510,A000000,01800,0000,01800NURSING FACILITY 83510,A000000,01900,0000,01900OTHER LONG TERM CARE 83510,A000000,02100,0000,02100RADIOLOGY 83510,A000000,02200,0000,02200LABORATORY 83510,A000000,02300,0000,02300INTRAVENOUS THERAPY 83510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83510,A000000,02500,0000,02500PHYSICAL THERAPY 83510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83510,A000000,02700,0000,02700SPEECH PATHOLOGY 83510,A000000,02800,0000,02800ELECTROCARDIOLOGY 83510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83510,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83510,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83510,A000000,05000,0000,05000CORF 83510,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83510,A000000,05300,0000,05300INTEREST EXPENSE 83510,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83510,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83510,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83510,A000000,06100,0000,06100NONPAID WORKERS 83510,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83510,A000000,06200,0000,06200PATIENTS LAUNDRY 83510,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83510,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83510,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83510,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83510,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83510,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83510,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83510,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83510,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 83510,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83510,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83510,S000000,00100,0200,06/26/2000 83510,S200000,00100,0100,9869 S.W. 152ND ST 83510,S200000,00200,0100,MIAMI 83510,S200000,00200,0200,FL 83510,S200000,00200,0300,33157- 83510,S200000,00300,0100,DADE 83510,S200000,00300,0200,5000 83510,S200000,00300,0300,U 83510,S200000,00400,0100,CORAL REEF NURSING & REHAB CENTER 83510,S200000,00400,0200,105910 83510,S200000,00400,0300,03/01/1996 83510,S200000,00400,0500,P 83510,S200000,01600,0100,Y 83518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83518,A000000,00300,0000,00300EMPLOYEE BENEFITS 83518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83518,A000000,00700,0000,00700HOUSEKEEPING 83518,A000000,00800,0000,00800DIETARY 83518,A000000,00900,0000,00900NURSING ADMINISTRATION 83518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83518,A000000,01100,0000,01100PHARMACY 83518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83518,A000000,01300,0000,01300SOCIAL SERVICE 83518,A000000,01350,0000,01500ACTIVITIES 83518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83518,A000000,01600,0000,01600SKILLED NURSING FACILITY 83518,A000000,01800,0000,01800NURSING FACILITY 83518,A000000,01900,0000,01900OTHER LONG TERM CARE 83518,A000000,02100,0000,02100RADIOLOGY 83518,A000000,02200,0000,02200LABORATORY 83518,A000000,02300,0000,02300INTRAVENOUS THERAPY 83518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83518,A000000,02500,0000,02500PHYSICAL THERAPY 83518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83518,A000000,02700,0000,02700SPEECH PATHOLOGY 83518,A000000,02800,0000,02800ELECTROCARDIOLOGY 83518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83518,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83518,A000000,03200,0000,03200SUPPORT SURFACES 83518,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 83518,A000000,04800,0000,04800AMBULANCE 83518,A000000,05300,0000,05300INTEREST EXPENSE 83518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 83518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83518,A000000,06100,0000,06100NONPAID WORKERS 83518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83518,A000000,06200,0000,06200PATIENTS LAUNDRY 83518,A81000A,00100,0100,Y 83518,A81000B,00100,0300,HOME OFFICE COST 83518,A81000B,00200,0300,PT ADMIN FEES 83518,A81000B,00300,0300,OT ADMIN FEES 83518,A81000B,00400,0300,ST ADMIN FEES 83518,A81000C,00100,0100,B 83518,A81000C,00100,0200,MCHS WEST PALM BEACH 83518,A81000C,00100,0400,HCR MANORCARE INC. 83518,A81000C,00100,0600,LONG TERM CARE FACILITIES 83518,A81000C,00200,0100,B 83518,A81000C,00200,0200,MCHS WEST PALM BEACH 83518,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 83518,A81000C,00200,0600,THERAPY MANAGEMENT 83518,A81000C,00300,0100,B 83518,A81000C,00300,0200,MCHS WEST PALM BEACH 83518,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 83518,A81000C,00300,0600,THERAPY MANAGEMENT 83518,A81000C,00400,0100,B 83518,A81000C,00400,0200,MCHS WEST PALM BEACH 83518,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 83518,A81000C,00400,0600,THERAPY MANAGEMENT 83518,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83518,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83518,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83518,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83518,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83518,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83518,B100000,00000,0800,00000MEALS SERVED :DIETARY 83518,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 83518,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83518,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83518,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83518,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 83518,S000000,00100,0200,05/30/2000 83518,S200000,00100,0100,2300 VILLAGE BLVD 83518,S200000,00200,0100,WEST PALM BEACH 83518,S200000,00200,0200,FL 83518,S200000,00200,0300,33049- 83518,S200000,00300,0100,PALM BEACH 83518,S200000,00300,0200,8960 83518,S200000,00300,0300,U 83518,S200000,00400,0100,MCHS WEST PALM BEACH 83518,S200000,00400,0200,105911 83518,S200000,00400,0300,04/01/1996 83518,S200000,00400,0500,P 83518,S200000,00400,0600,P 83518,S200000,01500,0100,Y 83536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83536,A000000,00300,0000,00300EMPLOYEE BENEFITS 83536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83536,A000000,00700,0000,00700HOUSEKEEPING 83536,A000000,00800,0000,00800DIETARY 83536,A000000,00900,0000,00900NURSING ADMINISTRATION 83536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83536,A000000,01100,0000,01100PHARMACY 83536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83536,A000000,01300,0000,01300SOCIAL SERVICE 83536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83536,A000000,01600,0000,01600SKILLED NURSING FACILITY 83536,A000000,01800,0000,01800NURSING FACILITY 83536,A000000,01810,0000,01810ICF/MR 83536,A000000,02500,0000,02500PHYSICAL THERAPY 83536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83536,A000000,02700,0000,02700SPEECH PATHOLOGY 83536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83536,A000000,03550,0000,03550FQHC 83536,A000000,05000,0000,05000CORF 83536,A000000,05010,0000,05010CMHC 83536,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 83536,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 83536,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 83536,A000000,05300,0000,05300INTEREST EXPENSE 83536,A000000,06150,0000,06300INDEPENDENT ASSISTED LIVING & AL 83536,A81000A,00100,0100,Y 83536,A81000B,00100,0300,MANAGEMENT FEES 83536,A81000B,00200,0300,INTEREST 83536,A81000C,00100,0100,B 83536,A81000C,00100,0400,HYATT CORPORATI 83536,A81000C,00100,0600,MANAGEMENT 83536,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83536,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83536,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83536,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83536,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83536,B100000,00000,0800,00000MEALS SERVED :DIETARY 83536,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 83536,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83536,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83536,S000000,00100,0200,02/05/2001 83536,S200000,00100,0100,2792 DONNELLY DRIVE 83536,S200000,00200,0100,LANTANA 83536,S200000,00200,0200,FL 83536,S200000,00200,0300,33462- 83536,S200000,00300,0100,PALM BEACH 83536,S200000,00300,0200,8960 83536,S200000,00300,0300,U 83536,S200000,00400,0100,LAKESIDE VILLAGE 83536,S200000,00400,0200,105968 83536,S200000,00400,0300,09/23/1997 83536,S200000,00400,0500,P 83536,S200000,00600,0200,105968 83536,S200000,00600,0300,09/23/1997 83536,S200000,00600,0600,P 83536,S200000,01500,0100,Y 83536,S200000,02200,0100,Y 83536,S200000,04600,0100,Y 83542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83542,A000000,00300,0000,00300EMPLOYEE BENEFITS 83542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83542,A000000,00700,0000,00700HOUSEKEEPING 83542,A000000,00800,0000,00800DIETARY 83542,A000000,00900,0000,00900NURSING ADMINISTRATION 83542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83542,A000000,01100,0000,01100PHARMACY 83542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83542,A000000,01300,0000,01300SOCIAL SERVICE 83542,A000000,01350,0000,01500OTHER GENERAL SERVICES 83542,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83542,A000000,01600,0000,01600SKILLED NURSING FACILITY 83542,A000000,01800,0000,01800NURSING FACILITY 83542,A000000,01810,0000,01810ICF/MR 83542,A000000,01900,0000,01900OTHER LONG TERM CARE 83542,A000000,02100,0000,02100RADIOLOGY 83542,A000000,02200,0000,02200LABORATORY 83542,A000000,02300,0000,02300INTRAVENOUS THERAPY 83542,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83542,A000000,02500,0000,02500PHYSICAL THERAPY 83542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83542,A000000,02700,0000,02700SPEECH PATHOLOGY 83542,A000000,02800,0000,02800ELECTROCARDIOLOGY 83542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83542,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83542,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83542,A000000,03200,0000,03200SUPPORT SURFACES 83542,A000000,03400,0000,03400CLINIC 83542,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83542,A000000,03500,0000,03500RURAL HEALTH CLINIC 83542,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83542,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83542,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83542,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83542,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83542,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83542,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83542,A000000,04400,0000,04400DME RENTED - HHA 83542,A000000,04500,0000,04500DME SOLD - HHA 83542,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83542,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83542,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83542,A000000,04800,0000,04800AMBULANCE 83542,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83542,A000000,05000,0000,05000CORF 83542,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83542,A000000,05300,0000,05300INTEREST EXPENSE 83542,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83542,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83542,A000000,05500,0000,05500HOSPICE 83542,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83542,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83542,A000000,06100,0000,06100NONPAID WORKERS 83542,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83542,A000000,06200,0000,06200PATIENTS LAUNDRY 83542,A81000A,00100,0100,Y 83542,A81000B,00100,0300,RENT 83542,A81000B,00200,0300,AUTO & AUTO INSURANCE 83542,A81000C,00100,0100,A 83542,A81000C,00100,0200,JULIA RICE 83542,A81000C,00100,0400,JULIA RICE 83542,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 83542,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83542,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 83542,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 83542,B100000,00000,0750,00000 :HOUSEKEEPING 83542,B100000,00000,0850,00000 :DIETARY 83542,B100000,00000,0950,00000 :NURSING ADMINISTRATION 83542,B100000,00000,1330,00000 :SOCIAL SERVICE 83542,S000000,00100,0200,05/31/2000 83542,S200000,00100,0100,47 NW 32 PLACE 83542,S200000,00200,0100,MIAMI 83542,S200000,00200,0200,FL 83542,S200000,00200,0300,33125- 83542,S200000,00300,0100,DADE 83542,S200000,00300,0200,5000 83542,S200000,00300,0300,U 83542,S200000,00400,0100,FLORIDIAN NURSING 83542,S200000,00400,0200,106007 83542,S200000,00400,0300,04/27/1999 83542,S200000,00400,0500,P 83542,S200000,01600,0100,Y 83545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83545,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83545,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83545,A000000,00300,0000,00300EMPLOYEE BENEFITS 83545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83545,A000000,00700,0000,00700HOUSEKEEPING 83545,A000000,00800,0000,00800DIETARY 83545,A000000,00801,0000,00801CAFETERIA 83545,A000000,00900,0000,00900NURSING ADMINISTRATION 83545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83545,A000000,01100,0000,01100PHARMACY 83545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83545,A000000,01300,0000,01300SOCIAL SERVICE 83545,A000000,01350,0000,01500ACTIVITIES 83545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83545,A000000,01600,0000,01600SKILLED NURSING FACILITY 83545,A000000,01800,0000,01800NURSING FACILITY 83545,A000000,01900,0000,01900OTHER LONG TERM CARE 83545,A000000,02100,0000,02100RADIOLOGY 83545,A000000,02200,0000,02200LABORATORY 83545,A000000,02300,0000,02300INTRAVENOUS THERAPY 83545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83545,A000000,02500,0000,02500PHYSICAL THERAPY 83545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83545,A000000,02700,0000,02700SPEECH PATHOLOGY 83545,A000000,02800,0000,02800ELECTROCARDIOLOGY 83545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83545,A000000,03050,0000,03300OTHER ANCILLARY 83545,A000000,03051,0000,03301OTHER ANCILLARY II 83545,A000000,03052,0000,03302OTHER ANCILLARY III 83545,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83545,A000000,03200,0000,03200SUPPORT SURFACES 83545,A000000,03400,0000,03400CLINIC 83545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83545,A000000,03500,0000,03500RURAL HEALTH CLINIC 83545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83545,A000000,04400,0000,04400DME RENTED - HHA 83545,A000000,04500,0000,04500DME SOLD - HHA 83545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83545,A000000,04800,0000,04800AMBULANCE 83545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83545,A000000,05000,0000,05000CORF 83545,A000000,05010,0000,05010CMHC I 83545,A000000,05020,0000,05020OPT I 83545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83545,A000000,05300,0000,05300INTEREST EXPENSE 83545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83545,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83545,A000000,05500,0000,05500HOSPICE 83545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83545,A000000,06100,0000,06100NONPAID WORKERS 83545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83545,A000000,06200,0000,06200PATIENTS LAUNDRY 83545,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83545,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 83545,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 83545,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 83545,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83545,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83545,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83545,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83545,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 83545,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83545,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 83545,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 83545,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 83545,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 83545,B100000,00000,1250,00000GROSS CHRG :MEDICAL RECORDS & LIBR 83545,B100000,00000,1330,00000PAT DAY :SOCIAL SERVICE 83545,B100000,00000,1350,00000PAT DAY :ACTIVITIES 83545,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 83545,S000000,00100,0200,06/19/2000 83545,S200000,00100,0100,1991 SW CEDAR STREET 83545,S200000,00200,0100,CROSS CITY 83545,S200000,00200,0200,FL 83545,S200000,00200,0300,32628- 83545,S200000,00400,0100,CROSS CITY REHAB AND HEALTH 83545,S200000,00400,0200,106009 83545,S200000,00400,0300,07/01/1999 83545,S200000,00400,0500,P 83545,S200000,01500,0100,Y 83545,S200000,01700,0100,Y 83545,S200000,01800,0100,Y 83545,S200000,01900,0100,OTHER (SPECIFY) 83545,S200000,02200,0100,Y 83545,S700003,00000,0400,4 83577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83577,A000000,00300,0000,00300EMPLOYEE BENEFITS 83577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83577,A000000,00700,0000,00700HOUSEKEEPING 83577,A000000,00800,0000,00800DIETARY 83577,A000000,00900,0000,00900NURSING ADMINISTRATION 83577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83577,A000000,01100,0000,01100PHARMACY 83577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83577,A000000,01300,0000,01300SOCIAL SERVICE 83577,A000000,01600,0000,01600SKILLED NURSING FACILITY 83577,A000000,01800,0000,01800NURSING FACILITY 83577,A000000,01900,0000,01900OTHER LONG TERM CARE 83577,A000000,02100,0000,02100RADIOLOGY 83577,A000000,02200,0000,02200LABORATORY 83577,A000000,02300,0000,02300INTRAVENOUS THERAPY 83577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83577,A000000,02500,0000,02500PHYSICAL THERAPY 83577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83577,A000000,02700,0000,02700SPEECH PATHOLOGY 83577,A000000,02800,0000,02800ELECTROCARDIOLOGY 83577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83577,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83577,A000000,03051,0000,03301NUTRITIONAL THERAPY 83577,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83577,A000000,03053,0000,03303PHYSICIAN SERVICES 83577,A000000,03054,0000,03304MEDICAL SERVICES 83577,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83577,A000000,03200,0000,03200SUPPORT SURFACES 83577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83577,A000000,04800,0000,04800AMBULANCE 83577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83577,A000000,05300,0000,05300INTEREST EXPENSE 83577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83577,A000000,06100,0000,06100NONPAID WORKERS 83577,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83577,A000000,06200,0000,06200PATIENTS LAUNDRY 83577,A81000A,00100,0100,Y 83577,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83577,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83577,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83577,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83577,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 83577,A81000B,00600,0300,SEE ATTACHED 83577,A81000C,00100,0100,B 83577,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83577,A81000C,00200,0200,A-8-1. 83577,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83577,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83577,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83577,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83577,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83577,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83577,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83577,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83577,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83577,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83577,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83577,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83577,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83577,S000000,00100,0200,05/30/2000 83577,S200000,00100,0100,315 UPPER RIVERDALE ROAD 83577,S200000,00200,0100,RIVERDALE 83577,S200000,00200,0200,GA 83577,S200000,00200,0300,30274- 83577,S200000,00300,0100,CLAYTON 83577,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR RIVERDALE 83577,S200000,00400,0200,115144 83577,S200000,00400,0300,05/01/1993 83577,S200000,00400,0500,P 83577,S200000,01500,0100,Y 83577,S200000,02200,0100,Y 83577,S700003,00000,0200,2 83595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83595,A000000,00300,0000,00300EMPLOYEE BENEFITS 83595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83595,A000000,00700,0000,00700HOUSEKEEPING 83595,A000000,00800,0000,00800DIETARY 83595,A000000,00900,0000,00900NURSING ADMINISTRATION 83595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83595,A000000,01100,0000,01100PHARMACY 83595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83595,A000000,01300,0000,01300SOCIAL SERVICE 83595,A000000,01350,0000,01500ACTIVITIES 83595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83595,A000000,01600,0000,01600SKILLED NURSING FACILITY 83595,A000000,01800,0000,01800NURSING FACILITY 83595,A000000,01900,0000,01900OTHER LONG TERM CARE 83595,A000000,02100,0000,02100RADIOLOGY 83595,A000000,02200,0000,02200LABORATORY 83595,A000000,02300,0000,02300INTRAVENOUS THERAPY 83595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83595,A000000,02500,0000,02500PHYSICAL THERAPY 83595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83595,A000000,02700,0000,02700SPEECH PATHOLOGY 83595,A000000,02800,0000,02800ELECTROCARDIOLOGY 83595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83595,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83595,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83595,A000000,03200,0000,03200SUPPORT SURFACES 83595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83595,A000000,04800,0000,04800AMBULANCE 83595,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83595,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83595,A000000,05300,0000,05300INTEREST EXPENSE 83595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83595,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83595,A000000,06100,0000,06100NONPAID WORKERS 83595,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83595,A000000,06200,0000,06200PATIENTS LAUNDRY 83595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83595,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83595,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83595,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83595,B100000,00000,0800,00000MEALS SERVED :DIETARY 83595,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83595,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83595,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83595,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83595,E10A180,00301,0100,01/20/2000 83595,S000000,00100,0200,11/30/2000 83595,S200000,00100,0100,350 BOULEVARD SW 83595,S200000,00200,0100,ATLANTA 83595,S200000,00200,0200,GA 83595,S200000,00200,0300,30312- 83595,S200000,00300,0100,FULTON 83595,S200000,00300,0300,U 83595,S200000,00400,0100,A. G. RHODES HOME INC-BOULEVARD 83595,S200000,00400,0200,115275 83595,S200000,00400,0300,06/01/1992 83595,S200000,00400,0500,P 83595,S200000,01600,0100,Y 83601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83601,A000000,00300,0000,00300EMPLOYEE BENEFITS 83601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83601,A000000,00700,0000,00700HOUSEKEEPING 83601,A000000,00800,0000,00800DIETARY 83601,A000000,00900,0000,00900NURSING ADMINISTRATION 83601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83601,A000000,01100,0000,01100PHARMACY 83601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83601,A000000,01300,0000,01300SOCIAL SERVICE 83601,A000000,01600,0000,01600SKILLED NURSING FACILITY 83601,A000000,01800,0000,01800NURSING FACILITY 83601,A000000,01900,0000,01900OTHER LONG TERM CARE 83601,A000000,02100,0000,02100RADIOLOGY 83601,A000000,02200,0000,02200LABORATORY 83601,A000000,02300,0000,02300INTRAVENOUS THERAPY 83601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83601,A000000,02500,0000,02500PHYSICAL THERAPY 83601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83601,A000000,02700,0000,02700SPEECH PATHOLOGY 83601,A000000,02800,0000,02800ELECTROCARDIOLOGY 83601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83601,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83601,A000000,03051,0000,03301NUTRITIONAL THERAPY 83601,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83601,A000000,03053,0000,03303PHYSICIAN SERVICES 83601,A000000,03054,0000,03304MEDICAL SERVICES 83601,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83601,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83601,A000000,03200,0000,03200SUPPORT SURFACES 83601,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83601,A000000,04800,0000,04800AMBULANCE 83601,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83601,A000000,05300,0000,05300INTEREST EXPENSE 83601,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83601,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83601,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83601,A000000,06100,0000,06100NONPAID WORKERS 83601,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83601,A000000,06200,0000,06200PATIENTS LAUNDRY 83601,A81000A,00100,0100,Y 83601,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83601,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83601,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83601,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83601,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 83601,A81000B,00600,0300,SEE ATTACHED 83601,A81000C,00100,0100,B 83601,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83601,A81000C,00200,0200,A-8-1. 83601,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83601,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83601,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83601,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 83627,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83627,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83627,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83627,B100000,00000,0850,00000PAT DAYS :DIETARY 83627,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83627,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83627,B100000,00000,1150,00000PAT DAYS :PHARMACY 83627,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83627,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83627,E10A180,00501,0100,09/20/2000 83627,E10A180,00550,0300,09/20/2000 83627,S000000,00100,0200,07/31/2000 83627,S200000,00100,0100,1170 CHULIO ROAD 83627,S200000,00200,0100,ROME 83627,S200000,00200,0200,GA 83627,S200000,00200,0300,30161- 83627,S200000,00300,0100,FLOYD 83627,S200000,00300,0200,0011 83627,S200000,00300,0300,R 83627,S200000,00400,0100,CHULIO HILLS HEALTH & REHAB 83627,S200000,00400,0200,115287 83627,S200000,00400,0300,12/01/1981 83627,S200000,00400,0500,P 83627,S200000,00600,0200,115287 83627,S200000,00600,0300,12/01/1981 83627,S200000,00600,0600,P 83627,S200000,01600,0100,Y 83627,S200000,02200,0100,Y 83678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83678,A000000,00300,0000,00300EMPLOYEE BENEFITS 83678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83678,A000000,00700,0000,00700HOUSEKEEPING 83678,A000000,00800,0000,00800DIETARY 83678,A000000,00900,0000,00900NURSING ADMINISTRATION 83678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83678,A000000,01300,0000,01300SOCIAL SERVICE 83678,A000000,01301,0000,01301ACTIVITES 83678,A000000,01350,0000,01500REHABILITATION 83678,A000000,01600,0000,01600SKILLED NURSING FACILITY 83678,A000000,01800,0000,01800NURSING FACILITY 83678,A000000,01900,0000,01900OTHER LONG TERM CARE 83678,A000000,02100,0000,02100RADIOLOGY 83678,A000000,02200,0000,02200LABORATORY 83678,A000000,02300,0000,02300INTRAVENOUS THERAPY 83678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83678,A000000,02500,0000,02500PHYSICAL THERAPY 83678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83678,A000000,02700,0000,02700SPEECH PATHOLOGY 83678,A000000,02800,0000,02800ELECTROCARDIOLOGY 83678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83678,A000000,03050,0000,03300EQUIPMENT RENTAL 83678,A000000,03051,0000,03301PEN THERAPY 83678,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83678,A000000,03200,0000,03200SUPPORT SURFACES 83678,A000000,04800,0000,04800AMBULANCE 83678,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83678,A000000,05300,0000,05300INTEREST EXPENSE 83678,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83678,A000000,06150,0000,06300VENDING 83678,A000000,06151,0000,06301STAND-BY 83678,A000000,06200,0000,06200PATIENTS LAUNDRY 83678,A81000A,00100,0100,Y 83678,A81000B,00100,0300,HOME OFFICE ADMIN 83678,A81000B,00200,0300,DIETARY SUPPLEMENTS 83678,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 83678,A81000B,00400,0300,PRESCRIPTION DRUGS 83678,A81000B,00500,0300,MEDICAL SUPPLIES 83678,A81000B,00600,0300,ADMIN COSTS 83678,A81000B,00700,0300,HOME OFFICE CAPITAL 83678,A81000B,00800,0300,EQUIPMENT REPLACEMENT 83678,A81000B,00900,0300,IV THERAPY 83678,A81000B,01000,0300,THERAPY CONSULTING 83678,A81000B,01100,0300,PHYSICAL THERAPY 83678,A81000B,01200,0300,OCCUPATIONAL THERAPY 83678,A81000B,01300,0300,SPEECH THERAPY 83678,A81000B,01400,0300,ANC EQUIP RENTAL 83678,A81000C,00100,0100,B 83678,A81000C,00100,0200,LAFAYETTE PS#11 83678,A81000C,00100,0400,MARINER PAN 83678,A81000C,00100,0600,NURSING HOMES 83678,A81000C,00200,0100,G 83678,A81000C,00200,0200,MARINER PAN 83678,A81000C,00200,0400,AMER PHARM SVCS 83678,A81000C,00200,0600,PHARMACEUTICALS 83678,A81000C,00300,0100,G 83678,A81000C,00300,0200,MARINER PAN 83678,A81000C,00300,0400,PRISM-ATS-ARS-T 83678,A81000C,00300,0600,THERAPIES 83678,A81000C,03100,0000,MARINER PAN 83678,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 83678,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 83678,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 83678,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 83678,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 83678,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 83678,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 83678,B100000,00000,0800,00001MEALS SERVED :DIETARY 83678,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 83678,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 83678,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 83678,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 83678,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 83678,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 83678,S000000,00100,0200,06/01/2000 83678,S200000,00100,0100,205ROADRUNNER BLVD. 83678,S200000,00200,0100,LAFAYETTE 83678,S200000,00200,0200,GA 83678,S200000,00200,0300,30728- 83678,S200000,00300,0100,WALKER 83678,S200000,00400,0100,LAFAYETTE HEALTH CARE CTR NE ATLANTA 83678,S200000,00400,0200,115304 83678,S200000,00400,0300,05/17/1983 83678,S200000,00400,0500,P 83678,S200000,01600,0100,Y 83678,S200000,02200,0100,Y 83678,S700003,00000,0100,1 83694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83694,A000000,00300,0000,00300EMPLOYEE BENEFITS 83694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83694,A000000,00700,0000,00700HOUSEKEEPING 83694,A000000,00800,0000,00800DIETARY 83694,A000000,00900,0000,00900NURSING ADMINISTRATION 83694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83694,A000000,01100,0000,01100PHARMACY 83694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83694,A000000,01300,0000,01300SOCIAL SERVICE 83694,A000000,01600,0000,01600SKILLED NURSING FACILITY 83694,A000000,01800,0000,01800NURSING FACILITY 83694,A000000,01900,0000,01900OTHER LONG TERM CARE 83694,A000000,02100,0000,02100RADIOLOGY 83694,A000000,02200,0000,02200LABORATORY 83694,A000000,02300,0000,02300INTRAVENOUS THERAPY 83694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83694,A000000,02500,0000,02500PHYSICAL THERAPY 83694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83694,A000000,02700,0000,02700SPEECH PATHOLOGY 83694,A000000,02800,0000,02800ELECTROCARDIOLOGY 83694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83694,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83694,A000000,03051,0000,03301NUTRITIONAL THERAPY 83694,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83694,A000000,03053,0000,03303PHYSICIAN SERVICES 83694,A000000,03054,0000,03304MEDICAL SERVICES 83694,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83694,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83694,A000000,03200,0000,03200SUPPORT SURFACES 83694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83694,A000000,04800,0000,04800AMBULANCE 83694,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83694,A000000,05300,0000,05300INTEREST EXPENSE 83694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83694,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83694,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83694,A000000,06100,0000,06100NONPAID WORKERS 83694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83694,A000000,06200,0000,06200PATIENTS LAUNDRY 83694,A81000A,00100,0100,Y 83694,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83694,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83694,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83694,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83694,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 83694,A81000B,00600,0300,SEE ATTACHED 83694,A81000C,00100,0100,B 83694,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83694,A81000C,00200,0200,A-8-1. 83694,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83694,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83694,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83694,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83694,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83694,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83694,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83694,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83694,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83694,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83694,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83694,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83694,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83694,S000000,00100,0200,05/30/2000 83694,S200000,00100,0100,2 THREE MILE ROAD NE 83694,S200000,00200,0100,ROME 83694,S200000,00200,0200,GA 83694,S200000,00200,0300,30165- 83694,S200000,00300,0100,FLOYD 83694,S200000,00400,0100,SUNBRIDGE CARE & REHAB - MOUNT BERRY 83694,S200000,00400,0200,115311 83694,S200000,00400,0300,06/30/1988 83694,S200000,00400,0500,P 83694,S200000,01600,0100,Y 83694,S200000,02200,0100,Y 83694,S700003,00000,0200,2 83703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83703,A000000,00300,0000,00300EMPLOYEE BENEFITS 83703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83703,A000000,00700,0000,00700HOUSEKEEPING 83703,A000000,00800,0000,00800DIETARY 83703,A000000,00900,0000,00900NURSING ADMINISTRATION 83703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83703,A000000,01100,0000,01100PHARMACY 83703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83703,A000000,01300,0000,01300SOCIAL SERVICE 83703,A000000,01350,0000,01500ACTIVITIES 83703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83703,A000000,01600,0000,01600SKILLED NURSING FACILITY 83703,A000000,01800,0000,01800NURSING FACILITY 83703,A000000,01900,0000,01900OTHER LONG TERM CARE 83703,A000000,02100,0000,02100RADIOLOGY 83703,A000000,02200,0000,02200LABORATORY 83703,A000000,02300,0000,02300INTRAVENOUS THERAPY 83703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83703,A000000,02500,0000,02500PHYSICAL THERAPY 83703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83703,A000000,02700,0000,02700SPEECH PATHOLOGY 83703,A000000,02800,0000,02800ELECTROCARDIOLOGY 83703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83703,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83703,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83703,A000000,03200,0000,03200SUPPORT SURFACES 83703,A000000,03400,0000,03400CLINIC 83703,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83703,A000000,03500,0000,03500RURAL HEALTH CLINIC 83703,A000000,04800,0000,04800AMBULANCE 83703,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83703,A000000,05000,0000,05000CORF 83703,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83703,A000000,05300,0000,05300INTEREST EXPENSE 83703,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83703,A000000,05500,0000,05500HOSPICE 83703,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83703,A000000,06100,0000,06100NONPAID WORKERS 83703,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83703,A000000,06200,0000,06200PATIENTS LAUNDRY 83703,A81000A,00100,0100,Y 83703,A81000B,00100,0300,NURSING SUPPLIES 83703,A81000B,00200,0300,NURSING SUPPLIES 83703,A81000B,00300,0300,FLU VACCINE 83703,A81000B,00400,0300,DRUGS RELATED 83703,A81000B,00500,0300,CONTRACTED SERVICE 83703,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 83703,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 83703,A81000B,00800,0300,HEPATITIS B VACCINE 83703,A81000B,00900,0300,SUPPLIES 83703,A81000B,01000,0300,SUPPLIES 83703,A81000B,01100,0300,SUPPLIES 83703,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 83703,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 83703,A81000B,01400,0300,FACILITY LEASE 83703,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 83703,A81000B,01600,0300,FACILITY ADMINISTRATOR 83703,A81000B,01700,0300,DIETARY CONSULTANT 83703,A81000B,01800,0300,NURSE CONSULTANT 83703,A81000B,01900,0300,REGIONAL PERSONNEL 83703,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 83703,A81000B,02100,0300,THERAPY CONSULTANT 83703,A81000B,02200,0300,MAINTENANCE CONSULTANT 83703,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 83703,A81000B,02400,0300,AIDE TRAINING 83703,A81000B,02500,0300,PHYSICAL THERAPY 83703,A81000C,00100,0100,B 83703,A81000C,00100,0200,NEIL PRUITT 83703,A81000C,00100,0400,UNITED REHAB 83703,A81000C,00100,0600,THERAPY 83703,A81000C,00200,0100,B 83703,A81000C,00200,0200,NEIL PRUITT 83703,A81000C,00200,0400,UNITED PHARMACY 83703,A81000C,00200,0600,PHARMACY 83703,A81000C,00300,0100,B 83703,A81000C,00300,0200,NEIL PRUITT 83703,A81000C,00300,0400,PRUITT PROPERTI 83703,A81000C,00300,0600,RENTAL 83703,A81000C,00400,0100,B 83703,A81000C,00400,0200,NEIL PRUITT 83703,A81000C,00400,0400,PRUITT CORPORAT 83703,A81000C,00400,0600,MANAGEMENT 83703,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83703,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83703,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83703,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83703,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83703,B100000,00000,0800,00000MEALS SERVED :DIETARY 83703,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83703,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83703,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83703,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83703,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 83703,E10A180,00301,0100,01/27/2000 83703,S000000,00100,0200,12/01/2000 83703,S200000,00100,0100,170 MULKEY ROAD 83703,S200000,00200,0100,AUSTELL 83703,S200000,00200,0200,CA 83703,S200000,00200,0300,30001- 83703,S200000,00300,0100,COBB 83703,S200000,00300,0200,0520 83703,S200000,00300,0300,U 83703,S200000,00400,0100,AUSTELL HEALTH CARE CENTER INC. 83703,S200000,00400,0200,115314 83703,S200000,00400,0300,07/01/1999 83703,S200000,00400,0500,P 83703,S200000,01600,0100,Y 83719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83719,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83719,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83719,A000000,00300,0000,00300EMPLOYEE BENEFITS 83719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83719,A000000,00700,0000,00700HOUSEKEEPING 83719,A000000,00800,0000,00800DIETARY 83719,A000000,00801,0000,00801CAFETERIA 83719,A000000,00900,0000,00900NURSING ADMINISTRATION 83719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83719,A000000,01100,0000,01100PHARMACY 83719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83719,A000000,01300,0000,01300SOCIAL SERVICE 83719,A000000,01350,0000,01500ACTIVITIES 83719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83719,A000000,01600,0000,01600SKILLED NURSING FACILITY 83719,A000000,01800,0000,01800NURSING FACILITY 83719,A000000,01900,0000,01900OTHER LONG TERM CARE 83719,A000000,02100,0000,02100RADIOLOGY 83719,A000000,02200,0000,02200LABORATORY 83719,A000000,02300,0000,02300INTRAVENOUS THERAPY 83719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83719,A000000,02500,0000,02500PHYSICAL THERAPY 83719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83719,A000000,02700,0000,02700SPEECH PATHOLOGY 83719,A000000,02800,0000,02800ELECTROCARDIOLOGY 83719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83719,A000000,03050,0000,03300OTHER ANCILLARY 83719,A000000,03051,0000,03301OTHER ANCILLARY II 83719,A000000,03052,0000,03302OTHER ANCILLARY III 83719,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83719,A000000,03200,0000,03200SUPPORT SURFACES 83719,A000000,03400,0000,03400CLINIC 83719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83719,A000000,03500,0000,03500RURAL HEALTH CLINIC 83719,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83719,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83719,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83719,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83719,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83719,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83719,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83719,A000000,04400,0000,04400DME RENTED - HHA 83719,A000000,04500,0000,04500DME SOLD - HHA 83719,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83719,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83719,A000000,04800,0000,04800AMBULANCE 83719,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83719,A000000,05000,0000,05000CORF 83719,A000000,05010,0000,05010CMHC I 83719,A000000,05020,0000,05020OPT I 83719,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83719,A000000,05300,0000,05300INTEREST EXPENSE 83719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83719,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83719,A000000,05500,0000,05500HOSPICE 83719,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83719,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83719,A000000,06100,0000,06100NONPAID WORKERS 83719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83719,A000000,06200,0000,06200PATIENTS LAUNDRY 83719,A81000A,00100,0100,Y 83719,A81000B,00100,0300,CAPITAL 83719,A81000B,00200,0300,A&G 83719,A81000B,00300,0300,A&G 83719,A81000B,00400,0300,A&G 83719,A81000B,00500,0300,DIETARY 83719,A81000B,00600,0300,MED SUPPLIES 83719,A81000B,00700,0300,MED SUPPLIES 83719,A81000C,00100,0100,A 83719,A81000C,00100,0200,DOUG MITTLEIDER 83719,A81000C,00200,0100,A 83719,A81000C,00200,0200,MIKE FOXWORTHY 83719,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83719,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 83719,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 83719,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 83719,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83719,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83719,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 83719,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 83719,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83719,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 83719,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 83719,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 83719,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 83719,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 83719,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 83719,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 83719,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 83719,E10A180,00550,0100,07/20/2000 83719,S000000,00100,0200,05/31/2000 83719,S200000,00100,0100,1155 WEST COLLEGE ST 83719,S200000,00200,0100,BAINBRIDGE 83719,S200000,00200,0200,GA 83719,S200000,00200,0300,31717- 83719,S200000,00300,0100,DECATUR 83719,S200000,00400,0100,BAINBRIDGE HEALTH CARE 83719,S200000,00400,0200,115324 83719,S200000,00400,0300,05/10/1994 83719,S200000,00400,0500,P 83719,S200000,01600,0100,Y 83719,S200000,02200,0100,Y 83719,S200000,04300,0100,Y 83719,S700003,00000,0100,1 83734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83734,A000000,00300,0000,00300EMPLOYEE BENEFITS 83734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83734,A000000,00700,0000,00700HOUSEKEEPING 83734,A000000,00800,0000,00800DIETARY 83734,A000000,00900,0000,00900NURSING ADMINISTRATION 83734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83734,A000000,01100,0000,01100PHARMACY 83734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83734,A000000,01300,0000,01300SOCIAL SERVICE 83734,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83734,A000000,01600,0000,01600SKILLED NURSING FACILITY 83734,A000000,01900,0000,01900OTHER LONG TERM CARE 83734,A000000,02100,0000,02100RADIOLOGY 83734,A000000,02200,0000,02200LABORATORY 83734,A000000,02300,0000,02300INTRAVENOUS THERAPY 83734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83734,A000000,02500,0000,02500PHYSICAL THERAPY 83734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83734,A000000,02700,0000,02700SPEECH PATHOLOGY 83734,A000000,02800,0000,02800ELECTROCARDIOLOGY 83734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83734,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83734,A000000,03200,0000,03200SUPPORT SURFACES 83734,A000000,03400,0000,03400CLINIC 83734,A000000,04800,0000,04800AMBULANCE 83734,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83734,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83734,A000000,05300,0000,05300INTEREST EXPENSE 83734,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83734,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83734,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83734,A000000,06100,0000,06100NONPAID WORKERS 83734,A000000,06200,0000,06200PATIENTS LAUNDRY 83734,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83734,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83734,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83734,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83734,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83734,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83734,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83734,B100000,00000,0800,00000MEALS SERVED :DIETARY 83734,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 83734,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83734,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83734,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83734,E10A180,00301,0100,01/10/2000 83734,E10A180,00302,0100,01/19/2001 83734,S000000,00100,0200,04/05/2001 83734,S200000,00100,0100,233 SUNSET CIRCLE 83734,S200000,00200,0100,MOULTRIE 83734,S200000,00200,0200,GA 83734,S200000,00200,0300,31776- 83734,S200000,00300,0100,COLQUITT 83734,S200000,00300,0200,0011 83734,S200000,00300,0300,R 83734,S200000,00400,0100,BROWNWOOD NURSING HOME 83734,S200000,00400,0200,115326 83734,S200000,00400,0300,10/01/1984 83734,S200000,00400,0500,P 83734,S200000,01600,0100,Y 83734,S200000,01900,0100,501 (C) 3 83740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83740,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 83740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83740,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 83740,A000000,00300,0000,00300EMPLOYEE BENEFITS 83740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83740,A000000,00700,0000,00700HOUSEKEEPING 83740,A000000,00800,0000,00800DIETARY 83740,A000000,00801,0000,00801CAFETERIA 83740,A000000,00900,0000,00900NURSING ADMINISTRATION 83740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83740,A000000,01100,0000,01100PHARMACY 83740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83740,A000000,01300,0000,01300SOCIAL SERVICE 83740,A000000,01350,0000,01500ACTIVITIES 83740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83740,A000000,01600,0000,01600SKILLED NURSING FACILITY 83740,A000000,01800,0000,01800NURSING FACILITY 83740,A000000,01900,0000,01900OTHER LONG TERM CARE 83740,A000000,02100,0000,02100RADIOLOGY 83740,A000000,02200,0000,02200LABORATORY 83740,A000000,02300,0000,02300INTRAVENOUS THERAPY 83740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83740,A000000,02500,0000,02500PHYSICAL THERAPY 83740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83740,A000000,02700,0000,02700SPEECH PATHOLOGY 83740,A000000,02800,0000,02800ELECTROCARDIOLOGY 83740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83740,A000000,03050,0000,03300COMPLX MED EQUIP RENT 83740,A000000,03051,0000,03301OTHER ANCILLARY II 83740,A000000,03052,0000,03302OTHER ANCILLARY III 83740,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83740,A000000,03200,0000,03200SUPPORT SURFACES 83740,A000000,03400,0000,03400CLINIC 83740,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 83740,A000000,03500,0000,03500RURAL HEALTH CLINIC 83740,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83740,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83740,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83740,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83740,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83740,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83740,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83740,A000000,04400,0000,04400DME RENTED - HHA 83740,A000000,04500,0000,04500DME SOLD - HHA 83740,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83740,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83740,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83740,A000000,04800,0000,04800AMBULANCE 83740,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83740,A000000,05000,0000,05000CORF 83740,A000000,05010,0000,05010CMHC I 83740,A000000,05020,0000,05020OPT I 83740,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83740,A000000,05300,0000,05300INTEREST EXPENSE 83740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 83740,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 83740,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83740,A000000,05500,0000,05500HOSPICE 83740,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83740,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83740,A000000,06100,0000,06100NONPAID WORKERS 83740,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83740,A000000,06200,0000,06200PATIENTS LAUNDRY 83740,A81000A,00100,0100,Y 83740,A81000B,00100,0300,MANAGEMENT FEES 83740,A81000B,00200,0300,PART B BILLING COST 83740,A81000B,00300,0300,NURSING CONS COST 83740,A81000B,00400,0300,ENVIRON CONS COST 83740,A81000B,00500,0300,DIETARY CONS 83740,A81000C,00100,0100,A 83740,A81000C,00100,0200,GEORGE P WAGNER 83740,A81000C,00100,0400,NAL MNT CORP 83740,A81000C,00100,0600,LTC OPERATION 83740,A81000C,00200,0100,A 83740,A81000C,00200,0200,ALAN D. PARISH 83740,A81000C,00200,0400,NAL MGT CORP 83740,A81000C,00200,0600,LTC OPERATION 83740,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 83740,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 83740,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 83740,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83740,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 83740,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 83740,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 83740,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 83740,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 83740,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 83740,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 83740,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 83740,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 83740,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 83740,S000000,00100,0200,02/01/2000 83740,S200000,00100,0100,4595 CANTRELL ROAD 83740,S200000,00200,0100,FLOWERY BRANCH 83740,S200000,00200,0200,GA 83740,S200000,00200,0300,30542- 83740,S200000,00300,0100,HALL 83740,S200000,00300,0200,11 83740,S200000,00300,0300,R 83740,S200000,00400,0100,PINEOAKS HEALTH & REHAB CENTER 83740,S200000,00400,0200,115327 83740,S200000,00400,0300,05/19/1999 83740,S200000,00400,0500,P 83740,S200000,00400,0600,P 83740,S200000,00600,0200,217829 83740,S200000,00600,0300,05/19/1999 83740,S200000,01600,0100,Y 83740,S200000,04300,0100,Y 83749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83749,A000000,00300,0000,00300EMPLOYEE BENEFITS 83749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83749,A000000,00700,0000,00700HOUSEKEEPING 83749,A000000,00800,0000,00800DIETARY 83749,A000000,00900,0000,00900NURSING ADMINISTRATION 83749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83749,A000000,01100,0000,01100PHARMACY 83749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83749,A000000,01300,0000,01300SOCIAL SERVICE 83749,A000000,01600,0000,01600SKILLED NURSING FACILITY 83749,A000000,01800,0000,01800NURSING FACILITY 83749,A000000,01900,0000,01900OTHER LONG TERM CARE 83749,A000000,02100,0000,02100RADIOLOGY 83749,A000000,02200,0000,02200LABORATORY 83749,A000000,02300,0000,02300INTRAVENOUS THERAPY 83749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83749,A000000,02500,0000,02500PHYSICAL THERAPY 83749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83749,A000000,02700,0000,02700SPEECH PATHOLOGY 83749,A000000,02800,0000,02800ELECTROCARDIOLOGY 83749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83749,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83749,A000000,03051,0000,03301NUTRITIONAL THERAPY 83749,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83749,A000000,03053,0000,03303PHYSICIAN SERVICES 83749,A000000,03054,0000,03304MEDICAL SERVICES 83749,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83749,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83749,A000000,03200,0000,03200SUPPORT SURFACES 83749,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83749,A000000,04800,0000,04800AMBULANCE 83749,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83749,A000000,05300,0000,05300INTEREST EXPENSE 83749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83749,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83749,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83749,A000000,06100,0000,06100NONPAID WORKERS 83749,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83749,A000000,06200,0000,06200PATIENTS LAUNDRY 83749,A81000A,00100,0100,Y 83749,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83749,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83749,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83749,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83749,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 83749,A81000B,00600,0300,SEE ATTACHED 83749,A81000C,00100,0100,B 83749,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83749,A81000C,00200,0200,A-8-1. 83749,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83749,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83749,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83749,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83749,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83749,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83749,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83749,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83749,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83749,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83749,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83749,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83749,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83749,S000000,00100,0200,06/02/2000 83749,S200000,00100,0100,6 MORAN LAKE 83749,S200000,00200,0100,ROME 83749,S200000,00200,0200,GA 83749,S200000,00200,0300,30162- 83749,S200000,00300,0100,FLOYD 83749,S200000,00400,0100,SUNBRIDGE CARE & REHAB - MORAN LAKE 83749,S200000,00400,0200,115332 83749,S200000,00400,0300,10/15/1993 83749,S200000,00400,0500,P 83749,S200000,01500,0100,Y 83749,S200000,02200,0100,Y 83749,S700003,00000,0200,2 83757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83757,A000000,00300,0000,00300EMPLOYEE BENEFITS 83757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83757,A000000,00700,0000,00700HOUSEKEEPING 83757,A000000,00800,0000,00800DIETARY 83757,A000000,00900,0000,00900NURSING ADMINISTRATION 83757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83757,A000000,01100,0000,01100PHARMACY 83757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83757,A000000,01300,0000,01300SOCIAL SERVICE 83757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83757,A000000,01600,0000,01600SKILLED NURSING FACILITY 83757,A000000,01800,0000,01800NURSING FACILITY 83757,A000000,01810,0000,01810ICF/MR 83757,A000000,02200,0000,02200LABORATORY 83757,A000000,02500,0000,02500PHYSICAL THERAPY 83757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83757,A000000,02700,0000,02700SPEECH PATHOLOGY 83757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83757,A000000,03550,0000,03550FQHC 83757,A000000,04800,0000,04800AMBULANCE 83757,A000000,05000,0000,05000CORF 83757,A000000,05010,0000,05010CMHC 83757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 83757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 83757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 83757,A000000,05300,0000,05300INTEREST EXPENSE 83757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83757,A81000A,00100,0100,Y 83757,A81000B,00100,0300,PT PROVIDED BY H.O. 83757,A81000B,00200,0300,OT PROVIDED BY H.O. 83757,A81000B,00300,0300,ST PROVIDED BY H.O. 83757,A81000B,00400,0300,MANAGEMENT FEES 83757,A81000B,00500,0300,CAPITAL COST ALLOCAT 83757,A81000B,00600,0300,CAPITAL COST ALLOCAT 83757,A81000C,00100,0100,A 83757,A81000C,00100,0200,FRANK FELTHAM 83757,A81000C,00100,0400,FANE MANAGEMENT 83757,A81000C,00100,0600,MANAGEMENT COMP 83757,A81000C,00200,0100,A 83757,A81000C,00200,0200,FRANK FELTHAM 83757,A81000C,00200,0400,FANE MANAGEMENT 83757,A81000C,00200,0600,MANAGEMENT COMP 83757,A81000C,00300,0100,A 83757,A81000C,00300,0200,FRANK FELTHAM 83757,A81000C,00300,0400,FANE MANAGEMENT 83757,A81000C,00300,0600,MANAGEMENT COMP 83757,A81000C,00400,0100,A 83757,A81000C,00400,0200,FRANK FELTHAM 83757,A81000C,00400,0400,FANE MANAGEMENT 83757,A81000C,00400,0600,MANAGEMENT COMP 83757,A81000C,00500,0100,A 83757,A81000C,00500,0200,FRANK FELTHAM 83757,A81000C,00500,0400,FANE MANAGEMENT 83757,A81000C,00500,0600,MANAGEMENT COMP 83757,A81000C,00600,0100,A 83757,A81000C,00600,0200,FRANK FELTHAM 83757,A81000C,00600,0400,FANE MANAGEMENT 83757,A81000C,00600,0600,MANAGEMENT COMP 83757,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83757,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83757,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83757,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83757,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83757,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83757,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83757,B100000,00000,0800,00000MEALS SERVED :DIETARY 83757,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83757,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83757,E10A180,00301,0100,02/04/2000 83757,S000000,00100,0200,11/29/2000 83757,S200000,00100,0100,2541 MILLEDGEVILLE ROAD 83757,S200000,00200,0100,AUGUSTA 83757,S200000,00200,0200,GA 83757,S200000,00200,0300,30904- 83757,S200000,00300,0100,RICHMOND 83757,S200000,00300,0200,0600 83757,S200000,00300,0300,U 83757,S200000,00400,0100,BLAIR HOUSE CONVALESCENT CENTER 83757,S200000,00400,0200,115334 83757,S200000,00400,0300,03/01/1996 83757,S200000,00400,0500,P 83757,S200000,00600,0200,115334 83757,S200000,00600,0300,03/01/1996 83757,S200000,00600,0600,P 83757,S200000,01600,0100,Y 83757,S200000,02200,0100,Y 83757,S200000,04700,0100,Y 83764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83764,A000000,00300,0000,00300EMPLOYEE BENEFITS 83764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83764,A000000,00700,0000,00700HOUSEKEEPING 83764,A000000,00800,0000,00800DIETARY 83764,A000000,00900,0000,00900NURSING ADMINISTRATION 83764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83764,A000000,01100,0000,01100PHARMACY 83764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83764,A000000,01300,0000,01300SOCIAL SERVICE 83764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83764,A000000,01600,0000,01600SKILLED NURSING FACILITY 83764,A000000,01900,0000,01900OTHER LONG TERM CARE 83764,A000000,02100,0000,02100RADIOLOGY 83764,A000000,02200,0000,02200LABORATORY 83764,A000000,02300,0000,02300INTRAVENOUS THERAPY 83764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83764,A000000,02500,0000,02500PHYSICAL THERAPY 83764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83764,A000000,02700,0000,02700SPEECH PATHOLOGY 83764,A000000,02800,0000,02800ELECTROCARDIOLOGY 83764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83764,A000000,03200,0000,03200SUPPORT SURFACES 83764,A000000,03400,0000,03400CLINIC 83764,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83764,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83764,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83764,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83764,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83764,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83764,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83764,A000000,04400,0000,04400DME RENTED - HHA 83764,A000000,04500,0000,04500DME SOLD - HHA 83764,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83764,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83764,A000000,04800,0000,04800AMBULANCE 83764,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83764,A000000,05300,0000,05300INTEREST EXPENSE 83764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83764,A000000,05500,0000,05500HOSPICE 83764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83764,A000000,06100,0000,06100NONPAID WORKERS 83764,A000000,06200,0000,06200PATIENTS LAUNDRY 83764,A81000A,00100,0100,Y 83764,A81000B,00100,0300,MGT EXPENSE 83764,A81000B,00200,0300,LINEN SERVICE 83764,A81000B,00300,0300,RENT FOR BUILING 83764,A81000C,00100,0100,B 83764,A81000C,00100,0400,UNIVERSITY HOSP 83764,A81000C,00100,0600,MANAGEMENT 83764,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83764,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83764,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83764,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83764,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83764,B100000,00000,0850,00000PAT DAYS :DIETARY 83764,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83764,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83764,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83764,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83764,E10A180,00501,0100,01/23/2001 83764,S000000,00100,0200,12/14/2000 83764,S200000,00100,0100,WESTWOOD NURSING HOME 83764,S200000,00200,0100,AUGUSTA 83764,S200000,00200,0200,GA 83764,S200000,00200,0300,30909- 83764,S200000,00300,0100,RICHMOND 83764,S200000,00300,0200,0600 83764,S200000,00300,0300,U 83764,S200000,00400,0100,WESTWOOD NURSING HOME 83764,S200000,00400,0200,115336 83764,S200000,00400,0300,03/19/1990 83764,S200000,00400,0500,P 83764,S200000,00400,0600,O 83764,S200000,01500,0100,Y 83773,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83773,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83773,A000000,00300,0000,00300EMPLOYEE BENEFITS 83773,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83773,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83773,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83773,A000000,00700,0000,00700HOUSEKEEPING 83773,A000000,00800,0000,00800DIETARY 83773,A000000,00900,0000,00900NURSING ADMINISTRATION 83773,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83773,A000000,01100,0000,01100PHARMACY 83773,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83773,A000000,01300,0000,01300SOCIAL SERVICE 83773,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83773,A000000,01600,0000,01600SKILLED NURSING FACILITY 83773,A000000,01900,0000,01900OTHER LONG TERM CARE 83773,A000000,02100,0000,02100RADIOLOGY 83773,A000000,02200,0000,02200LABORATORY 83773,A000000,02300,0000,02300INTRAVENOUS THERAPY 83773,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83773,A000000,02500,0000,02500PHYSICAL THERAPY 83773,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83773,A000000,02700,0000,02700SPEECH PATHOLOGY 83773,A000000,02800,0000,02800ELECTROCARDIOLOGY 83773,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83773,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83773,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83773,A000000,03200,0000,03200SUPPORT SURFACES 83773,A000000,03400,0000,03400CLINIC 83773,A000000,04800,0000,04800AMBULANCE 83773,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83773,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83773,A000000,05300,0000,05300INTEREST EXPENSE 83773,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83773,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83773,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83773,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83773,A000000,06100,0000,06100NONPAID WORKERS 83773,A000000,06200,0000,06200PATIENTS LAUNDRY 83773,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83773,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83773,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83773,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83773,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83773,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83773,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 83773,B100000,00000,0800,00000MEALS SERVED :DIETARY 83773,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 83773,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83773,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83773,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83773,S000000,00100,0200,04/05/2001 83773,S200000,00100,0100,12825 WHITE BLUFF ROAD 83773,S200000,00200,0100,SAVANNAH 83773,S200000,00200,0200,GA 83773,S200000,00200,0300,30474- 83773,S200000,00300,0100,CHATHAM 83773,S200000,00300,0200,7520 83773,S200000,00300,0300,U 83773,S200000,00400,0100,HERITAGE PARK OF SAVANNAH 83773,S200000,00400,0200,115339 83773,S200000,00400,0300,11/12/1986 83773,S200000,00400,0500,P 83773,S200000,01600,0100,Y 83773,S200000,01900,0100,501 (C) 3 83786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83786,A000000,00300,0000,00300EMPLOYEE BENEFITS 83786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83786,A000000,00700,0000,00700HOUSEKEEPING 83786,A000000,00800,0000,00800DIETARY 83786,A000000,00900,0000,00900NURSING ADMINISTRATION 83786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83786,A000000,01100,0000,01100PHARMACY 83786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83786,A000000,01300,0000,01300SOCIAL SERVICE 83786,A000000,01350,0000,01500OTHER GENERAL SERVICES 83786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83786,A000000,01600,0000,01600SKILLED NURSING FACILITY 83786,A000000,01800,0000,01800NURSING FACILITY 83786,A000000,01810,0000,01801ICF/MR 83786,A000000,01900,0000,01900OTHER LONG TERM CARE 83786,A000000,02100,0000,02100RADIOLOGY 83786,A000000,02200,0000,02200LABORATORY 83786,A000000,02300,0000,02300INTRAVENOUS THERAPY 83786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83786,A000000,02500,0000,02500PHYSICAL THERAPY 83786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83786,A000000,02700,0000,02700SPEECH PATHOLOGY 83786,A000000,02800,0000,02800ELECTROCARDIOLOGY 83786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83786,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83786,A000000,03200,0000,03200SUPPORT SURFACES 83786,A000000,03400,0000,03400CLINIC 83786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83786,A000000,03500,0000,03500RURAL HEALTH CLINIC 83786,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83786,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83786,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83786,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83786,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83786,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83786,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83786,A000000,04400,0000,04400DME RENTED - HHA 83786,A000000,04500,0000,04500DME SOLD - HHA 83786,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83786,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83786,A000000,04800,0000,04800AMBULANCE 83786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83786,A000000,05000,0000,05000CORF 83786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83786,A000000,05300,0000,05300INTEREST EXPENSE 83786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83786,A000000,05500,0000,05500HOSPICE 83786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83786,A000000,06100,0000,06100NONPAID WORKERS 83786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83786,A000000,06200,0000,06200PATIENTS LAUNDRY 83786,A81000A,00100,0100,Y 83786,A81000B,00100,0300,MANAGEMENT 83786,A81000B,00200,0300,PROPERTY 83786,A81000B,00300,0300,LAUNDRY- LINENS 83786,A81000B,00400,0300,RADIOLOGY 83786,A81000B,00500,0300,LABORATORY 83786,A81000B,00600,0300,PRESCRIPTION DRUGS 83786,A81000B,00700,0300,STOCK DRUGS 83786,A81000B,00800,0300,CONSULTING 83786,A81000B,00900,0300,EMS 83786,A81000C,00100,0100,B 83786,A81000C,00100,0400,H.L.T.C. INC. 83786,A81000C,00100,0600,MANAGEMENT 83786,A81000C,00200,0100,B 83786,A81000C,00200,0400,H.L.T.C. INC. 83786,A81000C,00200,0600,MANAGEMENT 83786,A81000C,00300,0100,B 83786,A81000C,00300,0400,H.L.T.C. INC. 83786,A81000C,00300,0600,LAUNDRY 83786,A81000C,00400,0100,G 83786,A81000C,00400,0400,H.H.C.S. INC. 83786,A81000C,00400,0600,RADIOLOGY 83786,A81000C,00500,0100,G 83786,A81000C,00500,0400,H.H.C.S. INC. 83786,A81000C,00500,0600,LABORATORY 83786,A81000C,00600,0100,B 83786,A81000C,00600,0400,H.L.T.C. INC. 83786,A81000C,00600,0600,PRESCRIPTION DRUGS 83786,A81000C,00700,0100,B 83786,A81000C,00700,0400,H.L.T.C. INC. 83786,A81000C,00700,0600,STOCK DRUGS 83786,A81000C,00800,0100,B 83786,A81000C,00800,0400,H.L.T.C. INC. 83786,A81000C,00800,0600,CONSULTING 83786,A81000C,00900,0100,G 83786,A81000C,00900,0400,H.H.C.S. INC. 83786,A81000C,00900,0600,EMS 83786,A81000C,03100,0000,COMMON PARENT COMPANY 83786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83786,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83786,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83786,B100000,00000,0800,00000MEALS SERVED :DIETARY 83786,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 83786,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83786,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83786,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83786,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83786,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 83786,E10A180,00501,0100,04/14/2000 83786,E10A180,00501,0300,04/14/2000 83786,S000000,00100,0200,03/01/2000 83786,S200000,00100,0100,1110 BURLEYSON DRIVE 83786,S200000,00200,0100,DALTON 83786,S200000,00200,0200,GA 83786,S200000,00200,0300,30720- 83786,S200000,00300,0100,WHITFIELD 83786,S200000,00400,0100,RIDGEWOOD MANOR NURSING HOME 83786,S200000,00400,0200,115341 83786,S200000,00400,0300,07/01/1986 83786,S200000,00400,0500,P 83786,S200000,01500,0100,Y 83786,S700003,00000,0100,1 83806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83806,A000000,00300,0000,00300EMPLOYEE BENEFITS 83806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83806,A000000,00700,0000,00700HOUSEKEEPING 83806,A000000,00800,0000,00800DIETARY 83806,A000000,00900,0000,00900NURSING ADMINISTRATION 83806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83806,A000000,01100,0000,01100PHARMACY 83806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83806,A000000,01300,0000,01300SOCIAL SERVICE 83806,A000000,01350,0000,01500OTHER GENERAL SERVICES 83806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83806,A000000,01600,0000,01600SKILLED NURSING FACILITY 83806,A000000,01800,0000,01800NURSING FACILITY 83806,A000000,01900,0000,01900OTHER LONG TERM CARE 83806,A000000,02100,0000,02100RADIOLOGY 83806,A000000,02200,0000,02200LABORATORY 83806,A000000,02300,0000,02300INTRAVENOUS THERAPY 83806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83806,A000000,02500,0000,02500PHYSICAL THERAPY 83806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83806,A000000,02700,0000,02700SPEECH PATHOLOGY 83806,A000000,02800,0000,02800ELECTROCARDIOLOGY 83806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83806,A000000,03200,0000,03200SUPPORT SURFACES 83806,A000000,03400,0000,03400CLINIC 83806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83806,A000000,03500,0000,03500RURAL HEALTH CLINIC 83806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83806,A000000,04400,0000,04400DME RENTED - HHA 83806,A000000,04500,0000,04500DME SOLD - HHA 83806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83806,A000000,04800,0000,04800AMBULANCE 83806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83806,A000000,05000,0000,05000CORF 83806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83806,A000000,05300,0000,05300INTEREST EXPENSE 83806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83806,A000000,05500,0000,05500HOSPICE 83806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83806,A000000,06100,0000,06100NONPAID WORKERS 83806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83806,A000000,06200,0000,06200PATIENTS LAUNDRY 83806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83806,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83806,B100000,00000,0800,00000MEALS SERVED :DIETARY 83806,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83806,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83806,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83806,E10A180,00301,0100,01/28/2000 83806,S000000,00100,0200,12/04/2000 83806,S200000,00100,0100,529 BOLINGREEN DRIVE 83806,S200000,00200,0100,MACON 83806,S200000,00200,0200,GA 83806,S200000,00200,0300,31210- 83806,S200000,00300,0100,MONROE 83806,S200000,00300,0200,4680 83806,S200000,00300,0300,U 83806,S200000,00400,0100,BOLINGREEN NURSING CENTER 83806,S200000,00400,0200,115346 83806,S200000,00400,0300,05/01/1989 83806,S200000,00400,0500,P 83806,S200000,01600,0100,Y 83816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83816,A000000,00300,0000,00300EMPLOYEE BENEFITS 83816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83816,A000000,00700,0000,00700HOUSEKEEPING 83816,A000000,00800,0000,00800DIETARY 83816,A000000,00900,0000,00900NURSING ADMINISTRATION 83816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83816,A000000,01100,0000,01100PHARMACY 83816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83816,A000000,01300,0000,01300SOCIAL SERVICE 83816,A000000,01600,0000,01600SKILLED NURSING FACILITY 83816,A000000,01800,0000,01800NURSING FACILITY 83816,A000000,01900,0000,01900OTHER LONG TERM CARE 83816,A000000,02100,0000,02100RADIOLOGY 83816,A000000,02200,0000,02200LABORATORY 83816,A000000,02300,0000,02300INTRAVENOUS THERAPY 83816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83816,A000000,02500,0000,02500PHYSICAL THERAPY 83816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83816,A000000,02700,0000,02700SPEECH PATHOLOGY 83816,A000000,02800,0000,02800ELECTROCARDIOLOGY 83816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83816,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83816,A000000,03051,0000,03301NUTRITIONAL THERAPY 83816,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 83816,A000000,03053,0000,03303PHYSICIAN SERVICES 83816,A000000,03054,0000,03304MEDICAL SERVICES 83816,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 83816,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83816,A000000,03200,0000,03200SUPPORT SURFACES 83816,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83816,A000000,04800,0000,04800AMBULANCE 83816,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83816,A000000,05300,0000,05300INTEREST EXPENSE 83816,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83816,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83816,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83816,A000000,06100,0000,06100NONPAID WORKERS 83816,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83816,A000000,06200,0000,06200PATIENTS LAUNDRY 83816,A81000A,00100,0100,Y 83816,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 83816,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 83816,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 83816,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 83816,A81000B,00500,0300,RELATED PARTY REGIONAL ALLOCATION 83816,A81000B,00600,0300,SEE ATTACHED 83816,A81000C,00100,0100,B 83816,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 83816,A81000C,00200,0200,A-8-1. 83816,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83816,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 83816,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83816,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83816,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83816,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83816,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 83816,B100000,00000,0850,00000PATIENT DAYS :DIETARY 83816,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 83816,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 83816,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83816,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83816,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83816,S000000,00100,0200,06/02/2000 83816,S200000,00100,0100,809 SOUTH BEND STREET 83816,S200000,00200,0100,ROME 83816,S200000,00200,0200,GA 83816,S200000,00200,0300,30161- 83816,S200000,00300,0100,FLOYD 83816,S200000,00400,0100,SUNBRIDGE CARE & REHAB -SEVEN HILLS 83816,S200000,00400,0200,115348 83816,S200000,00400,0300,07/01/1995 83816,S200000,00400,0500,P 83816,S200000,01600,0100,Y 83816,S200000,02200,0100,Y 83816,S700003,00000,0200,2 83823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83823,A000000,00300,0000,00300EMPLOYEE BENEFITS 83823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83823,A000000,00700,0000,00700HOUSEKEEPING 83823,A000000,00800,0000,00800DIETARY 83823,A000000,00900,0000,00900NURSING ADMINISTRATION 83823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83823,A000000,01100,0000,01100PHARMACY 83823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83823,A000000,01300,0000,01300SOCIAL SERVICE 83823,A000000,01350,0000,01500OTHER GENERAL SERVICES 83823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83823,A000000,01600,0000,01600SKILLED NURSING FACILITY 83823,A000000,01800,0000,01800NURSING FACILITY 83823,A000000,01900,0000,01900OTHER LONG TERM CARE 83823,A000000,02100,0000,02100RADIOLOGY 83823,A000000,02200,0000,02200LABORATORY 83823,A000000,02300,0000,02300INTRAVENOUS THERAPY 83823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83823,A000000,02500,0000,02500PHYSICAL THERAPY 83823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83823,A000000,02700,0000,02700SPEECH PATHOLOGY 83823,A000000,02800,0000,02800ELECTROCARDIOLOGY 83823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83823,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83823,A000000,03200,0000,03200SUPPORT SURFACES 83823,A000000,03400,0000,03400CLINIC 83823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83823,A000000,03500,0000,03500RURAL HEALTH CLINIC 83823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83823,A000000,04400,0000,04400DME RENTED - HHA 83823,A000000,04500,0000,04500DME SOLD - HHA 83823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83823,A000000,04800,0000,04800AMBULANCE 83823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83823,A000000,05000,0000,05000CORF 83823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83823,A000000,05300,0000,05300INTEREST EXPENSE 83823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83823,A000000,05500,0000,05500HOSPICE 83823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83823,A000000,06100,0000,06100NONPAID WORKERS 83823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83823,A000000,06200,0000,06200PATIENTS LAUNDRY 83823,A81000A,00100,0100,Y 83823,A81000B,00100,0300,PHYSICAL THERAPY 83823,A81000B,00200,0300,OCCUPATIONAL THERAPY 83823,A81000B,00300,0300,SPEECH THERAPY 83823,A81000B,00400,0300,MANAGEMENT SERVICES 83823,A81000B,00500,0300,MANAGEMENT SERVICES 83823,A81000B,00600,0300,LEASE 83823,A81000C,00100,0100,A 83823,A81000C,00100,0200,SEE ATTACHED 83823,A81000C,00100,0600,THERAPY 83823,A81000C,00200,0100,A 83823,A81000C,00200,0200,SEE ATTACHED 83823,A81000C,00200,0600,THERAPY 83823,A81000C,00300,0100,A 83823,A81000C,00300,0200,SEE ATTACHED 83823,A81000C,00300,0600,THERAPY 83823,A81000C,00400,0100,B 83823,A81000C,00400,0400,CARE MORE MANAGEMENT 83823,A81000C,00400,0600,MANAGEMENT 83823,A81000C,00500,0100,B 83823,A81000C,00500,0400,CARE MORE MANAGEMENT 83823,A81000C,00500,0600,MANAGEMENT 83823,A81000C,00600,0100,A 83823,A81000C,00600,0200,RONNIE ROLLINS 83823,A81000C,00600,0600,LEASE 83823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83823,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83823,B100000,00000,0800,00000MEALS SERVED :DIETARY 83823,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83823,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83823,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83823,E10A180,00301,0100,01/28/2000 83823,E10A180,00501,0100,01/23/2001 83823,E10A180,00501,0300,01/23/2001 83823,S000000,00100,0200,12/04/2000 83823,S200000,00100,0100,101 OLD TALBOTTON ROAD 83823,S200000,00200,0100,THOMASTON 83823,S200000,00200,0200,GA 83823,S200000,00200,0300,30268- 83823,S200000,00300,0100,UPSON 83823,S200000,00300,0200,11 83823,S200000,00300,0300,R 83823,S200000,00400,0100,RIVERSIDE NURSING CTR OF THOMASTON 83823,S200000,00400,0200,115353 83823,S200000,00400,0300,03/27/1989 83823,S200000,00400,0500,P 83823,S200000,01500,0100,Y 83833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83833,A000000,00300,0000,00300EMPLOYEE BENEFITS 83833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83833,A000000,00700,0000,00700HOUSEKEEPING 83833,A000000,00800,0000,00800DIETARY 83833,A000000,00900,0000,00900NURSING ADMINISTRATION 83833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83833,A000000,01100,0000,01100PHARMACY 83833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83833,A000000,01300,0000,01300SOCIAL SERVICE 83833,A000000,01350,0000,01500OTHER GENERAL SERVICES 83833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83833,A000000,01600,0000,01600SKILLED NURSING FACILITY 83833,A000000,01800,0000,01800NURSING FACILITY 83833,A000000,01900,0000,01900OTHER LONG TERM CARE 83833,A000000,02100,0000,02100RADIOLOGY 83833,A000000,02200,0000,02200LABORATORY 83833,A000000,02300,0000,02300INTRAVENOUS THERAPY 83833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83833,A000000,02500,0000,02500PHYSICAL THERAPY 83833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83833,A000000,02700,0000,02700SPEECH PATHOLOGY 83833,A000000,02800,0000,02800ELECTROCARDIOLOGY 83833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83833,A000000,03200,0000,03200SUPPORT SURFACES 83833,A000000,03400,0000,03400CLINIC 83833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83833,A000000,03500,0000,03500RURAL HEALTH CLINIC 83833,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83833,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83833,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83833,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83833,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83833,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83833,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83833,A000000,04400,0000,04400DME RENTED - HHA 83833,A000000,04500,0000,04500DME SOLD - HHA 83833,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83833,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83833,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83833,A000000,04800,0000,04800AMBULANCE 83833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83833,A000000,05000,0000,05000CORF 83833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83833,A000000,05300,0000,05300INTEREST EXPENSE 83833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83833,A000000,05500,0000,05500HOSPICE 83833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83833,A000000,06100,0000,06100NONPAID WORKERS 83833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83833,A000000,06200,0000,06200PATIENTS LAUNDRY 83833,A81000A,00100,0100,Y 83833,A81000B,00100,0300,PHYSICAL THERAPY 83833,A81000B,00200,0300,OCCUPATIONAL THERAPY 83833,A81000B,00300,0300,SPEECH THERAPY 83833,A81000B,00400,0300,MANAGEMENT FEES 83833,A81000B,00500,0300,MANAGEMENT FEES 83833,A81000B,00600,0300,ADMINISTRATION 83833,A81000C,00100,0100,A 83833,A81000C,00100,0200,SEE ATTACHED 83833,A81000C,00100,0600,THERAPY 83833,A81000C,00200,0100,A 83833,A81000C,00200,0200,SEE ATTACHED 83833,A81000C,00200,0600,THERAPY 83833,A81000C,00300,0100,A 83833,A81000C,00300,0200,SEE ATTACHED 83833,A81000C,00300,0600,THERAPY 83833,A81000C,00400,0100,B 83833,A81000C,00400,0400,CARE MORE MANAGEMENT 83833,A81000C,00400,0600,MANAGEMENT 83833,A81000C,00500,0100,B 83833,A81000C,00500,0400,CARE MORE MANAGEMENT 83833,A81000C,00500,0600,MANAGEMENT 83833,A81000C,00600,0100,A 83833,A81000C,00600,0200,SEE ATTACHED 83833,A81000C,00600,0400,CARE MORE INC. 83833,A81000C,00600,0600,ADMINISTRATION 83833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83833,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83833,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83833,B100000,00000,0800,00000MEALS SERVED :DIETARY 83833,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83833,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83833,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83833,E10A180,00301,0100,01/28/2000 83833,S000000,00100,0200,12/04/2000 83833,S200000,00100,0100,300 INDUSTRIAL BLVD 83833,S200000,00200,0100,DUBLIN 83833,S200000,00200,0200,GA 83833,S200000,00200,0300,31040- 83833,S200000,00300,0100,LAURENS 83833,S200000,00300,0200,11 83833,S200000,00300,0300,R 83833,S200000,00400,0100,DUBLINAIR HEALTH CARE CENTER 83833,S200000,00400,0200,115356 83833,S200000,00400,0300,04/11/1989 83833,S200000,00400,0500,P 83833,S200000,01600,0100,Y 83833,S200000,02800,0100,Y 83841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83841,A000000,00300,0000,00300EMPLOYEE BENEFITS 83841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83841,A000000,00700,0000,00700HOUSEKEEPING 83841,A000000,00800,0000,00800DIETARY 83841,A000000,00900,0000,00900NURSING ADMINISTRATION 83841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83841,A000000,01100,0000,01100PHARMACY 83841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83841,A000000,01300,0000,01300SOCIAL SERVICE 83841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83841,A000000,01600,0000,01600SKILLED NURSING FACILITY 83841,A000000,01900,0000,01900OTHER LONG TERM CARE 83841,A000000,02100,0000,02100RADIOLOGY 83841,A000000,02200,0000,02200LABORATORY 83841,A000000,02300,0000,02300INTRAVENOUS THERAPY 83841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83841,A000000,02500,0000,02500PHYSICAL THERAPY 83841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83841,A000000,02700,0000,02700SPEECH PATHOLOGY 83841,A000000,02800,0000,02800ELECTROCARDIOLOGY 83841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83841,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83841,A000000,03200,0000,03200SUPPORT SURFACES 83841,A000000,03400,0000,03400CLINIC 83841,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83841,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83841,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83841,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83841,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83841,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83841,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83841,A000000,04400,0000,04400DME RENTED - HHA 83841,A000000,04500,0000,04500DME SOLD - HHA 83841,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83841,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83841,A000000,04800,0000,04800AMBULANCE 83841,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83841,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83841,A000000,05300,0000,05300INTEREST EXPENSE 83841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83841,A000000,05500,0000,05500HOSPICE 83841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83841,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83841,A000000,06100,0000,06100NONPAID WORKERS 83841,A000000,06200,0000,06200PATIENTS LAUNDRY 83841,A81000A,00100,0100,Y 83841,A81000B,00100,0300,MANAGEMENT FEES 83841,A81000B,00200,0300,OLD CAPITAL BUILDING 83841,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 83841,A81000B,00400,0300,NEW CAPITAL BUILDING 83841,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 83841,A81000B,00600,0300,FUNCTIONAL SALARY 83841,A81000B,00700,0300,FUNCTIONAL SALARY 83841,A81000B,00800,0300,FUNCTIONAL BENEFITS 83841,A81000B,00900,0300,PHARMACY CONSULTANT 83841,A81000B,01000,0300,DIETARY CONSULTANT 83841,A81000B,01100,0300,LEASE 83841,A81000B,01200,0300,DEPRECIATION 83841,A81000B,01300,0300,INTEREST 83841,A81000B,01400,0300,AMORTIZATION 83841,A81000C,00100,0100,A 83841,A81000C,00100,0200,ELDERCARE HEALT 83841,A81000C,00100,0400,MEDICAL MATRIX 83841,A81000C,00100,0600,PHARM & DIETARY 83841,A81000C,00200,0100,A 83841,A81000C,00200,0200,GA HOMECARE 83841,A81000C,00200,0400,MEDICAL MATRIX 83841,A81000C,00200,0600,IV THERAPY 83841,A81000C,00300,0100,A 83841,A81000C,00300,0200,GAP MANAGEMENT 83841,A81000C,00300,0400,MEDICAL MATRIX 83841,A81000C,00300,0600,MANAGEMENT 83841,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83841,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83841,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83841,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83841,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83841,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83841,B100000,00000,0850,00000PAT DAYS :DIETARY 83841,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83841,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83841,B100000,00000,1150,00000PAT DAYS :PHARMACY 83841,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83841,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83841,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83841,E10A180,00301,0100,01/26/2000 83841,S000000,00100,0200,12/01/2000 83841,S200000,00100,0100,107 RIDGEVIEW DRIVE 83841,S200000,00100,0300,130 83841,S200000,00200,0100,OCONEE 83841,S200000,00200,0200,GA 83841,S200000,00200,0300,31067- 83841,S200000,00300,0100,OCONEE 83841,S200000,00400,0100,OCONEE HEALTH CARE 83841,S200000,00400,0200,115357 83841,S200000,00400,0300,06/01/1989 83841,S200000,00400,0500,P 83841,S200000,00400,0600,O 83841,S200000,01500,0100,Y 83841,S200000,02200,0100,Y 83841,S200000,02800,0100,Y 83841,S700003,00000,0200,2 83847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83847,A000000,00300,0000,00300EMPLOYEE BENEFITS 83847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83847,A000000,00700,0000,00700HOUSEKEEPING 83847,A000000,00800,0000,00800DIETARY 83847,A000000,00900,0000,00900NURSING ADMINISTRATION 83847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83847,A000000,01100,0000,01100PHARMACY 83847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83847,A000000,01300,0000,01300SOCIAL SERVICE 83847,A000000,01350,0000,01500OTHER GENERAL SERVICES 83847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83847,A000000,01600,0000,01600SKILLED NURSING FACILITY 83847,A000000,01800,0000,01800NURSING FACILITY 83847,A000000,01900,0000,01900OTHER LONG TERM CARE 83847,A000000,02100,0000,02100RADIOLOGY 83847,A000000,02200,0000,02200LABORATORY 83847,A000000,02300,0000,02300INTRAVENOUS THERAPY 83847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83847,A000000,02500,0000,02500PHYSICAL THERAPY 83847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83847,A000000,02700,0000,02700SPEECH PATHOLOGY 83847,A000000,02800,0000,02800ELECTROCARDIOLOGY 83847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83847,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83847,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83847,A000000,03200,0000,03200SUPPORT SURFACES 83847,A000000,03400,0000,03400CLINIC 83847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83847,A000000,03500,0000,03500RURAL HEALTH CLINIC 83847,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83847,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83847,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83847,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83847,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83847,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83847,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83847,A000000,04400,0000,04400DME RENTED - HHA 83847,A000000,04500,0000,04500DME SOLD - HHA 83847,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83847,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83847,A000000,04800,0000,04800AMBULANCE 83847,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83847,A000000,05000,0000,05000CORF 83847,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83847,A000000,05300,0000,05300INTEREST EXPENSE 83847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83847,A000000,05500,0000,05500HOSPICE 83847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83847,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83847,A000000,06100,0000,06100NONPAID WORKERS 83847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83847,A000000,06200,0000,06200PATIENTS LAUNDRY 83847,A81000A,00100,0100,Y 83847,A81000B,00100,0300,PHYSICAL THERAPY 83847,A81000B,00200,0300,OCCUPATIONAL THERAPY 83847,A81000B,00300,0300,SPEECH THERAPY 83847,A81000B,00400,0300,ADMINISTRATION 83847,A81000B,00500,0300,MANAGEMENT FEES 83847,A81000B,00600,0300,MANAGEMENT SERVICES 83847,A81000C,00100,0100,A 83847,A81000C,00100,0200,SEE ATTACHED 83847,A81000C,00100,0600,THERAPY 83847,A81000C,00200,0100,A 83847,A81000C,00200,0200,SEE ATTACHED 83847,A81000C,00200,0600,THERAPY 83847,A81000C,00300,0100,A 83847,A81000C,00300,0200,SEE ATTACHED 83847,A81000C,00300,0600,THERAPY 83847,A81000C,00400,0100,A 83847,A81000C,00400,0200,SEE ATTACHED 83847,A81000C,00400,0600,ADMINISTRATION 83847,A81000C,00500,0100,B 83847,A81000C,00500,0400,CARE MORE MANAGEMENT 83847,A81000C,00500,0600,MANAGEMENT 83847,A81000C,00600,0100,B 83847,A81000C,00600,0400,CARE MORE MANAGEMENT 83847,A81000C,00600,0600,MANAGEMENT 83847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83847,B100000,00000,0650,00000PATIENTS DAYS :LAUNDRY & LINEN SER 83847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83847,B100000,00000,0800,00000MEALS SERVED :DIETARY 83847,B100000,00000,1150,00000PATIENTS DAYS :PHARMACY 83847,B100000,00000,1250,00000PATIENTS DAYS :MEDICAL RECORDS & L 83847,B100000,00000,1330,00000PATIENTS DAYS :SOCIAL SERVICE 83847,E10A180,00301,0100,01/28/2000 83847,S000000,00100,0200,12/04/2000 83847,S200000,00100,0100,404 COLLEGE STREET 83847,S200000,00200,0100,SOPERTON 83847,S200000,00200,0200,GA 83847,S200000,00200,0300,30457- 83847,S200000,00300,0100,TREUTLEN 83847,S200000,00300,0200,11 83847,S200000,00300,0300,R 83847,S200000,00400,0100,TREUTLEN COUNTY NURSING HOME 83847,S200000,00400,0200,115358 83847,S200000,00400,0300,07/01/1989 83847,S200000,00400,0500,P 83847,S200000,01500,0100,Y 83861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83861,A000000,00300,0000,00300EMPLOYEE BENEFITS 83861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83861,A000000,00700,0000,00700HOUSEKEEPING 83861,A000000,00800,0000,00800DIETARY 83861,A000000,00900,0000,00900NURSING ADMINISTRATION 83861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83861,A000000,01100,0000,01100PHARMACY 83861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83861,A000000,01300,0000,01300SOCIAL SERVICE 83861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83861,A000000,01600,0000,01600SKILLED NURSING FACILITY 83861,A000000,01800,0000,01800NURSING FACILITY 83861,A000000,01900,0000,01900OTHER LONG TERM CARE 83861,A000000,02100,0000,02100RADIOLOGY 83861,A000000,02200,0000,02200LABORATORY 83861,A000000,02300,0000,02300INTRAVENOUS THERAPY 83861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83861,A000000,02500,0000,02500PHYSICAL THERAPY 83861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83861,A000000,02700,0000,02700SPEECH PATHOLOGY 83861,A000000,02800,0000,02800ELECTROCARDIOLOGY 83861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83861,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83861,A000000,03200,0000,03200SUPPORT SURFACES 83861,A000000,03400,0000,03400CLINIC 83861,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83861,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83861,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83861,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83861,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83861,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83861,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83861,A000000,04400,0000,04400DME RENTED - HHA 83861,A000000,04500,0000,04500DME SOLD - HHA 83861,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83861,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83861,A000000,04800,0000,04800AMBULANCE 83861,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83861,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83861,A000000,05300,0000,05300INTEREST EXPENSE 83861,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83861,A000000,05500,0000,05500HOSPICE 83861,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83861,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83861,A000000,06100,0000,06100NONPAID WORKERS 83861,A000000,06200,0000,06200PATIENTS LAUNDRY 83861,A81000A,00100,0100,Y 83861,A81000B,00100,0300,MANAGEMENT FEES 83861,A81000B,00200,0300,OLD CAPITAL BUILDING 83861,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 83861,A81000B,00400,0300,NEW CAPITAL BUILDING 83861,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 83861,A81000B,00600,0300,FUNCTIONAL SALARY 83861,A81000B,00700,0300,FUNCTIONAL SALARY 83861,A81000B,00800,0300,FUNTIONAL BENEFITS 83861,A81000B,00900,0300,PHARMACY CONSULTANT 83861,A81000B,01000,0300,DIETARY CONSULTNAT 83861,A81000B,01100,0300,NURSING SUPPLIES 83861,A81000B,01200,0300,IV THERAPY 83861,A81000B,01300,0300,IV THERAPY 83861,A81000B,01400,0300,LEASE 83861,A81000B,01500,0300,DEPRECIATION 83861,A81000B,01600,0300,INTEREST 83861,A81000B,01700,0300,AMORTIZATION 83861,A81000C,00100,0100,A 83861,A81000C,00100,0200,ELDERCARE HEALT 83861,A81000C,00100,0400,MEDICAL MATRIX 83861,A81000C,00100,0600,PHARM & DIETARY 83861,A81000C,00200,0100,A 83861,A81000C,00200,0200,GA HOMECARE 83861,A81000C,00200,0400,MEDICAL MATRIX 83861,A81000C,00200,0600,IV THERAPY 83861,A81000C,00300,0100,A 83861,A81000C,00300,0200,GAP MANAGEMENT 83861,A81000C,00300,0400,MEDICAL MATRIX 83861,A81000C,00300,0600,MANAGEMENT 83861,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83861,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83861,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83861,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83861,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83861,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83861,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83861,B100000,00000,0850,00000PAT DAYS :DIETARY 83861,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83861,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83861,B100000,00000,1150,00000PAT DAYS :PHARMACY 83861,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83861,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83861,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83861,E10A180,00301,0100,01/25/2000 83861,S000000,00100,0200,12/01/2000 83861,S200000,00100,0100,115 BRENTWOOD DRIVE 83861,S200000,00100,0300,907 83861,S200000,00200,0100,WAYNESBORO 83861,S200000,00200,0200,GA 83861,S200000,00200,0300,30330- 83861,S200000,00300,0100,BURKE 83861,S200000,00400,0100,BRENTWOOD TERRACE HEALTH CARE CENTER 83861,S200000,00400,0200,115361 83861,S200000,00400,0300,04/01/1989 83861,S200000,00400,0500,P 83861,S200000,00600,0200,115361 83861,S200000,00600,0300,04/01/1989 83861,S200000,00600,0600,P 83861,S200000,01600,0100,Y 83861,S200000,02200,0100,Y 83861,S700003,00000,0200,2 83887,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83887,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83887,A000000,00300,0000,00300EMPLOYEE BENEFITS 83887,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83887,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83887,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83887,A000000,00700,0000,00700HOUSEKEEPING 83887,A000000,00800,0000,00800DIETARY 83887,A000000,00900,0000,00900NURSING ADMINISTRATION 83887,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83887,A000000,01100,0000,01100PHARMACY 83887,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83887,A000000,01300,0000,01300SOCIAL SERVICE 83887,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83887,A000000,01600,0000,01600SKILLED NURSING FACILITY 83887,A000000,01800,0000,01800NURSING FACILITY 83887,A000000,01900,0000,01900OTHER LONG TERM CARE 83887,A000000,02100,0000,02100RADIOLOGY 83887,A000000,02200,0000,02200LABORATORY 83887,A000000,02300,0000,02300INTRAVENOUS THERAPY 83887,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83887,A000000,02500,0000,02500PHYSICAL THERAPY 83887,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83887,A000000,02700,0000,02700SPEECH PATHOLOGY 83887,A000000,02800,0000,02800ELECTROCARDIOLOGY 83887,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83887,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83887,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83887,A000000,03200,0000,03200SUPPORT SURFACES 83887,A000000,03400,0000,03400CLINIC 83887,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83887,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83887,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83887,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83887,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83887,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83887,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83887,A000000,04400,0000,04400DME RENTED - HHA 83887,A000000,04500,0000,04500DME SOLD - HHA 83887,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83887,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83887,A000000,04800,0000,04800AMBULANCE 83887,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83887,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83887,A000000,05300,0000,05300INTEREST EXPENSE 83887,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83887,A000000,05500,0000,05500HOSPICE 83887,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83887,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83887,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83887,A000000,06100,0000,06100NONPAID WORKERS 83887,A000000,06200,0000,06200PATIENTS LAUNDRY 83887,A81000A,00100,0100,Y 83887,A81000B,00100,0300,MANAGEMENT FEES 83887,A81000B,00200,0300,OLD CAPITAL BUILDING 83887,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 83887,A81000B,00400,0300,NEW CAPITAL BUILDING 83887,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 83887,A81000B,00600,0300,FUNCTIONAL SALARY 83887,A81000B,00700,0300,FUNCTIONAL SALARY 83887,A81000B,00800,0300,FUNCTIONAL BENEFITS 83887,A81000B,00900,0300,PHARMACY CONSULTANT 83887,A81000B,01000,0300,DIETARY CONSULTANT 83887,A81000C,00100,0100,A 83887,A81000C,00100,0200,ELDERCARE HEALT 83887,A81000C,00100,0400,MEDICAL MATRIX 83887,A81000C,00100,0600,PHARM & DIETARY 83887,A81000C,00200,0100,A 83887,A81000C,00200,0200,GA HOMECARE 83887,A81000C,00200,0400,MEDICAL MATRIX 83887,A81000C,00200,0600,IV THERAPY 83887,A81000C,00300,0100,A 83887,A81000C,00300,0200,GAP MANAGEMENT 83887,A81000C,00300,0400,MEDICAL MATRIX 83887,A81000C,00300,0600,MANAGEMENT 83887,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83887,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83887,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83887,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83887,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83887,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83887,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83887,B100000,00000,0850,00000PAT DAYS :DIETARY 83887,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83887,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83887,B100000,00000,1150,00000PAT DAYS :PHARMACY 83887,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83887,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83887,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83887,E10A180,00301,0100,01/27/2000 83887,S000000,00100,0200,12/01/2000 83887,S200000,00100,0300,637 83887,S200000,00200,0100,SANDERSVILLE 83887,S200000,00200,0200,GA 83887,S200000,00200,0300,31082- 83887,S200000,00300,0100,WASHINGTON 83887,S200000,00400,0100,HERITAGE INN OF SANDERSVILLE 83887,S200000,00400,0200,115369 83887,S200000,00400,0300,06/01/1990 83887,S200000,00400,0500,P 83887,S200000,00600,0200,115369 83887,S200000,00600,0300,06/01/1990 83887,S200000,00600,0600,P 83887,S200000,01600,0100,Y 83887,S200000,02200,0100,Y 83887,S700003,00000,0200,2 83897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83897,A000000,00300,0000,00300EMPLOYEE BENEFITS 83897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83897,A000000,00700,0000,00700HOUSEKEEPING 83897,A000000,00800,0000,00800DIETARY 83897,A000000,00900,0000,00900NURSING ADMINISTRATION 83897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83897,A000000,01100,0000,01100PHARMACY 83897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83897,A000000,01300,0000,01300SOCIAL SERVICE 83897,A000000,01350,0000,01500OTHER GENERAL SERVICES 83897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83897,A000000,01600,0000,01600SKILLED NURSING FACILITY 83897,A000000,01800,0000,01800NURSING FACILITY 83897,A000000,01900,0000,01900OTHER LONG TERM CARE 83897,A000000,02100,0000,02100RADIOLOGY 83897,A000000,02200,0000,02200LABORATORY 83897,A000000,02300,0000,02300INTRAVENOUS THERAPY 83897,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83897,A000000,02500,0000,02500PHYSICAL THERAPY 83897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83897,A000000,02700,0000,02700SPEECH PATHOLOGY 83897,A000000,02800,0000,02800ELECTROCARDIOLOGY 83897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83897,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83897,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83897,A000000,03200,0000,03200SUPPORT SURFACES 83897,A000000,03400,0000,03400CLINIC 83897,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83897,A000000,03500,0000,03500RURAL HEALTH CLINIC 83897,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83897,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83897,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83897,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83897,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83897,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83897,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83897,A000000,04400,0000,04400DME RENTED - HHA 83897,A000000,04500,0000,04500DME SOLD - HHA 83897,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83897,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83897,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83897,A000000,04800,0000,04800AMBULANCE 83897,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83897,A000000,05000,0000,05000CORF 83897,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83897,A000000,05300,0000,05300INTEREST EXPENSE 83897,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83897,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83897,A000000,05500,0000,05500HOSPICE 83897,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83897,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83897,A000000,06100,0000,06100NONPAID WORKERS 83897,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83897,A000000,06200,0000,06200PATIENTS LAUNDRY 83897,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83897,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83897,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83897,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83897,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83897,B100000,00000,0800,00000MEALS SERVED :DIETARY 83897,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83897,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83897,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83897,E10A180,00301,0100,01/28/2000 83897,S000000,00100,0200,12/04/2000 83897,S200000,00100,0100,3468 NAPIER AVENUE 83897,S200000,00200,0100,MACON 83897,S200000,00200,0200,GA 83897,S200000,00200,0300,31204- 83897,S200000,00300,0100,BIBB 83897,S200000,00300,0200,4680 83897,S200000,00300,0300,U 83897,S200000,00400,0100,BEL ARBOR NURSING HOME 83897,S200000,00400,0200,115372 83897,S200000,00400,0300,04/01/1989 83897,S200000,00400,0500,P 83897,S200000,01600,0100,Y 83897,S200000,02800,0100,Y 83907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83907,A000000,00300,0000,00300EMPLOYEE BENEFITS 83907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83907,A000000,00700,0000,00700HOUSEKEEPING 83907,A000000,00800,0000,00800DIETARY 83907,A000000,00900,0000,00900NURSING ADMINISTRATION 83907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83907,A000000,01100,0000,01100PHARMACY 83907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83907,A000000,01300,0000,01300SOCIAL SERVICE 83907,A000000,01350,0000,01500ACTIVITIES 83907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83907,A000000,01600,0000,01600SKILLED NURSING FACILITY 83907,A000000,01800,0000,01800NURSING FACILITY 83907,A000000,01900,0000,01900OTHER LONG TERM CARE 83907,A000000,02100,0000,02100RADIOLOGY 83907,A000000,02200,0000,02200LABORATORY 83907,A000000,02300,0000,02300INTRAVENOUS THERAPY 83907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83907,A000000,02500,0000,02500PHYSICAL THERAPY 83907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83907,A000000,02700,0000,02700SPEECH PATHOLOGY 83907,A000000,02800,0000,02800ELECTROCARDIOLOGY 83907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83907,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83907,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83907,A000000,03200,0000,03200SUPPORT SURFACES 83907,A000000,03400,0000,03400CLINIC 83907,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83907,A000000,03500,0000,03500RURAL HEALTH CLINIC 83907,A000000,04800,0000,04800AMBULANCE 83907,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83907,A000000,05000,0000,05000CORF 83907,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83907,A000000,05300,0000,05300INTEREST EXPENSE 83907,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83907,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83907,A000000,05500,0000,05500HOSPICE 83907,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83907,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83907,A000000,06100,0000,06100NONPAID WORKERS 83907,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83907,A000000,06200,0000,06200PATIENTS LAUNDRY 83907,A81000A,00100,0100,Y 83907,A81000B,00100,0300,NURSING SUPPLIES 83907,A81000B,00200,0300,NURSING SUPPLIES 83907,A81000B,00300,0300,FLU VACCINE 83907,A81000B,00400,0300,DRUGS RELATED 83907,A81000B,00500,0300,CONTRACTED SERVICE 83907,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 83907,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 83907,A81000B,00800,0300,HEPATITIS B VACCINE 83907,A81000B,00900,0300,DIETARY SUPPLIES 83907,A81000B,01000,0300,LAUNDRY SUPPLIES 83907,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 83907,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 83907,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 83907,A81000B,01400,0300,FACILITY LEASE 83907,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 83907,A81000B,01600,0300,FACILITY ADMINISTRATOR 83907,A81000B,01700,0300,DIETARY CONSULTANT 83907,A81000B,01800,0300,NURSE CONSULTANT 83907,A81000B,01900,0300,REGIONAL PERSONNEL 83907,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 83907,A81000B,02100,0300,THERAPY CONSULTANT 83907,A81000B,02200,0300,MAINTENANCE CONSULTANT 83907,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 83907,A81000B,02400,0300,AIDE TRAINING 83907,A81000B,02500,0300,PHYSICAL THERAPY 83907,A81000B,02600,0300,SOCIAL SERVICES SUPPLIES 83907,A81000B,02700,0300,ACTIVITIES SUPPLIES 83907,A81000C,00100,0100,B 83907,A81000C,00100,0200,NEIL PRUITT 83907,A81000C,00100,0400,UNITED REHAB 83907,A81000C,00100,0600,THERAPY 83907,A81000C,00200,0100,B 83907,A81000C,00200,0200,NEIL PRUITT 83907,A81000C,00200,0400,UNITED PHARMACY 83907,A81000C,00200,0600,PHARMACY 83907,A81000C,00300,0100,B 83907,A81000C,00300,0200,NEIL PRUITT 83907,A81000C,00300,0400,PRUITT PROPERTI 83907,A81000C,00300,0600,RENTAL 83907,A81000C,00400,0100,B 83907,A81000C,00400,0200,NEIL PRUITT 83907,A81000C,00400,0400,PRUITT CORPORAT 83907,A81000C,00400,0600,MANAGEMENT 83907,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83907,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83907,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83907,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83907,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83907,B100000,00000,0800,00000MEALS SERVED :DIETARY 83907,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83907,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83907,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83907,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83907,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 83907,E10A180,00301,0100,01/27/2000 83907,S000000,00100,0200,12/01/2000 83907,S200000,00100,0100,410 EAST NORTHSIDE DRIVE 83907,S200000,00200,0100,VALDOSTA 83907,S200000,00200,0200,GA 83907,S200000,00200,0300,31602- 83907,S200000,00300,0100,LOWNDES 83907,S200000,00300,0200,11 83907,S200000,00300,0300,R 83907,S200000,00400,0100,LAKEHAVEN NURSING HOME INC. 83907,S200000,00400,0200,115373 83907,S200000,00400,0300,06/15/1989 83907,S200000,00400,0500,P 83907,S200000,01600,0100,Y 83913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83913,A000000,00300,0000,00300EMPLOYEE BENEFITS 83913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83913,A000000,00700,0000,00700HOUSEKEEPING 83913,A000000,00800,0000,00800DIETARY 83913,A000000,00900,0000,00900NURSING ADMINISTRATION 83913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83913,A000000,01100,0000,01100PHARMACY 83913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83913,A000000,01300,0000,01300SOCIAL SERVICE 83913,A000000,01350,0000,01500OTHER GENERAL SERVICES 83913,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83913,A000000,01600,0000,01600SKILLED NURSING FACILITY 83913,A000000,01800,0000,01800NURSING FACILITY 83913,A000000,01810,0000,01801ICF/MR 83913,A000000,01900,0000,01900OTHER LONG TERM CARE 83913,A000000,02100,0000,02100RADIOLOGY 83913,A000000,02200,0000,02200LABORATORY 83913,A000000,02300,0000,02300INTRAVENOUS THERAPY 83913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83913,A000000,02500,0000,02500PHYSICAL THERAPY 83913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83913,A000000,02700,0000,02700SPEECH PATHOLOGY 83913,A000000,02800,0000,02800ELECTROCARDIOLOGY 83913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 83913,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83913,A000000,03200,0000,03200SUPPORT SURFACES 83913,A000000,03400,0000,03400CLINIC 83913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 83913,A000000,03500,0000,03500RURAL HEALTH CLINIC 83913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 83913,A000000,04800,0000,04800AMBULANCE 83913,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83913,A000000,05000,0000,05000CORF 83913,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83913,A000000,05300,0000,05300INTEREST EXPENSE 83913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83913,A000000,05500,0000,05500HOSPICE 83913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83913,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83913,A000000,06100,0000,06100NONPAID WORKERS 83913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 83913,A000000,06200,0000,06200PATIENTS LAUNDRY 83913,A81000A,00100,0100,Y 83913,A81000B,00100,0300,ADMINISTRATIVE 83913,A81000B,00200,0300,PROPERTY TAXES 83913,A81000B,00300,0300,PROPERTY INSURANCE 83913,A81000B,00400,0300,PROPERTY INTEREST 83913,A81000B,00500,0300,PROPERTY DEPRECIATION 83913,A81000B,00600,0300,LINENS 83913,A81000B,00700,0300,DRUGS 83913,A81000B,00800,0300,PHARMACY 83913,A81000B,00900,0300,CONSULTING 83913,A81000B,01000,0300,LAB 83913,A81000B,01100,0300,RADIOLOGY 83913,A81000B,01200,0300,AMBULANCE 83913,A81000C,00100,0100,B 83913,A81000C,00100,0400,HLTC 83913,A81000C,00100,0600,MANAGEMENT 83913,A81000C,00200,0100,B 83913,A81000C,00200,0400,HLTC 83913,A81000C,00200,0600,MANAGEMENT 83913,A81000C,00300,0100,B 83913,A81000C,00300,0400,HLTC 83913,A81000C,00300,0600,MANAGEMENT 83913,A81000C,00400,0100,B 83913,A81000C,00400,0400,HLTC 83913,A81000C,00400,0600,MANAGEMENT 83913,A81000C,00500,0100,B 83913,A81000C,00500,0400,HLTC 83913,A81000C,00500,0600,MANAGEMENT 83913,A81000C,00600,0100,B 83913,A81000C,00600,0400,HLTC 83913,A81000C,00600,0600,SUPPLIED LINENS 83913,A81000C,00700,0100,B 83913,A81000C,00700,0400,HLTC 83913,A81000C,00700,0600,DRUGS 83913,A81000C,00800,0100,B 83913,A81000C,00800,0400,HLTC 83913,A81000C,00800,0600,PHARMACY 83913,A81000C,00900,0100,B 83913,A81000C,00900,0400,HLTC 83913,A81000C,00900,0600,CONSULTING 83913,A81000C,01000,0100,G 83913,A81000C,01000,0400,HHCS 83913,A81000C,01000,0600,LABORATORY 83913,A81000C,01001,0100,G 83913,A81000C,01001,0400,HHCS 83913,A81000C,01001,0600,RADIOLOGY 83913,A81000C,01002,0100,G 83913,A81000C,01002,0400,HHCS 83913,A81000C,01002,0600,AMBULANCE 83913,A81000C,03100,0000,COMMON PARENT COMPANY 83913,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83913,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 83913,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 83913,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83913,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83913,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 83913,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83913,B100000,00000,0800,00000MEALS SERVED :DIETARY 83913,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 83913,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 83913,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 83913,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 83913,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 83913,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 83913,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 83913,E10A180,00301,0100,03/18/1999 83913,E10A180,00501,0100,04/14/2000 83913,E10A180,00550,0300,04/14/2000 83913,S000000,00100,0200,03/01/2000 83913,S200000,00100,0100,1102 BURLEYSON ROAD 83913,S200000,00200,0100,DALTON 83913,S200000,00200,0200,GA 83913,S200000,00200,0300,30720- 83913,S200000,00300,0100,WHITFIELD 83913,S200000,00400,0100,WOOD DALE HEALTH CARE CTR 83913,S200000,00400,0200,115374 83913,S200000,00400,0300,05/01/1989 83913,S200000,00400,0500,P 83913,S200000,01500,0100,Y 83913,S700003,00000,0100,1 83922,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83922,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83922,A000000,00300,0000,00300EMPLOYEE BENEFITS 83922,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83922,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83922,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83922,A000000,00700,0000,00700HOUSEKEEPING 83922,A000000,00800,0000,00800DIETARY 83922,A000000,00900,0000,00900NURSING ADMINISTRATION 83922,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83922,A000000,01100,0000,01100PHARMACY 83922,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83922,A000000,01300,0000,01300SOCIAL SERVICE 83922,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83922,A000000,01600,0000,01600SKILLED NURSING FACILITY 83922,A000000,01800,0000,01800NURSING FACILITY 83922,A000000,01900,0000,01900OTHER LONG TERM CARE 83922,A000000,02100,0000,02100RADIOLOGY 83922,A000000,02200,0000,02200LABORATORY 83922,A000000,02300,0000,02300INTRAVENOUS THERAPY 83922,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83922,A000000,02500,0000,02500PHYSICAL THERAPY 83922,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83922,A000000,02700,0000,02700SPEECH PATHOLOGY 83922,A000000,02800,0000,02800ELECTROCARDIOLOGY 83922,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83922,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83922,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83922,A000000,03200,0000,03200SUPPORT SURFACES 83922,A000000,03400,0000,03400CLINIC 83922,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83922,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83922,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83922,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83922,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83922,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83922,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83922,A000000,04400,0000,04400DME RENTED - HHA 83922,A000000,04500,0000,04500DME SOLD - HHA 83922,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83922,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83922,A000000,04800,0000,04800AMBULANCE 83922,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83922,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83922,A000000,05300,0000,05300INTEREST EXPENSE 83922,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83922,A000000,05500,0000,05500HOSPICE 83922,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83922,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83922,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83922,A000000,06100,0000,06100NONPAID WORKERS 83922,A000000,06200,0000,06200PATIENTS LAUNDRY 83922,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83922,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83922,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83922,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83922,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83922,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83922,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83922,B100000,00000,0850,00000PAT DAYS :DIETARY 83922,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83922,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83922,B100000,00000,1150,00000PAT DAYS :PHARMACY 83922,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83922,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83922,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83922,E10A180,00301,0100,02/08/2000 83922,E10A180,00501,0100,09/25/2000 83922,S000000,00100,0200,05/19/2000 83922,S200000,00100,0100,5100 WEST STREET 83922,S200000,00200,0100,COVINGTON 83922,S200000,00200,0200,GA 83922,S200000,00200,0300,30209- 83922,S200000,00300,0100,NEWTON 83922,S200000,00400,0100,RIVERSIDE HEALTH CARE CENTER 83922,S200000,00400,0200,115375 83922,S200000,00400,0300,01/01/1989 83922,S200000,00400,0500,P 83922,S200000,00600,0200,115375 83922,S200000,00600,0300,01/01/1989 83922,S200000,00600,0600,P 83922,S200000,01600,0100,Y 83935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83935,A000000,00300,0000,00300EMPLOYEE BENEFITS 83935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83935,A000000,00700,0000,00700HOUSEKEEPING 83935,A000000,00800,0000,00800DIETARY 83935,A000000,00900,0000,00900NURSING ADMINISTRATION 83935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83935,A000000,01100,0000,01100PHARMACY 83935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83935,A000000,01300,0000,01300SOCIAL SERVICE 83935,A000000,01350,0000,01500ACTIVITIES 83935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83935,A000000,01600,0000,01600SKILLED NURSING FACILITY 83935,A000000,01800,0000,01800NURSING FACILITY 83935,A000000,01900,0000,01900OTHER LONG TERM CARE 83935,A000000,02100,0000,02100RADIOLOGY 83935,A000000,02200,0000,02200LABORATORY 83935,A000000,02300,0000,02300INTRAVENOUS THERAPY 83935,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83935,A000000,02500,0000,02500PHYSICAL THERAPY 83935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83935,A000000,02700,0000,02700SPEECH PATHOLOGY 83935,A000000,02800,0000,02800ELECTROCARDIOLOGY 83935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83935,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 83935,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83935,A000000,03200,0000,03200SUPPORT SURFACES 83935,A000000,03400,0000,03400CLINIC 83935,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 83935,A000000,03500,0000,03500RURAL HEALTH CLINIC 83935,A000000,04800,0000,04800AMBULANCE 83935,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83935,A000000,05000,0000,05000CORF 83935,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83935,A000000,05300,0000,05300INTEREST EXPENSE 83935,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 83935,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83935,A000000,05500,0000,05500HOSPICE 83935,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83935,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83935,A000000,06100,0000,06100NONPAID WORKERS 83935,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 83935,A000000,06200,0000,06200PATIENTS LAUNDRY 83935,A81000A,00100,0100,Y 83935,A81000B,00100,0300,NURSING SUPPLIES 83935,A81000B,00200,0300,NURSING SUPPLIES 83935,A81000B,00300,0300,DRUGS RELATED 83935,A81000B,00400,0300,CONTRACTED SERVICE 83935,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 83935,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 83935,A81000B,00700,0300,DIETARY SUPPLIES 83935,A81000B,00800,0300,LAUNDRY SUPPLIES 83935,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 83935,A81000B,01000,0300,PLANT OPERATION MAINT. & REPAIRS 83935,A81000B,01100,0300,ADMINISTRATIVE & GENERAL 83935,A81000B,01200,0300,FACILITY LEASE 83935,A81000B,01300,0300,POOLED COST/INTEREST EXP/INTEREST IN 83935,A81000B,01400,0300,FACILITY ADMINISTRATOR 83935,A81000B,01500,0300,DIETARY CONSULTANT 83935,A81000B,01600,0300,NURSE CONSULTANT 83935,A81000B,01700,0300,REGIONAL PERSONNEL 83935,A81000B,01800,0300,CAP REL COSTS - BLDGS & FIXTURES 83935,A81000B,01900,0300,THERAPY CONSULTANT 83935,A81000B,02000,0300,MAINTENANCE CONSULTANT 83935,A81000B,02100,0300,ACCOUNTS RECEIVABLE DEPT 83935,A81000B,02200,0300,PHYSICAL THERAPY 83935,A81000B,02300,0300,SOCIAL SERVICES SUPPLIES 83935,A81000B,02400,0300,ACTIVITIES SUPPLIES 83935,A81000C,00100,0100,B 83935,A81000C,00100,0200,NEIL PRUITT 83935,A81000C,00100,0400,UNITED REHAB 83935,A81000C,00100,0600,THERAPY 83935,A81000C,00200,0100,B 83935,A81000C,00200,0200,NEIL PRUITT 83935,A81000C,00200,0400,UNITED PHARMACY 83935,A81000C,00200,0600,PHARMACY 83935,A81000C,00300,0100,B 83935,A81000C,00300,0200,NEIL PRUITT 83935,A81000C,00300,0400,PRUITT PROPERTI 83935,A81000C,00300,0600,RENTAL 83935,A81000C,00400,0100,B 83935,A81000C,00400,0200,NEIL PRUITT 83935,A81000C,00400,0400,PRUITT CORPORAT 83935,A81000C,00400,0600,MANAGEMENT 83935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 83935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 83935,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 83935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 83935,B100000,00000,0800,00000MEALS SERVED :DIETARY 83935,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 83935,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 83935,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 83935,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 83935,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 83935,E10A180,00301,0100,01/27/2000 83935,S000000,00100,0200,12/04/2000 83935,S200000,00100,0100,2501 N. ASHLEY STREET 83935,S200000,00200,0100,VALDOSTA 83935,S200000,00200,0200,GA 83935,S200000,00200,0300,31601- 83935,S200000,00300,0100,LOWNDES 83935,S200000,00300,0300,R 83935,S200000,00400,0100,HERITAGE HOUSE NURSING HOME INC. 83935,S200000,00400,0200,115377 83935,S200000,00400,0300,06/30/1992 83935,S200000,00400,0500,P 83935,S200000,01600,0100,Y 83952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83952,A000000,00300,0000,00300EMPLOYEE BENEFITS 83952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83952,A000000,00700,0000,00700HOUSEKEEPING 83952,A000000,00800,0000,00800DIETARY 83952,A000000,00900,0000,00900NURSING ADMINISTRATION 83952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83952,A000000,01100,0000,01100PHARMACY 83952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83952,A000000,01300,0000,01300SOCIAL SERVICE 83952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83952,A000000,01600,0000,01600SKILLED NURSING FACILITY 83952,A000000,01800,0000,01800NURSING FACILITY 83952,A000000,01900,0000,01900OTHER LONG TERM CARE 83952,A000000,02100,0000,02100RADIOLOGY 83952,A000000,02200,0000,02200LABORATORY 83952,A000000,02300,0000,02300INTRAVENOUS THERAPY 83952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83952,A000000,02500,0000,02500PHYSICAL THERAPY 83952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83952,A000000,02700,0000,02700SPEECH PATHOLOGY 83952,A000000,02800,0000,02800ELECTROCARDIOLOGY 83952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83952,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83952,A000000,03200,0000,03200SUPPORT SURFACES 83952,A000000,03400,0000,03400CLINIC 83952,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83952,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83952,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83952,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83952,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83952,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83952,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83952,A000000,04400,0000,04400DME RENTED - HHA 83952,A000000,04500,0000,04500DME SOLD - HHA 83952,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83952,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83952,A000000,04800,0000,04800AMBULANCE 83952,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83952,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83952,A000000,05300,0000,05300INTEREST EXPENSE 83952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83952,A000000,05500,0000,05500HOSPICE 83952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83952,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83952,A000000,06100,0000,06100NONPAID WORKERS 83952,A000000,06200,0000,06200PATIENTS LAUNDRY 83952,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83952,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83952,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83952,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83952,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83952,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83952,B100000,00000,0850,00000PAT DAYS :DIETARY 83952,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83952,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83952,B100000,00000,1150,00000PAT DAYS :PHARMACY 83952,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83952,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83952,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83952,S000000,00100,0200,07/31/2000 83952,S200000,00100,0100,83 JUDKIN MILL ROAD 83952,S200000,00200,0100,CEDARTOWN 83952,S200000,00200,0200,GA 83952,S200000,00200,0300,30125- 83952,S200000,00300,0100,POLK 83952,S200000,00400,0100,CEDAR SPRINGS HEALTH & REHAB CENTER 83952,S200000,00400,0200,115381 83952,S200000,00400,0300,09/15/1989 83952,S200000,00400,0500,P 83952,S200000,00600,0200,115381 83952,S200000,00600,0300,09/15/1989 83952,S200000,00600,0600,P 83952,S200000,01600,0100,Y 83952,S700003,00000,0300,3 83960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83960,A000000,00300,0000,00300EMPLOYEE BENEFITS 83960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83960,A000000,00700,0000,00700HOUSEKEEPING 83960,A000000,00800,0000,00800DIETARY 83960,A000000,00900,0000,00900NURSING ADMINISTRATION 83960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83960,A000000,01100,0000,01100PHARMACY 83960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83960,A000000,01300,0000,01300SOCIAL SERVICE 83960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83960,A000000,01600,0000,01600SKILLED NURSING FACILITY 83960,A000000,01800,0000,01800NURSING FACILITY 83960,A000000,01900,0000,01900OTHER LONG TERM CARE 83960,A000000,02100,0000,02100RADIOLOGY 83960,A000000,02200,0000,02200LABORATORY 83960,A000000,02300,0000,02300INTRAVENOUS THERAPY 83960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83960,A000000,02500,0000,02500PHYSICAL THERAPY 83960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83960,A000000,02700,0000,02700SPEECH PATHOLOGY 83960,A000000,02800,0000,02800ELECTROCARDIOLOGY 83960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83960,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83960,A000000,03200,0000,03200SUPPORT SURFACES 83960,A000000,03400,0000,03400CLINIC 83960,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83960,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83960,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83960,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83960,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83960,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83960,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83960,A000000,04400,0000,04400DME RENTED - HHA 83960,A000000,04500,0000,04500DME SOLD - HHA 83960,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83960,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83960,A000000,04800,0000,04800AMBULANCE 83960,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83960,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83960,A000000,05300,0000,05300INTEREST EXPENSE 83960,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83960,A000000,05500,0000,05500HOSPICE 83960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83960,A000000,06100,0000,06100NONPAID WORKERS 83960,A000000,06200,0000,06200PATIENTS LAUNDRY 83960,A81000A,00100,0100,Y 83960,A81000B,00100,0300,MANAGEMENT FEES 83960,A81000B,00200,0300,OLD CAPITAL BUILDING 83960,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 83960,A81000B,00400,0300,NEW CAPITAL BUILDING 83960,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 83960,A81000B,00600,0300,FUNCTIONAL SALARY 83960,A81000B,00700,0300,FUNCTIONAL SALARY 83960,A81000B,00800,0300,FUNCTIONAL BENEFITS 83960,A81000B,00900,0300,PHARMACY CONSULTANT 83960,A81000B,01000,0300,DIETARY CONSULTANT 83960,A81000B,01100,0300,DIETARY SUPPLIES 83960,A81000B,01200,0300,LEASE 83960,A81000B,01300,0300,DEPRECIATION 83960,A81000B,01400,0300,INTEREST 83960,A81000B,01500,0300,AMORTIZATION 83960,A81000C,00100,0100,A 83960,A81000C,00100,0200,ELDERCARE HEALT 83960,A81000C,00100,0400,MEDICAL MATRIX 83960,A81000C,00100,0600,PHARM & DIETARY 83960,A81000C,00200,0100,A 83960,A81000C,00200,0200,GA HOMECARE 83960,A81000C,00200,0400,MEDICAL MATRIX 83960,A81000C,00200,0600,IV THERAPY 83960,A81000C,00300,0100,A 83960,A81000C,00300,0200,GAP MANAGEMENT 83960,A81000C,00300,0400,MEDICAL MATRIX 83960,A81000C,00300,0600,MANAGEMENT 83960,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83960,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83960,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83960,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83960,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83960,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83960,B100000,00000,0850,00000PAT DAYS :DIETARY 83960,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83960,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83960,B100000,00000,1150,00000PAT DAYS :PHARMACY 83960,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83960,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83960,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 83960,E10A180,00301,0100,01/26/2000 83960,S000000,00100,0200,12/01/2000 83960,S200000,00100,0100,HWY 22 83960,S200000,00100,0300,237 83960,S200000,00200,0100,SPARTA 83960,S200000,00200,0200,GA 83960,S200000,00200,0300,31087- 83960,S200000,00300,0100,HANCOCK 83960,S200000,00400,0100,SPARTA HEALTH CARE 83960,S200000,00400,0200,115382 83960,S200000,00400,0300,06/15/1989 83960,S200000,00400,0500,P 83960,S200000,00600,0200,115382 83960,S200000,00600,0300,06/15/1989 83960,S200000,00600,0600,P 83960,S200000,01600,0100,Y 83960,S200000,02200,0100,Y 83960,S200000,02800,0100,Y 83960,S700003,00000,0200,2 83985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 83985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 83985,A000000,00300,0000,00300EMPLOYEE BENEFITS 83985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 83985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 83985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 83985,A000000,00700,0000,00700HOUSEKEEPING 83985,A000000,00800,0000,00800DIETARY 83985,A000000,00900,0000,00900NURSING ADMINISTRATION 83985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 83985,A000000,01100,0000,01100PHARMACY 83985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 83985,A000000,01300,0000,01300SOCIAL SERVICE 83985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 83985,A000000,01600,0000,01600SKILLED NURSING FACILITY 83985,A000000,01800,0000,01800NURSING FACILITY 83985,A000000,01900,0000,01900OTHER LONG TERM CARE 83985,A000000,02100,0000,02100RADIOLOGY 83985,A000000,02200,0000,02200LABORATORY 83985,A000000,02300,0000,02300INTRAVENOUS THERAPY 83985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 83985,A000000,02500,0000,02500PHYSICAL THERAPY 83985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 83985,A000000,02700,0000,02700SPEECH PATHOLOGY 83985,A000000,02800,0000,02800ELECTROCARDIOLOGY 83985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 83985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 83985,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 83985,A000000,03200,0000,03200SUPPORT SURFACES 83985,A000000,03400,0000,03400CLINIC 83985,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 83985,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 83985,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 83985,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 83985,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 83985,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 83985,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 83985,A000000,04400,0000,04400DME RENTED - HHA 83985,A000000,04500,0000,04500DME SOLD - HHA 83985,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 83985,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 83985,A000000,04800,0000,04800AMBULANCE 83985,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 83985,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 83985,A000000,05300,0000,05300INTEREST EXPENSE 83985,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 83985,A000000,05500,0000,05500HOSPICE 83985,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 83985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 83985,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 83985,A000000,06100,0000,06100NONPAID WORKERS 83985,A000000,06200,0000,06200PATIENTS LAUNDRY 83985,A81000A,00100,0100,Y 83985,A81000B,00100,0300,NEW CAPITAL 83985,A81000B,00200,0300,NEW CAPITAL 83985,A81000B,00300,0300,MANAGEMENT FEES 83985,A81000B,00400,0300,INTEREST 83985,A81000C,00100,0100,B 83985,A81000C,00100,0400,RIGHT CARE INC 83985,A81000C,00100,0600,MANAGEMENT 83985,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 83985,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 83985,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 83985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 83985,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 83985,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 83985,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 83985,B100000,00000,0850,00000PAT DAYS :DIETARY 83985,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 83985,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 83985,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 83985,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 83985,E10A180,00501,0100,10/26/2000 83985,S000000,00100,0200,08/17/2000 83985,S200000,00100,0100,222 MOORES DRIVE 83985,S200000,00200,0100,DAHLONEGA 83985,S200000,00200,0200,GA 83985,S200000,00200,0300,30533- 83985,S200000,00300,0100,LUMPKIN 83985,S200000,00300,0200,0011 83985,S200000,00300,0300,R 83985,S200000,00400,0100,GOLD CITY HEALTH & REHAB 83985,S200000,00400,0200,115386 83985,S200000,00400,0300,06/01/1989 83985,S200000,00400,0500,P 83985,S200000,00600,0200,115386 83985,S200000,00600,0300,06/01/1989 83985,S200000,00600,0600,P 83985,S200000,01600,0100,Y 84010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84010,A000000,00300,0000,00300EMPLOYEE BENEFITS 84010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84010,A000000,00700,0000,00700HOUSEKEEPING 84010,A000000,00800,0000,00800DIETARY 84010,A000000,00900,0000,00900NURSING ADMINISTRATION 84010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84010,A000000,01100,0000,01100PHARMACY 84010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84010,A000000,01300,0000,01300SOCIAL SERVICE 84010,A000000,01350,0000,01500ACTIVITIES 84010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84010,A000000,01600,0000,01600SKILLED NURSING FACILITY 84010,A000000,01800,0000,01800NURSING FACILITY 84010,A000000,01900,0000,01900OTHER LONG TERM CARE 84010,A000000,02100,0000,02100RADIOLOGY 84010,A000000,02200,0000,02200LABORATORY 84010,A000000,02300,0000,02300INTRAVENOUS THERAPY 84010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84010,A000000,02500,0000,02500PHYSICAL THERAPY 84010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84010,A000000,02700,0000,02700SPEECH PATHOLOGY 84010,A000000,02800,0000,02800ELECTROCARDIOLOGY 84010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84010,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84010,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84010,A000000,03200,0000,03200SUPPORT SURFACES 84010,A000000,03400,0000,03400CLINIC 84010,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84010,A000000,03500,0000,03500RURAL HEALTH CLINIC 84010,A000000,04800,0000,04800AMBULANCE 84010,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84010,A000000,05000,0000,05000CORF 84010,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84010,A000000,05300,0000,05300INTEREST EXPENSE 84010,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84010,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84010,A000000,05500,0000,05500HOSPICE 84010,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84010,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84010,A000000,06100,0000,06100NONPAID WORKERS 84010,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84010,A000000,06200,0000,06200PATIENTS LAUNDRY 84010,A81000A,00100,0100,Y 84010,A81000B,00100,0300,NURSING SUPPLIES 84010,A81000B,00200,0300,FLU VACCINE 84010,A81000B,00300,0300,DRUGS RELATED 84010,A81000B,00400,0300,CONTRACTED SERVICE 84010,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 84010,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 84010,A81000B,00700,0300,HEPATITIS B VACCINE 84010,A81000B,00800,0300,DIETARY SUPPLIES 84010,A81000B,00900,0300,LAUNDRY SUPPLIES 84010,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 84010,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 84010,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 84010,A81000B,01300,0300,FACILITY LEASE 84010,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84010,A81000B,01500,0300,FACILITY ADMINISTRATOR 84010,A81000B,01600,0300,DIETARY CONSULTANT 84010,A81000B,01700,0300,NURSE CONSULTANT 84010,A81000B,01800,0300,REGIONAL PERSONNEL 84010,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84010,A81000B,02000,0300,THERAPY CONSULTANT 84010,A81000B,02100,0300,MAINTENANCE CONSULTANT 84010,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84010,A81000B,02300,0300,AIDE TRAINING 84010,A81000B,02400,0300,PHYSICAL THERAPY 84010,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 84010,A81000B,02600,0300,ACTIVITIES SUPPLIES 84010,A81000C,00100,0100,B 84010,A81000C,00100,0200,NEIL PRUITT 84010,A81000C,00100,0400,UNITED REHAB 84010,A81000C,00100,0600,THERAPY 84010,A81000C,00200,0100,B 84010,A81000C,00200,0200,NEIL PRUITT 84010,A81000C,00200,0400,UNITED PHARMACY 84010,A81000C,00200,0600,PHARMACY 84010,A81000C,00300,0100,B 84010,A81000C,00300,0200,NEIL PRUITT 84010,A81000C,00300,0400,PRUITT PROPERTI 84010,A81000C,00300,0600,RENTAL 84010,A81000C,00400,0100,B 84010,A81000C,00400,0200,NEIL PRUITT 84010,A81000C,00400,0400,PRUITT CORPORAT 84010,A81000C,00400,0600,MANAGEMENT 84010,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84010,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84010,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84010,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84010,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84010,B100000,00000,0800,00000MEALS SERVED :DIETARY 84010,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84010,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84010,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84010,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84010,E10A180,00301,0100,01/27/2000 84010,S000000,00100,0200,12/01/2000 84010,S200000,00100,0100,PEACH ORCHARD 84010,S200000,00100,0300,2999 84010,S200000,00200,0100,BALDWIN 84010,S200000,00200,0200,CA 84010,S200000,00200,0300,30511- 84010,S200000,00300,0100,HABERSHAM 84010,S200000,00300,0200,11 84010,S200000,00300,0300,R 84010,S200000,00400,0100,SCENIC VIEW CONVALESCENT CTR INC. 84010,S200000,00400,0200,115393 84010,S200000,00400,0300,10/12/1989 84010,S200000,00400,0500,P 84010,S200000,01600,0100,Y 84028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84028,A000000,00300,0000,00300EMPLOYEE BENEFITS 84028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84028,A000000,00700,0000,00700HOUSEKEEPING 84028,A000000,00800,0000,00800DIETARY 84028,A000000,00900,0000,00900NURSING ADMINISTRATION 84028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84028,A000000,01100,0000,01100PHARMACY 84028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84028,A000000,01300,0000,01300SOCIAL SERVICE 84028,A000000,01350,0000,01500OTHER GENERAL SERVICES 84028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84028,A000000,01600,0000,01600SKILLED NURSING FACILITY 84028,A000000,01800,0000,01800NURSING FACILITY 84028,A000000,01900,0000,01900OTHER LONG TERM CARE 84028,A000000,02100,0000,02100RADIOLOGY 84028,A000000,02200,0000,02200LABORATORY 84028,A000000,02300,0000,02300INTRAVENOUS THERAPY 84028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84028,A000000,02500,0000,02500PHYSICAL THERAPY 84028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84028,A000000,02700,0000,02700SPEECH PATHOLOGY 84028,A000000,02800,0000,02800ELECTROCARDIOLOGY 84028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84028,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84028,A000000,03200,0000,03200SUPPORT SURFACES 84028,A000000,03400,0000,03400CLINIC 84028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84028,A000000,03500,0000,03500RURAL HEALTH CLINIC 84028,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84028,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84028,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84028,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84028,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84028,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84028,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84028,A000000,04400,0000,04400DME RENTED - HHA 84028,A000000,04500,0000,04500DME SOLD - HHA 84028,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84028,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84028,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84028,A000000,04800,0000,04800AMBULANCE 84028,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84028,A000000,05000,0000,05000CORF 84028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84028,A000000,05300,0000,05300INTEREST EXPENSE 84028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84028,A000000,05500,0000,05500HOSPICE 84028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84028,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84028,A000000,06100,0000,06100NONPAID WORKERS 84028,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84028,A000000,06200,0000,06200PATIENTS LAUNDRY 84028,A81000A,00100,0100,Y 84028,A81000B,00100,0300,PHYSICAL THERAPY 84028,A81000B,00200,0300,OCCUPATIONAL THERAPY 84028,A81000B,00300,0300,SPEECH THERAPY 84028,A81000B,00400,0300,ADMINISTRATION 84028,A81000B,00500,0300,MANAGEMENT FEES 84028,A81000B,00600,0300,MANAGEMENT SERVICES 84028,A81000C,00100,0100,A 84028,A81000C,00100,0200,SEE ATTACHED 84028,A81000C,00100,0600,THERAPY 84028,A81000C,00200,0100,A 84028,A81000C,00200,0200,SEE ATTACHED 84028,A81000C,00200,0600,THERAPY 84028,A81000C,00300,0100,A 84028,A81000C,00300,0200,SEE ATTACHED 84028,A81000C,00300,0600,THERAPY 84028,A81000C,00400,0100,A 84028,A81000C,00400,0200,SEE ATTACHED 84028,A81000C,00400,0600,ADMINISTRATION 84028,A81000C,00500,0100,B 84028,A81000C,00500,0400,CARE MORE MANAGEMENT 84028,A81000C,00500,0600,MANAGEMENT 84028,A81000C,00600,0100,B 84028,A81000C,00600,0400,CARE MORE MANAGEMENT 84028,A81000C,00600,0600,MANAGEMENT 84028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84028,B100000,00000,0800,00000MEALS SERVED :DIETARY 84028,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84028,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84028,E10A180,00301,0100,01/28/2000 84028,S000000,00100,0200,12/04/2000 84028,S200000,00100,0100,12 CHATEAU DRIVE 84028,S200000,00200,0100,ROME 84028,S200000,00200,0200,GA 84028,S200000,00200,0300,30161- 84028,S200000,00300,0100,FLOYD 84028,S200000,00300,0200,11 84028,S200000,00300,0300,R 84028,S200000,00400,0100,WINTHROP MANOR NURSING CENTER 84028,S200000,00400,0200,115395 84028,S200000,00400,0300,07/01/1989 84028,S200000,00400,0500,P 84028,S200000,01600,0100,Y 84028,S200000,02800,0100,Y 84053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84053,A000000,00300,0000,00300EMPLOYEE BENEFITS 84053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84053,A000000,00700,0000,00700HOUSEKEEPING 84053,A000000,00800,0000,00800DIETARY 84053,A000000,00900,0000,00900NURSING ADMINISTRATION 84053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84053,A000000,01100,0000,01100PHARMACY 84053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84053,A000000,01300,0000,01300SOCIAL SERVICE 84053,A000000,01350,0000,01500ACTIVITIES 84053,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84053,A000000,01600,0000,01600SKILLED NURSING FACILITY 84053,A000000,01800,0000,01800NURSING FACILITY 84053,A000000,01900,0000,01900OTHER LONG TERM CARE 84053,A000000,02100,0000,02100RADIOLOGY 84053,A000000,02200,0000,02200LABORATORY 84053,A000000,02300,0000,02300INTRAVENOUS THERAPY 84053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84053,A000000,02500,0000,02500PHYSICAL THERAPY 84053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84053,A000000,02700,0000,02700SPEECH PATHOLOGY 84053,A000000,02800,0000,02800ELECTROCARDIOLOGY 84053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84053,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84053,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84053,A000000,03200,0000,03200SUPPORT SURFACES 84053,A000000,03400,0000,03400CLINIC 84053,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84053,A000000,03500,0000,03500RURAL HEALTH CLINIC 84053,A000000,04800,0000,04800AMBULANCE 84053,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84053,A000000,05000,0000,05000CORF 84053,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84053,A000000,05300,0000,05300INTEREST EXPENSE 84053,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84053,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84053,A000000,05500,0000,05500HOSPICE 84053,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84053,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84053,A000000,06100,0000,06100NONPAID WORKERS 84053,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84053,A000000,06200,0000,06200PATIENTS LAUNDRY 84053,A81000A,00100,0100,Y 84053,A81000B,00100,0300,NURSING SUPPLIES 84053,A81000B,00200,0300,NURSING SUPPLIES 84053,A81000B,00300,0300,FLU VACCINE 84053,A81000B,00400,0300,DRUGS RELATED 84053,A81000B,00500,0300,CONTRACTED SERVICE 84053,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 84053,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 84053,A81000B,00800,0300,HEPATITIS B VACCINE 84053,A81000B,00900,0300,DIETARY SUPPLIES 84053,A81000B,01000,0300,LAUNDRY SUPPLIES 84053,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 84053,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 84053,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 84053,A81000B,01400,0300,FACILITY LEASE 84053,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 84053,A81000B,01600,0300,FACILITY ADMINISTRATOR 84053,A81000B,01700,0300,DIETARY CONSULTANT 84053,A81000B,01800,0300,NURSE CONSULTANT 84053,A81000B,01900,0300,REGIONAL PERSONNEL 84053,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 84053,A81000B,02100,0300,THERAPY CONSULTANT 84053,A81000B,02200,0300,MAINTENANCE CONSULTANT 84053,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 84053,A81000B,02400,0300,PHYSICAL THERAPY 84053,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 84053,A81000B,02600,0300,ACTIVITIES SUPPLIES 84053,A81000C,00100,0100,B 84053,A81000C,00100,0200,NEIL PRUITT 84053,A81000C,00100,0400,UNITED REHAB 84053,A81000C,00100,0600,THERAPY 84053,A81000C,00200,0100,B 84053,A81000C,00200,0200,NEIL PRUITT 84053,A81000C,00200,0400,UNITED PHARMACY 84053,A81000C,00200,0600,PHARMACY 84053,A81000C,00300,0100,B 84053,A81000C,00300,0200,NEIL PRUITT 84053,A81000C,00300,0400,PRUITT PROPERTI 84053,A81000C,00300,0600,RENTAL 84053,A81000C,00400,0100,B 84053,A81000C,00400,0200,NEIL PRUITT 84053,A81000C,00400,0400,PRUITT CORPORAT 84053,A81000C,00400,0600,MANAGEMENT 84053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84053,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84053,B100000,00000,0800,00000MEALS SERVED :DIETARY 84053,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84053,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84053,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84053,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84053,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84053,E10A180,00301,0100,01/27/2000 84053,S000000,00100,0200,12/01/2000 84053,S200000,00100,0100,651 RHODES DRIVE 84053,S200000,00100,0300,2999 84053,S200000,00200,0100,ELBERTON 84053,S200000,00200,0200,GA 84053,S200000,00200,0300,30635- 84053,S200000,00300,0100,ELBERT 84053,S200000,00300,0200,0011 84053,S200000,00300,0300,R 84053,S200000,00400,0100,SPRING VALLEY HEALTH CARE INC. 84053,S200000,00400,0200,115401 84053,S200000,00400,0300,07/01/1989 84053,S200000,00400,0500,P 84053,S200000,01600,0100,Y 84063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84063,A000000,00300,0000,00300EMPLOYEE BENEFITS 84063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84063,A000000,00700,0000,00700HOUSEKEEPING 84063,A000000,00800,0000,00800DIETARY 84063,A000000,00900,0000,00900NURSING ADMINISTRATION 84063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84063,A000000,01100,0000,01100PHARMACY 84063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84063,A000000,01300,0000,01300SOCIAL SERVICE 84063,A000000,01350,0000,01500OTHER GENERAL SERVICES 84063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84063,A000000,01600,0000,01600SKILLED NURSING FACILITY 84063,A000000,01800,0000,01800NURSING FACILITY 84063,A000000,01810,0000,01810ICF/MR 84063,A000000,01900,0000,01900OTHER LONG TERM CARE 84063,A000000,02100,0000,02100RADIOLOGY 84063,A000000,02200,0000,02200LABORATORY 84063,A000000,02300,0000,02300INTRAVENOUS THERAPY 84063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84063,A000000,02500,0000,02500PHYSICAL THERAPY 84063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84063,A000000,02700,0000,02700SPEECH PATHOLOGY 84063,A000000,02800,0000,02800ELECTROCARDIOLOGY 84063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84063,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84063,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84063,A000000,03200,0000,03200SUPPORT SURFACES 84063,A000000,03400,0000,03400CLINIC 84063,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84063,A000000,03500,0000,03500RURAL HEALTH CLINIC 84063,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84063,A000000,04800,0000,04800AMBULANCE 84063,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84063,A000000,05000,0000,05000CORF 84063,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84063,A000000,05300,0000,05300INTEREST EXPENSE 84063,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84063,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84063,A000000,05500,0000,05500HOSPICE 84063,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84063,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84063,A000000,06100,0000,06100NONPAID WORKERS 84063,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84063,A000000,06200,0000,06200PATIENTS LAUNDRY 84063,A81000A,00100,0100,Y 84063,A81000B,00100,0300,MANAGEMENT 84063,A81000B,00200,0300,TAXES/INSURANCE 84063,A81000B,00300,0300,AMBULANCE 84063,A81000B,00400,0300,INTEREST 84063,A81000B,00500,0300,DEPRECIATION 84063,A81000B,00600,0300,LINENS 84063,A81000B,00700,0300,STOCK DRUGS/CONSULTING 84063,A81000B,00800,0300,PRESCRIPTION DRUGS 84063,A81000B,00900,0300,AMBULANCE 84063,A81000B,01000,0300,RADIOLOGY 84063,A81000B,01100,0300,LABORATORY 84063,A81000C,00100,0100,B 84063,A81000C,00100,0400,HLTC 84063,A81000C,00100,0600,MANAGEMENT 84063,A81000C,00200,0100,B 84063,A81000C,00200,0400,HLTC 84063,A81000C,00200,0600,MANAGEMENT 84063,A81000C,00300,0100,G 84063,A81000C,00300,0400,HHCS 84063,A81000C,00300,0600,AMBULANCE 84063,A81000C,00400,0100,B 84063,A81000C,00400,0400,HLTC 84063,A81000C,00400,0600,MANAGEMENT 84063,A81000C,00500,0100,B 84063,A81000C,00500,0400,HLTC 84063,A81000C,00500,0600,MANAGEMENT 84063,A81000C,00600,0100,B 84063,A81000C,00600,0400,HLTC 84063,A81000C,00600,0600,LAUNDRY 84063,A81000C,00700,0100,B 84063,A81000C,00700,0400,HLTC 84063,A81000C,00700,0600,PHARMACY 84063,A81000C,00800,0100,B 84063,A81000C,00800,0400,HLTC 84063,A81000C,00800,0600,PHARMACY 84063,A81000C,00900,0100,G 84063,A81000C,00900,0400,HHCS 84063,A81000C,00900,0600,AMBULANCE 84063,A81000C,01000,0100,G 84063,A81000C,01000,0400,HHCS 84063,A81000C,01000,0600,RADIOLOGY/LABORATORY 84063,A81000C,03100,0000,COMMON PARENT COMPANY 84063,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84063,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84063,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84063,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84063,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84063,B100000,00000,0800,00000MEALS SERVED :DIETARY 84063,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84063,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84063,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84063,E10A180,00301,0100,03/18/1999 84063,E10A180,00501,0100,04/14/2000 84063,E10A180,00501,0300,04/14/2000 84063,S000000,00100,0200,03/01/2000 84063,S200000,00100,0100,1114 BURLEYSON ROAD 84063,S200000,00200,0100,DALTON 84063,S200000,00200,0200,GA 84063,S200000,00200,0300,30720- 84063,S200000,00300,0100,WHITFIELD 84063,S200000,00300,0200,11 84063,S200000,00300,0300,R 84063,S200000,00400,0100,QUINTON MEMORIAL HEALTH CARE CENTER 84063,S200000,00400,0200,115403 84063,S200000,00400,0300,07/01/1989 84063,S200000,00400,0500,P 84063,S200000,01600,0100,Y 84085,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84085,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84085,A000000,00300,0000,00300EMPLOYEE BENEFITS 84085,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84085,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84085,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84085,A000000,00700,0000,00700HOUSEKEEPING 84085,A000000,00800,0000,00800DIETARY 84085,A000000,00900,0000,00900NURSING ADMINISTRATION 84085,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84085,A000000,01100,0000,01100PHARMACY 84085,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84085,A000000,01300,0000,01300SOCIAL SERVICE 84085,A000000,01350,0000,01500ACTIVITIES 84085,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84085,A000000,01600,0000,01600SKILLED NURSING FACILITY 84085,A000000,01800,0000,01800NURSING FACILITY 84085,A000000,01900,0000,01900OTHER LONG TERM CARE 84085,A000000,02100,0000,02100RADIOLOGY 84085,A000000,02200,0000,02200LABORATORY 84085,A000000,02300,0000,02300INTRAVENOUS THERAPY 84085,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84085,A000000,02500,0000,02500PHYSICAL THERAPY 84085,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84085,A000000,02700,0000,02700SPEECH PATHOLOGY 84085,A000000,02800,0000,02800ELECTROCARDIOLOGY 84085,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84085,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84085,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84085,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84085,A000000,03200,0000,03200SUPPORT SURFACES 84085,A000000,03400,0000,03400CLINIC 84085,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84085,A000000,03500,0000,03500RURAL HEALTH CLINIC 84085,A000000,04800,0000,04800AMBULANCE 84085,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84085,A000000,05000,0000,05000CORF 84085,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84085,A000000,05300,0000,05300INTEREST EXPENSE 84085,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84085,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84085,A000000,05500,0000,05500HOSPICE 84085,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84085,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84085,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84085,A000000,06100,0000,06100NONPAID WORKERS 84085,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84085,A000000,06200,0000,06200PATIENTS LAUNDRY 84085,A81000A,00100,0100,Y 84085,A81000B,00100,0300,NURSING SUPPLIES 84085,A81000B,00200,0300,NURSING SUPPLIES 84085,A81000B,00300,0300,FLU VACCINE 84085,A81000B,00400,0300,DRUGS RELATED 84085,A81000B,00500,0300,CONTRACTED SERVICE 84085,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 84085,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 84085,A81000B,00800,0300,DIETARY SUPPLIES 84085,A81000B,00900,0300,LAUNDRY SUPPLIES 84085,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 84085,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 84085,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 84085,A81000B,01300,0300,FACILITY LEASE 84085,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84085,A81000B,01500,0300,FACILITY ADMINISTRATOR 84085,A81000B,01600,0300,DIETARY CONSULTANT 84085,A81000B,01700,0300,NURSE CONSULTANT 84085,A81000B,01800,0300,REGIONAL PERSONNEL 84085,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84085,A81000B,02000,0300,THERAPY CONSULTANT 84085,A81000B,02100,0300,MAINTENANCE CONSULTANT 84085,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84085,A81000B,02300,0300,AIDE TRAINING 84085,A81000B,02400,0300,PHYSICAL THERAPY 84085,A81000B,02500,0300,SOCIAL SERVICE SUPPLIES 84085,A81000B,02600,0300,ACTIVITIES SUPPLIES 84085,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 84085,A81000C,00100,0100,B 84085,A81000C,00100,0200,NEIL PRUITT 84085,A81000C,00100,0400,UNITED REHAB 84085,A81000C,00100,0600,THERAPY 84085,A81000C,00200,0100,B 84085,A81000C,00200,0200,NEIL PRUITT 84085,A81000C,00200,0400,UNITED PHARMACY 84085,A81000C,00200,0600,PHARMACY 84085,A81000C,00300,0100,B 84085,A81000C,00300,0200,NEIL PRUITT 84085,A81000C,00300,0400,PRUITT PROPERTI 84085,A81000C,00300,0600,RENTAL 84085,A81000C,00400,0100,B 84085,A81000C,00400,0200,NEIL PRUITT 84085,A81000C,00400,0400,PRUITT CORPORAT 84085,A81000C,00400,0600,MANAGEMENT 84085,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84085,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84085,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84085,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84085,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84085,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84085,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84085,B100000,00000,0800,00000MEALS SERVED :DIETARY 84085,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84085,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84085,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 84085,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84085,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84085,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84085,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 84085,E10A180,00301,0100,01/27/2000 84085,S000000,00100,0200,12/01/2000 84085,S200000,00100,0100,1293 DAWSONVILLE HGWY 84085,S200000,00200,0100,GAINSVILLE 84085,S200000,00200,0200,GA 84085,S200000,00200,0300,30501- 84085,S200000,00300,0100,HALL 84085,S200000,00400,0100,LAKESHORE HEIGHTS INC. 84085,S200000,00400,0200,115410 84085,S200000,00400,0300,07/24/1988 84085,S200000,00400,0500,P 84085,S200000,01600,0100,Y 84085,S700003,00000,0200,2 84094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84094,A000000,00300,0000,00300EMPLOYEE BENEFITS 84094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84094,A000000,00700,0000,00700HOUSEKEEPING 84094,A000000,00800,0000,00800DIETARY 84094,A000000,00900,0000,00900NURSING ADMINISTRATION 84094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84094,A000000,01100,0000,01100PHARMACY 84094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84094,A000000,01300,0000,01300SOCIAL SERVICE 84094,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84094,A000000,01600,0000,01600SKILLED NURSING FACILITY 84094,A000000,01900,0000,01900OTHER LONG TERM CARE 84094,A000000,02100,0000,02100RADIOLOGY 84094,A000000,02200,0000,02200LABORATORY 84094,A000000,02300,0000,02300INTRAVENOUS THERAPY 84094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84094,A000000,02500,0000,02500PHYSICAL THERAPY 84094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84094,A000000,02700,0000,02700SPEECH PATHOLOGY 84094,A000000,02800,0000,02800ELECTROCARDIOLOGY 84094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84094,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84094,A000000,03200,0000,03200SUPPORT SURFACES 84094,A000000,03400,0000,03400CLINIC 84094,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84094,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84094,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84094,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84094,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84094,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84094,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84094,A000000,04400,0000,04400DME RENTED - HHA 84094,A000000,04500,0000,04500DME SOLD - HHA 84094,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84094,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84094,A000000,04800,0000,04800AMBULANCE 84094,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84094,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84094,A000000,05300,0000,05300INTEREST EXPENSE 84094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84094,A000000,05500,0000,05500HOSPICE 84094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84094,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84094,A000000,06100,0000,06100NONPAID WORKERS 84094,A000000,06200,0000,06200PATIENTS LAUNDRY 84094,A81000A,00100,0100,Y 84094,A81000B,00100,0300,MANAGEMENT FEES 84094,A81000B,00200,0300,NEW CAPITAL - MOVABLE EQUIPMENT 84094,A81000C,00100,0100,A 84094,A81000C,00100,0200,TY BROGDON 84094,A81000C,00100,0400,BRENTWOOD HC 84094,A81000C,00100,0600,MANAGEMENT 84094,A81000C,00200,0100,B 84094,A81000C,00300,0100,A 84094,A81000C,00300,0200,DARRELL TUCKER 84094,A81000C,00400,0100,A 84094,A81000C,00400,0200,ED LANE 84094,A81000C,00500,0100,A 84094,A81000C,00500,0200,ROB LANCASTER 84094,A81000C,00600,0100,A 84094,A81000C,00600,0200,SHELLY LINDQUST 84094,A81000C,00700,0100,A 84094,A81000C,00700,0200,LETTIE WILSON 84094,A81000C,00800,0100,A 84094,A81000C,00800,0200,LIZ WOOD 84094,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84094,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84094,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84094,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84094,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84094,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84094,B100000,00000,0850,00000PAT DAYS :DIETARY 84094,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84094,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84094,B100000,00000,1150,00000PAT DAYS :PHARMACY 84094,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84094,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84094,E10A180,00501,0100,09/20/2000 84094,S000000,00100,0200,07/24/2000 84094,S200000,00100,0100,475 WASHINGTON STREET 84094,S200000,00100,0300,713 84094,S200000,00200,0100,METTER 84094,S200000,00200,0200,GA 84094,S200000,00200,0300,30439- 84094,S200000,00300,0100,CANDLER 84094,S200000,00300,0200,0011 84094,S200000,00300,0300,R 84094,S200000,00400,0100,PLEASANT VIEW HEALTH CARE CENTER 84094,S200000,00400,0200,115411 84094,S200000,00400,0300,01/01/1990 84094,S200000,00400,0500,P 84094,S200000,00400,0600,O 84094,S200000,01500,0100,Y 84094,S200000,02200,0100,Y 84104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84104,A000000,00300,0000,00300EMPLOYEE BENEFITS 84104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84104,A000000,00700,0000,00700HOUSEKEEPING 84104,A000000,00800,0000,00800DIETARY 84104,A000000,00900,0000,00900NURSING ADMINISTRATION 84104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84104,A000000,01100,0000,01100PHARMACY 84104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84104,A000000,01300,0000,01300SOCIAL SERVICE 84104,A000000,01350,0000,01500ACTIVITIES 84104,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84104,A000000,01600,0000,01600SKILLED NURSING FACILITY 84104,A000000,01800,0000,01800NURSING FACILITY 84104,A000000,01900,0000,01900OTHER LONG TERM CARE 84104,A000000,02100,0000,02100RADIOLOGY 84104,A000000,02200,0000,02200LABORATORY 84104,A000000,02300,0000,02300INTRAVENOUS THERAPY 84104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84104,A000000,02500,0000,02500PHYSICAL THERAPY 84104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84104,A000000,02700,0000,02700SPEECH PATHOLOGY 84104,A000000,02800,0000,02800ELECTROCARDIOLOGY 84104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84104,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84104,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84104,A000000,03200,0000,03200SUPPORT SURFACES 84104,A000000,03400,0000,03400CLINIC 84104,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84104,A000000,03500,0000,03500RURAL HEALTH CLINIC 84104,A000000,04800,0000,04800AMBULANCE 84104,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84104,A000000,05000,0000,05000CORF 84104,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84104,A000000,05300,0000,05300INTEREST EXPENSE 84104,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84104,A000000,05500,0000,05500HOSPICE 84104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84104,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84104,A000000,06100,0000,06100NONPAID WORKERS 84104,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84104,A000000,06200,0000,06200PATIENTS LAUNDRY 84104,A81000A,00100,0100,Y 84104,A81000B,00100,0300,NURSING SUPPLIES 84104,A81000B,00200,0300,FLU VACCINE 84104,A81000B,00300,0300,DRUGS RELATED 84104,A81000B,00400,0300,CONTRACTED SERVICE 84104,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 84104,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 84104,A81000B,00700,0300,HEPATITIS B VACCINE 84104,A81000B,00800,0300,DIETARY SUPPLIES 84104,A81000B,00900,0300,LAUNDRY SUPPLIES 84104,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 84104,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 84104,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 84104,A81000B,01300,0300,FACILITY LEASE 84104,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84104,A81000B,01500,0300,FACILITY ADMINISTRATOR 84104,A81000B,01600,0300,DIETARY CONSULTANT 84104,A81000B,01700,0300,NURSE CONSULTANT 84104,A81000B,01800,0300,REGIONAL PERSONNEL 84104,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84104,A81000B,02000,0300,THERAPY CONSULTANT 84104,A81000B,02100,0300,MAINTENANCE CONSULTANT 84104,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84104,A81000B,02300,0300,PHYSICAL THERAPY 84104,A81000B,02400,0300,SOCIAL SERVICES SUPPLIES 84104,A81000B,02500,0300,ACTIVITIES SUPPLIES 84104,A81000C,00100,0100,B 84104,A81000C,00100,0200,NEIL PRUITT 84104,A81000C,00100,0400,UNITED REHAB 84104,A81000C,00100,0600,THERAPY 84104,A81000C,00200,0100,B 84104,A81000C,00200,0200,NEIL PRUITT 84104,A81000C,00200,0400,UNITED PHARMACY 84104,A81000C,00200,0600,PHARMACY 84104,A81000C,00300,0100,B 84104,A81000C,00300,0200,NEIL PRUITT 84104,A81000C,00300,0400,PRUITT PROPERTI 84104,A81000C,00300,0600,RENTAL 84104,A81000C,00400,0100,B 84104,A81000C,00400,0200,NEIL PRUITT 84104,A81000C,00400,0400,PRUITT CORPORAT 84104,A81000C,00400,0600,MANAGEMENT 84104,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84104,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84104,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84104,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84104,B100000,00000,0800,00000MEALS SERVED :DIETARY 84104,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84104,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84104,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84104,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84104,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84104,E10A180,00301,0100,01/27/2000 84104,S000000,00100,0200,12/04/2000 84104,S200000,00100,0300,1067 84104,S200000,00200,0100,FORSYTH 84104,S200000,00200,0200,GA 84104,S200000,00200,0300,31029- 84104,S200000,00300,0100,MONROE 84104,S200000,00300,0200,0011 84104,S200000,00300,0300,R 84104,S200000,00400,0100,FORSYTH NURSING HOME INC. 84104,S200000,00400,0200,115418 84104,S200000,00400,0300,07/01/1999 84104,S200000,00400,0500,P 84104,S200000,01600,0100,Y 84108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84108,A000000,00300,0000,00300EMPLOYEE BENEFITS 84108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84108,A000000,00700,0000,00700HOUSEKEEPING 84108,A000000,00800,0000,00800DIETARY 84108,A000000,00900,0000,00900NURSING ADMINISTRATION 84108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84108,A000000,01100,0000,01100PHARMACY 84108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84108,A000000,01300,0000,01300SOCIAL SERVICE 84108,A000000,01350,0000,01500ACTIVITIES 84108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84108,A000000,01600,0000,01600SKILLED NURSING FACILITY 84108,A000000,01800,0000,01800NURSING FACILITY 84108,A000000,01810,0000,01810ICF/MR 84108,A000000,01900,0000,01900OTHER LONG TERM CARE 84108,A000000,02100,0000,02100RADIOLOGY 84108,A000000,02200,0000,02200LABORATORY 84108,A000000,02300,0000,02300INTRAVENOUS THERAPY 84108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84108,A000000,02500,0000,02500PHYSICAL THERAPY 84108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84108,A000000,02700,0000,02700SPEECH PATHOLOGY 84108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84108,A000000,04800,0000,04800AMBULANCE 84108,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84108,A000000,05300,0000,05300INTEREST EXPENSE 84108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84108,A000000,05500,0000,05500HOSPICE 84108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84108,A81000A,00100,0100,Y 84108,A81000B,00100,0300,HOME OFFICE CAPITAL 84108,A81000B,00200,0300,HOME OFFICE A&G 84108,A81000C,00100,0100,A 84108,A81000C,00100,0200,WILLIAM MCKETTRICK 84108,A81000C,00100,0400,MCKETTRICK HEALTH SERVICE 84108,A81000C,00100,0600,HOME OFFICE 84108,A81000C,00200,0100,A 84108,A81000C,00200,0200,WILLIAM MCKETTRICK 84108,A81000C,00200,0400,MCKETTRICK HEALTH SERVICE 84108,A81000C,00200,0600,HOME OFFICE 84108,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84108,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84108,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84108,B100000,00000,0750,00000SQ FEET MODIFIED :HOUSEKEEPING 84108,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84108,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84108,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84108,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84108,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 84108,E10A180,00301,0100,07/01/1999 84108,S000000,00100,0200,12/04/2000 84108,S200000,00100,0100,ROUTE 1 BOX 163 84108,S200000,00200,0100,APPLING 84108,S200000,00200,0200,GA 84108,S200000,00200,0300,30802- 84108,S200000,00300,0100,COLUMBIA 84108,S200000,00300,0200,0600 84108,S200000,00300,0300,U 84108,S200000,00400,0100,LAKE CROSSING HEALTH CENTER INC. 84108,S200000,00400,0200,115424 84108,S200000,00400,0300,07/01/1989 84108,S200000,00400,0500,P 84108,S200000,01600,0100,Y 84134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84134,A000000,00300,0000,00300EMPLOYEE BENEFITS 84134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84134,A000000,00700,0000,00700HOUSEKEEPING 84134,A000000,00800,0000,00800DIETARY 84134,A000000,00900,0000,00900NURSING ADMINISTRATION 84134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84134,A000000,01100,0000,01100PHARMACY 84134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84134,A000000,01300,0000,01300SOCIAL SERVICE 84134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84134,A000000,01600,0000,01600SKILLED NURSING FACILITY 84134,A000000,01800,0000,01800NURSING FACILITY 84134,A000000,01900,0000,01900OTHER LONG TERM CARE 84134,A000000,02100,0000,02100RADIOLOGY 84134,A000000,02200,0000,02200LABORATORY 84134,A000000,02300,0000,02300INTRAVENOUS THERAPY 84134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84134,A000000,02500,0000,02500PHYSICAL THERAPY 84134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84134,A000000,02700,0000,02700SPEECH PATHOLOGY 84134,A000000,02800,0000,02800ELECTROCARDIOLOGY 84134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84134,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84134,A000000,03200,0000,03200SUPPORT SURFACES 84134,A000000,03400,0000,03400CLINIC 84134,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84134,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84134,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84134,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84134,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84134,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84134,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84134,A000000,04400,0000,04400DME RENTED - HHA 84134,A000000,04500,0000,04500DME SOLD - HHA 84134,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84134,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84134,A000000,04800,0000,04800AMBULANCE 84134,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84134,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84134,A000000,05300,0000,05300INTEREST EXPENSE 84134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84134,A000000,05500,0000,05500HOSPICE 84134,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84134,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84134,A000000,06100,0000,06100NONPAID WORKERS 84134,A000000,06200,0000,06200PATIENTS LAUNDRY 84134,A81000A,00100,0100,Y 84134,A81000B,00100,0300,MANAGEMENT FEES 84134,A81000B,00200,0300,OLD CAPITAL BUILDING 84134,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 84134,A81000B,00400,0300,NEW CAPITAL BUILDING 84134,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 84134,A81000B,00600,0300,FUNCTIONAL SALARY 84134,A81000B,00700,0300,FUNCTIONAL SALARY 84134,A81000B,00800,0300,FUNCTIONAL BENEFITS 84134,A81000B,00900,0300,PHARMACY CONSULTANT 84134,A81000B,01000,0300,DIETARY CONSULTANT 84134,A81000B,01100,0300,IV THERAPY 84134,A81000B,01200,0300,IV THERAPY 84134,A81000C,00100,0100,A 84134,A81000C,00100,0200,ELDERCARE HEALT 84134,A81000C,00100,0400,MEDICAL MATRIX 84134,A81000C,00100,0600,PHARM & DIETARY 84134,A81000C,00200,0100,A 84134,A81000C,00200,0200,GA HOMECARE 84134,A81000C,00200,0400,MEDICAL MATRIX 84134,A81000C,00200,0600,IV THERAPY 84134,A81000C,00300,0100,A 84134,A81000C,00300,0200,GAP MANAGEMENT 84134,A81000C,00300,0400,MEDICAL MATRIX 84134,A81000C,00300,0600,MANAGEMENT 84134,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84134,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84134,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84134,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84134,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84134,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84134,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84134,B100000,00000,0850,00000PAT DAYS :DIETARY 84134,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84134,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84134,B100000,00000,1150,00000PAT DAYS :PHARMACY 84134,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84134,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84134,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84134,E10A180,00301,0100,01/26/2000 84134,S000000,00100,0200,12/01/2000 84134,S200000,00100,0100,945 HIGHWAY 341 SOUTH 84134,S200000,00200,0100,BARNESVILLE 84134,S200000,00200,0200,GA 84134,S200000,00200,0300,30204- 84134,S200000,00300,0100,LAMAR 84134,S200000,00400,0100,HERITAGE INN OF BARNESVILLE 84134,S200000,00400,0200,115447 84134,S200000,00400,0300,11/01/1989 84134,S200000,00400,0500,P 84134,S200000,00600,0200,115447 84134,S200000,00600,0300,11/01/1989 84134,S200000,00600,0600,P 84134,S200000,01600,0100,Y 84134,S200000,02200,0100,Y 84134,S700003,00000,0200,2 84169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84169,A000000,00300,0000,00300EMPLOYEE BENEFITS 84169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84169,A000000,00700,0000,00700HOUSEKEEPING 84169,A000000,00800,0000,00800DIETARY 84169,A000000,00900,0000,00900NURSING ADMINISTRATION 84169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84169,A000000,01100,0000,01100PHARMACY 84169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84169,A000000,01300,0000,01300SOCIAL SERVICE 84169,A000000,01350,0000,01500OTHER GENERAL SERVICES 84169,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84169,A000000,01600,0000,01600SKILLED NURSING FACILITY 84169,A000000,01800,0000,01800NURSING FACILITY 84169,A000000,01900,0000,01900OTHER LONG TERM CARE 84169,A000000,02100,0000,02100RADIOLOGY 84169,A000000,02200,0000,02200LABORATORY 84169,A000000,02300,0000,02300INTRAVENOUS THERAPY 84169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84169,A000000,02500,0000,02500PHYSICAL THERAPY 84169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84169,A000000,02700,0000,02700SPEECH PATHOLOGY 84169,A000000,02800,0000,02800ELECTROCARDIOLOGY 84169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84169,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84169,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84169,A000000,03200,0000,03200SUPPORT SURFACES 84169,A000000,03400,0000,03400CLINIC 84169,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84169,A000000,03500,0000,03500RURAL HEALTH CLINIC 84169,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84169,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84169,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84169,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84169,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84169,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84169,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84169,A000000,04400,0000,04400DME RENTED - HHA 84169,A000000,04500,0000,04500DME SOLD - HHA 84169,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84169,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84169,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84169,A000000,04800,0000,04800AMBULANCE 84169,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84169,A000000,05000,0000,05000CORF 84169,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84169,A000000,05300,0000,05300INTEREST EXPENSE 84169,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84169,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84169,A000000,05500,0000,05500HOSPICE 84169,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84169,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84169,A000000,06100,0000,06100NONPAID WORKERS 84169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84169,A000000,06200,0000,06200PATIENTS LAUNDRY 84169,A81000A,00100,0100,Y 84169,A81000B,00100,0300,INTEREST 84169,A81000C,00100,0100,A 84169,A81000C,00100,0200,CHARLES OSBORNE 84169,A81000C,00100,0600,MANAGEMENT 84169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84169,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84169,B100000,00000,0800,00000MEALS SERVED :DIETARY 84169,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84169,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84169,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84169,E10A180,00301,0100,01/28/2000 84169,S000000,00100,0200,12/04/2000 84169,S200000,00100,0300,1869 84169,S200000,00200,0100,CARTERSVILLE 84169,S200000,00200,0200,GA 84169,S200000,00200,0300,30120- 84169,S200000,00300,0100,BARTOW 84169,S200000,00300,0200,0520 84169,S200000,00300,0300,U 84169,S200000,00400,0100,STARCREST OF CARTERSVILLE 84169,S200000,00400,0200,115461 84169,S200000,00400,0300,11/27/1989 84169,S200000,00400,0500,P 84169,S200000,01600,0100,Y 84181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84181,A000000,00300,0000,00300EMPLOYEE BENEFITS 84181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84181,A000000,00700,0000,00700HOUSEKEEPING 84181,A000000,00800,0000,00800DIETARY 84181,A000000,00900,0000,00900NURSING ADMINISTRATION 84181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84181,A000000,01100,0000,01100PHARMACY 84181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84181,A000000,01300,0000,01300SOCIAL SERVICE 84181,A000000,01350,0000,01500OTHER GENERAL SERVICES 84181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84181,A000000,01600,0000,01600SKILLED NURSING FACILITY 84181,A000000,01800,0000,01800NURSING FACILITY 84181,A000000,01900,0000,01900OTHER LONG TERM CARE 84181,A000000,02100,0000,02100RADIOLOGY 84181,A000000,02200,0000,02200LABORATORY 84181,A000000,02300,0000,02300INTRAVENOUS THERAPY 84181,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84181,A000000,02500,0000,02500PHYSICAL THERAPY 84181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84181,A000000,02700,0000,02700SPEECH PATHOLOGY 84181,A000000,02800,0000,02800ELECTROCARDIOLOGY 84181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84181,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84181,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84181,A000000,03200,0000,03200SUPPORT SURFACES 84181,A000000,03400,0000,03400CLINIC 84181,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84181,A000000,03500,0000,03500RURAL HEALTH CLINIC 84181,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84181,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84181,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84181,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84181,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84181,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84181,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84181,A000000,04400,0000,04400DME RENTED - HHA 84181,A000000,04500,0000,04500DME SOLD - HHA 84181,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84181,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84181,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84181,A000000,04800,0000,04800AMBULANCE 84181,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84181,A000000,05000,0000,05000CORF 84181,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84181,A000000,05300,0000,05300INTEREST EXPENSE 84181,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84181,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84181,A000000,05500,0000,05500HOSPICE 84181,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84181,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84181,A000000,06100,0000,06100NONPAID WORKERS 84181,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84181,A000000,06200,0000,06200PATIENTS LAUNDRY 84181,A81000A,00100,0100,Y 84181,A81000B,00100,0300,PHYSICAL THERAPY 84181,A81000B,00200,0300,OCCUPATIONAL THERAPY 84181,A81000B,00300,0300,SPEECH THERAPY 84181,A81000B,00400,0300,MANAGEMENT SERVICES 84181,A81000B,00500,0300,MANAGEMENT SERVICES 84181,A81000C,00100,0100,A 84181,A81000C,00100,0200,SEE ATTACHED 84181,A81000C,00100,0600,THERAPY 84181,A81000C,00200,0100,A 84181,A81000C,00200,0200,SEE ATTACHED 84181,A81000C,00200,0600,THERAPY 84181,A81000C,00300,0100,A 84181,A81000C,00300,0200,SEE ATTACHED 84181,A81000C,00300,0600,THERAPY 84181,A81000C,00400,0100,B 84181,A81000C,00400,0400,CARE MORE MANAGEMENT 84181,A81000C,00400,0600,MANAGEMENT 84181,A81000C,00500,0100,B 84181,A81000C,00500,0400,CARE MORE MANAGEMENT 84181,A81000C,00500,0600,MANAGEMENT 84181,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84181,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84181,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84181,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84181,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84181,B100000,00000,0800,00000MEALS SERVED :DIETARY 84181,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84181,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84181,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84181,E10A180,00301,0100,01/28/2000 84181,E10A180,00501,0300,01/24/2001 84181,E10A180,00550,0100,01/24/2001 84181,S000000,00100,0200,12/04/2000 84181,S200000,00100,0100,DOLLY STREET 84181,S200000,00100,0300,175 84181,S200000,00200,0100,GRAY 84181,S200000,00200,0200,GA 84181,S200000,00200,0300,31032- 84181,S200000,00300,0100,JONES 84181,S200000,00300,0200,4680 84181,S200000,00300,0300,U 84181,S200000,00400,0100,GRAY NURSING HOME 84181,S200000,00400,0200,115466 84181,S200000,00400,0300,11/27/1989 84181,S200000,00400,0500,P 84181,S200000,01500,0100,Y 84190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84190,A000000,00300,0000,00300EMPLOYEE BENEFITS 84190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84190,A000000,00700,0000,00700HOUSEKEEPING 84190,A000000,00800,0000,00800DIETARY 84190,A000000,00900,0000,00900NURSING ADMINISTRATION 84190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84190,A000000,01100,0000,01100PHARMACY 84190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84190,A000000,01300,0000,01300SOCIAL SERVICE 84190,A000000,01350,0000,01500ACTIVITIES 84190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84190,A000000,01600,0000,01600SKILLED NURSING FACILITY 84190,A000000,01800,0000,01800NURSING FACILITY 84190,A000000,01900,0000,01900OTHER LONG TERM CARE 84190,A000000,02100,0000,02100RADIOLOGY 84190,A000000,02200,0000,02200LABORATORY 84190,A000000,02300,0000,02300INTRAVENOUS THERAPY 84190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84190,A000000,02500,0000,02500PHYSICAL THERAPY 84190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84190,A000000,02700,0000,02700SPEECH PATHOLOGY 84190,A000000,02800,0000,02800ELECTROCARDIOLOGY 84190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84190,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84190,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84190,A000000,03200,0000,03200SUPPORT SURFACES 84190,A000000,03400,0000,03400CLINIC 84190,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84190,A000000,03500,0000,03500RURAL HEALTH CLINIC 84190,A000000,04800,0000,04800AMBULANCE 84190,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84190,A000000,05000,0000,05000CORF 84190,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84190,A000000,05300,0000,05300INTEREST EXPENSE 84190,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84190,A000000,05500,0000,05500HOSPICE 84190,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84190,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84190,A000000,06100,0000,06100NONPAID WORKERS 84190,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84190,A000000,06200,0000,06200PATIENTS LAUNDRY 84190,A81000A,00100,0100,Y 84190,A81000B,00100,0300,NURSING SUPPLIES 84190,A81000B,00200,0300,NURSING SUPPLIES 84190,A81000B,00300,0300,FLU VACCINE 84190,A81000B,00400,0300,DRUGS RELATED 84190,A81000B,00500,0300,CONTRACTED SERVICE 84190,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 84190,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 84190,A81000B,00800,0300,HEPATITIS B VACCINE 84190,A81000B,00900,0300,DIETARY SUPPLIES 84190,A81000B,01000,0300,LAUNDRY SUPPLIES 84190,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 84190,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 84190,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 84190,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84190,A81000B,01500,0300,FACILITY ADMINISTRATOR 84190,A81000B,01600,0300,DIETARY CONSULTANT 84190,A81000B,01700,0300,NURSE CONSULTANT 84190,A81000B,01800,0300,REGIONAL PERSONNEL 84190,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84190,A81000B,02000,0300,THERAPY CONSULTANT 84190,A81000B,02100,0300,MAINTENANCE CONSULTANT 84190,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84190,A81000B,02300,0300,AIDE TRAINING 84190,A81000B,02400,0300,PHYSICAL THERAPY 84190,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 84190,A81000B,02600,0300,ACTIVITIES SUPPLIES 84190,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 84190,A81000C,00100,0100,B 84190,A81000C,00100,0200,NEIL PRUITT 84190,A81000C,00100,0400,UNITED REHAB 84190,A81000C,00100,0600,THERAPY 84190,A81000C,00200,0100,B 84190,A81000C,00200,0200,NEIL PRUITT 84190,A81000C,00200,0400,UNITED PHARMACY 84190,A81000C,00200,0600,PHARMACY 84190,A81000C,00300,0100,B 84190,A81000C,00300,0200,NEIL PRUITT 84190,A81000C,00300,0400,PRUITT PROPERTI 84190,A81000C,00300,0600,RENTAL 84190,A81000C,00400,0100,B 84190,A81000C,00400,0200,NEIL PRUITT 84190,A81000C,00400,0400,PRUITT CORPORAT 84190,A81000C,00400,0600,MANAGEMENT 84190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84190,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84190,B100000,00000,0800,00000MEALS SERVED :DIETARY 84190,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84190,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84190,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84190,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84190,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84190,E10A180,00301,0100,01/27/2000 84190,E10A180,00550,0100,01/18/2001 84190,E10A180,00550,0300,01/18/2001 84190,S000000,00100,0200,12/13/2000 84190,S200000,00100,0100,1227 INDUSTRIAL BLVD. 84190,S200000,00200,0100,BLUE RIDGE 84190,S200000,00200,0200,GA 84190,S200000,00200,0300,30513- 84190,S200000,00300,0100,FANNIN 84190,S200000,00300,0300,R 84190,S200000,00400,0100,BLUE RIDGE HEALTH CARE INC. 84190,S200000,00400,0200,115468 84190,S200000,00400,0300,06/01/1989 84190,S200000,00400,0500,P 84190,S200000,01600,0100,Y 84209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84209,A000000,00300,0000,00300EMPLOYEE BENEFITS 84209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84209,A000000,00700,0000,00700HOUSEKEEPING 84209,A000000,00800,0000,00800DIETARY 84209,A000000,00900,0000,00900NURSING ADMINISTRATION 84209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84209,A000000,01100,0000,01100PHARMACY 84209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84209,A000000,01300,0000,01300SOCIAL SERVICE 84209,A000000,01350,0000,01500OTHER GENERAL SERVICES 84209,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84209,A000000,01600,0000,01600SKILLED NURSING FACILITY 84209,A000000,01800,0000,01800NURSING FACILITY 84209,A000000,01900,0000,01900OTHER LONG TERM CARE 84209,A000000,02100,0000,02100RADIOLOGY 84209,A000000,02200,0000,02200LABORATORY 84209,A000000,02300,0000,02300INTRAVENOUS THERAPY 84209,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84209,A000000,02500,0000,02500PHYSICAL THERAPY 84209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84209,A000000,02700,0000,02700SPEECH PATHOLOGY 84209,A000000,02800,0000,02800ELECTROCARDIOLOGY 84209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84209,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84209,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84209,A000000,03200,0000,03200SUPPORT SURFACES 84209,A000000,03400,0000,03400CLINIC 84209,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84209,A000000,03500,0000,03500RURAL HEALTH CLINIC 84209,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84209,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84209,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84209,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84209,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84209,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84209,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84209,A000000,04400,0000,04400DME RENTED - HHA 84209,A000000,04500,0000,04500DME SOLD - HHA 84209,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84209,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84209,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84209,A000000,04800,0000,04800AMBULANCE 84209,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84209,A000000,05000,0000,05000CORF 84209,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84209,A000000,05300,0000,05300INTEREST EXPENSE 84209,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84209,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84209,A000000,05500,0000,05500HOSPICE 84209,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84209,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84209,A000000,06100,0000,06100NONPAID WORKERS 84209,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84209,A000000,06200,0000,06200PATIENTS LAUNDRY 84209,A81000A,00100,0100,Y 84209,A81000B,00100,0300,MANAGEMENT SERVICES 84209,A81000B,00200,0300,MANAGEMENT SERVICES 84209,A81000B,00300,0300,LEASE 84209,A81000B,00400,0300,PHYSICAL THERAPY 84209,A81000B,00500,0300,OCCUPATIONAL THERAPY 84209,A81000B,00600,0300,SPEECH THERAPY 84209,A81000C,00100,0100,B 84209,A81000C,00100,0400,CARE MORE MANAGEMENT 84209,A81000C,00100,0600,MANAGEMENT 84209,A81000C,00200,0100,B 84209,A81000C,00200,0400,CARE MORE MANAGEMENT 84209,A81000C,00200,0600,MANAGEMENT 84209,A81000C,00300,0100,A 84209,A81000C,00300,0200,SEE ATTACHED 84209,A81000C,00300,0600,LEASE 84209,A81000C,00400,0100,A 84209,A81000C,00400,0200,SEE ATTACHED 84209,A81000C,00400,0600,THERAPY 84209,A81000C,00500,0100,A 84209,A81000C,00500,0200,SEE ATTACHED 84209,A81000C,00500,0600,THERAPY 84209,A81000C,00600,0100,A 84209,A81000C,00600,0200,SEE ATTACHED 84209,A81000C,00600,0600,THERAPY 84209,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84209,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84209,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84209,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84209,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84209,B100000,00000,0800,00000MEALS SERVED :DIETARY 84209,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84209,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84209,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84209,E10A180,00301,0100,01/28/2000 84209,S000000,00100,0200,12/04/2000 84209,S200000,00100,0100,2813 EVANS MILL ROAD 84209,S200000,00200,0100,LITHONIA 84209,S200000,00200,0200,GA 84209,S200000,00200,0300,30058- 84209,S200000,00300,0100,DEKALB 84209,S200000,00300,0200,0520 84209,S200000,00300,0300,U 84209,S200000,00400,0100,STARCREST OF LITHONIA 84209,S200000,00400,0200,115473 84209,S200000,00400,0300,11/27/1989 84209,S200000,00400,0500,P 84209,S200000,01600,0100,Y 84218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84218,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT - 1992 84218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84218,A000000,00300,0000,00300EMPLOYEE BENEFITS 84218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84218,A000000,00700,0000,00700HOUSEKEEPING 84218,A000000,00800,0000,00800DIETARY 84218,A000000,00900,0000,00900NURSING ADMINISTRATION 84218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84218,A000000,01100,0000,01100PHARMACY 84218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84218,A000000,01300,0000,01300SOCIAL SERVICE 84218,A000000,01350,0000,01500OTHER GENERAL SERVICES 84218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84218,A000000,01600,0000,01600SKILLED NURSING FACILITY 84218,A000000,01800,0000,01800NURSING FACILITY 84218,A000000,01900,0000,01900OTHER LONG TERM CARE 84218,A000000,02100,0000,02100RADIOLOGY 84218,A000000,02200,0000,02200LABORATORY 84218,A000000,02300,0000,02300INTRAVENOUS THERAPY 84218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84218,A000000,02500,0000,02500PHYSICAL THERAPY 84218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84218,A000000,02700,0000,02700SPEECH PATHOLOGY 84218,A000000,02800,0000,02800ELECTROCARDIOLOGY 84218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84218,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84218,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84218,A000000,03200,0000,03200SUPPORT SURFACES 84218,A000000,03400,0000,03400CLINIC 84218,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84218,A000000,03500,0000,03500RURAL HEALTH CLINIC 84218,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84218,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84218,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84218,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84218,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84218,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84218,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84218,A000000,04400,0000,04400DME RENTED - HHA 84218,A000000,04500,0000,04500DME SOLD - HHA 84218,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84218,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84218,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84218,A000000,04800,0000,04800AMBULANCE 84218,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84218,A000000,05000,0000,05000CORF 84218,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84218,A000000,05300,0000,05300INTEREST EXPENSE 84218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84218,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84218,A000000,05500,0000,05500HOSPICE 84218,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84218,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84218,A000000,06100,0000,06100NONPAID WORKERS 84218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84218,A000000,06200,0000,06200PATIENTS LAUNDRY 84218,A81000A,00100,0100,Y 84218,A81000B,00100,0300,PHYSICAL THERAPY 84218,A81000B,00200,0300,OCCUPATIONAL THERAPY 84218,A81000B,00300,0300,SPEECH THERAPY 84218,A81000B,00400,0300,MANAGEMENT SERVICES 84218,A81000B,00500,0300,MANAGEMENT SERVICES 84218,A81000B,00600,0300,MANAGEMENT SERVICES 84218,A81000C,00100,0100,A 84218,A81000C,00100,0200,SEE ATTACHED 84218,A81000C,00100,0600,THERAPY 84218,A81000C,00200,0100,A 84218,A81000C,00200,0200,SEE ATTACHED 84218,A81000C,00200,0600,THERAPY 84218,A81000C,00300,0100,A 84218,A81000C,00300,0200,SEE ATTACHED 84218,A81000C,00300,0600,THERAPY 84218,A81000C,00400,0100,B 84218,A81000C,00400,0400,CARE MORE MANAGEMENT 84218,A81000C,00400,0600,MANAGEMENT 84218,A81000C,00500,0100,B 84218,A81000C,00500,0400,CARE MORE MANAGEMENT 84218,A81000C,00500,0600,MANAGEMENT 84218,A81000C,00600,0100,B 84218,A81000C,00600,0400,CARE MORE MANAGEMENT 84218,A81000C,00600,0600,MANAGEMENT 84218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84218,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 84218,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84218,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84218,B100000,00000,0800,00000MEALS SERVED :DIETARY 84218,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84218,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84218,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84218,E10A180,00301,0100,01/28/2000 84218,S000000,00100,0200,12/04/2000 84218,S200000,00100,0100,747 MONTICELLO HWY 84218,S200000,00200,0100,GRAY 84218,S200000,00200,0200,GA 84218,S200000,00200,0300,31032- 84218,S200000,00300,0100,JONES 84218,S200000,00300,0200,4680 84218,S200000,00300,0300,U 84218,S200000,00400,0100,LYNN HAVEN NURSING HOME 84218,S200000,00400,0200,115474 84218,S200000,00400,0300,11/27/1989 84218,S200000,00400,0500,P 84218,S200000,01600,0100,Y 84226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84226,A000000,00300,0000,00300EMPLOYEE BENEFITS 84226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84226,A000000,00700,0000,00700HOUSEKEEPING 84226,A000000,00800,0000,00800DIETARY 84226,A000000,00900,0000,00900NURSING ADMINISTRATION 84226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84226,A000000,01100,0000,01100PHARMACY 84226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84226,A000000,01300,0000,01300SOCIAL SERVICE 84226,A000000,01350,0000,01500OTHER GENERAL SERVICES 84226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84226,A000000,01600,0000,01600SKILLED NURSING FACILITY 84226,A000000,01800,0000,01800NURSING FACILITY 84226,A000000,01900,0000,01900OTHER LONG TERM CARE 84226,A000000,02100,0000,02100RADIOLOGY 84226,A000000,02200,0000,02200LABORATORY 84226,A000000,02300,0000,02300INTRAVENOUS THERAPY 84226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84226,A000000,02500,0000,02500PHYSICAL THERAPY 84226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84226,A000000,02700,0000,02700SPEECH PATHOLOGY 84226,A000000,02800,0000,02800ELECTROCARDIOLOGY 84226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84226,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84226,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84226,A000000,03200,0000,03200SUPPORT SURFACES 84226,A000000,03400,0000,03400CLINIC 84226,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84226,A000000,03500,0000,03500RURAL HEALTH CLINIC 84226,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84226,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84226,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84226,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84226,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84226,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84226,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84226,A000000,04400,0000,04400DME RENTED - HHA 84226,A000000,04500,0000,04500DME SOLD - HHA 84226,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84226,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84226,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84226,A000000,04800,0000,04800AMBULANCE 84226,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84226,A000000,05000,0000,05000CORF 84226,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84226,A000000,05300,0000,05300INTEREST EXPENSE 84226,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84226,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84226,A000000,05500,0000,05500HOSPICE 84226,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84226,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84226,A000000,06100,0000,06100NONPAID WORKERS 84226,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84226,A000000,06200,0000,06200PATIENTS LAUNDRY 84226,A81000A,00100,0100,Y 84226,A81000B,00100,0300,PHYSICAL THERAPY 84226,A81000B,00200,0300,OCCUPATIONAL THERAPY 84226,A81000B,00300,0300,SPEECH THERAPY 84226,A81000B,00400,0300,SHARED EMPLOYEE 84226,A81000B,00500,0300,MANAGEMENT FEES 84226,A81000B,00600,0300,MANAGEMENT SERVICE 84226,A81000C,00100,0100,B 84226,A81000C,00100,0200,SEE ATTACHED 84226,A81000C,00100,0400,INTEGRA REHABILITATION 84226,A81000C,00100,0600,THERAPY COMPANY 84226,A81000C,00200,0100,B 84226,A81000C,00200,0200,SEE ATTACHED 84226,A81000C,00200,0400,INTEGRA REHABILITATION 84226,A81000C,00200,0600,THERAPY COMPANY 84226,A81000C,00300,0100,B 84226,A81000C,00300,0200,SEE ATTACHED 84226,A81000C,00300,0400,INTEGRA REHABILITATION 84226,A81000C,00300,0600,THERAPY COMPANY 84226,A81000C,00400,0100,B 84226,A81000C,00400,0400,C.M.M DBA GREEN ACRES 84226,A81000C,00400,0600,SOCIAL SERVICES 84226,A81000C,00500,0100,B 84226,A81000C,00500,0400,CARE MORE MANAGEMENT 84226,A81000C,00500,0600,MANAGEMENT 84226,A81000C,00600,0100,B 84226,A81000C,00600,0400,CARE MORE MANAGEMENT 84226,A81000C,00600,0600,MANAGEMENT 84226,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84226,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84226,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84226,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84226,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84226,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84226,B100000,00000,0800,00000MEALS SERVED :DIETARY 84226,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84226,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84226,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84226,E10A180,00301,0100,01/28/2000 84226,S000000,00100,0200,12/01/2000 84226,S200000,00100,0100,325 ALLEN MEMORIAL DRIVE 84226,S200000,00200,0100,MILLEDGEVILLE 84226,S200000,00200,0200,GA 84226,S200000,00200,0300,31061- 84226,S200000,00300,0100,BALDWIN 84226,S200000,00300,0200,11 84226,S200000,00300,0300,R 84226,S200000,00400,0100,CHAPLINWOOD NURSING HOME 84226,S200000,00400,0200,115477 84226,S200000,00400,0300,11/27/1989 84226,S200000,00400,0500,P 84226,S200000,01600,0100,Y 84263,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84263,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84263,A000000,00300,0000,00300EMPLOYEE BENEFITS 84263,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84263,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84263,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84263,A000000,00700,0000,00700HOUSEKEEPING 84263,A000000,00800,0000,00800DIETARY 84263,A000000,00900,0000,00900NURSING ADMINISTRATION 84263,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84263,A000000,01100,0000,01100PHARMACY 84263,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84263,A000000,01300,0000,01300SOCIAL SERVICE 84263,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84263,A000000,01600,0000,01600SKILLED NURSING FACILITY 84263,A000000,01800,0000,01800NURSING FACILITY 84263,A000000,01900,0000,01900OTHER LONG TERM CARE 84263,A000000,02100,0000,02100RADIOLOGY 84263,A000000,02200,0000,02200LABORATORY 84263,A000000,02300,0000,02300INTRAVENOUS THERAPY 84263,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84263,A000000,02500,0000,02500PHYSICAL THERAPY 84263,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84263,A000000,02700,0000,02700SPEECH PATHOLOGY 84263,A000000,02800,0000,02800ELECTROCARDIOLOGY 84263,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84263,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84263,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84263,A000000,03200,0000,03200SUPPORT SURFACES 84263,A000000,03400,0000,03400CLINIC 84263,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84263,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84263,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84263,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84263,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84263,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84263,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84263,A000000,04400,0000,04400DME RENTED - HHA 84263,A000000,04500,0000,04500DME SOLD - HHA 84263,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84263,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84263,A000000,04800,0000,04800AMBULANCE 84263,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84263,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84263,A000000,05300,0000,05300INTEREST EXPENSE 84263,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84263,A000000,05500,0000,05500HOSPICE 84263,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84263,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84263,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84263,A000000,06100,0000,06100NONPAID WORKERS 84263,A000000,06200,0000,06200PATIENTS LAUNDRY 84263,A81000A,00100,0100,Y 84263,A81000B,00100,0300,MANAGEMENT FEES 84263,A81000B,00200,0300,OLD CAPITAL BUILDING 84263,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 84263,A81000B,00400,0300,NEW CAPITAL BUILDING 84263,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 84263,A81000B,00600,0300,FUNCTIONAL SALARY 84263,A81000B,00700,0300,FUNCTIONAL SALARY 84263,A81000B,00800,0300,FUNCTIONAL BENEFITS 84263,A81000B,00900,0300,PHARMACY CONSULTANT 84263,A81000B,01000,0300,DIETARY CONSULTANT 84263,A81000B,01100,0300,NURSING MISCELLANEOUS 84263,A81000B,01200,0300,DIETARY SUPPLIES 84263,A81000B,01300,0300,IV THERAPY 84263,A81000B,01400,0300,IV THERAPY 84263,A81000B,01500,0300,NURSING SUPPLIES 84263,A81000B,01600,0300,PT SUPPLIES 84263,A81000C,00100,0100,A 84263,A81000C,00100,0200,ELDERCARE HEALT 84263,A81000C,00100,0400,MEDICAL MATRIX 84263,A81000C,00100,0600,PHARM & DIETARY 84263,A81000C,00200,0100,A 84263,A81000C,00200,0200,GEORGIA HOME CR 84263,A81000C,00200,0400,MEDICAL MATRIX 84263,A81000C,00200,0600,IV THERAPY 84263,A81000C,00300,0100,A 84263,A81000C,00300,0200,GAP MANAGEMENT 84263,A81000C,00300,0400,MEDICAL MATRIX 84263,A81000C,00300,0600,MANAGEMENT 84263,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84263,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84263,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84263,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84263,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84263,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84263,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84263,B100000,00000,0850,00000PAT DAYS :DIETARY 84263,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84263,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84263,B100000,00000,1150,00000PAT DAYS :PHARMACY 84263,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84263,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84263,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84263,E10A180,00301,0100,01/26/2000 84263,S000000,00100,0200,12/01/2000 84263,S200000,00100,0100,1159 GEORGIA AVENUE 84263,S200000,00100,0300,607 84263,S200000,00200,0100,DAWSON 84263,S200000,00200,0200,GA 84263,S200000,00200,0300,31742- 84263,S200000,00300,0100,TERRELL 84263,S200000,00400,0100,DAWSON MANOR 84263,S200000,00400,0200,115483 84263,S200000,00400,0300,11/01/1989 84263,S200000,00400,0500,P 84263,S200000,00600,0200,115483 84263,S200000,00600,0300,11/01/1989 84263,S200000,00600,0600,P 84263,S200000,01600,0100,Y 84263,S200000,02200,0100,Y 84263,S200000,02800,0100,Y 84263,S700003,00000,0200,2 84314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84314,A000000,00300,0000,00300EMPLOYEE BENEFITS 84314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84314,A000000,00700,0000,00700HOUSEKEEPING 84314,A000000,00800,0000,00800DIETARY 84314,A000000,00900,0000,00900NURSING ADMINISTRATION 84314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84314,A000000,01100,0000,01100PHARMACY 84314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84314,A000000,01300,0000,01300SOCIAL SERVICE 84314,A000000,01350,0000,01500OTHER GENERAL SERVICES 84314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84314,A000000,01600,0000,01600SKILLED NURSING FACILITY 84314,A000000,01800,0000,01800NURSING FACILITY 84314,A000000,01810,0000,01810ICF/MR 84314,A000000,01900,0000,01900OTHER LONG TERM CARE 84314,A000000,02100,0000,02100RADIOLOGY 84314,A000000,02200,0000,02200LABORATORY 84314,A000000,02300,0000,02300INTRAVENOUS THERAPY 84314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84314,A000000,02500,0000,02500PHYSICAL THERAPY 84314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84314,A000000,02700,0000,02700SPEECH PATHOLOGY 84314,A000000,02800,0000,02800ELECTROCARDIOLOGY 84314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84314,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84314,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84314,A000000,03200,0000,03200SUPPORT SURFACES 84314,A000000,03400,0000,03400CLINIC 84314,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84314,A000000,03500,0000,03500RURAL HEALTH CLINIC 84314,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84314,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84314,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84314,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84314,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84314,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84314,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84314,A000000,04400,0000,04400DME RENTED - HHA 84314,A000000,04500,0000,04500DME SOLD - HHA 84314,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84314,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84314,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84314,A000000,04800,0000,04800AMBULANCE 84314,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84314,A000000,05000,0000,05000CORF 84314,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84314,A000000,05300,0000,05300INTEREST EXPENSE 84314,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84314,A000000,05500,0000,05500HOSPICE 84314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84314,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84314,A000000,06100,0000,06100NONPAID WORKERS 84314,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84314,A000000,06200,0000,06200PATIENTS LAUNDRY 84314,A81000A,00100,0100,Y 84314,A81000B,00100,0300,RENT 84314,A81000B,00200,0300,RENT 84314,A81000B,00300,0300,HOME OFFICE 84314,A81000B,00400,0300,CAPITAL 84314,A81000B,00500,0300,RELATED PARTY 84314,A81000C,00100,0100,A 84314,A81000C,00100,0200,KARSCHNER MAGIONE 84314,A81000C,00100,0400,GRANDVIEW LTD 84314,A81000C,00100,0600,RENTAL 84314,A81000C,00200,0100,A 84314,A81000C,00200,0200,SAME AS LINE 1 84314,A81000C,00300,0100,A 84314,A81000C,00300,0200,BLUE RIDGE NH 84314,A81000C,00300,0400,BLUE RIGE NH 84314,A81000C,00300,0600,HOME OFFICE 84314,A81000C,00400,0100,A 84314,A81000C,00400,0200,SAME AS LINE 3 84314,A81000C,00500,0100,A 84314,A81000C,00500,0200,SAME AS LINE 3 84314,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 84314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84314,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 84314,B100000,00000,0650,00000LBS LAUND :LAUNDRY & LINEN SERVICE 84314,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 84314,B100000,00000,0850,00000PAT DAYS :DIETARY 84314,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84314,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84314,S000000,00100,0200,12/01/2000 84314,S200000,00200,0100,618 GENNETT DRIVE 84314,S200000,00200,0200,GA 84314,S200000,00200,0300,30143- 84314,S200000,00300,0100,PICKENS 84314,S200000,00300,0200,0520 84314,S200000,00300,0300,U 84314,S200000,00400,0100,GRANDVIEW HCC INC 84314,S200000,00400,0200,115502 84314,S200000,00400,0300,12/07/1989 84314,S200000,00400,0500,P 84314,S200000,01600,0100,Y 84326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84326,A000000,00300,0000,00300EMPLOYEE BENEFITS 84326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84326,A000000,00700,0000,00700HOUSEKEEPING 84326,A000000,00800,0000,00800DIETARY 84326,A000000,00900,0000,00900NURSING ADMINISTRATION 84326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84326,A000000,01100,0000,01100PHARMACY 84326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84326,A000000,01300,0000,01300SOCIAL SERVICE 84326,A000000,01350,0000,01500ACTIVITIES 84326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84326,A000000,01600,0000,01600SKILLED NURSING FACILITY 84326,A000000,01800,0000,01800NURSING FACILITY 84326,A000000,01900,0000,01900OTHER LONG TERM CARE 84326,A000000,02100,0000,02100RADIOLOGY 84326,A000000,02200,0000,02200LABORATORY 84326,A000000,02300,0000,02300INTRAVENOUS THERAPY 84326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84326,A000000,02500,0000,02500PHYSICAL THERAPY 84326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84326,A000000,02700,0000,02700SPEECH PATHOLOGY 84326,A000000,02800,0000,02800ELECTROCARDIOLOGY 84326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84326,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84326,A000000,03200,0000,03200SUPPORT SURFACES 84326,A000000,03400,0000,03400CLINIC 84326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84326,A000000,03500,0000,03500RURAL HEALTH CLINIC 84326,A000000,04800,0000,04800AMBULANCE 84326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84326,A000000,05000,0000,05000CORF 84326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84326,A000000,05300,0000,05300INTEREST EXPENSE 84326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84326,A000000,05500,0000,05500HOSPICE 84326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84326,A000000,06100,0000,06100NONPAID WORKERS 84326,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84326,A000000,06200,0000,06200PATIENTS LAUNDRY 84326,A81000A,00100,0100,Y 84326,A81000B,00100,0300,NURSING SUPPLIES 84326,A81000B,00200,0300,FLU VACCINE 84326,A81000B,00300,0300,DRUGS RELATED 84326,A81000B,00400,0300,CONTRACTED SERVICE 84326,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 84326,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 84326,A81000B,00700,0300,HEPATITIS B VACCINE 84326,A81000B,00800,0300,DIETARY SUPPLIES 84326,A81000B,00900,0300,LAUNDRY SUPPLIES 84326,A81000B,01000,0300,PLANT OPERATION MAINT. & REPAIRS 84326,A81000B,01100,0300,ADMINISTRATIVE & GENERAL 84326,A81000B,01200,0300,FACILITY LEASE 84326,A81000B,01300,0300,POOLED COST/INTEREST EXP/INTEREST IN 84326,A81000B,01400,0300,FACILITY ADMINISTRATOR 84326,A81000B,01500,0300,DIETARY CONSULTANT 84326,A81000B,01600,0300,NURSE CONSULTANT 84326,A81000B,01700,0300,REGIONAL PERSONNEL 84326,A81000B,01800,0300,CAP REL COSTS - BLDGS & FIXTURES 84326,A81000B,01900,0300,THERAPY CONSULTANT 84326,A81000B,02000,0300,MAINTENANCE CONSULTANT 84326,A81000B,02100,0300,ACCOUNTS RECEIVABLE DEPT 84326,A81000B,02200,0300,PHYSICAL THERAPY 84326,A81000B,02300,0300,ACTIVITIES SUPPLIES 84326,A81000C,00100,0100,B 84326,A81000C,00100,0200,NEIL PRUITT 84326,A81000C,00100,0400,UNITED REHAB 84326,A81000C,00100,0600,THERAPY 84326,A81000C,00200,0100,B 84326,A81000C,00200,0200,NEIL PRUITT 84326,A81000C,00200,0400,UNITED PHARMACY 84326,A81000C,00200,0600,PHARMACY 84326,A81000C,00300,0100,B 84326,A81000C,00300,0200,NEIL PRUITT 84326,A81000C,00300,0400,PRUITT PROPERTI 84326,A81000C,00300,0600,RENTAL 84326,A81000C,00400,0100,B 84326,A81000C,00400,0200,NEIL PRUITT 84326,A81000C,00400,0400,PRUITT CORPORAT 84326,A81000C,00400,0600,MANAGEMENT 84326,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84326,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84326,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84326,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84326,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84326,B100000,00000,0800,00000MEALS SERVED :DIETARY 84326,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84326,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84326,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84326,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84326,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84326,E10A180,00301,0100,01/27/2000 84326,S000000,00100,0200,12/04/2000 84326,S200000,00100,0300,905 84326,S200000,00200,0100,FAIRBURN 84326,S200000,00200,0200,GA 84326,S200000,00200,0300,30213- 84326,S200000,00300,0100,FULTON 84326,S200000,00300,0200,0520 84326,S200000,00300,0300,U 84326,S200000,00400,0100,DOGWOOD HEALTH & REHAB INC. 84326,S200000,00400,0200,115506 84326,S200000,00400,0300,06/01/1990 84326,S200000,00400,0500,P 84326,S200000,01600,0100,Y 84350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84350,A000000,00300,0000,00300EMPLOYEE BENEFITS 84350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84350,A000000,00700,0000,00700HOUSEKEEPING 84350,A000000,00800,0000,00800DIETARY 84350,A000000,00900,0000,00900NURSING ADMINISTRATION 84350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84350,A000000,01100,0000,01100PHARMACY 84350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84350,A000000,01300,0000,01300SOCIAL SERVICE 84350,A000000,01350,0000,01500OTHER GENERAL SERVICES 84350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84350,A000000,01600,0000,01600SKILLED NURSING FACILITY 84350,A000000,01800,0000,01800NURSING FACILITY 84350,A000000,01810,0000,01801ICF/MR 84350,A000000,01900,0000,01900OTHER LONG TERM CARE 84350,A000000,02100,0000,02100RADIOLOGY 84350,A000000,02200,0000,02200LABORATORY 84350,A000000,02300,0000,02300INTRAVENOUS THERAPY 84350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84350,A000000,02500,0000,02500PHYSICAL THERAPY 84350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84350,A000000,02700,0000,02700SPEECH PATHOLOGY 84350,A000000,02800,0000,02800ELECTROCARDIOLOGY 84350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84350,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84350,A000000,03200,0000,03200SUPPORT SURFACES 84350,A000000,03400,0000,03400CLINIC 84350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84350,A000000,03500,0000,03500RURAL HEALTH CLINIC 84350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84350,A000000,04400,0000,04400DME RENTED - HHA 84350,A000000,04500,0000,04500DME SOLD - HHA 84350,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84350,A000000,04800,0000,04800AMBULANCE 84350,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84350,A000000,05000,0000,05000CORF 84350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84350,A000000,05300,0000,05300INTEREST EXPENSE 84350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84350,A000000,05500,0000,05500HOSPICE 84350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84350,A000000,06100,0000,06100NONPAID WORKERS 84350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84350,A000000,06200,0000,06200PATIENTS LAUNDRY 84350,A81000A,00100,0100,Y 84350,A81000B,00100,0300,INTEREST EXPENSE 84350,A81000B,00200,0300,MANAGEMENT FEES 84350,A81000B,00300,0300,MANAGEMENT FEES 84350,A81000C,00100,0100,A 84350,A81000C,00100,0200,COY WILLIAMSON 84350,A81000C,00200,0100,A 84350,A81000C,00200,0400,WE CARE INC. 84350,A81000C,00200,0600,MANAGEMENT 84350,A81000C,00300,0100,A 84350,A81000C,00300,0400,WE CARE INC. 84350,A81000C,00300,0600,MANAGEMENT 84350,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84350,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84350,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84350,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84350,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84350,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84350,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84350,B100000,00000,0800,00000MEALS SERVED :DIETARY 84350,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84350,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 84350,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 84350,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84350,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84350,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 84350,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 84350,E10A180,00301,0100,02/10/2000 84350,S000000,00100,0200,12/05/2000 84350,S200000,00100,0100,2645 WHITING STREET N.W. 84350,S200000,00200,0100,ATLANTA 84350,S200000,00200,0200,GA 84350,S200000,00200,0300,30318- 84350,S200000,00300,0100,FULTON 84350,S200000,00400,0100,IMPERIAL HEALTH CARE CENTER INC 84350,S200000,00400,0200,115512 84350,S200000,00400,0300,10/31/1990 84350,S200000,00400,0500,P 84350,S200000,01500,0100,Y 84350,S700003,00000,0200,2 84358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84358,A000000,00300,0000,00300EMPLOYEE BENEFITS 84358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84358,A000000,00700,0000,00700HOUSEKEEPING 84358,A000000,00800,0000,00800DIETARY 84358,A000000,00900,0000,00900NURSING ADMINISTRATION 84358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84358,A000000,01100,0000,01100PHARMACY 84358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84358,A000000,01300,0000,01300SOCIAL SERVICE 84358,A000000,01350,0000,01500OTHER GENERAL SERVICES 84358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84358,A000000,01600,0000,01600SKILLED NURSING FACILITY 84358,A000000,01800,0000,01800NURSING FACILITY 84358,A000000,01810,0000,01810ICF/MR 84358,A000000,01900,0000,01900OTHER LONG TERM CARE 84358,A000000,02100,0000,02100RADIOLOGY 84358,A000000,02200,0000,02200LABORATORY 84358,A000000,02300,0000,02300INTRAVENOUS THERAPY 84358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84358,A000000,02500,0000,02500PHYSICAL THERAPY 84358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84358,A000000,02700,0000,02700SPEECH PATHOLOGY 84358,A000000,02800,0000,02800ELECTROCARDIOLOGY 84358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84358,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84358,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84358,A000000,03200,0000,03200SUPPORT SURFACES 84358,A000000,03400,0000,03400CLINIC 84358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84358,A000000,03500,0000,03500RURAL HEALTH CLINIC 84358,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84358,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84358,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84358,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84358,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84358,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84358,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84358,A000000,04400,0000,04400DME RENTED - HHA 84358,A000000,04500,0000,04500DME SOLD - HHA 84358,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84358,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84358,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84358,A000000,04800,0000,04800AMBULANCE 84358,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84358,A000000,05000,0000,05000CORF 84358,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84358,A000000,05300,0000,05300INTEREST EXPENSE 84358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84358,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84358,A000000,05500,0000,05500HOSPICE 84358,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84358,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84358,A000000,06100,0000,06100NONPAID WORKERS 84358,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84358,A000000,06200,0000,06200PATIENTS LAUNDRY 84358,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84358,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84358,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 84358,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84358,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84358,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84358,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84358,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84358,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84358,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84358,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84358,E10A180,00301,0100,01/20/2000 84358,S000000,00100,0200,01/04/2001 84358,S200000,00100,0100,1780 OLD 41 HIGHWAY 84358,S200000,00200,0100,KENNESAW 84358,S200000,00200,0200,GA 84358,S200000,00200,0300,30144- 84358,S200000,00300,0100,COBB 84358,S200000,00300,0200,0520 84358,S200000,00300,0300,U 84358,S200000,00400,0100,ROSS MEMORIAL HEALTH CARE CNTR 84358,S200000,00400,0200,115515 84358,S200000,00400,0300,10/24/1991 84358,S200000,00400,0500,P 84358,S200000,01600,0100,Y 84358,S200000,04600,0100,Y 84373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84373,A000000,00300,0000,00300EMPLOYEE BENEFITS 84373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84373,A000000,00700,0000,00700HOUSEKEEPING 84373,A000000,00800,0000,00800DIETARY 84373,A000000,00900,0000,00900NURSING ADMINISTRATION 84373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84373,A000000,01100,0000,01100PHARMACY 84373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84373,A000000,01300,0000,01300SOCIAL SERVICE 84373,A000000,01350,0000,01500ACTIVITIES 84373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84373,A000000,01600,0000,01600SKILLED NURSING FACILITY 84373,A000000,01800,0000,01800NURSING FACILITY 84373,A000000,01900,0000,01900OTHER LONG TERM CARE 84373,A000000,02100,0000,02100RADIOLOGY 84373,A000000,02200,0000,02200LABORATORY 84373,A000000,02300,0000,02300INTRAVENOUS THERAPY 84373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84373,A000000,02500,0000,02500PHYSICAL THERAPY 84373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84373,A000000,02700,0000,02700SPEECH PATHOLOGY 84373,A000000,02800,0000,02800ELECTROCARDIOLOGY 84373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84373,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84373,A000000,03200,0000,03200SUPPORT SURFACES 84373,A000000,04800,0000,04800AMBULANCE 84373,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84373,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84373,A000000,05300,0000,05300INTEREST EXPENSE 84373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84373,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84373,A000000,06100,0000,06100NONPAID WORKERS 84373,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84373,A000000,06200,0000,06200PATIENTS LAUNDRY 84373,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84373,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84373,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84373,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84373,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84373,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84373,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84373,B100000,00000,0800,00000MEALS SERVED :DIETARY 84373,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84373,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84373,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84373,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84373,E10A180,00301,0100,09/18/2000 84373,E10A180,00302,0100,01/20/2000 84373,S000000,00100,0200,11/30/2000 84373,S200000,00100,0100,900 WYLIE ROAD 84373,S200000,00200,0100,MARIETTA/GA/30067COBB 84373,S200000,00200,0200,GA 84373,S200000,00300,0100,COBB 84373,S200000,00300,0200,0520 84373,S200000,00300,0300,U 84373,S200000,00400,0100,A. G. RHODES HOME INC-COBB 84373,S200000,00400,0200,115521 84373,S200000,00400,0300,06/01/1992 84373,S200000,00400,0500,P 84373,S200000,01600,0100,Y 84401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84401,A000000,00300,0000,00300EMPLOYEE BENEFITS 84401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84401,A000000,00700,0000,00700HOUSEKEEPING 84401,A000000,00800,0000,00800DIETARY 84401,A000000,00900,0000,00900NURSING ADMINISTRATION 84401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84401,A000000,01100,0000,01100PHARMACY 84401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84401,A000000,01300,0000,01300SOCIAL SERVICE 84401,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84401,A000000,01600,0000,01600SKILLED NURSING FACILITY 84401,A000000,01800,0000,01800NURSING FACILITY 84401,A000000,01900,0000,01900OTHER LONG TERM CARE 84401,A000000,02100,0000,02100RADIOLOGY 84401,A000000,02200,0000,02200LABORATORY 84401,A000000,02300,0000,02300INTRAVENOUS THERAPY 84401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84401,A000000,02500,0000,02500PHYSICAL THERAPY 84401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84401,A000000,02700,0000,02700SPEECH PATHOLOGY 84401,A000000,02800,0000,02800ELECTROCARDIOLOGY 84401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84401,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84401,A000000,03200,0000,03200SUPPORT SURFACES 84401,A000000,03400,0000,03400CLINIC 84401,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84401,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84401,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84401,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84401,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84401,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84401,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84401,A000000,04400,0000,04400DME RENTED - HHA 84401,A000000,04500,0000,04500DME SOLD - HHA 84401,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84401,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84401,A000000,04800,0000,04800AMBULANCE 84401,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84401,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84401,A000000,05300,0000,05300INTEREST EXPENSE 84401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84401,A000000,05500,0000,05500HOSPICE 84401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84401,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84401,A000000,06100,0000,06100NONPAID WORKERS 84401,A000000,06200,0000,06200PATIENTS LAUNDRY 84401,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84401,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84401,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84401,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84401,B100000,00000,0650,00000#OF LAUNDRY :LAUNDRY & LINEN SERVI 84401,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84401,B100000,00000,0800,00000MEALS SERVED :DIETARY 84401,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84401,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84401,B100000,00000,1150,00000PAT DAYS :PHARMACY 84401,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84401,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84401,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84401,S000000,00100,0200,06/05/2000 84401,S200000,00100,0100,4726 OWENS ROAD 84401,S200000,00200,0100,EVANS 84401,S200000,00200,0200,GA 84401,S200000,00200,0300,30809- 84401,S200000,00300,0100,COLUMBIA 84401,S200000,00400,0100,BRANDON WILDE PAVILION 84401,S200000,00400,0200,115524 84401,S200000,00400,0300,06/17/1992 84401,S200000,00400,0500,P 84401,S200000,00600,0200,115524 84401,S200000,00600,0300,06/17/1992 84401,S200000,00600,0600,P 84401,S200000,01004,0500,O 84401,S200000,01600,0100,Y 84401,S200000,02200,0100,Y 84401,S200000,02800,0100,Y 84401,S700003,00000,0100,1 84411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84411,A000000,00300,0000,00300EMPLOYEE BENEFITS 84411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84411,A000000,00700,0000,00700HOUSEKEEPING 84411,A000000,00800,0000,00800DIETARY 84411,A000000,00900,0000,00900NURSING ADMINISTRATION 84411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84411,A000000,01100,0000,01100PHARMACY 84411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84411,A000000,01300,0000,01300SOCIAL SERVICE 84411,A000000,01350,0000,01500OTHER GENERAL SERVICES 84411,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84411,A000000,01600,0000,01600SKILLED NURSING FACILITY 84411,A000000,01800,0000,01800NURSING FACILITY 84411,A000000,01900,0000,01900OTHER LONG TERM CARE 84411,A000000,02100,0000,02100RADIOLOGY 84411,A000000,02200,0000,02200LABORATORY 84411,A000000,02300,0000,02300INTRAVENOUS THERAPY 84411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84411,A000000,02500,0000,02500PHYSICAL THERAPY 84411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84411,A000000,02700,0000,02700SPEECH PATHOLOGY 84411,A000000,02800,0000,02800ELECTROCARDIOLOGY 84411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84411,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84411,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84411,A000000,03200,0000,03200SUPPORT SURFACES 84411,A000000,03400,0000,03400CLINIC 84411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84411,A000000,03500,0000,03500RURAL HEALTH CLINIC 84411,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84411,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84411,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84411,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84411,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84411,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84411,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84411,A000000,04400,0000,04400DME RENTED - HHA 84411,A000000,04500,0000,04500DME SOLD - HHA 84411,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84411,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84411,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84411,A000000,04800,0000,04800AMBULANCE 84411,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84411,A000000,05000,0000,05000CORF 84411,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84411,A000000,05300,0000,05300INTEREST EXPENSE 84411,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84411,A000000,05500,0000,05500HOSPICE 84411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84411,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84411,A000000,06100,0000,06100NONPAID WORKERS 84411,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84411,A000000,06200,0000,06200PATIENTS LAUNDRY 84411,A81000A,00100,0100,Y 84411,A81000B,00100,0300,LEASE 84411,A81000B,00200,0300,MANAGEMENT 84411,A81000B,00300,0300,MANAGEMENT 84411,A81000B,00400,0300,PHYSICAL THERAPY 84411,A81000B,00500,0300,OCCUPATIONAL THERAPY 84411,A81000B,00600,0300,SPEECH THERAPY 84411,A81000C,00100,0100,A 84411,A81000C,00100,0200,SEE ATTACHED 84411,A81000C,00100,0600,LEASE 84411,A81000C,00200,0100,B 84411,A81000C,00200,0400,CARE MORE MANAGEMENT 84411,A81000C,00200,0600,MANAGEMENT 84411,A81000C,00300,0100,B 84411,A81000C,00300,0400,CARE MORE MANAGEMENT 84411,A81000C,00300,0600,MANAGEMENT 84411,A81000C,00400,0100,A 84411,A81000C,00400,0200,SEE ATTACHED 84411,A81000C,00400,0600,THERAPY 84411,A81000C,00500,0100,A 84411,A81000C,00500,0200,SEE ATTACHED 84411,A81000C,00500,0600,THERAPY 84411,A81000C,00600,0100,A 84411,A81000C,00600,0200,SEE ATTACHED 84411,A81000C,00600,0600,THERAPY 84411,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84411,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84411,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84411,B100000,00000,0800,00000MEALS SERVED :DIETARY 84411,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84411,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84411,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84411,E10A180,00301,0100,01/28/2000 84411,S000000,00100,0200,12/04/2000 84411,S200000,00100,0100,120 SPRING STREET 84411,S200000,00200,0100,NEWNAN 84411,S200000,00200,0200,GA 84411,S200000,00200,0300,30263- 84411,S200000,00300,0100,COWETA 84411,S200000,00300,0200,0520 84411,S200000,00300,0300,U 84411,S200000,00400,0100,STARCREST OF NEWNAN 84411,S200000,00400,0200,115528 84411,S200000,00400,0300,07/01/1992 84411,S200000,00400,0500,P 84411,S200000,01500,0100,Y 84421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84421,A000000,00300,0000,00300EMPLOYEE BENEFITS 84421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84421,A000000,00700,0000,00700HOUSEKEEPING 84421,A000000,00800,0000,00800DIETARY 84421,A000000,00900,0000,00900NURSING ADMINISTRATION 84421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84421,A000000,01100,0000,01100PHARMACY 84421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84421,A000000,01300,0000,01300SOCIAL SERVICE 84421,A000000,01350,0000,01500ACTIVITIES 84421,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84421,A000000,01600,0000,01600SKILLED NURSING FACILITY 84421,A000000,01800,0000,01800NURSING FACILITY 84421,A000000,01900,0000,01900OTHER LONG TERM CARE 84421,A000000,02100,0000,02100RADIOLOGY 84421,A000000,02200,0000,02200LABORATORY 84421,A000000,02300,0000,02300INTRAVENOUS THERAPY 84421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84421,A000000,02500,0000,02500PHYSICAL THERAPY 84421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84421,A000000,02700,0000,02700SPEECH PATHOLOGY 84421,A000000,02800,0000,02800ELECTROCARDIOLOGY 84421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84421,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84421,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84421,A000000,03200,0000,03200SUPPORT SURFACES 84421,A000000,03400,0000,03400CLINIC 84421,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84421,A000000,03500,0000,03500RURAL HEALTH CLINIC 84421,A000000,04800,0000,04800AMBULANCE 84421,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84421,A000000,05000,0000,05000CORF 84421,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84421,A000000,05300,0000,05300INTEREST EXPENSE 84421,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84421,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84421,A000000,05500,0000,05500HOSPICE 84421,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84421,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84421,A000000,06100,0000,06100NONPAID WORKERS 84421,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84421,A000000,06200,0000,06200PATIENTS LAUNDRY 84421,A81000A,00100,0100,Y 84421,A81000B,00100,0300,NURSING SUPPLIES 84421,A81000B,00200,0300,NURSING SUPPLIES 84421,A81000B,00300,0300,FLU VACCINE 84421,A81000B,00400,0300,DRUGS RELATED 84421,A81000B,00500,0300,CONTRACTED SERVICE 84421,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 84421,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 84421,A81000B,00800,0300,HEPATITIS B VACCINE 84421,A81000B,00900,0300,DIETARY SUPPLIES 84421,A81000B,01000,0300,LAUNDRY SUPPLIES 84421,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 84421,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 84421,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 84421,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84421,A81000B,01500,0300,FACILITY ADMINISTRATOR 84421,A81000B,01600,0300,DIETARY CONSULTANT 84421,A81000B,01700,0300,NURSE CONSULTANT 84421,A81000B,01800,0300,REGIONAL PERSONNEL 84421,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84421,A81000B,02000,0300,THERAPY CONSULTANT 84421,A81000B,02100,0300,MAINTENANCE CONSULTANT 84421,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84421,A81000B,02300,0300,PHYSICAL THERAPY 84421,A81000C,00100,0100,B 84421,A81000C,00100,0200,NEIL PRUITT 84421,A81000C,00100,0400,UNITED REHAB 84421,A81000C,00100,0600,THERAPY 84421,A81000C,00200,0100,B 84421,A81000C,00200,0200,NEIL PRUITT 84421,A81000C,00200,0400,UNITED PHARMACY 84421,A81000C,00200,0600,PHARMACY 84421,A81000C,00300,0100,B 84421,A81000C,00300,0200,NEIL PRUITT 84421,A81000C,00300,0400,PRUITT PROPERTI 84421,A81000C,00300,0600,RENTAL 84421,A81000C,00400,0100,B 84421,A81000C,00400,0200,NEIL PRUITT 84421,A81000C,00400,0400,PRUITT CORPORAT 84421,A81000C,00400,0600,MANAGEMENT 84421,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84421,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84421,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84421,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84421,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84421,B100000,00000,0800,00000MEALS SERVED :DIETARY 84421,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84421,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84421,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84421,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84421,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84421,E10A180,00301,0100,01/27/2000 84421,S000000,00100,0200,12/04/2000 84421,S200000,00100,0100,679 NORTHSIDE DRIVE 84421,S200000,00100,0300,830 84421,S200000,00200,0100,GRIFFIN 84421,S200000,00200,0200,GE 84421,S200000,00200,0300,30223- 84421,S200000,00300,0100,SPAULDING 84421,S200000,00300,0200,0520 84421,S200000,00300,0300,U 84421,S200000,00400,0100,SPALDING HEALTH CARE INC. 84421,S200000,00400,0200,115529 84421,S200000,00400,0300,09/24/1994 84421,S200000,00400,0500,P 84421,S200000,01600,0100,Y 84429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84429,A000000,00300,0000,00300EMPLOYEE BENEFITS 84429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84429,A000000,00700,0000,00700HOUSEKEEPING 84429,A000000,00800,0000,00800DIETARY 84429,A000000,00900,0000,00900NURSING ADMINISTRATION 84429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84429,A000000,01100,0000,01100PHARMACY 84429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84429,A000000,01300,0000,01300SOCIAL SERVICE 84429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84429,A000000,01600,0000,01600SKILLED NURSING FACILITY 84429,A000000,01800,0000,01800NURSING FACILITY 84429,A000000,01900,0000,01900OTHER LONG TERM CARE 84429,A000000,02100,0000,02100RADIOLOGY 84429,A000000,02200,0000,02200LABORATORY 84429,A000000,02300,0000,02300INTRAVENOUS THERAPY 84429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84429,A000000,02500,0000,02500PHYSICAL THERAPY 84429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84429,A000000,02700,0000,02700SPEECH PATHOLOGY 84429,A000000,02800,0000,02800ELECTROCARDIOLOGY 84429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84429,A000000,03200,0000,03200SUPPORT SURFACES 84429,A000000,03400,0000,03400CLINIC 84429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84429,A000000,04400,0000,04400DME RENTED - HHA 84429,A000000,04500,0000,04500DME SOLD - HHA 84429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84429,A000000,04800,0000,04800AMBULANCE 84429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84429,A000000,05300,0000,05300INTEREST EXPENSE 84429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84429,A000000,05500,0000,05500HOSPICE 84429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84429,A000000,06100,0000,06100NONPAID WORKERS 84429,A000000,06200,0000,06200PATIENTS LAUNDRY 84429,A81000A,00100,0100,Y 84429,A81000B,00100,0300,MANAGEMENT FEES 84429,A81000B,00200,0300,CAPITAL - BUILDING 84429,A81000B,00300,0300,CAPITAL - EQUIPMENT 84429,A81000B,00400,0300,INTEREST EXPENSE 84429,A81000C,00100,0100,A 84429,A81000C,00100,0200,BIRD FAMILY LP 84429,A81000C,00100,0400,TAYLOR & BIRD 84429,A81000C,00100,0600,OWNERSHIP 84429,A81000C,00200,0100,A 84429,A81000C,00200,0200,TAYLOR FMLY LP 84429,A81000C,00200,0400,INC. 84429,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84429,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84429,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84429,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84429,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84429,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84429,B100000,00000,0850,00000PAT DAYS :DIETARY 84429,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84429,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84429,B100000,00000,1150,00000PAT DAYS :PHARMACY 84429,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84429,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84429,E10A180,00301,0100,01/25/2000 84429,S000000,00100,0200,12/12/2000 84429,S200000,00100,0300,1758 84429,S200000,00200,0100,SWAINSBORO 84429,S200000,00200,0200,GA 84429,S200000,00200,0300,30401- 84429,S200000,00300,0100,EMANUEL 84429,S200000,00300,0200,0011 84429,S200000,00300,0300,R 84429,S200000,00400,0100,SWAINSBORO NURSING HOME 84429,S200000,00400,0200,115533 84429,S200000,00400,0300,06/03/1996 84429,S200000,00400,0500,P 84429,S200000,00600,0200,115533 84429,S200000,00600,0300,06/03/1996 84429,S200000,00600,0600,P 84429,S200000,01600,0100,Y 84429,S200000,02200,0100,Y 84438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84438,A000000,00300,0000,00300EMPLOYEE BENEFITS 84438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84438,A000000,00700,0000,00700HOUSEKEEPING 84438,A000000,00800,0000,00800DIETARY 84438,A000000,00900,0000,00900NURSING ADMINISTRATION 84438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84438,A000000,01100,0000,01100PHARMACY 84438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84438,A000000,01300,0000,01300SOCIAL SERVICE 84438,A000000,01350,0000,01500OTHER GENERAL SERVICES 84438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84438,A000000,01600,0000,01600SKILLED NURSING FACILITY 84438,A000000,01800,0000,01800NURSING FACILITY 84438,A000000,01810,0000,01801ICF/MR 84438,A000000,01900,0000,01900OTHER LONG TERM CARE 84438,A000000,02100,0000,02100RADIOLOGY 84438,A000000,02200,0000,02200LABORATORY 84438,A000000,02300,0000,02300INTRAVENOUS THERAPY 84438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84438,A000000,02500,0000,02500PHYSICAL THERAPY 84438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84438,A000000,02700,0000,02700SPEECH PATHOLOGY 84438,A000000,02800,0000,02800ELECTROCARDIOLOGY 84438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84438,A000000,03200,0000,03200SUPPORT SURFACES 84438,A000000,03400,0000,03400CLINIC 84438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84438,A000000,03500,0000,03500RURAL HEALTH CLINIC 84438,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84438,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84438,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84438,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84438,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84438,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84438,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84438,A000000,04400,0000,04400DME RENTED - HHA 84438,A000000,04500,0000,04500DME SOLD - HHA 84438,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84438,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84438,A000000,04800,0000,04800AMBULANCE 84438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84438,A000000,05000,0000,05000CORF 84438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84438,A000000,05300,0000,05300INTEREST EXPENSE 84438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84438,A000000,05500,0000,05500HOSPICE 84438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84438,A000000,06100,0000,06100NONPAID WORKERS 84438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84438,A000000,06200,0000,06200PATIENTS LAUNDRY 84438,A81000A,00100,0100,Y 84438,A81000B,00100,0300,CAP COSTS - BLDG & FIXTURES 84438,A81000B,00200,0300,CAP COSTS - BLDG & FIXTURES 84438,A81000C,00100,0100,A 84438,A81000C,00100,0200,CHARLES VON WALDNER 84438,A81000C,00100,0400,AZALEALAND NHIN 84438,A81000C,00100,0600,N. HOME OWNER 84438,A81000C,00200,0100,A 84438,A81000C,00200,0200,DEBBIE VAN ORNE 84438,A81000C,00200,0400,AZALEALAND NHIN 84438,A81000C,00200,0600,N. HOME OWNER 84438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84438,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84438,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 84438,B100000,00000,0800,00000MEALS SERVED :DIETARY 84438,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84438,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84438,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84438,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84438,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 84438,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 84438,S000000,00100,0200,05/31/2000 84438,S200000,00100,0100,2040 COLONIAL DRIVE 84438,S200000,00200,0100,SAVANNAH 84438,S200000,00200,0200,GA 84438,S200000,00200,0300,31410- 84438,S200000,00300,0100,CJATHAM 84438,S200000,00400,0100,AZALEALAND NURSING HOME 84438,S200000,00400,0200,115534 84438,S200000,00400,0300,11/03/1992 84438,S200000,00400,0500,P 84438,S200000,01004,0500,O 84438,S200000,01600,0100,Y 84438,S200000,01700,0100,Y 84438,S200000,02200,0100,Y 84438,S700003,00000,0100,1 84463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84463,A000000,00300,0000,00300EMPLOYEE BENEFITS 84463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84463,A000000,00700,0000,00700HOUSEKEEPING 84463,A000000,00800,0000,00800DIETARY 84463,A000000,00900,0000,00900NURSING ADMINISTRATION 84463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84463,A000000,01100,0000,01100PHARMACY 84463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84463,A000000,01300,0000,01300SOCIAL SERVICE 84463,A000000,01600,0000,01600SKILLED NURSING FACILITY 84463,A000000,01800,0000,01800NURSING FACILITY 84463,A000000,01900,0000,01900OTHER LONG TERM CARE 84463,A000000,02100,0000,02100RADIOLOGY 84463,A000000,02200,0000,02200LABORATORY 84463,A000000,02300,0000,02300INTRAVENOUS THERAPY 84463,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84463,A000000,02500,0000,02500PHYSICAL THERAPY 84463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84463,A000000,02700,0000,02700SPEECH PATHOLOGY 84463,A000000,02800,0000,02800ELECTROCARDIOLOGY 84463,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84463,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84463,A000000,03051,0000,03301NUTRITIONAL THERAPY 84463,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84463,A000000,03053,0000,03303PHYSICIAN SERVICES 84463,A000000,03054,0000,03304MEDICAL SERVICES 84463,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84463,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84463,A000000,03200,0000,03200SUPPORT SURFACES 84463,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84463,A000000,04800,0000,04800AMBULANCE 84463,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84463,A000000,05300,0000,05300INTEREST EXPENSE 84463,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84463,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84463,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84463,A000000,06100,0000,06100NONPAID WORKERS 84463,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84463,A000000,06200,0000,06200PATIENTS LAUNDRY 84463,A81000A,00100,0100,Y 84463,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84463,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84463,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84463,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84463,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84463,A81000B,00600,0300,SEE ATTACHED 84463,A81000C,00100,0100,B 84463,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84463,A81000C,00200,0200,A-8-1. 84463,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84463,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84463,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84463,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84463,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84463,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84463,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84463,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84463,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84463,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84463,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84463,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84463,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84463,S000000,00100,0200,06/02/2000 84463,S200000,00100,0100,415 AIRPORT ROAD 84463,S200000,00200,0100,GRIFFIN 84463,S200000,00200,0200,GA 84463,S200000,00200,0300,30223- 84463,S200000,00300,0100,SPALDING 84463,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR GRIFFIN 84463,S200000,00400,0200,115537 84463,S200000,00400,0300,03/01/1993 84463,S200000,00400,0500,P 84463,S200000,01600,0100,Y 84463,S200000,02200,0100,Y 84463,S700003,00000,0200,2 84485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84485,A000000,00300,0000,00300EMPLOYEE BENEFITS 84485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84485,A000000,00700,0000,00700HOUSEKEEPING 84485,A000000,00800,0000,00800DIETARY 84485,A000000,00900,0000,00900NURSING ADMINISTRATION 84485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84485,A000000,01100,0000,01100PHARMACY 84485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84485,A000000,01300,0000,01300SOCIAL SERVICE 84485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84485,A000000,01600,0000,01600SKILLED NURSING FACILITY 84485,A000000,01800,0000,01800NURSING FACILITY 84485,A000000,01900,0000,01900OTHER LONG TERM CARE 84485,A000000,02100,0000,02100RADIOLOGY 84485,A000000,02200,0000,02200LABORATORY 84485,A000000,02300,0000,02300INTRAVENOUS THERAPY 84485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84485,A000000,02500,0000,02500PHYSICAL THERAPY 84485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84485,A000000,02700,0000,02700SPEECH PATHOLOGY 84485,A000000,02800,0000,02800ELECTROCARDIOLOGY 84485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84485,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84485,A000000,03200,0000,03200SUPPORT SURFACES 84485,A000000,03400,0000,03400CLINIC 84485,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84485,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84485,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84485,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84485,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84485,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84485,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84485,A000000,04400,0000,04400DME RENTED - HHA 84485,A000000,04500,0000,04500DME SOLD - HHA 84485,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84485,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84485,A000000,04800,0000,04800AMBULANCE 84485,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84485,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84485,A000000,05300,0000,05300INTEREST EXPENSE 84485,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84485,A000000,05500,0000,05500HOSPICE 84485,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84485,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84485,A000000,06100,0000,06100NONPAID WORKERS 84485,A000000,06200,0000,06200PATIENTS LAUNDRY 84485,A81000A,00100,0100,Y 84485,A81000B,00100,0300,MANAGEMENT FEES 84485,A81000B,00200,0300,NEW CAPITAL 84485,A81000C,00100,0100,A 84485,A81000C,00100,0200,TY BROGDON 84485,A81000C,00200,0100,B 84485,A81000C,00300,0100,A 84485,A81000C,00300,0200,DARRELL TUCKER 84485,A81000C,00400,0100,A 84485,A81000C,00400,0200,ED LANE 84485,A81000C,00500,0100,A 84485,A81000C,00500,0200,ROB LANCASTER 84485,A81000C,00600,0100,A 84485,A81000C,00600,0200,SHELLY LINDQUIT 84485,A81000C,00700,0100,A 84485,A81000C,00700,0200,LETTIE WILSON 84485,A81000C,00800,0100,A 84485,A81000C,00800,0200,LIZ WOOD 84485,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84485,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84485,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84485,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84485,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84485,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84485,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84485,B100000,00000,0850,00000PAT DAYS :DIETARY 84485,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84485,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84485,B100000,00000,1150,00000PAT DAYS :PHARMACY 84485,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84485,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84485,S000000,00100,0200,06/05/2000 84485,S200000,00100,0100,211 MATHIS STREET 84485,S200000,00100,0300,1460 84485,S200000,00200,0100,TWIN CITY 84485,S200000,00200,0200,GA 84485,S200000,00200,0300,30471- 84485,S200000,00300,0100,EMANUEL 84485,S200000,00300,0200,0011 84485,S200000,00300,0300,R 84485,S200000,00400,0100,TWIN VIEW HEALTH CARE CENTER 84485,S200000,00400,0200,115540 84485,S200000,00400,0300,05/01/1993 84485,S200000,00400,0500,P 84485,S200000,00400,0600,O 84485,S200000,01500,0100,Y 84492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84492,A000000,00300,0000,00300EMPLOYEE BENEFITS 84492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84492,A000000,00700,0000,00700HOUSEKEEPING 84492,A000000,00800,0000,00800DIETARY 84492,A000000,00900,0000,00900NURSING ADMINISTRATION 84492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84492,A000000,01100,0000,01100PHARMACY 84492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84492,A000000,01300,0000,01300SOCIAL SERVICE 84492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84492,A000000,01600,0000,01600SKILLED NURSING FACILITY 84492,A000000,01800,0000,01800NURSING FACILITY 84492,A000000,01810,0000,01810ICF/MR 84492,A000000,02500,0000,02500PHYSICAL THERAPY 84492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84492,A000000,03550,0000,03550FQHC 84492,A000000,04800,0000,04800AMBULANCE 84492,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84492,A000000,05000,0000,05000CORF 84492,A000000,05010,0000,05010CMHC 84492,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 84492,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 84492,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 84492,A81000A,00100,0100,Y 84492,A81000B,00100,0300,MANAGEMENT FEE 84492,A81000B,00200,0300,DEPR - BLDG & FIX 84492,A81000B,00300,0300,DEPR - EQUIP 84492,A81000C,00100,0100,A 84492,A81000C,00100,0200,RON ADDINGTON 84492,A81000C,00100,0400,A&B MANAGEMENT 84492,A81000C,00100,0600,MANAGEMENT COMP 84492,A81000C,00200,0100,A 84492,A81000C,00200,0200,RON ADDINGTON 84492,A81000C,00200,0400,A&B MANAGEMENT 84492,A81000C,00200,0600,MANAGEMENT COMP 84492,A81000C,00300,0100,A 84492,A81000C,00300,0200,RON ADDINGTON 84492,A81000C,00300,0400,A&B MANAGEMENT 84492,A81000C,00300,0600,MANAGEMENT COMP 84492,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 84492,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 84492,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 84492,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 84492,B100000,00000,0650,00040DAYS :LAUNDRY & LINEN SERVICE 84492,B100000,00000,0750,00040SQ FT :HOUSEKEEPING 84492,B100000,00000,0800,00040MEALS SERVED :DIETARY 84492,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 84492,B100000,00000,1250,00040CHARGES :MEDICAL RECORDS & LIBRAR 84492,B100000,00000,1330,00040DAYS :SOCIAL SERVICE 84492,E10A180,00301,0100,01/21/2000 84492,E10A180,00302,0100,03/27/2000 84492,S000000,00100,0200,11/30/2000 84492,S200000,00100,0100,505 BAY STREET 84492,S200000,00200,0100,PINEVIEW 84492,S200000,00200,0200,GA 84492,S200000,00200,0300,31071- 84492,S200000,00300,0100,WILCOX 84492,S200000,00300,0300,R 84492,S200000,00400,0100,PINEVIEW HEALTH CARE CENTER INC. 84492,S200000,00400,0200,115541 84492,S200000,00400,0300,06/01/1993 84492,S200000,00400,0500,P 84492,S200000,00600,0200,115541 84492,S200000,00600,0300,06/01/1993 84492,S200000,00600,0600,P 84492,S200000,01600,0100,Y 84492,S200000,04700,0100,Y 84492,S200000,04700,0200,Y 84501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84501,A000000,00300,0000,00300EMPLOYEE BENEFITS 84501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84501,A000000,00700,0000,00700HOUSEKEEPING 84501,A000000,00800,0000,00800DIETARY 84501,A000000,00900,0000,00900NURSING ADMINISTRATION 84501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84501,A000000,01100,0000,01100PHARMACY 84501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84501,A000000,01300,0000,01300SOCIAL SERVICE 84501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84501,A000000,01600,0000,01600SKILLED NURSING FACILITY 84501,A000000,01800,0000,01800NURSING FACILITY 84501,A000000,01900,0000,01900OTHER LONG TERM CARE 84501,A000000,02100,0000,02100RADIOLOGY 84501,A000000,02200,0000,02200LABORATORY 84501,A000000,02300,0000,02300INTRAVENOUS THERAPY 84501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84501,A000000,02500,0000,02500PHYSICAL THERAPY 84501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84501,A000000,02700,0000,02700SPEECH PATHOLOGY 84501,A000000,02800,0000,02800ELECTROCARDIOLOGY 84501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84501,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84501,A000000,03200,0000,03200SUPPORT SURFACES 84501,A000000,03400,0000,03400CLINIC 84501,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84501,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84501,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84501,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84501,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84501,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84501,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84501,A000000,04400,0000,04400DME RENTED - HHA 84501,A000000,04500,0000,04500DME SOLD - HHA 84501,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84501,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84501,A000000,04800,0000,04800AMBULANCE 84501,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84501,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84501,A000000,05300,0000,05300INTEREST EXPENSE 84501,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84501,A000000,05500,0000,05500HOSPICE 84501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84501,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84501,A000000,06100,0000,06100NONPAID WORKERS 84501,A000000,06200,0000,06200PATIENTS LAUNDRY 84501,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84501,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84501,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84501,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84501,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84501,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84501,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84501,B100000,00000,0850,00000PAT DAYS :DIETARY 84501,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84501,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84501,B100000,00000,1150,00000PAT DAYS :PHARMACY 84501,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84501,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84501,E10A180,00301,0100,01/26/2000 84501,S000000,00100,0200,12/01/2000 84501,S200000,00100,0100,1821 ANDERSON AVENUE N.W. 84501,S200000,00200,0100,ATLANTA 84501,S200000,00200,0200,GA 84501,S200000,00200,0300,30314- 84501,S200000,00300,0100,FULTON 84501,S200000,00300,0200,0520 84501,S200000,00300,0300,U 84501,S200000,00400,0100,SADIE G MAYS HEALTH & REHABILITATION 84501,S200000,00400,0200,115542 84501,S200000,00400,0300,04/01/1993 84501,S200000,00400,0500,P 84501,S200000,00600,0200,115542 84501,S200000,00600,0300,04/01/1993 84501,S200000,00600,0600,P 84501,S200000,01600,0100,Y 84501,S200000,02200,0100,Y 84506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84506,A000000,00300,0000,00300EMPLOYEE BENEFITS 84506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84506,A000000,00700,0000,00700HOUSEKEEPING 84506,A000000,00800,0000,00800DIETARY 84506,A000000,00900,0000,00900NURSING ADMINISTRATION 84506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84506,A000000,01100,0000,01100PHARMACY 84506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84506,A000000,01300,0000,01300SOCIAL SERVICE 84506,A000000,01350,0000,01500OTHER GENERAL SERVICES 84506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84506,A000000,01600,0000,01600SKILLED NURSING FACILITY 84506,A000000,01800,0000,01800NURSING FACILITY 84506,A000000,01810,0000,01810ICF/MR 84506,A000000,01900,0000,01900OTHER LONG TERM CARE 84506,A000000,02100,0000,02100RADIOLOGY 84506,A000000,02200,0000,02200LABORATORY 84506,A000000,02300,0000,02300INTRAVENOUS THERAPY 84506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84506,A000000,02500,0000,02500PHYSICAL THERAPY 84506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84506,A000000,02700,0000,02700SPEECH PATHOLOGY 84506,A000000,02800,0000,02800ELECTROCARDIOLOGY 84506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84506,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84506,A000000,03200,0000,03200SUPPORT SURFACES 84506,A000000,03400,0000,03400CLINIC 84506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84506,A000000,03500,0000,03500RURAL HEALTH CLINIC 84506,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84506,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84506,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84506,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84506,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84506,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84506,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84506,A000000,04400,0000,04400DME RENTED - HHA 84506,A000000,04500,0000,04500DME SOLD - HHA 84506,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84506,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84506,A000000,04800,0000,04800AMBULANCE 84506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84506,A000000,05000,0000,05000CORF 84506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84506,A000000,05300,0000,05300INTEREST EXPENSE 84506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84506,A000000,05500,0000,05500HOSPICE 84506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84506,A000000,06100,0000,06100NONPAID WORKERS 84506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84506,A000000,06200,0000,06200PATIENTS LAUNDRY 84506,A81000A,00100,0100,Y 84506,A81000B,00100,0300,RENT 84506,A81000B,00200,0300,HOME OFFICE CAPITAL 84506,A81000B,00300,0300,MANAGEMENT FEE 84506,A81000B,00400,0300,HOME OFFICE QA 84506,A81000C,00100,0100,A 84506,A81000C,00100,0200,KARSCHNER MANGIONE ET AL 84506,A81000C,00100,0400,BARTOW LTD 84506,A81000C,00100,0600,RENTAL 84506,A81000C,00200,0100,A 84506,A81000C,00200,0200,KARSCHNER MANGIONE ET AL 84506,A81000C,00200,0400,BLUE RIDGE NURSING HOMES 84506,A81000C,00200,0600,HOME OFFICE 84506,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 84506,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84506,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 84506,B100000,00000,0650,00000LBS LAUND :LAUNDRY & LINEN SERVICE 84506,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 84506,B100000,00000,0850,00000PAT DAYS :DIETARY 84506,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84506,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84506,S000000,00100,0200,12/01/2000 84506,S200000,00100,0100,22 MAPLE RIDGE DRIVE 84506,S200000,00200,0100,CATERSVILLE 84506,S200000,00200,0200,GA 84506,S200000,00200,0300,30120- 84506,S200000,00300,0100,BARTOW 84506,S200000,00300,0200,0520 84506,S200000,00300,0300,U 84506,S200000,00400,0100,MAPLE RIDGE HC CTR 84506,S200000,00400,0200,115543 84506,S200000,00400,0300,03/23/1993 84506,S200000,00400,0500,P 84506,S200000,01600,0100,Y 84522,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84522,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84522,A000000,00300,0000,00300EMPLOYEE BENEFITS 84522,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84522,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84522,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84522,A000000,00700,0000,00700HOUSEKEEPING 84522,A000000,00800,0000,00800DIETARY 84522,A000000,00900,0000,00900NURSING ADMINISTRATION 84522,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84522,A000000,01100,0000,01100PHARMACY 84522,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84522,A000000,01300,0000,01300SOCIAL SERVICE 84522,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84522,A000000,01600,0000,01600SKILLED NURSING FACILITY 84522,A000000,01800,0000,01800NURSING FACILITY 84522,A000000,01900,0000,01900OTHER LONG TERM CARE 84522,A000000,02100,0000,02100RADIOLOGY 84522,A000000,02200,0000,02200LABORATORY 84522,A000000,02300,0000,02300INTRAVENOUS THERAPY 84522,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84522,A000000,02500,0000,02500PHYSICAL THERAPY 84522,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84522,A000000,02700,0000,02700SPEECH PATHOLOGY 84522,A000000,02800,0000,02800ELECTROCARDIOLOGY 84522,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84522,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84522,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84522,A000000,03200,0000,03200SUPPORT SURFACES 84522,A000000,03400,0000,03400CLINIC 84522,A000000,03500,0000,03500RURAL HEALTH CLINIC 84522,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84522,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84522,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84522,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84522,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84522,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84522,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84522,A000000,04400,0000,04400DME RENTED - HHA 84522,A000000,04500,0000,04500DME SOLD - HHA 84522,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84522,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84522,A000000,04800,0000,04800AMBULANCE 84522,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84522,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84522,A000000,05300,0000,05300INTEREST EXPENSE 84522,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84522,A000000,05500,0000,05500HOSPICE 84522,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84522,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84522,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84522,A000000,06100,0000,06100NONPAID WORKERS 84522,A000000,06200,0000,06200PATIENTS LAUNDRY 84522,A81000A,00100,0100,Y 84522,A81000B,00100,0300,BUILDING LEASE EXPENSE 84522,A81000C,00100,0100,F 84522,A81000C,00100,0200,DEBORAH MEADE 84522,A81000C,00100,0400,CARBONDALE-ROB 84522,A81000C,00100,0600,BUILDING LEASE 84522,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84522,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84522,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84522,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84522,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84522,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84522,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84522,B100000,00000,0850,00000PAT DAYS :DIETARY 84522,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84522,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84522,B100000,00000,1150,00000PAT DAYS :PHARMACY 84522,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 84522,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84522,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84522,E10A180,00501,0100,02/02/2000 84522,S000000,00100,0200,12/17/1999 84522,S200000,00100,0100,1000 DORSET ROAD 84522,S200000,00200,0100,PORT WENTWORTH 84522,S200000,00200,0200,GA 84522,S200000,00200,0300,31407- 84522,S200000,00300,0100,CHATHAM 84522,S200000,00400,0100,WESTVIEW NURSING CENTER 84522,S200000,00400,0200,115547 84522,S200000,00400,0300,07/01/1993 84522,S200000,00400,0500,P 84522,S200000,01600,0100,Y 84522,S700003,00000,0300,3 84524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84524,A000000,00300,0000,00300EMPLOYEE BENEFITS 84524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84524,A000000,00700,0000,00700HOUSEKEEPING 84524,A000000,00800,0000,00800DIETARY 84524,A000000,00900,0000,00900NURSING ADMINISTRATION 84524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84524,A000000,01100,0000,01100PHARMACY 84524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84524,A000000,01300,0000,01300SOCIAL SERVICE 84524,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84524,A000000,01600,0000,01600SKILLED NURSING FACILITY 84524,A000000,01800,0000,01800NURSING FACILITY 84524,A000000,01900,0000,01900OTHER LONG TERM CARE 84524,A000000,02100,0000,02100RADIOLOGY 84524,A000000,02200,0000,02200LABORATORY 84524,A000000,02300,0000,02300INTRAVENOUS THERAPY 84524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84524,A000000,02500,0000,02500PHYSICAL THERAPY 84524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84524,A000000,02700,0000,02700SPEECH PATHOLOGY 84524,A000000,02800,0000,02800ELECTROCARDIOLOGY 84524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84524,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84524,A000000,03200,0000,03200SUPPORT SURFACES 84524,A000000,03400,0000,03400CLINIC 84524,A000000,03500,0000,03500RURAL HEALTH CLINIC 84524,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84524,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84524,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84524,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84524,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84524,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84524,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84524,A000000,04400,0000,04400DME RENTED - HHA 84524,A000000,04500,0000,04500DME SOLD - HHA 84524,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84524,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84524,A000000,04800,0000,04800AMBULANCE 84524,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84524,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84524,A000000,05300,0000,05300INTEREST EXPENSE 84524,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84524,A000000,05500,0000,05500HOSPICE 84524,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84524,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84524,A000000,06100,0000,06100NONPAID WORKERS 84524,A000000,06200,0000,06200PATIENTS LAUNDRY 84524,A81000A,00100,0100,Y 84524,A81000B,00100,0300,BUILDING LEASE EXPENSE 84524,A81000C,00100,0100,F 84524,A81000C,00100,0200,DEBORAH MEADE 84524,A81000C,00100,0400,CARBONDALE-ROB 84524,A81000C,00100,0600,BUILDING LEASE 84524,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84524,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84524,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84524,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84524,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84524,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84524,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84524,B100000,00000,0850,00000PAT DAYS :DIETARY 84524,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84524,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84524,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 84524,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84524,E10A180,00301,0100,02/03/2000 84524,S000000,00100,0200,12/01/2000 84524,S200000,00100,0100,1000 DORSET ROAD 84524,S200000,00200,0100,PORT WENTWORTH 84524,S200000,00200,0200,GA 84524,S200000,00200,0300,31407- 84524,S200000,00300,0100,CHATHAM 84524,S200000,00300,0200,7520 84524,S200000,00300,0300,U 84524,S200000,00400,0100,WESTVIEW NURSING CENTER 84524,S200000,00400,0200,115547 84524,S200000,00400,0300,07/01/1993 84524,S200000,00400,0500,P 84524,S200000,01600,0100,Y 84547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84547,A000000,00300,0000,00300EMPLOYEE BENEFITS 84547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84547,A000000,00700,0000,00700HOUSEKEEPING 84547,A000000,00800,0000,00800DIETARY 84547,A000000,00900,0000,00900NURSING ADMINISTRATION 84547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84547,A000000,01100,0000,01100PHARMACY 84547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84547,A000000,01300,0000,01300SOCIAL SERVICE 84547,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84547,A000000,01600,0000,01600SKILLED NURSING FACILITY 84547,A000000,01800,0000,01800NURSING FACILITY 84547,A000000,01900,0000,01900OTHER LONG TERM CARE 84547,A000000,02100,0000,02100RADIOLOGY 84547,A000000,02200,0000,02200LABORATORY 84547,A000000,02300,0000,02300INTRAVENOUS THERAPY 84547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84547,A000000,02500,0000,02500PHYSICAL THERAPY 84547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84547,A000000,02700,0000,02700SPEECH PATHOLOGY 84547,A000000,02800,0000,02800ELECTROCARDIOLOGY 84547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84547,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84547,A000000,03200,0000,03200SUPPORT SURFACES 84547,A000000,03400,0000,03400CLINIC 84547,A000000,03500,0000,03500RURAL HEALTH CLINIC 84547,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84547,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84547,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84547,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84547,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84547,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84547,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84547,A000000,04400,0000,04400DME RENTED - HHA 84547,A000000,04500,0000,04500DME SOLD - HHA 84547,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84547,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84547,A000000,04800,0000,04800AMBULANCE 84547,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84547,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84547,A000000,05300,0000,05300INTEREST EXPENSE 84547,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84547,A000000,05500,0000,05500HOSPICE 84547,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84547,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84547,A000000,06100,0000,06100NONPAID WORKERS 84547,A000000,06200,0000,06200PATIENTS LAUNDRY 84547,A81000A,00100,0100,Y 84547,A81000B,00100,0300,BUILDING LEASE EXPENSE 84547,A81000C,00100,0100,F 84547,A81000C,00100,0200,DEBORAH MEADE 84547,A81000C,00100,0400,PEACHBELT PROP. 84547,A81000C,00100,0600,BUILDING LEASE 84547,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84547,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84547,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84547,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84547,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84547,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84547,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84547,B100000,00000,0850,00000PAT DAYS :DIETARY 84547,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84547,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84547,B100000,00000,1150,00000PAT DAYS :PHARMACY 84547,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 84547,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84547,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84547,E10A180,00501,0100,02/03/2000 84547,S000000,00100,0200,12/17/1999 84547,S200000,00100,0100,801 ELBERTA ROAD 84547,S200000,00200,0100,WARNER ROBINS 84547,S200000,00200,0200,GA 84547,S200000,00200,0300,31093- 84547,S200000,00300,0100,HOUSTON 84547,S200000,00400,0100,PEACHBELT HEALTH CARE CENTER 84547,S200000,00400,0200,115552 84547,S200000,00400,0300,08/01/1993 84547,S200000,00400,0500,P 84547,S200000,01600,0100,Y 84547,S700003,00000,0300,3 84558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84558,A000000,00300,0000,00300EMPLOYEE BENEFITS 84558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84558,A000000,00700,0000,00700HOUSEKEEPING 84558,A000000,00800,0000,00800DIETARY 84558,A000000,00900,0000,00900NURSING ADMINISTRATION 84558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84558,A000000,01100,0000,01100PHARMACY 84558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84558,A000000,01300,0000,01300SOCIAL SERVICE 84558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84558,A000000,01600,0000,01600SKILLED NURSING FACILITY 84558,A000000,01800,0000,01800NURSING FACILITY 84558,A000000,01900,0000,01900OTHER LONG TERM CARE 84558,A000000,02100,0000,02100RADIOLOGY 84558,A000000,02200,0000,02200LABORATORY 84558,A000000,02300,0000,02300INTRAVENOUS THERAPY 84558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84558,A000000,02500,0000,02500PHYSICAL THERAPY 84558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84558,A000000,02700,0000,02700SPEECH PATHOLOGY 84558,A000000,02800,0000,02800ELECTROCARDIOLOGY 84558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84558,A000000,03200,0000,03200SUPPORT SURFACES 84558,A000000,03400,0000,03400CLINIC 84558,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84558,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84558,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84558,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84558,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84558,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84558,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84558,A000000,04400,0000,04400DME RENTED - HHA 84558,A000000,04500,0000,04500DME SOLD - HHA 84558,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84558,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84558,A000000,04800,0000,04800AMBULANCE 84558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84558,A000000,05300,0000,05300INTEREST EXPENSE 84558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84558,A000000,05500,0000,05500HOSPICE 84558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84558,A000000,06100,0000,06100NONPAID WORKERS 84558,A000000,06200,0000,06200PATIENTS LAUNDRY 84558,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84558,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84558,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84558,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84558,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84558,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84558,B100000,00000,0850,00000PAT DAYS :DIETARY 84558,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84558,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84558,B100000,00000,1150,00000PAT DAYS :PHARMACY 84558,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84558,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84558,E10A180,00301,0100,09/08/2000 84558,S000000,00100,0200,05/19/2000 84558,S200000,00100,0300,270 84558,S200000,00200,0100,MIDWAY 84558,S200000,00200,0200,GA 84558,S200000,00200,0300,31320- 84558,S200000,00300,0100,LIBERTY 84558,S200000,00300,0200,0011 84558,S200000,00300,0300,R 84558,S200000,00400,0100,MIDWAY HEALTH CARE CENTER 84558,S200000,00400,0200,115553 84558,S200000,00400,0300,01/05/1992 84558,S200000,00400,0500,P 84558,S200000,00600,0200,115553 84558,S200000,00600,0300,01/05/1992 84558,S200000,00600,0600,P 84558,S200000,01600,0100,Y 84573,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84573,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84573,A000000,00300,0000,00300EMPLOYEE BENEFITS 84573,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84573,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84573,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84573,A000000,00700,0000,00700HOUSEKEEPING 84573,A000000,00800,0000,00800DIETARY 84573,A000000,00900,0000,00900NURSING ADMINISTRATION 84573,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84573,A000000,01100,0000,01100PHARMACY 84573,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84573,A000000,01300,0000,01300SOCIAL SERVICE 84573,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84573,A000000,01600,0000,01600SKILLED NURSING FACILITY 84573,A000000,01800,0000,01800NURSING FACILITY 84573,A000000,01810,0000,01810ICF/MR 84573,A000000,02200,0000,02200LABORATORY 84573,A000000,02300,0000,02300INTRAVENOUS THERAPY 84573,A000000,02500,0000,02500PHYSICAL THERAPY 84573,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84573,A000000,02700,0000,02700SPEECH PATHOLOGY 84573,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84573,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84573,A000000,03550,0000,03550FQHC 84573,A000000,05000,0000,05000CORF 84573,A000000,05010,0000,05010CMHC 84573,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 84573,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 84573,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 84573,A81000A,00100,0100,Y 84573,A81000B,00100,0300,MANAGEMENT FEES 84573,A81000C,00100,0100,A 84573,A81000C,00100,0200,RON ADDINGTON 84573,A81000C,00100,0400,A&B MANAGEMENT 84573,A81000C,00100,0600,MANAGEMENT CO 84573,A81000C,00200,0100,A 84573,A81000C,00200,0200,RON ADDINGTON 84573,A81000C,00200,0400,A&B MANAGEMENT 84573,A81000C,00200,0600,MANAGEMENT CO 84573,A81000C,00300,0100,A 84573,A81000C,00300,0200,RON ADDINGTON 84573,A81000C,00300,0400,A&B MANAGEMENT 84573,A81000C,00300,0600,MANAGEMENT CO 84573,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 84573,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 84573,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 84573,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 84573,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 84573,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 84573,B100000,00000,0750,00040SQUARE FOOTAGE :HOUSEKEEPING 84573,B100000,00000,0800,00040MEALS SERVED :DIETARY 84573,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 84573,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 84573,E10A180,00301,0100,01/19/2000 84573,S000000,00100,0200,11/30/2000 84573,S200000,00100,0100,3223 NEWMAN ROAD 84573,S200000,00200,0100,GRIFFIN 84573,S200000,00200,0200,GA 84573,S200000,00200,0300,30224-0965 84573,S200000,00300,0100,SPALDING 84573,S200000,00300,0300,U 84573,S200000,00400,0100,BRIGHTMOOR HEALTH CARE INC. 84573,S200000,00400,0200,115556 84573,S200000,00400,0300,07/01/1994 84573,S200000,00400,0500,P 84573,S200000,00600,0200,115556 84573,S200000,00600,0300,07/01/1994 84573,S200000,00600,0600,P 84573,S200000,01600,0100,Y 84582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84582,A000000,00300,0000,00300EMPLOYEE BENEFITS 84582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84582,A000000,00700,0000,00700HOUSEKEEPING 84582,A000000,00800,0000,00800DIETARY 84582,A000000,00900,0000,00900NURSING ADMINISTRATION 84582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84582,A000000,01100,0000,01100PHARMACY 84582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84582,A000000,01300,0000,01300SOCIAL SERVICE 84582,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84582,A000000,01600,0000,01600SKILLED NURSING FACILITY 84582,A000000,01800,0000,01800NURSING FACILITY 84582,A000000,01900,0000,01900OTHER LONG TERM CARE 84582,A000000,02100,0000,02100RADIOLOGY 84582,A000000,02200,0000,02200LABORATORY 84582,A000000,02300,0000,02300INTRAVENOUS THERAPY 84582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84582,A000000,02500,0000,02500PHYSICAL THERAPY 84582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84582,A000000,02700,0000,02700SPEECH PATHOLOGY 84582,A000000,02800,0000,02800ELECTROCARDIOLOGY 84582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84582,A000000,03200,0000,03200SUPPORT SURFACES 84582,A000000,03400,0000,03400CLINIC 84582,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84582,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84582,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84582,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84582,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84582,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84582,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84582,A000000,04400,0000,04400DME RENTED - HHA 84582,A000000,04500,0000,04500DME SOLD - HHA 84582,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84582,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84582,A000000,04800,0000,04800AMBULANCE 84582,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84582,A000000,05300,0000,05300INTEREST EXPENSE 84582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84582,A000000,05500,0000,05500HOSPICE 84582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84582,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84582,A000000,06100,0000,06100NONPAID WORKERS 84582,A000000,06200,0000,06200PATIENTS LAUNDRY 84582,A81000A,00100,0100,Y 84582,A81000B,00100,0300,NEW CAPITAL 84582,A81000B,00200,0300,NEW CAPITAL 84582,A81000B,00300,0300,MANAGEMENT FEES 84582,A81000B,00400,0300,INTEREST 84582,A81000C,00100,0100,B 84582,A81000C,00100,0400,COMMUNITY ELDER 84582,A81000C,00100,0600,MANAGEMENT 84582,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84582,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84582,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84582,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84582,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84582,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84582,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84582,B100000,00000,0850,00000PAT DAYS :DIETARY 84582,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84582,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84582,B100000,00000,1150,00000PAT DAYS :PHARMACY 84582,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84582,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84582,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84582,E10A180,00501,0100,10/10/2000 84582,S000000,00100,0200,08/14/2000 84582,S200000,00100,0300,865 84582,S200000,00200,0100,CLAYTON 84582,S200000,00200,0200,GA 84582,S200000,00200,0300,30525- 84582,S200000,00300,0100,RABUN 84582,S200000,00400,0100,MOUNTAIN VIEW HEALTH & REHAB 84582,S200000,00400,0200,115557 84582,S200000,00400,0300,11/01/1993 84582,S200000,00400,0500,P 84582,S200000,00400,0600,O 84582,S200000,01500,0100,Y 84582,S200000,02200,0100,Y 84582,S700003,00000,0300,3 84592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84592,A000000,00300,0000,00300EMPLOYEE BENEFITS 84592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84592,A000000,00700,0000,00700HOUSEKEEPING 84592,A000000,00800,0000,00800DIETARY 84592,A000000,00900,0000,00900NURSING ADMINISTRATION 84592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84592,A000000,01100,0000,01100PHARMACY 84592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84592,A000000,01300,0000,01300SOCIAL SERVICE 84592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84592,A000000,01600,0000,01600SKILLED NURSING FACILITY 84592,A000000,01800,0000,01800NURSING FACILITY 84592,A000000,01900,0000,01900OTHER LONG TERM CARE 84592,A000000,02100,0000,02100RADIOLOGY 84592,A000000,02200,0000,02200LABORATORY 84592,A000000,02300,0000,02300INTRAVENOUS THERAPY 84592,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84592,A000000,02500,0000,02500PHYSICAL THERAPY 84592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84592,A000000,02700,0000,02700SPEECH PATHOLOGY 84592,A000000,02800,0000,02800ELECTROCARDIOLOGY 84592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84592,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84592,A000000,03200,0000,03200SUPPORT SURFACES 84592,A000000,03400,0000,03400CLINIC 84592,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84592,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84592,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84592,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84592,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84592,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84592,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84592,A000000,04400,0000,04400DME RENTED - HHA 84592,A000000,04500,0000,04500DME SOLD - HHA 84592,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84592,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84592,A000000,04800,0000,04800AMBULANCE 84592,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84592,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84592,A000000,05300,0000,05300INTEREST EXPENSE 84592,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84592,A000000,05500,0000,05500HOSPICE 84592,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84592,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84592,A000000,06100,0000,06100NONPAID WORKERS 84592,A000000,06200,0000,06200PATIENTS LAUNDRY 84592,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84592,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84592,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84592,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84592,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84592,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84592,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84592,B100000,00000,0850,00000PAT DAYS :DIETARY 84592,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84592,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84592,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84592,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84592,E10A180,00501,0100,08/16/2000 84592,S000000,00100,0200,07/31/2000 84592,S200000,00100,0100,1234 HWY 301 S. 84592,S200000,00200,0100,TRENTON 84592,S200000,00200,0200,GA 84592,S200000,00200,0300,30752- 84592,S200000,00300,0100,DADE 84592,S200000,00300,0200,1560 84592,S200000,00300,0300,R 84592,S200000,00400,0100,DADE HEALTH & REHABILITATION CENTER 84592,S200000,00400,0200,115558 84592,S200000,00400,0300,11/01/1993 84592,S200000,00400,0500,P 84592,S200000,00400,0600,O 84592,S200000,01500,0100,Y 84601,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84601,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84601,A000000,00300,0000,00300EMPLOYEE BENEFITS 84601,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84601,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84601,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84601,A000000,00700,0000,00700HOUSEKEEPING 84601,A000000,00800,0000,00800DIETARY 84601,A000000,00900,0000,00900NURSING ADMINISTRATION 84601,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84601,A000000,01100,0000,01100PHARMACY 84601,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84601,A000000,01300,0000,01300SOCIAL SERVICE 84601,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84601,A000000,01600,0000,01600SKILLED NURSING FACILITY 84601,A000000,01800,0000,01800NURSING FACILITY 84601,A000000,01900,0000,01900OTHER LONG TERM CARE 84601,A000000,02100,0000,02100RADIOLOGY 84601,A000000,02200,0000,02200LABORATORY 84601,A000000,02300,0000,02300INTRAVENOUS THERAPY 84601,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84601,A000000,02500,0000,02500PHYSICAL THERAPY 84601,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84601,A000000,02700,0000,02700SPEECH PATHOLOGY 84601,A000000,02800,0000,02800ELECTROCARDIOLOGY 84601,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84601,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84601,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84601,A000000,03200,0000,03200SUPPORT SURFACES 84601,A000000,03400,0000,03400CLINIC 84601,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84601,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84601,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84601,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84601,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84601,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84601,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84601,A000000,04400,0000,04400DME RENTED - HHA 84601,A000000,04500,0000,04500DME SOLD - HHA 84601,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84601,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84601,A000000,04800,0000,04800AMBULANCE 84601,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84601,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84601,A000000,05300,0000,05300INTEREST EXPENSE 84601,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84601,A000000,05500,0000,05500HOSPICE 84601,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84601,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84601,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84601,A000000,06100,0000,06100NONPAID WORKERS 84601,A000000,06200,0000,06200PATIENTS LAUNDRY 84601,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84601,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84601,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84601,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84601,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84601,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84601,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84601,B100000,00000,0850,00000PAT DAYS :DIETARY 84601,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84601,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84601,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84601,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84601,E10A180,00501,0100,09/25/2000 84601,S000000,00100,0200,07/31/2000 84601,S200000,00100,0100,161 FRIENDSHIP ROAD 84601,S200000,00200,0100,CLEVELAND 84601,S200000,00200,0200,GA 84601,S200000,00200,0300,30528- 84601,S200000,00300,0100,WHITE 84601,S200000,00300,0200,0011 84601,S200000,00300,0300,R 84601,S200000,00400,0100,FRIENDSHIP HEALTH CARE CENTER 84601,S200000,00400,0200,115559 84601,S200000,00400,0300,11/01/1993 84601,S200000,00400,0500,P 84601,S200000,00400,0600,O 84601,S200000,01500,0100,Y 84610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84610,A000000,00300,0000,00300EMPLOYEE BENEFITS 84610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84610,A000000,00700,0000,00700HOUSEKEEPING 84610,A000000,00800,0000,00800DIETARY 84610,A000000,00900,0000,00900NURSING ADMINISTRATION 84610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84610,A000000,01100,0000,01100PHARMACY 84610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84610,A000000,01300,0000,01300SOCIAL SERVICE 84610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84610,A000000,01600,0000,01600SKILLED NURSING FACILITY 84610,A000000,01800,0000,01800NURSING FACILITY 84610,A000000,01900,0000,01900OTHER LONG TERM CARE 84610,A000000,02100,0000,02100RADIOLOGY 84610,A000000,02200,0000,02200LABORATORY 84610,A000000,02300,0000,02300INTRAVENOUS THERAPY 84610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84610,A000000,02500,0000,02500PHYSICAL THERAPY 84610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84610,A000000,02700,0000,02700SPEECH PATHOLOGY 84610,A000000,02800,0000,02800ELECTROCARDIOLOGY 84610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84610,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84610,A000000,03200,0000,03200SUPPORT SURFACES 84610,A000000,03400,0000,03400CLINIC 84610,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84610,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84610,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84610,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84610,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84610,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84610,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84610,A000000,04400,0000,04400DME RENTED - HHA 84610,A000000,04500,0000,04500DME SOLD - HHA 84610,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84610,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84610,A000000,04800,0000,04800AMBULANCE 84610,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84610,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84610,A000000,05300,0000,05300INTEREST EXPENSE 84610,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84610,A000000,05500,0000,05500HOSPICE 84610,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84610,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84610,A000000,06100,0000,06100NONPAID WORKERS 84610,A000000,06200,0000,06200PATIENTS LAUNDRY 84610,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84610,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84610,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84610,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84610,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84610,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84610,B100000,00000,0850,00000PAT DAYS :DIETARY 84610,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84610,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84610,B100000,00000,1150,00000PAT DAYS :PHARMACY 84610,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84610,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84610,E10A180,00501,0100,08/16/2000 84610,S000000,00100,0200,07/31/2000 84610,S200000,00100,0100,3201 WESTMORELAND ROAD 84610,S200000,00200,0100,CLEVELAND 84610,S200000,00200,0200,GA 84610,S200000,00200,0300,30528- 84610,S200000,00300,0100,WHITE 84610,S200000,00300,0200,0011 84610,S200000,00300,0300,R 84610,S200000,00400,0100,GATEWAY HEALTH & REHAB 84610,S200000,00400,0200,115560 84610,S200000,00400,0300,11/01/1993 84610,S200000,00400,0500,P 84610,S200000,00600,0200,115560 84610,S200000,00600,0300,11/01/1993 84610,S200000,00600,0600,P 84610,S200000,01600,0100,Y 84610,S200000,02200,0100,Y 84628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84628,A000000,00300,0000,00300EMPLOYEE BENEFITS 84628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84628,A000000,00700,0000,00700HOUSEKEEPING 84628,A000000,00800,0000,00800DIETARY 84628,A000000,00900,0000,00900NURSING ADMINISTRATION 84628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84628,A000000,01100,0000,01100PHARMACY 84628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84628,A000000,01300,0000,01300SOCIAL SERVICE 84628,A000000,01350,0000,01500ACTIVITIES 84628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84628,A000000,01600,0000,01600SKILLED NURSING FACILITY 84628,A000000,01800,0000,01800NURSING FACILITY 84628,A000000,01900,0000,01900OTHER LONG TERM CARE 84628,A000000,02100,0000,02100RADIOLOGY 84628,A000000,02200,0000,02200LABORATORY 84628,A000000,02300,0000,02300INTRAVENOUS THERAPY 84628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84628,A000000,02500,0000,02500PHYSICAL THERAPY 84628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84628,A000000,02700,0000,02700SPEECH PATHOLOGY 84628,A000000,02800,0000,02800ELECTROCARDIOLOGY 84628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84628,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84628,A000000,03200,0000,03200SUPPORT SURFACES 84628,A000000,03400,0000,03400CLINIC 84628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84628,A000000,03500,0000,03500RURAL HEALTH CLINIC 84628,A000000,04800,0000,04800AMBULANCE 84628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84628,A000000,05000,0000,05000CORF 84628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84628,A000000,05300,0000,05300INTEREST EXPENSE 84628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84628,A000000,05500,0000,05500HOSPICE 84628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84628,A000000,06100,0000,06100NONPAID WORKERS 84628,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84628,A000000,06200,0000,06200PATIENTS LAUNDRY 84628,A81000A,00100,0100,Y 84628,A81000B,00100,0300,NURSING SUPPLIES 84628,A81000B,00200,0300,NURSING SUPPLIES 84628,A81000B,00300,0300,DRUGS RELATED 84628,A81000B,00400,0300,CONTRACTED SERVICE 84628,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 84628,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 84628,A81000B,00700,0300,HEPATITIS B VACCINE 84628,A81000B,00800,0300,DIETARY SUPPLIES 84628,A81000B,00900,0300,LAUNDRY SUPPLIES 84628,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 84628,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 84628,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 84628,A81000B,01300,0300,FACILITY LEASE 84628,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 84628,A81000B,01500,0300,FACILITY ADMINISTRATOR 84628,A81000B,01600,0300,DIETARY CONSULTANT 84628,A81000B,01700,0300,NURSE CONSULTANT 84628,A81000B,01800,0300,REGIONAL PERSONNEL 84628,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 84628,A81000B,02000,0300,THERAPY CONSULTANT 84628,A81000B,02100,0300,MAINTENANCE CONSULTANT 84628,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 84628,A81000B,02300,0300,AIDE TRAINING 84628,A81000B,02400,0300,PHYSICAL THERAPY 84628,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 84628,A81000B,02600,0300,ACTIVITIES SUPPLIES 84628,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 84628,A81000C,00100,0100,B 84628,A81000C,00100,0200,NEIL PRUITT 84628,A81000C,00100,0400,UNITED REHAB 84628,A81000C,00100,0600,THERAPY 84628,A81000C,00200,0100,B 84628,A81000C,00200,0200,NEIL PRUITT 84628,A81000C,00200,0400,UNITED PHARMACY 84628,A81000C,00200,0600,PHARMACY 84628,A81000C,00300,0100,B 84628,A81000C,00300,0200,NEIL PRUITT 84628,A81000C,00300,0400,PRUITT PROPERTI 84628,A81000C,00300,0600,RENTAL 84628,A81000C,00400,0100,B 84628,A81000C,00400,0200,NEIL PRUITT 84628,A81000C,00400,0400,PRUITT CORPORAT 84628,A81000C,00400,0600,MANAGEMENT 84628,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84628,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84628,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84628,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84628,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84628,B100000,00000,0800,00000MEALS SERVED :DIETARY 84628,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84628,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84628,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84628,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84628,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84628,E10A180,00301,0100,01/27/2000 84628,S000000,00100,0200,12/01/2000 84628,S200000,00100,0100,415 PENDLETON PLACE 84628,S200000,00200,0100,VALDOSTA 84628,S200000,00200,0200,GA 84628,S200000,00200,0300,31602- 84628,S200000,00300,0100,LOWNDES 84628,S200000,00300,0200,11 84628,S200000,00300,0300,R 84628,S200000,00400,0100,HOLLYHILL NURSING HOME INC. 84628,S200000,00400,0200,115562 84628,S200000,00400,0300,05/27/1994 84628,S200000,00400,0500,P 84628,S200000,01600,0100,Y 84644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84644,A000000,00300,0000,00300EMPLOYEE BENEFITS 84644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84644,A000000,00700,0000,00700HOUSEKEEPING 84644,A000000,00800,0000,00800DIETARY 84644,A000000,00900,0000,00900NURSING ADMINISTRATION 84644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84644,A000000,01100,0000,01100PHARMACY 84644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84644,A000000,01300,0000,01300SOCIAL SERVICE 84644,A000000,01600,0000,01600SKILLED NURSING FACILITY 84644,A000000,01800,0000,01800NURSING FACILITY 84644,A000000,01900,0000,01900OTHER LONG TERM CARE 84644,A000000,02100,0000,02100RADIOLOGY 84644,A000000,02200,0000,02200LABORATORY 84644,A000000,02300,0000,02300INTRAVENOUS THERAPY 84644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84644,A000000,02500,0000,02500PHYSICAL THERAPY 84644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84644,A000000,02700,0000,02700SPEECH PATHOLOGY 84644,A000000,02800,0000,02800ELECTROCARDIOLOGY 84644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84644,A000000,03051,0000,03301NUTRITIONAL THERAPY 84644,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84644,A000000,03053,0000,03303PHYSICIAN SERVICES 84644,A000000,03054,0000,03304MEDICAL SERVICES 84644,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84644,A000000,03200,0000,03200SUPPORT SURFACES 84644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84644,A000000,04800,0000,04800AMBULANCE 84644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84644,A000000,05300,0000,05300INTEREST EXPENSE 84644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84644,A000000,06100,0000,06100NONPAID WORKERS 84644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84644,A000000,06200,0000,06200PATIENTS LAUNDRY 84644,A81000A,00100,0100,Y 84644,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84644,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84644,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84644,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84644,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84644,A81000B,00600,0300,SEE ATTACHED 84644,A81000C,00100,0100,B 84644,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84644,A81000C,00200,0200,A-8-1. 84644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84644,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84644,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84644,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84644,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84644,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84644,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84644,S000000,00100,0200,06/02/2000 84644,S200000,00100,0100,5131 WARM SPRINGS ROAD 84644,S200000,00200,0100,COLUMBUS 84644,S200000,00200,0200,GA 84644,S200000,00200,0300,31909- 84644,S200000,00300,0100,MUSKOGEE 84644,S200000,00400,0100,FOUNTAIN CITY CARE & REHAB 84644,S200000,00400,0200,115566 84644,S200000,00400,0300,07/01/1997 84644,S200000,00400,0500,P 84644,S200000,01600,0100,Y 84644,S200000,02200,0100,Y 84644,S700003,00000,0200,2 84656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84656,A000000,00300,0000,00300EMPLOYEE BENEFITS 84656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84656,A000000,00700,0000,00700HOUSEKEEPING 84656,A000000,00800,0000,00800DIETARY 84656,A000000,00900,0000,00900NURSING ADMINISTRATION 84656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84656,A000000,01100,0000,01100PHARMACY 84656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84656,A000000,01300,0000,01300SOCIAL SERVICE 84656,A000000,01600,0000,01600SKILLED NURSING FACILITY 84656,A000000,01800,0000,01800NURSING FACILITY 84656,A000000,01900,0000,01900OTHER LONG TERM CARE 84656,A000000,02100,0000,02100RADIOLOGY 84656,A000000,02200,0000,02200LABORATORY 84656,A000000,02300,0000,02300INTRAVENOUS THERAPY 84656,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84656,A000000,02500,0000,02500PHYSICAL THERAPY 84656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84656,A000000,02700,0000,02700SPEECH PATHOLOGY 84656,A000000,02800,0000,02800ELECTROCARDIOLOGY 84656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84656,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84656,A000000,03051,0000,03301NUTRITIONAL THERAPY 84656,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84656,A000000,03053,0000,03303PHYSICIAN SERVICES 84656,A000000,03054,0000,03304MEDICAL SERVICES 84656,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84656,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84656,A000000,03200,0000,03200SUPPORT SURFACES 84656,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84656,A000000,04800,0000,04800AMBULANCE 84656,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84656,A000000,05300,0000,05300INTEREST EXPENSE 84656,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84656,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84656,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84656,A000000,06100,0000,06100NONPAID WORKERS 84656,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84656,A000000,06200,0000,06200PATIENTS LAUNDRY 84656,A81000A,00100,0100,Y 84656,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84656,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84656,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84656,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84656,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84656,A81000B,00600,0300,SEE ATTACHED 84656,A81000C,00100,0100,B 84656,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84656,A81000C,00200,0200,A-8-1. 84656,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84656,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84656,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84656,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84656,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84656,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84656,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84656,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84656,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84656,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84656,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84656,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84656,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84656,S000000,00100,0200,05/30/2000 84656,S200000,00100,0100,2850 SPRINGDALE RD SW 84656,S200000,00200,0100,ATLANTA 84656,S200000,00200,0200,GA 84656,S200000,00200,0300,30315- 84656,S200000,00300,0100,FULTON 84656,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR ATLANTA 84656,S200000,00400,0200,115569 84656,S200000,00400,0300,07/01/1994 84656,S200000,00400,0500,P 84656,S200000,01600,0100,Y 84656,S200000,02200,0100,Y 84656,S700003,00000,0200,2 84663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84663,A000000,00300,0000,00300EMPLOYEE BENEFITS 84663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84663,A000000,00700,0000,00700HOUSEKEEPING 84663,A000000,00800,0000,00800DIETARY 84663,A000000,00900,0000,00900NURSING ADMINISTRATION 84663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84663,A000000,01100,0000,01100PHARMACY 84663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84663,A000000,01300,0000,01300SOCIAL SERVICE 84663,A000000,01600,0000,01600SKILLED NURSING FACILITY 84663,A000000,01800,0000,01800NURSING FACILITY 84663,A000000,01900,0000,01900OTHER LONG TERM CARE 84663,A000000,02100,0000,02100RADIOLOGY 84663,A000000,02200,0000,02200LABORATORY 84663,A000000,02300,0000,02300INTRAVENOUS THERAPY 84663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84663,A000000,02500,0000,02500PHYSICAL THERAPY 84663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84663,A000000,02700,0000,02700SPEECH PATHOLOGY 84663,A000000,02800,0000,02800ELECTROCARDIOLOGY 84663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84663,A000000,03051,0000,03301NUTRITIONAL THERAPY 84663,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84663,A000000,03053,0000,03303PHYSICIAN SERVICES 84663,A000000,03054,0000,03304MEDICAL SERVICES 84663,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84663,A000000,03200,0000,03200SUPPORT SURFACES 84663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84663,A000000,04800,0000,04800AMBULANCE 84663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84663,A000000,05300,0000,05300INTEREST EXPENSE 84663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84663,A000000,06100,0000,06100NONPAID WORKERS 84663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84663,A000000,06200,0000,06200PATIENTS LAUNDRY 84663,A81000A,00100,0100,Y 84663,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84663,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84663,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84663,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84663,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84663,A81000B,00600,0300,SEE ATTACHED 84663,A81000C,00100,0100,B 84663,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84663,A81000C,00200,0200,A-8-1. 84663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84663,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84663,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84663,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84663,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84663,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84663,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84663,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84663,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84663,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84663,S000000,00100,0200,05/30/2000 84663,S200000,00100,0100,78 OPAL STREET 84663,S200000,00200,0100,CARTERSVILLE 84663,S200000,00200,0200,GA 84663,S200000,00200,0300,30120- 84663,S200000,00300,0100,BARTOW 84663,S200000,00400,0100,SUNBRIDGE CARE & REHAB CARTERSVILLE 84663,S200000,00400,0200,115571 84663,S200000,00400,0300,06/03/1993 84663,S200000,00400,0500,P 84663,S200000,01600,0100,Y 84663,S200000,02200,0100,Y 84663,S700003,00000,0200,2 84668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84668,A000000,00300,0000,00300EMPLOYEE BENEFITS 84668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84668,A000000,00700,0000,00700HOUSEKEEPING 84668,A000000,00800,0000,00800DIETARY 84668,A000000,00900,0000,00900NURSING ADMINISTRATION 84668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84668,A000000,01100,0000,01100PHARMACY 84668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84668,A000000,01300,0000,01300SOCIAL SERVICE 84668,A000000,01301,0000,01301ACTIVITIES 84668,A000000,01350,0000,01500OTHER GENERAL SERVICES 84668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84668,A000000,01600,0000,01600SKILLED NURSING FACILITY 84668,A000000,01800,0000,01800NURSING FACILITY 84668,A000000,01810,0000,01810ICF/MR 84668,A000000,01900,0000,01900OTHER LONG TERM CARE 84668,A000000,02100,0000,02100RADIOLOGY 84668,A000000,02200,0000,02200LABORATORY 84668,A000000,02300,0000,02300INTRAVENOUS THERAPY 84668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84668,A000000,02500,0000,02500PHYSICAL THERAPY 84668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84668,A000000,02700,0000,02700SPEECH PATHOLOGY 84668,A000000,02800,0000,02800ELECTROCARDIOLOGY 84668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84668,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84668,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84668,A000000,03200,0000,03200SUPPORT SURFACES 84668,A000000,03400,0000,03400CLINIC 84668,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84668,A000000,03500,0000,03500RURAL HEALTH CLINIC 84668,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84668,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84668,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84668,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84668,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84668,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84668,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84668,A000000,04400,0000,04400DME RENTED - HHA 84668,A000000,04500,0000,04500DME SOLD - HHA 84668,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84668,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84668,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84668,A000000,04800,0000,04800AMBULANCE 84668,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84668,A000000,05000,0000,05000CORF 84668,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84668,A000000,05300,0000,05300INTEREST EXPENSE 84668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84668,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84668,A000000,05500,0000,05500HOSPICE 84668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84668,A000000,05901,0000,05901WELLNESS PROGRAM 84668,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84668,A000000,06100,0000,06100NONPAID WORKERS 84668,A000000,06150,0000,06300DENTAL CLINIC 84668,A000000,06200,0000,06200PATIENTS LAUNDRY 84668,A81000A,00100,0100,Y 84668,A81000B,00100,0300,DEPREC OF REL PARTY EQUIP 84668,A81000C,00100,0100,D 84668,A81000C,00100,0200,JUDY CRUTCHFIELD 84668,A81000C,00100,0400,JUDYS INTERIORS 84668,A81000C,00100,0600,INTERIOR DESIGN 84668,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84668,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84668,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84668,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84668,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84668,B100000,00000,0800,00000MEALS SERVED :DIETARY 84668,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 84668,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84668,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84668,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84668,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84668,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 84668,E10A180,00301,0100,01/21/2000 84668,E10A180,00550,0300,01/17/2001 84668,S000000,00100,0200,12/05/2000 84668,S200000,00100,0100,7300 LESTER ROAD 84668,S200000,00200,0100,UNION CITY 84668,S200000,00200,0200,GA 84668,S200000,00200,0300,30291- 84668,S200000,00300,0100,FULTON 84668,S200000,00300,0300,U 84668,S200000,00400,0100,CHRISTIAN CITY CONVALESCENT CENTER 84668,S200000,00400,0200,115573 84668,S200000,00400,0300,01/01/1995 84668,S200000,00400,0500,P 84668,S200000,01600,0100,Y 84676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84676,A000000,00300,0000,00300EMPLOYEE BENEFITS 84676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84676,A000000,00700,0000,00700HOUSEKEEPING 84676,A000000,00800,0000,00800DIETARY 84676,A000000,00900,0000,00900NURSING ADMINISTRATION 84676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84676,A000000,01100,0000,01100PHARMACY 84676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84676,A000000,01300,0000,01300SOCIAL SERVICE 84676,A000000,01600,0000,01600SKILLED NURSING FACILITY 84676,A000000,01800,0000,01800NURSING FACILITY 84676,A000000,01900,0000,01900OTHER LONG TERM CARE 84676,A000000,02100,0000,02100RADIOLOGY 84676,A000000,02200,0000,02200LABORATORY 84676,A000000,02300,0000,02300INTRAVENOUS THERAPY 84676,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84676,A000000,02500,0000,02500PHYSICAL THERAPY 84676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84676,A000000,02700,0000,02700SPEECH PATHOLOGY 84676,A000000,02800,0000,02800ELECTROCARDIOLOGY 84676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84676,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84676,A000000,03051,0000,03301NUTRITIONAL THERAPY 84676,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84676,A000000,03053,0000,03303PHYSICIAN SERVICES 84676,A000000,03054,0000,03304MEDICAL SERVICES 84676,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84676,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84676,A000000,03200,0000,03200SUPPORT SURFACES 84676,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84676,A000000,04800,0000,04800AMBULANCE 84676,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84676,A000000,05300,0000,05300INTEREST EXPENSE 84676,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84676,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84676,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84676,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84676,A000000,06100,0000,06100NONPAID WORKERS 84676,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84676,A000000,06200,0000,06200PATIENTS LAUNDRY 84676,A81000A,00100,0100,Y 84676,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84676,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84676,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84676,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84676,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84676,A81000B,00600,0300,SEE ATTACHED 84676,A81000C,00100,0100,B 84676,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84676,A81000C,00200,0200,A-8-1. 84676,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84676,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84676,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84676,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84676,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84676,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84676,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84676,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84676,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84676,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84676,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84676,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84676,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84676,S000000,00100,0200,06/02/2000 84676,S200000,00100,0100,2611 WILDWOOD DRIVE 84676,S200000,00200,0100,BRUNSWICK 84676,S200000,00200,0200,GA 84676,S200000,00200,0300,31520- 84676,S200000,00300,0100,GLYNN 84676,S200000,00400,0100,SUNBRIDGE CARE & REHAB -GOLDEN ISLES 84676,S200000,00400,0200,115574 84676,S200000,00400,0300,09/01/1994 84676,S200000,00400,0500,P 84676,S200000,01600,0100,Y 84676,S200000,02200,0100,Y 84676,S700003,00000,0200,2 84682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84682,A000000,00300,0000,00300EMPLOYEE BENEFITS 84682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84682,A000000,00700,0000,00700HOUSEKEEPING 84682,A000000,00800,0000,00800DIETARY 84682,A000000,00900,0000,00900NURSING ADMINISTRATION 84682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84682,A000000,01100,0000,01100PHARMACY 84682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84682,A000000,01300,0000,01300SOCIAL SERVICE 84682,A000000,01600,0000,01600SKILLED NURSING FACILITY 84682,A000000,01800,0000,01800NURSING FACILITY 84682,A000000,01900,0000,01900OTHER LONG TERM CARE 84682,A000000,02100,0000,02100RADIOLOGY 84682,A000000,02200,0000,02200LABORATORY 84682,A000000,02300,0000,02300INTRAVENOUS THERAPY 84682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84682,A000000,02500,0000,02500PHYSICAL THERAPY 84682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84682,A000000,02700,0000,02700SPEECH PATHOLOGY 84682,A000000,02800,0000,02800ELECTROCARDIOLOGY 84682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84682,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84682,A000000,03051,0000,03301NUTRITIONAL THERAPY 84682,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84682,A000000,03053,0000,03303PHYSICIAN SERVICES 84682,A000000,03054,0000,03304MEDICAL SERVICES 84682,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84682,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84682,A000000,03200,0000,03200SUPPORT SURFACES 84682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84682,A000000,04800,0000,04800AMBULANCE 84682,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84682,A000000,05300,0000,05300INTEREST EXPENSE 84682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84682,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84682,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84682,A000000,06100,0000,06100NONPAID WORKERS 84682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84682,A000000,06200,0000,06200PATIENTS LAUNDRY 84682,A81000A,00100,0100,Y 84682,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84682,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84682,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84682,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84682,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84682,A81000B,00600,0300,SEE ATTACHED 84682,A81000C,00100,0100,B 84682,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84682,A81000C,00200,0200,A-8-1. 84682,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84682,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84682,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84682,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84682,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84682,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84682,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84682,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84682,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84682,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84682,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84682,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84682,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84682,S000000,00100,0200,05/30/2000 84682,S200000,00100,0100,142 MEMORIAL DRIVE 84682,S200000,00200,0100,REIDSVILLE 84682,S200000,00200,0200,GA 84682,S200000,00200,0300,30453- 84682,S200000,00300,0100,TATTNALL 84682,S200000,00400,0100,SUNBRIDGE CARE & REHAB - REIDSVILLE 84682,S200000,00400,0200,115575 84682,S200000,00400,0300,09/01/1994 84682,S200000,00400,0500,P 84682,S200000,01600,0100,Y 84682,S200000,02200,0100,Y 84682,S700003,00000,0200,2 84697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84697,A000000,00300,0000,00300EMPLOYEE BENEFITS 84697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84697,A000000,00700,0000,00700HOUSEKEEPING 84697,A000000,00800,0000,00800DIETARY 84697,A000000,00900,0000,00900NURSING ADMINISTRATION 84697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84697,A000000,01100,0000,01100PHARMACY 84697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84697,A000000,01300,0000,01300SOCIAL SERVICE 84697,A000000,01600,0000,01600SKILLED NURSING FACILITY 84697,A000000,01800,0000,01800NURSING FACILITY 84697,A000000,01900,0000,01900OTHER LONG TERM CARE 84697,A000000,02100,0000,02100RADIOLOGY 84697,A000000,02200,0000,02200LABORATORY 84697,A000000,02300,0000,02300INTRAVENOUS THERAPY 84697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84697,A000000,02500,0000,02500PHYSICAL THERAPY 84697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84697,A000000,02700,0000,02700SPEECH PATHOLOGY 84697,A000000,02800,0000,02800ELECTROCARDIOLOGY 84697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84697,A000000,03051,0000,03301NUTRITIONAL THERAPY 84697,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84697,A000000,03053,0000,03303PHYSICIAN SERVICES 84697,A000000,03054,0000,03304MEDICAL SERVICES 84697,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84697,A000000,03200,0000,03200SUPPORT SURFACES 84697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84697,A000000,04800,0000,04800AMBULANCE 84697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84697,A000000,05300,0000,05300INTEREST EXPENSE 84697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84697,A000000,06100,0000,06100NONPAID WORKERS 84697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84697,A000000,06200,0000,06200PATIENTS LAUNDRY 84697,A81000A,00100,0100,Y 84697,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84697,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84697,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84697,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84697,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84697,A81000B,00600,0300,SEE ATTACHED 84697,A81000C,00100,0100,B 84697,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84697,A81000C,00200,0200,A-8-1. 84697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84697,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84697,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84697,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84697,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84697,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84697,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84697,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84697,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84697,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84697,S000000,00100,0200,06/02/2000 84697,S200000,00100,0100,1311 WEST CHERRY STREET 84697,S200000,00200,0100,JESUP 84697,S200000,00200,0200,GA 84697,S200000,00200,0300,31545- 84697,S200000,00300,0100,BACON 84697,S200000,00400,0100,SUNBRIDGE CARE CENTER FOR JESUP 84697,S200000,00400,0200,115577 84697,S200000,00400,0300,09/01/1994 84697,S200000,00400,0500,P 84697,S200000,01600,0100,Y 84697,S200000,02200,0100,Y 84697,S700003,00000,0200,2 84698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84698,A000000,00300,0000,00300EMPLOYEE BENEFITS 84698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84698,A000000,00700,0000,00700HOUSEKEEPING 84698,A000000,00800,0000,00800DIETARY 84698,A000000,00900,0000,00900NURSING ADMINISTRATION 84698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84698,A000000,01100,0000,01100PHARMACY 84698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84698,A000000,01300,0000,01300SOCIAL SERVICE 84698,A000000,01350,0000,01500OTHER GENERAL SERVICES 84698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84698,A000000,01600,0000,01600SKILLED NURSING FACILITY 84698,A000000,01800,0000,01800NURSING FACILITY 84698,A000000,01900,0000,01900OTHER LONG TERM CARE 84698,A000000,02100,0000,02100RADIOLOGY 84698,A000000,02200,0000,02200LABORATORY 84698,A000000,02300,0000,02300INTRAVENOUS THERAPY 84698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84698,A000000,02500,0000,02500PHYSICAL THERAPY 84698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84698,A000000,02700,0000,02700SPEECH PATHOLOGY 84698,A000000,02800,0000,02800ELECTROCARDIOLOGY 84698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84698,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84698,A000000,03200,0000,03200SUPPORT SURFACES 84698,A000000,03400,0000,03400CLINIC 84698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84698,A000000,03500,0000,03500RURAL HEALTH CLINIC 84698,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84698,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84698,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84698,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84698,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84698,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84698,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84698,A000000,04400,0000,04400DME RENTED - HHA 84698,A000000,04500,0000,04500DME SOLD - HHA 84698,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84698,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84698,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84698,A000000,04800,0000,04800AMBULANCE 84698,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84698,A000000,05000,0000,05000CORF 84698,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84698,A000000,05300,0000,05300INTEREST EXPENSE 84698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84698,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84698,A000000,05500,0000,05500HOSPICE 84698,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84698,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84698,A000000,06100,0000,06100NONPAID WORKERS 84698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84698,A000000,06200,0000,06200PATIENTS LAUNDRY 84698,A81000A,00100,0100,Y 84698,A81000B,00100,0300,PHYSICAL THERAPY 84698,A81000B,00200,0300,OCCUPATIONAL THERAPY 84698,A81000B,00300,0300,SPEECH THERAPY 84698,A81000B,00400,0300,RELATED PARTY LEASE 84698,A81000B,00500,0300,MANAGEMENT SERVICE 84698,A81000B,00600,0300,MANAGEMENT FEES 84698,A81000C,00100,0100,A 84698,A81000C,00100,0200,SEE ATTACHED 84698,A81000C,00100,0400,INTEGRA REHABILITATION 84698,A81000C,00100,0600,THERAPY 84698,A81000C,00200,0100,A 84698,A81000C,00200,0200,SEE ATTACHED 84698,A81000C,00200,0400,INTEGRA REHABILITATION 84698,A81000C,00200,0600,THERAPY 84698,A81000C,00300,0100,A 84698,A81000C,00300,0200,SEE ATTACHED 84698,A81000C,00300,0400,INTEGRA REHABILITATION 84698,A81000C,00300,0600,THERAPY 84698,A81000C,00400,0100,A 84698,A81000C,00400,0200,E. C. NELSON 84698,A81000C,00400,0600,LEASE 84698,A81000C,00500,0100,B 84698,A81000C,00500,0400,CARE MORE MANAGEMENT 84698,A81000C,00500,0600,MANAGEMENT 84698,A81000C,00600,0100,B 84698,A81000C,00600,0400,CARE MORE MANAGEMENT 84698,A81000C,00600,0600,MANAGEMENT 84698,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84698,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84698,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84698,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84698,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84698,B100000,00000,0800,00000MEALS SERVED :DIETARY 84698,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84698,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84698,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84698,E10A180,00302,0100,01/28/2000 84698,E10A180,00550,0100,01/23/2001 84698,E10A180,00550,0300,01/23/2001 84698,S000000,00100,0200,12/04/2000 84698,S200000,00100,0100,313 ALLEN MEMORIAL DR SW 84698,S200000,00200,0100,MILLEDGEVILLE 84698,S200000,00200,0200,GA 84698,S200000,00200,0300,31061- 84698,S200000,00300,0100,BALDWIN 84698,S200000,00300,0200,11 84698,S200000,00300,0300,R 84698,S200000,00400,0100,GREEN ACRES NURSING HOME 84698,S200000,00400,0200,115578 84698,S200000,00400,0300,03/11/1995 84698,S200000,00400,0500,P 84698,S200000,01500,0100,Y 84714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84714,A000000,00300,0000,00300EMPLOYEE BENEFITS 84714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84714,A000000,00700,0000,00700HOUSEKEEPING 84714,A000000,00800,0000,00800DIETARY 84714,A000000,00900,0000,00900NURSING ADMINISTRATION 84714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84714,A000000,01100,0000,01100PHARMACY 84714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84714,A000000,01300,0000,01300SOCIAL SERVICE 84714,A000000,01350,0000,01500OTHER GENERAL SERVICES 84714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84714,A000000,01600,0000,01600SKILLED NURSING FACILITY 84714,A000000,01800,0000,01800NURSING FACILITY 84714,A000000,01900,0000,01900OTHER LONG TERM CARE 84714,A000000,02100,0000,02100RADIOLOGY 84714,A000000,02200,0000,02200LABORATORY 84714,A000000,02300,0000,02300INTRAVENOUS THERAPY 84714,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84714,A000000,02500,0000,02500PHYSICAL THERAPY 84714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84714,A000000,02700,0000,02700SPEECH PATHOLOGY 84714,A000000,02800,0000,02800ELECTROCARDIOLOGY 84714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84714,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84714,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84714,A000000,03200,0000,03200SUPPORT SURFACES 84714,A000000,03400,0000,03400CLINIC 84714,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84714,A000000,03500,0000,03500RURAL HEALTH CLINIC 84714,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84714,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84714,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84714,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84714,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84714,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84714,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84714,A000000,04400,0000,04400DME RENTED - HHA 84714,A000000,04500,0000,04500DME SOLD - HHA 84714,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84714,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84714,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84714,A000000,04800,0000,04800AMBULANCE 84714,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84714,A000000,05000,0000,05000CORF 84714,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84714,A000000,05300,0000,05300INTEREST EXPENSE 84714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84714,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84714,A000000,05500,0000,05500HOSPICE 84714,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84714,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84714,A000000,06100,0000,06100NONPAID WORKERS 84714,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84714,A000000,06200,0000,06200PATIENTS LAUNDRY 84714,A81000A,00100,0100,Y 84714,A81000B,00100,0300,LEASE 84714,A81000B,00200,0300,PHYSICAL THERAPY 84714,A81000B,00300,0300,OCCUPATIONAL THERAPY 84714,A81000B,00400,0300,SPEECH THERAPY 84714,A81000B,00500,0300,MANAGEMENT 84714,A81000B,00600,0300,MANAGEMENT 84714,A81000C,00100,0100,A 84714,A81000C,00100,0200,E. C. NELSON 84714,A81000C,00100,0600,LEASE 84714,A81000C,00200,0100,B 84714,A81000C,00200,0400,INTEGRA REHABILITATION 84714,A81000C,00200,0600,THERAPY 84714,A81000C,00300,0100,B 84714,A81000C,00300,0400,INTEGRA REHABILITATION 84714,A81000C,00300,0600,THERAPY 84714,A81000C,00400,0100,B 84714,A81000C,00400,0400,INTEGRA REHABILITATION 84714,A81000C,00400,0600,THERAPY 84714,A81000C,00500,0100,B 84714,A81000C,00500,0400,CARE MORE MANAGEMENT 84714,A81000C,00500,0600,MANAGEMENT 84714,A81000C,00600,0100,B 84714,A81000C,00600,0400,CARE MORE MANAGEMENT 84714,A81000C,00600,0600,MANAGEMENT 84714,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84714,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84714,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84714,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84714,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84714,B100000,00000,0800,00000MEALS SERVED :DIETARY 84714,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84714,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84714,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84714,E10A180,00301,0100,01/28/2000 84714,S000000,00100,0200,12/04/2000 84714,S200000,00100,0100,1280 MAULDIN ROAD 84714,S200000,00100,0300,789 84714,S200000,00200,0100,CALHOUN 84714,S200000,00200,0200,GA 84714,S200000,00200,0300,30703- 84714,S200000,00300,0100,GORDON 84714,S200000,00300,0200,11 84714,S200000,00300,0300,R 84714,S200000,00400,0100,GORDON HEALTH CARE CENTER INC 84714,S200000,00400,0200,115584 84714,S200000,00400,0300,07/01/1995 84714,S200000,00400,0500,P 84714,S200000,01500,0100,Y 84724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84724,A000000,00300,0000,00300EMPLOYEE BENEFITS 84724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84724,A000000,00700,0000,00700HOUSEKEEPING 84724,A000000,00800,0000,00800DIETARY 84724,A000000,00900,0000,00900NURSING ADMINISTRATION 84724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84724,A000000,01100,0000,01100PHARMACY 84724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84724,A000000,01300,0000,01300SOCIAL SERVICE 84724,A000000,01350,0000,01500OTHER GENERAL SERVICES 84724,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84724,A000000,01600,0000,01600SKILLED NURSING FACILITY 84724,A000000,01800,0000,01800NURSING FACILITY 84724,A000000,01810,0000,01810ICF/MR 84724,A000000,01900,0000,01900OTHER LONG TERM CARE 84724,A000000,02100,0000,02100RADIOLOGY 84724,A000000,02200,0000,02200LABORATORY 84724,A000000,02300,0000,02300INTRAVENOUS THERAPY 84724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84724,A000000,02500,0000,02500PHYSICAL THERAPY 84724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84724,A000000,02700,0000,02700SPEECH PATHOLOGY 84724,A000000,02800,0000,02800ELECTROCARDIOLOGY 84724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84724,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84724,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84724,A000000,03200,0000,03200SUPPORT SURFACES 84724,A000000,03400,0000,03400CLINIC 84724,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84724,A000000,03500,0000,03500RURAL HEALTH CLINIC 84724,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84724,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84724,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84724,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84724,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84724,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84724,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84724,A000000,04400,0000,04400DME RENTED - HHA 84724,A000000,04500,0000,04500DME SOLD - HHA 84724,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84724,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84724,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84724,A000000,04800,0000,04800AMBULANCE 84724,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84724,A000000,05000,0000,05000CORF 84724,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84724,A000000,05300,0000,05300INTEREST EXPENSE 84724,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84724,A000000,05500,0000,05500HOSPICE 84724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84724,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84724,A000000,06100,0000,06100NONPAID WORKERS 84724,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84724,A000000,06200,0000,06200PATIENTS LAUNDRY 84724,A81000A,00100,0100,Y 84724,A81000B,00100,0300,EQUIPMENT RENTAL 84724,A81000C,00100,0100,E 84724,A81000C,00100,0200,CLAUDE SEARS 84724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84724,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84724,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84724,B100000,00000,0800,00000MEALS SERVED :DIETARY 84724,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 84724,B100000,00000,1050,00000COSTED R EQUISITION :CENTRAL SERVIC 84724,E10A180,00301,0100,01/21/2000 84724,S000000,00100,0200,11/30/2000 84724,S200000,00100,0100,145 WEST CLEVELAND STREET 84724,S200000,00100,0300,1027 84724,S200000,00200,0100,NAHUNTA 84724,S200000,00200,0200,GA 84724,S200000,00200,0300,31553- 84724,S200000,00300,0100,BRANTLEY 84724,S200000,00300,0300,R 84724,S200000,00400,0100,BAYVIEW NURSING HOME 84724,S200000,00400,0200,115593 84724,S200000,00400,0300,08/01/1995 84724,S200000,00400,0500,P 84724,S200000,01500,0100,Y 84724,S200000,02800,0100,Y 84724,S200000,02900,0100,Y 84724,S200000,03000,0100,Y 84738,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84738,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84738,A000000,00300,0000,00300EMPLOYEE BENEFITS 84738,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84738,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84738,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84738,A000000,00700,0000,00700HOUSEKEEPING 84738,A000000,00800,0000,00800DIETARY 84738,A000000,00900,0000,00900NURSING ADMINISTRATION 84738,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84738,A000000,01100,0000,01100PHARMACY 84738,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84738,A000000,01300,0000,01300SOCIAL SERVICE 84738,A000000,01350,0000,01500OTHER GENERAL SERVICES 84738,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84738,A000000,01600,0000,01600SKILLED NURSING FACILITY 84738,A000000,01800,0000,01800NURSING FACILITY 84738,A000000,01810,0000,01810ICF/MR 84738,A000000,01900,0000,01900OTHER LONG TERM CARE 84738,A000000,02100,0000,02100RADIOLOGY 84738,A000000,02200,0000,02200LABORATORY 84738,A000000,02300,0000,02300INTRAVENOUS THERAPY 84738,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84738,A000000,02500,0000,02500PHYSICAL THERAPY 84738,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84738,A000000,02700,0000,02700SPEECH PATHOLOGY 84738,A000000,02800,0000,02800ELECTROCARDIOLOGY 84738,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84738,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84738,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84738,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84738,A000000,03200,0000,03200SUPPORT SURFACES 84738,A000000,03400,0000,03400CLINIC 84738,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84738,A000000,03500,0000,03500RURAL HEALTH CLINIC 84738,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84738,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84738,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84738,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84738,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84738,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84738,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84738,A000000,04400,0000,04400DME RENTED - HHA 84738,A000000,04500,0000,04500DME SOLD - HHA 84738,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84738,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84738,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84738,A000000,04800,0000,04800AMBULANCE 84738,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84738,A000000,05000,0000,05000CORF 84738,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84738,A000000,05300,0000,05300INTEREST EXPENSE 84738,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84738,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84738,A000000,05500,0000,05500HOSPICE 84738,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84738,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84738,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84738,A000000,06100,0000,06100NONPAID WORKERS 84738,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84738,A000000,06200,0000,06200PATIENTS LAUNDRY 84738,A81000A,00100,0100,Y 84738,A81000B,00100,0300,MANAGEMENT FEES 84738,A81000B,00200,0300,CAPITAL-BUILDING 84738,A81000B,00300,0300,CAPITAL-EQUIPMENT 84738,A81000C,00100,0100,A 84738,A81000C,00100,0200,BIRD FAMILY LP 84738,A81000C,00100,0400,TAYLOR & BIRD 84738,A81000C,00100,0600,OWNERSHIP 84738,A81000C,00200,0100,A 84738,A81000C,00200,0200,TAYLOR FAMILY LP 84738,A81000C,00200,0400,TAYLOR & BIRD 84738,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84738,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84738,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84738,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84738,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84738,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84738,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84738,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84738,B100000,00000,0950,00000DIRECT NURSG :NURSING ADMINISTRATI 84738,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84738,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84738,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84738,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84738,E10A180,00302,0100,10/04/1999 84738,S000000,00100,0200,08/22/2001 84738,S200000,00100,0100,700 EAST LONG STREET 84738,S200000,00200,0100,CLAXTON 84738,S200000,00200,0200,GA 84738,S200000,00200,0300,30417- 84738,S200000,00300,0100,EVANS 84738,S200000,00300,0200,011 84738,S200000,00300,0300,R 84738,S200000,00400,0100,CLAXTON NURSING HOME 84738,S200000,00400,0200,115598 84738,S200000,00400,0300,03/01/1996 84738,S200000,00400,0500,P 84738,S200000,00400,0600,P 84738,S200000,01500,0100,Y 84738,S200000,02200,0100,Y 84739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84739,A000000,00300,0000,00300EMPLOYEE BENEFITS 84739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84739,A000000,00700,0000,00700HOUSEKEEPING 84739,A000000,00800,0000,00800DIETARY 84739,A000000,00900,0000,00900NURSING ADMINISTRATION 84739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84739,A000000,01100,0000,01100PHARMACY 84739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84739,A000000,01300,0000,01300SOCIAL SERVICE 84739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84739,A000000,01600,0000,01600SKILLED NURSING FACILITY 84739,A000000,01900,0000,01900OTHER LONG TERM CARE 84739,A000000,02100,0000,02100RADIOLOGY 84739,A000000,02200,0000,02200LABORATORY 84739,A000000,02300,0000,02300INTRAVENOUS THERAPY 84739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84739,A000000,02500,0000,02500PHYSICAL THERAPY 84739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84739,A000000,02700,0000,02700SPEECH PATHOLOGY 84739,A000000,02800,0000,02800ELECTROCARDIOLOGY 84739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84739,A000000,03200,0000,03200SUPPORT SURFACES 84739,A000000,03400,0000,03400CLINIC 84739,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84739,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84739,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84739,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84739,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84739,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84739,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84739,A000000,04400,0000,04400DME RENTED - HHA 84739,A000000,04500,0000,04500DME SOLD - HHA 84739,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84739,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84739,A000000,04800,0000,04800AMBULANCE 84739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84739,A000000,05300,0000,05300INTEREST EXPENSE 84739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84739,A000000,05500,0000,05500HOSPICE 84739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84739,A000000,06100,0000,06100NONPAID WORKERS 84739,A000000,06200,0000,06200PATIENTS LAUNDRY 84739,A81000A,00100,0100,Y 84739,A81000B,00100,0300,MANAGEMENT FEES 84739,A81000B,00200,0300,CAPITAL - BUILDING 84739,A81000B,00300,0300,CAPITAL - EQUIPMENT 84739,A81000B,00400,0300,INTEREST EXPENSE 84739,A81000C,00100,0100,A 84739,A81000C,00100,0200,BIRD FAMILY LP 84739,A81000C,00100,0400,TAYLOR & BIRD 84739,A81000C,00100,0600,OWNERSHIP 84739,A81000C,00200,0100,A 84739,A81000C,00200,0200,TAYLOR FMLY LP 84739,A81000C,00200,0400,INC. 84739,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84739,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84739,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84739,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84739,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84739,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84739,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84739,B100000,00000,0850,00000PAT DAYS :DIETARY 84739,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84739,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84739,B100000,00000,1150,00000PAT DAYS :PHARMACY 84739,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84739,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84739,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84739,E10A180,00301,0100,01/25/2000 84739,S000000,00100,0200,11/17/2000 84739,S200000,00100,0100,700 EAST LONG STREET 84739,S200000,00100,0300,712 84739,S200000,00200,0100,CLAXTON 84739,S200000,00200,0200,GA 84739,S200000,00200,0300,30417- 84739,S200000,00300,0100,EVANS 84739,S200000,00400,0100,CLAXTON NURSING HOME 84739,S200000,00400,0200,115598 84739,S200000,00400,0300,03/01/1996 84739,S200000,00400,0500,P 84739,S200000,00400,0600,O 84739,S200000,01500,0100,Y 84739,S200000,02200,0100,Y 84739,S700003,00000,0400,4 84748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84748,A000000,00300,0000,00300EMPLOYEE BENEFITS 84748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84748,A000000,00700,0000,00700HOUSEKEEPING 84748,A000000,00800,0000,00800DIETARY 84748,A000000,00900,0000,00900NURSING ADMINISTRATION 84748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84748,A000000,01100,0000,01100PHARMACY 84748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84748,A000000,01300,0000,01300SOCIAL SERVICE 84748,A000000,01302,0000,01302ACTIVITIES 84748,A000000,01350,0000,01500OTHER GENERAL SERVICES 84748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84748,A000000,01600,0000,01600SKILLED NURSING FACILITY 84748,A000000,01800,0000,01800NURSING FACILITY 84748,A000000,01810,0000,01801ICF/MR 84748,A000000,01900,0000,01900OTHER LONG TERM CARE 84748,A000000,02100,0000,02100RADIOLOGY 84748,A000000,02200,0000,02200LABORATORY 84748,A000000,02300,0000,02300INTRAVENOUS THERAPY 84748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84748,A000000,02500,0000,02500PHYSICAL THERAPY 84748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84748,A000000,02700,0000,02700SPEECH PATHOLOGY 84748,A000000,02800,0000,02800ELECTROCARDIOLOGY 84748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84748,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84748,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84748,A000000,03200,0000,03200SUPPORT SURFACES 84748,A000000,03400,0000,03400CLINIC 84748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84748,A000000,03500,0000,03500RURAL HEALTH CLINIC 84748,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84748,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84748,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84748,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84748,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84748,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84748,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84748,A000000,04400,0000,04400DME RENTED - HHA 84748,A000000,04500,0000,04500DME SOLD - HHA 84748,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84748,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84748,A000000,04800,0000,04800AMBULANCE 84748,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84748,A000000,05000,0000,05000CORF 84748,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84748,A000000,05300,0000,05300INTEREST EXPENSE 84748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84748,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84748,A000000,05500,0000,05500HOSPICE 84748,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84748,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84748,A000000,06100,0000,06100NONPAID WORKERS 84748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84748,A000000,06200,0000,06200PATIENTS LAUNDRY 84748,A81000A,00100,0100,Y 84748,A81000B,00100,0300,MANAGEMENT FEES 84748,A81000B,00200,0300,CAPITAL 84748,A81000C,00100,0100,B 84748,A81000C,00100,0200,NEWCARE HEALTH CORPORATIO 84748,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84748,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84748,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84748,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84748,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84748,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84748,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84748,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84748,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84748,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 84748,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 84748,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84748,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84748,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 84748,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 84748,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 84748,S000000,00100,0200,09/11/2000 84748,S200000,00100,0100,101 STOCKYARD ROAD 84748,S200000,00200,0100,STATESBORO 84748,S200000,00200,0200,GA 84748,S200000,00200,0300,30458- 84748,S200000,00300,0100,BULLOCH 84748,S200000,00400,0100,PECAN MANOR 84748,S200000,00400,0200,115601 84748,S200000,00400,0300,04/01/1996 84748,S200000,00400,0500,P 84748,S200000,01600,0100,Y 84748,S700003,00000,0400,4 84764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84764,A000000,00300,0000,00300EMPLOYEE BENEFITS 84764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84764,A000000,00700,0000,00700HOUSEKEEPING 84764,A000000,00800,0000,00800DIETARY 84764,A000000,00900,0000,00900NURSING ADMINISTRATION 84764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84764,A000000,01100,0000,01100PHARMACY 84764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84764,A000000,01300,0000,01300SOCIAL SERVICE 84764,A000000,01600,0000,01600SKILLED NURSING FACILITY 84764,A000000,01800,0000,01800NURSING FACILITY 84764,A000000,01900,0000,01900OTHER LONG TERM CARE 84764,A000000,02100,0000,02100RADIOLOGY 84764,A000000,02200,0000,02200LABORATORY 84764,A000000,02300,0000,02300INTRAVENOUS THERAPY 84764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84764,A000000,02500,0000,02500PHYSICAL THERAPY 84764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84764,A000000,02700,0000,02700SPEECH PATHOLOGY 84764,A000000,02800,0000,02800ELECTROCARDIOLOGY 84764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84764,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84764,A000000,03051,0000,03301NUTRITIONAL THERAPY 84764,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84764,A000000,03053,0000,03303PHYSICIAN SERVICES 84764,A000000,03054,0000,03304MEDICAL SERVICES 84764,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84764,A000000,03200,0000,03200SUPPORT SURFACES 84764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84764,A000000,04800,0000,04800AMBULANCE 84764,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84764,A000000,05300,0000,05300INTEREST EXPENSE 84764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84764,A000000,06100,0000,06100NONPAID WORKERS 84764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84764,A000000,06200,0000,06200PATIENTS LAUNDRY 84764,A81000A,00100,0100,Y 84764,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84764,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84764,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84764,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84764,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84764,A81000B,00600,0300,SEE ATTACHED 84764,A81000C,00100,0100,B 84764,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84764,A81000C,00200,0200,A-8-1. 84764,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84764,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84764,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84764,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84764,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84764,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84764,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84764,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84764,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84764,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84764,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84764,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84764,S000000,00100,0200,05/30/2000 84764,S200000,00100,0100,226 SOUTH COLLEGE STREET 84764,S200000,00200,0100,STATESBORO 84764,S200000,00200,0200,GA 84764,S200000,00200,0300,30458- 84764,S200000,00300,0100,BULLOCK 84764,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR STATEBORO 84764,S200000,00400,0200,115604 84764,S200000,00400,0300,06/01/1996 84764,S200000,00400,0500,P 84764,S200000,01600,0100,Y 84764,S200000,02200,0100,Y 84764,S700003,00000,0400,4 84771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84771,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 84771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84771,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 84771,A000000,00300,0000,00300EMPLOYEE BENEFITS 84771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84771,A000000,00700,0000,00700HOUSEKEEPING 84771,A000000,00800,0000,00800DIETARY 84771,A000000,00801,0000,00801CAFETERIA 84771,A000000,00900,0000,00900NURSING ADMINISTRATION 84771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84771,A000000,01100,0000,01100PHARMACY 84771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84771,A000000,01300,0000,01300SOCIAL SERVICE 84771,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 84771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84771,A000000,01600,0000,01600SKILLED NURSING FACILITY 84771,A000000,01800,0000,01800NURSING FACILITY 84771,A000000,01900,0000,01900OTHER LONG TERM CARE 84771,A000000,02100,0000,02100RADIOLOGY 84771,A000000,02200,0000,02200LABORATORY 84771,A000000,02300,0000,02300INTRAVENOUS THERAPY 84771,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84771,A000000,02500,0000,02500PHYSICAL THERAPY 84771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84771,A000000,02700,0000,02700SPEECH PATHOLOGY 84771,A000000,02800,0000,02800ELECTROCARDIOLOGY 84771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84771,A000000,03050,0000,03300OTHER ANCILLARY 84771,A000000,03051,0000,03301OTHER ANCILLARY II 84771,A000000,03052,0000,03302OTHER ANCILLARY III 84771,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84771,A000000,03200,0000,03200SUPPORT SURFACES 84771,A000000,03400,0000,03400CLINIC 84771,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 84771,A000000,03500,0000,03500RURAL HEALTH CLINIC 84771,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84771,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84771,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84771,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84771,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84771,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84771,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84771,A000000,04400,0000,04400DME RENTED - HHA 84771,A000000,04500,0000,04500DME SOLD - HHA 84771,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84771,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84771,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84771,A000000,04800,0000,04800AMBULANCE 84771,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84771,A000000,05000,0000,05000CORF 84771,A000000,05010,0000,05010CMHC I 84771,A000000,05020,0000,05020OPT I 84771,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84771,A000000,05300,0000,05300INTEREST EXPENSE 84771,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 84771,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 84771,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84771,A000000,05500,0000,05500HOSPICE 84771,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84771,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84771,A000000,06100,0000,06100NONPAID WORKERS 84771,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84771,A000000,06200,0000,06200PATIENTS LAUNDRY 84771,A81000A,00100,0100,Y 84771,A81000B,00100,0300,MANAGEMENT FEE 84771,A81000C,00100,0100,A 84771,A81000C,00100,0200,FRANK R. SHAW 84771,A81000C,00100,0400,SHAW EXECUTIVES 84771,A81000C,00100,0600,MGT CO 84771,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 84771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84771,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 84771,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 84771,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 84771,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 84771,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 84771,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 84771,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 84771,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 84771,S000000,00100,0200,12/01/2000 84771,S200000,00100,0100,321 HOSPITAL ROAD 84771,S200000,00200,0100,CANTON 84771,S200000,00200,0200,GA 84771,S200000,00200,0300,30114- 84771,S200000,00300,0100,CHEROKEE 84771,S200000,00300,0200,0520 84771,S200000,00300,0300,U 84771,S200000,00400,0100,CANTON NURSING CENTER INC. 84771,S200000,00400,0200,115606 84771,S200000,00400,0300,07/01/1996 84771,S200000,00400,0500,P 84771,S200000,01500,0100,Y 84777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84777,A000000,00300,0000,00300EMPLOYEE BENEFITS 84777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84777,A000000,00700,0000,00700HOUSEKEEPING 84777,A000000,00800,0000,00800DIETARY 84777,A000000,00900,0000,00900NURSING ADMINISTRATION 84777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84777,A000000,01100,0000,01100PHARMACY 84777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84777,A000000,01300,0000,01300SOCIAL SERVICE 84777,A000000,01301,0000,01301ACTIVITIES 84777,A000000,01350,0000,01500OTHER GENERAL SERVICES 84777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84777,A000000,01600,0000,01600SKILLED NURSING FACILITY 84777,A000000,01800,0000,01800NURSING FACILITY 84777,A000000,01810,0000,01810ICF/MR 84777,A000000,01900,0000,01900OTHER LONG TERM CARE 84777,A000000,02100,0000,02100RADIOLOGY 84777,A000000,02200,0000,02200LABORATORY 84777,A000000,02300,0000,02300INTRAVENOUS THERAPY 84777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84777,A000000,02500,0000,02500PHYSICAL THERAPY 84777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84777,A000000,02700,0000,02700SPEECH PATHOLOGY 84777,A000000,02800,0000,02800ELECTROCARDIOLOGY 84777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84777,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84777,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84777,A000000,03200,0000,03200SUPPORT SURFACES 84777,A000000,03400,0000,03400CLINIC 84777,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84777,A000000,03500,0000,03500RURAL HEALTH CLINIC 84777,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84777,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84777,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84777,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84777,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84777,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84777,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84777,A000000,04400,0000,04400DME RENTED - HHA 84777,A000000,04500,0000,04500DME SOLD - HHA 84777,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84777,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84777,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84777,A000000,04800,0000,04800AMBULANCE 84777,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84777,A000000,05000,0000,05000CORF 84777,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84777,A000000,05300,0000,05300INTEREST EXPENSE 84777,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84777,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84777,A000000,05500,0000,05500HOSPICE 84777,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84777,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84777,A000000,06100,0000,06100NONPAID WORKERS 84777,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84777,A000000,06200,0000,06200PATIENTS LAUNDRY 84777,A81000A,00100,0100,Y 84777,A81000B,00100,0300,MANAGEMENT FEES 84777,A81000B,00200,0300,CAPITAL 84777,A81000C,00100,0100,B 84777,A81000C,00100,0200,NEWCARE HEALTH CORPORATIO 84777,A81000C,00100,0600,MANAGEMENT COMPANY 84777,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84777,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84777,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84777,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84777,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84777,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84777,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84777,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84777,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84777,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84777,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84777,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 84777,S000000,00100,0200,09/11/2000 84777,S200000,00100,0100,433 MCGRIFF ROAD 84777,S200000,00100,0300,46 84777,S200000,00200,0100,WHIGHAM 84777,S200000,00200,0200,GA 84777,S200000,00200,0300,31797- 84777,S200000,00300,0100,GRADY 84777,S200000,00300,0200,11 84777,S200000,00300,0300,R 84777,S200000,00400,0100,WHIGHAM HEALTH & REHAB 84777,S200000,00400,0200,115607 84777,S200000,00400,0300,10/01/1996 84777,S200000,00400,0500,P 84777,S200000,01004,0500,O 84777,S200000,01600,0100,Y 84782,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84782,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84782,A000000,00300,0000,00300EMPLOYEE BENEFITS 84782,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84782,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84782,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84782,A000000,00700,0000,00700HOUSEKEEPING 84782,A000000,00800,0000,00800DIETARY 84782,A000000,00900,0000,00900NURSING ADMINISTRATION 84782,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84782,A000000,01100,0000,01100PHARMACY 84782,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84782,A000000,01300,0000,01300SOCIAL SERVICE 84782,A000000,01350,0000,01500OTHER GENERAL SERVICES 84782,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84782,A000000,01600,0000,01600SKILLED NURSING FACILITY 84782,A000000,01800,0000,01800NURSING FACILITY 84782,A000000,01900,0000,01900OTHER LONG TERM CARE 84782,A000000,02100,0000,02100RADIOLOGY 84782,A000000,02200,0000,02200LABORATORY 84782,A000000,02300,0000,02300INTRAVENOUS THERAPY 84782,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84782,A000000,02500,0000,02500PHYSICAL THERAPY 84782,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84782,A000000,02700,0000,02700SPEECH PATHOLOGY 84782,A000000,02800,0000,02800ELECTROCARDIOLOGY 84782,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84782,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84782,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84782,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84782,A000000,03200,0000,03200SUPPORT SURFACES 84782,A000000,03400,0000,03400CLINIC 84782,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84782,A000000,03500,0000,03500RURAL HEALTH CLINIC 84782,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84782,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84782,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84782,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84782,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84782,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84782,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84782,A000000,04400,0000,04400DME RENTED - HHA 84782,A000000,04500,0000,04500DME SOLD - HHA 84782,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84782,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84782,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84782,A000000,04800,0000,04800AMBULANCE 84782,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84782,A000000,05000,0000,05000CORF 84782,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84782,A000000,05300,0000,05300INTEREST EXPENSE 84782,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84782,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84782,A000000,05500,0000,05500HOSPICE 84782,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84782,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84782,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84782,A000000,06100,0000,06100NONPAID WORKERS 84782,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84782,A000000,06200,0000,06200PATIENTS LAUNDRY 84782,A81000A,00100,0100,Y 84782,A81000B,00100,0300,MANAGEMENT SERVICES 84782,A81000B,00200,0300,MANAGEMENT SERVICES 84782,A81000B,00300,0300,PHYSICAL THERAPY 84782,A81000B,00400,0300,OCCUPATIONAL THERAPY 84782,A81000B,00500,0300,SPEECH THERAPY 84782,A81000C,00100,0100,B 84782,A81000C,00100,0400,CARE MORE MANAGEMENT 84782,A81000C,00100,0600,MANAGEMENT 84782,A81000C,00200,0100,B 84782,A81000C,00200,0400,CARE MORE MANAGEMENT 84782,A81000C,00200,0600,MANAGEMENT 84782,A81000C,00300,0100,A 84782,A81000C,00300,0200,SEE ATTACHED 84782,A81000C,00300,0600,THERAPY 84782,A81000C,00400,0100,A 84782,A81000C,00400,0200,SEE ATTACHED 84782,A81000C,00400,0600,THERAPY 84782,A81000C,00500,0100,A 84782,A81000C,00500,0200,SEE ATTACHED 84782,A81000C,00500,0600,THERAPY 84782,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84782,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84782,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84782,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84782,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84782,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84782,B100000,00000,0800,00000MEALS SERVED :DIETARY 84782,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84782,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84782,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84782,S000000,00100,0200,12/01/1999 84782,S200000,00100,0100,1310 W. GORDON STREET 84782,S200000,00200,0100,DOUGLAS 84782,S200000,00200,0200,GA 84782,S200000,00200,0300,31533- 84782,S200000,00300,0100,COFFEE 84782,S200000,00300,0200,11 84782,S200000,00300,0300,R 84782,S200000,00400,0100,SHADY ACRES CONVALESCENT 84782,S200000,00400,0200,115611 84782,S200000,00400,0300,10/01/1996 84782,S200000,00400,0500,P 84782,S200000,01500,0100,Y 84806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84806,A000000,00300,0000,00300EMPLOYEE BENEFITS 84806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84806,A000000,00700,0000,00700HOUSEKEEPING 84806,A000000,00800,0000,00800DIETARY 84806,A000000,00900,0000,00900NURSING ADMINISTRATION 84806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84806,A000000,01100,0000,01100PHARMACY 84806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84806,A000000,01300,0000,01300SOCIAL SERVICE 84806,A000000,01350,0000,01500OTHER GENERAL SERVICES 84806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84806,A000000,01600,0000,01600SKILLED NURSING FACILITY 84806,A000000,01800,0000,01800NURSING FACILITY 84806,A000000,01810,0000,01810ICF/MR 84806,A000000,01900,0000,01900OTHER LONG TERM CARE 84806,A000000,02100,0000,02100RADIOLOGY 84806,A000000,02200,0000,02200LABORATORY 84806,A000000,02300,0000,02300INTRAVENOUS THERAPY 84806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84806,A000000,02500,0000,02500PHYSICAL THERAPY 84806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84806,A000000,02700,0000,02700SPEECH PATHOLOGY 84806,A000000,02800,0000,02800ELECTROCARDIOLOGY 84806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84806,A000000,03050,0000,03300EMERGENCY ROOM 84806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84806,A000000,03200,0000,03200SUPPORT SURFACES 84806,A000000,03400,0000,03400CLINIC 84806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84806,A000000,03500,0000,03500RURAL HEALTH CLINIC 84806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84806,A000000,04400,0000,04400DME RENTED - HHA 84806,A000000,04500,0000,04500DME SOLD - HHA 84806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84806,A000000,04800,0000,04800AMBULANCE 84806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84806,A000000,05000,0000,05000CORF 84806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84806,A000000,05300,0000,05300INTEREST EXPENSE 84806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84806,A000000,05500,0000,05500HOSPICE 84806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84806,A000000,05801,0000,05801DENTAL OFFICE 84806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84806,A000000,06100,0000,06100NONPAID WORKERS 84806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84806,A000000,06200,0000,06200PATIENTS LAUNDRY 84806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84806,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84806,B100000,00000,0800,00000MEALS SERVED :DIETARY 84806,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84806,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84806,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84806,E10A180,00301,0100,01/20/2000 84806,S000000,00100,0200,12/04/2000 84806,S200000,00100,0100,2650 CARSWELL AVENUE 84806,S200000,00100,0300,179 84806,S200000,00200,0100,WAYCROSS 84806,S200000,00200,0200,GA 84806,S200000,00200,0300,31502- 84806,S200000,00300,0100,WARE 84806,S200000,00300,0300,R 84806,S200000,00400,0100,BAPTIST VILLAGE INC. 84806,S200000,00400,0200,115615 84806,S200000,00400,0300,09/01/1996 84806,S200000,00400,0500,P 84806,S200000,01600,0100,Y 84806,S200000,02800,0100,Y 84827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84827,A000000,00300,0000,00300EMPLOYEE BENEFITS 84827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84827,A000000,00700,0000,00700HOUSEKEEPING 84827,A000000,00800,0000,00800DIETARY 84827,A000000,00900,0000,00900NURSING ADMINISTRATION 84827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84827,A000000,01100,0000,01100PHARMACY 84827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84827,A000000,01300,0000,01300SOCIAL SERVICE 84827,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 84827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84827,A000000,01600,0000,01600SKILLED NURSING FACILITY 84827,A000000,01800,0000,01800NURSING FACILITY 84827,A000000,01810,0000,01810ICF/MR 84827,A000000,01900,0000,01900OTHER LONG TERM CARE 84827,A000000,02100,0000,02100RADIOLOGY 84827,A000000,02200,0000,02200LABORATORY 84827,A000000,02300,0000,02300INTRAVENOUS THERAPY 84827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84827,A000000,02500,0000,02500PHYSICAL THERAPY 84827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84827,A000000,02700,0000,02700SPEECH PATHOLOGY 84827,A000000,02800,0000,02800ELECTROCARDIOLOGY 84827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84827,A000000,03200,0000,03200SUPPORT SURFACES 84827,A000000,03400,0000,03400CLINIC 84827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84827,A000000,03500,0000,03500RURAL HEALTH CLINIC 84827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84827,A000000,04400,0000,04400DME RENTED - HHA 84827,A000000,04500,0000,04500DME SOLD - HHA 84827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84827,A000000,04800,0000,04800AMBULANCE 84827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84827,A000000,05000,0000,05000CORF 84827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84827,A000000,05300,0000,05300INTEREST EXPENSE 84827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84827,A000000,05500,0000,05500HOSPICE 84827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84827,A000000,06100,0000,06100NONPAID WORKERS 84827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84827,A000000,06200,0000,06200PATIENTS LAUNDRY 84827,A81000A,00100,0100,Y 84827,A81000B,00100,0300,HOME OFFICE DEPR 84827,A81000B,00200,0300,HOME OFFICE DEPR 84827,A81000B,00300,0300,A&G 84827,A81000C,00100,0100,B 84827,A81000C,00100,0200,ACCORD HC 84827,A81000C,00100,0400,ACCORD HC 84827,A81000C,00100,0600,HOSPITAL MNGT 84827,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 84827,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 84827,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 84827,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84827,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 84827,B100000,00000,0600,00000 POUNDS OF LAUNDRY:LAUNDRY & LINEN 84827,B100000,00000,0700,00000 HOURS OF SERVICE:HOUSEKEEPING 84827,B100000,00000,0800,00000 MEALS SERVED :DIETARY 84827,B100000,00000,0950,00000 DIRECT NRSING HRS:NURSING ADMINIST 84827,B100000,00000,1000,00000 COSTED REQUIS. :CENTRAL SERVICES & 84827,B100000,00000,1100,00000 COSTED REQUIS. :PHARMACY 84827,B100000,00000,1200,00000 TIME SPENT :MEDICAL RECORDS & LIBR 84827,B100000,00000,1300,00000 TIME SPENT :SOCIAL SERVICE 84827,B100000,00000,1350,00000 PATIENT DAYS :OTHER GENERAL SERVIC 84827,B100000,00000,1400,00000 ASSIGNED TIME :INTERNS & RESIDENTS 84827,S000000,00100,0200,03/15/2000 84827,S200000,00100,0100,101 HARTFORD ROAD 84827,S200000,00100,0300,160 84827,S200000,00200,0100,FORT GAINES 84827,S200000,00200,0200,GA 84827,S200000,00200,0300,31751- 84827,S200000,00300,0100,CLAY 84827,S200000,00400,0100,FORT GAINES NURSING 84827,S200000,00400,0200,115620 84827,S200000,00400,0300,10/01/1996 84827,S200000,00400,0600,O 84827,S200000,01500,0100,Y 84827,S200000,03300,0100,Y 84827,S200000,03300,0200,Y 84833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84833,A000000,00300,0000,00300EMPLOYEE BENEFITS 84833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84833,A000000,00700,0000,00700HOUSEKEEPING 84833,A000000,00800,0000,00800DIETARY 84833,A000000,00900,0000,00900NURSING ADMINISTRATION 84833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84833,A000000,01100,0000,01100PHARMACY 84833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84833,A000000,01300,0000,01300SOCIAL SERVICE 84833,A000000,01600,0000,01600SKILLED NURSING FACILITY 84833,A000000,01800,0000,01800NURSING FACILITY 84833,A000000,01900,0000,01900OTHER LONG TERM CARE 84833,A000000,02100,0000,02100RADIOLOGY 84833,A000000,02200,0000,02200LABORATORY 84833,A000000,02300,0000,02300INTRAVENOUS THERAPY 84833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84833,A000000,02500,0000,02500PHYSICAL THERAPY 84833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84833,A000000,02700,0000,02700SPEECH PATHOLOGY 84833,A000000,02800,0000,02800ELECTROCARDIOLOGY 84833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84833,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84833,A000000,03051,0000,03301NUTRITIONAL THERAPY 84833,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84833,A000000,03053,0000,03303PHYSICIAN SERVICES 84833,A000000,03054,0000,03304MEDICAL SERVICES 84833,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84833,A000000,03200,0000,03200SUPPORT SURFACES 84833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84833,A000000,04800,0000,04800AMBULANCE 84833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84833,A000000,05300,0000,05300INTEREST EXPENSE 84833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84833,A000000,06100,0000,06100NONPAID WORKERS 84833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84833,A000000,06200,0000,06200PATIENTS LAUNDRY 84833,A81000A,00100,0100,Y 84833,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84833,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84833,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84833,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84833,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84833,A81000B,00600,0300,SEE ATTACHED 84833,A81000C,00100,0100,B 84833,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84833,A81000C,00200,0200,A-8-1. 84833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84833,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84833,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84833,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84833,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84833,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84833,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84833,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84833,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84833,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84833,S000000,00100,0200,06/02/2000 84833,S200000,00100,0100,BURCHETTS FERRY ROAD 84833,S200000,00200,0100,HAZELHURST 84833,S200000,00200,0200,GA 84833,S200000,00200,0300,31539- 84833,S200000,00300,0100,JEFF DAVIS 84833,S200000,00400,0100,SUNBRIDEG CARE & REHAB - HAZELHURST 84833,S200000,00400,0200,115626 84833,S200000,00400,0300,01/01/1997 84833,S200000,00400,0500,P 84833,S200000,01600,0100,Y 84833,S200000,02200,0100,Y 84833,S700003,00000,0400,4 84839,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84839,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84839,A000000,00300,0000,00300EMPLOYEE BENEFITS 84839,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84839,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84839,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84839,A000000,00700,0000,00700HOUSEKEEPING 84839,A000000,00800,0000,00800DIETARY 84839,A000000,00900,0000,00900NURSING ADMINISTRATION 84839,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84839,A000000,01100,0000,01100PHARMACY 84839,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84839,A000000,01300,0000,01300SOCIAL SERVICE 84839,A000000,01600,0000,01600SKILLED NURSING FACILITY 84839,A000000,01800,0000,01800NURSING FACILITY 84839,A000000,01900,0000,01900OTHER LONG TERM CARE 84839,A000000,02100,0000,02100RADIOLOGY 84839,A000000,02200,0000,02200LABORATORY 84839,A000000,02300,0000,02300INTRAVENOUS THERAPY 84839,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84839,A000000,02500,0000,02500PHYSICAL THERAPY 84839,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84839,A000000,02700,0000,02700SPEECH PATHOLOGY 84839,A000000,02800,0000,02800ELECTROCARDIOLOGY 84839,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84839,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84839,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84839,A000000,03051,0000,03301NUTRITIONAL THERAPY 84839,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84839,A000000,03053,0000,03303PHYSICIAN SERVICES 84839,A000000,03054,0000,03304MEDICAL SERVICES 84839,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84839,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84839,A000000,03200,0000,03200SUPPORT SURFACES 84839,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84839,A000000,04800,0000,04800AMBULANCE 84839,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84839,A000000,05300,0000,05300INTEREST EXPENSE 84839,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84839,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84839,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84839,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84839,A000000,06100,0000,06100NONPAID WORKERS 84839,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84839,A000000,06200,0000,06200PATIENTS LAUNDRY 84839,A81000A,00100,0100,Y 84839,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84839,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84839,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84839,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84839,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84839,A81000B,00600,0300,SEE ATTACHED 84839,A81000C,00100,0100,B 84839,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84839,A81000C,00200,0200,A-8-1. 84839,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84839,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84839,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84839,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84839,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84839,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84839,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84839,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84839,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84839,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84839,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84839,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84839,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84839,S000000,00100,0200,06/02/2000 84839,S200000,00100,0100,401 NORTH OKEGFENOKE 84839,S200000,00200,0100,FOLKSTON 84839,S200000,00200,0200,GA 84839,S200000,00200,0300,31537- 84839,S200000,00300,0100,CHARLTON 84839,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR FOLKSTON 84839,S200000,00400,0200,115630 84839,S200000,00400,0300,01/01/1997 84839,S200000,00400,0500,P 84839,S200000,01500,0100,Y 84839,S200000,02200,0100,Y 84839,S700003,00000,0400,4 84853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84853,A000000,00300,0000,00300EMPLOYEE BENEFITS 84853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84853,A000000,00700,0000,00700HOUSEKEEPING 84853,A000000,00800,0000,00800DIETARY 84853,A000000,00900,0000,00900NURSING ADMINISTRATION 84853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84853,A000000,01100,0000,01100PHARMACY 84853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84853,A000000,01300,0000,01300SOCIAL SERVICE 84853,A000000,01600,0000,01600SKILLED NURSING FACILITY 84853,A000000,01800,0000,01800NURSING FACILITY 84853,A000000,01900,0000,01900OTHER LONG TERM CARE 84853,A000000,02100,0000,02100RADIOLOGY 84853,A000000,02200,0000,02200LABORATORY 84853,A000000,02300,0000,02300INTRAVENOUS THERAPY 84853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84853,A000000,02500,0000,02500PHYSICAL THERAPY 84853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84853,A000000,02700,0000,02700SPEECH PATHOLOGY 84853,A000000,02800,0000,02800ELECTROCARDIOLOGY 84853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84853,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84853,A000000,03051,0000,03301NUTRITIONAL THERAPY 84853,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 84853,A000000,03053,0000,03303PHYSICIAN SERVICES 84853,A000000,03054,0000,03304MEDICAL SERVICES 84853,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 84853,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84853,A000000,03200,0000,03200SUPPORT SURFACES 84853,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84853,A000000,04800,0000,04800AMBULANCE 84853,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84853,A000000,05300,0000,05300INTEREST EXPENSE 84853,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84853,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84853,A000000,06100,0000,06100NONPAID WORKERS 84853,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84853,A000000,06200,0000,06200PATIENTS LAUNDRY 84853,A81000A,00100,0100,Y 84853,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 84853,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 84853,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 84853,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 84853,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 84853,A81000B,00600,0300,SEE ATTACHED 84853,A81000C,00100,0100,B 84853,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 84853,A81000C,00200,0200,A-8-1. 84853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84853,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84853,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 84853,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84853,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84853,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84853,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84853,S000000,00100,0200,06/02/2000 84853,S200000,00100,0100,410 SWEAT STREET 84853,S200000,00200,0100,HOMERVILLE 84853,S200000,00200,0200,GA 84853,S200000,00200,0300,31634- 84853,S200000,00300,0100,CLINCH 84853,S200000,00400,0100,SUNBRIDGE CARE & REHAB - HOMERVILLE 84853,S200000,00400,0200,115635 84853,S200000,00400,0300,07/01/1996 84853,S200000,00400,0500,P 84853,S200000,01500,0100,Y 84853,S200000,02200,0100,Y 84853,S700003,00000,0400,4 84854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84854,A000000,00300,0000,00300EMPLOYEE BENEFITS 84854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84854,A000000,00700,0000,00700HOUSEKEEPING 84854,A000000,00800,0000,00800DIETARY 84854,A000000,00900,0000,00900NURSING ADMINISTRATION 84854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84854,A000000,01100,0000,01100PHARMACY 84854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84854,A000000,01300,0000,01300SOCIAL SERVICE 84854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84854,A000000,01600,0000,01600SKILLED NURSING FACILITY 84854,A000000,01800,0000,01800NURSING FACILITY 84854,A000000,01900,0000,01900OTHER LONG TERM CARE 84854,A000000,02100,0000,02100RADIOLOGY 84854,A000000,02200,0000,02200LABORATORY 84854,A000000,02300,0000,02300INTRAVENOUS THERAPY 84854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84854,A000000,02500,0000,02500PHYSICAL THERAPY 84854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84854,A000000,02700,0000,02700SPEECH PATHOLOGY 84854,A000000,02800,0000,02800ELECTROCARDIOLOGY 84854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84854,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84854,A000000,03200,0000,03200SUPPORT SURFACES 84854,A000000,03400,0000,03400CLINIC 84854,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84854,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84854,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84854,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84854,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84854,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84854,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84854,A000000,04400,0000,04400DME RENTED - HHA 84854,A000000,04500,0000,04500DME SOLD - HHA 84854,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84854,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84854,A000000,04800,0000,04800AMBULANCE 84854,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84854,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84854,A000000,05300,0000,05300INTEREST EXPENSE 84854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84854,A000000,05500,0000,05500HOSPICE 84854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84854,A000000,06100,0000,06100NONPAID WORKERS 84854,A000000,06200,0000,06200PATIENTS LAUNDRY 84854,A81000A,00100,0100,Y 84854,A81000B,00100,0300,MANAGEMENT FEES 84854,A81000B,00200,0300,NEW CAPITAL 84854,A81000C,00100,0100,A 84854,A81000C,00100,0200,TY BROGDON 84854,A81000C,00200,0100,B 84854,A81000C,00300,0100,A 84854,A81000C,00300,0200,DARRELL TUCKER 84854,A81000C,00400,0100,A 84854,A81000C,00400,0200,ED LANE 84854,A81000C,00500,0100,A 84854,A81000C,00500,0200,ROB LANCASTER 84854,A81000C,00600,0100,A 84854,A81000C,00600,0200,SHELLY LINDQUIT 84854,A81000C,00700,0100,A 84854,A81000C,00700,0200,LETTIE WILSON 84854,A81000C,00800,0100,A 84854,A81000C,00800,0200,LIZ WOOD 84854,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84854,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84854,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84854,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84854,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84854,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84854,B100000,00000,0850,00000PAT DAYS :DIETARY 84854,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84854,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84854,B100000,00000,1150,00000PAT DAYS :PHARMACY 84854,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84854,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84854,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84854,S000000,00100,0200,06/05/2000 84854,S200000,00100,0100,3051 WHITESIDE ROAD 84854,S200000,00200,0100,MACON 84854,S200000,00200,0200,GA 84854,S200000,00200,0300,31216- 84854,S200000,00300,0100,BIBB 84854,S200000,00400,0100,HARTLEY WOODS HEATLH & REHAB 84854,S200000,00400,0200,115636 84854,S200000,00400,0300,03/01/1997 84854,S200000,00400,0500,P 84854,S200000,00400,0600,O 84854,S200000,01500,0100,Y 84854,S200000,04700,0100,Y 84874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84874,A000000,00300,0000,00300EMPLOYEE BENEFITS 84874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84874,A000000,00700,0000,00700HOUSEKEEPING 84874,A000000,00800,0000,00800DIETARY 84874,A000000,00900,0000,00900NURSING ADMINISTRATION 84874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84874,A000000,01300,0000,01300SOCIAL SERVICE 84874,A000000,01600,0000,01600SKILLED NURSING FACILITY 84874,A000000,01800,0000,01800NURSING FACILITY 84874,A000000,01810,0000,01801ICF/MR 84874,A000000,01900,0000,01900OTHER LONG TERM CARE 84874,A000000,02100,0000,02100RADIOLOGY 84874,A000000,02200,0000,02200LABORATORY 84874,A000000,02300,0000,02300INTRAVENOUS THERAPY 84874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84874,A000000,02500,0000,02500PHYSICAL THERAPY 84874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84874,A000000,02700,0000,02700SPEECH PATHOLOGY 84874,A000000,02800,0000,02800ELECTROCARDIOLOGY 84874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84874,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84874,A000000,03200,0000,03200SUPPORT SURFACES 84874,A000000,03400,0000,03400CLINIC 84874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84874,A000000,03500,0000,03500RURAL HEALTH CLINIC 84874,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84874,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84874,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84874,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84874,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84874,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84874,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84874,A000000,04400,0000,04400DME RENTED - HHA 84874,A000000,04500,0000,04500DME SOLD - HHA 84874,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84874,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84874,A000000,04800,0000,04800AMBULANCE 84874,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84874,A000000,05000,0000,05000CORF 84874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84874,A000000,05300,0000,05300INTEREST EXPENSE 84874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84874,A000000,05500,0000,05500HOSPICE 84874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84874,A000000,06100,0000,06100NONPAID WORKERS 84874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84874,A000000,06200,0000,06200PATIENTS LAUNDRY 84874,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 84874,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 84874,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 84874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84874,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 84874,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 84874,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 84874,B100000,00000,0850,00000NO STATISTICS :DIETARY 84874,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 84874,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 84874,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 84874,S000000,00100,0200,12/19/2000 84874,S200000,00100,0100,1005 HWY 88 NORTH 84874,S200000,00100,0300,220 84874,S200000,00200,0100,KEYSVILLE 84874,S200000,00200,0200,GA 84874,S200000,00200,0300,30816- 84874,S200000,00300,0100,BURKE 84874,S200000,00400,0100,KEYSVILLE CONVALESCENT & NURSING CTR 84874,S200000,00400,0200,115644 84874,S200000,00400,0300,08/01/1997 84874,S200000,00400,0500,P 84874,S200000,01500,0100,Y 84886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84886,A000000,00300,0000,00300EMPLOYEE BENEFITS 84886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84886,A000000,00700,0000,00700HOUSEKEEPING 84886,A000000,00800,0000,00800DIETARY 84886,A000000,00900,0000,00900NURSING ADMINISTRATION 84886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84886,A000000,01100,0000,01100PHARMACY 84886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84886,A000000,01300,0000,01300SOCIAL SERVICE 84886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84886,A000000,01600,0000,01600SKILLED NURSING FACILITY 84886,A000000,01800,0000,01800NURSING FACILITY 84886,A000000,02100,0000,02100RADIOLOGY 84886,A000000,02200,0000,02200LABORATORY 84886,A000000,02300,0000,02300INTRAVENOUS THERAPY 84886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84886,A000000,02500,0000,02500PHYSICAL THERAPY 84886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84886,A000000,02700,0000,02700SPEECH PATHOLOGY 84886,A000000,02800,0000,02800ELECTROCARDIOLOGY 84886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84886,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84886,A000000,03200,0000,03200SUPPORT SURFACES 84886,A000000,03400,0000,03400CLINIC 84886,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84886,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84886,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84886,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84886,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84886,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84886,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84886,A000000,04400,0000,04400DME RENTED - HHA 84886,A000000,04500,0000,04500DME SOLD - HHA 84886,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84886,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84886,A000000,04800,0000,04800AMBULANCE 84886,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84886,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84886,A000000,05300,0000,05300INTEREST EXPENSE 84886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84886,A000000,05500,0000,05500HOSPICE 84886,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84886,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84886,A000000,06100,0000,06100NONPAID WORKERS 84886,A000000,06200,0000,06200PATIENTS LAUNDRY 84886,A81000A,00100,0100,Y 84886,A81000B,00100,0300,MANAGEMENT FEES 84886,A81000B,00200,0300,MAINTENANCE CONTRACTED SERV 84886,A81000B,00300,0300,CAPITAL - BLDG 84886,A81000B,00400,0300,CAPITAL - MME 84886,A81000B,00500,0300,CAPITAL - BLDG 84886,A81000B,00600,0300,CAPITAL - MME 84886,A81000B,00700,0300,FLOOR STOCK DRUGS 84886,A81000B,00800,0300,DIETARY CONSULTING 84886,A81000C,00100,0100,A 84886,A81000C,00100,0200,ELDERCARE PHARM 84886,A81000C,00100,0400,MEDICAL MATRIX 84886,A81000C,00100,0600,PHARMACY 84886,A81000C,00200,0100,A 84886,A81000C,00200,0200,PROF HEALTHCARE 84886,A81000C,00200,0400,MEDICAL MATRIX 84886,A81000C,00200,0600,PHARM & DIETARY 84886,A81000C,00300,0100,A 84886,A81000C,00300,0200,GEORGIA HOME CR 84886,A81000C,00300,0400,MEDICAL MATRIX 84886,A81000C,00300,0600,IV THERAPY 84886,A81000C,00400,0100,A 84886,A81000C,00400,0200,GAP MANAGEMENT 84886,A81000C,00400,0400,MEDICAL MATRIX 84886,A81000C,00400,0600,MANAGEMENT 84886,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84886,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84886,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84886,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84886,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84886,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84886,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84886,B100000,00000,0850,00000PAT DAYS :DIETARY 84886,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84886,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84886,B100000,00000,1150,00000PAT DAYS :PHARMACY 84886,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84886,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84886,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84886,E10A180,00501,0100,02/18/2000 84886,E10A180,00501,0300,02/18/2000 84886,S000000,00100,0200,12/30/1999 84886,S200000,00100,0100,3520 KENNETH DRIVE 84886,S200000,00200,0100,MACON 84886,S200000,00200,0200,GA 84886,S200000,00200,0300,31206- 84886,S200000,00300,0100,BIBB 84886,S200000,00400,0100,CHERRY BLOSSOM HEALTH CARE 84886,S200000,00400,0200,115652 84886,S200000,00400,0300,02/01/1998 84886,S200000,00400,0500,P 84886,S200000,00600,0200,115652 84886,S200000,00600,0300,02/01/1998 84886,S200000,00600,0600,P 84886,S200000,01600,0100,Y 84886,S200000,02200,0100,Y 84886,S700003,00000,0400,4 84892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84892,A000000,00300,0000,00300EMPLOYEE BENEFITS 84892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84892,A000000,00700,0000,00700HOUSEKEEPING 84892,A000000,00800,0000,00800DIETARY 84892,A000000,00900,0000,00900NURSING ADMINISTRATION 84892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84892,A000000,01100,0000,01100PHARMACY 84892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84892,A000000,01300,0000,01300SOCIAL SERVICE 84892,A000000,01350,0000,01500OTHER GENERAL SERVICES 84892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84892,A000000,01600,0000,01600SKILLED NURSING FACILITY 84892,A000000,01800,0000,01800NURSING FACILITY 84892,A000000,01810,0000,01810ICF/MR 84892,A000000,01900,0000,01900OTHER LONG TERM CARE 84892,A000000,02100,0000,02100RADIOLOGY 84892,A000000,02200,0000,02200LABORATORY 84892,A000000,02300,0000,02300INTRAVENOUS THERAPY 84892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84892,A000000,02500,0000,02500PHYSICAL THERAPY 84892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84892,A000000,02700,0000,02700SPEECH PATHOLOGY 84892,A000000,02800,0000,02800ELECTROCARDIOLOGY 84892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84892,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84892,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84892,A000000,03200,0000,03200SUPPORT SURFACES 84892,A000000,03400,0000,03400CLINIC 84892,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84892,A000000,03500,0000,03500RURAL HEALTH CLINIC 84892,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84892,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84892,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84892,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84892,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84892,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84892,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84892,A000000,04400,0000,04400DME RENTED - HHA 84892,A000000,04500,0000,04500DME SOLD - HHA 84892,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84892,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84892,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84892,A000000,04800,0000,04800AMBULANCE 84892,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84892,A000000,05000,0000,05000CORF 84892,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84892,A000000,05300,0000,05300INTEREST EXPENSE 84892,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84892,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84892,A000000,05500,0000,05500HOSPICE 84892,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84892,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84892,A000000,06100,0000,06100NONPAID WORKERS 84892,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84892,A000000,06200,0000,06200PATIENTS LAUNDRY 84892,A81000A,00100,0100,Y 84892,A81000B,00100,0300,ADMIN & GENERAL 84892,A81000B,00200,0300,CAP REL COSTS - BLDGS & FIXTURES 84892,A81000C,00100,0100,A 84892,A81000C,00100,0200,TYGH BROGDON 84892,A81000C,00100,0400,BRENTWOOD HC 84892,A81000C,00100,0600,MANAGEMENT COMPANY 84892,A81000C,00200,0100,B 84892,A81000C,00300,0100,A 84892,A81000C,00300,0200,ROB LANCASTER 84892,A81000C,00400,0100,A 84892,A81000C,00400,0200,SHELLY LINDQUIST 84892,A81000C,00500,0100,A 84892,A81000C,00500,0200,LETTIE WILSON 84892,A81000C,00600,0100,A 84892,A81000C,00600,0200,LIZ WOOD 84892,A81000C,00700,0100,A 84892,A81000C,00700,0200,JOHN MACK 84892,A81000C,00800,0100,A 84892,A81000C,00800,0200,KATHRYN PIFER 84892,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84892,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84892,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84892,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84892,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84892,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84892,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84892,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84892,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84892,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84892,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84892,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84892,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84892,S000000,00100,0200,08/15/2001 84892,S200000,00100,0100,176 LINCOLN AVENUE 84892,S200000,00200,0100,FITZGERALD 84892,S200000,00200,0200,GA 84892,S200000,00200,0300,31730- 84892,S200000,00300,0100,BEN HILL 84892,S200000,00300,0200,11 84892,S200000,00300,0300,R 84892,S200000,00400,0100,LIFE CARE CENTER 84892,S200000,00400,0200,115654 84892,S200000,00400,0300,07/01/1998 84892,S200000,00400,0500,P 84892,S200000,00400,0600,O 84892,S200000,01500,0100,Y 84894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84894,A000000,00300,0000,00300EMPLOYEE BENEFITS 84894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84894,A000000,00700,0000,00700HOUSEKEEPING 84894,A000000,00800,0000,00800DIETARY 84894,A000000,00900,0000,00900NURSING ADMINISTRATION 84894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84894,A000000,01100,0000,01100PHARMACY 84894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84894,A000000,01300,0000,01300SOCIAL SERVICE 84894,A000000,01350,0000,01500OTHER GENERAL SERVICES 84894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84894,A000000,01600,0000,01600SKILLED NURSING FACILITY 84894,A000000,01800,0000,01800NURSING FACILITY 84894,A000000,01810,0000,01810ICF/MR 84894,A000000,01900,0000,01900OTHER LONG TERM CARE 84894,A000000,02100,0000,02100RADIOLOGY 84894,A000000,02200,0000,02200LABORATORY 84894,A000000,02300,0000,02300INTRAVENOUS THERAPY 84894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84894,A000000,02500,0000,02500PHYSICAL THERAPY 84894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84894,A000000,02700,0000,02700SPEECH PATHOLOGY 84894,A000000,02800,0000,02800ELECTROCARDIOLOGY 84894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84894,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84894,A000000,03200,0000,03200SUPPORT SURFACES 84894,A000000,03400,0000,03400CLINIC 84894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84894,A000000,03500,0000,03500RURAL HEALTH CLINIC 84894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84894,A000000,04400,0000,04400DME RENTED - HHA 84894,A000000,04500,0000,04500DME SOLD - HHA 84894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84894,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84894,A000000,04800,0000,04800AMBULANCE 84894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84894,A000000,05000,0000,05000CORF 84894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84894,A000000,05300,0000,05300INTEREST EXPENSE 84894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84894,A000000,05500,0000,05500HOSPICE 84894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84894,A000000,06100,0000,06100NONPAID WORKERS 84894,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84894,A000000,06200,0000,06200PATIENTS LAUNDRY 84894,A81000A,00100,0100,Y 84894,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 84894,A81000B,00200,0300,CAPITAL RELATED - BLDGS 84894,A81000C,00100,0100,E 84894,A81000C,00100,0200,TYGH BROGDON 84894,A81000C,00100,0400,BRENTWOOD HC 84894,A81000C,00100,0600,MANAGEMENT COMPANY 84894,A81000C,00200,0100,E 84894,A81000C,00300,0100,E 84894,A81000C,00300,0200,ROB LANCASTER 84894,A81000C,00400,0100,E 84894,A81000C,00400,0200,SHELLY LINDQUIST 84894,A81000C,00500,0100,E 84894,A81000C,00500,0200,LETTIE WILSON 84894,A81000C,00600,0100,E 84894,A81000C,00600,0200,LIZ WOOD 84894,A81000C,00700,0100,E 84894,A81000C,00700,0200,JOHN MACK 84894,A81000C,00800,0100,E 84894,A81000C,00800,0200,KATHRYN PIFER 84894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84894,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84894,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84894,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84894,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84894,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84894,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 84894,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84894,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84894,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84894,S000000,00100,0200,08/15/2001 84894,S200000,00100,0100,176 LINCOLN AVENUE 84894,S200000,00200,0100,FITZGERALD 84894,S200000,00200,0200,GA 84894,S200000,00200,0300,31730- 84894,S200000,00300,0100,BEN HILL 84894,S200000,00300,0200,11 84894,S200000,00300,0300,R 84894,S200000,00400,0100,LIFE CARE CENTER 84894,S200000,00400,0200,115654 84894,S200000,00400,0300,07/01/1998 84894,S200000,00400,0500,P 84894,S200000,00400,0600,O 84894,S200000,01004,0500,O 84894,S200000,01500,0100,Y 84904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84904,A000000,00300,0000,00300EMPLOYEE BENEFITS 84904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84904,A000000,00700,0000,00700HOUSEKEEPING 84904,A000000,00800,0000,00800DIETARY 84904,A000000,00900,0000,00900NURSING ADMINISTRATION 84904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84904,A000000,01100,0000,01100PHARMACY 84904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84904,A000000,01300,0000,01300SOCIAL SERVICE 84904,A000000,01350,0000,01500ACTIVITIES 84904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84904,A000000,01600,0000,01600SKILLED NURSING FACILITY 84904,A000000,01800,0000,01800NURSING FACILITY 84904,A000000,01900,0000,01900OTHER LONG TERM CARE 84904,A000000,02100,0000,02100RADIOLOGY 84904,A000000,02200,0000,02200LABORATORY 84904,A000000,02300,0000,02300INTRAVENOUS THERAPY 84904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84904,A000000,02500,0000,02500PHYSICAL THERAPY 84904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84904,A000000,02700,0000,02700SPEECH PATHOLOGY 84904,A000000,02800,0000,02800ELECTROCARDIOLOGY 84904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84904,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 84904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84904,A000000,03200,0000,03200SUPPORT SURFACES 84904,A000000,03400,0000,03400CLINIC 84904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 84904,A000000,04800,0000,04800AMBULANCE 84904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84904,A000000,05000,0000,05000CORF 84904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84904,A000000,05300,0000,05300INTEREST EXPENSE 84904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84904,A000000,05500,0000,05500HOSPICE 84904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84904,A000000,06100,0000,06100NONPAID WORKERS 84904,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 84904,A000000,06200,0000,06200PATIENTS LAUNDRY 84904,A81000A,00100,0100,Y 84904,A81000B,00100,0300,NURSING SUPPLIES 84904,A81000B,00200,0300,NURSING SUPPLIES 84904,A81000B,00300,0300,DRUGS RELATED 84904,A81000B,00400,0300,PRIVATE PRESC. DRUGS 84904,A81000B,00500,0300,CONTRACTED SERVICE 84904,A81000B,00600,0300,MEDICARE PRESC. DRUGS 84904,A81000B,00700,0300,SUPPLIES 84904,A81000B,00800,0300,HEPATITIS B VACCINE 84904,A81000B,00900,0300,MEDICAL SUPPLIES 84904,A81000B,01000,0300,SUPPLIES 84904,A81000B,01100,0300,SUPPLIES 84904,A81000B,01200,0300,SUPPLIES 84904,A81000B,01300,0300,SUPPLIES 84904,A81000B,01400,0300,SUPPLIES 84904,A81000B,01500,0300,SUPPLIES 84904,A81000B,01600,0300,POOLED COST/INTEREST EXP/INTEREST IN 84904,A81000B,01700,0300,FACILITY ADMINISTRATOR 84904,A81000B,01800,0300,DIETARY CONSULTANT 84904,A81000B,01900,0300,NURSE CONSULTANT 84904,A81000B,02000,0300,REGIONAL PERSONNEL 84904,A81000B,02100,0300,CAPITAL RELATED H.O. 84904,A81000C,00100,0100,B 84904,A81000C,00100,0200,NEIL PRUITT 84904,A81000C,00100,0400,UNITED REHAB 84904,A81000C,00100,0600,THERAPY 84904,A81000C,00200,0100,B 84904,A81000C,00200,0200,NEIL PRUITT 84904,A81000C,00200,0400,UNITED PHARMACY 84904,A81000C,00200,0600,PHARAMCY 84904,A81000C,00300,0100,B 84904,A81000C,00300,0200,NEIL PRUITT 84904,A81000C,00300,0400,PRUITT PROPERTI 84904,A81000C,00300,0600,RENTAL 84904,A81000C,00400,0100,B 84904,A81000C,00400,0200,NEIL PRUITT 84904,A81000C,00400,0400,PRUITT CORPORAT 84904,A81000C,00400,0600,MANAGEMENT 84904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84904,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84904,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84904,B100000,00000,0800,00000MEALS SERVED :DIETARY 84904,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84904,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84904,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84904,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 84904,E10A180,00301,0100,12/21/1998 84904,E10A180,00501,0100,01/26/2000 84904,S000000,00100,0200,12/01/1999 84904,S200000,00100,0100,99 HILL HAVEN ROAD 84904,S200000,00200,0100,GREENVILLE 84904,S200000,00200,0200,CA 84904,S200000,00200,0300,30222- 84904,S200000,00300,0100,MERIWETHER 84904,S200000,00300,0200,11 84904,S200000,00300,0300,R 84904,S200000,00400,0100,ALVISTA HEALTHCARE INC. 84904,S200000,00400,0200,115658 84904,S200000,00400,0300,01/01/1999 84904,S200000,00400,0500,P 84904,S200000,01600,0100,Y 84908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84908,A000000,00300,0000,00300EMPLOYEE BENEFITS 84908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84908,A000000,00700,0000,00700HOUSEKEEPING 84908,A000000,00800,0000,00800DIETARY 84908,A000000,00900,0000,00900NURSING ADMINISTRATION 84908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84908,A000000,01100,0000,01100PHARMACY 84908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84908,A000000,01300,0000,01300SOCIAL SERVICE 84908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84908,A000000,01600,0000,01600SKILLED NURSING FACILITY 84908,A000000,01800,0000,01800NURSING FACILITY 84908,A000000,01900,0000,01900OTHER LONG TERM CARE 84908,A000000,02100,0000,02100RADIOLOGY 84908,A000000,02200,0000,02200LABORATORY 84908,A000000,02300,0000,02300INTRAVENOUS THERAPY 84908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84908,A000000,02500,0000,02500PHYSICAL THERAPY 84908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84908,A000000,02700,0000,02700SPEECH PATHOLOGY 84908,A000000,02800,0000,02800ELECTROCARDIOLOGY 84908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84908,A000000,03200,0000,03200SUPPORT SURFACES 84908,A000000,03400,0000,03400CLINIC 84908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84908,A000000,04400,0000,04400DME RENTED - HHA 84908,A000000,04500,0000,04500DME SOLD - HHA 84908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84908,A000000,04800,0000,04800AMBULANCE 84908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84908,A000000,05300,0000,05300INTEREST EXPENSE 84908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84908,A000000,05500,0000,05500HOSPICE 84908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84908,A000000,06100,0000,06100NONPAID WORKERS 84908,A000000,06200,0000,06200PATIENTS LAUNDRY 84908,A81000A,00100,0100,Y 84908,A81000B,00100,0300,MANAGEMENT FEES 84908,A81000B,00200,0300,NEW CAPITAL 84908,A81000C,00100,0100,A 84908,A81000C,00100,0200,TY BROGDON 84908,A81000C,00200,0100,B 84908,A81000C,00300,0100,A 84908,A81000C,00300,0200,DARRELL TUCKER 84908,A81000C,00400,0100,A 84908,A81000C,00400,0200,ED LANE 84908,A81000C,00500,0100,A 84908,A81000C,00500,0200,ROB LANCASTER 84908,A81000C,00600,0100,A 84908,A81000C,00600,0200,SHELLY LINDQUIT 84908,A81000C,00700,0100,A 84908,A81000C,00700,0200,LETTIE WILSON 84908,A81000C,00800,0100,A 84908,A81000C,00800,0200,LIZ WOOD 84908,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 84908,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 84908,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 84908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84908,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 84908,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 84908,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 84908,B100000,00000,0850,00000PAT DAYS :DIETARY 84908,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 84908,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 84908,B100000,00000,1150,00000PAT DAYS :PHARMACY 84908,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 84908,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 84908,B100000,00000,1450,00000PAT DAYS :INTERNS & RESIDENTS (APP 84908,S000000,00100,0200,06/01/2000 84908,S200000,00100,0100,1510 RENAISSANCE DRIVE 84908,S200000,00200,0100,CONYERS 84908,S200000,00200,0200,GA 84908,S200000,00200,0300,30012- 84908,S200000,00300,0100,ROCKDALE 84908,S200000,00400,0100,ROCKDALE HEALTHCARE 84908,S200000,00400,0200,115662 84908,S200000,00400,0300,05/27/1999 84908,S200000,00400,0500,P 84908,S200000,00400,0600,O 84908,S200000,01500,0100,Y 84910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84910,A000000,00300,0000,00300EMPLOYEE BENEFITS 84910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84910,A000000,00700,0000,00700HOUSEKEEPING 84910,A000000,00800,0000,00800DIETARY 84910,A000000,00900,0000,00900NURSING ADMINISTRATION 84910,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84910,A000000,01100,0000,01100PHARMACY 84910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84910,A000000,01300,0000,01300SOCIAL SERVICE 84910,A000000,01350,0000,01500OTHER GENERAL SERVICES 84910,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84910,A000000,01600,0000,01600SKILLED NURSING FACILITY 84910,A000000,01800,0000,01800NURSING FACILITY 84910,A000000,01810,0000,01801ICF/MR 84910,A000000,01900,0000,01900OTHER LONG TERM CARE 84910,A000000,02100,0000,02100RADIOLOGY 84910,A000000,02200,0000,02200LABORATORY 84910,A000000,02300,0000,02300INTRAVENOUS THERAPY 84910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84910,A000000,02500,0000,02500PHYSICAL THERAPY 84910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84910,A000000,02700,0000,02700SPEECH PATHOLOGY 84910,A000000,02800,0000,02800ELECTROCARDIOLOGY 84910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84910,A000000,03200,0000,03200SUPPORT SURFACES 84910,A000000,03400,0000,03400CLINIC 84910,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84910,A000000,03500,0000,03500RURAL HEALTH CLINIC 84910,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84910,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84910,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84910,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84910,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84910,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84910,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84910,A000000,04400,0000,04400DME RENTED - HHA 84910,A000000,04500,0000,04500DME SOLD - HHA 84910,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84910,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84910,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84910,A000000,04800,0000,04800AMBULANCE 84910,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84910,A000000,05000,0000,05000CORF 84910,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84910,A000000,05300,0000,05300INTEREST EXPENSE 84910,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84910,A000000,05500,0000,05500HOSPICE 84910,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84910,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84910,A000000,06100,0000,06100NONPAID WORKERS 84910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84910,A000000,06200,0000,06200PATIENTS LAUNDRY 84910,A81000A,00100,0100,Y 84910,A81000B,00100,0300,MANAGEMENT FEES 84910,A81000B,00200,0300,PHYSICAL THERAPY 84910,A81000B,00300,0300,OCCUPATIONAL THERAPY 84910,A81000B,00400,0300,SPEECH THERAPY 84910,A81000C,00100,0100,B 84910,A81000C,00100,0400,CARE MORE MANAGEMENT 84910,A81000C,00100,0600,MANAGEMENT 84910,A81000C,00200,0100,B 84910,A81000C,00200,0400,INTEGRA REHABILITATION 84910,A81000C,00200,0600,THERAPY 84910,A81000C,00300,0100,B 84910,A81000C,00300,0400,INTEGRA REHABILITATION 84910,A81000C,00300,0600,THERAPY 84910,A81000C,00400,0100,B 84910,A81000C,00400,0400,INTEGRA REHABILITATION 84910,A81000C,00400,0600,THERAPY 84910,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84910,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 84910,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84910,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84910,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84910,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84910,B100000,00000,0800,00000MEALS SERVED :DIETARY 84910,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84910,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 84910,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84910,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84910,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84910,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 84910,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 84910,S000000,00100,0200,05/05/2000 84910,S200000,00100,0100,1212 BROADRICK DRIVE 84910,S200000,00200,0100,DALTON 84910,S200000,00200,0200,GA 84910,S200000,00200,0300,30720- 84910,S200000,00300,0100,WHITFIELD 84910,S200000,00400,0100,REGENCY PARK HEALTH CARE 84910,S200000,00400,0200,115663 84910,S200000,00400,0300,07/09/1999 84910,S200000,00400,0500,P 84910,S200000,01004,0500,O 84910,S200000,01600,0100,Y 84910,S700003,00000,0400,4 84911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84911,A000000,00300,0000,00300EMPLOYEE BENEFITS 84911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84911,A000000,00700,0000,00700HOUSEKEEPING 84911,A000000,00800,0000,00800DIETARY 84911,A000000,00900,0000,00900NURSING ADMINISTRATION 84911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84911,A000000,01100,0000,01100PHARMACY 84911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84911,A000000,01300,0000,01300SOCIAL SERVICE 84911,A000000,01350,0000,01500OTHER GENERAL SERVICES 84911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84911,A000000,01600,0000,01600SKILLED NURSING FACILITY 84911,A000000,01800,0000,01800NURSING FACILITY 84911,A000000,01810,0000,01801ICF/MR 84911,A000000,01900,0000,01900OTHER LONG TERM CARE 84911,A000000,02100,0000,02100RADIOLOGY 84911,A000000,02200,0000,02200LABORATORY 84911,A000000,02300,0000,02300INTRAVENOUS THERAPY 84911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84911,A000000,02500,0000,02500PHYSICAL THERAPY 84911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84911,A000000,02700,0000,02700SPEECH PATHOLOGY 84911,A000000,02800,0000,02800ELECTROCARDIOLOGY 84911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84911,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84911,A000000,03200,0000,03200SUPPORT SURFACES 84911,A000000,03400,0000,03400CLINIC 84911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84911,A000000,03500,0000,03500RURAL HEALTH CLINIC 84911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84911,A000000,04400,0000,04400DME RENTED - HHA 84911,A000000,04500,0000,04500DME SOLD - HHA 84911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84911,A000000,04800,0000,04800AMBULANCE 84911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84911,A000000,05000,0000,05000CORF 84911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84911,A000000,05300,0000,05300INTEREST EXPENSE 84911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84911,A000000,05500,0000,05500HOSPICE 84911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84911,A000000,06100,0000,06100NONPAID WORKERS 84911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84911,A000000,06200,0000,06200PATIENTS LAUNDRY 84911,A81000A,00100,0100,Y 84911,A81000B,00100,0300,MANAGEMENT 84911,A81000B,00200,0300,PROPERTY INTEREST 84911,A81000B,00300,0300,PROPERTY DEPRECIATION 84911,A81000C,00100,0100,B 84911,A81000C,00100,0400,HLTC INC. 84911,A81000C,00100,0600,MANAGEMENT 84911,A81000C,00200,0100,B 84911,A81000C,00200,0400,HLTC INC. 84911,A81000C,00200,0600,MANAGEMENT 84911,A81000C,00300,0100,B 84911,A81000C,00300,0400,HLTC INC. 84911,A81000C,00300,0600,MANAGEMENT 84911,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84911,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 84911,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84911,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84911,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84911,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84911,B100000,00000,0800,00000MEALS SERVED :DIETARY 84911,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84911,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 84911,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 84911,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84911,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84911,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 84911,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 84911,E10A180,00501,0100,05/17/2000 84911,E10A180,00501,0300,05/17/2000 84911,S000000,00100,0200,03/02/2000 84911,S200000,00100,0100,1212 BROADRICK DRIVE 84911,S200000,00200,0100,DALTON 84911,S200000,00200,0200,GA 84911,S200000,00200,0300,30720- 84911,S200000,00300,0100,WHITFIELD 84911,S200000,00400,0100,REGENCY PARK HEALTH CARE 84911,S200000,00400,0200,115663 84911,S200000,00400,0300,07/09/1999 84911,S200000,00400,0500,P 84911,S200000,01004,0500,O 84911,S200000,01600,0100,Y 84911,S700003,00000,0400,4 84918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84918,A000000,00300,0000,00300EMPLOYEE BENEFITS 84918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84918,A000000,00700,0000,00700HOUSEKEEPING 84918,A000000,00800,0000,00800DIETARY 84918,A000000,00900,0000,00900NURSING ADMINISTRATION 84918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84918,A000000,01100,0000,01100PHARMACY 84918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84918,A000000,01300,0000,01300SOCIAL SERVICE 84918,A000000,01350,0000,01500ACTIVITIES 84918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84918,A000000,01600,0000,01600SKILLED NURSING FACILITY 84918,A000000,01800,0000,01800NURSING FACILITY 84918,A000000,01810,0000,01810ICF/MR 84918,A000000,01900,0000,01900OTHER LONG TERM CARE 84918,A000000,02100,0000,02100RADIOLOGY 84918,A000000,02200,0000,02200LABORATORY 84918,A000000,02500,0000,02500PHYSICAL THERAPY 84918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84918,A000000,02700,0000,02700SPEECH PATHOLOGY 84918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84918,A000000,04800,0000,04800AMBULANCE 84918,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84918,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84918,A000000,05300,0000,05300INTEREST EXPENSE 84918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84918,A000000,05500,0000,05500HOSPICE 84918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84918,A81000A,00100,0100,Y 84918,A81000B,00100,0300,HOME OFFICE CAPITAL 84918,A81000B,00200,0300,HOME OFICE A&G 84918,A81000C,00100,0100,A 84918,A81000C,00100,0200,WILLIAM MCKETTRICK 84918,A81000C,00100,0400,MCKETTRICK HEALTH SERVICE 84918,A81000C,00100,0600,HOME OFFICE 84918,A81000C,00200,0100,A 84918,A81000C,00200,0200,WILLIAM MCKETTRICK 84918,A81000C,00200,0400,MCKETTRICK HEALTH SERVICE 84918,A81000C,00200,0600,HOME OFFICE 84918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 84918,B100000,00000,0750,00000SQ FEET MODIFIED :HOUSEKEEPING 84918,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84918,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 84918,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 84918,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 84918,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 84918,E10A180,00301,0100,07/01/1999 84918,S000000,00100,0200,12/04/2000 84918,S200000,00100,0100,2020 MCGEE ROAD 84918,S200000,00200,0100,SNELLVILLE 84918,S200000,00200,0200,GA 84918,S200000,00200,0300,30278- 84918,S200000,00300,0100,GWINNETT 84918,S200000,00300,0200,0520 84918,S200000,00300,0300,U 84918,S200000,00400,0100,NEW LONDON HEALTH CENTER 84918,S200000,00400,0200,115771 84918,S200000,00400,0300,06/01/1992 84918,S200000,00400,0500,P 84918,S200000,01600,0100,Y 84926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84926,A000000,00300,0000,00300EMPLOYEE BENEFITS 84926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84926,A000000,00700,0000,00700HOUSEKEEPING 84926,A000000,00800,0000,00800DIETARY 84926,A000000,00900,0000,00900NURSING ADMINISTRATION 84926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84926,A000000,01100,0000,01100PHARMACY 84926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84926,A000000,01300,0000,01300SOCIAL SERVICE 84926,A000000,01301,0000,01301ACTIVITIES 84926,A000000,01350,0000,01500OTHER GENERAL SERVICES 84926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 84926,A000000,01600,0000,01600SKILLED NURSING FACILITY 84926,A000000,01800,0000,01800NURSING FACILITY 84926,A000000,01900,0000,01900OTHER LONG TERM CARE 84926,A000000,02100,0000,02100RADIOLOGY 84926,A000000,02200,0000,02200LABORATORY 84926,A000000,02300,0000,02300INTRAVENOUS THERAPY 84926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84926,A000000,02500,0000,02500PHYSICAL THERAPY 84926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84926,A000000,02700,0000,02700SPEECH PATHOLOGY 84926,A000000,02800,0000,02800ELECTROCARDIOLOGY 84926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 84926,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 84926,A000000,03200,0000,03200SUPPORT SURFACES 84926,A000000,03400,0000,03400CLINIC 84926,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 84926,A000000,03500,0000,03500RURAL HEALTH CLINIC 84926,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 84926,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 84926,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 84926,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 84926,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 84926,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 84926,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 84926,A000000,04400,0000,04400DME RENTED - HHA 84926,A000000,04500,0000,04500DME SOLD - HHA 84926,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 84926,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 84926,A000000,04750,0000,05100OTHER REIMBURSABLE COST 84926,A000000,04800,0000,04800AMBULANCE 84926,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 84926,A000000,05000,0000,05000CORF 84926,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 84926,A000000,05300,0000,05300INTEREST EXPENSE 84926,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 84926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84926,A000000,05500,0000,05500HOSPICE 84926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 84926,A000000,06100,0000,06100NONPAID WORKERS 84926,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 84926,A000000,06200,0000,06200PATIENTS LAUNDRY 84926,A81000A,00100,0100,Y 84926,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 84926,A81000B,00200,0300,CAPITAL 84926,A81000C,00100,0100,A 84926,A81000C,00100,0200,THOMAS M LINDA M CLARKE 84926,A81000C,00100,0400,LENOX HEALTHCARE INC 84926,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84926,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84926,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84926,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84926,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84926,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 84926,B100000,00000,0850,00000PATIENT DAYS :DIETARY 84926,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 84926,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 84926,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 84926,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84926,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84926,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 84926,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 84926,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 84926,S000000,00100,0200,03/02/2000 84926,S200000,00100,0100,78-6957 KAMEHAMEHAIII ROAD 84926,S200000,00200,0100,KAILUA-KONA 84926,S200000,00200,0200,HI 84926,S200000,00200,0300,96740- 84926,S200000,00300,0100,HAWAII 84926,S200000,00400,0100,KEAUHOU REHAB & HEALTHCARE CENTER 84926,S200000,00400,0200,125035 84926,S200000,00400,0300,05/02/1989 84926,S200000,00400,0500,P 84926,S200000,01600,0100,Y 84926,S700003,00000,0100,1 84992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 84992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 84992,A000000,00300,0000,00300EMPLOYEE BENEFITS 84992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 84992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 84992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 84992,A000000,00700,0000,00700HOUSEKEEPING 84992,A000000,00800,0000,00800DIETARY 84992,A000000,00900,0000,00900NURSING ADMINISTRATION 84992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 84992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 84992,A000000,01300,0000,01300SOCIAL SERVICE 84992,A000000,01600,0000,01600SKILLED NURSING FACILITY 84992,A000000,01800,0000,01800NURSING FACILITY 84992,A000000,01900,0000,01900OTHER LONG TERM CARE 84992,A000000,02100,0000,02100RADIOLOGY 84992,A000000,02200,0000,02200LABORATORY 84992,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 84992,A000000,02500,0000,02500PHYSICAL THERAPY 84992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 84992,A000000,02700,0000,02700SPEECH PATHOLOGY 84992,A000000,02800,0000,02800ELECTROCARDIOLOGY 84992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 84992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 84992,A000000,04800,0000,04800AMBULANCE 84992,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 84992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 84992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 84992,A81000A,00100,0100,Y 84992,A81000B,00100,0300,HOME OFFICE COSTS 84992,A81000B,00200,0300,HOME OFFICE COSTS 84992,A81000B,00300,0300,HOME OFFICE COSTS 84992,A81000B,00400,0300,DEPRECIATION 84992,A81000B,00500,0300,INTEREST 84992,A81000B,00600,0300,BUILDING RENTAL 84992,A81000C,00100,0100,B 84992,A81000C,00100,0400,COMMON OWNER 84992,A81000C,00100,0600,HOME OFFICE 84992,A81000C,00200,0100,B 84992,A81000C,00200,0400,COMMON OWNER 84992,A81000C,00200,0600,LESSOR 84992,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 84992,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 84992,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 84992,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 84992,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 84992,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 84992,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 84992,B100000,00000,0800,00000MEALS SERVED :DIETARY 84992,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 84992,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 84992,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 84992,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 84992,S000000,00100,0200,05/25/2000 84992,S200000,00100,0100,2870 JUNIPER DRIVE 84992,S200000,00200,0100,LEWISTON 84992,S200000,00200,0200,ID 84992,S200000,00200,0300,83501- 84992,S200000,00300,0100,NEZ PERCE 84992,S200000,00400,0100,ROYAL PLAZA CARE CENTER 84992,S200000,00400,0200,135116 84992,S200000,00400,0300,12/01/1993 84992,S200000,00400,0500,P 84992,S200000,01500,0100,Y 84992,S700003,00000,0100,1 85001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85001,A000000,00300,0000,00300EMPLOYEE BENEFITS 85001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85001,A000000,00700,0000,00700HOUSEKEEPING 85001,A000000,00800,0000,00800DIETARY 85001,A000000,00900,0000,00900NURSING ADMINISTRATION 85001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85001,A000000,01100,0000,01100PHARMACY 85001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85001,A000000,01300,0000,01300SOCIAL SERVICE 85001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85001,A000000,01600,0000,01600SKILLED NURSING FACILITY 85001,A000000,01800,0000,01800NURSING FACILITY 85001,A000000,01810,0000,01810ICF/MR 85001,A000000,02100,0000,02100RADIOLOGY 85001,A000000,02200,0000,02200LABORATORY 85001,A000000,02500,0000,02500PHYSICAL THERAPY 85001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85001,A000000,02700,0000,02700SPEECH PATHOLOGY 85001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85001,A000000,03550,0000,03550FQHC 85001,A000000,05000,0000,05000CORF 85001,A000000,05010,0000,05010CMHC 85001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85001,A000000,05300,0000,05300INTEREST EXPENSE 85001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85001,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 85001,A81000A,00100,0100,Y 85001,A81000B,00100,0300,MANAGEMENT FEE 85001,A81000C,00100,0100,B 85001,A81000C,00100,0400,CHRISTIAN NURSI 85001,A81000C,00100,0600,CORP OFFICE 85001,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85001,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85001,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85001,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85001,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85001,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85001,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85001,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85001,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85001,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85001,E10A180,00301,0100,12/31/2000 85001,E10A180,00501,0100,01/17/2001 85001,E10A180,00550,0300,01/17/2001 85001,S000000,00100,0200,12/01/2001 85001,S200000,00100,0100,4110 NEW CASTLE RD 85001,S200000,00200,0100,WASHINGTON 85001,S200000,00200,0200,IL 85001,S200000,00200,0300,61571- 85001,S200000,00300,0100,TAZEWELL 85001,S200000,00300,0200,6120 85001,S200000,00300,0300,U 85001,S200000,00400,0100,WASHINGTON CHRISTIAN VILLAGE 85001,S200000,00400,0200,145000 85001,S200000,00400,0300,04/01/1982 85001,S200000,00400,0500,P 85001,S200000,01600,0100,Y 85001,S200000,02200,0100,Y 85001,S200000,04200,0100,Y 85006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85006,A000000,00300,0000,00300EMPLOYEE BENEFITS 85006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85006,A000000,00700,0000,00700HOUSEKEEPING 85006,A000000,00800,0000,00800DIETARY 85006,A000000,00900,0000,00900NURSING ADMINISTRATION 85006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85006,A000000,01300,0000,01300SOCIAL SERVICE 85006,A000000,01600,0000,01600SKILLED NURSING FACILITY 85006,A000000,01800,0000,01800NURSING FACILITY 85006,A000000,02100,0000,02100RADIOLOGY 85006,A000000,02200,0000,02200LABORATORY 85006,A000000,02500,0000,02500PHYSICAL THERAPY 85006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85006,A000000,02700,0000,02700SPEECH PATHOLOGY 85006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85006,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85006,A000000,03200,0000,03200SUPPORT SURFACES 85006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85006,A81000A,00100,0100,Y 85006,A81000B,00100,0300,CAPITAL RELATED 85006,A81000B,00200,0300,ADMIN. & GENERAL 85006,A81000C,00100,0100,A 85006,A81000C,00100,0400,AURORA TRUST 85006,A81000C,00100,0600,BLDG. PARTNERSH 85006,A81000C,00200,0100,A 85006,A81000C,00200,0400,CARECO INC. 85006,A81000C,00200,0600,MANAGEMENT 85006,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85006,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85006,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85006,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85006,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85006,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85006,B100000,00000,0800,00000MEALS SERVED :DIETARY 85006,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85006,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85006,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85006,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85006,E10A180,00501,0300,06/29/2000 85006,S000000,00100,0200,05/26/2000 85006,S200000,00100,0100,1601 N. FARNSWORTH 85006,S200000,00200,0100,AURORA 85006,S200000,00200,0200,IL 85006,S200000,00200,0300,60505- 85006,S200000,00300,0100,KANE 85006,S200000,00400,0100,AURORA MANOR INC. 85006,S200000,00400,0200,145006 85006,S200000,00400,0300,07/01/1966 85006,S200000,00400,0500,P 85006,S200000,01600,0100,Y 85006,S700003,00000,0100,1 85015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85015,A000000,00300,0000,00300EMPLOYEE BENEFITS 85015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85015,A000000,00700,0000,00700HOUSEKEEPING 85015,A000000,00800,0000,00800DIETARY 85015,A000000,00900,0000,00900NURSING ADMINISTRATION 85015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85015,A000000,01300,0000,01300SOCIAL SERVICE 85015,A000000,01600,0000,01600SKILLED NURSING FACILITY 85015,A000000,01800,0000,01800NURSING FACILITY 85015,A000000,02100,0000,02100RADIOLOGY 85015,A000000,02200,0000,02200LABORATORY 85015,A000000,02500,0000,02500PHYSICAL THERAPY 85015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85015,A000000,02700,0000,02700SPEECH PATHOLOGY 85015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85015,A000000,04800,0000,04800AMBULANCE 85015,A000000,05300,0000,05300INTEREST EXPENSE 85015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85015,A81000A,00100,0100,Y 85015,A81000B,00100,0300,CAPITAL RELATED 85015,A81000B,00200,0300,ADMIN & GENERAL 85015,A81000B,00300,0300,PHYSICAL THERAPY 85015,A81000B,00400,0300,OCCUPATIONAL THERAPY 85015,A81000B,00500,0300,SPEECH THERAPY 85015,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85015,A81000B,00700,0300,PHARMACY COSTS 85015,A81000C,00100,0100,B 85015,A81000C,00100,0200,HER MANOR SPRIN 85015,A81000C,00100,0400,HERITAGE ENTERP 85015,A81000C,00100,0600,HOME OFFICE 85015,A81000C,00200,0100,B 85015,A81000C,00200,0200,HER MANOR SPRIN 85015,A81000C,00200,0400,HERITAGE THERAP 85015,A81000C,00200,0600,THERAPY DIVISIO 85015,A81000C,00300,0100,B 85015,A81000C,00300,0200,HER MANOR SPRIN 85015,A81000C,00300,0400,LTC PHARMACY 85015,A81000C,00300,0600,WHOLESALE PHARM 85015,A81000C,00400,0100,B 85015,A81000C,00400,0200,HER MANOR SPRIN 85015,A81000C,00400,0400,GREEN TREE PHAR 85015,A81000C,00400,0600,WHOLESALE PHARM 85015,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85015,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85015,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85015,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85015,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85015,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85015,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85015,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85015,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85015,S000000,00100,0200,06/01/2000 85015,S200000,00100,0100,700 E. WALNUT 85015,S200000,00200,0100,BLOOMINGTON 85015,S200000,00200,0200,IL 85015,S200000,00200,0300,61701- 85015,S200000,00300,0100,MCLEAN 85015,S200000,00400,0100,HERITAGE MANOR-BLOOMINGTON 85015,S200000,00400,0200,145016 85015,S200000,00400,0300,03/01/1987 85015,S200000,00400,0500,P 85015,S200000,00400,0600,O 85015,S200000,00600,0200,145016 85015,S200000,00600,0300,03/01/1987 85015,S200000,00600,0600,P 85015,S200000,01004,0500,O 85015,S200000,01600,0100,Y 85015,S200000,01900,0100,501(C)(3)CORP. 85015,S200000,02200,0100,Y 85015,S700003,00000,0100,1 85024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85024,A000000,00300,0000,00300EMPLOYEE BENEFITS 85024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85024,A000000,00700,0000,00700HOUSEKEEPING 85024,A000000,00800,0000,00800DIETARY 85024,A000000,00900,0000,00900NURSING ADMINISTRATION 85024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85024,A000000,01300,0000,01300SOCIAL SERVICE 85024,A000000,01600,0000,01600SKILLED NURSING FACILITY 85024,A000000,01800,0000,01800NURSING FACILITY 85024,A000000,02200,0000,02200LABORATORY 85024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85024,A000000,02500,0000,02500PHYSICAL THERAPY 85024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85024,A000000,02700,0000,02700SPEECH PATHOLOGY 85024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85024,A000000,04800,0000,04800AMBULANCE 85024,A000000,05300,0000,05300INTEREST EXPENSE 85024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85024,A81000A,00100,0100,Y 85024,A81000B,00100,0300,CAPITAL RELATED 85024,A81000B,00200,0300,ADMIN & GENERAL 85024,A81000B,00300,0300,PHYSICAL THERAPY 85024,A81000B,00400,0300,OCCUPATIONAL THERAPY 85024,A81000B,00500,0300,SPEECH THERAPY 85024,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85024,A81000B,00700,0300,PHARMACY COSTS 85024,A81000C,00100,0100,B 85024,A81000C,00100,0200,HER MANOR SPRIN 85024,A81000C,00100,0400,HERITAGE ENTERP 85024,A81000C,00100,0600,HOME OFFICE 85024,A81000C,00200,0100,B 85024,A81000C,00200,0200,HER MANOR SPRIN 85024,A81000C,00200,0400,HERITAGE THERAP 85024,A81000C,00200,0600,THERAPY DIVISIO 85024,A81000C,00300,0100,B 85024,A81000C,00300,0200,HER MANOR SPRIN 85024,A81000C,00300,0400,LTC PHARMACY 85024,A81000C,00300,0600,WHOLESALE PHARM 85024,A81000C,00400,0100,B 85024,A81000C,00400,0200,HER MANOR SPRIN 85024,A81000C,00400,0400,GREEN TREE PHAR 85024,A81000C,00400,0600,WHOLESALE PHARM 85024,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85024,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85024,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85024,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85024,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85024,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85024,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85024,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85024,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85024,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85024,S000000,00100,0200,06/01/2000 85024,S200000,00100,0100,1301 21ST STREET 85024,S200000,00200,0100,PERU 85024,S200000,00200,0200,IL 85024,S200000,00200,0300,61354- 85024,S200000,00300,0100,LASALLE 85024,S200000,00400,0100,HERITAGE MANOR -PERU 85024,S200000,00400,0200,145044 85024,S200000,00400,0300,01/01/1978 85024,S200000,00400,0500,P 85024,S200000,00400,0600,O 85024,S200000,00600,0200,145044 85024,S200000,00600,0300,01/01/1978 85024,S200000,00600,0600,P 85024,S200000,01600,0100,Y 85024,S200000,01900,0100,501(C)(3)CORP. 85024,S200000,02200,0100,Y 85024,S700003,00000,0100,1 85033,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85033,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85033,A000000,00300,0000,00300EMPLOYEE BENEFITS 85033,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85033,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85033,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85033,A000000,00700,0000,00700HOUSEKEEPING 85033,A000000,00800,0000,00800DIETARY 85033,A000000,00900,0000,00900NURSING ADMINISTRATION 85033,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85033,A000000,01100,0000,01100PHARMACY 85033,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85033,A000000,01300,0000,01300SOCIAL SERVICE 85033,A000000,01600,0000,01600SKILLED NURSING FACILITY 85033,A000000,01800,0000,01800NURSING FACILITY 85033,A000000,02100,0000,02100RADIOLOGY 85033,A000000,02200,0000,02200LABORATORY 85033,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85033,A000000,02500,0000,02500PHYSICAL THERAPY 85033,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85033,A000000,02700,0000,02700SPEECH PATHOLOGY 85033,A000000,02800,0000,02800ELECTROCARDIOLOGY 85033,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85033,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85033,A000000,03050,0000,02801COMPLEX MED EQUIPMENT 85033,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85033,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85033,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85033,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85033,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85033,A000000,06150,0000,06300PODIATRY 85033,A81000A,00100,0100,Y 85033,A81000B,00100,0300,EMPLOYEE BENEFITS 85033,A81000B,00200,0300,ACCTG INS OTHER SVC 85033,A81000B,00300,0300,HEAT/UTILITY EXP 85033,A81000C,00100,0100,G 85033,A81000C,00100,0200,DUPAGE COUNTY 85033,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85033,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85033,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85033,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85033,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85033,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85033,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85033,B100000,00000,0800,00000MEALS SERVED :DIETARY 85033,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85033,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85033,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85033,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85033,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85033,E10A180,00501,0100,06/16/2000 85033,E10A180,00550,0300,06/16/2000 85033,S000000,00100,0200,05/02/2000 85033,S200000,00100,0100,400 NORTH COUNTY FARM ROAD 85033,S200000,00200,0100,WHEATON 85033,S200000,00200,0200,IL 85033,S200000,00200,0300,60187- 85033,S200000,00300,0100,DUPAGE 85033,S200000,00400,0100,DUPAGE CONVALESCENT CENTER 85033,S200000,00400,0200,145050 85033,S200000,00400,0300,07/01/1966 85033,S200000,00400,0500,P 85033,S200000,00400,0600,O 85033,S200000,01600,0100,Y 85033,S700003,00000,0100,1 85038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85038,A000000,00300,0000,00300EMPLOYEE BENEFITS 85038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85038,A000000,00700,0000,00700HOUSEKEEPING 85038,A000000,00800,0000,00800DIETARY 85038,A000000,00900,0000,00900NURSING ADMINISTRATION 85038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85038,A000000,01300,0000,01300SOCIAL SERVICE 85038,A000000,01600,0000,01600SKILLED NURSING FACILITY 85038,A000000,01800,0000,01800NURSING FACILITY 85038,A000000,02100,0000,02100RADIOLOGY 85038,A000000,02200,0000,02200LABORATORY 85038,A000000,02500,0000,02500PHYSICAL THERAPY 85038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85038,A000000,02700,0000,02700SPEECH PATHOLOGY 85038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85038,A000000,05300,0000,05300INTEREST EXPENSE 85038,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85038,A81000A,00100,0100,Y 85038,A81000B,00100,0300,CAPITAL RELATED 85038,A81000B,00200,0300,ADMIN & GENERAL 85038,A81000B,00300,0300,PHYSICAL THERAPY 85038,A81000B,00400,0300,OCCUPATIONAL THERAPY 85038,A81000B,00500,0300,SPEECH THERAPY 85038,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85038,A81000B,00700,0300,PHARMACY COSTS 85038,A81000C,00100,0100,B 85038,A81000C,00100,0200,HER MANOR SPRIN 85038,A81000C,00100,0400,HERITAGE ENTERP 85038,A81000C,00100,0600,HOME OFFICE 85038,A81000C,00200,0100,B 85038,A81000C,00200,0200,HER MANOR SPRIN 85038,A81000C,00200,0400,HERITAGE THERAP 85038,A81000C,00200,0600,THERAPY DIVISIO 85038,A81000C,00300,0100,B 85038,A81000C,00300,0200,HER MANOR SPRIN 85038,A81000C,00300,0400,LTC PHARMACY 85038,A81000C,00300,0600,WHOLESALE PHARM 85038,A81000C,00400,0100,B 85038,A81000C,00400,0200,HER MANOR SPRIN 85038,A81000C,00400,0400,GREEN TREE PHAR 85038,A81000C,00400,0600,WHOLESALE PHARM 85038,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85038,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85038,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85038,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85038,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85038,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85038,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85038,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85038,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85038,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85038,S000000,00100,0200,06/01/2000 85038,S200000,00100,0100,1028 HILLCREST DRIVE 85038,S200000,00200,0100,CHILLICOTHE 85038,S200000,00200,0200,IL 85038,S200000,00200,0300,61523- 85038,S200000,00300,0100,PEORIA 85038,S200000,00400,0100,HERITAGE MANOR - CHILLICOTHE 85038,S200000,00400,0200,145058 85038,S200000,00400,0300,05/01/1988 85038,S200000,00400,0500,P 85038,S200000,00400,0600,O 85038,S200000,00600,0200,145058 85038,S200000,00600,0300,05/01/1988 85038,S200000,00600,0600,P 85038,S200000,01600,0100,Y 85038,S200000,01900,0100,501(C)(3)CORP. 85038,S200000,02200,0100,Y 85038,S700003,00000,0100,1 85048,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85048,A000000,00300,0000,00300EMPLOYEE BENEFITS 85048,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85048,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85048,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85048,A000000,00700,0000,00700HOUSEKEEPING 85048,A000000,00800,0000,00800DIETARY 85048,A000000,00900,0000,00900NURSING ADMINISTRATION 85048,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85048,A000000,01300,0000,01300SOCIAL SERVICE 85048,A000000,01600,0000,01600SKILLED NURSING FACILITY 85048,A000000,01800,0000,01800NURSING FACILITY 85048,A000000,02200,0000,02200LABORATORY 85048,A000000,02500,0000,02500PHYSICAL THERAPY 85048,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85048,A000000,02700,0000,02700SPEECH PATHOLOGY 85048,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85048,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85048,A000000,05300,0000,05300INTEREST EXPENSE 85048,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85048,A81000A,00100,0100,Y 85048,A81000B,00100,0300,CAPITAL RELATED 85048,A81000B,00200,0300,ADMIN & GENERAL 85048,A81000B,00300,0300,PHYSICAL THERAPY 85048,A81000B,00400,0300,OCCUPATIONAL THERAPY 85048,A81000B,00500,0300,SPEECH THERAPY 85048,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85048,A81000B,00700,0300,PHARMACY COSTS 85048,A81000B,00800,0300,GENERAL SUPPLIES 85048,A81000C,00100,0100,B 85048,A81000C,00100,0200,HER MANOR SPRIN 85048,A81000C,00100,0400,HERITAGE ENTERP 85048,A81000C,00100,0600,HOME OFFICE 85048,A81000C,00200,0100,B 85048,A81000C,00200,0200,HER MANOR SPRIN 85048,A81000C,00200,0400,HERITAGE THERAP 85048,A81000C,00200,0600,THERAPY DIVISIO 85048,A81000C,00300,0100,B 85048,A81000C,00300,0200,HER MANOR SPRIN 85048,A81000C,00300,0400,LTC PHARMACY 85048,A81000C,00300,0600,WHOLESALE PHARM 85048,A81000C,00400,0100,B 85048,A81000C,00400,0200,HER MANOR SPRIN 85048,A81000C,00400,0400,GREEN TREE PHAR 85048,A81000C,00400,0600,WHOLESALE PHARM 85048,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85048,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85048,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85048,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85048,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85048,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85048,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85048,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85048,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85048,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85048,S000000,00100,0200,06/01/2000 85048,S200000,00100,0100,1525 E. MAIN STREET 85048,S200000,00200,0100,STREATOR 85048,S200000,00200,0200,IL 85048,S200000,00200,0300,61364- 85048,S200000,00300,0100,LASALLE 85048,S200000,00400,0100,HERITAGE MANOR -STREATOR 85048,S200000,00400,0200,145062 85048,S200000,00400,0300,01/01/1967 85048,S200000,00400,0500,P 85048,S200000,00400,0600,O 85048,S200000,00600,0200,145062 85048,S200000,00600,0300,01/01/1967 85048,S200000,00600,0600,P 85048,S200000,01600,0100,Y 85048,S200000,01900,0100,501(C)(3)CORP. 85048,S200000,02200,0100,Y 85048,S700003,00000,0100,1 85058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85058,A000000,00300,0000,00300EMPLOYEE BENEFITS 85058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85058,A000000,00700,0000,00700HOUSEKEEPING 85058,A000000,00800,0000,00800DIETARY 85058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85058,A000000,01100,0000,01100PHARMACY 85058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85058,A000000,01300,0000,01300SOCIAL SERVICE 85058,A000000,01350,0000,01500CAFETERIA 85058,A000000,01600,0000,01600SKILLED NURSING FACILITY 85058,A000000,01800,0000,01800NURSING FACILITY 85058,A000000,02200,0000,02200LABORATORY 85058,A000000,02500,0000,02500PHYSICAL THERAPY 85058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85058,A000000,02700,0000,02700SPEECH PATHOLOGY 85058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85058,A81000A,00100,0100,Y 85058,A81000B,00100,0300,BJC HEALTH SYSTEM 85058,A81000B,00200,0300,CHRISTIAN HEALTH SERVICES 85058,A81000B,00300,0300,ALTON MEMORIAL FINANCE 85058,A81000B,00400,0300,ALTON MEMORIAL DIETARY 85058,A81000B,00500,0300,ALTON MEMORIAL MED RECORD 85058,A81000B,00600,0300,ALTON MEMORIAL CAFETERIA 85058,A81000C,00100,0100,B 85058,A81000C,00100,0400,BJC HEALTH SYSTEM 85058,A81000C,00100,0600,SYSTEM HOLDING COMPANY 85058,A81000C,00200,0100,B 85058,A81000C,00200,0400,CHRISTIAN HEALTH SERVICES 85058,A81000C,00200,0600,PARENT CORPORATION 85058,A81000C,00300,0100,B 85058,A81000C,00300,0400,CH ALLIED SERVICES 85058,A81000C,00400,0100,G 85058,A81000C,00400,0400,ALTON MEMORIAL HOSPITAL 85058,A81000C,00400,0600,HOSPITAL 85058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85058,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 85058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85058,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85058,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85058,B100000,00000,0800,00000MEALS SERVED :DIETARY 85058,B100000,00000,1050,00000% OF UTILIZATIO :CENTRAL SERVICES & 85058,B100000,00000,1150,00000% OF UTILIZATIO :PHARMACY 85058,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 85058,B100000,00000,1330,00000% OF UTILIZATIO :SOCIAL SERVICE 85058,B100000,00000,1350,00000FTES :CAFETERIA 85058,E10A180,00301,0100,06/24/1998 85058,E10A180,00301,0300,06/24/1998 85058,S000000,00100,0200,05/30/2000 85058,S200000,00100,0100,1251 COLLEGE AVENUE 85058,S200000,00200,0100,ALTON 85058,S200000,00200,0200,IL 85058,S200000,00200,0300,62002- 85058,S200000,00300,0100,MADISON 85058,S200000,00400,0100,EUNICE SMITH NURSING HOME 85058,S200000,00400,0200,145121 85058,S200000,00400,0300,07/01/1966 85058,S200000,00400,0500,P 85058,S200000,01004,0500,O 85058,S200000,01600,0100,Y 85058,S200000,02200,0100,Y 85058,S700003,00000,0100,1 85063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85063,A000000,00300,0000,00300EMPLOYEE BENEFITS 85063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85063,A000000,00700,0000,00700HOUSEKEEPING 85063,A000000,00800,0000,00800DIETARY 85063,A000000,00900,0000,00900NURSING ADMINISTRATION 85063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85063,A000000,01100,0000,01100PHARMACY 85063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85063,A000000,01300,0000,01300SOCIAL SERVICE 85063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85063,A000000,01600,0000,01600SKILLED NURSING FACILITY 85063,A000000,01800,0000,01800NURSING FACILITY 85063,A000000,01810,0000,01810ICF/MR 85063,A000000,02200,0000,02200LABORATORY 85063,A000000,02500,0000,02500PHYSICAL THERAPY 85063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85063,A000000,02700,0000,02700SPEECH PATHOLOGY 85063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85063,A000000,03550,0000,03550FQHC 85063,A000000,05000,0000,05000CORF 85063,A000000,05010,0000,05010CMHC 85063,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85063,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85063,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85063,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85063,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85063,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85063,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85063,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85063,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85063,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85063,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85063,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85063,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85063,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85063,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85063,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85063,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85063,S000000,00100,0200,04/27/2000 85063,S200000,00400,0100,DOBSON PLAZA INC. 85063,S200000,00400,0200,145122 85063,S200000,00400,0300,01/01/1996 85063,S200000,00400,0500,P 85063,S200000,01600,0100,Y 85063,S700003,00000,0100,1 85068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85068,A000000,00300,0000,00300EMPLOYEE BENEFITS 85068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85068,A000000,00700,0000,00700HOUSEKEEPING 85068,A000000,00800,0000,00800DIETARY 85068,A000000,00900,0000,00900NURSING ADMINISTRATION 85068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85068,A000000,01300,0000,01300SOCIAL SERVICE 85068,A000000,01600,0000,01600SKILLED NURSING FACILITY 85068,A000000,01800,0000,01800NURSING FACILITY 85068,A000000,02500,0000,02500PHYSICAL THERAPY 85068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85068,A000000,02700,0000,02700SPEECH PATHOLOGY 85068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85068,A000000,05300,0000,05300INTEREST EXPENSE 85068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85068,A81000A,00100,0100,Y 85068,A81000B,00100,0300,UTILITIES 85068,A81000B,00200,0300,REPAIRS & MAINTENANCE 85068,A81000B,00300,0300,MANAGEMENT WAGES 85068,A81000B,00400,0300,ACCOUNTING 85068,A81000B,00500,0300,TAXES & LICENSES 85068,A81000B,00600,0300,ADMINISTRATIVE EXPENSE 85068,A81000B,00700,0300,PAYROLL TAXES 85068,A81000B,00800,0300,TRAINING & SEMINARS 85068,A81000B,00900,0300,DEPRECIATION 85068,A81000B,01000,0300,INTEREST 85068,A81000B,01100,0300,RENT 85068,A81000B,01200,0300,MANAGEMENT FEES 85068,A81000C,00100,0100,A 85068,A81000C,00100,0200,JEROLD AXELBAUM 85068,A81000C,00100,0400,BURGIN HEALTH MANAGEMENT 85068,A81000C,00100,0600,MGMT COMPANY 85068,A81000C,00200,0100,A 85068,A81000C,00200,0200,SHIRLEY AXELBAUM 85068,A81000C,00200,0400,BURGIN HEALTH MANAGEMENT 85068,A81000C,00200,0600,MGMT COMPANY 85068,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85068,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85068,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85068,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85068,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85068,B100000,00000,0800,00000MEALS SERVED :DIETARY 85068,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 85068,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85068,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85068,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85068,E10A180,00501,0100,04/27/2000 85068,E10A180,00501,0300,04/27/2000 85068,S000000,00100,0200,04/03/2000 85068,S200000,00100,0100,900 EAST SCOTT STREET 85068,S200000,00200,0100,OLNEY 85068,S200000,00200,0200,IL 85068,S200000,00200,0300,62450- 85068,S200000,00300,0100,RICHLAND 85068,S200000,00300,0200,14 85068,S200000,00300,0300,R 85068,S200000,00400,0100,BURGIN MANOR 85068,S200000,00400,0200,145135 85068,S200000,00400,0300,04/20/1982 85068,S200000,00400,0500,P 85068,S200000,00600,0200,145135 85068,S200000,00600,0300,04/20/1982 85068,S200000,01600,0100,Y 85075,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85075,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85075,A000000,00300,0000,00300EMPLOYEE BENEFITS 85075,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85075,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85075,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85075,A000000,00700,0000,00700HOUSEKEEPING 85075,A000000,00800,0000,00800DIETARY 85075,A000000,00900,0000,00900NURSING ADMINISTRATION 85075,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85075,A000000,01100,0000,01100PHARMACY 85075,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85075,A000000,01300,0000,01300SOCIAL SERVICE 85075,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85075,A000000,01600,0000,01600SKILLED NURSING FACILITY 85075,A000000,01800,0000,01800NURSING FACILITY 85075,A000000,01900,0000,01900OTHER LONG TERM CARE 85075,A000000,02100,0000,02100RADIOLOGY 85075,A000000,02200,0000,02200LABORATORY 85075,A000000,02300,0000,02300INTRAVENOUS THERAPY 85075,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85075,A000000,02500,0000,02500PHYSICAL THERAPY 85075,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85075,A000000,02700,0000,02700SPEECH PATHOLOGY 85075,A000000,02800,0000,02800ELECTROCARDIOLOGY 85075,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85075,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85075,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85075,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85075,A000000,03200,0000,03200SUPPORT SURFACES 85075,A000000,03400,0000,03400CLINIC 85075,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85075,A000000,04800,0000,04800AMBULANCE 85075,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85075,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85075,A000000,05300,0000,05300INTEREST EXPENSE 85075,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85075,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85075,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85075,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85075,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85075,A000000,06100,0000,06100NONPAID WORKERS 85075,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85075,A000000,06200,0000,06200PATIENTS LAUNDRY 85075,A81000A,00100,0100,Y 85075,A81000B,00100,0300,HOME OFFICE ALLOCATION 85075,A81000B,00200,0300,HOME OFFICE ALLOCATION 85075,A81000C,00100,0100,A 85075,A81000C,00100,0200,JERRY NEAL 85075,A81000C,00100,0400,DSI MANAGEMENT 85075,A81000C,00100,0600,MGMT. CO. 85075,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85075,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85075,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85075,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85075,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85075,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85075,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85075,B100000,00000,0800,00000MEALS SERVED :DIETARY 85075,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85075,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85075,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85075,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85075,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85075,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85075,S000000,00100,0200,06/05/2000 85075,S200000,00100,0100,304 MAPLE AVE. 85075,S200000,00200,0100,AUBURN 85075,S200000,00200,0200,IL 85075,S200000,00200,0300,62615- 85075,S200000,00300,0100,SANGAMON 85075,S200000,00400,0100,LYNNCREST MANOR OF AUBURN 85075,S200000,00400,0200,145136 85075,S200000,00400,0300,04/01/1996 85075,S200000,00400,0500,P 85075,S200000,01004,0500,O 85075,S200000,01600,0100,Y 85075,S200000,02200,0100,Y 85075,S700003,00000,0100,1 85084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85084,A000000,00201,0000,00201NEW BUILDING CAPITAL 85084,A000000,00300,0000,00300EMPLOYEE BENEFITS 85084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85084,A000000,00700,0000,00700HOUSEKEEPING 85084,A000000,00800,0000,00800DIETARY 85084,A000000,00900,0000,00900NURSING ADMINISTRATION 85084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85084,A000000,01100,0000,01100PHARMACY 85084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85084,A000000,01300,0000,01300SOCIAL SERVICE 85084,A000000,01600,0000,01600SKILLED NURSING FACILITY 85084,A000000,01800,0000,01800NURSING FACILITY 85084,A000000,02100,0000,02100RADIOLOGY 85084,A000000,02200,0000,02200LABORATORY 85084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85084,A000000,02500,0000,02500PHYSICAL THERAPY 85084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85084,A000000,02700,0000,02700SPEECH PATHOLOGY 85084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85084,A000000,04800,0000,04800AMBULANCE 85084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85084,A000000,06150,0000,06300BAD DEBTS 85084,A81000A,00100,0100,Y 85084,A81000B,00100,0300,MANAGEMENT FEE 85084,A81000B,00200,0300,MANAGEMENT COSTS 85084,A81000B,00300,0300,ALLOCATRED CAPITAL C 85084,A81000B,00400,0300,DEBES LAUNDRY 85084,A81000B,00500,0300,DEBES LAUNDRY-CAPITA 85084,A81000C,00100,0100,F 85084,A81000C,00100,0200,DEBES CORP 85084,A81000C,00200,0100,F 85084,A81000C,00200,0200,CHAMBRO LEASING 85084,A81000C,00300,0100,F 85084,A81000C,00300,0200,DEBES LAUNDRY 85084,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85084,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 85084,B100000,00000,0251,00000SQ-FT :NEW BUILDING CAPITAL 85084,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85084,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85084,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 85084,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85084,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85084,B100000,00000,0950,00000(DIRECT NRSG SALS) :NURSING ADMINIS 85084,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 85084,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 85084,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 85084,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 85084,E10A180,00301,0100,07/21/1999 85084,E10A180,00302,0100,02/09/2000 85084,E10A180,00308,0100,05/12/1999 85084,E10A180,00309,0100,07/07/1999 85084,E10A180,00310,0100,11/10/1999 85084,E10A180,00350,0100,01/19/2000 85084,E10A180,00351,0100,05/12/1999 85084,E10A180,00352,0100,07/07/1999 85084,E10A180,00353,0100,11/10/1999 85084,E10A180,00354,0100,01/19/2000 85084,S000000,00100,0200,06/12/2000 85084,S200000,00100,0100,550 S MULFORD 85084,S200000,00200,0100,ROCKFORD 85084,S200000,00200,0200,IL 85084,S200000,00200,0300,61108- 85084,S200000,00300,0100,WINNEBAGO 85084,S200000,00400,0100,ALMA NELSON MANOR 85084,S200000,00400,0200,145142 85084,S200000,00400,0300,04/01/1967 85084,S200000,00400,0500,P 85084,S200000,00600,0200,145142 85084,S200000,00600,0300,04/01/1967 85084,S200000,00600,0600,P 85084,S200000,01600,0100,Y 85084,S200000,02200,0100,Y 85084,S700003,00000,0100,1 85092,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85092,A000000,00300,0000,00300EMPLOYEE BENEFITS 85092,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85092,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85092,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85092,A000000,00700,0000,00700HOUSEKEEPING 85092,A000000,00800,0000,00800DIETARY 85092,A000000,00900,0000,00900NURSING ADMINISTRATION 85092,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85092,A000000,01300,0000,01300SOCIAL SERVICE 85092,A000000,01600,0000,01600SKILLED NURSING FACILITY 85092,A000000,01800,0000,01800NURSING FACILITY 85092,A000000,02100,0000,02100RADIOLOGY 85092,A000000,02200,0000,02200LABORATORY 85092,A000000,02500,0000,02500PHYSICAL THERAPY 85092,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85092,A000000,02700,0000,02700SPEECH PATHOLOGY 85092,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85092,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85092,A000000,04800,0000,04800AMBULANCE 85092,A000000,05300,0000,05300INTEREST EXPENSE 85092,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85092,A81000A,00100,0100,Y 85092,A81000B,00100,0300,CAPITAL RELATED 85092,A81000B,00200,0300,ADMIN & GENERAL 85092,A81000B,00300,0300,PHYSICAL THERAPY 85092,A81000B,00400,0300,OCCUPATIONAL THERAPY 85092,A81000B,00500,0300,SPEECH THERAPY 85092,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85092,A81000B,00700,0300,PHARMACY COSTS 85092,A81000C,00100,0100,B 85092,A81000C,00100,0200,HER MANOR SPRIN 85092,A81000C,00100,0400,HERITAGE ENTERP 85092,A81000C,00100,0600,HOME OFFICE 85092,A81000C,00200,0100,B 85092,A81000C,00200,0200,HER MANOR SPRIN 85092,A81000C,00200,0400,HERITAGE THERAP 85092,A81000C,00200,0600,THERAPY DIVISIO 85092,A81000C,00300,0100,B 85092,A81000C,00300,0200,HER MANOR SPRIN 85092,A81000C,00300,0400,LTC PHARMACY 85092,A81000C,00300,0600,WHOLESALE PHARM 85092,A81000C,00400,0100,B 85092,A81000C,00400,0200,HER MANOR SPRIN 85092,A81000C,00400,0400,GREEN TREE PHAR 85092,A81000C,00400,0600,WHOLESALE PHARM 85092,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85092,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85092,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85092,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85092,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85092,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85092,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85092,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85092,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85092,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85092,S000000,00100,0200,06/01/2000 85092,S200000,00100,0100,1201 FIRST AVENUE 85092,S200000,00200,0100,MENDOTA 85092,S200000,00200,0200,IL 85092,S200000,00200,0300,61342- 85092,S200000,00300,0100,LASALLE 85092,S200000,00400,0100,HERITAGE MANOR -MENDOTA 85092,S200000,00400,0200,145151 85092,S200000,00400,0300,01/01/1967 85092,S200000,00400,0500,P 85092,S200000,00400,0600,O 85092,S200000,00600,0200,145151 85092,S200000,00600,0300,01/01/1967 85092,S200000,00600,0600,P 85092,S200000,01600,0100,Y 85092,S200000,01900,0100,501(C)(3)CORP. 85092,S200000,02200,0100,Y 85092,S700003,00000,0100,1 85100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85100,A000000,00300,0000,00300EMPLOYEE BENEFITS 85100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85100,A000000,00700,0000,00700HOUSEKEEPING 85100,A000000,00800,0000,00800DIETARY 85100,A000000,00900,0000,00900NURSING ADMINISTRATION 85100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85100,A000000,01300,0000,01300SOCIAL SERVICE 85100,A000000,01600,0000,01600SKILLED NURSING FACILITY 85100,A000000,01800,0000,01800NURSING FACILITY 85100,A000000,02100,0000,02100RADIOLOGY 85100,A000000,02200,0000,02200LABORATORY 85100,A000000,02500,0000,02500PHYSICAL THERAPY 85100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85100,A000000,02700,0000,02700SPEECH PATHOLOGY 85100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85100,A000000,03050,0000,03300BLOOD GLUCOSE 85100,A000000,03051,0000,03301AMBULANCE 85100,A000000,03200,0000,03200SUPPORT SURFACES 85100,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85100,A81000A,00100,0100,Y 85100,A81000B,00100,0300,RENT 85100,A81000B,00200,0300,AMORTIZATION 85100,A81000B,00300,0300,DEPRECIATION 85100,A81000B,00400,0300,FRANCHISE TAX 85100,A81000B,00500,0300,INTEREST EXPENSES 85100,A81000B,00600,0300,INTEREST INCOME 85100,A81000B,00700,0300,HOME OFFICE 85100,A81000B,00800,0300,CAPITAL 85100,A81000B,00900,0300,BENEFITS 85100,A81000B,01000,0300,A/G 85100,A81000B,01100,0300,PLANT 85100,A81000B,01200,0300,REHAB 85100,A81000B,01300,0300,MED SUPPLIES-BILLABL 85100,A81000C,00100,0100,A 85100,A81000C,00100,0400,WALNUT RIDGE L 85100,A81000C,00100,0600,BUILDING COMPAN 85100,A81000C,00200,0100,A 85100,A81000C,00200,0400,DYNAMIC HEALTHC 85100,A81000C,00200,0600,BOOKKEEPING/MGM 85100,A81000C,00300,0100,A 85100,A81000C,00300,0400,LINCOLN MED SUP 85100,A81000C,00300,0600,MED SUPPLIES 85100,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85100,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85100,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85100,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85100,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85100,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85100,B100000,00000,0800,00000MEALS SERVED :DIETARY 85100,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85100,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85100,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85100,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85100,E10A180,00501,0100,05/26/2000 85100,S000000,00100,0200,05/26/2000 85100,S200000,00100,0100,555 W. CARPENTER 85100,S200000,00200,0100,SPRINGFIELD 85100,S200000,00200,0200,IL 85100,S200000,00200,0300,62702- 85100,S200000,00300,0100,SANGAMON 85100,S200000,00400,0100,WALNUT RIDGE LTD 85100,S200000,00400,0200,145160 85100,S200000,00400,0300,07/01/1975 85100,S200000,00400,0500,P 85100,S200000,01600,0100,Y 85100,S200000,01900,0100,SUBCHAPTER S 85100,S200000,04700,0100,Y 85100,S700003,00000,0100,1 85109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85109,A000000,00300,0000,00300EMPLOYEE BENEFITS 85109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85109,A000000,00700,0000,00700HOUSEKEEPING 85109,A000000,00800,0000,00800DIETARY 85109,A000000,00900,0000,00900NURSING ADMINISTRATION 85109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85109,A000000,01300,0000,01300SOCIAL SERVICE 85109,A000000,01600,0000,01600SKILLED NURSING FACILITY 85109,A000000,01800,0000,01800NURSING FACILITY 85109,A000000,02100,0000,02100RADIOLOGY 85109,A000000,02200,0000,02200LABORATORY 85109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85109,A000000,02500,0000,02500PHYSICAL THERAPY 85109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85109,A000000,02700,0000,02700SPEECH PATHOLOGY 85109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85109,A000000,03200,0000,03200SUPPORT SURFACES 85109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85109,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85109,A81000A,00100,0100,Y 85109,A81000B,00100,0300,RENTAL INCOME 85109,A81000B,00200,0300,DEPRECIATION 85109,A81000B,00300,0300,INTEREST EXPENSE 85109,A81000B,00400,0300,TRUST FEES 85109,A81000B,00500,0300,OFFICE SUPPLIES 85109,A81000B,00600,0300,REAL ESTATE TAXES 85109,A81000B,00700,0300,MORTGAGE AMORTZ 85109,A81000B,00800,0300,GLEN H&H-CAPITAL 85109,A81000B,00900,0300,GLEN H&H-ADMIN 85109,A81000B,01000,0300,ADMIN SALARIES 85109,A81000B,01100,0300,THERAPY COST-TM 85109,A81000B,01200,0300,THERAPY COST-TM 85109,A81000B,01300,0300,THERAPY COST-TM 85109,A81000B,01400,0300,FOOD SUPPLEMENT 85109,A81000B,01500,0300,MEDICAL SUPPLIES 85109,A81000B,01600,0300,G&A THERAPY MASTERS 85109,A81000C,00100,0100,A 85109,A81000C,00100,0200,SIDNEY GLENNER 85109,A81000C,00100,0400,GLEN HEALTH & 85109,A81000C,00100,0600,MGMT. 85109,A81000C,00200,0100,A 85109,A81000C,00200,0400,HOME MANAGEMNT 85109,A81000C,00200,0600,COMP. 85109,A81000C,00300,0100,A 85109,A81000C,00300,0200,SIDNEY GLENNER 85109,A81000C,00300,0400,GLEN OAKS R/E & 85109,A81000C,00300,0600,R.E. 85109,A81000C,00400,0100,A 85109,A81000C,00400,0400,DEVELOPMENT 85109,A81000C,00400,0600,LESSOR 85109,A81000C,00500,0100,A 85109,A81000C,00500,0200,SIDNEY GLENNER 85109,A81000C,00500,0400,THERAPY MASTERS 85109,A81000C,00500,0600,THER.CO 85109,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85109,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85109,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85109,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85109,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85109,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85109,B100000,00000,0800,00000MEALS SERVED :DIETARY 85109,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85109,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85109,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85109,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85109,S000000,00100,0200,03/31/2000 85109,S200000,00100,0100,270 SKOKIE HIGHWAY 85109,S200000,00200,0100,NORTHBROOK 85109,S200000,00200,0200,IL 85109,S200000,00200,0300,60062- 85109,S200000,00300,0100,COOK 85109,S200000,00400,0100,GLEN OAKS NSG & REHAB CTR. LTD 85109,S200000,00400,0200,145171 85109,S200000,00400,0300,10/01/1976 85109,S200000,00400,0500,P 85109,S200000,01600,0100,Y 85109,S700003,00000,0100,1 85120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85120,A000000,00300,0000,00300EMPLOYEE BENEFITS 85120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85120,A000000,00700,0000,00700HOUSEKEEPING 85120,A000000,00800,0000,00800DIETARY 85120,A000000,00900,0000,00900NURSING ADMINISTRATION 85120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85120,A000000,01300,0000,01300SOCIAL SERVICE 85120,A000000,01600,0000,01600SKILLED NURSING FACILITY 85120,A000000,01800,0000,01800NURSING FACILITY 85120,A000000,02100,0000,02100RADIOLOGY 85120,A000000,02200,0000,02200LABORATORY 85120,A000000,02500,0000,02500PHYSICAL THERAPY 85120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85120,A000000,02700,0000,02700SPEECH PATHOLOGY 85120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85120,A000000,05300,0000,05300INTEREST EXPENSE 85120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85120,A81000A,00100,0100,Y 85120,A81000B,00100,0300,CAPITAL RELATED 85120,A81000B,00200,0300,ADMIN & GENERAL 85120,A81000B,00300,0300,PHYSICAL THERAPY 85120,A81000B,00400,0300,OCCUPATIONAL THERAPY 85120,A81000C,00100,0100,B 85120,A81000C,00100,0200,COLONIAL MANOR 85120,A81000C,00100,0400,HERITAGE ENTERP 85120,A81000C,00100,0600,MANAGEMENT COMP 85120,A81000C,00200,0100,B 85120,A81000C,00200,0200,COLONIAL MANOR 85120,A81000C,00200,0400,CARLE FOUNDATIO 85120,A81000C,00200,0600,THERAPY DIVISIO 85120,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85120,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85120,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85120,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85120,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85120,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85120,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85120,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85120,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85120,S000000,00100,0200,06/01/2000 85120,S200000,00100,0100,20 WARRINGTON AVENUE 85120,S200000,00200,0100,DANVILLE 85120,S200000,00200,0200,IL 85120,S200000,00200,0300,61832- 85120,S200000,00300,0100,VERMILION 85120,S200000,00400,0100,COLONIAL MANOR 85120,S200000,00400,0200,145183 85120,S200000,00400,0300,08/01/1996 85120,S200000,00400,0500,P 85120,S200000,00400,0600,O 85120,S200000,00600,0200,145183 85120,S200000,00600,0300,08/01/1996 85120,S200000,00600,0600,P 85120,S200000,01600,0100,Y 85120,S200000,01900,0100,501(C)(3)CORP. 85120,S200000,02200,0100,Y 85120,S700003,00000,0400,4 85129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85129,A000000,00300,0000,00300EMPLOYEE BENEFITS 85129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85129,A000000,00700,0000,00700HOUSEKEEPING 85129,A000000,00800,0000,00800DIETARY 85129,A000000,00900,0000,00900NURSING ADMINISTRATION 85129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85129,A000000,01100,0000,01100PHARMACY 85129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85129,A000000,01300,0000,01300SOCIAL SERVICE 85129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85129,A000000,01600,0000,01600SKILLED NURSING FACILITY 85129,A000000,01800,0000,01800NURSING FACILITY 85129,A000000,01900,0000,01900OTHER LONG TERM CARE 85129,A000000,02100,0000,02100RADIOLOGY 85129,A000000,02200,0000,02200LABORATORY 85129,A000000,02300,0000,02300INTRAVENOUS THERAPY 85129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85129,A000000,02500,0000,02500PHYSICAL THERAPY 85129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85129,A000000,02700,0000,02700SPEECH PATHOLOGY 85129,A000000,02800,0000,02800ELECTROCARDIOLOGY 85129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85129,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85129,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85129,A000000,03200,0000,03200SUPPORT SURFACES 85129,A000000,03400,0000,03400CLINIC 85129,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85129,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85129,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85129,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85129,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85129,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85129,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85129,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85129,A000000,04400,0000,04400DME RENTED - HHA 85129,A000000,04500,0000,04500DME SOLD - HHA 85129,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85129,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85129,A000000,04800,0000,04800AMBULANCE 85129,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85129,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85129,A000000,05300,0000,05300INTEREST EXPENSE 85129,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85129,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85129,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85129,A000000,06100,0000,06100NONPAID WORKERS 85129,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85129,A000000,06200,0000,06200PATIENTS LAUNDRY 85129,A81000A,00100,0100,Y 85129,A81000B,00100,0300,PROPERTY TAXES 85129,A81000B,00200,0300,DEPRECIATION 85129,A81000B,00300,0300,INSURANCE 85129,A81000B,00400,0300,INTEREST 85129,A81000B,00500,0300,P/R TAXES WORK COMP 85129,A81000B,00600,0300,OFFICE SUPPLIES EXP 85129,A81000B,00700,0300,TELECOMMUNICATIONS 85129,A81000B,00800,0300,LEGAL ACCOUNTING 85129,A81000B,00900,0300,TRAVEL SEMINAR EDUC 85129,A81000B,01000,0300,DUES SUBSCRIPTIONS 85129,A81000B,01100,0300,MAINT REPAIRS 85129,A81000B,01200,0300,UTILITIES 85129,A81000B,01300,0300,MEDICAL SUPPLIES 85129,A81000B,01400,0300,MANAGEMENT FEES 85129,A81000C,00100,0100,A 85129,A81000C,00100,0200,F.M. BRIDGES 85129,A81000C,00100,0400,LAKELAND HEALTH 85129,A81000C,00100,0600,MGMT CO. 85129,A81000C,00200,0100,A 85129,A81000C,00200,0200,B.J. BRIDGES 85129,A81000C,00200,0400,LAKELAND HEALTH 85129,A81000C,00200,0600,MGMT CO. 85129,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85129,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85129,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85129,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85129,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85129,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85129,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85129,B100000,00000,0800,00000MEALS SERVED :DIETARY 85129,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 85129,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85129,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85129,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85129,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85129,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85129,E10A180,00501,0100,08/15/2000 85129,S000000,00100,0200,08/07/2000 85129,S200000,00100,0100,225 CASTELLANO DRIVE 85129,S200000,00200,0100,SWANSEA 85129,S200000,00200,0200,IL 85129,S200000,00200,0300,62226- 85129,S200000,00300,0100,ST. CLAIR 85129,S200000,00400,0100,CASTLEHAVEN CARE CENTER INC. 85129,S200000,00400,0200,145185 85129,S200000,00400,0300,07/20/1994 85129,S200000,00400,0500,P 85129,S200000,01004,0500,O 85129,S200000,01600,0100,Y 85129,S700003,00000,0100,1 85132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85132,A000000,00300,0000,00300EMPLOYEE BENEFITS 85132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85132,A000000,00700,0000,00700HOUSEKEEPING 85132,A000000,00800,0000,00800DIETARY 85132,A000000,00900,0000,00900NURSING ADMINISTRATION 85132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85132,A000000,01300,0000,01300SOCIAL SERVICE 85132,A000000,01600,0000,01600SKILLED NURSING FACILITY 85132,A000000,01800,0000,01800NURSING FACILITY 85132,A000000,02100,0000,02100RADIOLOGY 85132,A000000,02200,0000,02200LABORATORY 85132,A000000,02500,0000,02500PHYSICAL THERAPY 85132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85132,A000000,02700,0000,02700SPEECH PATHOLOGY 85132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85132,A000000,03050,0000,03300BGM 85132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85132,A81000A,00100,0100,Y 85132,A81000B,00100,0300,HOME OFFICE COSTS 85132,A81000B,00200,0300,MANAGEMENT FEES 85132,A81000B,00300,0300,INTEREST INCOME 85132,A81000B,00400,0300,PROFESSIONAL FEES 85132,A81000B,00500,0300,ADMIN. & GENERAL 85132,A81000B,00600,0300,INTEREST EXPENSE 85132,A81000B,00700,0300,ENTERAL EXPENSE 85132,A81000B,00800,0300,NON-BILL.FOOD SUPPLE 85132,A81000B,00900,0300,PHARMACY CSLT 85132,A81000B,01000,0300,NON-BILLABLE ITEMS 85132,A81000B,01100,0300,CAPITAL RELATED COTS 85132,A81000B,01200,0300,EMPLOYEE BENEFITS 85132,A81000B,01300,0300,ADMN. & GENERAL 85132,A81000B,01400,0300,PLANT OPERAT.& MAINT 85132,A81000B,01500,0300,INTEREST INCOME 85132,A81000B,01600,0300,RENTAL INCOME 85132,A81000B,01700,0300,GAIN ON PARTNERSHIP 85132,A81000B,01800,0300,INTEREST EXPENSE 85132,A81000B,01900,0300,DEPRECIATION EXPENSE 85132,A81000B,02000,0300,AMORTIZATION EXPENSE 85132,A81000B,02100,0300,ADMINISTRATION & GEN 85132,A81000B,02200,0300,ACCOUNTING EXPENSE 85132,A81000C,00100,0100,A 85132,A81000C,00100,0400,SFO ASSOCIATES 85132,A81000C,00100,0600,LOAN 85132,A81000C,00200,0100,A 85132,A81000C,00200,0400,S&E MEDICAL SUP 85132,A81000C,00200,0600,MEDICAL SUPPLIE 85132,A81000C,00300,0100,A 85132,A81000C,00300,0400,PHARMCOR 85132,A81000C,00300,0600,DRUGS 85132,A81000C,00400,0100,A 85132,A81000C,00400,0400,SW MANAGEMENT 85132,A81000C,00400,0600,BOOKKEEPPING & 85132,A81000C,00500,0100,A 85132,A81000C,00500,0400,FRANKLIN GROVE 85132,A81000C,00500,0600,BLDG PARTNERSHI 85132,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85132,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85132,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85132,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85132,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85132,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85132,B100000,00000,0800,00000MEALS SERVED :DIETARY 85132,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85132,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85132,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85132,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85132,S000000,00100,0200,05/25/2000 85132,S200000,00100,0100,502 NORTH STATE STREET 85132,S200000,00200,0100,FRANKLIN GROVE 85132,S200000,00200,0200,IL 85132,S200000,00200,0300,61031- 85132,S200000,00300,0100,LEE 85132,S200000,00400,0100,FRANKLIN GROVE NURSING CTR INC 85132,S200000,00400,0200,145200 85132,S200000,00400,0300,01/01/1967 85132,S200000,00400,0500,P 85132,S200000,01600,0100,Y 85132,S200000,01900,0100,SUB-CORP 85132,S200000,02200,0100,Y 85132,S700003,00000,0100,1 85140,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85140,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85140,A000000,00300,0000,00300EMPLOYEE BENEFITS 85140,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85140,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85140,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85140,A000000,00700,0000,00700HOUSEKEEPING 85140,A000000,00800,0000,00800DIETARY 85140,A000000,00900,0000,00900NURSING ADMINISTRATION 85140,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85140,A000000,01100,0000,01100PHARMACY 85140,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85140,A000000,01300,0000,01300SOCIAL SERVICE 85140,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85140,A000000,01600,0000,01600SKILLED NURSING FACILITY 85140,A000000,01800,0000,01800NURSING FACILITY 85140,A000000,01810,0000,01810ICF/MR 85140,A000000,02100,0000,02100RADIOLOGY 85140,A000000,02200,0000,02200LABORATORY 85140,A000000,02500,0000,02500PHYSICAL THERAPY 85140,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85140,A000000,02700,0000,02700SPEECH PATHOLOGY 85140,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85140,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85140,A000000,03200,0000,03200SUPPORT SURFACES 85140,A000000,03550,0000,03550FQHC 85140,A000000,05000,0000,05000CORF 85140,A000000,05010,0000,05010CMHC 85140,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85140,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85140,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85140,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85140,A81000A,00100,0100,Y 85140,A81000B,00200,0300,RENT 85140,A81000B,00400,0300,HOME OFFICE 85140,A81000B,00600,0300,PT OT ST 85140,A81000B,00800,0300,PHARMACY 85140,A81000B,01000,0300,MEDICAL SUPPLIES 85140,A81000C,00200,0100,B 85140,A81000C,00200,0200,BRIDGEVIEW ASSO 85140,A81000C,00400,0100,B 85140,A81000C,00400,0200,DYNAMIC HEALTHC 85140,A81000C,00600,0100,B 85140,A81000C,00600,0200,DYNAMIC REHAB. 85140,A81000C,00800,0100,B 85140,A81000C,00800,0200,PHARMCOR 85140,A81000C,01000,0100,B 85140,A81000C,01000,0200,LINCOLN MEDICAL 85140,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85140,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85140,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85140,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85140,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85140,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85140,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85140,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85140,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85140,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85140,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85140,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85140,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85140,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85140,S000000,00100,0200,05/31/2000 85140,S200000,00200,0100,BRIDGEVIEW 85140,S200000,00200,0200,IL 85140,S200000,00300,0100,COOK 85140,S200000,00400,0100,BRIDGEVIEW HEALTH CARE CENTER INC. 85140,S200000,00400,0200,145208 85140,S200000,00400,0300,01/01/1970 85140,S200000,00400,0500,P 85140,S200000,01600,0100,Y 85140,S700003,00000,0100,1 85149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85149,A000000,00300,0000,00300EMPLOYEE BENEFITS 85149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85149,A000000,00700,0000,00700HOUSEKEEPING 85149,A000000,00800,0000,00800DIETARY 85149,A000000,00900,0000,00900NURSING ADMINISTRATION 85149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85149,A000000,01300,0000,01300SOCIAL SERVICE 85149,A000000,01600,0000,01600SKILLED NURSING FACILITY 85149,A000000,01800,0000,01800NURSING FACILITY 85149,A000000,02100,0000,02100RADIOLOGY 85149,A000000,02200,0000,02200LABORATORY 85149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85149,A000000,02500,0000,02500PHYSICAL THERAPY 85149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85149,A000000,02700,0000,02700SPEECH PATHOLOGY 85149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85149,A000000,03050,0000,03300NUTRITIONAL / UROLOGICAL 85149,A000000,03051,0000,03310AMBULANCE 85149,A000000,03052,0000,03320BLOOD GLUCOSE MONITORING 85149,A000000,03200,0000,03200SUPPORT SURFACES 85149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85149,A81000A,00100,0100,Y 85149,A81000B,00100,0300,MANAGEMENT FEES 85149,A81000B,00200,0300,ADMINISTRATIVE EXP 85149,A81000B,00300,0300,ADMINISTRATIVE SAL 85149,A81000B,00400,0300,EMPLOYEE BENEFITS 85149,A81000B,00500,0300,NURSING CONSULT 85149,A81000C,00100,0100,B 85149,A81000C,00100,0400,UNITED CARE IN 85149,A81000C,00100,0600,MANAGEMENT SERV 85149,A81000C,00200,0100,A 85149,A81000C,00200,0400,MGMT PROF FOR H 85149,A81000C,00200,0600,NURSING CONSULT 85149,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85149,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85149,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85149,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85149,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85149,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85149,B100000,00000,0800,00000MEALS SERVED :DIETARY 85149,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85149,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85149,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85149,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85149,S000000,00100,0200,04/27/2000 85149,S200000,00100,0100,5801 SOUTH CASS AVENUE 85149,S200000,00200,0100,WESTMONT 85149,S200000,00200,0200,IL 85149,S200000,00200,0300,60559- 85149,S200000,00300,0100,DUPAGE 85149,S200000,00400,0100,BURGESS SQUARE HEALTHCARE CENTER 85149,S200000,00400,0200,145219 85149,S200000,00400,0300,10/01/1977 85149,S200000,00400,0500,P 85149,S200000,01600,0100,Y 85149,S200000,04700,0100,Y 85149,S200000,04900,0100,Y 85149,S700003,00000,0100,1 85158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85158,A000000,00300,0000,00300EMPLOYEE BENEFITS 85158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85158,A000000,00700,0000,00700HOUSEKEEPING 85158,A000000,00800,0000,00800DIETARY 85158,A000000,00900,0000,00900NURSING ADMINISTRATION 85158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85158,A000000,01300,0000,01300SOCIAL SERVICE 85158,A000000,01600,0000,01600SKILLED NURSING FACILITY 85158,A000000,01800,0000,01800NURSING FACILITY 85158,A000000,02100,0000,02100RADIOLOGY 85158,A000000,02200,0000,02200LABORATORY 85158,A000000,02500,0000,02500PHYSICAL THERAPY 85158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85158,A000000,02700,0000,02700SPEECH PATHOLOGY 85158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85158,A000000,04800,0000,04800AMBULANCE 85158,A000000,05300,0000,05300INTEREST EXPENSE 85158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85158,A81000A,00100,0100,Y 85158,A81000B,00100,0300,CAPITAL RELATED 85158,A81000B,00200,0300,ADMIN & GENERAL 85158,A81000B,00300,0300,PHYSICAL THERAPY 85158,A81000B,00400,0300,OCCUPATIONAL THERAPY 85158,A81000B,00500,0300,SPEECH THERAPY 85158,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85158,A81000B,00700,0300,PHARMACY COSTS 85158,A81000B,00800,0300,MEDICAL SUPPLY COSTS 85158,A81000B,00900,0300,PHARMACY COSTS 85158,A81000C,00100,0100,B 85158,A81000C,00100,0200,HER MANOR SPRIN 85158,A81000C,00100,0400,HERITAGE ENTERP 85158,A81000C,00100,0600,HOME OFFICE 85158,A81000C,00200,0100,B 85158,A81000C,00200,0200,HER MANOR SPRIN 85158,A81000C,00200,0400,HERITAGE THERAP 85158,A81000C,00200,0600,THERAPY DIVISIO 85158,A81000C,00300,0100,B 85158,A81000C,00300,0200,HER MANOR SPRIN 85158,A81000C,00300,0400,LTC PHARMACY 85158,A81000C,00300,0600,WHOLESALE PHARM 85158,A81000C,00400,0100,B 85158,A81000C,00400,0200,HER MANOR SPRIN 85158,A81000C,00400,0400,GREEN TREE PHAR 85158,A81000C,00400,0600,WHOLESALE PHARM 85158,A81000C,00500,0100,B 85158,A81000C,00500,0200,HER MANOR SPRIN 85158,A81000C,00500,0400,MEMORIAL HOME C 85158,A81000C,00500,0600,PHARMACY & MED 85158,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85158,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85158,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85158,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85158,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85158,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85158,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85158,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85158,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85158,S000000,00100,0200,06/01/2000 85158,S200000,00100,0100,900 N. RUTLEDGE 85158,S200000,00200,0100,SPRINGFIELD 85158,S200000,00200,0200,IL 85158,S200000,00200,0300,62702- 85158,S200000,00300,0100,SANGAMON 85158,S200000,00400,0100,HERITAGE MANOR - SPRINGFIELD 85158,S200000,00400,0200,145229 85158,S200000,00400,0300,09/01/1996 85158,S200000,00400,0500,P 85158,S200000,00400,0600,O 85158,S200000,00600,0200,145183 85158,S200000,00600,0300,09/01/1996 85158,S200000,00600,0600,P 85158,S200000,01004,0500,O 85158,S200000,01600,0100,Y 85158,S200000,01900,0100,501(C)(3)CORP. 85158,S200000,02200,0100,Y 85158,S700003,00000,0100,1 85168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85168,A000000,00300,0000,00300EMPLOYEE BENEFITS 85168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85168,A000000,00700,0000,00700HOUSEKEEPING 85168,A000000,00800,0000,00800DIETARY 85168,A000000,00900,0000,00900NURSING ADMINISTRATION 85168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85168,A000000,01100,0000,01100PHARMACY 85168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85168,A000000,01300,0000,01300SOCIAL SERVICE 85168,A000000,01350,0000,01500RECREATION 85168,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85168,A000000,01600,0000,01600SKILLED NURSING FACILITY 85168,A000000,01800,0000,01800NURSING FACILITY 85168,A000000,02200,0000,02200LABORATORY 85168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85168,A000000,02500,0000,02500PHYSICAL THERAPY 85168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85168,A000000,02700,0000,02700SPEECH PATHOLOGY 85168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85168,A000000,03050,0000,03300PEN 85168,A000000,03051,0000,03310EQUIPMENT RENTAL 85168,A000000,03550,0000,03550FQHC 85168,A000000,05000,0000,05000CORF 85168,A000000,05010,0000,05010CMHC 85168,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85168,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85168,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85168,A81000A,00100,0100,Y 85168,A81000B,00100,0300,HOME OFFICE COSTS 85168,A81000C,00100,0100,A 85168,A81000C,00100,0200,MID AMERICA 85168,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85168,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85168,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85168,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85168,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85168,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85168,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85168,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85168,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85168,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85168,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85168,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85168,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85168,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85168,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85168,S000000,00100,0200,11/30/2000 85168,S200000,00100,0100,900 SOUTH KIWANIS DRIVE 85168,S200000,00200,0100,FREEPORT 85168,S200000,00200,0200,IL 85168,S200000,00200,0300,61032- 85168,S200000,00300,0100,STEPHANSON 85168,S200000,00400,0100,FREEPORT MANOR NURSING CENTER 85168,S200000,00400,0200,145234 85168,S200000,00400,0300,01/25/1985 85168,S200000,00400,0500,P 85168,S200000,01004,0500,O 85168,S200000,01600,0100,Y 85168,S700003,00000,0400,4 85180,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85180,A000000,00300,0000,00300EMPLOYEE BENEFITS 85180,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85180,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85180,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85180,A000000,00700,0000,00700HOUSEKEEPING 85180,A000000,00800,0000,00800DIETARY 85180,A000000,00900,0000,00900NURSING ADMINISTRATION 85180,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85180,A000000,01300,0000,01300SOCIAL SERVICE 85180,A000000,01600,0000,01600SKILLED NURSING FACILITY 85180,A000000,01800,0000,01800NURSING FACILITY 85180,A000000,02500,0000,02500PHYSICAL THERAPY 85180,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85180,A000000,02700,0000,02700SPEECH PATHOLOGY 85180,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85180,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85180,A000000,05300,0000,05300INTEREST EXPENSE 85180,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85180,A81000A,00100,0100,Y 85180,A81000B,00100,0300,MEDICAL INSURANCE 85180,A81000B,00200,0300,WORKERS COMPENSATION 85180,A81000B,00300,0300,PROPERTY INSURANCE 85180,A81000B,00400,0300,HOME OFFICE COSTS 85180,A81000C,00100,0100,B 85180,A81000C,00100,0200,SAINT CLARE HOM 85180,A81000C,00100,0400,OSF HEALTHCARE 85180,A81000C,00100,0600,HEALTH CARE PAR 85180,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85180,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85180,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85180,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85180,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85180,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85180,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85180,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85180,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85180,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85180,S000000,00100,0200,03/06/2000 85180,S200000,00100,0100,5533 N. GALENA ROAD 85180,S200000,00200,0100,PEORIA HEIGHTS 85180,S200000,00200,0200,IL 85180,S200000,00200,0300,61614- 85180,S200000,00300,0100,PEORIA 85180,S200000,00400,0100,SAINT CLARE HOME 85180,S200000,00400,0200,145239 85180,S200000,00400,0300,08/31/1998 85180,S200000,00400,0500,P 85180,S200000,00400,0600,O 85180,S200000,00600,0200,145239 85180,S200000,00600,0300,08/31/1998 85180,S200000,00600,0600,P 85180,S200000,01600,0100,Y 85180,S200000,01900,0100,501(C)(3)CORP. 85180,S200000,02200,0100,Y 85180,S700003,00000,0300,3 85190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85190,A000000,00300,0000,00300EMPLOYEE BENEFITS 85190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85190,A000000,00700,0000,00700HOUSEKEEPING 85190,A000000,00800,0000,00800DIETARY 85190,A000000,00900,0000,00900NURSING ADMINISTRATION 85190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85190,A000000,01100,0000,01100PHARMACY 85190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85190,A000000,01300,0000,01300SOCIAL SERVICE 85190,A000000,01350,0000,01500RECREATION 85190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85190,A000000,01600,0000,01600SKILLED NURSING FACILITY 85190,A000000,01800,0000,01800NURSING FACILITY 85190,A000000,02200,0000,02200LABORATORY 85190,A000000,02300,0000,02300INTRAVENOUS THERAPY 85190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85190,A000000,02500,0000,02500PHYSICAL THERAPY 85190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85190,A000000,02700,0000,02700SPEECH PATHOLOGY 85190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85190,A000000,03050,0000,03300PEN 85190,A000000,03051,0000,03310EQUIPMENT RENTAL 85190,A000000,03550,0000,03550FQHC 85190,A000000,05000,0000,05000CORF 85190,A000000,05010,0000,05010CMHC 85190,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85190,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85190,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85190,A81000A,00100,0100,Y 85190,A81000B,00100,0300,HOME OFFICE COSTS 85190,A81000C,00100,0100,A 85190,A81000C,00100,0200,MID AMERICA 85190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85190,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85190,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85190,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85190,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85190,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85190,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85190,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85190,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85190,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85190,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85190,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85190,S000000,00100,0200,12/01/2000 85190,S200000,00100,0100,800 WEST TEMPLE STREET 85190,S200000,00200,0100,EFFINGHAM 85190,S200000,00200,0200,IL 85190,S200000,00200,0300,62401- 85190,S200000,00300,0100,EFFINGHAM 85190,S200000,00400,0100,LAKELAND HEALTH CARE CENTER 85190,S200000,00400,0200,145256 85190,S200000,00400,0300,04/01/1985 85190,S200000,00400,0500,P 85190,S200000,01004,0500,O 85190,S200000,01600,0100,Y 85190,S700003,00000,0200,2 85204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85204,A000000,00300,0000,00300EMPLOYEE BENEFITS 85204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85204,A000000,00700,0000,00700HOUSEKEEPING 85204,A000000,00800,0000,00800DIETARY 85204,A000000,00900,0000,00900NURSING ADMINISTRATION 85204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85204,A000000,01100,0000,01100PHARMACY 85204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85204,A000000,01300,0000,01300SOCIAL SERVICE 85204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85204,A000000,01600,0000,01600SKILLED NURSING FACILITY 85204,A000000,01800,0000,01800NURSING FACILITY 85204,A000000,02100,0000,02100RADIOLOGY 85204,A000000,02200,0000,02200LABORATORY 85204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85204,A000000,02500,0000,02500PHYSICAL THERAPY 85204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85204,A000000,02700,0000,02700SPEECH PATHOLOGY 85204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85204,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85204,A000000,05000,0000,05000CORF 85204,A000000,05010,0000,05010CMHC 85204,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85204,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85204,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85204,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85204,A81000A,00100,0100,Y 85204,A81000B,00100,0300,MANAGEMENT FEE 85204,A81000B,00200,0300,CAPITAL RELATED 85204,A81000B,00400,0300,DEBES CENTRAL LAUNDR 85204,A81000B,00500,0300,CAPITAL -- LAUNDRY 85204,A81000C,00100,0100,F 85204,A81000C,00100,0200,DEBES CORPORATI 85204,A81000C,00100,0600,MANAGEMENT 85204,A81000C,00200,0100,F 85204,A81000C,00200,0200,CHAMBRO LEASING 85204,A81000C,00200,0600,LEASING 85204,A81000C,00300,0100,F 85204,A81000C,00300,0200,DEBES LAUNDRY 85204,A81000C,00300,0600,LAUNDRY CENTRAL 85204,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85204,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 85204,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85204,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85204,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85204,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85204,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 85204,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85204,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 85204,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 85204,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 85204,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 85204,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85204,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 85204,E10A180,00301,0100,01/06/2000 85204,E10A180,00301,0300,07/01/1997 85204,E10A180,00302,0300,07/09/1996 85204,E10A180,00303,0300,11/19/1996 85204,E10A180,00304,0300,02/11/1997 85204,E10A180,00351,0100,03/18/1999 85204,E10A180,00352,0100,06/23/1999 85204,E10A180,00353,0100,09/29/1999 85204,E10A180,00510,0100,07/14/2000 85204,S000000,00100,0200,06/12/2000 85204,S200000,00100,0100,5668 STRATHMOOR DRIVE 85204,S200000,00200,0100,ROCKFORD 85204,S200000,00200,0200,IL 85204,S200000,00200,0300,61107- 85204,S200000,00300,0100,WINNEBAGO 85204,S200000,00400,0100,PARK STRATHMOOR 85204,S200000,00400,0200,145259 85204,S200000,00400,0300,12/01/1979 85204,S200000,00400,0500,P 85204,S200000,00600,0200,145259 85204,S200000,00600,0300,12/01/1979 85204,S200000,00600,0600,P 85204,S200000,01500,0100,Y 85204,S200000,01600,0100,Y 85204,S700003,00000,0100,1 85214,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85214,A000000,00300,0000,00300EMPLOYEE BENEFITS 85214,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85214,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85214,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85214,A000000,00700,0000,00700HOUSEKEEPING 85214,A000000,00800,0000,00800DIETARY 85214,A000000,00900,0000,00900NURSING ADMINISTRATION 85214,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85214,A000000,01300,0000,01300SOCIAL SERVICE 85214,A000000,01600,0000,01600SKILLED NURSING FACILITY 85214,A000000,01800,0000,01800NURSING FACILITY 85214,A000000,02200,0000,02200LABORATORY 85214,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85214,A000000,02500,0000,02500PHYSICAL THERAPY 85214,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85214,A000000,02700,0000,02700SPEECH PATHOLOGY 85214,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85214,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85214,A000000,04800,0000,04800AMBULANCE 85214,A000000,05300,0000,05300INTEREST EXPENSE 85214,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85214,A81000A,00100,0100,Y 85214,A81000B,00100,0300,CAPITAL RELATED 85214,A81000B,00200,0300,ADMIN & GENERAL 85214,A81000B,00300,0300,PHYSICAL THERAPY 85214,A81000B,00400,0300,OCCUPATIONAL THERAPY 85214,A81000B,00500,0300,SPEECH THERAPY 85214,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85214,A81000B,00700,0300,PHARMACY COSTS 85214,A81000B,00800,0300,GENERAL SUPPLIES 85214,A81000C,00100,0100,B 85214,A81000C,00100,0200,HER MANOR SPRIN 85214,A81000C,00100,0400,HERITAGE ENTERP 85214,A81000C,00100,0600,HOME OFFICE 85214,A81000C,00200,0100,B 85214,A81000C,00200,0200,HER MANOR SPRIN 85214,A81000C,00200,0400,HERITAGE THERAP 85214,A81000C,00200,0600,THERAPY DIVISIO 85214,A81000C,00300,0100,B 85214,A81000C,00300,0200,HER MANOR SPRIN 85214,A81000C,00300,0400,LTC PHARMACY 85214,A81000C,00300,0600,WHOLESALE PHARM 85214,A81000C,00400,0100,B 85214,A81000C,00400,0200,HER MANOR SPRIN 85214,A81000C,00400,0400,GREEN TREE PHAR 85214,A81000C,00400,0600,WHOLESALE PHARM 85214,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85214,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85214,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85214,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85214,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85214,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85214,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85214,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85214,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85214,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85214,S000000,00100,0200,06/01/2000 85214,S200000,00100,0100,1000 EAST SIXTH STREET ROAD 85214,S200000,00200,0100,PANA 85214,S200000,00200,0200,IL 85214,S200000,00200,0300,62557- 85214,S200000,00300,0100,CHRISTIAN 85214,S200000,00400,0100,HERITAGE MANOR - PANA 85214,S200000,00400,0200,145267 85214,S200000,00400,0300,09/01/1974 85214,S200000,00400,0500,P 85214,S200000,00400,0600,O 85214,S200000,00600,0200,145267 85214,S200000,00600,0300,09/01/1974 85214,S200000,00600,0600,P 85214,S200000,01600,0100,Y 85214,S200000,01900,0100,501(C)(3)CORP. 85214,S200000,02200,0100,Y 85214,S700003,00000,0100,1 85223,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85223,A000000,00300,0000,00300EMPLOYEE BENEFITS 85223,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85223,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85223,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85223,A000000,00700,0000,00700HOUSEKEEPING 85223,A000000,00800,0000,00800DIETARY 85223,A000000,00900,0000,00900NURSING ADMINISTRATION 85223,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85223,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85223,A000000,01300,0000,01300SOCIAL SERVICE 85223,A000000,01600,0000,01600SKILLED NURSING FACILITY 85223,A000000,01800,0000,01800NURSING FACILITY 85223,A000000,02200,0000,02200LABORATORY 85223,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85223,A000000,02500,0000,02500PHYSICAL THERAPY 85223,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85223,A000000,02700,0000,02700SPEECH PATHOLOGY 85223,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85223,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85223,A000000,03050,0000,03300BGM 85223,A000000,03051,0000,03301AMBULANCE 85223,A000000,03200,0000,03200SUPPORT SURFACES 85223,A000000,05000,0000,05000CORF 85223,A000000,05010,0000,05010CMHC 85223,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85223,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85223,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85223,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85223,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85223,A81000A,00100,0100,Y 85223,A81000B,00100,0300,HOME OFFICE 85223,A81000B,00200,0300,DEPRECIATION 85223,A81000B,00300,0300,AMORTIZATION 85223,A81000B,00400,0300,INTEREST 85223,A81000B,00500,0300,REAL ESTATE TAZES 85223,A81000B,00600,0300,EQUIPMENT RENTAL 85223,A81000B,00700,0300,EMPLOYEE BENEFITS 85223,A81000B,00800,0300,ADMIN AND GENERAL 85223,A81000B,00900,0300,ADMIN SALARIES 85223,A81000B,01000,0300,PLANT AND OPERATION 85223,A81000B,01100,0300,HOUSEKEEPING 85223,A81000B,01200,0300,DIETARY 85223,A81000B,01300,0300,HOME OFFICE 85223,A81000B,01400,0300,ADMIN AND GENERAL 85223,A81000B,01500,0300,ADMIN SALARIES 85223,A81000B,01600,0300,CAPITAL COSTS 85223,A81000B,01700,0300,MANAGEMENT FEES 85223,A81000B,01800,0300,ADMIN AND GENERAL 85223,A81000B,01900,0300,ADMIN SALARIES 85223,A81000B,02000,0300,EMPLOYEE BENEFITS 85223,A81000B,02100,0300,CAPITAL COSTS 85223,A81000B,02200,0300,MANAGEMENT FEES 85223,A81000B,02300,0300,ADMIN AND GENERAL 85223,A81000B,02400,0300,ADMIN SALARIES 85223,A81000B,02500,0300,EMPLOYEE BENEFITS 85223,A81000B,02600,0300,MANAGEMENT FEES 85223,A81000B,02700,0300,EMPLOYEE BENEFITS 85223,A81000B,02800,0300,ADMIN AND GENERAL 85223,A81000B,02900,0300,ADMIN SALARIES 85223,A81000C,00100,0100,A 85223,A81000C,00100,0400,ITEX/A.K CARE 85223,A81000C,00100,0600,MANAGEMENT 85223,A81000C,00200,0100,A 85223,A81000C,00200,0400,CARE PATH 85223,A81000C,00200,0600,MANAGEMENT 85223,A81000C,00300,0100,A 85223,A81000C,00300,0400,JLR MANAGEMENT 85223,A81000C,00300,0600,MANAGEMENT 85223,A81000C,00400,0100,A 85223,A81000C,00400,0400,SHAYMARK MGMT C 85223,A81000C,00400,0600,MANAGEMENT 85223,A81000C,00500,0100,A 85223,A81000C,00500,0400,INTERCARE 85223,A81000C,00500,0600,MANAGEMENT 85223,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85223,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85223,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85223,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85223,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85223,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85223,B100000,00000,0800,00000MEALS SERVED :DIETARY 85223,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85223,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85223,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85223,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85223,E10A180,00501,0100,07/06/2000 85223,E10A180,00501,0300,07/06/2000 85223,S000000,00100,0200,05/30/2000 85223,S200000,00100,0100,1511 GREENWOOD ROAD 85223,S200000,00200,0100,GLENVIEW 85223,S200000,00200,0200,IL 85223,S200000,00200,0300,60025- 85223,S200000,00300,0100,COOK 85223,S200000,00400,0100,GLENVIEW TERRACE NURSING CENTER 85223,S200000,00400,0200,145268 85223,S200000,00400,0300,05/01/1974 85223,S200000,00400,0500,P 85223,S200000,01600,0100,Y 85223,S200000,04700,0100,Y 85223,S700003,00000,0100,1 85232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85232,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85232,A000000,00300,0000,00300EMPLOYEE BENEFITS 85232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85232,A000000,00700,0000,00700HOUSEKEEPING 85232,A000000,00800,0000,00800DIETARY 85232,A000000,00900,0000,00900NURSING ADMINISTRATION 85232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85232,A000000,01300,0000,01300SOCIAL SERVICE 85232,A000000,01600,0000,01600SKILLED NURSING FACILITY 85232,A000000,01800,0000,01800NURSING FACILITY 85232,A000000,02500,0000,02500PHYSICAL THERAPY 85232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85232,A000000,02700,0000,02700SPEECH PATHOLOGY 85232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85232,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85232,A000000,06200,0000,06200PATIENTS LAUNDRY 85232,A81000A,00100,0100,Y 85232,A81000B,00100,0300,EMP HEALTH INSURANCE 85232,A81000B,00200,0300,OFFICE SUPPLIES 85232,A81000B,00300,0300,POSTAGE AND COMMUNICAITON 85232,A81000B,00400,0300,PRINTING AND DUPLICATING 85232,A81000B,00500,0300,PRINTING AND DUPLICATING 85232,A81000B,00600,0300,PRINTING AND DUPLICATING 85232,A81000B,00700,0300,PRINTING AND DUPLICATING 85232,A81000B,00800,0300,PRINTING AND DUPLICATING 85232,A81000B,00900,0300,PRINTING AND DUPLICATING 85232,A81000B,01000,0300,PROPERTY INSURANCE 85232,A81000B,01100,0300,COUNTY SALARY ALLOCATION 85232,A81000B,01200,0300,WORK COMP AND UNEMPLOYMENT 85232,A81000B,01300,0300,PROPERTY INSURANCE 85232,A81000B,01400,0300,CAPITAL OUTLAY 85232,A81000B,01500,0300,CAPITAL OUTLAY 85232,A81000B,01600,0300,CAPITAL OUTLAY 85232,A81000B,01700,0300,CAPITAL OUTLAY 85232,A81000B,01800,0300,CAPITAL OUTLAY 85232,A81000C,00100,0100,B 85232,A81000C,00100,0400,ROCK ISLAND COUNTY 85232,A81000C,00100,0600,COUNTY GOVERNMENT 85232,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85232,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85232,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85232,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85232,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85232,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85232,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85232,B100000,00000,0800,00000MEALS SERVED :DIETARY 85232,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 85232,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 85232,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85232,S000000,00100,0200,04/27/2000 85232,S200000,00100,0100,11210 95TH STREET 85232,S200000,00200,0100,COAL VALLEY 85232,S200000,00200,0200,IL 85232,S200000,00200,0300,61240- 85232,S200000,00300,0100,ROCK ISLAND 85232,S200000,00400,0100,OAK GLEN 85232,S200000,00400,0200,145269 85232,S200000,00400,0300,10/01/1977 85232,S200000,00400,0500,P 85232,S200000,00400,0600,O 85232,S200000,01600,0100,Y 85232,S200000,02200,0100,Y 85232,S200000,04900,0100,Y 85232,S700003,00000,0100,1 85241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85241,A000000,00300,0000,00300EMPLOYEE BENEFITS 85241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85241,A000000,00700,0000,00700HOUSEKEEPING 85241,A000000,00800,0000,00800DIETARY 85241,A000000,00900,0000,00900NURSING ADMINISTRATION 85241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85241,A000000,01300,0000,01300SOCIAL SERVICE 85241,A000000,01600,0000,01600SKILLED NURSING FACILITY 85241,A000000,01800,0000,01800NURSING FACILITY 85241,A000000,02100,0000,02100RADIOLOGY 85241,A000000,02200,0000,02200LABORATORY 85241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85241,A000000,02500,0000,02500PHYSICAL THERAPY 85241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85241,A000000,02700,0000,02700SPEECH PATHOLOGY 85241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85241,A000000,05300,0000,05300INTEREST EXPENSE 85241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85241,A81000A,00100,0100,Y 85241,A81000B,00100,0300,CAPITAL RELATED 85241,A81000B,00200,0300,ADMIN & GENERAL 85241,A81000B,00300,0300,PHYSICAL THERAPY 85241,A81000B,00400,0300,OCCUPATIONAL THERAPY 85241,A81000B,00500,0300,SPEECH THERAPY 85241,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85241,A81000B,00700,0300,PHARMACY COSTS 85241,A81000B,00800,0300,GENERAL SUPPLIES 85241,A81000C,00100,0100,B 85241,A81000C,00100,0200,HER MANOR SPRIN 85241,A81000C,00100,0400,HERITAGE ENTERP 85241,A81000C,00100,0600,HOME OFFICE 85241,A81000C,00200,0100,B 85241,A81000C,00200,0200,HER MANOR SPRIN 85241,A81000C,00200,0400,HERITAGE THERAP 85241,A81000C,00200,0600,THERAPY DIVISIO 85241,A81000C,00300,0100,B 85241,A81000C,00300,0200,HER MANOR SPRIN 85241,A81000C,00300,0400,LTC PHARMACY 85241,A81000C,00300,0600,WHOLESALE PHARM 85241,A81000C,00400,0100,B 85241,A81000C,00400,0200,HER MANOR SPRIN 85241,A81000C,00400,0400,GREEN TREE PHAR 85241,A81000C,00400,0600,WHOLESALE PHARM 85241,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85241,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85241,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85241,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85241,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85241,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85241,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85241,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85241,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85241,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85241,S000000,00100,0200,06/01/2000 85241,S200000,00100,0100,628 SOUTH ILLINOIS 85241,S200000,00200,0100,LITCHFIELD 85241,S200000,00200,0200,IL 85241,S200000,00200,0300,62056- 85241,S200000,00300,0100,MONTGOMERY 85241,S200000,00400,0100,HERITAGE MANOR - LITCHFIELD 85241,S200000,00400,0200,145271 85241,S200000,00400,0300,11/04/1974 85241,S200000,00400,0500,P 85241,S200000,00400,0600,O 85241,S200000,00600,0200,145271 85241,S200000,00600,0300,11/04/1974 85241,S200000,00600,0600,P 85241,S200000,01600,0100,Y 85241,S200000,01900,0100,501(C)(3)CORP. 85241,S200000,02200,0100,Y 85241,S700003,00000,0100,1 85249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85249,A000000,00300,0000,00300EMPLOYEE BENEFITS 85249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85249,A000000,00700,0000,00700HOUSEKEEPING 85249,A000000,00800,0000,00800DIETARY 85249,A000000,00900,0000,00900NURSING ADMINISTRATION 85249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85249,A000000,01300,0000,01300SOCIAL SERVICE 85249,A000000,01600,0000,01600SKILLED NURSING FACILITY 85249,A000000,01800,0000,01800NURSING FACILITY 85249,A000000,02100,0000,02100RADIOLOGY 85249,A000000,02200,0000,02200LABORATORY 85249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85249,A000000,02500,0000,02500PHYSICAL THERAPY 85249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85249,A000000,02700,0000,02700SPEECH PATHOLOGY 85249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85249,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85249,A000000,03051,0000,03301AMBULANCE 85249,A000000,03200,0000,03200SUPPORT SURFACES 85249,A000000,05010,0000,05010CMHC 85249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85249,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85249,A81000A,00100,0100,Y 85249,A81000B,00100,0300,RENTAL INCOME 85249,A81000B,00200,0300,INTERST 85249,A81000B,00300,0300,DEPRECIATION 85249,A81000B,00400,0300,AMORTIZATION 85249,A81000B,00500,0300,FRANCHISE TAX 85249,A81000B,00600,0300,TRUST FEES 85249,A81000B,00700,0300,HOME OFFICE COSTS 85249,A81000B,00800,0300,CAPITAL COSTS 85249,A81000B,00900,0300,EMPLOYEE BENEFITS 85249,A81000B,01000,0300,ADMIN AND GENERAL 85249,A81000B,01100,0300,PLANT OPERATIONS 85249,A81000B,01200,0300,SOCIAL SERVICES 85249,A81000B,01300,0300,EMPLOYEE BENEFITS 85249,A81000B,01400,0300,SOCIAL SERVICE 85249,A81000B,01500,0300,PT 85249,A81000B,01600,0300,OT 85249,A81000B,01700,0300,ST 85249,A81000B,01800,0300,ADMIN AND GENERAL 85249,A81000B,01900,0300,NURSING SUPPLIES 85249,A81000B,02000,0300,PHARMACY 85249,A81000B,02100,0300,EMPLOYEE BENEFITS 85249,A81000B,02200,0300,MEDICAL SUPPLIES 85249,A81000B,02300,0300,EQUIPMENT RENTAL 85249,A81000C,00100,0100,A 85249,A81000C,00100,0400,STERLING BLDG L 85249,A81000C,00100,0600,BUILDING COMPAN 85249,A81000C,00200,0100,A 85249,A81000C,00200,0400,DYNAMIC HEALTHC 85249,A81000C,00200,0600,BOOKKEEPING 85249,A81000C,00300,0100,A 85249,A81000C,00300,0400,DYNAMIC REHAB C 85249,A81000C,00300,0600,THERAPY SERVICE 85249,A81000C,00400,0100,A 85249,A81000C,00400,0400,LINCOLN MEDICAL 85249,A81000C,00400,0600,MEDICAL SUPPLY 85249,A81000C,00500,0100,A 85249,A81000C,00500,0400,PHARMCOR INC 85249,A81000C,00500,0600,INSTIT. PHARMAC 85249,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85249,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85249,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85249,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85249,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85249,B100000,00000,0800,00000MEALS SERVED :DIETARY 85249,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85249,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85249,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85249,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85249,E10A180,00501,0100,06/30/2000 85249,S000000,00100,0200,05/26/2000 85249,S200000,00100,0100,105 EAST 23RD STREET 85249,S200000,00200,0100,STERLING 85249,S200000,00200,0200,IL 85249,S200000,00200,0300,61081- 85249,S200000,00300,0100,WHITESIDE 85249,S200000,00400,0100,STERLING PAVILION INC. 85249,S200000,00400,0200,145278 85249,S200000,00400,0300,01/01/1990 85249,S200000,00400,0500,P 85249,S200000,01600,0100,Y 85249,S200000,01900,0100,SUB-S CORP 85249,S200000,04700,0100,Y 85249,S700003,00000,0100,1 85257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85257,A000000,00300,0000,00300EMPLOYEE BENEFITS 85257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85257,A000000,00700,0000,00700HOUSEKEEPING 85257,A000000,00800,0000,00800DIETARY 85257,A000000,00900,0000,00900NURSING ADMINISTRATION 85257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85257,A000000,01300,0000,01300SOCIAL SERVICE 85257,A000000,01600,0000,01600SKILLED NURSING FACILITY 85257,A000000,01800,0000,01800NURSING FACILITY 85257,A000000,02200,0000,02200LABORATORY 85257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85257,A000000,02500,0000,02500PHYSICAL THERAPY 85257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85257,A000000,02700,0000,02700SPEECH PATHOLOGY 85257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85257,A000000,03200,0000,03200SUPPORT SURFACES 85257,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85257,A81000A,00100,0100,Y 85257,A81000B,00100,0300,RENT 85257,A81000B,00200,0300,DEPRECIATION 85257,A81000B,00300,0300,INTEREST 85257,A81000C,00100,0100,A 85257,A81000C,00100,0400,SLR TRUST 85257,A81000C,00100,0600,BLDG. PARTNERSH 85257,A81000C,00200,0100,A 85257,A81000C,00200,0400,WAVELAND JOINT 85257,A81000C,00200,0600,PARKING 85257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85257,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85257,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85257,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85257,B100000,00000,0800,00000MEALS SERVED :DIETARY 85257,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85257,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85257,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85257,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85257,S000000,00100,0200,06/01/2000 85257,S200000,00100,0100,2625 WEST TOUHY 85257,S200000,00200,0100,CHICAGO 85257,S200000,00200,0200,IL 85257,S200000,00200,0300,60645- 85257,S200000,00300,0100,COOK 85257,S200000,00400,0100,BUCKINGHAM PAVILION INC. 85257,S200000,00400,0200,145285 85257,S200000,00400,0300,01/01/1975 85257,S200000,00400,0500,P 85257,S200000,01600,0100,Y 85257,S200000,01900,0100,SUB-S CORP. 85257,S700003,00000,0100,1 85265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85265,A000000,00300,0000,00300EMPLOYEE BENEFITS 85265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85265,A000000,00700,0000,00700HOUSEKEEPING 85265,A000000,00800,0000,00800DIETARY 85265,A000000,00900,0000,00900NURSING ADMINISTRATION 85265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85265,A000000,01300,0000,01300SOCIAL SERVICE 85265,A000000,01600,0000,01600SKILLED NURSING FACILITY 85265,A000000,01800,0000,01800NURSING FACILITY 85265,A000000,02200,0000,02200LABORATORY 85265,A000000,02500,0000,02500PHYSICAL THERAPY 85265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85265,A000000,02700,0000,02700SPEECH PATHOLOGY 85265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85265,A000000,05300,0000,05300INTEREST EXPENSE 85265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85265,A81000A,00100,0100,Y 85265,A81000B,00100,0300,CAPITAL RELATED 85265,A81000B,00200,0300,ADMIN & GENERAL 85265,A81000B,00300,0300,PHYSICAL THERAPY 85265,A81000B,00400,0300,OCCUPATIONAL THERAPY 85265,A81000B,00500,0300,SPEECH THERAPY 85265,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85265,A81000B,00700,0300,PHARMACY COSTS 85265,A81000B,00800,0300,GENERAL SUPPLIES 85265,A81000C,00100,0100,B 85265,A81000C,00100,0200,HER MANOR SPRIN 85265,A81000C,00100,0400,HERITAGE ENTERP 85265,A81000C,00100,0600,HOME OFFICE 85265,A81000C,00200,0100,B 85265,A81000C,00200,0200,HER MANOR SPRIN 85265,A81000C,00200,0400,HERITAGE THERAP 85265,A81000C,00200,0600,THERAPY DIVISIO 85265,A81000C,00300,0100,B 85265,A81000C,00300,0200,HER MANOR SPRIN 85265,A81000C,00300,0400,LTC PHARMACY 85265,A81000C,00300,0600,WHOLESALE PHARM 85265,A81000C,00400,0100,B 85265,A81000C,00400,0200,HER MANOR SPRIN 85265,A81000C,00400,0400,GREEN TREE PHAR 85265,A81000C,00400,0600,WHOLESALE PHARM 85265,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85265,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85265,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85265,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85265,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85265,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85265,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85265,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85265,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85265,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85265,S000000,00100,0200,06/01/2000 85265,S200000,00100,0100,215 W. PENNSYLVANIA AVENUE 85265,S200000,00200,0100,STAUNTON 85265,S200000,00200,0200,IL 85265,S200000,00200,0300,62088- 85265,S200000,00300,0100,MACOUPIN 85265,S200000,00400,0100,HERITAGE MANOR - STAUNTON 85265,S200000,00400,0200,145286 85265,S200000,00400,0300,05/01/1975 85265,S200000,00400,0500,P 85265,S200000,00400,0600,O 85265,S200000,00600,0200,145286 85265,S200000,00600,0300,05/01/1975 85265,S200000,00600,0600,P 85265,S200000,01600,0100,Y 85265,S200000,01900,0100,501(C)(3)CORP. 85265,S200000,02200,0100,Y 85265,S700003,00000,0100,1 85275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85275,A000000,00300,0000,00300EMPLOYEE BENEFITS 85275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85275,A000000,00700,0000,00700HOUSEKEEPING 85275,A000000,00800,0000,00800DIETARY 85275,A000000,00900,0000,00900NURSING ADMINISTRATION 85275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85275,A000000,01300,0000,01300SOCIAL SERVICE 85275,A000000,01600,0000,01600SKILLED NURSING FACILITY 85275,A000000,01800,0000,01800NURSING FACILITY 85275,A000000,02100,0000,02100RADIOLOGY 85275,A000000,02200,0000,02200LABORATORY 85275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85275,A000000,02500,0000,02500PHYSICAL THERAPY 85275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85275,A000000,02700,0000,02700SPEECH PATHOLOGY 85275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85275,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85275,A000000,03200,0000,03200SUPPORT SURFACES 85275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85275,A81000A,00100,0100,Y 85275,A81000B,00100,0300,ADMIN. & GENERAL 85275,A81000B,00200,0300,PHYSICAL THERAPY 85275,A81000B,00300,0300,MED. TUBE FEEDING 85275,A81000B,00400,0300,MEDICAL SUPPLIES 85275,A81000B,00500,0300,FOOD SUPPLEMENTS 85275,A81000B,00600,0300,CAPITAL RECLATED COS 85275,A81000B,00700,0300,EMPLOYEE BENEFITS 85275,A81000B,00800,0300,A&G 85275,A81000B,00900,0300,PLANT OPERATION & MA 85275,A81000B,01000,0300,NURSING ADMN. 85275,A81000B,01100,0300,DIETARY COSTS 85275,A81000B,01200,0300,OCCUPATIONAL THERAPY 85275,A81000B,01300,0300,SPEECH THERAPY 85275,A81000C,00100,0100,A 85275,A81000C,00100,0400,QUALITY CARE MA 85275,A81000C,00100,0600,BOOKKEEPING/MGM 85275,A81000C,00200,0100,A 85275,A81000C,00200,0400,ADVANCED THERAP 85275,A81000C,00200,0600,THERAPY SERVICE 85275,A81000C,00300,0100,A 85275,A81000C,00300,0400,QUALITY CARE ME 85275,A81000C,00300,0600,MEDICAL SUPPLIE 85275,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85275,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85275,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85275,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85275,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85275,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85275,B100000,00000,0800,00000MEALS SERVED :DIETARY 85275,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85275,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85275,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85275,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85275,S000000,00100,0200,05/30/2000 85275,S200000,00100,0100,40 N. 64TH STREET 85275,S200000,00200,0100,BELLEVILLE 85275,S200000,00200,0200,IL 85275,S200000,00200,0300,62223- 85275,S200000,00300,0100,ST. CLAIR 85275,S200000,00400,0100,WILLOWCREEK REHABILITATION & NURSING 85275,S200000,00400,0200,145289 85275,S200000,00400,0300,07/01/1992 85275,S200000,00400,0500,P 85275,S200000,01600,0100,Y 85275,S700003,00000,0100,1 85282,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85282,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85282,A000000,00300,0000,00300EMPLOYEE BENEFITS 85282,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85282,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85282,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85282,A000000,00700,0000,00700HOUSEKEEPING 85282,A000000,00800,0000,00800DIETARY 85282,A000000,00900,0000,00900NURSING ADMINISTRATION 85282,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85282,A000000,01100,0000,01100PHARMACY 85282,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85282,A000000,01300,0000,01300SOCIAL SERVICE 85282,A000000,01600,0000,01600SKILLED NURSING FACILITY 85282,A000000,01800,0000,01800NURSING FACILITY 85282,A000000,01900,0000,01900OTHER LONG TERM CARE 85282,A000000,02100,0000,02100RADIOLOGY 85282,A000000,02200,0000,02200LABORATORY 85282,A000000,02300,0000,02300INTRAVENOUS THERAPY 85282,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85282,A000000,02500,0000,02500PHYSICAL THERAPY 85282,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85282,A000000,02700,0000,02700SPEECH PATHOLOGY 85282,A000000,02800,0000,02800ELECTROCARDIOLOGY 85282,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85282,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85282,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85282,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85282,A000000,04800,0000,04800AMBULANCE 85282,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85282,A000000,05300,0000,05300INTEREST EXPENSE 85282,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85282,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85282,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85282,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85282,A000000,06100,0000,06100NONPAID WORKERS 85282,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85282,A000000,06200,0000,06200PATIENTS LAUNDRY 85282,A81000A,00100,0100,Y 85282,A81000B,00100,0300,MANAGEMENT FEE 85282,A81000B,00200,0300,CAPITAL COST 85282,A81000C,00100,0100,A 85282,A81000C,00100,0200,STEVE WOLF 85282,A81000C,00100,0400,ELDERCARE INC. 85282,A81000C,00100,0600,MANAGE N. H. 85282,A81000C,00200,0100,A 85282,A81000C,00200,0200,PRUDENCE WOLF 85282,A81000C,00200,0400,ELDERCARE INC. 85282,A81000C,00300,0100,A 85282,A81000C,00300,0200,MICHAEL WOLF 85282,A81000C,00300,0400,ELDERCARE INC. 85282,A81000C,00400,0100,A 85282,A81000C,00400,0200,SCOTT WOLF 85282,A81000C,00400,0400,ELDERCARE INC. 85282,A81000C,00500,0100,A 85282,A81000C,00500,0200,GARY WOLF 85282,A81000C,00500,0400,ELDERCARE INC. 85282,A81000C,00600,0100,A 85282,A81000C,00600,0200,JESSICA PATTON 85282,A81000C,00600,0400,ELDERCARE INC. 85282,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85282,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85282,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85282,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85282,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85282,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85282,B100000,00000,0800,00000MEALS SERVED :DIETARY 85282,B100000,00000,0950,00000GROSS SAL. NURSING :NURSING ADMINIS 85282,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 85282,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 85282,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85282,E10A180,00501,0100,06/21/2000 85282,E10A180,00501,0300,06/21/2000 85282,S000000,00100,0200,06/01/2000 85282,S200000,00100,0100,727 NORTH 17TH STREET 85282,S200000,00200,0100,BELLEVILLE 85282,S200000,00200,0200,IL 85282,S200000,00200,0300,62223- 85282,S200000,00300,0100,ST. CLAIR 85282,S200000,00300,0200,7040 85282,S200000,00300,0300,U 85282,S200000,00400,0100,CALVIN JOHNSON CARE CENTER 85282,S200000,00400,0200,145290 85282,S200000,00400,0300,04/11/1977 85282,S200000,00400,0500,P 85282,S200000,01004,0500,O 85282,S200000,01600,0100,Y 85289,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85289,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85289,A000000,00300,0000,00300EMPLOYEE BENEFITS 85289,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85289,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85289,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85289,A000000,00700,0000,00700HOUSEKEEPING 85289,A000000,00800,0000,00800DIETARY 85289,A000000,00900,0000,00900NURSING ADMINISTRATION 85289,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85289,A000000,01100,0000,01100PHARMACY 85289,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85289,A000000,01300,0000,01300SOCIAL SERVICE 85289,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85289,A000000,01600,0000,01600SKILLED NURSING FACILITY 85289,A000000,01800,0000,01800NURSING FACILITY 85289,A000000,01810,0000,01810ICF/MR 85289,A000000,02200,0000,02200LABORATORY 85289,A000000,02500,0000,02500PHYSICAL THERAPY 85289,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85289,A000000,02700,0000,02700SPEECH PATHOLOGY 85289,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85289,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85289,A000000,03550,0000,03550FQHC 85289,A000000,05000,0000,05000CORF 85289,A000000,05010,0000,05010CMHC 85289,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85289,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85289,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85289,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85289,A81000A,00100,0100,Y 85289,A81000B,00200,0300,HOME OFFICE 85289,A81000B,00400,0300,INTEREST 85289,A81000B,00600,0300,MEDICAL SUPPLIES 85289,A81000B,00800,0300,PT OT ST 85289,A81000C,00200,0100,B 85289,A81000C,00200,0200,DYNAMIC HEALTHC 85289,A81000C,00400,0100,B 85289,A81000C,00400,0200,DYNAMIC REHAB 85289,A81000C,00600,0100,B 85289,A81000C,00600,0200,LINCOLN MEDICAL 85289,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85289,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85289,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85289,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85289,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85289,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85289,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85289,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85289,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85289,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85289,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85289,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85289,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85289,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85289,S000000,00100,0200,05/31/2000 85289,S200000,00200,0200,CA 85289,S200000,00400,0100,BRIGHTON PAVILION INC. 85289,S200000,00400,0200,145301 85289,S200000,00400,0300,01/01/1971 85289,S200000,00400,0500,P 85289,S200000,01600,0100,Y 85289,S700003,00000,0100,1 85304,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85304,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85304,A000000,00300,0000,00300EMPLOYEE BENEFITS 85304,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85304,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85304,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85304,A000000,00700,0000,00700HOUSEKEEPING 85304,A000000,00800,0000,00800DIETARY 85304,A000000,00900,0000,00900NURSING ADMINISTRATION 85304,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85304,A000000,01100,0000,01100PHARMACY 85304,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85304,A000000,01300,0000,01300SOCIAL SERVICE 85304,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85304,A000000,01600,0000,01600SKILLED NURSING FACILITY 85304,A000000,01800,0000,01800NURSING FACILITY 85304,A000000,01900,0000,01900OTHER LONG TERM CARE 85304,A000000,02100,0000,02100RADIOLOGY 85304,A000000,02200,0000,02200LABORATORY 85304,A000000,02300,0000,02300INTRAVENOUS THERAPY 85304,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85304,A000000,02500,0000,02500PHYSICAL THERAPY 85304,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85304,A000000,02700,0000,02700SPEECH PATHOLOGY 85304,A000000,02800,0000,02800ELECTROCARDIOLOGY 85304,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85304,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85304,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85304,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85304,A000000,03200,0000,03200SUPPORT SURFACES 85304,A000000,03400,0000,03400CLINIC 85304,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85304,A000000,04800,0000,04800AMBULANCE 85304,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85304,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85304,A000000,05300,0000,05300INTEREST EXPENSE 85304,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85304,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85304,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85304,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85304,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85304,A000000,06100,0000,06100NONPAID WORKERS 85304,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85304,A000000,06200,0000,06200PATIENTS LAUNDRY 85304,A81000A,00100,0100,Y 85304,A81000B,00100,0300,CAPITAL COST 85304,A81000B,00200,0300,A&G COST 85304,A81000B,00300,0300,MANAGEMENT FEES 85304,A81000C,00100,0100,B 85304,A81000C,00100,0200,RESURRECTION HE 85304,A81000C,00100,0600,HEALTH SYS. 85304,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85304,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85304,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85304,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85304,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85304,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85304,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85304,B100000,00000,0800,00000MEALS SERVED :DIETARY 85304,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85304,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85304,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85304,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85304,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85304,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85304,S000000,00100,0200,12/04/2000 85304,S200000,00100,0100,10500 GRAND AVENUE 85304,S200000,00200,0100,FRANKLIN PARK 85304,S200000,00200,0200,IL 85304,S200000,00200,0300,60131-2210 85304,S200000,00300,0100,COOK 85304,S200000,00400,0100,WESTLAKE NURSING & REHAB CTR 85304,S200000,00400,0200,145306 85304,S200000,00400,0300,01/01/1976 85304,S200000,00400,0500,P 85304,S200000,01600,0100,Y 85304,S700003,00000,0300,3 85310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85310,A000000,00300,0000,00300EMPLOYEE BENEFITS 85310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85310,A000000,00700,0000,00700HOUSEKEEPING 85310,A000000,00800,0000,00800DIETARY 85310,A000000,00900,0000,00900NURSING ADMINISTRATION 85310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85310,A000000,01100,0000,01100PHARMACY 85310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85310,A000000,01300,0000,01300SOCIAL SERVICE 85310,A000000,01350,0000,01500RECREATION 85310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85310,A000000,01600,0000,01600SKILLED NURSING FACILITY 85310,A000000,01800,0000,01800NURSING FACILITY 85310,A000000,01810,0000,01810ICF/MR 85310,A000000,02100,0000,02100RADIOLOGY 85310,A000000,02200,0000,02200LABORATORY 85310,A000000,02500,0000,02500PHYSICAL THERAPY 85310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85310,A000000,02700,0000,02700SPEECH PATHOLOGY 85310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85310,A000000,03550,0000,03550FQHC 85310,A000000,05000,0000,05000CORF 85310,A000000,05010,0000,05010CMHC 85310,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85310,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85310,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85310,A81000A,00100,0100,Y 85310,A81000B,00100,0300,HOME OFFICE ADMIN 85310,A81000B,00200,0300,HOME OFFICE CAPITAL 85310,A81000B,00300,0300,RELATED PARTY ADMIN 85310,A81000B,00400,0300,RELATED PARTY CAPITA 85310,A81000C,00100,0100,B 85310,A81000C,00100,0200,FIRST HEALTH CA 85310,A81000C,00100,0400,ACCTG/MGMT 85310,A81000C,00200,0100,B 85310,A81000C,00200,0200,NORTHWOODS HEAL 85310,A81000C,00200,0400,LANDLOARD 85310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85310,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85310,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85310,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85310,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85310,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85310,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85310,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85310,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85310,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85310,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85310,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85310,S000000,00100,0200,05/16/2000 85310,S200000,00100,0100,2250 PEARL STREET 85310,S200000,00200,0100,BELVIDERE 85310,S200000,00200,0200,IL 85310,S200000,00200,0300,61108- 85310,S200000,00300,0100,BOONE 85310,S200000,00400,0100,NORTHWOODS CARE CENTRE 85310,S200000,00400,0200,145312 85310,S200000,00400,0300,01/01/1981 85310,S200000,00400,0500,P 85310,S200000,01600,0100,Y 85310,S700003,00000,0100,1 85318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85318,A000000,00300,0000,00300EMPLOYEE BENEFITS 85318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85318,A000000,00700,0000,00700HOUSEKEEPING 85318,A000000,00800,0000,00800DIETARY 85318,A000000,00900,0000,00900NURSING ADMINISTRATION 85318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85318,A000000,01300,0000,01300SOCIAL SERVICE 85318,A000000,01600,0000,01600SKILLED NURSING FACILITY 85318,A000000,01800,0000,01800NURSING FACILITY 85318,A000000,02200,0000,02200LABORATORY 85318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85318,A000000,02500,0000,02500PHYSICAL THERAPY 85318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85318,A000000,02700,0000,02700SPEECH PATHOLOGY 85318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85318,A000000,03200,0000,03200SUPPORT SURFACES 85318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85318,A81000A,00100,0100,Y 85318,A81000B,00100,0300,INTEREST INCOME 85318,A81000B,00200,0300,RENT 85318,A81000B,00300,0300,MANAGEMENT FEES 85318,A81000B,00400,0300,ADMIN & GENERAL 85318,A81000B,00500,0300,MAINT & UTILITIES 85318,A81000B,00600,0300,CAPITAL COSTS 85318,A81000B,00700,0300,EMPLOYEE BENEFITS 85318,A81000C,00100,0100,A 85318,A81000C,00100,0400,FUTURE ASSOCIAT 85318,A81000C,00100,0600,MANAGEMENT COMP 85318,A81000C,00200,0100,A 85318,A81000C,00200,0400,EMBASSY C.C. BL 85318,A81000C,00200,0600,BLDG PTNSHP 85318,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85318,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85318,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85318,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85318,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85318,B100000,00000,0800,00000MEALS SERVED :DIETARY 85318,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85318,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85318,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85318,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85318,S000000,00100,0200,05/31/2000 85318,S200000,00100,0100,555 KAHLER ROAD 85318,S200000,00200,0100,WILMINGTON 85318,S200000,00200,0200,IL 85318,S200000,00200,0300,60481-1527 85318,S200000,00300,0100,WILL 85318,S200000,00400,0100,EMBASSY CARE CENTER 85318,S200000,00400,0200,145316 85318,S200000,00400,0300,02/01/1993 85318,S200000,00400,0500,P 85318,S200000,01600,0100,Y 85318,S200000,01900,0100,SUBCHAPTER S 85318,S200000,04900,0100,Y 85318,S700003,00000,0100,1 85325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85325,A000000,00300,0000,00300EMPLOYEE BENEFITS 85325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85325,A000000,00700,0000,00700HOUSEKEEPING 85325,A000000,00800,0000,00800DIETARY 85325,A000000,00900,0000,00900NURSING ADMINISTRATION 85325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85325,A000000,01300,0000,01300SOCIAL SERVICE 85325,A000000,01600,0000,01600SKILLED NURSING FACILITY 85325,A000000,01800,0000,01800NURSING FACILITY 85325,A000000,02200,0000,02200LABORATORY 85325,A000000,02500,0000,02500PHYSICAL THERAPY 85325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85325,A000000,02700,0000,02700SPEECH PATHOLOGY 85325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85325,A000000,05300,0000,05300INTEREST EXPENSE 85325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85325,A81000A,00100,0100,Y 85325,A81000B,00100,0300,CAPITAL RELATED 85325,A81000B,00200,0300,ADMIN & GENERAL 85325,A81000B,00300,0300,PHYSICAL THERAPY 85325,A81000B,00400,0300,OCCUPATIONAL THERAPY 85325,A81000B,00500,0300,SPEECH THERAPY 85325,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85325,A81000B,00700,0300,PHARMACY COSTS 85325,A81000B,00800,0300,GENERAL SUPPLIES 85325,A81000C,00100,0100,B 85325,A81000C,00100,0200,HER MANOR SPRIN 85325,A81000C,00100,0400,HERITAGE ENTERP 85325,A81000C,00100,0600,HOME OFFICE 85325,A81000C,00200,0100,B 85325,A81000C,00200,0200,HER MANOR SPRIN 85325,A81000C,00200,0400,HERITAGE THERAP 85325,A81000C,00200,0600,THERAPY DIVISIO 85325,A81000C,00300,0100,B 85325,A81000C,00300,0200,HER MANOR SPRIN 85325,A81000C,00300,0400,LTC PHARMACY 85325,A81000C,00300,0600,WHOLESALE PHARM 85325,A81000C,00400,0100,B 85325,A81000C,00400,0200,HER MANOR SPRIN 85325,A81000C,00400,0400,GREEN TREE PHAR 85325,A81000C,00400,0600,WHOLESALE PHARM 85325,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85325,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85325,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85325,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85325,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85325,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85325,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85325,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85325,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85325,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85325,S000000,00100,0200,06/01/2000 85325,S200000,00100,0100,555 E. CLAY 85325,S200000,00200,0100,EL PASO 85325,S200000,00200,0200,IL 85325,S200000,00200,0300,61738- 85325,S200000,00300,0100,WOODFORD 85325,S200000,00400,0100,HERITAGE MANOR - EL PASO 85325,S200000,00400,0200,145319 85325,S200000,00400,0300,12/01/1976 85325,S200000,00400,0500,P 85325,S200000,00400,0600,O 85325,S200000,00600,0200,145319 85325,S200000,00600,0300,12/01/1976 85325,S200000,00600,0600,P 85325,S200000,01600,0100,Y 85325,S200000,01900,0100,501(C)(3)CORP. 85325,S200000,02200,0100,Y 85325,S700003,00000,0100,1 85335,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85335,A000000,00300,0000,00300EMPLOYEE BENEFITS 85335,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85335,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85335,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85335,A000000,00700,0000,00700HOUSEKEEPING 85335,A000000,00800,0000,00800DIETARY 85335,A000000,00900,0000,00900NURSING ADMINISTRATION 85335,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85335,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85335,A000000,01300,0000,01300SOCIAL SERVICE 85335,A000000,01600,0000,01600SKILLED NURSING FACILITY 85335,A000000,01800,0000,01800NURSING FACILITY 85335,A000000,02100,0000,02100RADIOLOGY 85335,A000000,02200,0000,02200LABORATORY 85335,A000000,02500,0000,02500PHYSICAL THERAPY 85335,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85335,A000000,02700,0000,02700SPEECH PATHOLOGY 85335,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85335,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85335,A000000,03200,0000,03200SUPPORT SURFACES 85335,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85335,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85335,A81000A,00100,0100,Y 85335,A81000B,00100,0300,CAPITAL EXPENSES 85335,A81000B,00200,0300,EMPLOYEE BENEFITS 85335,A81000B,00300,0300,A&G 85335,A81000B,00400,0300,OPERATION OF PLANT 85335,A81000B,00500,0300,FOOD 85335,A81000B,00600,0300,NURSING 85335,A81000B,00700,0300,CORPORATE ALLOCATION 85335,A81000B,00800,0300,ENTERALS/UROLOGICAL 85335,A81000B,00900,0300,TUBE FEEDING SUPPLY 85335,A81000C,00100,0100,A 85335,A81000C,00100,0400,QUALITY CARE MG 85335,A81000C,00100,0600,MANAGEMENT 85335,A81000C,00200,0400,QUALITY MED. SU 85335,A81000C,00200,0600,SUPPLY CO. 85335,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85335,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85335,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85335,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85335,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85335,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85335,B100000,00000,0800,00000MEALS SERVED :DIETARY 85335,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85335,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85335,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85335,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85335,S000000,00100,0200,02/14/2000 85335,S200000,00100,0100,311 EDGEWATER DRIVE 85335,S200000,00200,0100,BLOOMINGDALE 85335,S200000,00200,0200,IL 85335,S200000,00200,0300,60108- 85335,S200000,00300,0100,DU PAGE 85335,S200000,00400,0100,BLOOMINGDALE PAVILION LLC 85335,S200000,00400,0200,145333 85335,S200000,00400,0300,01/01/1978 85335,S200000,00400,0500,P 85335,S200000,00600,0200,145333 85335,S200000,00600,0300,01/01/1978 85335,S200000,00600,0600,P 85335,S200000,01600,0100,Y 85335,S200000,01900,0100,LLC 85335,S700003,00000,0100,1 85337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85337,A000000,00300,0000,00300EMPLOYEE BENEFITS 85337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85337,A000000,00700,0000,00700HOUSEKEEPING 85337,A000000,00800,0000,00800DIETARY 85337,A000000,00900,0000,00900NURSING ADMINISTRATION 85337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85337,A000000,01300,0000,01300SOCIAL SERVICE 85337,A000000,01600,0000,01600SKILLED NURSING FACILITY 85337,A000000,01800,0000,01800NURSING FACILITY 85337,A000000,02100,0000,02100RADIOLOGY 85337,A000000,02200,0000,02200LABORATORY 85337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85337,A000000,02500,0000,02500PHYSICAL THERAPY 85337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85337,A000000,02700,0000,02700SPEECH PATHOLOGY 85337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85337,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85337,A000000,03200,0000,03200SUPPORT SURFACES 85337,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85337,A81000A,00100,0100,Y 85337,A81000B,00100,0300,CAPITAL RELATED 85337,A81000B,00200,0300,EMPLOYEE BENEFITS 85337,A81000B,00300,0300,ADMIN AND GENERAL 85337,A81000B,00400,0300,MAINTENANCE 85337,A81000B,00500,0300,DIETARY 85337,A81000B,00600,0300,NURSING ADMIN 85337,A81000B,00700,0300,MANAGEMENT FEES 85337,A81000B,00800,0300,FOOD SUPPLEMENTS 85337,A81000B,00900,0300,ENTERAL & UROLOGICAL 85337,A81000B,01000,0300,TUBE FEED SUPPLIES 85337,A81000C,00100,0100,A 85337,A81000C,00100,0400,QUALITY CARE MG 85337,A81000C,00100,0600,MANAGEMENT 85337,A81000C,00200,0100,A 85337,A81000C,00200,0400,QUALITY CARE ME 85337,A81000C,00200,0600,MED SUPPLIES 85337,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85337,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85337,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85337,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85337,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85337,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85337,B100000,00000,0800,00000MEALS SERVED :DIETARY 85337,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85337,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85337,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85337,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85337,S000000,00100,0200,05/30/2000 85337,S200000,00100,0100,311 EDGEWATER DRIVE 85337,S200000,00200,0100,BLOOMINGDALE 85337,S200000,00200,0200,IL 85337,S200000,00200,0300,60108- 85337,S200000,00300,0100,DUPAGE 85337,S200000,00400,0100,BLOOMINGDALE PAVILION DBA BCDM LLC 85337,S200000,00400,0200,145333 85337,S200000,00400,0300,01/01/1978 85337,S200000,00400,0500,P 85337,S200000,01600,0100,Y 85337,S700003,00000,0200,2 85345,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85345,A000000,00300,0000,00300EMPLOYEE BENEFITS 85345,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85345,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85345,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85345,A000000,00700,0000,00700HOUSEKEEPING 85345,A000000,00800,0000,00800DIETARY 85345,A000000,00900,0000,00900NURSING ADMINISTRATION 85345,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85345,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85345,A000000,01300,0000,01300SOCIAL SERVICE 85345,A000000,01600,0000,01600SKILLED NURSING FACILITY 85345,A000000,01800,0000,01800NURSING FACILITY 85345,A000000,02100,0000,02100RADIOLOGY 85345,A000000,02200,0000,02200LABORATORY 85345,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85345,A000000,02500,0000,02500PHYSICAL THERAPY 85345,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85345,A000000,02700,0000,02700SPEECH PATHOLOGY 85345,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85345,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85345,A000000,03050,0000,03300AMBULANCE SERVICES 85345,A000000,03051,0000,03301BLOOD GLUCOSE MONITORING 85345,A000000,03200,0000,03200SUPPORT SURFACES 85345,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85345,A81000A,00100,0100,Y 85345,A81000B,00100,0300,CAPITAL RELATED 85345,A81000B,00200,0300,EMP BENEFITS 85345,A81000B,00300,0300,MISC A & G 85345,A81000B,00400,0300,CAPITAL 85345,A81000B,00500,0300,EMP BENEFITS 85345,A81000B,00600,0300,MISC A & G 85345,A81000B,00700,0300,MISC PLANT 85345,A81000B,00800,0300,WORKERS COMP INS 85345,A81000B,00900,0300,ENTERAL SUPPLIES 85345,A81000B,01000,0300,MED SUPPLIES 85345,A81000B,01100,0300,RENT 85345,A81000B,01200,0300,INTEREST 85345,A81000C,00100,0100,A 85345,A81000C,00100,0400,CAREPATH HEALTH 85345,A81000C,00100,0600,MANAGED CARE SE 85345,A81000C,00200,0100,A 85345,A81000C,00200,0400,NUCARE SERVICES 85345,A81000C,00200,0600,MANAGEMENT CO. 85345,A81000C,00300,0100,A 85345,A81000C,00300,0400,DIAMOND INSURAN 85345,A81000C,00300,0600,WORKERS COMP IN 85345,A81000C,00400,0100,A 85345,A81000C,00400,0400,S & E MEDICAL 85345,A81000C,00400,0600,MED SUPPLY CO. 85345,A81000C,00500,0100,A 85345,A81000C,00500,0400,CHEVY CHASE ASS 85345,A81000C,00500,0600,BLDG COMPANY 85345,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85345,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85345,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85345,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85345,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85345,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85345,B100000,00000,0800,00000MEALS SERVED :DIETARY 85345,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85345,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85345,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85345,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85345,E10A180,00501,0300,06/25/2000 85345,S000000,00100,0200,05/26/2000 85345,S200000,00100,0100,3400 S INDIANA 85345,S200000,00200,0100,CHICAGO 85345,S200000,00200,0200,IL 85345,S200000,00200,0300,60616- 85345,S200000,00300,0100,COOK 85345,S200000,00400,0100,CHEVY CHASE CORP. 85345,S200000,00400,0200,145337 85345,S200000,00400,0300,11/01/1989 85345,S200000,00400,0500,P 85345,S200000,01600,0100,Y 85345,S200000,04700,0100,Y 85353,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85353,A000000,00300,0000,00300EMPLOYEE BENEFITS 85353,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85353,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85353,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85353,A000000,00700,0000,00700HOUSEKEEPING 85353,A000000,00800,0000,00800DIETARY 85353,A000000,00900,0000,00900NURSING ADMINISTRATION 85353,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85353,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85353,A000000,01300,0000,01300SOCIAL SERVICE 85353,A000000,01600,0000,01600SKILLED NURSING FACILITY 85353,A000000,01800,0000,01800NURSING FACILITY 85353,A000000,02100,0000,02100RADIOLOGY 85353,A000000,02200,0000,02200LABORATORY 85353,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85353,A000000,02500,0000,02500PHYSICAL THERAPY 85353,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85353,A000000,02700,0000,02700SPEECH PATHOLOGY 85353,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85353,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85353,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85353,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85353,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85353,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85353,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85353,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85353,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85353,A000000,04800,0000,04800AMBULANCE 85353,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85353,A000000,06150,0000,06300HHA NON-MEDICARE 85353,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85353,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85353,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85353,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85353,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85353,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85353,B100000,00000,0800,00000MEALS SERVED :DIETARY 85353,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85353,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85353,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85353,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85353,H510100,00000,0000,1600 85353,H510100,02400,0000,1600 85353,S000000,00100,0200,08/31/2000 85353,S200000,00100,0100,350 W. SCHAUMBURG ROAD 85353,S200000,00200,0100,SCHAUMBURG 85353,S200000,00200,0200,IL 85353,S200000,00200,0300,60194- 85353,S200000,00300,0100,COOK 85353,S200000,00300,0200,1600 85353,S200000,00300,0300,U 85353,S200000,00400,0100,FRIENDSHIP VILLAGE OF SCHAUMBURG 85353,S200000,00400,0200,145341 85353,S200000,00400,0300,07/01/1978 85353,S200000,00400,0500,P 85353,S200000,00800,0200,147468 85353,S200000,00800,0300,07/01/1986 85353,S200000,00800,0500,P 85353,S200000,01600,0100,Y 85353,S200000,01900,0100,CORPORATION 85353,S200000,04700,0100,Y 85353,S200000,04700,0200,Y 85362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85362,A000000,00300,0000,00300EMPLOYEE BENEFITS 85362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85362,A000000,00700,0000,00700HOUSEKEEPING 85362,A000000,00800,0000,00800DIETARY 85362,A000000,00900,0000,00900NURSING ADMINISTRATION 85362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85362,A000000,01100,0000,01100PHARMACY 85362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85362,A000000,01300,0000,01300SOCIAL SERVICE 85362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85362,A000000,01600,0000,01600SKILLED NURSING FACILITY 85362,A000000,01800,0000,01800NURSING FACILITY 85362,A000000,01810,0000,01810ICF/MR 85362,A000000,02200,0000,02200LABORATORY 85362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85362,A000000,02500,0000,02500PHYSICAL THERAPY 85362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85362,A000000,02700,0000,02700SPEECH PATHOLOGY 85362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85362,A000000,03200,0000,03200SUPPORT SURFACES 85362,A000000,03550,0000,03550FQHC 85362,A000000,05000,0000,05000CORF 85362,A000000,05010,0000,05010CMHC 85362,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85362,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85362,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85362,A81000A,00100,0100,Y 85362,A81000B,00100,0300,CAPITAL RELATED 85362,A81000B,00200,0300,ADMIN & GENERAL 85362,A81000B,00300,0300,DIETARY 85362,A81000B,00400,0300,PLANT OPERATION 85362,A81000B,00500,0300,NURSING ADMIN 85362,A81000B,00600,0300,EMPLOYEE BENEFITS 85362,A81000B,00700,0300,CAPITAL RELATED 85362,A81000B,00800,0300,CENTRAL SERVICE 85362,A81000B,00900,0300,MEDICAL SUPPLIES 85362,A81000B,01000,0300,ADMIN & GENERAL 85362,A81000B,01100,0300,FOOD SUPPLEMENTS 85362,A81000C,00100,0100,A 85362,A81000C,00100,0400,QUALITY CARE MG 85362,A81000C,00100,0600,BOOKKEEPING/MGM 85362,A81000C,00200,0100,A 85362,A81000C,00200,0400,AMBASSADOR BLDG 85362,A81000C,00200,0600,BUILDING PARTNE 85362,A81000C,00300,0100,A 85362,A81000C,00300,0400,QUALITY CARE ME 85362,A81000C,00300,0600,MEDICAL SUPPLIE 85362,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85362,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85362,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85362,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85362,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85362,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85362,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85362,B100000,00000,0800,00000MEALS SERVED :DIETARY 85362,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85362,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85362,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85362,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85362,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85362,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85362,S000000,00100,0200,05/31/2000 85362,S200000,00100,0100,4900 NORTH BERNARD 85362,S200000,00200,0100,CHICAGO 85362,S200000,00200,0200,IL 85362,S200000,00200,0300,60625- 85362,S200000,00300,0100,COOK 85362,S200000,00400,0100,AMBASSADOR NURSING AND REHAB CENTER 85362,S200000,00400,0200,145343 85362,S200000,00400,0300,12/01/1990 85362,S200000,00400,0500,P 85362,S200000,01600,0100,Y 85362,S700003,00000,0100,1 85371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85371,A000000,00300,0000,00300EMPLOYEE BENEFITS 85371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85371,A000000,00700,0000,00700HOUSEKEEPING 85371,A000000,00800,0000,00800DIETARY 85371,A000000,00900,0000,00900NURSING ADMINISTRATION 85371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85371,A000000,01300,0000,01300SOCIAL SERVICE 85371,A000000,01600,0000,01600SKILLED NURSING FACILITY 85371,A000000,01800,0000,01800NURSING FACILITY 85371,A000000,02500,0000,02500PHYSICAL THERAPY 85371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85371,A000000,02700,0000,02700SPEECH PATHOLOGY 85371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85371,A000000,06100,0000,06100NONPAID WORKERS 85371,A000000,06150,0000,06300ASST LIV - LIBERTY MEADOWS 85371,A81000A,00100,0100,Y 85371,A81000B,00100,0300,RENTAL INCOME 85371,A81000B,00200,0300,INTEREST INCOME 85371,A81000B,00300,0300,INT. MTG. #1 85371,A81000B,00400,0300,INT. LIBTYVL MANOR 85371,A81000B,00500,0300,INT. MTG. #2 85371,A81000B,00600,0300,REAL ESTATE TAXES 85371,A81000B,00700,0300,DEPRECIATION EXP 85371,A81000B,00800,0300,AMORTIZATION EXP 85371,A81000B,00900,0300,LETTER OF CREDIT FEE 85371,A81000B,01000,0300,ADMINISTRATIVE EXP 85371,A81000C,00100,0100,A 85371,A81000C,00100,0400,SB HOLDINGS 85371,A81000C,00100,0600,RENTAL 85371,A81000C,00200,0100,A 85371,A81000C,00200,0400,YOUNG AT HEART 85371,A81000C,00200,0600,DAY CARE/RENT R 85371,A81000C,00300,0100,A 85371,A81000C,00300,0400,LIBERTY MEADOWS 85371,A81000C,00300,0600,ASST LIV/RENT R 85371,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85371,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85371,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85371,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85371,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85371,B100000,00000,0800,00000MEALS SERVED :DIETARY 85371,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85371,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85371,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85371,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85371,S000000,00100,0200,06/02/2000 85371,S200000,00100,0100,610 PETERSON ROAD ROUTE 137 85371,S200000,00200,0100,LIBERYVILLE 85371,S200000,00200,0200,IL 85371,S200000,00200,0300,60048- 85371,S200000,00300,0100,LAKE 85371,S200000,00400,0100,LIBERTYVILLE MANOR 85371,S200000,00400,0200,145344 85371,S200000,00400,0300,04/08/1977 85371,S200000,00400,0500,P 85371,S200000,01004,0500,O 85371,S200000,01600,0100,Y 85378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85378,A000000,00300,0000,00300EMPLOYEE BENEFITS 85378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85378,A000000,00700,0000,00700HOUSEKEEPING 85378,A000000,00800,0000,00800DIETARY 85378,A000000,00900,0000,00900NURSING ADMINISTRATION 85378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85378,A000000,01300,0000,01300SOCIAL SERVICE 85378,A000000,01600,0000,01600SKILLED NURSING FACILITY 85378,A000000,01800,0000,01800NURSING FACILITY 85378,A000000,02100,0000,02100RADIOLOGY 85378,A000000,02200,0000,02200LABORATORY 85378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85378,A000000,02500,0000,02500PHYSICAL THERAPY 85378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85378,A000000,02700,0000,02700SPEECH PATHOLOGY 85378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85378,A000000,03050,0000,03300AMBULANCE 85378,A000000,03051,0000,03301BLOOD GLUCOSE 85378,A000000,03200,0000,03200SUPPORT SURFACES 85378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85378,A81000A,00100,0100,Y 85378,A81000B,00100,0300,CAPITAL RELATED 85378,A81000B,00200,0300,BENEFITS RELATED 85378,A81000B,00300,0300,A/G RELATED 85378,A81000B,00400,0300,PLANT RELATED 85378,A81000B,00500,0300,REHAB RELATED 85378,A81000B,00600,0300,MEDICAL SUPPLIES REL 85378,A81000B,00700,0300,BENEFIT RELATED 85378,A81000B,00800,0300,BOOKKEEPING FEES 85378,A81000C,00100,0100,A 85378,A81000C,00100,0400,DYNAMIC HEALTHC 85378,A81000C,00100,0600,BOOKKEEPING/MGM 85378,A81000C,00200,0100,A 85378,A81000C,00200,0400,LINCOLN MEDICAL 85378,A81000C,00200,0600,MEDICAL SUPPLIE 85378,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85378,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85378,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85378,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85378,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85378,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85378,B100000,00000,0800,00000MEALS SERVED :DIETARY 85378,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 85378,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85378,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85378,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85378,S000000,00100,0200,05/26/2000 85378,S200000,00100,0100,ROUTE 45 SOUTH 85378,S200000,00100,0300,307 85378,S200000,00200,0100,GILMAN 85378,S200000,00200,0200,IL 85378,S200000,00200,0300,60938- 85378,S200000,00300,0100,IROQUOIS 85378,S200000,00400,0100,GILMAN NURSING CENTER 85378,S200000,00400,0200,145347 85378,S200000,00400,0300,01/05/1977 85378,S200000,00400,0500,P 85378,S200000,01600,0100,Y 85378,S200000,01900,0100,LIMITED LIABILITY CO 85378,S200000,04700,0100,Y 85378,S700003,00000,0100,1 85387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85387,A000000,00300,0000,00300EMPLOYEE BENEFITS 85387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85387,A000000,00700,0000,00700HOUSEKEEPING 85387,A000000,00800,0000,00800DIETARY 85387,A000000,00900,0000,00900NURSING ADMINISTRATION 85387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85387,A000000,01100,0000,01100PHARMACY 85387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85387,A000000,01300,0000,01300SOCIAL SERVICE 85387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85387,A000000,01600,0000,01600SKILLED NURSING FACILITY 85387,A000000,01800,0000,01800NURSING FACILITY 85387,A000000,01900,0000,01900OTHER LONG TERM CARE 85387,A000000,02100,0000,02100RADIOLOGY 85387,A000000,02200,0000,02200LABORATORY 85387,A000000,02300,0000,02300INTRAVENOUS THERAPY 85387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85387,A000000,02500,0000,02500PHYSICAL THERAPY 85387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85387,A000000,02700,0000,02700SPEECH PATHOLOGY 85387,A000000,02800,0000,02800ELECTROCARDIOLOGY 85387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85387,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85387,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85387,A000000,03200,0000,03200SUPPORT SURFACES 85387,A000000,03400,0000,03400CLINIC 85387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85387,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85387,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85387,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85387,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85387,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85387,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85387,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85387,A000000,04400,0000,04400DME RENTED - HHA 85387,A000000,04500,0000,04500DME SOLD - HHA 85387,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85387,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85387,A000000,04800,0000,04800AMBULANCE 85387,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85387,A000000,05000,0000,05000CORF 85387,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85387,A000000,05300,0000,05300INTEREST EXPENSE 85387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85387,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85387,A000000,05500,0000,05500HOSPICE 85387,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85387,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85387,A000000,06100,0000,06100NONPAID WORKERS 85387,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85387,A000000,06200,0000,06200PATIENTS LAUNDRY 85387,A81000A,00100,0100,Y 85387,A81000B,00100,0300,DEPRECIATION 85387,A81000B,00200,0300,PROP TAXES INSURANCE 85387,A81000B,00300,0300,INTEREST 85387,A81000B,00400,0300,P/R TAXES WORK COMP 85387,A81000B,00500,0300,OFFICE SUPPLIES EXPENSES 85387,A81000B,00600,0300,TELECOMMUNICATIONS 85387,A81000B,00700,0300,LEGAL ACCTING PAYROLL SERVICE 85387,A81000B,00800,0300,TRAVEL SEMINAR EDUCATION 85387,A81000B,00900,0300,DUES SUBS LICENSES 85387,A81000B,01000,0300,MAINT AND REPAIRS 85387,A81000B,01100,0300,UTILITIES 85387,A81000B,01200,0300,MEDICAL SUPPLIES 85387,A81000B,01300,0300,MANAGEMENT FEES 85387,A81000C,00100,0100,A 85387,A81000C,00100,0200,F. MICHEAL BRID 85387,A81000C,00100,0400,LAKELAND HEALTH 85387,A81000C,00100,0600,MGT CO. 85387,A81000C,00200,0100,A 85387,A81000C,00200,0200,B.J. BRIDGES 85387,A81000C,00200,0400,LAKELAND HEALTH 85387,A81000C,00200,0600,MGT CO. 85387,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85387,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85387,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85387,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85387,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85387,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85387,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85387,B100000,00000,0800,00000MEALS SERVED :DIETARY 85387,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 85387,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85387,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85387,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85387,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85387,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85387,S000000,00100,0200,07/25/2000 85387,S200000,00100,0100,485 SOUTH FRIENDSHIP DR. 85387,S200000,00200,0100,NASHVILLE 85387,S200000,00200,0200,IL 85387,S200000,00200,0300,62236- 85387,S200000,00300,0100,WASHINGTON 85387,S200000,00400,0100,FRIENDSHIP MANOR HEALTH CTR INC 85387,S200000,00400,0200,145356 85387,S200000,00400,0300,01/01/1993 85387,S200000,00400,0500,P 85387,S200000,01004,0500,O 85387,S200000,01600,0100,Y 85387,S700003,00000,0100,1 85394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85394,A000000,00300,0000,00300EMPLOYEE BENEFITS 85394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85394,A000000,00700,0000,00700HOUSEKEEPING 85394,A000000,00800,0000,00800DIETARY 85394,A000000,00900,0000,00900NURSING ADMINISTRATION 85394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85394,A000000,01300,0000,01300SOCIAL SERVICE 85394,A000000,01600,0000,01600SKILLED NURSING FACILITY 85394,A000000,01800,0000,01800NURSING FACILITY 85394,A000000,02100,0000,02100RADIOLOGY 85394,A000000,02200,0000,02200LABORATORY 85394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85394,A000000,02500,0000,02500PHYSICAL THERAPY 85394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85394,A000000,02700,0000,02700SPEECH PATHOLOGY 85394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85394,A000000,04800,0000,04800AMBULANCE 85394,A000000,05300,0000,05300INTEREST EXPENSE 85394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85394,A81000A,00100,0100,Y 85394,A81000B,00100,0300,CAPITAL RELATED 85394,A81000B,00200,0300,ADMIN & GENERAL 85394,A81000B,00300,0300,PHYSICAL THERAPY 85394,A81000B,00400,0300,OCCUPATIONAL THERAPY 85394,A81000B,00500,0300,SPEECH THERAPY 85394,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85394,A81000B,00700,0300,PHARMACY COSTS 85394,A81000B,00800,0300,GENERAL SUPPLIES 85394,A81000C,00100,0100,B 85394,A81000C,00100,0200,HER MANOR SPRIN 85394,A81000C,00100,0400,HERITAGE ENTERP 85394,A81000C,00100,0600,HOME OFFICE 85394,A81000C,00200,0100,B 85394,A81000C,00200,0200,HER MANOR SPRIN 85394,A81000C,00200,0400,HERITAGE THERAP 85394,A81000C,00200,0600,THERAPY DIVISIO 85394,A81000C,00300,0100,B 85394,A81000C,00300,0200,HER MANOR SPRIN 85394,A81000C,00300,0400,LTC PHARMACY 85394,A81000C,00300,0600,WHOLESALE PHARM 85394,A81000C,00400,0100,B 85394,A81000C,00400,0200,HER MANOR SPRIN 85394,A81000C,00400,0400,GREEN TREE PHAR 85394,A81000C,00400,0600,WHOLESALE PHARM 85394,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85394,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85394,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85394,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85394,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85394,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85394,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85394,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85394,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85394,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85394,E10A180,00550,0300,06/10/2000 85394,S000000,00100,0200,06/01/2000 85394,S200000,00100,0100,R.R. 2 85394,S200000,00100,0300,3B 85394,S200000,00200,0100,GILLESPIE 85394,S200000,00200,0200,IL 85394,S200000,00200,0300,62033- 85394,S200000,00300,0100,MACOUPIN 85394,S200000,00400,0100,HERITAGE MANOR - GILLESPIE 85394,S200000,00400,0200,145367 85394,S200000,00400,0300,01/01/1967 85394,S200000,00400,0500,P 85394,S200000,00400,0600,O 85394,S200000,00600,0200,145367 85394,S200000,00600,0300,01/01/1967 85394,S200000,00600,0600,P 85394,S200000,01600,0100,Y 85394,S200000,01900,0100,501(C)(3)CORP. 85394,S200000,02200,0100,Y 85394,S700003,00000,0100,1 85406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85406,A000000,00300,0000,00300EMPLOYEE BENEFITS 85406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85406,A000000,00700,0000,00700HOUSEKEEPING 85406,A000000,00800,0000,00800DIETARY 85406,A000000,00900,0000,00900NURSING ADMINISTRATION 85406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85406,A000000,01100,0000,01100PHARMACY 85406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85406,A000000,01300,0000,01300SOCIAL SERVICE 85406,A000000,01350,0000,01500RECREATION 85406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85406,A000000,01600,0000,01600SKILLED NURSING FACILITY 85406,A000000,01800,0000,01800NURSING FACILITY 85406,A000000,02200,0000,02200LABORATORY 85406,A000000,02300,0000,02300INTRAVENOUS THERAPY 85406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85406,A000000,02500,0000,02500PHYSICAL THERAPY 85406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85406,A000000,02700,0000,02700SPEECH PATHOLOGY 85406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85406,A000000,03050,0000,03300PEN 85406,A000000,03051,0000,03310EQUIPMENT RENTAL 85406,A000000,03550,0000,03550FQHC 85406,A000000,05000,0000,05000CORF 85406,A000000,05010,0000,05010CMHC 85406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85406,A81000A,00100,0100,Y 85406,A81000B,00100,0300,HOME OFFICE 85406,A81000C,00100,0100,A 85406,A81000C,00100,0200,MID AMERICA 85406,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85406,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85406,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85406,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85406,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85406,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85406,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85406,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85406,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85406,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85406,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85406,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85406,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85406,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85406,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85406,S000000,00100,0200,11/30/2000 85406,S200000,00100,0100,11 HAWTHORNE LANE 85406,S200000,00200,0100,SULLIVAN 85406,S200000,00200,0200,IL 85406,S200000,00200,0300,61951- 85406,S200000,00300,0100,MOULTRIE 85406,S200000,00400,0100,SULLIVAN HEALTH CARE CENTER 85406,S200000,00400,0200,145370 85406,S200000,00400,0300,12/01/1989 85406,S200000,00400,0500,P 85406,S200000,01004,0500,O 85406,S200000,01600,0100,Y 85406,S700003,00000,0200,2 85414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85414,A000000,00300,0000,00300EMPLOYEE BENEFITS 85414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85414,A000000,00700,0000,00700HOUSEKEEPING 85414,A000000,00800,0000,00800DIETARY 85414,A000000,00900,0000,00900NURSING ADMINISTRATION 85414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85414,A000000,01100,0000,01100PHARMACY 85414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85414,A000000,01300,0000,01300SOCIAL SERVICE 85414,A000000,01350,0000,01500RECREATION 85414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85414,A000000,01600,0000,01600SKILLED NURSING FACILITY 85414,A000000,01800,0000,01800NURSING FACILITY 85414,A000000,01810,0000,01810ICF/MR 85414,A000000,02100,0000,02100RADIOLOGY 85414,A000000,02200,0000,02200LABORATORY 85414,A000000,02500,0000,02500PHYSICAL THERAPY 85414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85414,A000000,02700,0000,02700SPEECH PATHOLOGY 85414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85414,A000000,03200,0000,03200SUPPORT SURFACES 85414,A000000,03550,0000,03550FQHC 85414,A000000,05000,0000,05000CORF 85414,A000000,05010,0000,05010CMHC 85414,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85414,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85414,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85414,A81000A,00100,0100,Y 85414,A81000B,00100,0300,HOME OFFICE CAPITAL 85414,A81000B,00200,0300,HOME OFFICE ADMIN 85414,A81000B,00300,0300,RELATED PARTY ADMIN 85414,A81000B,00400,0300,RELATED PARTY RENT 85414,A81000C,00100,0100,B 85414,A81000C,00100,0200,FIRST HEALTH CA 85414,A81000C,00100,0600,MANAGEMENT 85414,A81000C,00200,0100,B 85414,A81000C,00200,0200,DEERBROOK NURSI 85414,A81000C,00200,0400,LANDLORD 85414,A81000C,00200,0600,LANDLORD 85414,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85414,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85414,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85414,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85414,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85414,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85414,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85414,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85414,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85414,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85414,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85414,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85414,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85414,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85414,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85414,E10A180,00501,0100,06/28/2000 85414,S000000,00100,0200,05/16/2000 85414,S200000,00100,0100,306 NORTH LARKIN AVENUE 85414,S200000,00200,0100,JOLIET 85414,S200000,00200,0200,IL 85414,S200000,00200,0300,60435- 85414,S200000,00300,0100,ILLW 85414,S200000,00400,0100,DEERBROOK CARE CENTRE 85414,S200000,00400,0200,145372 85414,S200000,00400,0300,09/30/1975 85414,S200000,00400,0500,P 85414,S200000,01600,0100,Y 85414,S700003,00000,0100,1 85423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85423,A000000,00300,0000,00300EMPLOYEE BENEFITS 85423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85423,A000000,00700,0000,00700HOUSEKEEPING 85423,A000000,00800,0000,00800DIETARY 85423,A000000,00900,0000,00900NURSING ADMINISTRATION 85423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85423,A000000,01100,0000,01100PHARMACY 85423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85423,A000000,01300,0000,01300SOCIAL SERVICE 85423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85423,A000000,01600,0000,01600SKILLED NURSING FACILITY 85423,A000000,01800,0000,01800NURSING FACILITY 85423,A000000,01900,0000,01900OTHER LONG TERM CARE 85423,A000000,02100,0000,02100RADIOLOGY 85423,A000000,02200,0000,02200LABORATORY 85423,A000000,02300,0000,02300INTRAVENOUS THERAPY 85423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85423,A000000,02500,0000,02500PHYSICAL THERAPY 85423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85423,A000000,02700,0000,02700SPEECH PATHOLOGY 85423,A000000,02800,0000,02800ELECTROCARDIOLOGY 85423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85423,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85423,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85423,A000000,03200,0000,03200SUPPORT SURFACES 85423,A000000,03400,0000,03400CLINIC 85423,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85423,A000000,04800,0000,04800AMBULANCE 85423,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85423,A000000,05000,0000,05000CORF 85423,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85423,A000000,05300,0000,05300INTEREST EXPENSE 85423,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85423,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85423,A000000,05500,0000,05500HOSPICE 85423,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85423,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85423,A000000,06100,0000,06100NONPAID WORKERS 85423,A000000,06150,0000,06300INDEPENDENT LIVING UNITS 85423,A000000,06200,0000,06200PATIENTS LAUNDRY 85423,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85423,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85423,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85423,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85423,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85423,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85423,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85423,B100000,00000,0800,00000MEALS SERVED :DIETARY 85423,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85423,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85423,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85423,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85423,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85423,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85423,E10A180,00501,0100,03/29/2000 85423,E10A180,00550,0300,03/29/2000 85423,S000000,00100,0200,02/29/2000 85423,S200000,00100,0100,702 W. CUMBERLAND 85423,S200000,00200,0100,ALTAMONT 85423,S200000,00200,0200,IL 85423,S200000,00200,0300,62411- 85423,S200000,00300,0100,EFFINGHAM 85423,S200000,00400,0100,LUTHERAN CARE CENTER 85423,S200000,00400,0200,145380 85423,S200000,00400,0300,01/01/1989 85423,S200000,00400,0500,P 85423,S200000,01600,0100,Y 85423,S700003,00000,0100,1 85431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85431,A000000,00300,0000,00300EMPLOYEE BENEFITS 85431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85431,A000000,00700,0000,00700HOUSEKEEPING 85431,A000000,00800,0000,00800DIETARY 85431,A000000,01300,0000,01300SOCIAL SERVICE 85431,A000000,01350,0000,01500ACTIVITIES 85431,A000000,01600,0000,01600SKILLED NURSING FACILITY 85431,A000000,01800,0000,01800NURSING FACILITY 85431,A000000,01900,0000,01900OTHER LONG TERM CARE 85431,A000000,02100,0000,02100RADIOLOGY 85431,A000000,02200,0000,02200LABORATORY 85431,A000000,02300,0000,02300INTRAVENOUS THERAPY 85431,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85431,A000000,02500,0000,02500PHYSICAL THERAPY 85431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85431,A000000,02700,0000,02700SPEECH PATHOLOGY 85431,A000000,02800,0000,02800ELECTROCARDIOLOGY 85431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85431,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 85431,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85431,A000000,03200,0000,03200SUPPORT SURFACES 85431,A000000,03400,0000,03400CLINIC 85431,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 85431,A000000,03500,0000,03500RURAL HEALTH CLINIC 85431,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85431,A000000,04750,0000,05100OTHER REIMBURSABLE COST 85431,A000000,04800,0000,04800AMBULANCE 85431,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85431,A000000,05000,0000,05000CORF 85431,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85431,A000000,05300,0000,05300INTEREST EXPENSE 85431,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85431,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85431,A000000,05500,0000,05500HOSPICE 85431,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85431,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85431,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85431,A000000,06100,0000,06100NONPAID WORKERS 85431,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85431,A000000,06200,0000,06200PATIENTS LAUNDRY 85431,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85431,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85431,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85431,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85431,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85431,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85431,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85431,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85431,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85431,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 85431,E10A180,00501,0100,06/28/2000 85431,E10A180,00501,0300,06/28/2000 85431,S000000,00100,0200,05/25/2000 85431,S200000,00100,0100,101 WEST WINDSOR ROAD 85431,S200000,00200,0100,URBANA 85431,S200000,00200,0200,IL 85431,S200000,00200,0300,61802- 85431,S200000,00300,0100,CHAMPAIGN 85431,S200000,00400,0100,CLARK LINDSEY VILLAGE 85431,S200000,00400,0200,145381 85431,S200000,00400,0300,10/01/1978 85431,S200000,00400,0500,P 85431,S200000,01600,0100,Y 85431,S200000,02200,0100,Y 85431,S700003,00000,0100,1 85438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85438,A000000,00300,0000,00300EMPLOYEE BENEFITS 85438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85438,A000000,00700,0000,00700HOUSEKEEPING 85438,A000000,00800,0000,00800DIETARY 85438,A000000,00900,0000,00900NURSING ADMINISTRATION 85438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85438,A000000,01100,0000,01100PHARMACY 85438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85438,A000000,01300,0000,01300SOCIAL SERVICE 85438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85438,A000000,01600,0000,01600SKILLED NURSING FACILITY 85438,A000000,01800,0000,01800NURSING FACILITY 85438,A000000,01900,0000,01900OTHER LONG TERM CARE 85438,A000000,02100,0000,02100RADIOLOGY 85438,A000000,02200,0000,02200LABORATORY 85438,A000000,02300,0000,02300INTRAVENOUS THERAPY 85438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85438,A000000,02500,0000,02500PHYSICAL THERAPY 85438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85438,A000000,02700,0000,02700SPEECH PATHOLOGY 85438,A000000,02800,0000,02800ELECTROCARDIOLOGY 85438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85438,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85438,A000000,03200,0000,03200SUPPORT SURFACES 85438,A000000,03400,0000,03400CLINIC 85438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85438,A000000,04800,0000,04800AMBULANCE 85438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85438,A000000,05300,0000,05300INTEREST EXPENSE 85438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85438,A000000,06100,0000,06100NONPAID WORKERS 85438,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85438,A000000,06200,0000,06200PATIENTS LAUNDRY 85438,A81000A,00100,0100,Y 85438,A81000B,00100,0300,RENT 85438,A81000B,00200,0300,DEPRECIATION 85438,A81000B,00300,0300,INTEREST 85438,A81000B,00400,0300,REAL ESTATE TAXES 85438,A81000B,00500,0300,BANK CHARGES 85438,A81000B,00600,0300,LICENSES & PERMITS 85438,A81000B,00700,0300,INSURANCE 85438,A81000B,00800,0300,STATE CORP INCOME TAXES 85438,A81000C,00100,0100,A 85438,A81000C,00100,0200,GEORGE SAMATAS 85438,A81000C,00100,0400,SENECA BLDG PTP 85438,A81000C,00100,0600,LESSOR 85438,A81000C,00200,0100,A 85438,A81000C,00200,0200,ESTATE OF WILLI 85438,A81000C,00200,0400,SENECA BLDG PTP 85438,A81000C,00200,0600,LESSOR 85438,A81000C,00300,0100,A 85438,A81000C,00300,0200,CHESTER PLODZIE 85438,A81000C,00300,0400,SENECA BLDG PTP 85438,A81000C,00300,0600,LESSOR 85438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85438,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85438,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85438,B100000,00000,0800,00000MEALS SERVED :DIETARY 85438,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85438,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85438,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85438,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85438,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85438,E10A180,00501,0100,07/12/2000 85438,S000000,00100,0200,05/30/2000 85438,S200000,00100,0100,1301 LEE STREET 85438,S200000,00200,0100,DES PLAINES 85438,S200000,00200,0200,IL 85438,S200000,00200,0300,60018- 85438,S200000,00300,0100,COOK 85438,S200000,00400,0100,LEE MANOR 85438,S200000,00400,0200,145382 85438,S200000,00400,0300,04/04/1979 85438,S200000,00400,0500,P 85438,S200000,01600,0100,Y 85446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85446,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85446,A000000,00300,0000,00300EMPLOYEE BENEFITS 85446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85446,A000000,00700,0000,00700HOUSEKEEPING 85446,A000000,00800,0000,00800DIETARY 85446,A000000,00900,0000,00900NURSING ADMINISTRATION 85446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85446,A000000,01300,0000,01300SOCIAL SERVICE 85446,A000000,01600,0000,01600SKILLED NURSING FACILITY 85446,A000000,01800,0000,01800NURSING FACILITY 85446,A000000,02500,0000,02500PHYSICAL THERAPY 85446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85446,A000000,02700,0000,02700SPEECH PATHOLOGY 85446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85446,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85446,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85446,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85446,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85446,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85446,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85446,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85446,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85446,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85446,B100000,00000,0800,00000MEALS SERVED :DIETARY 85446,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 85446,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 85446,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85446,B100000,00000,1300,00000TIME SERVED :SOCIAL SERVICE 85446,E10A180,00301,0100,05/31/2000 85446,E10A180,00501,0100,06/16/2000 85446,S000000,00100,0200,06/02/2000 85446,S200000,00100,0100,400 SOUTH STATION ROAD 85446,S200000,00200,0100,GLEN CARBON 85446,S200000,00200,0200,IL 85446,S200000,00200,0300,62034- 85446,S200000,00300,0100,MADISON 85446,S200000,00400,0100,EDEN VILLAGE CARE CENTER 85446,S200000,00400,0200,145384 85446,S200000,00400,0300,05/14/1979 85446,S200000,00400,0500,P 85446,S200000,01600,0100,Y 85446,S200000,01900,0100,BOARD OF DIRECTORS 85446,S700003,00000,0100,1 85453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85453,A000000,00300,0000,00300EMPLOYEE BENEFITS 85453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85453,A000000,00700,0000,00700HOUSEKEEPING 85453,A000000,00800,0000,00800DIETARY 85453,A000000,00900,0000,00900NURSING ADMINISTRATION 85453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85453,A000000,01100,0000,01100PHARMACY 85453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85453,A000000,01300,0000,01300SOCIAL SERVICE 85453,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85453,A000000,01600,0000,01600SKILLED NURSING FACILITY 85453,A000000,01800,0000,01800NURSING FACILITY 85453,A000000,02100,0000,02100RADIOLOGY 85453,A000000,02200,0000,02200LABORATORY 85453,A000000,02500,0000,02500PHYSICAL THERAPY 85453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85453,A000000,02700,0000,02700SPEECH PATHOLOGY 85453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85453,A000000,05000,0000,05000CORF 85453,A000000,05010,0000,05010CMHC 85453,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85453,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85453,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85453,A81000A,00100,0100,Y 85453,A81000B,00100,0300,CORP - ENGINEERING 85453,A81000B,00200,0300,CORP - ACCOUNTING 85453,A81000B,00300,0300,CORP - ADMIN. 85453,A81000B,00400,0300,CORP. - MAT MGMT 85453,A81000B,00500,0300,CORP - QUALITY ASSUR 85453,A81000B,00600,0300,CORP - PERSONNEL 85453,A81000B,00700,0300,CORP - MIS & DP 85453,A81000B,00800,0300,CORP - FINANCING 85453,A81000C,00100,0100,B 85453,A81000C,00100,0200,OSF HEALTHCARE 85453,A81000C,00100,0400,SCHEDULE SUBMIT 85453,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 85453,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 85453,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 85453,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 85453,B100000,00000,0650,00040RESIDENT DAYS :LAUNDRY & LINEN SER 85453,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 85453,B100000,00000,0800,00040MEALS SERVED :DIETARY 85453,B100000,00000,0950,00040RESIDENT DAYS :NURSING ADMINISTRAT 85453,B100000,00000,1250,00040RESIDENT DAYS :MEDICAL RECORDS & L 85453,B100000,00000,1330,00040RESIDENT DAYS :SOCIAL SERVICE 85453,E10A180,00501,0100,03/29/2000 85453,E10A180,00501,0300,03/29/2000 85453,S000000,00100,0200,03/01/2000 85453,S200000,00100,0100,767 30TH STREET 85453,S200000,00200,0100,ROCK ISLAND 85453,S200000,00200,0200,IL 85453,S200000,00200,0300,61201- 85453,S200000,00300,0100,ROCK ISLAND 85453,S200000,00300,0200,1960 85453,S200000,00300,0300,U 85453,S200000,00400,0100,ST. ANTHONYS CONTINUING CARE CTR 85453,S200000,00400,0200,145387 85453,S200000,00400,0300,10/02/1989 85453,S200000,00400,0500,P 85453,S200000,01600,0100,Y 85453,S200000,02200,0100,Y 85463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85463,A000000,00300,0000,00300EMPLOYEE BENEFITS 85463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85463,A000000,00700,0000,00700HOUSEKEEPING 85463,A000000,00800,0000,00800DIETARY 85463,A000000,00900,0000,00900NURSING ADMINISTRATION 85463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85463,A000000,01100,0000,01100PHARMACY 85463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85463,A000000,01300,0000,01300SOCIAL SERVICE 85463,A000000,01350,0000,01500RECREATION 85463,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85463,A000000,01600,0000,01600SKILLED NURSING FACILITY 85463,A000000,01800,0000,01800NURSING FACILITY 85463,A000000,02200,0000,02200LABORATORY 85463,A000000,02300,0000,02300INTRAVENOUS THERAPY 85463,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85463,A000000,02500,0000,02500PHYSICAL THERAPY 85463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85463,A000000,02700,0000,02700SPEECH PATHOLOGY 85463,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85463,A000000,03050,0000,03300PEN 85463,A000000,03051,0000,03310EQUIPMENT RENTAL 85463,A000000,03550,0000,03550FQHC 85463,A000000,05000,0000,05000CORF 85463,A000000,05010,0000,05010CMHC 85463,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85463,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85463,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85463,A81000A,00100,0100,Y 85463,A81000B,00100,0300,HOME OFFICE 85463,A81000C,00100,0100,A 85463,A81000C,00100,0200,MID AMERICA 85463,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85463,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85463,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85463,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85463,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85463,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85463,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85463,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85463,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85463,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85463,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85463,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85463,S000000,00100,0200,11/30/2000 85463,S200000,00100,0100,715 EAST PAYMON ROAD 85463,S200000,00200,0100,WATSEKA 85463,S200000,00200,0200,IL 85463,S200000,00200,0300,60970- 85463,S200000,00300,0100,IROQUIS 85463,S200000,00300,0200,0014 85463,S200000,00300,0300,R 85463,S200000,00400,0100,WATSEKA HEALTH CARE CENTER 85463,S200000,00400,0200,145389 85463,S200000,00400,0300,05/10/1988 85463,S200000,00400,0500,P 85463,S200000,01004,0500,O 85463,S200000,01600,0100,Y 85476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85476,A000000,00300,0000,00300EMPLOYEE BENEFITS 85476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85476,A000000,00700,0000,00700HOUSEKEEPING 85476,A000000,00800,0000,00800DIETARY 85476,A000000,00900,0000,00900NURSING ADMINISTRATION 85476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85476,A000000,01300,0000,01300SOCIAL SERVICE 85476,A000000,01600,0000,01600SKILLED NURSING FACILITY 85476,A000000,01800,0000,01800NURSING FACILITY 85476,A000000,01900,0000,01900OTHER LONG TERM CARE 85476,A000000,02500,0000,02500PHYSICAL THERAPY 85476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85476,A000000,02700,0000,02700SPEECH PATHOLOGY 85476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85476,A000000,06150,0000,06300VA LAB PHYSICIAN 85476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85476,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85476,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85476,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85476,B100000,00000,0800,00000MEALS SERVED :DIETARY 85476,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85476,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 85476,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85476,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85476,E10A180,00501,0100,05/17/2000 85476,E10A180,00501,0300,05/17/2000 85476,S000000,00100,0200,04/28/2000 85476,S200000,00100,0100,1441 NORTH 14TH STREET 85476,S200000,00200,0100,MURPHYSBORO 85476,S200000,00200,0200,IL 85476,S200000,00200,0300,62966- 85476,S200000,00300,0100,JACKSON 85476,S200000,00400,0100,JACKSON COUNTY NURSING HOME 85476,S200000,00400,0200,145395 85476,S200000,00400,0300,04/01/1980 85476,S200000,00400,0500,P 85476,S200000,01600,0100,Y 85476,S700003,00000,0100,1 85491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85491,A000000,00300,0000,00300EMPLOYEE BENEFITS 85491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85491,A000000,00700,0000,00700HOUSEKEEPING 85491,A000000,00800,0000,00800DIETARY 85491,A000000,00900,0000,00900NURSING ADMINISTRATION 85491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85491,A000000,01100,0000,01100PHARMACY 85491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85491,A000000,01300,0000,01300SOCIAL SERVICE 85491,A000000,01350,0000,01500RECREATION 85491,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85491,A000000,01600,0000,01600SKILLED NURSING FACILITY 85491,A000000,01800,0000,01800NURSING FACILITY 85491,A000000,01810,0000,01810ICF/MR 85491,A000000,02200,0000,02200LABORATORY 85491,A000000,02300,0000,02300INTRAVENOUS THERAPY 85491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85491,A000000,02500,0000,02500PHYSICAL THERAPY 85491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85491,A000000,02700,0000,02700SPEECH PATHOLOGY 85491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85491,A000000,03050,0000,03300PEN 85491,A000000,03051,0000,03310AFT 85491,A000000,03550,0000,03550FQHC 85491,A000000,05000,0000,05000CORF 85491,A000000,05010,0000,05010CMHC 85491,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85491,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85491,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85491,A81000A,00100,0100,Y 85491,A81000B,00100,0300,MANAGEMENT FEES 85491,A81000C,00100,0100,B 85491,A81000C,00100,0200,MIDWEST CARE CE 85491,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85491,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85491,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85491,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85491,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85491,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85491,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85491,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 85491,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85491,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85491,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85491,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85491,E10A180,00501,0100,07/13/2000 85491,E10A180,00501,0300,07/13/2000 85491,S000000,00100,0200,06/01/2000 85491,S200000,00100,0100,900 SOUTH CHESTNUT 85491,S200000,00200,0100,PANA 85491,S200000,00200,0200,IL 85491,S200000,00200,0300,62557- 85491,S200000,00300,0100,CHRISTIAN 85491,S200000,00300,0300,R 85491,S200000,00400,0100,MCCI PRAIRIE ROSE HEALTH CARE CENTER 85491,S200000,00400,0200,145411 85491,S200000,00400,0300,07/01/1985 85491,S200000,00400,0500,P 85491,S200000,01600,0100,Y 85495,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85495,A000000,00300,0000,00300EMPLOYEE BENEFITS 85495,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85495,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85495,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85495,A000000,00700,0000,00700HOUSEKEEPING 85495,A000000,00800,0000,00800DIETARY 85495,A000000,00900,0000,00900NURSING ADMINISTRATION 85495,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85495,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85495,A000000,01300,0000,01300SOCIAL SERVICE 85495,A000000,01600,0000,01600SKILLED NURSING FACILITY 85495,A000000,01800,0000,01800NURSING FACILITY 85495,A000000,02100,0000,02100RADIOLOGY 85495,A000000,02200,0000,02200LABORATORY 85495,A000000,02500,0000,02500PHYSICAL THERAPY 85495,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85495,A000000,02700,0000,02700SPEECH PATHOLOGY 85495,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85495,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85495,A000000,03050,0000,03300BGM 85495,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85495,A81000A,00100,0100,Y 85495,A81000B,00100,0300,HOME OFFICE COSTS 85495,A81000B,00200,0300,MANAGEMENT FEES 85495,A81000B,00300,0300,PHARMCOR 85495,A81000B,00400,0300,DIETARY SUPPLEMENT 85495,A81000B,00500,0300,ENTERAL SUPPLEMENT 85495,A81000B,00600,0300,CAPITAL RELATED COST 85495,A81000B,00700,0300,EMPLOYEE BENEFITS 85495,A81000B,00800,0300,ADMINISTRATION & GEN 85495,A81000B,00900,0300,PLANT OPERATION & MA 85495,A81000B,01000,0300,PROFESSIONAL FEES 85495,A81000B,01100,0300,CLERICAL & GENERAL 85495,A81000B,01200,0300,INTEREST EXPENSE 85495,A81000B,01300,0300,INTEREST INCOME 85495,A81000B,01400,0300,RENTAL INCOME 85495,A81000B,01500,0300,INTEREST EXPENSE 85495,A81000B,01600,0300,DEPRECIATION EXPENSE 85495,A81000B,01700,0300,AMORTIZATION EXPENSE 85495,A81000B,01800,0300,REPLACEMENT TAX 85495,A81000B,01900,0300,INTEREST INCOME 85495,A81000B,02000,0300,GAIN ON PARTNERSHIP 85495,A81000C,00100,0100,A 85495,A81000C,00100,0400,PARMCOR 85495,A81000C,00100,0600,PHARMACY SUPPLY 85495,A81000C,00200,0100,A 85495,A81000C,00200,0400,S&E MEDICAL SUP 85495,A81000C,00200,0600,MEDICAL SUPPLIE 85495,A81000C,00300,0100,A 85495,A81000C,00300,0400,SW MGMT 85495,A81000C,00300,0600,BOOKKEEPING & M 85495,A81000C,00400,0100,A 85495,A81000C,00400,0400,SFO ASSOCIATES 85495,A81000C,00400,0600,FINANCING 85495,A81000C,00500,0100,A 85495,A81000C,00500,0400,SHABBONA BLDG A 85495,A81000C,00500,0600,BLDG PARTNERSHI 85495,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85495,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85495,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85495,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85495,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85495,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85495,B100000,00000,0800,00000MEALS SERVED :DIETARY 85495,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85495,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85495,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85495,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85495,S000000,00100,0200,05/25/2000 85495,S200000,00100,0100,WEST COMMANCHE ST 85495,S200000,00200,0100,SHABBONA 85495,S200000,00200,0200,IL 85495,S200000,00200,0300,60550- 85495,S200000,00300,0100,DEKALB 85495,S200000,00400,0100,SHABBONA HEALTH CARE CENTER INC 85495,S200000,00400,0200,145414 85495,S200000,00400,0300,01/01/1989 85495,S200000,00400,0500,P 85495,S200000,01600,0100,Y 85495,S200000,01900,0100,SUB-CORP. 85495,S200000,02200,0100,Y 85495,S700003,00000,0100,1 85504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85504,A000000,00300,0000,00300EMPLOYEE BENEFITS 85504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85504,A000000,00700,0000,00700HOUSEKEEPING 85504,A000000,00800,0000,00800DIETARY 85504,A000000,00900,0000,00900NURSING ADMINISTRATION 85504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85504,A000000,01300,0000,01300SOCIAL SERVICE 85504,A000000,01600,0000,01600SKILLED NURSING FACILITY 85504,A000000,01800,0000,01800NURSING FACILITY 85504,A000000,02100,0000,02100RADIOLOGY 85504,A000000,02200,0000,02200LABORATORY 85504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85504,A000000,02500,0000,02500PHYSICAL THERAPY 85504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85504,A000000,02700,0000,02700SPEECH PATHOLOGY 85504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85504,A000000,03200,0000,03200SUPPORT SURFACES 85504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85504,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85504,A81000A,00100,0100,Y 85504,A81000B,00100,0300,GLEN H&H-CAPITAL 85504,A81000B,00200,0300,GLEN H&H-ADMIN 85504,A81000B,00300,0300,INTEREST EXPENSE 85504,A81000B,00400,0300,BUILDING RENTAL 85504,A81000B,00500,0300,ADDL RENT-R.E. TAX 85504,A81000B,00600,0300,REAL ESTATE TAXES 85504,A81000B,00700,0300,OFFICE SUPPLIES 85504,A81000B,00800,0300,DEPRECIATION 85504,A81000B,00900,0300,THERAPY COST-TM 85504,A81000B,01000,0300,THERAPY COST-TM 85504,A81000B,01100,0300,THERAPY COST-TM 85504,A81000B,01200,0300,ADMIN SALARIES 85504,A81000B,01300,0300,MEDICAL SUPPLIES 85504,A81000B,01400,0300,FOOD SUPPLEMENT 85504,A81000B,01500,0300,G&A-THER MASTERS 85504,A81000B,01600,0300,INTEREST INCOME 85504,A81000C,00100,0100,A 85504,A81000C,00100,0200,SIDNEY GLENNER 85504,A81000C,00100,0400,GLEN HEALTH & 85504,A81000C,00100,0600,MGMT. 85504,A81000C,00200,0100,A 85504,A81000C,00200,0400,HOME MANAGEMNT 85504,A81000C,00200,0600,COMP. 85504,A81000C,00300,0100,A 85504,A81000C,00300,0200,SIDNEY GLENNER 85504,A81000C,00300,0400,ELSTON R/E & 85504,A81000C,00300,0600,R.E. 85504,A81000C,00400,0100,A 85504,A81000C,00400,0400,DEVELOPMENT LLC 85504,A81000C,00400,0600,LESSOR 85504,A81000C,00500,0100,A 85504,A81000C,00500,0200,SIDNEY GLENNER 85504,A81000C,00500,0400,THERAPY MASTERS 85504,A81000C,00500,0600,THER.CO 85504,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85504,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85504,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85504,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85504,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85504,B100000,00000,0800,00000MEALS SERVED :DIETARY 85504,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85504,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85504,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85504,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85504,S000000,00100,0200,03/31/2000 85504,S200000,00100,0100,4340 NORTH KEYSTONE 85504,S200000,00200,0100,CHICAGO 85504,S200000,00200,0200,IL 85504,S200000,00200,0300,60641- 85504,S200000,00300,0100,COOK 85504,S200000,00400,0100,GLEN ELSTON NSG & REHAB CTR. LTD 85504,S200000,00400,0200,145415 85504,S200000,00400,0300,06/30/1978 85504,S200000,00400,0500,P 85504,S200000,01600,0100,Y 85504,S700003,00000,0100,1 85513,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85513,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85513,A000000,00300,0000,00300EMPLOYEE BENEFITS 85513,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85513,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85513,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85513,A000000,00700,0000,00700HOUSEKEEPING 85513,A000000,00800,0000,00800DIETARY 85513,A000000,00900,0000,00900NURSING ADMINISTRATION 85513,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85513,A000000,01100,0000,01100PHARMACY 85513,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85513,A000000,01300,0000,01300SOCIAL SERVICE 85513,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85513,A000000,01600,0000,01600SKILLED NURSING FACILITY 85513,A000000,01800,0000,01800NURSING FACILITY 85513,A000000,01900,0000,01900OTHER LONG TERM CARE 85513,A000000,02100,0000,02100RADIOLOGY 85513,A000000,02200,0000,02200LABORATORY 85513,A000000,02300,0000,02300INTRAVENOUS THERAPY 85513,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85513,A000000,02500,0000,02500PHYSICAL THERAPY 85513,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85513,A000000,02700,0000,02700SPEECH PATHOLOGY 85513,A000000,02800,0000,02800ELECTROCARDIOLOGY 85513,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85513,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85513,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85513,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85513,A000000,03200,0000,03200SUPPORT SURFACES 85513,A000000,03400,0000,03400CLINIC 85513,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85513,A000000,04800,0000,04800AMBULANCE 85513,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85513,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85513,A000000,05300,0000,05300INTEREST EXPENSE 85513,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85513,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85513,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85513,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85513,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85513,A000000,06100,0000,06100NONPAID WORKERS 85513,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85513,A000000,06200,0000,06200PATIENTS LAUNDRY 85513,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85513,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85513,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85513,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85513,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85513,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85513,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85513,B100000,00000,0800,00000MEALS SERVED :DIETARY 85513,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85513,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85513,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85513,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85513,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85513,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85513,S000000,00100,0200,04/03/2000 85513,S200000,00100,0100,410 N.W. THIRD ST. 85513,S200000,00200,0100,CASEY 85513,S200000,00200,0200,IL 85513,S200000,00200,0300,62420- 85513,S200000,00300,0100,CLARK 85513,S200000,00400,0100,HEARTLAND MANOR INC. 85513,S200000,00400,0200,145416 85513,S200000,00400,0300,10/01/1981 85513,S200000,00400,0500,P 85513,S200000,01600,0100,Y 85513,S700003,00000,0100,1 85523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85523,A000000,00300,0000,00300EMPLOYEE BENEFITS 85523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85523,A000000,00700,0000,00700HOUSEKEEPING 85523,A000000,00800,0000,00800DIETARY 85523,A000000,00900,0000,00900NURSING ADMINISTRATION 85523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85523,A000000,01100,0000,01100PHARMACY 85523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85523,A000000,01300,0000,01300SOCIAL SERVICE 85523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85523,A000000,01600,0000,01600SKILLED NURSING FACILITY 85523,A000000,01800,0000,01800NURSING FACILITY 85523,A000000,01810,0000,01810ICF/MR 85523,A000000,01900,0000,01900OTHER LONG TERM CARE 85523,A000000,02100,0000,02100RADIOLOGY 85523,A000000,02200,0000,02200LABORATORY 85523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85523,A000000,02500,0000,02500PHYSICAL THERAPY 85523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85523,A000000,02700,0000,02700SPEECH PATHOLOGY 85523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85523,A000000,03550,0000,03550FQHC 85523,A000000,05000,0000,05000CORF 85523,A000000,05010,0000,05010CMHC 85523,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85523,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85523,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85523,A000000,05300,0000,05300INTEREST EXPENSE 85523,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85523,A000000,06150,0000,06300OTHER NONREIMBURSABLE 85523,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85523,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85523,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85523,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85523,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85523,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85523,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85523,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85523,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85523,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85523,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85523,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85523,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85523,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85523,S000000,00100,0200,05/31/2000 85523,S200000,00100,0100,1616 CEDAR 85523,S200000,00200,0100,LAWRENCEVILLE 85523,S200000,00200,0200,IL 85523,S200000,00200,0300,62439- 85523,S200000,00300,0100,LAWRENCE 85523,S200000,00400,0100,THE UNITED METHODIST VILLAGE INC. 85523,S200000,00400,0200,145417 85523,S200000,00400,0300,08/01/1981 85523,S200000,00400,0500,P 85523,S200000,00600,0200,145417 85523,S200000,00600,0300,08/01/1981 85523,S200000,00600,0600,P 85523,S200000,01600,0100,Y 85523,S200000,02200,0100,Y 85523,S200000,02800,0100,Y 85523,S700003,00000,0100,1 85532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85532,A000000,00300,0000,00300EMPLOYEE BENEFITS 85532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85532,A000000,00700,0000,00700HOUSEKEEPING 85532,A000000,00800,0000,00800DIETARY 85532,A000000,00900,0000,00900NURSING ADMINISTRATION 85532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85532,A000000,01100,0000,01100PHARMACY 85532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85532,A000000,01300,0000,01300SOCIAL SERVICE 85532,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85532,A000000,01600,0000,01600SKILLED NURSING FACILITY 85532,A000000,01800,0000,01800NURSING FACILITY 85532,A000000,01810,0000,01810ICF/MR 85532,A000000,02100,0000,02100RADIOLOGY 85532,A000000,02200,0000,02200LABORATORY 85532,A000000,02500,0000,02500PHYSICAL THERAPY 85532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85532,A000000,02700,0000,02700SPEECH PATHOLOGY 85532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85532,A000000,03550,0000,03550FQHC 85532,A000000,05000,0000,05000CORF 85532,A000000,05010,0000,05010CMHC 85532,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85532,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85532,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85532,A000000,05300,0000,05300INTEREST EXPENSE 85532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85532,A000000,06150,0000,06300NON-REIMBURSABLE 85532,A000000,06200,0000,06200PATIENTS LAUNDRY 85532,A81000A,00100,0100,Y 85532,A81000B,00100,0300,MANAGEMENT FEE 85532,A81000C,00100,0100,B 85532,A81000C,00100,0400,CHRISTIAN HOMES 85532,A81000C,00100,0600,CORP. OFFICE 85532,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85532,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85532,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85532,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85532,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85532,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85532,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 85532,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85532,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85532,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85532,E10A180,00501,0100,01/12/2001 85532,E10A180,00550,0300,01/12/2001 85532,S000000,00100,0200,12/04/2000 85532,S200000,00100,0100,1790 SOUTH FAIRVIEW AVENUE 85532,S200000,00200,0100,DECATUR 85532,S200000,00200,0200,IL 85532,S200000,00200,0300,62521- 85532,S200000,00300,0100,MACON 85532,S200000,00300,0200,0014 85532,S200000,00300,0300,R 85532,S200000,00400,0100,FAIR HAVENS CHRISTIAN NURSING HOME 85532,S200000,00400,0200,145422 85532,S200000,00400,0300,04/01/1982 85532,S200000,00400,0500,P 85532,S200000,01600,0100,Y 85532,S200000,02200,0100,Y 85532,S200000,04200,0100,Y 85541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85541,A000000,00300,0000,00300EMPLOYEE BENEFITS 85541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85541,A000000,00700,0000,00700HOUSEKEEPING 85541,A000000,00800,0000,00800DIETARY 85541,A000000,00900,0000,00900NURSING ADMINISTRATION 85541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85541,A000000,01300,0000,01300SOCIAL SERVICE 85541,A000000,01600,0000,01600SKILLED NURSING FACILITY 85541,A000000,01800,0000,01800NURSING FACILITY 85541,A000000,02100,0000,02100RADIOLOGY 85541,A000000,02200,0000,02200LABORATORY 85541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85541,A000000,02500,0000,02500PHYSICAL THERAPY 85541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85541,A000000,02700,0000,02700SPEECH PATHOLOGY 85541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85541,A000000,03200,0000,03200SUPPORT SURFACES 85541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85541,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85541,A81000A,00100,0100,Y 85541,A81000B,00100,0300,GLEN H&H-ADMIN 85541,A81000B,00200,0300,GLEN H&H-CAPITAL 85541,A81000B,00300,0300,RENTAL INCOME 85541,A81000B,00400,0300,REAL ESTATE TAXES 85541,A81000B,00500,0300,DEPRECIATION 85541,A81000B,00600,0300,INTEREST EXPENSE 85541,A81000B,00700,0300,MORTGAGE INSURE 85541,A81000B,00800,0300,MORTGAGE AMORTZ 85541,A81000B,00900,0300,BANK CHARGES 85541,A81000B,01000,0300,LICENSE EXPENSE 85541,A81000B,01100,0300,MGT FEES-GLENBAR 85541,A81000B,01200,0300,THERAPY COSTS-TM 85541,A81000B,01300,0300,THERAPY COSTS-TM 85541,A81000B,01400,0300,THERAPY COSTS-TM 85541,A81000B,01500,0300,ADMIN SALARIES 85541,A81000B,01600,0300,MEDICAL SUPPLIES 85541,A81000B,01700,0300,FOOD SUPPLEMENT 85541,A81000B,01800,0300,TRUST FEES 85541,A81000B,01900,0300,G&A-THER MASTERS 85541,A81000C,00100,0100,A 85541,A81000C,00100,0200,SIDNEY GLENNER 85541,A81000C,00100,0400,GLEN HEALTH & 85541,A81000C,00100,0600,MGMT. 85541,A81000C,00200,0100,A 85541,A81000C,00200,0400,HOME MANAGEMNT 85541,A81000C,00200,0600,COMP. 85541,A81000C,00300,0100,A 85541,A81000C,00300,0200,SIDNEY GLENNER 85541,A81000C,00300,0400,GLENBAR MGMT. 85541,A81000C,00300,0600,MGMT. 85541,A81000C,00400,0100,A 85541,A81000C,00400,0200,BARRY RAY 85541,A81000C,00400,0400,GLENBAR MGMT. 85541,A81000C,00400,0600,MGMT. 85541,A81000C,00500,0100,A 85541,A81000C,00500,0200,SIDNEY GLENNER 85541,A81000C,00500,0400,GLENSHIRE R/E & 85541,A81000C,00500,0600,BLDG. 85541,A81000C,00600,0100,A 85541,A81000C,00600,0400,DEVELOPMENT 85541,A81000C,00600,0600,LESSOR 85541,A81000C,00700,0100,A 85541,A81000C,00700,0200,BARRY RAY 85541,A81000C,00700,0400,GLENSHIRE R/E & 85541,A81000C,00700,0600,BLDG. 85541,A81000C,00800,0100,A 85541,A81000C,00800,0400,DEVELOPMENT 85541,A81000C,00800,0600,LESSOR 85541,A81000C,00900,0100,A 85541,A81000C,00900,0200,SIDNEY GLENNER 85541,A81000C,00900,0400,THERAPY MASTERS 85541,A81000C,00900,0600,THER.CO 85541,A81000C,01000,0100,A 85541,A81000C,01000,0200,BARRY RAY 85541,A81000C,01000,0400,THERAPY MASTERS 85541,A81000C,01000,0600,THER.CO 85541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85541,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85541,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85541,B100000,00000,0800,00000MEALS SERVED :DIETARY 85541,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85541,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85541,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85541,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85541,E10A180,00501,0100,04/27/2000 85541,S000000,00100,0200,03/31/2000 85541,S200000,00100,0100,22660 SOUTH CICERO 85541,S200000,00200,0100,RICHTON PARK 85541,S200000,00200,0200,IL 85541,S200000,00200,0300,60471- 85541,S200000,00300,0100,COOK 85541,S200000,00400,0100,GLEN SHIRE NSG & REHAB CTR. LTD 85541,S200000,00400,0200,145424 85541,S200000,00400,0300,04/16/1981 85541,S200000,00400,0500,P 85541,S200000,01600,0100,Y 85541,S700003,00000,0100,1 85552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85552,A000000,00300,0000,00300EMPLOYEE BENEFITS 85552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85552,A000000,00700,0000,00700HOUSEKEEPING 85552,A000000,00800,0000,00800DIETARY 85552,A000000,00900,0000,00900NURSING ADMINISTRATION 85552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85552,A000000,01300,0000,01300SOCIAL SERVICE 85552,A000000,01600,0000,01600SKILLED NURSING FACILITY 85552,A000000,01800,0000,01800NURSING FACILITY 85552,A000000,02100,0000,02100RADIOLOGY 85552,A000000,02200,0000,02200LABORATORY 85552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85552,A000000,02500,0000,02500PHYSICAL THERAPY 85552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85552,A000000,02700,0000,02700SPEECH PATHOLOGY 85552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85552,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85552,A000000,05000,0000,05000CORF 85552,A000000,05010,0000,05010CMHC 85552,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85552,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85552,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85552,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85552,A81000A,00100,0100,Y 85552,A81000B,00100,0300,RENT 85552,A81000B,00200,0300,DEPRECIATION 85552,A81000B,00300,0300,INTEREST 85552,A81000B,00400,0300,ADMIN AND GENERAL 85552,A81000B,00500,0300,MANAGEMENT FEES 85552,A81000B,00600,0300,BOOKKEEPING SERVICES 85552,A81000B,00700,0300,CAPITAL COSTS 85552,A81000B,00800,0300,EMPLOYEE BENEFITS 85552,A81000B,00900,0300,ADMIN AND GENERAL 85552,A81000B,01000,0300,PLANT AND OPERATION 85552,A81000B,01100,0300,SOCIAL SERVICES 85552,A81000B,01200,0300,EMPLOYEE BENEFITS 85552,A81000B,01300,0300,SOCIAL SERVICES 85552,A81000B,01400,0300,PT 85552,A81000B,01500,0300,OT 85552,A81000B,01600,0300,ST 85552,A81000B,01700,0300,PHARMACY 85552,A81000B,01800,0300,NURSING SUPPLIES 85552,A81000B,01900,0300,EMPLOYEE BENEFITS 85552,A81000B,02000,0300,EMPLOYEE BENEFITS 85552,A81000B,02100,0300,MEDICAL SUPPLIES 85552,A81000B,02200,0300,EQUIPMENT RENTAL 85552,A81000C,00100,0100,A 85552,A81000C,00100,0400,OTTAWA PAVILION 85552,A81000C,00100,0600,BUILDING COMPAN 85552,A81000C,00200,0100,A 85552,A81000C,00200,0400,DYNAMIC HEALTHC 85552,A81000C,00200,0600,MANAGEMENT COMP 85552,A81000C,00300,0100,A 85552,A81000C,00300,0400,DYNAMIC REHAB C 85552,A81000C,00300,0600,THERAPY COMPANY 85552,A81000C,00400,0100,A 85552,A81000C,00400,0400,PHARMCOR INC 85552,A81000C,00400,0600,PHARMACY 85552,A81000C,00500,0100,A 85552,A81000C,00500,0400,LINCOLN MEDICAL 85552,A81000C,00500,0600,MEDICAL SUPPLIE 85552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85552,B100000,00000,0800,00000MEALS SERVED :DIETARY 85552,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85552,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85552,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85552,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85552,E10A180,00501,0100,05/24/2000 85552,S000000,00100,0200,05/26/2000 85552,S200000,00100,0100,800 E. CENTER STREET 85552,S200000,00200,0100,OTTAWA 85552,S200000,00200,0200,IL 85552,S200000,00200,0300,61350- 85552,S200000,00300,0100,LASALLE 85552,S200000,00400,0100,OTTAWA PAVILION LTD 85552,S200000,00400,0200,145426 85552,S200000,00400,0300,06/04/1981 85552,S200000,00400,0500,P 85552,S200000,01600,0100,Y 85552,S200000,01900,0100, SUB-S CORP 85552,S700003,00000,0100,1 85561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85561,A000000,00300,0000,00300EMPLOYEE BENEFITS 85561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85561,A000000,00700,0000,00700HOUSEKEEPING 85561,A000000,00800,0000,00800DIETARY 85561,A000000,00900,0000,00900NURSING ADMINISTRATION 85561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85561,A000000,01100,0000,01100PHARMACY 85561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85561,A000000,01300,0000,01300SOCIAL SERVICE 85561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85561,A000000,01600,0000,01600SKILLED NURSING FACILITY 85561,A000000,01800,0000,01800NURSING FACILITY 85561,A000000,01900,0000,01900OTHER LONG TERM CARE 85561,A000000,02100,0000,02100RADIOLOGY 85561,A000000,02200,0000,02200LABORATORY 85561,A000000,02300,0000,02300INTRAVENOUS THERAPY 85561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85561,A000000,02500,0000,02500PHYSICAL THERAPY 85561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85561,A000000,02700,0000,02700SPEECH PATHOLOGY 85561,A000000,02800,0000,02800ELECTROCARDIOLOGY 85561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85561,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85561,A000000,03200,0000,03200SUPPORT SURFACES 85561,A000000,03400,0000,03400CLINIC 85561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85561,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85561,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85561,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85561,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85561,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85561,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85561,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85561,A000000,04400,0000,04400DME RENTED - HHA 85561,A000000,04500,0000,04500DME SOLD - HHA 85561,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85561,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85561,A000000,04800,0000,04800AMBULANCE 85561,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85561,A000000,05000,0000,05000CORF 85561,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85561,A000000,05300,0000,05300INTEREST EXPENSE 85561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85561,A000000,05500,0000,05500HOSPICE 85561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85561,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85561,A000000,06100,0000,06100NONPAID WORKERS 85561,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85561,A000000,06200,0000,06200PATIENTS LAUNDRY 85561,A81000A,00100,0100,Y 85561,A81000B,00100,0300,MANAGEMENT FEE 85561,A81000B,00200,0300,CAPITAL COST 85561,A81000C,00100,0100,A 85561,A81000C,00100,0200,STEVE WOLF 85561,A81000C,00100,0400,ELDERCARE INC. 85561,A81000C,00100,0600,MANAGE N.H. 85561,A81000C,00200,0100,A 85561,A81000C,00200,0200,PRUDENCE WOLF 85561,A81000C,00200,0400,ELDERCARE INC. 85561,A81000C,00300,0100,A 85561,A81000C,00300,0200,MICHAEL WOLF 85561,A81000C,00300,0400,ELDERCARE INC. 85561,A81000C,00400,0100,A 85561,A81000C,00400,0200,SCOTT WOLF 85561,A81000C,00400,0400,ELDERCARE INC. 85561,A81000C,00500,0100,A 85561,A81000C,00500,0200,GARY WOLF 85561,A81000C,00500,0400,ELDERCARE INC. 85561,A81000C,00600,0100,A 85561,A81000C,00600,0200,JESSICA PATTON 85561,A81000C,00600,0400,ELDERCARE INC. 85561,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85561,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85561,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85561,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85561,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85561,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85561,B100000,00000,0800,00000MEALS SERVED :DIETARY 85561,B100000,00000,0950,00000GROSS SAL. NURSING :NURSING ADMINIS 85561,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 85561,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 85561,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85561,E10A180,00501,0100,06/21/2000 85561,E10A180,00501,0300,06/21/2000 85561,S000000,00100,0200,06/01/2000 85561,S200000,00100,0100,3523 WICKENHAUSER 85561,S200000,00200,0100,ALTON 85561,S200000,00200,0200,IL 85561,S200000,00200,0300,62002- 85561,S200000,00300,0100,MADISON 85561,S200000,00300,0200,7040 85561,S200000,00300,0300,U 85561,S200000,00400,0100,ELDERCARE OF ALTON 85561,S200000,00400,0200,145427 85561,S200000,00400,0300,04/11/1977 85561,S200000,00400,0500,P 85561,S200000,01004,0500,O 85561,S200000,01600,0100,Y 85569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85569,A000000,00300,0000,00300EMPLOYEE BENEFITS 85569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85569,A000000,00700,0000,00700HOUSEKEEPING 85569,A000000,00800,0000,00800DIETARY 85569,A000000,00900,0000,00900NURSING ADMINISTRATION 85569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85569,A000000,01100,0000,01100PHARMACY 85569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85569,A000000,01300,0000,01300SOCIAL SERVICE 85569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85569,A000000,01600,0000,01600SKILLED NURSING FACILITY 85569,A000000,01800,0000,01800NURSING FACILITY 85569,A000000,01810,0000,01810ICF/MR 85569,A000000,02200,0000,02200LABORATORY 85569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85569,A000000,02500,0000,02500PHYSICAL THERAPY 85569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85569,A000000,02700,0000,02700SPEECH PATHOLOGY 85569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85569,A000000,03550,0000,03550FQHC 85569,A000000,05000,0000,05000CORF 85569,A000000,05010,0000,05010CMHC 85569,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85569,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85569,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85569,A000000,05300,0000,05300INTEREST EXPENSE 85569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85569,A000000,06150,0000,06300NON-REIMBURSABLE 85569,A81000A,00100,0100,Y 85569,A81000B,00100,0300,MANAGEMENT FEE 85569,A81000C,00100,0100,B 85569,A81000C,00100,0400,CHRISTIAN HOMES 85569,A81000C,00100,0600,CORP. OFFICE 85569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85569,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85569,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85569,S000000,00100,0200,12/04/2000 85569,S200000,00100,0100,1507 SEVENTH STREET 85569,S200000,00200,0100,LINCOLN 85569,S200000,00200,0200,IL 85569,S200000,00200,0300,62656- 85569,S200000,00300,0100,MACON 85569,S200000,00300,0200,0014 85569,S200000,00300,0300,R 85569,S200000,00400,0100,THE CHRISTIAN VILLAGE 85569,S200000,00400,0200,145430 85569,S200000,00400,0300,04/01/1982 85569,S200000,00400,0500,P 85569,S200000,01600,0100,Y 85569,S200000,02200,0100,Y 85569,S200000,04200,0100,Y 85577,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85577,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85577,A000000,00300,0000,00300EMPLOYEE BENEFITS 85577,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85577,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85577,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85577,A000000,00700,0000,00700HOUSEKEEPING 85577,A000000,00800,0000,00800DIETARY 85577,A000000,00900,0000,00900NURSING ADMINISTRATION 85577,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85577,A000000,01100,0000,01100PHARMACY 85577,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85577,A000000,01300,0000,01300SOCIAL SERVICE 85577,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85577,A000000,01600,0000,01600SKILLED NURSING FACILITY 85577,A000000,01800,0000,01800NURSING FACILITY 85577,A000000,01900,0000,01900OTHER LONG TERM CARE 85577,A000000,02100,0000,02100RADIOLOGY 85577,A000000,02200,0000,02200LABORATORY 85577,A000000,02300,0000,02300INTRAVENOUS THERAPY 85577,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85577,A000000,02500,0000,02500PHYSICAL THERAPY 85577,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85577,A000000,02700,0000,02700SPEECH PATHOLOGY 85577,A000000,02800,0000,02800ELECTROCARDIOLOGY 85577,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85577,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85577,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85577,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85577,A000000,03200,0000,03200SUPPORT SURFACES 85577,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85577,A000000,04800,0000,04800AMBULANCE 85577,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85577,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85577,A000000,05300,0000,05300INTEREST EXPENSE 85577,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85577,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85577,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85577,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85577,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85577,A000000,06100,0000,06100NONPAID WORKERS 85577,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85577,A000000,06200,0000,06200PATIENTS LAUNDRY 85577,A81000A,00100,0100,Y 85577,A81000B,00100,0300,DEPRECIATION EXPENSE 85577,A81000B,00200,0300,FRINGE BENEFITS 85577,A81000B,00300,0300,MEMORIAL HALL FEE 85577,A81000B,00400,0300,PROPERTY INSURANCE 85577,A81000B,00500,0300,PROPERTY TAXES 85577,A81000B,00600,0300,PHONE FEE 85577,A81000B,00700,0300,ADMINISTRATIVE WAGES 85577,A81000B,00800,0300,ADMINISTRATIVE FEE 85577,A81000B,00900,0300,CHAPLAINCY WAGES 85577,A81000B,01000,0300,CHAPLAINCY SUPPLIES 85577,A81000B,01100,0300,DEVELOPMENT FEE 85577,A81000B,01200,0300,MAINTENANCE WAGES 85577,A81000B,01300,0300,MAINTENANCE FEE 85577,A81000B,01400,0300,SEWAGE SERVICE FEE 85577,A81000C,00100,0100,B 85577,A81000C,00100,0400,MAPLE LAWN HOME 85577,A81000C,00100,0600,MGMT CO. 85577,A81000C,00200,0100,B 85577,A81000C,00200,0400,MAPLE LAWN APTS 85577,A81000C,00200,0600,APARTMENT 85577,A81000C,00300,0100,B 85577,A81000C,00300,0400,MAPLE LAWN COTT 85577,A81000C,00300,0600,COTTAGES 85577,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85577,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85577,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85577,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85577,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85577,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85577,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85577,B100000,00000,0800,00000MEALS SERVED :DIETARY 85577,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85577,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85577,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85577,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85577,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85577,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85577,S000000,00100,0200,04/25/2000 85577,S200000,00100,0100,700 NORTH MAIN 85577,S200000,00200,0100,EUREKA 85577,S200000,00200,0200,IL 85577,S200000,00200,0300,61530- 85577,S200000,00300,0100,WOODFORD 85577,S200000,00400,0100,MAPLE LAWN HEALTH CENTER INC. 85577,S200000,00400,0200,145431 85577,S200000,00400,0300,10/14/1984 85577,S200000,00400,0500,P 85577,S200000,01600,0100,Y 85577,S200000,02800,0100,Y 85577,S700003,00000,0100,1 85584,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85584,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85584,A000000,00300,0000,00300EMPLOYEE BENEFITS 85584,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85584,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85584,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85584,A000000,00700,0000,00700HOUSEKEEPING 85584,A000000,00800,0000,00800DIETARY 85584,A000000,00900,0000,00900NURSING ADMINISTRATION 85584,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85584,A000000,01100,0000,01100PHARMACY 85584,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85584,A000000,01300,0000,01300SOCIAL SERVICE 85584,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85584,A000000,01600,0000,01600SKILLED NURSING FACILITY 85584,A000000,01800,0000,01800NURSING FACILITY 85584,A000000,01810,0000,01810ICF/MR 85584,A000000,01900,0000,01900OTHER LONG TERM CARE 85584,A000000,02200,0000,02200LABORATORY 85584,A000000,02500,0000,02500PHYSICAL THERAPY 85584,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85584,A000000,02700,0000,02700SPEECH PATHOLOGY 85584,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85584,A000000,02901,0000,02910BLOOD GLUCOSE MONITORING 85584,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85584,A000000,03550,0000,03550FQHC 85584,A000000,05000,0000,05000CORF 85584,A000000,05010,0000,05010CMHC 85584,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85584,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85584,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85584,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85584,A000000,06150,0000,06300OTHER NONOPERATING EXPENSE 85584,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85584,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85584,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85584,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85584,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85584,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85584,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85584,B100000,00000,0800,00000MEALS SERVED :DIETARY 85584,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85584,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85584,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85584,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85584,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85584,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85584,E10A180,00501,0100,07/06/2000 85584,E10A180,00501,0300,07/06/2000 85584,S000000,00100,0200,05/25/2000 85584,S200000,00100,0100,935 E. JEFFERSON 85584,S200000,00200,0100,MORTON 85584,S200000,00200,0200,IL 85584,S200000,00200,0300,61550- 85584,S200000,00300,0100,TAZEWELL 85584,S200000,00400,0100,APOSTOLIC CHRISTIAN RESTMOR 85584,S200000,00400,0200,145436 85584,S200000,00400,0300,03/01/1982 85584,S200000,00400,0500,P 85584,S200000,01600,0100,Y 85590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85590,A000000,00300,0000,00300EMPLOYEE BENEFITS 85590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85590,A000000,00700,0000,00700HOUSEKEEPING 85590,A000000,00800,0000,00800DIETARY 85590,A000000,00900,0000,00900NURSING ADMINISTRATION 85590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85590,A000000,01100,0000,01100PHARMACY 85590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85590,A000000,01300,0000,01300SOCIAL SERVICE 85590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85590,A000000,01600,0000,01600SKILLED NURSING FACILITY 85590,A000000,01800,0000,01800NURSING FACILITY 85590,A000000,01810,0000,01810ICF/MR 85590,A000000,01900,0000,01900OTHER LONG TERM CARE 85590,A000000,02100,0000,02100RADIOLOGY 85590,A000000,02200,0000,02200LABORATORY 85590,A000000,02300,0000,02300INTRAVENOUS THERAPY 85590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85590,A000000,02500,0000,02500PHYSICAL THERAPY 85590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85590,A000000,02700,0000,02700SPEECH PATHOLOGY 85590,A000000,02800,0000,02800ELECTROCARDIOLOGY 85590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85590,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85590,A000000,03200,0000,03200SUPPORT SURFACES 85590,A000000,03400,0000,03400CLINIC 85590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85590,A000000,03500,0000,03500RURAL HEALTH CLINIC 85590,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85590,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85590,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85590,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85590,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85590,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85590,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85590,A000000,04400,0000,04400DME RENTED - HHA 85590,A000000,04500,0000,04500DME SOLD - HHA 85590,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85590,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85590,A000000,04800,0000,04800AMBULANCE 85590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85590,A000000,05000,0000,05000CORF 85590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85590,A000000,05300,0000,05300INTEREST EXPENSE 85590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85590,A000000,05500,0000,05500HOSPICE 85590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85590,A000000,06100,0000,06100NONPAID WORKERS 85590,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85590,A000000,06200,0000,06200PATIENTS LAUNDRY 85590,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85590,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85590,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85590,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85590,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85590,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 85590,B100000,00000,0800,00000MEALS SERVED :DIETARY 85590,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85590,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 85590,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85590,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85590,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85590,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85590,E10A180,00501,0100,06/16/2000 85590,E10A180,00501,0300,06/16/2000 85590,S000000,00100,0200,06/02/2000 85590,S200000,00100,0100,614 N. SUMMIT 85590,S200000,00200,0100,COLLINSVILLE 85590,S200000,00200,0200,IL 85590,S200000,00200,0300,62234- 85590,S200000,00300,0100,MADISON 85590,S200000,00400,0100,COLLINSVILLE CARE CENTER 85590,S200000,00400,0200,145438 85590,S200000,00400,0300,01/01/1982 85590,S200000,00400,0500,P 85599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85599,A000000,00300,0000,00300EMPLOYEE BENEFITS 85599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85599,A000000,00700,0000,00700HOUSEKEEPING 85599,A000000,00800,0000,00800DIETARY 85599,A000000,00900,0000,00900NURSING ADMINISTRATION 85599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85599,A000000,01600,0000,01600SKILLED NURSING FACILITY 85599,A000000,01800,0000,01800NURSING FACILITY 85599,A000000,01900,0000,01900OTHER LONG TERM CARE 85599,A000000,02100,0000,02100RADIOLOGY 85599,A000000,02200,0000,02200LABORATORY 85599,A000000,02300,0000,02300INTRAVENOUS THERAPY 85599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85599,A000000,02500,0000,02500PHYSICAL THERAPY 85599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85599,A000000,02700,0000,02700SPEECH PATHOLOGY 85599,A000000,02800,0000,02800ELECTROCARDIOLOGY 85599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85599,A000000,03400,0000,03400CLINIC 85599,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85599,A000000,03500,0000,03500RURAL HEALTH CLINIC 85599,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85599,A000000,05300,0000,05300INTEREST EXPENSE 85599,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85599,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85599,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85599,A000000,06001,0000,06001OUTPATIENT THERAPY 85599,A000000,06100,0000,06100NONPAID WORKERS 85599,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85599,A000000,06200,0000,06200PATIENTS LAUNDRY 85599,A81000A,00100,0100,Y 85599,A81000B,00100,0300,OCCUPATIONAL THERAPY 85599,A81000B,00200,0300,PHYSICAL THERAPY 85599,A81000B,00300,0300,SPEECH THERAPY 85599,A81000B,00400,0300,DRUGS CHARGED TO PATIENTS 85599,A81000B,00500,0300,CAP REL COSTS - BLDG 85599,A81000B,00600,0300,CAP REL COSTS - EQUIP 85599,A81000B,00700,0300,CAP REL COSTS - FIN&INT 85599,A81000B,00800,0300,HOME OFFICE - SUPPORT SVCS 85599,A81000C,00100,0100,B 85599,A81000C,00100,0400,CARLE FOUNDATIO 85599,A81000C,00100,0600,HOME OFFICE 85599,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85599,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85599,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85599,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85599,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85599,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85599,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85599,B100000,00000,0800,00000MEALS SERVED :DIETARY 85599,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85599,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 85599,S000000,00100,0200,11/27/2000 85599,S200000,00100,0100,302 BURWASH AVENUE 85599,S200000,00200,0100,SAVOY 85599,S200000,00200,0200,IL 85599,S200000,00200,0300,61874- 85599,S200000,00300,0100,CHAMPAIGN 85599,S200000,00300,0200,1400 85599,S200000,00300,0300,U 85599,S200000,00400,0100,THE CARLE ARBOURS 85599,S200000,00400,0200,145439 85599,S200000,00400,0300,01/01/1967 85599,S200000,00400,0500,P 85599,S200000,01600,0100,Y 85599,S200000,02800,0100,Y 85602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85602,A000000,00300,0000,00300EMPLOYEE BENEFITS 85602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85602,A000000,00700,0000,00700HOUSEKEEPING 85602,A000000,00800,0000,00800DIETARY 85602,A000000,00900,0000,00900NURSING ADMINISTRATION 85602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85602,A000000,01300,0000,01300SOCIAL SERVICE 85602,A000000,01600,0000,01600SKILLED NURSING FACILITY 85602,A000000,01800,0000,01800NURSING FACILITY 85602,A000000,02100,0000,02100RADIOLOGY 85602,A000000,02200,0000,02200LABORATORY 85602,A000000,02500,0000,02500PHYSICAL THERAPY 85602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85602,A000000,02700,0000,02700SPEECH PATHOLOGY 85602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85602,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85602,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85602,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85602,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85602,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85602,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85602,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85602,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85602,B100000,00000,0800,00000MEALS SERVED :DIETARY 85602,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85602,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85602,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85602,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85602,E10A180,00501,0100,06/13/2000 85602,E10A180,00501,0300,06/13/2000 85602,S000000,00100,0200,05/19/2000 85602,S200000,00100,0100,817 WEST SECOND 85602,S200000,00200,0100,BYRON 85602,S200000,00200,0200,IL 85602,S200000,00200,0300,61010- 85602,S200000,00300,0100,OGLE 85602,S200000,00400,0100,THE NEIGHBORS INC. 85602,S200000,00400,0200,145440 85602,S200000,00400,0300,01/01/1982 85602,S200000,00400,0500,P 85602,S200000,01600,0100,Y 85610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85610,A000000,00300,0000,00300EMPLOYEE BENEFITS 85610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85610,A000000,00700,0000,00700HOUSEKEEPING 85610,A000000,00800,0000,00800DIETARY 85610,A000000,00900,0000,00900NURSING ADMINISTRATION 85610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85610,A000000,01100,0000,01100PHARMACY 85610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85610,A000000,01300,0000,01300SOCIAL SERVICE 85610,A000000,01350,0000,01500RECREATION 85610,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85610,A000000,01600,0000,01600SKILLED NURSING FACILITY 85610,A000000,01800,0000,01800NURSING FACILITY 85610,A000000,02200,0000,02200LABORATORY 85610,A000000,02300,0000,02300INTRAVENOUS THERAPY 85610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85610,A000000,02500,0000,02500PHYSICAL THERAPY 85610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85610,A000000,02700,0000,02700SPEECH PATHOLOGY 85610,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85610,A000000,03050,0000,03300PEN 85610,A000000,03051,0000,03310EQUIPMENT RENTAL 85610,A000000,03550,0000,03550FQHC 85610,A000000,05000,0000,05000CORF 85610,A000000,05010,0000,05010CMHC 85610,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85610,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85610,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85610,A81000A,00100,0100,Y 85610,A81000B,00100,0300,HOME OFFICE COST 85610,A81000C,00100,0100,A 85610,A81000C,00100,0200,MID AMERICA 85610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85610,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85610,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85610,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85610,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85610,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85610,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85610,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85610,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85610,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85610,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85610,S000000,00100,0200,12/01/2000 85610,S200000,00100,0100,HIGHWAY 17 85610,S200000,00200,0100,TOULON 85610,S200000,00200,0200,IL 85610,S200000,00200,0300,61483- 85610,S200000,00300,0100,STARK 85610,S200000,00400,0100,TOULON HEALTH CARE CENTER 85610,S200000,00400,0200,145442 85610,S200000,00400,0300,05/01/1989 85610,S200000,00400,0500,P 85610,S200000,01004,0500,O 85610,S200000,01600,0100,Y 85610,S700003,00000,0400,4 85617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85617,A000000,00300,0000,00300EMPLOYEE BENEFITS 85617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85617,A000000,00700,0000,00700HOUSEKEEPING 85617,A000000,00800,0000,00800DIETARY 85617,A000000,00900,0000,00900NURSING ADMINISTRATION 85617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85617,A000000,01100,0000,01100PHARMACY 85617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85617,A000000,01300,0000,01300SOCIAL SERVICE 85617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85617,A000000,01600,0000,01600SKILLED NURSING FACILITY 85617,A000000,01800,0000,01800NURSING FACILITY 85617,A000000,01900,0000,01900OTHER LONG TERM CARE 85617,A000000,02100,0000,02100RADIOLOGY 85617,A000000,02200,0000,02200LABORATORY 85617,A000000,02300,0000,02300INTRAVENOUS THERAPY 85617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85617,A000000,02500,0000,02500PHYSICAL THERAPY 85617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85617,A000000,02700,0000,02700SPEECH PATHOLOGY 85617,A000000,02800,0000,02800ELECTROCARDIOLOGY 85617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85617,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85617,A000000,03200,0000,03200SUPPORT SURFACES 85617,A000000,03201,0000,03201CLINITRON BEDS - OTHER 85617,A000000,03400,0000,03400CLINIC 85617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85617,A000000,04800,0000,04800AMBULANCE 85617,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85617,A000000,05000,0000,05000CORF 85617,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85617,A000000,05300,0000,05300INTEREST EXPENSE 85617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85617,A000000,05500,0000,05500HOSPICE 85617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85617,A000000,06100,0000,06100NONPAID WORKERS 85617,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85617,A000000,06200,0000,06200PATIENTS LAUNDRY 85617,A81000A,00100,0100,Y 85617,A81000B,00100,0300,OFFICE EXPENSES 85617,A81000B,00200,0300,DIRECTORS INSURANCE 85617,A81000C,00100,0100,B 85617,A81000C,00100,0400,SLOVAK AMERICAN 85617,A81000C,00100,0600,RESTRICTED FUND 85617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85617,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85617,B100000,00000,0800,00000MEALS SERVED :DIETARY 85617,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85617,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85617,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85617,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85617,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85617,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85617,E10A180,00301,0100,06/29/1999 85617,S000000,00100,0200,03/24/2000 85617,S200000,00100,0100,3615 16TH STREET 85617,S200000,00200,0100,ZION 85617,S200000,00200,0200,IL 85617,S200000,00200,0300,60099- 85617,S200000,00300,0100,LAKE 85617,S200000,00400,0100,ROLLING HILLS MANOR 85617,S200000,00400,0200,145443 85617,S200000,00400,0300,03/22/1982 85617,S200000,00400,0500,P 85617,S200000,01600,0100,Y 85617,S200000,02200,0100,Y 85617,S700003,00000,0100,1 85626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85626,A000000,00300,0000,00300EMPLOYEE BENEFITS 85626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85626,A000000,00700,0000,00700HOUSEKEEPING 85626,A000000,00800,0000,00800DIETARY 85626,A000000,00900,0000,00900NURSING ADMINISTRATION 85626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85626,A000000,01100,0000,01100PHARMACY 85626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85626,A000000,01300,0000,01300SOCIAL SERVICE 85626,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85626,A000000,01600,0000,01600SKILLED NURSING FACILITY 85626,A000000,01800,0000,01800NURSING FACILITY 85626,A000000,01900,0000,01900OTHER LONG TERM CARE 85626,A000000,02100,0000,02100RADIOLOGY 85626,A000000,02200,0000,02200LABORATORY 85626,A000000,02300,0000,02300INTRAVENOUS THERAPY 85626,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85626,A000000,02500,0000,02500PHYSICAL THERAPY 85626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85626,A000000,02700,0000,02700SPEECH PATHOLOGY 85626,A000000,02800,0000,02800ELECTROCARDIOLOGY 85626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85626,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85626,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85626,A000000,03200,0000,03200SUPPORT SURFACES 85626,A000000,03400,0000,03400CLINIC 85626,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85626,A000000,04800,0000,04800AMBULANCE 85626,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85626,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85626,A000000,05300,0000,05300INTEREST EXPENSE 85626,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85626,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85626,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85626,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85626,A000000,06100,0000,06100NONPAID WORKERS 85626,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85626,A000000,06200,0000,06200PATIENTS LAUNDRY 85626,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85626,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85626,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85626,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85626,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85626,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85626,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85626,B100000,00000,0800,00000MEALS SERVED :DIETARY 85626,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85626,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85626,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85626,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 85626,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85626,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85626,E10A180,00501,0100,06/14/2000 85626,S000000,00100,0200,04/28/2000 85626,S200000,00100,0100,500 WATERLOO AVENUE 85626,S200000,00200,0100,WATERLOO 85626,S200000,00200,0200,IL 85626,S200000,00200,0300,62298- 85626,S200000,00300,0100,MONROE 85626,S200000,00400,0100,MONROE COUNTY NURSING HOME 85626,S200000,00400,0200,145445 85626,S200000,00400,0300,12/01/1982 85626,S200000,00400,0500,P 85626,S200000,01600,0100,Y 85635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85635,A000000,00300,0000,00300EMPLOYEE BENEFITS 85635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85635,A000000,00700,0000,00700HOUSEKEEPING 85635,A000000,00800,0000,00800DIETARY 85635,A000000,00900,0000,00900NURSING ADMINISTRATION 85635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85635,A000000,01100,0000,01100PHARMACY 85635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85635,A000000,01300,0000,01300SOCIAL SERVICE 85635,A000000,01350,0000,01500RECREATION 85635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85635,A000000,01600,0000,01600SKILLED NURSING FACILITY 85635,A000000,01800,0000,01800NURSING FACILITY 85635,A000000,02200,0000,02200LABORATORY 85635,A000000,02300,0000,02300INTRAVENOUS THERAPY 85635,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85635,A000000,02500,0000,02500PHYSICAL THERAPY 85635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85635,A000000,02700,0000,02700SPEECH PATHOLOGY 85635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85635,A000000,03050,0000,03300PEN 85635,A000000,03051,0000,03310EQUIPMENT RENTAL 85635,A000000,03550,0000,03550FQHC 85635,A000000,05000,0000,05000CORF 85635,A000000,05010,0000,05010CMHC 85635,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85635,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85635,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85635,A81000A,00100,0100,Y 85635,A81000B,00100,0300,HOME OFFICE 85635,A81000C,00100,0100,A 85635,A81000C,00100,0200,MID AMERICA 85635,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85635,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85635,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85635,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85635,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85635,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85635,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85635,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85635,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85635,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85635,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85635,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85635,S000000,00100,0200,12/01/2000 85635,S200000,00100,0100,275 EAST CARL SANDBERG DRIVE 85635,S200000,00200,0100,GALESBERG 85635,S200000,00200,0200,IL 85635,S200000,00200,0300,61401- 85635,S200000,00300,0100,KNOX 85635,S200000,00300,0200,0014 85635,S200000,00300,0300,R 85635,S200000,00400,0100,MARIGOLD HEALTH CARE CENTER 85635,S200000,00400,0200,145446 85635,S200000,00400,0300,09/01/1986 85635,S200000,00400,0500,P 85635,S200000,01004,0500,O 85635,S200000,01600,0100,Y 85643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85643,A000000,00300,0000,00300EMPLOYEE BENEFITS 85643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85643,A000000,00700,0000,00700HOUSEKEEPING 85643,A000000,00800,0000,00800DIETARY 85643,A000000,00900,0000,00900NURSING ADMINISTRATION 85643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85643,A000000,01300,0000,01300SOCIAL SERVICE 85643,A000000,01600,0000,01600SKILLED NURSING FACILITY 85643,A000000,01800,0000,01800NURSING FACILITY 85643,A000000,02100,0000,02100RADIOLOGY 85643,A000000,02200,0000,02200LABORATORY 85643,A000000,02500,0000,02500PHYSICAL THERAPY 85643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85643,A000000,02700,0000,02700SPEECH PATHOLOGY 85643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85643,A000000,04800,0000,04800AMBULANCE 85643,A000000,05300,0000,05300INTEREST EXPENSE 85643,A81000A,00100,0100,Y 85643,A81000B,00100,0300,CAPITAL RELATED 85643,A81000B,00200,0300,ADMIN & GENERAL 85643,A81000C,00100,0100,B 85643,A81000C,00100,0200,HER MANOR SPRIN 85643,A81000C,00100,0400,HERITAGE ENTERP 85643,A81000C,00100,0600,HOME OFFICE 85643,A81000C,00200,0100,B 85643,A81000C,00200,0200,HER MANOR SPRIN 85643,A81000C,00200,0400,HERITAGE THERAP 85643,A81000C,00200,0600,THERAPY DIVISIO 85643,A81000C,00300,0100,B 85643,A81000C,00300,0200,HER MANOR SPRIN 85643,A81000C,00300,0400,LTC PHARMACY 85643,A81000C,00300,0600,WHOLESALE PHARM 85643,A81000C,00400,0100,B 85643,A81000C,00400,0200,HER MANOR SPRIN 85643,A81000C,00400,0400,GREEN TREE PHAR 85643,A81000C,00400,0600,WHOLESALE PHARM 85643,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85643,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85643,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85643,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85643,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85643,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85643,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85643,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85643,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85643,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85643,S000000,00100,0200,06/01/2000 85643,S200000,00100,0100,RAYMOND & WATCH 85643,S200000,00200,0100,ELGIN 85643,S200000,00200,0200,IL 85643,S200000,00200,0300,60120- 85643,S200000,00300,0100,KANE 85643,S200000,00400,0100,HERITAGE MANOR - ELGIN 85643,S200000,00400,0200,145447 85643,S200000,00400,0300,03/28/1989 85643,S200000,00400,0500,P 85643,S200000,00400,0600,O 85643,S200000,00600,0200,145447 85643,S200000,00600,0300,03/28/1989 85643,S200000,00600,0600,P 85643,S200000,01600,0100,Y 85643,S200000,01900,0100,501(C)(3)CORP. 85643,S200000,02200,0100,Y 85643,S700003,00000,0100,1 85652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85652,A000000,00300,0000,00300EMPLOYEE BENEFITS 85652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85652,A000000,00700,0000,00700HOUSEKEEPING 85652,A000000,00800,0000,00800DIETARY 85652,A000000,00900,0000,00900NURSING ADMINISTRATION 85652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85652,A000000,01300,0000,01300SOCIAL SERVICE 85652,A000000,01600,0000,01600SKILLED NURSING FACILITY 85652,A000000,01800,0000,01800NURSING FACILITY 85652,A000000,02100,0000,02100RADIOLOGY 85652,A000000,02200,0000,02200LABORATORY 85652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85652,A000000,02500,0000,02500PHYSICAL THERAPY 85652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85652,A000000,02700,0000,02700SPEECH PATHOLOGY 85652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85652,A000000,05300,0000,05300INTEREST EXPENSE 85652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85652,A81000A,00100,0100,Y 85652,A81000B,00100,0300,CAPITAL RELATED 85652,A81000B,00200,0300,ADMIN & GENERAL 85652,A81000B,00300,0300,PHYSICAL THERAPY 85652,A81000B,00400,0300,OCCUPATIONAL THERAPY 85652,A81000B,00500,0300,SPEECH THERAPY 85652,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85652,A81000B,00700,0300,PHARMACY COSTS 85652,A81000B,00800,0300,GENERAL SUPPLIES 85652,A81000C,00100,0100,B 85652,A81000C,00100,0200,HER MANOR SPRIN 85652,A81000C,00100,0400,HERITAGE ENTERP 85652,A81000C,00100,0600,HOME OFFICE 85652,A81000C,00200,0100,B 85652,A81000C,00200,0200,HER MANOR SPRIN 85652,A81000C,00200,0400,HERITAGE THERAP 85652,A81000C,00200,0600,THERAPY DIVISIO 85652,A81000C,00300,0100,B 85652,A81000C,00300,0200,HER MANOR SPRIN 85652,A81000C,00300,0400,LTC PHARMACY 85652,A81000C,00300,0600,WHOLESALE PHARM 85652,A81000C,00400,0100,B 85652,A81000C,00400,0200,HER MANOR SPRIN 85652,A81000C,00400,0400,GREEN TREE PHAR 85652,A81000C,00400,0600,WHOLESALE PHARM 85652,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85652,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85652,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85652,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85652,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85652,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85652,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85652,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85652,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85652,S000000,00100,0200,06/01/2000 85652,S200000,00100,0100,300 E. MAZON 85652,S200000,00200,0100,DWIGHT 85652,S200000,00200,0200,IL 85652,S200000,00200,0300,60420- 85652,S200000,00300,0100,LIVINGSTON 85652,S200000,00400,0100,HERITAGE MANOR - DWIGHT 85652,S200000,00400,0200,145452 85652,S200000,00400,0300,03/06/1992 85652,S200000,00400,0500,P 85652,S200000,00400,0600,O 85652,S200000,00600,0200,145452 85652,S200000,00600,0300,03/06/1992 85652,S200000,00600,0600,P 85652,S200000,01600,0100,Y 85652,S200000,01900,0100,501(C)(3)CORP. 85652,S200000,02200,0100,Y 85652,S700003,00000,0100,1 85660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85660,A000000,00300,0000,00300EMPLOYEE BENEFITS 85660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85660,A000000,00700,0000,00700HOUSEKEEPING 85660,A000000,00800,0000,00800DIETARY 85660,A000000,00900,0000,00900NURSING ADMINISTRATION 85660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85660,A000000,01100,0000,01100PHARMACY 85660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85660,A000000,01300,0000,01300SOCIAL SERVICE 85660,A000000,01350,0000,01500RECREATION 85660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85660,A000000,01600,0000,01600SKILLED NURSING FACILITY 85660,A000000,01800,0000,01800NURSING FACILITY 85660,A000000,02200,0000,02200LABORATORY 85660,A000000,02300,0000,02300INTRAVENOUS THERAPY 85660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85660,A000000,02500,0000,02500PHYSICAL THERAPY 85660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85660,A000000,02700,0000,02700SPEECH PATHOLOGY 85660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85660,A000000,03050,0000,03300PEN 85660,A000000,03051,0000,03310EQUIPMENT RENTAL 85660,A000000,03550,0000,03550FQHC 85660,A000000,05000,0000,05000CORF 85660,A000000,05010,0000,05010CMHC 85660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85660,A81000A,00100,0100,Y 85660,A81000B,00100,0300,HOME OFFICE COST 85660,A81000C,00100,0100,A 85660,A81000C,00100,0200,MID AMERICA 85660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85660,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85660,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85660,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 85660,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85660,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85660,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85660,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85660,S000000,00100,0200,11/30/2000 85660,S200000,00100,0100,751 NORTH OAK 85660,S200000,00200,0100,CALINVILLE 85660,S200000,00200,0200,IL 85660,S200000,00200,0300,62626- 85660,S200000,00300,0100,MACOUPIN 85660,S200000,00300,0200,0014 85660,S200000,00300,0300,R 85660,S200000,00400,0100,SUNSHINE MANOR NURSING CENTER 85660,S200000,00400,0200,145454 85660,S200000,00400,0300,09/01/1989 85660,S200000,00400,0500,P 85660,S200000,01004,0500,O 85660,S200000,01600,0100,Y 85668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85668,A000000,00300,0000,00300EMPLOYEE BENEFITS 85668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85668,A000000,00700,0000,00700HOUSEKEEPING 85668,A000000,00800,0000,00800DIETARY 85668,A000000,00900,0000,00900NURSING ADMINISTRATION 85668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85668,A000000,01300,0000,01300SOCIAL SERVICE 85668,A000000,01600,0000,01600SKILLED NURSING FACILITY 85668,A000000,01800,0000,01800NURSING FACILITY 85668,A000000,02100,0000,02100RADIOLOGY 85668,A000000,02200,0000,02200LABORATORY 85668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85668,A000000,02500,0000,02500PHYSICAL THERAPY 85668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85668,A000000,02700,0000,02700SPEECH PATHOLOGY 85668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85668,A000000,05300,0000,05300INTEREST EXPENSE 85668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85668,A81000A,00100,0100,Y 85668,A81000B,00100,0300,CAPITAL RELATED 85668,A81000B,00200,0300,ADMIN & GENERAL 85668,A81000B,00300,0300,PHYSICAL THERAPY 85668,A81000B,00400,0300,OCCUPATIONAL THERAPY 85668,A81000B,00500,0300,SPEECH THERAPY 85668,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85668,A81000B,00700,0300,PHARMACY COSTS 85668,A81000B,00800,0300,GENERAL SUPPLIES 85668,A81000C,00100,0100,B 85668,A81000C,00100,0200,HER MANOR SPRIN 85668,A81000C,00100,0400,HERITAGE ENTERP 85668,A81000C,00100,0600,HOME OFFICE 85668,A81000C,00200,0100,B 85668,A81000C,00200,0200,HER MANOR SPRIN 85668,A81000C,00200,0400,HERITAGE THERAP 85668,A81000C,00200,0600,THERAPY DIVISIO 85668,A81000C,00300,0100,B 85668,A81000C,00300,0200,HER MANOR SPRIN 85668,A81000C,00300,0400,LTC PHARMACY 85668,A81000C,00300,0600,WHOLESALE PHARM 85668,A81000C,00400,0100,B 85668,A81000C,00400,0200,HER MANOR SPRIN 85668,A81000C,00400,0400,GREEN TREE PHAR 85668,A81000C,00400,0600,WHOLESALE PHARM 85668,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85668,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85668,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85668,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85668,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85668,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85668,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85668,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85668,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85668,S000000,00100,0200,06/01/2000 85668,S200000,00100,0100,1200 UNIVERSITY AVENUE 85668,S200000,00200,0100,CARLINVILLE 85668,S200000,00200,0200,IL 85668,S200000,00200,0300,62626- 85668,S200000,00300,0100,MACOUPIN 85668,S200000,00400,0100,HERITAGE MANOR - CARLINVILLE 85668,S200000,00400,0200,145456 85668,S200000,00400,0300,12/01/1982 85668,S200000,00400,0500,P 85668,S200000,00400,0600,O 85668,S200000,00600,0200,145456 85668,S200000,00600,0300,12/01/1982 85668,S200000,00600,0600,P 85668,S200000,01600,0100,Y 85668,S200000,01900,0100,501(C)(3)CORP. 85668,S200000,02200,0100,Y 85668,S700003,00000,0100,1 85677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85677,A000000,00300,0000,00300EMPLOYEE BENEFITS 85677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85677,A000000,00700,0000,00700HOUSEKEEPING 85677,A000000,00800,0000,00800DIETARY 85677,A000000,00900,0000,00900NURSING ADMINISTRATION 85677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85677,A000000,01100,0000,01100PHARMACY 85677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85677,A000000,01300,0000,01300SOCIAL SERVICE 85677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85677,A000000,01600,0000,01600SKILLED NURSING FACILITY 85677,A000000,01800,0000,01800NURSING FACILITY 85677,A000000,01810,0000,01810ICF/MR 85677,A000000,02100,0000,02100RADIOLOGY 85677,A000000,02200,0000,02200LABORATORY 85677,A000000,02300,0000,02300INTRAVENOUS THERAPY 85677,A000000,02500,0000,02500PHYSICAL THERAPY 85677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85677,A000000,02700,0000,02700SPEECH PATHOLOGY 85677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85677,A000000,03550,0000,03550FQHC 85677,A000000,05000,0000,05000CORF 85677,A000000,05010,0000,05010CMHC 85677,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85677,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85677,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85677,A81000A,00100,0100,Y 85677,A81000B,00100,0300,EMPLOYEE BENEFITS 85677,A81000B,00200,0300,INDIRECT COSTS 85677,A81000B,00300,0300,PROF/LIABILITY/PROP 85677,A81000C,00100,0100,G 85677,A81000C,00100,0200,COUNTY OF LAKE 85677,A81000C,00100,0400,COUNTY OF LAKE 85677,A81000C,00100,0600,COUNTY GOVERNME 85677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85677,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85677,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85677,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85677,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85677,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85677,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85677,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85677,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85677,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85677,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85677,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85677,E10A180,00501,0100,07/13/2000 85677,S000000,00100,0200,06/02/2000 85677,S200000,00100,0100,1125 NORTH MILWAUKEE AVE 85677,S200000,00200,0100,LIBERTYVILLE 85677,S200000,00200,0200,IL 85677,S200000,00200,0300,60048- 85677,S200000,00400,0100,WINCHESTER HOUSE 85677,S200000,00400,0200,145460 85677,S200000,00400,0300,07/01/1966 85677,S200000,00400,0500,P 85677,S200000,00600,0200,145460 85677,S200000,00600,0300,07/01/1966 85677,S200000,00600,0600,P 85677,S200000,01600,0100,Y 85684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85684,A000000,00300,0000,00300EMPLOYEE BENEFITS 85684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85684,A000000,00700,0000,00700HOUSEKEEPING 85684,A000000,00800,0000,00800DIETARY 85684,A000000,00900,0000,00900NURSING ADMINISTRATION 85684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85684,A000000,01100,0000,01100PHARMACY 85684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85684,A000000,01300,0000,01300SOCIAL SERVICE 85684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85684,A000000,01600,0000,01600SKILLED NURSING FACILITY 85684,A000000,01800,0000,01800NURSING FACILITY 85684,A000000,01900,0000,01900OTHER LONG TERM CARE 85684,A000000,02100,0000,02100RADIOLOGY 85684,A000000,02200,0000,02200LABORATORY 85684,A000000,02300,0000,02300INTRAVENOUS THERAPY 85684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85684,A000000,02500,0000,02500PHYSICAL THERAPY 85684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85684,A000000,02700,0000,02700SPEECH PATHOLOGY 85684,A000000,02800,0000,02800ELECTROCARDIOLOGY 85684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85684,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85684,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85684,A000000,03200,0000,03200SUPPORT SURFACES 85684,A000000,03400,0000,03400CLINIC 85684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85684,A000000,04800,0000,04800AMBULANCE 85684,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85684,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85684,A000000,05300,0000,05300INTEREST EXPENSE 85684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85684,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85684,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85684,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85684,A000000,06100,0000,06100NONPAID WORKERS 85684,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85684,A000000,06200,0000,06200PATIENTS LAUNDRY 85684,A81000A,00100,0100,Y 85684,A81000B,00100,0300,CAPITAL RELATED PARTY 85684,A81000B,00200,0300,G&A RELATED PARTY 85684,A81000B,00300,0300,CAPITAL RELATED PARTY 85684,A81000B,00400,0300,G&A RELATED PARTY 85684,A81000C,00100,0100,A 85684,A81000C,00100,0200,JERRY NEAL 85684,A81000C,00100,0400,DSI MGMT. SERV 85684,A81000C,00100,0600,HOME OFFICE 85684,A81000C,00200,0100,A 85684,A81000C,00200,0200,JERRY NEAL 85684,A81000C,00200,0400,LYNNCREST REALT 85684,A81000C,00200,0600,REAL EST. LESSO 85684,A81000C,00300,0100,A 85684,A81000C,00300,0200,SHERRY BORUM NE 85684,A81000C,00300,0400,LYNNCREST REALT 85684,A81000C,00300,0600,REAL EST. LESSO 85684,A81000C,00400,0100,A 85684,A81000C,00400,0200,RON MANGUM 85684,A81000C,00400,0400,LYNNCREST REALT 85684,A81000C,00400,0600,REAL EST. LESSO 85684,A81000C,00500,0100,A 85684,A81000C,00500,0200,LESTER ROBERTSO 85684,A81000C,00500,0400,LYNNCREST REALT 85684,A81000C,00500,0600,REAL EST. LESSO 85684,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85684,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85684,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85684,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85684,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85684,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85684,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85684,B100000,00000,0800,00000MEALS SERVED :DIETARY 85684,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85684,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85684,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85684,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85684,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85684,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85684,E10A180,00501,0100,07/14/2000 85684,S000000,00100,0200,06/05/2000 85684,S200000,00100,0100,310 S. EADS AVE. 85684,S200000,00200,0100,PARIS 85684,S200000,00200,0200,IL 85684,S200000,00200,0300,61944- 85684,S200000,00300,0100,EDGAR 85684,S200000,00400,0100,LYNNCREST MANOR OF PARIS 85684,S200000,00400,0200,145466 85684,S200000,00400,0300,04/01/1996 85684,S200000,00400,0500,P 85684,S200000,01004,0500,O 85684,S200000,01600,0100,Y 85684,S200000,02200,0100,Y 85684,S700003,00000,0100,1 85691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85691,A000000,00300,0000,00300EMPLOYEE BENEFITS 85691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85691,A000000,00700,0000,00700HOUSEKEEPING 85691,A000000,00800,0000,00800DIETARY 85691,A000000,00900,0000,00900NURSING ADMINISTRATION 85691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85691,A000000,01100,0000,01100PHARMACY 85691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85691,A000000,01300,0000,01300SOCIAL SERVICE 85691,A000000,01350,0000,01500OTHER GENERAL SERVICES 85691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85691,A000000,01600,0000,01600SKILLED NURSING FACILITY 85691,A000000,01800,0000,01800NURSING FACILITY 85691,A000000,01810,0000,01801ICF/MR 85691,A000000,01900,0000,01900OTHER LONG TERM CARE 85691,A000000,02100,0000,02100RADIOLOGY 85691,A000000,02200,0000,02200LABORATORY 85691,A000000,02300,0000,02300INTRAVENOUS THERAPY 85691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85691,A000000,02500,0000,02500PHYSICAL THERAPY 85691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85691,A000000,02700,0000,02700SPEECH PATHOLOGY 85691,A000000,02800,0000,02800ELECTROCARDIOLOGY 85691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 85691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85691,A000000,03200,0000,03200SUPPORT SURFACES 85691,A000000,03400,0000,03400CLINIC 85691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 85691,A000000,03500,0000,03500RURAL HEALTH CLINIC 85691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85691,A000000,04400,0000,04400DME RENTED - HHA 85691,A000000,04500,0000,04500DME SOLD - HHA 85691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 85691,A000000,04800,0000,04800AMBULANCE 85691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85691,A000000,05000,0000,05000CORF 85691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85691,A000000,05300,0000,05300INTEREST EXPENSE 85691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85691,A000000,05500,0000,05500HOSPICE 85691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85691,A000000,06100,0000,06100NONPAID WORKERS 85691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85691,A000000,06200,0000,06200PATIENTS LAUNDRY 85691,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 85691,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 85691,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 85691,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 85691,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 85691,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 85691,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 85691,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 85691,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 85691,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 85691,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 85691,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 85691,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 85691,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 85691,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 85691,S000000,00100,0200,02/17/2000 85691,S200000,00100,0100,1011 NORTH MAIN STREET 85691,S200000,00200,0100,PARIS 85691,S200000,00200,0200,IL 85691,S200000,00200,0300,61944- 85691,S200000,00300,0100,EDGAR 85691,S200000,00400,0100,PARIS HEALTHCARE CENTER 85691,S200000,00400,0200,145469 85691,S200000,00400,0300,10/10/1983 85691,S200000,00400,0500,P 85691,S200000,01600,0100,Y 85691,S700003,00000,0100,1 85693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85693,A000000,00300,0000,00300EMPLOYEE BENEFITS 85693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85693,A000000,00700,0000,00700HOUSEKEEPING 85693,A000000,00800,0000,00800DIETARY 85693,A000000,00900,0000,00900NURSING ADMINISTRATION 85693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85693,A000000,01100,0000,01100PHARMACY 85693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85693,A000000,01300,0000,01300SOCIAL SERVICE 85693,A000000,01350,0000,01500OTHER GENERAL SERVICES 85693,A000000,01600,0000,01600SKILLED NURSING FACILITY 85693,A000000,01800,0000,01800NURSING FACILITY 85693,A000000,01900,0000,01900OTHER LONG TERM CARE 85693,A000000,02100,0000,02100RADIOLOGY 85693,A000000,02200,0000,02200LABORATORY 85693,A000000,02300,0000,02300INTRAVENOUS THERAPY 85693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85693,A000000,02500,0000,02500PHYSICAL THERAPY 85693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85693,A000000,02700,0000,02700SPEECH PATHOLOGY 85693,A000000,02800,0000,02800ELECTROCARDIOLOGY 85693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85693,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 85693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85693,A000000,03200,0000,03200SUPPORT SURFACES 85693,A000000,03400,0000,03400CLINIC 85693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 85693,A000000,03500,0000,03500RURAL HEALTH CLINIC 85693,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85693,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85693,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85693,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85693,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85693,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85693,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85693,A000000,04400,0000,04400DME RENTED - HHA 85693,A000000,04500,0000,04500DME SOLD - HHA 85693,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85693,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 85693,A000000,04800,0000,04800AMBULANCE 85693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85693,A000000,05000,0000,05000CORF 85693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85693,A000000,05300,0000,05300INTEREST EXPENSE 85693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85693,A000000,05500,0000,05500HOSPICE 85693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85693,A000000,06100,0000,06100NONPAID WORKERS 85693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85693,A000000,06200,0000,06200PATIENTS LAUNDRY 85693,A81000A,00100,0100,Y 85693,A81000B,00100,0300,HOME OFFICE EXPENSE 85693,A81000C,00100,0100,B 85693,A81000C,00100,0200,ROCKY LEMON 85693,A81000C,00100,0400,CRESCENT HEALTH SERVICES 85693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85693,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85693,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85693,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85693,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85693,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 85693,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 85693,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85693,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85693,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 85693,S000000,00100,0200,05/31/2000 85693,S200000,00100,0100,1011 N. MAIN ST 85693,S200000,00200,0100,PARIS 85693,S200000,00200,0200,IL 85693,S200000,00200,0300,61944- 85693,S200000,00300,0100,EDGAR 85693,S200000,00400,0100,PARIS HEALTHCARE CENTER 85693,S200000,00400,0200,145469 85693,S200000,00400,0300,10/10/1983 85693,S200000,00400,0500,P 85693,S200000,01600,0100,Y 85693,S700003,00000,0200,2 85701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85701,A000000,00300,0000,00300EMPLOYEE BENEFITS 85701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85701,A000000,00700,0000,00700HOUSEKEEPING 85701,A000000,00800,0000,00800DIETARY 85701,A000000,00900,0000,00900NURSING ADMINISTRATION 85701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85701,A000000,01100,0000,01100PHARMACY 85701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85701,A000000,01300,0000,01300SOCIAL SERVICE 85701,A000000,01350,0000,01500RECREATION 85701,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85701,A000000,01600,0000,01600SKILLED NURSING FACILITY 85701,A000000,01800,0000,01800NURSING FACILITY 85701,A000000,01810,0000,01810ICF/MR 85701,A000000,02100,0000,02100RADIOLOGY 85701,A000000,02200,0000,02200LABORATORY 85701,A000000,02500,0000,02500PHYSICAL THERAPY 85701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85701,A000000,02700,0000,02700SPEECH PATHOLOGY 85701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85701,A000000,03200,0000,03200SUPPORT SURFACES 85701,A000000,03550,0000,03550FQHC 85701,A000000,05000,0000,05000CORF 85701,A000000,05010,0000,05010CMHC 85701,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85701,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85701,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85701,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85701,A81000A,00100,0100,Y 85701,A81000B,00100,0300,HOME OFFICE CAPITAL 85701,A81000B,00200,0300,HOME OFFICE ADMIN 85701,A81000B,00300,0300,RELATED PARTY RENT 85701,A81000B,00400,0300,RELATED PARTY ADMIN 85701,A81000C,00100,0100,B 85701,A81000C,00100,0200,FIRST HEALTH CA 85701,A81000C,00100,0600,MANAGEMENT 85701,A81000C,00200,0100,B 85701,A81000C,00200,0200,COUNTRYSIDE HEA 85701,A81000C,00200,0400,LANDLORD 85701,A81000C,00200,0600,LANDLORD 85701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85701,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85701,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85701,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85701,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85701,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85701,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85701,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85701,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85701,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85701,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85701,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85701,E10A180,00501,0100,06/29/2000 85701,S000000,00100,0200,05/16/2000 85701,S200000,00100,0100,2330 WEST GALENA BLVD 85701,S200000,00200,0100,AURORA 85701,S200000,00200,0200,IL 85701,S200000,00200,0300,60506- 85701,S200000,00300,0100,ANEK 85701,S200000,00400,0100,COUNTRYSIDE CARE CENTRE 85701,S200000,00400,0200,145473 85701,S200000,00400,0300,06/01/1992 85701,S200000,00400,0500,P 85701,S200000,01600,0100,Y 85701,S700003,00000,0100,1 85707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85707,A000000,00300,0000,00300EMPLOYEE BENEFITS 85707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85707,A000000,00700,0000,00700HOUSEKEEPING 85707,A000000,00800,0000,00800DIETARY 85707,A000000,00900,0000,00900NURSING ADMINISTRATION 85707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85707,A000000,01100,0000,01100PHARMACY 85707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85707,A000000,01300,0000,01300SOCIAL SERVICE 85707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85707,A000000,01600,0000,01600SKILLED NURSING FACILITY 85707,A000000,01800,0000,01800NURSING FACILITY 85707,A000000,01810,0000,01810ICF/MR 85707,A000000,02100,0000,02100RADIOLOGY 85707,A000000,02200,0000,02200LABORATORY 85707,A000000,02300,0000,02300INTRAVENOUS THERAPY 85707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85707,A000000,02500,0000,02500PHYSICAL THERAPY 85707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85707,A000000,02700,0000,02700SPEECH PATHOLOGY 85707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85707,A000000,03550,0000,03550FQHC 85707,A000000,05000,0000,05000CORF 85707,A000000,05010,0000,05010CMHC 85707,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85707,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85707,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85707,A81000A,00100,0100,Y 85707,A81000B,00100,0300,MANAGEMENT FEE 85707,A81000B,00200,0300,MANAGEMENT FEE 85707,A81000B,00300,0300,COMPUTER LEASE 85707,A81000B,00400,0300,OWNERS INTEREST 85707,A81000B,00500,0300,OWNERS INTEREST 85707,A81000C,00100,0100,A 85707,A81000C,00100,0200,ROGER RICHARD 85707,A81000C,00100,0400,RDR MANAGEMENT 85707,A81000C,00100,0600,MANAGEMENT SVCS 85707,A81000C,00200,0100,A 85707,A81000C,00200,0200,MIKE GREER 85707,A81000C,00200,0400,GREER MANAGEMEN 85707,A81000C,00200,0600,MANAGEMENT SVCS 85707,A81000C,00300,0100,A 85707,A81000C,00300,0200,ROGER RICHARD 85707,A81000C,00300,0400,RDR MANAGEMENT 85707,A81000C,00300,0600,MANAGEMENT SVCS 85707,A81000C,00400,0100,E 85707,A81000C,00400,0200,MIKE GREER 85707,A81000C,00500,0100,E 85707,A81000C,00500,0200,ROGER RICHARD 85707,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85707,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85707,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85707,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85707,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85707,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 85707,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85707,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85707,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85707,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85707,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85707,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85707,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85707,E10A180,00501,0100,06/23/2000 85707,E10A180,00501,0300,06/23/2000 85707,S000000,00100,0200,05/30/2000 85707,S200000,00100,0100,770 STATE STREET 85707,S200000,00200,0100,CHESTER 85707,S200000,00200,0200,IL 85707,S200000,00200,0300,62233- 85707,S200000,00300,0100,RANDOLF 85707,S200000,00400,0100,ST. ANNS HEALTH CAR CTR. INC 85707,S200000,00400,0200,145475 85707,S200000,00400,0300,01/01/1993 85707,S200000,00400,0500,P 85707,S200000,01600,0100,Y 85707,S200000,01700,0100,Y 85707,S200000,01800,0100,Y 85707,S200000,02200,0100,Y 85712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85712,A000000,00300,0000,00300EMPLOYEE BENEFITS 85712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85712,A000000,00700,0000,00700HOUSEKEEPING 85712,A000000,00800,0000,00800DIETARY 85712,A000000,00900,0000,00900NURSING ADMINISTRATION 85712,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85712,A000000,01100,0000,01100PHARMACY 85712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85712,A000000,01300,0000,01300SOCIAL SERVICE 85712,A000000,01600,0000,01600SKILLED NURSING FACILITY 85712,A000000,01800,0000,01800NURSING FACILITY 85712,A000000,02100,0000,02100RADIOLOGY 85712,A000000,02200,0000,02200LABORATORY 85712,A000000,02500,0000,02500PHYSICAL THERAPY 85712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85712,A000000,02700,0000,02700SPEECH PATHOLOGY 85712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85712,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85712,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85712,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85712,A81000A,00100,0100,Y 85712,A81000B,00100,0300,BUILDING RENTS 85712,A81000B,00200,0300,DIETARY SUPPLEMENTS 85712,A81000B,00300,0300,MEDICARE A SUPPLEMEN 85712,A81000B,00400,0300,INTEREST INC & EXP 85712,A81000B,00500,0300,PROF FEES 85712,A81000B,00600,0300,CLERICAL & GENERAL 85712,A81000B,00700,0300,MANAGEMENT 85712,A81000B,00800,0300,BUILDING 85712,A81000B,00900,0300,BENEFITS 85712,A81000B,01000,0300,REPAIR & MAINTENANCE 85712,A81000B,01100,0300,REPLACEMENT TAX 85712,A81000C,00100,0100,A 85712,A81000C,00100,0400,SW MANAGEMENT 85712,A81000C,00100,0600,BOOKKEEPING/MAN 85712,A81000C,00200,0100,A 85712,A81000C,00200,0400,OREGON ASSOCIAT 85712,A81000C,00200,0600,BLDG. PARTNERSH 85712,A81000C,00300,0100,A 85712,A81000C,00300,0400,SFO ASSOCIATES 85712,A81000C,00300,0600,FINANCING 85712,A81000C,00400,0100,A 85712,A81000C,00400,0400,S & E MEDICAL S 85712,A81000C,00400,0600,MEDICAL SUPPLIE 85712,A81000C,00500,0100,A 85712,A81000C,00500,0400,PHARMCOR 85712,A81000C,00500,0600,PHARMACY 85712,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85712,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85712,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85712,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85712,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85712,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85712,B100000,00000,0800,00000MEALS SERVED :DIETARY 85712,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85712,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85712,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85712,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85712,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85712,E10A180,00501,0100,06/14/2000 85712,E10A180,00501,0300,06/14/2000 85712,S000000,00100,0200,05/25/2000 85712,S200000,00100,0100,881 SOUTH 10TH STREET 85712,S200000,00200,0100,OREGON 85712,S200000,00200,0200,IL 85712,S200000,00200,0300,61061- 85712,S200000,00300,0100,OGLE 85712,S200000,00400,0100,OREGON NURSING & REHABILITATION 85712,S200000,00400,0200,145476 85712,S200000,00400,0300,03/01/1992 85712,S200000,00400,0500,P 85712,S200000,01600,0100,Y 85715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85715,A000000,00300,0000,00300EMPLOYEE BENEFITS 85715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85715,A000000,00700,0000,00700HOUSEKEEPING 85715,A000000,00800,0000,00800DIETARY 85715,A000000,00900,0000,00900NURSING ADMINISTRATION 85715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85715,A000000,01100,0000,01100PHARMACY 85715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85715,A000000,01300,0000,01300SOCIAL SERVICE 85715,A000000,01350,0000,01500ACTIVITIES 85715,A000000,01600,0000,01600SKILLED NURSING FACILITY 85715,A000000,01800,0000,01800NURSING FACILITY 85715,A000000,02100,0000,02100RADIOLOGY 85715,A000000,02200,0000,02200LABORATORY 85715,A000000,02300,0000,02300INTRAVENOUS THERAPY 85715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85715,A000000,02500,0000,02500PHYSICAL THERAPY 85715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85715,A000000,02700,0000,02700SPEECH PATHOLOGY 85715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85715,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85715,A000000,03200,0000,03200SUPPORT SURFACES 85715,A000000,05300,0000,05300INTEREST EXPENSE 85715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85715,A000000,05500,0000,05500HOSPICE 85715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85715,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85715,A000000,06200,0000,06200PATIENTS LAUNDRY 85715,A81000A,00100,0100,Y 85715,A81000B,00100,0300,HOME OFFICE COST 85715,A81000C,00100,0100,B 85715,A81000C,00100,0200,HUNTER CARE CEN 85715,A81000C,00100,0400,HUNTER CARE CEN 85715,A81000C,00100,0600,LONG TERM CARE 85715,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85715,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85715,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85715,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85715,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85715,B100000,00000,0800,00000MEALS SERVED :DIETARY 85715,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85715,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85715,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85715,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85715,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85715,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 85715,S000000,00100,0200,11/10/2000 85715,S200000,00100,0100,1411 EAST FRAZIER 85715,S200000,00200,0100,CENTRALIA 85715,S200000,00200,0200,IL 85715,S200000,00200,0300,62801- 85715,S200000,00300,0100,MARION 85715,S200000,00400,0100,FRAZIER MANOR 85715,S200000,00400,0200,145477 85715,S200000,00400,0300,01/01/1994 85715,S200000,00400,0500,P 85715,S200000,01600,0100,Y 85724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85724,A000000,00300,0000,00300EMPLOYEE BENEFITS 85724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85724,A000000,00700,0000,00700HOUSEKEEPING 85724,A000000,00800,0000,00800DIETARY 85724,A000000,00900,0000,00900NURSING ADMINISTRATION 85724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85724,A000000,01300,0000,01300SOCIAL SERVICE 85724,A000000,01600,0000,01600SKILLED NURSING FACILITY 85724,A000000,01800,0000,01800NURSING FACILITY 85724,A000000,02100,0000,02100RADIOLOGY 85724,A000000,02200,0000,02200LABORATORY 85724,A000000,02500,0000,02500PHYSICAL THERAPY 85724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85724,A000000,02700,0000,02700SPEECH PATHOLOGY 85724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85724,A000000,03050,0000,03300AMBULANCE 85724,A000000,03051,0000,03301BGM 85724,A000000,03200,0000,03200SUPPORT SURFACES 85724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85724,A81000A,00100,0100,Y 85724,A81000B,00100,0300,RENT 85724,A81000B,00200,0300,BANK CHARGES 85724,A81000B,00300,0300,MORTGAGE INTEREST 85724,A81000B,00400,0300,DEPRECIATION 85724,A81000B,00500,0300,PLANT OPERATIONS 85724,A81000B,00600,0300,A AND G 85724,A81000B,00700,0300,BENEFITS 85724,A81000B,00800,0300,CAP COSTS 85724,A81000B,00900,0300,MANAGEMENT FEES 85724,A81000B,01000,0300,REHAB CONSULT 85724,A81000C,00100,0100,A 85724,A81000C,00100,0400,ATRIUM BLDG PAR 85724,A81000C,00100,0600,BUILDING COMPAN 85724,A81000C,00200,0100,A 85724,A81000C,00200,0400,STAY CARE MANAG 85724,A81000C,00200,0600,MANAGEMENT 85724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85724,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85724,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85724,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85724,B100000,00000,0800,00000MEALS SERVED :DIETARY 85724,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85724,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85724,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85724,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85724,E10A180,00501,0100,06/29/2000 85724,E10A180,00501,0300,06/29/2000 85724,S000000,00100,0200,05/24/2000 85724,S200000,00100,0100,1425 W. ESTES 85724,S200000,00200,0100,CHICAGO 85724,S200000,00200,0200,IL 85724,S200000,00200,0300,60625- 85724,S200000,00300,0100,COOK 85724,S200000,00300,0200,1600 85724,S200000,00300,0300,U 85724,S200000,00400,0100,ATRIUM HEALTH CARE CENTER LTD. 85724,S200000,00400,0200,145479 85724,S200000,00400,0300,09/01/1983 85724,S200000,00400,0500,P 85724,S200000,01600,0100,Y 85724,S200000,01900,0100,SUBCHAPTER S 85732,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85732,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85732,A000000,00300,0000,00300EMPLOYEE BENEFITS 85732,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85732,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85732,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85732,A000000,00700,0000,00700HOUSEKEEPING 85732,A000000,00800,0000,00800DIETARY 85732,A000000,00900,0000,00900NURSING ADMINISTRATION 85732,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85732,A000000,01100,0000,01100PHARMACY 85732,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85732,A000000,01300,0000,01300SOCIAL SERVICE 85732,A000000,01350,0000,01500ACTIVITIES 85732,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85732,A000000,01600,0000,01600SKILLED NURSING FACILITY 85732,A000000,01800,0000,01800NURSING FACILITY 85732,A000000,01900,0000,01900OTHER LONG TERM CARE 85732,A000000,02100,0000,02100RADIOLOGY 85732,A000000,02200,0000,02200LABORATORY 85732,A000000,02300,0000,02300INTRAVENOUS THERAPY 85732,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85732,A000000,02500,0000,02500PHYSICAL THERAPY 85732,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85732,A000000,02700,0000,02700SPEECH PATHOLOGY 85732,A000000,02800,0000,02800ELECTROCARDIOLOGY 85732,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85732,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85732,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85732,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85732,A000000,03200,0000,03200SUPPORT SURFACES 85732,A000000,03400,0000,03400CLINIC 85732,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85732,A000000,03500,0000,03500RURAL HEALTH CLINIC 85732,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85732,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85732,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85732,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85732,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85732,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85732,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85732,A000000,04400,0000,04400DME RENTED - HHA 85732,A000000,04500,0000,04500DME SOLD - HHA 85732,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85732,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85732,A000000,04800,0000,04800AMBULANCE 85732,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85732,A000000,05000,0000,05000CORF 85732,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85732,A000000,05300,0000,05300INTEREST EXPENSE 85732,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85732,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85732,A000000,05500,0000,05500HOSPICE 85732,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85732,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85732,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85732,A000000,06100,0000,06100NONPAID WORKERS 85732,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85732,A000000,06200,0000,06200PATIENTS LAUNDRY 85732,A81000A,00100,0100,Y 85732,A81000B,00100,0300,HOME OFFICE COSTS 85732,A81000C,00100,0100,B 85732,A81000C,00100,0200,HUNTER CARE CEN 85732,A81000C,00100,0600,LTC 85732,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85732,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85732,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85732,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85732,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85732,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85732,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85732,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85732,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85732,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85732,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85732,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85732,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85732,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 85732,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85732,S000000,00100,0200,11/10/2000 85732,S200000,00100,0100,2121 SOUTH NINTH 85732,S200000,00200,0100,MATTOON 85732,S200000,00200,0200,IL 85732,S200000,00200,0300,61938- 85732,S200000,00300,0100,COLE 85732,S200000,00400,0100,MATTOON HEALTH CARE CENTER 85732,S200000,00400,0200,145480 85732,S200000,00400,0300,03/08/1996 85732,S200000,00400,0500,P 85739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85739,A000000,00300,0000,00300EMPLOYEE BENEFITS 85739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85739,A000000,00700,0000,00700HOUSEKEEPING 85739,A000000,00800,0000,00800DIETARY 85739,A000000,00900,0000,00900NURSING ADMINISTRATION 85739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85739,A000000,01300,0000,01300SOCIAL SERVICE 85739,A000000,01600,0000,01600SKILLED NURSING FACILITY 85739,A000000,01800,0000,01800NURSING FACILITY 85739,A000000,02100,0000,02100RADIOLOGY 85739,A000000,02200,0000,02200LABORATORY 85739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85739,A000000,02500,0000,02500PHYSICAL THERAPY 85739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85739,A000000,02700,0000,02700SPEECH PATHOLOGY 85739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85739,A000000,03200,0000,03200SUPPORT SURFACES 85739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85739,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85739,A81000A,00100,0100,Y 85739,A81000B,00100,0300,RENT 85739,A81000B,00200,0300,ADDITIONAL RENT 85739,A81000B,00300,0300,DEPRECIATION 85739,A81000B,00400,0300,MORTGAGE AMORTZ 85739,A81000B,00500,0300,INVESTMENT SERV 85739,A81000B,00600,0300,INTEREST EXPENSE 85739,A81000B,00700,0300,LICENSE & PERMITS 85739,A81000B,00800,0300,REAL ESTATE TAXES 85739,A81000B,00900,0300,REPLACEMENT TAX 85739,A81000B,01000,0300,MEDICAL SUPPLIES 85739,A81000B,01100,0300,DIETARY 85739,A81000B,01200,0300,MGMT FEE-GLENBAR 85739,A81000B,01300,0300,ADMIN SALARIES 85739,A81000B,01400,0300,THERAPY COSTS-TM 85739,A81000B,01500,0300,THERAPY COSTS-TM 85739,A81000B,01600,0300,THERAPY COSTS-TM 85739,A81000B,01700,0300,GLEN H&H - ADMIN 85739,A81000B,01800,0300,GLEN H&H - CAPITAL 85739,A81000B,01900,0300,G&A-THER MASTERS 85739,A81000C,00100,0100,A 85739,A81000C,00100,0200,SIDNEY GLENNER 85739,A81000C,00100,0400,GLEN HEALTH & 85739,A81000C,00100,0600,MGMT. 85739,A81000C,00200,0100,A 85739,A81000C,00200,0400,HOME MANAGEMNT 85739,A81000C,00200,0600,COMP. 85739,A81000C,00300,0100,A 85739,A81000C,00300,0200,SIDNEY GLENNER 85739,A81000C,00300,0400,GLENBAR MGMT. 85739,A81000C,00300,0600,MGMT. 85739,A81000C,00400,0100,A 85739,A81000C,00400,0200,BARRY RAY 85739,A81000C,00400,0400,GLENBAR MGMT. 85739,A81000C,00400,0600,MGMT. 85739,A81000C,00500,0100,A 85739,A81000C,00500,0200,SIDNEY GLENNER 85739,A81000C,00500,0400,GLENCREST R/E & 85739,A81000C,00500,0600,BLDG. 85739,A81000C,00600,0100,A 85739,A81000C,00600,0400,DEVELOPMENT LLC 85739,A81000C,00600,0600,LESSOR 85739,A81000C,00700,0100,A 85739,A81000C,00700,0200,BARRY RAY 85739,A81000C,00700,0400,GLENCREST R/E & 85739,A81000C,00700,0600,BLDG. 85739,A81000C,00800,0100,A 85739,A81000C,00800,0400,DEVELOPMENT LLC 85739,A81000C,00800,0600,LESSOR 85739,A81000C,00900,0100,A 85739,A81000C,00900,0200,SIDNEY GLENNER 85739,A81000C,00900,0400,THERAPY MASTERS 85739,A81000C,00900,0600,THER.CO. 85739,A81000C,01000,0100,A 85739,A81000C,01000,0200,BARRY RAY 85739,A81000C,01000,0400,THERAPY MASTERS 85739,A81000C,01000,0600,THER.CO 85739,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85739,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85739,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85739,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85739,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85739,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85739,B100000,00000,0800,00000MEALS SERVED :DIETARY 85739,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85739,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85739,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85739,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85739,S000000,00100,0200,03/31/2000 85739,S200000,00100,0100,2451 WEST TOUHY 85739,S200000,00200,0100,CHICAGO 85739,S200000,00200,0200,IL 85739,S200000,00200,0300,60645- 85739,S200000,00300,0100,COOK 85739,S200000,00400,0100,GLEN CREST NSG & REHAB CTR. LTD 85739,S200000,00400,0200,145484 85739,S200000,00400,0300,06/01/1984 85739,S200000,00400,0500,P 85739,S200000,01600,0100,Y 85739,S700003,00000,0100,1 85748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85748,A000000,00300,0000,00300EMPLOYEE BENEFITS 85748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85748,A000000,00700,0000,00700HOUSEKEEPING 85748,A000000,00800,0000,00800DIETARY 85748,A000000,00900,0000,00900NURSING ADMINISTRATION 85748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85748,A000000,01100,0000,01100PHARMACY 85748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85748,A000000,01300,0000,01300SOCIAL SERVICE 85748,A000000,01600,0000,01600SKILLED NURSING FACILITY 85748,A000000,01800,0000,01800NURSING FACILITY 85748,A000000,02500,0000,02500PHYSICAL THERAPY 85748,A000000,02700,0000,02700SPEECH PATHOLOGY 85748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85748,A000000,05300,0000,05300INTEREST EXPENSE 85748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85748,A81000A,00100,0100,Y 85748,A81000B,00100,0300,ACTUAL HOME OFFICE 85748,A81000B,00200,0300,MANAGEMENT FEES 85748,A81000C,00100,0100,A 85748,A81000C,00100,0200,MORRIS STEINBER 85748,A81000C,00100,0400,SRS ENTERPRISES 85748,A81000C,00100,0600,MANAGEMENT COMP 85748,A81000C,00200,0100,A 85748,A81000C,00200,0200,JACK REIFER 85748,A81000C,00200,0400,SRS ENTERPRISES 85748,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85748,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85748,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85748,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85748,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85748,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85748,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85748,B100000,00000,0800,00000MEALS SERVED :DIETARY 85748,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85748,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85748,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 85748,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85748,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85748,E10A180,00501,0100,07/12/2000 85748,E10A180,00501,0300,07/12/2000 85748,S000000,00100,0200,06/01/2000 85748,S200000,00100,0100,1300 N. GREENWOD ROAD 85748,S200000,00200,0100,SPRING VALLEY 85748,S200000,00200,0200,IL 85748,S200000,00200,0300,61362- 85748,S200000,00300,0100,BUREAU 85748,S200000,00400,0100,SPRING VALLEY NURSING HOME 85748,S200000,00400,0200,145486 85748,S200000,00400,0300,01/05/1977 85748,S200000,00400,0500,P 85748,S200000,01600,0100,Y 85756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85756,A000000,00300,0000,00300EMPLOYEE BENEFITS 85756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85756,A000000,00700,0000,00700HOUSEKEEPING 85756,A000000,00800,0000,00800DIETARY 85756,A000000,00900,0000,00900NURSING ADMINISTRATION 85756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85756,A000000,01100,0000,01100PHARMACY 85756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85756,A000000,01300,0000,01300SOCIAL SERVICE 85756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85756,A000000,01600,0000,01600SKILLED NURSING FACILITY 85756,A000000,01800,0000,01800NURSING FACILITY 85756,A000000,01900,0000,01900OTHER LONG TERM CARE 85756,A000000,02100,0000,02100RADIOLOGY 85756,A000000,02200,0000,02200LABORATORY 85756,A000000,02300,0000,02300INTRAVENOUS THERAPY 85756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85756,A000000,02500,0000,02500PHYSICAL THERAPY 85756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85756,A000000,02700,0000,02700SPEECH PATHOLOGY 85756,A000000,02800,0000,02800ELECTROCARDIOLOGY 85756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85756,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85756,A000000,03200,0000,03200SUPPORT SURFACES 85756,A000000,03400,0000,03400CLINIC 85756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85756,A000000,04800,0000,04800AMBULANCE 85756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85756,A000000,05300,0000,05300INTEREST EXPENSE 85756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85756,A000000,06100,0000,06100NONPAID WORKERS 85756,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85756,A000000,06200,0000,06200PATIENTS LAUNDRY 85756,A81000A,00100,0100,Y 85756,A81000B,00100,0300,INTEREST EXPENSE 85756,A81000B,00200,0300,FACILITY RENT 85756,A81000B,00300,0300,DEPRECIATION 85756,A81000C,00100,0100,A 85756,A81000C,00100,0200,JOHN R. SYNDER 85756,A81000C,00100,0400,SNYDER PROPERTY 85756,A81000C,00100,0600,LESSOR 85756,A81000C,00200,0100,A 85756,A81000C,00200,0200,VAUGHN SNYDER 85756,A81000C,00200,0400,SNYDER PROPERTY 85756,A81000C,00200,0600,LESSOR 85756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85756,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85756,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85756,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85756,B100000,00000,0800,00000MEALS SERVED :DIETARY 85756,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85756,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85756,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85756,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85756,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85756,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85756,S000000,00100,0200,06/02/2000 85756,S200000,00100,0100,135 SOUTH MORGAN 85756,S200000,00200,0100,RUSHVILLE 85756,S200000,00200,0200,IL 85756,S200000,00200,0300,62681- 85756,S200000,00300,0100,SCHUYLER 85756,S200000,00400,0100,SNYDER VAUGHN HAVEN INC. 85756,S200000,00400,0200,145488 85756,S200000,00400,0300,01/01/1985 85756,S200000,00400,0500,P 85756,S200000,01600,0100,Y 85756,S700003,00000,0100,1 85768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85768,A000000,00300,0000,00300EMPLOYEE BENEFITS 85768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85768,A000000,00700,0000,00700HOUSEKEEPING 85768,A000000,00800,0000,00800DIETARY 85768,A000000,00900,0000,00900NURSING ADMINISTRATION 85768,A000000,01300,0000,01300SOCIAL SERVICE 85768,A000000,01600,0000,01600SKILLED NURSING FACILITY 85768,A000000,01800,0000,01800NURSING FACILITY 85768,A000000,01900,0000,01900OTHER LONG TERM CARE 85768,A000000,02200,0000,02200LABORATORY 85768,A000000,02500,0000,02500PHYSICAL THERAPY 85768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85768,A000000,02700,0000,02700SPEECH PATHOLOGY 85768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85768,A81000A,00100,0100,Y 85768,A81000B,00100,0300,LAWN SERVICE 85768,A81000B,00200,0300,COUNTY BOARD 85768,A81000B,00300,0300,INFORMATION SERVICES 85768,A81000B,00400,0300,COUNTY ADMINISTRATOR 85768,A81000B,00500,0300,COUNTY AUDITOR 85768,A81000B,00600,0300,COUNTY TREASURER 85768,A81000C,00100,0100,G 85768,A81000C,00100,0200,CITY OF NORMAL 85768,A81000C,00100,0600,CITY GOVERNMENT 85768,A81000C,00200,0100,B 85768,A81000C,00200,0400,MCLEAN COUNTY 85768,A81000C,00200,0600,COUNTY GOVERNME 85768,A81000C,03100,0000,CITY OF NORMAL 85768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85768,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85768,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 85768,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85768,B100000,00000,0800,00000MEALS SERVED :DIETARY 85768,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85768,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 85768,S000000,00100,0200,05/23/2000 85768,S200000,00100,0100,901 NORTH MAIN STREET 85768,S200000,00200,0100,NORMAL 85768,S200000,00200,0200,IL 85768,S200000,00200,0300,61761- 85768,S200000,00300,0100,MCLEAN 85768,S200000,00400,0100,MCLEAN COUNTY NURSING HOME 85768,S200000,00400,0200,145494 85768,S200000,00400,0300,06/21/1984 85768,S200000,00400,0500,P 85768,S200000,01600,0100,Y 85768,S200000,02800,0100,Y 85768,S700003,00000,0100,1 85776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85776,A000000,00300,0000,00300EMPLOYEE BENEFITS 85776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85776,A000000,00700,0000,00700HOUSEKEEPING 85776,A000000,00800,0000,00800DIETARY 85776,A000000,00900,0000,00900NURSING ADMINISTRATION 85776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85776,A000000,01100,0000,01100PHARMACY 85776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85776,A000000,01300,0000,01300SOCIAL SERVICE 85776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85776,A000000,01600,0000,01600SKILLED NURSING FACILITY 85776,A000000,01800,0000,01800NURSING FACILITY 85776,A000000,01900,0000,01900OTHER LONG TERM CARE 85776,A000000,02100,0000,02100RADIOLOGY 85776,A000000,02200,0000,02200LABORATORY 85776,A000000,02300,0000,02300INTRAVENOUS THERAPY 85776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85776,A000000,02500,0000,02500PHYSICAL THERAPY 85776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85776,A000000,02700,0000,02700SPEECH PATHOLOGY 85776,A000000,02800,0000,02800ELECTROCARDIOLOGY 85776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85776,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85776,A000000,03200,0000,03200SUPPORT SURFACES 85776,A000000,03400,0000,03400CLINIC 85776,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85776,A000000,04800,0000,04800AMBULANCE 85776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85776,A000000,05300,0000,05300INTEREST EXPENSE 85776,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85776,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85776,A000000,06100,0000,06100NONPAID WORKERS 85776,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85776,A000000,06200,0000,06200PATIENTS LAUNDRY 85776,A81000A,00100,0100,Y 85776,A81000B,00100,0300,DEPRECIATION 85776,A81000B,00200,0300,INTEREST 85776,A81000B,00300,0300,DUES & SUBSCRIPTIONS 85776,A81000B,00400,0300,ACCOUNTING FEES 85776,A81000B,00500,0300,RENT 85776,A81000C,00100,0100,D 85776,A81000C,00100,0200,JOHS OKSNEVAD 85776,A81000C,00100,0400,MEDINA MANOR 85776,A81000C,00100,0600,LESSOR 85776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85776,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85776,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85776,B100000,00000,0800,00000MEALS SERVED :DIETARY 85776,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85776,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85776,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85776,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85776,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85776,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85776,E10A180,00550,0300,06/14/2000 85776,S000000,00100,0200,05/26/2000 85776,S200000,00100,0100,402 S. CENTER ST. 85776,S200000,00100,0300,538 85776,S200000,00200,0100,DURAND 85776,S200000,00200,0200,IL 85776,S200000,00200,0300,61024- 85776,S200000,00300,0100,WINNEBAGO 85776,S200000,00400,0100,MEDINA NURSING CENTER INC. 85776,S200000,00400,0200,145495 85776,S200000,00400,0300,06/01/1984 85776,S200000,00400,0500,P 85776,S200000,01600,0100,Y 85776,S700003,00000,0100,1 85785,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85785,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85785,A000000,00300,0000,00300EMPLOYEE BENEFITS 85785,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85785,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85785,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85785,A000000,00700,0000,00700HOUSEKEEPING 85785,A000000,00800,0000,00800DIETARY 85785,A000000,00900,0000,00900NURSING ADMINISTRATION 85785,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85785,A000000,01100,0000,01100PHARMACY 85785,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85785,A000000,01300,0000,01300SOCIAL SERVICE 85785,A000000,01350,0000,01500RECREATION 85785,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85785,A000000,01600,0000,01600SKILLED NURSING FACILITY 85785,A000000,01800,0000,01800NURSING FACILITY 85785,A000000,02200,0000,02200LABORATORY 85785,A000000,02300,0000,02300INTRAVENOUS THERAPY 85785,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85785,A000000,02500,0000,02500PHYSICAL THERAPY 85785,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85785,A000000,02700,0000,02700SPEECH PATHOLOGY 85785,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85785,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85785,A000000,03050,0000,03300EQUIPMENT RENTAL 85785,A000000,03550,0000,03550FQHC 85785,A000000,05000,0000,05000CORF 85785,A000000,05010,0000,05010CMHC 85785,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85785,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85785,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85785,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85785,A81000A,00100,0100,Y 85785,A81000B,00100,0300,HOME OFFICE 85785,A81000C,00100,0100,A 85785,A81000C,00100,0200,MID AMERICA 85785,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85785,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85785,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85785,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85785,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85785,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85785,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85785,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85785,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85785,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85785,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85785,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85785,S000000,00100,0200,11/30/2000 85785,S200000,00100,0100,1300 EAST TREEMONT 85785,S200000,00200,0100,HILLSBORO 85785,S200000,00200,0200,IL 85785,S200000,00200,0300,62049- 85785,S200000,00300,0100,MONTGOMERY 85785,S200000,00300,0200,0014 85785,S200000,00300,0300,R 85785,S200000,00400,0100,HILLSBORO HEALTH CARE CENTER 85785,S200000,00400,0200,145500 85785,S200000,00400,0300,12/19/1986 85785,S200000,00400,0500,P 85785,S200000,01004,0500,O 85785,S200000,01600,0100,Y 85794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85794,A000000,00300,0000,00300EMPLOYEE BENEFITS 85794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85794,A000000,00700,0000,00700HOUSEKEEPING 85794,A000000,00800,0000,00800DIETARY 85794,A000000,00900,0000,00900NURSING ADMINISTRATION 85794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85794,A000000,01100,0000,01100PHARMACY 85794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85794,A000000,01300,0000,01300SOCIAL SERVICE 85794,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85794,A000000,01600,0000,01600SKILLED NURSING FACILITY 85794,A000000,01800,0000,01800NURSING FACILITY 85794,A000000,01810,0000,01810ICF/MR 85794,A000000,02100,0000,02100RADIOLOGY 85794,A000000,02200,0000,02200LABORATORY 85794,A000000,02500,0000,02500PHYSICAL THERAPY 85794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85794,A000000,02700,0000,02700SPEECH PATHOLOGY 85794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85794,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85794,A000000,03200,0000,03200SUPPORT SURFACES 85794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85794,A000000,05901,0000,05901NON-REIMB APARTMENT 85794,A81000A,00100,0100,Y 85794,A81000B,00100,0300,ADJ. ADMIN/MGMT FEES 85794,A81000B,00200,0300,A&G SALARY 85794,A81000B,00300,0300,EMPLOYEE BENE 85794,A81000B,00400,0300,RENT 85794,A81000B,00500,0300,DEPRECIATION 85794,A81000B,00600,0300,A&G 85794,A81000B,00700,0300,PROFESSIONAL FEES 85794,A81000B,00800,0300,CAPITAL-CAREPATH 85794,A81000B,00900,0300,EMPLOYEE BENEFITS 85794,A81000B,01000,0300,A&G 85794,A81000C,00100,0100,A 85794,A81000C,00100,0400,J.S. AFFILIATES 85794,A81000C,00100,0600,MANAGEMENT 85794,A81000C,00200,0100,A 85794,A81000C,00200,0400,CAREPATH 85794,A81000C,00200,0600,MANAGEMENT 85794,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 85794,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 85794,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 85794,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 85794,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 85794,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 85794,B100000,00000,0750,00001SQUARE FOOTAGE :HOUSEKEEPING 85794,B100000,00000,0800,00001MEALS SERVED :DIETARY 85794,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 85794,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 85794,B100000,00000,1100,00001COSTED REQUIS :PHARMACY 85794,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 85794,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 85794,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 85794,E10A180,00501,0100,06/23/2000 85794,E10A180,00501,0300,06/23/2000 85794,S000000,00100,0200,05/17/2000 85794,S200000,00100,0100,7433 NORTH CLARK STREET 85794,S200000,00200,0100,CHICAGO 85794,S200000,00200,0200,IL 85794,S200000,00200,0300,60626- 85794,S200000,00300,0100,COOK 85794,S200000,00400,0100,CLARK MANOR CONVALESCENT CENTER 85794,S200000,00400,0200,145507 85794,S200000,00400,0300,11/01/1984 85794,S200000,00400,0500,P 85794,S200000,01600,0100,Y 85794,S700003,00000,0100,1 85803,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85803,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85803,A000000,00300,0000,00300EMPLOYEE BENEFITS 85803,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85803,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85803,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85803,A000000,00700,0000,00700HOUSEKEEPING 85803,A000000,00800,0000,00800DIETARY 85803,A000000,00900,0000,00900NURSING ADMINISTRATION 85803,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85803,A000000,01100,0000,01100PHARMACY 85803,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85803,A000000,01300,0000,01300SOCIAL SERVICE 85803,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85803,A000000,01600,0000,01600SKILLED NURSING FACILITY 85803,A000000,01800,0000,01800NURSING FACILITY 85803,A000000,01900,0000,01900OTHER LONG TERM CARE 85803,A000000,02100,0000,02100RADIOLOGY 85803,A000000,02200,0000,02200LABORATORY 85803,A000000,02300,0000,02300INTRAVENOUS THERAPY 85803,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85803,A000000,02500,0000,02500PHYSICAL THERAPY 85803,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85803,A000000,02700,0000,02700SPEECH PATHOLOGY 85803,A000000,02800,0000,02800ELECTROCARDIOLOGY 85803,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85803,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85803,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85803,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85803,A000000,03200,0000,03200SUPPORT SURFACES 85803,A000000,03201,0000,03201CLINITRON BEDS 85803,A000000,03400,0000,03400CLINIC 85803,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85803,A000000,04800,0000,04800AMBULANCE 85803,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85803,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85803,A000000,05300,0000,05300INTEREST EXPENSE 85803,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85803,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85803,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85803,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85803,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85803,A000000,06100,0000,06100NONPAID WORKERS 85803,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85803,A000000,06200,0000,06200PATIENTS LAUNDRY 85803,A81000A,00100,0100,Y 85803,A81000B,00100,0300,MANAGEMENT FEES 85803,A81000B,00200,0300,ITEX - G&A COSTS 85803,A81000B,00300,0300,ITEX - CAPITAL COSTS 85803,A81000B,00400,0300,CAREPATH - G&A COSTS 85803,A81000B,00500,0300,IVY - CAPITAL COSTS 85803,A81000B,00600,0300,RENT EXPENSE 85803,A81000B,00700,0300,DEPRECIATION EXPENSE 85803,A81000B,00800,0300,PROPERTY TAXES 85803,A81000B,00900,0300,INTEREST EXPENSE 85803,A81000B,01000,0300,AMORT - LOAN FEES 85803,A81000C,00100,0100,A 85803,A81000C,00100,0200,ROBERT HARTMAN 85803,A81000C,00100,0400,ITEX MGMT CO. 85803,A81000C,00100,0600,MGMT CO 85803,A81000C,00200,0100,A 85803,A81000C,00200,0200,J. RAJCHENBACH 85803,A81000C,00200,0400,ITEX MGMT CO. 85803,A81000C,00200,0600,MGMT CO 85803,A81000C,00300,0100,A 85803,A81000C,00300,0200,B. HOLLANDER 85803,A81000C,00300,0400,ITEX MGMT CO. 85803,A81000C,00300,0600,MGMT CO 85803,A81000C,00400,0100,A 85803,A81000C,00400,0200,BARRY CARR 85803,A81000C,00400,0400,IVY APARTMENTS 85803,A81000C,00400,0600,APARTMENTS 85803,A81000C,00500,0100,A 85803,A81000C,00500,0200,MICHAEL HARRIS 85803,A81000C,00500,0400,IVY APARTMENTS 85803,A81000C,00500,0600,APARTMENTS 85803,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85803,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85803,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85803,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85803,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85803,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85803,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85803,B100000,00000,0800,00000MEALS SERVED :DIETARY 85803,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85803,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85803,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85803,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85803,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85803,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85803,E10A180,00501,0100,07/12/2000 85803,E10A180,00501,0300,07/12/2000 85803,S000000,00100,0200,05/30/2000 85803,S200000,00100,0100,1366 W. FULLERTON 85803,S200000,00200,0100,CHICAGO 85803,S200000,00200,0200,IL 85803,S200000,00200,0300,60611- 85803,S200000,00300,0100,COOK 85803,S200000,00400,0100,IMPERIAL CONVAL & GERIATRIC CTR 85803,S200000,00400,0200,145510 85803,S200000,00400,0300,01/31/1992 85803,S200000,00400,0500,P 85803,S200000,01600,0100,Y 85809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85809,A000000,00300,0000,00300EMPLOYEE BENEFITS 85809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85809,A000000,00700,0000,00700HOUSEKEEPING 85809,A000000,00800,0000,00800DIETARY 85809,A000000,00900,0000,00900NURSING ADMINISTRATION 85809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85809,A000000,01100,0000,01100PHARMACY 85809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85809,A000000,01300,0000,01300SOCIAL SERVICE 85809,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85809,A000000,01600,0000,01600SKILLED NURSING FACILITY 85809,A000000,01800,0000,01800NURSING FACILITY 85809,A000000,01900,0000,01900OTHER LONG TERM CARE 85809,A000000,02100,0000,02100RADIOLOGY 85809,A000000,02200,0000,02200LABORATORY 85809,A000000,02300,0000,02300INTRAVENOUS THERAPY 85809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85809,A000000,02500,0000,02500PHYSICAL THERAPY 85809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85809,A000000,02700,0000,02700SPEECH PATHOLOGY 85809,A000000,02800,0000,02800ELECTROCARDIOLOGY 85809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85809,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85809,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85809,A000000,03200,0000,03200SUPPORT SURFACES 85809,A000000,03400,0000,03400CLINIC 85809,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85809,A000000,04800,0000,04800AMBULANCE 85809,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85809,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85809,A000000,05300,0000,05300INTEREST EXPENSE 85809,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85809,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85809,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85809,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85809,A000000,06100,0000,06100NONPAID WORKERS 85809,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85809,A000000,06200,0000,06200PATIENTS LAUNDRY 85809,A81000A,00100,0100,Y 85809,A81000B,00100,0300,HOME OFFICE ALLOCATION 85809,A81000B,00200,0300,HOME OFFICE ALLOCATION 85809,A81000C,00100,0100,A 85809,A81000C,00100,0200,JERRY NEAL 85809,A81000C,00100,0400,DSI MGMT. SERV. 85809,A81000C,00100,0600,HOME OFFICE 85809,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85809,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85809,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85809,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85809,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85809,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85809,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85809,B100000,00000,0800,00000MEALS SERVED :DIETARY 85809,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85809,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85809,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85809,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85809,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85809,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85809,E10A180,00501,0100,07/12/2000 85809,S000000,00100,0200,06/01/2000 85809,S200000,00100,0100,1610 LAKEWOOD 85809,S200000,00200,0100,EFFINGHAM 85809,S200000,00200,0200,IL 85809,S200000,00200,0300,62401- 85809,S200000,00300,0100,EFFINGHAM 85809,S200000,00400,0100,LYNNCREST MANOR OF EFFINGHAM 85809,S200000,00400,0200,145514 85809,S200000,00400,0300,04/01/1996 85809,S200000,00400,0500,P 85809,S200000,01004,0500,O 85809,S200000,01600,0100,Y 85809,S200000,02200,0100,Y 85809,S700003,00000,0100,1 85818,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85818,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85818,A000000,00300,0000,00300EMPLOYEE BENEFITS 85818,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85818,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85818,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85818,A000000,00700,0000,00700HOUSEKEEPING 85818,A000000,00800,0000,00800DIETARY 85818,A000000,00900,0000,00900NURSING ADMINISTRATION 85818,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85818,A000000,01100,0000,01100PHARMACY 85818,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85818,A000000,01300,0000,01300SOCIAL SERVICE 85818,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85818,A000000,01600,0000,01600SKILLED NURSING FACILITY 85818,A000000,01800,0000,01800NURSING FACILITY 85818,A000000,01900,0000,01900OTHER LONG TERM CARE 85818,A000000,02100,0000,02100RADIOLOGY 85818,A000000,02200,0000,02200LABORATORY 85818,A000000,02300,0000,02300INTRAVENOUS THERAPY 85818,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85818,A000000,02500,0000,02500PHYSICAL THERAPY 85818,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85818,A000000,02700,0000,02700SPEECH PATHOLOGY 85818,A000000,02800,0000,02800ELECTROCARDIOLOGY 85818,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85818,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85818,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85818,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85818,A000000,03200,0000,03200SUPPORT SURFACES 85818,A000000,03400,0000,03400CLINIC 85818,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85818,A000000,04800,0000,04800AMBULANCE 85818,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85818,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85818,A000000,05300,0000,05300INTEREST EXPENSE 85818,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85818,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85818,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85818,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85818,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85818,A000000,06100,0000,06100NONPAID WORKERS 85818,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85818,A000000,06200,0000,06200PATIENTS LAUNDRY 85818,A81000A,00100,0100,Y 85818,A81000B,00100,0300,CAPITAL COST FROM MGMT SERVICES 85818,A81000B,00200,0300,ADMINISTRATIVE COST FROM MGMT SERVIC 85818,A81000B,00300,0300,MANAGEMENT FEES 85818,A81000B,00400,0300,ADMINISTRATIVE SERVICES FEES 85818,A81000B,00500,0300,MAINTENANCE COST FROM MGMT SERVICES 85818,A81000C,00100,0100,B 85818,A81000C,00100,0400,CRM INC. 85818,A81000C,00100,0600,PARENT CO. 85818,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85818,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85818,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85818,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85818,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85818,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85818,B100000,00000,0800,00000MEALS SERVED :DIETARY 85818,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85818,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85818,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85818,S000000,00100,0200,12/06/2000 85818,S200000,00100,0100,1700 WHITE STREET 85818,S200000,00200,0100,MOUNT VERNON 85818,S200000,00200,0200,IL 85818,S200000,00200,0300,62864- 85818,S200000,00300,0100,JEFFERSON 85818,S200000,00300,0200,0014 85818,S200000,00300,0300,R 85818,S200000,00400,0100,JEFFERSONIAN CARE CENTER 85818,S200000,00400,0200,145517 85818,S200000,00400,0300,10/01/1994 85818,S200000,00400,0500,P 85818,S200000,01004,0500,O 85818,S200000,01600,0100,Y 85827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85827,A000000,00300,0000,00300EMPLOYEE BENEFITS 85827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85827,A000000,00700,0000,00700HOUSEKEEPING 85827,A000000,00800,0000,00800DIETARY 85827,A000000,00900,0000,00900NURSING ADMINISTRATION 85827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85827,A000000,01100,0000,01100PHARMACY 85827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85827,A000000,01300,0000,01300SOCIAL SERVICE 85827,A000000,01350,0000,01500OTHER GENERAL SERVICES 85827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85827,A000000,01600,0000,01600SKILLED NURSING FACILITY 85827,A000000,01800,0000,01800NURSING FACILITY 85827,A000000,01810,0000,01801ICF/MR 85827,A000000,01900,0000,01900OTHER LONG TERM CARE 85827,A000000,02100,0000,02100RADIOLOGY 85827,A000000,02200,0000,02200LABORATORY 85827,A000000,02300,0000,02300INTRAVENOUS THERAPY 85827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85827,A000000,02500,0000,02500PHYSICAL THERAPY 85827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85827,A000000,02700,0000,02700SPEECH PATHOLOGY 85827,A000000,02800,0000,02800ELECTROCARDIOLOGY 85827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 85827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85827,A000000,03200,0000,03200SUPPORT SURFACES 85827,A000000,03400,0000,03400CLINIC 85827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 85827,A000000,03500,0000,03500RURAL HEALTH CLINIC 85827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85827,A000000,04400,0000,04400DME RENTED - HHA 85827,A000000,04500,0000,04500DME SOLD - HHA 85827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 85827,A000000,04800,0000,04800AMBULANCE 85827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85827,A000000,05000,0000,05000CORF 85827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85827,A000000,05300,0000,05300INTEREST EXPENSE 85827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85827,A000000,05500,0000,05500HOSPICE 85827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85827,A000000,06100,0000,06100NONPAID WORKERS 85827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85827,A000000,06200,0000,06200PATIENTS LAUNDRY 85827,A81000A,00100,0100,Y 85827,A81000B,00100,0300,HOME OFFICE COST 85827,A81000B,00200,0300,TLC CRC COST 85827,A81000C,00100,0200,ROCKY LEMON 85827,A81000C,00100,0400,CRESCENT HEALTH SERVICES 85827,A81000C,00100,0600,NURSING HOME MNGT 85827,A81000C,00200,0200,ROCKY LEMON 85827,A81000C,00200,0400,TLC ACQUISITIONS 85827,A81000C,00200,0600,NURSING HOME PROPERTY 85827,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85827,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85827,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85827,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85827,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85827,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85827,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85827,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85827,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85827,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85827,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85827,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85827,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85827,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 85827,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 85827,S000000,00100,0200,07/12/2000 85827,S200000,00100,0100,620 WEST BRIDGEPORT 85827,S200000,00200,0100,WHITE HALL 85827,S200000,00200,0200,IL 85827,S200000,00200,0300,62092- 85827,S200000,00300,0100,GREENE 85827,S200000,00400,0100,WHITE HALL MULTICARE CENTER 85827,S200000,00400,0200,145519 85827,S200000,00400,0300,04/01/1985 85827,S200000,00400,0500,P 85827,S200000,01600,0100,Y 85827,S700003,00000,0100,1 85829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85829,A000000,00300,0000,00300EMPLOYEE BENEFITS 85829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85829,A000000,00700,0000,00700HOUSEKEEPING 85829,A000000,00800,0000,00800DIETARY 85829,A000000,00900,0000,00900NURSING ADMINISTRATION 85829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85829,A000000,01100,0000,01100PHARMACY 85829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85829,A000000,01300,0000,01300SOCIAL SERVICE 85829,A000000,01350,0000,01500OTHER GENERAL SERVICES 85829,A000000,01600,0000,01600SKILLED NURSING FACILITY 85829,A000000,01800,0000,01800NURSING FACILITY 85829,A000000,01900,0000,01900OTHER LONG TERM CARE 85829,A000000,02100,0000,02100RADIOLOGY 85829,A000000,02200,0000,02200LABORATORY 85829,A000000,02300,0000,02300INTRAVENOUS THERAPY 85829,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85829,A000000,02500,0000,02500PHYSICAL THERAPY 85829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85829,A000000,02700,0000,02700SPEECH PATHOLOGY 85829,A000000,02800,0000,02800ELECTROCARDIOLOGY 85829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85829,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 85829,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85829,A000000,03200,0000,03200SUPPORT SURFACES 85829,A000000,03400,0000,03400CLINIC 85829,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 85829,A000000,03500,0000,03500RURAL HEALTH CLINIC 85829,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85829,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85829,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85829,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85829,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85829,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85829,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85829,A000000,04400,0000,04400DME RENTED - HHA 85829,A000000,04500,0000,04500DME SOLD - HHA 85829,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85829,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85829,A000000,04750,0000,05100OTHER REIMBURSABLE COST 85829,A000000,04800,0000,04800AMBULANCE 85829,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85829,A000000,05000,0000,05000CORF 85829,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85829,A000000,05300,0000,05300INTEREST EXPENSE 85829,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85829,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85829,A000000,05500,0000,05500HOSPICE 85829,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85829,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85829,A000000,06100,0000,06100NONPAID WORKERS 85829,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 85829,A000000,06200,0000,06200PATIENTS LAUNDRY 85829,A81000A,00100,0100,Y 85829,A81000B,00100,0300,HOME OFFICE COST 85829,A81000B,00200,0300,TLC CRC COST 85829,A81000C,00100,0100,A 85829,A81000C,00100,0200,ROCKY LEMON 85829,A81000C,00100,0400,CRESCENT HEALTH SERVICES 85829,A81000C,00100,0600,NURSING HOME MNGT 85829,A81000C,00200,0100,A 85829,A81000C,00200,0200,ROCKY LEMON 85829,A81000C,00200,0400,TLC ACQUISITIONS 85829,A81000C,00200,0600,NURSING HOME PROPERTY 85829,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85829,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85829,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85829,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85829,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85829,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85829,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85829,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85829,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85829,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 85829,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 85829,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85829,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85829,S000000,00100,0200,05/31/2000 85829,S200000,00100,0100,WHITEHALL MULTICARE CENTER 85829,S200000,00200,0100,WHITE HALL 85829,S200000,00200,0200,IL 85829,S200000,00200,0300,62092- 85829,S200000,00300,0100,GREENE 85829,S200000,00300,0200,9914 85829,S200000,00300,0300,R 85829,S200000,00400,0100,WHITE HALL MULTICARE CENTER 85829,S200000,00400,0200,145519 85829,S200000,00400,0300,04/01/1985 85829,S200000,00400,0500,P 85829,S200000,01600,0100,Y 85835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85835,A000000,00300,0000,00300EMPLOYEE BENEFITS 85835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85835,A000000,00700,0000,00700HOUSEKEEPING 85835,A000000,00800,0000,00800DIETARY 85835,A000000,00900,0000,00900NURSING ADMINISTRATION 85835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85835,A000000,01300,0000,01300SOCIAL SERVICE 85835,A000000,01600,0000,01600SKILLED NURSING FACILITY 85835,A000000,01800,0000,01800NURSING FACILITY 85835,A000000,02200,0000,02200LABORATORY 85835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85835,A000000,02500,0000,02500PHYSICAL THERAPY 85835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85835,A000000,02700,0000,02700SPEECH PATHOLOGY 85835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85835,A000000,03050,0000,03300BLOOD GLUCOSE 85835,A000000,03051,0000,03301AMBULANCE 85835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85835,A81000A,00100,0100,Y 85835,A81000B,00100,0300,RENTAL INCOME 85835,A81000B,00200,0300,BLDG/MOVE EQUIPMENT 85835,A81000B,00300,0300,EMP BENEFITS/PAYROLL 85835,A81000B,00400,0300,GENERAL OFFICE FEES 85835,A81000B,00500,0300,REPAIRS/MTCE 85835,A81000B,00600,0300,PT CONSULTANT 85835,A81000B,00700,0300,MED SUPP/EQ RENT 85835,A81000B,00800,0300,EMP BENEFITS 85835,A81000B,00900,0300,MED SUPPLIES 85835,A81000B,01000,0300,EMP BENEFITS 85835,A81000B,01100,0300,ANCILLARY COSTS 85835,A81000B,01200,0300,PHYSICAL TX 85835,A81000B,01300,0300,OCCUPATIONAL TX 85835,A81000B,01400,0300,SPEECH PATHOLOGY 85835,A81000C,00100,0100,A 85835,A81000C,00100,0400,DYNAMIC HEALTHC 85835,A81000C,00100,0600,BOOKKEEPING 85835,A81000C,00200,0100,A 85835,A81000C,00200,0400,AMBOY LLC 85835,A81000C,00200,0600,BUILDING PARTNE 85835,A81000C,00300,0100,A 85835,A81000C,00300,0400,LINCOLN MEDICAL 85835,A81000C,00300,0600,MEDICAL SUPPLIE 85835,A81000C,00400,0100,A 85835,A81000C,00400,0400,PHARMCOR LLC 85835,A81000C,00400,0600,MEDICAL SUPPLIE 85835,A81000C,00500,0100,A 85835,A81000C,00500,0400,DYNAMIC REHAB 85835,A81000C,00500,0600,THERAPY SERVICE 85835,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85835,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85835,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85835,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85835,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85835,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85835,B100000,00000,0800,00000MEALS SERVED :DIETARY 85835,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85835,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85835,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85835,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85835,E10A180,00501,0100,06/30/2000 85835,S000000,00100,0200,05/26/2000 85835,S200000,00100,0100,15 WEST WASSON ROAD 85835,S200000,00200,0100,AMBOY 85835,S200000,00200,0200,IL 85835,S200000,00200,0300,61310- 85835,S200000,00300,0100,LEE 85835,S200000,00400,0100,AMBOY NURSING AND REHAB CENTER 85835,S200000,00400,0200,145523 85835,S200000,00400,0300,05/11/1985 85835,S200000,00400,0500,P 85835,S200000,01600,0100,Y 85835,S200000,01900,0100,SUBCHAPTER S 85835,S700003,00000,0100,1 85842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85842,A000000,00300,0000,00300EMPLOYEE BENEFITS 85842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85842,A000000,00700,0000,00700HOUSEKEEPING 85842,A000000,00800,0000,00800DIETARY 85842,A000000,00900,0000,00900NURSING ADMINISTRATION 85842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85842,A000000,01100,0000,01100PHARMACY 85842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85842,A000000,01300,0000,01300SOCIAL SERVICE 85842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85842,A000000,01600,0000,01600SKILLED NURSING FACILITY 85842,A000000,01800,0000,01800NURSING FACILITY 85842,A000000,01810,0000,01810ICF/MR 85842,A000000,02100,0000,02100RADIOLOGY 85842,A000000,02200,0000,02200LABORATORY 85842,A000000,02500,0000,02500PHYSICAL THERAPY 85842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85842,A000000,02700,0000,02700SPEECH PATHOLOGY 85842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85842,A000000,03550,0000,03550FQHC 85842,A000000,05000,0000,05000CORF 85842,A000000,05010,0000,05010CMHC 85842,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85842,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85842,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85842,A81000A,00100,0100,Y 85842,A81000B,00200,0300,RENT 85842,A81000C,00200,0100,B 85842,A81000C,00200,0200,BIRCHWOOD PLAZA 85842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85842,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85842,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85842,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85842,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85842,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85842,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85842,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85842,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85842,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85842,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85842,S000000,00100,0200,04/27/2000 85842,S200000,00200,0200,CA 85842,S200000,00400,0100,BIRCHWOOD PLAZA NRSG. CTR.INC. 85842,S200000,00400,0200,145532 85842,S200000,00400,0300,12/01/1985 85842,S200000,00400,0500,P 85842,S200000,01600,0100,Y 85842,S700003,00000,0100,1 85851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85851,A000000,00300,0000,00300EMPLOYEE BENEFITS 85851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85851,A000000,00700,0000,00700HOUSEKEEPING 85851,A000000,00800,0000,00800DIETARY 85851,A000000,00900,0000,00900NURSING ADMINISTRATION 85851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85851,A000000,01300,0000,01300SOCIAL SERVICE 85851,A000000,01600,0000,01600SKILLED NURSING FACILITY 85851,A000000,01800,0000,01800NURSING FACILITY 85851,A000000,02200,0000,02200LABORATORY 85851,A000000,02500,0000,02500PHYSICAL THERAPY 85851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85851,A000000,02700,0000,02700SPEECH PATHOLOGY 85851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85851,A000000,05300,0000,05300INTEREST EXPENSE 85851,A81000A,00100,0100,Y 85851,A81000B,00100,0300,CAPITAL RELATED 85851,A81000B,00200,0300,ADMIN & GENERAL 85851,A81000B,00300,0300,THERAPY COSTS 85851,A81000B,00400,0300,THERAPY COSTS 85851,A81000B,00500,0300,THERAPY COSTS 85851,A81000B,00600,0300,PHARMACY COSTS 85851,A81000C,00100,0100,B 85851,A81000C,00100,0200,HERITAGE ENT. I 85851,A81000C,00100,0400,HERITAGE ENTERP 85851,A81000C,00100,0600,HOME OFFICE 85851,A81000C,00200,0100,B 85851,A81000C,00200,0200,HERITAGE ENT. I 85851,A81000C,00200,0400,HERITAGE THERAP 85851,A81000C,00200,0600,THERAPY DIVISIO 85851,A81000C,00300,0100,B 85851,A81000C,00300,0200,HERITAGE ENT. I 85851,A81000C,00300,0400,LTC PHARMACY 85851,A81000C,00300,0600,WHOLESALE PHARM 85851,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85851,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85851,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85851,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85851,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85851,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85851,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85851,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85851,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85851,S000000,00100,0200,06/25/1999 85851,S200000,00100,0100,1225 WOODLAND DR. 85851,S200000,00200,0100,MT. ZION 85851,S200000,00200,0200,IL 85851,S200000,00200,0300,62549- 85851,S200000,00300,0100,MACON 85851,S200000,00400,0100,HERITAGE MANOR - MT. ZION 85851,S200000,00400,0200,145546 85851,S200000,00400,0300,05/01/1988 85851,S200000,00400,0500,P 85851,S200000,00600,0200,145546 85851,S200000,00600,0300,05/01/1988 85851,S200000,00600,0600,P 85851,S200000,01005,0500,O 85851,S200000,01600,0100,Y 85851,S200000,02200,0100,Y 85851,S700003,00000,0100,1 85853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85853,A000000,00300,0000,00300EMPLOYEE BENEFITS 85853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85853,A000000,00700,0000,00700HOUSEKEEPING 85853,A000000,00800,0000,00800DIETARY 85853,A000000,00900,0000,00900NURSING ADMINISTRATION 85853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85853,A000000,01300,0000,01300SOCIAL SERVICE 85853,A000000,01600,0000,01600SKILLED NURSING FACILITY 85853,A000000,01800,0000,01800NURSING FACILITY 85853,A000000,02200,0000,02200LABORATORY 85853,A000000,02500,0000,02500PHYSICAL THERAPY 85853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85853,A000000,02700,0000,02700SPEECH PATHOLOGY 85853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85853,A000000,05300,0000,05300INTEREST EXPENSE 85853,A81000A,00100,0100,Y 85853,A81000B,00100,0300,CAPITAL RELATED 85853,A81000B,00200,0300,ADMIN & GENERAL 85853,A81000B,00300,0300,PHYSICAL THERAPY 85853,A81000B,00400,0300,OCCUPATIONAL THERAPY 85853,A81000B,00500,0300,SPEECH THERAPY 85853,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85853,A81000B,00700,0300,PHARMACY COSTS 85853,A81000C,00100,0100,B 85853,A81000C,00100,0200,HER MANOR SPRIN 85853,A81000C,00100,0400,HERITAGE ENTERP 85853,A81000C,00100,0600,HOME OFFICE 85853,A81000C,00200,0100,B 85853,A81000C,00200,0200,HER MANOR SPRIN 85853,A81000C,00200,0400,HERITAGE THERAP 85853,A81000C,00200,0600,THERAPY DIVISIO 85853,A81000C,00300,0100,B 85853,A81000C,00300,0200,HER MANOR SPRIN 85853,A81000C,00300,0400,LTC PHARMACY 85853,A81000C,00300,0600,WHOLESALE PHARM 85853,A81000C,00400,0100,B 85853,A81000C,00400,0200,HER MANOR SPRIN 85853,A81000C,00400,0400,GREEN TREE PHAR 85853,A81000C,00400,0600,WHOLESALE PHARM 85853,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85853,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85853,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85853,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85853,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85853,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85853,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85853,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85853,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85853,S000000,00100,0200,06/01/2000 85853,S200000,00100,0100,1225 WOODLAND DR. 85853,S200000,00200,0100,MT. ZION 85853,S200000,00200,0200,IL 85853,S200000,00200,0300,62549- 85853,S200000,00300,0100,MACON 85853,S200000,00400,0100,HERITAGE MANOR - MT. ZION 85853,S200000,00400,0200,145546 85853,S200000,00400,0300,05/01/1988 85853,S200000,00400,0500,P 85853,S200000,00400,0600,O 85853,S200000,00600,0200,145546 85853,S200000,00600,0300,05/01/1988 85853,S200000,00600,0600,P 85853,S200000,01600,0100,Y 85853,S200000,01900,0100,501(C)(3)CORP. 85853,S200000,02200,0100,Y 85853,S700003,00000,0200,2 85863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85863,A000000,00300,0000,00300EMPLOYEE BENEFITS 85863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85863,A000000,00700,0000,00700HOUSEKEEPING 85863,A000000,00800,0000,00800DIETARY 85863,A000000,00900,0000,00900NURSING ADMINISTRATION 85863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85863,A000000,01300,0000,01300SOCIAL SERVICE 85863,A000000,01600,0000,01600SKILLED NURSING FACILITY 85863,A000000,01800,0000,01800NURSING FACILITY 85863,A000000,02100,0000,02100RADIOLOGY 85863,A000000,02200,0000,02200LABORATORY 85863,A000000,02500,0000,02500PHYSICAL THERAPY 85863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85863,A000000,02700,0000,02700SPEECH PATHOLOGY 85863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85863,A000000,03050,0000,03300BGM 85863,A81000A,00100,0100,Y 85863,A81000B,00100,0300,HOME OFFICE COSTS 85863,A81000B,00200,0300,MANAGEMENT FEES 85863,A81000B,00300,0300,DIETARY SUPPLEMENTS 85863,A81000B,00400,0300,ENTERAL EXPENSE 85863,A81000B,00500,0300,CAPITAL RELATED COST 85863,A81000B,00600,0300,EMPLOYEE BENEFITS 85863,A81000B,00700,0300,ADMINISTRATIVE & GEN 85863,A81000B,00800,0300,PLANT OPERATION & MA 85863,A81000C,00100,0100,A 85863,A81000C,00100,0400,SW MGMT 85863,A81000C,00100,0600,BOOKKEEPING MGM 85863,A81000C,00200,0100,A 85863,A81000C,00200,0400,S & E MEDICAL 85863,A81000C,00200,0600,MEDICAL SUPPLY 85863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85863,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85863,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85863,B100000,00000,0800,00000MEALS SERVED :DIETARY 85863,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85863,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85863,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85863,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85863,S000000,00100,0200,05/25/2000 85863,S200000,00100,0100,ANNABLE COURT 85863,S200000,00200,0100,CAHOKIA 85863,S200000,00200,0200,IL 85863,S200000,00200,0300,62206- 85863,S200000,00300,0100,ST. CLAIR 85863,S200000,00400,0100,CAHOKIA NURSING & REHAB CENTER 85863,S200000,00400,0200,145581 85863,S200000,00400,0300,08/03/1987 85863,S200000,00400,0500,P 85863,S200000,01600,0100,Y 85863,S200000,01900,0100,SUB-CORP 85863,S200000,02200,0100,Y 85863,S700003,00000,0100,1 85870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85870,A000000,00300,0000,00300EMPLOYEE BENEFITS 85870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85870,A000000,00700,0000,00700HOUSEKEEPING 85870,A000000,00800,0000,00800DIETARY 85870,A000000,00900,0000,00900NURSING ADMINISTRATION 85870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85870,A000000,01100,0000,01100PHARMACY 85870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85870,A000000,01300,0000,01300SOCIAL SERVICE 85870,A000000,01350,0000,01500RECREATION 85870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85870,A000000,01600,0000,01600SKILLED NURSING FACILITY 85870,A000000,01800,0000,01800NURSING FACILITY 85870,A000000,01810,0000,01810ICF/MR 85870,A000000,02200,0000,02200LABORATORY 85870,A000000,02300,0000,02300INTRAVENOUS THERAPY 85870,A000000,02500,0000,02500PHYSICAL THERAPY 85870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85870,A000000,02700,0000,02700SPEECH PATHOLOGY 85870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85870,A000000,03050,0000,03300PEN 85870,A000000,03051,0000,03310AFT 85870,A000000,03550,0000,03550FQHC 85870,A000000,05000,0000,05000CORF 85870,A000000,05010,0000,05010CMHC 85870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85870,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85870,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85870,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85870,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85870,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85870,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85870,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85870,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 85870,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85870,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85870,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85870,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85870,E10A180,00501,0100,07/07/2000 85870,E10A180,00501,0300,07/07/2000 85870,S000000,00100,0200,06/01/2000 85870,S200000,00100,0100,1000 PALM STREET 85870,S200000,00200,0100,MATTOON 85870,S200000,00200,0200,IL 85870,S200000,00200,0300,61938- 85870,S200000,00300,0100,COLES 85870,S200000,00300,0300,R 85870,S200000,00400,0100,CONVALESCENT CARE CENTER - MATTOON 85870,S200000,00400,0200,145584 85870,S200000,00400,0300,12/01/1987 85870,S200000,00400,0500,P 85870,S200000,01004,0500,O 85870,S200000,01600,0100,Y 85877,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85877,A000000,00300,0000,00300EMPLOYEE BENEFITS 85877,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85877,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85877,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85877,A000000,00700,0000,00700HOUSEKEEPING 85877,A000000,00800,0000,00800DIETARY 85877,A000000,00900,0000,00900NURSING ADMINISTRATION 85877,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85877,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85877,A000000,01300,0000,01300SOCIAL SERVICE 85877,A000000,01600,0000,01600SKILLED NURSING FACILITY 85877,A000000,01800,0000,01800NURSING FACILITY 85877,A000000,02100,0000,02100RADIOLOGY 85877,A000000,02200,0000,02200LABORATORY 85877,A000000,02500,0000,02500PHYSICAL THERAPY 85877,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85877,A000000,02700,0000,02700SPEECH PATHOLOGY 85877,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85877,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85877,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85877,A81000A,00100,0100,Y 85877,A81000B,00100,0300,CAPITAL 85877,A81000B,00200,0300,EMPLOYEE BENEFIT COS 85877,A81000B,00300,0300,S.W.MANAGEMENT 85877,A81000B,00400,0300,REPAIR & MAINTENANCE 85877,A81000B,00500,0300,S & E MEDICAL SUPPLI 85877,A81000B,00600,0300,MED A SUPPLEMENTS 85877,A81000C,00100,0100,A 85877,A81000C,00100,0400,S.W.MANAGEMENT 85877,A81000C,00100,0600,MANAGEMENT COMP 85877,A81000C,00200,0100,A 85877,A81000C,00200,0400,S & E 85877,A81000C,00200,0600,MEDICAL SUPPLY 85877,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85877,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85877,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85877,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85877,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85877,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85877,B100000,00000,0800,00000MEALS SERVED :DIETARY 85877,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85877,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85877,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85877,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85877,S000000,00100,0200,05/25/2000 85877,S200000,00100,0100,601 W. LINCOLN 85877,S200000,00200,0100,CASEYVILLE 85877,S200000,00200,0200,IL 85877,S200000,00200,0300,62232- 85877,S200000,00300,0100,ST. CLAIR 85877,S200000,00400,0100,CASEYVILLE NURSING & REHABILITATION 85877,S200000,00400,0200,145585 85877,S200000,00400,0300,09/22/1987 85877,S200000,00400,0500,P 85877,S200000,01600,0100,Y 85877,S700003,00000,0100,1 85884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85884,A000000,00300,0000,00300EMPLOYEE BENEFITS 85884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85884,A000000,00700,0000,00700HOUSEKEEPING 85884,A000000,00800,0000,00800DIETARY 85884,A000000,00900,0000,00900NURSING ADMINISTRATION 85884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85884,A000000,01100,0000,01100PHARMACY 85884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85884,A000000,01300,0000,01300SOCIAL SERVICE 85884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85884,A000000,01600,0000,01600SKILLED NURSING FACILITY 85884,A000000,01800,0000,01800NURSING FACILITY 85884,A000000,01900,0000,01900OTHER LONG TERM CARE 85884,A000000,02100,0000,02100RADIOLOGY 85884,A000000,02200,0000,02200LABORATORY 85884,A000000,02300,0000,02300INTRAVENOUS THERAPY 85884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85884,A000000,02500,0000,02500PHYSICAL THERAPY 85884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85884,A000000,02700,0000,02700SPEECH PATHOLOGY 85884,A000000,02800,0000,02800ELECTROCARDIOLOGY 85884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85884,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 85884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85884,A000000,03200,0000,03200SUPPORT SURFACES 85884,A000000,03400,0000,03400CLINIC 85884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 85884,A000000,04800,0000,04800AMBULANCE 85884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85884,A000000,05300,0000,05300INTEREST EXPENSE 85884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85884,A000000,06100,0000,06100NONPAID WORKERS 85884,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85884,A000000,06200,0000,06200PATIENTS LAUNDRY 85884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85884,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85884,B100000,00000,0800,00000MEALS SERVED :DIETARY 85884,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 85884,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85884,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 85884,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85884,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85884,S000000,00100,0200,05/30/2000 85884,S200000,00100,0100,1200 EAST PARTRIDGE 85884,S200000,00200,0100,METAMORA 85884,S200000,00200,0200,IL 85884,S200000,00200,0300,61548- 85884,S200000,00300,0100,WOODFORD 85884,S200000,00400,0100,SNYDER VILLAGE HEALTH CENTER 85884,S200000,00400,0200,145596 85884,S200000,00400,0300,08/25/1998 85884,S200000,00400,0500,P 85884,S200000,01004,0500,O 85884,S200000,01600,0100,Y 85884,S700003,00000,0100,1 85890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85890,A000000,00300,0000,00300EMPLOYEE BENEFITS 85890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85890,A000000,00700,0000,00700HOUSEKEEPING 85890,A000000,00800,0000,00800DIETARY 85890,A000000,00900,0000,00900NURSING ADMINISTRATION 85890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85890,A000000,01100,0000,01100PHARMACY 85890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85890,A000000,01300,0000,01300SOCIAL SERVICE 85890,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85890,A000000,01600,0000,01600SKILLED NURSING FACILITY 85890,A000000,01800,0000,01800NURSING FACILITY 85890,A000000,01810,0000,01810ICF/MR 85890,A000000,02500,0000,02500PHYSICAL THERAPY 85890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85890,A000000,02700,0000,02700SPEECH PATHOLOGY 85890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85890,A000000,03550,0000,03550FQHC 85890,A000000,05000,0000,05000CORF 85890,A000000,05010,0000,05010CMHC 85890,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85890,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85890,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85890,A81000A,00100,0100,Y 85890,A81000B,00100,0300,MGT FEE - NON CAPITA 85890,A81000B,00200,0300,MGT FEE - CAPITAL 85890,A81000C,00100,0100,B 85890,A81000C,00100,0200,COVENANT RET. C 85890,A81000C,00100,0400,N/A 85890,A81000C,00100,0600,N/A 85890,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85890,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 85890,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85890,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85890,B100000,00000,0650,00000PATIENT CENSUS :LAUNDRY & LINEN SE 85890,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85890,B100000,00000,0800,00000MEALS SERVED :DIETARY 85890,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85890,B100000,00000,1050,00000PATIENT CENSUS :CENTRAL SERVICES & 85890,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85890,B100000,00000,1250,00000PATIENT CENSUS :MEDICAL RECORDS & 85890,B100000,00000,1330,00000PATIENT CENSUS :SOCIAL SERVICE 85890,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85890,S000000,00100,0200,06/05/2000 85890,S200000,00100,0100,110 WINDSOR PARK DRIVE 85890,S200000,00200,0100,CAROL STREAM 85890,S200000,00200,0200,IL 85890,S200000,00200,0300,60188- 85890,S200000,00300,0100,DUPAGE 85890,S200000,00400,0100,WINDSOR PARK MANOR 85890,S200000,00400,0200,145606 85890,S200000,00400,0300,03/03/1989 85890,S200000,00400,0500,P 85890,S200000,01600,0100,Y 85890,S200000,02200,0100,Y 85890,S700003,00000,0100,1 85902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85902,A000000,00300,0000,00300EMPLOYEE BENEFITS 85902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85902,A000000,00700,0000,00700HOUSEKEEPING 85902,A000000,00800,0000,00800DIETARY 85902,A000000,00900,0000,00900NURSING ADMINISTRATION 85902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85902,A000000,01300,0000,01300SOCIAL SERVICE 85902,A000000,01600,0000,01600SKILLED NURSING FACILITY 85902,A000000,01800,0000,01800NURSING FACILITY 85902,A000000,02100,0000,02100RADIOLOGY 85902,A000000,02200,0000,02200LABORATORY 85902,A000000,02500,0000,02500PHYSICAL THERAPY 85902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85902,A000000,02700,0000,02700SPEECH PATHOLOGY 85902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85902,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85902,A81000A,00100,0100,Y 85902,A81000B,00100,0300,CAPITAL RELATED COST 85902,A81000B,00200,0300,EMPLOYEE BENEFITS 85902,A81000B,00300,0300,GEN & ADMIN 85902,A81000B,00400,0300,PLANT MAINTENANCE 85902,A81000C,00100,0100,A 85902,A81000C,00100,0400,HEALTHCARE MANA 85902,A81000C,00100,0600,MANAGEMENT CO. 85902,A81000C,00200,0100,A 85902,A81000C,00200,0400,CAHOKIA HC PROP 85902,A81000C,00200,0600,BLDG PARTNERSHI 85902,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85902,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85902,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85902,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85902,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85902,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85902,B100000,00000,0800,00000MEALS SERVED :DIETARY 85902,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85902,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85902,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85902,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85902,S000000,00100,0200,06/01/2000 85902,S200000,00100,0100,3354 JEROME LANE 85902,S200000,00200,0100,CAHOKIA 85902,S200000,00200,0200,IL 85902,S200000,00200,0300,62206- 85902,S200000,00300,0100,ST. CLAIR 85902,S200000,00400,0100,RIVER BLUFFS NSG. & REHAB 85902,S200000,00400,0200,145613 85902,S200000,00400,0300,07/02/1994 85902,S200000,00400,0500,P 85902,S200000,01600,0100,Y 85902,S200000,04900,0100,Y 85902,S700003,00000,0100,1 85911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85911,A000000,00300,0000,00300EMPLOYEE BENEFITS 85911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85911,A000000,00700,0000,00700HOUSEKEEPING 85911,A000000,00800,0000,00800DIETARY 85911,A000000,00900,0000,00900NURSING ADMINISTRATION 85911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85911,A000000,01300,0000,01300SOCIAL SERVICE 85911,A000000,01600,0000,01600SKILLED NURSING FACILITY 85911,A000000,01800,0000,01800NURSING FACILITY 85911,A000000,02100,0000,02100RADIOLOGY 85911,A000000,02200,0000,02200LABORATORY 85911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85911,A000000,02500,0000,02500PHYSICAL THERAPY 85911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85911,A000000,02700,0000,02700SPEECH PATHOLOGY 85911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85911,A000000,05300,0000,05300INTEREST EXPENSE 85911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85911,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85911,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85911,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85911,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85911,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85911,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85911,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85911,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85911,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85911,S000000,00100,0200,06/01/2000 85911,S200000,00100,0100,520 N. PRICE 85911,S200000,00200,0100,MASON CITY 85911,S200000,00200,0200,IL 85911,S200000,00200,0300,62664- 85911,S200000,00300,0100,MASON 85911,S200000,00400,0100,MASON CITY AREA NURSING HOME 85911,S200000,00400,0200,145616 85911,S200000,00400,0300,01/01/1989 85911,S200000,00400,0500,P 85911,S200000,00400,0600,O 85911,S200000,00600,0200,145616 85911,S200000,00600,0300,01/01/1989 85911,S200000,00600,0600,P 85911,S200000,01004,0500,O 85911,S200000,01600,0100,Y 85911,S200000,01900,0100,501(C)(3)CORP. 85911,S200000,02200,0100,Y 85911,S700003,00000,0100,1 85920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85920,A000000,00300,0000,00300EMPLOYEE BENEFITS 85920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85920,A000000,00700,0000,00700HOUSEKEEPING 85920,A000000,00800,0000,00800DIETARY 85920,A000000,00900,0000,00900NURSING ADMINISTRATION 85920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85920,A000000,01300,0000,01300SOCIAL SERVICE 85920,A000000,01600,0000,01600SKILLED NURSING FACILITY 85920,A000000,01800,0000,01800NURSING FACILITY 85920,A000000,02100,0000,02100RADIOLOGY 85920,A000000,02200,0000,02200LABORATORY 85920,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85920,A000000,02500,0000,02500PHYSICAL THERAPY 85920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85920,A000000,02700,0000,02700SPEECH PATHOLOGY 85920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85920,A000000,03050,0000,03300BLOOD GLUCOSE 85920,A000000,03051,0000,03301AMBULANCE 85920,A000000,03200,0000,03200SUPPORT SURFACES 85920,A000000,05000,0000,05000CORF 85920,A000000,05010,0000,05010CMHC 85920,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85920,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85920,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85920,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85920,A81000A,00100,0100,Y 85920,A81000B,00100,0300,NURSING SUPPLIES 85920,A81000B,00200,0300,FOOD 85920,A81000B,00300,0300,VENDING 85920,A81000B,00400,0300,DIETARY 85920,A81000B,00500,0300,LAUNDRY 85920,A81000B,00600,0300,HOUSEKEEPING 85920,A81000B,00700,0300,MAINTENANCE 85920,A81000B,00800,0300,ACTIVITIES 85920,A81000B,00900,0300,ADMIN AND GENERAL 85920,A81000B,01000,0300,RENT EXPENSE 85920,A81000B,01100,0300,DEPRECIATION 85920,A81000B,01200,0300,INTEREST EXPENSE 85920,A81000B,01300,0300,PLANT OPERATION 85920,A81000B,01400,0300,ADMIN AND GENERAL 85920,A81000B,01500,0300,EMPLOYEE BENEFITS 85920,A81000B,01600,0300,ADMIN SALARIES 85920,A81000B,01700,0300,CAPITAL COSTS 85920,A81000B,01800,0300,MANAGEMENT FEES 85920,A81000B,01900,0300,DIETARY LABOR 85920,A81000B,02000,0300,CONTRACT NURSING 85920,A81000B,02100,0300,SOCIAL SERVICE LABOR 85920,A81000B,02200,0300,ACTIVITY LABOR 85920,A81000B,02300,0300,ADMIN LABOR 85920,A81000B,02400,0300,MEDICAL SUPPLIES 85920,A81000B,02500,0300,ADMIN AND GENERAL 85920,A81000C,00100,0100,A 85920,A81000C,00100,0400,MADO MANAGEMENT 85920,A81000C,00100,0600,MANAGEMENT COMP 85920,A81000C,00200,0100,B 85920,A81000C,00200,0400,1721 CORPORATIO 85920,A81000C,00200,0600,BUILDING COMPAN 85920,A81000C,00300,0100,C 85920,A81000C,00300,0400,WINDY CITY NURS 85920,A81000C,00300,0600,CONTRACT SERVIC 85920,A81000C,00400,0100,D 85920,A81000C,00400,0400,ST. AGNES MEDIC 85920,A81000C,00400,0600,MEDICAL SUPPLIE 85920,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85920,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85920,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85920,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85920,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85920,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85920,B100000,00000,0800,00000MEALS SERVED :DIETARY 85920,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85920,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85920,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85920,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85920,S000000,00100,0200,05/25/2000 85920,S200000,00100,0100,1721 SOUTH WABASH 85920,S200000,00200,0100,CHICAGO 85920,S200000,00200,0200,IL 85920,S200000,00200,0300,60616- 85920,S200000,00300,0100,COOK 85920,S200000,00400,0100,ST. AGNES MANOR 85920,S200000,00400,0200,145632 85920,S200000,00400,0300,07/26/1983 85920,S200000,00400,0500,P 85920,S200000,01600,0100,Y 85920,S200000,01900,0100,SUB-S CORP 85920,S200000,02800,0100,Y 85920,S200000,04700,0100,Y 85920,S700003,00000,0100,1 85926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85926,A000000,00300,0000,00300EMPLOYEE BENEFITS 85926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85926,A000000,00700,0000,00700HOUSEKEEPING 85926,A000000,00800,0000,00800DIETARY 85926,A000000,00900,0000,00900NURSING ADMINISTRATION 85926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85926,A000000,01300,0000,01300SOCIAL SERVICE 85926,A000000,01600,0000,01600SKILLED NURSING FACILITY 85926,A000000,01800,0000,01800NURSING FACILITY 85926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85926,A000000,02500,0000,02500PHYSICAL THERAPY 85926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85926,A000000,02700,0000,02700SPEECH PATHOLOGY 85926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85926,A000000,05300,0000,05300INTEREST EXPENSE 85926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85926,A81000A,00100,0100,Y 85926,A81000B,00100,0300,CAPITAL RELATED 85926,A81000B,00200,0300,ADMIN & GENERAL 85926,A81000B,00300,0300,PHYSICAL THERAPY 85926,A81000B,00400,0300,OCCUPATIONAL THERAPY 85926,A81000B,00500,0300,SPEECH THERAPY 85926,A81000B,00600,0300,MEDICAL SUPPLY COSTS 85926,A81000B,00700,0300,PHARMACY COSTS 85926,A81000B,00800,0300,GENERAL SUPPLIES 85926,A81000C,00100,0100,B 85926,A81000C,00100,0200,HER MANOR SPRIN 85926,A81000C,00100,0400,HERITAGE ENTERP 85926,A81000C,00100,0600,HOME OFFICE 85926,A81000C,00200,0100,B 85926,A81000C,00200,0200,HER MANOR SPRIN 85926,A81000C,00200,0400,HERITAGE THERAP 85926,A81000C,00200,0600,THERAPY DIVISIO 85926,A81000C,00300,0100,B 85926,A81000C,00300,0200,HER MANOR SPRIN 85926,A81000C,00300,0400,LTC PHARMACY 85926,A81000C,00300,0600,WHOLESALE PHARM 85926,A81000C,00400,0100,B 85926,A81000C,00400,0200,HER MANOR SPRIN 85926,A81000C,00400,0400,GREEN TREE PHAR 85926,A81000C,00400,0600,WHOLESALE PHARM 85926,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85926,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85926,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85926,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85926,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85926,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85926,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85926,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85926,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85926,S000000,00100,0200,06/01/2000 85926,S200000,00100,0100,1501 CANAL 85926,S200000,00100,0300,377 85926,S200000,00200,0100,BEARDSTOWN 85926,S200000,00200,0200,IL 85926,S200000,00200,0300,62618- 85926,S200000,00300,0100,CASS 85926,S200000,00400,0100,HERITAGE MANOR - BEARDSTOWN EAST 85926,S200000,00400,0200,145635 85926,S200000,00400,0300,10/01/1989 85926,S200000,00400,0500,P 85926,S200000,00400,0600,O 85926,S200000,00600,0200,145635 85926,S200000,00600,0300,10/01/1989 85926,S200000,00600,0600,P 85926,S200000,01600,0100,Y 85926,S200000,01900,0100,501(C)(3)CORP. 85926,S200000,02200,0100,Y 85926,S700003,00000,0100,1 85934,S000000,00100,0200,04/04/2000 85938,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85938,A000000,00300,0000,00300EMPLOYEE BENEFITS 85938,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85938,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85938,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85938,A000000,00700,0000,00700HOUSEKEEPING 85938,A000000,00800,0000,00800DIETARY 85938,A000000,00900,0000,00900NURSING ADMINISTRATION 85938,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85938,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85938,A000000,01300,0000,01300SOCIAL SERVICE 85938,A000000,01600,0000,01600SKILLED NURSING FACILITY 85938,A000000,01800,0000,01800NURSING FACILITY 85938,A000000,02200,0000,02200LABORATORY 85938,A000000,02500,0000,02500PHYSICAL THERAPY 85938,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85938,A000000,02700,0000,02700SPEECH PATHOLOGY 85938,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85938,A000000,05000,0000,05000CORF 85938,A000000,05010,0000,05010CMHC 85938,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85938,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85938,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85938,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85938,A81000A,00100,0100,Y 85938,A81000B,00100,0300,RENTAL INCOME 85938,A81000B,00200,0300,INTEREST 85938,A81000B,00300,0300,DEPRECIATION 85938,A81000B,00400,0300,AMORTIZATION 85938,A81000C,00100,0100,A 85938,A81000C,00100,0200,PLUM GROVE NURS 85938,A81000C,00100,0400,PLUM GROVE HEAL 85938,A81000C,00100,0600,BUILDING COMPAN 85938,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85938,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85938,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85938,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85938,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85938,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85938,B100000,00000,0800,00000MEALS SERVED :DIETARY 85938,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85938,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85938,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85938,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85938,S000000,00100,0200,06/02/2000 85938,S200000,00100,0100,24 SOUTH PLUM ROAD 85938,S200000,00200,0100,PALATINE 85938,S200000,00200,0200,IL 85938,S200000,00200,0300,60067- 85938,S200000,00300,0100,COOK 85938,S200000,00400,0100,PLUM GROVE OF PALATINE 85938,S200000,00400,0200,145658 85938,S200000,00400,0300,08/31/1993 85938,S200000,00400,0500,P 85938,S200000,01004,0500,O 85938,S200000,01600,0100,Y 85938,S700003,00000,0100,1 85948,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85948,A000000,00300,0000,00300EMPLOYEE BENEFITS 85948,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85948,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85948,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85948,A000000,00700,0000,00700HOUSEKEEPING 85948,A000000,00800,0000,00800DIETARY 85948,A000000,00900,0000,00900NURSING ADMINISTRATION 85948,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85948,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85948,A000000,01300,0000,01300SOCIAL SERVICE 85948,A000000,01600,0000,01600SKILLED NURSING FACILITY 85948,A000000,01800,0000,01800NURSING FACILITY 85948,A000000,02100,0000,02100RADIOLOGY 85948,A000000,02200,0000,02200LABORATORY 85948,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85948,A000000,02500,0000,02500PHYSICAL THERAPY 85948,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85948,A000000,02700,0000,02700SPEECH PATHOLOGY 85948,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85948,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85948,A000000,03200,0000,03200SUPPORT SURFACES 85948,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 85948,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85948,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85948,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 85948,A81000A,00100,0100,Y 85948,A81000B,00100,0300,RENTAL INCOME 85948,A81000B,00200,0300,ADDL RENT-R.E. TAX 85948,A81000B,00300,0300,MORTGAGE AMORTZ 85948,A81000B,00400,0300,INTEREST EXP-MORT 85948,A81000B,00500,0300,REAL ESTATE TAXES 85948,A81000B,00600,0300,REPLACEMENT TAX 85948,A81000B,00700,0300,TRUST FEES 85948,A81000B,00800,0300,DEPRECIATION 85948,A81000B,00900,0300,GLEN H&H-CAPITAL 85948,A81000B,01000,0300,GLEN H&H-ADMIN 85948,A81000B,01100,0300,ADMIN SALARIES 85948,A81000B,01200,0300,MGT FEES-GLENBAR 85948,A81000B,01300,0300,COST OF MED SUPPL 85948,A81000B,01400,0300,FOOD SUPPLEMENT 85948,A81000B,01500,0300,THERAPY COSTS-TM 85948,A81000B,01600,0300,THERAPY COSTS-TM 85948,A81000B,01700,0300,THERAPY COSTS-TM 85948,A81000B,01800,0300,G & A COSTS-TM 85948,A81000C,00100,0100,A 85948,A81000C,00100,0200,SIDNEY GLENNER 85948,A81000C,00100,0400,GLEN HEALTH & 85948,A81000C,00100,0600,MGMT. 85948,A81000C,00200,0100,A 85948,A81000C,00200,0400,HOME MANAGEMNT. 85948,A81000C,00200,0600,COMP. 85948,A81000C,00300,0100,A 85948,A81000C,00300,0200,SIDNEY GLENNER 85948,A81000C,00300,0400,GLENBAR MGMT. 85948,A81000C,00300,0600,MGMT. 85948,A81000C,00400,0100,A 85948,A81000C,00400,0200,BARRY RAY 85948,A81000C,00400,0400,GLENBAR MGMT. 85948,A81000C,00400,0600,MGMT. 85948,A81000C,00500,0100,A 85948,A81000C,00500,0200,SIDNEY GLENNER 85948,A81000C,00500,0400,GLENBRIDGE R/E 85948,A81000C,00500,0600,BUILDNG 85948,A81000C,00600,0100,A 85948,A81000C,00600,0400,DEVELOPMENT LLC 85948,A81000C,00600,0600,LESSOR 85948,A81000C,00700,0100,A 85948,A81000C,00700,0200,BARRY RAY 85948,A81000C,00700,0400,GLENBRIDGE R/E 85948,A81000C,00700,0600,BUILDNG 85948,A81000C,00800,0100,A 85948,A81000C,00800,0400,DEVELOPMENT LLC 85948,A81000C,00800,0600,LESSOR 85948,A81000C,00900,0100,A 85948,A81000C,00900,0200,SIDNEY GLENNER 85948,A81000C,00900,0400,THERAPY MASTERS 85948,A81000C,00900,0600,THER.CO 85948,A81000C,01000,0100,A 85948,A81000C,01000,0200,BARRY RAY 85948,A81000C,01000,0400,THERAPY MASTERS 85948,A81000C,01000,0600,THER.CO 85948,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85948,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85948,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85948,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85948,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85948,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85948,B100000,00000,0800,00000MEALS SERVED :DIETARY 85948,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 85948,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85948,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85948,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85948,E10A180,00501,0100,04/26/2000 85948,S000000,00100,0200,03/31/2000 85948,S200000,00100,0100,8333 WEST GOLF ROAD 85948,S200000,00200,0100,NILES 85948,S200000,00200,0200,IL 85948,S200000,00200,0300,60714- 85948,S200000,00300,0100,COOK 85948,S200000,00400,0100,GLEN BRIDGE NSG & REHAB CTR. LTD 85948,S200000,00400,0200,145662 85948,S200000,00400,0300,10/05/1989 85948,S200000,00400,0500,P 85948,S200000,01600,0100,Y 85948,S700003,00000,0100,1 85956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85956,A000000,00300,0000,00300EMPLOYEE BENEFITS 85956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85956,A000000,00700,0000,00700HOUSEKEEPING 85956,A000000,00800,0000,00800DIETARY 85956,A000000,00900,0000,00900NURSING ADMINISTRATION 85956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85956,A000000,01100,0000,01100PHARMACY 85956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85956,A000000,01300,0000,01300SOCIAL SERVICE 85956,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85956,A000000,01600,0000,01600SKILLED NURSING FACILITY 85956,A000000,01800,0000,01800NURSING FACILITY 85956,A000000,01810,0000,01810ICF/MR 85956,A000000,01900,0000,01900OTHER LONG TERM CARE 85956,A000000,02100,0000,02100RADIOLOGY 85956,A000000,02200,0000,02200LABORATORY 85956,A000000,02300,0000,02300INTRAVENOUS THERAPY 85956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 85956,A000000,02500,0000,02500PHYSICAL THERAPY 85956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85956,A000000,02700,0000,02700SPEECH PATHOLOGY 85956,A000000,02800,0000,02800ELECTROCARDIOLOGY 85956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85956,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 85956,A000000,03200,0000,03200SUPPORT SURFACES 85956,A000000,03400,0000,03400CLINIC 85956,A000000,03500,0000,03500RURAL HEALTH CLINIC 85956,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 85956,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 85956,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 85956,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 85956,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 85956,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 85956,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 85956,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 85956,A000000,04400,0000,04400DME RENTED - HHA 85956,A000000,04500,0000,04500DME SOLD - HHA 85956,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 85956,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 85956,A000000,04800,0000,04800AMBULANCE 85956,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 85956,A000000,05000,0000,05000CORF 85956,A000000,05010,0000,05010CMHC 85956,A000000,05020,0000,05020OPT 85956,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85956,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85956,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85956,A000000,05300,0000,05300INTEREST EXPENSE 85956,A000000,05350,0000,05600PROVIDER PARTICIPATION FEE 85956,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85956,A000000,05500,0000,05500HOSPICE 85956,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85956,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 85956,A000000,06100,0000,06100NONPAID WORKERS 85956,A000000,06200,0000,06200PATIENTS LAUNDRY 85956,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85956,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85956,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85956,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85956,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 85956,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 85956,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85956,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 85956,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 85956,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 85956,B100000,00000,1450,000003 PATIENT DAYS :INTERNS & RESIDENTS 85956,E10A180,00501,0100,12/04/2000 85956,E10A180,00501,0300,12/04/2000 85956,S000000,00100,0200,10/30/2000 85956,S200000,00100,0100,601 N. COLUMBIA 85956,S200000,00100,0300,N/A 85956,S200000,00200,0100,WEST FRANKFORT 85956,S200000,00200,0200,IL 85956,S200000,00200,0300,62896- 85956,S200000,00300,0100,FRANKLIN 85956,S200000,00300,0200,14 85956,S200000,00300,0300,R 85956,S200000,00400,0100,WESTSIDE CARE CENTER INC. 85956,S200000,00400,0200,145664 85956,S200000,00400,0300,04/01/1990 85956,S200000,00400,0500,P 85956,S200000,01042,0600,O 85956,S200000,01500,0100,Y 85956,S200000,02200,0100,Y 85956,S200000,03000,0100,Y 85956,S200000,04300,0100,Y 85962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85962,A000000,00300,0000,00300EMPLOYEE BENEFITS 85962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85962,A000000,00700,0000,00700HOUSEKEEPING 85962,A000000,00800,0000,00800DIETARY 85962,A000000,00900,0000,00900NURSING ADMINISTRATION 85962,A000000,01300,0000,01300SOCIAL SERVICE 85962,A000000,01600,0000,01600SKILLED NURSING FACILITY 85962,A000000,01800,0000,01800NURSING FACILITY 85962,A000000,01900,0000,01900OTHER LONG TERM CARE 85962,A000000,02100,0000,02100RADIOLOGY 85962,A000000,02200,0000,02200LABORATORY 85962,A000000,02500,0000,02500PHYSICAL THERAPY 85962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85962,A000000,02700,0000,02700SPEECH PATHOLOGY 85962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85962,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85962,A000000,05300,0000,05300INTEREST EXPENSE 85962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85962,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85962,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85962,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85962,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85962,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85962,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85962,B100000,00000,0800,00000MEALS SERVED :DIETARY 85962,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85962,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85962,E10A180,00501,0100,05/18/2000 85962,E10A180,00501,0300,05/18/2000 85962,S000000,00100,0200,05/03/2000 85962,S200000,00100,0100,610 WEST CRUGER 85962,S200000,00200,0100,EUREKA 85962,S200000,00200,0200,IL 85962,S200000,00200,0300,61530-0128 85962,S200000,00300,0100,WOODFORD 85962,S200000,00400,0100,APOSTOLIC CHRISTIAN HOME OF EUREKA 85962,S200000,00400,0200,145673 85962,S200000,00400,0300,02/01/1990 85962,S200000,00400,0500,P 85962,S200000,01600,0100,Y 85962,S200000,02800,0100,Y 85962,S700003,00000,0100,1 85972,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85972,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85972,A000000,00300,0000,00300EMPLOYEE BENEFITS 85972,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85972,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85972,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85972,A000000,00700,0000,00700HOUSEKEEPING 85972,A000000,00800,0000,00800DIETARY 85972,A000000,00900,0000,00900NURSING ADMINISTRATION 85972,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85972,A000000,01100,0000,01100PHARMACY 85972,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85972,A000000,01300,0000,01300SOCIAL SERVICE 85972,A000000,01350,0000,01500RECREATION 85972,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 85972,A000000,01600,0000,01600SKILLED NURSING FACILITY 85972,A000000,01800,0000,01800NURSING FACILITY 85972,A000000,01810,0000,01810ICF/MR 85972,A000000,02200,0000,02200LABORATORY 85972,A000000,02500,0000,02500PHYSICAL THERAPY 85972,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85972,A000000,02700,0000,02700SPEECH PATHOLOGY 85972,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85972,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85972,A000000,03050,0000,03300PEN 85972,A000000,03550,0000,03550FQHC 85972,A000000,05000,0000,05000CORF 85972,A000000,05010,0000,05010CMHC 85972,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 85972,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 85972,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 85972,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85972,A81000A,00100,0100,Y 85972,A81000B,00100,0300,MANAGEMENT FEE 85972,A81000C,00100,0100,B 85972,A81000C,00100,0200,MIDWEST CARE CE 85972,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85972,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85972,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85972,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85972,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85972,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85972,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85972,B100000,00000,0850,00000PATIENT DAYS :DIETARY 85972,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 85972,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 85972,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 85972,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85972,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85972,B100000,00000,1350,00000PATIENT DAYS :RECREATION 85972,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 85972,S000000,00100,0200,06/02/2000 85972,S200000,00100,0100,1515 BLACKHAWK 85972,S200000,00200,0100,SOUTH BELOIT 85972,S200000,00200,0200,IL 85972,S200000,00200,0300,61080- 85972,S200000,00300,0100,WINNEBEGO 85972,S200000,00400,0100,FAIR OAKS HEALTH CARE CENTER 85972,S200000,00400,0200,145702 85972,S200000,00400,0300,10/01/1991 85972,S200000,00400,0500,P 85972,S200000,01600,0100,Y 85972,S700003,00000,0100,1 85976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 85976,A000000,00300,0000,00300EMPLOYEE BENEFITS 85976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85976,A000000,00700,0000,00700HOUSEKEEPING 85976,A000000,00800,0000,00800DIETARY 85976,A000000,00900,0000,00900NURSING ADMINISTRATION 85976,A000000,01300,0000,01300SOCIAL SERVICE 85976,A000000,01600,0000,01600SKILLED NURSING FACILITY 85976,A000000,01800,0000,01800NURSING FACILITY 85976,A000000,01900,0000,01900OTHER LONG TERM CARE 85976,A000000,02100,0000,02100RADIOLOGY 85976,A000000,02200,0000,02200LABORATORY 85976,A000000,02500,0000,02500PHYSICAL THERAPY 85976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85976,A000000,02700,0000,02700SPEECH PATHOLOGY 85976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85976,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 85976,A000000,05300,0000,05300INTEREST EXPENSE 85976,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 85976,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 85976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 85976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85976,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85976,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85976,B100000,00000,0800,00000MEALS SERVED :DIETARY 85976,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 85976,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85976,E10A180,00501,0300,05/24/2000 85976,S000000,00100,0200,05/01/2000 85976,S200000,00100,0100,1102 WEST RANDOLPH STREET 85976,S200000,00200,0100,ROANOKE 85976,S200000,00200,0200,IL 85976,S200000,00200,0300,61561- 85976,S200000,00300,0100,WOODFORD 85976,S200000,00400,0100,APOSTOLIC CHRISTIAN HOME OF ROANOKE 85976,S200000,00400,0200,145704 85976,S200000,00400,0300,10/01/1991 85976,S200000,00400,0500,P 85976,S200000,01600,0100,Y 85976,S700003,00000,0100,1 85985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85985,A000000,00300,0000,00300EMPLOYEE BENEFITS 85985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85985,A000000,00700,0000,00700HOUSEKEEPING 85985,A000000,00800,0000,00800DIETARY 85985,A000000,00900,0000,00900NURSING ADMINISTRATION 85985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85985,A000000,01300,0000,01300SOCIAL SERVICE 85985,A000000,01600,0000,01600SKILLED NURSING FACILITY 85985,A000000,01800,0000,01800NURSING FACILITY 85985,A000000,02100,0000,02100RADIOLOGY 85985,A000000,02200,0000,02200LABORATORY 85985,A000000,02500,0000,02500PHYSICAL THERAPY 85985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85985,A000000,02700,0000,02700SPEECH PATHOLOGY 85985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85985,A000000,03050,0000,03300BGM 85985,A000000,04800,0000,04800AMBULANCE 85985,A81000A,00100,0100,Y 85985,A81000B,00100,0300,PROFESSIONAL FEES 85985,A81000B,00200,0300,MANAGEMENT FEES 85985,A81000B,00300,0300,ENTERAL EXPENSE 85985,A81000B,00400,0300,CAPITAL RELATED COST 85985,A81000B,00500,0300,EMPLOYEE BENEFITS 85985,A81000B,00600,0300,ADMIN. & GENERAL 85985,A81000B,00700,0300,PLANT OPERATION & MA 85985,A81000C,00100,0100,A 85985,A81000C,00100,0400,SW MANAGEMENT 85985,A81000C,00100,0600,MANAGEMENT CO. 85985,A81000C,00200,0100,A 85985,A81000C,00200,0400,S & E MEDICAL S 85985,A81000C,00200,0600,MEDICAL SUPPLY 85985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85985,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85985,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 85985,B100000,00000,0800,00000MEALS SERVED :DIETARY 85985,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 85985,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85985,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85985,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85985,S000000,00100,0200,05/25/2000 85985,S200000,00100,0100,5050 SUMMIT 85985,S200000,00200,0100,EAST ST LOUIS 85985,S200000,00200,0200,IL 85985,S200000,00200,0300,62202- 85985,S200000,00300,0100,ST.CLAIR 85985,S200000,00400,0100,VIRGIL CALVERT NURSING & REHAB 85985,S200000,00400,0200,145705 85985,S200000,00400,0300,10/01/1991 85985,S200000,00400,0500,P 85985,S200000,01600,0100,Y 85985,S200000,01900,0100,SUB-CORP 85985,S700003,00000,0100,1 85992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85992,A000000,00300,0000,00300EMPLOYEE BENEFITS 85992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85992,A000000,00700,0000,00700HOUSEKEEPING 85992,A000000,00800,0000,00800DIETARY 85992,A000000,00900,0000,00900NURSING ADMINISTRATION 85992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85992,A000000,01300,0000,01300SOCIAL SERVICE 85992,A000000,01600,0000,01600SKILLED NURSING FACILITY 85992,A000000,01800,0000,01800NURSING FACILITY 85992,A000000,02200,0000,02200LABORATORY 85992,A000000,02500,0000,02500PHYSICAL THERAPY 85992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85992,A000000,02700,0000,02700SPEECH PATHOLOGY 85992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85992,A000000,04800,0000,04800AMBULANCE 85992,A000000,05300,0000,05300INTEREST EXPENSE 85992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85992,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 85992,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 85992,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85992,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 85992,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 85992,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 85992,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 85992,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 85992,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 85992,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 85992,S000000,00100,0200,06/01/2000 85992,S200000,00100,0100,R.R. 1 85992,S200000,00100,0300,14 85992,S200000,00200,0100,GIFFORD 85992,S200000,00200,0200,IL 85992,S200000,00200,0300,61847- 85992,S200000,00300,0100,CHAMPAIGN 85992,S200000,00400,0100,COUNTRY HEALTH INC. 85992,S200000,00400,0200,145708 85992,S200000,00400,0300,03/01/1992 85992,S200000,00400,0500,P 85992,S200000,00400,0600,O 85992,S200000,00600,0200,145708 85992,S200000,00600,0300,03/01/1992 85992,S200000,00600,0600,P 85992,S200000,01004,0500,O 85992,S200000,01600,0100,Y 85992,S200000,01900,0100,501(C)(3)CORP. 85992,S200000,02200,0100,Y 85992,S700003,00000,0100,1 85996,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 85996,A000000,00300,0000,00300EMPLOYEE BENEFITS 85996,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 85996,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 85996,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 85996,A000000,00700,0000,00700HOUSEKEEPING 85996,A000000,00800,0000,00800DIETARY 85996,A000000,00900,0000,00900NURSING ADMINISTRATION 85996,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 85996,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 85996,A000000,01300,0000,01300SOCIAL SERVICE 85996,A000000,01600,0000,01600SKILLED NURSING FACILITY 85996,A000000,01800,0000,01800NURSING FACILITY 85996,A000000,02200,0000,02200LABORATORY 85996,A000000,02500,0000,02500PHYSICAL THERAPY 85996,A000000,02600,0000,02600OCCUPATIONAL THERAPY 85996,A000000,02700,0000,02700SPEECH PATHOLOGY 85996,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 85996,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 85996,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 85996,A000000,05900,0000,05900BARBER & BEAUTY SHOP 85996,A81000A,00100,0100,Y 85996,A81000B,00100,0300,RENT 85996,A81000B,00200,0300,ADMIN EXP 85996,A81000B,00300,0300,INTEREST TAX 85996,A81000B,00400,0300,EMPLOYEE BENEFTIS 85996,A81000B,00500,0300,CLERICAL & GENERAL 85996,A81000B,00600,0300,UTILITIES 85996,A81000B,00700,0300,THERAPIES 85996,A81000B,00800,0300,THERAPY 85996,A81000B,00900,0300,P.T. 85996,A81000B,01000,0300,O.T. 85996,A81000B,01100,0300,S.T. 85996,A81000B,01200,0300,EMPLOYEE BENEFITS 85996,A81000B,01300,0300,MED SUPPLIES 85996,A81000B,01400,0300,MED SUPPLIES 85996,A81000B,01500,0300,PHARMACY 85996,A81000C,00100,0100,A 85996,A81000C,00100,0400,DYNAMIC HEALTH 85996,A81000C,00100,0600,BOOKKEEPING SER 85996,A81000C,00200,0100,A 85996,A81000C,00200,0400,WILLOW CREST LL 85996,A81000C,00200,0600,BUILDING PARTNE 85996,A81000C,00300,0100,A 85996,A81000C,00300,0400,LINCOLN MEDICAL 85996,A81000C,00300,0600,MEDICAL SUPPLY 85996,A81000C,00400,0100,A 85996,A81000C,00400,0400,PHARM COR LLC 85996,A81000C,00400,0600,PHARMACY COMPAN 85996,A81000C,00500,0100,A 85996,A81000C,00500,0400,DYNAMIC REHAB C 85996,A81000C,00500,0600,REHAB SERVICES 85996,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 85996,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 85996,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 85996,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 85996,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 85996,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 85996,B100000,00000,0800,00000MEALS SERVED :DIETARY 85996,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 85996,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 85996,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 85996,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 85996,S000000,00100,0200,05/26/2000 85996,S200000,00100,0100,515 N. MAIN 85996,S200000,00200,0100,SANDWICH 85996,S200000,00200,0200,IL 85996,S200000,00200,0300,60548- 85996,S200000,00300,0100,DE KALB 85996,S200000,00400,0100,WILLOW CREST NURSING PAVILION 85996,S200000,00400,0200,145712 85996,S200000,00400,0300,01/01/1992 85996,S200000,00400,0500,P 85996,S200000,01004,0500,O 85996,S200000,01600,0100,Y 85996,S700003,00000,0100,1 86006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86006,A000000,00300,0000,00300EMPLOYEE BENEFITS 86006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86006,A000000,00700,0000,00700HOUSEKEEPING 86006,A000000,00800,0000,00800DIETARY 86006,A000000,00900,0000,00900NURSING ADMINISTRATION 86006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86006,A000000,01100,0000,01100PHARMACY 86006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86006,A000000,01300,0000,01300SOCIAL SERVICE 86006,A000000,01350,0000,01500RECREATION 86006,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86006,A000000,01600,0000,01600SKILLED NURSING FACILITY 86006,A000000,01800,0000,01800NURSING FACILITY 86006,A000000,01810,0000,01810ICF/MR 86006,A000000,02100,0000,02100RADIOLOGY 86006,A000000,02200,0000,02200LABORATORY 86006,A000000,02500,0000,02500PHYSICAL THERAPY 86006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86006,A000000,02700,0000,02700SPEECH PATHOLOGY 86006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86006,A000000,03200,0000,03200SUPPORT SURFACES 86006,A000000,03550,0000,03550FQHC 86006,A000000,05000,0000,05000CORF 86006,A000000,05010,0000,05010CMHC 86006,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86006,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86006,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86006,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86006,A81000A,00100,0100,Y 86006,A81000B,00100,0300,HOME OFFICE ADMIN 86006,A81000B,00200,0300,HOME OFFICE CAPITAL 86006,A81000B,00300,0300,RELATED PARTY RENT 86006,A81000B,00400,0300,RELATED PARTY ADMIN 86006,A81000C,00100,0100,B 86006,A81000C,00100,0200,FHC 86006,A81000C,00100,0400,MANAGEMENT 86006,A81000C,00200,0100,B 86006,A81000C,00200,0200,CRESTWOOD HEIGH 86006,A81000C,00200,0400,LANDLORD 86006,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86006,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86006,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86006,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86006,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86006,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86006,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86006,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86006,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86006,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86006,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86006,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86006,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86006,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86006,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86006,S000000,00100,0200,05/16/2000 86006,S200000,00100,0100,14255 SOUTH CICERO AVENUE 86006,S200000,00200,0100,CRESTWOOD 86006,S200000,00200,0200,IL 86006,S200000,00200,0300,60445- 86006,S200000,00300,0100,COOK 86006,S200000,00400,0100,CRESTWOOD CARE CENTRE 86006,S200000,00400,0200,145718 86006,S200000,00400,0300,10/01/1981 86006,S200000,00400,0500,P 86006,S200000,01600,0100,Y 86006,S700003,00000,0100,1 86014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86014,A000000,00300,0000,00300EMPLOYEE BENEFITS 86014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86014,A000000,00700,0000,00700HOUSEKEEPING 86014,A000000,00800,0000,00800DIETARY 86014,A000000,00900,0000,00900NURSING ADMINISTRATION 86014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86014,A000000,01100,0000,01100PHARMACY 86014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86014,A000000,01300,0000,01300SOCIAL SERVICE 86014,A000000,01350,0000,01500RECREATION 86014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86014,A000000,01600,0000,01600SKILLED NURSING FACILITY 86014,A000000,01800,0000,01800NURSING FACILITY 86014,A000000,01810,0000,01810ICF/MR 86014,A000000,02100,0000,02100RADIOLOGY 86014,A000000,02200,0000,02200LABORATORY 86014,A000000,02500,0000,02500PHYSICAL THERAPY 86014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86014,A000000,02700,0000,02700SPEECH PATHOLOGY 86014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86014,A000000,03550,0000,03550FQHC 86014,A000000,05000,0000,05000CORF 86014,A000000,05010,0000,05010CMHC 86014,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86014,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86014,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86014,A81000A,00100,0100,Y 86014,A81000B,00100,0300,HOME OFFICE ADMIN 86014,A81000B,00200,0300,HOME OFFICE CAPTIAL 86014,A81000B,00300,0300,RELATED PARTY ADMIN 86014,A81000B,00400,0300,RELATED PARTY RENT 86014,A81000C,00100,0100,B 86014,A81000C,00100,0200,FIRST HEALTH CA 86014,A81000C,00100,0400,MGMT 86014,A81000C,00200,0100,B 86014,A81000C,00200,0200,LANDMARK 86014,A81000C,00200,0400,LANDLORD 86014,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86014,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86014,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86014,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86014,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86014,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86014,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86014,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86014,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86014,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86014,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86014,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86014,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86014,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86014,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86014,S000000,00100,0200,05/16/2000 86014,S200000,00100,0100,2202 NORTH KICKAPOO 86014,S200000,00200,0100,LINCOLN 86014,S200000,00200,0200,IL 86014,S200000,00200,0300,62656- 86014,S200000,00300,0100,LOGAN 86014,S200000,00400,0100,MAPLE RIDGE CARE CENTRE 86014,S200000,00400,0200,145719 86014,S200000,00400,0300,09/01/1974 86014,S200000,00400,0500,P 86014,S200000,01600,0100,Y 86014,S700003,00000,0100,1 86023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86023,A000000,00300,0000,00300EMPLOYEE BENEFITS 86023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86023,A000000,00700,0000,00700HOUSEKEEPING 86023,A000000,00800,0000,00800DIETARY 86023,A000000,00900,0000,00900NURSING ADMINISTRATION 86023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86023,A000000,01100,0000,01100PHARMACY 86023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86023,A000000,01300,0000,01300SOCIAL SERVICE 86023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86023,A000000,01600,0000,01600SKILLED NURSING FACILITY 86023,A000000,01800,0000,01800NURSING FACILITY 86023,A000000,01900,0000,01900OTHER LONG TERM CARE 86023,A000000,02100,0000,02100RADIOLOGY 86023,A000000,02200,0000,02200LABORATORY 86023,A000000,02300,0000,02300INTRAVENOUS THERAPY 86023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86023,A000000,02500,0000,02500PHYSICAL THERAPY 86023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86023,A000000,02700,0000,02700SPEECH PATHOLOGY 86023,A000000,02800,0000,02800ELECTROCARDIOLOGY 86023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86023,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86023,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86023,A000000,03200,0000,03200SUPPORT SURFACES 86023,A000000,03400,0000,03400CLINIC 86023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86023,A000000,04800,0000,04800AMBULANCE 86023,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86023,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86023,A000000,05300,0000,05300INTEREST EXPENSE 86023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86023,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86023,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86023,A000000,06100,0000,06100NONPAID WORKERS 86023,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86023,A000000,06200,0000,06200PATIENTS LAUNDRY 86023,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86023,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86023,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86023,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86023,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86023,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86023,B100000,00000,0800,00000MEALS SERVED :DIETARY 86023,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86023,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86023,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86023,E10A180,00501,0100,06/29/2000 86023,S000000,00100,0200,05/30/2000 86023,S200000,00100,0100,200 FIFTH STREET 86023,S200000,00200,0100,LINCOLN 86023,S200000,00200,0200,IL 86023,S200000,00200,0300,62656- 86023,S200000,00300,0100,LOGAN 86023,S200000,00300,0200,14 86023,S200000,00300,0300,R 86023,S200000,00400,0100,ST. CLARAS MANOR 86023,S200000,00400,0200,145720 86023,S200000,00400,0300,04/01/1992 86023,S200000,00400,0500,P 86023,S200000,01600,0100,Y 86030,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86030,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86030,A000000,00300,0000,00300EMPLOYEE BENEFITS 86030,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86030,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86030,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86030,A000000,00700,0000,00700HOUSEKEEPING 86030,A000000,00800,0000,00800DIETARY 86030,A000000,00900,0000,00900NURSING ADMINISTRATION 86030,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86030,A000000,01100,0000,01100PHARMACY 86030,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86030,A000000,01300,0000,01300SOCIAL SERVICE 86030,A000000,01350,0000,01500RECREATION 86030,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86030,A000000,01600,0000,01600SKILLED NURSING FACILITY 86030,A000000,01800,0000,01800NURSING FACILITY 86030,A000000,01810,0000,01810ICF/MR 86030,A000000,02200,0000,02200LABORATORY 86030,A000000,02300,0000,02300INTRAVENOUS THERAPY 86030,A000000,02500,0000,02500PHYSICAL THERAPY 86030,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86030,A000000,02700,0000,02700SPEECH PATHOLOGY 86030,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86030,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86030,A000000,03050,0000,03300PEN 86030,A000000,03051,0000,03310AFT 86030,A000000,03550,0000,03550FQHC 86030,A000000,05000,0000,05000CORF 86030,A000000,05010,0000,05010CMHC 86030,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86030,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86030,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86030,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86030,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86030,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86030,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86030,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86030,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86030,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86030,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86030,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 86030,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86030,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86030,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86030,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86030,E10A180,00501,0100,07/07/2000 86030,E10A180,00501,0300,07/07/2000 86030,S000000,00100,0200,06/01/2000 86030,S200000,00100,0100,100 MARION PARKWAY 86030,S200000,00200,0100,SHERMAN 86030,S200000,00200,0200,IL 86030,S200000,00200,0300,62684- 86030,S200000,00300,0100,SANGAMON 86030,S200000,00300,0200,7880 86030,S200000,00300,0300,U 86030,S200000,00400,0100,VILLA HEALTH CARE EAST 86030,S200000,00400,0200,145721 86030,S200000,00400,0300,01/01/1992 86030,S200000,00400,0500,P 86030,S200000,01004,0500,O 86030,S200000,01600,0100,Y 86030,S200000,02200,0100,Y 86039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86039,A000000,00300,0000,00300EMPLOYEE BENEFITS 86039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86039,A000000,00700,0000,00700HOUSEKEEPING 86039,A000000,00800,0000,00800DIETARY 86039,A000000,00900,0000,00900NURSING ADMINISTRATION 86039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86039,A000000,01100,0000,01100PHARMACY 86039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86039,A000000,01300,0000,01300SOCIAL SERVICE 86039,A000000,01350,0000,01500RECREATION 86039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86039,A000000,01600,0000,01600SKILLED NURSING FACILITY 86039,A000000,01800,0000,01800NURSING FACILITY 86039,A000000,02200,0000,02200LABORATORY 86039,A000000,02300,0000,02300INTRAVENOUS THERAPY 86039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86039,A000000,02500,0000,02500PHYSICAL THERAPY 86039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86039,A000000,02700,0000,02700SPEECH PATHOLOGY 86039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86039,A000000,03050,0000,03300PEN 86039,A000000,03051,0000,03310EQUIPMENT RENTAL 86039,A000000,03550,0000,03550FQHC 86039,A000000,05000,0000,05000CORF 86039,A000000,05010,0000,05010CMHC 86039,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86039,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86039,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86039,A81000A,00100,0100,Y 86039,A81000B,00100,0300,HOME OFFICE 86039,A81000C,00100,0100,A 86039,A81000C,00100,0200,MID AMERICA 86039,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86039,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86039,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86039,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86039,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86039,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86039,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86039,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86039,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86039,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86039,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86039,S000000,00100,0200,12/01/2000 86039,S200000,00100,0100,703 EAST BUFFALO STREET 86039,S200000,00200,0100,POLO 86039,S200000,00200,0200,IL 86039,S200000,00200,0300,61064-0038 86039,S200000,00300,0100,OGLE 86039,S200000,00300,0200,6880 86039,S200000,00300,0300,U 86039,S200000,00400,0100,POLO CONTINENTAL MANOR 86039,S200000,00400,0200,145727 86039,S200000,00400,0300,06/01/1992 86039,S200000,00400,0500,P 86039,S200000,01004,0500,O 86039,S200000,01600,0100,Y 86044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86044,A000000,00300,0000,00300EMPLOYEE BENEFITS 86044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86044,A000000,00700,0000,00700HOUSEKEEPING 86044,A000000,00800,0000,00800DIETARY 86044,A000000,00900,0000,00900NURSING ADMINISTRATION 86044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86044,A000000,01100,0000,01100PHARMACY 86044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86044,A000000,01300,0000,01300SOCIAL SERVICE 86044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86044,A000000,01600,0000,01600SKILLED NURSING FACILITY 86044,A000000,01800,0000,01800NURSING FACILITY 86044,A000000,01810,0000,01810ICF/MR 86044,A000000,02100,0000,02100RADIOLOGY 86044,A000000,02200,0000,02200LABORATORY 86044,A000000,02300,0000,02300INTRAVENOUS THERAPY 86044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86044,A000000,02500,0000,02500PHYSICAL THERAPY 86044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86044,A000000,02700,0000,02700SPEECH PATHOLOGY 86044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86044,A000000,03550,0000,03550FQHC 86044,A000000,05000,0000,05000CORF 86044,A000000,05010,0000,05010CMHC 86044,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86044,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86044,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86044,A81000A,00100,0100,Y 86044,A81000B,00100,0300,RPT SLARY 86044,A81000B,00200,0300,QUALITY ASS. SALARY 86044,A81000B,00300,0300,OFFICERS SALARY 86044,A81000B,00400,0300,OFFICERS SALARY 86044,A81000B,00500,0300,MANAGEMENT CONTRACT 86044,A81000B,00600,0300,OWNERS INSURANCE 86044,A81000C,00100,0100,A 86044,A81000C,00100,0200,ANN REIS 86044,A81000C,00200,0100,A 86044,A81000C,00200,0200,SUE GRAY 86044,A81000C,00300,0100,B 86044,A81000C,00300,0200,WDM MANAGEMENT 86044,A81000C,00400,0100,E 86044,A81000C,00400,0200,WAYNE MESSICK 86044,A81000C,00400,0400,WDM MANAGEMENT 86044,A81000C,00400,0600,CONSULTATION 86044,A81000C,00500,0100,E 86044,A81000C,00500,0200,DOROTHY MESSICK 86044,A81000C,00500,0400,WDM MANAGEMENT 86044,A81000C,00500,0600,CONSULTATION 86044,A81000C,00600,0100,E 86044,A81000C,00600,0200,DOROTHY MESSICK 86044,A81000C,00600,0400,WDM MANAGEMENT 86044,A81000C,00600,0600,CONSULTATION 86044,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86044,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86044,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86044,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86044,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86044,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 86044,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86044,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86044,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86044,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86044,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86044,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86044,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86044,E10A180,00501,0300,06/29/2000 86044,E10A180,00550,0100,06/29/2000 86044,S000000,00100,0200,05/25/2000 86044,S200000,00100,0100,501 CLINTON STREET 86044,S200000,00200,0100,CLINTON 86044,S200000,00200,0200,IL 86044,S200000,00200,0300,62331- 86044,S200000,00300,0100,CLINTON 86044,S200000,00400,0100,CARLYLE HEALTH CARE CTR. INC 86044,S200000,00400,0200,145729 86044,S200000,00400,0300,04/10/1992 86044,S200000,00400,0500,P 86044,S200000,01600,0100,Y 86044,S200000,02200,0100,Y 86044,S700003,00000,0100,1 86053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86053,A000000,00300,0000,00300EMPLOYEE BENEFITS 86053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86053,A000000,00700,0000,00700HOUSEKEEPING 86053,A000000,00800,0000,00800DIETARY 86053,A000000,00900,0000,00900NURSING ADMINISTRATION 86053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86053,A000000,01300,0000,01300SOCIAL SERVICE 86053,A000000,01600,0000,01600SKILLED NURSING FACILITY 86053,A000000,01800,0000,01800NURSING FACILITY 86053,A000000,02100,0000,02100RADIOLOGY 86053,A000000,02200,0000,02200LABORATORY 86053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86053,A000000,02500,0000,02500PHYSICAL THERAPY 86053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86053,A000000,02700,0000,02700SPEECH PATHOLOGY 86053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86053,A000000,03200,0000,03200SUPPORT SURFACES 86053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86053,A81000A,00100,0100,Y 86053,A81000B,00100,0300,EQUIPMENT RENTAL 86053,A81000B,00200,0300,EMPLOYEE BENEFIT & W 86053,A81000B,00300,0300,MANAGEMENT FEE 86053,A81000B,00400,0300,CORPORATE ALLOCATION 86053,A81000B,00500,0300,ADMIN & GENERAL 86053,A81000B,00600,0300,REPAIR & MAINT 86053,A81000B,00700,0300,NURSING ADMIN 86053,A81000B,00900,0300,MEDICAL / TUBE FEEDI 86053,A81000B,01000,0300,MEDICAL SUPPLY 86053,A81000B,01100,0300,FOOD SUPPLEMENTS 86053,A81000C,00100,0100,A 86053,A81000C,00100,0400,QUAILITY CARE M 86053,A81000C,00100,0600,BOOKKEEPING / M 86053,A81000C,00200,0100,A 86053,A81000C,00200,0400,QUALITY CARE ME 86053,A81000C,00200,0600,MEDICAL SUPPLY 86053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86053,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86053,B100000,00000,0800,00000MEALS SERVED :DIETARY 86053,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86053,B100000,00000,1050,00000PATIENTS DAYS :CENTRAL SERVICES & 86053,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86053,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86053,S000000,00100,0200,05/31/2000 86053,S200000,00100,0100,5336 N WESTERN AVE. 86053,S200000,00200,0100,CHICAGO 86053,S200000,00200,0200,IL 86053,S200000,00200,0300,60625- 86053,S200000,00300,0100,COOK 86053,S200000,00400,0100,CONTINENTAL CARE CENTER 86053,S200000,00400,0200,145730 86053,S200000,00400,0300,07/01/1992 86053,S200000,00400,0500,P 86053,S200000,01600,0100,Y 86053,S200000,01900,0100,SUB S CORP. 86053,S700003,00000,0100,1 86062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86062,A000000,00300,0000,00300EMPLOYEE BENEFITS 86062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86062,A000000,00700,0000,00700HOUSEKEEPING 86062,A000000,00800,0000,00800DIETARY 86062,A000000,00900,0000,00900NURSING ADMINISTRATION 86062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86062,A000000,01300,0000,01300SOCIAL SERVICE 86062,A000000,01600,0000,01600SKILLED NURSING FACILITY 86062,A000000,01800,0000,01800NURSING FACILITY 86062,A000000,02200,0000,02200LABORATORY 86062,A000000,02500,0000,02500PHYSICAL THERAPY 86062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86062,A000000,02700,0000,02700SPEECH PATHOLOGY 86062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86062,A000000,04800,0000,04800AMBULANCE 86062,A000000,05300,0000,05300INTEREST EXPENSE 86062,A81000A,00100,0100,Y 86062,A81000B,00100,0300,CAPITAL RELATED 86062,A81000B,00200,0300,ADMIN & GENERAL 86062,A81000B,00300,0300,PHYSICAL THERAPY 86062,A81000B,00400,0300,OCCUPATIONAL THERAPY 86062,A81000B,00500,0300,SPEECH THERAPY 86062,A81000B,00600,0300,MEDICAL SUPPLY COSTS 86062,A81000B,00700,0300,PHARMACY COSTS 86062,A81000B,00800,0300,GENERAL SUPPLIES 86062,A81000C,00100,0100,B 86062,A81000C,00100,0200,HER MANOR SPRIN 86062,A81000C,00100,0400,HERITAGE ENTERP 86062,A81000C,00100,0600,HOME OFFICE 86062,A81000C,00200,0100,B 86062,A81000C,00200,0200,HER MANOR SPRIN 86062,A81000C,00200,0400,HERITAGE THERAP 86062,A81000C,00200,0600,THERAPY DIVISIO 86062,A81000C,00300,0100,B 86062,A81000C,00300,0200,HER MANOR SPRIN 86062,A81000C,00300,0400,LTC PHARMACY 86062,A81000C,00300,0600,WHOLESALE PHARM 86062,A81000C,00400,0100,B 86062,A81000C,00400,0200,HER MANOR SPRIN 86062,A81000C,00400,0400,GREEN TREE PHAR 86062,A81000C,00400,0600,WHOLESALE PHARM 86062,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86062,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86062,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86062,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86062,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 86062,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86062,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86062,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 86062,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 86062,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 86062,S000000,00100,0200,06/01/2000 86062,S200000,00100,0100,509 N. ADELAIDE 86062,S200000,00200,0100,NORMAL 86062,S200000,00200,0200,IL 86062,S200000,00200,0300,61761- 86062,S200000,00300,0100,MCLEAN 86062,S200000,00400,0100,HERITAGE MANOR - NORMAL 86062,S200000,00400,0200,145732 86062,S200000,00400,0300,08/21/1992 86062,S200000,00400,0500,P 86062,S200000,00400,0600,O 86062,S200000,00600,0200,145732 86062,S200000,00600,0300,08/21/1992 86062,S200000,00600,0600,P 86062,S200000,01004,0500,O 86062,S200000,01600,0100,Y 86062,S200000,01900,0100,501(C)(3)CORP. 86062,S200000,02200,0100,Y 86062,S700003,00000,0100,1 86073,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86073,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86073,A000000,00300,0000,00300EMPLOYEE BENEFITS 86073,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86073,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86073,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86073,A000000,00700,0000,00700HOUSEKEEPING 86073,A000000,00800,0000,00800DIETARY 86073,A000000,00900,0000,00900NURSING ADMINISTRATION 86073,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86073,A000000,01100,0000,01100PHARMACY 86073,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86073,A000000,01300,0000,01300SOCIAL SERVICE 86073,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86073,A000000,01600,0000,01600SKILLED NURSING FACILITY 86073,A000000,01800,0000,01800NURSING FACILITY 86073,A000000,01810,0000,01810ICF/MR 86073,A000000,02100,0000,02100RADIOLOGY 86073,A000000,02200,0000,02200LABORATORY 86073,A000000,02300,0000,02300INTRAVENOUS THERAPY 86073,A000000,02500,0000,02500PHYSICAL THERAPY 86073,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86073,A000000,02700,0000,02700SPEECH PATHOLOGY 86073,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86073,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86073,A000000,03550,0000,03550FQHC 86073,A000000,04800,0000,04800AMBULANCE 86073,A000000,05000,0000,05000CORF 86073,A000000,05010,0000,05010CMHC 86073,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86073,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86073,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86073,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86073,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86073,A81000A,00100,0100,Y 86073,A81000B,00200,0300,MANAGEMENT FEES 86073,A81000C,00200,0100,B 86073,A81000C,00200,0200,EKS / EMI 86073,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86073,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86073,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86073,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86073,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86073,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86073,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86073,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86073,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86073,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86073,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86073,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86073,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86073,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86073,S000000,00100,0200,05/17/2000 86073,S200000,00400,0100,BURNHAM TERRACE 86073,S200000,00400,0200,145735 86073,S200000,00400,0300,10/01/1992 86073,S200000,00400,0500,P 86073,S200000,01004,0500,O 86073,S200000,01600,0100,Y 86073,S700003,00000,0100,1 86081,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86081,A000000,00300,0000,00300EMPLOYEE BENEFITS 86081,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86081,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86081,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86081,A000000,00700,0000,00700HOUSEKEEPING 86081,A000000,00800,0000,00800DIETARY 86081,A000000,00900,0000,00900NURSING ADMINISTRATION 86081,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86081,A000000,01300,0000,01300SOCIAL SERVICE 86081,A000000,01600,0000,01600SKILLED NURSING FACILITY 86081,A000000,01800,0000,01800NURSING FACILITY 86081,A000000,02100,0000,02100RADIOLOGY 86081,A000000,02200,0000,02200LABORATORY 86081,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86081,A000000,02500,0000,02500PHYSICAL THERAPY 86081,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86081,A000000,02700,0000,02700SPEECH PATHOLOGY 86081,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86081,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86081,A000000,05300,0000,05300INTEREST EXPENSE 86081,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86081,A81000A,00100,0100,Y 86081,A81000B,00100,0300,CAPITAL RELATED 86081,A81000B,00200,0300,ADMIN & GENERAL 86081,A81000B,00300,0300,PHYSICAL THERAPY 86081,A81000B,00400,0300,OCCUPATIONAL THERAPY 86081,A81000B,00500,0300,SPEECH THERAPY 86081,A81000B,00600,0300,MEDICAL SUPPLY COSTS 86081,A81000B,00700,0300,PHARMACY COSTS 86081,A81000B,00800,0300,GENERAL SUPPLIES 86081,A81000C,00100,0100,B 86081,A81000C,00100,0200,HER MANOR SPRIN 86081,A81000C,00100,0400,HERITAGE ENTERP 86081,A81000C,00100,0600,HOME OFFICE 86081,A81000C,00200,0100,B 86081,A81000C,00200,0200,HER MANOR SPRIN 86081,A81000C,00200,0400,HERITAGE THERAP 86081,A81000C,00200,0600,THERAPY DIVISIO 86081,A81000C,00300,0100,B 86081,A81000C,00300,0200,HER MANOR SPRIN 86081,A81000C,00300,0400,LTC PHARMACY 86081,A81000C,00300,0600,WHOLESALE PHARM 86081,A81000C,00400,0100,B 86081,A81000C,00400,0200,HER MANOR SPRIN 86081,A81000C,00400,0400,GREEN TREE PHAR 86081,A81000C,00400,0600,WHOLESALE PHARM 86081,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86081,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86081,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86081,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86081,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 86081,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86081,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86081,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 86081,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 86081,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 86081,S000000,00100,0200,06/01/2000 86081,S200000,00100,0100,201 LOCUST 86081,S200000,00200,0100,MINONK 86081,S200000,00200,0200,IL 86081,S200000,00200,0300,61760- 86081,S200000,00300,0100,WOODFORD 86081,S200000,00400,0100,HERITAGE MANOR - MINONK 86081,S200000,00400,0200,145744 86081,S200000,00400,0300,01/01/1996 86081,S200000,00400,0500,P 86081,S200000,00400,0600,O 86081,S200000,00600,0200,145744 86081,S200000,00600,0300,01/01/1996 86081,S200000,00600,0600,P 86081,S200000,01600,0100,Y 86081,S200000,01900,0100,501(C)(3)CORP. 86081,S200000,02200,0100,Y 86081,S700003,00000,0100,1 86090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86090,A000000,00300,0000,00300EMPLOYEE BENEFITS 86090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86090,A000000,00700,0000,00700HOUSEKEEPING 86090,A000000,00800,0000,00800DIETARY 86090,A000000,00900,0000,00900NURSING ADMINISTRATION 86090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86090,A000000,01100,0000,01100PHARMACY 86090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86090,A000000,01300,0000,01300SOCIAL SERVICE 86090,A000000,01600,0000,01600SKILLED NURSING FACILITY 86090,A000000,01800,0000,01800NURSING FACILITY 86090,A000000,01810,0000,01801ICF/MR 86090,A000000,01900,0000,01900OTHER LONG TERM CARE 86090,A000000,02100,0000,02100RADIOLOGY 86090,A000000,02200,0000,02200LABORATORY 86090,A000000,02300,0000,02300INTRAVENOUS THERAPY 86090,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86090,A000000,02500,0000,02500PHYSICAL THERAPY 86090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86090,A000000,02700,0000,02700SPEECH PATHOLOGY 86090,A000000,02800,0000,02800ELECTROCARDIOLOGY 86090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86090,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86090,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86090,A000000,03200,0000,03200SUPPORT SURFACES 86090,A000000,03400,0000,03400CLINIC 86090,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86090,A000000,03500,0000,03500RURAL HEALTH CLINIC 86090,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86090,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86090,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86090,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86090,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86090,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86090,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86090,A000000,04400,0000,04400DME RENTED - HHA 86090,A000000,04500,0000,04500DME SOLD - HHA 86090,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86090,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86090,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86090,A000000,04800,0000,04800AMBULANCE 86090,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86090,A000000,05000,0000,05000CORF 86090,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86090,A000000,05300,0000,05300INTEREST EXPENSE 86090,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86090,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86090,A000000,05500,0000,05500HOSPICE 86090,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86090,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86090,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86090,A000000,06100,0000,06100NONPAID WORKERS 86090,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86090,A000000,06200,0000,06200PATIENTS LAUNDRY 86090,A81000A,00100,0100,Y 86090,A81000B,00100,0300,HOME OFFICE EXPENSE 86090,A81000C,00100,0100,A 86090,A81000C,00100,0200,CRESCENT HEALTH SERVICES 86090,A81000C,00100,0400,CRESCENT HEALTH SERVICES 86090,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86090,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86090,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86090,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86090,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86090,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86090,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86090,B100000,00000,0800,00000MEALS SERVED :DIETARY 86090,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 86090,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 86090,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86090,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86090,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86090,E10A180,00501,0100,09/15/2000 86090,E10A180,00550,0300,09/15/2000 86090,S000000,00100,0200,08/10/2000 86090,S200000,00100,0100,1701 S. PARK AVENUE 86090,S200000,00100,0300,68 86090,S200000,00200,0100,HERRIN 86090,S200000,00200,0200,IL 86090,S200000,00200,0300,62948- 86090,S200000,00300,0100,WILLIAMSON 86090,S200000,00400,0100,PARK AVENUE HEALTHCARE CENTER 86090,S200000,00400,0200,145749 86090,S200000,00400,0300,03/01/1993 86090,S200000,00400,0500,P 86090,S200000,01600,0100,Y 86090,S700003,00000,0100,1 86105,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86105,A000000,00300,0000,00300EMPLOYEE BENEFITS 86105,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86105,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86105,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86105,A000000,00700,0000,00700HOUSEKEEPING 86105,A000000,00800,0000,00800DIETARY 86105,A000000,00900,0000,00900NURSING ADMINISTRATION 86105,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86105,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86105,A000000,01300,0000,01300SOCIAL SERVICE 86105,A000000,01600,0000,01600SKILLED NURSING FACILITY 86105,A000000,01800,0000,01800NURSING FACILITY 86105,A000000,02200,0000,02200LABORATORY 86105,A000000,02500,0000,02500PHYSICAL THERAPY 86105,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86105,A000000,02700,0000,02700SPEECH PATHOLOGY 86105,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86105,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86105,A000000,03050,0000,03300AMBULANCE 86105,A000000,03200,0000,03200SUPPORT SURFACES 86105,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86105,A81000A,00100,0100,Y 86105,A81000B,00100,0300,CAPITAL RELATED 86105,A81000B,00200,0300,EMPLOYEE BENEFITS 86105,A81000B,00300,0300,ADMIN. & GENERAL 86105,A81000C,00100,0100,A 86105,A81000C,00100,0400,ITEX/A.K. CARE 86105,A81000C,00100,0600,MANAGEMENT CO. 86105,A81000C,00200,0100,A 86105,A81000C,00200,0400,CARE PATH 86105,A81000C,00200,0600,MANAGEMENT CO. 86105,A81000C,00300,0100,A 86105,A81000C,00300,0400,JLR MANAGEMENT 86105,A81000C,00300,0600,MANAGEMENT CO. 86105,A81000C,00400,0100,A 86105,A81000C,00400,0400,SHAYMARK MGMT. 86105,A81000C,00400,0600,MANAGEMENT CO. 86105,A81000C,00500,0100,A 86105,A81000C,00500,0400,HALSTED ASSOC. 86105,A81000C,00500,0600,BUILDING PARTNE 86105,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86105,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86105,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86105,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86105,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86105,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86105,B100000,00000,0800,00000MEALS SERVED :DIETARY 86105,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86105,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86105,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86105,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86105,E10A180,00501,0100,07/06/2000 86105,E10A180,00501,0300,07/06/2000 86105,S000000,00100,0200,05/30/2000 86105,S200000,00100,0100,10935 S. HALSTED 86105,S200000,00200,0100,CHICAGO 86105,S200000,00200,0200,IL 86105,S200000,00200,0300,60628- 86105,S200000,00300,0100,COOK 86105,S200000,00400,0100,HALSTED TERRACE NURSING CENTER 86105,S200000,00400,0200,145764 86105,S200000,00400,0300,12/01/1993 86105,S200000,00400,0500,P 86105,S200000,01600,0100,Y 86105,S200000,04700,0100,Y 86114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86114,A000000,00300,0000,00300EMPLOYEE BENEFITS 86114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86114,A000000,00700,0000,00700HOUSEKEEPING 86114,A000000,00800,0000,00800DIETARY 86114,A000000,00900,0000,00900NURSING ADMINISTRATION 86114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86114,A000000,01100,0000,01100PHARMACY 86114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86114,A000000,01300,0000,01300SOCIAL SERVICE 86114,A000000,01350,0000,01500ACTIVITIES 86114,A000000,01600,0000,01600SKILLED NURSING FACILITY 86114,A000000,01800,0000,01800NURSING FACILITY 86114,A000000,01900,0000,01900OTHER LONG TERM CARE 86114,A000000,02100,0000,02100RADIOLOGY 86114,A000000,02200,0000,02200LABORATORY 86114,A000000,02300,0000,02300INTRAVENOUS THERAPY 86114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86114,A000000,02500,0000,02500PHYSICAL THERAPY 86114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86114,A000000,02700,0000,02700SPEECH PATHOLOGY 86114,A000000,02800,0000,02800ELECTROCARDIOLOGY 86114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86114,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86114,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86114,A000000,03200,0000,03200SUPPORT SURFACES 86114,A000000,03400,0000,03400CLINIC 86114,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86114,A000000,03500,0000,03500RURAL HEALTH CLINIC 86114,A000000,04800,0000,04800AMBULANCE 86114,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86114,A000000,05000,0000,05000CORF 86114,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86114,A000000,05300,0000,05300INTEREST EXPENSE 86114,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86114,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86114,A000000,05500,0000,05500HOSPICE 86114,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86114,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86114,A000000,06100,0000,06100NONPAID WORKERS 86114,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86114,A000000,06200,0000,06200PATIENTS LAUNDRY 86114,A81000A,00100,0100,Y 86114,A81000B,00100,0300,MANAGEMENT FEES 86114,A81000B,00200,0300,DEPRECIATION 86114,A81000B,00300,0300,AMORT CONSTRUCTION COSTS 86114,A81000B,00400,0300,INTEREST 86114,A81000B,00500,0300,INSURANCE 86114,A81000B,00600,0300,REAL ESTATE TAXES 86114,A81000C,00100,0100,B 86114,A81000C,00100,0200,HUNTER CARE CEN 86114,A81000C,00100,0600,LTC 86114,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86114,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86114,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86114,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86114,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86114,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86114,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86114,B100000,00000,0800,00000MEALS SERVED :DIETARY 86114,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86114,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86114,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86114,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86114,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86114,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 86114,S000000,00100,0200,11/10/2000 86114,S200000,00100,0100,1030 MARTIN LUTHER KING 86114,S200000,00200,0100,CENTRALIA 86114,S200000,00200,0200,IL 86114,S200000,00200,0300,62801- 86114,S200000,00300,0100,MARION 86114,S200000,00400,0100,FIRESIDE HOUSE OF CENTRALIA 86114,S200000,00400,0200,145791 86114,S200000,00400,0300,05/01/1994 86114,S200000,00400,0500,P 86114,S200000,01600,0100,Y 86122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86122,A000000,00300,0000,00300EMPLOYEE BENEFITS 86122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86122,A000000,00700,0000,00700HOUSEKEEPING 86122,A000000,00800,0000,00800DIETARY 86122,A000000,00900,0000,00900NURSING ADMINISTRATION 86122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86122,A000000,01300,0000,01300SOCIAL SERVICE 86122,A000000,01600,0000,01600SKILLED NURSING FACILITY 86122,A000000,01800,0000,01800NURSING FACILITY 86122,A000000,02200,0000,02200LABORATORY 86122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86122,A000000,02500,0000,02500PHYSICAL THERAPY 86122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86122,A000000,02700,0000,02700SPEECH PATHOLOGY 86122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86122,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 86122,A000000,03200,0000,03200SUPPORT SURFACES 86122,A000000,05000,0000,05000CORF 86122,A000000,05010,0000,05010CMHC 86122,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86122,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86122,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86122,A81000A,00100,0100,Y 86122,A81000B,00100,0300,RENT 86122,A81000B,00200,0300,MANAGEMENT FEES 86122,A81000B,00300,0300,BOOKKEEPING SERVICES 86122,A81000B,00400,0300,CAPITAL COSTS 86122,A81000B,00500,0300,EMPLOYEE BENEFITS 86122,A81000B,00600,0300,ADMIN AND GENERAL 86122,A81000B,00700,0300,PLANT OPERATION 86122,A81000B,00800,0300,SOCIAL SERVICES 86122,A81000B,00900,0300,PHARMACY CONSULT 86122,A81000B,01000,0300,NURSING SUPPLIES 86122,A81000B,01100,0300,PHARMACY 86122,A81000B,01200,0300,EMPLOYEE BENEFITS 86122,A81000B,01300,0300,ADMIN AND GENERAL 86122,A81000B,01400,0300,MEDICAL SUPPLIES 86122,A81000B,01500,0300,THERAPY CONSULT 86122,A81000B,01600,0300,PT 86122,A81000B,01700,0300,OT 86122,A81000B,01800,0300,ST 86122,A81000C,00100,0100,A 86122,A81000C,00100,0400,WOODBRIDGE BUIL 86122,A81000C,00100,0600,BUILDING COMPAN 86122,A81000C,00200,0100,A 86122,A81000C,00200,0400,DYNAMIC HEALTH 86122,A81000C,00200,0600,MANAGEMENT COMP 86122,A81000C,00300,0100,A 86122,A81000C,00300,0400,DYNAMIC REHAB 86122,A81000C,00300,0600,THERAPY 86122,A81000C,00400,0100,A 86122,A81000C,00400,0400,PHARMCOR LLC 86122,A81000C,00400,0600,PHARMACY 86122,A81000C,00500,0100,A 86122,A81000C,00500,0400,LINCOLN MEDICAL 86122,A81000C,00500,0600,MEDICAL SUPPLIE 86122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86122,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86122,B100000,00000,0800,00000MEALS SERVED :DIETARY 86122,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86122,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86122,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86122,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86122,E10A180,00501,0100,06/30/2000 86122,S000000,00100,0200,05/26/2000 86122,S200000,00100,0100,2242 NORTH KEDZIE AVENUE 86122,S200000,00200,0100,CHICAGO 86122,S200000,00200,0200,IL 86122,S200000,00200,0300,60647- 86122,S200000,00300,0100,COOK 86122,S200000,00400,0100,WOODBRIDGE NURSING PAVILION 86122,S200000,00400,0200,145792 86122,S200000,00400,0300,06/01/1994 86122,S200000,00400,0500,P 86122,S200000,01600,0100,Y 86122,S200000,01900,0100, SUB-S CORP 86122,S700003,00000,0100,1 86131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86131,A000000,00300,0000,00300EMPLOYEE BENEFITS 86131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86131,A000000,00700,0000,00700HOUSEKEEPING 86131,A000000,00800,0000,00800DIETARY 86131,A000000,00900,0000,00900NURSING ADMINISTRATION 86131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86131,A000000,01300,0000,01300SOCIAL SERVICE 86131,A000000,01600,0000,01600SKILLED NURSING FACILITY 86131,A000000,01800,0000,01800NURSING FACILITY 86131,A000000,02100,0000,02100RADIOLOGY 86131,A000000,02200,0000,02200LABORATORY 86131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86131,A000000,02500,0000,02500PHYSICAL THERAPY 86131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86131,A000000,02700,0000,02700SPEECH PATHOLOGY 86131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86131,A000000,03050,0000,03300AMBULANCE 86131,A000000,03051,0000,03301BLOOD GLUCOSE 86131,A000000,03200,0000,03200SUPPORT SURFACES 86131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86131,A81000A,00100,0100,Y 86131,A81000B,00100,0300,CAPITAL RELATED 86131,A81000B,00200,0300,BENEFIT RELATED 86131,A81000B,00300,0300,G AND A RELATED 86131,A81000B,00400,0300,PLANT RELATED 86131,A81000B,00500,0300,REHAB RELATED 86131,A81000B,00600,0300,MEDICAL SUPPLIES 86131,A81000B,00700,0300,BENEFITS 86131,A81000B,00800,0300,STAFF TRAVEL 86131,A81000B,00900,0300,MEDICAL SUPPLIES 86131,A81000B,01000,0300,ANCILLARY EXP 86131,A81000B,01100,0300,RENT 86131,A81000B,01200,0300,FRANCHISE TAX 86131,A81000B,01300,0300,HOME OFFICE 86131,A81000C,00100,0100,A 86131,A81000C,00100,0400,DYNAMIC HEALTHC 86131,A81000C,00100,0600,BOOKKEEPING/MGM 86131,A81000C,00200,0100,A 86131,A81000C,00200,0400,LINCOLN MEDICAL 86131,A81000C,00200,0600,MED SUPPLIES 86131,A81000C,00300,0100,A 86131,A81000C,00300,0400,PHARMCOR 86131,A81000C,00300,0600,DRUGS 86131,A81000C,00400,0100,A 86131,A81000C,00400,0400,CARRINGTON LLC 86131,A81000C,00400,0600,BUILDING COMPAN 86131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86131,B100000,00000,0800,00000MEALS SERVED :DIETARY 86131,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86131,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86131,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86131,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86131,E10A180,00501,0100,06/06/2000 86131,S000000,00100,0200,05/26/2000 86131,S200000,00100,0100,759 KANE STREET 86131,S200000,00200,0100,SOUTH ELGIN 86131,S200000,00200,0200,IL 86131,S200000,00200,0300,60177- 86131,S200000,00300,0100,KANE 86131,S200000,00400,0100,CARRINGTON CARE CENTER LTD. 86131,S200000,00400,0200,145795 86131,S200000,00400,0300,07/01/1994 86131,S200000,00400,0500,P 86131,S200000,01600,0100,Y 86131,S200000,01900,0100,SUBCHAPTER S 86141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86141,A000000,00300,0000,00300EMPLOYEE BENEFITS 86141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86141,A000000,00700,0000,00700HOUSEKEEPING 86141,A000000,00800,0000,00800DIETARY 86141,A000000,00900,0000,00900NURSING ADMINISTRATION 86141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86141,A000000,01100,0000,01100PHARMACY 86141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86141,A000000,01300,0000,01300SOCIAL SERVICE 86141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86141,A000000,01600,0000,01600SKILLED NURSING FACILITY 86141,A000000,01800,0000,01800NURSING FACILITY 86141,A000000,01900,0000,01900OTHER LONG TERM CARE 86141,A000000,02100,0000,02100RADIOLOGY 86141,A000000,02200,0000,02200LABORATORY 86141,A000000,02300,0000,02300INTRAVENOUS THERAPY 86141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86141,A000000,02500,0000,02500PHYSICAL THERAPY 86141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86141,A000000,02700,0000,02700SPEECH PATHOLOGY 86141,A000000,02800,0000,02800ELECTROCARDIOLOGY 86141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86141,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86141,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86141,A000000,03200,0000,03200SUPPORT SURFACES 86141,A000000,03400,0000,03400CLINIC 86141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86141,A000000,04800,0000,04800AMBULANCE 86141,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86141,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86141,A000000,05300,0000,05300INTEREST EXPENSE 86141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86141,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86141,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86141,A000000,06100,0000,06100NONPAID WORKERS 86141,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86141,A000000,06200,0000,06200PATIENTS LAUNDRY 86141,A81000A,00100,0100,Y 86141,A81000B,00100,0300,ADMIN COSTS 86141,A81000B,00200,0300,RENT 86141,A81000B,00300,0300,MANAGEMENT FEES 86141,A81000B,00400,0300,RENT 86141,A81000B,00500,0300,DEPRECIATION 86141,A81000C,00100,0100,A 86141,A81000C,00100,0200,M.MERMELSTEIN 86141,A81000C,00100,0400,NIVRAM MANAGEME 86141,A81000C,00100,0600,MGMT CO. 86141,A81000C,00200,0100,D 86141,A81000C,00200,0200,H.MERMELSTEIN 86141,A81000C,00200,0400,BALMORAL NURSIN 86141,A81000C,00200,0600,LESSOR 86141,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86141,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86141,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86141,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86141,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86141,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86141,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86141,B100000,00000,0800,00000MEALS SERVED :DIETARY 86141,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86141,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86141,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86141,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86141,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86141,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86141,E10A180,00501,0100,05/03/2000 86141,E10A180,00501,0300,05/03/2000 86141,S000000,00100,0200,04/04/2000 86141,S200000,00100,0100,2055 W. BALMORAL AVENUE 86141,S200000,00200,0100,CHICAGO 86141,S200000,00200,0200,IL 86141,S200000,00200,0300,60625- 86141,S200000,00300,0100,COOK 86141,S200000,00400,0100,BALMORAL HOME INC. 86141,S200000,00400,0200,145796 86141,S200000,00400,0300,07/01/1994 86141,S200000,00400,0500,P 86141,S200000,01600,0100,Y 86147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86147,A000000,00300,0000,00300EMPLOYEE BENEFITS 86147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86147,A000000,00700,0000,00700HOUSEKEEPING 86147,A000000,00800,0000,00800DIETARY 86147,A000000,00900,0000,00900NURSING ADMINISTRATION 86147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86147,A000000,01300,0000,01300SOCIAL SERVICE 86147,A000000,01600,0000,01600SKILLED NURSING FACILITY 86147,A000000,01800,0000,01800NURSING FACILITY 86147,A000000,01900,0000,01900OTHER LONG TERM CARE 86147,A000000,02200,0000,02200LABORATORY 86147,A000000,02500,0000,02500PHYSICAL THERAPY 86147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86147,A000000,02700,0000,02700SPEECH PATHOLOGY 86147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86147,A000000,04800,0000,04800AMBULANCE 86147,A000000,06001,0000,06001VILLAS NON-REIMBURSABLE 86147,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 86147,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 86147,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 86147,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 86147,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 86147,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 86147,B100000,00000,0800,00001MEALS SERVED :DIETARY 86147,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 86147,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 86147,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 86147,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 86147,S000000,00100,0200,02/09/2000 86147,S200000,00100,0100,418 WASHINGTON 86147,S200000,00200,0100,QUINCY 86147,S200000,00200,0200,IL 86147,S200000,00200,0300,62301- 86147,S200000,00300,0100,ADAMS 86147,S200000,00300,0200,14 86147,S200000,00300,0300,R 86147,S200000,00400,0100,SUNSET HOME 86147,S200000,00400,0200,145800 86147,S200000,00400,0300,10/01/1994 86147,S200000,00400,0500,P 86147,S200000,00400,0600,O 86147,S200000,00600,0200,145800 86147,S200000,00600,0300,10/01/1994 86147,S200000,00600,0600,P 86147,S200000,01600,0100,Y 86147,S200000,02200,0100,Y 86151,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86151,A000000,00300,0000,00300EMPLOYEE BENEFITS 86151,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86151,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86151,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86151,A000000,00700,0000,00700HOUSEKEEPING 86151,A000000,00800,0000,00800DIETARY 86151,A000000,00900,0000,00900NURSING ADMINISTRATION 86151,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86151,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86151,A000000,01300,0000,01300SOCIAL SERVICE 86151,A000000,01600,0000,01600SKILLED NURSING FACILITY 86151,A000000,01800,0000,01800NURSING FACILITY 86151,A000000,02100,0000,02100RADIOLOGY 86151,A000000,02200,0000,02200LABORATORY 86151,A000000,02500,0000,02500PHYSICAL THERAPY 86151,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86151,A000000,02700,0000,02700SPEECH PATHOLOGY 86151,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86151,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86151,A000000,03050,0000,03300AMBULANCE 86151,A000000,03051,0000,03301BLOOD GLUCOSE MONITORING 86151,A000000,03200,0000,03200SUPPORT SURFACES 86151,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86151,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86151,A81000A,00100,0100,Y 86151,A81000B,00100,0300,CAPITAL 86151,A81000B,00200,0300,EMPLOYEE BENEFITS 86151,A81000B,00300,0300,GENERAL & ADMINISTRA 86151,A81000B,00400,0300,PLANT 86151,A81000B,00500,0300,SOCIAL SERVICES 86151,A81000B,00600,0300,MEDICAL SUPPLIES 86151,A81000B,00700,0300,CAPITAL 86151,A81000B,00800,0300,EMPLOYEE BENEFITS 86151,A81000B,00900,0300,EMPLOYEE BENEFITS 86151,A81000B,01000,0300,ADMIN & GENERAL 86151,A81000B,01100,0300,REHAB 86151,A81000B,01200,0300,MED SUPPLIES 86151,A81000B,01300,0300,P.T. 86151,A81000B,01400,0300,O.T. 86151,A81000B,01500,0300,S.T. 86151,A81000B,01600,0300,PHARMACY 86151,A81000C,00100,0100,A 86151,A81000C,00100,0400,DYNAMIC HEALTHC 86151,A81000C,00100,0600,MANAGEMENT COMP 86151,A81000C,00200,0100,A 86151,A81000C,00200,0400,DYNAMIC REHAB C 86151,A81000C,00200,0600,REHAB CONSULTAN 86151,A81000C,00300,0100,A 86151,A81000C,00300,0400,PHARMCOR LLC 86151,A81000C,00300,0600,INSTITUTIONAL P 86151,A81000C,00400,0100,A 86151,A81000C,00400,0400,LINCOLN MEDICAL 86151,A81000C,00400,0600,MED SUPPLY COMP 86151,A81000C,00500,0100,A 86151,A81000C,00500,0400,WARREN PARK LLC 86151,A81000C,00500,0600,BUILDING PARTNE 86151,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86151,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86151,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86151,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86151,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86151,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86151,B100000,00000,0800,00000MEALS SERVED :DIETARY 86151,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 86151,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86151,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86151,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86151,E10A180,00501,0100,06/30/2000 86151,S000000,00100,0200,05/26/2000 86151,S200000,00100,0100,6700 DAMEN AVENUE 86151,S200000,00200,0100,CHICAGO 86151,S200000,00200,0200,IL 86151,S200000,00200,0300,60645- 86151,S200000,00300,0100,COOK 86151,S200000,00300,0200,1600 86151,S200000,00300,0300,U 86151,S200000,00400,0100,WARREN PARK NURSING PAVILION 86151,S200000,00400,0200,145806 86151,S200000,00400,0300,09/01/1994 86151,S200000,00400,0500,P 86151,S200000,01600,0100,Y 86151,S200000,04700,0100,Y 86151,S200000,04700,0200,Y 86160,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86160,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86160,A000000,00300,0000,00300EMPLOYEE BENEFITS 86160,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86160,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86160,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86160,A000000,00700,0000,00700HOUSEKEEPING 86160,A000000,00800,0000,00800DIETARY 86160,A000000,00900,0000,00900NURSING ADMINISTRATION 86160,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86160,A000000,01100,0000,01100PHARMACY 86160,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86160,A000000,01300,0000,01300SOCIAL SERVICE 86160,A000000,01350,0000,01500ACTIVITIES 86160,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86160,A000000,01600,0000,01600SKILLED NURSING FACILITY 86160,A000000,01800,0000,01800NURSING FACILITY 86160,A000000,01900,0000,01900OTHER LONG TERM CARE 86160,A000000,02100,0000,02100RADIOLOGY 86160,A000000,02200,0000,02200LABORATORY 86160,A000000,02300,0000,02300INTRAVENOUS THERAPY 86160,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86160,A000000,02500,0000,02500PHYSICAL THERAPY 86160,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86160,A000000,02700,0000,02700SPEECH PATHOLOGY 86160,A000000,02800,0000,02800ELECTROCARDIOLOGY 86160,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86160,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86160,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86160,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86160,A000000,03200,0000,03200SUPPORT SURFACES 86160,A000000,03400,0000,03400CLINIC 86160,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86160,A000000,03500,0000,03500RURAL HEALTH CLINIC 86160,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86160,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86160,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86160,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86160,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86160,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86160,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86160,A000000,04400,0000,04400DME RENTED - HHA 86160,A000000,04500,0000,04500DME SOLD - HHA 86160,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86160,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86160,A000000,04800,0000,04800AMBULANCE 86160,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86160,A000000,05000,0000,05000CORF 86160,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86160,A000000,05300,0000,05300INTEREST EXPENSE 86160,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86160,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86160,A000000,05500,0000,05500HOSPICE 86160,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86160,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86160,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86160,A000000,06100,0000,06100NONPAID WORKERS 86160,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86160,A000000,06200,0000,06200PATIENTS LAUNDRY 86160,A81000A,00100,0100,Y 86160,A81000B,00100,0300,MANAGEMENT FEES 86160,A81000B,00200,0300,BUILDING LEASE 86160,A81000C,00100,0100,B 86160,A81000C,00100,0200,HUNTER CARE CEN 86160,A81000C,00100,0400,HUNTER CARE CEN 86160,A81000C,00100,0600,LTC MGT 86160,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86160,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86160,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86160,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86160,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86160,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86160,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86160,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86160,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86160,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86160,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86160,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86160,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 86160,S000000,00100,0200,11/10/2000 86160,S200000,00100,0100,1000 MARTIN LUTHER KING 86160,S200000,00200,0100,CENTRALIA 86160,S200000,00200,0200,IL 86160,S200000,00200,0300,62801- 86160,S200000,00300,0100,MARION 86160,S200000,00300,0200,14 86160,S200000,00300,0300,R 86160,S200000,00400,0100,FRIENDSHIP OF CENTRALIA 86160,S200000,00400,0200,145817 86160,S200000,00400,0300,05/01/1998 86160,S200000,00400,0500,P 86160,S200000,01600,0100,Y 86167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86167,A000000,00300,0000,00300EMPLOYEE BENEFITS 86167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86167,A000000,00700,0000,00700HOUSEKEEPING 86167,A000000,00800,0000,00800DIETARY 86167,A000000,00900,0000,00900NURSING ADMINISTRATION 86167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86167,A000000,01300,0000,01300SOCIAL SERVICE 86167,A000000,01600,0000,01600SKILLED NURSING FACILITY 86167,A000000,01800,0000,01800NURSING FACILITY 86167,A000000,02100,0000,02100RADIOLOGY 86167,A000000,02200,0000,02200LABORATORY 86167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86167,A000000,02500,0000,02500PHYSICAL THERAPY 86167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86167,A000000,02700,0000,02700SPEECH PATHOLOGY 86167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86167,A000000,04800,0000,04800AMBULANCE 86167,A000000,05300,0000,05300INTEREST EXPENSE 86167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86167,A81000A,00100,0100,Y 86167,A81000B,00100,0300,CAPITAL RELATED 86167,A81000B,00200,0300,ADMIN & GENERAL 86167,A81000B,00300,0300,PHYSICAL THERAPY 86167,A81000B,00400,0300,OCCUPATIONAL THERAPY 86167,A81000B,00500,0300,SPEECH THERAPY 86167,A81000B,00600,0300,MEDICAL SUPPLY COSTS 86167,A81000B,00700,0300,PHARMACY COSTS 86167,A81000B,00800,0300,GENERAL SUPPLIES 86167,A81000C,00100,0100,B 86167,A81000C,00100,0200,HER MANOR SPRIN 86167,A81000C,00100,0400,HERITAGE ENTERP 86167,A81000C,00100,0600,HOME OFFICE 86167,A81000C,00200,0100,B 86167,A81000C,00200,0200,HER MANOR SPRIN 86167,A81000C,00200,0400,HERITAGE THERAP 86167,A81000C,00200,0600,THERAPY DIVISIO 86167,A81000C,00300,0100,B 86167,A81000C,00300,0200,HER MANOR SPRIN 86167,A81000C,00300,0400,LTC PHARMACY 86167,A81000C,00300,0600,WHOLESALE PHARM 86167,A81000C,00400,0100,B 86167,A81000C,00400,0200,HER MANOR SPRIN 86167,A81000C,00400,0400,GREEN TREE PHAR 86167,A81000C,00400,0600,WHOLESALE PHARM 86167,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86167,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86167,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86167,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 86167,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86167,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86167,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 86167,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 86167,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 86167,E10A180,00501,0100,07/11/2000 86167,S000000,00100,0200,06/01/2000 86167,S200000,00100,0100,435 CAMDEN ROAD 86167,S200000,00200,0100,MT. STERLING 86167,S200000,00200,0200,IL 86167,S200000,00200,0300,62353- 86167,S200000,00300,0100,BROWN 86167,S200000,00400,0100,HERITAGE MANOR -MT. STERLING 86167,S200000,00400,0200,145820 86167,S200000,00400,0300,01/01/1995 86167,S200000,00400,0500,P 86167,S200000,00400,0600,O 86167,S200000,00600,0200,145820 86167,S200000,00600,0300,01/01/1995 86167,S200000,00600,0600,P 86167,S200000,01600,0100,Y 86167,S200000,01900,0100,501(C)(3)CORP. 86167,S200000,02200,0100,Y 86167,S700003,00000,0100,1 86179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86179,A000000,00300,0000,00300EMPLOYEE BENEFITS 86179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86179,A000000,00700,0000,00700HOUSEKEEPING 86179,A000000,00800,0000,00800DIETARY 86179,A000000,00900,0000,00900NURSING ADMINISTRATION 86179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86179,A000000,01300,0000,01300SOCIAL SERVICE 86179,A000000,01600,0000,01600SKILLED NURSING FACILITY 86179,A000000,02100,0000,02100RADIOLOGY 86179,A000000,02200,0000,02200LABORATORY 86179,A000000,02500,0000,02500PHYSICAL THERAPY 86179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86179,A000000,02700,0000,02700SPEECH PATHOLOGY 86179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86179,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86179,A81000A,00100,0100,Y 86179,A81000B,00100,0300,CAPITAL 86179,A81000B,00200,0300,INTEREST 86179,A81000B,00300,0300,OPERATIONS 86179,A81000B,00400,0300,HOME OFFICE 86179,A81000B,00500,0300,HOUSEKEEPING 86179,A81000B,00600,0300,BLDG PARTN. RENT 86179,A81000B,00700,0300,BLDG PARTN. AMORTIZA 86179,A81000B,00800,0300,BLDG PARTN. DEPR 86179,A81000B,00900,0300,BLDG PARTN INTEREST 86179,A81000B,01000,0300,BLDG PARTN INTEREST 86179,A81000B,01100,0300,BLDG PARTN TAXES 86179,A81000B,01200,0300,BLDG PARTN TRUST FEE 86179,A81000C,00100,0100,A 86179,A81000C,00100,0400,DYNAMIC HC CONS 86179,A81000C,00100,0600,BOOKKEEPING 86179,A81000C,00200,0100,A 86179,A81000C,00200,0400,655 BUSSE HWY P 86179,A81000C,00200,0600,BUILDING CO. 86179,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86179,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86179,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86179,B100000,00000,0800,00000MEALS SERVED :DIETARY 86179,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86179,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86179,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86179,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86179,S000000,00100,0200,06/28/2000 86179,S200000,00100,0100,665 BUSSE HIGHWAY 86179,S200000,00200,0100,PARK RIDGE 86179,S200000,00200,0200,IL 86179,S200000,00200,0300,60068- 86179,S200000,00300,0100,COOK 86179,S200000,00400,0100,PARK RIDGE CARE CENTER LTD 86179,S200000,00400,0200,145839 86179,S200000,00400,0300,09/01/1995 86179,S200000,00400,0500,P 86179,S200000,01004,0500,O 86179,S200000,01500,0100,Y 86179,S200000,01900,0100,SUB S CORP 86179,S700003,00000,0400,4 86187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86187,A000000,00300,0000,00300EMPLOYEE BENEFITS 86187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86187,A000000,00700,0000,00700HOUSEKEEPING 86187,A000000,00800,0000,00800DIETARY 86187,A000000,00900,0000,00900NURSING ADMINISTRATION 86187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86187,A000000,01100,0000,01100PHARMACY 86187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86187,A000000,01300,0000,01300SOCIAL SERVICE 86187,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86187,A000000,01600,0000,01600SKILLED NURSING FACILITY 86187,A000000,01800,0000,01800NURSING FACILITY 86187,A000000,01810,0000,01810ICF/MR 86187,A000000,02100,0000,02100RADIOLOGY 86187,A000000,02200,0000,02200LABORATORY 86187,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86187,A000000,02500,0000,02500PHYSICAL THERAPY 86187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86187,A000000,03050,0000,03300AMBULANCE 86187,A000000,03550,0000,03550FQHC 86187,A000000,05000,0000,05000CORF 86187,A000000,05010,0000,05010CMHC 86187,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86187,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86187,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86187,A81000A,00100,0100,Y 86187,A81000B,00100,0300,LINEN EXPENSE 86187,A81000B,00200,0300,FOOD EXPENSE 86187,A81000B,00300,0300,SS DIRECTOR 86187,A81000B,00400,0300,MED/SURG SUPPLIES 86187,A81000B,00500,0300,DRUGS/IV SOLUTIONS 86187,A81000B,00600,0300,RMC FLOAT STAFF 86187,A81000B,00900,0300,XRAY SERVICES 86187,A81000B,01000,0300,LAB SERVICES 86187,A81000B,01100,0300,AMBULANCE SERVICES 86187,A81000B,01200,0300,BENEFITS-FLOAT 86187,A81000B,01300,0300,BENEFITS-ADMIN 86187,A81000C,00100,0100,G 86187,A81000C,00100,0200,RIVERSIDE MED C 86187,A81000C,00200,0100,G 86187,A81000C,00200,0200,RIVERSIDE HLTH 86187,B100000,00000,0100,00040(SQUARE FEET) :CAP REL COSTS - BLD 86187,B100000,00000,0250,00040(SQUARE FEET) :CAP REL COSTS - MOV 86187,B100000,00000,0300,00040(GROSS SALARIES) :EMPLOYEE BENEFIT 86187,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 86187,B100000,00000,0500,00040(SQUARE FEET) :PLANT OPERATION MA 86187,B100000,00000,0650,00040(PATIENT DAYS) :LAUNDRY & LINEN SE 86187,B100000,00000,0750,00040(SQURE FEET) :HOUSEKEEPING 86187,B100000,00000,0850,00040(PATIENT DAYS) :DIETARY 86187,B100000,00000,1330,00040(PATIENT DAYS) :SOCIAL SERVICE 86187,E10A180,00301,0100,01/06/2000 86187,S000000,00100,0200,05/31/2000 86187,S200000,00100,0100,1601 BUTTERFIELD TRAIL 86187,S200000,00200,0100,KANKAKEE 86187,S200000,00200,0200,IL 86187,S200000,00200,0300,60901- 86187,S200000,00300,0100,KANKAKEE 86187,S200000,00300,0200,3740 86187,S200000,00300,0300,U 86187,S200000,00400,0100,MILLER HEALTHCARE CENTER 86187,S200000,00400,0200,145843 86187,S200000,00400,0300,07/07/1995 86187,S200000,00400,0500,P 86187,S200000,01600,0100,Y 86187,S200000,01900,0100,COMMUNITY 86187,S200000,02200,0100,Y 86196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86196,A000000,00300,0000,00300EMPLOYEE BENEFITS 86196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86196,A000000,00700,0000,00700HOUSEKEEPING 86196,A000000,00800,0000,00800DIETARY 86196,A000000,01300,0000,01300SOCIAL SERVICE 86196,A000000,01600,0000,01600SKILLED NURSING FACILITY 86196,A000000,02200,0000,02200LABORATORY 86196,A000000,02500,0000,02500PHYSICAL THERAPY 86196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86196,A000000,02700,0000,02700SPEECH PATHOLOGY 86196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86196,A000000,03550,0000,03550FQHC 86196,A000000,05000,0000,05000CORF 86196,A000000,05010,0000,05010CMHC 86196,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86196,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86196,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86196,A81000A,00100,0100,Y 86196,A81000B,00100,0300,MANAGEMENT FEE 86196,A81000B,00200,0300,HOME OFFICE ALLOC 86196,A81000B,00300,0300,HOME OFFICE ALLOC 86196,A81000C,00100,0100,A 86196,A81000C,00100,0200,CATHEDRAL ROCK 86196,A81000C,00100,0400,CATHEDRAL ROCK 86196,A81000C,00100,0600,HEALTH FACILITY 86196,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 86196,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 86196,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 86196,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 86196,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 86196,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 86196,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 86196,B100000,00000,0800,00040MEALS SERVED :DIETARY 86196,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 86196,E10A180,00501,0100,07/14/2000 86196,S000000,00100,0200,06/22/2000 86196,S200000,00100,0100,3900 STEARNS AVENUE 86196,S200000,00200,0100,GRANITE CITY 86196,S200000,00200,0200,IL 86196,S200000,00200,0300,62040- 86196,S200000,00300,0100,MADISON 86196,S200000,00300,0200,7040 86196,S200000,00300,0300,U 86196,S200000,00400,0100,COLONIAL HAVEN CARE CENTER 86196,S200000,00400,0200,145847 86196,S200000,00400,0300,01/01/1967 86196,S200000,00400,0500,P 86196,S200000,01004,0500,O 86196,S200000,01500,0100,Y 86196,S200000,02100,0100,A 86196,S200000,04300,0100,Y 86208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86208,A000000,00300,0000,00300EMPLOYEE BENEFITS 86208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86208,A000000,00700,0000,00700HOUSEKEEPING 86208,A000000,00800,0000,00800DIETARY 86208,A000000,00900,0000,00900NURSING ADMINISTRATION 86208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86208,A000000,01300,0000,01300SOCIAL SERVICE 86208,A000000,01600,0000,01600SKILLED NURSING FACILITY 86208,A000000,01800,0000,01800NURSING FACILITY 86208,A000000,02100,0000,02100RADIOLOGY 86208,A000000,02200,0000,02200LABORATORY 86208,A000000,02500,0000,02500PHYSICAL THERAPY 86208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86208,A000000,02700,0000,02700SPEECH PATHOLOGY 86208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86208,A000000,03050,0000,03300BLOOD GLUCOSE 86208,A000000,03200,0000,03200SUPPORT SURFACES 86208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86208,A81000A,00100,0100,Y 86208,A81000B,00100,0300,MANAGEMENT FEES 86208,A81000B,00200,0300,BOOKKEEPPING FEES 86208,A81000B,00300,0300,CAPITAL RELATED 86208,A81000B,00400,0300,EMPLOYEE BENEFITS 86208,A81000B,00500,0300,ADMIN. & GENERAL 86208,A81000B,00600,0300,PLANT OPERATION 86208,A81000B,00700,0300,SOCIAL SERVICE 86208,A81000B,00800,0300,EMPLOYEE BENEFITS 86208,A81000B,00900,0300,MEDICAL SUPPLIES 86208,A81000B,01000,0300,SOCIAL SERVICE 86208,A81000B,01100,0300,PHYSICAL THERAPY 86208,A81000B,01200,0300,OCCUPATIONAL THERAPY 86208,A81000B,01300,0300,SPEECH THERAPY 86208,A81000C,00100,0100,A 86208,A81000C,00100,0400,DYNAMIC HEALTHC 86208,A81000C,00100,0600,BOOKKEEPPING/MG 86208,A81000C,00200,0100,A 86208,A81000C,00200,0400,LINCOLN MEDICAL 86208,A81000C,00200,0600,MEDICAL SUPPLY 86208,A81000C,00300,0100,A 86208,A81000C,00300,0400,PHARMCOR L.L.C 86208,A81000C,00300,0600,INSTITUTIONAL P 86208,A81000C,00400,0100,A 86208,A81000C,00400,0400,DYNAMIC REHAB. 86208,A81000C,00400,0600,REHAB 86208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86208,B100000,00000,0800,00000MEALS SERVED :DIETARY 86208,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86208,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86208,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86208,E10A180,00510,0100,07/06/2000 86208,S000000,00100,0200,05/26/2000 86208,S200000,00100,0100,8001 S. WESTERN AVE. 86208,S200000,00200,0100,CHICAGO 86208,S200000,00200,0200,IL 86208,S200000,00200,0300,60620- 86208,S200000,00300,0100,COOK 86208,S200000,00400,0100,WEDGEWOOD NURSING PAVILION LTD. 86208,S200000,00400,0200,145864 86208,S200000,00400,0300,03/01/1996 86208,S200000,00400,0500,P 86208,S200000,01600,0100,Y 86208,S200000,01900,0100,SUB-S 86208,S700003,00000,0400,4 86211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86211,A000000,00300,0000,00300EMPLOYEE BENEFITS 86211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86211,A000000,00700,0000,00700HOUSEKEEPING 86211,A000000,00800,0000,00800DIETARY 86211,A000000,00900,0000,00900NURSING ADMINISTRATION 86211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86211,A000000,01300,0000,01300SOCIAL SERVICE 86211,A000000,01600,0000,01600SKILLED NURSING FACILITY 86211,A000000,01800,0000,01800NURSING FACILITY 86211,A000000,02100,0000,02100RADIOLOGY 86211,A000000,02200,0000,02200LABORATORY 86211,A000000,02500,0000,02500PHYSICAL THERAPY 86211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86211,A000000,02700,0000,02700SPEECH PATHOLOGY 86211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86211,A000000,03050,0000,03300BLOOD GLUCOSE SUPPLIES 86211,A000000,03200,0000,03200SUPPORT SURFACES 86211,A000000,05000,0000,05000CORF 86211,A000000,05010,0000,05010CMHC 86211,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86211,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86211,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86211,A81000A,00100,0100,Y 86211,A81000B,00100,0300,RENT 86211,A81000B,00200,0300,INTEREST INCOME 86211,A81000B,00300,0300,MORTGAGE INTEREST 86211,A81000B,00400,0300,DEPRECIATION 86211,A81000B,00500,0300,AMORTIZATION 86211,A81000B,00600,0300,ADMINISTRATIVE 86211,A81000B,00700,0300,MANAGEMENT FEES 86211,A81000B,00800,0300,PLANT OP/MGMT 86211,A81000B,00900,0300,EMPLOYEE BENEFITS 86211,A81000B,01000,0300,ADMINISTRATIVE 86211,A81000B,01100,0300,CAPITAL RELATED COST 86211,A81000C,00100,0100,A 86211,A81000C,00100,0400,HICKORY HEALTH 86211,A81000C,00100,0600,BUILDING COMPAN 86211,A81000C,00200,0100,B 86211,A81000C,00200,0400,STAYCARE MANAGE 86211,A81000C,00200,0600,MANAGEMENT COMP 86211,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 86211,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 86211,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 86211,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 86211,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 86211,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 86211,B100000,00000,0800,00040MEALS SERVED :DIETARY 86211,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 86211,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 86211,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 86211,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 86211,E10A180,00501,0100,05/24/2000 86211,E10A180,00501,0300,05/24/2000 86211,S000000,00100,0200,05/10/2000 86211,S200000,00100,0100,9246 S. ROBERTS ROAD 86211,S200000,00200,0100,HICKORY HILLS 86211,S200000,00200,0200,IL 86211,S200000,00200,0300,60457- 86211,S200000,00300,0100,COOK 86211,S200000,00400,0100,HICKORY NURSING PAVILLION 86211,S200000,00400,0200,145866 86211,S200000,00400,0300,03/01/1996 86211,S200000,00400,0500,P 86211,S200000,01600,0100,Y 86211,S200000,02200,0100,Y 86211,S200000,04700,0100,Y 86220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86220,A000000,00300,0000,00300EMPLOYEE BENEFITS 86220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86220,A000000,00700,0000,00700HOUSEKEEPING 86220,A000000,00800,0000,00800DIETARY 86220,A000000,00900,0000,00900NURSING ADMINISTRATION 86220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86220,A000000,01300,0000,01300SOCIAL SERVICE 86220,A000000,01600,0000,01600SKILLED NURSING FACILITY 86220,A000000,01800,0000,01800NURSING FACILITY 86220,A000000,02100,0000,02100RADIOLOGY 86220,A000000,02200,0000,02200LABORATORY 86220,A000000,02500,0000,02500PHYSICAL THERAPY 86220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86220,A000000,02700,0000,02700SPEECH PATHOLOGY 86220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86220,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 86220,A000000,03200,0000,03200SUPPORT SURFACES 86220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86220,A81000A,00100,0100,Y 86220,A81000B,00100,0300,RENT 86220,A81000B,00200,0300,DEPRECIATION 86220,A81000B,00300,0300,AMORTIZATION 86220,A81000B,00400,0300,VARIOUS A & G 86220,A81000B,00500,0300,REPAIRS 86220,A81000C,00100,0100,B 86220,A81000C,00100,0400,KEDZIE HOME LLC 86220,A81000C,00100,0600,BUILDING COMPAN 86220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86220,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86220,B100000,00000,0800,00000MEALS SERVED :DIETARY 86220,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86220,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86220,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86220,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86220,S000000,00100,0200,05/23/2000 86220,S200000,00100,0100,1666 RFD (CHECKER RD) 86220,S200000,00200,0100,LONG GROVE 86220,S200000,00200,0200,IL 86220,S200000,00200,0300,60047- 86220,S200000,00300,0100,LAKE 86220,S200000,00400,0100,LONG GROVE MANOR 86220,S200000,00400,0200,145868 86220,S200000,00400,0300,03/01/1996 86220,S200000,00400,0500,P 86220,S200000,01600,0100,Y 86220,S700003,00000,0400,4 86228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86228,A000000,00300,0000,00300EMPLOYEE BENEFITS 86228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86228,A000000,00700,0000,00700HOUSEKEEPING 86228,A000000,00800,0000,00800DIETARY 86228,A000000,00900,0000,00900NURSING ADMINISTRATION 86228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86228,A000000,01100,0000,01100PHARMACY 86228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86228,A000000,01300,0000,01300SOCIAL SERVICE 86228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86228,A000000,01600,0000,01600SKILLED NURSING FACILITY 86228,A000000,01800,0000,01800NURSING FACILITY 86228,A000000,01900,0000,01900OTHER LONG TERM CARE 86228,A000000,02100,0000,02100RADIOLOGY 86228,A000000,02200,0000,02200LABORATORY 86228,A000000,02300,0000,02300INTRAVENOUS THERAPY 86228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86228,A000000,02500,0000,02500PHYSICAL THERAPY 86228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86228,A000000,02700,0000,02700SPEECH PATHOLOGY 86228,A000000,02800,0000,02800ELECTROCARDIOLOGY 86228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86228,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86228,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86228,A000000,03200,0000,03200SUPPORT SURFACES 86228,A000000,03400,0000,03400CLINIC 86228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86228,A000000,04800,0000,04800AMBULANCE 86228,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86228,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86228,A000000,05300,0000,05300INTEREST EXPENSE 86228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86228,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86228,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86228,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86228,A000000,06100,0000,06100NONPAID WORKERS 86228,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86228,A000000,06200,0000,06200PATIENTS LAUNDRY 86228,A81000A,00100,0100,Y 86228,A81000B,00100,0300,REAL ESTATE TAXES 86228,A81000B,00200,0300,LEGAL FEES 86228,A81000B,00300,0300,DEPRECIATION 86228,A81000B,00400,0300,INTEREST EXPENSE 86228,A81000B,00500,0300,STATE REPLACEMENT TAXES 86228,A81000B,00600,0300,TRUST FEES 86228,A81000B,00700,0300,RENTAL EXPENSE 86228,A81000B,00800,0300,OFFICE WAGES 86228,A81000B,00900,0300,MANAGEMENT FEES 86228,A81000B,01000,0300,PROFESSIONAL FEES 86228,A81000B,01100,0300,LICENSE & FEES 86228,A81000B,01200,0300,OFFICE EXPENSE 86228,A81000B,01300,0300,RENT 86228,A81000B,01400,0300,OTHER EMPLOYEE BENEFITS 86228,A81000C,00100,0100,A 86228,A81000C,00100,0200,KIANOOSH & SOUS 86228,A81000C,00100,0400,MMN PARTNERS 86228,A81000C,00100,0600,LESSOR 86228,A81000C,00200,0100,A 86228,A81000C,00200,0200,ROBERT JAFARI 86228,A81000C,00200,0400,MMN PARTNERS 86228,A81000C,00200,0600,LESSOR 86228,A81000C,00300,0100,A 86228,A81000C,00300,0200,EVA DIMAS 86228,A81000C,00300,0400,MMN PARTNERS 86228,A81000C,00300,0600,LESSOR 86228,A81000C,00400,0100,A 86228,A81000C,00400,0200,LOUIS DIMAS 86228,A81000C,00400,0400,MMN PARTNERS 86228,A81000C,00400,0600,LESSOR 86228,A81000C,00500,0100,A 86228,A81000C,00500,0200,NICHOLAS & DORO 86228,A81000C,00500,0400,MMN PARTNERS 86228,A81000C,00500,0600,LESSOR 86228,A81000C,00600,0100,A 86228,A81000C,00600,0200,KIANOOSH & SOUS 86228,A81000C,00600,0400,BUTTERFIELD H.C 86228,A81000C,00600,0600,MGMT. CO. 86228,A81000C,00700,0100,A 86228,A81000C,00700,0200,ROBERT JAFARI 86228,A81000C,00700,0400,BUTTERFIELD H.C 86228,A81000C,00700,0600,MGMT.CO 86228,A81000C,00800,0100,A 86228,A81000C,00800,0200,EVA DIMAS 86228,A81000C,00800,0400,BUTTERFIELD H.C 86228,A81000C,00800,0600,MGMT. CO 86228,A81000C,00900,0100,A 86228,A81000C,00900,0200,LOUIS DIMAS 86228,A81000C,00900,0400,BUTTERFIELD H.C 86228,A81000C,00900,0600,MGMT. CO. 86228,A81000C,01000,0100,A 86228,A81000C,01000,0200,NICOLAS & DOROT 86228,A81000C,01000,0400,BUTTERFIELD H.C 86228,A81000C,01000,0600,MGMT CO 86228,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86228,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86228,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86228,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86228,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86228,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86228,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86228,B100000,00000,0800,00000MEALS SERVED :DIETARY 86228,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86228,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86228,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86228,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86228,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86228,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86228,E10A180,00501,0100,07/12/2000 86228,E10A180,00501,0300,07/12/2000 86228,S000000,00100,0200,06/01/2000 86228,S200000,00100,0100,720 RAYMOND DRIVE 86228,S200000,00200,0100,NAPERVILLE 86228,S200000,00200,0200,IL 86228,S200000,00200,0300,60563- 86228,S200000,00300,0100,DUPAGE 86228,S200000,00400,0100,MEADOWBROOK MANOR-NAPERVILLE 86228,S200000,00400,0200,145874 86228,S200000,00400,0300,05/20/1996 86228,S200000,00400,0500,P 86228,S200000,01600,0100,Y 86231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86231,A000000,00300,0000,00300EMPLOYEE BENEFITS 86231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86231,A000000,00700,0000,00700HOUSEKEEPING 86231,A000000,00800,0000,00800DIETARY 86231,A000000,00900,0000,00900NURSING ADMINISTRATION 86231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86231,A000000,01100,0000,01100PHARMACY 86231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86231,A000000,01300,0000,01300SOCIAL SERVICE 86231,A000000,01350,0000,01500OTHER GENERAL SERVICES 86231,A000000,01600,0000,01600SKILLED NURSING FACILITY 86231,A000000,01800,0000,01800NURSING FACILITY 86231,A000000,01900,0000,01900OTHER LONG TERM CARE 86231,A000000,02100,0000,02100RADIOLOGY 86231,A000000,02200,0000,02200LABORATORY 86231,A000000,02300,0000,02300INTRAVENOUS THERAPY 86231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86231,A000000,02500,0000,02500PHYSICAL THERAPY 86231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86231,A000000,02700,0000,02700SPEECH PATHOLOGY 86231,A000000,02800,0000,02800ELECTROCARDIOLOGY 86231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86231,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86231,A000000,03200,0000,03200SUPPORT SURFACES 86231,A000000,03400,0000,03400CLINIC 86231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86231,A000000,03500,0000,03500RURAL HEALTH CLINIC 86231,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86231,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86231,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86231,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86231,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86231,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86231,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86231,A000000,04400,0000,04400DME RENTED - HHA 86231,A000000,04500,0000,04500DME SOLD - HHA 86231,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86231,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86231,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86231,A000000,04800,0000,04800AMBULANCE 86231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86231,A000000,05000,0000,05000CORF 86231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86231,A000000,05300,0000,05300INTEREST EXPENSE 86231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86231,A000000,05500,0000,05500HOSPICE 86231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86231,A000000,06100,0000,06100NONPAID WORKERS 86231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86231,A000000,06200,0000,06200PATIENTS LAUNDRY 86231,A81000A,00100,0100,Y 86231,A81000B,00100,0300,HOME OFFICE EXPENSE 86231,A81000B,00200,0300,HOME OFFICE EXPENSE 86231,A81000B,00300,0300,TLC ACQUITIONS 86231,A81000C,00100,0200,CRESCENT HEALTH SERVICES 86231,A81000C,00100,0400,CRESCENT HEALTH SERVICES 86231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86231,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86231,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86231,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86231,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86231,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 86231,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86231,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86231,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86231,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86231,S000000,00100,0200,04/26/2000 86231,S200000,00100,0100,512 NORTH 11TH STREET 86231,S200000,00200,0100,VIENNA 86231,S200000,00200,0200,IL 86231,S200000,00200,0300,62995- 86231,S200000,00300,0100,JOHNSON 86231,S200000,00400,0100,HILLVIEW HEALTHCARE CENTER 86231,S200000,00400,0200,145880 86231,S200000,00400,0300,05/15/1996 86231,S200000,00400,0500,P 86231,S200000,01600,0100,Y 86231,S700003,00000,0400,4 86233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86233,A000000,00300,0000,00300EMPLOYEE BENEFITS 86233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86233,A000000,00700,0000,00700HOUSEKEEPING 86233,A000000,00800,0000,00800DIETARY 86233,A000000,00900,0000,00900NURSING ADMINISTRATION 86233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86233,A000000,01100,0000,01100PHARMACY 86233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86233,A000000,01300,0000,01300SOCIAL SERVICE 86233,A000000,01350,0000,01500OTHER GENERAL SERVICES 86233,A000000,01600,0000,01600SKILLED NURSING FACILITY 86233,A000000,01800,0000,01800NURSING FACILITY 86233,A000000,01900,0000,01900OTHER LONG TERM CARE 86233,A000000,02100,0000,02100RADIOLOGY 86233,A000000,02200,0000,02200LABORATORY 86233,A000000,02300,0000,02300INTRAVENOUS THERAPY 86233,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86233,A000000,02500,0000,02500PHYSICAL THERAPY 86233,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86233,A000000,02700,0000,02700SPEECH PATHOLOGY 86233,A000000,02800,0000,02800ELECTROCARDIOLOGY 86233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86233,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86233,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86233,A000000,03200,0000,03200SUPPORT SURFACES 86233,A000000,03400,0000,03400CLINIC 86233,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86233,A000000,03500,0000,03500RURAL HEALTH CLINIC 86233,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86233,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86233,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86233,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86233,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86233,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86233,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86233,A000000,04400,0000,04400DME RENTED - HHA 86233,A000000,04500,0000,04500DME SOLD - HHA 86233,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86233,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86233,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86233,A000000,04800,0000,04800AMBULANCE 86233,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86233,A000000,05000,0000,05000CORF 86233,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86233,A000000,05300,0000,05300INTEREST EXPENSE 86233,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86233,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86233,A000000,05500,0000,05500HOSPICE 86233,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86233,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86233,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86233,A000000,06100,0000,06100NONPAID WORKERS 86233,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86233,A000000,06200,0000,06200PATIENTS LAUNDRY 86233,A81000A,00100,0100,Y 86233,A81000B,00100,0300,HOME OFFICE EXPENSE 86233,A81000B,00200,0300,TLC ACQUISITIONS 86233,A81000C,00100,0100,B 86233,A81000C,00100,0200,ROCKY LEMON 86233,A81000C,00100,0400,CRESCENT HEALTH SERVICES 86233,A81000C,00100,0600,NURSING HOME MGMT 86233,A81000C,00200,0100,A 86233,A81000C,00200,0200,ROCKY LEMON 86233,A81000C,00200,0400,TLC ACQUISITIONS LLC 86233,A81000C,00200,0600,NURSING HOME PROPERTY 86233,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86233,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86233,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86233,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86233,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86233,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86233,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86233,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86233,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86233,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 86233,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86233,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86233,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86233,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86233,S000000,00100,0200,05/31/2000 86233,S200000,00100,0100,512 NORTH 11ST 86233,S200000,00200,0100,VIENNA 86233,S200000,00200,0200,IL 86233,S200000,00200,0300,62995- 86233,S200000,00300,0100,JOHNSON 86233,S200000,00400,0100,HILLVIEW HEALTHCARE CENTER 86233,S200000,00400,0200,145880 86233,S200000,00400,0300,05/15/1996 86233,S200000,00400,0500,P 86233,S200000,01600,0100,Y 86233,S700003,00000,0400,4 86242,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86242,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86242,A000000,00300,0000,00300EMPLOYEE BENEFITS 86242,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86242,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86242,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86242,A000000,00700,0000,00700HOUSEKEEPING 86242,A000000,00800,0000,00800DIETARY 86242,A000000,00900,0000,00900NURSING ADMINISTRATION 86242,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86242,A000000,01100,0000,01100PHARMACY 86242,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86242,A000000,01300,0000,01300SOCIAL SERVICE 86242,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86242,A000000,01600,0000,01600SKILLED NURSING FACILITY 86242,A000000,01800,0000,01800NURSING FACILITY 86242,A000000,01810,0000,01810ICF/MR 86242,A000000,02200,0000,02200LABORATORY 86242,A000000,02500,0000,02500PHYSICAL THERAPY 86242,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86242,A000000,02700,0000,02700SPEECH PATHOLOGY 86242,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86242,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86242,A000000,03550,0000,03550FQHC 86242,A000000,05000,0000,05000CORF 86242,A000000,05010,0000,05010CMHC 86242,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86242,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86242,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86242,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86242,A81000A,00100,0100,Y 86242,A81000B,00200,0300,RENT 86242,A81000B,00400,0300,HOME OFFICE 86242,A81000C,00200,0100,B 86242,A81000C,00200,0200,1050 W. JEFFREY 86242,A81000C,00400,0100,B 86242,A81000C,00400,0200,FAMILY CARE MGT 86242,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86242,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86242,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86242,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86242,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86242,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86242,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86242,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86242,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86242,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86242,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86242,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86242,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86242,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86242,E10A180,00501,0100,08/02/2000 86242,E10A180,00501,0300,08/02/2000 86242,S000000,00100,0200,06/05/2000 86242,S200000,00200,0200,CA 86242,S200000,00400,0100,KANKAKEE NRSG. & REHAB. LLC 86242,S200000,00400,0200,145882 86242,S200000,00400,0300,07/01/1996 86242,S200000,00400,0500,P 86242,S200000,01004,0500,O 86242,S200000,01600,0100,Y 86248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86248,A000000,00300,0000,00300EMPLOYEE BENEFITS 86248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86248,A000000,00700,0000,00700HOUSEKEEPING 86248,A000000,00800,0000,00800DIETARY 86248,A000000,00900,0000,00900NURSING ADMINISTRATION 86248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86248,A000000,01100,0000,01100PHARMACY 86248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86248,A000000,01300,0000,01300SOCIAL SERVICE 86248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86248,A000000,01600,0000,01600SKILLED NURSING FACILITY 86248,A000000,01800,0000,01800NURSING FACILITY 86248,A000000,01900,0000,01900OTHER LONG TERM CARE 86248,A000000,02100,0000,02100RADIOLOGY 86248,A000000,02200,0000,02200LABORATORY 86248,A000000,02300,0000,02300INTRAVENOUS THERAPY 86248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86248,A000000,02500,0000,02500PHYSICAL THERAPY 86248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86248,A000000,02700,0000,02700SPEECH PATHOLOGY 86248,A000000,02800,0000,02800ELECTROCARDIOLOGY 86248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86248,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86248,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86248,A000000,03200,0000,03200SUPPORT SURFACES 86248,A000000,03400,0000,03400CLINIC 86248,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86248,A000000,04800,0000,04800AMBULANCE 86248,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86248,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86248,A000000,05300,0000,05300INTEREST EXPENSE 86248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86248,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86248,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86248,A000000,06100,0000,06100NONPAID WORKERS 86248,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86248,A000000,06200,0000,06200PATIENTS LAUNDRY 86248,A81000A,00100,0100,Y 86248,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 86248,A81000B,00200,0300,HOME OFFICE COST ALLOCATION 86248,A81000C,00100,0100,A 86248,A81000C,00100,0200,JERRY NEAL 86248,A81000C,00100,0400,DSI MGMT. SERV. 86248,A81000C,00100,0600,HOME OFFICE 86248,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86248,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86248,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86248,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86248,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86248,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86248,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86248,B100000,00000,0800,00000MEALS SERVED :DIETARY 86248,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86248,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86248,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86248,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86248,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86248,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86248,E10A180,00501,0100,07/12/2000 86248,S000000,00100,0200,06/01/2000 86248,S200000,00100,0100,304 SW 12TH ST. 86248,S200000,00200,0100,ALEDO 86248,S200000,00200,0200,IL 86248,S200000,00200,0300,61231- 86248,S200000,00300,0100,MERCER 86248,S200000,00400,0100,LYNNCREST MANOR OF ALEDO 86248,S200000,00400,0200,145886 86248,S200000,00400,0300,04/01/1996 86248,S200000,00400,0500,P 86248,S200000,01004,0500,O 86248,S200000,01600,0100,Y 86248,S700003,00000,0400,4 86256,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86256,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86256,A000000,00300,0000,00300EMPLOYEE BENEFITS 86256,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86256,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86256,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86256,A000000,00700,0000,00700HOUSEKEEPING 86256,A000000,00800,0000,00800DIETARY 86256,A000000,00900,0000,00900NURSING ADMINISTRATION 86256,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86256,A000000,01100,0000,01100PHARMACY 86256,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86256,A000000,01300,0000,01300SOCIAL SERVICE 86256,A000000,01350,0000,01500RECREATION 86256,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86256,A000000,01600,0000,01600SKILLED NURSING FACILITY 86256,A000000,01800,0000,01800NURSING FACILITY 86256,A000000,01810,0000,01810ICF/MR 86256,A000000,02100,0000,02100RADIOLOGY 86256,A000000,02200,0000,02200LABORATORY 86256,A000000,02500,0000,02500PHYSICAL THERAPY 86256,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86256,A000000,02700,0000,02700SPEECH PATHOLOGY 86256,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86256,A000000,03200,0000,03200SUPPORT SURFACES 86256,A000000,03550,0000,03550FQHC 86256,A000000,05000,0000,05000CORF 86256,A000000,05010,0000,05010CMHC 86256,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86256,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86256,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86256,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86256,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86256,A81000A,00100,0100,Y 86256,A81000B,00100,0300,HOME OFFICE ADMIN 86256,A81000B,00200,0300,HOME OFFICE CAPITAL 86256,A81000C,00100,0100,B 86256,A81000C,00100,0200,FIRST HEALTH CA 86256,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86256,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86256,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86256,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86256,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86256,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86256,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86256,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86256,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 86256,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86256,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86256,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86256,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86256,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86256,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86256,E10A180,00501,0100,06/28/2000 86256,S000000,00100,0200,05/16/2000 86256,S200000,00100,0100,176 THOMAS COURT 86256,S200000,00200,0100,WAUCONDA 86256,S200000,00200,0200,IL 86256,S200000,00200,0300,60084- 86256,S200000,00300,0100,LAKE 86256,S200000,00400,0100,CARE CENTRE OF WAUCONDA 86256,S200000,00400,0200,145887 86256,S200000,00400,0300,08/01/1996 86256,S200000,00400,0500,P 86256,S200000,01600,0100,Y 86265,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86265,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86265,A000000,00300,0000,00300EMPLOYEE BENEFITS 86265,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86265,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86265,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86265,A000000,00700,0000,00700HOUSEKEEPING 86265,A000000,00800,0000,00800DIETARY 86265,A000000,00900,0000,00900NURSING ADMINISTRATION 86265,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86265,A000000,01100,0000,01100PHARMACY 86265,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86265,A000000,01300,0000,01300SOCIAL SERVICE 86265,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86265,A000000,01600,0000,01600SKILLED NURSING FACILITY 86265,A000000,01800,0000,01800NURSING FACILITY 86265,A000000,01900,0000,01900OTHER LONG TERM CARE 86265,A000000,02100,0000,02100RADIOLOGY 86265,A000000,02200,0000,02200LABORATORY 86265,A000000,02300,0000,02300INTRAVENOUS THERAPY 86265,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86265,A000000,02500,0000,02500PHYSICAL THERAPY 86265,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86265,A000000,02700,0000,02700SPEECH PATHOLOGY 86265,A000000,02800,0000,02800ELECTROCARDIOLOGY 86265,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86265,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86265,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86265,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86265,A000000,03200,0000,03200SUPPORT SURFACES 86265,A000000,03400,0000,03400CLINIC 86265,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86265,A000000,04800,0000,04800AMBULANCE 86265,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86265,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86265,A000000,05300,0000,05300INTEREST EXPENSE 86265,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86265,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86265,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86265,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86265,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86265,A000000,06100,0000,06100NONPAID WORKERS 86265,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86265,A000000,06200,0000,06200PATIENTS LAUNDRY 86265,A81000A,00100,0100,Y 86265,A81000B,00100,0300,PROFESSIONAL SERVICES 86265,A81000B,00200,0300,INSURANCE 86265,A81000B,00300,0300,ADMINISTRATIVE EXPENSES 86265,A81000B,00400,0300,PROVIDER PARTICIPATION FEE 86265,A81000B,00500,0300,EMPLOYEE BENEFITS 86265,A81000C,00100,0100,G 86265,A81000C,00100,0200,COUNTY OF WILL 86265,A81000C,00100,0400,COUNTY OF WILL 86265,A81000C,00100,0600,COUNTY 86265,A81000C,03100,0000,COUNTY OF WILL 86265,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86265,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86265,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86265,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86265,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86265,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86265,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86265,B100000,00000,0800,00000MEALS SERVED :DIETARY 86265,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86265,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86265,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86265,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86265,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86265,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86265,S000000,00100,0200,05/02/2000 86265,S200000,00100,0100,421 DORIS AVENUE 86265,S200000,00200,0100,JOLIET 86265,S200000,00200,0200,IL 86265,S200000,00200,0300,60433- 86265,S200000,00300,0100,WILL 86265,S200000,00400,0100,SUNNY HILL NURSING HOME 86265,S200000,00400,0200,145892 86265,S200000,00400,0300,10/01/1996 86265,S200000,00400,0500,P 86265,S200000,01600,0100,Y 86265,S700003,00000,0400,4 86272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86272,A000000,00300,0000,00300EMPLOYEE BENEFITS 86272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86272,A000000,00700,0000,00700HOUSEKEEPING 86272,A000000,00800,0000,00800DIETARY 86272,A000000,00900,0000,00900NURSING ADMINISTRATION 86272,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86272,A000000,01300,0000,01300SOCIAL SERVICE 86272,A000000,01600,0000,01600SKILLED NURSING FACILITY 86272,A000000,01800,0000,01800NURSING FACILITY 86272,A000000,02100,0000,02100RADIOLOGY 86272,A000000,02200,0000,02200LABORATORY 86272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86272,A000000,02500,0000,02500PHYSICAL THERAPY 86272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86272,A000000,02700,0000,02700SPEECH PATHOLOGY 86272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86272,A000000,03200,0000,03200SUPPORT SURFACES 86272,A000000,05000,0000,05000CORF 86272,A000000,05010,0000,05010CMHC 86272,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86272,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86272,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86272,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86272,A81000A,00100,0100,Y 86272,A81000B,00100,0300,CORPORATE ALLOCATION 86272,A81000B,00200,0300,DIETARY 86272,A81000B,00300,0300,PLANT 86272,A81000B,00400,0300,EMPLOYEE BENEFITS 86272,A81000B,00500,0300,NURSING ADMIN 86272,A81000B,00600,0300,ADMIN AND GENERAL 86272,A81000B,00700,0300,ADMIN SALARIES 86272,A81000B,00800,0300,CAPITAL COSTS 86272,A81000B,00900,0300,CENTRAL SUPPLIES 86272,A81000C,00100,0100,A 86272,A81000C,00100,0400,QUALITY CARE MG 86272,A81000C,00100,0600,MGMT/BKKPG 86272,A81000C,00200,0100,A 86272,A81000C,00200,0400,QUALITY CARE ME 86272,A81000C,00200,0600,MED SUPPLY 86272,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86272,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86272,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86272,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86272,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86272,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86272,B100000,00000,0800,00000MEALS SERVED :DIETARY 86272,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86272,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86272,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86272,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86272,S000000,00100,0200,06/01/2000 86272,S200000,00100,0100,400 E NEW YORK STREET 86272,S200000,00200,0100,AURORA 86272,S200000,00200,0200,IL 86272,S200000,00200,0300,60505- 86272,S200000,00300,0100,KANE 86272,S200000,00400,0100,FOX RIVER PAVILION 86272,S200000,00400,0200,145894 86272,S200000,00400,0300,09/29/1996 86272,S200000,00400,0500,P 86272,S200000,01600,0100,Y 86272,S200000,01900,0100, SUB-S CORP 86272,S700003,00000,0400,4 86278,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86278,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86278,A000000,00300,0000,00300EMPLOYEE BENEFITS 86278,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86278,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86278,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86278,A000000,00700,0000,00700HOUSEKEEPING 86278,A000000,00800,0000,00800DIETARY 86278,A000000,00900,0000,00900NURSING ADMINISTRATION 86278,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86278,A000000,01100,0000,01100PHARMACY 86278,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86278,A000000,01300,0000,01300SOCIAL SERVICE 86278,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86278,A000000,01600,0000,01600SKILLED NURSING FACILITY 86278,A000000,01800,0000,01800NURSING FACILITY 86278,A000000,01900,0000,01900OTHER LONG TERM CARE 86278,A000000,02100,0000,02100RADIOLOGY 86278,A000000,02200,0000,02200LABORATORY 86278,A000000,02300,0000,02300INTRAVENOUS THERAPY 86278,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86278,A000000,02500,0000,02500PHYSICAL THERAPY 86278,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86278,A000000,02700,0000,02700SPEECH PATHOLOGY 86278,A000000,02800,0000,02800ELECTROCARDIOLOGY 86278,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86278,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86278,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86278,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86278,A000000,03200,0000,03200SUPPORT SURFACES 86278,A000000,03400,0000,03400CLINIC 86278,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86278,A000000,04800,0000,04800AMBULANCE 86278,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86278,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86278,A000000,05300,0000,05300INTEREST EXPENSE 86278,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86278,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86278,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86278,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86278,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86278,A000000,06100,0000,06100NONPAID WORKERS 86278,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86278,A000000,06200,0000,06200PATIENTS LAUNDRY 86278,A81000A,00100,0100,Y 86278,A81000B,00100,0300,EMPLOYEE BENEFITS 86278,A81000B,00200,0300,INSURANCE EXPENSE 86278,A81000B,00300,0300,COUNTY SALARIES 86278,A81000C,00100,0100,G 86278,A81000C,00100,0200,STEPHENSON COUN 86278,A81000C,00100,0600,COUNTY 86278,A81000C,03100,0000,STEPHENSON COUNTY ILLINOIS 86278,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86278,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86278,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86278,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86278,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86278,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86278,B100000,00000,0800,00000MEALS SERVED :DIETARY 86278,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86278,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86278,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86278,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86278,S000000,00100,0200,04/26/2000 86278,S200000,00100,0100,2945 SOUTH WALNUT 86278,S200000,00200,0100,FREEPORT 86278,S200000,00200,0200,IL 86278,S200000,00200,0300,61032- 86278,S200000,00300,0100,STEPHENSON 86278,S200000,00300,0200,14 86278,S200000,00300,0300,R 86278,S200000,00400,0100,STEPHENSON NURSING HOME 86278,S200000,00400,0200,145895 86278,S200000,00400,0300,11/01/1996 86278,S200000,00400,0500,P 86278,S200000,01600,0100,Y 86288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86288,A000000,00300,0000,00300EMPLOYEE BENEFITS 86288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86288,A000000,00700,0000,00700HOUSEKEEPING 86288,A000000,00800,0000,00800DIETARY 86288,A000000,00900,0000,00900NURSING ADMINISTRATION 86288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86288,A000000,01100,0000,01100PHARMACY 86288,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86288,A000000,01300,0000,01300SOCIAL SERVICE 86288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86288,A000000,01600,0000,01600SKILLED NURSING FACILITY 86288,A000000,01800,0000,01800NURSING FACILITY 86288,A000000,02100,0000,02100RADIOLOGY 86288,A000000,02200,0000,02200LABORATORY 86288,A000000,02300,0000,02300INTRAVENOUS THERAPY 86288,A000000,02500,0000,02500PHYSICAL THERAPY 86288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86288,A000000,02700,0000,02700SPEECH PATHOLOGY 86288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86288,A000000,05000,0000,05000CORF 86288,A000000,05010,0000,05010CMHC 86288,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86288,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86288,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86288,A81000A,00100,0100,Y 86288,A81000B,00200,0300,MANAGEMENT FEES 86288,A81000C,00200,0100,B 86288,A81000C,00200,0200,EKS / EMI 86288,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86288,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86288,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86288,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86288,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86288,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86288,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86288,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86288,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86288,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86288,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86288,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86288,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86288,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86288,S000000,00100,0200,05/17/2000 86288,S200000,00100,0100,120 W. 26TH STREET 86288,S200000,00200,0100,SO. CHICAGO HTS 86288,S200000,00200,0200,IL 86288,S200000,00200,0300,60411- 86288,S200000,00300,0100,COOK 86288,S200000,00400,0100,WOODSIDE EXTENDED CARE 86288,S200000,00400,0200,145898 86288,S200000,00400,0300,01/01/1997 86288,S200000,00400,0500,P 86288,S200000,01004,0500,O 86288,S200000,01600,0100,Y 86288,S700003,00000,0400,4 86302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86302,A000000,00300,0000,00300EMPLOYEE BENEFITS 86302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86302,A000000,00700,0000,00700HOUSEKEEPING 86302,A000000,00800,0000,00800DIETARY 86302,A000000,00900,0000,00900NURSING ADMINISTRATION 86302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86302,A000000,01300,0000,01300SOCIAL SERVICE 86302,A000000,01600,0000,01600SKILLED NURSING FACILITY 86302,A000000,01800,0000,01800NURSING FACILITY 86302,A000000,02200,0000,02200LABORATORY 86302,A000000,02500,0000,02500PHYSICAL THERAPY 86302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86302,A000000,02700,0000,02700SPEECH PATHOLOGY 86302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86302,A000000,05300,0000,05300INTEREST EXPENSE 86302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86302,A81000A,00100,0100,Y 86302,A81000B,00100,0300,CAPITAL RELATED 86302,A81000B,00200,0300,ADMIN & GENERAL 86302,A81000B,00300,0300,PHYSICAL THERAPY 86302,A81000B,00400,0300,OCCUPATIONAL THERAPY 86302,A81000B,00500,0300,SPEECH THERAPY 86302,A81000B,00600,0300,MEDICAL SUPPLY COSTS 86302,A81000B,00700,0300,PHARMACY COSTS 86302,A81000B,00800,0300,GENERAL SUPPLIES 86302,A81000C,00100,0100,B 86302,A81000C,00100,0200,HER MANOR SPRIN 86302,A81000C,00100,0400,HERITAGE ENTERP 86302,A81000C,00100,0600,HOME OFFICE 86302,A81000C,00200,0100,B 86302,A81000C,00200,0200,HER MANOR SPRIN 86302,A81000C,00200,0400,HERITAGE THERAP 86302,A81000C,00200,0600,THERAPY DIVISIO 86302,A81000C,00300,0100,B 86302,A81000C,00300,0200,HER MANOR SPRIN 86302,A81000C,00300,0400,LTC PHARMACY 86302,A81000C,00300,0600,WHOLESALE PHARM 86302,A81000C,00400,0100,B 86302,A81000C,00400,0200,HER MANOR SPRIN 86302,A81000C,00400,0400,GREEN TREE PHAR 86302,A81000C,00400,0600,WHOLESALE PHARM 86302,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86302,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86302,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86302,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 86302,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86302,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86302,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 86302,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 86302,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 86302,E10A180,00501,0100,07/11/2000 86302,S000000,00100,0200,06/01/2000 86302,S200000,00100,0100,620 EAST FIRST STREET 86302,S200000,00200,0100,GIBSON CITY 86302,S200000,00200,0200,IL 86302,S200000,00200,0300,60936- 86302,S200000,00300,0100,CHAMPAIGN 86302,S200000,00400,0100,HERITAGE MANOR - GIBSON CITY 86302,S200000,00400,0200,145911 86302,S200000,00400,0300,12/01/1996 86302,S200000,00400,0500,P 86302,S200000,00400,0600,O 86302,S200000,00600,0200,145911 86302,S200000,00600,0300,12/01/1996 86302,S200000,00600,0600,P 86302,S200000,01004,0500,O 86302,S200000,01600,0100,Y 86302,S200000,01900,0100,501(C)(3)CORP. 86302,S200000,02200,0100,Y 86302,S700003,00000,0400,4 86310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86310,A000000,00300,0000,00300EMPLOYEE BENEFITS 86310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86310,A000000,00700,0000,00700HOUSEKEEPING 86310,A000000,00800,0000,00800DIETARY 86310,A000000,00900,0000,00900NURSING ADMINISTRATION 86310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86310,A000000,01300,0000,01300SOCIAL SERVICE 86310,A000000,01600,0000,01600SKILLED NURSING FACILITY 86310,A000000,01800,0000,01800NURSING FACILITY 86310,A000000,01900,0000,01900OTHER LONG TERM CARE 86310,A000000,02500,0000,02500PHYSICAL THERAPY 86310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86310,A000000,02700,0000,02700SPEECH PATHOLOGY 86310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86310,A000000,05901,0000,05901CHILD CARE CENTER 86310,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 86310,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 86310,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 86310,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 86310,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 86310,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 86310,B100000,00000,0800,00001MEALS SERVED :DIETARY 86310,B100000,00000,0950,00001NURSING COST :NURSING ADMINISTRATI 86310,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 86310,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 86310,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 86310,S000000,00100,0200,12/04/2000 86310,S200000,00100,0100,201 BELLE STREET 86310,S200000,00200,0100,ALHAMBRA 86310,S200000,00200,0200,IL 86310,S200000,00200,0300,62001- 86310,S200000,00300,0100,MADISON 86310,S200000,00300,0200,7040 86310,S200000,00300,0300,U 86310,S200000,00400,0100,HITZ MEMORIAL HOME 86310,S200000,00400,0200,145921 86310,S200000,00400,0300,03/01/1997 86310,S200000,00400,0500,P 86310,S200000,00400,0600,O 86310,S200000,01600,0100,Y 86313,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86313,A000000,00300,0000,00300EMPLOYEE BENEFITS 86313,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86313,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86313,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86313,A000000,00700,0000,00700HOUSEKEEPING 86313,A000000,00800,0000,00800DIETARY 86313,A000000,00900,0000,00900NURSING ADMINISTRATION 86313,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86313,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86313,A000000,01300,0000,01300SOCIAL SERVICE 86313,A000000,01600,0000,01600SKILLED NURSING FACILITY 86313,A000000,01800,0000,01800NURSING FACILITY 86313,A000000,02100,0000,02100RADIOLOGY 86313,A000000,02200,0000,02200LABORATORY 86313,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86313,A000000,02500,0000,02500PHYSICAL THERAPY 86313,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86313,A000000,02700,0000,02700SPEECH PATHOLOGY 86313,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86313,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86313,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 86313,A000000,03051,0000,03301AMBULANCE 86313,A000000,03200,0000,03200SUPPORT SURFACES 86313,A000000,05000,0000,05000CORF 86313,A000000,05010,0000,05010CMHC 86313,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86313,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86313,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86313,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86313,A81000A,00100,0100,Y 86313,A81000B,00100,0300,RENT 86313,A81000B,00200,0300,ADMIN AND GENERAL 86313,A81000B,00300,0300,DEPRECIATION 86313,A81000B,00400,0300,INTEREST 86313,A81000B,00500,0300,MANAGEMENT FEES 86313,A81000B,00600,0300,BOOKKEEPING SERVICE 86313,A81000B,00700,0300,PLANT OPERATION 86313,A81000B,00800,0300,ADMIN AND GENERAL 86313,A81000B,00900,0300,EMPLOYEE BENEFITS 86313,A81000B,01000,0300,CAPITAL COSTS 86313,A81000B,01100,0300,SOCIAL SERVICES 86313,A81000B,01200,0300,THEREAPY CONSULT 86313,A81000B,01300,0300,PT 86313,A81000B,01400,0300,OT 86313,A81000B,01500,0300,ST 86313,A81000B,01600,0300,MEDICAL SUPPLIES 86313,A81000B,01700,0300,PHARMACY CONSULTANT 86313,A81000B,01800,0300,PHARMACY 86313,A81000B,01900,0300,EMPLOYEE BENEFITS 86313,A81000B,02000,0300,EMPLOYEE BENEFITS 86313,A81000B,02100,0300,NURSING SUPPLIES 86313,A81000C,00100,0100,A 86313,A81000C,00100,0400,16000 WABASH PT 86313,A81000C,00100,0600,BUILDING COMPAN 86313,A81000C,00200,0100,A 86313,A81000C,00200,0400,DYNAMIC HEALTHC 86313,A81000C,00200,0600,MANAGEMENT COMP 86313,A81000C,00300,0100,A 86313,A81000C,00300,0400,DYNAMIC REHAB C 86313,A81000C,00300,0600,REHAB COMPANY 86313,A81000C,00400,0100,A 86313,A81000C,00400,0400,PHARMOR LLC 86313,A81000C,00400,0600,PHARMACY 86313,A81000C,00500,0100,A 86313,A81000C,00500,0400,LINCOLN MEDICAL 86313,A81000C,00500,0600,MEDICAL SUPPLIE 86313,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86313,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86313,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86313,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86313,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86313,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86313,B100000,00000,0800,00000MEALS SERVED :DIETARY 86313,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86313,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86313,B100000,00000,1250,00000PATIEN DAYS :MEDICAL RECORDS & LIB 86313,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86313,E10A180,00501,0100,07/06/2000 86313,S000000,00100,0200,05/26/2000 86313,S200000,00100,0100,16000 SOUTH WABASH 86313,S200000,00200,0100,SOUTH HOLLAND 86313,S200000,00200,0200,IL 86313,S200000,00200,0300,60473- 86313,S200000,00300,0100,COOK 86313,S200000,00400,0100,WINDMILL NURSING PAVILION 86313,S200000,00400,0200,145927 86313,S200000,00400,0300,05/01/1997 86313,S200000,00400,0500,P 86313,S200000,01600,0100,Y 86313,S200000,01900,0100, SUB-S CORP 86313,S200000,04700,0100,Y 86316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86316,A000000,00300,0000,00300EMPLOYEE BENEFITS 86316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86316,A000000,00700,0000,00700HOUSEKEEPING 86316,A000000,00800,0000,00800DIETARY 86316,A000000,00900,0000,00900NURSING ADMINISTRATION 86316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86316,A000000,01300,0000,01300SOCIAL SERVICE 86316,A000000,01600,0000,01600SKILLED NURSING FACILITY 86316,A000000,01800,0000,01800NURSING FACILITY 86316,A000000,02100,0000,02100RADIOLOGY 86316,A000000,02200,0000,02200LABORATORY 86316,A000000,02500,0000,02500PHYSICAL THERAPY 86316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86316,A000000,02700,0000,02700SPEECH PATHOLOGY 86316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86316,A000000,03050,0000,03300BLOOD GLUSOE MONIT 86316,A81000A,00100,0100,Y 86316,A81000B,00100,0300,CAPTIAL RELATED COST 86316,A81000B,00200,0300,EMPLOYEE BENEFIT 86316,A81000B,00300,0300,ADMIN & GEN 86316,A81000B,00400,0300,PLANT OPERTION 86316,A81000B,00500,0300,CENTRAL SER & SUPPLY 86316,A81000B,00600,0300,MEDICAL SUPPLY 86316,A81000B,00700,0300,PHARMACY 86316,A81000C,00100,0100,A 86316,A81000C,00100,0400,KTNC ASSOC 86316,A81000C,00100,0600,BUILDING PARTNE 86316,A81000C,00200,0100,A 86316,A81000C,00200,0400,SW MANAGEMENT 86316,A81000C,00200,0600,MANAGEMENT CO 86316,A81000C,00300,0100,A 86316,A81000C,00300,0400,PHARMCOR LLC 86316,A81000C,00300,0600,PHARMACY 86316,A81000C,00400,0100,A 86316,A81000C,00400,0400,S & E MEDICAL S 86316,A81000C,00400,0600,MEDICAL SUPPLY 86316,A81000C,00500,0100,A 86316,A81000C,00500,0400,UNITY HOSPICE 86316,A81000C,00500,0600,HOSPICE 86316,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86316,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86316,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86316,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86316,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86316,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86316,B100000,00000,0800,00000MEALS SERVED :DIETARY 86316,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86316,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86316,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86316,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86316,E10A180,00501,0100,06/21/2000 86316,S000000,00100,0200,05/25/2000 86316,S200000,00100,0100,6125 SOUTH KENWOOD AVENUE 86316,S200000,00200,0100,CHICAGO 86316,S200000,00200,0200,IL 86316,S200000,00200,0300,60637- 86316,S200000,00300,0100,COOK 86316,S200000,00400,0100,KENWOOD HEALTHCARE CENTER 86316,S200000,00400,0200,145938 86316,S200000,00400,0300,08/01/1997 86316,S200000,00400,0500,P 86316,S200000,01600,0100,Y 86316,S200000,01900,0100,SUB S CORP 86316,S700003,00000,0400,4 86320,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86320,A000000,00300,0000,00300EMPLOYEE BENEFITS 86320,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86320,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86320,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86320,A000000,00700,0000,00700HOUSEKEEPING 86320,A000000,00800,0000,00800DIETARY 86320,A000000,00900,0000,00900NURSING ADMINISTRATION 86320,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86320,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86320,A000000,01300,0000,01300SOCIAL SERVICE 86320,A000000,01600,0000,01600SKILLED NURSING FACILITY 86320,A000000,01800,0000,01800NURSING FACILITY 86320,A000000,02100,0000,02100RADIOLOGY 86320,A000000,02200,0000,02200LABORATORY 86320,A000000,02500,0000,02500PHYSICAL THERAPY 86320,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86320,A000000,02700,0000,02700SPEECH PATHOLOGY 86320,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86320,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86320,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 86320,A000000,03200,0000,03200SUPPORT SURFACES 86320,A000000,05000,0000,05000CORF 86320,A000000,05010,0000,05010CMHC 86320,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86320,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86320,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86320,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86320,A81000A,00100,0100,Y 86320,A81000B,00100,0300,RENT 86320,A81000B,00200,0300,DEPRECIATION 86320,A81000B,00300,0300,ACOCUNTING AND LEGAL 86320,A81000B,00400,0300,INTEREST 86320,A81000B,00500,0300,MANAGEMENT FEES 86320,A81000B,00600,0300,BOOKKEEPING SERVICES 86320,A81000B,00700,0300,CAPITAL COSTS 86320,A81000B,00800,0300,EMPLOYEE BENEFITS 86320,A81000B,00900,0300,ADMIN AND GENERAL 86320,A81000B,01000,0300,PLANT AND OPERATIONS 86320,A81000B,01100,0300,SOCIAL SERVICES 86320,A81000B,01200,0300,PHAMRACY CONSULTING 86320,A81000B,01300,0300,NURSING SUPPLIES 86320,A81000B,01400,0300,PHARMACY 86320,A81000B,01500,0300,EMPLOEE BENEFITS 86320,A81000B,01600,0300,MEDICAL SUPPLIES 86320,A81000B,01700,0300,THERAPY CONSULT 86320,A81000B,01800,0300,PT 86320,A81000B,01900,0300,OT 86320,A81000B,02000,0300,ST 86320,A81000C,00100,0100,A 86320,A81000C,00100,0400,WATERFRONT TERR 86320,A81000C,00100,0600,BUILDING COMPAN 86320,A81000C,00200,0100,A 86320,A81000C,00200,0400,DYANMIC HEALTHC 86320,A81000C,00200,0600,MANAGEMENT COMP 86320,A81000C,00300,0100,A 86320,A81000C,00300,0400,PHARMCOR LLC 86320,A81000C,00300,0600,PHARMACY 86320,A81000C,00400,0100,A 86320,A81000C,00400,0400,LINCOLN MEDICAL 86320,A81000C,00400,0600,MEDICAL SUPPLIE 86320,A81000C,00500,0100,A 86320,A81000C,00500,0400,DYNAMIC REHAB C 86320,A81000C,00500,0600,THERAPY COMPANY 86320,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86320,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86320,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86320,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86320,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86320,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86320,B100000,00000,0800,00000MEALS SERVED :DIETARY 86320,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86320,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86320,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86320,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86320,E10A180,00501,0100,07/06/2000 86320,S000000,00100,0200,05/26/2000 86320,S200000,00100,0100,7750 SOUTH SHORE DRIVE 86320,S200000,00200,0100,CHICAGO 86320,S200000,00200,0200,IL 86320,S200000,00200,0300,60649- 86320,S200000,00300,0100,COOK 86320,S200000,00400,0100,WATERFRONT TERRACE 86320,S200000,00400,0200,145939 86320,S200000,00400,0300,07/01/1997 86320,S200000,00400,0500,P 86320,S200000,01600,0100,Y 86320,S200000,01900,0100, SUB-S CORP 86328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86328,A000000,00300,0000,00300EMPLOYEE BENEFITS 86328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86328,A000000,00700,0000,00700HOUSEKEEPING 86328,A000000,00800,0000,00800DIETARY 86328,A000000,00900,0000,00900NURSING ADMINISTRATION 86328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86328,A000000,01300,0000,01300SOCIAL SERVICE 86328,A000000,01600,0000,01600SKILLED NURSING FACILITY 86328,A000000,01800,0000,01800NURSING FACILITY 86328,A000000,02100,0000,02100RADIOLOGY 86328,A000000,02200,0000,02200LABORATORY 86328,A000000,02500,0000,02500PHYSICAL THERAPY 86328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86328,A000000,02700,0000,02700SPEECH PATHOLOGY 86328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86328,A000000,03050,0000,03300AMBULANCE 86328,A000000,03200,0000,03200SUPPORT SURFACES 86328,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86328,A81000A,00100,0100,Y 86328,A81000B,00100,0300,CAPITAL RELATED 86328,A81000B,00200,0300,BENEFIT RELATED 86328,A81000B,00300,0300,G AND A RELATED 86328,A81000B,00400,0300,PLANT RELATED 86328,A81000B,00500,0300,CAPITAL RELATED 86328,A81000B,00600,0300,G AND A RELATED 86328,A81000B,00700,0300,CSS RELATED 86328,A81000B,00800,0300,G AND A RELATED 86328,A81000B,00900,0300,BENEFIT RELATED 86328,A81000B,01000,0300,G AND A RELATED 86328,A81000B,01100,0300,BENEFIT RELATED 86328,A81000B,01200,0300,MED SUPPLIES 86328,A81000C,00100,0100,A 86328,A81000C,00100,0400,NUCARE SERVICES 86328,A81000C,00100,0600,BOOKKEEPING 86328,A81000C,00200,0100,A 86328,A81000C,00200,0400,HILLSIDE LTD. P 86328,A81000C,00200,0600,BUILDING CO. 86328,A81000C,00300,0100,A 86328,A81000C,00300,0400,SE MEDICAL SUPP 86328,A81000C,00300,0600,MEDICAL SUPPLIE 86328,A81000C,00400,0100,A 86328,A81000C,00400,0400,CAREPATH 86328,A81000C,00400,0600,COMPUTER SERVIC 86328,A81000C,00500,0100,A 86328,A81000C,00500,0400,JLR MANAGEMENT 86328,A81000C,00500,0600,MGMNT COMPANY 86328,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86328,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86328,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86328,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86328,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86328,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86328,B100000,00000,0800,00000MEALS SERVED :DIETARY 86328,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 86328,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86328,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86328,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86328,S000000,00100,0200,05/31/2000 86328,S200000,00100,0100,4600 N. FRONTAGE ROAD 86328,S200000,00200,0100,HILLSIDE 86328,S200000,00200,0200,IL 86328,S200000,00200,0300,60162- 86328,S200000,00300,0100,COOK 86328,S200000,00400,0100,RENAISSANCE AT HILLSIDE 86328,S200000,00400,0200,145946 86328,S200000,00400,0300,10/14/1997 86328,S200000,00400,0500,P 86328,S200000,01600,0100,Y 86328,S200000,01900,0100,SUBCHAPTER S 86328,S200000,04700,0100,Y 86328,S700003,00000,0400,4 86332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86332,A000000,00300,0000,00300EMPLOYEE BENEFITS 86332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86332,A000000,00700,0000,00700HOUSEKEEPING 86332,A000000,00800,0000,00800DIETARY 86332,A000000,00900,0000,00900NURSING ADMINISTRATION 86332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86332,A000000,01300,0000,01300SOCIAL SERVICE 86332,A000000,01600,0000,01600SKILLED NURSING FACILITY 86332,A000000,01800,0000,01800NURSING FACILITY 86332,A000000,02100,0000,02100RADIOLOGY 86332,A000000,02200,0000,02200LABORATORY 86332,A000000,02500,0000,02500PHYSICAL THERAPY 86332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86332,A000000,02700,0000,02700SPEECH PATHOLOGY 86332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86332,A000000,03050,0000,03300BLOOD GLUCOSE MONITORING 86332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86332,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86332,B100000,00000,0800,00000MEALS SERVED :DIETARY 86332,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86332,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86332,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86332,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86332,E10A180,00501,0300,05/18/2000 86332,S000000,00100,0200,04/26/2000 86332,S200000,00100,0100,14688 ILLINOIS HIGHWAY 82 86332,S200000,00200,0100,GENESEO 86332,S200000,00200,0200,IL 86332,S200000,00200,0300,61254- 86332,S200000,00300,0100,HENRY 86332,S200000,00400,0100,HILLCREST HOME 86332,S200000,00400,0200,145949 86332,S200000,00400,0300,02/01/1998 86332,S200000,00400,0500,P 86332,S200000,01600,0100,Y 86332,S700003,00000,0400,4 86338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86338,A000000,00300,0000,00300EMPLOYEE BENEFITS 86338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86338,A000000,00700,0000,00700HOUSEKEEPING 86338,A000000,00800,0000,00800DIETARY 86338,A000000,00900,0000,00900NURSING ADMINISTRATION 86338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86338,A000000,01300,0000,01300SOCIAL SERVICE 86338,A000000,01600,0000,01600SKILLED NURSING FACILITY 86338,A000000,01800,0000,01800NURSING FACILITY 86338,A000000,02100,0000,02100RADIOLOGY 86338,A000000,02200,0000,02200LABORATORY 86338,A000000,02500,0000,02500PHYSICAL THERAPY 86338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86338,A000000,02700,0000,02700SPEECH PATHOLOGY 86338,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86338,A000000,05300,0000,05300INTEREST EXPENSE 86338,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86338,A81000A,00100,0100,Y 86338,A81000B,00100,0300,CAPITAL RELATED 86338,A81000B,00200,0300,ADMIN & GENERAL 86338,A81000B,00300,0300,PHYSICAL THERAPY 86338,A81000B,00400,0300,OCCUPATIONAL THERAPY 86338,A81000B,00500,0300,SPEECH THERAPY 86338,A81000B,00600,0300,MEDICAL SUPPLY COSTS 86338,A81000B,00700,0300,PHARMACY COSTS 86338,A81000B,00800,0300,GENERAL SUPPLIES 86338,A81000C,00100,0100,B 86338,A81000C,00100,0200,HER MANOR SPRIN 86338,A81000C,00100,0400,HERITAGE ENTERP 86338,A81000C,00100,0600,HOME OFFICE 86338,A81000C,00200,0100,B 86338,A81000C,00200,0200,HER MANOR SPRIN 86338,A81000C,00200,0400,HERITAGE THERAP 86338,A81000C,00200,0600,THERAPY DIVISIO 86338,A81000C,00300,0100,B 86338,A81000C,00300,0200,HER MANOR SPRIN 86338,A81000C,00300,0400,LTC PHARMACY 86338,A81000C,00300,0600,WHOLESALE PHARM 86338,A81000C,00400,0100,B 86338,A81000C,00400,0200,HER MANOR SPRIN 86338,A81000C,00400,0400,GREEN TREE PHAR 86338,A81000C,00400,0600,WHOLESALE PHARM 86338,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86338,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86338,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86338,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86338,B100000,00000,0650,00000(RESIDENT DAYS) :LAUNDRY & LINEN S 86338,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86338,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86338,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 86338,B100000,00000,1050,00000(RESIDENT DAYS) :CENTRAL SERVICES 86338,B100000,00000,1330,00000(RESIDENT DAYS) :SOCIAL SERVICE 86338,S000000,00100,0200,06/01/2000 86338,S200000,00100,0100,RT. 3 86338,S200000,00100,0300,446 86338,S200000,00200,0100,BEARDSTOWN 86338,S200000,00200,0200,IL 86338,S200000,00200,0300,62618- 86338,S200000,00300,0100,CASS 86338,S200000,00400,0100,HERITAGE MANOR -BEARDSTOWN SOUTH 86338,S200000,00400,0200,145952 86338,S200000,00400,0300,11/25/1997 86338,S200000,00400,0500,P 86338,S200000,00400,0600,O 86338,S200000,00600,0200,145952 86338,S200000,00600,0300,11/25/1997 86338,S200000,00600,0600,P 86338,S200000,01004,0500,O 86338,S200000,01600,0100,Y 86338,S200000,01900,0100,501(C)(3)CORP. 86338,S200000,02200,0100,Y 86338,S700003,00000,0400,4 86343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86343,A000000,00300,0000,00300EMPLOYEE BENEFITS 86343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86343,A000000,00700,0000,00700HOUSEKEEPING 86343,A000000,00800,0000,00800DIETARY 86343,A000000,00900,0000,00900NURSING ADMINISTRATION 86343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86343,A000000,01100,0000,01100PHARMACY 86343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86343,A000000,01300,0000,01300SOCIAL SERVICE 86343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86343,A000000,01600,0000,01600SKILLED NURSING FACILITY 86343,A000000,01800,0000,01800NURSING FACILITY 86343,A000000,01900,0000,01900OTHER LONG TERM CARE 86343,A000000,02100,0000,02100RADIOLOGY 86343,A000000,02200,0000,02200LABORATORY 86343,A000000,02300,0000,02300INTRAVENOUS THERAPY 86343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86343,A000000,02500,0000,02500PHYSICAL THERAPY 86343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86343,A000000,02700,0000,02700SPEECH PATHOLOGY 86343,A000000,02800,0000,02800ELECTROCARDIOLOGY 86343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86343,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86343,A000000,03200,0000,03200SUPPORT SURFACES 86343,A000000,03400,0000,03400CLINIC 86343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86343,A000000,04800,0000,04800AMBULANCE 86343,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86343,A000000,05300,0000,05300INTEREST EXPENSE 86343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86343,A000000,06100,0000,06100NONPAID WORKERS 86343,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86343,A000000,06200,0000,06200PATIENTS LAUNDRY 86343,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86343,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86343,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86343,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86343,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86343,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86343,B100000,00000,0800,00000MEALS SERVED :DIETARY 86343,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86343,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86343,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86343,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86343,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86343,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86343,S000000,00100,0200,05/30/2000 86343,S200000,00100,0300,4 86343,S200000,00200,0100,DANFORTH 86343,S200000,00200,0200,IL 86343,S200000,00200,0300,60930- 86343,S200000,00300,0100,IROQUOIS 86343,S200000,00400,0100,PRAIRIEVIEW LUTHERAN HOME 86343,S200000,00400,0200,145953 86343,S200000,00400,0300,02/01/1998 86343,S200000,00400,0500,P 86343,S200000,01600,0100,Y 86343,S700003,00000,0400,4 86347,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86347,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86347,A000000,00300,0000,00300EMPLOYEE BENEFITS 86347,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86347,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86347,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86347,A000000,00700,0000,00700HOUSEKEEPING 86347,A000000,00800,0000,00800DIETARY 86347,A000000,00900,0000,00900NURSING ADMINISTRATION 86347,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86347,A000000,01100,0000,01100PHARMACY 86347,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86347,A000000,01300,0000,01300SOCIAL SERVICE 86347,A000000,01350,0000,01500RECREATION 86347,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86347,A000000,01600,0000,01600SKILLED NURSING FACILITY 86347,A000000,01800,0000,01800NURSING FACILITY 86347,A000000,01810,0000,01810ICF/MR 86347,A000000,02200,0000,02200LABORATORY 86347,A000000,02300,0000,02300INTRAVENOUS THERAPY 86347,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86347,A000000,02500,0000,02500PHYSICAL THERAPY 86347,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86347,A000000,02700,0000,02700SPEECH PATHOLOGY 86347,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86347,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86347,A000000,03200,0000,03200SUPPORT SURFACES 86347,A000000,03550,0000,03550FQHC 86347,A000000,05000,0000,05000CORF 86347,A000000,05010,0000,05010CMHC 86347,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86347,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86347,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86347,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86347,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86347,A81000A,00100,0100,Y 86347,A81000B,00100,0300,HOME OFFICE COSTS 86347,A81000B,00200,0300,HOME OFFICE CAPITAL 86347,A81000C,00100,0100,B 86347,A81000C,00100,0200,TUTERA HEALTH C 86347,A81000C,00100,0400,MGMT 86347,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86347,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86347,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86347,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86347,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86347,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86347,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86347,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86347,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86347,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86347,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86347,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86347,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86347,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86347,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86347,S000000,00100,0200,06/01/2000 86347,S200000,00100,0100,3298 RESOURCE PARKWAY 86347,S200000,00200,0100,DEKALB 86347,S200000,00200,0200,IL 86347,S200000,00200,0300,60115- 86347,S200000,00300,0100,DEKALB 86347,S200000,00400,0100,BETHANY HEALTH CARE AND REHAB 86347,S200000,00400,0200,145958 86347,S200000,00400,0300,01/28/1998 86347,S200000,00400,0500,P 86347,S200000,01004,0500,O 86347,S200000,01600,0100,Y 86347,S700003,00000,0400,4 86351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86351,A000000,00300,0000,00300EMPLOYEE BENEFITS 86351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86351,A000000,00700,0000,00700HOUSEKEEPING 86351,A000000,00800,0000,00800DIETARY 86351,A000000,00900,0000,00900NURSING ADMINISTRATION 86351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86351,A000000,01100,0000,01100PHARMACY 86351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86351,A000000,01300,0000,01300SOCIAL SERVICE 86351,A000000,01350,0000,01500RECREATION 86351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86351,A000000,01600,0000,01600SKILLED NURSING FACILITY 86351,A000000,01800,0000,01800NURSING FACILITY 86351,A000000,01810,0000,01810ICF/MR 86351,A000000,02200,0000,02200LABORATORY 86351,A000000,02500,0000,02500PHYSICAL THERAPY 86351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86351,A000000,02700,0000,02700SPEECH PATHOLOGY 86351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86351,A000000,03200,0000,03200SUPPORT SURFACES 86351,A000000,03550,0000,03550FQHC 86351,A000000,05000,0000,05000CORF 86351,A000000,05010,0000,05010CMHC 86351,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86351,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86351,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86351,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86351,A81000A,00100,0100,Y 86351,A81000B,00100,0300,HOME OFFICE ADMIN 86351,A81000B,00200,0300,HOME OFFICE CAPTIAL 86351,A81000B,00300,0300,RELATED PARTY RENT 86351,A81000B,00400,0300,RELATED PARTY ADMIN 86351,A81000C,00100,0100,B 86351,A81000C,00100,0200,FIRST HEALTH CA 86351,A81000C,00100,0400,MGMT 86351,A81000C,00200,0100,B 86351,A81000C,00200,0200,LANDMARK 86351,A81000C,00200,0400,LANDLORD 86351,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86351,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86351,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86351,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86351,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86351,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86351,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 86351,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86351,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86351,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86351,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86351,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86351,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86351,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86351,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86351,E10A180,00501,0100,06/29/2000 86351,S000000,00100,0200,05/16/2000 86351,S200000,00100,0100,500 W. MCKINLEY AVENUE 86351,S200000,00200,0100,DECATUR 86351,S200000,00200,0200,IL 86351,S200000,00200,0300,65526- 86351,S200000,00400,0100,MCKINLEY COURT 86351,S200000,00400,0200,145965 86351,S200000,00400,0300,07/15/1998 86351,S200000,00400,0500,P 86351,S200000,01600,0100,Y 86355,S000000,00100,0200,02/21/2000 86388,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86388,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86388,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86388,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86388,A000000,00300,0000,00300EMPLOYEE BENEFITS 86388,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86388,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86388,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86388,A000000,00700,0000,00700HOUSEKEEPING 86388,A000000,00800,0000,00800DIETARY 86388,A000000,00801,0000,00801CAFETERIA 86388,A000000,00900,0000,00900NURSING ADMINISTRATION 86388,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86388,A000000,01100,0000,01100PHARMACY 86388,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86388,A000000,01300,0000,01300SOCIAL SERVICE 86388,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86388,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86388,A000000,01600,0000,01600SKILLED NURSING FACILITY 86388,A000000,01800,0000,01800NURSING FACILITY 86388,A000000,01900,0000,01900OTHER LONG TERM CARE 86388,A000000,02100,0000,02100RADIOLOGY 86388,A000000,02200,0000,02200LABORATORY 86388,A000000,02300,0000,02300INTRAVENOUS THERAPY 86388,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86388,A000000,02500,0000,02500PHYSICAL THERAPY 86388,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86388,A000000,02700,0000,02700SPEECH PATHOLOGY 86388,A000000,02800,0000,02800ELECTROCARDIOLOGY 86388,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86388,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86388,A000000,03050,0000,03300OTHER ANCILLARY 86388,A000000,03051,0000,03301OTHER ANCILLARY II 86388,A000000,03052,0000,03302OTHER ANCILLARY III 86388,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86388,A000000,03200,0000,03200SUPPORT SURFACES 86388,A000000,03400,0000,03400CLINIC 86388,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 86388,A000000,03500,0000,03500RURAL HEALTH CLINIC 86388,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86388,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86388,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86388,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86388,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86388,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86388,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86388,A000000,04400,0000,04400DME RENTED - HHA 86388,A000000,04500,0000,04500DME SOLD - HHA 86388,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86388,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86388,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86388,A000000,04800,0000,04800AMBULANCE 86388,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86388,A000000,05000,0000,05000CORF 86388,A000000,05010,0000,05010CMHC I 86388,A000000,05020,0000,05020OPT I 86388,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86388,A000000,05300,0000,05300INTEREST EXPENSE 86388,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86388,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86388,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86388,A000000,05500,0000,05500HOSPICE 86388,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86388,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86388,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86388,A000000,06100,0000,06100NONPAID WORKERS 86388,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86388,A000000,06200,0000,06200PATIENTS LAUNDRY 86388,A81000A,00100,0100,Y 86388,A81000B,00100,0300,HOME OFFICE 86388,A81000B,00200,0300,HOME OFFICE 86388,A81000C,00100,0100,A 86388,A81000C,00100,0200,MI CITY 86388,A81000C,00100,0400,MHF 86388,A81000C,00100,0600,HOME OFFICE 86388,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86388,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 86388,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 86388,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 86388,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86388,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86388,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86388,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86388,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86388,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86388,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 86388,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 86388,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 86388,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 86388,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 86388,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86388,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 86388,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 86388,E10A180,00501,0100,06/14/2000 86388,E10A180,00501,0300,06/14/2000 86388,S000000,00100,0200,05/22/2000 86388,S200000,00100,0100,1101 EAST COOLSPRING AVENUE 86388,S200000,00200,0100,MICHIGAN CITY 86388,S200000,00200,0200,IN 86388,S200000,00200,0300,46360- 86388,S200000,00300,0100,LAPORTE 86388,S200000,00400,0100,MICHIGAN CITY HEALTH CARE CENTER 86388,S200000,00400,0200,155141 86388,S200000,00400,0300,05/01/1989 86388,S200000,00400,0500,P 86388,S200000,01004,0500,O 86388,S200000,01600,0100,Y 86388,S200000,04300,0100,Y 86395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86395,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86395,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86395,A000000,00300,0000,00300EMPLOYEE BENEFITS 86395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86395,A000000,00700,0000,00700HOUSEKEEPING 86395,A000000,00800,0000,00800DIETARY 86395,A000000,00801,0000,00801CAFETERIA 86395,A000000,00900,0000,00900NURSING ADMINISTRATION 86395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86395,A000000,01100,0000,01100PHARMACY 86395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86395,A000000,01300,0000,01300SOCIAL SERVICE 86395,A000000,01350,0000,01500ACTIVITIES 86395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86395,A000000,01600,0000,01600SKILLED NURSING FACILITY 86395,A000000,01800,0000,01800NURSING FACILITY 86395,A000000,01900,0000,01900OTHER LONG TERM CARE 86395,A000000,02100,0000,02100RADIOLOGY 86395,A000000,02200,0000,02200LABORATORY 86395,A000000,02300,0000,02300INTRAVENOUS THERAPY 86395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86395,A000000,02500,0000,02500PHYSICAL THERAPY 86395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86395,A000000,02700,0000,02700SPEECH PATHOLOGY 86395,A000000,02800,0000,02800ELECTROCARDIOLOGY 86395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86395,A000000,03050,0000,03300PHYSICIANS 86395,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86395,A000000,03052,0000,03302OTHER ANCILLARY III 86395,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86395,A000000,03200,0000,03200SUPPORT SURFACES 86395,A000000,03450,0000,03600OUTPATIENT P.T. 86395,A000000,03451,0000,03601OUTPATIENT O.T. 86395,A000000,03452,0000,03602OUTPATIENT S.T. 86395,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86395,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86395,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86395,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86395,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86395,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86395,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86395,A000000,04400,0000,04400DME RENTED - HHA 86395,A000000,04500,0000,04500DME SOLD - HHA 86395,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86395,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86395,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86395,A000000,04800,0000,04800AMBULANCE 86395,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86395,A000000,05000,0000,05000CORF 86395,A000000,05010,0000,05010CMHC I 86395,A000000,05020,0000,05020OPT I 86395,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86395,A000000,05300,0000,05300INTEREST EXPENSE 86395,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86395,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86395,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86395,A000000,05500,0000,05500HOSPICE 86395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86395,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86395,A000000,06100,0000,06100NONPAID WORKERS 86395,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86395,A000000,06200,0000,06200PATIENTS LAUNDRY 86395,A81000A,00100,0100,Y 86395,A81000B,00100,0300,START-UP AMORT. EXP 86395,A81000B,00200,0300,PARK ASSOC CONSULT 86395,A81000B,00300,0300,PARK COLL-PURCHASES 86395,A81000B,00400,0300,PARK ASSOC CONSULT 86395,A81000B,00500,0300,RELATED PARTY RENT 86395,A81000B,00600,0300,RELATED PARTY AUTO LEASE 86395,A81000C,00100,0100,A 86395,A81000C,00100,0200,NEIL M. CHUR 86395,A81000C,00100,0400,THE PARK ASSOC 86395,A81000C,00100,0600,ADMIN FIN QA 86395,A81000C,00200,0100,F 86395,A81000C,00200,0200,BARBARA B. CHUR 86395,A81000C,00200,0400,PARK COLLECTION 86395,A81000C,00200,0600,WHOLESALE PURCH 86395,A81000C,00300,0100,A 86395,A81000C,00300,0200,NEIL M. CHUR 86395,A81000C,00300,0400,HCI PROPERTIES 86395,A81000C,00300,0600,REAL PROPERTY 86395,A81000C,00400,0100,A 86395,A81000C,00400,0200,ELISABETH TEHAN 86395,A81000C,00400,0400,HCI PROPERTIES 86395,A81000C,00400,0600,REAL PROPERTY 86395,A81000C,00500,0100,A 86395,A81000C,00500,0200,NEIL M CHUR JR 86395,A81000C,00500,0400,HCI PROPERTIES 86395,A81000C,00500,0600,REAL PROPERTY 86395,A81000C,00600,0100,F 86395,A81000C,00600,0200,BARBARA B. CHUR 86395,A81000C,00600,0400,BBC HEALTHCARE 86395,A81000C,00600,0600,LEASED VEHICLES 86395,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86395,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86395,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86395,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86395,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86395,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86395,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86395,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86395,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86395,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86395,H510100,00000,0000,3480 86395,H510100,02400,0000,3480 86395,H510100,02401,0000,15 86395,H510100,02402,0000,1020 86395,H510200,00000,0000,15 86395,H510300,00000,0000,1020 86395,S000000,00100,0200,06/06/2000 86395,S200000,00100,0100,2055 HERITAGE HOUSE 86395,S200000,00200,0100,MARTINSVILLE 86395,S200000,00200,0200,IN 86395,S200000,00200,0300,46151- 86395,S200000,00300,0100,MORGAN 86395,S200000,00300,0200,3480 86395,S200000,00300,0300,U 86395,S200000,00400,0100,HERITAGE HOUSE HEALTH & REHAB CENTER 86395,S200000,00400,0200,155183 86395,S200000,00400,0300,01/11/1979 86395,S200000,00400,0500,P 86395,S200000,01500,0100,Y 86395,S200000,04700,0200,Y 86419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86419,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86419,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86419,A000000,00300,0000,00300EMPLOYEE BENEFITS 86419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86419,A000000,00700,0000,00700HOUSEKEEPING 86419,A000000,00800,0000,00800DIETARY 86419,A000000,00801,0000,00801CAFETERIA 86419,A000000,00900,0000,00900NURSING ADMINISTRATION 86419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86419,A000000,01100,0000,01100PHARMACY 86419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86419,A000000,01300,0000,01300SOCIAL SERVICE 86419,A000000,01350,0000,01500ACTIVITIES 86419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86419,A000000,01600,0000,01600SKILLED NURSING FACILITY 86419,A000000,01800,0000,01800NURSING FACILITY 86419,A000000,01900,0000,01900OTHER LONG TERM CARE 86419,A000000,02100,0000,02100RADIOLOGY 86419,A000000,02200,0000,02200LABORATORY 86419,A000000,02300,0000,02300INTRAVENOUS THERAPY 86419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86419,A000000,02500,0000,02500PHYSICAL THERAPY 86419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86419,A000000,02700,0000,02700SPEECH PATHOLOGY 86419,A000000,02800,0000,02800ELECTROCARDIOLOGY 86419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86419,A000000,03050,0000,03300PHYSICIANS 86419,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86419,A000000,03052,0000,03302OTHER ANCILLARY III 86419,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86419,A000000,03200,0000,03200SUPPORT SURFACES 86419,A000000,03450,0000,03600OUTPATIENT P.T. 86419,A000000,03451,0000,03601OUTPATIENT O.T. 86419,A000000,03452,0000,03602OUTPATIENT S.T. 86419,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86419,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86419,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86419,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86419,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86419,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86419,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86419,A000000,04400,0000,04400DME RENTED - HHA 86419,A000000,04500,0000,04500DME SOLD - HHA 86419,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86419,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86419,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86419,A000000,04800,0000,04800AMBULANCE 86419,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86419,A000000,05000,0000,05000CORF 86419,A000000,05010,0000,05010CMHC I 86419,A000000,05020,0000,05020OPT I 86419,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86419,A000000,05300,0000,05300INTEREST EXPENSE 86419,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86419,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86419,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86419,A000000,05500,0000,05500HOSPICE 86419,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86419,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86419,A000000,06100,0000,06100NONPAID WORKERS 86419,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86419,A000000,06200,0000,06200PATIENTS LAUNDRY 86419,A81000A,00100,0100,Y 86419,A81000B,00100,0300,START-UP AMORT. EXP 86419,A81000B,00200,0300,PARK ASSOC CONSULT 86419,A81000B,00300,0300,PARK COLL-PURCHASES 86419,A81000B,00400,0300,HCIP RENTAL EXPENSE 86419,A81000C,00100,0100,A 86419,A81000C,00100,0200,NEIL M. CHUR 86419,A81000C,00100,0400,THE PARK ASSOC 86419,A81000C,00100,0600,ADMIN FIN QA 86419,A81000C,00200,0100,F 86419,A81000C,00200,0200,BARBARA B. CHUR 86419,A81000C,00200,0400,PARK COLLECTION 86419,A81000C,00200,0600,WHOLESALE PURCH 86419,A81000C,00300,0100,A 86419,A81000C,00300,0200,NEIL M. CHUR 86419,A81000C,00300,0400,HCI PROPERTIES 86419,A81000C,00300,0600,REAL PROPERTY 86419,A81000C,00400,0100,A 86419,A81000C,00400,0200,ELISABETH TEHAN 86419,A81000C,00400,0400,HCI PROPERTIES 86419,A81000C,00400,0600,REAL PROPERTY 86419,A81000C,00500,0100,A 86419,A81000C,00500,0200,NEIL M CHUR JR 86419,A81000C,00500,0400,HCI PROPERTIES 86419,A81000C,00500,0600,REAL PROPERTY 86419,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86419,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86419,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86419,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86419,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86419,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86419,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86419,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86419,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86419,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86419,E10A180,00501,0100,07/12/2000 86419,S000000,00100,0200,06/05/2000 86419,S200000,00100,0100,1601 HOSPITAL DRIVE 86419,S200000,00200,0100,GREENCASTLE 86419,S200000,00200,0200,IN 86419,S200000,00200,0300,46135- 86419,S200000,00300,0100,PUTNAM 86419,S200000,00300,0200,0015 86419,S200000,00300,0300,R 86419,S200000,00400,0100,HERITAGE HOUSE HEALTH & REHAB 86419,S200000,00400,0200,155202 86419,S200000,00400,0300,11/25/1981 86419,S200000,00400,0500,P 86419,S200000,01500,0100,Y 86419,S200000,02800,0100,Y 86419,S200000,04700,0100,Y 86419,S200000,04700,0200,Y 86419,S200000,04900,0100,Y 86425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86425,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86425,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86425,A000000,00300,0000,00300EMPLOYEE BENEFITS 86425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86425,A000000,00700,0000,00700HOUSEKEEPING 86425,A000000,00800,0000,00800DIETARY 86425,A000000,00801,0000,00801CAFETERIA 86425,A000000,00900,0000,00900NURSING ADMINISTRATION 86425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86425,A000000,01100,0000,01100PHARMACY 86425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86425,A000000,01300,0000,01300SOCIAL SERVICE 86425,A000000,01350,0000,01500ACTIVITIES 86425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86425,A000000,01600,0000,01600SKILLED NURSING FACILITY 86425,A000000,01800,0000,01800NURSING FACILITY 86425,A000000,01900,0000,01900OTHER LONG TERM CARE 86425,A000000,02100,0000,02100RADIOLOGY 86425,A000000,02200,0000,02200LABORATORY 86425,A000000,02300,0000,02300INTRAVENOUS THERAPY 86425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86425,A000000,02500,0000,02500PHYSICAL THERAPY 86425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86425,A000000,02700,0000,02700SPEECH PATHOLOGY 86425,A000000,02800,0000,02800ELECTROCARDIOLOGY 86425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86425,A000000,03050,0000,03300PHYSICIANS 86425,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86425,A000000,03052,0000,03302OTHER ANCILLARY III 86425,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86425,A000000,03200,0000,03200SUPPORT SURFACES 86425,A000000,03450,0000,03600OUTPATIENT P.T. 86425,A000000,03451,0000,03601OUTPATIENT O.T. 86425,A000000,03452,0000,03602OUTPATIENT S.T. 86425,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86425,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86425,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86425,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86425,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86425,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86425,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86425,A000000,04400,0000,04400DME RENTED - HHA 86425,A000000,04500,0000,04500DME SOLD - HHA 86425,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86425,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86425,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86425,A000000,04800,0000,04800AMBULANCE 86425,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86425,A000000,05000,0000,05000CORF 86425,A000000,05010,0000,05010CMHC I 86425,A000000,05020,0000,05020OPT I 86425,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86425,A000000,05300,0000,05300INTEREST EXPENSE 86425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86425,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86425,A000000,05500,0000,05500HOSPICE 86425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86425,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86425,A000000,06100,0000,06100NONPAID WORKERS 86425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86425,A000000,06200,0000,06200PATIENTS LAUNDRY 86425,A81000A,00100,0100,Y 86425,A81000B,00100,0300,START-UP AMORT. EXP 86425,A81000B,00200,0300,PARK ASSOC CONSULT 86425,A81000B,00300,0300,PARK COLL-PURCHASES 86425,A81000C,00100,0100,A 86425,A81000C,00100,0200,NEIL M. CHUR 86425,A81000C,00100,0400,THE PARK ASSOC 86425,A81000C,00100,0600,ADMIN FIN QA 86425,A81000C,00200,0100,F 86425,A81000C,00200,0200,BARBARA B. CHUR 86425,A81000C,00200,0400,PARK COLLECTION 86425,A81000C,00200,0600,WHOLESALE PURCH 86425,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86425,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86425,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86425,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86425,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86425,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86425,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86425,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86425,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86425,E10A180,00550,0100,07/12/2000 86425,S000000,00100,0200,06/05/2000 86425,S200000,00100,0100,950 CROSS AVENUE 86425,S200000,00200,0100,MADISON 86425,S200000,00200,0200,IN 86425,S200000,00200,0300,47250- 86425,S200000,00300,0100,JEFFERSON 86425,S200000,00300,0200,0015 86425,S200000,00300,0300,R 86425,S200000,00400,0100,CLIFTY FALLS HEALTH & REHAB CENTER 86425,S200000,00400,0200,155209 86425,S200000,00400,0300,01/20/1983 86425,S200000,00400,0500,P 86425,S200000,01500,0100,Y 86425,S200000,04700,0100,Y 86425,S200000,04700,0200,Y 86425,S200000,04900,0100,Y 86431,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86431,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86431,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86431,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86431,A000000,00300,0000,00300EMPLOYEE BENEFITS 86431,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86431,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86431,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86431,A000000,00700,0000,00700HOUSEKEEPING 86431,A000000,00800,0000,00800DIETARY 86431,A000000,00801,0000,00801CAFETERIA 86431,A000000,00900,0000,00900NURSING ADMINISTRATION 86431,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86431,A000000,01100,0000,01100PHARMACY 86431,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86431,A000000,01300,0000,01300SOCIAL SERVICE 86431,A000000,01350,0000,01500ACTIVITIES 86431,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86431,A000000,01600,0000,01600SKILLED NURSING FACILITY 86431,A000000,01800,0000,01800NURSING FACILITY 86431,A000000,01900,0000,01900OTHER LONG TERM CARE 86431,A000000,02100,0000,02100RADIOLOGY 86431,A000000,02200,0000,02200LABORATORY 86431,A000000,02300,0000,02300INTRAVENOUS THERAPY 86431,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86431,A000000,02500,0000,02500PHYSICAL THERAPY 86431,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86431,A000000,02700,0000,02700SPEECH PATHOLOGY 86431,A000000,02800,0000,02800ELECTROCARDIOLOGY 86431,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86431,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86431,A000000,03050,0000,03300PHYSICIANS 86431,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86431,A000000,03052,0000,03302OTHER ANCILLARY III 86431,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86431,A000000,03200,0000,03200SUPPORT SURFACES 86431,A000000,03450,0000,03600OUTPATIENT P.T. 86431,A000000,03451,0000,03601OUTPATIENT O.T. 86431,A000000,03452,0000,03602OUTPATIENT S.T. 86431,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86431,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86431,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86431,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86431,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86431,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86431,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86431,A000000,04400,0000,04400DME RENTED - HHA 86431,A000000,04500,0000,04500DME SOLD - HHA 86431,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86431,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86431,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86431,A000000,04800,0000,04800AMBULANCE 86431,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86431,A000000,05000,0000,05000CORF 86431,A000000,05010,0000,05010CMHC I 86431,A000000,05020,0000,05020OPT I 86431,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86431,A000000,05300,0000,05300INTEREST EXPENSE 86431,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86431,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86431,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86431,A000000,05500,0000,05500HOSPICE 86431,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86431,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86431,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86431,A000000,06100,0000,06100NONPAID WORKERS 86431,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86431,A000000,06200,0000,06200PATIENTS LAUNDRY 86431,A81000A,00100,0100,Y 86431,A81000B,00100,0300,START-UP AMORT. EXP 86431,A81000B,00200,0300,PARK ASSOC CONSULT 86431,A81000B,00300,0300,PARK COLL-PURCHASES 86431,A81000B,00400,0300,BBC ENTERPRISES 86431,A81000C,00100,0100,A 86431,A81000C,00100,0200,NEIL M. CHUR 86431,A81000C,00100,0400,THE PARK ASSOC 86431,A81000C,00100,0600,ADMIN FIN QA 86431,A81000C,00200,0100,F 86431,A81000C,00200,0200,BARBARA B. CHUR 86431,A81000C,00200,0400,PARK COLLECTION 86431,A81000C,00200,0600,WHOLESALE PURCH 86431,A81000C,00300,0100,F 86431,A81000C,00300,0200,BARBARA B. CHUR 86431,A81000C,00300,0400,BBC HEALTHCARE 86431,A81000C,00300,0600,LEASED VEHICLES 86431,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86431,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86431,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86431,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86431,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86431,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86431,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86431,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86431,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86431,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86431,E10A180,00501,0100,07/12/2000 86431,S000000,00100,0200,06/05/2000 86431,S200000,00100,0100,1712 LELAND DRIVE 86431,S200000,00200,0100,HUNTINGBURG 86431,S200000,00200,0200,IN 86431,S200000,00200,0300,47542- 86431,S200000,00300,0100,DUBOIS 86431,S200000,00300,0200,0015 86431,S200000,00300,0300,R 86431,S200000,00400,0100,HUNTINGBURG CONVALESCENT CENTER 86431,S200000,00400,0200,155217 86431,S200000,00400,0300,07/15/1983 86431,S200000,00400,0500,P 86431,S200000,01500,0100,Y 86460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86460,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86460,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86460,A000000,00300,0000,00300EMPLOYEE BENEFITS 86460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86460,A000000,00700,0000,00700HOUSEKEEPING 86460,A000000,00800,0000,00800DIETARY 86460,A000000,00801,0000,00801CAFETERIA 86460,A000000,00900,0000,00900NURSING ADMINISTRATION 86460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86460,A000000,01100,0000,01100PHARMACY 86460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86460,A000000,01300,0000,01300SOCIAL SERVICE 86460,A000000,01350,0000,01500ACTIVITIES 86460,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86460,A000000,01600,0000,01600SKILLED NURSING FACILITY 86460,A000000,01800,0000,01800NURSING FACILITY 86460,A000000,01900,0000,01900OTHER LONG TERM CARE 86460,A000000,02100,0000,02100RADIOLOGY 86460,A000000,02200,0000,02200LABORATORY 86460,A000000,02300,0000,02300INTRAVENOUS THERAPY 86460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86460,A000000,02500,0000,02500PHYSICAL THERAPY 86460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86460,A000000,02700,0000,02700SPEECH PATHOLOGY 86460,A000000,02800,0000,02800ELECTROCARDIOLOGY 86460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86460,A000000,03050,0000,03300PHYSICIANS 86460,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86460,A000000,03052,0000,03302OTHER ANCILLARY III 86460,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86460,A000000,03200,0000,03200SUPPORT SURFACES 86460,A000000,03450,0000,03600OUTPATIENT P.T. 86460,A000000,03451,0000,03601OUTPATIENT O.T. 86460,A000000,03452,0000,03602OUTPATIENT S.T. 86460,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86460,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86460,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86460,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86460,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86460,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86460,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86460,A000000,04400,0000,04400DME RENTED - HHA 86460,A000000,04500,0000,04500DME SOLD - HHA 86460,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86460,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86460,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86460,A000000,04800,0000,04800AMBULANCE 86460,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86460,A000000,05000,0000,05000CORF 86460,A000000,05010,0000,05010CMHC I 86460,A000000,05020,0000,05020OPT I 86460,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86460,A000000,05300,0000,05300INTEREST EXPENSE 86460,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86460,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86460,A000000,05500,0000,05500HOSPICE 86460,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86460,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86460,A000000,06100,0000,06100NONPAID WORKERS 86460,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86460,A000000,06200,0000,06200PATIENTS LAUNDRY 86460,A81000A,00100,0100,Y 86460,A81000B,00100,0300,START-UP AMORT. EXP 86460,A81000B,00200,0300,PARK ASSOC CONSULT 86460,A81000B,00300,0300,PARK COLL-PURCHASES 86460,A81000B,00400,0300,CAPITAL COST DISSALLOWANCE 86460,A81000C,00100,0100,A 86460,A81000C,00100,0200,NEIL M. CHUR 86460,A81000C,00100,0400,THE PARK ASSOC 86460,A81000C,00100,0600,ADMIN FIN QA 86460,A81000C,00200,0100,F 86460,A81000C,00200,0200,BARBARA B. CHUR 86460,A81000C,00200,0400,PARK COLLECTION 86460,A81000C,00200,0600,WHOLESALE PURCH 86460,A81000C,00300,0100,A 86460,A81000C,00300,0200,NEIL M. CHUR 86460,A81000C,00300,0400,HCI PROPERTIES 86460,A81000C,00300,0600,REAL PROPERTY 86460,A81000C,00400,0100,A 86460,A81000C,00400,0200,ELISABETH TEHAN 86460,A81000C,00400,0400,HCI PROPERTIES 86460,A81000C,00400,0600,REAL PROPERTY 86460,A81000C,00500,0100,A 86460,A81000C,00500,0200,NEIL M CHUR JR 86460,A81000C,00500,0400,HCI PROPERTIES 86460,A81000C,00500,0600,REAL PROPERTY 86460,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86460,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86460,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86460,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86460,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86460,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86460,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86460,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86460,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86460,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86460,E10A180,00501,0100,07/12/2000 86460,S000000,00100,0200,06/05/2000 86460,S200000,00100,0100,1600 E LIBERTY STREET 86460,S200000,00200,0100,COVINGTON 86460,S200000,00200,0200,IN 86460,S200000,00200,0300,47932- 86460,S200000,00300,0100,FOUNTAIN 86460,S200000,00300,0200,0015 86460,S200000,00300,0300,R 86460,S200000,00400,0100,COVINGTON MANOR H C C 86460,S200000,00400,0200,155223 86460,S200000,00400,0300,03/25/1983 86460,S200000,00400,0500,P 86460,S200000,01500,0100,Y 86479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86479,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86479,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86479,A000000,00300,0000,00300EMPLOYEE BENEFITS 86479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86479,A000000,00700,0000,00700HOUSEKEEPING 86479,A000000,00800,0000,00800DIETARY 86479,A000000,00801,0000,00801CAFETERIA 86479,A000000,00900,0000,00900NURSING ADMINISTRATION 86479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86479,A000000,01100,0000,01100PHARMACY 86479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86479,A000000,01300,0000,01300SOCIAL SERVICE 86479,A000000,01350,0000,01500ACTIVITIES 86479,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86479,A000000,01600,0000,01600SKILLED NURSING FACILITY 86479,A000000,01800,0000,01800NURSING FACILITY 86479,A000000,01900,0000,01900OTHER LONG TERM CARE 86479,A000000,02100,0000,02100RADIOLOGY 86479,A000000,02200,0000,02200LABORATORY 86479,A000000,02300,0000,02300INTRAVENOUS THERAPY 86479,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86479,A000000,02500,0000,02500PHYSICAL THERAPY 86479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86479,A000000,02700,0000,02700SPEECH PATHOLOGY 86479,A000000,02800,0000,02800ELECTROCARDIOLOGY 86479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86479,A000000,03050,0000,03300PHYSICIANS 86479,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86479,A000000,03052,0000,03302OTHER ANCILLARY III 86479,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86479,A000000,03200,0000,03200SUPPORT SURFACES 86479,A000000,03450,0000,03600OUTPATIENT P.T. 86479,A000000,03451,0000,03601OUTPATIENT O.T. 86479,A000000,03452,0000,03602OUTPATIENT S.T. 86479,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86479,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86479,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86479,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86479,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86479,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86479,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86479,A000000,04400,0000,04400DME RENTED - HHA 86479,A000000,04500,0000,04500DME SOLD - HHA 86479,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86479,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86479,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86479,A000000,04800,0000,04800AMBULANCE 86479,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86479,A000000,05000,0000,05000CORF 86479,A000000,05010,0000,05010CMHC I 86479,A000000,05020,0000,05020OPT I 86479,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86479,A000000,05300,0000,05300INTEREST EXPENSE 86479,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86479,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86479,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86479,A000000,05500,0000,05500HOSPICE 86479,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86479,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86479,A000000,06100,0000,06100NONPAID WORKERS 86479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86479,A000000,06200,0000,06200PATIENTS LAUNDRY 86479,A81000A,00100,0100,Y 86479,A81000B,00100,0300,START-UP AMORT. EXP 86479,A81000B,00200,0300,PARK ASSOC CONSULT 86479,A81000B,00300,0300,PARK COLL-PURCHASES 86479,A81000B,00400,0300,BBC-VEHICLE LEASE 86479,A81000C,00100,0100,A 86479,A81000C,00100,0200,NEIL M. CHUR 86479,A81000C,00100,0400,THE PARK ASSOC 86479,A81000C,00100,0600,ADMIN FIN QA 86479,A81000C,00200,0100,F 86479,A81000C,00200,0200,BARBARA B. CHUR 86479,A81000C,00200,0400,PARK COLLECTION 86479,A81000C,00200,0600,WHOLESALE PURCH 86479,A81000C,00300,0100,F 86479,A81000C,00300,0200,BBC HEALTHCARE 86479,A81000C,00300,0400,BARBARA B. CHUR 86479,A81000C,00300,0600,LEASED VEHICLES 86479,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86479,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86479,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86479,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86479,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86479,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86479,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86479,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86479,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86479,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86479,E10A180,00501,0100,07/12/2000 86479,S000000,00100,0200,06/05/2000 86479,S200000,00100,0100,2000 S. ANDREWS ROAD 86479,S200000,00200,0100,YORKTOWN 86479,S200000,00200,0200,IN 86479,S200000,00200,0300,47396- 86479,S200000,00300,0100,DELAWARE 86479,S200000,00300,0200,5280 86479,S200000,00300,0300,U 86479,S200000,00400,0100,YORKTOWN HEALTH CARE CENTER 86479,S200000,00400,0200,155238 86479,S200000,00400,0300,09/20/1984 86479,S200000,00400,0500,P 86479,S200000,01500,0100,Y 86501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86501,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86501,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86501,A000000,00300,0000,00300EMPLOYEE BENEFITS 86501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86501,A000000,00700,0000,00700HOUSEKEEPING 86501,A000000,00800,0000,00800DIETARY 86501,A000000,00801,0000,00801CAFETERIA 86501,A000000,00900,0000,00900NURSING ADMINISTRATION 86501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86501,A000000,01100,0000,01100PHARMACY 86501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86501,A000000,01300,0000,01300SOCIAL SERVICE 86501,A000000,01350,0000,01500ACTIVITIES 86501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86501,A000000,01600,0000,01600SKILLED NURSING FACILITY 86501,A000000,01800,0000,01800NURSING FACILITY 86501,A000000,01900,0000,01900OTHER LONG TERM CARE 86501,A000000,02100,0000,02100RADIOLOGY 86501,A000000,02200,0000,02200LABORATORY 86501,A000000,02300,0000,02300INTRAVENOUS THERAPY 86501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86501,A000000,02500,0000,02500PHYSICAL THERAPY 86501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86501,A000000,02700,0000,02700SPEECH PATHOLOGY 86501,A000000,02800,0000,02800ELECTROCARDIOLOGY 86501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86501,A000000,03050,0000,03300PHYSICIANS 86501,A000000,03051,0000,03301PT B ENTERALS 86501,A000000,03052,0000,03302OTHER ANCILLARY III 86501,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86501,A000000,03200,0000,03200SUPPORT SURFACES 86501,A000000,03450,0000,03600OUTPATIENT P.T. 86501,A000000,03451,0000,03601OUTPATIENT O.T. 86501,A000000,03452,0000,03602OUTPATIENT S.T. 86501,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86501,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86501,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86501,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86501,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86501,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86501,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86501,A000000,04400,0000,04400DME RENTED - HHA 86501,A000000,04500,0000,04500DME SOLD - HHA 86501,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86501,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86501,A000000,04800,0000,04800AMBULANCE 86501,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86501,A000000,05000,0000,05000CORF 86501,A000000,05010,0000,05010CMHC I 86501,A000000,05020,0000,05020OPT I 86501,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86501,A000000,05300,0000,05300INTEREST EXPENSE 86501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86501,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86501,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86501,A000000,05500,0000,05500HOSPICE 86501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86501,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86501,A000000,06100,0000,06100NONPAID WORKERS 86501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86501,A000000,06200,0000,06200PATIENTS LAUNDRY 86501,A81000A,00100,0100,Y 86501,A81000B,00100,0300,START-UP AMORT EXP 86501,A81000B,00200,0300,PARK ASSOC CONSULT 86501,A81000B,00300,0300,PARK COLL-PURCHASES 86501,A81000C,00100,0100,A 86501,A81000C,00100,0200,NEIL M CHUR 86501,A81000C,00100,0400,PARK ASSOCIATES 86501,A81000C,00100,0600,ADMIN FIN QA 86501,A81000C,00200,0100,F 86501,A81000C,00200,0200,BARBARA B CHUR 86501,A81000C,00200,0400,PARK COLLECTION 86501,A81000C,00200,0600,WHOLESALE PURCH 86501,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86501,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86501,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86501,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86501,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86501,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86501,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86501,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86501,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86501,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86501,E10A180,00501,0100,07/12/2000 86501,S000000,00100,0200,06/05/2000 86501,S200000,00100,0100,110 BEVERLY DRIVE 86501,S200000,00200,0100,CHESTERTON 86501,S200000,00200,0200,IN 86501,S200000,00200,0300,46304- 86501,S200000,00300,0100,PORTER 86501,S200000,00300,0200,2960 86501,S200000,00300,0300,U 86501,S200000,00400,0100,CHESTERTON HEALTH CARE CENTER 86501,S200000,00400,0200,155246 86501,S200000,00400,0300,01/01/1985 86501,S200000,00400,0500,P 86501,S200000,01500,0100,Y 86501,S200000,04700,0100,Y 86501,S200000,04700,0200,Y 86501,S200000,04900,0100,Y 86537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86537,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86537,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86537,A000000,00300,0000,00300EMPLOYEE BENEFITS 86537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86537,A000000,00700,0000,00700HOUSEKEEPING 86537,A000000,00800,0000,00800DIETARY 86537,A000000,00801,0000,00801CAFETERIA 86537,A000000,00900,0000,00900NURSING ADMINISTRATION 86537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86537,A000000,01100,0000,01100PHARMACY 86537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86537,A000000,01300,0000,01300SOCIAL SERVICE 86537,A000000,01350,0000,01500ACTIVITIES 86537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86537,A000000,01600,0000,01600SKILLED NURSING FACILITY 86537,A000000,01800,0000,01800NURSING FACILITY 86537,A000000,01900,0000,01900OTHER LONG TERM CARE 86537,A000000,02100,0000,02100RADIOLOGY 86537,A000000,02200,0000,02200LABORATORY 86537,A000000,02300,0000,02300INTRAVENOUS THERAPY 86537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86537,A000000,02500,0000,02500PHYSICAL THERAPY 86537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86537,A000000,02700,0000,02700SPEECH PATHOLOGY 86537,A000000,02800,0000,02800ELECTROCARDIOLOGY 86537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86537,A000000,03050,0000,03300PHYSICIANS 86537,A000000,03051,0000,03301PT B ENTERALS 86537,A000000,03052,0000,03302OTHER ANCILLARY III 86537,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86537,A000000,03200,0000,03200SUPPORT SURFACES 86537,A000000,03450,0000,03600OUTPATIENT P.T. 86537,A000000,03451,0000,03601OUTPATIENT O.T. 86537,A000000,03452,0000,03602OUTPATIENT S.T. 86537,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86537,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86537,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86537,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86537,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86537,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86537,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86537,A000000,04400,0000,04400DME RENTED - HHA 86537,A000000,04500,0000,04500DME SOLD - HHA 86537,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86537,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86537,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86537,A000000,04800,0000,04800AMBULANCE 86537,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86537,A000000,05000,0000,05000CORF 86537,A000000,05010,0000,05010CMHC I 86537,A000000,05020,0000,05020OPT I 86537,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86537,A000000,05300,0000,05300INTEREST EXPENSE 86537,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86537,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86537,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86537,A000000,05500,0000,05500HOSPICE 86537,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86537,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86537,A000000,06100,0000,06100NONPAID WORKERS 86537,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86537,A000000,06200,0000,06200PATIENTS LAUNDRY 86537,A81000A,00100,0100,Y 86537,A81000B,00100,0300,START-UP AMORT EXP 86537,A81000B,00200,0300,PARK ASSOC CONSULT 86537,A81000B,00300,0300,PARK COLL-PURCHASES 86537,A81000C,00100,0100,A 86537,A81000C,00100,0200,NEIL M CHUR 86537,A81000C,00100,0400,THE PARK ASSOCS 86537,A81000C,00100,0600,ADMIN FIN QA 86537,A81000C,00200,0100,F 86537,A81000C,00200,0200,BARBARA B CHUR 86537,A81000C,00200,0400,PARK COLLECTION 86537,A81000C,00200,0600,WHOLESALE PURCH 86537,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86537,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86537,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86537,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86537,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86537,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86537,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86537,B100000,00000,0950,00000GROSS CHARGES :NURSING ADMINISTRAT 86537,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86537,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86537,E10A180,00501,0100,07/12/2000 86537,S000000,00100,0200,06/05/2000 86537,S200000,00100,0100,12803 LENOVER STREET 86537,S200000,00200,0100,DILLSBORO 86537,S200000,00200,0200,IN 86537,S200000,00200,0300,47018- 86537,S200000,00300,0100,DEARBORN 86537,S200000,00300,0200,1640 86537,S200000,00300,0300,U 86537,S200000,00400,0100,DILLSBORO/ROSS MANOR 86537,S200000,00400,0200,155280 86537,S200000,00400,0300,05/01/1986 86537,S200000,00400,0500,P 86537,S200000,01500,0100,Y 86552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86552,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86552,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86552,A000000,00300,0000,00300EMPLOYEE BENEFITS 86552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86552,A000000,00700,0000,00700HOUSEKEEPING 86552,A000000,00800,0000,00800DIETARY 86552,A000000,00801,0000,00801CAFETERIA 86552,A000000,00900,0000,00900NURSING ADMINISTRATION 86552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86552,A000000,01100,0000,01100PHARMACY 86552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86552,A000000,01300,0000,01300SOCIAL SERVICE 86552,A000000,01350,0000,01500ACTIVITIES 86552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86552,A000000,01600,0000,01600SKILLED NURSING FACILITY 86552,A000000,01800,0000,01800NURSING FACILITY 86552,A000000,01900,0000,01900OTHER LONG TERM CARE 86552,A000000,02100,0000,02100RADIOLOGY 86552,A000000,02200,0000,02200LABORATORY 86552,A000000,02300,0000,02300INTRAVENOUS THERAPY 86552,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86552,A000000,02500,0000,02500PHYSICAL THERAPY 86552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86552,A000000,02700,0000,02700SPEECH PATHOLOGY 86552,A000000,02800,0000,02800ELECTROCARDIOLOGY 86552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86552,A000000,03050,0000,03300PHYSICIANS 86552,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86552,A000000,03052,0000,03302OTHER ANCILLARY III 86552,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86552,A000000,03200,0000,03200SUPPORT SURFACES 86552,A000000,03450,0000,03600OUTPATIENT P.T. 86552,A000000,03451,0000,03601OUTPATIENT O.T. 86552,A000000,03452,0000,03602OUTPATIENT S.T. 86552,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86552,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86552,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86552,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86552,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86552,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86552,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86552,A000000,04400,0000,04400DME RENTED - HHA 86552,A000000,04500,0000,04500DME SOLD - HHA 86552,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86552,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86552,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86552,A000000,04800,0000,04800AMBULANCE 86552,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86552,A000000,05000,0000,05000CORF 86552,A000000,05010,0000,05010CMHC I 86552,A000000,05020,0000,05020OPT I 86552,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86552,A000000,05300,0000,05300INTEREST EXPENSE 86552,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86552,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86552,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86552,A000000,05500,0000,05500HOSPICE 86552,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86552,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86552,A000000,06100,0000,06100NONPAID WORKERS 86552,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86552,A000000,06200,0000,06200PATIENTS LAUNDRY 86552,A81000A,00100,0100,Y 86552,A81000B,00100,0300,START-UP AMORT. EXP 86552,A81000B,00200,0300,PARK ASSOC CONSULT 86552,A81000B,00300,0300,PARK COLL-PURCHASES 86552,A81000C,00100,0100,A 86552,A81000C,00100,0200,NEIL M. CHUR 86552,A81000C,00100,0400,THE PARK ASSOC 86552,A81000C,00100,0600,ADMIN FIN QA 86552,A81000C,00200,0100,F 86552,A81000C,00200,0200,BARBARA B. CHUR 86552,A81000C,00200,0400,PARK COLLECTION 86552,A81000C,00200,0600,WHOLESALE PURCH 86552,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86552,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86552,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86552,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86552,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86552,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86552,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86552,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86552,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86552,E10A180,00501,0100,07/12/2000 86552,S000000,00100,0200,06/05/2000 86552,S200000,00100,0100,1000 NORTH 16TH STREET 86552,S200000,00200,0100,NEW CASTLE 86552,S200000,00200,0200,IN 86552,S200000,00200,0300,47362- 86552,S200000,00300,0100,HENRY 86552,S200000,00300,0200,0015 86552,S200000,00300,0300,R 86552,S200000,00400,0100,OAKWOOD HEALTH CARE CENTER 86552,S200000,00400,0200,155304 86552,S200000,00400,0300,08/12/1987 86552,S200000,00400,0500,P 86552,S200000,01600,0100,Y 86585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86585,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86585,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86585,A000000,00300,0000,00300EMPLOYEE BENEFITS 86585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86585,A000000,00700,0000,00700HOUSEKEEPING 86585,A000000,00800,0000,00800DIETARY 86585,A000000,00801,0000,00801CAFETERIA 86585,A000000,00900,0000,00900NURSING ADMINISTRATION 86585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86585,A000000,01100,0000,01100PHARMACY 86585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86585,A000000,01300,0000,01300SOCIAL SERVICE 86585,A000000,01350,0000,01500ACTIVITIES 86585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86585,A000000,01600,0000,01600SKILLED NURSING FACILITY 86585,A000000,01800,0000,01800NURSING FACILITY 86585,A000000,01900,0000,01900OTHER LONG TERM CARE 86585,A000000,02100,0000,02100RADIOLOGY 86585,A000000,02200,0000,02200LABORATORY 86585,A000000,02300,0000,02300INTRAVENOUS THERAPY 86585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86585,A000000,02500,0000,02500PHYSICAL THERAPY 86585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86585,A000000,02700,0000,02700SPEECH PATHOLOGY 86585,A000000,02800,0000,02800ELECTROCARDIOLOGY 86585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86585,A000000,03050,0000,03300PHYSICIANS 86585,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86585,A000000,03052,0000,03302OTHER ANCILLARY III 86585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86585,A000000,03200,0000,03200SUPPORT SURFACES 86585,A000000,03450,0000,03600OUTPATIENT P.T. 86585,A000000,03451,0000,03601OUTPATIENT O.T. 86585,A000000,03452,0000,03602OUTPATIENT S.T. 86585,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86585,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86585,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86585,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86585,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86585,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86585,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86585,A000000,04400,0000,04400DME RENTED - HHA 86585,A000000,04500,0000,04500DME SOLD - HHA 86585,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86585,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86585,A000000,04800,0000,04800AMBULANCE 86585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86585,A000000,05000,0000,05000CORF 86585,A000000,05010,0000,05010CMHC I 86585,A000000,05020,0000,05020OPT I 86585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86585,A000000,05300,0000,05300INTEREST EXPENSE 86585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86585,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86585,A000000,05500,0000,05500HOSPICE 86585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86585,A000000,06100,0000,06100NONPAID WORKERS 86585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86585,A000000,06200,0000,06200PATIENTS LAUNDRY 86585,A81000A,00100,0100,Y 86585,A81000B,00100,0300,START-UP AMORT. EXP 86585,A81000B,00200,0300,PARK ASSOC CONSULT 86585,A81000B,00300,0300,PARK COLL-PURCHASES 86585,A81000B,00400,0300,CAPITAL COST DISALLOW 86585,A81000C,00100,0100,A 86585,A81000C,00100,0200,NEIL M. CHUR 86585,A81000C,00100,0400,THE PARK ASSOC 86585,A81000C,00100,0600,ADMIN FIN QA 86585,A81000C,00200,0100,F 86585,A81000C,00200,0200,BARBARA B. CHUR 86585,A81000C,00200,0400,PARK COLLECTION 86585,A81000C,00200,0600,WHOLESALE PURCH 86585,A81000C,00300,0100,A 86585,A81000C,00300,0200,NEIL M. CHUR 86585,A81000C,00300,0400,HCI PROPERTIES 86585,A81000C,00300,0600,REAL PROPERTY 86585,A81000C,00400,0100,A 86585,A81000C,00400,0200,ELISABETH TEHAN 86585,A81000C,00400,0400,HCI PROPERTIES 86585,A81000C,00400,0600,REAL PROPERTY 86585,A81000C,00500,0100,A 86585,A81000C,00500,0200,NEIL M CHUR JR 86585,A81000C,00500,0400,HCI PROPERTIES 86585,A81000C,00500,0600,REAL PROPERTY 86585,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86585,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86585,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86585,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86585,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86585,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86585,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86585,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86585,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86585,E10A180,00501,0100,07/12/2000 86585,S000000,00100,0200,06/06/2000 86585,S200000,00100,0100,3895 SOUTH KEYSTONE AVE 86585,S200000,00200,0100,INDIANAPOLIS 86585,S200000,00200,0200,IN 86585,S200000,00200,0300,46227- 86585,S200000,00300,0100,MARION 86585,S200000,00300,0200,3480 86585,S200000,00300,0300,U 86585,S200000,00400,0100,THE OAKS HEALTH & REHAB CENTER 86585,S200000,00400,0200,155409 86585,S200000,00400,0300,11/01/1991 86585,S200000,00400,0500,P 86585,S200000,01500,0100,Y 86585,S200000,02800,0100,Y 86585,S200000,04700,0100,Y 86585,S200000,04700,0200,Y 86585,S200000,04900,0100,Y 86600,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86600,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86600,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86600,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86600,A000000,00300,0000,00300EMPLOYEE BENEFITS 86600,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86600,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86600,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86600,A000000,00700,0000,00700HOUSEKEEPING 86600,A000000,00800,0000,00800DIETARY 86600,A000000,00801,0000,00801CAFETERIA 86600,A000000,00900,0000,00900NURSING ADMINISTRATION 86600,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86600,A000000,01100,0000,01100PHARMACY 86600,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86600,A000000,01300,0000,01300SOCIAL SERVICE 86600,A000000,01350,0000,01500ACTIVITIES 86600,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86600,A000000,01600,0000,01600SKILLED NURSING FACILITY 86600,A000000,01800,0000,01800NURSING FACILITY 86600,A000000,01900,0000,01900OTHER LONG TERM CARE 86600,A000000,02100,0000,02100RADIOLOGY 86600,A000000,02200,0000,02200LABORATORY 86600,A000000,02300,0000,02300INTRAVENOUS THERAPY 86600,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86600,A000000,02500,0000,02500PHYSICAL THERAPY 86600,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86600,A000000,02700,0000,02700SPEECH PATHOLOGY 86600,A000000,02800,0000,02800ELECTROCARDIOLOGY 86600,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86600,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86600,A000000,03050,0000,03300PHYSICIANS 86600,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86600,A000000,03052,0000,03302OTHER ANCILLARY III 86600,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86600,A000000,03200,0000,03200SUPPORT SURFACES 86600,A000000,03450,0000,03600OUTPATIENT P.T. 86600,A000000,03451,0000,03601OUTPATIENT O.T. 86600,A000000,03452,0000,03602OUTPATIENT S.T. 86600,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86600,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86600,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86600,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86600,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86600,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86600,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86600,A000000,04400,0000,04400DME RENTED - HHA 86600,A000000,04500,0000,04500DME SOLD - HHA 86600,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86600,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86600,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86600,A000000,04800,0000,04800AMBULANCE 86600,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86600,A000000,05000,0000,05000CORF 86600,A000000,05010,0000,05010CMHC I 86600,A000000,05020,0000,05020OPT I 86600,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86600,A000000,05300,0000,05300INTEREST EXPENSE 86600,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86600,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86600,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86600,A000000,05500,0000,05500HOSPICE 86600,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86600,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86600,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86600,A000000,06100,0000,06100NONPAID WORKERS 86600,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86600,A000000,06200,0000,06200PATIENTS LAUNDRY 86600,A81000A,00100,0100,Y 86600,A81000B,00100,0300,START-UP AMORT. EXP 86600,A81000B,00200,0300,PARK ASSOC CONSULT 86600,A81000B,00300,0300,PARK COLL-PURCHASES 86600,A81000B,00400,0300,AUTO LEASE ADJUSTMENT 86600,A81000C,00100,0100,A 86600,A81000C,00100,0200,NEIL M. CHUR 86600,A81000C,00100,0400,THE PARK ASSOC 86600,A81000C,00100,0600,ADMIN FIN QA 86600,A81000C,00200,0100,F 86600,A81000C,00200,0200,BARBARA B. CHUR 86600,A81000C,00200,0400,PARK COLLECTION 86600,A81000C,00200,0600,WHOLESALE PURCH 86600,A81000C,00300,0100,F 86600,A81000C,00300,0200,BARBARA B. CHUR 86600,A81000C,00300,0400,BBC HEALTHCARE 86600,A81000C,00300,0600,LEASED VEHICLES 86600,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86600,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86600,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86600,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86600,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86600,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86600,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86600,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86600,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86600,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86600,E10A180,00501,0100,07/12/2000 86600,S000000,00100,0200,06/05/2000 86600,S200000,00100,0100,2400 CHATEAU DRIVE 86600,S200000,00200,0100,MUNCIE 86600,S200000,00200,0200,IN 86600,S200000,00200,0300,47303- 86600,S200000,00300,0100,DELAWARE 86600,S200000,00300,0200,5280 86600,S200000,00300,0300,U 86600,S200000,00400,0100,CHATEAU CARE CENTER 86600,S200000,00400,0200,155443 86600,S200000,00400,0300,02/15/1992 86600,S200000,00400,0500,P 86600,S200000,01500,0100,Y 86620,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86620,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86620,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86620,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86620,A000000,00300,0000,00300EMPLOYEE BENEFITS 86620,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86620,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86620,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86620,A000000,00700,0000,00700HOUSEKEEPING 86620,A000000,00800,0000,00800DIETARY 86620,A000000,00801,0000,00801CAFETERIA 86620,A000000,00900,0000,00900NURSING ADMINISTRATION 86620,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86620,A000000,01100,0000,01100PHARMACY 86620,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86620,A000000,01300,0000,01300SOCIAL SERVICE 86620,A000000,01350,0000,01500ACTIVITIES 86620,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86620,A000000,01600,0000,01600SKILLED NURSING FACILITY 86620,A000000,01800,0000,01800NURSING FACILITY 86620,A000000,01900,0000,01900OTHER LONG TERM CARE 86620,A000000,02100,0000,02100RADIOLOGY 86620,A000000,02200,0000,02200LABORATORY 86620,A000000,02300,0000,02300INTRAVENOUS THERAPY 86620,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86620,A000000,02500,0000,02500PHYSICAL THERAPY 86620,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86620,A000000,02700,0000,02700SPEECH PATHOLOGY 86620,A000000,02800,0000,02800ELECTROCARDIOLOGY 86620,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86620,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86620,A000000,03050,0000,03300PHYSICIANS 86620,A000000,03051,0000,03301PART B ENTERAL SUPPLIES 86620,A000000,03052,0000,03302OTHER ANCILLARY III 86620,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86620,A000000,03200,0000,03200SUPPORT SURFACES 86620,A000000,03450,0000,03600OUTPATIENT P.T. 86620,A000000,03451,0000,03601OUTPATIENT O.T. 86620,A000000,03452,0000,03602OUTPATIENT S.T. 86620,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86620,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86620,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86620,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86620,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86620,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86620,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86620,A000000,04400,0000,04400DME RENTED - HHA 86620,A000000,04500,0000,04500DME SOLD - HHA 86620,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86620,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86620,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86620,A000000,04800,0000,04800AMBULANCE 86620,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86620,A000000,05000,0000,05000CORF 86620,A000000,05010,0000,05010CMHC I 86620,A000000,05020,0000,05020OPT I 86620,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86620,A000000,05300,0000,05300INTEREST EXPENSE 86620,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86620,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86620,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86620,A000000,05500,0000,05500HOSPICE 86620,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86620,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86620,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86620,A000000,06100,0000,06100NONPAID WORKERS 86620,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86620,A000000,06200,0000,06200PATIENTS LAUNDRY 86620,A81000A,00100,0100,Y 86620,A81000B,00100,0300,START-UP AMORT. EXP 86620,A81000B,00200,0300,PARK ASSOC CONSULT 86620,A81000B,00300,0300,PARK COLL-PURCHASES 86620,A81000C,00100,0100,A 86620,A81000C,00100,0200,NEIL M. CHUR 86620,A81000C,00100,0400,THE PARK ASSOC 86620,A81000C,00100,0600,ADMIN FIN QA 86620,A81000C,00200,0100,F 86620,A81000C,00200,0200,BARBARA B. CHUR 86620,A81000C,00200,0400,PARK COLLECTION 86620,A81000C,00200,0600,WHOLESALE PURCH 86620,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86620,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86620,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86620,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86620,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86620,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86620,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86620,B100000,00000,0950,00000(GROSS CHARGES) :NURSING ADMINISTR 86620,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 86620,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 86620,E10A180,00501,0100,07/12/2000 86620,S000000,00100,0200,06/05/2000 86620,S200000,00100,0100,405 RIO VISTA 86620,S200000,00200,0100,RISING SUN 86620,S200000,00200,0200,IN 86620,S200000,00200,0300,47040- 86620,S200000,00300,0100,OHIO 86620,S200000,00300,0200,1640 86620,S200000,00300,0300,U 86620,S200000,00400,0100,RISING SUN CARE CENTER 86620,S200000,00400,0200,155483 86620,S200000,00400,0300,05/01/1993 86620,S200000,00400,0500,P 86620,S200000,01500,0100,Y 86663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86663,A000000,00300,0000,00300EMPLOYEE BENEFITS 86663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86663,A000000,00700,0000,00700HOUSEKEEPING 86663,A000000,00800,0000,00800DIETARY 86663,A000000,00900,0000,00900NURSING ADMINISTRATION 86663,A000000,00901,0000,00901OTHER NURSING 86663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86663,A000000,01100,0000,01100PHARMACY 86663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86663,A000000,01301,0000,01301SOCIAL SERVICE 86663,A000000,01302,0000,01302ACTIVITIES 86663,A000000,01600,0000,01600SKILLED NURSING FACILITY 86663,A000000,01800,0000,01800NURSING FACILITY 86663,A000000,02100,0000,02100RADIOLOGY 86663,A000000,02200,0000,02200LABORATORY 86663,A000000,02300,0000,02300INTRAVENOUS THERAPY 86663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86663,A000000,02500,0000,02500PHYSICAL THERAPY 86663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86663,A000000,02700,0000,02700SPEECH PATHOLOGY 86663,A000000,02800,0000,02800ELECTROCARDIOLOGY 86663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86663,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86663,A000000,03051,0000,03301NUTRITIONAL THERAPY 86663,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 86663,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 86663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86663,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86663,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86663,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86663,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86663,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86663,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86663,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86663,A000000,04400,0000,04400DME RENTED - HHA 86663,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86663,A000000,04800,0000,04800AMBULANCE 86663,A000000,05300,0000,05300INTEREST EXPENSE 86663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86663,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 86663,A000000,06152,0000,06302GUEST MEALS/M.O.W. 86663,A000000,06153,0000,06303DISTRICT OFFICE SPACE 86663,A000000,06200,0000,06200PATIENTS LAUNDRY 86663,A81000A,00100,0100,Y 86663,A81000B,00100,0300,HOME OFFICE COSTS 86663,A81000B,00400,0300,LIABILITY INSURANCE 86663,A81000B,01000,0300,VC PHARM PHARMACY COSTS 86663,A81000B,01100,0300,VC PHARM SNF ROUTINE CST 86663,A81000B,01200,0300,VC PHARM FOOD SUPPS COSTS 86663,A81000B,01300,0300,VENCARE ANCILLARY - PT 86663,A81000B,01400,0300,VENCARE ANCILLARY - OT 86663,A81000B,01500,0300,VENCARE ANCILLARY - ST 86663,A81000B,01600,0300,VC HOSP - INHAL THER COST 86663,A81000B,01700,0300,VC HOSP - OXYGEN 86663,A81000B,01800,0300,VC HOSP - COMPLEX MED CST 86663,A81000B,01900,0300,VC HOSP - MOBILE RAD-XRAY 86663,A81000C,00100,0100,B 86663,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 86663,A81000C,00100,0400,CORNERSTONE INSURANCE CO 86663,A81000C,00100,0600,LIABILITY INSURANCE 86663,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 86663,A81000C,00200,0600,PHARMACY 86663,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 86663,A81000C,00300,0600,RESPIRATORY THERAPY 86663,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 86663,A81000C,00500,0400,HEALTHCARE RESPIRATORY 86663,A81000C,00600,0400,THERAPY INC. 86663,A81000C,00700,0400,VENCARE ANCILLARY 86663,A81000C,00700,0600,THERAPY SERVICES 86663,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 86663,A81000C,00800,0600,PORTABLE X-RAY SERVICES 86663,A81000C,00900,0400,RADIOLOGY 86663,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 86663,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 86663,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 86663,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 86663,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 86663,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 86663,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 86663,B100000,00000,0850,00003PATIENT DAYS :DIETARY 86663,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 86663,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 86663,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 86663,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 86663,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 86663,B100000,00000,1331,00003PATIENT DAYS :SOCIAL SERVICE 86663,B100000,00000,1332,00003PATIENT DAYS :ACTIVITIES 86663,S000000,00100,0200,12/02/1999 86663,S200000,00100,0100,7823 OLD HIGHWAY #60 86663,S200000,00200,0100,SELLERSBURG 86663,S200000,00200,0200,IN 86663,S200000,00200,0300,47172- 86663,S200000,00300,0100,CLARK 86663,S200000,00400,0100,VENCOR AT SELLERSBURG #199 86663,S200000,00400,0200,155659 86663,S200000,00400,0300,02/19/1999 86663,S200000,00400,0500,P 86663,S200000,01500,0100,Y 86663,S200000,02200,0100,Y 86663,S200000,02800,0100,Y 86663,S700003,00000,0100,1 86666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86666,A000000,00300,0000,00300EMPLOYEE BENEFITS 86666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86666,A000000,00700,0000,00700HOUSEKEEPING 86666,A000000,00800,0000,00800DIETARY 86666,A000000,00900,0000,00900NURSING ADMINISTRATION 86666,A000000,00901,0000,00901OTHER NURSING 86666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86666,A000000,01100,0000,01100PHARMACY 86666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86666,A000000,01301,0000,01301SOCIAL SERVICE 86666,A000000,01302,0000,01302ACTIVITIES 86666,A000000,01600,0000,01600SKILLED NURSING FACILITY 86666,A000000,01800,0000,01800NURSING FACILITY 86666,A000000,02100,0000,02100RADIOLOGY 86666,A000000,02200,0000,02200LABORATORY 86666,A000000,02300,0000,02300INTRAVENOUS THERAPY 86666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86666,A000000,02500,0000,02500PHYSICAL THERAPY 86666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86666,A000000,02700,0000,02700SPEECH PATHOLOGY 86666,A000000,02800,0000,02800ELECTROCARDIOLOGY 86666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86666,A000000,03051,0000,03301NUTRITIONAL THERAPY 86666,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 86666,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 86666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86666,A000000,04400,0000,04400DME RENTED - HHA 86666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86666,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86666,A000000,04800,0000,04800AMBULANCE 86666,A000000,05300,0000,05300INTEREST EXPENSE 86666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86666,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 86666,A000000,06152,0000,06302GUEST MEALS/M.O.W. 86666,A000000,06153,0000,06303DISTRICT OFFICE SPACE 86666,A000000,06200,0000,06200PATIENTS LAUNDRY 86666,A81000A,00100,0100,Y 86666,A81000B,00100,0300,HOME OFFICE COSTS 86666,A81000B,00300,0300,DISTRICT OFFICE 86666,A81000B,01000,0300,VC PHARM PHARMACY COSTS 86666,A81000B,01100,0300,VC PHARM EMPL BENFT COSTS 86666,A81000B,01400,0300,VC PHARM SNF ROUTINE CST 86666,A81000B,02500,0300,VENCARE ANCILLARY - PT 86666,A81000B,02600,0300,VENCARE ANCILLARY - OT 86666,A81000B,02700,0300,VENCARE ANCILLARY - ST 86666,A81000B,02800,0300,VC HOSP - INHAL THER COST 86666,A81000B,02902,0300,VC HOSP - MOBILE RAD-XRAY 86666,A81000C,00100,0100,B 86666,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 86666,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 86666,A81000C,00200,0600,PHARMACY 86666,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 86666,A81000C,00300,0600,RESPIRATORY THERAPY 86666,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 86666,A81000C,00500,0400,HEALTHCARE RESPIRATORY 86666,A81000C,00600,0400,THERAPY INC. 86666,A81000C,00700,0400,VENCARE ANCILLARY 86666,A81000C,00700,0600,THERAPY SERVICES 86666,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 86666,A81000C,00800,0600,PORTABLE X-RAY SERVICES 86666,A81000C,00900,0400,RADIOLOGY 86666,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 86666,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 86666,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 86666,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 86666,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 86666,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 86666,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 86666,B100000,00000,0850,00003PATIENT DAYS :DIETARY 86666,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 86666,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 86666,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 86666,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 86666,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 86666,B100000,00000,1331,00003PATIENT DAYS :SOCIAL SERVICE 86666,B100000,00000,1332,00003PATIENT DAYS :ACTIVITIES 86666,S000000,00100,0200,12/02/1999 86666,S200000,00100,0100,4102 SHORE DRIVE 86666,S200000,00200,0100,INDIANAPOLIS 86666,S200000,00200,0200,IN 86666,S200000,00200,0300,46254- 86666,S200000,00300,0100,MARION 86666,S200000,00400,0100,VENCOR AT EAGLE CREEK #194 86666,S200000,00400,0200,155664 86666,S200000,00400,0300,04/29/1999 86666,S200000,00400,0500,P 86666,S200000,01500,0100,Y 86666,S200000,02200,0100,Y 86666,S200000,02800,0100,Y 86666,S700003,00000,0100,1 86676,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86676,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86676,A000000,00300,0000,00300EMPLOYEE BENEFITS 86676,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86676,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86676,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86676,A000000,00700,0000,00700HOUSEKEEPING 86676,A000000,00800,0000,00800DIETARY 86676,A000000,00900,0000,00900NURSING ADMINISTRATION 86676,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86676,A000000,01100,0000,01100PHARMACY 86676,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86676,A000000,01300,0000,01300SOCIAL SERVICE 86676,A000000,01350,0000,01500RESIDENT ACTIVITY 86676,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86676,A000000,01600,0000,01600SKILLED NURSING FACILITY 86676,A000000,01900,0000,01900OTHER LONG TERM CARE 86676,A000000,02100,0000,02100RADIOLOGY 86676,A000000,02200,0000,02200LABORATORY 86676,A000000,02500,0000,02500PHYSICAL THERAPY 86676,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86676,A000000,02700,0000,02700SPEECH PATHOLOGY 86676,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86676,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86676,A000000,03050,0000,03300ENTERAL NUTRITION 86676,A000000,04800,0000,04800AMBULANCE 86676,A000000,05000,0000,05000CORF 86676,A000000,05010,0000,05010CMHC 86676,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86676,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86676,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86676,A000000,05300,0000,05300INTEREST EXPENSE 86676,A000000,06150,0000,06300CONVENT 86676,A81000A,00100,0100,Y 86676,A81000B,00100,0300,PLANT ENGINEERING 86676,A81000B,00200,0300,ACCOUNTING 86676,A81000B,00300,0300,ADMINISTRATION 86676,A81000B,00400,0300,MATERIALS MGT. 86676,A81000B,00500,0300,QUALITY ASSURANCE 86676,A81000B,00600,0300,PERSONNEL 86676,A81000B,00700,0300,MIS 86676,A81000B,00800,0300,CORP FINANCING 86676,A81000B,00900,0300,BUILDING DEPR 86676,A81000B,01000,0300,EQUIP DEPR 86676,A81000C,00100,0100,B 86676,A81000C,00100,0200,OSF HEALTHCARE 86676,A81000C,00100,0400,SCHEDULE SUBMIT 86676,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86676,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 86676,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86676,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86676,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86676,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86676,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 86676,B100000,00000,0800,00000MEALS SERVED :DIETARY 86676,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 86676,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 86676,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 86676,B100000,00000,1350,00000RESIDENT DAYS :RESIDENT ACTIVITY 86676,E10A180,00301,0100,03/26/1998 86676,S000000,00100,0200,03/01/2000 86676,S200000,00100,0100,210 S. FIFTH STREET 86676,S200000,00200,0100,BURLINGTON 86676,S200000,00200,0200,IA 86676,S200000,00200,0300,52601- 86676,S200000,00300,0100,DES MOINES 86676,S200000,00300,0200,16 86676,S200000,00300,0300,R 86676,S200000,00400,0100,ST. FRANCIS CONT. C & N HOME CTR 86676,S200000,00400,0200,165018 86676,S200000,00400,0300,01/01/1967 86676,S200000,00400,0500,P 86676,S200000,01500,0100,Y 86676,S200000,02200,0100,Y 86676,S200000,02800,0100,Y 86681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86681,A000000,00300,0000,00300EMPLOYEE BENEFITS 86681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86681,A000000,00700,0000,00700HOUSEKEEPING 86681,A000000,00800,0000,00800DIETARY 86681,A000000,00900,0000,00900NURSING ADMINISTRATION 86681,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86681,A000000,01100,0000,01100PHARMACY 86681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86681,A000000,01300,0000,01300SOCIAL SERVICE 86681,A000000,01350,0000,01500ACTIVITIES 86681,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86681,A000000,01600,0000,01600SKILLED NURSING FACILITY 86681,A000000,01800,0000,01800NURSING FACILITY 86681,A000000,01900,0000,01900OTHER LONG TERM CARE 86681,A000000,02100,0000,02100RADIOLOGY 86681,A000000,02200,0000,02200LABORATORY 86681,A000000,02300,0000,02300INTRAVENOUS THERAPY 86681,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86681,A000000,02500,0000,02500PHYSICAL THERAPY 86681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86681,A000000,02700,0000,02700SPEECH PATHOLOGY 86681,A000000,02800,0000,02800ELECTROCARDIOLOGY 86681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86681,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86681,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86681,A000000,03200,0000,03200SUPPORT SURFACES 86681,A000000,03400,0000,03400CLINIC 86681,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86681,A000000,03500,0000,03500RURAL HEALTH CLINIC 86681,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86681,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86681,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86681,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86681,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86681,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86681,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86681,A000000,04400,0000,04400DME RENTED - HHA 86681,A000000,04500,0000,04500DME SOLD - HHA 86681,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86681,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86681,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86681,A000000,04800,0000,04800AMBULANCE 86681,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86681,A000000,05000,0000,05000CORF 86681,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86681,A000000,05300,0000,05300INTEREST EXPENSE 86681,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86681,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86681,A000000,05500,0000,05500HOSPICE 86681,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86681,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86681,A000000,06100,0000,06100NONPAID WORKERS 86681,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86681,A000000,06200,0000,06200PATIENTS LAUNDRY 86681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86681,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86681,B100000,00000,0800,00000MEALS SERVED :DIETARY 86681,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 86681,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 86681,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86681,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86681,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86681,B100000,00000,1350,00000DAYS :ACTIVITIES 86681,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86681,S000000,00100,0200,06/01/2000 86681,S200000,00100,0100,602 11TH STREET 86681,S200000,00200,0100,CHARLES CITY 86681,S200000,00200,0200,IA 86681,S200000,00200,0300,50616- 86681,S200000,00300,0100,FLOYD 86681,S200000,00400,0100,CHAUTAUQUA GUEST HOMES INC 86681,S200000,00400,0200,165019 86681,S200000,00400,0300,07/01/1967 86681,S200000,00400,0500,P 86681,S200000,01500,0100,Y 86695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86695,A000000,00300,0000,00300EMPLOYEE BENEFITS 86695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86695,A000000,00700,0000,00700HOUSEKEEPING 86695,A000000,00800,0000,00800DIETARY 86695,A000000,00900,0000,00900NURSING ADMINISTRATION 86695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86695,A000000,01100,0000,01100PHARMACY 86695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86695,A000000,01300,0000,01300SOCIAL SERVICE 86695,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86695,A000000,01600,0000,01600SKILLED NURSING FACILITY 86695,A000000,01800,0000,01800NURSING FACILITY 86695,A000000,01900,0000,01900OTHER LONG TERM CARE 86695,A000000,02100,0000,02100RADIOLOGY 86695,A000000,02200,0000,02200LABORATORY 86695,A000000,02300,0000,02300INTRAVENOUS THERAPY 86695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86695,A000000,02500,0000,02500PHYSICAL THERAPY 86695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86695,A000000,02700,0000,02700SPEECH PATHOLOGY 86695,A000000,02800,0000,02800ELECTROCARDIOLOGY 86695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86695,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86695,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86695,A000000,03200,0000,03200SUPPORT SURFACES 86695,A000000,03400,0000,03400CLINIC 86695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86695,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86695,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86695,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86695,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86695,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86695,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86695,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86695,A000000,04400,0000,04400DME RENTED - HHA 86695,A000000,04500,0000,04500DME SOLD - HHA 86695,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86695,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86695,A000000,04800,0000,04800AMBULANCE 86695,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86695,A000000,05300,0000,05300INTEREST EXPENSE 86695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86695,A000000,05500,0000,05500HOSPICE 86695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86695,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86695,A000000,06100,0000,06100NONPAID WORKERS 86695,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86695,A000000,06151,0000,06301PRIVATE ASSIST 86695,A000000,06200,0000,06200PATIENTS LAUNDRY 86695,A81000A,00100,0100,Y 86695,A81000B,00100,0300,MANAGEMENT FEE 86695,A81000B,00200,0300,ALLOWABLE RENT 86695,A81000B,00300,0300,CAP RLTD COSTS BLDGS/FIXTURES 86695,A81000B,00400,0300,CAP RLTD COSTS MOVE EQUIP 86695,A81000C,00100,0100,B 86695,A81000C,00100,0200,EMBASSY REHAB 86695,A81000C,00100,0400,LANTIS ENTERPRI 86695,A81000C,00100,0600,HEALTH CARE 86695,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 86695,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 86695,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 86695,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 86695,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 86695,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 86695,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 86695,B100000,00000,0800,00001MEALS SERVED :DIETARY 86695,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 86695,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 86695,B100000,00000,1100,00001COSTED REQUISITIO :PHARMACY 86695,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 86695,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 86695,B100000,00000,1350,00001COSTED REQUISITIO :OTHER GENERAL S 86695,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 86695,S000000,00100,0200,05/23/2000 86695,S200000,00100,0100,206 PORT NEAL ROAD 86695,S200000,00200,0100,SERGEANT BLUFF 86695,S200000,00200,0200,IA 86695,S200000,00200,0300,51054- 86695,S200000,00300,0100,WOODBURY 86695,S200000,00400,0100,EMBASSY REHAB & CARE CENTER 86695,S200000,00400,0200,165145 86695,S200000,00400,0300,04/01/1991 86695,S200000,00400,0500,P 86695,S200000,00800,0200,167245 86695,S200000,00800,0300,09/01/1995 86695,S200000,00800,0500,P 86695,S200000,01600,0100,Y 86708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86708,A000000,00300,0000,00300EMPLOYEE BENEFITS 86708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86708,A000000,00700,0000,00700HOUSEKEEPING 86708,A000000,00800,0000,00800DIETARY 86708,A000000,00900,0000,00900NURSING ADMINISTRATION 86708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86708,A000000,01300,0000,01300SOCIAL SERVICE 86708,A000000,01301,0000,01301ACTIVITIES 86708,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86708,A000000,01600,0000,01600SKILLED NURSING FACILITY 86708,A000000,01800,0000,01800NURSING FACILITY 86708,A000000,01810,0000,01810ICF/MR 86708,A000000,01900,0000,01900OTHER LONG TERM CARE 86708,A000000,02100,0000,02100RADIOLOGY 86708,A000000,02200,0000,02200LABORATORY 86708,A000000,02300,0000,02300INTRAVENOUS THERAPY 86708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86708,A000000,02500,0000,02500PHYSICAL THERAPY 86708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86708,A000000,02700,0000,02700SPEECH PATHOLOGY 86708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86708,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86708,A000000,03200,0000,03200SUPPORT SURFACES 86708,A000000,03400,0000,03400CLINIC 86708,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86708,A000000,03500,0000,03500RURAL HEALTH CLINIC 86708,A000000,04800,0000,04800AMBULANCE 86708,A000000,05000,0000,05000CORF 86708,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86708,A000000,05300,0000,05300INTEREST EXPENSE 86708,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86708,A000000,05500,0000,05500HOSPICE 86708,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86708,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86708,A000000,06100,0000,06100NONPAID WORKERS 86708,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86708,A000000,06200,0000,06200PATIENTS LAUNDRY 86708,A81000A,00100,0100,Y 86708,A81000B,00100,0300,HOME OFFICE ALLOCATION 86708,A81000B,00200,0300,NON CERT 86708,A81000B,00300,0300,MEDICAL SUPPLIES 86708,A81000B,00400,0300,PT 86708,A81000B,00500,0300,OT 86708,A81000B,00600,0300,ST 86708,A81000C,00100,0100,B 86708,A81000C,00100,0200,ALTOONA 11344 86708,A81000C,00100,0400,MPAN 86708,A81000C,00100,0600,NURSING HOMES 86708,A81000C,00200,0100,G 86708,A81000C,00200,0200,MPAN 86708,A81000C,00200,0400,AMERICAN PHARMA 86708,A81000C,00200,0600,PHARMACEUTICALS 86708,A81000C,00300,0100,G 86708,A81000C,00300,0200,MPAN 86708,A81000C,00300,0400,PRISM (ATS ARS 86708,A81000C,00300,0600,THERAPIES 86708,A81000C,03100,0000,MPAN 86708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86708,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86708,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86708,B100000,00000,0800,00000MEALS SERVED :DIETARY 86708,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86708,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86708,B100000,00000,1250,00000SQUARE FEET :MEDICAL RECORDS & LIB 86708,B100000,00000,1330,00000SQUARE FEET :SOCIAL SERVICE 86708,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 86708,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 86708,S000000,00100,0200,06/16/2000 86708,S200000,00100,0100,200 SEVENTH AVEL SW 86708,S200000,00200,0100,ALTOONA 86708,S200000,00200,0200,IA 86708,S200000,00200,0300,50009- 86708,S200000,00300,0100,POLK 86708,S200000,00400,0100,ALTOONA HEALTHCARE CTR 86708,S200000,00400,0200,165162 86708,S200000,00400,0300,08/05/1991 86708,S200000,00400,0500,P 86708,S700003,00000,0100,1 86710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86710,A000000,00300,0000,00300EMPLOYEE BENEFITS 86710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86710,A000000,00700,0000,00700HOUSEKEEPING 86710,A000000,00800,0000,00800DIETARY 86710,A000000,00900,0000,00900NURSING ADMINISTRATION 86710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86710,A000000,01100,0000,01100PHARMACY 86710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86710,A000000,01300,0000,01300SOCIAL SERVICE 86710,A000000,01350,0000,01500OTHER GENERAL SERVICES 86710,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86710,A000000,01600,0000,01600SKILLED NURSING FACILITY 86710,A000000,01800,0000,01800NURSING FACILITY 86710,A000000,01810,0000,01810ICF/MR 86710,A000000,01900,0000,01900OTHER LONG TERM CARE 86710,A000000,02100,0000,02100RADIOLOGY 86710,A000000,02200,0000,02200LABORATORY 86710,A000000,02300,0000,02300INTRAVENOUS THERAPY 86710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86710,A000000,02500,0000,02500PHYSICAL THERAPY 86710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86710,A000000,02700,0000,02700SPEECH PATHOLOGY 86710,A000000,02800,0000,02800ELECTROCARDIOLOGY 86710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86710,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86710,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86710,A000000,03200,0000,03200SUPPORT SURFACES 86710,A000000,03400,0000,03400CLINIC 86710,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86710,A000000,03500,0000,03500RURAL HEALTH CLINIC 86710,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86710,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86710,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86710,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86710,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86710,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86710,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86710,A000000,04400,0000,04400DME RENTED - HHA 86710,A000000,04500,0000,04500DME SOLD - HHA 86710,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86710,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86710,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86710,A000000,04800,0000,04800AMBULANCE 86710,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86710,A000000,05000,0000,05000CORF 86710,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86710,A000000,05300,0000,05300INTEREST EXPENSE 86710,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86710,A000000,05500,0000,05500HOSPICE 86710,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86710,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86710,A000000,06100,0000,06100NONPAID WORKERS 86710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86710,A000000,06200,0000,06200PATIENTS LAUNDRY 86710,A81000A,00100,0100,Y 86710,A81000B,00100,0300,MANAGEMENT FEES 86710,A81000B,00200,0300,LEASE EXPENSE 86710,A81000C,00100,0100,B 86710,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86710,A81000C,00100,0600,MANAGEMENT SERVICES 86710,A81000C,00200,0100,B 86710,A81000C,00200,0400,CLC PROPERTIES INC. 86710,A81000C,00200,0600,PROPERTY SERVICES 86710,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86710,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86710,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86710,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86710,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86710,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86710,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86710,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86710,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86710,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86710,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86710,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86710,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86710,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 86710,S000000,00100,0200,08/30/2000 86710,S200000,00100,0100,200 7TH AVENUE SW. 86710,S200000,00200,0100,ALTOONA 86710,S200000,00200,0200,IA 86710,S200000,00200,0300,50009-1630 86710,S200000,00300,0100,POLK 86710,S200000,00400,0100,ALTOONA MANOR 86710,S200000,00400,0200,165162 86710,S200000,00400,0300,09/01/1999 86710,S200000,00400,0500,P 86710,S200000,00400,0600,O 86710,S200000,01004,0500,O 86710,S200000,01600,0100,Y 86725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86725,A000000,00300,0000,00300EMPLOYEE BENEFITS 86725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86725,A000000,00700,0000,00700HOUSEKEEPING 86725,A000000,00800,0000,00800DIETARY 86725,A000000,00900,0000,00900NURSING ADMINISTRATION 86725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86725,A000000,01100,0000,01100PHARMACY 86725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86725,A000000,01300,0000,01300SOCIAL SERVICE 86725,A000000,01301,0000,01301ACTIVITIES 86725,A000000,01350,0000,01500REHAB 86725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86725,A000000,01600,0000,01600SKILLED NURSING FACILITY 86725,A000000,01800,0000,01800NURSING FACILITY 86725,A000000,01900,0000,01900OTHER LONG TERM CARE 86725,A000000,02100,0000,02100RADIOLOGY 86725,A000000,02200,0000,02200LABORATORY 86725,A000000,02300,0000,02300INTRAVENOUS THERAPY 86725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86725,A000000,02500,0000,02500PHYSICAL THERAPY 86725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86725,A000000,02700,0000,02700SPEECH PATHOLOGY 86725,A000000,02800,0000,02800ELECTROCARDIOLOGY 86725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86725,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86725,A000000,03051,0000,03301PEN THERAPY 86725,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86725,A000000,03200,0000,03200SUPPORT SURFACES 86725,A000000,03400,0000,03400CLINIC 86725,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86725,A000000,04800,0000,04800AMBULANCE 86725,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86725,A000000,05000,0000,05000CORF 86725,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86725,A000000,05300,0000,05300INTEREST EXPENSE 86725,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86725,A000000,05500,0000,05500HOSPICE 86725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86725,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86725,A000000,06100,0000,06100NONPAID WORKERS 86725,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86725,A000000,06200,0000,06200PATIENTS LAUNDRY 86725,A81000A,00100,0100,Y 86725,A81000B,00100,0300,NON CERT 86725,A81000B,00200,0300,MEDICAL SUPPLIES 86725,A81000B,00300,0300,CAPITAL 86725,A81000B,00400,0300,HOME OFFICE 86725,A81000C,00100,0100,B 86725,A81000C,00100,0200,POLK CITY 86-66 86725,A81000C,00100,0400,MARINER POST AC 86725,A81000C,00100,0600,NURSING HOMES 86725,A81000C,00200,0100,G 86725,A81000C,00200,0200,MARINER POST AC 86725,A81000C,00200,0400,AMERICAN PHARMA 86725,A81000C,00200,0600,PHARMACEUTICALS 86725,A81000C,00300,0100,G 86725,A81000C,00300,0200,MARINER POST AC 86725,A81000C,00300,0400,PRISM (ATS ARS 86725,A81000C,00300,0600,THERAPIES 86725,A81000C,03100,0000,MARINER POST ACUTE NETWORK 86725,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86725,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86725,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86725,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86725,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86725,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 86725,B100000,00000,0800,00000MEALS SERVED :DIETARY 86725,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86725,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86725,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86725,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86725,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86725,B100000,00000,1331,00000PT DAYS :ACTIVITIES 86725,B100000,00000,1350,00000PT DAYS :REHAB 86725,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86725,S000000,00100,0200,06/16/2000 86725,S200000,00100,0100,1002 W. WASHINGTON AVE 86725,S200000,00200,0100,POLK CITY 86725,S200000,00200,0200,IA 86725,S200000,00200,0300,50226- 86725,S200000,00300,0100,POLK 86725,S200000,00400,0100,POLK CITY HEALTHCARE CENTER 86725,S200000,00400,0200,165170 86725,S200000,00400,0300,06/01/1992 86725,S200000,00400,0500,P 86725,S700003,00000,0100,1 86727,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86727,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86727,A000000,00300,0000,00300EMPLOYEE BENEFITS 86727,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86727,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86727,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86727,A000000,00700,0000,00700HOUSEKEEPING 86727,A000000,00800,0000,00800DIETARY 86727,A000000,00900,0000,00900NURSING ADMINISTRATION 86727,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86727,A000000,01100,0000,01100PHARMACY 86727,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86727,A000000,01300,0000,01300SOCIAL SERVICE 86727,A000000,01350,0000,01500OTHER GENERAL SERVICES 86727,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86727,A000000,01600,0000,01600SKILLED NURSING FACILITY 86727,A000000,01800,0000,01800NURSING FACILITY 86727,A000000,01810,0000,01801ICF/MR 86727,A000000,01900,0000,01900OTHER LONG TERM CARE 86727,A000000,02100,0000,02100RADIOLOGY 86727,A000000,02200,0000,02200LABORATORY 86727,A000000,02300,0000,02300INTRAVENOUS THERAPY 86727,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86727,A000000,02500,0000,02500PHYSICAL THERAPY 86727,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86727,A000000,02700,0000,02700SPEECH PATHOLOGY 86727,A000000,02800,0000,02800ELECTROCARDIOLOGY 86727,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86727,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86727,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86727,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86727,A000000,03200,0000,03200SUPPORT SURFACES 86727,A000000,03400,0000,03400CLINIC 86727,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86727,A000000,03500,0000,03500RURAL HEALTH CLINIC 86727,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86727,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86727,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86727,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86727,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86727,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86727,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86727,A000000,04400,0000,04400DME RENTED - HHA 86727,A000000,04500,0000,04500DME SOLD - HHA 86727,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86727,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86727,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86727,A000000,04800,0000,04800AMBULANCE 86727,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86727,A000000,05000,0000,05000CORF 86727,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86727,A000000,05300,0000,05300INTEREST EXPENSE 86727,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86727,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86727,A000000,05500,0000,05500HOSPICE 86727,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86727,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86727,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86727,A000000,06100,0000,06100NONPAID WORKERS 86727,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86727,A000000,06200,0000,06200PATIENTS LAUNDRY 86727,A81000A,00100,0100,Y 86727,A81000B,00100,0300,MANAGEMENT FEES 86727,A81000B,00200,0300,LEASE EXPENSE 86727,A81000B,00300,0300,NURSING SERVICES 86727,A81000B,00400,0300,PHYSICAL THERAPY SERVICES 86727,A81000B,00500,0300,OCCUPATIONAL THERAPY SVCS 86727,A81000B,00600,0300,SPEECH THERAPY SERVICES 86727,A81000B,00700,0300,EMPLOYEE BENEFITS 86727,A81000C,00100,0100,B 86727,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86727,A81000C,00100,0600,MANAGEMENT SERVICES 86727,A81000C,00200,0100,B 86727,A81000C,00200,0400,CLC PROPERTIES INC. 86727,A81000C,00200,0600,PROPERTY SERVICES 86727,A81000C,00300,0100,B 86727,A81000C,00300,0400,ALTOONA MANOR 86727,A81000C,00300,0600,HEALTHCARE SERVICES 86727,A81000C,00400,0100,B 86727,A81000C,00400,0400,ALTOONA MANOR 86727,A81000C,00400,0600,HEALTHCARE SERVICES 86727,A81000C,00500,0100,B 86727,A81000C,00500,0400,ALTOONA MANOR 86727,A81000C,00500,0600,HEALTHCARE SERVICES 86727,A81000C,00600,0100,B 86727,A81000C,00600,0400,ALTOONA MANOR 86727,A81000C,00600,0600,HEALTHCARE SERVICES 86727,A81000C,00700,0100,B 86727,A81000C,00700,0400,ALTOONA MANOR 86727,A81000C,00700,0600,HEALTHCARE SERVICES 86727,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86727,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86727,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86727,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86727,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86727,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86727,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86727,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86727,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86727,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86727,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86727,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86727,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86727,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86727,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86727,S000000,00100,0200,08/30/2000 86727,S200000,00100,0100,1002 W. WASHINGTON 86727,S200000,00200,0100,POLK CITY 86727,S200000,00200,0200,IA 86727,S200000,00200,0300,50226-2132 86727,S200000,00300,0100,POLK 86727,S200000,00400,0100,POLK CITY MANOR 86727,S200000,00400,0200,165170 86727,S200000,00400,0300,09/01/1999 86727,S200000,00400,0500,P 86727,S200000,00400,0600,O 86727,S200000,01004,0500,O 86727,S200000,01600,0100,Y 86727,S700003,00000,0200,2 86737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86737,A000000,00300,0000,00300EMPLOYEE BENEFITS 86737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86737,A000000,00700,0000,00700HOUSEKEEPING 86737,A000000,00800,0000,00800DIETARY 86737,A000000,00900,0000,00900NURSING ADMINISTRATION 86737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86737,A000000,01300,0000,01300SOCIAL SERVICE 86737,A000000,01301,0000,01301ACTIVITIES 86737,A000000,01350,0000,01500REHAB 86737,A000000,01600,0000,01600SKILLED NURSING FACILITY 86737,A000000,01800,0000,01800NURSING FACILITY 86737,A000000,01900,0000,01900OTHER LONG TERM CARE 86737,A000000,02100,0000,02100RADIOLOGY 86737,A000000,02200,0000,02200LABORATORY 86737,A000000,02300,0000,02300INTRAVENOUS THERAPY 86737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86737,A000000,02500,0000,02500PHYSICAL THERAPY 86737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86737,A000000,02700,0000,02700SPEECH PATHOLOGY 86737,A000000,02800,0000,02800ELECTROCARDIOLOGY 86737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86737,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86737,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86737,A000000,03200,0000,03200SUPPORT SURFACES 86737,A000000,03400,0000,03400CLINIC 86737,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86737,A000000,04800,0000,04800AMBULANCE 86737,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86737,A000000,05000,0000,05000CORF 86737,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86737,A000000,05300,0000,05300INTEREST EXPENSE 86737,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86737,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86737,A000000,05500,0000,05500HOSPICE 86737,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86737,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86737,A000000,06100,0000,06100NONPAID WORKERS 86737,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86737,A000000,06200,0000,06200PATIENTS LAUNDRY 86737,A81000A,00100,0100,Y 86737,A81000B,00100,0300,HOME OFFICE COST 86737,A81000B,00200,0300,NON CERT 86737,A81000B,00300,0300,MEDICAL SUPPLIES 86737,A81000B,00400,0300,CAPITAL 86737,A81000C,00100,0100,B 86737,A81000C,00100,0200,HERITAGE SOUTH/ 86737,A81000C,00100,0400,MARINER POST-AC 86737,A81000C,00100,0600,NURSING HOMES 86737,A81000C,00200,0100,G 86737,A81000C,00200,0200,MARINER POST-AC 86737,A81000C,00200,0400,AMERICAN PHARMA 86737,A81000C,00200,0600,PHARMACEUTICALS 86737,A81000C,00300,0100,G 86737,A81000C,00300,0200,MARINER POST-AC 86737,A81000C,00300,0400,PRISM (ATS ARS 86737,A81000C,00300,0600,THERAPIES 86737,A81000C,03100,0000,MARINER POST-ACUTE NETWORK 86737,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86737,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86737,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86737,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86737,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86737,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86737,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 86737,B100000,00000,0800,00000MEALS SERVED :DIETARY 86737,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 86737,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86737,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86737,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86737,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 86737,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 86737,S000000,00100,0200,06/01/2000 86737,S200000,00100,0100,5608 SOUTHWEST 9TH ST 86737,S200000,00200,0100,DES MOINES 86737,S200000,00200,0200,IA 86737,S200000,00200,0300,50315- 86737,S200000,00300,0100,POLK 86737,S200000,00400,0100,HERITAGE/SOUTH DES MOINES 86737,S200000,00400,0200,165175 86737,S200000,00400,0300,08/11/1995 86737,S200000,00400,0500,P 86737,S700003,00000,0100,1 86746,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86746,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 86746,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86746,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 86746,A000000,00300,0000,00300EMPLOYEE BENEFITS 86746,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86746,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86746,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86746,A000000,00700,0000,00700HOUSEKEEPING 86746,A000000,00800,0000,00800DIETARY 86746,A000000,00801,0000,00801CAFETERIA 86746,A000000,00900,0000,00900NURSING ADMINISTRATION 86746,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86746,A000000,01100,0000,01100PHARMACY 86746,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86746,A000000,01300,0000,01300SOCIAL SERVICE 86746,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86746,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86746,A000000,01600,0000,01600SKILLED NURSING FACILITY 86746,A000000,01800,0000,01800NURSING FACILITY 86746,A000000,01900,0000,01900OTHER LONG TERM CARE 86746,A000000,02100,0000,02100RADIOLOGY 86746,A000000,02200,0000,02200LABORATORY 86746,A000000,02300,0000,02300INTRAVENOUS THERAPY 86746,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86746,A000000,02500,0000,02500PHYSICAL THERAPY 86746,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86746,A000000,02700,0000,02700SPEECH PATHOLOGY 86746,A000000,02800,0000,02800ELECTROCARDIOLOGY 86746,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86746,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86746,A000000,03050,0000,03300OTHER ANCILLARY 86746,A000000,03051,0000,03301OTHER ANCILLARY II 86746,A000000,03052,0000,03302OTHER ANCILLARY III 86746,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86746,A000000,03200,0000,03200SUPPORT SURFACES 86746,A000000,03400,0000,03400CLINIC 86746,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 86746,A000000,03500,0000,03500RURAL HEALTH CLINIC 86746,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86746,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86746,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86746,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86746,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86746,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86746,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86746,A000000,04400,0000,04400DME RENTED - HHA 86746,A000000,04500,0000,04500DME SOLD - HHA 86746,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86746,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86746,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86746,A000000,04800,0000,04800AMBULANCE 86746,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86746,A000000,05000,0000,05000CORF 86746,A000000,05010,0000,05010CMHC I 86746,A000000,05020,0000,05020OPT I 86746,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86746,A000000,05300,0000,05300INTEREST EXPENSE 86746,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 86746,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 86746,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86746,A000000,05500,0000,05500HOSPICE 86746,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86746,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86746,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86746,A000000,06100,0000,06100NONPAID WORKERS 86746,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86746,A000000,06200,0000,06200PATIENTS LAUNDRY 86746,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 86746,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 86746,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 86746,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 86746,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 86746,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86746,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 86746,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 86746,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 86746,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 86746,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 86746,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 86746,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 86746,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 86746,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 86746,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 86746,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 86746,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 86746,S000000,00100,0200,05/25/2000 86746,S200000,00100,0100,4 OHIO STREET 86746,S200000,00200,0100,DECORAH 86746,S200000,00200,0200,IA 86746,S200000,00200,0300,52101- 86746,S200000,00300,0100,WINNESHIEK 86746,S200000,00400,0100,AASE HAUGEN HOMES INC. 86746,S200000,00400,0200,165178 86746,S200000,00400,0300,09/25/1992 86746,S200000,00400,0500,P 86746,S200000,01600,0100,Y 86746,S200000,02200,0100,Y 86746,S700003,00000,0100,1 86756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86756,A000000,00300,0000,00300EMPLOYEE BENEFITS 86756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86756,A000000,00700,0000,00700HOUSEKEEPING 86756,A000000,00800,0000,00800DIETARY 86756,A000000,00900,0000,00900NURSING ADMINISTRATION 86756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86756,A000000,01100,0000,01100PHARMACY 86756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86756,A000000,01300,0000,01300SOCIAL SERVICE 86756,A000000,01301,0000,01301ACTIVITIES 86756,A000000,01350,0000,01500REHAB 86756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86756,A000000,01600,0000,01600SKILLED NURSING FACILITY 86756,A000000,01800,0000,01800NURSING FACILITY 86756,A000000,01900,0000,01900OTHER LONG TERM CARE 86756,A000000,02100,0000,02100RADIOLOGY 86756,A000000,02200,0000,02200LABORATORY 86756,A000000,02300,0000,02300INTRAVENOUS THERAPY 86756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86756,A000000,02500,0000,02500PHYSICAL THERAPY 86756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86756,A000000,02700,0000,02700SPEECH PATHOLOGY 86756,A000000,02800,0000,02800ELECTROCARDIOLOGY 86756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86756,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86756,A000000,03051,0000,03301PEN THERAPY 86756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86756,A000000,03200,0000,03200SUPPORT SURFACES 86756,A000000,03400,0000,03400CLINIC 86756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86756,A000000,04800,0000,04800AMBULANCE 86756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86756,A000000,05000,0000,05000CORF 86756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86756,A000000,05300,0000,05300INTEREST EXPENSE 86756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86756,A000000,05500,0000,05500HOSPICE 86756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86756,A000000,06100,0000,06100NONPAID WORKERS 86756,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86756,A000000,06200,0000,06200PATIENTS LAUNDRY 86756,A81000A,00100,0100,Y 86756,A81000B,00100,0300,NON CERT 86756,A81000B,00200,0300,MEDICAL SUPPLIES 86756,A81000B,00300,0300,CAPITAL 86756,A81000B,00400,0300,HOME OFFICE COSTS 86756,A81000C,00100,0100,B 86756,A81000C,00100,0200,NORWALK MANOR 8 86756,A81000C,00100,0400,MARINER POST AC 86756,A81000C,00100,0600,NURSING HOMES 86756,A81000C,00200,0100,G 86756,A81000C,00200,0200,MARINER POST AC 86756,A81000C,00200,0400,AMERICAN PHARMA 86756,A81000C,00200,0600,PHARMACEUTICALS 86756,A81000C,00300,0100,G 86756,A81000C,00300,0200,MARINER POST AC 86756,A81000C,00300,0400,PRISM (ATS ARS 86756,A81000C,00300,0600,THERAPIES 86756,A81000C,03100,0000,MARINER POST ACUTE NETWORK 86756,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86756,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86756,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86756,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86756,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86756,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 86756,B100000,00000,0800,00000MEALS SERVED :DIETARY 86756,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86756,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86756,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86756,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86756,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86756,B100000,00000,1331,00000PT DAYS :ACTIVITIES 86756,B100000,00000,1350,00000TIME SPENT :REHAB 86756,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86756,S000000,00100,0200,06/16/2000 86756,S200000,00100,0100,921 SUNSET DRIVE 86756,S200000,00200,0100,NORWALK 86756,S200000,00200,0200,IA 86756,S200000,00200,0300,50211- 86756,S200000,00300,0100,WARREN 86756,S200000,00400,0100,NORWALK MANOR 86756,S200000,00400,0200,165179 86756,S200000,00400,0300,09/08/1992 86756,S200000,00400,0500,P 86756,S700003,00000,0100,1 86758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86758,A000000,00300,0000,00300EMPLOYEE BENEFITS 86758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86758,A000000,00700,0000,00700HOUSEKEEPING 86758,A000000,00800,0000,00800DIETARY 86758,A000000,00900,0000,00900NURSING ADMINISTRATION 86758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86758,A000000,01100,0000,01100PHARMACY 86758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86758,A000000,01300,0000,01300SOCIAL SERVICE 86758,A000000,01350,0000,01500OTHER GENERAL SERVICES 86758,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86758,A000000,01600,0000,01600SKILLED NURSING FACILITY 86758,A000000,01800,0000,01800NURSING FACILITY 86758,A000000,01810,0000,01801ICF/MR 86758,A000000,01900,0000,01900OTHER LONG TERM CARE 86758,A000000,02100,0000,02100RADIOLOGY 86758,A000000,02200,0000,02200LABORATORY 86758,A000000,02300,0000,02300INTRAVENOUS THERAPY 86758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86758,A000000,02500,0000,02500PHYSICAL THERAPY 86758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86758,A000000,02700,0000,02700SPEECH PATHOLOGY 86758,A000000,02800,0000,02800ELECTROCARDIOLOGY 86758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86758,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86758,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86758,A000000,03200,0000,03200SUPPORT SURFACES 86758,A000000,03400,0000,03400CLINIC 86758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86758,A000000,03500,0000,03500RURAL HEALTH CLINIC 86758,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86758,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86758,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86758,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86758,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86758,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86758,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86758,A000000,04400,0000,04400DME RENTED - HHA 86758,A000000,04500,0000,04500DME SOLD - HHA 86758,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86758,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86758,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86758,A000000,04800,0000,04800AMBULANCE 86758,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86758,A000000,05000,0000,05000CORF 86758,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86758,A000000,05300,0000,05300INTEREST EXPENSE 86758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86758,A000000,05500,0000,05500HOSPICE 86758,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86758,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86758,A000000,06100,0000,06100NONPAID WORKERS 86758,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86758,A000000,06200,0000,06200PATIENTS LAUNDRY 86758,A81000A,00100,0100,Y 86758,A81000B,00100,0300,MANAGEMENT FEES 86758,A81000B,00200,0300,LEASE EXPENSE 86758,A81000B,00300,0300,NURSING SERVICES 86758,A81000B,00400,0300,PHYSICAL THERAPY SERVICES 86758,A81000B,00500,0300,OCCUPATIONAL THERAPY SVCS 86758,A81000B,00600,0300,SPEECH THERAPY SERVICES 86758,A81000B,00700,0300,EMPLOYEE BENEFITS 86758,A81000C,00100,0100,B 86758,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86758,A81000C,00100,0600,MANAGEMENT SERVICES 86758,A81000C,00200,0100,B 86758,A81000C,00200,0400,CLC PROPERTIES INC. 86758,A81000C,00200,0600,PROPERTY SERVICES 86758,A81000C,00300,0100,B 86758,A81000C,00300,0400,ALTOONA MANOR 86758,A81000C,00300,0600,HEALTHCARE SERVICES 86758,A81000C,00400,0100,B 86758,A81000C,00400,0400,ALTOONA MANOR 86758,A81000C,00400,0600,HEALTHCARE SERVICES 86758,A81000C,00500,0100,B 86758,A81000C,00500,0400,ALTOONA MANOR 86758,A81000C,00500,0600,HEALTHCARE SERVICES 86758,A81000C,00600,0100,B 86758,A81000C,00600,0400,ALTOONA MANOR 86758,A81000C,00600,0600,HEALTHCARE SERVICES 86758,A81000C,00700,0100,B 86758,A81000C,00700,0400,ALTOONA MANOR 86758,A81000C,00700,0600,HEALTHCARE SERVICES 86758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86758,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86758,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86758,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86758,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86758,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86758,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86758,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86758,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86758,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86758,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86758,S000000,00100,0200,08/30/2000 86758,S200000,00100,0100,921 SUNSET DR. 86758,S200000,00200,0100,NORWALK 86758,S200000,00200,0200,IA 86758,S200000,00200,0300,50211-1425 86758,S200000,00300,0100,WARREN 86758,S200000,00400,0100,NORWALK MANOR 86758,S200000,00400,0200,165179 86758,S200000,00400,0300,09/01/1999 86758,S200000,00400,0500,P 86758,S200000,00400,0600,O 86758,S200000,01004,0500,O 86758,S200000,01600,0100,Y 86758,S700003,00000,0200,2 86772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86772,A000000,00300,0000,00300EMPLOYEE BENEFITS 86772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86772,A000000,00700,0000,00700HOUSEKEEPING 86772,A000000,00800,0000,00800DIETARY 86772,A000000,00900,0000,00900NURSING ADMINISTRATION 86772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86772,A000000,01100,0000,01100PHARMACY 86772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86772,A000000,01300,0000,01300SOCIAL SERVICE 86772,A000000,01350,0000,01500RECREATION 86772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86772,A000000,01600,0000,01600SKILLED NURSING FACILITY 86772,A000000,01810,0000,01810ICF/MR 86772,A000000,02200,0000,02200LABORATORY 86772,A000000,02500,0000,02500PHYSICAL THERAPY 86772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86772,A000000,02700,0000,02700SPEECH PATHOLOGY 86772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86772,A000000,03050,0000,03300PEN 86772,A000000,03550,0000,03550FQHC 86772,A000000,05000,0000,05000CORF 86772,A000000,05010,0000,05010CMHC 86772,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86772,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86772,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86772,A81000A,00100,0100,Y 86772,A81000B,00100,0300,MANAGEMENT FEE 86772,A81000B,00200,0300,ACCOUNTING SERVICE 86772,A81000B,00300,0300,BUILDING & FIXTURES 86772,A81000B,00400,0300,MOVEABLE EQUIPMENT 86772,A81000C,00100,0100,A 86772,A81000C,00100,0200,STANLEY BOYLE 86772,A81000C,00100,0400,CARE CENTRE MGM 86772,A81000C,00100,0600,MGMT CO 86772,A81000C,00200,0100,A 86772,A81000C,00200,0200,DAVID BOYLE 86772,A81000C,00200,0400,CARE CENTRE MGM 86772,A81000C,00200,0600,MGMT CO 86772,A81000C,00300,0100,A 86772,A81000C,00300,0200,PATRICK BOYLE 86772,A81000C,00300,0400,CARE CENTRE MGM 86772,A81000C,00300,0600,MGMT CO 86772,A81000C,00400,0100,A 86772,A81000C,00400,0200,DANIEL BOYLE 86772,A81000C,00400,0400,CARE CENTRE MGM 86772,A81000C,00400,0600,MGMT CO 86772,A81000C,00500,0100,A 86772,A81000C,00500,0200,RICHARD BOYLE 86772,A81000C,00500,0400,CARE CENTRE MGM 86772,A81000C,00500,0600,MGMT CO 86772,A81000C,00600,0100,A 86772,A81000C,00600,0200,TIMOTHY BOYLE 86772,A81000C,00600,0400,CARE CENTRE MGM 86772,A81000C,00600,0600,MGMT CO 86772,A81000C,00700,0100,A 86772,A81000C,00700,0200,MARILYN GALVIN 86772,A81000C,00700,0400,CARE CENTRE MGM 86772,A81000C,00700,0600,MGMT CO 86772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86772,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86772,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86772,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86772,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86772,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86772,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86772,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86772,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86772,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86772,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86772,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86772,S000000,00100,0200,06/07/2000 86772,S200000,00100,0100,703 SOUTH UNION 86772,S200000,00200,0100,ROCK RAPIDS 86772,S200000,00200,0200,IA 86772,S200000,00200,0300,51246- 86772,S200000,00300,0100,LYON 86772,S200000,00400,0100,ROCK RAPIDS HEALTH CENTRE 86772,S200000,00400,0200,165181 86772,S200000,00400,0300,06/01/1993 86772,S200000,00400,0500,P 86772,S200000,01500,0100,Y 86772,S700003,00000,0100,1 86776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86776,A000000,00300,0000,00300EMPLOYEE BENEFITS 86776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86776,A000000,00700,0000,00700HOUSEKEEPING 86776,A000000,00800,0000,00800DIETARY 86776,A000000,00900,0000,00900NURSING ADMINISTRATION 86776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86776,A000000,01100,0000,01100PHARMACY 86776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86776,A000000,01300,0000,01300SOCIAL SERVICE 86776,A000000,01600,0000,01600SKILLED NURSING FACILITY 86776,A000000,01800,0000,01800NURSING FACILITY 86776,A000000,01900,0000,01900OTHER LONG TERM CARE 86776,A000000,02100,0000,02100RADIOLOGY 86776,A000000,02200,0000,02200LABORATORY 86776,A000000,02300,0000,02300INTRAVENOUS THERAPY 86776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86776,A000000,02500,0000,02500PHYSICAL THERAPY 86776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86776,A000000,02700,0000,02700SPEECH PATHOLOGY 86776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86776,A000000,02901,0000,02901EQUIPMENT RENTAL 86776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86776,A000000,05000,0000,05000CORF 86776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86776,A000000,05300,0000,05300INTEREST EXPENSE 86776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86776,A000000,06200,0000,06200PATIENTS LAUNDRY 86776,A81000A,00100,0100,Y 86776,A81000B,00100,0300,HOME OFFICE ALLOCATION 86776,A81000C,00100,0100,A 86776,A81000C,00100,0200,CRESCENT HEALTH 86776,A81000C,00100,0400,CRESCENT HEALTH 86776,A81000C,00100,0600,HEALTHCARE 86776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86776,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86776,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 86776,B100000,00000,0800,00000MEALS SERVED :DIETARY 86776,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86776,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86776,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86776,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86776,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86776,S000000,00100,0200,06/30/2000 86776,S200000,00100,0100,3440 MULBERRY AVENUE 86776,S200000,00200,0100,MUSCATINE 86776,S200000,00200,0200,IA 86776,S200000,00200,0300,52761- 86776,S200000,00300,0100,MUSCATINE 86776,S200000,00400,0100,CRESCENT NRSG & REHAB OF MUSCATINE 86776,S200000,00400,0200,165182 86776,S200000,00400,0300,05/23/1996 86776,S200000,00400,0500,P 86776,S200000,01600,0100,Y 86776,S700003,00000,0400,4 86786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86786,A000000,00300,0000,00300EMPLOYEE BENEFITS 86786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86786,A000000,00700,0000,00700HOUSEKEEPING 86786,A000000,00800,0000,00800DIETARY 86786,A000000,00900,0000,00900NURSING ADMINISTRATION 86786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86786,A000000,01100,0000,01100PHARMACY 86786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86786,A000000,01300,0000,01300SOCIAL SERVICE 86786,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86786,A000000,01600,0000,01600SKILLED NURSING FACILITY 86786,A000000,01800,0000,01800NURSING FACILITY 86786,A000000,01900,0000,01900OTHER LONG TERM CARE 86786,A000000,02100,0000,02100RADIOLOGY 86786,A000000,02200,0000,02200LABORATORY 86786,A000000,02300,0000,02300INTRAVENOUS THERAPY 86786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86786,A000000,02500,0000,02500PHYSICAL THERAPY 86786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86786,A000000,02700,0000,02700SPEECH PATHOLOGY 86786,A000000,02800,0000,02800ELECTROCARDIOLOGY 86786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86786,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86786,A000000,03200,0000,03200SUPPORT SURFACES 86786,A000000,03400,0000,03400CLINIC 86786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86786,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86786,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86786,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86786,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86786,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86786,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86786,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86786,A000000,04400,0000,04400DME RENTED - HHA 86786,A000000,04500,0000,04500DME SOLD - HHA 86786,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86786,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86786,A000000,04800,0000,04800AMBULANCE 86786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86786,A000000,05300,0000,05300INTEREST EXPENSE 86786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86786,A000000,05500,0000,05500HOSPICE 86786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86786,A000000,06100,0000,06100NONPAID WORKERS 86786,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86786,A000000,06151,0000,06301WEL-ASSIST 86786,A000000,06200,0000,06200PATIENTS LAUNDRY 86786,A81000A,00100,0100,Y 86786,A81000B,00100,0300,MANAGEMENT FEE 86786,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIPMENT 86786,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 86786,A81000C,00100,0100,B 86786,A81000C,00100,0200,VISTA GARDENS C 86786,A81000C,00100,0400,LANTIS ENTERPRI 86786,A81000C,00100,0600,HEALTH CARE 86786,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 86786,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 86786,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 86786,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 86786,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 86786,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 86786,B100000,00000,0850,00001PATIENT DAYS :DIETARY 86786,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 86786,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 86786,B100000,00000,1100,00001COSTED REQUISITIO :PHARMACY 86786,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 86786,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 86786,H510100,00000,0000,16 86786,H510100,02400,0000,16 86786,S000000,00100,0200,05/22/2000 86786,S200000,00100,0100,1600 SUMMIT ST. 86786,S200000,00100,0300,470 86786,S200000,00200,0100,RED OAK 86786,S200000,00200,0200,IA 86786,S200000,00300,0100,MONTGOMERY 86786,S200000,00300,0200,0016 86786,S200000,00300,0300,R 86786,S200000,00400,0100,VISTA GARDENS CARE CENTER 86786,S200000,00400,0200,165185 86786,S200000,00400,0300,08/23/1993 86786,S200000,00400,0500,P 86786,S200000,00800,0200,167282 86786,S200000,00800,0300,05/05/1998 86786,S200000,00800,0500,P 86786,S200000,01600,0100,Y 86786,S200000,03700,0100,Y 86805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86805,A000000,00300,0000,00300EMPLOYEE BENEFITS 86805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86805,A000000,00700,0000,00700HOUSEKEEPING 86805,A000000,00800,0000,00800DIETARY 86805,A000000,00900,0000,00900NURSING ADMINISTRATION 86805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86805,A000000,01100,0000,01100PHARMACY 86805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86805,A000000,01300,0000,01300SOCIAL SERVICE 86805,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86805,A000000,01600,0000,01600SKILLED NURSING FACILITY 86805,A000000,01800,0000,01800NURSING FACILITY 86805,A000000,01900,0000,01900OTHER LONG TERM CARE 86805,A000000,02100,0000,02100RADIOLOGY 86805,A000000,02200,0000,02200LABORATORY 86805,A000000,02300,0000,02300INTRAVENOUS THERAPY 86805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86805,A000000,02500,0000,02500PHYSICAL THERAPY 86805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86805,A000000,02700,0000,02700SPEECH PATHOLOGY 86805,A000000,02800,0000,02800ELECTROCARDIOLOGY 86805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86805,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86805,A000000,03200,0000,03200SUPPORT SURFACES 86805,A000000,03400,0000,03400CLINIC 86805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86805,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86805,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86805,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86805,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86805,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86805,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86805,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86805,A000000,04400,0000,04400DME RENTED - HHA 86805,A000000,04500,0000,04500DME SOLD - HHA 86805,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86805,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86805,A000000,04800,0000,04800AMBULANCE 86805,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86805,A000000,05300,0000,05300INTEREST EXPENSE 86805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86805,A000000,05500,0000,05500HOSPICE 86805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86805,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86805,A000000,06100,0000,06100NONPAID WORKERS 86805,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86805,A000000,06200,0000,06200PATIENTS LAUNDRY 86805,A000000,06201,0000,06201WEL-ASSIST 86805,A81000A,00100,0100,Y 86805,A81000B,00100,0300,MANAGEMENT FEE 86805,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 86805,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 86805,A81000C,00100,0100,B 86805,A81000C,00100,0200,WESTMONT CARE C 86805,A81000C,00100,0400,LANTIS ENTERPRI 86805,A81000C,00100,0600,HEALTH CARE 86805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86805,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86805,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86805,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86805,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86805,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86805,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86805,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 86805,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86805,S000000,00100,0200,05/23/2000 86805,S200000,00400,0100,WESTMONT CARE CENTER 86805,S200000,00400,0200,165203 86805,S200000,00400,0300,01/01/1995 86805,S200000,00400,0500,P 86805,S200000,00800,0200,167287 86805,S200000,00800,0300,03/30/1999 86805,S200000,00800,0500,P 86805,S200000,01600,0100,Y 86805,S200000,03700,0100,Y 86812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86812,A000000,00300,0000,00300EMPLOYEE BENEFITS 86812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86812,A000000,00700,0000,00700HOUSEKEEPING 86812,A000000,00800,0000,00800DIETARY 86812,A000000,00900,0000,00900NURSING ADMINISTRATION 86812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86812,A000000,01100,0000,01100PHARMACY 86812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86812,A000000,01300,0000,01300SOCIAL SERVICE 86812,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86812,A000000,01600,0000,01600SKILLED NURSING FACILITY 86812,A000000,01800,0000,01800NURSING FACILITY 86812,A000000,01900,0000,01900OTHER LONG TERM CARE 86812,A000000,02100,0000,02100RADIOLOGY 86812,A000000,02200,0000,02200LABORATORY 86812,A000000,02300,0000,02300INTRAVENOUS THERAPY 86812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86812,A000000,02500,0000,02500PHYSICAL THERAPY 86812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86812,A000000,02700,0000,02700SPEECH PATHOLOGY 86812,A000000,02800,0000,02800ELECTROCARDIOLOGY 86812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86812,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86812,A000000,03200,0000,03200SUPPORT SURFACES 86812,A000000,03400,0000,03400CLINIC 86812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86812,A000000,04800,0000,04800AMBULANCE 86812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86812,A000000,05300,0000,05300INTEREST EXPENSE 86812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86812,A000000,05500,0000,05500HOSPICE 86812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86812,A000000,06100,0000,06100NONPAID WORKERS 86812,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86812,A000000,06200,0000,06200PATIENTS LAUNDRY 86812,A81000A,00100,0100,Y 86812,A81000B,00100,0300,MANAGEMENT FEE 86812,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 86812,A81000B,00300,0300,CAP RLTD MOVE EQUIP 86812,A81000C,00100,0100,B 86812,A81000C,00100,0200,VALLE VISTA MAN 86812,A81000C,00100,0400,LANTIS ENTERPRI 86812,A81000C,00100,0600,HEALTH CARE 86812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86812,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86812,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86812,B100000,00000,0800,00000MEALS SERVED :DIETARY 86812,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86812,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86812,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86812,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86812,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86812,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 86812,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86812,S000000,00100,0200,05/23/2000 86812,S200000,00100,0100,600 MORNINGSIDE 86812,S200000,00200,0100,IDA GROVE 86812,S200000,00200,0200,IO 86812,S200000,00200,0300,51445-1640 86812,S200000,00300,0100,IDA 86812,S200000,00400,0100,MORNINGSIDE CARE CENTER 86812,S200000,00400,0200,165206 86812,S200000,00400,0300,01/01/1994 86812,S200000,00400,0500,P 86812,S200000,01500,0100,Y 86812,S700003,00000,0100,1 86821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86821,A000000,00300,0000,00300EMPLOYEE BENEFITS 86821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86821,A000000,00700,0000,00700HOUSEKEEPING 86821,A000000,00800,0000,00800DIETARY 86821,A000000,00900,0000,00900NURSING ADMINISTRATION 86821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86821,A000000,01300,0000,01300SOCIAL SERVICE 86821,A000000,01301,0000,01301ACTIVITIES 86821,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86821,A000000,01600,0000,01600SKILLED NURSING FACILITY 86821,A000000,01800,0000,01800NURSING FACILITY 86821,A000000,01810,0000,01810ICF/MR 86821,A000000,01900,0000,01900OTHER LONG TERM CARE 86821,A000000,02100,0000,02100RADIOLOGY 86821,A000000,02200,0000,02200LABORATORY 86821,A000000,02300,0000,02300INTRAVENOUS THERAPY 86821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86821,A000000,02500,0000,02500PHYSICAL THERAPY 86821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86821,A000000,02700,0000,02700SPEECH PATHOLOGY 86821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86821,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86821,A000000,03200,0000,03200SUPPORT SURFACES 86821,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86821,A000000,04800,0000,04800AMBULANCE 86821,A000000,05000,0000,05000CORF 86821,A000000,05300,0000,05300INTEREST EXPENSE 86821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86821,A000000,05500,0000,05500HOSPICE 86821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86821,A000000,06100,0000,06100NONPAID WORKERS 86821,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86821,A000000,06200,0000,06200PATIENTS LAUNDRY 86821,A81000A,00100,0100,Y 86821,A81000B,00100,0300,HOME OFFICE ALLOCATION 86821,A81000B,00200,0300,NON CERT 86821,A81000B,00300,0300,MEDICAL SUPPLIES 86821,A81000B,00400,0300,CAPITAL 86821,A81000C,00100,0100,B 86821,A81000C,00100,0200,GRANGER 11346 86821,A81000C,00100,0400,MPAN 86821,A81000C,00100,0600,NURSING HOMES 86821,A81000C,00200,0100,G 86821,A81000C,00200,0200,MPAN 86821,A81000C,00200,0400,AMERICAN PHARMA 86821,A81000C,00200,0600,PHARMACEUTICALS 86821,A81000C,00300,0100,G 86821,A81000C,00300,0200,MPAN 86821,A81000C,00300,0400,PRISM (ATS ARS 86821,A81000C,00300,0600,THERAPIES 86821,A81000C,03100,0000,MPAN 86821,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86821,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86821,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86821,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86821,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86821,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86821,B100000,00000,0800,00000MEALS SERVED :DIETARY 86821,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86821,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86821,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86821,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86821,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 86821,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 86821,S000000,00100,0200,06/16/2000 86821,S200000,00100,0100,2001 KENNEDY STREET 86821,S200000,00200,0100,GRANGER 86821,S200000,00200,0200,IA 86821,S200000,00200,0300,50109- 86821,S200000,00300,0100,DALLAS 86821,S200000,00400,0100,GRANGER HEALTHCARE CTR 86821,S200000,00400,0200,165208 86821,S200000,00400,0300,03/01/1994 86821,S200000,00400,0500,P 86821,S700003,00000,0100,1 86823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86823,A000000,00300,0000,00300EMPLOYEE BENEFITS 86823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86823,A000000,00700,0000,00700HOUSEKEEPING 86823,A000000,00800,0000,00800DIETARY 86823,A000000,00900,0000,00900NURSING ADMINISTRATION 86823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86823,A000000,01100,0000,01100PHARMACY 86823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86823,A000000,01300,0000,01300SOCIAL SERVICE 86823,A000000,01350,0000,01500OTHER GENERAL SERVICES 86823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86823,A000000,01600,0000,01600SKILLED NURSING FACILITY 86823,A000000,01800,0000,01800NURSING FACILITY 86823,A000000,01810,0000,01801ICF/MR 86823,A000000,01900,0000,01900OTHER LONG TERM CARE 86823,A000000,02100,0000,02100RADIOLOGY 86823,A000000,02200,0000,02200LABORATORY 86823,A000000,02300,0000,02300INTRAVENOUS THERAPY 86823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86823,A000000,02500,0000,02500PHYSICAL THERAPY 86823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86823,A000000,02700,0000,02700SPEECH PATHOLOGY 86823,A000000,02800,0000,02800ELECTROCARDIOLOGY 86823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86823,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86823,A000000,03200,0000,03200SUPPORT SURFACES 86823,A000000,03400,0000,03400CLINIC 86823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86823,A000000,03500,0000,03500RURAL HEALTH CLINIC 86823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86823,A000000,04400,0000,04400DME RENTED - HHA 86823,A000000,04500,0000,04500DME SOLD - HHA 86823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86823,A000000,04800,0000,04800AMBULANCE 86823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86823,A000000,05000,0000,05000CORF 86823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86823,A000000,05300,0000,05300INTEREST EXPENSE 86823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86823,A000000,05500,0000,05500HOSPICE 86823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86823,A000000,06100,0000,06100NONPAID WORKERS 86823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86823,A000000,06200,0000,06200PATIENTS LAUNDRY 86823,A81000A,00100,0100,Y 86823,A81000B,00100,0300,MANAGEMENT FEES 86823,A81000B,00200,0300,LEASE EXPENSE 86823,A81000B,00300,0300,NURSING SERVICES 86823,A81000B,00400,0300,PHYSICAL THERAPY SERVICES 86823,A81000B,00500,0300,OCCUPATIONAL THERAPY SVCS 86823,A81000B,00600,0300,SPEECH THERAPY SERVICES 86823,A81000B,00700,0300,EMPLOYEE BENEFITS 86823,A81000C,00100,0100,B 86823,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86823,A81000C,00100,0600,MANAGEMENT SERVICES 86823,A81000C,00200,0100,B 86823,A81000C,00200,0400,CLC PROPERTIES INC. 86823,A81000C,00200,0600,PROPERTY SERVICES 86823,A81000C,00300,0100,B 86823,A81000C,00300,0400,ALTOONA MANOR 86823,A81000C,00300,0600,HEALTHCARE SERVICES 86823,A81000C,00400,0100,B 86823,A81000C,00400,0400,ALTOONA MANOR 86823,A81000C,00400,0600,HEALTHCARE SERVICES 86823,A81000C,00500,0100,B 86823,A81000C,00500,0400,ALTOONA MANOR 86823,A81000C,00500,0600,HEALTHCARE SERVICES 86823,A81000C,00600,0100,B 86823,A81000C,00600,0400,ALTOONA MANOR 86823,A81000C,00600,0600,HEALTHCARE SERVICES 86823,A81000C,00700,0100,B 86823,A81000C,00700,0400,ALTOONA MANOR 86823,A81000C,00700,0600,HEALTHCARE SERVICES 86823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86823,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86823,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86823,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86823,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86823,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86823,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86823,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86823,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86823,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86823,S000000,00100,0200,08/30/2000 86823,S200000,00100,0100,2001 KENNEDY ST. 86823,S200000,00200,0100,GRANGER 86823,S200000,00200,0200,IA 86823,S200000,00200,0300,50109-9746 86823,S200000,00300,0100,DALLAS 86823,S200000,00400,0100,GRANGER MANOR 86823,S200000,00400,0200,165208 86823,S200000,00400,0300,09/01/1999 86823,S200000,00400,0500,P 86823,S200000,00400,0600,O 86823,S200000,01004,0500,O 86823,S200000,01500,0100,Y 86823,S700003,00000,0200,2 86833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86833,A000000,00300,0000,00300EMPLOYEE BENEFITS 86833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86833,A000000,00700,0000,00700HOUSEKEEPING 86833,A000000,00800,0000,00800DIETARY 86833,A000000,00900,0000,00900NURSING ADMINISTRATION 86833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86833,A000000,01100,0000,01100PHARMACY 86833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86833,A000000,01300,0000,01300SOCIAL SERVICE 86833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86833,A000000,01600,0000,01600SKILLED NURSING FACILITY 86833,A000000,01800,0000,01800NURSING FACILITY 86833,A000000,01900,0000,01900OTHER LONG TERM CARE 86833,A000000,02100,0000,02100RADIOLOGY 86833,A000000,02200,0000,02200LABORATORY 86833,A000000,02300,0000,02300INTRAVENOUS THERAPY 86833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86833,A000000,02500,0000,02500PHYSICAL THERAPY 86833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86833,A000000,02700,0000,02700SPEECH PATHOLOGY 86833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86833,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86833,A000000,04800,0000,04800AMBULANCE 86833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86833,A000000,05000,0000,05000CORF 86833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86833,A000000,05300,0000,05300INTEREST EXPENSE 86833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86833,A000000,05500,0000,05500HOSPICE 86833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86833,A000000,06100,0000,06100NONPAID WORKERS 86833,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86833,A000000,06200,0000,06200PATIENTS LAUNDRY 86833,A81000A,00100,0100,Y 86833,A81000B,00100,0300,HOME OFFICE ALLOCATION 86833,A81000C,00100,0100,A 86833,A81000C,00100,0200,CRESCENT HEALTH 86833,A81000C,00100,0400,CRESCENT HEALTH 86833,A81000C,00100,0600,HEALTHCARE 86833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86833,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86833,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86833,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86833,B100000,00000,0800,00000MEALS SERVED :DIETARY 86833,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 86833,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86833,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 86833,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86833,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86833,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86833,S000000,00100,0200,12/21/1999 86833,S200000,00100,0100,715 SHOQUOQUON DRIVE 86833,S200000,00200,0100,BURLINGTON 86833,S200000,00200,0200,IA 86833,S200000,00200,0300,52601- 86833,S200000,00300,0100,DES MOINES 86833,S200000,00400,0100,RIVER BEND NURSING & REHAB. 86833,S200000,00400,0200,165212 86833,S200000,00400,0300,01/01/1995 86833,S200000,00400,0500,P 86833,S200000,01600,0100,Y 86833,S700003,00000,0400,4 86860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86860,A000000,00300,0000,00300EMPLOYEE BENEFITS 86860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86860,A000000,00700,0000,00700HOUSEKEEPING 86860,A000000,00800,0000,00800DIETARY 86860,A000000,00900,0000,00900NURSING ADMINISTRATION 86860,A000000,01350,0000,01500EMPLOYEE CAFETERIA 86860,A000000,01351,0000,01501ACTIVITIES 86860,A000000,01600,0000,01600SKILLED NURSING FACILITY 86860,A000000,01800,0000,01800NURSING FACILITY 86860,A000000,02500,0000,02500PHYSICAL THERAPY 86860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86860,A000000,02700,0000,02700SPEECH PATHOLOGY 86860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86860,A000000,05300,0000,05300INTEREST EXPENSE 86860,A000000,05800,0000,05810MOW/GUEST MEALS 86860,A81000A,00100,0100,Y 86860,A81000B,00100,0300,LEASE EXP 86860,A81000B,00200,0300,ADMIN WAGES 86860,A81000C,00100,0100,A 86860,A81000C,00100,0200,ROBERT/MARLENE 86860,A81000C,00200,0100,A 86860,A81000C,00200,0200,ROBERT/MARLENE 86860,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 86860,B100000,00000,0250,00010SQUARE FEET :CAP REL COSTS - MOVAB 86860,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 86860,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 86860,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 86860,B100000,00000,0650,00010TIME SPENT :LAUNDRY & LINEN SERVIC 86860,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 86860,B100000,00000,0800,00010MEALS :DIETARY 86860,B100000,00000,0950,00010TIME SPENT :NURSING ADMINISTRATION 86860,B100000,00000,1350,00010FTES :EMPLOYEE CAFETERIA 86860,B100000,00000,1351,00010TIME SPENT :ACTIVITIES 86860,S000000,00100,0200,06/02/2000 86860,S200000,00100,0100,HWY 2 EAST 86860,S200000,00100,0300,547 86860,S200000,00200,0100,MOUNT AYR 86860,S200000,00200,0200,IA 86860,S200000,00200,0300,50854- 86860,S200000,00300,0100,RINGGOLD 86860,S200000,00400,0100,MT AYR HEALTH CARE CENTER 86860,S200000,00400,0200,165224 86860,S200000,00400,0300,07/15/1994 86860,S200000,00400,0500,P 86860,S200000,00400,0600,O 86860,S200000,00600,0200,165224 86860,S200000,00600,0300,07/15/1994 86860,S200000,00600,0600,P 86860,S200000,01004,0500,O 86860,S200000,01500,0100,Y 86860,S200000,02200,0100,Y 86860,S200000,04300,0100,Y 86860,S700003,00000,0100,1 86885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86885,A000000,00300,0000,00300EMPLOYEE BENEFITS 86885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86885,A000000,00700,0000,00700HOUSEKEEPING 86885,A000000,00800,0000,00800DIETARY 86885,A000000,00900,0000,00900NURSING ADMINISTRATION 86885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86885,A000000,01100,0000,01100PHARMACY 86885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86885,A000000,01300,0000,01300SOCIAL SERVICE 86885,A000000,01350,0000,01500RECREATION 86885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86885,A000000,01600,0000,01600SKILLED NURSING FACILITY 86885,A000000,01810,0000,01810ICF/MR 86885,A000000,02100,0000,02100RADIOLOGY 86885,A000000,02500,0000,02500PHYSICAL THERAPY 86885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86885,A000000,02700,0000,02700SPEECH PATHOLOGY 86885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86885,A000000,03550,0000,03550FQHC 86885,A000000,05000,0000,05000CORF 86885,A000000,05010,0000,05010CMHC 86885,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86885,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86885,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86885,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 86885,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 86885,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 86885,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 86885,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 86885,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 86885,B100000,00000,0750,00040SQUARE FOOTAGE :HOUSEKEEPING 86885,B100000,00000,0800,00040MEALS SERVED :DIETARY 86885,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 86885,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 86885,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 86885,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 86885,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 86885,B100000,00000,1350,00040PATIENT DAYS :RECREATION 86885,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 86885,S000000,00100,0200,05/31/2000 86885,S200000,00100,0100,747 NORTH HIGHWAY 86885,S200000,00200,0100,OAKLAND 86885,S200000,00200,0200,IA 86885,S200000,00200,0300,51560- 86885,S200000,00300,0100,POTTAWATTAMIE 86885,S200000,00400,0100,OAKLAND MANOR 86885,S200000,00400,0200,165230 86885,S200000,00400,0300,07/01/1994 86885,S200000,00400,0500,P 86885,S200000,01004,0500,O 86885,S200000,01500,0100,Y 86885,S700003,00000,0100,1 86894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86894,A000000,00300,0000,00300EMPLOYEE BENEFITS 86894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86894,A000000,00700,0000,00700HOUSEKEEPING 86894,A000000,00800,0000,00800DIETARY 86894,A000000,00900,0000,00900NURSING ADMINISTRATION 86894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86894,A000000,01300,0000,01300SOCIAL SERVICE 86894,A000000,01301,0000,01301ACTIVITIES 86894,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86894,A000000,01600,0000,01600SKILLED NURSING FACILITY 86894,A000000,01800,0000,01800NURSING FACILITY 86894,A000000,01810,0000,01810ICF/MR 86894,A000000,01900,0000,01900OTHER LONG TERM CARE 86894,A000000,02100,0000,02100RADIOLOGY 86894,A000000,02200,0000,02200LABORATORY 86894,A000000,02300,0000,02300INTRAVENOUS THERAPY 86894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86894,A000000,02500,0000,02500PHYSICAL THERAPY 86894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86894,A000000,02700,0000,02700SPEECH PATHOLOGY 86894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86894,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86894,A000000,03200,0000,03200SUPPORT SURFACES 86894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86894,A000000,04800,0000,04800AMBULANCE 86894,A000000,05000,0000,05000CORF 86894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86894,A000000,05300,0000,05300INTEREST EXPENSE 86894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86894,A000000,05500,0000,05500HOSPICE 86894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86894,A000000,06100,0000,06100NONPAID WORKERS 86894,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86894,A000000,06200,0000,06200PATIENTS LAUNDRY 86894,A81000A,00100,0100,Y 86894,A81000B,00100,0300,HOME OFFICE ALLOCATION 86894,A81000B,00200,0300,NON CERT 86894,A81000B,00300,0300,MEDICAL SUPPLIES 86894,A81000B,00400,0300,PLANT 86894,A81000C,00100,0100,B 86894,A81000C,00100,0200,CARROLL 11345 86894,A81000C,00100,0400,MPAN 86894,A81000C,00100,0600,NURSING HOMES 86894,A81000C,00200,0100,G 86894,A81000C,00200,0200,MPAN 86894,A81000C,00200,0400,AMERICAN PHARMA 86894,A81000C,00200,0600,PHARMACEUTICALS 86894,A81000C,00300,0100,G 86894,A81000C,00300,0200,MPAN 86894,A81000C,00300,0400,PRISM (ATS ARS 86894,A81000C,00300,0600,THERAPIES 86894,A81000C,03100,0000,MPAN 86894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86894,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86894,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86894,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86894,B100000,00000,0800,00000MEALS SERVED :DIETARY 86894,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86894,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 86894,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86894,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86894,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 86894,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 86894,S000000,00100,0200,06/16/2000 86894,S200000,00100,0100,500 VALLEY DR 86894,S200000,00200,0100,CARROLL 86894,S200000,00200,0200,IA 86894,S200000,00200,0300,51401- 86894,S200000,00300,0100,CARROLL 86894,S200000,00400,0100,CARROLL HEALTHCARE CTR 86894,S200000,00400,0200,165231 86894,S200000,00400,0300,07/28/1994 86894,S200000,00400,0500,P 86894,S700003,00000,0100,1 86896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86896,A000000,00300,0000,00300EMPLOYEE BENEFITS 86896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86896,A000000,00700,0000,00700HOUSEKEEPING 86896,A000000,00800,0000,00800DIETARY 86896,A000000,00900,0000,00900NURSING ADMINISTRATION 86896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86896,A000000,01100,0000,01100PHARMACY 86896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86896,A000000,01300,0000,01300SOCIAL SERVICE 86896,A000000,01350,0000,01500OTHER GENERAL SERVICES 86896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86896,A000000,01600,0000,01600SKILLED NURSING FACILITY 86896,A000000,01800,0000,01800NURSING FACILITY 86896,A000000,01810,0000,01801ICF/MR 86896,A000000,01900,0000,01900OTHER LONG TERM CARE 86896,A000000,02100,0000,02100RADIOLOGY 86896,A000000,02200,0000,02200LABORATORY 86896,A000000,02300,0000,02300INTRAVENOUS THERAPY 86896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86896,A000000,02500,0000,02500PHYSICAL THERAPY 86896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86896,A000000,02700,0000,02700SPEECH PATHOLOGY 86896,A000000,02800,0000,02800ELECTROCARDIOLOGY 86896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86896,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86896,A000000,03200,0000,03200SUPPORT SURFACES 86896,A000000,03400,0000,03400CLINIC 86896,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86896,A000000,03500,0000,03500RURAL HEALTH CLINIC 86896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86896,A000000,04400,0000,04400DME RENTED - HHA 86896,A000000,04500,0000,04500DME SOLD - HHA 86896,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86896,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86896,A000000,04800,0000,04800AMBULANCE 86896,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86896,A000000,05000,0000,05000CORF 86896,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86896,A000000,05300,0000,05300INTEREST EXPENSE 86896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86896,A000000,05500,0000,05500HOSPICE 86896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86896,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86896,A000000,06100,0000,06100NONPAID WORKERS 86896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86896,A000000,06200,0000,06200PATIENTS LAUNDRY 86896,A81000A,00100,0100,Y 86896,A81000B,00100,0300,MANAGEMENT FEES 86896,A81000B,00200,0300,LEASE EXPENSES 86896,A81000C,00100,0100,B 86896,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86896,A81000C,00100,0600,MANAGEMENT SERVICES 86896,A81000C,00200,0100,B 86896,A81000C,00200,0400,CLC PROPERTIES INC. 86896,A81000C,00200,0600,PROPERTY SERVICES 86896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86896,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86896,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86896,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86896,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86896,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86896,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86896,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86896,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86896,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86896,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 86896,S000000,00100,0200,08/30/2000 86896,S200000,00100,0100,500 VALLEY DR. 86896,S200000,00200,0100,CARROLL 86896,S200000,00200,0200,IA 86896,S200000,00200,0300,51401-3199 86896,S200000,00300,0100,CARROLL 86896,S200000,00400,0100,CARROLL MANOR 86896,S200000,00400,0200,165231 86896,S200000,00400,0300,09/01/1999 86896,S200000,00400,0500,P 86896,S200000,00400,0600,O 86896,S200000,01004,0500,O 86896,S200000,01600,0100,Y 86896,S700003,00000,0200,2 86906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86906,A000000,00300,0000,00300EMPLOYEE BENEFITS 86906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86906,A000000,00700,0000,00700HOUSEKEEPING 86906,A000000,00800,0000,00800DIETARY 86906,A000000,00900,0000,00900NURSING ADMINISTRATION 86906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86906,A000000,01300,0000,01300SOCIAL SERVICE 86906,A000000,01301,0000,01301ACTIVITIES 86906,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 86906,A000000,01600,0000,01600SKILLED NURSING FACILITY 86906,A000000,01800,0000,01800NURSING FACILITY 86906,A000000,01810,0000,01810ICF/MR 86906,A000000,01900,0000,01900OTHER LONG TERM CARE 86906,A000000,02100,0000,02100RADIOLOGY 86906,A000000,02200,0000,02200LABORATORY 86906,A000000,02300,0000,02300INTRAVENOUS THERAPY 86906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86906,A000000,02500,0000,02500PHYSICAL THERAPY 86906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86906,A000000,02700,0000,02700SPEECH PATHOLOGY 86906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 86906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86906,A000000,03200,0000,03200SUPPORT SURFACES 86906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 86906,A000000,04800,0000,04800AMBULANCE 86906,A000000,05000,0000,05000CORF 86906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86906,A000000,05300,0000,05300INTEREST EXPENSE 86906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86906,A000000,05500,0000,05500HOSPICE 86906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86906,A000000,06100,0000,06100NONPAID WORKERS 86906,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 86906,A000000,06200,0000,06200PATIENTS LAUNDRY 86906,A81000A,00100,0100,Y 86906,A81000B,00100,0300,HOME OFFICE ALLOCATION 86906,A81000B,00200,0300,NON CERT 86906,A81000B,00300,0300,MEDICAL SUPPLIES 86906,A81000B,00400,0300,EQPT RENTAL 86906,A81000B,00500,0300,PT 86906,A81000C,00100,0100,A 86906,A81000C,00100,0200,A 86906,A81000C,00100,0400,A 86906,A81000C,00100,0600,A 86906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86906,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86906,B100000,00000,0800,00000MEALS SERVED :DIETARY 86906,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 86906,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86906,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 86906,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 86906,S000000,00100,0200,06/16/2000 86906,S200000,00100,0100,100 EAST SUNSET 86906,S200000,00200,0100,JEFFERSON 86906,S200000,00200,0200,IA 86906,S200000,00200,0300,50129- 86906,S200000,00300,0100,GREENE 86906,S200000,00300,0200,16 86906,S200000,00300,0300,R 86906,S200000,00400,0100,JEFFERSON HEALTHCARE CTR 86906,S200000,00400,0200,165233 86906,S200000,00400,0300,09/06/1994 86906,S200000,00400,0500,P 86908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86908,A000000,00300,0000,00300EMPLOYEE BENEFITS 86908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86908,A000000,00700,0000,00700HOUSEKEEPING 86908,A000000,00800,0000,00800DIETARY 86908,A000000,00900,0000,00900NURSING ADMINISTRATION 86908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86908,A000000,01100,0000,01100PHARMACY 86908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86908,A000000,01300,0000,01300SOCIAL SERVICE 86908,A000000,01350,0000,01500OTHER GENERAL SERVICES 86908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86908,A000000,01600,0000,01600SKILLED NURSING FACILITY 86908,A000000,01800,0000,01800NURSING FACILITY 86908,A000000,01810,0000,01801ICF/MR 86908,A000000,01900,0000,01900OTHER LONG TERM CARE 86908,A000000,02100,0000,02100RADIOLOGY 86908,A000000,02200,0000,02200LABORATORY 86908,A000000,02300,0000,02300INTRAVENOUS THERAPY 86908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86908,A000000,02500,0000,02500PHYSICAL THERAPY 86908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86908,A000000,02700,0000,02700SPEECH PATHOLOGY 86908,A000000,02800,0000,02800ELECTROCARDIOLOGY 86908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86908,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86908,A000000,03200,0000,03200SUPPORT SURFACES 86908,A000000,03400,0000,03400CLINIC 86908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86908,A000000,03500,0000,03500RURAL HEALTH CLINIC 86908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86908,A000000,04400,0000,04400DME RENTED - HHA 86908,A000000,04500,0000,04500DME SOLD - HHA 86908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86908,A000000,04800,0000,04800AMBULANCE 86908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86908,A000000,05000,0000,05000CORF 86908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86908,A000000,05300,0000,05300INTEREST EXPENSE 86908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86908,A000000,05500,0000,05500HOSPICE 86908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86908,A000000,06100,0000,06100NONPAID WORKERS 86908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86908,A000000,06200,0000,06200PATIENTS LAUNDRY 86908,A81000A,00100,0100,Y 86908,A81000B,00100,0300,MANAGEMENT FEES 86908,A81000B,00200,0300,LEASE EXPENSE 86908,A81000C,00100,0100,B 86908,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 86908,A81000C,00100,0600,MANAGEMENT SERVICES 86908,A81000C,00200,0100,B 86908,A81000C,00200,0400,CLC PROPERTIES INC. 86908,A81000C,00200,0600,PROPERTY SERVICES 86908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86908,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86908,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86908,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86908,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86908,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 86908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86908,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 86908,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86908,S000000,00100,0200,08/30/2000 86908,S200000,00100,0100,100 EAST SUNSET 86908,S200000,00200,0100,JEFFERSON 86908,S200000,00200,0200,IA 86908,S200000,00200,0300,50129-2798 86908,S200000,00300,0100,GREENE 86908,S200000,00400,0100,JEFFERSON MANOR 86908,S200000,00400,0200,165233 86908,S200000,00400,0300,09/01/1999 86908,S200000,00400,0500,P 86908,S200000,00400,0600,O 86908,S200000,01004,0500,O 86908,S200000,01500,0100,Y 86908,S700003,00000,0200,2 86917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86917,A000000,00300,0000,00300EMPLOYEE BENEFITS 86917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86917,A000000,00700,0000,00700HOUSEKEEPING 86917,A000000,00800,0000,00800DIETARY 86917,A000000,00900,0000,00900NURSING ADMINISTRATION 86917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86917,A000000,01100,0000,01100PHARMACY 86917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86917,A000000,01300,0000,01300SOCIAL SERVICE 86917,A000000,01350,0000,01500ACTIVITIES 86917,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86917,A000000,01600,0000,01600SKILLED NURSING FACILITY 86917,A000000,01800,0000,01800NURSING FACILITY 86917,A000000,01810,0000,01801ICF/MR 86917,A000000,01900,0000,01900OTHER LONG TERM CARE 86917,A000000,02100,0000,02100RADIOLOGY 86917,A000000,02200,0000,02200LABORATORY 86917,A000000,02300,0000,02300INTRAVENOUS THERAPY 86917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86917,A000000,02500,0000,02500PHYSICAL THERAPY 86917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86917,A000000,02700,0000,02700SPEECH PATHOLOGY 86917,A000000,02800,0000,02800ELECTROCARDIOLOGY 86917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86917,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86917,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86917,A000000,03200,0000,03200SUPPORT SURFACES 86917,A000000,03400,0000,03400CLINIC 86917,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86917,A000000,03500,0000,03500RURAL HEALTH CLINIC 86917,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86917,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86917,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86917,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86917,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86917,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86917,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86917,A000000,04400,0000,04400DME RENTED - HHA 86917,A000000,04500,0000,04500DME SOLD - HHA 86917,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86917,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86917,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86917,A000000,04800,0000,04800AMBULANCE 86917,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86917,A000000,05000,0000,05000CORF 86917,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86917,A000000,05300,0000,05300INTEREST EXPENSE 86917,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86917,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86917,A000000,05500,0000,05500HOSPICE 86917,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86917,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86917,A000000,06100,0000,06100NONPAID WORKERS 86917,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86917,A000000,06200,0000,06200PATIENTS LAUNDRY 86917,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86917,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86917,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86917,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86917,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86917,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86917,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86917,B100000,00000,0800,00000MEALS SERVED :DIETARY 86917,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 86917,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 86917,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86917,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86917,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86917,B100000,00000,1350,00000DAYS :ACTIVITIES 86917,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86917,S000000,00100,0200,06/01/2000 86917,S200000,00100,0100,302 NINTH STREET 86917,S200000,00200,0100,CHARLES CITY 86917,S200000,00200,0200,IA 86917,S200000,00200,0300,50616- 86917,S200000,00300,0100,FLOYD 86917,S200000,00400,0100,CHAUTAUQUA GUEST HOME #3 86917,S200000,00400,0200,165243 86917,S200000,00400,0300,01/01/1995 86917,S200000,00400,0500,P 86917,S200000,01500,0100,Y 86917,S700003,00000,0100,1 86923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86923,A000000,00300,0000,00300EMPLOYEE BENEFITS 86923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86923,A000000,00700,0000,00700HOUSEKEEPING 86923,A000000,00800,0000,00800DIETARY 86923,A000000,00900,0000,00900NURSING ADMINISTRATION 86923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86923,A000000,01100,0000,01100PHARMACY 86923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86923,A000000,01300,0000,01300SOCIAL SERVICE 86923,A000000,01350,0000,01500ACTIVITIES 86923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86923,A000000,01600,0000,01600SKILLED NURSING FACILITY 86923,A000000,01800,0000,01800NURSING FACILITY 86923,A000000,01810,0000,01801ICF/MR 86923,A000000,01900,0000,01900OTHER LONG TERM CARE 86923,A000000,02100,0000,02100RADIOLOGY 86923,A000000,02200,0000,02200LABORATORY 86923,A000000,02300,0000,02300INTRAVENOUS THERAPY 86923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86923,A000000,02500,0000,02500PHYSICAL THERAPY 86923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86923,A000000,02700,0000,02700SPEECH PATHOLOGY 86923,A000000,02800,0000,02800ELECTROCARDIOLOGY 86923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86923,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 86923,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 86923,A000000,03200,0000,03200SUPPORT SURFACES 86923,A000000,03400,0000,03400CLINIC 86923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 86923,A000000,03500,0000,03500RURAL HEALTH CLINIC 86923,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 86923,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 86923,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 86923,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 86923,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 86923,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 86923,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 86923,A000000,04400,0000,04400DME RENTED - HHA 86923,A000000,04500,0000,04500DME SOLD - HHA 86923,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 86923,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 86923,A000000,04750,0000,05100OTHER REIMBURSABLE COST 86923,A000000,04800,0000,04800AMBULANCE 86923,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 86923,A000000,05000,0000,05000CORF 86923,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86923,A000000,05300,0000,05300INTEREST EXPENSE 86923,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 86923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 86923,A000000,05500,0000,05500HOSPICE 86923,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86923,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 86923,A000000,06100,0000,06100NONPAID WORKERS 86923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 86923,A000000,06200,0000,06200PATIENTS LAUNDRY 86923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86923,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86923,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86923,B100000,00000,0800,00000MEALS SERVED :DIETARY 86923,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 86923,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 86923,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 86923,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86923,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86923,B100000,00000,1350,00000DAYS :ACTIVITIES 86923,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86923,S000000,00100,0200,05/22/2000 86923,S200000,00100,0100,2121 AVENUE L 86923,S200000,00200,0100,HAWARDEN 86923,S200000,00200,0200,IA 86923,S200000,00200,0300,51023- 86923,S200000,00300,0100,SIOUX 86923,S200000,00400,0100,HILLCREST CARE CENTER 86923,S200000,00400,0200,165245 86923,S200000,00400,0300,07/01/1995 86923,S200000,00400,0500,P 86923,S200000,01500,0100,Y 86923,S700003,00000,0300,3 86943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86943,A000000,00300,0000,00300EMPLOYEE BENEFITS 86943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86943,A000000,00700,0000,00700HOUSEKEEPING 86943,A000000,00800,0000,00800DIETARY 86943,A000000,00900,0000,00900NURSING ADMINISTRATION 86943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86943,A000000,01100,0000,01100PHARMACY 86943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86943,A000000,01300,0000,01300SOCIAL SERVICE 86943,A000000,01350,0000,01500RECREATION 86943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86943,A000000,01600,0000,01600SKILLED NURSING FACILITY 86943,A000000,01810,0000,01810ICF/MR 86943,A000000,01900,0000,01900OTHER LONG TERM CARE 86943,A000000,02500,0000,02500PHYSICAL THERAPY 86943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86943,A000000,02700,0000,02700SPEECH PATHOLOGY 86943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86943,A000000,03550,0000,03550FQHC 86943,A000000,05000,0000,05000CORF 86943,A000000,05010,0000,05010CMHC 86943,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86943,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86943,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86943,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86943,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86943,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86943,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86943,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86943,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86943,S000000,00100,0200,11/30/2000 86943,S200000,00100,0100,511 E. CENTER STREET 86943,S200000,00200,0100,CONRAD 86943,S200000,00200,0200,IA 86943,S200000,00200,0300,50621- 86943,S200000,00300,0100,GRUNDY 86943,S200000,00300,0200,16 86943,S200000,00300,0300,R 86943,S200000,00400,0100,OAKVIEW HOME 86943,S200000,00400,0200,165254 86943,S200000,00400,0300,04/01/1995 86943,S200000,00400,0500,P 86943,S200000,01500,0100,Y 86950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86950,A000000,00300,0000,00300EMPLOYEE BENEFITS 86950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86950,A000000,00700,0000,00700HOUSEKEEPING 86950,A000000,00800,0000,00800DIETARY 86950,A000000,00900,0000,00900NURSING ADMINISTRATION 86950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86950,A000000,01100,0000,01100PHARMACY 86950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86950,A000000,01300,0000,01300SOCIAL SERVICE 86950,A000000,01350,0000,01500RECREATION 86950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86950,A000000,01600,0000,01600SKILLED NURSING FACILITY 86950,A000000,01800,0000,01800NURSING FACILITY 86950,A000000,01810,0000,01810ICF/MR 86950,A000000,02100,0000,02100RADIOLOGY 86950,A000000,02200,0000,02200LABORATORY 86950,A000000,02300,0000,02300INTRAVENOUS THERAPY 86950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86950,A000000,02500,0000,02500PHYSICAL THERAPY 86950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86950,A000000,02700,0000,02700SPEECH PATHOLOGY 86950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86950,A000000,03550,0000,03550FQHC 86950,A000000,05000,0000,05000CORF 86950,A000000,05010,0000,05010CMHC 86950,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86950,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86950,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86950,A81000A,00100,0100,Y 86950,A81000B,00100,0300,POOLED CAPITAL 86950,A81000B,00200,0300,POOLED NON-CAPITAL 86950,A81000B,00300,0300,FUNCTIONAL EH&W 86950,A81000B,00400,0300,FUNCTIONAL NON-CAP 86950,A81000C,00100,0100,B 86950,A81000C,00100,0200,QUALITY HEALTH 86950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86950,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86950,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86950,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86950,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 86950,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86950,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86950,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86950,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86950,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86950,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86950,S000000,00100,0200,07/31/2000 86950,S200000,00100,0100,680 COLE STREET 86950,S200000,00200,0100,CARLISLE 86950,S200000,00200,0200,IA 86950,S200000,00200,0300,50047- 86950,S200000,00300,0100,WARREN 86950,S200000,00400,0100,CARLISLE CARE CENTER 86950,S200000,00400,0200,165255 86950,S200000,00400,0300,03/19/1996 86950,S200000,00400,0500,P 86950,S200000,01600,0100,Y 86950,S700003,00000,0400,4 86960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86960,A000000,00300,0000,00300EMPLOYEE BENEFITS 86960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86960,A000000,00700,0000,00700HOUSEKEEPING 86960,A000000,00800,0000,00800DIETARY 86960,A000000,00900,0000,00900NURSING ADMINISTRATION 86960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86960,A000000,01100,0000,01100PHARMACY 86960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86960,A000000,01300,0000,01300SOCIAL SERVICE 86960,A000000,01350,0000,01500RECREATION 86960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86960,A000000,01600,0000,01600SKILLED NURSING FACILITY 86960,A000000,01810,0000,01810ICF/MR 86960,A000000,02200,0000,02200LABORATORY 86960,A000000,02500,0000,02500PHYSICAL THERAPY 86960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86960,A000000,02700,0000,02700SPEECH PATHOLOGY 86960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86960,A000000,03050,0000,03300PEN 86960,A000000,03550,0000,03550FQHC 86960,A000000,05000,0000,05000CORF 86960,A000000,05010,0000,05010CMHC 86960,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86960,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86960,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86960,A81000A,00100,0100,Y 86960,A81000B,00100,0300,MANAGEMENT FEE 86960,A81000B,00200,0300,ACCOUNTING SERVICE 86960,A81000B,00300,0300,BUILDING & FIXTURES 86960,A81000B,00400,0300,MOVEABLE EQUIPMENT 86960,A81000C,00100,0100,A 86960,A81000C,00100,0200,STANLEY BOYLE 86960,A81000C,00100,0400,CARE CENTRE MGM 86960,A81000C,00100,0600,MGMT CO 86960,A81000C,00200,0100,A 86960,A81000C,00200,0200,DAVID BOYLE 86960,A81000C,00200,0400,CARE CENTRE MGM 86960,A81000C,00200,0600,MGMT CO 86960,A81000C,00300,0100,A 86960,A81000C,00300,0200,PATRICK BOYLE 86960,A81000C,00300,0400,CARE CENTRE MGM 86960,A81000C,00300,0600,MGMT CO 86960,A81000C,00400,0100,A 86960,A81000C,00400,0200,DANIEL BOYLE 86960,A81000C,00400,0400,CARE CENTRE MGM 86960,A81000C,00400,0600,MGMT CO 86960,A81000C,00500,0100,A 86960,A81000C,00500,0200,RICHARD BOYLE 86960,A81000C,00500,0400,CARE CENTRE MGM 86960,A81000C,00500,0600,MGMT CO 86960,A81000C,00600,0100,A 86960,A81000C,00600,0200,TIMOTHY BOYLE 86960,A81000C,00600,0400,CARE CENTRE MGM 86960,A81000C,00600,0600,MGMT CO 86960,A81000C,00700,0100,A 86960,A81000C,00700,0200,MARILYN GALVIN 86960,A81000C,00700,0400,CARE CENTRE MGM 86960,A81000C,00700,0600,MGMT CO 86960,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86960,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86960,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86960,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86960,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86960,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86960,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86960,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86960,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86960,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86960,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86960,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86960,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86960,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86960,S000000,00100,0200,06/07/2000 86960,S200000,00100,0100,222 NORTH 15TH 86960,S200000,00200,0100,ONAWA 86960,S200000,00200,0200,IA 86960,S200000,00200,0300,51040- 86960,S200000,00300,0100,MONONA 86960,S200000,00400,0100,ELMWOOD CARE CENTRE 86960,S200000,00400,0200,165256 86960,S200000,00400,0300,07/01/1998 86960,S200000,00400,0500,P 86960,S200000,01004,0500,O 86960,S200000,01500,0100,Y 86960,S700003,00000,0100,1 86970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86970,A000000,00300,0000,00300EMPLOYEE BENEFITS 86970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86970,A000000,00700,0000,00700HOUSEKEEPING 86970,A000000,00800,0000,00800DIETARY 86970,A000000,01600,0000,01600SKILLED NURSING FACILITY 86970,A000000,02100,0000,02100RADIOLOGY 86970,A000000,02200,0000,02200LABORATORY 86970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86970,A000000,02500,0000,02500PHYSICAL THERAPY 86970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86970,A000000,02700,0000,02700SPEECH PATHOLOGY 86970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86970,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 86970,A000000,05300,0000,05300INTEREST EXPENSE 86970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 86970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86970,B100000,00000,0100,00000SQURARE FEET :CAP REL COSTS - BLDG 86970,B100000,00000,0250,00000SQURARE FEET :CAP REL COSTS - MOVA 86970,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 86970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86970,B100000,00000,0500,00000SQURARE FEET :PLANT OPERATION MAI 86970,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86970,B100000,00000,0750,00000SQURARE FEET :HOUSEKEEPING 86970,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86970,S000000,00100,0200,05/05/2000 86970,S200000,00100,0100,1329 MAIN STREET 86970,S200000,00200,0100,LANSING 86970,S200000,00200,0200,IA 86970,S200000,00200,0300,52151- 86970,S200000,00300,0100,ALLAMAKEE 86970,S200000,00400,0100,THORNTON MANOR 86970,S200000,00400,0200,165259 86970,S200000,00400,0300,08/01/1995 86970,S200000,00400,0500,P 86970,S200000,01500,0100,Y 86970,S200000,02200,0100,Y 86970,S700003,00000,0400,4 86978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86978,A000000,00300,0000,00300EMPLOYEE BENEFITS 86978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86978,A000000,00700,0000,00700HOUSEKEEPING 86978,A000000,00800,0000,00800DIETARY 86978,A000000,00900,0000,00900NURSING ADMINISTRATION 86978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86978,A000000,01100,0000,01100PHARMACY 86978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86978,A000000,01300,0000,01300SOCIAL SERVICE 86978,A000000,01350,0000,01500RECREATION 86978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86978,A000000,01600,0000,01600SKILLED NURSING FACILITY 86978,A000000,01810,0000,01810ICF/MR 86978,A000000,02200,0000,02200LABORATORY 86978,A000000,02500,0000,02500PHYSICAL THERAPY 86978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86978,A000000,02700,0000,02700SPEECH PATHOLOGY 86978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86978,A000000,03050,0000,03300PEN 86978,A000000,03550,0000,03550FQHC 86978,A000000,05000,0000,05000CORF 86978,A000000,05010,0000,05010CMHC 86978,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86978,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86978,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86978,A81000A,00100,0100,Y 86978,A81000B,00100,0300,MANAGEMENT FEE 86978,A81000B,00200,0300,ACCOUNTING SERVICE 86978,A81000B,00300,0300,BUILDING & FIXTURES 86978,A81000B,00400,0300,MOVEABLE EQUIPMENT 86978,A81000C,00100,0100,A 86978,A81000C,00100,0200,STANLEY BOYLE 86978,A81000C,00100,0400,CARE CENTRE MGM 86978,A81000C,00100,0600,MGMT CO 86978,A81000C,00200,0100,A 86978,A81000C,00200,0200,DAVID BOYLE 86978,A81000C,00200,0400,CARE CENTRE MGM 86978,A81000C,00200,0600,MGMT CO 86978,A81000C,00300,0100,A 86978,A81000C,00300,0200,PATRICK BOYLE 86978,A81000C,00300,0400,CARE CENTRE MGM 86978,A81000C,00300,0600,MGMT CO 86978,A81000C,00400,0100,A 86978,A81000C,00400,0200,DANIEL BOYLE 86978,A81000C,00400,0400,CARE CENTRE MGM 86978,A81000C,00400,0600,MGMT CO 86978,A81000C,00500,0100,A 86978,A81000C,00500,0200,RICHARD BOYLE 86978,A81000C,00500,0400,CARE CENTRE MGM 86978,A81000C,00500,0600,MGMT CO 86978,A81000C,00600,0100,A 86978,A81000C,00600,0200,TIMOTHY BOYLE 86978,A81000C,00600,0400,CARE CENTRE MGM 86978,A81000C,00600,0600,MGMT CO 86978,A81000C,00700,0100,A 86978,A81000C,00700,0200,MARILYN GALVIN 86978,A81000C,00700,0400,CARE CENTRE MGM 86978,A81000C,00700,0600,MGMT CO 86978,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86978,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86978,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86978,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86978,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86978,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86978,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86978,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86978,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 86978,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 86978,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86978,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86978,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86978,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86978,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86978,S000000,00100,0200,06/07/2000 86978,S200000,00100,0100,79 6TH AVENUE 86978,S200000,00200,0100,GRINNELL 86978,S200000,00200,0200,IA 86978,S200000,00200,0300,50112- 86978,S200000,00300,0100,POWEWSHIEK 86978,S200000,00400,0100,FRIENDSHIP MANOR CARE CENTRE 86978,S200000,00400,0200,165262 86978,S200000,00400,0300,12/04/1995 86978,S200000,00400,0500,P 86978,S200000,01004,0500,O 86978,S200000,01500,0100,Y 86978,S700003,00000,0400,4 86985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86985,A000000,00300,0000,00300EMPLOYEE BENEFITS 86985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86985,A000000,00700,0000,00700HOUSEKEEPING 86985,A000000,00800,0000,00800DIETARY 86985,A000000,00900,0000,00900NURSING ADMINISTRATION 86985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86985,A000000,01100,0000,01100PHARMACY 86985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86985,A000000,01300,0000,01300SOCIAL SERVICE 86985,A000000,01350,0000,01500RECREATION 86985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86985,A000000,01600,0000,01600SKILLED NURSING FACILITY 86985,A000000,01810,0000,01810ICF/MR 86985,A000000,02100,0000,02100RADIOLOGY 86985,A000000,02200,0000,02200LABORATORY 86985,A000000,02300,0000,02300INTRAVENOUS THERAPY 86985,A000000,02500,0000,02500PHYSICAL THERAPY 86985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86985,A000000,02700,0000,02700SPEECH PATHOLOGY 86985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86985,A000000,03550,0000,03550FQHC 86985,A000000,05000,0000,05000CORF 86985,A000000,05010,0000,05010CMHC 86985,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86985,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86985,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86985,A81000A,00100,0100,Y 86985,A81000B,00100,0300,POOLED CAPITAL 86985,A81000B,00200,0300,POOLED NON-CAPITAL 86985,A81000B,00300,0300,FUNCTIONAL EH&W 86985,A81000B,00400,0300,FUNCTIONAL A&G 86985,A81000C,00100,0100,B 86985,A81000C,00100,0200,QUALITY HEALTH 86985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86985,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86985,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 86985,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86985,B100000,00000,0800,00000MEALS SERVED :DIETARY 86985,B100000,00000,0950,00000DIRECT NURSING $ :NURSING ADMINISTR 86985,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86985,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86985,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 86985,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 86985,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86985,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86985,S000000,00100,0200,07/31/2000 86985,S200000,00100,0100,144 CARTER STREET 86985,S200000,00200,0100,MITCHELLVILLE 86985,S200000,00200,0200,IA 86985,S200000,00200,0300,50169- 86985,S200000,00300,0100,POLK 86985,S200000,00400,0100,MITCHELL VILLAGE 86985,S200000,00400,0200,165264 86985,S200000,00400,0300,03/01/1996 86985,S200000,00400,0500,P 86985,S200000,01004,0500,O 86985,S200000,01500,0100,Y 86985,S700003,00000,0400,4 86993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 86993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 86993,A000000,00300,0000,00300EMPLOYEE BENEFITS 86993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 86993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 86993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 86993,A000000,00700,0000,00700HOUSEKEEPING 86993,A000000,00800,0000,00800DIETARY 86993,A000000,00900,0000,00900NURSING ADMINISTRATION 86993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 86993,A000000,01100,0000,01100PHARMACY 86993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 86993,A000000,01300,0000,01300SOCIAL SERVICE 86993,A000000,01350,0000,01500RECREATION 86993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 86993,A000000,01600,0000,01600SKILLED NURSING FACILITY 86993,A000000,01810,0000,01810ICF/MR 86993,A000000,02100,0000,02100RADIOLOGY 86993,A000000,02200,0000,02200LABORATORY 86993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 86993,A000000,02500,0000,02500PHYSICAL THERAPY 86993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 86993,A000000,02700,0000,02700SPEECH PATHOLOGY 86993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 86993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 86993,A000000,03550,0000,03550FQHC 86993,A000000,05000,0000,05000CORF 86993,A000000,05010,0000,05010CMHC 86993,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 86993,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 86993,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 86993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 86993,A81000A,00100,0100,Y 86993,A81000B,00100,0300,CAPITAL 86993,A81000B,00200,0300,FUNCTIONAL ALLOCATIO 86993,A81000B,00300,0300,POOLED A&G 86993,A81000B,00400,0300,FUNCTIONAL A&G 86993,A81000C,00100,0100,B 86993,A81000C,00100,0200,QUALITY HEALTH 86993,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 86993,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 86993,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 86993,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 86993,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 86993,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 86993,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 86993,B100000,00000,0850,00000PATIENT DAYS :DIETARY 86993,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 86993,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 86993,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 86993,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 86993,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 86993,B100000,00000,1350,00000PATIENT DAYS :RECREATION 86993,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 86993,S000000,00100,0200,07/31/2000 86993,S200000,00100,0100,2721 TENTH AVENUE NORTH 86993,S200000,00200,0100,FORT DODGE 86993,S200000,00200,0200,IA 86993,S200000,00200,0300,50501- 86993,S200000,00300,0100,WEBSTER 86993,S200000,00400,0100,FORT DODGE VILLA 86993,S200000,00400,0200,165265 86993,S200000,00400,0300,01/01/1996 86993,S200000,00400,0500,P 86993,S200000,01500,0100,Y 86993,S700003,00000,0400,4 87001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87001,A000000,00300,0000,00300EMPLOYEE BENEFITS 87001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87001,A000000,00700,0000,00700HOUSEKEEPING 87001,A000000,00800,0000,00800DIETARY 87001,A000000,00900,0000,00900NURSING ADMINISTRATION 87001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87001,A000000,01100,0000,01100PHARMACY 87001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87001,A000000,01300,0000,01300SOCIAL SERVICE 87001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87001,A000000,01600,0000,01600SKILLED NURSING FACILITY 87001,A000000,01800,0000,01800NURSING FACILITY 87001,A000000,01810,0000,01810ICF/MR 87001,A000000,01900,0000,01900OTHER LONG TERM CARE 87001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87001,A000000,02500,0000,02500PHYSICAL THERAPY 87001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87001,A000000,02700,0000,02700SPEECH PATHOLOGY 87001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87001,A000000,03550,0000,03550FQHC 87001,A000000,05000,0000,05000CORF 87001,A000000,05010,0000,05010CMHC 87001,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87001,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87001,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87001,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 87001,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 87001,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 87001,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 87001,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 87001,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 87001,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 87001,B100000,00000,0800,00040MEALS SERVED :DIETARY 87001,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 87001,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 87001,B100000,00000,1150,00040PATIENT DAYS :PHARMACY 87001,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 87001,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 87001,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 87001,S000000,00100,0200,06/05/2000 87001,S200000,00100,0100,1701 W. 25TH ST. 87001,S200000,00200,0100,SIOUX CITY 87001,S200000,00200,0200,IA 87001,S200000,00200,0300,51103- 87001,S200000,00300,0100,WOODBURY 87001,S200000,00400,0100,HOLY SPIRIT RETIREMENT HOME 87001,S200000,00400,0200,165266 87001,S200000,00400,0300,03/15/1996 87001,S200000,00400,0500,P 87001,S200000,01600,0100,Y 87001,S700003,00000,0400,4 87008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87008,A000000,00300,0000,00300EMPLOYEE BENEFITS 87008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87008,A000000,00700,0000,00700HOUSEKEEPING 87008,A000000,00800,0000,00800DIETARY 87008,A000000,00900,0000,00900NURSING ADMINISTRATION 87008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87008,A000000,01100,0000,01100PHARMACY 87008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87008,A000000,01300,0000,01300SOCIAL SERVICE 87008,A000000,01350,0000,01500RECREATION 87008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87008,A000000,01600,0000,01600SKILLED NURSING FACILITY 87008,A000000,01800,0000,01800NURSING FACILITY 87008,A000000,01810,0000,01810ICF/MR 87008,A000000,02100,0000,02100RADIOLOGY 87008,A000000,02200,0000,02200LABORATORY 87008,A000000,02300,0000,02300INTRAVENOUS THERAPY 87008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87008,A000000,02500,0000,02500PHYSICAL THERAPY 87008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87008,A000000,02700,0000,02700SPEECH PATHOLOGY 87008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87008,A000000,03550,0000,03550FQHC 87008,A000000,05000,0000,05000CORF 87008,A000000,05010,0000,05010CMHC 87008,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87008,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87008,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87008,A81000A,00100,0100,Y 87008,A81000B,00100,0300,POOLED CAPITAL 87008,A81000B,00200,0300,POOLED NON-CAPITAL 87008,A81000B,00300,0300,FUNCTIONAL EH&W 87008,A81000B,00400,0300,FUNCTIONAL A&G 87008,A81000C,00100,0100,B 87008,A81000C,00100,0200,QUALITY HEALTH 87008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87008,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87008,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 87008,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87008,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87008,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 87008,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87008,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87008,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87008,S000000,00100,0200,07/31/2000 87008,S200000,00100,0100,4911 SW 19TH 87008,S200000,00200,0100,DES MOINES 87008,S200000,00200,0200,IA 87008,S200000,00200,0300,50315- 87008,S200000,00300,0100,POLK 87008,S200000,00400,0100,FLEUR HEIGHTS CARE CENTER 87008,S200000,00400,0200,165273 87008,S200000,00400,0300,05/01/1996 87008,S200000,00400,0500,P 87008,S200000,01600,0100,Y 87008,S700003,00000,0400,4 87018,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87018,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87018,A000000,00300,0000,00300EMPLOYEE BENEFITS 87018,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87018,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87018,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87018,A000000,00700,0000,00700HOUSEKEEPING 87018,A000000,00800,0000,00800DIETARY 87018,A000000,00900,0000,00900NURSING ADMINISTRATION 87018,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87018,A000000,01100,0000,01100PHARMACY 87018,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87018,A000000,01300,0000,01300SOCIAL SERVICE 87018,A000000,01350,0000,01500RECREATION 87018,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87018,A000000,01600,0000,01600SKILLED NURSING FACILITY 87018,A000000,01810,0000,01810ICF/MR 87018,A000000,02200,0000,02200LABORATORY 87018,A000000,02500,0000,02500PHYSICAL THERAPY 87018,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87018,A000000,02700,0000,02700SPEECH PATHOLOGY 87018,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87018,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87018,A000000,03050,0000,03300PEN 87018,A000000,03550,0000,03550FQHC 87018,A000000,05000,0000,05000CORF 87018,A000000,05010,0000,05010CMHC 87018,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87018,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87018,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87018,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87018,A81000A,00100,0100,Y 87018,A81000B,00100,0300,MANAGEMENT FEE 87018,A81000B,00200,0300,ACCOUNTING SERVICE 87018,A81000B,00300,0300,BUILDING & FIXTURES 87018,A81000B,00400,0300,MOVEABLE EQUIPMENT 87018,A81000C,00100,0100,A 87018,A81000C,00100,0200,STANLEY BOYLE 87018,A81000C,00100,0400,CARE CENTRE MGM 87018,A81000C,00100,0600,MGMT CO 87018,A81000C,00200,0100,A 87018,A81000C,00200,0200,DAVID BOYLE 87018,A81000C,00200,0400,CARE CENTRE MGM 87018,A81000C,00200,0600,MGMT CO 87018,A81000C,00300,0100,A 87018,A81000C,00300,0200,PATRICK BOYLE 87018,A81000C,00300,0400,CARE CENTRE MGM 87018,A81000C,00300,0600,MGMT CO 87018,A81000C,00400,0100,A 87018,A81000C,00400,0200,DANIEL BOYLE 87018,A81000C,00400,0400,CARE CENTRE MGM 87018,A81000C,00400,0600,MGMT CO 87018,A81000C,00500,0100,A 87018,A81000C,00500,0200,RICHARD BOYLE 87018,A81000C,00500,0400,CARE CENTRE MGM 87018,A81000C,00500,0600,MGMT CO 87018,A81000C,00600,0100,A 87018,A81000C,00600,0200,TIMOTHY BOYLE 87018,A81000C,00600,0400,CARE CENTRE MGM 87018,A81000C,00600,0600,MGMT CO 87018,A81000C,00700,0100,A 87018,A81000C,00700,0200,MARILYN GALVIN 87018,A81000C,00700,0400,CARE CENTRE MGM 87018,A81000C,00700,0600,MGMT CO 87018,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87018,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87018,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87018,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87018,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87018,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87018,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87018,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87018,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87018,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87018,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87018,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87018,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87018,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87018,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87018,S000000,00100,0200,06/07/2000 87018,S200000,00100,0100,1000 EAST HOWARD STREET 87018,S200000,00200,0100,CRESTON 87018,S200000,00200,0200,IA 87018,S200000,00200,0300,50801- 87018,S200000,00300,0100,UNION 87018,S200000,00400,0100,CREST HAVEN CARE CENTRE 87018,S200000,00400,0200,165275 87018,S200000,00400,0300,06/21/1996 87018,S200000,00400,0500,P 87018,S200000,01004,0500,O 87018,S200000,01500,0100,Y 87018,S700003,00000,0400,4 87036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87036,A000000,00300,0000,00300EMPLOYEE BENEFITS 87036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87036,A000000,00700,0000,00700HOUSEKEEPING 87036,A000000,00800,0000,00800DIETARY 87036,A000000,00900,0000,00900NURSING ADMINISTRATION 87036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87036,A000000,01100,0000,01100PHARMACY 87036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87036,A000000,01300,0000,01300SOCIAL SERVICE 87036,A000000,01350,0000,01500RECREATION 87036,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87036,A000000,01600,0000,01600SKILLED NURSING FACILITY 87036,A000000,01810,0000,01810ICF/MR 87036,A000000,02500,0000,02500PHYSICAL THERAPY 87036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87036,A000000,03550,0000,03550FQHC 87036,A000000,05000,0000,05000CORF 87036,A000000,05010,0000,05010CMHC 87036,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87036,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87036,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87036,A81000A,00100,0100,Y 87036,A81000B,00100,0300,HOME OFFICE ADMIN 87036,A81000B,00200,0300,HOME OFFICE CAPITAL 87036,A81000C,00100,0100,B 87036,A81000C,00100,0200,CARE CENTER MGM 87036,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87036,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87036,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87036,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87036,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87036,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87036,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87036,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87036,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 87036,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87036,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87036,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87036,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87036,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87036,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87036,S000000,00100,0200,06/07/2000 87036,S200000,00100,0100,135 WARNER STREET 87036,S200000,00200,0100,ROCKWELL CITY 87036,S200000,00200,0200,IA 87036,S200000,00200,0300,50579- 87036,S200000,00300,0100,CALHOUN 87036,S200000,00400,0100,SUNNY KNOLL CARE CENTER 87036,S200000,00400,0200,165284 87036,S200000,00400,0300,08/01/1996 87036,S200000,00400,0500,P 87036,S200000,01004,0500,O 87036,S200000,01500,0100,Y 87036,S700003,00000,0400,4 87041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87041,A000000,00300,0000,00300EMPLOYEE BENEFITS 87041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87041,A000000,00700,0000,00700HOUSEKEEPING 87041,A000000,00800,0000,00800DIETARY 87041,A000000,00900,0000,00900NURSING ADMINISTRATION 87041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87041,A000000,01300,0000,01300SOCIAL SERVICE 87041,A000000,01600,0000,01600SKILLED NURSING FACILITY 87041,A000000,01800,0000,01800NURSING FACILITY 87041,A000000,01900,0000,01900OTHER LONG TERM CARE 87041,A000000,02100,0000,02100RADIOLOGY 87041,A000000,02200,0000,02200LABORATORY 87041,A000000,02300,0000,02300INTRAVENOUS THERAPY 87041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87041,A000000,02500,0000,02500PHYSICAL THERAPY 87041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87041,A000000,02700,0000,02700SPEECH PATHOLOGY 87041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87041,A000000,03200,0000,03200SUPPORT SURFACES 87041,A000000,04800,0000,04800AMBULANCE 87041,A000000,05000,0000,05000CORF 87041,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87041,A000000,05300,0000,05300INTEREST EXPENSE 87041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87041,A81000A,00100,0100,Y 87041,A81000B,00100,0300,HOME OFFICE ALLOCATION WTB 87041,A81000B,00200,0300,HOME OFFICE ALLOCATION 87041,A81000C,00100,0100,A 87041,A81000C,00100,0200,CRESCENT HEALTH 87041,A81000C,00100,0400,CRESCENT HEALTH 87041,A81000C,00100,0600,HEALTHCARE 87041,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87041,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87041,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87041,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87041,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87041,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87041,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87041,B100000,00000,0800,00000MEALS SERVED :DIETARY 87041,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 87041,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 87041,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87041,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87041,S000000,00100,0200,07/20/2000 87041,S200000,00100,0100,2452 NORTH BROADWAY 87041,S200000,00200,0100,COUNCIL BLUFFS 87041,S200000,00200,0200,IA 87041,S200000,00200,0300,51503- 87041,S200000,00300,0100,POTTAWATTAMIE 87041,S200000,00400,0100,LOESS HILLS NURSING & REHAB 87041,S200000,00400,0200,165289 87041,S200000,00400,0300,07/17/1996 87041,S200000,00400,0500,P 87041,S200000,01600,0100,Y 87041,S700003,00000,0400,4 87049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87049,A000000,00300,0000,00300EMPLOYEE BENEFITS 87049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87049,A000000,00700,0000,00700HOUSEKEEPING 87049,A000000,00800,0000,00800DIETARY 87049,A000000,00900,0000,00900NURSING ADMINISTRATION 87049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87049,A000000,01100,0000,01100PHARMACY 87049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87049,A000000,01300,0000,01300SOCIAL SERVICE 87049,A000000,01350,0000,01500RECREATION 87049,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87049,A000000,01600,0000,01600SKILLED NURSING FACILITY 87049,A000000,01810,0000,01810ICF/MR 87049,A000000,02100,0000,02100RADIOLOGY 87049,A000000,02200,0000,02200LABORATORY 87049,A000000,02500,0000,02500PHYSICAL THERAPY 87049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87049,A000000,02700,0000,02700SPEECH PATHOLOGY 87049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87049,A000000,03550,0000,03550FQHC 87049,A000000,05000,0000,05000CORF 87049,A000000,05010,0000,05010CMHC 87049,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87049,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87049,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87049,A81000A,00100,0100,Y 87049,A81000B,00100,0300,POOLED CAPITAL 87049,A81000B,00200,0300,POOLED NON-CAPITAL 87049,A81000B,00300,0300,FUNCTIONAL EH&W 87049,A81000B,00400,0300,FUNCTIONAL A&G 87049,A81000C,00100,0100,B 87049,A81000C,00100,0200,QUALITY HEALTH 87049,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87049,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87049,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87049,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87049,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87049,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87049,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87049,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87049,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 87049,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87049,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87049,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87049,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87049,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87049,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87049,S000000,00100,0200,07/31/2000 87049,S200000,00100,0100,1485 GRAND AVENUE 87049,S200000,00200,0100,MARION 87049,S200000,00200,0200,IA 87049,S200000,00200,0300,52302- 87049,S200000,00300,0100,LINN 87049,S200000,00400,0100,CRESTVIEW ACRES 87049,S200000,00400,0200,165299 87049,S200000,00400,0300,11/01/1996 87049,S200000,00400,0500,P 87049,S200000,01004,0500,O 87049,S200000,01500,0100,Y 87049,S700003,00000,0400,4 87058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87058,A000000,00300,0000,00300EMPLOYEE BENEFITS 87058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87058,A000000,00700,0000,00700HOUSEKEEPING 87058,A000000,00800,0000,00800DIETARY 87058,A000000,00900,0000,00900NURSING ADMINISTRATION 87058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87058,A000000,01100,0000,01100PHARMACY 87058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87058,A000000,01300,0000,01300SOCIAL SERVICE 87058,A000000,01350,0000,01500RECREATION 87058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87058,A000000,01600,0000,01600SKILLED NURSING FACILITY 87058,A000000,01810,0000,01810ICF/MR 87058,A000000,02200,0000,02200LABORATORY 87058,A000000,02500,0000,02500PHYSICAL THERAPY 87058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87058,A000000,02700,0000,02700SPEECH PATHOLOGY 87058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87058,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87058,A000000,03550,0000,03550FQHC 87058,A000000,05000,0000,05000CORF 87058,A000000,05010,0000,05010CMHC 87058,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87058,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87058,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87058,A81000A,00100,0100,Y 87058,A81000B,00100,0300,MGMT FEE 87058,A81000C,00100,0100,B 87058,A81000C,00100,0200,SILVER EAGLE 87058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87058,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87058,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87058,B100000,00000,0800,00000MEALS SERVED :DIETARY 87058,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 87058,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87058,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87058,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87058,S000000,00100,0200,11/30/2000 87058,S200000,00100,0100,530 SOUTH LINN 87058,S200000,00200,0100,NEW HAMPTON 87058,S200000,00200,0200,IA 87058,S200000,00200,0300,50659- 87058,S200000,00300,0100,CHICKASAW 87058,S200000,00300,0200,16 87058,S200000,00300,0300,R 87058,S200000,00400,0100,NEW HAMPTON CARE CENTER 87058,S200000,00400,0200,165302 87058,S200000,00400,0300,11/01/1996 87058,S200000,00400,0500,P 87058,S200000,01004,0500,O 87058,S200000,01500,0100,Y 87058,S200000,01900,0100,CORPORATION 87061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87061,A000000,00300,0000,00300EMPLOYEE BENEFITS 87061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87061,A000000,00700,0000,00700HOUSEKEEPING 87061,A000000,00800,0000,00800DIETARY 87061,A000000,00900,0000,00900NURSING ADMINISTRATION 87061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87061,A000000,01100,0000,01100PHARMACY 87061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87061,A000000,01300,0000,01300SOCIAL SERVICE 87061,A000000,01350,0000,01500ACTIVITIES 87061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87061,A000000,01600,0000,01600SKILLED NURSING FACILITY 87061,A000000,01800,0000,01800NURSING FACILITY 87061,A000000,01900,0000,01900OTHER LONG TERM CARE 87061,A000000,02100,0000,02100RADIOLOGY 87061,A000000,02200,0000,02200LABORATORY 87061,A000000,02300,0000,02300INTRAVENOUS THERAPY 87061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87061,A000000,02500,0000,02500PHYSICAL THERAPY 87061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87061,A000000,02700,0000,02700SPEECH PATHOLOGY 87061,A000000,02800,0000,02800ELECTROCARDIOLOGY 87061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87061,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87061,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87061,A000000,03200,0000,03200SUPPORT SURFACES 87061,A000000,03400,0000,03400CLINIC 87061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87061,A000000,03500,0000,03500RURAL HEALTH CLINIC 87061,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87061,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87061,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87061,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87061,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87061,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87061,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87061,A000000,04400,0000,04400DME RENTED - HHA 87061,A000000,04500,0000,04500DME SOLD - HHA 87061,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87061,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87061,A000000,04800,0000,04800AMBULANCE 87061,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87061,A000000,05000,0000,05000CORF 87061,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87061,A000000,05300,0000,05300INTEREST EXPENSE 87061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87061,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87061,A000000,05500,0000,05500HOSPICE 87061,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87061,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87061,A000000,06100,0000,06100NONPAID WORKERS 87061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87061,A000000,06200,0000,06200PATIENTS LAUNDRY 87061,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87061,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87061,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87061,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87061,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87061,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87061,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87061,B100000,00000,0800,00000MEALS SERVED :DIETARY 87061,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87061,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87061,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87061,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87061,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87061,B100000,00000,1350,00000DAYS :ACTIVITIES 87061,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87061,S000000,00100,0200,04/10/2000 87061,S200000,00100,0100,2237 HWY 34 87061,S200000,00200,0100,FAIRFIELD 87061,S200000,00200,0200,IA 87061,S200000,00200,0300,52556- 87061,S200000,00300,0100,JEFFERSON 87061,S200000,00400,0100,PARKVIEW CARE CENTER 87061,S200000,00400,0200,165306 87061,S200000,00400,0300,11/01/1996 87061,S200000,00400,0500,P 87061,S200000,01500,0100,Y 87061,S700003,00000,0400,4 87071,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87071,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87071,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87071,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87071,A000000,00300,0000,00300EMPLOYEE BENEFITS 87071,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87071,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87071,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87071,A000000,00700,0000,00700HOUSEKEEPING 87071,A000000,00800,0000,00800DIETARY 87071,A000000,00801,0000,00801CAFETERIA 87071,A000000,00900,0000,00900NURSING ADMINISTRATION 87071,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87071,A000000,01100,0000,01100PHARMACY 87071,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87071,A000000,01300,0000,01300SOCIAL SERVICE 87071,A000000,01350,0000,01500RECR/TRANSP 87071,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87071,A000000,01600,0000,01600SKILLED NURSING FACILITY 87071,A000000,01800,0000,01800NURSING FACILITY 87071,A000000,01900,0000,01900OTHER LONG TERM CARE 87071,A000000,02100,0000,02100RADIOLOGY 87071,A000000,02200,0000,02200LABORATORY 87071,A000000,02300,0000,02300INTRAVENOUS THERAPY 87071,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87071,A000000,02500,0000,02500PHYSICAL THERAPY 87071,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87071,A000000,02700,0000,02700SPEECH PATHOLOGY 87071,A000000,02800,0000,02800ELECTROCARDIOLOGY 87071,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87071,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87071,A000000,03050,0000,03300OTHER ANCILLARY 87071,A000000,03051,0000,03301OTHER ANCILLARY II 87071,A000000,03052,0000,03302OTHER ANCILLARY III 87071,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87071,A000000,03200,0000,03200SUPPORT SURFACES 87071,A000000,03400,0000,03400CLINIC 87071,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87071,A000000,03500,0000,03500RURAL HEALTH CLINIC 87071,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87071,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87071,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87071,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87071,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87071,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87071,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87071,A000000,04400,0000,04400DME RENTED - HHA 87071,A000000,04500,0000,04500DME SOLD - HHA 87071,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87071,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87071,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87071,A000000,04800,0000,04800AMBULANCE 87071,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87071,A000000,05000,0000,05000CORF 87071,A000000,05010,0000,05010CMHC I 87071,A000000,05020,0000,05020OPT I 87071,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87071,A000000,05300,0000,05300INTEREST EXPENSE 87071,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87071,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87071,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87071,A000000,05500,0000,05500HOSPICE 87071,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87071,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87071,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87071,A000000,06100,0000,06100NONPAID WORKERS 87071,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87071,A000000,06200,0000,06200PATIENTS LAUNDRY 87071,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87071,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87071,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87071,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87071,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87071,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87071,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87071,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87071,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 87071,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 87071,B100000,00000,1330,00000(# OF DISCHGS) :SOCIAL SERVICE 87071,B100000,00000,1350,00000(PATIENT DAYS) :RECR/TRANSP 87071,S000000,00100,0200,12/04/2000 87071,S200000,00100,0100,1410 W. DUNKERTON ROAD 87071,S200000,00200,0100,WATERLOO 87071,S200000,00200,0200,IA 87071,S200000,00200,0300,50703- 87071,S200000,00300,0100,BLACK HAWK 87071,S200000,00300,0200,8920 87071,S200000,00300,0300,U 87071,S200000,00400,0100,COUNTRY VIEW 87071,S200000,00400,0200,165307 87071,S200000,00400,0300,04/01/1997 87071,S200000,00400,0500,P 87071,S200000,01600,0100,Y 87071,S200000,02800,0100,Y 87080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87080,A000000,00300,0000,00300EMPLOYEE BENEFITS 87080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87080,A000000,00700,0000,00700HOUSEKEEPING 87080,A000000,00800,0000,00800DIETARY 87080,A000000,00900,0000,00900NURSING ADMINISTRATION 87080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87080,A000000,01100,0000,01100PHARMACY 87080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87080,A000000,01300,0000,01300SOCIAL SERVICE 87080,A000000,01350,0000,01500RECREATION 87080,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87080,A000000,01600,0000,01600SKILLED NURSING FACILITY 87080,A000000,01800,0000,01800NURSING FACILITY 87080,A000000,01810,0000,01810ICF/MR 87080,A000000,02500,0000,02500PHYSICAL THERAPY 87080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87080,A000000,03550,0000,03550FQHC 87080,A000000,05000,0000,05000CORF 87080,A000000,05010,0000,05010CMHC 87080,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87080,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87080,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87080,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 87080,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 87080,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 87080,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 87080,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 87080,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 87080,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 87080,B100000,00000,0850,00040PATIENT DAYS :DIETARY 87080,B100000,00000,0950,00040NURSING SALARIES :NURSING ADMINIST 87080,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 87080,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 87080,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 87080,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 87080,B100000,00000,1350,00040PATIENT DAYS :RECREATION 87080,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 87080,S000000,00100,0200,06/01/2000 87080,S200000,00100,0100,1302 HIGH AVENUE WEST 87080,S200000,00200,0100,OSKALOOSA 87080,S200000,00200,0200,IA 87080,S200000,00200,0300,52577- 87080,S200000,00300,0100,MAHASKA 87080,S200000,00400,0100,SIESTA PARK MANOR 87080,S200000,00400,0200,165315 87080,S200000,00400,0300,12/31/1997 87080,S200000,00400,0500,P 87080,S200000,01004,0500,O 87080,S200000,01500,0100,Y 87080,S700003,00000,0400,4 87088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87088,A000000,00300,0000,00300EMPLOYEE BENEFITS 87088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87088,A000000,00700,0000,00700HOUSEKEEPING 87088,A000000,00800,0000,00800DIETARY 87088,A000000,00900,0000,00900NURSING ADMINISTRATION 87088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87088,A000000,01100,0000,01100PHARMACY 87088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87088,A000000,01300,0000,01300SOCIAL SERVICE 87088,A000000,01350,0000,01500RECREATION 87088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87088,A000000,01600,0000,01600SKILLED NURSING FACILITY 87088,A000000,01810,0000,01810ICF/MR 87088,A000000,02500,0000,02500PHYSICAL THERAPY 87088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87088,A000000,02700,0000,02700SPEECH PATHOLOGY 87088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87088,A000000,03550,0000,03550FQHC 87088,A000000,05000,0000,05000CORF 87088,A000000,05010,0000,05010CMHC 87088,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87088,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87088,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87088,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87088,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87088,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87088,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87088,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 87088,B100000,00000,0800,00000MEALS SERVED :DIETARY 87088,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 87088,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87088,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87088,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87088,B100000,00000,1350,00000PATIENT DAYS :RECREATION 87088,S000000,00100,0200,12/07/2000 87088,S200000,00100,0100,706 WEST CENTRAL AVENUE 87088,S200000,00200,0100,WINFIELD 87088,S200000,00200,0200,IA 87088,S200000,00200,0300,52659- 87088,S200000,00300,0100,HENRY 87088,S200000,00300,0300,R 87088,S200000,00400,0100,SUNRISE TERRACE CARE CENTER 87088,S200000,00400,0200,165327 87088,S200000,00400,0300,05/23/1997 87088,S200000,00400,0500,P 87088,S200000,01500,0100,Y 87088,S200000,01900,0100,CORPORATION 87100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87100,A000000,00300,0000,00300EMPLOYEE BENEFITS 87100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87100,A000000,00700,0000,00700HOUSEKEEPING 87100,A000000,00800,0000,00800DIETARY 87100,A000000,00900,0000,00900NURSING ADMINISTRATION 87100,A000000,01300,0000,01300SOCIAL SERVICE 87100,A000000,01350,0000,01500EMPLOYEE CAFETERIA 87100,A000000,01351,0000,01510ACTIVITIES 87100,A000000,01600,0000,01600SKILLED NURSING FACILITY 87100,A000000,01800,0000,01800NURSING FACILITY 87100,A000000,02500,0000,02500PHYSICAL THERAPY 87100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87100,A000000,02700,0000,02700SPEECH PATHOLOGY 87100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87100,A000000,05300,0000,05300INTEREST EXPENSE 87100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87100,A81000A,00100,0100,Y 87100,A81000B,00100,0300,ADMIN SALARIES 87100,A81000C,00100,0100,A 87100,A81000C,00100,0200,ROGER/ARLENE HI 87100,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87100,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87100,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87100,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87100,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87100,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 87100,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 87100,B100000,00000,0800,00000MEALS SERVED :DIETARY 87100,B100000,00000,0900,00000HOURS OF SVC :NURSING ADMINISTRATIO 87100,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87100,B100000,00000,1350,00000FTES :EMPLOYEE CAFETERIA 87100,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 87100,S000000,00100,0200,06/01/2000 87100,S200000,00100,0100,106 HARRISON ST. 87100,S200000,00200,0100,GRISWOLD 87100,S200000,00200,0200,IA 87100,S200000,00200,0300,51535- 87100,S200000,00300,0100,CASS 87100,S200000,00400,0100,GRISWOLD CARE CENTER 87100,S200000,00400,0200,165351 87100,S200000,00400,0300,02/01/1995 87100,S200000,00400,0500,P 87100,S200000,00400,0600,O 87100,S200000,00600,0200,165351 87100,S200000,00600,0300,02/01/1995 87100,S200000,00600,0600,P 87100,S200000,01004,0500,O 87100,S200000,01500,0100,Y 87100,S200000,02200,0100,Y 87100,S700003,00000,0100,1 87108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87108,A000000,00300,0000,00300EMPLOYEE BENEFITS 87108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87108,A000000,00700,0000,00700HOUSEKEEPING 87108,A000000,00800,0000,00800DIETARY 87108,A000000,00900,0000,00900NURSING ADMINISTRATION 87108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87108,A000000,01100,0000,01100PHARMACY 87108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87108,A000000,01300,0000,01300SOCIAL SERVICE 87108,A000000,01350,0000,01500OTHER GENERAL SERVICES 87108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87108,A000000,01600,0000,01600SKILLED NURSING FACILITY 87108,A000000,01800,0000,01800NURSING FACILITY 87108,A000000,01810,0000,01801ICF/MR 87108,A000000,01900,0000,01900OTHER LONG TERM CARE 87108,A000000,02100,0000,02100RADIOLOGY 87108,A000000,02200,0000,02200LABORATORY 87108,A000000,02300,0000,02300INTRAVENOUS THERAPY 87108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87108,A000000,02500,0000,02500PHYSICAL THERAPY 87108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87108,A000000,02700,0000,02700SPEECH PATHOLOGY 87108,A000000,02800,0000,02800ELECTROCARDIOLOGY 87108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87108,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87108,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87108,A000000,03200,0000,03200SUPPORT SURFACES 87108,A000000,03400,0000,03400CLINIC 87108,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87108,A000000,03500,0000,03500RURAL HEALTH CLINIC 87108,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87108,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87108,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87108,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87108,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87108,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87108,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87108,A000000,04400,0000,04400DME RENTED - HHA 87108,A000000,04500,0000,04500DME SOLD - HHA 87108,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87108,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87108,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87108,A000000,04800,0000,04800AMBULANCE 87108,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87108,A000000,05000,0000,05000CORF 87108,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87108,A000000,05300,0000,05300INTEREST EXPENSE 87108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87108,A000000,05500,0000,05500HOSPICE 87108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87108,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87108,A000000,06100,0000,06100NONPAID WORKERS 87108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87108,A000000,06200,0000,06200PATIENTS LAUNDRY 87108,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87108,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87108,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87108,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87108,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 87108,B100000,00000,0800,00000MEALS SERVED :DIETARY 87108,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87108,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87108,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87108,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87108,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87108,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87108,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87108,S000000,00100,0200,08/25/2000 87108,S200000,00100,0100,204 NORTH KEOKUK WASHINGTON ROAD 87108,S200000,00200,0100,KEOTA 87108,S200000,00200,0200,IA 87108,S200000,00200,0300,52248- 87108,S200000,00300,0100,KEOKUK 87108,S200000,00400,0100,MAPLEWOOD MANOR 87108,S200000,00400,0200,165355 87108,S200000,00400,0300,07/30/1997 87108,S200000,00400,0500,P 87108,S200000,01500,0100,Y 87108,S700003,00000,0400,4 87115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87115,A000000,00300,0000,00300EMPLOYEE BENEFITS 87115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87115,A000000,00700,0000,00700HOUSEKEEPING 87115,A000000,00800,0000,00800DIETARY 87115,A000000,00900,0000,00900NURSING ADMINISTRATION 87115,A000000,01350,0000,01500EMPLOYEE CAFETERIA 87115,A000000,01351,0000,01510ACTIVITIES 87115,A000000,01600,0000,01600SKILLED NURSING FACILITY 87115,A000000,01800,0000,01800NURSING FACILITY 87115,A000000,02500,0000,02500PHYSICAL THERAPY 87115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87115,A000000,05300,0000,05300INTEREST EXPENSE 87115,A81000A,00100,0100,Y 87115,A81000B,00100,0300,ADMIN SALARIES 87115,A81000C,00100,0100,A 87115,A81000C,00100,0200,ROGER/ARLENE HI 87115,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87115,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87115,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87115,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87115,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87115,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87115,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87115,B100000,00000,0800,00000MEALS :DIETARY 87115,B100000,00000,0900,00000HOURS OF SVC :NURSING ADMINISTRATIO 87115,B100000,00000,1350,00000FTES :EMPLOYEE CAFETERIA 87115,B100000,00000,1351,00000TIME SPENT :ACTIVITIES 87115,S000000,00100,0200,06/01/2000 87115,S200000,00100,0100,615 S.E. KENT 87115,S200000,00200,0100,GREENFIELD 87115,S200000,00200,0200,IA 87115,S200000,00200,0300,50849- 87115,S200000,00300,0100,ADAIR 87115,S200000,00400,0100,GREENFIELD CARE CENTER 87115,S200000,00400,0200,165383 87115,S200000,00400,0300,04/22/1998 87115,S200000,00400,0500,P 87115,S200000,00400,0600,O 87115,S200000,00600,0200,165383 87115,S200000,00600,0300,04/22/1998 87115,S200000,00600,0600,P 87115,S200000,01004,0500,O 87115,S200000,01500,0100,Y 87115,S200000,02200,0100,Y 87115,S200000,02800,0100,Y 87115,S200000,04300,0100,Y 87115,S700003,00000,0400,4 87119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87119,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87119,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87119,A000000,00300,0000,00300EMPLOYEE BENEFITS 87119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87119,A000000,00700,0000,00700HOUSEKEEPING 87119,A000000,00800,0000,00800DIETARY 87119,A000000,00801,0000,00801CAFETERIA 87119,A000000,00900,0000,00900NURSING ADMINISTRATION 87119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87119,A000000,01100,0000,01100PHARMACY 87119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87119,A000000,01300,0000,01300SOCIAL SERVICE 87119,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 87119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87119,A000000,01600,0000,01600SKILLED NURSING FACILITY 87119,A000000,01800,0000,01800NURSING FACILITY 87119,A000000,01900,0000,01900OTHER LONG TERM CARE 87119,A000000,02100,0000,02100RADIOLOGY 87119,A000000,02200,0000,02200LABORATORY 87119,A000000,02300,0000,02300INTRAVENOUS THERAPY 87119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87119,A000000,02500,0000,02500PHYSICAL THERAPY 87119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87119,A000000,02700,0000,02700SPEECH PATHOLOGY 87119,A000000,02800,0000,02800ELECTROCARDIOLOGY 87119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87119,A000000,03050,0000,03300OTHER ANCILLARY 87119,A000000,03051,0000,03301OTHER ANCILLARY II 87119,A000000,03052,0000,03302OTHER ANCILLARY III 87119,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87119,A000000,03200,0000,03200SUPPORT SURFACES 87119,A000000,03400,0000,03400CLINIC 87119,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87119,A000000,03500,0000,03500RURAL HEALTH CLINIC 87119,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87119,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87119,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87119,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87119,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87119,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87119,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87119,A000000,04400,0000,04400DME RENTED - HHA 87119,A000000,04500,0000,04500DME SOLD - HHA 87119,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87119,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87119,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87119,A000000,04800,0000,04800AMBULANCE 87119,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87119,A000000,05000,0000,05000CORF 87119,A000000,05010,0000,05010CMHC I 87119,A000000,05020,0000,05020OPT I 87119,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87119,A000000,05300,0000,05300INTEREST EXPENSE 87119,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87119,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87119,A000000,05500,0000,05500HOSPICE 87119,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87119,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87119,A000000,06100,0000,06100NONPAID WORKERS 87119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87119,A000000,06200,0000,06200PATIENTS LAUNDRY 87119,A81000A,00100,0100,Y 87119,A81000B,00100,0300,OWNERS SALARIES 87119,A81000B,00200,0300,RENT 87119,A81000C,00100,0100,A 87119,A81000C,00100,0200,BRUCE MEHLHOP 87119,A81000C,00200,0100,A 87119,A81000C,00200,0200,DAVID OSTHUS 87119,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87119,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87119,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87119,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87119,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87119,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87119,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87119,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 87119,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87119,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87119,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87119,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 87119,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 87119,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87119,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 87119,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 87119,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 87119,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87119,S000000,00100,0200,05/31/2000 87119,S200000,00100,0100,735 N RERICK AVE 87119,S200000,00200,0100,PRIMGHAR 87119,S200000,00200,0200,IA 87119,S200000,00200,0300,51245- 87119,S200000,00400,0100,PRIMGHAR CARE CENTER 87119,S200000,00400,0200,165387 87119,S200000,00400,0300,11/01/1998 87119,S200000,00400,0500,P 87119,S200000,01500,0100,Y 87119,S200000,02200,0100,Y 87119,S700003,00000,0400,4 87130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87130,A000000,00300,0000,00300EMPLOYEE BENEFITS 87130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87130,A000000,00700,0000,00700HOUSEKEEPING 87130,A000000,00800,0000,00800DIETARY 87130,A000000,00900,0000,00900NURSING ADMINISTRATION 87130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87130,A000000,01100,0000,01100PHARMACY 87130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87130,A000000,01300,0000,01300SOCIAL SERVICE 87130,A000000,01350,0000,01500OTHER GENERAL SERVICES 87130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87130,A000000,01600,0000,01600SKILLED NURSING FACILITY 87130,A000000,01800,0000,01800NURSING FACILITY 87130,A000000,01810,0000,01801ICF/MR 87130,A000000,01900,0000,01900OTHER LONG TERM CARE 87130,A000000,02100,0000,02100RADIOLOGY 87130,A000000,02200,0000,02200LABORATORY 87130,A000000,02300,0000,02300INTRAVENOUS THERAPY 87130,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87130,A000000,02500,0000,02500PHYSICAL THERAPY 87130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87130,A000000,02700,0000,02700SPEECH PATHOLOGY 87130,A000000,02800,0000,02800ELECTROCARDIOLOGY 87130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87130,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87130,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87130,A000000,03200,0000,03200SUPPORT SURFACES 87130,A000000,03400,0000,03400CLINIC 87130,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87130,A000000,03500,0000,03500RURAL HEALTH CLINIC 87130,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87130,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87130,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87130,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87130,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87130,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87130,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87130,A000000,04400,0000,04400DME RENTED - HHA 87130,A000000,04500,0000,04500DME SOLD - HHA 87130,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87130,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87130,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87130,A000000,04800,0000,04800AMBULANCE 87130,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87130,A000000,05000,0000,05000CORF 87130,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87130,A000000,05300,0000,05300INTEREST EXPENSE 87130,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87130,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87130,A000000,05500,0000,05500HOSPICE 87130,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87130,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87130,A000000,06100,0000,06100NONPAID WORKERS 87130,A000000,06150,0000,06300ASSISTED LIVING 87130,A000000,06200,0000,06200PATIENTS LAUNDRY 87130,A81000A,00100,0100,Y 87130,A81000B,00100,0300,MANAGEMENT FEES 87130,A81000B,00200,0300,MANAGEMENT FEES 87130,A81000B,00300,0300,INTEREST EXPENSE 87130,A81000C,00100,0100,A 87130,A81000C,00100,0200,THOMAS KENNY 87130,A81000C,00100,0400,KENNY MANAGEMENT 87130,A81000C,00100,0600,MANAGEMENT COMPANY 87130,A81000C,00200,0100,A 87130,A81000C,00200,0200,THOMAS KENNY 87130,A81000C,00200,0400,SPRINGFIELD RESIDENTIAL 87130,A81000C,00200,0600,SKILLED NURSING FACILITY 87130,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87130,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87130,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87130,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87130,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87130,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87130,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87130,B100000,00000,0800,00000MEALS SERVED :DIETARY 87130,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87130,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87130,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87130,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87130,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87130,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87130,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87130,S000000,00100,0200,06/01/2000 87130,S200000,00100,0100,20 VILLAGE CIRCLE 87130,S200000,00200,0100,KEOKUK 87130,S200000,00200,0200,IA 87130,S200000,00200,0300,52632- 87130,S200000,00300,0100,LEE 87130,S200000,00400,0100,TWIN RIVERS DBA RIVER HILLS VILLAGE 87130,S200000,00400,0200,165396 87130,S200000,00400,0300,07/13/1998 87130,S200000,00400,0500,P 87130,S200000,01500,0100,Y 87130,S700003,00000,0400,4 87133,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87133,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87133,A000000,00300,0000,00300EMPLOYEE BENEFITS 87133,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87133,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87133,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87133,A000000,00700,0000,00700HOUSEKEEPING 87133,A000000,00800,0000,00800DIETARY 87133,A000000,00900,0000,00900NURSING ADMINISTRATION 87133,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87133,A000000,01100,0000,01100PHARMACY 87133,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87133,A000000,01300,0000,01300SOCIAL SERVICE 87133,A000000,01350,0000,01500OTHER GENERAL SERVICES 87133,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87133,A000000,01600,0000,01600SKILLED NURSING FACILITY 87133,A000000,01800,0000,01800NURSING FACILITY 87133,A000000,01810,0000,01810ICF/MR 87133,A000000,01900,0000,01900OTHER LONG TERM CARE 87133,A000000,02100,0000,02100RADIOLOGY 87133,A000000,02200,0000,02200LABORATORY 87133,A000000,02300,0000,02300INTRAVENOUS THERAPY 87133,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87133,A000000,02500,0000,02500PHYSICAL THERAPY 87133,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87133,A000000,02700,0000,02700SPEECH PATHOLOGY 87133,A000000,02800,0000,02800ELECTROCARDIOLOGY 87133,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87133,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87133,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87133,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87133,A000000,03200,0000,03200SUPPORT SURFACES 87133,A000000,03400,0000,03400CLINIC 87133,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87133,A000000,03500,0000,03500RURAL HEALTH CLINIC 87133,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87133,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87133,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87133,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87133,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87133,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87133,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87133,A000000,04400,0000,04400DME RENTED - HHA 87133,A000000,04500,0000,04500DME SOLD - HHA 87133,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87133,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87133,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87133,A000000,04800,0000,04800AMBULANCE 87133,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87133,A000000,05000,0000,05000CORF 87133,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87133,A000000,05300,0000,05300INTEREST EXPENSE 87133,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87133,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87133,A000000,05500,0000,05500HOSPICE 87133,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87133,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87133,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87133,A000000,06100,0000,06100NONPAID WORKERS 87133,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87133,A000000,06200,0000,06200PATIENTS LAUNDRY 87133,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 87133,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 87133,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 87133,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 87133,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 87133,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 87133,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 87133,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 87133,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 87133,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 87133,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 87133,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 87133,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 87133,B100000,00000,1350,00000 PATIENT DAYS :OTHER GENERAL SERVIC 87133,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 87133,S000000,00100,0200,06/02/2000 87133,S200000,00100,0100,423 ROOSEVELT 87133,S200000,00200,0100,REMSEN 87133,S200000,00200,0200,IA 87133,S200000,00200,0300,51050- 87133,S200000,00300,0100,PLYMOUTH 87133,S200000,00400,0100,HAPPY SIESTA HEALTH CARE CENTER 87133,S200000,00400,0200,165405 87133,S200000,00400,0300,01/01/1999 87133,S200000,00400,0500,P 87133,S200000,01500,0100,Y 87148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87148,A000000,00300,0000,00300EMPLOYEE BENEFITS 87148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87148,A000000,00700,0000,00700HOUSEKEEPING 87148,A000000,00800,0000,00800DIETARY 87148,A000000,00900,0000,00900NURSING ADMINISTRATION 87148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87148,A000000,01100,0000,01100PHARMACY 87148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87148,A000000,01300,0000,01300SOCIAL SERVICE 87148,A000000,01301,0000,01301ACTIVITIES 87148,A000000,01350,0000,01500OTHER GENERAL SERVICES 87148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87148,A000000,01600,0000,01600SKILLED NURSING FACILITY 87148,A000000,01800,0000,01800NURSING FACILITY 87148,A000000,01900,0000,01900OTHER LONG TERM CARE 87148,A000000,02100,0000,02100RADIOLOGY 87148,A000000,02200,0000,02200LABORATORY 87148,A000000,02300,0000,02300INTRAVENOUS THERAPY 87148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87148,A000000,02500,0000,02500PHYSICAL THERAPY 87148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87148,A000000,02700,0000,02700SPEECH PATHOLOGY 87148,A000000,02800,0000,02800ELECTROCARDIOLOGY 87148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87148,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87148,A000000,03200,0000,03200SUPPORT SURFACES 87148,A000000,03400,0000,03400CLINIC 87148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87148,A000000,03500,0000,03500RURAL HEALTH CLINIC 87148,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87148,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87148,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87148,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87148,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87148,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87148,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87148,A000000,04400,0000,04400DME RENTED - HHA 87148,A000000,04500,0000,04500DME SOLD - HHA 87148,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87148,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87148,A000000,04800,0000,04800AMBULANCE 87148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87148,A000000,05000,0000,05000CORF 87148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87148,A000000,05300,0000,05300INTEREST EXPENSE 87148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87148,A000000,05500,0000,05500HOSPICE 87148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87148,A000000,06100,0000,06100NONPAID WORKERS 87148,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87148,A000000,06200,0000,06200PATIENTS LAUNDRY 87148,A81000A,00100,0100,Y 87148,A81000B,00100,0300,ADMINISTARTIVE & GENRAL 87148,A81000B,00200,0300,CAPITAL 87148,A81000C,00100,0100,A 87148,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87148,A81000C,00100,0400,LENOX HEALTHCARE INC 87148,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87148,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87148,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87148,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87148,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87148,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87148,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87148,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87148,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87148,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87148,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87148,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87148,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 87148,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87148,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87148,S000000,00100,0200,03/02/2000 87148,S200000,00100,0100,932 NORTH TOPEKA ROAD 87148,S200000,00200,0100,WICHITA 87148,S200000,00200,0200,KS 87148,S200000,00200,0300,67214- 87148,S200000,00300,0100,SEDGWICK 87148,S200000,00400,0100,WICHITA HEALTHCARE CENTER 87148,S200000,00400,0200,175099 87148,S200000,00400,0300,04/01/1978 87148,S200000,00400,0500,P 87148,S200000,01600,0100,Y 87148,S700003,00000,0100,1 87157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87157,A000000,00300,0000,00300EMPLOYEE BENEFITS 87157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87157,A000000,00700,0000,00700HOUSEKEEPING 87157,A000000,00800,0000,00800DIETARY 87157,A000000,00900,0000,00900NURSING ADMINISTRATION 87157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87157,A000000,01100,0000,01100PHARMACY 87157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87157,A000000,01300,0000,01300SOCIAL SERVICE 87157,A000000,01301,0000,01301ACTIVITIES 87157,A000000,01350,0000,01500OTHER GENERAL SERVICES 87157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87157,A000000,01600,0000,01600SKILLED NURSING FACILITY 87157,A000000,01800,0000,01800NURSING FACILITY 87157,A000000,01900,0000,01900OTHER LONG TERM CARE 87157,A000000,02100,0000,02100RADIOLOGY 87157,A000000,02200,0000,02200LABORATORY 87157,A000000,02300,0000,02300INTRAVENOUS THERAPY 87157,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87157,A000000,02500,0000,02500PHYSICAL THERAPY 87157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87157,A000000,02700,0000,02700SPEECH PATHOLOGY 87157,A000000,02800,0000,02800ELECTROCARDIOLOGY 87157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87157,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87157,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87157,A000000,03200,0000,03200SUPPORT SURFACES 87157,A000000,03400,0000,03400CLINIC 87157,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87157,A000000,03500,0000,03500RURAL HEALTH CLINIC 87157,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87157,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87157,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87157,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87157,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87157,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87157,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87157,A000000,04400,0000,04400DME RENTED - HHA 87157,A000000,04500,0000,04500DME SOLD - HHA 87157,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87157,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87157,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87157,A000000,04800,0000,04800AMBULANCE 87157,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87157,A000000,05000,0000,05000CORF 87157,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87157,A000000,05300,0000,05300INTEREST EXPENSE 87157,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87157,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87157,A000000,05500,0000,05500HOSPICE 87157,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87157,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87157,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87157,A000000,06100,0000,06100NONPAID WORKERS 87157,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87157,A000000,06200,0000,06200PATIENTS LAUNDRY 87157,A81000A,00100,0100,Y 87157,A81000B,00100,0300,MANAGEMENT FEES 87157,A81000B,00200,0300,CAPITAL 87157,A81000C,00100,0100,A 87157,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87157,A81000C,00100,0400,LENOX HEALTHCARE INC. 87157,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87157,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87157,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87157,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87157,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87157,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87157,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87157,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87157,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87157,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87157,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87157,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87157,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87157,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 87157,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87157,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87157,S000000,00100,0200,06/14/1999 87157,S200000,00100,0100,711 SW GARFIELD STREET 87157,S200000,00200,0100,TOPEKA 87157,S200000,00200,0200,KS 87157,S200000,00200,0300,66606- 87157,S200000,00300,0100,SHAWNEE 87157,S200000,00400,0100,TOPEKA HEALTHCARE CENTER 87157,S200000,00400,0200,175102 87157,S200000,00400,0300,04/01/1978 87157,S200000,00400,0500,P 87157,S200000,00600,0200,175102 87157,S200000,00600,0300,03/01/1979 87157,S200000,00600,0600,P 87157,S200000,01600,0100,Y 87157,S200000,02200,0100,Y 87157,S700003,00000,0100,1 87167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87167,A000000,00300,0000,00300EMPLOYEE BENEFITS 87167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87167,A000000,00700,0000,00700HOUSEKEEPING 87167,A000000,00800,0000,00800DIETARY 87167,A000000,00900,0000,00900NURSING ADMINISTRATION 87167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87167,A000000,01100,0000,01100PHARMACY 87167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87167,A000000,01300,0000,01300SOCIAL SERVICE 87167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87167,A000000,01600,0000,01600SKILLED NURSING FACILITY 87167,A000000,01800,0000,01800NURSING FACILITY 87167,A000000,01900,0000,01900OTHER LONG TERM CARE 87167,A000000,02100,0000,02100RADIOLOGY 87167,A000000,02200,0000,02200LABORATORY 87167,A000000,02300,0000,02300INTRAVENOUS THERAPY 87167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87167,A000000,02500,0000,02500PHYSICAL THERAPY 87167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87167,A000000,02700,0000,02700SPEECH PATHOLOGY 87167,A000000,02800,0000,02800ELECTROCARDIOLOGY 87167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87167,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87167,A000000,03200,0000,03200SUPPORT SURFACES 87167,A000000,03400,0000,03400CLINIC 87167,A000000,03500,0000,03500RURAL HEALTH CLINIC 87167,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87167,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87167,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87167,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87167,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87167,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87167,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87167,A000000,04400,0000,04400DME RENTED - HHA 87167,A000000,04500,0000,04500DME SOLD - HHA 87167,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87167,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87167,A000000,04800,0000,04800AMBULANCE 87167,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87167,A000000,05000,0000,05000CORF 87167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87167,A000000,05300,0000,05300INTEREST EXPENSE 87167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87167,A000000,05500,0000,05500HOSPICE 87167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87167,A000000,06100,0000,06100NONPAID WORKERS 87167,A000000,06150,0000,06300BOARDER RENTAL UNITS 87167,A000000,06151,0000,06301FUND RAISING 87167,A000000,06152,0000,06302CHILD CARE 87167,A000000,06200,0000,06200PATIENTS LAUNDRY 87167,A81000A,00100,0100,Y 87167,A81000B,00100,0300,INTEREST EXPENSE 87167,A81000C,00100,0100,B 87167,A81000C,00100,0200,ARCHDIOCESE OF KC KS. 87167,A81000C,00100,0600,CATHOLIC CHURCH 87167,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 87167,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 87167,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 87167,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 87167,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 87167,B100000,00000,0650,00002RESIDENT DAYS :LAUNDRY & LINEN SER 87167,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 87167,B100000,00000,0800,00002MEALS SERVED :DIETARY 87167,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 87167,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 87167,B100000,00000,1150,00002NO STATISTICS :PHARMACY 87167,B100000,00000,1250,00002RESIDENT DAYS :MEDICAL RECORDS & L 87167,B100000,00000,1330,00002RESIDENT DAYS :SOCIAL SERVICE 87167,B100000,00000,1450,00002NO STATISTICS :INTERNS & RESIDENTS 87167,S000000,00100,0200,04/17/2000 87167,S200000,00100,0100,16600 WEST 126TH 87167,S200000,00200,0100,OLATHE 87167,S200000,00200,0200,KS 87167,S200000,00200,0300,66062- 87167,S200000,00300,0100,JOHNSON 87167,S200000,00400,0100,VILLA ST. FRANCIS 87167,S200000,00400,0200,175115 87167,S200000,00400,0300,07/11/1970 87167,S200000,00400,0500,P 87167,S200000,00600,0200,175115 87167,S200000,00600,0300,07/11/1970 87167,S200000,00600,0600,P 87167,S200000,01600,0100,Y 87167,S700003,00000,0100,1 87175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87175,A000000,00300,0000,00300EMPLOYEE BENEFITS 87175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87175,A000000,00700,0000,00700HOUSEKEEPING 87175,A000000,00800,0000,00800DIETARY 87175,A000000,00900,0000,00900NURSING ADMINISTRATION 87175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87175,A000000,01100,0000,01100PHARMACY 87175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87175,A000000,01300,0000,01300SOCIAL SERVICE 87175,A000000,01350,0000,01500OTHER GENERAL SERVICES 87175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87175,A000000,01600,0000,01600SKILLED NURSING FACILITY 87175,A000000,01800,0000,01800NURSING FACILITY 87175,A000000,01810,0000,01801ICF/MR 87175,A000000,02100,0000,02100RADIOLOGY 87175,A000000,02200,0000,02200LABORATORY 87175,A000000,02500,0000,02500PHYSICAL THERAPY 87175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87175,A000000,02700,0000,02700SPEECH PATHOLOGY 87175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87175,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87175,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87175,A000000,03550,0000,03550FQHC 87175,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87175,A000000,05000,0000,05000CORF 87175,A000000,05010,0000,05010CMHC 87175,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87175,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87175,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87175,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87175,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87175,A81000A,00100,0100,Y 87175,A81000B,00100,0300,ADMINISTRATIVE EXPENSE 87175,A81000B,00200,0300,HOME OFFICE CAPITAL 87175,A81000C,00100,0100,B 87175,A81000C,00100,0200,HEALTH MIDWEST 87175,A81000C,00100,0400,HEALTH MIDWEST 87175,A81000C,00100,0600,HEALTH CARE MGM 87175,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87175,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87175,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 87175,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87175,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87175,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87175,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87175,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87175,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87175,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 87175,B100000,00000,1150,00000NO STATISTICS :PHARMACY 87175,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 87175,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87175,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87175,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87175,S000000,00100,0200,05/23/2000 87175,S200000,00100,0100,9700 WEST 62ND STREET 87175,S200000,00200,0100,MERRIAM 87175,S200000,00200,0200,KS 87175,S200000,00300,0100,JOHNSON 87175,S200000,00400,0100,TRINITY LUTHERAN MANOR 87175,S200000,00400,0200,175123 87175,S200000,00400,0300,02/01/1981 87175,S200000,00400,0500,P 87175,S200000,00600,0200,175123 87175,S200000,00600,0300,02/01/1981 87175,S200000,00600,0600,P 87175,S200000,01600,0100,Y 87175,S700003,00000,0100,1 87183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87183,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87183,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87183,A000000,00300,0000,00300EMPLOYEE BENEFITS 87183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87183,A000000,00700,0000,00700HOUSEKEEPING 87183,A000000,00800,0000,00800DIETARY 87183,A000000,00801,0000,00801CAFETERIA 87183,A000000,00900,0000,00900NURSING ADMINISTRATION 87183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87183,A000000,01100,0000,01100PHARMACY 87183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87183,A000000,01300,0000,01300SOCIAL SERVICE 87183,A000000,01350,0000,01500ACTIVITIES 87183,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87183,A000000,01600,0000,01600SKILLED NURSING FACILITY 87183,A000000,01800,0000,01800NURSING FACILITY 87183,A000000,01900,0000,01900OTHER LONG TERM CARE 87183,A000000,02100,0000,02100RADIOLOGY 87183,A000000,02200,0000,02200LABORATORY 87183,A000000,02300,0000,02300INTRAVENOUS THERAPY 87183,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87183,A000000,02500,0000,02500PHYSICAL THERAPY 87183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87183,A000000,02700,0000,02700SPEECH PATHOLOGY 87183,A000000,02800,0000,02800ELECTROCARDIOLOGY 87183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87183,A000000,03050,0000,03300OTHER ANCILLARY 87183,A000000,03051,0000,03301OTHER ANCILLARY II 87183,A000000,03052,0000,03302OTHER ANCILLARY III 87183,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87183,A000000,03200,0000,03200SUPPORT SURFACES 87183,A000000,03400,0000,03400CLINIC 87183,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87183,A000000,03500,0000,03500RURAL HEALTH CLINIC 87183,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87183,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87183,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87183,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87183,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87183,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87183,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87183,A000000,04400,0000,04400DME RENTED - HHA 87183,A000000,04500,0000,04500DME SOLD - HHA 87183,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87183,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87183,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87183,A000000,04800,0000,04800AMBULANCE 87183,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87183,A000000,05000,0000,05000CORF 87183,A000000,05010,0000,05010CMHC I 87183,A000000,05020,0000,05020OPT I 87183,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87183,A000000,05300,0000,05300INTEREST EXPENSE 87183,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87183,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87183,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87183,A000000,05500,0000,05500HOSPICE 87183,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87183,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87183,A000000,06100,0000,06100NONPAID WORKERS 87183,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87183,A000000,06200,0000,06200PATIENTS LAUNDRY 87183,A81000A,00100,0100,Y 87183,A81000B,00100,0300,MANAGEMENT FEES-RMC 87183,A81000B,00200,0300,RMC CAPITAL 87183,A81000B,00300,0300,MCR BILLING COORD-RMC 87183,A81000B,00400,0300,PHARM CONS-SUNFLWR 87183,A81000B,00500,0300,DRUGS-SUNFLOWER 87183,A81000C,00100,0100,B 87183,A81000C,00100,0400,RETIREMENT MGMT 87183,A81000C,00100,0600,FACILITY MGMT 87183,A81000C,00200,0100,B 87183,A81000C,00200,0400,SUNFLOWER PHARM 87183,A81000C,00200,0600,PHARMACEUTICALS 87183,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87183,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87183,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87183,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87183,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87183,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87183,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87183,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 87183,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87183,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87183,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87183,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 87183,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 87183,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 87183,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 87183,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 87183,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87183,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87183,S000000,00100,0200,09/08/2000 87183,S200000,00100,0100,1417 W. ASH ST. 87183,S200000,00200,0100,JUNCTION CITY 87183,S200000,00200,0200,KS 87183,S200000,00200,0300,66441- 87183,S200000,00300,0100,GEARY 87183,S200000,00400,0100,VALLEY VIEW PROFESSIONAL CARE CENTER 87183,S200000,00400,0200,175126 87183,S200000,00400,0300,04/01/1981 87183,S200000,00400,0500,P 87183,S200000,01600,0100,Y 87183,S200000,02200,0100,Y 87183,S200000,02800,0100,Y 87183,S700003,00000,0100,1 87193,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87193,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87193,A000000,00300,0000,00300EMPLOYEE BENEFITS 87193,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87193,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87193,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87193,A000000,00700,0000,00700HOUSEKEEPING 87193,A000000,00800,0000,00800DIETARY 87193,A000000,00900,0000,00900NURSING ADMINISTRATION 87193,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87193,A000000,01100,0000,01100PHARMACY 87193,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87193,A000000,01300,0000,01300SOCIAL SERVICE 87193,A000000,01301,0000,01301ACTIVITIES 87193,A000000,01350,0000,01500OTHER GENERAL SERVICES 87193,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87193,A000000,01600,0000,01600SKILLED NURSING FACILITY 87193,A000000,01800,0000,01800NURSING FACILITY 87193,A000000,01900,0000,01900OTHER LONG TERM CARE 87193,A000000,02100,0000,02100RADIOLOGY 87193,A000000,02200,0000,02200LABORATORY 87193,A000000,02300,0000,02300INTRAVENOUS THERAPY 87193,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87193,A000000,02500,0000,02500PHYSICAL THERAPY 87193,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87193,A000000,02700,0000,02700SPEECH PATHOLOGY 87193,A000000,02800,0000,02800ELECTROCARDIOLOGY 87193,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87193,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87193,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87193,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87193,A000000,03200,0000,03200SUPPORT SURFACES 87193,A000000,03400,0000,03400CLINIC 87193,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87193,A000000,03500,0000,03500RURAL HEALTH CLINIC 87193,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87193,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87193,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87193,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87193,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87193,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87193,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87193,A000000,04400,0000,04400DME RENTED - HHA 87193,A000000,04500,0000,04500DME SOLD - HHA 87193,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87193,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87193,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87193,A000000,04800,0000,04800AMBULANCE 87193,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87193,A000000,05000,0000,05000CORF 87193,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87193,A000000,05300,0000,05300INTEREST EXPENSE 87193,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87193,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87193,A000000,05500,0000,05500HOSPICE 87193,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87193,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87193,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87193,A000000,06100,0000,06100NONPAID WORKERS 87193,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87193,A000000,06200,0000,06200PATIENTS LAUNDRY 87193,A81000A,00100,0100,Y 87193,A81000B,00100,0300,ADMINISTRATIVE & GENERA; 87193,A81000B,00200,0300,CAPITAL 87193,A81000C,00100,0100,A 87193,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87193,A81000C,00100,0400,LENOX HEALTHCARE INC. 87193,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87193,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87193,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87193,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87193,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87193,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87193,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87193,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87193,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87193,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87193,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87193,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87193,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87193,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 87193,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87193,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87193,S000000,00100,0200,03/02/2000 87193,S200000,00100,0100,215 NORTH LAMAR STREET 87193,S200000,00200,0100,HAYSVILLE 87193,S200000,00200,0200,KS 87193,S200000,00200,0300,67060- 87193,S200000,00300,0100,SEDGWICK 87193,S200000,00400,0100,PRESTIGE REHAB & NURSING CENTER 87193,S200000,00400,0200,175133 87193,S200000,00400,0300,11/01/1984 87193,S200000,00400,0500,P 87193,S200000,01600,0100,Y 87193,S700003,00000,0100,1 87201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87201,A000000,00300,0000,00300EMPLOYEE BENEFITS 87201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87201,A000000,00700,0000,00700HOUSEKEEPING 87201,A000000,00800,0000,00800DIETARY 87201,A000000,00900,0000,00900NURSING ADMINISTRATION 87201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87201,A000000,01100,0000,01100PHARMACY 87201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87201,A000000,01300,0000,01300SOCIAL SERVICE 87201,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87201,A000000,01600,0000,01600SKILLED NURSING FACILITY 87201,A000000,01800,0000,01800NURSING FACILITY 87201,A000000,01900,0000,01900OTHER LONG TERM CARE 87201,A000000,02100,0000,02100RADIOLOGY 87201,A000000,02200,0000,02200LABORATORY 87201,A000000,02300,0000,02300INTRAVENOUS THERAPY 87201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87201,A000000,02500,0000,02500PHYSICAL THERAPY 87201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87201,A000000,02700,0000,02700SPEECH PATHOLOGY 87201,A000000,02800,0000,02800ELECTROCARDIOLOGY 87201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87201,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87201,A000000,03200,0000,03200SUPPORT SURFACES 87201,A000000,03400,0000,03400CLINIC 87201,A000000,03500,0000,03500RURAL HEALTH CLINIC 87201,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87201,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87201,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87201,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87201,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87201,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87201,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87201,A000000,04400,0000,04400DME RENTED - HHA 87201,A000000,04500,0000,04500DME SOLD - HHA 87201,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87201,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87201,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87201,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87201,A000000,05300,0000,05300INTEREST EXPENSE 87201,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87201,A000000,05500,0000,05500HOSPICE 87201,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87201,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87201,A000000,06100,0000,06100NONPAID WORKERS 87201,A000000,06200,0000,06200PATIENTS LAUNDRY 87201,A81000A,00100,0100,Y 87201,A81000B,00100,0300,HOME OFFICE COSTS 87201,A81000C,00100,0100,A 87201,A81000C,00100,0200,JAMES KLAUSMAN 87201,A81000C,00100,0400,MIDWEST HEALTH 87201,A81000C,00100,0600,CENTRAL OFFFICE 87201,A81000C,00200,0100,A 87201,A81000C,00200,0200,FC EATON 87201,A81000C,00200,0400,MIDWEST HEALTH 87201,A81000C,00200,0600,CENTRAL OFFICE 87201,A81000C,00300,0100,A 87201,A81000C,00300,0200,DEE KLAUSMANN 87201,A81000C,00300,0400,MIDWEST HEALTH 87201,A81000C,00300,0600,CENTRAL OFFICE 87201,A81000C,00400,0100,A 87201,A81000C,00400,0200,VIRGINIA EATON 87201,A81000C,00400,0400,MIDWEST HEALTH 87201,A81000C,00400,0600,CENTRAL OFFICE 87201,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87201,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87201,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87201,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87201,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87201,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87201,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87201,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87201,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87201,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87201,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87201,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87201,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87201,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87201,S000000,00100,0200,05/30/2000 87201,S200000,00100,0100,HWY 56 AND WESTERN HEIGHTS DRIVE 87201,S200000,00200,0100,OVERBROOK 87201,S200000,00200,0200,KS 87201,S200000,00200,0300,66524- 87201,S200000,00300,0100,OSAGE 87201,S200000,00400,0100,BROOKSIDE MANOR 87201,S200000,00400,0200,175145 87201,S200000,00400,0300,06/01/1996 87201,S200000,00400,0500,P 87201,S200000,01600,0100,Y 87201,S200000,02200,0100,Y 87201,S700003,00000,0400,4 87208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87208,A000000,00300,0000,00300EMPLOYEE BENEFITS 87208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87208,A000000,00700,0000,00700HOUSEKEEPING 87208,A000000,00800,0000,00800DIETARY 87208,A000000,00900,0000,00900NURSING ADMINISTRATION 87208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87208,A000000,01100,0000,01100PHARMACY 87208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87208,A000000,01300,0000,01300SOCIAL SERVICE 87208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87208,A000000,01600,0000,01600SKILLED NURSING FACILITY 87208,A000000,01800,0000,01800NURSING FACILITY 87208,A000000,01900,0000,01900OTHER LONG TERM CARE 87208,A000000,02100,0000,02100RADIOLOGY 87208,A000000,02200,0000,02200LABORATORY 87208,A000000,02300,0000,02300INTRAVENOUS THERAPY 87208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87208,A000000,02500,0000,02500PHYSICAL THERAPY 87208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87208,A000000,02700,0000,02700SPEECH PATHOLOGY 87208,A000000,02800,0000,02800ELECTROCARDIOLOGY 87208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87208,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87208,A000000,03200,0000,03200SUPPORT SURFACES 87208,A000000,03400,0000,03400CLINIC 87208,A000000,03500,0000,03500RURAL HEALTH CLINIC 87208,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87208,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87208,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87208,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87208,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87208,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87208,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87208,A000000,04400,0000,04400DME RENTED - HHA 87208,A000000,04500,0000,04500DME SOLD - HHA 87208,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87208,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87208,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87208,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87208,A000000,05300,0000,05300INTEREST EXPENSE 87208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87208,A000000,05500,0000,05500HOSPICE 87208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87208,A000000,06100,0000,06100NONPAID WORKERS 87208,A000000,06200,0000,06200PATIENTS LAUNDRY 87208,A81000A,00100,0100,Y 87208,A81000B,00100,0300,ADJUST ADMINISTRATIVE WAGES 87208,A81000B,00200,0300,ADJUST RELATED PARTY INTEREST 87208,A81000B,00300,0300,REDUCE RENT TO COST 87208,A81000B,00400,0300,HOME OFFICE COSTS 87208,A81000C,00100,0100,A 87208,A81000C,00100,0200,JAMES A KLAUSMN 87208,A81000C,00100,0400,MIDWEST HEALTH 87208,A81000C,00100,0600,CENTRAL OFFICE 87208,A81000C,00200,0100,A 87208,A81000C,00200,0200,F.C. EATON JR 87208,A81000C,00200,0400,MIDWEST HEALTH 87208,A81000C,00200,0600,CENTRAL OFFICE 87208,A81000C,00300,0100,A 87208,A81000C,00300,0200,DEE KLAUSMAN 87208,A81000C,00300,0400,MIDWEST HEALTH 87208,A81000C,00300,0600,CENTRAL OFFICE 87208,A81000C,00400,0100,A 87208,A81000C,00400,0200,VIRGINIA EATON 87208,A81000C,00400,0400,MIDWEST HEALTH 87208,A81000C,00400,0600,CENTRAL OFFICE 87208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87208,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87208,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87208,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87208,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87208,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87208,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87208,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87208,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87208,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87208,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87208,S000000,00100,0200,06/19/2000 87208,S200000,00100,0100,515 HORNE 87208,S200000,00200,0100,TOPEKA 87208,S200000,00200,0200,KS 87208,S200000,00200,0300,66606- 87208,S200000,00300,0100,SHAWNEE 87208,S200000,00400,0100,TOPEKA CONVALESCENT CENTER 87208,S200000,00400,0200,175154 87208,S200000,00400,0300,12/02/1985 87208,S200000,00400,0500,P 87208,S200000,01600,0100,Y 87208,S200000,02200,0100,Y 87208,S700003,00000,0100,1 87218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87218,A000000,00300,0000,00300EMPLOYEE BENEFITS 87218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87218,A000000,00700,0000,00700HOUSEKEEPING 87218,A000000,00800,0000,00800DIETARY 87218,A000000,00900,0000,00900NURSING ADMINISTRATION 87218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87218,A000000,01100,0000,01100PHARMACY 87218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87218,A000000,01300,0000,01300SOCIAL SERVICE 87218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87218,A000000,01600,0000,01600SKILLED NURSING FACILITY 87218,A000000,01800,0000,01800NURSING FACILITY 87218,A000000,01900,0000,01900OTHER LONG TERM CARE 87218,A000000,02100,0000,02100RADIOLOGY 87218,A000000,02200,0000,02200LABORATORY 87218,A000000,02300,0000,02300INTRAVENOUS THERAPY 87218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87218,A000000,02500,0000,02500PHYSICAL THERAPY 87218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87218,A000000,02700,0000,02700SPEECH PATHOLOGY 87218,A000000,02800,0000,02800ELECTROCARDIOLOGY 87218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87218,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87218,A000000,03200,0000,03200SUPPORT SURFACES 87218,A000000,03400,0000,03400CLINIC 87218,A000000,03500,0000,03500RURAL HEALTH CLINIC 87218,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87218,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87218,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87218,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87218,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87218,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87218,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87218,A000000,04400,0000,04400DME RENTED - HHA 87218,A000000,04500,0000,04500DME SOLD - HHA 87218,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87218,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87218,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87218,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87218,A000000,05300,0000,05300INTEREST EXPENSE 87218,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87218,A000000,05500,0000,05500HOSPICE 87218,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87218,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87218,A000000,06100,0000,06100NONPAID WORKERS 87218,A000000,06200,0000,06200PATIENTS LAUNDRY 87218,A81000A,00100,0100,Y 87218,A81000B,00100,0300,ADJUST ADMINISTRATIVE WAGES 87218,A81000B,00200,0300,HOME OFFICE EXPENSE 87218,A81000C,00100,0100,A 87218,A81000C,00100,0200,JAMES A KLAUSMN 87218,A81000C,00100,0400,MIDWEST HEALTH 87218,A81000C,00100,0600,CENTRAL OFFICE 87218,A81000C,00200,0100,A 87218,A81000C,00200,0200,F.C. EATON JR 87218,A81000C,00200,0400,MIDWEST HEALTH 87218,A81000C,00200,0600,CENTRAL OFFICE 87218,A81000C,00300,0100,A 87218,A81000C,00300,0200,DEE KLAUSMAN 87218,A81000C,00300,0400,MIDWEST HEALTH 87218,A81000C,00300,0600,CENTRAL OFFICE 87218,A81000C,00400,0100,A 87218,A81000C,00400,0200,VIRGINIA EATON 87218,A81000C,00400,0400,MIDWEST HEALTH 87218,A81000C,00400,0600,CENTRAL OFFICE 87218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87218,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87218,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87218,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87218,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87218,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87218,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87218,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87218,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87218,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87218,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87218,S000000,00100,0200,05/30/2000 87218,S200000,00100,0100,2400 URISH ROAD 87218,S200000,00200,0100,TOPEKA 87218,S200000,00200,0200,KS 87218,S200000,00200,0300,66614- 87218,S200000,00300,0100,SHAWNEE 87218,S200000,00400,0100,ROLLING HILLS HEALTH CENTER INC. 87218,S200000,00400,0200,175165 87218,S200000,00400,0300,10/01/1987 87218,S200000,00400,0500,P 87218,S200000,01600,0100,Y 87218,S200000,02200,0100,Y 87218,S700003,00000,0100,1 87226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87226,A000000,00300,0000,00300EMPLOYEE BENEFITS 87226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87226,A000000,00700,0000,00700HOUSEKEEPING 87226,A000000,00800,0000,00800DIETARY 87226,A000000,00900,0000,00900NURSING ADMINISTRATION 87226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87226,A000000,01100,0000,01100PHARMACY 87226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87226,A000000,01300,0000,01300SOCIAL SERVICE 87226,A000000,01350,0000,01500ACTIVITIES 87226,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87226,A000000,01600,0000,01600SKILLED NURSING FACILITY 87226,A000000,01800,0000,01800NURSING FACILITY 87226,A000000,01900,0000,01900OTHER LONG TERM CARE 87226,A000000,02100,0000,02100RADIOLOGY 87226,A000000,02200,0000,02200LABORATORY 87226,A000000,02300,0000,02300INTRAVENOUS THERAPY 87226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87226,A000000,02500,0000,02500PHYSICAL THERAPY 87226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87226,A000000,02700,0000,02700SPEECH PATHOLOGY 87226,A000000,02800,0000,02800ELECTROCARDIOLOGY 87226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87226,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87226,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87226,A000000,03200,0000,03200SUPPORT SURFACES 87226,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 87226,A000000,04800,0000,04800AMBULANCE 87226,A000000,05300,0000,05300INTEREST EXPENSE 87226,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 87226,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87226,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87226,A000000,06100,0000,06100NONPAID WORKERS 87226,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87226,A000000,06200,0000,06200PATIENTS LAUNDRY 87226,A81000A,00100,0100,Y 87226,A81000B,00100,0300,HOME OFFICE COST 87226,A81000B,00200,0300,PT ADMIN FEE 87226,A81000B,00300,0300,OT ADMIN FEE 87226,A81000B,00400,0300,ST ADMIN FEE 87226,A81000C,00100,0100,B 87226,A81000C,00100,0200,MCHS - WICHITA 87226,A81000C,00100,0400,HCR MANORCARE INC. 87226,A81000C,00100,0600,LONG TERM CARE FACILITIES 87226,A81000C,00200,0100,B 87226,A81000C,00200,0200,MCHS - WICHITA 87226,A81000C,00200,0400,HRTLND MANAGEMENT SERV. 87226,A81000C,00200,0600,THERAPY MANAGEMENT 87226,A81000C,00300,0100,B 87226,A81000C,00300,0200,MCHS - WICHITA 87226,A81000C,00300,0400,HRTLND MANAGEMENT SERV. 87226,A81000C,00300,0600,THERAPY MANAGEMENT 87226,A81000C,00400,0100,B 87226,A81000C,00400,0200,MCHS - WICHITA 87226,A81000C,00400,0400,HRTLND MANAGEMENT SERV. 87226,A81000C,00400,0600,THERAPY MANAGEMENT 87226,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87226,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87226,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87226,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87226,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87226,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87226,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87226,B100000,00000,0800,00000MEALS SERVED :DIETARY 87226,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 87226,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 87226,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 87226,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87226,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87226,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87226,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 87226,S000000,00100,0200,11/01/2000 87226,S200000,00100,0100,7101 E. 21ST STREET 87226,S200000,00200,0100,NORTH WICHITA 87226,S200000,00200,0200,ND 87226,S200000,00200,0300,67206- 87226,S200000,00300,0100,SEDGWICK 87226,S200000,00400,0100,MCHS - WICHITA 87226,S200000,00400,0200,175168 87226,S200000,00400,0300,01/28/1988 87226,S200000,00400,0500,P 87226,S200000,00400,0600,P 87226,S200000,01004,0500,O 87226,S200000,01600,0100,Y 87226,S200000,02200,0100,Y 87226,S700003,00000,0100,1 87233,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87233,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87233,A000000,00300,0000,00300EMPLOYEE BENEFITS 87233,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87233,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87233,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87233,A000000,00700,0000,00700HOUSEKEEPING 87233,A000000,00800,0000,00800DIETARY 87233,A000000,00900,0000,00900NURSING ADMINISTRATION 87233,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87233,A000000,01100,0000,01100PHARMACY 87233,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87233,A000000,01300,0000,01300SOCIAL SERVICE 87233,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87233,A000000,01600,0000,01600SKILLED NURSING FACILITY 87233,A000000,01800,0000,01800NURSING FACILITY 87233,A000000,01810,0000,01810ICF/MR 87233,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87233,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87233,A000000,03550,0000,03550FQHC 87233,A000000,05000,0000,05000CORF 87233,A000000,05010,0000,05010CMHC 87233,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87233,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87233,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87233,A000000,05300,0000,05300INTEREST EXPENSE 87233,A000000,06150,0000,06300OTHER NON REIMB COST 87233,A000000,06151,0000,06301BEAUTY SHOP/LIFE INSURANCE 87233,A81000A,00100,0100,Y 87233,A81000B,00100,0300,OPERATION OF PLANT 87233,A81000B,00200,0300,ADMINISTRATIVE & GEN 87233,A81000C,00100,0100,A 87233,A81000C,00100,0200,MR/MRS MCCRITE 87233,A81000C,00200,0100,A 87233,A81000C,00200,0200,MRS MCCRITE 87233,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 87233,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 87233,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 87233,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 87233,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 87233,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 87233,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 87233,B100000,00000,0800,00001MEALS SERVED :DIETARY 87233,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 87233,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 87233,B100000,00000,1100,00001COSTED REQUIS :PHARMACY 87233,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 87233,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 87233,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 87233,S000000,00100,0200,05/31/2000 87233,S200000,00100,0100,1810 WEST 37TH 87233,S200000,00200,0100,TOPEKA 87233,S200000,00200,0200,KS 87233,S200000,00200,0300,66611- 87233,S200000,00300,0100,SHAWNEE 87233,S200000,00400,0100,MCCRITE RETIREMENT ASSOCIATION 87233,S200000,00400,0200,175171 87233,S200000,00400,0300,09/22/1988 87233,S200000,00400,0500,P 87233,S200000,01600,0100,Y 87233,S200000,02800,0100,Y 87240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87240,A000000,00300,0000,00300EMPLOYEE BENEFITS 87240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87240,A000000,00700,0000,00700HOUSEKEEPING 87240,A000000,00800,0000,00800DIETARY 87240,A000000,00900,0000,00900NURSING ADMINISTRATION 87240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87240,A000000,01100,0000,01100PHARMACY 87240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87240,A000000,01300,0000,01300SOCIAL SERVICE 87240,A000000,01350,0000,01500ACTIVITIES 87240,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87240,A000000,01600,0000,01600SKILLED NURSING FACILITY 87240,A000000,01800,0000,01800NURSING FACILITY 87240,A000000,01900,0000,01900OTHER LONG TERM CARE 87240,A000000,02100,0000,02100RADIOLOGY 87240,A000000,02200,0000,02200LABORATORY 87240,A000000,02300,0000,02300INTRAVENOUS THERAPY 87240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87240,A000000,02500,0000,02500PHYSICAL THERAPY 87240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87240,A000000,02700,0000,02700SPEECH PATHOLOGY 87240,A000000,02800,0000,02800ELECTROCARDIOLOGY 87240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87240,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87240,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87240,A000000,03200,0000,03200SUPPORT SURFACES 87240,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 87240,A000000,04800,0000,04800AMBULANCE 87240,A000000,05300,0000,05300INTEREST EXPENSE 87240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 87240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87240,A000000,06100,0000,06100NONPAID WORKERS 87240,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87240,A000000,06200,0000,06200PATIENTS LAUNDRY 87240,A81000A,00100,0100,Y 87240,A81000B,00100,0300,HOME OFFICE COST 87240,A81000B,00200,0300,PT ADMIN FEE 87240,A81000B,00300,0300,OT ADMIN FEE 87240,A81000B,00400,0300,ST ADMIN FEE 87240,A81000C,00100,0100,B 87240,A81000C,00100,0200,MCHS - TOPEKA 87240,A81000C,00100,0400,HCR MANORCARE INC. 87240,A81000C,00100,0600,LONG TERM CARE FACILITIES 87240,A81000C,00200,0100,B 87240,A81000C,00200,0200,MCHS - TOPEKA 87240,A81000C,00200,0400,HRTLND MANAGEMENT SERVICE 87240,A81000C,00200,0600,THERAPY MANAGEMENT 87240,A81000C,00300,0100,B 87240,A81000C,00300,0200,MCHS - TOPEKA 87240,A81000C,00300,0400,HRTLND MANAGEMENT SERVICE 87240,A81000C,00300,0600,THERAPY MANAGEMENT 87240,A81000C,00400,0100,B 87240,A81000C,00400,0200,MCHS - TOPEKA 87240,A81000C,00400,0400,HRTLND MANAGEMENT SERVICE 87240,A81000C,00400,0600,THERAPY MANAGEMENT 87240,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87240,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87240,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87240,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87240,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87240,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87240,B100000,00000,0800,00000MEALS SERVED :DIETARY 87240,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 87240,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 87240,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87240,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87240,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87240,S000000,00100,0200,11/01/2000 87240,S200000,00100,0100,2515 S. WANAMAKER 87240,S200000,00200,0100,TOPEKA 87240,S200000,00200,0200,KS 87240,S200000,00200,0300,66614- 87240,S200000,00300,0100,SHAWNEE 87240,S200000,00300,0200,8440 87240,S200000,00300,0300,U 87240,S200000,00400,0100,MCHS - TOPEKA 87240,S200000,00400,0200,175172 87240,S200000,00400,0300,05/27/1988 87240,S200000,00400,0500,P 87240,S200000,00400,0600,P 87240,S200000,01004,0500,O 87240,S200000,01600,0100,Y 87240,S200000,02200,0100,Y 87250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87250,A000000,00300,0000,00300EMPLOYEE BENEFITS 87250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87250,A000000,00700,0000,00700HOUSEKEEPING 87250,A000000,00800,0000,00800DIETARY 87250,A000000,00900,0000,00900NURSING ADMINISTRATION 87250,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87250,A000000,01100,0000,01100PHARMACY 87250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87250,A000000,01300,0000,01300SOCIAL SERVICE 87250,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87250,A000000,01600,0000,01600SKILLED NURSING FACILITY 87250,A000000,01800,0000,01800NURSING FACILITY 87250,A000000,01900,0000,01900OTHER LONG TERM CARE 87250,A000000,02500,0000,02500PHYSICAL THERAPY 87250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87250,A000000,02700,0000,02700SPEECH PATHOLOGY 87250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87250,A000000,03400,0000,03400CLINIC 87250,A000000,03500,0000,03500RURAL HEALTH CLINIC 87250,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87250,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87250,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87250,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87250,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87250,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87250,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87250,A000000,04400,0000,04400DME RENTED - HHA 87250,A000000,04500,0000,04500DME SOLD - HHA 87250,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87250,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87250,A000000,04800,0000,04800AMBULANCE 87250,A000000,05300,0000,05300INTEREST EXPENSE 87250,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87250,A000000,05500,0000,05500HOSPICE 87250,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87250,A000000,05801,0000,05801HOLIDAY ESTATES 87250,A000000,05802,0000,05802REAL ESTATE TAXES 87250,A000000,05803,0000,05803PAUL MAR 87250,A000000,05804,0000,05804HOME HEALTH AGENCY 87250,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87250,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87250,A000000,06100,0000,06100NONPAID WORKERS 87250,A000000,06200,0000,06200PATIENTS LAUNDRY 87250,A81000A,00100,0100,Y 87250,A81000B,00100,0300,BLDG LOAN INTEREST 87250,A81000B,00200,0300,BUILDING DEPR 87250,A81000B,00300,0300,MME DEPR 87250,A81000B,00400,0300,DEPRECIATION 87250,A81000B,00500,0300,DEPRECIATION 87250,A81000B,00600,0300,LOAN COST 87250,A81000B,00700,0300,RENT 87250,A81000C,00100,0100,B 87250,A81000C,00100,0400,ROYALCREST LIVING CENTER 87250,A81000C,00100,0600,FOR PROFT CORP 87250,A81000C,00200,0100,B 87250,A81000C,00200,0400,ROYALCREST LIVING CENTER 87250,A81000C,00200,0600,FOR PROFT CORP 87250,A81000C,00300,0100,B 87250,A81000C,00300,0400,ROYALCREST LIVING CENTER 87250,A81000C,00300,0600,FOR PROFT CORP 87250,A81000C,00400,0100,B 87250,A81000C,00400,0400,ROYALCREST LIVING CENTER 87250,A81000C,00400,0600,FOR PROFT CORP 87250,A81000C,00500,0100,B 87250,A81000C,00500,0400,ROYALCREST LIVING CENTER 87250,A81000C,00500,0600,FOR PROFT CORP 87250,A81000C,00600,0100,B 87250,A81000C,00600,0400,ROYALCREST LIVING CENTER 87250,A81000C,00600,0600,FOR PROFT CORP 87250,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87250,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87250,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87250,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87250,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87250,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87250,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87250,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87250,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 87250,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87250,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87250,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87250,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87250,S000000,00100,0200,11/13/2000 87250,S200000,00100,0100,2700 WEST 30TH AVENUE 87250,S200000,00200,0100,EMPORIA 87250,S200000,00200,0200,KS 87250,S200000,00200,0300,66801- 87250,S200000,00300,0100,LYONS 87250,S200000,00300,0200,17 87250,S200000,00300,0300,R 87250,S200000,00400,0100,HOLIDAY RESORT INC. 87250,S200000,00400,0200,175173 87250,S200000,00400,0300,06/13/1988 87250,S200000,00400,0500,P 87250,S200000,01600,0100,Y 87250,S200000,04600,0100,Y 87259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87259,A000000,00300,0000,00300EMPLOYEE BENEFITS 87259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87259,A000000,00700,0000,00700HOUSEKEEPING 87259,A000000,00800,0000,00800DIETARY 87259,A000000,00900,0000,00900NURSING ADMINISTRATION 87259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87259,A000000,01100,0000,01100PHARMACY 87259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87259,A000000,01300,0000,01300SOCIAL SERVICE 87259,A000000,01350,0000,01500ACTIVITIES 87259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87259,A000000,01600,0000,01600SKILLED NURSING FACILITY 87259,A000000,01800,0000,01800NURSING FACILITY 87259,A000000,01900,0000,01900OTHER LONG TERM CARE 87259,A000000,02100,0000,02100RADIOLOGY 87259,A000000,02200,0000,02200LABORATORY 87259,A000000,02300,0000,02300INTRAVENOUS THERAPY 87259,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87259,A000000,02500,0000,02500PHYSICAL THERAPY 87259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87259,A000000,02700,0000,02700SPEECH PATHOLOGY 87259,A000000,02800,0000,02800ELECTROCARDIOLOGY 87259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87259,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87259,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87259,A000000,03200,0000,03200SUPPORT SURFACES 87259,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 87259,A000000,04800,0000,04800AMBULANCE 87259,A000000,05300,0000,05300INTEREST EXPENSE 87259,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 87259,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87259,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87259,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87259,A000000,06100,0000,06100NONPAID WORKERS 87259,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87259,A000000,06200,0000,06200PATIENTS LAUNDRY 87259,A81000A,00100,0100,Y 87259,A81000B,00100,0300,HOME OFFICE COST 87259,A81000B,00200,0300,PT ADMIN FEE 87259,A81000B,00300,0300,OT ADMIN FEE 87259,A81000B,00400,0300,ST ADMIN FEE 87259,A81000C,00100,0100,B 87259,A81000C,00100,0200,MCHS - OVERLAND PARK 87259,A81000C,00100,0400,HCR MANORCARE INC. 87259,A81000C,00100,0600,LONG TERM CARE FACILITIES 87259,A81000C,00200,0100,B 87259,A81000C,00200,0200,MCHS - OVERLAND PARK 87259,A81000C,00200,0400,HRTLND MANAGEMENT SERV. 87259,A81000C,00200,0600,THERAPY MANAGEMENT 87259,A81000C,00300,0100,B 87259,A81000C,00300,0200,MCHS - OVERLAND PARK 87259,A81000C,00300,0400,HRTLND MANAGEMENT SERV. 87259,A81000C,00300,0600,THERAPY MANAGEMENT 87259,A81000C,00400,0100,B 87259,A81000C,00400,0200,MCHS - OVERLAND PARK 87259,A81000C,00400,0400,HRTLND MANAGEMENT SERV. 87259,A81000C,00400,0600,THERAPY MANAGEMENT 87259,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87259,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87259,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87259,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87259,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87259,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87259,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87259,B100000,00000,0800,00000MEALS SERVED :DIETARY 87259,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 87259,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 87259,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87259,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87259,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87259,S000000,00100,0200,11/01/2000 87259,S200000,00100,0100,5211 W. 103RD STREET 87259,S200000,00200,0100,OVERLAND PARK 87259,S200000,00200,0200,KS 87259,S200000,00200,0300,66207- 87259,S200000,00300,0100,JOHNSON 87259,S200000,00300,0200,3760 87259,S200000,00300,0300,U 87259,S200000,00400,0100,MCHS - OVERLAND PARK 87259,S200000,00400,0200,175180 87259,S200000,00400,0300,02/12/1989 87259,S200000,00400,0500,P 87259,S200000,00400,0600,P 87259,S200000,01004,0500,O 87259,S200000,01600,0100,Y 87259,S200000,02200,0100,Y 87268,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87268,A000000,00300,0000,00300EMPLOYEE BENEFITS 87268,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87268,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87268,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87268,A000000,00700,0000,00700HOUSEKEEPING 87268,A000000,00800,0000,00800DIETARY 87268,A000000,00900,0000,00900NURSING ADMINISTRATION 87268,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87268,A000000,01300,0000,01300SOCIAL SERVICE 87268,A000000,01600,0000,01600SKILLED NURSING FACILITY 87268,A000000,01800,0000,01800NURSING FACILITY 87268,A000000,02100,0000,02100RADIOLOGY 87268,A000000,02200,0000,02200LABORATORY 87268,A000000,02500,0000,02500PHYSICAL THERAPY 87268,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87268,A000000,02700,0000,02700SPEECH PATHOLOGY 87268,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87268,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87268,A000000,05300,0000,05300INTEREST EXPENSE 87268,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87268,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87268,A81000A,00100,0100,Y 87268,A81000B,00100,0300,HOME OFFICE-CAP 87268,A81000B,00200,0300,HOME OFFICE-A&G 87268,A81000C,00100,0100,B 87268,A81000C,00100,0400,DELMAR GARDENS 87268,A81000C,00100,0600,HOME OFFICE 87268,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87268,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87268,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87268,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87268,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87268,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87268,B100000,00000,0800,00000MEALS SERVED :DIETARY 87268,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 87268,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 87268,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87268,S000000,00100,0200,08/31/2000 87268,S200000,00100,0100,12100 WEST 109TH STREET 87268,S200000,00200,0100,OVERLAND PARK 87268,S200000,00200,0200,KS 87268,S200000,00200,0300,66210-1200 87268,S200000,00300,0100,JOHNSON 87268,S200000,00400,0100,DELMAR GARDENS OF OVERLAND PARK INC 87268,S200000,00400,0200,175182 87268,S200000,00400,0300,03/20/1989 87268,S200000,00400,0500,P 87268,S200000,01600,0100,Y 87268,S200000,02200,0100,Y 87281,S000000,00100,0200,06/23/2000 87290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87290,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87290,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87290,A000000,00300,0000,00300EMPLOYEE BENEFITS 87290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87290,A000000,00700,0000,00700HOUSEKEEPING 87290,A000000,00800,0000,00800DIETARY 87290,A000000,00801,0000,00801CAFETERIA 87290,A000000,00900,0000,00900NURSING ADMINISTRATION 87290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87290,A000000,01100,0000,01100PHARMACY 87290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87290,A000000,01300,0000,01300SOCIAL SERVICE 87290,A000000,01350,0000,01500ACTIVITIES 87290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87290,A000000,01600,0000,01600SKILLED NURSING FACILITY 87290,A000000,01800,0000,01800NURSING FACILITY 87290,A000000,01900,0000,01900OTHER LONG TERM CARE 87290,A000000,02100,0000,02100RADIOLOGY 87290,A000000,02200,0000,02200LABORATORY 87290,A000000,02300,0000,02300INTRAVENOUS THERAPY 87290,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87290,A000000,02500,0000,02500PHYSICAL THERAPY 87290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87290,A000000,02700,0000,02700SPEECH PATHOLOGY 87290,A000000,02800,0000,02800ELECTROCARDIOLOGY 87290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87290,A000000,03050,0000,03300MED EQUIP RENTAL 87290,A000000,03051,0000,03301OTHER ANCILLARY II 87290,A000000,03052,0000,03302OTHER ANCILLARY III 87290,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87290,A000000,03200,0000,03200SUPPORT SURFACES 87290,A000000,03400,0000,03400CLINIC 87290,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87290,A000000,03500,0000,03500RURAL HEALTH CLINIC 87290,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87290,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87290,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87290,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87290,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87290,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87290,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87290,A000000,04400,0000,04400DME RENTED - HHA 87290,A000000,04500,0000,04500DME SOLD - HHA 87290,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87290,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87290,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87290,A000000,04800,0000,04800AMBULANCE 87290,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87290,A000000,05000,0000,05000CORF 87290,A000000,05010,0000,05010CMHC I 87290,A000000,05020,0000,05020OPT I 87290,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87290,A000000,05300,0000,05300INTEREST EXPENSE 87290,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87290,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87290,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87290,A000000,05500,0000,05500HOSPICE 87290,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87290,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87290,A000000,06100,0000,06100NONPAID WORKERS 87290,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87290,A000000,06200,0000,06200PATIENTS LAUNDRY 87290,A81000A,00100,0100,Y 87290,A81000B,00100,0300,MANAGEMENT FEES 87290,A81000B,00200,0300,PART B BILLING COST 87290,A81000B,00300,0300,NURSING CONS COST 87290,A81000B,00400,0300,ENVIRON CONS COST 87290,A81000B,00500,0300,DIETARY CONS 87290,A81000C,00100,0100,A 87290,A81000C,00100,0200,GEORGE P WAGNER 87290,A81000C,00100,0400,NAL MNT CORP 87290,A81000C,00100,0600,LTC OPERATION 87290,A81000C,00200,0100,A 87290,A81000C,00200,0200,ALAN D. PARISH 87290,A81000C,00200,0400,NAL MGT CORP 87290,A81000C,00200,0600,LTC OPERATION 87290,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87290,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87290,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87290,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87290,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87290,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87290,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87290,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87290,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87290,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87290,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87290,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 87290,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87290,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87290,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87290,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87290,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87290,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87290,S000000,00100,0200,05/22/2000 87290,S200000,00100,0100,1007 JOHNSTON 87290,S200000,00200,0100,SALINA 87290,S200000,00200,0200,KS 87290,S200000,00200,0300,67401- 87290,S200000,00300,0100,SALINE 87290,S200000,00400,0100,SMOKY HILL REHAB CENTER 87290,S200000,00400,0200,175185 87290,S200000,00400,0300,02/01/1994 87290,S200000,00400,0500,P 87290,S200000,00400,0600,P 87290,S200000,00600,0200,410772 87290,S200000,00600,0300,02/01/1994 87290,S200000,00600,0600,P 87290,S200000,01600,0100,Y 87290,S200000,04300,0100,Y 87290,S700003,00000,0100,1 87300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87300,A000000,00300,0000,00300EMPLOYEE BENEFITS 87300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87300,A000000,00700,0000,00700HOUSEKEEPING 87300,A000000,00800,0000,00800DIETARY 87300,A000000,00900,0000,00900NURSING ADMINISTRATION 87300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87300,A000000,01100,0000,01100PHARMACY 87300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87300,A000000,01300,0000,01300SOCIAL SERVICE 87300,A000000,01301,0000,01301ACTIVITIES 87300,A000000,01350,0000,01500OTHER GENERAL SERVICES 87300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87300,A000000,01600,0000,01600SKILLED NURSING FACILITY 87300,A000000,01800,0000,01800NURSING FACILITY 87300,A000000,01900,0000,01900OTHER LONG TERM CARE 87300,A000000,02100,0000,02100RADIOLOGY 87300,A000000,02200,0000,02200LABORATORY 87300,A000000,02300,0000,02300INTRAVENOUS THERAPY 87300,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87300,A000000,02500,0000,02500PHYSICAL THERAPY 87300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87300,A000000,02700,0000,02700SPEECH PATHOLOGY 87300,A000000,02800,0000,02800ELECTROCARDIOLOGY 87300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87300,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87300,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87300,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87300,A000000,03200,0000,03200SUPPORT SURFACES 87300,A000000,03400,0000,03400CLINIC 87300,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87300,A000000,03500,0000,03500RURAL HEALTH CLINIC 87300,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87300,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87300,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87300,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87300,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87300,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87300,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87300,A000000,04400,0000,04400DME RENTED - HHA 87300,A000000,04500,0000,04500DME SOLD - HHA 87300,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87300,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87300,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87300,A000000,04800,0000,04800AMBULANCE 87300,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87300,A000000,05000,0000,05000CORF 87300,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87300,A000000,05300,0000,05300INTEREST EXPENSE 87300,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87300,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87300,A000000,05500,0000,05500HOSPICE 87300,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87300,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87300,A000000,06100,0000,06100NONPAID WORKERS 87300,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87300,A000000,06200,0000,06200PATIENTS LAUNDRY 87300,A81000A,00100,0100,Y 87300,A81000B,00100,0300,ADMINISTARTIVE & GENERAL 87300,A81000B,00200,0300,CAPITAL 87300,A81000C,00100,0100,A 87300,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87300,A81000C,00100,0400,LENOX HEALTHCARE INC 87300,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87300,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87300,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87300,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87300,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87300,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87300,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87300,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87300,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87300,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87300,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87300,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87300,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87300,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 87300,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87300,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87300,S000000,00100,0200,03/02/2000 87300,S200000,00100,0100,1000 WEST MULBERRY ROAD 87300,S200000,00200,0100,INDEPENDENCE 87300,S200000,00200,0200,KS 87300,S200000,00200,0300,67301- 87300,S200000,00300,0100,MONTGOMERY 87300,S200000,00400,0100,THE LODGE AT INDEPENDENCE 87300,S200000,00400,0200,175186 87300,S200000,00400,0300,09/28/1989 87300,S200000,00400,0500,P 87300,S200000,01600,0100,Y 87300,S700003,00000,0100,1 87309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87309,A000000,00300,0000,00300EMPLOYEE BENEFITS 87309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87309,A000000,00700,0000,00700HOUSEKEEPING 87309,A000000,00800,0000,00800DIETARY 87309,A000000,00900,0000,00900NURSING ADMINISTRATION 87309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87309,A000000,01100,0000,01100PHARMACY 87309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87309,A000000,01300,0000,01300SOCIAL SERVICE 87309,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87309,A000000,01600,0000,01600SKILLED NURSING FACILITY 87309,A000000,01800,0000,01800NURSING FACILITY 87309,A000000,01900,0000,01900OTHER LONG TERM CARE 87309,A000000,02100,0000,02100RADIOLOGY 87309,A000000,02200,0000,02200LABORATORY 87309,A000000,02300,0000,02300INTRAVENOUS THERAPY 87309,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87309,A000000,02500,0000,02500PHYSICAL THERAPY 87309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87309,A000000,02700,0000,02700SPEECH PATHOLOGY 87309,A000000,02800,0000,02800ELECTROCARDIOLOGY 87309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87309,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87309,A000000,03200,0000,03200SUPPORT SURFACES 87309,A000000,03400,0000,03400CLINIC 87309,A000000,03500,0000,03500RURAL HEALTH CLINIC 87309,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87309,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87309,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87309,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87309,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87309,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87309,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87309,A000000,04400,0000,04400DME RENTED - HHA 87309,A000000,04500,0000,04500DME SOLD - HHA 87309,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87309,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87309,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87309,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87309,A000000,05300,0000,05300INTEREST EXPENSE 87309,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87309,A000000,05500,0000,05500HOSPICE 87309,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87309,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87309,A000000,06100,0000,06100NONPAID WORKERS 87309,A000000,06200,0000,06200PATIENTS LAUNDRY 87309,A81000A,00100,0100,Y 87309,A81000B,00100,0300,ADMINISTRATIVE WAGES 87309,A81000B,00200,0300,INTEREST EXPENSE 87309,A81000C,00100,0100,A 87309,A81000C,00100,0200,JAMES A KLAUSMN 87309,A81000C,00100,0400,MIDWEST HEALTH 87309,A81000C,00100,0600,CENTRAL OFFICE 87309,A81000C,00200,0100,A 87309,A81000C,00200,0200,F.C. EATON JR 87309,A81000C,00200,0400,MIDWEST HEALTH 87309,A81000C,00200,0600,CENTRAL OFFICE 87309,A81000C,00300,0100,A 87309,A81000C,00300,0200,DEE KLAUSMAN 87309,A81000C,00300,0400,MIDWEST HEALTH 87309,A81000C,00300,0600,CENTRAL OFFICE 87309,A81000C,00400,0100,A 87309,A81000C,00400,0200,VIRGINIA EATON 87309,A81000C,00400,0400,MIDWEST HEALTH 87309,A81000C,00400,0600,CENTRAL OFFICE 87309,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87309,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87309,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87309,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87309,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87309,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87309,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87309,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87309,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87309,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87309,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87309,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87309,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87309,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87309,S000000,00100,0200,05/30/2000 87309,S200000,00100,0100,2025 LITTLE KITTEN AVENUE 87309,S200000,00200,0100,MANHATTAN 87309,S200000,00200,0200,KS 87309,S200000,00200,0300,66502- 87309,S200000,00300,0100,RILEY 87309,S200000,00400,0100,STONEYBROOK RETIREMENT COMMUNITY 87309,S200000,00400,0200,175191 87309,S200000,00400,0300,10/25/1989 87309,S200000,00400,0500,P 87309,S200000,01600,0100,Y 87309,S200000,02200,0100,Y 87309,S200000,02800,0100,Y 87309,S700003,00000,0100,1 87318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87318,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87318,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87318,A000000,00300,0000,00300EMPLOYEE BENEFITS 87318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87318,A000000,00700,0000,00700HOUSEKEEPING 87318,A000000,00800,0000,00800DIETARY 87318,A000000,00801,0000,00801CAFETERIA 87318,A000000,00900,0000,00900NURSING ADMINISTRATION 87318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87318,A000000,01100,0000,01100PHARMACY 87318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87318,A000000,01300,0000,01300SOCIAL SERVICE 87318,A000000,01350,0000,01500ACTIVITIES 87318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87318,A000000,01600,0000,01600SKILLED NURSING FACILITY 87318,A000000,01800,0000,01800NURSING FACILITY 87318,A000000,01900,0000,01900OTHER LONG TERM CARE 87318,A000000,02100,0000,02100RADIOLOGY 87318,A000000,02200,0000,02200LABORATORY 87318,A000000,02300,0000,02300INTRAVENOUS THERAPY 87318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87318,A000000,02500,0000,02500PHYSICAL THERAPY 87318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87318,A000000,02700,0000,02700SPEECH PATHOLOGY 87318,A000000,02800,0000,02800ELECTROCARDIOLOGY 87318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87318,A000000,03050,0000,03300OTHER ANCILLARY 87318,A000000,03051,0000,03301OTHER ANCILLARY II 87318,A000000,03052,0000,03302OTHER ANCILLARY III 87318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87318,A000000,03200,0000,03200SUPPORT SURFACES 87318,A000000,03400,0000,03400CLINIC 87318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87318,A000000,03500,0000,03500RURAL HEALTH CLINIC 87318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87318,A000000,04400,0000,04400DME RENTED - HHA 87318,A000000,04500,0000,04500DME SOLD - HHA 87318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87318,A000000,04800,0000,04800AMBULANCE 87318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87318,A000000,05000,0000,05000CORF 87318,A000000,05010,0000,05010CMHC I 87318,A000000,05020,0000,05020OPT I 87318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87318,A000000,05300,0000,05300INTEREST EXPENSE 87318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87318,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87318,A000000,05500,0000,05500HOSPICE 87318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87318,A000000,06100,0000,06100NONPAID WORKERS 87318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87318,A000000,06200,0000,06200PATIENTS LAUNDRY 87318,A81000A,00100,0100,Y 87318,A81000C,00100,0100,B 87318,A81000C,00100,0400,ASCEND H.O. 87318,A81000C,00100,0600,HOME OFFICE 87318,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87318,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87318,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87318,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87318,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 87318,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87318,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87318,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87318,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87318,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87318,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87318,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87318,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87318,E10A180,00501,0100,07/27/2000 87318,E10A180,00550,0100,07/27/2000 87318,S000000,00100,0200,05/31/2000 87318,S200000,00100,0100,1800 W. 27TH STREET 87318,S200000,00200,0100,LAWRENCE 87318,S200000,00200,0200,KS 87318,S200000,00200,0300,66049- 87318,S200000,00300,0100,DOUGLAS 87318,S200000,00300,0200,4150 87318,S200000,00300,0300,U 87318,S200000,00400,0100,SOUTHWINDS REHABILITATION 87318,S200000,00400,0200,175209 87318,S200000,00400,0300,04/01/1996 87318,S200000,00400,0500,P 87318,S200000,01600,0100,Y 87318,S200000,02200,0100,Y 87318,S200000,04300,0100,Y 87332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87332,A000000,00300,0000,00300EMPLOYEE BENEFITS 87332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87332,A000000,00700,0000,00700HOUSEKEEPING 87332,A000000,00800,0000,00800DIETARY 87332,A000000,00900,0000,00900NURSING ADMINISTRATION 87332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87332,A000000,01100,0000,01100PHARMACY 87332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87332,A000000,01300,0000,01300SOCIAL SERVICE 87332,A000000,01301,0000,01301ACTIVITIES 87332,A000000,01350,0000,01500OTHER GENERAL SERVICES 87332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87332,A000000,01600,0000,01600SKILLED NURSING FACILITY 87332,A000000,01800,0000,01800NURSING FACILITY 87332,A000000,01900,0000,01900OTHER LONG TERM CARE 87332,A000000,02100,0000,02100RADIOLOGY 87332,A000000,02200,0000,02200LABORATORY 87332,A000000,02300,0000,02300INTRAVENOUS THERAPY 87332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87332,A000000,02500,0000,02500PHYSICAL THERAPY 87332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87332,A000000,02700,0000,02700SPEECH PATHOLOGY 87332,A000000,02800,0000,02800ELECTROCARDIOLOGY 87332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87332,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87332,A000000,03200,0000,03200SUPPORT SURFACES 87332,A000000,03400,0000,03400CLINIC 87332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87332,A000000,03500,0000,03500RURAL HEALTH CLINIC 87332,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87332,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87332,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87332,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87332,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87332,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87332,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87332,A000000,04400,0000,04400DME RENTED - HHA 87332,A000000,04500,0000,04500DME SOLD - HHA 87332,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87332,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87332,A000000,04800,0000,04800AMBULANCE 87332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87332,A000000,05000,0000,05000CORF 87332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87332,A000000,05300,0000,05300INTEREST EXPENSE 87332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87332,A000000,05500,0000,05500HOSPICE 87332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87332,A000000,06100,0000,06100NONPAID WORKERS 87332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87332,A000000,06200,0000,06200PATIENTS LAUNDRY 87332,A81000A,00100,0100,Y 87332,A81000B,00100,0300,ADMINISTRAUVE & GENERAL 87332,A81000B,00200,0300,CAPITAL 87332,A81000C,00100,0100,A 87332,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87332,A81000C,00100,0400,LENOX HEALTHCARE INC 87332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87332,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87332,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87332,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87332,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87332,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87332,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87332,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87332,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87332,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87332,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87332,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87332,S000000,00100,0200,03/02/2000 87332,S200000,00100,0100,530 WEST 14TH STREET 87332,S200000,00200,0100,CHANUTE 87332,S200000,00200,0200,KS 87332,S200000,00200,0300,66720- 87332,S200000,00300,0100,NEOSHO 87332,S200000,00400,0100,PARK PLACE HEALTHCARE & REHAB 87332,S200000,00400,0200,175214 87332,S200000,00400,0300,01/10/1992 87332,S200000,00400,0500,P 87332,S200000,01600,0100,Y 87332,S700003,00000,0100,1 87340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87340,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87340,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87340,A000000,00300,0000,00300EMPLOYEE BENEFITS 87340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87340,A000000,00700,0000,00700HOUSEKEEPING 87340,A000000,00800,0000,00800DIETARY 87340,A000000,00801,0000,00801CAFETERIA 87340,A000000,00900,0000,00900NURSING ADMINISTRATION 87340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87340,A000000,01100,0000,01100PHARMACY 87340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87340,A000000,01300,0000,01300SOCIAL SERVICE 87340,A000000,01350,0000,01500ACTIVITIES 87340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87340,A000000,01600,0000,01600SKILLED NURSING FACILITY 87340,A000000,01800,0000,01800NURSING FACILITY 87340,A000000,01900,0000,01900OTHER LONG TERM CARE 87340,A000000,02100,0000,02100RADIOLOGY 87340,A000000,02200,0000,02200LABORATORY 87340,A000000,02300,0000,02300INTRAVENOUS THERAPY 87340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87340,A000000,02500,0000,02500PHYSICAL THERAPY 87340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87340,A000000,02700,0000,02700SPEECH PATHOLOGY 87340,A000000,02800,0000,02800ELECTROCARDIOLOGY 87340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87340,A000000,03050,0000,03300CMPLX MED EQUIP 87340,A000000,03051,0000,03301OTHER ANCILLARY II 87340,A000000,03052,0000,03302OTHER ANCILLARY III 87340,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87340,A000000,03200,0000,03200SUPPORT SURFACES 87340,A000000,03400,0000,03400CLINIC 87340,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87340,A000000,03500,0000,03500RURAL HEALTH CLINIC 87340,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87340,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87340,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87340,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87340,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87340,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87340,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87340,A000000,04400,0000,04400DME RENTED - HHA 87340,A000000,04500,0000,04500DME SOLD - HHA 87340,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87340,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87340,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87340,A000000,04800,0000,04800AMBULANCE 87340,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87340,A000000,05000,0000,05000CORF 87340,A000000,05010,0000,05010CMHC I 87340,A000000,05020,0000,05020OPT I 87340,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87340,A000000,05300,0000,05300INTEREST EXPENSE 87340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87340,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87340,A000000,05500,0000,05500HOSPICE 87340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87340,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87340,A000000,06100,0000,06100NONPAID WORKERS 87340,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87340,A000000,06200,0000,06200PATIENTS LAUNDRY 87340,A81000A,00100,0100,Y 87340,A81000B,00100,0300,MANAGEMENT FEES 87340,A81000B,00200,0300,PART B BILLING COST 87340,A81000B,00300,0300,NURSING CONS COST 87340,A81000B,00400,0300,ENVIRON CONS COST 87340,A81000B,00500,0300,DIETARY CONS CST 87340,A81000C,00100,0100,A 87340,A81000C,00100,0200,GEORGE P WAGNER 87340,A81000C,00100,0400,NAL MNT CORP 87340,A81000C,00100,0600,LTC OPERATION 87340,A81000C,00200,0100,A 87340,A81000C,00200,0200,ALAN D. PARISH 87340,A81000C,00200,0400,NAL MGT CORP 87340,A81000C,00200,0600,LTC OPERATION 87340,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87340,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87340,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87340,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87340,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87340,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87340,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87340,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87340,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87340,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87340,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87340,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87340,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87340,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87340,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87340,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87340,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87340,S000000,00100,0200,05/22/2000 87340,S200000,00100,0100,445 N.WESTVIEW 87340,S200000,00200,0100,DERBY 87340,S200000,00200,0200,KS 87340,S200000,00200,0300,67036- 87340,S200000,00300,0100,SEDGWICK 87340,S200000,00400,0100,WESTVIEW MANOR 87340,S200000,00400,0200,175218 87340,S200000,00400,0300,04/01/1992 87340,S200000,00400,0500,P 87340,S200000,00400,0600,P 87340,S200000,00600,0200,410748 87340,S200000,00600,0300,04/01/1992 87340,S200000,00600,0600,P 87340,S200000,01600,0100,Y 87340,S200000,04300,0100,Y 87350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87350,A000000,00300,0000,00300EMPLOYEE BENEFITS 87350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87350,A000000,00700,0000,00700HOUSEKEEPING 87350,A000000,00800,0000,00800DIETARY 87350,A000000,00900,0000,00900NURSING ADMINISTRATION 87350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87350,A000000,01100,0000,01100PHARMACY 87350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87350,A000000,01300,0000,01300SOCIAL SERVICE 87350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87350,A000000,01600,0000,01600SKILLED NURSING FACILITY 87350,A000000,01800,0000,01800NURSING FACILITY 87350,A000000,01900,0000,01900OTHER LONG TERM CARE 87350,A000000,02100,0000,02100RADIOLOGY 87350,A000000,02200,0000,02200LABORATORY 87350,A000000,02300,0000,02300INTRAVENOUS THERAPY 87350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87350,A000000,02500,0000,02500PHYSICAL THERAPY 87350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87350,A000000,02700,0000,02700SPEECH PATHOLOGY 87350,A000000,02800,0000,02800ELECTROCARDIOLOGY 87350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87350,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87350,A000000,03200,0000,03200SUPPORT SURFACES 87350,A000000,03400,0000,03400CLINIC 87350,A000000,03500,0000,03500RURAL HEALTH CLINIC 87350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87350,A000000,04400,0000,04400DME RENTED - HHA 87350,A000000,04500,0000,04500DME SOLD - HHA 87350,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87350,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87350,A000000,05300,0000,05300INTEREST EXPENSE 87350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87350,A000000,05500,0000,05500HOSPICE 87350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87350,A000000,06100,0000,06100NONPAID WORKERS 87350,A000000,06200,0000,06200PATIENTS LAUNDRY 87350,A81000A,00100,0100,Y 87350,A81000B,00100,0300,MANAGEMENT FEE 87350,A81000C,00100,0100,A 87350,A81000C,00100,0200,R H MONTGOMERY 87350,A81000C,00100,0400,AMERICARE SYST 87350,A81000C,00100,0600,MANAGEMENT 87350,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87350,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87350,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87350,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87350,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87350,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87350,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87350,B100000,00000,0850,00000PAT DAYS :DIETARY 87350,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87350,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87350,B100000,00000,1150,00000BLANK :PHARMACY 87350,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87350,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87350,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87350,S000000,00100,0200,05/25/2000 87350,S200000,00100,0100,RURAL ROUTE 87350,S200000,00200,0100,MORAN 87350,S200000,00200,0200,KS 87350,S200000,00200,0300,66755- 87350,S200000,00300,0100,ALLEN 87350,S200000,00400,0100,MORAN MANOR 87350,S200000,00400,0200,175224 87350,S200000,00400,0300,06/03/1992 87350,S200000,00400,0500,P 87350,S200000,01600,0100,Y 87350,S200000,02200,0100,Y 87350,S200000,04300,0100,Y 87350,S700003,00000,0100,1 87357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87357,A000000,00300,0000,00300EMPLOYEE BENEFITS 87357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87357,A000000,00700,0000,00700HOUSEKEEPING 87357,A000000,00800,0000,00800DIETARY 87357,A000000,00900,0000,00900NURSING ADMINISTRATION 87357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87357,A000000,01100,0000,01100PHARMACY 87357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87357,A000000,01300,0000,01300SOCIAL SERVICE 87357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87357,A000000,01600,0000,01600SKILLED NURSING FACILITY 87357,A000000,01800,0000,01800NURSING FACILITY 87357,A000000,01900,0000,01900OTHER LONG TERM CARE 87357,A000000,02100,0000,02100RADIOLOGY 87357,A000000,02200,0000,02200LABORATORY 87357,A000000,02300,0000,02300INTRAVENOUS THERAPY 87357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87357,A000000,02500,0000,02500PHYSICAL THERAPY 87357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87357,A000000,02700,0000,02700SPEECH PATHOLOGY 87357,A000000,02800,0000,02800ELECTROCARDIOLOGY 87357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87357,A000000,03200,0000,03200SUPPORT SURFACES 87357,A000000,03400,0000,03400CLINIC 87357,A000000,03500,0000,03500RURAL HEALTH CLINIC 87357,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87357,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87357,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87357,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87357,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87357,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87357,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87357,A000000,04400,0000,04400DME RENTED - HHA 87357,A000000,04500,0000,04500DME SOLD - HHA 87357,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87357,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87357,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87357,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87357,A000000,05300,0000,05300INTEREST EXPENSE 87357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87357,A000000,05500,0000,05500HOSPICE 87357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87357,A000000,06100,0000,06100NONPAID WORKERS 87357,A000000,06200,0000,06200PATIENTS LAUNDRY 87357,A81000A,00100,0100,Y 87357,A81000B,00100,0300,ADJUST ADMINISTRATIVE WAGES 87357,A81000B,00200,0300,REDUCE INTEREST EXPENSE 87357,A81000B,00300,0300,HOME OFFICE COSTS 87357,A81000C,00100,0100,A 87357,A81000C,00100,0200,JAMES A KLAUSMN 87357,A81000C,00100,0400,MIDWEST HEALTH 87357,A81000C,00100,0600,CENTRAL OFFICE 87357,A81000C,00200,0100,A 87357,A81000C,00200,0200,F.C. EATON JR 87357,A81000C,00200,0400,MIDWEST HEALTH 87357,A81000C,00200,0600,CENTRAL OFFICE 87357,A81000C,00300,0100,A 87357,A81000C,00300,0200,DEE KLAUSMAN 87357,A81000C,00300,0400,MIDWEST HEALTH 87357,A81000C,00300,0600,CENTRAL OFFICE 87357,A81000C,00400,0100,A 87357,A81000C,00400,0200,VIRGINIA EATON 87357,A81000C,00400,0400,MIDWEST HEALTH 87357,A81000C,00400,0600,CENTRAL OFFICE 87357,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87357,B100000,00000,0250,00000SQUARE FEET 2 :CAP REL COSTS - MOVA 87357,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87357,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87357,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87357,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87357,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87357,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87357,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87357,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87357,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87357,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87357,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87357,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87357,S000000,00100,0200,06/26/2000 87357,S200000,00100,0100,440 WOODLAND 87357,S200000,00200,0100,TOPEKA 87357,S200000,00200,0200,KS 87357,S200000,00200,0300,66607- 87357,S200000,00300,0100,SHAWNEE 87357,S200000,00400,0100,WOODLAND HEALTH CENTER 87357,S200000,00400,0200,175230 87357,S200000,00400,0300,09/01/1992 87357,S200000,00400,0500,P 87357,S200000,01600,0100,Y 87357,S200000,02200,0100,Y 87357,S700003,00000,0100,1 87366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87366,A000000,00300,0000,00300EMPLOYEE BENEFITS 87366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87366,A000000,00700,0000,00700HOUSEKEEPING 87366,A000000,00800,0000,00800DIETARY 87366,A000000,00900,0000,00900NURSING ADMINISTRATION 87366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87366,A000000,01100,0000,01100PHARMACY 87366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87366,A000000,01300,0000,01300SOCIAL SERVICE 87366,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87366,A000000,01600,0000,01600SKILLED NURSING FACILITY 87366,A000000,01800,0000,01800NURSING FACILITY 87366,A000000,01900,0000,01900OTHER LONG TERM CARE 87366,A000000,02100,0000,02100RADIOLOGY 87366,A000000,02200,0000,02200LABORATORY 87366,A000000,02300,0000,02300INTRAVENOUS THERAPY 87366,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87366,A000000,02500,0000,02500PHYSICAL THERAPY 87366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87366,A000000,02700,0000,02700SPEECH PATHOLOGY 87366,A000000,02800,0000,02800ELECTROCARDIOLOGY 87366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87366,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87366,A000000,03200,0000,03200SUPPORT SURFACES 87366,A000000,03400,0000,03400CLINIC 87366,A000000,03500,0000,03500RURAL HEALTH CLINIC 87366,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87366,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87366,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87366,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87366,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87366,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87366,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87366,A000000,04400,0000,04400DME RENTED - HHA 87366,A000000,04500,0000,04500DME SOLD - HHA 87366,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87366,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87366,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87366,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87366,A000000,05300,0000,05300INTEREST EXPENSE 87366,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87366,A000000,05500,0000,05500HOSPICE 87366,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87366,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87366,A000000,06100,0000,06100NONPAID WORKERS 87366,A000000,06200,0000,06200PATIENTS LAUNDRY 87366,A81000A,00100,0100,Y 87366,A81000B,00100,0300,MANAGEMENT FEES 87366,A81000C,00100,0100,A 87366,A81000C,00100,0200,R H MONTGOMERY 87366,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87366,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87366,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87366,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87366,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87366,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87366,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87366,B100000,00000,0850,00000PAT DAYS :DIETARY 87366,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87366,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87366,B100000,00000,1150,00000BLANK :PHARMACY 87366,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87366,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87366,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87366,S000000,00100,0200,05/25/2000 87366,S200000,00100,0100,613 EAST ELM 87366,S200000,00100,0300,40 87366,S200000,00200,0100,SEDAN 87366,S200000,00200,0200,KS 87366,S200000,00200,0300,67361- 87366,S200000,00300,0100,CHAUTAUQUA 87366,S200000,00400,0100,PLEASANT VALLEY NURSING & REHAB 87366,S200000,00400,0200,175232 87366,S200000,00400,0300,10/15/1992 87366,S200000,00400,0500,P 87366,S200000,01600,0100,Y 87366,S200000,02200,0100,Y 87366,S200000,04300,0100,Y 87366,S700003,00000,0100,1 87375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87375,A000000,00300,0000,00300EMPLOYEE BENEFITS 87375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87375,A000000,00700,0000,00700HOUSEKEEPING 87375,A000000,00800,0000,00800DIETARY 87375,A000000,00900,0000,00900NURSING ADMINISTRATION 87375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87375,A000000,01100,0000,01100PHARMACY 87375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87375,A000000,01300,0000,01300SOCIAL SERVICE 87375,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87375,A000000,01600,0000,01600SKILLED NURSING FACILITY 87375,A000000,01800,0000,01800NURSING FACILITY 87375,A000000,01900,0000,01900OTHER LONG TERM CARE 87375,A000000,02100,0000,02100RADIOLOGY 87375,A000000,02200,0000,02200LABORATORY 87375,A000000,02300,0000,02300INTRAVENOUS THERAPY 87375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87375,A000000,02500,0000,02500PHYSICAL THERAPY 87375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87375,A000000,02700,0000,02700SPEECH PATHOLOGY 87375,A000000,02800,0000,02800ELECTROCARDIOLOGY 87375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87375,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87375,A000000,03200,0000,03200SUPPORT SURFACES 87375,A000000,03400,0000,03400CLINIC 87375,A000000,03500,0000,03500RURAL HEALTH CLINIC 87375,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87375,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87375,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87375,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87375,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87375,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87375,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87375,A000000,04400,0000,04400DME RENTED - HHA 87375,A000000,04500,0000,04500DME SOLD - HHA 87375,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87375,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87375,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87375,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87375,A000000,05300,0000,05300INTEREST EXPENSE 87375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87375,A000000,05500,0000,05500HOSPICE 87375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87375,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87375,A000000,06100,0000,06100NONPAID WORKERS 87375,A000000,06200,0000,06200PATIENTS LAUNDRY 87375,A81000A,00100,0100,Y 87375,A81000B,00100,0300,MANAGEMENT FEES 87375,A81000C,00100,0100,A 87375,A81000C,00100,0200,R H MONTGOMERY 87375,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87375,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87375,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87375,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87375,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87375,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87375,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87375,B100000,00000,0850,00000PAT DAYS :DIETARY 87375,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87375,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87375,B100000,00000,1150,00000BLANK :PHARMACY 87375,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87375,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87375,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87375,S000000,00100,0200,05/25/2000 87375,S200000,00100,0100,800 KELLER 87375,S200000,00200,0100,GALENA 87375,S200000,00200,0200,KS 87375,S200000,00200,0300,66739- 87375,S200000,00300,0100,CHEROKEE 87375,S200000,00400,0100,GALENA NURSING & REHAB CENTER 87375,S200000,00400,0200,175233 87375,S200000,00400,0300,11/01/1992 87375,S200000,00400,0500,P 87375,S200000,01600,0100,Y 87375,S200000,02200,0100,Y 87375,S200000,02800,0100,Y 87375,S200000,04300,0100,Y 87375,S700003,00000,0100,1 87386,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87386,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87386,A000000,00300,0000,00300EMPLOYEE BENEFITS 87386,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87386,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87386,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87386,A000000,00700,0000,00700HOUSEKEEPING 87386,A000000,00800,0000,00800DIETARY 87386,A000000,00900,0000,00900NURSING ADMINISTRATION 87386,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87386,A000000,01100,0000,01100PHARMACY 87386,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87386,A000000,01300,0000,01300SOCIAL SERVICE 87386,A000000,01301,0000,01301ACTIVITIES 87386,A000000,01350,0000,01500OTHER GENERAL SERVICES 87386,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87386,A000000,01600,0000,01600SKILLED NURSING FACILITY 87386,A000000,01800,0000,01800NURSING FACILITY 87386,A000000,01900,0000,01900OTHER LONG TERM CARE 87386,A000000,02100,0000,02100RADIOLOGY 87386,A000000,02200,0000,02200LABORATORY 87386,A000000,02300,0000,02300INTRAVENOUS THERAPY 87386,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87386,A000000,02500,0000,02500PHYSICAL THERAPY 87386,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87386,A000000,02700,0000,02700SPEECH PATHOLOGY 87386,A000000,02800,0000,02800ELECTROCARDIOLOGY 87386,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87386,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87386,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87386,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87386,A000000,03200,0000,03200SUPPORT SURFACES 87386,A000000,03400,0000,03400CLINIC 87386,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87386,A000000,03500,0000,03500RURAL HEALTH CLINIC 87386,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87386,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87386,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87386,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87386,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87386,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87386,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87386,A000000,04400,0000,04400DME RENTED - HHA 87386,A000000,04500,0000,04500DME SOLD - HHA 87386,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87386,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87386,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87386,A000000,04800,0000,04800AMBULANCE 87386,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87386,A000000,05000,0000,05000CORF 87386,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87386,A000000,05300,0000,05300INTEREST EXPENSE 87386,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87386,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87386,A000000,05500,0000,05500HOSPICE 87386,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87386,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87386,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87386,A000000,06100,0000,06100NONPAID WORKERS 87386,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87386,A000000,06200,0000,06200PATIENTS LAUNDRY 87386,A81000A,00100,0100,Y 87386,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 87386,A81000B,00200,0300,CAPITAL 87386,A81000C,00100,0100,A 87386,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87386,A81000C,00100,0400,LENOX HEALTHCARE INC. 87386,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87386,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87386,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87386,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87386,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87386,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87386,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87386,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87386,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87386,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87386,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87386,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87386,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87386,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87386,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87386,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87386,S000000,00100,0200,03/02/2000 87386,S200000,00100,0100,1114 WEST 11TH STREET 87386,S200000,00200,0100,LARNED 87386,S200000,00200,0200,KS 87386,S200000,00200,0300,67550- 87386,S200000,00300,0100,PAWNEE 87386,S200000,00400,0100,LARNED HEALTHCARE & LIVING CENTER 87386,S200000,00400,0200,175235 87386,S200000,00400,0300,03/01/1993 87386,S200000,00400,0500,P 87386,S200000,01600,0100,Y 87386,S700003,00000,0100,1 87392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87392,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87392,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87392,A000000,00300,0000,00300EMPLOYEE BENEFITS 87392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87392,A000000,00700,0000,00700HOUSEKEEPING 87392,A000000,00800,0000,00800DIETARY 87392,A000000,00801,0000,00801CAFETERIA 87392,A000000,00900,0000,00900NURSING ADMINISTRATION 87392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87392,A000000,01100,0000,01100PHARMACY 87392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87392,A000000,01300,0000,01300SOCIAL SERVICE 87392,A000000,01350,0000,01500ACTIVITIES 87392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87392,A000000,01600,0000,01600SKILLED NURSING FACILITY 87392,A000000,01800,0000,01800NURSING FACILITY 87392,A000000,01900,0000,01900OTHER LONG TERM CARE 87392,A000000,02100,0000,02100RADIOLOGY 87392,A000000,02200,0000,02200LABORATORY 87392,A000000,02300,0000,02300INTRAVENOUS THERAPY 87392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87392,A000000,02500,0000,02500PHYSICAL THERAPY 87392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87392,A000000,02700,0000,02700SPEECH PATHOLOGY 87392,A000000,02800,0000,02800ELECTROCARDIOLOGY 87392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87392,A000000,03050,0000,03300MED EQUIP RENTAL 87392,A000000,03051,0000,03301OTHER ANCILLARY II 87392,A000000,03052,0000,03302OTHER ANCILLARY III 87392,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87392,A000000,03200,0000,03200SUPPORT SURFACES 87392,A000000,03400,0000,03400CLINIC 87392,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87392,A000000,03500,0000,03500RURAL HEALTH CLINIC 87392,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87392,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87392,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87392,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87392,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87392,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87392,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87392,A000000,04400,0000,04400DME RENTED - HHA 87392,A000000,04500,0000,04500DME SOLD - HHA 87392,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87392,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87392,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87392,A000000,04800,0000,04800AMBULANCE 87392,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87392,A000000,05000,0000,05000CORF 87392,A000000,05010,0000,05010CMHC I 87392,A000000,05020,0000,05020OPT I 87392,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87392,A000000,05300,0000,05300INTEREST EXPENSE 87392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87392,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87392,A000000,05500,0000,05500HOSPICE 87392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87392,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87392,A000000,06100,0000,06100NONPAID WORKERS 87392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87392,A000000,06200,0000,06200PATIENTS LAUNDRY 87392,A81000A,00100,0100,Y 87392,A81000B,00100,0300,MANAGEMENT FEES 87392,A81000B,00200,0300,PART B BILLING COST 87392,A81000B,00300,0300,NURSING CONS COST 87392,A81000B,00400,0300,ENVIRON CONS COST 87392,A81000B,00500,0300,DIETARY CONS 87392,A81000C,00100,0100,A 87392,A81000C,00100,0200,GEORGE P WAGNER 87392,A81000C,00100,0400,NAL MNT CORP 87392,A81000C,00100,0600,LTC OPERATION 87392,A81000C,00200,0100,A 87392,A81000C,00200,0200,ALAN D. PARISH 87392,A81000C,00200,0400,NAL MGT CORP 87392,A81000C,00200,0600,LTC OPERATION 87392,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87392,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87392,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87392,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87392,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87392,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87392,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87392,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87392,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87392,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87392,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87392,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 87392,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87392,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87392,B100000,00000,1250,00000(GROSS CHARGES) :MEDICAL RECORDS & 87392,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 87392,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87392,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87392,S000000,00100,0200,05/22/2000 87392,S200000,00100,0100,2301 N. SEVERANCE 87392,S200000,00200,0100,HUTCHINSON 87392,S200000,00200,0200,KS 87392,S200000,00200,0300,67502- 87392,S200000,00300,0100,RENO 87392,S200000,00400,0100,OAKWOOD VILLA REHAB CENTER 87392,S200000,00400,0200,175236 87392,S200000,00400,0300,02/01/1994 87392,S200000,00400,0500,P 87392,S200000,00400,0600,P 87392,S200000,00600,0200,419594 87392,S200000,00600,0300,02/01/1994 87392,S200000,00600,0600,P 87392,S200000,01600,0100,Y 87392,S200000,04300,0100,Y 87392,S700003,00000,0100,1 87404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87404,A000000,00300,0000,00300EMPLOYEE BENEFITS 87404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87404,A000000,00700,0000,00700HOUSEKEEPING 87404,A000000,00800,0000,00800DIETARY 87404,A000000,00900,0000,00900NURSING ADMINISTRATION 87404,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87404,A000000,01100,0000,01100PHARMACY 87404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87404,A000000,01300,0000,01300SOCIAL SERVICE 87404,A000000,01301,0000,01301ACTIVITIES 87404,A000000,01350,0000,01500OTHER GENERAL SERVICES 87404,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87404,A000000,01600,0000,01600SKILLED NURSING FACILITY 87404,A000000,01800,0000,01800NURSING FACILITY 87404,A000000,01900,0000,01900OTHER LONG TERM CARE 87404,A000000,02100,0000,02100RADIOLOGY 87404,A000000,02200,0000,02200LABORATORY 87404,A000000,02300,0000,02300INTRAVENOUS THERAPY 87404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87404,A000000,02500,0000,02500PHYSICAL THERAPY 87404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87404,A000000,02700,0000,02700SPEECH PATHOLOGY 87404,A000000,02800,0000,02800ELECTROCARDIOLOGY 87404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87404,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87404,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87404,A000000,03200,0000,03200SUPPORT SURFACES 87404,A000000,03400,0000,03400CLINIC 87404,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87404,A000000,03500,0000,03500RURAL HEALTH CLINIC 87404,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87404,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87404,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87404,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87404,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87404,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87404,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87404,A000000,04400,0000,04400DME RENTED - HHA 87404,A000000,04500,0000,04500DME SOLD - HHA 87404,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87404,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87404,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87404,A000000,04800,0000,04800AMBULANCE 87404,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87404,A000000,05000,0000,05000CORF 87404,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87404,A000000,05300,0000,05300INTEREST EXPENSE 87404,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87404,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87404,A000000,05500,0000,05500HOSPICE 87404,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87404,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87404,A000000,06100,0000,06100NONPAID WORKERS 87404,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87404,A000000,06200,0000,06200PATIENTS LAUNDRY 87404,A81000A,00100,0100,Y 87404,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 87404,A81000B,00200,0300,CAPITAL 87404,A81000C,00100,0100,A 87404,A81000C,00100,0200,THOMAS M & LINDA M LARKE 87404,A81000C,00100,0400,LENOX HEALTHCARE INC. 87404,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87404,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87404,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87404,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87404,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87404,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87404,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87404,B100000,00000,0800,00000MEALS SERVED :DIETARY 87404,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87404,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87404,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87404,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87404,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87404,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 87404,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 87404,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87404,S000000,00100,0200,03/02/2000 87404,S200000,00100,0100,400 SUNSET DRIVE 87404,S200000,00200,0100,COUNCIL GROVE 87404,S200000,00200,0200,KS 87404,S200000,00200,0300,66846- 87404,S200000,00300,0100,MORRIS 87404,S200000,00400,0100,TWIN LAKES HEALTHCARE CENTER 87404,S200000,00400,0200,175239 87404,S200000,00400,0300,04/01/1993 87404,S200000,00400,0500,P 87404,S200000,01600,0100,Y 87404,S700003,00000,0100,1 87412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87412,A000000,00300,0000,00300EMPLOYEE BENEFITS 87412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87412,A000000,00700,0000,00700HOUSEKEEPING 87412,A000000,00800,0000,00800DIETARY 87412,A000000,00900,0000,00900NURSING ADMINISTRATION 87412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87412,A000000,01100,0000,01100PHARMACY 87412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87412,A000000,01300,0000,01300SOCIAL SERVICE 87412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87412,A000000,01600,0000,01600SKILLED NURSING FACILITY 87412,A000000,01800,0000,01800NURSING FACILITY 87412,A000000,01900,0000,01900OTHER LONG TERM CARE 87412,A000000,02100,0000,02100RADIOLOGY 87412,A000000,02200,0000,02200LABORATORY 87412,A000000,02300,0000,02300INTRAVENOUS THERAPY 87412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87412,A000000,02500,0000,02500PHYSICAL THERAPY 87412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87412,A000000,02700,0000,02700SPEECH PATHOLOGY 87412,A000000,02800,0000,02800ELECTROCARDIOLOGY 87412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87412,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87412,A000000,03200,0000,03200SUPPORT SURFACES 87412,A000000,03400,0000,03400CLINIC 87412,A000000,03500,0000,03500RURAL HEALTH CLINIC 87412,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87412,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87412,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87412,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87412,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87412,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87412,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87412,A000000,04400,0000,04400DME RENTED - HHA 87412,A000000,04500,0000,04500DME SOLD - HHA 87412,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87412,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87412,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87412,A000000,05300,0000,05300INTEREST EXPENSE 87412,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87412,A000000,05500,0000,05500HOSPICE 87412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87412,A000000,06100,0000,06100NONPAID WORKERS 87412,A000000,06200,0000,06200PATIENTS LAUNDRY 87412,A81000A,00100,0100,Y 87412,A81000B,00100,0300,MANAGEMENT FEES 87412,A81000C,00100,0100,A 87412,A81000C,00100,0200,R H MONTGOMERY 87412,A81000C,00100,0400,AMERICARE SYSTE 87412,A81000C,00100,0600,MANAGEMENT 87412,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87412,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87412,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87412,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87412,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87412,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87412,B100000,00000,0850,00000PAT DAYS :DIETARY 87412,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87412,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87412,B100000,00000,1150,00000BLANK :PHARMACY 87412,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87412,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87412,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87412,S000000,00100,0200,05/25/2000 87412,S200000,00100,0100,1441 OREGON STREET 87412,S200000,00200,0100,SABETHA 87412,S200000,00200,0200,KS 87412,S200000,00200,0300,66534- 87412,S200000,00300,0100,NEMAHA 87412,S200000,00400,0100,SABETHA MANOR 87412,S200000,00400,0200,175241 87412,S200000,00400,0300,09/03/1993 87412,S200000,00400,0500,P 87412,S200000,01600,0100,Y 87412,S200000,02200,0100,Y 87412,S200000,04300,0100,Y 87412,S700003,00000,0100,1 87419,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87419,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87419,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87419,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87419,A000000,00300,0000,00300EMPLOYEE BENEFITS 87419,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87419,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87419,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87419,A000000,00700,0000,00700HOUSEKEEPING 87419,A000000,00800,0000,00800DIETARY 87419,A000000,00801,0000,00801CAFETERIA 87419,A000000,00900,0000,00900NURSING ADMINISTRATION 87419,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87419,A000000,01100,0000,01100PHARMACY 87419,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87419,A000000,01300,0000,01300SOCIAL SERVICE 87419,A000000,01350,0000,01500ACTIVITIES 87419,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87419,A000000,01600,0000,01600SKILLED NURSING FACILITY 87419,A000000,01800,0000,01800NURSING FACILITY 87419,A000000,01900,0000,01900OTHER LONG TERM CARE 87419,A000000,02100,0000,02100RADIOLOGY 87419,A000000,02200,0000,02200LABORATORY 87419,A000000,02300,0000,02300INTRAVENOUS THERAPY 87419,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87419,A000000,02500,0000,02500PHYSICAL THERAPY 87419,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87419,A000000,02700,0000,02700SPEECH PATHOLOGY 87419,A000000,02800,0000,02800ELECTROCARDIOLOGY 87419,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87419,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87419,A000000,03050,0000,03300CMPLX MED EQUIP 87419,A000000,03051,0000,03301OTHER ANCILLARY II 87419,A000000,03052,0000,03302OTHER ANCILLARY III 87419,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87419,A000000,03200,0000,03200SUPPORT SURFACES 87419,A000000,03400,0000,03400CLINIC 87419,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87419,A000000,03500,0000,03500RURAL HEALTH CLINIC 87419,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87419,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87419,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87419,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87419,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87419,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87419,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87419,A000000,04400,0000,04400DME RENTED - HHA 87419,A000000,04500,0000,04500DME SOLD - HHA 87419,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87419,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87419,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87419,A000000,04800,0000,04800AMBULANCE 87419,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87419,A000000,05000,0000,05000CORF 87419,A000000,05010,0000,05010CMHC I 87419,A000000,05020,0000,05020OPT I 87419,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87419,A000000,05300,0000,05300INTEREST EXPENSE 87419,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87419,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87419,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87419,A000000,05500,0000,05500HOSPICE 87419,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87419,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87419,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87419,A000000,06100,0000,06100NONPAID WORKERS 87419,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87419,A000000,06200,0000,06200PATIENTS LAUNDRY 87419,A81000A,00100,0100,Y 87419,A81000B,00100,0300,MANAGEMENT FEES 87419,A81000B,00200,0300,PART B BILLING COST 87419,A81000B,00300,0300,NURSING CONS COST 87419,A81000B,00400,0300,ENVIRON CONS COST 87419,A81000B,00500,0300,DIETARY CONS 87419,A81000C,00100,0100,A 87419,A81000C,00100,0200,GEORGE P WAGNER 87419,A81000C,00100,0400,NAL MNT CORP 87419,A81000C,00100,0600,LTC OPERATION 87419,A81000C,00200,0100,A 87419,A81000C,00200,0200,ALAN D. PARISH 87419,A81000C,00200,0400,NAL MGT CORP 87419,A81000C,00200,0600,LTC OPERATION 87419,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87419,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87419,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87419,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87419,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87419,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87419,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87419,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87419,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87419,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87419,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87419,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 87419,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87419,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87419,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87419,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87419,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87419,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87419,S000000,00100,0200,05/22/2000 87419,S200000,00100,0100,2626 WESLEYAN DRIVE 87419,S200000,00200,0100,BELLEVILLE 87419,S200000,00200,0200,KS 87419,S200000,00200,0300,66935- 87419,S200000,00300,0100,REPUBLIC 87419,S200000,00400,0100,BELLEVILLE HEALTH CARE CENTER 87419,S200000,00400,0200,175246 87419,S200000,00400,0300,04/06/1993 87419,S200000,00400,0500,P 87419,S200000,00400,0600,P 87419,S200000,00600,0200,415801 87419,S200000,00600,0300,04/01/1993 87419,S200000,00600,0600,P 87419,S200000,01600,0100,Y 87419,S200000,04300,0100,Y 87429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87429,A000000,00300,0000,00300EMPLOYEE BENEFITS 87429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87429,A000000,00700,0000,00700HOUSEKEEPING 87429,A000000,00800,0000,00800DIETARY 87429,A000000,00900,0000,00900NURSING ADMINISTRATION 87429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87429,A000000,01100,0000,01100PHARMACY 87429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87429,A000000,01300,0000,01300SOCIAL SERVICE 87429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87429,A000000,01600,0000,01600SKILLED NURSING FACILITY 87429,A000000,01800,0000,01800NURSING FACILITY 87429,A000000,01900,0000,01900OTHER LONG TERM CARE 87429,A000000,02100,0000,02100RADIOLOGY 87429,A000000,02200,0000,02200LABORATORY 87429,A000000,02300,0000,02300INTRAVENOUS THERAPY 87429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87429,A000000,02500,0000,02500PHYSICAL THERAPY 87429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87429,A000000,02700,0000,02700SPEECH PATHOLOGY 87429,A000000,02800,0000,02800ELECTROCARDIOLOGY 87429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87429,A000000,03200,0000,03200SUPPORT SURFACES 87429,A000000,03400,0000,03400CLINIC 87429,A000000,03500,0000,03500RURAL HEALTH CLINIC 87429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87429,A000000,04400,0000,04400DME RENTED - HHA 87429,A000000,04500,0000,04500DME SOLD - HHA 87429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87429,A000000,05300,0000,05300INTEREST EXPENSE 87429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87429,A000000,05500,0000,05500HOSPICE 87429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87429,A000000,06100,0000,06100NONPAID WORKERS 87429,A000000,06200,0000,06200PATIENTS LAUNDRY 87429,A81000A,00100,0100,Y 87429,A81000B,00100,0300,MANAGMENT FEES 87429,A81000C,00100,0100,A 87429,A81000C,00100,0200,R H MONTGOMERY 87429,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87429,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87429,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87429,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87429,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87429,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87429,B100000,00000,0850,00000PAT DAYS :DIETARY 87429,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87429,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87429,B100000,00000,1150,00000BLANK :PHARMACY 87429,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87429,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87429,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87429,S000000,00100,0200,05/25/2000 87429,S200000,00100,0100,1630 WEST SECOND 87429,S200000,00200,0100,CHANUTE 87429,S200000,00200,0200,KS 87429,S200000,00200,0300,66720- 87429,S200000,00300,0100,NEOSSHO 87429,S200000,00400,0100,HERITAGE HEALTH CARE CENTER 87429,S200000,00400,0200,175249 87429,S200000,00400,0300,04/07/1993 87429,S200000,00400,0500,P 87429,S200000,01600,0100,Y 87429,S200000,02200,0100,Y 87429,S200000,04300,0100,Y 87429,S700003,00000,0100,1 87437,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87437,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87437,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87437,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87437,A000000,00300,0000,00300EMPLOYEE BENEFITS 87437,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87437,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87437,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87437,A000000,00700,0000,00700HOUSEKEEPING 87437,A000000,00800,0000,00800DIETARY 87437,A000000,00801,0000,00801CAFETERIA 87437,A000000,00900,0000,00900NURSING ADMINISTRATION 87437,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87437,A000000,01100,0000,01100PHARMACY 87437,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87437,A000000,01300,0000,01300SOCIAL SERVICE 87437,A000000,01350,0000,01500ACTIVITIES 87437,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87437,A000000,01600,0000,01600SKILLED NURSING FACILITY 87437,A000000,01800,0000,01800NURSING FACILITY 87437,A000000,01900,0000,01900OTHER LONG TERM CARE 87437,A000000,02100,0000,02100RADIOLOGY 87437,A000000,02200,0000,02200LABORATORY 87437,A000000,02300,0000,02300INTRAVENOUS THERAPY 87437,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87437,A000000,02500,0000,02500PHYSICAL THERAPY 87437,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87437,A000000,02700,0000,02700SPEECH PATHOLOGY 87437,A000000,02800,0000,02800ELECTROCARDIOLOGY 87437,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87437,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87437,A000000,03050,0000,03300OTHER ANCILLARY 87437,A000000,03051,0000,03301OTHER ANCILLARY II 87437,A000000,03052,0000,03302OTHER ANCILLARY III 87437,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87437,A000000,03200,0000,03200SUPPORT SURFACES 87437,A000000,03400,0000,03400CLINIC 87437,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87437,A000000,03500,0000,03500RURAL HEALTH CLINIC 87437,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87437,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87437,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87437,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87437,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87437,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87437,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87437,A000000,04400,0000,04400DME RENTED - HHA 87437,A000000,04500,0000,04500DME SOLD - HHA 87437,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87437,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87437,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87437,A000000,04800,0000,04800AMBULANCE 87437,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87437,A000000,05000,0000,05000CORF 87437,A000000,05010,0000,05010CMHC I 87437,A000000,05020,0000,05020OPT I 87437,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87437,A000000,05300,0000,05300INTEREST EXPENSE 87437,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87437,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87437,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87437,A000000,05500,0000,05500HOSPICE 87437,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87437,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87437,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87437,A000000,06100,0000,06100NONPAID WORKERS 87437,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87437,A000000,06200,0000,06200PATIENTS LAUNDRY 87437,A81000A,00100,0100,Y 87437,A81000B,00100,0300,CAPITAL 87437,A81000B,00200,0300,A&G 87437,A81000B,00300,0300,A&G 87437,A81000B,00400,0300,A&G 87437,A81000B,00500,0300,DIETARY 87437,A81000B,00600,0300,MEDICAL SUPPLIES 87437,A81000B,00700,0300,MEDICAL SUPPLIES 87437,A81000C,00100,0100,A 87437,A81000C,00100,0200,DOUG MITTLEIDER 87437,A81000C,00100,0600,LT CARE MGMT 87437,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87437,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87437,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87437,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87437,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87437,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87437,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87437,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87437,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87437,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 87437,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87437,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87437,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87437,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87437,E10A180,00501,0100,07/20/2000 87437,E10A180,00501,0300,07/20/2000 87437,S000000,00100,0200,06/09/2000 87437,S200000,00100,0100,304 W 7TH 87437,S200000,00100,0300,705 87437,S200000,00200,0100,WELLSVILLE 87437,S200000,00200,0200,KS 87437,S200000,00200,0300,66092- 87437,S200000,00300,0100,FRANKLIN 87437,S200000,00300,0300,R 87437,S200000,00400,0100,WELLSVILLE MANOR 87437,S200000,00400,0200,175250 87437,S200000,00400,0300,04/01/1993 87437,S200000,00400,0500,P 87437,S200000,01600,0100,Y 87437,S200000,02200,0100,Y 87437,S200000,04300,0100,Y 87443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87443,A000000,00300,0000,00300EMPLOYEE BENEFITS 87443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87443,A000000,00700,0000,00700HOUSEKEEPING 87443,A000000,00800,0000,00800DIETARY 87443,A000000,00900,0000,00900NURSING ADMINISTRATION 87443,A000000,01100,0000,01100PHARMACY 87443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87443,A000000,01300,0000,01300SOCIAL SERVICE 87443,A000000,01350,0000,01500ACTIVITIES 87443,A000000,01600,0000,01600SKILLED NURSING FACILITY 87443,A000000,01800,0000,01800NURSING FACILITY 87443,A000000,02100,0000,02100RADIOLOGY 87443,A000000,02200,0000,02200LABORATORY 87443,A000000,02300,0000,02300INTRAVENOUS THERAPY 87443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87443,A000000,02500,0000,02500PHYSICAL THERAPY 87443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87443,A000000,02700,0000,02700SPEECH PATHOLOGY 87443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87443,A000000,03200,0000,03200SUPPORT SURFACES 87443,A000000,05300,0000,05300INTEREST EXPENSE 87443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87443,A000000,06150,0000,06300ACLF 87443,A81000A,00100,0100,Y 87443,A81000B,00100,0300,HOME OFFICE COST 87443,A81000C,00100,0100,C 87443,A81000C,00100,0200,HUNTER CARE CEN 87443,A81000C,00100,0400,HUNTER CARE CEN 87443,A81000C,00100,0600,LONG TERM CARE 87443,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87443,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87443,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87443,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87443,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87443,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87443,B100000,00000,0800,00000MEALS SERVED :DIETARY 87443,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87443,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 87443,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87443,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87443,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87443,S000000,00100,0200,11/10/2000 87443,S200000,00100,0100,1319 SEVILLE 87443,S200000,00200,0100,WICHITA 87443,S200000,00200,0200,KA 87443,S200000,00200,0300,67209-3306 87443,S200000,00300,0100,SEDGWICH 87443,S200000,00400,0100,LAKEWOOD HEIGHTS NURSING CENTER 87443,S200000,00400,0200,175253 87443,S200000,00400,0300,09/01/1997 87443,S200000,00400,0500,P 87443,S200000,01600,0100,Y 87454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87454,A000000,00300,0000,00300EMPLOYEE BENEFITS 87454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87454,A000000,00700,0000,00700HOUSEKEEPING 87454,A000000,00800,0000,00800DIETARY 87454,A000000,00900,0000,00900NURSING ADMINISTRATION 87454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87454,A000000,01100,0000,01100PHARMACY 87454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87454,A000000,01300,0000,01300SOCIAL SERVICE 87454,A000000,01301,0000,01301ACTIVITIES 87454,A000000,01350,0000,01500OTHER GENERAL SERVICES 87454,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87454,A000000,01600,0000,01600SKILLED NURSING FACILITY 87454,A000000,01800,0000,01800NURSING FACILITY 87454,A000000,01900,0000,01900OTHER LONG TERM CARE 87454,A000000,02100,0000,02100RADIOLOGY 87454,A000000,02200,0000,02200LABORATORY 87454,A000000,02300,0000,02300INTRAVENOUS THERAPY 87454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87454,A000000,02500,0000,02500PHYSICAL THERAPY 87454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87454,A000000,02700,0000,02700SPEECH PATHOLOGY 87454,A000000,02800,0000,02800ELECTROCARDIOLOGY 87454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87454,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87454,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87454,A000000,03200,0000,03200SUPPORT SURFACES 87454,A000000,03400,0000,03400CLINIC 87454,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87454,A000000,03500,0000,03500RURAL HEALTH CLINIC 87454,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87454,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87454,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87454,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87454,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87454,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87454,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87454,A000000,04400,0000,04400DME RENTED - HHA 87454,A000000,04500,0000,04500DME SOLD - HHA 87454,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87454,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87454,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87454,A000000,04800,0000,04800AMBULANCE 87454,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87454,A000000,05000,0000,05000CORF 87454,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87454,A000000,05300,0000,05300INTEREST EXPENSE 87454,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87454,A000000,05500,0000,05500HOSPICE 87454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87454,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87454,A000000,06100,0000,06100NONPAID WORKERS 87454,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87454,A000000,06200,0000,06200PATIENTS LAUNDRY 87454,A81000A,00100,0100,Y 87454,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 87454,A81000B,00200,0300,CAPITAL 87454,A81000C,00100,0100,A 87454,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87454,A81000C,00100,0400,LENOX HEALTHCARE INC 87454,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87454,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87454,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87454,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87454,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87454,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87454,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87454,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87454,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87454,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87454,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87454,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87454,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87454,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87454,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87454,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 87454,S000000,00100,0200,03/02/2000 87454,S200000,00100,0100,712 MONROE STREET 87454,S200000,00200,0100,SEDGWICK 87454,S200000,00200,0200,KS 87454,S200000,00200,0300,67135- 87454,S200000,00300,0100,HARVEY 87454,S200000,00400,0100,SEDGWICK HEALTHCARE CENTER 87454,S200000,00400,0200,175254 87454,S200000,00400,0300,07/01/1993 87454,S200000,00400,0500,P 87454,S200000,01600,0100,Y 87454,S700003,00000,0100,1 87461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87461,A000000,00300,0000,00300EMPLOYEE BENEFITS 87461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87461,A000000,00700,0000,00700HOUSEKEEPING 87461,A000000,00800,0000,00800DIETARY 87461,A000000,00801,0000,00801CAFETERIA 87461,A000000,00900,0000,00900NURSING ADMINISTRATION 87461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87461,A000000,01100,0000,01100PHARMACY 87461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87461,A000000,01300,0000,01300SOCIAL SERVICE 87461,A000000,01600,0000,01600SKILLED NURSING FACILITY 87461,A000000,01800,0000,01800NURSING FACILITY 87461,A000000,01900,0000,01900OTHER LONG TERM CARE 87461,A000000,02100,0000,02100RADIOLOGY 87461,A000000,02200,0000,02200LABORATORY 87461,A000000,02300,0000,02300INTRAVENOUS THERAPY 87461,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87461,A000000,02500,0000,02500PHYSICAL THERAPY 87461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87461,A000000,02700,0000,02700SPEECH PATHOLOGY 87461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87461,A000000,03200,0000,03200SUPPORT SURFACES 87461,A000000,04800,0000,04800AMBULANCE 87461,A000000,05300,0000,05300INTEREST EXPENSE 87461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87461,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87461,A81000A,00100,0100,Y 87461,A81000B,00100,0300,HOME OFFICE COSTS 87461,A81000B,00200,0300,HOME OFFICE COSTS 87461,A81000C,00100,0100,A 87461,A81000C,00100,0200,D ADAMS SR. 87461,A81000C,00100,0400,WESTCARE INC. 87461,A81000C,00100,0600,HOME OFC 87461,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87461,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87461,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87461,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87461,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87461,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87461,B100000,00000,0800,00000MEALS SERVED :DIETARY 87461,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 87461,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87461,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87461,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 87461,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87461,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87461,S000000,00100,0200,10/05/2000 87461,S200000,00100,0100,1570 S. W. WESTPORT DRIVE 87461,S200000,00200,0100,TOPEKA 87461,S200000,00200,0200,KS 87461,S200000,00200,0300,66604- 87461,S200000,00300,0100,SHAWNEE 87461,S200000,00300,0200,8440 87461,S200000,00300,0300,U 87461,S200000,00400,0100,PLAZA WEST CARE CENTER 87461,S200000,00400,0200,175255 87461,S200000,00400,0300,05/28/1993 87461,S200000,00400,0500,P 87461,S200000,01600,0100,Y 87469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87469,A000000,00300,0000,00300EMPLOYEE BENEFITS 87469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87469,A000000,00700,0000,00700HOUSEKEEPING 87469,A000000,00800,0000,00800DIETARY 87469,A000000,00900,0000,00900NURSING ADMINISTRATION 87469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87469,A000000,01100,0000,01100PHARMACY 87469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87469,A000000,01300,0000,01300SOCIAL SERVICE 87469,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87469,A000000,01600,0000,01600SKILLED NURSING FACILITY 87469,A000000,01800,0000,01800NURSING FACILITY 87469,A000000,01900,0000,01900OTHER LONG TERM CARE 87469,A000000,02100,0000,02100RADIOLOGY 87469,A000000,02200,0000,02200LABORATORY 87469,A000000,02300,0000,02300INTRAVENOUS THERAPY 87469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87469,A000000,02500,0000,02500PHYSICAL THERAPY 87469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87469,A000000,02700,0000,02700SPEECH PATHOLOGY 87469,A000000,02800,0000,02800ELECTROCARDIOLOGY 87469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87469,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87469,A000000,03200,0000,03200SUPPORT SURFACES 87469,A000000,03400,0000,03400CLINIC 87469,A000000,03500,0000,03500RURAL HEALTH CLINIC 87469,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87469,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87469,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87469,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87469,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87469,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87469,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87469,A000000,04400,0000,04400DME RENTED - HHA 87469,A000000,04500,0000,04500DME SOLD - HHA 87469,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87469,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87469,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87469,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87469,A000000,05300,0000,05300INTEREST EXPENSE 87469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87469,A000000,05500,0000,05500HOSPICE 87469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87469,A000000,06100,0000,06100NONPAID WORKERS 87469,A000000,06200,0000,06200PATIENTS LAUNDRY 87469,A81000A,00100,0100,Y 87469,A81000B,00100,0300,MANAGEMENT FEES 87469,A81000C,00100,0100,A 87469,A81000C,00100,0200,R H MONTGOMERY 87469,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87469,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87469,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87469,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87469,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87469,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87469,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87469,B100000,00000,0850,00000PAT DAYS :DIETARY 87469,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87469,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87469,B100000,00000,1150,00000BLANK :PHARMACY 87469,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87469,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87469,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87469,S000000,00100,0200,05/25/2000 87469,S200000,00100,0100,10TH & MAIN 87469,S200000,00200,0100,OSAGE CITY 87469,S200000,00200,0200,KS 87469,S200000,00200,0300,66523- 87469,S200000,00300,0100,OSAGE 87469,S200000,00400,0100,OSAGE NURSING & REHAB CENTER 87469,S200000,00400,0200,175256 87469,S200000,00400,0300,08/01/1993 87469,S200000,00400,0500,P 87469,S200000,01600,0100,Y 87469,S200000,02200,0100,Y 87469,S200000,04300,0100,Y 87469,S200000,04700,0100,Y 87469,S700003,00000,0100,1 87482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87482,A000000,00300,0000,00300EMPLOYEE BENEFITS 87482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87482,A000000,00700,0000,00700HOUSEKEEPING 87482,A000000,00800,0000,00800DIETARY 87482,A000000,00900,0000,00900NURSING ADMINISTRATION 87482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87482,A000000,01100,0000,01100PHARMACY 87482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87482,A000000,01300,0000,01300SOCIAL SERVICE 87482,A000000,01350,0000,01500RECREATION 87482,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87482,A000000,01600,0000,01600SKILLED NURSING FACILITY 87482,A000000,01800,0000,01800NURSING FACILITY 87482,A000000,01810,0000,01810ICF/MR 87482,A000000,02200,0000,02200LABORATORY 87482,A000000,02300,0000,02300INTRAVENOUS THERAPY 87482,A000000,02500,0000,02500PHYSICAL THERAPY 87482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87482,A000000,02700,0000,02700SPEECH PATHOLOGY 87482,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87482,A000000,03050,0000,03300EQUIPMENT RENTAL 87482,A000000,03051,0000,03310PEN 87482,A000000,03550,0000,03550FQHC 87482,A000000,05000,0000,05000CORF 87482,A000000,05010,0000,05010CMHC 87482,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87482,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87482,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87482,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87482,A000000,05901,0000,05910RESIDENTIAL 87482,B100000,00000,0100,00010SQUARE FEET :CAP REL COSTS - BLDGS 87482,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 87482,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 87482,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 87482,B100000,00000,0650,00010PATIENT DAYS :LAUNDRY & LINEN SERV 87482,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 87482,B100000,00000,0850,00010PATIENT DAYS :DIETARY 87482,B100000,00000,0950,00010NURSING SALARIES :NURSING ADMINIST 87482,B100000,00000,1000,00010COSTED REQUIS :CENTRAL SERVICES & 87482,B100000,00000,1250,00010PATIENT DAYS :MEDICAL RECORDS & LI 87482,B100000,00000,1330,00010PATIENT DAYS :SOCIAL SERVICE 87482,B100000,00000,1350,00010PATIENT DAYS :RECREATION 87482,E10A180,00501,0100,03/31/2000 87482,E10A180,00501,0300,03/31/2000 87482,S000000,00100,0200,03/06/2000 87482,S200000,00100,0100,1555 NORTH MERIDIAN 87482,S200000,00200,0100,WITCHITA 87482,S200000,00200,0200,KS 87482,S200000,00200,0300,67203- 87482,S200000,00300,0100,SEDGWICK 87482,S200000,00300,0300,U 87482,S200000,00400,0100,CHRIST VILLA NURSING CENTER 87482,S200000,00400,0200,175274 87482,S200000,00400,0300,02/16/1994 87482,S200000,00400,0500,P 87482,S200000,01600,0100,Y 87482,S200000,02200,0100,Y 87492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87492,A000000,00300,0000,00300EMPLOYEE BENEFITS 87492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87492,A000000,00700,0000,00700HOUSEKEEPING 87492,A000000,00800,0000,00800DIETARY 87492,A000000,00900,0000,00900NURSING ADMINISTRATION 87492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87492,A000000,01100,0000,01100PHARMACY 87492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87492,A000000,01300,0000,01300SOCIAL SERVICE 87492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87492,A000000,01600,0000,01600SKILLED NURSING FACILITY 87492,A000000,01800,0000,01800NURSING FACILITY 87492,A000000,01900,0000,01900OTHER LONG TERM CARE 87492,A000000,02100,0000,02100RADIOLOGY 87492,A000000,02200,0000,02200LABORATORY 87492,A000000,02300,0000,02300INTRAVENOUS THERAPY 87492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87492,A000000,02500,0000,02500PHYSICAL THERAPY 87492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87492,A000000,02700,0000,02700SPEECH PATHOLOGY 87492,A000000,02800,0000,02800ELECTROCARDIOLOGY 87492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87492,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87492,A000000,03200,0000,03200SUPPORT SURFACES 87492,A000000,03400,0000,03400CLINIC 87492,A000000,03500,0000,03500RURAL HEALTH CLINIC 87492,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87492,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87492,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87492,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87492,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87492,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87492,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87492,A000000,04400,0000,04400DME RENTED - HHA 87492,A000000,04500,0000,04500DME SOLD - HHA 87492,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87492,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87492,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87492,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87492,A000000,05300,0000,05300INTEREST EXPENSE 87492,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87492,A000000,05500,0000,05500HOSPICE 87492,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87492,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87492,A000000,06100,0000,06100NONPAID WORKERS 87492,A000000,06200,0000,06200PATIENTS LAUNDRY 87492,A81000A,00100,0100,Y 87492,A81000B,00100,0300,MANAGEMENT FEES 87492,A81000C,00100,0100,A 87492,A81000C,00100,0200,R H MONTGOMERY 87492,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87492,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87492,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87492,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87492,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87492,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87492,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87492,B100000,00000,0850,00000PAT DAYS :DIETARY 87492,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87492,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87492,B100000,00000,1150,00000BLANK :PHARMACY 87492,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87492,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87492,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87492,S000000,00100,0200,05/25/2000 87492,S200000,00100,0100,908 NORTH PEARL 87492,S200000,00200,0100,PAOLA 87492,S200000,00200,0200,KS 87492,S200000,00200,0300,66071- 87492,S200000,00300,0100,MIAMI 87492,S200000,00400,0100,COUNTRY HAVEN NURSING CENTER 87492,S200000,00400,0200,175276 87492,S200000,00400,0300,02/01/1994 87492,S200000,00400,0500,P 87492,S200000,01600,0100,Y 87492,S200000,02200,0100,Y 87492,S200000,04300,0100,Y 87492,S700003,00000,0100,1 87500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87500,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87500,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87500,A000000,00300,0000,00300EMPLOYEE BENEFITS 87500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87500,A000000,00700,0000,00700HOUSEKEEPING 87500,A000000,00800,0000,00800DIETARY 87500,A000000,00801,0000,00801CAFETERIA 87500,A000000,00900,0000,00900NURSING ADMINISTRATION 87500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87500,A000000,01100,0000,01100PHARMACY 87500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87500,A000000,01300,0000,01300SOCIAL SERVICE 87500,A000000,01350,0000,01500ACTIVITIES 87500,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87500,A000000,01600,0000,01600SKILLED NURSING FACILITY 87500,A000000,01800,0000,01800NURSING FACILITY 87500,A000000,01900,0000,01900OTHER LONG TERM CARE 87500,A000000,02100,0000,02100RADIOLOGY 87500,A000000,02200,0000,02200LABORATORY 87500,A000000,02300,0000,02300INTRAVENOUS THERAPY 87500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87500,A000000,02500,0000,02500PHYSICAL THERAPY 87500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87500,A000000,02700,0000,02700SPEECH PATHOLOGY 87500,A000000,02800,0000,02800ELECTROCARDIOLOGY 87500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87500,A000000,03050,0000,03300OTHER ANCILLARY 87500,A000000,03051,0000,03301OTHER ANCILLARY II 87500,A000000,03052,0000,03302OTHER ANCILLARY III 87500,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87500,A000000,03200,0000,03200SUPPORT SURFACES 87500,A000000,03400,0000,03400CLINIC 87500,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87500,A000000,03500,0000,03500RURAL HEALTH CLINIC 87500,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87500,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87500,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87500,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87500,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87500,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87500,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87500,A000000,04400,0000,04400DME RENTED - HHA 87500,A000000,04500,0000,04500DME SOLD - HHA 87500,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87500,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87500,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87500,A000000,04800,0000,04800AMBULANCE 87500,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87500,A000000,05000,0000,05000CORF 87500,A000000,05010,0000,05010CMHC I 87500,A000000,05020,0000,05020OPT I 87500,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87500,A000000,05300,0000,05300INTEREST EXPENSE 87500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87500,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87500,A000000,05500,0000,05500HOSPICE 87500,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87500,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87500,A000000,06100,0000,06100NONPAID WORKERS 87500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87500,A000000,06200,0000,06200PATIENTS LAUNDRY 87500,A81000A,00100,0100,Y 87500,A81000B,00100,0300,MANAGEMENT FEES-RMC 87500,A81000B,00200,0300,MGMT FEES-RMC-CAP 87500,A81000B,00300,0300,BILLING COORD-RMC 87500,A81000B,00400,0300,BUILDING LEASE-RMLC 87500,A81000B,00500,0300,INTEREST EXP-RMLC 87500,A81000B,00600,0300,AMORT-FINANCE-RMLC 87500,A81000B,00700,0300,ORG. COSTS-RMLC 87500,A81000B,00800,0300,PHARMACY COSTS-SUNF 87500,A81000B,00900,0300,PHARMACY CONS-SUNFL 87500,A81000C,00100,0100,B 87500,A81000C,00100,0400,RETIREMENT MGMT 87500,A81000C,00100,0600,FACILITY MGMT 87500,A81000C,00200,0100,B 87500,A81000C,00200,0400,RMC LEASING 87500,A81000C,00200,0600,LEASING COMPANY 87500,A81000C,00300,0100,B 87500,A81000C,00300,0400,SUNFLOWER PHARM 87500,A81000C,00300,0600,PHARMACY 87500,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87500,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87500,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87500,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87500,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87500,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 87500,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87500,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87500,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 87500,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 87500,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 87500,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 87500,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87500,S000000,00100,0200,09/07/2000 87500,S200000,00100,0100,1501 INVERNESS DRIVE 87500,S200000,00200,0100,LAWRENCE 87500,S200000,00200,0200,KS 87500,S200000,00200,0300,66047- 87500,S200000,00300,0100,DOUGLAS 87500,S200000,00300,0200,4150 87500,S200000,00300,0300,U 87500,S200000,00400,0100,BRANDON WOODS INC. 87500,S200000,00400,0200,175277 87500,S200000,00400,0300,08/01/1993 87500,S200000,00400,0500,P 87500,S200000,01500,0100,Y 87500,S200000,02200,0100,Y 87500,S200000,02800,0100,Y 87514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87514,A000000,00300,0000,00300EMPLOYEE BENEFITS 87514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87514,A000000,00700,0000,00700HOUSEKEEPING 87514,A000000,00800,0000,00800DIETARY 87514,A000000,00900,0000,00900NURSING ADMINISTRATION 87514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87514,A000000,01100,0000,01100PHARMACY 87514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87514,A000000,01300,0000,01300SOCIAL SERVICE 87514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87514,A000000,01600,0000,01600SKILLED NURSING FACILITY 87514,A000000,01800,0000,01800NURSING FACILITY 87514,A000000,01900,0000,01900OTHER LONG TERM CARE 87514,A000000,02100,0000,02100RADIOLOGY 87514,A000000,02200,0000,02200LABORATORY 87514,A000000,02300,0000,02300INTRAVENOUS THERAPY 87514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87514,A000000,02500,0000,02500PHYSICAL THERAPY 87514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87514,A000000,02700,0000,02700SPEECH PATHOLOGY 87514,A000000,02800,0000,02800ELECTROCARDIOLOGY 87514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87514,A000000,03200,0000,03200SUPPORT SURFACES 87514,A000000,03400,0000,03400CLINIC 87514,A000000,03500,0000,03500RURAL HEALTH CLINIC 87514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87514,A000000,04400,0000,04400DME RENTED - HHA 87514,A000000,04500,0000,04500DME SOLD - HHA 87514,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87514,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87514,A000000,05300,0000,05300INTEREST EXPENSE 87514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87514,A000000,05500,0000,05500HOSPICE 87514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87514,A000000,06100,0000,06100NONPAID WORKERS 87514,A000000,06200,0000,06200PATIENTS LAUNDRY 87514,A81000A,00100,0100,Y 87514,A81000B,00100,0300,MANAGEMENT FEES 87514,A81000C,00100,0100,A 87514,A81000C,00100,0200,R H MONTGOMERY 87514,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 87514,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 87514,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87514,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 87514,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 87514,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87514,B100000,00000,0850,00000PAT DAYS :DIETARY 87514,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 87514,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 87514,B100000,00000,1150,00000BLANK :PHARMACY 87514,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 87514,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 87514,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 87514,S000000,00100,0200,05/25/2000 87514,S200000,00100,0100,320 S. LINCOLN 87514,S200000,00200,0100,RUSSELL 87514,S200000,00200,0200,KS 87514,S200000,00200,0300,67665- 87514,S200000,00300,0100,RUSSELL 87514,S200000,00400,0100,WHEATLAND NURSING CENTER 87514,S200000,00400,0200,175286 87514,S200000,00400,0300,04/04/1994 87514,S200000,00400,0500,P 87514,S200000,01600,0100,Y 87514,S200000,02200,0100,Y 87514,S200000,04300,0100,Y 87514,S700003,00000,0100,1 87519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87519,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87519,A000000,00300,0000,00300EMPLOYEE BENEFITS 87519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87519,A000000,00700,0000,00700HOUSEKEEPING 87519,A000000,00800,0000,00800DIETARY 87519,A000000,00900,0000,00900NURSING ADMINISTRATION 87519,A000000,01100,0000,01100PHARMACY 87519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87519,A000000,01300,0000,01300SOCIAL SERVICE 87519,A000000,01350,0000,01500ACTIVITIES 87519,A000000,01600,0000,01600SKILLED NURSING FACILITY 87519,A000000,01800,0000,01800NURSING FACILITY 87519,A000000,02100,0000,02100RADIOLOGY 87519,A000000,02200,0000,02200LABORATORY 87519,A000000,02300,0000,02300INTRAVENOUS THERAPY 87519,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87519,A000000,02500,0000,02500PHYSICAL THERAPY 87519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87519,A000000,02700,0000,02700SPEECH PATHOLOGY 87519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87519,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87519,A000000,03200,0000,03200SUPPORT SURFACES 87519,A000000,05300,0000,05300INTEREST EXPENSE 87519,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87519,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87519,A81000A,00100,0100,Y 87519,A81000B,00100,0300,HOME OFFICE COST A&G 87519,A81000C,00100,0100,B 87519,A81000C,00100,0200,HUNTER CARE CEN 87519,A81000C,00100,0400,HUNTER CARE CEN 87519,A81000C,00100,0600,MANAGEMENT SERV 87519,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87519,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87519,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87519,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87519,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87519,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87519,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87519,B100000,00000,0800,00000MEALS SERVED :DIETARY 87519,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87519,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 87519,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87519,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87519,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87519,S000000,00100,0200,11/10/2000 87519,S200000,00100,0100,310 WEST COPELAND 87519,S200000,00200,0100,PRATT 87519,S200000,00200,0200,KS 87519,S200000,00200,0300,68301- 87519,S200000,00300,0100,PRATT 87519,S200000,00400,0100,FRIENDSHIP MANOR OF PRATT 87519,S200000,00400,0200,175315 87519,S200000,00400,0300,10/01/1994 87519,S200000,00400,0500,P 87519,S200000,01500,0100,Y 87529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87529,A000000,00300,0000,00300EMPLOYEE BENEFITS 87529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87529,A000000,00700,0000,00700HOUSEKEEPING 87529,A000000,00800,0000,00800DIETARY 87529,A000000,00900,0000,00900NURSING ADMINISTRATION 87529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87529,A000000,01100,0000,01100PHARMACY 87529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87529,A000000,01300,0000,01300SOCIAL SERVICE 87529,A000000,01350,0000,01500OTHER GENERAL SERVICES 87529,A000000,01600,0000,01600SKILLED NURSING FACILITY 87529,A000000,01800,0000,01800NURSING FACILITY 87529,A000000,02100,0000,02100RADIOLOGY 87529,A000000,02200,0000,02200LABORATORY 87529,A000000,02300,0000,02300INTRAVENOUS THERAPY 87529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87529,A000000,02500,0000,02500PHYSICAL THERAPY 87529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87529,A000000,02700,0000,02700SPEECH PATHOLOGY 87529,A000000,02800,0000,02800ELECTROCARDIOLOGY 87529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87529,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87529,A000000,03200,0000,03200SUPPORT SURFACES 87529,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87529,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87529,A000000,05000,0000,05000CORF 87529,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87529,A000000,05300,0000,05300INTEREST EXPENSE 87529,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87529,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87529,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87529,A000000,06100,0000,06100NONPAID WORKERS 87529,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87529,A000000,06200,0000,06200PATIENTS LAUNDRY 87529,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87529,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87529,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87529,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87529,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87529,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87529,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87529,B100000,00000,0800,00000MEALS SERVED :DIETARY 87529,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87529,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 87529,B100000,00000,1150,00000NO STATISTICS :PHARMACY 87529,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87529,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87529,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 87529,S000000,00100,0200,05/23/2000 87529,S200000,00100,0100,3094 SOUTH STATE 87529,S200000,00200,0100,SALT LAKE CITY 87529,S200000,00200,0200,UT 87529,S200000,00200,0300,84115- 87529,S200000,00300,0100,SALT LAKE 87529,S200000,00400,0100,HEARTLAND CARE CENTER 87529,S200000,00400,0200,175321 87529,S200000,00400,0300,10/01/1994 87529,S200000,00400,0500,P 87529,S200000,01600,0100,Y 87529,S200000,02800,0100,Y 87529,S200000,03100,0100,Y 87529,S700003,00000,0100,1 87538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87538,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87538,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87538,A000000,00300,0000,00300EMPLOYEE BENEFITS 87538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87538,A000000,00700,0000,00700HOUSEKEEPING 87538,A000000,00800,0000,00800DIETARY 87538,A000000,00801,0000,00801CAFETERIA 87538,A000000,00900,0000,00900NURSING ADMINISTRATION 87538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87538,A000000,01100,0000,01100PHARMACY 87538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87538,A000000,01300,0000,01300SOCIAL SERVICE 87538,A000000,01350,0000,01500ACTIVITIES 87538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87538,A000000,01600,0000,01600SKILLED NURSING FACILITY 87538,A000000,01800,0000,01800NURSING FACILITY 87538,A000000,01900,0000,01900OTHER LONG TERM CARE 87538,A000000,02100,0000,02100RADIOLOGY 87538,A000000,02200,0000,02200LABORATORY 87538,A000000,02300,0000,02300INTRAVENOUS THERAPY 87538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87538,A000000,02500,0000,02500PHYSICAL THERAPY 87538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87538,A000000,02700,0000,02700SPEECH PATHOLOGY 87538,A000000,02800,0000,02800ELECTROCARDIOLOGY 87538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87538,A000000,03050,0000,03300OTHER ANCILLARY 87538,A000000,03051,0000,03301OTHER ANCILLARY II 87538,A000000,03052,0000,03302OTHER ANCILLARY III 87538,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87538,A000000,03200,0000,03200SUPPORT SURFACES 87538,A000000,03400,0000,03400CLINIC 87538,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87538,A000000,03500,0000,03500RURAL HEALTH CLINIC 87538,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87538,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87538,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87538,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87538,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87538,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87538,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87538,A000000,04400,0000,04400DME RENTED - HHA 87538,A000000,04500,0000,04500DME SOLD - HHA 87538,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87538,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87538,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87538,A000000,04800,0000,04800AMBULANCE 87538,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87538,A000000,05000,0000,05000CORF 87538,A000000,05010,0000,05010CMHC I 87538,A000000,05020,0000,05020OPT I 87538,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87538,A000000,05300,0000,05300INTEREST EXPENSE 87538,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87538,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87538,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87538,A000000,05500,0000,05500HOSPICE 87538,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87538,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87538,A000000,06100,0000,06100NONPAID WORKERS 87538,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87538,A000000,06200,0000,06200PATIENTS LAUNDRY 87538,A81000A,00100,0100,Y 87538,A81000B,00100,0300,H.O. CAP 87538,A81000B,00200,0300,H.O. A&G 87538,A81000C,00100,0100,B 87538,A81000C,00100,0200,ASCEND HLTHCARE 87538,A81000C,00100,0600,LONG TERM 87538,A81000C,00200,0600,CARE MGMT 87538,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87538,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87538,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87538,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87538,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87538,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87538,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87538,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87538,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87538,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87538,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87538,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87538,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87538,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87538,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87538,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87538,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87538,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87538,E10A180,00501,0100,07/21/2000 87538,E10A180,00501,0300,07/21/2000 87538,S000000,00100,0200,05/31/2000 87538,S200000,00100,0100,1020 PINE 87538,S200000,00200,0100,HUMBOLDT 87538,S200000,00200,0200,KS 87538,S200000,00200,0300,66748- 87538,S200000,00300,0100,ALLEN 87538,S200000,00400,0100,PINECREST NURSING HOME 87538,S200000,00400,0200,175345 87538,S200000,00400,0300,04/01/1996 87538,S200000,00400,0500,P 87538,S200000,01600,0100,Y 87538,S200000,02200,0100,Y 87546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87546,A000000,00300,0000,00300EMPLOYEE BENEFITS 87546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87546,A000000,00700,0000,00700HOUSEKEEPING 87546,A000000,00800,0000,00800DIETARY 87546,A000000,00900,0000,00900NURSING ADMINISTRATION 87546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87546,A000000,01100,0000,01100PHARMACY 87546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87546,A000000,01300,0000,01300SOCIAL SERVICE 87546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87546,A000000,01600,0000,01600SKILLED NURSING FACILITY 87546,A000000,01800,0000,01800NURSING FACILITY 87546,A000000,01900,0000,01900OTHER LONG TERM CARE 87546,A000000,02100,0000,02100RADIOLOGY 87546,A000000,02200,0000,02200LABORATORY 87546,A000000,02300,0000,02300INTRAVENOUS THERAPY 87546,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87546,A000000,02500,0000,02500PHYSICAL THERAPY 87546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87546,A000000,02700,0000,02700SPEECH PATHOLOGY 87546,A000000,02800,0000,02800ELECTROCARDIOLOGY 87546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87546,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87546,A000000,03200,0000,03200SUPPORT SURFACES 87546,A000000,03400,0000,03400CLINIC 87546,A000000,03500,0000,03500RURAL HEALTH CLINIC 87546,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87546,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87546,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87546,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87546,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87546,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87546,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87546,A000000,04400,0000,04400DME RENTED - HHA 87546,A000000,04500,0000,04500DME SOLD - HHA 87546,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87546,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87546,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87546,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87546,A000000,05300,0000,05300INTEREST EXPENSE 87546,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87546,A000000,05500,0000,05500HOSPICE 87546,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87546,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87546,A000000,06100,0000,06100NONPAID WORKERS 87546,A000000,06200,0000,06200PATIENTS LAUNDRY 87546,A81000A,00100,0100,Y 87546,A81000B,00100,0300,ADJUST ADMINISTRATIVE WAGES 87546,A81000C,00100,0100,A 87546,A81000C,00100,0200,JAMES A KLAUSMN 87546,A81000C,00100,0400,MIDWEST HEALTH 87546,A81000C,00100,0600,CENTRAL OFFICE 87546,A81000C,00200,0100,A 87546,A81000C,00200,0200,F.C. EATON JR 87546,A81000C,00200,0400,MIDWEST HEALTH 87546,A81000C,00200,0600,CENTRAL OFFICE 87546,A81000C,00300,0100,A 87546,A81000C,00300,0200,DEE KLAUSMAN 87546,A81000C,00300,0400,MIDWEST HEALTH 87546,A81000C,00300,0600,CENTRAL OFFICE 87546,A81000C,00400,0100,A 87546,A81000C,00400,0200,VIRGINIA EATON 87546,A81000C,00400,0400,MIDWEST HEALTH 87546,A81000C,00400,0600,CENTRAL OFFICE 87546,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87546,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87546,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 87546,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87546,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87546,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 87546,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87546,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 87546,B100000,00000,0900,00000NURSING ADM. HOURS :NURSING ADMINIS 87546,B100000,00000,1050,00000SUPPY CHARGES :CENTRAL SERVICES & 87546,B100000,00000,1150,00000PHARMACY CHARGES :PHARMACY 87546,B100000,00000,1250,00000MEDICAL RECORDS HR :MEDICAL RECORDS 87546,B100000,00000,1330,00000SOCIAL SERVICE HO :SOCIAL SERVICE 87546,B100000,00000,1450,00000 ACCUM. COST :INTERNS & RESIDENTS ( 87546,S000000,00100,0200,05/30/2000 87546,S200000,00100,0100,234 MANOR CIRCLE 87546,S200000,00200,0100,ALMA 87546,S200000,00200,0200,KS 87546,S200000,00200,0300,66401- 87546,S200000,00300,0100,WABAUNSEE 87546,S200000,00400,0100,ALMA MANOR INC. 87546,S200000,00400,0200,175346 87546,S200000,00400,0300,07/01/1995 87546,S200000,00400,0500,P 87546,S200000,01600,0100,Y 87546,S200000,02200,0100,Y 87546,S700003,00000,0100,1 87560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87560,A000000,00300,0000,00300EMPLOYEE BENEFITS 87560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87560,A000000,00700,0000,00700HOUSEKEEPING 87560,A000000,00800,0000,00800DIETARY 87560,A000000,00900,0000,00900NURSING ADMINISTRATION 87560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87560,A000000,01100,0000,01100PHARMACY 87560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87560,A000000,01300,0000,01300SOCIAL SERVICE 87560,A000000,01301,0000,01301ACTIVITIES 87560,A000000,01350,0000,01500OTHER GENERAL SERVICES 87560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87560,A000000,01600,0000,01600SKILLED NURSING FACILITY 87560,A000000,01800,0000,01800NURSING FACILITY 87560,A000000,01900,0000,01900OTHER LONG TERM CARE 87560,A000000,02100,0000,02100RADIOLOGY 87560,A000000,02200,0000,02200LABORATORY 87560,A000000,02300,0000,02300INTRAVENOUS THERAPY 87560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87560,A000000,02500,0000,02500PHYSICAL THERAPY 87560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87560,A000000,02700,0000,02700SPEECH PATHOLOGY 87560,A000000,02800,0000,02800ELECTROCARDIOLOGY 87560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87560,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87560,A000000,03200,0000,03200SUPPORT SURFACES 87560,A000000,03400,0000,03400CLINIC 87560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87560,A000000,03500,0000,03500RURAL HEALTH CLINIC 87560,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87560,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87560,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87560,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87560,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87560,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87560,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87560,A000000,04400,0000,04400DME RENTED - HHA 87560,A000000,04500,0000,04500DME SOLD - HHA 87560,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87560,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87560,A000000,04800,0000,04800AMBULANCE 87560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87560,A000000,05000,0000,05000CORF 87560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87560,A000000,05300,0000,05300INTEREST EXPENSE 87560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87560,A000000,05500,0000,05500HOSPICE 87560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87560,A000000,06100,0000,06100NONPAID WORKERS 87560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87560,A000000,06200,0000,06200PATIENTS LAUNDRY 87560,A81000A,00100,0100,Y 87560,A81000B,00100,0300,MANAGEMENT FEES 87560,A81000B,00200,0300,CAPITAL 87560,A81000C,00100,0100,A 87560,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 87560,A81000C,00100,0400,LENOX HEALTHCARE INC. 87560,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87560,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87560,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87560,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87560,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87560,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87560,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87560,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87560,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87560,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87560,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87560,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 87560,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87560,S000000,00100,0200,12/14/1999 87560,S200000,00100,0100,1101 DONALD AVENUE 87560,S200000,00200,0100,INDEPENDENCE 87560,S200000,00200,0200,KS 87560,S200000,00200,0300,67301- 87560,S200000,00300,0100,MONTGOMERY 87560,S200000,00400,0100,THE TERRACE AT INDEPENDENCE 87560,S200000,00400,0200,175352 87560,S200000,00400,0300,08/01/1996 87560,S200000,00400,0500,P 87560,S200000,01004,0500,O 87560,S200000,01600,0100,Y 87560,S200000,02200,0100,Y 87560,S700003,00000,0400,4 87567,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87567,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87567,A000000,00300,0000,00300EMPLOYEE BENEFITS 87567,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87567,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87567,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87567,A000000,00700,0000,00700HOUSEKEEPING 87567,A000000,00800,0000,00800DIETARY 87567,A000000,00900,0000,00900NURSING ADMINISTRATION 87567,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87567,A000000,01100,0000,01100PHARMACY 87567,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87567,A000000,01300,0000,01300SOCIAL SERVICE 87567,A000000,01350,0000,01500OTHER GENERAL SERVICES 87567,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87567,A000000,01600,0000,01600SKILLED NURSING FACILITY 87567,A000000,01800,0000,01800NURSING FACILITY 87567,A000000,01810,0000,01810ICF/MR 87567,A000000,01900,0000,01900OTHER LONG TERM CARE 87567,A000000,02100,0000,02100RADIOLOGY 87567,A000000,02200,0000,02200LABORATORY 87567,A000000,02300,0000,02300INTRAVENOUS THERAPY 87567,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87567,A000000,02500,0000,02500PHYSICAL THERAPY 87567,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87567,A000000,02700,0000,02700SPEECH PATHOLOGY 87567,A000000,02800,0000,02800ELECTROCARDIOLOGY 87567,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87567,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87567,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87567,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87567,A000000,03200,0000,03200SUPPORT SURFACES 87567,A000000,03400,0000,03400CLINIC 87567,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87567,A000000,03500,0000,03500RURAL HEALTH CLINIC 87567,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87567,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87567,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87567,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87567,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87567,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87567,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87567,A000000,04400,0000,04400DME RENTED - HHA 87567,A000000,04500,0000,04500DME SOLD - HHA 87567,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87567,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87567,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87567,A000000,04800,0000,04800AMBULANCE 87567,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87567,A000000,05000,0000,05000CORF 87567,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87567,A000000,05300,0000,05300INTEREST EXPENSE 87567,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87567,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87567,A000000,05500,0000,05500HOSPICE 87567,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87567,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87567,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87567,A000000,06100,0000,06100NONPAID WORKERS 87567,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87567,A000000,06200,0000,06200PATIENTS LAUNDRY 87567,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87567,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87567,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87567,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87567,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87567,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87567,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87567,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87567,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87567,H510100,00000,0000,17 87567,H510100,02400,0000,17 87567,S000000,00100,0200,06/05/2000 87567,S200000,00100,0100,630 HOLLIDAY 87567,S200000,00200,0100,OSAGE CITY 87567,S200000,00200,0200,KS 87567,S200000,00200,0300,66523-1138 87567,S200000,00300,0100,OSAGE 87567,S200000,00300,0200,17 87567,S200000,00300,0300,R 87567,S200000,00400,0100,PETERSON HEALTH CARE INC. 87567,S200000,00400,0200,175360 87567,S200000,00400,0300,02/01/1996 87567,S200000,00400,0500,P 87567,S200000,01600,0100,Y 87570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87570,A000000,00300,0000,00300EMPLOYEE BENEFITS 87570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87570,A000000,00700,0000,00700HOUSEKEEPING 87570,A000000,00800,0000,00800DIETARY 87570,A000000,00900,0000,00900NURSING ADMINISTRATION 87570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87570,A000000,01100,0000,01100PHARMACY 87570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87570,A000000,01300,0000,01300SOCIAL SERVICE 87570,A000000,01350,0000,01500ACTIVITIES 87570,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87570,A000000,01600,0000,01600SKILLED NURSING FACILITY 87570,A000000,01800,0000,01800NURSING FACILITY 87570,A000000,01900,0000,01900OTHER LONG TERM CARE 87570,A000000,02100,0000,02100RADIOLOGY 87570,A000000,02200,0000,02200LABORATORY 87570,A000000,02300,0000,02300INTRAVENOUS THERAPY 87570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87570,A000000,02500,0000,02500PHYSICAL THERAPY 87570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87570,A000000,02700,0000,02700SPEECH PATHOLOGY 87570,A000000,02800,0000,02800ELECTROCARDIOLOGY 87570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87570,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87570,A000000,03200,0000,03200SUPPORT SURFACES 87570,A000000,03400,0000,03400CLINIC 87570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 87570,A000000,03500,0000,03500RURAL HEALTH CLINIC 87570,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87570,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87570,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87570,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87570,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87570,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87570,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87570,A000000,04400,0000,04400DME RENTED - HHA 87570,A000000,04500,0000,04500DME SOLD - HHA 87570,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87570,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87570,A000000,04800,0000,04800AMBULANCE 87570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87570,A000000,05000,0000,05000CORF 87570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87570,A000000,05300,0000,05300INTEREST EXPENSE 87570,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87570,A000000,05500,0000,05500HOSPICE 87570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87570,A000000,06100,0000,06100NONPAID WORKERS 87570,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87570,A000000,06200,0000,06200PATIENTS LAUNDRY 87570,A81000A,00100,0100,Y 87570,A81000B,00100,0300,MANAGEMENT FEES 87570,A81000C,00100,0100,B 87570,A81000C,00100,0200,HUNTER CARE CEN 87570,A81000C,00100,0400,HUNTER CARE CEN 87570,A81000C,00100,0600,LTC MGT 87570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87570,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87570,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87570,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87570,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87570,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 87570,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 87570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87570,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87570,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 87570,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87570,S000000,00100,0200,11/10/2000 87570,S200000,00100,0100,601 NORTH CEDAR 87570,S200000,00200,0100,MEDICINE LODGE 87570,S200000,00200,0200,KS 87570,S200000,00200,0300,67104- 87570,S200000,00300,0100,KIOWA 87570,S200000,00400,0100,CEDAR CREST MANOR 87570,S200000,00400,0200,175367 87570,S200000,00400,0300,05/01/1996 87570,S200000,00400,0500,P 87570,S200000,01004,0500,O 87570,S200000,01500,0100,Y 87580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87580,A000000,00300,0000,00300EMPLOYEE BENEFITS 87580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87580,A000000,00700,0000,00700HOUSEKEEPING 87580,A000000,00800,0000,00800DIETARY 87580,A000000,00900,0000,00900NURSING ADMINISTRATION 87580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87580,A000000,01100,0000,01100PHARMACY 87580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87580,A000000,01300,0000,01300SOCIAL SERVICE 87580,A000000,01301,0000,01301ACTIVITIES 87580,A000000,01350,0000,01500OTHER GENERAL SERVICES 87580,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87580,A000000,01600,0000,01600SKILLED NURSING FACILITY 87580,A000000,01800,0000,01800NURSING FACILITY 87580,A000000,01900,0000,01900OTHER LONG TERM CARE 87580,A000000,02100,0000,02100RADIOLOGY 87580,A000000,02200,0000,02200LABORATORY 87580,A000000,02300,0000,02300INTRAVENOUS THERAPY 87580,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87580,A000000,02500,0000,02500PHYSICAL THERAPY 87580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87580,A000000,02700,0000,02700SPEECH PATHOLOGY 87580,A000000,02800,0000,02800ELECTROCARDIOLOGY 87580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87580,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87580,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87580,A000000,03200,0000,03200SUPPORT SURFACES 87580,A000000,03400,0000,03400CLINIC 87580,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87580,A000000,03500,0000,03500RURAL HEALTH CLINIC 87580,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87580,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87580,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87580,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87580,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87580,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87580,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87580,A000000,04400,0000,04400DME RENTED - HHA 87580,A000000,04500,0000,04500DME SOLD - HHA 87580,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87580,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87580,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87580,A000000,04800,0000,04800AMBULANCE 87580,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87580,A000000,05000,0000,05000CORF 87580,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87580,A000000,05300,0000,05300INTEREST EXPENSE 87580,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87580,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87580,A000000,05500,0000,05500HOSPICE 87580,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87580,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87580,A000000,06100,0000,06100NONPAID WORKERS 87580,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87580,A000000,06200,0000,06200PATIENTS LAUNDRY 87580,A81000A,00100,0100,Y 87580,A81000B,00100,0300,CAPITAL 87580,A81000B,00200,0300,MANAGEMENT FEE 87580,A81000C,00100,0100,B 87580,A81000C,00100,0200,HUNTER CARE CENTER INC. 87580,A81000C,00100,0400,HUNTCO FARMS 87580,A81000C,00100,0600,HEALTHCARE MANAGEMENT 87580,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87580,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 87580,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87580,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87580,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87580,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87580,B100000,00000,0800,00000MEALS SERVED :DIETARY 87580,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87580,B100000,00000,1000,00000COSTED REQUIST :CENTRAL SERVICES & 87580,B100000,00000,1100,00000COSTED REQUIST :PHARMACY 87580,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87580,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87580,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87580,S000000,00100,0200,06/07/2000 87580,S200000,00100,0100,310 COPELAND 87580,S200000,00200,0100,KINGMAN 87580,S200000,00200,0200,KS 87580,S200000,00200,0300,67068- 87580,S200000,00300,0100,PRATT 87580,S200000,00300,0200,17 87580,S200000,00300,0300,R 87580,S200000,00400,0100,KINGMAN MANOR 87580,S200000,00400,0200,175382 87580,S200000,00400,0300,05/01/1996 87580,S200000,00400,0500,P 87580,S200000,00400,0600,P 87580,S200000,01500,0100,Y 87586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87586,A000000,00300,0000,00300EMPLOYEE BENEFITS 87586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87586,A000000,00700,0000,00700HOUSEKEEPING 87586,A000000,00800,0000,00800DIETARY 87586,A000000,00900,0000,00900NURSING ADMINISTRATION 87586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87586,A000000,01100,0000,01100PHARMACY 87586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87586,A000000,01300,0000,01300SOCIAL SERVICE 87586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87586,A000000,01600,0000,01600SKILLED NURSING FACILITY 87586,A000000,01800,0000,01800NURSING FACILITY 87586,A000000,02500,0000,02500PHYSICAL THERAPY 87586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87586,A000000,02700,0000,02700SPEECH PATHOLOGY 87586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87586,A000000,03550,0000,03550FQHC 87586,A000000,05000,0000,05000CORF 87586,A000000,05010,0000,05010CMHC 87586,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87586,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87586,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87586,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87586,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87586,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87586,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87586,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87586,B100000,00000,0600,00000(POUNDS) :LAUNDRY & LINEN SERVICE 87586,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87586,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87586,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 87586,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 87586,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 87586,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87586,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87586,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87586,E10A180,00301,0100,06/30/1997 87586,E10A180,00301,0300,06/30/1997 87586,S000000,00100,0200,05/30/2000 87586,S200000,00100,0100,736 HEYLMAN STREET 87586,S200000,00200,0100,FORT SCOTT 87586,S200000,00200,0200,KS 87586,S200000,00200,0300,66701- 87586,S200000,00300,0100,BOURBON 87586,S200000,00400,0100,FT. SCOTT MANOR INC. 87586,S200000,00400,0200,175384 87586,S200000,00400,0300,08/01/1996 87586,S200000,00400,0500,P 87586,S200000,01600,0100,Y 87595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87595,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87595,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87595,A000000,00300,0000,00300EMPLOYEE BENEFITS 87595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87595,A000000,00700,0000,00700HOUSEKEEPING 87595,A000000,00800,0000,00800DIETARY 87595,A000000,00801,0000,00801CAFETERIA 87595,A000000,00900,0000,00900NURSING ADMINISTRATION 87595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87595,A000000,01100,0000,01100PHARMACY 87595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87595,A000000,01300,0000,01300SOCIAL SERVICE 87595,A000000,01350,0000,01500ACTIVITIES 87595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87595,A000000,01600,0000,01600SKILLED NURSING FACILITY 87595,A000000,01800,0000,01800NURSING FACILITY 87595,A000000,01900,0000,01900OTHER LONG TERM CARE 87595,A000000,02100,0000,02100RADIOLOGY 87595,A000000,02200,0000,02200LABORATORY 87595,A000000,02300,0000,02300INTRAVENOUS THERAPY 87595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87595,A000000,02500,0000,02500PHYSICAL THERAPY 87595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87595,A000000,02700,0000,02700SPEECH PATHOLOGY 87595,A000000,02800,0000,02800ELECTROCARDIOLOGY 87595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87595,A000000,03050,0000,03300OTHER ANCILLARY 87595,A000000,03051,0000,03301OTHER ANCILLARY II 87595,A000000,03052,0000,03302OTHER ANCILLARY III 87595,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87595,A000000,03200,0000,03200SUPPORT SURFACES 87595,A000000,03400,0000,03400CLINIC 87595,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87595,A000000,03500,0000,03500RURAL HEALTH CLINIC 87595,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87595,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87595,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87595,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87595,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87595,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87595,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87595,A000000,04400,0000,04400DME RENTED - HHA 87595,A000000,04500,0000,04500DME SOLD - HHA 87595,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87595,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87595,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87595,A000000,04800,0000,04800AMBULANCE 87595,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87595,A000000,05000,0000,05000CORF 87595,A000000,05010,0000,05010CMHC I 87595,A000000,05020,0000,05020OPT I 87595,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87595,A000000,05300,0000,05300INTEREST EXPENSE 87595,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87595,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87595,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87595,A000000,05500,0000,05500HOSPICE 87595,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87595,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87595,A000000,06100,0000,06100NONPAID WORKERS 87595,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87595,A000000,06200,0000,06200PATIENTS LAUNDRY 87595,A81000A,00100,0100,Y 87595,A81000B,00100,0300,HOME OFFICE ALLOCATION 87595,A81000C,00100,0100,A 87595,A81000C,00100,0200,LEGACY HEALTH 87595,A81000C,00100,0600,LONG TERM 87595,A81000C,00200,0600,CARE MGMT 87595,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87595,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87595,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87595,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87595,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87595,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87595,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 87595,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87595,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87595,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87595,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 87595,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 87595,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87595,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 87595,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 87595,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87595,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87595,E10A180,00501,0100,08/04/2000 87595,E10A180,00501,0300,08/04/2000 87595,S000000,00100,0200,06/09/2000 87595,S200000,00100,0100,801 SOUTH FRYE STREET 87595,S200000,00200,0100,YATES CENTER 87595,S200000,00200,0200,KS 87595,S200000,00200,0300,66783- 87595,S200000,00300,0100,WOODSON 87595,S200000,00400,0100,TWIN OAKS HEALTHCARE 87595,S200000,00400,0200,175389 87595,S200000,00400,0300,10/01/1996 87595,S200000,00400,0500,P 87595,S200000,01600,0100,Y 87595,S200000,02200,0100,Y 87595,S200000,04300,0100,Y 87595,S700003,00000,0400,4 87603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87603,A000000,00300,0000,00300EMPLOYEE BENEFITS 87603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87603,A000000,00700,0000,00700HOUSEKEEPING 87603,A000000,00800,0000,00800DIETARY 87603,A000000,00900,0000,00900NURSING ADMINISTRATION 87603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87603,A000000,01100,0000,01100PHARMACY 87603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87603,A000000,01300,0000,01300SOCIAL SERVICE 87603,A000000,01350,0000,01500OTHER GENERAL SERVICES 87603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87603,A000000,01600,0000,01600SKILLED NURSING FACILITY 87603,A000000,01800,0000,01800NURSING FACILITY 87603,A000000,01900,0000,01900OTHER LONG TERM CARE 87603,A000000,02100,0000,02100RADIOLOGY 87603,A000000,02200,0000,02200LABORATORY 87603,A000000,02300,0000,02300INTRAVENOUS THERAPY 87603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87603,A000000,02500,0000,02500PHYSICAL THERAPY 87603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87603,A000000,02700,0000,02700SPEECH PATHOLOGY 87603,A000000,02800,0000,02800ELECTROCARDIOLOGY 87603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87603,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87603,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87603,A000000,03200,0000,03200SUPPORT SURFACES 87603,A000000,03400,0000,03400CLINIC 87603,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 87603,A000000,03500,0000,03500RURAL HEALTH CLINIC 87603,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87603,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87603,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87603,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87603,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87603,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87603,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87603,A000000,04400,0000,04400DME RENTED - HHA 87603,A000000,04500,0000,04500DME SOLD - HHA 87603,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87603,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87603,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87603,A000000,04800,0000,04800AMBULANCE 87603,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87603,A000000,05000,0000,05000CORF 87603,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87603,A000000,05300,0000,05300INTEREST EXPENSE 87603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87603,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87603,A000000,05500,0000,05500HOSPICE 87603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87603,A000000,05801,0000,05801REAL ESTATE TAXES 87603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87603,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87603,A000000,06100,0000,06100NONPAID WORKERS 87603,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87603,A000000,06200,0000,06200PATIENTS LAUNDRY 87603,A81000A,00100,0100,Y 87603,A81000B,00100,0300,SALARIES 87603,A81000B,00200,0300,OTHER 87603,A81000B,00300,0300,BENEFITS 87603,A81000C,00100,0100,A 87603,A81000C,00100,0200,ROYAL CREST 87603,A81000C,00100,0400,HOLIDAY RESORT-EMPORIA 87603,A81000C,00100,0600,NURSING FACILITY 87603,A81000C,00200,0100,A 87603,A81000C,00200,0200,ROYAL CREST 87603,A81000C,00200,0400,HOLIDAY RESORT-EMPORIA 87603,A81000C,00200,0600,NURSING FACILITY 87603,A81000C,00300,0100,A 87603,A81000C,00300,0200,ROYAL CREST 87603,A81000C,00300,0400,HOLIDAY RESORT-EMPORIA 87603,A81000C,00300,0600,NURSING FACILITY 87603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87603,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87603,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87603,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87603,B100000,00000,0850,00000PATIENT DAYS :DIETARY 87603,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87603,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 87603,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 87603,B100000,00000,1250,00000GROSS PATIEN :MEDICAL RECORDS & LI 87603,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87603,S000000,00100,0200,03/19/2001 87603,S200000,00100,0100,2825 RESORT DRIVE 87603,S200000,00200,0100,SALINA 87603,S200000,00200,0200,KS 87603,S200000,00200,0300,67401- 87603,S200000,00300,0100,SALINE 87603,S200000,00300,0300,R 87603,S200000,00400,0100,HOLIDAY RESORT OF SALINA 87603,S200000,00400,0200,175423 87603,S200000,00400,0300,11/28/1997 87603,S200000,00400,0500,P 87603,S200000,01600,0100,Y 87617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87617,A000000,00300,0000,00300EMPLOYEE BENEFITS 87617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87617,A000000,00700,0000,00700HOUSEKEEPING 87617,A000000,00800,0000,00800DIETARY 87617,A000000,00900,0000,00900NURSING ADMINISTRATION 87617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87617,A000000,01100,0000,01100PHARMACY 87617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87617,A000000,01300,0000,01300SOCIAL SERVICE 87617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87617,A000000,01600,0000,01600SKILLED NURSING FACILITY 87617,A000000,01810,0000,01810ICF/MR 87617,A000000,02500,0000,02500PHYSICAL THERAPY 87617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87617,A000000,02700,0000,02700SPEECH PATHOLOGY 87617,A000000,03550,0000,03550FQHC 87617,A000000,05000,0000,05000CORF 87617,A000000,05010,0000,05010CMHC 87617,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87617,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87617,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87617,A81000A,00100,0100,Y 87617,A81000B,00100,0300,MANAGEMENT FEES 87617,A81000B,00200,0300,LEASE EXPENSE 87617,A81000C,00100,0100,A 87617,A81000C,00100,0200,JACK & ELDORA V 87617,A81000C,00100,0400,VETTER HEALTH 87617,A81000C,00100,0600,MANAGEMENT COMP 87617,A81000C,00200,0400,VETTER LEASING 87617,A81000C,00200,0600,LEASING COMPANY 87617,B100000,00000,0150,00040PATIENT DAYS :CAP REL COSTS - BLDG 87617,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 87617,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 87617,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 87617,B100000,00000,0550,00040PATIENT DAYS :PLANT OPERATION MAI 87617,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 87617,B100000,00000,0750,00040PATIENT DAYS :HOUSEKEEPING 87617,B100000,00000,0850,00040PATIENT DAYS :DIETARY 87617,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 87617,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 87617,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 87617,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 87617,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 87617,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 87617,S000000,00100,0200,11/30/2000 87617,S200000,00100,0100,217 EAST 14TH STREET 87617,S200000,00200,0100,BAXTER SPRINGS 87617,S200000,00200,0200,KS 87617,S200000,00200,0300,66713- 87617,S200000,00400,0100,SPRING VALLEY CARE CENTER 87617,S200000,00400,0200,175432 87617,S200000,00400,0300,04/01/1998 87617,S200000,00400,0500,P 87617,S200000,01004,0500,O 87617,S200000,01500,0100,Y 87617,S700003,00000,0400,4 87751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87751,A000000,00300,0000,00300EMPLOYEE BENEFITS 87751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87751,A000000,00700,0000,00700HOUSEKEEPING 87751,A000000,00800,0000,00800DIETARY 87751,A000000,00900,0000,00900NURSING ADMINISTRATION 87751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87751,A000000,01100,0000,01100PHARMACY 87751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87751,A000000,01300,0000,01300SOCIAL SERVICE 87751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87751,A000000,01600,0000,01600SKILLED NURSING FACILITY 87751,A000000,01800,0000,01800NURSING FACILITY 87751,A000000,01810,0000,01810ICF/MR 87751,A000000,02100,0000,02100RADIOLOGY 87751,A000000,02200,0000,02200LABORATORY 87751,A000000,02300,0000,02300INTRAVENOUS THERAPY 87751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87751,A000000,02500,0000,02500PHYSICAL THERAPY 87751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87751,A000000,02700,0000,02700SPEECH PATHOLOGY 87751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87751,A000000,03200,0000,03200SUPPORT SURFACES 87751,A000000,03550,0000,03550FQHC 87751,A000000,05000,0000,05000CORF 87751,A000000,05010,0000,05010CMHC 87751,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87751,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87751,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87751,A000000,05300,0000,05300INTEREST EXPENSE 87751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87751,A81000A,00100,0100,Y 87751,A81000B,00100,0300,LEASE OF BUILDING 87751,A81000B,00200,0300,LEASE OF BUILDING 87751,A81000B,00300,0300,LEASE OF BUILDING 87751,A81000B,00400,0300,HOME OFFICE COSTS 87751,A81000B,00500,0300,RENT EXPENSE 87751,A81000B,00600,0300,MEDICAL EQUIPMENT 87751,A81000B,00700,0300,MEDICAL SUPPLIES 87751,A81000B,00800,0300,OXYGEN SUPPLIES 87751,A81000B,00900,0300,NURSING SUPPLIES 87751,A81000B,01000,0300,MANAGEMENT FEE 87751,A81000B,01100,0300,IV EXPENSE 87751,A81000B,01200,0300,RX DRUGS 87751,A81000B,01300,0300,OTC DRUGS 87751,A81000B,01400,0300,MEDICAL SUPPLIES 87751,A81000C,00100,0100,A 87751,A81000C,00100,0200,TIMOTHY GOUX 87751,A81000C,00100,0400,TRIG PROPERTIES 87751,A81000C,00100,0600,LANDLORD 87751,A81000C,00200,0100,A 87751,A81000C,00200,0200,RONALD GOUX 87751,A81000C,00200,0400,TRIG PROPERTIES 87751,A81000C,00200,0600,LANDLORD 87751,A81000C,00300,0100,A 87751,A81000C,00300,0200,JEREMY GOUX 87751,A81000C,00300,0400,TRIG PROPERTIES 87751,A81000C,00300,0600,LANDLORD 87751,A81000C,00400,0100,A 87751,A81000C,00400,0200,TIMOTHY GOUX 87751,A81000C,00400,0400,HEALTHCARE PROP 87751,A81000C,00400,0600,MANAGEMENT COMP 87751,A81000C,00500,0100,A 87751,A81000C,00500,0200,TIMOTHY GOUX 87751,A81000C,00500,0400,WOUND CARE AMER 87751,A81000C,00500,0600,MEDICAL SUPPLIE 87751,A81000C,00600,0100,A 87751,A81000C,00600,0200,RONALD GOUX 87751,A81000C,00600,0400,PONCHATRAIN PHA 87751,A81000C,00600,0600,PHARMACY 87751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87751,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87751,B100000,00000,0750,00000SQ. FT EX KIT:HOUSEKEEPING 87751,B100000,00000,0800,00000MEALS SERVED :DIETARY 87751,B100000,00000,0950,00000DIRECT NSG SALARY :NURSING ADMINIST 87751,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87751,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87751,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87751,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87751,E10A180,00301,0100,09/15/1999 87751,S000000,00100,0200,06/28/2000 87751,S200000,00100,0100,1420 GENERAL TAYLOR 87751,S200000,00200,0100,NEW ORLEANS 87751,S200000,00200,0200,LA 87751,S200000,00200,0300,70115- 87751,S200000,00300,0100,ORLEANS 87751,S200000,00300,0200,5560 87751,S200000,00300,0300,U 87751,S200000,00400,0100,CRESCENT CITY HEALTHCARE CENTER 87751,S200000,00400,0200,195174 87751,S200000,00400,0300,10/01/1984 87751,S200000,00400,0500,P 87751,S200000,00400,0600,O 87751,S200000,01600,0100,Y 87751,S200000,02200,0100,Y 87758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87758,A000000,00300,0000,00300EMPLOYEE BENEFITS 87758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87758,A000000,00700,0000,00700HOUSEKEEPING 87758,A000000,00800,0000,00800DIETARY 87758,A000000,00900,0000,00900NURSING ADMINISTRATION 87758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87758,A000000,01100,0000,01100PHARMACY 87758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87758,A000000,01300,0000,01300SOCIAL SERVICE 87758,A000000,01301,0000,01301ACTIVITIES 87758,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 87758,A000000,01600,0000,01600SKILLED NURSING FACILITY 87758,A000000,01800,0000,01800NURSING FACILITY 87758,A000000,01900,0000,01900OTHER LONG TERM CARE 87758,A000000,02100,0000,02100RADIOLOGY 87758,A000000,02200,0000,02200LABORATORY 87758,A000000,02300,0000,02300INTRAVENOUS THERAPY 87758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87758,A000000,02500,0000,02500PHYSICAL THERAPY 87758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87758,A000000,02700,0000,02700SPEECH PATHOLOGY 87758,A000000,02800,0000,02800ELECTROCARDIOLOGY 87758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87758,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87758,A000000,03051,0000,03301PEN THERAPY 87758,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87758,A000000,03200,0000,03200SUPPORT SURFACES 87758,A000000,03400,0000,03400CLINIC 87758,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 87758,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87758,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87758,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87758,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87758,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87758,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87758,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87758,A000000,04400,0000,04400DME RENTED - HHA 87758,A000000,04500,0000,04500DME SOLD - HHA 87758,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87758,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87758,A000000,04800,0000,04800AMBULANCE 87758,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87758,A000000,05000,0000,05000CORF 87758,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87758,A000000,05300,0000,05300INTEREST EXPENSE 87758,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87758,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87758,A000000,05500,0000,05500HOSPICE 87758,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87758,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87758,A000000,06100,0000,06100NONPAID WORKERS 87758,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87758,A000000,06200,0000,06200PATIENTS LAUNDRY 87758,A81000A,00100,0100,Y 87758,A81000B,00100,0300,NON CERT 87758,A81000B,00200,0300,MEDICAL SUPPLIES 87758,A81000B,00300,0300,ADMIN 87758,A81000B,00400,0300,DIETARY 87758,A81000B,00500,0300,DRUGS 87758,A81000B,00600,0300,IV THERAPY 87758,A81000B,00700,0300,PT 87758,A81000B,00800,0300,OT 87758,A81000B,00900,0300,ST 87758,A81000B,01000,0300,HOME OFFICE INTEREST 87758,A81000B,01100,0300,HOME OFFICE COST 87758,A81000C,00100,0100,B 87758,A81000C,00100,0200,MEADOWCREST 11- 87758,A81000C,00100,0400,MARINER POST-AC 87758,A81000C,00100,0600,NURSING HOMES 87758,A81000C,00200,0100,G 87758,A81000C,00200,0200,MARINER POST-AC 87758,A81000C,00200,0400,AMERICAN PHARMA 87758,A81000C,00200,0600,PHARMACEUTICALS 87758,A81000C,00300,0100,G 87758,A81000C,00300,0200,MARINER POST-AC 87758,A81000C,00300,0400,PRISM (ATS ARS 87758,A81000C,00300,0600,THERAPIES 87758,A81000C,03100,0000,MARINER POST-ACUTE NETWORK 87758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87758,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87758,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87758,B100000,00000,0800,00000MEALS SERVED :DIETARY 87758,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87758,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87758,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 87758,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87758,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87758,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87758,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 87758,S000000,00100,0200,03/02/2000 87758,S200000,00100,0100,535 COMMERCE STREET 87758,S200000,00200,0100,GRETNA 87758,S200000,00200,0200,LA 87758,S200000,00200,0300,70053- 87758,S200000,00300,0100,JEFFERSON PARRISH 87758,S200000,00400,0100,MEADOWCREST LIVING CENTER 87758,S200000,00400,0200,195176 87758,S200000,00400,0300,10/01/1984 87758,S200000,00400,0500,P 87758,S200000,01600,0100,Y 87758,S200000,02200,0100,Y 87758,S200000,04300,0100,Y 87758,S700003,00000,0100,1 87768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87768,A000000,00300,0000,00300EMPLOYEE BENEFITS 87768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87768,A000000,00700,0000,00700HOUSEKEEPING 87768,A000000,00800,0000,00800DIETARY 87768,A000000,00900,0000,00900NURSING ADMINISTRATION 87768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87768,A000000,01300,0000,01300SOCIAL SERVICE 87768,A000000,01301,0000,01301ACTIVITIES 87768,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 87768,A000000,01600,0000,01600SKILLED NURSING FACILITY 87768,A000000,01800,0000,01800NURSING FACILITY 87768,A000000,01900,0000,01900OTHER LONG TERM CARE 87768,A000000,02100,0000,02100RADIOLOGY 87768,A000000,02200,0000,02200LABORATORY 87768,A000000,02300,0000,02300INTRAVENOUS THERAPY 87768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87768,A000000,02500,0000,02500PHYSICAL THERAPY 87768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87768,A000000,02700,0000,02700SPEECH PATHOLOGY 87768,A000000,02800,0000,02800ELECTROCARDIOLOGY 87768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87768,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87768,A000000,03051,0000,03301PEN THERAPY 87768,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87768,A000000,03200,0000,03200SUPPORT SURFACES 87768,A000000,03400,0000,03400CLINIC 87768,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 87768,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87768,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87768,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87768,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87768,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87768,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87768,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87768,A000000,04400,0000,04400DME RENTED - HHA 87768,A000000,04500,0000,04500DME SOLD - HHA 87768,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87768,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87768,A000000,04800,0000,04800AMBULANCE 87768,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87768,A000000,05000,0000,05000CORF 87768,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87768,A000000,05300,0000,05300INTEREST EXPENSE 87768,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87768,A000000,05500,0000,05500HOSPICE 87768,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87768,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87768,A000000,06100,0000,06100NONPAID WORKERS 87768,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87768,A000000,06200,0000,06200PATIENTS LAUNDRY 87768,A81000A,00100,0100,Y 87768,A81000B,00100,0300,HOME OFFICE INTEREST 87768,A81000B,00200,0300,HOME OFFICE COST 87768,A81000B,00300,0300,NURSING SUPPLIES 87768,A81000B,00400,0300,MEDICAL SUPPLIES 87768,A81000B,00500,0300,ADMIN COST 87768,A81000B,00600,0300,DIETARY SUPPLEMENTS 87768,A81000B,00700,0300,PRESCRIPTION DRUGS 87768,A81000B,00800,0300,IV THERAPY 87768,A81000B,00900,0300,RT SUPPLIES 87768,A81000B,01000,0300,PT CONSULTANT 87768,A81000B,01100,0300,PHYSICAL THERAPY 87768,A81000B,01200,0300,OCCUPATIONAL THERAPY 87768,A81000B,01300,0300,SPEECH THERAPY 87768,A81000B,01400,0300,CONTRACT CONSULTANT 87768,A81000C,00100,0100,B 87768,A81000C,00100,0200,CHATEAU 87768,A81000C,00100,0400,MARINER POST AC 87768,A81000C,00100,0600,NURSING HOMES 87768,A81000C,00200,0100,G 87768,A81000C,00200,0200,MARINER POST AC 87768,A81000C,00200,0400,AMERICAN PHARMA 87768,A81000C,00200,0600,PHARMACEUTICALS 87768,A81000C,00300,0100,G 87768,A81000C,00300,0200,MARINER POST AC 87768,A81000C,00300,0400,PRISM (ATS ARS 87768,A81000C,00300,0600,THERAPIES 87768,A81000C,03100,0000,MARINER POST ACUTE NETWORK 87768,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87768,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87768,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87768,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87768,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87768,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87768,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 87768,B100000,00000,0800,00000MEALS SERVED :DIETARY 87768,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87768,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87768,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87768,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87768,B100000,00000,1331,00000PT DAYS :ACTIVITIES 87768,B100000,00000,1350,00000UNITS OF SVC :OTHER GENERAL SERVICE 87768,E10A180,00301,0100,07/20/1999 87768,E10A180,00301,0300,07/20/1999 87768,E10A180,00350,0300,07/20/1999 87768,S000000,00100,0200,03/02/2000 87768,S200000,00100,0100,716 VILLAGE ROAD 87768,S200000,00200,0100,KENNER 87768,S200000,00200,0200,LA 87768,S200000,00200,0300,70065- 87768,S200000,00300,0100,JEFFERSON PAR. 87768,S200000,00400,0100,CHATEAU LIVING CENTER 87768,S200000,00400,0200,195184 87768,S200000,00400,0300,11/01/1985 87768,S200000,00400,0500,P 87768,S200000,01600,0100,Y 87768,S700003,00000,0100,1 87776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87776,A000000,00300,0000,00300EMPLOYEE BENEFITS 87776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87776,A000000,00700,0000,00700HOUSEKEEPING 87776,A000000,00800,0000,00800DIETARY 87776,A000000,00900,0000,00900NURSING ADMINISTRATION 87776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87776,A000000,01100,0000,01100PHARMACY 87776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87776,A000000,01300,0000,01300SOCIAL SERVICE 87776,A000000,01301,0000,01301ACTIVITIES 87776,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 87776,A000000,01600,0000,01600SKILLED NURSING FACILITY 87776,A000000,01800,0000,01800NURSING FACILITY 87776,A000000,01900,0000,01900OTHER LONG TERM CARE 87776,A000000,02100,0000,02100RADIOLOGY 87776,A000000,02200,0000,02200LABORATORY 87776,A000000,02300,0000,02300INTRAVENOUS THERAPY 87776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87776,A000000,02500,0000,02500PHYSICAL THERAPY 87776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87776,A000000,02700,0000,02700SPEECH PATHOLOGY 87776,A000000,02800,0000,02800ELECTROCARDIOLOGY 87776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87776,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87776,A000000,03051,0000,03301PEN THERAPY 87776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87776,A000000,03200,0000,03200SUPPORT SURFACES 87776,A000000,03400,0000,03400CLINIC 87776,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 87776,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87776,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87776,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87776,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87776,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87776,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87776,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87776,A000000,04400,0000,04400DME RENTED - HHA 87776,A000000,04500,0000,04500DME SOLD - HHA 87776,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87776,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87776,A000000,04800,0000,04800AMBULANCE 87776,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87776,A000000,05000,0000,05000CORF 87776,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87776,A000000,05300,0000,05300INTEREST EXPENSE 87776,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87776,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87776,A000000,05500,0000,05500HOSPICE 87776,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87776,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87776,A000000,06100,0000,06100NONPAID WORKERS 87776,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87776,A000000,06200,0000,06200PATIENTS LAUNDRY 87776,A81000A,00100,0100,Y 87776,A81000B,00100,0300,HOME OFFICE INTEREST 87776,A81000B,00200,0300,HOME OFFICE COST 87776,A81000B,00300,0300,NURSING SUPPLIES 87776,A81000B,00400,0300,MEDICAL SUPPLIES 87776,A81000B,00500,0300,ADMIN COST 87776,A81000B,00600,0300,PLANT 87776,A81000B,00700,0300,DIETARY SUPPLEMENTS 87776,A81000B,00800,0300,CAPITAL 87776,A81000B,00900,0300,PRESCRIPTION DRUGS 87776,A81000B,01000,0300,IV THERAPY 87776,A81000B,01100,0300,PT THERAPY 87776,A81000B,01200,0300,OT THERAPY 87776,A81000B,01300,0300,ST THERAPY 87776,A81000C,00100,0100,B 87776,A81000C,00100,0200,WALDON 87776,A81000C,00100,0400,MRINER POST ACUTE 87776,A81000C,00100,0600,NURSING HOMES 87776,A81000C,00200,0100,G 87776,A81000C,00200,0200,MARINER POST ACUTE 87776,A81000C,00200,0400,AMERICAN PHARMACEUTICAL S 87776,A81000C,00200,0600,PHARMACEUTICALS 87776,A81000C,00300,0100,G 87776,A81000C,00300,0200,MARINER P0ST ACUTE 87776,A81000C,00300,0400,PRISM 87776,A81000C,00300,0600,THERAPIES 87776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87776,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87776,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87776,B100000,00000,0800,00000MEALS SERVED :DIETARY 87776,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87776,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87776,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 87776,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87776,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87776,B100000,00000,1331,00000PT DAYS :ACTIVITIES 87776,B100000,00000,1350,00000 UNITS ON SERVICE:OTHER GENERAL SER 87776,S000000,00100,0200,03/02/2000 87776,S200000,00100,0100,2401 IDAHO STREET 87776,S200000,00200,0100,KENNER 87776,S200000,00200,0200,LA 87776,S200000,00200,0300,70062- 87776,S200000,00300,0100,JEFFERSON PAR. 87776,S200000,00400,0100,WALDON HEALTH CARE CENTER 87776,S200000,00400,0200,195203 87776,S200000,00400,0300,06/16/1986 87776,S200000,00400,0500,P 87776,S200000,01600,0100,Y 87788,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87788,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87788,A000000,00300,0000,00300EMPLOYEE BENEFITS 87788,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87788,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87788,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87788,A000000,00700,0000,00700HOUSEKEEPING 87788,A000000,00800,0000,00800DIETARY 87788,A000000,00900,0000,00900NURSING ADMINISTRATION 87788,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87788,A000000,01100,0000,01100PHARMACY 87788,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87788,A000000,01300,0000,01300SOCIAL SERVICE 87788,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87788,A000000,01600,0000,01600SKILLED NURSING FACILITY 87788,A000000,01800,0000,01800NURSING FACILITY 87788,A000000,01810,0000,01810ICF/MR 87788,A000000,02300,0000,02300INTRAVENOUS THERAPY 87788,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87788,A000000,02500,0000,02500PHYSICAL THERAPY 87788,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87788,A000000,02700,0000,02700SPEECH PATHOLOGY 87788,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87788,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87788,A000000,03550,0000,03550FQHC 87788,A000000,05000,0000,05000CORF 87788,A000000,05010,0000,05010CMHC 87788,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87788,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87788,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87788,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87788,A000000,06150,0000,06300PSYCH UNIT 87788,A81000A,00100,0100,Y 87788,A81000B,00100,0300,MGMT FEES 87788,A81000C,00100,0100,D 87788,A81000C,00100,0200,M. WEITZNER 87788,A81000C,00100,0400,PRESTIGE CARE 87788,A81000C,00100,0600,MGMT 87788,A81000C,00200,0100,D 87788,A81000C,00200,0200,DR. J. LITNER 87788,A81000C,00300,0100,D 87788,A81000C,00300,0200,W. LANDRY 87788,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87788,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87788,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87788,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87788,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87788,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87788,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87788,B100000,00000,0800,00000MEALS SERVED :DIETARY 87788,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 87788,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87788,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87788,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 87788,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 87788,E10A180,00301,0100,08/26/1999 87788,S000000,00100,0200,05/30/2000 87788,S200000,00100,0100,1450 HAYNE BLVD 87788,S200000,00200,0100,NEW ORLEANS 87788,S200000,00200,0200,LA 87788,S200000,00200,0300,70128- 87788,S200000,00300,0100,ORLEANS 87788,S200000,00300,0200,5560 87788,S200000,00300,0300,U 87788,S200000,00400,0100,PRESTIGE CARE LLC (DBA FERNCREST) 87788,S200000,00400,0200,195214 87788,S200000,00400,0300,01/01/1994 87788,S200000,00400,0500,P 87788,S200000,01600,0100,Y 87788,S200000,02200,0100,Y 87807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87807,A000000,00300,0000,00300EMPLOYEE BENEFITS 87807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87807,A000000,00700,0000,00700HOUSEKEEPING 87807,A000000,00800,0000,00800DIETARY 87807,A000000,00900,0000,00900NURSING ADMINISTRATION 87807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87807,A000000,01300,0000,01300SOCIAL SERVICE 87807,A000000,01301,0000,01301ACTIVITES 87807,A000000,01350,0000,01500REHABILITATION 87807,A000000,01600,0000,01600SKILLED NURSING FACILITY 87807,A000000,01800,0000,01800NURSING FACILITY 87807,A000000,01900,0000,01900OTHER LONG TERM CARE 87807,A000000,02100,0000,02100RADIOLOGY 87807,A000000,02200,0000,02200LABORATORY 87807,A000000,02300,0000,02300INTRAVENOUS THERAPY 87807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87807,A000000,02500,0000,02500PHYSICAL THERAPY 87807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87807,A000000,02700,0000,02700SPEECH PATHOLOGY 87807,A000000,02800,0000,02800ELECTROCARDIOLOGY 87807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87807,A000000,03050,0000,03300EQUIPMENT RENTAL 87807,A000000,03051,0000,03301PEN THERAPY 87807,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87807,A000000,03200,0000,03200SUPPORT SURFACES 87807,A000000,04800,0000,04800AMBULANCE 87807,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87807,A000000,05300,0000,05300INTEREST EXPENSE 87807,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87807,A000000,06150,0000,06300VENDING 87807,A000000,06151,0000,06301STAND-BY 87807,A000000,06200,0000,06200PATIENTS LAUNDRY 87807,A81000A,00100,0100,Y 87807,A81000B,00100,0300,CENTRAL SUPPLY 87807,A81000B,00200,0300,DIETARY SUPPLEMENTS 87807,A81000B,00300,0300,NURSING ADMINISTRATION 87807,A81000B,00400,0300,PRESCRIPTION DRUGS 87807,A81000B,00500,0300,MEDICAL SUPPLIES 87807,A81000B,00600,0300,ADMIN COSTS 87807,A81000B,00700,0300,PLANT 87807,A81000B,00800,0300,IV THERAPY 87807,A81000B,00900,0300,PHYSICAL THERAPY 87807,A81000B,01000,0300,OCCUPATIONAL THERAPY 87807,A81000B,01100,0300,SPEECH THERAPY 87807,A81000B,01200,0300,ANC EQUIP RENTAL 87807,A81000B,01300,0300,BLDG CAPITAL 87807,A81000B,01400,0300,ADMINISTRATION & GENERAL 87807,A81000C,00100,0100,B 87807,A81000C,00100,0200,JEFFERSON HC (L 87807,A81000C,00100,0400,MARINER PAN 87807,A81000C,00100,0600,NURSING HOMES 87807,A81000C,00200,0100,G 87807,A81000C,00200,0200,MARINER PAN 87807,A81000C,00200,0400,AMER PHARM SVCS 87807,A81000C,00200,0600,PHARMACEUTICALS 87807,A81000C,00300,0100,G 87807,A81000C,00300,0200,MARINER PAN 87807,A81000C,00300,0400,PRISM-ATS-ARS-T 87807,A81000C,00300,0600,THERAPIES 87807,A81000C,03100,0000,MARINER PAN 87807,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 87807,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 87807,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 87807,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 87807,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 87807,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 87807,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 87807,B100000,00000,0800,00001MEALS SERVED :DIETARY 87807,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 87807,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 87807,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 87807,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 87807,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 87807,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 87807,E10A180,00301,0100,12/23/1999 87807,S000000,00100,0200,08/30/2000 87807,S200000,00100,0100,2200 JEFFERSON HWY. 87807,S200000,00200,0100,JEFFERSON 87807,S200000,00200,0200,LA 87807,S200000,00200,0300,70121- 87807,S200000,00300,0100,JEFFERSON 87807,S200000,00400,0100,JEFFERSON HEALTHCARE CENTER 87807,S200000,00400,0200,195272 87807,S200000,00400,0300,07/01/1992 87807,S200000,00400,0500,P 87807,S200000,01600,0100,Y 87807,S200000,02200,0100,Y 87807,S700003,00000,0100,1 87815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87815,A000000,00300,0000,00300EMPLOYEE BENEFITS 87815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87815,A000000,00700,0000,00700HOUSEKEEPING 87815,A000000,00800,0000,00800DIETARY 87815,A000000,00900,0000,00900NURSING ADMINISTRATION 87815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87815,A000000,01300,0000,01300SOCIAL SERVICE 87815,A000000,01301,0000,01301ACTIVITES 87815,A000000,01350,0000,01500REHABILITATION 87815,A000000,01600,0000,01600SKILLED NURSING FACILITY 87815,A000000,01800,0000,01800NURSING FACILITY 87815,A000000,01900,0000,01900OTHER LONG TERM CARE 87815,A000000,02100,0000,02100RADIOLOGY 87815,A000000,02200,0000,02200LABORATORY 87815,A000000,02300,0000,02300INTRAVENOUS THERAPY 87815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87815,A000000,02500,0000,02500PHYSICAL THERAPY 87815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87815,A000000,02700,0000,02700SPEECH PATHOLOGY 87815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87815,A000000,03050,0000,03300EQUIPMENT RENTAL 87815,A000000,03051,0000,03301PEN THERAPY 87815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87815,A000000,03200,0000,03200SUPPORT SURFACES 87815,A000000,04800,0000,04800AMBULANCE 87815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87815,A000000,05300,0000,05300INTEREST EXPENSE 87815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87815,A000000,06150,0000,06300VENDING 87815,A000000,06151,0000,06301STAND-BY 87815,A000000,06200,0000,06200PATIENTS LAUNDRY 87815,A81000A,00100,0100,Y 87815,A81000B,00100,0300,HOME OFFICE COST 87815,A81000B,00200,0300,DIETARY SUPPLEMENTS 87815,A81000B,00400,0300,PRESCRIPTION DRUGS 87815,A81000B,00500,0300,MEDICAL SUPPLIES 87815,A81000B,00600,0300,ADMIN COSTS 87815,A81000B,00700,0300,HOME OFFICE CAPITAL 87815,A81000B,00900,0300,IV THERAPY 87815,A81000B,01000,0300,THERAPY CONSULTING 87815,A81000B,01100,0300,PHYSICAL THERAPY 87815,A81000B,01200,0300,OCCUPATIONAL THERAPY 87815,A81000B,01300,0300,SPEECH THERAPY 87815,A81000B,01400,0300,ANC EQUIP RENTAL 87815,A81000B,01500,0300,CAPITAL 87815,A81000B,01600,0300,CENTRAL SUPPLY 87815,A81000B,01700,0300,NURSING ADMIN 87815,A81000B,01800,0300,OTHER PT 87815,A81000C,00100,0100,B 87815,A81000C,00100,0200,METAIRIE HC (LA 87815,A81000C,00100,0400,MARINER PAN 87815,A81000C,00100,0600,NURSING HOMES 87815,A81000C,00200,0100,G 87815,A81000C,00200,0200,MARINER PAN 87815,A81000C,00200,0400,AMER PHARM SVCS 87815,A81000C,00200,0600,PHARMACEUTICALS 87815,A81000C,00300,0100,G 87815,A81000C,00300,0200,MARINER PAN 87815,A81000C,00300,0400,PRISM-ATS-ARS-T 87815,A81000C,00300,0600,THERAPIES 87815,A81000C,03100,0000,MARINER PAN 87815,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 87815,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 87815,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 87815,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 87815,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 87815,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 87815,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 87815,B100000,00000,0800,00001MEALS SERVED :DIETARY 87815,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 87815,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 87815,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 87815,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 87815,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 87815,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 87815,S000000,00100,0200,08/30/2000 87815,S200000,00100,0100,6401 RIVERSIDE ST. 87815,S200000,00200,0100,METAIRIE 87815,S200000,00200,0200,LA 87815,S200000,00200,0300,70003- 87815,S200000,00300,0100,JEFFERSON PARISH 87815,S200000,00400,0100,METAIRIE HEALTHCARE CENTER 87815,S200000,00400,0200,195278 87815,S200000,00400,0300,07/14/1993 87815,S200000,00400,0500,P 87815,S200000,01600,0100,Y 87815,S200000,02200,0100,Y 87823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87823,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 87823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87823,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 87823,A000000,00300,0000,00300EMPLOYEE BENEFITS 87823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87823,A000000,00700,0000,00700HOUSEKEEPING 87823,A000000,00800,0000,00800DIETARY 87823,A000000,00801,0000,00801CAFETERIA 87823,A000000,00900,0000,00900NURSING ADMINISTRATION 87823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87823,A000000,01100,0000,01100PHARMACY 87823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87823,A000000,01300,0000,01300SOCIAL SERVICE 87823,A000000,01350,0000,01500ACTIVITIES 87823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87823,A000000,01600,0000,01600SKILLED NURSING FACILITY 87823,A000000,01800,0000,01800NURSING FACILITY 87823,A000000,01900,0000,01900OTHER LONG TERM CARE 87823,A000000,02100,0000,02100RADIOLOGY 87823,A000000,02200,0000,02200LABORATORY 87823,A000000,02300,0000,02300INTRAVENOUS THERAPY 87823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87823,A000000,02500,0000,02500PHYSICAL THERAPY 87823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87823,A000000,02700,0000,02700SPEECH PATHOLOGY 87823,A000000,02800,0000,02800ELECTROCARDIOLOGY 87823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87823,A000000,03050,0000,03300OTHER ANCILLARY 87823,A000000,03051,0000,03301OTHER ANCILLARY II 87823,A000000,03052,0000,03302OTHER ANCILLARY III 87823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87823,A000000,03200,0000,03200SUPPORT SURFACES 87823,A000000,03400,0000,03400CLINIC 87823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 87823,A000000,03500,0000,03500RURAL HEALTH CLINIC 87823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87823,A000000,04400,0000,04400DME RENTED - HHA 87823,A000000,04500,0000,04500DME SOLD - HHA 87823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 87823,A000000,04800,0000,04800AMBULANCE 87823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87823,A000000,05000,0000,05000CORF 87823,A000000,05010,0000,05010CMHC I 87823,A000000,05020,0000,05020OPT I 87823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87823,A000000,05300,0000,05300INTEREST EXPENSE 87823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 87823,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 87823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87823,A000000,05500,0000,05500HOSPICE 87823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87823,A000000,06100,0000,06100NONPAID WORKERS 87823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87823,A000000,06200,0000,06200PATIENTS LAUNDRY 87823,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 87823,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 87823,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 87823,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 87823,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 87823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87823,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 87823,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 87823,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 87823,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 87823,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 87823,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 87823,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 87823,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 87823,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 87823,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 87823,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 87823,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 87823,S000000,00100,0200,06/22/2000 87823,S200000,00100,0100,100 WEST SECOND ST 87823,S200000,00200,0100,MARION 87823,S200000,00200,0200,LA 87823,S200000,00200,0300,71260- 87823,S200000,00300,0100,UNION 87823,S200000,00400,0100,MARION NURSING HOME 87823,S200000,00400,0200,195280 87823,S200000,00400,0300,07/19/1993 87823,S200000,00400,0500,P 87823,S200000,01500,0100,Y 87823,S200000,02200,0100,Y 87823,S200000,04300,0100,Y 87823,S700003,00000,0100,1 87835,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87835,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87835,A000000,00300,0000,00300EMPLOYEE BENEFITS 87835,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87835,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87835,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87835,A000000,00700,0000,00700HOUSEKEEPING 87835,A000000,00800,0000,00800DIETARY 87835,A000000,00801,0000,00801CAFETERIA 87835,A000000,00900,0000,00900NURSING ADMINISTRATION 87835,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87835,A000000,01100,0000,01100PHARMACY 87835,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87835,A000000,01300,0000,01300SOCIAL SERVICE 87835,A000000,01350,0000,01500PATIENT ACTIVITIES 87835,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87835,A000000,01600,0000,01600SKILLED NURSING FACILITY 87835,A000000,01800,0000,01800NURSING FACILITY 87835,A000000,01810,0000,01810ICF/MR 87835,A000000,02100,0000,02100RADIOLOGY 87835,A000000,02200,0000,02200LABORATORY 87835,A000000,02300,0000,02300INTRAVENOUS THERAPY 87835,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87835,A000000,02500,0000,02500PHYSICAL THERAPY 87835,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87835,A000000,02700,0000,02700SPEECH PATHOLOGY 87835,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87835,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87835,A000000,03200,0000,03200SUPPORT SURFACES 87835,A000000,03550,0000,03550FQHC 87835,A000000,05000,0000,05000CORF 87835,A000000,05010,0000,05010CMHC 87835,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87835,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87835,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87835,A000000,05300,0000,05300INTEREST EXPENSE 87835,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87835,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87835,A81000A,00100,0100,Y 87835,A81000B,00100,0300,HOME OFFICE MGMT FEE 87835,A81000B,00200,0300,SPECIALTY BEDS 87835,A81000B,00300,0300,OXYGEN CONCENTRATOR 87835,A81000B,00400,0300,OXYGEN CONCENTRATORS 87835,A81000B,00500,0300,MEDICAL & OXYGEN SUP 87835,A81000B,00600,0300,MEDICAL & OXYGEN SUP 87835,A81000B,00700,0300,TRANSPORTATION SVCS 87835,A81000C,00100,0100,D 87835,A81000C,00100,0200,TIMOTHY GOUX 87835,A81000C,00100,0400,HEALTHCARE PROP 87835,A81000C,00100,0600,MANAGEMENT COMP 87835,A81000C,00200,0100,D 87835,A81000C,00200,0200,TIMOTHY GOUX 87835,A81000C,00200,0400,TREATMENT SPECI 87835,A81000C,00200,0600,SPEC BEDS/ O2 C 87835,A81000C,00300,0100,D 87835,A81000C,00300,0200,TIMOTHY GOUX 87835,A81000C,00300,0400,WOUND CARE AMER 87835,A81000C,00300,0600,SPEC BEDS/O2 CO 87835,A81000C,00400,0100,D 87835,A81000C,00400,0200,LYNETTE GOUX 87835,A81000C,00400,0400,TAMMANY MED SVC 87835,A81000C,00400,0600,TRANSPORTATION 87835,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87835,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87835,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87835,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87835,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87835,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87835,B100000,00000,0750,00000SQ FEET LESS KITCH:HOUSEKEEPING 87835,B100000,00000,0800,00000MEALS SERVED :DIETARY 87835,B100000,00000,0851,00000EFFECT SALARIES :CAFETERIA 87835,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 87835,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87835,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87835,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87835,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87835,E10A180,00301,0100,10/06/1999 87835,S000000,00100,0200,06/28/2000 87835,S200000,00100,0300,338 87835,S200000,00200,0100,MANDEVILLE 87835,S200000,00200,0200,LA 87835,S200000,00200,0300,70470-0338 87835,S200000,00300,0100,ST TAMMANY 87835,S200000,00300,0200,5560 87835,S200000,00300,0300,U 87835,S200000,00400,0100,PONTCHARTRAIN HLTH CARE CENTRE 87835,S200000,00400,0200,195297 87835,S200000,00400,0300,09/01/1994 87835,S200000,00400,0500,P 87835,S200000,01600,0100,Y 87835,S200000,02200,0100,Y 87870,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87870,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87870,A000000,00300,0000,00300EMPLOYEE BENEFITS 87870,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87870,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87870,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87870,A000000,00700,0000,00700HOUSEKEEPING 87870,A000000,00800,0000,00800DIETARY 87870,A000000,00900,0000,00900NURSING ADMINISTRATION 87870,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87870,A000000,01100,0000,01100PHARMACY 87870,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87870,A000000,01300,0000,01300SOCIAL SERVICE 87870,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87870,A000000,01600,0000,01600SKILLED NURSING FACILITY 87870,A000000,01800,0000,01800NURSING FACILITY 87870,A000000,01810,0000,01810ICF/MR 87870,A000000,02100,0000,02100RADIOLOGY 87870,A000000,02200,0000,02200LABORATORY 87870,A000000,02300,0000,02300INTRAVENOUS THERAPY 87870,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87870,A000000,02500,0000,02500PHYSICAL THERAPY 87870,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87870,A000000,02700,0000,02700SPEECH PATHOLOGY 87870,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87870,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87870,A000000,03200,0000,03200SUPPORT SURFACES 87870,A000000,03550,0000,03550FQHC 87870,A000000,05000,0000,05000CORF 87870,A000000,05010,0000,05010CMHC 87870,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87870,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87870,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87870,A000000,05300,0000,05300INTEREST EXPENSE 87870,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87870,A81000A,00100,0100,Y 87870,A81000B,00100,0300,HOME OFFICE CAPITAL 87870,A81000B,00200,0300,MANAGEMENT FEES 87870,A81000B,00300,0300,TRANSPORTATION 87870,A81000B,00400,0300,PHARMACY/OTC 87870,A81000B,00500,0300,PROCESSING FEE 87870,A81000B,00600,0300,IV EXPENSE 87870,A81000B,00700,0300,ACCU CHECKS 87870,A81000B,00800,0300,OXYGEN SUPPLIES 87870,A81000B,00900,0300,ADMIN-RENT 87870,A81000B,01000,0300,NURSING SUPPLIES 87870,A81000B,01100,0300,DIETARY SUPPLEMENTS 87870,A81000B,01200,0300,POSTAGE 87870,A81000B,01300,0300,MEDICAL EQUIP. RENTA 87870,A81000B,01400,0300,MEDICAL SUPPLIES 87870,A81000C,00100,0100,D 87870,A81000C,00100,0200,TIM GOUX 87870,A81000C,00100,0400,THE HEALTHCARE 87870,A81000C,00100,0600,MANAGEMENT SERV 87870,A81000C,00200,0100,D 87870,A81000C,00200,0200,TIM GOUX 87870,A81000C,00200,0400,THE HEALTHCARE 87870,A81000C,00200,0600,MANAGEMENT SERV 87870,A81000C,00300,0100,D 87870,A81000C,00300,0200,RON GOUX 87870,A81000C,00300,0400,TAMMANY MED SER 87870,A81000C,00300,0600,TRANSPORTATION 87870,A81000C,00400,0100,D 87870,A81000C,00400,0200,RON GOUX 87870,A81000C,00400,0400,PONTCHARTRAIN P 87870,A81000C,00400,0600,PHARMACY 87870,A81000C,00500,0100,D 87870,A81000C,00500,0200,TIM GOUX 87870,A81000C,00500,0400,THE HEALTHCARE 87870,A81000C,00500,0600,MANAGEMENT SERV 87870,A81000C,00600,0100,D 87870,A81000C,00600,0200,RON GOUX 87870,A81000C,00600,0400,PONTCHARTRAIN P 87870,A81000C,00600,0600,PHARMACY 87870,A81000C,00700,0100,D 87870,A81000C,00700,0200,RON GOUX 87870,A81000C,00700,0400,PONTCHARTRAIN P 87870,A81000C,00700,0600,PHARMACY 87870,A81000C,00800,0100,D 87870,A81000C,00800,0200,TIM GOUX 87870,A81000C,00800,0400,WOUND CARE AMER 87870,A81000C,00800,0600,EQUIPMENT SUPPL 87870,A81000C,00900,0100,D 87870,A81000C,00900,0200,RON GOUX 87870,A81000C,00900,0400,PONTCHARTRAIN P 87870,A81000C,00900,0600,PHARMACY 87870,A81000C,01000,0100,D 87870,A81000C,01000,0200,RON GOUX 87870,A81000C,01000,0400,PONTCHARTRAIN P 87870,A81000C,01000,0600,PHARMACY 87870,A81000C,01001,0100,D 87870,A81000C,01001,0200,RON GOUX 87870,A81000C,01001,0400,PONTCHARTRAIN P 87870,A81000C,01001,0600,PHARMACY 87870,A81000C,01002,0100,D 87870,A81000C,01002,0200,RON GOUX 87870,A81000C,01002,0400,PONTCHARTRAIN P 87870,A81000C,01002,0600,PHARMACY 87870,A81000C,01003,0100,D 87870,A81000C,01003,0200,TIM GOUX 87870,A81000C,01003,0400,WOUND CARE AMER 87870,A81000C,01003,0600,EQUIPMENT SUPPL 87870,A81000C,01004,0100,D 87870,A81000C,01004,0200,TIM GOUX 87870,A81000C,01004,0400,WOUND CARE AMER 87870,A81000C,01004,0600,EQUIPMENT SUPPL 87870,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87870,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87870,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87870,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87870,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87870,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87870,B100000,00000,0750,00000SQUARE FEE EXCL. KITC:HOUSEKEEPING 87870,B100000,00000,0800,00000MEALS SERVED :DIETARY 87870,B100000,00000,0950,00000DIRECT SALARIES :NURSING ADMINISTR 87870,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87870,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 87870,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87870,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87870,S000000,00100,0200,12/06/2000 87870,S200000,00100,0300,17429 87870,S200000,00200,0100,MANDEVILLE 87870,S200000,00200,0200,LA 87870,S200000,00200,0300,70470-1429 87870,S200000,00300,0100,ST. TAMMANY 87870,S200000,00300,0200,5560 87870,S200000,00300,0300,U 87870,S200000,00400,0100,LACOMBE NURSING CENTER 87870,S200000,00400,0200,195348 87870,S200000,00400,0300,10/01/1995 87870,S200000,00400,0500,P 87870,S200000,01600,0100,Y 87870,S200000,02200,0100,Y 87892,S000000,00100,0200,06/01/2000 87902,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87902,A000000,00300,0000,00300EMPLOYEE BENEFITS 87902,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87902,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87902,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87902,A000000,00700,0000,00700HOUSEKEEPING 87902,A000000,00800,0000,00800DIETARY 87902,A000000,00801,0000,00801CAFETERIA 87902,A000000,00900,0000,00900NURSING ADMINISTRATION 87902,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87902,A000000,01100,0000,01100PHARMACY 87902,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87902,A000000,01300,0000,01300SOCIAL SERVICE 87902,A000000,01600,0000,01600SKILLED NURSING FACILITY 87902,A000000,01800,0000,01800NURSING FACILITY 87902,A000000,01900,0000,01900OTHER LONG TERM CARE 87902,A000000,02100,0000,02100RADIOLOGY 87902,A000000,02200,0000,02200LABORATORY 87902,A000000,02300,0000,02300INTRAVENOUS THERAPY 87902,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87902,A000000,02500,0000,02500PHYSICAL THERAPY 87902,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87902,A000000,02700,0000,02700SPEECH PATHOLOGY 87902,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87902,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87902,A000000,03200,0000,03200SUPPORT SURFACES 87902,A000000,05300,0000,05300INTEREST EXPENSE 87902,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87902,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87902,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87902,A81000A,00100,0100,Y 87902,A81000B,00100,0300,HOME OFC COSTS 87902,A81000B,00200,0300,HOME OFC COSTS 87902,A81000C,00100,0100,B 87902,A81000C,00100,0200,SISTERS OF CHAR 87902,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87902,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87902,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87902,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87902,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87902,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87902,B100000,00000,0800,00000MEALS SERVED :DIETARY 87902,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 87902,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87902,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87902,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 87902,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87902,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87902,S000000,00100,0200,03/23/2000 87902,S200000,00100,0100,2301 STERLINGTON ROAD 87902,S200000,00200,0100,MONROE 87902,S200000,00200,0200,LA 87902,S200000,00200,0300,71211- 87902,S200000,00300,0100,OUACHITA 87902,S200000,00300,0300,U 87902,S200000,00400,0100,ST. JOSEPHS HOME 87902,S200000,00400,0200,195359 87902,S200000,00400,0300,11/06/1995 87902,S200000,00400,0500,P 87902,S200000,01600,0100,Y 87910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87910,A000000,00300,0000,00300EMPLOYEE BENEFITS 87910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87910,A000000,00700,0000,00700HOUSEKEEPING 87910,A000000,00800,0000,00800DIETARY 87910,A000000,00900,0000,00900NURSING ADMINISTRATION 87910,A000000,01100,0000,01100PHARMACY 87910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87910,A000000,01300,0000,01300SOCIAL SERVICE 87910,A000000,01350,0000,01500PATIENT ACTIVITIES 87910,A000000,01600,0000,01600SKILLED NURSING FACILITY 87910,A000000,01800,0000,01800NURSING FACILITY 87910,A000000,02100,0000,02100RADIOLOGY 87910,A000000,02200,0000,02200LABORATORY 87910,A000000,02300,0000,02300INTRAVENOUS THERAPY 87910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87910,A000000,02500,0000,02500PHYSICAL THERAPY 87910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87910,A000000,02700,0000,02700SPEECH PATHOLOGY 87910,A000000,02800,0000,02800ELECTROCARDIOLOGY 87910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87910,A000000,03001,0000,03001AIR FLUIDIZED BEDS 87910,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 87910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 87910,A81000A,00100,0100,Y 87910,A81000B,00100,0300,CAPITAL REL MOV EQUI 87910,A81000B,00200,0300,NON CAPITAL COSTS 87910,A81000C,00100,0100,A 87910,A81000C,00100,0200,HEALTH CARE CAPITAL CONS 87910,A81000C,00100,0400,HCCC 87910,A81000C,00100,0600,HOME OFFICE 87910,A81000C,00200,0100,A 87910,A81000C,00200,0200,HEALTH CARE CENTER 87910,A81000C,00200,0400,HCC 87910,A81000C,00200,0600,HOME OFFICE 87910,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87910,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87910,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87910,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87910,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87910,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 87910,B100000,00000,0800,00000MEALS SERVED :DIETARY 87910,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 87910,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87910,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87910,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 87910,S000000,00100,0200,06/14/2000 87910,S200000,00100,0100,2707 KALISTE SALOOM 87910,S200000,00200,0100,LAFAYETTE 87910,S200000,00200,0200,LA 87910,S200000,00200,0300,70508- 87910,S200000,00300,0100,LAFAYETTE 87910,S200000,00300,0200,3880 87910,S200000,00300,0300,U 87910,S200000,00400,0100,MAISON DE LAFAYETTE 87910,S200000,00400,0200,195365 87910,S200000,00400,0300,04/10/1996 87910,S200000,00400,0500,P 87910,S200000,01600,0100,Y 87910,S200000,04100,0100,Y 87917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87917,A000000,00300,0000,00300EMPLOYEE BENEFITS 87917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87917,A000000,00700,0000,00700HOUSEKEEPING 87917,A000000,00800,0000,00800DIETARY 87917,A000000,00900,0000,00900NURSING ADMINISTRATION 87917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87917,A000000,01300,0000,01300SOCIAL SERVICE 87917,A000000,01301,0000,01301ACTIVITIES 87917,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 87917,A000000,01600,0000,01600SKILLED NURSING FACILITY 87917,A000000,01800,0000,01800NURSING FACILITY 87917,A000000,01900,0000,01900OTHER LONG TERM CARE 87917,A000000,02100,0000,02100RADIOLOGY 87917,A000000,02200,0000,02200LABORATORY 87917,A000000,02300,0000,02300INTRAVENOUS THERAPY 87917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 87917,A000000,02500,0000,02500PHYSICAL THERAPY 87917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 87917,A000000,02700,0000,02700SPEECH PATHOLOGY 87917,A000000,02800,0000,02800ELECTROCARDIOLOGY 87917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87917,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 87917,A000000,03051,0000,03301PEN THERAPY 87917,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 87917,A000000,03200,0000,03200SUPPORT SURFACES 87917,A000000,03400,0000,03400CLINIC 87917,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 87917,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 87917,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 87917,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 87917,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 87917,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 87917,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 87917,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 87917,A000000,04400,0000,04400DME RENTED - HHA 87917,A000000,04500,0000,04500DME SOLD - HHA 87917,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 87917,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 87917,A000000,04800,0000,04800AMBULANCE 87917,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 87917,A000000,05000,0000,05000CORF 87917,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 87917,A000000,05300,0000,05300INTEREST EXPENSE 87917,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 87917,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 87917,A000000,05500,0000,05500HOSPICE 87917,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87917,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 87917,A000000,06100,0000,06100NONPAID WORKERS 87917,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 87917,A000000,06200,0000,06200PATIENTS LAUNDRY 87917,A81000A,00100,0100,Y 87917,A81000B,00100,0300,HOME OFFICE COST 87917,A81000B,00200,0300,HOME OFFICE INTEREST 87917,A81000C,00100,0100,B 87917,A81000C,00100,0200,HERITAGE HCC-CR 87917,A81000C,00100,0400,MARINER PAN 87917,A81000C,00100,0600,NURSING HOMES 87917,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87917,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87917,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87917,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87917,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87917,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 87917,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 87917,B100000,00000,0800,00000MEALS SERVED :DIETARY 87917,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 87917,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 87917,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87917,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87917,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 87917,B100000,00000,1350,00000UNI S :OTHER GENERAL SERVICE COST 87917,S000000,00100,0200,02/23/2000 87917,S200000,00100,0100,1526 N. AVENUE I 87917,S200000,00200,0100,CROWLEY 87917,S200000,00200,0200,LA 87917,S200000,00200,0300,70526- 87917,S200000,00300,0100,ARCADIA 87917,S200000,00400,0100,HERITAGE HEALTHCARE CTR. -CROWLEY 87917,S200000,00400,0200,195419 87917,S200000,00400,0300,07/01/1997 87917,S200000,00400,0500,P 87917,S200000,01004,0500,O 87917,S200000,01600,0100,Y 87917,S700003,00000,0400,4 87927,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 87927,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 87927,A000000,00300,0000,00300EMPLOYEE BENEFITS 87927,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 87927,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 87927,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 87927,A000000,00700,0000,00700HOUSEKEEPING 87927,A000000,00800,0000,00800DIETARY 87927,A000000,00900,0000,00900NURSING ADMINISTRATION 87927,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 87927,A000000,01100,0000,01100PHARMACY 87927,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 87927,A000000,01300,0000,01300SOCIAL SERVICE 87927,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 87927,A000000,01600,0000,01600SKILLED NURSING FACILITY 87927,A000000,01800,0000,01800NURSING FACILITY 87927,A000000,02200,0000,02200LABORATORY 87927,A000000,02500,0000,02500PHYSICAL THERAPY 87927,A000000,02700,0000,02700SPEECH PATHOLOGY 87927,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 87927,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 87927,A000000,03550,0000,03550FQHC 87927,A000000,05000,0000,05000CORF 87927,A000000,05010,0000,05010CMHC 87927,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 87927,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 87927,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 87927,A000000,05300,0000,05300INTEREST EXPENSE 87927,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 87927,A000000,05900,0000,05900BARBER & BEAUTY SHOP 87927,A81000A,00100,0100,Y 87927,A81000B,00100,0300,PT COSTS 87927,A81000B,00200,0300,LGMC COSTS 87927,A81000B,00300,0300,ADMINISTRATORS SALA 87927,A81000B,00400,0300,ADMINISTRATORS BENE 87927,A81000B,00500,0300,OT COSTS 87927,A81000B,00600,0300,ST COSTS 87927,A81000B,00700,0300,INTERCOMPANY INTERES 87927,A81000C,00100,0100,B 87927,A81000C,00100,0400,LMGC 87927,A81000C,00100,0600,CORPORATION 87927,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 87927,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 87927,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 87927,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 87927,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 87927,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 87927,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 87927,B100000,00000,0800,00000MEALS SERVED :DIETARY 87927,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 87927,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 87927,B100000,00000,1150,00000GROSS REVENUE :PHARMACY 87927,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 87927,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 87927,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 87927,S000000,00100,0200,03/01/2000 87927,S200000,00100,0100,210 CHAMPAGNE BOULEVARD 87927,S200000,00200,0100,BREAUX BRIDGE 87927,S200000,00200,0200,LA 87927,S200000,00200,0300,70517- 87927,S200000,00300,0100,ST. MARTIN 87927,S200000,00400,0100,MAGNOLIA NURSING HOME 87927,S200000,00400,0200,195465 87927,S200000,00400,0300,06/01/1998 87927,S200000,00400,0500,P 87927,S200000,00600,0200,520608 87927,S200000,00600,0300,06/01/1996 87927,S200000,00600,0600,P 87927,S200000,01004,0500,O 87927,S200000,01500,0100,Y 87927,S200000,01700,0100,Y 87927,S200000,01900,0100,CORPORATION 87927,S200000,04300,0100,Y 87927,S700003,00000,0400,4 88005,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88005,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88005,A000000,00300,0000,00300EMPLOYEE BENEFITS 88005,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88005,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88005,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88005,A000000,00700,0000,00700HOUSEKEEPING 88005,A000000,00800,0000,00800DIETARY 88005,A000000,00900,0000,00900NURSING ADMINISTRATION 88005,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88005,A000000,01100,0000,01100PHARMACY 88005,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88005,A000000,01300,0000,01300SOCIAL SERVICE 88005,A000000,01350,0000,01500PATIENT ACTIVITIES 88005,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88005,A000000,01600,0000,01600SKILLED NURSING FACILITY 88005,A000000,01800,0000,01800NURSING FACILITY 88005,A000000,01900,0000,01900OTHER LONG TERM CARE 88005,A000000,02100,0000,02100RADIOLOGY 88005,A000000,02200,0000,02200LABORATORY 88005,A000000,02300,0000,02300INTRAVENOUS THERAPY 88005,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88005,A000000,02500,0000,02500PHYSICAL THERAPY 88005,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88005,A000000,02700,0000,02700SPEECH PATHOLOGY 88005,A000000,02800,0000,02800ELECTROCARDIOLOGY 88005,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88005,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88005,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88005,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88005,A000000,03200,0000,03200SUPPORT SURFACES 88005,A000000,03400,0000,03400CLINIC 88005,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88005,A000000,03500,0000,03500RURAL HEALTH CLINIC 88005,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88005,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88005,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88005,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88005,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88005,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88005,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88005,A000000,04400,0000,04400DME RENTED - HHA 88005,A000000,04500,0000,04500DME SOLD - HHA 88005,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88005,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88005,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88005,A000000,04800,0000,04800AMBULANCE 88005,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88005,A000000,05000,0000,05000CORF 88005,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88005,A000000,05300,0000,05300INTEREST EXPENSE 88005,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88005,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88005,A000000,05500,0000,05500HOSPICE 88005,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88005,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88005,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88005,A000000,06100,0000,06100NONPAID WORKERS 88005,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88005,A000000,06200,0000,06200PATIENTS LAUNDRY 88005,A81000A,00100,0100,Y 88005,A81000B,00100,0300,MANAGEMENT FEES 88005,A81000B,00200,0300,NON-CAPITAL 88005,A81000B,00300,0300,CAPITAL 88005,A81000C,00100,0100,A 88005,A81000C,00100,0200,AMCARE MGMT SERVICES 88005,A81000C,00100,0400,AMCARE MGMT SERVICES 88005,A81000C,00100,0600,MGMT SVCS 88005,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88005,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88005,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88005,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88005,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 88005,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88005,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88005,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88005,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88005,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88005,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88005,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 88005,S000000,00100,0200,05/31/2000 88005,S200000,00100,0100,2325 W. BELVEDERE AVENUE 88005,S200000,00200,0100,BALTIMORE 88005,S200000,00200,0200,MD 88005,S200000,00200,0300,21215- 88005,S200000,00300,0100,BALTIMORE 88005,S200000,00300,0200,0720 88005,S200000,00300,0300,U 88005,S200000,00400,0100,BLUE POINT NURSING AND REHAB CENTER 88005,S200000,00400,0200,215002 88005,S200000,00400,0300,10/01/1987 88005,S200000,00400,0500,P 88005,S200000,01600,0100,Y 88013,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88013,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88013,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88013,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88013,A000000,00300,0000,00300EMPLOYEE BENEFITS 88013,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88013,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88013,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88013,A000000,00700,0000,00700HOUSEKEEPING 88013,A000000,00800,0000,00800DIETARY 88013,A000000,00801,0000,00801CAFETERIA 88013,A000000,00900,0000,00900NURSING ADMINISTRATION 88013,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88013,A000000,01100,0000,01100PHARMACY 88013,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88013,A000000,01300,0000,01300SOCIAL SERVICE 88013,A000000,01350,0000,01500ACTIVITIES 88013,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88013,A000000,01600,0000,01600SKILLED NURSING FACILITY 88013,A000000,01800,0000,01800NURSING FACILITY 88013,A000000,01900,0000,01900OTHER LONG TERM CARE 88013,A000000,02100,0000,02100RADIOLOGY 88013,A000000,02200,0000,02200LABORATORY 88013,A000000,02300,0000,02300INTRAVENOUS THERAPY 88013,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88013,A000000,02500,0000,02500PHYSICAL THERAPY 88013,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88013,A000000,02700,0000,02700SPEECH PATHOLOGY 88013,A000000,02800,0000,02800ELECTROCARDIOLOGY 88013,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88013,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88013,A000000,03050,0000,03300OTHER ANCILLARY 88013,A000000,03051,0000,03301OTHER ANCILLARY II 88013,A000000,03052,0000,03302OTHER ANCILLARY III 88013,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88013,A000000,03200,0000,03200SUPPORT SURFACES 88013,A000000,03400,0000,03400CLINIC 88013,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88013,A000000,03500,0000,03500RURAL HEALTH CLINIC 88013,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88013,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88013,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88013,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88013,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88013,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88013,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88013,A000000,04400,0000,04400DME RENTED - HHA 88013,A000000,04500,0000,04500DME SOLD - HHA 88013,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88013,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88013,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88013,A000000,04800,0000,04800AMBULANCE 88013,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88013,A000000,05000,0000,05000CORF 88013,A000000,05010,0000,05010CMHC I 88013,A000000,05020,0000,05020OPT I 88013,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88013,A000000,05300,0000,05300INTEREST EXPENSE 88013,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88013,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88013,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88013,A000000,05500,0000,05500HOSPICE 88013,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88013,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88013,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88013,A000000,06100,0000,06100NONPAID WORKERS 88013,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88013,A000000,06200,0000,06200PATIENTS LAUNDRY 88013,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88013,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88013,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88013,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88013,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88013,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88013,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88013,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88013,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88013,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88013,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88013,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88013,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88013,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88013,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88013,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88013,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88013,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88013,S000000,00100,0200,06/01/2000 88013,S200000,00100,0100,900 VAN BUREN STREET 88013,S200000,00200,0100,ANNAPOLIS 88013,S200000,00200,0200,MD 88013,S200000,00200,0300,21401- 88013,S200000,00300,0100,ANNE ARUNDEL 88013,S200000,00400,0100,ANNAPOLIS NURSING & REHAB CENTER 88013,S200000,00400,0200,215005 88013,S200000,00400,0300,11/01/1994 88013,S200000,00400,0500,P 88013,S200000,01600,0100,Y 88013,S200000,02200,0100,Y 88013,S700003,00000,0100,1 88023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88023,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88023,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88023,A000000,00300,0000,00300EMPLOYEE BENEFITS 88023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88023,A000000,00700,0000,00700HOUSEKEEPING 88023,A000000,00800,0000,00800DIETARY 88023,A000000,00801,0000,00801CAFETERIA 88023,A000000,00900,0000,00900NURSING ADMINISTRATION 88023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88023,A000000,01100,0000,01100PHARMACY 88023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88023,A000000,01300,0000,01300SOCIAL SERVICE 88023,A000000,01350,0000,01500ACTIVITIES 88023,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88023,A000000,01600,0000,01600SKILLED NURSING FACILITY 88023,A000000,01800,0000,01800NURSING FACILITY 88023,A000000,01900,0000,01900OTHER LONG TERM CARE 88023,A000000,02100,0000,02100RADIOLOGY 88023,A000000,02200,0000,02200LABORATORY 88023,A000000,02300,0000,02300INTRAVENOUS THERAPY 88023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88023,A000000,02500,0000,02500PHYSICAL THERAPY 88023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88023,A000000,02700,0000,02700SPEECH PATHOLOGY 88023,A000000,02800,0000,02800ELECTROCARDIOLOGY 88023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88023,A000000,03050,0000,03300OTHER ANCILLARY 88023,A000000,03051,0000,03301OTHER ANCILLARY II 88023,A000000,03052,0000,03302OTHER ANCILLARY III 88023,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88023,A000000,03200,0000,03200SUPPORT SURFACES 88023,A000000,03400,0000,03400CLINIC 88023,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88023,A000000,03500,0000,03500RURAL HEALTH CLINIC 88023,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88023,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88023,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88023,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88023,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88023,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88023,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88023,A000000,04400,0000,04400DME RENTED - HHA 88023,A000000,04500,0000,04500DME SOLD - HHA 88023,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88023,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88023,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88023,A000000,04800,0000,04800AMBULANCE 88023,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88023,A000000,05000,0000,05000CORF 88023,A000000,05010,0000,05010CMHC I 88023,A000000,05020,0000,05020OPT I 88023,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88023,A000000,05300,0000,05300INTEREST EXPENSE 88023,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88023,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88023,A000000,05500,0000,05500HOSPICE 88023,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88023,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88023,A000000,06100,0000,06100NONPAID WORKERS 88023,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88023,A000000,06200,0000,06200PATIENTS LAUNDRY 88023,A81000A,00100,0100,Y 88023,A81000B,00100,0300,GARAGE RENTAL 88023,A81000B,00200,0300,FACILITY 88023,A81000B,00300,0300,LEGAL 88023,A81000C,00100,0100,A 88023,A81000C,00100,0200,TARUTIS FAMILY 88023,A81000C,00100,0400,TARUTIS TRUST 88023,A81000C,00100,0600,GARAGE RENTAL 88023,A81000C,00200,0100,A 88023,A81000C,00200,0200,TARUTIS FAMILY 88023,A81000C,00200,0400,TAMSAR ACRES 88023,A81000C,00200,0600,REAL ESTATE 88023,A81000C,00300,0100,A 88023,A81000C,00300,0200,TARUTIS FAMILY 88023,A81000C,00300,0400,TARUTIS/BARRON 88023,A81000C,00300,0600,LAW PRACTICE 88023,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88023,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88023,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88023,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88023,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88023,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88023,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88023,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88023,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88023,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88023,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88023,S000000,00100,0200,12/26/2000 88023,S200000,00100,0100,3332 MAIN STREET 88023,S200000,00100,0300,390 88023,S200000,00200,0100,MANCHESTER 88023,S200000,00200,0200,MD 88023,S200000,00200,0300,21102- 88023,S200000,00300,0100,CARROLL 88023,S200000,00300,0200,0720 88023,S200000,00300,0300,U 88023,S200000,00400,0100,LONGVIEW NURSING HOME INC. 88023,S200000,00400,0200,215017 88023,S200000,00400,0300,07/01/1966 88023,S200000,00400,0500,P 88023,S200000,01004,0500,O 88023,S200000,01500,0100,Y 88023,S200000,02800,0100,Y 88031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88031,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88031,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88031,A000000,00300,0000,00300EMPLOYEE BENEFITS 88031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88031,A000000,00700,0000,00700HOUSEKEEPING 88031,A000000,00800,0000,00800DIETARY 88031,A000000,00801,0000,00801CAFETERIA 88031,A000000,00900,0000,00900NURSING ADMINISTRATION 88031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88031,A000000,01100,0000,01100PHARMACY 88031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88031,A000000,01300,0000,01300SOCIAL SERVICE 88031,A000000,01350,0000,01500PATIENT DAYS 88031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88031,A000000,01600,0000,01600SKILLED NURSING FACILITY 88031,A000000,01800,0000,01800NURSING FACILITY 88031,A000000,01900,0000,01900OTHER LONG TERM CARE 88031,A000000,02100,0000,02100RADIOLOGY 88031,A000000,02200,0000,02200LABORATORY 88031,A000000,02300,0000,02300INTRAVENOUS THERAPY 88031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88031,A000000,02500,0000,02500PHYSICAL THERAPY 88031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88031,A000000,02700,0000,02700SPEECH PATHOLOGY 88031,A000000,02800,0000,02800ELECTROCARDIOLOGY 88031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88031,A000000,03050,0000,03300OTHER ANCILLARY 88031,A000000,03051,0000,03301OTHER ANCILLARY II 88031,A000000,03052,0000,03302OTHER ANCILLARY III 88031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88031,A000000,03200,0000,03200SUPPORT SURFACES 88031,A000000,03400,0000,03400CLINIC 88031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88031,A000000,03500,0000,03500RURAL HEALTH CLINIC 88031,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88031,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88031,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88031,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88031,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88031,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88031,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88031,A000000,04400,0000,04400DME RENTED - HHA 88031,A000000,04500,0000,04500DME SOLD - HHA 88031,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88031,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88031,A000000,04800,0000,04800AMBULANCE 88031,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88031,A000000,05000,0000,05000CORF 88031,A000000,05010,0000,05010CMHC I 88031,A000000,05020,0000,05020OPT I 88031,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88031,A000000,05300,0000,05300INTEREST EXPENSE 88031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88031,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88031,A000000,05500,0000,05500HOSPICE 88031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88031,A000000,06100,0000,06100NONPAID WORKERS 88031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88031,A000000,06200,0000,06200PATIENTS LAUNDRY 88031,A81000A,00100,0100,Y 88031,A81000B,00100,0300,RENT EXPENSE 88031,A81000B,00200,0300,RENT SUB 88031,A81000B,00300,0300,RENT SUB 88031,A81000B,00400,0300,RENT SUB 88031,A81000B,00500,0300,MNGMT FEE 88031,A81000B,00600,0300,HOME OFFICE SUB 88031,A81000B,00700,0300,HOME OFFICE SUB 88031,A81000B,00800,0300,HOME OFFICE SUB 88031,A81000C,00100,0100,A 88031,A81000C,00100,0200,BRUCE RAFFEL 88031,A81000C,00200,0100,A 88031,A81000C,00200,0200,GARY RAFFEL 88031,A81000C,00300,0100,A 88031,A81000C,00300,0200,LORRAINE RAFFEL 88031,A81000C,00400,0100,A 88031,A81000C,00400,0200,EARL RAFFEL 88031,A81000C,00500,0400,MILF MANOR ENT 88031,A81000C,00500,0600,RENTAL R.E. 88031,A81000C,00600,0400,MILF MANOR L/P 88031,A81000C,00600,0600,RENTAL R.E. 88031,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88031,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88031,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88031,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88031,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88031,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88031,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88031,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88031,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88031,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88031,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88031,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88031,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88031,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88031,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88031,B100000,00000,1350,00000(PATIENT DAYS) :PATIENT DAYS 88031,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88031,S000000,00100,0200,05/30/2000 88031,S200000,00100,0100,4202 OLD MILFORD MILL 88031,S200000,00200,0100,BALTIMORE 88031,S200000,00200,0200,MD 88031,S200000,00200,0300,21208- 88031,S200000,00300,0100,BALTIMORE 88031,S200000,00400,0100,MILFORD MANOR CORPORATION 88031,S200000,00400,0200,215022 88031,S200000,00400,0300,01/01/1990 88031,S200000,00400,0500,P 88031,S200000,01600,0100,Y 88031,S200000,02200,0100,Y 88031,S700003,00000,0100,1 88040,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88040,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88040,A000000,00300,0000,00300EMPLOYEE BENEFITS 88040,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88040,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88040,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88040,A000000,00700,0000,00700HOUSEKEEPING 88040,A000000,00800,0000,00800DIETARY 88040,A000000,00900,0000,00900NURSING ADMINISTRATION 88040,A000000,01100,0000,01100PHARMACY 88040,A000000,01300,0000,01300SOCIAL SERVICE 88040,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88040,A000000,01600,0000,01600SKILLED NURSING FACILITY 88040,A000000,01800,0000,01800NURSING FACILITY 88040,A000000,01900,0000,01900OTHER LONG TERM CARE 88040,A000000,02100,0000,02100RADIOLOGY 88040,A000000,02200,0000,02200LABORATORY 88040,A000000,02300,0000,02300INTRAVENOUS THERAPY 88040,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88040,A000000,02500,0000,02500PHYSICAL THERAPY 88040,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88040,A000000,02700,0000,02700SPEECH PATHOLOGY 88040,A000000,02800,0000,02800ELECTROCARDIOLOGY 88040,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88040,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88040,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88040,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88040,A000000,03200,0000,03200SUPPORT SURFACES 88040,A000000,03400,0000,03400CLINIC 88040,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 88040,A000000,04800,0000,04800AMBULANCE 88040,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88040,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88040,A000000,05300,0000,05300INTEREST EXPENSE 88040,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88040,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88040,A000000,05500,0000,05500HOSPICE 88040,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88040,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88040,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88040,A000000,06100,0000,06100NONPAID WORKERS 88040,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 88040,A000000,06200,0000,06200PATIENTS LAUNDRY 88040,A81000A,00100,0100,Y 88040,A81000B,00100,0300,RENTAL OF NURSING HOME 88040,A81000B,00200,0300,DEPRECIATION-BUILDING 88040,A81000B,00300,0300,DEPRECIATION FURN AND FIXT 88040,A81000B,00400,0300,AMORTIZATION-MORTGAGE COSTS 88040,A81000B,00500,0300,INTEREST EXPENSE 88040,A81000B,00600,0300,MORTGAGE INSURANCE 88040,A81000B,00700,0300,AUDIT FEE 88040,A81000C,00100,0100,A 88040,A81000C,00100,0200,J.H. LEE 88040,A81000C,00100,0400,E&H ASSOCIATES 88040,A81000C,00100,0600,REAL ESTATE REN 88040,A81000C,00200,0100,D 88040,A81000C,00200,0200,KEVIN KANG 88040,A81000C,00200,0400,E&H ASSOCIATES 88040,A81000C,00200,0600,REAL ESTATE REN 88040,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88040,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88040,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88040,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88040,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88040,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 88040,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88040,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88040,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88040,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88040,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88040,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88040,S000000,00100,0200,05/30/2000 88040,S200000,00100,0100,4011 RANDOLPH ROAD 88040,S200000,00200,0100,WHEATON 88040,S200000,00200,0200,MD 88040,S200000,00200,0300,20902- 88040,S200000,00300,0100,MONTGOMERY 88040,S200000,00400,0100,RANDOLPH HILLS NURSING CENTER 88040,S200000,00400,0200,215025 88040,S200000,00400,0300,12/01/1987 88040,S200000,00400,0500,P 88040,S200000,01600,0100,Y 88040,S700003,00000,0100,1 88046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88046,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88046,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88046,A000000,00300,0000,00300EMPLOYEE BENEFITS 88046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88046,A000000,00700,0000,00700HOUSEKEEPING 88046,A000000,00800,0000,00800DIETARY 88046,A000000,00801,0000,00801CAFETERIA 88046,A000000,00900,0000,00900NURSING ADMINISTRATION 88046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88046,A000000,01100,0000,01100PHARMACY 88046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88046,A000000,01300,0000,01300SOCIAL SERVICE 88046,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88046,A000000,01600,0000,01600SKILLED NURSING FACILITY 88046,A000000,01800,0000,01800NURSING FACILITY 88046,A000000,01900,0000,01900OTHER LONG TERM CARE 88046,A000000,02100,0000,02100RADIOLOGY 88046,A000000,02200,0000,02200LABORATORY 88046,A000000,02300,0000,02300INTRAVENOUS THERAPY 88046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88046,A000000,02500,0000,02500PHYSICAL THERAPY 88046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88046,A000000,02700,0000,02700SPEECH PATHOLOGY 88046,A000000,02800,0000,02800ELECTROCARDIOLOGY 88046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88046,A000000,03050,0000,03300AMBULANCE 88046,A000000,03051,0000,03301EEG/EKG 88046,A000000,03052,0000,03302OTHER ANCILLARY III 88046,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88046,A000000,03200,0000,03200SUPPORT SURFACES 88046,A000000,03400,0000,03400CLINIC 88046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88046,A000000,03500,0000,03500RURAL HEALTH CLINIC 88046,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88046,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88046,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88046,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88046,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88046,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88046,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88046,A000000,04400,0000,04400DME RENTED - HHA 88046,A000000,04500,0000,04500DME SOLD - HHA 88046,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88046,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88046,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88046,A000000,04800,0000,04800AMBULANCE 88046,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88046,A000000,05000,0000,05000CORF 88046,A000000,05010,0000,05010CMHC I 88046,A000000,05020,0000,05020OPT I 88046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88046,A000000,05300,0000,05300INTEREST EXPENSE 88046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88046,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88046,A000000,05500,0000,05500HOSPICE 88046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88046,A000000,06100,0000,06100NONPAID WORKERS 88046,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88046,A000000,06200,0000,06200PATIENTS LAUNDRY 88046,A81000A,00100,0100,Y 88046,A81000B,00100,0300,MANAGEMENT FEES 88046,A81000C,00100,0100,A 88046,A81000C,00100,0200,THOMAS L CALLAHAN 88046,A81000C,00100,0400,T. J. ROCK 88046,A81000C,00100,0600,MANAGEMENT 88046,A81000C,00200,0200,JACK A UPCHURCH 88046,A81000C,00200,0400,T. J. ROCK 88046,A81000C,00200,0600,MANAGEMENT 88046,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88046,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88046,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88046,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88046,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88046,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88046,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88046,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88046,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88046,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88046,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88046,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88046,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88046,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88046,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88046,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88046,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88046,S000000,00100,0200,07/10/2000 88046,S200000,00100,0100,1235 POTOMAC VALLEY ROAD 88046,S200000,00200,0100,ROCKVILLE 88046,S200000,00200,0200,MD 88046,S200000,00300,0100,MONTGOMERY 88046,S200000,00400,0100,POTOMAC VALLEY 88046,S200000,00400,0200,215026 88046,S200000,00400,0300,01/01/1981 88046,S200000,00400,0500,P 88046,S200000,01600,0100,Y 88046,S200000,02800,0100,Y 88046,S200000,04300,0100,Y 88046,S200000,04700,0100,Y 88046,S700003,00000,0100,1 88056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88056,A000000,00300,0000,00300EMPLOYEE BENEFITS 88056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88056,A000000,00700,0000,00700HOUSEKEEPING 88056,A000000,00800,0000,00800DIETARY 88056,A000000,00900,0000,00900NURSING ADMINISTRATION 88056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88056,A000000,01100,0000,01100PHARMACY 88056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88056,A000000,01300,0000,01300SOCIAL SERVICE 88056,A000000,01350,0000,01500ACTIVITIES 88056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88056,A000000,01600,0000,01600SKILLED NURSING FACILITY 88056,A000000,01800,0000,01800NURSING FACILITY 88056,A000000,01900,0000,01900OTHER LONG TERM CARE 88056,A000000,02100,0000,02100RADIOLOGY 88056,A000000,02200,0000,02200LABORATORY 88056,A000000,02300,0000,02300INTRAVENOUS THERAPY 88056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88056,A000000,02500,0000,02500PHYSICAL THERAPY 88056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88056,A000000,02700,0000,02700SPEECH PATHOLOGY 88056,A000000,02800,0000,02800ELECTROCARDIOLOGY 88056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88056,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88056,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88056,A000000,03200,0000,03200SUPPORT SURFACES 88056,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88056,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 88056,A000000,04800,0000,04800AMBULANCE 88056,A000000,05300,0000,05300INTEREST EXPENSE 88056,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 88056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88056,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88056,A000000,06100,0000,06100NONPAID WORKERS 88056,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88056,A000000,06200,0000,06200PATIENTS LAUNDRY 88056,A81000A,00100,0100,Y 88056,A81000B,00100,0300,HOME OFFICE NON-CAPITAL 88056,A81000B,00200,0300,OTHER CAPITAL COSTS 88056,A81000B,00300,0300,HCR INTERM H/O 88056,A81000B,00400,0300,PHYSICAL THERAPY 88056,A81000B,00500,0300,OCCUPATIONAL THERAPY 88056,A81000B,00600,0300,SPEECH THERAPY 88056,A81000C,00100,0100,B 88056,A81000C,00100,0200,MANOR CARE INC. 88056,A81000C,00100,0400,MANORCARE HEALTH SERVICES 88056,A81000C,00100,0600,LONG TERM CARE FACILITIES 88056,A81000C,00200,0100,B 88056,A81000C,00200,0200,MANOR CARE HEALTH SERVICE 88056,A81000C,00200,0400,CHEVY CHASE 88056,A81000C,00200,0600,THERAPY MANAGEMENT 88056,A81000C,00300,0100,B 88056,A81000C,00300,0200,MANOR CARE HEALTH SERVICE 88056,A81000C,00300,0400,CHEVY CHASE 88056,A81000C,00300,0600,THERAPY MANAGEMENT 88056,A81000C,00400,0100,B 88056,A81000C,00400,0200,MANOR CARE HEALTH SERVICE 88056,A81000C,00400,0400,CHEVY CHASE 88056,A81000C,00400,0600,THERAPY MANAGEMENT 88056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88056,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88056,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88056,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88056,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88056,B100000,00000,0800,00000MEALS SERVED :DIETARY 88056,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 88056,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88056,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88056,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88056,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88056,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88056,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 88056,S000000,00100,0200,03/23/2000 88056,S200000,00100,0100,8700 JONES MILL ROAD 88056,S200000,00200,0100,CHEVY CHASE 88056,S200000,00200,0200,MD 88056,S200000,00200,0300,20815- 88056,S200000,00300,0100,MONTGOMERY 88056,S200000,00400,0100,#524 CHEVY CHASE 88056,S200000,00400,0200,215029 88056,S200000,00400,0300,02/01/1967 88056,S200000,00400,0500,O 88056,S200000,00400,0600,P 88056,S200000,01600,0100,Y 88056,S700003,00000,0100,1 88083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88083,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88083,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88083,A000000,00300,0000,00300EMPLOYEE BENEFITS 88083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88083,A000000,00700,0000,00700HOUSEKEEPING 88083,A000000,00800,0000,00800DIETARY 88083,A000000,00801,0000,00801CAFETERIA 88083,A000000,00900,0000,00900NURSING ADMINISTRATION 88083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88083,A000000,01100,0000,01100PHARMACY 88083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88083,A000000,01300,0000,01300SOCIAL SERVICE 88083,A000000,01350,0000,01500ACTIVITIES 88083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88083,A000000,01600,0000,01600SKILLED NURSING FACILITY 88083,A000000,01800,0000,01800NURSING FACILITY 88083,A000000,01900,0000,01900OTHER LONG TERM CARE 88083,A000000,02100,0000,02100RADIOLOGY 88083,A000000,02200,0000,02200LABORATORY 88083,A000000,02300,0000,02300INTRAVENOUS THERAPY 88083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88083,A000000,02500,0000,02500PHYSICAL THERAPY 88083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88083,A000000,02700,0000,02700SPEECH PATHOLOGY 88083,A000000,02800,0000,02800ELECTROCARDIOLOGY 88083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88083,A000000,03050,0000,03300OTHER ANCILLARY 88083,A000000,03051,0000,03301OTHER ANCILLARY II 88083,A000000,03052,0000,03302OTHER ANCILLARY III 88083,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88083,A000000,03200,0000,03200SUPPORT SURFACES 88083,A000000,03400,0000,03400CLINIC 88083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88083,A000000,03500,0000,03500RURAL HEALTH CLINIC 88083,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88083,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88083,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88083,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88083,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88083,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88083,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88083,A000000,04400,0000,04400DME RENTED - HHA 88083,A000000,04500,0000,04500DME SOLD - HHA 88083,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88083,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88083,A000000,04800,0000,04800AMBULANCE 88083,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88083,A000000,05000,0000,05000CORF 88083,A000000,05010,0000,05010CMHC I 88083,A000000,05020,0000,05020OPT I 88083,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88083,A000000,05300,0000,05300INTEREST EXPENSE 88083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88083,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88083,A000000,05500,0000,05500HOSPICE 88083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88083,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88083,A000000,06100,0000,06100NONPAID WORKERS 88083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88083,A000000,06200,0000,06200PATIENTS LAUNDRY 88083,A81000A,00100,0100,Y 88083,A81000B,00100,0300,RELATED - CAPITAL 88083,A81000B,00200,0300,RELATED - ADMIN 88083,A81000B,00300,0300,RELATED - PLANT 88083,A81000B,00400,0300,MGMT FEES - ADMIN 88083,A81000B,00500,0300,MGMT FEES - CAPITAL 88083,A81000C,00100,0100,A 88083,A81000C,00100,0200,HARRY TRACTMAN 88083,A81000C,00100,0400,ACCORD HEALTH 88083,A81000C,00100,0600,MANAGEMENT 88083,A81000C,00200,0100,A 88083,A81000C,00200,0200,HARRY TRACTMAN 88083,A81000C,00200,0400,PIKESVILLE PENN 88083,A81000C,00200,0600,REAL ESTATE 88083,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88083,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88083,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88083,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88083,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88083,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88083,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88083,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88083,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88083,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88083,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88083,E10A180,00502,0100,01/11/2001 88083,S000000,00100,0200,11/28/2000 88083,S200000,00100,0100,7 SUDBROOK LANE 88083,S200000,00200,0100,PIKESVILLE 88083,S200000,00200,0200,MD 88083,S200000,00200,0300,21208- 88083,S200000,00300,0100,BALTIMORE 88083,S200000,00300,0200,0720 88083,S200000,00300,0300,U 88083,S200000,00400,0100,PIKESVILLE NURSING AND CONVALESCENTR 88083,S200000,00400,0200,215082 88083,S200000,00400,0300,01/01/1972 88083,S200000,00400,0500,P 88083,S200000,01500,0100,Y 88093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88093,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88093,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88093,A000000,00300,0000,00300EMPLOYEE BENEFITS 88093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88093,A000000,00700,0000,00700HOUSEKEEPING 88093,A000000,00800,0000,00800DIETARY 88093,A000000,00801,0000,00801CAFETERIA 88093,A000000,00900,0000,00900NURSING ADMINISTRATION 88093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88093,A000000,01100,0000,01100PHARMACY 88093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88093,A000000,01300,0000,01300SOCIAL SERVICE 88093,A000000,01350,0000,01500ACTIVITIES 88093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88093,A000000,01600,0000,01600SKILLED NURSING FACILITY 88093,A000000,01800,0000,01800NURSING FACILITY 88093,A000000,01900,0000,01900OTHER LONG TERM CARE 88093,A000000,02100,0000,02100RADIOLOGY 88093,A000000,02200,0000,02200LABORATORY 88093,A000000,02300,0000,02300INTRAVENOUS THERAPY 88093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88093,A000000,02500,0000,02500PHYSICAL THERAPY 88093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88093,A000000,02700,0000,02700SPEECH PATHOLOGY 88093,A000000,02800,0000,02800ELECTROCARDIOLOGY 88093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88093,A000000,03050,0000,03300OTHER ANCILLARY 88093,A000000,03051,0000,03301OTHER ANCILLARY II 88093,A000000,03052,0000,03302OTHER ANCILLARY III 88093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88093,A000000,03200,0000,03200SUPPORT SURFACES 88093,A000000,03400,0000,03400CLINIC 88093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88093,A000000,03500,0000,03500RURAL HEALTH CLINIC 88093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88093,A000000,04400,0000,04400DME RENTED - HHA 88093,A000000,04500,0000,04500DME SOLD - HHA 88093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88093,A000000,04800,0000,04800AMBULANCE 88093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88093,A000000,05000,0000,05000CORF 88093,A000000,05010,0000,05010CMHC I 88093,A000000,05020,0000,05020OPT I 88093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88093,A000000,05300,0000,05300INTEREST EXPENSE 88093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88093,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88093,A000000,05500,0000,05500HOSPICE 88093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88093,A000000,06100,0000,06100NONPAID WORKERS 88093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88093,A000000,06200,0000,06200PATIENTS LAUNDRY 88093,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88093,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88093,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88093,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88093,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88093,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88093,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88093,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88093,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88093,S000000,00100,0200,11/30/2000 88093,S200000,00100,0100,520 KERR AVENUE 88093,S200000,00200,0100,DENTON 88093,S200000,00200,0200,MD 88093,S200000,00200,0300,21629- 88093,S200000,00300,0100,CAROLINE 88093,S200000,00300,0200,21 88093,S200000,00300,0300,U 88093,S200000,00400,0100,CAROLINE NURSING HOME INC. 88093,S200000,00400,0200,215083 88093,S200000,00400,0300,01/01/1971 88093,S200000,00400,0500,P 88093,S200000,01004,0500,O 88093,S200000,01500,0100,Y 88093,S200000,02800,0100,Y 88099,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88099,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88099,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88099,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88099,A000000,00300,0000,00300EMPLOYEE BENEFITS 88099,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88099,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88099,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88099,A000000,00700,0000,00700HOUSEKEEPING 88099,A000000,00800,0000,00800DIETARY 88099,A000000,00801,0000,00801CAFETERIA 88099,A000000,00900,0000,00900NURSING ADMINISTRATION 88099,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88099,A000000,01100,0000,01100PHARMACY 88099,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88099,A000000,01300,0000,01300SOCIAL SERVICE 88099,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88099,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88099,A000000,01600,0000,01600SKILLED NURSING FACILITY 88099,A000000,01800,0000,01800NURSING FACILITY 88099,A000000,01900,0000,01900OTHER LONG TERM CARE 88099,A000000,02100,0000,02100RADIOLOGY 88099,A000000,02200,0000,02200LABORATORY 88099,A000000,02300,0000,02300INTRAVENOUS THERAPY 88099,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88099,A000000,02500,0000,02500PHYSICAL THERAPY 88099,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88099,A000000,02700,0000,02700SPEECH PATHOLOGY 88099,A000000,02800,0000,02800ELECTROCARDIOLOGY 88099,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88099,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88099,A000000,03050,0000,03300RESPIRATORY THER 88099,A000000,03051,0000,03301OTHER ANCILLARY II 88099,A000000,03052,0000,03302OTHER ANCILLARY III 88099,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88099,A000000,03200,0000,03200SUPPORT SURFACES 88099,A000000,03400,0000,03400CLINIC 88099,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88099,A000000,03500,0000,03500RURAL HEALTH CLINIC 88099,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88099,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88099,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88099,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88099,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88099,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88099,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88099,A000000,04400,0000,04400DME RENTED - HHA 88099,A000000,04500,0000,04500DME SOLD - HHA 88099,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88099,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88099,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88099,A000000,04800,0000,04800AMBULANCE 88099,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88099,A000000,05000,0000,05000CORF 88099,A000000,05010,0000,05010CMHC I 88099,A000000,05020,0000,05020OPT I 88099,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88099,A000000,05300,0000,05300INTEREST EXPENSE 88099,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88099,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88099,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88099,A000000,05500,0000,05500HOSPICE 88099,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88099,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88099,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88099,A000000,06100,0000,06100NONPAID WORKERS 88099,A000000,06150,0000,06300MASSAGE THERAPY 88099,A000000,06200,0000,06200PATIENTS LAUNDRY 88099,A81000A,00100,0100,Y 88099,A81000B,00100,0300,MANAGEMENT FEES 88099,A81000C,00100,0100,A 88099,A81000C,00100,0200,T. L. CALLAHAN 88099,A81000C,00100,0400,T. J. ROCK 88099,A81000C,00100,0600,MANAGEMENT 88099,A81000C,00200,0100,A 88099,A81000C,00200,0200,J. A. UPCHURCH 88099,A81000C,00200,0400,T. J. ROCK 88099,A81000C,00200,0600,MANAGEMENT 88099,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88099,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88099,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88099,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88099,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88099,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88099,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88099,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88099,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88099,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88099,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88099,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88099,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88099,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88099,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88099,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88099,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88099,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88099,S000000,00100,0200,07/31/2000 88099,S200000,00100,0100,COLLINGSWOOD NURSING CENTER 88099,S200000,00100,0300,299 HURLEY AVE 88099,S200000,00200,0100,ROCKVILLE 88099,S200000,00200,0200,MA 88099,S200000,00300,0100,MONTGOMERY 88099,S200000,00400,0100,COLLINGSWOOD 88099,S200000,00400,0200,215092 88099,S200000,00400,0300,01/01/1974 88099,S200000,00400,0500,P 88099,S200000,01600,0100,Y 88099,S200000,02800,0100,Y 88099,S200000,04300,0100,Y 88099,S700003,00000,0100,1 88108,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88108,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88108,A000000,00300,0000,00300EMPLOYEE BENEFITS 88108,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88108,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88108,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88108,A000000,00700,0000,00700HOUSEKEEPING 88108,A000000,00800,0000,00800DIETARY 88108,A000000,00900,0000,00900NURSING ADMINISTRATION 88108,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88108,A000000,01100,0000,01100PHARMACY 88108,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88108,A000000,01300,0000,01300SOCIAL SERVICE 88108,A000000,01350,0000,01500ACTIVITIES 88108,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88108,A000000,01600,0000,01600SKILLED NURSING FACILITY 88108,A000000,01800,0000,01800NURSING FACILITY 88108,A000000,01900,0000,01900OTHER LONG TERM CARE 88108,A000000,02100,0000,02100RADIOLOGY 88108,A000000,02200,0000,02200LABORATORY 88108,A000000,02300,0000,02300INTRAVENOUS THERAPY 88108,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88108,A000000,02500,0000,02500PHYSICAL THERAPY 88108,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88108,A000000,02700,0000,02700SPEECH PATHOLOGY 88108,A000000,02800,0000,02800ELECTROCARDIOLOGY 88108,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88108,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88108,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88108,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88108,A000000,03200,0000,03200SUPPORT SURFACES 88108,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 88108,A000000,04800,0000,04800AMBULANCE 88108,A000000,05300,0000,05300INTEREST EXPENSE 88108,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 88108,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88108,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88108,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88108,A000000,06100,0000,06100NONPAID WORKERS 88108,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88108,A000000,06200,0000,06200PATIENTS LAUNDRY 88108,A81000A,00100,0100,Y 88108,A81000B,00100,0300,HOME OFFICE COST 88108,A81000B,00200,0300,OTHER CAPITAL COST 88108,A81000B,00300,0300,PT ADMINISTRATIVE FEES 88108,A81000B,00400,0300,OT ADMINISTRATIVE FEES 88108,A81000B,00500,0300,ST ADMINISTRATIVE FEES 88108,A81000B,00600,0300,HCR INTERIM H/O 88108,A81000C,00100,0100,B 88108,A81000C,00100,0200,BETHESDA 88108,A81000C,00100,0400,MANOR CARE INC. TIREMENT 88108,A81000C,00100,0600,LONG TERM CARE FACILITIES 88108,A81000C,00200,0100,B 88108,A81000C,00200,0200,BETHESDA 88108,A81000C,00200,0400,MANOR CARE INC. 88108,A81000C,00200,0600,MANAGEMENT FEES 88108,A81000C,00300,0100,B 88108,A81000C,00300,0200,BETHESDA 88108,A81000C,00300,0400,MANOR CARE INC. 88108,A81000C,00300,0600,MANAGEMENT FEES 88108,A81000C,00400,0100,B 88108,A81000C,00400,0200,BETHESDA 88108,A81000C,00400,0400,MANOR CARE INC. 88108,A81000C,00400,0600,MANAGEMENT FEES 88108,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88108,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88108,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88108,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88108,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88108,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88108,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88108,B100000,00000,0800,00000MEALS SERVED :DIETARY 88108,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 88108,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88108,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88108,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88108,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88108,S000000,00100,0200,03/23/2000 88108,S200000,00100,0100,6530 DEMOCRACY BLVD. 88108,S200000,00200,0100,BETHESDA 88108,S200000,00200,0200,MD 88108,S200000,00200,0300,20817- 88108,S200000,00300,0100,MONTGOMERY 88108,S200000,00300,0300,U 88108,S200000,00400,0100,BETHESDA 88108,S200000,00400,0200,215095 88108,S200000,00400,0300,07/28/1975 88108,S200000,00400,0500,P 88108,S200000,00400,0600,P 88108,S200000,01600,0100,Y 88119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88119,A000000,00300,0000,00300EMPLOYEE BENEFITS 88119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88119,A000000,00700,0000,00700HOUSEKEEPING 88119,A000000,00800,0000,00800DIETARY 88119,A000000,00900,0000,00900NURSING ADMINISTRATION 88119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88119,A000000,01100,0000,01100PHARMACY 88119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88119,A000000,01300,0000,01300SOCIAL SERVICE 88119,A000000,01350,0000,01500OTHER GENERAL SERVICES 88119,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88119,A000000,01600,0000,01600SKILLED NURSING FACILITY 88119,A000000,01800,0000,01800NURSING FACILITY 88119,A000000,01810,0000,01810ICF/MR 88119,A000000,01900,0000,01900OTHER LONG TERM CARE 88119,A000000,02100,0000,02100RADIOLOGY 88119,A000000,02200,0000,02200LABORATORY 88119,A000000,02300,0000,02300INTRAVENOUS THERAPY 88119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88119,A000000,02500,0000,02500PHYSICAL THERAPY 88119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88119,A000000,02700,0000,02700SPEECH PATHOLOGY 88119,A000000,02800,0000,02800ELECTROCARDIOLOGY 88119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88119,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88119,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88119,A000000,03200,0000,03200SUPPORT SURFACES 88119,A000000,03400,0000,03400CLINIC 88119,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88119,A000000,03500,0000,03500RURAL HEALTH CLINIC 88119,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88119,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88119,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88119,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88119,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88119,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88119,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88119,A000000,04400,0000,04400DME RENTED - HHA 88119,A000000,04500,0000,04500DME SOLD - HHA 88119,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88119,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88119,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88119,A000000,04800,0000,04800AMBULANCE 88119,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88119,A000000,05000,0000,05000CORF 88119,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88119,A000000,05300,0000,05300INTEREST EXPENSE 88119,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88119,A000000,05500,0000,05500HOSPICE 88119,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88119,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88119,A000000,06100,0000,06100NONPAID WORKERS 88119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88119,A000000,06200,0000,06200PATIENTS LAUNDRY 88119,A81000A,00100,0100,Y 88119,A81000B,00100,0300,LAND LEASE 88119,A81000C,00100,0100,G 88119,A81000C,00100,0200,CLEAR LEVEL 1 ERROR 88119,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 88119,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 88119,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88119,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 88119,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88119,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 88119,B100000,00000,0800,00000MEALS SERVED :DIETARY 88119,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88119,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88119,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88119,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88119,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88119,E10A180,00501,0100,01/09/2001 88119,E10A180,00501,0300,01/09/2001 88119,S000000,00100,0200,11/20/2000 88119,S200000,00100,0100,303 ADCLARE ROAD 88119,S200000,00200,0100,ROCKVILLE 88119,S200000,00200,0200,MD 88119,S200000,00200,0300,20850- 88119,S200000,00300,0100,MONTGOMERY 88119,S200000,00300,0200,8840 88119,S200000,00300,0300,U 88119,S200000,00400,0100,ROCKVILLE NURSING HOME INC. 88119,S200000,00400,0200,215107 88119,S200000,00400,0300,05/01/1977 88119,S200000,00400,0500,P 88119,S200000,01500,0100,Y 88141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88141,A000000,00300,0000,00300EMPLOYEE BENEFITS 88141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88141,A000000,00700,0000,00700HOUSEKEEPING 88141,A000000,00800,0000,00800DIETARY 88141,A000000,00900,0000,00900NURSING ADMINISTRATION 88141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88141,A000000,01300,0000,01300SOCIAL SERVICE 88141,A000000,01600,0000,01600SKILLED NURSING FACILITY 88141,A000000,01800,0000,01800NURSING FACILITY 88141,A000000,02100,0000,02100RADIOLOGY 88141,A000000,02200,0000,02200LABORATORY 88141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88141,A000000,02500,0000,02500PHYSICAL THERAPY 88141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88141,A000000,02700,0000,02700SPEECH PATHOLOGY 88141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88141,A000000,03200,0000,03200SUPPORT SURFACES 88141,A000000,04800,0000,04800AMBULANCE 88141,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88141,A000000,06150,0000,06300ENTERAL FEEDINGS 88141,A81000A,00100,0100,Y 88141,A81000B,00100,0300,HOME OFFICE COSTS 88141,A81000B,00200,0300,HOME OFFICE COSTS 88141,A81000B,00300,0300,HOME OFFICE COSTS 88141,A81000B,00400,0300,RENT 88141,A81000B,00500,0300,THERAPY SERVICES 88141,A81000B,00600,0300,THERAPY SERVICES 88141,A81000B,00700,0300,THERAPY SERVICES 88141,A81000C,00100,0100,A 88141,A81000C,00100,0200,LEONARD ATTMAN 88141,A81000C,00100,0400,FUTURECARE HEAL 88141,A81000C,00100,0600,HOME OFFICE 88141,A81000C,00200,0100,A 88141,A81000C,00200,0200,GARY ATTMAN 88141,A81000C,00200,0400,FUTURECARE HEAL 88141,A81000C,00200,0600,HOME OFFICE 88141,A81000C,00300,0100,A 88141,A81000C,00300,0200,ALVIN POWERS 88141,A81000C,00300,0400,FUTURECARE HEAL 88141,A81000C,00300,0600,HOME OFFICE 88141,A81000C,00400,0100,A 88141,A81000C,00400,0200,1996 TRUST FBO 88141,A81000C,00400,0400,FUTURECARE HEAL 88141,A81000C,00400,0600,HOME OFFICE 88141,A81000C,00500,0100,A 88141,A81000C,00500,0200,ATTMAN 1995 TRU 88141,A81000C,00500,0400,OCNC LLC 88141,A81000C,00500,0600,REAL ESTATE REN 88141,A81000C,00600,0100,A 88141,A81000C,00600,0200,GARY ATTMAN 88141,A81000C,00600,0400,OCNC LLC 88141,A81000C,00600,0600,REAL ESTATE REN 88141,A81000C,00700,0100,A 88141,A81000C,00700,0200,ALVIN POWERS 88141,A81000C,00700,0400,OCNC LLC 88141,A81000C,00700,0600,REAL ESTATE REN 88141,A81000C,00800,0100,B 88141,A81000C,00800,0400,FUTURECARE REHA 88141,A81000C,00800,0600,THERAPY SERVICE 88141,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88141,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88141,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88141,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88141,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88141,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88141,B100000,00000,0800,00000MEALS SERVED :DIETARY 88141,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88141,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88141,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88141,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88141,S000000,00100,0200,05/31/2000 88141,S200000,00100,0100,5412 OLD COURT ROAD 88141,S200000,00200,0100,RANDALLSTOWN 88141,S200000,00200,0200,MD 88141,S200000,00200,0300,21133- 88141,S200000,00300,0100,BALTIMORE 88141,S200000,00400,0100,FUTURECARE OLD COURT 88141,S200000,00400,0200,215118 88141,S200000,00400,0300,06/27/1979 88141,S200000,00400,0500,P 88141,S200000,00600,0200,215118 88141,S200000,00600,0300,06/27/1979 88141,S200000,00600,0600,P 88141,S200000,01600,0100,Y 88141,S200000,01900,0100,(501)(C)(3) 88141,S200000,04300,0100,Y 88141,S700003,00000,0100,1 88148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88148,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88148,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88148,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88148,A000000,00300,0000,00300EMPLOYEE BENEFITS 88148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88148,A000000,00700,0000,00700HOUSEKEEPING 88148,A000000,00800,0000,00800DIETARY 88148,A000000,00801,0000,00801CAFETERIA 88148,A000000,00900,0000,00900NURSING ADMINISTRATION 88148,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88148,A000000,01100,0000,01100PHARMACY 88148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88148,A000000,01300,0000,01300SOCIAL SERVICE 88148,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88148,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88148,A000000,01600,0000,01600SKILLED NURSING FACILITY 88148,A000000,01800,0000,01800NURSING FACILITY 88148,A000000,01900,0000,01900OTHER LONG TERM CARE 88148,A000000,02100,0000,02100RADIOLOGY 88148,A000000,02200,0000,02200LABORATORY 88148,A000000,02300,0000,02300INTRAVENOUS THERAPY 88148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88148,A000000,02500,0000,02500PHYSICAL THERAPY 88148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88148,A000000,02700,0000,02700SPEECH PATHOLOGY 88148,A000000,02800,0000,02800ELECTROCARDIOLOGY 88148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88148,A000000,03050,0000,03300OTHER ANCILLARY 88148,A000000,03051,0000,03301OTHER ANCILLARY II 88148,A000000,03052,0000,03302OTHER ANCILLARY III 88148,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88148,A000000,03200,0000,03200SUPPORT SURFACES 88148,A000000,03400,0000,03400CLINIC 88148,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88148,A000000,03500,0000,03500RURAL HEALTH CLINIC 88148,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88148,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88148,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88148,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88148,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88148,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88148,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88148,A000000,04400,0000,04400DME RENTED - HHA 88148,A000000,04500,0000,04500DME SOLD - HHA 88148,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88148,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88148,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88148,A000000,04800,0000,04800AMBULANCE 88148,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88148,A000000,05000,0000,05000CORF 88148,A000000,05010,0000,05010CMHC I 88148,A000000,05020,0000,05020OPT I 88148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88148,A000000,05300,0000,05300INTEREST EXPENSE 88148,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88148,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88148,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88148,A000000,05500,0000,05500HOSPICE 88148,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88148,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88148,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88148,A000000,06100,0000,06100NONPAID WORKERS 88148,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88148,A000000,06200,0000,06200PATIENTS LAUNDRY 88148,A81000A,00100,0100,Y 88148,A81000B,00100,0300,RENT 88148,A81000B,00200,0300,DEPR/INTR/TAXES/INS 88148,A81000B,00300,0300,AMORT/OTHER 88148,A81000C,00100,0100,C 88148,A81000C,00100,0200,MAX FRANK 88148,A81000C,00100,0400,CCALP 88148,A81000C,00100,0600,PROP OWN 88148,A81000C,00200,0100,C 88148,A81000C,00200,0200,PAUL RHODES 88148,A81000C,00200,0400,CCALP 88148,A81000C,00200,0600,PROP OWN 88148,A81000C,00300,0100,C 88148,A81000C,00300,0200,MARTIN LESSANS 88148,A81000C,00300,0400,CCALP 88148,A81000C,00300,0600,PROP OWN 88148,A81000C,00400,0100,C 88148,A81000C,00400,0200,ROBERT ROSENBER 88148,A81000C,00400,0400,CCALP 88148,A81000C,00400,0600,PROP OWN 88148,A81000C,00500,0100,C 88148,A81000C,00500,0200,PAUL ROSOFF 88148,A81000C,00500,0400,CCALP 88148,A81000C,00500,0600,PROP OWN 88148,A81000C,00600,0100,C 88148,A81000C,00600,0200,ESTATE C. PHELP 88148,A81000C,00600,0400,CCALP 88148,A81000C,00600,0600,PROP OWN 88148,A81000C,00700,0100,C 88148,A81000C,00700,0200,MARTIN MOCARZ 88148,A81000C,00700,0400,CCALP 88148,A81000C,00700,0600,PROP OWN 88148,A81000C,00800,0100,C 88148,A81000C,00800,0200,OGUZ TURGUT 88148,A81000C,00800,0400,CCALP 88148,A81000C,00800,0600,PROP OWN 88148,A81000C,00900,0100,C 88148,A81000C,00900,0200,WILMA STONE 88148,A81000C,00900,0400,CCALP 88148,A81000C,00900,0600,PROP OWN 88148,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88148,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88148,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88148,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88148,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88148,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88148,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88148,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88148,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88148,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88148,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88148,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88148,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88148,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88148,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88148,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88148,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88148,S000000,00100,0200,05/31/2000 88148,S200000,00100,0100,2131 DAVIDSONVILE ROAD 88148,S200000,00200,0100,CROFTON 88148,S200000,00200,0200,MD 88148,S200000,00200,0300,21114- 88148,S200000,00300,0100,ANNE ARUNDEL 88148,S200000,00400,0100,CROFTON CONVALESCENT CENTER 88148,S200000,00400,0200,215120 88148,S200000,00400,0300,12/31/1979 88148,S200000,00400,0500,P 88148,S200000,01600,0100,Y 88148,S200000,02200,0100,Y 88148,S700003,00000,0100,1 88156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88156,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88156,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88156,A000000,00300,0000,00300EMPLOYEE BENEFITS 88156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88156,A000000,00700,0000,00700HOUSEKEEPING 88156,A000000,00800,0000,00800DIETARY 88156,A000000,00801,0000,00801CAFETERIA 88156,A000000,00900,0000,00900NURSING ADMINISTRATION 88156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88156,A000000,01100,0000,01100PHARMACY 88156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88156,A000000,01300,0000,01300SOCIAL SERVICE 88156,A000000,01350,0000,01500ACTIVITIES 88156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88156,A000000,01600,0000,01600SKILLED NURSING FACILITY 88156,A000000,01800,0000,01800NURSING FACILITY 88156,A000000,01900,0000,01900OTHER LONG TERM CARE 88156,A000000,02100,0000,02100RADIOLOGY 88156,A000000,02200,0000,02200LABORATORY 88156,A000000,02300,0000,02300INTRAVENOUS THERAPY 88156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88156,A000000,02500,0000,02500PHYSICAL THERAPY 88156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88156,A000000,02700,0000,02700SPEECH PATHOLOGY 88156,A000000,02800,0000,02800ELECTROCARDIOLOGY 88156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88156,A000000,03050,0000,03300OTHER ANCILLARY 88156,A000000,03051,0000,03301OTHER ANCILLARY II 88156,A000000,03052,0000,03302OTHER ANCILLARY III 88156,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88156,A000000,03200,0000,03200SUPPORT SURFACES 88156,A000000,03400,0000,03400CLINIC 88156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88156,A000000,03500,0000,03500RURAL HEALTH CLINIC 88156,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88156,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88156,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88156,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88156,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88156,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88156,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88156,A000000,04400,0000,04400DME RENTED - HHA 88156,A000000,04500,0000,04500DME SOLD - HHA 88156,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88156,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88156,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88156,A000000,04800,0000,04800AMBULANCE 88156,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88156,A000000,05000,0000,05000CORF 88156,A000000,05010,0000,05010CMHC I 88156,A000000,05020,0000,05020OPT I 88156,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88156,A000000,05300,0000,05300INTEREST EXPENSE 88156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88156,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88156,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88156,A000000,05500,0000,05500HOSPICE 88156,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88156,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88156,A000000,06100,0000,06100NONPAID WORKERS 88156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88156,A000000,06200,0000,06200PATIENTS LAUNDRY 88156,A81000A,00100,0100,Y 88156,A81000B,00100,0300,MGMT FEE 88156,A81000B,00200,0300,MGMT SUB 88156,A81000B,00300,0300,MGMT SUB 88156,A81000B,00400,0300,MGMT SUB 88156,A81000B,00500,0300,MGMT SUB 88156,A81000B,00600,0300,MGMT SUB 88156,A81000B,00700,0300,RENT EXPENSE 88156,A81000B,00800,0300,RENT SUBT 88156,A81000C,00100,0100,A 88156,A81000C,00100,0200,SRC 88156,A81000C,00100,0400,HARRISON ENTRP 88156,A81000C,00100,0600,MGMT SERVICES 88156,A81000C,00200,0100,B 88156,A81000C,00200,0200,HARRISON ENTRP 88156,A81000C,00200,0400,HARRISON ENTRP 88156,A81000C,00200,0600,FACILITY RENTAL 88156,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88156,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88156,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88156,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88156,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88156,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88156,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88156,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88156,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88156,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88156,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88156,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88156,S000000,00100,0200,06/01/2000 88156,S200000,00100,0100,430 WEST MARKET STREET 88156,S200000,00200,0100,SNOW HILL 88156,S200000,00200,0200,MD 88156,S200000,00200,0300,21863- 88156,S200000,00300,0100,WORCESTER 88156,S200000,00300,0200,21 88156,S200000,00300,0300,R 88156,S200000,00400,0100,HARRISON HOUSE OF SNOW HILL 88156,S200000,00400,0200,215121 88156,S200000,00400,0300,01/01/1982 88156,S200000,00400,0500,P 88156,S200000,01500,0100,Y 88156,S200000,02200,0100,Y 88163,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88163,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88163,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88163,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88163,A000000,00300,0000,00300EMPLOYEE BENEFITS 88163,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88163,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88163,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88163,A000000,00700,0000,00700HOUSEKEEPING 88163,A000000,00800,0000,00800DIETARY 88163,A000000,00801,0000,00801CAFETERIA 88163,A000000,00900,0000,00900NURSING ADMINISTRATION 88163,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88163,A000000,01100,0000,01100PHARMACY 88163,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88163,A000000,01300,0000,01300SOCIAL SERVICE 88163,A000000,01350,0000,01500ACTIVITIES 88163,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88163,A000000,01600,0000,01600SKILLED NURSING FACILITY 88163,A000000,01800,0000,01800NURSING FACILITY 88163,A000000,01900,0000,01900OTHER LONG TERM CARE 88163,A000000,02100,0000,02100RADIOLOGY 88163,A000000,02200,0000,02200LABORATORY 88163,A000000,02300,0000,02300INTRAVENOUS THERAPY 88163,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88163,A000000,02500,0000,02500PHYSICAL THERAPY 88163,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88163,A000000,02700,0000,02700SPEECH PATHOLOGY 88163,A000000,02800,0000,02800ELECTROCARDIOLOGY 88163,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88163,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88163,A000000,03050,0000,03300OTHER ANCILLARY 88163,A000000,03051,0000,03301OTHER ANCILLARY II 88163,A000000,03052,0000,03302OTHER ANCILLARY III 88163,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88163,A000000,03200,0000,03200SUPPORT SURFACES 88163,A000000,03400,0000,03400CLINIC 88163,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88163,A000000,03500,0000,03500RURAL HEALTH CLINIC 88163,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88163,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88163,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88163,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88163,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88163,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88163,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88163,A000000,04400,0000,04400DME RENTED - HHA 88163,A000000,04500,0000,04500DME SOLD - HHA 88163,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88163,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88163,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88163,A000000,04800,0000,04800AMBULANCE 88163,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88163,A000000,05000,0000,05000CORF 88163,A000000,05010,0000,05010CMHC I 88163,A000000,05020,0000,05020OPT I 88163,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88163,A000000,05300,0000,05300INTEREST EXPENSE 88163,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88163,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88163,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88163,A000000,05500,0000,05500HOSPICE 88163,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88163,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88163,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88163,A000000,06100,0000,06100NONPAID WORKERS 88163,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88163,A000000,06200,0000,06200PATIENTS LAUNDRY 88163,A81000A,00100,0100,Y 88163,A81000B,00100,0300,ACCOUNTING FEES 88163,A81000C,00100,0100,E 88163,A81000C,00100,0200,LEONARD SACKS 88163,A81000C,00100,0400,REZNICK FEDDER 88163,A81000C,00100,0600,ACCTG FIRM 88163,A81000C,00200,0400,SILVERMAN 88163,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88163,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88163,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88163,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88163,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88163,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88163,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88163,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88163,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88163,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88163,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88163,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88163,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88163,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88163,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88163,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88163,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88163,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88163,S000000,00100,0200,05/26/2000 88163,S200000,00100,0100,7920 SCOTTS LEVELRD 88163,S200000,00200,0100,BALTIMORE 88163,S200000,00200,0200,MD 88163,S200000,00200,0300,21208- 88163,S200000,00300,0100,BALTIMORE CITY 88163,S200000,00400,0100,JEWISH CONVALESCENT & NURSING HOME . 88163,S200000,00400,0200,215128 88163,S200000,00400,0300,12/01/1988 88163,S200000,00400,0500,P 88163,S200000,01500,0100,Y 88163,S200000,02800,0100,Y 88163,S700003,00000,0100,1 88174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88174,A000000,00300,0000,00300EMPLOYEE BENEFITS 88174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88174,A000000,00700,0000,00700HOUSEKEEPING 88174,A000000,00800,0000,00800DIETARY 88174,A000000,00900,0000,00900NURSING ADMINISTRATION 88174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88174,A000000,01100,0000,01100PHARMACY 88174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88174,A000000,01300,0000,01300SOCIAL SERVICE 88174,A000000,01350,0000,01500OTHER GENERAL SERVICES 88174,A000000,01351,0000,01501ACTIVITIES 88174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88174,A000000,01600,0000,01600SKILLED NURSING FACILITY 88174,A000000,01800,0000,01800NURSING FACILITY 88174,A000000,01810,0000,01810ICF/MR 88174,A000000,01900,0000,01900OTHER LONG TERM CARE 88174,A000000,02100,0000,02100RADIOLOGY 88174,A000000,02200,0000,02200LABORATORY 88174,A000000,02300,0000,02300INTRAVENOUS THERAPY 88174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88174,A000000,02500,0000,02500PHYSICAL THERAPY 88174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88174,A000000,02700,0000,02700SPEECH PATHOLOGY 88174,A000000,02800,0000,02800ELECTROCARDIOLOGY 88174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88174,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 88174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88174,A000000,03200,0000,03200SUPPORT SURFACES 88174,A000000,03400,0000,03400CLINIC 88174,A000000,03500,0000,03500RURAL HEALTH CLINIC 88174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88174,A000000,05300,0000,05300INTEREST EXPENSE 88174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88174,A000000,05500,0000,05500HOSPICE 88174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88174,A000000,06100,0000,06100NONPAID WORKERS 88174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88174,A000000,06200,0000,06200PATIENTS LAUNDRY 88174,A000000,06201,0000,06201CONTRIBUTIONS 88174,A000000,06202,0000,06202FLOWERS & GIFTS 88174,A81000A,00100,0100,Y 88174,A81000B,00100,0300,HOME OFFICE 88174,A81000C,00100,0100,A 88174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88174,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88174,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88174,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 88174,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88174,B100000,00000,0900,00000DIRECT NRSING HOU :NURSING ADMINIST 88174,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88174,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88174,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 88174,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 88174,B100000,00000,1351,00000TIME STUDY :ACTIVITIES 88174,S000000,00100,0200,08/29/2000 88174,S200000,00100,0100,7309 SECOND AVENUE 88174,S200000,00200,0100,SYKESVILLE 88174,S200000,00200,0200,MD 88174,S200000,00200,0300,21784- 88174,S200000,00300,0100,CARROLL 88174,S200000,00300,0300,U 88174,S200000,00400,0100,CONTINUUM CARE CENTER OF SYKESVILLE 88174,S200000,00400,0200,215136 88174,S200000,00400,0300,07/01/1982 88174,S200000,00400,0500,P 88174,S200000,00600,0200,215136 88174,S200000,00600,0300,07/01/1982 88174,S200000,00600,0600,P 88174,S200000,01600,0100,Y 88182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88182,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88182,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88182,A000000,00300,0000,00300EMPLOYEE BENEFITS 88182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88182,A000000,00700,0000,00700HOUSEKEEPING 88182,A000000,00800,0000,00800DIETARY 88182,A000000,00801,0000,00801CAFETERIA 88182,A000000,00900,0000,00900NURSING ADMINISTRATION 88182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88182,A000000,01100,0000,01100PHARMACY 88182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88182,A000000,01300,0000,01300SOCIAL SERVICE 88182,A000000,01350,0000,01500ACTIVITIES 88182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88182,A000000,01600,0000,01600SKILLED NURSING FACILITY 88182,A000000,01800,0000,01800NURSING FACILITY 88182,A000000,01900,0000,01900OTHER LONG TERM CARE 88182,A000000,02100,0000,02100RADIOLOGY 88182,A000000,02200,0000,02200LABORATORY 88182,A000000,02300,0000,02300INTRAVENOUS THERAPY 88182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88182,A000000,02500,0000,02500PHYSICAL THERAPY 88182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88182,A000000,02700,0000,02700SPEECH PATHOLOGY 88182,A000000,02800,0000,02800ELECTROCARDIOLOGY 88182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88182,A000000,03050,0000,03300OTHER ANCILLARY 88182,A000000,03051,0000,03301OTHER ANCILLARY II 88182,A000000,03052,0000,03302OTHER ANCILLARY III 88182,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88182,A000000,03200,0000,03200SUPPORT SURFACES 88182,A000000,03400,0000,03400CLINIC 88182,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88182,A000000,03500,0000,03500RURAL HEALTH CLINIC 88182,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88182,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88182,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88182,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88182,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88182,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88182,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88182,A000000,04400,0000,04400DME RENTED - HHA 88182,A000000,04500,0000,04500DME SOLD - HHA 88182,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88182,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88182,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88182,A000000,04800,0000,04800AMBULANCE 88182,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88182,A000000,05000,0000,05000CORF 88182,A000000,05010,0000,05010CMHC I 88182,A000000,05020,0000,05020OPT I 88182,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88182,A000000,05300,0000,05300INTEREST EXPENSE 88182,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88182,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88182,A000000,05500,0000,05500HOSPICE 88182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88182,A000000,06100,0000,06100NONPAID WORKERS 88182,A000000,06150,0000,06300RETIREMENT COMMUNITY 88182,A000000,06200,0000,06200PATIENTS LAUNDRY 88182,A81000A,00100,0100,Y 88182,A81000B,00100,0300,RENT 88182,A81000B,00200,0300,MGMT. FEE 88182,A81000C,00100,0100,A 88182,A81000C,00100,0200,DAVID HILL 88182,A81000C,00100,0400,CAULK MGMT. 88182,A81000C,00100,0600,MANAGEMENT 88182,A81000C,00200,0100,A 88182,A81000C,00200,0200,DAVID HILL 88182,A81000C,00200,0400,ERSA 88182,A81000C,00200,0600,REAL ESTATE 88182,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88182,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88182,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88182,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88182,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88182,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88182,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88182,S000000,00100,0200,11/21/2000 88182,S200000,00100,0100,501 DUTCHMANS LANE 88182,S200000,00200,0100,EASTON 88182,S200000,00200,0200,MD 88182,S200000,00200,0300,21601- 88182,S200000,00300,0100,TALBOT 88182,S200000,00300,0200,0021 88182,S200000,00300,0300,R 88182,S200000,00400,0100,WILLIAM HILL MANOR INC. 88182,S200000,00400,0200,215137 88182,S200000,00400,0300,01/01/1981 88182,S200000,00400,0500,P 88182,S200000,01500,0100,Y 88182,S200000,02200,0100,Y 88182,S200000,02800,0100,Y 88190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88190,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88190,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88190,A000000,00300,0000,00300EMPLOYEE BENEFITS 88190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88190,A000000,00700,0000,00700HOUSEKEEPING 88190,A000000,00800,0000,00800DIETARY 88190,A000000,00801,0000,00801CAFETERIA 88190,A000000,00900,0000,00900NURSING ADMINISTRATION 88190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88190,A000000,01100,0000,01100PHARMACY 88190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88190,A000000,01300,0000,01300SOCIAL SERVICE 88190,A000000,01350,0000,01500ACTIVITIES 88190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88190,A000000,01600,0000,01600SKILLED NURSING FACILITY 88190,A000000,01800,0000,01800NURSING FACILITY 88190,A000000,01900,0000,01900OTHER LONG TERM CARE 88190,A000000,02100,0000,02100RADIOLOGY 88190,A000000,02200,0000,02200LABORATORY 88190,A000000,02300,0000,02300INTRAVENOUS THERAPY 88190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88190,A000000,02500,0000,02500PHYSICAL THERAPY 88190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88190,A000000,02700,0000,02700SPEECH PATHOLOGY 88190,A000000,02800,0000,02800ELECTROCARDIOLOGY 88190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88190,A000000,03050,0000,03300OTHER ANCILLARY 88190,A000000,03051,0000,03301OTHER ANCILLARY II 88190,A000000,03052,0000,03302OTHER ANCILLARY III 88190,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88190,A000000,03200,0000,03200SUPPORT SURFACES 88190,A000000,03400,0000,03400CLINIC 88190,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88190,A000000,03500,0000,03500RURAL HEALTH CLINIC 88190,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88190,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88190,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88190,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88190,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88190,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88190,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88190,A000000,04400,0000,04400DME RENTED - HHA 88190,A000000,04500,0000,04500DME SOLD - HHA 88190,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88190,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88190,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88190,A000000,04800,0000,04800AMBULANCE 88190,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88190,A000000,05000,0000,05000CORF 88190,A000000,05010,0000,05010CMHC I 88190,A000000,05020,0000,05020OPT I 88190,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88190,A000000,05300,0000,05300INTEREST EXPENSE 88190,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88190,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88190,A000000,05500,0000,05500HOSPICE 88190,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88190,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88190,A000000,06100,0000,06100NONPAID WORKERS 88190,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88190,A000000,06200,0000,06200PATIENTS LAUNDRY 88190,A81000A,00100,0100,Y 88190,A81000B,00100,0300,MANAGEMENT FEE 88190,A81000B,00200,0300,RENT 88190,A81000B,00300,0300,PHYSICAL THERAPY 88190,A81000B,00400,0300,OCC. THERAPY 88190,A81000B,00500,0300,SPEECH THERAPY 88190,A81000C,00100,0100,A 88190,A81000C,00100,0200,B OWENS I CHAPN 88190,A81000C,00100,0400,MILL HEALTH 88190,A81000C,00100,0600,MGMT. CO 88190,A81000C,00200,0100,A 88190,A81000C,00200,0200,B OWENS I CHAPN 88190,A81000C,00200,0400,MILL HOLDING 88190,A81000C,00200,0600,REAL ESTATE 88190,A81000C,00300,0100,A 88190,A81000C,00300,0200,B OWENS I CHAPN 88190,A81000C,00300,0400,THER CONCEPTS 88190,A81000C,00300,0600,THERAPY 88190,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88190,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88190,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88190,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88190,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88190,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88190,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88190,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88190,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88190,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88190,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88190,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88190,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88190,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88190,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88190,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88190,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88190,S000000,00100,0200,05/31/2000 88190,S200000,00100,0100,7575 E HOWARD ROAD 88190,S200000,00200,0100,GLEN BURNIE 88190,S200000,00200,0200,MD 88190,S200000,00200,0300,21060- 88190,S200000,00300,0100,ANNE ARUNDEL 88190,S200000,00400,0100,MILLENNIUM H&R CENTER AT MARLEY NECK 88190,S200000,00400,0200,215138 88190,S200000,00400,0300,03/01/1997 88190,S200000,00400,0500,P 88190,S200000,01500,0100,Y 88190,S700003,00000,0100,1 88196,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88196,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88196,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88196,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88196,A000000,00300,0000,00300EMPLOYEE BENEFITS 88196,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88196,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88196,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88196,A000000,00700,0000,00700HOUSEKEEPING 88196,A000000,00800,0000,00800DIETARY 88196,A000000,00801,0000,00801CAFETERIA 88196,A000000,00900,0000,00900NURSING ADMINISTRATION 88196,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88196,A000000,01100,0000,01100PHARMACY 88196,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88196,A000000,01300,0000,01300SOCIAL SERVICE 88196,A000000,01350,0000,01500ACTIVITIES 88196,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88196,A000000,01600,0000,01600SKILLED NURSING FACILITY 88196,A000000,01800,0000,01800NURSING FACILITY 88196,A000000,01900,0000,01900OTHER LONG TERM CARE 88196,A000000,02100,0000,02100RADIOLOGY 88196,A000000,02200,0000,02200LABORATORY 88196,A000000,02300,0000,02300INTRAVENOUS THERAPY 88196,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88196,A000000,02500,0000,02500PHYSICAL THERAPY 88196,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88196,A000000,02700,0000,02700SPEECH PATHOLOGY 88196,A000000,02800,0000,02800ELECTROCARDIOLOGY 88196,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88196,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88196,A000000,03050,0000,03300OTHER ANCILLARY 88196,A000000,03051,0000,03301OTHER ANCILLARY II 88196,A000000,03052,0000,03302OTHER ANCILLARY III 88196,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88196,A000000,03200,0000,03200SUPPORT SURFACES 88196,A000000,03400,0000,03400CLINIC 88196,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88196,A000000,03500,0000,03500RURAL HEALTH CLINIC 88196,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88196,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88196,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88196,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88196,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88196,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88196,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88196,A000000,04400,0000,04400DME RENTED - HHA 88196,A000000,04500,0000,04500DME SOLD - HHA 88196,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88196,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88196,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88196,A000000,04800,0000,04800AMBULANCE 88196,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88196,A000000,05000,0000,05000CORF 88196,A000000,05010,0000,05010CMHC I 88196,A000000,05020,0000,05020OPT I 88196,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88196,A000000,05300,0000,05300INTEREST EXPENSE 88196,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88196,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88196,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88196,A000000,05500,0000,05500HOSPICE 88196,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88196,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88196,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88196,A000000,06100,0000,06100NONPAID WORKERS 88196,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88196,A000000,06200,0000,06200PATIENTS LAUNDRY 88196,A81000A,00100,0100,Y 88196,A81000B,00100,0300,MANAGEMENT FEE 88196,A81000B,00200,0300,HOME OFFICE ALLOCATION 88196,A81000B,00300,0300,HOME OFFICE ALLOCATION 88196,A81000C,00100,0100,B 88196,A81000C,00100,0200,HOME QUALITY MG 88196,A81000C,00100,0400,HEALTH CARE ACQ 88196,A81000C,00100,0600,MGMT CO 88196,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88196,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88196,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88196,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88196,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88196,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88196,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88196,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88196,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88196,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88196,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88196,B100000,00000,0950,00000(TIME SPENT) :NURSING ADMINISTRATI 88196,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 88196,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88196,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88196,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88196,B100000,00000,1350,00000(TIME SPENT) :ACTIVITIES 88196,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88196,E10A180,00301,0100,02/24/2000 88196,S000000,00100,0200,02/29/2000 88196,S200000,00100,0100,1500 GREAT MILLS ROAD 88196,S200000,00200,0100,LEXINGTON PARK 88196,S200000,00200,0200,MD 88196,S200000,00200,0300,20653- 88196,S200000,00300,0100,ST. MARYS 88196,S200000,00400,0100,BAYSIDE CARE CENTER AT LEXINGTON PAR 88196,S200000,00400,0200,215142 88196,S200000,00400,0300,09/01/1987 88196,S200000,00400,0500,P 88196,S200000,01600,0100,Y 88202,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88202,A000000,00300,0000,00300EMPLOYEE BENEFITS 88202,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88202,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88202,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88202,A000000,00700,0000,00700HOUSEKEEPING 88202,A000000,00800,0000,00800DIETARY 88202,A000000,00900,0000,00900NURSING ADMINISTRATION 88202,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88202,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88202,A000000,01300,0000,01300SOCIAL SERVICE 88202,A000000,01600,0000,01600SKILLED NURSING FACILITY 88202,A000000,01800,0000,01800NURSING FACILITY 88202,A000000,02100,0000,02100RADIOLOGY 88202,A000000,02200,0000,02200LABORATORY 88202,A000000,02500,0000,02500PHYSICAL THERAPY 88202,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88202,A000000,02700,0000,02700SPEECH PATHOLOGY 88202,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88202,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88202,A000000,03200,0000,03200SUPPORT SURFACES 88202,A000000,04800,0000,04800AMBULANCE 88202,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88202,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88202,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88202,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88202,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88202,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88202,B100000,00000,0800,00000MEALS SERVED :DIETARY 88202,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88202,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88202,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88202,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88202,S000000,00100,0200,05/31/2000 88202,S200000,00100,0100,4922 LASALLE ROAD 88202,S200000,00200,0100,HYATTSVILLE 88202,S200000,00200,0200,MD 88202,S200000,00200,0300,20782- 88202,S200000,00300,0100,PRINCE GEORGES 88202,S200000,00400,0100,ST. THOMAS MORE NURSING & REHAB 88202,S200000,00400,0200,215145 88202,S200000,00400,0300,06/01/1996 88202,S200000,00400,0500,P 88202,S200000,00600,0200,215145 88202,S200000,00600,0300,06/01/1996 88202,S200000,00600,0600,P 88202,S200000,01600,0100,Y 88202,S200000,01900,0100,(501)(C)(3) 88202,S200000,04300,0100,Y 88202,S700003,00000,0100,1 88210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88210,A000000,00300,0000,00300EMPLOYEE BENEFITS 88210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88210,A000000,00700,0000,00700HOUSEKEEPING 88210,A000000,00800,0000,00800DIETARY 88210,A000000,00900,0000,00900NURSING ADMINISTRATION 88210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88210,A000000,01100,0000,01100PHARMACY 88210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88210,A000000,01300,0000,01300SOCIAL SERVICE 88210,A000000,01350,0000,01500RECREATION THERAPY 88210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88210,A000000,01600,0000,01600SKILLED NURSING FACILITY 88210,A000000,01800,0000,01800NURSING FACILITY 88210,A000000,02100,0000,02100RADIOLOGY 88210,A000000,02200,0000,02200LABORATORY 88210,A000000,02300,0000,02300INTRAVENOUS THERAPY 88210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88210,A000000,02500,0000,02500PHYSICAL THERAPY 88210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88210,A000000,02700,0000,02700SPEECH PATHOLOGY 88210,A000000,02800,0000,02800ELECTROCARDIOLOGY 88210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88210,A000000,03050,0000,03201CLINITRON BEDS 88210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88210,A000000,03200,0000,03200SUPPORT SURFACES 88210,A000000,03400,0000,03400CLINIC 88210,A000000,04800,0000,04800AMBULANCE 88210,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88210,A000000,05300,0000,05300INTEREST EXPENSE 88210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88210,A000000,06100,0000,06100NONPAID WORKERS 88210,A000000,06200,0000,06200PATIENTS LAUNDRY 88210,A81000A,00100,0100,Y 88210,A81000B,00100,0300,H/O - CAPITAL - BLDGS & FIXTRS 88210,A81000B,00200,0300,H/O - CAPITAL -MME 88210,A81000B,00300,0300,H/O - ADMIN 88210,A81000C,00100,0100,B 88210,A81000C,00100,0200,GSEMC 88210,A81000C,00100,0400,GSEMC 88210,A81000C,00100,0600,MGMT 88210,A81000C,00200,0100,B 88210,A81000C,00200,0200,GSEMC 88210,A81000C,00200,0400,GSEMC 88210,A81000C,00200,0600,MGMT 88210,A81000C,00300,0100,B 88210,A81000C,00300,0200,GSEMC 88210,A81000C,00300,0400,GSEMC 88210,A81000C,00300,0600,MGMT 88210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88210,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 88210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88210,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88210,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 88210,B100000,00000,0800,00000MEALS SERVED :DIETARY 88210,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88210,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 88210,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 88210,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88210,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88210,B100000,00000,1350,00000OTHER :RECREATION THERAPY 88210,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88210,S000000,00100,0200,05/31/2000 88210,S200000,00100,0100,12021 LIVINGSTON ROAD 88210,S200000,00200,0100,FORT WASHINGTON 88210,S200000,00200,0200,MD 88210,S200000,00200,0300,20744- 88210,S200000,00300,0100,PRINCE GEORGES 88210,S200000,00400,0100,LIVINGSTON HEALTH CARE CENTER 88210,S200000,00400,0200,215146 88210,S200000,00400,0300,04/01/1991 88210,S200000,00400,0500,P 88210,S200000,00600,0200,215146 88210,S200000,00600,0300,04/01/1991 88210,S200000,00600,0600,P 88210,S200000,01900,0100,VOLUNTARY (NON-PROFI 88210,S700003,00000,0100,1 88219,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88219,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88219,A000000,00300,0000,00300EMPLOYEE BENEFITS 88219,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88219,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88219,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88219,A000000,00700,0000,00700HOUSEKEEPING 88219,A000000,00800,0000,00800DIETARY 88219,A000000,00900,0000,00900NURSING ADMINISTRATION 88219,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88219,A000000,01100,0000,01100PHARMACY 88219,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88219,A000000,01300,0000,01300SOCIAL SERVICE 88219,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88219,A000000,01600,0000,01600SKILLED NURSING FACILITY 88219,A000000,01800,0000,01800NURSING FACILITY 88219,A000000,01810,0000,01810ICF/MR 88219,A000000,02100,0000,02100RADIOLOGY 88219,A000000,02200,0000,02200LABORATORY 88219,A000000,02300,0000,02300INTRAVENOUS THERAPY 88219,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88219,A000000,02500,0000,02500PHYSICAL THERAPY 88219,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88219,A000000,02700,0000,02700SPEECH PATHOLOGY 88219,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88219,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88219,A000000,03050,0000,03300AIR FLUIDIZED BEDS 88219,A000000,03550,0000,03550FQHC 88219,A000000,04800,0000,04800AMBULANCE 88219,A000000,05000,0000,05000CORF 88219,A000000,05010,0000,05010CMHC 88219,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88219,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88219,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88219,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88219,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88219,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88219,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88219,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88219,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88219,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88219,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88219,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88219,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88219,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88219,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 88219,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88219,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88219,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88219,S000000,00100,0200,05/31/2000 88219,S200000,00100,0100,1046 OLD N. POINT BLVD 88219,S200000,00200,0100,BALTIMORE 88219,S200000,00200,0200,MD 88219,S200000,00200,0300,21224- 88219,S200000,00300,0100,BALTIMORE 88219,S200000,00400,0100,EASTPOINT REHAB. & NRSG. CENTER 88219,S200000,00400,0200,215147 88219,S200000,00400,0300,01/01/1992 88219,S200000,00400,0500,P 88219,S200000,00600,0200,215147 88219,S200000,00600,0300,01/01/1992 88219,S200000,00600,0600,P 88219,S200000,01004,0500,O 88219,S200000,01600,0100,Y 88219,S200000,04300,0100,Y 88219,S700003,00000,0100,1 88229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88229,A000000,00300,0000,00300EMPLOYEE BENEFITS 88229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88229,A000000,00700,0000,00700HOUSEKEEPING 88229,A000000,00800,0000,00800DIETARY 88229,A000000,00900,0000,00900NURSING ADMINISTRATION 88229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88229,A000000,01100,0000,01100PHARMACY 88229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88229,A000000,01300,0000,01300SOCIAL SERVICE 88229,A000000,01350,0000,01500ACTIVITIES 88229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88229,A000000,01600,0000,01600SKILLED NURSING FACILITY 88229,A000000,01800,0000,01800NURSING FACILITY 88229,A000000,01810,0000,01810ICF/MR 88229,A000000,02100,0000,02100RADIOLOGY 88229,A000000,02200,0000,02200LABORATORY 88229,A000000,02300,0000,02300INTRAVENOUS THERAPY 88229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88229,A000000,02500,0000,02500PHYSICAL THERAPY 88229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88229,A000000,02700,0000,02700SPEECH PATHOLOGY 88229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88229,A000000,03200,0000,03200SUPPORT SURFACES 88229,A000000,03550,0000,03550FQHC 88229,A000000,05000,0000,05000CORF 88229,A000000,05010,0000,05010CMHC 88229,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88229,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88229,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88229,A000000,06150,0000,06300DIALYSIS CENTER 88229,A000000,06151,0000,06301MARKETING & ADVERTISING 88229,A81000A,00100,0100,Y 88229,A81000B,00100,0300,MORTGAGE INTEREST 88229,A81000B,00200,0300,VAN SERVICE 88229,A81000B,00300,0300,MANAGEMENT FEES 88229,A81000B,00400,0300,LAB OUTREACH SERVICE 88229,A81000B,00500,0300,PHYSICAL THERAPY 88229,A81000B,00600,0300,OCCUPATIONAL THERAPY 88229,A81000B,00700,0300,SPEECH THERAPY 88229,A81000B,00800,0300,ST. AGNES HEALTHCARE 88229,A81000B,00900,0300,ST. AGNES HEALTHCARE 88229,A81000C,00100,0100,B 88229,A81000C,00100,0400,ST. AGNES HEALT 88229,A81000C,00100,0600,HEALTHCARE SERV 88229,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 88229,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 88229,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 88229,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 88229,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 88229,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 88229,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 88229,B100000,00000,0800,00001MEALS SERVED :DIETARY 88229,B100000,00000,0950,00001NURSING SALARIES :NURSING ADMINIST 88229,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 88229,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 88229,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 88229,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 88229,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 88229,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 88229,S000000,00100,0200,05/31/2000 88229,S200000,00100,0100,3000 NORTH RIDGE ROAD 88229,S200000,00200,0100,ELLICOTT CITY 88229,S200000,00200,0200,MD 88229,S200000,00200,0300,21043- 88229,S200000,00300,0100,HOWARD COUNTY 88229,S200000,00400,0100,ST.AGNES NRSG. AND REHAB. CENTER 88229,S200000,00400,0200,215160 88229,S200000,00400,0300,01/01/1997 88229,S200000,00400,0500,P 88229,S200000,00600,0200,215160 88229,S200000,00600,0300,01/01/1997 88229,S200000,00600,0600,P 88229,S200000,01600,0100,Y 88238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88238,A000000,00300,0000,00300EMPLOYEE BENEFITS 88238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88238,A000000,00700,0000,00700HOUSEKEEPING 88238,A000000,00800,0000,00800DIETARY 88238,A000000,00900,0000,00900NURSING ADMINISTRATION 88238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88238,A000000,01100,0000,01100PHARMACY 88238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88238,A000000,01300,0000,01300SOCIAL SERVICE 88238,A000000,01600,0000,01600SKILLED NURSING FACILITY 88238,A000000,01800,0000,01800NURSING FACILITY 88238,A000000,01900,0000,01900OTHER LONG TERM CARE 88238,A000000,02100,0000,02100RADIOLOGY 88238,A000000,02200,0000,02200LABORATORY 88238,A000000,02300,0000,02300INTRAVENOUS THERAPY 88238,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88238,A000000,02500,0000,02500PHYSICAL THERAPY 88238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88238,A000000,02700,0000,02700SPEECH PATHOLOGY 88238,A000000,02800,0000,02800ELECTROCARDIOLOGY 88238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88238,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88238,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 88238,A000000,04800,0000,04800AMBULANCE 88238,A000000,05000,0000,05000CORF 88238,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88238,A000000,05300,0000,05300INTEREST EXPENSE 88238,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88238,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88238,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88238,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88238,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88238,A000000,06100,0000,06100NONPAID WORKERS 88238,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 88238,A000000,06200,0000,06200PATIENTS LAUNDRY 88238,A81000A,00100,0100,Y 88238,A81000B,00100,0300,HOME OFFICE COSTS 88238,A81000B,00200,0300,MANAGEMENT FEES 88238,A81000B,00300,0300,HOME OFFICE COSTS 88238,A81000B,00400,0300,MANAGEMENT FEES 88238,A81000C,00100,0100,A 88238,A81000C,00100,0200,SERVICEMASTER 88238,A81000C,00100,0400,MANAGMENT FEES 88238,A81000C,00100,0600,HOME OFFICE 88238,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88238,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88238,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88238,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88238,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88238,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88238,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 88238,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88238,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 88238,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 88238,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 88238,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88238,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88238,S000000,00100,0200,05/30/2000 88238,S200000,00100,0100,29449 CHARLOTTE HALL RD 88238,S200000,00200,0100,CHARLOTTE HALL 88238,S200000,00200,0200,MD 88238,S200000,00200,0300,20622- 88238,S200000,00300,0100,ST. MARY 88238,S200000,00400,0100,CHARLOTTE HALL VETERANS HOME 88238,S200000,00400,0200,215161 88238,S200000,00400,0300,03/17/1986 88238,S200000,00400,0500,P 88238,S200000,01004,0500,O 88238,S200000,01600,0100,Y 88238,S700003,00000,0100,1 88246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88246,A000000,00300,0000,00300EMPLOYEE BENEFITS 88246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88246,A000000,00700,0000,00700HOUSEKEEPING 88246,A000000,00800,0000,00800DIETARY 88246,A000000,00900,0000,00900NURSING ADMINISTRATION 88246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88246,A000000,01100,0000,01100PHARMACY 88246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88246,A000000,01300,0000,01300SOCIAL SERVICE 88246,A000000,01350,0000,01500ACTIVITIES 88246,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88246,A000000,01600,0000,01600SKILLED NURSING FACILITY 88246,A000000,01800,0000,01800NURSING FACILITY 88246,A000000,01900,0000,01900OTHER LONG TERM CARE 88246,A000000,02100,0000,02100RADIOLOGY 88246,A000000,02200,0000,02200LABORATORY 88246,A000000,02300,0000,02300INTRAVENOUS THERAPY 88246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88246,A000000,02500,0000,02500PHYSICAL THERAPY 88246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88246,A000000,02700,0000,02700SPEECH PATHOLOGY 88246,A000000,02800,0000,02800ELECTROCARDIOLOGY 88246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88246,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88246,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88246,A000000,03200,0000,03200SUPPORT SURFACES 88246,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 88246,A000000,04800,0000,04800AMBULANCE 88246,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88246,A000000,05300,0000,05300INTEREST EXPENSE 88246,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 88246,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88246,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88246,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88246,A000000,06100,0000,06100NONPAID WORKERS 88246,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88246,A000000,06200,0000,06200PATIENTS LAUNDRY 88246,A81000A,00100,0100,Y 88246,A81000B,00100,0300,HOME OFFICE COST 88246,A81000B,00200,0300,PT ADMIN FEES 88246,A81000B,00300,0300,OT ADMIN FEES 88246,A81000B,00400,0300,ST ADMIN FEES 88246,A81000B,00500,0300,DIRECT INTEREST 88246,A81000C,00100,0100,B 88246,A81000C,00100,0200,MANOR CARE POTOMAC 88246,A81000C,00100,0400,HCR MANORCARE INC. 88246,A81000C,00100,0600,LONG TERM CARE FACILITIES 88246,A81000C,00200,0100,B 88246,A81000C,00200,0200,MANOR CARE POTOMAC 88246,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 88246,A81000C,00200,0600,THERAPY MGMT 88246,A81000C,00300,0100,B 88246,A81000C,00300,0200,MANOR CARE POTOMAC 88246,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 88246,A81000C,00300,0600,THERAPY MGMT 88246,A81000C,00400,0100,B 88246,A81000C,00400,0200,MANOR CARE POTOMAC 88246,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 88246,A81000C,00400,0600,THERAPY MGMT 88246,A81000C,00500,0100,B 88246,A81000C,00500,0200,MANOR CARE POTOMAC 88246,A81000C,00500,0400,HCR MANORCARE INC. 88246,A81000C,00500,0600,LONG TERM CARE FACILITIES 88246,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88246,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88246,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88246,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88246,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88246,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88246,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88246,B100000,00000,0800,00000MEALS SERVED :DIETARY 88246,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 88246,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88246,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88246,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88246,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88246,S000000,00100,0200,10/27/2000 88246,S200000,00100,0100,10714 POTOMAC 88246,S200000,00200,0100,POTOMAC 88246,S200000,00200,0200,MD 88246,S200000,00200,0300,20854- 88246,S200000,00300,0100,MONTGOMERY 88246,S200000,00300,0200,8840 88246,S200000,00300,0300,U 88246,S200000,00400,0100,MANOR CARE POTOMAC 88246,S200000,00400,0200,215171 88246,S200000,00400,0300,01/01/1966 88246,S200000,00400,0500,P 88246,S200000,00400,0600,P 88246,S200000,01004,0500,O 88246,S200000,01600,0100,Y 88246,S200000,02200,0100,Y 88254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88254,A000000,00300,0000,00300EMPLOYEE BENEFITS 88254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88254,A000000,00700,0000,00700HOUSEKEEPING 88254,A000000,00800,0000,00800DIETARY 88254,A000000,00900,0000,00900NURSING ADMINISTRATION 88254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88254,A000000,01300,0000,01300SOCIAL SERVICE 88254,A000000,01600,0000,01600SKILLED NURSING FACILITY 88254,A000000,01800,0000,01800NURSING FACILITY 88254,A000000,02100,0000,02100RADIOLOGY 88254,A000000,02200,0000,02200LABORATORY 88254,A000000,02300,0000,02300INTRAVENOUS THERAPY 88254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88254,A000000,02500,0000,02500PHYSICAL THERAPY 88254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88254,A000000,02700,0000,02700SPEECH PATHOLOGY 88254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88254,A000000,03200,0000,03200SUPPORT SURFACES 88254,A000000,04800,0000,04800AMBULANCE 88254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88254,A000000,06150,0000,06300ENTERAL FEEDINGS 88254,A81000A,00100,0100,Y 88254,A81000B,00100,0300,HOME OFFICE COSTS 88254,A81000B,00200,0300,HOME OFFICE COSTS 88254,A81000B,00300,0300,HOME OFFICE COSTS 88254,A81000B,00400,0300,REAL ESTATE RENTAL 88254,A81000B,00500,0300,REAL ESTATE RENTAL 88254,A81000B,00600,0300,THERAPY SERVICES 88254,A81000B,00700,0300,THERAPY SERVICES 88254,A81000B,00800,0300,THERAPY SERVICES 88254,A81000C,00100,0100,A 88254,A81000C,00100,0200,ALVIN POWERS 88254,A81000C,00100,0400,FUTURECARE HEAL 88254,A81000C,00100,0600,HOME OFFICE 88254,A81000C,00200,0100,A 88254,A81000C,00200,0200,LEONARD ATTMAN 88254,A81000C,00200,0400,FUTURECARE HEAL 88254,A81000C,00200,0600,HOME OFFICE 88254,A81000C,00300,0100,A 88254,A81000C,00300,0200,GARY ATTMAN 88254,A81000C,00300,0400,FUTURECARE HEAL 88254,A81000C,00300,0600,HOME OFFICE 88254,A81000C,00400,0100,A 88254,A81000C,00400,0200,1996 TRUST FBO 88254,A81000C,00400,0400,FUTURECARE HEAL 88254,A81000C,00400,0600,HOME OFFICE 88254,A81000C,00500,0100,A 88254,A81000C,00500,0200,ALVIN POWERS 88254,A81000C,00500,0400,CANTON HARBOR R 88254,A81000C,00500,0600,REAL ESTATE REN 88254,A81000C,00600,0100,A 88254,A81000C,00600,0200,GARY ATTMAN 88254,A81000C,00600,0400,CANTON HARBOR R 88254,A81000C,00600,0600,REAL ESTATE REN 88254,A81000C,00700,0100,A 88254,A81000C,00700,0200,1995 TRUST 88254,A81000C,00700,0400,CANTON HARBOR R 88254,A81000C,00700,0600,REAL ESTATE REN 88254,A81000C,00800,0100,B 88254,A81000C,00800,0400,FUTURECARE REHA 88254,A81000C,00800,0600,THERAPY SERVICE 88254,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88254,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88254,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88254,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88254,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88254,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88254,B100000,00000,0800,00000MEALS SERVED :DIETARY 88254,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88254,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88254,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88254,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88254,S000000,00100,0200,05/31/2000 88254,S200000,00100,0100,1300 SOUTH ELLWOOD AVENUE 88254,S200000,00200,0100,BALTIMORE 88254,S200000,00200,0200,MD 88254,S200000,00200,0300,21224- 88254,S200000,00300,0100,BALTIMORE 88254,S200000,00400,0100,FUTURECARE CANTON HARBOR 88254,S200000,00400,0200,215176 88254,S200000,00400,0300,02/01/1997 88254,S200000,00400,0500,P 88254,S200000,00600,0200,215176 88254,S200000,00600,0300,02/01/1997 88254,S200000,00600,0600,P 88254,S200000,01600,0100,Y 88254,S200000,01900,0100,(501)(C)(3) 88254,S200000,04300,0100,Y 88254,S700003,00000,0100,1 88260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88260,A000000,00300,0000,00300EMPLOYEE BENEFITS 88260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88260,A000000,00700,0000,00700HOUSEKEEPING 88260,A000000,00800,0000,00800DIETARY 88260,A000000,00900,0000,00900NURSING ADMINISTRATION 88260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88260,A000000,01100,0000,01100PHARMACY 88260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88260,A000000,01300,0000,01300SOCIAL SERVICE 88260,A000000,01350,0000,01500ACTIVITIES 88260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88260,A000000,01600,0000,01600SKILLED NURSING FACILITY 88260,A000000,01800,0000,01800NURSING FACILITY 88260,A000000,02100,0000,02100RADIOLOGY 88260,A000000,02200,0000,02200LABORATORY 88260,A000000,02300,0000,02300INTRAVENOUS THERAPY 88260,A000000,02500,0000,02500PHYSICAL THERAPY 88260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88260,A000000,02700,0000,02700SPEECH PATHOLOGY 88260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88260,A000000,03050,0000,03300ENTERAL SUPPLIES 88260,A000000,03200,0000,03200SUPPORT SURFACES 88260,A000000,03550,0000,03550FQHC 88260,A000000,05000,0000,05000CORF 88260,A000000,05010,0000,05010CMHC 88260,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88260,A81000A,00100,0100,Y 88260,A81000B,00100,0300,RENT DEPREC INT 88260,A81000B,00200,0300,MANAGEMENT FEES 88260,A81000B,00300,0300,CAPITAL 88260,A81000B,00400,0300,CAPITAL 88260,A81000B,00500,0300,ADMINISTRATIVE 88260,A81000B,00600,0300,PLANT OPERATIONS 88260,A81000B,00700,0300,EMPLOYEE BENEFITS 88260,A81000B,00800,0300,AGENCY NURSES 88260,A81000C,00100,0100,B 88260,A81000C,00100,0200,RRC LLC 88260,A81000C,00100,0600,REALTY PTSHP 88260,A81000C,00200,0100,B 88260,A81000C,00200,0200,RRC LLC 88260,A81000C,00200,0600,REALTY PTSHP 88260,A81000C,00300,0100,B 88260,A81000C,00300,0200,RRC LLC 88260,A81000C,00300,0600,REALTY PTSHP 88260,A81000C,00400,0100,B 88260,A81000C,00400,0200,B&R INC. 88260,A81000C,00400,0600,MANAGEMENT CO 88260,A81000C,00500,0100,B 88260,A81000C,00500,0200,B&R INC. 88260,A81000C,00500,0600,MANAGEMENT CO 88260,A81000C,00600,0100,B 88260,A81000C,00600,0200,B&R INC. 88260,A81000C,00600,0600,MANAGEMENT CO 88260,A81000C,00700,0100,A 88260,A81000C,00700,0200,B&R INC. 88260,A81000C,00700,0600,MANAGEMENT CO 88260,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88260,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88260,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88260,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88260,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88260,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88260,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88260,B100000,00000,0800,00000MEALS SERVED :DIETARY 88260,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88260,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88260,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88260,B100000,00000,1250,00000 ADMISSIONS :MEDICAL RECORDS & LIB 88260,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88260,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88260,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88260,S000000,00100,0200,01/05/2000 88260,S200000,00100,0100,S 88260,S200000,00200,0100,LAUREL 88260,S200000,00200,0200,MD 88260,S200000,00200,0300,20708- 88260,S200000,00300,0100,PRINCE GEORGES 88260,S200000,00400,0100,GOLDEN OAKS NURSING HOME INC. 88260,S200000,00400,0200,215177 88260,S200000,00400,0300,11/01/1990 88260,S200000,00400,0500,P 88260,S200000,00600,0200,215177 88260,S200000,00600,0300,11/01/1990 88260,S200000,00600,0600,P 88260,S200000,01004,0500,O 88260,S200000,01600,0100,Y 88260,S200000,03100,0100,Y 88260,S700003,00000,0100,1 88261,S000000,00100,0200,01/05/2001 88270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88270,A000000,00300,0000,00300EMPLOYEE BENEFITS 88270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88270,A000000,00700,0000,00700HOUSEKEEPING 88270,A000000,00800,0000,00800DIETARY 88270,A000000,00900,0000,00900NURSING ADMINISTRATION 88270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88270,A000000,01100,0000,01100PHARMACY 88270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88270,A000000,01300,0000,01300SOCIAL SERVICE 88270,A000000,01350,0000,01500ACTIVITIES 88270,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88270,A000000,01600,0000,01600SKILLED NURSING FACILITY 88270,A000000,01800,0000,01800NURSING FACILITY 88270,A000000,01810,0000,01810ICF/MR 88270,A000000,02100,0000,02100RADIOLOGY 88270,A000000,02200,0000,02200LABORATORY 88270,A000000,02300,0000,02300INTRAVENOUS THERAPY 88270,A000000,02500,0000,02500PHYSICAL THERAPY 88270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88270,A000000,02700,0000,02700SPEECH PATHOLOGY 88270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88270,A000000,03550,0000,03550FQHC 88270,A000000,04800,0000,04800AMBULANCE 88270,A000000,05000,0000,05000CORF 88270,A000000,05010,0000,05010CMHC 88270,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88270,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88270,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88270,A000000,06150,0000,06300ADULT DAY CARE 88270,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88270,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88270,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88270,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88270,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88270,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88270,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88270,B100000,00000,0800,00000MEALS SERVED :DIETARY 88270,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 88270,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88270,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88270,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88270,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88270,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88270,S000000,00100,0200,11/27/2000 88270,S200000,00100,0100,1300 WINDLASS DRIVE 88270,S200000,00200,0100,BALTIMORE 88270,S200000,00200,0200,MD 88270,S200000,00200,0300,21220- 88270,S200000,00300,0100,BALTIMORE 88270,S200000,00300,0200,720 88270,S200000,00300,0300,U 88270,S200000,00400,0100,IVY HALL GERIATRIC CENTER INC. 88270,S200000,00400,0200,215181 88270,S200000,00400,0300,10/22/1988 88270,S200000,00400,0500,P 88270,S200000,00600,0200,215181 88270,S200000,00600,0300,10/22/1988 88270,S200000,00600,0600,P 88270,S200000,01004,0500,O 88270,S200000,01600,0100,Y 88270,S200000,02800,0100,Y 88277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88277,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88277,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88277,A000000,00300,0000,00300EMPLOYEE BENEFITS 88277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88277,A000000,00700,0000,00700HOUSEKEEPING 88277,A000000,00800,0000,00800DIETARY 88277,A000000,00801,0000,00801CAFETERIA 88277,A000000,00900,0000,00900NURSING ADMINISTRATION 88277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88277,A000000,01100,0000,01100PHARMACY 88277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88277,A000000,01300,0000,01300SOCIAL SERVICE 88277,A000000,01350,0000,01500ACTIVITIES 88277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88277,A000000,01600,0000,01600SKILLED NURSING FACILITY 88277,A000000,01800,0000,01800NURSING FACILITY 88277,A000000,01900,0000,01900OTHER LONG TERM CARE 88277,A000000,02100,0000,02100RADIOLOGY 88277,A000000,02200,0000,02200LABORATORY 88277,A000000,02300,0000,02300INTRAVENOUS THERAPY 88277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88277,A000000,02500,0000,02500PHYSICAL THERAPY 88277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88277,A000000,02700,0000,02700SPEECH PATHOLOGY 88277,A000000,02800,0000,02800ELECTROCARDIOLOGY 88277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88277,A000000,03050,0000,03300OTHER ANCILLARY 88277,A000000,03051,0000,03301OTHER ANCILLARY II 88277,A000000,03052,0000,03302OTHER ANCILLARY III 88277,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88277,A000000,03200,0000,03200SUPPORT SURFACES 88277,A000000,03400,0000,03400CLINIC 88277,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88277,A000000,03500,0000,03500RURAL HEALTH CLINIC 88277,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88277,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88277,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88277,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88277,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88277,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88277,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88277,A000000,04400,0000,04400DME RENTED - HHA 88277,A000000,04500,0000,04500DME SOLD - HHA 88277,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88277,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88277,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88277,A000000,04800,0000,04800AMBULANCE 88277,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88277,A000000,05000,0000,05000CORF 88277,A000000,05010,0000,05010CMHC I 88277,A000000,05020,0000,05020OPT I 88277,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88277,A000000,05300,0000,05300INTEREST EXPENSE 88277,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88277,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88277,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88277,A000000,05500,0000,05500HOSPICE 88277,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88277,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88277,A000000,06100,0000,06100NONPAID WORKERS 88277,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88277,A000000,06200,0000,06200PATIENTS LAUNDRY 88277,A81000A,00100,0100,Y 88277,A81000B,00300,0300,MANAGEMENT FEE 88277,A81000B,00400,0300,ST ALLOCATION 88277,A81000B,00500,0300,PT ALLOCATION 88277,A81000B,00600,0300,OT ALLOCATION 88277,A81000B,00700,0300,ADMIN & GENERAL 88277,A81000C,00100,0100,A 88277,A81000C,00100,0200,CHAPIN OWENS 88277,A81000C,00100,0400,MILL. HEALTH 88277,A81000C,00100,0600,MGMT CO 88277,A81000C,00200,0100,A 88277,A81000C,00200,0200,CHAPIN OWENS 88277,A81000C,00200,0400,THERAPY CON 88277,A81000C,00200,0600,REHAB 88277,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88277,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88277,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88277,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88277,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88277,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88277,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88277,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88277,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88277,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88277,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88277,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88277,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88277,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88277,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88277,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88277,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88277,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88277,S000000,00100,0200,06/01/2000 88277,S200000,00100,0100,1217 WEST FAYETTE ST 88277,S200000,00200,0100,BALTIMORE 88277,S200000,00200,0200,MD 88277,S200000,00200,0300,21223- 88277,S200000,00300,0100,BALTIMORE CITY 88277,S200000,00400,0100,MILLENNIUM - FRANKLIN SQUARE 88277,S200000,00400,0200,215183 88277,S200000,00400,0300,06/01/1999 88277,S200000,00400,0500,P 88277,S200000,01004,0500,O 88277,S200000,01500,0100,Y 88277,S700003,00000,0100,1 88290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88290,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88290,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88290,A000000,00300,0000,00300EMPLOYEE BENEFITS 88290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88290,A000000,00700,0000,00700HOUSEKEEPING 88290,A000000,00800,0000,00800DIETARY 88290,A000000,00801,0000,00801CAFETERIA 88290,A000000,00900,0000,00900NURSING ADMINISTRATION 88290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88290,A000000,01100,0000,01100PHARMACY 88290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88290,A000000,01300,0000,01300SOCIAL SERVICE 88290,A000000,01350,0000,01500ACTIVITIES 88290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88290,A000000,01600,0000,01600SKILLED NURSING FACILITY 88290,A000000,01800,0000,01800NURSING FACILITY 88290,A000000,01900,0000,01900OTHER LONG TERM CARE 88290,A000000,02100,0000,02100RADIOLOGY 88290,A000000,02200,0000,02200LABORATORY 88290,A000000,02300,0000,02300INTRAVENOUS THERAPY 88290,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88290,A000000,02500,0000,02500PHYSICAL THERAPY 88290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88290,A000000,02700,0000,02700SPEECH PATHOLOGY 88290,A000000,02800,0000,02800ELECTROCARDIOLOGY 88290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88290,A000000,03050,0000,03300OTHER ANCILLARY 88290,A000000,03051,0000,03301OTHER ANCILLARY II 88290,A000000,03052,0000,03302OTHER ANCILLARY III 88290,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88290,A000000,03200,0000,03200SUPPORT SURFACES 88290,A000000,03400,0000,03400CLINIC 88290,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88290,A000000,03500,0000,03500RURAL HEALTH CLINIC 88290,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88290,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88290,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88290,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88290,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88290,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88290,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88290,A000000,04400,0000,04400DME RENTED - HHA 88290,A000000,04500,0000,04500DME SOLD - HHA 88290,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88290,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88290,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88290,A000000,04800,0000,04800AMBULANCE 88290,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88290,A000000,05000,0000,05000CORF 88290,A000000,05010,0000,05010CMHC I 88290,A000000,05020,0000,05020OPT I 88290,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88290,A000000,05300,0000,05300INTEREST EXPENSE 88290,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88290,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88290,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88290,A000000,05500,0000,05500HOSPICE 88290,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88290,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88290,A000000,06100,0000,06100NONPAID WORKERS 88290,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88290,A000000,06200,0000,06200PATIENTS LAUNDRY 88290,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88290,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88290,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88290,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88290,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88290,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88290,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88290,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88290,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88290,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88290,E10A180,00501,0100,01/09/2001 88290,E10A180,00550,0300,01/09/2001 88290,S000000,00100,0200,11/20/2000 88290,S200000,00100,0100,RR2 88290,S200000,00100,0300,274 88290,S200000,00200,0100,PRINCE FREDERICK STATE 88290,S200000,00200,0200,MD 88290,S200000,00200,0300,20678- 88290,S200000,00300,0100,CALVERT 88290,S200000,00300,0200,8840 88290,S200000,00300,0300,U 88290,S200000,00400,0100,CALVERT COUNTY NURSING CENTER INC. 88290,S200000,00400,0200,215188 88290,S200000,00400,0300,07/01/1991 88290,S200000,00400,0500,P 88290,S200000,01500,0100,Y 88290,S200000,02800,0100,Y 88295,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88295,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88295,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88295,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88295,A000000,00300,0000,00300EMPLOYEE BENEFITS 88295,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88295,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88295,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88295,A000000,00700,0000,00700HOUSEKEEPING 88295,A000000,00800,0000,00800DIETARY 88295,A000000,00801,0000,00801CAFETERIA 88295,A000000,00900,0000,00900NURSING ADMINISTRATION 88295,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88295,A000000,01100,0000,01100PHARMACY 88295,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88295,A000000,01300,0000,01300SOCIAL SERVICE 88295,A000000,01350,0000,01500ACTIVITIES 88295,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88295,A000000,01600,0000,01600SKILLED NURSING FACILITY 88295,A000000,01800,0000,01800NURSING FACILITY 88295,A000000,01900,0000,01900OTHER LONG TERM CARE 88295,A000000,02100,0000,02100RADIOLOGY 88295,A000000,02200,0000,02200LABORATORY 88295,A000000,02300,0000,02300INTRAVENOUS THERAPY 88295,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88295,A000000,02500,0000,02500PHYSICAL THERAPY 88295,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88295,A000000,02700,0000,02700SPEECH PATHOLOGY 88295,A000000,02800,0000,02800ELECTROCARDIOLOGY 88295,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88295,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88295,A000000,03050,0000,03300OTHER ANCILLARY 88295,A000000,03051,0000,03301OTHER ANCILLARY II 88295,A000000,03052,0000,03302OTHER ANCILLARY III 88295,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88295,A000000,03200,0000,03200SUPPORT SURFACES 88295,A000000,03400,0000,03400CLINIC 88295,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88295,A000000,03500,0000,03500RURAL HEALTH CLINIC 88295,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88295,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88295,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88295,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88295,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88295,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88295,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88295,A000000,04400,0000,04400DME RENTED - HHA 88295,A000000,04500,0000,04500DME SOLD - HHA 88295,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88295,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88295,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88295,A000000,04800,0000,04800AMBULANCE 88295,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88295,A000000,05000,0000,05000CORF 88295,A000000,05010,0000,05010CMHC I 88295,A000000,05020,0000,05020OPT I 88295,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88295,A000000,05300,0000,05300INTEREST EXPENSE 88295,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88295,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88295,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88295,A000000,05500,0000,05500HOSPICE 88295,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88295,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88295,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88295,A000000,06100,0000,06100NONPAID WORKERS 88295,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88295,A000000,06200,0000,06200PATIENTS LAUNDRY 88295,A81000A,00100,0100,Y 88295,A81000B,00100,0300,MANAGEMENT FEE 88295,A81000B,00200,0300,H.O. ALLOCATION 88295,A81000B,00300,0300,H.O. ALLOCATION 88295,A81000C,00100,0100,A 88295,A81000C,00100,0200,HOME QUALITY MT 88295,A81000C,00100,0400,HEALTH CARE AC 88295,A81000C,00100,0600,MANAGEMENT 88295,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88295,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88295,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88295,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88295,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88295,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88295,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88295,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88295,B100000,00000,0950,00000(TIME SPENT) :NURSING ADMINISTRATI 88295,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 88295,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88295,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88295,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88295,B100000,00000,1350,00000(TIME SPENT) :ACTIVITIES 88295,S000000,00100,0200,03/01/2000 88295,S200000,00100,0100,520 GLENBURN ROAD 88295,S200000,00200,0100,CAMBRIDGE 88295,S200000,00200,0200,MD 88295,S200000,00200,0300,21613- 88295,S200000,00300,0100,DORCHESTER 88295,S200000,00300,0200,21 88295,S200000,00300,0300,R 88295,S200000,00400,0100,MALLARD BAY CARE CENTER AT CAMBRIDGE 88295,S200000,00400,0200,215191 88295,S200000,00400,0300,09/01/1987 88295,S200000,00400,0500,P 88295,S200000,01600,0100,Y 88302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88302,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88302,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88302,A000000,00300,0000,00300EMPLOYEE BENEFITS 88302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88302,A000000,00700,0000,00700HOUSEKEEPING 88302,A000000,00800,0000,00800DIETARY 88302,A000000,00801,0000,00801CAFETERIA 88302,A000000,00900,0000,00900NURSING ADMINISTRATION 88302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88302,A000000,01100,0000,01100PHARMACY 88302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88302,A000000,01300,0000,01300SOCIAL SERVICE 88302,A000000,01350,0000,01500ACTIVITIES 88302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88302,A000000,01600,0000,01600SKILLED NURSING FACILITY 88302,A000000,01800,0000,01800NURSING FACILITY 88302,A000000,01900,0000,01900OTHER LONG TERM CARE 88302,A000000,02100,0000,02100RADIOLOGY 88302,A000000,02200,0000,02200LABORATORY 88302,A000000,02300,0000,02300INTRAVENOUS THERAPY 88302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88302,A000000,02500,0000,02500PHYSICAL THERAPY 88302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88302,A000000,02700,0000,02700SPEECH PATHOLOGY 88302,A000000,02800,0000,02800ELECTROCARDIOLOGY 88302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88302,A000000,03050,0000,03300OTHER ANCILLARY 88302,A000000,03051,0000,03301OTHER ANCILLARY II 88302,A000000,03052,0000,03302OTHER ANCILLARY III 88302,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88302,A000000,03200,0000,03200SUPPORT SURFACES 88302,A000000,03400,0000,03400CLINIC 88302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88302,A000000,03500,0000,03500RURAL HEALTH CLINIC 88302,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88302,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88302,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88302,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88302,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88302,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88302,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88302,A000000,04400,0000,04400DME RENTED - HHA 88302,A000000,04500,0000,04500DME SOLD - HHA 88302,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88302,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88302,A000000,04800,0000,04800AMBULANCE 88302,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88302,A000000,05000,0000,05000CORF 88302,A000000,05010,0000,05010CMHC I 88302,A000000,05020,0000,05020OPT I 88302,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88302,A000000,05300,0000,05300INTEREST EXPENSE 88302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88302,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88302,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88302,A000000,05500,0000,05500HOSPICE 88302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88302,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88302,A000000,06100,0000,06100NONPAID WORKERS 88302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88302,A000000,06200,0000,06200PATIENTS LAUNDRY 88302,A81000A,00100,0100,Y 88302,A81000B,00100,0300,FACILITY RENTAL 88302,A81000B,00400,0300,MANAGEMENT FEE 88302,A81000B,00500,0300,ST ALLOCATION 88302,A81000B,00600,0300,PT ALLOCATION 88302,A81000B,00700,0300,OT ALLOCATION 88302,A81000B,00800,0300,ADMIN ALLOCATION 88302,A81000B,00900,0300,CAPTIAL ALLOCATION 88302,A81000C,00100,0100,A 88302,A81000C,00100,0200,CHAPIN OWENS 88302,A81000C,00100,0400,MILLEN HEALTH 88302,A81000C,00100,0600,MGMT. CO. 88302,A81000C,00200,0100,A 88302,A81000C,00200,0200,CHAPIN OWENS 88302,A81000C,00200,0400,MILLEN HLDG 88302,A81000C,00200,0600,REAL ESTATE 88302,A81000C,00300,0100,A 88302,A81000C,00300,0200,CHAPIN OWENS 88302,A81000C,00300,0400,THER CON 88302,A81000C,00300,0600,REHAB CO 88302,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88302,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88302,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88302,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88302,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88302,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88302,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88302,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88302,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88302,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88302,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88302,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88302,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88302,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88302,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88302,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88302,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88302,S000000,00100,0200,06/01/2000 88302,S200000,00100,0100,4017 LIBERTY HEIGHTS 88302,S200000,00200,0100,BALTIMORE 88302,S200000,00200,0200,MD 88302,S200000,00200,0300,21207- 88302,S200000,00300,0100,BALTIMORE 88302,S200000,00400,0100,MILLENNIUM - LIBERTY HEIGHTS 88302,S200000,00400,0200,215195 88302,S200000,00400,0300,04/01/1998 88302,S200000,00400,0500,P 88302,S200000,01004,0500,O 88302,S200000,01500,0100,Y 88302,S700003,00000,0100,1 88310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88310,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88310,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88310,A000000,00300,0000,00300EMPLOYEE BENEFITS 88310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88310,A000000,00700,0000,00700HOUSEKEEPING 88310,A000000,00800,0000,00800DIETARY 88310,A000000,00801,0000,00801CAFETERIA 88310,A000000,00900,0000,00900NURSING ADMINISTRATION 88310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88310,A000000,01100,0000,01100PHARMACY 88310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88310,A000000,01300,0000,01300SOCIAL SERVICE 88310,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88310,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88310,A000000,01600,0000,01600SKILLED NURSING FACILITY 88310,A000000,01800,0000,01800NURSING FACILITY 88310,A000000,01900,0000,01900OTHER LONG TERM CARE 88310,A000000,02100,0000,02100RADIOLOGY 88310,A000000,02200,0000,02200LABORATORY 88310,A000000,02300,0000,02300INTRAVENOUS THERAPY 88310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88310,A000000,02500,0000,02500PHYSICAL THERAPY 88310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88310,A000000,02700,0000,02700SPEECH PATHOLOGY 88310,A000000,02800,0000,02800ELECTROCARDIOLOGY 88310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88310,A000000,03050,0000,03300OTHER ANCILLARY 88310,A000000,03051,0000,03301OTHER ANCILLARY II 88310,A000000,03052,0000,03302OTHER ANCILLARY III 88310,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88310,A000000,03200,0000,03200SUPPORT SURFACES 88310,A000000,03400,0000,03400CLINIC 88310,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88310,A000000,03500,0000,03500RURAL HEALTH CLINIC 88310,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88310,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88310,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88310,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88310,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88310,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88310,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88310,A000000,04400,0000,04400DME RENTED - HHA 88310,A000000,04500,0000,04500DME SOLD - HHA 88310,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88310,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88310,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88310,A000000,04800,0000,04800AMBULANCE 88310,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88310,A000000,05000,0000,05000CORF 88310,A000000,05010,0000,05010CMHC I 88310,A000000,05020,0000,05020OPT I 88310,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88310,A000000,05300,0000,05300INTEREST EXPENSE 88310,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88310,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88310,A000000,05500,0000,05500HOSPICE 88310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88310,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88310,A000000,06100,0000,06100NONPAID WORKERS 88310,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88310,A000000,06200,0000,06200PATIENTS LAUNDRY 88310,A81000A,00100,0100,Y 88310,A81000B,00100,0300,HOME OFFICE COSTS 88310,A81000B,00200,0300,HOME OFFICE COSTS 88310,A81000B,00300,0300,HOME OFFICE COSTS 88310,A81000B,00400,0300,HOME OFFICE COSTS 88310,A81000B,00500,0300,HOME OFFICE COSTS 88310,A81000C,00100,0100,B 88310,A81000C,00100,0200,BROOKE GROVE FN 88310,A81000C,00100,0600,MNGMT. CO. 88310,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88310,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88310,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88310,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88310,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88310,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88310,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88310,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88310,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88310,E10A180,00501,0100,01/09/2001 88310,S000000,00100,0200,11/28/2000 88310,S200000,00100,0100,154 N. ARTIZAN STREET 88310,S200000,00200,0100,WILLIAMSPORT 88310,S200000,00200,0200,MD 88310,S200000,00200,0300,21795- 88310,S200000,00300,0100,WASHINGTON 88310,S200000,00300,0200,3180 88310,S200000,00300,0300,U 88310,S200000,00400,0100,WILLIAMSPORT NURSING HOME 88310,S200000,00400,0200,215198 88310,S200000,00400,0300,01/01/1990 88310,S200000,00400,0500,P 88310,S200000,01500,0100,Y 88318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88318,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88318,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88318,A000000,00300,0000,00300EMPLOYEE BENEFITS 88318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88318,A000000,00700,0000,00700HOUSEKEEPING 88318,A000000,00800,0000,00800DIETARY 88318,A000000,00801,0000,00801CAFETERIA 88318,A000000,00900,0000,00900NURSING ADMINISTRATION 88318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88318,A000000,01100,0000,01100PHARMACY 88318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88318,A000000,01300,0000,01300SOCIAL SERVICE 88318,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88318,A000000,01600,0000,01600SKILLED NURSING FACILITY 88318,A000000,01800,0000,01800NURSING FACILITY 88318,A000000,01900,0000,01900OTHER LONG TERM CARE 88318,A000000,02100,0000,02100RADIOLOGY 88318,A000000,02200,0000,02200LABORATORY 88318,A000000,02300,0000,02300INTRAVENOUS THERAPY 88318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88318,A000000,02500,0000,02500PHYSICAL THERAPY 88318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88318,A000000,02700,0000,02700SPEECH PATHOLOGY 88318,A000000,02800,0000,02800ELECTROCARDIOLOGY 88318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88318,A000000,03050,0000,03300OTHER ANCILLARY 88318,A000000,03051,0000,03301OTHER ANCILLARY II 88318,A000000,03052,0000,03302OTHER ANCILLARY III 88318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88318,A000000,03200,0000,03200SUPPORT SURFACES 88318,A000000,03400,0000,03400CLINIC 88318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88318,A000000,03500,0000,03500RURAL HEALTH CLINIC 88318,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88318,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88318,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88318,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88318,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88318,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88318,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88318,A000000,04400,0000,04400DME RENTED - HHA 88318,A000000,04500,0000,04500DME SOLD - HHA 88318,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88318,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88318,A000000,04800,0000,04800AMBULANCE 88318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88318,A000000,05000,0000,05000CORF 88318,A000000,05010,0000,05010CMHC I 88318,A000000,05020,0000,05020OPT I 88318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88318,A000000,05300,0000,05300INTEREST EXPENSE 88318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88318,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88318,A000000,05500,0000,05500HOSPICE 88318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88318,A000000,06100,0000,06100NONPAID WORKERS 88318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88318,A000000,06200,0000,06200PATIENTS LAUNDRY 88318,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88318,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88318,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88318,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88318,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88318,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88318,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88318,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88318,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88318,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88318,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88318,S000000,00100,0200,01/26/2001 88318,S200000,00100,0100,6012 JEFFERSON BLVD 88318,S200000,00200,0100,BRADDOCK HEIGHTS 88318,S200000,00200,0200,MD 88318,S200000,00200,0300,21714- 88318,S200000,00300,0100,FREDERICK 88318,S200000,00300,0200,8840 88318,S200000,00300,0300,U 88318,S200000,00400,0100,THE VINDOBONA INC 88318,S200000,00400,0200,215199 88318,S200000,00400,0300,08/25/1989 88318,S200000,00400,0500,P 88318,S200000,01500,0100,Y 88318,S200000,04300,0100,Y 88324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88324,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88324,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88324,A000000,00300,0000,00300EMPLOYEE BENEFITS 88324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88324,A000000,00700,0000,00700HOUSEKEEPING 88324,A000000,00800,0000,00800DIETARY 88324,A000000,00801,0000,00801CAFETERIA 88324,A000000,00900,0000,00900NURSING ADMINISTRATION 88324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88324,A000000,01100,0000,01100PHARMACY 88324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88324,A000000,01300,0000,01300SOCIAL SERVICE 88324,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88324,A000000,01600,0000,01600SKILLED NURSING FACILITY 88324,A000000,01800,0000,01800NURSING FACILITY 88324,A000000,01900,0000,01900OTHER LONG TERM CARE 88324,A000000,02100,0000,02100RADIOLOGY 88324,A000000,02200,0000,02200LABORATORY 88324,A000000,02300,0000,02300INTRAVENOUS THERAPY 88324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88324,A000000,02500,0000,02500PHYSICAL THERAPY 88324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88324,A000000,02700,0000,02700SPEECH PATHOLOGY 88324,A000000,02800,0000,02800ELECTROCARDIOLOGY 88324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88324,A000000,03050,0000,03300OTHER ANCILLARY 88324,A000000,03051,0000,03301OTHER ANCILLARY II 88324,A000000,03052,0000,03302OTHER ANCILLARY III 88324,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88324,A000000,03200,0000,03200SUPPORT SURFACES 88324,A000000,03400,0000,03400CLINIC 88324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88324,A000000,03500,0000,03500RURAL HEALTH CLINIC 88324,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88324,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88324,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88324,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88324,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88324,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88324,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88324,A000000,04400,0000,04400DME RENTED - HHA 88324,A000000,04500,0000,04500DME SOLD - HHA 88324,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88324,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88324,A000000,04800,0000,04800AMBULANCE 88324,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88324,A000000,05000,0000,05000CORF 88324,A000000,05010,0000,05010CMHC I 88324,A000000,05020,0000,05020OPT I 88324,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88324,A000000,05300,0000,05300INTEREST EXPENSE 88324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88324,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88324,A000000,05500,0000,05500HOSPICE 88324,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88324,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88324,A000000,06100,0000,06100NONPAID WORKERS 88324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88324,A000000,06200,0000,06200PATIENTS LAUNDRY 88324,A81000A,00100,0100,Y 88324,A81000B,00100,0300,HOME OFFICE COSTS 88324,A81000B,00200,0300,HOME OFFICE COSTS 88324,A81000B,00300,0300,HOME OFFICE COSTS 88324,A81000B,00400,0300,HOME OFFICE COSTS 88324,A81000B,00500,0300,HOME OFFICE COSTS 88324,A81000C,00100,0100,B 88324,A81000C,00100,0200,BROOKE GROVE FN 88324,A81000C,00100,0600,MGMT CO. 88324,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88324,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88324,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88324,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88324,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88324,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88324,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88324,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88324,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88324,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88324,E10A180,00501,0100,01/16/2001 88324,S000000,00100,0200,11/28/2000 88324,S200000,00100,0100,18131 SLADE SCHOOL RD 88324,S200000,00200,0100,SANDY SPRING 88324,S200000,00200,0200,MD 88324,S200000,00200,0300,20860- 88324,S200000,00300,0100,MONTGOMERY 88324,S200000,00300,0200,8840 88324,S200000,00300,0300,U 88324,S200000,00400,0100,BROOKE GROVE NURSING 88324,S200000,00400,0200,215200 88324,S200000,00400,0300,06/07/1989 88324,S200000,00400,0500,P 88324,S200000,01500,0100,Y 88330,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88330,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88330,A000000,00300,0000,00300EMPLOYEE BENEFITS 88330,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88330,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88330,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88330,A000000,00700,0000,00700HOUSEKEEPING 88330,A000000,00800,0000,00800DIETARY 88330,A000000,00900,0000,00900NURSING ADMINISTRATION 88330,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88330,A000000,01100,0000,01100PHARMACY 88330,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88330,A000000,01300,0000,01300SOCIAL SERVICE 88330,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88330,A000000,01600,0000,01600SKILLED NURSING FACILITY 88330,A000000,01810,0000,01810ICF/MR 88330,A000000,02200,0000,02200LABORATORY 88330,A000000,02500,0000,02500PHYSICAL THERAPY 88330,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88330,A000000,02700,0000,02700SPEECH PATHOLOGY 88330,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88330,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88330,A000000,03550,0000,03550FQHC 88330,A000000,05000,0000,05000CORF 88330,A000000,05010,0000,05010CMHC 88330,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88330,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88330,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88330,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88330,A81000A,00100,0100,Y 88330,A81000B,00100,0300,RENTAL REAL ESTATE 88330,A81000B,00200,0300,MORTGAGE INTEREST 88330,A81000C,00100,0100,F 88330,A81000C,00100,0200,MILLARD L. CURS 88330,A81000C,00100,0400,ML CURSEY TRUS 88330,A81000C,00100,0600,TRUST 88330,A81000C,00200,0100,F 88330,A81000C,00200,0200,MARION WINGARD 88330,A81000C,00200,0400,ML CURSEY TRUS 88330,A81000C,00200,0600,REAL ESTATE OWN 88330,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88330,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88330,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88330,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88330,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88330,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88330,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88330,B100000,00000,0800,00000MEALS SERVED :DIETARY 88330,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88330,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 88330,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88330,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88330,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88330,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88330,S000000,00100,0200,07/05/2000 88330,S200000,00100,0100,521 STEVENSON LANE 88330,S200000,00200,0100,TOWSON 88330,S200000,00200,0200,MD 88330,S200000,00200,0300,21286- 88330,S200000,00300,0100,BALTIMORE 88330,S200000,00400,0100,HOLLY HILL MANOR 88330,S200000,00400,0200,215204 88330,S200000,00400,0300,03/01/1990 88330,S200000,00400,0500,P 88330,S200000,00400,0600,O 88330,S200000,01004,0500,O 88330,S200000,01500,0100,Y 88330,S200000,02800,0100,Y 88330,S700003,00000,0100,1 88341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88341,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88341,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88341,A000000,00300,0000,00300EMPLOYEE BENEFITS 88341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88341,A000000,00700,0000,00700HOUSEKEEPING 88341,A000000,00800,0000,00800DIETARY 88341,A000000,00801,0000,00801CAFETERIA 88341,A000000,00900,0000,00900NURSING ADMINISTRATION 88341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88341,A000000,01100,0000,01100PHARMACY 88341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88341,A000000,01300,0000,01300SOCIAL SERVICE 88341,A000000,01350,0000,01500ACTIVITES 88341,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88341,A000000,01600,0000,01600SKILLED NURSING FACILITY 88341,A000000,01800,0000,01800NURSING FACILITY 88341,A000000,01900,0000,01900OTHER LONG TERM CARE 88341,A000000,02100,0000,02100RADIOLOGY 88341,A000000,02200,0000,02200LABORATORY 88341,A000000,02300,0000,02300INTRAVENOUS THERAPY 88341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88341,A000000,02500,0000,02500PHYSICAL THERAPY 88341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88341,A000000,02700,0000,02700SPEECH PATHOLOGY 88341,A000000,02800,0000,02800ELECTROCARDIOLOGY 88341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88341,A000000,03050,0000,03300OTHER ANCILLARY 88341,A000000,03051,0000,03301OTHER ANCILLARY II 88341,A000000,03052,0000,03302OTHER ANCILLARY III 88341,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88341,A000000,03200,0000,03200SUPPORT SURFACES 88341,A000000,03400,0000,03400CLINIC 88341,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88341,A000000,03500,0000,03500RURAL HEALTH CLINIC 88341,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88341,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88341,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88341,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88341,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88341,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88341,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88341,A000000,04400,0000,04400DME RENTED - HHA 88341,A000000,04500,0000,04500DME SOLD - HHA 88341,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88341,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88341,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88341,A000000,04800,0000,04800AMBULANCE 88341,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88341,A000000,05000,0000,05000CORF 88341,A000000,05010,0000,05010CMHC I 88341,A000000,05020,0000,05020OPT I 88341,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88341,A000000,05300,0000,05300INTEREST EXPENSE 88341,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88341,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88341,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88341,A000000,05500,0000,05500HOSPICE 88341,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88341,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88341,A000000,06100,0000,06100NONPAID WORKERS 88341,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88341,A000000,06200,0000,06200PATIENTS LAUNDRY 88341,A81000A,00100,0100,Y 88341,A81000B,00100,0300,MANAGEMENT FEE 88341,A81000C,00100,0100,A 88341,A81000C,00100,0200,PHILLIP MILLER 88341,A81000C,00100,0400,MDC ASSET MGMT 88341,A81000C,00100,0600,ASSET MGMT 88341,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88341,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88341,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88341,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88341,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88341,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88341,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88341,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88341,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88341,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88341,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88341,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88341,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 88341,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88341,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88341,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88341,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITES 88341,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88341,S000000,00100,0200,05/31/2000 88341,S200000,00100,0100,4800 SETON DRIVE 88341,S200000,00200,0100,BALTIMORE 88341,S200000,00200,0200,MD 88341,S200000,00200,0300,21215- 88341,S200000,00300,0100,BALTIMORE 88341,S200000,00400,0100,VILLA ST. MICHAEL 88341,S200000,00400,0200,215207 88341,S200000,00400,0300,05/01/1991 88341,S200000,00400,0500,P 88341,S200000,01600,0100,Y 88341,S700003,00000,0100,1 88357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88357,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88357,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88357,A000000,00300,0000,00300EMPLOYEE BENEFITS 88357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88357,A000000,00700,0000,00700HOUSEKEEPING 88357,A000000,00800,0000,00800DIETARY 88357,A000000,00801,0000,00801CAFETERIA 88357,A000000,00900,0000,00900NURSING ADMINISTRATION 88357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88357,A000000,01100,0000,01100PHARMACY 88357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88357,A000000,01300,0000,01300SOCIAL SERVICE 88357,A000000,01350,0000,01500ACTIVITIES 88357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88357,A000000,01600,0000,01600SKILLED NURSING FACILITY 88357,A000000,01800,0000,01800NURSING FACILITY 88357,A000000,01900,0000,01900OTHER LONG TERM CARE 88357,A000000,02100,0000,02100RADIOLOGY 88357,A000000,02200,0000,02200LABORATORY 88357,A000000,02300,0000,02300INTRAVENOUS THERAPY 88357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88357,A000000,02500,0000,02500PHYSICAL THERAPY 88357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88357,A000000,02700,0000,02700SPEECH PATHOLOGY 88357,A000000,02800,0000,02800ELECTROCARDIOLOGY 88357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88357,A000000,03050,0000,03300OTHER ANCILLARY 88357,A000000,03051,0000,03301OTHER ANCILLARY II 88357,A000000,03052,0000,03302OTHER ANCILLARY III 88357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88357,A000000,03200,0000,03200SUPPORT SURFACES 88357,A000000,03400,0000,03400CLINIC 88357,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88357,A000000,03500,0000,03500RURAL HEALTH CLINIC 88357,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88357,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88357,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88357,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88357,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88357,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88357,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88357,A000000,04400,0000,04400DME RENTED - HHA 88357,A000000,04500,0000,04500DME SOLD - HHA 88357,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88357,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88357,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88357,A000000,04800,0000,04800AMBULANCE 88357,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88357,A000000,05000,0000,05000CORF 88357,A000000,05010,0000,05010CMHC I 88357,A000000,05020,0000,05020OPT I 88357,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88357,A000000,05300,0000,05300INTEREST EXPENSE 88357,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88357,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88357,A000000,05500,0000,05500HOSPICE 88357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88357,A000000,06100,0000,06100NONPAID WORKERS 88357,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88357,A000000,06200,0000,06200PATIENTS LAUNDRY 88357,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88357,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88357,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88357,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88357,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88357,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88357,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88357,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88357,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88357,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88357,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88357,E10A180,00501,0100,01/08/2001 88357,S000000,00100,0200,11/17/2000 88357,S200000,00100,0100,17401 NORWOOD 88357,S200000,00200,0100,SANDY SPRING 88357,S200000,00200,0200,MD 88357,S200000,00200,0300,20860- 88357,S200000,00300,0100,MONTGOMERY 88357,S200000,00300,0200,8840 88357,S200000,00300,0300,U 88357,S200000,00400,0100,FRIENDS NURSING HOME INC. 88357,S200000,00400,0200,215211 88357,S200000,00400,0300,11/24/1987 88357,S200000,00400,0500,P 88357,S200000,01500,0100,Y 88364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88364,A000000,00300,0000,00300EMPLOYEE BENEFITS 88364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88364,A000000,00700,0000,00700HOUSEKEEPING 88364,A000000,00800,0000,00800DIETARY 88364,A000000,00900,0000,00900NURSING ADMINISTRATION 88364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88364,A000000,01100,0000,01100PHARMACY 88364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88364,A000000,01300,0000,01300SOCIAL SERVICE 88364,A000000,01350,0000,01500ACTIVITIES 88364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88364,A000000,01600,0000,01600SKILLED NURSING FACILITY 88364,A000000,01810,0000,01810ICF/MR 88364,A000000,02100,0000,02100RADIOLOGY 88364,A000000,02200,0000,02200LABORATORY 88364,A000000,02300,0000,02300INTRAVENOUS THERAPY 88364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88364,A000000,02500,0000,02500PHYSICAL THERAPY 88364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88364,A000000,02700,0000,02700SPEECH PATHOLOGY 88364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88364,A000000,03050,0000,03300ENTERAL FEEDING 88364,A000000,03550,0000,03550FQHC 88364,A000000,05000,0000,05000CORF 88364,A000000,05010,0000,05010CMHC 88364,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88364,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88364,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88364,A81000A,00100,0100,Y 88364,A81000B,00100,0300,RENT 88364,A81000B,00200,0300,DEPRECIATION/AMORTIZ 88364,A81000B,00300,0300,MORTGAGE ACQ COSTS 88364,A81000B,00400,0300,REAL ESTATE TAXES 88364,A81000B,00500,0300,INTEREST EXPENSE 88364,A81000B,00600,0300,ACCOUNTING FEES 88364,A81000C,00100,0100,A 88364,A81000C,00100,0200,HILLHAVEN NURSI 88364,A81000C,00100,0400,MALIN GROUP LLC 88364,A81000C,00100,0600,REAL ESTATE 88364,A81000C,00200,0100,G 88364,A81000C,00200,0200,DANS LAWN 88364,A81000C,00200,0400,DANIEL HUME 88364,A81000C,00200,0600,LAWN & LANDSCAP 88364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88364,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88364,B100000,00000,0800,00000MEALS SERVED :DIETARY 88364,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88364,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88364,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88364,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88364,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88364,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88364,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88364,S000000,00100,0200,05/26/2000 88364,S200000,00100,0100,3210 POWDER MILL ROAD 88364,S200000,00200,0100,ADELPHI 88364,S200000,00200,0200,MD 88364,S200000,00200,0300,20783- 88364,S200000,00300,0100,PRINCE GEORGES 88364,S200000,00400,0100,HILLHAVEN 88364,S200000,00400,0200,215212 88364,S200000,00400,0300,11/01/1989 88364,S200000,00400,0500,P 88364,S200000,01500,0100,Y 88364,S200000,02800,0100,Y 88364,S700003,00000,0100,1 88373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88373,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88373,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88373,A000000,00300,0000,00300EMPLOYEE BENEFITS 88373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88373,A000000,00700,0000,00700HOUSEKEEPING 88373,A000000,00800,0000,00800DIETARY 88373,A000000,00801,0000,00801CAFETERIA 88373,A000000,00900,0000,00900NURSING ADMINISTRATION 88373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88373,A000000,01100,0000,01100PHARMACY 88373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88373,A000000,01300,0000,01300SOCIAL SERVICE 88373,A000000,01350,0000,01500ACTIVITIES 88373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88373,A000000,01600,0000,01600SKILLED NURSING FACILITY 88373,A000000,01800,0000,01800NURSING FACILITY 88373,A000000,01900,0000,01900OTHER LONG TERM CARE 88373,A000000,02100,0000,02100RADIOLOGY 88373,A000000,02200,0000,02200LABORATORY 88373,A000000,02300,0000,02300INTRAVENOUS THERAPY 88373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88373,A000000,02500,0000,02500PHYSICAL THERAPY 88373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88373,A000000,02700,0000,02700SPEECH PATHOLOGY 88373,A000000,02800,0000,02800ELECTROCARDIOLOGY 88373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88373,A000000,03050,0000,03300OTHER ANCILLARY 88373,A000000,03051,0000,03301OTHER ANCILLARY II 88373,A000000,03052,0000,03302OTHER ANCILLARY III 88373,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88373,A000000,03200,0000,03200SUPPORT SURFACES 88373,A000000,03400,0000,03400CLINIC 88373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88373,A000000,03500,0000,03500RURAL HEALTH CLINIC 88373,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88373,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88373,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88373,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88373,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88373,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88373,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88373,A000000,04400,0000,04400DME RENTED - HHA 88373,A000000,04500,0000,04500DME SOLD - HHA 88373,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88373,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88373,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88373,A000000,04800,0000,04800AMBULANCE 88373,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88373,A000000,05000,0000,05000CORF 88373,A000000,05010,0000,05010CMHC I 88373,A000000,05020,0000,05020OPT I 88373,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88373,A000000,05300,0000,05300INTEREST EXPENSE 88373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88373,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88373,A000000,05500,0000,05500HOSPICE 88373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88373,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88373,A000000,06100,0000,06100NONPAID WORKERS 88373,A000000,06150,0000,06300ENTERAL FEEDINGS 88373,A000000,06200,0000,06200PATIENTS LAUNDRY 88373,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88373,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88373,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88373,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88373,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88373,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88373,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88373,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88373,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88373,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88373,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88373,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88373,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88373,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88373,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88373,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88373,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88373,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88373,S000000,00100,0200,03/16/2001 88373,S200000,00100,0100,2700 BAKER STREET 88373,S200000,00200,0100,SILVER SPRING 88373,S200000,00200,0200,MD 88373,S200000,00200,0300,20910- 88373,S200000,00300,0100,MONTGOMERY 88373,S200000,00400,0100,CAREMATRIX OF SILVER SPRING 88373,S200000,00400,0200,215213 88373,S200000,00400,0300,11/10/1989 88373,S200000,00400,0500,P 88373,S200000,01004,0500,O 88373,S200000,01600,0100,Y 88379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88379,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88379,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88379,A000000,00300,0000,00300EMPLOYEE BENEFITS 88379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88379,A000000,00700,0000,00700HOUSEKEEPING 88379,A000000,00800,0000,00800DIETARY 88379,A000000,00801,0000,00801CAFETERIA 88379,A000000,00900,0000,00900NURSING ADMINISTRATION 88379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88379,A000000,01100,0000,01100PHARMACY 88379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88379,A000000,01300,0000,01300SOCIAL SERVICE 88379,A000000,01350,0000,01500ACTIVITIES 88379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88379,A000000,01600,0000,01600SKILLED NURSING FACILITY 88379,A000000,01800,0000,01800NURSING FACILITY 88379,A000000,01900,0000,01900OTHER LONG TERM CARE 88379,A000000,02100,0000,02100RADIOLOGY 88379,A000000,02200,0000,02200LABORATORY 88379,A000000,02300,0000,02300INTRAVENOUS THERAPY 88379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88379,A000000,02500,0000,02500PHYSICAL THERAPY 88379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88379,A000000,02700,0000,02700SPEECH PATHOLOGY 88379,A000000,02800,0000,02800ELECTROCARDIOLOGY 88379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88379,A000000,03050,0000,03300OTHER ANCILLARY 88379,A000000,03051,0000,03301OTHER ANCILLARY II 88379,A000000,03052,0000,03302OTHER ANCILLARY III 88379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88379,A000000,03200,0000,03200SUPPORT SURFACES 88379,A000000,03400,0000,03400CLINIC 88379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88379,A000000,03500,0000,03500RURAL HEALTH CLINIC 88379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88379,A000000,04400,0000,04400DME RENTED - HHA 88379,A000000,04500,0000,04500DME SOLD - HHA 88379,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88379,A000000,04800,0000,04800AMBULANCE 88379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88379,A000000,05000,0000,05000CORF 88379,A000000,05010,0000,05010CMHC I 88379,A000000,05020,0000,05020OPT I 88379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88379,A000000,05300,0000,05300INTEREST EXPENSE 88379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88379,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88379,A000000,05500,0000,05500HOSPICE 88379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88379,A000000,06100,0000,06100NONPAID WORKERS 88379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88379,A000000,06200,0000,06200PATIENTS LAUNDRY 88379,A81000A,00100,0100,Y 88379,A81000B,00100,0300,RENT 88379,A81000B,00200,0300,MANAGEMENT FEE 88379,A81000C,00100,0100,A 88379,A81000C,00100,0200,JOSEPH DEVADOSS 88379,A81000C,00100,0400,JOSEPH DEVADOSS 88379,A81000C,00100,0600,PROPERTY OWNER 88379,A81000C,00200,0100,A 88379,A81000C,00200,0200,JOSEPH DEVADOSS 88379,A81000C,00200,0400,JOSEPH DEVADOSS 88379,A81000C,00200,0600,MANAGEMENT CO. 88379,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88379,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88379,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88379,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88379,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88379,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88379,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88379,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88379,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88379,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88379,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88379,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88379,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88379,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88379,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88379,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88379,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88379,S000000,00100,0200,05/18/2000 88379,S200000,00100,0100,2095 ROCKROSE AVE 88379,S200000,00200,0100,BALTIMORE 88379,S200000,00200,0200,MD 88379,S200000,00200,0300,21211- 88379,S200000,00300,0100,BALTIMORE CITY 88379,S200000,00400,0100,ARDLEIGH NURSING HOME INC.E 88379,S200000,00400,0200,215215 88379,S200000,00400,0300,02/01/1990 88379,S200000,00400,0500,P 88379,S200000,01500,0100,Y 88379,S200000,02200,0100,Y 88379,S200000,02800,0100,Y 88379,S700003,00000,0100,1 88387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88387,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88387,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88387,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88387,A000000,00300,0000,00300EMPLOYEE BENEFITS 88387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88387,A000000,00700,0000,00700HOUSEKEEPING 88387,A000000,00800,0000,00800DIETARY 88387,A000000,00801,0000,00801CAFETERIA 88387,A000000,00900,0000,00900NURSING ADMINISTRATION 88387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88387,A000000,01100,0000,01100PHARMACY 88387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88387,A000000,01300,0000,01300SOCIAL SERVICE 88387,A000000,01350,0000,01500ACTIVITIES 88387,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88387,A000000,01600,0000,01600SKILLED NURSING FACILITY 88387,A000000,01800,0000,01800NURSING FACILITY 88387,A000000,01900,0000,01900OTHER LONG TERM CARE 88387,A000000,02100,0000,02100RADIOLOGY 88387,A000000,02200,0000,02200LABORATORY 88387,A000000,02300,0000,02300INTRAVENOUS THERAPY 88387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88387,A000000,02500,0000,02500PHYSICAL THERAPY 88387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88387,A000000,02700,0000,02700SPEECH PATHOLOGY 88387,A000000,02800,0000,02800ELECTROCARDIOLOGY 88387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88387,A000000,03050,0000,03300OTHER ANCILLARY 88387,A000000,03051,0000,03301OTHER ANCILLARY II 88387,A000000,03052,0000,03302OTHER ANCILLARY III 88387,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88387,A000000,03200,0000,03200SUPPORT SURFACES 88387,A000000,03400,0000,03400CLINIC 88387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88387,A000000,03500,0000,03500RURAL HEALTH CLINIC 88387,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88387,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88387,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88387,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88387,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88387,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88387,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88387,A000000,04400,0000,04400DME RENTED - HHA 88387,A000000,04500,0000,04500DME SOLD - HHA 88387,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88387,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88387,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88387,A000000,04800,0000,04800AMBULANCE 88387,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88387,A000000,05000,0000,05000CORF 88387,A000000,05010,0000,05010CMHC I 88387,A000000,05020,0000,05020OPT I 88387,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88387,A000000,05300,0000,05300INTEREST EXPENSE 88387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88387,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88387,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88387,A000000,05500,0000,05500HOSPICE 88387,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88387,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88387,A000000,06100,0000,06100NONPAID WORKERS 88387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88387,A000000,06200,0000,06200PATIENTS LAUNDRY 88387,A81000A,00100,0100,Y 88387,A81000B,00100,0300,FACILITY RENTAL 88387,A81000B,00200,0300,MGMT SERVICES 88387,A81000C,00100,0100,A 88387,A81000C,00100,0200,THOMAS CUPPETT 88387,A81000C,00100,0400,DENNETT RD LTD 88387,A81000C,00100,0600,FACILITY RENTAL 88387,A81000C,00200,0100,A 88387,A81000C,00200,0200,THOMAS CUPPETT 88387,A81000C,00200,0400,CMCI 88387,A81000C,00200,0600,MGMT SERVICES 88387,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88387,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88387,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88387,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88387,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88387,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88387,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88387,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88387,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88387,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88387,E10A180,00501,0100,01/09/2001 88387,S000000,00100,0200,11/16/2000 88387,S200000,00100,0100,1113 MARY DRIVE 88387,S200000,00200,0100,OAKLAND 88387,S200000,00200,0200,MD 88387,S200000,00200,0300,21550- 88387,S200000,00300,0100,GARRETT 88387,S200000,00300,0200,0021 88387,S200000,00300,0300,R 88387,S200000,00400,0100,DENNETT ROAD MANOR INC. 88387,S200000,00400,0200,215216 88387,S200000,00400,0300,12/01/1989 88387,S200000,00400,0500,P 88387,S200000,01500,0100,Y 88387,S200000,02200,0100,Y 88387,S200000,02800,0100,Y 88395,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88395,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88395,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88395,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88395,A000000,00300,0000,00300EMPLOYEE BENEFITS 88395,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88395,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88395,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88395,A000000,00700,0000,00700HOUSEKEEPING 88395,A000000,00800,0000,00800DIETARY 88395,A000000,00801,0000,00801CAFETERIA 88395,A000000,00900,0000,00900NURSING ADMINISTRATION 88395,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88395,A000000,01100,0000,01100PHARMACY 88395,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88395,A000000,01300,0000,01300SOCIAL SERVICE 88395,A000000,01350,0000,01500ACTIVITIES 88395,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88395,A000000,01600,0000,01600SKILLED NURSING FACILITY 88395,A000000,01800,0000,01800NURSING FACILITY 88395,A000000,01900,0000,01900OTHER LONG TERM CARE 88395,A000000,02100,0000,02100RADIOLOGY 88395,A000000,02200,0000,02200LABORATORY 88395,A000000,02300,0000,02300INTRAVENOUS THERAPY 88395,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88395,A000000,02500,0000,02500PHYSICAL THERAPY 88395,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88395,A000000,02700,0000,02700SPEECH PATHOLOGY 88395,A000000,02800,0000,02800ELECTROCARDIOLOGY 88395,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88395,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88395,A000000,03050,0000,03300OTHER ANCILLARY 88395,A000000,03051,0000,03301OTHER ANCILLARY II 88395,A000000,03052,0000,03302OTHER ANCILLARY III 88395,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88395,A000000,03200,0000,03200SUPPORT SURFACES 88395,A000000,03400,0000,03400CLINIC 88395,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88395,A000000,03500,0000,03500RURAL HEALTH CLINIC 88395,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88395,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88395,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88395,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88395,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88395,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88395,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88395,A000000,04400,0000,04400DME RENTED - HHA 88395,A000000,04500,0000,04500DME SOLD - HHA 88395,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88395,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88395,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88395,A000000,04800,0000,04800AMBULANCE 88395,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88395,A000000,05000,0000,05000CORF 88395,A000000,05010,0000,05010CMHC I 88395,A000000,05020,0000,05020OPT I 88395,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88395,A000000,05300,0000,05300INTEREST EXPENSE 88395,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88395,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88395,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88395,A000000,05500,0000,05500HOSPICE 88395,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88395,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88395,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88395,A000000,06100,0000,06100NONPAID WORKERS 88395,A000000,06150,0000,06300PEN FEEDING SUPPLIES 88395,A000000,06200,0000,06200PATIENTS LAUNDRY 88395,A81000A,00100,0100,Y 88395,A81000B,00100,0300,MANAGEMENT FEE 88395,A81000B,00200,0300,MANAGEMENT FEE 88395,A81000B,00300,0300,INTEREST 88395,A81000C,00100,0100,A 88395,A81000C,00100,0200,PERINI SERVICES 88395,A81000C,00100,0400,MAGNOLIA MGMT 88395,A81000C,00100,0600,MGMT SERVICES 88395,A81000C,00200,0100,A 88395,A81000C,00200,0200,PERINI SERVICES 88395,A81000C,00200,0400,MAGNOLIA MGMT 88395,A81000C,00200,0600,MGMT SERVICES 88395,A81000C,00300,0100,A 88395,A81000C,00300,0200,PERINI SERVICES 88395,A81000C,00300,0400,RANGER CONSTR 88395,A81000C,00300,0600,CONSTRUCTION 88395,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88395,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88395,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88395,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88395,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88395,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88395,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88395,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88395,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88395,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88395,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88395,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88395,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88395,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88395,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88395,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88395,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88395,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88395,S000000,00100,0200,03/31/2000 88395,S200000,00100,0100,200 EAST 16TH STREET 88395,S200000,00200,0100,FREDERICK 88395,S200000,00200,0200,MD 88395,S200000,00200,0300,21701- 88395,S200000,00300,0100,FREDERICK 88395,S200000,00400,0100,NORTHAMPTON MANOR INC. 88395,S200000,00400,0200,215217 88395,S200000,00400,0300,02/01/1990 88395,S200000,00400,0500,P 88395,S200000,01600,0100,Y 88395,S700003,00000,0100,1 88405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88405,A000000,00300,0000,00300EMPLOYEE BENEFITS 88405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88405,A000000,00700,0000,00700HOUSEKEEPING 88405,A000000,00800,0000,00800DIETARY 88405,A000000,00900,0000,00900NURSING ADMINISTRATION 88405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88405,A000000,01100,0000,01100PHARMACY 88405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88405,A000000,01300,0000,01300SOCIAL SERVICE 88405,A000000,01350,0000,01500ACTIVITIES 88405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88405,A000000,01600,0000,01600SKILLED NURSING FACILITY 88405,A000000,01800,0000,01800NURSING FACILITY 88405,A000000,01810,0000,01810ICF/MR 88405,A000000,01900,0000,01900OTHER LONG TERM CARE 88405,A000000,02100,0000,02100RADIOLOGY 88405,A000000,02200,0000,02200LABORATORY 88405,A000000,02300,0000,02300INTRAVENOUS THERAPY 88405,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88405,A000000,02500,0000,02500PHYSICAL THERAPY 88405,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88405,A000000,02700,0000,02700SPEECH PATHOLOGY 88405,A000000,02800,0000,02800ELECTROCARDIOLOGY 88405,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88405,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88405,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88405,A000000,03200,0000,03200SUPPORT SURFACES 88405,A000000,03400,0000,03400CLINIC 88405,A000000,03500,0000,03500RURAL HEALTH CLINIC 88405,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 88405,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88405,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88405,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88405,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88405,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88405,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88405,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88405,A000000,04400,0000,04400DME RENTED - HHA 88405,A000000,04500,0000,04500DME SOLD - HHA 88405,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88405,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88405,A000000,04800,0000,04800AMBULANCE 88405,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88405,A000000,05000,0000,05000CORF 88405,A000000,05010,0000,05010CMHC 88405,A000000,05020,0000,05020OPT 88405,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88405,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88405,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88405,A000000,05300,0000,05300INTEREST EXPENSE 88405,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88405,A000000,05500,0000,05500HOSPICE 88405,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88405,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88405,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88405,A000000,06100,0000,06100NONPAID WORKERS 88405,A000000,06200,0000,06200PATIENTS LAUNDRY 88405,A81000A,00100,0100,Y 88405,A81000B,00100,0300,RENTAL OF FACILITY 88405,A81000C,00100,0100,A 88405,A81000C,00100,0200,SONYA GOODMAN 88405,A81000C,00100,0400,IRV VILL LTD PTN 88405,A81000C,00100,0600,REAL ESTATE 88405,A81000C,00200,0100,A 88405,A81000C,00200,0200,JEROME GOODMAN 88405,A81000C,00200,0400,IRV VILL LTD PTN 88405,A81000C,00200,0600,REAL ESTATE 88405,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88405,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88405,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88405,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88405,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88405,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88405,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 88405,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88405,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 88405,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 88405,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 88405,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88405,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88405,B100000,00000,1350,000003 :ACTIVITIES 88405,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88405,S000000,00100,0200,12/07/2000 88405,S200000,00100,0100,22 SOUTH ATHOL AVE 88405,S200000,00200,0100,BALTIMORE 88405,S200000,00200,0200,MD 88405,S200000,00200,0300,21229- 88405,S200000,00400,0100,IRVINGTON KNOLLS CARE CENTER 88405,S200000,00400,0200,215219 88405,S200000,00400,0300,04/02/1990 88405,S200000,00400,0500,P 88405,S200000,01600,0100,Y 88405,S200000,02800,0100,Y 88405,S200000,03100,0100,Y 88405,S700003,00000,0200,2 88412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88412,A000000,00300,0000,00300EMPLOYEE BENEFITS 88412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88412,A000000,00700,0000,00700HOUSEKEEPING 88412,A000000,00800,0000,00800DIETARY 88412,A000000,00900,0000,00900NURSING ADMINISTRATION 88412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88412,A000000,01100,0000,01100PHARMACY 88412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88412,A000000,01300,0000,01300SOCIAL SERVICE 88412,A000000,01350,0000,01500ACTIVITIES 88412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88412,A000000,01600,0000,01600SKILLED NURSING FACILITY 88412,A000000,01800,0000,01800NURSING FACILITY 88412,A000000,02200,0000,02200LABORATORY 88412,A000000,02500,0000,02500PHYSICAL THERAPY 88412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88412,A000000,02700,0000,02700SPEECH PATHOLOGY 88412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88412,A000000,03050,0000,03300ENTERAL FEEDING 88412,A000000,03550,0000,03550FQHC 88412,A000000,05000,0000,05000CORF 88412,A000000,05010,0000,05010CMHC 88412,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88412,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88412,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88412,A81000A,00100,0100,Y 88412,A81000B,00100,0300,MANAGEMENT FEES 88412,A81000B,00200,0300,CENTRAL OFFICE PLANT 88412,A81000B,00300,0300,CENTRAL OFFICE ADMIN 88412,A81000B,00400,0300,CENTRAL OFFICE CAPIT 88412,A81000B,00500,0300,CENTRAL OFFICE BENEF 88412,A81000B,00600,0300,CENTRAL OFFICE HSKP 88412,A81000B,00700,0300,CENTRAL OFFICE AGENC 88412,A81000B,00800,0300,RENT EXPENSE 88412,A81000B,00900,0300,PROPERTY DEPRECIATIO 88412,A81000B,01000,0300,PROPERTY INTEREST 88412,A81000B,01100,0300,REALTY OFFICE EXPENS 88412,A81000B,01200,0300,REPAIRS & MAINTENANC 88412,A81000C,00100,0100,B 88412,A81000C,00100,0200,ROBOSSON COURT 88412,A81000C,00100,0400,B&R HEALTH SERV 88412,A81000C,00100,0600,FACILITY MANAGE 88412,A81000C,00200,0100,B 88412,A81000C,00200,0200,ROBOSSON COURT 88412,A81000C,00200,0400,ROBOSSON REALTY 88412,A81000C,00200,0600,FACILITY OWNERS 88412,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88412,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88412,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88412,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88412,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88412,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88412,B100000,00000,0800,00000MEALS SERVED :DIETARY 88412,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88412,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 88412,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88412,B100000,00000,1250,00000 ADMISSIONS :MEDICAL RECORDS & LIB 88412,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88412,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88412,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88412,S000000,00100,0200,01/05/2000 88412,S200000,00100,0100,4511 ROBOSSON ROAD 88412,S200000,00200,0100,BALTIMORE 88412,S200000,00200,0200,MD 88412,S200000,00200,0300,21133- 88412,S200000,00300,0100,BALTIMORE 88412,S200000,00400,0100,ROBOSSON NURSING HOME INC. 88412,S200000,00400,0200,215220 88412,S200000,00400,0300,03/01/1990 88412,S200000,00400,0500,P 88412,S200000,00600,0200,215220 88412,S200000,00600,0300,03/01/1990 88412,S200000,00600,0600,P 88412,S200000,01004,0500,O 88412,S200000,01600,0100,Y 88412,S200000,03100,0100,Y 88412,S700003,00000,0100,1 88422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88422,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88422,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88422,A000000,00300,0000,00300EMPLOYEE BENEFITS 88422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88422,A000000,00700,0000,00700HOUSEKEEPING 88422,A000000,00800,0000,00800DIETARY 88422,A000000,00801,0000,00801CAFETERIA 88422,A000000,00900,0000,00900NURSING ADMINISTRATION 88422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88422,A000000,01100,0000,01100PHARMACY 88422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88422,A000000,01300,0000,01300SOCIAL SERVICE 88422,A000000,01350,0000,01500ACTIVITIES 88422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88422,A000000,01600,0000,01600SKILLED NURSING FACILITY 88422,A000000,01800,0000,01800NURSING FACILITY 88422,A000000,01900,0000,01900OTHER LONG TERM CARE 88422,A000000,02100,0000,02100RADIOLOGY 88422,A000000,02200,0000,02200LABORATORY 88422,A000000,02300,0000,02300INTRAVENOUS THERAPY 88422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88422,A000000,02500,0000,02500PHYSICAL THERAPY 88422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88422,A000000,02700,0000,02700SPEECH PATHOLOGY 88422,A000000,02800,0000,02800ELECTROCARDIOLOGY 88422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88422,A000000,03050,0000,03300CLINITRON BEDS 88422,A000000,03051,0000,03301OTHER ANCILLARY II 88422,A000000,03052,0000,03302OTHER ANCILLARY III 88422,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88422,A000000,03200,0000,03200SUPPORT SURFACES 88422,A000000,03400,0000,03400CLINIC 88422,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88422,A000000,03500,0000,03500RURAL HEALTH CLINIC 88422,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88422,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88422,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88422,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88422,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88422,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88422,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88422,A000000,04400,0000,04400DME RENTED - HHA 88422,A000000,04500,0000,04500DME SOLD - HHA 88422,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88422,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88422,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88422,A000000,04800,0000,04800AMBULANCE 88422,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88422,A000000,05000,0000,05000CORF 88422,A000000,05010,0000,05010CMHC I 88422,A000000,05020,0000,05020OPT I 88422,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88422,A000000,05300,0000,05300INTEREST EXPENSE 88422,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88422,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88422,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88422,A000000,05500,0000,05500HOSPICE 88422,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88422,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88422,A000000,06100,0000,06100NONPAID WORKERS 88422,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88422,A000000,06200,0000,06200PATIENTS LAUNDRY 88422,A81000A,00100,0100,Y 88422,A81000B,00100,0300,RENTAL EXPENSE 88422,A81000B,00200,0300,MANAGEMENT FEES 88422,A81000B,00300,0300,MANAGEMENT FEES 88422,A81000C,00100,0100,A 88422,A81000C,00100,0200,NICK MANGIONE 88422,A81000C,00100,0400,NICK MANGIONE 88422,A81000C,00100,0600,LANDLORD 88422,A81000C,00200,0100,A 88422,A81000C,00200,0200,NICK MANGIONE 88422,A81000C,00200,0400,NICK MANGIONE 88422,A81000C,00200,0600,MAN CO 88422,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88422,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88422,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88422,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88422,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88422,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88422,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88422,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88422,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88422,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88422,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88422,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88422,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88422,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88422,S000000,00100,0200,05/04/2000 88422,S200000,00100,0100,5009 FRANKFORD AVENUE 88422,S200000,00200,0100,BALTIMORE 88422,S200000,00200,0200,MD 88422,S200000,00200,0300,21206- 88422,S200000,00300,0100,BALTIMORE 88422,S200000,00300,0300,U 88422,S200000,00400,0100,FRANKFORD NURSING AND REHAB CENTER . 88422,S200000,00400,0200,215222 88422,S200000,00400,0300,06/12/1990 88422,S200000,00400,0500,P 88422,S200000,01600,0100,Y 88422,S200000,02200,0100,Y 88429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88429,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88429,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88429,A000000,00300,0000,00300EMPLOYEE BENEFITS 88429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88429,A000000,00700,0000,00700HOUSEKEEPING 88429,A000000,00800,0000,00800DIETARY 88429,A000000,00801,0000,00801CAFETERIA 88429,A000000,00900,0000,00900NURSING ADMINISTRATION 88429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88429,A000000,01100,0000,01100PHARMACY 88429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88429,A000000,01300,0000,01300SOCIAL SERVICE 88429,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88429,A000000,01600,0000,01600SKILLED NURSING FACILITY 88429,A000000,01800,0000,01800NURSING FACILITY 88429,A000000,01900,0000,01900OTHER LONG TERM CARE 88429,A000000,02100,0000,02100RADIOLOGY 88429,A000000,02200,0000,02200LABORATORY 88429,A000000,02300,0000,02300INTRAVENOUS THERAPY 88429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88429,A000000,02500,0000,02500PHYSICAL THERAPY 88429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88429,A000000,02700,0000,02700SPEECH PATHOLOGY 88429,A000000,02800,0000,02800ELECTROCARDIOLOGY 88429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88429,A000000,03050,0000,03300OTHER ANCILLARY 88429,A000000,03051,0000,03301OTHER ANCILLARY II 88429,A000000,03052,0000,03302OTHER ANCILLARY III 88429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88429,A000000,03200,0000,03200SUPPORT SURFACES 88429,A000000,03400,0000,03400CLINIC 88429,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88429,A000000,03500,0000,03500RURAL HEALTH CLINIC 88429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88429,A000000,04400,0000,04400DME RENTED - HHA 88429,A000000,04500,0000,04500DME SOLD - HHA 88429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88429,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88429,A000000,04800,0000,04800AMBULANCE 88429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88429,A000000,05000,0000,05000CORF 88429,A000000,05010,0000,05010CMHC I 88429,A000000,05020,0000,05020OPT I 88429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88429,A000000,05300,0000,05300INTEREST EXPENSE 88429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88429,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88429,A000000,05500,0000,05500HOSPICE 88429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88429,A000000,06100,0000,06100NONPAID WORKERS 88429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88429,A000000,06200,0000,06200PATIENTS LAUNDRY 88429,A81000A,00100,0100,Y 88429,A81000B,00100,0300,RENT SUBSTITUTION 88429,A81000B,00200,0300,RENT SUBSTITUTION 88429,A81000B,00300,0300,RENT SUBSTITUTION 88429,A81000C,00100,0100,A 88429,A81000C,00100,0200,J. BURLEIGH JR. 88429,A81000C,00100,0400,BURLEIGH ENTERP 88429,A81000C,00100,0600,REAL ESTATE 88429,A81000C,00200,0100,B 88429,A81000C,00200,0200,MARY BURLEIGH 88429,A81000C,00200,0400,BURLEIGH ENTERP 88429,A81000C,00200,0600,REAL ESTATE 88429,A81000C,00300,0100,C 88429,A81000C,00300,0200,J. BURLEIGH III 88429,A81000C,00300,0400,BURLEIGH ENTERP 88429,A81000C,00300,0600,REAL ESTATE 88429,A81000C,00400,0100,D 88429,A81000C,00400,0200,BRIAN BURLEIGH 88429,A81000C,00400,0400,BURLEIGH ENTERP 88429,A81000C,00400,0600,REAL ESTATE 88429,A81000C,00500,0100,E 88429,A81000C,00500,0200,SUSAN BURLEIGH 88429,A81000C,00500,0400,BURLEIGH ENTERP 88429,A81000C,00500,0600,REAL ESTATE 88429,A81000C,00600,0100,F 88429,A81000C,00600,0200,M. BURLEIGH 88429,A81000C,00600,0400,BURLEIGH ENTERP 88429,A81000C,00600,0600,REAL ESTATE 88429,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88429,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88429,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88429,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88429,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88429,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88429,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88429,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88429,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88429,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88429,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88429,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88429,E10A180,00501,0100,11/30/2000 88429,S000000,00100,0200,11/30/2000 88429,S200000,00100,0100,5743 EDMONDSON AVENUE 88429,S200000,00200,0100,BALTIMORE 88429,S200000,00200,0200,MD 88429,S200000,00200,0300,21228- 88429,S200000,00300,0100,BALTIMORE 88429,S200000,00300,0200,0720 88429,S200000,00300,0300,U 88429,S200000,00400,0100,RIDGEWAY MANOR INC. 88429,S200000,00400,0200,215227 88429,S200000,00400,0300,11/20/1990 88429,S200000,00400,0500,P 88429,S200000,01500,0100,Y 88429,S200000,03300,0100,Y 88429,S200000,04300,0100,Y 88436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88436,A000000,00300,0000,00300EMPLOYEE BENEFITS 88436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88436,A000000,00700,0000,00700HOUSEKEEPING 88436,A000000,00800,0000,00800DIETARY 88436,A000000,00900,0000,00900NURSING ADMINISTRATION 88436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88436,A000000,01100,0000,01100PHARMACY 88436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88436,A000000,01300,0000,01300SOCIAL SERVICE 88436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88436,A000000,01600,0000,01600SKILLED NURSING FACILITY 88436,A000000,01800,0000,01800NURSING FACILITY 88436,A000000,01810,0000,01810ICF/MR 88436,A000000,01900,0000,01900OTHER LONG TERM CARE 88436,A000000,02100,0000,02100RADIOLOGY 88436,A000000,02200,0000,02200LABORATORY 88436,A000000,02300,0000,02300INTRAVENOUS THERAPY 88436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88436,A000000,02500,0000,02500PHYSICAL THERAPY 88436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88436,A000000,02700,0000,02700SPEECH PATHOLOGY 88436,A000000,02800,0000,02800ELECTROCARDIOLOGY 88436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88436,A000000,03200,0000,03200SUPPORT SURFACES 88436,A000000,03400,0000,03400CLINIC 88436,A000000,03500,0000,03500RURAL HEALTH CLINIC 88436,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 88436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88436,A000000,04400,0000,04400DME RENTED - HHA 88436,A000000,04500,0000,04500DME SOLD - HHA 88436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88436,A000000,04800,0000,04800AMBULANCE 88436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88436,A000000,05000,0000,05000CORF 88436,A000000,05010,0000,05010CMHC 88436,A000000,05020,0000,05020OPT 88436,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88436,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88436,A000000,05300,0000,05300INTEREST EXPENSE 88436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88436,A000000,05500,0000,05500HOSPICE 88436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88436,A000000,06100,0000,06100NONPAID WORKERS 88436,A000000,06200,0000,06200PATIENTS LAUNDRY 88436,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88436,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88436,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88436,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88436,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88436,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 88436,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88436,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 88436,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 88436,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 88436,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88436,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88436,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88436,S000000,00100,0200,05/25/2000 88436,S200000,00100,0100,1000 DALEVIEW DRIVE 88436,S200000,00200,0100,SILVER SPRING 88436,S200000,00200,0200,MA 88436,S200000,00200,0300,20901- 88436,S200000,00300,0100,MONTGOMERY 88436,S200000,00400,0100,ALTHEA WOODLAND INC. 88436,S200000,00400,0200,215228 88436,S200000,00400,0300,06/30/1993 88436,S200000,00400,0500,P 88436,S200000,01500,0100,Y 88436,S700003,00000,0100,1 88444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88444,A000000,00300,0000,00300EMPLOYEE BENEFITS 88444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88444,A000000,00700,0000,00700HOUSEKEEPING 88444,A000000,00800,0000,00800DIETARY 88444,A000000,00900,0000,00900NURSING ADMINISTRATION 88444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88444,A000000,01100,0000,01100PHARMACY 88444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88444,A000000,01300,0000,01300SOCIAL SERVICE 88444,A000000,01350,0000,01500PATIENT ACTIVITIES 88444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88444,A000000,01600,0000,01600SKILLED NURSING FACILITY 88444,A000000,01800,0000,01800NURSING FACILITY 88444,A000000,01810,0000,01810ICF/MR 88444,A000000,01900,0000,01900OTHER LONG TERM CARE 88444,A000000,02100,0000,02100RADIOLOGY 88444,A000000,02200,0000,02200LABORATORY 88444,A000000,02300,0000,02300INTRAVENOUS THERAPY 88444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88444,A000000,02500,0000,02500PHYSICAL THERAPY 88444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88444,A000000,02700,0000,02700SPEECH PATHOLOGY 88444,A000000,02800,0000,02800ELECTROCARDIOLOGY 88444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88444,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88444,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88444,A000000,03200,0000,03200SUPPORT SURFACES 88444,A000000,03400,0000,03400CLINIC 88444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88444,A000000,03500,0000,03500RURAL HEALTH CLINIC 88444,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88444,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88444,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88444,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88444,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88444,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88444,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88444,A000000,04400,0000,04400DME RENTED - HHA 88444,A000000,04500,0000,04500DME SOLD - HHA 88444,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88444,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88444,A000000,04800,0000,04800AMBULANCE 88444,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88444,A000000,05000,0000,05000CORF 88444,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88444,A000000,05300,0000,05300INTEREST EXPENSE 88444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88444,A000000,05500,0000,05500HOSPICE 88444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88444,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88444,A000000,06100,0000,06100NONPAID WORKERS 88444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88444,A000000,06200,0000,06200PATIENTS LAUNDRY 88444,A81000A,00100,0100,Y 88444,A81000B,00100,0300,ADMIN & GENERAL - FINANCE 88444,A81000B,00200,0300,ADMIN & GENERAL - LEGAL 88444,A81000B,00300,0300,ADMIN & GENERAL - ADMIN 88444,A81000B,00400,0300,CAPITAL & BLDGS - DEPREC 88444,A81000C,00100,0100,B 88444,A81000C,00100,0200,ALLEGANY COUNTY 88444,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88444,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88444,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88444,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88444,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88444,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 88444,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88444,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88444,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88444,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88444,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88444,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88444,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 88444,S000000,00100,0200,11/28/2000 88444,S200000,00100,0100,7301 FURNACE STREET 88444,S200000,00200,0100,CUMBERLAND 88444,S200000,00200,0200,MD 88444,S200000,00200,0300,21502- 88444,S200000,00300,0100,ALLEGANY 88444,S200000,00300,0200,1900 88444,S200000,00300,0300,U 88444,S200000,00400,0100,ALLEGANY COUNTY NURSING HOME 88444,S200000,00400,0200,215230 88444,S200000,00400,0300,07/01/1991 88444,S200000,00400,0500,P 88444,S200000,01600,0100,Y 88458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88458,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88458,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88458,A000000,00300,0000,00300EMPLOYEE BENEFITS 88458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88458,A000000,00700,0000,00700HOUSEKEEPING 88458,A000000,00800,0000,00800DIETARY 88458,A000000,00801,0000,00801CAFETERIA 88458,A000000,00900,0000,00900NURSING ADMINISTRATION 88458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88458,A000000,01100,0000,01100PHARMACY 88458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88458,A000000,01300,0000,01300SOCIAL SERVICE 88458,A000000,01350,0000,01500ACTIVITIES 88458,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88458,A000000,01600,0000,01600SKILLED NURSING FACILITY 88458,A000000,01800,0000,01800NURSING FACILITY 88458,A000000,01900,0000,01900OTHER LONG TERM CARE 88458,A000000,02100,0000,02100RADIOLOGY 88458,A000000,02200,0000,02200LABORATORY 88458,A000000,02300,0000,02300INTRAVENOUS THERAPY 88458,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88458,A000000,02500,0000,02500PHYSICAL THERAPY 88458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88458,A000000,02700,0000,02700SPEECH PATHOLOGY 88458,A000000,02800,0000,02800ELECTROCARDIOLOGY 88458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88458,A000000,03050,0000,03300OTHER ANCILLARY 88458,A000000,03051,0000,03301OTHER ANCILLARY II 88458,A000000,03052,0000,03302OTHER ANCILLARY III 88458,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88458,A000000,03200,0000,03200SUPPORT SURFACES 88458,A000000,03400,0000,03400CLINIC 88458,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88458,A000000,03500,0000,03500RURAL HEALTH CLINIC 88458,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88458,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88458,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88458,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88458,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88458,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88458,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88458,A000000,04400,0000,04400DME RENTED - HHA 88458,A000000,04500,0000,04500DME SOLD - HHA 88458,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88458,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88458,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88458,A000000,04800,0000,04800AMBULANCE 88458,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88458,A000000,05000,0000,05000CORF 88458,A000000,05010,0000,05010CMHC I 88458,A000000,05020,0000,05020OPT I 88458,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88458,A000000,05300,0000,05300INTEREST EXPENSE 88458,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88458,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88458,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88458,A000000,05500,0000,05500HOSPICE 88458,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88458,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88458,A000000,06100,0000,06100NONPAID WORKERS 88458,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88458,A000000,06200,0000,06200PATIENTS LAUNDRY 88458,A81000A,00100,0100,Y 88458,A81000B,00100,0300,RENTAL FACILITY 88458,A81000B,00200,0300,MANAGEMENT SERV 88458,A81000C,00100,0100,A 88458,A81000C,00100,0200,THOMAS CUPPETT 88458,A81000C,00100,0400,CMCI 88458,A81000C,00100,0600,MGMT SERVICE 88458,A81000C,00200,0100,A 88458,A81000C,00200,0200,THOMAS CUPPETT 88458,A81000C,00200,0400,CUPPETT CUPPETT 88458,A81000C,00200,0600,FACILITY RENTAL 88458,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88458,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88458,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88458,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88458,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88458,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 88458,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88458,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88458,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88458,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88458,E10A180,00501,0100,01/08/2001 88458,S000000,00100,0200,11/15/2000 88458,S200000,00100,0100,706 EAST ALDER ST 88458,S200000,00200,0100,OAKLAND 88458,S200000,00200,0200,MD 88458,S200000,00200,0300,21550- 88458,S200000,00300,0100,GARRETT 88458,S200000,00300,0200,0021 88458,S200000,00300,0300,R 88458,S200000,00400,0100,CUPPETT AND WEEKS NURSING HOME INC. 88458,S200000,00400,0200,215232 88458,S200000,00400,0300,08/01/1992 88458,S200000,00400,0500,P 88458,S200000,01500,0100,Y 88458,S200000,02800,0100,Y 88466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88466,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88466,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88466,A000000,00300,0000,00300EMPLOYEE BENEFITS 88466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88466,A000000,00700,0000,00700HOUSEKEEPING 88466,A000000,00800,0000,00800DIETARY 88466,A000000,00801,0000,00801CAFETERIA 88466,A000000,00900,0000,00900NURSING ADMINISTRATION 88466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88466,A000000,01100,0000,01100PHARMACY 88466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88466,A000000,01300,0000,01300SOCIAL SERVICE 88466,A000000,01350,0000,01500ACTIVITIES 88466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88466,A000000,01600,0000,01600SKILLED NURSING FACILITY 88466,A000000,01800,0000,01800NURSING FACILITY 88466,A000000,01900,0000,01900OTHER LONG TERM CARE 88466,A000000,02100,0000,02100RADIOLOGY 88466,A000000,02200,0000,02200LABORATORY 88466,A000000,02300,0000,02300INTRAVENOUS THERAPY 88466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88466,A000000,02500,0000,02500PHYSICAL THERAPY 88466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88466,A000000,02700,0000,02700SPEECH PATHOLOGY 88466,A000000,02800,0000,02800ELECTROCARDIOLOGY 88466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88466,A000000,03050,0000,03300CLINITRON 88466,A000000,03051,0000,03301OTHER ANCILLARY II 88466,A000000,03052,0000,03302OTHER ANCILLARY III 88466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88466,A000000,03200,0000,03200SUPPORT SURFACES 88466,A000000,03400,0000,03400CLINIC 88466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88466,A000000,03500,0000,03500RURAL HEALTH CLINIC 88466,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88466,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88466,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88466,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88466,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88466,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88466,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88466,A000000,04400,0000,04400DME RENTED - HHA 88466,A000000,04500,0000,04500DME SOLD - HHA 88466,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88466,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88466,A000000,04800,0000,04800AMBULANCE 88466,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88466,A000000,05000,0000,05000CORF 88466,A000000,05010,0000,05010CMHC I 88466,A000000,05020,0000,05020OPT I 88466,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88466,A000000,05300,0000,05300INTEREST EXPENSE 88466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88466,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88466,A000000,05500,0000,05500HOSPICE 88466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88466,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88466,A000000,06100,0000,06100NONPAID WORKERS 88466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88466,A000000,06200,0000,06200PATIENTS LAUNDRY 88466,A81000A,00100,0100,Y 88466,A81000B,00100,0300,RENT EXPENSE 88466,A81000B,00200,0300,MANAGEMENT FEE 88466,A81000C,00100,0100,A 88466,A81000C,00100,0200,NICK MANGIONE 88466,A81000C,00100,0400,NICK MANGIONE 88466,A81000C,00100,0600,RENTAL 88466,A81000C,00200,0100,A 88466,A81000C,00200,0200,NICK MANGIONE 88466,A81000C,00200,0400,MHE INC. 88466,A81000C,00200,0600,MANAGEMENT 88466,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88466,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88466,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88466,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88466,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88466,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88466,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88466,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88466,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88466,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88466,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88466,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88466,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88466,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88466,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88466,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88466,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88466,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88466,S000000,00100,0200,05/30/2000 88466,S200000,00100,0100,1123 BELCAMP ROAD 88466,S200000,00200,0100,BELCAMP 88466,S200000,00200,0200,MD 88466,S200000,00200,0300,21017- 88466,S200000,00300,0100,HARFORD 88466,S200000,00400,0100,LORIEN NURSING & REHAB - RIVERSIDE 88466,S200000,00400,0200,215233 88466,S200000,00400,0300,05/01/1992 88466,S200000,00400,0500,P 88466,S200000,01600,0100,Y 88466,S200000,02200,0100,Y 88466,S700003,00000,0100,1 88470,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88470,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88470,A000000,00300,0000,00300EMPLOYEE BENEFITS 88470,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88470,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88470,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88470,A000000,00700,0000,00700HOUSEKEEPING 88470,A000000,00800,0000,00800DIETARY 88470,A000000,00900,0000,00900NURSING ADMINISTRATION 88470,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88470,A000000,01100,0000,01100PHARMACY 88470,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88470,A000000,01300,0000,01300SOCIAL SERVICE 88470,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88470,A000000,01600,0000,01600SKILLED NURSING FACILITY 88470,A000000,01800,0000,01800NURSING FACILITY 88470,A000000,01810,0000,01810ICF/MR 88470,A000000,01900,0000,01900OTHER LONG TERM CARE 88470,A000000,02100,0000,02100RADIOLOGY 88470,A000000,02200,0000,02200LABORATORY 88470,A000000,02300,0000,02300INTRAVENOUS THERAPY 88470,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88470,A000000,02500,0000,02500PHYSICAL THERAPY 88470,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88470,A000000,02700,0000,02700SPEECH PATHOLOGY 88470,A000000,02800,0000,02800ELECTROCARDIOLOGY 88470,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88470,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88470,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88470,A000000,03200,0000,03200SUPPORT SURFACES 88470,A000000,03400,0000,03400CLINIC 88470,A000000,03500,0000,03500RURAL HEALTH CLINIC 88470,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 88470,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88470,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88470,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88470,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88470,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88470,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88470,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88470,A000000,04400,0000,04400DME RENTED - HHA 88470,A000000,04500,0000,04500DME SOLD - HHA 88470,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88470,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88470,A000000,04800,0000,04800AMBULANCE 88470,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88470,A000000,05000,0000,05000CORF 88470,A000000,05010,0000,05010CMHC 88470,A000000,05020,0000,05020OPT 88470,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88470,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88470,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88470,A000000,05300,0000,05300INTEREST EXPENSE 88470,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88470,A000000,05500,0000,05500HOSPICE 88470,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88470,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88470,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88470,A000000,06100,0000,06100NONPAID WORKERS 88470,A000000,06200,0000,06200PATIENTS LAUNDRY 88470,A81000A,00100,0100,Y 88470,A81000B,00100,0300,BLDG RENTAL 88470,A81000C,00100,0100,A 88470,A81000C,00100,0200,JOSEPH R. VUCICH 88470,A81000C,00100,0400,JOSEPH R. VUCICH 88470,A81000C,00100,0600,LESSOR 88470,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88470,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88470,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88470,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88470,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88470,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88470,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 88470,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88470,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 88470,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 88470,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 88470,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88470,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88470,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88470,S000000,00100,0200,06/26/2000 88470,S200000,00100,0100,5215 CEDAR LANE 88470,S200000,00200,0100,BETHESDA 88470,S200000,00200,0200,MA 88470,S200000,00200,0300,20814- 88470,S200000,00300,0100,MONTGOMERY 88470,S200000,00400,0100,CARRIAGE HILL BETHESDA INC. 88470,S200000,00400,0200,215234 88470,S200000,00400,0300,03/08/1991 88470,S200000,00400,0500,P 88470,S200000,01500,0100,Y 88470,S200000,02800,0100,Y 88470,S700003,00000,0100,1 88477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88477,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88477,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88477,A000000,00300,0000,00300EMPLOYEE BENEFITS 88477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88477,A000000,00700,0000,00700HOUSEKEEPING 88477,A000000,00800,0000,00800DIETARY 88477,A000000,00801,0000,00801CAFETERIA 88477,A000000,00900,0000,00900NURSING ADMINISTRATION 88477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88477,A000000,01100,0000,01100PHARMACY 88477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88477,A000000,01300,0000,01300SOCIAL SERVICE 88477,A000000,01350,0000,01500ACTIVITIES 88477,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88477,A000000,01600,0000,01600SKILLED NURSING FACILITY 88477,A000000,01800,0000,01800NURSING FACILITY 88477,A000000,01900,0000,01900OTHER LONG TERM CARE 88477,A000000,02100,0000,02100RADIOLOGY 88477,A000000,02200,0000,02200LABORATORY 88477,A000000,02300,0000,02300INTRAVENOUS THERAPY 88477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88477,A000000,02500,0000,02500PHYSICAL THERAPY 88477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88477,A000000,02700,0000,02700SPEECH PATHOLOGY 88477,A000000,02800,0000,02800ELECTROCARDIOLOGY 88477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88477,A000000,03050,0000,03300OTHER ANCILLARY 88477,A000000,03051,0000,03301OTHER ANCILLARY II 88477,A000000,03052,0000,03302OTHER ANCILLARY III 88477,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88477,A000000,03200,0000,03200SUPPORT SURFACES 88477,A000000,03400,0000,03400CLINIC 88477,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88477,A000000,03500,0000,03500RURAL HEALTH CLINIC 88477,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88477,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88477,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88477,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88477,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88477,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88477,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88477,A000000,04400,0000,04400DME RENTED - HHA 88477,A000000,04500,0000,04500DME SOLD - HHA 88477,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88477,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88477,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88477,A000000,04800,0000,04800AMBULANCE 88477,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88477,A000000,05000,0000,05000CORF 88477,A000000,05010,0000,05010CMHC I 88477,A000000,05020,0000,05020OPT I 88477,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88477,A000000,05300,0000,05300INTEREST EXPENSE 88477,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88477,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88477,A000000,05500,0000,05500HOSPICE 88477,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88477,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88477,A000000,06100,0000,06100NONPAID WORKERS 88477,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88477,A000000,06200,0000,06200PATIENTS LAUNDRY 88477,A81000A,00100,0100,Y 88477,A81000B,00100,0300,MGMT FEE 88477,A81000B,00200,0300,MKTG FEE 88477,A81000B,00300,0300,H/O - BLDG 88477,A81000B,00400,0300,H/O - EMP BEN 88477,A81000B,00500,0300,H/O - ADMIN 88477,A81000B,00600,0300,H/O - PLANT 88477,A81000C,00100,0100,A 88477,A81000C,00100,0200,PUMH 88477,A81000C,00100,0400,PUMH 88477,A81000C,00100,0600,MGMT/CHURCH 88477,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88477,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88477,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88477,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88477,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88477,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88477,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88477,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88477,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 88477,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88477,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88477,S000000,00100,0200,10/02/2000 88477,S200000,00100,0100,501 CAMPUS AVENUE 88477,S200000,00200,0100,CHESTERTOWN 88477,S200000,00200,0200,MD 88477,S200000,00200,0300,21620- 88477,S200000,00300,0100,KENT 88477,S200000,00300,0300,R 88477,S200000,00400,0100,HERON POINT OF CHESTERTOWN 88477,S200000,00400,0200,215235 88477,S200000,00400,0300,05/06/1991 88477,S200000,00400,0500,P 88477,S200000,01700,0100,Y 88477,S200000,02800,0100,Y 88483,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88483,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88483,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88483,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88483,A000000,00300,0000,00300EMPLOYEE BENEFITS 88483,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88483,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88483,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88483,A000000,00700,0000,00700HOUSEKEEPING 88483,A000000,00800,0000,00800DIETARY 88483,A000000,00801,0000,00801CAFETERIA 88483,A000000,00900,0000,00900NURSING ADMINISTRATION 88483,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88483,A000000,01100,0000,01100PHARMACY 88483,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88483,A000000,01300,0000,01300SOCIAL SERVICE 88483,A000000,01350,0000,01500ACTIVITIES 88483,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88483,A000000,01600,0000,01600SKILLED NURSING FACILITY 88483,A000000,01800,0000,01800NURSING FACILITY 88483,A000000,01900,0000,01900OTHER LONG TERM CARE 88483,A000000,02100,0000,02100RADIOLOGY 88483,A000000,02200,0000,02200LABORATORY 88483,A000000,02300,0000,02300INTRAVENOUS THERAPY 88483,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88483,A000000,02500,0000,02500PHYSICAL THERAPY 88483,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88483,A000000,02700,0000,02700SPEECH PATHOLOGY 88483,A000000,02800,0000,02800ELECTROCARDIOLOGY 88483,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88483,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88483,A000000,03050,0000,03300OTHER ANCILLARY 88483,A000000,03051,0000,03301OTHER ANCILLARY II 88483,A000000,03052,0000,03302OTHER ANCILLARY III 88483,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88483,A000000,03200,0000,03200SUPPORT SURFACES 88483,A000000,03400,0000,03400CLINIC 88483,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88483,A000000,03500,0000,03500RURAL HEALTH CLINIC 88483,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88483,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88483,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88483,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88483,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88483,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88483,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88483,A000000,04400,0000,04400DME RENTED - HHA 88483,A000000,04500,0000,04500DME SOLD - HHA 88483,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88483,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88483,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88483,A000000,04800,0000,04800AMBULANCE 88483,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88483,A000000,05000,0000,05000CORF 88483,A000000,05010,0000,05010CMHC I 88483,A000000,05020,0000,05020OPT I 88483,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88483,A000000,05300,0000,05300INTEREST EXPENSE 88483,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88483,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88483,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88483,A000000,05500,0000,05500HOSPICE 88483,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88483,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88483,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88483,A000000,06100,0000,06100NONPAID WORKERS 88483,A000000,06150,0000,06300DAY CARE 88483,A000000,06200,0000,06200PATIENTS LAUNDRY 88483,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88483,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88483,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88483,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88483,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88483,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88483,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88483,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88483,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88483,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88483,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88483,E10A180,00501,0100,01/17/2001 88483,S000000,00100,0200,12/04/2000 88483,S200000,00100,0100,1454 FAIRFIELD LOOP RD 88483,S200000,00200,0100,CROWNSVILLE 88483,S200000,00200,0200,MD 88483,S200000,00200,0300,21032- 88483,S200000,00300,0100,ANNE ARUNDEL 88483,S200000,00300,0200,0720 88483,S200000,00300,0300,U 88483,S200000,00400,0100,FAIRFIELD NURSING CENTER INC. 88483,S200000,00400,0200,215236 88483,S200000,00400,0300,12/10/1991 88483,S200000,00400,0500,P 88483,S200000,01500,0100,Y 88493,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88493,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88493,A000000,00300,0000,00300EMPLOYEE BENEFITS 88493,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88493,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88493,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88493,A000000,00700,0000,00700HOUSEKEEPING 88493,A000000,00800,0000,00800DIETARY 88493,A000000,00900,0000,00900NURSING ADMINISTRATION 88493,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88493,A000000,01100,0000,01100PHARMACY 88493,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88493,A000000,01300,0000,01300SOCIAL SERVICE 88493,A000000,01350,0000,01500PATIENT ACTIVITIES 88493,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88493,A000000,01600,0000,01600SKILLED NURSING FACILITY 88493,A000000,01800,0000,01800NURSING FACILITY 88493,A000000,01900,0000,01900OTHER LONG TERM CARE 88493,A000000,02100,0000,02100RADIOLOGY 88493,A000000,02200,0000,02200LABORATORY 88493,A000000,02300,0000,02300INTRAVENOUS THERAPY 88493,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88493,A000000,02500,0000,02500PHYSICAL THERAPY 88493,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88493,A000000,02700,0000,02700SPEECH PATHOLOGY 88493,A000000,02800,0000,02800ELECTROCARDIOLOGY 88493,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88493,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88493,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88493,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88493,A000000,03200,0000,03200SUPPORT SURFACES 88493,A000000,03400,0000,03400CLINIC 88493,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88493,A000000,03500,0000,03500RURAL HEALTH CLINIC 88493,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88493,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88493,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88493,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88493,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88493,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88493,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88493,A000000,04400,0000,04400DME RENTED - HHA 88493,A000000,04500,0000,04500DME SOLD - HHA 88493,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88493,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88493,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88493,A000000,04800,0000,04800AMBULANCE 88493,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88493,A000000,05000,0000,05000CORF 88493,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88493,A000000,05300,0000,05300INTEREST EXPENSE 88493,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88493,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88493,A000000,05500,0000,05500HOSPICE 88493,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88493,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88493,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88493,A000000,06100,0000,06100NONPAID WORKERS 88493,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88493,A000000,06200,0000,06200PATIENTS LAUNDRY 88493,A81000A,00100,0100,Y 88493,A81000B,00100,0300,HOME OFFICE FEES 88493,A81000B,00200,0300,HOME OFFICE CAPITAL 88493,A81000B,00300,0300,HOME OFFICE NON-CAPITAL 88493,A81000B,00400,0300,ANCILLARY MANAGEMENT 88493,A81000B,00500,0300,ANCILLARY MANAGEMENT 88493,A81000B,00600,0300,ANCILLARY MANAGEMENT 88493,A81000C,00100,0100,B 88493,A81000C,00100,0200,FOUNDATION HEALTH SVCS 88493,A81000C,00100,0400,FOUNDATION HEALTH SVCS 88493,A81000C,00100,0600,HOME OFFICE 88493,A81000C,00200,0100,B 88493,A81000C,00200,0200,FOUNDATION ANCILLARY SVCS 88493,A81000C,00200,0400,FOUNDATION ANCILLARY SVCS 88493,A81000C,00200,0600,ANCILLARY MANAGEMENT 88493,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88493,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 88493,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88493,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88493,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88493,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88493,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 88493,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88493,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88493,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88493,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88493,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88493,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88493,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 88493,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 88493,S000000,00100,0200,06/01/2000 88493,S200000,00100,0100,501 W. FRANKLIN STREET 88493,S200000,00200,0100,BALTIMORE 88493,S200000,00200,0200,MD 88493,S200000,00200,0300,21201- 88493,S200000,00300,0100,BALTIMORE 88493,S200000,00400,0100,RAVENWOOD NURSING & REHAB CENTER 88493,S200000,00400,0200,215237 88493,S200000,00400,0300,09/01/1996 88493,S200000,00400,0500,P 88493,S200000,01600,0100,Y 88493,S700003,00000,0100,1 88504,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88504,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88504,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88504,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88504,A000000,00300,0000,00300EMPLOYEE BENEFITS 88504,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88504,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88504,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88504,A000000,00700,0000,00700HOUSEKEEPING 88504,A000000,00800,0000,00800DIETARY 88504,A000000,00801,0000,00801CAFETERIA 88504,A000000,00900,0000,00900NURSING ADMINISTRATION 88504,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88504,A000000,01100,0000,01100PHARMACY 88504,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88504,A000000,01300,0000,01300SOCIAL SERVICE 88504,A000000,01350,0000,01500ACTIVITIES 88504,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88504,A000000,01600,0000,01600SKILLED NURSING FACILITY 88504,A000000,01800,0000,01800NURSING FACILITY 88504,A000000,01900,0000,01900OTHER LONG TERM CARE 88504,A000000,02100,0000,02100RADIOLOGY 88504,A000000,02200,0000,02200LABORATORY 88504,A000000,02300,0000,02300INTRAVENOUS THERAPY 88504,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88504,A000000,02500,0000,02500PHYSICAL THERAPY 88504,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88504,A000000,02700,0000,02700SPEECH PATHOLOGY 88504,A000000,02800,0000,02800ELECTROCARDIOLOGY 88504,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88504,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88504,A000000,03050,0000,03300OTHER ANCILLARY 88504,A000000,03051,0000,03301OTHER ANCILLARY II 88504,A000000,03052,0000,03302OTHER ANCILLARY III 88504,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88504,A000000,03200,0000,03200SUPPORT SURFACES 88504,A000000,03400,0000,03400CLINIC 88504,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88504,A000000,03500,0000,03500RURAL HEALTH CLINIC 88504,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88504,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88504,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88504,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88504,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88504,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88504,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88504,A000000,04400,0000,04400DME RENTED - HHA 88504,A000000,04500,0000,04500DME SOLD - HHA 88504,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88504,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88504,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88504,A000000,04800,0000,04800AMBULANCE 88504,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88504,A000000,05000,0000,05000CORF 88504,A000000,05010,0000,05010CMHC I 88504,A000000,05020,0000,05020OPT I 88504,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88504,A000000,05300,0000,05300INTEREST EXPENSE 88504,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88504,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88504,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88504,A000000,05500,0000,05500HOSPICE 88504,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88504,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88504,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88504,A000000,06100,0000,06100NONPAID WORKERS 88504,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88504,A000000,06200,0000,06200PATIENTS LAUNDRY 88504,A81000A,00100,0100,Y 88504,A81000B,00100,0300,MGMT FEES 88504,A81000B,00200,0300,CAPITAL COST 88504,A81000B,00300,0300,CAPITAL COST 88504,A81000C,00100,0100,A 88504,A81000C,00100,0200,RANGER CONSTR 88504,A81000C,00100,0400,MAGNOLIA MGMT 88504,A81000C,00100,0600,MGMT CO 88504,A81000C,00200,0100,A 88504,A81000C,00200,0200,MORAN MANOR 88504,A81000C,00300,0100,A 88504,A81000C,00300,0200,ERRANT MAYFLY 88504,A81000C,00400,0100,A 88504,A81000C,00400,0200,DAVID GOODMAN 88504,A81000C,00500,0100,A 88504,A81000C,00500,0200,RANDOLPH ROUSE 88504,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88504,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88504,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88504,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88504,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88504,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88504,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88504,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88504,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88504,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88504,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88504,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88504,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88504,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88504,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88504,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88504,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88504,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88504,S000000,00100,0200,03/31/2000 88504,S200000,00100,0100,200 CLAYTON AVENUE 88504,S200000,00200,0100,WESTERNPORT 88504,S200000,00200,0200,MD 88504,S200000,00200,0300,21562- 88504,S200000,00300,0100,ALLEGANY 88504,S200000,00400,0100,MORAN MANOR 88504,S200000,00400,0200,215240 88504,S200000,00400,0300,08/01/1992 88504,S200000,00400,0500,P 88504,S200000,01500,0100,Y 88504,S700003,00000,0100,1 88514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88514,A000000,00300,0000,00300EMPLOYEE BENEFITS 88514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88514,A000000,00700,0000,00700HOUSEKEEPING 88514,A000000,00800,0000,00800DIETARY 88514,A000000,00900,0000,00900NURSING ADMINISTRATION 88514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88514,A000000,01100,0000,01100PHARMACY 88514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88514,A000000,01300,0000,01300SOCIAL SERVICE 88514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88514,A000000,01600,0000,01600SKILLED NURSING FACILITY 88514,A000000,01800,0000,01800NURSING FACILITY 88514,A000000,01810,0000,01810ICF/MR 88514,A000000,02100,0000,02100RADIOLOGY 88514,A000000,02200,0000,02200LABORATORY 88514,A000000,02500,0000,02500PHYSICAL THERAPY 88514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88514,A000000,02700,0000,02700SPEECH PATHOLOGY 88514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88514,A000000,03050,0000,03300OPEN 88514,A000000,03051,0000,03310AMBULANCE PART A 88514,A000000,03200,0000,03200SUPPORT SURFACES 88514,A000000,03550,0000,03550FQHC 88514,A000000,05000,0000,05000CORF 88514,A000000,05010,0000,05010CMHC 88514,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88514,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88514,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88514,A000000,06150,0000,06300PEN THERAPY - DME PART B 88514,A81000A,00100,0100,Y 88514,A81000B,00100,0300,PHARMACY ITEMS 88514,A81000B,00200,0300,MEDICAL SUPPLIES 88514,A81000B,00300,0300,PERSONAL NEED ITEMS 88514,A81000B,00400,0300,DIETARY SUPPLEMENTS 88514,A81000B,00500,0300,HOUSEKEEPING SUPPLIE 88514,A81000B,00600,0300,TUBE FEEDING SUPPLIE 88514,A81000B,00700,0300,DIETARY SUPPLEMENTS 88514,A81000B,00800,0300,BILLING SERVICE FEE 88514,A81000B,00900,0300,IV SUPPLIES 88514,A81000B,01000,0300,RX 88514,A81000B,01100,0300,MINOR EQUIP RENTAL 88514,A81000B,01200,0300,LAUNDRY SERVICE 88514,A81000B,01300,0300,LAUNDRY SERVICE 88514,A81000B,01400,0300,TRASH REMOVAL 88514,A81000B,01500,0300,HO ALLOC - MGT FEES 88514,A81000B,01600,0300,CAP DEPLOYMENT FEE 88514,A81000B,01700,0300,HOCR HELIX HEALTH 88514,A81000B,01800,0300,HOCR HELIX HEALTH 88514,A81000B,01900,0300,HOCR MEDSTAR 88514,A81000B,02000,0300,HOCR MEDSTAR 88514,A81000B,02100,0300,HOCR MEDSTAR 88514,A81000C,00100,0100,B 88514,A81000C,00100,0400,ENSIGN PHARMACY 88514,A81000C,00100,0600,PHARMACY 88514,A81000C,00200,0100,B 88514,A81000C,00200,0400,EXTENCARE 88514,A81000C,00200,0600,PHARMACY 88514,A81000C,00300,0100,B 88514,A81000C,00300,0400,FRANKLIN MEDICA 88514,A81000C,00300,0600,MEDICAL SUPPLIE 88514,A81000C,00400,0100,B 88514,A81000C,00400,0400,GOOD SAMARITAN 88514,A81000C,00400,0600,HOSPITAL 88514,A81000C,00500,0100,B 88514,A81000C,00500,0400,HELIX HEALTH 88514,A81000C,00500,0600,HOME OFFICE 88514,A81000C,00600,0100,B 88514,A81000C,00600,0400,MEDSTAR 88514,A81000C,00600,0600,PARENT COMPANY 88514,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88514,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88514,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88514,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88514,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88514,B100000,00000,0800,00000MEALS SERVED :DIETARY 88514,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88514,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88514,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88514,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88514,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88514,S000000,00100,0200,11/30/2000 88514,S200000,00100,0100,1601 EAST BELVEDERE AVENUE 88514,S200000,00200,0100,BALTIMORE 88514,S200000,00200,0200,MD 88514,S200000,00200,0300,21239- 88514,S200000,00300,0100,BALTIMORE CITY 88514,S200000,00300,0200,0720 88514,S200000,00300,0300,U 88514,S200000,00400,0100,GOOD SAMARITAN NURSING CENTER 88514,S200000,00400,0200,215241 88514,S200000,00400,0300,06/05/1992 88514,S200000,00400,0500,P 88514,S200000,00600,0200,215241 88514,S200000,00600,0300,06/05/1992 88514,S200000,00600,0600,P 88514,S200000,01004,0500,O 88514,S200000,01600,0100,Y 88514,S200000,01900,0100,NURSING CENTER 88523,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88523,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88523,A000000,00300,0000,00300EMPLOYEE BENEFITS 88523,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88523,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88523,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88523,A000000,00700,0000,00700HOUSEKEEPING 88523,A000000,00800,0000,00800DIETARY 88523,A000000,00900,0000,00900NURSING ADMINISTRATION 88523,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88523,A000000,01100,0000,01100PHARMACY 88523,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88523,A000000,01300,0000,01300SOCIAL SERVICE 88523,A000000,01350,0000,01500ACTIVITIES 88523,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88523,A000000,01600,0000,01600SKILLED NURSING FACILITY 88523,A000000,01800,0000,01800NURSING FACILITY 88523,A000000,01900,0000,01900OTHER LONG TERM CARE 88523,A000000,02100,0000,02100RADIOLOGY 88523,A000000,02200,0000,02200LABORATORY 88523,A000000,02300,0000,02300INTRAVENOUS THERAPY 88523,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88523,A000000,02500,0000,02500PHYSICAL THERAPY 88523,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88523,A000000,02700,0000,02700SPEECH PATHOLOGY 88523,A000000,02800,0000,02800ELECTROCARDIOLOGY 88523,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88523,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88523,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88523,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88523,A000000,03200,0000,03200SUPPORT SURFACES 88523,A000000,03400,0000,03400CLINIC 88523,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 88523,A000000,03500,0000,03500RURAL HEALTH CLINIC 88523,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88523,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88523,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88523,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88523,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88523,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88523,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88523,A000000,04400,0000,04400DME RENTED - HHA 88523,A000000,04500,0000,04500DME SOLD - HHA 88523,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88523,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88523,A000000,04800,0000,04800AMBULANCE 88523,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88523,A000000,05000,0000,05000CORF 88523,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88523,A000000,05300,0000,05300INTEREST EXPENSE 88523,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88523,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88523,A000000,05500,0000,05500HOSPICE 88523,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88523,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88523,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88523,A000000,06100,0000,06100NONPAID WORKERS 88523,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 88523,A000000,06200,0000,06200PATIENTS LAUNDRY 88523,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88523,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88523,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88523,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88523,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88523,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88523,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88523,B100000,00000,0800,00000MEALS SERVED :DIETARY 88523,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88523,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88523,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88523,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88523,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88523,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88523,S000000,00100,0200,12/15/2000 88523,S200000,00100,0100,105 TIMES SQUARE 88523,S200000,00200,0100,SALISBURY 88523,S200000,00200,0200,MD 88523,S200000,00200,0300,21801- 88523,S200000,00300,0100,WICOMICO 88523,S200000,00300,0200,0021 88523,S200000,00300,0300,R 88523,S200000,00400,0100,WATERVIEW HEALTHCARE CENTER 88523,S200000,00400,0200,215243 88523,S200000,00400,0300,08/08/1992 88523,S200000,00400,0500,P 88523,S200000,01500,0100,Y 88530,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88530,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88530,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88530,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88530,A000000,00300,0000,00300EMPLOYEE BENEFITS 88530,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88530,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88530,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88530,A000000,00700,0000,00700HOUSEKEEPING 88530,A000000,00800,0000,00800DIETARY 88530,A000000,00801,0000,00801CAFETERIA 88530,A000000,00900,0000,00900NURSING ADMINISTRATION 88530,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88530,A000000,01100,0000,01100PHARMACY 88530,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88530,A000000,01300,0000,01300SOCIAL SERVICE 88530,A000000,01350,0000,01500ACTIVITIES 88530,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88530,A000000,01600,0000,01600SKILLED NURSING FACILITY 88530,A000000,01800,0000,01800NURSING FACILITY 88530,A000000,01900,0000,01900OTHER LONG TERM CARE 88530,A000000,02100,0000,02100RADIOLOGY 88530,A000000,02200,0000,02200LABORATORY 88530,A000000,02300,0000,02300INTRAVENOUS THERAPY 88530,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88530,A000000,02500,0000,02500PHYSICAL THERAPY 88530,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88530,A000000,02700,0000,02700SPEECH PATHOLOGY 88530,A000000,02800,0000,02800ELECTROCARDIOLOGY 88530,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88530,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88530,A000000,03050,0000,03300OTHER ANCILLARY 88530,A000000,03051,0000,03301OTHER ANCILLARY II 88530,A000000,03052,0000,03302OTHER ANCILLARY III 88530,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88530,A000000,03200,0000,03200SUPPORT SURFACES 88530,A000000,03400,0000,03400CLINIC 88530,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88530,A000000,03500,0000,03500RURAL HEALTH CLINIC 88530,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88530,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88530,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88530,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88530,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88530,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88530,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88530,A000000,04400,0000,04400DME RENTED - HHA 88530,A000000,04500,0000,04500DME SOLD - HHA 88530,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88530,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88530,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88530,A000000,04800,0000,04800AMBULANCE 88530,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88530,A000000,05000,0000,05000CORF 88530,A000000,05010,0000,05010CMHC I 88530,A000000,05020,0000,05020OPT I 88530,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88530,A000000,05300,0000,05300INTEREST EXPENSE 88530,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88530,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88530,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88530,A000000,05500,0000,05500HOSPICE 88530,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88530,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88530,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88530,A000000,06100,0000,06100NONPAID WORKERS 88530,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88530,A000000,06200,0000,06200PATIENTS LAUNDRY 88530,A81000A,00100,0100,Y 88530,A81000B,00100,0300,MANAGEMENT FEE 88530,A81000C,00100,0100,A 88530,A81000C,00100,0200,MAGNOLIA MGMT 88530,A81000C,00100,0400,DOMINICK PERINI 88530,A81000C,00100,0600,MGMT CO 88530,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88530,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88530,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88530,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88530,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88530,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88530,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88530,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88530,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88530,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88530,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88530,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88530,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88530,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88530,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88530,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88530,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88530,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88530,S000000,00100,0200,06/27/2000 88530,S200000,00100,0100,10301 CHRISTIE ROAD 88530,S200000,00200,0100,CUMBERLAND 88530,S200000,00200,0200,MD 88530,S200000,00200,0300,21502- 88530,S200000,00300,0100,ALLEGANY 88530,S200000,00400,0100,DEVLIN MANOR 88530,S200000,00400,0200,215244 88530,S200000,00400,0300,09/01/1992 88530,S200000,00400,0500,P 88530,S200000,01004,0500,O 88530,S200000,01600,0100,Y 88530,S700003,00000,0100,1 88541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88541,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88541,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88541,A000000,00300,0000,00300EMPLOYEE BENEFITS 88541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88541,A000000,00700,0000,00700HOUSEKEEPING 88541,A000000,00800,0000,00800DIETARY 88541,A000000,00801,0000,00801CAFETERIA 88541,A000000,00900,0000,00900NURSING ADMINISTRATION 88541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88541,A000000,01100,0000,01100PHARMACY 88541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88541,A000000,01300,0000,01300SOCIAL SERVICE 88541,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88541,A000000,01600,0000,01600SKILLED NURSING FACILITY 88541,A000000,01800,0000,01800NURSING FACILITY 88541,A000000,01900,0000,01900OTHER LONG TERM CARE 88541,A000000,02100,0000,02100RADIOLOGY 88541,A000000,02200,0000,02200LABORATORY 88541,A000000,02300,0000,02300INTRAVENOUS THERAPY 88541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88541,A000000,02500,0000,02500PHYSICAL THERAPY 88541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88541,A000000,02700,0000,02700SPEECH PATHOLOGY 88541,A000000,02800,0000,02800ELECTROCARDIOLOGY 88541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88541,A000000,03050,0000,03300OTHER ANCILLARY 88541,A000000,03051,0000,03301OTHER ANCILLARY II 88541,A000000,03052,0000,03302OTHER ANCILLARY III 88541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88541,A000000,03200,0000,03200SUPPORT SURFACES 88541,A000000,03400,0000,03400CLINIC 88541,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88541,A000000,03500,0000,03500RURAL HEALTH CLINIC 88541,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88541,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88541,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88541,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88541,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88541,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88541,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88541,A000000,04400,0000,04400DME RENTED - HHA 88541,A000000,04500,0000,04500DME SOLD - HHA 88541,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88541,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88541,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88541,A000000,04800,0000,04800AMBULANCE 88541,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88541,A000000,05000,0000,05000CORF 88541,A000000,05010,0000,05010CMHC I 88541,A000000,05020,0000,05020OPT I 88541,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88541,A000000,05300,0000,05300INTEREST EXPENSE 88541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88541,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88541,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88541,A000000,05500,0000,05500HOSPICE 88541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88541,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88541,A000000,06100,0000,06100NONPAID WORKERS 88541,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88541,A000000,06200,0000,06200PATIENTS LAUNDRY 88541,A81000A,00100,0100,Y 88541,A81000B,00100,0300,HOME OFFICE COSTS 88541,A81000B,00200,0300,HOME OFFICE COSTS 88541,A81000B,00300,0300,HOME OFFICE COSTS 88541,A81000B,00400,0300,HOME OFFICE COSTS 88541,A81000B,00500,0300,HOME OFFICE COSTS 88541,A81000C,00100,0100,B 88541,A81000C,00100,0200,BROOKE GROVE FN 88541,A81000C,00100,0600,MNGMT CO. 88541,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88541,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88541,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88541,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88541,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88541,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88541,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88541,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88541,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88541,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88541,S000000,00100,0200,11/28/2000 88541,S200000,00100,0100,18201 MARDEN LANE 88541,S200000,00200,0100,OLNEY 88541,S200000,00200,0200,MD 88541,S200000,00200,0300,20832- 88541,S200000,00300,0100,MONTGOMERY 88541,S200000,00300,0200,8840 88541,S200000,00300,0300,U 88541,S200000,00400,0100,SHARON NURSING HOME 88541,S200000,00400,0200,215248 88541,S200000,00400,0300,01/01/1990 88541,S200000,00400,0500,P 88541,S200000,01500,0100,Y 88549,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88549,A000000,00300,0000,00300EMPLOYEE BENEFITS 88549,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88549,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88549,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88549,A000000,00700,0000,00700HOUSEKEEPING 88549,A000000,00800,0000,00800DIETARY 88549,A000000,00900,0000,00900NURSING ADMINISTRATION 88549,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88549,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88549,A000000,01300,0000,01300SOCIAL SERVICE 88549,A000000,01600,0000,01600SKILLED NURSING FACILITY 88549,A000000,01800,0000,01800NURSING FACILITY 88549,A000000,02100,0000,02100RADIOLOGY 88549,A000000,02200,0000,02200LABORATORY 88549,A000000,02300,0000,02300INTRAVENOUS THERAPY 88549,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88549,A000000,02500,0000,02500PHYSICAL THERAPY 88549,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88549,A000000,02700,0000,02700SPEECH PATHOLOGY 88549,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88549,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88549,A000000,03200,0000,03200SUPPORT SURFACES 88549,A000000,04800,0000,04800AMBULANCE 88549,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88549,A000000,06150,0000,06300ENTERAL FEEDINGS 88549,A81000A,00100,0100,Y 88549,A81000B,00100,0300,HOME OFFICE COSTS 88549,A81000B,00200,0300,HOME OFFICE COSTS 88549,A81000B,00300,0300,HOME OFFICE COSTS 88549,A81000B,00400,0300,REAL ESTATE RENTAL 88549,A81000B,00500,0300,REAT ESTATE RENTAL 88549,A81000B,00600,0300,REAL ESTATE RENTAL 88549,A81000B,00700,0300,REAL ESTATE RENTAL 88549,A81000B,00800,0300,THERAPY SERVICES 88549,A81000B,00900,0300,THERAPY SERVICES 88549,A81000B,01000,0300,THERAPY SERVICES 88549,A81000C,00100,0100,A 88549,A81000C,00100,0200,GARY ATTMAN 88549,A81000C,00100,0400,FUTURECARE HEAL 88549,A81000C,00100,0600,HOME OFFICE 88549,A81000C,00200,0100,A 88549,A81000C,00200,0200,ALVIN POWERS 88549,A81000C,00200,0400,FUTURECARE HEAL 88549,A81000C,00200,0600,HOME OFFICE 88549,A81000C,00300,0100,A 88549,A81000C,00300,0200,LEONARD ATTMAN 88549,A81000C,00300,0400,FUTURECARE HEAL 88549,A81000C,00300,0600,HOME OFFICE 88549,A81000C,00400,0100,A 88549,A81000C,00400,0200,1996 TRUST FBO 88549,A81000C,00400,0400,FUTURECARE HEAL 88549,A81000C,00400,0600,HOME OFFICE 88549,A81000C,00500,0100,A 88549,A81000C,00500,0200,GARY ATTMAN 88549,A81000C,00500,0400,HOMEWOOD PROP P 88549,A81000C,00500,0600,REAL ESTATE PA 88549,A81000C,00600,0100,A 88549,A81000C,00600,0200,1995 ATTMAN TRU 88549,A81000C,00600,0400,HOMEWOOD PROP P 88549,A81000C,00600,0600,REAL ESTATE PA 88549,A81000C,00700,0100,A 88549,A81000C,00700,0200,POWERS FAMILY L 88549,A81000C,00700,0400,HOMEWOOD PROP P 88549,A81000C,00700,0600,REAL ESTATE PA 88549,A81000C,00800,0100,B 88549,A81000C,00800,0400,FUTURECARE REHA 88549,A81000C,00800,0600,THERAPY SERVICE 88549,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88549,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88549,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88549,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88549,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88549,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88549,B100000,00000,0800,00000MEALS SERVED :DIETARY 88549,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88549,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88549,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88549,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88549,S000000,00100,0200,05/31/2000 88549,S200000,00100,0100,2700 NORTH CHARLES STREET 88549,S200000,00200,0100,BALTIMORE 88549,S200000,00200,0200,MD 88549,S200000,00200,0300,21218- 88549,S200000,00300,0100,BALTIMORE CITY 88549,S200000,00400,0100,FUTURECARE HOMEWOOD 88549,S200000,00400,0200,215249 88549,S200000,00400,0300,01/01/1996 88549,S200000,00400,0500,P 88549,S200000,00600,0200,215249 88549,S200000,00600,0300,01/01/1996 88549,S200000,00600,0600,P 88549,S200000,01600,0100,Y 88549,S200000,01900,0100,(501)(C)(3) 88549,S200000,04300,0100,Y 88549,S700003,00000,0100,1 88555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88555,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88555,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88555,A000000,00300,0000,00300EMPLOYEE BENEFITS 88555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88555,A000000,00700,0000,00700HOUSEKEEPING 88555,A000000,00800,0000,00800DIETARY 88555,A000000,00801,0000,00801CAFETERIA 88555,A000000,00900,0000,00900NURSING ADMINISTRATION 88555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88555,A000000,01100,0000,01100PHARMACY 88555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88555,A000000,01300,0000,01300SOCIAL SERVICE 88555,A000000,01350,0000,01500ACTIVITIES 88555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88555,A000000,01600,0000,01600SKILLED NURSING FACILITY 88555,A000000,01800,0000,01800NURSING FACILITY 88555,A000000,01900,0000,01900OTHER LONG TERM CARE 88555,A000000,02100,0000,02100RADIOLOGY 88555,A000000,02200,0000,02200LABORATORY 88555,A000000,02300,0000,02300INTRAVENOUS THERAPY 88555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88555,A000000,02500,0000,02500PHYSICAL THERAPY 88555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88555,A000000,02700,0000,02700SPEECH PATHOLOGY 88555,A000000,02800,0000,02800ELECTROCARDIOLOGY 88555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88555,A000000,03050,0000,03300OTHER ANCILLARY 88555,A000000,03051,0000,03301OTHER ANCILLARY II 88555,A000000,03052,0000,03302OTHER ANCILLARY III 88555,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88555,A000000,03200,0000,03200SUPPORT SURFACES 88555,A000000,03400,0000,03400CLINIC 88555,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88555,A000000,03500,0000,03500RURAL HEALTH CLINIC 88555,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88555,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88555,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88555,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88555,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88555,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88555,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88555,A000000,04400,0000,04400DME RENTED - HHA 88555,A000000,04500,0000,04500DME SOLD - HHA 88555,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88555,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88555,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88555,A000000,04800,0000,04800AMBULANCE 88555,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88555,A000000,05000,0000,05000CORF 88555,A000000,05010,0000,05010CMHC I 88555,A000000,05020,0000,05020OPT I 88555,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88555,A000000,05300,0000,05300INTEREST EXPENSE 88555,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88555,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88555,A000000,05500,0000,05500HOSPICE 88555,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88555,A000000,06100,0000,06100NONPAID WORKERS 88555,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88555,A000000,06200,0000,06200PATIENTS LAUNDRY 88555,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88555,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88555,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88555,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88555,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88555,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88555,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88555,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88555,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88555,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88555,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88555,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88555,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88555,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88555,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88555,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88555,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88555,S000000,00100,0200,08/30/2000 88555,S200000,00100,0100,DORSEY HOTEL ROAD 88555,S200000,00100,0300,310 88555,S200000,00200,0100,GRANTSVILLE 88555,S200000,00200,0200,MD 88555,S200000,00200,0300,21536- 88555,S200000,00300,0100,GARRETT 88555,S200000,00400,0100,GOODWILL MENNONITE HOME INC. 88555,S200000,00400,0200,215250 88555,S200000,00400,0300,07/02/1993 88555,S200000,00400,0500,P 88555,S200000,01500,0100,Y 88555,S700003,00000,0100,1 88564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88564,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88564,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88564,A000000,00300,0000,00300EMPLOYEE BENEFITS 88564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88564,A000000,00700,0000,00700HOUSEKEEPING 88564,A000000,00800,0000,00800DIETARY 88564,A000000,00801,0000,00801CAFETERIA 88564,A000000,00900,0000,00900NURSING ADMINISTRATION 88564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88564,A000000,01100,0000,01100PHARMACY 88564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88564,A000000,01300,0000,01300SOCIAL SERVICE 88564,A000000,01350,0000,01500ACTIVITIES 88564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88564,A000000,01600,0000,01600SKILLED NURSING FACILITY 88564,A000000,01800,0000,01800NURSING FACILITY 88564,A000000,01900,0000,01900OTHER LONG TERM CARE 88564,A000000,02100,0000,02100RADIOLOGY 88564,A000000,02200,0000,02200LABORATORY 88564,A000000,02300,0000,02300INTRAVENOUS THERAPY 88564,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88564,A000000,02500,0000,02500PHYSICAL THERAPY 88564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88564,A000000,02700,0000,02700SPEECH PATHOLOGY 88564,A000000,02800,0000,02800ELECTROCARDIOLOGY 88564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88564,A000000,03050,0000,03300OTHER ANCILLARY 88564,A000000,03051,0000,03301OTHER ANCILLARY II 88564,A000000,03052,0000,03302OTHER ANCILLARY III 88564,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88564,A000000,03200,0000,03200SUPPORT SURFACES 88564,A000000,03400,0000,03400CLINIC 88564,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88564,A000000,03500,0000,03500RURAL HEALTH CLINIC 88564,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88564,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88564,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88564,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88564,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88564,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88564,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88564,A000000,04400,0000,04400DME RENTED - HHA 88564,A000000,04500,0000,04500DME SOLD - HHA 88564,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88564,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88564,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88564,A000000,04800,0000,04800AMBULANCE 88564,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88564,A000000,05000,0000,05000CORF 88564,A000000,05010,0000,05010CMHC I 88564,A000000,05020,0000,05020OPT I 88564,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88564,A000000,05300,0000,05300INTEREST EXPENSE 88564,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88564,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88564,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88564,A000000,05500,0000,05500HOSPICE 88564,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88564,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88564,A000000,06100,0000,06100NONPAID WORKERS 88564,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88564,A000000,06200,0000,06200PATIENTS LAUNDRY 88564,A81000A,00100,0100,Y 88564,A81000B,00100,0300,LEGAL FEES 88564,A81000B,00200,0300,SHAREHOLDER INTEREST 88564,A81000C,00100,0100,A 88564,A81000C,00100,0200,WEINBERG/GREEN 88564,A81000C,00100,0600,LAW FIRM 88564,A81000C,00200,0100,B 88564,A81000C,00200,0200,ESTATE MANAGER 88564,A81000C,00200,0400,F. MAGUIRE 88564,A81000C,00200,0600,ESTATE 88564,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88564,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88564,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88564,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88564,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88564,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88564,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88564,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88564,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88564,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88564,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88564,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88564,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 88564,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88564,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88564,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 88564,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88564,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88564,S000000,00100,0200,02/23/2000 88564,S200000,00100,0100,315 INGLESIDE AVE 88564,S200000,00200,0100,CATONSVILLE 88564,S200000,00200,0200,MD 88564,S200000,00200,0300,21228- 88564,S200000,00300,0100,BALTIMORE 88564,S200000,00400,0100,FOREST HAVEN HOME INC. 88564,S200000,00400,0200,215252 88564,S200000,00400,0300,08/01/1993 88564,S200000,00400,0500,P 88564,S200000,01600,0100,Y 88564,S200000,04300,0100,Y 88564,S700003,00000,0100,1 88575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88575,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88575,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88575,A000000,00300,0000,00300EMPLOYEE BENEFITS 88575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88575,A000000,00700,0000,00700HOUSEKEEPING 88575,A000000,00800,0000,00800DIETARY 88575,A000000,00801,0000,00801CAFETERIA 88575,A000000,00900,0000,00900NURSING ADMINISTRATION 88575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88575,A000000,01100,0000,01100PHARMACY 88575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88575,A000000,01300,0000,01300SOCIAL SERVICE 88575,A000000,01350,0000,01500ACTIVITIES 88575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88575,A000000,01600,0000,01600SKILLED NURSING FACILITY 88575,A000000,01800,0000,01800NURSING FACILITY 88575,A000000,01900,0000,01900OTHER LONG TERM CARE 88575,A000000,02100,0000,02100RADIOLOGY 88575,A000000,02200,0000,02200LABORATORY 88575,A000000,02300,0000,02300INTRAVENOUS THERAPY 88575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88575,A000000,02500,0000,02500PHYSICAL THERAPY 88575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88575,A000000,02700,0000,02700SPEECH PATHOLOGY 88575,A000000,02800,0000,02800ELECTROCARDIOLOGY 88575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88575,A000000,03050,0000,03300CLINITRON BEDS 88575,A000000,03051,0000,03301RESPIRATORY THERAPY 88575,A000000,03052,0000,03302OTHER ANCILLARY III 88575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88575,A000000,03200,0000,03200SUPPORT SURFACES 88575,A000000,03400,0000,03400CLINIC 88575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88575,A000000,03500,0000,03500RURAL HEALTH CLINIC 88575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88575,A000000,04400,0000,04400DME RENTED - HHA 88575,A000000,04500,0000,04500DME SOLD - HHA 88575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88575,A000000,04800,0000,04800AMBULANCE 88575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88575,A000000,05000,0000,05000CORF 88575,A000000,05010,0000,05010CMHC I 88575,A000000,05020,0000,05020OPT I 88575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88575,A000000,05300,0000,05300INTEREST EXPENSE 88575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88575,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88575,A000000,05500,0000,05500HOSPICE 88575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88575,A000000,06100,0000,06100NONPAID WORKERS 88575,A000000,06150,0000,06300PEN FEEDING SUPPLIES 88575,A000000,06200,0000,06200PATIENTS LAUNDRY 88575,A81000A,00100,0100,Y 88575,A81000B,00100,0300,MGMT FEES 88575,A81000C,00100,0100,A 88575,A81000C,00100,0200,DOMINICK PERINI 88575,A81000C,00100,0400,MAGNOLIA MGMT 88575,A81000C,00100,0600,MGMT SVC 88575,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88575,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88575,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88575,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88575,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88575,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88575,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88575,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88575,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88575,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88575,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88575,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88575,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88575,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88575,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88575,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88575,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88575,S000000,00100,0200,03/31/2000 88575,S200000,00100,0100,14014 MARSH PIKE 88575,S200000,00200,0100,HAGERSTOWN 88575,S200000,00200,0200,MD 88575,S200000,00200,0300,21740- 88575,S200000,00300,0100,WASHINGTON 88575,S200000,00400,0100,AVALON HOME INC. 88575,S200000,00400,0200,215256 88575,S200000,00400,0300,12/03/1993 88575,S200000,00400,0500,P 88575,S200000,01600,0100,Y 88575,S700003,00000,0100,1 88582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88582,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88582,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88582,A000000,00300,0000,00300EMPLOYEE BENEFITS 88582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88582,A000000,00700,0000,00700HOUSEKEEPING 88582,A000000,00800,0000,00800DIETARY 88582,A000000,00801,0000,00801CAFETERIA 88582,A000000,00900,0000,00900NURSING ADMINISTRATION 88582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88582,A000000,01100,0000,01100PHARMACY 88582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88582,A000000,01300,0000,01300SOCIAL SERVICE 88582,A000000,01350,0000,01500ACTIVITIES 88582,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88582,A000000,01600,0000,01600SKILLED NURSING FACILITY 88582,A000000,01800,0000,01800NURSING FACILITY 88582,A000000,01900,0000,01900OTHER LONG TERM CARE 88582,A000000,02100,0000,02100RADIOLOGY 88582,A000000,02200,0000,02200LABORATORY 88582,A000000,02300,0000,02300INTRAVENOUS THERAPY 88582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88582,A000000,02500,0000,02500PHYSICAL THERAPY 88582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88582,A000000,02700,0000,02700SPEECH PATHOLOGY 88582,A000000,02800,0000,02800ELECTROCARDIOLOGY 88582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88582,A000000,03050,0000,03300OTHER ANCILLARY 88582,A000000,03051,0000,03301OTHER ANCILLARY II 88582,A000000,03052,0000,03302OTHER ANCILLARY III 88582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88582,A000000,03200,0000,03200SUPPORT SURFACES 88582,A000000,03400,0000,03400CLINIC 88582,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88582,A000000,03500,0000,03500RURAL HEALTH CLINIC 88582,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88582,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88582,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88582,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88582,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88582,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88582,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88582,A000000,04400,0000,04400DME RENTED - HHA 88582,A000000,04500,0000,04500DME SOLD - HHA 88582,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88582,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88582,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88582,A000000,04800,0000,04800AMBULANCE 88582,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88582,A000000,05000,0000,05000CORF 88582,A000000,05010,0000,05010CMHC I 88582,A000000,05020,0000,05020OPT I 88582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88582,A000000,05300,0000,05300INTEREST EXPENSE 88582,A000000,05350,0000,05600APARTMENTS 88582,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88582,A000000,05500,0000,05500HOSPICE 88582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88582,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88582,A000000,06100,0000,06100NONPAID WORKERS 88582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88582,A000000,06200,0000,06200PATIENTS LAUNDRY 88582,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88582,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88582,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88582,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88582,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88582,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88582,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88582,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88582,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88582,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88582,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88582,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88582,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88582,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88582,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88582,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88582,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88582,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88582,S000000,00100,0200,06/06/2000 88582,S200000,00100,0100,615 CHESTNUT AVENUE 88582,S200000,00200,0100,TOWSON 88582,S200000,00200,0200,MD 88582,S200000,00200,0300,21204- 88582,S200000,00300,0100,BALTIMORE 88582,S200000,00400,0100,PICKERSGILL INC. 88582,S200000,00400,0200,215259 88582,S200000,00400,0300,04/01/1994 88582,S200000,00400,0500,P 88582,S200000,01500,0100,Y 88582,S700003,00000,0100,1 88592,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88592,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88592,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88592,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88592,A000000,00300,0000,00300EMPLOYEE BENEFITS 88592,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88592,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88592,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88592,A000000,00700,0000,00700HOUSEKEEPING 88592,A000000,00800,0000,00800DIETARY 88592,A000000,00801,0000,00801CAFETERIA 88592,A000000,00900,0000,00900NURSING ADMINISTRATION 88592,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88592,A000000,01100,0000,01100PHARMACY 88592,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88592,A000000,01300,0000,01300SOCIAL SERVICE 88592,A000000,01350,0000,01500ACTIVITIES 88592,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88592,A000000,01600,0000,01600SKILLED NURSING FACILITY 88592,A000000,01800,0000,01800NURSING FACILITY 88592,A000000,01900,0000,01900OTHER LONG TERM CARE 88592,A000000,02100,0000,02100RADIOLOGY 88592,A000000,02200,0000,02200LABORATORY 88592,A000000,02300,0000,02300INTRAVENOUS THERAPY 88592,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88592,A000000,02500,0000,02500PHYSICAL THERAPY 88592,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88592,A000000,02700,0000,02700SPEECH PATHOLOGY 88592,A000000,02800,0000,02800ELECTROCARDIOLOGY 88592,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88592,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88592,A000000,03050,0000,03300OTHER ANCILLARY 88592,A000000,03051,0000,03301OTHER ANCILLARY II 88592,A000000,03052,0000,03302OTHER ANCILLARY III 88592,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88592,A000000,03200,0000,03200SUPPORT SURFACES 88592,A000000,03400,0000,03400CLINIC 88592,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88592,A000000,03500,0000,03500RURAL HEALTH CLINIC 88592,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88592,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88592,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88592,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88592,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88592,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88592,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88592,A000000,04400,0000,04400DME RENTED - HHA 88592,A000000,04500,0000,04500DME SOLD - HHA 88592,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88592,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88592,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88592,A000000,04800,0000,04800AMBULANCE 88592,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88592,A000000,05000,0000,05000CORF 88592,A000000,05010,0000,05010CMHC I 88592,A000000,05020,0000,05020OPT I 88592,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88592,A000000,05300,0000,05300INTEREST EXPENSE 88592,A000000,05350,0000,05600DAY CARE 88592,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88592,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88592,A000000,05500,0000,05500HOSPICE 88592,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88592,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88592,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88592,A000000,06100,0000,06100NONPAID WORKERS 88592,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88592,A000000,06200,0000,06200PATIENTS LAUNDRY 88592,A81000A,00100,0100,Y 88592,A81000B,00100,0300,RENT 88592,A81000B,00200,0300,MANAGEMENT SERVICE 88592,A81000C,00100,0100,A 88592,A81000C,00100,0200,STANLEY SAVITZ 88592,A81000C,00100,0400,MNGMT 88592,A81000C,00100,0600,MGMT FEE 88592,A81000C,00200,0100,A 88592,A81000C,00200,0200,RICK CAMMACK 88592,A81000C,00200,0400,MNGMT 88592,A81000C,00200,0600,MGMT FEE 88592,A81000C,00300,0100,A 88592,A81000C,00300,0200,JOHN OBOYLE 88592,A81000C,00300,0400,MNGMT 88592,A81000C,00300,0600,MGMT FEE 88592,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88592,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88592,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88592,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88592,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88592,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88592,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88592,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88592,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 88592,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88592,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88592,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88592,E10A180,00501,0100,01/12/2001 88592,S000000,00100,0200,11/30/2000 88592,S200000,00100,0100,415 MORGNEC ROAD 88592,S200000,00200,0100,CHESTERTOWN 88592,S200000,00200,0200,MD 88592,S200000,00200,0300,21620- 88592,S200000,00300,0100,QUEEN ANNES 88592,S200000,00300,0200,0021 88592,S200000,00300,0300,R 88592,S200000,00400,0100,CHESTERTOWN NURSING & REHAB CENTER 88592,S200000,00400,0200,215260 88592,S200000,00400,0300,09/14/1994 88592,S200000,00400,0500,P 88592,S200000,01600,0100,Y 88592,S200000,02200,0100,Y 88592,S200000,02800,0100,Y 88599,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88599,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88599,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88599,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88599,A000000,00300,0000,00300EMPLOYEE BENEFITS 88599,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88599,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88599,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88599,A000000,00700,0000,00700HOUSEKEEPING 88599,A000000,00800,0000,00800DIETARY 88599,A000000,00801,0000,00801CAFETERIA 88599,A000000,00900,0000,00900NURSING ADMINISTRATION 88599,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88599,A000000,01100,0000,01100PHARMACY 88599,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88599,A000000,01300,0000,01300SOCIAL SERVICE 88599,A000000,01350,0000,01500ACTIVITIES 88599,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88599,A000000,01600,0000,01600SKILLED NURSING FACILITY 88599,A000000,01800,0000,01800NURSING FACILITY 88599,A000000,01900,0000,01900OTHER LONG TERM CARE 88599,A000000,02100,0000,02100RADIOLOGY 88599,A000000,02200,0000,02200LABORATORY 88599,A000000,02300,0000,02300INTRAVENOUS THERAPY 88599,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88599,A000000,02500,0000,02500PHYSICAL THERAPY 88599,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88599,A000000,02700,0000,02700SPEECH PATHOLOGY 88599,A000000,02800,0000,02800ELECTROCARDIOLOGY 88599,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88599,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88599,A000000,03050,0000,03300OTHER ANCILLARY 88599,A000000,03051,0000,03301OTHER ANCILLARY II 88599,A000000,03052,0000,03302OTHER ANCILLARY III 88599,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88599,A000000,03200,0000,03200SUPPORT SURFACES 88599,A000000,03400,0000,03400CLINIC 88599,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88599,A000000,03500,0000,03500RURAL HEALTH CLINIC 88599,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88599,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88599,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88599,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88599,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88599,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88599,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88599,A000000,04400,0000,04400DME RENTED - HHA 88599,A000000,04500,0000,04500DME SOLD - HHA 88599,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88599,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88599,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88599,A000000,04800,0000,04800AMBULANCE 88599,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88599,A000000,05000,0000,05000CORF 88599,A000000,05010,0000,05010CMHC I 88599,A000000,05020,0000,05020OPT I 88599,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88599,A000000,05300,0000,05300INTEREST EXPENSE 88599,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88599,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88599,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88599,A000000,05500,0000,05500HOSPICE 88599,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88599,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88599,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88599,A000000,06100,0000,06100NONPAID WORKERS 88599,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88599,A000000,06200,0000,06200PATIENTS LAUNDRY 88599,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88599,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88599,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88599,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88599,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88599,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88599,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88599,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88599,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88599,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88599,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88599,S000000,00100,0200,11/29/2000 88599,S200000,00100,0100,200 MORGNEC ROAD 88599,S200000,00200,0100,CHESTERTOWN 88599,S200000,00200,0200,MD 88599,S200000,00200,0300,21620- 88599,S200000,00300,0100,QUEEN ANNES 88599,S200000,00300,0200,0021 88599,S200000,00300,0300,R 88599,S200000,00400,0100,MAGNOLIA HALL INC. 88599,S200000,00400,0200,215262 88599,S200000,00400,0300,02/20/1994 88599,S200000,00400,0500,P 88599,S200000,01004,0500,O 88599,S200000,01500,0100,Y 88599,S200000,02200,0100,Y 88605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88605,A000000,00300,0000,00300EMPLOYEE BENEFITS 88605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88605,A000000,00700,0000,00700HOUSEKEEPING 88605,A000000,00800,0000,00800DIETARY 88605,A000000,00900,0000,00900NURSING ADMINISTRATION 88605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88605,A000000,01100,0000,01100PHARMACY 88605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88605,A000000,01300,0000,01300SOCIAL SERVICE 88605,A000000,01350,0000,01500ACTIVITIES 88605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88605,A000000,01600,0000,01600SKILLED NURSING FACILITY 88605,A000000,01800,0000,01800NURSING FACILITY 88605,A000000,01810,0000,01810ICF/MR 88605,A000000,01900,0000,01900OTHER LONG TERM CARE 88605,A000000,02500,0000,02500PHYSICAL THERAPY 88605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88605,A000000,02700,0000,02700SPEECH PATHOLOGY 88605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88605,A000000,03550,0000,03550FQHC 88605,A000000,05000,0000,05000CORF 88605,A000000,05010,0000,05010CMHC 88605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88605,A000000,06150,0000,06300MARKETING 88605,A000000,06151,0000,06301FUNDRAISING 88605,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 88605,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 88605,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 88605,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 88605,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 88605,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 88605,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 88605,B100000,00000,0800,00001MEALS SERVED :DIETARY 88605,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 88605,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 88605,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 88605,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 88605,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 88605,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 88605,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 88605,S000000,00100,0200,05/26/2000 88605,S200000,00100,0100,10729 PARK HEIGHTS AVE 88605,S200000,00200,0100,OWINGS MILLS 88605,S200000,00200,0200,MD 88605,S200000,00200,0300,21117- 88605,S200000,00300,0100,BALTIMORE 88605,S200000,00400,0100,THE BAPTIST HOME OF MDD/DE INC. 88605,S200000,00400,0200,215263 88605,S200000,00400,0300,05/10/1994 88605,S200000,00400,0500,P 88605,S200000,00400,0600,O 88605,S200000,01004,0500,O 88605,S200000,01500,0100,Y 88605,S200000,02800,0100,Y 88605,S700003,00000,0100,1 88618,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88618,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88618,A000000,00300,0000,00300EMPLOYEE BENEFITS 88618,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88618,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88618,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88618,A000000,00700,0000,00700HOUSEKEEPING 88618,A000000,00800,0000,00800DIETARY 88618,A000000,00900,0000,00900NURSING ADMINISTRATION 88618,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88618,A000000,01100,0000,01100PHARMACY 88618,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88618,A000000,01300,0000,01300SOCIAL SERVICE 88618,A000000,01350,0000,01500OTHER GENERAL SERVICE 88618,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88618,A000000,01600,0000,01600SKILLED NURSING FACILITY 88618,A000000,01800,0000,01800NURSING FACILITY 88618,A000000,01810,0000,01801ICF/MR 88618,A000000,01900,0000,01900OTHER LONG TERM CARE 88618,A000000,02100,0000,02100RADIOLOGY 88618,A000000,02200,0000,02200LABORATORY 88618,A000000,02300,0000,02300INTRAVENOUS THERAPY 88618,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88618,A000000,02500,0000,02500PHYSICAL THERAPY 88618,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88618,A000000,02700,0000,02700SPEECH PATHOLOGY 88618,A000000,02800,0000,02800ELECTROCARDIOLOGY 88618,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88618,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88618,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88618,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88618,A000000,03200,0000,03200SUPPORT SURFACES 88618,A000000,03400,0000,03400CLINIC 88618,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88618,A000000,03500,0000,03500RURAL HEALTH CLINIC 88618,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88618,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88618,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88618,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88618,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88618,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88618,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88618,A000000,04400,0000,04400DME RENTED - HHA 88618,A000000,04500,0000,04500DME SOLD - HHA 88618,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88618,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88618,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88618,A000000,04800,0000,04800AMBULANCE 88618,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88618,A000000,05000,0000,05000CORF 88618,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88618,A000000,05300,0000,05300INTEREST EXPENSE 88618,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88618,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST CENTERS 88618,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88618,A000000,05500,0000,05500HOSPICE 88618,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88618,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88618,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88618,A000000,06100,0000,06100NONPAID WORKERS 88618,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88618,A000000,06200,0000,06200PATIENTS LAUNDRY 88618,A81000A,00100,0100,Y 88618,A81000B,00100,0300,MANAGEMENT FEES 88618,A81000B,00200,0300,MEDICAL DIRECTOR FEES 88618,A81000B,00300,0300,CHAPLAINCY FEES 88618,A81000B,00400,0300,EDUCATION AND TRAINING 88618,A81000B,00500,0300,BARBER AND BEAUTY 88618,A81000B,00600,0300,PLANT OPERATION MAINT & SECURITY 88618,A81000B,00700,0300,LAUNDRY 88618,A81000B,00800,0300,CAP RELATED BUILDINGS 88618,A81000C,00100,0100,B 88618,A81000C,00100,0400,EMA INC. 88618,A81000C,00100,0600,NON-PROFIT 88618,A81000C,00200,0100,G 88618,A81000C,00200,0400,FAIRHAVEN INC. 88618,A81000C,00200,0600,NON-PROFIT 88618,A81000C,00300,0100,G 88618,A81000C,00300,0400,FMS INC. 88618,A81000C,00300,0600,NON-PROFIT 88618,A81000C,00400,0100,G 88618,A81000C,00400,0400,TCRI INC. 88618,A81000C,00400,0600,NON-PROFIT 88618,A81000C,00500,0100,G 88618,A81000C,00500,0400,B/C INC. 88618,A81000C,00500,0600,NON-PROFIT 88618,A81000C,00600,0100,G 88618,A81000C,00600,0400,EMA MGMT INC. 88618,A81000C,00600,0600,FOR-PROFIT 88618,A81000C,03100,0000,ALL OWNED BY EMA INC. 88618,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88618,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88618,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88618,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88618,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88618,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88618,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88618,B100000,00000,0800,00000MEALS SERVED :DIETARY 88618,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 88618,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 88618,B100000,00000,1150,00000NO STATISTICS :PHARMACY 88618,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88618,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88618,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 88618,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 88618,S000000,00100,0200,05/26/2000 88618,S200000,00100,0100,710 OBRECHT ROAD 88618,S200000,00200,0100,SYKESVILLE 88618,S200000,00200,0200,MD 88618,S200000,00200,0300,21784- 88618,S200000,00300,0100,CARROLL 88618,S200000,00400,0100,COPPER RIDGE INC. 88618,S200000,00400,0200,215265 88618,S200000,00400,0300,07/05/1994 88618,S200000,00400,0500,P 88618,S200000,01004,0500,O 88618,S200000,01500,0100,Y 88618,S200000,04300,0100,Y 88618,S700003,00000,0100,1 88637,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88637,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88637,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88637,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88637,A000000,00300,0000,00300EMPLOYEE BENEFITS 88637,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88637,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88637,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88637,A000000,00700,0000,00700HOUSEKEEPING 88637,A000000,00800,0000,00800DIETARY 88637,A000000,00801,0000,00801CAFETERIA 88637,A000000,00900,0000,00900NURSING ADMINISTRATION 88637,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88637,A000000,01100,0000,01100PHARMACY 88637,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88637,A000000,01300,0000,01300SOCIAL SERVICE 88637,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88637,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88637,A000000,01600,0000,01600SKILLED NURSING FACILITY 88637,A000000,01800,0000,01800NURSING FACILITY 88637,A000000,01900,0000,01900OTHER LONG TERM CARE 88637,A000000,02100,0000,02100RADIOLOGY 88637,A000000,02200,0000,02200LABORATORY 88637,A000000,02300,0000,02300INTRAVENOUS THERAPY 88637,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88637,A000000,02500,0000,02500PHYSICAL THERAPY 88637,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88637,A000000,02700,0000,02700SPEECH PATHOLOGY 88637,A000000,02800,0000,02800ELECTROCARDIOLOGY 88637,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88637,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88637,A000000,03050,0000,03300OTHER ANCILLARY 88637,A000000,03051,0000,03301OTHER ANCILLARY II 88637,A000000,03052,0000,03302OTHER ANCILLARY III 88637,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88637,A000000,03200,0000,03200SUPPORT SURFACES 88637,A000000,03400,0000,03400CLINIC 88637,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88637,A000000,03500,0000,03500RURAL HEALTH CLINIC 88637,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88637,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88637,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88637,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88637,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88637,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88637,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88637,A000000,04400,0000,04400DME RENTED - HHA 88637,A000000,04500,0000,04500DME SOLD - HHA 88637,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88637,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88637,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88637,A000000,04800,0000,04800AMBULANCE 88637,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88637,A000000,05000,0000,05000CORF 88637,A000000,05010,0000,05010CMHC I 88637,A000000,05020,0000,05020OPT I 88637,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88637,A000000,05300,0000,05300INTEREST EXPENSE 88637,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88637,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88637,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88637,A000000,05500,0000,05500HOSPICE 88637,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88637,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88637,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88637,A000000,06100,0000,06100NONPAID WORKERS 88637,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88637,A000000,06200,0000,06200PATIENTS LAUNDRY 88637,A81000A,00100,0100,Y 88637,A81000B,00100,0300,RENT SUBSTITUTION 88637,A81000C,00100,0100,A 88637,A81000C,00100,0200,H.W. JACKSON 88637,A81000C,00100,0400,JACKSON TABLER 88637,A81000C,00100,0600,REAL ESTATE REN 88637,A81000C,00200,0100,A 88637,A81000C,00200,0200,D.M. TABLER 88637,A81000C,00200,0400,JACKSON TABLER 88637,A81000C,00200,0600,REAL ESTATE REN 88637,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88637,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88637,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88637,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88637,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88637,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88637,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88637,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88637,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88637,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88637,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88637,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88637,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88637,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88637,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88637,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88637,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88637,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88637,S000000,00100,0200,05/19/2000 88637,S200000,00100,0100,4101 OLD NATIONAL PIKE 88637,S200000,00200,0100,MT. AIRY 88637,S200000,00200,0200,MD 88637,S200000,00200,0300,21771- 88637,S200000,00300,0100,CARROLL 88637,S200000,00400,0100,PLEASANT VIEW NURSING HOME 88637,S200000,00400,0200,215268 88637,S200000,00400,0300,09/01/1994 88637,S200000,00400,0500,P 88637,S200000,01600,0100,Y 88637,S700003,00000,0400,4 88651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88651,A000000,00300,0000,00300EMPLOYEE BENEFITS 88651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88651,A000000,00700,0000,00700HOUSEKEEPING 88651,A000000,00800,0000,00800DIETARY 88651,A000000,01300,0000,01300SOCIAL SERVICE 88651,A000000,01600,0000,01600SKILLED NURSING FACILITY 88651,A000000,01810,0000,01810ICF/MR 88651,A000000,01900,0000,01900OTHER LONG TERM CARE 88651,A000000,02100,0000,02100RADIOLOGY 88651,A000000,02200,0000,02200LABORATORY 88651,A000000,02500,0000,02500PHYSICAL THERAPY 88651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88651,A000000,02700,0000,02700SPEECH PATHOLOGY 88651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88651,A000000,03550,0000,03550FQHC 88651,A000000,05000,0000,05000CORF 88651,A000000,05010,0000,05010CMHC 88651,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88651,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88651,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88651,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88651,A81000A,00100,0100,Y 88651,A81000B,00100,0300,HOME OFFICE RECON 88651,A81000B,00200,0300,HOME OFFICE RECON 88651,A81000B,00300,0300,HOME OFFICE RECON 88651,A81000C,00100,0100,A 88651,A81000C,00100,0200,HERMITAGE HEALT 88651,A81000C,00100,0400,HERMITAGE HEALT 88651,A81000C,00100,0600,HOME OFFICE 88651,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88651,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88651,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88651,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88651,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88651,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88651,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 88651,B100000,00000,0800,00000MEALS SERVED :DIETARY 88651,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88651,S000000,00100,0200,06/05/2000 88651,S200000,00100,0100,13325 DOWELL ROAD 88651,S200000,00200,0100,SOLOMONS ISLAND 88651,S200000,00200,0200,MD 88651,S200000,00200,0300,20688- 88651,S200000,00300,0100,CALVERT 88651,S200000,00300,0200,8840 88651,S200000,00300,0300,U 88651,S200000,00400,0100,SOLOMONS NURSING CENTER 88651,S200000,00400,0200,215270 88651,S200000,00400,0300,11/16/1994 88651,S200000,00400,0500,P 88651,S200000,01500,0100,Y 88651,S200000,04300,0100,Y 88658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88658,A000000,00300,0000,00300EMPLOYEE BENEFITS 88658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88658,A000000,00700,0000,00700HOUSEKEEPING 88658,A000000,00800,0000,00800DIETARY 88658,A000000,00900,0000,00900NURSING ADMINISTRATION 88658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88658,A000000,01300,0000,01300SOCIAL SERVICE 88658,A000000,01350,0000,01500OTHER GENERAL SERVICES 88658,A000000,01351,0000,01501PATIENT ACTIVITIES 88658,A000000,01600,0000,01600SKILLED NURSING FACILITY 88658,A000000,01800,0000,01800NURSING FACILITY 88658,A000000,01900,0000,01900OTHER LONG TERM CARE 88658,A000000,02100,0000,02100RADIOLOGY 88658,A000000,02200,0000,02200LABORATORY 88658,A000000,02300,0000,02300INTRAVENOUS THERAPY 88658,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88658,A000000,02500,0000,02500PHYSICAL THERAPY 88658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88658,A000000,02700,0000,02700SPEECH PATHOLOGY 88658,A000000,02800,0000,02800ELECTROCARDIOLOGY 88658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88658,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88658,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88658,A000000,03200,0000,03200SUPPORT SURFACES 88658,A000000,03400,0000,03400CLINIC 88658,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88658,A000000,03500,0000,03500RURAL HEALTH CLINIC 88658,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88658,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88658,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88658,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88658,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88658,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88658,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88658,A000000,04400,0000,04400DME RENTED - HHA 88658,A000000,04500,0000,04500DME SOLD - HHA 88658,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88658,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88658,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88658,A000000,04800,0000,04800AMBULANCE 88658,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88658,A000000,05000,0000,05000CORF 88658,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88658,A000000,05300,0000,05300INTEREST EXPENSE 88658,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88658,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88658,A000000,05500,0000,05500HOSPICE 88658,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88658,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88658,A000000,06100,0000,06100NONPAID WORKERS 88658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88658,A000000,06200,0000,06200PATIENTS LAUNDRY 88658,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88658,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88658,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88658,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88658,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88658,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88658,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88658,B100000,00000,0800,00000MEALS SERVED :DIETARY 88658,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88658,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 88658,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88658,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88658,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 88658,B100000,00000,1351,00000PATIENT DAYS :PATIENT ACTIVITIES 88658,S000000,00100,0200,05/30/2000 88658,S200000,00100,0100,4140 OLD WASHINGTON ROAD 88658,S200000,00200,0100,WALDORF 88658,S200000,00200,0200,MD 88658,S200000,00200,0300,20604- 88658,S200000,00300,0100,CHARLES 88658,S200000,00400,0100,WALDORF HEALTHCARE CENTER 88658,S200000,00400,0200,215273 88658,S200000,00400,0300,06/01/1995 88658,S200000,00400,0500,P 88658,S200000,01500,0100,Y 88658,S700003,00000,0100,1 88665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88665,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88665,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88665,A000000,00300,0000,00300EMPLOYEE BENEFITS 88665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88665,A000000,00700,0000,00700HOUSEKEEPING 88665,A000000,00800,0000,00800DIETARY 88665,A000000,00801,0000,00801CAFETERIA 88665,A000000,00900,0000,00900NURSING ADMINISTRATION 88665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88665,A000000,01100,0000,01100PHARMACY 88665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88665,A000000,01300,0000,01300SOCIAL SERVICE 88665,A000000,01350,0000,01500ACTIVITIES 88665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88665,A000000,01600,0000,01600SKILLED NURSING FACILITY 88665,A000000,01800,0000,01800NURSING FACILITY 88665,A000000,01900,0000,01900OTHER LONG TERM CARE 88665,A000000,02100,0000,02100RADIOLOGY 88665,A000000,02200,0000,02200LABORATORY 88665,A000000,02300,0000,02300INTRAVENOUS THERAPY 88665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88665,A000000,02500,0000,02500PHYSICAL THERAPY 88665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88665,A000000,02700,0000,02700SPEECH PATHOLOGY 88665,A000000,02800,0000,02800ELECTROCARDIOLOGY 88665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88665,A000000,03050,0000,03300OTHER ANCILLARY 88665,A000000,03051,0000,03301OTHER ANCILLARY II 88665,A000000,03052,0000,03302OTHER ANCILLARY III 88665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88665,A000000,03200,0000,03200SUPPORT SURFACES 88665,A000000,03400,0000,03400CLINIC 88665,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88665,A000000,03500,0000,03500RURAL HEALTH CLINIC 88665,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88665,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88665,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88665,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88665,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88665,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88665,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88665,A000000,04400,0000,04400DME RENTED - HHA 88665,A000000,04500,0000,04500DME SOLD - HHA 88665,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88665,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88665,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88665,A000000,04800,0000,04800AMBULANCE 88665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88665,A000000,05000,0000,05000CORF 88665,A000000,05010,0000,05010CMHC I 88665,A000000,05020,0000,05020OPT I 88665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88665,A000000,05300,0000,05300INTEREST EXPENSE 88665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88665,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88665,A000000,05500,0000,05500HOSPICE 88665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88665,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88665,A000000,06100,0000,06100NONPAID WORKERS 88665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88665,A000000,06200,0000,06200PATIENTS LAUNDRY 88665,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88665,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88665,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88665,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88665,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88665,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88665,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 88665,B100000,00000,0750,00000(SQ. FT. CLEANED) :HOUSEKEEPING 88665,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88665,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88665,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88665,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88665,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88665,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88665,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88665,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88665,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88665,S000000,00100,0200,05/01/2000 88665,S200000,00100,0100,2211 WEST ROGERS AVENUE 88665,S200000,00200,0100,BALTIMORE 88665,S200000,00200,0200,MD 88665,S200000,00200,0300,21209- 88665,S200000,00300,0100,BALTIMORE 88665,S200000,00400,0100,THE WESLEY HOME INC. 88665,S200000,00400,0200,215286 88665,S200000,00400,0300,06/01/1996 88665,S200000,00400,0500,P 88665,S200000,01700,0100,Y 88665,S700003,00000,0400,4 88675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88675,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88675,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88675,A000000,00300,0000,00300EMPLOYEE BENEFITS 88675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88675,A000000,00700,0000,00700HOUSEKEEPING 88675,A000000,00800,0000,00800DIETARY 88675,A000000,00801,0000,00801CAFETERIA 88675,A000000,00900,0000,00900NURSING ADMINISTRATION 88675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88675,A000000,01100,0000,01100PHARMACY 88675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88675,A000000,01300,0000,01300SOCIAL SERVICE 88675,A000000,01350,0000,01500ACTIVITIES 88675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88675,A000000,01600,0000,01600SKILLED NURSING FACILITY 88675,A000000,01800,0000,01800NURSING FACILITY 88675,A000000,01900,0000,01900OTHER LONG TERM CARE 88675,A000000,02100,0000,02100RADIOLOGY 88675,A000000,02200,0000,02200LABORATORY 88675,A000000,02300,0000,02300INTRAVENOUS THERAPY 88675,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88675,A000000,02500,0000,02500PHYSICAL THERAPY 88675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88675,A000000,02700,0000,02700SPEECH PATHOLOGY 88675,A000000,02800,0000,02800ELECTROCARDIOLOGY 88675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88675,A000000,03050,0000,03300OTHER ANCILLARY 88675,A000000,03051,0000,03301OTHER ANCILLARY II 88675,A000000,03052,0000,03302OTHER ANCILLARY III 88675,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88675,A000000,03200,0000,03200SUPPORT SURFACES 88675,A000000,03400,0000,03400CLINIC 88675,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88675,A000000,03500,0000,03500RURAL HEALTH CLINIC 88675,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88675,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88675,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88675,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88675,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88675,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88675,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88675,A000000,04400,0000,04400DME RENTED - HHA 88675,A000000,04500,0000,04500DME SOLD - HHA 88675,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88675,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88675,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88675,A000000,04800,0000,04800AMBULANCE 88675,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88675,A000000,05000,0000,05000CORF 88675,A000000,05010,0000,05010CMHC I 88675,A000000,05020,0000,05020OPT I 88675,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88675,A000000,05300,0000,05300INTEREST EXPENSE 88675,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88675,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88675,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88675,A000000,05500,0000,05500HOSPICE 88675,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88675,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88675,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88675,A000000,06100,0000,06100NONPAID WORKERS 88675,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88675,A000000,06200,0000,06200PATIENTS LAUNDRY 88675,A81000A,00100,0100,Y 88675,A81000B,00100,0300,LEASE 88675,A81000B,00200,0300,LOAN 88675,A81000B,00300,0300,LOAN 88675,A81000C,00100,0100,B 88675,A81000C,00100,0200,SEE NOTES TO 88675,A81000C,00200,0200,AUDITED 88675,A81000C,00300,0200,FINACIAL STMTS 88675,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88675,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88675,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88675,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88675,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88675,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88675,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88675,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88675,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88675,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88675,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88675,S000000,00100,0200,11/28/2000 88675,S200000,00100,0100,6806 BELLONA AVE. 88675,S200000,00200,0100,BALTIMORE 88675,S200000,00200,0200,MD 88675,S200000,00200,0300,21212- 88675,S200000,00300,0100,BALTIMORE 88675,S200000,00300,0200,0720 88675,S200000,00300,0300,U 88675,S200000,00400,0100,THE VILLA JOINT RETIREMENT CONVENT 88675,S200000,00400,0200,215296 88675,S200000,00400,0300,09/06/1996 88675,S200000,00400,0500,P 88675,S200000,01500,0100,Y 88675,S200000,02200,0100,Y 88682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88682,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88682,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88682,A000000,00300,0000,00300EMPLOYEE BENEFITS 88682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88682,A000000,00700,0000,00700HOUSEKEEPING 88682,A000000,00800,0000,00800DIETARY 88682,A000000,00801,0000,00801CAFETERIA 88682,A000000,00900,0000,00900NURSING ADMINISTRATION 88682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88682,A000000,01100,0000,01100PHARMACY 88682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88682,A000000,01300,0000,01300SOCIAL SERVICE 88682,A000000,01350,0000,01500ACTIVITIES 88682,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88682,A000000,01600,0000,01600SKILLED NURSING FACILITY 88682,A000000,01800,0000,01800NURSING FACILITY 88682,A000000,01900,0000,01900OTHER LONG TERM CARE 88682,A000000,02100,0000,02100RADIOLOGY 88682,A000000,02200,0000,02200LABORATORY 88682,A000000,02300,0000,02300INTRAVENOUS THERAPY 88682,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88682,A000000,02500,0000,02500PHYSICAL THERAPY 88682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88682,A000000,02700,0000,02700SPEECH PATHOLOGY 88682,A000000,02800,0000,02800ELECTROCARDIOLOGY 88682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88682,A000000,03050,0000,03300OTHER ANCILLARY 88682,A000000,03051,0000,03301OTHER ANCILLARY II 88682,A000000,03052,0000,03302OTHER ANCILLARY III 88682,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88682,A000000,03200,0000,03200SUPPORT SURFACES 88682,A000000,03400,0000,03400CLINIC 88682,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88682,A000000,03500,0000,03500RURAL HEALTH CLINIC 88682,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88682,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88682,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88682,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88682,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88682,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88682,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88682,A000000,04400,0000,04400DME RENTED - HHA 88682,A000000,04500,0000,04500DME SOLD - HHA 88682,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88682,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88682,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88682,A000000,04800,0000,04800AMBULANCE 88682,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88682,A000000,05000,0000,05000CORF 88682,A000000,05010,0000,05010CMHC I 88682,A000000,05020,0000,05020OPT I 88682,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88682,A000000,05300,0000,05300INTEREST EXPENSE 88682,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88682,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88682,A000000,05500,0000,05500HOSPICE 88682,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88682,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88682,A000000,06100,0000,06100NONPAID WORKERS 88682,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88682,A000000,06200,0000,06200PATIENTS LAUNDRY 88682,A81000A,00100,0100,Y 88682,A81000B,00100,0300,INTEREST 88682,A81000B,00200,0300,AMORT LOAN ACQ 88682,A81000C,00100,0100,A 88682,A81000C,00100,0200,PLEASANT LIVING 88682,A81000C,00100,0400,CARL BRUNETTO 88682,A81000C,00100,0600,REAL ESTATE 88682,A81000C,00200,0100,A 88682,A81000C,00200,0200,CORPORATION 88682,A81000C,00200,0400,MARTIN DORRDAN 88682,A81000C,00200,0600,REAL ESTATE 88682,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88682,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88682,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88682,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88682,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88682,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88682,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88682,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88682,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88682,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88682,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88682,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88682,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88682,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88682,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88682,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88682,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88682,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88682,S000000,00100,0200,04/17/2001 88682,S200000,00100,0100,144 WASHINGTON ROAD 88682,S200000,00200,0100,EDGEWATER 88682,S200000,00200,0200,MD 88682,S200000,00200,0300,21037- 88682,S200000,00300,0100,ANNE ARUNDEL 88682,S200000,00400,0100,PLEASANT LIVING CONVALESCENT HOME 88682,S200000,00400,0200,215297 88682,S200000,00400,0300,10/31/1996 88682,S200000,00400,0500,P 88682,S200000,01004,0500,O 88682,S200000,01600,0100,Y 88682,S200000,02800,0100,Y 88682,S200000,03100,0100,Y 88682,S200000,04300,0100,Y 88683,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88683,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88683,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88683,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88683,A000000,00300,0000,00300EMPLOYEE BENEFITS 88683,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88683,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88683,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88683,A000000,00700,0000,00700HOUSEKEEPING 88683,A000000,00800,0000,00800DIETARY 88683,A000000,00801,0000,00801CAFETERIA 88683,A000000,00900,0000,00900NURSING ADMINISTRATION 88683,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88683,A000000,01100,0000,01100PHARMACY 88683,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88683,A000000,01300,0000,01300SOCIAL SERVICE 88683,A000000,01350,0000,01500ACTIVITIES 88683,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88683,A000000,01600,0000,01600SKILLED NURSING FACILITY 88683,A000000,01800,0000,01800NURSING FACILITY 88683,A000000,01900,0000,01900OTHER LONG TERM CARE 88683,A000000,02100,0000,02100RADIOLOGY 88683,A000000,02200,0000,02200LABORATORY 88683,A000000,02300,0000,02300INTRAVENOUS THERAPY 88683,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88683,A000000,02500,0000,02500PHYSICAL THERAPY 88683,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88683,A000000,02700,0000,02700SPEECH PATHOLOGY 88683,A000000,02800,0000,02800ELECTROCARDIOLOGY 88683,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88683,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88683,A000000,03050,0000,03300OTHER ANCILLARY 88683,A000000,03051,0000,03301OTHER ANCILLARY II 88683,A000000,03052,0000,03302OTHER ANCILLARY III 88683,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88683,A000000,03200,0000,03200SUPPORT SURFACES 88683,A000000,03400,0000,03400CLINIC 88683,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88683,A000000,03500,0000,03500RURAL HEALTH CLINIC 88683,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88683,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88683,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88683,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88683,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88683,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88683,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88683,A000000,04400,0000,04400DME RENTED - HHA 88683,A000000,04500,0000,04500DME SOLD - HHA 88683,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88683,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88683,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88683,A000000,04800,0000,04800AMBULANCE 88683,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88683,A000000,05000,0000,05000CORF 88683,A000000,05010,0000,05010CMHC I 88683,A000000,05020,0000,05020OPT I 88683,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88683,A000000,05300,0000,05300INTEREST EXPENSE 88683,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88683,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88683,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88683,A000000,05500,0000,05500HOSPICE 88683,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88683,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88683,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88683,A000000,06100,0000,06100NONPAID WORKERS 88683,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88683,A000000,06200,0000,06200PATIENTS LAUNDRY 88683,A81000A,00100,0100,Y 88683,A81000B,00100,0300,FACILITY RENTAL 88683,A81000B,00400,0300,MGMT FEE 88683,A81000B,00500,0300,ST ALLOCATION 88683,A81000B,00600,0300,PT ALLOCATION 88683,A81000B,00700,0300,OT ALLOCATION 88683,A81000B,00800,0300,ADMIN ALLOCATION 88683,A81000B,00900,0300,CAPITAL ALLOCATION 88683,A81000C,00100,0100,A 88683,A81000C,00100,0200,CHAPIN OWENS 88683,A81000C,00100,0400,HOLDING IV 88683,A81000C,00100,0600,REAL ESTATE 88683,A81000C,00200,0100,A 88683,A81000C,00200,0200,CHAPIN OWENS 88683,A81000C,00200,0400,MILLENNIUM 88683,A81000C,00200,0600,MGMT CO 88683,A81000C,00300,0100,A 88683,A81000C,00300,0200,CHAPIN OWENS 88683,A81000C,00300,0400,THER CON 88683,A81000C,00300,0600,THERAPY 88683,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88683,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88683,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88683,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88683,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88683,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88683,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88683,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88683,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88683,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88683,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88683,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88683,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88683,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88683,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88683,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88683,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88683,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88683,S000000,00100,0200,05/31/2000 88683,S200000,00100,0100,144 WASHINGTON ROAD 88683,S200000,00200,0100,EDGEWATER 88683,S200000,00200,0200,MD 88683,S200000,00200,0300,21037- 88683,S200000,00300,0100,ANNE ARUNDEL 88683,S200000,00400,0100,MILLENNIUM - SOUTH RIVER 88683,S200000,00400,0200,215297 88683,S200000,00400,0300,02/01/1999 88683,S200000,00400,0500,P 88683,S200000,01500,0100,Y 88683,S700003,00000,0400,4 88692,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88692,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88692,A000000,00300,0000,00300EMPLOYEE BENEFITS 88692,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88692,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88692,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88692,A000000,00700,0000,00700HOUSEKEEPING 88692,A000000,00800,0000,00800DIETARY 88692,A000000,00900,0000,00900NURSING ADMINISTRATION 88692,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88692,A000000,01100,0000,01100PHARMACY 88692,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88692,A000000,01300,0000,01300SOCIAL SERVICE 88692,A000000,01350,0000,01500PATIENT ACTIVITIES 88692,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88692,A000000,01600,0000,01600SKILLED NURSING FACILITY 88692,A000000,01800,0000,01800NURSING FACILITY 88692,A000000,01900,0000,01900OTHER LONG TERM CARE 88692,A000000,02100,0000,02100RADIOLOGY 88692,A000000,02200,0000,02200LABORATORY 88692,A000000,02300,0000,02300INTRAVENOUS THERAPY 88692,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88692,A000000,02500,0000,02500PHYSICAL THERAPY 88692,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88692,A000000,02700,0000,02700SPEECH PATHOLOGY 88692,A000000,02800,0000,02800ELECTROCARDIOLOGY 88692,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88692,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88692,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88692,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88692,A000000,03200,0000,03200SUPPORT SURFACES 88692,A000000,03400,0000,03400CLINIC 88692,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88692,A000000,03500,0000,03500RURAL HEALTH CLINIC 88692,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88692,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88692,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88692,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88692,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88692,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88692,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88692,A000000,04400,0000,04400DME RENTED - HHA 88692,A000000,04500,0000,04500DME SOLD - HHA 88692,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88692,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88692,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88692,A000000,04800,0000,04800AMBULANCE 88692,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88692,A000000,05000,0000,05000CORF 88692,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88692,A000000,05300,0000,05300INTEREST EXPENSE 88692,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88692,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88692,A000000,05500,0000,05500HOSPICE 88692,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88692,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88692,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88692,A000000,06100,0000,06100NONPAID WORKERS 88692,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88692,A000000,06200,0000,06200PATIENTS LAUNDRY 88692,A81000A,00100,0100,Y 88692,A81000B,00100,0300,HOME OFFICE FEES 88692,A81000B,00200,0300,HOME OFFICE CAPITAL 88692,A81000B,00300,0300,HOME OFFICE NON CAPITAL 88692,A81000B,00400,0300,ANCILLARY MANAGEMENT 88692,A81000B,00500,0300,ANCILLARY MANAGEMENT 88692,A81000B,00600,0300,ANCILLARY MANAGEMENT 88692,A81000C,00100,0100,B 88692,A81000C,00100,0200,FOUNDATION HEALTH SVCS 88692,A81000C,00100,0400,FOUNDATION HEALTH SVCS 88692,A81000C,00100,0600,HOME OFFICE 88692,A81000C,00200,0100,B 88692,A81000C,00200,0200,FOUNDATION ANCILLARY SVCS 88692,A81000C,00200,0400,FOUNDATION ANCILLARY SVCS 88692,A81000C,00200,0600,ANCILLARY MANAGEMENT 88692,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88692,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 88692,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88692,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88692,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88692,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88692,B100000,00000,0750,00000SQU FT EXCL D:HOUSEKEEPING 88692,B100000,00000,0800,00000MEALS SERVED :DIETARY 88692,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88692,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88692,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88692,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88692,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88692,B100000,00000,1350,00000HRS OF SVC :PATIENT ACTIVITIES 88692,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 88692,S000000,00100,0200,06/01/2000 88692,S200000,00100,0100,10 NORTH ROCK GLEN ROAD 88692,S200000,00200,0100,BALTIMORE 88692,S200000,00200,0200,MD 88692,S200000,00200,0300,21229- 88692,S200000,00300,0100,BALTIMORE 88692,S200000,00400,0100,ROCK GLEN NURSING & REHAB CENTER 88692,S200000,00400,0200,215299 88692,S200000,00400,0300,10/15/1996 88692,S200000,00400,0500,P 88692,S200000,01600,0100,Y 88692,S200000,02800,0100,Y 88692,S700003,00000,0400,4 88699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88699,A000000,00300,0000,00300EMPLOYEE BENEFITS 88699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88699,A000000,00700,0000,00700HOUSEKEEPING 88699,A000000,00800,0000,00800DIETARY 88699,A000000,00900,0000,00900NURSING ADMINISTRATION 88699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88699,A000000,01100,0000,01100PHARMACY 88699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88699,A000000,01300,0000,01300SOCIAL SERVICE 88699,A000000,01350,0000,01500ACTIVITIES 88699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88699,A000000,01600,0000,01600SKILLED NURSING FACILITY 88699,A000000,01810,0000,01810ICF/MR 88699,A000000,01900,0000,01900OTHER LONG TERM CARE 88699,A000000,02100,0000,02100RADIOLOGY 88699,A000000,02200,0000,02200LABORATORY 88699,A000000,02500,0000,02500PHYSICAL THERAPY 88699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88699,A000000,02700,0000,02700SPEECH PATHOLOGY 88699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88699,A000000,03550,0000,03550FQHC 88699,A000000,05000,0000,05000CORF 88699,A000000,05010,0000,05010CMHC 88699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88699,A81000A,00100,0100,Y 88699,A81000B,00100,0300,MANAGEMENT FEE 88699,A81000B,00200,0300,PHYSICAL PLANT 88699,A81000B,00300,0300,DIETARY 88699,A81000B,00400,0300,RAW FOOD 88699,A81000B,00500,0300,PASTORAL MINISTRY 88699,A81000B,00600,0300,ACTIVITIES 88699,A81000B,00700,0300,HOUSEKEEPING 88699,A81000B,00800,0300,PATIENT NEEDS 88699,A81000B,00900,0300,NON-PROPERTY INS 88699,A81000B,01000,0300,INSURANCE/DEPRECIATI 88699,A81000B,01100,0300,DEPRECIATION 88699,A81000C,00100,0100,G 88699,A81000C,00100,0200,VILLA ASSUMPTA 88699,A81000C,00100,0400,VILLA ASSUMPTA 88699,A81000C,00100,0600,MOTHER HOUSE 88699,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 88699,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 88699,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 88699,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 88699,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 88699,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 88699,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 88699,B100000,00000,0800,00040MEALS SERVED :DIETARY 88699,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 88699,B100000,00000,1150,00040PATIENT DAYS :PHARMACY 88699,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 88699,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 88699,B100000,00000,1350,00040PATIENT DAYS :ACTIVITIES 88699,S000000,00100,0200,11/22/2000 88699,S200000,00100,0100,6401 NORTH CHARLES STREET 88699,S200000,00200,0100,BALTIMORE 88699,S200000,00200,0200,MD 88699,S200000,00200,0300,21212- 88699,S200000,00300,0200,0720 88699,S200000,00300,0300,U 88699,S200000,00400,0100,MARIA HEALTH CARE CENTER INC. 88699,S200000,00400,0200,215300 88699,S200000,00400,0300,12/06/1996 88699,S200000,00400,0500,P 88699,S200000,01004,0500,O 88699,S200000,01500,0100,Y 88707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88707,A000000,00300,0000,00300EMPLOYEE BENEFITS 88707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88707,A000000,00700,0000,00700HOUSEKEEPING 88707,A000000,00800,0000,00800DIETARY 88707,A000000,00900,0000,00900NURSING ADMINISTRATION 88707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88707,A000000,01100,0000,01100PHARMACY 88707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88707,A000000,01300,0000,01300SOCIAL SERVICE 88707,A000000,01350,0000,01500ACTIVITIES 88707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88707,A000000,01600,0000,01600SKILLED NURSING FACILITY 88707,A000000,01800,0000,01800NURSING FACILITY 88707,A000000,01900,0000,01900OTHER LONG TERM CARE 88707,A000000,02100,0000,02100RADIOLOGY 88707,A000000,02200,0000,02200LABORATORY 88707,A000000,02300,0000,02300INTRAVENOUS THERAPY 88707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88707,A000000,02500,0000,02500PHYSICAL THERAPY 88707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88707,A000000,02700,0000,02700SPEECH PATHOLOGY 88707,A000000,02800,0000,02800ELECTROCARDIOLOGY 88707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88707,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 88707,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88707,A000000,03200,0000,03200SUPPORT SURFACES 88707,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 88707,A000000,04800,0000,04800AMBULANCE 88707,A000000,05300,0000,05300INTEREST EXPENSE 88707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 88707,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88707,A000000,06100,0000,06100NONPAID WORKERS 88707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88707,A000000,06200,0000,06200PATIENTS LAUNDRY 88707,A81000A,00100,0100,Y 88707,A81000B,00100,0300,HOME OFFICE COST 88707,A81000B,00200,0300,PT ADMIN COST 88707,A81000B,00300,0300,OT ADMIN COST 88707,A81000B,00400,0300,ST ADMIN COST 88707,A81000C,00100,0100,B 88707,A81000C,00100,0200,MANOR CARE ROLAND PARK 88707,A81000C,00100,0400,HCR MANORCARE INC. 88707,A81000C,00100,0600,LONG TERM CARE FACILITIES 88707,A81000C,00200,0100,B 88707,A81000C,00200,0200,MANOR CARE ROLAND PARK 88707,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 88707,A81000C,00200,0600,THERAPY MGMT 88707,A81000C,00300,0100,B 88707,A81000C,00300,0200,MANOR CARE ROLAND PARK 88707,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 88707,A81000C,00300,0600,THERAPY MGMT 88707,A81000C,00400,0100,B 88707,A81000C,00400,0200,MANOR CARE ROLAND PARK 88707,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 88707,A81000C,00400,0600,THERAPY MGMT 88707,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88707,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88707,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88707,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88707,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88707,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88707,B100000,00000,0800,00000MEALS SERVED :DIETARY 88707,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 88707,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88707,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88707,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88707,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88707,S000000,00100,0200,10/30/2000 88707,S200000,00100,0100,4669 FALLS ROAD 88707,S200000,00200,0100,BALTIMORE 88707,S200000,00200,0200,MD 88707,S200000,00200,0300,21209- 88707,S200000,00300,0100,BALTIMORE CITY 88707,S200000,00300,0200,720 88707,S200000,00300,0300,U 88707,S200000,00400,0100,MANOR CARE ROLAND PARK 88707,S200000,00400,0200,215301 88707,S200000,00400,0300,10/23/1996 88707,S200000,00400,0500,P 88707,S200000,00400,0600,P 88707,S200000,01004,0500,O 88707,S200000,01600,0100,Y 88707,S200000,02200,0100,Y 88715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88715,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88715,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88715,A000000,00300,0000,00300EMPLOYEE BENEFITS 88715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88715,A000000,00700,0000,00700HOUSEKEEPING 88715,A000000,00800,0000,00800DIETARY 88715,A000000,00801,0000,00801CAFETERIA 88715,A000000,00900,0000,00900NURSING ADMINISTRATION 88715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88715,A000000,01100,0000,01100PHARMACY 88715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88715,A000000,01300,0000,01300SOCIAL SERVICE 88715,A000000,01350,0000,01500ACTIVITIES 88715,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88715,A000000,01600,0000,01600SKILLED NURSING FACILITY 88715,A000000,01800,0000,01800NURSING FACILITY 88715,A000000,01900,0000,01900OTHER LONG TERM CARE 88715,A000000,02100,0000,02100RADIOLOGY 88715,A000000,02200,0000,02200LABORATORY 88715,A000000,02300,0000,02300INTRAVENOUS THERAPY 88715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88715,A000000,02500,0000,02500PHYSICAL THERAPY 88715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88715,A000000,02700,0000,02700SPEECH PATHOLOGY 88715,A000000,02800,0000,02800ELECTROCARDIOLOGY 88715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88715,A000000,03050,0000,03300RESPIRATORY THERAPY 88715,A000000,03051,0000,03301OTHER ANCILLARY II 88715,A000000,03052,0000,03302OTHER ANCILLARY III 88715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88715,A000000,03200,0000,03200SUPPORT SURFACES 88715,A000000,03400,0000,03400CLINIC 88715,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88715,A000000,03500,0000,03500RURAL HEALTH CLINIC 88715,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88715,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88715,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88715,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88715,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88715,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88715,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88715,A000000,04400,0000,04400DME RENTED - HHA 88715,A000000,04500,0000,04500DME SOLD - HHA 88715,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88715,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88715,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88715,A000000,04800,0000,04800AMBULANCE 88715,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88715,A000000,05000,0000,05000CORF 88715,A000000,05010,0000,05010CMHC I 88715,A000000,05020,0000,05020OPT I 88715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88715,A000000,05300,0000,05300INTEREST EXPENSE 88715,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88715,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88715,A000000,05500,0000,05500HOSPICE 88715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88715,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88715,A000000,06100,0000,06100NONPAID WORKERS 88715,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88715,A000000,06200,0000,06200PATIENTS LAUNDRY 88715,A81000A,00100,0100,Y 88715,A81000B,00100,0300,RENTAL OF FACILITY 88715,A81000B,00200,0300,MANAGEMENT FEE 88715,A81000C,00100,0100,A 88715,A81000C,00100,0200,SONYA GOODMAN 88715,A81000C,00200,0100,A 88715,A81000C,00200,0200,JEROME GOODMAN 88715,A81000C,00300,0400,IRV VILL L/P 88715,A81000C,00300,0600,REAL ESTATE 88715,A81000C,00500,0100,A 88715,A81000C,00500,0200,SONYA GOODMAN 88715,A81000C,00500,0400,CREATIVE HEALTH 88715,A81000C,00600,0400,CONSULT. LTD. 88715,A81000C,00600,0600,MGNT. CO. 88715,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88715,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88715,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88715,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88715,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88715,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88715,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88715,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88715,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88715,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88715,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88715,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88715,S000000,00100,0200,06/02/2000 88715,S200000,00100,0100,30 SOUTH ATHOL AVENUE 88715,S200000,00200,0100,BALTIMORE 88715,S200000,00200,0200,MD 88715,S200000,00200,0300,21229- 88715,S200000,00300,0100,BALTIMORE CITY 88715,S200000,00300,0200,0720 88715,S200000,00300,0300,U 88715,S200000,00400,0100,IRVINGTON KNOLLS CARE CENTER II INC 88715,S200000,00400,0200,215306 88715,S200000,00400,0300,05/22/1997 88715,S200000,00400,0500,P 88715,S200000,01600,0100,Y 88715,S200000,02200,0100,Y 88720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88720,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88720,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88720,A000000,00300,0000,00300EMPLOYEE BENEFITS 88720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88720,A000000,00700,0000,00700HOUSEKEEPING 88720,A000000,00800,0000,00800DIETARY 88720,A000000,00801,0000,00801CAFETERIA 88720,A000000,00900,0000,00900NURSING ADMINISTRATION 88720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88720,A000000,01100,0000,01100PHARMACY 88720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88720,A000000,01300,0000,01300SOCIAL SERVICE 88720,A000000,01350,0000,01500ACTIVITIES 88720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88720,A000000,01600,0000,01600SKILLED NURSING FACILITY 88720,A000000,01800,0000,01800NURSING FACILITY 88720,A000000,01900,0000,01900OTHER LONG TERM CARE 88720,A000000,02100,0000,02100RADIOLOGY 88720,A000000,02200,0000,02200LABORATORY 88720,A000000,02300,0000,02300INTRAVENOUS THERAPY 88720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88720,A000000,02500,0000,02500PHYSICAL THERAPY 88720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88720,A000000,02700,0000,02700SPEECH PATHOLOGY 88720,A000000,02800,0000,02800ELECTROCARDIOLOGY 88720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88720,A000000,03050,0000,03300OTHER ANCILLARY 88720,A000000,03051,0000,03301OTHER ANCILLARY II 88720,A000000,03052,0000,03302OTHER ANCILLARY III 88720,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88720,A000000,03200,0000,03200SUPPORT SURFACES 88720,A000000,03400,0000,03400CLINIC 88720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88720,A000000,03500,0000,03500RURAL HEALTH CLINIC 88720,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88720,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88720,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88720,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88720,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88720,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88720,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88720,A000000,04400,0000,04400DME RENTED - HHA 88720,A000000,04500,0000,04500DME SOLD - HHA 88720,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88720,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88720,A000000,04800,0000,04800AMBULANCE 88720,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88720,A000000,05000,0000,05000CORF 88720,A000000,05010,0000,05010CMHC I 88720,A000000,05020,0000,05020OPT I 88720,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88720,A000000,05300,0000,05300INTEREST EXPENSE 88720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88720,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88720,A000000,05500,0000,05500HOSPICE 88720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88720,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88720,A000000,06100,0000,06100NONPAID WORKERS 88720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88720,A000000,06200,0000,06200PATIENTS LAUNDRY 88720,A81000A,00100,0100,Y 88720,A81000B,00100,0300,RENT 88720,A81000C,00100,0100,A 88720,A81000C,00100,0200,VERA EGLE 88720,A81000C,00100,0400,EGLE NH INC. 88720,A81000C,00100,0600,PROP RENTAL 88720,A81000C,00200,0100,A 88720,A81000C,00200,0200,JEROME EGLE 88720,A81000C,00200,0400,EGLE NH INC. 88720,A81000C,00200,0600,PROP RENTAL 88720,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88720,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88720,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88720,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88720,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88720,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88720,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88720,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88720,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88720,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88720,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88720,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88720,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88720,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88720,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88720,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88720,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88720,S000000,00100,0200,05/30/2000 88720,S200000,00100,0100,57 JACKSON STREET 88720,S200000,00100,0300,250 88720,S200000,00200,0100,LONACONING 88720,S200000,00200,0200,MD 88720,S200000,00200,0300,21539- 88720,S200000,00300,0100,ALLEGHENY 88720,S200000,00400,0100,EGLE NURSING HOME MANAGEMENT INC. 88720,S200000,00400,0200,215307 88720,S200000,00400,0300,07/11/1997 88720,S200000,00400,0500,P 88720,S200000,01500,0100,Y 88720,S700003,00000,0400,4 88723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88723,A000000,00300,0000,00300EMPLOYEE BENEFITS 88723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88723,A000000,00700,0000,00700HOUSEKEEPING 88723,A000000,00800,0000,00800DIETARY 88723,A000000,00900,0000,00900NURSING ADMINISTRATION 88723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88723,A000000,01100,0000,01100PHARMACY 88723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88723,A000000,01300,0000,01300SOCIAL SERVICE 88723,A000000,01350,0000,01500ACTIVITIES 88723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88723,A000000,01600,0000,01600SKILLED NURSING FACILITY 88723,A000000,01810,0000,01810ICF/MR 88723,A000000,02100,0000,02100RADIOLOGY 88723,A000000,02200,0000,02200LABORATORY 88723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88723,A000000,02500,0000,02500PHYSICAL THERAPY 88723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88723,A000000,02700,0000,02700SPEECH PATHOLOGY 88723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88723,A000000,03550,0000,03550FQHC 88723,A000000,05000,0000,05000CORF 88723,A000000,05010,0000,05010CMHC 88723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88723,A81000A,00100,0100,Y 88723,A81000B,00100,0300,WORKING CAPITAL INT 88723,A81000C,00100,0100,E 88723,A81000C,00100,0200,SARKIS NAZARIAN 88723,A81000C,00100,0400,SARKIS NAZARIAN 88723,A81000C,00100,0600,W/C INTEREST 88723,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88723,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88723,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88723,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88723,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88723,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88723,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88723,B100000,00000,0800,00000MEALS SERVED :DIETARY 88723,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 88723,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88723,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88723,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88723,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88723,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88723,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88723,S000000,00100,0200,06/01/2000 88723,S200000,00100,0100,333 HARLEM LANE 88723,S200000,00200,0100,CATONSVILLE 88723,S200000,00200,0200,MD 88723,S200000,00200,0300,21228- 88723,S200000,00300,0100,BALTIMORE 88723,S200000,00400,0100,CATONSVILLE ELDERCARE NRSG.& REHAB. 88723,S200000,00400,0200,215317 88723,S200000,00400,0300,04/27/1998 88723,S200000,00400,0500,P 88723,S200000,01004,0500,O 88723,S200000,01500,0100,Y 88723,S700003,00000,0400,4 88726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88726,A000000,00300,0000,00300EMPLOYEE BENEFITS 88726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88726,A000000,00700,0000,00700HOUSEKEEPING 88726,A000000,00800,0000,00800DIETARY 88726,A000000,00900,0000,00900NURSING ADMINISTRATION 88726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88726,A000000,01100,0000,01100PHARMACY 88726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88726,A000000,01300,0000,01300SOCIAL SERVICE 88726,A000000,01350,0000,01500ACTIVITIES 88726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88726,A000000,01600,0000,01600SKILLED NURSING FACILITY 88726,A000000,01800,0000,01800NURSING FACILITY 88726,A000000,01810,0000,01810ICF/MR 88726,A000000,02200,0000,02200LABORATORY 88726,A000000,02300,0000,02300INTRAVENOUS THERAPY 88726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88726,A000000,02500,0000,02500PHYSICAL THERAPY 88726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88726,A000000,02700,0000,02700SPEECH PATHOLOGY 88726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88726,A000000,03200,0000,03200SUPPORT SURFACES 88726,A000000,03550,0000,03550FQHC 88726,A000000,05000,0000,05000CORF 88726,A000000,05010,0000,05010CMHC 88726,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88726,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88726,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88726,A81000A,00100,0100,Y 88726,A81000B,00100,0300,RENTAL OF FACILITY 88726,A81000B,00200,0300,INTEREST/TAXES/DEPRE 88726,A81000B,00300,0300,PP TAXES EQUIP DEPR 88726,A81000B,00400,0300,ADMIN EXP PROFESSIO 88726,A81000C,00100,0100,B 88726,A81000C,00100,0200,HARBOUR INN CON 88726,A81000C,00100,0400,1213 LIGHT STRE 88726,A81000C,00100,0600,REAL ESTATE OWN 88726,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88726,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88726,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88726,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88726,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88726,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88726,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88726,B100000,00000,0800,00000MEALS SERVED :DIETARY 88726,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 88726,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88726,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88726,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88726,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88726,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 88726,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88726,S000000,00100,0200,05/31/2000 88726,S200000,00100,0100,1213 LIGHT STREET 88726,S200000,00200,0100,BALTIMORE 88726,S200000,00200,0200,MD 88726,S200000,00200,0300,21230- 88726,S200000,00400,0100,HARBOUR INN CONVALESCENT CENTER 88726,S200000,00400,0200,215318 88726,S200000,00400,0300,12/01/1997 88726,S200000,00400,0500,P 88726,S200000,00600,0200,215318 88726,S200000,00600,0300,01/01/1990 88726,S200000,00600,0600,P 88726,S200000,01600,0100,Y 88726,S700003,00000,0400,4 88730,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88730,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88730,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88730,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88730,A000000,00300,0000,00300EMPLOYEE BENEFITS 88730,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88730,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88730,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88730,A000000,00700,0000,00700HOUSEKEEPING 88730,A000000,00800,0000,00800DIETARY 88730,A000000,00801,0000,00801CAFETERIA 88730,A000000,00900,0000,00900NURSING ADMINISTRATION 88730,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88730,A000000,01100,0000,01100PHARMACY 88730,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88730,A000000,01300,0000,01300SOCIAL SERVICE 88730,A000000,01350,0000,01500ACTIVITIES 88730,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88730,A000000,01600,0000,01600SKILLED NURSING FACILITY 88730,A000000,01800,0000,01800NURSING FACILITY 88730,A000000,01900,0000,01900OTHER LONG TERM CARE 88730,A000000,02100,0000,02100RADIOLOGY 88730,A000000,02200,0000,02200LABORATORY 88730,A000000,02300,0000,02300INTRAVENOUS THERAPY 88730,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88730,A000000,02500,0000,02500PHYSICAL THERAPY 88730,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88730,A000000,02700,0000,02700SPEECH PATHOLOGY 88730,A000000,02800,0000,02800ELECTROCARDIOLOGY 88730,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88730,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88730,A000000,03050,0000,03300OTHER ANCILLARY 88730,A000000,03051,0000,03301RESPIRATORY THERAPY 88730,A000000,03052,0000,03302OTHER ANCILLARY III 88730,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88730,A000000,03200,0000,03200SUPPORT SURFACES 88730,A000000,03400,0000,03400CLINIC 88730,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88730,A000000,03500,0000,03500RURAL HEALTH CLINIC 88730,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88730,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88730,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88730,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88730,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88730,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88730,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88730,A000000,04400,0000,04400DME RENTED - HHA 88730,A000000,04500,0000,04500DME SOLD - HHA 88730,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88730,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88730,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88730,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88730,A000000,05000,0000,05000CORF 88730,A000000,05010,0000,05010CMHC I 88730,A000000,05020,0000,05020OPT I 88730,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88730,A000000,05300,0000,05300INTEREST EXPENSE 88730,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88730,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88730,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88730,A000000,05500,0000,05500HOSPICE 88730,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88730,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88730,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88730,A000000,06100,0000,06100NONPAID WORKERS 88730,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88730,A000000,06200,0000,06200PATIENTS LAUNDRY 88730,A81000A,00100,0100,Y 88730,A81000B,00100,0300,MGMT FEE 88730,A81000B,00200,0300,MGMT FEE 88730,A81000B,00300,0300,MGMT FEE 88730,A81000B,00400,0300,MGMT FEE 88730,A81000B,00500,0300,INTEREST 88730,A81000B,00600,0300,INTEREST 88730,A81000B,00700,0300,INTEREST 88730,A81000B,00800,0300,INTEREST 88730,A81000C,00100,0100,B 88730,A81000C,00100,0200,MAGNOLIA MGMT 88730,A81000C,00100,0400,DOMINICK PERINI 88730,A81000C,00100,0600,MGMT CO 88730,A81000C,00200,0100,B 88730,A81000C,00200,0200,MAGNOLIA MGMT 88730,A81000C,00200,0400,DOMINICK PERINI 88730,A81000C,00200,0600,MGMT CO 88730,A81000C,00300,0100,B 88730,A81000C,00300,0200,MAGNOLIA MGMT 88730,A81000C,00300,0400,DOMINICK PERINI 88730,A81000C,00300,0600,MGMT CO 88730,A81000C,00400,0100,B 88730,A81000C,00400,0200,MAGNOLIA MGMT 88730,A81000C,00400,0400,DOMINICK PERINI 88730,A81000C,00400,0600,MGMT CO 88730,A81000C,00500,0100,B 88730,A81000C,00500,0200,PERINI SERVICES 88730,A81000C,00500,0400,DOMINICK PERINI 88730,A81000C,00500,0600,REAL ESTATE 88730,A81000C,00600,0100,B 88730,A81000C,00600,0200,AVALON HOME 88730,A81000C,00600,0400,DOMINICK PERINI 88730,A81000C,00600,0600,NURSING HOME 88730,A81000C,00700,0100,B 88730,A81000C,00700,0200,GARLOCK MEMOR 88730,A81000C,00700,0400,DOMINICK PERINI 88730,A81000C,00700,0600,NURSING HOME 88730,A81000C,00800,0100,B 88730,A81000C,00800,0200,GARLOCK MANOR 88730,A81000C,00800,0400,DOMINICK PERINI 88730,A81000C,00800,0600,NURSING HOME 88730,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88730,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88730,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88730,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88730,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88730,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88730,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88730,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88730,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88730,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88730,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88730,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 88730,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88730,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88730,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88730,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88730,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88730,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88730,S000000,00100,0200,07/16/1999 88730,S200000,00100,0100,333 MILL STREET 88730,S200000,00200,0100,HAGERSTOWN 88730,S200000,00200,0200,MD 88730,S200000,00200,0300,21740- 88730,S200000,00300,0100,WASHINGTON 88730,S200000,00400,0100,JULIA MANOR 88730,S200000,00400,0200,215321 88730,S200000,00400,0300,11/01/1998 88730,S200000,00400,0500,O 88730,S200000,01005,0500,O 88730,S200000,01500,0100,Y 88730,S200000,04100,0100,Y 88730,S200000,04200,0100,Y 88731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88731,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88731,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88731,A000000,00300,0000,00300EMPLOYEE BENEFITS 88731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88731,A000000,00700,0000,00700HOUSEKEEPING 88731,A000000,00800,0000,00800DIETARY 88731,A000000,00801,0000,00801CAFETERIA 88731,A000000,00900,0000,00900NURSING ADMINISTRATION 88731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88731,A000000,01100,0000,01100PHARMACY 88731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88731,A000000,01300,0000,01300SOCIAL SERVICE 88731,A000000,01350,0000,01500ACTIVITIES 88731,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88731,A000000,01600,0000,01600SKILLED NURSING FACILITY 88731,A000000,01800,0000,01800NURSING FACILITY 88731,A000000,01900,0000,01900OTHER LONG TERM CARE 88731,A000000,02100,0000,02100RADIOLOGY 88731,A000000,02200,0000,02200LABORATORY 88731,A000000,02300,0000,02300INTRAVENOUS THERAPY 88731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88731,A000000,02500,0000,02500PHYSICAL THERAPY 88731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88731,A000000,02700,0000,02700SPEECH PATHOLOGY 88731,A000000,02800,0000,02800ELECTROCARDIOLOGY 88731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88731,A000000,03050,0000,03300OTHER ANCILLARY 88731,A000000,03051,0000,03301OTHER ANCILLARY II 88731,A000000,03052,0000,03302OTHER ANCILLARY III 88731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88731,A000000,03200,0000,03200SUPPORT SURFACES 88731,A000000,03400,0000,03400CLINIC 88731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88731,A000000,03500,0000,03500RURAL HEALTH CLINIC 88731,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88731,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88731,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88731,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88731,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88731,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88731,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88731,A000000,04400,0000,04400DME RENTED - HHA 88731,A000000,04500,0000,04500DME SOLD - HHA 88731,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88731,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88731,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88731,A000000,04800,0000,04800AMBULANCE 88731,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88731,A000000,05000,0000,05000CORF 88731,A000000,05010,0000,05010CMHC I 88731,A000000,05020,0000,05020OPT I 88731,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88731,A000000,05300,0000,05300INTEREST EXPENSE 88731,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88731,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88731,A000000,05500,0000,05500HOSPICE 88731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88731,A000000,06100,0000,06100NONPAID WORKERS 88731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88731,A000000,06200,0000,06200PATIENTS LAUNDRY 88731,A81000A,00100,0100,Y 88731,A81000B,00100,0300,MGMT. FEE 88731,A81000B,00200,0300,INTEREST EXP. 88731,A81000B,00300,0300,INTEREST EXP. 88731,A81000C,00100,0100,B 88731,A81000C,00100,0200,MAGNOLIA MGMT 88731,A81000C,00100,0400,DOMINIC PERRINI 88731,A81000C,00100,0600,MGMT. CO. 88731,A81000C,00200,0100,B 88731,A81000C,00200,0200,PERINI SERVICES 88731,A81000C,00200,0400,DOMINIC PERRINI 88731,A81000C,00200,0600,REAL ESTATE 88731,A81000C,00300,0100,B 88731,A81000C,00300,0200,AVALON HOME 88731,A81000C,00300,0400,DOMINIC PERRINI 88731,A81000C,00300,0600,NURSING HOME 88731,A81000C,00400,0100,B 88731,A81000C,00400,0200,GARLOCK MANOR 2 88731,A81000C,00400,0400,DOMINIC PERRINI 88731,A81000C,00400,0600,NURSING HOME 88731,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88731,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88731,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88731,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88731,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88731,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88731,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88731,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88731,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88731,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 88731,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88731,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88731,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88731,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88731,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88731,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88731,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88731,S000000,00100,0200,05/30/2000 88731,S200000,00100,0100,333 MILL STREET 88731,S200000,00200,0100,HAGERSTOWN 88731,S200000,00200,0200,MD 88731,S200000,00200,0300,21740- 88731,S200000,00300,0100,WASHINGTON 88731,S200000,00400,0100,JULIA MANOR 88731,S200000,00400,0200,215321 88731,S200000,00400,0300,11/01/1998 88731,S200000,00400,0500,P 88731,S200000,01004,0500,O 88731,S200000,01500,0100,Y 88731,S700003,00000,0400,4 88735,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88735,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88735,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88735,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88735,A000000,00300,0000,00300EMPLOYEE BENEFITS 88735,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88735,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88735,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88735,A000000,00700,0000,00700HOUSEKEEPING 88735,A000000,00800,0000,00800DIETARY 88735,A000000,00801,0000,00801CAFETERIA 88735,A000000,00900,0000,00900NURSING ADMINISTRATION 88735,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88735,A000000,01100,0000,01100PHARMACY 88735,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88735,A000000,01300,0000,01300SOCIAL SERVICE 88735,A000000,01350,0000,01500ACTIVITIES 88735,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88735,A000000,01600,0000,01600SKILLED NURSING FACILITY 88735,A000000,01800,0000,01800NURSING FACILITY 88735,A000000,01900,0000,01900OTHER LONG TERM CARE 88735,A000000,02100,0000,02100RADIOLOGY 88735,A000000,02200,0000,02200LABORATORY 88735,A000000,02300,0000,02300INTRAVENOUS THERAPY 88735,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88735,A000000,02500,0000,02500PHYSICAL THERAPY 88735,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88735,A000000,02700,0000,02700SPEECH PATHOLOGY 88735,A000000,02800,0000,02800ELECTROCARDIOLOGY 88735,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88735,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88735,A000000,03050,0000,03300OTHER ANCILLARY 88735,A000000,03051,0000,03301OTHER ANCILLARY II 88735,A000000,03052,0000,03302OTHER ANCILLARY III 88735,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88735,A000000,03200,0000,03200SUPPORT SURFACES 88735,A000000,03400,0000,03400CLINIC 88735,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88735,A000000,03500,0000,03500RURAL HEALTH CLINIC 88735,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88735,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88735,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88735,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88735,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88735,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88735,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88735,A000000,04400,0000,04400DME RENTED - HHA 88735,A000000,04500,0000,04500DME SOLD - HHA 88735,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88735,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88735,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88735,A000000,04800,0000,04800AMBULANCE 88735,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88735,A000000,05000,0000,05000CORF 88735,A000000,05010,0000,05010CMHC I 88735,A000000,05020,0000,05020OPT I 88735,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88735,A000000,05300,0000,05300INTEREST EXPENSE 88735,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88735,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88735,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88735,A000000,05500,0000,05500HOSPICE 88735,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88735,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88735,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88735,A000000,06100,0000,06100NONPAID WORKERS 88735,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88735,A000000,06200,0000,06200PATIENTS LAUNDRY 88735,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88735,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88735,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88735,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88735,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88735,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88735,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88735,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 88735,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88735,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88735,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 88735,S000000,00100,0200,12/14/2000 88735,S200000,00100,0100,2327 N CHARLES ST 88735,S200000,00200,0100,BALTIMORE 88735,S200000,00200,0200,MD 88735,S200000,00200,0300,21218- 88735,S200000,00300,0200,0720 88735,S200000,00300,0300,U 88735,S200000,00400,0100,NOBLE HOUSE 88735,S200000,00400,0200,215324 88735,S200000,00400,0300,08/24/1999 88735,S200000,00400,0500,P 88735,S200000,01004,0500,O 88735,S200000,01500,0100,Y 88735,S200000,02200,0100,Y 88750,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88750,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88750,A000000,00300,0000,00300EMPLOYEE BENEFITS 88750,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88750,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88750,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88750,A000000,00700,0000,00700HOUSEKEEPING 88750,A000000,00800,0000,00800DIETARY 88750,A000000,00900,0000,00900NURSING ADMINISTRATION 88750,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88750,A000000,01100,0000,01100PHARMACY 88750,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88750,A000000,01300,0000,01300SOCIAL SERVICE 88750,A000000,01350,0000,01500ACTIVITIES 88750,A000000,01351,0000,01501INDIRECT CONSULTANTS 88750,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88750,A000000,01600,0000,01600SKILLED NURSING FACILITY 88750,A000000,01800,0000,01800NURSING FACILITY 88750,A000000,01810,0000,01801ICF/MR 88750,A000000,01900,0000,01900OTHER LONG TERM CARE 88750,A000000,02100,0000,02100RADIOLOGY 88750,A000000,02200,0000,02200LABORATORY 88750,A000000,02300,0000,02300INTRAVENOUS THERAPY 88750,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88750,A000000,02500,0000,02500PHYSICAL THERAPY 88750,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88750,A000000,02700,0000,02700SPEECH PATHOLOGY 88750,A000000,02800,0000,02800ELECTROCARDIOLOGY 88750,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88750,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88750,A000000,03050,0000,03300PEN THERAPY 88750,A000000,03051,0000,03301AMBULANCE 88750,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88750,A000000,03200,0000,03200SUPPORT SURFACES 88750,A000000,03400,0000,03400CLINIC 88750,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88750,A000000,03500,0000,03500RURAL HEALTH CLINIC 88750,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88750,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88750,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88750,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88750,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88750,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88750,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88750,A000000,04400,0000,04400DME RENTED - HHA 88750,A000000,04500,0000,04500DME SOLD - HHA 88750,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88750,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88750,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88750,A000000,04800,0000,04800AMBULANCE 88750,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88750,A000000,05000,0000,05000CORF 88750,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88750,A000000,05300,0000,05300INTEREST EXPENSE 88750,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88750,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88750,A000000,05500,0000,05500HOSPICE 88750,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88750,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88750,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88750,A000000,06100,0000,06100NONPAID WORKERS 88750,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88750,A000000,06200,0000,06200PATIENTS LAUNDRY 88750,A81000A,00100,0100,Y 88750,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 88750,A81000B,00200,0300,MGMT FEE-NOT CAP RELATED 88750,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 88750,A81000B,00400,0300,A&G SALARIES 88750,A81000B,00500,0300,DIETARY SALARIES 88750,A81000B,00600,0300,NURSING SALARIES 88750,A81000B,00700,0300,PHYSICAL THERAPY SALARIES 88750,A81000B,00800,0300,OCCUPATIONAL THERAPY SALARIES 88750,A81000C,00100,0100,A 88750,A81000C,00100,0400,ELO HOLDING COMPANY 88750,A81000C,00100,0600,HOME OFFICE 88750,A81000C,00200,0100,A 88750,A81000C,00200,0400,OAKDALE NURSING HOME 88750,A81000C,00200,0600,NURSING HOME 88750,A81000C,00300,0100,A 88750,A81000C,00300,0400,WACHUSETT EXTENDED CARE 88750,A81000C,00300,0600,NURSING HOME 88750,A81000C,00400,0100,A 88750,A81000C,00400,0400,GARDNER SKILLED NURSING 88750,A81000C,00400,0600,NURSING HOME 88750,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88750,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88750,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88750,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88750,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88750,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88750,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88750,B100000,00000,0800,00000MEALS SERVED :DIETARY 88750,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 88750,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88750,B100000,00000,1150,00000N/A :PHARMACY 88750,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88750,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88750,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88750,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88750,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88750,S000000,00100,0200,05/02/2000 88750,S200000,00100,0100,32 MAYO DRIVE 88750,S200000,00200,0100,HOLDEN 88750,S200000,00200,0200,MA 88750,S200000,00200,0300,01520- 88750,S200000,00300,0100,WORCESTER 88750,S200000,00400,0100,HOLDEN NURSING HOME 88750,S200000,00400,0200,225002 88750,S200000,00400,0300,01/01/1967 88750,S200000,00400,0500,P 88750,S200000,00400,0600,P 88750,S200000,01500,0100,Y 88750,S700003,00000,0100,1 88756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88756,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 88756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88756,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 88756,A000000,00300,0000,00300EMPLOYEE BENEFITS 88756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88756,A000000,00700,0000,00700HOUSEKEEPING 88756,A000000,00800,0000,00800DIETARY 88756,A000000,00801,0000,00801CAFETERIA 88756,A000000,00900,0000,00900NURSING ADMINISTRATION 88756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88756,A000000,01100,0000,01100PHARMACY 88756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88756,A000000,01300,0000,01300SOCIAL SERVICE 88756,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 88756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88756,A000000,01600,0000,01600SKILLED NURSING FACILITY 88756,A000000,01800,0000,01800NURSING FACILITY 88756,A000000,01900,0000,01900OTHER LONG TERM CARE 88756,A000000,02100,0000,02100RADIOLOGY 88756,A000000,02200,0000,02200LABORATORY 88756,A000000,02300,0000,02300INTRAVENOUS THERAPY 88756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88756,A000000,02500,0000,02500PHYSICAL THERAPY 88756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88756,A000000,02700,0000,02700SPEECH PATHOLOGY 88756,A000000,02800,0000,02800ELECTROCARDIOLOGY 88756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88756,A000000,03050,0000,03300OTHER ANCILLARY 88756,A000000,03051,0000,03301OTHER ANCILLARY II 88756,A000000,03052,0000,03302OTHER ANCILLARY III 88756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88756,A000000,03200,0000,03200SUPPORT SURFACES 88756,A000000,03400,0000,03400CLINIC 88756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 88756,A000000,03500,0000,03500RURAL HEALTH CLINIC 88756,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88756,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88756,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88756,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88756,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88756,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88756,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88756,A000000,04400,0000,04400DME RENTED - HHA 88756,A000000,04500,0000,04500DME SOLD - HHA 88756,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88756,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88756,A000000,04800,0000,04800AMBULANCE 88756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88756,A000000,05000,0000,05000CORF 88756,A000000,05010,0000,05010CMHC I 88756,A000000,05020,0000,05020OPT I 88756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88756,A000000,05300,0000,05300INTEREST EXPENSE 88756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 88756,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 88756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88756,A000000,05500,0000,05500HOSPICE 88756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88756,A000000,06100,0000,06100NONPAID WORKERS 88756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88756,A000000,06200,0000,06200PATIENTS LAUNDRY 88756,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 88756,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 88756,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 88756,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 88756,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 88756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88756,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 88756,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 88756,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 88756,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 88756,B100000,00000,0851,00000PATNT DYS :CAFETERIA 88756,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 88756,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 88756,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 88756,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 88756,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 88756,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 88756,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 88756,S000000,00100,0200,05/26/2000 88756,S200000,00100,0100,70 BRIARWOOD CIRCLE 88756,S200000,00200,0100,WORCESTER 88756,S200000,00200,0200,MA 88756,S200000,00200,0300,01606- 88756,S200000,00300,0100,WORCESTER 88756,S200000,00400,0100,KNOLLWOOD NURSING CENTER 88756,S200000,00400,0200,225016 88756,S200000,00400,0300,03/01/1984 88756,S200000,00400,0500,P 88756,S200000,01004,0500,O 88756,S200000,01500,0100,Y 88756,S700003,00000,0100,1 88764,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88764,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88764,A000000,00300,0000,00300EMPLOYEE BENEFITS 88764,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88764,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88764,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88764,A000000,00700,0000,00700HOUSEKEEPING 88764,A000000,00800,0000,00800DIETARY 88764,A000000,00900,0000,00900NURSING ADMINISTRATION 88764,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88764,A000000,01100,0000,01100PHARMACY 88764,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88764,A000000,01300,0000,01300SOCIAL SERVICE 88764,A000000,01350,0000,01500ACTIVITIES 88764,A000000,01351,0000,01501INDIRECT CONSULTANTS 88764,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88764,A000000,01600,0000,01600SKILLED NURSING FACILITY 88764,A000000,01800,0000,01800NURSING FACILITY 88764,A000000,01810,0000,01801ICF/MR 88764,A000000,01900,0000,01900OTHER LONG TERM CARE 88764,A000000,02100,0000,02100RADIOLOGY 88764,A000000,02200,0000,02200LABORATORY 88764,A000000,02300,0000,02300INTRAVENOUS THERAPY 88764,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88764,A000000,02500,0000,02500PHYSICAL THERAPY 88764,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88764,A000000,02700,0000,02700SPEECH PATHOLOGY 88764,A000000,02800,0000,02800ELECTROCARDIOLOGY 88764,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88764,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88764,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88764,A000000,03051,0000,03301PEN THERAPY 88764,A000000,03052,0000,03302AMBULANCE 88764,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88764,A000000,03200,0000,03200SUPPORT SURFACES 88764,A000000,03400,0000,03400CLINIC 88764,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88764,A000000,03500,0000,03500RURAL HEALTH CLINIC 88764,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88764,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88764,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88764,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88764,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88764,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88764,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88764,A000000,04400,0000,04400DME RENTED - HHA 88764,A000000,04500,0000,04500DME SOLD - HHA 88764,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88764,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88764,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88764,A000000,04800,0000,04800AMBULANCE 88764,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88764,A000000,05000,0000,05000CORF 88764,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88764,A000000,05300,0000,05300INTEREST EXPENSE 88764,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88764,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88764,A000000,05500,0000,05500HOSPICE 88764,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88764,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88764,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88764,A000000,06100,0000,06100NONPAID WORKERS 88764,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88764,A000000,06200,0000,06200PATIENTS LAUNDRY 88764,A81000A,00100,0100,Y 88764,A81000B,00100,0300,RENT-CAPITAL RELATED 88764,A81000B,00200,0300,RENT-NOT CAPITAL RELATED 88764,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 88764,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 88764,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 88764,A81000B,00600,0300,PHYSICAL THERAPY 88764,A81000B,00700,0300,OCCUPATIONAL THERAPY 88764,A81000B,00800,0300,SPEECH THERAPY 88764,A81000B,00900,0300,DIETARY PURCHASED SERVICE 88764,A81000B,01000,0300,MAINTENANCE SALARIES 88764,A81000B,01100,0300,CLERICAL SALARIES 88764,A81000C,00100,0100,A 88764,A81000C,00100,0200,RITA WELCH 88764,A81000C,00100,0400,R&F OF BRAINTREE 88764,A81000C,00100,0600,RENTAL PROPERTY 88764,A81000C,00200,0100,A 88764,A81000C,00200,0200,THOMAS F WELCH 88764,A81000C,00200,0400,R&F OF BRAINTREE 88764,A81000C,00200,0600,RENTAL PROPERTY 88764,A81000C,00300,0100,A 88764,A81000C,00300,0200,RITA WELCH 88764,A81000C,00300,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00300,0600,CENTRAL OFFICE 88764,A81000C,00400,0100,A 88764,A81000C,00400,0200,THOMAS F WELCH 88764,A81000C,00400,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00400,0600,CENTRAL OFFICE 88764,A81000C,00500,0100,A 88764,A81000C,00500,0200,MICHAEL WELCH 88764,A81000C,00500,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00500,0600,CENTRAL OFFICE 88764,A81000C,00600,0100,A 88764,A81000C,00600,0200,RICHARD WELCH 88764,A81000C,00600,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00600,0600,CENTRAL OFFICE 88764,A81000C,00700,0100,A 88764,A81000C,00700,0200,PAUL CASALE 88764,A81000C,00700,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00700,0600,CENTRAL OFFICE 88764,A81000C,00800,0100,D 88764,A81000C,00800,0200,MARIANNE MARTINEZ 88764,A81000C,00800,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00800,0600,CENTRAL OFFICE 88764,A81000C,00900,0100,D 88764,A81000C,00900,0200,PATRICIA FLEMING 88764,A81000C,00900,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,00900,0600,CENTRAL OFFICE 88764,A81000C,01000,0100,D 88764,A81000C,01000,0200,JAMES WELCH 88764,A81000C,01000,0400,WELCH HC & RETIREMENT GRP 88764,A81000C,01000,0600,CENTRAL OFFICE 88764,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88764,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88764,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88764,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88764,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88764,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88764,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88764,B100000,00000,0800,00000MEALS SERVED :DIETARY 88764,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 88764,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88764,B100000,00000,1150,00000N/A :PHARMACY 88764,B100000,00000,1250,00000N/A :MEDICAL RECORDS & LIBRARY 88764,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88764,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88764,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88764,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88764,S000000,00100,0200,06/01/2000 88764,S200000,00100,0100,233 MIDDLE STREET 88764,S200000,00200,0100,BRAINTREE 88764,S200000,00200,0200,MA 88764,S200000,00200,0300,02184- 88764,S200000,00300,0100,NORFOLK 88764,S200000,00400,0100,JOHN SCOTT NURSING HOME 88764,S200000,00400,0200,225054 88764,S200000,00400,0300,12/27/1967 88764,S200000,00400,0500,P 88764,S200000,00400,0600,P 88764,S200000,01004,0500,O 88764,S200000,01600,0100,Y 88764,S700003,00000,0100,1 88771,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88771,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88771,A000000,00300,0000,00300EMPLOYEE BENEFITS 88771,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88771,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88771,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88771,A000000,00700,0000,00700HOUSEKEEPING 88771,A000000,00800,0000,00800DIETARY 88771,A000000,00900,0000,00900NURSING ADMINISTRATION 88771,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88771,A000000,01100,0000,01100PHARMACY 88771,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88771,A000000,01300,0000,01300SOCIAL SERVICE 88771,A000000,01350,0000,01500ACTIVITIES 88771,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88771,A000000,01600,0000,01600SKILLED NURSING FACILITY 88771,A000000,01800,0000,01800NURSING FACILITY 88771,A000000,01810,0000,01810ICF/MR 88771,A000000,02200,0000,02200LABORATORY 88771,A000000,02300,0000,02300INTRAVENOUS THERAPY 88771,A000000,02500,0000,02500PHYSICAL THERAPY 88771,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88771,A000000,02700,0000,02700SPEECH PATHOLOGY 88771,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88771,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88771,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88771,A000000,03051,0000,03301NUTRITIONAL THERAPY 88771,A000000,03052,0000,03302X-RAY 88771,A000000,03550,0000,03550FQHC 88771,A000000,05000,0000,05000CORF 88771,A000000,05010,0000,05010CMHC 88771,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88771,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88771,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88771,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88771,A81000A,00100,0100,Y 88771,A81000B,00100,0300,MGT FEE-CAP RELATED 88771,A81000B,00200,0300,MGT FEE-NOT CAPITAL 88771,A81000B,00300,0300,MGT FEE-CAP REL MOV 88771,A81000B,00400,0300,CLERICAL SALARIES 88771,A81000B,00500,0300,PLANT SALARIES 88771,A81000B,00600,0300,DIETICIAN-ALLOCATED 88771,A81000B,00700,0300,CASE MIX EVAL-ALLOC 88771,A81000B,00800,0300,DIR NURSNG SVC-ALLOC 88771,A81000B,00900,0300,MDS COORD -ALLOC 88771,A81000B,01000,0300,REHAB DIRECTOR-ALLOC 88771,A81000B,01100,0300,SOCIAL SVC SALARY 88771,A81000B,01200,0300,RENT-CAPITAL 88771,A81000B,01300,0300,RENT-CAP MOVEABLE 88771,A81000B,01400,0300,RENT-NON CAP 88771,A81000C,00100,0100,A 88771,A81000C,00100,0200,F.E. LOGAN 88771,A81000C,00100,0400,LOGAN HEALTHCAR 88771,A81000C,00100,0600,CENTRAL OFFICE 88771,A81000C,00200,0100,F 88771,A81000C,00200,0200,F.E. LOGAN 88771,A81000C,00200,0400,MARGARET LOGAN 88771,A81000C,00200,0600,RELATIVE 88771,A81000C,00300,0100,F 88771,A81000C,00300,0200,F.E. LOGAN 88771,A81000C,00300,0400,JONATHAN LOGAN 88771,A81000C,00300,0600,RELATIVE 88771,A81000C,00400,0100,F 88771,A81000C,00400,0200,F.E. LOGAN 88771,A81000C,00400,0400,ANN DORVAL 88771,A81000C,00400,0600,RELATIVE 88771,A81000C,00500,0100,F 88771,A81000C,00500,0200,F.E. LOGAN 88771,A81000C,00500,0400,ELIHU WHITE RLT 88771,A81000C,00500,0600,RENTAL PROPERTY 88771,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88771,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88771,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88771,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88771,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88771,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88771,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88771,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88771,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88771,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88771,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 88771,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88771,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88771,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88771,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88771,S000000,00100,0200,06/02/2000 88771,S200000,00400,0100,ELIHV WHITE NURSING HOME INC. 88771,S200000,00400,0200,225058 88771,S200000,00400,0300,01/01/1967 88771,S200000,00400,0500,P 88771,S200000,01600,0100,Y 88771,S700003,00000,0100,1 88780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88780,A000000,00300,0000,00300EMPLOYEE BENEFITS 88780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88780,A000000,00700,0000,00700HOUSEKEEPING 88780,A000000,00800,0000,00800DIETARY 88780,A000000,00900,0000,00900NURSING ADMINISTRATION 88780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88780,A000000,01100,0000,01100PHARMACY 88780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88780,A000000,01300,0000,01300SOCIAL SERVICE 88780,A000000,01350,0000,01500ACTIVITIES 88780,A000000,01351,0000,01501INDIRECT CONSULTANTS 88780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88780,A000000,01600,0000,01600SKILLED NURSING FACILITY 88780,A000000,01800,0000,01800NURSING FACILITY 88780,A000000,01810,0000,01810ICF/MR 88780,A000000,01900,0000,01900OTHER LONG TERM CARE 88780,A000000,02100,0000,02100RADIOLOGY 88780,A000000,02200,0000,02200LABORATORY 88780,A000000,02300,0000,02300INTRAVENOUS THERAPY 88780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88780,A000000,02500,0000,02500PHYSICAL THERAPY 88780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88780,A000000,02700,0000,02700SPEECH PATHOLOGY 88780,A000000,02800,0000,02800ELECTROCARDIOLOGY 88780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88780,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88780,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 88780,A000000,03052,0000,03302AMBULANCE 88780,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88780,A000000,03200,0000,03200SUPPORT SURFACES 88780,A000000,03400,0000,03400CLINIC 88780,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88780,A000000,03500,0000,03500RURAL HEALTH CLINIC 88780,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88780,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88780,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88780,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88780,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88780,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88780,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88780,A000000,04400,0000,04400DME RENTED - HHA 88780,A000000,04500,0000,04500DME SOLD - HHA 88780,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88780,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88780,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88780,A000000,04800,0000,04800AMBULANCE 88780,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88780,A000000,05000,0000,05000CORF 88780,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88780,A000000,05300,0000,05300INTEREST EXPENSE 88780,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88780,A000000,05500,0000,05500HOSPICE 88780,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88780,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88780,A000000,06100,0000,06100NONPAID WORKERS 88780,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 88780,A000000,06151,0000,06301PATIENTS LAUNDRY 88780,A000000,06200,0000,06200PATIENTS LAUNDRY 88780,A81000A,00100,0100,Y 88780,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 88780,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 88780,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 88780,A81000B,00400,0300,PHYSICAL THERAPY 88780,A81000B,00500,0300,OCCUPATIONAL THERAPY 88780,A81000B,00600,0300,SPEECH THERAPY 88780,A81000B,00700,0300,DIETICIAN PURCHASED SERVICE 88780,A81000B,00800,0300,PROFESSIONAL FEES 88780,A81000C,00100,0100,A 88780,A81000C,00100,0200,MICHAEL F WELCH 88780,A81000C,00100,0400,WELCH HC & RETIREMENT GRP 88780,A81000C,00100,0600,MANAGEMENT COMPANY 88780,A81000C,00200,0100,A 88780,A81000C,00200,0200,RICHARD M WELCH 88780,A81000C,00200,0400,WELCH HC & RETIREMENT GRP 88780,A81000C,00200,0600,MANAGEMENT COMPANY 88780,A81000C,00300,0100,A 88780,A81000C,00300,0200,PAUL T CASALE 88780,A81000C,00300,0400,WELCH HC & RETIREMENT GRP 88780,A81000C,00300,0600,MANAGEMENT COMPANY 88780,A81000C,00400,0100,A 88780,A81000C,00400,0200,THOMAS F WELCH 88780,A81000C,00400,0400,WELCH HC & RETIREMENT GRP 88780,A81000C,00400,0600,MANAGEMENT COMPANY 88780,A81000C,00500,0100,A 88780,A81000C,00500,0200,RITA M WELCH 88780,A81000C,00500,0400,WELCH HC & RETIREMENT GRP 88780,A81000C,00500,0600,MANAGEMENT COMPANY 88780,A81000C,00600,0100,B 88780,A81000C,00600,0200,COLONIAL NURSING HOME 88780,A81000C,00600,0400,AURUM 88780,A81000C,00600,0600,TRADE ASSOCIATION 88780,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 88780,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 88780,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 88780,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 88780,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 88780,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 88780,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 88780,B100000,00000,0800,00001MEALS SERVED :DIETARY 88780,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 88780,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 88780,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 88780,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 88780,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 88780,E10A180,00301,0100,08/24/1999 88780,S000000,00100,0200,06/01/2000 88780,S200000,00100,0100,125 BROAD STREET 88780,S200000,00200,0100,WEYMOUTH 88780,S200000,00200,0200,MA 88780,S200000,00200,0300,02188- 88780,S200000,00300,0100,NORFOLK 88780,S200000,00300,0200,1123 88780,S200000,00300,0300,U 88780,S200000,00400,0100,COLONIAL NURSING HOME OF WEYMOUTH 88780,S200000,00400,0200,225059 88780,S200000,00400,0300,12/27/1967 88780,S200000,00400,0500,P 88780,S200000,00400,0600,P 88780,S200000,01600,0100,Y 88817,S000000,00100,0200,02/28/2001 88823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88823,A000000,00300,0000,00300EMPLOYEE BENEFITS 88823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88823,A000000,00700,0000,00700HOUSEKEEPING 88823,A000000,00800,0000,00800DIETARY 88823,A000000,00900,0000,00900NURSING ADMINISTRATION 88823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88823,A000000,01100,0000,01100PHARMACY 88823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88823,A000000,01300,0000,01300SOCIAL SERVICE 88823,A000000,01301,0000,01301ACTIVITIES 88823,A000000,01350,0000,01500OTHER GENERAL SERVICES 88823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88823,A000000,01600,0000,01600SKILLED NURSING FACILITY 88823,A000000,01800,0000,01800NURSING FACILITY 88823,A000000,01810,0000,01801ICF/MR 88823,A000000,01900,0000,01900OTHER LONG TERM CARE 88823,A000000,02100,0000,02100RADIOLOGY 88823,A000000,02200,0000,02200LABORATORY 88823,A000000,02300,0000,02300INTRAVENOUS THERAPY 88823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88823,A000000,02500,0000,02500PHYSICAL THERAPY 88823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88823,A000000,02700,0000,02700SPEECH PATHOLOGY 88823,A000000,02800,0000,02800ELECTROCARDIOLOGY 88823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88823,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88823,A000000,03200,0000,03200SUPPORT SURFACES 88823,A000000,03400,0000,03400CLINIC 88823,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88823,A000000,03500,0000,03500RURAL HEALTH CLINIC 88823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88823,A000000,04400,0000,04400DME RENTED - HHA 88823,A000000,04500,0000,04500DME SOLD - HHA 88823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88823,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88823,A000000,04800,0000,04800AMBULANCE 88823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88823,A000000,05000,0000,05000CORF 88823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88823,A000000,05300,0000,05300INTEREST EXPENSE 88823,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88823,A000000,05500,0000,05500HOSPICE 88823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88823,A000000,06100,0000,06100NONPAID WORKERS 88823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88823,A000000,06200,0000,06200PATIENTS LAUNDRY 88823,A81000A,00100,0100,Y 88823,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED 88823,A81000B,00200,0300,HOME OFFICE NON-CAP RELATED 88823,A81000C,00100,0100,B 88823,A81000C,00100,0200,OAKWOOD LIVING CENTERS 88823,A81000C,00100,0400,OAKWOOD LIVING CENTERS 88823,A81000C,00100,0600,HOME OFFICE 88823,A81000C,00200,0100,B 88823,A81000C,00200,0200,OAKWOOD LIVING CENTERS 88823,A81000C,00200,0400,OAKWOOD LIVING CENTERS 88823,A81000C,00200,0600,HOME OFFICE 88823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88823,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88823,B100000,00000,0750,00000MODIFIED SQUARE FEE :HOUSEKEEPING 88823,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88823,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88823,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88823,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 88823,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88823,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88823,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 88823,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 88823,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88823,S000000,00100,0200,06/13/2000 88823,S200000,00100,0100,123 SOUTH STREET 88823,S200000,00200,0100,PLYMOUTH 88823,S200000,00200,0200,MA 88823,S200000,00200,0300,02360- 88823,S200000,00300,0100,PLYMOUTH 88823,S200000,00400,0100,MAYFLOWER NURSING & REHAB CTR 88823,S200000,00400,0200,225207 88823,S200000,00400,0300,01/28/1972 88823,S200000,00400,0500,P 88823,S200000,01600,0100,Y 88823,S200000,02800,0100,Y 88823,S700003,00000,0100,1 88846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88846,A000000,00300,0000,00300EMPLOYEE BENEFITS 88846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88846,A000000,00700,0000,00700HOUSEKEEPING 88846,A000000,00800,0000,00800DIETARY 88846,A000000,00900,0000,00900NURSING ADMINISTRATION 88846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88846,A000000,01100,0000,01100PHARMACY 88846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88846,A000000,01300,0000,01300SOCIAL SERVICE 88846,A000000,01301,0000,01301ACTIVITIES 88846,A000000,01350,0000,01500OTHER GENERAL SERVICES 88846,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88846,A000000,01600,0000,01600SKILLED NURSING FACILITY 88846,A000000,01800,0000,01800NURSING FACILITY 88846,A000000,01810,0000,01801ICF/MR 88846,A000000,01900,0000,01900OTHER LONG TERM CARE 88846,A000000,02100,0000,02100RADIOLOGY 88846,A000000,02200,0000,02200LABORATORY 88846,A000000,02300,0000,02300INTRAVENOUS THERAPY 88846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88846,A000000,02500,0000,02500PHYSICAL THERAPY 88846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88846,A000000,02700,0000,02700SPEECH PATHOLOGY 88846,A000000,02800,0000,02800ELECTROCARDIOLOGY 88846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88846,A000000,03050,0000,03300PEN THERAPY 88846,A000000,03051,0000,03301 88846,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88846,A000000,03200,0000,03200SUPPORT SURFACES 88846,A000000,03400,0000,03400CLINIC 88846,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88846,A000000,03500,0000,03500RURAL HEALTH CLINIC 88846,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88846,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88846,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88846,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88846,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88846,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88846,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88846,A000000,04400,0000,04400DME RENTED - HHA 88846,A000000,04500,0000,04500DME SOLD - HHA 88846,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88846,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88846,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88846,A000000,04800,0000,04800AMBULANCE 88846,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88846,A000000,05000,0000,05000CORF 88846,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88846,A000000,05300,0000,05300INTEREST EXPENSE 88846,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88846,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88846,A000000,05500,0000,05500HOSPICE 88846,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88846,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88846,A000000,06100,0000,06100NONPAID WORKERS 88846,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88846,A000000,06200,0000,06200PATIENTS LAUNDRY 88846,A81000A,00100,0100,Y 88846,A81000B,00100,0300,HOME OFFICE CAPITAL 88846,A81000B,00200,0300,HOME OFFICE A & G 88846,A81000C,00100,0100,B 88846,A81000C,00100,0200,OAKWOOD LIVING CTRS. INC. 88846,A81000C,00100,0400,OAKWOOD LIVING CTRS. INC. 88846,A81000C,00100,0600,HOME OFFICE 88846,A81000C,00200,0100,B 88846,A81000C,00200,0200,OAKWOOD LIVING CTRS. INC. 88846,A81000C,00200,0400,OAKWOOD LIVING CTRS. INC 88846,A81000C,00200,0600,HOME OFFICE 88846,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88846,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88846,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88846,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88846,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88846,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88846,B100000,00000,0750,00000MODIFIED SQUARE FEE :HOUSEKEEPING 88846,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88846,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88846,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88846,B100000,00000,1100,00000REQUIS. :PHARMACY 88846,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88846,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88846,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 88846,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 88846,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88846,S000000,00100,0200,06/14/2000 88846,S200000,00100,0100,184 LINCOLN STREET 88846,S200000,00200,0100,NORTH EASTON 88846,S200000,00200,0200,CA 88846,S200000,00200,0300,02356- 88846,S200000,00300,0100,BRISTOL 88846,S200000,00400,0100,EASTON LINCOLN NSG & REHAB CTR 88846,S200000,00400,0200,225225 88846,S200000,00400,0300,03/04/1975 88846,S200000,00400,0500,P 88846,S200000,01600,0100,Y 88846,S200000,02800,0100,Y 88846,S700003,00000,0100,1 88867,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88867,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88867,A000000,00300,0000,00300EMPLOYEE BENEFITS 88867,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88867,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88867,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88867,A000000,00700,0000,00700HOUSEKEEPING 88867,A000000,00800,0000,00800DIETARY 88867,A000000,00900,0000,00900NURSING ADMINISTRATION 88867,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88867,A000000,01100,0000,01100PHARMACY 88867,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88867,A000000,01300,0000,01300SOCIAL SERVICE 88867,A000000,01350,0000,01500ACTIVITIES 88867,A000000,01351,0000,01501INDIRECT CONSULTANTS 88867,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88867,A000000,01600,0000,01600SKILLED NURSING FACILITY 88867,A000000,01800,0000,01800NURSING FACILITY 88867,A000000,01810,0000,01801ICF/MR 88867,A000000,01900,0000,01900OTHER LONG TERM CARE 88867,A000000,02100,0000,02100RADIOLOGY 88867,A000000,02200,0000,02200LABORATORY 88867,A000000,02300,0000,02300INTRAVENOUS THERAPY 88867,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88867,A000000,02500,0000,02500PHYSICAL THERAPY 88867,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88867,A000000,02700,0000,02700SPEECH PATHOLOGY 88867,A000000,02800,0000,02800ELECTROCARDIOLOGY 88867,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88867,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88867,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88867,A000000,03051,0000,03301AMBULANCE 88867,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88867,A000000,03200,0000,03200SUPPORT SURFACES 88867,A000000,03400,0000,03400CLINIC 88867,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88867,A000000,03500,0000,03500RURAL HEALTH CLINIC 88867,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88867,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88867,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88867,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88867,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88867,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88867,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88867,A000000,04400,0000,04400DME RENTED - HHA 88867,A000000,04500,0000,04500DME SOLD - HHA 88867,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88867,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88867,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88867,A000000,04800,0000,04800AMBULANCE 88867,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88867,A000000,05000,0000,05000CORF 88867,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88867,A000000,05300,0000,05300INTEREST EXPENSE 88867,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88867,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88867,A000000,05500,0000,05500HOSPICE 88867,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88867,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88867,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88867,A000000,06100,0000,06100NONPAID WORKERS 88867,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COST 88867,A000000,06151,0000,06301CHILD DAY CARE 88867,A000000,06152,0000,06302CHAPEL 88867,A000000,06200,0000,06200PATIENTS LAUNDRY 88867,A81000A,00100,0100,Y 88867,A81000B,00100,0300,LICENSE & DUES 88867,A81000B,00200,0300,PERSONEL SALARIES 88867,A81000B,00300,0300,BOOKKEEPING SALARIES 88867,A81000B,00400,0300,SOCIAL SERVICE SALARY 88867,A81000B,00500,0300,PT SALARY 88867,A81000B,00600,0300,OT SALARY 88867,A81000B,00700,0300,ST SALARY 88867,A81000B,00800,0300,MARKETING SALARY 88867,A81000B,00900,0300,DIETARY SALARY 88867,A81000B,01000,0300,ADMIN SALARY 88867,A81000C,00100,0100,A 88867,A81000C,00100,0200,DANIEL SALMON 88867,A81000C,00100,0400,BEAUMONT AT THE WILLOWS 88867,A81000C,00100,0600,SNF 88867,A81000C,00200,0100,G 88867,A81000C,00200,0200,HENRY SALMON 88867,A81000C,00300,0100,G 88867,A81000C,00300,0200,DJ SALMON LANDSCAPING 88867,A81000C,00400,0100,C 88867,A81000C,00400,0200,BNH INC. 88867,A81000C,00400,0400,AURUM 88867,A81000C,00400,0600,TRADE ASSOC. 88867,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 88867,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 88867,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 88867,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 88867,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 88867,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 88867,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 88867,B100000,00000,0800,00002MEALS SERVED :DIETARY 88867,B100000,00000,0900,00002HOURS :NURSING ADMINISTRATION 88867,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 88867,B100000,00000,1150,00002N/A :PHARMACY 88867,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 88867,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 88867,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 88867,B100000,00000,1351,00002N/A :INDIRECT CONSULTANTS 88867,B100000,00000,1450,00002N/A :INTERNS & RESIDENTS (APPRVD 88867,S000000,00100,0200,06/01/2000 88867,S200000,00100,0100,85 BEAUMONT DRIVE 88867,S200000,00200,0100,NORTHBRIDGE 88867,S200000,00200,0200,MA 88867,S200000,00200,0300,01534- 88867,S200000,00300,0100,WORCESTER 88867,S200000,00400,0100,BEAUMONT NURSING HOME 88867,S200000,00400,0200,225248 88867,S200000,00400,0300,03/01/1976 88867,S200000,00400,0500,P 88867,S200000,00400,0600,P 88867,S200000,01004,0500,O 88867,S200000,01600,0100,Y 88867,S700003,00000,0100,1 88874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88874,A000000,00300,0000,00300EMPLOYEE BENEFITS 88874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88874,A000000,00700,0000,00700HOUSEKEEPING 88874,A000000,00800,0000,00800DIETARY 88874,A000000,00900,0000,00900NURSING ADMINISTRATION 88874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88874,A000000,01100,0000,01100PHARMACY 88874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88874,A000000,01300,0000,01300SOCIAL SERVICE 88874,A000000,01350,0000,01500ACTIVITIES 88874,A000000,01351,0000,01501INDIRECT CONSULTANTS 88874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88874,A000000,01600,0000,01600SKILLED NURSING FACILITY 88874,A000000,01800,0000,01800NURSING FACILITY 88874,A000000,01810,0000,01801ICF/MR 88874,A000000,01900,0000,01900OTHER LONG TERM CARE 88874,A000000,02100,0000,02100RADIOLOGY 88874,A000000,02200,0000,02200LABORATORY 88874,A000000,02300,0000,02300INTRAVENOUS THERAPY 88874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88874,A000000,02500,0000,02500PHYSICAL THERAPY 88874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88874,A000000,02700,0000,02700SPEECH PATHOLOGY 88874,A000000,02800,0000,02800ELECTROCARDIOLOGY 88874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88874,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88874,A000000,03051,0000,03301AMBULANCE 88874,A000000,03052,0000,03302ENTERAL THERAPY 88874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88874,A000000,03200,0000,03200SUPPORT SURFACES 88874,A000000,03400,0000,03400CLINIC 88874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88874,A000000,03500,0000,03500RURAL HEALTH CLINIC 88874,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88874,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88874,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88874,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88874,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88874,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88874,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88874,A000000,04400,0000,04400DME RENTED - HHA 88874,A000000,04500,0000,04500DME SOLD - HHA 88874,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88874,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88874,A000000,04800,0000,04800AMBULANCE 88874,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88874,A000000,05000,0000,05000CORF 88874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88874,A000000,05300,0000,05300INTEREST EXPENSE 88874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88874,A000000,05500,0000,05500HOSPICE 88874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88874,A000000,06100,0000,06100NONPAID WORKERS 88874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88874,A000000,06200,0000,06200PATIENTS LAUNDRY 88874,A81000A,00100,0100,Y 88874,A81000B,00100,0300,ADMINISTRATOR SALARY 88874,A81000C,00100,0100,G 88874,A81000C,00100,0200,L STARR TRUST FBO P STARR 88874,A81000C,00200,0100,G 88874,A81000C,00200,0200,L STARR TRUST FBO R STARR 88874,A81000C,00300,0100,G 88874,A81000C,00300,0200,LORRAINE STARR 88874,A81000C,00400,0100,G 88874,A81000C,00400,0200,RICHARD STARR 88874,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88874,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88874,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88874,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88874,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88874,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88874,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88874,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88874,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88874,B100000,00000,1150,00000N/A :PHARMACY 88874,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88874,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88874,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88874,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88874,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88874,S000000,00100,0200,05/22/2000 88874,S200000,00100,0100,50 RECREATION DRIVE 88874,S200000,00200,0100,HINGHAM 88874,S200000,00200,0200,MA 88874,S200000,00200,0300,02043- 88874,S200000,00300,0100,PLYMOUTH 88874,S200000,00400,0100,QUEEN ANNE NURSING HOME 88874,S200000,00400,0200,225254 88874,S200000,00400,0300,05/31/1971 88874,S200000,00400,0500,P 88874,S200000,00400,0600,P 88874,S200000,01004,0500,O 88874,S200000,01500,0100,Y 88874,S700003,00000,0100,1 88885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88885,A000000,00300,0000,00300EMPLOYEE BENEFITS 88885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88885,A000000,00700,0000,00700HOUSEKEEPING 88885,A000000,00800,0000,00800DIETARY 88885,A000000,00900,0000,00900NURSING ADMINISTRATION 88885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88885,A000000,01100,0000,01100PHARMACY 88885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88885,A000000,01300,0000,01300SOCIAL SERVICE 88885,A000000,01350,0000,01500ACTIVITIES 88885,A000000,01351,0000,01501INDIRECT CONSULTANTS 88885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88885,A000000,01600,0000,01600SKILLED NURSING FACILITY 88885,A000000,01800,0000,01800NURSING FACILITY 88885,A000000,01810,0000,01801ICF/MR 88885,A000000,01900,0000,01900OTHER LONG TERM CARE 88885,A000000,02100,0000,02100RADIOLOGY 88885,A000000,02200,0000,02200LABORATORY 88885,A000000,02300,0000,02300INTRAVENOUS THERAPY 88885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88885,A000000,02500,0000,02500PHYSICAL THERAPY 88885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88885,A000000,02700,0000,02700SPEECH PATHOLOGY 88885,A000000,02800,0000,02800ELECTROCARDIOLOGY 88885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88885,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88885,A000000,03051,0000,03301AMBULANCE 88885,A000000,03052,0000,03302PEN THERAPY 88885,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88885,A000000,03200,0000,03200SUPPORT SURFACES 88885,A000000,03400,0000,03400CLINIC 88885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88885,A000000,03500,0000,03500RURAL HEALTH CLINIC 88885,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88885,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88885,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88885,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88885,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88885,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88885,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88885,A000000,04400,0000,04400DME RENTED - HHA 88885,A000000,04500,0000,04500DME SOLD - HHA 88885,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88885,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88885,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88885,A000000,04800,0000,04800AMBULANCE 88885,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88885,A000000,05000,0000,05000CORF 88885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88885,A000000,05300,0000,05300INTEREST EXPENSE 88885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88885,A000000,05500,0000,05500HOSPICE 88885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88885,A000000,06100,0000,06100NONPAID WORKERS 88885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88885,A000000,06200,0000,06200PATIENTS LAUNDRY 88885,A81000A,00100,0100,Y 88885,A81000B,00100,0300,DIETARY SALARY 88885,A81000B,00200,0300,ST SALARY 88885,A81000B,00300,0300,SS SALARY 88885,A81000B,00400,0300,SALARY 88885,A81000B,00500,0300,PLANT P/S 88885,A81000B,00600,0300,PT SALARY 88885,A81000B,00700,0300,PT SALARY 88885,A81000C,00100,0100,A 88885,A81000C,00100,0200,DANIEL SALMON 88885,A81000C,00100,0400,BEAUMONT NH INC. 88885,A81000C,00100,0600,NURSING HOME 88885,A81000C,00200,0100,D 88885,A81000C,00200,0200,DJ SALMON III 88885,A81000C,00200,0400,DJ SALMON LAND 88885,A81000C,00200,0600,LANDSCAPER 88885,A81000C,00300,0100,D 88885,A81000C,00300,0200,MATT SALMON 88885,A81000C,00300,0600,SALARY 88885,A81000C,00400,0100,D 88885,A81000C,00400,0200,KIM SALMON 88885,A81000C,00400,0600,SALARY 88885,A81000C,00500,0100,D 88885,A81000C,00500,0200,KATE SALMON 88885,A81000C,00500,0600,SALARY 88885,A81000C,00600,0100,A 88885,A81000C,00600,0400,BEAUMONT AT NATICK 88885,A81000C,00600,0600,NURSING HOME 88885,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88885,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88885,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88885,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88885,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88885,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88885,B100000,00000,0800,00000MEALS SERVED :DIETARY 88885,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 88885,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88885,B100000,00000,1150,00000N/A :PHARMACY 88885,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88885,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88885,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88885,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88885,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88885,S000000,00100,0200,06/01/2000 88885,S200000,00100,0100,ONE LYMAN STREET 88885,S200000,00200,0100,WESTBOROUGH 88885,S200000,00200,0200,MA 88885,S200000,00200,0300,01581- 88885,S200000,00300,0100,WORCESTER 88885,S200000,00400,0100,BEAUMONT AT THE WILLOWS 88885,S200000,00400,0200,225275 88885,S200000,00400,0300,12/28/1983 88885,S200000,00400,0500,P 88885,S200000,00400,0600,P 88885,S200000,01004,0500,O 88885,S200000,01600,0100,Y 88885,S700003,00000,0100,1 88892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88892,A000000,00300,0000,00300EMPLOYEE BENEFITS 88892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88892,A000000,00700,0000,00700HOUSEKEEPING 88892,A000000,00800,0000,00800DIETARY 88892,A000000,00900,0000,00900NURSING ADMINISTRATION 88892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88892,A000000,01100,0000,01100PHARMACY 88892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88892,A000000,01300,0000,01300SOCIAL SERVICE 88892,A000000,01350,0000,01500ACTIVITIES 88892,A000000,01351,0000,01501INDIRECT CONSULTANTS 88892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88892,A000000,01600,0000,01600SKILLED NURSING FACILITY 88892,A000000,01800,0000,01800NURSING FACILITY 88892,A000000,01810,0000,01801ICF/MR 88892,A000000,01900,0000,01900OTHER LONG TERM CARE 88892,A000000,02100,0000,02100RADIOLOGY 88892,A000000,02200,0000,02200LABORATORY 88892,A000000,02300,0000,02300INTRAVENOUS THERAPY 88892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88892,A000000,02500,0000,02500PHYSICAL THERAPY 88892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88892,A000000,02700,0000,02700SPEECH PATHOLOGY 88892,A000000,02800,0000,02800ELECTROCARDIOLOGY 88892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88892,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88892,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 88892,A000000,03052,0000,03302AMBULANCE 88892,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88892,A000000,03200,0000,03200SUPPORT SURFACES 88892,A000000,03400,0000,03400CLINIC 88892,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88892,A000000,03500,0000,03500RURAL HEALTH CLINIC 88892,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88892,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88892,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88892,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88892,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88892,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88892,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88892,A000000,04400,0000,04400DME RENTED - HHA 88892,A000000,04500,0000,04500DME SOLD - HHA 88892,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88892,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88892,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88892,A000000,04800,0000,04800AMBULANCE 88892,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88892,A000000,05000,0000,05000CORF 88892,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88892,A000000,05300,0000,05300INTEREST EXPENSE 88892,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88892,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88892,A000000,05500,0000,05500HOSPICE 88892,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88892,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88892,A000000,06100,0000,06100NONPAID WORKERS 88892,A000000,06150,0000,06300ADULT DAY HEALTH 88892,A000000,06200,0000,06200PATIENTS LAUNDRY 88892,A81000A,00100,0100,Y 88892,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 88892,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 88892,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 88892,A81000B,00400,0300,PHYSICAL THERAPY 88892,A81000B,00500,0300,OCCUPATIONAL THERAPY 88892,A81000B,00600,0300,SPEECH THERAPY 88892,A81000B,00700,0300,DIETARY PURCHASED SERVICE 88892,A81000B,00800,0300,NURSES SALARIES 88892,A81000B,00900,0300,NURSES SALARIES 88892,A81000B,01000,0300,CLERICAL SALARIES 88892,A81000B,01100,0300,DIETARY SALARIES 88892,A81000C,00100,0100,A 88892,A81000C,00100,0200,RITA WELCH 88892,A81000C,00100,0400,WELCH HC & RETIREMENT GRP 88892,A81000C,00100,0600,MANAGEMENT COMPANY 88892,A81000C,00200,0100,A 88892,A81000C,00200,0200,THOMAS WELCH 88892,A81000C,00200,0400,WELCH HC & RETIREMENT GRP 88892,A81000C,00200,0600,MANAGEMENT COMPANY 88892,A81000C,00300,0100,A 88892,A81000C,00300,0200,RICHARD WELCH 88892,A81000C,00300,0400,WELCH HC & RETIREMENT GRP 88892,A81000C,00300,0600,MANAGEMENT COMPANY 88892,A81000C,00400,0100,A 88892,A81000C,00400,0200,PAUL CASALE 88892,A81000C,00400,0400,WELCH HC & RETIREMENT GRP 88892,A81000C,00400,0600,MANAGEMENT COMPANY 88892,A81000C,00500,0100,A 88892,A81000C,00500,0200,MICHAEL WELCH 88892,A81000C,00500,0400,WELCH HC & RETIREMENT GRP 88892,A81000C,00500,0600,MANAGEMENT COMPANY 88892,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88892,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88892,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88892,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88892,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88892,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88892,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88892,B100000,00000,0800,00000MEALS SERVED :DIETARY 88892,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 88892,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88892,B100000,00000,1150,00000N/A :PHARMACY 88892,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 88892,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88892,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88892,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88892,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88892,S000000,00100,0200,06/01/2000 88892,S200000,00100,0100,308 KINGSTOWN WAY 88892,S200000,00200,0100,DUXBURY 88892,S200000,00200,0200,MA 88892,S200000,00200,0300,02332- 88892,S200000,00300,0100,PLYMOUTH 88892,S200000,00400,0100,BAYPATH AT DUXBURY N&R CENTER 88892,S200000,00400,0200,225279 88892,S200000,00400,0300,07/25/1994 88892,S200000,00400,0500,P 88892,S200000,00400,0600,P 88892,S200000,01004,0500,O 88892,S200000,01600,0100,Y 88892,S700003,00000,0100,1 88900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88900,A000000,00300,0000,00300EMPLOYEE BENEFITS 88900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88900,A000000,00700,0000,00700HOUSEKEEPING 88900,A000000,00800,0000,00800DIETARY 88900,A000000,00900,0000,00900NURSING ADMINISTRATION 88900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88900,A000000,01100,0000,01100PHARMACY 88900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88900,A000000,01300,0000,01300SOCIAL SERVICE 88900,A000000,01350,0000,01500ACTIVITIES 88900,A000000,01351,0000,01501INDIRECT CONSULTANTS 88900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88900,A000000,01600,0000,01600SKILLED NURSING FACILITY 88900,A000000,01800,0000,01800NURSING FACILITY 88900,A000000,01810,0000,01801ICF/MR 88900,A000000,01900,0000,01900OTHER LONG TERM CARE 88900,A000000,02100,0000,02100RADIOLOGY 88900,A000000,02200,0000,02200LABORATORY 88900,A000000,02300,0000,02300INTRAVENOUS THERAPY 88900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88900,A000000,02500,0000,02500PHYSICAL THERAPY 88900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88900,A000000,02700,0000,02700SPEECH PATHOLOGY 88900,A000000,02800,0000,02800ELECTROCARDIOLOGY 88900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88900,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88900,A000000,03051,0000,03301AMBULANCE 88900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88900,A000000,03200,0000,03200SUPPORT SURFACES 88900,A000000,03400,0000,03400CLINIC 88900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88900,A000000,03500,0000,03500RURAL HEALTH CLINIC 88900,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88900,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88900,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88900,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88900,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88900,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88900,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88900,A000000,04400,0000,04400DME RENTED - HHA 88900,A000000,04500,0000,04500DME SOLD - HHA 88900,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88900,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88900,A000000,04800,0000,04800AMBULANCE 88900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88900,A000000,05000,0000,05000CORF 88900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88900,A000000,05300,0000,05300INTEREST EXPENSE 88900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88900,A000000,05500,0000,05500HOSPICE 88900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88900,A000000,06100,0000,06100NONPAID WORKERS 88900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88900,A000000,06200,0000,06200PATIENTS LAUNDRY 88900,A81000A,00100,0100,Y 88900,A81000B,00100,0300,RENT-CAPITAL RELATED 88900,A81000B,00200,0300,RENT - CAP REL MOVABLE 88900,A81000B,00300,0300,MGMT FEE - NOT CAP REL 88900,A81000B,00400,0300,RENT - NOT CAP REL 88900,A81000C,00100,0100,A 88900,A81000C,00100,0200,STEVEN CROOPNICK 88900,A81000C,00100,0400,QVCC REALTY 88900,A81000C,00100,0600,RENTAL 88900,A81000C,00200,0100,A 88900,A81000C,00200,0200,MARK GORSTEIN 88900,A81000C,00200,0400,QVCC REALTY 88900,A81000C,00200,0600,RENTAL 88900,A81000C,00300,0100,A 88900,A81000C,00300,0200,ROBERT SCHLUNT 88900,A81000C,00300,0400,QVCC REALTY 88900,A81000C,00300,0600,RENTAL 88900,A81000C,00400,0100,A 88900,A81000C,00400,0200,STEWART GROSSMAN 88900,A81000C,00400,0400,QVCC REALTY 88900,A81000C,00400,0600,RENTAL 88900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88900,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88900,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88900,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 88900,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88900,B100000,00000,1150,00000N/A :PHARMACY 88900,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88900,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88900,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88900,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88900,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88900,E10A180,00301,0100,06/16/1999 88900,S000000,00100,0200,05/26/2000 88900,S200000,00100,0100,821 DANIEL SHAYS HIGHWAY 88900,S200000,00200,0100,ATHOL 88900,S200000,00200,0200,MA 88900,S200000,00200,0300,01331- 88900,S200000,00300,0100,WORCESTER 88900,S200000,00400,0100,QUABBIN VALLEY CONVALESCENT CENTER 88900,S200000,00400,0200,225296 88900,S200000,00400,0300,04/17/1989 88900,S200000,00400,0500,P 88900,S200000,00400,0600,P 88900,S200000,01500,0100,Y 88900,S700003,00000,0100,1 88908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88908,A000000,00300,0000,00300EMPLOYEE BENEFITS 88908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88908,A000000,00700,0000,00700HOUSEKEEPING 88908,A000000,00800,0000,00800DIETARY 88908,A000000,00900,0000,00900NURSING ADMINISTRATION 88908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88908,A000000,01100,0000,01100PHARMACY 88908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88908,A000000,01300,0000,01300SOCIAL SERVICE 88908,A000000,01350,0000,01500ACTIVITIES 88908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88908,A000000,01600,0000,01600SKILLED NURSING FACILITY 88908,A000000,01800,0000,01800NURSING FACILITY 88908,A000000,01810,0000,01801ICF/MR 88908,A000000,01900,0000,01900OTHER LONG TERM CARE 88908,A000000,02100,0000,02100RADIOLOGY 88908,A000000,02200,0000,02200LABORATORY 88908,A000000,02300,0000,02300INTRAVENOUS THERAPY 88908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88908,A000000,02500,0000,02500PHYSICAL THERAPY 88908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88908,A000000,02700,0000,02700SPEECH PATHOLOGY 88908,A000000,02800,0000,02800ELECTROCARDIOLOGY 88908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88908,A000000,03050,0000,03300DIALYSIS 88908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88908,A000000,03200,0000,03200SUPPORT SURFACES 88908,A000000,03400,0000,03400CLINIC 88908,A000000,03401,0000,03401CLINIC 88908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88908,A000000,03500,0000,03500RURAL HEALTH CLINIC 88908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88908,A000000,04400,0000,04400DME RENTED - HHA 88908,A000000,04500,0000,04500DME SOLD - HHA 88908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88908,A000000,04800,0000,04800AMBULANCE 88908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88908,A000000,05000,0000,05000CORF 88908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88908,A000000,05300,0000,05300INTEREST EXPENSE 88908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88908,A000000,05500,0000,05500HOSPICE 88908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88908,A000000,06100,0000,06100NONPAID WORKERS 88908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88908,A000000,06200,0000,06200PATIENTS LAUNDRY 88908,A81000A,00100,0100,Y 88908,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED 88908,A81000B,00200,0300,HOME OFFICE A & G 88908,A81000C,00100,0100,B 88908,A81000C,00100,0200,OAKWOOD LIVING CENTERS 88908,A81000C,00100,0400,OAKWOOD LIVING CENTERS 88908,A81000C,00100,0600,HOME OFFICE 88908,A81000C,00200,0100,B 88908,A81000C,00200,0200,OAKWOOD LIVING CENTERS 88908,A81000C,00200,0400,OAKWOOD LIVING CENTERS 88908,A81000C,00200,0600,HOME OFFICE 88908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88908,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88908,B100000,00000,0800,00000MEALS SERVED :DIETARY 88908,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88908,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88908,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 88908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88908,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88908,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88908,S000000,00100,0200,06/01/2000 88908,S200000,00100,0100,1010 VARNUM AVENUE 88908,S200000,00200,0100,LOWELL 88908,S200000,00200,0200,MA 88908,S200000,00200,0300,01854- 88908,S200000,00300,0100,MIDDLESEX 88908,S200000,00400,0100,NORTHWOOD NURSING & REHAB CTR 88908,S200000,00400,0200,225298 88908,S200000,00400,0300,02/17/1987 88908,S200000,00400,0500,P 88908,S200000,00400,0600,P 88908,S200000,00600,0200,225298 88908,S200000,00600,0300,02/17/1987 88908,S200000,00600,0600,O 88908,S200000,01600,0100,Y 88908,S700003,00000,0100,1 88916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88916,A000000,00300,0000,00300EMPLOYEE BENEFITS 88916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88916,A000000,00700,0000,00700HOUSEKEEPING 88916,A000000,00800,0000,00800DIETARY 88916,A000000,00900,0000,00900NURSING ADMINISTRATION 88916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88916,A000000,01100,0000,01100PHARMACY 88916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88916,A000000,01300,0000,01300SOCIAL SERVICE 88916,A000000,01350,0000,01500ACTIVITIES 88916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88916,A000000,01600,0000,01600SKILLED NURSING FACILITY 88916,A000000,01800,0000,01800NURSING FACILITY 88916,A000000,01810,0000,01810ICF/MR 88916,A000000,02100,0000,02100RADIOLOGY 88916,A000000,02200,0000,02200LABORATORY 88916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88916,A000000,02500,0000,02500PHYSICAL THERAPY 88916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88916,A000000,02700,0000,02700SPEECH PATHOLOGY 88916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88916,A000000,03050,0000,03110CLINITRON BEDS 88916,A000000,05000,0000,05000CORF 88916,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88916,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88916,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88916,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88916,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88916,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88916,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88916,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88916,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88916,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88916,B100000,00000,0800,00000MEALS SERVED :DIETARY 88916,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88916,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88916,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88916,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88916,B100000,00000,1300,00000PTIME DAYS :SOCIAL SERVICE 88916,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88916,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88916,S000000,00100,0200,05/31/2000 88916,S200000,00100,0100,130 COLRAIN ROAD 88916,S200000,00200,0100,GREENFIELD 88916,S200000,00200,0200,MA 88916,S200000,00200,0300,01302- 88916,S200000,00300,0100,FRANKLIN 88916,S200000,00400,0100,CHARLENE MANOR EXTENDED CAR 88916,S200000,00400,0200,225304 88916,S200000,00400,0300,10/23/1987 88916,S200000,00400,0500,P 88916,S200000,01600,0100,Y 88916,S200000,01900,0100,CORPORATION 88916,S700003,00000,0100,1 88923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88923,A000000,00300,0000,00300EMPLOYEE BENEFITS 88923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88923,A000000,00700,0000,00700HOUSEKEEPING 88923,A000000,00800,0000,00800DIETARY 88923,A000000,00900,0000,00900NURSING ADMINISTRATION 88923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88923,A000000,01100,0000,01100PHARMACY 88923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88923,A000000,01300,0000,01300SOCIAL SERVICE 88923,A000000,01350,0000,01500ACTIVITIES 88923,A000000,01600,0000,01600SKILLED NURSING FACILITY 88923,A000000,01800,0000,01800NURSING FACILITY 88923,A000000,01810,0000,01810ICF/MR 88923,A000000,02100,0000,02100RADIOLOGY 88923,A000000,02200,0000,02200LABORATORY 88923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88923,A000000,02500,0000,02500PHYSICAL THERAPY 88923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88923,A000000,02700,0000,02700SPEECH PATHOLOGY 88923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88923,A000000,03050,0000,03110CLINITRON BEDS 88923,A000000,05000,0000,05000CORF 88923,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 88923,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 88923,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 88923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88923,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88923,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88923,B100000,00000,0800,00000MEALS SERVED :DIETARY 88923,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 88923,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88923,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 88923,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88923,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88923,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88923,S000000,00100,0200,05/31/2000 88923,S200000,00100,0100,1000 NORTH STREET 88923,S200000,00200,0100,PITTSFIELD 88923,S200000,00200,0200,MA 88923,S200000,00200,0300,01201- 88923,S200000,00300,0100,BERKSHIRE 88923,S200000,00400,0100,MOUNT GREYLOCK EXTENDED CARE 88923,S200000,00400,0200,225306 88923,S200000,00400,0300,10/01/1987 88923,S200000,00400,0500,P 88923,S200000,01600,0100,Y 88923,S200000,01900,0100,CORPORATION 88928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88928,A000000,00300,0000,00300EMPLOYEE BENEFITS 88928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88928,A000000,00700,0000,00700HOUSEKEEPING 88928,A000000,00800,0000,00800DIETARY 88928,A000000,00900,0000,00900NURSING ADMINISTRATION 88928,A000000,00901,0000,00901OTHER NURSING 88928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88928,A000000,01100,0000,01100PHARMACY 88928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88928,A000000,01301,0000,01301SOCIAL SERVICE 88928,A000000,01302,0000,01302ACTIVITIES 88928,A000000,01600,0000,01600SKILLED NURSING FACILITY 88928,A000000,01800,0000,01800NURSING FACILITY 88928,A000000,02100,0000,02100RADIOLOGY 88928,A000000,02200,0000,02200LABORATORY 88928,A000000,02300,0000,02300INTRAVENOUS THERAPY 88928,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88928,A000000,02500,0000,02500PHYSICAL THERAPY 88928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88928,A000000,02700,0000,02700SPEECH PATHOLOGY 88928,A000000,02800,0000,02800ELECTROCARDIOLOGY 88928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88928,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88928,A000000,03051,0000,03301NUTRITIONAL THERAPY 88928,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 88928,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 88928,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88928,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88928,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88928,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88928,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88928,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88928,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88928,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88928,A000000,04400,0000,04400DME RENTED - HHA 88928,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88928,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88928,A000000,04800,0000,04800AMBULANCE 88928,A000000,05300,0000,05300INTEREST EXPENSE 88928,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88928,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88928,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88928,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 88928,A000000,06152,0000,06302GUEST MEALS/M.O.W. 88928,A000000,06153,0000,06303DISTRICT OFFICE SPACE 88928,A000000,06200,0000,06200PATIENTS LAUNDRY 88928,A81000A,00100,0100,Y 88928,A81000B,00100,0300,HOME OFFICE COSTS 88928,A81000B,00300,0300,RELATED PARTY RENT - GROUNDS 88928,A81000B,00400,0300,LIABILITY INSURANCE 88928,A81000B,00700,0300,VC PHARM CENTR SUP COSTS 88928,A81000B,00800,0300,VC PHARM IV THERAPY COSTS 88928,A81000B,00900,0300,VC PHARM MED SUPPS COSTS 88928,A81000B,01000,0300,VC PHARM PHARMACY COSTS 88928,A81000B,01100,0300,VC PHARM EMPL BENFT COSTS 88928,A81000B,01200,0300,VC PHARM CMPLX EQ COSTS 88928,A81000B,01300,0300,VC PHARM SNF ROUTINE CST 88928,A81000B,01400,0300,VC PHARM FOOD SUPPS COSTS 88928,A81000B,01500,0300,VC PHARM PHARM CONSULTANT 88928,A81000B,01600,0300,VENCARE ANCILLARY - PT 88928,A81000B,01700,0300,VENCARE ANCILLARY - OT 88928,A81000B,01800,0300,VENCARE ANCILLARY - ST 88928,A81000B,01900,0300,VC HOSP - INHAL THER COST 88928,A81000B,02000,0300,VC HOSP - MOBILE RAD-XRAY 88928,A81000C,00100,0100,B 88928,A81000C,00100,0400,VENCOR INC. 88928,A81000C,00100,0600,MANAGEMENT SERVICES HOME 88928,A81000C,00200,0100,B 88928,A81000C,00200,0400,MEDIQUEST SERVICES 88928,A81000C,00200,0600,HEALTHCARE 88928,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 88928,A81000C,00300,0600,RESPIRATORY THERAPY 88928,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 88928,A81000C,00500,0400,HEALTHCARE RESPIRATORY 88928,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 88928,A81000C,00700,0400,VENCARE PHARMACIES 88928,A81000C,00700,0600,PHARMACY MANAGEMENT 88928,A81000C,00800,0400,CORNERSTONE INSURANCE 88928,A81000C,00800,0600,INSURANCE 88928,A81000C,00900,0400,VENCARE ANCILLARY 88928,A81000C,00900,0600,THERAPY SERVICES 88928,A81000C,01000,0400,VENCOR HOSPITAL/ 88928,A81000C,01000,0600,PORTABLE X-RAY SERVICES 88928,A81000C,01001,0400,MOBILE RADIOLOGY 88928,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 88928,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 88928,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 88928,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 88928,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 88928,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 88928,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 88928,B100000,00000,0850,00003PATIENT DAYS :DIETARY 88928,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 88928,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 88928,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 88928,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 88928,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 88928,B100000,00000,1331,00003PATIENT DAYS :SOCIAL SERVICE 88928,B100000,00000,1332,00003PATIENT DAYS :ACTIVITIES 88928,E10A180,00302,0100,05/12/1999 88928,S000000,00100,0200,02/23/2000 88928,S200000,00100,0100,87 HERRICK ROAD 88928,S200000,00200,0100,BEVERLY 88928,S200000,00200,0200,MA 88928,S200000,00200,0300,01915- 88928,S200000,00300,0100,SUFFOLK 88928,S200000,00400,0100,LEDGEWOOD REHAB & SKILLED NRSG CNTR 88928,S200000,00400,0200,225309 88928,S200000,00400,0300,03/24/1988 88928,S200000,00400,0500,P 88928,S200000,01500,0100,Y 88928,S200000,02200,0100,Y 88928,S200000,02800,0100,Y 88928,S700003,00000,0100,1 88931,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88931,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88931,A000000,00300,0000,00300EMPLOYEE BENEFITS 88931,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88931,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88931,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88931,A000000,00700,0000,00700HOUSEKEEPING 88931,A000000,00800,0000,00800DIETARY 88931,A000000,00900,0000,00900NURSING ADMINISTRATION 88931,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88931,A000000,01100,0000,01100PHARMACY 88931,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88931,A000000,01300,0000,01300SOCIAL SERVICE 88931,A000000,01301,0000,01301ACTIVITIES 88931,A000000,01350,0000,01500OTHER GENERAL SERVICES 88931,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88931,A000000,01600,0000,01600SKILLED NURSING FACILITY 88931,A000000,01800,0000,01800NURSING FACILITY 88931,A000000,01810,0000,01810ICF/MR 88931,A000000,01900,0000,01900OTHER LONG TERM CARE 88931,A000000,02100,0000,02100RADIOLOGY 88931,A000000,02200,0000,02200LABORATORY 88931,A000000,02300,0000,02300INTRAVENOUS THERAPY 88931,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88931,A000000,02500,0000,02500PHYSICAL THERAPY 88931,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88931,A000000,02700,0000,02700SPEECH PATHOLOGY 88931,A000000,02800,0000,02800ELECTROCARDIOLOGY 88931,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88931,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88931,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88931,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88931,A000000,03200,0000,03200SUPPORT SURFACES 88931,A000000,03400,0000,03400CLINIC 88931,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88931,A000000,03500,0000,03500RURAL HEALTH CLINIC 88931,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88931,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88931,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88931,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88931,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88931,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88931,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88931,A000000,04400,0000,04400DME RENTED - HHA 88931,A000000,04500,0000,04500DME SOLD - HHA 88931,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88931,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88931,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88931,A000000,04800,0000,04800AMBULANCE 88931,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88931,A000000,05000,0000,05000CORF 88931,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88931,A000000,05300,0000,05300INTEREST EXPENSE 88931,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88931,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88931,A000000,05500,0000,05500HOSPICE 88931,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88931,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88931,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88931,A000000,06100,0000,06100NONPAID WORKERS 88931,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88931,A000000,06200,0000,06200PATIENTS LAUNDRY 88931,A81000A,00100,0100,Y 88931,A81000B,00100,0300,MANAGEMENT FEE 88931,A81000C,00100,0100,A 88931,A81000C,00100,0200,NEWCARE MASS INC 88931,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88931,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 88931,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88931,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88931,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88931,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88931,B100000,00000,0850,00000SERVED :DIETARY 88931,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 88931,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88931,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88931,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 88931,S000000,00100,0200,06/16/2000 88931,S200000,00100,0100,573 GRANBY ROAD 88931,S200000,00200,0100,SOUTH HADLEY 88931,S200000,00200,0200,MA 88931,S200000,00200,0300,01075- 88931,S200000,00300,0100,HAMPDEN 88931,S200000,00300,0300,U 88931,S200000,00400,0100,MEADOWWOOD NURSING HOME 88931,S200000,00400,0200,225311 88931,S200000,00400,0300,08/01/1987 88931,S200000,00400,0500,P 88931,S200000,01600,0100,Y 88939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88939,A000000,00300,0000,00300EMPLOYEE BENEFITS 88939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88939,A000000,00700,0000,00700HOUSEKEEPING 88939,A000000,00800,0000,00800DIETARY 88939,A000000,00900,0000,00900NURSING ADMINISTRATION 88939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88939,A000000,01100,0000,01100PHARMACY 88939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88939,A000000,01300,0000,01300SOCIAL SERVICE 88939,A000000,01350,0000,01500ACTIVITIES 88939,A000000,01351,0000,01501INDIRECT CONSULTANTS 88939,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88939,A000000,01600,0000,01600SKILLED NURSING FACILITY 88939,A000000,01800,0000,01800NURSING FACILITY 88939,A000000,01810,0000,01801ICF/MR 88939,A000000,01900,0000,01900OTHER LONG TERM CARE 88939,A000000,02100,0000,02100RADIOLOGY 88939,A000000,02200,0000,02200LABORATORY 88939,A000000,02300,0000,02300INTRAVENOUS THERAPY 88939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88939,A000000,02500,0000,02500PHYSICAL THERAPY 88939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88939,A000000,02700,0000,02700SPEECH PATHOLOGY 88939,A000000,02800,0000,02800ELECTROCARDIOLOGY 88939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88939,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88939,A000000,03051,0000,03301AMBULANCE 88939,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88939,A000000,03200,0000,03200SUPPORT SURFACES 88939,A000000,03400,0000,03400CLINIC 88939,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88939,A000000,03500,0000,03500RURAL HEALTH CLINIC 88939,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88939,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88939,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88939,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88939,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88939,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88939,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88939,A000000,04400,0000,04400DME RENTED - HHA 88939,A000000,04500,0000,04500DME SOLD - HHA 88939,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88939,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88939,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88939,A000000,04800,0000,04800AMBULANCE 88939,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88939,A000000,05000,0000,05000CORF 88939,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88939,A000000,05300,0000,05300INTEREST EXPENSE 88939,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88939,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88939,A000000,05500,0000,05500HOSPICE 88939,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88939,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88939,A000000,06100,0000,06100NONPAID WORKERS 88939,A000000,06150,0000,06300ADULT DAY HEALTH 88939,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 88939,A000000,06152,0000,06302CHAPEL 88939,A000000,06200,0000,06200PATIENTS LAUNDRY 88939,A81000A,00100,0100,Y 88939,A81000B,00100,0300,RENT-CAPITAL RELATED 88939,A81000B,00200,0300,RENT-CAP REL MOVABLE 88939,A81000C,00100,0100,G 88939,A81000C,00100,0200,ST. CAMILLUS 88939,A81000C,00100,0400,ST. CAMILLUS INSTITUTE 88939,A81000C,00100,0600,REALTY 88939,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 88939,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 88939,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 88939,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 88939,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 88939,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 88939,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 88939,B100000,00000,0850,00002PATIENT DAYS :DIETARY 88939,B100000,00000,0950,00002PATIENT DAYS :NURSING ADMINISTRATI 88939,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 88939,B100000,00000,1150,00002N/A :PHARMACY 88939,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 88939,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 88939,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 88939,B100000,00000,1351,00002N/A :INDIRECT CONSULTANTS 88939,B100000,00000,1450,00002N/A :INTERNS & RESIDENTS (APPRVD 88939,S000000,00100,0200,05/31/2000 88939,S200000,00100,0100,447 HILL STREET 88939,S200000,00200,0100,WHITINSVILLE 88939,S200000,00200,0200,MA 88939,S200000,00200,0300,01588- 88939,S200000,00300,0100,WORCESTER 88939,S200000,00400,0100,ST. CAMILLUS HEALTH CENTER INC. 88939,S200000,00400,0200,225312 88939,S200000,00400,0300,07/11/1989 88939,S200000,00400,0500,P 88939,S200000,00400,0600,P 88939,S200000,01004,0500,O 88939,S200000,01600,0100,Y 88939,S700003,00000,0100,1 88964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88964,A000000,00300,0000,00300EMPLOYEE BENEFITS 88964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88964,A000000,00700,0000,00700HOUSEKEEPING 88964,A000000,00800,0000,00800DIETARY 88964,A000000,00900,0000,00900NURSING ADMINISTRATION 88964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88964,A000000,01100,0000,01100PHARMACY 88964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88964,A000000,01300,0000,01300SOCIAL SERVICE 88964,A000000,01350,0000,01500ACTIVITIES 88964,A000000,01351,0000,01501INDIRECT CONSULTANTS 88964,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88964,A000000,01600,0000,01600SKILLED NURSING FACILITY 88964,A000000,01800,0000,01800NURSING FACILITY 88964,A000000,01810,0000,01810ICF/MR 88964,A000000,01900,0000,01900OTHER LONG TERM CARE 88964,A000000,02100,0000,02100RADIOLOGY 88964,A000000,02200,0000,02200LABORATORY 88964,A000000,02300,0000,02300INTRAVENOUS THERAPY 88964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88964,A000000,02500,0000,02500PHYSICAL THERAPY 88964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88964,A000000,02700,0000,02700SPEECH PATHOLOGY 88964,A000000,02800,0000,02800ELECTROCARDIOLOGY 88964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88964,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 88964,A000000,03051,0000,03301AMBULANCE 88964,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88964,A000000,03200,0000,03200SUPPORT SURFACES 88964,A000000,03400,0000,03400CLINIC 88964,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88964,A000000,03500,0000,03500RURAL HEALTH CLINIC 88964,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88964,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88964,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88964,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88964,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88964,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88964,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88964,A000000,04400,0000,04400DME RENTED - HHA 88964,A000000,04500,0000,04500DME SOLD - HHA 88964,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88964,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88964,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88964,A000000,04800,0000,04800AMBULANCE 88964,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88964,A000000,05000,0000,05000CORF 88964,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88964,A000000,05300,0000,05300INTEREST EXPENSE 88964,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88964,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88964,A000000,05500,0000,05500HOSPICE 88964,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88964,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88964,A000000,06100,0000,06100NONPAID WORKERS 88964,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88964,A000000,06200,0000,06200PATIENTS LAUNDRY 88964,A81000A,00100,0100,Y 88964,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 88964,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 88964,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 88964,A81000B,00400,0300,INTEREST EXPENSE 88964,A81000C,00100,0100,A 88964,A81000C,00100,0200,BROADREACH MGMT 88964,A81000C,00100,0400,BROADREACH MGMT 88964,A81000C,00100,0600,HOME OFFICE 88964,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88964,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88964,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88964,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88964,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88964,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88964,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88964,B100000,00000,0850,00000PATIENT DAYS :DIETARY 88964,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88964,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88964,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88964,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88964,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88964,S000000,00100,0200,05/15/2000 88964,S200000,00100,0100,390 ORLEANS ROAD 88964,S200000,00200,0100,NORTH CHATHAM 88964,S200000,00200,0200,MA 88964,S200000,00200,0300,02650- 88964,S200000,00300,0100,BARNSTABLE 88964,S200000,00300,0200,0743 88964,S200000,00300,0300,U 88964,S200000,00400,0100,LIBERTY COMMONS OF CHATHAM 88964,S200000,00400,0200,225330 88964,S200000,00400,0300,05/18/1989 88964,S200000,00400,0500,P 88964,S200000,00400,0600,P 88964,S200000,01004,0500,O 88964,S200000,01600,0100,Y 88973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88973,A000000,00300,0000,00300EMPLOYEE BENEFITS 88973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88973,A000000,00700,0000,00700HOUSEKEEPING 88973,A000000,00800,0000,00800DIETARY 88973,A000000,00900,0000,00900NURSING ADMINISTRATION 88973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88973,A000000,01100,0000,01100PHARMACY 88973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88973,A000000,01300,0000,01300SOCIAL SERVICE 88973,A000000,01350,0000,01500ACTIVITIES 88973,A000000,01351,0000,01501INDIRECT CONSULTANTS 88973,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88973,A000000,01600,0000,01600SKILLED NURSING FACILITY 88973,A000000,01800,0000,01800NURSING FACILITY 88973,A000000,01810,0000,01801ICF/MR 88973,A000000,01900,0000,01900OTHER LONG TERM CARE 88973,A000000,02100,0000,02100RADIOLOGY 88973,A000000,02200,0000,02200LABORATORY 88973,A000000,02300,0000,02300INTRAVENOUS THERAPY 88973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88973,A000000,02500,0000,02500PHYSICAL THERAPY 88973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88973,A000000,02700,0000,02700SPEECH PATHOLOGY 88973,A000000,02800,0000,02800ELECTROCARDIOLOGY 88973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88973,A000000,03050,0000,03300AMBULANCE 88973,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88973,A000000,03200,0000,03200SUPPORT SURFACES 88973,A000000,03400,0000,03400CLINIC 88973,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88973,A000000,03500,0000,03500RURAL HEALTH CLINIC 88973,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88973,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88973,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88973,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88973,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88973,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88973,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88973,A000000,04400,0000,04400DME RENTED - HHA 88973,A000000,04500,0000,04500DME SOLD - HHA 88973,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88973,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88973,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88973,A000000,04800,0000,04800AMBULANCE 88973,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88973,A000000,05000,0000,05000CORF 88973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88973,A000000,05300,0000,05300INTEREST EXPENSE 88973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88973,A000000,05500,0000,05500HOSPICE 88973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88973,A000000,06100,0000,06100NONPAID WORKERS 88973,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88973,A000000,06200,0000,06200PATIENTS LAUNDRY 88973,A81000A,00100,0100,Y 88973,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 88973,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 88973,A81000B,00300,0300,MGMT FEE-CAP REL MOVALBE 88973,A81000B,00400,0300,ADMINISTRATION SALARIES 88973,A81000B,00500,0300,DIETARY SALARIES 88973,A81000B,00600,0300,MEDICAL RECORDS SALARIES 88973,A81000B,00700,0300,SOCIAL SERVICE 88973,A81000B,00800,0300,NURSING SALARIES 88973,A81000B,00900,0300,PHYSICAL THERAPY SALARIES 88973,A81000B,01000,0300,OCCUPATIONAL THERAPY SALARIES 88973,A81000C,00100,0100,A 88973,A81000C,00100,0400,ELO HOLDING 88973,A81000C,00100,0600,HOME OFFICE 88973,A81000C,00200,0100,D 88973,A81000C,00200,0200,DAVID ORIOL 88973,A81000C,00200,0600,OWNER 88973,A81000C,00300,0100,A 88973,A81000C,00300,0400,HOLDEN NURSING HOME 88973,A81000C,00300,0600,NURSING HOME 88973,A81000C,00400,0400,WACHUSETT EXTENDED CARE 88973,A81000C,00400,0600,NURSING HOME 88973,A81000C,00500,0400,GARDNER SKILLED NURSING 88973,A81000C,00500,0600,NURSING HOME 88973,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88973,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88973,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88973,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 88973,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88973,B100000,00000,0800,00000MEALS SERVED :DIETARY 88973,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 88973,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88973,B100000,00000,1150,00000N/A :PHARMACY 88973,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88973,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 88973,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88973,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 88973,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 88973,S000000,00100,0200,05/02/2000 88973,S200000,00100,0100,76 NORTH MAIN STREET 88973,S200000,00200,0100,WEST BOYLSTON 88973,S200000,00200,0200,MA 88973,S200000,00200,0300,01583- 88973,S200000,00300,0100,WORCESTER 88973,S200000,00400,0100,OAKDALE NURSING HOME 88973,S200000,00400,0200,225334 88973,S200000,00400,0300,02/15/1989 88973,S200000,00400,0500,P 88973,S200000,00400,0600,P 88973,S200000,01500,0100,Y 88973,S700003,00000,0100,1 88985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88985,A000000,00300,0000,00300EMPLOYEE BENEFITS 88985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88985,A000000,00700,0000,00700HOUSEKEEPING 88985,A000000,00800,0000,00800DIETARY 88985,A000000,00900,0000,00900NURSING ADMINISTRATION 88985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88985,A000000,01100,0000,01100PHARMACY 88985,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88985,A000000,01300,0000,01300SOCIAL SERVICE 88985,A000000,01350,0000,01500ACTIVITIES 88985,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88985,A000000,01600,0000,01600SKILLED NURSING FACILITY 88985,A000000,01800,0000,01800NURSING FACILITY 88985,A000000,01810,0000,01801ICF/MR 88985,A000000,01900,0000,01900OTHER LONG TERM CARE 88985,A000000,02100,0000,02100RADIOLOGY 88985,A000000,02200,0000,02200LABORATORY 88985,A000000,02300,0000,02300INTRAVENOUS THERAPY 88985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88985,A000000,02500,0000,02500PHYSICAL THERAPY 88985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88985,A000000,02700,0000,02700SPEECH PATHOLOGY 88985,A000000,02800,0000,02800ELECTROCARDIOLOGY 88985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88985,A000000,03050,0000,03300AMBULANCE 88985,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88985,A000000,03200,0000,03200SUPPORT SURFACES 88985,A000000,03400,0000,03400CLINIC 88985,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88985,A000000,03500,0000,03500RURAL HEALTH CLINIC 88985,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88985,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88985,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88985,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88985,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88985,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88985,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88985,A000000,04400,0000,04400DME RENTED - HHA 88985,A000000,04500,0000,04500DME SOLD - HHA 88985,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88985,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88985,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88985,A000000,04800,0000,04800AMBULANCE 88985,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88985,A000000,05000,0000,05000CORF 88985,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88985,A000000,05300,0000,05300INTEREST EXPENSE 88985,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88985,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88985,A000000,05500,0000,05500HOSPICE 88985,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88985,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88985,A000000,06100,0000,06100NONPAID WORKERS 88985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88985,A000000,06200,0000,06200PATIENTS LAUNDRY 88985,A81000A,00100,0100,Y 88985,A81000B,00100,0300,ADMIN & GENERAL HOME OFFICE 88985,A81000B,00200,0300,CAPITAL - HOME OFFICE 88985,A81000C,00100,0100,B 88985,A81000C,00100,0200,OAKWOOD LIVING CENTER INC 88985,A81000C,00100,0400,OAKWOOD LIVING CENTER IN 88985,A81000C,00100,0600,HOME OFFICE 88985,A81000C,00200,0100,B 88985,A81000C,00200,0200,OAKWOOD LIVING CENTER INC 88985,A81000C,00200,0400,OAKWOOD LIVING CENTER IN 88985,A81000C,00200,0600,HOME OFFICE 88985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88985,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88985,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88985,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 88985,B100000,00000,0800,00000MEALS SERVED :DIETARY 88985,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88985,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88985,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 88985,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88985,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88985,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 88985,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88985,S000000,00100,0200,06/16/2000 88985,S200000,00100,0100,37 ROUTE 6A 88985,S200000,00200,0100,SANDWICH 88985,S200000,00200,0200,MA 88985,S200000,00200,0300,02563- 88985,S200000,00300,0100,BARNSTABLE 88985,S200000,00400,0100,CAPE HERTITAGE NURSING AND REHAB CEN 88985,S200000,00400,0200,225337 88985,S200000,00400,0300,02/04/1989 88985,S200000,00400,0500,P 88985,S200000,00400,0600,P 88985,S200000,01600,0100,Y 88985,S700003,00000,0100,1 88993,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 88993,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 88993,A000000,00300,0000,00300EMPLOYEE BENEFITS 88993,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 88993,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 88993,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 88993,A000000,00700,0000,00700HOUSEKEEPING 88993,A000000,00800,0000,00800DIETARY 88993,A000000,00900,0000,00900NURSING ADMINISTRATION 88993,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 88993,A000000,01100,0000,01100PHARMACY 88993,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 88993,A000000,01300,0000,01300SOCIAL SERVICE 88993,A000000,01350,0000,01500OTHER GENERAL SERVICES 88993,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 88993,A000000,01600,0000,01600SKILLED NURSING FACILITY 88993,A000000,01800,0000,01800NURSING FACILITY 88993,A000000,01810,0000,01801ICF/MR 88993,A000000,01900,0000,01900OTHER LONG TERM CARE 88993,A000000,02100,0000,02100RADIOLOGY 88993,A000000,02200,0000,02200LABORATORY 88993,A000000,02300,0000,02300INTRAVENOUS THERAPY 88993,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 88993,A000000,02500,0000,02500PHYSICAL THERAPY 88993,A000000,02600,0000,02600OCCUPATIONAL THERAPY 88993,A000000,02700,0000,02700SPEECH PATHOLOGY 88993,A000000,02800,0000,02800ELECTROCARDIOLOGY 88993,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 88993,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 88993,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 88993,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 88993,A000000,03200,0000,03200SUPPORT SURFACES 88993,A000000,03400,0000,03400CLINIC 88993,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 88993,A000000,03500,0000,03500RURAL HEALTH CLINIC 88993,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 88993,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 88993,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 88993,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 88993,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 88993,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 88993,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 88993,A000000,04400,0000,04400DME RENTED - HHA 88993,A000000,04500,0000,04500DME SOLD - HHA 88993,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 88993,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 88993,A000000,04750,0000,05100OTHER REIMBURSABLE COST 88993,A000000,04800,0000,04800AMBULANCE 88993,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 88993,A000000,05000,0000,05000CORF 88993,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 88993,A000000,05300,0000,05300INTEREST EXPENSE 88993,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 88993,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 88993,A000000,05500,0000,05500HOSPICE 88993,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 88993,A000000,05900,0000,05900BARBER & BEAUTY SHOP 88993,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 88993,A000000,06100,0000,06100NONPAID WORKERS 88993,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 88993,A000000,06200,0000,06200PATIENTS LAUNDRY 88993,A81000A,00100,0100,Y 88993,A81000B,00100,0300,FIXED COST 88993,A81000B,00200,0300,ADMINISTRATIVE AND GENEREAG 88993,A81000C,00100,0100,B 88993,A81000C,00100,0200,OAKWOOD LIVING CENTERS 88993,A81000C,00100,0400,OAKWOOD LIVING CTRS INC 88993,A81000C,00100,0600,HOME OFFICE 88993,A81000C,00200,0100,B 88993,A81000C,00200,0200,OAKWOOD LIVING CENTER 88993,A81000C,00200,0400,OAKWOOD LIVING CTRS INC 88993,A81000C,00200,0600,HOME OFFICE 88993,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 88993,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 88993,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 88993,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 88993,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 88993,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 88993,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 88993,B100000,00000,0800,00000MEALS SERVED :DIETARY 88993,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 88993,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 88993,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 88993,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 88993,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 88993,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 88993,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 88993,S000000,00100,0200,06/01/2000 88993,S200000,00100,0100,890 SOUTH MAIN STREET 88993,S200000,00200,0100,CENTERVILLE 88993,S200000,00200,0200,MA 88993,S200000,00200,0300,02632- 88993,S200000,00300,0100,BARNSTABLE 88993,S200000,00400,0100,CAPE REGENCY NURSING & REHAB 88993,S200000,00400,0200,225338 88993,S200000,00400,0300,02/24/1989 88993,S200000,00400,0500,P 88993,S200000,00400,0600,P 88993,S200000,00600,0200,225338 88993,S200000,00600,0300,02/24/1989 88993,S200000,00600,0600,P 88993,S200000,01600,0100,Y 88993,S700003,00000,0100,1 89002,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89002,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89002,A000000,00300,0000,00300EMPLOYEE BENEFITS 89002,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89002,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89002,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89002,A000000,00700,0000,00700HOUSEKEEPING 89002,A000000,00800,0000,00800DIETARY 89002,A000000,00900,0000,00900NURSING ADMINISTRATION 89002,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89002,A000000,01100,0000,01100PHARMACY 89002,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89002,A000000,01300,0000,01300SOCIAL SERVICE 89002,A000000,01350,0000,01500ACTIVITIES 89002,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89002,A000000,01600,0000,01600SKILLED NURSING FACILITY 89002,A000000,01800,0000,01800NURSING FACILITY 89002,A000000,01810,0000,01810ICF/MR 89002,A000000,02100,0000,02100RADIOLOGY 89002,A000000,02200,0000,02200LABORATORY 89002,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89002,A000000,02500,0000,02500PHYSICAL THERAPY 89002,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89002,A000000,02700,0000,02700SPEECH PATHOLOGY 89002,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89002,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89002,A000000,03050,0000,03101CLINITRON BEDS 89002,A000000,05000,0000,05000CORF 89002,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89002,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89002,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89002,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89002,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89002,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89002,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89002,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89002,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89002,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89002,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89002,B100000,00000,0800,00000MEALS SERVED :DIETARY 89002,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89002,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89002,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89002,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89002,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89002,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89002,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89002,S000000,00100,0200,05/31/2000 89002,S200000,00100,0100,146 MACARTHUR BLVD. 89002,S200000,00200,0100,BOURNE 89002,S200000,00200,0200,MA 89002,S200000,00200,0300,02532- 89002,S200000,00300,0100,BARNSTABLE 89002,S200000,00400,0100,BOURNE MANOR EXTENDED CARE 89002,S200000,00400,0200,225348 89002,S200000,00400,0300,07/21/1989 89002,S200000,00400,0500,P 89002,S200000,01600,0100,Y 89002,S200000,01900,0100,CORPORATION 89002,S700003,00000,0100,1 89010,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89010,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89010,A000000,00300,0000,00300EMPLOYEE BENEFITS 89010,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89010,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89010,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89010,A000000,00700,0000,00700HOUSEKEEPING 89010,A000000,00800,0000,00800DIETARY 89010,A000000,00900,0000,00900NURSING ADMINISTRATION 89010,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89010,A000000,01100,0000,01100PHARMACY 89010,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89010,A000000,01300,0000,01300SOCIAL SERVICE 89010,A000000,01350,0000,01500ACIVITIES 89010,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89010,A000000,01600,0000,01600SKILLED NURSING FACILITY 89010,A000000,01800,0000,01800NURSING FACILITY 89010,A000000,01810,0000,01810ICF/MR 89010,A000000,01900,0000,01900OTHER LONG TERM CARE 89010,A000000,02100,0000,02100RADIOLOGY 89010,A000000,02200,0000,02200LABORATORY 89010,A000000,02300,0000,02300INTRAVENOUS THERAPY 89010,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89010,A000000,02500,0000,02500PHYSICAL THERAPY 89010,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89010,A000000,02700,0000,02700SPEECH PATHOLOGY 89010,A000000,02800,0000,02800ELECTROCARDIOLOGY 89010,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89010,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89010,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89010,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89010,A000000,03200,0000,03200SUPPORT SURFACES 89010,A000000,03400,0000,03400CLINIC 89010,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89010,A000000,03500,0000,03500RURAL HEALTH CLINIC 89010,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89010,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89010,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89010,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89010,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89010,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89010,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89010,A000000,04400,0000,04400DME RENTED - HHA 89010,A000000,04500,0000,04500DME SOLD - HHA 89010,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89010,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89010,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89010,A000000,04800,0000,04800AMBULANCE 89010,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89010,A000000,05000,0000,05000CORF 89010,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89010,A000000,05300,0000,05300INTEREST EXPENSE 89010,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89010,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89010,A000000,05500,0000,05500HOSPICE 89010,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89010,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89010,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89010,A000000,06100,0000,06100NONPAID WORKERS 89010,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89010,A000000,06200,0000,06200PATIENTS LAUNDRY 89010,A81000A,00100,0100,Y 89010,A81000B,00100,0300,CAPITAL HOME OFFICE 89010,A81000B,00200,0300,ADMIN & GENERAL HOME OFFICE 89010,A81000C,00100,0100,B 89010,A81000C,00100,0200,OAKWOOD LIVING CENTERS 89010,A81000C,00100,0400,OAKWOOD LIVING CENTERS 89010,A81000C,00100,0600,HOME OFFICE 89010,A81000C,00200,0100,B 89010,A81000C,00200,0200,OAKWOOD LIVING CENTERS 89010,A81000C,00200,0400,OAKWOOD LIVING CENTERS 89010,A81000C,00200,0600,HOME OFFICE 89010,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89010,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89010,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 89010,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89010,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89010,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89010,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 89010,B100000,00000,0800,00000MEALS SERVED :DIETARY 89010,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89010,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89010,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89010,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89010,B100000,00000,1350,00000PATIENT DAYS :ACIVITIES 89010,S000000,00100,0200,06/01/2000 89010,S200000,00100,0100,2356 PROVIDENCE ROAD 89010,S200000,00200,0100,NORTHBRIDGE 89010,S200000,00200,0200,MA 89010,S200000,00200,0300,01534- 89010,S200000,00300,0100,WORCESTER 89010,S200000,00300,0200,1123 89010,S200000,00300,0300,U 89010,S200000,00400,0100,NORTHBRIDGE NURSING & REHAB 89010,S200000,00400,0200,225351 89010,S200000,00400,0300,03/20/1989 89010,S200000,00400,0500,P 89010,S200000,00400,0600,P 89010,S200000,00600,0200,225351 89010,S200000,00600,0300,03/20/1989 89010,S200000,00600,0600,P 89010,S200000,01600,0100,Y 89019,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89019,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89019,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89019,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89019,A000000,00300,0000,00300EMPLOYEE BENEFITS 89019,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89019,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89019,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89019,A000000,00700,0000,00700HOUSEKEEPING 89019,A000000,00800,0000,00800DIETARY 89019,A000000,00801,0000,00801CAFETERIA 89019,A000000,00900,0000,00900NURSING ADMINISTRATION 89019,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89019,A000000,01100,0000,01100PHARMACY 89019,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89019,A000000,01300,0000,01300SOCIAL SERVICE 89019,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89019,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89019,A000000,01600,0000,01600SKILLED NURSING FACILITY 89019,A000000,01800,0000,01800NURSING FACILITY 89019,A000000,01900,0000,01900OTHER LONG TERM CARE 89019,A000000,02100,0000,02100RADIOLOGY 89019,A000000,02200,0000,02200LABORATORY 89019,A000000,02300,0000,02300INTRAVENOUS THERAPY 89019,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89019,A000000,02500,0000,02500PHYSICAL THERAPY 89019,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89019,A000000,02700,0000,02700SPEECH PATHOLOGY 89019,A000000,02800,0000,02800ELECTROCARDIOLOGY 89019,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89019,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89019,A000000,03050,0000,03300OTHER ANCILLARY 89019,A000000,03051,0000,03301OTHER ANCILLARY II 89019,A000000,03052,0000,03302OTHER ANCILLARY III 89019,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89019,A000000,03200,0000,03200SUPPORT SURFACES 89019,A000000,03400,0000,03400CLINIC 89019,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89019,A000000,03500,0000,03500RURAL HEALTH CLINIC 89019,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89019,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89019,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89019,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89019,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89019,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89019,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89019,A000000,04400,0000,04400DME RENTED - HHA 89019,A000000,04500,0000,04500DME SOLD - HHA 89019,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89019,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89019,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89019,A000000,04800,0000,04800AMBULANCE 89019,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89019,A000000,05000,0000,05000CORF 89019,A000000,05010,0000,05010CMHC I 89019,A000000,05020,0000,05020OPT I 89019,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89019,A000000,05300,0000,05300INTEREST EXPENSE 89019,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89019,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89019,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89019,A000000,05500,0000,05500HOSPICE 89019,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89019,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89019,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89019,A000000,06100,0000,06100NONPAID WORKERS 89019,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89019,A000000,06200,0000,06200PATIENTS LAUNDRY 89019,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89019,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89019,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89019,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89019,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89019,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89019,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89019,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89019,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89019,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89019,B100000,00000,0850,00000PAT DAYS :DIETARY 89019,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89019,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 89019,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89019,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 89019,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 89019,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89019,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89019,S000000,00100,0200,06/01/2000 89019,S200000,00100,0100,60 STAFFORD STREET 89019,S200000,00200,0100,PLYMOUTH 89019,S200000,00200,0200,MA 89019,S200000,00200,0300,02360- 89019,S200000,00300,0100,PLYMOUTH 89019,S200000,00400,0100,PILGRIM MANOR NURSING HOME 89019,S200000,00400,0200,225358 89019,S200000,00400,0300,07/01/1990 89019,S200000,00400,0500,P 89019,S200000,01600,0100,Y 89019,S200000,04700,0100,Y 89019,S700003,00000,0100,1 89028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89028,A000000,00300,0000,00300EMPLOYEE BENEFITS 89028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89028,A000000,00700,0000,00700HOUSEKEEPING 89028,A000000,00800,0000,00800DIETARY 89028,A000000,00900,0000,00900NURSING ADMINISTRATION 89028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89028,A000000,01100,0000,01100PHARMACY 89028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89028,A000000,01300,0000,01300SOCIAL SERVICE 89028,A000000,01350,0000,01500ACTIVITIES 89028,A000000,01351,0000,01501INDIRECT CONSULTANTS 89028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89028,A000000,01600,0000,01600SKILLED NURSING FACILITY 89028,A000000,01800,0000,01800NURSING FACILITY 89028,A000000,01810,0000,01801ICF/MR 89028,A000000,01900,0000,01900OTHER LONG TERM CARE 89028,A000000,02100,0000,02100RADIOLOGY 89028,A000000,02200,0000,02200LABORATORY 89028,A000000,02300,0000,02300INTRAVENOUS THERAPY 89028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89028,A000000,02500,0000,02500PHYSICAL THERAPY 89028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89028,A000000,02700,0000,02700SPEECH PATHOLOGY 89028,A000000,02800,0000,02800ELECTROCARDIOLOGY 89028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89028,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89028,A000000,03200,0000,03200SUPPORT SURFACES 89028,A000000,03400,0000,03400CLINIC 89028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89028,A000000,03500,0000,03500RURAL HEALTH CLINIC 89028,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89028,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89028,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89028,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89028,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89028,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89028,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89028,A000000,04400,0000,04400DME RENTED - HHA 89028,A000000,04500,0000,04500DME SOLD - HHA 89028,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89028,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89028,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89028,A000000,04800,0000,04800AMBULANCE 89028,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89028,A000000,05000,0000,05000CORF 89028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89028,A000000,05300,0000,05300INTEREST EXPENSE 89028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89028,A000000,05500,0000,05500HOSPICE 89028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89028,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89028,A000000,06100,0000,06100NONPAID WORKERS 89028,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89028,A000000,06200,0000,06200PATIENTS LAUNDRY 89028,A81000A,00100,0100,Y 89028,A81000B,00100,0300,RENT-CAPITAL RELATED 89028,A81000B,00200,0300,RENT-CAP REL MOVABLE 89028,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 89028,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 89028,A81000B,00500,0300,MGMT FEE-CAP REL MOVABLE 89028,A81000B,00600,0300,HOME OFFICE COST 89028,A81000C,00100,0100,B 89028,A81000C,00100,0200,JAMES A. STROUD 89028,A81000C,00100,0400,CAPITAL SENIOR LIVING INC 89028,A81000C,00100,0600,HOME OFFICE 89028,A81000C,00200,0100,B 89028,A81000C,00200,0200,JEFFREY BECK 89028,A81000C,00200,0400,CAPITAL SENIOR LIVING INC 89028,A81000C,00200,0600,HOME OFFICE 89028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89028,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89028,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89028,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89028,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89028,B100000,00000,1150,00000N/A :PHARMACY 89028,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89028,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89028,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89028,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89028,S000000,00100,0200,05/30/2000 89028,S200000,00100,0100,ONE RUSSELL STREET 89028,S200000,00200,0100,CAMBRIDGE 89028,S200000,00200,0200,MA 89028,S200000,00200,0300,02140-1393 89028,S200000,00300,0100,MIDDLESEX 89028,S200000,00400,0100,CAMBRIDGE NURSING HOME 89028,S200000,00400,0200,225359 89028,S200000,00400,0300,05/18/1989 89028,S200000,00400,0500,P 89028,S200000,00400,0600,P 89028,S200000,01004,0500,O 89028,S200000,01600,0100,Y 89028,S700003,00000,0100,1 89035,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89035,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89035,A000000,00300,0000,00300EMPLOYEE BENEFITS 89035,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89035,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89035,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89035,A000000,00700,0000,00700HOUSEKEEPING 89035,A000000,00800,0000,00800DIETARY 89035,A000000,00900,0000,00900NURSING ADMINISTRATION 89035,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89035,A000000,01100,0000,01100PHARMACY 89035,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89035,A000000,01300,0000,01300SOCIAL SERVICE 89035,A000000,01600,0000,01600SKILLED NURSING FACILITY 89035,A000000,01800,0000,01800NURSING FACILITY 89035,A000000,01900,0000,01900OTHER LONG TERM CARE 89035,A000000,02100,0000,02100RADIOLOGY 89035,A000000,02200,0000,02200LABORATORY 89035,A000000,02300,0000,02300INTRAVENOUS THERAPY 89035,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89035,A000000,02500,0000,02500PHYSICAL THERAPY 89035,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89035,A000000,02700,0000,02700SPEECH PATHOLOGY 89035,A000000,02800,0000,02800ELECTROCARDIOLOGY 89035,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89035,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89035,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89035,A000000,03051,0000,03301NUTRITIONAL THERAPY 89035,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 89035,A000000,03053,0000,03303PHYSICIAN SERVICES 89035,A000000,03054,0000,03304MEDICAL SERVICES 89035,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 89035,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89035,A000000,03200,0000,03200SUPPORT SURFACES 89035,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89035,A000000,04800,0000,04800AMBULANCE 89035,A000000,05300,0000,05300INTEREST EXPENSE 89035,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89035,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89035,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89035,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89035,A000000,06100,0000,06100NONPAID WORKERS 89035,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89035,A000000,06200,0000,06200PATIENTS LAUNDRY 89035,A81000A,00100,0100,Y 89035,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 89035,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 89035,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 89035,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 89035,A81000C,00100,0100,B 89035,A81000C,00100,0200,GUARDIAN FOUNDATION 89035,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89035,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89035,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89035,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89035,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89035,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89035,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 89035,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89035,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89035,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89035,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89035,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 89035,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89035,S000000,00100,0200,06/02/2000 89035,S200000,00100,0100,47 EAST MAIN STREET 89035,S200000,00200,0100,WEST BROOKFIELD 89035,S200000,00200,0200,MA 89035,S200000,00200,0300,01585- 89035,S200000,00300,0100,WORCESTER 89035,S200000,00400,0100,QUABOAG NURSING HOME 89035,S200000,00400,0200,225361 89035,S200000,00400,0300,10/01/1989 89035,S200000,00400,0500,P 89035,S200000,01600,0100,Y 89035,S200000,02200,0100,Y 89035,S700003,00000,0100,1 89041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89041,A000000,00300,0000,00300EMPLOYEE BENEFITS 89041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89041,A000000,00700,0000,00700HOUSEKEEPING 89041,A000000,00800,0000,00800DIETARY 89041,A000000,00900,0000,00900NURSING ADMINISTRATION 89041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89041,A000000,01100,0000,01100PHARMACY 89041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89041,A000000,01300,0000,01300SOCIAL SERVICE 89041,A000000,01350,0000,01500ACTIVITIES 89041,A000000,01600,0000,01600SKILLED NURSING FACILITY 89041,A000000,01800,0000,01800NURSING FACILITY 89041,A000000,01810,0000,01810ICF/MR 89041,A000000,02100,0000,02100RADIOLOGY 89041,A000000,02200,0000,02200LABORATORY 89041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89041,A000000,02500,0000,02500PHYSICAL THERAPY 89041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89041,A000000,02700,0000,02700SPEECH PATHOLOGY 89041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89041,A000000,03050,0000,03110CLINITRON BEDS 89041,A000000,05000,0000,05000CORF 89041,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89041,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89041,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89041,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89041,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89041,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89041,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89041,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89041,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89041,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89041,B100000,00000,0800,00000MEALS SERVED :DIETARY 89041,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89041,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89041,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89041,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89041,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89041,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89041,S000000,00100,0200,05/31/2000 89041,S200000,00100,0100,249 HAYDENVILLE ROAD 89041,S200000,00200,0100,LEEDS 89041,S200000,00200,0200,MA 89041,S200000,00200,0300,01053- 89041,S200000,00300,0100,HAMPSHIRE SPRINGFIELD 89041,S200000,00400,0100,LINDA MANOR EXTENDED CARE 89041,S200000,00400,0200,225363 89041,S200000,00400,0300,09/25/1989 89041,S200000,00400,0500,P 89041,S200000,01600,0100,Y 89041,S200000,01900,0100,CORPORATION 89041,S700003,00000,0100,1 89047,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89047,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89047,A000000,00300,0000,00300EMPLOYEE BENEFITS 89047,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89047,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89047,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89047,A000000,00700,0000,00700HOUSEKEEPING 89047,A000000,00800,0000,00800DIETARY 89047,A000000,00900,0000,00900NURSING ADMINISTRATION 89047,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89047,A000000,01100,0000,01100PHARMACY 89047,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89047,A000000,01300,0000,01300SOCIAL SERVICE 89047,A000000,01350,0000,01500ACTIVITIES 89047,A000000,01600,0000,01600SKILLED NURSING FACILITY 89047,A000000,01800,0000,01800NURSING FACILITY 89047,A000000,01810,0000,01810ICF/MR 89047,A000000,02100,0000,02100RADIOLOGY 89047,A000000,02200,0000,02200LABORATORY 89047,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89047,A000000,02500,0000,02500PHYSICAL THERAPY 89047,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89047,A000000,02700,0000,02700SPEECH PATHOLOGY 89047,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89047,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89047,A000000,03050,0000,03110CLINITRON BEDS 89047,A000000,05000,0000,05000CORF 89047,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89047,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89047,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89047,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89047,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89047,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89047,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89047,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89047,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89047,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89047,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89047,B100000,00000,0800,00000MEALS SERVED :DIETARY 89047,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89047,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89047,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89047,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89047,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89047,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89047,S000000,00100,0200,06/30/2000 89047,S200000,00100,0100,40 SUNSET AVENUE 89047,S200000,00200,0100,LENOX 89047,S200000,00200,0200,MA 89047,S200000,00200,0300,02140- 89047,S200000,00300,0100,BERKSHIRE 89047,S200000,00400,0100,BERKSHIRE EXTENDED CARE 89047,S200000,00400,0200,225365 89047,S200000,00400,0300,09/25/1989 89047,S200000,00400,0500,P 89047,S200000,01600,0100,Y 89047,S200000,01900,0100,CORPORATION 89047,S700003,00000,0100,1 89053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89053,A000000,00300,0000,00300EMPLOYEE BENEFITS 89053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89053,A000000,00700,0000,00700HOUSEKEEPING 89053,A000000,00800,0000,00800DIETARY 89053,A000000,00900,0000,00900NURSING ADMINISTRATION 89053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89053,A000000,01100,0000,01100PHARMACY 89053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89053,A000000,01300,0000,01300SOCIAL SERVICE 89053,A000000,01350,0000,01500ACTIVITIES 89053,A000000,01600,0000,01600SKILLED NURSING FACILITY 89053,A000000,01800,0000,01800NURSING FACILITY 89053,A000000,01810,0000,01810ICF/MR 89053,A000000,02100,0000,02100RADIOLOGY 89053,A000000,02200,0000,02200LABORATORY 89053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89053,A000000,02500,0000,02500PHYSICAL THERAPY 89053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89053,A000000,02700,0000,02700SPEECH PATHOLOGY 89053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89053,A000000,03050,0000,03110CLINITRON BEDS 89053,A000000,05000,0000,05000CORF 89053,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89053,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89053,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89053,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89053,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89053,B100000,00000,0800,00000MEALS SERVED :DIETARY 89053,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89053,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89053,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89053,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89053,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89053,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89053,S000000,00100,0200,05/31/2000 89053,S200000,00100,0100,863 HATHAWAY ROAD 89053,S200000,00200,0100,NEW BEDFORD 89053,S200000,00200,0200,MA 89053,S200000,00200,0300,02743- 89053,S200000,00300,0100,BRISTOL 89053,S200000,00400,0100,HATHWAY MANOR EXTENDED CARE 89053,S200000,00400,0200,225366 89053,S200000,00400,0300,11/01/1989 89053,S200000,00400,0500,P 89053,S200000,01600,0100,Y 89053,S200000,01900,0100,CORPORATION 89053,S700003,00000,0100,1 89059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89059,A000000,00300,0000,00300EMPLOYEE BENEFITS 89059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89059,A000000,00700,0000,00700HOUSEKEEPING 89059,A000000,00800,0000,00800DIETARY 89059,A000000,00900,0000,00900NURSING ADMINISTRATION 89059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89059,A000000,01100,0000,01100PHARMACY 89059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89059,A000000,01300,0000,01300SOCIAL SERVICE 89059,A000000,01350,0000,01500ACTIVITIES 89059,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89059,A000000,01600,0000,01600SKILLED NURSING FACILITY 89059,A000000,01800,0000,01800NURSING FACILITY 89059,A000000,01810,0000,01810ICF/MR 89059,A000000,02200,0000,02200LABORATORY 89059,A000000,02300,0000,02300INTRAVENOUS THERAPY 89059,A000000,02500,0000,02500PHYSICAL THERAPY 89059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89059,A000000,02700,0000,02700SPEECH PATHOLOGY 89059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89059,A000000,03050,0000,03300AIR FLUID THERAPY 89059,A000000,03051,0000,03320NUTRITIONAL THERAPY 89059,A000000,03550,0000,03550FQHC 89059,A000000,05000,0000,05000CORF 89059,A000000,05010,0000,05010CMHC 89059,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89059,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89059,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89059,A81000A,00100,0100,Y 89059,A81000B,00100,0300,RENT-CAP RELATED 89059,A81000B,00200,0300,MGT FEE-NOT CAP REL 89059,A81000B,00300,0300,MGT FEE-CAP RELATED 89059,A81000B,00400,0300,MGT FEE-CAP REL MOV 89059,A81000B,00500,0300,MAINT SALARY 89059,A81000B,00600,0300,DIETICIAN 89059,A81000B,00700,0300,CASE MIX 89059,A81000B,00800,0300,REHAB DIRECTOR 89059,A81000B,00900,0300,MDS COORDINATOR 89059,A81000B,01000,0300,DIRECTOR-NRSG SVC 89059,A81000C,00100,0100,B 89059,A81000C,00100,0200,FLORENCE LOGAN 89059,A81000C,00100,0400,POND MEADOW REA 89059,A81000C,00100,0600,RENTAL PROPERTY 89059,A81000C,00200,0100,B 89059,A81000C,00200,0200,FLORENCE LOGAN 89059,A81000C,00200,0400,LOGAN MANAGEMEN 89059,A81000C,00200,0600,HOME OFFICE 89059,A81000C,00300,0100,F 89059,A81000C,00300,0200,FLORENCE LOGAN 89059,A81000C,00300,0400,ROBERT DORVAL 89059,A81000C,00300,0600,RELATIVE 89059,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89059,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89059,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89059,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89059,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89059,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89059,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89059,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89059,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89059,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89059,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89059,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89059,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89059,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89059,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89059,S000000,00100,0200,06/02/2000 89059,S200000,00400,0100,POND MEADOW HEALTHCARE FACILITY 89059,S200000,00400,0200,225368 89059,S200000,00400,0300,01/01/1990 89059,S200000,00400,0500,P 89059,S200000,01600,0100,Y 89059,S700003,00000,0100,1 89068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89068,A000000,00300,0000,00300EMPLOYEE BENEFITS 89068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89068,A000000,00700,0000,00700HOUSEKEEPING 89068,A000000,00800,0000,00800DIETARY 89068,A000000,00900,0000,00900NURSING ADMINISTRATION 89068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89068,A000000,01100,0000,01100PHARMACY 89068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89068,A000000,01300,0000,01300SOCIAL SERVICE 89068,A000000,01350,0000,01500ACTIVITIES 89068,A000000,01351,0000,01501INDIRECT CONSULTANTS 89068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89068,A000000,01600,0000,01600SKILLED NURSING FACILITY 89068,A000000,01800,0000,01800NURSING FACILITY 89068,A000000,01810,0000,01801ICF/MR 89068,A000000,01900,0000,01900OTHER LONG TERM CARE 89068,A000000,02100,0000,02100RADIOLOGY 89068,A000000,02200,0000,02200LABORATORY 89068,A000000,02300,0000,02300INTRAVENOUS THERAPY 89068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89068,A000000,02500,0000,02500PHYSICAL THERAPY 89068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89068,A000000,02700,0000,02700SPEECH PATHOLOGY 89068,A000000,02800,0000,02800ELECTROCARDIOLOGY 89068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89068,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89068,A000000,03051,0000,03301AMBULANCE 89068,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89068,A000000,03200,0000,03200SUPPORT SURFACES 89068,A000000,03400,0000,03400CLINIC 89068,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89068,A000000,03500,0000,03500RURAL HEALTH CLINIC 89068,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89068,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89068,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89068,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89068,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89068,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89068,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89068,A000000,04400,0000,04400DME RENTED - HHA 89068,A000000,04500,0000,04500DME SOLD - HHA 89068,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89068,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89068,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89068,A000000,04800,0000,04800AMBULANCE 89068,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89068,A000000,05000,0000,05000CORF 89068,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89068,A000000,05300,0000,05300INTEREST EXPENSE 89068,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89068,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89068,A000000,05500,0000,05500HOSPICE 89068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89068,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89068,A000000,06100,0000,06100NONPAID WORKERS 89068,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 89068,A000000,06200,0000,06200PATIENTS LAUNDRY 89068,A81000A,00100,0100,Y 89068,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 89068,A81000B,00200,0300,MGMT FEE-CAP REL BLDG 89068,A81000B,00300,0300,MGMT FEE-CAP REL MME 89068,A81000B,00400,0300,MGMT FEE-INTEREST 89068,A81000C,00100,0100,A 89068,A81000C,00100,0200,CAPE COD HEALTH CARE INC 89068,A81000C,00100,0400,CAPE COD HOSPITAL 89068,A81000C,00100,0600,HOSPITAL 89068,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89068,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 89068,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89068,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89068,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89068,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89068,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89068,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89068,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89068,B100000,00000,1150,00000N/A :PHARMACY 89068,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89068,B100000,00000,1330,00000ADMISSIO :SOCIAL SERVICE 89068,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89068,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 89068,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89068,S000000,00100,0200,02/29/2000 89068,S200000,00100,0100,184 TER HUEN DRIVE 89068,S200000,00200,0100,FALMOUTH 89068,S200000,00200,0200,MA 89068,S200000,00200,0300,02540- 89068,S200000,00300,0100,BARNSTABLE 89068,S200000,00400,0100,JML CARE CENTER INC. 89068,S200000,00400,0200,225369 89068,S200000,00400,0300,06/01/1990 89068,S200000,00400,0500,P 89068,S200000,00400,0600,P 89068,S200000,01600,0100,Y 89076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89076,A000000,00300,0000,00300EMPLOYEE BENEFITS 89076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89076,A000000,00700,0000,00700HOUSEKEEPING 89076,A000000,00800,0000,00800DIETARY 89076,A000000,00900,0000,00900NURSING ADMINISTRATION 89076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89076,A000000,01100,0000,01100PHARMACY 89076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89076,A000000,01300,0000,01300SOCIAL SERVICE 89076,A000000,01350,0000,01500ACTIVITIES 89076,A000000,01351,0000,01501INDIRECT CONSULTANTS 89076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89076,A000000,01600,0000,01600SKILLED NURSING FACILITY 89076,A000000,01800,0000,01800NURSING FACILITY 89076,A000000,01810,0000,01801ICF/MR 89076,A000000,01900,0000,01900OTHER LONG TERM CARE 89076,A000000,02100,0000,02100RADIOLOGY 89076,A000000,02200,0000,02200LABORATORY 89076,A000000,02300,0000,02300INTRAVENOUS THERAPY 89076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89076,A000000,02500,0000,02500PHYSICAL THERAPY 89076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89076,A000000,02700,0000,02700SPEECH PATHOLOGY 89076,A000000,02800,0000,02800ELECTROCARDIOLOGY 89076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89076,A000000,03050,0000,03300PEN THERAPY 89076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89076,A000000,03200,0000,03200SUPPORT SURFACES 89076,A000000,03400,0000,03400CLINIC 89076,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89076,A000000,03500,0000,03500RURAL HEALTH CLINIC 89076,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89076,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89076,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89076,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89076,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89076,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89076,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89076,A000000,04400,0000,04400DME RENTED - HHA 89076,A000000,04500,0000,04500DME SOLD - HHA 89076,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89076,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89076,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89076,A000000,04800,0000,04800AMBULANCE 89076,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89076,A000000,05000,0000,05000CORF 89076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89076,A000000,05300,0000,05300INTEREST EXPENSE 89076,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89076,A000000,05500,0000,05500HOSPICE 89076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89076,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89076,A000000,06100,0000,06100NONPAID WORKERS 89076,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89076,A000000,06200,0000,06200PATIENTS LAUNDRY 89076,A81000A,00100,0100,Y 89076,A81000B,00100,0300,RENT-CAPITAL RELATED 89076,A81000B,00200,0300,ADMINISTRATOR SALARY 89076,A81000C,00100,0100,A 89076,A81000C,00100,0200,SYLVIA BEATON 89076,A81000C,00100,0400,113 REALTY TRUST 89076,A81000C,00100,0600,RENTAL PROPERTY 89076,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89076,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89076,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89076,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89076,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89076,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89076,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89076,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89076,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89076,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89076,B100000,00000,1150,00000N/A :PHARMACY 89076,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89076,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89076,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89076,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89076,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89076,S000000,00100,0200,05/01/2000 89076,S200000,00100,0100,113 CENTRAL AVENUE 89076,S200000,00200,0100,HYDE PARK 89076,S200000,00200,0200,MA 89076,S200000,00200,0300,02136- 89076,S200000,00300,0100,SUFFOLK 89076,S200000,00400,0100,HYDE PARK CONVALESCENT HOME INC. 89076,S200000,00400,0200,225375 89076,S200000,00400,0300,07/01/1990 89076,S200000,00400,0500,P 89076,S200000,00400,0600,P 89076,S200000,01004,0500,O 89076,S200000,01600,0100,Y 89076,S700003,00000,0100,1 89084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89084,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89084,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89084,A000000,00300,0000,00300EMPLOYEE BENEFITS 89084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89084,A000000,00700,0000,00700HOUSEKEEPING 89084,A000000,00800,0000,00800DIETARY 89084,A000000,00801,0000,00801CAFETERIA 89084,A000000,00900,0000,00900NURSING ADMINISTRATION 89084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89084,A000000,01100,0000,01100PHARMACY 89084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89084,A000000,01300,0000,01300SOCIAL SERVICE 89084,A000000,01350,0000,01500INDIRECT CONSULTANT 89084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89084,A000000,01600,0000,01600SKILLED NURSING FACILITY 89084,A000000,01800,0000,01800NURSING FACILITY 89084,A000000,01900,0000,01900OTHER LONG TERM CARE 89084,A000000,02100,0000,02100RADIOLOGY 89084,A000000,02200,0000,02200LABORATORY 89084,A000000,02300,0000,02300INTRAVENOUS THERAPY 89084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89084,A000000,02500,0000,02500PHYSICAL THERAPY 89084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89084,A000000,02700,0000,02700SPEECH PATHOLOGY 89084,A000000,02800,0000,02800ELECTROCARDIOLOGY 89084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89084,A000000,03050,0000,03300BED RENTAL 89084,A000000,03051,0000,03301OTHER ANCILLARY II 89084,A000000,03052,0000,03302OTHER ANCILLARY III 89084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89084,A000000,03200,0000,03200SUPPORT SURFACES 89084,A000000,03400,0000,03400CLINIC 89084,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89084,A000000,03500,0000,03500RURAL HEALTH CLINIC 89084,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89084,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89084,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89084,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89084,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89084,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89084,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89084,A000000,04400,0000,04400DME RENTED - HHA 89084,A000000,04500,0000,04500DME SOLD - HHA 89084,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89084,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89084,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89084,A000000,04800,0000,04800AMBULANCE 89084,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89084,A000000,05000,0000,05000CORF 89084,A000000,05010,0000,05010CMHC I 89084,A000000,05020,0000,05020OPT I 89084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89084,A000000,05300,0000,05300INTEREST EXPENSE 89084,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89084,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89084,A000000,05500,0000,05500HOSPICE 89084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89084,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89084,A000000,06100,0000,06100NONPAID WORKERS 89084,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89084,A000000,06200,0000,06200PATIENTS LAUNDRY 89084,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89084,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89084,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89084,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89084,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89084,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89084,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89084,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89084,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89084,B100000,00000,0850,00000PAT DAYS :DIETARY 89084,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89084,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89084,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89084,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89084,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89084,B100000,00000,1350,00000 :INDIRECT CONSULTANT 89084,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89084,S000000,00100,0200,05/26/2000 89084,S200000,00100,0100,150 WATER STREET 89084,S200000,00200,0100,HAVERHILL 89084,S200000,00200,0200,MA 89084,S200000,00200,0300,01830-6298 89084,S200000,00300,0100,ESSEX 89084,S200000,00400,0100,PENACOOK PLACE INC. 89084,S200000,00400,0200,225376 89084,S200000,00400,0300,07/01/1990 89084,S200000,00400,0500,P 89084,S200000,00600,0200,225376 89084,S200000,00600,0300,07/01/1990 89084,S200000,01004,0500,O 89084,S200000,01600,0100,Y 89084,S700003,00000,0100,1 89093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89093,A000000,00300,0000,00300EMPLOYEE BENEFITS 89093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89093,A000000,00700,0000,00700HOUSEKEEPING 89093,A000000,00800,0000,00800DIETARY 89093,A000000,00900,0000,00900NURSING ADMINISTRATION 89093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89093,A000000,01100,0000,01100PHARMACY 89093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89093,A000000,01300,0000,01300SOCIAL SERVICE 89093,A000000,01350,0000,01500ACTIVITIES 89093,A000000,01351,0000,01501INDIRECT CONSULTANTS 89093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89093,A000000,01600,0000,01600SKILLED NURSING FACILITY 89093,A000000,01800,0000,01800NURSING FACILITY 89093,A000000,01810,0000,01801ICF/MR 89093,A000000,01900,0000,01900OTHER LONG TERM CARE 89093,A000000,02100,0000,02100RADIOLOGY 89093,A000000,02200,0000,02200LABORATORY 89093,A000000,02300,0000,02300INTRAVENOUS THERAPY 89093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89093,A000000,02500,0000,02500PHYSICAL THERAPY 89093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89093,A000000,02700,0000,02700SPEECH PATHOLOGY 89093,A000000,02800,0000,02800ELECTROCARDIOLOGY 89093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89093,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89093,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89093,A000000,03052,0000,03302ENTERALS 89093,A000000,03053,0000,03303AMBULANCE 89093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89093,A000000,03200,0000,03200SUPPORT SURFACES 89093,A000000,03400,0000,03400CLINIC 89093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89093,A000000,03500,0000,03500RURAL HEALTH CLINIC 89093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89093,A000000,04400,0000,04400DME RENTED - HHA 89093,A000000,04500,0000,04500DME SOLD - HHA 89093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89093,A000000,04800,0000,04800AMBULANCE 89093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89093,A000000,05000,0000,05000CORF 89093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89093,A000000,05300,0000,05300INTEREST EXPENSE 89093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89093,A000000,05500,0000,05500HOSPICE 89093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89093,A000000,06100,0000,06100NONPAID WORKERS 89093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89093,A000000,06200,0000,06200PATIENTS LAUNDRY 89093,A81000A,00100,0100,Y 89093,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 89093,A81000B,00200,0300,ADMIN-PURCHASED SERVICE 89093,A81000C,00200,0400,THE GRANTHAM GROUP 89093,A81000C,00200,0600,MGMT COMPANY 89093,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89093,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89093,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89093,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89093,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89093,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89093,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89093,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89093,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89093,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89093,B100000,00000,1150,00000N/A :PHARMACY 89093,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89093,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89093,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89093,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89093,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89093,E10A180,00301,0100,11/02/1999 89093,S000000,00100,0200,05/30/2000 89093,S200000,00100,0100,10 MARY SCANO DRIVE 89093,S200000,00200,0100,WORCESTER 89093,S200000,00200,0200,MA 89093,S200000,00200,0300,01605- 89093,S200000,00300,0100,WORCESTER 89093,S200000,00400,0100,CHRISTOPHER HOUSE INC. 89093,S200000,00400,0200,225385 89093,S200000,00400,0300,07/01/1990 89093,S200000,00400,0500,P 89093,S200000,00400,0600,P 89093,S200000,01600,0100,Y 89093,S700003,00000,0100,1 89101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89101,A000000,00300,0000,00300EMPLOYEE BENEFITS 89101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89101,A000000,00700,0000,00700HOUSEKEEPING 89101,A000000,00800,0000,00800DIETARY 89101,A000000,00900,0000,00900NURSING ADMINISTRATION 89101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89101,A000000,01100,0000,01100PHARMACY 89101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89101,A000000,01300,0000,01300SOCIAL SERVICE 89101,A000000,01600,0000,01600SKILLED NURSING FACILITY 89101,A000000,01800,0000,01800NURSING FACILITY 89101,A000000,01900,0000,01900OTHER LONG TERM CARE 89101,A000000,02100,0000,02100RADIOLOGY 89101,A000000,02200,0000,02200LABORATORY 89101,A000000,02300,0000,02300INTRAVENOUS THERAPY 89101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89101,A000000,02500,0000,02500PHYSICAL THERAPY 89101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89101,A000000,02700,0000,02700SPEECH PATHOLOGY 89101,A000000,02800,0000,02800ELECTROCARDIOLOGY 89101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89101,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89101,A000000,03051,0000,03301NUTRITIONAL THERAPY 89101,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 89101,A000000,03053,0000,03303PHYSICIAN SERVICES 89101,A000000,03054,0000,03304MEDICAL SERVICES 89101,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 89101,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89101,A000000,03200,0000,03200SUPPORT SURFACES 89101,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89101,A000000,04800,0000,04800AMBULANCE 89101,A000000,05300,0000,05300INTEREST EXPENSE 89101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89101,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89101,A000000,06100,0000,06100NONPAID WORKERS 89101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89101,A000000,06200,0000,06200PATIENTS LAUNDRY 89101,A81000A,00100,0100,Y 89101,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 89101,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 89101,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 89101,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 89101,A81000C,00100,0100,B 89101,A81000C,00100,0200,GUARDIAN FOUNDATION 89101,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89101,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89101,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89101,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89101,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89101,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89101,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 89101,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89101,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89101,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89101,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89101,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 89101,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89101,S000000,00100,0200,06/02/2000 89101,S200000,00100,0100,255 LEBANON AVENUE 89101,S200000,00200,0100,PITTSFIELD 89101,S200000,00200,0200,MA 89101,S200000,00200,0300,01201- 89101,S200000,00300,0100,BERKSHIRE 89101,S200000,00400,0100,SPRINGSIDE OF PITTSFIELD 89101,S200000,00400,0200,225386 89101,S200000,00400,0300,07/01/1990 89101,S200000,00400,0500,P 89101,S200000,01600,0100,Y 89101,S200000,02200,0100,Y 89101,S700003,00000,0100,1 89111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89111,A000000,00300,0000,00300EMPLOYEE BENEFITS 89111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89111,A000000,00700,0000,00700HOUSEKEEPING 89111,A000000,00800,0000,00800DIETARY 89111,A000000,00900,0000,00900NURSING ADMINISTRATION 89111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89111,A000000,01100,0000,01100PHARMACY 89111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89111,A000000,01300,0000,01300SOCIAL SERVICE 89111,A000000,01350,0000,01500ACTIVITIES 89111,A000000,01351,0000,01501INDIRECT CONSULTANTS 89111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89111,A000000,01600,0000,01600SKILLED NURSING FACILITY 89111,A000000,01800,0000,01800NURSING FACILITY 89111,A000000,01810,0000,01810ICF/MR 89111,A000000,01900,0000,01900OTHER LONG TERM CARE 89111,A000000,02100,0000,02100RADIOLOGY 89111,A000000,02200,0000,02200LABORATORY 89111,A000000,02300,0000,02300INTRAVENOUS THERAPY 89111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89111,A000000,02500,0000,02500PHYSICAL THERAPY 89111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89111,A000000,02700,0000,02700SPEECH PATHOLOGY 89111,A000000,02800,0000,02800ELECTROCARDIOLOGY 89111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89111,A000000,03050,0000,03300NUTRITIONAL THERAPY 89111,A000000,03051,0000,03301TRANSPORTATION 89111,A000000,03052,0000,03302AIR FLUIDIZED THERAPY 89111,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89111,A000000,03200,0000,03200SUPPORT SURFACES 89111,A000000,03400,0000,03400CLINIC 89111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89111,A000000,03500,0000,03500RURAL HEALTH CLINIC 89111,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89111,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89111,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89111,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89111,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89111,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89111,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89111,A000000,04400,0000,04400DME RENTED - HHA 89111,A000000,04500,0000,04500DME SOLD - HHA 89111,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89111,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89111,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89111,A000000,04800,0000,04800AMBULANCE 89111,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89111,A000000,05000,0000,05000CORF 89111,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89111,A000000,05300,0000,05300INTEREST EXPENSE 89111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89111,A000000,05500,0000,05500HOSPICE 89111,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89111,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89111,A000000,06100,0000,06100NONPAID WORKERS 89111,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89111,A000000,06200,0000,06200PATIENTS LAUNDRY 89111,A81000A,00100,0100,Y 89111,A81000B,00100,0300,HOME OFFICE EXPENSE 89111,A81000C,00100,0100,B 89111,A81000C,00100,0200,METRO HEALTH FOUNDATION 89111,A81000C,00100,0400,METRO HEALTH FOUNDATION 89111,A81000C,00100,0600,HOME OFFICE 89111,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89111,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89111,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89111,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89111,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89111,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89111,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89111,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89111,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89111,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89111,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89111,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89111,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89111,E10A180,00301,0100,11/18/1999 89111,E10A180,00302,0100,11/29/1999 89111,E10A180,00501,0100,01/12/2001 89111,S000000,00100,0200,12/01/2000 89111,S200000,00100,0100,389 ALDEN ROAD 89111,S200000,00200,0100,FAIRHAVEN 89111,S200000,00200,0200,MA 89111,S200000,00200,0300,02719- 89111,S200000,00300,0100,BRISTOL 89111,S200000,00300,0200,1123 89111,S200000,00300,0300,U 89111,S200000,00400,0100,ALDEN COURT SKILLED NURSING & REHAB 89111,S200000,00400,0200,225387 89111,S200000,00400,0300,06/01/1990 89111,S200000,00400,0500,P 89111,S200000,00400,0600,P 89111,S200000,01600,0100,Y 89118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89118,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89118,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89118,A000000,00300,0000,00300EMPLOYEE BENEFITS 89118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89118,A000000,00700,0000,00700HOUSEKEEPING 89118,A000000,00800,0000,00800DIETARY 89118,A000000,00801,0000,00801CAFETERIA 89118,A000000,00900,0000,00900NURSING ADMINISTRATION 89118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89118,A000000,01100,0000,01100PHARMACY 89118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89118,A000000,01300,0000,01300SOCIAL SERVICE 89118,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89118,A000000,01600,0000,01600SKILLED NURSING FACILITY 89118,A000000,01800,0000,01800NURSING FACILITY 89118,A000000,01900,0000,01900OTHER LONG TERM CARE 89118,A000000,02100,0000,02100RADIOLOGY 89118,A000000,02200,0000,02200LABORATORY 89118,A000000,02300,0000,02300INTRAVENOUS THERAPY 89118,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89118,A000000,02500,0000,02500PHYSICAL THERAPY 89118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89118,A000000,02700,0000,02700SPEECH PATHOLOGY 89118,A000000,02800,0000,02800ELECTROCARDIOLOGY 89118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89118,A000000,03050,0000,03300AIR FLUID BED RENTAL 89118,A000000,03051,0000,03301OTHER ANCILLARY II 89118,A000000,03052,0000,03302OTHER ANCILLARY III 89118,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89118,A000000,03200,0000,03200SUPPORT SURFACES 89118,A000000,03400,0000,03400CLINIC 89118,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89118,A000000,03500,0000,03500RURAL HEALTH CLINIC 89118,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89118,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89118,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89118,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89118,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89118,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89118,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89118,A000000,04400,0000,04400DME RENTED - HHA 89118,A000000,04500,0000,04500DME SOLD - HHA 89118,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89118,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89118,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89118,A000000,04800,0000,04800AMBULANCE 89118,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89118,A000000,05000,0000,05000CORF 89118,A000000,05010,0000,05010CMHC I 89118,A000000,05020,0000,05020OPT I 89118,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89118,A000000,05300,0000,05300INTEREST EXPENSE 89118,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89118,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89118,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89118,A000000,05500,0000,05500HOSPICE 89118,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89118,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89118,A000000,06100,0000,06100NONPAID WORKERS 89118,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89118,A000000,06200,0000,06200PATIENTS LAUNDRY 89118,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89118,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89118,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89118,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89118,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89118,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89118,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89118,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89118,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89118,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89118,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89118,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89118,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89118,B100000,00000,1150,00000PAT DAYS :PHARMACY 89118,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89118,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89118,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89118,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89118,S000000,00100,0200,05/05/2000 89118,S200000,00100,0100,51 HOSPITAL ROAD 89118,S200000,00100,0300,24 89118,S200000,00200,0100,BALDWINVILLE 89118,S200000,00200,0200,MA 89118,S200000,00200,0300,01436- 89118,S200000,00300,0100,WORCESTER 89118,S200000,00400,0100,BALDWINVILLE NURSING HOME 89118,S200000,00400,0200,225388 89118,S200000,00400,0300,07/01/1990 89118,S200000,00400,0500,P 89118,S200000,01600,0100,Y 89118,S200000,04700,0100,Y 89118,S200000,04900,0100,Y 89118,S700003,00000,0100,1 89128,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89128,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89128,A000000,00300,0000,00300EMPLOYEE BENEFITS 89128,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89128,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89128,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89128,A000000,00700,0000,00700HOUSEKEEPING 89128,A000000,00800,0000,00800DIETARY 89128,A000000,00900,0000,00900NURSING ADMINISTRATION 89128,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89128,A000000,01100,0000,01100PHARMACY 89128,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89128,A000000,01300,0000,01300SOCIAL SERVICE 89128,A000000,01352,0000,01500OTHER GENERAL SERVICE COST CENTERS 89128,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89128,A000000,01600,0000,01600SKILLED NURSING FACILITY 89128,A000000,01800,0000,01800NURSING FACILITY 89128,A000000,01900,0000,01900OTHER LONG TERM CARE 89128,A000000,02200,0000,02200LABORATORY 89128,A000000,02300,0000,02300INTRAVENOUS THERAPY 89128,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89128,A000000,02500,0000,02500PHYSICAL THERAPY 89128,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89128,A000000,02700,0000,02700SPEECH PATHOLOGY 89128,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89128,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89128,A000000,05000,0000,05000CORF 89128,A000000,05010,0000,05010CMHC 89128,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89128,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89128,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89128,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89128,A81000A,00100,0100,Y 89128,A81000B,00100,0300,MANAGEMENT FEE 89128,A81000B,00200,0300,HOME OFFICE EXPENSES 89128,A81000B,00300,0300,HOME OFFICE EXP 89128,A81000C,00100,0100,B 89128,A81000C,00100,0400,OLYMPUS MGMT CO 89128,A81000C,00100,0600,HOME OFFICE 89128,A81000C,00200,0100,B 89128,A81000C,00200,0400,OLYMPUS MGMT CO 89128,A81000C,00200,0600,HOME OFFICE 89128,A81000C,00300,0100,B 89128,A81000C,00300,0400,OLYMPUS MGMT CO 89128,A81000C,00300,0600,HOME OFFICE 89128,A81000C,00500,0200,SEE HCFA 339 & 89128,A81000C,00600,0200,FOR ADDITIONAL 89128,A81000C,00700,0200,RELATED PARTY 89128,A81000C,00800,0200,TRANSACTIONS 89128,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89128,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89128,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89128,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89128,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89128,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89128,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89128,B100000,00000,0800,00000MEALS SERVED :DIETARY 89128,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 89128,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 89128,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89128,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 89128,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 89128,B100000,00000,1352,00000PATIENT DAYS :OTHER GENERAL SERVIC 89128,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89128,S000000,00100,0200,06/30/1999 89128,S200000,00100,0100,1350 MAIN STREET 89128,S200000,00200,0100,WORCESTER 89128,S200000,00200,0200,MA 89128,S200000,00200,0300,01603- 89128,S200000,00300,0100,WORCESTER 89128,S200000,00400,0100,OLYMPUS HEALTHCARE CENTER-WORCESTER 89128,S200000,00400,0200,225390 89128,S200000,00400,0300,01/18/1997 89128,S200000,00400,0500,P 89128,S200000,00400,0600,P 89128,S200000,00600,0200,225390 89128,S200000,00600,0300,01/18/1997 89128,S200000,00600,0600,P 89128,S200000,01600,0100,Y 89128,S200000,02200,0100,Y 89128,S700003,00000,0100,1 89130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89130,A000000,00300,0000,00300EMPLOYEE BENEFITS 89130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89130,A000000,00700,0000,00700HOUSEKEEPING 89130,A000000,00800,0000,00800DIETARY 89130,A000000,00900,0000,00900NURSING ADMINISTRATION 89130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89130,A000000,01100,0000,01100PHARMACY 89130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89130,A000000,01300,0000,01300SOCIAL SERVICE 89130,A000000,01350,0000,01500RECREATION 89130,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89130,A000000,01600,0000,01600SKILLED NURSING FACILITY 89130,A000000,01810,0000,01810ICF/MR 89130,A000000,02100,0000,02100RADIOLOGY 89130,A000000,02200,0000,02200LABORATORY 89130,A000000,02300,0000,02300INTRAVENOUS THERAPY 89130,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89130,A000000,02500,0000,02500PHYSICAL THERAPY 89130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89130,A000000,02700,0000,02700SPEECH PATHOLOGY 89130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89130,A000000,03550,0000,03550FQHC 89130,A000000,05000,0000,05000CORF 89130,A000000,05010,0000,05010CMHC 89130,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89130,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89130,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89130,A81000A,00100,0100,Y 89130,A81000B,00100,0300,HOME OFFICE EXPENSE 89130,A81000B,00200,0300,HOME OFFICE EXPENSE 89130,A81000B,00300,0300,MANAGEMENT FEE 89130,A81000C,00100,0100,B 89130,A81000C,00100,0400,OLYMPUS HEALTHC 89130,A81000C,00100,0600,OWN/MANAGE FACI 89130,A81000C,00200,0100,B 89130,A81000C,00200,0400,OLYMPUS HEALTHC 89130,A81000C,00200,0600,OWN/MANAGE FACI 89130,A81000C,00300,0100,B 89130,A81000C,00300,0400,OLYMPUS HEALTHC 89130,A81000C,00300,0600,OWN/MANAGE FACI 89130,A81000C,00500,0200,SEE HCFA 339 & 89130,A81000C,00600,0200,A-8-5 FOR OTHER 89130,A81000C,00700,0200,RELATED PARTY 89130,A81000C,00800,0200,TRANSACTIONS 89130,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89130,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89130,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89130,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89130,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89130,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 89130,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89130,B100000,00000,0800,00000MEALS SERVED :DIETARY 89130,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 89130,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 89130,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89130,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 89130,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 89130,B100000,00000,1350,00000RESIDENT DAYS :RECREATION 89130,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89130,S000000,00100,0200,05/30/2000 89130,S200000,00100,0100,1350 MAIN STREET 89130,S200000,00200,0100,WORCESTER 89130,S200000,00200,0200,MA 89130,S200000,00200,0300,01603- 89130,S200000,00300,0100,WORCESTER 89130,S200000,00400,0100,OLYMPUS HEALTHCARE CTR.-WORCESTER 89130,S200000,00400,0200,225390 89130,S200000,00400,0300,01/18/1997 89130,S200000,00400,0500,P 89130,S200000,00400,0600,P 89130,S200000,01500,0100,Y 89130,S700003,00000,0200,2 89138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89138,A000000,00300,0000,00300EMPLOYEE BENEFITS 89138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89138,A000000,00700,0000,00700HOUSEKEEPING 89138,A000000,00800,0000,00800DIETARY 89138,A000000,00900,0000,00900NURSING ADMINISTRATION 89138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89138,A000000,01100,0000,01100PHARMACY 89138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89138,A000000,01300,0000,01300SOCIAL SERVICE 89138,A000000,01350,0000,01500ACTIVITIES 89138,A000000,01351,0000,01501INDIRECT CONSULTANTS 89138,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89138,A000000,01600,0000,01600SKILLED NURSING FACILITY 89138,A000000,01800,0000,01800NURSING FACILITY 89138,A000000,01810,0000,01801ICF/MR 89138,A000000,01900,0000,01900OTHER LONG TERM CARE 89138,A000000,02100,0000,02100RADIOLOGY 89138,A000000,02200,0000,02200LABORATORY 89138,A000000,02300,0000,02300INTRAVENOUS THERAPY 89138,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89138,A000000,02500,0000,02500PHYSICAL THERAPY 89138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89138,A000000,02700,0000,02700SPEECH PATHOLOGY 89138,A000000,02800,0000,02800ELECTROCARDIOLOGY 89138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89138,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89138,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89138,A000000,03200,0000,03200SUPPORT SURFACES 89138,A000000,03400,0000,03400CLINIC 89138,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89138,A000000,03500,0000,03500RURAL HEALTH CLINIC 89138,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89138,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89138,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89138,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89138,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89138,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89138,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89138,A000000,04400,0000,04400DME RENTED - HHA 89138,A000000,04500,0000,04500DME SOLD - HHA 89138,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89138,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89138,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89138,A000000,04800,0000,04800AMBULANCE 89138,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89138,A000000,05000,0000,05000CORF 89138,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89138,A000000,05300,0000,05300INTEREST EXPENSE 89138,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89138,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89138,A000000,05500,0000,05500HOSPICE 89138,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89138,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89138,A000000,06100,0000,06100NONPAID WORKERS 89138,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89138,A000000,06200,0000,06200PATIENTS LAUNDRY 89138,A81000A,00100,0100,Y 89138,A81000B,00100,0300,RENT-CAPITAL RELATED 89138,A81000B,00200,0300,RENT-CAP REL MOVABLE 89138,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89138,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 89138,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 89138,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 89138,A81000B,00700,0300,WATER & SEWER 89138,A81000B,00800,0300,SOCIAL SERVICE CONSULTANT 89138,A81000B,00900,0300,ADMINISTRATOR PURCH SERVICE 89138,A81000B,01000,0300,CLERICAL PURCH SERVICE 89138,A81000B,01100,0300,SOCIAL SERVICE SALARIES 89138,A81000B,01200,0300,EMPLOYEE BENEFITS 89138,A81000B,01300,0300,QA CONSULTANT 89138,A81000B,01400,0300,SOCIAL SERVICE PURCH SERVICE 89138,A81000C,00100,0100,A 89138,A81000C,00100,0200,JEFFREY GOLDSHINE 89138,A81000C,00100,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00100,0600,RENTAL PROPERTY 89138,A81000C,00200,0100,A 89138,A81000C,00200,0200,RICHARD KOSOW 89138,A81000C,00200,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00200,0600,RENTAL PROPERTY 89138,A81000C,00300,0100,A 89138,A81000C,00300,0200,DOUGLAS NOBLE 89138,A81000C,00300,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00300,0600,RENTAL PROPERTY 89138,A81000C,00400,0100,A 89138,A81000C,00400,0200,LEE KOSOW 89138,A81000C,00400,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00400,0600,RENTAL PROPERTY 89138,A81000C,00500,0100,A 89138,A81000C,00500,0200,LAWRENCE KOSOW 89138,A81000C,00500,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00500,0600,RENTAL PROPERTY 89138,A81000C,00600,0100,A 89138,A81000C,00600,0200,MARY CATEHRINE RUMSEY 89138,A81000C,00600,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00600,0600,RENTAL PROPERTY 89138,A81000C,00700,0100,A 89138,A81000C,00700,0200,MURRAY SACKMAN 89138,A81000C,00700,0400,BERKSHIRE HILLS REALTY 89138,A81000C,00700,0600,RENTAL PROPERTY 89138,A81000C,00800,0100,B 89138,A81000C,00800,0400,COMMONWEALTH COMMUNITIES 89138,A81000C,00800,0600,HOME OFFICE 89138,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89138,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89138,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89138,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89138,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89138,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89138,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89138,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89138,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89138,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89138,B100000,00000,1150,00000N/A :PHARMACY 89138,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89138,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89138,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89138,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89138,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89138,S000000,00100,0200,06/01/2000 89138,S200000,00100,0100,170 PROSPECT STREET 89138,S200000,00200,0100,LEE 89138,S200000,00200,0200,MA 89138,S200000,00200,0300,01238- 89138,S200000,00300,0100,BERKSHIRE 89138,S200000,00400,0100,BERKSHIRE HILLS NURSING CENTER 89138,S200000,00400,0200,225391 89138,S200000,00400,0300,07/01/1990 89138,S200000,00400,0500,P 89138,S200000,00400,0600,P 89138,S200000,01004,0500,O 89138,S200000,01600,0100,Y 89138,S200000,03100,0100,Y 89138,S700003,00000,0100,1 89147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89147,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89147,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89147,A000000,00300,0000,00300EMPLOYEE BENEFITS 89147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89147,A000000,00700,0000,00700HOUSEKEEPING 89147,A000000,00800,0000,00800DIETARY 89147,A000000,00801,0000,00801CAFETERIA 89147,A000000,00900,0000,00900NURSING ADMINISTRATION 89147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89147,A000000,01100,0000,01100PHARMACY 89147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89147,A000000,01300,0000,01300SOCIAL SERVICE 89147,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89147,A000000,01600,0000,01600SKILLED NURSING FACILITY 89147,A000000,01800,0000,01800NURSING FACILITY 89147,A000000,01900,0000,01900OTHER LONG TERM CARE 89147,A000000,02100,0000,02100RADIOLOGY 89147,A000000,02200,0000,02200LABORATORY 89147,A000000,02300,0000,02300INTRAVENOUS THERAPY 89147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89147,A000000,02500,0000,02500PHYSICAL THERAPY 89147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89147,A000000,02700,0000,02700SPEECH PATHOLOGY 89147,A000000,02800,0000,02800ELECTROCARDIOLOGY 89147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89147,A000000,03050,0000,03300OTHER ANCILLARY 89147,A000000,03051,0000,03301OTHER ANCILLARY II 89147,A000000,03052,0000,03302OTHER ANCILLARY III 89147,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89147,A000000,03200,0000,03200SUPPORT SURFACES 89147,A000000,03400,0000,03400CLINIC 89147,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89147,A000000,03500,0000,03500RURAL HEALTH CLINIC 89147,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89147,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89147,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89147,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89147,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89147,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89147,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89147,A000000,04400,0000,04400DME RENTED - HHA 89147,A000000,04500,0000,04500DME SOLD - HHA 89147,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89147,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89147,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89147,A000000,04800,0000,04800AMBULANCE 89147,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89147,A000000,05000,0000,05000CORF 89147,A000000,05010,0000,05010CMHC I 89147,A000000,05020,0000,05020OPT I 89147,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89147,A000000,05300,0000,05300INTEREST EXPENSE 89147,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89147,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89147,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89147,A000000,05500,0000,05500HOSPICE 89147,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89147,A000000,06100,0000,06100NONPAID WORKERS 89147,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89147,A000000,06200,0000,06200PATIENTS LAUNDRY 89147,A81000A,00100,0100,Y 89147,A81000B,00100,0300,A&G 89147,A81000B,00200,0300,CAPITAL 89147,A81000B,00300,0300,A&G 89147,A81000B,00400,0300,A&G 89147,A81000B,00500,0300,DIETARY 89147,A81000B,00600,0300,MEDICAL 89147,A81000B,00700,0300,MEDICAL 89147,A81000C,00100,0100,A 89147,A81000C,00100,0200,DOUG MITTLEIDER 89147,A81000C,00200,0100,B 89147,A81000C,00200,0200,CALLICOTT TRUST 89147,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89147,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89147,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89147,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89147,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89147,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89147,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89147,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89147,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 89147,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 89147,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 89147,B100000,00000,1250,00000(GROSS CHARGES) :MEDICAL RECORDS & 89147,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89147,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 89147,E10A180,00501,0100,07/24/2000 89147,E10A180,00551,0300,07/24/2000 89147,S000000,00100,0200,06/26/2000 89147,S200000,00100,0100,142 PLEASANT STREET 89147,S200000,00200,0100,WINTHROP 89147,S200000,00200,0200,MA 89147,S200000,00200,0300,02152- 89147,S200000,00300,0100,SUFFOLK 89147,S200000,00300,0300,R 89147,S200000,00400,0100,GOVERNOR WINTHROP 89147,S200000,00400,0200,225399 89147,S200000,00400,0300,07/10/1990 89147,S200000,00400,0500,P 89147,S200000,01600,0100,Y 89147,S200000,02200,0100,Y 89150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89150,A000000,00300,0000,00300EMPLOYEE BENEFITS 89150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89150,A000000,00700,0000,00700HOUSEKEEPING 89150,A000000,00800,0000,00800DIETARY 89150,A000000,00900,0000,00900NURSING ADMINISTRATION 89150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89150,A000000,01100,0000,01100PHARMACY 89150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89150,A000000,01300,0000,01300SOCIAL SERVICE 89150,A000000,01350,0000,01500ACTIVITIES 89150,A000000,01351,0000,01501INDIRECT CONSULTANTS 89150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89150,A000000,01600,0000,01600SKILLED NURSING FACILITY 89150,A000000,01800,0000,01800NURSING FACILITY 89150,A000000,01810,0000,01801ICF/MR 89150,A000000,01900,0000,01900OTHER LONG TERM CARE 89150,A000000,02100,0000,02100RADIOLOGY 89150,A000000,02200,0000,02200LABORATORY 89150,A000000,02300,0000,02300INTRAVENOUS THERAPY 89150,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89150,A000000,02500,0000,02500PHYSICAL THERAPY 89150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89150,A000000,02700,0000,02700SPEECH PATHOLOGY 89150,A000000,02800,0000,02800ELECTROCARDIOLOGY 89150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89150,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89150,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89150,A000000,03200,0000,03200SUPPORT SURFACES 89150,A000000,03400,0000,03400CLINIC 89150,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89150,A000000,03500,0000,03500RURAL HEALTH CLINIC 89150,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89150,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89150,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89150,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89150,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89150,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89150,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89150,A000000,04400,0000,04400DME RENTED - HHA 89150,A000000,04500,0000,04500DME SOLD - HHA 89150,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89150,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89150,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89150,A000000,04800,0000,04800AMBULANCE 89150,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89150,A000000,05000,0000,05000CORF 89150,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89150,A000000,05300,0000,05300INTEREST EXPENSE 89150,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89150,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89150,A000000,05500,0000,05500HOSPICE 89150,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89150,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89150,A000000,06100,0000,06100NONPAID WORKERS 89150,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89150,A000000,06200,0000,06200PATIENTS LAUNDRY 89150,A81000A,00100,0100,Y 89150,A81000B,00100,0300,RENT-CAPITAL RELATED 89150,A81000B,00200,0300,ADMINISTRATOR 89150,A81000B,00300,0300,CLERICAL/BOOKKEEPER 89150,A81000B,00400,0300,SOCIAL SERVICES 89150,A81000C,00100,0100,A 89150,A81000C,00100,0200,JON GUARINO 89150,A81000C,00100,0400,SHATTUCK REALTY 89150,A81000C,00100,0600,RENTAL PROPERTY 89150,A81000C,00200,0100,A 89150,A81000C,00200,0200,KATHLEEN GUARINO 89150,A81000C,00200,0400,SHATTUCK REALTY 89150,A81000C,00200,0600,RENTAL PROPERTY 89150,A81000C,00300,0100,D 89150,A81000C,00300,0200,JON GUARINO 89150,A81000C,00300,0400,OWNER 89150,A81000C,00400,0100,D 89150,A81000C,00400,0200,KATHY GUARINO 89150,A81000C,00400,0400,RELATIVE 89150,A81000C,00500,0100,D 89150,A81000C,00500,0200,WILLIAM GRIMES 89150,A81000C,00500,0400,RELATIVE 89150,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89150,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89150,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89150,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89150,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89150,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89150,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89150,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89150,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89150,B100000,00000,1050,00000N/A N/A :CENTRAL SERVICES & SUPPLY 89150,B100000,00000,1150,00000N/A N/A :PHARMACY 89150,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 89150,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 89150,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89150,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 89150,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 89150,S000000,00100,0200,05/15/2000 89150,S200000,00100,0100,87 SHATTUCK STREET 89150,S200000,00200,0100,HAVERHILL 89150,S200000,00200,0200,MA 89150,S200000,00200,0300,01831- 89150,S200000,00300,0100,ESSEX 89150,S200000,00400,0100,LAKEVIEW HOUSE INC. 89150,S200000,00400,0200,225401 89150,S200000,00400,0300,07/01/1990 89150,S200000,00400,0500,P 89150,S200000,00400,0600,P 89150,S200000,01004,0500,O 89150,S200000,01600,0100,Y 89150,S700003,00000,0100,1 89158,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89158,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89158,A000000,00300,0000,00300EMPLOYEE BENEFITS 89158,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89158,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89158,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89158,A000000,00700,0000,00700HOUSEKEEPING 89158,A000000,00800,0000,00800DIETARY 89158,A000000,00900,0000,00900NURSING ADMINISTRATION 89158,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89158,A000000,01100,0000,01100PHARMACY 89158,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89158,A000000,01300,0000,01300SOCIAL SERVICE 89158,A000000,01350,0000,01500ACTIVITIES 89158,A000000,01351,0000,01501INDIRECT CONSULTANTS 89158,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89158,A000000,01600,0000,01600SKILLED NURSING FACILITY 89158,A000000,01800,0000,01800NURSING FACILITY 89158,A000000,01900,0000,01900OTHER LONG TERM CARE 89158,A000000,02100,0000,02100RADIOLOGY 89158,A000000,02200,0000,02200LABORATORY 89158,A000000,02300,0000,02300INTRAVENOUS THERAPY 89158,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89158,A000000,02500,0000,02500PHYSICAL THERAPY 89158,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89158,A000000,02700,0000,02700SPEECH PATHOLOGY 89158,A000000,02800,0000,02800ELECTROCARDIOLOGY 89158,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89158,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89158,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 89158,A000000,03051,0000,03301AMBULANCE 89158,A000000,03052,0000,03302PEN THERAPY 89158,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89158,A000000,03200,0000,03200SUPPORT SURFACES 89158,A000000,03400,0000,03400CLINIC 89158,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89158,A000000,03500,0000,03500RURAL HEALTH CLINIC 89158,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89158,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89158,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89158,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89158,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89158,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89158,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89158,A000000,04400,0000,04400DME RENTED - HHA 89158,A000000,04500,0000,04500DME SOLD - HHA 89158,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89158,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89158,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89158,A000000,04800,0000,04800AMBULANCE 89158,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89158,A000000,05000,0000,05000CORF 89158,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89158,A000000,05300,0000,05300INTEREST EXPENSE 89158,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89158,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89158,A000000,05500,0000,05500HOSPICE 89158,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89158,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89158,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89158,A000000,06100,0000,06100NONPAID WORKERS 89158,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89158,A000000,06200,0000,06200PATIENTS LAUNDRY 89158,A81000A,00100,0100,Y 89158,A81000B,00100,0300,SALARIES-ADMIN 89158,A81000B,00200,0300,SALARIES-RECEPTION 89158,A81000B,00300,0300,SALARIES-SS 89158,A81000B,00400,0300,SALARIES-MAINTENANCE 89158,A81000C,00100,0100,E 89158,A81000C,00100,0200,C. GREENWOOD 89158,A81000C,00200,0100,D 89158,A81000C,00200,0200,A. SYRON 89158,A81000C,00300,0100,D 89158,A81000C,00300,0200,I. GREENWOOD 89158,A81000C,00400,0100,D 89158,A81000C,00400,0200,A. SYRON 89158,A81000C,00500,0100,D 89158,A81000C,00500,0200,E. GREENWOOD 89158,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89158,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89158,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89158,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89158,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89158,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89158,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89158,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89158,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89158,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89158,B100000,00000,1150,00000N/A N/A :PHARMACY 89158,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89158,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89158,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89158,B100000,00000,1351,00000N/A N/A :INDIRECT CONSULTANTS 89158,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 89158,E10A180,00301,0100,06/15/1999 89158,S000000,00100,0200,05/30/2000 89158,S200000,00100,0100,500 WILBUR AVENUE 89158,S200000,00200,0100,SOMERSET 89158,S200000,00200,0200,MA 89158,S200000,00200,0300,02725- 89158,S200000,00300,0100,BRISTOL 89158,S200000,00400,0100,CLIFTON REHABILITATIVE NURSING CTR. 89158,S200000,00400,0200,225402 89158,S200000,00400,0300,07/01/1990 89158,S200000,00400,0500,P 89158,S200000,00400,0600,P 89158,S200000,01600,0100,Y 89166,S000000,00100,0200,06/01/2000 89175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89175,A000000,00300,0000,00300EMPLOYEE BENEFITS 89175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89175,A000000,00700,0000,00700HOUSEKEEPING 89175,A000000,00800,0000,00800DIETARY 89175,A000000,00900,0000,00900NURSING ADMINISTRATION 89175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89175,A000000,01100,0000,01100PHARMACY 89175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89175,A000000,01300,0000,01300SOCIAL SERVICE 89175,A000000,01350,0000,01500ACTIVITIES 89175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89175,A000000,01600,0000,01600SKILLED NURSING FACILITY 89175,A000000,01800,0000,01800NURSING FACILITY 89175,A000000,01810,0000,01801ICF/MR 89175,A000000,01900,0000,01900OTHER LONG TERM CARE 89175,A000000,02100,0000,02100RADIOLOGY 89175,A000000,02200,0000,02200LABORATORY 89175,A000000,02300,0000,02300INTRAVENOUS THERAPY 89175,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89175,A000000,02500,0000,02500PHYSICAL THERAPY 89175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89175,A000000,02700,0000,02700SPEECH PATHOLOGY 89175,A000000,02800,0000,02800ELECTROCARDIOLOGY 89175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89175,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89175,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89175,A000000,03200,0000,03200SUPPORT SURFACES 89175,A000000,03400,0000,03400CLINIC 89175,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89175,A000000,03500,0000,03500RURAL HEALTH CLINIC 89175,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89175,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89175,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89175,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89175,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89175,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89175,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89175,A000000,04400,0000,04400DME RENTED - HHA 89175,A000000,04500,0000,04500DME SOLD - HHA 89175,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89175,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89175,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89175,A000000,04800,0000,04800AMBULANCE 89175,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89175,A000000,05000,0000,05000CORF 89175,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89175,A000000,05300,0000,05300INTEREST EXPENSE 89175,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89175,A000000,05500,0000,05500HOSPICE 89175,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89175,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89175,A000000,06100,0000,06100NONPAID WORKERS 89175,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89175,A000000,06200,0000,06200PATIENTS LAUNDRY 89175,A81000A,00100,0100,Y 89175,A81000B,00100,0300,MANAGEMENT FEE - A&G 89175,A81000B,00200,0300,MANAGEMENT FEE - CAPITAL 89175,A81000B,00300,0300,DATA PROCESSING 89175,A81000C,00100,0100,A 89175,A81000C,00100,0200,JAMES AYERS 89175,A81000C,00100,0400,AMERICAN HEALTH CTRS. INC 89175,A81000C,00100,0600,MANAGEMENT SERVICES 89175,A81000C,00200,0100,A 89175,A81000C,00200,0200,JAMES AYERS 89175,A81000C,00200,0400,AMERICAN HEALTH CTRS. INC 89175,A81000C,00200,0600,MANAGEMENT SERVICES 89175,A81000C,00300,0100,A 89175,A81000C,00300,0200,JAMES AYERS 89175,A81000C,00300,0400,AMERICAN HEALTH CTRS. INC 89175,A81000C,00300,0600,DATA PROCESSING SERVICES 89175,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89175,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 89175,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89175,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89175,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89175,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89175,B100000,00000,0750,00000SQUARE FEET (MOD) :HOUSEKEEPING 89175,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89175,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 89175,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89175,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 89175,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89175,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89175,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89175,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89175,S000000,00100,0200,06/01/2000 89175,S200000,00100,0100,190 NORTH AVENUE 89175,S200000,00200,0100,HAVERHILL 89175,S200000,00200,0200,MA 89175,S200000,00200,0300,01830- 89175,S200000,00300,0100,ESSEX 89175,S200000,00400,0100,KENOZA MANOR CONVALESCENT CENTER 89175,S200000,00400,0200,225404 89175,S200000,00400,0300,07/01/1990 89175,S200000,00400,0500,P 89175,S200000,01004,0500,O 89175,S200000,01600,0100,Y 89175,S700003,00000,0100,1 89179,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89179,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89179,A000000,00300,0000,00300EMPLOYEE BENEFITS 89179,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89179,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89179,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89179,A000000,00700,0000,00700HOUSEKEEPING 89179,A000000,00800,0000,00800DIETARY 89179,A000000,00900,0000,00900NURSING ADMINISTRATION 89179,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89179,A000000,01100,0000,01100PHARMACY 89179,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89179,A000000,01300,0000,01300SOCIAL SERVICE 89179,A000000,01350,0000,01500ACTIVITIES 89179,A000000,01351,0000,01501INDIRECT CONSULTANTS 89179,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89179,A000000,01600,0000,01600SKILLED NURSING FACILITY 89179,A000000,01800,0000,01800NURSING FACILITY 89179,A000000,01810,0000,01801ICF/MR 89179,A000000,01900,0000,01900OTHER LONG TERM CARE 89179,A000000,02100,0000,02100RADIOLOGY 89179,A000000,02200,0000,02200LABORATORY 89179,A000000,02300,0000,02300INTRAVENOUS THERAPY 89179,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89179,A000000,02500,0000,02500PHYSICAL THERAPY 89179,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89179,A000000,02700,0000,02700SPEECH PATHOLOGY 89179,A000000,02800,0000,02800ELECTROCARDIOLOGY 89179,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89179,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89179,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89179,A000000,03051,0000,03301OTHER 89179,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89179,A000000,03200,0000,03200SUPPORT SURFACES 89179,A000000,03400,0000,03400CLINIC 89179,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89179,A000000,03500,0000,03500RURAL HEALTH CLINIC 89179,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89179,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89179,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89179,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89179,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89179,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89179,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89179,A000000,04400,0000,04400DME RENTED - HHA 89179,A000000,04500,0000,04500DME SOLD - HHA 89179,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89179,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89179,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89179,A000000,04800,0000,04800AMBULANCE 89179,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89179,A000000,05000,0000,05000CORF 89179,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89179,A000000,05300,0000,05300INTEREST EXPENSE 89179,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89179,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89179,A000000,05500,0000,05500HOSPICE 89179,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89179,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89179,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89179,A000000,06100,0000,06100NONPAID WORKERS 89179,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89179,A000000,06200,0000,06200PATIENTS LAUNDRY 89179,A81000A,00100,0100,Y 89179,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 89179,A81000B,00200,0300,ADMIN SALARIES 89179,A81000B,00300,0300,HUMAN RESOURCES 89179,A81000B,00400,0300,DIRECTOR OF NURSES 89179,A81000B,00500,0300,RN NRSG SUPV 89179,A81000B,00600,0300,ACTIVITIES 89179,A81000B,00700,0300,OFFICE SUPPLIES 89179,A81000B,00800,0300,HOUSEKEEPING 89179,A81000C,00100,0100,D 89179,A81000C,00100,0200,G BRENTON TOLLES 89179,A81000C,00200,0100,D 89179,A81000C,00200,0200,CAROL TOLLES 89179,A81000C,00300,0100,D 89179,A81000C,00300,0200,L M TOLLES 89179,A81000C,00400,0100,D 89179,A81000C,00400,0200,I TOLLES 89179,A81000C,00500,0100,D 89179,A81000C,00500,0200,JENNA TOLLES 89179,A81000C,00600,0100,D 89179,A81000C,00600,0200,JEAN TOLLES 89179,A81000C,00700,0100,D 89179,A81000C,00700,0200,S TOLLES 89179,A81000C,00800,0100,D 89179,A81000C,00800,0200,B G TOLLES 89179,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89179,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89179,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89179,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89179,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89179,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89179,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89179,B100000,00000,0800,00000MEALS SERVED :DIETARY 89179,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89179,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89179,B100000,00000,1150,00000N/A :PHARMACY 89179,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89179,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89179,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89179,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89179,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89179,S000000,00100,0200,04/14/2000 89179,S200000,00100,0100,57 LONG POINT ROAD 89179,S200000,00200,0100,LAKEVILLE 89179,S200000,00200,0200,MA 89179,S200000,00200,0300,02347- 89179,S200000,00300,0100,PLYMOUTH 89179,S200000,00400,0100,ISLAND TERRACE NURSING HOME 89179,S200000,00400,0200,225405 89179,S200000,00400,0300,07/01/1990 89179,S200000,00400,0500,P 89179,S200000,00400,0600,P 89179,S200000,01004,0500,O 89179,S200000,01600,0100,Y 89179,S700003,00000,0100,1 89186,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89186,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89186,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89186,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89186,A000000,00300,0000,00300EMPLOYEE BENEFITS 89186,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89186,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89186,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89186,A000000,00700,0000,00700HOUSEKEEPING 89186,A000000,00800,0000,00800DIETARY 89186,A000000,00801,0000,00801CAFETERIA 89186,A000000,00900,0000,00900NURSING ADMINISTRATION 89186,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89186,A000000,01100,0000,01100PHARMACY 89186,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89186,A000000,01300,0000,01300SOCIAL SERVICE 89186,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89186,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89186,A000000,01600,0000,01600SKILLED NURSING FACILITY 89186,A000000,01800,0000,01800NURSING FACILITY 89186,A000000,01900,0000,01900OTHER LONG TERM CARE 89186,A000000,02100,0000,02100RADIOLOGY 89186,A000000,02200,0000,02200LABORATORY 89186,A000000,02300,0000,02300INTRAVENOUS THERAPY 89186,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89186,A000000,02500,0000,02500PHYSICAL THERAPY 89186,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89186,A000000,02700,0000,02700SPEECH PATHOLOGY 89186,A000000,02800,0000,02800ELECTROCARDIOLOGY 89186,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89186,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89186,A000000,03050,0000,03300AIR FLUID THERAPY 89186,A000000,03051,0000,03301OTHER ANCILLARY II 89186,A000000,03052,0000,03302OTHER ANCILLARY III 89186,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89186,A000000,03200,0000,03200SUPPORT SURFACES 89186,A000000,03400,0000,03400CLINIC 89186,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89186,A000000,03500,0000,03500RURAL HEALTH CLINIC 89186,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89186,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89186,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89186,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89186,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89186,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89186,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89186,A000000,04400,0000,04400DME RENTED - HHA 89186,A000000,04500,0000,04500DME SOLD - HHA 89186,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89186,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89186,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89186,A000000,04800,0000,04800AMBULANCE 89186,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89186,A000000,05000,0000,05000CORF 89186,A000000,05010,0000,05010CMHC I 89186,A000000,05020,0000,05020OPT I 89186,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89186,A000000,05300,0000,05300INTEREST EXPENSE 89186,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89186,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89186,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89186,A000000,05500,0000,05500HOSPICE 89186,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89186,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89186,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89186,A000000,06100,0000,06100NONPAID WORKERS 89186,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89186,A000000,06200,0000,06200PATIENTS LAUNDRY 89186,A81000A,00100,0100,Y 89186,A81000B,00100,0300,HOME OFFICE MGMT 89186,A81000B,00200,0300,WORKING CAPITAL INTEREST 89186,A81000B,00300,0300,HOME OFFICE BLDG 89186,A81000B,00400,0300,HOME OFFICE EQUIP 89186,A81000C,00100,0100,B 89186,A81000C,00100,0200,COVENANT HEALTH 89186,A81000C,00100,0400,COVENANT HEALTH 89186,A81000C,00100,0600,HEALTHCARE 89186,A81000C,00200,0100,B 89186,A81000C,00200,0200,COVENANT HEALTH 89186,A81000C,00200,0400,COVENANT HEALTH 89186,A81000C,00200,0600,HEALTHCARE 89186,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89186,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89186,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89186,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89186,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89186,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89186,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89186,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89186,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89186,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89186,B100000,00000,0850,00000PATIENT DS :DIETARY 89186,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89186,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89186,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89186,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89186,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89186,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89186,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89186,S000000,00100,0200,05/03/2000 89186,S200000,00100,0100,66 NEWTON STREET 89186,S200000,00200,0100,WALTHAM 89186,S200000,00200,0200,MA 89186,S200000,00200,0300,02154- 89186,S200000,00300,0100,MIDDLESEX 89186,S200000,00400,0100,MARISTHILL NURSING HOME 89186,S200000,00400,0200,225408 89186,S200000,00400,0300,07/01/1990 89186,S200000,00400,0500,P 89186,S200000,01600,0100,Y 89186,S200000,04700,0100,Y 89186,S200000,04900,0100,Y 89194,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89194,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89194,A000000,00300,0000,00300EMPLOYEE BENEFITS 89194,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89194,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89194,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89194,A000000,00700,0000,00700HOUSEKEEPING 89194,A000000,00800,0000,00800DIETARY 89194,A000000,00900,0000,00900NURSING ADMINISTRATION 89194,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89194,A000000,01100,0000,01100PHARMACY 89194,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89194,A000000,01300,0000,01300SOCIAL SERVICE 89194,A000000,01350,0000,01500ACTIVITIES 89194,A000000,01351,0000,01501INDIRECT CONSULTANTS 89194,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89194,A000000,01600,0000,01600SKILLED NURSING FACILITY 89194,A000000,01800,0000,01800NURSING FACILITY 89194,A000000,01810,0000,01801ICF/MR 89194,A000000,01900,0000,01900OTHER LONG TERM CARE 89194,A000000,02100,0000,02100RADIOLOGY 89194,A000000,02200,0000,02200LABORATORY 89194,A000000,02300,0000,02300INTRAVENOUS THERAPY 89194,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89194,A000000,02500,0000,02500PHYSICAL THERAPY 89194,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89194,A000000,02700,0000,02700SPEECH PATHOLOGY 89194,A000000,02800,0000,02800ELECTROCARDIOLOGY 89194,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89194,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89194,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89194,A000000,03051,0000,03301NUTRITIONAL THERAPY 89194,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89194,A000000,03200,0000,03200SUPPORT SURFACES 89194,A000000,03400,0000,03400CLINIC 89194,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89194,A000000,03500,0000,03500RURAL HEALTH CLINIC 89194,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89194,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89194,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89194,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89194,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89194,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89194,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89194,A000000,04400,0000,04400DME RENTED - HHA 89194,A000000,04500,0000,04500DME SOLD - HHA 89194,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89194,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89194,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89194,A000000,04800,0000,04800AMBULANCE 89194,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89194,A000000,05000,0000,05000CORF 89194,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89194,A000000,05300,0000,05300INTEREST EXPENSE 89194,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89194,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89194,A000000,05500,0000,05500HOSPICE 89194,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89194,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89194,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89194,A000000,06100,0000,06100NONPAID WORKERS 89194,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89194,A000000,06200,0000,06200PATIENTS LAUNDRY 89194,A81000A,00100,0100,Y 89194,A81000B,00100,0300,RENT-CAPITAL RELATED 89194,A81000B,00200,0300,EMPLOYEE BENEFITS-DAY CARE 89194,A81000B,00300,0300,LEGAL 89194,A81000B,00400,0300,INTEREST 89194,A81000B,00500,0300,PLANT PURCHASED SERVICE 89194,A81000B,00600,0300,PLANT OPERATIONS 89194,A81000C,00100,0100,G 89194,A81000C,00100,0200,HENRY C. NEVINS 89194,A81000C,00100,0400,HENRY C. NEVINS A&L 89194,A81000C,00100,0600,RENTAL STORAGE 89194,A81000C,00200,0100,G 89194,A81000C,00200,0200,HENRY C. NEVINS 89194,A81000C,00200,0400,HENRY C. NEVINS A&L 89194,A81000C,00200,0600,DAYCARE SERVICES 89194,A81000C,00300,0100,E 89194,A81000C,00300,0200,VICTOR HATERN 89194,A81000C,00300,0400,HATEM & MAHONEY 89194,A81000C,00300,0600,LEGAL 89194,A81000C,00400,0100,E 89194,A81000C,00400,0200,JOSEPH SCOTT 89194,A81000C,00400,0400,SCOTT CONSTRUCTION 89194,A81000C,00400,0600,CONSTRUCTION 89194,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89194,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89194,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89194,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89194,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89194,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89194,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89194,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89194,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89194,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89194,B100000,00000,1150,00000TIME SPENT :PHARMACY 89194,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89194,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89194,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89194,B100000,00000,1351,00000TIME SPENT :INDIRECT CONSULTANTS 89194,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 89194,S000000,00100,0200,05/04/2000 89194,S200000,00100,0100,10 INGALLS COURT 89194,S200000,00200,0100,METHUEN 89194,S200000,00200,0200,MA 89194,S200000,00200,0300,01844- 89194,S200000,00300,0100,ESSEX 89194,S200000,00400,0100,HENRY C. NEVINS HOME INC. 89194,S200000,00400,0200,225409 89194,S200000,00400,0300,07/01/1990 89194,S200000,00400,0500,P 89194,S200000,00400,0600,P 89194,S200000,01004,0500,O 89194,S200000,01600,0100,Y 89203,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89203,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89203,A000000,00300,0000,00300EMPLOYEE BENEFITS 89203,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89203,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89203,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89203,A000000,00700,0000,00700HOUSEKEEPING 89203,A000000,00800,0000,00800DIETARY 89203,A000000,00900,0000,00900NURSING ADMINISTRATION 89203,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89203,A000000,01100,0000,01100PHARMACY 89203,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89203,A000000,01300,0000,01300SOCIAL SERVICE 89203,A000000,01350,0000,01500ACTIVITIES 89203,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89203,A000000,01600,0000,01600SKILLED NURSING FACILITY 89203,A000000,01800,0000,01800NURSING FACILITY 89203,A000000,01900,0000,01900OTHER LONG TERM CARE 89203,A000000,02100,0000,02100RADIOLOGY 89203,A000000,02200,0000,02200LABORATORY 89203,A000000,02300,0000,02300INTRAVENOUS THERAPY 89203,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89203,A000000,02500,0000,02500PHYSICAL THERAPY 89203,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89203,A000000,02700,0000,02700SPEECH PATHOLOGY 89203,A000000,02800,0000,02800ELECTROCARDIOLOGY 89203,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89203,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89203,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89203,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89203,A000000,03200,0000,03200SUPPORT SURFACES 89203,A000000,03400,0000,03400CLINIC 89203,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89203,A000000,03500,0000,03500RURAL HEALTH CLINIC 89203,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89203,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89203,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89203,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89203,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89203,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89203,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89203,A000000,04400,0000,04400DME RENTED - HHA 89203,A000000,04500,0000,04500DME SOLD - HHA 89203,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89203,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89203,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89203,A000000,04800,0000,04800AMBULANCE 89203,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89203,A000000,05000,0000,05000CORF 89203,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89203,A000000,05300,0000,05300INTEREST EXPENSE 89203,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89203,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89203,A000000,05500,0000,05500HOSPICE 89203,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89203,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89203,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89203,A000000,06100,0000,06100NONPAID WORKERS 89203,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89203,A000000,06200,0000,06200PATIENTS LAUNDRY 89203,A81000A,00100,0100,Y 89203,A81000B,00100,0300,MANAGEMENT FEE - A&G 89203,A81000B,00200,0300,MANAGEMENT FEE - CAPTIAL 89203,A81000B,00300,0300,DATA PROCESSING 89203,A81000C,00100,0100,A 89203,A81000C,00100,0200,JAMES AYERS 89203,A81000C,00100,0400,AMERICAN HEALTH CTRS INC 89203,A81000C,00100,0600,MANAGEMENT SERVICES 89203,A81000C,00200,0100,A 89203,A81000C,00200,0200,JAMES AYERS 89203,A81000C,00200,0400,AMERICAN HEALTH CTRS INC 89203,A81000C,00200,0600,MANAGEMENT SERVICES 89203,A81000C,00300,0100,A 89203,A81000C,00300,0200,JAMES AYERS 89203,A81000C,00300,0400,GROUP DATA SERVICES INC. 89203,A81000C,00300,0600,COMPUTER DATA PROCESSING 89203,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89203,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89203,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89203,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89203,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89203,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89203,B100000,00000,0750,00000SQUARE FEET (MOD) :HOUSEKEEPING 89203,B100000,00000,0800,00000MEALS SERVED :DIETARY 89203,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 89203,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89203,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 89203,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89203,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89203,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89203,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89203,S000000,00100,0200,06/01/2000 89203,S200000,00100,0100,100 LAWRENCE STREET 89203,S200000,00200,0100,HAVERHILL 89203,S200000,00200,0200,MA 89203,S200000,00200,0300,01830- 89203,S200000,00300,0100,ESSEX 89203,S200000,00400,0100,RES HLTH CR PROF DBA HAVERHILL MANOR 89203,S200000,00400,0200,225410 89203,S200000,00400,0300,01/01/1993 89203,S200000,00400,0500,P 89203,S200000,01004,0500,O 89203,S200000,01600,0100,Y 89203,S700003,00000,0100,1 89212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89212,A000000,00300,0000,00300EMPLOYEE BENEFITS 89212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89212,A000000,00700,0000,00700HOUSEKEEPING 89212,A000000,00800,0000,00800DIETARY 89212,A000000,00900,0000,00900NURSING ADMINISTRATION 89212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89212,A000000,01100,0000,01100PHARMACY 89212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89212,A000000,01300,0000,01300SOCIAL SERVICE 89212,A000000,01350,0000,01500ACTIVITIES 89212,A000000,01351,0000,01501INDIRECT CONSULTANTS 89212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89212,A000000,01600,0000,01600SKILLED NURSING FACILITY 89212,A000000,01800,0000,01800NURSING FACILITY 89212,A000000,01810,0000,01801ICF/MR 89212,A000000,01900,0000,01900OTHER LONG TERM CARE 89212,A000000,02100,0000,02100RADIOLOGY 89212,A000000,02200,0000,02200LABORATORY 89212,A000000,02300,0000,02300INTRAVENOUS THERAPY 89212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89212,A000000,02500,0000,02500PHYSICAL THERAPY 89212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89212,A000000,02700,0000,02700SPEECH PATHOLOGY 89212,A000000,02800,0000,02800ELECTROCARDIOLOGY 89212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89212,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89212,A000000,03051,0000,03301AMBULANCE 89212,A000000,03052,0000,03302PEN THERAPY 89212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89212,A000000,03200,0000,03200SUPPORT SURFACES 89212,A000000,03400,0000,03400CLINIC 89212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89212,A000000,03500,0000,03500RURAL HEALTH CLINIC 89212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89212,A000000,04400,0000,04400DME RENTED - HHA 89212,A000000,04500,0000,04500DME SOLD - HHA 89212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89212,A000000,04800,0000,04800AMBULANCE 89212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89212,A000000,05000,0000,05000CORF 89212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89212,A000000,05300,0000,05300INTEREST EXPENSE 89212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89212,A000000,05500,0000,05500HOSPICE 89212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89212,A000000,06100,0000,06100NONPAID WORKERS 89212,A000000,06150,0000,06300ADULT DAY HEALTH 89212,A000000,06151,0000,06301ASSISTED LIVING 89212,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 89212,A000000,06200,0000,06200PATIENTS LAUNDRY 89212,A81000A,00100,0100,Y 89212,A81000B,00100,0300,RENT-CAPITAL RELATED 89212,A81000B,00200,0300,RENT-CAPITAL RELATED MOVABLE 89212,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89212,A81000B,00400,0300,PLANT REPAIRS AND SUPPLIES 89212,A81000B,00500,0300,ADMINISTRATORS SALARIES 89212,A81000B,00600,0300,CLERICAL SALARIES 89212,A81000C,00100,0100,A 89212,A81000C,00100,0200,JOHN PETERS JR 89212,A81000C,00100,0400,JOHN DAVID HEALTH FACILIT 89212,A81000C,00100,0600,RENTAL PROPERTY 89212,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 89212,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 89212,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 89212,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 89212,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 89212,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 89212,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 89212,B100000,00000,0850,00002PATIENT DAYS :DIETARY 89212,B100000,00000,0900,00002HOURS OF SERVICE :NURSING ADMINISTR 89212,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 89212,B100000,00000,1150,00002N/A :PHARMACY 89212,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 89212,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 89212,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 89212,B100000,00000,1351,00002N/A :INDIRECT CONSULTANTS 89212,B100000,00000,1450,00002N/A :INTERNS & RESIDENTS (APPRVD 89212,S000000,00100,0200,05/12/2000 89212,S200000,00100,0100,115 HOLLISTON STREET 89212,S200000,00200,0100,MEDWAY 89212,S200000,00200,0200,MA 89212,S200000,00200,0300,02053- 89212,S200000,00300,0100,NORFOLK 89212,S200000,00400,0100,MEDWAY COUNTRY MANOR 89212,S200000,00400,0200,225412 89212,S200000,00400,0300,07/01/1990 89212,S200000,00400,0500,P 89212,S200000,00400,0600,P 89212,S200000,01004,0500,O 89212,S200000,01500,0100,Y 89220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89220,A000000,00300,0000,00300EMPLOYEE BENEFITS 89220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89220,A000000,00700,0000,00700HOUSEKEEPING 89220,A000000,00800,0000,00800DIETARY 89220,A000000,00900,0000,00900NURSING ADMINISTRATION 89220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89220,A000000,01100,0000,01100PHARMACY 89220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89220,A000000,01300,0000,01300SOCIAL SERVICE 89220,A000000,01350,0000,01500ACTIVITIES 89220,A000000,01351,0000,01501INDIRECT CONSULTANTS 89220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89220,A000000,01600,0000,01600SKILLED NURSING FACILITY 89220,A000000,01800,0000,01800NURSING FACILITY 89220,A000000,01810,0000,01801ICF/MR 89220,A000000,01900,0000,01900OTHER LONG TERM CARE 89220,A000000,02100,0000,02100RADIOLOGY 89220,A000000,02200,0000,02200LABORATORY 89220,A000000,02300,0000,02300INTRAVENOUS THERAPY 89220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89220,A000000,02500,0000,02500PHYSICAL THERAPY 89220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89220,A000000,02700,0000,02700SPEECH PATHOLOGY 89220,A000000,02800,0000,02800ELECTROCARDIOLOGY 89220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89220,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89220,A000000,03051,0000,03301CONTRA ANCILLARY EXPENSE 89220,A000000,03052,0000,03302PEN THERAPY 89220,A000000,03053,0000,03303AMBULANCE 89220,A000000,03054,0000,03304OTHER ANCILLARY SERVICE COST CENTER 89220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89220,A000000,03200,0000,03200SUPPORT SURFACES 89220,A000000,03400,0000,03400CLINIC 89220,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89220,A000000,03500,0000,03500RURAL HEALTH CLINIC 89220,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89220,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89220,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89220,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89220,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89220,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89220,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89220,A000000,04400,0000,04400DME RENTED - HHA 89220,A000000,04500,0000,04500DME SOLD - HHA 89220,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89220,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89220,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89220,A000000,04800,0000,04800AMBULANCE 89220,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89220,A000000,05000,0000,05000CORF 89220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89220,A000000,05300,0000,05300INTEREST EXPENSE 89220,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89220,A000000,05500,0000,05500HOSPICE 89220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89220,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89220,A000000,06100,0000,06100NONPAID WORKERS 89220,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COST 89220,A000000,06200,0000,06200PATIENTS LAUNDRY 89220,A81000A,00100,0100,Y 89220,A81000B,00100,0300,ADMINISTRATOR SALARIES 89220,A81000B,00200,0300,CLERICAL SALARIES 89220,A81000B,00300,0300,PLANT SALARIES 89220,A81000B,00400,0300,ACTIVITIES SALARIES 89220,A81000B,00500,0300,MANAGEMENT SERVICES 89220,A81000C,00100,0100,G 89220,A81000C,00100,0400,SONS OF DIVINE PROVIDENCE 89220,A81000C,00100,0600,RELIGIOUS SERVICE 89220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89220,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89220,B100000,00000,0800,00000MEALS :DIETARY 89220,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 89220,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89220,B100000,00000,1150,00000N/A :PHARMACY 89220,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89220,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89220,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89220,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89220,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89220,S000000,00100,0200,05/02/2000 89220,S200000,00100,0100,111 ORIENT AVENUE 89220,S200000,00200,0100,EAST BOSTON 89220,S200000,00200,0200,MA 89220,S200000,00200,0300,02128- 89220,S200000,00300,0100,SUFFOLK 89220,S200000,00400,0100,DON ORIONE NURSING HOME 89220,S200000,00400,0200,225413 89220,S200000,00400,0300,07/01/1990 89220,S200000,00400,0500,P 89220,S200000,00400,0600,P 89220,S200000,01600,0100,Y 89220,S700003,00000,0100,1 89227,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89227,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89227,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89227,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89227,A000000,00300,0000,00300EMPLOYEE BENEFITS 89227,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89227,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89227,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89227,A000000,00700,0000,00700HOUSEKEEPING 89227,A000000,00800,0000,00800DIETARY 89227,A000000,00801,0000,00801CAFETERIA 89227,A000000,00900,0000,00900NURSING ADMINISTRATION 89227,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89227,A000000,01100,0000,01100PHARMACY 89227,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89227,A000000,01300,0000,01300SOCIAL SERVICE 89227,A000000,01350,0000,01500INDIRECT CONSULT 89227,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89227,A000000,01600,0000,01600SKILLED NURSING FACILITY 89227,A000000,01800,0000,01800NURSING FACILITY 89227,A000000,01900,0000,01900OTHER LONG TERM CARE 89227,A000000,02100,0000,02100RADIOLOGY 89227,A000000,02200,0000,02200LABORATORY 89227,A000000,02300,0000,02300INTRAVENOUS THERAPY 89227,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89227,A000000,02500,0000,02500PHYSICAL THERAPY 89227,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89227,A000000,02700,0000,02700SPEECH PATHOLOGY 89227,A000000,02800,0000,02800ELECTROCARDIOLOGY 89227,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89227,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89227,A000000,03050,0000,03300PEN THERAPY 89227,A000000,03051,0000,03301COMPLEX MED EQUIP 89227,A000000,03052,0000,03302OTHER ANCILLARY III 89227,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89227,A000000,03200,0000,03200SUPPORT SURFACES 89227,A000000,03400,0000,03400CLINIC 89227,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89227,A000000,03500,0000,03500RURAL HEALTH CLINIC 89227,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89227,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89227,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89227,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89227,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89227,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89227,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89227,A000000,04400,0000,04400DME RENTED - HHA 89227,A000000,04500,0000,04500DME SOLD - HHA 89227,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89227,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89227,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89227,A000000,04800,0000,04800AMBULANCE 89227,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89227,A000000,05000,0000,05000CORF 89227,A000000,05010,0000,05010CMHC I 89227,A000000,05020,0000,05020OPT I 89227,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89227,A000000,05300,0000,05300INTEREST EXPENSE 89227,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89227,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89227,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89227,A000000,05500,0000,05500HOSPICE 89227,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89227,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89227,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89227,A000000,06100,0000,06100NONPAID WORKERS 89227,A000000,06150,0000,06300OTHER NON-REIMBURSABLE 89227,A000000,06200,0000,06200PATIENTS LAUNDRY 89227,A81000A,00100,0100,Y 89227,A81000B,00100,0300,PROPERTY RENT EXP 89227,A81000B,00200,0300,CHILD/ADULT DAY RENT 89227,A81000B,00300,0300,MISC. SUPPLIES 89227,A81000B,00400,0300,NON-NURSING SALARIES 89227,A81000B,00500,0300,SUPPLIES 89227,A81000B,00600,0300,REC THERAPY SALARIES 89227,A81000B,00700,0300,TRANS AIDE 89227,A81000B,00800,0300,MOTHER HOUSE INTEREST 89227,A81000C,00100,0100,E 89227,A81000C,00100,0200,POOR SISTERS OF 89227,A81000C,00100,0400,POOR SISTERS OF 89227,A81000C,00100,0600,CONVENT 89227,A81000C,00200,0100,E 89227,A81000C,00200,0200,POOR SISTERS OF 89227,A81000C,00200,0400,POOR SISTERS OF 89227,A81000C,00200,0600,CONVENT 89227,A81000C,00300,0100,E 89227,A81000C,00300,0200,POOR SISTERS OF 89227,A81000C,00300,0400,POOR SISTERS OF 89227,A81000C,00300,0600,CONVENT 89227,A81000C,00400,0100,E 89227,A81000C,00400,0200,POOR SISTERS OF 89227,A81000C,00400,0400,POOR SISTERS OF 89227,A81000C,00400,0600,CONVENT 89227,A81000C,00500,0100,E 89227,A81000C,00500,0200,POOR SISTERS OF 89227,A81000C,00500,0400,POOR SISTERS OF 89227,A81000C,00500,0600,CONVENT 89227,A81000C,00600,0100,E 89227,A81000C,00600,0200,POOR SISTERS OF 89227,A81000C,00600,0400,POOR SISTERS OF 89227,A81000C,00600,0600,CONVENT 89227,A81000C,00700,0100,E 89227,A81000C,00700,0200,POOR SISTERS OF 89227,A81000C,00700,0400,POOR SISTERS OF 89227,A81000C,00700,0600,CONVENT 89227,A81000C,00800,0100,E 89227,A81000C,00800,0200,POOR SISTERS OF 89227,A81000C,00800,0400,POOR SISTERS OF 89227,A81000C,00800,0600,CONVENT 89227,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89227,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89227,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89227,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89227,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89227,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89227,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89227,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 89227,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89227,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89227,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89227,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89227,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89227,B100000,00000,1150,00000PAT DAYS :PHARMACY 89227,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 89227,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 89227,B100000,00000,1350,00000 :INDIRECT CONSULT 89227,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89227,S000000,00100,0200,05/25/2000 89227,S200000,00100,0100,215 THATCHER STREET 89227,S200000,00200,0100,BROCKTON 89227,S200000,00200,0200,MA 89227,S200000,00200,0300,02302- 89227,S200000,00300,0100,PLYMOUTH 89227,S200000,00400,0100,ST. JOSEPH MANOR 89227,S200000,00400,0200,225414 89227,S200000,00400,0300,07/01/1990 89227,S200000,00400,0500,P 89227,S200000,01004,0500,O 89227,S200000,01600,0100,Y 89227,S200000,02800,0100,Y 89227,S200000,04700,0100,Y 89235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89235,A000000,00300,0000,00300EMPLOYEE BENEFITS 89235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89235,A000000,00700,0000,00700HOUSEKEEPING 89235,A000000,00800,0000,00800DIETARY 89235,A000000,00900,0000,00900NURSING ADMINISTRATION 89235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89235,A000000,01100,0000,01100PHARMACY 89235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89235,A000000,01300,0000,01300SOCIAL SERVICE 89235,A000000,01600,0000,01600SKILLED NURSING FACILITY 89235,A000000,01800,0000,01800NURSING FACILITY 89235,A000000,01810,0000,01801ICF/MR 89235,A000000,01900,0000,01900OTHER LONG TERM CARE 89235,A000000,02100,0000,02100RADIOLOGY 89235,A000000,02200,0000,02200LABORATORY 89235,A000000,02300,0000,02300INTRAVENOUS THERAPY 89235,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89235,A000000,02500,0000,02500PHYSICAL THERAPY 89235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89235,A000000,02700,0000,02700SPEECH PATHOLOGY 89235,A000000,02800,0000,02800ELECTROCARDIOLOGY 89235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89235,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89235,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89235,A000000,03200,0000,03200SUPPORT SURFACES 89235,A000000,03400,0000,03400CLINIC 89235,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89235,A000000,03500,0000,03500RURAL HEALTH CLINIC 89235,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89235,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89235,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89235,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89235,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89235,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89235,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89235,A000000,04400,0000,04400DME RENTED - HHA 89235,A000000,04500,0000,04500DME SOLD - HHA 89235,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89235,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89235,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89235,A000000,04800,0000,04800AMBULANCE 89235,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89235,A000000,05000,0000,05000CORF 89235,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89235,A000000,05300,0000,05300INTEREST EXPENSE 89235,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89235,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89235,A000000,05500,0000,05500HOSPICE 89235,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89235,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89235,A000000,06100,0000,06100NONPAID WORKERS 89235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89235,A000000,06200,0000,06200PATIENTS LAUNDRY 89235,A81000A,00100,0100,Y 89235,A81000B,00100,0300,SALARY & WAGES 89235,A81000B,00200,0300,SALARY & WAGES 89235,A81000B,00300,0300,SALARY & WAGES 89235,A81000B,00400,0300,SALARY & WAGES 89235,A81000B,00500,0300,SALARY & WAGES 89235,A81000C,00100,0100,G 89235,A81000C,00100,0200,CARMELITE SISTERS 89235,A81000C,00100,0400,CARMELITE SISTERS 89235,A81000C,00100,0600,SISTERS PROVIDE 89235,A81000C,00200,0100,G 89235,A81000C,00200,0200,CARMELITE SISTERS 89235,A81000C,00200,0400,CARMELITE SISTERS 89235,A81000C,00200,0600,NURSING AND 89235,A81000C,00300,0100,G 89235,A81000C,00300,0200,CARMELITE SISTERS 89235,A81000C,00300,0400,CARMELITE SISTERS 89235,A81000C,00300,0600,RELATED CARE 89235,A81000C,00400,0100,G 89235,A81000C,00400,0200,CARMELITE SISTERS 89235,A81000C,00400,0400,CARMELITE SISTERS 89235,A81000C,00400,0600,AT THE MANOR 89235,A81000C,00500,0100,G 89235,A81000C,00500,0200,CARMELITE SISTERS 89235,A81000C,00500,0400,CARMELITE SISTERS 89235,A81000C,03100,0000,NON PROFIT 89235,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89235,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89235,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89235,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89235,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89235,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89235,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 89235,B100000,00000,0800,00000MEALS SERVED :DIETARY 89235,B100000,00000,0950,00000DIRECT NURS :NURSING ADMINISTRATIO 89235,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 89235,B100000,00000,1150,00000NO STATISTICS :PHARMACY 89235,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 89235,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89235,S000000,00100,0200,06/05/2000 89235,S200000,00100,0100,130 DORCHESTER STREET 89235,S200000,00200,0100,SOUTH BOSTON 89235,S200000,00200,0200,MA 89235,S200000,00200,0300,02127- 89235,S200000,00300,0100,SUFFOLK 89235,S200000,00400,0100,MARIAN MANOR FOR THE AGED & INFIRM 89235,S200000,00400,0200,225415 89235,S200000,00400,0300,07/01/1990 89235,S200000,00400,0500,P 89235,S200000,01600,0100,Y 89235,S200000,02800,0100,Y 89235,S700003,00000,0100,1 89243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89243,A000000,00300,0000,00300EMPLOYEE BENEFITS 89243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89243,A000000,00700,0000,00700HOUSEKEEPING 89243,A000000,00800,0000,00800DIETARY 89243,A000000,00900,0000,00900NURSING ADMINISTRATION 89243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89243,A000000,01100,0000,01100PHARMACY 89243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89243,A000000,01300,0000,01300SOCIAL SERVICE 89243,A000000,01350,0000,01500ACTIVITIES 89243,A000000,01351,0000,01501INDIRECT CONSULTANTS 89243,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89243,A000000,01600,0000,01600SKILLED NURSING FACILITY 89243,A000000,01800,0000,01800NURSING FACILITY 89243,A000000,01810,0000,01801ICF/MR 89243,A000000,01900,0000,01900OTHER LONG TERM CARE 89243,A000000,02100,0000,02100RADIOLOGY 89243,A000000,02200,0000,02200LABORATORY 89243,A000000,02300,0000,02300INTRAVENOUS THERAPY 89243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89243,A000000,02500,0000,02500PHYSICAL THERAPY 89243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89243,A000000,02700,0000,02700SPEECH PATHOLOGY 89243,A000000,02800,0000,02800ELECTROCARDIOLOGY 89243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89243,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89243,A000000,03051,0000,03301PEN THERAPY 89243,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89243,A000000,03200,0000,03200SUPPORT SURFACES 89243,A000000,03400,0000,03400CLINIC 89243,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89243,A000000,03500,0000,03500RURAL HEALTH CLINIC 89243,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89243,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89243,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89243,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89243,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89243,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89243,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89243,A000000,04400,0000,04400DME RENTED - HHA 89243,A000000,04500,0000,04500DME SOLD - HHA 89243,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89243,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89243,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89243,A000000,04800,0000,04800AMBULANCE 89243,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89243,A000000,05000,0000,05000CORF 89243,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89243,A000000,05300,0000,05300INTEREST EXPENSE 89243,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89243,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89243,A000000,05500,0000,05500HOSPICE 89243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89243,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89243,A000000,06100,0000,06100NONPAID WORKERS 89243,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89243,A000000,06200,0000,06200PATIENTS LAUNDRY 89243,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89243,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89243,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89243,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89243,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89243,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89243,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89243,B100000,00000,0800,00000MEALS SERVED :DIETARY 89243,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89243,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89243,B100000,00000,1150,00000N/A :PHARMACY 89243,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89243,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89243,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89243,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89243,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89243,S000000,00100,0200,05/15/2000 89243,S200000,00100,0100,431 POND STREET 89243,S200000,00200,0100,JAMAICA PLAIN 89243,S200000,00200,0200,MA 89243,S200000,00200,0300,02130- 89243,S200000,00300,0100,SUFFOLK 89243,S200000,00400,0100,ARMENIAN NURSING AND REHAB. CENTER 89243,S200000,00400,0200,225417 89243,S200000,00400,0300,07/01/1990 89243,S200000,00400,0500,P 89243,S200000,00400,0600,P 89243,S200000,01004,0500,O 89243,S200000,01600,0100,Y 89243,S700003,00000,0100,1 89248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89248,A000000,00300,0000,00300EMPLOYEE BENEFITS 89248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89248,A000000,00700,0000,00700HOUSEKEEPING 89248,A000000,00800,0000,00800DIETARY 89248,A000000,00900,0000,00900NURSING ADMINISTRATION 89248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89248,A000000,01100,0000,01100PHARMACY 89248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89248,A000000,01300,0000,01300SOCIAL SERVICE 89248,A000000,01350,0000,01500ACTIVITIES 89248,A000000,01351,0000,01501INDIRECT CONSULTANTS 89248,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89248,A000000,01600,0000,01600SKILLED NURSING FACILITY 89248,A000000,01800,0000,01800NURSING FACILITY 89248,A000000,01810,0000,01801ICF/MR 89248,A000000,01900,0000,01900OTHER LONG TERM CARE 89248,A000000,02100,0000,02100RADIOLOGY 89248,A000000,02200,0000,02200LABORATORY 89248,A000000,02300,0000,02300INTRAVENOUS THERAPY 89248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89248,A000000,02500,0000,02500PHYSICAL THERAPY 89248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89248,A000000,02700,0000,02700SPEECH PATHOLOGY 89248,A000000,02800,0000,02800ELECTROCARDIOLOGY 89248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89248,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89248,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89248,A000000,03200,0000,03200SUPPORT SURFACES 89248,A000000,03400,0000,03400CLINIC 89248,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89248,A000000,03500,0000,03500RURAL HEALTH CLINIC 89248,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89248,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89248,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89248,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89248,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89248,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89248,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89248,A000000,04400,0000,04400DME RENTED - HHA 89248,A000000,04500,0000,04500DME SOLD - HHA 89248,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89248,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89248,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89248,A000000,04800,0000,04800AMBULANCE 89248,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89248,A000000,05000,0000,05000CORF 89248,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89248,A000000,05300,0000,05300INTEREST EXPENSE 89248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89248,A000000,05500,0000,05500HOSPICE 89248,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89248,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89248,A000000,06100,0000,06100NONPAID WORKERS 89248,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89248,A000000,06200,0000,06200PATIENTS LAUNDRY 89248,A81000A,00100,0100,Y 89248,A81000B,00100,0300,A&G OFFICER SALARY 89248,A81000B,00200,0300,A&G ADMIN/CLERICAL SALARY 89248,A81000B,00300,0300,PHOTOCOPY EXPENSE 89248,A81000C,00100,0100,F 89248,A81000C,00100,0200,HOWARD WINER 89248,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89248,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89248,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89248,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89248,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89248,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89248,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89248,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89248,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89248,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89248,B100000,00000,1150,00000N/A N/A :PHARMACY 89248,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 89248,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 89248,B100000,00000,1350,00000HOURS OF SERVICE :ACTIVITIES 89248,B100000,00000,1351,00000N/A N/A :INDIRECT CONSULTANTS 89248,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 89248,S000000,00100,0200,04/27/2000 89248,S200000,00100,0100,670 COUNTY STREET 89248,S200000,00200,0100,NEW BEDFORD 89248,S200000,00200,0200,MA 89248,S200000,00200,0300,02740- 89248,S200000,00300,0100,BRISTOL 89248,S200000,00400,0100,SAVOY NURSING CENTER 89248,S200000,00400,0200,225423 89248,S200000,00400,0300,07/01/1990 89248,S200000,00400,0500,P 89248,S200000,00400,0600,P 89248,S200000,01004,0500,O 89248,S200000,01500,0100,Y 89248,S200000,04300,0100,Y 89248,S700003,00000,0100,1 89256,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89256,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89256,A000000,00300,0000,00300EMPLOYEE BENEFITS 89256,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89256,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89256,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89256,A000000,00700,0000,00700HOUSEKEEPING 89256,A000000,00800,0000,00800DIETARY 89256,A000000,00900,0000,00900NURSING ADMINISTRATION 89256,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89256,A000000,01100,0000,01100PHARMACY 89256,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89256,A000000,01300,0000,01300SOCIAL SERVICE 89256,A000000,01350,0000,01500ACTIVITIES 89256,A000000,01351,0000,01501INDIRECT CONSULTANTS 89256,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89256,A000000,01600,0000,01600SKILLED NURSING FACILITY 89256,A000000,01800,0000,01800NURSING FACILITY 89256,A000000,01810,0000,01801ICF/MR 89256,A000000,01900,0000,01900OTHER LONG TERM CARE 89256,A000000,02100,0000,02100RADIOLOGY 89256,A000000,02200,0000,02200LABORATORY 89256,A000000,02300,0000,02300INTRAVENOUS THERAPY 89256,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89256,A000000,02500,0000,02500PHYSICAL THERAPY 89256,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89256,A000000,02700,0000,02700SPEECH PATHOLOGY 89256,A000000,02800,0000,02800ELECTROCARDIOLOGY 89256,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89256,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89256,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89256,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 89256,A000000,03052,0000,03302PEN THERAPY 89256,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89256,A000000,03200,0000,03200SUPPORT SURFACES 89256,A000000,03400,0000,03400CLINIC 89256,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89256,A000000,03500,0000,03500RURAL HEALTH CLINIC 89256,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89256,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89256,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89256,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89256,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89256,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89256,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89256,A000000,04400,0000,04400DME RENTED - HHA 89256,A000000,04500,0000,04500DME SOLD - HHA 89256,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89256,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89256,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89256,A000000,04800,0000,04800AMBULANCE 89256,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89256,A000000,05000,0000,05000CORF 89256,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89256,A000000,05300,0000,05300INTEREST EXPENSE 89256,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89256,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89256,A000000,05500,0000,05500HOSPICE 89256,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89256,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89256,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89256,A000000,06100,0000,06100NONPAID WORKERS 89256,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89256,A000000,06200,0000,06200PATIENTS LAUNDRY 89256,A81000A,00100,0100,Y 89256,A81000B,00100,0300,RENT-CAPITAL RELATED 89256,A81000B,00200,0300,TRUCK RENTAL 89256,A81000B,00300,0300,COMPUTER SERVICES 89256,A81000B,00400,0300,ADMINISTRATOR SALARY 89256,A81000B,00500,0300,W/C INTEREST 89256,A81000B,00600,0300,CLERICAL SALARY 89256,A81000B,00700,0300,EMERSON CONSTRUCTION 89256,A81000B,00800,0300,LEGAL 89256,A81000C,00100,0100,A 89256,A81000C,00100,0200,JAMES DUFFY 89256,A81000C,00100,0400,ECH LTD PARTNERSHIP 89256,A81000C,00100,0600,RENTAL PROPERTY 89256,A81000C,00200,0100,A 89256,A81000C,00200,0200,NORMAN DUFFY 89256,A81000C,00200,0400,ECH LTD PARTNERSHIP 89256,A81000C,00200,0600,RENTAL PROPERTY 89256,A81000C,00300,0100,A 89256,A81000C,00300,0200,ROBERT DUFFY 89256,A81000C,00300,0400,ECH LTD PARTNERSHIP 89256,A81000C,00300,0600,RENTAL PROPERTY 89256,A81000C,00400,0100,A 89256,A81000C,00400,0200,JOAN DUFFY 89256,A81000C,00400,0400,ECH LTD PARTNERSHIP 89256,A81000C,00400,0600,RENTAL PROPERTY 89256,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89256,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89256,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89256,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89256,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89256,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89256,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89256,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89256,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89256,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89256,B100000,00000,1150,00000N/A N/A :PHARMACY 89256,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89256,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89256,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89256,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 89256,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 89256,S000000,00100,0200,05/23/2000 89256,S200000,00100,0100,56 COOLIDGE HILL ROAD 89256,S200000,00200,0100,WATERTOWN 89256,S200000,00200,0200,MA 89256,S200000,00200,0300,02472- 89256,S200000,00300,0100,MIDDLESEX 89256,S200000,00400,0100,EMERSON CONVALESCENT HOME 89256,S200000,00400,0200,225425 89256,S200000,00400,0300,07/01/1990 89256,S200000,00400,0500,P 89256,S200000,00400,0600,P 89256,S200000,01004,0500,O 89256,S200000,01600,0100,Y 89256,S700003,00000,0100,1 89262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89262,A000000,00300,0000,00300EMPLOYEE BENEFITS 89262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89262,A000000,00700,0000,00700HOUSEKEEPING 89262,A000000,00800,0000,00800DIETARY 89262,A000000,00900,0000,00900NURSING ADMINISTRATION 89262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89262,A000000,01100,0000,01100PHARMACY 89262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89262,A000000,01300,0000,01300SOCIAL SERVICE 89262,A000000,01350,0000,01500ACTIVITIES 89262,A000000,01351,0000,01501INDIRECT CONSULTANTS 89262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89262,A000000,01600,0000,01600SKILLED NURSING FACILITY 89262,A000000,01800,0000,01800NURSING FACILITY 89262,A000000,01810,0000,01801ICF/MR 89262,A000000,01900,0000,01900OTHER LONG TERM CARE 89262,A000000,02100,0000,02100RADIOLOGY 89262,A000000,02200,0000,02200LABORATORY 89262,A000000,02300,0000,02300INTRAVENOUS THERAPY 89262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89262,A000000,02500,0000,02500PHYSICAL THERAPY 89262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89262,A000000,02700,0000,02700SPEECH PATHOLOGY 89262,A000000,02800,0000,02800ELECTROCARDIOLOGY 89262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89262,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89262,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89262,A000000,03200,0000,03200SUPPORT SURFACES 89262,A000000,03400,0000,03400CLINIC 89262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89262,A000000,03500,0000,03500RURAL HEALTH CLINIC 89262,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89262,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89262,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89262,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89262,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89262,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89262,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89262,A000000,04400,0000,04400DME RENTED - HHA 89262,A000000,04500,0000,04500DME SOLD - HHA 89262,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89262,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89262,A000000,04800,0000,04800AMBULANCE 89262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89262,A000000,05000,0000,05000CORF 89262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89262,A000000,05300,0000,05300INTEREST EXPENSE 89262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89262,A000000,05500,0000,05500HOSPICE 89262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89262,A000000,06100,0000,06100NONPAID WORKERS 89262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89262,A000000,06200,0000,06200PATIENTS LAUNDRY 89262,A81000A,00100,0100,Y 89262,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 89262,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 89262,A81000B,00600,0300,ADMINISTRATOR PURCHASED SERVICE 89262,A81000C,00100,0100,B 89262,A81000C,00100,0200,EPOCH SENIOR LIVING 89262,A81000C,00100,0400,ESL MANAGEMENT 89262,A81000C,00100,0600,HOME OFFICE 89262,A81000C,00200,0100,B 89262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89262,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89262,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89262,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89262,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89262,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89262,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89262,B100000,00000,1150,00000N/A :PHARMACY 89262,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89262,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89262,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89262,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89262,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89262,S000000,00100,0200,06/01/2000 89262,S200000,00100,0100,873 HARWICH ROAD 89262,S200000,00200,0100,BREWSTER 89262,S200000,00200,0200,MA 89262,S200000,00200,0300,02631- 89262,S200000,00300,0100,BARNSTABLE 89262,S200000,00400,0100,BREWSTER SENIOR CARE CENTER 89262,S200000,00400,0200,225426 89262,S200000,00400,0300,07/01/1990 89262,S200000,00400,0500,P 89262,S200000,00400,0600,P 89262,S200000,01600,0100,Y 89262,S700003,00000,0200,2 89269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89269,A000000,00300,0000,00300EMPLOYEE BENEFITS 89269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89269,A000000,00700,0000,00700HOUSEKEEPING 89269,A000000,00800,0000,00800DIETARY 89269,A000000,00900,0000,00900NURSING ADMINISTRATION 89269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89269,A000000,01100,0000,01100PHARMACY 89269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89269,A000000,01300,0000,01300SOCIAL SERVICE 89269,A000000,01350,0000,01500ACTIVITIES 89269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89269,A000000,01600,0000,01600SKILLED NURSING FACILITY 89269,A000000,01800,0000,01800NURSING FACILITY 89269,A000000,01810,0000,01810ICF/MR 89269,A000000,02200,0000,02200LABORATORY 89269,A000000,02300,0000,02300INTRAVENOUS THERAPY 89269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89269,A000000,02500,0000,02500PHYSICAL THERAPY 89269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89269,A000000,02700,0000,02700SPEECH PATHOLOGY 89269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89269,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89269,A000000,03051,0000,03301NUTRITIONAL THERAPY 89269,A000000,03550,0000,03550FQHC 89269,A000000,05000,0000,05000CORF 89269,A000000,05010,0000,05010CMHC 89269,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89269,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89269,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89269,A000000,06150,0000,06300ADULT DAY HEALTH CARE 89269,A81000A,00100,0100,Y 89269,A81000B,00100,0300,RENT - CAP RELATED 89269,A81000B,00200,0300,MGT FEE-CAP RELATED 89269,A81000B,00300,0300,MGT FEE-NOT CAP REL 89269,A81000B,00400,0300,MGT FEE-CAP REL MOV 89269,A81000B,00500,0300,MGT FEE-DIETICIAN 89269,A81000B,00600,0300,MGT FEE-DIR NRSG 89269,A81000B,00700,0300,MGT FEE-MDS COORD 89269,A81000B,00800,0300,MGT FEE-REHAB DIRECT 89269,A81000B,00900,0300,MGT FEE-CASE MIX 89269,A81000C,00100,0100,D 89269,A81000C,00100,0200,F. J. T. M. LOG 89269,A81000C,00100,0400,LOGAN FAMILY TR 89269,A81000C,00100,0600,RENTAL PROP TO 89269,A81000C,00200,0100,D 89269,A81000C,00200,0200,F. J. T. M. LOG 89269,A81000C,00200,0400,LOGAN HLTH RLTY 89269,A81000C,00200,0600,RENTL PRP: 6/1- 89269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89269,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89269,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89269,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89269,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89269,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89269,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89269,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89269,S000000,00100,0200,06/02/2000 89269,S200000,00400,0100,LOGAN HEALTHCARE FACILITY 89269,S200000,00400,0200,225427 89269,S200000,00400,0300,07/01/1990 89269,S200000,00400,0500,P 89269,S200000,01500,0100,Y 89269,S200000,02800,0100,Y 89269,S700003,00000,0100,1 89276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89276,A000000,00300,0000,00300EMPLOYEE BENEFITS 89276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89276,A000000,00700,0000,00700HOUSEKEEPING 89276,A000000,00800,0000,00800DIETARY 89276,A000000,00900,0000,00900NURSING ADMINISTRATION 89276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89276,A000000,01100,0000,01100PHARMACY 89276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89276,A000000,01300,0000,01300SOCIAL SERVICE 89276,A000000,01350,0000,01500ACTIVITIES 89276,A000000,01600,0000,01600SKILLED NURSING FACILITY 89276,A000000,01810,0000,01810ICF/MR 89276,A000000,02100,0000,02100RADIOLOGY 89276,A000000,02200,0000,02200LABORATORY 89276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89276,A000000,02500,0000,02500PHYSICAL THERAPY 89276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89276,A000000,02700,0000,02700SPEECH PATHOLOGY 89276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89276,A000000,03050,0000,03110CLINITRON BEDS 89276,A000000,05000,0000,05000CORF 89276,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89276,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89276,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89276,A000000,06151,0000,06300MARKETING 89276,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89276,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89276,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89276,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89276,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89276,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89276,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89276,B100000,00000,0800,00000MEALS SERVED :DIETARY 89276,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89276,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89276,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89276,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89276,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89276,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89276,S000000,00100,0200,05/31/2000 89276,S200000,00100,0100,725 NORTH STREET 89276,S200000,00200,0100,LENOX 89276,S200000,00200,0200,MA 89276,S200000,00200,0300,01240- 89276,S200000,00300,0100,BERKSHIRE 89276,S200000,00400,0100,NURSING CENTER AT KIMBALL FARMS 89276,S200000,00400,0200,225428 89276,S200000,00400,0300,03/15/1990 89276,S200000,00400,0500,P 89276,S200000,01500,0100,Y 89276,S200000,01900,0100,CORPORATION 89276,S200000,02800,0100,Y 89276,S700003,00000,0100,1 89282,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89282,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89282,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89282,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89282,A000000,00300,0000,00300EMPLOYEE BENEFITS 89282,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89282,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89282,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89282,A000000,00700,0000,00700HOUSEKEEPING 89282,A000000,00800,0000,00800DIETARY 89282,A000000,00801,0000,00801CAFETERIA 89282,A000000,00900,0000,00900NURSING ADMINISTRATION 89282,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89282,A000000,01100,0000,01100PHARMACY 89282,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89282,A000000,01300,0000,01300SOCIAL SERVICE 89282,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89282,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89282,A000000,01600,0000,01600SKILLED NURSING FACILITY 89282,A000000,01800,0000,01800NURSING FACILITY 89282,A000000,01900,0000,01900OTHER LONG TERM CARE 89282,A000000,02100,0000,02100RADIOLOGY 89282,A000000,02200,0000,02200LABORATORY 89282,A000000,02300,0000,02300INTRAVENOUS THERAPY 89282,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89282,A000000,02500,0000,02500PHYSICAL THERAPY 89282,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89282,A000000,02700,0000,02700SPEECH PATHOLOGY 89282,A000000,02800,0000,02800ELECTROCARDIOLOGY 89282,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89282,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89282,A000000,03050,0000,03300COMPLEX MED EQ 89282,A000000,03051,0000,03301OTHER ANCILLARY II 89282,A000000,03052,0000,03302OTHER ANCILLARY III 89282,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89282,A000000,03200,0000,03200SUPPORT SURFACES 89282,A000000,03400,0000,03400CLINIC 89282,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89282,A000000,03500,0000,03500RURAL HEALTH CLINIC 89282,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89282,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89282,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89282,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89282,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89282,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89282,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89282,A000000,04400,0000,04400DME RENTED - HHA 89282,A000000,04500,0000,04500DME SOLD - HHA 89282,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89282,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89282,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89282,A000000,04800,0000,04800AMBULANCE 89282,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89282,A000000,05000,0000,05000CORF 89282,A000000,05010,0000,05010CMHC I 89282,A000000,05020,0000,05020OPT I 89282,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89282,A000000,05300,0000,05300INTEREST EXPENSE 89282,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89282,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89282,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89282,A000000,05500,0000,05500HOSPICE 89282,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89282,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89282,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89282,A000000,06100,0000,06100NONPAID WORKERS 89282,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89282,A000000,06200,0000,06200PATIENTS LAUNDRY 89282,A81000A,00100,0100,Y 89282,A81000B,00100,0300,RENT-CAPITAL RELATED 89282,A81000B,00200,0300,RENT-EQUIP RELATED 89282,A81000B,00300,0300,MGMT. FEE-CAP. RELATED 89282,A81000B,00400,0300,MGMT. FEE-NONCAP REL. 89282,A81000B,00500,0300,WORK CAP INTEREST 89282,A81000C,00100,0100,B 89282,A81000C,00100,0200,STONEHEDGE LTD. 89282,A81000C,00100,0400,COMP ADDICTION 89282,A81000C,00100,0600,REAL ESTATE 89282,A81000C,00200,0100,B 89282,A81000C,00200,0200,STONEHEDGE LTD. 89282,A81000C,00200,0400,COMP ADDICTION 89282,A81000C,00200,0600,REAL ESTATE 89282,A81000C,00300,0100,B 89282,A81000C,00300,0200,COMP ADDICTION 89282,A81000C,00300,0400,COMP ADDICTION 89282,A81000C,00300,0600,MGMT. CO. 89282,A81000C,00400,0100,B 89282,A81000C,00400,0200,COMP ADDICTION 89282,A81000C,00400,0400,COMP ADDICTION 89282,A81000C,00400,0600,MGMT. CO. 89282,A81000C,00500,0100,B 89282,A81000C,00500,0200,COMP ADDICTION 89282,A81000C,00500,0400,COMP ADDICTION 89282,A81000C,00500,0600,MGMT. CO. 89282,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89282,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89282,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89282,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89282,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89282,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89282,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89282,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89282,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89282,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89282,B100000,00000,0850,00000PAT DAYS :DIETARY 89282,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89282,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89282,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89282,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89282,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89282,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89282,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89282,S000000,00100,0200,05/31/2000 89282,S200000,00100,0100,5 REDLANDS ROAD 89282,S200000,00200,0100,WEST ROXBURY 89282,S200000,00200,0200,MA 89282,S200000,00200,0300,02132- 89282,S200000,00300,0100,SUFFOLK 89282,S200000,00400,0100,STONEHEDGE CONVALESCENT CENTER 89282,S200000,00400,0200,225429 89282,S200000,00400,0300,07/01/1990 89282,S200000,00400,0500,P 89282,S200000,01004,0500,O 89282,S200000,01600,0100,Y 89282,S700003,00000,0100,1 89291,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89291,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89291,A000000,00300,0000,00300EMPLOYEE BENEFITS 89291,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89291,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89291,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89291,A000000,00700,0000,00700HOUSEKEEPING 89291,A000000,00800,0000,00800DIETARY 89291,A000000,00900,0000,00900NURSING ADMINISTRATION 89291,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89291,A000000,01100,0000,01100PHARMACY 89291,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89291,A000000,01300,0000,01300SOCIAL SERVICE 89291,A000000,01350,0000,01500OTHER GENERAL SERVICES 89291,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89291,A000000,01600,0000,01600SKILLED NURSING FACILITY 89291,A000000,01800,0000,01800NURSING FACILITY 89291,A000000,01810,0000,01801ICF/MR 89291,A000000,01900,0000,01900OTHER LONG TERM CARE 89291,A000000,02100,0000,02100RADIOLOGY 89291,A000000,02200,0000,02200LABORATORY 89291,A000000,02300,0000,02300INTRAVENOUS THERAPY 89291,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89291,A000000,02500,0000,02500PHYSICAL THERAPY 89291,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89291,A000000,02700,0000,02700SPEECH PATHOLOGY 89291,A000000,02800,0000,02800ELECTROCARDIOLOGY 89291,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89291,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89291,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89291,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89291,A000000,03200,0000,03200SUPPORT SURFACES 89291,A000000,03400,0000,03400CLINIC 89291,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89291,A000000,03500,0000,03500RURAL HEALTH CLINIC 89291,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89291,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89291,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89291,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89291,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89291,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89291,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89291,A000000,04400,0000,04400DME RENTED - HHA 89291,A000000,04500,0000,04500DME SOLD - HHA 89291,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89291,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89291,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89291,A000000,04800,0000,04800AMBULANCE 89291,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89291,A000000,05000,0000,05000CORF 89291,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89291,A000000,05300,0000,05300INTEREST EXPENSE 89291,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89291,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89291,A000000,05500,0000,05500HOSPICE 89291,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89291,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89291,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89291,A000000,06100,0000,06100NONPAID WORKERS 89291,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89291,A000000,06200,0000,06200PATIENTS LAUNDRY 89291,A81000A,00100,0100,Y 89291,A81000B,00100,0300,SALARIES 89291,A81000B,00200,0300,SALARIES 89291,A81000B,00300,0300,SALARIES 89291,A81000B,00400,0300,SALARIES 89291,A81000B,00500,0300,SALARIES 89291,A81000B,00600,0300,SALARIES 89291,A81000B,00700,0300,PENSION 89291,A81000C,00100,0100,G 89291,A81000C,00100,0200,CARMELITE SISTERS 89291,A81000C,00100,0400,CARMELITE SISTERS 89291,A81000C,00100,0600,RELIGIOUS ORGANIZATION : 89291,A81000C,00200,0600,SISTERS PROVIDE NURSING 89291,A81000C,00300,0600,AND RELATED CARE AT THE 89291,A81000C,00400,0600,MANOR 89291,A81000C,03100,0000,NON PROFIT 89291,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89291,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89291,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89291,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89291,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89291,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89291,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 89291,B100000,00000,0800,00000MEALS SERVED :DIETARY 89291,B100000,00000,0950,00000DIR. NURSING :NURSING ADMINISTRATI 89291,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 89291,B100000,00000,1150,00000NO STATISTICS :PHARMACY 89291,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 89291,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89291,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 89291,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 89291,S000000,00100,0200,06/01/2000 89291,S200000,00100,0100,863 CENTRAL STREET 89291,S200000,00200,0100,FRAMINGHAM 89291,S200000,00200,0200,MA 89291,S200000,00200,0300,01701- 89291,S200000,00300,0100,MIDDLESEX 89291,S200000,00400,0100,ST. PATRICKS MANOR INC. 89291,S200000,00400,0200,225430 89291,S200000,00400,0300,07/01/1990 89291,S200000,00400,0500,P 89291,S200000,00400,0600,P 89291,S200000,01600,0100,Y 89291,S200000,02800,0100,Y 89291,S700003,00000,0100,1 89299,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89299,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89299,A000000,00300,0000,00300EMPLOYEE BENEFITS 89299,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89299,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89299,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89299,A000000,00700,0000,00700HOUSEKEEPING 89299,A000000,00800,0000,00800DIETARY 89299,A000000,00900,0000,00900NURSING ADMINISTRATION 89299,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89299,A000000,01100,0000,01100PHARMACY 89299,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89299,A000000,01300,0000,01300SOCIAL SERVICE 89299,A000000,01350,0000,01500ACTIVITIES 89299,A000000,01351,0000,01501INDIRECT CONSULTANTS 89299,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89299,A000000,01600,0000,01600SKILLED NURSING FACILITY 89299,A000000,01800,0000,01800NURSING FACILITY 89299,A000000,01810,0000,01801ICF/MR 89299,A000000,01900,0000,01900OTHER LONG TERM CARE 89299,A000000,02100,0000,02100RADIOLOGY 89299,A000000,02200,0000,02200LABORATORY 89299,A000000,02300,0000,02300INTRAVENOUS THERAPY 89299,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89299,A000000,02500,0000,02500PHYSICAL THERAPY 89299,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89299,A000000,02700,0000,02700SPEECH PATHOLOGY 89299,A000000,02800,0000,02800ELECTROCARDIOLOGY 89299,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89299,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89299,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89299,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89299,A000000,03200,0000,03200SUPPORT SURFACES 89299,A000000,03400,0000,03400CLINIC 89299,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89299,A000000,03500,0000,03500RURAL HEALTH CLINIC 89299,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89299,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89299,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89299,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89299,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89299,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89299,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89299,A000000,04400,0000,04400DME RENTED - HHA 89299,A000000,04500,0000,04500DME SOLD - HHA 89299,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89299,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89299,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89299,A000000,04800,0000,04800AMBULANCE 89299,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89299,A000000,05000,0000,05000CORF 89299,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89299,A000000,05300,0000,05300INTEREST EXPENSE 89299,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89299,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89299,A000000,05500,0000,05500HOSPICE 89299,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89299,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89299,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89299,A000000,06100,0000,06100NONPAID WORKERS 89299,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89299,A000000,06200,0000,06200PATIENTS LAUNDRY 89299,A81000A,00100,0100,Y 89299,A81000B,00100,0300,RENT-CAPITAL RELATED 89299,A81000B,00200,0300,RENT-CAP REL MOVABLE 89299,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89299,A81000B,00400,0300,EMPLOYEE BENEFITS-PENSION 89299,A81000B,00500,0300,RENT- NOT CAP RELATED 89299,A81000B,00600,0300,ADMINISTRATOR SALARIES 89299,A81000B,00700,0300,PLANT SALARIES 89299,A81000B,00800,0300,INTEREST ON WORKING CAPITAL DEBT 89299,A81000B,00900,0300,ACTIVITIES SUPPLIES 89299,A81000B,01000,0300,ADMINISTRATION BENEFITS 89299,A81000C,00100,0200,SEE SUPPLEMENTAL WP FOR 89299,A81000C,00200,0200,FACILITY & REALTY CO 89299,A81000C,00300,0200,OWNERS 89299,A81000C,00400,0100,F 89299,A81000C,00400,0200,JOHN BIBO 89299,A81000C,00500,0100,F 89299,A81000C,00500,0200,JOSEPH BEAN 89299,A81000C,00500,0400,BEAN FARM 89299,A81000C,00500,0600,ACTIVITIES SUPPLIES 89299,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89299,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89299,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89299,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89299,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89299,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89299,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89299,B100000,00000,0800,00000MEALS SERVED :DIETARY 89299,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89299,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89299,B100000,00000,1150,00000N/A :PHARMACY 89299,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89299,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89299,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89299,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89299,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89299,S000000,00100,0200,05/05/2000 89299,S200000,00100,0100,133 SALEM STREET 89299,S200000,00200,0100,REVERE 89299,S200000,00200,0200,MA 89299,S200000,00200,0300,02151- 89299,S200000,00300,0100,SUFFOLK 89299,S200000,00400,0100,ANNEMARK NURSING HOME 89299,S200000,00400,0200,225432 89299,S200000,00400,0300,07/01/1990 89299,S200000,00400,0500,P 89299,S200000,00400,0600,P 89299,S200000,01004,0500,O 89299,S200000,01600,0100,Y 89299,S700003,00000,0100,1 89307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89307,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89307,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89307,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89307,A000000,00300,0000,00300EMPLOYEE BENEFITS 89307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89307,A000000,00700,0000,00700HOUSEKEEPING 89307,A000000,00800,0000,00800DIETARY 89307,A000000,00801,0000,00801CAFETERIA 89307,A000000,00900,0000,00900NURSING ADMINISTRATION 89307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89307,A000000,01100,0000,01100PHARMACY 89307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89307,A000000,01300,0000,01300SOCIAL SERVICE 89307,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89307,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89307,A000000,01600,0000,01600SKILLED NURSING FACILITY 89307,A000000,01800,0000,01800NURSING FACILITY 89307,A000000,01900,0000,01900OTHER LONG TERM CARE 89307,A000000,02100,0000,02100RADIOLOGY 89307,A000000,02200,0000,02200LABORATORY 89307,A000000,02300,0000,02300INTRAVENOUS THERAPY 89307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89307,A000000,02500,0000,02500PHYSICAL THERAPY 89307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89307,A000000,02700,0000,02700SPEECH PATHOLOGY 89307,A000000,02800,0000,02800ELECTROCARDIOLOGY 89307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89307,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89307,A000000,03051,0000,03301PEN THERAPY 89307,A000000,03052,0000,03302OTHER ANCILLARY III 89307,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89307,A000000,03200,0000,03200SUPPORT SURFACES 89307,A000000,03400,0000,03400CLINIC 89307,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89307,A000000,03500,0000,03500RURAL HEALTH CLINIC 89307,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89307,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89307,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89307,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89307,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89307,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89307,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89307,A000000,04400,0000,04400DME RENTED - HHA 89307,A000000,04500,0000,04500DME SOLD - HHA 89307,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89307,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89307,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89307,A000000,04800,0000,04800AMBULANCE 89307,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89307,A000000,05000,0000,05000CORF 89307,A000000,05010,0000,05010CMHC I 89307,A000000,05020,0000,05020OPT I 89307,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89307,A000000,05300,0000,05300INTEREST EXPENSE 89307,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89307,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89307,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89307,A000000,05500,0000,05500HOSPICE 89307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89307,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89307,A000000,06100,0000,06100NONPAID WORKERS 89307,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89307,A000000,06200,0000,06200PATIENTS LAUNDRY 89307,A81000A,00100,0100,Y 89307,A81000B,00100,0300,LEGAL EXPENSE 89307,A81000C,00100,0100,D 89307,A81000C,00100,0200,J. BOCKIAN 89307,A81000C,00100,0600,LAW FIRM 89307,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89307,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89307,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89307,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89307,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89307,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89307,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89307,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89307,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89307,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89307,B100000,00000,0850,00000(PAT DAYS) :DIETARY 89307,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89307,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89307,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89307,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89307,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89307,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89307,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89307,S000000,00100,0200,05/25/2000 89307,S200000,00100,0100,2049 DORCHESTER AVENUE 89307,S200000,00200,0100,BOSTON 89307,S200000,00200,0200,MA 89307,S200000,00200,0300,02124- 89307,S200000,00300,0100,SUFFOLK 89307,S200000,00400,0100,THE BOSTON HOME INC. 89307,S200000,00400,0200,225434 89307,S200000,00400,0300,07/01/1990 89307,S200000,00400,0500,P 89307,S200000,01004,0500,O 89307,S200000,01500,0100,Y 89307,S200000,02800,0100,Y 89307,S700003,00000,0100,1 89324,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89324,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89324,A000000,00300,0000,00300EMPLOYEE BENEFITS 89324,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89324,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89324,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89324,A000000,00700,0000,00700HOUSEKEEPING 89324,A000000,00800,0000,00800DIETARY 89324,A000000,00900,0000,00900NURSING ADMINISTRATION 89324,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89324,A000000,01100,0000,01100PHARMACY 89324,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89324,A000000,01300,0000,01300SOCIAL SERVICE 89324,A000000,01350,0000,01500ACTIVITIES 89324,A000000,01351,0000,01501INDIRECT CONSULTANTS 89324,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89324,A000000,01600,0000,01600SKILLED NURSING FACILITY 89324,A000000,01800,0000,01800NURSING FACILITY 89324,A000000,01810,0000,01810ICF/MR 89324,A000000,01900,0000,01900OTHER LONG TERM CARE 89324,A000000,02100,0000,02100RADIOLOGY 89324,A000000,02200,0000,02200LABORATORY 89324,A000000,02300,0000,02300INTRAVENOUS THERAPY 89324,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89324,A000000,02500,0000,02500PHYSICAL THERAPY 89324,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89324,A000000,02700,0000,02700SPEECH PATHOLOGY 89324,A000000,02800,0000,02800ELECTROCARDIOLOGY 89324,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89324,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89324,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89324,A000000,03051,0000,03301AIR FLUIDIZED THERAPY 89324,A000000,03052,0000,03302NUTRITIONAL THERAPY 89324,A000000,03053,0000,03303TRANSPORTATION 89324,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89324,A000000,03200,0000,03200SUPPORT SURFACES 89324,A000000,03400,0000,03400CLINIC 89324,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89324,A000000,03500,0000,03500RURAL HEALTH CLINIC 89324,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89324,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89324,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89324,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89324,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89324,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89324,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89324,A000000,04400,0000,04400DME RENTED - HHA 89324,A000000,04500,0000,04500DME SOLD - HHA 89324,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89324,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89324,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89324,A000000,04800,0000,04800AMBULANCE 89324,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89324,A000000,05000,0000,05000CORF 89324,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89324,A000000,05300,0000,05300INTEREST EXPENSE 89324,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89324,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89324,A000000,05500,0000,05500HOSPICE 89324,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89324,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89324,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89324,A000000,06100,0000,06100NONPAID WORKERS 89324,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89324,A000000,06200,0000,06200PATIENTS LAUNDRY 89324,A81000A,00100,0100,Y 89324,A81000B,00100,0300,HOME OFFICE EXPENSE 89324,A81000C,00100,0100,B 89324,A81000C,00100,0200,METRO HEALTH 89324,A81000C,00100,0400,METRO HEALTH 89324,A81000C,00100,0600,PARENT 89324,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89324,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89324,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89324,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89324,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89324,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89324,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89324,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89324,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89324,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89324,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89324,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89324,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89324,E10A180,00501,0100,01/12/2001 89324,S000000,00100,0200,12/01/2000 89324,S200000,00100,0100,337 NEPONSET AVENUE 89324,S200000,00200,0100,DORCHESTER 89324,S200000,00200,0200,MA 89324,S200000,00200,0300,02121- 89324,S200000,00300,0100,SUFFOLK 89324,S200000,00300,0200,1123 89324,S200000,00300,0300,U 89324,S200000,00400,0100,BOSTONIAN NURSING CARE & REHAB CTR 89324,S200000,00400,0200,225436 89324,S200000,00400,0300,07/01/1990 89324,S200000,00400,0500,P 89324,S200000,00400,0600,P 89324,S200000,01600,0100,Y 89338,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89338,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89338,A000000,00300,0000,00300EMPLOYEE BENEFITS 89338,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89338,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89338,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89338,A000000,00700,0000,00700HOUSEKEEPING 89338,A000000,00800,0000,00800DIETARY 89338,A000000,00900,0000,00900NURSING ADMINISTRATION 89338,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89338,A000000,01100,0000,01100PHARMACY 89338,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89338,A000000,01300,0000,01300SOCIAL SERVICE 89338,A000000,01600,0000,01600SKILLED NURSING FACILITY 89338,A000000,01800,0000,01800NURSING FACILITY 89338,A000000,01900,0000,01900OTHER LONG TERM CARE 89338,A000000,02100,0000,02100RADIOLOGY 89338,A000000,02200,0000,02200LABORATORY 89338,A000000,02300,0000,02300INTRAVENOUS THERAPY 89338,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89338,A000000,02500,0000,02500PHYSICAL THERAPY 89338,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89338,A000000,02700,0000,02700SPEECH PATHOLOGY 89338,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89338,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89338,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89338,A000000,03200,0000,03200SUPPORT SURFACES 89338,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89338,A000000,04800,0000,04800AMBULANCE 89338,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89338,A000000,05300,0000,05300INTEREST EXPENSE 89338,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89338,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89338,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89338,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89338,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89338,A000000,06100,0000,06100NONPAID WORKERS 89338,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89338,A000000,06200,0000,06200PATIENTS LAUNDRY 89338,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89338,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89338,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89338,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89338,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89338,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89338,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89338,B100000,00000,0800,00000MEALS SERVED :DIETARY 89338,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 89338,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89338,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89338,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89338,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89338,S000000,00100,0200,06/02/2000 89338,S200000,00100,0100,101 PLANTATION STREET 89338,S200000,00200,0100,WORCESTER 89338,S200000,00200,0200,MA 89338,S200000,00200,0300,01604-3025 89338,S200000,00300,0100,WORCESTER 89338,S200000,00400,0100,SAINT FRANCIS HOME 89338,S200000,00400,0200,225438 89338,S200000,00400,0300,07/01/1990 89338,S200000,00400,0500,P 89338,S200000,01500,0100,Y 89338,S700003,00000,0100,1 89346,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89346,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89346,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89346,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89346,A000000,00300,0000,00300EMPLOYEE BENEFITS 89346,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89346,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89346,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89346,A000000,00700,0000,00700HOUSEKEEPING 89346,A000000,00800,0000,00800DIETARY 89346,A000000,00801,0000,00801CAFETERIA 89346,A000000,00900,0000,00900NURSING ADMINISTRATION 89346,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89346,A000000,01100,0000,01100PHARMACY 89346,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89346,A000000,01300,0000,01300SOCIAL SERVICE 89346,A000000,01350,0000,01500TRAVEL THERAPY 89346,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89346,A000000,01600,0000,01600SKILLED NURSING FACILITY 89346,A000000,01800,0000,01800NURSING FACILITY 89346,A000000,01900,0000,01900OTHER LONG TERM CARE 89346,A000000,02100,0000,02100RADIOLOGY 89346,A000000,02200,0000,02200LABORATORY 89346,A000000,02300,0000,02300INTRAVENOUS THERAPY 89346,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89346,A000000,02500,0000,02500PHYSICAL THERAPY 89346,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89346,A000000,02700,0000,02700SPEECH PATHOLOGY 89346,A000000,02800,0000,02800ELECTROCARDIOLOGY 89346,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89346,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89346,A000000,03050,0000,03300OTHER ANCILLARY 89346,A000000,03051,0000,03301OTHER ANCILLARY II 89346,A000000,03052,0000,03302OTHER ANCILLARY III 89346,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89346,A000000,03200,0000,03200SUPPORT SURFACES 89346,A000000,03400,0000,03400CLINIC 89346,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89346,A000000,03500,0000,03500RURAL HEALTH CLINIC 89346,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89346,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89346,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89346,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89346,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89346,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89346,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89346,A000000,04400,0000,04400DME RENTED - HHA 89346,A000000,04500,0000,04500DME SOLD - HHA 89346,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89346,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89346,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89346,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89346,A000000,05000,0000,05000CORF 89346,A000000,05010,0000,05010CMHC I 89346,A000000,05020,0000,05020OPT I 89346,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89346,A000000,05300,0000,05300INTEREST EXPENSE 89346,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89346,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89346,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89346,A000000,05500,0000,05500HOSPICE 89346,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89346,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89346,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89346,A000000,06100,0000,06100NONPAID WORKERS 89346,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89346,A000000,06200,0000,06200PATIENTS LAUNDRY 89346,A81000A,00100,0100,Y 89346,A81000B,00100,0300,COMPENSATION 89346,A81000C,00100,0100,C 89346,A81000C,00100,0200,STEVN P. MORROW 89346,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89346,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89346,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89346,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89346,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89346,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89346,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89346,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89346,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89346,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89346,B100000,00000,0850,00000(PAT DAYS) :DIETARY 89346,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89346,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89346,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89346,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 89346,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 89346,B100000,00000,1350,00000 :TRAVEL THERAPY 89346,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89346,S000000,00100,0200,06/01/2000 89346,S200000,00100,0100,104 RANDOLPH ROAD 89346,S200000,00200,0100,WORCESTER 89346,S200000,00200,0200,MA 89346,S200000,00200,0300,01606-2565 89346,S200000,00300,0100,WORCESTER 89346,S200000,00400,0100,ODD FELLOWS HOME OF MA. 89346,S200000,00400,0200,225439 89346,S200000,00400,0300,07/01/1990 89346,S200000,00400,0500,P 89346,S200000,01004,0500,O 89346,S200000,01600,0100,Y 89346,S200000,02800,0100,Y 89346,S200000,04700,0100,Y 89346,S700003,00000,0100,1 89359,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89359,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89359,A000000,00300,0000,00300EMPLOYEE BENEFITS 89359,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89359,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89359,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89359,A000000,00700,0000,00700HOUSEKEEPING 89359,A000000,00800,0000,00800DIETARY 89359,A000000,00900,0000,00900NURSING ADMINISTRATION 89359,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89359,A000000,01100,0000,01100PHARMACY 89359,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89359,A000000,01300,0000,01300SOCIAL SERVICE 89359,A000000,01350,0000,01500RECREATION 89359,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89359,A000000,01600,0000,01600SKILLED NURSING FACILITY 89359,A000000,01810,0000,01810ICF/MR 89359,A000000,02100,0000,02100RADIOLOGY 89359,A000000,02200,0000,02200LABORATORY 89359,A000000,02300,0000,02300INTRAVENOUS THERAPY 89359,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89359,A000000,02500,0000,02500PHYSICAL THERAPY 89359,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89359,A000000,02700,0000,02700SPEECH PATHOLOGY 89359,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89359,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89359,A000000,03550,0000,03550FQHC 89359,A000000,05000,0000,05000CORF 89359,A000000,05010,0000,05010CMHC 89359,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89359,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89359,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89359,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89359,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89359,A81000A,00100,0100,Y 89359,A81000B,00100,0300,HOME OFFICE EXPENSE 89359,A81000B,00200,0300,HOME OFFICE EXPENSE 89359,A81000B,00300,0300,MANAGEMENT FEE 89359,A81000C,00100,0100,B 89359,A81000C,00100,0400,OLYMPUS HEALTHC 89359,A81000C,00100,0600,HOME OFFICE EXP 89359,A81000C,00200,0100,B 89359,A81000C,00200,0400,OLYMPUS HEALTHC 89359,A81000C,00200,0600,HOME OFFICE EXP 89359,A81000C,00300,0100,B 89359,A81000C,00300,0400,OLYMPUS HEALTHC 89359,A81000C,00300,0600,HOME OFFICE EXP 89359,A81000C,00500,0200,SEE HCFA FORM 3 89359,A81000C,00600,0200,A-8-5 FOR OTHER 89359,A81000C,00700,0200,RELATED PARTY 89359,A81000C,00800,0200,TRANSACTIONS 89359,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89359,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89359,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89359,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89359,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89359,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 89359,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89359,B100000,00000,0800,00000MEALS SERVED :DIETARY 89359,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 89359,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 89359,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89359,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 89359,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 89359,B100000,00000,1350,00000RESIDENT DAYS :RECREATION 89359,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89359,S000000,00100,0200,05/30/2000 89359,S200000,00100,0100,1102 WASHINGTON STREET 89359,S200000,00200,0100,BRAINTREE 89359,S200000,00200,0200,MA 89359,S200000,00200,0300,02184- 89359,S200000,00300,0100,NORFOLK 89359,S200000,00400,0100,OHCC-BRAINTREE 89359,S200000,00400,0200,225445 89359,S200000,00400,0300,07/01/1990 89359,S200000,00400,0500,P 89359,S200000,00400,0600,P 89359,S200000,00600,0200,225445 89359,S200000,00600,0300,07/01/1990 89359,S200000,00600,0600,P 89359,S200000,01500,0100,Y 89359,S700003,00000,0100,1 89366,S000000,00100,0200,11/20/2000 89372,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89372,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89372,A000000,00300,0000,00300EMPLOYEE BENEFITS 89372,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89372,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89372,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89372,A000000,00700,0000,00700HOUSEKEEPING 89372,A000000,00800,0000,00800DIETARY 89372,A000000,00900,0000,00900NURSING ADMINISTRATION 89372,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89372,A000000,01100,0000,01100PHARMACY 89372,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89372,A000000,01300,0000,01300SOCIAL SERVICE 89372,A000000,01301,0000,01301RECREATIONAL THERAPY 89372,A000000,01600,0000,01600SKILLED NURSING FACILITY 89372,A000000,02100,0000,02100RADIOLOGY 89372,A000000,02200,0000,02200LABORATORY 89372,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89372,A000000,02500,0000,02500PHYSICAL THERAPY 89372,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89372,A000000,02700,0000,02700SPEECH PATHOLOGY 89372,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89372,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89372,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89372,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89372,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89372,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89372,A81000A,00100,0100,Y 89372,A81000B,00100,0300,MANAGEMENT FEES 89372,A81000C,00100,0100,G 89372,A81000C,00100,0200,DIOCESE OF FALL 89372,A81000C,00100,0400,DIOCESE FALL RI 89372,A81000C,00100,0600,CHURCH 89372,A81000C,03100,0000,DIOCESE OF FALL RIVER 89372,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89372,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89372,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89372,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89372,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89372,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89372,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89372,B100000,00000,0800,00000MEALS SERVED :DIETARY 89372,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89372,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89372,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89372,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89372,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89372,B100000,00000,1331,00000PATIENT DAYS :RECREATIONAL THERAPY 89372,S000000,00100,0200,06/05/2000 89372,S200000,00100,0100,2446 HIGHLAND AVE 89372,S200000,00200,0100,FALL RIVER 89372,S200000,00200,0200,MA 89372,S200000,00200,0300,02720- 89372,S200000,00300,0100,BRISTOL 89372,S200000,00400,0100,CATHOLIC MEMORIAL HOME INC. 89372,S200000,00400,0200,225448 89372,S200000,00400,0300,07/01/1990 89372,S200000,00400,0500,P 89372,S200000,01004,0500,O 89372,S200000,01500,0100,Y 89372,S700003,00000,0100,1 89379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89379,A000000,00300,0000,00300EMPLOYEE BENEFITS 89379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89379,A000000,00700,0000,00700HOUSEKEEPING 89379,A000000,00800,0000,00800DIETARY 89379,A000000,00900,0000,00900NURSING ADMINISTRATION 89379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89379,A000000,01100,0000,01100PHARMACY 89379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89379,A000000,01300,0000,01300SOCIAL SERVICE 89379,A000000,01350,0000,01500ACTIVITIES 89379,A000000,01351,0000,01501INDIRECT CONSULTANTS 89379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89379,A000000,01600,0000,01600SKILLED NURSING FACILITY 89379,A000000,01800,0000,01800NURSING FACILITY 89379,A000000,01810,0000,01801ICF/MR 89379,A000000,01900,0000,01900OTHER LONG TERM CARE 89379,A000000,02100,0000,02100RADIOLOGY 89379,A000000,02200,0000,02200LABORATORY 89379,A000000,02300,0000,02300INTRAVENOUS THERAPY 89379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89379,A000000,02500,0000,02500PHYSICAL THERAPY 89379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89379,A000000,02700,0000,02700SPEECH PATHOLOGY 89379,A000000,02800,0000,02800ELECTROCARDIOLOGY 89379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89379,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89379,A000000,03200,0000,03200SUPPORT SURFACES 89379,A000000,03400,0000,03400CLINIC 89379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89379,A000000,03500,0000,03500RURAL HEALTH CLINIC 89379,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89379,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89379,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89379,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89379,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89379,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89379,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89379,A000000,04400,0000,04400DME RENTED - HHA 89379,A000000,04500,0000,04500DME SOLD - HHA 89379,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89379,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89379,A000000,04800,0000,04800AMBULANCE 89379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89379,A000000,05000,0000,05000CORF 89379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89379,A000000,05300,0000,05300INTEREST EXPENSE 89379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89379,A000000,05500,0000,05500HOSPICE 89379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89379,A000000,06100,0000,06100NONPAID WORKERS 89379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89379,A000000,06200,0000,06200PATIENTS LAUNDRY 89379,A81000A,00100,0100,Y 89379,A81000B,00100,0300,RENT-CAPITAL RELATED 89379,A81000C,00100,0100,A 89379,A81000C,00100,0200,JAMES P DUFFY 89379,A81000C,00100,0400,JAMES P. DUFFY 89379,A81000C,00100,0600,PROPRIETORSHIP 89379,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89379,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89379,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89379,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89379,B100000,00000,0800,00000MEALS SERVED :DIETARY 89379,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89379,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89379,B100000,00000,1150,00000N/A :PHARMACY 89379,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89379,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89379,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89379,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89379,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89379,E10A180,00301,0100,08/25/1999 89379,S000000,00100,0200,06/01/2000 89379,S200000,00100,0100,590 MAIN STREET 89379,S200000,00200,0100,WATERTOWN 89379,S200000,00200,0200,MA 89379,S200000,00200,0300,02472- 89379,S200000,00300,0100,MIDDLESEX 89379,S200000,00400,0100,CHARLESGATE MANOR CONVALESCENT HOME 89379,S200000,00400,0200,225450 89379,S200000,00400,0300,07/01/1990 89379,S200000,00400,0500,P 89379,S200000,00400,0600,P 89379,S200000,01600,0100,Y 89379,S700003,00000,0100,1 89396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89396,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89396,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89396,A000000,00300,0000,00300EMPLOYEE BENEFITS 89396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89396,A000000,00700,0000,00700HOUSEKEEPING 89396,A000000,00800,0000,00800DIETARY 89396,A000000,00801,0000,00801CAFETERIA 89396,A000000,00900,0000,00900NURSING ADMINISTRATION 89396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89396,A000000,01100,0000,01100PHARMACY 89396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89396,A000000,01300,0000,01300SOCIAL SERVICE 89396,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89396,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89396,A000000,01600,0000,01600SKILLED NURSING FACILITY 89396,A000000,01800,0000,01800NURSING FACILITY 89396,A000000,01900,0000,01900OTHER LONG TERM CARE 89396,A000000,02100,0000,02100RADIOLOGY 89396,A000000,02200,0000,02200LABORATORY 89396,A000000,02300,0000,02300INTRAVENOUS THERAPY 89396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89396,A000000,02500,0000,02500PHYSICAL THERAPY 89396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89396,A000000,02700,0000,02700SPEECH PATHOLOGY 89396,A000000,02800,0000,02800ELECTROCARDIOLOGY 89396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89396,A000000,03050,0000,03300OTHER ANCILLARY 89396,A000000,03051,0000,03301OTHER ANCILLARY II 89396,A000000,03052,0000,03302OTHER ANCILLARY III 89396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89396,A000000,03200,0000,03200SUPPORT SURFACES 89396,A000000,03400,0000,03400CLINIC 89396,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89396,A000000,03500,0000,03500RURAL HEALTH CLINIC 89396,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89396,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89396,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89396,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89396,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89396,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89396,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89396,A000000,04400,0000,04400DME RENTED - HHA 89396,A000000,04500,0000,04500DME SOLD - HHA 89396,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89396,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89396,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89396,A000000,04800,0000,04800AMBULANCE 89396,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89396,A000000,05000,0000,05000CORF 89396,A000000,05010,0000,05010CMHC I 89396,A000000,05020,0000,05020OPT I 89396,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89396,A000000,05300,0000,05300INTEREST EXPENSE 89396,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89396,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89396,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89396,A000000,05500,0000,05500HOSPICE 89396,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89396,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89396,A000000,06100,0000,06100NONPAID WORKERS 89396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89396,A000000,06200,0000,06200PATIENTS LAUNDRY 89396,A81000A,00100,0100,Y 89396,A81000B,00100,0300,ADMINISTRATOR LABOR COSTS 89396,A81000C,00100,0100,E 89396,A81000C,00100,0200,LOWELL GEN HOSP 89396,A81000C,00100,0400,LOWELL GEN HOSP 89396,A81000C,00100,0600,HOSPITAL 89396,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89396,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89396,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89396,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89396,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89396,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89396,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89396,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89396,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89396,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89396,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89396,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89396,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89396,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89396,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89396,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89396,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89396,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89396,S000000,00100,0200,05/26/2000 89396,S200000,00100,0100,476 VARNUM AVE 89396,S200000,00200,0100,LOWELL 89396,S200000,00200,0200,MA 89396,S200000,00200,0300,01854- 89396,S200000,00300,0100,MIDDLESEX 89396,S200000,00400,0100,FAIRHAVEN NURSING HOME 89396,S200000,00400,0200,225458 89396,S200000,00400,0300,07/01/1990 89396,S200000,00400,0500,P 89396,S200000,01600,0100,Y 89396,S700003,00000,0100,1 89406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89406,A000000,00300,0000,00300EMPLOYEE BENEFITS 89406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89406,A000000,00700,0000,00700HOUSEKEEPING 89406,A000000,00800,0000,00800DIETARY 89406,A000000,00900,0000,00900NURSING ADMINISTRATION 89406,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89406,A000000,01100,0000,01100PHARMACY 89406,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89406,A000000,01300,0000,01300SOCIAL SERVICE 89406,A000000,01350,0000,01500RECREATION 89406,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89406,A000000,01600,0000,01600SKILLED NURSING FACILITY 89406,A000000,02100,0000,02100RADIOLOGY 89406,A000000,02200,0000,02200LABORATORY 89406,A000000,02300,0000,02300INTRAVENOUS THERAPY 89406,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89406,A000000,02500,0000,02500PHYSICAL THERAPY 89406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89406,A000000,02700,0000,02700SPEECH PATHOLOGY 89406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89406,A000000,03050,0000,03300OTHER ANCILLARY 89406,A000000,03550,0000,03550FQHC 89406,A000000,05000,0000,05000CORF 89406,A000000,05010,0000,05010CMHC 89406,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89406,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89406,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89406,A81000A,00100,0100,Y 89406,A81000B,00100,0300,HOME OFFICE 89406,A81000B,00200,0300,HOME OFFICE 89406,A81000B,00300,0300,MANAGEMENT FEE 89406,A81000C,00100,0100,B 89406,A81000C,00100,0400,OLYMPUS HEALTHC 89406,A81000C,00100,0600,OWN/MNG FACILIT 89406,A81000C,00200,0100,B 89406,A81000C,00200,0400,OLYMPUS HEALTHC 89406,A81000C,00200,0600,OWN/MNG FACILIT 89406,A81000C,00300,0100,B 89406,A81000C,00300,0400,OLYMPUS HEALTHC 89406,A81000C,00300,0600,OWN/MNG FACILIT 89406,A81000C,00400,0200,SEE HCFA FORM 3 89406,A81000C,00500,0200,AND A-8-5 FOR O 89406,A81000C,00600,0200,RELATED PARTY 89406,A81000C,00700,0200,TRANSACTIONS 89406,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89406,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89406,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89406,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89406,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89406,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89406,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89406,B100000,00000,0800,00000MEALS SERVED :DIETARY 89406,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89406,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89406,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89406,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89406,B100000,00000,1350,00000PATIENT DAYS :RECREATION 89406,S000000,00100,0200,02/04/2000 89406,S200000,00100,0100,545 MAIN STREET 89406,S200000,00200,0100,FALMOUTH 89406,S200000,00200,0200,MA 89406,S200000,00200,0300,02540- 89406,S200000,00300,0100,BARNSTABLE 89406,S200000,00300,0200,0743 89406,S200000,00300,0300,U 89406,S200000,00400,0100,OLYMPUS HEALTHCARE CTR.-FALMOUTH 89406,S200000,00400,0200,225459 89406,S200000,00400,0300,07/01/1990 89406,S200000,00400,0500,P 89406,S200000,00400,0600,P 89406,S200000,00600,0200,225459 89406,S200000,00600,0300,07/01/1990 89406,S200000,00600,0600,P 89406,S200000,01500,0100,Y 89406,S200000,03100,0100,Y 89408,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89408,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89408,A000000,00300,0000,00300EMPLOYEE BENEFITS 89408,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89408,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89408,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89408,A000000,00700,0000,00700HOUSEKEEPING 89408,A000000,00800,0000,00800DIETARY 89408,A000000,00900,0000,00900NURSING ADMINISTRATION 89408,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89408,A000000,01100,0000,01100PHARMACY 89408,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89408,A000000,01300,0000,01300SOCIAL SERVICE 89408,A000000,01350,0000,01500ACTIVITIES 89408,A000000,01351,0000,01501INDIRECT CONSULTANTS 89408,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89408,A000000,01600,0000,01600SKILLED NURSING FACILITY 89408,A000000,01800,0000,01800NURSING FACILITY 89408,A000000,01810,0000,01810ICF/MR 89408,A000000,01900,0000,01900OTHER LONG TERM CARE 89408,A000000,02100,0000,02100RADIOLOGY 89408,A000000,02200,0000,02200LABORATORY 89408,A000000,02300,0000,02300INTRAVENOUS THERAPY 89408,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89408,A000000,02500,0000,02500PHYSICAL THERAPY 89408,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89408,A000000,02700,0000,02700SPEECH PATHOLOGY 89408,A000000,02800,0000,02800ELECTROCARDIOLOGY 89408,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89408,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89408,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89408,A000000,03051,0000,03301UROL/SURG/COLOST. SUPPLIES 89408,A000000,03052,0000,03302PEN THERAPY 89408,A000000,03053,0000,03303AMBULANCE 89408,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89408,A000000,03200,0000,03200SUPPORT SURFACES 89408,A000000,03400,0000,03400CLINIC 89408,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89408,A000000,03500,0000,03500RURAL HEALTH CLINIC 89408,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89408,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89408,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89408,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89408,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89408,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89408,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89408,A000000,04400,0000,04400DME RENTED - HHA 89408,A000000,04500,0000,04500DME SOLD - HHA 89408,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89408,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89408,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89408,A000000,04800,0000,04800AMBULANCE 89408,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89408,A000000,05000,0000,05000CORF 89408,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89408,A000000,05300,0000,05300INTEREST EXPENSE 89408,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89408,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89408,A000000,05500,0000,05500HOSPICE 89408,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89408,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89408,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89408,A000000,06100,0000,06100NONPAID WORKERS 89408,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89408,A000000,06200,0000,06200PATIENTS LAUNDRY 89408,A81000A,00100,0100,Y 89408,A81000B,00100,0300,RENT-CAPITAL RELATED 89408,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89408,A81000B,00300,0300,SOCIAL SERVICE SALARY ALLOCATION 89408,A81000B,00400,0300,QA NURSE SALARY ALLOCATION 89408,A81000B,00500,0300,PLANT SALARY ALLOCATION 89408,A81000B,00600,0300,PHYSICAL THERAPY SAL ALLOCATION 89408,A81000B,00700,0300,OCCUPATIONAL THERAPY SAL ALLOCATION 89408,A81000B,00800,0300,EMPLOYEE BENEFITS PR TAXES 89408,A81000B,00900,0300,EMPLOYEE BENEFITS W/C INS 89408,A81000B,01000,0300,EMPLOYEE BENEFITS GROUP INSURANCE 89408,A81000B,01100,0300,EMPLOYEE BENEFITS 401(K) 89408,A81000B,01200,0300,MGMT FEE-CAP REL BLDG & FIXED 89408,A81000B,01300,0300,MGMT FEE-CAP REL MME 89408,A81000C,00100,0100,A 89408,A81000C,00100,0200,NICHOLAS THISSE 89408,A81000C,00100,0400,FRAMINGHAM REALTY 89408,A81000C,00100,0600,REALTY CO 89408,A81000C,00200,0100,A 89408,A81000C,00200,0200,NICHOLAS THISSE 89408,A81000C,00200,0400,REHAB ASSOCIATES 89408,A81000C,00200,0600,HOME OFFICE 89408,A81000C,00300,0100,A 89408,A81000C,00300,0200,NICHOLAS THISSE 89408,A81000C,00300,0400,THOMAS UPHAM HOUSE 89408,A81000C,00300,0600,NURSING FACILITY 89408,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89408,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89408,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89408,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89408,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89408,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89408,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89408,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89408,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89408,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89408,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89408,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89408,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89408,S000000,00100,0200,06/01/2000 89408,S200000,00100,0100,517 WINTER STREET 89408,S200000,00200,0100,FRAMINGHAM 89408,S200000,00200,0200,MA 89408,S200000,00200,0300,01701- 89408,S200000,00300,0100,MIDDLESEX 89408,S200000,00300,0200,1123 89408,S200000,00300,0300,U 89408,S200000,00400,0100,517 WINTER ST DBA FRAMINGHAM N.H. 89408,S200000,00400,0200,225460 89408,S200000,00400,0300,07/01/1990 89408,S200000,00400,0500,P 89408,S200000,00400,0600,P 89408,S200000,01500,0100,Y 89415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89415,A000000,00300,0000,00300EMPLOYEE BENEFITS 89415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89415,A000000,00700,0000,00700HOUSEKEEPING 89415,A000000,00800,0000,00800DIETARY 89415,A000000,00900,0000,00900NURSING ADMINISTRATION 89415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89415,A000000,01100,0000,01100PHARMACY 89415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89415,A000000,01300,0000,01300SOCIAL SERVICE 89415,A000000,01350,0000,01500ACTIVITIES 89415,A000000,01351,0000,01501INDIRECT CONSULTANTS 89415,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89415,A000000,01600,0000,01600SKILLED NURSING FACILITY 89415,A000000,01800,0000,01800NURSING FACILITY 89415,A000000,01810,0000,01801ICF/MR 89415,A000000,01900,0000,01900OTHER LONG TERM CARE 89415,A000000,02100,0000,02100RADIOLOGY 89415,A000000,02200,0000,02200LABORATORY 89415,A000000,02300,0000,02300INTRAVENOUS THERAPY 89415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89415,A000000,02500,0000,02500PHYSICAL THERAPY 89415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89415,A000000,02700,0000,02700SPEECH PATHOLOGY 89415,A000000,02800,0000,02800ELECTROCARDIOLOGY 89415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89415,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89415,A000000,03051,0000,03301AMBULANCE 89415,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89415,A000000,03200,0000,03200SUPPORT SURFACES 89415,A000000,03400,0000,03400CLINIC 89415,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89415,A000000,03500,0000,03500RURAL HEALTH CLINIC 89415,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89415,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89415,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89415,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89415,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89415,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89415,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89415,A000000,04400,0000,04400DME RENTED - HHA 89415,A000000,04500,0000,04500DME SOLD - HHA 89415,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89415,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89415,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89415,A000000,04800,0000,04800AMBULANCE 89415,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89415,A000000,05000,0000,05000CORF 89415,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89415,A000000,05300,0000,05300INTEREST EXPENSE 89415,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89415,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89415,A000000,05500,0000,05500HOSPICE 89415,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89415,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89415,A000000,06100,0000,06100NONPAID WORKERS 89415,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89415,A000000,06200,0000,06200PATIENTS LAUNDRY 89415,A81000A,00100,0100,Y 89415,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 89415,A81000B,00200,0300,MGMT FEE-NOT CAP RELATED 89415,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 89415,A81000B,00400,0300,A&G 89415,A81000B,00500,0300,MAINTENANCE SALARIES 89415,A81000B,00600,0300,DIETICIAN PURCHASED SERVICE 89415,A81000B,00700,0300,SOCIAL SERVICE 89415,A81000B,00800,0300,NURSING SALARIES 89415,A81000B,00900,0300,PHYSICAL THERAPY SALARIES 89415,A81000B,01000,0300,OCCUPATIONAL THERAPY SALARIES 89415,A81000C,00100,0100,B 89415,A81000C,00100,0400,ELO HOLDING 89415,A81000C,00100,0600,HOME OFFICE 89415,A81000C,00200,0100,A 89415,A81000C,00200,0400,HOLDEN NURSING HOME 89415,A81000C,00200,0600,NURSING HOME 89415,A81000C,00300,0100,A 89415,A81000C,00300,0400,OAKDALE NURSING HOME 89415,A81000C,00300,0600,NURSING HOME 89415,A81000C,00400,0400,WACHUSETT EXTENDED CARE 89415,A81000C,00400,0600,NURSING HOME 89415,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89415,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89415,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89415,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89415,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89415,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89415,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89415,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89415,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89415,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89415,B100000,00000,1150,00000N/A :PHARMACY 89415,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89415,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89415,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89415,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89415,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89415,S000000,00100,0200,05/02/2000 89415,S200000,00100,0100,155 GREEN STREET 89415,S200000,00200,0100,GARDNER 89415,S200000,00200,0200,MA 89415,S200000,00200,0300,01440- 89415,S200000,00300,0100,WORCESTER 89415,S200000,00400,0100,GARDNER SKILLED NURSING CENTER 89415,S200000,00400,0200,225462 89415,S200000,00400,0300,07/01/1990 89415,S200000,00400,0500,P 89415,S200000,00400,0600,P 89415,S200000,01004,0500,O 89415,S200000,01500,0100,Y 89415,S700003,00000,0100,1 89422,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89422,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89422,A000000,00300,0000,00300EMPLOYEE BENEFITS 89422,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89422,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89422,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89422,A000000,00700,0000,00700HOUSEKEEPING 89422,A000000,00800,0000,00800DIETARY 89422,A000000,00900,0000,00900NURSING ADMINISTRATION 89422,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89422,A000000,01100,0000,01100PHARMACY 89422,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89422,A000000,01300,0000,01300SOCIAL SERVICE 89422,A000000,01350,0000,01500ACTIVITIES 89422,A000000,01351,0000,01501INDIRECT CONSULTANTS 89422,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89422,A000000,01600,0000,01600SKILLED NURSING FACILITY 89422,A000000,01800,0000,01800NURSING FACILITY 89422,A000000,01810,0000,01801ICF/MR 89422,A000000,01900,0000,01900OTHER LONG TERM CARE 89422,A000000,02100,0000,02100RADIOLOGY 89422,A000000,02200,0000,02200LABORATORY 89422,A000000,02300,0000,02300INTRAVENOUS THERAPY 89422,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89422,A000000,02500,0000,02500PHYSICAL THERAPY 89422,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89422,A000000,02700,0000,02700SPEECH PATHOLOGY 89422,A000000,02800,0000,02800ELECTROCARDIOLOGY 89422,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89422,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89422,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89422,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89422,A000000,03200,0000,03200SUPPORT SURFACES 89422,A000000,03400,0000,03400CLINIC 89422,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89422,A000000,03500,0000,03500RURAL HEALTH CLINIC 89422,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89422,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89422,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89422,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89422,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89422,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89422,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89422,A000000,04400,0000,04400DME RENTED - HHA 89422,A000000,04500,0000,04500DME SOLD - HHA 89422,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89422,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89422,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89422,A000000,04800,0000,04800AMBULANCE 89422,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89422,A000000,05000,0000,05000CORF 89422,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89422,A000000,05300,0000,05300INTEREST EXPENSE 89422,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89422,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89422,A000000,05500,0000,05500HOSPICE 89422,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89422,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89422,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89422,A000000,06100,0000,06100NONPAID WORKERS 89422,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89422,A000000,06200,0000,06200PATIENTS LAUNDRY 89422,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89422,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89422,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89422,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89422,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89422,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89422,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89422,B100000,00000,0800,00000MEALS SERVED :DIETARY 89422,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89422,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89422,B100000,00000,1150,00000N/A :PHARMACY 89422,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89422,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89422,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89422,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89422,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89422,S000000,00100,0200,06/02/2000 89422,S200000,00100,0100,ONE COUNTRYSIDE DRIVE 89422,S200000,00200,0100,MILFORD 89422,S200000,00200,0200,MA 89422,S200000,00200,0300,01757- 89422,S200000,00300,0100,WORCESTER 89422,S200000,00400,0100,GERIATRIC AUTHORITY OF MILFORD 89422,S200000,00400,0200,225463 89422,S200000,00400,0300,07/01/1990 89422,S200000,00400,0500,P 89422,S200000,00400,0600,P 89422,S200000,01600,0100,Y 89422,S700003,00000,0100,1 89433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89433,A000000,00300,0000,00300EMPLOYEE BENEFITS 89433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89433,A000000,00700,0000,00700HOUSEKEEPING 89433,A000000,00800,0000,00800DIETARY 89433,A000000,00900,0000,00900NURSING ADMINISTRATION 89433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89433,A000000,01100,0000,01100PHARMACY 89433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89433,A000000,01300,0000,01300SOCIAL SERVICE 89433,A000000,01350,0000,01500ACTIVITIES 89433,A000000,01351,0000,01501INDIRECT CONSULTANTS 89433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89433,A000000,01600,0000,01600SKILLED NURSING FACILITY 89433,A000000,01800,0000,01800NURSING FACILITY 89433,A000000,01810,0000,01801ICF/MR 89433,A000000,01900,0000,01900OTHER LONG TERM CARE 89433,A000000,02100,0000,02100RADIOLOGY 89433,A000000,02200,0000,02200LABORATORY 89433,A000000,02300,0000,02300INTRAVENOUS THERAPY 89433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89433,A000000,02500,0000,02500PHYSICAL THERAPY 89433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89433,A000000,02700,0000,02700SPEECH PATHOLOGY 89433,A000000,02800,0000,02800ELECTROCARDIOLOGY 89433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89433,A000000,03200,0000,03200SUPPORT SURFACES 89433,A000000,03400,0000,03400CLINIC 89433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89433,A000000,03500,0000,03500RURAL HEALTH CLINIC 89433,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89433,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89433,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89433,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89433,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89433,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89433,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89433,A000000,04400,0000,04400DME RENTED - HHA 89433,A000000,04500,0000,04500DME SOLD - HHA 89433,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89433,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89433,A000000,04800,0000,04800AMBULANCE 89433,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89433,A000000,05000,0000,05000CORF 89433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89433,A000000,05300,0000,05300INTEREST EXPENSE 89433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89433,A000000,05500,0000,05500HOSPICE 89433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89433,A000000,06100,0000,06100NONPAID WORKERS 89433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89433,A000000,06200,0000,06200PATIENTS LAUNDRY 89433,A81000A,00100,0100,Y 89433,A81000B,00100,0300,COUNTY ALLOCATION-A&G EXPENSE 89433,A81000B,00200,0300,COUNTY ALLOCATION-SALARIES 89433,A81000C,00100,0100,B 89433,A81000C,00100,0200,HAMPSHIRE COUNTY 89433,A81000C,00100,0400,HAMPSHIRE COUNTY 89433,A81000C,00100,0600,COUNTY GOVERNMENT 89433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89433,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89433,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89433,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89433,B100000,00000,0800,00000MEALS SERVED :DIETARY 89433,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89433,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89433,B100000,00000,1150,00000N/A :PHARMACY 89433,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89433,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89433,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89433,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89433,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89433,S000000,00100,0200,06/02/2000 89433,S200000,00100,0100,RIVER ROAD 89433,S200000,00200,0100,LEEDS 89433,S200000,00200,0200,MA 89433,S200000,00200,0300,01053- 89433,S200000,00300,0100,HAMPSHIRE COUNTY 89433,S200000,00400,0100,HAMPSHIRE COUNTY LONG TERM CARE 89433,S200000,00400,0200,225466 89433,S200000,00400,0300,07/01/1990 89433,S200000,00400,0500,P 89433,S200000,00400,0600,P 89433,S200000,01004,0500,O 89433,S200000,01500,0100,Y 89433,S700003,00000,0100,1 89445,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89445,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89445,A000000,00300,0000,00300EMPLOYEE BENEFITS 89445,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89445,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89445,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89445,A000000,00700,0000,00700HOUSEKEEPING 89445,A000000,00800,0000,00800DIETARY 89445,A000000,00900,0000,00900NURSING ADMINISTRATION 89445,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89445,A000000,01100,0000,01100PHARMACY 89445,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89445,A000000,01300,0000,01300SOCIAL SERVICE 89445,A000000,01350,0000,01500ACTIVITIES 89445,A000000,01351,0000,01501INDIRECT CONSULTANTS 89445,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89445,A000000,01600,0000,01600SKILLED NURSING FACILITY 89445,A000000,01800,0000,01800NURSING FACILITY 89445,A000000,01810,0000,01801ICF/MR 89445,A000000,01900,0000,01900OTHER LONG TERM CARE 89445,A000000,02100,0000,02100RADIOLOGY 89445,A000000,02200,0000,02200LABORATORY 89445,A000000,02300,0000,02300INTRAVENOUS THERAPY 89445,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89445,A000000,02500,0000,02500PHYSICAL THERAPY 89445,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89445,A000000,02700,0000,02700SPEECH PATHOLOGY 89445,A000000,02800,0000,02800ELECTROCARDIOLOGY 89445,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89445,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89445,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89445,A000000,03051,0000,03301AMBULANCE 89445,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89445,A000000,03200,0000,03200SUPPORT SURFACES 89445,A000000,03400,0000,03400CLINIC 89445,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89445,A000000,03500,0000,03500RURAL HEALTH CLINIC 89445,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89445,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89445,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89445,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89445,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89445,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89445,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89445,A000000,04400,0000,04400DME RENTED - HHA 89445,A000000,04500,0000,04500DME SOLD - HHA 89445,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89445,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89445,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89445,A000000,04800,0000,04800AMBULANCE 89445,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89445,A000000,05000,0000,05000CORF 89445,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89445,A000000,05300,0000,05300INTEREST EXPENSE 89445,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89445,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89445,A000000,05500,0000,05500HOSPICE 89445,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89445,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89445,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89445,A000000,06100,0000,06100NONPAID WORKERS 89445,A000000,06150,0000,06300ADULT DAY HEALTH 89445,A000000,06200,0000,06200PATIENTS LAUNDRY 89445,A81000A,00100,0100,Y 89445,A81000B,00100,0300,A&G MEDICAL DIRECTOR 89445,A81000B,00200,0300,A&G LEGAL SERVICES 89445,A81000B,00300,0300,A&G OFFICE SUPPLIES 89445,A81000B,00400,0300,PLANT OPERATIONS MAINT 89445,A81000B,00500,0300,DIETARY 89445,A81000B,00600,0300,EMPLOYEE BENEFITS 89445,A81000C,00100,0100,E 89445,A81000C,00100,0200,ARTHUR PAPPATHANES 89445,A81000C,00100,0400,WEST LYNN CREAMERY 89445,A81000C,00100,0600,FOOD 89445,A81000C,00200,0100,E 89445,A81000C,00200,0200,MELVIN PIERCE 89445,A81000C,00200,0400,PEABODY & BROWN 89445,A81000C,00200,0600,LEGAL 89445,A81000C,00300,0100,E 89445,A81000C,00300,0200,DAVID COHEN 89445,A81000C,00300,0400,TRI CITY SALES 89445,A81000C,00300,0600,SUPPLIES 89445,A81000C,00400,0100,E 89445,A81000C,00400,0200,EDWARD BARASH 89445,A81000C,00400,0400,SIR SPEEDY 89445,A81000C,00400,0600,COPYING/PAPER 89445,A81000C,00500,0100,E 89445,A81000C,00500,0200,DAVID LEVY 89445,A81000C,00500,0400,CPSC/NS MEDICAL GROUP 89445,A81000C,00500,0600,MEDICAL DIRECTOR 89445,A81000C,00600,0100,E 89445,A81000C,00600,0200,ROBERT MILAN 89445,A81000C,00600,0400,ROMAR INDUSTRIES 89445,A81000C,00600,0600,FLOORING 89445,A81000C,00700,0100,E 89445,A81000C,00700,0200,LOUIS RUDOLPH 89445,A81000C,00700,0400,L. RUDOLPH ELECTRICAL 89445,A81000C,00700,0600,REPAIRS/SUPPLIES 89445,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89445,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89445,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89445,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89445,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89445,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89445,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89445,B100000,00000,0800,00000MEALS SERVED :DIETARY 89445,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89445,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89445,B100000,00000,1150,00000N/A :PHARMACY 89445,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89445,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89445,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89445,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89445,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89445,S000000,00100,0200,05/31/2000 89445,S200000,00100,0100,330 PARADISE ROAD 89445,S200000,00200,0100,SWAMPSCOTT 89445,S200000,00200,0200,MA 89445,S200000,00200,0300,01907- 89445,S200000,00300,0100,ESSEX 89445,S200000,00400,0100,JEWISH REHAB CTR FOR AGED OF NORTH 89445,S200000,00400,0200,225472 89445,S200000,00400,0300,07/01/1990 89445,S200000,00400,0500,P 89445,S200000,00400,0600,P 89445,S200000,01600,0100,Y 89454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89454,A000000,00300,0000,00300EMPLOYEE BENEFITS 89454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89454,A000000,00700,0000,00700HOUSEKEEPING 89454,A000000,00800,0000,00800DIETARY 89454,A000000,00900,0000,00900NURSING ADMINISTRATION 89454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89454,A000000,01100,0000,01100PHARMACY 89454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89454,A000000,01300,0000,01300SOCIAL SERVICE 89454,A000000,01301,0000,01301RECREATIONAL THERAPY 89454,A000000,01600,0000,01600SKILLED NURSING FACILITY 89454,A000000,02200,0000,02200LABORATORY 89454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89454,A000000,02500,0000,02500PHYSICAL THERAPY 89454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89454,A000000,02700,0000,02700SPEECH PATHOLOGY 89454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89454,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89454,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89454,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89454,A81000A,00100,0100,Y 89454,A81000B,00100,0300,MANAGEMENT FEES 89454,A81000C,00100,0100,G 89454,A81000C,00100,0200,DIOCESE OF FALL 89454,A81000C,00100,0400,DIOCESE OF FALL 89454,A81000C,00100,0600,CHURCH 89454,A81000C,03100,0000,DIOCESE OF FALL RIVER 89454,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89454,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89454,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89454,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89454,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89454,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89454,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89454,B100000,00000,0800,00000MEALS SERVED :DIETARY 89454,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89454,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89454,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89454,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89454,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89454,B100000,00000,1331,00000PATIENT DAYS :RECREATIONAL THERAPY 89454,S000000,00100,0200,06/05/2000 89454,S200000,00100,0100,85 NORTH WASHINGTON ST 89454,S200000,00200,0100,NORTH ATTLEBORO 89454,S200000,00200,0200,MA 89454,S200000,00200,0300,02760- 89454,S200000,00300,0100,BRISTOL 89454,S200000,00400,0100,MADONNA MANOR INC. 89454,S200000,00400,0200,225475 89454,S200000,00400,0300,07/01/1990 89454,S200000,00400,0500,P 89454,S200000,01004,0500,O 89454,S200000,01500,0100,Y 89454,S700003,00000,0100,1 89463,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89463,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89463,A000000,00300,0000,00300EMPLOYEE BENEFITS 89463,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89463,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89463,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89463,A000000,00700,0000,00700HOUSEKEEPING 89463,A000000,00800,0000,00800DIETARY 89463,A000000,00900,0000,00900NURSING ADMINISTRATION 89463,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89463,A000000,01100,0000,01100PHARMACY 89463,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89463,A000000,01300,0000,01300SOCIAL SERVICE 89463,A000000,01350,0000,01500ACTIVITIES 89463,A000000,01351,0000,01501INDIRECT CONSULTANTS 89463,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89463,A000000,01600,0000,01600SKILLED NURSING FACILITY 89463,A000000,01800,0000,01800NURSING FACILITY 89463,A000000,01810,0000,01801ICF/MR 89463,A000000,01900,0000,01900OTHER LONG TERM CARE 89463,A000000,02100,0000,02100RADIOLOGY 89463,A000000,02200,0000,02200LABORATORY 89463,A000000,02300,0000,02300INTRAVENOUS THERAPY 89463,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89463,A000000,02500,0000,02500PHYSICAL THERAPY 89463,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89463,A000000,02700,0000,02700SPEECH PATHOLOGY 89463,A000000,02800,0000,02800ELECTROCARDIOLOGY 89463,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89463,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89463,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89463,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89463,A000000,03052,0000,03302AMBULANCE 89463,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89463,A000000,03200,0000,03200SUPPORT SURFACES 89463,A000000,03400,0000,03400CLINIC 89463,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89463,A000000,03500,0000,03500RURAL HEALTH CLINIC 89463,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89463,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89463,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89463,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89463,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89463,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89463,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89463,A000000,04400,0000,04400DME RENTED - HHA 89463,A000000,04500,0000,04500DME SOLD - HHA 89463,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89463,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89463,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89463,A000000,04800,0000,04800AMBULANCE 89463,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89463,A000000,05000,0000,05000CORF 89463,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89463,A000000,05300,0000,05300INTEREST EXPENSE 89463,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89463,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89463,A000000,05500,0000,05500HOSPICE 89463,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89463,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89463,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89463,A000000,06100,0000,06100NONPAID WORKERS 89463,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COST 89463,A000000,06200,0000,06200PATIENTS LAUNDRY 89463,A81000A,00100,0100,Y 89463,A81000B,00100,0300,SALARIES-ADMINISTRATION 89463,A81000B,00200,0300,SALARIES-CLERICAL 89463,A81000B,00300,0300,SALARIES-PLANT 89463,A81000B,00400,0300,OFFICER SALARIES 89463,A81000C,00100,0100,D 89463,A81000C,00100,0200,JODI PFLUM 89463,A81000C,00200,0100,D 89463,A81000C,00200,0200,JOHN WADE 89463,A81000C,00300,0100,D 89463,A81000C,00300,0200,TERRI WADE 89463,A81000C,00400,0100,D 89463,A81000C,00400,0200,GLEN CAPACHIN 89463,A81000C,00500,0100,A 89463,A81000C,00500,0200,CAROLINE CAPACHIN 89463,A81000C,00600,0100,A 89463,A81000C,00600,0200,SIGMUND CAPACHIN 89463,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89463,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89463,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89463,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89463,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89463,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89463,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89463,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89463,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89463,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89463,B100000,00000,1150,00000N/A :PHARMACY 89463,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89463,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89463,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89463,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89463,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89463,S000000,00100,0200,05/30/2000 89463,S200000,00100,0100,90 TAUNTON STREET 89463,S200000,00200,0100,WRENTHAM 89463,S200000,00200,0200,MA 89463,S200000,00200,0300,02093- 89463,S200000,00300,0100,NORFOLK 89463,S200000,00400,0100,MAPLES REHABILITATION & NURSING CTR. 89463,S200000,00400,0200,225476 89463,S200000,00400,0300,07/01/1990 89463,S200000,00400,0500,P 89463,S200000,00400,0600,P 89463,S200000,01004,0500,O 89463,S200000,01600,0100,Y 89463,S700003,00000,0100,1 89471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89471,A000000,00300,0000,00300EMPLOYEE BENEFITS 89471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89471,A000000,00700,0000,00700HOUSEKEEPING 89471,A000000,00800,0000,00800DIETARY 89471,A000000,00900,0000,00900NURSING ADMINISTRATION 89471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89471,A000000,01100,0000,01100PHARMACY 89471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89471,A000000,01300,0000,01300SOCIAL SERVICE 89471,A000000,01301,0000,01301RECREATIONAL THERAPY 89471,A000000,01600,0000,01600SKILLED NURSING FACILITY 89471,A000000,02100,0000,02100RADIOLOGY 89471,A000000,02200,0000,02200LABORATORY 89471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89471,A000000,02500,0000,02500PHYSICAL THERAPY 89471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89471,A000000,02700,0000,02700SPEECH PATHOLOGY 89471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89471,A000000,04800,0000,04800AMBULANCE 89471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89471,A000000,05801,0000,05801ADULT DAY HEALTH CARE 89471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89471,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89471,A81000A,00100,0100,Y 89471,A81000B,00100,0300,MANAGEMENT FEES 89471,A81000C,00100,0100,G 89471,A81000C,00100,0200,DIOCESE OF FALL 89471,A81000C,00100,0400,DIOCESE OF FQLL 89471,A81000C,00100,0600,CHURCH 89471,A81000C,03100,0000,DIOCESE OF FALL RIVER 89471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89471,B100000,00000,0800,00000MEALS SERVED :DIETARY 89471,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89471,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89471,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89471,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89471,B100000,00000,1331,00000PATIENT DAYS :RECREATIONAL THERAPY 89471,S000000,00100,0200,06/05/2000 89471,S200000,00100,0100,33 SUMMER STREET 89471,S200000,00200,0100,TAUNTON 89471,S200000,00200,0200,MA 89471,S200000,00200,0300,02780- 89471,S200000,00300,0100,BRISTOL 89471,S200000,00400,0100,MARIAN MANOR INC. 89471,S200000,00400,0200,225477 89471,S200000,00400,0300,07/01/1990 89471,S200000,00400,0500,P 89471,S200000,01004,0500,O 89471,S700003,00000,0100,1 89478,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89478,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89478,A000000,00300,0000,00300EMPLOYEE BENEFITS 89478,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89478,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89478,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89478,A000000,00700,0000,00700HOUSEKEEPING 89478,A000000,00800,0000,00800DIETARY 89478,A000000,00900,0000,00900NURSING ADMINISTRATION 89478,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89478,A000000,01100,0000,01100PHARMACY 89478,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89478,A000000,01300,0000,01300SOCIAL SERVICE 89478,A000000,01350,0000,01500OTHER GENERAL SERVICES 89478,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89478,A000000,01600,0000,01600SKILLED NURSING FACILITY 89478,A000000,01800,0000,01800NURSING FACILITY 89478,A000000,01810,0000,01801ICF/MR 89478,A000000,01900,0000,01900OTHER LONG TERM CARE 89478,A000000,02100,0000,02100RADIOLOGY 89478,A000000,02200,0000,02200LABORATORY 89478,A000000,02300,0000,02300INTRAVENOUS THERAPY 89478,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89478,A000000,02500,0000,02500PHYSICAL THERAPY 89478,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89478,A000000,02700,0000,02700SPEECH PATHOLOGY 89478,A000000,02800,0000,02800ELECTROCARDIOLOGY 89478,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89478,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89478,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89478,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89478,A000000,03200,0000,03200SUPPORT SURFACES 89478,A000000,03400,0000,03400CLINIC 89478,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89478,A000000,03500,0000,03500RURAL HEALTH CLINIC 89478,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89478,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89478,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89478,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89478,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89478,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89478,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89478,A000000,04400,0000,04400DME RENTED - HHA 89478,A000000,04500,0000,04500DME SOLD - HHA 89478,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89478,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89478,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89478,A000000,04800,0000,04800AMBULANCE 89478,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89478,A000000,05000,0000,05000CORF 89478,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89478,A000000,05300,0000,05300INTEREST EXPENSE 89478,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89478,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89478,A000000,05500,0000,05500HOSPICE 89478,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89478,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89478,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89478,A000000,06100,0000,06100NONPAID WORKERS 89478,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89478,A000000,06200,0000,06200PATIENTS LAUNDRY 89478,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89478,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89478,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 89478,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89478,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89478,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89478,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 89478,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89478,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89478,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89478,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89478,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89478,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89478,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89478,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89478,S000000,00100,0200,05/31/2000 89478,S200000,00100,0100,35 HOLY FAMILY ROAD 89478,S200000,00200,0100,HOLYOKE 89478,S200000,00200,0200,MA 89478,S200000,00200,0300,01040- 89478,S200000,00300,0100,HAMPDEN 89478,S200000,00400,0100,MT ST VINCENT NURSING HOME 89478,S200000,00400,0200,225480 89478,S200000,00400,0300,07/01/1990 89478,S200000,01004,0500,O 89478,S200000,01500,0100,Y 89478,S700003,00000,0100,1 89485,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89485,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89485,A000000,00300,0000,00300EMPLOYEE BENEFITS 89485,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89485,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89485,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89485,A000000,00700,0000,00700HOUSEKEEPING 89485,A000000,00800,0000,00800DIETARY 89485,A000000,00900,0000,00900NURSING ADMINISTRATION 89485,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89485,A000000,01100,0000,01100PHARMACY 89485,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89485,A000000,01300,0000,01300SOCIAL SERVICE 89485,A000000,01350,0000,01500ACTIVITIES 89485,A000000,01351,0000,01501INDIRECT CONSULTANTS 89485,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89485,A000000,01600,0000,01600SKILLED NURSING FACILITY 89485,A000000,01800,0000,01800NURSING FACILITY 89485,A000000,01810,0000,01801ICF/MR 89485,A000000,01900,0000,01900OTHER LONG TERM CARE 89485,A000000,02100,0000,02100RADIOLOGY 89485,A000000,02200,0000,02200LABORATORY 89485,A000000,02300,0000,02300INTRAVENOUS THERAPY 89485,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89485,A000000,02500,0000,02500PHYSICAL THERAPY 89485,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89485,A000000,02700,0000,02700SPEECH PATHOLOGY 89485,A000000,02800,0000,02800ELECTROCARDIOLOGY 89485,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89485,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89485,A000000,03050,0000,03300PEN THERAPY 89485,A000000,03051,0000,03301COMPLEX MEDICAL EQUIPMENT 89485,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89485,A000000,03200,0000,03200SUPPORT SURFACES 89485,A000000,03400,0000,03400CLINIC 89485,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89485,A000000,03500,0000,03500RURAL HEALTH CLINIC 89485,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89485,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89485,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89485,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89485,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89485,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89485,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89485,A000000,04400,0000,04400DME RENTED - HHA 89485,A000000,04500,0000,04500DME SOLD - HHA 89485,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89485,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89485,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89485,A000000,04800,0000,04800AMBULANCE 89485,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89485,A000000,05000,0000,05000CORF 89485,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89485,A000000,05300,0000,05300INTEREST EXPENSE 89485,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89485,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89485,A000000,05500,0000,05500HOSPICE 89485,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89485,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89485,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89485,A000000,06100,0000,06100NONPAID WORKERS 89485,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89485,A000000,06200,0000,06200PATIENTS LAUNDRY 89485,A81000A,00100,0100,Y 89485,A81000B,00100,0300,ADMINISTRATOR 89485,A81000B,00200,0300,MANAGEMENT FEES 89485,A81000B,00300,0300,BONUS 89485,A81000B,00400,0300,CLERICAL 89485,A81000B,00500,0300,INTEREST 89485,A81000C,00100,0100,G 89485,A81000C,00100,0200,BRAIN GEANY 89485,A81000C,00200,0100,G 89485,A81000C,00200,0200,JOHN GEANY SR. 89485,A81000C,00300,0100,G 89485,A81000C,00300,0200,JOHN GEANY JR. 89485,A81000C,00400,0100,G 89485,A81000C,00400,0200,CARLOTTA GEANY 89485,A81000C,00500,0100,G 89485,A81000C,00500,0200,JOHN GEANY JR. 89485,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89485,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89485,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89485,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89485,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89485,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89485,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89485,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89485,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89485,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89485,B100000,00000,1150,00000N/A :PHARMACY 89485,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89485,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89485,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89485,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89485,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89485,S000000,00100,0200,05/01/2000 89485,S200000,00100,0100,329 WASHINGTON STREET 89485,S200000,00200,0100,NORWELL 89485,S200000,00200,0200,MA 89485,S200000,00200,0300,02061- 89485,S200000,00300,0100,PLYMOUTH 89485,S200000,00400,0100,NORWELL KNOLL NURSING HOME 89485,S200000,00400,0200,225482 89485,S200000,00400,0300,07/01/1990 89485,S200000,00400,0500,P 89485,S200000,00400,0600,P 89485,S200000,01004,0500,O 89485,S200000,01600,0100,Y 89485,S700003,00000,0100,1 89498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89498,A000000,00300,0000,00300EMPLOYEE BENEFITS 89498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89498,A000000,00700,0000,00700HOUSEKEEPING 89498,A000000,00800,0000,00800DIETARY 89498,A000000,00900,0000,00900NURSING ADMINISTRATION 89498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89498,A000000,01100,0000,01100PHARMACY 89498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89498,A000000,01300,0000,01300SOCIAL SERVICE 89498,A000000,01301,0000,01301RECREATIONAL THERAPY 89498,A000000,01600,0000,01600SKILLED NURSING FACILITY 89498,A000000,02100,0000,02100RADIOLOGY 89498,A000000,02200,0000,02200LABORATORY 89498,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89498,A000000,02500,0000,02500PHYSICAL THERAPY 89498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89498,A000000,02700,0000,02700SPEECH PATHOLOGY 89498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89498,A000000,02901,0000,02901AIR FLUID THERAPY 89498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89498,A000000,04800,0000,04800AMBULANCE 89498,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89498,A81000A,00100,0100,Y 89498,A81000B,00100,0300,MANAGEMENT FEES 89498,A81000C,00100,0100,G 89498,A81000C,00100,0200,DIOCESE OF FALL 89498,A81000C,00100,0400,DIOCESE OF FALL 89498,A81000C,00100,0600,CHURCH 89498,A81000C,03100,0000,DIOCESE OF FALL RIVER 89498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89498,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89498,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89498,B100000,00000,0800,00000MEALS SERVED :DIETARY 89498,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89498,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89498,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89498,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89498,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89498,B100000,00000,1331,00000PATIENT DAYS :RECREATIONAL THERAPY 89498,S000000,00100,0200,06/05/2000 89498,S200000,00100,0100,71 CENTER STREET 89498,S200000,00200,0100,FAIRHAVEN 89498,S200000,00200,0200,MA 89498,S200000,00200,0300,02719- 89498,S200000,00300,0100,BRISTOL 89498,S200000,00400,0100,OUR LADYS HAVEN OF FAIRHAVEN INC. 89498,S200000,00400,0200,225485 89498,S200000,00400,0300,07/01/1990 89498,S200000,00400,0500,P 89498,S200000,01004,0500,O 89498,S200000,01500,0100,Y 89506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89506,A000000,00300,0000,00300EMPLOYEE BENEFITS 89506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89506,A000000,00700,0000,00700HOUSEKEEPING 89506,A000000,00800,0000,00800DIETARY 89506,A000000,00900,0000,00900NURSING ADMINISTRATION 89506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89506,A000000,01100,0000,01100PHARMACY 89506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89506,A000000,01300,0000,01300SOCIAL SERVICE 89506,A000000,01350,0000,01500ACTIVITIES 89506,A000000,01351,0000,01501INDIRECT CONSULTANTS 89506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89506,A000000,01600,0000,01600SKILLED NURSING FACILITY 89506,A000000,01800,0000,01800NURSING FACILITY 89506,A000000,01810,0000,01801ICF/MR 89506,A000000,01900,0000,01900OTHER LONG TERM CARE 89506,A000000,02100,0000,02100RADIOLOGY 89506,A000000,02200,0000,02200LABORATORY 89506,A000000,02300,0000,02300INTRAVENOUS THERAPY 89506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89506,A000000,02500,0000,02500PHYSICAL THERAPY 89506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89506,A000000,02700,0000,02700SPEECH PATHOLOGY 89506,A000000,02800,0000,02800ELECTROCARDIOLOGY 89506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89506,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89506,A000000,03200,0000,03200SUPPORT SURFACES 89506,A000000,03400,0000,03400CLINIC 89506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89506,A000000,03500,0000,03500RURAL HEALTH CLINIC 89506,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89506,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89506,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89506,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89506,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89506,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89506,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89506,A000000,04400,0000,04400DME RENTED - HHA 89506,A000000,04500,0000,04500DME SOLD - HHA 89506,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89506,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89506,A000000,04800,0000,04800AMBULANCE 89506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89506,A000000,05000,0000,05000CORF 89506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89506,A000000,05300,0000,05300INTEREST EXPENSE 89506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89506,A000000,05500,0000,05500HOSPICE 89506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89506,A000000,06100,0000,06100NONPAID WORKERS 89506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89506,A000000,06200,0000,06200PATIENTS LAUNDRY 89506,A81000A,00100,0100,Y 89506,A81000B,00100,0300,ADMINISTRATION SALARY 89506,A81000B,00200,0300,OFFICER LOAN INTEREST 89506,A81000C,00100,0100,B 89506,A81000C,00100,0200,MICHAEL CUMMINGS 89506,A81000C,00200,0100,B 89506,A81000C,00200,0200,PAUL CUMMINGS 89506,A81000C,00300,0100,B 89506,A81000C,00300,0200,NANCY LORDAN 89506,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89506,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89506,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89506,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89506,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89506,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89506,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89506,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89506,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89506,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89506,B100000,00000,1150,00000N/A :PHARMACY 89506,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89506,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89506,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89506,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89506,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89506,S000000,00100,0200,04/28/2000 89506,S200000,00100,0100,2539 MAIN STREET 89506,S200000,00200,0100,WAREHAM 89506,S200000,00200,0200,MA 89506,S200000,00200,0300,02571- 89506,S200000,00300,0100,PLYMOUTH 89506,S200000,00400,0100,MILLBROOK NURSING & REHAB CENTER 89506,S200000,00400,0200,225488 89506,S200000,00400,0300,07/01/1990 89506,S200000,00400,0500,P 89506,S200000,00400,0600,P 89506,S200000,01004,0500,O 89506,S200000,01600,0100,Y 89506,S700003,00000,0100,1 89514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89514,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89514,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89514,A000000,00300,0000,00300EMPLOYEE BENEFITS 89514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89514,A000000,00700,0000,00700HOUSEKEEPING 89514,A000000,00800,0000,00800DIETARY 89514,A000000,00801,0000,00801CAFETERIA 89514,A000000,00900,0000,00900NURSING ADMINISTRATION 89514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89514,A000000,01100,0000,01100PHARMACY 89514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89514,A000000,01300,0000,01300SOCIAL SERVICE 89514,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89514,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89514,A000000,01600,0000,01600SKILLED NURSING FACILITY 89514,A000000,01800,0000,01800NURSING FACILITY 89514,A000000,01900,0000,01900OTHER LONG TERM CARE 89514,A000000,02100,0000,02100RADIOLOGY 89514,A000000,02200,0000,02200LABORATORY 89514,A000000,02300,0000,02300INTRAVENOUS THERAPY 89514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89514,A000000,02500,0000,02500PHYSICAL THERAPY 89514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89514,A000000,02700,0000,02700SPEECH PATHOLOGY 89514,A000000,02800,0000,02800ELECTROCARDIOLOGY 89514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89514,A000000,03050,0000,03300OTHER ANCILLARY 89514,A000000,03051,0000,03301OTHER ANCILLARY II 89514,A000000,03052,0000,03302OTHER ANCILLARY III 89514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89514,A000000,03200,0000,03200SUPPORT SURFACES 89514,A000000,03400,0000,03400CLINIC 89514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89514,A000000,03500,0000,03500RURAL HEALTH CLINIC 89514,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89514,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89514,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89514,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89514,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89514,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89514,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89514,A000000,04400,0000,04400DME RENTED - HHA 89514,A000000,04500,0000,04500DME SOLD - HHA 89514,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89514,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89514,A000000,04800,0000,04800AMBULANCE 89514,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89514,A000000,05000,0000,05000CORF 89514,A000000,05010,0000,05010CMHC I 89514,A000000,05020,0000,05020OPT I 89514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89514,A000000,05300,0000,05300INTEREST EXPENSE 89514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89514,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89514,A000000,05500,0000,05500HOSPICE 89514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89514,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89514,A000000,06100,0000,06100NONPAID WORKERS 89514,A000000,06150,0000,06300FUNDRAISING EXPENSES 89514,A000000,06200,0000,06200PATIENTS LAUNDRY 89514,A81000A,00100,0100,Y 89514,A81000B,00100,0300,MANAGEMENT FEE 89514,A81000B,00200,0300,WORKERS COMP INSUR 89514,A81000B,00300,0300,GROUP HEALTH/LIFE INSUR 89514,A81000B,00400,0300,PROPERTY INSURANCE 89514,A81000B,00500,0300,ADMIN.CONS. INS. 89514,A81000B,00600,0300,OCCUPATIONAL THER. 89514,A81000B,00700,0300,SECURITY 89514,A81000B,00800,0300,LAUNDRY 89514,A81000B,00900,0300,HOUSEKEEPING 89514,A81000C,00100,0100,G 89514,A81000C,00100,0400,RCAB-CARITAS 89514,A81000C,00100,0600,ARCHDIOCESE 89514,A81000C,00200,0100,G 89514,A81000C,00200,0400,RCAB 89514,A81000C,00200,0600,ARCHDIOCESE 89514,A81000C,00300,0100,G 89514,A81000C,00300,0400,RCAB 89514,A81000C,00300,0600,ARCHDIOCESE 89514,A81000C,00400,0100,G 89514,A81000C,00400,0400,RCAB 89514,A81000C,00400,0600,ARCHDIOCESE 89514,A81000C,00500,0100,G 89514,A81000C,00500,0400,RCAB 89514,A81000C,00500,0600,ARCHDIOCESE 89514,A81000C,00600,0100,G 89514,A81000C,00600,0400,ST. ELIZABETHS 89514,A81000C,00600,0600,MEDICAL CTR. 89514,A81000C,00700,0100,G 89514,A81000C,00700,0400,CARNEY HOSPITAL 89514,A81000C,00700,0600,MEDICAL CTR. 89514,A81000C,00800,0100,G 89514,A81000C,00800,0400,CARNEY HOSPITAL 89514,A81000C,00800,0600,MEDICAL CTR. 89514,A81000C,00900,0100,G 89514,A81000C,00900,0400,CARNEY HOSPITAL 89514,A81000C,00900,0600,MEDICAL CTR. 89514,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89514,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89514,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89514,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89514,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89514,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89514,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89514,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89514,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89514,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89514,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89514,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89514,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89514,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89514,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89514,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89514,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89514,S000000,00100,0200,05/31/2000 89514,S200000,00100,0100,321 CENTRE STREET 89514,S200000,00200,0100,DORCHESTER 89514,S200000,00200,0200,MA 89514,S200000,00200,0300,02122- 89514,S200000,00300,0100,SUFFOLK 89514,S200000,00400,0100,ST. JOSEPH HOME 89514,S200000,00400,0200,225493 89514,S200000,00400,0300,07/01/1990 89514,S200000,00400,0500,P 89514,S200000,01600,0100,Y 89521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89521,A000000,00300,0000,00300EMPLOYEE BENEFITS 89521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89521,A000000,00700,0000,00700HOUSEKEEPING 89521,A000000,00800,0000,00800DIETARY 89521,A000000,00900,0000,00900NURSING ADMINISTRATION 89521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89521,A000000,01300,0000,01300SOCIAL SERVICE 89521,A000000,01600,0000,01600SKILLED NURSING FACILITY 89521,A000000,01800,0000,01800NURSING FACILITY 89521,A000000,02100,0000,02100RADIOLOGY 89521,A000000,02200,0000,02200LABORATORY 89521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89521,A000000,02500,0000,02500PHYSICAL THERAPY 89521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89521,A000000,02700,0000,02700SPEECH PATHOLOGY 89521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89521,A000000,03200,0000,03200SUPPORT SURFACES 89521,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89521,A000000,05300,0000,05300INTEREST EXPENSE 89521,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89521,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89521,A81000A,00100,0100,Y 89521,A81000B,00100,0300,RENT EXPENSE 89521,A81000C,00100,0100,A 89521,A81000C,00100,0200,MERLE REALTY TR 89521,A81000C,00100,0400,SUNNY ACRES NUR 89521,A81000C,00100,0600,REALTY CO. 89521,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89521,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89521,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89521,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89521,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89521,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89521,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89521,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89521,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89521,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89521,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89521,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89521,S000000,00100,0200,05/31/2000 89521,S200000,00100,0100,254 BILLERICA ROAD 89521,S200000,00200,0100,CHELMSFORD 89521,S200000,00200,0200,MA 89521,S200000,00200,0300,01824- 89521,S200000,00300,0100,MIDDLESEX 89521,S200000,00400,0100,SUNNY ACRES NURSING HOME 89521,S200000,00400,0200,225494 89521,S200000,00400,0300,07/01/1990 89521,S200000,00400,0500,P 89521,S200000,01004,0500,O 89521,S200000,01600,0100,Y 89521,S700003,00000,0100,1 89545,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89545,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89545,A000000,00300,0000,00300EMPLOYEE BENEFITS 89545,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89545,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89545,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89545,A000000,00700,0000,00700HOUSEKEEPING 89545,A000000,00800,0000,00800DIETARY 89545,A000000,00900,0000,00900NURSING ADMINISTRATION 89545,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89545,A000000,01100,0000,01100PHARMACY 89545,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89545,A000000,01300,0000,01300SOCIAL SERVICE 89545,A000000,01350,0000,01500ACTIVITIES 89545,A000000,01351,0000,01501INDIRECT CONSULTANTS 89545,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89545,A000000,01600,0000,01600SKILLED NURSING FACILITY 89545,A000000,01800,0000,01800NURSING FACILITY 89545,A000000,01810,0000,01801ICF/MR 89545,A000000,01900,0000,01900OTHER LONG TERM CARE 89545,A000000,02100,0000,02100RADIOLOGY 89545,A000000,02200,0000,02200LABORATORY 89545,A000000,02300,0000,02300INTRAVENOUS THERAPY 89545,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89545,A000000,02500,0000,02500PHYSICAL THERAPY 89545,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89545,A000000,02700,0000,02700SPEECH PATHOLOGY 89545,A000000,02800,0000,02800ELECTROCARDIOLOGY 89545,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89545,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89545,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89545,A000000,03051,0000,03301PEN THERAPY 89545,A000000,03052,0000,03302TRANSPORTATION 89545,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89545,A000000,03200,0000,03200SUPPORT SURFACES 89545,A000000,03400,0000,03400CLINIC 89545,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89545,A000000,03500,0000,03500RURAL HEALTH CLINIC 89545,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89545,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89545,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89545,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89545,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89545,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89545,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89545,A000000,04400,0000,04400DME RENTED - HHA 89545,A000000,04500,0000,04500DME SOLD - HHA 89545,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89545,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89545,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89545,A000000,04800,0000,04800AMBULANCE 89545,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89545,A000000,05000,0000,05000CORF 89545,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89545,A000000,05300,0000,05300INTEREST EXPENSE 89545,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89545,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89545,A000000,05500,0000,05500HOSPICE 89545,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89545,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89545,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89545,A000000,06100,0000,06100NONPAID WORKERS 89545,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89545,A000000,06200,0000,06200PATIENTS LAUNDRY 89545,A81000A,00100,0100,Y 89545,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 89545,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89545,A81000B,00300,0300,ADMINISTRATOR P/S 89545,A81000C,00100,0100,B 89545,A81000C,00100,0200,EPOCH SENIOR LIVING 89545,A81000C,00100,0400,ESL MANAGEMENT 89545,A81000C,00100,0600,HOME OFFICE 89545,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89545,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89545,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89545,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89545,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89545,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89545,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89545,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89545,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89545,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89545,B100000,00000,1150,00000N/A :PHARMACY 89545,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89545,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89545,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89545,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89545,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89545,S000000,00100,0200,06/01/2000 89545,S200000,00100,0100,75 NORUMBEGER ROAD 89545,S200000,00200,0100,WESTON 89545,S200000,00200,0200,MA 89545,S200000,00200,0300,02193- 89545,S200000,00300,0100,MIDDLESEX 89545,S200000,00400,0100,WESTON SENIOR CARE CENTER 89545,S200000,00400,0200,225501 89545,S200000,00400,0300,07/01/1990 89545,S200000,00400,0500,P 89545,S200000,00400,0600,P 89545,S200000,01600,0100,Y 89545,S700003,00000,0200,2 89550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89550,A000000,00300,0000,00300EMPLOYEE BENEFITS 89550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89550,A000000,00700,0000,00700HOUSEKEEPING 89550,A000000,00800,0000,00800DIETARY 89550,A000000,00900,0000,00900NURSING ADMINISTRATION 89550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89550,A000000,01100,0000,01100PHARMACY 89550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89550,A000000,01300,0000,01300SOCIAL SERVICE 89550,A000000,01350,0000,01500ACTIVITIES 89550,A000000,01351,0000,01501INDIRECT CONSULTANTS 89550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89550,A000000,01600,0000,01600SKILLED NURSING FACILITY 89550,A000000,01800,0000,01800NURSING FACILITY 89550,A000000,01810,0000,01810ICF/MR 89550,A000000,01900,0000,01900OTHER LONG TERM CARE 89550,A000000,02100,0000,02100RADIOLOGY 89550,A000000,02200,0000,02200LABORATORY 89550,A000000,02300,0000,02300INTRAVENOUS THERAPY 89550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89550,A000000,02500,0000,02500PHYSICAL THERAPY 89550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89550,A000000,02700,0000,02700SPEECH PATHOLOGY 89550,A000000,02800,0000,02800ELECTROCARDIOLOGY 89550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89550,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89550,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89550,A000000,03200,0000,03200SUPPORT SURFACES 89550,A000000,03400,0000,03400CLINIC 89550,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89550,A000000,03500,0000,03500RURAL HEALTH CLINIC 89550,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89550,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89550,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89550,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89550,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89550,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89550,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89550,A000000,04400,0000,04400DME RENTED - HHA 89550,A000000,04500,0000,04500DME SOLD - HHA 89550,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89550,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89550,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89550,A000000,04800,0000,04800AMBULANCE 89550,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89550,A000000,05000,0000,05000CORF 89550,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89550,A000000,05300,0000,05300INTEREST EXPENSE 89550,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89550,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89550,A000000,05500,0000,05500HOSPICE 89550,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89550,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89550,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89550,A000000,06100,0000,06100NONPAID WORKERS 89550,A000000,06150,0000,06300ADULT DAY HEALTH 89550,A000000,06200,0000,06200PATIENTS LAUNDRY 89550,A81000A,00100,0100,Y 89550,A81000B,00100,0300,MEDICAL DIRECTOR 89550,A81000B,00200,0300,ADULT DAY HEALTH 89550,A81000C,00100,0100,B 89550,A81000C,00100,0200,NORTH END COMMUNITY H.C. 89550,A81000C,00100,0400,NORTH END COMMUNITY H.C. 89550,A81000C,00100,0600,NON-PROFIT HEALTH SERVICE 89550,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89550,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89550,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89550,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89550,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89550,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89550,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89550,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89550,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89550,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89550,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89550,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89550,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89550,S000000,00100,0200,12/05/2000 89550,S200000,00100,0100,70 FULTON STREET 89550,S200000,00200,0100,BOSTON 89550,S200000,00200,0200,MA 89550,S200000,00200,0300,02109- 89550,S200000,00300,0100,SUFFOLK 89550,S200000,00300,0200,1123 89550,S200000,00300,0300,U 89550,S200000,00400,0100,NORTH END COMMUNITY NURSING HOME 89550,S200000,00400,0200,225506 89550,S200000,00400,0300,07/01/1990 89550,S200000,00400,0500,P 89550,S200000,00400,0600,P 89550,S200000,01004,0500,O 89550,S200000,01600,0100,Y 89562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89562,A000000,00300,0000,00300EMPLOYEE BENEFITS 89562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89562,A000000,00700,0000,00700HOUSEKEEPING 89562,A000000,00800,0000,00800DIETARY 89562,A000000,00900,0000,00900NURSING ADMINISTRATION 89562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89562,A000000,01100,0000,01100PHARMACY 89562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89562,A000000,01300,0000,01300SOCIAL SERVICE 89562,A000000,01350,0000,01500ACTIVITIES 89562,A000000,01351,0000,01501INDIRECT CONSULTANTS 89562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89562,A000000,01600,0000,01600SKILLED NURSING FACILITY 89562,A000000,01800,0000,01800NURSING FACILITY 89562,A000000,01810,0000,01801ICF/MR 89562,A000000,01900,0000,01900OTHER LONG TERM CARE 89562,A000000,02100,0000,02100RADIOLOGY 89562,A000000,02200,0000,02200LABORATORY 89562,A000000,02300,0000,02300INTRAVENOUS THERAPY 89562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89562,A000000,02500,0000,02500PHYSICAL THERAPY 89562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89562,A000000,02700,0000,02700SPEECH PATHOLOGY 89562,A000000,02800,0000,02800ELECTROCARDIOLOGY 89562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89562,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89562,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89562,A000000,03200,0000,03200SUPPORT SURFACES 89562,A000000,03400,0000,03400CLINIC 89562,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89562,A000000,03500,0000,03500RURAL HEALTH CLINIC 89562,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89562,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89562,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89562,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89562,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89562,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89562,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89562,A000000,04400,0000,04400DME RENTED - HHA 89562,A000000,04500,0000,04500DME SOLD - HHA 89562,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89562,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89562,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89562,A000000,04800,0000,04800AMBULANCE 89562,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89562,A000000,05000,0000,05000CORF 89562,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89562,A000000,05300,0000,05300INTEREST EXPENSE 89562,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89562,A000000,05500,0000,05500HOSPICE 89562,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89562,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89562,A000000,06100,0000,06100NONPAID WORKERS 89562,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89562,A000000,06200,0000,06200PATIENTS LAUNDRY 89562,A81000A,00100,0100,Y 89562,A81000B,00100,0300,MGMT FEE - SHMC CAP REL B&F 89562,A81000B,00200,0300,MGMT FEE - SHMC - CAP REL MOV 89562,A81000B,00300,0300,MGMT FEE SHMC - NOT CAP REL 89562,A81000B,00400,0300,MGMT FEE-CCMI-NOT CAP REL B&F 89562,A81000B,00500,0300,MGMT FEE - CCMI - CAP REL MOV 89562,A81000B,00600,0300,MGMT FEE - CCMI - NOT CAP REL 89562,A81000B,00700,0300,ADMIN & GEN - EE ATTACHED 89562,A81000B,00800,0300,DIETARY - SEE ATTACHED 89562,A81000C,00100,0100,A 89562,A81000C,00100,0200,ROBERT PLATT 89562,A81000C,00100,0400,SENIOR HEALTH MGMT 89562,A81000C,00100,0600,HOME OFFICE 89562,A81000C,00200,0100,A 89562,A81000C,00200,0400,SEE ATTACHED 89562,A81000C,00300,0100,G 89562,A81000C,00300,0200,N/A 89562,A81000C,00300,0400,COMMWLTH COMM MGMT 89562,A81000C,00300,0600,CENTRAL OFFICE 89562,A81000C,03100,0000,MANAGEMENT CONTROL 89562,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89562,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89562,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89562,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89562,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89562,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89562,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89562,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89562,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89562,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89562,B100000,00000,1150,00000N/A :PHARMACY 89562,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89562,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89562,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89562,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89562,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89562,E10A180,00301,0100,06/26/1999 89562,S000000,00100,0200,05/31/2000 89562,S200000,00100,0100,50 INDIAN NECK ROAD 89562,S200000,00200,0100,WORCESTER 89562,S200000,00200,0200,MA 89562,S200000,00200,0300,02571- 89562,S200000,00300,0100,PLYMOUTH 89562,S200000,00400,0100,FORESTVIEW NURSING HOME OF WAREHAM 89562,S200000,00400,0200,225512 89562,S200000,00400,0300,07/01/1990 89562,S200000,00400,0500,P 89562,S200000,00400,0600,P 89562,S200000,01600,0100,Y 89562,S700003,00000,0100,1 89569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89569,A000000,00300,0000,00300EMPLOYEE BENEFITS 89569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89569,A000000,00700,0000,00700HOUSEKEEPING 89569,A000000,00800,0000,00800DIETARY 89569,A000000,00900,0000,00900NURSING ADMINISTRATION 89569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89569,A000000,01100,0000,01100PHARMACY 89569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89569,A000000,01300,0000,01300SOCIAL SERVICE 89569,A000000,01350,0000,01500ACTIVITIES 89569,A000000,01351,0000,01501INDIRECT CONSULTANTS 89569,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89569,A000000,01600,0000,01600SKILLED NURSING FACILITY 89569,A000000,01800,0000,01800NURSING FACILITY 89569,A000000,01810,0000,01801ICF/MR 89569,A000000,01900,0000,01900OTHER LONG TERM CARE 89569,A000000,02100,0000,02100RADIOLOGY 89569,A000000,02200,0000,02200LABORATORY 89569,A000000,02300,0000,02300INTRAVENOUS THERAPY 89569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89569,A000000,02500,0000,02500PHYSICAL THERAPY 89569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89569,A000000,02700,0000,02700SPEECH PATHOLOGY 89569,A000000,02800,0000,02800ELECTROCARDIOLOGY 89569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89569,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89569,A000000,03051,0000,03301AMBULANCE 89569,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89569,A000000,03200,0000,03200SUPPORT SURFACES 89569,A000000,03400,0000,03400CLINIC 89569,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89569,A000000,03500,0000,03500RURAL HEALTH CLINIC 89569,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89569,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89569,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89569,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89569,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89569,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89569,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89569,A000000,04400,0000,04400DME RENTED - HHA 89569,A000000,04500,0000,04500DME SOLD - HHA 89569,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89569,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89569,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89569,A000000,04800,0000,04800AMBULANCE 89569,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89569,A000000,05000,0000,05000CORF 89569,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89569,A000000,05300,0000,05300INTEREST EXPENSE 89569,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89569,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89569,A000000,05500,0000,05500HOSPICE 89569,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89569,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89569,A000000,06100,0000,06100NONPAID WORKERS 89569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89569,A000000,06200,0000,06200PATIENTS LAUNDRY 89569,A81000A,00100,0100,Y 89569,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 89569,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89569,A81000B,00300,0300,ADMINISTRATIVE P/S 89569,A81000C,00100,0100,B 89569,A81000C,00100,0200,ESL MANAGEMENT 89569,A81000C,00100,0400,EPOCH SENIOR LIVING 89569,A81000C,00100,0600,HOME OFFICE 89569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89569,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89569,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89569,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89569,B100000,00000,1150,00000N/A :PHARMACY 89569,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89569,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89569,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89569,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89569,E10A180,00301,0100,12/01/1999 89569,S000000,00100,0200,06/01/2000 89569,S200000,00100,0100,238 1/2 W. MAIN STREET 89569,S200000,00200,0100,NORTHBORO 89569,S200000,00200,0200,MA 89569,S200000,00200,0300,01532- 89569,S200000,00300,0100,WORCESTER 89569,S200000,00400,0100,NORTHBORO SENIOR CARE CENTER 89569,S200000,00400,0200,225513 89569,S200000,00400,0300,07/01/1990 89569,S200000,00400,0500,P 89569,S200000,00400,0600,P 89569,S200000,01500,0100,Y 89569,S700003,00000,0200,2 89575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89575,A000000,00300,0000,00300EMPLOYEE BENEFITS 89575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89575,A000000,00700,0000,00700HOUSEKEEPING 89575,A000000,00800,0000,00800DIETARY 89575,A000000,00900,0000,00900NURSING ADMINISTRATION 89575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89575,A000000,01100,0000,01100PHARMACY 89575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89575,A000000,01300,0000,01300SOCIAL SERVICE 89575,A000000,01350,0000,01500ACTIVITIES 89575,A000000,01351,0000,01501INDIRECT CONSULTANTS 89575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89575,A000000,01600,0000,01600SKILLED NURSING FACILITY 89575,A000000,01800,0000,01800NURSING FACILITY 89575,A000000,01810,0000,01801ICF/MR 89575,A000000,01900,0000,01900OTHER LONG TERM CARE 89575,A000000,02100,0000,02100RADIOLOGY 89575,A000000,02200,0000,02200LABORATORY 89575,A000000,02300,0000,02300INTRAVENOUS THERAPY 89575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89575,A000000,02500,0000,02500PHYSICAL THERAPY 89575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89575,A000000,02700,0000,02700SPEECH PATHOLOGY 89575,A000000,02800,0000,02800ELECTROCARDIOLOGY 89575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89575,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89575,A000000,03051,0000,03301ORTHO 89575,A000000,03052,0000,03302AMBULANCE 89575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89575,A000000,03200,0000,03200SUPPORT SURFACES 89575,A000000,03400,0000,03400CLINIC 89575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89575,A000000,03500,0000,03500RURAL HEALTH CLINIC 89575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89575,A000000,04400,0000,04400DME RENTED - HHA 89575,A000000,04500,0000,04500DME SOLD - HHA 89575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89575,A000000,04800,0000,04800AMBULANCE 89575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89575,A000000,05000,0000,05000CORF 89575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89575,A000000,05300,0000,05300INTEREST EXPENSE 89575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89575,A000000,05500,0000,05500HOSPICE 89575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89575,A000000,06100,0000,06100NONPAID WORKERS 89575,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COST 89575,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 89575,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 89575,A000000,06200,0000,06200PATIENTS LAUNDRY 89575,A81000A,00100,0100,Y 89575,A81000B,00100,0300,RELIGIOUS SALARY 89575,A81000B,00200,0300,RELIGIOUS SALARY 89575,A81000B,00300,0300,RELIGIOUS SALARY 89575,A81000C,00100,0100,G 89575,A81000C,00100,0200,SEE SUPPLEMENTAL 89575,A81000C,00200,0200,WORKPAPERS 89575,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 89575,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 89575,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 89575,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 89575,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 89575,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 89575,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 89575,B100000,00000,0850,00002PATIENT DAYS :DIETARY 89575,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 89575,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 89575,B100000,00000,1150,00002N/A :PHARMACY 89575,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 89575,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 89575,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 89575,B100000,00000,1351,00002N/A :INDIRECT CONSULTANTS 89575,B100000,00000,1450,00002N/A :INTERNS & RESIDENTS (APPRVD 89575,S000000,00100,0200,05/12/2000 89575,S200000,00100,0100,991 VARNUM AVENUE 89575,S200000,00200,0100,LOWELL 89575,S200000,00200,0200,MA 89575,S200000,00200,0300,01854- 89575,S200000,00300,0100,MIDDLESEX 89575,S200000,00400,0100,DYOUVILLE SENIOR CARE INC. 89575,S200000,00400,0200,225515 89575,S200000,00400,0300,07/01/1990 89575,S200000,00400,0500,P 89575,S200000,00400,0600,P 89575,S200000,01600,0100,Y 89575,S700003,00000,0100,1 89589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89589,A000000,00300,0000,00300EMPLOYEE BENEFITS 89589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89589,A000000,00700,0000,00700HOUSEKEEPING 89589,A000000,00800,0000,00800DIETARY 89589,A000000,00900,0000,00900NURSING ADMINISTRATION 89589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89589,A000000,01100,0000,01100PHARMACY 89589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89589,A000000,01300,0000,01300SOCIAL SERVICE 89589,A000000,01350,0000,01500RECREATION 89589,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89589,A000000,01600,0000,01600SKILLED NURSING FACILITY 89589,A000000,01800,0000,01800NURSING FACILITY 89589,A000000,01810,0000,01810ICF/MR 89589,A000000,01900,0000,01900OTHER LONG TERM CARE 89589,A000000,02100,0000,02100RADIOLOGY 89589,A000000,02200,0000,02200LABORATORY 89589,A000000,02300,0000,02300INTRAVENOUS THERAPY 89589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89589,A000000,02500,0000,02500PHYSICAL THERAPY 89589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89589,A000000,02700,0000,02700SPEECH PATHOLOGY 89589,A000000,02800,0000,02800ELECTROCARDIOLOGY 89589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89589,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89589,A000000,03200,0000,03200SUPPORT SURFACES 89589,A000000,03400,0000,03400CLINIC 89589,A000000,03500,0000,03500RURAL HEALTH CLINIC 89589,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 89589,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89589,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89589,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89589,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89589,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89589,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89589,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89589,A000000,04400,0000,04400DME RENTED - HHA 89589,A000000,04500,0000,04500DME SOLD - HHA 89589,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89589,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89589,A000000,04800,0000,04800AMBULANCE 89589,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89589,A000000,05000,0000,05000CORF 89589,A000000,05010,0000,05010CMHC 89589,A000000,05020,0000,05020OPT 89589,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89589,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89589,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89589,A000000,05300,0000,05300INTEREST EXPENSE 89589,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89589,A000000,05500,0000,05500HOSPICE 89589,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89589,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89589,A000000,06100,0000,06100NONPAID WORKERS 89589,A000000,06200,0000,06200PATIENTS LAUNDRY 89589,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89589,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89589,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89589,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89589,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89589,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89589,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89589,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 89589,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89589,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89589,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89589,B100000,00000,1350,00000(PATIENT DAYS) :RECREATION 89589,S000000,00100,0200,05/25/2000 89589,S200000,00100,0100,8 DANA 89589,S200000,00200,0100,CAMBRIDGE 89589,S200000,00200,0200,MA 89589,S200000,00200,0300,02138- 89589,S200000,00300,0100,MIDDLESEX 89589,S200000,00300,0200,4400 89589,S200000,00300,0300,U 89589,S200000,00400,0100,VERNON HALL INC. 89589,S200000,00400,0200,225520 89589,S200000,00400,0300,07/15/1990 89589,S200000,00400,0500,P 89589,S200000,00600,0200,225520 89589,S200000,00600,0300,06/30/1998 89589,S200000,00600,0600,P 89589,S200000,01600,0100,Y 89605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89605,A000000,00300,0000,00300EMPLOYEE BENEFITS 89605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89605,A000000,00700,0000,00700HOUSEKEEPING 89605,A000000,00800,0000,00800DIETARY 89605,A000000,00900,0000,00900NURSING ADMINISTRATION 89605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89605,A000000,01100,0000,01100PHARMACY 89605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89605,A000000,01300,0000,01300SOCIAL SERVICE 89605,A000000,01350,0000,01500OTHER GENERAL SERVICES 89605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89605,A000000,01600,0000,01600SKILLED NURSING FACILITY 89605,A000000,01800,0000,01800NURSING FACILITY 89605,A000000,01900,0000,01900OTHER LONG TERM CARE 89605,A000000,02100,0000,02100RADIOLOGY 89605,A000000,02200,0000,02200LABORATORY 89605,A000000,02300,0000,02300INTRAVENOUS THERAPY 89605,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89605,A000000,02500,0000,02500PHYSICAL THERAPY 89605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89605,A000000,02700,0000,02700SPEECH PATHOLOGY 89605,A000000,02800,0000,02800ELECTROCARDIOLOGY 89605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89605,A000000,03001,0000,03001GLUCOSE TESTING OF PATIENTS 89605,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89605,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89605,A000000,03200,0000,03200SUPPORT SURFACES 89605,A000000,03400,0000,03400CLINIC 89605,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89605,A000000,03500,0000,03500RURAL HEALTH CLINIC 89605,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89605,A000000,04800,0000,04800AMBULANCE 89605,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89605,A000000,05000,0000,05000CORF 89605,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89605,A000000,05300,0000,05300INTEREST EXPENSE 89605,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89605,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89605,A000000,05500,0000,05500HOSPICE 89605,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89605,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89605,A000000,06100,0000,06100NONPAID WORKERS 89605,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89605,A000000,06200,0000,06200PATIENTS LAUNDRY 89605,A81000A,00100,0100,Y 89605,A81000B,00100,0300,RENTAL OF FACILITIES 89605,A81000B,00200,0300,(BANK INT: 47834 DEPN: 20505) 89605,A81000B,00300,0300,INTEREST SECOND MORTGAGE 89605,A81000B,00400,0300,(MTGEE IS OWNERS SISTER) 89605,A81000B,00500,0300,WORKING CAPITAL INTEREST 89605,A81000B,00600,0300,(NOTE HOLDER IS OWNER SPOUSE) 89605,A81000C,00100,0100,A 89605,A81000C,00100,0200,WILLIAM L. TWOMEY 89605,A81000C,00100,0400, RAINBOW REALTY 89605,A81000C,00100,0600,RENTAL REAL ESTATE 89605,A81000C,00300,0100,G 89605,A81000C,00300,0200,CLARE CAMPUS - SISTER 89605,A81000C,00300,0400,N/A 89605,A81000C,00300,0600,N/A 89605,A81000C,00400,0200,(INTEREST INCLUDED PT B) 89605,A81000C,00600,0100,G 89605,A81000C,00600,0200,JANET TWOMEY - SPOUSE 89605,A81000C,00600,0400,N/A 89605,A81000C,00600,0600,N/A 89605,A81000C,00700,0200,(INT INCLUDED IN G&A) 89605,A81000C,03100,0000,RELATIVE 89605,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89605,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89605,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89605,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89605,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89605,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89605,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89605,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89605,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89605,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89605,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89605,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89605,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89605,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89605,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 89605,S000000,00100,0200,06/05/2000 89605,S200000,00100,0100,210 LOWELL STREET 89605,S200000,00200,0100,PEABODY 89605,S200000,00200,0200,MA 89605,S200000,00200,0300,01960- 89605,S200000,00300,0100,ESSEX 89605,S200000,00400,0100,RAINBOW NURSING HOME 89605,S200000,00400,0200,225526 89605,S200000,00400,0300,07/19/1990 89605,S200000,00400,0500,P 89605,S200000,00400,0600,P 89605,S200000,00600,0200,225526 89605,S200000,00600,0300,09/01/1977 89605,S200000,00600,0600,P 89605,S200000,01600,0100,Y 89605,S700003,00000,0100,1 89611,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89611,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89611,A000000,00300,0000,00300EMPLOYEE BENEFITS 89611,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89611,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89611,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89611,A000000,00700,0000,00700HOUSEKEEPING 89611,A000000,00800,0000,00800DIETARY 89611,A000000,00900,0000,00900NURSING ADMINISTRATION 89611,A000000,01100,0000,01100PHARMACY 89611,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89611,A000000,01300,0000,01300SOCIAL SERVICE 89611,A000000,01350,0000,01500OTHER GENERAL SERVICES 89611,A000000,01600,0000,01600SKILLED NURSING FACILITY 89611,A000000,01800,0000,01800NURSING FACILITY 89611,A000000,01810,0000,01801ICF/MR 89611,A000000,01900,0000,01900OTHER LONG TERM CARE 89611,A000000,02100,0000,02100RADIOLOGY 89611,A000000,02200,0000,02200LABORATORY 89611,A000000,02300,0000,02300INTRAVENOUS THERAPY 89611,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89611,A000000,02500,0000,02500PHYSICAL THERAPY 89611,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89611,A000000,02700,0000,02700SPEECH PATHOLOGY 89611,A000000,02800,0000,02800ELECTROCARDIOLOGY 89611,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89611,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89611,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89611,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89611,A000000,03200,0000,03200SUPPORT SURFACES 89611,A000000,03400,0000,03400CLINIC 89611,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89611,A000000,03500,0000,03500RURAL HEALTH CLINIC 89611,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89611,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89611,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89611,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89611,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89611,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89611,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89611,A000000,04400,0000,04400DME RENTED - HHA 89611,A000000,04500,0000,04500DME SOLD - HHA 89611,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89611,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89611,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89611,A000000,04800,0000,04800AMBULANCE 89611,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89611,A000000,05000,0000,05000CORF 89611,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89611,A000000,05300,0000,05300INTEREST EXPENSE 89611,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89611,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89611,A000000,05500,0000,05500HOSPICE 89611,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89611,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89611,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89611,A000000,06100,0000,06100NONPAID WORKERS 89611,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89611,A000000,06200,0000,06200PATIENTS LAUNDRY 89611,B100000,00000,0100,00000SQUARE FOOT :CAP REL COSTS - BLDGS 89611,B100000,00000,0250,00000SQUARE FOOT :CAP REL COSTS - MOVAB 89611,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 89611,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89611,B100000,00000,0500,00000SQUARE FOOT :PLANT OPERATION MAIN 89611,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89611,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 89611,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89611,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89611,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89611,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89611,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89611,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89611,S000000,00100,0200,03/02/2000 89611,S200000,00100,0100,340 MONTAGUE CITY ROAD 89611,S200000,00200,0100,TURNERS FALLS 89611,S200000,00200,0200,MA 89611,S200000,00200,0300,01349- 89611,S200000,00300,0100,FRANKLIN 89611,S200000,00400,0100,FARREN CARE CENTER 89611,S200000,00400,0200,225527 89611,S200000,00400,0300,10/12/1990 89611,S200000,00400,0500,P 89611,S200000,01004,0500,O 89611,S200000,01600,0100,Y 89623,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89623,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89623,A000000,00300,0000,00300EMPLOYEE BENEFITS 89623,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89623,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89623,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89623,A000000,00700,0000,00700HOUSEKEEPING 89623,A000000,00800,0000,00800DIETARY 89623,A000000,00900,0000,00900NURSING ADMINISTRATION 89623,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89623,A000000,01100,0000,01100PHARMACY 89623,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89623,A000000,01300,0000,01300SOCIAL SERVICE 89623,A000000,01600,0000,01600SKILLED NURSING FACILITY 89623,A000000,01800,0000,01800NURSING FACILITY 89623,A000000,01900,0000,01900OTHER LONG TERM CARE 89623,A000000,02100,0000,02100RADIOLOGY 89623,A000000,02200,0000,02200LABORATORY 89623,A000000,02300,0000,02300INTRAVENOUS THERAPY 89623,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89623,A000000,02500,0000,02500PHYSICAL THERAPY 89623,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89623,A000000,02700,0000,02700SPEECH PATHOLOGY 89623,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89623,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89623,A000000,03200,0000,03200SUPPORT SURFACES 89623,A000000,03201,0000,03201NURSE PRACTIONER 89623,A000000,04800,0000,04800AMBULANCE 89623,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89623,A000000,05300,0000,05300INTEREST EXPENSE 89623,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89623,A000000,05801,0000,05801DAY CARE 89623,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89623,A81000A,00100,0100,Y 89623,A81000B,00100,0300,RENT EXPENSE 89623,A81000B,00200,0300,DEPRECIATION 89623,A81000B,00300,0300,INTEREST EXPENSE 89623,A81000B,00400,0300,INTEREST EXPENSE 89623,A81000B,00500,0300,REAL ESTATE TAXES 89623,A81000B,00600,0300,OTHER OPERATING EXPENSES 89623,A81000C,00100,0100,B 89623,A81000C,00100,0200,R HENDERSON 89623,A81000C,00100,0400,SUDBURY REALTY 89623,A81000C,00100,0600,REAL ESTATE 89623,A81000C,00200,0100,B 89623,A81000C,00200,0200,E HENDERSON 89623,A81000C,00200,0400,SUDBURY REALTY 89623,A81000C,00200,0600,REAL ESTATE 89623,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89623,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89623,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89623,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89623,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89623,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89623,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89623,B100000,00000,0800,00000MEALS SERVED :DIETARY 89623,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 89623,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89623,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89623,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89623,S000000,00100,0200,06/01/2000 89623,S200000,00100,0100,642 BOSTON POST ROAD 89623,S200000,00200,0100,SUDBURY 89623,S200000,00200,0200,MA 89623,S200000,00200,0300,01776- 89623,S200000,00300,0100,MIDDLESEX 89623,S200000,00300,0200,1123 89623,S200000,00300,0300,U 89623,S200000,00400,0100,SUDBURY PINES EXTENDED CARE FACILITY 89623,S200000,00400,0200,225531 89623,S200000,00400,0300,01/08/1991 89623,S200000,00400,0500,P 89623,S200000,01600,0100,Y 89627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89627,A000000,00300,0000,00300EMPLOYEE BENEFITS 89627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89627,A000000,00700,0000,00700HOUSEKEEPING 89627,A000000,00800,0000,00800DIETARY 89627,A000000,00900,0000,00900NURSING ADMINISTRATION 89627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89627,A000000,01100,0000,01100PHARMACY 89627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89627,A000000,01300,0000,01300SOCIAL SERVICE 89627,A000000,01350,0000,01500ACTIVITIES 89627,A000000,01351,0000,01501INDIRECT CONSULTANTS 89627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89627,A000000,01600,0000,01600SKILLED NURSING FACILITY 89627,A000000,01800,0000,01800NURSING FACILITY 89627,A000000,01810,0000,01801ICF/MR 89627,A000000,01900,0000,01900OTHER LONG TERM CARE 89627,A000000,02100,0000,02100RADIOLOGY 89627,A000000,02200,0000,02200LABORATORY 89627,A000000,02300,0000,02300INTRAVENOUS THERAPY 89627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89627,A000000,02500,0000,02500PHYSICAL THERAPY 89627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89627,A000000,02700,0000,02700SPEECH PATHOLOGY 89627,A000000,02800,0000,02800ELECTROCARDIOLOGY 89627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89627,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89627,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89627,A000000,03200,0000,03200SUPPORT SURFACES 89627,A000000,03400,0000,03400CLINIC 89627,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89627,A000000,03500,0000,03500RURAL HEALTH CLINIC 89627,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89627,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89627,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89627,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89627,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89627,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89627,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89627,A000000,04400,0000,04400DME RENTED - HHA 89627,A000000,04500,0000,04500DME SOLD - HHA 89627,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89627,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89627,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89627,A000000,04800,0000,04800AMBULANCE 89627,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89627,A000000,05000,0000,05000CORF 89627,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89627,A000000,05300,0000,05300INTEREST EXPENSE 89627,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89627,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89627,A000000,05500,0000,05500HOSPICE 89627,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89627,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89627,A000000,06100,0000,06100NONPAID WORKERS 89627,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89627,A000000,06200,0000,06200PATIENTS LAUNDRY 89627,A81000A,00100,0100,Y 89627,A81000B,00100,0300,RENT-CAPITAL RELATED 89627,A81000B,00200,0300,RENT-CAP REL MOVABLE 89627,A81000B,00300,0300,MGMT FEE- A&G NOT CAPITAL REL 89627,A81000B,00400,0300,MGMT FEE - CAP REL - MME 89627,A81000C,00100,0100,B 89627,A81000C,00100,0200,LFA REALTY INC. 89627,A81000C,00100,0400,LFA MANAGEMENT INC. 89627,A81000C,00100,0600,RENTAL PROPERTY 89627,A81000C,00200,0100,B 89627,A81000C,00200,0200,PROF. MEDICAL ASSU 89627,A81000C,00200,0600,HOME OFFICE 89627,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89627,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89627,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89627,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89627,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89627,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89627,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89627,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89627,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 89627,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89627,B100000,00000,1150,00000N/A :PHARMACY 89627,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89627,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89627,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89627,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89627,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89627,S000000,00100,0200,06/05/2000 89627,S200000,00100,0100,405 RIVERS STREET 89627,S200000,00200,0100,MATTAPAN 89627,S200000,00200,0200,MA 89627,S200000,00200,0300,02126-2210 89627,S200000,00300,0100,NORFOLK 89627,S200000,00400,0100,RIVERSIDE NURSING HOME 89627,S200000,00400,0200,225532 89627,S200000,00400,0300,01/01/1991 89627,S200000,00400,0500,P 89627,S200000,00400,0600,P 89627,S200000,01004,0500,O 89627,S200000,01600,0100,Y 89627,S700003,00000,0100,1 89641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89641,A000000,00300,0000,00300EMPLOYEE BENEFITS 89641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89641,A000000,00700,0000,00700HOUSEKEEPING 89641,A000000,00800,0000,00800DIETARY 89641,A000000,00900,0000,00900NURSING ADMINISTRATION 89641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89641,A000000,01100,0000,01100PHARMACY 89641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89641,A000000,01300,0000,01300SOCIAL SERVICE 89641,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89641,A000000,01600,0000,01600SKILLED NURSING FACILITY 89641,A000000,01800,0000,01800NURSING FACILITY 89641,A000000,02300,0000,02300INTRAVENOUS THERAPY 89641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89641,A000000,02500,0000,02500PHYSICAL THERAPY 89641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89641,A000000,02700,0000,02700SPEECH PATHOLOGY 89641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89641,A000000,03200,0000,03200SUPPORT SURFACES 89641,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89641,A000000,05300,0000,05300INTEREST EXPENSE 89641,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89641,A81000A,00100,0100,Y 89641,A81000B,00100,0300,RENT EXPENSE 89641,A81000C,00100,0100,A 89641,A81000C,00100,0200,ALEX STRUZZIERO 89641,A81000C,00100,0400,T&C REALTY TRUS 89641,A81000C,00100,0600,REALTY TRUST 89641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89641,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89641,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 89641,B100000,00000,0800,00000MEALS SERVED :DIETARY 89641,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 89641,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 89641,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 89641,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89641,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89641,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89641,S000000,00100,0200,01/10/2000 89641,S200000,00100,0100,259 BALDWIN STREET 89641,S200000,00200,0100,LOWELL 89641,S200000,00200,0200,MA 89641,S200000,00200,0300,01851- 89641,S200000,00300,0100,MIDDLESEX 89641,S200000,00400,0100,TOWN & COUNTRY NURSING HOME 89641,S200000,00400,0200,225537 89641,S200000,00400,0300,09/01/1991 89641,S200000,00400,0500,P 89641,S200000,01600,0100,Y 89641,S200000,02800,0100,Y 89641,S700003,00000,0100,1 89642,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89642,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89642,A000000,00300,0000,00300EMPLOYEE BENEFITS 89642,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89642,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89642,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89642,A000000,00700,0000,00700HOUSEKEEPING 89642,A000000,00800,0000,00800DIETARY 89642,A000000,00900,0000,00900NURSING ADMINISTRATION 89642,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89642,A000000,01100,0000,01100PHARMACY 89642,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89642,A000000,01300,0000,01300SOCIAL SERVICE 89642,A000000,01350,0000,01500ACTIVITIES 89642,A000000,01351,0000,01501INDIRECT CONSULTANTS 89642,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89642,A000000,01600,0000,01600SKILLED NURSING FACILITY 89642,A000000,01800,0000,01800NURSING FACILITY 89642,A000000,01810,0000,01801ICF/MR 89642,A000000,01900,0000,01900OTHER LONG TERM CARE 89642,A000000,02100,0000,02100RADIOLOGY 89642,A000000,02200,0000,02200LABORATORY 89642,A000000,02300,0000,02300INTRAVENOUS THERAPY 89642,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89642,A000000,02500,0000,02500PHYSICAL THERAPY 89642,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89642,A000000,02700,0000,02700SPEECH PATHOLOGY 89642,A000000,02800,0000,02800ELECTROCARDIOLOGY 89642,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89642,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89642,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89642,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89642,A000000,03200,0000,03200SUPPORT SURFACES 89642,A000000,03400,0000,03400CLINIC 89642,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89642,A000000,03500,0000,03500RURAL HEALTH CLINIC 89642,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89642,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89642,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89642,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89642,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89642,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89642,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89642,A000000,04400,0000,04400DME RENTED - HHA 89642,A000000,04500,0000,04500DME SOLD - HHA 89642,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89642,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89642,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89642,A000000,04800,0000,04800AMBULANCE 89642,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89642,A000000,05000,0000,05000CORF 89642,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89642,A000000,05300,0000,05300INTEREST EXPENSE 89642,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89642,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89642,A000000,05500,0000,05500HOSPICE 89642,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89642,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89642,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89642,A000000,06100,0000,06100NONPAID WORKERS 89642,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89642,A000000,06200,0000,06200PATIENTS LAUNDRY 89642,A81000A,00100,0100,Y 89642,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 89642,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89642,A81000B,00300,0300,CLERICAL SALARIES 89642,A81000B,00400,0300,PLANT SALARIES 89642,A81000B,00500,0300,DIETARY SALARIES 89642,A81000B,00600,0300,TRAVEL 89642,A81000B,00700,0300,401 (K) PLAN EXP 89642,A81000B,00800,0300,HEALTH INSURANCE 89642,A81000B,00900,0300,WORKING CAPITAL INTEREST 89642,A81000C,00100,0100,D 89642,A81000C,00100,0200,MAMARY/MARCUS 89642,A81000C,00100,0400,NEHCM INC. 89642,A81000C,00100,0600,HOME OFFICE 89642,A81000C,00200,0100,D 89642,A81000C,00200,0400,ROYAL MEGANSETT 89642,A81000C,00200,0600,NURSING HOME 89642,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89642,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89642,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89642,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89642,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89642,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89642,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89642,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89642,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89642,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89642,B100000,00000,1150,00000N/A :PHARMACY 89642,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89642,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89642,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89642,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89642,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89642,E10A180,00301,0100,03/31/2000 89642,S000000,00100,0200,06/02/2000 89642,S200000,00100,0100,259 BALDWIN STREET 89642,S200000,00200,0100,LOWELL 89642,S200000,00200,0200,MA 89642,S200000,00200,0300,01851- 89642,S200000,00300,0100,MIDDLESEX 89642,S200000,00400,0100,TOWN & COUNTRY NURSING HOME 89642,S200000,00400,0200,225537 89642,S200000,00400,0300,09/01/1991 89642,S200000,00400,0500,P 89642,S200000,00400,0600,P 89642,S200000,01004,0500,O 89642,S200000,01500,0100,Y 89642,S700003,00000,0200,2 89647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89647,A000000,00300,0000,00300EMPLOYEE BENEFITS 89647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89647,A000000,00700,0000,00700HOUSEKEEPING 89647,A000000,00800,0000,00800DIETARY 89647,A000000,00900,0000,00900NURSING ADMINISTRATION 89647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89647,A000000,01100,0000,01100PHARMACY 89647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89647,A000000,01300,0000,01300SOCIAL SERVICE 89647,A000000,01350,0000,01500OTHER GENERAL SERVICES 89647,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89647,A000000,01600,0000,01600SKILLED NURSING FACILITY 89647,A000000,01800,0000,01800NURSING FACILITY 89647,A000000,01810,0000,01801ICF/MR 89647,A000000,01900,0000,01900OTHER LONG TERM CARE 89647,A000000,02100,0000,02100RADIOLOGY 89647,A000000,02200,0000,02200LABORATORY 89647,A000000,02300,0000,02300INTRAVENOUS THERAPY 89647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89647,A000000,02500,0000,02500PHYSICAL THERAPY 89647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89647,A000000,02700,0000,02700SPEECH PATHOLOGY 89647,A000000,02800,0000,02800ELECTROCARDIOLOGY 89647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89647,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89647,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89647,A000000,03200,0000,03200SUPPORT SURFACES 89647,A000000,03400,0000,03400CLINIC 89647,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89647,A000000,03500,0000,03500RURAL HEALTH CLINIC 89647,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89647,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89647,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89647,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89647,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89647,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89647,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89647,A000000,04400,0000,04400DME RENTED - HHA 89647,A000000,04500,0000,04500DME SOLD - HHA 89647,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89647,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89647,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89647,A000000,04800,0000,04800AMBULANCE 89647,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89647,A000000,05000,0000,05000CORF 89647,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89647,A000000,05300,0000,05300INTEREST EXPENSE 89647,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89647,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89647,A000000,05500,0000,05500HOSPICE 89647,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89647,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89647,A000000,06100,0000,06100NONPAID WORKERS 89647,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89647,A000000,06200,0000,06200PATIENTS LAUNDRY 89647,A81000A,00100,0100,Y 89647,A81000B,00100,0300,AMINISTRATIVE & GENERAL LEGAL FEES 89647,A81000C,00100,0100,D 89647,A81000C,00100,0200,MICHAEL D PARKER 89647,A81000C,00100,0400,MICHAEL D PARKER ESQUIRE 89647,A81000C,00100,0600,LEGAL SERVICES 89647,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89647,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89647,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89647,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89647,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89647,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89647,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 89647,B100000,00000,0800,00000MEALS SERVED :DIETARY 89647,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89647,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 89647,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89647,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 89647,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 89647,B100000,00000,1350,00000HOURS OF SERVICE :OTHER GENERAL SER 89647,B100000,00000,1450,00000HOURS OF SERVICE :INTERNS & RESIDEN 89647,E10A180,00301,0100,05/12/2000 89647,E10A180,00302,0100,05/30/2000 89647,E10A180,00303,0100,06/01/2000 89647,S000000,00100,0200,06/01/2000 89647,S200000,00100,0100,44 NEW LOMBARD ROAD 89647,S200000,00200,0100,CHICOPEE 89647,S200000,00200,0200,MA 89647,S200000,00200,0300,01020- 89647,S200000,00300,0100,HAMPDEN 89647,S200000,00400,0100,BIRCH MANOR NURSING HOME 89647,S200000,00400,0200,225539 89647,S200000,00400,0300,08/26/1991 89647,S200000,00400,0500,P 89647,S200000,01500,0100,Y 89647,S200000,02200,0100,Y 89647,S700003,00000,0100,1 89656,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89656,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89656,A000000,00300,0000,00300EMPLOYEE BENEFITS 89656,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89656,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89656,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89656,A000000,00700,0000,00700HOUSEKEEPING 89656,A000000,00800,0000,00800DIETARY 89656,A000000,00900,0000,00900NURSING ADMINISTRATION 89656,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89656,A000000,01100,0000,01100PHARMACY 89656,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89656,A000000,01300,0000,01300SOCIAL SERVICE 89656,A000000,01350,0000,01500ACTIVITIES 89656,A000000,01351,0000,01501INDIRECT CONSULTANTS 89656,A000000,01352,0000,01502ADMISSIONS 89656,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89656,A000000,01600,0000,01600SKILLED NURSING FACILITY 89656,A000000,01800,0000,01800NURSING FACILITY 89656,A000000,01810,0000,01810ICF/MR 89656,A000000,01900,0000,01900OTHER LONG TERM CARE 89656,A000000,02100,0000,02100RADIOLOGY 89656,A000000,02200,0000,02200LABORATORY 89656,A000000,02300,0000,02300INTRAVENOUS THERAPY 89656,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89656,A000000,02500,0000,02500PHYSICAL THERAPY 89656,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89656,A000000,02700,0000,02700SPEECH PATHOLOGY 89656,A000000,02800,0000,02800ELECTROCARDIOLOGY 89656,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89656,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89656,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89656,A000000,03051,0000,03301NUTRITIONAL THERAPY 89656,A000000,03052,0000,03302OTHER ANCILLARY SERVICE COST CENTER 89656,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89656,A000000,03200,0000,03200SUPPORT SURFACES 89656,A000000,03400,0000,03400CLINIC 89656,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89656,A000000,03500,0000,03500RURAL HEALTH CLINIC 89656,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89656,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89656,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89656,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89656,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89656,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89656,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89656,A000000,04400,0000,04400DME RENTED - HHA 89656,A000000,04500,0000,04500DME SOLD - HHA 89656,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89656,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89656,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89656,A000000,04800,0000,04800AMBULANCE 89656,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89656,A000000,05000,0000,05000CORF 89656,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89656,A000000,05300,0000,05300INTEREST EXPENSE 89656,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89656,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89656,A000000,05500,0000,05500HOSPICE 89656,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89656,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89656,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89656,A000000,06100,0000,06100NONPAID WORKERS 89656,A000000,06150,0000,06300ADULT DAY HEALTH 89656,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 89656,A000000,06152,0000,06302PATIENTS NON-CERTIFIED 89656,A000000,06200,0000,06200PATIENTS LAUNDRY 89656,A81000A,00100,0100,Y 89656,A81000B,00100,0300,BUSINESS OFFICE MANAGER 89656,A81000B,00200,0300,NIGHT SUPERVISOR 89656,A81000B,00300,0300,UNIT MANAGER 89656,A81000C,00100,0100,A 89656,A81000C,00100,0400,PAUL BENIOT 89656,A81000C,00200,0100,A 89656,A81000C,00200,0400,JOHANNA HOLMES 89656,A81000C,00300,0100,A 89656,A81000C,00300,0400,STEPHANIE WALSH 89656,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 89656,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 89656,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 89656,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 89656,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 89656,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 89656,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 89656,B100000,00000,0850,00002PATIENT DAYS :DIETARY 89656,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 89656,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 89656,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 89656,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 89656,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 89656,S000000,00100,0200,06/01/2000 89656,S200000,00100,0100,2222 CENTRE STREET 89656,S200000,00200,0100,WEST ROXBURY 89656,S200000,00200,0200,MA 89656,S200000,00200,0300,02132- 89656,S200000,00300,0100,SUFFOLK 89656,S200000,00300,0200,1123 89656,S200000,00300,0300,U 89656,S200000,00400,0100,DEUTSCHES ALTENHEIM INC. 89656,S200000,00400,0200,225540 89656,S200000,00400,0300,02/02/1992 89656,S200000,00400,0500,P 89656,S200000,00400,0600,P 89656,S200000,01004,0500,O 89656,S200000,01600,0100,Y 89665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89665,A000000,00300,0000,00300EMPLOYEE BENEFITS 89665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89665,A000000,00700,0000,00700HOUSEKEEPING 89665,A000000,00800,0000,00800DIETARY 89665,A000000,00900,0000,00900NURSING ADMINISTRATION 89665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89665,A000000,01100,0000,01100PHARMACY 89665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89665,A000000,01300,0000,01300SOCIAL SERVICE 89665,A000000,01350,0000,01500ACTIVITIES 89665,A000000,01351,0000,01501INDIRECT CONSULTANTS 89665,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89665,A000000,01600,0000,01600SKILLED NURSING FACILITY 89665,A000000,01800,0000,01800NURSING FACILITY 89665,A000000,01810,0000,01801ICF/MR 89665,A000000,01900,0000,01900OTHER LONG TERM CARE 89665,A000000,02100,0000,02100RADIOLOGY 89665,A000000,02200,0000,02200LABORATORY 89665,A000000,02300,0000,02300INTRAVENOUS THERAPY 89665,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89665,A000000,02500,0000,02500PHYSICAL THERAPY 89665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89665,A000000,02700,0000,02700SPEECH PATHOLOGY 89665,A000000,02800,0000,02800ELECTROCARDIOLOGY 89665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89665,A000000,03050,0000,03300AMBULANCE 89665,A000000,03051,0000,03301PEN THERAPY 89665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89665,A000000,03200,0000,03200SUPPORT SURFACES 89665,A000000,03400,0000,03400CLINIC 89665,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89665,A000000,03500,0000,03500RURAL HEALTH CLINIC 89665,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89665,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89665,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89665,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89665,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89665,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89665,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89665,A000000,04400,0000,04400DME RENTED - HHA 89665,A000000,04500,0000,04500DME SOLD - HHA 89665,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89665,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89665,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89665,A000000,04800,0000,04800AMBULANCE 89665,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89665,A000000,05000,0000,05000CORF 89665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89665,A000000,05300,0000,05300INTEREST EXPENSE 89665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89665,A000000,05500,0000,05500HOSPICE 89665,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89665,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89665,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89665,A000000,06100,0000,06100NONPAID WORKERS 89665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89665,A000000,06200,0000,06200PATIENTS LAUNDRY 89665,A81000A,00100,0100,Y 89665,A81000B,00100,0300,RNET-CAPITAL RELATED 89665,A81000B,00200,0300,RENT-CAP REL MOVABLE 89665,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 89665,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 89665,A81000B,00500,0300,MGMT FEE-CAP REL MOVABLE 89665,A81000B,00600,0300,A&G 89665,A81000B,00700,0300,PURCHASED SERVICE-LAUNDRY 89665,A81000B,00800,0300,DIETARY SALARIES 89665,A81000B,00900,0300,SOCIAL SERVICE SALARIES 89665,A81000B,01000,0300,NA SALARIES 89665,A81000B,01100,0300,PHYSICAL THERAPY SALARIES 89665,A81000B,01200,0300,OCCUPATIONAL THERAPY SALARIES 89665,A81000C,00100,0100,A 89665,A81000C,00100,0400,WACHUSETT EXTENDED CARE 89665,A81000C,00100,0600,RENTAL PROPERTY 89665,A81000C,00200,0100,A 89665,A81000C,00200,0400,ELO HOLDING 89665,A81000C,00200,0600,HOME OFFICE 89665,A81000C,00300,0100,A 89665,A81000C,00300,0400,HOLDEN NURSING HOME 89665,A81000C,00300,0600,NURSING HOME 89665,A81000C,00400,0100,A 89665,A81000C,00400,0400,OAKDALE NURSING HOME 89665,A81000C,00400,0600,NURSING HOME 89665,A81000C,00500,0100,A 89665,A81000C,00500,0400,GARDNER SKILLED CARE 89665,A81000C,00500,0600,NURSING HOME 89665,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89665,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89665,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89665,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89665,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89665,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89665,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89665,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89665,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89665,B100000,00000,1150,00000N/A :PHARMACY 89665,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89665,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89665,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89665,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89665,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89665,E10A180,00301,0100,06/01/1999 89665,S000000,00100,0200,05/25/2000 89665,S200000,00100,0100,54 BOYDEN ROAD 89665,S200000,00200,0100,WORCESTER 89665,S200000,00200,0200,MA 89665,S200000,00200,0300,01520- 89665,S200000,00300,0100,WORCESTER 89665,S200000,00400,0100,WACHUSETT EXTENDED CARE FACILITY 89665,S200000,00400,0200,225542 89665,S200000,00400,0300,11/26/1991 89665,S200000,00400,0500,P 89665,S200000,00400,0600,P 89665,S200000,01500,0100,Y 89665,S700003,00000,0100,1 89684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89684,A000000,00300,0000,00300EMPLOYEE BENEFITS 89684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89684,A000000,00700,0000,00700HOUSEKEEPING 89684,A000000,00800,0000,00800DIETARY 89684,A000000,00900,0000,00900NURSING ADMINISTRATION 89684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89684,A000000,01100,0000,01100PHARMACY 89684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89684,A000000,01300,0000,01300SOCIAL SERVICE 89684,A000000,01350,0000,01500ACTIVITIES 89684,A000000,01351,0000,01501INDIRECT CONSULTANTS 89684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89684,A000000,01600,0000,01600SKILLED NURSING FACILITY 89684,A000000,01800,0000,01800NURSING FACILITY 89684,A000000,01810,0000,01810ICF/MR 89684,A000000,01900,0000,01900OTHER LONG TERM CARE 89684,A000000,02100,0000,02100RADIOLOGY 89684,A000000,02200,0000,02200LABORATORY 89684,A000000,02300,0000,02300INTRAVENOUS THERAPY 89684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89684,A000000,02500,0000,02500PHYSICAL THERAPY 89684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89684,A000000,02700,0000,02700SPEECH PATHOLOGY 89684,A000000,02800,0000,02800ELECTROCARDIOLOGY 89684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89684,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89684,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89684,A000000,03200,0000,03200SUPPORT SURFACES 89684,A000000,03400,0000,03400CLINIC 89684,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89684,A000000,03500,0000,03500RURAL HEALTH CLINIC 89684,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89684,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89684,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89684,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89684,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89684,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89684,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89684,A000000,04400,0000,04400DME RENTED - HHA 89684,A000000,04500,0000,04500DME SOLD - HHA 89684,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89684,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89684,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89684,A000000,04800,0000,04800AMBULANCE 89684,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89684,A000000,05000,0000,05000CORF 89684,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89684,A000000,05300,0000,05300INTEREST EXPENSE 89684,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89684,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89684,A000000,05500,0000,05500HOSPICE 89684,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89684,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89684,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89684,A000000,06100,0000,06100NONPAID WORKERS 89684,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89684,A000000,06200,0000,06200PATIENTS LAUNDRY 89684,A81000A,00100,0100,Y 89684,A81000B,00100,0300,RENT-CAPITAL RELATED 89684,A81000B,00200,0300,PENSION 89684,A81000B,00300,0300,MAINTENANCE PURCHASED SERVICE 89684,A81000B,00400,0300,P/S HUMAN RESOURCE DIRECTOR 89684,A81000B,00500,0300,BUILDING INSURANCE 89684,A81000B,00600,0300,WORKERS COMP 89684,A81000B,00700,0300,GROUP HEALTH/LIFE INS 89684,A81000B,00800,0300,WATER AND SEWER 89684,A81000B,00900,0300,POSTAGE 89684,A81000B,01000,0300,TELEPHONE 89684,A81000B,01100,0300,PASTORAL CARE DIRECTOR 89684,A81000C,00100,0100,B 89684,A81000C,00100,0200,MONT MARIE HEALTH CENT 89684,A81000C,00100,0400,S.S.J. SPRINGFIELD 89684,A81000C,00100,0600,RENTAL PROPERTY 89684,A81000C,00200,0100,B 89684,A81000C,00200,0200,MONT MARIE HEALTH CENT 89684,A81000C,00200,0400,S.S.J. SPRINGFIELD 89684,A81000C,00200,0600,PURCHASED SERVICE 89684,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89684,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89684,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89684,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89684,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89684,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 89684,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89684,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89684,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 89684,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89684,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89684,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89684,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89684,S000000,00100,0200,05/30/2000 89684,S200000,00100,0100,34 LOWER WESTFIELD ROAD 89684,S200000,00200,0100,HOLYOKE 89684,S200000,00200,0200,MA 89684,S200000,00200,0300,01040- 89684,S200000,00300,0100,HAMPDEN 89684,S200000,00300,0200,8003 89684,S200000,00300,0300,U 89684,S200000,00400,0100,MONT MARIE HEALTH CARE CENTER INC. 89684,S200000,00400,0200,225556 89684,S200000,00400,0300,09/22/1992 89684,S200000,00400,0500,P 89684,S200000,00400,0600,P 89684,S200000,01500,0100,Y 89694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89694,A000000,00300,0000,00300EMPLOYEE BENEFITS 89694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89694,A000000,00700,0000,00700HOUSEKEEPING 89694,A000000,00800,0000,00800DIETARY 89694,A000000,00900,0000,00900NURSING ADMINISTRATION 89694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89694,A000000,01100,0000,01100PHARMACY 89694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89694,A000000,01300,0000,01300SOCIAL SERVICE 89694,A000000,01350,0000,01500ACTIVITIES 89694,A000000,01351,0000,01501INDIRECT CONSULTANTS 89694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89694,A000000,01600,0000,01600SKILLED NURSING FACILITY 89694,A000000,01800,0000,01800NURSING FACILITY 89694,A000000,01810,0000,01810ICF/MR 89694,A000000,01900,0000,01900OTHER LONG TERM CARE 89694,A000000,02100,0000,02100RADIOLOGY 89694,A000000,02200,0000,02200LABORATORY 89694,A000000,02300,0000,02300INTRAVENOUS THERAPY 89694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89694,A000000,02500,0000,02500PHYSICAL THERAPY 89694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89694,A000000,02700,0000,02700SPEECH PATHOLOGY 89694,A000000,02800,0000,02800ELECTROCARDIOLOGY 89694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89694,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89694,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89694,A000000,03200,0000,03200SUPPORT SURFACES 89694,A000000,03400,0000,03400CLINIC 89694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89694,A000000,03500,0000,03500RURAL HEALTH CLINIC 89694,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89694,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89694,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89694,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89694,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89694,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89694,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89694,A000000,04400,0000,04400DME RENTED - HHA 89694,A000000,04500,0000,04500DME SOLD - HHA 89694,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89694,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89694,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89694,A000000,04800,0000,04800AMBULANCE 89694,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89694,A000000,05000,0000,05000CORF 89694,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89694,A000000,05300,0000,05300INTEREST EXPENSE 89694,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89694,A000000,05500,0000,05500HOSPICE 89694,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89694,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89694,A000000,06100,0000,06100NONPAID WORKERS 89694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89694,A000000,06200,0000,06200PATIENTS LAUNDRY 89694,A81000A,00100,0100,Y 89694,A81000B,00100,0300,RENT-CAPITAL RELATED 89694,A81000B,00200,0300,RENT-CAP. REL. MOVABLE 89694,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89694,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 89694,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 89694,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 89694,A81000C,00100,0100,A 89694,A81000C,00100,0200,TOBIN AND FRIED 89694,A81000C,00100,0400,EASTPOINTE PARTNERSHIP 89694,A81000C,00100,0600,RENTAL PROPERTY 89694,A81000C,00200,0100,A 89694,A81000C,00200,0200,TOBIN AND FRIED 89694,A81000C,00200,0400,THE POINTE GROUP 89694,A81000C,00200,0600,MANAGEMENT 89694,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89694,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89694,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89694,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89694,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89694,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89694,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89694,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89694,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89694,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89694,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89694,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89694,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89694,E10A180,00301,0100,04/05/2000 89694,E10A180,00302,0100,01/14/2000 89694,S000000,00100,0200,11/22/2000 89694,S200000,00100,0100,225 CENTRAL AVENUE 89694,S200000,00200,0100,CHELSEA 89694,S200000,00200,0200,MA 89694,S200000,00200,0300,02150- 89694,S200000,00300,0100,SUFFOLK 89694,S200000,00300,0200,1123 89694,S200000,00300,0300,U 89694,S200000,00400,0100,EASTPOINTE NURSING CARE CENTER 89694,S200000,00400,0200,225557 89694,S200000,00400,0300,09/04/1992 89694,S200000,00400,0500,P 89694,S200000,00400,0600,P 89694,S200000,01600,0100,Y 89708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89708,A000000,00300,0000,00300EMPLOYEE BENEFITS 89708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89708,A000000,00700,0000,00700HOUSEKEEPING 89708,A000000,00800,0000,00800DIETARY 89708,A000000,00900,0000,00900NURSING ADMINISTRATION 89708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89708,A000000,01100,0000,01100PHARMACY 89708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89708,A000000,01300,0000,01300SOCIAL SERVICE 89708,A000000,01350,0000,01500ACTIVITIES 89708,A000000,01351,0000,01501INDIRECT CONSULTANTS 89708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89708,A000000,01600,0000,01600SKILLED NURSING FACILITY 89708,A000000,01800,0000,01800NURSING FACILITY 89708,A000000,01810,0000,01801ICF/MR 89708,A000000,01900,0000,01900OTHER LONG TERM CARE 89708,A000000,02100,0000,02100RADIOLOGY 89708,A000000,02200,0000,02200LABORATORY 89708,A000000,02300,0000,02300INTRAVENOUS THERAPY 89708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89708,A000000,02500,0000,02500PHYSICAL THERAPY 89708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89708,A000000,02700,0000,02700SPEECH PATHOLOGY 89708,A000000,02800,0000,02800ELECTROCARDIOLOGY 89708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89708,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89708,A000000,03051,0000,03301FEE SCREEN 89708,A000000,03052,0000,03302AMBULANCE 89708,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89708,A000000,03200,0000,03200SUPPORT SURFACES 89708,A000000,03400,0000,03400CLINIC 89708,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89708,A000000,03500,0000,03500RURAL HEALTH CLINIC 89708,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89708,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89708,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89708,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89708,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89708,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89708,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89708,A000000,04400,0000,04400DME RENTED - HHA 89708,A000000,04500,0000,04500DME SOLD - HHA 89708,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89708,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89708,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89708,A000000,04800,0000,04800AMBULANCE 89708,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89708,A000000,05000,0000,05000CORF 89708,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89708,A000000,05300,0000,05300INTEREST EXPENSE 89708,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89708,A000000,05500,0000,05500HOSPICE 89708,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89708,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89708,A000000,06100,0000,06100NONPAID WORKERS 89708,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89708,A000000,06200,0000,06200PATIENTS LAUNDRY 89708,A81000A,00100,0100,Y 89708,A81000B,00100,0300,MGMT FEE-NOT CAPITAL RELATED 89708,A81000B,00200,0300,PLANT SUPPLIES 89708,A81000B,00300,0300,CLERICAL SALARY 89708,A81000B,00400,0300,ADMINISTRATOR SALARY 89708,A81000B,00500,0300,PLANT SALARY 89708,A81000C,00100,0100,A 89708,A81000C,00100,0200,DENNIS SARGENT 89708,A81000C,00100,0400,NORTHGATE HCARE SVC 89708,A81000C,00100,0600,MGMT SVS 89708,A81000C,00200,0100,A 89708,A81000C,00200,0200,ELISSA SARGENT 89708,A81000C,00200,0400,NORTHGATE HCARE SVC 89708,A81000C,00200,0600,MGMT SVS 89708,A81000C,00300,0100,A 89708,A81000C,00300,0200,JOHN PAINO. JR. 89708,A81000C,00300,0400,NORTHGATE HCARE SVC 89708,A81000C,00300,0600,MGMT SVS 89708,A81000C,00400,0100,A 89708,A81000C,00400,0200,JUDITH SWANSON 89708,A81000C,00400,0400,NORTHGATE HCARE SVC 89708,A81000C,00400,0600,MGMT SVS 89708,A81000C,00500,0100,A 89708,A81000C,00500,0200,DELORES MARTIN 89708,A81000C,00500,0400,NORTHGATE HCARE SVC 89708,A81000C,00500,0600,MGMT SVS 89708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89708,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89708,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89708,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89708,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89708,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89708,B100000,00000,1150,00000N/A :PHARMACY 89708,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89708,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89708,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89708,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89708,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89708,S000000,00100,0200,05/26/2000 89708,S200000,00100,0100,90 WEST STREET 89708,S200000,00200,0100,WILMINGTON 89708,S200000,00200,0200,MA 89708,S200000,00200,0300,01887- 89708,S200000,00300,0100,MIDDLESEX 89708,S200000,00400,0100,WOODBRIAR OF WILMINGTON 89708,S200000,00400,0200,225568 89708,S200000,00400,0300,04/08/1993 89708,S200000,00400,0500,P 89708,S200000,00400,0600,P 89708,S200000,01004,0500,O 89708,S200000,01600,0100,Y 89708,S700003,00000,0100,1 89715,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89715,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89715,A000000,00300,0000,00300EMPLOYEE BENEFITS 89715,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89715,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89715,A000000,00501,0000,00501MAINTENANCE - GENERAL 89715,A000000,00502,0000,00502REPAIRS - NON TENANT 89715,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89715,A000000,00700,0000,00700HOUSEKEEPING 89715,A000000,00800,0000,00800DIETARY 89715,A000000,00900,0000,00900NURSING ADMINISTRATION 89715,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89715,A000000,01100,0000,01100PHARMACY 89715,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89715,A000000,01300,0000,01300SOCIAL SERVICE 89715,A000000,01600,0000,01600SKILLED NURSING FACILITY 89715,A000000,02100,0000,02100RADIOLOGY 89715,A000000,02200,0000,02200LABORATORY 89715,A000000,02300,0000,02300INTRAVENOUS THERAPY 89715,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89715,A000000,02500,0000,02500PHYSICAL THERAPY 89715,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89715,A000000,02700,0000,02700SPEECH PATHOLOGY 89715,A000000,02800,0000,02800ELECTROCARDIOLOGY 89715,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89715,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89715,A000000,03050,0000,03300NUTRITIONAL THERAPY 89715,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89715,A000000,03200,0000,03200SUPPORT SURFACES 89715,A000000,04800,0000,04800AMBULANCE 89715,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89715,A000000,05300,0000,05300INTEREST EXPENSE 89715,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89715,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89715,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89715,A000000,06100,0000,06100NONPAID WORKERS 89715,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89715,A000000,06200,0000,06200PATIENTS LAUNDRY 89715,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89715,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89715,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89715,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89715,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89715,B100000,00000,0501,00000SQUARE FEET :MAINTENANCE - GENERAL 89715,B100000,00000,0502,00000SQUARE FEET :REPAIRS - NON TENANT 89715,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89715,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89715,B100000,00000,0800,00000MEALS SERVED :DIETARY 89715,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89715,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 89715,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 89715,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89715,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89715,S000000,00100,0200,05/30/2000 89715,S200000,00100,0100,799 CONCORD AVENUE 89715,S200000,00200,0100,CAMBRIDGE 89715,S200000,00200,0200,MA 89715,S200000,00200,0300,02138- 89715,S200000,00300,0100,MIDDLESEX 89715,S200000,00400,0100,SANCTA MARIA NURSING FACILITY 89715,S200000,00400,0200,225573 89715,S200000,00400,0300,02/01/1993 89715,S200000,00400,0500,P 89715,S200000,01500,0100,Y 89715,S200000,02800,0100,Y 89715,S700003,00000,0100,1 89719,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89719,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89719,A000000,00300,0000,00300EMPLOYEE BENEFITS 89719,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89719,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89719,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89719,A000000,00700,0000,00700HOUSEKEEPING 89719,A000000,00800,0000,00800DIETARY 89719,A000000,00900,0000,00900NURSING ADMINISTRATION 89719,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89719,A000000,01100,0000,01100PHARMACY 89719,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89719,A000000,01300,0000,01300SOCIAL SERVICE 89719,A000000,01350,0000,01500ACTIVITIES 89719,A000000,01351,0000,01501INDIRECT CONSULTANTS 89719,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89719,A000000,01600,0000,01600SKILLED NURSING FACILITY 89719,A000000,01800,0000,01800NURSING FACILITY 89719,A000000,01810,0000,01801ICF/MR 89719,A000000,01900,0000,01900OTHER LONG TERM CARE 89719,A000000,02100,0000,02100RADIOLOGY 89719,A000000,02200,0000,02200LABORATORY 89719,A000000,02300,0000,02300INTRAVENOUS THERAPY 89719,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89719,A000000,02500,0000,02500PHYSICAL THERAPY 89719,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89719,A000000,02700,0000,02700SPEECH PATHOLOGY 89719,A000000,02800,0000,02800ELECTROCARDIOLOGY 89719,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89719,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89719,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89719,A000000,03051,0000,03301PEN THERAPY 89719,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89719,A000000,03200,0000,03200SUPPORT SURFACES 89719,A000000,03400,0000,03400CLINIC 89719,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89719,A000000,03500,0000,03500RURAL HEALTH CLINIC 89719,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89719,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89719,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89719,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89719,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89719,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89719,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89719,A000000,04400,0000,04400DME RENTED - HHA 89719,A000000,04500,0000,04500DME SOLD - HHA 89719,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89719,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89719,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89719,A000000,04800,0000,04800AMBULANCE 89719,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89719,A000000,05000,0000,05000CORF 89719,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89719,A000000,05300,0000,05300INTEREST EXPENSE 89719,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89719,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89719,A000000,05500,0000,05500HOSPICE 89719,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89719,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89719,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89719,A000000,06100,0000,06100NONPAID WORKERS 89719,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89719,A000000,06200,0000,06200PATIENTS LAUNDRY 89719,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89719,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89719,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89719,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89719,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89719,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89719,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89719,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89719,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89719,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89719,B100000,00000,1150,00000N/A :PHARMACY 89719,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89719,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89719,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89719,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 89719,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89719,S000000,00100,0200,11/01/2000 89719,S200000,00100,0100,713 SHAWMUT AVENUE 89719,S200000,00200,0100,NEW BEDFORD 89719,S200000,00200,0200,MA 89719,S200000,00200,0300,02746- 89719,S200000,00300,0100,BRISTOL 89719,S200000,00400,0100,KRISTEN BETH NURSING HOME 89719,S200000,00400,0200,225575 89719,S200000,00400,0300,04/07/1993 89719,S200000,00400,0500,P 89719,S200000,00400,0600,P 89719,S200000,01004,0500,O 89719,S200000,01600,0100,Y 89725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89725,A000000,00300,0000,00300EMPLOYEE BENEFITS 89725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89725,A000000,00700,0000,00700HOUSEKEEPING 89725,A000000,00800,0000,00800DIETARY 89725,A000000,00900,0000,00900NURSING ADMINISTRATION 89725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89725,A000000,01100,0000,01100PHARMACY 89725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89725,A000000,01300,0000,01300SOCIAL SERVICE 89725,A000000,01350,0000,01500ACTIVITIES 89725,A000000,01351,0000,01501INDIRECT CONSULTANTS 89725,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89725,A000000,01600,0000,01600SKILLED NURSING FACILITY 89725,A000000,01800,0000,01800NURSING FACILITY 89725,A000000,01810,0000,01801ICF/MR 89725,A000000,01900,0000,01900OTHER LONG TERM CARE 89725,A000000,02100,0000,02100RADIOLOGY 89725,A000000,02200,0000,02200LABORATORY 89725,A000000,02300,0000,02300INTRAVENOUS THERAPY 89725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89725,A000000,02500,0000,02500PHYSICAL THERAPY 89725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89725,A000000,02700,0000,02700SPEECH PATHOLOGY 89725,A000000,02800,0000,02800ELECTROCARDIOLOGY 89725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89725,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89725,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89725,A000000,03200,0000,03200SUPPORT SURFACES 89725,A000000,03400,0000,03400CLINIC 89725,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89725,A000000,03500,0000,03500RURAL HEALTH CLINIC 89725,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89725,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89725,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89725,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89725,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89725,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89725,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89725,A000000,04400,0000,04400DME RENTED - HHA 89725,A000000,04500,0000,04500DME SOLD - HHA 89725,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89725,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89725,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89725,A000000,04800,0000,04800AMBULANCE 89725,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89725,A000000,05000,0000,05000CORF 89725,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89725,A000000,05300,0000,05300INTEREST EXPENSE 89725,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89725,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89725,A000000,05500,0000,05500HOSPICE 89725,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89725,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89725,A000000,06100,0000,06100NONPAID WORKERS 89725,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89725,A000000,06200,0000,06200PATIENTS LAUNDRY 89725,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89725,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89725,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89725,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89725,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89725,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89725,B100000,00000,0800,00000MEALS SERVED :DIETARY 89725,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89725,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89725,B100000,00000,1150,00000N/A :PHARMACY 89725,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89725,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89725,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89725,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89725,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89725,S000000,00100,0200,05/31/2000 89725,S200000,00100,0100,559 PLANTATION STREET 89725,S200000,00200,0100,WORCESTER 89725,S200000,00200,0200,MA 89725,S200000,00200,0300,01605- 89725,S200000,00300,0100,WORCESTER 89725,S200000,00400,0100,NOTRE DAME LONG TERM CARE CENTER 89725,S200000,00400,0200,225577 89725,S200000,00400,0300,06/12/1993 89725,S200000,00400,0500,P 89725,S200000,00400,0600,P 89725,S200000,01004,0500,O 89725,S200000,01600,0100,Y 89725,S700003,00000,0100,1 89733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89733,A000000,00300,0000,00300EMPLOYEE BENEFITS 89733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89733,A000000,00700,0000,00700HOUSEKEEPING 89733,A000000,00800,0000,00800DIETARY 89733,A000000,00900,0000,00900NURSING ADMINISTRATION 89733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89733,A000000,01100,0000,01100PHARMACY 89733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89733,A000000,01300,0000,01300SOCIAL SERVICE 89733,A000000,01350,0000,01500ACTIVITIES 89733,A000000,01351,0000,01501INDIRECT CONSULTANTS 89733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89733,A000000,01600,0000,01600SKILLED NURSING FACILITY 89733,A000000,01800,0000,01800NURSING FACILITY 89733,A000000,01810,0000,01801ICF/MR 89733,A000000,01900,0000,01900OTHER LONG TERM CARE 89733,A000000,02100,0000,02100RADIOLOGY 89733,A000000,02200,0000,02200LABORATORY 89733,A000000,02300,0000,02300INTRAVENOUS THERAPY 89733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89733,A000000,02500,0000,02500PHYSICAL THERAPY 89733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89733,A000000,02700,0000,02700SPEECH PATHOLOGY 89733,A000000,02800,0000,02800ELECTROCARDIOLOGY 89733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89733,A000000,03050,0000,03300COMPLEX MEDCIAL EQUIPMENT 89733,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89733,A000000,03052,0000,03302AMBULANCE 89733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89733,A000000,03200,0000,03200SUPPORT SURFACES 89733,A000000,03400,0000,03400CLINIC 89733,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89733,A000000,03500,0000,03500RURAL HEALTH CLINIC 89733,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89733,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89733,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89733,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89733,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89733,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89733,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89733,A000000,04400,0000,04400DME RENTED - HHA 89733,A000000,04500,0000,04500DME SOLD - HHA 89733,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89733,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89733,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89733,A000000,04800,0000,04800AMBULANCE 89733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89733,A000000,05000,0000,05000CORF 89733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89733,A000000,05300,0000,05300INTEREST EXPENSE 89733,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89733,A000000,05500,0000,05500HOSPICE 89733,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89733,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89733,A000000,06100,0000,06100NONPAID WORKERS 89733,A000000,06150,0000,06300ADULT DAY HEALTH 89733,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 89733,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 89733,A000000,06200,0000,06200PATIENTS LAUNDRY 89733,A81000A,00100,0100,Y 89733,A81000B,00100,0300,RENT-CAPITAL RELATED 89733,A81000B,00200,0300,RENT-CAP REL MOVABLE 89733,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89733,A81000B,00400,0300,MGMT FEE-CAPITAL RELATED 89733,A81000B,00500,0300,MGMT FEE-NOT CAPITAL RELATED 89733,A81000B,00600,0300,MGMT FEE-CAP REL MOVABLE 89733,A81000B,00700,0300,WATER & SEWERAGE 89733,A81000B,00800,0300,SOCIAL SERVICE CONSULTANT 89733,A81000B,00900,0300,ADMIN & GENERAL SALARIES 89733,A81000B,01000,0300,EMPLOYEE BENEFITS 89733,A81000B,01100,0300,ADMIN & GENERAL PURCH SERVICE 89733,A81000B,01200,0300,SOCIAL SERVICE PURCH SERVICE 89733,A81000C,00100,0100,A 89733,A81000C,00100,0200,JEFFREY GOLDSHINE 89733,A81000C,00100,0400,WOODFORD OF AYER REALTY 89733,A81000C,00100,0600,RENTAL PROPERTY 89733,A81000C,00200,0100,A 89733,A81000C,00200,0200,LAWRENCE KOSOW 89733,A81000C,00200,0400,WOODFORD OF AYER REALTY 89733,A81000C,00200,0600,RENTAL PROPERTY 89733,A81000C,00300,0100,A 89733,A81000C,00300,0200,LEE KOSOW 89733,A81000C,00300,0400,WOODFORD OF AYER REALTY 89733,A81000C,00300,0600,RENTAL PROPERTY 89733,A81000C,00400,0100,A 89733,A81000C,00400,0200,RICHARD KOSOW 89733,A81000C,00400,0400,WOODFORD OF AYER REALTY 89733,A81000C,00400,0600,RENTAL PROPERTY 89733,A81000C,00500,0100,A 89733,A81000C,00500,0200,DOUGLAS NOBLE 89733,A81000C,00500,0400,WOODFORD OF AYER REALTY 89733,A81000C,00500,0600,RENTAL PROPERTY 89733,A81000C,00600,0100,A 89733,A81000C,00600,0200,MARY CATHERINE RUMSEY 89733,A81000C,00600,0400,WOODFORD OF AYER REALTY 89733,A81000C,00600,0600,RENTAL PROPERTY 89733,A81000C,00700,0100,A 89733,A81000C,00700,0200,MURRAY SACKMAN 89733,A81000C,00700,0400,WOODFORD OF AYER REALTY 89733,A81000C,00700,0600,RENTAL PROPERTY 89733,A81000C,00800,0100,B 89733,A81000C,00800,0400,COMMONWEALTH COMMUNITIES 89733,A81000C,00800,0600,HOME OFFICE 89733,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 89733,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 89733,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 89733,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 89733,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 89733,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 89733,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 89733,B100000,00000,0850,00002PATIENT DAYS :DIETARY 89733,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 89733,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 89733,B100000,00000,1150,00002N/A :PHARMACY 89733,B100000,00000,1250,00002PATIENT DAYS :MEDICAL RECORDS & LI 89733,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 89733,B100000,00000,1350,00002PATIENT DAYS :ACTIVITIES 89733,B100000,00000,1351,00002N/A :INDIRECT CONSULTANTS 89733,B100000,00000,1450,00002N/A :INTERNS & RESIDENTS (APPRVD 89733,S000000,00100,0200,06/01/2000 89733,S200000,00100,0100,15 WINTHROP AVENUE 89733,S200000,00200,0100,AYER 89733,S200000,00200,0200,MA 89733,S200000,00200,0300,01432- 89733,S200000,00300,0100,MIDDLESEX 89733,S200000,00400,0100,WOODFORD OF AYER 89733,S200000,00400,0200,225579 89733,S200000,00400,0300,09/01/1993 89733,S200000,00400,0500,P 89733,S200000,00400,0600,P 89733,S200000,01600,0100,Y 89733,S700003,00000,0100,1 89741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89741,A000000,00300,0000,00300EMPLOYEE BENEFITS 89741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89741,A000000,00700,0000,00700HOUSEKEEPING 89741,A000000,00800,0000,00800DIETARY 89741,A000000,00900,0000,00900NURSING ADMINISTRATION 89741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89741,A000000,01100,0000,01100PHARMACY 89741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89741,A000000,01300,0000,01300SOCIAL SERVICE 89741,A000000,01350,0000,01500OTHER GENERAL SERVICES 89741,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89741,A000000,01600,0000,01600SKILLED NURSING FACILITY 89741,A000000,01800,0000,01800NURSING FACILITY 89741,A000000,01810,0000,01801ICF/MR 89741,A000000,01900,0000,01900OTHER LONG TERM CARE 89741,A000000,02100,0000,02100RADIOLOGY 89741,A000000,02200,0000,02200LABORATORY 89741,A000000,02300,0000,02300INTRAVENOUS THERAPY 89741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89741,A000000,02500,0000,02500PHYSICAL THERAPY 89741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89741,A000000,02700,0000,02700SPEECH PATHOLOGY 89741,A000000,02800,0000,02800ELECTROCARDIOLOGY 89741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89741,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89741,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89741,A000000,03200,0000,03200SUPPORT SURFACES 89741,A000000,03400,0000,03400CLINIC 89741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89741,A000000,03500,0000,03500RURAL HEALTH CLINIC 89741,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89741,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89741,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89741,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89741,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89741,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89741,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89741,A000000,04400,0000,04400DME RENTED - HHA 89741,A000000,04500,0000,04500DME SOLD - HHA 89741,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89741,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89741,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89741,A000000,04800,0000,04800AMBULANCE 89741,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89741,A000000,05000,0000,05000CORF 89741,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89741,A000000,05300,0000,05300INTEREST EXPENSE 89741,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89741,A000000,05500,0000,05500HOSPICE 89741,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89741,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89741,A000000,06100,0000,06100NONPAID WORKERS 89741,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89741,A000000,06200,0000,06200PATIENTS LAUNDRY 89741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89741,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 89741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89741,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89741,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 89741,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89741,B100000,00000,0950,00000COSTED REQUIS. :NURSING ADMINISTRA 89741,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89741,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89741,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89741,B100000,00000,1300,00000ASSIGNED TIME :SOCIAL SERVICE 89741,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89741,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89741,S000000,00100,0200,05/31/2000 89741,S200000,00100,0100,388 CENTRAL STREET 89741,S200000,00200,0100,SPRINGFIELD 89741,S200000,00200,0200,MA 89741,S200000,00200,0300,01105- 89741,S200000,00300,0100,HAMPDEN 89741,S200000,00400,0100,PROVIDENCE CARE CENTER-SPRINGFIELD 89741,S200000,00400,0200,225580 89741,S200000,00400,0300,03/13/1997 89741,S200000,00400,0500,P 89741,S200000,01004,0500,O 89741,S200000,01500,0100,Y 89741,S700003,00000,0100,1 89749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89749,A000000,00300,0000,00300EMPLOYEE BENEFITS 89749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89749,A000000,00700,0000,00700HOUSEKEEPING 89749,A000000,00800,0000,00800DIETARY 89749,A000000,00900,0000,00900NURSING ADMINISTRATION 89749,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89749,A000000,01100,0000,01100PHARMACY 89749,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89749,A000000,01300,0000,01300SOCIAL SERVICE 89749,A000000,01350,0000,01500OTHER GENERAL SERVICES 89749,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89749,A000000,01600,0000,01600SKILLED NURSING FACILITY 89749,A000000,01800,0000,01800NURSING FACILITY 89749,A000000,01810,0000,01810ICF/MR 89749,A000000,01900,0000,01900OTHER LONG TERM CARE 89749,A000000,02100,0000,02100RADIOLOGY 89749,A000000,02200,0000,02200LABORATORY 89749,A000000,02300,0000,02300INTRAVENOUS THERAPY 89749,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89749,A000000,02500,0000,02500PHYSICAL THERAPY 89749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89749,A000000,02700,0000,02700SPEECH PATHOLOGY 89749,A000000,02800,0000,02800ELECTROCARDIOLOGY 89749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89749,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89749,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89749,A000000,03200,0000,03200SUPPORT SURFACES 89749,A000000,03400,0000,03400CLINIC 89749,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89749,A000000,03500,0000,03500RURAL HEALTH CLINIC 89749,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89749,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89749,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89749,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89749,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89749,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89749,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89749,A000000,04400,0000,04400DME RENTED - HHA 89749,A000000,04500,0000,04500DME SOLD - HHA 89749,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89749,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89749,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89749,A000000,04800,0000,04800AMBULANCE 89749,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89749,A000000,05000,0000,05000CORF 89749,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89749,A000000,05300,0000,05300INTEREST EXPENSE 89749,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89749,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89749,A000000,05500,0000,05500HOSPICE 89749,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89749,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89749,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89749,A000000,06100,0000,06100NONPAID WORKERS 89749,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89749,A000000,06200,0000,06200PATIENTS LAUNDRY 89749,A81000A,00100,0100,Y 89749,A81000B,00100,0300,SYSTEM MANAGEMENT FEE 89749,A81000C,00100,0100,B 89749,A81000C,00100,0200,SISTERS OF PROVIDENCE 89749,B100000,00000,0100,00000SQ FOOT :CAP REL COSTS - BLDGS & F 89749,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89749,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 89749,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89749,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89749,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89749,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89749,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89749,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89749,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89749,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89749,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89749,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89749,S000000,00100,0200,05/31/2000 89749,S200000,00100,0100,LOVERS LANE ROAD 89749,S200000,00200,0100,WASHINGTON 89749,S200000,00200,0200,CA 89749,S200000,00300,0100,BERKSHIRE 89749,S200000,00300,0200,6323 89749,S200000,00300,0300,U 89749,S200000,00400,0100,PROVIDENCE CARE CTR-LENOX 89749,S200000,00400,0200,225581 89749,S200000,00400,0300,03/13/1997 89749,S200000,00400,0500,P 89749,S200000,01004,0500,O 89749,S200000,01500,0100,Y 89756,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89756,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89756,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89756,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89756,A000000,00300,0000,00300EMPLOYEE BENEFITS 89756,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89756,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89756,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89756,A000000,00700,0000,00700HOUSEKEEPING 89756,A000000,00800,0000,00800DIETARY 89756,A000000,00801,0000,00801CAFETERIA 89756,A000000,00900,0000,00900NURSING ADMINISTRATION 89756,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89756,A000000,01100,0000,01100PHARMACY 89756,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89756,A000000,01300,0000,01300SOCIAL SERVICE 89756,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89756,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89756,A000000,01600,0000,01600SKILLED NURSING FACILITY 89756,A000000,01800,0000,01800NURSING FACILITY 89756,A000000,01900,0000,01900OTHER LONG TERM CARE 89756,A000000,02100,0000,02100RADIOLOGY 89756,A000000,02200,0000,02200LABORATORY 89756,A000000,02300,0000,02300INTRAVENOUS THERAPY 89756,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89756,A000000,02500,0000,02500PHYSICAL THERAPY 89756,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89756,A000000,02700,0000,02700SPEECH PATHOLOGY 89756,A000000,02800,0000,02800ELECTROCARDIOLOGY 89756,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89756,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89756,A000000,03050,0000,03300OTHER ANCILLARY 89756,A000000,03051,0000,03301OTHER ANCILLARY II 89756,A000000,03052,0000,03302OTHER ANCILLARY III 89756,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89756,A000000,03200,0000,03200SUPPORT SURFACES 89756,A000000,03400,0000,03400CLINIC 89756,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89756,A000000,03500,0000,03500RURAL HEALTH CLINIC 89756,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89756,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89756,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89756,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89756,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89756,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89756,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89756,A000000,04400,0000,04400DME RENTED - HHA 89756,A000000,04500,0000,04500DME SOLD - HHA 89756,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89756,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89756,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89756,A000000,04800,0000,04800AMBULANCE 89756,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89756,A000000,05000,0000,05000CORF 89756,A000000,05010,0000,05010CMHC I 89756,A000000,05020,0000,05020OPT I 89756,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89756,A000000,05300,0000,05300INTEREST EXPENSE 89756,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89756,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89756,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89756,A000000,05500,0000,05500HOSPICE 89756,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89756,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89756,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89756,A000000,06100,0000,06100NONPAID WORKERS 89756,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89756,A000000,06200,0000,06200PATIENTS LAUNDRY 89756,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89756,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89756,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89756,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89756,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89756,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89756,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89756,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89756,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89756,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89756,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 89756,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89756,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89756,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 89756,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 89756,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 89756,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 89756,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89756,S000000,00100,0200,05/25/2000 89756,S200000,00100,0100,ROUTE 10 89756,S200000,00200,0100,EASTHAMPTON 89756,S200000,00200,0200,MA 89756,S200000,00200,0300,01027- 89756,S200000,00300,0100,HAMPSHIRE 89756,S200000,00400,0100,HAMPSHIRE MANOR NURSING HOME 89756,S200000,00400,0200,225582 89756,S200000,00400,0300,11/01/1993 89756,S200000,00400,0500,P 89756,S200000,01004,0500,O 89756,S200000,01500,0100,Y 89756,S200000,03300,0100,Y 89756,S200000,03300,0200,Y 89762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89762,A000000,00300,0000,00300EMPLOYEE BENEFITS 89762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89762,A000000,00700,0000,00700HOUSEKEEPING 89762,A000000,00800,0000,00800DIETARY 89762,A000000,00900,0000,00900NURSING ADMINISTRATION 89762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89762,A000000,01300,0000,01300SOCIAL SERVICE 89762,A000000,01350,0000,01500ACTIVITIES 89762,A000000,01600,0000,01600SKILLED NURSING FACILITY 89762,A000000,01800,0000,01800NURSING FACILITY 89762,A000000,01810,0000,01810ICF/MR 89762,A000000,02200,0000,02200LABORATORY 89762,A000000,02300,0000,02300INTRAVENOUS THERAPY 89762,A000000,02500,0000,02500PHYSICAL THERAPY 89762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89762,A000000,02700,0000,02700SPEECH PATHOLOGY 89762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89762,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89762,A000000,03550,0000,03550FQHC 89762,A000000,05000,0000,05000CORF 89762,A000000,05010,0000,05010CMHC 89762,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89762,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89762,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89762,A81000A,00100,0100,Y 89762,A81000B,00100,0300,MGT FEE - NOT CAP 89762,A81000B,00200,0300,ADMIN SALARY 89762,A81000B,00300,0300,MGT FEE-DIETARY 89762,A81000B,00400,0300,MGT FEE-CASE MIX 89762,A81000B,00500,0300,MGT FEE-REHAB DIR 89762,A81000B,00600,0300,MGT FEE-DIR NRS 89762,A81000B,00700,0300,MGT FEE-MDS COORD 89762,A81000B,00800,0300,RENT-CAPITAL 89762,A81000B,00900,0300,RENT-MOVEABLE 89762,A81000B,01000,0300,RENT-NON-CAPITAL 89762,A81000B,01100,0300,RENT-WATER & SEWER 89762,A81000C,00100,0100,A 89762,A81000C,00100,0200,JOEL K LOGAN 89762,A81000C,00100,0400,CRESTVIEW MGT T 89762,A81000C,00100,0600,RENTAL PROPERTY 89762,A81000C,00200,0100,A 89762,A81000C,00200,0200,JOEL K LOGAN 89762,A81000C,00200,0400,LOGAN HEALTHCAR 89762,A81000C,00200,0600,HOME OFFICE 89762,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 89762,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 89762,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 89762,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 89762,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 89762,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 89762,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 89762,B100000,00000,0850,00040PATIENT DAYS :DIETARY 89762,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 89762,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 89762,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 89762,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 89762,B100000,00000,1350,00040PATIENT DAYS :ACTIVITIES 89762,S000000,00100,0200,06/02/2000 89762,S200000,00200,0200,CA 89762,S200000,00400,0100,CRESTVIEW HEALTHCARE FACILITY 89762,S200000,00400,0200,225583 89762,S200000,00400,0300,07/14/1993 89762,S200000,00400,0500,P 89762,S200000,01600,0100,Y 89770,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89770,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89770,A000000,00300,0000,00300EMPLOYEE BENEFITS 89770,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89770,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89770,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89770,A000000,00700,0000,00700HOUSEKEEPING 89770,A000000,00800,0000,00800DIETARY 89770,A000000,00900,0000,00900NURSING ADMINISTRATION 89770,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89770,A000000,01100,0000,01100PHARMACY 89770,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89770,A000000,01300,0000,01300SOCIAL SERVICE 89770,A000000,01350,0000,01500ACTIVITIES 89770,A000000,01351,0000,01501INDIRECT CONSULTANTS 89770,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89770,A000000,01600,0000,01600SKILLED NURSING FACILITY 89770,A000000,01800,0000,01800NURSING FACILITY 89770,A000000,01810,0000,01801ICF/MR 89770,A000000,01900,0000,01900OTHER LONG TERM CARE 89770,A000000,02100,0000,02100RADIOLOGY 89770,A000000,02200,0000,02200LABORATORY 89770,A000000,02300,0000,02300INTRAVENOUS THERAPY 89770,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89770,A000000,02500,0000,02500PHYSICAL THERAPY 89770,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89770,A000000,02700,0000,02700SPEECH PATHOLOGY 89770,A000000,02800,0000,02800ELECTROCARDIOLOGY 89770,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89770,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89770,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89770,A000000,03051,0000,03301AMBULANCE 89770,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89770,A000000,03200,0000,03200SUPPORT SURFACES 89770,A000000,03400,0000,03400CLINIC 89770,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89770,A000000,03500,0000,03500RURAL HEALTH CLINIC 89770,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89770,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89770,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89770,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89770,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89770,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89770,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89770,A000000,04400,0000,04400DME RENTED - HHA 89770,A000000,04500,0000,04500DME SOLD - HHA 89770,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89770,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89770,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89770,A000000,04800,0000,04800AMBULANCE 89770,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89770,A000000,05000,0000,05000CORF 89770,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89770,A000000,05300,0000,05300INTEREST EXPENSE 89770,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89770,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89770,A000000,05500,0000,05500HOSPICE 89770,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89770,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89770,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89770,A000000,06100,0000,06100NONPAID WORKERS 89770,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89770,A000000,06200,0000,06200PATIENTS LAUNDRY 89770,A81000A,00100,0100,Y 89770,A81000B,00100,0300,SALARIES-ADMINISTRATOR 89770,A81000B,00200,0300,SALARIES-OFFICER 89770,A81000B,00300,0300,SALARIES-CLERICAL 89770,A81000B,00400,0300,LANDSCAPING 89770,A81000B,00500,0300,SALARIES - HOUSEKEEPING 89770,A81000C,00100,0100,G 89770,A81000C,00100,0200,JOHN ALESSANDRONI 89770,A81000C,00200,0100,A 89770,A81000C,00200,0200,NICK J ALESSANDRONI 89770,A81000C,00300,0100,A 89770,A81000C,00300,0200,JOSEPH ALESSANDRONI 89770,A81000C,00400,0100,G 89770,A81000C,00400,0200,SHARON ALESSANDRONI 89770,A81000C,00500,0100,G 89770,A81000C,00500,0200,DAVID ALESSANDRONI 89770,A81000C,00600,0100,G 89770,A81000C,00600,0200,NICHOLAS A. ALESSANDRONI 89770,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89770,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89770,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89770,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89770,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89770,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89770,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89770,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89770,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89770,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89770,B100000,00000,1150,00000N/A :PHARMACY 89770,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89770,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89770,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89770,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89770,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89770,S000000,00100,0200,05/24/2000 89770,S200000,00100,0100,140 PARK AVENUE 89770,S200000,00200,0100,ARLINGTON 89770,S200000,00200,0200,MA 89770,S200000,00200,0300,02174- 89770,S200000,00300,0100,MIDDLESEX 89770,S200000,00400,0100,PARK AVE NURSING CONV & RET HOME 89770,S200000,00400,0200,225584 89770,S200000,00400,0300,07/01/1993 89770,S200000,00400,0500,P 89770,S200000,00400,0600,P 89770,S200000,01004,0500,O 89770,S200000,01600,0100,Y 89779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89779,A000000,00300,0000,00300EMPLOYEE BENEFITS 89779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89779,A000000,00700,0000,00700HOUSEKEEPING 89779,A000000,00800,0000,00800DIETARY 89779,A000000,00900,0000,00900NURSING ADMINISTRATION 89779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89779,A000000,01100,0000,01100PHARMACY 89779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89779,A000000,01300,0000,01300SOCIAL SERVICE 89779,A000000,01350,0000,01500ACTIVITIES 89779,A000000,01351,0000,01501INDIRECT CONSULTANTS 89779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89779,A000000,01600,0000,01600SKILLED NURSING FACILITY 89779,A000000,01800,0000,01800NURSING FACILITY 89779,A000000,01810,0000,01801ICF/MR 89779,A000000,01900,0000,01900OTHER LONG TERM CARE 89779,A000000,02100,0000,02100RADIOLOGY 89779,A000000,02200,0000,02200LABORATORY 89779,A000000,02300,0000,02300INTRAVENOUS THERAPY 89779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89779,A000000,02500,0000,02500PHYSICAL THERAPY 89779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89779,A000000,02700,0000,02700SPEECH PATHOLOGY 89779,A000000,02800,0000,02800ELECTROCARDIOLOGY 89779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89779,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89779,A000000,03051,0000,03301AMBULANCE 89779,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89779,A000000,03200,0000,03200SUPPORT SURFACES 89779,A000000,03400,0000,03400CLINIC 89779,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89779,A000000,03500,0000,03500RURAL HEALTH CLINIC 89779,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89779,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89779,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89779,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89779,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89779,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89779,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89779,A000000,04400,0000,04400DME RENTED - HHA 89779,A000000,04500,0000,04500DME SOLD - HHA 89779,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89779,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89779,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89779,A000000,04800,0000,04800AMBULANCE 89779,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89779,A000000,05000,0000,05000CORF 89779,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89779,A000000,05300,0000,05300INTEREST EXPENSE 89779,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89779,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89779,A000000,05500,0000,05500HOSPICE 89779,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89779,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89779,A000000,06100,0000,06100NONPAID WORKERS 89779,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89779,A000000,06200,0000,06200PATIENTS LAUNDRY 89779,A81000A,00100,0100,Y 89779,A81000B,00100,0300,RENT-CAPITAL RELATED 89779,A81000B,00200,0300,RENT - CAP REL MOVABLE 89779,A81000B,00300,0300,RENT - NOT CAP RELATED 89779,A81000B,00400,0300,MGMT FEE - CAP RELATED 89779,A81000B,00500,0300,MGMT FEE - NOT CAP RELATED 89779,A81000B,00600,0300,MGMT FEE - CAP REL MOVABLE 89779,A81000B,00700,0300,ADMIN & GENERAL - SEE ATTACHED 89779,A81000B,00800,0300,DIETARY - SEE ATTACHED 89779,A81000C,00100,0100,A 89779,A81000C,00100,0200,ROBERT PLATT 89779,A81000C,00100,0400,MEADOWBROOK PARTNERSHIP 89779,A81000C,00100,0600,RENTAL PROPERTY 89779,A81000C,00200,0100,A 89779,A81000C,00200,0200,GEORGIA FREID 89779,A81000C,00200,0400,MEADOWBROOK PARTNERSHIP 89779,A81000C,00200,0600,RENTAL PROPERTY 89779,A81000C,00300,0100,A 89779,A81000C,00300,0200,ROBERT PLATT 89779,A81000C,00300,0400,SENIOR HEALTH MGMT 89779,A81000C,00300,0600,HOME OFFICE 89779,A81000C,00400,0100,D 89779,A81000C,00400,0200,SEE ATTACHED 89779,A81000C,00500,0100,G 89779,A81000C,00500,0200,N/A 89779,A81000C,00500,0400,COMMONWEALTH COMM MGMT 89779,A81000C,00500,0600,CENTRAL OFFICE 89779,A81000C,03100,0000,MANAGEMENT CONTROL 89779,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89779,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89779,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89779,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89779,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89779,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89779,B100000,00000,0800,00000MEALS SERVED :DIETARY 89779,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89779,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89779,B100000,00000,1150,00000N/A :PHARMACY 89779,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89779,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89779,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89779,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89779,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89779,S000000,00100,0200,05/31/2000 89779,S200000,00100,0100,ONE MEADOWBROOK LANE 89779,S200000,00200,0100,CANTON 89779,S200000,00200,0200,MA 89779,S200000,00200,0300,02021- 89779,S200000,00300,0100,NORFOLK 89779,S200000,00400,0100,MEADOWBROOK NURSING HOME 89779,S200000,00400,0200,225587 89779,S200000,00400,0300,08/17/1993 89779,S200000,00400,0500,P 89779,S200000,00400,0600,P 89779,S200000,01004,0500,O 89779,S200000,01600,0100,Y 89786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89786,A000000,00300,0000,00300EMPLOYEE BENEFITS 89786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89786,A000000,00700,0000,00700HOUSEKEEPING 89786,A000000,00800,0000,00800DIETARY 89786,A000000,00900,0000,00900NURSING ADMINISTRATION 89786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89786,A000000,01100,0000,01100PHARMACY 89786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89786,A000000,01300,0000,01300SOCIAL SERVICE 89786,A000000,01350,0000,01500ACTIVITIES 89786,A000000,01351,0000,01501INDIRECT CONSULTANTS 89786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89786,A000000,01600,0000,01600SKILLED NURSING FACILITY 89786,A000000,01800,0000,01800NURSING FACILITY 89786,A000000,01810,0000,01801ICF/MR 89786,A000000,01900,0000,01900OTHER LONG TERM CARE 89786,A000000,02100,0000,02100RADIOLOGY 89786,A000000,02200,0000,02200LABORATORY 89786,A000000,02300,0000,02300INTRAVENOUS THERAPY 89786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89786,A000000,02500,0000,02500PHYSICAL THERAPY 89786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89786,A000000,02700,0000,02700SPEECH PATHOLOGY 89786,A000000,02800,0000,02800ELECTROCARDIOLOGY 89786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89786,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89786,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89786,A000000,03052,0000,03302AMBULANCE 89786,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89786,A000000,03200,0000,03200SUPPORT SURFACES 89786,A000000,03400,0000,03400CLINIC 89786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89786,A000000,03500,0000,03500RURAL HEALTH CLINIC 89786,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89786,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89786,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89786,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89786,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89786,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89786,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89786,A000000,04400,0000,04400DME RENTED - HHA 89786,A000000,04500,0000,04500DME SOLD - HHA 89786,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89786,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89786,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89786,A000000,04800,0000,04800AMBULANCE 89786,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89786,A000000,05000,0000,05000CORF 89786,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89786,A000000,05300,0000,05300INTEREST EXPENSE 89786,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89786,A000000,05500,0000,05500HOSPICE 89786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89786,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89786,A000000,06100,0000,06100NONPAID WORKERS 89786,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89786,A000000,06200,0000,06200PATIENTS LAUNDRY 89786,A81000A,00100,0100,Y 89786,A81000B,00100,0300,RENT-CAPITAL RELATED 89786,A81000B,00200,0300,RENT-CAP. REL. MOVABLE 89786,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89786,A81000B,00400,0300,MGMT FEE - CAPITAL RELATED 89786,A81000B,00500,0300,MGMT FEE - NOT CAPITAL RELATED 89786,A81000B,00600,0300,MGMT FEE - CAP. REL. MOVEABLE 89786,A81000B,00700,0300,WATER & SEWERAGE 89786,A81000B,00800,0300,SOCIAL SERVICE CONSULTANT 89786,A81000B,00900,0300,PURCH SERV ADMINISTRATOR 89786,A81000B,01000,0300,ADMIN & GENERAL SALARIES 89786,A81000B,01100,0300,SOCIAL SERVICE SALARIES 89786,A81000B,01200,0300,EMPLOYEE BENEFITS 89786,A81000B,01300,0300,PURCH SERV ADMINISTRATOR 89786,A81000B,01400,0300,PURCH SERV CLERICAL 89786,A81000B,01500,0300,PURCH SERV SOCIAL SERVICE 89786,A81000C,00100,0100,A 89786,A81000C,00100,0200,DOUG NOBLE 89786,A81000C,00100,0400,PRESIDENTIAL REALTY 89786,A81000C,00100,0600,REALTY 89786,A81000C,00200,0100,A 89786,A81000C,00200,0200,JEFF GOLDSHINE 89786,A81000C,00200,0400,PRESIDENTIAL REALTY 89786,A81000C,00200,0600,REALTY 89786,A81000C,00300,0100,A 89786,A81000C,00300,0200,RICK KOSOW 89786,A81000C,00300,0400,PRESIDENTIAL REALTY 89786,A81000C,00300,0600,REALTY 89786,A81000C,00400,0100,A 89786,A81000C,00400,0200,LEE KOSOW 89786,A81000C,00400,0400,PRESIDENTIAL REALTY 89786,A81000C,00400,0600,REALTY 89786,A81000C,00500,0100,A 89786,A81000C,00500,0200,LAWRENCE KOSOW 89786,A81000C,00500,0400,PRESIDENTIAL REALTY 89786,A81000C,00500,0600,REALTY 89786,A81000C,00600,0100,A 89786,A81000C,00600,0200,MURRAY SACKMAN 89786,A81000C,00600,0400,PRESIDENTIAL REALTY 89786,A81000C,00600,0600,REALTY 89786,A81000C,00700,0100,A 89786,A81000C,00700,0200,MARY CATHERINE RUMSEY 89786,A81000C,00700,0400,PRESIDENTIAL REALTY 89786,A81000C,00700,0600,REALTY 89786,A81000C,00800,0100,B 89786,A81000C,00800,0400,COMMONWEALTH COMMUNITIES 89786,A81000C,00800,0600,HOME OFFICE 89786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89786,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89786,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89786,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89786,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89786,B100000,00000,1150,00000N/A :PHARMACY 89786,B100000,00000,1250,00000N/A :MEDICAL RECORDS & LIBRARY 89786,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89786,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 89786,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89786,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89786,S000000,00100,0200,06/01/2000 89786,S200000,00100,0100,43 OLD COLONY AVE 89786,S200000,00200,0100,QUINCY 89786,S200000,00200,0200,MA 89786,S200000,00200,0300,02170- 89786,S200000,00300,0100,NORFOLK 89786,S200000,00400,0100,PRESIDENTIAL NURSING AND REHAB. 89786,S200000,00400,0200,225588 89786,S200000,00400,0300,07/01/1993 89786,S200000,00400,0500,P 89786,S200000,00400,0600,P 89786,S200000,01600,0100,Y 89796,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89796,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89796,A000000,00300,0000,00300EMPLOYEE BENEFITS 89796,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89796,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89796,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89796,A000000,00700,0000,00700HOUSEKEEPING 89796,A000000,00800,0000,00800DIETARY 89796,A000000,00900,0000,00900NURSING ADMINISTRATION 89796,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89796,A000000,01100,0000,01100PHARMACY 89796,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89796,A000000,01300,0000,01300SOCIAL SERVICE 89796,A000000,01350,0000,01500ACTIVITIES 89796,A000000,01351,0000,01501INDIRECT CONSULTANTS 89796,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89796,A000000,01600,0000,01600SKILLED NURSING FACILITY 89796,A000000,01800,0000,01800NURSING FACILITY 89796,A000000,01810,0000,01810ICF/MR 89796,A000000,01900,0000,01900OTHER LONG TERM CARE 89796,A000000,02100,0000,02100RADIOLOGY 89796,A000000,02200,0000,02200LABORATORY 89796,A000000,02300,0000,02300INTRAVENOUS THERAPY 89796,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89796,A000000,02500,0000,02500PHYSICAL THERAPY 89796,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89796,A000000,02700,0000,02700SPEECH PATHOLOGY 89796,A000000,02800,0000,02800ELECTROCARDIOLOGY 89796,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89796,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89796,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89796,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89796,A000000,03200,0000,03200SUPPORT SURFACES 89796,A000000,03400,0000,03400CLINIC 89796,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89796,A000000,03500,0000,03500RURAL HEALTH CLINIC 89796,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89796,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89796,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89796,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89796,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89796,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89796,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89796,A000000,04400,0000,04400DME RENTED - HHA 89796,A000000,04500,0000,04500DME SOLD - HHA 89796,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89796,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89796,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89796,A000000,04800,0000,04800AMBULANCE 89796,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89796,A000000,05000,0000,05000CORF 89796,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89796,A000000,05300,0000,05300INTEREST EXPENSE 89796,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89796,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89796,A000000,05500,0000,05500HOSPICE 89796,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89796,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89796,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89796,A000000,06100,0000,06100NONPAID WORKERS 89796,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89796,A000000,06200,0000,06200PATIENTS LAUNDRY 89796,A81000A,00100,0100,Y 89796,A81000B,00100,0300,RENT-CAPITAL RELATED 89796,A81000C,00100,0100,A 89796,A81000C,00100,0200,PHILIP GUIDRY 89796,A81000C,00100,0400,PHILIP GUIDRY 89796,A81000C,00100,0600,RENTAL PROPERTY 89796,A81000C,00200,0100,A 89796,A81000C,00200,0200,PHILJAN LIMITED PRTNSHIP 89796,A81000C,00200,0400,PHILJAN LIMITED PRTNSHIP 89796,A81000C,00200,0600,RENTAL PROPERTY 89796,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89796,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89796,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89796,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89796,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89796,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89796,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89796,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89796,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89796,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89796,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89796,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89796,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89796,S000000,00100,0200,12/01/2000 89796,S200000,00100,0100,188 COMMONWEALTH ROAD 89796,S200000,00200,0100,WAYLAND 89796,S200000,00200,0200,MA 89796,S200000,00200,0300,01778- 89796,S200000,00300,0100,MIDDLESEX 89796,S200000,00300,0200,1123 89796,S200000,00300,0300,U 89796,S200000,00400,0100,COCHITUATE NH DBA WAYLAND NRSG & REH 89796,S200000,00400,0200,225591 89796,S200000,00400,0300,08/01/1993 89796,S200000,00400,0500,P 89796,S200000,00400,0600,P 89796,S200000,01004,0500,O 89796,S200000,01500,0100,Y 89804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89804,A000000,00300,0000,00300EMPLOYEE BENEFITS 89804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89804,A000000,00700,0000,00700HOUSEKEEPING 89804,A000000,00800,0000,00800DIETARY 89804,A000000,00900,0000,00900NURSING ADMINISTRATION 89804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89804,A000000,01100,0000,01100PHARMACY 89804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89804,A000000,01300,0000,01300SOCIAL SERVICE 89804,A000000,01350,0000,01500ACTIVITIES 89804,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89804,A000000,01600,0000,01600SKILLED NURSING FACILITY 89804,A000000,01800,0000,01800NURSING FACILITY 89804,A000000,01810,0000,01810ICF/MR 89804,A000000,01900,0000,01900OTHER LONG TERM CARE 89804,A000000,02100,0000,02100RADIOLOGY 89804,A000000,02200,0000,02200LABORATORY 89804,A000000,02300,0000,02300INTRAVENOUS THERAPY 89804,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89804,A000000,02500,0000,02500PHYSICAL THERAPY 89804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89804,A000000,02700,0000,02700SPEECH PATHOLOGY 89804,A000000,02800,0000,02800ELECTROCARDIOLOGY 89804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89804,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89804,A000000,03051,0000,03301AMBULANCE 89804,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89804,A000000,03200,0000,03200SUPPORT SURFACES 89804,A000000,03400,0000,03400CLINIC 89804,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89804,A000000,03500,0000,03500RURAL HEALTH CLINIC 89804,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89804,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89804,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89804,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89804,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89804,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89804,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89804,A000000,04400,0000,04400DME RENTED - HHA 89804,A000000,04500,0000,04500DME SOLD - HHA 89804,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89804,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89804,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89804,A000000,04800,0000,04800AMBULANCE 89804,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89804,A000000,05000,0000,05000CORF 89804,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89804,A000000,05300,0000,05300INTEREST EXPENSE 89804,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89804,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89804,A000000,05500,0000,05500HOSPICE 89804,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89804,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89804,A000000,06100,0000,06100NONPAID WORKERS 89804,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89804,A000000,06200,0000,06200PATIENTS LAUNDRY 89804,A81000A,00100,0100,Y 89804,A81000B,00100,0300,ADMINISTRATOR SALARIES 89804,A81000B,00200,0300,CLERICAL SALARIES 89804,A81000B,00300,0300,MMQ SALARIES 89804,A81000B,00400,0300,PAYROLL BENEFIT ALLOCATION 89804,A81000B,00500,0300,SOCIAL SERVICE SALARY 89804,A81000C,00100,0100,G 89804,A81000C,00100,0200,RICHARD STARR 89804,A81000C,00100,0400,ADMINISTRATOR 89804,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89804,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89804,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89804,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89804,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89804,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89804,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89804,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89804,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89804,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89804,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89804,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89804,S000000,00100,0200,02/08/2001 89804,S200000,00100,0100,501 CORDWAINER DRIVE 89804,S200000,00200,0100,NORWELL 89804,S200000,00200,0200,MA 89804,S200000,00200,0300,02061- 89804,S200000,00300,0100,PLYMOUTH 89804,S200000,00300,0200,1123 89804,S200000,00300,0300,U 89804,S200000,00400,0100,SOUTHWOOD AT NORWELL 89804,S200000,00400,0200,225597 89804,S200000,00400,0300,10/28/1993 89804,S200000,00400,0500,P 89804,S200000,00400,0600,P 89804,S200000,01004,0500,O 89804,S200000,01600,0100,Y 89804,S200000,02800,0100,Y 89810,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89810,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89810,A000000,00300,0000,00300EMPLOYEE BENEFITS 89810,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89810,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89810,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89810,A000000,00700,0000,00700HOUSEKEEPING 89810,A000000,00800,0000,00800DIETARY 89810,A000000,00900,0000,00900NURSING ADMINISTRATION 89810,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89810,A000000,01100,0000,01100PHARMACY 89810,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89810,A000000,01300,0000,01300SOCIAL SERVICE 89810,A000000,01350,0000,01500ACTIVITIES 89810,A000000,01351,0000,01501INDIRECT CONSULTANTS 89810,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89810,A000000,01600,0000,01600SKILLED NURSING FACILITY 89810,A000000,01800,0000,01800NURSING FACILITY 89810,A000000,01810,0000,01801ICF/MR 89810,A000000,01900,0000,01900OTHER LONG TERM CARE 89810,A000000,02100,0000,02100RADIOLOGY 89810,A000000,02200,0000,02200LABORATORY 89810,A000000,02300,0000,02300INTRAVENOUS THERAPY 89810,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89810,A000000,02500,0000,02500PHYSICAL THERAPY 89810,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89810,A000000,02700,0000,02700SPEECH PATHOLOGY 89810,A000000,02800,0000,02800ELECTROCARDIOLOGY 89810,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89810,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89810,A000000,03050,0000,03300E.R. VISITS 89810,A000000,03051,0000,03301AMBULANCE 89810,A000000,03052,0000,03302VACCINES/CLIA 89810,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89810,A000000,03200,0000,03200SUPPORT SURFACES 89810,A000000,03400,0000,03400CLINIC 89810,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89810,A000000,03500,0000,03500RURAL HEALTH CLINIC 89810,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89810,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89810,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89810,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89810,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89810,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89810,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89810,A000000,04400,0000,04400DME RENTED - HHA 89810,A000000,04500,0000,04500DME SOLD - HHA 89810,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89810,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89810,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89810,A000000,04800,0000,04800AMBULANCE 89810,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89810,A000000,05000,0000,05000CORF 89810,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89810,A000000,05300,0000,05300INTEREST EXPENSE 89810,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89810,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89810,A000000,05500,0000,05500HOSPICE 89810,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89810,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89810,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89810,A000000,06100,0000,06100NONPAID WORKERS 89810,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89810,A000000,06200,0000,06200PATIENTS LAUNDRY 89810,A81000A,00100,0100,Y 89810,A81000B,00100,0300,RENT-CAPITAL RELATED 89810,A81000B,00200,0300,ADMINISTRATOR SALARY 89810,A81000C,00100,0100,A 89810,A81000C,00100,0200,INDIRA DESAI 89810,A81000C,00100,0400,I & J REALTY 89810,A81000C,00100,0600,RENTAL PROPERTY 89810,A81000C,00200,0100,A 89810,A81000C,00200,0200,INDIRA DESAI 89810,A81000C,00200,0600,OWNER 89810,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89810,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89810,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89810,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89810,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89810,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89810,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89810,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89810,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89810,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89810,B100000,00000,1150,00000N/A :PHARMACY 89810,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89810,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89810,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89810,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89810,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89810,S000000,00100,0200,05/31/2000 89810,S200000,00100,0100,226 CONCORD STREET 89810,S200000,00200,0100,FRAMINGHAM 89810,S200000,00200,0200,MA 89810,S200000,00200,0300,01701- 89810,S200000,00300,0100,MIDDLESEX 89810,S200000,00400,0100,LAXMI CORPORATION DBA RESIDENT CARE 89810,S200000,00400,0200,225598 89810,S200000,00400,0300,01/01/1994 89810,S200000,00400,0500,P 89810,S200000,00400,0600,P 89810,S200000,01600,0100,Y 89815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89815,A000000,00300,0000,00300EMPLOYEE BENEFITS 89815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89815,A000000,00700,0000,00700HOUSEKEEPING 89815,A000000,00800,0000,00800DIETARY 89815,A000000,00900,0000,00900NURSING ADMINISTRATION 89815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89815,A000000,01100,0000,01100PHARMACY 89815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89815,A000000,01300,0000,01300SOCIAL SERVICE 89815,A000000,01350,0000,01500ACTIVITIES 89815,A000000,01351,0000,01501INDIRECT CONSULTANTS 89815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89815,A000000,01600,0000,01600SKILLED NURSING FACILITY 89815,A000000,01800,0000,01800NURSING FACILITY 89815,A000000,01810,0000,01801ICF/MR 89815,A000000,01900,0000,01900OTHER LONG TERM CARE 89815,A000000,02100,0000,02100RADIOLOGY 89815,A000000,02200,0000,02200LABORATORY 89815,A000000,02300,0000,02300INTRAVENOUS THERAPY 89815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89815,A000000,02500,0000,02500PHYSICAL THERAPY 89815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89815,A000000,02700,0000,02700SPEECH PATHOLOGY 89815,A000000,02800,0000,02800ELECTROCARDIOLOGY 89815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89815,A000000,03200,0000,03200SUPPORT SURFACES 89815,A000000,03400,0000,03400CLINIC 89815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89815,A000000,03500,0000,03500RURAL HEALTH CLINIC 89815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89815,A000000,04400,0000,04400DME RENTED - HHA 89815,A000000,04500,0000,04500DME SOLD - HHA 89815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89815,A000000,04800,0000,04800AMBULANCE 89815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89815,A000000,05000,0000,05000CORF 89815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89815,A000000,05300,0000,05300INTEREST EXPENSE 89815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89815,A000000,05500,0000,05500HOSPICE 89815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89815,A000000,06100,0000,06100NONPAID WORKERS 89815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89815,A000000,06200,0000,06200PATIENTS LAUNDRY 89815,A81000A,00100,0100,Y 89815,A81000B,00100,0300,RENT-CAPITAL RELATED 89815,A81000B,00200,0300,ADMINISTRATOR SALARIES 89815,A81000B,00300,0300,CLERICAL SERVICES 89815,A81000B,00400,0300,ADMISSIONS SERVICES 89815,A81000C,00100,0100,A 89815,A81000C,00100,0200,M CUMMINGS 89815,A81000C,00100,0400,9 POPE STREET 89815,A81000C,00100,0600,RENTAL PROPERTY 89815,A81000C,00200,0100,A 89815,A81000C,00200,0200,P CUMMINGS 89815,A81000C,00200,0400,9 POPE STREET 89815,A81000C,00200,0600,RENTAL PROPERTY 89815,A81000C,00300,0100,A 89815,A81000C,00300,0200,N CUMMINGS 89815,A81000C,00300,0400,9 POPE STREET 89815,A81000C,00300,0600,RENTAL PROPERTY 89815,A81000C,00400,0100,A 89815,A81000C,00400,0200,N LORDAN 89815,A81000C,00400,0400,9 POPE STREET 89815,A81000C,00400,0600,RENTAL PROPERTY 89815,A81000C,00500,0100,A 89815,A81000C,00500,0200,J LORDAN 89815,A81000C,00500,0400,9 POPE STREET 89815,A81000C,00500,0600,RENTAL PROPERTY 89815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89815,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89815,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89815,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89815,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89815,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89815,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89815,B100000,00000,1150,00000N/A :PHARMACY 89815,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89815,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89815,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89815,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89815,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89815,S000000,00100,0200,04/28/2000 89815,S200000,00100,0100,9 POPE STREET 89815,S200000,00200,0100,NEW BEDFORD 89815,S200000,00200,0200,MA 89815,S200000,00200,0300,02740- 89815,S200000,00300,0100,BRISTOL 89815,S200000,00400,0100,BEDFORD VILLAGE NURSING HOME 89815,S200000,00400,0200,225599 89815,S200000,00400,0300,09/01/1993 89815,S200000,00400,0500,P 89815,S200000,00400,0600,P 89815,S200000,01004,0500,O 89815,S200000,01600,0100,Y 89815,S700003,00000,0100,1 89827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89827,A000000,00300,0000,00300EMPLOYEE BENEFITS 89827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89827,A000000,00700,0000,00700HOUSEKEEPING 89827,A000000,00800,0000,00800DIETARY 89827,A000000,00900,0000,00900NURSING ADMINISTRATION 89827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89827,A000000,01100,0000,01100PHARMACY 89827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89827,A000000,01300,0000,01300SOCIAL SERVICE 89827,A000000,01350,0000,01500RECREATION 89827,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89827,A000000,01600,0000,01600SKILLED NURSING FACILITY 89827,A000000,01810,0000,01810ICF/MR 89827,A000000,02100,0000,02100RADIOLOGY 89827,A000000,02200,0000,02200LABORATORY 89827,A000000,02300,0000,02300INTRAVENOUS THERAPY 89827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89827,A000000,02500,0000,02500PHYSICAL THERAPY 89827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89827,A000000,02700,0000,02700SPEECH PATHOLOGY 89827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89827,A000000,03550,0000,03550FQHC 89827,A000000,05000,0000,05000CORF 89827,A000000,05010,0000,05010CMHC 89827,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89827,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89827,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89827,A81000A,00100,0100,Y 89827,A81000B,00100,0300,HOME OFFICE EXPENSE 89827,A81000B,00200,0300,HOME OFFICE EXPENSE 89827,A81000B,00300,0300,MGMT FEE 89827,A81000C,00100,0100,B 89827,A81000C,00100,0400,OLYMPUS H/C GRO 89827,A81000C,00100,0600,OWN/MNG FACILIT 89827,A81000C,00200,0100,B 89827,A81000C,00200,0400,OLYMPUS H/C GRO 89827,A81000C,00200,0600,OWN/MNG FACILIT 89827,A81000C,00300,0100,B 89827,A81000C,00300,0400,OLYMPUS H/C GRO 89827,A81000C,00300,0600,OWN/MNG FACILIT 89827,A81000C,00500,0200,SEE HCFA FORM 3 89827,A81000C,00600,0200,AND A-8-5 FOR 89827,A81000C,00700,0200,ADDITIONAL RELA 89827,A81000C,00800,0200,PARTY TRANSACTI 89827,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 89827,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 89827,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 89827,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 89827,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 89827,B100000,00000,0650,00040CENSUS DAYS :LAUNDRY & LINEN SERVI 89827,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 89827,B100000,00000,0800,00040MEALS SERVED :DIETARY 89827,B100000,00000,0950,00040CENSUS DAYS :NURSING ADMINISTRATIO 89827,B100000,00000,1050,00040CENSUS DAYS :CENTRAL SERVICES & SU 89827,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 89827,B100000,00000,1250,00040CENSUS DAYS :MEDICAL RECORDS & LIB 89827,B100000,00000,1330,00040CENSUS DAYS :SOCIAL SERVICE 89827,B100000,00000,1350,00040CENSUS DAYS :RECREATION 89827,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 89827,S000000,00100,0200,10/09/2000 89827,S200000,00100,0100,1120 WASHINTON ST. 89827,S200000,00200,0100,BRAINTREEE 89827,S200000,00200,0200,MA 89827,S200000,00200,0300,02184- 89827,S200000,00300,0100,NORFOLK 89827,S200000,00400,0100,OLYMPUS HLTHCARE CTR.-HOLLINGSWORTH 89827,S200000,00400,0200,225600 89827,S200000,00400,0300,12/01/1993 89827,S200000,00400,0500,P 89827,S200000,00400,0600,P 89827,S200000,01004,0500,O 89827,S200000,01500,0100,Y 89827,S700003,00000,0200,2 89833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89833,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89833,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89833,A000000,00300,0000,00300EMPLOYEE BENEFITS 89833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89833,A000000,00700,0000,00700HOUSEKEEPING 89833,A000000,00800,0000,00800DIETARY 89833,A000000,00801,0000,00801CAFETERIA 89833,A000000,00900,0000,00900NURSING ADMINISTRATION 89833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89833,A000000,01100,0000,01100PHARMACY 89833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89833,A000000,01300,0000,01300SOCIAL SERVICE 89833,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89833,A000000,01600,0000,01600SKILLED NURSING FACILITY 89833,A000000,01800,0000,01800NURSING FACILITY 89833,A000000,01900,0000,01900OTHER LONG TERM CARE 89833,A000000,02100,0000,02100RADIOLOGY 89833,A000000,02200,0000,02200LABORATORY 89833,A000000,02300,0000,02300INTRAVENOUS THERAPY 89833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89833,A000000,02500,0000,02500PHYSICAL THERAPY 89833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89833,A000000,02700,0000,02700SPEECH PATHOLOGY 89833,A000000,02800,0000,02800ELECTROCARDIOLOGY 89833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89833,A000000,03050,0000,03300OTHER ANCILLARY 89833,A000000,03051,0000,03301OTHER ANCILLARY II 89833,A000000,03052,0000,03302OTHER ANCILLARY III 89833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89833,A000000,03200,0000,03200SUPPORT SURFACES 89833,A000000,03400,0000,03400CLINIC 89833,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89833,A000000,03500,0000,03500RURAL HEALTH CLINIC 89833,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89833,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89833,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89833,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89833,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89833,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89833,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89833,A000000,04400,0000,04400DME RENTED - HHA 89833,A000000,04500,0000,04500DME SOLD - HHA 89833,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89833,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89833,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89833,A000000,04800,0000,04800AMBULANCE 89833,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89833,A000000,05000,0000,05000CORF 89833,A000000,05010,0000,05010CMHC I 89833,A000000,05020,0000,05020OPT I 89833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89833,A000000,05300,0000,05300INTEREST EXPENSE 89833,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89833,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89833,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89833,A000000,05500,0000,05500HOSPICE 89833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89833,A000000,06100,0000,06100NONPAID WORKERS 89833,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89833,A000000,06200,0000,06200PATIENTS LAUNDRY 89833,A81000A,00100,0100,Y 89833,A81000B,00100,0300,ADMINISTRATOR FEES 89833,A81000B,00200,0300,ADMIN. WORKERS COMP. 89833,A81000B,00300,0300,ADMIN. EDUC. COSTS 89833,A81000B,00400,0300,STORAGE RENTAL 89833,A81000C,00100,0100,B 89833,A81000C,00100,0200,G. PAUL HOPKINS 89833,A81000C,00100,0400,G. PAUL HOPKINS 89833,A81000C,00100,0600,ADMINISTRATOR 89833,A81000C,00200,0100,B 89833,A81000C,00200,0200,G. PAUL HOPKINS 89833,A81000C,00200,0400,G. PAUL HOPKINS 89833,A81000C,00200,0600,ADMINISTRATOR 89833,A81000C,00300,0100,B 89833,A81000C,00300,0200,G. PAUL HOPKINS 89833,A81000C,00300,0400,G. PAUL HOPKINS 89833,A81000C,00300,0600,ADMINISTRATOR 89833,A81000C,00400,0100,B 89833,A81000C,00400,0200,G. PAUL HOPKINS 89833,A81000C,00400,0400,G. PAUL HOPKINS 89833,A81000C,00400,0600,ADMINISTRATOR 89833,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89833,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89833,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89833,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89833,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89833,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89833,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89833,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89833,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89833,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89833,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89833,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89833,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89833,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 89833,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 89833,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89833,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89833,S000000,00100,0200,05/03/2000 89833,S200000,00100,0100,221 WORCESTER LANE 89833,S200000,00200,0100,WALTHAM 89833,S200000,00200,0200,MA 89833,S200000,00200,0300,02451- 89833,S200000,00300,0100,MIDDLESEX 89833,S200000,00400,0100,LARCHWOOD LODGE 89833,S200000,00400,0200,225601 89833,S200000,00400,0300,04/01/1994 89833,S200000,00400,0500,P 89833,S200000,01500,0100,Y 89833,S200000,02800,0100,Y 89833,S700003,00000,0100,1 89841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89841,A000000,00300,0000,00300EMPLOYEE BENEFITS 89841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89841,A000000,00700,0000,00700HOUSEKEEPING 89841,A000000,00800,0000,00800DIETARY 89841,A000000,00900,0000,00900NURSING ADMINISTRATION 89841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89841,A000000,01100,0000,01100PHARMACY 89841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89841,A000000,01300,0000,01300SOCIAL SERVICE 89841,A000000,01301,0000,01301ACTIVITIES 89841,A000000,01350,0000,01500OTHER GENERAL SERVICES 89841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89841,A000000,01600,0000,01600SKILLED NURSING FACILITY 89841,A000000,01800,0000,01800NURSING FACILITY 89841,A000000,01810,0000,01801ICF/MR 89841,A000000,01900,0000,01900OTHER LONG TERM CARE 89841,A000000,02100,0000,02100RADIOLOGY 89841,A000000,02200,0000,02200LABORATORY 89841,A000000,02300,0000,02300INTRAVENOUS THERAPY 89841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89841,A000000,02500,0000,02500PHYSICAL THERAPY 89841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89841,A000000,02700,0000,02700SPEECH PATHOLOGY 89841,A000000,02800,0000,02800ELECTROCARDIOLOGY 89841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89841,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89841,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89841,A000000,03200,0000,03200SUPPORT SURFACES 89841,A000000,03400,0000,03400CLINIC 89841,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89841,A000000,03500,0000,03500RURAL HEALTH CLINIC 89841,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89841,A000000,04800,0000,04800AMBULANCE 89841,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89841,A000000,05000,0000,05000CORF 89841,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89841,A000000,05300,0000,05300INTEREST EXPENSE 89841,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89841,A000000,05500,0000,05500HOSPICE 89841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89841,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89841,A000000,06100,0000,06100NONPAID WORKERS 89841,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89841,A000000,06200,0000,06200PATIENTS LAUNDRY 89841,A81000A,00100,0100,Y 89841,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 89841,A81000B,00200,0300,CAPITAL 89841,A81000C,00100,0100,A 89841,A81000C,00100,0200,THOMAS M & LINDA M CLATKE 89841,A81000C,00100,0400,LENOX HEALTHCARE INC. 89841,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89841,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 89841,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89841,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89841,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89841,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 89841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89841,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 89841,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 89841,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89841,S000000,00100,0200,12/05/2000 89841,S200000,00100,0100,250 SHEARER STREET 89841,S200000,00200,0100,PALMER 89841,S200000,00200,0200,MA 89841,S200000,00200,0300,01069-0566 89841,S200000,00300,0100,WORCESTER 89841,S200000,00400,0100,PALMER HOUSE ALZHEIMERS CENTER 89841,S200000,00400,0200,225602 89841,S200000,00400,0300,03/01/1994 89841,S200000,00400,0500,P 89841,S200000,01500,0100,Y 89841,S700003,00000,0200,2 89847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89847,A000000,00300,0000,00300EMPLOYEE BENEFITS 89847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89847,A000000,00700,0000,00700HOUSEKEEPING 89847,A000000,00800,0000,00800DIETARY 89847,A000000,00900,0000,00900NURSING ADMINISTRATION 89847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89847,A000000,01100,0000,01100PHARMACY 89847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89847,A000000,01300,0000,01300SOCIAL SERVICE 89847,A000000,01350,0000,01500ACTIVITIES 89847,A000000,01351,0000,01501INDIRECT CONSULTANTS 89847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89847,A000000,01600,0000,01600SKILLED NURSING FACILITY 89847,A000000,01800,0000,01800NURSING FACILITY 89847,A000000,01810,0000,01801ICF/MR 89847,A000000,01900,0000,01900OTHER LONG TERM CARE 89847,A000000,02100,0000,02100RADIOLOGY 89847,A000000,02200,0000,02200LABORATORY 89847,A000000,02300,0000,02300INTRAVENOUS THERAPY 89847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89847,A000000,02500,0000,02500PHYSICAL THERAPY 89847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89847,A000000,02700,0000,02700SPEECH PATHOLOGY 89847,A000000,02800,0000,02800ELECTROCARDIOLOGY 89847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89847,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89847,A000000,03051,0000,03301TRANSPORTATION 89847,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89847,A000000,03200,0000,03200SUPPORT SURFACES 89847,A000000,03400,0000,03400CLINIC 89847,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89847,A000000,03500,0000,03500RURAL HEALTH CLINIC 89847,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89847,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89847,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89847,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89847,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89847,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89847,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89847,A000000,04400,0000,04400DME RENTED - HHA 89847,A000000,04500,0000,04500DME SOLD - HHA 89847,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89847,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89847,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89847,A000000,04800,0000,04800AMBULANCE 89847,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89847,A000000,05000,0000,05000CORF 89847,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89847,A000000,05300,0000,05300INTEREST EXPENSE 89847,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89847,A000000,05500,0000,05500HOSPICE 89847,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89847,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89847,A000000,06100,0000,06100NONPAID WORKERS 89847,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89847,A000000,06200,0000,06200PATIENTS LAUNDRY 89847,A81000A,00100,0100,Y 89847,A81000B,00100,0300,RENT-CAPITAL RELATED 89847,A81000B,00200,0300,RENT-CAP REL MOVABLE 89847,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 89847,A81000B,00400,0300,MGMT FEE-NOT CAP RELATED 89847,A81000B,00500,0300,MGMT FEE-CAP REL MOVABLE 89847,A81000B,00600,0300,RENT-NOT CAP RELATED 89847,A81000C,00100,0100,A 89847,A81000C,00100,0200,MARK TOBIN 89847,A81000C,00100,0400,SOUTHPOINTE PARTNERSHIP 89847,A81000C,00100,0600,REALTY 89847,A81000C,00200,0100,A 89847,A81000C,00200,0200,WILLIAM FREID 89847,A81000C,00200,0400,SOUTHPOINTE PARTNERSHIP 89847,A81000C,00200,0600,REALTY 89847,A81000C,00300,0100,A 89847,A81000C,00300,0200,MARK TOBIN 89847,A81000C,00300,0400,THE POINTE GROUP INC. 89847,A81000C,00300,0600,MANAGEMENT 89847,A81000C,00400,0100,A 89847,A81000C,00400,0200,WILLIAM FREID 89847,A81000C,00400,0400,THE POINTE GROUP INC. 89847,A81000C,00400,0600,MANAGEMENT 89847,A81000C,00500,0100,A 89847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89847,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89847,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89847,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89847,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89847,B100000,00000,1150,00000N/A N/A :PHARMACY 89847,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89847,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89847,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89847,B100000,00000,1351,00000N/A N/A :INDIRECT CONSULTANTS 89847,B100000,00000,1450,00000N/A N/A :INTERNS & RESIDENTS (APPR 89847,S000000,00100,0200,03/01/2000 89847,S200000,00100,0100,100 AMITY STREET 89847,S200000,00200,0100,FALL RIVER 89847,S200000,00200,0200,MA 89847,S200000,00200,0300,02721- 89847,S200000,00300,0100,BRISTOL 89847,S200000,00400,0100,SOUTHPOINTE NURSING HOME 89847,S200000,00400,0200,225603 89847,S200000,00400,0300,12/16/1993 89847,S200000,00400,0500,P 89847,S200000,00400,0600,P 89847,S200000,01500,0100,Y 89847,S700003,00000,0100,1 89850,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89850,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89850,A000000,00300,0000,00300EMPLOYEE BENEFITS 89850,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89850,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89850,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89850,A000000,00700,0000,00700HOUSEKEEPING 89850,A000000,00800,0000,00800DIETARY 89850,A000000,00900,0000,00900NURSING ADMINISTRATION 89850,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89850,A000000,01100,0000,01100PHARMACY 89850,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89850,A000000,01300,0000,01300SOCIAL SERVICE 89850,A000000,01350,0000,01500ACTIVITIES 89850,A000000,01351,0000,01501INDIRECT CONSULTANTS 89850,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89850,A000000,01600,0000,01600SKILLED NURSING FACILITY 89850,A000000,01800,0000,01800NURSING FACILITY 89850,A000000,01810,0000,01801ICF/MR 89850,A000000,01900,0000,01900OTHER LONG TERM CARE 89850,A000000,02100,0000,02100RADIOLOGY 89850,A000000,02200,0000,02200LABORATORY 89850,A000000,02300,0000,02300INTRAVENOUS THERAPY 89850,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89850,A000000,02500,0000,02500PHYSICAL THERAPY 89850,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89850,A000000,02700,0000,02700SPEECH PATHOLOGY 89850,A000000,02800,0000,02800ELECTROCARDIOLOGY 89850,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89850,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89850,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89850,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89850,A000000,03052,0000,03302PEN THERAPY 89850,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89850,A000000,03200,0000,03200SUPPORT SURFACES 89850,A000000,03400,0000,03400CLINIC 89850,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89850,A000000,03500,0000,03500RURAL HEALTH CLINIC 89850,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89850,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89850,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89850,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89850,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89850,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89850,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89850,A000000,04400,0000,04400DME RENTED - HHA 89850,A000000,04500,0000,04500DME SOLD - HHA 89850,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89850,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89850,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89850,A000000,04800,0000,04800AMBULANCE 89850,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89850,A000000,05000,0000,05000CORF 89850,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89850,A000000,05300,0000,05300INTEREST EXPENSE 89850,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89850,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89850,A000000,05500,0000,05500HOSPICE 89850,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89850,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89850,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89850,A000000,06100,0000,06100NONPAID WORKERS 89850,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89850,A000000,06200,0000,06200PATIENTS LAUNDRY 89850,A81000A,00100,0100,Y 89850,A81000B,00100,0300,RENT-CAPITAL RELATED 89850,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89850,A81000B,00300,0300,OT SALARY ALLOCATION 89850,A81000B,00400,0300,SOCIAL SVC SALARY ALLOCATION 89850,A81000B,00500,0300,EMPLOYEE BENEFITS-PR TAXES 89850,A81000B,00600,0300,EMPLOYEE BENEFITS-WORKERS COMP 89850,A81000B,00700,0300,EMPLOYEE BENEFITS-GROUP INS 89850,A81000B,00800,0300,EMPLOYEE BENEFITS-401(K) 89850,A81000B,00900,0300,PLANT SALARY ALLOCATION 89850,A81000B,01000,0300,MGMT FEE-CAP REL BLDG & FIXED 89850,A81000B,01100,0300,MGMT FEE-CAP REL MME 89850,A81000C,00100,0100,A 89850,A81000C,00100,0200,NICHOLAS THISSE 89850,A81000C,00100,0400,REHAB ASSOCIATES 89850,A81000C,00100,0600,HOME OFFICE 89850,A81000C,00200,0100,A 89850,A81000C,00200,0200,NICHOLAS THISSE 89850,A81000C,00200,0400,VICTORIA HAVEN REALTY 89850,A81000C,00200,0600,RENTAL PROPERTY 89850,A81000C,00300,0100,A 89850,A81000C,00300,0200,MARION THISSE 89850,A81000C,00300,0400,VICTORIA HAVEN REALTY 89850,A81000C,00300,0600,RENTAL PROPERTY 89850,A81000C,00400,0100,A 89850,A81000C,00400,0200,MARION THISSE 89850,A81000C,00400,0400,REHAB ASSOCIATES 89850,A81000C,00400,0600,HOME OFFICE 89850,A81000C,00500,0100,A 89850,A81000C,00500,0200,NICHOLAS THISSE 89850,A81000C,00500,0400,THOMAS UPHAM HOUSE 89850,A81000C,00500,0600,NURSING HOME 89850,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89850,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89850,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89850,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89850,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89850,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89850,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89850,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89850,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89850,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89850,B100000,00000,1150,00000N/A :PHARMACY 89850,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89850,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89850,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89850,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89850,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89850,S000000,00100,0200,06/01/2000 89850,S200000,00100,0100,137 NICHOLS STREET 89850,S200000,00200,0100,NORWOOD 89850,S200000,00200,0200,MA 89850,S200000,00200,0300,02062- 89850,S200000,00300,0100,NORFOLK 89850,S200000,00400,0100,137 NICHOLS ST. DBA VICTORIA HAVEN 89850,S200000,00400,0200,225608 89850,S200000,00400,0300,03/01/1994 89850,S200000,00400,0500,P 89850,S200000,00400,0600,P 89850,S200000,01500,0100,Y 89850,S700003,00000,0100,1 89851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89851,A000000,00300,0000,00300EMPLOYEE BENEFITS 89851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89851,A000000,00700,0000,00700HOUSEKEEPING 89851,A000000,00800,0000,00800DIETARY 89851,A000000,00900,0000,00900NURSING ADMINISTRATION 89851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89851,A000000,01100,0000,01100PHARMACY 89851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89851,A000000,01300,0000,01300SOCIAL SERVICE 89851,A000000,01350,0000,01500ACTIVITIES 89851,A000000,01351,0000,01501INDIRECT CONSULTANTS 89851,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89851,A000000,01600,0000,01600SKILLED NURSING FACILITY 89851,A000000,01800,0000,01800NURSING FACILITY 89851,A000000,01810,0000,01801ICF/MR 89851,A000000,01900,0000,01900OTHER LONG TERM CARE 89851,A000000,02100,0000,02100RADIOLOGY 89851,A000000,02200,0000,02200LABORATORY 89851,A000000,02300,0000,02300INTRAVENOUS THERAPY 89851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89851,A000000,02500,0000,02500PHYSICAL THERAPY 89851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89851,A000000,02700,0000,02700SPEECH PATHOLOGY 89851,A000000,02800,0000,02800ELECTROCARDIOLOGY 89851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89851,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89851,A000000,03051,0000,03301UROL/SURGICAL SUPPLIES 89851,A000000,03052,0000,03302PEN THERAPY 89851,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89851,A000000,03200,0000,03200SUPPORT SURFACES 89851,A000000,03400,0000,03400CLINIC 89851,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89851,A000000,03500,0000,03500RURAL HEALTH CLINIC 89851,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89851,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89851,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89851,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89851,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89851,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89851,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89851,A000000,04400,0000,04400DME RENTED - HHA 89851,A000000,04500,0000,04500DME SOLD - HHA 89851,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89851,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89851,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89851,A000000,04800,0000,04800AMBULANCE 89851,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89851,A000000,05000,0000,05000CORF 89851,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89851,A000000,05300,0000,05300INTEREST EXPENSE 89851,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89851,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89851,A000000,05500,0000,05500HOSPICE 89851,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89851,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89851,A000000,06100,0000,06100NONPAID WORKERS 89851,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89851,A000000,06200,0000,06200PATIENTS LAUNDRY 89851,A81000A,00100,0100,Y 89851,A81000B,00100,0300,RENT-CAPITAL RELATED 89851,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89851,A81000B,00300,0300,CNA ALLOCATED SALARY 89851,A81000B,00400,0300,A&G KEYMAN INSURANCE 89851,A81000B,00500,0300,DISABILITY INSURANCE 89851,A81000B,00600,0300,A&G WORKING CAPITAL INS 89851,A81000B,00700,0300,MGMT FEE-CAP REL BLDG & FIXED 89851,A81000B,00800,0300,MGMT FEE-CAP REL MME 89851,A81000C,00100,0100,A 89851,A81000C,00100,0200,NICHOLAS THISSE 89851,A81000C,00100,0400,REHAB ASSOCIATES 89851,A81000C,00100,0600,HOME OFFICE 89851,A81000C,00200,0100,A 89851,A81000C,00200,0200,MARION THISSE 89851,A81000C,00200,0400,BRI-BROOK 89851,A81000C,00200,0600,RENTAL PROPERTY 89851,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89851,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89851,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89851,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89851,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89851,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89851,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89851,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89851,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89851,B100000,00000,1150,00000N/A :PHARMACY 89851,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89851,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89851,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89851,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89851,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89851,S000000,00100,0200,06/01/2000 89851,S200000,00100,0100,249 COREY ROAD 89851,S200000,00200,0100,BRIGHTON 89851,S200000,00200,0200,MA 89851,S200000,00200,0300,02146- 89851,S200000,00300,0100,SUFFOLK 89851,S200000,00400,0100,COREY HILL NURSING HOME 89851,S200000,00400,0200,225609 89851,S200000,00400,0300,03/01/1994 89851,S200000,00400,0500,P 89851,S200000,00400,0600,P 89851,S200000,01500,0100,Y 89851,S700003,00000,0100,1 89854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89854,A000000,00300,0000,00300EMPLOYEE BENEFITS 89854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89854,A000000,00700,0000,00700HOUSEKEEPING 89854,A000000,00800,0000,00800DIETARY 89854,A000000,00900,0000,00900NURSING ADMINISTRATION 89854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89854,A000000,01100,0000,01100PHARMACY 89854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89854,A000000,01300,0000,01300SOCIAL SERVICE 89854,A000000,01350,0000,01500ACTIVITIES 89854,A000000,01351,0000,01501INDIRECT CONSULTANTS 89854,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89854,A000000,01600,0000,01600SKILLED NURSING FACILITY 89854,A000000,01800,0000,01800NURSING FACILITY 89854,A000000,01810,0000,01801ICF/MR 89854,A000000,01900,0000,01900OTHER LONG TERM CARE 89854,A000000,02100,0000,02100RADIOLOGY 89854,A000000,02200,0000,02200LABORATORY 89854,A000000,02300,0000,02300INTRAVENOUS THERAPY 89854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89854,A000000,02500,0000,02500PHYSICAL THERAPY 89854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89854,A000000,02700,0000,02700SPEECH PATHOLOGY 89854,A000000,02800,0000,02800ELECTROCARDIOLOGY 89854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89854,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 89854,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89854,A000000,03200,0000,03200SUPPORT SURFACES 89854,A000000,03400,0000,03400CLINIC 89854,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89854,A000000,03500,0000,03500RURAL HEALTH CLINIC 89854,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89854,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89854,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89854,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89854,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89854,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89854,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89854,A000000,04400,0000,04400DME RENTED - HHA 89854,A000000,04500,0000,04500DME SOLD - HHA 89854,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89854,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89854,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89854,A000000,04800,0000,04800AMBULANCE 89854,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89854,A000000,05000,0000,05000CORF 89854,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89854,A000000,05300,0000,05300INTEREST EXPENSE 89854,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89854,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89854,A000000,05500,0000,05500HOSPICE 89854,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89854,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89854,A000000,06100,0000,06100NONPAID WORKERS 89854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89854,A000000,06200,0000,06200PATIENTS LAUNDRY 89854,A81000A,00100,0100,Y 89854,A81000B,00100,0300,RENT-CAPITAL RELATED 89854,A81000B,00200,0300,ADMINISTRATION SALARIES 89854,A81000B,00300,0300,CLERICAL SERVICES 89854,A81000B,00400,0300,SOCIAL SERVICE 89854,A81000C,00100,0100,A 89854,A81000C,00100,0200,PAUL CUMMINGS 89854,A81000C,00100,0400,P&M CUMMINGS REALTY TRUST 89854,A81000C,00100,0600,RENTAL PROPERTY 89854,A81000C,00200,0100,A 89854,A81000C,00200,0200,MICHAEL CUMMINGS 89854,A81000C,00200,0400,P&M CUMMINGS REALTY TRUST 89854,A81000C,00200,0600,RENTAL PROPERTY 89854,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89854,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89854,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89854,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89854,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89854,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89854,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89854,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89854,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89854,B100000,00000,1150,00000N/A :PHARMACY 89854,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89854,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89854,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89854,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89854,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89854,S000000,00100,0200,04/28/2000 89854,S200000,00100,0100,907 CENTER STREET 89854,S200000,00200,0100,NORTH DIGHTON 89854,S200000,00200,0200,MA 89854,S200000,00200,0300,02764- 89854,S200000,00300,0100,BRISTOL 89854,S200000,00400,0100,DIGHTON NURSING CENTER 89854,S200000,00400,0200,225612 89854,S200000,00400,0300,02/01/1994 89854,S200000,00400,0500,P 89854,S200000,00400,0600,P 89854,S200000,01004,0500,O 89854,S200000,01600,0100,Y 89854,S700003,00000,0100,1 89857,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89857,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89857,A000000,00300,0000,00300EMPLOYEE BENEFITS 89857,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89857,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89857,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89857,A000000,00700,0000,00700HOUSEKEEPING 89857,A000000,00800,0000,00800DIETARY 89857,A000000,00900,0000,00900NURSING ADMINISTRATION 89857,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89857,A000000,01100,0000,01100PHARMACY 89857,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89857,A000000,01300,0000,01300SOCIAL SERVICE 89857,A000000,01350,0000,01500ACTIVITIES 89857,A000000,01351,0000,01501INDIRECT CONSULTANTS 89857,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89857,A000000,01600,0000,01600SKILLED NURSING FACILITY 89857,A000000,01800,0000,01800NURSING FACILITY 89857,A000000,01810,0000,01801ICF/MR 89857,A000000,01900,0000,01900OTHER LONG TERM CARE 89857,A000000,02100,0000,02100RADIOLOGY 89857,A000000,02200,0000,02200LABORATORY 89857,A000000,02300,0000,02300INTRAVENOUS THERAPY 89857,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89857,A000000,02500,0000,02500PHYSICAL THERAPY 89857,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89857,A000000,02700,0000,02700SPEECH PATHOLOGY 89857,A000000,02800,0000,02800ELECTROCARDIOLOGY 89857,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89857,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89857,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89857,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89857,A000000,03052,0000,03302PEN THERAPY 89857,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89857,A000000,03200,0000,03200SUPPORT SURFACES 89857,A000000,03400,0000,03400CLINIC 89857,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89857,A000000,03500,0000,03500RURAL HEALTH CLINIC 89857,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89857,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89857,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89857,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89857,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89857,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89857,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89857,A000000,04400,0000,04400DME RENTED - HHA 89857,A000000,04500,0000,04500DME SOLD - HHA 89857,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89857,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89857,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89857,A000000,04800,0000,04800AMBULANCE 89857,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89857,A000000,05000,0000,05000CORF 89857,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89857,A000000,05300,0000,05300INTEREST EXPENSE 89857,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89857,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89857,A000000,05500,0000,05500HOSPICE 89857,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89857,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89857,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89857,A000000,06100,0000,06100NONPAID WORKERS 89857,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89857,A000000,06200,0000,06200PATIENTS LAUNDRY 89857,A81000A,00100,0100,Y 89857,A81000B,00100,0300,RENT-CAPITAL RELATED 89857,A81000B,00200,0300,RENT-CAP REL MOVABLE 89857,A81000B,00300,0300,MGMT FEE-NOT CAPITAL RELATED 89857,A81000B,00400,0300,MGMT FEE-CAP REL BLDG & FIXED 89857,A81000B,00500,0300,MGMT FEE-CAP REL MME 89857,A81000C,00100,0100,A 89857,A81000C,00100,0200,NICHOLAS THISSE 89857,A81000C,00100,0400,POPE REALTY LLC 89857,A81000C,00100,0600,RENTAL PROPERTY 89857,A81000C,00200,0100,A 89857,A81000C,00200,0200,NICHOLAS THISSE 89857,A81000C,00200,0400,REHAB ASSOCIATES 89857,A81000C,00200,0600,HOME OFFICE 89857,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89857,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89857,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89857,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89857,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89857,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89857,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89857,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89857,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89857,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89857,B100000,00000,1150,00000N/A :PHARMACY 89857,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89857,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89857,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89857,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89857,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89857,S000000,00100,0200,06/01/2000 89857,S200000,00100,0100,140 WEBB STREET 89857,S200000,00200,0100,WEYMOUTH 89857,S200000,00200,0200,MA 89857,S200000,00200,0300,02118- 89857,S200000,00300,0100,NORFOLK 89857,S200000,00400,0100,140 WEBB ST INC DBA POPE NURSING HOM 89857,S200000,00400,0200,225613 89857,S200000,00400,0300,03/01/1994 89857,S200000,00400,0500,P 89857,S200000,00400,0600,P 89857,S200000,01500,0100,Y 89857,S700003,00000,0100,1 89859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89859,A000000,00300,0000,00300EMPLOYEE BENEFITS 89859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89859,A000000,00700,0000,00700HOUSEKEEPING 89859,A000000,00800,0000,00800DIETARY 89859,A000000,00900,0000,00900NURSING ADMINISTRATION 89859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89859,A000000,01100,0000,01100PHARMACY 89859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89859,A000000,01300,0000,01300SOCIAL SERVICE 89859,A000000,01350,0000,01500ACTIVITIES 89859,A000000,01351,0000,01501INDIRECT CONSULTANTS 89859,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89859,A000000,01600,0000,01600SKILLED NURSING FACILITY 89859,A000000,01800,0000,01800NURSING FACILITY 89859,A000000,01810,0000,01801ICF/MR 89859,A000000,01900,0000,01900OTHER LONG TERM CARE 89859,A000000,02100,0000,02100RADIOLOGY 89859,A000000,02200,0000,02200LABORATORY 89859,A000000,02300,0000,02300INTRAVENOUS THERAPY 89859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89859,A000000,02500,0000,02500PHYSICAL THERAPY 89859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89859,A000000,02700,0000,02700SPEECH PATHOLOGY 89859,A000000,02800,0000,02800ELECTROCARDIOLOGY 89859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89859,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89859,A000000,03051,0000,03301UROL/SURG/COLOS SUPPLIES 89859,A000000,03052,0000,03302PEN THERAPY 89859,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89859,A000000,03200,0000,03200SUPPORT SURFACES 89859,A000000,03400,0000,03400CLINIC 89859,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89859,A000000,03500,0000,03500RURAL HEALTH CLINIC 89859,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89859,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89859,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89859,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89859,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89859,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89859,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89859,A000000,04400,0000,04400DME RENTED - HHA 89859,A000000,04500,0000,04500DME SOLD - HHA 89859,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89859,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89859,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89859,A000000,04800,0000,04800AMBULANCE 89859,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89859,A000000,05000,0000,05000CORF 89859,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89859,A000000,05300,0000,05300INTEREST EXPENSE 89859,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89859,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89859,A000000,05500,0000,05500HOSPICE 89859,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89859,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89859,A000000,06100,0000,06100NONPAID WORKERS 89859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89859,A000000,06200,0000,06200PATIENTS LAUNDRY 89859,A81000A,00100,0100,Y 89859,A81000B,00100,0300,RENT-CAPITAL RELATED 89859,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89859,A81000B,00300,0300,QA ALLOCATION 89859,A81000B,00400,0300,SOCIAL SERVICE SALARY ALLOCATION 89859,A81000B,00500,0300,PLANT SALARY ALLOCATION 89859,A81000B,00600,0300,OCCUPATIONAL THERAPY ALLOCATION 89859,A81000B,00700,0300,PHYSICAL THERAPY ALLOCATION 89859,A81000B,00800,0300,CNA ALLOCATION 89859,A81000B,00900,0300,LPN ALLOCATION 89859,A81000B,01000,0300,EMPLOYEE BENEFITS-PAYROLL TAXES 89859,A81000B,01100,0300,EMPLOYEE BENEFITS-WORKERS COMP 89859,A81000B,01200,0300,EMPLOYEE BENEFITS-GROUP INS 89859,A81000B,01300,0300,EMPLOYEE BENEFITS-401(K) 89859,A81000B,01400,0300,MGMT FEE-CAP REL BLDG & FIXED 89859,A81000B,01500,0300,MGMT FEE-CAP REL MME 89859,A81000C,00100,0100,A 89859,A81000C,00100,0200,NICHOLAS THISSE 89859,A81000C,00100,0400,RIVERBEND REALTY 89859,A81000C,00100,0600,REALTY COMPANY 89859,A81000C,00200,0100,A 89859,A81000C,00200,0200,NICHOLAS THISSE 89859,A81000C,00200,0400,REHAB ASSOCIATES 89859,A81000C,00200,0600,HOME OFFICE 89859,A81000C,00300,0100,A 89859,A81000C,00300,0200,NICHOLAS THISSE 89859,A81000C,00300,0400,THOMAS UPHAM HOUSE 89859,A81000C,00300,0600,NURSING FACILITY 89859,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89859,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89859,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89859,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89859,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89859,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89859,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89859,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89859,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89859,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89859,B100000,00000,1150,00000N/A :PHARMACY 89859,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89859,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89859,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89859,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89859,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89859,S000000,00100,0200,06/01/2000 89859,S200000,00100,0100,34 LINCOLN STREET 89859,S200000,00200,0100,NATICK 89859,S200000,00200,0200,MA 89859,S200000,00200,0300,01760- 89859,S200000,00300,0100,MIDDLESEX 89859,S200000,00400,0100,34 LINCOLN ST INC DBA RIVERBEND CONV 89859,S200000,00400,0200,225615 89859,S200000,00400,0300,03/01/1994 89859,S200000,00400,0500,P 89859,S200000,00400,0600,P 89859,S200000,01500,0100,Y 89859,S700003,00000,0100,1 89861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89861,A000000,00300,0000,00300EMPLOYEE BENEFITS 89861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89861,A000000,00700,0000,00700HOUSEKEEPING 89861,A000000,00800,0000,00800DIETARY 89861,A000000,00900,0000,00900NURSING ADMINISTRATION 89861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89861,A000000,01100,0000,01100PHARMACY 89861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89861,A000000,01300,0000,01300SOCIAL SERVICE 89861,A000000,01350,0000,01500ACTIVITIES 89861,A000000,01351,0000,01501INDIRECT CONSULTANTS 89861,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89861,A000000,01600,0000,01600SKILLED NURSING FACILITY 89861,A000000,01800,0000,01800NURSING FACILITY 89861,A000000,01810,0000,01801ICF/MR 89861,A000000,01900,0000,01900OTHER LONG TERM CARE 89861,A000000,02100,0000,02100RADIOLOGY 89861,A000000,02200,0000,02200LABORATORY 89861,A000000,02300,0000,02300INTRAVENOUS THERAPY 89861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89861,A000000,02500,0000,02500PHYSICAL THERAPY 89861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89861,A000000,02700,0000,02700SPEECH PATHOLOGY 89861,A000000,02800,0000,02800ELECTROCARDIOLOGY 89861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89861,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89861,A000000,03051,0000,03301UROL/SURG/COLOS SUPPLIES 89861,A000000,03052,0000,03302PEN THERAPY 89861,A000000,03053,0000,03303AMBULANCE 89861,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89861,A000000,03200,0000,03200SUPPORT SURFACES 89861,A000000,03400,0000,03400CLINIC 89861,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89861,A000000,03500,0000,03500RURAL HEALTH CLINIC 89861,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89861,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89861,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89861,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89861,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89861,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89861,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89861,A000000,04400,0000,04400DME RENTED - HHA 89861,A000000,04500,0000,04500DME SOLD - HHA 89861,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89861,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89861,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89861,A000000,04800,0000,04800AMBULANCE 89861,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89861,A000000,05000,0000,05000CORF 89861,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89861,A000000,05300,0000,05300INTEREST EXPENSE 89861,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89861,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89861,A000000,05500,0000,05500HOSPICE 89861,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89861,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89861,A000000,06100,0000,06100NONPAID WORKERS 89861,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89861,A000000,06200,0000,06200PATIENTS LAUNDRY 89861,A81000A,00100,0100,Y 89861,A81000B,00100,0300,RENT-CAPITAL RELATED 89861,A81000B,00200,0300,MGMT FEE-NOT CAPTIAL RELATED 89861,A81000B,00300,0300,PHYSICAL THERAPY SALARY ALLOCATION 89861,A81000B,00400,0300,PLANT OPERATION SALARY ALLOCATION 89861,A81000B,00500,0300,OCCUPATIONAL THERAPY SALARY ALLOCATI 89861,A81000B,00600,0300,CNA SALARY ALLOCATION 89861,A81000B,00700,0300,EMPLOYEE BENEFITS-PAYROLL TAXES 89861,A81000B,00800,0300,EMPLOYEE BENEFITS-GROUP INS 89861,A81000B,00900,0300,EMPLOYEE BENEFITS-WORKERS COMP 89861,A81000B,01000,0300,MGMT FEE-CAP REL BLDG & FIXED 89861,A81000B,01100,0300,MGMT FEE-CAP REL MME 89861,A81000C,00100,0100,A 89861,A81000C,00100,0200,NICHOLAS THISSE 89861,A81000C,00100,0400,REHAB ASSOCIATES 89861,A81000C,00100,0600,HOME OFFICE 89861,A81000C,00200,0100,A 89861,A81000C,00200,0200,NICHOLAS THISSE 89861,A81000C,00200,0400,BRIDGEWATER REALTY 89861,A81000C,00200,0600,RENTAL PROPERTY 89861,A81000C,00300,0100,A 89861,A81000C,00300,0200,NICHOLAS THISSE 89861,A81000C,00300,0400,THOMAS UPHAM HOUSE 89861,A81000C,00300,0600,NURSING FACILITY 89861,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89861,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89861,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89861,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89861,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89861,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89861,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89861,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89861,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89861,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89861,B100000,00000,1150,00000N/A :PHARMACY 89861,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89861,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89861,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89861,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89861,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89861,S000000,00100,0200,06/01/2000 89861,S200000,00100,0100,16 PLEASANT STREET 89861,S200000,00200,0100,BRIDGEWATER 89861,S200000,00200,0200,MA 89861,S200000,00200,0300,02324- 89861,S200000,00300,0100,PLYMOUTH 89861,S200000,00400,0100,16 PLEASANT ST DBA BRIDGEWATER N.H. 89861,S200000,00400,0200,225616 89861,S200000,00400,0300,03/01/1994 89861,S200000,00400,0500,P 89861,S200000,00400,0600,P 89861,S200000,01500,0100,Y 89861,S700003,00000,0100,1 89864,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89864,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89864,A000000,00300,0000,00300EMPLOYEE BENEFITS 89864,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89864,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89864,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89864,A000000,00700,0000,00700HOUSEKEEPING 89864,A000000,00800,0000,00800DIETARY 89864,A000000,00900,0000,00900NURSING ADMINISTRATION 89864,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89864,A000000,01100,0000,01100PHARMACY 89864,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89864,A000000,01300,0000,01300SOCIAL SERVICE 89864,A000000,01350,0000,01500ACTIVITIES 89864,A000000,01351,0000,01501INDIRECT CONSULTANTS 89864,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89864,A000000,01600,0000,01600SKILLED NURSING FACILITY 89864,A000000,01800,0000,01800NURSING FACILITY 89864,A000000,01810,0000,01801ICF/MR 89864,A000000,01900,0000,01900OTHER LONG TERM CARE 89864,A000000,02100,0000,02100RADIOLOGY 89864,A000000,02200,0000,02200LABORATORY 89864,A000000,02300,0000,02300INTRAVENOUS THERAPY 89864,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89864,A000000,02500,0000,02500PHYSICAL THERAPY 89864,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89864,A000000,02700,0000,02700SPEECH PATHOLOGY 89864,A000000,02800,0000,02800ELECTROCARDIOLOGY 89864,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89864,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89864,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89864,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89864,A000000,03052,0000,03302PEN THERAPY 89864,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89864,A000000,03200,0000,03200SUPPORT SURFACES 89864,A000000,03400,0000,03400CLINIC 89864,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89864,A000000,03500,0000,03500RURAL HEALTH CLINIC 89864,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89864,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89864,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89864,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89864,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89864,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89864,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89864,A000000,04400,0000,04400DME RENTED - HHA 89864,A000000,04500,0000,04500DME SOLD - HHA 89864,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89864,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89864,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89864,A000000,04800,0000,04800AMBULANCE 89864,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89864,A000000,05000,0000,05000CORF 89864,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89864,A000000,05300,0000,05300INTEREST EXPENSE 89864,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89864,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89864,A000000,05500,0000,05500HOSPICE 89864,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89864,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89864,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89864,A000000,06100,0000,06100NONPAID WORKERS 89864,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89864,A000000,06200,0000,06200PATIENTS LAUNDRY 89864,A81000A,00100,0100,Y 89864,A81000B,00100,0300,RENT-CAPITAL RELATED 89864,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89864,A81000B,00300,0300,SOCIAL SERVICE SALARY 89864,A81000B,00400,0300,CNA SALARY 89864,A81000B,00500,0300,OCCUPATIONAL THERAPY SALARY 89864,A81000B,00600,0300,PHYSICAL THERAPY SALARY 89864,A81000B,00700,0300,QA NURSE SALARY 89864,A81000B,00800,0300,EMPLOYEE BENEFITS-PAYROLL TAXES 89864,A81000B,00900,0300,EMPLOYEE BENEFITS-WORKERS COMP 89864,A81000B,01000,0300,EMPLOYEE BENEFITS-HEALTH INSURANCE 89864,A81000B,01100,0300,EMPLOYEE BENEFITS-401(K) 89864,A81000B,01200,0300,MGMT FEE-CAP REL BLDG & FIXED 89864,A81000B,01300,0300,MGMT FEE-CAP REL MME 89864,A81000C,00100,0100,A 89864,A81000C,00100,0200,NICHOLAS THISSE 89864,A81000C,00100,0400,REHAB ASSOCIATES 89864,A81000C,00100,0600,HOME OFFICE 89864,A81000C,00200,0100,A 89864,A81000C,00200,0200,MARION THISSE 89864,A81000C,00200,0400,TAMARACK TRUST 89864,A81000C,00200,0600,RENTAL PROPERTY 89864,A81000C,00300,0100,A 89864,A81000C,00300,0200,NICHOLAS THISSE 89864,A81000C,00300,0400,THOMAS UPHAM HOUSE 89864,A81000C,00300,0600,NURSING FACILITY 89864,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89864,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89864,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89864,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89864,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89864,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89864,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89864,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89864,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89864,B100000,00000,1150,00000N/A :PHARMACY 89864,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89864,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89864,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89864,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89864,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89864,E10A180,00301,0100,08/16/1999 89864,S000000,00100,0200,06/01/2000 89864,S200000,00100,0100,5 RHODES STREET 89864,S200000,00200,0100,MILLBURY 89864,S200000,00200,0200,MA 89864,S200000,00200,0300,01527- 89864,S200000,00300,0100,WORCESTER 89864,S200000,00400,0100,5 RHODES ST. INC.DBA MILLBURY CONV 89864,S200000,00400,0200,225617 89864,S200000,00400,0300,03/01/1994 89864,S200000,00400,0500,P 89864,S200000,00400,0600,P 89864,S200000,01500,0100,Y 89864,S700003,00000,0100,1 89871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89871,A000000,00300,0000,00300EMPLOYEE BENEFITS 89871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89871,A000000,00700,0000,00700HOUSEKEEPING 89871,A000000,00800,0000,00800DIETARY 89871,A000000,00900,0000,00900NURSING ADMINISTRATION 89871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89871,A000000,01100,0000,01100PHARMACY 89871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89871,A000000,01300,0000,01300SOCIAL SERVICE 89871,A000000,01600,0000,01600SKILLED NURSING FACILITY 89871,A000000,01900,0000,01900OTHER LONG TERM CARE 89871,A000000,02500,0000,02500PHYSICAL THERAPY 89871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89871,A000000,02700,0000,02700SPEECH PATHOLOGY 89871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89871,A000000,03200,0000,03200SUPPORT SURFACES 89871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89871,A000000,05300,0000,05300INTEREST EXPENSE 89871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89871,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 89871,A81000A,00100,0100,Y 89871,A81000B,00100,0300,OCCUPANCY COSTS 89871,A81000C,00100,0100,G 89871,A81000C,00100,0200,MARIE ESTHER HE 89871,A81000C,00100,0400,SRS OF SAINT AN 89871,A81000C,00100,0600,RELIGIOUS 89871,A81000C,03100,0000,MARIE ESTHER HEALTH CENTER 89871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89871,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89871,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 89871,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 89871,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 89871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89871,S000000,00100,0200,06/01/2000 89871,S200000,00100,0100,720 BOSTON POST ROAD 89871,S200000,00200,0100,MARLBOROUGH 89871,S200000,00200,0200,MA 89871,S200000,00200,0300,01752- 89871,S200000,00300,0100,MIDDLESEX 89871,S200000,00400,0100,MARIE ESTHER HEALTH CENTER INC. 89871,S200000,00400,0200,225619 89871,S200000,00400,0300,02/18/1994 89871,S200000,00400,0500,P 89871,S200000,01500,0100,Y 89871,S200000,02200,0100,Y 89871,S200000,02800,0100,Y 89871,S700003,00000,0100,1 89878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89878,A000000,00300,0000,00300EMPLOYEE BENEFITS 89878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89878,A000000,00700,0000,00700HOUSEKEEPING 89878,A000000,00800,0000,00800DIETARY 89878,A000000,00900,0000,00900NURSING ADMINISTRATION 89878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89878,A000000,01100,0000,01100PHARMACY 89878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89878,A000000,01300,0000,01300SOCIAL SERVICE 89878,A000000,01350,0000,01500ACTIVITIES 89878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89878,A000000,01600,0000,01600SKILLED NURSING FACILITY 89878,A000000,01800,0000,01800NURSING FACILITY 89878,A000000,01810,0000,01810ICF/MR 89878,A000000,02200,0000,02200LABORATORY 89878,A000000,02300,0000,02300INTRAVENOUS THERAPY 89878,A000000,02500,0000,02500PHYSICAL THERAPY 89878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89878,A000000,02700,0000,02700SPEECH PATHOLOGY 89878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89878,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89878,A000000,03550,0000,03550FQHC 89878,A000000,05000,0000,05000CORF 89878,A000000,05010,0000,05010CMHC 89878,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89878,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89878,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89878,A81000A,00100,0100,Y 89878,A81000B,00100,0300,ADMINISTRATOR SALARY 89878,A81000B,00200,0300,CLERICAL SALARIES 89878,A81000C,00100,0100,G 89878,A81000C,00100,0200,ORA MAE TORRES 89878,A81000C,00200,0100,G 89878,A81000C,00200,0200,DONALD TORRES 89878,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89878,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89878,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89878,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89878,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89878,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89878,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89878,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89878,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89878,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89878,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89878,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89878,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89878,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89878,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89878,S000000,00100,0200,11/22/2000 89878,S200000,00200,0200,CA 89878,S200000,00400,0100,ATRIUM NURSING CENTER 89878,S200000,00400,0200,225622 89878,S200000,00400,0300,02/19/1997 89878,S200000,00400,0500,P 89880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89880,A000000,00300,0000,00300EMPLOYEE BENEFITS 89880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89880,A000000,00700,0000,00700HOUSEKEEPING 89880,A000000,00800,0000,00800DIETARY 89880,A000000,00900,0000,00900NURSING ADMINISTRATION 89880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89880,A000000,01100,0000,01100PHARMACY 89880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89880,A000000,01300,0000,01300SOCIAL SERVICE 89880,A000000,01350,0000,01500ACTIVITIES 89880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89880,A000000,01600,0000,01600SKILLED NURSING FACILITY 89880,A000000,01800,0000,01800NURSING FACILITY 89880,A000000,02200,0000,02200LABORATORY 89880,A000000,02300,0000,02300INTRAVENOUS THERAPY 89880,A000000,02500,0000,02500PHYSICAL THERAPY 89880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89880,A000000,02700,0000,02700SPEECH PATHOLOGY 89880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89880,A000000,03050,0000,03300X-RAY 89880,A000000,03550,0000,03550FQHC 89880,A000000,05000,0000,05000CORF 89880,A000000,05010,0000,05010CMHC 89880,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89880,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89880,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89880,A81000A,00100,0100,Y 89880,A81000B,00100,0300,MGT FEE - CAP RELATE 89880,A81000B,00200,0300,MGT FEE - NOT CAP 89880,A81000B,00300,0300,MGT FEE - CAP REL MV 89880,A81000B,00400,0300,DIETICIAN-ALLOCATED 89880,A81000B,00500,0300,ALLOCATED-MGT MIN EV 89880,A81000B,00600,0300,ALLOCATED-DIR NRS SV 89880,A81000B,00700,0300,ALLOCATED-MDS COORD 89880,A81000B,00800,0300,ALLOCATED-REHAB DIR 89880,A81000B,00900,0300,RENT-CAPITAL 89880,A81000C,00100,0100,D 89880,A81000C,00100,0200,TS LOGAN 89880,A81000C,00100,0400,LOGAN HEALTHCAR 89880,A81000C,00100,0600,HOME OFFICE 89880,A81000C,00200,0100,D 89880,A81000C,00200,0200,TS LOGAN 89880,A81000C,00200,0400,ATRIUM 89880,A81000C,00200,0600,RENTAL PROPERTY 89880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89880,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89880,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89880,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 89880,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89880,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 89880,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89880,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89880,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89880,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89880,S000000,00100,0200,11/22/2000 89880,S200000,00400,0100,ATRIUM NURSING CENTER 89880,S200000,00400,0200,225622 89880,S200000,00400,0300,02/19/1997 89880,S200000,00400,0500,P 89880,S200000,01600,0100,Y 89880,S700003,00000,0100,1 89883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89883,A000000,00300,0000,00300EMPLOYEE BENEFITS 89883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89883,A000000,00700,0000,00700HOUSEKEEPING 89883,A000000,00800,0000,00800DIETARY 89883,A000000,00900,0000,00900NURSING ADMINISTRATION 89883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89883,A000000,01100,0000,01100PHARMACY 89883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89883,A000000,01300,0000,01300SOCIAL SERVICE 89883,A000000,01350,0000,01500ACTIVITIES 89883,A000000,01351,0000,01501INDIRECT CONSULTANTS 89883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89883,A000000,01600,0000,01600SKILLED NURSING FACILITY 89883,A000000,01800,0000,01800NURSING FACILITY 89883,A000000,01810,0000,01801ICF/MR 89883,A000000,01900,0000,01900OTHER LONG TERM CARE 89883,A000000,02100,0000,02100RADIOLOGY 89883,A000000,02200,0000,02200LABORATORY 89883,A000000,02300,0000,02300INTRAVENOUS THERAPY 89883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89883,A000000,02500,0000,02500PHYSICAL THERAPY 89883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89883,A000000,02700,0000,02700SPEECH PATHOLOGY 89883,A000000,02800,0000,02800ELECTROCARDIOLOGY 89883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89883,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89883,A000000,03051,0000,03301FINGERSTICK 89883,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89883,A000000,03200,0000,03200SUPPORT SURFACES 89883,A000000,03400,0000,03400CLINIC 89883,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89883,A000000,03500,0000,03500RURAL HEALTH CLINIC 89883,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89883,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89883,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89883,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89883,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89883,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89883,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89883,A000000,04400,0000,04400DME RENTED - HHA 89883,A000000,04500,0000,04500DME SOLD - HHA 89883,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89883,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89883,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89883,A000000,04800,0000,04800AMBULANCE 89883,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89883,A000000,05000,0000,05000CORF 89883,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89883,A000000,05300,0000,05300INTEREST EXPENSE 89883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89883,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89883,A000000,05500,0000,05500HOSPICE 89883,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89883,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89883,A000000,06100,0000,06100NONPAID WORKERS 89883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89883,A000000,06200,0000,06200PATIENTS LAUNDRY 89883,A81000A,00100,0100,Y 89883,A81000B,00100,0300,RENT-CAPITAL RELATED 89883,A81000B,00200,0300,RENT-CAP REL MOVABLE 89883,A81000B,00300,0300,ADMINISTRATOR SALARIES 89883,A81000B,00400,0300,INTEREST 89883,A81000C,00100,0100,B 89883,A81000C,00100,0200,VINFEN CORP 89883,A81000C,00100,0400,VINFEN CORP 89883,A81000C,00100,0600,RENTAL PROPERTY 89883,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89883,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89883,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89883,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89883,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89883,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89883,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89883,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89883,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89883,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89883,B100000,00000,1150,00000N/A :PHARMACY 89883,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89883,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89883,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89883,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89883,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89883,S000000,00100,0200,05/31/2000 89883,S200000,00100,0100,133 HANCOCK STREET 89883,S200000,00200,0100,DORCHESTER 89883,S200000,00200,0200,MA 89883,S200000,00200,0300,02125- 89883,S200000,00300,0100,SUFFOLK 89883,S200000,00400,0100,HANCOCK MANOR NURSING HOME 89883,S200000,00400,0200,225628 89883,S200000,00400,0300,05/01/1994 89883,S200000,00400,0500,P 89883,S200000,00400,0600,P 89883,S200000,01500,0100,Y 89883,S700003,00000,0100,1 89885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89885,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89885,A000000,00300,0000,00300EMPLOYEE BENEFITS 89885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89885,A000000,00700,0000,00700HOUSEKEEPING 89885,A000000,00800,0000,00800DIETARY 89885,A000000,00900,0000,00900NURSING ADMINISTRATION 89885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89885,A000000,01100,0000,01100PHARMACY 89885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89885,A000000,01300,0000,01300SOCIAL SERVICE 89885,A000000,01350,0000,01500ACTIVITIES 89885,A000000,01351,0000,01501INDIRECT CONSULTANTS 89885,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89885,A000000,01600,0000,01600SKILLED NURSING FACILITY 89885,A000000,01800,0000,01800NURSING FACILITY 89885,A000000,01810,0000,01801ICF/MR 89885,A000000,01900,0000,01900OTHER LONG TERM CARE 89885,A000000,02100,0000,02100RADIOLOGY 89885,A000000,02200,0000,02200LABORATORY 89885,A000000,02300,0000,02300INTRAVENOUS THERAPY 89885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89885,A000000,02500,0000,02500PHYSICAL THERAPY 89885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89885,A000000,02700,0000,02700SPEECH PATHOLOGY 89885,A000000,02800,0000,02800ELECTROCARDIOLOGY 89885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89885,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89885,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89885,A000000,03200,0000,03200SUPPORT SURFACES 89885,A000000,03400,0000,03400CLINIC 89885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89885,A000000,03500,0000,03500RURAL HEALTH CLINIC 89885,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89885,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89885,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89885,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89885,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89885,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89885,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89885,A000000,04400,0000,04400DME RENTED - HHA 89885,A000000,04500,0000,04500DME SOLD - HHA 89885,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89885,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89885,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89885,A000000,04800,0000,04800AMBULANCE 89885,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89885,A000000,05000,0000,05000CORF 89885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89885,A000000,05300,0000,05300INTEREST EXPENSE 89885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89885,A000000,05500,0000,05500HOSPICE 89885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89885,A000000,06100,0000,06100NONPAID WORKERS 89885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89885,A000000,06200,0000,06200PATIENTS LAUNDRY 89885,A81000A,00100,0100,Y 89885,A81000B,00100,0300,RENT-CAPITAL RELATED 89885,A81000B,00200,0300,ADMINISTRATOR SALARY 89885,A81000B,00300,0300,CLERICAL SALARY 89885,A81000B,00400,0300,ADMIN & GENERAL - MGMT FEE 89885,A81000C,00100,0100,A 89885,A81000C,00100,0200,KENNETH OGRADY 89885,A81000C,00100,0400,KOG REALTY TRUST 89885,A81000C,00100,0600,RENTAL PROPERTY 89885,A81000C,00200,0100,A 89885,A81000C,00200,0200,KENNETH OGRADY 89885,A81000C,00200,0600,OWNER 89885,A81000C,00300,0100,A 89885,A81000C,00300,0200,BERNADETTE OGRADY 89885,A81000C,00300,0600,RELATED TO OWNER 89885,A81000C,00400,0100,A 89885,A81000C,00400,0200,KENNETH OGRADY 89885,A81000C,00400,0600,OWNER 89885,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89885,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89885,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89885,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89885,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89885,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89885,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89885,B100000,00000,0900,00000HOURS NURSING :NURSING ADMINISTRAT 89885,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89885,B100000,00000,1150,00000N/A :PHARMACY 89885,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89885,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89885,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89885,B100000,00000,1351,00000NO STATISTICS :INDIRECT CONSULTANT 89885,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89885,S000000,00100,0200,06/05/2000 89885,S200000,00100,0100,23 N. GRAFTON HILL ROAD 89885,S200000,00200,0100,NORTH GRAFTON 89885,S200000,00200,0200,MA 89885,S200000,00200,0300,01536- 89885,S200000,00300,0100,WORCESTER 89885,S200000,00400,0100,BRIGHAM HILL NURSING CENTER INC. 89885,S200000,00400,0200,225631 89885,S200000,00400,0300,06/01/1994 89885,S200000,00400,0500,P 89885,S200000,00400,0600,P 89885,S200000,01004,0500,O 89885,S200000,01500,0100,Y 89885,S700003,00000,0100,1 89889,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89889,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89889,A000000,00300,0000,00300EMPLOYEE BENEFITS 89889,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89889,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89889,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89889,A000000,00700,0000,00700HOUSEKEEPING 89889,A000000,00800,0000,00800DIETARY 89889,A000000,00900,0000,00900NURSING ADMINISTRATION 89889,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89889,A000000,01100,0000,01100PHARMACY 89889,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89889,A000000,01300,0000,01300SOCIAL SERVICE 89889,A000000,01350,0000,01500ACTIVITIES 89889,A000000,01351,0000,01501INDIRECT CONSULTANTS 89889,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89889,A000000,01600,0000,01600SKILLED NURSING FACILITY 89889,A000000,01800,0000,01800NURSING FACILITY 89889,A000000,01810,0000,01801ICF/MR 89889,A000000,01900,0000,01900OTHER LONG TERM CARE 89889,A000000,02100,0000,02100RADIOLOGY 89889,A000000,02200,0000,02200LABORATORY 89889,A000000,02300,0000,02300INTRAVENOUS THERAPY 89889,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89889,A000000,02500,0000,02500PHYSICAL THERAPY 89889,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89889,A000000,02700,0000,02700SPEECH PATHOLOGY 89889,A000000,02800,0000,02800ELECTROCARDIOLOGY 89889,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89889,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89889,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89889,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89889,A000000,03200,0000,03200SUPPORT SURFACES 89889,A000000,03400,0000,03400CLINIC 89889,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89889,A000000,03500,0000,03500RURAL HEALTH CLINIC 89889,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89889,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89889,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89889,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89889,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89889,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89889,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89889,A000000,04400,0000,04400DME RENTED - HHA 89889,A000000,04500,0000,04500DME SOLD - HHA 89889,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89889,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89889,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89889,A000000,04800,0000,04800AMBULANCE 89889,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89889,A000000,05000,0000,05000CORF 89889,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89889,A000000,05300,0000,05300INTEREST EXPENSE 89889,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89889,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89889,A000000,05500,0000,05500HOSPICE 89889,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89889,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89889,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89889,A000000,06100,0000,06100NONPAID WORKERS 89889,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89889,A000000,06200,0000,06200PATIENTS LAUNDRY 89889,A81000A,00100,0100,Y 89889,A81000B,00100,0300,RENT-CAPITAL RELATED 89889,A81000B,00200,0300,ADMINISTRATIVE SALARIES 89889,A81000B,00300,0300,ADMISSIONS PURCHASED SERVICE 89889,A81000C,00100,0100,A 89889,A81000C,00100,0200,NANCY LORDAN 89889,A81000C,00100,0400,92 FRANKLIN STREET 89889,A81000C,00100,0600,RENTAL PROPERTY 89889,A81000C,00200,0100,A 89889,A81000C,00200,0200,MICHAEL CUMMINGS 89889,A81000C,00200,0400,92 FRANKLIN STREET 89889,A81000C,00200,0600,RENTAL PROPERTY 89889,A81000C,00300,0100,A 89889,A81000C,00300,0200,PAUL CUMMINGS 89889,A81000C,00300,0400,92 FRANKLIN STREET 89889,A81000C,00300,0600,RENTAL PROPERTY 89889,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89889,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89889,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89889,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89889,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89889,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89889,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89889,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89889,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89889,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89889,B100000,00000,1150,00000N/A :PHARMACY 89889,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89889,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89889,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89889,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89889,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89889,S000000,00100,0200,04/28/2000 89889,S200000,00100,0100,92 FRANKLIN STREET 89889,S200000,00200,0100,MELROSE 89889,S200000,00200,0200,MA 89889,S200000,00200,0300,02176- 89889,S200000,00300,0100,MIDDLESEX 89889,S200000,00400,0100,TUELL NURSING HOME 89889,S200000,00400,0200,225635 89889,S200000,00400,0300,08/01/1994 89889,S200000,00400,0500,P 89889,S200000,00400,0600,P 89889,S200000,01004,0500,O 89889,S200000,01600,0100,Y 89889,S700003,00000,0100,1 89896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89896,A000000,00300,0000,00300EMPLOYEE BENEFITS 89896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89896,A000000,00700,0000,00700HOUSEKEEPING 89896,A000000,00800,0000,00800DIETARY 89896,A000000,00900,0000,00900NURSING ADMINISTRATION 89896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89896,A000000,01100,0000,01100PHARMACY 89896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89896,A000000,01300,0000,01300SOCIAL SERVICE 89896,A000000,01350,0000,01500ACTIVITIES 89896,A000000,01351,0000,01501INDIRECT CONSULTANTS 89896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89896,A000000,01600,0000,01600SKILLED NURSING FACILITY 89896,A000000,01800,0000,01800NURSING FACILITY 89896,A000000,01810,0000,01801ICF/MR 89896,A000000,01900,0000,01900OTHER LONG TERM CARE 89896,A000000,02100,0000,02100RADIOLOGY 89896,A000000,02200,0000,02200LABORATORY 89896,A000000,02300,0000,02300INTRAVENOUS THERAPY 89896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89896,A000000,02500,0000,02500PHYSICAL THERAPY 89896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89896,A000000,02700,0000,02700SPEECH PATHOLOGY 89896,A000000,02800,0000,02800ELECTROCARDIOLOGY 89896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89896,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89896,A000000,03200,0000,03200SUPPORT SURFACES 89896,A000000,03400,0000,03400CLINIC 89896,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89896,A000000,03500,0000,03500RURAL HEALTH CLINIC 89896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89896,A000000,04400,0000,04400DME RENTED - HHA 89896,A000000,04500,0000,04500DME SOLD - HHA 89896,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89896,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89896,A000000,04800,0000,04800AMBULANCE 89896,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89896,A000000,05000,0000,05000CORF 89896,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89896,A000000,05300,0000,05300INTEREST EXPENSE 89896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89896,A000000,05500,0000,05500HOSPICE 89896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89896,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89896,A000000,06100,0000,06100NONPAID WORKERS 89896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89896,A000000,06200,0000,06200PATIENTS LAUNDRY 89896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89896,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89896,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89896,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89896,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89896,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89896,B100000,00000,1150,00000N/A :PHARMACY 89896,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89896,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89896,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89896,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89896,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89896,S000000,00100,0200,05/31/2000 89896,S200000,00100,0100,150 BERKELEY STREET 89896,S200000,00200,0100,LAWRENCE 89896,S200000,00200,0200,MA 89896,S200000,00200,0300,01841- 89896,S200000,00300,0100,ESSEX 89896,S200000,00400,0100,THE BERKELEY RETIREMENT HOME 89896,S200000,00400,0200,225640 89896,S200000,00400,0300,05/27/1994 89896,S200000,00400,0500,P 89896,S200000,00400,0600,P 89896,S200000,01004,0500,O 89896,S200000,01600,0100,Y 89896,S700003,00000,0100,1 89904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89904,A000000,00300,0000,00300EMPLOYEE BENEFITS 89904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89904,A000000,00700,0000,00700HOUSEKEEPING 89904,A000000,00800,0000,00800DIETARY 89904,A000000,00900,0000,00900NURSING ADMINISTRATION 89904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89904,A000000,01100,0000,01100PHARMACY 89904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89904,A000000,01300,0000,01300SOCIAL SERVICE 89904,A000000,01350,0000,01500ACTIVITIES 89904,A000000,01351,0000,01501INDIRECT CONSULTANTS 89904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89904,A000000,01600,0000,01600SKILLED NURSING FACILITY 89904,A000000,01800,0000,01800NURSING FACILITY 89904,A000000,01810,0000,01801ICF/MR 89904,A000000,01900,0000,01900OTHER LONG TERM CARE 89904,A000000,02100,0000,02100RADIOLOGY 89904,A000000,02200,0000,02200LABORATORY 89904,A000000,02300,0000,02300INTRAVENOUS THERAPY 89904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89904,A000000,02500,0000,02500PHYSICAL THERAPY 89904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89904,A000000,02700,0000,02700SPEECH PATHOLOGY 89904,A000000,02800,0000,02800ELECTROCARDIOLOGY 89904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89904,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89904,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89904,A000000,03200,0000,03200SUPPORT SURFACES 89904,A000000,03400,0000,03400CLINIC 89904,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89904,A000000,03500,0000,03500RURAL HEALTH CLINIC 89904,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89904,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89904,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89904,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89904,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89904,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89904,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89904,A000000,04400,0000,04400DME RENTED - HHA 89904,A000000,04500,0000,04500DME SOLD - HHA 89904,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89904,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89904,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89904,A000000,04800,0000,04800AMBULANCE 89904,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89904,A000000,05000,0000,05000CORF 89904,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89904,A000000,05300,0000,05300INTEREST EXPENSE 89904,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89904,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89904,A000000,05500,0000,05500HOSPICE 89904,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89904,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89904,A000000,06100,0000,06100NONPAID WORKERS 89904,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89904,A000000,06200,0000,06200PATIENTS LAUNDRY 89904,A81000A,00100,0100,Y 89904,A81000B,00100,0300,RENT-CAPITAL RELATED 89904,A81000B,00200,0300,RENT-CAP REL MOVABLE 89904,A81000B,00300,0300,RENT - NOT CAP RELATED 89904,A81000B,00400,0300,MGMT FEE - CAP RELATED 89904,A81000B,00500,0300,MGMT FEE - NOT CAP RELATED 89904,A81000B,00600,0300,MGMT FEE - CAP REL MOVABLE 89904,A81000B,00700,0300,ADMIN & GENERAL-SEE ATTACHED 89904,A81000B,00800,0300,DIETARY - SEE ATTACHED 89904,A81000C,00100,0100,A 89904,A81000C,00100,0200,ROBERT PLATT 89904,A81000C,00100,0400,COUNTRY ESTATES PTN 89904,A81000C,00100,0600,REALTY 89904,A81000C,00200,0100,A 89904,A81000C,00200,0200,GEORGIA FREID 89904,A81000C,00200,0400,COUNTRY ESTATES PTN 89904,A81000C,00200,0600,REALTY 89904,A81000C,00300,0100,A 89904,A81000C,00300,0200,ROBERT PLATT 89904,A81000C,00300,0400,SENIOR HEALTH MGMT 89904,A81000C,00300,0600,HOME OFFICE 89904,A81000C,00400,0100,A 89904,A81000C,00400,0200,SEE ATTACHED 89904,A81000C,00500,0100,G 89904,A81000C,00500,0200,N/A 89904,A81000C,00500,0400,COMMONWEALTH COMM MGMT 89904,A81000C,00500,0600,CENTRAL OFFICE 89904,A81000C,03100,0000,MANAGEMENT CONTROL 89904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89904,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89904,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89904,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89904,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89904,B100000,00000,0800,00000MEALS SERVED :DIETARY 89904,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89904,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89904,B100000,00000,1150,00000N/A :PHARMACY 89904,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89904,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89904,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89904,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89904,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89904,E10A180,00301,0100,08/25/1999 89904,S000000,00100,0200,05/31/2000 89904,S200000,00100,0100,1200 SUFFIELD STREET 89904,S200000,00200,0100,AGAWAM 89904,S200000,00200,0200,MA 89904,S200000,00200,0300,01001- 89904,S200000,00300,0100,HAMPDEN 89904,S200000,00400,0100,COUNTRY ESTATES OF AGAWAM N.H. 89904,S200000,00400,0200,225642 89904,S200000,00400,0300,07/26/1994 89904,S200000,00400,0500,P 89904,S200000,00400,0600,P 89904,S200000,01600,0100,Y 89904,S700003,00000,0100,1 89912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89912,A000000,00300,0000,00300EMPLOYEE BENEFITS 89912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89912,A000000,00700,0000,00700HOUSEKEEPING 89912,A000000,00800,0000,00800DIETARY 89912,A000000,00900,0000,00900NURSING ADMINISTRATION 89912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89912,A000000,01100,0000,01100PHARMACY 89912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89912,A000000,01300,0000,01300SOCIAL SERVICE 89912,A000000,01350,0000,01500ACTIVITIES 89912,A000000,01351,0000,01501INDIRECT CONSULTANTS 89912,A000000,01352,0000,01502ADMISSIONS 89912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89912,A000000,01600,0000,01600SKILLED NURSING FACILITY 89912,A000000,01800,0000,01800NURSING FACILITY 89912,A000000,01810,0000,01801ICF/MR 89912,A000000,01900,0000,01900OTHER LONG TERM CARE 89912,A000000,02100,0000,02100RADIOLOGY 89912,A000000,02200,0000,02200LABORATORY 89912,A000000,02300,0000,02300INTRAVENOUS THERAPY 89912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89912,A000000,02500,0000,02500PHYSICAL THERAPY 89912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89912,A000000,02700,0000,02700SPEECH PATHOLOGY 89912,A000000,02800,0000,02800ELECTROCARDIOLOGY 89912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89912,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89912,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89912,A000000,03200,0000,03200SUPPORT SURFACES 89912,A000000,03400,0000,03400CLINIC 89912,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89912,A000000,03500,0000,03500RURAL HEALTH CLINIC 89912,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89912,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89912,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89912,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89912,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89912,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89912,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89912,A000000,04400,0000,04400DME RENTED - HHA 89912,A000000,04500,0000,04500DME SOLD - HHA 89912,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89912,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89912,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89912,A000000,04800,0000,04800AMBULANCE 89912,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89912,A000000,05000,0000,05000CORF 89912,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89912,A000000,05300,0000,05300INTEREST EXPENSE 89912,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89912,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89912,A000000,05500,0000,05500HOSPICE 89912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89912,A000000,06100,0000,06100NONPAID WORKERS 89912,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89912,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 89912,A81000A,00100,0100,Y 89912,A81000B,00100,0300,ADMINISTRATIVE COST 89912,A81000C,00100,0100,G 89912,A81000C,00100,0200,GRAND MASON LDG 89912,A81000C,00100,0400,MASON GRAND LDG 89912,A81000C,00100,0600,FRAT ORG. 89912,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 89912,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 89912,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 89912,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 89912,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 89912,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 89912,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 89912,B100000,00000,0850,00001PATIENT DAYS :DIETARY 89912,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 89912,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 89912,B100000,00000,1150,00001N/A :PHARMACY 89912,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 89912,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 89912,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 89912,B100000,00000,1351,00001N/A :INDIRECT CONSULTANTS 89912,B100000,00000,1352,00001NO STATISTICS :ADMISSIONS 89912,B100000,00000,1450,00001N/A :INTERNS & RESIDENTS (APPRVD 89912,S000000,00100,0200,06/01/2000 89912,S200000,00100,0100,88 MASONIC HOME ROAD 89912,S200000,00200,0100,CHARLTON 89912,S200000,00200,0200,MA 89912,S200000,00200,0300,01507-1000 89912,S200000,00300,0100,WORCESTER 89912,S200000,00400,0100,MASONIC HOME INC. 89912,S200000,00400,0200,225643 89912,S200000,00400,0300,09/01/1994 89912,S200000,00400,0500,P 89912,S200000,00400,0600,P 89912,S200000,01004,0500,O 89912,S200000,01600,0100,Y 89912,S700003,00000,0100,1 89919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89919,A000000,00300,0000,00300EMPLOYEE BENEFITS 89919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89919,A000000,00700,0000,00700HOUSEKEEPING 89919,A000000,00800,0000,00800DIETARY 89919,A000000,00900,0000,00900NURSING ADMINISTRATION 89919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89919,A000000,01100,0000,01100PHARMACY 89919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89919,A000000,01300,0000,01300SOCIAL SERVICE 89919,A000000,01350,0000,01500ACTIVITIES 89919,A000000,01351,0000,01501INDIRECT CONSULTANTS 89919,A000000,01352,0000,01502ADMISSIONS 89919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89919,A000000,01600,0000,01600SKILLED NURSING FACILITY 89919,A000000,01800,0000,01800NURSING FACILITY 89919,A000000,01810,0000,01810ICF/MR 89919,A000000,01900,0000,01900OTHER LONG TERM CARE 89919,A000000,02100,0000,02100RADIOLOGY 89919,A000000,02200,0000,02200LABORATORY 89919,A000000,02300,0000,02300INTRAVENOUS THERAPY 89919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89919,A000000,02500,0000,02500PHYSICAL THERAPY 89919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89919,A000000,02700,0000,02700SPEECH PATHOLOGY 89919,A000000,02800,0000,02800ELECTROCARDIOLOGY 89919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89919,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89919,A000000,03051,0000,03301AMBULANCE 89919,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89919,A000000,03200,0000,03200SUPPORT SURFACES 89919,A000000,03400,0000,03400CLINIC 89919,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89919,A000000,03500,0000,03500RURAL HEALTH CLINIC 89919,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89919,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89919,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89919,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89919,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89919,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89919,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89919,A000000,04400,0000,04400DME RENTED - HHA 89919,A000000,04500,0000,04500DME SOLD - HHA 89919,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89919,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89919,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89919,A000000,04800,0000,04800AMBULANCE 89919,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89919,A000000,05000,0000,05000CORF 89919,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89919,A000000,05300,0000,05300INTEREST EXPENSE 89919,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89919,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89919,A000000,05500,0000,05500HOSPICE 89919,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89919,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89919,A000000,06100,0000,06100NONPAID WORKERS 89919,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89919,A000000,06200,0000,06200PATIENTS LAUNDRY 89919,A81000A,00100,0100,Y 89919,A81000B,00100,0300,RENT-CAPITAL RELATED 89919,A81000B,00200,0300,RENT-CAP REL MOVABLE 89919,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89919,A81000B,00400,0300,OWNERS COMPENSATION 89919,A81000C,00100,0100,A 89919,A81000C,00100,0200,RICHARD BANE 89919,A81000C,00100,0400,GROSVENOR HC LP 89919,A81000C,00100,0600,RENTAL PROPERTY 89919,A81000C,00200,0100,A 89919,A81000C,00200,0200,KENNETH BANE 89919,A81000C,00200,0400,GROSVENOR HC LP 89919,A81000C,00200,0600,RENTAL PROPERTY 89919,A81000C,00300,0100,A 89919,A81000C,00300,0200,RICHARD SALTER 89919,A81000C,00300,0400,GROSVENOR HC LP 89919,A81000C,00300,0600,RENTAL PROPERTY 89919,A81000C,00400,0100,A 89919,A81000C,00400,0200,ROBERT SALTER 89919,A81000C,00400,0400,GROSVENOR HC LP 89919,A81000C,00400,0600,RENTAL PROPERTY 89919,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89919,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89919,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89919,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89919,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89919,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89919,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89919,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89919,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89919,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89919,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89919,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89919,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89919,B100000,00000,1352,00000# OF ADMISSIONS :ADMISSIONS 89919,S000000,00100,0200,11/30/2000 89919,S200000,00100,0100,7 LORING HILLS AVENUE 89919,S200000,00200,0100,SALEM 89919,S200000,00200,0200,MA 89919,S200000,00200,0300,01970- 89919,S200000,00300,0100,ESSEX 89919,S200000,00300,0200,1123 89919,S200000,00300,0300,U 89919,S200000,00400,0100,GROSVENOR PARK NURSING CENTER INC. 89919,S200000,00400,0200,225644 89919,S200000,00400,0300,08/08/1994 89919,S200000,00400,0500,P 89919,S200000,00400,0600,P 89919,S200000,01600,0100,Y 89923,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89923,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89923,A000000,00300,0000,00300EMPLOYEE BENEFITS 89923,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89923,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89923,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89923,A000000,00700,0000,00700HOUSEKEEPING 89923,A000000,00800,0000,00800DIETARY 89923,A000000,00900,0000,00900NURSING ADMINISTRATION 89923,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89923,A000000,01100,0000,01100PHARMACY 89923,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89923,A000000,01300,0000,01300SOCIAL SERVICE 89923,A000000,01350,0000,01500ACTIVITIES 89923,A000000,01351,0000,01501INDIRECT CONSULTANTS 89923,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89923,A000000,01600,0000,01600SKILLED NURSING FACILITY 89923,A000000,01800,0000,01800NURSING FACILITY 89923,A000000,01810,0000,01801ICF/MR 89923,A000000,01900,0000,01900OTHER LONG TERM CARE 89923,A000000,02100,0000,02100RADIOLOGY 89923,A000000,02200,0000,02200LABORATORY 89923,A000000,02300,0000,02300INTRAVENOUS THERAPY 89923,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89923,A000000,02500,0000,02500PHYSICAL THERAPY 89923,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89923,A000000,02700,0000,02700SPEECH PATHOLOGY 89923,A000000,02800,0000,02800ELECTROCARDIOLOGY 89923,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89923,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89923,A000000,03050,0000,03300UROL/SURG/COLOS 89923,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89923,A000000,03200,0000,03200SUPPORT SURFACES 89923,A000000,03400,0000,03400CLINIC 89923,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89923,A000000,03500,0000,03500RURAL HEALTH CLINIC 89923,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89923,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89923,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89923,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89923,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89923,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89923,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89923,A000000,04400,0000,04400DME RENTED - HHA 89923,A000000,04500,0000,04500DME SOLD - HHA 89923,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89923,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89923,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89923,A000000,04800,0000,04800AMBULANCE 89923,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89923,A000000,05000,0000,05000CORF 89923,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89923,A000000,05300,0000,05300INTEREST EXPENSE 89923,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89923,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89923,A000000,05500,0000,05500HOSPICE 89923,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89923,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89923,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89923,A000000,06100,0000,06100NONPAID WORKERS 89923,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89923,A000000,06200,0000,06200PATIENTS LAUNDRY 89923,A81000A,00100,0100,Y 89923,A81000B,00100,0300,RENT-CAPITAL RELATED 89923,A81000B,00200,0300,RENT-CAP REL MOVABLE 89923,A81000B,00300,0300,SOCIAL SERVICE SALARY ALLOCATION 89923,A81000B,00400,0300,RN SALARY ALLOCATION 89923,A81000B,00500,0300,MGMT FEE-CAP REL BLDG & FIXED 89923,A81000B,00600,0300,MGMT FEE-NON CAP RELATED 89923,A81000B,00700,0300,MGMT FEE-CAP REL MME 89923,A81000C,00100,0100,A 89923,A81000C,00100,0200,NICHOLAS THISSE 89923,A81000C,00100,0400,REHABILITATION ASSOCIATES 89923,A81000C,00100,0600,HOME OFFICE 89923,A81000C,00200,0100,A 89923,A81000C,00200,0200,NICHOLAS THISSE 89923,A81000C,00200,0400,CHARLES RIVER TRUST 89923,A81000C,00200,0600,REALTY COMPANY 89923,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89923,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89923,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89923,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89923,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89923,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89923,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89923,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89923,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89923,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89923,B100000,00000,1150,00000N/A :PHARMACY 89923,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89923,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89923,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89923,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89923,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89923,S000000,00100,0200,06/01/2000 89923,S200000,00100,0100,519 MAIN STREET 89923,S200000,00200,0100,MEDFIELD 89923,S200000,00200,0200,MA 89923,S200000,00200,0300,02052- 89923,S200000,00300,0100,NORFOLK 89923,S200000,00400,0100,519 MAIN ST DBA THOMAS UPAHAM HOUSE 89923,S200000,00400,0200,225645 89923,S200000,00400,0300,09/01/1994 89923,S200000,00400,0500,P 89923,S200000,00400,0600,P 89923,S200000,01500,0100,Y 89923,S700003,00000,0100,1 89929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89929,A000000,00300,0000,00300EMPLOYEE BENEFITS 89929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89929,A000000,00700,0000,00700HOUSEKEEPING 89929,A000000,00800,0000,00800DIETARY 89929,A000000,00900,0000,00900NURSING ADMINISTRATION 89929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89929,A000000,01100,0000,01100PHARMACY 89929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89929,A000000,01300,0000,01300SOCIAL SERVICE 89929,A000000,01301,0000,01301ADMISSIONS 89929,A000000,01350,0000,01500ACTIVITIES 89929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89929,A000000,01600,0000,01600SKILLED NURSING FACILITY 89929,A000000,01800,0000,01800NURSING FACILITY 89929,A000000,01810,0000,01810ICF/MR 89929,A000000,02100,0000,02100RADIOLOGY 89929,A000000,02200,0000,02200LABORATORY 89929,A000000,02300,0000,02300INTRAVENOUS THERAPY 89929,A000000,02500,0000,02500PHYSICAL THERAPY 89929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89929,A000000,02700,0000,02700SPEECH PATHOLOGY 89929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89929,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89929,A000000,03051,0000,03301PEN THERAPY 89929,A000000,03550,0000,03550FQHC 89929,A000000,04800,0000,04800AMBULANCE 89929,A000000,05000,0000,05000CORF 89929,A000000,05010,0000,05010CMHC 89929,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89929,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89929,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89929,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89929,A81000A,00100,0100,Y 89929,A81000B,00100,0300,MGT FEE CAP REL FIX 89929,A81000B,00200,0300,MGT FEE CAP REL MME 89929,A81000B,00300,0300,MGT FEE NOT CAP REL 89929,A81000B,00400,0300,MGT MIN EVAL NURSE 89929,A81000B,00500,0300,DIETICIAN 89929,A81000B,00600,0300,DIRECTOR OF NURSING 89929,A81000B,00700,0300,MDS COORDINATOR 89929,A81000B,00800,0300,REHAB DIRECTOR 89929,A81000B,00900,0300,PHYSICAL THERAPISTS 89929,A81000B,01000,0300,PHYS THER AIDES 89929,A81000B,01100,0300,OCCUP THERAPISTS 89929,A81000B,01200,0300,OCCUP THER AIDES 89929,A81000B,01300,0300,SPEECH THERAPISTS 89929,A81000C,00100,0100,A 89929,A81000C,00100,0200,JOEL LOGAN 89929,A81000C,00100,0400,LOGAN HEALTHCAR 89929,A81000C,00100,0600,HOME OFFICE 89929,A81000C,00200,0100,A 89929,A81000C,00200,0200,MARK LOGAN 89929,A81000C,00200,0400,LOGAN HEALTHCAR 89929,A81000C,00200,0600,HOME OFFICE 89929,A81000C,00300,0100,B 89929,A81000C,00300,0200,NE HEALTHCARE D 89929,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89929,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89929,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89929,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89929,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89929,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89929,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89929,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89929,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89929,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89929,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89929,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89929,B100000,00000,1331,00000PATIENT DAYS :ADMISSIONS 89929,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89929,S000000,00100,0200,02/12/2001 89929,S200000,00300,0200,1123 89929,S200000,00300,0300,U 89929,S200000,00400,0100,ROSEWOOD NURSING & REHAB. CENTER 89929,S200000,00400,0200,225651 89929,S200000,00400,0300,10/31/1994 89929,S200000,00400,0500,P 89929,S200000,01600,0100,Y 89936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89936,A000000,00300,0000,00300EMPLOYEE BENEFITS 89936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89936,A000000,00700,0000,00700HOUSEKEEPING 89936,A000000,00800,0000,00800DIETARY 89936,A000000,00900,0000,00900NURSING ADMINISTRATION 89936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89936,A000000,01100,0000,01100PHARMACY 89936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89936,A000000,01300,0000,01300SOCIAL SERVICE 89936,A000000,01350,0000,01500ACTIVITIES 89936,A000000,01351,0000,01501INDIRECT CONSULTANTS 89936,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89936,A000000,01600,0000,01600SKILLED NURSING FACILITY 89936,A000000,01800,0000,01800NURSING FACILITY 89936,A000000,01810,0000,01801ICF/MR 89936,A000000,01900,0000,01900OTHER LONG TERM CARE 89936,A000000,02100,0000,02100RADIOLOGY 89936,A000000,02200,0000,02200LABORATORY 89936,A000000,02300,0000,02300INTRAVENOUS THERAPY 89936,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89936,A000000,02500,0000,02500PHYSICAL THERAPY 89936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89936,A000000,02700,0000,02700SPEECH PATHOLOGY 89936,A000000,02800,0000,02800ELECTROCARDIOLOGY 89936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89936,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89936,A000000,03051,0000,03301PEN THERAPY 89936,A000000,03052,0000,03302AMBULANCE 89936,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89936,A000000,03200,0000,03200SUPPORT SURFACES 89936,A000000,03400,0000,03400CLINIC 89936,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89936,A000000,03500,0000,03500RURAL HEALTH CLINIC 89936,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89936,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89936,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89936,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89936,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89936,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89936,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89936,A000000,04400,0000,04400DME RENTED - HHA 89936,A000000,04500,0000,04500DME SOLD - HHA 89936,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89936,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89936,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89936,A000000,04800,0000,04800AMBULANCE 89936,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89936,A000000,05000,0000,05000CORF 89936,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89936,A000000,05300,0000,05300INTEREST EXPENSE 89936,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89936,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89936,A000000,05500,0000,05500HOSPICE 89936,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89936,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89936,A000000,06100,0000,06100NONPAID WORKERS 89936,A000000,06150,0000,06300ADULT DAY HEALTH 89936,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 89936,A000000,06200,0000,06200PATIENTS LAUNDRY 89936,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 89936,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 89936,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 89936,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 89936,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 89936,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 89936,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 89936,B100000,00000,0850,00001PATIENT DAYS :DIETARY 89936,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 89936,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 89936,B100000,00000,1150,00001N/A :PHARMACY 89936,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 89936,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 89936,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 89936,B100000,00000,1351,00001N/A :INDIRECT CONSULTANTS 89936,B100000,00000,1450,00001N/A :INTERNS & RESIDENTS (APPRVD 89936,S000000,00100,0200,05/31/2000 89936,S200000,00100,0100,120 FISHER AVENUE 89936,S200000,00200,0100,ROXBURY 89936,S200000,00200,0200,MA 89936,S200000,00200,0300,02120- 89936,S200000,00300,0100,SUFFOLK 89936,S200000,00400,0100,RESTHAVEN CORP DBA BENJAMIN H.C.C. 89936,S200000,00400,0200,225654 89936,S200000,00400,0300,01/01/1995 89936,S200000,00400,0500,P 89936,S200000,00400,0600,P 89936,S200000,01004,0500,O 89936,S200000,01600,0100,Y 89936,S700003,00000,0100,1 89942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89942,A000000,00300,0000,00300EMPLOYEE BENEFITS 89942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89942,A000000,00700,0000,00700HOUSEKEEPING 89942,A000000,00800,0000,00800DIETARY 89942,A000000,00900,0000,00900NURSING ADMINISTRATION 89942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89942,A000000,01100,0000,01100PHARMACY 89942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89942,A000000,01300,0000,01300SOCIAL SERVICE 89942,A000000,01350,0000,01500ACTIVITIES 89942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89942,A000000,01600,0000,01600SKILLED NURSING FACILITY 89942,A000000,01800,0000,01800NURSING FACILITY 89942,A000000,01810,0000,01810ICF/MR 89942,A000000,01900,0000,01900OTHER LONG TERM CARE 89942,A000000,02100,0000,02100RADIOLOGY 89942,A000000,02200,0000,02200LABORATORY 89942,A000000,02300,0000,02300INTRAVENOUS THERAPY 89942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89942,A000000,02500,0000,02500PHYSICAL THERAPY 89942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89942,A000000,02700,0000,02700SPEECH PATHOLOGY 89942,A000000,02800,0000,02800ELECTROCARDIOLOGY 89942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89942,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89942,A000000,03051,0000,03301AMBULANCE 89942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89942,A000000,03200,0000,03200SUPPORT SURFACES 89942,A000000,03400,0000,03400CLINIC 89942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89942,A000000,03500,0000,03500RURAL HEALTH CLINIC 89942,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89942,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89942,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89942,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89942,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89942,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89942,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89942,A000000,04400,0000,04400DME RENTED - HHA 89942,A000000,04500,0000,04500DME SOLD - HHA 89942,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89942,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89942,A000000,04800,0000,04800AMBULANCE 89942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89942,A000000,05000,0000,05000CORF 89942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89942,A000000,05300,0000,05300INTEREST EXPENSE 89942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89942,A000000,05500,0000,05500HOSPICE 89942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89942,A000000,06100,0000,06100NONPAID WORKERS 89942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89942,A000000,06200,0000,06200PATIENTS LAUNDRY 89942,A81000A,00100,0100,Y 89942,A81000B,00100,0300,RENT-CAPITAL RELATED 89942,A81000B,00200,0300,RENT-CAP REL MOVABLE 89942,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89942,A81000C,00100,0100,B 89942,A81000C,00100,0200,CAMPION RESIDENCE & RENEW 89942,A81000C,00100,0400,SOCIETY OF JESUS OF N.E. 89942,A81000C,00100,0600,RELIGIOUS 89942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89942,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89942,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89942,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89942,B100000,00000,0800,00000MEALS SERVED :DIETARY 89942,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89942,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89942,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89942,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89942,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89942,S000000,00100,0200,12/01/2000 89942,S200000,00100,0100,319 CONCORD ROAD 89942,S200000,00200,0100,WESTON 89942,S200000,00200,0200,MA 89942,S200000,00200,0300,02193- 89942,S200000,00300,0100,MIDDLESEX 89942,S200000,00300,0200,1123 89942,S200000,00300,0300,U 89942,S200000,00400,0100,CAMPION HEALTH CENTER INC. 89942,S200000,00400,0200,225656 89942,S200000,00400,0300,12/23/1994 89942,S200000,00400,0500,P 89942,S200000,00400,0600,P 89942,S200000,01004,0500,O 89942,S200000,01600,0100,Y 89950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89950,A000000,00300,0000,00300EMPLOYEE BENEFITS 89950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89950,A000000,00700,0000,00700HOUSEKEEPING 89950,A000000,00800,0000,00800DIETARY 89950,A000000,00900,0000,00900NURSING ADMINISTRATION 89950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89950,A000000,01100,0000,01100PHARMACY 89950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89950,A000000,01300,0000,01300SOCIAL SERVICE 89950,A000000,01350,0000,01500ACTIVITIES 89950,A000000,01351,0000,01501INDIRECT CONSULTANTS 89950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89950,A000000,01600,0000,01600SKILLED NURSING FACILITY 89950,A000000,01800,0000,01800NURSING FACILITY 89950,A000000,01810,0000,01810ICF/MR 89950,A000000,01900,0000,01900OTHER LONG TERM CARE 89950,A000000,02100,0000,02100RADIOLOGY 89950,A000000,02200,0000,02200LABORATORY 89950,A000000,02300,0000,02300INTRAVENOUS THERAPY 89950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89950,A000000,02500,0000,02500PHYSICAL THERAPY 89950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89950,A000000,02700,0000,02700SPEECH PATHOLOGY 89950,A000000,02800,0000,02800ELECTROCARDIOLOGY 89950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89950,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89950,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 89950,A000000,03052,0000,03302AMBULANCE 89950,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89950,A000000,03200,0000,03200SUPPORT SURFACES 89950,A000000,03400,0000,03400CLINIC 89950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89950,A000000,03500,0000,03500RURAL HEALTH CLINIC 89950,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89950,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89950,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89950,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89950,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89950,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89950,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89950,A000000,04400,0000,04400DME RENTED - HHA 89950,A000000,04500,0000,04500DME SOLD - HHA 89950,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89950,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89950,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89950,A000000,04800,0000,04800AMBULANCE 89950,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89950,A000000,05000,0000,05000CORF 89950,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89950,A000000,05300,0000,05300INTEREST EXPENSE 89950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89950,A000000,05500,0000,05500HOSPICE 89950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89950,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89950,A000000,06100,0000,06100NONPAID WORKERS 89950,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 89950,A000000,06200,0000,06200PATIENTS LAUNDRY 89950,A81000A,00100,0100,Y 89950,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 89950,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89950,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 89950,A81000B,00400,0300,PHYSICAL THERAPY 89950,A81000B,00500,0300,OCCUPATIONAL THERAPY 89950,A81000B,00600,0300,SPEECH THERAPY 89950,A81000B,00700,0300,DIETICIAN 89950,A81000B,00800,0300,ADMINISTRATOR 89950,A81000B,00900,0300,NURSES AIDE SALARY 89950,A81000B,01000,0300,DIETARY SALARY 89950,A81000B,01100,0300,CHILD CARE SALARIES 89950,A81000C,00100,0100,F 89950,A81000C,00100,0200,MICHAEL WELCH 89950,A81000C,00100,0400,WELCH HC & RETIREMENT GRP 89950,A81000C,00100,0600,MANAGEMENT COMPANY 89950,A81000C,00200,0100,F 89950,A81000C,00200,0200,RICHARD WELCH 89950,A81000C,00200,0400,WELCH HC & RETIREMENT GRP 89950,A81000C,00200,0600,MANAGEMENT COMPANY 89950,A81000C,00300,0100,F 89950,A81000C,00300,0200,PAUL CASALE 89950,A81000C,00300,0400,WELCH HC & RETIREMENT GRP 89950,A81000C,00300,0600,MANAGMENT COMPANY 89950,A81000C,00400,0100,F 89950,A81000C,00400,0200,THOMAS WELCH 89950,A81000C,00400,0400,WELCH HC & RETIREMENT GRP 89950,A81000C,00400,0600,MANAGMENT COMPANY 89950,A81000C,00500,0100,F 89950,A81000C,00500,0200,RITA WELCH 89950,A81000C,00500,0400,WELCH HC & RETIREMENT GRP 89950,A81000C,00500,0600,MANAGEMENT COMPANY 89950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89950,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89950,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89950,B100000,00000,0800,00000MEALS SERVED :DIETARY 89950,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 89950,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89950,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89950,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89950,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89950,S000000,00100,0200,06/01/2000 89950,S200000,00100,0100,11 CONDITO ROAD 89950,S200000,00200,0100,HINGHAM 89950,S200000,00200,0200,MA 89950,S200000,00200,0300,02043- 89950,S200000,00300,0100,PLYMOUTH 89950,S200000,00300,0200,1123 89950,S200000,00300,0300,U 89950,S200000,00400,0100,HARBOR HOUSE NURSING & REHAB CENTER 89950,S200000,00400,0200,225662 89950,S200000,00400,0300,02/09/1995 89950,S200000,00400,0500,P 89950,S200000,00400,0600,P 89950,S200000,01004,0500,O 89950,S200000,01600,0100,Y 89952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89952,A000000,00300,0000,00300EMPLOYEE BENEFITS 89952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89952,A000000,00700,0000,00700HOUSEKEEPING 89952,A000000,00800,0000,00800DIETARY 89952,A000000,00900,0000,00900NURSING ADMINISTRATION 89952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89952,A000000,01100,0000,01100PHARMACY 89952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89952,A000000,01300,0000,01300SOCIAL SERVICE 89952,A000000,01350,0000,01500ACTIVITIES 89952,A000000,01351,0000,01501INDIRECT CONSULTANTS 89952,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89952,A000000,01600,0000,01600SKILLED NURSING FACILITY 89952,A000000,01800,0000,01800NURSING FACILITY 89952,A000000,01810,0000,01801ICF/MR 89952,A000000,01900,0000,01900OTHER LONG TERM CARE 89952,A000000,02100,0000,02100RADIOLOGY 89952,A000000,02200,0000,02200LABORATORY 89952,A000000,02300,0000,02300INTRAVENOUS THERAPY 89952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89952,A000000,02500,0000,02500PHYSICAL THERAPY 89952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89952,A000000,02700,0000,02700SPEECH PATHOLOGY 89952,A000000,02800,0000,02800ELECTROCARDIOLOGY 89952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89952,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89952,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89952,A000000,03200,0000,03200SUPPORT SURFACES 89952,A000000,03400,0000,03400CLINIC 89952,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89952,A000000,03500,0000,03500RURAL HEALTH CLINIC 89952,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89952,A000000,04800,0000,04800AMBULANCE 89952,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89952,A000000,05000,0000,05000CORF 89952,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89952,A000000,05300,0000,05300INTEREST EXPENSE 89952,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89952,A000000,05500,0000,05500HOSPICE 89952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89952,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89952,A000000,06100,0000,06100NONPAID WORKERS 89952,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89952,A000000,06200,0000,06200PATIENTS LAUNDRY 89952,A81000A,00100,0100,Y 89952,A81000B,00100,0300,RENT-CAPITAL RELATED 89952,A81000B,00200,0300,ADMINISTRATOR SALARY 89952,A81000B,00300,0300,ADM & GENERAL - MGMT FEE 89952,A81000C,00100,0100,A 89952,A81000C,00100,0200,KENNETH OGRADY 89952,A81000C,00100,0400,MAIN STREET TRUST 89952,A81000C,00100,0600,RENTAL PROPERTY 89952,A81000C,00200,0100,A 89952,A81000C,00200,0200,KENNETH OGRADY 89952,A81000C,00200,0400,OWNER 89952,A81000C,00300,0100,A 89952,A81000C,00300,0200,KENNETH OGRADY 89952,A81000C,00300,0400,OWNER 89952,B100000,00000,0150,000003 FEET :CAP REL COSTS - BLDGS & FI 89952,B100000,00000,0250,000003 FEET :CAP REL COSTS - MOVABLE EQ 89952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89952,B100000,00000,0550,000003 FEET :PLANT OPERATION MAINT. & 89952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89952,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89952,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89952,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89952,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89952,B100000,00000,1150,00000N/A :PHARMACY 89952,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89952,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89952,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89952,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89952,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89952,S000000,00100,0200,06/05/2000 89952,S200000,00100,0100,145 MAIN STREET 89952,S200000,00200,0100,UPTON 89952,S200000,00200,0200,MA 89952,S200000,00200,0300,01568- 89952,S200000,00300,0100,WORCESTER 89952,S200000,00400,0100,UPTON NURSING CENTER INC. 89952,S200000,00400,0200,225665 89952,S200000,00400,0300,04/01/1995 89952,S200000,00400,0500,P 89952,S200000,00400,0600,P 89952,S200000,01004,0500,O 89952,S200000,01500,0100,Y 89960,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89960,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89960,A000000,00300,0000,00300EMPLOYEE BENEFITS 89960,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89960,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89960,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89960,A000000,00700,0000,00700HOUSEKEEPING 89960,A000000,00800,0000,00800DIETARY 89960,A000000,00900,0000,00900NURSING ADMINISTRATION 89960,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89960,A000000,01100,0000,01100PHARMACY 89960,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89960,A000000,01300,0000,01300SOCIAL SERVICE 89960,A000000,01350,0000,01500ACTIVITIES 89960,A000000,01351,0000,01501INDIRECT CONSULTANTS 89960,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89960,A000000,01600,0000,01600SKILLED NURSING FACILITY 89960,A000000,01800,0000,01800NURSING FACILITY 89960,A000000,01810,0000,01801ICF/MR 89960,A000000,01900,0000,01900OTHER LONG TERM CARE 89960,A000000,02100,0000,02100RADIOLOGY 89960,A000000,02200,0000,02200LABORATORY 89960,A000000,02300,0000,02300INTRAVENOUS THERAPY 89960,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89960,A000000,02500,0000,02500PHYSICAL THERAPY 89960,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89960,A000000,02700,0000,02700SPEECH PATHOLOGY 89960,A000000,02800,0000,02800ELECTROCARDIOLOGY 89960,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89960,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89960,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 89960,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89960,A000000,03200,0000,03200SUPPORT SURFACES 89960,A000000,03400,0000,03400CLINIC 89960,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89960,A000000,03500,0000,03500RURAL HEALTH CLINIC 89960,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89960,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89960,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89960,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89960,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89960,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89960,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89960,A000000,04400,0000,04400DME RENTED - HHA 89960,A000000,04500,0000,04500DME SOLD - HHA 89960,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89960,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89960,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89960,A000000,04800,0000,04800AMBULANCE 89960,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89960,A000000,05000,0000,05000CORF 89960,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89960,A000000,05300,0000,05300INTEREST EXPENSE 89960,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89960,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89960,A000000,05500,0000,05500HOSPICE 89960,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89960,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89960,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89960,A000000,06100,0000,06100NONPAID WORKERS 89960,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89960,A000000,06200,0000,06200PATIENTS LAUNDRY 89960,A81000A,00100,0100,Y 89960,A81000B,00100,0300,RENT-CAPITAL RELATED 89960,A81000B,00200,0300,RENT-CAP REL MOVABLE 89960,A81000B,00300,0300,RENT-NOT CAPITAL RELATED 89960,A81000B,00400,0300,SALARIES-DAY CARE 89960,A81000B,00500,0300,SALARIES-ADMINISTRATOR 89960,A81000B,00600,0300,WORKING CAPITAL INTEREST 89960,A81000B,00700,0300,MANAGEMENT CONSULTANTS 89960,A81000C,00100,0100,A 89960,A81000C,00100,0200,JOSHUA ZUCKERMAN 89960,A81000C,00100,0400,PLEASANT BAY NSG CTR LP 89960,A81000C,00100,0600,REALTY 89960,A81000C,00200,0100,D 89960,A81000C,00200,0200,ISADORE ZUCKERMAN 89960,A81000C,00200,0400,PLEASANT BAY NSG CTR LP 89960,A81000C,00200,0600,REALTY 89960,A81000C,00300,0100,A 89960,A81000C,00300,0200,LEE ZUCKERMAN 89960,A81000C,00300,0400,PLEASANT BAY NSG CTR LP 89960,A81000C,00300,0600,REALTY 89960,A81000C,00400,0100,G 89960,A81000C,00400,0200,ROBIN ZUCKERMAN 89960,A81000C,00400,0400,PLEASANT BAY NSG CTR LP 89960,A81000C,00400,0600,REALTY 89960,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89960,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89960,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89960,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89960,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89960,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89960,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89960,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89960,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89960,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89960,B100000,00000,1150,00000N/A :PHARMACY 89960,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89960,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89960,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89960,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89960,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89960,E10A180,00301,0100,01/17/2000 89960,S000000,00100,0200,05/31/2000 89960,S200000,00100,0100,383 SOUTH ORLEANS ROAD 89960,S200000,00200,0100,BREWSTER 89960,S200000,00200,0200,MA 89960,S200000,00200,0300,02631- 89960,S200000,00300,0100,BARNSTABLE 89960,S200000,00400,0100,PLEASANT BAY NURSING & REHAB. CENTER 89960,S200000,00400,0200,225667 89960,S200000,00400,0300,02/16/1995 89960,S200000,00400,0500,P 89960,S200000,00400,0600,P 89960,S200000,01600,0100,Y 89969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89969,A000000,00300,0000,00300EMPLOYEE BENEFITS 89969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89969,A000000,00700,0000,00700HOUSEKEEPING 89969,A000000,00800,0000,00800DIETARY 89969,A000000,00900,0000,00900NURSING ADMINISTRATION 89969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89969,A000000,01100,0000,01100PHARMACY 89969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89969,A000000,01300,0000,01300SOCIAL SERVICE 89969,A000000,01350,0000,01500ACTIVITIES 89969,A000000,01351,0000,01501INDIRECT CONSULTANTS 89969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89969,A000000,01600,0000,01600SKILLED NURSING FACILITY 89969,A000000,01800,0000,01800NURSING FACILITY 89969,A000000,01810,0000,01801ICF/MR 89969,A000000,01900,0000,01900OTHER LONG TERM CARE 89969,A000000,02100,0000,02100RADIOLOGY 89969,A000000,02200,0000,02200LABORATORY 89969,A000000,02300,0000,02300INTRAVENOUS THERAPY 89969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89969,A000000,02500,0000,02500PHYSICAL THERAPY 89969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89969,A000000,02700,0000,02700SPEECH PATHOLOGY 89969,A000000,02800,0000,02800ELECTROCARDIOLOGY 89969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89969,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89969,A000000,03200,0000,03200SUPPORT SURFACES 89969,A000000,03400,0000,03400CLINIC 89969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89969,A000000,03500,0000,03500RURAL HEALTH CLINIC 89969,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89969,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89969,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89969,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89969,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89969,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89969,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89969,A000000,04400,0000,04400DME RENTED - HHA 89969,A000000,04500,0000,04500DME SOLD - HHA 89969,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89969,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89969,A000000,04800,0000,04800AMBULANCE 89969,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89969,A000000,05000,0000,05000CORF 89969,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89969,A000000,05300,0000,05300INTEREST EXPENSE 89969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89969,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89969,A000000,05500,0000,05500HOSPICE 89969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89969,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89969,A000000,06100,0000,06100NONPAID WORKERS 89969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89969,A000000,06200,0000,06200PATIENTS LAUNDRY 89969,A81000A,00100,0100,Y 89969,A81000B,00100,0300,RENT-CAPITAL RELATED 89969,A81000B,00200,0300,RENT-CAP REL MOVABLE 89969,A81000B,00300,0300,SEE SCHEDULE ATTACHED 89969,A81000B,00400,0300,SEE SCHEDULE ATTACHED 89969,A81000B,00500,0300,SEE SCHEDULE ATTACHED 89969,A81000B,00600,0300,SEE SCHEDULE ATTACHED 89969,A81000B,00700,0300,SEE SCHEDULE ATTACHED 89969,A81000B,00800,0300,RENT NOT CAP RELATED 89969,A81000B,00900,0300,MGMT FEE - CAP RELATED 89969,A81000B,01000,0300,MGMT FEE - NOT CAP RELATED 89969,A81000B,01100,0300,MGMT FEE - CAP REL MOVABLE 89969,A81000C,00100,0100,A 89969,A81000C,00100,0200,ROBERT PLATT 89969,A81000C,00100,0400,ROCHDALE PARTNERSHIP 89969,A81000C,00100,0600,RENTAL PROPERTY 89969,A81000C,00200,0100,A 89969,A81000C,00200,0200,GEORGIA FREID 89969,A81000C,00200,0400,ROCHDALE PARTNERSHIP 89969,A81000C,00200,0600,RENTAL PROPERTY 89969,A81000C,00300,0100,A 89969,A81000C,00300,0200,ROBERT PLATT 89969,A81000C,00300,0400,SENIOR HEALTH MGMT 89969,A81000C,00300,0600,HOME OFFICE 89969,A81000C,00400,0100,G 89969,A81000C,00400,0400,COMMONWEALTH COMM MGMT 89969,A81000C,00400,0600,CENTAL OFFICE 89969,A81000C,00500,0100,A 89969,A81000C,00500,0400,SEE ATTACHED 89969,A81000C,03100,0000,MANAGEMENT CONTROL 89969,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89969,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89969,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89969,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89969,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89969,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 89969,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89969,B100000,00000,0800,00000MEALS SERVED :DIETARY 89969,B100000,00000,0900,00000HOURS :NURSING ADMINISTRATION 89969,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89969,B100000,00000,1150,00000N/A :PHARMACY 89969,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 89969,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 89969,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89969,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89969,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89969,S000000,00100,0200,05/31/2000 89969,S200000,00100,0100,111 HUNTOON MEMORIAL HIGHWAY 89969,S200000,00200,0100,ROCHDALE 89969,S200000,00200,0200,MA 89969,S200000,00200,0300,01542- 89969,S200000,00300,0100,WORCESTER 89969,S200000,00400,0100,ROCHDALE COMMONS NH DBA THE MEADOWS 89969,S200000,00400,0200,225668 89969,S200000,00400,0300,03/16/1995 89969,S200000,00400,0500,P 89969,S200000,00400,0600,P 89969,S200000,01600,0100,Y 89978,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89978,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89978,A000000,00300,0000,00300EMPLOYEE BENEFITS 89978,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89978,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89978,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89978,A000000,00700,0000,00700HOUSEKEEPING 89978,A000000,00800,0000,00800DIETARY 89978,A000000,00900,0000,00900NURSING ADMINISTRATION 89978,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89978,A000000,01100,0000,01100PHARMACY 89978,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89978,A000000,01300,0000,01300SOCIAL SERVICE 89978,A000000,01350,0000,01500OTHER GENERAL SERVICES 89978,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89978,A000000,01600,0000,01600SKILLED NURSING FACILITY 89978,A000000,01800,0000,01800NURSING FACILITY 89978,A000000,01810,0000,01801ICF/MR 89978,A000000,01900,0000,01900OTHER LONG TERM CARE 89978,A000000,02100,0000,02100RADIOLOGY 89978,A000000,02200,0000,02200LABORATORY 89978,A000000,02300,0000,02300INTRAVENOUS THERAPY 89978,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89978,A000000,02500,0000,02500PHYSICAL THERAPY 89978,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89978,A000000,02700,0000,02700SPEECH PATHOLOGY 89978,A000000,02800,0000,02800ELECTROCARDIOLOGY 89978,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89978,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89978,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89978,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89978,A000000,03200,0000,03200SUPPORT SURFACES 89978,A000000,03400,0000,03400CLINIC 89978,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89978,A000000,03500,0000,03500RURAL HEALTH CLINIC 89978,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89978,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89978,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89978,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89978,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89978,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89978,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89978,A000000,04400,0000,04400DME RENTED - HHA 89978,A000000,04500,0000,04500DME SOLD - HHA 89978,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89978,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89978,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89978,A000000,04800,0000,04800AMBULANCE 89978,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89978,A000000,05000,0000,05000CORF 89978,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89978,A000000,05300,0000,05300INTEREST EXPENSE 89978,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89978,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89978,A000000,05500,0000,05500HOSPICE 89978,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89978,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89978,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89978,A000000,06100,0000,06100NONPAID WORKERS 89978,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89978,A000000,06200,0000,06200PATIENTS LAUNDRY 89978,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89978,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89978,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89978,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89978,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89978,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89978,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89978,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89978,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 89978,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 89978,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 89978,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89978,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89978,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 89978,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 89978,S000000,00100,0200,05/31/2000 89978,S200000,00100,0100,217 WESTFIELD STREET 89978,S200000,00200,0100,WEST SPRINGFIELD 89978,S200000,00200,0200,MA 89978,S200000,00200,0300,01089- 89978,S200000,00300,0100,HAMDEN 89978,S200000,00400,0100,CENTER FOR REHAB & NURSING 89978,S200000,00400,0200,225669 89978,S200000,00400,0300,02/27/1995 89978,S200000,00400,0500,P 89978,S200000,01004,0500,O 89978,S200000,01600,0100,Y 89978,S700003,00000,0100,1 89984,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89984,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89984,A000000,00300,0000,00300EMPLOYEE BENEFITS 89984,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89984,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89984,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89984,A000000,00700,0000,00700HOUSEKEEPING 89984,A000000,00800,0000,00800DIETARY 89984,A000000,00900,0000,00900NURSING ADMINISTRATION 89984,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89984,A000000,01100,0000,01100PHARMACY 89984,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89984,A000000,01300,0000,01300SOCIAL SERVICE 89984,A000000,01350,0000,01301ACTIVITIES 89984,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89984,A000000,01600,0000,01600SKILLED NURSING FACILITY 89984,A000000,01810,0000,01810ICF/MR 89984,A000000,02500,0000,02500PHYSICAL THERAPY 89984,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89984,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89984,A000000,03550,0000,03550FQHC 89984,A000000,05000,0000,05000CORF 89984,A000000,05010,0000,05010CMHC 89984,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 89984,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 89984,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 89984,A81000A,00100,0100,Y 89984,A81000B,00100,0300,ADMIN & GENERAL 89984,A81000C,00100,0100,C 89984,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 89984,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 89984,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 89984,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 89984,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 89984,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 89984,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 89984,B100000,00000,0800,00040MEALS SERVED :DIETARY 89984,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 89984,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 89984,B100000,00000,1350,00040TIME SPENT 3 :ACTIVITIES 89984,S000000,00100,0200,06/02/2000 89984,S200000,00100,0100,45 PELHAM STREET 89984,S200000,00200,0100,NEWTON CENTRE 89984,S200000,00200,0200,MA 89984,S200000,00200,0300,02159- 89984,S200000,00300,0100,NORFOLK 89984,S200000,00300,0200,1123 89984,S200000,00300,0300,U 89984,S200000,00400,0100,CENTRAL DIRECTORY FOR NURSES INC. 89984,S200000,00400,0200,225670 89984,S200000,00400,0300,04/18/1995 89984,S200000,00400,0500,P 89984,S200000,01500,0100,Y 89984,S200000,02800,0100,Y 89987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89987,A000000,00300,0000,00300EMPLOYEE BENEFITS 89987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89987,A000000,00700,0000,00700HOUSEKEEPING 89987,A000000,00800,0000,00800DIETARY 89987,A000000,00900,0000,00900NURSING ADMINISTRATION 89987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89987,A000000,01100,0000,01100PHARMACY 89987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89987,A000000,01300,0000,01300SOCIAL SERVICE 89987,A000000,01350,0000,01500ACTIVITIES 89987,A000000,01351,0000,01501INDIRECT CONSULTANTS 89987,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89987,A000000,01600,0000,01600SKILLED NURSING FACILITY 89987,A000000,01800,0000,01800NURSING FACILITY 89987,A000000,01810,0000,01801ICF/MR 89987,A000000,01900,0000,01900OTHER LONG TERM CARE 89987,A000000,02100,0000,02100RADIOLOGY 89987,A000000,02200,0000,02200LABORATORY 89987,A000000,02300,0000,02300INTRAVENOUS THERAPY 89987,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89987,A000000,02500,0000,02500PHYSICAL THERAPY 89987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89987,A000000,02700,0000,02700SPEECH PATHOLOGY 89987,A000000,02800,0000,02800ELECTROCARDIOLOGY 89987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89987,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 89987,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89987,A000000,03200,0000,03200SUPPORT SURFACES 89987,A000000,03400,0000,03400CLINIC 89987,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 89987,A000000,03500,0000,03500RURAL HEALTH CLINIC 89987,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89987,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89987,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89987,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89987,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89987,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89987,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89987,A000000,04400,0000,04400DME RENTED - HHA 89987,A000000,04500,0000,04500DME SOLD - HHA 89987,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89987,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89987,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89987,A000000,04800,0000,04800AMBULANCE 89987,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89987,A000000,05000,0000,05000CORF 89987,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89987,A000000,05300,0000,05300INTEREST EXPENSE 89987,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 89987,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89987,A000000,05500,0000,05500HOSPICE 89987,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89987,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89987,A000000,06100,0000,06100NONPAID WORKERS 89987,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89987,A000000,06200,0000,06200PATIENTS LAUNDRY 89987,A81000A,00100,0100,Y 89987,A81000B,00100,0300,RENT-CAPITAL RELATED 89987,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 89987,A81000B,00300,0300,A&G ADMIN SALARIES 89987,A81000B,00400,0300,CAP REL MME MV REIMBURSEMENT 89987,A81000C,00100,0100,A 89987,A81000C,00100,0200,BARBARA A. SMITH 89987,A81000C,00100,0400,CHAMBERLAIN REALTY 89987,A81000C,00100,0600,RENTAL PROPERTY 89987,A81000C,00200,0100,A 89987,A81000C,00200,0200,BARBARA A. SMITH 89987,A81000C,00200,0600,ADMINISTRATION 89987,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 89987,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 89987,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 89987,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89987,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 89987,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 89987,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 89987,B100000,00000,0850,00000PATIENT DAYS :DIETARY 89987,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 89987,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 89987,B100000,00000,1150,00000N/A :PHARMACY 89987,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 89987,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 89987,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 89987,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 89987,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 89987,S000000,00100,0200,05/30/2000 89987,S200000,00100,0100,123 GARDNER ROAD 89987,S200000,00200,0100,BROOKLINE 89987,S200000,00200,0200,MA 89987,S200000,00200,0300,02445- 89987,S200000,00300,0100,NORFOLK 89987,S200000,00400,0100,CHAMBERLAIN NURSING HOME 89987,S200000,00400,0200,225677 89987,S200000,00400,0300,07/01/1995 89987,S200000,00400,0500,P 89987,S200000,00400,0600,P 89987,S200000,01500,0100,Y 89987,S700003,00000,0400,4 89994,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 89994,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 89994,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 89994,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 89994,A000000,00300,0000,00300EMPLOYEE BENEFITS 89994,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 89994,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 89994,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 89994,A000000,00700,0000,00700HOUSEKEEPING 89994,A000000,00800,0000,00800DIETARY 89994,A000000,00801,0000,00801CAFETERIA 89994,A000000,00900,0000,00900NURSING ADMINISTRATION 89994,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 89994,A000000,01100,0000,01100PHARMACY 89994,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 89994,A000000,01300,0000,01300SOCIAL SERVICE 89994,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 89994,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 89994,A000000,01600,0000,01600SKILLED NURSING FACILITY 89994,A000000,01800,0000,01800NURSING FACILITY 89994,A000000,01900,0000,01900OTHER LONG TERM CARE 89994,A000000,02100,0000,02100RADIOLOGY 89994,A000000,02200,0000,02200LABORATORY 89994,A000000,02300,0000,02300INTRAVENOUS THERAPY 89994,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 89994,A000000,02500,0000,02500PHYSICAL THERAPY 89994,A000000,02600,0000,02600OCCUPATIONAL THERAPY 89994,A000000,02700,0000,02700SPEECH PATHOLOGY 89994,A000000,02800,0000,02800ELECTROCARDIOLOGY 89994,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 89994,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 89994,A000000,03050,0000,03300OTHER ANCILLARY 89994,A000000,03051,0000,03301OTHER ANCILLARY II 89994,A000000,03052,0000,03302OTHER ANCILLARY III 89994,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 89994,A000000,03200,0000,03200SUPPORT SURFACES 89994,A000000,03400,0000,03400CLINIC 89994,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 89994,A000000,03500,0000,03500RURAL HEALTH CLINIC 89994,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 89994,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 89994,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 89994,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 89994,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 89994,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 89994,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 89994,A000000,04400,0000,04400DME RENTED - HHA 89994,A000000,04500,0000,04500DME SOLD - HHA 89994,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 89994,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 89994,A000000,04750,0000,05100OTHER REIMBURSABLE COST 89994,A000000,04800,0000,04800AMBULANCE 89994,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 89994,A000000,05000,0000,05000CORF 89994,A000000,05010,0000,05010CMHC I 89994,A000000,05020,0000,05020OPT I 89994,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 89994,A000000,05300,0000,05300INTEREST EXPENSE 89994,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 89994,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 89994,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 89994,A000000,05500,0000,05500HOSPICE 89994,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 89994,A000000,05900,0000,05900BARBER & BEAUTY SHOP 89994,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 89994,A000000,06100,0000,06100NONPAID WORKERS 89994,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 89994,A000000,06200,0000,06200PATIENTS LAUNDRY 89994,A81000A,00100,0100,Y 89994,A81000B,00100,0300,ADMINISTRATOR FEES 89994,A81000B,00200,0300,ADMIN. WORKERS COMP. 89994,A81000B,00300,0300,ADMIN. EDUC. COSTS 89994,A81000B,00400,0300,STORAGE RENTAL 89994,A81000C,00100,0100,B 89994,A81000C,00100,0200,G. PAUL HOPKINS 89994,A81000C,00100,0400,G. PAUL HOPKINS 89994,A81000C,00100,0600,ADMINISTRATOR 89994,A81000C,00200,0100,B 89994,A81000C,00200,0200,G. PAUL HOPKINS 89994,A81000C,00200,0400,G. PAUL HOPKINS 89994,A81000C,00200,0600,ADMINISTRATOR 89994,A81000C,00300,0100,B 89994,A81000C,00300,0200,G. PAUL HOPKINS 89994,A81000C,00300,0400,G. PAUL HOPKINS 89994,A81000C,00300,0600,ADMINISTRATOR 89994,A81000C,00400,0100,B 89994,A81000C,00400,0200,G. PAUL HOPKINS 89994,A81000C,00400,0400,G. PAUL HOPKINS 89994,A81000C,00400,0600,ADMINISTRATOR 89994,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 89994,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 89994,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 89994,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 89994,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 89994,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 89994,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 89994,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 89994,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 89994,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 89994,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 89994,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 89994,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 89994,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 89994,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 89994,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 89994,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 89994,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 89994,E10A180,00301,0100,01/17/2000 89994,S000000,00100,0200,05/03/2000 89994,S200000,00100,0100,325 BEACON STREET 89994,S200000,00200,0100,WALTHAM 89994,S200000,00200,0200,MA 89994,S200000,00200,0300,02451- 89994,S200000,00300,0100,MIDDLESEX 89994,S200000,00400,0100,PIETY CORNER 89994,S200000,00400,0200,225678 89994,S200000,00400,0300,09/01/1995 89994,S200000,00400,0500,P 89994,S200000,01500,0100,Y 89994,S200000,04700,0100,Y 89994,S200000,04900,0100,Y 89994,S700003,00000,0400,4 90000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90000,A000000,00300,0000,00300EMPLOYEE BENEFITS 90000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90000,A000000,00700,0000,00700HOUSEKEEPING 90000,A000000,00800,0000,00800DIETARY 90000,A000000,00900,0000,00900NURSING ADMINISTRATION 90000,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90000,A000000,01100,0000,01100PHARMACY 90000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90000,A000000,01300,0000,01300SOCIAL SERVICE 90000,A000000,01350,0000,01500ACTIVITIES 90000,A000000,01351,0000,01501INDIRECT CONSULTANTS 90000,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90000,A000000,01600,0000,01600SKILLED NURSING FACILITY 90000,A000000,01800,0000,01800NURSING FACILITY 90000,A000000,01810,0000,01810ICF/MR 90000,A000000,01900,0000,01900OTHER LONG TERM CARE 90000,A000000,02100,0000,02100RADIOLOGY 90000,A000000,02200,0000,02200LABORATORY 90000,A000000,02300,0000,02300INTRAVENOUS THERAPY 90000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90000,A000000,02500,0000,02500PHYSICAL THERAPY 90000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90000,A000000,02700,0000,02700SPEECH PATHOLOGY 90000,A000000,02800,0000,02800ELECTROCARDIOLOGY 90000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90000,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 90000,A000000,03051,0000,03301TUBE FEEDING 90000,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90000,A000000,03200,0000,03200SUPPORT SURFACES 90000,A000000,03400,0000,03400CLINIC 90000,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90000,A000000,03500,0000,03500RURAL HEALTH CLINIC 90000,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90000,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90000,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90000,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90000,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90000,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90000,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90000,A000000,04400,0000,04400DME RENTED - HHA 90000,A000000,04500,0000,04500DME SOLD - HHA 90000,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90000,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90000,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90000,A000000,04800,0000,04800AMBULANCE 90000,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90000,A000000,05000,0000,05000CORF 90000,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90000,A000000,05300,0000,05300INTEREST EXPENSE 90000,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90000,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90000,A000000,05500,0000,05500HOSPICE 90000,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90000,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90000,A000000,06100,0000,06100NONPAID WORKERS 90000,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90000,A000000,06200,0000,06200PATIENTS LAUNDRY 90000,A81000A,00100,0100,Y 90000,A81000B,00100,0300,RENT-CAPITAL RELATED 90000,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 90000,A81000B,00300,0300,ADMINISTRATOR SALARY 90000,A81000B,00400,0300,MARKETING 90000,A81000C,00100,0100,A 90000,A81000C,00100,0200,PETER GORDON 90000,A81000C,00100,0400,NEPONSET CIRCLE REALTY 90000,A81000C,00100,0600,REALTY 90000,A81000C,00200,0100,A 90000,A81000C,00200,0200,WENDY GORDON 90000,A81000C,00300,0100,B 90000,A81000C,00300,0200,GORDON HC MGMT GROUP 90000,A81000C,00300,0600,MGMT COMPANY 90000,A81000C,00400,0100,B 90000,A81000C,00400,0200,NEPONSET CIRC SNF & REHAB 90000,A81000C,00400,0400,AURUM 90000,A81000C,00400,0600,TRADE ASSOC. 90000,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90000,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90000,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90000,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90000,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90000,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90000,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90000,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90000,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90000,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90000,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90000,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90000,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90000,E10A180,00301,0100,06/18/1999 90000,S000000,00100,0200,06/01/2000 90000,S200000,00100,0100,35 COFFEE STREET 90000,S200000,00200,0100,DORCHESTER 90000,S200000,00200,0200,MA 90000,S200000,00200,0300,02122- 90000,S200000,00300,0100,SUFFOLK 90000,S200000,00300,0200,1123 90000,S200000,00300,0300,U 90000,S200000,00400,0100,NEPONSET CIRCLE SKILLED NRSG & REHAB 90000,S200000,00400,0200,225680 90000,S200000,00400,0300,01/01/1995 90000,S200000,00400,0500,P 90000,S200000,00400,0600,P 90000,S200000,01600,0100,Y 90004,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90004,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90004,A000000,00300,0000,00300EMPLOYEE BENEFITS 90004,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90004,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90004,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90004,A000000,00700,0000,00700HOUSEKEEPING 90004,A000000,00800,0000,00800DIETARY 90004,A000000,00900,0000,00900NURSING ADMINISTRATION 90004,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90004,A000000,01100,0000,01100PHARMACY 90004,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90004,A000000,01300,0000,01300SOCIAL SERVICE 90004,A000000,01350,0000,01500ACTIVITIES 90004,A000000,01351,0000,01501INDIRECT CONSULTANTS 90004,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90004,A000000,01600,0000,01600SKILLED NURSING FACILITY 90004,A000000,01800,0000,01800NURSING FACILITY 90004,A000000,01810,0000,01801ICF/MR 90004,A000000,01900,0000,01900OTHER LONG TERM CARE 90004,A000000,02100,0000,02100RADIOLOGY 90004,A000000,02200,0000,02200LABORATORY 90004,A000000,02300,0000,02300INTRAVENOUS THERAPY 90004,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90004,A000000,02500,0000,02500PHYSICAL THERAPY 90004,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90004,A000000,02700,0000,02700SPEECH PATHOLOGY 90004,A000000,02800,0000,02800ELECTROCARDIOLOGY 90004,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90004,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90004,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 90004,A000000,03051,0000,03301AIR FLUID THERAPY 90004,A000000,03052,0000,03302TRANSPORTATION 90004,A000000,03053,0000,03303OTHER ANCILLARY SERVICE COST CENTER 90004,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90004,A000000,03200,0000,03200SUPPORT SURFACES 90004,A000000,03400,0000,03400CLINIC 90004,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90004,A000000,03500,0000,03500RURAL HEALTH CLINIC 90004,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90004,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90004,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90004,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90004,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90004,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90004,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90004,A000000,04400,0000,04400DME RENTED - HHA 90004,A000000,04500,0000,04500DME SOLD - HHA 90004,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90004,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90004,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90004,A000000,04800,0000,04800AMBULANCE 90004,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90004,A000000,05000,0000,05000CORF 90004,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90004,A000000,05300,0000,05300INTEREST EXPENSE 90004,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90004,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90004,A000000,05500,0000,05500HOSPICE 90004,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90004,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90004,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90004,A000000,06100,0000,06100NONPAID WORKERS 90004,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90004,A000000,06200,0000,06200PATIENTS LAUNDRY 90004,A81000A,00100,0100,Y 90004,A81000B,00100,0300,ADMINISTRATORS SALARY 90004,A81000B,00200,0300,OFFICERS SALARY 90004,A81000B,00300,0300,OFFICERS PAYROLL TAXES 90004,A81000B,00400,0300,OFFICERS WORKERS COMP 90004,A81000B,00500,0300,HEALTH INSURANCE OFFICER 90004,A81000C,00100,0100,G 90004,A81000C,00100,0200,STEVE COMLEY II 90004,A81000C,00200,0100,A 90004,A81000C,00200,0200,JUDITH COMLEY 90004,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90004,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90004,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90004,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90004,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90004,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90004,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90004,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90004,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90004,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90004,B100000,00000,1150,00000N/A :PHARMACY 90004,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90004,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90004,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 90004,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90004,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90004,S000000,00100,0200,05/31/2000 90004,S200000,00100,0100,50 MANSION DRIVE 90004,S200000,00200,0100,ROWLEY 90004,S200000,00200,0200,MA 90004,S200000,00200,0300,01969- 90004,S200000,00300,0100,ESSEX 90004,S200000,00400,0100,SEAVIEW CONVALESCENT & NURSING HOME 90004,S200000,00400,0200,225688 90004,S200000,00400,0300,09/01/1995 90004,S200000,00400,0500,P 90004,S200000,00400,0600,P 90004,S200000,01004,0500,O 90004,S200000,01500,0100,Y 90004,S700003,00000,0400,4 90012,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90012,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90012,A000000,00300,0000,00300EMPLOYEE BENEFITS 90012,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90012,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90012,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90012,A000000,00700,0000,00700HOUSEKEEPING 90012,A000000,00800,0000,00800DIETARY 90012,A000000,00900,0000,00900NURSING ADMINISTRATION 90012,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90012,A000000,01100,0000,01100PHARMACY 90012,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90012,A000000,01300,0000,01300SOCIAL SERVICE 90012,A000000,01350,0000,01500ACTIVITIES 90012,A000000,01351,0000,01501INDIRECT CONSULTANTS 90012,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90012,A000000,01600,0000,01600SKILLED NURSING FACILITY 90012,A000000,01800,0000,01800NURSING FACILITY 90012,A000000,01810,0000,01810ICF/MR 90012,A000000,01900,0000,01900OTHER LONG TERM CARE 90012,A000000,02100,0000,02100RADIOLOGY 90012,A000000,02200,0000,02200LABORATORY 90012,A000000,02300,0000,02300INTRAVENOUS THERAPY 90012,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90012,A000000,02500,0000,02500PHYSICAL THERAPY 90012,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90012,A000000,02700,0000,02700SPEECH PATHOLOGY 90012,A000000,02800,0000,02800ELECTROCARDIOLOGY 90012,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90012,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90012,A000000,03050,0000,03300DURABLE MEDICAL EQUIPMENT 90012,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90012,A000000,03200,0000,03200SUPPORT SURFACES 90012,A000000,03400,0000,03400CLINIC 90012,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90012,A000000,03500,0000,03500RURAL HEALTH CLINIC 90012,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90012,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90012,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90012,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90012,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90012,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90012,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90012,A000000,04400,0000,04400DME RENTED - HHA 90012,A000000,04500,0000,04500DME SOLD - HHA 90012,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90012,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90012,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90012,A000000,04800,0000,04800AMBULANCE 90012,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90012,A000000,05000,0000,05000CORF 90012,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90012,A000000,05300,0000,05300INTEREST EXPENSE 90012,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90012,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90012,A000000,05500,0000,05500HOSPICE 90012,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90012,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90012,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90012,A000000,06100,0000,06100NONPAID WORKERS 90012,A000000,06150,0000,06300ADULT DAY HEALTH 90012,A000000,06200,0000,06200PATIENTS LAUNDRY 90012,A81000A,00100,0100,Y 90012,A81000B,00100,0300,RENT-CAPITAL RELATED 90012,A81000B,00200,0300,RENT-CAP REL MOVABLE 90012,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 90012,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 90012,A81000B,00500,0300,MGMT FEE-CAP REL MOVABLE 90012,A81000B,00600,0300,ADMISSIONS SALARY 90012,A81000B,00700,0300,MGMT FEE - NON CAP INTEREST 90012,A81000B,00800,0300,ADMINISTRATORS SALARY 90012,A81000B,00900,0300,CLERICAL SALARY 90012,A81000C,00100,0100,A 90012,A81000C,00100,0200,MARK TOBIN 90012,A81000C,00100,0400,BAYPOINTE 90012,A81000C,00100,0600,REALTY 90012,A81000C,00200,0100,A 90012,A81000C,00200,0200,WILLIAM FREID 90012,A81000C,00200,0400,BAYPOINTE 90012,A81000C,00200,0600,REALTY 90012,A81000C,00300,0100,A 90012,A81000C,00300,0200,MARK TOBIN 90012,A81000C,00300,0400,THE POINTE GROUP 90012,A81000C,00300,0600,MGMT COMPANY 90012,A81000C,00400,0100,A 90012,A81000C,00400,0200,WILLIAM FREID 90012,A81000C,00400,0400,THE POINTE GROUP 90012,A81000C,00400,0600,MGMT COMPANY 90012,A81000C,00500,0100,A 90012,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90012,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90012,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90012,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90012,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90012,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90012,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90012,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90012,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90012,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90012,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90012,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90012,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90012,S000000,00100,0200,03/01/2000 90012,S200000,00100,0100,50 CHRISTY DRIVE 90012,S200000,00200,0100,BROCKTON 90012,S200000,00200,0200,MA 90012,S200000,00200,0300,02301- 90012,S200000,00300,0100,PLYMOUTH 90012,S200000,00300,0200,1123 90012,S200000,00300,0300,U 90012,S200000,00400,0100,BAYPOINTE REHAB & SKILLED CARE CTR 90012,S200000,00400,0200,225690 90012,S200000,00400,0300,12/28/1995 90012,S200000,00400,0500,P 90012,S200000,00400,0600,P 90012,S200000,01600,0100,Y 90012,S200000,02200,0100,Y 90021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90021,A000000,00300,0000,00300EMPLOYEE BENEFITS 90021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90021,A000000,00700,0000,00700HOUSEKEEPING 90021,A000000,00800,0000,00800DIETARY 90021,A000000,00900,0000,00900NURSING ADMINISTRATION 90021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90021,A000000,01100,0000,01100PHARMACY 90021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90021,A000000,01300,0000,01300SOCIAL SERVICE 90021,A000000,01350,0000,01500RECREATION/ACTIVITIES 90021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90021,A000000,01600,0000,01600SKILLED NURSING FACILITY 90021,A000000,01810,0000,01810ICF/MR 90021,A000000,02100,0000,02100RADIOLOGY 90021,A000000,02200,0000,02200LABORATORY 90021,A000000,02300,0000,02300INTRAVENOUS THERAPY 90021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90021,A000000,02500,0000,02500PHYSICAL THERAPY 90021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90021,A000000,02700,0000,02700SPEECH PATHOLOGY 90021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90021,A000000,03550,0000,03550FQHC 90021,A000000,05000,0000,05000CORF 90021,A000000,05010,0000,05010CMHC 90021,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90021,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90021,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90021,A81000A,00100,0100,Y 90021,A81000B,00100,0300,REALTY EXPENSE 90021,A81000B,00200,0300,REALTY EXPENSE 90021,A81000B,00300,0300,REALTY EXPENSE 90021,A81000B,00400,0300,HOME OFFICE MNGT FEE 90021,A81000B,00500,0300,HOME OFFICE MNGT FEE 90021,A81000B,00600,0300,HOME OFFICE MNGT FEE 90021,A81000C,00100,0100,A 90021,A81000C,00100,0200,DANIEL J. KANE 90021,A81000C,00100,0400,LAHAINA REALTY 90021,A81000C,00100,0600,REALTY COMPANY 90021,A81000C,00200,0100,A 90021,A81000C,00200,0200,DANIEL J. KANE 90021,A81000C,00200,0400,LAHAINA REALTY 90021,A81000C,00200,0600,REALTY COMPANY 90021,A81000C,00300,0100,A 90021,A81000C,00300,0200,DANIEL J. KANE 90021,A81000C,00300,0400,LAHAINA REALTY 90021,A81000C,00300,0600,REALTY COMPANY 90021,A81000C,00400,0100,B 90021,A81000C,00400,0400,OLYMPUS HC GROU 90021,A81000C,00400,0600,OWN/MNG FACILIT 90021,A81000C,00500,0100,B 90021,A81000C,00500,0400,OLYMPUS HC GROU 90021,A81000C,00500,0600,OWN/MNG FACILIT 90021,A81000C,00600,0100,B 90021,A81000C,00600,0400,OLYMPUS HC GROU 90021,A81000C,00600,0600,OWN/MNG FACILIT 90021,A81000C,00800,0200,SEE HCFA 339 FO 90021,A81000C,00900,0200,AND A-8-5 FOR O 90021,A81000C,01000,0200,RELATED PARTY 90021,A81000C,01001,0200,TRANSACTIONS 90021,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90021,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90021,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90021,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90021,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90021,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 90021,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90021,B100000,00000,0800,00000MEALS SERVED :DIETARY 90021,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 90021,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 90021,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 90021,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 90021,B100000,00000,1350,00000RESIDENT DAYS :RECREATION/ACTIVITI 90021,S000000,00100,0200,08/31/2000 90021,S200000,00100,0100,909 SUMNER STREET 90021,S200000,00200,0100,STOUGHTON 90021,S200000,00200,0200,MA 90021,S200000,00200,0300,02072- 90021,S200000,00300,0100,NORFOLK 90021,S200000,00300,0300,U 90021,S200000,00400,0100,GODDARD TRANSITIONAL CARE CENTER 90021,S200000,00400,0200,225701 90021,S200000,00400,0300,04/19/1996 90021,S200000,00400,0500,P 90021,S200000,00400,0600,P 90021,S200000,01500,0100,Y 90021,S200000,02200,0100,Y 90029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90029,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 90029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90029,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 90029,A000000,00300,0000,00300EMPLOYEE BENEFITS 90029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90029,A000000,00700,0000,00700HOUSEKEEPING 90029,A000000,00800,0000,00800DIETARY 90029,A000000,00801,0000,00801CAFETERIA 90029,A000000,00900,0000,00900NURSING ADMINISTRATION 90029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90029,A000000,01100,0000,01100PHARMACY 90029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90029,A000000,01300,0000,01300SOCIAL SERVICE 90029,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 90029,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90029,A000000,01600,0000,01600SKILLED NURSING FACILITY 90029,A000000,01800,0000,01800NURSING FACILITY 90029,A000000,01900,0000,01900OTHER LONG TERM CARE 90029,A000000,02100,0000,02100RADIOLOGY 90029,A000000,02200,0000,02200LABORATORY 90029,A000000,02300,0000,02300INTRAVENOUS THERAPY 90029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90029,A000000,02500,0000,02500PHYSICAL THERAPY 90029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90029,A000000,02700,0000,02700SPEECH PATHOLOGY 90029,A000000,02800,0000,02800ELECTROCARDIOLOGY 90029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90029,A000000,03050,0000,03300OTHER ANCILLARY 90029,A000000,03051,0000,03301OTHER ANCILLARY II 90029,A000000,03052,0000,03302OTHER ANCILLARY III 90029,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90029,A000000,03200,0000,03200SUPPORT SURFACES 90029,A000000,03400,0000,03400CLINIC 90029,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 90029,A000000,03500,0000,03500RURAL HEALTH CLINIC 90029,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90029,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90029,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90029,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90029,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90029,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90029,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90029,A000000,04400,0000,04400DME RENTED - HHA 90029,A000000,04500,0000,04500DME SOLD - HHA 90029,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90029,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90029,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90029,A000000,04800,0000,04800AMBULANCE 90029,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90029,A000000,05000,0000,05000CORF 90029,A000000,05010,0000,05010CMHC I 90029,A000000,05020,0000,05020OPT I 90029,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90029,A000000,05300,0000,05300INTEREST EXPENSE 90029,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 90029,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 90029,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90029,A000000,05500,0000,05500HOSPICE 90029,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90029,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90029,A000000,06100,0000,06100NONPAID WORKERS 90029,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90029,A000000,06200,0000,06200PATIENTS LAUNDRY 90029,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 90029,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 90029,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 90029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90029,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 90029,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 90029,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 90029,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 90029,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 90029,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 90029,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 90029,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 90029,S000000,00100,0200,06/01/2000 90029,S200000,00100,0100,1501 COMMONWEALTH AVENUE 90029,S200000,00200,0100,BRIGHTON 90029,S200000,00200,0200,MA 90029,S200000,00200,0300,02135- 90029,S200000,00300,0100,SUFFOLK 90029,S200000,00300,0200,1123 90029,S200000,00300,0300,U 90029,S200000,00400,0100,PROVIDENT NURSING HOME 90029,S200000,00400,0200,225705 90029,S200000,00400,0300,07/15/1996 90029,S200000,00400,0500,P 90029,S200000,01004,0500,O 90029,S200000,01600,0100,Y 90039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90039,A000000,00300,0000,00300EMPLOYEE BENEFITS 90039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90039,A000000,00700,0000,00700HOUSEKEEPING 90039,A000000,00800,0000,00800DIETARY 90039,A000000,00900,0000,00900NURSING ADMINISTRATION 90039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90039,A000000,01100,0000,01100PHARMACY 90039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90039,A000000,01300,0000,01300SOCIAL SERVICE 90039,A000000,01350,0000,01500ACTIVITIES 90039,A000000,01351,0000,01501INDIRECT CONSULTANTS 90039,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90039,A000000,01600,0000,01600SKILLED NURSING FACILITY 90039,A000000,01800,0000,01800NURSING FACILITY 90039,A000000,01810,0000,01801ICF/MR 90039,A000000,01900,0000,01900OTHER LONG TERM CARE 90039,A000000,02100,0000,02100RADIOLOGY 90039,A000000,02200,0000,02200LABORATORY 90039,A000000,02300,0000,02300INTRAVENOUS THERAPY 90039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90039,A000000,02500,0000,02500PHYSICAL THERAPY 90039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90039,A000000,02700,0000,02700SPEECH PATHOLOGY 90039,A000000,02800,0000,02800ELECTROCARDIOLOGY 90039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90039,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 90039,A000000,03051,0000,03301UROLOGICAL/SURGICAL-OTHER 90039,A000000,03052,0000,03302PEN THERAPY 90039,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90039,A000000,03200,0000,03200SUPPORT SURFACES 90039,A000000,03400,0000,03400CLINIC 90039,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90039,A000000,03500,0000,03500RURAL HEALTH CLINIC 90039,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90039,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90039,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90039,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90039,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90039,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90039,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90039,A000000,04400,0000,04400DME RENTED - HHA 90039,A000000,04500,0000,04500DME SOLD - HHA 90039,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90039,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90039,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90039,A000000,04800,0000,04800AMBULANCE 90039,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90039,A000000,05000,0000,05000CORF 90039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90039,A000000,05300,0000,05300INTEREST EXPENSE 90039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90039,A000000,05500,0000,05500HOSPICE 90039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90039,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90039,A000000,06100,0000,06100NONPAID WORKERS 90039,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90039,A000000,06200,0000,06200PATIENTS LAUNDRY 90039,A81000A,00100,0100,Y 90039,A81000B,00100,0300,RENT-CAPITAL RELATED 90039,A81000B,00200,0300,OT SALARY ALLOCATION 90039,A81000B,00300,0300,PT SALARY ALLOCATION 90039,A81000B,00400,0300,SOCIAL SERVICE SALARY ALLOCATION 90039,A81000B,00500,0300,EMPLOYEE BENEFITS-PR TAXES 90039,A81000B,00600,0300,EMPLOYEE BENEFITS-WORKERS COMP 90039,A81000B,00700,0300,EMPLOYEE BENEFITS-GROUP INS 90039,A81000B,00800,0300,EMPLOYEE BENEFITS-401(K) 90039,A81000B,00900,0300,A&G QUALITY ASSURANCE 90039,A81000B,01000,0300,MGMT FEE-CAP REL BLDG & FIXED 90039,A81000B,01100,0300,MGMT FEE-CAP REL MME 90039,A81000B,01200,0300,MGMT FEE-NON CAPITAL RELATED 90039,A81000C,00100,0100,A 90039,A81000C,00100,0200,NICHOLAS THISSE 90039,A81000C,00100,0400,REHAB ASSOCIATES 90039,A81000C,00100,0600,HOME OFFICE 90039,A81000C,00200,0100,A 90039,A81000C,00200,0200,MARION THISSE 90039,A81000C,00200,0400,ACORN TRUST 90039,A81000C,00200,0600,REALTY 90039,A81000C,00300,0100,A 90039,A81000C,00300,0200,NICHOLAS THISSE 90039,A81000C,00300,0400,THOMAS UPHAM HOUSE 90039,A81000C,00300,0600,NURSING HOME 90039,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90039,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90039,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90039,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90039,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90039,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90039,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90039,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90039,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90039,B100000,00000,1150,00000N/A :PHARMACY 90039,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90039,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90039,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90039,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90039,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90039,S000000,00100,0200,06/01/2000 90039,S200000,00100,0100,84 ELM STREET 90039,S200000,00200,0100,HOLLISTON 90039,S200000,00200,0200,MA 90039,S200000,00200,0300,01746- 90039,S200000,00300,0100,MIDDLESEX 90039,S200000,00400,0100,HOLLISTON MANOR NURSING HOME INC. 90039,S200000,00400,0200,225709 90039,S200000,00400,0300,08/01/1996 90039,S200000,00400,0500,P 90039,S200000,00400,0600,P 90039,S200000,01500,0100,Y 90039,S700003,00000,0400,4 90046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90046,A000000,00300,0000,00300EMPLOYEE BENEFITS 90046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90046,A000000,00700,0000,00700HOUSEKEEPING 90046,A000000,00800,0000,00800DIETARY 90046,A000000,00900,0000,00900NURSING ADMINISTRATION 90046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90046,A000000,01100,0000,01100PHARMACY 90046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90046,A000000,01300,0000,01300SOCIAL SERVICE 90046,A000000,01350,0000,01500ACTIVITIES 90046,A000000,01351,0000,01501INDIRECT CONSULTANTS 90046,A000000,01352,0000,01502ADMISSIONS 90046,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90046,A000000,01600,0000,01600SKILLED NURSING FACILITY 90046,A000000,01800,0000,01800NURSING FACILITY 90046,A000000,01810,0000,01810ICF/MR 90046,A000000,01900,0000,01900OTHER LONG TERM CARE 90046,A000000,02100,0000,02100RADIOLOGY 90046,A000000,02200,0000,02200LABORATORY 90046,A000000,02300,0000,02300INTRAVENOUS THERAPY 90046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90046,A000000,02500,0000,02500PHYSICAL THERAPY 90046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90046,A000000,02700,0000,02700SPEECH PATHOLOGY 90046,A000000,02800,0000,02800ELECTROCARDIOLOGY 90046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90046,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90046,A000000,03051,0000,03301AMBULANCE 90046,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90046,A000000,03200,0000,03200SUPPORT SURFACES 90046,A000000,03400,0000,03400CLINIC 90046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90046,A000000,03500,0000,03500RURAL HEALTH CLINIC 90046,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90046,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90046,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90046,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90046,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90046,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90046,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90046,A000000,04400,0000,04400DME RENTED - HHA 90046,A000000,04500,0000,04500DME SOLD - HHA 90046,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90046,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90046,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90046,A000000,04800,0000,04800AMBULANCE 90046,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90046,A000000,05000,0000,05000CORF 90046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90046,A000000,05300,0000,05300INTEREST EXPENSE 90046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90046,A000000,05500,0000,05500HOSPICE 90046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90046,A000000,06100,0000,06100NONPAID WORKERS 90046,A000000,06150,0000,06300ADULT DAY HEALTH DIRECT COSTS 90046,A000000,06151,0000,06301ASSISTED LIVING DIRECT COSTS 90046,A000000,06200,0000,06200PATIENTS LAUNDRY 90046,A81000A,00100,0100,Y 90046,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 90046,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 90046,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 90046,A81000B,00400,0300,PHYSICAL THERAPY 90046,A81000B,00500,0300,OCCUPATIONAL THERAPY 90046,A81000B,00600,0300,SPEECH THERAPY 90046,A81000B,00700,0300,A&G PERSONNEL 90046,A81000B,00800,0300,DIETARY PERSONNEL 90046,A81000C,00100,0100,A 90046,A81000C,00100,0200,PAUL CASALE 90046,A81000C,00100,0400,WELCH HC & RET. GROUP 90046,A81000C,00100,0600,HOME OFFICE 90046,A81000C,00200,0100,A 90046,A81000C,00200,0200,MICHAEL WELCH 90046,A81000C,00200,0400,WELCH HC & RET. GROUP 90046,A81000C,00200,0600,HOME OFFICE 90046,A81000C,00300,0100,A 90046,A81000C,00300,0200,RICHARD WELCH 90046,A81000C,00300,0400,WELCH HC & RET. GROUP 90046,A81000C,00300,0600,HOME OFFICE 90046,A81000C,00400,0100,A 90046,A81000C,00400,0200,THOMAS WELCH 90046,A81000C,00400,0400,WELCH HC & RET. GROUP 90046,A81000C,00400,0600,HOME OFFICE 90046,A81000C,00500,0100,A 90046,A81000C,00500,0200,RITA WELCH 90046,A81000C,00500,0400,WELCH HC & RET. GROUP 90046,A81000C,00500,0600,HOME OFFICE 90046,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 90046,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 90046,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 90046,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 90046,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 90046,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 90046,B100000,00000,0750,00001COSTED REQUSITION :HOUSEKEEPING 90046,B100000,00000,0800,00001MEALS SERVED :DIETARY 90046,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 90046,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 90046,B100000,00000,1150,00001N/A :PHARMACY 90046,B100000,00000,1250,00001N/A :MEDICAL RECORDS & LIBRARY 90046,B100000,00000,1330,00001# OF ADMISSIONS :SOCIAL SERVICE 90046,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 90046,B100000,00000,1351,00001N/A :INDIRECT CONSULTANTS 90046,B100000,00000,1352,00001# OF ADMISSIONS :ADMISSIONS 90046,B100000,00000,1450,00001N/A :INTERNS & RESIDENTS (APPRVD 90046,E10A180,00301,0100,07/26/1999 90046,S000000,00100,0200,02/29/2000 90046,S200000,00100,0100,164 PARKINGWAY 90046,S200000,00200,0100,QUINCY 90046,S200000,00200,0200,MA 90046,S200000,00200,0300,02169- 90046,S200000,00300,0100,NORFOLK 90046,S200000,00400,0100,HANCOCK PARK REHAB AND NURSING CTR 90046,S200000,00400,0200,225718 90046,S200000,00400,0300,11/13/1996 90046,S200000,00400,0500,P 90046,S200000,00400,0600,P 90046,S200000,01600,0100,Y 90054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90054,A000000,00300,0000,00300EMPLOYEE BENEFITS 90054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90054,A000000,00700,0000,00700HOUSEKEEPING 90054,A000000,00800,0000,00800DIETARY 90054,A000000,00900,0000,00900NURSING ADMINISTRATION 90054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90054,A000000,01100,0000,01100PHARMACY 90054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90054,A000000,01300,0000,01300SOCIAL SERVICE 90054,A000000,01350,0000,01500RECREATION 90054,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90054,A000000,01600,0000,01600SKILLED NURSING FACILITY 90054,A000000,01810,0000,01810ICF/MR 90054,A000000,02100,0000,02100RADIOLOGY 90054,A000000,02200,0000,02200LABORATORY 90054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90054,A000000,02500,0000,02500PHYSICAL THERAPY 90054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90054,A000000,02700,0000,02700SPEECH PATHOLOGY 90054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90054,A000000,03550,0000,03550FQHC 90054,A000000,05000,0000,05000CORF 90054,A000000,05010,0000,05010CMHC 90054,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90054,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90054,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90054,A81000A,00100,0100,Y 90054,A81000B,00100,0300,HOME OFFICE EXPENSE 90054,A81000B,00200,0300,HOME OFFICE EXPENSE 90054,A81000B,00300,0300,MANAGEMENT FEE 90054,A81000C,00100,0100,B 90054,A81000C,00100,0400,OLYMPUS HEALTHC 90054,A81000C,00100,0600,OWN/MANAGE FACI 90054,A81000C,00200,0100,B 90054,A81000C,00200,0400,OLYMPUS HEALTHC 90054,A81000C,00200,0600,OWN/MANAGE FACI 90054,A81000C,00300,0100,B 90054,A81000C,00300,0400,OLYMPUS HEALTHC 90054,A81000C,00300,0600,OWN/MANAGE FACI 90054,A81000C,00500,0200,SEE HCFA 339 AN 90054,A81000C,00600,0200,A-8-5 FOR OTHER 90054,A81000C,00700,0200,RELATED PARTY 90054,A81000C,00800,0200,TRANSACTIONS 90054,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90054,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90054,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90054,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90054,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90054,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 90054,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90054,B100000,00000,0800,00000MEALS SERVED :DIETARY 90054,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 90054,B100000,00000,1050,00000RESIDENT DAYS :CENTRAL SERVICES & 90054,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 90054,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 90054,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 90054,B100000,00000,1350,00000RESIDENT DAYS :RECREATION 90054,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90054,S000000,00100,0200,05/30/2000 90054,S200000,00100,0100,1748 HIGHLAND AVENUE 90054,S200000,00200,0100,FALL RIVER 90054,S200000,00200,0200,MA 90054,S200000,00200,0300,02720- 90054,S200000,00400,0100,OLYMPUS HEALTHCARE CENTER-FALL RIVE 90054,S200000,00400,0200,225723 90054,S200000,00400,0300,02/27/1997 90054,S200000,00400,0500,P 90054,S200000,00400,0600,P 90054,S200000,01500,0100,Y 90054,S700003,00000,0400,4 90056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90056,A000000,00300,0000,00300EMPLOYEE BENEFITS 90056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90056,A000000,00700,0000,00700HOUSEKEEPING 90056,A000000,00800,0000,00800DIETARY 90056,A000000,00900,0000,00900NURSING ADMINISTRATION 90056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90056,A000000,01100,0000,01100PHARMACY 90056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90056,A000000,01300,0000,01300SOCIAL SERVICE 90056,A000000,01350,0000,01500ACTIVITIES 90056,A000000,01351,0000,01501INDIRECT CONSULTANTS 90056,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90056,A000000,01600,0000,01600SKILLED NURSING FACILITY 90056,A000000,01800,0000,01800NURSING FACILITY 90056,A000000,01810,0000,01801ICF/MR 90056,A000000,01900,0000,01900OTHER LONG TERM CARE 90056,A000000,02100,0000,02100RADIOLOGY 90056,A000000,02200,0000,02200LABORATORY 90056,A000000,02300,0000,02300INTRAVENOUS THERAPY 90056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90056,A000000,02500,0000,02500PHYSICAL THERAPY 90056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90056,A000000,02700,0000,02700SPEECH PATHOLOGY 90056,A000000,02800,0000,02800ELECTROCARDIOLOGY 90056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90056,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90056,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 90056,A000000,03052,0000,03302PEN THERAPY 90056,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90056,A000000,03200,0000,03200SUPPORT SURFACES 90056,A000000,03400,0000,03400CLINIC 90056,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90056,A000000,03500,0000,03500RURAL HEALTH CLINIC 90056,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90056,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90056,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90056,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90056,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90056,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90056,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90056,A000000,04400,0000,04400DME RENTED - HHA 90056,A000000,04500,0000,04500DME SOLD - HHA 90056,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90056,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90056,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90056,A000000,04800,0000,04800AMBULANCE 90056,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90056,A000000,05000,0000,05000CORF 90056,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90056,A000000,05300,0000,05300INTEREST EXPENSE 90056,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90056,A000000,05500,0000,05500HOSPICE 90056,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90056,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90056,A000000,06100,0000,06100NONPAID WORKERS 90056,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90056,A000000,06200,0000,06200PATIENTS LAUNDRY 90056,A81000A,00100,0100,Y 90056,A81000B,00100,0300,RENT-CAPITAL RELATED 90056,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 90056,A81000B,00300,0300,QA NURSE SALARY ALLOCATION 90056,A81000B,00400,0300,PHYSICAL THERAPY ALLOCATION 90056,A81000B,00500,0300,OCCUPATIONAL THERAPY ALLOCATION 90056,A81000B,00600,0300,EMPLOYEE BENEFITS-PAYROLL TAXES 90056,A81000B,00700,0300,EMPLOYEE BENEFITS-401(K) 90056,A81000B,00800,0300,EMPLOYEE BENEFITS-GROUP INSURANCE 90056,A81000B,00900,0300,EMPLOYEE BENEFITS-WORKERS COMP 90056,A81000B,01000,0300,MGMT FEE-CAP REL BLDG & FIXED 90056,A81000B,01100,0300,MGMT FEE-CAP REL MME 90056,A81000C,00100,0100,A 90056,A81000C,00100,0200,NICHOLAS THISSE 90056,A81000C,00100,0400,BLACKSTONE REALTY 90056,A81000C,00100,0600,REALTY COMPANY 90056,A81000C,00200,0100,A 90056,A81000C,00200,0200,NICHOLAS THISSE 90056,A81000C,00200,0400,REHAB ASSOCIATES 90056,A81000C,00200,0600,HOME OFFICE 90056,A81000C,00300,0100,A 90056,A81000C,00300,0200,NICHOLAS THISSE 90056,A81000C,00300,0400,THOMAS UPHAM HOUSE 90056,A81000C,00300,0600,NURSING FACILITY 90056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90056,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90056,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90056,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90056,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90056,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90056,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90056,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90056,B100000,00000,1150,00000N/A :PHARMACY 90056,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90056,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90056,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90056,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90056,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90056,S000000,00100,0200,06/01/2000 90056,S200000,00100,0100,8 BUTLER STREET 90056,S200000,00200,0100,BLACKSTONE 90056,S200000,00200,0200,MA 90056,S200000,00200,0300,01504- 90056,S200000,00300,0100,WORCESTER 90056,S200000,00400,0100,8 BUTLER ST. DBA BLACKSTONE N.H. 90056,S200000,00400,0200,225725 90056,S200000,00400,0300,04/01/1997 90056,S200000,00400,0500,P 90056,S200000,00400,0600,P 90056,S200000,01500,0100,Y 90056,S700003,00000,0400,4 90061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90061,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90061,A000000,00300,0000,00300EMPLOYEE BENEFITS 90061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90061,A000000,00700,0000,00700HOUSEKEEPING 90061,A000000,00800,0000,00800DIETARY 90061,A000000,00900,0000,00900NURSING ADMINISTRATION 90061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90061,A000000,01100,0000,01100PHARMACY 90061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90061,A000000,01300,0000,01300SOCIAL SERVICE 90061,A000000,01350,0000,01500ACTIVITIES 90061,A000000,01351,0000,01501INDIRECT CONSULTANTS 90061,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90061,A000000,01600,0000,01600SKILLED NURSING FACILITY 90061,A000000,01800,0000,01800NURSING FACILITY 90061,A000000,01810,0000,01801ICF/MR 90061,A000000,01900,0000,01900OTHER LONG TERM CARE 90061,A000000,02100,0000,02100RADIOLOGY 90061,A000000,02200,0000,02200LABORATORY 90061,A000000,02300,0000,02300INTRAVENOUS THERAPY 90061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90061,A000000,02500,0000,02500PHYSICAL THERAPY 90061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90061,A000000,02700,0000,02700SPEECH PATHOLOGY 90061,A000000,02800,0000,02800ELECTROCARDIOLOGY 90061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90061,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90061,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90061,A000000,03200,0000,03200SUPPORT SURFACES 90061,A000000,03400,0000,03400CLINIC 90061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90061,A000000,03500,0000,03500RURAL HEALTH CLINIC 90061,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90061,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90061,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90061,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90061,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90061,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90061,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90061,A000000,04400,0000,04400DME RENTED - HHA 90061,A000000,04500,0000,04500DME SOLD - HHA 90061,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90061,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90061,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90061,A000000,04800,0000,04800AMBULANCE 90061,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90061,A000000,05000,0000,05000CORF 90061,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90061,A000000,05300,0000,05300INTEREST EXPENSE 90061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90061,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90061,A000000,05500,0000,05500HOSPICE 90061,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90061,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90061,A000000,06100,0000,06100NONPAID WORKERS 90061,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90061,A000000,06200,0000,06200PATIENTS LAUNDRY 90061,A81000A,00100,0100,Y 90061,A81000B,00100,0300,RENT-CAPITAL RELATED 90061,A81000B,00200,0300,RENT-CAP REL MOVABLE 90061,A81000B,00300,0300,RENT - NON CAPITAL RELATED 90061,A81000C,00100,0100,G 90061,A81000C,00100,0400,SISTERS OF MERCY 90061,A81000C,00100,0600,CONVENT 90061,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90061,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90061,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90061,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90061,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90061,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90061,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90061,B100000,00000,0800,00000MEALS SERVED :DIETARY 90061,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90061,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90061,B100000,00000,1150,00000N/A :PHARMACY 90061,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90061,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90061,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90061,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90061,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90061,S000000,00100,0200,05/17/2000 90061,S200000,00100,0100,101 BARRY ROAD 90061,S200000,00200,0100,WORCESTER 90061,S200000,00200,0200,MA 90061,S200000,00200,0300,01609- 90061,S200000,00300,0100,WORCESTER 90061,S200000,00400,0100,OUR LADY OF MERCY 90061,S200000,00400,0200,225726 90061,S200000,00400,0300,05/12/1997 90061,S200000,00400,0500,P 90061,S200000,00400,0600,P 90061,S200000,01004,0500,O 90061,S200000,01600,0100,Y 90066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90066,A000000,00300,0000,00300EMPLOYEE BENEFITS 90066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90066,A000000,00700,0000,00700HOUSEKEEPING 90066,A000000,00800,0000,00800DIETARY 90066,A000000,00900,0000,00900NURSING ADMINISTRATION 90066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90066,A000000,01100,0000,01100PHARMACY 90066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90066,A000000,01300,0000,01300SOCIAL SERVICE 90066,A000000,01350,0000,01500ACTIVITIES 90066,A000000,01351,0000,01501INDIRECT CONSULTANTS 90066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90066,A000000,01600,0000,01600SKILLED NURSING FACILITY 90066,A000000,01800,0000,01800NURSING FACILITY 90066,A000000,01810,0000,01801ICF/MR 90066,A000000,01900,0000,01900OTHER LONG TERM CARE 90066,A000000,02100,0000,02100RADIOLOGY 90066,A000000,02200,0000,02200LABORATORY 90066,A000000,02300,0000,02300INTRAVENOUS THERAPY 90066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90066,A000000,02500,0000,02500PHYSICAL THERAPY 90066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90066,A000000,02700,0000,02700SPEECH PATHOLOGY 90066,A000000,02800,0000,02800ELECTROCARDIOLOGY 90066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90066,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 90066,A000000,03051,0000,03301AMBULANCE 90066,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90066,A000000,03200,0000,03200SUPPORT SURFACES 90066,A000000,03400,0000,03400CLINIC 90066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90066,A000000,03500,0000,03500RURAL HEALTH CLINIC 90066,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90066,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90066,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90066,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90066,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90066,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90066,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90066,A000000,04400,0000,04400DME RENTED - HHA 90066,A000000,04500,0000,04500DME SOLD - HHA 90066,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90066,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90066,A000000,04800,0000,04800AMBULANCE 90066,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90066,A000000,05000,0000,05000CORF 90066,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90066,A000000,05300,0000,05300INTEREST EXPENSE 90066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90066,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90066,A000000,05500,0000,05500HOSPICE 90066,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90066,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90066,A000000,06100,0000,06100NONPAID WORKERS 90066,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90066,A000000,06151,0000,06301CHILD DAY CARE 90066,A000000,06200,0000,06200PATIENTS LAUNDRY 90066,A81000A,00100,0100,Y 90066,A81000B,00100,0300,LICENSE & DUES 90066,A81000B,00200,0300,PLANT P/S 90066,A81000B,00300,0300,SALARY 90066,A81000B,00400,0300,SALARY 90066,A81000B,00500,0300,SALARY 90066,A81000B,00600,0300,SALARY 90066,A81000B,00700,0300,SALARY 90066,A81000B,00800,0300,SALARY 90066,A81000B,00900,0300,SALARY 90066,A81000C,00100,0100,A 90066,A81000C,00100,0200,D SALMON /B TUFFY 90066,A81000C,00100,0400,BEAUMONT AT WILLOWS 90066,A81000C,00100,0600,SNF 90066,A81000C,00200,0100,D 90066,A81000C,00200,0200,KIM SALMON 90066,A81000C,00300,0100,D 90066,A81000C,00300,0200,DJ SALMON 90066,A81000C,00300,0400,DJ SALMON LAND 90066,A81000C,00300,0600,LANDSCAPING 90066,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 90066,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 90066,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 90066,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 90066,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 90066,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 90066,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 90066,B100000,00000,0800,00001MEALS SERVED :DIETARY 90066,B100000,00000,0900,00001HOURS :NURSING ADMINISTRATION 90066,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 90066,B100000,00000,1150,00001N/A :PHARMACY 90066,B100000,00000,1250,00001N/A :MEDICAL RECORDS & LIBRARY 90066,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 90066,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 90066,B100000,00000,1351,00001N/A :INDIRECT CONSULTANTS 90066,B100000,00000,1450,00001N/A :INTERNS & RESIDENTS (APPRVD 90066,S000000,00100,0200,06/01/2000 90066,S200000,00100,0100,THREE VISION DRIVE 90066,S200000,00200,0100,NATICK 90066,S200000,00200,0200,MA 90066,S200000,00200,0300,01760- 90066,S200000,00300,0100,MIDDLESEX 90066,S200000,00400,0100,BEAUMONT AT NATICK 90066,S200000,00400,0200,225727 90066,S200000,00400,0300,05/30/1997 90066,S200000,00400,0500,P 90066,S200000,00400,0600,P 90066,S200000,01004,0500,O 90066,S200000,01600,0100,Y 90066,S200000,02800,0100,Y 90066,S700003,00000,0400,4 90069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90069,A000000,00300,0000,00300EMPLOYEE BENEFITS 90069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90069,A000000,00700,0000,00700HOUSEKEEPING 90069,A000000,00800,0000,00800DIETARY 90069,A000000,00900,0000,00900NURSING ADMINISTRATION 90069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90069,A000000,01100,0000,01100PHARMACY 90069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90069,A000000,01300,0000,01300SOCIAL SERVICE 90069,A000000,01350,0000,01500ACTIVITIES 90069,A000000,01351,0000,01501INDIRECT CONSULTANTS 90069,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90069,A000000,01600,0000,01600SKILLED NURSING FACILITY 90069,A000000,01800,0000,01800NURSING FACILITY 90069,A000000,01810,0000,01801ICF/MR 90069,A000000,01900,0000,01900OTHER LONG TERM CARE 90069,A000000,02100,0000,02100RADIOLOGY 90069,A000000,02200,0000,02200LABORATORY 90069,A000000,02300,0000,02300INTRAVENOUS THERAPY 90069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90069,A000000,02500,0000,02500PHYSICAL THERAPY 90069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90069,A000000,02700,0000,02700SPEECH PATHOLOGY 90069,A000000,02800,0000,02800ELECTROCARDIOLOGY 90069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90069,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90069,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90069,A000000,03200,0000,03200SUPPORT SURFACES 90069,A000000,03400,0000,03400CLINIC 90069,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90069,A000000,03500,0000,03500RURAL HEALTH CLINIC 90069,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90069,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90069,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90069,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90069,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90069,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90069,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90069,A000000,04400,0000,04400DME RENTED - HHA 90069,A000000,04500,0000,04500DME SOLD - HHA 90069,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90069,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90069,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90069,A000000,04800,0000,04800AMBULANCE 90069,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90069,A000000,05000,0000,05000CORF 90069,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90069,A000000,05300,0000,05300INTEREST EXPENSE 90069,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90069,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90069,A000000,05500,0000,05500HOSPICE 90069,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90069,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90069,A000000,06100,0000,06100NONPAID WORKERS 90069,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90069,A000000,06200,0000,06200PATIENTS LAUNDRY 90069,A81000A,00100,0100,Y 90069,A81000B,00100,0300,ADMIN SALARY 90069,A81000C,00100,0100,A 90069,A81000C,00100,0200,THOMAS WOODS 90069,A81000C,00100,0600,OWNER 90069,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90069,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90069,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90069,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90069,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90069,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90069,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90069,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90069,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90069,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90069,B100000,00000,1150,00000N/A :PHARMACY 90069,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90069,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90069,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90069,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90069,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90069,S000000,00100,0200,06/01/2000 90069,S200000,00100,0100,90 GREENWOOD STREET 90069,S200000,00200,0100,WAKEFIELD 90069,S200000,00200,0200,MA 90069,S200000,00200,0300,01880-4099 90069,S200000,00300,0100,MIDDLESEX 90069,S200000,00400,0100,GREENWOOD NURSING & REHAB. CENTER 90069,S200000,00400,0200,225736 90069,S200000,00400,0300,12/31/1997 90069,S200000,00400,0500,P 90069,S200000,00400,0600,P 90069,S200000,01004,0500,O 90069,S200000,01600,0100,Y 90074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90074,A000000,00300,0000,00300EMPLOYEE BENEFITS 90074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90074,A000000,00700,0000,00700HOUSEKEEPING 90074,A000000,00800,0000,00800DIETARY 90074,A000000,00900,0000,00900NURSING ADMINISTRATION 90074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90074,A000000,01100,0000,01100PHARMACY 90074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90074,A000000,01350,0000,01500OTHER GENERAL SERVICES 90074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90074,A000000,01600,0000,01600SKILLED NURSING FACILITY 90074,A000000,01800,0000,01800NURSING FACILITY 90074,A000000,01810,0000,01801ICF/MR 90074,A000000,01900,0000,01900OTHER LONG TERM CARE 90074,A000000,02100,0000,02100RADIOLOGY 90074,A000000,02200,0000,02200LABORATORY 90074,A000000,02300,0000,02300INTRAVENOUS THERAPY 90074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90074,A000000,02500,0000,02500PHYSICAL THERAPY 90074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90074,A000000,02700,0000,02700SPEECH PATHOLOGY 90074,A000000,02800,0000,02800ELECTROCARDIOLOGY 90074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90074,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90074,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90074,A000000,03200,0000,03200SUPPORT SURFACES 90074,A000000,03400,0000,03400CLINIC 90074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90074,A000000,03500,0000,03500RURAL HEALTH CLINIC 90074,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90074,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90074,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90074,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90074,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90074,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90074,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90074,A000000,04400,0000,04400DME RENTED - HHA 90074,A000000,04500,0000,04500DME SOLD - HHA 90074,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90074,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90074,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90074,A000000,04800,0000,04800AMBULANCE 90074,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90074,A000000,05000,0000,05000CORF 90074,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90074,A000000,05300,0000,05300INTEREST EXPENSE 90074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90074,A000000,05500,0000,05500HOSPICE 90074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90074,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90074,A000000,06100,0000,06100NONPAID WORKERS 90074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90074,A000000,06200,0000,06200PATIENTS LAUNDRY 90074,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90074,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90074,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90074,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90074,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90074,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90074,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 90074,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90074,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90074,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90074,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90074,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90074,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 90074,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90074,S000000,00100,0200,05/31/2000 90074,S200000,00100,0100,MAIN STREET 90074,S200000,00200,0100,HOLYOKE 90074,S200000,00200,0200,MA 90074,S200000,00200,0300,01040- 90074,S200000,00300,0100,MASS 90074,S200000,00400,0100,MOTHERHOUSE INFIRMARY 90074,S200000,00400,0200,225738 90074,S200000,00400,0300,01/22/1998 90074,S200000,01004,0500,O 90074,S200000,01500,0100,Y 90074,S700003,00000,0100,1 90076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90076,A000000,00300,0000,00300EMPLOYEE BENEFITS 90076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90076,A000000,00700,0000,00700HOUSEKEEPING 90076,A000000,00800,0000,00800DIETARY 90076,A000000,00900,0000,00900NURSING ADMINISTRATION 90076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90076,A000000,01100,0000,01100PHARMACY 90076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90076,A000000,01300,0000,01300SOCIAL SERVICE 90076,A000000,01350,0000,01500ACTIVITIES 90076,A000000,01351,0000,01501INDIRECT CONSULTANTS 90076,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90076,A000000,01600,0000,01600SKILLED NURSING FACILITY 90076,A000000,01800,0000,01800NURSING FACILITY 90076,A000000,01810,0000,01801ICF/MR 90076,A000000,01900,0000,01900OTHER LONG TERM CARE 90076,A000000,02100,0000,02100RADIOLOGY 90076,A000000,02200,0000,02200LABORATORY 90076,A000000,02300,0000,02300INTRAVENOUS THERAPY 90076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90076,A000000,02500,0000,02500PHYSICAL THERAPY 90076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90076,A000000,02700,0000,02700SPEECH PATHOLOGY 90076,A000000,02800,0000,02800ELECTROCARDIOLOGY 90076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90076,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90076,A000000,03200,0000,03200SUPPORT SURFACES 90076,A000000,03400,0000,03400CLINIC 90076,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90076,A000000,03500,0000,03500RURAL HEALTH CLINIC 90076,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90076,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90076,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90076,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90076,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90076,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90076,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90076,A000000,04400,0000,04400DME RENTED - HHA 90076,A000000,04500,0000,04500DME SOLD - HHA 90076,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90076,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90076,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90076,A000000,04800,0000,04800AMBULANCE 90076,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90076,A000000,05000,0000,05000CORF 90076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90076,A000000,05300,0000,05300INTEREST EXPENSE 90076,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90076,A000000,05500,0000,05500HOSPICE 90076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90076,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90076,A000000,06100,0000,06100NONPAID WORKERS 90076,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90076,A000000,06200,0000,06200PATIENTS LAUNDRY 90076,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90076,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90076,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90076,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90076,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90076,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90076,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90076,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90076,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90076,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90076,B100000,00000,1150,00000N/A :PHARMACY 90076,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90076,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90076,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90076,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90076,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90076,S000000,00100,0200,04/24/2000 90076,S200000,00100,0100,215 ADAMS STREET 90076,S200000,00200,0100,QUINCY 90076,S200000,00200,0200,MA 90076,S200000,00200,0300,02169-1799 90076,S200000,00300,0100,NORFOLK 90076,S200000,00400,0100,WILLIAM B. RICE EVENTIDE HOME INC. 90076,S200000,00400,0200,225739 90076,S200000,00400,0300,04/01/1998 90076,S200000,00400,0500,P 90076,S200000,00400,0600,P 90076,S200000,01004,0500,O 90076,S200000,01600,0100,Y 90076,S700003,00000,0400,4 90082,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90082,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90082,A000000,00300,0000,00300EMPLOYEE BENEFITS 90082,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90082,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90082,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90082,A000000,00700,0000,00700HOUSEKEEPING 90082,A000000,00800,0000,00800DIETARY 90082,A000000,00900,0000,00900NURSING ADMINISTRATION 90082,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90082,A000000,01100,0000,01100PHARMACY 90082,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90082,A000000,01300,0000,01300SOCIAL SERVICE 90082,A000000,01350,0000,01500ACTIVITIES 90082,A000000,01351,0000,01501INDIRECT CONSULTANTS 90082,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90082,A000000,01600,0000,01600SKILLED NURSING FACILITY 90082,A000000,01800,0000,01800NURSING FACILITY 90082,A000000,01810,0000,01801ICF/MR 90082,A000000,01900,0000,01900OTHER LONG TERM CARE 90082,A000000,02100,0000,02100RADIOLOGY 90082,A000000,02200,0000,02200LABORATORY 90082,A000000,02300,0000,02300INTRAVENOUS THERAPY 90082,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90082,A000000,02500,0000,02500PHYSICAL THERAPY 90082,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90082,A000000,02700,0000,02700SPEECH PATHOLOGY 90082,A000000,02800,0000,02800ELECTROCARDIOLOGY 90082,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90082,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90082,A000000,03050,0000,03300AMBULANCE 90082,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90082,A000000,03200,0000,03200SUPPORT SURFACES 90082,A000000,03400,0000,03400CLINIC 90082,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90082,A000000,03500,0000,03500RURAL HEALTH CLINIC 90082,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90082,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90082,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90082,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90082,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90082,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90082,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90082,A000000,04400,0000,04400DME RENTED - HHA 90082,A000000,04500,0000,04500DME SOLD - HHA 90082,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90082,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90082,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90082,A000000,04800,0000,04800AMBULANCE 90082,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90082,A000000,05000,0000,05000CORF 90082,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90082,A000000,05300,0000,05300INTEREST EXPENSE 90082,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90082,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90082,A000000,05500,0000,05500HOSPICE 90082,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90082,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90082,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90082,A000000,06100,0000,06100NONPAID WORKERS 90082,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90082,A000000,06200,0000,06200PATIENTS LAUNDRY 90082,A81000A,00100,0100,Y 90082,A81000B,00100,0300,CLERICAL SALARIES 90082,A81000B,00200,0300,HOUSEKEEPING SALARIES 90082,A81000B,00300,0300,ADMINISTRATORS SALARY 90082,A81000C,00100,0100,A 90082,A81000C,00100,0200,DAVID BAKER 90082,A81000C,00200,0100,A 90082,A81000C,00200,0200,DOROTHY BAKER 90082,A81000C,00300,0100,A 90082,A81000C,00300,0200,CHRISTINE BAKER 90082,A81000C,00400,0100,A 90082,A81000C,00400,0200,ROBERT BAKER 90082,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 90082,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 90082,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90082,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90082,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 90082,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90082,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 90082,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90082,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90082,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90082,B100000,00000,1150,00000N/A :PHARMACY 90082,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90082,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90082,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90082,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90082,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90082,S000000,00100,0200,05/31/2000 90082,S200000,00100,0100,194 BOARDMAN STREET 90082,S200000,00200,0100,HAVERHILL 90082,S200000,00200,0200,MA 90082,S200000,00200,0300,01830- 90082,S200000,00300,0100,ESSEX 90082,S200000,00400,0100,BAKER-KATZ NURSING HOME 90082,S200000,00400,0200,225743 90082,S200000,00400,0300,09/01/1998 90082,S200000,00400,0500,P 90082,S200000,00400,0600,P 90082,S200000,01004,0500,O 90082,S200000,01500,0100,Y 90082,S700003,00000,0400,4 90086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90086,A000000,00300,0000,00300EMPLOYEE BENEFITS 90086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90086,A000000,00700,0000,00700HOUSEKEEPING 90086,A000000,00800,0000,00800DIETARY 90086,A000000,00900,0000,00900NURSING ADMINISTRATION 90086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90086,A000000,01100,0000,01100PHARMACY 90086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90086,A000000,01300,0000,01300SOCIAL SERVICE 90086,A000000,01350,0000,01500ACTIVITIES 90086,A000000,01351,0000,01501INDIRECT CONSULTANTS 90086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90086,A000000,01600,0000,01600SKILLED NURSING FACILITY 90086,A000000,01800,0000,01800NURSING FACILITY 90086,A000000,01810,0000,01810ICF/MR 90086,A000000,01900,0000,01900OTHER LONG TERM CARE 90086,A000000,02100,0000,02100RADIOLOGY 90086,A000000,02200,0000,02200LABORATORY 90086,A000000,02300,0000,02300INTRAVENOUS THERAPY 90086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90086,A000000,02500,0000,02500PHYSICAL THERAPY 90086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90086,A000000,02700,0000,02700SPEECH PATHOLOGY 90086,A000000,02800,0000,02800ELECTROCARDIOLOGY 90086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90086,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 90086,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 90086,A000000,03052,0000,03302AMBULANCE 90086,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90086,A000000,03200,0000,03200SUPPORT SURFACES 90086,A000000,03400,0000,03400CLINIC 90086,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90086,A000000,03500,0000,03500RURAL HEALTH CLINIC 90086,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90086,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90086,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90086,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90086,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90086,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90086,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90086,A000000,04400,0000,04400DME RENTED - HHA 90086,A000000,04500,0000,04500DME SOLD - HHA 90086,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90086,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90086,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90086,A000000,04800,0000,04800AMBULANCE 90086,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90086,A000000,05000,0000,05000CORF 90086,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90086,A000000,05300,0000,05300INTEREST EXPENSE 90086,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90086,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90086,A000000,05500,0000,05500HOSPICE 90086,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90086,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90086,A000000,06100,0000,06100NONPAID WORKERS 90086,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90086,A000000,06200,0000,06200PATIENTS LAUNDRY 90086,A81000A,00100,0100,Y 90086,A81000B,00100,0300,RENT-CAPITAL RELATED 90086,A81000B,00200,0300,RENT-CAP REL MOVABLE 90086,A81000B,00300,0300,RENT - NOT CAPITAL RELATED 90086,A81000B,00400,0300,MGMT FEE - CAPITAL RELATED 90086,A81000B,00500,0300,MGMT FEE - NOT CAP RELATED 90086,A81000B,00600,0300,MGMT FEE - CAP REL MOVEABLE 90086,A81000B,00700,0300,SOCIAL SERVICE CONSULTANT 90086,A81000B,00800,0300,FOOD SERVICE CONSULTANT 90086,A81000B,00900,0300,ADMINISTRATOR PURCH SERV 90086,A81000B,01000,0300,CLERICAL PURCH SERVICE 90086,A81000B,01100,0300,QA CONSULTANT 90086,A81000C,00100,0100,A 90086,A81000C,00100,0200,DOUGLAS NOBLE 90086,A81000C,00100,0400,LAUREL LAKE LLC 90086,A81000C,00100,0600,RENTAL PROPERTY 90086,A81000C,00200,0100,A 90086,A81000C,00200,0200,JEFFREY GOLDSHINE 90086,A81000C,00200,0400,LAUREL LAKE LLC 90086,A81000C,00200,0600,RENTAL PROPERTY 90086,A81000C,00300,0100,A 90086,A81000C,00300,0200,RICHARD KOSOW 90086,A81000C,00300,0400,LAUREL LAKE LLC 90086,A81000C,00300,0600,RENTAL PROPERTY 90086,A81000C,00400,0100,A 90086,A81000C,00400,0200,LAWRENCE KOSOW 90086,A81000C,00400,0400,LAUREL LAKE LLC 90086,A81000C,00400,0600,RENTAL PROPERTY 90086,A81000C,00500,0100,B 90086,A81000C,00500,0400,COMMONWEALTH COMMUNITIES 90086,A81000C,00500,0600,HOME OFFICE 90086,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90086,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90086,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90086,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90086,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90086,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90086,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90086,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90086,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90086,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90086,B100000,00000,1150,00000N/A :PHARMACY 90086,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90086,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90086,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90086,B100000,00000,1351,00000N/A :INDIRECT CONSULTANTS 90086,B100000,00000,1450,00000N/A :INTERNS & RESIDENTS (APPRVD 90086,S000000,00100,0200,06/01/2000 90086,S200000,00100,0100,620 LAUREL STREET 90086,S200000,00200,0100,LEE 90086,S200000,00200,0200,MA 90086,S200000,00200,0300,01238- 90086,S200000,00300,0100,BERKSHIRE 90086,S200000,00400,0100,LAUREL LAKE NURSING HOME 90086,S200000,00400,0200,225749 90086,S200000,00400,0300,05/25/1999 90086,S200000,00400,0500,P 90086,S200000,00400,0600,P 90086,S200000,01004,0500,O 90086,S200000,01600,0100,Y 90089,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90089,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90089,A000000,00300,0000,00300EMPLOYEE BENEFITS 90089,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90089,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90089,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90089,A000000,00700,0000,00700HOUSEKEEPING 90089,A000000,00800,0000,00800DIETARY 90089,A000000,00900,0000,00900NURSING ADMINISTRATION 90089,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90089,A000000,01100,0000,01100PHARMACY 90089,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90089,A000000,01300,0000,01300SOCIAL SERVICE 90089,A000000,01350,0000,01500ACTIVITIES 90089,A000000,01351,0000,01501INDIRECT CONSULTANTS 90089,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90089,A000000,01600,0000,01600SKILLED NURSING FACILITY 90089,A000000,01800,0000,01800NURSING FACILITY 90089,A000000,01810,0000,01810ICF/MR 90089,A000000,01900,0000,01900OTHER LONG TERM CARE 90089,A000000,02100,0000,02100RADIOLOGY 90089,A000000,02200,0000,02200LABORATORY 90089,A000000,02300,0000,02300INTRAVENOUS THERAPY 90089,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90089,A000000,02500,0000,02500PHYSICAL THERAPY 90089,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90089,A000000,02700,0000,02700SPEECH PATHOLOGY 90089,A000000,02800,0000,02800ELECTROCARDIOLOGY 90089,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90089,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90089,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90089,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90089,A000000,03200,0000,03200SUPPORT SURFACES 90089,A000000,03400,0000,03400CLINIC 90089,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90089,A000000,03500,0000,03500RURAL HEALTH CLINIC 90089,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90089,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90089,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90089,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90089,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90089,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90089,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90089,A000000,04400,0000,04400DME RENTED - HHA 90089,A000000,04500,0000,04500DME SOLD - HHA 90089,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90089,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90089,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90089,A000000,04800,0000,04800AMBULANCE 90089,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90089,A000000,05000,0000,05000CORF 90089,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90089,A000000,05300,0000,05300INTEREST EXPENSE 90089,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90089,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90089,A000000,05500,0000,05500HOSPICE 90089,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90089,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90089,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90089,A000000,06100,0000,06100NONPAID WORKERS 90089,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90089,A000000,06200,0000,06200PATIENTS LAUNDRY 90089,A81000A,00100,0100,Y 90089,A81000B,00100,0300,RENT-CAPITAL RELATED 90089,A81000B,00200,0300,SALARY 90089,A81000C,00100,0100,A 90089,A81000C,00100,0200,DEANNA LANKIN 90089,A81000C,00100,0400,WILLIS REALTY 90089,A81000C,00100,0600,RENTAL PROPERTY 90089,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90089,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90089,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90089,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90089,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90089,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90089,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90089,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90089,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90089,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90089,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90089,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 90089,S000000,00100,0200,12/08/2000 90089,S200000,00100,0100,665 DEDHAM STREET 90089,S200000,00200,0100,WRENTHAM 90089,S200000,00200,0200,MA 90089,S200000,00200,0300,02093- 90089,S200000,00300,0100,NORFOLK 90089,S200000,00300,0200,1123 90089,S200000,00300,0300,U 90089,S200000,00400,0100,SERENITY HILL NURSING HOME INC. 90089,S200000,00400,0200,225752 90089,S200000,00400,0300,10/01/1999 90089,S200000,00400,0500,P 90089,S200000,00400,0600,P 90089,S200000,01004,0500,O 90089,S200000,01500,0100,Y 90096,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90096,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90096,A000000,00300,0000,00300EMPLOYEE BENEFITS 90096,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90096,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90096,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90096,A000000,00700,0000,00700HOUSEKEEPING 90096,A000000,00800,0000,00800DIETARY 90096,A000000,00900,0000,00900NURSING ADMINISTRATION 90096,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90096,A000000,01100,0000,01100PHARMACY 90096,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90096,A000000,01300,0000,01300SOCIAL SERVICE 90096,A000000,01351,0000,01301ACTIVITIES 90096,A000000,01600,0000,01600SKILLED NURSING FACILITY 90096,A000000,01800,0000,01800NURSING FACILITY 90096,A000000,02100,0000,02100RADIOLOGY 90096,A000000,02200,0000,02200LABORATORY 90096,A000000,02300,0000,02300INTRAVENOUS THERAPY 90096,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90096,A000000,02500,0000,02500PHYSICAL THERAPY 90096,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90096,A000000,02700,0000,02700SPEECH PATHOLOGY 90096,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90096,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90096,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90096,A000000,03051,0000,03301MEDICAL EQUIPMENT 90096,A000000,04800,0000,04800AMBULANCE 90096,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90096,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90096,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90096,A81000A,00100,0100,Y 90096,A81000B,00100,0300,HOME OFFICE CAPITAL 90096,A81000B,00200,0300,HOME OFFICE NONCAPITAL 90096,A81000B,00300,0300,WAREHOUSE 90096,A81000C,00100,0100,A 90096,A81000C,00100,0200,PETER C. KERN 90096,A81000C,00100,0400,HEA MANAGEMENT GROUP 90096,A81000C,00100,0600,HOME OFFICE 90096,A81000C,00200,0100,A 90096,A81000C,00200,0200,PETER C. KERN 90096,A81000C,00200,0400,WAREHOUSE STORAGE 90096,A81000C,00200,0600,OLD RECORD STORAGE 90096,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90096,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90096,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90096,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90096,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90096,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90096,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90096,B100000,00000,0800,00000MEALS SERVED :DIETARY 90096,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90096,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90096,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90096,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90096,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90096,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 90096,S000000,00100,0200,03/09/2000 90096,S200000,00100,0100,1313 MARY AVENUE 90096,S200000,00200,0100,LANSING 90096,S200000,00200,0200,MI 90096,S200000,00200,0300,78910- 90096,S200000,00300,0100,INGHAM 90096,S200000,00400,0100,MARY AVENUE CARE CENTER 90096,S200000,00400,0200,235309 90096,S200000,00400,0300,01/01/1989 90096,S200000,00400,0500,P 90096,S200000,01600,0100,Y 90096,S200000,02200,0100,Y 90096,S200000,04300,0100,Y 90096,S700003,00000,0100,1 90103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90103,A000000,00300,0000,00300EMPLOYEE BENEFITS 90103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90103,A000000,00700,0000,00700HOUSEKEEPING 90103,A000000,00800,0000,00800DIETARY 90103,A000000,00900,0000,00900NURSING ADMINISTRATION 90103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90103,A000000,01100,0000,01100PHARMACY 90103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90103,A000000,01300,0000,01300SOCIAL SERVICE 90103,A000000,01351,0000,01301ACTIVITIES 90103,A000000,01600,0000,01600SKILLED NURSING FACILITY 90103,A000000,01800,0000,01800NURSING FACILITY 90103,A000000,02100,0000,02100RADIOLOGY 90103,A000000,02200,0000,02200LABORATORY 90103,A000000,02300,0000,02300INTRAVENOUS THERAPY 90103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90103,A000000,02500,0000,02500PHYSICAL THERAPY 90103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90103,A000000,02700,0000,02700SPEECH PATHOLOGY 90103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90103,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90103,A000000,03051,0000,03301MEDICAL EQUIPMENT 90103,A000000,04800,0000,04800AMBULANCE 90103,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90103,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90103,A81000A,00100,0100,Y 90103,A81000B,00100,0300,HOME OFFICE CAPITAL 90103,A81000B,00200,0300,HOME OFFICE NONCAPITAL 90103,A81000B,00300,0300,WAREHOUSE 90103,A81000C,00100,0100,A 90103,A81000C,00100,0200,PETER C. KERN 90103,A81000C,00100,0400,HEA MANAGEMENT GROUP 90103,A81000C,00100,0600,HOME OFFICE 90103,A81000C,00200,0100,A 90103,A81000C,00200,0200,PETER C. KERN 90103,A81000C,00200,0400,WAREHOUSE STORAGE 90103,A81000C,00200,0600,OLD RECORD STORAGE 90103,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90103,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90103,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90103,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90103,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90103,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90103,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90103,B100000,00000,0800,00000MEALS SERVED :DIETARY 90103,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90103,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90103,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90103,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90103,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90103,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 90103,S000000,00100,0200,04/03/2000 90103,S200000,00100,0100,631 CARING STREET 90103,S200000,00200,0100,HILLMAN 90103,S200000,00200,0200,MI 90103,S200000,00200,0300,49746- 90103,S200000,00300,0100,MONTMORENCY 90103,S200000,00300,0200,23 90103,S200000,00300,0300,R 90103,S200000,00400,0100,PINEVIEW OF HILLMAN 90103,S200000,00400,0200,235423 90103,S200000,00400,0300,06/01/1988 90103,S200000,00400,0500,P 90103,S200000,01600,0100,Y 90103,S200000,02200,0100,Y 90103,S200000,04300,0100,Y 90107,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90107,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90107,A000000,00300,0000,00300EMPLOYEE BENEFITS 90107,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90107,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90107,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90107,A000000,00700,0000,00700HOUSEKEEPING 90107,A000000,00800,0000,00800DIETARY 90107,A000000,00900,0000,00900NURSING ADMINISTRATION 90107,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90107,A000000,01100,0000,01100PHARMACY 90107,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90107,A000000,01300,0000,01300SOCIAL SERVICE 90107,A000000,01351,0000,01301ACTIVITIES 90107,A000000,01600,0000,01600SKILLED NURSING FACILITY 90107,A000000,01800,0000,01800NURSING FACILITY 90107,A000000,02100,0000,02100RADIOLOGY 90107,A000000,02200,0000,02200LABORATORY 90107,A000000,02300,0000,02300INTRAVENOUS THERAPY 90107,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90107,A000000,02500,0000,02500PHYSICAL THERAPY 90107,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90107,A000000,02700,0000,02700SPEECH PATHOLOGY 90107,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90107,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90107,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90107,A000000,03051,0000,03301MEDICAL EQUIPMENT 90107,A000000,04800,0000,04800AMBULANCE 90107,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90107,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90107,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90107,A81000A,00100,0100,Y 90107,A81000B,00100,0300,HOME OFFICE CAPITAL 90107,A81000B,00200,0300,HOME OFFICE NONCAPITAL 90107,A81000B,00300,0300,WAREHOUSE 90107,A81000C,00100,0100,A 90107,A81000C,00100,0200,PETER C. KERN 90107,A81000C,00100,0400,HEA MANAGEMENT GROUP 90107,A81000C,00100,0600,HOME OFFICE 90107,A81000C,00200,0100,A 90107,A81000C,00200,0200,PETER C. KERN 90107,A81000C,00200,0400,WAREHOUSE STORAGE 90107,A81000C,00200,0600,OLD RECORD STORAGE 90107,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90107,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90107,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90107,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90107,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90107,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90107,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90107,B100000,00000,0800,00000MEALS SERVED :DIETARY 90107,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90107,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90107,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90107,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90107,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90107,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 90107,S000000,00100,0200,04/03/2000 90107,S200000,00100,0100,331 MEADOWS DRIVE 90107,S200000,00200,0100,GRAYLING 90107,S200000,00200,0200,MI 90107,S200000,00200,0300,49738- 90107,S200000,00300,0100,CRAWFORD 90107,S200000,00300,0200,23 90107,S200000,00300,0300,R 90107,S200000,00400,0100,THE MEADOWS OF GRAYLING 90107,S200000,00400,0200,235432 90107,S200000,00400,0300,06/01/1988 90107,S200000,00400,0500,P 90107,S200000,01600,0100,Y 90107,S200000,02200,0100,Y 90107,S200000,04300,0100,Y 90115,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90115,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90115,A000000,00300,0000,00300EMPLOYEE BENEFITS 90115,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90115,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90115,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90115,A000000,00700,0000,00700HOUSEKEEPING 90115,A000000,00800,0000,00800DIETARY 90115,A000000,00900,0000,00900NURSING ADMINISTRATION 90115,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90115,A000000,01100,0000,01100PHARMACY 90115,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90115,A000000,01300,0000,01300SOCIAL SERVICE 90115,A000000,01351,0000,01301ACTIVITIES 90115,A000000,01600,0000,01600SKILLED NURSING FACILITY 90115,A000000,01800,0000,01800NURSING FACILITY 90115,A000000,02100,0000,02100RADIOLOGY 90115,A000000,02200,0000,02200LABORATORY 90115,A000000,02300,0000,02300INTRAVENOUS THERAPY 90115,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90115,A000000,02500,0000,02500PHYSICAL THERAPY 90115,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90115,A000000,02700,0000,02700SPEECH PATHOLOGY 90115,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90115,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90115,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90115,A000000,03051,0000,03301MEDICAL EQUIPMENT 90115,A000000,04800,0000,04800AMBULANCE 90115,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90115,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90115,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90115,A81000A,00100,0100,Y 90115,A81000B,00100,0300,HOME OFFICE CAPITAL 90115,A81000B,00200,0300,HOME OFFICE NONCAPITAL 90115,A81000B,00300,0300,WAREHOUSE 90115,A81000C,00100,0100,A 90115,A81000C,00100,0200,PETER C. KERN 90115,A81000C,00100,0400,HEA MANAGEMENT GROUP 90115,A81000C,00100,0600,HOME OFFICE 90115,A81000C,00200,0100,A 90115,A81000C,00200,0200,PETER C. KERN 90115,A81000C,00200,0400,WAREHOUSE STORAGE 90115,A81000C,00200,0600,OLD RECORD STORAGE 90115,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90115,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90115,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90115,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90115,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90115,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90115,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90115,B100000,00000,0800,00000MEALS SERVED :DIETARY 90115,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90115,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90115,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90115,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90115,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90115,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 90115,S000000,00100,0200,05/30/2000 90115,S200000,00100,0100,3387 ELLA STREET 90115,S200000,00100,0300,1000 90115,S200000,00200,0100,DECKERVILLE 90115,S200000,00200,0200,MI 90115,S200000,00200,0300,48427-1000 90115,S200000,00300,0100,SANILAC 90115,S200000,00300,0200,23 90115,S200000,00300,0300,R 90115,S200000,00400,0100,AUTUMNWOOD OF DECKERVILLE 90115,S200000,00400,0200,235446 90115,S200000,00400,0300,06/01/1988 90115,S200000,00400,0500,P 90115,S200000,01600,0100,Y 90115,S200000,02200,0100,Y 90115,S200000,04300,0100,Y 90119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90119,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90119,A000000,00300,0000,00300EMPLOYEE BENEFITS 90119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90119,A000000,00700,0000,00700HOUSEKEEPING 90119,A000000,00800,0000,00800DIETARY 90119,A000000,00900,0000,00900NURSING ADMINISTRATION 90119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90119,A000000,01100,0000,01100PHARMACY 90119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90119,A000000,01300,0000,01300SOCIAL SERVICE 90119,A000000,01351,0000,01301ACTIVITIES 90119,A000000,01600,0000,01600SKILLED NURSING FACILITY 90119,A000000,01800,0000,01800NURSING FACILITY 90119,A000000,02100,0000,02100RADIOLOGY 90119,A000000,02200,0000,02200LABORATORY 90119,A000000,02300,0000,02300INTRAVENOUS THERAPY 90119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90119,A000000,02500,0000,02500PHYSICAL THERAPY 90119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90119,A000000,02700,0000,02700SPEECH PATHOLOGY 90119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90119,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90119,A000000,03051,0000,03301MEDICAL EQUIPMENT 90119,A000000,04800,0000,04800AMBULANCE 90119,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90119,A81000A,00100,0100,Y 90119,A81000B,00100,0300,HOME OFFICE CAPITAL 90119,A81000B,00200,0300,HOME OFFICE NONCAPITAL 90119,A81000B,00300,0300,WAREHOUSE 90119,A81000C,00100,0100,A 90119,A81000C,00100,0200,PETER C. KERN 90119,A81000C,00100,0400,HEA MANAGEMENT GROUP 90119,A81000C,00100,0600,HOME OFFICE 90119,A81000C,00200,0100,A 90119,A81000C,00200,0200,PETER C. KERN 90119,A81000C,00200,0400,WAREHOUSE STORAGE 90119,A81000C,00200,0600,OLD RECORD STORAGE 90119,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90119,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90119,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90119,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90119,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90119,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90119,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90119,B100000,00000,0800,00000MEALS SERVED :DIETARY 90119,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90119,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90119,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90119,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90119,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90119,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 90119,S000000,00100,0200,05/05/2000 90119,S200000,00100,0100,1167 EAST HOPSON STREET 90119,S200000,00200,0100,BAD AXE 90119,S200000,00200,0200,MI 90119,S200000,00200,0300,48413- 90119,S200000,00300,0100,HURON 90119,S200000,00300,0300,R 90119,S200000,00400,0100,FOUR SEASONS HEALTHCARE CENTER 90119,S200000,00400,0200,235456 90119,S200000,00400,0300,07/01/1986 90119,S200000,00400,0500,P 90119,S200000,01600,0100,Y 90119,S200000,02200,0100,Y 90119,S200000,04300,0100,Y 90123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90123,A000000,00300,0000,00300EMPLOYEE BENEFITS 90123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90123,A000000,00700,0000,00700HOUSEKEEPING 90123,A000000,00800,0000,00800DIETARY 90123,A000000,00900,0000,00900NURSING ADMINISTRATION 90123,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90123,A000000,01100,0000,01100PHARMACY 90123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90123,A000000,01300,0000,01300SOCIAL SERVICE 90123,A000000,01350,0000,01500RECREATION 90123,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90123,A000000,01600,0000,01600SKILLED NURSING FACILITY 90123,A000000,01800,0000,01800NURSING FACILITY 90123,A000000,01810,0000,01810ICF/MR 90123,A000000,02200,0000,02200LABORATORY 90123,A000000,02500,0000,02500PHYSICAL THERAPY 90123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90123,A000000,02700,0000,02700SPEECH PATHOLOGY 90123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90123,A000000,03050,0000,03300PEN 90123,A000000,03051,0000,03310AFT 90123,A000000,03550,0000,03550FQHC 90123,A000000,05000,0000,05000CORF 90123,A000000,05010,0000,05010CMHC 90123,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90123,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90123,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90123,A81000A,00100,0100,Y 90123,A81000B,00100,0300,CLHI CAPITAL COSTS 90123,A81000B,00200,0300,CLHI A&G COSTS 90123,A81000B,00300,0300,MANAGEMENT FEES 90123,A81000B,00400,0300,CAPITAL - POOLED 90123,A81000B,00500,0300,DIRECT CAPITAL 90123,A81000B,00600,0300,DIRECT NONCAPITAL 90123,A81000C,00100,0100,B 90123,A81000C,00100,0200,CLHI 90123,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90123,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90123,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90123,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90123,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90123,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90123,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 90123,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 90123,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90123,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90123,B100000,00000,1350,00000PATIENT DAYS :RECREATION 90123,E10A180,00501,0100,07/13/2000 90123,E10A180,00501,0300,07/13/2000 90123,S000000,00100,0200,06/01/2000 90123,S200000,00100,0100,707 ARMSTRONG ROAD 90123,S200000,00200,0100,LANSING 90123,S200000,00200,0200,MI 90123,S200000,00200,0300,48911- 90123,S200000,00300,0100,INGHAM 90123,S200000,00300,0300,U 90123,S200000,00400,0100,THE PINES HEALTHCARE CENTER 90123,S200000,00400,0200,235561 90123,S200000,00400,0300,07/11/1995 90123,S200000,00400,0500,P 90123,S200000,01600,0100,Y 90132,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90132,A000000,00300,0000,00300EMPLOYEE BENEFITS 90132,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90132,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90132,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90132,A000000,00700,0000,00700HOUSEKEEPING 90132,A000000,00800,0000,00800DIETARY 90132,A000000,00900,0000,00900NURSING ADMINISTRATION 90132,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90132,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90132,A000000,01300,0000,01300SOCIAL SERVICE 90132,A000000,01350,0000,01500DIVERSIONAL ACTIVITIES 90132,A000000,01600,0000,01600SKILLED NURSING FACILITY 90132,A000000,01800,0000,01800NURSING FACILITY 90132,A000000,02100,0000,02100RADIOLOGY 90132,A000000,02200,0000,02200LABORATORY 90132,A000000,02500,0000,02500PHYSICAL THERAPY 90132,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90132,A000000,02700,0000,02700SPEECH PATHOLOGY 90132,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90132,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90132,A000000,03200,0000,03200SUPPORT SURFACES 90132,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90132,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90132,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90132,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90132,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90132,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90132,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90132,B100000,00000,0800,00000MEALS SERVED :DIETARY 90132,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90132,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90132,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90132,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90132,B100000,00000,1350,00000PATIENT DAYS :DIVERSIONAL ACTIVITI 90132,E10A180,00501,0100,07/13/2000 90132,E10A180,00501,0300,07/13/2000 90132,S000000,00100,0200,05/06/2000 90132,S200000,00100,0100,824 S. HURON ST. 90132,S200000,00200,0100,CHEBOYGAN 90132,S200000,00200,0200,MI 90132,S200000,00200,0300,49721- 90132,S200000,00300,0100,CHEBOYGAN 90132,S200000,00400,0100,CHEBOYGAN HEALTH CARE CENTER 90132,S200000,00400,0200,235566 90132,S200000,00400,0300,04/07/1995 90132,S200000,00400,0500,P 90132,S200000,01500,0100,Y 90142,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90142,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90142,A000000,00300,0000,00300EMPLOYEE BENEFITS 90142,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90142,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90142,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90142,A000000,00700,0000,00700HOUSEKEEPING 90142,A000000,00800,0000,00800DIETARY 90142,A000000,00900,0000,00900NURSING ADMINISTRATION 90142,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90142,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90142,A000000,01300,0000,01300SOCIAL SERVICE 90142,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 90142,A000000,01600,0000,01600SKILLED NURSING FACILITY 90142,A000000,01800,0000,01800NURSING FACILITY 90142,A000000,01900,0000,01900OTHER LONG TERM CARE 90142,A000000,02100,0000,02100RADIOLOGY 90142,A000000,02200,0000,02200LABORATORY 90142,A000000,02300,0000,02300INTRAVENOUS THERAPY 90142,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90142,A000000,02500,0000,02500PHYSICAL THERAPY 90142,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90142,A000000,02700,0000,02700SPEECH PATHOLOGY 90142,A000000,02800,0000,02800ELECTROCARDIOLOGY 90142,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90142,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90142,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90142,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90142,A000000,04800,0000,04800AMBULANCE 90142,A000000,05000,0000,05000CORF 90142,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90142,A000000,05300,0000,05300INTEREST EXPENSE 90142,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90142,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90142,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90142,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90142,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90142,A000000,06100,0000,06100NONPAID WORKERS 90142,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90142,A000000,06200,0000,06200PATIENTS LAUNDRY 90142,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90142,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90142,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90142,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90142,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90142,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90142,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90142,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90142,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90142,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 90142,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90142,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90142,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 90142,S000000,00100,0200,05/30/2000 90142,S200000,00100,0100,81 WINDSOR BLVD 90142,S200000,00200,0100,COLUMBUS 90142,S200000,00200,0200,MS 90142,S200000,00200,0300,39702- 90142,S200000,00300,0100,LOWNDES 90142,S200000,00400,0100,WINDSOR PLACE 90142,S200000,00400,0200,255257 90142,S200000,00400,0300,02/18/1999 90142,S200000,00400,0500,P 90142,S200000,01004,0500,O 90142,S200000,01500,0100,Y 90150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90150,A000000,00300,0000,00300EMPLOYEE BENEFITS 90150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90150,A000000,00700,0000,00700HOUSEKEEPING 90150,A000000,00800,0000,00800DIETARY 90150,A000000,00900,0000,00900NURSING ADMINISTRATION 90150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90150,A000000,01100,0000,01100PHARMACY 90150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90150,A000000,01300,0000,01300SOCIAL SERVICE 90150,A000000,01301,0000,01301ACTIVITIES 90150,A000000,01350,0000,01500OTHER GENERAL SERVICES 90150,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90150,A000000,01600,0000,01600SKILLED NURSING FACILITY 90150,A000000,01800,0000,01800NURSING FACILITY 90150,A000000,01900,0000,01900OTHER LONG TERM CARE 90150,A000000,02100,0000,02100RADIOLOGY 90150,A000000,02200,0000,02200LABORATORY 90150,A000000,02300,0000,02300INTRAVENOUS THERAPY 90150,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90150,A000000,02500,0000,02500PHYSICAL THERAPY 90150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90150,A000000,02700,0000,02700SPEECH PATHOLOGY 90150,A000000,02800,0000,02800ELECTROCARDIOLOGY 90150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90150,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90150,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90150,A000000,03200,0000,03200SUPPORT SURFACES 90150,A000000,03400,0000,03400CLINIC 90150,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90150,A000000,03500,0000,03500RURAL HEALTH CLINIC 90150,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90150,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90150,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90150,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90150,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90150,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90150,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90150,A000000,04400,0000,04400DME RENTED - HHA 90150,A000000,04500,0000,04500DME SOLD - HHA 90150,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90150,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90150,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90150,A000000,04800,0000,04800AMBULANCE 90150,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90150,A000000,05000,0000,05000CORF 90150,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90150,A000000,05300,0000,05300INTEREST EXPENSE 90150,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90150,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90150,A000000,05500,0000,05500HOSPICE 90150,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90150,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90150,A000000,06100,0000,06100NONPAID WORKERS 90150,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90150,A000000,06200,0000,06200PATIENTS LAUNDRY 90150,A81000A,00100,0100,Y 90150,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90150,A81000B,00200,0300,CAPITAL 90150,A81000C,00100,0100,A 90150,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90150,A81000C,00100,0400,LENOX HEALTHCARE INC 90150,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90150,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90150,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90150,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90150,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90150,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90150,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90150,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90150,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 90150,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 90150,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90150,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90150,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90150,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90150,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90150,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90150,S000000,00100,0200,03/09/2000 90150,S200000,00100,0100,13995 CLAYTON ROAD 90150,S200000,00200,0100,TOWN & COUNTRY 90150,S200000,00200,0200,MO 90150,S200000,00200,0300,63011- 90150,S200000,00300,0100,ST. LOUIS 90150,S200000,00400,0100,CLAYTON HOUSE HEALTHCARE 90150,S200000,00400,0200,265001 90150,S200000,00400,0300,01/01/1969 90150,S200000,00400,0500,P 90150,S200000,01600,0100,Y 90150,S700003,00000,0100,1 90155,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90155,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90155,A000000,00300,0000,00300EMPLOYEE BENEFITS 90155,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90155,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90155,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90155,A000000,00700,0000,00700HOUSEKEEPING 90155,A000000,00800,0000,00800DIETARY 90155,A000000,00900,0000,00900NURSING ADMINISTRATION 90155,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90155,A000000,01100,0000,01100PHARMACY 90155,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90155,A000000,01300,0000,01300SOCIAL SERVICE 90155,A000000,01600,0000,01600SKILLED NURSING FACILITY 90155,A000000,01800,0000,01800NURSING FACILITY 90155,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90155,A000000,02500,0000,02500PHYSICAL THERAPY 90155,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90155,A000000,02700,0000,02700SPEECH PATHOLOGY 90155,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90155,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90155,A000000,05300,0000,05300INTEREST EXPENSE 90155,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90155,A81000A,00100,0100,Y 90155,A81000B,00100,0300,MANAGEMENT FEES 90155,A81000B,00200,0300,HOME OFFICE EXPENSE 90155,A81000C,00100,0100,A 90155,A81000C,00100,0200,MORRIS STEINBER 90155,A81000C,00100,0400,SRS ENTERPRISES 90155,A81000C,00100,0600,MANAGEMENT COMP 90155,A81000C,00200,0100,A 90155,A81000C,00200,0200,JACK REIFER 90155,A81000C,00200,0400,SRS ENTERPRISES 90155,A81000C,00200,0600,MANAGEMENT COMP 90155,A81000C,00300,0100,A 90155,A81000C,00300,0200,SHAEL SIEGEL 90155,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90155,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90155,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90155,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90155,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90155,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90155,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90155,B100000,00000,0800,00000MEALS SERVED :DIETARY 90155,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90155,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90155,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90155,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90155,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90155,S000000,00100,0200,05/12/2000 90155,S200000,00100,0100,894 LELAND AVENUE 90155,S200000,00200,0100,SAINT LOUIS 90155,S200000,00200,0200,MO 90155,S200000,00200,0300,63130- 90155,S200000,00300,0100,ST. LOUIS 90155,S200000,00400,0100,COLONIAL PAVILION SNF 90155,S200000,00400,0200,265007 90155,S200000,00400,0300,08/04/1998 90155,S200000,00400,0500,P 90155,S200000,01600,0100,Y 90155,S700003,00000,0400,4 90157,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90157,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90157,A000000,00300,0000,00300EMPLOYEE BENEFITS 90157,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90157,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90157,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90157,A000000,00700,0000,00700HOUSEKEEPING 90157,A000000,00800,0000,00800DIETARY 90157,A000000,00900,0000,00900NURSING ADMINISTRATION 90157,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90157,A000000,01100,0000,01100PHARMACY 90157,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90157,A000000,01300,0000,01300SOCIAL SERVICE 90157,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90157,A000000,01600,0000,01600SKILLED NURSING FACILITY 90157,A000000,01800,0000,01800NURSING FACILITY 90157,A000000,01810,0000,01810ICF/MR 90157,A000000,02500,0000,02500PHYSICAL THERAPY 90157,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90157,A000000,02700,0000,02700SPEECH PATHOLOGY 90157,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90157,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90157,A000000,03550,0000,03550FQHC 90157,A000000,05000,0000,05000CORF 90157,A000000,05010,0000,05010CMHC 90157,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90157,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90157,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90157,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90157,A81000A,00100,0100,Y 90157,A81000B,00200,0300,RENT 90157,A81000B,00400,0300,MANAGEMENT FEES 90157,A81000C,00200,0100,B 90157,A81000C,00200,0200,COLONIAL HEALTH 90157,A81000C,00400,0100,B 90157,A81000C,00400,0200,EKS / EMI 90157,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90157,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90157,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90157,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90157,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90157,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90157,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90157,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90157,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90157,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90157,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 90157,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90157,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90157,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90157,S000000,00100,0200,05/17/2000 90157,S200000,00400,0100,LELAND HEALTH CARE CTR. INC. 90157,S200000,00400,0200,265007 90157,S200000,00400,0300,08/04/1998 90157,S200000,00400,0500,P 90157,S200000,01004,0500,O 90157,S200000,01600,0100,Y 90157,S700003,00000,0400,4 90172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90172,A000000,00300,0000,00300EMPLOYEE BENEFITS 90172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90172,A000000,00700,0000,00700HOUSEKEEPING 90172,A000000,00800,0000,00800DIETARY 90172,A000000,00900,0000,00900NURSING ADMINISTRATION 90172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90172,A000000,01100,0000,01100PHARMACY 90172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90172,A000000,01300,0000,01300SOCIAL SERVICE 90172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90172,A000000,01600,0000,01600SKILLED NURSING FACILITY 90172,A000000,01800,0000,01800NURSING FACILITY 90172,A000000,02500,0000,02500PHYSICAL THERAPY 90172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90172,A000000,02700,0000,02700SPEECH PATHOLOGY 90172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90172,A000000,03550,0000,03550FQHC 90172,A000000,05000,0000,05000CORF 90172,A000000,05010,0000,05010CMHC 90172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90172,A81000A,00100,0100,Y 90172,A81000B,00100,0300,HOME OFFICE 90172,A81000B,00200,0300,HOME OFFICE - COC 90172,A81000C,00100,0100,A 90172,A81000C,00100,0400,TENET HEALTHCAR 90172,A81000C,00100,0600,HEALTHCARE 90172,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90172,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90172,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90172,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90172,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90172,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90172,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90172,B100000,00000,0800,00000MEALS SERVED :DIETARY 90172,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90172,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 90172,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 90172,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90172,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90172,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90172,S000000,00100,0200,09/19/2000 90172,S200000,00100,0100,6220 OAKLAND AVENUE 90172,S200000,00200,0100,ST. LOUIS 90172,S200000,00200,0200,MO 90172,S200000,00200,0300,63139- 90172,S200000,00300,0100,ST. LOUIS 90172,S200000,00400,0100,DEACONESS MANOR 90172,S200000,00400,0200,265016 90172,S200000,00400,0300,12/01/1981 90172,S200000,00400,0500,P 90172,S200000,00400,0600,O 90172,S200000,01600,0100,Y 90172,S200000,01700,0100,Y 90172,S700003,00000,0100,1 90181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90181,A000000,00300,0000,00300EMPLOYEE BENEFITS 90181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90181,A000000,00700,0000,00700HOUSEKEEPING 90181,A000000,00800,0000,00800DIETARY 90181,A000000,00900,0000,00900NURSING ADMINISTRATION 90181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90181,A000000,01100,0000,01100PHARMACY 90181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90181,A000000,01300,0000,01300SOCIAL SERVICE 90181,A000000,01350,0000,01500OTHER GENERAL SERVICES 90181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90181,A000000,01600,0000,01600SKILLED NURSING FACILITY 90181,A000000,01800,0000,01800NURSING FACILITY 90181,A000000,01810,0000,01810ICF/MR 90181,A000000,01900,0000,01900OTHER LONG TERM CARE 90181,A000000,02100,0000,02100RADIOLOGY 90181,A000000,02200,0000,02200LABORATORY 90181,A000000,02300,0000,02300INTRAVENOUS THERAPY 90181,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90181,A000000,02500,0000,02500PHYSICAL THERAPY 90181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90181,A000000,02700,0000,02700SPEECH PATHOLOGY 90181,A000000,02800,0000,02800ELECTROCARDIOLOGY 90181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90181,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90181,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90181,A000000,03200,0000,03200SUPPORT SURFACES 90181,A000000,03400,0000,03400CLINIC 90181,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90181,A000000,03500,0000,03500RURAL HEALTH CLINIC 90181,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90181,A000000,04800,0000,04800AMBULANCE 90181,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90181,A000000,05000,0000,05000CORF 90181,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90181,A000000,05300,0000,05300INTEREST EXPENSE 90181,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90181,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90181,A000000,05500,0000,05500HOSPICE 90181,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90181,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90181,A000000,06100,0000,06100NONPAID WORKERS 90181,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90181,A000000,06200,0000,06200PATIENTS LAUNDRY 90181,A81000A,00100,0100,Y 90181,A81000B,00100,0300,HOME OFFICE COST 90181,A81000B,00200,0300,HOME OFFICE COST 90181,A81000B,00300,0300,INTEREST 90181,A81000C,00100,0100,A 90181,A81000C,00100,0200,JAMES & JUDY LINCOLN 90181,A81000C,00100,0400,HEALTH SYSTMES INC. 90181,A81000C,00100,0600,MANAGEMENT COMPANY 90181,A81000C,00200,0100,A 90181,A81000C,00200,0200,JAMES AND MUDY LINCOLN 90181,A81000C,00200,0400,HEALTH SYSTEMS INC. 90181,A81000C,00200,0600,MANAGEMENT COMPANY 90181,A81000C,00300,0100,A 90181,A81000C,00300,0200,JAMES LINCOLN 90181,A81000C,00300,0600,INDIVIDUAL 90181,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 90181,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 90181,B100000,00000,0350,00000PATIENT DAYS :EMPLOYEE BENEFITS 90181,B100000,00000,0450,00000PATIENT DAYS :ADMINISTRATIVE & GEN 90181,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 90181,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90181,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 90181,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90181,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90181,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90181,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90181,S000000,00100,0200,07/14/2000 90181,S200000,00100,0100,2115 KAPPEL DRIVE 90181,S200000,00200,0100,ST LOUIS 90181,S200000,00200,0200,MO 90181,S200000,00200,0300,63136- 90181,S200000,00300,0100,ST LOUIS 90181,S200000,00300,0200,7040 90181,S200000,00300,0300,U 90181,S200000,00400,0100,HALLS FERRY NURSING AND REHAB 90181,S200000,00400,0200,265022 90181,S200000,00400,0300,07/01/1968 90181,S200000,00400,0500,P 90181,S200000,01600,0100,Y 90181,S200000,03100,0100,Y 90188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90188,A000000,00300,0000,00300EMPLOYEE BENEFITS 90188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90188,A000000,00700,0000,00700HOUSEKEEPING 90188,A000000,00800,0000,00800DIETARY 90188,A000000,00900,0000,00900NURSING ADMINISTRATION 90188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90188,A000000,01100,0000,01100PHARMACY 90188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90188,A000000,01300,0000,01300SOCIAL SERVICE 90188,A000000,01350,0000,01500OTHER GENERAL SERVICES 90188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90188,A000000,01600,0000,01600SKILLED NURSING FACILITY 90188,A000000,01800,0000,01800NURSING FACILITY 90188,A000000,01810,0000,01810ICF/MR 90188,A000000,01900,0000,01900OTHER LONG TERM CARE 90188,A000000,02100,0000,02100RADIOLOGY 90188,A000000,02200,0000,02200LABORATORY 90188,A000000,02300,0000,02300INTRAVENOUS THERAPY 90188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90188,A000000,02500,0000,02500PHYSICAL THERAPY 90188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90188,A000000,02700,0000,02700SPEECH PATHOLOGY 90188,A000000,02800,0000,02800ELECTROCARDIOLOGY 90188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90188,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90188,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90188,A000000,03200,0000,03200SUPPORT SURFACES 90188,A000000,03400,0000,03400CLINIC 90188,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90188,A000000,03500,0000,03500RURAL HEALTH CLINIC 90188,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90188,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90188,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90188,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90188,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90188,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90188,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90188,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90188,A000000,04800,0000,04800AMBULANCE 90188,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90188,A000000,05000,0000,05000CORF 90188,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90188,A000000,05300,0000,05300INTEREST EXPENSE 90188,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90188,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90188,A000000,05500,0000,05500HOSPICE 90188,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90188,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90188,A000000,06100,0000,06100NONPAID WORKERS 90188,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90188,A000000,06200,0000,06200PATIENTS LAUNDRY 90188,A81000A,00100,0100,Y 90188,A81000B,00100,0300,SNF INTEREST & AMORTIZATION 90188,A81000B,00200,0300,SNF BUILDING DEPRECIATION 90188,A81000B,00300,0300,SNF EQUIPMENT DEPRECIATION 90188,A81000B,00400,0300,HHA RENT 90188,A81000B,00500,0300,AMBULANCE 90188,A81000B,00600,0300,HOME OFFICE CAPITAL 90188,A81000B,00700,0300,HOME OFFICE OPERATING 90188,A81000B,00800,0300,HOME OFFICE COSTS 90188,A81000C,00100,0100,B 90188,A81000C,00100,0200,JOHN KNOX VILLAGE 90188,A81000C,00100,0600,RETIREMENT VILLAGE 90188,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90188,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90188,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90188,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90188,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90188,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90188,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90188,B100000,00000,0800,00000MEALS SERVED :DIETARY 90188,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 90188,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90188,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90188,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90188,H510100,00000,0000,3760 90188,H510100,02400,0000,3760 90188,S000000,00100,0200,08/30/2000 90188,S200000,00100,0100,400 NW MURRAY 90188,S200000,00200,0100,LEES SUMMIT 90188,S200000,00200,0200,MO 90188,S200000,00200,0300,64081- 90188,S200000,00300,0100,JACKSON 90188,S200000,00300,0200,3760 90188,S200000,00300,0300,U 90188,S200000,00400,0100,JOHN KNOX VILLAGE CARE CENTER 90188,S200000,00400,0200,265095 90188,S200000,00400,0300,04/01/1970 90188,S200000,00400,0500,P 90188,S200000,00800,0200,267056 90188,S200000,00800,0300,04/01/1970 90188,S200000,00800,0500,P 90188,S200000,01600,0100,Y 90188,S200000,04300,0100,Y 90188,S200000,04700,0100,Y 90188,S200000,04700,0200,Y 90201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90201,A000000,00300,0000,00300EMPLOYEE BENEFITS 90201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90201,A000000,00700,0000,00700HOUSEKEEPING 90201,A000000,00800,0000,00800DIETARY 90201,A000000,00900,0000,00900NURSING ADMINISTRATION 90201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90201,A000000,01300,0000,01300SOCIAL SERVICE 90201,A000000,01600,0000,01600SKILLED NURSING FACILITY 90201,A000000,01800,0000,01800NURSING FACILITY 90201,A000000,02100,0000,02100RADIOLOGY 90201,A000000,02200,0000,02200LABORATORY 90201,A000000,02500,0000,02500PHYSICAL THERAPY 90201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90201,A000000,02700,0000,02700SPEECH PATHOLOGY 90201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90201,A000000,05300,0000,05300INTEREST EXPENSE 90201,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90201,A81000A,00100,0100,Y 90201,A81000B,00100,0300,HOME OFFICE - CAP 90201,A81000B,00200,0300,HOME OFFICE - A&G 90201,A81000B,00300,0300,CORUM PHARMACY 90201,A81000C,00100,0100,B 90201,A81000C,00100,0400,DELMAR GARDENS 90201,A81000C,00100,0600,HOME OFFICE 90201,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90201,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90201,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90201,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90201,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90201,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90201,B100000,00000,0800,00000MEALS SERVED :DIETARY 90201,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90201,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90201,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90201,S000000,00100,0200,08/31/2000 90201,S200000,00100,0100,13550 SOUTH OUTER 40 ROAD 90201,S200000,00200,0100,CHESTERFIELD 90201,S200000,00200,0200,MO 90201,S200000,00200,0300,63017-5898 90201,S200000,00300,0100,ST. LOUIS 90201,S200000,00400,0100,DELMAR GARDENS WEST INC. 90201,S200000,00400,0200,265105 90201,S200000,00400,0300,02/01/1972 90201,S200000,00400,0500,P 90201,S200000,01600,0100,Y 90201,S200000,02200,0100,Y 90210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90210,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 90210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90210,A000000,00300,0000,00300EMPLOYEE BENEFITS 90210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90210,A000000,00700,0000,00700HOUSEKEEPING 90210,A000000,00800,0000,00800DIETARY 90210,A000000,00900,0000,00900NURSING ADMINISTRATION 90210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90210,A000000,01300,0000,01300SOCIAL SERVICE 90210,A000000,01600,0000,01600SKILLED NURSING FACILITY 90210,A000000,01800,0000,01800NURSING FACILITY 90210,A000000,01900,0000,01900OTHER LONG TERM CARE 90210,A000000,02300,0000,02300INTRAVENOUS THERAPY 90210,A000000,02500,0000,02500PHYSICAL THERAPY 90210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90210,A000000,02700,0000,02700SPEECH PATHOLOGY 90210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90210,A000000,04800,0000,04800AMBULANCE 90210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90210,A81000A,00100,0100,Y 90210,A81000B,00100,0300,MANAGEMENT CO 90210,A81000C,00100,0100,A 90210,A81000C,00100,0200,MENNONITE HOME ASSOCIATIO 90210,A81000C,00100,0400,BETH HAVEN MANAGEMENT SVC 90210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90210,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 90210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90210,B100000,00000,0650,00000LAUNDRY WEIGHTS :LAUNDRY & LINEN S 90210,B100000,00000,0750,00000MOD SQUARE FEE :HOUSEKEEPING 90210,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90210,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90210,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90210,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90210,S000000,00100,0200,02/11/2000 90210,S200000,00100,0100,2500 PLEASANT ST. 90210,S200000,00200,0100,HANNIBAL 90210,S200000,00200,0200,MO 90210,S200000,00200,0300,63401- 90210,S200000,00300,0100,MARION 90210,S200000,00400,0100,BETH HAVEN NURSING HOME 90210,S200000,00400,0200,265108 90210,S200000,00400,0300,04/07/1972 90210,S200000,00400,0500,P 90210,S200000,01600,0100,Y 90210,S200000,02200,0100,Y 90210,S700003,00000,0100,1 90221,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90221,A000000,00300,0000,00300EMPLOYEE BENEFITS 90221,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90221,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90221,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90221,A000000,00700,0000,00700HOUSEKEEPING 90221,A000000,00800,0000,00800DIETARY 90221,A000000,00900,0000,00900NURSING ADMINISTRATION 90221,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90221,A000000,01300,0000,01300SOCIAL SERVICE 90221,A000000,01600,0000,01600SKILLED NURSING FACILITY 90221,A000000,01800,0000,01800NURSING FACILITY 90221,A000000,02100,0000,02100RADIOLOGY 90221,A000000,02200,0000,02200LABORATORY 90221,A000000,02500,0000,02500PHYSICAL THERAPY 90221,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90221,A000000,02700,0000,02700SPEECH PATHOLOGY 90221,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90221,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90221,A000000,05300,0000,05300INTEREST EXPENSE 90221,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90221,A81000A,00100,0100,Y 90221,A81000B,00100,0300,HOME OFFICE-CAP 90221,A81000B,00200,0300,HOME OFFICE-A&G 90221,A81000B,00300,0300,CORUM PHARMACY 90221,A81000C,00100,0100,B 90221,A81000C,00100,0400,DELMAR GARDENS 90221,A81000C,00100,0600,HOME OFFICE 90221,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90221,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90221,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90221,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90221,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90221,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90221,B100000,00000,0800,00000MEALS SERVED :DIETARY 90221,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90221,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90221,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90221,S000000,00100,0200,08/31/2000 90221,S200000,00100,0100,15197 CLAYTON ROAD 90221,S200000,00200,0100,CHESTERFIELD 90221,S200000,00200,0200,MO 90221,S200000,00200,0300,63017-7045 90221,S200000,00300,0100,ST. LOUIS 90221,S200000,00400,0100,DELMAR GARDENS ON THE GREEN INC. 90221,S200000,00400,0200,265156 90221,S200000,00400,0300,02/01/1982 90221,S200000,00400,0500,P 90221,S200000,01600,0100,Y 90221,S200000,02200,0100,Y 90230,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90230,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90230,A000000,00300,0000,00300EMPLOYEE BENEFITS 90230,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90230,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90230,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90230,A000000,00700,0000,00700HOUSEKEEPING 90230,A000000,00800,0000,00800DIETARY 90230,A000000,00900,0000,00900NURSING ADMINISTRATION 90230,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90230,A000000,01100,0000,01100PHARMACY 90230,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90230,A000000,01300,0000,01300SOCIAL SERVICE 90230,A000000,01301,0000,01301ACTIVITIES 90230,A000000,01350,0000,01500OTHER GENERAL SERVICES 90230,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90230,A000000,01600,0000,01600SKILLED NURSING FACILITY 90230,A000000,01800,0000,01800NURSING FACILITY 90230,A000000,01900,0000,01900OTHER LONG TERM CARE 90230,A000000,02100,0000,02100RADIOLOGY 90230,A000000,02200,0000,02200LABORATORY 90230,A000000,02300,0000,02300INTRAVENOUS THERAPY 90230,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90230,A000000,02500,0000,02500PHYSICAL THERAPY 90230,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90230,A000000,02700,0000,02700SPEECH PATHOLOGY 90230,A000000,02800,0000,02800ELECTROCARDIOLOGY 90230,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90230,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90230,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90230,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90230,A000000,03200,0000,03200SUPPORT SURFACES 90230,A000000,03400,0000,03400CLINIC 90230,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90230,A000000,03500,0000,03500RURAL HEALTH CLINIC 90230,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90230,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90230,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90230,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90230,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90230,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90230,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90230,A000000,04400,0000,04400DME RENTED - HHA 90230,A000000,04500,0000,04500DME SOLD - HHA 90230,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90230,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90230,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90230,A000000,04800,0000,04800AMBULANCE 90230,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90230,A000000,05000,0000,05000CORF 90230,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90230,A000000,05300,0000,05300INTEREST EXPENSE 90230,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90230,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90230,A000000,05500,0000,05500HOSPICE 90230,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90230,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90230,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90230,A000000,06100,0000,06100NONPAID WORKERS 90230,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90230,A000000,06200,0000,06200PATIENTS LAUNDRY 90230,A81000A,00100,0100,Y 90230,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90230,A81000B,00200,0300,CAPITAL 90230,A81000C,00100,0100,A 90230,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90230,A81000C,00100,0400,LENOX HEALTHCARE INC. 90230,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90230,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90230,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90230,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90230,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90230,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90230,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90230,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90230,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90230,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90230,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90230,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90230,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90230,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90230,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90230,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90230,S000000,00100,0200,06/21/2000 90230,S200000,00100,0100,1221 BOONSLICK ROAD 90230,S200000,00200,0100,ST. CHARLES 90230,S200000,00200,0200,MO 90230,S200000,00200,0300,63301- 90230,S200000,00300,0100,ST. CHARLES 90230,S200000,00400,0100,CHARLEVOIX HEALTHCARE & REHAB CENTER 90230,S200000,00400,0200,265160 90230,S200000,00400,0300,12/01/1983 90230,S200000,00400,0500,P 90230,S200000,01600,0100,Y 90230,S700003,00000,0100,1 90237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90237,A000000,00300,0000,00300EMPLOYEE BENEFITS 90237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90237,A000000,00700,0000,00700HOUSEKEEPING 90237,A000000,00800,0000,00800DIETARY 90237,A000000,00900,0000,00900NURSING ADMINISTRATION 90237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90237,A000000,01100,0000,01100PHARMACY 90237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90237,A000000,01300,0000,01300SOCIAL SERVICE 90237,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90237,A000000,01600,0000,01600SKILLED NURSING FACILITY 90237,A000000,01800,0000,01800NURSING FACILITY 90237,A000000,01900,0000,01900OTHER LONG TERM CARE 90237,A000000,02100,0000,02100RADIOLOGY 90237,A000000,02200,0000,02200LABORATORY 90237,A000000,02300,0000,02300INTRAVENOUS THERAPY 90237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90237,A000000,02500,0000,02500PHYSICAL THERAPY 90237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90237,A000000,02700,0000,02700SPEECH PATHOLOGY 90237,A000000,02800,0000,02800ELECTROCARDIOLOGY 90237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90237,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90237,A000000,03200,0000,03200SUPPORT SURFACES 90237,A000000,03400,0000,03400CLINIC 90237,A000000,03500,0000,03500RURAL HEALTH CLINIC 90237,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90237,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90237,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90237,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90237,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90237,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90237,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90237,A000000,04400,0000,04400DME RENTED - HHA 90237,A000000,04500,0000,04500DME SOLD - HHA 90237,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90237,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90237,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90237,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90237,A000000,05300,0000,05300INTEREST EXPENSE 90237,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90237,A000000,05500,0000,05500HOSPICE 90237,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90237,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90237,A000000,06100,0000,06100NONPAID WORKERS 90237,A000000,06200,0000,06200PATIENTS LAUNDRY 90237,A81000A,00100,0100,Y 90237,A81000B,00100,0300,MANAGEMENT FEES 90237,A81000C,00100,0100,A 90237,A81000C,00100,0200,R H MONTGOMERY 90237,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90237,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90237,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90237,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90237,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90237,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90237,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90237,B100000,00000,0850,00000PAT DAYS :DIETARY 90237,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90237,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90237,B100000,00000,1150,00000BLANK :PHARMACY 90237,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90237,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90237,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90237,S000000,00100,0200,05/25/2000 90237,S200000,00100,0100,1220 EAST MARSHALL 90237,S200000,00200,0100,CHARLESTON 90237,S200000,00200,0200,MO 90237,S200000,00200,0300,63834- 90237,S200000,00300,0100,MISSISSIPPI 90237,S200000,00400,0100,CHARLESTON MANOR 90237,S200000,00400,0200,265165 90237,S200000,00400,0300,06/04/1982 90237,S200000,00400,0500,P 90237,S200000,01600,0100,Y 90237,S200000,02200,0100,Y 90237,S200000,04300,0100,Y 90237,S200000,04700,0100,Y 90245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90245,A000000,00300,0000,00300EMPLOYEE BENEFITS 90245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90245,A000000,00700,0000,00700HOUSEKEEPING 90245,A000000,00800,0000,00800DIETARY 90245,A000000,00900,0000,00900NURSING ADMINISTRATION 90245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90245,A000000,01100,0000,01100PHARMACY 90245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90245,A000000,01300,0000,01300SOCIAL SERVICE 90245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90245,A000000,01600,0000,01600SKILLED NURSING FACILITY 90245,A000000,01800,0000,01800NURSING FACILITY 90245,A000000,01900,0000,01900OTHER LONG TERM CARE 90245,A000000,02100,0000,02100RADIOLOGY 90245,A000000,02200,0000,02200LABORATORY 90245,A000000,02300,0000,02300INTRAVENOUS THERAPY 90245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90245,A000000,02500,0000,02500PHYSICAL THERAPY 90245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90245,A000000,02700,0000,02700SPEECH PATHOLOGY 90245,A000000,02800,0000,02800ELECTROCARDIOLOGY 90245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90245,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90245,A000000,03200,0000,03200SUPPORT SURFACES 90245,A000000,03400,0000,03400CLINIC 90245,A000000,03500,0000,03500RURAL HEALTH CLINIC 90245,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90245,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90245,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90245,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90245,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90245,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90245,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90245,A000000,04400,0000,04400DME RENTED - HHA 90245,A000000,04500,0000,04500DME SOLD - HHA 90245,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90245,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90245,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90245,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90245,A000000,05300,0000,05300INTEREST EXPENSE 90245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90245,A000000,05500,0000,05500HOSPICE 90245,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90245,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90245,A000000,06100,0000,06100NONPAID WORKERS 90245,A000000,06200,0000,06200PATIENTS LAUNDRY 90245,A81000A,00100,0100,Y 90245,A81000B,00100,0300,MANAGEMENT FEE 90245,A81000C,00100,0100,A 90245,A81000C,00100,0200,R H MONTGOMERY 90245,A81000C,00100,0400,ASI 90245,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90245,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90245,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90245,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90245,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90245,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90245,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90245,B100000,00000,0850,00000PAT DAYS :DIETARY 90245,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90245,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90245,B100000,00000,1150,00000BLANK :PHARMACY 90245,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90245,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90245,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90245,S000000,00100,0200,05/25/2000 90245,S200000,00100,0100,S. KANSAS AVE RR1 90245,S200000,00100,0300,100A 90245,S200000,00200,0100,MARCELINE 90245,S200000,00200,0200,MO 90245,S200000,00200,0300,64658- 90245,S200000,00300,0100,CHARITON 90245,S200000,00400,0100,PIONEER HEALTH CENTER 90245,S200000,00400,0200,265169 90245,S200000,00400,0300,06/30/1982 90245,S200000,00400,0500,P 90245,S200000,01600,0100,Y 90245,S200000,02200,0100,Y 90245,S200000,04300,0100,Y 90252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90252,A000000,00300,0000,00300EMPLOYEE BENEFITS 90252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90252,A000000,00700,0000,00700HOUSEKEEPING 90252,A000000,00800,0000,00800DIETARY 90252,A000000,00900,0000,00900NURSING ADMINISTRATION 90252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90252,A000000,01300,0000,01300SOCIAL SERVICE 90252,A000000,01600,0000,01600SKILLED NURSING FACILITY 90252,A000000,01800,0000,01800NURSING FACILITY 90252,A000000,02100,0000,02100RADIOLOGY 90252,A000000,02200,0000,02200LABORATORY 90252,A000000,02500,0000,02500PHYSICAL THERAPY 90252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90252,A000000,02700,0000,02700SPEECH PATHOLOGY 90252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90252,A000000,05300,0000,05300INTEREST EXPENSE 90252,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90252,A81000A,00100,0100,Y 90252,A81000B,00100,0300,HOME OFFICE-CAP 90252,A81000B,00200,0300,HOME OFFICE-A&G 90252,A81000B,00300,0300,CORUM PHARMACY 90252,A81000C,00100,0100,B 90252,A81000C,00100,0400,DELMAR GARDENS 90252,A81000C,00100,0600,HOME OFFICE 90252,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90252,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90252,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90252,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90252,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90252,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90252,B100000,00000,0800,00000MEALS SERVED :DIETARY 90252,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90252,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90252,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90252,S000000,00100,0200,08/31/2000 90252,S200000,00100,0100,14855 NORTH OUTER 40 ROAD 90252,S200000,00200,0100,CHESTERFIELD 90252,S200000,00200,0200,MO 90252,S200000,00200,0300,63017-2084 90252,S200000,00300,0100,ST. LOUIS 90252,S200000,00400,0100,DELMAR GARDENS OF CHESTERFIELD INC. 90252,S200000,00400,0200,265170 90252,S200000,00400,0300,05/27/1982 90252,S200000,00400,0500,P 90252,S200000,01600,0100,Y 90252,S200000,02200,0100,Y 90259,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90259,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90259,A000000,00300,0000,00300EMPLOYEE BENEFITS 90259,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90259,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90259,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90259,A000000,00700,0000,00700HOUSEKEEPING 90259,A000000,00800,0000,00800DIETARY 90259,A000000,00801,0000,00801CAFETERIA/DINING ROOM 90259,A000000,00900,0000,00900NURSING ADMINISTRATION 90259,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90259,A000000,01100,0000,01100PHARMACY 90259,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90259,A000000,01300,0000,01300SOCIAL SERVICE 90259,A000000,01350,0000,01500OTHER GENERAL SERVICES 90259,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90259,A000000,01600,0000,01600SKILLED NURSING FACILITY 90259,A000000,01800,0000,01800NURSING FACILITY 90259,A000000,01810,0000,01801ICF/MR 90259,A000000,01900,0000,01900OTHER LONG TERM CARE 90259,A000000,02100,0000,02100RADIOLOGY 90259,A000000,02200,0000,02200LABORATORY 90259,A000000,02300,0000,02300INTRAVENOUS THERAPY 90259,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90259,A000000,02500,0000,02500PHYSICAL THERAPY 90259,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90259,A000000,02700,0000,02700SPEECH PATHOLOGY 90259,A000000,02800,0000,02800ELECTROCARDIOLOGY 90259,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90259,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90259,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90259,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90259,A000000,03200,0000,03200SUPPORT SURFACES 90259,A000000,03400,0000,03400CLINIC 90259,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90259,A000000,03500,0000,03500RURAL HEALTH CLINIC 90259,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90259,A000000,04800,0000,04800AMBULANCE 90259,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90259,A000000,05000,0000,05000CORF 90259,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90259,A000000,05300,0000,05300INTEREST EXPENSE 90259,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90259,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90259,A000000,05500,0000,05500HOSPICE 90259,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90259,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90259,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90259,A000000,06100,0000,06100NONPAID WORKERS 90259,A000000,06101,0000,06101NON REIMBURSEABLE GUEST MEAL 90259,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90259,A000000,06200,0000,06200PATIENTS LAUNDRY 90259,A81000A,00100,0100,Y 90259,A81000B,00100,0300,HOME OFFICE COSTS -CHS 90259,A81000B,00200,0300,HOME OFFICE COSTS-BJC 90259,A81000B,00300,0300,HOME OFFICE COSTS-ALTERNATE 90259,A81000C,00100,0100,G 90259,A81000C,00100,0200,CHRISTIAN HEALTH SERVICES 90259,A81000C,00100,0400,HOME OFFICE 90259,A81000C,00200,0100,G 90259,A81000C,00200,0200,BJC HEALTH SYSTEM 90259,A81000C,00200,0400,HOME OFFICE 90259,A81000C,00300,0100,G 90259,A81000C,00300,0200,ALTERNATE SITES 90259,A81000C,00300,0400,HOME OFFICE 90259,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90259,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 90259,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90259,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90259,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90259,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90259,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90259,B100000,00000,0800,00000MEALS SERVED :DIETARY 90259,B100000,00000,0801,00000MEALS SERVED :CAFETERIA/DINING ROO 90259,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 90259,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 90259,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90259,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 90259,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 90259,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90259,B100000,00000,1450,00000GROSS SALARIES :INTERNS & RESIDENT 90259,S000000,00100,0200,06/05/2000 90259,S200000,00100,0100,11160 VILLAGE NORTH DRIVE 90259,S200000,00200,0100,ST. LOUIS 90259,S200000,00200,0200,MO 90259,S200000,00200,0300,63136- 90259,S200000,00300,0100,ST. LOUIS 90259,S200000,00400,0100,VILLAGE NORTH 90259,S200000,00400,0200,265174 90259,S200000,00400,0300,09/23/1982 90259,S200000,00400,0500,P 90259,S200000,01004,0500,O 90259,S200000,01600,0100,Y 90259,S700003,00000,0100,1 90270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90270,A000000,00300,0000,00300EMPLOYEE BENEFITS 90270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90270,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90270,A000000,00700,0000,00700HOUSEKEEPING 90270,A000000,00800,0000,00800DIETARY 90270,A000000,00900,0000,00900NURSING ADMINISTRATION 90270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90270,A000000,01100,0000,01100PHARMACY 90270,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90270,A000000,01300,0000,01300SOCIAL SERVICE 90270,A000000,01350,0000,01500OTHER GENERAL SERVICES 90270,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90270,A000000,01600,0000,01600SKILLED NURSING FACILITY 90270,A000000,01800,0000,01800NURSING FACILITY 90270,A000000,01810,0000,01801ICF/MR 90270,A000000,01900,0000,01900OTHER LONG TERM CARE 90270,A000000,02100,0000,02100RADIOLOGY 90270,A000000,02200,0000,02200LABORATORY 90270,A000000,02300,0000,02300INTRAVENOUS THERAPY 90270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90270,A000000,02500,0000,02500PHYSICAL THERAPY 90270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90270,A000000,02700,0000,02700SPEECH PATHOLOGY 90270,A000000,02800,0000,02800ELECTROCARDIOLOGY 90270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90270,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90270,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90270,A000000,03200,0000,03200SUPPORT SURFACES 90270,A000000,03400,0000,03400CLINIC 90270,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90270,A000000,03500,0000,03500RURAL HEALTH CLINIC 90270,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90270,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90270,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90270,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90270,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90270,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90270,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90270,A000000,04400,0000,04400DME RENTED - HHA 90270,A000000,04500,0000,04500DME SOLD - HHA 90270,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90270,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90270,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90270,A000000,04800,0000,04800AMBULANCE 90270,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90270,A000000,05000,0000,05000CORF 90270,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90270,A000000,05300,0000,05300INTEREST EXPENSE 90270,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90270,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90270,A000000,05500,0000,05500HOSPICE 90270,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90270,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90270,A000000,06100,0000,06100NONPAID WORKERS 90270,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90270,A000000,06200,0000,06200PATIENTS LAUNDRY 90270,A81000A,00100,0100,Y 90270,A81000B,00100,0300,MANAGEMENT/HOME OFFICE FEES 90270,A81000B,00200,0300,MANAGEMENT/HOME OFFICE FEES 90270,A81000C,00100,0100,A 90270,A81000C,00100,0200,JAMES LINCOLN 90270,A81000C,00100,0400,HEALTH SERVICES INC. 90270,A81000C,00100,0600,HOME OFFICE 90270,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90270,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90270,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90270,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90270,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90270,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90270,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90270,B100000,00000,0800,00000MEALS SERVED :DIETARY 90270,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90270,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90270,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90270,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90270,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90270,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90270,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90270,S000000,00100,0200,05/18/2000 90270,S200000,00100,0100,HIGHWAY AA 90270,S200000,00100,0300,280 90270,S200000,00200,0100,WARRENTON 90270,S200000,00200,0200,MO 90270,S200000,00200,0300,63383- 90270,S200000,00300,0100,WARREN 90270,S200000,00400,0100,WARRENTON NURSING & REHAB 90270,S200000,00400,0200,265181 90270,S200000,00400,0300,01/07/1983 90270,S200000,00400,0500,P 90270,S200000,01600,0100,Y 90270,S700003,00000,0300,3 90280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90280,A000000,00300,0000,00300EMPLOYEE BENEFITS 90280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90280,A000000,00700,0000,00700HOUSEKEEPING 90280,A000000,00800,0000,00800DIETARY 90280,A000000,00900,0000,00900NURSING ADMINISTRATION 90280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90280,A000000,01100,0000,01100PHARMACY 90280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90280,A000000,01300,0000,01300SOCIAL SERVICE 90280,A000000,01350,0000,01500OTHER GENERAL SERVICES 90280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90280,A000000,01600,0000,01600SKILLED NURSING FACILITY 90280,A000000,01800,0000,01800NURSING FACILITY 90280,A000000,01810,0000,01801ICF/MR 90280,A000000,01900,0000,01900OTHER LONG TERM CARE 90280,A000000,02100,0000,02100RADIOLOGY 90280,A000000,02200,0000,02200LABORATORY 90280,A000000,02300,0000,02300INTRAVENOUS THERAPY 90280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90280,A000000,02500,0000,02500PHYSICAL THERAPY 90280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90280,A000000,02700,0000,02700SPEECH PATHOLOGY 90280,A000000,02800,0000,02800ELECTROCARDIOLOGY 90280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90280,A000000,03200,0000,03200SUPPORT SURFACES 90280,A000000,03400,0000,03400CLINIC 90280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90280,A000000,03500,0000,03500RURAL HEALTH CLINIC 90280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90280,A000000,04800,0000,04800AMBULANCE 90280,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90280,A000000,05000,0000,05000CORF 90280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90280,A000000,05300,0000,05300INTEREST EXPENSE 90280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90280,A000000,05500,0000,05500HOSPICE 90280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90280,A000000,06100,0000,06100NONPAID WORKERS 90280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90280,A000000,06200,0000,06200PATIENTS LAUNDRY 90280,A81000A,00100,0100,Y 90280,A81000B,00100,0300,HOME OFFICE COSTS 90280,A81000B,00200,0300,HOME OFFICE COSTS 90280,A81000C,00100,0100,A 90280,A81000C,00100,0200,JAMES & JUDY LINCOLN 90280,A81000C,00100,0400,HEALTH SYSTEMS INC. 90280,A81000C,00100,0600,HOME OFFICE 90280,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90280,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 90280,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90280,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90280,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90280,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90280,B100000,00000,0800,00000MEALS SERVED :DIETARY 90280,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90280,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90280,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90280,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90280,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90280,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90280,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90280,S000000,00100,0200,05/18/2000 90280,S200000,00100,0100,200 THOMPSON DRIVE 90280,S200000,00200,0100,TROY 90280,S200000,00200,0200,MO 90280,S200000,00200,0300,63379- 90280,S200000,00300,0100,LINCOLN 90280,S200000,00400,0100,TROY NURSING AND REHAB 90280,S200000,00400,0200,265194 90280,S200000,00400,0300,04/14/1983 90280,S200000,00400,0500,P 90280,S200000,01600,0100,Y 90280,S700003,00000,0300,3 90292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90292,A000000,00300,0000,00300EMPLOYEE BENEFITS 90292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90292,A000000,00700,0000,00700HOUSEKEEPING 90292,A000000,00800,0000,00800DIETARY 90292,A000000,00900,0000,00900NURSING ADMINISTRATION 90292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90292,A000000,01100,0000,01100PHARMACY 90292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90292,A000000,01300,0000,01300SOCIAL SERVICE 90292,A000000,01350,0000,01500RECREATION 90292,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90292,A000000,01600,0000,01600SKILLED NURSING FACILITY 90292,A000000,01800,0000,01800NURSING FACILITY 90292,A000000,01810,0000,01810ICF/MR 90292,A000000,02200,0000,02200LABORATORY 90292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90292,A000000,02500,0000,02500PHYSICAL THERAPY 90292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90292,A000000,02700,0000,02700SPEECH PATHOLOGY 90292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90292,A000000,03050,0000,03300PEN 90292,A000000,03051,0000,03310AFT 90292,A000000,03550,0000,03550FQHC 90292,A000000,05000,0000,05000CORF 90292,A000000,05010,0000,05010CMHC 90292,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90292,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90292,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90292,A81000A,00100,0100,Y 90292,A81000B,00100,0300,BUILDIING RENT 90292,A81000B,00200,0300,A&G EXPENSE 90292,A81000B,00300,0300,DEPRECIATION 90292,A81000B,00400,0300,AMORTIZATION 90292,A81000B,00500,0300,TRUSTEE FEES 90292,A81000B,00600,0300,INTEREST BONDS 90292,A81000B,00700,0300,INTEREST FDIC 90292,A81000B,00800,0300,MANAGEMENT FEES 90292,A81000B,00900,0300,POOLED CAPITAL 90292,A81000B,01000,0300,DIRECT CAPITAL 90292,A81000B,01100,0300,DIRECT NON-CAPITAL 90292,A81000C,00100,0100,B 90292,A81000C,00100,0200,PLAZA MANOR ASS 90292,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90292,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90292,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90292,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90292,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90292,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90292,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90292,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 90292,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 90292,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90292,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90292,B100000,00000,1350,00000PATIENT DAYS :RECREATION 90292,E10A180,00501,0100,07/11/2000 90292,E10A180,00501,0300,07/11/2000 90292,S000000,00100,0200,06/01/2000 90292,S200000,00100,0100,4330 WASHINGTON 90292,S200000,00200,0100,KANSAS CITY 90292,S200000,00200,0200,MO 90292,S200000,00200,0300,64111- 90292,S200000,00300,0100,JACKSON 90292,S200000,00300,0300,U 90292,S200000,00400,0100,PLAZA MANOR 90292,S200000,00400,0200,265199 90292,S200000,00400,0300,08/04/1983 90292,S200000,00400,0500,P 90292,S200000,01004,0500,O 90292,S200000,01600,0100,Y 90296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90296,A000000,00300,0000,00300EMPLOYEE BENEFITS 90296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90296,A000000,00700,0000,00700HOUSEKEEPING 90296,A000000,00800,0000,00800DIETARY 90296,A000000,00900,0000,00900NURSING ADMINISTRATION 90296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90296,A000000,01100,0000,01100PHARMACY 90296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90296,A000000,01300,0000,01300SOCIAL SERVICE 90296,A000000,01350,0000,01500OTHER GENERAL SERVICES 90296,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90296,A000000,01600,0000,01600SKILLED NURSING FACILITY 90296,A000000,01800,0000,01800NURSING FACILITY 90296,A000000,01810,0000,01801ICF/MR 90296,A000000,01900,0000,01900OTHER LONG TERM CARE 90296,A000000,02100,0000,02100RADIOLOGY 90296,A000000,02200,0000,02200LABORATORY 90296,A000000,02300,0000,02300INTRAVENOUS THERAPY 90296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90296,A000000,02500,0000,02500PHYSICAL THERAPY 90296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90296,A000000,02700,0000,02700SPEECH PATHOLOGY 90296,A000000,02800,0000,02800ELECTROCARDIOLOGY 90296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90296,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90296,A000000,03200,0000,03200SUPPORT SURFACES 90296,A000000,03400,0000,03400CLINIC 90296,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90296,A000000,03500,0000,03500RURAL HEALTH CLINIC 90296,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90296,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90296,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90296,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90296,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90296,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90296,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90296,A000000,04400,0000,04400DME RENTED - HHA 90296,A000000,04500,0000,04500DME SOLD - HHA 90296,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90296,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90296,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90296,A000000,04800,0000,04800AMBULANCE 90296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90296,A000000,05000,0000,05000CORF 90296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90296,A000000,05300,0000,05300INTEREST EXPENSE 90296,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90296,A000000,05500,0000,05500HOSPICE 90296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90296,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90296,A000000,06100,0000,06100NONPAID WORKERS 90296,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90296,A000000,06200,0000,06200PATIENTS LAUNDRY 90296,A81000A,00100,0100,Y 90296,A81000B,00100,0300,HOME OFFICE EXPENSE 90296,A81000C,00100,0100,B 90296,A81000C,00100,0200,ROCKY LEMON 90296,A81000C,00100,0400,CRESCENT HEALTH SERVICES 90296,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 90296,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 90296,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 90296,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 90296,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 90296,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 90296,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 90296,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 90296,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 90296,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 90296,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 90296,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 90296,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 90296,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 90296,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 90296,S000000,00100,0200,05/31/2000 90296,S200000,00100,0100,324 WEST 5TH STREET 90296,S200000,00200,0100,WASHINGTON 90296,S200000,00200,0200,MO 90296,S200000,00200,0300,63090- 90296,S200000,00300,0100,FRANKLIN 90296,S200000,00400,0100,CEDARCREST MANOR 90296,S200000,00400,0200,265202 90296,S200000,00400,0300,10/10/1983 90296,S200000,00400,0500,P 90296,S200000,01600,0100,Y 90314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90314,A000000,00300,0000,00300EMPLOYEE BENEFITS 90314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90314,A000000,00700,0000,00700HOUSEKEEPING 90314,A000000,00800,0000,00800DIETARY 90314,A000000,00900,0000,00900NURSING ADMINISTRATION 90314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90314,A000000,01100,0000,01100PHARMACY 90314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90314,A000000,01300,0000,01300SOCIAL SERVICE 90314,A000000,01600,0000,01600SKILLED NURSING FACILITY 90314,A000000,01800,0000,01800NURSING FACILITY 90314,A000000,02100,0000,02100RADIOLOGY 90314,A000000,02200,0000,02200LABORATORY 90314,A000000,02500,0000,02500PHYSICAL THERAPY 90314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90314,A000000,02700,0000,02700SPEECH PATHOLOGY 90314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90314,A000000,05300,0000,05300INTEREST EXPENSE 90314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90314,A81000A,00100,0100,Y 90314,A81000B,00100,0300,MANAGEMENT FEE 90314,A81000B,00200,0300,HOME OFFICE 90314,A81000B,00300,0300,DATA PROCESSING 90314,A81000B,00400,0300,NURSING ADMINISTRATION 90314,A81000C,00100,0100,B 90314,A81000C,00100,0400,SSM HEALTHCARE 90314,A81000C,00200,0100,B 90314,A81000C,00200,0400,ST. MARYS HEALTH CENTER 90314,A81000C,00300,0100,B 90314,A81000C,00300,0400,SSM DATA CENTER 90314,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90314,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 90314,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90314,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90314,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90314,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90314,B100000,00000,0800,00000MEALS SERVED :DIETARY 90314,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 90314,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90314,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90314,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90314,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90314,S000000,00100,0200,06/01/2000 90314,S200000,00100,0100,1030 EDMOND ST 90314,S200000,00200,0100,JEFFERSON CITY 90314,S200000,00200,0200,MO 90314,S200000,00200,0300,65102- 90314,S200000,00300,0100,COLE 90314,S200000,00400,0100,VILLA MARIE SKILLED NURSING FACILITY 90314,S200000,00400,0200,265208 90314,S200000,00400,0300,10/03/1983 90314,S200000,00400,0500,P 90314,S200000,00400,0600,O 90314,S200000,00600,0200,265208 90314,S200000,00600,0300,10/03/1983 90314,S200000,00600,0600,P 90314,S200000,01600,0100,Y 90314,S200000,02200,0100,Y 90314,S200000,04300,0100,Y 90314,S700003,00000,0100,1 90319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90319,A000000,00300,0000,00300EMPLOYEE BENEFITS 90319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90319,A000000,00700,0000,00700HOUSEKEEPING 90319,A000000,00800,0000,00800DIETARY 90319,A000000,00900,0000,00900NURSING ADMINISTRATION 90319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90319,A000000,01100,0000,01100PHARMACY 90319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90319,A000000,01300,0000,01300SOCIAL SERVICE 90319,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90319,A000000,01600,0000,01600SKILLED NURSING FACILITY 90319,A000000,01800,0000,01800NURSING FACILITY 90319,A000000,01810,0000,01810ICF/MR 90319,A000000,02200,0000,02200LABORATORY 90319,A000000,02300,0000,02300INTRAVENOUS THERAPY 90319,A000000,02500,0000,02500PHYSICAL THERAPY 90319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90319,A000000,02700,0000,02700SPEECH PATHOLOGY 90319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90319,A000000,03200,0000,03200SUPPORT SURFACES 90319,A000000,03550,0000,03550FQHC 90319,A000000,05000,0000,05000CORF 90319,A000000,05010,0000,05010CMHC 90319,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90319,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90319,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90319,A81000A,00100,0100,Y 90319,A81000B,00100,0300,ADMINISTRATOR SALARY 90319,A81000B,00200,0300,D.O.N. SALARY 90319,A81000B,00300,0300,RELATED PARTY PT 90319,A81000B,00400,0300,RELATED PARTY OT 90319,A81000B,00500,0300,RELATED PARTY ST 90319,A81000B,00600,0300,EQUIPMENT LEASE RP 90319,A81000B,00700,0300,EQUIPMENT LEASE RP 90319,A81000B,00800,0300,EQUIPMENT LEASE RP 90319,A81000B,00900,0300,EQUIPMENT LEASE RP 90319,A81000B,01000,0300,EQUIPMENT LEASE RP 90319,A81000B,01100,0300,HOME OFFICE COST 90319,A81000B,01200,0300,FACILITY LEASE 90319,A81000C,00100,0100,A 90319,A81000C,00100,0200,DON C BEDELL 90319,A81000C,00100,0400,HEARTLAND PERSO 90319,A81000C,00100,0600,LEASING COMPANY 90319,A81000C,00200,0100,A 90319,A81000C,00200,0200,DON C BEDELL 90319,A81000C,00200,0400,HEARTLAND PERSO 90319,A81000C,00200,0600,LEASING COMPANY 90319,A81000C,00300,0100,A 90319,A81000C,00300,0200,DON C BEDELL 90319,A81000C,00300,0400,HFRS 90319,A81000C,00300,0600,THERAPY COMPANY 90319,A81000C,00400,0100,A 90319,A81000C,00400,0200,DON C BEDELL 90319,A81000C,00400,0400,HFRS 90319,A81000C,00400,0600,THERAPY COMPANY 90319,A81000C,00500,0100,A 90319,A81000C,00500,0200,DON C BEDELL 90319,A81000C,00500,0400,HFRS 90319,A81000C,00500,0600,THERAPY COMANY 90319,A81000C,00600,0100,A 90319,A81000C,00600,0200,DON C BEDELL 90319,A81000C,00600,0400,CEO FINANCIAL S 90319,A81000C,00600,0600,LEASING COMPANY 90319,A81000C,00700,0100,A 90319,A81000C,00700,0200,DON C BEDELL 90319,A81000C,00700,0400,CEO FINANCIAL S 90319,A81000C,00700,0600,LEASING COMPANY 90319,A81000C,00800,0100,A 90319,A81000C,00800,0200,DON C BEDELL 90319,A81000C,00800,0400,CEO FINANCIAL S 90319,A81000C,00800,0600,LIEASING COMPAN 90319,A81000C,00900,0100,A 90319,A81000C,00900,0200,DON C BEDELL 90319,A81000C,00900,0400,CEO FINANCIAL S 90319,A81000C,00900,0600,LEASING COMPANY 90319,A81000C,01000,0100,A 90319,A81000C,01000,0200,DON C BEDELL 90319,A81000C,01000,0400,CEO FINANCIAL S 90319,A81000C,01000,0600,LEASING COMPANY 90319,A81000C,01001,0100,A 90319,A81000C,01001,0200,DON C BEDELL 90319,A81000C,01001,0400,HFMC 90319,A81000C,01001,0600,MANAGEMENT COMA 90319,A81000C,01002,0100,A 90319,A81000C,01002,0200,DON C BEDELL 90319,A81000C,01002,0400,CIRCLE B ENTERP 90319,A81000C,01002,0600,REAL ESTATE COM 90319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90319,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90319,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90319,B100000,00000,0800,00000MEALS SERVED :DIETARY 90319,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90319,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90319,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90319,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90319,S000000,00100,0200,12/01/2000 90319,S200000,00100,0100,1001 NORTH WALNUT 90319,S200000,00100,0300,238 90319,S200000,00200,0100,STEELE 90319,S200000,00200,0200,MO 90319,S200000,00200,0300,63877- 90319,S200000,00300,0100,PEMISCOT 90319,S200000,00300,0200,26 90319,S200000,00300,0300,R 90319,S200000,00400,0100,RIVER OAKS CARE CENTER 90319,S200000,00400,0200,265210 90319,S200000,00400,0300,04/01/1993 90319,S200000,00400,0500,P 90319,S200000,00600,0200,265210 90319,S200000,00600,0300,04/01/1993 90319,S200000,00600,0600,P 90319,S200000,01600,0100,Y 90319,S200000,04700,0100,Y 90319,S200000,04700,0200,Y 90331,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90331,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90331,A000000,00300,0000,00300EMPLOYEE BENEFITS 90331,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90331,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90331,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90331,A000000,00700,0000,00700HOUSEKEEPING 90331,A000000,00800,0000,00800DIETARY 90331,A000000,00900,0000,00900NURSING ADMINISTRATION 90331,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90331,A000000,01100,0000,01100PHARMACY 90331,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90331,A000000,01300,0000,01300SOCIAL SERVICE 90331,A000000,01350,0000,01500OTHER GENERAL SERVICES 90331,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90331,A000000,01600,0000,01600SKILLED NURSING FACILITY 90331,A000000,01800,0000,01800NURSING FACILITY 90331,A000000,01900,0000,01900OTHER LONG TERM CARE 90331,A000000,02100,0000,02100RADIOLOGY 90331,A000000,02200,0000,02200LABORATORY 90331,A000000,02300,0000,02300INTRAVENOUS THERAPY 90331,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90331,A000000,02500,0000,02500PHYSICAL THERAPY 90331,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90331,A000000,02700,0000,02700SPEECH PATHOLOGY 90331,A000000,02800,0000,02800ELECTROCARDIOLOGY 90331,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90331,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90331,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90331,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90331,A000000,03200,0000,03200SUPPORT SURFACES 90331,A000000,03400,0000,03400CLINIC 90331,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90331,A000000,03500,0000,03500RURAL HEALTH CLINIC 90331,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90331,A000000,04800,0000,04800AMBULANCE 90331,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90331,A000000,05000,0000,05000CORF 90331,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90331,A000000,05300,0000,05300INTEREST EXPENSE 90331,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90331,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90331,A000000,05500,0000,05500HOSPICE 90331,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90331,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90331,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90331,A000000,06100,0000,06100NONPAID WORKERS 90331,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90331,A000000,06200,0000,06200PATIENTS LAUNDRY 90331,A81000A,00100,0100,Y 90331,A81000B,00100,0300,HOME OFFICE FEES 90331,A81000B,00200,0300,HOME OFFICE COSTS 90331,A81000B,00300,0300,INTEREST 90331,A81000C,00100,0100,A 90331,A81000C,00100,0200,JAMES & JUDY LINCOLN 90331,A81000C,00100,0400,HEALTH SYSTEMS INC. 90331,A81000C,00100,0600,HOME OFFICE 90331,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90331,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90331,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90331,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90331,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90331,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90331,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90331,B100000,00000,0800,00000MEALS SERVED :DIETARY 90331,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 90331,B100000,00000,1000,00000COSTED REQUI :CENTRAL SERVICES & S 90331,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90331,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90331,S000000,00100,0200,06/20/2000 90331,S200000,00100,0100,430 NORTHWEST STREET 90331,S200000,00200,0100,PERRYVILLE 90331,S200000,00200,0200,MO 90331,S200000,00200,0300,63775- 90331,S200000,00300,0100,PERRY 90331,S200000,00300,0200,26 90331,S200000,00300,0300,R 90331,S200000,00400,0100,PERRYOAKS NURSING & REHAB 90331,S200000,00400,0200,265226 90331,S200000,00400,0300,05/11/1989 90331,S200000,00400,0500,P 90331,S200000,01600,0100,Y 90331,S200000,02200,0100,Y 90340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90340,A000000,00300,0000,00300EMPLOYEE BENEFITS 90340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90340,A000000,00700,0000,00700HOUSEKEEPING 90340,A000000,00800,0000,00800DIETARY 90340,A000000,00900,0000,00900NURSING ADMINISTRATION 90340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90340,A000000,01100,0000,01100PHARMACY 90340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90340,A000000,01300,0000,01300SOCIAL SERVICE 90340,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90340,A000000,01600,0000,01600SKILLED NURSING FACILITY 90340,A000000,01800,0000,01800NURSING FACILITY 90340,A000000,01810,0000,01810ICF/MR 90340,A000000,02100,0000,02100RADIOLOGY 90340,A000000,02200,0000,02200LABORATORY 90340,A000000,02300,0000,02300INTRAVENOUS THERAPY 90340,A000000,02500,0000,02500PHYSICAL THERAPY 90340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90340,A000000,02700,0000,02700SPEECH PATHOLOGY 90340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90340,A000000,03200,0000,03200SUPPORT SURFACES 90340,A000000,03550,0000,03550FQHC 90340,A000000,05000,0000,05000CORF 90340,A000000,05010,0000,05010CMHC 90340,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90340,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90340,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90340,A81000A,00100,0100,Y 90340,A81000B,00100,0300,ADMINISTRATOR SALARY 90340,A81000B,00200,0300,D.O.N. SALARY 90340,A81000B,00300,0300,RELATED PARTY PT 90340,A81000B,00400,0300,RELATED PARTY OT 90340,A81000B,00500,0300,RELATED PARTY SPEECH 90340,A81000B,00600,0300,EQUIPMENT LEASE RP 90340,A81000B,00700,0300,EQUIPMENT LEASE RP 90340,A81000B,00800,0300,EQUIPMENT LEASE RP 90340,A81000B,00900,0300,EQUIPMENT LEASE RP 90340,A81000B,01000,0300,EQUIPMENT LEASE RP 90340,A81000B,01100,0300,HOME OFFICE COST 90340,A81000C,00100,0100,A 90340,A81000C,00100,0200,DON C DEDEL 90340,A81000C,00100,0400,HEARTLAND PERSO 90340,A81000C,00100,0600,LEASING COMPANY 90340,A81000C,00200,0100,A 90340,A81000C,00200,0200,DON C BEDELL 90340,A81000C,00200,0400,HEARTLAND PERSO 90340,A81000C,00200,0600,LEASING COMPANY 90340,A81000C,00300,0100,A 90340,A81000C,00300,0200,DON C BEDELL 90340,A81000C,00300,0400,HFRS 90340,A81000C,00300,0600,REHAB COMPANY 90340,A81000C,00400,0100,A 90340,A81000C,00400,0200,DON C BEDELL 90340,A81000C,00400,0400,HFRS 90340,A81000C,00400,0600,REHAB COMPANY 90340,A81000C,00500,0100,A 90340,A81000C,00500,0200,DON C BEDELL 90340,A81000C,00500,0400,HFRS 90340,A81000C,00500,0600,REHAB COMPANY 90340,A81000C,00600,0100,A 90340,A81000C,00600,0200,DON C BEDELL 90340,A81000C,00600,0400,CEO FINANCIAL S 90340,A81000C,00600,0600,LEASING COMPANY 90340,A81000C,00700,0100,A 90340,A81000C,00700,0200,DON C BEDELL 90340,A81000C,00700,0400,CEO FINANCIAL S 90340,A81000C,00700,0600,LEASING COMPANY 90340,A81000C,00800,0100,A 90340,A81000C,00800,0200,DON C BEDELL 90340,A81000C,00800,0400,CEO FINANCIAL S 90340,A81000C,00800,0600,LEASING COMPANY 90340,A81000C,00900,0100,A 90340,A81000C,00900,0200,DON C BEDELL 90340,A81000C,00900,0400,CEO FINANCIAL S 90340,A81000C,00900,0600,LEASING COMPANY 90340,A81000C,01000,0100,A 90340,A81000C,01000,0200,DON C BEDELL 90340,A81000C,01000,0400,CEO FINANCIAL S 90340,A81000C,01000,0600,LEASING COMPANY 90340,A81000C,01001,0100,A 90340,A81000C,01001,0200,DON C BEDELL 90340,A81000C,01001,0400,HFMC 90340,A81000C,01001,0600,MANAGEMENT COMP 90340,A81000C,01002,0100,0 90340,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90340,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90340,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90340,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90340,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90340,B100000,00000,0800,00000MEALS SERVED :DIETARY 90340,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90340,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90340,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90340,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90340,S000000,00100,0200,12/01/2000 90340,S200000,00100,0100,1805 WEST 32ND STREET 90340,S200000,00200,0100,JOPLIN 90340,S200000,00200,0200,MO 90340,S200000,00200,0300,64804- 90340,S200000,00300,0100,JASPER 90340,S200000,00300,0200,3710 90340,S200000,00300,0300,U 90340,S200000,00400,0100,MEADOWS CARE CENTER 90340,S200000,00400,0200,265227 90340,S200000,00400,0300,03/01/1992 90340,S200000,00400,0500,P 90340,S200000,00600,0200,265227 90340,S200000,00600,0300,03/01/1992 90340,S200000,00600,0600,P 90340,S200000,01600,0100,Y 90340,S200000,04700,0100,Y 90340,S200000,04700,0200,Y 90364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90364,A000000,00300,0000,00300EMPLOYEE BENEFITS 90364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90364,A000000,00700,0000,00700HOUSEKEEPING 90364,A000000,00800,0000,00800DIETARY 90364,A000000,00900,0000,00900NURSING ADMINISTRATION 90364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90364,A000000,01100,0000,01100PHARMACY 90364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90364,A000000,01300,0000,01300SOCIAL SERVICE 90364,A000000,01301,0000,01301ACTIVITIES 90364,A000000,01350,0000,01500OTHER GENERAL SERVICES 90364,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90364,A000000,01600,0000,01600SKILLED NURSING FACILITY 90364,A000000,01800,0000,01800NURSING FACILITY 90364,A000000,01900,0000,01900OTHER LONG TERM CARE 90364,A000000,02100,0000,02100RADIOLOGY 90364,A000000,02200,0000,02200LABORATORY 90364,A000000,02300,0000,02300INTRAVENOUS THERAPY 90364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90364,A000000,02500,0000,02500PHYSICAL THERAPY 90364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90364,A000000,02700,0000,02700SPEECH PATHOLOGY 90364,A000000,02800,0000,02800ELECTROCARDIOLOGY 90364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90364,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90364,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90364,A000000,03200,0000,03200SUPPORT SURFACES 90364,A000000,03400,0000,03400CLINIC 90364,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90364,A000000,03500,0000,03500RURAL HEALTH CLINIC 90364,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90364,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90364,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90364,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90364,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90364,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90364,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90364,A000000,04400,0000,04400DME RENTED - HHA 90364,A000000,04500,0000,04500DME SOLD - HHA 90364,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90364,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90364,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90364,A000000,04800,0000,04800AMBULANCE 90364,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90364,A000000,05000,0000,05000CORF 90364,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90364,A000000,05300,0000,05300INTEREST EXPENSE 90364,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90364,A000000,05500,0000,05500HOSPICE 90364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90364,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90364,A000000,06100,0000,06100NONPAID WORKERS 90364,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90364,A000000,06200,0000,06200PATIENTS LAUNDRY 90364,A81000A,00100,0100,Y 90364,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90364,A81000B,00200,0300,CAPITAL 90364,A81000C,00100,0100,A 90364,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90364,A81000C,00100,0400,LENOX HEALTHCARE INC. 90364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90364,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90364,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90364,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90364,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90364,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90364,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90364,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90364,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90364,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90364,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90364,S000000,00100,0200,03/02/2000 90364,S200000,00100,0100,715 HIGHWAY 19 90364,S200000,00200,0100,THAYER 90364,S200000,00200,0200,MO 90364,S200000,00200,0300,65791- 90364,S200000,00300,0100,OREGON 90364,S200000,00400,0100,SHADY OAKS HEALTHCARE CENTER 90364,S200000,00400,0200,265246 90364,S200000,00400,0300,05/24/1984 90364,S200000,00400,0500,P 90364,S200000,01600,0100,Y 90364,S700003,00000,0100,1 90373,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90373,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90373,A000000,00300,0000,00300EMPLOYEE BENEFITS 90373,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90373,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90373,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90373,A000000,00700,0000,00700HOUSEKEEPING 90373,A000000,00800,0000,00800DIETARY 90373,A000000,00900,0000,00900NURSING ADMINISTRATION 90373,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90373,A000000,01100,0000,01100PHARMACY 90373,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90373,A000000,01300,0000,01300SOCIAL SERVICE 90373,A000000,01301,0000,01301ACTIVITIES 90373,A000000,01350,0000,01500OTHER GENERAL SERVICES 90373,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90373,A000000,01600,0000,01600SKILLED NURSING FACILITY 90373,A000000,01800,0000,01800NURSING FACILITY 90373,A000000,01900,0000,01900OTHER LONG TERM CARE 90373,A000000,02100,0000,02100RADIOLOGY 90373,A000000,02200,0000,02200LABORATORY 90373,A000000,02300,0000,02300INTRAVENOUS THERAPY 90373,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90373,A000000,02500,0000,02500PHYSICAL THERAPY 90373,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90373,A000000,02700,0000,02700SPEECH PATHOLOGY 90373,A000000,02800,0000,02800ELECTROCARDIOLOGY 90373,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90373,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90373,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90373,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90373,A000000,03200,0000,03200SUPPORT SURFACES 90373,A000000,03400,0000,03400CLINIC 90373,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90373,A000000,03500,0000,03500RURAL HEALTH CLINIC 90373,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90373,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90373,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90373,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90373,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90373,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90373,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90373,A000000,04400,0000,04400DME RENTED - HHA 90373,A000000,04500,0000,04500DME SOLD - HHA 90373,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90373,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90373,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90373,A000000,04800,0000,04800AMBULANCE 90373,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90373,A000000,05000,0000,05000CORF 90373,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90373,A000000,05300,0000,05300INTEREST EXPENSE 90373,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90373,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90373,A000000,05500,0000,05500HOSPICE 90373,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90373,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90373,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90373,A000000,06100,0000,06100NONPAID WORKERS 90373,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90373,A000000,06200,0000,06200PATIENTS LAUNDRY 90373,A81000A,00100,0100,Y 90373,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90373,A81000B,00200,0300,CAPITAL 90373,A81000C,00100,0100,A 90373,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90373,A81000C,00100,0400,LENOX HEALTHCARE INC 90373,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90373,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90373,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90373,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90373,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90373,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90373,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90373,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90373,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90373,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90373,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90373,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90373,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90373,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90373,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90373,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90373,S000000,00100,0200,03/09/2000 90373,S200000,00100,0100,1801 TOWNE DRIVE 90373,S200000,00200,0100,COLUMBIA 90373,S200000,00200,0200,MO 90373,S200000,00200,0300,65202- 90373,S200000,00300,0100,BOONE 90373,S200000,00400,0100,COLUMBIA HEALTHCARE & REHAB CENTER 90373,S200000,00400,0200,265251 90373,S200000,00400,0300,11/01/1984 90373,S200000,00400,0500,P 90373,S200000,01600,0100,Y 90373,S700003,00000,0100,1 90381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90381,A000000,00300,0000,00300EMPLOYEE BENEFITS 90381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90381,A000000,00700,0000,00700HOUSEKEEPING 90381,A000000,00800,0000,00800DIETARY 90381,A000000,00900,0000,00900NURSING ADMINISTRATION 90381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90381,A000000,01100,0000,01100PHARMACY 90381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90381,A000000,01300,0000,01300SOCIAL SERVICE 90381,A000000,01301,0000,01301ACTIVITIES 90381,A000000,01350,0000,01500OTHER GENERAL SERVICES 90381,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90381,A000000,01600,0000,01600SKILLED NURSING FACILITY 90381,A000000,01800,0000,01800NURSING FACILITY 90381,A000000,01900,0000,01900OTHER LONG TERM CARE 90381,A000000,02100,0000,02100RADIOLOGY 90381,A000000,02200,0000,02200LABORATORY 90381,A000000,02300,0000,02300INTRAVENOUS THERAPY 90381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90381,A000000,02500,0000,02500PHYSICAL THERAPY 90381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90381,A000000,02700,0000,02700SPEECH PATHOLOGY 90381,A000000,02800,0000,02800ELECTROCARDIOLOGY 90381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90381,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90381,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90381,A000000,03200,0000,03200SUPPORT SURFACES 90381,A000000,03400,0000,03400CLINIC 90381,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90381,A000000,03500,0000,03500RURAL HEALTH CLINIC 90381,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90381,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90381,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90381,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90381,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90381,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90381,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90381,A000000,04400,0000,04400DME RENTED - HHA 90381,A000000,04500,0000,04500DME SOLD - HHA 90381,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90381,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90381,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90381,A000000,04800,0000,04800AMBULANCE 90381,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90381,A000000,05000,0000,05000CORF 90381,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90381,A000000,05300,0000,05300INTEREST EXPENSE 90381,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90381,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90381,A000000,05500,0000,05500HOSPICE 90381,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90381,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90381,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90381,A000000,06100,0000,06100NONPAID WORKERS 90381,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90381,A000000,06200,0000,06200PATIENTS LAUNDRY 90381,A81000A,00100,0100,Y 90381,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90381,A81000B,00200,0300,CAPITAL 90381,A81000C,00100,0100,A 90381,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90381,A81000C,00100,0400,LENOX HEALTHCARE INC. 90381,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90381,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90381,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90381,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90381,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90381,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90381,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90381,B100000,00000,0800,00000MEALS SERVED :DIETARY 90381,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90381,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90381,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90381,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90381,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90381,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90381,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 90381,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90381,S000000,00100,0200,03/02/2000 90381,S200000,00100,0100,2502 MOFFET STREET 90381,S200000,00200,0100,JOPLIN 90381,S200000,00200,0200,MO 90381,S200000,00200,0300,64804- 90381,S200000,00300,0100,JASPER 90381,S200000,00400,0100,SUNRISE LIVING CENTER 90381,S200000,00400,0200,265252 90381,S200000,00400,0300,11/01/1985 90381,S200000,00400,0500,P 90381,S200000,01600,0100,Y 90381,S700003,00000,0100,1 90389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90389,A000000,00300,0000,00300EMPLOYEE BENEFITS 90389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90389,A000000,00700,0000,00700HOUSEKEEPING 90389,A000000,00800,0000,00800DIETARY 90389,A000000,00900,0000,00900NURSING ADMINISTRATION 90389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90389,A000000,01100,0000,01100PHARMACY 90389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90389,A000000,01300,0000,01300SOCIAL SERVICE 90389,A000000,01301,0000,01301ACTIVITIES 90389,A000000,01350,0000,01500OTHER GENERAL SERVICES 90389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90389,A000000,01600,0000,01600SKILLED NURSING FACILITY 90389,A000000,01800,0000,01800NURSING FACILITY 90389,A000000,01900,0000,01900OTHER LONG TERM CARE 90389,A000000,02100,0000,02100RADIOLOGY 90389,A000000,02200,0000,02200LABORATORY 90389,A000000,02300,0000,02300INTRAVENOUS THERAPY 90389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90389,A000000,02500,0000,02500PHYSICAL THERAPY 90389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90389,A000000,02700,0000,02700SPEECH PATHOLOGY 90389,A000000,02800,0000,02800ELECTROCARDIOLOGY 90389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90389,A000000,03200,0000,03200SUPPORT SURFACES 90389,A000000,03400,0000,03400CLINIC 90389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90389,A000000,03500,0000,03500RURAL HEALTH CLINIC 90389,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90389,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90389,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90389,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90389,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90389,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90389,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90389,A000000,04400,0000,04400DME RENTED - HHA 90389,A000000,04500,0000,04500DME SOLD - HHA 90389,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90389,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90389,A000000,04800,0000,04800AMBULANCE 90389,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90389,A000000,05000,0000,05000CORF 90389,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90389,A000000,05300,0000,05300INTEREST EXPENSE 90389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90389,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90389,A000000,05500,0000,05500HOSPICE 90389,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90389,A000000,06100,0000,06100NONPAID WORKERS 90389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90389,A000000,06200,0000,06200PATIENTS LAUNDRY 90389,A81000A,00100,0100,Y 90389,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90389,A81000B,00200,0300,CAPITAL 90389,A81000C,00100,0100,A 90389,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90389,A81000C,00100,0400,LENOX HEALTHCARE INC 90389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90389,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90389,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90389,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90389,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90389,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90389,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90389,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90389,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90389,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90389,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90389,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90389,S000000,00100,0200,03/02/2000 90389,S200000,00100,0100,206 WEST FIRST STREET 90389,S200000,00200,0100,LAMAR 90389,S200000,00200,0200,MO 90389,S200000,00200,0300,64759- 90389,S200000,00300,0100,BARTON 90389,S200000,00400,0100,LAKEVIEW HEALTHCARE & REHAB CENTER 90389,S200000,00400,0200,265253 90389,S200000,00400,0300,08/12/1994 90389,S200000,00400,0500,P 90389,S200000,01600,0100,Y 90389,S700003,00000,0100,1 90398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90398,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90398,A000000,00300,0000,00300EMPLOYEE BENEFITS 90398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90398,A000000,00700,0000,00700HOUSEKEEPING 90398,A000000,00800,0000,00800DIETARY 90398,A000000,00900,0000,00900NURSING ADMINISTRATION 90398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90398,A000000,01100,0000,01100PHARMACY 90398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90398,A000000,01300,0000,01300SOCIAL SERVICE 90398,A000000,01301,0000,01301ACTIVITIES 90398,A000000,01350,0000,01500OTHER GENERAL SERVICES 90398,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90398,A000000,01600,0000,01600SKILLED NURSING FACILITY 90398,A000000,01800,0000,01800NURSING FACILITY 90398,A000000,01900,0000,01900OTHER LONG TERM CARE 90398,A000000,02100,0000,02100RADIOLOGY 90398,A000000,02200,0000,02200LABORATORY 90398,A000000,02300,0000,02300INTRAVENOUS THERAPY 90398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90398,A000000,02500,0000,02500PHYSICAL THERAPY 90398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90398,A000000,02700,0000,02700SPEECH PATHOLOGY 90398,A000000,02800,0000,02800ELECTROCARDIOLOGY 90398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90398,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90398,A000000,03200,0000,03200SUPPORT SURFACES 90398,A000000,03400,0000,03400CLINIC 90398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90398,A000000,03500,0000,03500RURAL HEALTH CLINIC 90398,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90398,A000000,04800,0000,04800AMBULANCE 90398,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90398,A000000,05000,0000,05000CORF 90398,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90398,A000000,05300,0000,05300INTEREST EXPENSE 90398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90398,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90398,A000000,05500,0000,05500HOSPICE 90398,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90398,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90398,A000000,06100,0000,06100NONPAID WORKERS 90398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90398,A000000,06200,0000,06200PATIENTS LAUNDRY 90398,A81000A,00100,0100,Y 90398,A81000B,00100,0300,ADMINISTRATIVE FEE 90398,A81000B,00200,0300,CAPITAL 90398,A81000C,00100,0100,A 90398,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90398,A81000C,00100,0400,LENOX HEALTHCARE INC. 90398,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90398,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90398,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90398,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90398,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90398,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90398,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90398,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90398,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90398,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90398,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90398,B100000,00000,1250,00000HOURS WORKED :MEDICAL RECORDS & LI 90398,B100000,00000,1330,00000HOURS WORKED :SOCIAL SERVICE 90398,B100000,00000,1331,00000HOURS WORKED :ACTIVITIES 90398,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90398,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90398,S000000,00100,0200,03/02/2000 90398,S200000,00100,0100,2001 SOUTH JEFFERSON STREET 90398,S200000,00200,0100,AVA 90398,S200000,00200,0200,MO 90398,S200000,00200,0300,65608- 90398,S200000,00300,0100,DOUGLAS 90398,S200000,00400,0100,HEART OF THE OZARKS HEALTHCARE 90398,S200000,00400,0200,265254 90398,S200000,00400,0300,11/01/1985 90398,S200000,00400,0500,P 90398,S200000,01600,0100,Y 90398,S700003,00000,0100,1 90407,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90407,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90407,A000000,00300,0000,00300EMPLOYEE BENEFITS 90407,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90407,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90407,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90407,A000000,00700,0000,00700HOUSEKEEPING 90407,A000000,00800,0000,00800DIETARY 90407,A000000,00900,0000,00900NURSING ADMINISTRATION 90407,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90407,A000000,01100,0000,01100PHARMACY 90407,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90407,A000000,01300,0000,01300SOCIAL SERVICE 90407,A000000,01301,0000,01301ACTIVITIES 90407,A000000,01350,0000,01500OTHER GENERAL SERVICES 90407,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90407,A000000,01600,0000,01600SKILLED NURSING FACILITY 90407,A000000,01800,0000,01800NURSING FACILITY 90407,A000000,01900,0000,01900OTHER LONG TERM CARE 90407,A000000,02100,0000,02100RADIOLOGY 90407,A000000,02200,0000,02200LABORATORY 90407,A000000,02300,0000,02300INTRAVENOUS THERAPY 90407,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90407,A000000,02500,0000,02500PHYSICAL THERAPY 90407,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90407,A000000,02700,0000,02700SPEECH PATHOLOGY 90407,A000000,02800,0000,02800ELECTROCARDIOLOGY 90407,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90407,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90407,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90407,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90407,A000000,03200,0000,03200SUPPORT SURFACES 90407,A000000,03400,0000,03400CLINIC 90407,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90407,A000000,03500,0000,03500RURAL HEALTH CLINIC 90407,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90407,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90407,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90407,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90407,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90407,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90407,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90407,A000000,04400,0000,04400DME RENTED - HHA 90407,A000000,04500,0000,04500DME SOLD - HHA 90407,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90407,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90407,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90407,A000000,04800,0000,04800AMBULANCE 90407,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90407,A000000,05000,0000,05000CORF 90407,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90407,A000000,05300,0000,05300INTEREST EXPENSE 90407,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90407,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90407,A000000,05500,0000,05500HOSPICE 90407,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90407,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90407,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90407,A000000,06100,0000,06100NONPAID WORKERS 90407,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90407,A000000,06200,0000,06200PATIENTS LAUNDRY 90407,A81000A,00100,0100,Y 90407,A81000B,00100,0300,ADMINISTRATIVE 90407,A81000B,00200,0300,CAPITAL 90407,A81000C,00100,0100,A 90407,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90407,A81000C,00100,0400,LENOX HEALTHCARE INC. 90407,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90407,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90407,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90407,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90407,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90407,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90407,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90407,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90407,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90407,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90407,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90407,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90407,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90407,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90407,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90407,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90407,S000000,00100,0200,03/02/2000 90407,S200000,00100,0100,1009 EAST OHIO ROAD 90407,S200000,00200,0100,CLINTON 90407,S200000,00200,0200,MO 90407,S200000,00200,0300,64735- 90407,S200000,00300,0100,HENRY 90407,S200000,00400,0100,CLINTON HEALTHCARE & REHAB CENTER 90407,S200000,00400,0200,265255 90407,S200000,00400,0300,11/01/1985 90407,S200000,00400,0500,P 90407,S200000,01600,0100,Y 90407,S700003,00000,0100,1 90416,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90416,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90416,A000000,00300,0000,00300EMPLOYEE BENEFITS 90416,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90416,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90416,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90416,A000000,00700,0000,00700HOUSEKEEPING 90416,A000000,00800,0000,00800DIETARY 90416,A000000,00900,0000,00900NURSING ADMINISTRATION 90416,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90416,A000000,01100,0000,01100PHARMACY 90416,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90416,A000000,01300,0000,01300SOCIAL SERVICE 90416,A000000,01301,0000,01301ACTIVITIES 90416,A000000,01350,0000,01500OTHER GENERAL SERVICES 90416,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90416,A000000,01600,0000,01600SKILLED NURSING FACILITY 90416,A000000,01800,0000,01800NURSING FACILITY 90416,A000000,01900,0000,01900OTHER LONG TERM CARE 90416,A000000,02100,0000,02100RADIOLOGY 90416,A000000,02200,0000,02200LABORATORY 90416,A000000,02300,0000,02300INTRAVENOUS THERAPY 90416,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90416,A000000,02500,0000,02500PHYSICAL THERAPY 90416,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90416,A000000,02700,0000,02700SPEECH PATHOLOGY 90416,A000000,02800,0000,02800ELECTROCARDIOLOGY 90416,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90416,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90416,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90416,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90416,A000000,03200,0000,03200SUPPORT SURFACES 90416,A000000,03400,0000,03400CLINIC 90416,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90416,A000000,03500,0000,03500RURAL HEALTH CLINIC 90416,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90416,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90416,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90416,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90416,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90416,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90416,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90416,A000000,04400,0000,04400DME RENTED - HHA 90416,A000000,04500,0000,04500DME SOLD - HHA 90416,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90416,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90416,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90416,A000000,04800,0000,04800AMBULANCE 90416,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90416,A000000,05000,0000,05000CORF 90416,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90416,A000000,05300,0000,05300INTEREST EXPENSE 90416,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90416,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90416,A000000,05500,0000,05500HOSPICE 90416,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90416,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90416,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90416,A000000,06100,0000,06100NONPAID WORKERS 90416,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90416,A000000,06200,0000,06200PATIENTS LAUNDRY 90416,A81000A,00100,0100,Y 90416,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90416,A81000B,00200,0300,CAPITAL 90416,A81000C,00100,0100,A 90416,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90416,A81000C,00100,0400,LENOX HEALTHCARE INC. 90416,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90416,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90416,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90416,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90416,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90416,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90416,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 90416,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90416,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90416,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90416,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90416,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90416,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90416,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90416,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90416,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90416,S000000,00100,0200,03/02/2000 90416,S200000,00100,0100,2810 JACKSON ROAD 90416,S200000,00200,0100,JOPLIN 90416,S200000,00200,0200,MO 90416,S200000,00200,0300,64804- 90416,S200000,00300,0100,JASPER 90416,S200000,00400,0100,WOODLAND PARK HEALTHCARE CENTER 90416,S200000,00400,0200,265261 90416,S200000,00400,0300,07/01/1975 90416,S200000,00400,0500,P 90416,S200000,01600,0100,Y 90416,S700003,00000,0100,1 90424,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90424,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90424,A000000,00300,0000,00300EMPLOYEE BENEFITS 90424,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90424,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90424,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90424,A000000,00700,0000,00700HOUSEKEEPING 90424,A000000,00800,0000,00800DIETARY 90424,A000000,00900,0000,00900NURSING ADMINISTRATION 90424,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90424,A000000,01100,0000,01100PHARMACY 90424,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90424,A000000,01300,0000,01300SOCIAL SERVICE 90424,A000000,01301,0000,01301ACTIVITIES 90424,A000000,01350,0000,01500OTHER GENERAL SERVICES 90424,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90424,A000000,01600,0000,01600SKILLED NURSING FACILITY 90424,A000000,01800,0000,01800NURSING FACILITY 90424,A000000,01900,0000,01900OTHER LONG TERM CARE 90424,A000000,02100,0000,02100RADIOLOGY 90424,A000000,02200,0000,02200LABORATORY 90424,A000000,02300,0000,02300INTRAVENOUS THERAPY 90424,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90424,A000000,02500,0000,02500PHYSICAL THERAPY 90424,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90424,A000000,02700,0000,02700SPEECH PATHOLOGY 90424,A000000,02800,0000,02800ELECTROCARDIOLOGY 90424,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90424,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90424,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90424,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90424,A000000,03200,0000,03200SUPPORT SURFACES 90424,A000000,03400,0000,03400CLINIC 90424,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90424,A000000,03500,0000,03500RURAL HEALTH CLINIC 90424,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90424,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90424,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90424,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90424,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90424,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90424,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90424,A000000,04400,0000,04400DME RENTED - HHA 90424,A000000,04500,0000,04500DME SOLD - HHA 90424,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90424,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90424,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90424,A000000,04800,0000,04800AMBULANCE 90424,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90424,A000000,05000,0000,05000CORF 90424,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90424,A000000,05300,0000,05300INTEREST EXPENSE 90424,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90424,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90424,A000000,05500,0000,05500HOSPICE 90424,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90424,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90424,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90424,A000000,06100,0000,06100NONPAID WORKERS 90424,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90424,A000000,06200,0000,06200PATIENTS LAUNDRY 90424,A81000A,00100,0100,Y 90424,A81000B,00100,0300,ADMINISTARTIVE & GENERAL 90424,A81000B,00200,0300,CAPITAL 90424,A81000C,00100,0100,A 90424,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90424,A81000C,00100,0400,LENOX HEALTHCARE INC. 90424,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90424,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90424,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90424,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90424,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90424,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90424,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90424,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90424,B100000,00000,0900,00000DIRECT NRSING HOU :NURSING ADMINIST 90424,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 90424,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90424,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90424,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90424,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90424,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90424,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90424,S000000,00100,0200,03/02/2000 90424,S200000,00100,0100,1024 ADAMS STREET 90424,S200000,00200,0100,JEFFERSON CITY 90424,S200000,00200,0200,MO 90424,S200000,00200,0300,65101- 90424,S200000,00300,0100,JEFFERSON 90424,S200000,00400,0100,CAPITAL HEALTHCARE CENTER 90424,S200000,00400,0200,265264 90424,S200000,00400,0300,11/01/1985 90424,S200000,00400,0500,P 90424,S200000,01600,0100,Y 90424,S700003,00000,0100,1 90444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90444,A000000,00300,0000,00300EMPLOYEE BENEFITS 90444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90444,A000000,00700,0000,00700HOUSEKEEPING 90444,A000000,00800,0000,00800DIETARY 90444,A000000,00900,0000,00900NURSING ADMINISTRATION 90444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90444,A000000,01100,0000,01100PHARMACY 90444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90444,A000000,01300,0000,01300SOCIAL SERVICE 90444,A000000,01350,0000,01500OTHER GENERAL SERVICES 90444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90444,A000000,01600,0000,01600SKILLED NURSING FACILITY 90444,A000000,01800,0000,01800NURSING FACILITY 90444,A000000,01810,0000,01801ICF/MR 90444,A000000,01900,0000,01900OTHER LONG TERM CARE 90444,A000000,02100,0000,02100RADIOLOGY 90444,A000000,02200,0000,02200LABORATORY 90444,A000000,02300,0000,02300INTRAVENOUS THERAPY 90444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90444,A000000,02500,0000,02500PHYSICAL THERAPY 90444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90444,A000000,02700,0000,02700SPEECH PATHOLOGY 90444,A000000,02800,0000,02800ELECTROCARDIOLOGY 90444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90444,A000000,03050,0000,03300AMBULANCE 90444,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 90444,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90444,A000000,03200,0000,03200SUPPORT SURFACES 90444,A000000,03400,0000,03400CLINIC 90444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90444,A000000,03500,0000,03500RURAL HEALTH CLINIC 90444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90444,A000000,04800,0000,04800AMBULANCE 90444,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90444,A000000,05000,0000,05000CORF 90444,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90444,A000000,05300,0000,05300INTEREST EXPENSE 90444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90444,A000000,05500,0000,05500HOSPICE 90444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90444,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90444,A000000,06100,0000,06100NONPAID WORKERS 90444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90444,A000000,06200,0000,06200PATIENTS LAUNDRY 90444,A81000A,00100,0100,Y 90444,A81000B,00100,0300,HOME OFFICE COSTS 90444,A81000B,00200,0300,HOME OFFICE COSTS 90444,A81000C,00100,0100,A 90444,A81000C,00100,0200,JAMES & JUDY LINCOLN 90444,A81000C,00100,0400,HEALTH SYSTEMS INC 90444,A81000C,00100,0600,HOME OFFICE 90444,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90444,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 90444,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90444,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90444,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90444,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90444,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90444,B100000,00000,0800,00000MEALS SERVED :DIETARY 90444,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90444,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90444,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90444,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90444,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90444,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90444,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90444,S000000,00100,0200,05/09/2000 90444,S200000,00100,0100,1500 N. JEFFERSON 90444,S200000,00200,0100,CARROLLTON 90444,S200000,00200,0200,MO 90444,S200000,00200,0300,64633- 90444,S200000,00300,0100,CARROLL 90444,S200000,00400,0100,CARROLLTON NURSING CENTER 90444,S200000,00400,0200,265294 90444,S200000,00400,0300,07/01/1988 90444,S200000,00400,0500,P 90444,S200000,01600,0100,Y 90444,S700003,00000,0200,2 90458,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90458,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90458,A000000,00300,0000,00300EMPLOYEE BENEFITS 90458,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90458,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90458,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90458,A000000,00700,0000,00700HOUSEKEEPING 90458,A000000,00800,0000,00800DIETARY 90458,A000000,00900,0000,00900NURSING ADMINISTRATION 90458,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90458,A000000,01100,0000,01100PHARMACY 90458,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90458,A000000,01300,0000,01300SOCIAL SERVICE 90458,A000000,01600,0000,01600SKILLED NURSING FACILITY 90458,A000000,01800,0000,01800NURSING FACILITY 90458,A000000,02100,0000,02100RADIOLOGY 90458,A000000,02200,0000,02200LABORATORY 90458,A000000,02300,0000,02300INTRAVENOUS THERAPY 90458,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90458,A000000,02500,0000,02500PHYSICAL THERAPY 90458,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90458,A000000,02700,0000,02700SPEECH PATHOLOGY 90458,A000000,02800,0000,02800ELECTROCARDIOLOGY 90458,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 90458,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90458,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90458,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90458,A000000,03200,0000,03200SUPPORT SURFACES 90458,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90458,A000000,04800,0000,04800AMBULANCE 90458,A000000,05000,0000,05000CORF 90458,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90458,A000000,05300,0000,05300INTEREST EXPENSE 90458,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90458,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90458,A000000,05500,0000,05500HOSPICE 90458,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90458,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90458,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90458,A000000,06200,0000,06200PATIENTS LAUNDRY 90458,A81000A,00100,0100,Y 90458,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 90458,A81000C,00100,0100,C 90458,A81000C,00100,0200,NHS 90458,A81000C,00100,0400,NHS INC. 90458,A81000C,00100,0600,HOME OFFICE 90458,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90458,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90458,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90458,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90458,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90458,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90458,B100000,00000,0800,00000MEALS SERVED :DIETARY 90458,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90458,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90458,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90458,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90458,S000000,00100,0200,05/31/2000 90458,S200000,00100,0100,2077 WEST CARL JUNCTION ROAD 90458,S200000,00200,0100,WEBB CITY 90458,S200000,00200,0200,MO 90458,S200000,00200,0300,64870- 90458,S200000,00300,0100,JASPER 90458,S200000,00300,0200,3710 90458,S200000,00300,0300,U 90458,S200000,00400,0100,WEBB CITY HEALTH & REHAB CENTER 90458,S200000,00400,0200,265307 90458,S200000,00400,0300,07/01/1993 90458,S200000,00400,0500,P 90458,S200000,01600,0100,Y 90467,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90467,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90467,A000000,00300,0000,00300EMPLOYEE BENEFITS 90467,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90467,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90467,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90467,A000000,00700,0000,00700HOUSEKEEPING 90467,A000000,00800,0000,00800DIETARY 90467,A000000,00801,0000,00801CAFETERIA 90467,A000000,00900,0000,00900NURSING ADMINISTRATION 90467,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90467,A000000,01100,0000,01100PHARMACY 90467,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90467,A000000,01300,0000,01300SOCIAL SERVICE 90467,A000000,01600,0000,01600SKILLED NURSING FACILITY 90467,A000000,01800,0000,01800NURSING FACILITY 90467,A000000,01900,0000,01900OTHER LONG TERM CARE 90467,A000000,02100,0000,02100RADIOLOGY 90467,A000000,02200,0000,02200LABORATORY 90467,A000000,02300,0000,02300INTRAVENOUS THERAPY 90467,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90467,A000000,02500,0000,02500PHYSICAL THERAPY 90467,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90467,A000000,02700,0000,02700SPEECH PATHOLOGY 90467,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90467,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90467,A000000,03200,0000,03200SUPPORT SURFACES 90467,A000000,05300,0000,05300INTEREST EXPENSE 90467,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90467,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90467,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90467,A81000A,00100,0100,Y 90467,A81000B,00100,0300,HOME OFFICE COSTS 90467,A81000B,00200,0300,HOME OFFICE COSTS 90467,A81000B,00300,0300,RLTD PARTY LEASE 90467,A81000C,00100,0100,A 90467,A81000C,00100,0200,D ADAMS SR 90467,A81000C,00100,0400,WESTCARE INC. 90467,A81000C,00100,0600,HOME OFC 90467,A81000C,00200,0100,A 90467,A81000C,00200,0200,D ADAMS SR 90467,A81000C,00200,0400,NMCC INC. 90467,A81000C,00200,0600,REIT 90467,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90467,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90467,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90467,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90467,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90467,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90467,B100000,00000,0800,00000MEALS SERVED :DIETARY 90467,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 90467,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90467,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90467,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 90467,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90467,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90467,S000000,00100,0200,10/11/2000 90467,S200000,00100,0100,11221 N NASHUA DRIVE 90467,S200000,00200,0100,KANSAS CITY 90467,S200000,00200,0200,MO 90467,S200000,00200,0300,64155- 90467,S200000,00300,0100,CLAY 90467,S200000,00300,0200,3760 90467,S200000,00300,0300,U 90467,S200000,00400,0100,NEW MARK CARE CENTER 90467,S200000,00400,0200,265308 90467,S200000,00400,0300,01/08/1987 90467,S200000,00400,0500,P 90467,S200000,01600,0100,Y 90472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90472,A000000,00300,0000,00300EMPLOYEE BENEFITS 90472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90472,A000000,00700,0000,00700HOUSEKEEPING 90472,A000000,00800,0000,00800DIETARY 90472,A000000,00900,0000,00900NURSING ADMINISTRATION 90472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90472,A000000,01100,0000,01100PHARMACY 90472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90472,A000000,01300,0000,01300SOCIAL SERVICE 90472,A000000,01600,0000,01600SKILLED NURSING FACILITY 90472,A000000,01800,0000,01800NURSING FACILITY 90472,A000000,02100,0000,02100RADIOLOGY 90472,A000000,02200,0000,02200LABORATORY 90472,A000000,02300,0000,02300INTRAVENOUS THERAPY 90472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90472,A000000,02500,0000,02500PHYSICAL THERAPY 90472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90472,A000000,02700,0000,02700SPEECH PATHOLOGY 90472,A000000,02800,0000,02800ELECTROCARDIOLOGY 90472,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 90472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90472,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90472,A000000,03200,0000,03200SUPPORT SURFACES 90472,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90472,A000000,04800,0000,04800AMBULANCE 90472,A000000,05000,0000,05000CORF 90472,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90472,A000000,05300,0000,05300INTEREST EXPENSE 90472,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90472,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90472,A000000,05500,0000,05500HOSPICE 90472,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90472,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90472,A000000,06200,0000,06200PATIENTS LAUNDRY 90472,A81000A,00100,0100,Y 90472,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 90472,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90472,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90472,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90472,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90472,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90472,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90472,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90472,B100000,00000,0800,00000MEALS SERVED :DIETARY 90472,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90472,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90472,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 90472,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90472,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90472,S000000,00100,0200,05/31/2000 90472,S200000,00100,0100,2218 WEST 32ND STREET 90472,S200000,00200,0100,JOPLIN 90472,S200000,00200,0200,MO 90472,S200000,00200,0300,64804- 90472,S200000,00300,0100,JASPER/NEWTON 90472,S200000,00400,0100,JOPLIN HEALTH & REHAB CENTER 90472,S200000,00400,0200,265309 90472,S200000,00400,0300,07/01/1993 90472,S200000,00400,0500,P 90472,S200000,01600,0100,Y 90472,S700003,00000,0100,1 90479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90479,A000000,00300,0000,00300EMPLOYEE BENEFITS 90479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90479,A000000,00700,0000,00700HOUSEKEEPING 90479,A000000,00800,0000,00800DIETARY 90479,A000000,00900,0000,00900NURSING ADMINISTRATION 90479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90479,A000000,01300,0000,01300SOCIAL SERVICE 90479,A000000,01600,0000,01600SKILLED NURSING FACILITY 90479,A000000,01800,0000,01800NURSING FACILITY 90479,A000000,02100,0000,02100RADIOLOGY 90479,A000000,02200,0000,02200LABORATORY 90479,A000000,02500,0000,02500PHYSICAL THERAPY 90479,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90479,A000000,02700,0000,02700SPEECH PATHOLOGY 90479,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90479,A000000,05300,0000,05300INTEREST EXPENSE 90479,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90479,A000000,05901,0000,05901DAYCARE 90479,A81000A,00100,0100,Y 90479,A81000B,00100,0300,HOME OFFICE-CAP 90479,A81000B,00200,0300,HOME OFFICE-A&G 90479,A81000B,00300,0300,CORUM PHARMACY 90479,A81000C,00100,0100,B 90479,A81000C,00100,0400,DELMAR GARDENS 90479,A81000C,00100,0600,HOME OFFICE 90479,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 90479,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 90479,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 90479,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 90479,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 90479,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 90479,B100000,00000,0800,00001MEALS SERVED :DIETARY 90479,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 90479,B100000,00000,1250,00001GROSS REVENUES :MEDICAL RECORDS & 90479,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 90479,S000000,00100,0200,08/31/2000 90479,S200000,00100,0100,5300 BUTLER HILL ROAD 90479,S200000,00200,0100,ST. LOUIS 90479,S200000,00200,0200,MO 90479,S200000,00200,0300,63128-4152 90479,S200000,00300,0100,ST. LOUIS 90479,S200000,00400,0100,DELMAR GARDENS OF SO. COUNTY INC. 90479,S200000,00400,0200,265310 90479,S200000,00400,0300,04/20/1987 90479,S200000,00400,0500,P 90479,S200000,01600,0100,Y 90479,S200000,02200,0100,Y 90491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90491,A000000,00300,0000,00300EMPLOYEE BENEFITS 90491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90491,A000000,00700,0000,00700HOUSEKEEPING 90491,A000000,00800,0000,00800DIETARY 90491,A000000,00900,0000,00900NURSING ADMINISTRATION 90491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90491,A000000,01100,0000,01100PHARMACY 90491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90491,A000000,01300,0000,01300SOCIAL SERVICE 90491,A000000,01600,0000,01600SKILLED NURSING FACILITY 90491,A000000,01800,0000,01800NURSING FACILITY 90491,A000000,02100,0000,02100RADIOLOGY 90491,A000000,02200,0000,02200LABORATORY 90491,A000000,02300,0000,02300INTRAVENOUS THERAPY 90491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90491,A000000,02500,0000,02500PHYSICAL THERAPY 90491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90491,A000000,02700,0000,02700SPEECH PATHOLOGY 90491,A000000,02800,0000,02800ELECTROCARDIOLOGY 90491,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 90491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90491,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90491,A000000,03200,0000,03200SUPPORT SURFACES 90491,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90491,A000000,04800,0000,04800AMBULANCE 90491,A000000,05000,0000,05000CORF 90491,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90491,A000000,05300,0000,05300INTEREST EXPENSE 90491,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90491,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90491,A000000,05500,0000,05500HOSPICE 90491,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90491,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90491,A000000,06200,0000,06200PATIENTS LAUNDRY 90491,A81000A,00100,0100,Y 90491,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 90491,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90491,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90491,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90491,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90491,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90491,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90491,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90491,B100000,00000,0800,00000MEALS SERVED :DIETARY 90491,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90491,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90491,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 90491,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90491,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90491,S000000,00100,0200,05/31/2000 90491,S200000,00100,0100,1901 BUENA VISTA AVENUE 90491,S200000,00200,0100,CARTHAGE 90491,S200000,00200,0200,MO 90491,S200000,00200,0300,64836- 90491,S200000,00300,0100,JASPER 90491,S200000,00400,0100,CARTHAGE HEALTH & REHAB CENTER 90491,S200000,00400,0200,265320 90491,S200000,00400,0300,07/01/1993 90491,S200000,00400,0500,P 90491,S200000,01600,0100,Y 90491,S700003,00000,0100,1 90498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90498,A000000,00300,0000,00300EMPLOYEE BENEFITS 90498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90498,A000000,00700,0000,00700HOUSEKEEPING 90498,A000000,00800,0000,00800DIETARY 90498,A000000,00900,0000,00900NURSING ADMINISTRATION 90498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90498,A000000,01300,0000,01300SOCIAL SERVICE 90498,A000000,01600,0000,01600SKILLED NURSING FACILITY 90498,A000000,01800,0000,01800NURSING FACILITY 90498,A000000,02100,0000,02100RADIOLOGY 90498,A000000,02200,0000,02200LABORATORY 90498,A000000,02500,0000,02500PHYSICAL THERAPY 90498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90498,A000000,02700,0000,02700SPEECH PATHOLOGY 90498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90498,A000000,05300,0000,05300INTEREST EXPENSE 90498,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90498,A81000A,00100,0100,Y 90498,A81000B,00100,0300,HOME OFFICE-CAP 90498,A81000B,00200,0300,HOME OFFICE-A&G 90498,A81000B,00300,0300,CORUM PHARMACY 90498,A81000C,00100,0100,B 90498,A81000C,00100,0400,DELMAR GARDENS 90498,A81000C,00100,0600,HOME OFFICE 90498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90498,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90498,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90498,B100000,00000,0800,00000MEALS SERVED :DIETARY 90498,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90498,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90498,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90498,S000000,00100,0200,08/30/2000 90498,S200000,00100,0100,4401 PARKER ROAD 90498,S200000,00200,0100,FLORISSANT 90498,S200000,00200,0200,MO 90498,S200000,00200,0300,63033-4262 90498,S200000,00300,0100,ST. LOUIS 90498,S200000,00400,0100,DELMAR GARDENS NORTH INC. 90498,S200000,00400,0200,265325 90498,S200000,00400,0300,04/26/1988 90498,S200000,00400,0500,P 90498,S200000,01600,0100,Y 90498,S200000,02200,0100,Y 90510,S000000,00100,0200,05/01/2000 90519,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90519,A000000,00300,0000,00300EMPLOYEE BENEFITS 90519,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90519,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90519,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90519,A000000,00700,0000,00700HOUSEKEEPING 90519,A000000,00800,0000,00800DIETARY 90519,A000000,00900,0000,00900NURSING ADMINISTRATION 90519,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90519,A000000,01300,0000,01300SOCIAL SERVICE 90519,A000000,01600,0000,01600SKILLED NURSING FACILITY 90519,A000000,01800,0000,01800NURSING FACILITY 90519,A000000,02100,0000,02100RADIOLOGY 90519,A000000,02200,0000,02200LABORATORY 90519,A000000,02500,0000,02500PHYSICAL THERAPY 90519,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90519,A000000,02700,0000,02700SPEECH PATHOLOGY 90519,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90519,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90519,A000000,05300,0000,05300INTEREST EXPENSE 90519,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90519,A81000A,00100,0100,Y 90519,A81000B,00100,0300,HOME OFFICE-CAP 90519,A81000B,00200,0300,HOME OFFICE-A&G 90519,A81000B,00300,0300,CORUM PHARMACY 90519,A81000C,00100,0100,B 90519,A81000C,00100,0400,DELMAR GARDENS 90519,A81000C,00100,0600,HOME OFFICE 90519,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90519,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90519,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90519,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90519,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90519,B100000,00000,0800,00000MEALS SERVED :DIETARY 90519,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90519,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90519,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90519,S000000,00100,0200,08/31/2000 90519,S200000,00100,0100,850 COUNTRY MANOR LANE 90519,S200000,00200,0100,CREVE COEUR 90519,S200000,00200,0200,MO 90519,S200000,00200,0300,63141-6651 90519,S200000,00300,0100,ST. LOUIS 90519,S200000,00300,0200,7040 90519,S200000,00300,0300,U 90519,S200000,00400,0100,DELMAR GARDENS OF CREVE COEUR INC. 90519,S200000,00400,0200,265343 90519,S200000,00400,0300,03/14/1986 90519,S200000,00400,0500,P 90519,S200000,01600,0100,Y 90519,S200000,02200,0100,Y 90526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90526,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90526,A000000,00300,0000,00300EMPLOYEE BENEFITS 90526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90526,A000000,00700,0000,00700HOUSEKEEPING 90526,A000000,00800,0000,00800DIETARY 90526,A000000,00900,0000,00900NURSING ADMINISTRATION 90526,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90526,A000000,01300,0000,01300SOCIAL SERVICE 90526,A000000,01600,0000,01600SKILLED NURSING FACILITY 90526,A000000,01800,0000,01800NURSING FACILITY 90526,A000000,01810,0000,01801ICF/MR 90526,A000000,01900,0000,01900OTHER LONG TERM CARE 90526,A000000,02100,0000,02100RADIOLOGY 90526,A000000,02200,0000,02200LABORATORY 90526,A000000,02300,0000,02300INTRAVENOUS THERAPY 90526,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90526,A000000,02500,0000,02500PHYSICAL THERAPY 90526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90526,A000000,02700,0000,02700SPEECH PATHOLOGY 90526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90526,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90526,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90526,A000000,03200,0000,03200SUPPORT SURFACES 90526,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90526,A000000,05300,0000,05300INTEREST EXPENSE 90526,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90526,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90526,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90526,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90526,A81000A,00100,0100,Y 90526,A81000B,00100,0300,INTEREST EXPENSE 90526,A81000B,00200,0300,HOME OFFICE COSTS 90526,A81000B,00300,0300,HOME OFFICE COSTS 90526,A81000C,00100,0100,B 90526,A81000C,00100,0200,ALEXIAN BROTHERS HEALTH 90526,A81000C,00100,0400,ALEXIAN BROTHERS HEALTH 90526,A81000C,00100,0600,HOME OFFICE 90526,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90526,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90526,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90526,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90526,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90526,B100000,00000,0650,00000PATIENT DAY :LAUNDRY & LINEN SERVI 90526,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90526,B100000,00000,0800,00000MEALS SERVED :DIETARY 90526,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90526,B100000,00000,1050,00000PATIENT DAY :CENTRAL SERVICES & SU 90526,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90526,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90526,E10A180,00501,0100,07/12/2000 90526,E10A180,00501,0300,07/12/2000 90526,S000000,00100,0200,06/05/2000 90526,S200000,00100,0100,4624 LANSDOWNE 90526,S200000,00200,0100,ST. LOUIS 90526,S200000,00200,0200,MO 90526,S200000,00200,0300,63116-1523 90526,S200000,00300,0100,ST. LOUIS 90526,S200000,00400,0100,ALEXIAN BROTHERS LANSDOWNE MANOR 90526,S200000,00400,0200,265351 90526,S200000,00400,0300,01/18/1989 90526,S200000,00400,0500,P 90526,S200000,01004,0500,O 90526,S200000,01600,0100,Y 90526,S200000,02200,0100,Y 90529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90529,A000000,00300,0000,00300EMPLOYEE BENEFITS 90529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90529,A000000,00700,0000,00700HOUSEKEEPING 90529,A000000,00800,0000,00800DIETARY 90529,A000000,00900,0000,00900NURSING ADMINISTRATION 90529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90529,A000000,01100,0000,01100PHARMACY 90529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90529,A000000,01300,0000,01300SOCIAL SERVICE 90529,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90529,A000000,01600,0000,01600SKILLED NURSING FACILITY 90529,A000000,01800,0000,01800NURSING FACILITY 90529,A000000,01810,0000,01810ICF/MR 90529,A000000,02200,0000,02200LABORATORY 90529,A000000,02300,0000,02300INTRAVENOUS THERAPY 90529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90529,A000000,02500,0000,02500PHYSICAL THERAPY 90529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90529,A000000,02700,0000,02700SPEECH PATHOLOGY 90529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90529,A000000,03200,0000,03200SUPPORT SURFACES 90529,A000000,03550,0000,03550FQHC 90529,A000000,05000,0000,05000CORF 90529,A000000,05010,0000,05010CMHC 90529,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90529,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90529,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90529,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90529,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90529,A81000A,00100,0100,Y 90529,A81000B,00100,0300,ADMINISTRATOR SALARY 90529,A81000B,00200,0300,D.O.N. SLARY 90529,A81000B,00300,0300,RELATED PARTY PT 90529,A81000B,00400,0300,RELATED PARTY OT 90529,A81000B,00500,0300,RELATED PARTY SPEECH 90529,A81000B,00600,0300,EQUIPMENT LEASE RP 90529,A81000B,00700,0300,EQUIPMENT LEASE RP 90529,A81000B,00800,0300,EQUIPMENT LEASE RP 90529,A81000B,00900,0300,EQUIPMENT LEASE RP 90529,A81000B,01000,0300,EQUIPMENT LEASE RP 90529,A81000B,01100,0300,HOME OFFICE COST 90529,A81000B,01200,0300,FACILITY LEASE 90529,A81000C,00100,0100,A 90529,A81000C,00100,0200,DON C BEDELL 90529,A81000C,00100,0400,HEARTLAND PERSO 90529,A81000C,00100,0600,LEASING COMPANY 90529,A81000C,00200,0100,A 90529,A81000C,00200,0200,DON C BEDELL 90529,A81000C,00200,0400,HEARTLAND PERSO 90529,A81000C,00200,0600,LEASING COMPANY 90529,A81000C,00300,0100,A 90529,A81000C,00300,0200,DON C BEDELL 90529,A81000C,00300,0400,HFRS 90529,A81000C,00300,0600,THERAPY COMPANY 90529,A81000C,00400,0100,A 90529,A81000C,00400,0200,DON C BEDELL 90529,A81000C,00400,0400,HFRS 90529,A81000C,00400,0600,THERAPY COMPANY 90529,A81000C,00500,0100,A 90529,A81000C,00500,0200,DON C BEDELL 90529,A81000C,00500,0400,HFRS 90529,A81000C,00500,0600,THERAPY COMPANY 90529,A81000C,00600,0100,A 90529,A81000C,00600,0200,DON C BEDELL 90529,A81000C,00600,0400,CEO FINANCIAL S 90529,A81000C,00600,0600,LEASING COMPANY 90529,A81000C,00700,0100,A 90529,A81000C,00700,0200,DON C BEDELL 90529,A81000C,00700,0400,CEO FINANCIAL S 90529,A81000C,00700,0600,LEASING COMPANY 90529,A81000C,00800,0100,A 90529,A81000C,00800,0200,DON C BEDELL 90529,A81000C,00800,0400,CEO FINANCIAL S 90529,A81000C,00800,0600,LEASING COMPANY 90529,A81000C,00900,0100,A 90529,A81000C,00900,0200,DON C BEDELL 90529,A81000C,00900,0400,CEO FINANCIAL S 90529,A81000C,00900,0600,LEASING COMPANY 90529,A81000C,01000,0100,A 90529,A81000C,01000,0200,DON C BEDELL 90529,A81000C,01000,0400,CEO FINANCIAL S 90529,A81000C,01000,0600,LEASING COMPANY 90529,A81000C,01001,0100,A 90529,A81000C,01001,0200,DON C BEDELL 90529,A81000C,01001,0400,HFMC 90529,A81000C,01001,0600,MANAGEMENT COMP 90529,A81000C,01002,0100,A 90529,A81000C,01002,0200,DON C BEDELL 90529,A81000C,01002,0400,CIRCLE B ENTERP 90529,A81000C,01002,0600,REAL ESTATE COM 90529,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90529,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90529,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90529,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90529,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90529,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90529,B100000,00000,0800,00000MEALS SERVED :DIETARY 90529,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90529,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90529,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90529,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90529,S000000,00100,0200,12/01/2000 90529,S200000,00100,0100,1405 WEST GRAND AVENUE 90529,S200000,00200,0100,CAMERON 90529,S200000,00200,0200,MO 90529,S200000,00200,0300,64429- 90529,S200000,00300,0100,DE KALB 90529,S200000,00300,0200,26 90529,S200000,00300,0300,R 90529,S200000,00400,0100,QUAIL RUN 90529,S200000,00400,0200,265353 90529,S200000,00400,0300,07/01/1995 90529,S200000,00400,0500,P 90529,S200000,00600,0200,265353 90529,S200000,00600,0300,07/01/1995 90529,S200000,00600,0600,P 90529,S200000,01600,0100,Y 90529,S200000,04700,0100,Y 90529,S200000,04700,0200,Y 90533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90533,A000000,00300,0000,00300EMPLOYEE BENEFITS 90533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90533,A000000,00700,0000,00700HOUSEKEEPING 90533,A000000,00800,0000,00800DIETARY 90533,A000000,00900,0000,00900NURSING ADMINISTRATION 90533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90533,A000000,01100,0000,01100PHARMACY 90533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90533,A000000,01300,0000,01300SOCIAL SERVICE 90533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90533,A000000,01600,0000,01600SKILLED NURSING FACILITY 90533,A000000,01800,0000,01800NURSING FACILITY 90533,A000000,01810,0000,01810ICF/MR 90533,A000000,02100,0000,02100RADIOLOGY 90533,A000000,02200,0000,02200LABORATORY 90533,A000000,02300,0000,02300INTRAVENOUS THERAPY 90533,A000000,02500,0000,02500PHYSICAL THERAPY 90533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90533,A000000,02700,0000,02700SPEECH PATHOLOGY 90533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90533,A000000,03200,0000,03200SUPPORT SURFACES 90533,A000000,03550,0000,03550FQHC 90533,A000000,05000,0000,05000CORF 90533,A000000,05010,0000,05010CMHC 90533,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90533,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90533,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90533,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90533,A81000A,00100,0100,Y 90533,A81000B,00100,0300,ADMINISTRATOR SALARY 90533,A81000B,00200,0300,D.O.N. SALARY 90533,A81000B,00300,0300,RELATED PARTY PT 90533,A81000B,00400,0300,RELATED PARTY OT 90533,A81000B,00500,0300,RELATED PARTY SPEECH 90533,A81000B,00600,0300,EQUIPMENT LEASE RP 90533,A81000B,00700,0300,EQUIPMENT LEASE RP 90533,A81000B,00800,0300,EQUIPMENT LEASE RP 90533,A81000B,00900,0300,EQUIPMENT LEASE RP 90533,A81000B,01000,0300,EQUIPMENT LEASE RP 90533,A81000B,01100,0300,HOME OFFICE COST 90533,A81000B,01200,0300,FACILITY LEASE 90533,A81000C,00100,0100,A 90533,A81000C,00100,0200,DON C BEDELL 90533,A81000C,00100,0400,HEARTLAND PERSO 90533,A81000C,00100,0600,LEASING COMPANY 90533,A81000C,00200,0100,A 90533,A81000C,00200,0200,DON C BEDELL 90533,A81000C,00200,0400,HEARTLAND PERSO 90533,A81000C,00200,0600,LEASING COMPANY 90533,A81000C,00300,0100,A 90533,A81000C,00300,0200,DON C BEDELL 90533,A81000C,00300,0400,HFRS 90533,A81000C,00300,0600,THERAPY COMPANY 90533,A81000C,00400,0100,A 90533,A81000C,00400,0200,DON C BEDELL 90533,A81000C,00400,0400,HFRS 90533,A81000C,00400,0600,THERAPY COMPANY 90533,A81000C,00500,0100,A 90533,A81000C,00500,0200,DON C BEDELL 90533,A81000C,00500,0400,HFRS 90533,A81000C,00500,0600,THERAPY COMPANY 90533,A81000C,00600,0100,A 90533,A81000C,00600,0200,DON C BEDELLL 90533,A81000C,00600,0400,CEO FINANCIAL S 90533,A81000C,00600,0600,LEASING COMPANY 90533,A81000C,00700,0100,A 90533,A81000C,00700,0200,DON C BEDELL 90533,A81000C,00700,0400,CEO FINANCIAL S 90533,A81000C,00700,0600,LEASING COMPANY 90533,A81000C,00800,0100,A 90533,A81000C,00800,0200,DON C BEDELL 90533,A81000C,00800,0400,CEO FINANCIAL S 90533,A81000C,00800,0600,LEASING COMPANY 90533,A81000C,00900,0100,A 90533,A81000C,00900,0200,DON C BEDELL 90533,A81000C,00900,0400,CEO FINANCIAL S 90533,A81000C,00900,0600,LEASING COMPANY 90533,A81000C,01000,0100,A 90533,A81000C,01000,0200,DON C BEDELL 90533,A81000C,01000,0400,CEO FINANCIAL S 90533,A81000C,01000,0600,LEASING COMPANY 90533,A81000C,01001,0100,A 90533,A81000C,01001,0200,DON C BEDELL 90533,A81000C,01001,0400,HFMC 90533,A81000C,01001,0600,MANAGEMENT COMP 90533,A81000C,01002,0100,A 90533,A81000C,01002,0200,DON C BEDELL 90533,A81000C,01002,0400,CIRCLE B ENTERP 90533,A81000C,01002,0600,REAL ESTATE COM 90533,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90533,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90533,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90533,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90533,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90533,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90533,B100000,00000,0800,00000MEALS SERVED :DIETARY 90533,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90533,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90533,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90533,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90533,S000000,00100,0200,12/01/2000 90533,S200000,00100,0100,1410 HOSPITAL DRIVE 90533,S200000,00200,0100,EXCELSIOR SRINGS 90533,S200000,00200,0200,MO 90533,S200000,00200,0300,64024- 90533,S200000,00300,0100,CLAY 90533,S200000,00300,0200,3760 90533,S200000,00300,0300,U 90533,S200000,00400,0100,VALLEY MANOR CARE & REHAB CENTER 90533,S200000,00400,0200,265356 90533,S200000,00400,0300,01/01/1991 90533,S200000,00400,0500,P 90533,S200000,00600,0200,265356 90533,S200000,00600,0300,01/01/1991 90533,S200000,00600,0600,P 90533,S200000,01600,0100,Y 90533,S200000,01900,0100,CORPORATION 90533,S200000,04700,0100,Y 90533,S200000,04700,0200,Y 90541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90541,A000000,00300,0000,00300EMPLOYEE BENEFITS 90541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90541,A000000,00700,0000,00700HOUSEKEEPING 90541,A000000,00800,0000,00800DIETARY 90541,A000000,00900,0000,00900NURSING ADMINISTRATION 90541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90541,A000000,01100,0000,01100PHARMACY 90541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90541,A000000,01300,0000,01300SOCIAL SERVICE 90541,A000000,01600,0000,01600SKILLED NURSING FACILITY 90541,A000000,01800,0000,01800NURSING FACILITY 90541,A000000,02100,0000,02100RADIOLOGY 90541,A000000,02200,0000,02200LABORATORY 90541,A000000,02300,0000,02300INTRAVENOUS THERAPY 90541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90541,A000000,02500,0000,02500PHYSICAL THERAPY 90541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90541,A000000,02700,0000,02700SPEECH PATHOLOGY 90541,A000000,02800,0000,02800ELECTROCARDIOLOGY 90541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90541,A000000,03200,0000,03200SUPPORT SURFACES 90541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90541,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90541,A81000A,00100,0100,Y 90541,A81000B,00100,0300,HOME OFFICE COSTS 90541,A81000C,00100,0100,A 90541,A81000C,00100,0200,JJ HEALTHCARE I 90541,A81000C,00100,0400,HMFC LTD. 90541,A81000C,00100,0600,MANAGEMENT CO 90541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90541,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90541,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90541,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90541,B100000,00000,0800,00000MEALS SERVED :DIETARY 90541,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90541,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90541,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90541,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90541,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90541,S000000,00100,0200,02/01/2000 90541,S200000,00100,0100,HIGHWAY 13 SOUTH 90541,S200000,00100,0300,P. O. BOX 499 90541,S200000,00200,0100,LEXINGTON 90541,S200000,00200,0200,MO 90541,S200000,00200,0300,64067- 90541,S200000,00300,0100,LAFAYETTE 90541,S200000,00400,0100,SANTA FE HEALTH CARE CENTER 90541,S200000,00400,0200,265358 90541,S200000,00400,0300,08/29/1997 90541,S200000,00400,0500,P 90541,S200000,01600,0100,Y 90541,S700003,00000,0100,1 90543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90543,A000000,00300,0000,00300EMPLOYEE BENEFITS 90543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90543,A000000,00700,0000,00700HOUSEKEEPING 90543,A000000,00800,0000,00800DIETARY 90543,A000000,00900,0000,00900NURSING ADMINISTRATION 90543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90543,A000000,01100,0000,01100PHARMACY 90543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90543,A000000,01300,0000,01300SOCIAL SERVICE 90543,A000000,01350,0000,01500OTHER GENERAL SERVICES 90543,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90543,A000000,01600,0000,01600SKILLED NURSING FACILITY 90543,A000000,01800,0000,01800NURSING FACILITY 90543,A000000,01810,0000,01810ICF/MR 90543,A000000,01900,0000,01900OTHER LONG TERM CARE 90543,A000000,02100,0000,02100RADIOLOGY 90543,A000000,02200,0000,02200LABORATORY 90543,A000000,02300,0000,02300INTRAVENOUS THERAPY 90543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90543,A000000,02500,0000,02500PHYSICAL THERAPY 90543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90543,A000000,02700,0000,02700SPEECH PATHOLOGY 90543,A000000,02800,0000,02800ELECTROCARDIOLOGY 90543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90543,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90543,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90543,A000000,03200,0000,03200SUPPORT SURFACES 90543,A000000,03400,0000,03400CLINIC 90543,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90543,A000000,03500,0000,03500RURAL HEALTH CLINIC 90543,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90543,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90543,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90543,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90543,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90543,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90543,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90543,A000000,04400,0000,04400DME RENTED - HHA 90543,A000000,04500,0000,04500DME SOLD - HHA 90543,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90543,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90543,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90543,A000000,04800,0000,04800AMBULANCE 90543,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90543,A000000,05000,0000,05000CORF 90543,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90543,A000000,05300,0000,05300INTEREST EXPENSE 90543,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90543,A000000,05500,0000,05500HOSPICE 90543,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90543,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90543,A000000,06100,0000,06100NONPAID WORKERS 90543,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90543,A000000,06200,0000,06200PATIENTS LAUNDRY 90543,A81000A,00100,0100,Y 90543,A81000B,00100,0300,MANAGEMENT FEES 90543,A81000C,00100,0100,A 90543,A81000C,00100,0200,ROBERT WACHTER 90543,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 90543,A81000C,00100,0600,MANAGEMENT COMPANY 90543,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90543,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90543,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90543,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90543,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90543,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90543,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90543,B100000,00000,0800,00000MEALS SERVED :DIETARY 90543,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90543,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90543,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90543,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90543,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90543,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90543,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90543,S000000,00100,0200,05/22/2000 90543,S200000,00100,0100,HIGHWAY 13 SOUTH 90543,S200000,00100,0300,499 90543,S200000,00200,0100,LEXINGTON 90543,S200000,00200,0200,MO 90543,S200000,00200,0300,64067- 90543,S200000,00300,0100,LAFAYETTE 90543,S200000,00400,0100,LEXINGTON CARE CENTER 90543,S200000,00400,0200,265358 90543,S200000,00400,0300,09/01/1999 90543,S200000,00400,0500,P 90543,S200000,01600,0100,Y 90546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90546,A000000,00300,0000,00300EMPLOYEE BENEFITS 90546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90546,A000000,00700,0000,00700HOUSEKEEPING 90546,A000000,00800,0000,00800DIETARY 90546,A000000,00900,0000,00900NURSING ADMINISTRATION 90546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90546,A000000,01100,0000,01100PHARMACY 90546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90546,A000000,01300,0000,01300SOCIAL SERVICE 90546,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90546,A000000,01600,0000,01600SKILLED NURSING FACILITY 90546,A000000,01800,0000,01800NURSING FACILITY 90546,A000000,01810,0000,01810ICF/MR 90546,A000000,02100,0000,02100RADIOLOGY 90546,A000000,02200,0000,02200LABORATORY 90546,A000000,02500,0000,02500PHYSICAL THERAPY 90546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90546,A000000,02700,0000,02700SPEECH PATHOLOGY 90546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90546,A000000,03200,0000,03200SUPPORT SURFACES 90546,A000000,03550,0000,03550FQHC 90546,A000000,05000,0000,05000CORF 90546,A000000,05010,0000,05010CMHC 90546,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90546,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90546,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90546,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90546,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90546,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90546,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90546,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90546,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90546,B100000,00000,0800,00000MEALS SERVED :DIETARY 90546,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90546,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90546,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90546,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90546,S000000,00100,0200,12/01/2000 90546,S200000,00100,0100,1121 11TH STREET 90546,S200000,00200,0100,BOONEVILLE 90546,S200000,00200,0200,MO 90546,S200000,00200,0300,65233- 90546,S200000,00300,0100,COOPER 90546,S200000,00300,0200,26 90546,S200000,00300,0300,R 90546,S200000,00400,0100,RIVERDELL CARE CENTER 90546,S200000,00400,0200,265361 90546,S200000,00400,0300,05/01/1989 90546,S200000,00400,0500,P 90546,S200000,00600,0200,265361 90546,S200000,00600,0300,05/01/1989 90546,S200000,00600,0600,P 90546,S200000,01600,0100,Y 90546,S200000,01900,0100,CORPORATION 90546,S200000,04700,0100,Y 90546,S200000,04700,0200,Y 90552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90552,A000000,00300,0000,00300EMPLOYEE BENEFITS 90552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90552,A000000,00700,0000,00700HOUSEKEEPING 90552,A000000,00800,0000,00800DIETARY 90552,A000000,00900,0000,00900NURSING ADMINISTRATION 90552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90552,A000000,01100,0000,01100PHARMACY 90552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90552,A000000,01300,0000,01300SOCIAL SERVICE 90552,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90552,A000000,01600,0000,01600SKILLED NURSING FACILITY 90552,A000000,01800,0000,01800NURSING FACILITY 90552,A000000,01810,0000,01810ICF/MR 90552,A000000,02200,0000,02200LABORATORY 90552,A000000,02500,0000,02500PHYSICAL THERAPY 90552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90552,A000000,02700,0000,02700SPEECH PATHOLOGY 90552,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90552,A000000,03550,0000,03550FQHC 90552,A000000,05000,0000,05000CORF 90552,A000000,05010,0000,05010CMHC 90552,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90552,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90552,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90552,A81000A,00100,0100,Y 90552,A81000B,00100,0300,ADMINISTRATOR SALARY 90552,A81000B,00200,0300,D.O.N. SALARY 90552,A81000B,00300,0300,RELATED PARTY PT 90552,A81000B,00400,0300,RELATED PARTY OT 90552,A81000B,00500,0300,RELATED PARTY ST 90552,A81000B,00600,0300,EQUIPMENT LEASE RP 90552,A81000B,00700,0300,EQUIPMENT LEASE RP 90552,A81000B,00800,0300,HOME OFFICE COST 90552,A81000C,00100,0100,A 90552,A81000C,00100,0200,DON C BEDELL 90552,A81000C,00100,0400,HEARTLAND PERSO 90552,A81000C,00100,0600,LEASING COMPANY 90552,A81000C,00200,0100,A 90552,A81000C,00200,0200,DON C BEDELL 90552,A81000C,00200,0400,HEARTLAND PERSO 90552,A81000C,00200,0600,LEASING COMPANY 90552,A81000C,00300,0100,A 90552,A81000C,00300,0200,DON C BEDELL 90552,A81000C,00300,0400,HFRS 90552,A81000C,00300,0600,THERAPY COMPANY 90552,A81000C,00400,0100,A 90552,A81000C,00400,0200,DON C BEDELL 90552,A81000C,00400,0400,HFRS 90552,A81000C,00400,0600,THERAPY COMPANY 90552,A81000C,00500,0100,A 90552,A81000C,00500,0200,DON C BEDELL 90552,A81000C,00500,0400,HFRS 90552,A81000C,00500,0600,THERAPY COMPANY 90552,A81000C,00600,0100,A 90552,A81000C,00600,0200,DON C BEDELL 90552,A81000C,00600,0400,CEO FINANACIAL 90552,A81000C,00600,0600,LEASING COMPANY 90552,A81000C,00700,0100,A 90552,A81000C,00700,0200,DON C BEDELL 90552,A81000C,00700,0400,CEO FINANCIAL S 90552,A81000C,00700,0600,LEASING COMPANY 90552,A81000C,00800,0100,A 90552,A81000C,00800,0200,DON C BEDELL 90552,A81000C,00800,0400,HFMC 90552,A81000C,00800,0600,MANAGEMENT COMA 90552,A81000C,00900,0100,0 90552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90552,B100000,00000,0800,00000MEALS SERVED :DIETARY 90552,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90552,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90552,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90552,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90552,S000000,00100,0200,12/01/2000 90552,S200000,00100,0100,403 WATERCRESS ROAD 90552,S200000,00100,0300,969 90552,S200000,00200,0100,VAN BUREN 90552,S200000,00200,0200,MO 90552,S200000,00200,0300,63965- 90552,S200000,00300,0100,CARTER 90552,S200000,00300,0200,26 90552,S200000,00300,0300,R 90552,S200000,00400,0100,RIVERVIEW NURSING CENTER 90552,S200000,00400,0200,265363 90552,S200000,00400,0300,07/01/1989 90552,S200000,00400,0500,P 90552,S200000,00600,0200,265363 90552,S200000,00600,0300,07/01/1989 90552,S200000,00600,0600,P 90552,S200000,01600,0100,Y 90552,S200000,01900,0100,CORPORATION 90552,S200000,04700,0100,Y 90552,S200000,04700,0200,Y 90562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90562,A000000,00300,0000,00300EMPLOYEE BENEFITS 90562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90562,A000000,00700,0000,00700HOUSEKEEPING 90562,A000000,00800,0000,00800DIETARY 90562,A000000,00900,0000,00900NURSING ADMINISTRATION 90562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90562,A000000,01600,0000,01600SKILLED NURSING FACILITY 90562,A000000,01800,0000,01800NURSING FACILITY 90562,A000000,02100,0000,02100RADIOLOGY 90562,A000000,02200,0000,02200LABORATORY 90562,A000000,02300,0000,02300INTRAVENOUS THERAPY 90562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90562,A000000,02500,0000,02500PHYSICAL THERAPY 90562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90562,A000000,02700,0000,02700SPEECH PATHOLOGY 90562,A000000,02800,0000,02800ELECTROCARDIOLOGY 90562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90562,A000000,03200,0000,03200SUPPORT SURFACES 90562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90562,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90562,A81000A,00100,0100,Y 90562,A81000B,00100,0300,HOME OFFICE COSTS 90562,A81000C,00100,0100,A 90562,A81000C,00100,0200,JJ HEALTHCARE 90562,A81000C,00100,0400,HMFM LTD. 90562,A81000C,00100,0600,HOME OFFICE 90562,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90562,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90562,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90562,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90562,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90562,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90562,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90562,B100000,00000,0800,00000MEALS SERVED :DIETARY 90562,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90562,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90562,S000000,00100,0200,02/01/2000 90562,S200000,00100,0100,ROUTE 2 BOX 251 90562,S200000,00200,0100,LINN 90562,S200000,00200,0200,MO 90562,S200000,00200,0300,65051- 90562,S200000,00300,0100,OSAGE 90562,S200000,00400,0100,GREEN MEADOWS HEALTH CARE CENTER 90562,S200000,00400,0200,265364 90562,S200000,00400,0300,06/01/1998 90562,S200000,00400,0500,P 90562,S200000,01600,0100,Y 90562,S200000,02200,0100,Y 90562,S700003,00000,0100,1 90564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90564,A000000,00300,0000,00300EMPLOYEE BENEFITS 90564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90564,A000000,00700,0000,00700HOUSEKEEPING 90564,A000000,00800,0000,00800DIETARY 90564,A000000,00900,0000,00900NURSING ADMINISTRATION 90564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90564,A000000,01100,0000,01100PHARMACY 90564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90564,A000000,01300,0000,01300SOCIAL SERVICE 90564,A000000,01350,0000,01500OTHER GENERAL SERVICES 90564,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90564,A000000,01600,0000,01600SKILLED NURSING FACILITY 90564,A000000,01800,0000,01800NURSING FACILITY 90564,A000000,01810,0000,01801ICF/MR 90564,A000000,01900,0000,01900OTHER LONG TERM CARE 90564,A000000,02100,0000,02100RADIOLOGY 90564,A000000,02200,0000,02200LABORATORY 90564,A000000,02300,0000,02300INTRAVENOUS THERAPY 90564,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90564,A000000,02500,0000,02500PHYSICAL THERAPY 90564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90564,A000000,02700,0000,02700SPEECH PATHOLOGY 90564,A000000,02800,0000,02800ELECTROCARDIOLOGY 90564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90564,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90564,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90564,A000000,03200,0000,03200SUPPORT SURFACES 90564,A000000,03400,0000,03400CLINIC 90564,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90564,A000000,03500,0000,03500RURAL HEALTH CLINIC 90564,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90564,A000000,04800,0000,04800AMBULANCE 90564,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90564,A000000,05000,0000,05000CORF 90564,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90564,A000000,05300,0000,05300INTEREST EXPENSE 90564,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90564,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90564,A000000,05500,0000,05500HOSPICE 90564,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90564,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90564,A000000,06100,0000,06100NONPAID WORKERS 90564,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90564,A000000,06200,0000,06200PATIENTS LAUNDRY 90564,A81000A,00100,0100,Y 90564,A81000B,00100,0300,MANAGEMENT FEES 90564,A81000C,00100,0100,A 90564,A81000C,00100,0200,ROBERT WACHTER 90564,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 90564,A81000C,00100,0600,MANAGEMENT COMPANY 90564,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90564,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90564,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90564,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90564,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90564,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90564,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90564,B100000,00000,0800,00000MEALS SERVED :DIETARY 90564,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90564,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90564,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90564,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90564,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90564,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90564,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90564,S000000,00100,0200,05/22/2000 90564,S200000,00100,0100,ROUTE 2 BOX 251 90564,S200000,00200,0100,LINN 90564,S200000,00200,0200,MO 90564,S200000,00200,0300,65051- 90564,S200000,00300,0100,OSAGE 90564,S200000,00400,0100,GREEN MEADOWS HEALTH CARE CNTR 90564,S200000,00400,0200,265364 90564,S200000,00400,0300,09/01/1999 90564,S200000,00400,0500,P 90564,S200000,01600,0100,Y 90564,S700003,00000,0200,2 90571,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90571,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90571,A000000,00300,0000,00300EMPLOYEE BENEFITS 90571,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90571,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90571,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90571,A000000,00700,0000,00700HOUSEKEEPING 90571,A000000,00800,0000,00800DIETARY 90571,A000000,00801,0000,00801CAFETERIA 90571,A000000,00900,0000,00900NURSING ADMINISTRATION 90571,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90571,A000000,01100,0000,01100PHARMACY 90571,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90571,A000000,01300,0000,01300SOCIAL SERVICE 90571,A000000,01350,0000,01500OTHER GENERAL SERVICES 90571,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90571,A000000,01600,0000,01600SKILLED NURSING FACILITY 90571,A000000,01800,0000,01800NURSING FACILITY 90571,A000000,01810,0000,01801ICF/MR 90571,A000000,01900,0000,01900OTHER LONG TERM CARE 90571,A000000,02100,0000,02100RADIOLOGY 90571,A000000,02200,0000,02200LABORATORY 90571,A000000,02300,0000,02300INTRAVENOUS THERAPY 90571,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90571,A000000,02500,0000,02500PHYSICAL THERAPY 90571,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90571,A000000,02700,0000,02700SPEECH PATHOLOGY 90571,A000000,02800,0000,02800ELECTROCARDIOLOGY 90571,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90571,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90571,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90571,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90571,A000000,03101,0000,03101SELF INS MALPRACTICE 90571,A000000,03200,0000,03200SUPPORT SURFACES 90571,A000000,03400,0000,03400CLINIC 90571,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90571,A000000,03500,0000,03500RURAL HEALTH CLINIC 90571,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90571,A000000,04800,0000,04800AMBULANCE 90571,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90571,A000000,05000,0000,05000CORF 90571,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90571,A000000,05300,0000,05300INTEREST EXPENSE 90571,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90571,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90571,A000000,05500,0000,05500HOSPICE 90571,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90571,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90571,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90571,A000000,06100,0000,06100NONPAID WORKERS 90571,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90571,A000000,06200,0000,06200PATIENTS LAUNDRY 90571,A81000A,00100,0100,Y 90571,A81000B,00100,0300,HOME OFFICE - CHS 90571,A81000B,00200,0300,HOME OFFICE - BJC 90571,A81000C,00100,0100,G 90571,A81000C,00100,0400,CHRISTIAN HEALTH SERVICES 90571,A81000C,00100,0600,HOME OFFICE 90571,A81000C,00200,0100,G 90571,A81000C,00200,0400,BJC HEALTH SYSTEM 90571,A81000C,00200,0600,HOME OFFICE 90571,A81000C,00300,0100,G 90571,A81000C,00300,0400,ALTERNATE SITES 90571,A81000C,00300,0600,HOME OFFICE 90571,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90571,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 90571,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90571,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90571,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90571,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90571,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90571,B100000,00000,0800,00000MEALS SERVED :DIETARY 90571,B100000,00000,0801,00000MEALSSERVE ED :CAFETERIA 90571,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 90571,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 90571,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90571,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 90571,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90571,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90571,B100000,00000,1450,00000GROSS SALARIES :INTERNS & RESIDENT 90571,S000000,00100,0200,06/05/2000 90571,S200000,00100,0100,6768 NORTH HIGHWAY 67 90571,S200000,00200,0100,FLORISSANT 90571,S200000,00200,0200,MO 90571,S200000,00200,0300,63034- 90571,S200000,00300,0100,ST. LOUIS 90571,S200000,00400,0100,VILLAGE NORTH MANOR 90571,S200000,00400,0200,265365 90571,S200000,00400,0300,08/16/1989 90571,S200000,00400,0500,P 90571,S200000,01004,0500,O 90571,S200000,01600,0100,Y 90571,S700003,00000,0100,1 90579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90579,A000000,00300,0000,00300EMPLOYEE BENEFITS 90579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90579,A000000,00700,0000,00700HOUSEKEEPING 90579,A000000,00800,0000,00800DIETARY 90579,A000000,00900,0000,00900NURSING ADMINISTRATION 90579,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90579,A000000,01100,0000,01100PHARMACY 90579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90579,A000000,01300,0000,01300SOCIAL SERVICE 90579,A000000,01600,0000,01600SKILLED NURSING FACILITY 90579,A000000,01800,0000,01800NURSING FACILITY 90579,A000000,02100,0000,02100RADIOLOGY 90579,A000000,02200,0000,02200LABORATORY 90579,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90579,A000000,02500,0000,02500PHYSICAL THERAPY 90579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90579,A000000,02700,0000,02700SPEECH PATHOLOGY 90579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90579,A000000,05300,0000,05300INTEREST EXPENSE 90579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90579,A81000A,00100,0100,Y 90579,A81000B,00100,0300,MANAGEMENT FEES 90579,A81000B,00200,0300,HOME OFFICE EXPENSES 90579,A81000C,00100,0100,A 90579,A81000C,00100,0200,MORRIS STEINBER 90579,A81000C,00100,0400,SRS ENTERPRISES 90579,A81000C,00100,0600,REAL ESTATE 90579,A81000C,00200,0100,A 90579,A81000C,00200,0200,SHAEL SIEGEL 90579,A81000C,00300,0100,A 90579,A81000C,00300,0200,JACK REIFER 90579,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90579,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90579,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90579,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90579,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90579,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90579,B100000,00000,0800,00000MEALS SERVED :DIETARY 90579,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90579,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90579,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90579,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90579,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90579,S000000,00100,0200,02/29/2000 90579,S200000,00100,0100,724 N.E. 79TH TERRACE 90579,S200000,00200,0100,KANSAS CITY 90579,S200000,00200,0200,MO 90579,S200000,00200,0300,64118- 90579,S200000,00300,0100,KANSAS CITY 90579,S200000,00400,0100,DEERBROOK PAVILION 90579,S200000,00400,0200,265366 90579,S200000,00400,0300,03/01/1992 90579,S200000,00400,0500,P 90579,S200000,01600,0100,Y 90579,S700003,00000,0100,1 90580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90580,A000000,00300,0000,00300EMPLOYEE BENEFITS 90580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90580,A000000,00700,0000,00700HOUSEKEEPING 90580,A000000,00800,0000,00800DIETARY 90580,A000000,00900,0000,00900NURSING ADMINISTRATION 90580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90580,A000000,01100,0000,01100PHARMACY 90580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90580,A000000,01300,0000,01300SOCIAL SERVICE 90580,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90580,A000000,01600,0000,01600SKILLED NURSING FACILITY 90580,A000000,01800,0000,01800NURSING FACILITY 90580,A000000,01810,0000,01810ICF/MR 90580,A000000,02100,0000,02100RADIOLOGY 90580,A000000,02200,0000,02200LABORATORY 90580,A000000,02500,0000,02500PHYSICAL THERAPY 90580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90580,A000000,02700,0000,02700SPEECH PATHOLOGY 90580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90580,A000000,03550,0000,03550FQHC 90580,A000000,05000,0000,05000CORF 90580,A000000,05010,0000,05010CMHC 90580,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90580,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90580,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90580,A81000A,00100,0100,Y 90580,A81000B,00200,0300,RENT 90580,A81000B,00400,0300,MANAGEMENT FEES 90580,A81000C,00200,0100,B 90580,A81000C,00200,0200,EKS / EMI 90580,A81000C,00400,0100,B 90580,A81000C,00400,0200,GOLDEN PLAINS 90580,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90580,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90580,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90580,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90580,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90580,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90580,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90580,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90580,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90580,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90580,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 90580,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90580,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90580,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90580,S000000,00100,0200,05/17/2000 90580,S200000,00400,0100,WHITE OAK TERRACE INC. 90580,S200000,00400,0200,265366 90580,S200000,00400,0300,03/01/1992 90580,S200000,00400,0500,P 90580,S200000,01004,0500,O 90580,S200000,01600,0100,Y 90580,S700003,00000,0200,2 90590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90590,A000000,00300,0000,00300EMPLOYEE BENEFITS 90590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90590,A000000,00700,0000,00700HOUSEKEEPING 90590,A000000,00800,0000,00800DIETARY 90590,A000000,00900,0000,00900NURSING ADMINISTRATION 90590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90590,A000000,01100,0000,01100PHARMACY 90590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90590,A000000,01300,0000,01300SOCIAL SERVICE 90590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90590,A000000,01600,0000,01600SKILLED NURSING FACILITY 90590,A000000,01800,0000,01800NURSING FACILITY 90590,A000000,01900,0000,01900OTHER LONG TERM CARE 90590,A000000,02100,0000,02100RADIOLOGY 90590,A000000,02200,0000,02200LABORATORY 90590,A000000,02300,0000,02300INTRAVENOUS THERAPY 90590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90590,A000000,02500,0000,02500PHYSICAL THERAPY 90590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90590,A000000,02700,0000,02700SPEECH PATHOLOGY 90590,A000000,02800,0000,02800ELECTROCARDIOLOGY 90590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90590,A000000,03200,0000,03200SUPPORT SURFACES 90590,A000000,03400,0000,03400CLINIC 90590,A000000,03500,0000,03500RURAL HEALTH CLINIC 90590,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90590,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90590,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90590,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90590,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90590,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90590,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90590,A000000,04400,0000,04400DME RENTED - HHA 90590,A000000,04500,0000,04500DME SOLD - HHA 90590,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90590,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90590,A000000,05300,0000,05300INTEREST EXPENSE 90590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90590,A000000,05500,0000,05500HOSPICE 90590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90590,A000000,06100,0000,06100NONPAID WORKERS 90590,A000000,06200,0000,06200PATIENTS LAUNDRY 90590,A81000A,00100,0100,Y 90590,A81000B,00100,0300,MANAGEMENT FEES 90590,A81000C,00100,0100,A 90590,A81000C,00100,0200,R H MONTGOMERY 90590,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90590,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90590,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90590,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90590,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90590,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90590,B100000,00000,0850,00000PAT DAYS :DIETARY 90590,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90590,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90590,B100000,00000,1150,00000BLANK :PHARMACY 90590,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90590,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90590,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90590,S000000,00100,0200,05/25/2000 90590,S200000,00100,0100,228 EAST MARKET 90590,S200000,00200,0100,DEXTER 90590,S200000,00200,0200,MO 90590,S200000,00200,0300,63841- 90590,S200000,00300,0100,STODDARD 90590,S200000,00400,0100,VINTAGE VILLA NURSING CENTER 90590,S200000,00400,0200,265367 90590,S200000,00400,0300,05/19/1989 90590,S200000,00400,0500,P 90590,S200000,01600,0100,Y 90590,S200000,02200,0100,Y 90590,S200000,04300,0100,Y 90597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90597,A000000,00300,0000,00300EMPLOYEE BENEFITS 90597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90597,A000000,00700,0000,00700HOUSEKEEPING 90597,A000000,00800,0000,00800DIETARY 90597,A000000,00900,0000,00900NURSING ADMINISTRATION 90597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90597,A000000,01100,0000,01100PHARMACY 90597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90597,A000000,01300,0000,01300SOCIAL SERVICE 90597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90597,A000000,01600,0000,01600SKILLED NURSING FACILITY 90597,A000000,01800,0000,01800NURSING FACILITY 90597,A000000,01900,0000,01900OTHER LONG TERM CARE 90597,A000000,02100,0000,02100RADIOLOGY 90597,A000000,02200,0000,02200LABORATORY 90597,A000000,02300,0000,02300INTRAVENOUS THERAPY 90597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90597,A000000,02500,0000,02500PHYSICAL THERAPY 90597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90597,A000000,02700,0000,02700SPEECH PATHOLOGY 90597,A000000,02800,0000,02800ELECTROCARDIOLOGY 90597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90597,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90597,A000000,03200,0000,03200SUPPORT SURFACES 90597,A000000,03400,0000,03400CLINIC 90597,A000000,03500,0000,03500RURAL HEALTH CLINIC 90597,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90597,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90597,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90597,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90597,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90597,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90597,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90597,A000000,04400,0000,04400DME RENTED - HHA 90597,A000000,04500,0000,04500DME SOLD - HHA 90597,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90597,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90597,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90597,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90597,A000000,05300,0000,05300INTEREST EXPENSE 90597,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90597,A000000,05500,0000,05500HOSPICE 90597,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90597,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90597,A000000,06100,0000,06100NONPAID WORKERS 90597,A000000,06200,0000,06200PATIENTS LAUNDRY 90597,A81000A,00100,0100,Y 90597,A81000B,00100,0300,MANAGEMENT FEES 90597,A81000C,00100,0100,A 90597,A81000C,00100,0200,R H MONTGOMERY 90597,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90597,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90597,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90597,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90597,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90597,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90597,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90597,B100000,00000,0850,00000PAT DAYS :DIETARY 90597,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90597,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90597,B100000,00000,1150,00000BLANK :PHARMACY 90597,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90597,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90597,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90597,S000000,00100,0200,05/25/2000 90597,S200000,00100,0100,HWY 60 WEST 90597,S200000,00100,0300,180 90597,S200000,00200,0100,BIRCH TREE 90597,S200000,00200,0200,MO 90597,S200000,00200,0300,65438- 90597,S200000,00300,0100,SHANNON 90597,S200000,00400,0100,BIRCH VIEW NURSING CENTER 90597,S200000,00400,0200,265368 90597,S200000,00400,0300,05/17/1989 90597,S200000,00400,0500,P 90597,S200000,01600,0100,Y 90597,S200000,02200,0100,Y 90597,S200000,04300,0100,Y 90602,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90602,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90602,A000000,00300,0000,00300EMPLOYEE BENEFITS 90602,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90602,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90602,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90602,A000000,00700,0000,00700HOUSEKEEPING 90602,A000000,00800,0000,00800DIETARY 90602,A000000,00900,0000,00900NURSING ADMINISTRATION 90602,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90602,A000000,01100,0000,01100PHARMACY 90602,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90602,A000000,01300,0000,01300SOCIAL SERVICE 90602,A000000,01350,0000,01500OTHER GENERAL SERVICES 90602,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90602,A000000,01600,0000,01600SKILLED NURSING FACILITY 90602,A000000,01800,0000,01800NURSING FACILITY 90602,A000000,01810,0000,01801ICF/MR 90602,A000000,01900,0000,01900OTHER LONG TERM CARE 90602,A000000,02100,0000,02100RADIOLOGY 90602,A000000,02200,0000,02200LABORATORY 90602,A000000,02300,0000,02300INTRAVENOUS THERAPY 90602,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90602,A000000,02500,0000,02500PHYSICAL THERAPY 90602,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90602,A000000,02700,0000,02700SPEECH PATHOLOGY 90602,A000000,02800,0000,02800ELECTROCARDIOLOGY 90602,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90602,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90602,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90602,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90602,A000000,03200,0000,03200SUPPORT SURFACES 90602,A000000,03400,0000,03400CLINIC 90602,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90602,A000000,03500,0000,03500RURAL HEALTH CLINIC 90602,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90602,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90602,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90602,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90602,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90602,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90602,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90602,A000000,04400,0000,04400DME RENTED - HHA 90602,A000000,04500,0000,04500DME SOLD - HHA 90602,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90602,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90602,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90602,A000000,04800,0000,04800AMBULANCE 90602,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90602,A000000,05000,0000,05000CORF 90602,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90602,A000000,05300,0000,05300INTEREST EXPENSE 90602,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90602,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90602,A000000,05500,0000,05500HOSPICE 90602,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90602,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90602,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90602,A000000,06100,0000,06100NONPAID WORKERS 90602,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90602,A000000,06200,0000,06200PATIENTS LAUNDRY 90602,A81000A,00100,0100,Y 90602,A81000B,00100,0300,HOME OFFICE EXPENSE 90602,A81000C,00100,0100,B 90602,A81000C,00100,0200,ROCKY LEMON 90602,A81000C,00100,0400,CRESCENT HEALTH SERVICES 90602,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 90602,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 90602,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 90602,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 90602,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 90602,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 90602,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 90602,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 90602,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 90602,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 90602,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 90602,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 90602,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 90602,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 90602,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 90602,S000000,00100,0200,06/01/2000 90602,S200000,00100,0100,201 GRAND AVENUE 90602,S200000,00200,0100,WASHINGTON 90602,S200000,00200,0200,MO 90602,S200000,00200,0300,63090- 90602,S200000,00300,0100,FRANKLIN 90602,S200000,00400,0100,GRANDVIEW HEALTHCARE CENTER 90602,S200000,00400,0200,265374 90602,S200000,00400,0300,06/29/1989 90602,S200000,00400,0500,P 90602,S200000,01600,0100,Y 90605,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90605,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90605,A000000,00300,0000,00300EMPLOYEE BENEFITS 90605,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90605,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90605,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90605,A000000,00700,0000,00700HOUSEKEEPING 90605,A000000,00800,0000,00800DIETARY 90605,A000000,00900,0000,00900NURSING ADMINISTRATION 90605,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90605,A000000,01100,0000,01100PHARMACY 90605,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90605,A000000,01300,0000,01300SOCIAL SERVICE 90605,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90605,A000000,01600,0000,01600SKILLED NURSING FACILITY 90605,A000000,01800,0000,01800NURSING FACILITY 90605,A000000,01810,0000,01810ICF/MR 90605,A000000,02100,0000,02100RADIOLOGY 90605,A000000,02200,0000,02200LABORATORY 90605,A000000,02500,0000,02500PHYSICAL THERAPY 90605,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90605,A000000,02700,0000,02700SPEECH PATHOLOGY 90605,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90605,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90605,A000000,03200,0000,03200SUPPORT SURFACES 90605,A000000,03550,0000,03550FQHC 90605,A000000,04800,0000,04800AMBULANCE 90605,A000000,05000,0000,05000CORF 90605,A000000,05010,0000,05010CMHC 90605,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90605,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90605,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90605,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90605,A81000A,00100,0100,Y 90605,A81000B,00100,0300,ADMINISTRATOR SALARY 90605,A81000B,00200,0300,D.O.N. SALARY 90605,A81000B,00300,0300,RELATED PARTY PT 90605,A81000B,00400,0300,RELATED PARTY OT 90605,A81000B,00500,0300,RELATED PARTY SPEECH 90605,A81000B,00600,0300,EQUIPMENT LEASE RP 90605,A81000B,00700,0300,EQUIPMENT LEASE RP 90605,A81000B,00800,0300,EQUIPMENT LEASE RP 90605,A81000B,00900,0300,EQUIPMENT LEASE RP 90605,A81000B,01000,0300,EQUIPMENT LEASE RP 90605,A81000B,01100,0300,EQUIPMENT LEASE RP 90605,A81000B,01200,0300,EQUIPMENT LEASE RP 90605,A81000B,01300,0300,HOME OFFICE COST 90605,A81000B,01400,0300,FACILITY LEASE 90605,A81000C,00100,0100,A 90605,A81000C,00100,0200,DON C BEDELL 90605,A81000C,00100,0400,HEARTLAND PERSO 90605,A81000C,00100,0600,LEASING COMPANY 90605,A81000C,00200,0100,A 90605,A81000C,00200,0200,DON C BEDELL 90605,A81000C,00200,0400,HEARTLAND PERSO 90605,A81000C,00200,0600,LEASING COMPANY 90605,A81000C,00300,0100,A 90605,A81000C,00300,0200,DON C BEDELL 90605,A81000C,00300,0400,HFRS 90605,A81000C,00300,0600,REHAB COMPANY 90605,A81000C,00400,0100,A 90605,A81000C,00400,0200,DON C BEDELL 90605,A81000C,00400,0400,HFRS 90605,A81000C,00400,0600,REHAB COMPANY 90605,A81000C,00500,0100,A 90605,A81000C,00500,0200,DON C BEDELL 90605,A81000C,00500,0400,HFRS 90605,A81000C,00500,0600,REHAB COMPANY 90605,A81000C,00600,0100,A 90605,A81000C,00600,0200,DON C BEDELL 90605,A81000C,00600,0400,CEO FINANCIAL S 90605,A81000C,00600,0600,LEASING COMPANY 90605,A81000C,00700,0100,A 90605,A81000C,00700,0200,DON C BEDELL 90605,A81000C,00700,0400,CEO FINANCIAL S 90605,A81000C,00700,0600,LEASING COMPANY 90605,A81000C,00800,0100,A 90605,A81000C,00800,0200,DON C BEDELL 90605,A81000C,00800,0400,CEO FINANCIAL S 90605,A81000C,00800,0600,LEASING COMPANY 90605,A81000C,00900,0100,A 90605,A81000C,00900,0200,DON C BEDELL 90605,A81000C,00900,0400,CEO FINANCIAL S 90605,A81000C,00900,0600,LEASING COMPANY 90605,A81000C,01000,0100,A 90605,A81000C,01000,0200,DON C BEDELL 90605,A81000C,01000,0400,CEO FINANCIAL S 90605,A81000C,01000,0600,LEASING COMPANY 90605,A81000C,01001,0100,A 90605,A81000C,01001,0200,DON C BEDELL 90605,A81000C,01001,0400,CEO FINANCIAL S 90605,A81000C,01001,0600,LEASING COMPANY 90605,A81000C,01002,0100,A 90605,A81000C,01002,0200,DON C BEDELL 90605,A81000C,01002,0400,CEO FINANCIAL S 90605,A81000C,01002,0600,LEASING COMPANY 90605,A81000C,01003,0100,A 90605,A81000C,01003,0200,DON C BEDELL 90605,A81000C,01003,0400,HFMC 90605,A81000C,01003,0600,MANAGEMENT COMP 90605,A81000C,01004,0100,A 90605,A81000C,01004,0200,DON C BEDELL 90605,A81000C,01004,0400,CIRCLE-B 90605,A81000C,01004,0600,REAL ESTATE COM 90605,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90605,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90605,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90605,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90605,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90605,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90605,B100000,00000,0800,00000MEALS SERVED :DIETARY 90605,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90605,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90605,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90605,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90605,S000000,00100,0200,12/01/2000 90605,S200000,00100,0100,615 OLDHAM PARKWAY 90605,S200000,00200,0100,LEES SUMMIT 90605,S200000,00200,0200,MO 90605,S200000,00200,0300,64081- 90605,S200000,00300,0100,JACKSON 90605,S200000,00300,0200,3760 90605,S200000,00300,0300,U 90605,S200000,00400,0100,JEFFERSON HEALTHCARE 90605,S200000,00400,0200,265377 90605,S200000,00400,0300,06/01/1990 90605,S200000,00400,0500,P 90605,S200000,00600,0200,265377 90605,S200000,00600,0300,06/01/1990 90605,S200000,00600,0600,P 90605,S200000,01600,0100,Y 90605,S200000,04700,0100,Y 90605,S200000,04700,0200,Y 90615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90615,A000000,00300,0000,00300EMPLOYEE BENEFITS 90615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90615,A000000,00700,0000,00700HOUSEKEEPING 90615,A000000,00800,0000,00800DIETARY 90615,A000000,00900,0000,00900NURSING ADMINISTRATION 90615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90615,A000000,01100,0000,01100PHARMACY 90615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90615,A000000,01300,0000,01300SOCIAL SERVICE 90615,A000000,01301,0000,01301ACTIVITIES 90615,A000000,01350,0000,01500OTHER GENERAL SERVICES 90615,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90615,A000000,01600,0000,01600SKILLED NURSING FACILITY 90615,A000000,01800,0000,01800NURSING FACILITY 90615,A000000,01900,0000,01900OTHER LONG TERM CARE 90615,A000000,02100,0000,02100RADIOLOGY 90615,A000000,02200,0000,02200LABORATORY 90615,A000000,02300,0000,02300INTRAVENOUS THERAPY 90615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90615,A000000,02500,0000,02500PHYSICAL THERAPY 90615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90615,A000000,02700,0000,02700SPEECH PATHOLOGY 90615,A000000,02800,0000,02800ELECTROCARDIOLOGY 90615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90615,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90615,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90615,A000000,03200,0000,03200SUPPORT SURFACES 90615,A000000,03400,0000,03400CLINIC 90615,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90615,A000000,03500,0000,03500RURAL HEALTH CLINIC 90615,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90615,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90615,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90615,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90615,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90615,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90615,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90615,A000000,04400,0000,04400DME RENTED - HHA 90615,A000000,04500,0000,04500DME SOLD - HHA 90615,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90615,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90615,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90615,A000000,04800,0000,04800AMBULANCE 90615,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90615,A000000,05000,0000,05000CORF 90615,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90615,A000000,05300,0000,05300INTEREST EXPENSE 90615,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90615,A000000,05500,0000,05500HOSPICE 90615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90615,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90615,A000000,06100,0000,06100NONPAID WORKERS 90615,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90615,A000000,06200,0000,06200PATIENTS LAUNDRY 90615,A81000A,00100,0100,Y 90615,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 90615,A81000B,00200,0300,CAPITAL 90615,A81000C,00100,0100,A 90615,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 90615,A81000C,00100,0400,LENOX HEALTHCARE INC 90615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90615,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90615,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90615,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90615,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90615,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90615,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90615,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90615,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90615,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 90615,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90615,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90615,S000000,00100,0200,03/02/2000 90615,S200000,00100,0100,1080 LOCKETT ROAD 90615,S200000,00200,0100,DES PERES 90615,S200000,00200,0200,MO 90615,S200000,00200,0300,63131- 90615,S200000,00300,0100,ST. LOUIS 90615,S200000,00400,0100,DES PERES HEALTHCARE & REHAB CENTER 90615,S200000,00400,0200,265380 90615,S200000,00400,0300,11/01/1985 90615,S200000,00400,0500,P 90615,S200000,01600,0100,Y 90615,S700003,00000,0100,1 90624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90624,A000000,00300,0000,00300EMPLOYEE BENEFITS 90624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90624,A000000,00700,0000,00700HOUSEKEEPING 90624,A000000,00800,0000,00800DIETARY 90624,A000000,00900,0000,00900NURSING ADMINISTRATION 90624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90624,A000000,01100,0000,01100PHARMACY 90624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90624,A000000,01300,0000,01300SOCIAL SERVICE 90624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90624,A000000,01600,0000,01600SKILLED NURSING FACILITY 90624,A000000,01800,0000,01800NURSING FACILITY 90624,A000000,01900,0000,01900OTHER LONG TERM CARE 90624,A000000,02100,0000,02100RADIOLOGY 90624,A000000,02200,0000,02200LABORATORY 90624,A000000,02300,0000,02300INTRAVENOUS THERAPY 90624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90624,A000000,02500,0000,02500PHYSICAL THERAPY 90624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90624,A000000,02700,0000,02700SPEECH PATHOLOGY 90624,A000000,02800,0000,02800ELECTROCARDIOLOGY 90624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90624,A000000,03200,0000,03200SUPPORT SURFACES 90624,A000000,03400,0000,03400CLINIC 90624,A000000,03500,0000,03500RURAL HEALTH CLINIC 90624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90624,A000000,04400,0000,04400DME RENTED - HHA 90624,A000000,04500,0000,04500DME SOLD - HHA 90624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90624,A000000,05300,0000,05300INTEREST EXPENSE 90624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90624,A000000,05500,0000,05500HOSPICE 90624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90624,A000000,06100,0000,06100NONPAID WORKERS 90624,A000000,06200,0000,06200PATIENTS LAUNDRY 90624,A81000A,00100,0100,Y 90624,A81000B,00100,0300,MANAGEMENT FEES 90624,A81000C,00100,0100,A 90624,A81000C,00100,0200,R H MONTGOMERY 90624,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90624,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90624,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90624,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90624,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90624,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90624,B100000,00000,0850,00000PAT DAYS :DIETARY 90624,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90624,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90624,B100000,00000,1150,00000BLANK :PHARMACY 90624,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90624,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90624,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90624,S000000,00100,0200,05/25/2000 90624,S200000,00100,0100,750 EAST HIGHWAY 22 90624,S200000,00200,0100,CENTRAILIA 90624,S200000,00200,0200,MO 90624,S200000,00200,0300,65240- 90624,S200000,00300,0100,BOONE 90624,S200000,00400,0100,HERITAGE HALL NURSING CENTER 90624,S200000,00400,0200,265385 90624,S200000,00400,0300,09/01/1989 90624,S200000,00400,0500,P 90624,S200000,01600,0100,Y 90624,S200000,02200,0100,Y 90624,S200000,04300,0100,Y 90627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90627,A000000,00300,0000,00300EMPLOYEE BENEFITS 90627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90627,A000000,00700,0000,00700HOUSEKEEPING 90627,A000000,00800,0000,00800DIETARY 90627,A000000,00900,0000,00900NURSING ADMINISTRATION 90627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90627,A000000,01100,0000,01100PHARMACY 90627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90627,A000000,01300,0000,01300SOCIAL SERVICE 90627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90627,A000000,01600,0000,01600SKILLED NURSING FACILITY 90627,A000000,01800,0000,01800NURSING FACILITY 90627,A000000,01810,0000,01810ICF/MR 90627,A000000,02200,0000,02200LABORATORY 90627,A000000,02300,0000,02300INTRAVENOUS THERAPY 90627,A000000,02500,0000,02500PHYSICAL THERAPY 90627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90627,A000000,02700,0000,02700SPEECH PATHOLOGY 90627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90627,A000000,03200,0000,03200SUPPORT SURFACES 90627,A000000,03550,0000,03550FQHC 90627,A000000,05000,0000,05000CORF 90627,A000000,05010,0000,05010CMHC 90627,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90627,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90627,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90627,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90627,A81000A,00100,0100,Y 90627,A81000B,00100,0300,ADMINISTRATOR SALARY 90627,A81000B,00200,0300,D.O.N. SALARY 90627,A81000B,00300,0300,RELATED PARTY PT 90627,A81000B,00400,0300,RELATED PARTY OT 90627,A81000B,00500,0300,RELATED PARTY SPEECH 90627,A81000B,00600,0300,EQUIPMENT LEASE RP 90627,A81000B,00700,0300,EQUIPMENT LEASE RP 90627,A81000B,00800,0300,EQUIPMENT LEASE RP 90627,A81000B,00900,0300,EQUIPMENT LEASE RP 90627,A81000B,01000,0300,EQUIPMENT LEASE RP 90627,A81000B,01100,0300,EQUIPMENT LEASE RP 90627,A81000B,01200,0300,EQUIPMENT LEASE RP 90627,A81000B,01300,0300,HOME OFFICE COSTS 90627,A81000C,00100,0100,A 90627,A81000C,00100,0200,DON C BEDELL 90627,A81000C,00100,0400,HEARTLAND PERSO 90627,A81000C,00100,0600,LEASING COMPANY 90627,A81000C,00200,0100,A 90627,A81000C,00200,0200,DON C BEDELL 90627,A81000C,00200,0400,HEARTLAND PERSO 90627,A81000C,00200,0600,LEASING COMPANY 90627,A81000C,00300,0100,A 90627,A81000C,00300,0200,DON C BEDELL 90627,A81000C,00300,0400,HFRS 90627,A81000C,00300,0600,REHAB COMPANY 90627,A81000C,00400,0100,A 90627,A81000C,00400,0200,DON C BEDELL 90627,A81000C,00400,0400,HFRS 90627,A81000C,00400,0600,REHAB COMPANY 90627,A81000C,00500,0100,A 90627,A81000C,00500,0200,DON C BEDELL 90627,A81000C,00500,0400,HFRS 90627,A81000C,00500,0600,REHAB COMPANY 90627,A81000C,00600,0100,A 90627,A81000C,00600,0200,DON C BEDELL 90627,A81000C,00600,0400,CEO FINANCIAL S 90627,A81000C,00600,0600,LEASING COMPANY 90627,A81000C,00700,0100,A 90627,A81000C,00700,0200,DON C BEDELL 90627,A81000C,00700,0400,CEO FINANCIAL S 90627,A81000C,00700,0600,LEASING COMPANY 90627,A81000C,00800,0100,A 90627,A81000C,00800,0200,DON C BEDELL 90627,A81000C,00800,0400,CEO FINANCIAL S 90627,A81000C,00800,0600,LEASING COMPANY 90627,A81000C,00900,0100,A 90627,A81000C,00900,0200,DON C BEDELL 90627,A81000C,00900,0400,CEO FINANCIAL S 90627,A81000C,00900,0600,LEASING COMPANY 90627,A81000C,01000,0100,A 90627,A81000C,01000,0200,DON C BEDELL 90627,A81000C,01000,0400,CEO FINANCIAL S 90627,A81000C,01000,0600,LEASING COMPANY 90627,A81000C,01001,0100,A 90627,A81000C,01001,0200,DON C BEDELL 90627,A81000C,01001,0400,CEO FINANCIAL S 90627,A81000C,01001,0600,LEASING COMPANY 90627,A81000C,01002,0100,A 90627,A81000C,01002,0200,DON C BEDELL 90627,A81000C,01002,0400,CEO FINANCIAL S 90627,A81000C,01002,0600,LEASING COMPANY 90627,A81000C,01003,0100,A 90627,A81000C,01003,0200,DON C BEDELL 90627,A81000C,01003,0400,HFMC 90627,A81000C,01003,0600,MANAGEMENT COMP 90627,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90627,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90627,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90627,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90627,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90627,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90627,B100000,00000,0800,00000MEALS SERVED :DIETARY 90627,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90627,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90627,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90627,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90627,S000000,00100,0200,12/01/2000 90627,S200000,00100,0100,628 NORTH WEST STREET 90627,S200000,00200,0100,SIKESTON 90627,S200000,00200,0200,MO 90627,S200000,00200,0300,63801- 90627,S200000,00300,0100,SCOTT 90627,S200000,00300,0200,26 90627,S200000,00300,0300,R 90627,S200000,00400,0100,HUNTER ACRES CARING CENTER 90627,S200000,00400,0200,265387 90627,S200000,00400,0300,06/01/1990 90627,S200000,00400,0500,P 90627,S200000,00600,0200,265387 90627,S200000,00600,0300,06/01/1990 90627,S200000,00600,0600,P 90627,S200000,01600,0100,Y 90636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90636,A000000,00300,0000,00300EMPLOYEE BENEFITS 90636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90636,A000000,00700,0000,00700HOUSEKEEPING 90636,A000000,00800,0000,00800DIETARY 90636,A000000,00900,0000,00900NURSING ADMINISTRATION 90636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90636,A000000,01100,0000,01100PHARMACY 90636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90636,A000000,01300,0000,01300SOCIAL SERVICE 90636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90636,A000000,01600,0000,01600SKILLED NURSING FACILITY 90636,A000000,01800,0000,01800NURSING FACILITY 90636,A000000,01900,0000,01900OTHER LONG TERM CARE 90636,A000000,02100,0000,02100RADIOLOGY 90636,A000000,02200,0000,02200LABORATORY 90636,A000000,02300,0000,02300INTRAVENOUS THERAPY 90636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90636,A000000,02500,0000,02500PHYSICAL THERAPY 90636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90636,A000000,02700,0000,02700SPEECH PATHOLOGY 90636,A000000,02800,0000,02800ELECTROCARDIOLOGY 90636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90636,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90636,A000000,03200,0000,03200SUPPORT SURFACES 90636,A000000,03400,0000,03400CLINIC 90636,A000000,03500,0000,03500RURAL HEALTH CLINIC 90636,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90636,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90636,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90636,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90636,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90636,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90636,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90636,A000000,04400,0000,04400DME RENTED - HHA 90636,A000000,04500,0000,04500DME SOLD - HHA 90636,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90636,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90636,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90636,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90636,A000000,05300,0000,05300INTEREST EXPENSE 90636,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90636,A000000,05500,0000,05500HOSPICE 90636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90636,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90636,A000000,06100,0000,06100NONPAID WORKERS 90636,A000000,06200,0000,06200PATIENTS LAUNDRY 90636,A81000A,00100,0100,Y 90636,A81000B,00100,0300,MANAGEMENT FEES 90636,A81000C,00100,0100,A 90636,A81000C,00100,0200,R H MONTGOMERY 90636,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90636,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90636,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90636,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90636,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90636,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90636,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90636,B100000,00000,0850,00000PAT DAYS :DIETARY 90636,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90636,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90636,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90636,S000000,00100,0200,05/25/2000 90636,S200000,00100,0100,1108 W LIBERTY 90636,S200000,00200,0100,FARMINGTON 90636,S200000,00200,0200,MO 90636,S200000,00200,0300,63640- 90636,S200000,00300,0100,ST. FRANCIS 90636,S200000,00300,0200,26 90636,S200000,00300,0300,R 90636,S200000,00400,0100,SOUTHBROOK NURSING CENTER 90636,S200000,00400,0200,265389 90636,S200000,00400,0300,09/06/1989 90636,S200000,00400,0500,P 90636,S200000,01600,0100,Y 90636,S200000,02200,0100,Y 90636,S200000,04300,0100,Y 90644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90644,A000000,00300,0000,00300EMPLOYEE BENEFITS 90644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90644,A000000,00700,0000,00700HOUSEKEEPING 90644,A000000,00800,0000,00800DIETARY 90644,A000000,00900,0000,00900NURSING ADMINISTRATION 90644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90644,A000000,01100,0000,01100PHARMACY 90644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90644,A000000,01300,0000,01300SOCIAL SERVICE 90644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90644,A000000,01600,0000,01600SKILLED NURSING FACILITY 90644,A000000,01800,0000,01800NURSING FACILITY 90644,A000000,01810,0000,01810ICF/MR 90644,A000000,02100,0000,02100RADIOLOGY 90644,A000000,02200,0000,02200LABORATORY 90644,A000000,02300,0000,02300INTRAVENOUS THERAPY 90644,A000000,02500,0000,02500PHYSICAL THERAPY 90644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90644,A000000,02700,0000,02700SPEECH PATHOLOGY 90644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90644,A000000,03200,0000,03200SUPPORT SURFACES 90644,A000000,03550,0000,03550FQHC 90644,A000000,05000,0000,05000CORF 90644,A000000,05010,0000,05010CMHC 90644,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90644,A81000A,00100,0100,Y 90644,A81000B,00100,0300,ADMIN SALARY 90644,A81000B,00200,0300,DON SALARY 90644,A81000B,00300,0300,PHYSICAL THERAPY 90644,A81000B,00400,0300,OCCUPATIONAL THERAPY 90644,A81000B,00500,0300,SPEECH THERAPY 90644,A81000B,00600,0300,EQUIP. RENTAL 90644,A81000B,00700,0300,EQUIP. RENTAL 90644,A81000B,00800,0300,EQUIP. RENTAL 90644,A81000B,00900,0300,EQUIP. RENTAL 90644,A81000B,01000,0300,HOME OFFICE 90644,A81000C,00100,0100,A 90644,A81000C,00100,0200,DON C. BEDELL 90644,A81000C,00100,0400,HEARTLAND PERSO 90644,A81000C,00100,0600,LEASING CO. 90644,A81000C,00200,0100,A 90644,A81000C,00200,0200,DON C. BEDELL 90644,A81000C,00200,0400,HEARTLAND PERSO 90644,A81000C,00200,0600,LEASING CO. 90644,A81000C,00300,0100,A 90644,A81000C,00300,0200,DON C. BEDELL 90644,A81000C,00300,0400,HFRS 90644,A81000C,00300,0600,REHAB CO. 90644,A81000C,00400,0100,A 90644,A81000C,00400,0200,DON C. BEDELL 90644,A81000C,00400,0400,HFRS 90644,A81000C,00400,0600,REHAB CO. 90644,A81000C,00500,0100,A 90644,A81000C,00500,0200,DON C. BEDELL 90644,A81000C,00500,0400,HFRS 90644,A81000C,00500,0600,REHAB CO. 90644,A81000C,00600,0100,A 90644,A81000C,00600,0200,DON C BEDELL 90644,A81000C,00600,0400,CEO FINANCIAL 90644,A81000C,00600,0600,LEASING CO. 90644,A81000C,00700,0100,A 90644,A81000C,00700,0200,DON C. BEDELL 90644,A81000C,00700,0400,CEO FINANCIAL 90644,A81000C,00700,0600,LEASING CO. 90644,A81000C,00800,0100,A 90644,A81000C,00800,0200,DON C. BEDELL 90644,A81000C,00800,0400,CEO FINANCIAL 90644,A81000C,00800,0600,LEASING CO. 90644,A81000C,00900,0100,A 90644,A81000C,00900,0200,DON C. BEDELL 90644,A81000C,00900,0400,CEO FINANCIAL 90644,A81000C,00900,0600,LEASING CO. 90644,A81000C,01000,0100,A 90644,A81000C,01000,0200,DON C. BEDELL 90644,A81000C,01000,0400,HFMC 90644,A81000C,01000,0600,MANAGEMENT CO. 90644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90644,B100000,00000,0800,00000MEALS SERVED :DIETARY 90644,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90644,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90644,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90644,B100000,00000,1330,00000PATIEN DAYS :SOCIAL SERVICE 90644,S000000,00100,0200,12/01/2000 90644,S200000,00100,0100,5460 DELMAR BOULEVARD 90644,S200000,00200,0100,ST. LOUIS 90644,S200000,00200,0200,MO 90644,S200000,00200,0300,63112- 90644,S200000,00300,0100,ST. LOUIS CITY 90644,S200000,00300,0200,7040 90644,S200000,00300,0300,U 90644,S200000,00400,0100,DELHAVEN MANOR 90644,S200000,00400,0200,265392 90644,S200000,00400,0300,08/31/1989 90644,S200000,00400,0500,P 90644,S200000,00600,0200,265392 90644,S200000,00600,0300,08/31/1989 90644,S200000,00600,0600,P 90644,S200000,01600,0100,Y 90654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90654,A000000,00300,0000,00300EMPLOYEE BENEFITS 90654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90654,A000000,00700,0000,00700HOUSEKEEPING 90654,A000000,00800,0000,00800DIETARY 90654,A000000,00900,0000,00900NURSING ADMINISTRATION 90654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90654,A000000,01100,0000,01100PHARMACY 90654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90654,A000000,01300,0000,01300SOCIAL SERVICE 90654,A000000,01350,0000,01500OTHER GENERAL SERVICES 90654,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90654,A000000,01600,0000,01600SKILLED NURSING FACILITY 90654,A000000,01800,0000,01800NURSING FACILITY 90654,A000000,01810,0000,01801ICF/MR 90654,A000000,01900,0000,01900OTHER LONG TERM CARE 90654,A000000,02100,0000,02100RADIOLOGY 90654,A000000,02200,0000,02200LABORATORY 90654,A000000,02300,0000,02300INTRAVENOUS THERAPY 90654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90654,A000000,02500,0000,02500PHYSICAL THERAPY 90654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90654,A000000,02700,0000,02700SPEECH PATHOLOGY 90654,A000000,02800,0000,02800ELECTROCARDIOLOGY 90654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90654,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90654,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90654,A000000,03200,0000,03200SUPPORT SURFACES 90654,A000000,03400,0000,03400CLINIC 90654,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90654,A000000,03500,0000,03500RURAL HEALTH CLINIC 90654,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90654,A000000,04800,0000,04800AMBULANCE 90654,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90654,A000000,05000,0000,05000CORF 90654,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90654,A000000,05300,0000,05300INTEREST EXPENSE 90654,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90654,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90654,A000000,05500,0000,05500HOSPICE 90654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90654,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90654,A000000,06100,0000,06100NONPAID WORKERS 90654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90654,A000000,06200,0000,06200PATIENTS LAUNDRY 90654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90654,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 90654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90654,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90654,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90654,B100000,00000,0800,00000MEALS SERVED :DIETARY 90654,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 90654,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 90654,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90654,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90654,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90654,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90654,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90654,E10A180,00350,0100,09/01/2000 90654,S000000,00100,0200,02/27/2001 90654,S200000,00100,0100,910 S. WEST AVENUE 90654,S200000,00200,0100,SPRINGFIELD 90654,S200000,00200,0200,MO 90654,S200000,00200,0300,65802- 90654,S200000,00300,0100,GREENE 90654,S200000,00400,0100,GREENE COUNTY NSG & CARE CENTER INC 90654,S200000,00400,0200,265394 90654,S200000,00400,0300,09/21/1989 90654,S200000,00400,0500,P 90654,S200000,01600,0100,Y 90654,S200000,02800,0100,Y 90664,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90664,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90664,A000000,00300,0000,00300EMPLOYEE BENEFITS 90664,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90664,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90664,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90664,A000000,00700,0000,00700HOUSEKEEPING 90664,A000000,00800,0000,00800DIETARY 90664,A000000,00900,0000,00900NURSING ADMINISTRATION 90664,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90664,A000000,01600,0000,01600SKILLED NURSING FACILITY 90664,A000000,01800,0000,01800NURSING FACILITY 90664,A000000,02200,0000,02200LABORATORY 90664,A000000,02300,0000,02300INTRAVENOUS THERAPY 90664,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90664,A000000,02500,0000,02500PHYSICAL THERAPY 90664,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90664,A000000,02700,0000,02700SPEECH PATHOLOGY 90664,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90664,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90664,A000000,03200,0000,03200SUPPORT SURFACES 90664,A000000,04800,0000,04800AMBULANCE 90664,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90664,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90664,A81000A,00100,0100,Y 90664,A81000B,00100,0300,RELATED PARTY LEASE 90664,A81000B,00200,0300,HOME OFFICE COSTS 90664,A81000C,00100,0100,D 90664,A81000C,00100,0200,CAROLYN GOODMAN 90664,A81000C,00100,0400,OGG-MISSOURI 90664,A81000C,00100,0600,FACILITY LEASE 90664,A81000C,00200,0100,A 90664,A81000C,00200,0200,JJ HEALTHCARE 90664,A81000C,00200,0400,HMFC LTD. 90664,A81000C,00200,0600,HOME OFFICE 90664,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90664,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90664,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90664,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90664,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90664,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90664,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90664,B100000,00000,0800,00000MEALS SERVED :DIETARY 90664,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90664,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90664,S000000,00100,0200,02/01/2000 90664,S200000,00100,0100,615 RANCHO DRIVE 90664,S200000,00200,0100,FLORISSANT 90664,S200000,00200,0200,MO 90664,S200000,00200,0300,63031- 90664,S200000,00300,0100,ST. LOUIS 90664,S200000,00400,0100,FLORISSANT NURSING CENTER 90664,S200000,00400,0200,265402 90664,S200000,00400,0300,08/01/1993 90664,S200000,00400,0500,P 90664,S200000,01004,0500,O 90664,S200000,01600,0100,Y 90664,S200000,02200,0100,Y 90664,S700003,00000,0100,1 90666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90666,A000000,00300,0000,00300EMPLOYEE BENEFITS 90666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90666,A000000,00700,0000,00700HOUSEKEEPING 90666,A000000,00800,0000,00800DIETARY 90666,A000000,00900,0000,00900NURSING ADMINISTRATION 90666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90666,A000000,01100,0000,01100PHARMACY 90666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90666,A000000,01300,0000,01300SOCIAL SERVICE 90666,A000000,01350,0000,01500OTHER GENERAL SERVICES 90666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90666,A000000,01600,0000,01600SKILLED NURSING FACILITY 90666,A000000,01800,0000,01800NURSING FACILITY 90666,A000000,01810,0000,01801ICF/MR 90666,A000000,01900,0000,01900OTHER LONG TERM CARE 90666,A000000,02100,0000,02100RADIOLOGY 90666,A000000,02200,0000,02200LABORATORY 90666,A000000,02300,0000,02300INTRAVENOUS THERAPY 90666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90666,A000000,02500,0000,02500PHYSICAL THERAPY 90666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90666,A000000,02700,0000,02700SPEECH PATHOLOGY 90666,A000000,02800,0000,02800ELECTROCARDIOLOGY 90666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90666,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90666,A000000,03200,0000,03200SUPPORT SURFACES 90666,A000000,03400,0000,03400CLINIC 90666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90666,A000000,03500,0000,03500RURAL HEALTH CLINIC 90666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90666,A000000,04400,0000,04400DME RENTED - HHA 90666,A000000,04500,0000,04500DME SOLD - HHA 90666,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90666,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90666,A000000,04800,0000,04800AMBULANCE 90666,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90666,A000000,05000,0000,05000CORF 90666,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90666,A000000,05300,0000,05300INTEREST EXPENSE 90666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90666,A000000,05500,0000,05500HOSPICE 90666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90666,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90666,A000000,06100,0000,06100NONPAID WORKERS 90666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90666,A000000,06200,0000,06200PATIENTS LAUNDRY 90666,A81000A,00100,0100,Y 90666,A81000B,00100,0300,MANAGEMENT FEES 90666,A81000C,00100,0100,A 90666,A81000C,00100,0200,ROBERT WACHTER 90666,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 90666,A81000C,00100,0600,MANAGEMENT COMPANY 90666,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90666,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90666,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90666,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90666,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90666,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90666,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90666,B100000,00000,0800,00000MEALS SERVED :DIETARY 90666,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90666,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90666,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90666,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90666,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90666,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90666,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90666,S000000,00100,0200,05/22/2000 90666,S200000,00100,0100,615 RANCHO DRIVE 90666,S200000,00200,0100,FLORISSANT 90666,S200000,00200,0200,MO 90666,S200000,00200,0300,63031- 90666,S200000,00300,0100,ST. LOUIS 90666,S200000,00400,0100,FLORISSANT NURSING CENTER 90666,S200000,00400,0200,265402 90666,S200000,00400,0300,09/01/1999 90666,S200000,00400,0500,P 90666,S200000,01600,0100,Y 90666,S700003,00000,0200,2 90668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90668,A000000,00300,0000,00300EMPLOYEE BENEFITS 90668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90668,A000000,00700,0000,00700HOUSEKEEPING 90668,A000000,00800,0000,00800DIETARY 90668,A000000,00900,0000,00900NURSING ADMINISTRATION 90668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90668,A000000,01100,0000,01100PHARMACY 90668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90668,A000000,01300,0000,01300SOCIAL SERVICE 90668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90668,A000000,01600,0000,01600SKILLED NURSING FACILITY 90668,A000000,01800,0000,01800NURSING FACILITY 90668,A000000,01810,0000,01810ICF/MR 90668,A000000,02100,0000,02100RADIOLOGY 90668,A000000,02200,0000,02200LABORATORY 90668,A000000,02300,0000,02300INTRAVENOUS THERAPY 90668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90668,A000000,02500,0000,02500PHYSICAL THERAPY 90668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90668,A000000,02700,0000,02700SPEECH PATHOLOGY 90668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90668,A000000,03200,0000,03200SUPPORT SURFACES 90668,A000000,03550,0000,03550FQHC 90668,A000000,05000,0000,05000CORF 90668,A000000,05010,0000,05010CMHC 90668,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90668,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90668,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90668,A81000A,00100,0100,Y 90668,A81000B,00100,0300,ADMINISTRATOR SALARY 90668,A81000B,00200,0300,D.O.N. SALARY 90668,A81000B,00300,0300,REALATED PARTY PT 90668,A81000B,00400,0300,RELATED PARTY OT 90668,A81000B,00500,0300,RELATED PARTY ST 90668,A81000B,00600,0300,EQUIPMENT LEASE RP 90668,A81000B,00700,0300,EQUIPMENT LEASE RP 90668,A81000B,00800,0300,EQUIPMENT LEASE RP 90668,A81000B,00900,0300,EQUIPMENT LEASE RP 90668,A81000B,01000,0300,EQUIPMENT LEASE RP 90668,A81000B,01100,0300,EQUIPMENT LEASE RP 90668,A81000B,01200,0300,HOME OFFICE COST 90668,A81000C,00100,0100,A 90668,A81000C,00100,0200,DON C BEDELL 90668,A81000C,00100,0400,HEARTLAND PERSO 90668,A81000C,00100,0600,LEASING COMPANY 90668,A81000C,00200,0100,A 90668,A81000C,00200,0200,DON C BEDELL 90668,A81000C,00200,0400,HEARTLAND PERSO 90668,A81000C,00200,0600,LEASING COMPANY 90668,A81000C,00300,0100,A 90668,A81000C,00300,0200,DON C BEDELL 90668,A81000C,00300,0400,HFRS 90668,A81000C,00300,0600,REHAB COMPANY 90668,A81000C,00400,0100,A 90668,A81000C,00400,0200,DON C BEDELL 90668,A81000C,00400,0400,HFRS 90668,A81000C,00400,0600,REHAB COMPANY 90668,A81000C,00500,0100,A 90668,A81000C,00500,0200,DON C BEDELL 90668,A81000C,00500,0400,HFRS 90668,A81000C,00500,0600,REHAB COMPANY 90668,A81000C,00600,0100,A 90668,A81000C,00600,0200,DON C BEDELL 90668,A81000C,00600,0400,CEO FINANCIAL S 90668,A81000C,00600,0600,LEASING COMPANY 90668,A81000C,00700,0100,A 90668,A81000C,00700,0200,DON C BEDELL 90668,A81000C,00700,0400,CEO FINANCIAL S 90668,A81000C,00700,0600,LEASING COMPANY 90668,A81000C,00800,0100,A 90668,A81000C,00800,0200,DON C BEDELL 90668,A81000C,00800,0400,CEO FINANCIAL S 90668,A81000C,00800,0600,LEASING COMPANY 90668,A81000C,00900,0100,A 90668,A81000C,00900,0200,DON C BEDELL 90668,A81000C,00900,0400,CEO FINANCIAL S 90668,A81000C,00900,0600,LEASING COMPANY 90668,A81000C,01000,0100,A 90668,A81000C,01000,0200,DON C BEDELL 90668,A81000C,01000,0400,CEO FINANCIAL S 90668,A81000C,01000,0600,LEASING COMPANY 90668,A81000C,01001,0100,A 90668,A81000C,01001,0200,DON C BEDELL 90668,A81000C,01001,0400,CEO FINANCIAL S 90668,A81000C,01001,0600,LEASING COMPANY 90668,A81000C,01002,0100,A 90668,A81000C,01002,0200,DON C BEDELL 90668,A81000C,01002,0400,HFMC 90668,A81000C,01002,0600,MANAGEMENT COMP 90668,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90668,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90668,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90668,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90668,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90668,B100000,00000,0800,00000MEALS SERVED :DIETARY 90668,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90668,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90668,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90668,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90668,S000000,00100,0200,12/01/2000 90668,S200000,00100,0100,10300 TRUMAN ROAD 90668,S200000,00200,0100,INDEPENDENCE 90668,S200000,00200,0200,MO 90668,S200000,00200,0300,64052- 90668,S200000,00300,0100,JACKSON 90668,S200000,00300,0200,3760 90668,S200000,00300,0300,U 90668,S200000,00400,0100,MAYWOOD TERRACE LIVING CENTER 90668,S200000,00400,0200,265404 90668,S200000,00400,0300,04/01/1996 90668,S200000,00400,0500,P 90668,S200000,00600,0200,265404 90668,S200000,00600,0300,04/01/1996 90668,S200000,00600,0600,P 90668,S200000,01600,0100,Y 90668,S200000,04700,0100,Y 90668,S200000,04700,0200,Y 90677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90677,A000000,00300,0000,00300EMPLOYEE BENEFITS 90677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90677,A000000,00700,0000,00700HOUSEKEEPING 90677,A000000,00800,0000,00800DIETARY 90677,A000000,00900,0000,00900NURSING ADMINISTRATION 90677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90677,A000000,01100,0000,01100PHARMACY 90677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90677,A000000,01300,0000,01300SOCIAL SERVICE 90677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90677,A000000,01600,0000,01600SKILLED NURSING FACILITY 90677,A000000,01800,0000,01800NURSING FACILITY 90677,A000000,01810,0000,01810ICF/MR 90677,A000000,02100,0000,02100RADIOLOGY 90677,A000000,02200,0000,02200LABORATORY 90677,A000000,02300,0000,02300INTRAVENOUS THERAPY 90677,A000000,02500,0000,02500PHYSICAL THERAPY 90677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90677,A000000,02700,0000,02700SPEECH PATHOLOGY 90677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90677,A000000,03200,0000,03200SUPPORT SURFACES 90677,A000000,03550,0000,03550FQHC 90677,A000000,05000,0000,05000CORF 90677,A000000,05010,0000,05010CMHC 90677,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90677,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90677,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90677,A81000A,00100,0100,Y 90677,A81000B,00100,0300,ADMINISTRATOR SALARY 90677,A81000B,00200,0300,D.O.N. SALARY 90677,A81000B,00300,0300,EQUIPMENT LEASE - RP 90677,A81000B,00400,0300,EQUIPMENT LEASE - RP 90677,A81000B,00500,0300,EQUIPMENT LEASE - RP 90677,A81000B,00600,0300,EQUIPMENT LEASE - RP 90677,A81000B,00700,0300,HOME OFFICE COST 90677,A81000B,00800,0300,FACILITY LEASE 90677,A81000C,00100,0100,A 90677,A81000C,00100,0200,DON C. BEDELL 90677,A81000C,00100,0400,HEARTLAND PERSO 90677,A81000C,00100,0600,LEASING COMPANY 90677,A81000C,00200,0100,A 90677,A81000C,00200,0200,DON C. BEDELL 90677,A81000C,00200,0400,HEARTLAND PERSO 90677,A81000C,00200,0600,LEASING COMPANY 90677,A81000C,00300,0100,A 90677,A81000C,00300,0200,DON C. BEDELL 90677,A81000C,00300,0400,CEO FINANCIAL S 90677,A81000C,00300,0600,LEASING COMPANY 90677,A81000C,00400,0100,A 90677,A81000C,00400,0200,DON C. BEDELL 90677,A81000C,00400,0400,CEO FINANCIAL S 90677,A81000C,00400,0600,LEASING COMPANY 90677,A81000C,00500,0100,A 90677,A81000C,00500,0200,DON C. BEDELL 90677,A81000C,00500,0400,CEO FINANCIAL S 90677,A81000C,00500,0600,LEASING COMPANY 90677,A81000C,00600,0100,A 90677,A81000C,00600,0200,DON C. BEDELL 90677,A81000C,00600,0400,CEO FINANCIAL S 90677,A81000C,00600,0600,LEASING COMPANY 90677,A81000C,00700,0100,A 90677,A81000C,00700,0200,DON C. BEDELL 90677,A81000C,00700,0400,HFMC 90677,A81000C,00700,0600,MANAGEMENT COMP 90677,A81000C,00800,0100,A 90677,A81000C,00800,0200,DON C. BEDELL 90677,A81000C,00800,0400,MOUNTAIN GROVE 90677,A81000C,00800,0600,REAL ESTATE COM 90677,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90677,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90677,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90677,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90677,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90677,B100000,00000,0800,00000MEALS SERVED :DIETARY 90677,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90677,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90677,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90677,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90677,S000000,00100,0200,12/01/2000 90677,S200000,00200,0100,MOUNTIAN GROVE 90677,S200000,00200,0200,MO 90677,S200000,00200,0300,65711- 90677,S200000,00300,0100,WRIGHT 90677,S200000,00300,0200,28 90677,S200000,00300,0300,R 90677,S200000,00400,0100,AUTUMN OAKS CARING CENTER 90677,S200000,00400,0200,265406 90677,S200000,00400,0300,10/18/1995 90677,S200000,00400,0500,P 90677,S200000,00600,0200,265406 90677,S200000,00600,0300,10/18/1995 90677,S200000,00600,0600,P 90677,S200000,01600,0100,Y 90677,S200000,04900,0100,Y 90690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90690,A000000,00300,0000,00300EMPLOYEE BENEFITS 90690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90690,A000000,00700,0000,00700HOUSEKEEPING 90690,A000000,00800,0000,00800DIETARY 90690,A000000,00900,0000,00900NURSING ADMINISTRATION 90690,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90690,A000000,01100,0000,01100PHARMACY 90690,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90690,A000000,01300,0000,01300SOCIAL SERVICE 90690,A000000,01350,0000,01500OTHER GENERAL SERVICES 90690,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90690,A000000,01600,0000,01600SKILLED NURSING FACILITY 90690,A000000,01800,0000,01800NURSING FACILITY 90690,A000000,01810,0000,01801ICF/MR 90690,A000000,01900,0000,01900OTHER LONG TERM CARE 90690,A000000,02100,0000,02100RADIOLOGY 90690,A000000,02200,0000,02200LABORATORY 90690,A000000,02300,0000,02300INTRAVENOUS THERAPY 90690,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90690,A000000,02500,0000,02500PHYSICAL THERAPY 90690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90690,A000000,02700,0000,02700SPEECH PATHOLOGY 90690,A000000,02800,0000,02800ELECTROCARDIOLOGY 90690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90690,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90690,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90690,A000000,03200,0000,03200SUPPORT SURFACES 90690,A000000,03400,0000,03400CLINIC 90690,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90690,A000000,03500,0000,03500RURAL HEALTH CLINIC 90690,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90690,A000000,04800,0000,04800AMBULANCE 90690,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90690,A000000,05000,0000,05000CORF 90690,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90690,A000000,05300,0000,05300INTEREST EXPENSE 90690,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90690,A000000,05500,0000,05500HOSPICE 90690,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90690,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90690,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90690,A000000,06100,0000,06100NONPAID WORKERS 90690,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90690,A000000,06200,0000,06200PATIENTS LAUNDRY 90690,A81000A,00100,0100,Y 90690,A81000B,00100,0300,HOME OFFICE COSTS 90690,A81000B,00200,0300,HOME OFFICE COSTS 90690,A81000C,00100,0100,A 90690,A81000C,00100,0200,JAMES & JUDY LINCOLN 90690,A81000C,00100,0400,HEALTH SYSTEMS INC. 90690,A81000C,00100,0600,HOME OFFICE 90690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90690,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 90690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90690,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90690,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90690,B100000,00000,0800,00000MEALS SERVED :DIETARY 90690,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90690,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90690,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90690,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90690,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90690,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90690,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90690,S000000,00100,0200,05/18/2000 90690,S200000,00100,0100,700 EAST URBANDALE 90690,S200000,00200,0100,MOBERLY 90690,S200000,00200,0200,MO 90690,S200000,00200,0300,65270- 90690,S200000,00300,0100,RANDOLPH 90690,S200000,00400,0100,MOBERLY NURSING AND REHAB 90690,S200000,00400,0200,265407 90690,S200000,00400,0300,01/11/1990 90690,S200000,00400,0500,P 90690,S200000,01600,0100,Y 90690,S700003,00000,0300,3 90700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90700,A000000,00300,0000,00300EMPLOYEE BENEFITS 90700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90700,A000000,00700,0000,00700HOUSEKEEPING 90700,A000000,00800,0000,00800DIETARY 90700,A000000,00900,0000,00900NURSING ADMINISTRATION 90700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90700,A000000,01100,0000,01100PHARMACY 90700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90700,A000000,01300,0000,01300SOCIAL SERVICE 90700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90700,A000000,01600,0000,01600SKILLED NURSING FACILITY 90700,A000000,01800,0000,01800NURSING FACILITY 90700,A000000,01900,0000,01900OTHER LONG TERM CARE 90700,A000000,02100,0000,02100RADIOLOGY 90700,A000000,02200,0000,02200LABORATORY 90700,A000000,02300,0000,02300INTRAVENOUS THERAPY 90700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90700,A000000,02500,0000,02500PHYSICAL THERAPY 90700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90700,A000000,02700,0000,02700SPEECH PATHOLOGY 90700,A000000,02800,0000,02800ELECTROCARDIOLOGY 90700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90700,A000000,03200,0000,03200SUPPORT SURFACES 90700,A000000,03400,0000,03400CLINIC 90700,A000000,03500,0000,03500RURAL HEALTH CLINIC 90700,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90700,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90700,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90700,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90700,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90700,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90700,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90700,A000000,04400,0000,04400DME RENTED - HHA 90700,A000000,04500,0000,04500DME SOLD - HHA 90700,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90700,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90700,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90700,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90700,A000000,05300,0000,05300INTEREST EXPENSE 90700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90700,A000000,05500,0000,05500HOSPICE 90700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90700,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90700,A000000,06100,0000,06100NONPAID WORKERS 90700,A000000,06200,0000,06200PATIENTS LAUNDRY 90700,A81000A,00100,0100,Y 90700,A81000B,00100,0300,MANAGEMENT FEES 90700,A81000C,00100,0100,A 90700,A81000C,00100,0200,R H MONTGOMERY 90700,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90700,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90700,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90700,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90700,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90700,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90700,B100000,00000,0850,00000PAT DAYS :DIETARY 90700,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90700,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90700,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90700,S000000,00100,0200,05/25/2000 90700,S200000,00100,0100,2100 BARNES 90700,S200000,00200,0100,PIEDMONT 90700,S200000,00200,0200,MO 90700,S200000,00200,0300,63957- 90700,S200000,00300,0100,WAYNE 90700,S200000,00300,0200,26 90700,S200000,00300,0300,R 90700,S200000,00400,0100,CLARKS MOUNTAIN NURSING CENTER 90700,S200000,00400,0200,265416 90700,S200000,00400,0300,05/01/1989 90700,S200000,00400,0500,P 90700,S200000,01600,0100,Y 90700,S200000,02200,0100,Y 90700,S200000,04300,0100,Y 90708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90708,A000000,00300,0000,00300EMPLOYEE BENEFITS 90708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90708,A000000,00700,0000,00700HOUSEKEEPING 90708,A000000,00800,0000,00800DIETARY 90708,A000000,00900,0000,00900NURSING ADMINISTRATION 90708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90708,A000000,01300,0000,01300SOCIAL SERVICE 90708,A000000,01350,0000,01500OTHER GENERAL SERVICES 90708,A000000,01600,0000,01600SKILLED NURSING FACILITY 90708,A000000,01800,0000,01800NURSING FACILITY 90708,A000000,01810,0000,01810ICF/MR 90708,A000000,01900,0000,01900OTHER LONG TERM CARE 90708,A000000,02100,0000,02100RADIOLOGY 90708,A000000,02200,0000,02200LABORATORY 90708,A000000,02300,0000,02300INTRAVENOUS THERAPY 90708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90708,A000000,02500,0000,02500PHYSICAL THERAPY 90708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90708,A000000,02700,0000,02700SPEECH PATHOLOGY 90708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90708,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90708,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90708,A000000,03200,0000,03200SUPPORT SURFACES 90708,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90708,A000000,04800,0000,04800AMBULANCE 90708,A000000,05300,0000,05300INTEREST EXPENSE 90708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90708,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90708,A000000,06200,0000,06200PATIENTS LAUNDRY 90708,A81000A,00100,0100,Y 90708,A81000B,00100,0300,INTEREST 90708,A81000B,00200,0300,HOME OFFICE COSTS 90708,A81000B,00300,0300,HOME OFFICE COSTS 90708,A81000C,00100,0100,B 90708,A81000C,00100,0200,ALEXIAN BROTHERS HEALTH 90708,A81000C,00100,0400,ALEXIAN BROTHERS 90708,A81000C,00100,0600,HOME OFFICE 90708,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90708,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90708,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90708,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90708,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90708,B100000,00000,0800,00000MEALS SERVED :DIETARY 90708,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 90708,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 90708,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90708,B100000,00000,1300,00000TIMES SPENT :SOCIAL SERVICE 90708,B100000,00000,1350,00000POUNDS OF LAUNDRY :OTHER GENERAL SE 90708,E10A180,00501,0100,07/12/2000 90708,E10A180,00501,0300,07/12/2000 90708,S000000,00100,0200,06/05/2000 90708,S200000,00100,0100,4005 RIPA AVE 90708,S200000,00200,0100,ST. LOUIS 90708,S200000,00200,0200,MO 90708,S200000,00300,0100,ST. LOUIS 90708,S200000,00400,0100,ALEXIAN BROTHERS SHERBROOKE VILLAGE 90708,S200000,00400,0200,265417 90708,S200000,00400,0300,12/01/1991 90708,S200000,00400,0500,P 90708,S200000,01004,0500,O 90708,S200000,01600,0100,Y 90708,S200000,02200,0100,Y 90712,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90712,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90712,A000000,00300,0000,00300EMPLOYEE BENEFITS 90712,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90712,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90712,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90712,A000000,00700,0000,00700HOUSEKEEPING 90712,A000000,00800,0000,00800DIETARY 90712,A000000,00900,0000,00900NURSING ADMINISTRATION 90712,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90712,A000000,01100,0000,01100PHARMACY 90712,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90712,A000000,01300,0000,01300SOCIAL SERVICE 90712,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90712,A000000,01600,0000,01600SKILLED NURSING FACILITY 90712,A000000,01800,0000,01800NURSING FACILITY 90712,A000000,01810,0000,01810ICF/MR 90712,A000000,02100,0000,02100RADIOLOGY 90712,A000000,02200,0000,02200LABORATORY 90712,A000000,02300,0000,02300INTRAVENOUS THERAPY 90712,A000000,02500,0000,02500PHYSICAL THERAPY 90712,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90712,A000000,02700,0000,02700SPEECH PATHOLOGY 90712,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90712,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90712,A000000,03200,0000,03200SUPPORT SURFACES 90712,A000000,03550,0000,03550FQHC 90712,A000000,05000,0000,05000CORF 90712,A000000,05010,0000,05010CMHC 90712,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90712,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90712,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90712,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90712,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90712,A81000A,00100,0100,Y 90712,A81000B,00100,0300,ADMINISTRATOR SALARY 90712,A81000B,00200,0300,D.O.N. SALARY 90712,A81000B,00300,0300,RELATED PARTY PT 90712,A81000B,00400,0300,RELATED PARTY OT 90712,A81000B,00500,0300,RELATED PARTY SPEECH 90712,A81000B,00600,0300,EQUIPMENT LEASE RP 90712,A81000B,00700,0300,EQUIPMENT LEASE RP 90712,A81000B,00800,0300,EQUIPMENT LEASE RP 90712,A81000B,00900,0300,EQUIPMENT LEASE RP 90712,A81000B,01000,0300,EQUIPMENT LEASE RP 90712,A81000B,01100,0300,EQUIPMENT LEASE RP 90712,A81000B,01200,0300,HOME OFFICE COSTS 90712,A81000C,00100,0100,A 90712,A81000C,00100,0200,DON C BEDELL 90712,A81000C,00100,0400,HEARTLAND PERSO 90712,A81000C,00100,0600,LEASING COMPANY 90712,A81000C,00200,0100,A 90712,A81000C,00200,0200,DON C BEDELL 90712,A81000C,00200,0400,HEARTLAND PERSO 90712,A81000C,00200,0600,LEASING COMPANY 90712,A81000C,00300,0100,A 90712,A81000C,00300,0200,DON C BEDELL 90712,A81000C,00300,0400,HFRS 90712,A81000C,00300,0600,REHAB COMPANY 90712,A81000C,00400,0100,A 90712,A81000C,00400,0200,DON C BEDELL 90712,A81000C,00400,0400,HFRS 90712,A81000C,00400,0600,REHAB COMPANY 90712,A81000C,00500,0100,A 90712,A81000C,00500,0200,DON C BEDELL 90712,A81000C,00500,0400,HFRS 90712,A81000C,00500,0600,REHAB COMPANY 90712,A81000C,00600,0100,A 90712,A81000C,00600,0200,DON C BEDELL 90712,A81000C,00600,0400,CEO FINANCIAL 90712,A81000C,00600,0600,LEASING COMPANY 90712,A81000C,00700,0100,A 90712,A81000C,00700,0200,DON C BEDELL 90712,A81000C,00700,0400,CEO FINANCIAL 90712,A81000C,00700,0600,LEASING COMPANY 90712,A81000C,00800,0100,A 90712,A81000C,00800,0200,DON C BEDELL 90712,A81000C,00800,0400,CEO FINANCIAL 90712,A81000C,00800,0600,LEASING COMPANY 90712,A81000C,00900,0100,A 90712,A81000C,00900,0200,DON C BEDELL 90712,A81000C,00900,0400,CEO FINANCIAL 90712,A81000C,00900,0600,LEASING COMPANY 90712,A81000C,01000,0100,A 90712,A81000C,01000,0200,DON C BEDELL 90712,A81000C,01000,0400,CEO FINANCIAL 90712,A81000C,01000,0600,LEASING COMPANY 90712,A81000C,01001,0100,A 90712,A81000C,01001,0200,DON C BEDELL 90712,A81000C,01001,0400,CEO FINANCIAL 90712,A81000C,01001,0600,LEASING COMPANY 90712,A81000C,01002,0100,0 90712,A81000C,01002,0200,DON C BEDELL 90712,A81000C,01002,0400,HFMC 90712,A81000C,01002,0600,MANAGEMENT COMP 90712,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90712,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90712,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90712,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90712,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90712,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90712,B100000,00000,0800,00000MEALS SERVED :DIETARY 90712,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90712,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90712,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90712,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90712,S000000,00100,0200,12/01/2000 90712,S200000,00100,0100,100 WEST THOMAS AVENUE 90712,S200000,00100,0300,181 90712,S200000,00200,0100,WAVERLY 90712,S200000,00200,0200,MO 90712,S200000,00200,0300,64096- 90712,S200000,00300,0100,LAFAYETTE 90712,S200000,00300,0200,3760 90712,S200000,00300,0300,U 90712,S200000,00400,0100,APPLE RIDGE CARE CENTER 90712,S200000,00400,0200,265420 90712,S200000,00400,0300,04/01/1996 90712,S200000,00400,0500,P 90712,S200000,00400,0600,P 90712,S200000,00600,0200,265420 90712,S200000,00600,0300,04/01/1996 90712,S200000,00600,0600,P 90712,S200000,01600,0100,Y 90720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90720,A000000,00300,0000,00300EMPLOYEE BENEFITS 90720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90720,A000000,00700,0000,00700HOUSEKEEPING 90720,A000000,00800,0000,00800DIETARY 90720,A000000,00900,0000,00900NURSING ADMINISTRATION 90720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90720,A000000,01100,0000,01100PHARMACY 90720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90720,A000000,01300,0000,01300SOCIAL SERVICE 90720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90720,A000000,01600,0000,01600SKILLED NURSING FACILITY 90720,A000000,01800,0000,01800NURSING FACILITY 90720,A000000,01810,0000,01810ICF/MR 90720,A000000,02100,0000,02100RADIOLOGY 90720,A000000,02200,0000,02200LABORATORY 90720,A000000,02500,0000,02500PHYSICAL THERAPY 90720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90720,A000000,02700,0000,02700SPEECH PATHOLOGY 90720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90720,A000000,03200,0000,03200SUPPORT SURFACES 90720,A000000,03550,0000,03550FQHC 90720,A000000,04800,0000,04800AMBULANCE 90720,A000000,05000,0000,05000CORF 90720,A000000,05010,0000,05010CMHC 90720,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90720,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90720,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90720,A81000A,00100,0100,Y 90720,A81000B,00100,0300,ADMINISTRATOR SALARY 90720,A81000B,00200,0300,D.O.N. SALARY 90720,A81000B,00300,0300,RELATED PARTY PT 90720,A81000B,00400,0300,RELATED PARTY OT 90720,A81000B,00500,0300,RELATED PARTY ST 90720,A81000B,00600,0300,EQUIMPENT LEASE RP 90720,A81000B,00700,0300,EQUIPMENT LEASE RP 90720,A81000B,00800,0300,EQUIPMENT LEASE RP 90720,A81000B,00900,0300,EQUIPMENT LEASE RP 90720,A81000B,01000,0300,EQUIPMENT LEASE RP 90720,A81000B,01100,0300,HOME OFFICE COST 90720,A81000C,00100,0100,A 90720,A81000C,00100,0200,DON C BEDELL 90720,A81000C,00100,0400,HEARTLAND PERSO 90720,A81000C,00100,0600,LEASING COMPANY 90720,A81000C,00200,0100,A 90720,A81000C,00200,0200,DON C BEDELL 90720,A81000C,00200,0400,HEARTLAND PERSO 90720,A81000C,00200,0600,LEASING COMPANY 90720,A81000C,00300,0100,A 90720,A81000C,00300,0200,DON C BEDELL 90720,A81000C,00300,0400,HFRS 90720,A81000C,00300,0600,THERAPY COMPANY 90720,A81000C,00400,0100,A 90720,A81000C,00400,0200,DON C BEDELL 90720,A81000C,00400,0400,HFRS 90720,A81000C,00400,0600,THERAPY COMPANY 90720,A81000C,00500,0100,A 90720,A81000C,00500,0200,DON C BEDELL 90720,A81000C,00500,0400,HFRS 90720,A81000C,00500,0600,THERAPY COMPANY 90720,A81000C,00600,0100,A 90720,A81000C,00600,0200,DON C BEDELL 90720,A81000C,00600,0400,CEO FINANCIAL S 90720,A81000C,00600,0600,LEASING COMPANY 90720,A81000C,00700,0100,A 90720,A81000C,00700,0200,DON C BEDELL 90720,A81000C,00700,0400,CEO FINANCIAL S 90720,A81000C,00700,0600,LEASING COMPANY 90720,A81000C,00800,0100,A 90720,A81000C,00800,0200,DON C BEDELL 90720,A81000C,00800,0400,CEO FINANCIAL S 90720,A81000C,00800,0600,LEASING COMPANY 90720,A81000C,00900,0100,A 90720,A81000C,00900,0200,DON C BEDELL 90720,A81000C,00900,0400,CEO FINANCIAL S 90720,A81000C,00900,0600,LEASING COMPANY 90720,A81000C,01000,0100,A 90720,A81000C,01000,0200,DON C BEDELL 90720,A81000C,01000,0400,CEO FINANCIAL S 90720,A81000C,01000,0600,LEASING COMPANY 90720,A81000C,01001,0100,A 90720,A81000C,01001,0200,DON C BEDELL 90720,A81000C,01001,0400,HFMC 90720,A81000C,01001,0600,MANAGEMENT COMP 90720,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90720,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90720,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90720,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90720,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90720,B100000,00000,0800,00000MEALS SERVED :DIETARY 90720,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90720,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90720,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90720,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90720,S000000,00100,0200,12/01/2000 90720,S200000,00100,0100,6637 BERTHOLD AVENUE 90720,S200000,00200,0100,ST. LOUIS 90720,S200000,00200,0200,MO 90720,S200000,00200,0300,63139- 90720,S200000,00300,0100,ST. LOUIS CITY 90720,S200000,00300,0200,7040 90720,S200000,00300,0300,U 90720,S200000,00400,0100,OAK PARK NURSING CENTER 90720,S200000,00400,0200,265427 90720,S200000,00400,0300,10/01/1990 90720,S200000,00400,0500,P 90720,S200000,00600,0200,265427 90720,S200000,00600,0300,10/01/1990 90720,S200000,00600,0600,P 90720,S200000,01600,0100,Y 90720,S200000,04700,0100,Y 90720,S200000,04700,0200,Y 90726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90726,A000000,00300,0000,00300EMPLOYEE BENEFITS 90726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90726,A000000,00700,0000,00700HOUSEKEEPING 90726,A000000,00800,0000,00800DIETARY 90726,A000000,00900,0000,00900NURSING ADMINISTRATION 90726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90726,A000000,01100,0000,01100PHARMACY 90726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90726,A000000,01300,0000,01300SOCIAL SERVICE 90726,A000000,01600,0000,01600SKILLED NURSING FACILITY 90726,A000000,01800,0000,01800NURSING FACILITY 90726,A000000,02100,0000,02100RADIOLOGY 90726,A000000,02200,0000,02200LABORATORY 90726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90726,A000000,02500,0000,02500PHYSICAL THERAPY 90726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90726,A000000,02700,0000,02700SPEECH PATHOLOGY 90726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90726,A000000,05300,0000,05300INTEREST EXPENSE 90726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90726,A81000A,00100,0100,Y 90726,A81000B,00100,0300,HOME OFFICE EXPENSE 90726,A81000B,00200,0300,MANAGEMEN FEES 90726,A81000C,00100,0100,A 90726,A81000C,00100,0200,MORRIS STEINBER 90726,A81000C,00100,0400,SRS ENTERPRISES 90726,A81000C,00100,0600,MANAGEMENT COMP 90726,A81000C,00200,0100,A 90726,A81000C,00200,0200,JACK REIFER 90726,A81000C,00200,0400,SRS ENTERPRISES 90726,A81000C,00300,0100,A 90726,A81000C,00300,0200,SHAEL SIEGEL 90726,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90726,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90726,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90726,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90726,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90726,B100000,00000,0650,00000PAIENT DAYS :LAUNDRY & LINEN SERVI 90726,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90726,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90726,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90726,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90726,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90726,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90726,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90726,S000000,00100,0200,06/01/2000 90726,S200000,00100,0100,6400 THE CEDARS COURT 90726,S200000,00200,0100,CEDAR HILL 90726,S200000,00200,0200,MO 90726,S200000,00200,0300,63016- 90726,S200000,00300,0100,JEFFERSON 90726,S200000,00400,0100,CEDAR HILLS PAVILION 90726,S200000,00400,0200,265430 90726,S200000,00400,0300,08/04/1998 90726,S200000,00400,0500,P 90726,S200000,01600,0100,Y 90726,S700003,00000,0400,4 90739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90739,A000000,00300,0000,00300EMPLOYEE BENEFITS 90739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90739,A000000,00700,0000,00700HOUSEKEEPING 90739,A000000,00800,0000,00800DIETARY 90739,A000000,00900,0000,00900NURSING ADMINISTRATION 90739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90739,A000000,01100,0000,01100PHARMACY 90739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90739,A000000,01300,0000,01300SOCIAL SERVICE 90739,A000000,01350,0000,01500OTHER GENERAL SERVICES 90739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90739,A000000,01600,0000,01600SKILLED NURSING FACILITY 90739,A000000,01800,0000,01800NURSING FACILITY 90739,A000000,01810,0000,01801ICF/MR 90739,A000000,01900,0000,01900OTHER LONG TERM CARE 90739,A000000,02100,0000,02100RADIOLOGY 90739,A000000,02200,0000,02200LABORATORY 90739,A000000,02300,0000,02300INTRAVENOUS THERAPY 90739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90739,A000000,02500,0000,02500PHYSICAL THERAPY 90739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90739,A000000,02700,0000,02700SPEECH PATHOLOGY 90739,A000000,02800,0000,02800ELECTROCARDIOLOGY 90739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90739,A000000,03200,0000,03200SUPPORT SURFACES 90739,A000000,03400,0000,03400CLINIC 90739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90739,A000000,03500,0000,03500RURAL HEALTH CLINIC 90739,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90739,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90739,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90739,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90739,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90739,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90739,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90739,A000000,04400,0000,04400DME RENTED - HHA 90739,A000000,04500,0000,04500DME SOLD - HHA 90739,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90739,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90739,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90739,A000000,04800,0000,04800AMBULANCE 90739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90739,A000000,05000,0000,05000CORF 90739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90739,A000000,05300,0000,05300INTEREST EXPENSE 90739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90739,A000000,05500,0000,05500HOSPICE 90739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90739,A000000,06100,0000,06100NONPAID WORKERS 90739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90739,A000000,06200,0000,06200PATIENTS LAUNDRY 90739,A81000A,00100,0100,Y 90739,A81000B,00100,0300,HOME OFFICE COSTS 90739,A81000B,00200,0300,HOME OFFICE COSTS 90739,A81000C,00100,0100,A 90739,A81000C,00100,0200,JAMES & JUDY LINCOLN 90739,A81000C,00100,0400,HEALTH SYSTEMS INC. 90739,A81000C,00100,0600,HOME OFFICE 90739,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90739,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 90739,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90739,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90739,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90739,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90739,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90739,B100000,00000,0800,00000MEALS SERVED :DIETARY 90739,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90739,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90739,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90739,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90739,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90739,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90739,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90739,S000000,00100,0200,05/09/2000 90739,S200000,00100,0100,1145 EAST CHERRY ST 90739,S200000,00200,0100,TROY 90739,S200000,00200,0200,MO 90739,S200000,00200,0300,63379- 90739,S200000,00300,0100,LINCOLN 90739,S200000,00400,0100,LINCOLN COUNTY NURSING & REHAB 90739,S200000,00400,0200,265433 90739,S200000,00400,0300,06/26/1990 90739,S200000,00400,0500,P 90739,S200000,01600,0100,Y 90742,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90742,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90742,A000000,00300,0000,00300EMPLOYEE BENEFITS 90742,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90742,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90742,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90742,A000000,00700,0000,00700HOUSEKEEPING 90742,A000000,00800,0000,00800DIETARY 90742,A000000,00900,0000,00900NURSING ADMINISTRATION 90742,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90742,A000000,01100,0000,01100PHARMACY 90742,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90742,A000000,01300,0000,01300SOCIAL SERVICE 90742,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90742,A000000,01600,0000,01600SKILLED NURSING FACILITY 90742,A000000,01800,0000,01800NURSING FACILITY 90742,A000000,01810,0000,01810ICF/MR 90742,A000000,02100,0000,02100RADIOLOGY 90742,A000000,02200,0000,02200LABORATORY 90742,A000000,02300,0000,02300INTRAVENOUS THERAPY 90742,A000000,02500,0000,02500PHYSICAL THERAPY 90742,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90742,A000000,02700,0000,02700SPEECH PATHOLOGY 90742,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90742,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90742,A000000,03200,0000,03200SUPPORT SURFACES 90742,A000000,03550,0000,03550FQHC 90742,A000000,05000,0000,05000CORF 90742,A000000,05010,0000,05010CMHC 90742,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90742,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90742,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90742,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90742,A81000A,00100,0100,Y 90742,A81000B,00100,0300,ADMINISTRATOR SALARY 90742,A81000B,00200,0300,D.O.N. SALARY 90742,A81000B,00300,0300,EQUIPMENT LEASE RP 90742,A81000B,00400,0300,EQUIPMENT LEASE RP 90742,A81000B,00500,0300,EQUIPMENT LEASE RP 90742,A81000B,00600,0300,EQUIPMENT LEASE RP 90742,A81000B,00700,0300,EQUIPMENT LEASE RP 90742,A81000B,00800,0300,HOME OFFICE COST 90742,A81000B,00900,0300,FACILITY LEASE 90742,A81000C,00100,0100,A 90742,A81000C,00100,0200,DON C BEDELL 90742,A81000C,00100,0400,HEARTLAND PERSO 90742,A81000C,00100,0600,LEASING COMPANY 90742,A81000C,00200,0100,A 90742,A81000C,00200,0200,DON C BEDELL 90742,A81000C,00200,0400,HEARTLAND PERSO 90742,A81000C,00200,0600,LEASING COMPANY 90742,A81000C,00300,0100,A 90742,A81000C,00300,0200,DON C BEDELL 90742,A81000C,00300,0400,CEO FINANCIAL S 90742,A81000C,00300,0600,LEASING COMPANY 90742,A81000C,00400,0100,A 90742,A81000C,00400,0200,DON C BEDELL 90742,A81000C,00400,0400,CEO FINANCIAL S 90742,A81000C,00400,0600,LEASING COMPANY 90742,A81000C,00500,0100,A 90742,A81000C,00500,0200,DON C BEDELL 90742,A81000C,00500,0400,CEO FINANCIAL S 90742,A81000C,00500,0600,LEASING COMPANY 90742,A81000C,00600,0100,A 90742,A81000C,00600,0200,DON S BEDELL 90742,A81000C,00600,0400,CEO FINANCIAL S 90742,A81000C,00600,0600,LEASING COMPANY 90742,A81000C,00700,0100,A 90742,A81000C,00700,0200,DON C BEDELL 90742,A81000C,00700,0400,CEO FINANCIAL S 90742,A81000C,00700,0600,LEASING COMPANY 90742,A81000C,00800,0100,A 90742,A81000C,00800,0200,DON C BEDELL 90742,A81000C,00800,0400,HFMC 90742,A81000C,00800,0600,MANAGEMENT COMP 90742,A81000C,00900,0100,A 90742,A81000C,00900,0200,DON C BEDELL 90742,A81000C,00900,0400,CIRCLE B ENTERP 90742,A81000C,00900,0600,HOLDING COMPANY 90742,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90742,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90742,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90742,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90742,B100000,00000,0650,00000PATINT DAYS :LAUNDRY & LINEN SERVI 90742,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90742,B100000,00000,0800,00000MEALS SERVED :DIETARY 90742,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90742,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90742,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90742,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90742,S000000,00100,0200,12/01/2000 90742,S200000,00100,0100,10303 STATE ROAD C 90742,S200000,00200,0100,MOKANE 90742,S200000,00200,0200,MO 90742,S200000,00200,0300,65059- 90742,S200000,00300,0100,CALLOWAY 90742,S200000,00300,0300,R 90742,S200000,00400,0100,RIVERVIEW NURSING CENTER 90742,S200000,00400,0200,265434 90742,S200000,00400,0300,06/01/1993 90742,S200000,00400,0500,P 90742,S200000,00600,0200,265434 90742,S200000,00600,0300,06/01/1993 90742,S200000,00600,0600,P 90742,S200000,01600,0100,Y 90742,S200000,01900,0100,CORPORATION 90742,S200000,04700,0100,Y 90742,S200000,04700,0200,Y 90755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90755,A000000,00300,0000,00300EMPLOYEE BENEFITS 90755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90755,A000000,00700,0000,00700HOUSEKEEPING 90755,A000000,00800,0000,00800DIETARY 90755,A000000,00900,0000,00900NURSING ADMINISTRATION 90755,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90755,A000000,01100,0000,01100PHARMACY 90755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90755,A000000,01300,0000,01300SOCIAL SERVICE 90755,A000000,01350,0000,01500OTHER GENERAL SERVICES 90755,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90755,A000000,01600,0000,01600SKILLED NURSING FACILITY 90755,A000000,01800,0000,01800NURSING FACILITY 90755,A000000,01810,0000,01810ICF/MR 90755,A000000,01900,0000,01900OTHER LONG TERM CARE 90755,A000000,02100,0000,02100RADIOLOGY 90755,A000000,02200,0000,02200LABORATORY 90755,A000000,02300,0000,02300INTRAVENOUS THERAPY 90755,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90755,A000000,02500,0000,02500PHYSICAL THERAPY 90755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90755,A000000,02700,0000,02700SPEECH PATHOLOGY 90755,A000000,02800,0000,02800ELECTROCARDIOLOGY 90755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90755,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90755,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90755,A000000,03200,0000,03200SUPPORT SURFACES 90755,A000000,03400,0000,03400CLINIC 90755,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90755,A000000,03500,0000,03500RURAL HEALTH CLINIC 90755,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90755,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90755,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90755,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90755,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90755,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90755,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90755,A000000,04400,0000,04400DME RENTED - HHA 90755,A000000,04500,0000,04500DME SOLD - HHA 90755,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90755,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90755,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90755,A000000,04800,0000,04800AMBULANCE 90755,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90755,A000000,05000,0000,05000CORF 90755,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90755,A000000,05300,0000,05300INTEREST EXPENSE 90755,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90755,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90755,A000000,05500,0000,05500HOSPICE 90755,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90755,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90755,A000000,06100,0000,06100NONPAID WORKERS 90755,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90755,A000000,06200,0000,06200PATIENTS LAUNDRY 90755,A81000A,00100,0100,Y 90755,A81000B,00100,0300,HOME OFFICE COST 90755,A81000B,00200,0300,HOME OFFICE COST 90755,A81000C,00100,0100,A 90755,A81000C,00100,0200,JAMES & JUDY LINCOLN 90755,A81000C,00100,0400,HEALTH SYSTEMS INC. 90755,A81000C,00100,0600,HOME OFFICE 90755,A81000C,00200,0100,A 90755,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90755,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90755,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90755,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90755,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90755,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90755,B100000,00000,0800,00000MEALS SERVED :DIETARY 90755,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90755,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90755,S000000,00100,0200,05/08/2000 90755,S200000,00100,0100,HWY 50 & CANAAN RD 90755,S200000,00100,0300,PO BOX 180 90755,S200000,00200,0100,GERALD 90755,S200000,00200,0200,MO 90755,S200000,00200,0300,63037- 90755,S200000,00300,0100,FRANKLIN 90755,S200000,00300,0200,7040 90755,S200000,00300,0300,U 90755,S200000,00400,0100,GERALD NURSING AND REHAB 90755,S200000,00400,0200,265440 90755,S200000,00400,0300,11/21/1990 90755,S200000,00400,0500,P 90755,S200000,01600,0100,Y 90762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90762,A000000,00300,0000,00300EMPLOYEE BENEFITS 90762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90762,A000000,00700,0000,00700HOUSEKEEPING 90762,A000000,00800,0000,00800DIETARY 90762,A000000,00801,0000,00801CAFETERIA 90762,A000000,00900,0000,00900NURSING ADMINISTRATION 90762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90762,A000000,01100,0000,01100PHARMACY 90762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90762,A000000,01300,0000,01300SOCIAL SERVICE 90762,A000000,01350,0000,01500OTHER GENERAL SERVICES 90762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90762,A000000,01600,0000,01600SKILLED NURSING FACILITY 90762,A000000,01800,0000,01800NURSING FACILITY 90762,A000000,01900,0000,01900OTHER LONG TERM CARE 90762,A000000,02100,0000,02100RADIOLOGY 90762,A000000,02200,0000,02200LABORATORY 90762,A000000,02300,0000,02300INTRAVENOUS THERAPY 90762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90762,A000000,02500,0000,02500PHYSICAL THERAPY 90762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90762,A000000,02700,0000,02700SPEECH PATHOLOGY 90762,A000000,02800,0000,02800ELECTROCARDIOLOGY 90762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90762,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90762,A000000,03200,0000,03200SUPPORT SURFACES 90762,A000000,03400,0000,03400CLINIC 90762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90762,A000000,03500,0000,03500RURAL HEALTH CLINIC 90762,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90762,A000000,04800,0000,04800AMBULANCE 90762,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90762,A000000,05000,0000,05000CORF 90762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90762,A000000,05300,0000,05300INTEREST EXPENSE 90762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90762,A000000,05500,0000,05500HOSPICE 90762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90762,A000000,06100,0000,06100NONPAID WORKERS 90762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90762,A000000,06200,0000,06200PATIENTS LAUNDRY 90762,A000000,06201,0000,06201NON REIMBURSEABLE GUEST MEAL 90762,A81000A,00100,0100,Y 90762,A81000B,00100,0300,HOME OFFICE - CHS/CHAS 90762,A81000B,00200,0300,HOME OFFICE - BJC 90762,A81000C,00100,0100,G 90762,A81000C,00100,0400,CHRISTIAN HEALTH SERVICE/ 90762,A81000C,00100,0600,HOME OFFICE 90762,A81000C,00200,0400,CH ALLIED SERVICES 90762,A81000C,00300,0100,G 90762,A81000C,00300,0400,BJC HEALTH SYSTEM 90762,A81000C,00300,0600,HOME OFFICE 90762,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 90762,B100000,00000,0200,00000 DOLLAR VALUE :CAP REL COSTS - MOVA 90762,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 90762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90762,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 90762,B100000,00000,0600,00000 POUNDS OF LAUNDRY:LAUNDRY & LINEN 90762,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 90762,B100000,00000,0800,00000 MEALS SERVED :DIETARY 90762,B100000,00000,0801,00000MEALS SERVED :CAFETERIA 90762,B100000,00000,0950,00000 DIRECT NRSING HRS:NURSING ADMINIST 90762,B100000,00000,1000,00000 COSTED REQUIS. :CENTRAL SERVICES & 90762,B100000,00000,1100,00000 COSTED REQUIS. :PHARMACY 90762,B100000,00000,1200,00000 TIME SPENT :MEDICAL RECORDS & LIBR 90762,B100000,00000,1300,00000 TIME SPENT :SOCIAL SERVICE 90762,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 90762,B100000,00000,1450,00000 GROSS SALARIES :INTERNS & RESIDENT 90762,S000000,00100,0200,07/06/1999 90762,S200000,00100,0100,9500 BELLEFONTAINE 90762,S200000,00200,0100,ST. LOUIS 90762,S200000,00200,0200,MO 90762,S200000,00200,0300,63137- 90762,S200000,00300,0100,ST. LOUIS 90762,S200000,00400,0100,VILLAGE NORTH WOODS 90762,S200000,00400,0200,265448 90762,S200000,00400,0300,01/26/1991 90762,S200000,00400,0500,P 90762,S200000,01600,0100,Y 90762,S700003,00000,0100,1 90769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90769,A000000,00300,0000,00300EMPLOYEE BENEFITS 90769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90769,A000000,00700,0000,00700HOUSEKEEPING 90769,A000000,00800,0000,00800DIETARY 90769,A000000,00900,0000,00900NURSING ADMINISTRATION 90769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90769,A000000,01100,0000,01100PHARMACY 90769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90769,A000000,01300,0000,01300SOCIAL SERVICE 90769,A000000,01350,0000,01500OTHER GENERAL SERVICES 90769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90769,A000000,01600,0000,01600SKILLED NURSING FACILITY 90769,A000000,01800,0000,01800NURSING FACILITY 90769,A000000,01900,0000,01900OTHER LONG TERM CARE 90769,A000000,02100,0000,02100RADIOLOGY 90769,A000000,02200,0000,02200LABORATORY 90769,A000000,02300,0000,02300INTRAVENOUS THERAPY 90769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90769,A000000,02500,0000,02500PHYSICAL THERAPY 90769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90769,A000000,02700,0000,02700SPEECH PATHOLOGY 90769,A000000,02800,0000,02800ELECTROCARDIOLOGY 90769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90769,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90769,A000000,03200,0000,03200SUPPORT SURFACES 90769,A000000,03400,0000,03400CLINIC 90769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90769,A000000,03500,0000,03500RURAL HEALTH CLINIC 90769,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90769,A000000,04800,0000,04800AMBULANCE 90769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90769,A000000,05000,0000,05000CORF 90769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90769,A000000,05300,0000,05300INTEREST EXPENSE 90769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90769,A000000,05500,0000,05500HOSPICE 90769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90769,A000000,06100,0000,06100NONPAID WORKERS 90769,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90769,A000000,06200,0000,06200PATIENTS LAUNDRY 90769,A81000A,00100,0100,Y 90769,A81000B,00100,0300,HOME OFFICE FEES 90769,A81000B,00200,0300,HOME OFFICE COSTS 90769,A81000C,00100,0100,A 90769,A81000C,00100,0200,JAMES & JUDY LINCOLN 90769,A81000C,00100,0400,HEALTH SYSTEMS INC. 90769,A81000C,00100,0600,HOME OFFICE 90769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90769,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90769,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90769,B100000,00000,0800,00000MEALS SERVED :DIETARY 90769,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 90769,B100000,00000,1000,00000COSTED REQUI :CENTRAL SERVICES & S 90769,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90769,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90769,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90769,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90769,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90769,S000000,00100,0200,06/05/2000 90769,S200000,00100,0100,3001 MAY STREET 90769,S200000,00200,0100,POPLAR BLUFF 90769,S200000,00200,0200,MO 90769,S200000,00200,0300,63901- 90769,S200000,00300,0100,BUTLER 90769,S200000,00400,0100,MARK TWAIN CARING CENTER 90769,S200000,00400,0200,265450 90769,S200000,00400,0300,03/07/1991 90769,S200000,00400,0500,P 90769,S200000,01600,0100,Y 90769,S200000,02200,0100,Y 90777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90777,A000000,00300,0000,00300EMPLOYEE BENEFITS 90777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90777,A000000,00700,0000,00700HOUSEKEEPING 90777,A000000,00800,0000,00800DIETARY 90777,A000000,00900,0000,00900NURSING ADMINISTRATION 90777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90777,A000000,01100,0000,01100PHARMACY 90777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90777,A000000,01300,0000,01300SOCIAL SERVICE 90777,A000000,01350,0000,01500RECREATION 90777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90777,A000000,01600,0000,01600SKILLED NURSING FACILITY 90777,A000000,01800,0000,01800NURSING FACILITY 90777,A000000,01810,0000,01810ICF/MR 90777,A000000,02200,0000,02200LABORATORY 90777,A000000,02500,0000,02500PHYSICAL THERAPY 90777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90777,A000000,02700,0000,02700SPEECH PATHOLOGY 90777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90777,A000000,03050,0000,03300PEN 90777,A000000,03051,0000,03310AFT 90777,A000000,03550,0000,03550FQHC 90777,A000000,05000,0000,05000CORF 90777,A000000,05010,0000,05010CMHC 90777,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90777,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90777,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90777,A81000A,00100,0100,Y 90777,A81000B,00100,0300,MANAGEMENT FEES 90777,A81000B,00200,0300,POOLED CAPITAL 90777,A81000B,00300,0300,DIRECT CAPITAL 90777,A81000B,00400,0300,DIRECT NONCAPITAL 90777,A81000C,00100,0100,B 90777,A81000C,00100,0200,TUTERA HEALTH C 90777,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90777,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90777,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90777,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90777,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90777,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90777,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90777,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 90777,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 90777,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90777,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90777,B100000,00000,1350,00000PATIENT DAYS :RECREATION 90777,E10A180,00501,0100,07/11/2000 90777,E10A180,00501,0300,07/11/2000 90777,S000000,00100,0200,06/01/2000 90777,S200000,00100,0100,328 MUNGER LANE 90777,S200000,00200,0100,HANNIBAL 90777,S200000,00200,0200,MO 90777,S200000,00200,0300,63401- 90777,S200000,00300,0100,MARION 90777,S200000,00300,0300,R 90777,S200000,00400,0100,WILLOW CARE CENTER 90777,S200000,00400,0200,265462 90777,S200000,00400,0300,10/01/1991 90777,S200000,00400,0500,P 90777,S200000,01004,0500,O 90777,S200000,01600,0100,Y 90780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90780,A000000,00300,0000,00300EMPLOYEE BENEFITS 90780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90780,A000000,00700,0000,00700HOUSEKEEPING 90780,A000000,00800,0000,00800DIETARY 90780,A000000,00900,0000,00900NURSING ADMINISTRATION 90780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90780,A000000,01100,0000,01100PHARMACY 90780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90780,A000000,01300,0000,01300SOCIAL SERVICE 90780,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90780,A000000,01600,0000,01600SKILLED NURSING FACILITY 90780,A000000,01800,0000,01800NURSING FACILITY 90780,A000000,01810,0000,01810ICF/MR 90780,A000000,02100,0000,02100RADIOLOGY 90780,A000000,02200,0000,02200LABORATORY 90780,A000000,02300,0000,02300INTRAVENOUS THERAPY 90780,A000000,02500,0000,02500PHYSICAL THERAPY 90780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90780,A000000,02700,0000,02700SPEECH PATHOLOGY 90780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90780,A000000,03200,0000,03200SUPPORT SURFACES 90780,A000000,03550,0000,03550FQHC 90780,A000000,05000,0000,05000CORF 90780,A000000,05010,0000,05010CMHC 90780,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90780,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90780,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90780,A81000A,00100,0100,Y 90780,A81000B,00100,0300,ADMINISTRATOR SALARY 90780,A81000B,00200,0300,D.O.N. SALARY 90780,A81000B,00300,0300,RELATED PARTY PT 90780,A81000B,00400,0300,RELATED PARTY OT 90780,A81000B,00500,0300,RELATED PARTY SPEECH 90780,A81000B,00600,0300,EQUIPMENT LEASE RP 90780,A81000B,00700,0300,EQUIPMENT LEASE RP 90780,A81000B,00800,0300,EQUIPMENT LEASE RP 90780,A81000B,00900,0300,HOME OFFICE COST 90780,A81000B,01000,0300,FACILITY LEASE 90780,A81000B,01100,0300,EQUIPMENT RENTAL RP 90780,A81000C,00100,0100,A 90780,A81000C,00100,0200,DON C BEDELL 90780,A81000C,00100,0400,HEARTLAND PERSO 90780,A81000C,00100,0600,LEASING COMPANY 90780,A81000C,00200,0100,A 90780,A81000C,00200,0200,DON C BEDELL 90780,A81000C,00200,0400,HEARTLAND PERSO 90780,A81000C,00200,0600,LEASING COMPANY 90780,A81000C,00300,0100,A 90780,A81000C,00300,0200,DON C BEDELL 90780,A81000C,00300,0400,HFRS 90780,A81000C,00300,0600,REHAB COMPANY 90780,A81000C,00400,0100,A 90780,A81000C,00400,0200,DON C BEDELL 90780,A81000C,00400,0400,HFRS 90780,A81000C,00400,0600,REHAB COMPANY 90780,A81000C,00500,0100,A 90780,A81000C,00500,0200,DON C BEDELL 90780,A81000C,00500,0400,HFRS 90780,A81000C,00500,0600,REHAB COMPANY 90780,A81000C,00600,0100,A 90780,A81000C,00600,0200,DON C BEDELL 90780,A81000C,00600,0400,CEO FINANCIAL 90780,A81000C,00600,0600,LEASING COMPANY 90780,A81000C,00700,0100,A 90780,A81000C,00700,0200,DON C BEDELL 90780,A81000C,00700,0400,CEO FINANCIAL 90780,A81000C,00700,0600,LEASING COMPANY 90780,A81000C,00800,0100,A 90780,A81000C,00800,0200,DON C BEDELL 90780,A81000C,00800,0400,CEO FINANCIAL 90780,A81000C,00800,0600,LEASING COMPANY 90780,A81000C,00900,0100,A 90780,A81000C,00900,0200,DON C BEDELL 90780,A81000C,00900,0400,HFMC 90780,A81000C,00900,0600,MANAGEMENT COMP 90780,A81000C,01000,0100,A 90780,A81000C,01000,0200,DON C BEDELL 90780,A81000C,01000,0400,CIRCLE B ENTERP 90780,A81000C,01000,0600,REAL ESTATE COM 90780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90780,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90780,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90780,B100000,00000,0800,00000MEALS SERVED :DIETARY 90780,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90780,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90780,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90780,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90780,S000000,00100,0200,12/01/2000 90780,S200000,00100,0100,310 SOUTH MAIN STREET 90780,S200000,00100,0300,880 90780,S200000,00200,0100,GRANBY 90780,S200000,00200,0200,MO 90780,S200000,00200,0300,64844- 90780,S200000,00300,0100,NEWTON 90780,S200000,00300,0200,3710 90780,S200000,00300,0300,U 90780,S200000,00400,0100,GRANBY HOUSE 90780,S200000,00400,0200,265468 90780,S200000,00400,0300,12/01/1993 90780,S200000,00400,0500,P 90780,S200000,00600,0200,265468 90780,S200000,00600,0300,12/01/1993 90780,S200000,00600,0600,P 90780,S200000,01600,0100,Y 90780,S200000,04700,0100,Y 90780,S200000,04700,0200,Y 90786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90786,A000000,00300,0000,00300EMPLOYEE BENEFITS 90786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90786,A000000,00700,0000,00700HOUSEKEEPING 90786,A000000,00800,0000,00800DIETARY 90786,A000000,00900,0000,00900NURSING ADMINISTRATION 90786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90786,A000000,01100,0000,01100PHARMACY 90786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90786,A000000,01300,0000,01300SOCIAL SERVICE 90786,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90786,A000000,01600,0000,01600SKILLED NURSING FACILITY 90786,A000000,01800,0000,01800NURSING FACILITY 90786,A000000,01810,0000,01810ICF/MR 90786,A000000,02100,0000,02100RADIOLOGY 90786,A000000,02200,0000,02200LABORATORY 90786,A000000,02300,0000,02300INTRAVENOUS THERAPY 90786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90786,A000000,02500,0000,02500PHYSICAL THERAPY 90786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90786,A000000,02700,0000,02700SPEECH PATHOLOGY 90786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90786,A000000,03200,0000,03200SUPPORT SURFACES 90786,A000000,03550,0000,03550FQHC 90786,A000000,04800,0000,04800AMBULANCE 90786,A000000,05000,0000,05000CORF 90786,A000000,05010,0000,05010CMHC 90786,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90786,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90786,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90786,A81000A,00100,0100,Y 90786,A81000B,00100,0300,ADMINISTRATOR SALARY 90786,A81000B,00200,0300,D.O.N. SALARY 90786,A81000B,00300,0300,EQUIPMENT LEASE RP 90786,A81000B,00400,0300,EQUIPMENT LEASE RP 90786,A81000B,00500,0300,EQUIPMENT LEASE RP 90786,A81000B,00600,0300,EQUIPMENT LEASE RP 90786,A81000B,00700,0300,EQUIPMENT LEASE RP 90786,A81000B,00800,0300,EQUIPMENT LEASE RP 90786,A81000B,00900,0300,HOME OFFICE COST 90786,A81000B,01000,0300,FACILITY LEASE 90786,A81000C,00100,0100,A 90786,A81000C,00100,0200,DON C BEDELL 90786,A81000C,00100,0400,HEARTLAND PERSO 90786,A81000C,00100,0600,LEASING COMPANY 90786,A81000C,00200,0100,A 90786,A81000C,00200,0200,DON C BEDELL 90786,A81000C,00200,0400,HEARTLAND PERSO 90786,A81000C,00200,0600,LEASING COMPANY 90786,A81000C,00300,0100,A 90786,A81000C,00300,0200,DON C BEDELL 90786,A81000C,00300,0400,CEO FINANCIAL S 90786,A81000C,00300,0600,LEASING COMPANY 90786,A81000C,00400,0100,A 90786,A81000C,00400,0200,DON C BEDELL 90786,A81000C,00400,0400,CEO FINANCIAL S 90786,A81000C,00400,0600,LEASING COMPANY 90786,A81000C,00500,0100,A 90786,A81000C,00500,0200,DON C BEDELL 90786,A81000C,00500,0400,CEO FINANCIAL S 90786,A81000C,00500,0600,LEASING COMPANY 90786,A81000C,00600,0100,A 90786,A81000C,00600,0200,DON C BEDELL 90786,A81000C,00600,0400,CEO FINANCIAL S 90786,A81000C,00600,0600,LEASING COMPANY 90786,A81000C,00700,0100,A 90786,A81000C,00700,0200,DON C BEDELL 90786,A81000C,00700,0400,CEO FINANCIAL S 90786,A81000C,00700,0600,LEASING COMPANY 90786,A81000C,00800,0100,A 90786,A81000C,00800,0200,DON C BEDELL 90786,A81000C,00800,0400,CEO FINANCIAL S 90786,A81000C,00800,0600,LEASING COMPANY 90786,A81000C,00900,0100,A 90786,A81000C,00900,0200,DON C BEDELL 90786,A81000C,00900,0400,HFMC 90786,A81000C,00900,0600,MANAGEMENT COMP 90786,A81000C,01000,0100,A 90786,A81000C,01000,0200,DON C BEDELL 90786,A81000C,01000,0400,HOUSTON #1 90786,A81000C,01000,0600,REAL ESTATE COM 90786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90786,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90786,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90786,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90786,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90786,B100000,00000,0800,00000MEALS SERVED :DIETARY 90786,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90786,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90786,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90786,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90786,S000000,00100,0200,12/01/2000 90786,S200000,00100,0100,1100 NORTH INDUSTRIAL DRIVE 90786,S200000,00200,0100,HOUSTON 90786,S200000,00200,0200,MO 90786,S200000,00200,0300,65483-0240 90786,S200000,00300,0100,TEXAS 90786,S200000,00300,0200,26 90786,S200000,00300,0300,R 90786,S200000,00400,0100,HOUSTON HOUSE 90786,S200000,00400,0200,265470 90786,S200000,00400,0300,09/01/1993 90786,S200000,00400,0500,P 90786,S200000,00600,0200,265470 90786,S200000,00600,0300,09/01/1993 90786,S200000,00600,0600,P 90786,S200000,01600,0100,Y 90786,S200000,04700,0100,Y 90786,S200000,04700,0200,Y 90792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90792,A000000,00300,0000,00300EMPLOYEE BENEFITS 90792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90792,A000000,00700,0000,00700HOUSEKEEPING 90792,A000000,00800,0000,00800DIETARY 90792,A000000,00900,0000,00900NURSING ADMINISTRATION 90792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90792,A000000,01100,0000,01100PHARMACY 90792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90792,A000000,01300,0000,01300SOCIAL SERVICE 90792,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90792,A000000,01600,0000,01600SKILLED NURSING FACILITY 90792,A000000,01800,0000,01800NURSING FACILITY 90792,A000000,01810,0000,01810ICF/MR 90792,A000000,02200,0000,02200LABORATORY 90792,A000000,02500,0000,02500PHYSICAL THERAPY 90792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90792,A000000,02700,0000,02700SPEECH PATHOLOGY 90792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90792,A000000,03200,0000,03200SUPPORT SURFACES 90792,A000000,03550,0000,03550FQHC 90792,A000000,04800,0000,04800AMBULANCE 90792,A000000,05000,0000,05000CORF 90792,A000000,05010,0000,05010CMHC 90792,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90792,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90792,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90792,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90792,A81000A,00100,0100,Y 90792,A81000B,00100,0300,ADMINISTRATOR SALARY 90792,A81000B,00200,0300,D.O.N. SALARY 90792,A81000B,00300,0300,RELATED PARTY PT 90792,A81000B,00400,0300,RELATED PARTY OT 90792,A81000B,00500,0300,RELATED PARTY SPEECH 90792,A81000B,00600,0300,EQUIPMENT LEASE RP 90792,A81000B,00700,0300,EQUIPMENT LEASE RP 90792,A81000B,00800,0300,EQUIPMENT LEASE RP 90792,A81000B,00900,0300,EQUIPMENT LEASE RP 90792,A81000B,01000,0300,HOME OFFICE COSTS 90792,A81000C,00100,0100,A 90792,A81000C,00100,0200,DON C. BEDELL 90792,A81000C,00100,0400,HEARTLAND PERSO 90792,A81000C,00100,0600,LEASING COMPANY 90792,A81000C,00200,0100,A 90792,A81000C,00200,0200,DON C. BEDELL 90792,A81000C,00200,0400,HEARTLAND PERSO 90792,A81000C,00200,0600,LEASING COMPANY 90792,A81000C,00300,0100,A 90792,A81000C,00300,0200,DON C. BEDELL 90792,A81000C,00300,0400,HFRS 90792,A81000C,00300,0600,THERAPY COMPANY 90792,A81000C,00400,0100,A 90792,A81000C,00400,0200,DON C. BEDELL 90792,A81000C,00400,0400,HFRS 90792,A81000C,00400,0600,THERAPY COMPANY 90792,A81000C,00500,0100,A 90792,A81000C,00500,0200,DON C. BEDELL 90792,A81000C,00500,0400,HFRS 90792,A81000C,00500,0600,THERAPY COMPANY 90792,A81000C,00600,0100,A 90792,A81000C,00600,0200,DON C. BEDELL 90792,A81000C,00600,0400,CEO FINANCIAL S 90792,A81000C,00600,0600,LEASING COMPANY 90792,A81000C,00700,0100,A 90792,A81000C,00700,0200,DON C. BEDELL 90792,A81000C,00700,0400,CEO FINANCIAL S 90792,A81000C,00700,0600,LEASING COMPANY 90792,A81000C,00800,0100,A 90792,A81000C,00800,0200,DON C. BEDELL 90792,A81000C,00800,0400,CEO FINANCIAL S 90792,A81000C,00800,0600,LEASING COMPANY 90792,A81000C,00900,0100,A 90792,A81000C,00900,0200,DON C. BEDELL 90792,A81000C,00900,0400,HFMC 90792,A81000C,00900,0600,MANAGEMENT COMP 90792,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90792,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90792,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90792,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90792,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90792,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90792,B100000,00000,0800,00000MEALS SERVED :DIETARY 90792,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90792,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90792,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90792,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90792,S000000,00100,0200,12/01/2000 90792,S200000,00100,0100,EAST POLK DRIVE 90792,S200000,00100,0300,477 90792,S200000,00200,0100,ELLINGTON 90792,S200000,00200,0200,MO 90792,S200000,00200,0300,63638- 90792,S200000,00300,0100,REYNOLDS 90792,S200000,00300,0200,26 90792,S200000,00300,0300,R 90792,S200000,00400,0100,BRENT B. TINNIN MANOR 90792,S200000,00400,0200,265472 90792,S200000,00400,0300,10/01/1991 90792,S200000,00400,0500,P 90792,S200000,00600,0200,265472 90792,S200000,00600,0300,10/01/1991 90792,S200000,00600,0600,P 90792,S200000,01600,0100,Y 90797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90797,A000000,00300,0000,00300EMPLOYEE BENEFITS 90797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90797,A000000,00700,0000,00700HOUSEKEEPING 90797,A000000,00800,0000,00800DIETARY 90797,A000000,00900,0000,00900NURSING ADMINISTRATION 90797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90797,A000000,01100,0000,01100PHARMACY 90797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90797,A000000,01300,0000,01300SOCIAL SERVICE 90797,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90797,A000000,01600,0000,01600SKILLED NURSING FACILITY 90797,A000000,01800,0000,01800NURSING FACILITY 90797,A000000,01810,0000,01810ICF/MR 90797,A000000,02200,0000,02200LABORATORY 90797,A000000,02300,0000,02300INTRAVENOUS THERAPY 90797,A000000,02500,0000,02500PHYSICAL THERAPY 90797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90797,A000000,02700,0000,02700SPEECH PATHOLOGY 90797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90797,A000000,03200,0000,03200SUPPORT SURFACES 90797,A000000,03550,0000,03550FQHC 90797,A000000,05000,0000,05000CORF 90797,A000000,05010,0000,05010CMHC 90797,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90797,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90797,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90797,A81000A,00100,0100,Y 90797,A81000B,00100,0300,ADMINISTRATOR SALARY 90797,A81000B,00200,0300,D.O.N. SALARY 90797,A81000B,00300,0300,RELATED PARTY PT 90797,A81000B,00400,0300,RELATED PARTY OT 90797,A81000B,00500,0300,RELATED PARTY ST 90797,A81000B,00600,0300,EQUIPMENT LEASE RP 90797,A81000B,00700,0300,EQUIPMENT LEASE RP 90797,A81000B,00800,0300,EQUIPMENT LEASE RP 90797,A81000B,00900,0300,EQUIPMENT LEASE RP 90797,A81000B,01000,0300,EQUIPMENT LEASE RP 90797,A81000B,01100,0300,EQUIPMENT LEASE RP 90797,A81000B,01200,0300,HOME OFFICE COST 90797,A81000C,00100,0100,A 90797,A81000C,00100,0200,DON C BEDELL 90797,A81000C,00100,0400,HEARTLAND PERSO 90797,A81000C,00100,0600,LEASING COMPNAY 90797,A81000C,00200,0100,A 90797,A81000C,00200,0200,DON C BEDELL 90797,A81000C,00200,0400,HEARTLAND PERSO 90797,A81000C,00200,0600,LEASING COMPANY 90797,A81000C,00300,0100,A 90797,A81000C,00300,0200,DON C BEDELL 90797,A81000C,00300,0400,HFRS 90797,A81000C,00300,0600,THERAPY COMPANY 90797,A81000C,00400,0100,A 90797,A81000C,00400,0200,DON C BEDELL 90797,A81000C,00400,0400,HFRS 90797,A81000C,00400,0600,THERAPY COMPANY 90797,A81000C,00500,0100,A 90797,A81000C,00500,0200,DON C BEDELL 90797,A81000C,00500,0400,HFRS 90797,A81000C,00500,0600,THERAPY COMPANY 90797,A81000C,00600,0100,A 90797,A81000C,00600,0200,DON C BEDELL 90797,A81000C,00600,0400,CEO FINANCIAL S 90797,A81000C,00600,0600,LEASING COMPANY 90797,A81000C,00700,0100,A 90797,A81000C,00700,0200,DON C BEDELL 90797,A81000C,00700,0400,CEO FINANCIAL S 90797,A81000C,00700,0600,LEASING COMPANY 90797,A81000C,00800,0100,A 90797,A81000C,00800,0200,DON C BEDELL 90797,A81000C,00800,0400,CEO FINANCIAL S 90797,A81000C,00800,0600,LEASING COMPANY 90797,A81000C,00900,0100,A 90797,A81000C,00900,0200,DON C BEDELL 90797,A81000C,00900,0400,CEO FINANCIAL S 90797,A81000C,00900,0600,LEASING COMPANY 90797,A81000C,01000,0100,A 90797,A81000C,01000,0200,DON C BEDELL 90797,A81000C,01000,0400,CEO FINANCIAL S 90797,A81000C,01000,0600,LEASING COMPANY 90797,A81000C,01001,0100,A 90797,A81000C,01001,0200,DON C BEDELL 90797,A81000C,01001,0400,CEO FINANCIAL S 90797,A81000C,01001,0600,LEASING COMPANY 90797,A81000C,01002,0100,A 90797,A81000C,01002,0200,DON C BEDELL 90797,A81000C,01002,0400,HFMC 90797,A81000C,01002,0600,MANAGEMENT COMP 90797,A81000C,01003,0100,0 90797,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90797,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90797,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90797,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90797,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90797,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90797,B100000,00000,0800,00000MEALS SERVED :DIETARY 90797,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90797,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90797,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90797,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90797,S000000,00100,0200,12/01/2000 90797,S200000,00100,0100,103 KENNEDY DRIVE 90797,S200000,00200,0100,SIKESTON 90797,S200000,00200,0200,MO 90797,S200000,00200,0300,63801- 90797,S200000,00300,0100,SCOTT 90797,S200000,00300,0200,26 90797,S200000,00300,0300,R 90797,S200000,00400,0100,SIKESTON CONVALESCENT CENTER 90797,S200000,00400,0200,265479 90797,S200000,00400,0300,01/01/1991 90797,S200000,00400,0500,P 90797,S200000,00600,0200,265479 90797,S200000,00600,0300,01/01/1991 90797,S200000,00600,0600,P 90797,S200000,01600,0100,Y 90797,S200000,01900,0100,CORPORATION 90797,S200000,04700,0100,Y 90797,S200000,04700,0200,Y 90805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90805,A000000,00300,0000,00300EMPLOYEE BENEFITS 90805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90805,A000000,00700,0000,00700HOUSEKEEPING 90805,A000000,00800,0000,00800DIETARY 90805,A000000,00900,0000,00900NURSING ADMINISTRATION 90805,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90805,A000000,01100,0000,01100PHARMACY 90805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90805,A000000,01300,0000,01300SOCIAL SERVICE 90805,A000000,01350,0000,01500OTHER GENERAL SERVICES 90805,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90805,A000000,01600,0000,01600SKILLED NURSING FACILITY 90805,A000000,01800,0000,01800NURSING FACILITY 90805,A000000,01810,0000,01810ICF/MR 90805,A000000,01900,0000,01900OTHER LONG TERM CARE 90805,A000000,02100,0000,02100RADIOLOGY 90805,A000000,02200,0000,02200LABORATORY 90805,A000000,02300,0000,02300INTRAVENOUS THERAPY 90805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90805,A000000,02500,0000,02500PHYSICAL THERAPY 90805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90805,A000000,02700,0000,02700SPEECH PATHOLOGY 90805,A000000,02800,0000,02800ELECTROCARDIOLOGY 90805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90805,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90805,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90805,A000000,03200,0000,03200SUPPORT SURFACES 90805,A000000,03400,0000,03400CLINIC 90805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90805,A000000,03500,0000,03500RURAL HEALTH CLINIC 90805,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90805,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90805,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90805,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90805,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90805,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90805,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90805,A000000,04400,0000,04400DME RENTED - HHA 90805,A000000,04500,0000,04500DME SOLD - HHA 90805,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90805,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90805,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90805,A000000,04800,0000,04800AMBULANCE 90805,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90805,A000000,05000,0000,05000CORF 90805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90805,A000000,05300,0000,05300INTEREST EXPENSE 90805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90805,A000000,05500,0000,05500HOSPICE 90805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90805,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90805,A000000,06100,0000,06100NONPAID WORKERS 90805,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90805,A000000,06200,0000,06200PATIENTS LAUNDRY 90805,A81000A,00100,0100,Y 90805,A81000B,00100,0300,HOME OFFICE COSTS 90805,A81000B,00200,0300,HOME OFFICE COSTS 90805,A81000C,00100,0100,A 90805,A81000C,00100,0200,JAMES & JUDY LINCOLN 90805,A81000C,00100,0400,HEALTH SYSTEMS INC. 90805,A81000C,00100,0600,HOME OFFICE 90805,A81000C,00200,0100,A 90805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90805,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90805,B100000,00000,0800,00000MEALS SERVED :DIETARY 90805,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90805,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90805,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90805,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90805,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90805,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90805,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90805,S000000,00100,0200,05/09/2000 90805,S200000,00100,0100,118 TRENTON ROAD 90805,S200000,00200,0100,CHILLICOTHE 90805,S200000,00200,0200,MO 90805,S200000,00200,0300,64601- 90805,S200000,00300,0100,LIVINGSTON 90805,S200000,00400,0100,LINCOLN MANOR 90805,S200000,00400,0200,265480 90805,S200000,00400,0300,01/08/1992 90805,S200000,00400,0500,P 90805,S200000,01600,0100,Y 90812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90812,A000000,00300,0000,00300EMPLOYEE BENEFITS 90812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90812,A000000,00700,0000,00700HOUSEKEEPING 90812,A000000,00800,0000,00800DIETARY 90812,A000000,00900,0000,00900NURSING ADMINISTRATION 90812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90812,A000000,01100,0000,01100PHARMACY 90812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90812,A000000,01300,0000,01300SOCIAL SERVICE 90812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90812,A000000,01600,0000,01600SKILLED NURSING FACILITY 90812,A000000,01800,0000,01800NURSING FACILITY 90812,A000000,01900,0000,01900OTHER LONG TERM CARE 90812,A000000,02100,0000,02100RADIOLOGY 90812,A000000,02200,0000,02200LABORATORY 90812,A000000,02300,0000,02300INTRAVENOUS THERAPY 90812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90812,A000000,02500,0000,02500PHYSICAL THERAPY 90812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90812,A000000,02700,0000,02700SPEECH PATHOLOGY 90812,A000000,02800,0000,02800ELECTROCARDIOLOGY 90812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90812,A000000,03200,0000,03200SUPPORT SURFACES 90812,A000000,03400,0000,03400CLINIC 90812,A000000,03500,0000,03500RURAL HEALTH CLINIC 90812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90812,A000000,04400,0000,04400DME RENTED - HHA 90812,A000000,04500,0000,04500DME SOLD - HHA 90812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90812,A000000,05300,0000,05300INTEREST EXPENSE 90812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90812,A000000,05500,0000,05500HOSPICE 90812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90812,A000000,06100,0000,06100NONPAID WORKERS 90812,A000000,06200,0000,06200PATIENTS LAUNDRY 90812,A81000A,00100,0100,Y 90812,A81000B,00100,0300,MANAGEMENT FEE 90812,A81000C,00100,0100,A 90812,A81000C,00100,0200,R H MONTGOMERY 90812,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90812,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90812,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90812,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90812,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90812,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90812,B100000,00000,0850,00000PAT DAYS :DIETARY 90812,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90812,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 90812,B100000,00000,1150,00000BLANK :PHARMACY 90812,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90812,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90812,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 90812,S000000,00100,0200,05/25/2000 90812,S200000,00100,0100,HWY 77 NORTH 90812,S200000,00100,0300,68 90812,S200000,00200,0100,CHAFFEE 90812,S200000,00200,0200,MO 90812,S200000,00200,0300,63740- 90812,S200000,00300,0100,SCOTT 90812,S200000,00400,0100,CHAFFEE NURSING CENTER 90812,S200000,00400,0200,265492 90812,S200000,00400,0300,03/09/1992 90812,S200000,00400,0500,P 90812,S200000,01600,0100,Y 90812,S200000,02200,0100,Y 90812,S200000,04300,0100,Y 90812,S700003,00000,0100,1 90823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90823,A000000,00300,0000,00300EMPLOYEE BENEFITS 90823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90823,A000000,00700,0000,00700HOUSEKEEPING 90823,A000000,00800,0000,00800DIETARY 90823,A000000,00900,0000,00900NURSING ADMINISTRATION 90823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90823,A000000,01100,0000,01100PHARMACY 90823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90823,A000000,01300,0000,01300SOCIAL SERVICE 90823,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90823,A000000,01600,0000,01600SKILLED NURSING FACILITY 90823,A000000,01800,0000,01800NURSING FACILITY 90823,A000000,01900,0000,01900OTHER LONG TERM CARE 90823,A000000,02100,0000,02100RADIOLOGY 90823,A000000,02200,0000,02200LABORATORY 90823,A000000,02300,0000,02300INTRAVENOUS THERAPY 90823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90823,A000000,02500,0000,02500PHYSICAL THERAPY 90823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90823,A000000,02700,0000,02700SPEECH PATHOLOGY 90823,A000000,02800,0000,02800ELECTROCARDIOLOGY 90823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90823,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90823,A000000,03200,0000,03200SUPPORT SURFACES 90823,A000000,03400,0000,03400CLINIC 90823,A000000,03500,0000,03500RURAL HEALTH CLINIC 90823,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90823,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90823,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90823,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90823,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90823,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90823,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90823,A000000,04400,0000,04400DME RENTED - HHA 90823,A000000,04500,0000,04500DME SOLD - HHA 90823,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90823,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90823,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90823,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90823,A000000,05300,0000,05300INTEREST EXPENSE 90823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90823,A000000,05500,0000,05500HOSPICE 90823,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90823,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90823,A000000,06100,0000,06100NONPAID WORKERS 90823,A000000,06200,0000,06200PATIENTS LAUNDRY 90823,A81000A,00100,0100,Y 90823,A81000B,00100,0300,MANAGEMENT FEES 90823,A81000C,00100,0100,A 90823,A81000C,00100,0200,R H MONTGOMERY 90823,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90823,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90823,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90823,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90823,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90823,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90823,B100000,00000,0850,00000PAT DAYS :DIETARY 90823,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90823,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90823,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90823,S000000,00100,0200,05/25/2000 90823,S200000,00100,0100,1035 PLAZA COURT NORTH 90823,S200000,00200,0100,ST. CLAIR 90823,S200000,00200,0200,MO 90823,S200000,00200,0300,63077- 90823,S200000,00300,0100,FRANKLIN 90823,S200000,00300,0300,U 90823,S200000,00400,0100,ST. CLAIR NURSING CENTER 90823,S200000,00400,0200,265495 90823,S200000,00400,0300,04/01/1992 90823,S200000,00400,0500,P 90823,S200000,01600,0100,Y 90823,S200000,02200,0100,Y 90823,S200000,04300,0100,Y 90826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90826,A000000,00300,0000,00300EMPLOYEE BENEFITS 90826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90826,A000000,00700,0000,00700HOUSEKEEPING 90826,A000000,00800,0000,00800DIETARY 90826,A000000,00900,0000,00900NURSING ADMINISTRATION 90826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90826,A000000,01100,0000,01100PHARMACY 90826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90826,A000000,01300,0000,01300SOCIAL SERVICE 90826,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90826,A000000,01600,0000,01600SKILLED NURSING FACILITY 90826,A000000,01800,0000,01800NURSING FACILITY 90826,A000000,01810,0000,01810ICF/MR 90826,A000000,02200,0000,02200LABORATORY 90826,A000000,02500,0000,02500PHYSICAL THERAPY 90826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90826,A000000,02700,0000,02700SPEECH PATHOLOGY 90826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90826,A000000,03200,0000,03200SUPPORT SURFACES 90826,A000000,03550,0000,03550FQHC 90826,A000000,04800,0000,04800AMBULANCE 90826,A000000,05000,0000,05000CORF 90826,A000000,05010,0000,05010CMHC 90826,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90826,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90826,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90826,A81000A,00100,0100,Y 90826,A81000B,00100,0300,ADMINISTRATOR SALARY 90826,A81000B,00200,0300,D.O.N. SALARY 90826,A81000B,00300,0300,RELATED PARTY PT 90826,A81000B,00400,0300,RELATED PARTY OT 90826,A81000B,00500,0300,RELATED PARTY ST 90826,A81000B,00600,0300,EQUIPMENT LEASE RP 90826,A81000B,00700,0300,EQUIPMENT LEASE RP 90826,A81000B,00800,0300,EQUIPMENT LEASE RP 90826,A81000B,00900,0300,EQUIPMENT LEASE RP 90826,A81000B,01000,0300,EQUIPMENT LEASE RP 90826,A81000B,01100,0300,EQUIPMENT LEASE RP 90826,A81000B,01200,0300,EQUIPMENT LEASE RP 90826,A81000B,01300,0300,HOME OFFICE COST 90826,A81000C,00100,0100,A 90826,A81000C,00100,0200,DON C BEDELL 90826,A81000C,00100,0400,HEARTLAND PERSO 90826,A81000C,00100,0600,LEASING COMPANY 90826,A81000C,00200,0100,A 90826,A81000C,00200,0200,DON C BEDELL 90826,A81000C,00200,0400,HEARTLAND PERSO 90826,A81000C,00200,0600,LEASING COMPANY 90826,A81000C,00300,0100,A 90826,A81000C,00300,0200,DON C BEDELL 90826,A81000C,00300,0400,HFRS 90826,A81000C,00300,0600,THERAPY COMPANY 90826,A81000C,00400,0100,A 90826,A81000C,00400,0200,DON C BEDELL 90826,A81000C,00400,0400,HFRS 90826,A81000C,00400,0600,THERAPY COMPANY 90826,A81000C,00500,0100,A 90826,A81000C,00500,0200,DON C BEDELL 90826,A81000C,00500,0400,HFRS 90826,A81000C,00500,0600,THERAPY COMPANY 90826,A81000C,00600,0100,A 90826,A81000C,00600,0200,DON C BEDELL 90826,A81000C,00600,0400,CEO FINANCIAL S 90826,A81000C,00600,0600,LEASING COMPANY 90826,A81000C,00700,0100,A 90826,A81000C,00700,0200,DON C BEDELL 90826,A81000C,00700,0400,CEO FINANCIAL S 90826,A81000C,00700,0600,LEASING COMPANY 90826,A81000C,00800,0100,A 90826,A81000C,00800,0200,DON C BEDELL 90826,A81000C,00800,0400,CEO FINANCIAL S 90826,A81000C,00800,0600,LEASING COMPANY 90826,A81000C,00900,0100,A 90826,A81000C,00900,0200,DON C BEDELL 90826,A81000C,00900,0400,CEO FINANCIAL S 90826,A81000C,00900,0600,LEASING COMPANY 90826,A81000C,01000,0100,A 90826,A81000C,01000,0200,DON C BEDELL 90826,A81000C,01000,0400,CEO FINANCIAL S 90826,A81000C,01000,0600,LEASING COMPANY 90826,A81000C,01001,0100,A 90826,A81000C,01001,0200,DON C BEDELL 90826,A81000C,01001,0400,CEO FINANCIAL S 90826,A81000C,01001,0600,LEASING COMPANY 90826,A81000C,01002,0100,A 90826,A81000C,01002,0200,DON C BEDELL 90826,A81000C,01002,0400,CEO FINANCIAL S 90826,A81000C,01002,0600,LEASING COMPANY 90826,A81000C,01003,0100,A 90826,A81000C,01003,0200,DON C BEDELL 90826,A81000C,01003,0400,HFMC 90826,A81000C,01003,0600,MANAGEMENT COMP 90826,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 90826,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 90826,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 90826,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 90826,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 90826,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 90826,B100000,00000,0800,00040MEALS SERVED :DIETARY 90826,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 90826,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 90826,B100000,00000,1250,00040TOTAL CHARGES :MEDICAL RECORDS & L 90826,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 90826,S000000,00100,0200,12/01/2000 90826,S200000,00100,0100,HIGHWAY 51 NORTH 90826,S200000,00100,0300,218 90826,S200000,00200,0100,PUXICO 90826,S200000,00200,0200,MO 90826,S200000,00200,0300,63960- 90826,S200000,00300,0100,STODDARD 90826,S200000,00300,0200,26 90826,S200000,00300,0300,R 90826,S200000,00400,0100,PUXICO NURSING & REHAB CENTER 90826,S200000,00400,0200,265496 90826,S200000,00400,0300,04/01/1996 90826,S200000,00400,0500,P 90826,S200000,00600,0200,265496 90826,S200000,00600,0300,04/01/1996 90826,S200000,00600,0600,P 90826,S200000,01600,0100,Y 90826,S200000,04700,0100,Y 90826,S200000,04700,0200,Y 90830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90830,A000000,00300,0000,00300EMPLOYEE BENEFITS 90830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90830,A000000,00700,0000,00700HOUSEKEEPING 90830,A000000,00800,0000,00800DIETARY 90830,A000000,00900,0000,00900NURSING ADMINISTRATION 90830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90830,A000000,01100,0000,01100PHARMACY 90830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90830,A000000,01300,0000,01300SOCIAL SERVICE 90830,A000000,01350,0000,01500OTHER GENERAL SERVICES 90830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90830,A000000,01600,0000,01600SKILLED NURSING FACILITY 90830,A000000,01800,0000,01800NURSING FACILITY 90830,A000000,01900,0000,01900OTHER LONG TERM CARE 90830,A000000,02100,0000,02100RADIOLOGY 90830,A000000,02200,0000,02200LABORATORY 90830,A000000,02300,0000,02300INTRAVENOUS THERAPY 90830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90830,A000000,02500,0000,02500PHYSICAL THERAPY 90830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90830,A000000,02700,0000,02700SPEECH PATHOLOGY 90830,A000000,02800,0000,02800ELECTROCARDIOLOGY 90830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90830,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90830,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90830,A000000,03200,0000,03200SUPPORT SURFACES 90830,A000000,03400,0000,03400CLINIC 90830,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90830,A000000,03500,0000,03500RURAL HEALTH CLINIC 90830,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90830,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90830,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90830,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90830,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90830,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90830,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90830,A000000,04400,0000,04400DME RENTED - HHA 90830,A000000,04500,0000,04500DME SOLD - HHA 90830,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90830,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90830,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90830,A000000,04800,0000,04800AMBULANCE 90830,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90830,A000000,05000,0000,05000CORF 90830,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90830,A000000,05300,0000,05300INTEREST EXPENSE 90830,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90830,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90830,A000000,05500,0000,05500HOSPICE 90830,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90830,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90830,A000000,06100,0000,06100NONPAID WORKERS 90830,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90830,A000000,06200,0000,06200PATIENTS LAUNDRY 90830,B100000,00000,0150,00000DUMMY STAT :CAP REL COSTS - BLDGS 90830,B100000,00000,0250,00000DUMMY STAT :CAP REL COSTS - MOVABL 90830,B100000,00000,0350,00000DUMMY STAT :EMPLOYEE BENEFITS 90830,B100000,00000,0450,00000DUMMY STAT :ADMINISTRATIVE & GENER 90830,B100000,00000,0550,00000DUMMY STAT :PLANT OPERATION MAINT 90830,B100000,00000,0650,00000DUMMY STAT :LAUNDRY & LINEN SERVIC 90830,B100000,00000,0750,00000DUMMY STAT :HOUSEKEEPING 90830,B100000,00000,0850,00000DUMMY STAT :DIETARY 90830,B100000,00000,0950,00000DUMMY STAT :NURSING ADMINISTRATION 90830,B100000,00000,1050,00000DUMMY STAT :CENTRAL SERVICES & SUP 90830,B100000,00000,1150,00000DUMMY STAT :PHARMACY 90830,B100000,00000,1250,00000DUMMY STAT :MEDICAL RECORDS & LIBR 90830,B100000,00000,1330,00000DUMMY STAT :SOCIAL SERVICE 90830,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90830,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90830,S000000,00100,0200,03/14/2000 90830,S200000,00100,0100,1626 ANTHONY STREET 90830,S200000,00200,0100,COLUMBIA 90830,S200000,00200,0200,MO 90830,S200000,00200,0300,65201- 90830,S200000,00300,0100,BOONE 90830,S200000,00400,0100,BOONE RETIREMENT CENTER 90830,S200000,00400,0200,265498 90830,S200000,00400,0300,05/05/1992 90830,S200000,00400,0500,O 90830,S200000,01004,0500,O 90830,S200000,01600,0100,Y 90830,S700003,00000,0100,1 90832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90832,A000000,00300,0000,00300EMPLOYEE BENEFITS 90832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90832,A000000,00700,0000,00700HOUSEKEEPING 90832,A000000,00800,0000,00800DIETARY 90832,A000000,00900,0000,00900NURSING ADMINISTRATION 90832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90832,A000000,01300,0000,01300SOCIAL SERVICE 90832,A000000,01600,0000,01600SKILLED NURSING FACILITY 90832,A000000,01800,0000,01800NURSING FACILITY 90832,A000000,02100,0000,02100RADIOLOGY 90832,A000000,02200,0000,02200LABORATORY 90832,A000000,02500,0000,02500PHYSICAL THERAPY 90832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90832,A000000,02700,0000,02700SPEECH PATHOLOGY 90832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90832,A000000,05300,0000,05300INTEREST EXPENSE 90832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90832,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90832,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90832,B100000,00000,0800,00000MEALS SERVED :DIETARY 90832,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90832,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90832,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90832,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90832,S000000,00100,0200,03/31/2000 90832,S200000,00100,0100,1623 ANTHONY STREET 90832,S200000,00200,0100,COLUMBIA 90832,S200000,00200,0200,MO 90832,S200000,00200,0300,65201- 90832,S200000,00300,0100,BOONE 90832,S200000,00400,0100,BOONE RETIREMENT CENTER 90832,S200000,00400,0200,265498 90832,S200000,00400,0300,02/02/1999 90832,S200000,00400,0500,P 90832,S200000,01600,0100,Y 90832,S700003,00000,0200,2 90842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90842,A000000,00300,0000,00300EMPLOYEE BENEFITS 90842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90842,A000000,00700,0000,00700HOUSEKEEPING 90842,A000000,00800,0000,00800DIETARY 90842,A000000,00900,0000,00900NURSING ADMINISTRATION 90842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90842,A000000,01100,0000,01100PHARMACY 90842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90842,A000000,01300,0000,01300SOCIAL SERVICE 90842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90842,A000000,01600,0000,01600SKILLED NURSING FACILITY 90842,A000000,01800,0000,01800NURSING FACILITY 90842,A000000,01810,0000,01810ICF/MR 90842,A000000,02100,0000,02100RADIOLOGY 90842,A000000,02200,0000,02200LABORATORY 90842,A000000,02300,0000,02300INTRAVENOUS THERAPY 90842,A000000,02500,0000,02500PHYSICAL THERAPY 90842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90842,A000000,02700,0000,02700SPEECH PATHOLOGY 90842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90842,A000000,03200,0000,03200SUPPORT SURFACES 90842,A000000,03550,0000,03550FQHC 90842,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90842,A000000,04800,0000,04800AMBULANCE 90842,A000000,05000,0000,05000CORF 90842,A000000,05010,0000,05010CMHC 90842,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90842,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90842,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90842,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90842,A81000A,00100,0100,Y 90842,A81000B,00100,0300,ADMINISTRATOR SALARY 90842,A81000B,00200,0300,D.O.N. SALARY 90842,A81000B,00300,0300,RELATED PARTY PT 90842,A81000B,00400,0300,RELATED PARTY OT 90842,A81000B,00500,0300,RELATED PARTY ST 90842,A81000B,00600,0300,EQUIPMENT LEASE RP 90842,A81000B,00700,0300,EQUIPMENT LEASE RP 90842,A81000B,00800,0300,EQUIPMENT LEASE RP 90842,A81000B,00900,0300,EQUIPMENT LEASE RP 90842,A81000B,01000,0300,EQUIPMENT LEASE RP 90842,A81000B,01100,0300,EQUIPMENT LEASE RP 90842,A81000B,01200,0300,HOME OFFICE COST 90842,A81000B,01300,0300,FACILITY LEASE 90842,A81000C,00100,0100,A 90842,A81000C,00100,0200,DON C. BEDELL 90842,A81000C,00100,0400,HEARTLAND PERSO 90842,A81000C,00100,0600,LEASING COMPANY 90842,A81000C,00200,0100,A 90842,A81000C,00200,0200,DON C. BEDELL 90842,A81000C,00200,0400,HEARTLAND PERSO 90842,A81000C,00200,0600,LEASING COMPANY 90842,A81000C,00300,0100,A 90842,A81000C,00300,0200,DON C. BEDELL 90842,A81000C,00300,0400,HFRS 90842,A81000C,00300,0600,REHAB COMPANY 90842,A81000C,00400,0100,A 90842,A81000C,00400,0200,DON C. BEDELL 90842,A81000C,00400,0400,HFRS 90842,A81000C,00400,0600,REHAB COMPANY 90842,A81000C,00500,0100,A 90842,A81000C,00500,0200,DON C. BEDELL 90842,A81000C,00500,0400,HFRS 90842,A81000C,00500,0600,REHAB COMPANY 90842,A81000C,00600,0100,A 90842,A81000C,00600,0200,DON C. BEDELL 90842,A81000C,00600,0400,CEO FINANCIAL S 90842,A81000C,00600,0600,LEASING COMPANY 90842,A81000C,00700,0100,A 90842,A81000C,00700,0200,DON C. BEDELL 90842,A81000C,00700,0400,CEO FINANCIAL S 90842,A81000C,00700,0600,LEASING COMPANY 90842,A81000C,00800,0100,A 90842,A81000C,00800,0200,DON C. BEDELL 90842,A81000C,00800,0400,CEO FINANCIAL S 90842,A81000C,00800,0600,LEASING COMPANY 90842,A81000C,00900,0100,A 90842,A81000C,00900,0200,DON C. BEDELL 90842,A81000C,00900,0400,CEO FINANCAL SV 90842,A81000C,00900,0600,LEASING COMPANY 90842,A81000C,01000,0100,A 90842,A81000C,01000,0200,DON C. BEDELL 90842,A81000C,01000,0400,CEO FINANCIAL S 90842,A81000C,01000,0600,LEASING COMPANY 90842,A81000C,01001,0100,A 90842,A81000C,01001,0200,DON C. BEDELL 90842,A81000C,01001,0400,CEO FINANCIAL S 90842,A81000C,01001,0600,LEASING COMPANY 90842,A81000C,01002,0100,A 90842,A81000C,01002,0200,DON C. BEDELL 90842,A81000C,01002,0400,HFMC 90842,A81000C,01002,0600,MANAGEMENT CIOM 90842,A81000C,01003,0100,A 90842,A81000C,01003,0200,DON C. BEDELL 90842,A81000C,01003,0400,CAPE GIRARDEAU 90842,A81000C,01003,0600,REAL ESTATE COM 90842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90842,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90842,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90842,B100000,00000,0800,00000MEALS SERVED :DIETARY 90842,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90842,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90842,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90842,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90842,S000000,00100,0200,12/01/2000 90842,S200000,00100,0100,2525 BOUTIN DRIVE 90842,S200000,00200,0100,CAPE GIRARDEAU 90842,S200000,00200,0200,MO 90842,S200000,00200,0300,63701- 90842,S200000,00300,0100,CAPE GIRARDEAU 90842,S200000,00300,0300,R 90842,S200000,00400,0100,HEARTLAND CARE & REHAB 90842,S200000,00400,0200,265503 90842,S200000,00400,0300,04/01/1994 90842,S200000,00400,0500,P 90842,S200000,00600,0200,265503 90842,S200000,00600,0300,04/01/1994 90842,S200000,00600,0600,P 90842,S200000,01600,0100,Y 90849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90849,A000000,00300,0000,00300EMPLOYEE BENEFITS 90849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90849,A000000,00700,0000,00700HOUSEKEEPING 90849,A000000,00800,0000,00800DIETARY 90849,A000000,00900,0000,00900NURSING ADMINISTRATION 90849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90849,A000000,01100,0000,01100PHARMACY 90849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90849,A000000,01300,0000,01300SOCIAL SERVICE 90849,A000000,01350,0000,01500OTHER GENERAL SERVICES 90849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90849,A000000,01600,0000,01600SKILLED NURSING FACILITY 90849,A000000,01800,0000,01800NURSING FACILITY 90849,A000000,01810,0000,01801ICF/MR 90849,A000000,01900,0000,01900OTHER LONG TERM CARE 90849,A000000,02100,0000,02100RADIOLOGY 90849,A000000,02200,0000,02200LABORATORY 90849,A000000,02300,0000,02300INTRAVENOUS THERAPY 90849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90849,A000000,02500,0000,02500PHYSICAL THERAPY 90849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90849,A000000,02700,0000,02700SPEECH PATHOLOGY 90849,A000000,02800,0000,02800ELECTROCARDIOLOGY 90849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90849,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90849,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90849,A000000,03200,0000,03200SUPPORT SURFACES 90849,A000000,03400,0000,03400CLINIC 90849,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90849,A000000,03500,0000,03500RURAL HEALTH CLINIC 90849,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90849,A000000,04800,0000,04800AMBULANCE 90849,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90849,A000000,05000,0000,05000CORF 90849,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90849,A000000,05300,0000,05300INTEREST EXPENSE 90849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90849,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90849,A000000,05500,0000,05500HOSPICE 90849,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90849,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90849,A000000,06100,0000,06100NONPAID WORKERS 90849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90849,A000000,06200,0000,06200PATIENTS LAUNDRY 90849,A81000A,00100,0100,Y 90849,A81000B,00100,0300,MANAGEMENT FEES 90849,A81000B,00200,0300,MANAGEMENT FEES 90849,A81000C,00100,0100,A 90849,A81000C,00100,0200,JAMES & JUDY LINCOLN 90849,A81000C,00100,0400,HEALTH SYSTEMS INC. 90849,A81000C,00100,0600,MANAGEMENT COMPANY 90849,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90849,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90849,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90849,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90849,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90849,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90849,B100000,00000,0750,00000SQUARE FEET C :HOUSEKEEPING 90849,B100000,00000,0800,00000MEALS SERVED :DIETARY 90849,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90849,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90849,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90849,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90849,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90849,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90849,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90849,S000000,00100,0200,11/30/2000 90849,S200000,00100,0100,1015 GRAND 90849,S200000,00200,0100,DONIPHAN 90849,S200000,00200,0200,MO 90849,S200000,00200,0300,63935- 90849,S200000,00300,0100,RIPLEY 90849,S200000,00400,0100,CURRENT RIVER NURSING CENTER 90849,S200000,00400,0200,265504 90849,S200000,00400,0300,08/24/1992 90849,S200000,00400,0500,P 90849,S200000,01600,0100,Y 90849,S200000,02800,0100,Y 90853,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90853,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90853,A000000,00300,0000,00300EMPLOYEE BENEFITS 90853,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90853,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90853,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90853,A000000,00700,0000,00700HOUSEKEEPING 90853,A000000,00800,0000,00800DIETARY 90853,A000000,00900,0000,00900NURSING ADMINISTRATION 90853,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90853,A000000,01100,0000,01100PHARMACY 90853,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90853,A000000,01300,0000,01300SOCIAL SERVICE 90853,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90853,A000000,01600,0000,01600SKILLED NURSING FACILITY 90853,A000000,01800,0000,01800NURSING FACILITY 90853,A000000,01810,0000,01810ICF/MR 90853,A000000,02100,0000,02100RADIOLOGY 90853,A000000,02200,0000,02200LABORATORY 90853,A000000,02300,0000,02300INTRAVENOUS THERAPY 90853,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90853,A000000,02500,0000,02500PHYSICAL THERAPY 90853,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90853,A000000,02700,0000,02700SPEECH PATHOLOGY 90853,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90853,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90853,A000000,03200,0000,03200SUPPORT SURFACES 90853,A000000,03550,0000,03550FQHC 90853,A000000,05000,0000,05000CORF 90853,A000000,05010,0000,05010CMHC 90853,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90853,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90853,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90853,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90853,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90853,A81000A,00100,0100,Y 90853,A81000B,00100,0300,ADMINISTRATOR SALARY 90853,A81000B,00200,0300,D.O.N. SALARY 90853,A81000B,00300,0300,RELATED PARTY PT 90853,A81000B,00400,0300,RELATED PARTY OT 90853,A81000B,00500,0300,RELATED PARTY ST 90853,A81000B,00600,0300,EQUIPMENT LEASE RP 90853,A81000B,00700,0300,EQUIPMENT LEASE RP 90853,A81000B,00800,0300,EQUIPMENT LEASE RP 90853,A81000B,00900,0300,EQUIPMENT LEASE RP 90853,A81000B,01000,0300,EQUIPMENT LEASE RP 90853,A81000B,01100,0300,HOME OFFICE COST 90853,A81000B,01200,0300,FACILITY LEASE 90853,A81000C,00100,0100,A 90853,A81000C,00100,0200,DON C BEDELL 90853,A81000C,00100,0400,HEARTLAND PERSO 90853,A81000C,00100,0600,LEASING COMPANY 90853,A81000C,00200,0100,A 90853,A81000C,00200,0200,DON C BEDELL 90853,A81000C,00200,0400,HEARTLAND PERSO 90853,A81000C,00200,0600,LEASING COMPANY 90853,A81000C,00300,0100,A 90853,A81000C,00300,0200,DON C BEDELL 90853,A81000C,00300,0400,HFRS 90853,A81000C,00300,0600,REHAB COMPANY 90853,A81000C,00400,0100,A 90853,A81000C,00400,0200,DON C BEDELL 90853,A81000C,00400,0400,HFRS 90853,A81000C,00400,0600,REHAB COMPANY 90853,A81000C,00500,0100,A 90853,A81000C,00500,0200,DON C BEDELL 90853,A81000C,00500,0400,HFRS 90853,A81000C,00500,0600,REHAB COMPANY 90853,A81000C,00600,0100,A 90853,A81000C,00600,0200,DON C BEDELL 90853,A81000C,00600,0400,CEO FINANCIAL S 90853,A81000C,00600,0600,LEASING COMPANY 90853,A81000C,00700,0100,A 90853,A81000C,00700,0200,DON C BEDELL 90853,A81000C,00700,0400,CEO FINANCIAL S 90853,A81000C,00700,0600,LEASING COMPANY 90853,A81000C,00800,0100,A 90853,A81000C,00800,0200,DON C BEDELL 90853,A81000C,00800,0400,CEO FINANCIAL S 90853,A81000C,00800,0600,LEASING COMPANY 90853,A81000C,00900,0100,A 90853,A81000C,00900,0200,DON C BEDELL 90853,A81000C,00900,0400,CEO FINANCIAL S 90853,A81000C,00900,0600,LEASING COMPANY 90853,A81000C,01000,0100,A 90853,A81000C,01000,0200,DON C BEDELL 90853,A81000C,01000,0400,CEO FINANCIAL S 90853,A81000C,01000,0600,LEASING COMPANY 90853,A81000C,01001,0100,A 90853,A81000C,01001,0200,DON C BEDELL 90853,A81000C,01001,0400,HFMC 90853,A81000C,01001,0600,MANAGEMENT COMP 90853,A81000C,01002,0100,A 90853,A81000C,01002,0200,DON C BEDELL 90853,A81000C,01002,0400,CIRCLE B ENTERP 90853,A81000C,01002,0600,REAL ESTATE COM 90853,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90853,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90853,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90853,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90853,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90853,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90853,B100000,00000,0800,00000MEALS SERVED :DIETARY 90853,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90853,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90853,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90853,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90853,S000000,00100,0200,12/01/2000 90853,S200000,00100,0100,706 SOUTH MITCHELL 90853,S200000,00200,0100,WARRENSBURG 90853,S200000,00200,0200,MO 90853,S200000,00200,0300,64093- 90853,S200000,00300,0100,JOHNSON 90853,S200000,00300,0300,R 90853,S200000,00400,0100,RIDGE CREST NURSING CENTER 90853,S200000,00400,0200,265507 90853,S200000,00400,0300,03/01/1992 90853,S200000,00400,0500,P 90853,S200000,00600,0200,265507 90853,S200000,00600,0300,03/01/1992 90853,S200000,00600,0600,P 90853,S200000,01600,0100,Y 90853,S200000,04700,0100,Y 90853,S200000,04700,0200,Y 90863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90863,A000000,00300,0000,00300EMPLOYEE BENEFITS 90863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90863,A000000,00700,0000,00700HOUSEKEEPING 90863,A000000,00800,0000,00800DIETARY 90863,A000000,00900,0000,00900NURSING ADMINISTRATION 90863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90863,A000000,01100,0000,01100PHARMACY 90863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90863,A000000,01300,0000,01300SOCIAL SERVICE 90863,A000000,01350,0000,01500OTHER GENERAL SERVICES 90863,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90863,A000000,01600,0000,01600SKILLED NURSING FACILITY 90863,A000000,01800,0000,01800NURSING FACILITY 90863,A000000,01900,0000,01900OTHER LONG TERM CARE 90863,A000000,02100,0000,02100RADIOLOGY 90863,A000000,02200,0000,02200LABORATORY 90863,A000000,02300,0000,02300INTRAVENOUS THERAPY 90863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90863,A000000,02500,0000,02500PHYSICAL THERAPY 90863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90863,A000000,02700,0000,02700SPEECH PATHOLOGY 90863,A000000,02800,0000,02800ELECTROCARDIOLOGY 90863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90863,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90863,A000000,03200,0000,03200SUPPORT SURFACES 90863,A000000,03400,0000,03400CLINIC 90863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90863,A000000,03500,0000,03500RURAL HEALTH CLINIC 90863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90863,A000000,04800,0000,04800AMBULANCE 90863,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90863,A000000,05000,0000,05000CORF 90863,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90863,A000000,05300,0000,05300INTEREST EXPENSE 90863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90863,A000000,05500,0000,05500HOSPICE 90863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90863,A000000,06100,0000,06100NONPAID WORKERS 90863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90863,A000000,06200,0000,06200PATIENTS LAUNDRY 90863,A81000A,00100,0100,Y 90863,A81000B,00100,0300,HOME OFFICE FEES 90863,A81000B,00200,0300,HOME OFFICE COSTS 90863,A81000B,00300,0300,INTEREST 90863,A81000C,00100,0100,A 90863,A81000C,00100,0200,JAMES & JUDY LINCOLN 90863,A81000C,00100,0400,HEALTH SYSTEMS INC. 90863,A81000C,00100,0600,HOME OFFICE 90863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90863,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90863,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90863,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90863,B100000,00000,0800,00000MEALS SERVED :DIETARY 90863,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 90863,B100000,00000,1000,00000COSTED REQUI :CENTRAL SERVICES & S 90863,B100000,00000,1150,00000NO STATISTICS :PHARMACY 90863,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90863,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90863,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90863,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 90863,S000000,00100,0200,06/05/2000 90863,S200000,00100,0100,105 SPRUCE 90863,S200000,00200,0100,FREDERICKTOWN 90863,S200000,00200,0200,MO 90863,S200000,00200,0300,63645- 90863,S200000,00300,0100,MADISON 90863,S200000,00400,0100,CLARU DEVILLE NURSING CENTER 90863,S200000,00400,0200,265514 90863,S200000,00400,0300,01/01/1998 90863,S200000,00400,0500,P 90863,S200000,01600,0100,Y 90863,S200000,02200,0100,Y 90871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90871,A000000,00300,0000,00300EMPLOYEE BENEFITS 90871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90871,A000000,00700,0000,00700HOUSEKEEPING 90871,A000000,00800,0000,00800DIETARY 90871,A000000,00900,0000,00900NURSING ADMINISTRATION 90871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90871,A000000,01100,0000,01100PHARMACY 90871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90871,A000000,01300,0000,01300SOCIAL SERVICE 90871,A000000,01350,0000,01500OTHER GENERAL SERVICES 90871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90871,A000000,01600,0000,01600SKILLED NURSING FACILITY 90871,A000000,01800,0000,01800NURSING FACILITY 90871,A000000,01810,0000,01810ICF/MR 90871,A000000,01900,0000,01900OTHER LONG TERM CARE 90871,A000000,02100,0000,02100RADIOLOGY 90871,A000000,02200,0000,02200LABORATORY 90871,A000000,02300,0000,02300INTRAVENOUS THERAPY 90871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90871,A000000,02500,0000,02500PHYSICAL THERAPY 90871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90871,A000000,02700,0000,02700SPEECH PATHOLOGY 90871,A000000,02800,0000,02800ELECTROCARDIOLOGY 90871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90871,A000000,03200,0000,03200SUPPORT SURFACES 90871,A000000,03400,0000,03400CLINIC 90871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90871,A000000,03500,0000,03500RURAL HEALTH CLINIC 90871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90871,A000000,04400,0000,04400DME RENTED - HHA 90871,A000000,04500,0000,04500DME SOLD - HHA 90871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90871,A000000,04800,0000,04800AMBULANCE 90871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90871,A000000,05000,0000,05000CORF 90871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90871,A000000,05300,0000,05300INTEREST EXPENSE 90871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90871,A000000,05500,0000,05500HOSPICE 90871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90871,A000000,06100,0000,06100NONPAID WORKERS 90871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90871,A000000,06200,0000,06200PATIENTS LAUNDRY 90871,A81000A,00100,0100,Y 90871,A81000B,00100,0300,MANAGEMENT HOME OFFICE FE 90871,A81000B,00200,0300,MANAGEMENT HOME OFFICE FE 90871,A81000C,00100,0100,A 90871,A81000C,00100,0200,JAMES LINCOLN 90871,A81000C,00100,0400,HEALTH SYSTEMS INC. 90871,A81000C,00100,0600,INDIVIDUAL 90871,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 90871,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 90871,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 90871,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 90871,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 90871,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 90871,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 90871,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 90871,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 90871,S000000,00100,0200,05/08/2000 90871,S200000,00100,0100,501 SOUTH PARK AVENUE 90871,S200000,00200,0100,FAYETTE 90871,S200000,00200,0200,MO 90871,S200000,00200,0300,65248- 90871,S200000,00300,0100,HOWARD 90871,S200000,00300,0200,26 90871,S200000,00300,0300,R 90871,S200000,00400,0100,FAYETTE CARING CENTER 90871,S200000,00400,0200,265517 90871,S200000,00400,0300,11/02/1992 90871,S200000,00400,0500,P 90871,S200000,01600,0100,Y 90874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90874,A000000,00300,0000,00300EMPLOYEE BENEFITS 90874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90874,A000000,00700,0000,00700HOUSEKEEPING 90874,A000000,00800,0000,00800DIETARY 90874,A000000,00900,0000,00900NURSING ADMINISTRATION 90874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90874,A000000,01100,0000,01100PHARMACY 90874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90874,A000000,01300,0000,01300SOCIAL SERVICE 90874,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90874,A000000,01600,0000,01600SKILLED NURSING FACILITY 90874,A000000,01800,0000,01800NURSING FACILITY 90874,A000000,01810,0000,01810ICF/MR 90874,A000000,02100,0000,02100RADIOLOGY 90874,A000000,02200,0000,02200LABORATORY 90874,A000000,02500,0000,02500PHYSICAL THERAPY 90874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90874,A000000,02700,0000,02700SPEECH PATHOLOGY 90874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90874,A000000,03200,0000,03200SUPPORT SURFACES 90874,A000000,03550,0000,03550FQHC 90874,A000000,04800,0000,04800AMBULANCE 90874,A000000,05000,0000,05000CORF 90874,A000000,05010,0000,05010CMHC 90874,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90874,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90874,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90874,A81000A,00100,0100,Y 90874,A81000B,00100,0300,ADMINNISTRATOR SALAR 90874,A81000B,00200,0300,D.O.N. SALARY 90874,A81000B,00300,0300,RELATED PARTY PT 90874,A81000B,00400,0300,RELATED PARTY OT 90874,A81000B,00500,0300,RELATED PARTY SPEECH 90874,A81000B,00600,0300,EQUIPMENT LEASE RP 90874,A81000B,00700,0300,EQUIPMENT LEASE RP 90874,A81000B,00800,0300,EQUIPMENT LEASE RP 90874,A81000B,00900,0300,EQUIPMENT LEASE RP 90874,A81000B,01000,0300,EQUIPMENT LEASE RP 90874,A81000B,01100,0300,HOME OFFICE COST 90874,A81000B,01200,0300,FACILITY LEASE 90874,A81000C,00100,0100,A 90874,A81000C,00100,0200,DON C BEDELL 90874,A81000C,00100,0400,HEARTLAND PERSO 90874,A81000C,00100,0600,LEASING COMPANY 90874,A81000C,00200,0100,A 90874,A81000C,00200,0200,DON C BEDELL 90874,A81000C,00200,0400,HEARTLAND PERSO 90874,A81000C,00200,0600,LEASING COMPANY 90874,A81000C,00300,0100,A 90874,A81000C,00300,0200,DON C BEDELL 90874,A81000C,00300,0400,HFRS 90874,A81000C,00300,0600,REHAB COMPANY 90874,A81000C,00400,0100,A 90874,A81000C,00400,0200,DON C BEDELL 90874,A81000C,00400,0400,HFRS 90874,A81000C,00400,0600,REHAB COMPANY 90874,A81000C,00500,0100,A 90874,A81000C,00500,0200,DON C BEDELL 90874,A81000C,00500,0400,HFRS 90874,A81000C,00500,0600,REHAB COMPANY 90874,A81000C,00600,0100,A 90874,A81000C,00600,0200,DON C BEDELL 90874,A81000C,00600,0400,CEO FINANCIAL S 90874,A81000C,00600,0600,LEASING COMPANY 90874,A81000C,00700,0100,A 90874,A81000C,00700,0200,DON C BEDELL 90874,A81000C,00700,0400,CEO FINANCIAL S 90874,A81000C,00700,0600,LEASING COMPANY 90874,A81000C,00800,0100,A 90874,A81000C,00800,0200,DON C BEDELL 90874,A81000C,00800,0400,CEO FINANCIAL S 90874,A81000C,00800,0600,LEASING OCMPANY 90874,A81000C,00900,0100,A 90874,A81000C,00900,0200,DON C BEDELL 90874,A81000C,00900,0400,CEO FINANCIAL S 90874,A81000C,00900,0600,LEASING COMPANY 90874,A81000C,01000,0100,A 90874,A81000C,01000,0200,DON C BEDELL 90874,A81000C,01000,0400,CEO FINANCIAL S 90874,A81000C,01000,0600,LEASING COMPANY 90874,A81000C,01001,0100,A 90874,A81000C,01001,0200,DON C BEDELL 90874,A81000C,01001,0400,HFMC 90874,A81000C,01001,0600,MANAGEMENT COMP 90874,A81000C,01002,0100,A 90874,A81000C,01002,0200,DON C BEDELL 90874,A81000C,01002,0400,B&B PARTNERSHIP 90874,A81000C,01002,0600,REAL ESTATE COM 90874,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90874,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90874,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90874,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90874,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90874,B100000,00000,0800,00000MEALS SERVED :DIETARY 90874,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90874,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90874,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 90874,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90874,S000000,00100,0200,12/01/2000 90874,S200000,00100,0100,+- 90874,S200000,00200,0100,BOONVILLE 90874,S200000,00200,0200,MO 90874,S200000,00200,0300,65233- 90874,S200000,00300,0100,COOPER 90874,S200000,00300,0200,26 90874,S200000,00300,0300,R 90874,S200000,00400,0100,LAKEVIEW HEALTHCARE & REHAB CENTER 90874,S200000,00400,0200,265522 90874,S200000,00400,0300,01/01/1993 90874,S200000,00400,0500,P 90874,S200000,00600,0200,265522 90874,S200000,00600,0300,01/01/1993 90874,S200000,00600,0600,P 90874,S200000,01600,0100,Y 90874,S200000,04700,0100,Y 90874,S200000,04700,0200,Y 90884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90884,A000000,00300,0000,00300EMPLOYEE BENEFITS 90884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90884,A000000,00700,0000,00700HOUSEKEEPING 90884,A000000,00800,0000,00800DIETARY 90884,A000000,00900,0000,00900NURSING ADMINISTRATION 90884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90884,A000000,01100,0000,01100PHARMACY 90884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90884,A000000,01300,0000,01300SOCIAL SERVICE 90884,A000000,01350,0000,01500OTHER GENERAL SERVICES 90884,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90884,A000000,01600,0000,01600SKILLED NURSING FACILITY 90884,A000000,01800,0000,01800NURSING FACILITY 90884,A000000,01900,0000,01900OTHER LONG TERM CARE 90884,A000000,02100,0000,02100RADIOLOGY 90884,A000000,02200,0000,02200LABORATORY 90884,A000000,02300,0000,02300INTRAVENOUS THERAPY 90884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90884,A000000,02500,0000,02500PHYSICAL THERAPY 90884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90884,A000000,02700,0000,02700SPEECH PATHOLOGY 90884,A000000,02800,0000,02800ELECTROCARDIOLOGY 90884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90884,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90884,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90884,A000000,03200,0000,03200SUPPORT SURFACES 90884,A000000,03400,0000,03400CLINIC 90884,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90884,A000000,03500,0000,03500RURAL HEALTH CLINIC 90884,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90884,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90884,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90884,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90884,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90884,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90884,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90884,A000000,04400,0000,04400DME RENTED - HHA 90884,A000000,04500,0000,04500DME SOLD - HHA 90884,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90884,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90884,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90884,A000000,04800,0000,04800AMBULANCE 90884,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90884,A000000,05000,0000,05000CORF 90884,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90884,A000000,05300,0000,05300INTEREST EXPENSE 90884,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90884,A000000,05500,0000,05500HOSPICE 90884,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90884,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90884,A000000,06100,0000,06100NONPAID WORKERS 90884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90884,A000000,06200,0000,06200PATIENTS LAUNDRY 90884,A81000A,00100,0100,Y 90884,A81000B,00100,0300,DISTRICT EXPENSE ALLOCATION 90884,A81000C,00100,0100,G 90884,A81000C,00100,0200,GOOD SHEP NRSG HOME DISTR 90884,A81000C,00100,0400,DISTRICT- GOVERNMENTAL 90884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90884,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90884,B100000,00000,0800,00000MEALS SERVED :DIETARY 90884,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 90884,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90884,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90884,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90884,S000000,00100,0200,11/22/2000 90884,S200000,00100,0100,1101 CLAY ROAD 90884,S200000,00200,0100,VERSAILLES 90884,S200000,00200,0200,MO 90884,S200000,00200,0300,65084- 90884,S200000,00300,0100,MORGAN 90884,S200000,00300,0200,26 90884,S200000,00300,0300,R 90884,S200000,00400,0100,GOOD SHEPHERD NURSING HOME 90884,S200000,00400,0200,265528 90884,S200000,00400,0300,04/01/1993 90884,S200000,00400,0500,P 90884,S200000,01600,0100,Y 90896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90896,A000000,00300,0000,00300EMPLOYEE BENEFITS 90896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90896,A000000,00700,0000,00700HOUSEKEEPING 90896,A000000,00800,0000,00800DIETARY 90896,A000000,00900,0000,00900NURSING ADMINISTRATION 90896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90896,A000000,01300,0000,01300SOCIAL SERVICE 90896,A000000,01350,0000,01500OTHER GENERAL SERVICES 90896,A000000,01600,0000,01600SKILLED NURSING FACILITY 90896,A000000,01800,0000,01800NURSING FACILITY 90896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90896,A000000,02500,0000,02500PHYSICAL THERAPY 90896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90896,A000000,02700,0000,02700SPEECH PATHOLOGY 90896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90896,A81000A,00100,0100,Y 90896,A81000B,00100,0300,INTEREST 90896,A81000C,00100,0100,G 90896,A81000C,00100,0200,CHRISTIAN WOMENS 90896,A81000C,00100,0400,BENEVOLENT ASSOCIATION 90896,A81000C,00100,0600,501 (C) (3) 90896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90896,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90896,B100000,00000,0800,00000MEALS SERVED :DIETARY 90896,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90896,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90896,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90896,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 90896,S000000,00100,0200,02/05/2001 90896,S200000,00100,0100,800 CHAMBERS ROAD 90896,S200000,00200,0100,ST. LOUIS 90896,S200000,00200,0200,MO 90896,S200000,00200,0300,63135- 90896,S200000,00300,0100,ST. LOUIS 90896,S200000,00300,0200,7040 90896,S200000,00300,0300,U 90896,S200000,00400,0100,CHRISTIAN CARE HOME 90896,S200000,00400,0200,265529 90896,S200000,00400,0300,05/01/1993 90896,S200000,00400,0500,P 90896,S200000,01600,0100,Y 90904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90904,A000000,00300,0000,00300EMPLOYEE BENEFITS 90904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90904,A000000,00700,0000,00700HOUSEKEEPING 90904,A000000,00800,0000,00800DIETARY 90904,A000000,00900,0000,00900NURSING ADMINISTRATION 90904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90904,A000000,01600,0000,01600SKILLED NURSING FACILITY 90904,A000000,01800,0000,01800NURSING FACILITY 90904,A000000,02100,0000,02100RADIOLOGY 90904,A000000,02200,0000,02200LABORATORY 90904,A000000,02300,0000,02300INTRAVENOUS THERAPY 90904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90904,A000000,02500,0000,02500PHYSICAL THERAPY 90904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90904,A000000,02700,0000,02700SPEECH PATHOLOGY 90904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90904,A000000,03200,0000,03200SUPPORT SURFACES 90904,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90904,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90904,A81000A,00100,0100,Y 90904,A81000B,00100,0300,RELATED PARTY LEASE 90904,A81000B,00200,0300,HOME OFFICE COSTS 90904,A81000C,00100,0100,D 90904,A81000C,00100,0200,CAROLYN GOODMAN 90904,A81000C,00100,0400,OGG_MISSOURI 90904,A81000C,00100,0600,FACILITY LEASE 90904,A81000C,00200,0100,A 90904,A81000C,00200,0200,JJ HEALTHCARE 90904,A81000C,00200,0400,HMFC LTD. 90904,A81000C,00200,0600,HOME OFFICE 90904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90904,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90904,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90904,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90904,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90904,B100000,00000,0800,00000MEALS SERVED :DIETARY 90904,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90904,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90904,S000000,00100,0200,02/01/2000 90904,S200000,00100,0100,1221 SOUTHGATE LANE 90904,S200000,00200,0100,JEFFERSON CITY 90904,S200000,00200,0200,MO 90904,S200000,00200,0300,65109- 90904,S200000,00300,0100,COLE 90904,S200000,00400,0100,OAK VIEW LIVING CENTER 90904,S200000,00400,0200,265530 90904,S200000,00400,0300,03/03/1993 90904,S200000,00400,0500,P 90904,S200000,01600,0100,Y 90904,S700003,00000,0100,1 90912,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90912,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90912,A000000,00300,0000,00300EMPLOYEE BENEFITS 90912,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90912,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90912,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90912,A000000,00700,0000,00700HOUSEKEEPING 90912,A000000,00800,0000,00800DIETARY 90912,A000000,00900,0000,00900NURSING ADMINISTRATION 90912,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90912,A000000,01100,0000,01100PHARMACY 90912,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90912,A000000,01300,0000,01300SOCIAL SERVICE 90912,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90912,A000000,01600,0000,01600SKILLED NURSING FACILITY 90912,A000000,01800,0000,01800NURSING FACILITY 90912,A000000,01900,0000,01900OTHER LONG TERM CARE 90912,A000000,02100,0000,02100RADIOLOGY 90912,A000000,02200,0000,02200LABORATORY 90912,A000000,02300,0000,02300INTRAVENOUS THERAPY 90912,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90912,A000000,02500,0000,02500PHYSICAL THERAPY 90912,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90912,A000000,02700,0000,02700SPEECH PATHOLOGY 90912,A000000,02800,0000,02800ELECTROCARDIOLOGY 90912,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90912,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90912,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90912,A000000,03200,0000,03200SUPPORT SURFACES 90912,A000000,03400,0000,03400CLINIC 90912,A000000,03500,0000,03500RURAL HEALTH CLINIC 90912,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90912,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90912,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90912,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90912,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90912,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90912,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90912,A000000,04400,0000,04400DME RENTED - HHA 90912,A000000,04500,0000,04500DME SOLD - HHA 90912,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90912,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90912,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90912,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90912,A000000,05300,0000,05300INTEREST EXPENSE 90912,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90912,A000000,05500,0000,05500HOSPICE 90912,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90912,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90912,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90912,A000000,06100,0000,06100NONPAID WORKERS 90912,A000000,06200,0000,06200PATIENTS LAUNDRY 90912,A81000A,00100,0100,Y 90912,A81000B,00100,0300,MANAGEMENT FEES 90912,A81000C,00100,0100,A 90912,A81000C,00100,0200,R H MONTGOMERY 90912,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 90912,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 90912,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 90912,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90912,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 90912,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 90912,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90912,B100000,00000,0850,00000PAT DAYS :DIETARY 90912,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 90912,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 90912,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 90912,S000000,00100,0200,05/25/2000 90912,S200000,00100,0100,1802 ST. FRANCIS 90912,S200000,00200,0100,KENNETT 90912,S200000,00200,0200,MO 90912,S200000,00200,0300,63857- 90912,S200000,00300,0100,DUNKLIN 90912,S200000,00300,0200,26 90912,S200000,00300,0300,R 90912,S200000,00400,0100,HERITAGE NURSING CENTER 90912,S200000,00400,0200,265531 90912,S200000,00400,0300,03/22/1993 90912,S200000,00400,0500,P 90912,S200000,01600,0100,Y 90912,S200000,02200,0100,Y 90912,S200000,04300,0100,Y 90912,S200000,04700,0100,Y 90912,S200000,04700,0200,Y 90933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90933,A000000,00300,0000,00300EMPLOYEE BENEFITS 90933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90933,A000000,00700,0000,00700HOUSEKEEPING 90933,A000000,00800,0000,00800DIETARY 90933,A000000,00900,0000,00900NURSING ADMINISTRATION 90933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90933,A000000,01100,0000,01100PHARMACY 90933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90933,A000000,01300,0000,01300SOCIAL SERVICE 90933,A000000,01350,0000,01500OTHER GENERAL SERVICES 90933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90933,A000000,01600,0000,01600SKILLED NURSING FACILITY 90933,A000000,01800,0000,01800NURSING FACILITY 90933,A000000,01810,0000,01801ICF/MR 90933,A000000,01900,0000,01900OTHER LONG TERM CARE 90933,A000000,02100,0000,02100RADIOLOGY 90933,A000000,02200,0000,02200LABORATORY 90933,A000000,02300,0000,02300INTRAVENOUS THERAPY 90933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90933,A000000,02500,0000,02500PHYSICAL THERAPY 90933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90933,A000000,02700,0000,02700SPEECH PATHOLOGY 90933,A000000,02800,0000,02800ELECTROCARDIOLOGY 90933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90933,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90933,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90933,A000000,03200,0000,03200SUPPORT SURFACES 90933,A000000,03400,0000,03400CLINIC 90933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90933,A000000,03500,0000,03500RURAL HEALTH CLINIC 90933,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90933,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90933,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90933,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90933,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90933,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90933,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90933,A000000,04400,0000,04400DME RENTED - HHA 90933,A000000,04500,0000,04500DME SOLD - HHA 90933,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90933,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90933,A000000,04800,0000,04800AMBULANCE 90933,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90933,A000000,05000,0000,05000CORF 90933,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90933,A000000,05300,0000,05300INTEREST EXPENSE 90933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90933,A000000,05500,0000,05500HOSPICE 90933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90933,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90933,A000000,06100,0000,06100NONPAID WORKERS 90933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90933,A000000,06200,0000,06200PATIENTS LAUNDRY 90933,A81000A,00100,0100,Y 90933,A81000B,00100,0300,HOME OFFICE COSTS 90933,A81000B,00200,0300,HOME OFFICE COSTS 90933,A81000B,00300,0300,FACILITY LEASE 90933,A81000C,00100,0100,A 90933,A81000C,00100,0200,JAMES & JUDY LINCOLN 90933,A81000C,00100,0400,HEALTH SYSTEMS INC. 90933,A81000C,00100,0600,HOME OFFICE 90933,A81000C,00200,0100,A 90933,A81000C,00200,0200,JAMES & JUDY LINCOLN 90933,A81000C,00200,0400,ELDON NURSING CENTER INC 90933,A81000C,00200,0600,LEASING COMPANY 90933,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90933,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90933,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90933,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90933,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90933,B100000,00000,0800,00000MEALS SERVED :DIETARY 90933,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 90933,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 90933,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 90933,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90933,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90933,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 90933,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90933,S000000,00100,0200,05/09/2000 90933,S200000,00100,0100,ROUTE 1 90933,S200000,00100,0300,BOX 450 90933,S200000,00200,0100,ELDON 90933,S200000,00200,0200,MO 90933,S200000,00200,0300,65026- 90933,S200000,00300,0100,MILLER 90933,S200000,00400,0100,ELDON NURSING AND REHAB 90933,S200000,00400,0200,265555 90933,S200000,00400,0300,11/14/1993 90933,S200000,00400,0500,P 90933,S200000,01600,0100,Y 90942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90942,A000000,00300,0000,00300EMPLOYEE BENEFITS 90942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90942,A000000,00700,0000,00700HOUSEKEEPING 90942,A000000,00800,0000,00800DIETARY 90942,A000000,00900,0000,00900NURSING ADMINISTRATION 90942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90942,A000000,01100,0000,01100PHARMACY 90942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90942,A000000,01300,0000,01300SOCIAL SERVICE 90942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90942,A000000,01600,0000,01600SKILLED NURSING FACILITY 90942,A000000,01800,0000,01800NURSING FACILITY 90942,A000000,01810,0000,01810ICF/MR 90942,A000000,01900,0000,01900OTHER LONG TERM CARE 90942,A000000,02100,0000,02100RADIOLOGY 90942,A000000,02200,0000,02200LABORATORY 90942,A000000,02300,0000,02300INTRAVENOUS THERAPY 90942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90942,A000000,02500,0000,02500PHYSICAL THERAPY 90942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90942,A000000,02700,0000,02700SPEECH PATHOLOGY 90942,A000000,02800,0000,02800ELECTROCARDIOLOGY 90942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90942,A000000,03200,0000,03200SUPPORT SURFACES 90942,A000000,03400,0000,03400CLINIC 90942,A000000,03500,0000,03500RURAL HEALTH CLINIC 90942,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 90942,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90942,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90942,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90942,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90942,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90942,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90942,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90942,A000000,04400,0000,04400DME RENTED - HHA 90942,A000000,04500,0000,04500DME SOLD - HHA 90942,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90942,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90942,A000000,04800,0000,04800AMBULANCE 90942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90942,A000000,05000,0000,05000CORF 90942,A000000,05010,0000,05010CMHC 90942,A000000,05020,0000,05020OPT 90942,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90942,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90942,A000000,05300,0000,05300INTEREST EXPENSE 90942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90942,A000000,05500,0000,05500HOSPICE 90942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90942,A000000,06100,0000,06100NONPAID WORKERS 90942,A000000,06200,0000,06200PATIENTS LAUNDRY 90942,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 90942,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 90942,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 90942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90942,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 90942,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 90942,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 90942,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 90942,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 90942,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 90942,S000000,00100,0200,06/02/2000 90942,S200000,00100,0100,2700-2702 DEBBIE LANE 90942,S200000,00100,0300,65 90942,S200000,00200,0100,POPLAR BLUFF 90942,S200000,00200,0200,MO 90942,S200000,00200,0300,63902- 90942,S200000,00300,0100,BUTLER 90942,S200000,00300,0200,26 90942,S200000,00300,0300,R 90942,S200000,00400,0100,OAKDALE CARE CENTER 90942,S200000,00400,0200,265556 90942,S200000,00400,0300,12/01/1993 90942,S200000,00400,0500,P 90942,S200000,01600,0100,Y 90947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90947,A000000,00300,0000,00300EMPLOYEE BENEFITS 90947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90947,A000000,00700,0000,00700HOUSEKEEPING 90947,A000000,00800,0000,00800DIETARY 90947,A000000,00900,0000,00900NURSING ADMINISTRATION 90947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90947,A000000,01100,0000,01100PHARMACY 90947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90947,A000000,01300,0000,01300SOCIAL SERVICE 90947,A000000,01600,0000,01600SKILLED NURSING FACILITY 90947,A000000,01800,0000,01800NURSING FACILITY 90947,A000000,02100,0000,02100RADIOLOGY 90947,A000000,02200,0000,02200LABORATORY 90947,A000000,02300,0000,02300INTRAVENOUS THERAPY 90947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90947,A000000,02500,0000,02500PHYSICAL THERAPY 90947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90947,A000000,02700,0000,02700SPEECH PATHOLOGY 90947,A000000,02800,0000,02800ELECTROCARDIOLOGY 90947,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 90947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90947,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90947,A000000,03200,0000,03200SUPPORT SURFACES 90947,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90947,A000000,04800,0000,04800AMBULANCE 90947,A000000,05000,0000,05000CORF 90947,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90947,A000000,05300,0000,05300INTEREST EXPENSE 90947,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90947,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90947,A000000,05500,0000,05500HOSPICE 90947,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90947,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90947,A000000,06200,0000,06200PATIENTS LAUNDRY 90947,A81000A,00100,0100,Y 90947,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 90947,A81000C,00100,0100,C 90947,A81000C,00100,0200,NHS 90947,A81000C,00100,0400,NHS INC. 90947,A81000C,00100,0600,HOME OFFICE 90947,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90947,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90947,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90947,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90947,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90947,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90947,B100000,00000,0800,00000MEALS SERVED :DIETARY 90947,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90947,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90947,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90947,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90947,S000000,00100,0200,05/31/2000 90947,S200000,00100,0100,1300 BROADWAY 90947,S200000,00200,0100,PLEASANT HILL 90947,S200000,00200,0200,MO 90947,S200000,00200,0300,64080- 90947,S200000,00300,0100,CASS 90947,S200000,00300,0200,3760 90947,S200000,00300,0300,U 90947,S200000,00400,0100,PLEASANT HILL HEALTH & REHAB CENTER 90947,S200000,00400,0200,265565 90947,S200000,00400,0300,02/22/1994 90947,S200000,00400,0500,P 90947,S200000,01600,0100,Y 90951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90951,A000000,00300,0000,00300EMPLOYEE BENEFITS 90951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90951,A000000,00700,0000,00700HOUSEKEEPING 90951,A000000,00800,0000,00800DIETARY 90951,A000000,00900,0000,00900NURSING ADMINISTRATION 90951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90951,A000000,01100,0000,01100PHARMACY 90951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90951,A000000,01300,0000,01300SOCIAL SERVICE 90951,A000000,01600,0000,01600SKILLED NURSING FACILITY 90951,A000000,01800,0000,01800NURSING FACILITY 90951,A000000,02100,0000,02100RADIOLOGY 90951,A000000,02200,0000,02200LABORATORY 90951,A000000,02300,0000,02300INTRAVENOUS THERAPY 90951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90951,A000000,02500,0000,02500PHYSICAL THERAPY 90951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90951,A000000,02700,0000,02700SPEECH PATHOLOGY 90951,A000000,02800,0000,02800ELECTROCARDIOLOGY 90951,A000000,02801,0000,02801COMPLEX MEDICAL EQUIPMENT 90951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90951,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90951,A000000,03200,0000,03200SUPPORT SURFACES 90951,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90951,A000000,04800,0000,04800AMBULANCE 90951,A000000,05000,0000,05000CORF 90951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90951,A000000,05300,0000,05300INTEREST EXPENSE 90951,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90951,A000000,05500,0000,05500HOSPICE 90951,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90951,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90951,A000000,06200,0000,06200PATIENTS LAUNDRY 90951,A81000A,00100,0100,Y 90951,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 90951,A81000C,00100,0100,C 90951,A81000C,00100,0200,NHS 90951,A81000C,00100,0400,NHS INC 90951,A81000C,00100,0600,HOME OFFICE 90951,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90951,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90951,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90951,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90951,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90951,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90951,B100000,00000,0800,00000MEALS SERVED :DIETARY 90951,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90951,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 90951,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90951,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90951,S000000,00100,0200,05/31/2000 90951,S200000,00100,0100,2001 SUNCHASE DRIVE 90951,S200000,00200,0100,WARSAW 90951,S200000,00200,0200,MO 90951,S200000,00200,0300,65355- 90951,S200000,00300,0100,BENTON 90951,S200000,00300,0200,26 90951,S200000,00300,0300,R 90951,S200000,00400,0100,WARSAW HEALTH & REHAB CENTER 90951,S200000,00400,0200,265566 90951,S200000,00400,0300,02/15/1994 90951,S200000,00400,0500,P 90951,S200000,01600,0100,Y 90959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90959,A000000,00300,0000,00300EMPLOYEE BENEFITS 90959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90959,A000000,00700,0000,00700HOUSEKEEPING 90959,A000000,00800,0000,00800DIETARY 90959,A000000,00900,0000,00900NURSING ADMINISTRATION 90959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90959,A000000,01100,0000,01100PHARMACY 90959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90959,A000000,01300,0000,01300SOCIAL SERVICE 90959,A000000,01600,0000,01600SKILLED NURSING FACILITY 90959,A000000,01800,0000,01800NURSING FACILITY 90959,A000000,01900,0000,01900OTHER LONG TERM CARE 90959,A000000,02100,0000,02100RADIOLOGY 90959,A000000,02200,0000,02200LABORATORY 90959,A000000,02300,0000,02300INTRAVENOUS THERAPY 90959,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90959,A000000,02500,0000,02500PHYSICAL THERAPY 90959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90959,A000000,02700,0000,02700SPEECH PATHOLOGY 90959,A000000,02800,0000,02800ELECTROCARDIOLOGY 90959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90959,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 90959,A000000,04800,0000,04800AMBULANCE 90959,A000000,05000,0000,05000CORF 90959,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90959,A000000,05300,0000,05300INTEREST EXPENSE 90959,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90959,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90959,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90959,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90959,A000000,06100,0000,06100NONPAID WORKERS 90959,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 90959,A000000,06200,0000,06200PATIENTS LAUNDRY 90959,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90959,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90959,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90959,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90959,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90959,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90959,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 90959,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90959,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 90959,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90959,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 90959,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 90959,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 90959,S000000,00100,0200,03/01/2000 90959,S200000,00100,0100,3450 RUSSELL 90959,S200000,00200,0100,ST. LOUIS 90959,S200000,00200,0200,MO 90959,S200000,00200,0300,63104- 90959,S200000,00300,0100,ST. LOUIS 90959,S200000,00400,0100,COMPTON TERRACE CARE CENTER 90959,S200000,00400,0200,265567 90959,S200000,00400,0300,01/25/1994 90959,S200000,00400,0500,P 90959,S200000,01600,0100,Y 90959,S700003,00000,0100,1 90963,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90963,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90963,A000000,00300,0000,00300EMPLOYEE BENEFITS 90963,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90963,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90963,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90963,A000000,00700,0000,00700HOUSEKEEPING 90963,A000000,00800,0000,00800DIETARY 90963,A000000,00900,0000,00900NURSING ADMINISTRATION 90963,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90963,A000000,01100,0000,01100PHARMACY 90963,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90963,A000000,01300,0000,01300SOCIAL SERVICE 90963,A000000,01600,0000,01600SKILLED NURSING FACILITY 90963,A000000,01800,0000,01800NURSING FACILITY 90963,A000000,01900,0000,01900OTHER LONG TERM CARE 90963,A000000,02100,0000,02100RADIOLOGY 90963,A000000,02200,0000,02200LABORATORY 90963,A000000,02300,0000,02300INTRAVENOUS THERAPY 90963,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90963,A000000,02500,0000,02500PHYSICAL THERAPY 90963,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90963,A000000,02700,0000,02700SPEECH PATHOLOGY 90963,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90963,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90963,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 90963,A000000,03200,0000,03200SUPPORT SURFACES 90963,A000000,04800,0000,04800AMBULANCE 90963,A000000,05000,0000,05000CORF 90963,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90963,A000000,05300,0000,05300INTEREST EXPENSE 90963,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90963,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90963,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90963,A000000,06200,0000,06200PATIENTS LAUNDRY 90963,A81000A,00100,0100,Y 90963,A81000B,00100,0300,HOME OFFICE ALLOCATION 90963,A81000C,00100,0100,A 90963,A81000C,00100,0200,CRESCENT HEALT 90963,A81000C,00100,0400,CRESCENT HEALTH 90963,A81000C,00100,0600,HEALTHCARE 90963,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90963,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90963,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90963,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90963,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90963,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 90963,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 90963,B100000,00000,0800,00000MEALS SERVED :DIETARY 90963,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 90963,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90963,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 90963,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 90963,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90963,S000000,00100,0200,06/01/2000 90963,S200000,00100,0100,2108 S. MITCHELL 90963,S200000,00200,0100,OAK GROVE 90963,S200000,00200,0200,MO 90963,S200000,00200,0300,64075- 90963,S200000,00300,0100,JACKSON 90963,S200000,00400,0100,CRESCENT HEALTHCARE OF OAK GROVE 90963,S200000,00400,0200,265576 90963,S200000,00400,0300,05/17/1994 90963,S200000,00400,0500,P 90963,S200000,01600,0100,Y 90963,S700003,00000,0400,4 90974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90974,A000000,00300,0000,00300EMPLOYEE BENEFITS 90974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90974,A000000,00700,0000,00700HOUSEKEEPING 90974,A000000,00800,0000,00800DIETARY 90974,A000000,00900,0000,00900NURSING ADMINISTRATION 90974,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90974,A000000,01100,0000,01100PHARMACY 90974,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90974,A000000,01300,0000,01300SOCIAL SERVICE 90974,A000000,01350,0000,01500RECREATION 90974,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90974,A000000,01600,0000,01600SKILLED NURSING FACILITY 90974,A000000,01800,0000,01800NURSING FACILITY 90974,A000000,01810,0000,01810ICF/MR 90974,A000000,02200,0000,02200LABORATORY 90974,A000000,02300,0000,02300INTRAVENOUS THERAPY 90974,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90974,A000000,02500,0000,02500PHYSICAL THERAPY 90974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90974,A000000,02700,0000,02700SPEECH PATHOLOGY 90974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90974,A000000,03200,0000,03200SUPPORT SURFACES 90974,A000000,03550,0000,03550FQHC 90974,A000000,05000,0000,05000CORF 90974,A000000,05010,0000,05010CMHC 90974,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90974,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90974,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90974,A81000A,00100,0100,Y 90974,A81000B,00100,0300,HOME OFFICE COSTS 90974,A81000B,00200,0300,HOME OFFICE COSTS 90974,A81000B,00300,0300,RENT EXPENSE TO ACTU 90974,A81000B,00400,0300,ACORN ADMIN AND GE 90974,A81000C,00100,0100,B 90974,A81000C,00100,0200,TUTERA HEALTH C 90974,A81000C,00100,0400,MANAGEMENT 90974,A81000C,00200,0100,B 90974,A81000C,00200,0200,ACORN HEALTHCAR 90974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90974,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90974,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90974,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90974,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90974,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 90974,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90974,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90974,B100000,00000,1350,00000PATIENT DAYS :RECREATION 90974,E10A180,00501,0100,07/07/2000 90974,E10A180,00501,0300,07/07/2000 90974,S000000,00100,0200,06/01/2000 90974,S200000,00100,0100,4600 SELSA ROAD 90974,S200000,00200,0100,BLUE SPRINGS 90974,S200000,00200,0200,MO 90974,S200000,00200,0300,64105- 90974,S200000,00300,0100,JACKSON 90974,S200000,00300,0300,U 90974,S200000,00400,0100,MONTEREY PARK NURSING CENTER 90974,S200000,00400,0200,265579 90974,S200000,00400,0300,06/01/1994 90974,S200000,00400,0500,P 90974,S200000,01600,0100,Y 90974,S200000,02200,0100,Y 90981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90981,A000000,00300,0000,00300EMPLOYEE BENEFITS 90981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90981,A000000,00700,0000,00700HOUSEKEEPING 90981,A000000,00800,0000,00800DIETARY 90981,A000000,00900,0000,00900NURSING ADMINISTRATION 90981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90981,A000000,01100,0000,01100PHARMACY 90981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90981,A000000,01300,0000,01300SOCIAL SERVICE 90981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90981,A000000,01600,0000,01600SKILLED NURSING FACILITY 90981,A000000,01800,0000,01800NURSING FACILITY 90981,A000000,01810,0000,01810ICF/MR 90981,A000000,02100,0000,02100RADIOLOGY 90981,A000000,02200,0000,02200LABORATORY 90981,A000000,02500,0000,02500PHYSICAL THERAPY 90981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90981,A000000,02700,0000,02700SPEECH PATHOLOGY 90981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90981,A000000,03550,0000,03550FQHC 90981,A000000,05000,0000,05000CORF 90981,A000000,05010,0000,05010CMHC 90981,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 90981,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 90981,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 90981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90981,A81000A,00100,0100,Y 90981,A81000B,00100,0300,PROFESSIONAL FEES 90981,A81000B,00200,0300,MANAGEMENT FEES 90981,A81000B,00300,0300,CAPITAL RELATED COST 90981,A81000B,00400,0300,EMPLOYEE BENEFITS 90981,A81000B,00500,0300,ADMINISTRATIVE & GEN 90981,A81000B,00600,0300,PLANT OPERATION & MA 90981,A81000B,00700,0300,RENT 90981,A81000B,00800,0300,INTERST MORTGAGE 90981,A81000B,00900,0300,REAL ESTATE 90981,A81000B,01000,0300,DEPRECIATION EXPENSE 90981,A81000B,01100,0300,S&E MED SUPP. FOOD 90981,A81000B,01200,0300,S&E MED.SUP. ENTERAL 90981,A81000C,00100,0100,A 90981,A81000C,00100,0400,SW MANAGEMENT 90981,A81000C,00100,0600,BOOKKEEPPING & 90981,A81000C,00200,0100,A 90981,A81000C,00200,0400,S&E MEDICAL SUP 90981,A81000C,00200,0600,MEDICAL SUPPLIE 90981,A81000C,00300,0100,A 90981,A81000C,00300,0400,FLORISSANT PROP 90981,A81000C,00300,0600,BLDG PARTNERSHI 90981,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 90981,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 90981,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 90981,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90981,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 90981,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90981,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 90981,B100000,00000,0800,00000MEALS SERVED :DIETARY 90981,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 90981,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 90981,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 90981,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90981,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90981,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 90981,S000000,00100,0200,05/25/2000 90981,S200000,00100,0100,11400 MEHL 90981,S200000,00200,0100,FLORISSANT 90981,S200000,00200,0200,IL 90981,S200000,00200,0300,63033- 90981,S200000,00300,0100,ST LOUIS 90981,S200000,00400,0100,ST ELIZABETH HEALTHCARE & REHAB CTR 90981,S200000,00400,0200,265603 90981,S200000,00400,0300,02/01/1995 90981,S200000,00400,0500,P 90981,S200000,01004,0500,O 90981,S200000,01600,0100,Y 90981,S200000,01900,0100,SUB-CORP 90981,S200000,02200,0100,Y 90981,S700003,00000,0200,2 90989,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90989,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90989,A000000,00300,0000,00300EMPLOYEE BENEFITS 90989,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90989,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90989,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90989,A000000,00700,0000,00700HOUSEKEEPING 90989,A000000,00800,0000,00800DIETARY 90989,A000000,00900,0000,00900NURSING ADMINISTRATION 90989,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90989,A000000,01100,0000,01100PHARMACY 90989,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90989,A000000,01300,0000,01300SOCIAL SERVICE 90989,A000000,01350,0000,01500OTHER GENERAL SERVICES 90989,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90989,A000000,01600,0000,01600SKILLED NURSING FACILITY 90989,A000000,01800,0000,01800NURSING FACILITY 90989,A000000,01810,0000,01810ICF/MR 90989,A000000,01900,0000,01900OTHER LONG TERM CARE 90989,A000000,02100,0000,02100RADIOLOGY 90989,A000000,02200,0000,02200LABORATORY 90989,A000000,02300,0000,02300INTRAVENOUS THERAPY 90989,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90989,A000000,02500,0000,02500PHYSICAL THERAPY 90989,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90989,A000000,02700,0000,02700SPEECH PATHOLOGY 90989,A000000,02800,0000,02800ELECTROCARDIOLOGY 90989,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90989,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90989,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90989,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90989,A000000,03200,0000,03200SUPPORT SURFACES 90989,A000000,03400,0000,03400CLINIC 90989,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90989,A000000,03500,0000,03500RURAL HEALTH CLINIC 90989,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90989,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90989,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90989,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90989,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90989,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90989,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90989,A000000,04400,0000,04400DME RENTED - HHA 90989,A000000,04500,0000,04500DME SOLD - HHA 90989,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90989,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90989,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90989,A000000,04800,0000,04800AMBULANCE 90989,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90989,A000000,05000,0000,05000CORF 90989,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90989,A000000,05300,0000,05300INTEREST EXPENSE 90989,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90989,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90989,A000000,05500,0000,05500HOSPICE 90989,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90989,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90989,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90989,A000000,06100,0000,06100NONPAID WORKERS 90989,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90989,A000000,06200,0000,06200PATIENTS LAUNDRY 90989,A81000A,00100,0100,Y 90989,A81000B,00100,0300,MANAGEMENT FEES 90989,A81000B,00200,0300,BLDG. & FINANCE CAPITAL HOME OFFICE 90989,A81000C,00100,0100,A 90989,A81000C,00100,0200,JAMES LINCOLN 90989,A81000C,00100,0400,HEALTHSYSTEMS INC. 90989,A81000C,00100,0600,HOME OFFICE 90989,A81000C,00200,0100,A 90989,A81000C,00200,0200,JUDY LINCOLN 90989,A81000C,00200,0400,HEALTHSYSTEM INC. 90989,A81000C,00200,0600,HOME OFFICE 90989,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 90989,B100000,00000,0350,00000PATIENT DAYS :EMPLOYEE BENEFITS 90989,B100000,00000,0450,00000PATIENT DAYS :ADMINISTRATIVE & GEN 90989,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 90989,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 90989,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 90989,B100000,00000,0850,00000PATIENT DAYS :DIETARY 90989,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 90989,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 90989,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 90989,S000000,00100,0200,05/08/2000 90989,S200000,00100,0100,518 EAST MARSHALL 90989,S200000,00200,0100,SWEET SPRINGS 90989,S200000,00200,0200,MO 90989,S200000,00200,0300,65351- 90989,S200000,00300,0100,SALINE 90989,S200000,00300,0200,26 90989,S200000,00300,0300,R 90989,S200000,00400,0100,BROOKSIDE NURSING CENTER 90989,S200000,00400,0200,265606 90989,S200000,00400,0300,02/03/1995 90989,S200000,00400,0500,P 90989,S200000,01600,0100,Y 90995,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 90995,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 90995,A000000,00300,0000,00300EMPLOYEE BENEFITS 90995,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 90995,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 90995,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 90995,A000000,00700,0000,00700HOUSEKEEPING 90995,A000000,00800,0000,00800DIETARY 90995,A000000,00900,0000,00900NURSING ADMINISTRATION 90995,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 90995,A000000,01100,0000,01100PHARMACY 90995,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 90995,A000000,01300,0000,01300SOCIAL SERVICE 90995,A000000,01350,0000,01500OTHER GENERAL SERVICES 90995,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 90995,A000000,01600,0000,01600SKILLED NURSING FACILITY 90995,A000000,01800,0000,01800NURSING FACILITY 90995,A000000,01810,0000,01810ICF/MR 90995,A000000,01900,0000,01900OTHER LONG TERM CARE 90995,A000000,02100,0000,02100RADIOLOGY 90995,A000000,02200,0000,02200LABORATORY 90995,A000000,02300,0000,02300INTRAVENOUS THERAPY 90995,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 90995,A000000,02500,0000,02500PHYSICAL THERAPY 90995,A000000,02600,0000,02600OCCUPATIONAL THERAPY 90995,A000000,02700,0000,02700SPEECH PATHOLOGY 90995,A000000,02800,0000,02800ELECTROCARDIOLOGY 90995,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 90995,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 90995,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 90995,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 90995,A000000,03200,0000,03200SUPPORT SURFACES 90995,A000000,03400,0000,03400CLINIC 90995,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 90995,A000000,03500,0000,03500RURAL HEALTH CLINIC 90995,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 90995,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 90995,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 90995,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 90995,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 90995,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 90995,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 90995,A000000,04400,0000,04400DME RENTED - HHA 90995,A000000,04500,0000,04500DME SOLD - HHA 90995,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 90995,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 90995,A000000,04750,0000,05100OTHER REIMBURSABLE COST 90995,A000000,04800,0000,04800AMBULANCE 90995,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 90995,A000000,05000,0000,05000CORF 90995,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 90995,A000000,05300,0000,05300INTEREST EXPENSE 90995,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 90995,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 90995,A000000,05500,0000,05500HOSPICE 90995,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 90995,A000000,05900,0000,05900BARBER & BEAUTY SHOP 90995,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 90995,A000000,06100,0000,06100NONPAID WORKERS 90995,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 90995,A000000,06200,0000,06200PATIENTS LAUNDRY 90995,A81000A,00100,0100,Y 90995,A81000B,00100,0300,MGT FEES/HOME OFFICE 90995,A81000B,00200,0300,MGT FEES/HOME OFFICE 90995,A81000C,00100,0100,A 90995,A81000C,00100,0200,JAMES LINCOLN 90995,A81000C,00100,0400,HEALTH SYSTEMS 90995,A81000C,00100,0600,HOME OFFICE 90995,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 90995,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 90995,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 90995,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 90995,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 90995,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 90995,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 90995,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 90995,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 90995,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 90995,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 90995,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 90995,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 90995,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 90995,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 90995,S000000,00100,0200,05/08/2000 90995,S200000,00100,0100,851 WEST THOROUGHFARE 90995,S200000,00200,0100,SEYMOUR 90995,S200000,00200,0200,MO 90995,S200000,00200,0300,65746- 90995,S200000,00300,0100,WEBSTER 90995,S200000,00400,0100,GLENWOOD HEALTHCARE 90995,S200000,00400,0200,265608 90995,S200000,00400,0300,02/03/1995 90995,S200000,00400,0500,P 90995,S200000,01600,0100,Y 91001,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91001,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91001,A000000,00300,0000,00300EMPLOYEE BENEFITS 91001,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91001,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91001,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91001,A000000,00700,0000,00700HOUSEKEEPING 91001,A000000,00800,0000,00800DIETARY 91001,A000000,00900,0000,00900NURSING ADMINISTRATION 91001,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91001,A000000,01100,0000,01100PHARMACY 91001,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91001,A000000,01300,0000,01300SOCIAL SERVICE 91001,A000000,01350,0000,01500OTHER GENERAL SERVICES 91001,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91001,A000000,01600,0000,01600SKILLED NURSING FACILITY 91001,A000000,01800,0000,01800NURSING FACILITY 91001,A000000,01810,0000,01810ICF/MR 91001,A000000,01900,0000,01900OTHER LONG TERM CARE 91001,A000000,02100,0000,02100RADIOLOGY 91001,A000000,02200,0000,02200LABORATORY 91001,A000000,02300,0000,02300INTRAVENOUS THERAPY 91001,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91001,A000000,02500,0000,02500PHYSICAL THERAPY 91001,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91001,A000000,02700,0000,02700SPEECH PATHOLOGY 91001,A000000,02800,0000,02800ELECTROCARDIOLOGY 91001,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91001,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91001,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91001,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91001,A000000,03200,0000,03200SUPPORT SURFACES 91001,A000000,03400,0000,03400CLINIC 91001,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91001,A000000,03500,0000,03500RURAL HEALTH CLINIC 91001,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91001,A000000,04800,0000,04800AMBULANCE 91001,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91001,A000000,05000,0000,05000CORF 91001,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91001,A000000,05300,0000,05300INTEREST EXPENSE 91001,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91001,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91001,A000000,05500,0000,05500HOSPICE 91001,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91001,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91001,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91001,A000000,06100,0000,06100NONPAID WORKERS 91001,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91001,A000000,06200,0000,06200PATIENTS LAUNDRY 91001,A81000A,00100,0100,Y 91001,A81000B,00100,0300,MANAGEMENT FEES/HOME OFFICE 91001,A81000B,00200,0300,MANAGEMENT FEES/HOME OFFICE 91001,A81000C,00100,0100,A 91001,A81000C,00100,0200,JAMES & JUDY LINCOLN 91001,A81000C,00100,0400,HEALTH SYSTEMS INC. 91001,A81000C,00100,0600,HOME OFFICE 91001,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 91001,B100000,00000,0350,00000PATIENT DAYS :EMPLOYEE BENEFITS 91001,B100000,00000,0450,00000PATIENT DAYS :ADMINISTRATIVE & GEN 91001,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 91001,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91001,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 91001,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91001,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91001,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91001,S000000,00100,0200,05/01/2000 91001,S200000,00100,0100,111 DUNCAN MANSION ROAD 91001,S200000,00200,0100,SILEX 91001,S200000,00200,0200,MO 91001,S200000,00200,0300,63377- 91001,S200000,00300,0100,LINCOLN 91001,S200000,00300,0200,7040 91001,S200000,00300,0300,U 91001,S200000,00400,0100,SILEX COMMUNITY CARE 91001,S200000,00400,0200,265611 91001,S200000,00400,0300,02/03/1995 91001,S200000,00400,0500,P 91001,S200000,01600,0100,Y 91008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91008,A000000,00300,0000,00300EMPLOYEE BENEFITS 91008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91008,A000000,00700,0000,00700HOUSEKEEPING 91008,A000000,00800,0000,00800DIETARY 91008,A000000,00900,0000,00900NURSING ADMINISTRATION 91008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91008,A000000,01100,0000,01100PHARMACY 91008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91008,A000000,01300,0000,01300SOCIAL SERVICE 91008,A000000,01350,0000,01500OTHER GENERAL SERVICES 91008,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91008,A000000,01600,0000,01600SKILLED NURSING FACILITY 91008,A000000,01800,0000,01800NURSING FACILITY 91008,A000000,01810,0000,01810ICF/MR 91008,A000000,01900,0000,01900OTHER LONG TERM CARE 91008,A000000,02100,0000,02100RADIOLOGY 91008,A000000,02200,0000,02200LABORATORY 91008,A000000,02300,0000,02300INTRAVENOUS THERAPY 91008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91008,A000000,02500,0000,02500PHYSICAL THERAPY 91008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91008,A000000,02700,0000,02700SPEECH PATHOLOGY 91008,A000000,02800,0000,02800ELECTROCARDIOLOGY 91008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91008,A000000,03200,0000,03200SUPPORT SURFACES 91008,A000000,03400,0000,03400CLINIC 91008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91008,A000000,03500,0000,03500RURAL HEALTH CLINIC 91008,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91008,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91008,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91008,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91008,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91008,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91008,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91008,A000000,04400,0000,04400DME RENTED - HHA 91008,A000000,04500,0000,04500DME SOLD - HHA 91008,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91008,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91008,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91008,A000000,04800,0000,04800AMBULANCE 91008,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91008,A000000,05000,0000,05000CORF 91008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91008,A000000,05300,0000,05300INTEREST EXPENSE 91008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91008,A000000,05500,0000,05500HOSPICE 91008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91008,A000000,06100,0000,06100NONPAID WORKERS 91008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91008,A000000,06200,0000,06200PATIENTS LAUNDRY 91008,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 91008,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 91008,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 91008,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 91008,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 91008,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 91008,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 91008,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 91008,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 91008,S000000,00100,0200,05/08/2000 91008,S200000,00100,0100,1003 MEADOWLARK LANE 91008,S200000,00200,0100,EXCELSIOR SPRINGS 91008,S200000,00200,0200,MO 91008,S200000,00200,0300,64024- 91008,S200000,00300,0100,CLAY 91008,S200000,00300,0200,3760 91008,S200000,00300,0300,U 91008,S200000,00400,0100,ROYAL CARE CENTER INC 91008,S200000,00400,0200,265613 91008,S200000,00400,0300,03/24/1995 91008,S200000,00400,0500,P 91008,S200000,01500,0100,Y 91008,S200000,02900,0100,Y 91008,S200000,03000,0100,Y 91016,A000000,00100,0000,00100CAP REL COSTS - 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COST :ADMINISTRATIVE & GENE 91043,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91043,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91043,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91043,B100000,00000,0800,00000MEALS SERVED :DIETARY 91043,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 91043,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 91043,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 91043,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91043,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91043,B100000,00000,1350,00000DAYS :ACTIVITIES 91043,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91043,S000000,00100,0200,06/02/2000 91043,S200000,00100,0100,810 EAST EDWARDS 91043,S200000,00200,0100,MARYVILLE 91043,S200000,00200,0200,MO 91043,S200000,00200,0300,64468- 91043,S200000,00300,0100,NODAWAY 91043,S200000,00400,0100,VILLAGE CARE CENTER 91043,S200000,00400,0200,265643 91043,S200000,00400,0300,04/01/1996 91043,S200000,00400,0500,P 91043,S200000,01600,0100,Y 91043,S700003,00000,0400,4 91053,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91053,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91053,A000000,00300,0000,00300EMPLOYEE BENEFITS 91053,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91053,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91053,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91053,A000000,00700,0000,00700HOUSEKEEPING 91053,A000000,00800,0000,00800DIETARY 91053,A000000,00900,0000,00900NURSING ADMINISTRATION 91053,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91053,A000000,01100,0000,01100PHARMACY 91053,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91053,A000000,01300,0000,01300SOCIAL SERVICE 91053,A000000,01600,0000,01600SKILLED NURSING FACILITY 91053,A000000,01800,0000,01800NURSING FACILITY 91053,A000000,02100,0000,02100RADIOLOGY 91053,A000000,02200,0000,02200LABORATORY 91053,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91053,A000000,02500,0000,02500PHYSICAL THERAPY 91053,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91053,A000000,02700,0000,02700SPEECH PATHOLOGY 91053,A000000,02800,0000,02800ELECTROCARDIOLOGY 91053,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91053,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91053,A000000,04800,0000,04800AMBULANCE 91053,A000000,05300,0000,05300INTEREST EXPENSE 91053,A000000,05500,0000,05500HOSPICE 91053,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91053,A81000A,00100,0100,Y 91053,A81000B,00100,0300,CAPITAL EXPENSES 91053,A81000B,00200,0300,MANAGEMENT 91053,A81000B,00300,0300,INTEREST 91053,A81000C,00100,0100,B 91053,A81000C,00100,0200,HEALTHMARK SERV 91053,A81000C,00100,0400,POTOSI MANOR 91053,A81000C,00100,0600,NURSING HOME 91053,A81000C,00200,0100,B 91053,A81000C,00200,0400,HILLCREST HC LL 91053,A81000C,00200,0600,NURSING HOME 91053,A81000C,00300,0100,B 91053,A81000C,00300,0400,HILLCREST CARE 91053,A81000C,00300,0600,NURSING HOME 91053,A81000C,00400,0100,B 91053,A81000C,00400,0400,STONEBROOK 91053,A81000C,00400,0600,NURSING HOME 91053,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91053,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91053,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91053,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91053,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91053,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91053,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91053,B100000,00000,0800,00000MEALS SERVED :DIETARY 91053,B100000,00000,0950,00000GROSS SAL. NURSING :NURSING ADMINIS 91053,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91053,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91053,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 91053,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91053,S000000,00100,0200,06/06/2000 91053,S200000,00100,0100,210 ELDON DRIVE 91053,S200000,00200,0100,CUBA 91053,S200000,00200,0200,MO 91053,S200000,00200,0300,65453- 91053,S200000,00300,0100,CRAWFORD 91053,S200000,00400,0100,CUBA MANOR INC. 91053,S200000,00400,0200,265652 91053,S200000,00400,0300,07/22/1996 91053,S200000,00400,0500,P 91053,S200000,01004,0500,O 91053,S200000,01600,0100,Y 91053,S700003,00000,0400,4 91062,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91062,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91062,A000000,00300,0000,00300EMPLOYEE BENEFITS 91062,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91062,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91062,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91062,A000000,00700,0000,00700HOUSEKEEPING 91062,A000000,00800,0000,00800DIETARY 91062,A000000,00900,0000,00900NURSING ADMINISTRATION 91062,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91062,A000000,01100,0000,01100PHARMACY 91062,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91062,A000000,01300,0000,01300SOCIAL SERVICE 91062,A000000,01350,0000,01500OTHER GENERAL SERVICES 91062,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91062,A000000,01600,0000,01600SKILLED NURSING FACILITY 91062,A000000,01800,0000,01800NURSING FACILITY 91062,A000000,01810,0000,01801ICF/MR 91062,A000000,01900,0000,01900OTHER LONG TERM CARE 91062,A000000,02100,0000,02100RADIOLOGY 91062,A000000,02200,0000,02200LABORATORY 91062,A000000,02300,0000,02300INTRAVENOUS THERAPY 91062,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91062,A000000,02500,0000,02500PHYSICAL THERAPY 91062,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91062,A000000,02700,0000,02700SPEECH PATHOLOGY 91062,A000000,02800,0000,02800ELECTROCARDIOLOGY 91062,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91062,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91062,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91062,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91062,A000000,03200,0000,03200SUPPORT SURFACES 91062,A000000,03400,0000,03400CLINIC 91062,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91062,A000000,03500,0000,03500RURAL HEALTH CLINIC 91062,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91062,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91062,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91062,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91062,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91062,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91062,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91062,A000000,04400,0000,04400DME RENTED - HHA 91062,A000000,04500,0000,04500DME SOLD - HHA 91062,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91062,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91062,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91062,A000000,04800,0000,04800AMBULANCE 91062,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91062,A000000,05000,0000,05000CORF 91062,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91062,A000000,05300,0000,05300INTEREST EXPENSE 91062,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91062,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91062,A000000,05500,0000,05500HOSPICE 91062,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91062,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91062,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91062,A000000,06100,0000,06100NONPAID WORKERS 91062,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91062,A000000,06200,0000,06200PATIENTS LAUNDRY 91062,A81000A,00100,0100,Y 91062,A81000B,00100,0300,HOME OFFICE COSTS 91062,A81000B,00200,0300,HOME OFFICE COSTS 91062,A81000C,00100,0100,A 91062,A81000C,00100,0200,JAMES & JUDY LINCOLN 91062,A81000C,00100,0400,HEALTH SYSTEMS INC. 91062,A81000C,00100,0600,HOME OFFICE 91062,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91062,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91062,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91062,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91062,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91062,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91062,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91062,B100000,00000,0800,00000MEALS SERVED :DIETARY 91062,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 91062,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 91062,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91062,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91062,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91062,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91062,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91062,S000000,00100,0200,05/08/2000 91062,S200000,00100,0100,1510 BLUFF STREET 91062,S200000,00200,0100,FULTON 91062,S200000,00200,0200,MO 91062,S200000,00200,0300,65251- 91062,S200000,00300,0100,CALLAWAY 91062,S200000,00400,0100,FULTON NURSING & REHAB 91062,S200000,00400,0200,265663 91062,S200000,00400,0300,10/11/1996 91062,S200000,00400,0500,P 91062,S200000,01600,0100,Y 91066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91066,A000000,00300,0000,00300EMPLOYEE BENEFITS 91066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91066,A000000,00700,0000,00700HOUSEKEEPING 91066,A000000,00800,0000,00800DIETARY 91066,A000000,00900,0000,00900NURSING ADMINISTRATION 91066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91066,A000000,01300,0000,01300SOCIAL SERVICE 91066,A000000,01350,0000,01500ACTIVITIES 91066,A000000,01600,0000,01600SKILLED NURSING FACILITY 91066,A000000,01800,0000,01800NURSING FACILITY 91066,A000000,01900,0000,01900OTHER LONG TERM CARE 91066,A000000,02100,0000,02100RADIOLOGY 91066,A000000,02200,0000,02200LABORATORY 91066,A000000,02500,0000,02500PHYSICAL THERAPY 91066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91066,A000000,02700,0000,02700SPEECH PATHOLOGY 91066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91066,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91066,A000000,03200,0000,03200SUPPORT SURFACES 91066,A000000,04800,0000,04800AMBULANCE 91066,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91066,A000000,05300,0000,05300INTEREST EXPENSE 91066,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91066,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91066,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91066,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91066,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91066,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91066,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91066,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91066,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91066,B100000,00000,0800,00000MEALS SERVED :DIETARY 91066,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91066,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91066,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91066,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91066,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91066,S000000,00100,0200,06/12/2000 91066,S200000,00100,0100,37 N. CLARK 91066,S200000,00200,0100,FERGUSON 91066,S200000,00200,0200,MO 91066,S200000,00200,0300,63135- 91066,S200000,00300,0100,ST. LOUIS 91066,S200000,00400,0100,OAK KNOLL NURSING & REHAB 91066,S200000,00400,0200,265680 91066,S200000,00400,0300,08/08/1997 91066,S200000,00400,0500,P 91066,S200000,01004,0500,O 91066,S200000,01600,0100,Y 91074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91074,A000000,00300,0000,00300EMPLOYEE BENEFITS 91074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91074,A000000,00700,0000,00700HOUSEKEEPING 91074,A000000,00800,0000,00800DIETARY 91074,A000000,00900,0000,00900NURSING ADMINISTRATION 91074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91074,A000000,01100,0000,01100PHARMACY 91074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91074,A000000,01300,0000,01300SOCIAL SERVICE 91074,A000000,01600,0000,01600SKILLED NURSING FACILITY 91074,A000000,01800,0000,01800NURSING FACILITY 91074,A000000,02100,0000,02100RADIOLOGY 91074,A000000,02200,0000,02200LABORATORY 91074,A000000,02500,0000,02500PHYSICAL THERAPY 91074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91074,A000000,02700,0000,02700SPEECH PATHOLOGY 91074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91074,A000000,04800,0000,04800AMBULANCE 91074,A000000,05300,0000,05300INTEREST EXPENSE 91074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91074,A000000,05500,0000,05500HOSPICE 91074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91074,A000000,06200,0000,06200PATIENTS LAUNDRY 91074,A81000A,00100,0100,Y 91074,A81000B,00100,0300,MANAGEMENT FEES 91074,A81000B,00200,0300,CAPITAL RELATED COST 91074,A81000B,00300,0300,INTEREST 91074,A81000C,00100,0100,B 91074,A81000C,00100,0200,HEALTHMARK SERV 91074,A81000C,00100,0400,CUBA MANOR INC 91074,A81000C,00100,0600,NURSING HOME 91074,A81000C,00200,0100,B 91074,A81000C,00200,0400,HILLCREST HC LL 91074,A81000C,00200,0600,NURSING HOME 91074,A81000C,00300,0100,B 91074,A81000C,00300,0400,HILLCREST HC CT 91074,A81000C,00300,0600,NURSING HOME 91074,A81000C,00400,0100,B 91074,A81000C,00400,0400,STONEBROOK 91074,A81000C,00400,0600,NURSING HOME 91074,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91074,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91074,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91074,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91074,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91074,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91074,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91074,B100000,00000,0800,00000MEALS SERVED :DIETARY 91074,B100000,00000,0950,00000GROSS SAL. NURSING :NURSING ADMINIS 91074,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91074,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91074,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 91074,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91074,S000000,00100,0200,06/06/2000 91074,S200000,00100,0100,307 HIGHWAY 21 SOUTH 91074,S200000,00200,0100,POTOSI 91074,S200000,00200,0200,MO 91074,S200000,00200,0300,63664- 91074,S200000,00300,0100,WASHINGTON 91074,S200000,00400,0100,POTOSI MANOR INC. 91074,S200000,00400,0200,265681 91074,S200000,00400,0300,08/11/1997 91074,S200000,00400,0500,P 91074,S200000,01004,0500,O 91074,S200000,01600,0100,Y 91074,S700003,00000,0400,4 91079,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91079,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91079,A000000,00300,0000,00300EMPLOYEE BENEFITS 91079,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91079,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91079,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91079,A000000,00700,0000,00700HOUSEKEEPING 91079,A000000,00800,0000,00800DIETARY 91079,A000000,00900,0000,00900NURSING ADMINISTRATION 91079,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91079,A000000,01100,0000,01100PHARMACY 91079,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91079,A000000,01300,0000,01300SOCIAL SERVICE 91079,A000000,01350,0000,01500OTHER GENERAL SERVICES 91079,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91079,A000000,01600,0000,01600SKILLED NURSING FACILITY 91079,A000000,01800,0000,01800NURSING FACILITY 91079,A000000,01810,0000,01801ICF/MR 91079,A000000,01900,0000,01900OTHER LONG TERM CARE 91079,A000000,02100,0000,02100RADIOLOGY 91079,A000000,02200,0000,02200LABORATORY 91079,A000000,02300,0000,02300INTRAVENOUS THERAPY 91079,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91079,A000000,02500,0000,02500PHYSICAL THERAPY 91079,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91079,A000000,02700,0000,02700SPEECH PATHOLOGY 91079,A000000,02800,0000,02800ELECTROCARDIOLOGY 91079,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91079,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91079,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91079,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91079,A000000,03200,0000,03200SUPPORT SURFACES 91079,A000000,03400,0000,03400CLINIC 91079,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91079,A000000,03500,0000,03500RURAL HEALTH CLINIC 91079,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91079,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91079,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91079,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91079,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91079,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91079,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91079,A000000,04400,0000,04400DME RENTED - HHA 91079,A000000,04500,0000,04500DME SOLD - HHA 91079,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91079,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91079,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91079,A000000,04800,0000,04800AMBULANCE 91079,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91079,A000000,05000,0000,05000CORF 91079,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91079,A000000,05300,0000,05300INTEREST EXPENSE 91079,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91079,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91079,A000000,05500,0000,05500HOSPICE 91079,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91079,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91079,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91079,A000000,06100,0000,06100NONPAID WORKERS 91079,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91079,A000000,06200,0000,06200PATIENTS LAUNDRY 91079,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91079,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91079,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91079,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91079,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91079,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91079,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91079,B100000,00000,0800,00000NUMBER OF MEALS :DIETARY 91079,B100000,00000,0950,00000DIRECT NSG. :NURSING ADMINISTRATIO 91079,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 91079,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 91079,B100000,00000,1250,00000DIRECT COSTS :MEDICAL RECORDS & LI 91079,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91079,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91079,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91079,S000000,00100,0200,05/23/2000 91079,S200000,00100,0100,3170 HWY 61 91079,S200000,00100,0300,837 91079,S200000,00200,0100,HANNIBAL 91079,S200000,00200,0200,MO 91079,S200000,00200,0300,63401- 91079,S200000,00300,0100,MARION 91079,S200000,00400,0100,LUTHER MANOR RET. 7 NSG. CTR. 91079,S200000,00400,0200,265690 91079,S200000,00400,0300,01/01/1998 91079,S200000,00400,0600,O 91079,S200000,01004,0500,O 91079,S200000,01500,0100,Y 91079,S700003,00000,0400,4 91084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91084,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 91084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91084,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIPMENT 91084,A000000,00300,0000,00300EMPLOYEE BENEFITS 91084,A000000,00301,0000,00301EMPLOYEE BENEFITS 91084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91084,A000000,00501,0000,00501PLANT OPERATION MAINT. & REPAIRS 91084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91084,A000000,00601,0000,00601LAUNDRY & LINEN SERVICE 91084,A000000,00700,0000,00700HOUSEKEEPING 91084,A000000,00701,0000,00701HOUSEKEEPING 91084,A000000,00800,0000,00800DIETARY 91084,A000000,00801,0000,00801DIETARY 91084,A000000,00900,0000,00900NURSING ADMINISTRATION 91084,A000000,00901,0000,00901NURSING ADMINISTRATION 91084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91084,A000000,01001,0000,01001CENTRAL SERVICES & SUPPLY 91084,A000000,01100,0000,01100PHARMACY 91084,A000000,01101,0000,01101PHARMACY 91084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91084,A000000,01201,0000,01201MEDICAL RECORDS & LIBRARY 91084,A000000,01300,0000,01300SOCIAL SERVICE 91084,A000000,01301,0000,01301SOCIAL SERVICE 91084,A000000,01350,0000,01500OTHER GENERAL SERVICES 91084,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 91084,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91084,A000000,01401,0000,01401INTERNS & RESIDENTS (APPRVD PROGRAM 91084,A000000,01600,0000,01600SKILLED NURSING FACILITY 91084,A000000,01800,0000,01800NURSING FACILITY 91084,A000000,01810,0000,01810ICF/MR 91084,A000000,01900,0000,01900OTHER LONG TERM CARE 91084,A000000,02100,0000,02100RADIOLOGY 91084,A000000,02200,0000,02200LABORATORY 91084,A000000,02300,0000,02300INTRAVENOUS THERAPY 91084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91084,A000000,02500,0000,02500PHYSICAL THERAPY 91084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91084,A000000,02700,0000,02700SPEECH PATHOLOGY 91084,A000000,02800,0000,02800ELECTROCARDIOLOGY 91084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91084,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91084,A000000,03200,0000,03200SUPPORT SURFACES 91084,A000000,03400,0000,03400CLINIC 91084,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91084,A000000,03500,0000,03500RURAL HEALTH CLINIC 91084,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91084,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91084,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91084,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91084,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91084,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91084,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91084,A000000,04400,0000,04400DME RENTED - HHA 91084,A000000,04500,0000,04500DME SOLD - HHA 91084,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91084,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91084,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91084,A000000,04800,0000,04800AMBULANCE 91084,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91084,A000000,05000,0000,05000CORF 91084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91084,A000000,05300,0000,05300INTEREST EXPENSE 91084,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91084,A000000,05500,0000,05500HOSPICE 91084,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91084,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91084,A000000,06100,0000,06100NONPAID WORKERS 91084,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91084,A000000,06200,0000,06200PATIENTS LAUNDRY 91084,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 91084,B100000,00000,0151,00000PATIENT DAYS :CAP REL COSTS - BLDG 91084,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 91084,B100000,00000,0251,00000PATIENT DAYS :CAP REL COSTS - MOVA 91084,B100000,00000,0350,00000PATIENT DAYS :EMPLOYEE BENEFITS 91084,B100000,00000,0351,00000PATIENT DAYS :EMPLOYEE BENEFITS 91084,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91084,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 91084,B100000,00000,0551,00000PATIENT DAYS :PLANT OPERATION MAI 91084,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91084,B100000,00000,0651,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91084,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 91084,B100000,00000,0751,00000PATIENT DAYS :HOUSEKEEPING 91084,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91084,B100000,00000,0851,00000PATIENT DAYS :DIETARY 91084,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91084,B100000,00000,0951,00000PATIENT DAYS :NURSING ADMINISTRATI 91084,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91084,B100000,00000,1051,00000PATIENT DAYS :CENTRAL SERVICES & S 91084,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91084,B100000,00000,1151,00000PATIENT DAYS :PHARMACY 91084,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91084,B100000,00000,1251,00000PATIENT DAYS :MEDICAL RECORDS & LI 91084,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91084,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICE 91084,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 91084,B100000,00000,1351,00000PATIENT DAYS :OTHER GENERAL SERVIC 91084,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 91084,B100000,00000,1451,00000PATIENT DAYS :INTERNS & RESIDENTS 91084,S000000,00100,0200,05/30/2000 91084,S200000,00100,0100,1235 E. MAIN 91084,S200000,00100,0300,375 91084,S200000,00200,0100,PERRY 91084,S200000,00200,0200,MO 91084,S200000,00200,0300,63462- 91084,S200000,00300,0100,RALLS 91084,S200000,00400,0100,TWAIN HAVEN CARE CENTER 91084,S200000,00400,0200,265692 91084,S200000,00400,0300,06/01/1998 91084,S200000,00400,0500,P 91084,S200000,00400,0600,O 91087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91087,A000000,00300,0000,00300EMPLOYEE BENEFITS 91087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91087,A000000,00700,0000,00700HOUSEKEEPING 91087,A000000,00800,0000,00800DIETARY 91087,A000000,00900,0000,00900NURSING ADMINISTRATION 91087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91087,A000000,01100,0000,01100PHARMACY 91087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91087,A000000,01300,0000,01300SOCIAL SERVICE 91087,A000000,01350,0000,01500OTHER GENERAL SERVICES 91087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91087,A000000,01600,0000,01600SKILLED NURSING FACILITY 91087,A000000,01800,0000,01800NURSING FACILITY 91087,A000000,01810,0000,01801ICF/MR 91087,A000000,01900,0000,01900OTHER LONG TERM CARE 91087,A000000,02100,0000,02100RADIOLOGY 91087,A000000,02200,0000,02200LABORATORY 91087,A000000,02300,0000,02300INTRAVENOUS THERAPY 91087,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91087,A000000,02500,0000,02500PHYSICAL THERAPY 91087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91087,A000000,02700,0000,02700SPEECH PATHOLOGY 91087,A000000,02800,0000,02800ELECTROCARDIOLOGY 91087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91087,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91087,A000000,03200,0000,03200SUPPORT SURFACES 91087,A000000,03400,0000,03400CLINIC 91087,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91087,A000000,03500,0000,03500RURAL HEALTH CLINIC 91087,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91087,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91087,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91087,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91087,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91087,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91087,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91087,A000000,04400,0000,04400DME RENTED - HHA 91087,A000000,04500,0000,04500DME SOLD - HHA 91087,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91087,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91087,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91087,A000000,04800,0000,04800AMBULANCE 91087,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91087,A000000,05000,0000,05000CORF 91087,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91087,A000000,05300,0000,05300INTEREST EXPENSE 91087,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91087,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91087,A000000,05500,0000,05500HOSPICE 91087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91087,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91087,A000000,06100,0000,06100NONPAID WORKERS 91087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91087,A000000,06200,0000,06200PATIENTS LAUNDRY 91087,A81000A,00100,0100,Y 91087,A81000B,00100,0300,HOME OFFICE COSTS 91087,A81000B,00200,0300,HOME OFFICE COSTS 91087,A81000C,00100,0100,A 91087,A81000C,00100,0200,JAMES & JUDY LINCOLN 91087,A81000C,00100,0400,HEALTH SYSTEMS INC. 91087,A81000C,00100,0600,HOME OFFICE 91087,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91087,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 91087,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91087,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91087,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91087,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91087,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91087,B100000,00000,0800,00000MEALS SERVED :DIETARY 91087,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 91087,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 91087,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 91087,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91087,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91087,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91087,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91087,S000000,00100,0200,05/08/2000 91087,S200000,00100,0100,220 OROURKE DRIVE 91087,S200000,00100,0300,1310 91087,S200000,00200,0100,PLATTE CITY 91087,S200000,00200,0200,MO 91087,S200000,00200,0300,64079- 91087,S200000,00300,0100,PLATTE 91087,S200000,00400,0100,HILLVIEW NURSING AND REHAB 91087,S200000,00400,0200,265696 91087,S200000,00400,0300,06/01/1989 91087,S200000,00400,0500,P 91087,S200000,01600,0100,Y 91087,S700003,00000,0400,4 91100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91100,A000000,00300,0000,00300EMPLOYEE BENEFITS 91100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91100,A000000,00700,0000,00700HOUSEKEEPING 91100,A000000,00800,0000,00800DIETARY 91100,A000000,00900,0000,00900NURSING ADMINISTRATION 91100,A000000,00901,0000,00901OTHER NURSING 91100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91100,A000000,01100,0000,01100PHARMACY 91100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91100,A000000,01300,0000,01300SOCIAL SERVICE 91100,A000000,01301,0000,01301ACTIVITIES 91100,A000000,01600,0000,01600SKILLED NURSING FACILITY 91100,A000000,01800,0000,01800NURSING FACILITY 91100,A000000,02100,0000,02100RADIOLOGY 91100,A000000,02200,0000,02200LABORATORY 91100,A000000,02300,0000,02300INTRAVENOUS THERAPY 91100,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91100,A000000,02500,0000,02500PHYSICAL THERAPY 91100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91100,A000000,02700,0000,02700SPEECH PATHOLOGY 91100,A000000,02800,0000,02800ELECTROCARDIOLOGY 91100,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91100,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91100,A000000,03051,0000,03301NUTRITIONAL THERAPY 91100,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 91100,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 91100,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91100,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91100,A000000,04800,0000,04800AMBULANCE 91100,A000000,05300,0000,05300INTEREST EXPENSE 91100,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91100,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91100,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91100,A000000,06151,0000,06301DAY CARE 91100,A000000,06152,0000,06302REVIEW AND ANALYZE ACCOUNTS 91100,A000000,06153,0000,06303DISTRICT OFFICE SPACE 91100,A000000,06200,0000,06200PATIENTS LAUNDRY 91100,A81000A,00100,0100,Y 91100,A81000B,00100,0300,HOME OFFICE COSTS 91100,A81000B,00200,0300,LIABILITY INSURANCE 91100,A81000B,00500,0300,VC PHARMACY - ADMIN 91100,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 91100,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 91100,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 91100,A81000B,01300,0300,VENCARE REHAB - PHYS THER 91100,A81000B,01400,0300,VENCARE REHAB - OCCP THER 91100,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 91100,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 91100,A81000B,01700,0300,VC PHARMACY - LEGEND 91100,A81000B,01800,0300,VC PHARMACY - OTHER MEDICAL 91100,A81000C,00100,0100,B 91100,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 91100,A81000C,00100,0400,CORNERSTONE INSURANCE CO 91100,A81000C,00100,0600,LIABILITY INSURANCE 91100,A81000C,00200,0400,VENCARE PHARMACY SERVICES 91100,A81000C,00200,0600,PHARMACY 91100,A81000C,00300,0400,VENCARE RESPIRATORY 91100,A81000C,00300,0600,RESPIRATORY THERAPY 91100,A81000C,00400,0400,THERAPY SERVICES 91100,A81000C,00500,0400,VENCARE REHAB SERVICES 91100,A81000C,00500,0600,REHAB 91100,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 91100,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 91100,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 91100,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 91100,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 91100,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 91100,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 91100,B100000,00000,0850,00003PATIENT DAYS :DIETARY 91100,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 91100,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 91100,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 91100,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 91100,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 91100,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 91100,B100000,00000,1331,00003PATIENT DAYS :ACTIVITIES 91100,E10A180,00350,0100,06/30/2000 91100,E10A180,00351,0100,06/30/2000 91100,S000000,00100,0200,12/01/2000 91100,S200000,00100,0100,1500 32ND STREET SOUTH 91100,S200000,00200,0100,GREAT FALLS 91100,S200000,00200,0200,MT 91100,S200000,00200,0300,59403- 91100,S200000,00300,0100,CASCADE 91100,S200000,00400,0100,# 416 PARK PLACE HCC 91100,S200000,00400,0200,275030 91100,S200000,00400,0300,09/01/1983 91100,S200000,00400,0500,P 91100,S200000,01500,0100,Y 91100,S200000,02200,0100,Y 91121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91121,A000000,00300,0000,00300EMPLOYEE BENEFITS 91121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91121,A000000,00700,0000,00700HOUSEKEEPING 91121,A000000,00800,0000,00800DIETARY 91121,A000000,00900,0000,00900NURSING ADMINISTRATION 91121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91121,A000000,01100,0000,01100PHARMACY 91121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91121,A000000,01300,0000,01300SOCIAL SERVICE 91121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91121,A000000,01600,0000,01600SKILLED NURSING FACILITY 91121,A000000,01800,0000,01800NURSING FACILITY 91121,A000000,02100,0000,02100RADIOLOGY 91121,A000000,02200,0000,02200LABORATORY 91121,A000000,02300,0000,02300INTRAVENOUS THERAPY 91121,A000000,02500,0000,02500PHYSICAL THERAPY 91121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91121,A000000,02700,0000,02700SPEECH PATHOLOGY 91121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91121,A000000,05000,0000,05000CORF 91121,A000000,05010,0000,05010CMHC 91121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91121,A81000A,00100,0100,Y 91121,A81000B,00100,0300,HOME OFFICE COSTS 91121,A81000B,00200,0300,LEASING 91121,A81000C,00100,0100,A 91121,A81000C,00100,0200,JACK D. & ELDOR 91121,A81000C,00100,0400,VETTER HEALTH 91121,A81000C,00100,0600,MGMT FIRM 91121,A81000C,00200,0100,A 91121,A81000C,00200,0200,D. VETTER 91121,A81000C,00200,0400,VETTER LEASING 91121,A81000C,00200,0600,LEASING CO. 91121,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91121,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91121,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91121,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91121,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91121,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 91121,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 91121,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 91121,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 91121,S000000,00100,0200,05/15/2000 91121,S200000,00100,0100,1750 SOUTH 20TH STREET 91121,S200000,00200,0100,LINCOLN 91121,S200000,00200,0200,NE 91121,S200000,00200,0300,68502- 91121,S200000,00300,0100,LANCASTER 91121,S200000,00300,0200,4360 91121,S200000,00300,0300,U 91121,S200000,00400,0100,MILDER MANOR INC. 91121,S200000,00400,0200,285002 91121,S200000,00400,0300,01/01/1967 91121,S200000,00400,0500,P 91121,S200000,01600,0100,Y 91121,S200000,02800,0100,Y 91131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91131,A000000,00300,0000,00300EMPLOYEE BENEFITS 91131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91131,A000000,00700,0000,00700HOUSEKEEPING 91131,A000000,00800,0000,00800DIETARY 91131,A000000,00900,0000,00900NURSING ADMINISTRATION 91131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91131,A000000,01100,0000,01100PHARMACY 91131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91131,A000000,01300,0000,01300SOCIAL SERVICE 91131,A000000,01350,0000,01500OTHER GENERAL SERVICES 91131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91131,A000000,01600,0000,01600SKILLED NURSING FACILITY 91131,A000000,01800,0000,01800NURSING FACILITY 91131,A000000,01810,0000,01810ICF/MR 91131,A000000,01900,0000,01900OTHER LONG TERM CARE 91131,A000000,02100,0000,02100RADIOLOGY 91131,A000000,02200,0000,02200LABORATORY 91131,A000000,02300,0000,02300INTRAVENOUS THERAPY 91131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91131,A000000,02500,0000,02500PHYSICAL THERAPY 91131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91131,A000000,02700,0000,02700SPEECH PATHOLOGY 91131,A000000,02800,0000,02800ELECTROCARDIOLOGY 91131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91131,A000000,03200,0000,03200SUPPORT SURFACES 91131,A000000,03400,0000,03400CLINIC 91131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91131,A000000,03500,0000,03500RURAL HEALTH CLINIC 91131,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91131,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91131,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91131,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91131,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91131,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91131,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91131,A000000,04400,0000,04400DME RENTED - HHA 91131,A000000,04500,0000,04500DME SOLD - HHA 91131,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91131,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91131,A000000,04800,0000,04800AMBULANCE 91131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91131,A000000,05000,0000,05000CORF 91131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91131,A000000,05300,0000,05300INTEREST EXPENSE 91131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91131,A000000,05500,0000,05500HOSPICE 91131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91131,A000000,06100,0000,06100NONPAID WORKERS 91131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91131,A000000,06200,0000,06200PATIENTS LAUNDRY 91131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91131,B100000,00000,0800,00000MEALS SERVED :DIETARY 91131,S000000,00100,0200,01/09/2001 91131,S200000,00100,0100,6315 O STREET 91131,S200000,00200,0100,LINCOLN 91131,S200000,00200,0200,NE 91131,S200000,00200,0300,68510- 91131,S200000,00300,0100,LANCASTER 91131,S200000,00300,0200,4360 91131,S200000,00300,0300,U 91131,S200000,00400,0100,EASTMONT TOWERS 91131,S200000,00400,0200,285036 91131,S200000,00400,0300,09/04/1968 91131,S200000,00400,0500,P 91131,S200000,01600,0100,Y 91147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91147,A000000,00300,0000,00300EMPLOYEE BENEFITS 91147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91147,A000000,00700,0000,00700HOUSEKEEPING 91147,A000000,00800,0000,00800DIETARY 91147,A000000,00900,0000,00900NURSING ADMINISTRATION 91147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91147,A000000,01100,0000,01100PHARMACY 91147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91147,A000000,01300,0000,01300SOCIAL SERVICE 91147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91147,A000000,01600,0000,01600SKILLED NURSING FACILITY 91147,A000000,01800,0000,01800NURSING FACILITY 91147,A000000,01810,0000,01810ICF/MR 91147,A000000,01900,0000,01900OTHER LONG TERM CARE 91147,A000000,02100,0000,02100RADIOLOGY 91147,A000000,02200,0000,02200LABORATORY 91147,A000000,02300,0000,02300INTRAVENOUS THERAPY 91147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91147,A000000,02500,0000,02500PHYSICAL THERAPY 91147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91147,A000000,02700,0000,02700SPEECH PATHOLOGY 91147,A000000,02800,0000,02800ELECTROCARDIOLOGY 91147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91147,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91147,A000000,03200,0000,03200SUPPORT SURFACES 91147,A000000,03400,0000,03400CLINIC 91147,A000000,03500,0000,03500RURAL HEALTH CLINIC 91147,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 91147,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91147,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91147,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91147,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91147,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91147,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91147,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91147,A000000,04400,0000,04400DME RENTED - HHA 91147,A000000,04500,0000,04500DME SOLD - HHA 91147,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91147,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91147,A000000,04800,0000,04800AMBULANCE 91147,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91147,A000000,05000,0000,05000CORF 91147,A000000,05010,0000,05010CMHC 91147,A000000,05020,0000,05020OPT 91147,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91147,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91147,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91147,A000000,05300,0000,05300INTEREST EXPENSE 91147,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91147,A000000,05500,0000,05500HOSPICE 91147,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91147,A000000,06100,0000,06100NONPAID WORKERS 91147,A000000,06200,0000,06200PATIENTS LAUNDRY 91147,A81000A,00100,0100,Y 91147,A81000C,00100,0100,A 91147,A81000C,00100,0200,DOUG PETERSON 91147,A81000C,00100,0400,INTERIM HEALTH 91147,A81000C,00100,0600,ACCOUNTING 91147,A81000C,00200,0100,A 91147,A81000C,00200,0200,LUGENE PETERSON 91147,A81000C,00200,0400,INTERIM HEALTH 91147,A81000C,00200,0600,ACCOUNTING 91147,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91147,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 91147,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91147,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91147,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91147,B100000,00000,0650,00000SQ FEET LAUNDRY) :LAUNDRY & LINEN S 91147,B100000,00000,0750,00000SQ FEET SERVICE) :HOUSEKEEPING 91147,B100000,00000,0850,00000PATIENT DA SERVED) :DIETARY 91147,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 91147,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 91147,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 91147,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 91147,B100000,00000,1330,00000PAT DAYS SPENT) :SOCIAL SERVICE 91147,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 91147,S000000,00100,0200,06/02/2000 91147,S200000,00100,0100,1720 BURTON DRIVE 91147,S200000,00200,0100,FALLS CITY 91147,S200000,00200,0200,NE 91147,S200000,00200,0300,68355- 91147,S200000,00300,0100,RICHARDSON 91147,S200000,00400,0100,MIDLAND VILLA 91147,S200000,00400,0200,285055 91147,S200000,00400,0300,07/01/1981 91147,S200000,00400,0500,P 91147,S200000,01600,0100,Y 91147,S200000,02800,0100,Y 91147,S700003,00000,0100,1 91156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91156,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT.J WING 91156,A000000,00102,0000,00102CAP REL COSTS - BLDGS & FIXT H WING 91156,A000000,00103,0000,00103CAP REL COSTS - BLDGS & FIXT N WING 91156,A000000,00104,0000,00104CAP REL COSTS - BLDGS & FIXT SOLWIN 91156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91156,A000000,00300,0000,00300EMPLOYEE BENEFITS 91156,A000000,00401,0000,00401ADMINISTRATIVE & GENERAL 91156,A000000,00402,0000,00402ADMIN & GENL - REGIONAL HOME CARE 91156,A000000,00403,0000,00403ADMIN & GEL - REHAB ADMIN 91156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91156,A000000,00700,0000,00700HOUSEKEEPING 91156,A000000,00800,0000,00800DIETARY 91156,A000000,00801,0000,00801EMPLOYEE CAFETERIA 91156,A000000,00900,0000,00900NURSING ADMINISTRATION 91156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91156,A000000,01100,0000,01100PHARMACY 91156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91156,A000000,01300,0000,01300SOCIAL SERVICE 91156,A000000,01350,0000,01500OTHER GENERAL SERVICES 91156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91156,A000000,01600,0000,01600SKILLED NURSING FACILITY 91156,A000000,01800,0000,01800NURSING FACILITY 91156,A000000,01900,0000,01900OTHER LONG TERM CARE 91156,A000000,02100,0000,02100RADIOLOGY 91156,A000000,02200,0000,02200LABORATORY 91156,A000000,02300,0000,02300INTRAVENOUS THERAPY 91156,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91156,A000000,02500,0000,02500PHYSICAL THERAPY 91156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91156,A000000,02700,0000,02700SPEECH PATHOLOGY 91156,A000000,02800,0000,02800ELECTROCARDIOLOGY 91156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91156,A000000,02901,0000,02901SPECIALIZED BEDS CHARGED TO PATIENT 91156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91156,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91156,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91156,A000000,03200,0000,03200SUPPORT SURFACES 91156,A000000,03400,0000,03400CLINIC 91156,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91156,A000000,03500,0000,03500RURAL HEALTH CLINIC 91156,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91156,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91156,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91156,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91156,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91156,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91156,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91156,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91156,A000000,04702,0000,04702OTHER NON-REIMB. SERVICES - HHA 91156,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91156,A000000,04800,0000,04800AMBULANCE 91156,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91156,A000000,05000,0000,05000CORF 91156,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91156,A000000,05300,0000,05300INTEREST EXPENSE 91156,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91156,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91156,A000000,05500,0000,05500HOSPICE 91156,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91156,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91156,A000000,06100,0000,06100NONPAID WORKERS 91156,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91156,A000000,06151,0000,06301MEALS ON WHEELS 91156,A000000,06152,0000,06302NON-REIMB:CONTRACT REHAB 91156,A000000,06200,0000,06200PATIENTS LAUNDRY 91156,A81000A,00100,0100,Y 91156,A81000B,00100,0300,RENT OFFICE SPACE 91156,A81000C,00100,0100,G 91156,A81000C,00100,0400,TABITHA HOUSING CORP 91156,A81000C,00100,0600,REAL ESTATE RENTAL 91156,A81000C,03100,0000,COMMON CONTROL CORPORATION 91156,B100000,00000,0100,00002SQUAREFEET T :CAP REL COSTS - BLDG 91156,B100000,00000,0101,00002JW SQFEET :CAP REL COSTS - BLDGS & 91156,B100000,00000,0102,00002HW SQFEET :CAP REL COSTS - BLDGS & 91156,B100000,00000,0103,00002NW SQ FEET :CAP REL COSTS - BLDGS & 91156,B100000,00000,0104,00002SOL SQ FEET :CAP REL COSTS - BLDGS 91156,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 91156,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 91156,B100000,00000,0401,00002 ACCUM. COST :ADMINISTRATIVE & GENE 91156,B100000,00000,0402,00002 ACCUM. COST :ADMIN & GENL - REGIO 91156,B100000,00000,0403,00002 ACCUM. COST :ADMIN & GEL - REHAB 91156,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 91156,B100000,00000,0600,00002LAUNDRY POUNDS :LAUNDRY & LINEN SE 91156,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 91156,B100000,00000,0800,00002MEALS :DIETARY 91156,B100000,00000,0851,00002FTES :EMPLOYEE CAFETERIA 91156,B100000,00000,0950,00002FTES :NURSING ADMINISTRATION 91156,B100000,00000,1000,00002COSTED REQS :CENTRAL SERVICES & SU 91156,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 91156,B100000,00000,1330,00002DISCHG :SOCIAL SERVICE 91156,E10A180,00301,0100,03/31/1999 91156,E10A180,00302,0100,10/13/1999 91156,E10A180,00303,0100,03/28/2000 91156,E10A180,00350,0100,06/23/1999 91156,E10A180,00351,0100,11/24/1999 91156,H510100,00000,0000,4360 91156,H510100,02400,0000,4360 91156,H510100,02401,0000,5920 91156,H510100,02402,0000,9928 91156,H510200,00000,0000,5920 91156,H510300,00000,0000,9928 91156,H710000,00301,0100,03/31/1999 91156,H710000,00302,0100,06/23/1999 91156,H710000,00303,0100,11/24/1999 91156,H710000,00304,0100,03/29/2000 91156,H710000,00350,0100,10/13/1999 91156,H710000,00351,0100,08/02/1999 91156,S000000,00100,0200,05/22/2000 91156,S200000,00100,0100,4720 RANDOLPH 91156,S200000,00200,0100,LINCOLN 91156,S200000,00200,0200,NE 91156,S200000,00200,0300,68510- 91156,S200000,00300,0100,LANCASTER 91156,S200000,00300,0200,4360 91156,S200000,00300,0300,U 91156,S200000,00400,0100,CERTIFIED SNF UNIT 91156,S200000,00400,0200,285057 91156,S200000,00400,0300,03/26/1981 91156,S200000,00400,0500,P 91156,S200000,00800,0200,287002 91156,S200000,00800,0300,07/01/1966 91156,S200000,00800,0500,P 91156,S200000,00801,0200,287304 91156,S200000,00801,0300,03/16/1996 91156,S200000,00801,0500,O 91156,S200000,01200,0200,281502 91156,S200000,01200,0300,12/01/1987 91156,S200000,01600,0100,Y 91156,S200000,02200,0100,Y 91156,S200000,02800,0100,Y 91162,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91162,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91162,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91162,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91162,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91162,A000000,00700,0000,00700HOUSEKEEPING 91162,A000000,00800,0000,00800DIETARY 91162,A000000,00900,0000,00900NURSING ADMINISTRATION 91162,A000000,01300,0000,01300SOCIAL SERVICE 91162,A000000,01600,0000,01600SKILLED NURSING FACILITY 91162,A000000,01800,0000,01800NURSING FACILITY 91162,A000000,01900,0000,01900OTHER LONG TERM CARE 91162,A000000,02500,0000,02500PHYSICAL THERAPY 91162,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91162,A000000,02700,0000,02700SPEECH PATHOLOGY 91162,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91162,A000000,04800,0000,04800AMBULANCE 91162,A000000,05300,0000,05300INTEREST EXPENSE 91162,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91162,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91162,A81000A,00100,0100,Y 91162,A81000B,00100,0300,INTEREST EXPENSE 91162,A81000B,00200,0300,CENTRAL SERVICES 91162,A81000C,00100,0100,B 91162,A81000C,00100,0200,JEWISH FEDERATION - OMAHA 91162,A81000C,00100,0400,ROSE BLUMKIN JEWISH HOME 91162,A81000C,00100,0600,PARENT ORGANIZATION 91162,A81000C,00200,0100,B 91162,A81000C,00200,0200,JEWISH FEDERATION - OMAHA 91162,A81000C,00200,0400,ROSE BLUMKIN JEWISH HOME 91162,A81000C,00200,0600,PARENT ORGANIZATION 91162,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91162,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91162,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91162,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91162,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91162,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91162,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91162,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 91162,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91162,S000000,00100,0200,12/01/2000 91162,S200000,00100,0100,323 SOUTH 132ND STREET 91162,S200000,00200,0100,OMAHA 91162,S200000,00200,0200,NE 91162,S200000,00200,0300,68154- 91162,S200000,00300,0100,DOUGLAS 91162,S200000,00300,0200,5920 91162,S200000,00300,0300,U 91162,S200000,00400,0100,ROSE BLUMKIN JEWISH HOME 91162,S200000,00400,0200,285059 91162,S200000,00400,0300,01/05/1983 91162,S200000,00400,0500,P 91162,S200000,01600,0100,Y 91162,S200000,02200,0100,Y 91162,S200000,02800,0100,Y 91172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91172,A000000,00300,0000,00300EMPLOYEE BENEFITS 91172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91172,A000000,00700,0000,00700HOUSEKEEPING 91172,A000000,00800,0000,00800DIETARY 91172,A000000,00900,0000,00900NURSING ADMINISTRATION 91172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91172,A000000,01100,0000,01100PHARMACY 91172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91172,A000000,01300,0000,01300SOCIAL SERVICE 91172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91172,A000000,01600,0000,01600SKILLED NURSING FACILITY 91172,A000000,01810,0000,01810ICF/MR 91172,A000000,01900,0000,01900OTHER LONG TERM CARE 91172,A000000,02100,0000,02100RADIOLOGY 91172,A000000,02200,0000,02200LABORATORY 91172,A000000,02500,0000,02500PHYSICAL THERAPY 91172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91172,A000000,02700,0000,02700SPEECH PATHOLOGY 91172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91172,A000000,03550,0000,03550FQHC 91172,A000000,05000,0000,05000CORF 91172,A000000,05010,0000,05010CMHC 91172,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91172,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91172,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91172,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91172,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91172,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91172,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91172,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91172,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 91172,B100000,00000,0800,00040MEALS SERVED :DIETARY 91172,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91172,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91172,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 91172,S000000,00100,0200,12/01/2000 91172,S200000,00100,0100,615 EAST 9TH 91172,S200000,00100,0300,367 91172,S200000,00200,0100,STROMSBERG 91172,S200000,00200,0200,NE 91172,S200000,00200,0300,68666- 91172,S200000,00300,0100,POLK 91172,S200000,00300,0200,0028 91172,S200000,00300,0300,R 91172,S200000,00400,0100,MIDWEST COVENANT HOME 91172,S200000,00400,0200,285062 91172,S200000,00400,0300,07/01/1983 91172,S200000,00400,0500,P 91172,S200000,01004,0500,O 91172,S200000,01500,0100,Y 91172,S200000,01900,0100,CORPORATE 91190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91190,A000000,00300,0000,00300EMPLOYEE BENEFITS 91190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91190,A000000,00700,0000,00700HOUSEKEEPING 91190,A000000,00800,0000,00800DIETARY 91190,A000000,00900,0000,00900NURSING ADMINISTRATION 91190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91190,A000000,01100,0000,01100PHARMACY 91190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91190,A000000,01300,0000,01300SOCIAL SERVICE 91190,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91190,A000000,01600,0000,01600SKILLED NURSING FACILITY 91190,A000000,01810,0000,01810ICF/MR 91190,A000000,01900,0000,01900OTHER LONG TERM CARE 91190,A000000,02100,0000,02100RADIOLOGY 91190,A000000,02200,0000,02200LABORATORY 91190,A000000,02300,0000,02300INTRAVENOUS THERAPY 91190,A000000,02500,0000,02500PHYSICAL THERAPY 91190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91190,A000000,02700,0000,02700SPEECH PATHOLOGY 91190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91190,A000000,03400,0000,03400CLINIC 91190,A000000,03550,0000,03550FQHC 91190,A000000,05000,0000,05000CORF 91190,A000000,05010,0000,05010CMHC 91190,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91190,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91190,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91190,A000000,06150,0000,06300DAY CARE 91190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91190,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91190,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91190,B100000,00000,0800,00000MEALS SERVED :DIETARY 91190,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91190,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91190,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91190,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91190,S000000,00100,0200,12/04/2000 91190,S200000,00100,0100,200 LEVI LANE 91190,S200000,00100,0300,78 91190,S200000,00200,0100,ADAMS 91190,S200000,00200,0200,NE 91190,S200000,00200,0300,68301- 91190,S200000,00300,0100,JOHNSON 91190,S200000,00300,0200,0028 91190,S200000,00300,0300,R 91190,S200000,00400,0100,GOLDCREST RETIREMENT CENTER 91190,S200000,00400,0200,285065 91190,S200000,00400,0300,06/07/1984 91190,S200000,00400,0500,P 91190,S200000,01004,0500,O 91190,S200000,01500,0100,Y 91190,S200000,01900,0100,TRUST 91208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91208,A000000,00300,0000,00300EMPLOYEE BENEFITS 91208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91208,A000000,00700,0000,00700HOUSEKEEPING 91208,A000000,00800,0000,00800DIETARY 91208,A000000,00900,0000,00900NURSING ADMINISTRATION 91208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91208,A000000,01100,0000,01100PHARMACY 91208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91208,A000000,01300,0000,01300SOCIAL SERVICE 91208,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91208,A000000,01600,0000,01600SKILLED NURSING FACILITY 91208,A000000,01800,0000,01800NURSING FACILITY 91208,A000000,01810,0000,01810ICF/MR 91208,A000000,01900,0000,01900OTHER LONG TERM CARE 91208,A000000,02200,0000,02200LABORATORY 91208,A000000,02500,0000,02500PHYSICAL THERAPY 91208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91208,A000000,02700,0000,02700SPEECH PATHOLOGY 91208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91208,A000000,03550,0000,03550FQHC 91208,A000000,05000,0000,05000CORF 91208,A000000,05010,0000,05010CMHC 91208,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91208,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91208,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91208,B100000,00000,0800,00000MEALS SERVED :DIETARY 91208,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91208,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91208,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91208,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91208,S000000,00100,0200,12/04/2000 91208,S200000,00100,0100,1320 11TH AVE 91208,S200000,00200,0100,HOLDREGE 91208,S200000,00200,0200,NE 91208,S200000,00200,0300,68949- 91208,S200000,00300,0100,PHELPS 91208,S200000,00300,0200,28 91208,S200000,00300,0300,R 91208,S200000,00400,0100,METHODIST MEMORIAL HOMES 91208,S200000,00400,0200,285067 91208,S200000,00400,0300,07/01/1986 91208,S200000,00400,0500,P 91208,S200000,01004,0500,O 91208,S200000,01500,0100,Y 91208,S200000,01900,0100,TRUST 91218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91218,A000000,00300,0000,00300EMPLOYEE BENEFITS 91218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91218,A000000,00700,0000,00700HOUSEKEEPING 91218,A000000,00800,0000,00800DIETARY 91218,A000000,00900,0000,00900NURSING ADMINISTRATION 91218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91218,A000000,01100,0000,01100PHARMACY 91218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91218,A000000,01300,0000,01300SOCIAL SERVICE 91218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91218,A000000,01600,0000,01600SKILLED NURSING FACILITY 91218,A000000,01810,0000,01810ICF/MR 91218,A000000,02500,0000,02500PHYSICAL THERAPY 91218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91218,A000000,02700,0000,02700SPEECH PATHOLOGY 91218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91218,A000000,03550,0000,03550FQHC 91218,A000000,05000,0000,05000CORF 91218,A000000,05010,0000,05010CMHC 91218,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91218,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91218,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91218,A81000A,00100,0100,Y 91218,A81000B,00100,0300,MANAGEMENT FEES 91218,A81000B,00200,0300,LEASE FEES 91218,A81000C,00100,0100,A 91218,A81000C,00100,0200,JACK & ELDORA V 91218,A81000C,00100,0400,VETTER HEALTH S 91218,A81000C,00100,0600,MANAGEMENT CO. 91218,A81000C,00200,0400,VETTER LEASING 91218,A81000C,00200,0600,LEASING CO. 91218,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91218,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91218,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91218,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91218,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91218,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 91218,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 91218,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 91218,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 91218,E10A180,00301,0100,01/21/2000 91218,S000000,00100,0200,11/30/2000 91218,S200000,00100,0100,2025 21ST STREET 91218,S200000,00200,0100,GERING 91218,S200000,00200,0200,NE 91218,S200000,00200,0300,69341- 91218,S200000,00300,0100,SCOTTS BLUFF 91218,S200000,00300,0200,0028 91218,S200000,00300,0300,R 91218,S200000,00400,0100,HERITAGE HEALTH CARE CENTER 91218,S200000,00400,0200,285071 91218,S200000,00400,0300,12/20/1985 91218,S200000,00400,0500,P 91218,S200000,01004,0500,O 91218,S200000,01500,0100,Y 91228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91228,A000000,00300,0000,00300EMPLOYEE BENEFITS 91228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91228,A000000,00700,0000,00700HOUSEKEEPING 91228,A000000,00800,0000,00800DIETARY 91228,A000000,00900,0000,00900NURSING ADMINISTRATION 91228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91228,A000000,01100,0000,01100PHARMACY 91228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91228,A000000,01300,0000,01300SOCIAL SERVICE 91228,A000000,01350,0000,01500OTHER GENERAL SERVICES 91228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91228,A000000,01600,0000,01600SKILLED NURSING FACILITY 91228,A000000,01800,0000,01800NURSING FACILITY 91228,A000000,01810,0000,01810ICF/MR 91228,A000000,01900,0000,01900OTHER LONG TERM CARE 91228,A000000,02100,0000,02100RADIOLOGY 91228,A000000,02200,0000,02200LABORATORY 91228,A000000,02300,0000,02300INTRAVENOUS THERAPY 91228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91228,A000000,02500,0000,02500PHYSICAL THERAPY 91228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91228,A000000,02700,0000,02700SPEECH PATHOLOGY 91228,A000000,02800,0000,02800ELECTROCARDIOLOGY 91228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91228,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91228,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91228,A000000,03200,0000,03200SUPPORT SURFACES 91228,A000000,03400,0000,03400CLINIC 91228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91228,A000000,03500,0000,03500RURAL HEALTH CLINIC 91228,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91228,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91228,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91228,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91228,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91228,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91228,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91228,A000000,04400,0000,04400DME RENTED - HHA 91228,A000000,04500,0000,04500DME SOLD - HHA 91228,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91228,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91228,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91228,A000000,04800,0000,04800AMBULANCE 91228,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91228,A000000,05000,0000,05000CORF 91228,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91228,A000000,05300,0000,05300INTEREST EXPENSE 91228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91228,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91228,A000000,05500,0000,05500HOSPICE 91228,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91228,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91228,A000000,06100,0000,06100NONPAID WORKERS 91228,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91228,A000000,06200,0000,06200PATIENTS LAUNDRY 91228,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 91228,B100000,00000,0350,00000 :EMPLOYEE BENEFITS 91228,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91228,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 91228,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 91228,B100000,00000,0750,00000 :HOUSEKEEPING 91228,B100000,00000,0850,00000 :DIETARY 91228,B100000,00000,0950,00000 :NURSING ADMINISTRATION 91228,B100000,00000,1050,00000 :CENTRAL SERVICES & SUPPLY 91228,B100000,00000,1330,00000 :SOCIAL SERVICE 91228,S000000,00100,0200,11/30/2000 91228,S200000,00100,0100,309 N. MADISON 91228,S200000,00200,0100,COLERIDGE 91228,S200000,00200,0200,NE 91228,S200000,00200,0300,68727- 91228,S200000,00300,0100,CEDAR 91228,S200000,00300,0200,28 91228,S200000,00300,0300,R 91228,S200000,00400,0100,PARK VIEW HAVEN NURSING HOME 91228,S200000,00400,0200,285073 91228,S200000,00400,0300,07/28/1986 91228,S200000,00400,0500,P 91228,S200000,01500,0100,Y 91228,S200000,01900,0100,LLC 91238,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91238,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91238,A000000,00300,0000,00300EMPLOYEE BENEFITS 91238,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91238,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91238,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91238,A000000,00700,0000,00700HOUSEKEEPING 91238,A000000,00800,0000,00800DIETARY 91238,A000000,00900,0000,00900NURSING ADMINISTRATION 91238,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91238,A000000,01100,0000,01100PHARMACY 91238,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91238,A000000,01300,0000,01300SOCIAL SERVICE 91238,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91238,A000000,01600,0000,01600SKILLED NURSING FACILITY 91238,A000000,01800,0000,01800NURSING FACILITY 91238,A000000,01810,0000,01810ICF/MR 91238,A000000,02500,0000,02500PHYSICAL THERAPY 91238,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91238,A000000,02700,0000,02700SPEECH PATHOLOGY 91238,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91238,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91238,A000000,03550,0000,03550FQHC 91238,A000000,05000,0000,05000CORF 91238,A000000,05010,0000,05010CMHC 91238,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91238,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91238,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91238,A81000A,00100,0100,Y 91238,A81000B,00100,0300,MANAGEMENT FEES 91238,A81000B,00200,0300,LEASE FEES 91238,A81000C,00100,0100,A 91238,A81000C,00100,0200,JACK & ELDORA V 91238,A81000C,00100,0400,VETTER HEALTH S 91238,A81000C,00100,0600,MANAGEMENT COMP 91238,A81000C,00200,0400,VETTER LEASING 91238,A81000C,00200,0600,LEASING CO. 91238,B100000,00000,0100,00040(SQUARE FEET) :CAP REL COSTS - BLD 91238,B100000,00000,0300,00040(GROSS SALARIES) :EMPLOYEE BENEFIT 91238,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91238,B100000,00000,0500,00040(SQUARE FEET) :PLANT OPERATION MA 91238,B100000,00000,0650,00040(PATIENT DAYS) :LAUNDRY & LINEN SE 91238,B100000,00000,0750,00040(SQUARE FEET) :HOUSEKEEPING 91238,B100000,00000,0850,00040(PATIENT DAYS) :DIETARY 91238,B100000,00000,0950,00040(PATIENT DAYS) :NURSING ADMINISTRA 91238,B100000,00000,1250,00040(PATIENT DAYS) :MEDICAL RECORDS & 91238,B100000,00000,1330,00040(PATIENT DAYS) :SOCIAL SERVICE 91238,S000000,00100,0200,11/30/2000 91238,S200000,00100,0100,260 S. 10TH ST. 91238,S200000,00200,0100,DAVID CITY 91238,S200000,00200,0200,NE 91238,S200000,00200,0300,68632- 91238,S200000,00300,0100,BUTLER 91238,S200000,00300,0200,0028 91238,S200000,00300,0300,R 91238,S200000,00400,0100,DAVID PLACE 91238,S200000,00400,0200,285074 91238,S200000,00400,0300,03/01/1982 91238,S200000,00400,0500,P 91238,S200000,01004,0500,O 91238,S200000,01600,0100,Y 91238,S200000,02800,0100,Y 91245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91245,A000000,00300,0000,00300EMPLOYEE BENEFITS 91245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91245,A000000,00700,0000,00700HOUSEKEEPING 91245,A000000,00800,0000,00800DIETARY 91245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91245,A000000,01300,0000,01300SOCIAL SERVICE 91245,A000000,01600,0000,01600SKILLED NURSING FACILITY 91245,A000000,01800,0000,01800NURSING FACILITY 91245,A000000,01810,0000,01801ICF/MR 91245,A000000,02500,0000,02500PHYSICAL THERAPY 91245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91245,A000000,02700,0000,02700SPEECH PATHOLOGY 91245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91245,A000000,06150,0000,06300APARTMENTS 91245,A81000A,00100,0100,Y 91245,A81000B,00100,0300,MANAGEMENT FEES 91245,A81000C,00100,0100,A 91245,A81000C,00100,0400,PARAGON MANAGEMENT 91245,A81000C,00100,0600,MANAGEMENT COMPANY 91245,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91245,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91245,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91245,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91245,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91245,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91245,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91245,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91245,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91245,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91245,S000000,00100,0200,06/01/2000 91245,S200000,00100,0100,3501 DAKOTA AVENUE 91245,S200000,00200,0100,SOUTH SIOUX CITY 91245,S200000,00200,0200,NE 91245,S200000,00200,0300,68776- 91245,S200000,00300,0100,DAKOTA 91245,S200000,00400,0100,REGENCY SQUARE 91245,S200000,00400,0200,285076 91245,S200000,00400,0300,07/01/1986 91245,S200000,00400,0500,P 91245,S200000,01600,0100,Y 91245,S200000,02200,0100,Y 91245,S200000,02800,0100,Y 91245,S700003,00000,0100,1 91254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91254,A000000,00300,0000,00300EMPLOYEE BENEFITS 91254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91254,A000000,00700,0000,00700HOUSEKEEPING 91254,A000000,00800,0000,00800DIETARY 91254,A000000,00900,0000,00900NURSING ADMINISTRATION 91254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91254,A000000,01300,0000,01300SOCIAL SERVICE 91254,A000000,01600,0000,01600SKILLED NURSING FACILITY 91254,A000000,01800,0000,01800NURSING FACILITY 91254,A000000,02100,0000,02100RADIOLOGY 91254,A000000,02200,0000,02200LABORATORY 91254,A000000,02500,0000,02500PHYSICAL THERAPY 91254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91254,A000000,02700,0000,02700SPEECH PATHOLOGY 91254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91254,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91254,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91254,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91254,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91254,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91254,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91254,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91254,A000000,04400,0000,04400DME RENTED - HHA 91254,A000000,04500,0000,04500DME SOLD - HHA 91254,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91254,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91254,A000000,05300,0000,05300INTEREST EXPENSE 91254,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91254,A000000,05500,0000,05500HOSPICE 91254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91254,A81000A,00100,0100,Y 91254,A81000B,00100,0300,HOME OFFICE-CAP 91254,A81000B,00200,0300,HOME OFFICE-A&G 91254,A81000C,00100,0100,B 91254,A81000C,00100,0400,DELMAR GARDENS 91254,A81000C,00100,0600,HOME OFFICE 91254,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91254,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91254,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91254,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91254,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91254,B100000,00000,0800,00000MEALS SERVED :DIETARY 91254,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 91254,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 91254,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91254,H510100,00000,0000,5920 91254,H510100,02400,0000,5920 91254,S000000,00100,0200,08/30/2000 91254,S200000,00100,0100,2305 SOUTH 10TH STREET 91254,S200000,00200,0100,OMAHA 91254,S200000,00200,0200,NE 91254,S200000,00200,0300,68108-1154 91254,S200000,00300,0100,DOUGLAS 91254,S200000,00300,0200,5920 91254,S200000,00300,0300,U 91254,S200000,00400,0100,NEBRASKA RETIREMENT SERVICES INC. 91254,S200000,00400,0200,285078 91254,S200000,00400,0300,07/13/1987 91254,S200000,00400,0500,P 91254,S200000,00800,0200,287028 91254,S200000,00800,0300,03/01/1988 91254,S200000,00800,0500,P 91254,S200000,01600,0100,Y 91254,S200000,02200,0100,Y 91262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91262,A000000,00300,0000,00300EMPLOYEE BENEFITS 91262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91262,A000000,00700,0000,00700HOUSEKEEPING 91262,A000000,00800,0000,00800DIETARY 91262,A000000,00900,0000,00900NURSING ADMINISTRATION 91262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91262,A000000,01100,0000,01100PHARMACY 91262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91262,A000000,01300,0000,01300SOCIAL SERVICE 91262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91262,A000000,01600,0000,01600SKILLED NURSING FACILITY 91262,A000000,01810,0000,01810ICF/MR 91262,A000000,02100,0000,02100RADIOLOGY 91262,A000000,02200,0000,02200LABORATORY 91262,A000000,02500,0000,02500PHYSICAL THERAPY 91262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91262,A000000,02700,0000,02700SPEECH PATHOLOGY 91262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91262,A000000,03550,0000,03550FQHC 91262,A000000,05000,0000,05000CORF 91262,A000000,05010,0000,05010CMHC 91262,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91262,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91262,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91262,A000000,06150,0000,06300DAY CARE 91262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91262,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91262,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91262,B100000,00000,0800,00000MEALS SERVED :DIETARY 91262,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91262,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91262,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91262,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91262,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91262,S000000,00100,0200,12/07/2000 91262,S200000,00100,0100,309 W. 7TH 91262,S200000,00200,0100,MCCOOK 91262,S200000,00200,0200,NE 91262,S200000,00200,0300,69001- 91262,S200000,00300,0100,RED WILLOW 91262,S200000,00300,0200,28 91262,S200000,00300,0300,R 91262,S200000,00400,0100,HILLCREST NURSING CENTER 91262,S200000,00400,0200,285080 91262,S200000,00400,0300,01/01/1988 91262,S200000,00400,0500,P 91262,S200000,01004,0500,O 91262,S200000,01500,0100,Y 91262,S200000,01900,0100,CORPORATE 91269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91269,A000000,00300,0000,00300EMPLOYEE BENEFITS 91269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91269,A000000,00700,0000,00700HOUSEKEEPING 91269,A000000,00800,0000,00800DIETARY 91269,A000000,00900,0000,00900NURSING ADMINISTRATION 91269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91269,A000000,01100,0000,01100PHARMACY 91269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91269,A000000,01300,0000,01300SOCIAL SERVICE 91269,A000000,01350,0000,01500OTHER GENERAL SERVICES 91269,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91269,A000000,01600,0000,01600SKILLED NURSING FACILITY 91269,A000000,01800,0000,01800NURSING FACILITY 91269,A000000,01810,0000,01810ICF/MR 91269,A000000,01900,0000,01900OTHER LONG TERM CARE 91269,A000000,02100,0000,02100RADIOLOGY 91269,A000000,02200,0000,02200LABORATORY 91269,A000000,02300,0000,02300INTRAVENOUS THERAPY 91269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91269,A000000,02500,0000,02500PHYSICAL THERAPY 91269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91269,A000000,02700,0000,02700SPEECH PATHOLOGY 91269,A000000,02800,0000,02800ELECTROCARDIOLOGY 91269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91269,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91269,A000000,03200,0000,03200SUPPORT SURFACES 91269,A000000,03400,0000,03400CLINIC 91269,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91269,A000000,03500,0000,03500RURAL HEALTH CLINIC 91269,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91269,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91269,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91269,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91269,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91269,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91269,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91269,A000000,04400,0000,04400DME RENTED - HHA 91269,A000000,04500,0000,04500DME SOLD - HHA 91269,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91269,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91269,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91269,A000000,04800,0000,04800AMBULANCE 91269,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91269,A000000,05000,0000,05000CORF 91269,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91269,A000000,05300,0000,05300INTEREST EXPENSE 91269,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91269,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91269,A000000,05500,0000,05500HOSPICE 91269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91269,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91269,A000000,06100,0000,06100NONPAID WORKERS 91269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91269,A000000,06200,0000,06200PATIENTS LAUNDRY 91269,A81000A,00100,0100,Y 91269,A81000B,00100,0300,MANAGEMENT FEES 91269,A81000B,00200,0300,MANAGEMENT FEES 91269,A81000C,00100,0100,B 91269,A81000C,00100,0200,WALKER COLONIAL MANOR 91269,A81000C,00100,0400,WALKER SENIOR SERVICES 91269,A81000C,00100,0600,MANAGEMENT COMPANY 91269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91269,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 91269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91269,B100000,00000,0800,00000MEALS SERVED :DIETARY 91269,B100000,00000,0950,00000PRODUCTIVE E H :NURSING ADMINISTRAT 91269,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 91269,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 91269,S000000,00100,0200,06/26/2000 91269,S200000,00100,0100,3200 G STREET 91269,S200000,00200,0100,SOUTH SIOUX CITY 91269,S200000,00200,0200,NE 91269,S200000,00200,0300,68776- 91269,S200000,00300,0100,DAKOTA 91269,S200000,00300,0200,7720 91269,S200000,00300,0300,U 91269,S200000,00400,0100,WALKER COLONIAL MANOR 91269,S200000,00400,0200,285082 91269,S200000,00400,0300,06/01/1988 91269,S200000,00400,0500,P 91269,S200000,01600,0100,Y 91280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91280,A000000,00300,0000,00300EMPLOYEE BENEFITS 91280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91280,A000000,00700,0000,00700HOUSEKEEPING 91280,A000000,00800,0000,00800DIETARY 91280,A000000,00900,0000,00900NURSING ADMINISTRATION 91280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91280,A000000,01100,0000,01100PHARMACY 91280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91280,A000000,01300,0000,01300SOCIAL SERVICE 91280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91280,A000000,01600,0000,01600SKILLED NURSING FACILITY 91280,A000000,01810,0000,01810ICF/MR 91280,A000000,02500,0000,02500PHYSICAL THERAPY 91280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91280,A000000,02700,0000,02700SPEECH PATHOLOGY 91280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91280,A000000,03550,0000,03550FQHC 91280,A000000,05000,0000,05000CORF 91280,A000000,05010,0000,05010CMHC 91280,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91280,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91280,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91280,A81000A,00100,0100,Y 91280,A81000B,00100,0300,MANAGEMENT FEES 91280,A81000B,00200,0300,LEASE FEES 91280,A81000C,00100,0100,A 91280,A81000C,00100,0200,JACK & ELDORA V 91280,A81000C,00100,0400,VETTER HEALTH S 91280,A81000C,00100,0600,MANAGEMENT COMP 91280,A81000C,00200,0400,VETTER LEASING 91280,A81000C,00200,0600,LEASING COMPANY 91280,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91280,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91280,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91280,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91280,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 91280,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91280,B100000,00000,0850,00040PATIENT DAYS :DIETARY 91280,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 91280,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 91280,S000000,00100,0200,11/30/2000 91280,S200000,00100,0100,420 WEST 4TH STREET 91280,S200000,00200,0100,NORTH PLATTE 91280,S200000,00200,0200,NE 91280,S200000,00200,0300,69101- 91280,S200000,00300,0100,LINCOLN 91280,S200000,00300,0200,0028 91280,S200000,00300,0300,R 91280,S200000,00400,0100,LINDEN MANOR NURSING HOME 91280,S200000,00400,0200,285083 91280,S200000,00400,0300,07/01/1988 91280,S200000,00400,0500,P 91280,S200000,01600,0100,Y 91290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91290,A000000,00300,0000,00300EMPLOYEE BENEFITS 91290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91290,A000000,00700,0000,00700HOUSEKEEPING 91290,A000000,00800,0000,00800DIETARY 91290,A000000,00900,0000,00900NURSING ADMINISTRATION 91290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91290,A000000,01100,0000,01100PHARMACY 91290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91290,A000000,01300,0000,01300SOCIAL SERVICE 91290,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91290,A000000,01600,0000,01600SKILLED NURSING FACILITY 91290,A000000,01800,0000,01800NURSING FACILITY 91290,A000000,01810,0000,01810ICF/MR 91290,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91290,A000000,02500,0000,02500PHYSICAL THERAPY 91290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91290,A000000,02700,0000,02700SPEECH PATHOLOGY 91290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91290,A000000,03550,0000,03550FQHC 91290,A000000,05000,0000,05000CORF 91290,A000000,05010,0000,05010CMHC 91290,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91290,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91290,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91290,A81000A,00100,0100,Y 91290,A81000B,00100,0300,MANAGEMENT FEES 91290,A81000B,00200,0300,LEASE FEES 91290,A81000C,00100,0100,A 91290,A81000C,00100,0200,JACK & ELDORA V 91290,A81000C,00100,0400,VETTER HEALTH S 91290,A81000C,00100,0600,MANAGEMENT CO. 91290,A81000C,00200,0400,VETTER LEASING 91290,A81000C,00200,0600,LEASING CO. 91290,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91290,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91290,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91290,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91290,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91290,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91290,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 91290,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 91290,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 91290,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 91290,S000000,00100,0200,11/30/2000 91290,S200000,00100,0100,3119 WEST FAIDLEY AVE. 91290,S200000,00200,0100,GRAND ISLAND 91290,S200000,00200,0200,NE 91290,S200000,00200,0300,68803- 91290,S200000,00300,0100,HALL 91290,S200000,00300,0200,0028 91290,S200000,00300,0300,R 91290,S200000,00400,0100,TIFFANY SQUARE CARE CENTER 91290,S200000,00400,0200,285087 91290,S200000,00400,0300,03/01/1989 91290,S200000,00400,0500,P 91290,S200000,01004,0500,O 91290,S200000,01600,0100,Y 91290,S200000,02800,0100,Y 91300,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91300,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91300,A000000,00300,0000,00300EMPLOYEE BENEFITS 91300,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91300,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91300,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91300,A000000,00700,0000,00700HOUSEKEEPING 91300,A000000,00800,0000,00800DIETARY 91300,A000000,00900,0000,00900NURSING ADMINISTRATION 91300,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91300,A000000,01100,0000,01100PHARMACY 91300,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91300,A000000,01300,0000,01300SOCIAL SERVICE 91300,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91300,A000000,01600,0000,01600SKILLED NURSING FACILITY 91300,A000000,01810,0000,01810ICF/MR 91300,A000000,02500,0000,02500PHYSICAL THERAPY 91300,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91300,A000000,02700,0000,02700SPEECH PATHOLOGY 91300,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91300,A000000,03550,0000,03550FQHC 91300,A000000,05000,0000,05000CORF 91300,A000000,05010,0000,05010CMHC 91300,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91300,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91300,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91300,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91300,A81000A,00100,0100,Y 91300,A81000B,00100,0300,MANAGEMENT FEES 91300,A81000B,00200,0300,VEHICLE LEASE FEES 91300,A81000C,00100,0100,A 91300,A81000C,00100,0200,JACK D. VETTER 91300,A81000C,00100,0400,VETTER HEALTH S 91300,A81000C,00100,0600,MANAGEMENT CO. 91300,A81000C,00200,0200,ELDORA D. VETTE 91300,A81000C,00200,0400,VETTER LEASING 91300,A81000C,00200,0600,LEASING COMPANY 91300,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91300,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91300,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91300,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91300,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91300,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91300,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 91300,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91300,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91300,S000000,00100,0200,11/30/2000 91300,S200000,00100,0100,13TH & BEL AIR ROAD 91300,S200000,00200,0100,NORFOLK 91300,S200000,00200,0200,NE 91300,S200000,00200,0300,68701- 91300,S200000,00300,0100,MADISON 91300,S200000,00300,0200,0028 91300,S200000,00300,0300,R 91300,S200000,00400,0100,HERITAGE OF BEL AIR 91300,S200000,00400,0200,285089 91300,S200000,00400,0300,08/31/1989 91300,S200000,00400,0500,P 91300,S200000,01004,0500,O 91300,S200000,01600,0100,Y 91300,S200000,02800,0100,Y 91308,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91308,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91308,A000000,00300,0000,00300EMPLOYEE BENEFITS 91308,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91308,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91308,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91308,A000000,00700,0000,00700HOUSEKEEPING 91308,A000000,00800,0000,00800DIETARY 91308,A000000,00900,0000,00900NURSING ADMINISTRATION 91308,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91308,A000000,01100,0000,01100PHARMACY 91308,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91308,A000000,01300,0000,01300SOCIAL SERVICE 91308,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91308,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91308,A000000,01600,0000,01600SKILLED NURSING FACILITY 91308,A000000,01800,0000,01800NURSING FACILITY 91308,A000000,01900,0000,01900OTHER LONG TERM CARE 91308,A000000,02100,0000,02100RADIOLOGY 91308,A000000,02200,0000,02200LABORATORY 91308,A000000,02300,0000,02300INTRAVENOUS THERAPY 91308,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91308,A000000,02500,0000,02500PHYSICAL THERAPY 91308,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91308,A000000,02700,0000,02700SPEECH PATHOLOGY 91308,A000000,02800,0000,02800ELECTROCARDIOLOGY 91308,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91308,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91308,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91308,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91308,A000000,03200,0000,03200SUPPORT SURFACES 91308,A000000,03400,0000,03400CLINIC 91308,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91308,A000000,04800,0000,04800AMBULANCE 91308,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91308,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91308,A000000,05300,0000,05300INTEREST EXPENSE 91308,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91308,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91308,A000000,05500,0000,05500HOSPICE 91308,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91308,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91308,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91308,A000000,06100,0000,06100NONPAID WORKERS 91308,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91308,A000000,06200,0000,06200PATIENTS LAUNDRY 91308,A81000A,00100,0100,Y 91308,A81000B,00100,0300,MANAGEMENT FEE 91308,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 91308,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 91308,A81000C,00100,0100,B 91308,A81000C,00100,0200,INDIAN HILLS MA 91308,A81000C,00100,0400,LANTIS ENTERPRI 91308,A81000C,00100,0600,HEALTH CARE 91308,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91308,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91308,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91308,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91308,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91308,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91308,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91308,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91308,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91308,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91308,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91308,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91308,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91308,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 91308,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91308,S000000,00100,0200,05/23/2000 91308,S200000,00400,0100,INDIAN HILLS MANOR 91308,S200000,00400,0200,285091 91308,S200000,00400,0300,10/01/1989 91308,S200000,00400,0500,P 91308,S200000,01600,0100,Y 91308,S700003,00000,0100,1 91315,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91315,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91315,A000000,00300,0000,00300EMPLOYEE BENEFITS 91315,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91315,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91315,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91315,A000000,00700,0000,00700HOUSEKEEPING 91315,A000000,00800,0000,00800DIETARY 91315,A000000,00900,0000,00900NURSING ADMINISTRATION 91315,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91315,A000000,01300,0000,01300SOCIAL SERVICE 91315,A000000,01600,0000,01600SKILLED NURSING FACILITY 91315,A000000,01800,0000,01800NURSING FACILITY 91315,A000000,01900,0000,01900OTHER LONG TERM CARE 91315,A000000,02100,0000,02100RADIOLOGY 91315,A000000,02200,0000,02200LABORATORY 91315,A000000,02300,0000,02300INTRAVENOUS THERAPY 91315,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91315,A000000,02500,0000,02500PHYSICAL THERAPY 91315,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91315,A000000,02700,0000,02700SPEECH PATHOLOGY 91315,A000000,02800,0000,02800ELECTROCARDIOLOGY 91315,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91315,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91315,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91315,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91315,A000000,03200,0000,03200SUPPORT SURFACES 91315,A000000,03400,0000,03400CLINIC 91315,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91315,A000000,03500,0000,03500RURAL HEALTH CLINIC 91315,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91315,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91315,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91315,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91315,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91315,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91315,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91315,A000000,04400,0000,04400DME RENTED - HHA 91315,A000000,04500,0000,04500DME SOLD - HHA 91315,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91315,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91315,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91315,A000000,04800,0000,04800AMBULANCE 91315,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91315,A000000,05000,0000,05000CORF 91315,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91315,A000000,05300,0000,05300INTEREST EXPENSE 91315,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91315,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91315,A000000,05500,0000,05500HOSPICE 91315,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91315,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91315,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91315,A000000,06100,0000,06100NONPAID WORKERS 91315,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91315,A000000,06151,0000,06301GUEST MEALS 91315,A000000,06200,0000,06200PATIENTS LAUNDRY 91315,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91315,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91315,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91315,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91315,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91315,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 91315,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91315,B100000,00000,0800,00001MEALS SERVED :DIETARY 91315,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 91315,B100000,00000,1250,00001DAYS :MEDICAL RECORDS & LIBRARY 91315,B100000,00000,1330,00001DAYS :SOCIAL SERVICE 91315,S000000,00100,0200,05/24/2000 91315,S200000,00100,0100,510 CENTENNIAL CIRCLE 91315,S200000,00200,0100,NORTHE PLATTE 91315,S200000,00200,0200,NE 91315,S200000,00200,0300,69103- 91315,S200000,00300,0100,LINCOLN 91315,S200000,00400,0100,CENTENNIAL PARK RETIREMENT VILLAGE 91315,S200000,00400,0200,285094 91315,S200000,00400,0300,01/17/1990 91315,S200000,00400,0500,P 91315,S200000,00400,0600,O 91315,S200000,01500,0100,Y 91315,S200000,02200,0100,Y 91315,S200000,02800,0100,Y 91315,S700003,00000,0100,1 91324,S000000,00100,0200,12/01/2000 91332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91332,A000000,00300,0000,00300EMPLOYEE BENEFITS 91332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91332,A000000,00700,0000,00700HOUSEKEEPING 91332,A000000,00800,0000,00800DIETARY 91332,A000000,00900,0000,00900NURSING ADMINISTRATION 91332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91332,A000000,01100,0000,01100PHARMACY 91332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91332,A000000,01300,0000,01300SOCIAL SERVICE 91332,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91332,A000000,01600,0000,01600SKILLED NURSING FACILITY 91332,A000000,01800,0000,01800NURSING FACILITY 91332,A000000,01900,0000,01900OTHER LONG TERM CARE 91332,A000000,02100,0000,02100RADIOLOGY 91332,A000000,02200,0000,02200LABORATORY 91332,A000000,02300,0000,02300INTRAVENOUS THERAPY 91332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91332,A000000,02500,0000,02500PHYSICAL THERAPY 91332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91332,A000000,02700,0000,02700SPEECH PATHOLOGY 91332,A000000,02800,0000,02800ELECTROCARDIOLOGY 91332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91332,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91332,A000000,03200,0000,03200SUPPORT SURFACES 91332,A000000,03400,0000,03400CLINIC 91332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91332,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91332,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91332,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91332,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91332,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91332,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91332,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91332,A000000,04400,0000,04400DME RENTED - HHA 91332,A000000,04500,0000,04500DME SOLD - HHA 91332,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91332,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91332,A000000,04800,0000,04800AMBULANCE 91332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91332,A000000,05300,0000,05300INTEREST EXPENSE 91332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91332,A000000,05500,0000,05500HOSPICE 91332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91332,A000000,06100,0000,06100NONPAID WORKERS 91332,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91332,A000000,06200,0000,06200PATIENTS LAUNDRY 91332,A81000A,00100,0100,Y 91332,A81000B,00100,0300,MANAGEMENT FEE 91332,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 91332,A81000B,00300,0300,CAP RLTD MOVE EQUIP 91332,A81000C,00100,0100,B 91332,A81000C,00100,0200,FALLS CITY CARE 91332,A81000C,00100,0400,LANTIS ENTERPRI 91332,A81000C,00100,0600,HEALTH CARE 91332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91332,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91332,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91332,B100000,00000,0800,00000MEALS SERVED :DIETARY 91332,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91332,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91332,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91332,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91332,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91332,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 91332,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91332,S000000,00100,0200,05/31/2000 91332,S200000,00100,0100,2800 TOWLE ST 91332,S200000,00200,0100,FALLS CITY 91332,S200000,00200,0200,NE 91332,S200000,00200,0300,68355- 91332,S200000,00300,0100,RICHARDSON 91332,S200000,00400,0100,FALLS CITY CARE CENTER 91332,S200000,00400,0200,285114 91332,S200000,00400,0300,12/01/1991 91332,S200000,00400,0500,P 91332,S200000,01600,0100,Y 91332,S700003,00000,0100,1 91361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91361,A000000,00300,0000,00300EMPLOYEE BENEFITS 91361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91361,A000000,00700,0000,00700HOUSEKEEPING 91361,A000000,00800,0000,00800DIETARY 91361,A000000,00900,0000,00900NURSING ADMINISTRATION 91361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91361,A000000,01100,0000,01100PHARMACY 91361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91361,A000000,01300,0000,01300SOCIAL SERVICE 91361,A000000,01350,0000,01500OTHER GENERAL SERVICES 91361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91361,A000000,01600,0000,01600SKILLED NURSING FACILITY 91361,A000000,01800,0000,01800NURSING FACILITY 91361,A000000,01810,0000,01801ICF/MR 91361,A000000,01900,0000,01900OTHER LONG TERM CARE 91361,A000000,02100,0000,02100RADIOLOGY 91361,A000000,02200,0000,02200LABORATORY 91361,A000000,02300,0000,02300INTRAVENOUS THERAPY 91361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91361,A000000,02500,0000,02500PHYSICAL THERAPY 91361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91361,A000000,02700,0000,02700SPEECH PATHOLOGY 91361,A000000,02800,0000,02800ELECTROCARDIOLOGY 91361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91361,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91361,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91361,A000000,03200,0000,03200SUPPORT SURFACES 91361,A000000,03400,0000,03400CLINIC 91361,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91361,A000000,03500,0000,03500RURAL HEALTH CLINIC 91361,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91361,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91361,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91361,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91361,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91361,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91361,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91361,A000000,04400,0000,04400DME RENTED - HHA 91361,A000000,04500,0000,04500DME SOLD - HHA 91361,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91361,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91361,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91361,A000000,04800,0000,04800AMBULANCE 91361,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91361,A000000,05000,0000,05000CORF 91361,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91361,A000000,05300,0000,05300INTEREST EXPENSE 91361,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91361,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91361,A000000,05500,0000,05500HOSPICE 91361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91361,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91361,A000000,06100,0000,06100NONPAID WORKERS 91361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91361,A000000,06200,0000,06200PATIENTS LAUNDRY 91361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91361,B100000,00000,0250,00000GROSS SALARIES :CAP REL COSTS - MO 91361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91361,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91361,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91361,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91361,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 91361,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91361,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91361,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91361,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91361,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91361,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91361,S000000,00100,0200,05/05/2000 91361,S200000,00100,0100,1800 IRVING STREET 91361,S200000,00200,0100,BEATRICE 91361,S200000,00200,0200,NE 91361,S200000,00200,0300,68310- 91361,S200000,00300,0100,GAGE 91361,S200000,00400,0100,BEATRICE MANOR INC. 91361,S200000,00400,0200,285130 91361,S200000,00400,0300,04/01/1993 91361,S200000,00400,0500,P 91361,S200000,01600,0100,Y 91361,S200000,02800,0100,Y 91361,S700003,00000,0100,1 91371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91371,A000000,00300,0000,00300EMPLOYEE BENEFITS 91371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91371,A000000,00700,0000,00700HOUSEKEEPING 91371,A000000,00800,0000,00800DIETARY 91371,A000000,00900,0000,00900NURSING ADMINISTRATION 91371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91371,A000000,01100,0000,01100PHARMACY 91371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91371,A000000,01300,0000,01300SOCIAL SERVICE 91371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91371,A000000,01600,0000,01600SKILLED NURSING FACILITY 91371,A000000,01800,0000,01800NURSING FACILITY 91371,A000000,01900,0000,01900OTHER LONG TERM CARE 91371,A000000,02100,0000,02100RADIOLOGY 91371,A000000,02200,0000,02200LABORATORY 91371,A000000,02300,0000,02300INTRAVENOUS THERAPY 91371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91371,A000000,02500,0000,02500PHYSICAL THERAPY 91371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91371,A000000,02700,0000,02700SPEECH PATHOLOGY 91371,A000000,02800,0000,02800ELECTROCARDIOLOGY 91371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91371,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91371,A000000,03200,0000,03200SUPPORT SURFACES 91371,A000000,03400,0000,03400CLINIC 91371,A000000,03500,0000,03500RURAL HEALTH CLINIC 91371,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91371,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91371,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91371,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91371,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91371,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91371,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91371,A000000,04400,0000,04400DME RENTED - HHA 91371,A000000,04500,0000,04500DME SOLD - HHA 91371,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91371,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91371,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91371,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91371,A000000,05300,0000,05300INTEREST EXPENSE 91371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91371,A000000,05500,0000,05500HOSPICE 91371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91371,A000000,06100,0000,06100NONPAID WORKERS 91371,A000000,06150,0000,06300DAYCARE 91371,A000000,06151,0000,06301APARTMENTS 91371,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST CENTERS 91371,A000000,06200,0000,06200PATIENTS LAUNDRY 91371,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 91371,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 91371,B100000,00000,0300,00002GROSS SAL :EMPLOYEE BENEFITS 91371,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 91371,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 91371,B100000,00000,0650,00002PAT DAYS :LAUNDRY & LINEN SERVICE 91371,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 91371,B100000,00000,0800,00002MEALS SERVED :DIETARY 91371,B100000,00000,0950,00002NURSING SALARIES :NURSING ADMINIST 91371,B100000,00000,1000,00002COSTED REQUISITIO :CENTRAL SERVICE 91371,B100000,00000,1100,00002COSTED REQUISITIO :PHARMACY 91371,B100000,00000,1330,00002PAT DAYS :SOCIAL SERVICE 91371,S000000,00100,0200,03/21/2000 91371,S200000,00100,0100,2319 LINCOLN AVENUE 91371,S200000,00100,0300,159 91371,S200000,00200,0100,YORK 91371,S200000,00200,0200,NE 91371,S200000,00200,0300,68467- 91371,S200000,00300,0100,YORK 91371,S200000,00300,0200,28 91371,S200000,00300,0300,R 91371,S200000,00400,0100,THE HEARTHSTONE INC. 91371,S200000,00400,0200,285131 91371,S200000,00400,0300,07/12/1993 91371,S200000,00400,0500,P 91371,S200000,00600,0200,285131 91371,S200000,00600,0300,07/12/1993 91371,S200000,00600,0600,P 91371,S200000,01500,0100,Y 91371,S200000,02200,0100,Y 91371,S200000,02800,0100,Y 91380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91380,A000000,00300,0000,00300EMPLOYEE BENEFITS 91380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91380,A000000,00700,0000,00700HOUSEKEEPING 91380,A000000,00800,0000,00800DIETARY 91380,A000000,00900,0000,00900NURSING ADMINISTRATION 91380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91380,A000000,01100,0000,01100PHARMACY 91380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91380,A000000,01300,0000,01300SOCIAL SERVICE 91380,A000000,01350,0000,01500OTHER GENERAL SERVICES 91380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91380,A000000,01600,0000,01600SKILLED NURSING FACILITY 91380,A000000,01800,0000,01800NURSING FACILITY 91380,A000000,01810,0000,01801ICF/MR 91380,A000000,01900,0000,01900OTHER LONG TERM CARE 91380,A000000,02100,0000,02100RADIOLOGY 91380,A000000,02200,0000,02200LABORATORY 91380,A000000,02300,0000,02300INTRAVENOUS THERAPY 91380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91380,A000000,02500,0000,02500PHYSICAL THERAPY 91380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91380,A000000,02700,0000,02700SPEECH PATHOLOGY 91380,A000000,02800,0000,02800ELECTROCARDIOLOGY 91380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91380,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91380,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91380,A000000,03200,0000,03200SUPPORT SURFACES 91380,A000000,03400,0000,03400CLINIC 91380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91380,A000000,03500,0000,03500RURAL HEALTH CLINIC 91380,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91380,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91380,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91380,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91380,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91380,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91380,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91380,A000000,04400,0000,04400DME RENTED - HHA 91380,A000000,04500,0000,04500DME SOLD - HHA 91380,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91380,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91380,A000000,04800,0000,04800AMBULANCE 91380,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91380,A000000,05000,0000,05000CORF 91380,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91380,A000000,05300,0000,05300INTEREST EXPENSE 91380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91380,A000000,05500,0000,05500HOSPICE 91380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91380,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91380,A000000,06100,0000,06100NONPAID WORKERS 91380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91380,A000000,06200,0000,06200PATIENTS LAUNDRY 91380,A81000A,00100,0100,Y 91380,A81000B,00100,0300,MANAGEMENT FEE 91380,A81000C,00100,0100,D 91380,A81000C,00100,0400,COLONIAL HEALTH CARE INC 91380,A81000C,00100,0600,MANAGEMENT COMPANY 91380,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91380,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91380,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91380,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91380,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91380,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91380,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91380,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91380,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91380,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91380,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91380,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91380,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91380,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91380,S000000,00100,0200,05/31/2000 91380,S200000,00100,0100,1702 HILLCREST DRIVE 91380,S200000,00200,0100,BELLEVUE 91380,S200000,00200,0200,NE 91380,S200000,00200,0300,68005- 91380,S200000,00300,0100,SARPY 91380,S200000,00400,0100,HILLCREST CARE AND REHABILITATION 91380,S200000,00400,0200,285133 91380,S200000,00400,0300,08/02/1993 91380,S200000,00400,0500,P 91380,S200000,01500,0100,Y 91380,S700003,00000,0100,1 91389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91389,A000000,00300,0000,00300EMPLOYEE BENEFITS 91389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91389,A000000,00700,0000,00700HOUSEKEEPING 91389,A000000,00800,0000,00800DIETARY 91389,A000000,00900,0000,00900NURSING ADMINISTRATION 91389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91389,A000000,01100,0000,01100PHARMACY 91389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91389,A000000,01300,0000,01300SOCIAL SERVICE 91389,A000000,01350,0000,01500RECREATION 91389,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91389,A000000,01600,0000,01600SKILLED NURSING FACILITY 91389,A000000,01810,0000,01810ICF/MR 91389,A000000,02100,0000,02100RADIOLOGY 91389,A000000,02200,0000,02200LABORATORY 91389,A000000,02500,0000,02500PHYSICAL THERAPY 91389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91389,A000000,02700,0000,02700SPEECH PATHOLOGY 91389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91389,A000000,03101,0000,03101PEN 91389,A000000,03200,0000,03200SUPPORT SURFACES 91389,A000000,03550,0000,03550FQHC 91389,A000000,05000,0000,05000CORF 91389,A000000,05010,0000,05010CMHC 91389,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91389,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91389,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91389,A81000A,00100,0100,Y 91389,A81000B,00100,0300,HOME OFFICE ADMIN 91389,A81000B,00200,0300,HOME OFFICE CAPITAL 91389,A81000C,00100,0100,B 91389,A81000C,00100,0200,CARE CENTER MAN 91389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91389,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91389,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 91389,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91389,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91389,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91389,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91389,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91389,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91389,B100000,00000,1350,00000PATIENT DAYS :RECREATION 91389,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91389,S000000,00100,0200,06/07/2000 91389,S200000,00100,0100,811 14TH STREET 91389,S200000,00200,0100,WAYNE 91389,S200000,00200,0200,NE 91389,S200000,00200,0300,68787- 91389,S200000,00300,0100,WAYNE 91389,S200000,00400,0100,WAYNE CARE CENTER 91389,S200000,00400,0200,285135 91389,S200000,00400,0300,01/15/1994 91389,S200000,00400,0500,P 91389,S200000,01004,0500,O 91389,S200000,01500,0100,Y 91389,S700003,00000,0100,1 91397,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91397,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91397,A000000,00300,0000,00300EMPLOYEE BENEFITS 91397,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91397,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91397,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91397,A000000,00700,0000,00700HOUSEKEEPING 91397,A000000,00800,0000,00800DIETARY 91397,A000000,00900,0000,00900NURSING ADMINISTRATION 91397,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91397,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91397,A000000,01300,0000,01300SOCIAL SERVICE 91397,A000000,01301,0000,01301ACTIVITIES 91397,A000000,01350,0000,01500REHAB 91397,A000000,01600,0000,01600SKILLED NURSING FACILITY 91397,A000000,01800,0000,01800NURSING FACILITY 91397,A000000,01900,0000,01900OTHER LONG TERM CARE 91397,A000000,02100,0000,02100RADIOLOGY 91397,A000000,02200,0000,02200LABORATORY 91397,A000000,02300,0000,02300INTRAVENOUS THERAPY 91397,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91397,A000000,02500,0000,02500PHYSICAL THERAPY 91397,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91397,A000000,02700,0000,02700SPEECH PATHOLOGY 91397,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91397,A000000,02901,0000,02901OXYGEN 91397,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91397,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91397,A000000,03051,0000,03301PEN THERAPY 91397,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91397,A000000,04800,0000,04800AMBULANCE 91397,A000000,05300,0000,05300INTEREST EXPENSE 91397,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91397,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91397,A000000,06150,0000,06300VENDING 91397,A000000,06151,0000,06301OTHER & STAND-BY 91397,A81000A,00100,0100,Y 91397,A81000B,00100,0300,ADMIN & GENERAL 91397,A81000B,00200,0300,DRUGS 91397,A81000B,00300,0300,CAPITAL 91397,A81000B,00400,0300,DIETARY 91397,A81000B,00500,0300,MEDICAL SUPPLIES 91397,A81000B,00600,0300,NON-CERT 91397,A81000C,00100,0100,B 91397,A81000C,00100,0200,PIERCE MANOR 91397,A81000C,00100,0400,MARINER PAN 91397,A81000C,00100,0600,NURSING HOMES 91397,A81000C,00200,0100,G 91397,A81000C,00200,0200,MARINER PAN 91397,A81000C,00200,0400,AMERICAN PHARM 91397,A81000C,00200,0600,PHARMACEUTICALS 91397,A81000C,00300,0100,G 91397,A81000C,00300,0200,MARINER PAN 91397,A81000C,00300,0400,PRISM (ATS ARS 91397,A81000C,00300,0600,THERAPIES 91397,A81000C,03100,0000,MARINER PAN 91397,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91397,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91397,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91397,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91397,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91397,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91397,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91397,B100000,00000,0800,00001MEALS SERVED :DIETARY 91397,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 91397,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 91397,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91397,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91397,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 91397,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 91397,S000000,00100,0200,06/05/2000 91397,S200000,00100,0100,515 E. MAIN ST. 91397,S200000,00200,0100,PIERCE 91397,S200000,00200,0200,NE 91397,S200000,00200,0300,68767- 91397,S200000,00300,0100,PIERCE 91397,S200000,00400,0100,PIERCE MANOR 91397,S200000,00400,0200,285139 91397,S200000,00400,0300,04/01/1994 91397,S200000,00400,0500,P 91397,S200000,01600,0100,Y 91397,S700003,00000,0100,1 91406,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91406,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91406,A000000,00300,0000,00300EMPLOYEE BENEFITS 91406,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91406,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91406,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91406,A000000,00700,0000,00700HOUSEKEEPING 91406,A000000,00800,0000,00800DIETARY 91406,A000000,01300,0000,01300SOCIAL SERVICE 91406,A000000,01350,0000,01500THERAPY TRANSPORTATION 91406,A000000,01600,0000,01600SKILLED NURSING FACILITY 91406,A000000,01800,0000,01800NURSING FACILITY 91406,A000000,01900,0000,01900OTHER LONG TERM CARE 91406,A000000,02500,0000,02500PHYSICAL THERAPY 91406,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91406,A000000,02700,0000,02700SPEECH PATHOLOGY 91406,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91406,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91406,A000000,04800,0000,04800AMBULANCE 91406,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91406,A000000,05300,0000,05300INTEREST EXPENSE 91406,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91406,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91406,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91406,A000000,06100,0000,06100NONPAID WORKERS 91406,A000000,06150,0000,06300CHILD DAY CARE 91406,A000000,06151,0000,06301ADULT DAY CARE 91406,A000000,06200,0000,06200PATIENTS LAUNDRY 91406,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91406,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91406,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91406,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91406,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91406,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 91406,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91406,B100000,00000,0850,00001INPATIENT DAYS :DIETARY 91406,B100000,00000,1330,00001INPATIENT DAYS :SOCIAL SERVICE 91406,S000000,00100,0200,12/04/2000 91406,S200000,00100,0100,2242 WRIGHT STREET 91406,S200000,00200,0100,BLAIR 91406,S200000,00200,0200,NE 91406,S200000,00200,0300,68008- 91406,S200000,00300,0100,WASHINGTON 91406,S200000,00300,0200,5920 91406,S200000,00300,0300,U 91406,S200000,00400,0100,GOOD SHEPHERD LUTHERAN HOME 91406,S200000,00400,0200,285148 91406,S200000,00400,0300,06/01/1994 91406,S200000,00400,0500,P 91406,S200000,00600,0200,285148 91406,S200000,00600,0300,07/01/1966 91406,S200000,00600,0600,P 91406,S200000,01600,0100,Y 91406,S200000,02200,0100,Y 91417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91417,A000000,00300,0000,00300EMPLOYEE BENEFITS 91417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91417,A000000,00700,0000,00700HOUSEKEEPING 91417,A000000,00800,0000,00800DIETARY 91417,A000000,00900,0000,00900NURSING ADMINISTRATION 91417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91417,A000000,01100,0000,01100PHARMACY 91417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91417,A000000,01300,0000,01300SOCIAL SERVICE 91417,A000000,01350,0000,01500OTHER GENERAL SERVICES 91417,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91417,A000000,01600,0000,01600SKILLED NURSING FACILITY 91417,A000000,01800,0000,01800NURSING FACILITY 91417,A000000,01810,0000,01810ICF/MR 91417,A000000,01900,0000,01900OTHER LONG TERM CARE 91417,A000000,02100,0000,02100RADIOLOGY 91417,A000000,02200,0000,02200LABORATORY 91417,A000000,02300,0000,02300INTRAVENOUS THERAPY 91417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91417,A000000,02500,0000,02500PHYSICAL THERAPY 91417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91417,A000000,02700,0000,02700SPEECH PATHOLOGY 91417,A000000,02800,0000,02800ELECTROCARDIOLOGY 91417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91417,A000000,03200,0000,03200SUPPORT SURFACES 91417,A000000,03400,0000,03400CLINIC 91417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91417,A000000,03500,0000,03500RURAL HEALTH CLINIC 91417,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91417,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91417,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91417,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91417,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91417,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91417,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91417,A000000,04400,0000,04400DME RENTED - HHA 91417,A000000,04500,0000,04500DME SOLD - HHA 91417,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91417,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91417,A000000,04800,0000,04800AMBULANCE 91417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91417,A000000,05000,0000,05000CORF 91417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91417,A000000,05300,0000,05300INTEREST EXPENSE 91417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91417,A000000,05500,0000,05500HOSPICE 91417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91417,A000000,06100,0000,06100NONPAID WORKERS 91417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91417,A000000,06200,0000,06200PATIENTS LAUNDRY 91417,A81000A,00100,0100,Y 91417,A81000B,00100,0300,MANAGEMENT FEES 91417,A81000C,00100,0100,B 91417,A81000C,00100,0200,MAPLE CREST 91417,A81000C,00100,0400,AMERICAN BAPTIST HOMES 91417,A81000C,00100,0600,MANAGEMENT COMPANY 91417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91417,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91417,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 91417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91417,B100000,00000,0800,00000MEALS SERVED :DIETARY 91417,B100000,00000,0950,00000PRODUCTIVE E NRSING :NURSING ADMINI 91417,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91417,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91417,S000000,00100,0200,01/31/2001 91417,S200000,00100,0100,2824 NORTH 66TH AVENUE 91417,S200000,00200,0100,OMAHA 91417,S200000,00200,0200,NE 91417,S200000,00200,0300,68104- 91417,S200000,00300,0100,DOUIGLAS 91417,S200000,00300,0200,5920 91417,S200000,00300,0300,U 91417,S200000,00400,0100,MAPLE CREST AMERICAN BAPTIST HOME 91417,S200000,00400,0200,285149 91417,S200000,00400,0300,06/01/1994 91417,S200000,00400,0500,P 91417,S200000,01600,0100,Y 91425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91425,A000000,00300,0000,00300EMPLOYEE BENEFITS 91425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91425,A000000,00700,0000,00700HOUSEKEEPING 91425,A000000,00800,0000,00800DIETARY 91425,A000000,00900,0000,00900NURSING ADMINISTRATION 91425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91425,A000000,01100,0000,01100PHARMACY 91425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91425,A000000,01300,0000,01300SOCIAL SERVICE 91425,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91425,A000000,01600,0000,01600SKILLED NURSING FACILITY 91425,A000000,01800,0000,01800NURSING FACILITY 91425,A000000,01900,0000,01900OTHER LONG TERM CARE 91425,A000000,02100,0000,02100RADIOLOGY 91425,A000000,02200,0000,02200LABORATORY 91425,A000000,02300,0000,02300INTRAVENOUS THERAPY 91425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91425,A000000,02500,0000,02500PHYSICAL THERAPY 91425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91425,A000000,02700,0000,02700SPEECH PATHOLOGY 91425,A000000,02800,0000,02800ELECTROCARDIOLOGY 91425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91425,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91425,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91425,A000000,03200,0000,03200SUPPORT SURFACES 91425,A000000,03400,0000,03400CLINIC 91425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91425,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91425,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91425,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91425,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91425,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91425,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91425,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91425,A000000,04400,0000,04400DME RENTED - HHA 91425,A000000,04500,0000,04500DME SOLD - HHA 91425,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91425,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91425,A000000,04800,0000,04800AMBULANCE 91425,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91425,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91425,A000000,05300,0000,05300INTEREST EXPENSE 91425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91425,A000000,05500,0000,05500HOSPICE 91425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91425,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91425,A000000,06100,0000,06100NONPAID WORKERS 91425,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91425,A000000,06200,0000,06200PATIENTS LAUNDRY 91425,A81000A,00100,0100,Y 91425,A81000B,00100,0300,MANAGEMENT FEES 91425,A81000B,00200,0300,CAP REL COSTS-MOVEABLE EQUIP 91425,A81000B,00300,0300,CAP REL COSTS-BLDGS & FIXTURES 91425,A81000B,00400,0300,ALLOWABLE RENT EXPENSE 91425,A81000C,00100,0100,B 91425,A81000C,00100,0200,CRESTVIEW CARE 91425,A81000C,00100,0400,LANTIS ENTERPRI 91425,A81000C,00100,0600,HEALTH CARE 91425,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91425,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91425,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91425,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91425,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91425,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91425,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91425,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91425,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91425,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91425,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91425,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91425,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 91425,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91425,S000000,00100,0200,05/31/2000 91425,S200000,00100,0100,420 GORDON AVENUE 91425,S200000,00100,0300,861 91425,S200000,00200,0100,CHADRON 91425,S200000,00200,0200,NE 91425,S200000,00200,0300,69337- 91425,S200000,00300,0100,DAWES 91425,S200000,00400,0100,CRESTVIEW CARE CENTER 91425,S200000,00400,0200,285150 91425,S200000,00400,0300,06/10/1994 91425,S200000,00400,0500,P 91425,S200000,01500,0100,Y 91425,S700003,00000,0100,1 91434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91434,A000000,00300,0000,00300EMPLOYEE BENEFITS 91434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91434,A000000,00700,0000,00700HOUSEKEEPING 91434,A000000,00800,0000,00800DIETARY 91434,A000000,00900,0000,00900NURSING ADMINISTRATION 91434,A000000,01300,0000,01300SOCIAL SERVICE 91434,A000000,01600,0000,01600SKILLED NURSING FACILITY 91434,A000000,01900,0000,01900OTHER LONG TERM CARE 91434,A000000,02200,0000,02200LABORATORY 91434,A000000,02500,0000,02500PHYSICAL THERAPY 91434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91434,A81000A,00100,0100,Y 91434,A81000B,00100,0300,FRANCHISE FEE 91434,A81000C,00100,0100,G 91434,A81000C,00100,0200,CITY OF WISNER 91434,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91434,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 91434,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 91434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91434,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91434,B100000,00000,0650,00000(CENSUS DAYS) :LAUNDRY & LINEN SER 91434,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91434,B100000,00000,0850,00000(CENSUS DAYS) :DIETARY 91434,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 91434,B100000,00000,1330,00000(CENSUS DAYS) :SOCIAL SERVICE 91434,S000000,00100,0200,02/14/2000 91434,S200000,00100,0100,1105 9TH STREET 91434,S200000,00200,0100,WISNER 91434,S200000,00200,0200,NE 91434,S200000,00200,0300,68791- 91434,S200000,00300,0100,CUMING 91434,S200000,00400,0100,WISNER MANOR 91434,S200000,00400,0200,285151 91434,S200000,00400,0300,08/01/1994 91434,S200000,00400,0500,P 91434,S200000,01500,0100,Y 91434,S700003,00000,0100,1 91444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91444,A000000,00300,0000,00300EMPLOYEE BENEFITS 91444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91444,A000000,00700,0000,00700HOUSEKEEPING 91444,A000000,00800,0000,00800DIETARY 91444,A000000,00900,0000,00900NURSING ADMINISTRATION 91444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91444,A000000,01300,0000,01300SOCIAL SERVICE 91444,A000000,01301,0000,01301ACTIVITES 91444,A000000,01350,0000,01500REHABILITATION 91444,A000000,01600,0000,01600SKILLED NURSING FACILITY 91444,A000000,01800,0000,01800NURSING FACILITY 91444,A000000,01900,0000,01900OTHER LONG TERM CARE 91444,A000000,02100,0000,02100RADIOLOGY 91444,A000000,02200,0000,02200LABORATORY 91444,A000000,02300,0000,02300INTRAVENOUS THERAPY 91444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91444,A000000,02500,0000,02500PHYSICAL THERAPY 91444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91444,A000000,02700,0000,02700SPEECH PATHOLOGY 91444,A000000,02800,0000,02800ELECTROCARDIOLOGY 91444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91444,A000000,03050,0000,03300EQUIPMENT RENTAL 91444,A000000,03051,0000,03301PEN THERAPY 91444,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91444,A000000,03200,0000,03200SUPPORT SURFACES 91444,A000000,04800,0000,04800AMBULANCE 91444,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91444,A000000,05300,0000,05300INTEREST EXPENSE 91444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91444,A000000,06150,0000,06300VENDING 91444,A000000,06151,0000,06301STAND-BY 91444,A000000,06200,0000,06200PATIENTS LAUNDRY 91444,A81000A,00100,0100,Y 91444,A81000B,00100,0300,HOME OFFICE COST 91444,A81000B,00200,0300,DIETARY SUPPLEMENTS 91444,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 91444,A81000B,00400,0300,PRESCRIPTION DRUGS 91444,A81000B,00500,0300,MEDICAL SUPPLIES 91444,A81000B,00600,0300,ADMIN COSTS 91444,A81000B,00700,0300,HOME OFFICE INTEREST 91444,A81000B,00800,0300,EQUIPMENT REPLACEMENT 91444,A81000B,00900,0300,IV THERAPY 91444,A81000B,01000,0300,THERAPY CONSULTING 91444,A81000B,01100,0300,PHYSICAL THERAPY 91444,A81000B,01200,0300,OCCUPATIONAL THERAPY 91444,A81000B,01300,0300,SPEECH THERAPY 91444,A81000B,01400,0300,ANC EQUIP RENTAL 91444,A81000B,01500,0300,CAPITAL 91444,A81000B,01600,0300,ACTIVITIES SUPPLIES 91444,A81000C,00100,0100,B 91444,A81000C,00100,0200,PAWNEE MANOR 12 91444,A81000C,00100,0400,MARINER PAN 91444,A81000C,00100,0600,NURSING HOMES 91444,A81000C,00200,0100,G 91444,A81000C,00200,0200,MARINER PAN 91444,A81000C,00200,0400,AMER PHARM SVCS 91444,A81000C,00200,0600,PHARMACEUTICALS 91444,A81000C,00300,0100,G 91444,A81000C,00300,0200,MARINER PAN 91444,A81000C,00300,0400,PRISM-ATS-ARS-T 91444,A81000C,00300,0600,THERAPIES 91444,A81000C,03100,0000,MARINER PAN 91444,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91444,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91444,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91444,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91444,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91444,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91444,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91444,B100000,00000,0800,00001MEALS SERVED :DIETARY 91444,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 91444,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91444,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91444,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 91444,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 91444,S000000,00100,0200,03/03/2000 91444,S200000,00100,0100,438 12TH STREET 91444,S200000,00200,0100,PAWNEE CITY 91444,S200000,00200,0200,NE 91444,S200000,00200,0300,68420- 91444,S200000,00300,0100,PAWNEE 91444,S200000,00300,0200,28 91444,S200000,00300,0300,R 91444,S200000,00400,0100,PAWNEE MANOR 91444,S200000,00400,0200,285157 91444,S200000,00400,0300,11/01/1994 91444,S200000,00400,0500,P 91444,S200000,01600,0100,Y 91444,S200000,02200,0100,Y 91444,S200000,04300,0100,Y 91452,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91452,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91452,A000000,00300,0000,00300EMPLOYEE BENEFITS 91452,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91452,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91452,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91452,A000000,00700,0000,00700HOUSEKEEPING 91452,A000000,00800,0000,00800DIETARY 91452,A000000,00900,0000,00900NURSING ADMINISTRATION 91452,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91452,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91452,A000000,01300,0000,01300SOCIAL SERVICE 91452,A000000,01301,0000,01301ACTIVITES 91452,A000000,01350,0000,01500REHABILITATION 91452,A000000,01600,0000,01600SKILLED NURSING FACILITY 91452,A000000,01800,0000,01800NURSING FACILITY 91452,A000000,01900,0000,01900OTHER LONG TERM CARE 91452,A000000,02100,0000,02100RADIOLOGY 91452,A000000,02200,0000,02200LABORATORY 91452,A000000,02300,0000,02300INTRAVENOUS THERAPY 91452,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91452,A000000,02500,0000,02500PHYSICAL THERAPY 91452,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91452,A000000,02700,0000,02700SPEECH PATHOLOGY 91452,A000000,02800,0000,02800ELECTROCARDIOLOGY 91452,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91452,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91452,A000000,03050,0000,03300EQUIPMENT RENTAL 91452,A000000,03051,0000,03301PEN THERAPY 91452,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91452,A000000,03200,0000,03200SUPPORT SURFACES 91452,A000000,04800,0000,04800AMBULANCE 91452,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91452,A000000,05300,0000,05300INTEREST EXPENSE 91452,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91452,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91452,A000000,06150,0000,06300VENDING 91452,A000000,06151,0000,06301STAND-BY 91452,A000000,06200,0000,06200PATIENTS LAUNDRY 91452,A81000A,00100,0100,Y 91452,A81000B,00100,0300,HOME OFFICE COST 91452,A81000B,00200,0300,DIETARY SUPPLEMENTS 91452,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 91452,A81000B,00400,0300,PRESCRIPTION DRUGS 91452,A81000B,00500,0300,MEDICAL SUPPLIES 91452,A81000B,00600,0300,ADMIN COSTS 91452,A81000B,00700,0300,HOME OFFICE INTEREST 91452,A81000B,00800,0300,EQUIPMENT REPLACEMENT 91452,A81000B,00900,0300,IV THERAPY 91452,A81000B,01000,0300,THERAPY CONSULTING 91452,A81000B,01100,0300,PHYSICAL THERAPY 91452,A81000B,01200,0300,OCCUPATIONAL THERAPY 91452,A81000B,01300,0300,SPEECH THERAPY 91452,A81000B,01400,0300,ANC EQUIP RENTAL 91452,A81000B,01500,0300,CAPITAL 91452,A81000C,00100,0100,B 91452,A81000C,00100,0200,WEST POINT 1285 91452,A81000C,00100,0400,MARINER PAN 91452,A81000C,00100,0600,NURSING HOMES 91452,A81000C,00200,0100,G 91452,A81000C,00200,0200,MARINER PAN 91452,A81000C,00200,0400,AMER PHARM SVCS 91452,A81000C,00200,0600,PHARMACEUTICALS 91452,A81000C,00300,0100,G 91452,A81000C,00300,0200,MARINER PAN 91452,A81000C,00300,0400,PRISM-ATS-ARS-T 91452,A81000C,00300,0600,THERAPIES 91452,A81000C,03100,0000,MARINER PAN 91452,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91452,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91452,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91452,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91452,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91452,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91452,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91452,B100000,00000,0800,00001MEALS SERVED :DIETARY 91452,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 91452,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 91452,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91452,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91452,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 91452,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 91452,S000000,00100,0200,03/03/2000 91452,S200000,00100,0100,960 PROSPECT RD 91452,S200000,00200,0100,WEST POINT 91452,S200000,00200,0200,NE 91452,S200000,00200,0300,68788- 91452,S200000,00300,0100,CUMING 91452,S200000,00300,0200,28 91452,S200000,00300,0300,R 91452,S200000,00400,0100,WEST POINT LIVING CENTER 91452,S200000,00400,0200,285158 91452,S200000,00400,0300,11/01/1994 91452,S200000,00400,0500,P 91452,S200000,01600,0100,Y 91452,S200000,02200,0100,Y 91452,S200000,04300,0100,Y 91462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91462,A000000,00300,0000,00300EMPLOYEE BENEFITS 91462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91462,A000000,00700,0000,00700HOUSEKEEPING 91462,A000000,00800,0000,00800DIETARY 91462,A000000,00900,0000,00900NURSING ADMINISTRATION 91462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91462,A000000,01100,0000,01100PHARMACY 91462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91462,A000000,01300,0000,01300SOCIAL SERVICE 91462,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91462,A000000,01600,0000,01600SKILLED NURSING FACILITY 91462,A000000,01800,0000,01800NURSING FACILITY 91462,A000000,01900,0000,01900OTHER LONG TERM CARE 91462,A000000,02100,0000,02100RADIOLOGY 91462,A000000,02200,0000,02200LABORATORY 91462,A000000,02300,0000,02300INTRAVENOUS THERAPY 91462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91462,A000000,02500,0000,02500PHYSICAL THERAPY 91462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91462,A000000,02700,0000,02700SPEECH PATHOLOGY 91462,A000000,02800,0000,02800ELECTROCARDIOLOGY 91462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91462,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91462,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91462,A000000,03200,0000,03200SUPPORT SURFACES 91462,A000000,03400,0000,03400CLINIC 91462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91462,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91462,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91462,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91462,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91462,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91462,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91462,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91462,A000000,04400,0000,04400DME RENTED - HHA 91462,A000000,04500,0000,04500DME SOLD - HHA 91462,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91462,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91462,A000000,04800,0000,04800AMBULANCE 91462,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91462,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91462,A000000,05300,0000,05300INTEREST EXPENSE 91462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91462,A000000,05500,0000,05500HOSPICE 91462,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91462,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91462,A000000,06100,0000,06100NONPAID WORKERS 91462,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91462,A000000,06151,0000,06301WEL-ASSIST 91462,A000000,06200,0000,06200PATIENTS LAUNDRY 91462,A81000A,00100,0100,Y 91462,A81000B,00100,0300,MANAGEMENT FEE 91462,A81000B,00200,0300,ALLOWABLE RENT EXPENSE 91462,A81000B,00300,0300,CAP. REL. COSTS-MOVEABLE EQUIP 91462,A81000B,00400,0300,CAP. REL. COSTS-BLDGS & FIXTURES 91462,A81000C,00100,0100,B 91462,A81000C,00100,0200,PLUM CREEK CARE 91462,A81000C,00100,0400,LANTIS ENTERPRI 91462,A81000C,00100,0600,HEALTH CARE 91462,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91462,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91462,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91462,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91462,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91462,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91462,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91462,B100000,00000,0850,00001PATIENT DAYS :DIETARY 91462,B100000,00000,0950,00001PATIENT DAYS :NURSING ADMINISTRATI 91462,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 91462,B100000,00000,1100,00001COSTED REQUISITIO :PHARMACY 91462,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91462,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91462,B100000,00000,1350,00001COSTED REQUISITIO :OTHER GENERAL S 91462,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 91462,S000000,00100,0200,05/31/2000 91462,S200000,00100,0100,1505 NORTH ADAMS 91462,S200000,00200,0100,LEXINGTON 91462,S200000,00200,0200,NE 91462,S200000,00200,0300,68850- 91462,S200000,00300,0100,DAWSON 91462,S200000,00400,0100,PLUM CREEK CARE CENTER 91462,S200000,00400,0200,285159 91462,S200000,00400,0300,03/01/1995 91462,S200000,00400,0500,P 91462,S200000,00800,0200,287117 91462,S200000,00800,0300,06/22/1999 91462,S200000,00800,0500,P 91462,S200000,01500,0100,Y 91462,S200000,03700,0100,Y 91471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91471,A000000,00300,0000,00300EMPLOYEE BENEFITS 91471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91471,A000000,00700,0000,00700HOUSEKEEPING 91471,A000000,00800,0000,00800DIETARY 91471,A000000,00900,0000,00900NURSING ADMINISTRATION 91471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91471,A000000,01100,0000,01100PHARMACY 91471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91471,A000000,01300,0000,01300SOCIAL SERVICE 91471,A000000,01350,0000,01500OTHER GENERAL SERVICES 91471,A000000,01600,0000,01600SKILLED NURSING FACILITY 91471,A000000,01800,0000,01800NURSING FACILITY 91471,A000000,01900,0000,01900OTHER LONG TERM CARE 91471,A000000,02100,0000,02100RADIOLOGY 91471,A000000,02200,0000,02200LABORATORY 91471,A000000,02300,0000,02300INTRAVENOUS THERAPY 91471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91471,A000000,02500,0000,02500PHYSICAL THERAPY 91471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91471,A000000,02700,0000,02700SPEECH PATHOLOGY 91471,A000000,02800,0000,02800ELECTROCARDIOLOGY 91471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91471,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91471,A000000,03500,0000,03500RURAL HEALTH CLINIC 91471,A000000,04800,0000,04800AMBULANCE 91471,A000000,05000,0000,05000CORF 91471,A000000,05300,0000,05300INTEREST EXPENSE 91471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91471,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91471,A000000,06100,0000,06100NONPAID WORKERS 91471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91471,A81000A,00100,0100,Y 91471,A81000B,00100,0300,MISSIONARY BENEDICTINE SISTERS 91471,A81000B,00200,0300,ST JOSEPH NH PLANT 91471,A81000B,00300,0300,RCF BLDG PLANT 91471,A81000C,00100,0100,B 91471,A81000C,00100,0200,MISSIONARY BENEDICTINE 91471,A81000C,00100,0400,SISTERS 91471,A81000C,00200,0100,B 91471,A81000C,00200,0200,MISSIONARY BENEDICTINE 91471,A81000C,00200,0400,SISTERS 91471,A81000C,00300,0100,B 91471,A81000C,00300,0200,MISSIONARY BENEDICTINE 91471,A81000C,00300,0400,SISTERS 91471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91471,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91471,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91471,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91471,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91471,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 91471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91471,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91471,S000000,00100,0200,06/01/2000 91471,S200000,00100,0100,401 N 18TH STREET 91471,S200000,00200,0100,NORFOLK 91471,S200000,00200,0200,NE 91471,S200000,00200,0300,68701- 91471,S200000,00300,0100,MADISON 91471,S200000,00400,0100,ST. JOSEPH NURSING HOME 91471,S200000,00400,0200,285160 91471,S200000,00400,0300,04/05/1995 91471,S200000,00400,0500,P 91471,S200000,01600,0100,Y 91471,S700003,00000,0100,1 91480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91480,A000000,00300,0000,00300EMPLOYEE BENEFITS 91480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91480,A000000,00700,0000,00700HOUSEKEEPING 91480,A000000,00800,0000,00800DIETARY 91480,A000000,00900,0000,00900NURSING ADMINISTRATION 91480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91480,A000000,01100,0000,01100PHARMACY 91480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91480,A000000,01300,0000,01300SOCIAL SERVICE 91480,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91480,A000000,01600,0000,01600SKILLED NURSING FACILITY 91480,A000000,01800,0000,01800NURSING FACILITY 91480,A000000,01900,0000,01900OTHER LONG TERM CARE 91480,A000000,02100,0000,02100RADIOLOGY 91480,A000000,02200,0000,02200LABORATORY 91480,A000000,02300,0000,02300INTRAVENOUS THERAPY 91480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91480,A000000,02500,0000,02500PHYSICAL THERAPY 91480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91480,A000000,02700,0000,02700SPEECH PATHOLOGY 91480,A000000,02800,0000,02800ELECTROCARDIOLOGY 91480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91480,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91480,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91480,A000000,03200,0000,03200SUPPORT SURFACES 91480,A000000,03400,0000,03400CLINIC 91480,A000000,04800,0000,04800AMBULANCE 91480,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91480,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91480,A000000,05300,0000,05300INTEREST EXPENSE 91480,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91480,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91480,A000000,05500,0000,05500HOSPICE 91480,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91480,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91480,A000000,06100,0000,06100NONPAID WORKERS 91480,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91480,A000000,06200,0000,06200PATIENTS LAUNDRY 91480,A81000A,00100,0100,Y 91480,A81000B,00100,0300,MANAGEMENT FEE 91480,A81000B,00200,0300,CAP RLTD BLDGS/FIXTURES 91480,A81000B,00300,0300,CAP RLTD MOVE EQUIP 91480,A81000C,00100,0100,B 91480,A81000C,00100,0200,WALKER POST MAN 91480,A81000C,00100,0400,LANTIS ENTERPRI 91480,A81000C,00100,0600,HEALTH CARE 91480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91480,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91480,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91480,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91480,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91480,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91480,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91480,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91480,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91480,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91480,B100000,00000,1350,00000COSTED REQUISITIO :OTHER GENERAL S 91480,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91480,S000000,00100,0200,05/23/2000 91480,S200000,00100,0100,404 WEST DERBY 91480,S200000,00200,0100,OXFORD 91480,S200000,00200,0200,NE 91480,S200000,00200,0300,68967-0098 91480,S200000,00400,0100,WALKER POST MANOR 91480,S200000,00400,0200,285162 91480,S200000,00400,0300,06/01/1995 91480,S200000,00400,0500,P 91480,S200000,01500,0100,Y 91480,S700003,00000,0100,1 91488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91488,A000000,00300,0000,00300EMPLOYEE BENEFITS 91488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91488,A000000,00700,0000,00700HOUSEKEEPING 91488,A000000,00800,0000,00800DIETARY 91488,A000000,00900,0000,00900NURSING ADMINISTRATION 91488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91488,A000000,01100,0000,01100PHARMACY 91488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91488,A000000,01300,0000,01300SOCIAL SERVICE 91488,A000000,01350,0000,01500OTHER GENERAL SERVICES 91488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91488,A000000,01600,0000,01600SKILLED NURSING FACILITY 91488,A000000,01800,0000,01800NURSING FACILITY 91488,A000000,01810,0000,01801ICF/MR 91488,A000000,01900,0000,01900OTHER LONG TERM CARE 91488,A000000,02100,0000,02100RADIOLOGY 91488,A000000,02200,0000,02200LABORATORY 91488,A000000,02300,0000,02300INTRAVENOUS THERAPY 91488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91488,A000000,02500,0000,02500PHYSICAL THERAPY 91488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91488,A000000,02700,0000,02700SPEECH PATHOLOGY 91488,A000000,02800,0000,02800ELECTROCARDIOLOGY 91488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91488,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91488,A000000,03101,0000,03101MISCELLANEOUS 91488,A000000,03200,0000,03200SUPPORT SURFACES 91488,A000000,03400,0000,03400CLINIC 91488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91488,A000000,03500,0000,03500RURAL HEALTH CLINIC 91488,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91488,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91488,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91488,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91488,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91488,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91488,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91488,A000000,04400,0000,04400DME RENTED - HHA 91488,A000000,04500,0000,04500DME SOLD - HHA 91488,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91488,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91488,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91488,A000000,04800,0000,04800AMBULANCE 91488,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91488,A000000,05000,0000,05000CORF 91488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91488,A000000,05300,0000,05300INTEREST EXPENSE 91488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91488,A000000,05500,0000,05500HOSPICE 91488,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91488,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91488,A000000,06100,0000,06100NONPAID WORKERS 91488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91488,A000000,06200,0000,06200PATIENTS LAUNDRY 91488,A81000A,00100,0100,Y 91488,A81000B,00100,0300,MANAGEMENT FEE 91488,A81000C,00100,0100,B 91488,A81000C,00100,0400,MID AMERICA CARE CENTERS 91488,A81000C,00100,0600,HOLDING COMPANY 91488,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91488,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91488,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91488,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91488,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91488,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91488,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91488,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91488,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91488,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91488,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91488,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91488,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91488,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91488,S000000,00100,0200,05/26/2000 91488,S200000,00100,0100,6101 NORMAL BLVD 91488,S200000,00200,0100,LINCOLN 91488,S200000,00200,0200,NE 91488,S200000,00200,0300,68506- 91488,S200000,00300,0100,LANCASTER 91488,S200000,00400,0100,HOLMES LAKE MANOR 91488,S200000,00400,0200,285164 91488,S200000,00400,0300,11/01/1995 91488,S200000,00400,0500,P 91488,S200000,01600,0100,Y 91488,S200000,02800,0100,Y 91488,S700003,00000,0400,4 91498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91498,A000000,00300,0000,00300EMPLOYEE BENEFITS 91498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91498,A000000,00700,0000,00700HOUSEKEEPING 91498,A000000,00800,0000,00800DIETARY 91498,A000000,00900,0000,00900NURSING ADMINISTRATION 91498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91498,A000000,01100,0000,01100PHARMACY 91498,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91498,A000000,01300,0000,01300SOCIAL SERVICE 91498,A000000,01350,0000,01500RECREATION 91498,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91498,A000000,01600,0000,01600SKILLED NURSING FACILITY 91498,A000000,01800,0000,01800NURSING FACILITY 91498,A000000,01810,0000,01810ICF/MR 91498,A000000,02200,0000,02200LABORATORY 91498,A000000,02500,0000,02500PHYSICAL THERAPY 91498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91498,A000000,02700,0000,02700SPEECH PATHOLOGY 91498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91498,A000000,03101,0000,03101PEN 91498,A000000,03200,0000,03200SUPPORT SURFACES 91498,A000000,03550,0000,03550FQHC 91498,A000000,05000,0000,05000CORF 91498,A000000,05010,0000,05010CMHC 91498,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91498,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91498,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91498,A81000A,00100,0100,Y 91498,A81000B,00100,0300,HOME OFFICE CAPITAL 91498,A81000B,00200,0300,HOME OFFICE ADMIN 91498,A81000C,00100,0100,B 91498,A81000C,00100,0200,CARE CENTER MGM 91498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91498,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91498,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 91498,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91498,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91498,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91498,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91498,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91498,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91498,B100000,00000,1350,00000PATIENT DAYS :RECREATION 91498,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91498,S000000,00100,0200,06/07/2000 91498,S200000,00100,0100,2900 WEST E STREET 91498,S200000,00200,0100,NORTH PLATTE 91498,S200000,00200,0200,NE 91498,S200000,00200,0300,69103- 91498,S200000,00300,0100,LINCOLN 91498,S200000,00400,0100,NORTH PLATTE CARE CENTRE 91498,S200000,00400,0200,285165 91498,S200000,00400,0300,09/01/1995 91498,S200000,00400,0500,P 91498,S200000,01004,0500,O 91498,S200000,01600,0100,Y 91498,S700003,00000,0400,4 91507,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91507,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91507,A000000,00300,0000,00300EMPLOYEE BENEFITS 91507,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91507,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91507,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91507,A000000,00700,0000,00700HOUSEKEEPING 91507,A000000,00800,0000,00800DIETARY 91507,A000000,00900,0000,00900NURSING ADMINISTRATION 91507,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91507,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91507,A000000,01300,0000,01300SOCIAL SERVICE 91507,A000000,01301,0000,01301ACTIVITES 91507,A000000,01350,0000,01500REHABILITATION 91507,A000000,01600,0000,01600SKILLED NURSING FACILITY 91507,A000000,01800,0000,01800NURSING FACILITY 91507,A000000,01900,0000,01900OTHER LONG TERM CARE 91507,A000000,02100,0000,02100RADIOLOGY 91507,A000000,02200,0000,02200LABORATORY 91507,A000000,02300,0000,02300INTRAVENOUS THERAPY 91507,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91507,A000000,02500,0000,02500PHYSICAL THERAPY 91507,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91507,A000000,02700,0000,02700SPEECH PATHOLOGY 91507,A000000,02800,0000,02800ELECTROCARDIOLOGY 91507,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91507,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91507,A000000,03050,0000,03300EQUIPMENT RENTAL 91507,A000000,03051,0000,03301PEN THERAPY 91507,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91507,A000000,03200,0000,03200SUPPORT SURFACES 91507,A000000,04800,0000,04800AMBULANCE 91507,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91507,A000000,05300,0000,05300INTEREST EXPENSE 91507,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91507,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91507,A000000,06150,0000,06300VENDING 91507,A000000,06151,0000,06301STAND-BY 91507,A000000,06200,0000,06200PATIENTS LAUNDRY 91507,A81000A,00100,0100,Y 91507,A81000B,00100,0300,HOME OFFICE COST 91507,A81000B,00200,0300,DIETARY SUPPLEMENTS 91507,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 91507,A81000B,00400,0300,PRESCRIPTION DRUGS 91507,A81000B,00500,0300,MEDICAL SUPPLIES 91507,A81000B,00600,0300,ADMIN COSTS 91507,A81000B,00700,0300,HOME OFFICE INTEREST 91507,A81000B,00800,0300,EQUIPMENT REPLACEMENT 91507,A81000B,00900,0300,IV THERAPY 91507,A81000B,01000,0300,THERAPY CONSULTING 91507,A81000B,01100,0300,PHYSICAL THERAPY 91507,A81000B,01200,0300,OCCUPATIONAL THERAPY 91507,A81000B,01300,0300,SPEECH THERAPY 91507,A81000B,01400,0300,ANC EQUIP RENTAL 91507,A81000B,01500,0300,CAPITAL 91507,A81000C,00100,0100,B 91507,A81000C,00100,0200,HAVEN HOME 1286 91507,A81000C,00100,0400,MARINER PAN 91507,A81000C,00100,0600,NURSING HOMES 91507,A81000C,00200,0100,G 91507,A81000C,00200,0200,MARINER PAN 91507,A81000C,00200,0400,AMER PHARM SVCS 91507,A81000C,00200,0600,PHARMACEUTICALS 91507,A81000C,00300,0100,G 91507,A81000C,00300,0200,MARINER PAN 91507,A81000C,00300,0400,PRISM-ATS-ARS-T 91507,A81000C,00300,0600,THERAPIES 91507,A81000C,03100,0000,MARINER PAN 91507,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91507,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91507,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91507,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91507,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91507,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91507,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91507,B100000,00000,0800,00001MEALS SERVED :DIETARY 91507,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 91507,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 91507,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91507,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91507,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 91507,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 91507,S000000,00100,0200,03/03/2000 91507,S200000,00100,0100,100 WEST ELM AVENUE 91507,S200000,00200,0100,KENESAW 91507,S200000,00200,0200,NE 91507,S200000,00200,0300,68956- 91507,S200000,00300,0100,ADAMS 91507,S200000,00400,0100,HAVEN HOME 91507,S200000,00400,0200,285166 91507,S200000,00400,0300,11/01/1995 91507,S200000,00400,0500,P 91507,S200000,01600,0100,Y 91507,S200000,02200,0100,Y 91507,S200000,04300,0100,Y 91507,S700003,00000,0400,4 91514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91514,A000000,00300,0000,00300EMPLOYEE BENEFITS 91514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91514,A000000,00700,0000,00700HOUSEKEEPING 91514,A000000,00800,0000,00800DIETARY 91514,A000000,00900,0000,00900NURSING ADMINISTRATION 91514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91514,A000000,01300,0000,01300SOCIAL SERVICE 91514,A000000,01301,0000,01301ACTIVITES 91514,A000000,01350,0000,01500REHABILITATION 91514,A000000,01600,0000,01600SKILLED NURSING FACILITY 91514,A000000,01800,0000,01800NURSING FACILITY 91514,A000000,01900,0000,01900OTHER LONG TERM CARE 91514,A000000,02100,0000,02100RADIOLOGY 91514,A000000,02200,0000,02200LABORATORY 91514,A000000,02300,0000,02300INTRAVENOUS THERAPY 91514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91514,A000000,02500,0000,02500PHYSICAL THERAPY 91514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91514,A000000,02700,0000,02700SPEECH PATHOLOGY 91514,A000000,02800,0000,02800ELECTROCARDIOLOGY 91514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91514,A000000,03050,0000,03300EQUIPMENT RENTAL 91514,A000000,03051,0000,03301PEN THERAPY 91514,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91514,A000000,03200,0000,03200SUPPORT SURFACES 91514,A000000,04800,0000,04800AMBULANCE 91514,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91514,A000000,05300,0000,05300INTEREST EXPENSE 91514,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91514,A000000,06150,0000,06300VENDING 91514,A000000,06151,0000,06301STAND-BY 91514,A000000,06200,0000,06200PATIENTS LAUNDRY 91514,A81000A,00100,0100,Y 91514,A81000B,00100,0300,HOME OFFICE COST 91514,A81000B,00200,0300,DIETARY SUPPLEMENTS 91514,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 91514,A81000B,00400,0300,PRESCRIPTION DRUGS 91514,A81000B,00500,0300,MEDICAL SUPPLIES 91514,A81000B,00600,0300,ADMIN COSTS 91514,A81000B,00700,0300,HOME OFFICE INTEREST 91514,A81000B,00800,0300,EQUIPMENT REPLACEMENT 91514,A81000B,00900,0300,IV THERAPY 91514,A81000B,01000,0300,THERAPY CONSULTING 91514,A81000B,01100,0300,PHYSICAL THERAPY 91514,A81000B,01200,0300,OCCUPATIONAL THERAPY 91514,A81000B,01300,0300,SPEECH THERAPY 91514,A81000B,01400,0300,ANC EQUIP RENTAL 91514,A81000B,01500,0300,CAPITAL 91514,A81000C,00100,0100,B 91514,A81000C,00100,0200,CRETE MANOR 128 91514,A81000C,00100,0400,MARINER PAN 91514,A81000C,00100,0600,NURSING HOMES 91514,A81000C,00200,0100,G 91514,A81000C,00200,0200,MARINER PAN 91514,A81000C,00200,0400,AMER PHARM SVCS 91514,A81000C,00200,0600,PHARMACEUTICALS 91514,A81000C,00300,0100,G 91514,A81000C,00300,0200,MARINER PAN 91514,A81000C,00300,0400,PRISM-ATS-ARS-T 91514,A81000C,00300,0600,THERAPIES 91514,A81000C,03100,0000,MARINER PAN 91514,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 91514,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 91514,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 91514,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 91514,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 91514,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 91514,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 91514,B100000,00000,0800,00001MEALS SERVED :DIETARY 91514,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 91514,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 91514,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 91514,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 91514,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 91514,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 91514,S000000,00100,0200,03/03/2000 91514,S200000,00100,0100,830 EAST FIRST STREET 91514,S200000,00200,0100,CRETE 91514,S200000,00200,0200,NE 91514,S200000,00200,0300,68333- 91514,S200000,00300,0100,SALINE 91514,S200000,00400,0100,CRETE MANOR 91514,S200000,00400,0200,285170 91514,S200000,00400,0300,11/01/1995 91514,S200000,00400,0500,P 91514,S200000,01600,0100,Y 91514,S200000,02200,0100,Y 91514,S200000,04300,0100,Y 91514,S700003,00000,0400,4 91533,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91533,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91533,A000000,00300,0000,00300EMPLOYEE BENEFITS 91533,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91533,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91533,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91533,A000000,00700,0000,00700HOUSEKEEPING 91533,A000000,00800,0000,00800DIETARY 91533,A000000,00900,0000,00900NURSING ADMINISTRATION 91533,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91533,A000000,01100,0000,01100PHARMACY 91533,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91533,A000000,01300,0000,01300SOCIAL SERVICE 91533,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91533,A000000,01600,0000,01600SKILLED NURSING FACILITY 91533,A000000,01810,0000,01810ICF/MR 91533,A000000,01900,0000,01900OTHER LONG TERM CARE 91533,A000000,02100,0000,02100RADIOLOGY 91533,A000000,02200,0000,02200LABORATORY 91533,A000000,02300,0000,02300INTRAVENOUS THERAPY 91533,A000000,02500,0000,02500PHYSICAL THERAPY 91533,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91533,A000000,02700,0000,02700SPEECH PATHOLOGY 91533,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91533,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91533,A000000,03550,0000,03550FQHC 91533,A000000,05000,0000,05000CORF 91533,A000000,05010,0000,05010CMHC 91533,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91533,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91533,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91533,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91533,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91533,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91533,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91533,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91533,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91533,B100000,00000,0800,00040MEALS SERVED :DIETARY 91533,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 91533,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91533,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 91533,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 91533,S000000,00100,0200,11/30/2000 91533,S200000,00100,0100,RR1 91533,S200000,00100,0300,5 91533,S200000,00200,0100,WILBER 91533,S200000,00200,0200,NE 91533,S200000,00200,0300,68465- 91533,S200000,00300,0100,SALINE 91533,S200000,00300,0200,0028 91533,S200000,00300,0300,R 91533,S200000,00400,0100,WILBER CARE CENTER 91533,S200000,00400,0200,285172 91533,S200000,00400,0300,09/01/1995 91533,S200000,00400,0500,P 91533,S200000,01004,0500,O 91533,S200000,01500,0100,Y 91533,S200000,01900,0100,LLC 91539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91539,A000000,00300,0000,00300EMPLOYEE BENEFITS 91539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91539,A000000,00700,0000,00700HOUSEKEEPING 91539,A000000,00800,0000,00800DIETARY 91539,A000000,00900,0000,00900NURSING ADMINISTRATION 91539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91539,A000000,01100,0000,01100PHARMACY 91539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91539,A000000,01300,0000,01300SOCIAL SERVICE 91539,A000000,01350,0000,01500OTHER GENERAL SERVICES 91539,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91539,A000000,01600,0000,01600SKILLED NURSING FACILITY 91539,A000000,01800,0000,01800NURSING FACILITY 91539,A000000,01900,0000,01900OTHER LONG TERM CARE 91539,A000000,02100,0000,02100RADIOLOGY 91539,A000000,02200,0000,02200LABORATORY 91539,A000000,02300,0000,02300INTRAVENOUS THERAPY 91539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91539,A000000,02500,0000,02500PHYSICAL THERAPY 91539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91539,A000000,02700,0000,02700SPEECH PATHOLOGY 91539,A000000,02800,0000,02800ELECTROCARDIOLOGY 91539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91539,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91539,A000000,03200,0000,03200SUPPORT SURFACES 91539,A000000,03400,0000,03400CLINIC 91539,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91539,A000000,03500,0000,03500RURAL HEALTH CLINIC 91539,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91539,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91539,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91539,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91539,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91539,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91539,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91539,A000000,04400,0000,04400DME RENTED - HHA 91539,A000000,04500,0000,04500DME SOLD - HHA 91539,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91539,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91539,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91539,A000000,04800,0000,04800AMBULANCE 91539,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91539,A000000,05000,0000,05000CORF 91539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91539,A000000,05300,0000,05300INTEREST EXPENSE 91539,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91539,A000000,05500,0000,05500HOSPICE 91539,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91539,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91539,A000000,06100,0000,06100NONPAID WORKERS 91539,A000000,06150,0000,06300ASSISTED LIVING FACILITIES 91539,A000000,06200,0000,06200PATIENTS LAUNDRY 91539,A81000A,00100,0100,Y 91539,A81000B,00100,0300,MGI MGMT FEE 91539,A81000B,00200,0300,MGI MGMT FEE 91539,A81000B,00300,0300,MGI MGMT FEE 91539,A81000B,00400,0300,GERIMED - DRUGS 91539,A81000C,00100,0100,G 91539,A81000C,00100,0400,MIDWEST GERIATRICS INC 91539,A81000C,00100,0600,NONPROFIT MGMT CO 91539,A81000C,00200,0100,G 91539,A81000C,00200,0400,MIDWEST GERIATRICS INC 91539,A81000C,00200,0600,NONPROFIT MGMT CO 91539,A81000C,00300,0100,G 91539,A81000C,00300,0400,MIDWEST GERIATRICS INC 91539,A81000C,00300,0600,NONPROFIT MGMT CO 91539,A81000C,00400,0100,G 91539,A81000C,00400,0400,GERIMED INC 91539,A81000C,00400,0600,NONPROFIT PHARMACY 91539,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91539,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91539,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 91539,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91539,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91539,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91539,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91539,B100000,00000,0800,00000MEALS SERVED :DIETARY 91539,B100000,00000,0900,00000DIRECT NURS HOURS :NURSING ADMINIST 91539,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91539,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91539,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 91539,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91539,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91539,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91539,S000000,00100,0200,05/31/2000 91539,S200000,00100,0100,7915 NORTH 30TH STREET 91539,S200000,00200,0100,OMAHA 91539,S200000,00200,0200,NE 91539,S200000,00200,0300,68112- 91539,S200000,00300,0100,DOUGLAS 91539,S200000,00400,0100,FLORENCE HOME 91539,S200000,00400,0200,285173 91539,S200000,00400,0300,11/21/1995 91539,S200000,00400,0500,P 91539,S200000,00600,0200,285173 91539,S200000,00600,0300,08/01/1977 91539,S200000,00600,0600,P 91539,S200000,01600,0100,Y 91539,S200000,01900,0100,NONPROFIT CORP 91539,S200000,02200,0100,Y 91539,S700003,00000,0400,4 91550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91550,A000000,00300,0000,00300EMPLOYEE BENEFITS 91550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91550,A000000,00700,0000,00700HOUSEKEEPING 91550,A000000,00800,0000,00800DIETARY 91550,A000000,00900,0000,00900NURSING ADMINISTRATION 91550,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91550,A000000,01100,0000,01100PHARMACY 91550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91550,A000000,01300,0000,01300SOCIAL SERVICE 91550,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91550,A000000,01600,0000,01600SKILLED NURSING FACILITY 91550,A000000,01810,0000,01810ICF/MR 91550,A000000,02500,0000,02500PHYSICAL THERAPY 91550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91550,A000000,02700,0000,02700SPEECH PATHOLOGY 91550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91550,A000000,03550,0000,03550FQHC 91550,A000000,05000,0000,05000CORF 91550,A000000,05010,0000,05010CMHC 91550,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91550,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91550,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91550,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91550,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91550,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91550,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91550,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91550,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91550,B100000,00000,0800,00040MEALS SERVED :DIETARY 91550,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 91550,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91550,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91550,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 91550,S000000,00100,0200,11/29/2000 91550,S200000,00100,0100,702 CEDAR AVE. 91550,S200000,00200,0100,LAUREL 91550,S200000,00200,0200,NE 91550,S200000,00200,0300,68745- 91550,S200000,00300,0100,CEDAR 91550,S200000,00300,0200,28 91550,S200000,00300,0300,R 91550,S200000,00400,0100,HILLCREST CARE CENTER 91550,S200000,00400,0200,285178 91550,S200000,00400,0300,02/01/1996 91550,S200000,00400,0500,P 91550,S200000,01004,0500,O 91550,S200000,01500,0100,Y 91550,S200000,01900,0100,CORPORATE 91558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91558,A000000,00300,0000,00300EMPLOYEE BENEFITS 91558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91558,A000000,00700,0000,00700HOUSEKEEPING 91558,A000000,00800,0000,00800DIETARY 91558,A000000,00900,0000,00900NURSING ADMINISTRATION 91558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91558,A000000,01100,0000,01100PHARMACY 91558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91558,A000000,01300,0000,01300SOCIAL SERVICE 91558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91558,A000000,01600,0000,01600SKILLED NURSING FACILITY 91558,A000000,01810,0000,01810ICF/MR 91558,A000000,02100,0000,02100RADIOLOGY 91558,A000000,02200,0000,02200LABORATORY 91558,A000000,02500,0000,02500PHYSICAL THERAPY 91558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91558,A000000,02700,0000,02700SPEECH PATHOLOGY 91558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91558,A000000,03550,0000,03550FQHC 91558,A000000,05000,0000,05000CORF 91558,A000000,05010,0000,05010CMHC 91558,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91558,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91558,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91558,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91558,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91558,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91558,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91558,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91558,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91558,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91558,B100000,00000,0800,00040MEALS SERVED :DIETARY 91558,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 91558,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91558,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91558,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 91558,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 91558,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 91558,S000000,00100,0200,06/30/2000 91558,S200000,00100,0100,811 SOUTH MAIN 91558,S200000,00200,0100,RANDOLPH 91558,S200000,00200,0200,NE 91558,S200000,00200,0300,68771- 91558,S200000,00300,0100,CEDAR 91558,S200000,00400,0100,COLONIAL MANOR OF RANDOLPH 91558,S200000,00400,0200,285183 91558,S200000,00400,0300,04/01/1996 91558,S200000,00400,0500,P 91558,S200000,01500,0100,Y 91558,S200000,01900,0100,CORPORATE 91568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91568,A000000,00300,0000,00300EMPLOYEE BENEFITS 91568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91568,A000000,00700,0000,00700HOUSEKEEPING 91568,A000000,00800,0000,00800DIETARY 91568,A000000,00900,0000,00900NURSING ADMINISTRATION 91568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91568,A000000,01100,0000,01100PHARMACY 91568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91568,A000000,01300,0000,01300SOCIAL SERVICE 91568,A000000,01350,0000,01500RECREATION 91568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91568,A000000,01600,0000,01600SKILLED NURSING FACILITY 91568,A000000,01810,0000,01810ICF/MR 91568,A000000,02200,0000,02200LABORATORY 91568,A000000,02500,0000,02500PHYSICAL THERAPY 91568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91568,A000000,02700,0000,02700SPEECH PATHOLOGY 91568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91568,A000000,03050,0000,03300PEN 91568,A000000,03550,0000,03550FQHC 91568,A000000,05000,0000,05000CORF 91568,A000000,05010,0000,05010CMHC 91568,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91568,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91568,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91568,A81000A,00100,0100,Y 91568,A81000B,00100,0300,MANAGEMENT FEE 91568,A81000B,00200,0300,ACCOUNTING SERVICE 91568,A81000B,00300,0300,BUILDING & FIXTURES 91568,A81000B,00400,0300,MOVEABLE EQUIPMENT 91568,A81000C,00100,0100,A 91568,A81000C,00100,0200,STANLEY BOYLE 91568,A81000C,00100,0400,CARE CENTRE MGM 91568,A81000C,00100,0600,MGMT CO 91568,A81000C,00200,0100,A 91568,A81000C,00200,0200,DAVID BOYLE 91568,A81000C,00200,0400,CARE CENTRE MGM 91568,A81000C,00200,0600,MGMT CO 91568,A81000C,00300,0100,A 91568,A81000C,00300,0200,PATRICK BOYLE 91568,A81000C,00300,0400,CARE CENTRE MGM 91568,A81000C,00300,0600,MGMT CO 91568,A81000C,00400,0100,A 91568,A81000C,00400,0200,DANIEL BOYLE 91568,A81000C,00400,0400,CARE CENTRE MGM 91568,A81000C,00400,0600,MGMT CO 91568,A81000C,00500,0100,A 91568,A81000C,00500,0200,RICHARD BOYLE 91568,A81000C,00500,0400,CARE CENTRE MGM 91568,A81000C,00500,0600,MGMT CO 91568,A81000C,00600,0100,A 91568,A81000C,00600,0200,TIMOTHY BOYLE 91568,A81000C,00600,0400,CARE CENTRE MGM 91568,A81000C,00600,0600,MGMT CO 91568,A81000C,00700,0100,A 91568,A81000C,00700,0200,MARILYN GALVIN 91568,A81000C,00700,0400,CARE CENTRE MGM 91568,A81000C,00700,0600,MGMT CO 91568,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91568,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91568,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91568,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91568,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91568,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91568,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91568,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91568,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91568,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91568,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91568,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91568,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91568,B100000,00000,1350,00000PATIENT DAYS :RECREATION 91568,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91568,S000000,00100,0200,06/07/2000 91568,S200000,00100,0100,200 VALLEY VIEW 91568,S200000,00200,0100,PENDER 91568,S200000,00200,0200,NE 91568,S200000,00200,0300,68787- 91568,S200000,00300,0100,THURSTON 91568,S200000,00400,0100,PENDER CARE CENTRE 91568,S200000,00400,0200,285186 91568,S200000,00400,0300,05/01/1996 91568,S200000,00400,0500,P 91568,S200000,01500,0100,Y 91568,S700003,00000,0400,4 91575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91575,A000000,00300,0000,00300EMPLOYEE BENEFITS 91575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91575,A000000,00700,0000,00700HOUSEKEEPING 91575,A000000,00800,0000,00800DIETARY 91575,A000000,00900,0000,00900NURSING ADMINISTRATION 91575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91575,A000000,01100,0000,01100PHARMACY 91575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91575,A000000,01300,0000,01300SOCIAL SERVICE 91575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91575,A000000,01600,0000,01600SKILLED NURSING FACILITY 91575,A000000,01810,0000,01810ICF/MR 91575,A000000,02500,0000,02500PHYSICAL THERAPY 91575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91575,A000000,02700,0000,02700SPEECH PATHOLOGY 91575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91575,A000000,03550,0000,03550FQHC 91575,A000000,05000,0000,05000CORF 91575,A000000,05010,0000,05010CMHC 91575,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91575,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91575,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91575,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91575,B100000,00000,0800,00000MEALS SERVED :DIETARY 91575,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91575,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91575,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91575,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91575,S000000,00100,0200,12/04/2000 91575,S200000,00100,0100,706 JAMES ST. 91575,S200000,00100,0300,130 91575,S200000,00200,0100,VERDIGRE 91575,S200000,00200,0200,NE 91575,S200000,00200,0300,68783- 91575,S200000,00300,0100,KNOX 91575,S200000,00300,0200,28 91575,S200000,00300,0300,R 91575,S200000,00400,0100,ALPINE VILLAGE 91575,S200000,00400,0200,285190 91575,S200000,00400,0300,07/01/1996 91575,S200000,00400,0500,P 91575,S200000,01004,0500,O 91575,S200000,01500,0100,Y 91575,S200000,01900,0100,CORPORATE 91583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91583,A000000,00300,0000,00300EMPLOYEE BENEFITS 91583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91583,A000000,00700,0000,00700HOUSEKEEPING 91583,A000000,00800,0000,00800DIETARY 91583,A000000,00900,0000,00900NURSING ADMINISTRATION 91583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91583,A000000,01100,0000,01100PHARMACY 91583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91583,A000000,01300,0000,01300SOCIAL SERVICE 91583,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91583,A000000,01600,0000,01600SKILLED NURSING FACILITY 91583,A000000,01810,0000,01810ICF/MR 91583,A000000,02200,0000,02200LABORATORY 91583,A000000,02500,0000,02500PHYSICAL THERAPY 91583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91583,A000000,02700,0000,02700SPEECH PATHOLOGY 91583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91583,A000000,03550,0000,03550FQHC 91583,A000000,05000,0000,05000CORF 91583,A000000,05010,0000,05010CMHC 91583,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91583,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91583,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91583,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91583,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91583,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91583,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91583,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91583,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91583,B100000,00000,0800,00000MEALS SERVED :DIETARY 91583,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91583,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91583,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91583,S000000,00100,0200,12/01/2000 91583,S200000,00100,0300,628 91583,S200000,00200,0100,PONCA 91583,S200000,00200,0200,NE 91583,S200000,00200,0300,68770- 91583,S200000,00300,0100,DIXON 91583,S200000,00300,0200,0028 91583,S200000,00300,0300,R 91583,S200000,00400,0100,ELMS HEALTH CARE CENTER 91583,S200000,00400,0200,285191 91583,S200000,00400,0300,05/01/1996 91583,S200000,00400,0500,P 91583,S200000,01004,0500,O 91583,S200000,01500,0100,Y 91583,S200000,01900,0100,CORPORATE 91591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91591,A000000,00300,0000,00300EMPLOYEE BENEFITS 91591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91591,A000000,00700,0000,00700HOUSEKEEPING 91591,A000000,00800,0000,00800DIETARY 91591,A000000,00900,0000,00900NURSING ADMINISTRATION 91591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91591,A000000,01100,0000,01100PHARMACY 91591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91591,A000000,01300,0000,01300SOCIAL SERVICE 91591,A000000,01350,0000,01500ACTIVITIES 91591,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91591,A000000,01600,0000,01600SKILLED NURSING FACILITY 91591,A000000,02200,0000,02200LABORATORY 91591,A000000,02500,0000,02500PHYSICAL THERAPY 91591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91591,A000000,02700,0000,02700SPEECH PATHOLOGY 91591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91591,A000000,05000,0000,05000CORF 91591,A000000,05010,0000,05010CMHC 91591,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91591,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91591,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91591,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91591,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91591,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91591,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91591,B100000,00000,0800,00000MEALS SERVED :DIETARY 91591,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91591,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91591,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91591,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91591,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91591,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91591,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91591,S000000,00100,0200,10/06/2000 91591,S200000,00100,0100,2100 CIRCLE DRIVE 91591,S200000,00200,0100,SCOTTSBLUFF 91591,S200000,00200,0200,NE 91591,S200000,00200,0300,69361- 91591,S200000,00300,0100,SCOTTSBLUFF 91591,S200000,00400,0100,NORTHFIELD VILLA 91591,S200000,00400,0200,285194 91591,S200000,00400,0300,06/19/1996 91591,S200000,00400,0500,P 91591,S200000,01004,0500,O 91591,S200000,01500,0100,Y 91591,S200000,01900,0100,CORPORATE 91591,S700003,00000,0400,4 91597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91597,A000000,00300,0000,00300EMPLOYEE BENEFITS 91597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91597,A000000,00700,0000,00700HOUSEKEEPING 91597,A000000,00800,0000,00800DIETARY 91597,A000000,00900,0000,00900NURSING ADMINISTRATION 91597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91597,A000000,01100,0000,01100PHARMACY 91597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91597,A000000,01300,0000,01300SOCIAL SERVICE 91597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91597,A000000,01600,0000,01600SKILLED NURSING FACILITY 91597,A000000,02500,0000,02500PHYSICAL THERAPY 91597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91597,A000000,02700,0000,02700SPEECH PATHOLOGY 91597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91597,A000000,05000,0000,05000CORF 91597,A000000,05010,0000,05010CMHC 91597,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91597,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91597,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91597,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91597,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91597,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91597,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91597,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91597,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 91597,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91597,B100000,00000,0850,00040PATIENT DAYS :DIETARY 91597,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 91597,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 91597,B100000,00000,1150,00040PATIENT DAYS :PHARMACY 91597,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 91597,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 91597,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 91597,E10A180,00302,0100,03/26/1998 91597,S000000,00100,0200,01/14/2000 91597,S200000,00100,0100,424 HARRISON BOX 3 91597,S200000,00200,0100,BEEMER 91597,S200000,00200,0200,NE 91597,S200000,00200,0300,68716-4201 91597,S200000,00300,0100,UNKNOWN 91597,S200000,00400,0100,COLONIAL MANOR 91597,S200000,00400,0200,285204 91597,S200000,00400,0300,01/01/1997 91597,S200000,00400,0500,P 91597,S200000,01500,0100,Y 91597,S200000,04900,0100,Y 91597,S700003,00000,0400,4 91607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91607,A000000,00300,0000,00300EMPLOYEE BENEFITS 91607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91607,A000000,00700,0000,00700HOUSEKEEPING 91607,A000000,00800,0000,00800DIETARY 91607,A000000,00900,0000,00900NURSING ADMINISTRATION 91607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91607,A000000,01100,0000,01100PHARMACY 91607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91607,A000000,01300,0000,01300SOCIAL SERVICE 91607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91607,A000000,01600,0000,01600SKILLED NURSING FACILITY 91607,A000000,02200,0000,02200LABORATORY 91607,A000000,02500,0000,02500PHYSICAL THERAPY 91607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91607,A000000,02700,0000,02700SPEECH PATHOLOGY 91607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91607,A000000,05000,0000,05000CORF 91607,A000000,05010,0000,05010CMHC 91607,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91607,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91607,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91607,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91607,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91607,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91607,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91607,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91607,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91607,B100000,00000,0800,00000MEALS SERVED :DIETARY 91607,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91607,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91607,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91607,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91607,S000000,00100,0200,11/29/2000 91607,S200000,00100,0100,255 F. ST. 91607,S200000,00100,0300,427 91607,S200000,00200,0100,FAIRMONT 91607,S200000,00200,0200,NE 91607,S200000,00200,0300,68354- 91607,S200000,00300,0100,FILLMORE 91607,S200000,00300,0200,28 91607,S200000,00300,0300,R 91607,S200000,00400,0100,FAIRVIEW MANOR 91607,S200000,00400,0200,285206 91607,S200000,00400,0300,02/01/1997 91607,S200000,00400,0500,P 91607,S200000,01004,0500,O 91607,S200000,01500,0100,Y 91614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91614,A000000,00300,0000,00300EMPLOYEE BENEFITS 91614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91614,A000000,00700,0000,00700HOUSEKEEPING 91614,A000000,00800,0000,00800DIETARY 91614,A000000,00900,0000,00900NURSING ADMINISTRATION 91614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91614,A000000,01100,0000,01100PHARMACY 91614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91614,A000000,01300,0000,01300SOCIAL SERVICE 91614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91614,A000000,01600,0000,01600SKILLED NURSING FACILITY 91614,A000000,01800,0000,01800NURSING FACILITY 91614,A000000,01900,0000,01900OTHER LONG TERM CARE 91614,A000000,02100,0000,02100RADIOLOGY 91614,A000000,02200,0000,02200LABORATORY 91614,A000000,02300,0000,02300INTRAVENOUS THERAPY 91614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91614,A000000,02500,0000,02500PHYSICAL THERAPY 91614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91614,A000000,02700,0000,02700SPEECH PATHOLOGY 91614,A000000,02800,0000,02800ELECTROCARDIOLOGY 91614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91614,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91614,A000000,03200,0000,03200SUPPORT SURFACES 91614,A000000,03400,0000,03400CLINIC 91614,A000000,03500,0000,03500RURAL HEALTH CLINIC 91614,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91614,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91614,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91614,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91614,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91614,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91614,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91614,A000000,04400,0000,04400DME RENTED - HHA 91614,A000000,04500,0000,04500DME SOLD - HHA 91614,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91614,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91614,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91614,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91614,A000000,05300,0000,05300INTEREST EXPENSE 91614,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91614,A000000,05500,0000,05500HOSPICE 91614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91614,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91614,A000000,06100,0000,06100NONPAID WORKERS 91614,A000000,06200,0000,06200PATIENTS LAUNDRY 91614,B100000,00000,0150,00000DOLLAR VALUE :CAP REL COSTS - BLDG 91614,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91614,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 91614,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91614,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91614,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 91614,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91614,B100000,00000,0800,00000MEALS :DIETARY 91614,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 91614,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 91614,B100000,00000,1150,00000BLANK :PHARMACY 91614,B100000,00000,1250,00000ALL NF :MEDICAL RECORDS & LIBRARY 91614,B100000,00000,1330,00000PARTICIPAT :SOCIAL SERVICE 91614,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 91614,S000000,00100,0200,02/29/2000 91614,S200000,00100,0100,703 NORTH MAIN STREET 91614,S200000,00200,0100,MADISON 91614,S200000,00200,0200,NE 91614,S200000,00200,0300,68748- 91614,S200000,00300,0100,MADISON 91614,S200000,00400,0100,COUNTRYSIDE HOME 91614,S200000,00400,0200,285207 91614,S200000,00400,0300,04/01/1997 91614,S200000,00400,0500,P 91614,S200000,00400,0600,O 91614,S200000,01700,0100,Y 91614,S200000,02800,0100,Y 91624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91624,A000000,00300,0000,00300EMPLOYEE BENEFITS 91624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91624,A000000,00700,0000,00700HOUSEKEEPING 91624,A000000,00800,0000,00800DIETARY 91624,A000000,00900,0000,00900NURSING ADMINISTRATION 91624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91624,A000000,01100,0000,01100PHARMACY 91624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91624,A000000,01300,0000,01300SOCIAL SERVICE 91624,A000000,01350,0000,01500OTHER GENERAL SERVICES 91624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91624,A000000,01600,0000,01600SKILLED NURSING FACILITY 91624,A000000,01800,0000,01800NURSING FACILITY 91624,A000000,01810,0000,01810ICF/MR 91624,A000000,01900,0000,01900OTHER LONG TERM CARE 91624,A000000,02100,0000,02100RADIOLOGY 91624,A000000,02200,0000,02200LABORATORY 91624,A000000,02300,0000,02300INTRAVENOUS THERAPY 91624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91624,A000000,02500,0000,02500PHYSICAL THERAPY 91624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91624,A000000,02700,0000,02700SPEECH PATHOLOGY 91624,A000000,02800,0000,02800ELECTROCARDIOLOGY 91624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91624,A000000,03200,0000,03200SUPPORT SURFACES 91624,A000000,03400,0000,03400CLINIC 91624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91624,A000000,03500,0000,03500RURAL HEALTH CLINIC 91624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91624,A000000,04400,0000,04400DME RENTED - HHA 91624,A000000,04500,0000,04500DME SOLD - HHA 91624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91624,A000000,04710,0000,04710TELEMEDICINE HHA 91624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91624,A000000,04800,0000,04800AMBULANCE 91624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91624,A000000,05000,0000,05000CORF 91624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91624,A000000,05300,0000,05300INTEREST EXPENSE 91624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91624,A000000,05500,0000,05500HOSPICE 91624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91624,A000000,06100,0000,06100NONPAID WORKERS 91624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91624,A000000,06200,0000,06200PATIENTS LAUNDRY 91624,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 91624,B100000,00000,0250,00000 :CAP REL COSTS - MOVABLE EQUIPME 91624,B100000,00000,0350,00000 :EMPLOYEE BENEFITS 91624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91624,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 91624,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 91624,B100000,00000,0750,00000 :HOUSEKEEPING 91624,B100000,00000,0850,00000 :DIETARY 91624,B100000,00000,0950,00000 :NURSING ADMINISTRATION 91624,B100000,00000,1250,00000 :MEDICAL RECORDS & LIBRARY 91624,B100000,00000,1330,00000 :SOCIAL SERVICE 91624,S000000,00100,0200,12/01/2000 91624,S200000,00100,0100,901 S. 4TH STREET 91624,S200000,00100,0300,RR1 BOX 54A 91624,S200000,00200,0100,BATTLE CREEK 91624,S200000,00200,0200,NE 91624,S200000,00200,0300,68715- 91624,S200000,00300,0100,MADISON 91624,S200000,00300,0200,0028 91624,S200000,00300,0300,R 91624,S200000,00400,0100,COMMUNITY PRIDE CARE CENTER 91624,S200000,00400,0200,285208 91624,S200000,00400,0300,04/01/1997 91624,S200000,00400,0500,P 91624,S200000,01500,0100,Y 91624,S200000,02800,0100,Y 91630,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91630,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91630,A000000,00300,0000,00300EMPLOYEE BENEFITS 91630,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91630,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91630,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91630,A000000,00700,0000,00700HOUSEKEEPING 91630,A000000,00800,0000,00800DIETARY 91630,A000000,00900,0000,00900NURSING ADMINISTRATION 91630,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91630,A000000,01100,0000,01100PHARMACY 91630,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91630,A000000,01300,0000,01300SOCIAL SERVICE 91630,A000000,01350,0000,01500OTHER GENERAL SERVICES 91630,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91630,A000000,01600,0000,01600SKILLED NURSING FACILITY 91630,A000000,01800,0000,01800NURSING FACILITY 91630,A000000,01810,0000,01810ICF/MR 91630,A000000,01900,0000,01900OTHER LONG TERM CARE 91630,A000000,02100,0000,02100RADIOLOGY 91630,A000000,02200,0000,02200LABORATORY 91630,A000000,02300,0000,02300INTRAVENOUS THERAPY 91630,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91630,A000000,02500,0000,02500PHYSICAL THERAPY 91630,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91630,A000000,02700,0000,02700SPEECH PATHOLOGY 91630,A000000,02800,0000,02800ELECTROCARDIOLOGY 91630,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91630,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91630,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91630,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91630,A000000,03200,0000,03200SUPPORT SURFACES 91630,A000000,03400,0000,03400CLINIC 91630,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91630,A000000,03500,0000,03500RURAL HEALTH CLINIC 91630,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91630,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91630,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91630,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91630,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91630,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91630,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91630,A000000,04400,0000,04400DME RENTED - HHA 91630,A000000,04500,0000,04500DME SOLD - HHA 91630,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91630,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91630,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91630,A000000,04800,0000,04800AMBULANCE 91630,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91630,A000000,05000,0000,05000CORF 91630,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91630,A000000,05300,0000,05300INTEREST EXPENSE 91630,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91630,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91630,A000000,05500,0000,05500HOSPICE 91630,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91630,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91630,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91630,A000000,06100,0000,06100NONPAID WORKERS 91630,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91630,A000000,06200,0000,06200PATIENTS LAUNDRY 91630,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91630,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91630,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91630,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91630,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91630,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91630,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91630,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91630,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91630,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91630,S000000,00100,0200,11/29/2000 91630,S200000,00100,0100,306 ASH STREET 91630,S200000,00200,0100,WAKEFIELD 91630,S200000,00200,0200,NE 91630,S200000,00200,0300,68784-5023 91630,S200000,00300,0100,DIXON 91630,S200000,00300,0200,9925 91630,S200000,00300,0300,R 91630,S200000,00400,0100,WAKEFIELD HEALTH CARE CENTER INC 91630,S200000,00400,0200,285209 91630,S200000,00400,0300,06/01/1997 91630,S200000,00400,0500,P 91630,S200000,01500,0100,Y 91637,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91637,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91637,A000000,00300,0000,00300EMPLOYEE BENEFITS 91637,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91637,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91637,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91637,A000000,00700,0000,00700HOUSEKEEPING 91637,A000000,00800,0000,00800DIETARY 91637,A000000,00900,0000,00900NURSING ADMINISTRATION 91637,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91637,A000000,01100,0000,01100PHARMACY 91637,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91637,A000000,01300,0000,01300SOCIAL SERVICE 91637,A000000,01350,0000,01500OTHER GENERAL SERVICES 91637,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91637,A000000,01600,0000,01600SKILLED NURSING FACILITY 91637,A000000,01800,0000,01800NURSING FACILITY 91637,A000000,01900,0000,01900OTHER LONG TERM CARE 91637,A000000,02100,0000,02100RADIOLOGY 91637,A000000,02200,0000,02200LABORATORY 91637,A000000,02300,0000,02300INTRAVENOUS THERAPY 91637,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91637,A000000,02500,0000,02500PHYSICAL THERAPY 91637,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91637,A000000,02700,0000,02700SPEECH PATHOLOGY 91637,A000000,02800,0000,02800ELECTROCARDIOLOGY 91637,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91637,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91637,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91637,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91637,A000000,03200,0000,03200SUPPORT SURFACES 91637,A000000,03400,0000,03400CLINIC 91637,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91637,A000000,03500,0000,03500RURAL HEALTH CLINIC 91637,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91637,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91637,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91637,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91637,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91637,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91637,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91637,A000000,04400,0000,04400DME RENTED - HHA 91637,A000000,04500,0000,04500DME SOLD - HHA 91637,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91637,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91637,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91637,A000000,04800,0000,04800AMBULANCE 91637,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91637,A000000,05000,0000,05000CORF 91637,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91637,A000000,05300,0000,05300INTEREST EXPENSE 91637,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91637,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91637,A000000,05500,0000,05500HOSPICE 91637,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91637,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91637,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91637,A000000,06100,0000,06100NONPAID WORKERS 91637,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91637,A000000,06200,0000,06200PATIENTS LAUNDRY 91637,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91637,B100000,00000,0250,00000ACCUAL EXP PER AS:CAP REL COSTS - M 91637,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91637,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91637,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91637,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91637,B100000,00000,0800,00000MEALS SERVED :DIETARY 91637,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 91637,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91637,S000000,00100,0200,12/06/2000 91637,S200000,00100,0100,318 NORTH 3RD 91637,S200000,00100,0300,310 91637,S200000,00200,0100,HAY SPRINGS 91637,S200000,00200,0200,NE 91637,S200000,00200,0300,69347- 91637,S200000,00300,0100,SHERIDAN 91637,S200000,00300,0200,0028 91637,S200000,00300,0300,R 91637,S200000,00400,0100,PIONEER MANOR NURSING HOME 91637,S200000,00400,0200,285212 91637,S200000,00400,0300,05/01/1997 91637,S200000,00400,0500,P 91637,S200000,01004,0500,O 91637,S200000,01500,0100,Y 91637,S200000,02800,0100,Y 91644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91644,A000000,00300,0000,00300EMPLOYEE BENEFITS 91644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91644,A000000,00700,0000,00700HOUSEKEEPING 91644,A000000,00800,0000,00800DIETARY 91644,A000000,00900,0000,00900NURSING ADMINISTRATION 91644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91644,A000000,01100,0000,01100PHARMACY 91644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91644,A000000,01300,0000,01300SOCIAL SERVICE 91644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91644,A000000,01600,0000,01600SKILLED NURSING FACILITY 91644,A000000,01810,0000,01810ICF/MR 91644,A000000,02200,0000,02200LABORATORY 91644,A000000,02500,0000,02500PHYSICAL THERAPY 91644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91644,A000000,02700,0000,02700SPEECH PATHOLOGY 91644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91644,A000000,03550,0000,03550FQHC 91644,A000000,05000,0000,05000CORF 91644,A000000,05010,0000,05010CMHC 91644,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91644,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91644,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91644,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91644,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91644,B100000,00000,0800,00000MEALS SERVED :DIETARY 91644,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91644,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91644,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91644,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91644,S000000,00100,0200,11/30/2000 91644,S200000,00100,0100,109 N 2ND ST. 91644,S200000,00200,0100,NEWMAN GROVE 91644,S200000,00200,0200,NE 91644,S200000,00200,0300,68758- 91644,S200000,00300,0100,BOONE 91644,S200000,00300,0200,0028 91644,S200000,00300,0300,U 91644,S200000,00400,0100,MID NEBRASKA LUTHERAN HOME 91644,S200000,00400,0200,285213 91644,S200000,00400,0300,05/05/1997 91644,S200000,00400,0500,P 91644,S200000,01004,0500,O 91644,S200000,01500,0100,Y 91644,S200000,01900,0100,CORPORATE 91651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91651,A000000,00300,0000,00300EMPLOYEE BENEFITS 91651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91651,A000000,00700,0000,00700HOUSEKEEPING 91651,A000000,00800,0000,00800DIETARY 91651,A000000,00900,0000,00900NURSING ADMINISTRATION 91651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91651,A000000,01100,0000,01100PHARMACY 91651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91651,A000000,01300,0000,01300SOCIAL SERVICE 91651,A000000,01350,0000,01500OTHER GENERAL SERVICES 91651,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91651,A000000,01600,0000,01600SKILLED NURSING FACILITY 91651,A000000,01800,0000,01800NURSING FACILITY 91651,A000000,01810,0000,01801ICF/MR 91651,A000000,01900,0000,01900OTHER LONG TERM CARE 91651,A000000,02100,0000,02100RADIOLOGY 91651,A000000,02200,0000,02200LABORATORY 91651,A000000,02300,0000,02300INTRAVENOUS THERAPY 91651,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91651,A000000,02500,0000,02500PHYSICAL THERAPY 91651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91651,A000000,02700,0000,02700SPEECH PATHOLOGY 91651,A000000,02800,0000,02800ELECTROCARDIOLOGY 91651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91651,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91651,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91651,A000000,03200,0000,03200SUPPORT SURFACES 91651,A000000,03400,0000,03400CLINIC 91651,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91651,A000000,03500,0000,03500RURAL HEALTH CLINIC 91651,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 91651,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 91651,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 91651,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 91651,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 91651,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 91651,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 91651,A000000,04400,0000,04400DME RENTED - HHA 91651,A000000,04500,0000,04500DME SOLD - HHA 91651,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 91651,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 91651,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91651,A000000,04800,0000,04800AMBULANCE 91651,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91651,A000000,05000,0000,05000CORF 91651,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91651,A000000,05300,0000,05300INTEREST EXPENSE 91651,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91651,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91651,A000000,05500,0000,05500HOSPICE 91651,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91651,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91651,A000000,06100,0000,06100NONPAID WORKERS 91651,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91651,A000000,06200,0000,06200PATIENTS LAUNDRY 91651,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91651,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91651,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91651,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91651,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91651,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91651,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91651,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91651,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91651,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91651,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91651,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91651,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91651,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91651,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91651,S000000,00100,0200,06/27/2000 91651,S200000,00100,0100,901 HOWARD AVE 91651,S200000,00100,0300,5 91651,S200000,00200,0100,CURTIS 91651,S200000,00200,0200,NE 91651,S200000,00200,0300,69025- 91651,S200000,00300,0100,FRONTIER 91651,S200000,00400,0100,SUNSET HAVEN NURSING HOME 91651,S200000,00400,0200,285214 91651,S200000,00400,0300,05/15/1997 91651,S200000,00400,0500,P 91651,S200000,01500,0100,Y 91651,S700003,00000,0400,4 91659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91659,A000000,00300,0000,00300EMPLOYEE BENEFITS 91659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91659,A000000,00700,0000,00700HOUSEKEEPING 91659,A000000,00800,0000,00800DIETARY 91659,A000000,00900,0000,00900NURSING ADMINISTRATION 91659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91659,A000000,01100,0000,01100PHARMACY 91659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91659,A000000,01300,0000,01300SOCIAL SERVICE 91659,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91659,A000000,01600,0000,01600SKILLED NURSING FACILITY 91659,A000000,01810,0000,01810ICF/MR 91659,A000000,02500,0000,02500PHYSICAL THERAPY 91659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91659,A000000,02700,0000,02700SPEECH PATHOLOGY 91659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91659,A000000,03550,0000,03550FQHC 91659,A000000,05000,0000,05000CORF 91659,A000000,05010,0000,05010CMHC 91659,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91659,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91659,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91659,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91659,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91659,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91659,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91659,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91659,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91659,B100000,00000,0800,00000 MEALS SERVED :DIETARY 91659,B100000,00000,0950,00000 DIRECT NRSG HRS:NURSING ADMINISTRA 91659,B100000,00000,1000,00000 COSTED REQUIST :CENTRAL SERVICES & 91659,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 91659,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91659,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91659,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91659,S000000,00100,0200,02/29/2000 91659,S200000,00100,0100,807 SMITH AVE 91659,S200000,00100,0300,315 91659,S200000,00200,0100,ELWOOD 91659,S200000,00200,0200,NE 91659,S200000,00200,0300,68937- 91659,S200000,00300,0100,GOSPER 91659,S200000,00400,0100,ELWOOD CARE CENTER 91659,S200000,00400,0200,285215 91659,S200000,00400,0300,01/01/1998 91659,S200000,00400,0500,P 91659,S200000,01500,0100,Y 91659,S200000,01900,0100,CORPORATE 91659,S700003,00000,0400,4 91665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91665,A000000,00300,0000,00300EMPLOYEE BENEFITS 91665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91665,A000000,00700,0000,00700HOUSEKEEPING 91665,A000000,00800,0000,00800DIETARY 91665,A000000,00900,0000,00900NURSING ADMINISTRATION 91665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91665,A000000,01100,0000,01100PHARMACY 91665,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91665,A000000,01300,0000,01300SOCIAL SERVICE 91665,A000000,01350,0000,01500OTHER GENERAL SERVICES 91665,A000000,01600,0000,01600SKILLED NURSING FACILITY 91665,A000000,01800,0000,01800NURSING FACILITY 91665,A000000,01900,0000,01900OTHER LONG TERM CARE 91665,A000000,02200,0000,02200LABORATORY 91665,A000000,02500,0000,02500PHYSICAL THERAPY 91665,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91665,A000000,02700,0000,02700SPEECH PATHOLOGY 91665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91665,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91665,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91665,A000000,04800,0000,04800AMBULANCE 91665,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91665,A000000,05300,0000,05300INTEREST EXPENSE 91665,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91665,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91665,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91665,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91665,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91665,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91665,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91665,B100000,00000,0650,00000DAYS :LAUNDRY & LINEN SERVICE 91665,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91665,B100000,00000,0850,00000DAYS :DIETARY 91665,B100000,00000,0950,00000DAYS :NURSING ADMINISTRATION 91665,B100000,00000,1330,00000DAYS :SOCIAL SERVICE 91665,S000000,00100,0200,11/30/2000 91665,S200000,00100,0100,1104 3RD AVENUE 91665,S200000,00200,0100,NEBRASKA CITY 91665,S200000,00200,0200,NE 91665,S200000,00200,0300,68410-0000 91665,S200000,00300,0100,OTOE 91665,S200000,00300,0200,28 91665,S200000,00300,0300,R 91665,S200000,00400,0100,DUFF MEMORIAL NURSING HOME 91665,S200000,00400,0200,285217 91665,S200000,00400,0300,01/01/1998 91665,S200000,00400,0500,P 91665,S200000,01500,0100,Y 91673,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91673,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91673,A000000,00300,0000,00300EMPLOYEE BENEFITS 91673,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91673,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91673,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91673,A000000,00700,0000,00700HOUSEKEEPING 91673,A000000,00800,0000,00800DIETARY 91673,A000000,00900,0000,00900NURSING ADMINISTRATION 91673,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91673,A000000,01100,0000,01100PHARMACY 91673,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91673,A000000,01300,0000,01300SOCIAL SERVICE 91673,A000000,01350,0000,01500OTHER GENERAL SERVICES 91673,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91673,A000000,01600,0000,01600SKILLED NURSING FACILITY 91673,A000000,01800,0000,01800NURSING FACILITY 91673,A000000,01810,0000,01810ICF/MR 91673,A000000,01900,0000,01900OTHER LONG TERM CARE 91673,A000000,02100,0000,02100RADIOLOGY 91673,A000000,02200,0000,02200LABORATORY 91673,A000000,02300,0000,02300INTRAVENOUS THERAPY 91673,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91673,A000000,02500,0000,02500PHYSICAL THERAPY 91673,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91673,A000000,02700,0000,02700SPEECH PATHOLOGY 91673,A000000,02800,0000,02800ELECTROCARDIOLOGY 91673,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91673,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91673,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91673,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91673,A000000,03200,0000,03200SUPPORT SURFACES 91673,A000000,03400,0000,03400CLINIC 91673,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91673,A000000,03500,0000,03500RURAL HEALTH CLINIC 91673,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91673,A000000,04800,0000,04800AMBULANCE 91673,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91673,A000000,05000,0000,05000CORF 91673,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91673,A000000,05300,0000,05300INTEREST EXPENSE 91673,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91673,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91673,A000000,05500,0000,05500HOSPICE 91673,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91673,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91673,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91673,A000000,06100,0000,06100NONPAID WORKERS 91673,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91673,A000000,06200,0000,06200PATIENTS LAUNDRY 91673,A81000A,00100,0100,Y 91673,A81000B,00100,0300,RENT EXPENSE 91673,A81000C,00100,0100,D 91673,A81000C,00100,0400,FELD INVESTMENT COMPANY 91673,A81000C,00100,0600,REAL ESTATE RENTAL 91673,B100000,00000,0150,00000INPATIENT DAYS :CAP REL COSTS - BL 91673,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91673,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91673,B100000,00000,0550,00000INPATIENT DAYS :PLANT OPERATION M 91673,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 91673,B100000,00000,0750,00000INPATIENT DAYS :HOUSEKEEPING 91673,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 91673,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 91673,S000000,00100,0200,11/30/2000 91673,S200000,00100,0100,910 S. 40TH STREET 91673,S200000,00200,0100,OMAHA 91673,S200000,00200,0200,NE 91673,S200000,00200,0300,68105- 91673,S200000,00300,0100,DOUGLAS 91673,S200000,00300,0200,5920 91673,S200000,00300,0300,U 91673,S200000,00400,0100,LINDENWOOD NURSING HOME INC. 91673,S200000,00400,0200,285218 91673,S200000,00400,0300,12/01/1997 91673,S200000,00400,0500,P 91673,S200000,01004,0500,O 91673,S200000,01500,0100,Y 91680,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91680,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91680,A000000,00300,0000,00300EMPLOYEE BENEFITS 91680,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91680,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91680,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91680,A000000,00700,0000,00700HOUSEKEEPING 91680,A000000,00800,0000,00800DIETARY 91680,A000000,00900,0000,00900NURSING ADMINISTRATION 91680,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91680,A000000,01100,0000,01100PHARMACY 91680,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91680,A000000,01300,0000,01300SOCIAL SERVICE 91680,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91680,A000000,01600,0000,01600SKILLED NURSING FACILITY 91680,A000000,01810,0000,01810ICF/MR 91680,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91680,A000000,02500,0000,02500PHYSICAL THERAPY 91680,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91680,A000000,02700,0000,02700SPEECH PATHOLOGY 91680,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91680,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91680,A000000,03550,0000,03550FQHC 91680,A000000,05000,0000,05000CORF 91680,A000000,05010,0000,05010CMHC 91680,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91680,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91680,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91680,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91680,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91680,A81000A,00100,0100,Y 91680,A81000B,00100,0300,MANAGEMENT FEES 91680,A81000B,00200,0300,LEASE FEES 91680,A81000C,00100,0100,A 91680,A81000C,00100,0200,JACK & ELDORA V 91680,A81000C,00100,0400,VETTER HEALTH S 91680,A81000C,00100,0600,MANAGEMENT CO. 91680,A81000C,00200,0400,VETTER LEASING 91680,A81000C,00200,0600,LEASING CO. 91680,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 91680,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91680,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91680,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 91680,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91680,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91680,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 91680,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 91680,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 91680,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 91680,S000000,00100,0200,11/29/2000 91680,S200000,00100,0100,3220 N. 14TH STREET 91680,S200000,00200,0100,LINCOLN 91680,S200000,00200,0200,NE 91680,S200000,00200,0300,68521- 91680,S200000,00300,0100,LANCASTER 91680,S200000,00300,0200,4360 91680,S200000,00300,0300,U 91680,S200000,00400,0100,VILLAGE MANOR 91680,S200000,00400,0200,285219 91680,S200000,00400,0300,05/07/1998 91680,S200000,00400,0500,P 91680,S200000,01004,0500,O 91680,S200000,01500,0100,Y 91680,S200000,02800,0100,Y 91747,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91747,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91747,A000000,00300,0000,00300EMPLOYEE BENEFITS 91747,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91747,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91747,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91747,A000000,00700,0000,00700HOUSEKEEPING 91747,A000000,00800,0000,00800DIETARY 91747,A000000,00900,0000,00900NURSING ADMINISTRATION 91747,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91747,A000000,01100,0000,01100PHARMACY 91747,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91747,A000000,01300,0000,01300SOCIAL SERVICE 91747,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91747,A000000,01600,0000,01600SKILLED NURSING FACILITY 91747,A000000,02500,0000,02500PHYSICAL THERAPY 91747,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91747,A000000,02700,0000,02700SPEECH PATHOLOGY 91747,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91747,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91747,A000000,03550,0000,03550FQHC 91747,A000000,05000,0000,05000CORF 91747,A000000,05010,0000,05010CMHC 91747,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91747,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91747,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91747,B100000,00000,0150,00040PATIENT DAYS :CAP REL COSTS - BLDG 91747,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91747,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91747,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91747,B100000,00000,0550,00040PATIENT DAYS :PLANT OPERATION MAI 91747,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 91747,B100000,00000,0750,00040PATIENT DAYS :HOUSEKEEPING 91747,B100000,00000,0850,00040PATIENT DAYS :DIETARY 91747,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 91747,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91747,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91747,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 91747,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 91747,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 91747,S000000,00100,0200,05/30/2000 91747,S200000,00100,0100,610 224TH ROAD 91747,S200000,00100,0300,BOX A 91747,S200000,00200,0100,MILFORD 91747,S200000,00200,0200,NE 91747,S200000,00400,0100,SUNRISE COUNTRY MANOR 91747,S200000,00400,0200,285232 91747,S200000,00400,0300,09/01/1998 91747,S200000,00400,0500,P 91747,S200000,01004,0500,O 91747,S200000,01600,0100,Y 91747,S200000,02200,0100,Y 91747,S700003,00000,0400,4 91752,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91752,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91752,A000000,00300,0000,00300EMPLOYEE BENEFITS 91752,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91752,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91752,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91752,A000000,00700,0000,00700HOUSEKEEPING 91752,A000000,00800,0000,00800DIETARY 91752,A000000,00900,0000,00900NURSING ADMINISTRATION 91752,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91752,A000000,01100,0000,01100PHARMACY 91752,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91752,A000000,01300,0000,01300SOCIAL SERVICE 91752,A000000,01350,0000,01500OTHER GENERAL SERVICES 91752,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91752,A000000,01600,0000,01600SKILLED NURSING FACILITY 91752,A000000,01800,0000,01800NURSING FACILITY 91752,A000000,01900,0000,01900OTHER LONG TERM CARE 91752,A000000,02100,0000,02100RADIOLOGY 91752,A000000,02200,0000,02200LABORATORY 91752,A000000,02300,0000,02300INTRAVENOUS THERAPY 91752,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91752,A000000,02500,0000,02500PHYSICAL THERAPY 91752,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91752,A000000,02700,0000,02700SPEECH PATHOLOGY 91752,A000000,02800,0000,02800ELECTROCARDIOLOGY 91752,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91752,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91752,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91752,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91752,A000000,03200,0000,03200SUPPORT SURFACES 91752,A000000,03400,0000,03400CLINIC 91752,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91752,A000000,03500,0000,03500RURAL HEALTH CLINIC 91752,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91752,A000000,04800,0000,04800AMBULANCE 91752,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91752,A000000,05000,0000,05000CORF 91752,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91752,A000000,05300,0000,05300INTEREST EXPENSE 91752,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91752,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91752,A000000,05500,0000,05500HOSPICE 91752,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91752,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91752,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91752,A000000,06100,0000,06100NONPAID WORKERS 91752,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91752,A000000,06200,0000,06200PATIENTS LAUNDRY 91752,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91752,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91752,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91752,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91752,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91752,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91752,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91752,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91752,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91752,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91752,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91752,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91752,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91752,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91752,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91752,S000000,00100,0200,01/03/2000 91752,S200000,00100,0100,1133 N. 3RD STREET 91752,S200000,00200,0100,TECUMSEH 91752,S200000,00200,0200,NE 91752,S200000,00200,0300,68450- 91752,S200000,00300,0100,JOHNSON 91752,S200000,00400,0100,BELLE TERRACE 91752,S200000,00400,0200,285233 91752,S200000,00400,0300,06/23/1998 91752,S200000,00400,0500,P 91752,S200000,01600,0100,Y 91752,S200000,02800,0100,Y 91752,S200000,03100,0100,Y 91752,S700003,00000,0400,4 91757,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91757,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91757,A000000,00300,0000,00300EMPLOYEE BENEFITS 91757,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91757,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91757,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91757,A000000,00700,0000,00700HOUSEKEEPING 91757,A000000,00800,0000,00800DIETARY 91757,A000000,00900,0000,00900NURSING ADMINISTRATION 91757,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91757,A000000,01100,0000,01100PHARMACY 91757,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91757,A000000,01300,0000,01300SOCIAL SERVICE 91757,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91757,A000000,01600,0000,01600SKILLED NURSING FACILITY 91757,A000000,01810,0000,01810ICF/MR 91757,A000000,02500,0000,02500PHYSICAL THERAPY 91757,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91757,A000000,02700,0000,02700SPEECH PATHOLOGY 91757,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91757,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91757,A000000,03550,0000,03550FQHC 91757,A000000,05000,0000,05000CORF 91757,A000000,05010,0000,05010CMHC 91757,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91757,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91757,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91757,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91757,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91757,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91757,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91757,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91757,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91757,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91757,B100000,00000,0800,00000MEALS SERVED :DIETARY 91757,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91757,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 91757,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91757,S000000,00100,0200,03/12/2001 91757,S200000,00100,0100,589 VINCENT 91757,S200000,00100,0300,428 91757,S200000,00200,0100,CHAPPELL 91757,S200000,00200,0200,NE 91757,S200000,00200,0300,69129-0428 91757,S200000,00300,0100,DEUEL 91757,S200000,00300,0200,0028 91757,S200000,00300,0300,R 91757,S200000,00400,0100,MILLER MEMORIAL CARE CENTER 91757,S200000,00400,0200,285234 91757,S200000,00400,0300,03/13/1998 91757,S200000,00400,0500,P 91757,S200000,01004,0500,O 91757,S200000,01500,0100,Y 91757,S200000,01900,0100,CORPORATE 91760,S000000,00100,0200,05/03/2000 91762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91762,A000000,00300,0000,00300EMPLOYEE BENEFITS 91762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91762,A000000,00700,0000,00700HOUSEKEEPING 91762,A000000,00800,0000,00800DIETARY 91762,A000000,00900,0000,00900NURSING ADMINISTRATION 91762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91762,A000000,01100,0000,01100PHARMACY 91762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91762,A000000,01300,0000,01300SOCIAL SERVICE 91762,A000000,01350,0000,01500OTHER GENERAL SERVICES 91762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91762,A000000,01600,0000,01600SKILLED NURSING FACILITY 91762,A000000,01800,0000,01800NURSING FACILITY 91762,A000000,01810,0000,01810ICF/MR 91762,A000000,01900,0000,01900OTHER LONG TERM CARE 91762,A000000,02100,0000,02100RADIOLOGY 91762,A000000,02200,0000,02200LABORATORY 91762,A000000,02300,0000,02300INTRAVENOUS THERAPY 91762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91762,A000000,02500,0000,02500PHYSICAL THERAPY 91762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91762,A000000,02700,0000,02700SPEECH PATHOLOGY 91762,A000000,02800,0000,02800ELECTROCARDIOLOGY 91762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91762,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91762,A000000,03200,0000,03200SUPPORT SURFACES 91762,A000000,03400,0000,03400CLINIC 91762,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91762,A000000,03500,0000,03500RURAL HEALTH CLINIC 91762,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91762,A000000,04800,0000,04800AMBULANCE 91762,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91762,A000000,05000,0000,05000CORF 91762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91762,A000000,05300,0000,05300INTEREST EXPENSE 91762,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91762,A000000,05500,0000,05500HOSPICE 91762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91762,A000000,06100,0000,06100NONPAID WORKERS 91762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91762,A000000,06200,0000,06200PATIENTS LAUNDRY 91762,A81000A,00100,0100,Y 91762,A81000B,00100,0300,MANAGEMENT FEE 91762,A81000B,00200,0300,CONSULTING/ACTING ADMINISTRATOR 91762,A81000C,00100,0100,A 91762,A81000C,00100,0400,PARAGON MANAGEMENT SERV. 91762,A81000C,00100,0600,MANAGEMENT COMPANY 91762,A81000C,00200,0100,E 91762,A81000C,00200,0200,RUSSELL PETERSON 91762,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91762,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91762,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91762,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91762,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91762,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91762,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91762,S000000,00100,0200,06/01/2000 91762,S200000,00100,0100,2700 N. LAVERNA ST. 91762,S200000,00200,0100,FREMONT 91762,S200000,00200,0200,NE 91762,S200000,00200,0300,68025- 91762,S200000,00300,0100,DODGE 91762,S200000,00300,0200,28 91762,S200000,00300,0300,R 91762,S200000,00400,0100,FREMONT CARE CENTER INC. 91762,S200000,00400,0200,285235 91762,S200000,00400,0300,11/06/1998 91762,S200000,00400,0500,P 91762,S200000,01500,0100,Y 91766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91766,A000000,00300,0000,00300EMPLOYEE BENEFITS 91766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91766,A000000,00700,0000,00700HOUSEKEEPING 91766,A000000,00800,0000,00800DIETARY 91766,A000000,00900,0000,00900NURSING ADMINISTRATION 91766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91766,A000000,01300,0000,01300SOCIAL SERVICE 91766,A000000,01800,0000,01800NURSING FACILITY 91766,A000000,02500,0000,02500PHYSICAL THERAPY 91766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91766,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91766,A000000,06151,0000,06301CHILD CARE CENTER 91766,A000000,06152,0000,06302GUEST MEALS 91766,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 91766,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 91766,B100000,00000,0350,00002SALARIES :EMPLOYEE BENEFITS 91766,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 91766,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 91766,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 91766,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 91766,B100000,00000,0800,00002MEALS SERVED :DIETARY 91766,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 91766,B100000,00000,1250,00002REVENUE :MEDICAL RECORDS & LIBRAR 91766,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 91766,S000000,00100,0200,03/01/2000 91766,S200000,00100,0100,ROUTE 2 91766,S200000,00100,0300,34 - A 91766,S200000,00200,0100,HUMBOLDT 91766,S200000,00200,0200,NE 91766,S200000,00200,0300,68376- 91766,S200000,00400,0100,COLONIAL ACRES NURSING HOM 91766,S200000,00400,0200,285236 91766,S200000,00400,0300,07/01/1999 91766,S200000,00400,0500,P 91766,S200000,00600,0200,285236 91766,S200000,00600,0300,06/01/1969 91766,S200000,00600,0600,P 91766,S200000,01500,0100,Y 91766,S200000,02200,0100,Y 91766,S200000,02800,0100,Y 91769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91769,A000000,00300,0000,00300EMPLOYEE BENEFITS 91769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91769,A000000,00700,0000,00700HOUSEKEEPING 91769,A000000,00800,0000,00800DIETARY 91769,A000000,00900,0000,00900NURSING ADMINISTRATION 91769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91769,A000000,01100,0000,01100PHARMACY 91769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91769,A000000,01300,0000,01300SOCIAL SERVICE 91769,A000000,01350,0000,01500OTHER GENERAL SERVICES 91769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91769,A000000,01600,0000,01600SKILLED NURSING FACILITY 91769,A000000,01800,0000,01800NURSING FACILITY 91769,A000000,01810,0000,01810ICF/MR 91769,A000000,01900,0000,01900OTHER LONG TERM CARE 91769,A000000,02100,0000,02100RADIOLOGY 91769,A000000,02200,0000,02200LABORATORY 91769,A000000,02300,0000,02300INTRAVENOUS THERAPY 91769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91769,A000000,02500,0000,02500PHYSICAL THERAPY 91769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91769,A000000,02700,0000,02700SPEECH PATHOLOGY 91769,A000000,02800,0000,02800ELECTROCARDIOLOGY 91769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91769,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91769,A000000,03200,0000,03200SUPPORT SURFACES 91769,A000000,03400,0000,03400CLINIC 91769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91769,A000000,03500,0000,03500RURAL HEALTH CLINIC 91769,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91769,A000000,04800,0000,04800AMBULANCE 91769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91769,A000000,05000,0000,05000CORF 91769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91769,A000000,05300,0000,05300INTEREST EXPENSE 91769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91769,A000000,05500,0000,05500HOSPICE 91769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91769,A000000,06100,0000,06100NONPAID WORKERS 91769,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91769,A000000,06200,0000,06200PATIENTS LAUNDRY 91769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91769,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 91769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91769,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91769,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91769,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91769,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 91769,B100000,00000,1150,00000NO STATISTICS :PHARMACY 91769,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91769,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91769,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 91769,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 91769,S000000,00100,0200,06/05/2000 91769,S200000,00100,0100,1133 N. 3RD STREET 91769,S200000,00100,0300,689 91769,S200000,00200,0100,TECUMSEH 91769,S200000,00200,0200,NE 91769,S200000,00200,0300,68450-0689 91769,S200000,00300,0100,JOHNSON 91769,S200000,00400,0100,BELLE TERRACE 91769,S200000,00400,0200,285237 91769,S200000,00400,0300,08/05/1999 91769,S200000,00400,0500,P 91769,S200000,01004,0500,O 91769,S200000,01600,0100,Y 91789,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91789,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91789,A000000,00300,0000,00300EMPLOYEE BENEFITS 91789,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91789,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91789,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91789,A000000,00700,0000,00700HOUSEKEEPING 91789,A000000,00800,0000,00800DIETARY 91789,A000000,00900,0000,00900NURSING ADMINISTRATION 91789,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91789,A000000,01100,0000,01100PHARMACY 91789,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91789,A000000,01300,0000,01300SOCIAL SERVICE 91789,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91789,A000000,01600,0000,01600SKILLED NURSING FACILITY 91789,A000000,01800,0000,01800NURSING FACILITY 91789,A000000,01810,0000,01810ICF/MR 91789,A000000,02100,0000,02100RADIOLOGY 91789,A000000,02200,0000,02200LABORATORY 91789,A000000,02500,0000,02500PHYSICAL THERAPY 91789,A000000,02501,0000,02501RECREATION THERAPY 91789,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91789,A000000,02700,0000,02700SPEECH PATHOLOGY 91789,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91789,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91789,A000000,03550,0000,03550FQHC 91789,A000000,05000,0000,05000CORF 91789,A000000,05010,0000,05010CMHC 91789,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91789,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91789,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91789,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91789,A81000A,00100,0100,Y 91789,A81000B,00100,0300,H. O. DEPR 91789,A81000B,00200,0300,HOME OFFICE A/G 91789,A81000B,00300,0300,PT COSTS 91789,A81000B,00400,0300,OT COSTS 91789,A81000B,00500,0300,SPEECH COSTS 91789,A81000B,00600,0300,PT COSTS 91789,A81000B,00700,0300,INFO SYSTEM 91789,A81000B,00800,0300,CASE MANAGEMENT 91789,A81000B,00900,0300,EMP. HEALTH 91789,A81000B,01000,0300,CODING FEE 91789,A81000B,01100,0300,PHARMACY COSTS 91789,A81000B,01200,0300,PHARMACY COSTS 91789,A81000B,01300,0300,X-RAY COSTS 91789,A81000B,01400,0300,LAUNDRY COSTS 91789,A81000B,01500,0300,NHIN FEES 91789,A81000C,00100,0100,B 91789,A81000C,00100,0200,WASHOE PROGRESS 91789,A81000C,00100,0400,WASHOE HEALTH S 91789,A81000C,00100,0600,HOME OFFICE 91789,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91789,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91789,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91789,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91789,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91789,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91789,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91789,B100000,00000,0800,00000MEALS SERVED :DIETARY 91789,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 91789,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91789,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91789,S000000,00100,0200,12/01/2000 91789,S200000,00100,0100,77 PRINGLE WAY 91789,S200000,00200,0100,RENO 91789,S200000,00200,0200,NV 91789,S200000,00200,0300,89502- 91789,S200000,00300,0200,6720 91789,S200000,00300,0300,U 91789,S200000,00400,0100,WASHOE PROGRESSIVE CARE CENTER 91789,S200000,00400,0200,295034 91789,S200000,00400,0300,07/15/1977 91789,S200000,00400,0500,P 91789,S200000,00600,0200,029000 91789,S200000,00600,0300,07/15/1977 91789,S200000,00600,0600,P 91789,S200000,01004,0500,O 91789,S200000,01600,0100,Y 91789,S200000,01900,0100,PRIVATE 91789,S200000,04300,0100,Y 91789,S200000,04900,0100,Y 91798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91798,A000000,00300,0000,00300EMPLOYEE BENEFITS 91798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91798,A000000,00700,0000,00700HOUSEKEEPING 91798,A000000,00800,0000,00800DIETARY 91798,A000000,00900,0000,00900NURSING ADMINISTRATION 91798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91798,A000000,01300,0000,01300SOCIAL SERVICE 91798,A000000,01600,0000,01600SKILLED NURSING FACILITY 91798,A000000,01800,0000,01800NURSING FACILITY 91798,A000000,02100,0000,02100RADIOLOGY 91798,A000000,02200,0000,02200LABORATORY 91798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91798,A000000,02500,0000,02500PHYSICAL THERAPY 91798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91798,A000000,02700,0000,02700SPEECH PATHOLOGY 91798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91798,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91798,A000000,05300,0000,05300INTEREST EXPENSE 91798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91798,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91798,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91798,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91798,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91798,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91798,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91798,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91798,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91798,B100000,00000,0800,00000MEALS SERVED :DIETARY 91798,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91798,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91798,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91798,S000000,00100,0200,08/18/2000 91798,S200000,00100,0100,806 TILLMAN LANE 91798,S200000,00200,0100,GARDNERVILLE 91798,S200000,00200,0200,NV 91798,S200000,00200,0300,89410- 91798,S200000,00300,0100,DOUGLAS 91798,S200000,00300,0200,0029 91798,S200000,00300,0300,R 91798,S200000,00400,0100,COTTONWOOD CARE CENTER 91798,S200000,00400,0200,295039 91798,S200000,00400,0300,03/01/1988 91798,S200000,00400,0500,P 91798,S200000,01500,0100,Y 91798,S200000,03100,0100,Y 91806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91806,A000000,00300,0000,00300EMPLOYEE BENEFITS 91806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91806,A000000,00700,0000,00700HOUSEKEEPING 91806,A000000,00800,0000,00800DIETARY 91806,A000000,00900,0000,00900NURSING ADMINISTRATION 91806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91806,A000000,01600,0000,01600SKILLED NURSING FACILITY 91806,A000000,01800,0000,01800NURSING FACILITY 91806,A000000,02100,0000,02100RADIOLOGY 91806,A000000,02200,0000,02200LABORATORY 91806,A000000,02300,0000,02300INTRAVENOUS THERAPY 91806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91806,A000000,02500,0000,02500PHYSICAL THERAPY 91806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91806,A000000,02700,0000,02700SPEECH PATHOLOGY 91806,A000000,02800,0000,02800ELECTROCARDIOLOGY 91806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91806,A81000A,00100,0100,Y 91806,A81000B,00100,0300,HOME OFFICE EXPENSE 91806,A81000C,00100,0100,A 91806,A81000C,00100,0200,EMMANUEL BERNAB 91806,A81000C,00100,0400,PLEASANT CARE C 91806,A81000C,00100,0600,HEALTH CARE PRO 91806,A81000C,00200,0100,A 91806,A81000C,00200,0200,EMMANUEL BERNAB 91806,A81000C,00200,0400,PCC HEALTH SVCS 91806,A81000C,00200,0600,HEALTH CARE PRO 91806,A81000C,00300,0100,A 91806,A81000C,00300,0200,EMMANUEL BERNAB 91806,A81000C,00300,0400,EMBER CARE CORP 91806,A81000C,00300,0600,HEALTH CARE PRO 91806,A81000C,00400,0100,A 91806,A81000C,00400,0200,EMMANUEL BERNAB 91806,A81000C,00400,0400,ATLAS CARE CORP 91806,A81000C,00400,0600,HEALTH CARE PRO 91806,A81000C,00500,0100,A 91806,A81000C,00500,0200,EMMANUEL BERNAB 91806,A81000C,00500,0400,SNF PROPERTIES 91806,A81000C,00500,0600,HEALTH CARE PRO 91806,A81000C,00600,0100,A 91806,A81000C,00600,0200,EMMANUEL BERNAB 91806,A81000C,00600,0400,STOCKTON EDISON 91806,A81000C,00600,0600,HEALTH CARE PRO 91806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91806,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91806,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91806,B100000,00000,0800,00000MEALS SERVED :DIETARY 91806,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 91806,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 91806,E10A180,00301,0100,02/03/2000 91806,S000000,00100,0200,02/06/2001 91806,S200000,00100,0100,2035 W. CHARLESTON BL 91806,S200000,00200,0100,LAS VEGAS 91806,S200000,00200,0200,NV 91806,S200000,00200,0300,89102- 91806,S200000,00300,0100,CLARK 91806,S200000,00300,0200,4120 91806,S200000,00300,0300,U 91806,S200000,00400,0100,EMMANUEL HEALTH CARE - CHARLESTON 91806,S200000,00400,0200,295040 91806,S200000,00400,0300,06/01/1992 91806,S200000,00400,0500,P 91806,S200000,00600,0200,295040 91806,S200000,00600,0300,06/01/1992 91806,S200000,00600,0600,P 91806,S200000,01600,0100,Y 91806,S200000,04300,0100,Y 91814,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91814,A000000,00300,0000,00300EMPLOYEE BENEFITS 91814,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91814,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91814,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91814,A000000,00700,0000,00700HOUSEKEEPING 91814,A000000,00800,0000,00800DIETARY 91814,A000000,00900,0000,00900NURSING ADMINISTRATION 91814,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91814,A000000,01300,0000,01300SOCIAL SERVICE 91814,A000000,01600,0000,01600SKILLED NURSING FACILITY 91814,A000000,01800,0000,01800NURSING FACILITY 91814,A000000,02100,0000,02100RADIOLOGY 91814,A000000,02200,0000,02200LABORATORY 91814,A000000,02500,0000,02500PHYSICAL THERAPY 91814,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91814,A000000,02700,0000,02700SPEECH PATHOLOGY 91814,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91814,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91814,A000000,05300,0000,05300INTEREST EXPENSE 91814,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91814,A81000A,00100,0100,Y 91814,A81000B,00100,0300,HOME OFFICE-CAP 91814,A81000B,00200,0300,HOME OFFICE-A&G 91814,A81000C,00100,0100,B 91814,A81000C,00100,0400,DELMAR GARDENS 91814,A81000C,00100,0600,HOME OFFICE 91814,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91814,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91814,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91814,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91814,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91814,B100000,00000,0800,00000MEALS SERVED :DIETARY 91814,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 91814,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 91814,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91814,S000000,00100,0200,08/30/2000 91814,S200000,00100,0100,100 DELMAR GARDENS DRIVE 91814,S200000,00200,0100,HENDERSON 91814,S200000,00200,0200,NV 91814,S200000,00200,0300,89014-3216 91814,S200000,00300,0100,CLARK 91814,S200000,00300,0200,4120 91814,S200000,00300,0300,U 91814,S200000,00400,0100,DELMAR GARDENS OF GREEN VALLEY INC. 91814,S200000,00400,0200,295041 91814,S200000,00400,0300,06/24/1988 91814,S200000,00400,0500,P 91814,S200000,01600,0100,Y 91814,S200000,02200,0100,Y 91823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91823,A000000,00300,0000,00300EMPLOYEE BENEFITS 91823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91823,A000000,00700,0000,00700HOUSEKEEPING 91823,A000000,00800,0000,00800DIETARY 91823,A000000,00900,0000,00900NURSING ADMINISTRATION 91823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91823,A000000,01100,0000,01100PHARMACY 91823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91823,A000000,01300,0000,01300SOCIAL SERVICE 91823,A000000,01600,0000,01600SKILLED NURSING FACILITY 91823,A000000,01800,0000,01800NURSING FACILITY 91823,A000000,01900,0000,01900OTHER LONG TERM CARE 91823,A000000,02100,0000,02100RADIOLOGY 91823,A000000,02200,0000,02200LABORATORY 91823,A000000,02300,0000,02300INTRAVENOUS THERAPY 91823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91823,A000000,02500,0000,02500PHYSICAL THERAPY 91823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91823,A000000,02700,0000,02700SPEECH PATHOLOGY 91823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91823,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 91823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91823,A81000A,00100,0100,Y 91823,A81000B,00100,0300,HOME OFFICE ALLOC 91823,A81000B,00200,0300,HOME OFFICE ALLOC 91823,A81000B,00300,0300,PHARMACY 91823,A81000B,00400,0300,PHYSICAL THERAPY 91823,A81000B,00500,0300,OCCUPATIONAL THERAPY 91823,A81000B,00600,0300,SPEECH THERAPY 91823,A81000C,00100,0100,B 91823,A81000C,00100,0200,COVENANT CARE INC 91823,A81000C,00100,0400,COVENANT CARE INC. 91823,A81000C,00100,0600,HEALTH CARE 91823,A81000C,00200,0100,B 91823,A81000C,00200,0200,PHARMACY 91823,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 91823,A81000C,00200,0600,PHARMACY - HEALTH CARE 91823,A81000C,00300,0100,B 91823,A81000C,00300,0200,THERAPY 91823,A81000C,00300,0400,SELECT THEREAPY 91823,A81000C,00300,0600,THERAPY SERVICES 91823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91823,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91823,B100000,00000,0800,00000MEALS SERVED :DIETARY 91823,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 91823,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 91823,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 91823,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91823,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91823,S000000,00100,0200,06/28/1999 91823,S200000,00100,0100,3450 N. BUFFALO DRIVE 91823,S200000,00200,0100,LAS VEGAS 91823,S200000,00200,0200,CA 91823,S200000,00200,0300,89129- 91823,S200000,00300,0100,CLARK 91823,S200000,00400,0100,SILVER HILLS HEALTHCARE CENTER 91823,S200000,00400,0200,295066 91823,S200000,00400,0300,10/01/1998 91823,S200000,00400,0500,P 91823,S200000,00600,0200,295066 91823,S200000,00600,0300,10/01/1998 91823,S200000,01500,0100,Y 91825,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91825,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91825,A000000,00300,0000,00300EMPLOYEE BENEFITS 91825,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91825,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91825,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91825,A000000,00700,0000,00700HOUSEKEEPING 91825,A000000,00800,0000,00800DIETARY 91825,A000000,00900,0000,00900NURSING ADMINISTRATION 91825,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91825,A000000,01300,0000,01300SOCIAL SERVICE 91825,A000000,01600,0000,01600SKILLED NURSING FACILITY 91825,A000000,01800,0000,01800NURSING FACILITY 91825,A000000,02100,0000,02100RADIOLOGY 91825,A000000,02200,0000,02200LABORATORY 91825,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91825,A000000,02500,0000,02500PHYSICAL THERAPY 91825,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91825,A000000,02700,0000,02700SPEECH PATHOLOGY 91825,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91825,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91825,A000000,04800,0000,04800AMBULANCE 91825,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91825,A000000,05300,0000,05300INTEREST EXPENSE 91825,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91825,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91825,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91825,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91825,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91825,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91825,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91825,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91825,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91825,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91825,B100000,00000,0800,00000MEALS SERVED :DIETARY 91825,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91825,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91825,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91825,S000000,00100,0200,06/15/2000 91825,S200000,00100,0100,3050 N. ORMSBY 91825,S200000,00200,0100,CARSON CITY 91825,S200000,00200,0200,NV 91825,S200000,00200,0300,89703- 91825,S200000,00300,0100,CARSON 91825,S200000,00300,0200,0029 91825,S200000,00300,0300,R 91825,S200000,00400,0100,CARSON HEALTHCARE CENTER INC. 91825,S200000,00400,0200,295067 91825,S200000,00400,0300,01/01/1999 91825,S200000,00400,0500,P 91825,S200000,01600,0100,Y 91825,S200000,03300,0100,Y 91825,S200000,03300,0200,Y 91825,S200000,04300,0100,Y 91825,S200000,04700,0100,Y 91825,S200000,04700,0200,Y 91828,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91828,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91828,A000000,00300,0000,00300EMPLOYEE BENEFITS 91828,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91828,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91828,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91828,A000000,00700,0000,00700HOUSEKEEPING 91828,A000000,00800,0000,00800DIETARY 91828,A000000,00900,0000,00900NURSING ADMINISTRATION 91828,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91828,A000000,01100,0000,01100PHARMACY 91828,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91828,A000000,01300,0000,01300SOCIAL SERVICE 91828,A000000,01600,0000,01600SKILLED NURSING FACILITY 91828,A000000,01810,0000,01810ICF/MR 91828,A000000,02100,0000,02100RADIOLOGY 91828,A000000,02200,0000,02200LABORATORY 91828,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91828,A000000,02500,0000,02500PHYSICAL THERAPY 91828,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91828,A000000,02700,0000,02700SPEECH PATHOLOGY 91828,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91828,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91828,A000000,03550,0000,03550FQHC 91828,A000000,05000,0000,05000CORF 91828,A000000,05010,0000,05010CMHC 91828,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91828,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91828,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91828,A81000A,00100,0100,Y 91828,A81000B,00100,0300,H. O. DEPR. 91828,A81000B,00200,0300,H. O. DEPR 91828,A81000B,00300,0300,H. O. A/G 91828,A81000B,00400,0300,H. O. A/G ( WMC ) 91828,A81000B,00500,0300,H. O. DEPR. ( WMC ) 91828,A81000B,00600,0300,H. O. A/G ( WMC ) 91828,A81000B,00700,0300,HHP FEES 91828,A81000B,00800,0300,EMPLOYEE BENEFITS 91828,A81000B,00900,0300,X-RAY 91828,A81000B,01000,0300,DRUGS 91828,A81000B,01100,0300,MEDICAL RECORDS 91828,A81000B,01200,0300,INTEREST 91828,A81000C,00100,0100,A 91828,A81000C,00100,0200,WASHOE VILLAGE 91828,A81000C,00100,0400,WASHOE HEALTH S 91828,A81000C,00100,0600,HEALTH SYSTEM 91828,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91828,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91828,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91828,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91828,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91828,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91828,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 91828,B100000,00000,0800,00040MEALS SERVED :DIETARY 91828,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 91828,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91828,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91828,B100000,00000,1250,00040REVENUE :MEDICAL RECORDS & LIBRAR 91828,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 91828,S000000,00100,0200,02/08/2000 91828,S200000,00100,0100,77 PRINGLE WAY 91828,S200000,00200,0100,RENO 91828,S200000,00200,0200,NV 91828,S200000,00200,0300,89502-1474 91828,S200000,00300,0100,WASHOE 91828,S200000,00400,0100,WASHOE VILLAGE CARE CENTER-SNF 91828,S200000,00400,0200,295069 91828,S200000,00400,0300,04/26/1999 91828,S200000,00400,0500,P 91828,S200000,01004,0500,O 91828,S200000,01500,0100,Y 91828,S200000,01900,0100,PRIVATE 91828,S200000,02200,0100,Y 91828,S200000,04100,0100,Y 91828,S200000,04200,0100,Y 91828,S200000,04300,0100,Y 91828,S700003,00000,0400,4 91830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91830,A000000,00300,0000,00300EMPLOYEE BENEFITS 91830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91830,A000000,00700,0000,00700HOUSEKEEPING 91830,A000000,00800,0000,00800DIETARY 91830,A000000,00900,0000,00900NURSING ADMINISTRATION 91830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91830,A000000,01100,0000,01100PHARMACY 91830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91830,A000000,01300,0000,01300SOCIAL SERVICE 91830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91830,A000000,01600,0000,01600SKILLED NURSING FACILITY 91830,A000000,01810,0000,01810ICF/MR 91830,A000000,02100,0000,02100RADIOLOGY 91830,A000000,02200,0000,02200LABORATORY 91830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91830,A000000,02500,0000,02500PHYSICAL THERAPY 91830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91830,A000000,02700,0000,02700SPEECH PATHOLOGY 91830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91830,A000000,03550,0000,03550FQHC 91830,A000000,05000,0000,05000CORF 91830,A000000,05010,0000,05010CMHC 91830,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91830,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91830,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91830,A81000A,00100,0100,Y 91830,A81000B,00100,0300,DEPR/INTEREST 91830,A81000B,00200,0300,ADMIN COSTS 91830,A81000C,00100,0100,A 91830,A81000C,00100,0200,WASHOE HEALTH S 91830,A81000C,00100,0400,WASHOE HEALTH S 91830,A81000C,00100,0600,CORPORATE OFFIC 91830,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91830,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91830,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91830,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 91830,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 91830,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 91830,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 91830,B100000,00000,0800,00040MEALS SERVED :DIETARY 91830,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 91830,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 91830,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 91830,B100000,00000,1200,00040TIME SPENT :MEDICAL RECORDS & LIBR 91830,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 91830,S000000,00100,0200,12/01/2000 91830,S200000,00100,0100,77 PRINGLE WAY 91830,S200000,00200,0100,RENO 91830,S200000,00200,0200,NV 91830,S200000,00200,0300,89502- 91830,S200000,00300,0200,6720 91830,S200000,00300,0300,U 91830,S200000,00400,0100,WASHOE VILLAGE CARE CENTER - SNF 91830,S200000,00400,0200,295069 91830,S200000,00400,0300,04/26/1999 91830,S200000,00400,0500,P 91830,S200000,01004,0500,O 91830,S200000,01500,0100,Y 91830,S200000,01900,0100,PRIVATE 91830,S200000,04100,0100,Y 91830,S200000,04200,0100,Y 91830,S200000,04300,0100,Y 91833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91833,A000000,00300,0000,00300EMPLOYEE BENEFITS 91833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91833,A000000,00700,0000,00700HOUSEKEEPING 91833,A000000,00800,0000,00800DIETARY 91833,A000000,00900,0000,00900NURSING ADMINISTRATION 91833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91833,A000000,01100,0000,01100PHARMACY 91833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91833,A000000,01300,0000,01300SOCIAL SERVICE 91833,A000000,01301,0000,01301LEISURE TIME ACTIVITIES 91833,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91833,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91833,A000000,01600,0000,01600SKILLED NURSING FACILITY 91833,A000000,02100,0000,02100RADIOLOGY 91833,A000000,02200,0000,02200LABORATORY 91833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91833,A000000,02500,0000,02500PHYSICAL THERAPY 91833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91833,A000000,02700,0000,02700SPEECH PATHOLOGY 91833,A000000,02800,0000,02800ELECTROCARDIOLOGY 91833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91833,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91833,A000000,04800,0000,04800AMBULANCE 91833,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91833,A000000,05300,0000,05300INTEREST EXPENSE 91833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91833,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91833,A000000,06100,0000,06100NONPAID WORKERS 91833,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91833,A000000,06200,0000,06200PATIENTS LAUNDRY 91833,A81000A,00100,0100,Y 91833,A81000B,00100,0300,RENT 91833,A81000B,00200,0300,DEPRECIATION 91833,A81000B,00300,0300,INSURANCE 91833,A81000B,00400,0300,INRTEREST 91833,A81000B,00500,0300,LANDSCAPING 91833,A81000B,00600,0300,MAINTENANCE 91833,A81000B,00700,0300,RENT 91833,A81000B,00800,0300,REPAIRS 91833,A81000B,00900,0300,SECURITY 91833,A81000B,01000,0300,UTILITIES 91833,A81000C,00100,0100,A 91833,A81000C,00100,0200,SNFOPER LLC 91833,A81000C,00100,0400,SNFBO LLC 91833,A81000C,00100,0600,REAL ESTATE 91833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91833,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91833,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91833,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91833,B100000,00000,0800,00000MEALS SERVED :DIETARY 91833,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91833,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91833,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91833,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91833,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91833,B100000,00000,1331,00000PARTICIPAN :LEISURE TIME ACTIVITI 91833,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 91833,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 91833,S000000,00100,0200,06/21/2000 91833,S200000,00100,0100,6021 WEST CHEYENNE AVE 91833,S200000,00200,0100,LAS VEGAS 91833,S200000,00200,0200,NV 91833,S200000,00200,0300,89108- 91833,S200000,00300,0100,CLARKE 91833,S200000,00400,0100,PLAZA REGENCY AT SUN MOUNTAIN 91833,S200000,00400,0200,295070 91833,S200000,00400,0300,05/17/1999 91833,S200000,00400,0500,P 91833,S200000,01500,0100,Y 91833,S700003,00000,0400,4 91837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91837,A000000,00300,0000,00300EMPLOYEE BENEFITS 91837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91837,A000000,00700,0000,00700HOUSEKEEPING 91837,A000000,00800,0000,00800DIETARY 91837,A000000,00900,0000,00900NURSING ADMINISTRATION 91837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91837,A000000,01100,0000,01100PHARMACY 91837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91837,A000000,01300,0000,01300SOCIAL SERVICE 91837,A000000,01600,0000,01600SKILLED NURSING FACILITY 91837,A000000,01800,0000,01800NURSING FACILITY 91837,A000000,01900,0000,01900OTHER LONG TERM CARE 91837,A000000,02100,0000,02100RADIOLOGY 91837,A000000,02200,0000,02200LABORATORY 91837,A000000,02300,0000,02300INTRAVENOUS THERAPY 91837,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91837,A000000,02500,0000,02500PHYSICAL THERAPY 91837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91837,A000000,02700,0000,02700SPEECH PATHOLOGY 91837,A000000,02800,0000,02800ELECTROCARDIOLOGY 91837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91837,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91837,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91837,A000000,03200,0000,03200SUPPORT SURFACES 91837,A000000,04800,0000,04800AMBULANCE 91837,A000000,05000,0000,05000CORF 91837,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91837,A000000,05300,0000,05300INTEREST EXPENSE 91837,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91837,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91837,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91837,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91837,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91837,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91837,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91837,B100000,00000,0800,00000MEALS SERVED :DIETARY 91837,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 91837,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91837,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 91837,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91837,S000000,00100,0200,05/25/2000 91837,S200000,00100,0100,1500 WEST WARM SPRINGS 91837,S200000,00200,0100,HENDERSON 91837,S200000,00200,0200,NV 91837,S200000,00200,0300,89014- 91837,S200000,00300,0100,LAS VEGAS 91837,S200000,00300,0200,4120 91837,S200000,00300,0300,U 91837,S200000,00400,0100,TLC CARE CENTER 91837,S200000,00400,0200,295071 91837,S200000,00400,0300,07/27/1999 91837,S200000,00400,0500,P 91837,S200000,01004,0500,O 91837,S200000,01500,0100,Y 91876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91876,A000000,00300,0000,00300EMPLOYEE BENEFITS 91876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91876,A000000,00700,0000,00700HOUSEKEEPING 91876,A000000,00800,0000,00800DIETARY 91876,A000000,00900,0000,00900NURSING ADMINISTRATION 91876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91876,A000000,01100,0000,01100PHARMACY 91876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91876,A000000,01300,0000,01300SOCIAL SERVICE 91876,A000000,01350,0000,01500PATIENT ACTIVITIES 91876,A000000,01600,0000,01600SKILLED NURSING FACILITY 91876,A000000,01800,0000,01800NURSING FACILITY 91876,A000000,01900,0000,01900OTHER LONG TERM CARE 91876,A000000,02100,0000,02100RADIOLOGY 91876,A000000,02200,0000,02200LABORATORY 91876,A000000,02300,0000,02300INTRAVENOUS THERAPY 91876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91876,A000000,02500,0000,02500PHYSICAL THERAPY 91876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91876,A000000,02700,0000,02700SPEECH PATHOLOGY 91876,A000000,02800,0000,02800ELECTROCARDIOLOGY 91876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91876,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91876,A000000,03200,0000,03200SUPPORT SURFACES 91876,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91876,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91876,A000000,04800,0000,04800AMBULANCE 91876,A000000,05300,0000,05300INTEREST EXPENSE 91876,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91876,A000000,05500,0000,05500HOSPICE 91876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91876,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91876,A000000,06100,0000,06100NONPAID WORKERS 91876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91876,A000000,06200,0000,06200PATIENTS LAUNDRY 91876,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91876,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91876,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91876,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91876,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91876,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91876,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91876,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91876,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91876,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91876,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91876,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91876,E10A180,00301,0100,09/15/1999 91876,S000000,00100,0200,06/01/2000 91876,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 91876,S200000,00200,0100,HACKENSACK 91876,S200000,00200,0200,NJ 91876,S200000,00200,0300,07601- 91876,S200000,00300,0100,OCEAN 91876,S200000,00300,0200,5190 91876,S200000,00300,0300,U 91876,S200000,00400,0100,VICTORIAN GARDENS HHC 91876,S200000,00400,0200,315011 91876,S200000,00400,0300,01/01/1967 91876,S200000,00400,0500,P 91876,S200000,01500,0100,Y 91885,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91885,A000000,00300,0000,00300EMPLOYEE BENEFITS 91885,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91885,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91885,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91885,A000000,00700,0000,00700HOUSEKEEPING 91885,A000000,00800,0000,00800DIETARY 91885,A000000,00900,0000,00900NURSING ADMINISTRATION 91885,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91885,A000000,01100,0000,01100PHARMACY 91885,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91885,A000000,01300,0000,01300SOCIAL SERVICE 91885,A000000,01350,0000,01500PATIENT ACTIVITIES 91885,A000000,01600,0000,01600SKILLED NURSING FACILITY 91885,A000000,01800,0000,01800NURSING FACILITY 91885,A000000,01900,0000,01900OTHER LONG TERM CARE 91885,A000000,02100,0000,02100RADIOLOGY 91885,A000000,02200,0000,02200LABORATORY 91885,A000000,02300,0000,02300INTRAVENOUS THERAPY 91885,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91885,A000000,02500,0000,02500PHYSICAL THERAPY 91885,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91885,A000000,02700,0000,02700SPEECH PATHOLOGY 91885,A000000,02800,0000,02800ELECTROCARDIOLOGY 91885,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91885,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91885,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91885,A000000,03200,0000,03200SUPPORT SURFACES 91885,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91885,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91885,A000000,04800,0000,04800AMBULANCE 91885,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91885,A000000,05300,0000,05300INTEREST EXPENSE 91885,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91885,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91885,A000000,05500,0000,05500HOSPICE 91885,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91885,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91885,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91885,A000000,06100,0000,06100NONPAID WORKERS 91885,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91885,A000000,06200,0000,06200PATIENTS LAUNDRY 91885,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91885,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91885,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91885,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91885,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 91885,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91885,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91885,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91885,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91885,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91885,E10A180,00301,0100,08/16/1999 91885,S000000,00100,0200,06/01/2000 91885,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 91885,S200000,00200,0100,HACKENSACK 91885,S200000,00200,0200,NJ 91885,S200000,00200,0300,07666- 91885,S200000,00300,0100,BERGEN 91885,S200000,00300,0200,0875 91885,S200000,00300,0300,U 91885,S200000,00400,0100,TEANECK NURSING CENTER 91885,S200000,00400,0200,315037 91885,S200000,00400,0300,07/23/1968 91885,S200000,00400,0500,P 91885,S200000,01500,0100,Y 91893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91893,A000000,00300,0000,00300EMPLOYEE BENEFITS 91893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91893,A000000,00700,0000,00700HOUSEKEEPING 91893,A000000,00800,0000,00800DIETARY 91893,A000000,00900,0000,00900NURSING ADMINISTRATION 91893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91893,A000000,01100,0000,01100PHARMACY 91893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91893,A000000,01300,0000,01300SOCIAL SERVICE 91893,A000000,01350,0000,01500ACTIVITIES 91893,A000000,01600,0000,01600SKILLED NURSING FACILITY 91893,A000000,01800,0000,01800NURSING FACILITY 91893,A000000,01900,0000,01900OTHER LONG TERM CARE 91893,A000000,02100,0000,02100RADIOLOGY 91893,A000000,02200,0000,02200LABORATORY 91893,A000000,02500,0000,02500PHYSICAL THERAPY 91893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91893,A000000,02700,0000,02700SPEECH PATHOLOGY 91893,A000000,02800,0000,02800ELECTROCARDIOLOGY 91893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91893,A000000,03200,0000,03200SUPPORT SURFACES 91893,A000000,04800,0000,04800AMBULANCE 91893,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91893,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91893,A81000A,00100,0100,Y 91893,A81000B,00100,0300,RENT PAID 91893,A81000B,00200,0300,REAL ESTATE TAX 91893,A81000B,00300,0300,BUILDING DEPRECIATION 91893,A81000B,00400,0300,MEDICAL DIRECTOR 91893,A81000B,00500,0300,BOOKKEEPING SERVICES 91893,A81000C,00100,0100,A 91893,A81000C,00100,0200,LINCOLN PARK #1 91893,A81000C,00100,0400,LINCOLN PARK NH 91893,A81000C,00100,0600,RELATED PARTY L 91893,A81000C,00200,0100,D 91893,A81000C,00200,0200,LINCOLN PARK #1 91893,A81000C,00200,0400,H KIPIANI MD 91893,A81000C,00200,0600,MEDICAL DIRECTO 91893,A81000C,00300,0100,D 91893,A81000C,00300,0200,LINCOLN PARK #1 91893,A81000C,00300,0400,ALP MANAGEMENT 91893,A81000C,00300,0600,BOOKKEEPING SER 91893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91893,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91893,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91893,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91893,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91893,B100000,00000,0800,00000MEALS SERVED :DIETARY 91893,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 91893,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91893,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91893,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91893,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91893,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91893,E10A180,00301,0100,08/20/1999 91893,S000000,00100,0200,06/01/2000 91893,S200000,00100,0100,521 PINEBROOK ROAD 91893,S200000,00200,0100,LINCOLN PARK 91893,S200000,00200,0200,NJ 91893,S200000,00200,0300,07035- 91893,S200000,00300,0100,MORRIS 91893,S200000,00300,0200,5640 91893,S200000,00300,0300,U 91893,S200000,00400,0100,LINCOLN PARK SUBACUTE & REHAB CTR #1 91893,S200000,00400,0200,315042 91893,S200000,00400,0300,01/01/1970 91893,S200000,00400,0500,P 91893,S200000,01600,0100,Y 91893,S200000,04700,0100,Y 91893,S200000,04700,0200,Y 91901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91901,A000000,00300,0000,00300EMPLOYEE BENEFITS 91901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91901,A000000,00700,0000,00700HOUSEKEEPING 91901,A000000,00800,0000,00800DIETARY 91901,A000000,00900,0000,00900NURSING ADMINISTRATION 91901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91901,A000000,01100,0000,01100PHARMACY 91901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91901,A000000,01300,0000,01300SOCIAL SERVICE 91901,A000000,01350,0000,01500ACTIVITIES 91901,A000000,01600,0000,01600SKILLED NURSING FACILITY 91901,A000000,01800,0000,01800NURSING FACILITY 91901,A000000,01900,0000,01900OTHER LONG TERM CARE 91901,A000000,02100,0000,02100RADIOLOGY 91901,A000000,02200,0000,02200LABORATORY 91901,A000000,02500,0000,02500PHYSICAL THERAPY 91901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91901,A000000,02700,0000,02700SPEECH PATHOLOGY 91901,A000000,02800,0000,02800ELECTROCARDIOLOGY 91901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91901,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91901,A000000,03200,0000,03200SUPPORT SURFACES 91901,A000000,04800,0000,04800AMBULANCE 91901,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91901,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91901,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91901,A81000A,00100,0100,Y 91901,A81000B,00100,0300,RENTAL INCOME 91901,A81000B,00200,0300,DEPRECIATION - BUILDING 91901,A81000B,00300,0300,REAL ESTATE TAXES 91901,A81000B,00400,0300,MEDICAL DIRECTOR 91901,A81000B,00500,0300,BOOKKEEPING SERVICES 91901,A81000C,00100,0100,A 91901,A81000C,00100,0200,ANDOVER #1 91901,A81000C,00100,0400,ANDOVER NH INC 91901,A81000C,00100,0600,REALTY LESSOR 91901,A81000C,00200,0100,D 91901,A81000C,00200,0200,ANDOVER #1 91901,A81000C,00200,0400,H KIPIANI MD 91901,A81000C,00200,0600,MEDICAL DIRECTO 91901,A81000C,00300,0100,D 91901,A81000C,00300,0200,ANDOVER #1 91901,A81000C,00300,0400,ALP MANAGEMENT 91901,A81000C,00300,0600,ACCOUNTING & BO 91901,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91901,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91901,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91901,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91901,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91901,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 91901,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 91901,B100000,00000,0800,00000MEALS SERVED :DIETARY 91901,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 91901,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91901,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91901,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91901,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91901,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91901,S000000,00100,0200,05/31/2000 91901,S200000,00100,0100,MULFORD ROAD 91901,S200000,00200,0100,ANDOVER 91901,S200000,00200,0200,NJ 91901,S200000,00200,0300,07821- 91901,S200000,00300,0100,SUSSEX 91901,S200000,00300,0200,5640 91901,S200000,00300,0300,U 91901,S200000,00400,0100,ANDOVER SUBACUTE & REHAB #1 91901,S200000,00400,0200,315044 91901,S200000,00400,0300,01/01/1970 91901,S200000,00400,0500,P 91901,S200000,01600,0100,Y 91901,S200000,04700,0100,Y 91901,S200000,04700,0200,Y 91906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91906,A000000,00300,0000,00300EMPLOYEE BENEFITS 91906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91906,A000000,00700,0000,00700HOUSEKEEPING 91906,A000000,00800,0000,00800DIETARY 91906,A000000,00900,0000,00900NURSING ADMINISTRATION 91906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91906,A000000,01100,0000,01100PHARMACY 91906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91906,A000000,01300,0000,01300SOCIAL SERVICE 91906,A000000,01350,0000,01500ACTIVITIES 91906,A000000,01600,0000,01600SKILLED NURSING FACILITY 91906,A000000,01800,0000,01800NURSING FACILITY 91906,A000000,01900,0000,01900OTHER LONG TERM CARE 91906,A000000,02100,0000,02100RADIOLOGY 91906,A000000,02200,0000,02200LABORATORY 91906,A000000,02300,0000,02300INTRAVENOUS THERAPY 91906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91906,A000000,02500,0000,02500PHYSICAL THERAPY 91906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91906,A000000,02700,0000,02700SPEECH PATHOLOGY 91906,A000000,02800,0000,02800ELECTROCARDIOLOGY 91906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91906,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91906,A000000,03200,0000,03200SUPPORT SURFACES 91906,A000000,03400,0000,03400CLINIC 91906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91906,A000000,04800,0000,04800AMBULANCE 91906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91906,A000000,05300,0000,05300INTEREST EXPENSE 91906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91906,A000000,05500,0000,05500HOSPICE 91906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91906,A000000,06100,0000,06100NONPAID WORKERS 91906,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91906,A000000,06200,0000,06200PATIENTS LAUNDRY 91906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91906,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91906,B100000,00000,0800,00000MEALS SERVED :DIETARY 91906,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91906,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 91906,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 91906,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 91906,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91906,S000000,00100,0200,06/07/2001 91906,S200000,00100,0100,51 MADISON AVENUE 91906,S200000,00200,0100,MADISON 91906,S200000,00200,0200,NJ 91906,S200000,00200,0300,07940- 91906,S200000,00300,0100,MORRIS 91906,S200000,00300,0200,5640 91906,S200000,00300,0300,U 91906,S200000,00400,0100,PINE ACRES CONVALESCENT CENTER 91906,S200000,00400,0200,315053 91906,S200000,00400,0300,01/01/1967 91906,S200000,00400,0500,P 91906,S200000,01500,0100,Y 91915,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91915,A000000,00300,0000,00300EMPLOYEE BENEFITS 91915,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91915,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91915,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91915,A000000,00700,0000,00700HOUSEKEEPING 91915,A000000,00800,0000,00800DIETARY 91915,A000000,00900,0000,00900NURSING ADMINISTRATION 91915,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91915,A000000,01100,0000,01100PHARMACY 91915,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91915,A000000,01300,0000,01300SOCIAL SERVICE 91915,A000000,01350,0000,01500PATIENT ACTIVITIES 91915,A000000,01600,0000,01600SKILLED NURSING FACILITY 91915,A000000,01800,0000,01800NURSING FACILITY 91915,A000000,01900,0000,01900OTHER LONG TERM CARE 91915,A000000,02100,0000,02100RADIOLOGY 91915,A000000,02200,0000,02200LABORATORY 91915,A000000,02300,0000,02300INTRAVENOUS THERAPY 91915,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91915,A000000,02500,0000,02500PHYSICAL THERAPY 91915,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91915,A000000,02700,0000,02700SPEECH PATHOLOGY 91915,A000000,02800,0000,02800ELECTROCARDIOLOGY 91915,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91915,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91915,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91915,A000000,03200,0000,03200SUPPORT SURFACES 91915,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91915,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91915,A000000,04800,0000,04800AMBULANCE 91915,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91915,A000000,05300,0000,05300INTEREST EXPENSE 91915,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91915,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91915,A000000,05500,0000,05500HOSPICE 91915,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91915,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91915,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91915,A000000,06100,0000,06100NONPAID WORKERS 91915,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91915,A000000,06200,0000,06200PATIENTS LAUNDRY 91915,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91915,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91915,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91915,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91915,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 91915,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91915,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91915,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91915,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91915,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91915,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91915,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91915,E10A180,00301,0100,08/18/1999 91915,S000000,00100,0200,06/01/2000 91915,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 91915,S200000,00200,0100,HACKENSACK 91915,S200000,00200,0200,NJ 91915,S200000,00200,0300,07601- 91915,S200000,00300,0100,BURLINGTON 91915,S200000,00300,0200,8760 91915,S200000,00300,0300,U 91915,S200000,00400,0100,RENAISSANCE NURSING CENTER 91915,S200000,00400,0200,315061 91915,S200000,00400,0300,07/01/1966 91915,S200000,00400,0500,P 91915,S200000,01500,0100,Y 91918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91918,A000000,00300,0000,00300EMPLOYEE BENEFITS 91918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91918,A000000,00700,0000,00700HOUSEKEEPING 91918,A000000,00800,0000,00800DIETARY 91918,A000000,00900,0000,00900NURSING ADMINISTRATION 91918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91918,A000000,01100,0000,01100PHARMACY 91918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91918,A000000,01300,0000,01300SOCIAL SERVICE 91918,A000000,01350,0000,01500ACTIVITIES 91918,A000000,01600,0000,01600SKILLED NURSING FACILITY 91918,A000000,01800,0000,01800NURSING FACILITY 91918,A000000,01900,0000,01900OTHER LONG TERM CARE 91918,A000000,02100,0000,02100RADIOLOGY 91918,A000000,02200,0000,02200LABORATORY 91918,A000000,02500,0000,02500PHYSICAL THERAPY 91918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91918,A000000,02700,0000,02700SPEECH PATHOLOGY 91918,A000000,02800,0000,02800ELECTROCARDIOLOGY 91918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91918,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91918,A000000,03200,0000,03200SUPPORT SURFACES 91918,A000000,04800,0000,04800AMBULANCE 91918,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91918,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91918,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91918,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91918,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91918,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91918,B100000,00000,0800,00000MEALS SERVED :DIETARY 91918,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91918,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91918,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91918,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91918,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91918,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91918,E10A180,00301,0100,08/24/1999 91918,S000000,00100,0200,06/02/2000 91918,S200000,00100,0100,1506 GULLY ROAD 91918,S200000,00200,0100,WALL 91918,S200000,00200,0200,NJ 91918,S200000,00200,0300,07719- 91918,S200000,00300,0100,MONMOUTH 91918,S200000,00400,0100,TOWER LODGE CARE CENTER LLC 91918,S200000,00400,0200,315069 91918,S200000,00400,0300,01/01/1968 91918,S200000,00400,0500,P 91918,S200000,01600,0100,Y 91918,S200000,04700,0100,Y 91925,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91925,A000000,00300,0000,00300EMPLOYEE BENEFITS 91925,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91925,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91925,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91925,A000000,00700,0000,00700HOUSEKEEPING 91925,A000000,00800,0000,00800DIETARY 91925,A000000,01300,0000,01300SOCIAL SERVICE 91925,A000000,01350,0000,01500PATIENT ACTIVITIES 91925,A000000,01600,0000,01600SKILLED NURSING FACILITY 91925,A000000,02100,0000,02100RADIOLOGY 91925,A000000,02200,0000,02200LABORATORY 91925,A000000,02300,0000,02300INTRAVENOUS THERAPY 91925,A000000,02500,0000,02500PHYSICAL THERAPY 91925,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91925,A000000,02700,0000,02700SPEECH PATHOLOGY 91925,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91925,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91925,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91925,A000000,06150,0000,06300UNREIMBURSEABLE COSTS 91925,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91925,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91925,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91925,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91925,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 91925,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 91925,B100000,00000,0800,00000MEALS SERVED :DIETARY 91925,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 91925,B100000,00000,1350,00000(PATIENT DAYS) :PATIENT ACTIVITIES 91925,S000000,00100,0200,11/28/2000 91925,S200000,00100,0100,SCHOOLEYS MOUNTAIN ROAD 91925,S200000,00200,0100,HACKETTSTOWN 91925,S200000,00200,0200,NJ 91925,S200000,00200,0300,07840- 91925,S200000,00300,0100,MORRIS 91925,S200000,00300,0200,5640 91925,S200000,00300,0300,U 91925,S200000,00400,0100,HEATH VILLAGE 91925,S200000,00400,0200,315072 91925,S200000,00400,0300,07/31/1967 91925,S200000,00400,0500,P 91925,S200000,01500,0100,Y 91925,S200000,04300,0100,Y 91928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91928,A000000,00300,0000,00300EMPLOYEE BENEFITS 91928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91928,A000000,00700,0000,00700HOUSEKEEPING 91928,A000000,00800,0000,00800DIETARY 91928,A000000,00900,0000,00900NURSING ADMINISTRATION 91928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91928,A000000,01100,0000,01100PHARMACY 91928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91928,A000000,01300,0000,01300SOCIAL SERVICE 91928,A000000,01600,0000,01600SKILLED NURSING FACILITY 91928,A000000,02500,0000,02500PHYSICAL THERAPY 91928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91928,A000000,02700,0000,02700SPEECH PATHOLOGY 91928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91928,A000000,03400,0000,03400CLINIC 91928,A000000,03550,0000,03550FQHC 91928,A000000,05000,0000,05000CORF 91928,A000000,05010,0000,05010CMHC 91928,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 91928,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 91928,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 91928,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 91928,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 91928,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 91928,B100000,00000,0400,00040 ACCUM. 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COST :ADMINISTRATIVE & GENE 91961,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91961,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91961,B100000,00000,0750,00000SQ. FT. EXC. KIT.:HOUSEKEEPING 91961,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91961,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91961,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91961,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91961,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91961,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91961,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91961,S000000,00100,0200,08/08/2000 91961,S200000,00100,0100,112 FRANKLIN CORNER ROAD 91961,S200000,00200,0100,LAWRENCEVILLE 91961,S200000,00200,0200,NJ 91961,S200000,00200,0300,08648- 91961,S200000,00300,0100,MERCER 91961,S200000,00400,0100,TANDEM OF LAWRENCEVILLE 91961,S200000,00400,0200,315113 91961,S200000,00400,0300,11/10/1980 91961,S200000,00400,0500,P 91961,S200000,01500,0100,Y 91970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91970,A000000,00300,0000,00300EMPLOYEE BENEFITS 91970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91970,A000000,00700,0000,00700HOUSEKEEPING 91970,A000000,00800,0000,00800DIETARY 91970,A000000,00900,0000,00900NURSING ADMINISTRATION 91970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91970,A000000,01100,0000,01100PHARMACY 91970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91970,A000000,01300,0000,01300SOCIAL SERVICE 91970,A000000,01350,0000,01500ACTIVITIES 91970,A000000,01600,0000,01600SKILLED NURSING FACILITY 91970,A000000,01800,0000,01800NURSING FACILITY 91970,A000000,01900,0000,01900OTHER LONG TERM CARE 91970,A000000,02100,0000,02100RADIOLOGY 91970,A000000,02200,0000,02200LABORATORY 91970,A000000,02300,0000,02300INTRAVENOUS THERAPY 91970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91970,A000000,02500,0000,02500PHYSICAL THERAPY 91970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91970,A000000,02700,0000,02700SPEECH PATHOLOGY 91970,A000000,02800,0000,02800ELECTROCARDIOLOGY 91970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91970,A000000,03200,0000,03200SUPPORT SURFACES 91970,A000000,04800,0000,04800AMBULANCE 91970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91970,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91970,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91970,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 91970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91970,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91970,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91970,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91970,B100000,00000,0800,00000MEALS SERVED :DIETARY 91970,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 91970,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91970,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91970,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 91970,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91970,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 91970,E10A180,00301,0100,07/21/1999 91970,S000000,00100,0200,05/31/2000 91970,S200000,00100,0100,285 RIVER AVENUE 91970,S200000,00200,0100,LAKEWOOD 91970,S200000,00200,0200,NJ 91970,S200000,00200,0300,08701- 91970,S200000,00300,0100,OCEAN 91970,S200000,00400,0100,ATLANTIC COAST REHAB & HLTH CARE CTR 91970,S200000,00400,0200,315115 91970,S200000,00400,0300,08/01/1994 91970,S200000,00400,0500,P 91970,S200000,01600,0100,Y 91970,S200000,04700,0100,Y 91970,S700003,00000,0100,1 91977,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91977,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 91977,A000000,00300,0000,00300EMPLOYEE BENEFITS 91977,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91977,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91977,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91977,A000000,00700,0000,00700HOUSEKEEPING 91977,A000000,00800,0000,00800DIETARY 91977,A000000,00900,0000,00900NURSING ADMINISTRATION 91977,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91977,A000000,01100,0000,01100PHARMACY 91977,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91977,A000000,01300,0000,01300SOCIAL SERVICE 91977,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 91977,A000000,01351,0000,01501RECREATIONAL THERAPY 91977,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 91977,A000000,01600,0000,01600SKILLED NURSING FACILITY 91977,A000000,01800,0000,01800NURSING FACILITY 91977,A000000,01900,0000,01900OTHER LONG TERM CARE 91977,A000000,02100,0000,02100RADIOLOGY 91977,A000000,02200,0000,02200LABORATORY 91977,A000000,02300,0000,02300INTRAVENOUS THERAPY 91977,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91977,A000000,02500,0000,02500PHYSICAL THERAPY 91977,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91977,A000000,02700,0000,02700SPEECH PATHOLOGY 91977,A000000,02800,0000,02800ELECTROCARDIOLOGY 91977,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91977,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91977,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 91977,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 91977,A000000,03200,0000,03200SUPPORT SURFACES 91977,A000000,03400,0000,03400CLINIC 91977,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 91977,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 91977,A000000,05000,0000,05000CORF 91977,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91977,A000000,05300,0000,05300INTEREST EXPENSE 91977,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91977,A000000,05500,0000,05500HOSPICE 91977,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91977,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91977,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91977,A000000,06100,0000,06100NONPAID WORKERS 91977,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 91977,A000000,06200,0000,06200PATIENTS LAUNDRY 91977,A81000A,00100,0100,Y 91977,A81000B,00100,0300,HOME OFFICE - ADMIN 91977,A81000B,00200,0300,HOME OFFICE - PROPERTY 91977,A81000B,00300,0300,PHYSICAL THERAPY 91977,A81000B,00400,0300,OCCUPATION THERAPY 91977,A81000B,00500,0300,SPEECH THERAPY 91977,A81000C,00100,0100,A 91977,A81000C,00100,0200,BARTON WEISMAN 91977,A81000C,00100,0400,HBA CORP 91977,A81000C,00100,0600,MANAGEMENT CO. 91977,A81000C,00200,0100,A 91977,A81000C,00200,0200,BARTON WEISMAN 91977,A81000C,00200,0400,HBA CORP 91977,A81000C,00200,0600,MANAGEMENT CO. 91977,A81000C,00300,0100,A 91977,A81000C,00300,0200,BARTON WEISMAN 91977,A81000C,00300,0400,FOCUS REHAB 91977,A81000C,00300,0600,THERAPY CO. 91977,A81000C,00400,0100,A 91977,A81000C,00400,0200,BARTON WEISMAN 91977,A81000C,00400,0400,FOCUS REHAB 91977,A81000C,00400,0600,THERAPY CO. 91977,A81000C,00500,0100,A 91977,A81000C,00500,0200,BARTON WEISMAN 91977,A81000C,00500,0400,FOCUS REHAB 91977,A81000C,00500,0600,THERAPY CO. 91977,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91977,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91977,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91977,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91977,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91977,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 91977,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91977,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 91977,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91977,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91977,B100000,00000,1351,00000PATIENT DAYS :RECREATIONAL THERAPY 91977,E10A180,00301,0100,08/04/1999 91977,E10A180,00302,0100,09/29/1999 91977,E10A180,00303,0100,03/29/2000 91977,E10A180,00350,0100,04/14/1999 91977,E10A180,00351,0100,01/06/2000 91977,E10A180,00352,0100,01/19/2000 91977,S000000,00100,0200,06/05/2000 91977,S200000,00100,0100,685 RIVER AVENUE 91977,S200000,00200,0100,LAKEWOOD 91977,S200000,00200,0200,FL 91977,S200000,00200,0300,08701- 91977,S200000,00300,0100,OCEAN 91977,S200000,00300,0200,2000 91977,S200000,00300,0300,R 91977,S200000,00400,0100,MEDICENTER - LAKEWOOD 91977,S200000,00400,0200,315116 91977,S200000,00400,0300,09/01/1969 91977,S200000,00400,0500,P 91977,S200000,01600,0100,Y 91988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91988,A000000,00300,0000,00300EMPLOYEE BENEFITS 91988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91988,A000000,00700,0000,00700HOUSEKEEPING 91988,A000000,00800,0000,00800DIETARY 91988,A000000,00900,0000,00900NURSING ADMINISTRATION 91988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91988,A000000,01100,0000,01100PHARMACY 91988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91988,A000000,01300,0000,01300SOCIAL SERVICE 91988,A000000,01350,0000,01500PATIENT ACTIVITIES 91988,A000000,01600,0000,01600SKILLED NURSING FACILITY 91988,A000000,01800,0000,01800NURSING FACILITY 91988,A000000,01900,0000,01900OTHER LONG TERM CARE 91988,A000000,02100,0000,02100RADIOLOGY 91988,A000000,02200,0000,02200LABORATORY 91988,A000000,02300,0000,02300INTRAVENOUS THERAPY 91988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91988,A000000,02500,0000,02500PHYSICAL THERAPY 91988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91988,A000000,02700,0000,02700SPEECH PATHOLOGY 91988,A000000,02800,0000,02800ELECTROCARDIOLOGY 91988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 91988,A000000,03200,0000,03200SUPPORT SURFACES 91988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 91988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 91988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 91988,A000000,05300,0000,05300INTEREST EXPENSE 91988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 91988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 91988,A000000,05500,0000,05500HOSPICE 91988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91988,A000000,06100,0000,06100NONPAID WORKERS 91988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91988,A000000,06200,0000,06200PATIENTS LAUNDRY 91988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91988,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91988,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91988,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 91988,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91988,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 91988,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91988,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91988,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91988,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91988,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91988,E10A180,00301,0100,08/13/1999 91988,S000000,00100,0200,06/01/2000 91988,S200000,00100,0100,ONE UNVERSITY PLAZA SUITE 296 91988,S200000,00200,0100,HACKENSACK 91988,S200000,00200,0200,NJ 91988,S200000,00200,0300,07601- 91988,S200000,00300,0100,MERCER 91988,S200000,00400,0100,CAPITAL NURSING CENTER 91988,S200000,00400,0200,315124 91988,S200000,00400,0300,10/10/1986 91988,S200000,00400,0500,P 91988,S200000,01500,0100,Y 91988,S700003,00000,0100,1 91998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 91998,A000000,00300,0000,00300EMPLOYEE BENEFITS 91998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 91998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 91998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 91998,A000000,00700,0000,00700HOUSEKEEPING 91998,A000000,00800,0000,00800DIETARY 91998,A000000,00900,0000,00900NURSING ADMINISTRATION 91998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 91998,A000000,01100,0000,01100PHARMACY 91998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 91998,A000000,01300,0000,01300SOCIAL SERVICE 91998,A000000,01350,0000,01500PATIENT ACTIVITIES 91998,A000000,01600,0000,01600SKILLED NURSING FACILITY 91998,A000000,01800,0000,01800NURSING FACILITY 91998,A000000,01900,0000,01900OTHER LONG TERM CARE 91998,A000000,02100,0000,02100RADIOLOGY 91998,A000000,02200,0000,02200LABORATORY 91998,A000000,02300,0000,02300INTRAVENOUS THERAPY 91998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 91998,A000000,02500,0000,02500PHYSICAL THERAPY 91998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 91998,A000000,02700,0000,02700SPEECH PATHOLOGY 91998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 91998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 91998,A000000,03200,0000,03200SUPPORT SURFACES 91998,A000000,04800,0000,04800AMBULANCE 91998,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 91998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 91998,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 91998,A000000,06100,0000,06100NONPAID WORKERS 91998,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 91998,A000000,06200,0000,06200PATIENTS LAUNDRY 91998,A81000A,00100,0100,Y 91998,A81000B,00100,0300,ADMINISTRATOR 91998,A81000B,00200,0300,MANAGEMENT 91998,A81000B,00300,0300,INTEREST 91998,A81000B,00400,0300,LINEN SERVICE 91998,A81000C,00100,0100,A 91998,A81000C,00100,0200,MICHAEL GREENBERG 91998,A81000C,00100,0400,EXCEL-CARE CRANFORD 91998,A81000C,00100,0600,NURSING FACILITY 91998,A81000C,00200,0100,A 91998,A81000C,00200,0200,SEYMOUR GREENBERG 91998,A81000C,00200,0400,EXCEL-CARE CRANFORD 91998,A81000C,00200,0600,NURSING FACILITY 91998,A81000C,00300,0100,A 91998,A81000C,00300,0200,DORIS GREENBERG 91998,A81000C,00300,0400,EXCEL-CARE CRANFORD 91998,A81000C,00300,0600,NURSING FACILITY 91998,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 91998,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 91998,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 91998,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 91998,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 91998,B100000,00000,0750,00000SQ. FT. EXC. K:HOUSEKEEPING 91998,B100000,00000,0850,00000PATIENT DAYS :DIETARY 91998,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 91998,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 91998,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 91998,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 91998,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 91998,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 91998,S000000,00100,0200,07/05/2000 91998,S200000,00100,0100,633 ROUTE 28 91998,S200000,00200,0100,RARITAN 91998,S200000,00200,0200,NJ 91998,S200000,00200,0300,08869- 91998,S200000,00300,0100,SOMERSET 91998,S200000,00300,0200,5015 91998,S200000,00300,0300,U 91998,S200000,00400,0100,RARUTAB HEALTH 91998,S200000,00400,0200,315140 91998,S200000,00400,0300,10/15/1972 91998,S200000,00400,0500,P 91998,S200000,01600,0100,Y 92006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92006,A000000,00300,0000,00300EMPLOYEE BENEFITS 92006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92006,A000000,00700,0000,00700HOUSEKEEPING 92006,A000000,00800,0000,00800DIETARY 92006,A000000,00900,0000,00900NURSING ADMINISTRATION 92006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92006,A000000,01100,0000,01100PHARMACY 92006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92006,A000000,01300,0000,01300SOCIAL SERVICE 92006,A000000,01350,0000,01500ACTIVITIES 92006,A000000,01600,0000,01600SKILLED NURSING FACILITY 92006,A000000,01800,0000,01800NURSING FACILITY 92006,A000000,01900,0000,01900OTHER LONG TERM CARE 92006,A000000,02100,0000,02100RADIOLOGY 92006,A000000,02200,0000,02200LABORATORY 92006,A000000,02300,0000,02300INTRAVENOUS THERAPY 92006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92006,A000000,02500,0000,02500PHYSICAL THERAPY 92006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92006,A000000,02700,0000,02700SPEECH PATHOLOGY 92006,A000000,02800,0000,02800ELECTROCARDIOLOGY 92006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92006,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92006,A000000,03200,0000,03200SUPPORT SURFACES 92006,A000000,04800,0000,04800AMBULANCE 92006,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92006,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92006,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92006,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92006,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92006,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92006,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92006,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92006,B100000,00000,0400,00000 ACCUM. 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BARNABAS CORP 92029,A81000C,00500,0400,RELATED COMPANY 92029,A81000C,00500,0600,ADMINISTRATIVE SERV 92029,A81000C,00600,0100,B 92029,A81000C,00600,0200,SBC MANAGEMENT 92029,A81000C,00600,0400,RELATED COMPANY 92029,A81000C,00600,0600,ADMINISTRATIVE SERV 92029,A81000C,00700,0100,B 92029,A81000C,00700,0200,THE MARATHON GROUP 92029,A81000C,00700,0400,RELATED COMPANY 92029,A81000C,00700,0600,PUBLIC RELATIONS 92029,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92029,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92029,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92029,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92029,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92029,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92029,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92029,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92029,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92029,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92029,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92029,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92029,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92029,E10A180,00302,0100,08/02/1999 92029,S000000,00100,0200,05/22/2000 92029,S200000,00100,0100,16 WHITESVILLE ROAD 92029,S200000,00200,0100,TOMS RIVER 92029,S200000,00200,0200,NJ 92029,S200000,00200,0300,08753- 92029,S200000,00300,0100,OCEAN 92029,S200000,00400,0100,COUNTRY MANOR AT DOVER 92029,S200000,00400,0200,315175 92029,S200000,00400,0300,07/01/1967 92029,S200000,00400,0500,P 92029,S200000,01600,0100,Y 92029,S700003,00000,0100,1 92031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92031,A000000,00300,0000,00300EMPLOYEE BENEFITS 92031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92031,A000000,00700,0000,00700HOUSEKEEPING 92031,A000000,00800,0000,00800DIETARY 92031,A000000,00900,0000,00900NURSING ADMINISTRATION 92031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92031,A000000,01100,0000,01100PHARMACY 92031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92031,A000000,01300,0000,01300SOCIAL SERVICE 92031,A000000,01350,0000,01500ACTIVITIES 92031,A000000,01600,0000,01600SKILLED NURSING FACILITY 92031,A000000,01800,0000,01800NURSING FACILITY 92031,A000000,01900,0000,01900OTHER LONG TERM CARE 92031,A000000,02100,0000,02100RADIOLOGY 92031,A000000,02200,0000,02200LABORATORY 92031,A000000,02300,0000,02300INTRAVENOUS THERAPY 92031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92031,A000000,02500,0000,02500PHYSICAL THERAPY 92031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92031,A000000,02700,0000,02700SPEECH PATHOLOGY 92031,A000000,02800,0000,02800ELECTROCARDIOLOGY 92031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92031,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92031,A000000,03200,0000,03200SUPPORT SURFACES 92031,A000000,04800,0000,04800AMBULANCE 92031,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92031,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92031,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92031,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92031,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92031,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92031,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92031,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92031,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92031,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92031,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92031,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92031,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92031,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92031,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92031,S000000,00100,0200,07/28/2000 92031,S200000,00100,0100,140 PARK AVE 92031,S200000,00200,0100,EAST ORANGE 92031,S200000,00200,0200,NJ 92031,S200000,00200,0300,07107- 92031,S200000,00300,0100,ESSEX 92031,S200000,00300,0200,5640 92031,S200000,00300,0300,U 92031,S200000,00400,0100,WINDSOR GARDENS CARE CENTER 92031,S200000,00400,0200,315178 92031,S200000,00400,0300,02/01/1981 92031,S200000,00400,0500,P 92031,S200000,01600,0100,Y 92039,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92039,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92039,A000000,00300,0000,00300EMPLOYEE BENEFITS 92039,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92039,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92039,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92039,A000000,00700,0000,00700HOUSEKEEPING 92039,A000000,00800,0000,00800DIETARY 92039,A000000,00900,0000,00900NURSING ADMINISTRATION 92039,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92039,A000000,01100,0000,01100PHARMACY 92039,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92039,A000000,01300,0000,01300SOCIAL SERVICE 92039,A000000,01350,0000,01500ACTIVITIES 92039,A000000,01600,0000,01600SKILLED NURSING FACILITY 92039,A000000,01800,0000,01800NURSING FACILITY 92039,A000000,01900,0000,01900OTHER LONG TERM CARE 92039,A000000,02100,0000,02100RADIOLOGY 92039,A000000,02200,0000,02200LABORATORY 92039,A000000,02300,0000,02300INTRAVENOUS THERAPY 92039,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92039,A000000,02500,0000,02500PHYSICAL THERAPY 92039,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92039,A000000,02700,0000,02700SPEECH PATHOLOGY 92039,A000000,02800,0000,02800ELECTROCARDIOLOGY 92039,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92039,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92039,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92039,A000000,03200,0000,03200SUPPORT SURFACES 92039,A000000,04800,0000,04800AMBULANCE 92039,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92039,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92039,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92039,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92039,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92039,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92039,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92039,A81000A,00100,0100,Y 92039,A81000B,00100,0300,RENT 92039,A81000B,00200,0300,DEPRECIATION 92039,A81000B,00300,0300,PROFESSIONAL FEES 92039,A81000B,00400,0300,REAL ESTATE TAXES 92039,A81000C,00100,0100,C 92039,A81000C,00100,0200,CHATEAU REALTY 92039,A81000C,00100,0400,SAME PARTNERS 92039,A81000C,00100,0600,REAL ESTATE 92039,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92039,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92039,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92039,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92039,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92039,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92039,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92039,B100000,00000,0800,00000MEALS SERVED :DIETARY 92039,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92039,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92039,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92039,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92039,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92039,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92039,E10A180,00301,0100,07/30/1999 92039,S000000,00100,0200,05/17/2000 92039,S200000,00100,0100,303 ELM STREET 92039,S200000,00200,0100,PERTH AMBOY 92039,S200000,00200,0200,NJ 92039,S200000,00200,0300,08861- 92039,S200000,00300,0100,MIDDLESEX 92039,S200000,00400,0100,PERTH AMBOY NURSING HOME 92039,S200000,00400,0200,315180 92039,S200000,00400,0300,05/01/1981 92039,S200000,00400,0500,P 92039,S200000,01600,0100,Y 92039,S700003,00000,0100,1 92046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92046,A000000,00300,0000,00300EMPLOYEE BENEFITS 92046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92046,A000000,00700,0000,00700HOUSEKEEPING 92046,A000000,00800,0000,00800DIETARY 92046,A000000,00900,0000,00900NURSING ADMINISTRATION 92046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92046,A000000,01100,0000,01100PHARMACY 92046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92046,A000000,01300,0000,01300SOCIAL SERVICE 92046,A000000,01350,0000,01500ACTIVITIES 92046,A000000,01600,0000,01600SKILLED NURSING FACILITY 92046,A000000,01800,0000,01800NURSING FACILITY 92046,A000000,01900,0000,01900OTHER LONG TERM CARE 92046,A000000,02100,0000,02100RADIOLOGY 92046,A000000,02200,0000,02200LABORATORY 92046,A000000,02300,0000,02300INTRAVENOUS THERAPY 92046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92046,A000000,02500,0000,02500PHYSICAL THERAPY 92046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92046,A000000,02700,0000,02700SPEECH PATHOLOGY 92046,A000000,02800,0000,02800ELECTROCARDIOLOGY 92046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92046,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92046,A000000,03200,0000,03200SUPPORT SURFACES 92046,A000000,04800,0000,04800AMBULANCE 92046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92046,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92046,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92046,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92046,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92046,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92046,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92046,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 92046,B100000,00000,0800,00000MEALS SERVED :DIETARY 92046,B100000,00000,0950,00000DIR NURSIN SALARIES :NURSING ADMINI 92046,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92046,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92046,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92046,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92046,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92046,S000000,00100,0200,05/24/2000 92046,S200000,00100,0100,177 LAWRENCE STREET 92046,S200000,00200,0100,RAHWAY 92046,S200000,00200,0200,NJ 92046,S200000,00200,0300,07065- 92046,S200000,00300,0100,UNION 92046,S200000,00400,0100,RAHWAY GERIATRICS CENTER 92046,S200000,00400,0200,315198 92046,S200000,00400,0300,01/01/1967 92046,S200000,00400,0500,P 92046,S200000,01500,0100,Y 92046,S200000,04700,0100,Y 92046,S700003,00000,0100,1 92061,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92061,A000000,00300,0000,00300EMPLOYEE BENEFITS 92061,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92061,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92061,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92061,A000000,00700,0000,00700HOUSEKEEPING 92061,A000000,00800,0000,00800DIETARY 92061,A000000,00900,0000,00900NURSING ADMINISTRATION 92061,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92061,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92061,A000000,01300,0000,01300SOCIAL SERVICE 92061,A000000,01350,0000,01500OTHER SERVICE 92061,A000000,01351,0000,01501RECREATIONAL THERAPY 92061,A000000,01600,0000,01600SKILLED NURSING FACILITY 92061,A000000,01800,0000,01800NURSING FACILITY 92061,A000000,01900,0000,01900OTHER LONG TERM CARE 92061,A000000,02100,0000,02100RADIOLOGY 92061,A000000,02200,0000,02200LABORATORY 92061,A000000,02300,0000,02300INTRAVENOUS THERAPY 92061,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92061,A000000,02500,0000,02500PHYSICAL THERAPY 92061,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92061,A000000,02700,0000,02700SPEECH PATHOLOGY 92061,A000000,02800,0000,02800ELECTROCARDIOLOGY 92061,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92061,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92061,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92061,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92061,A000000,03200,0000,03200SUPPORT SURFACES 92061,A000000,03400,0000,03400CLINIC 92061,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 92061,A000000,04800,0000,04800AMBULANCE 92061,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92061,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92061,A000000,05300,0000,05300INTEREST EXPENSE 92061,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92061,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92061,A000000,05500,0000,05500HOSPICE 92061,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92061,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92061,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92061,A000000,06100,0000,06100NONPAID WORKERS 92061,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92061,A000000,06200,0000,06200PATIENTS LAUNDRY 92061,A81000A,00100,0100,Y 92061,A81000B,00100,0300,HOME OFFICE PROPERTY 92061,A81000B,00200,0300,HOME OFFICE ADMIN. 92061,A81000B,00300,0300,PHYSICAL THERAPY 92061,A81000B,00400,0300,OCCUPATIONAL THERAPY 92061,A81000B,00500,0300,SPEECH THERAPY 92061,A81000C,00100,0100,A 92061,A81000C,00100,0200,BARTON WEISMAN 92061,A81000C,00100,0400,HBA CORP 92061,A81000C,00100,0600,MANAGEMENT CO. 92061,A81000C,00200,0100,A 92061,A81000C,00200,0200,BARTON WEISMAN 92061,A81000C,00200,0400,HBA CORP 92061,A81000C,00200,0600,MANAGEMENT CO. 92061,A81000C,00300,0100,A 92061,A81000C,00300,0200,BARTON WEISMAN 92061,A81000C,00300,0400,FOCUS REHAB 92061,A81000C,00300,0600,THERAPY CO. 92061,A81000C,00400,0100,A 92061,A81000C,00400,0200,BARTON WEISMAN 92061,A81000C,00400,0400,FOCUS REHAB 92061,A81000C,00400,0600,THERAPY CO. 92061,A81000C,00500,0100,A 92061,A81000C,00500,0200,BARTON WEISMAN 92061,A81000C,00500,0400,FOCUS REHAB 92061,A81000C,00500,0600,THERAPY CO. 92061,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92061,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92061,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92061,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92061,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92061,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92061,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92061,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 92061,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92061,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92061,B100000,00000,1351,00000PATIENT DAYS :RECREATIONAL THERAPY 92061,E10A180,00301,0100,03/17/1999 92061,E10A180,00302,0100,06/23/1999 92061,E10A180,00303,0100,12/22/1999 92061,E10A180,00304,0100,03/29/2000 92061,E10A180,00350,0100,07/21/1999 92061,E10A180,00351,0100,09/29/1999 92061,S000000,00100,0200,06/05/2000 92061,S200000,00100,0100,1049 BURNT TAVERN ROAD 92061,S200000,00200,0100,BRICK 92061,S200000,00200,0200,NJ 92061,S200000,00200,0300,08723- 92061,S200000,00300,0100,OCEAN 92061,S200000,00300,0200,5190 92061,S200000,00300,0300,U 92061,S200000,00400,0100,BURNT TAVERN NURSING & REHAB 92061,S200000,00400,0200,315213 92061,S200000,00400,0300,01/19/1985 92061,S200000,00400,0500,P 92061,S200000,01600,0100,Y 92069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92069,A000000,00300,0000,00300EMPLOYEE BENEFITS 92069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92069,A000000,00700,0000,00700HOUSEKEEPING 92069,A000000,00800,0000,00800DIETARY 92069,A000000,00900,0000,00900NURSING ADMINISTRATION 92069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92069,A000000,01100,0000,01100PHARMACY 92069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92069,A000000,01300,0000,01300SOCIAL SERVICE 92069,A000000,01350,0000,01500ACTIVITIES 92069,A000000,01600,0000,01600SKILLED NURSING FACILITY 92069,A000000,01800,0000,01800NURSING FACILITY 92069,A000000,01900,0000,01900OTHER LONG TERM CARE 92069,A000000,02100,0000,02100RADIOLOGY 92069,A000000,02200,0000,02200LABORATORY 92069,A000000,02300,0000,02300INTRAVENOUS THERAPY 92069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92069,A000000,02500,0000,02500PHYSICAL THERAPY 92069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92069,A000000,02700,0000,02700SPEECH PATHOLOGY 92069,A000000,02800,0000,02800ELECTROCARDIOLOGY 92069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92069,A000000,03200,0000,03200SUPPORT SURFACES 92069,A000000,04800,0000,04800AMBULANCE 92069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92069,A000000,05901,0000,05901RESIDENTIAL 92069,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 92069,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 92069,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 92069,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 92069,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 92069,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 92069,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 92069,B100000,00000,0800,00001MEALS SERVED :DIETARY 92069,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 92069,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 92069,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 92069,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 92069,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 92069,E10A180,00301,0100,07/31/1999 92069,S000000,00100,0200,05/05/2000 92069,S200000,00100,0100,1640 SOUTH LINCOLN AVE 92069,S200000,00200,0100,VINELAND 92069,S200000,00200,0200,NJ 92069,S200000,00200,0300,08361- 92069,S200000,00300,0100,CUMBERLAND 92069,S200000,00300,0200,8760 92069,S200000,00300,0300,U 92069,S200000,00400,0100,THE NURSING CENTER AT VINELAND 92069,S200000,00400,0200,315233 92069,S200000,00400,0300,08/20/1986 92069,S200000,00400,0500,P 92069,S200000,01600,0100,Y 92069,S200000,04700,0100,Y 92069,S200000,04700,0200,Y 92083,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92083,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92083,A000000,00300,0000,00300EMPLOYEE BENEFITS 92083,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92083,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92083,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92083,A000000,00700,0000,00700HOUSEKEEPING 92083,A000000,00800,0000,00800DIETARY 92083,A000000,00900,0000,00900NURSING ADMINISTRATION 92083,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92083,A000000,01100,0000,01100PHARMACY 92083,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92083,A000000,01300,0000,01300SOCIAL SERVICE 92083,A000000,01350,0000,01500ACTIVITIES 92083,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92083,A000000,01600,0000,01600SKILLED NURSING FACILITY 92083,A000000,01800,0000,01800NURSING FACILITY 92083,A000000,01810,0000,01810ICF/MR 92083,A000000,01900,0000,01900OTHER LONG TERM CARE 92083,A000000,02100,0000,02100RADIOLOGY 92083,A000000,02200,0000,02200LABORATORY 92083,A000000,02300,0000,02300INTRAVENOUS THERAPY 92083,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92083,A000000,02500,0000,02500PHYSICAL THERAPY 92083,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92083,A000000,02700,0000,02700SPEECH PATHOLOGY 92083,A000000,02800,0000,02800ELECTROCARDIOLOGY 92083,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92083,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92083,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92083,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92083,A000000,03200,0000,03200SUPPORT SURFACES 92083,A000000,03400,0000,03400CLINIC 92083,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92083,A000000,03500,0000,03500RURAL HEALTH CLINIC 92083,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92083,A000000,04800,0000,04800AMBULANCE 92083,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92083,A000000,05000,0000,05000CORF 92083,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92083,A000000,05300,0000,05300INTEREST EXPENSE 92083,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92083,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92083,A000000,05500,0000,05500HOSPICE 92083,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92083,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92083,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92083,A000000,06100,0000,06100NONPAID WORKERS 92083,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92083,A000000,06200,0000,06200PATIENTS LAUNDRY 92083,A81000A,00100,0100,Y 92083,A81000B,00100,0300,INTEREST EXPENSES 92083,A81000B,00200,0300,DEPRECIATION EXPENSE 92083,A81000B,00300,0300,REAL ESTATE TAXES 92083,A81000B,00400,0300,ADMINISTRATIVE EXPENSES 92083,A81000B,00500,0300,SEWER EXPENSE 92083,A81000C,00100,0100,A 92083,A81000C,00100,0200,CHERRY HILL INC 92083,A81000C,00100,0400,SHERMARK PROP. 92083,A81000C,00100,0600,PROPERTY 92083,A81000C,00200,0100,A 92083,A81000C,00200,0200,CHERRY HILL INC 92083,A81000C,00200,0400,SHERMARK PROP. 92083,A81000C,00200,0600,PROPERTY 92083,A81000C,00300,0100,A 92083,A81000C,00300,0200,CHERRY HILL INC 92083,A81000C,00300,0400,SHERMARK PROP. 92083,A81000C,00300,0600,PROPERTY 92083,A81000C,00400,0100,A 92083,A81000C,00400,0200,CHERRY HILL INC 92083,A81000C,00400,0400,SHERMARK PROP. 92083,A81000C,00400,0600,PROPERTY 92083,A81000C,00500,0100,A 92083,A81000C,00500,0200,CHERRY HILL INC 92083,A81000C,00500,0400,SHERMARK PROP. 92083,A81000C,00500,0600,PROPERTY 92083,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92083,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92083,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92083,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92083,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92083,B100000,00000,0750,00000SQ FEET(EX DI :HOUSEKEEPING 92083,B100000,00000,0800,00000MEALS SERVED :DIETARY 92083,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 92083,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92083,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92083,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 92083,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92083,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92083,E10A180,00301,0100,01/01/1999 92083,S000000,00100,0200,06/01/2000 92083,S200000,00100,0100,1399 CHAPEL AVENUE 92083,S200000,00200,0100,CHERRY HILL 92083,S200000,00200,0200,NJ 92083,S200000,00200,0300,08002- 92083,S200000,00300,0100,CAMDEN 92083,S200000,00300,0200,6160 92083,S200000,00300,0300,U 92083,S200000,00400,0100,CHERRY HILL CONV CENTER 92083,S200000,00400,0200,315245 92083,S200000,00400,0300,05/07/1987 92083,S200000,00400,0500,P 92083,S200000,01600,0100,Y 92091,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92091,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92091,A000000,00300,0000,00300EMPLOYEE BENEFITS 92091,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92091,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92091,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92091,A000000,00700,0000,00700HOUSEKEEPING 92091,A000000,00800,0000,00800DIETARY 92091,A000000,00900,0000,00900NURSING ADMINISTRATION 92091,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92091,A000000,01100,0000,01100PHARMACY 92091,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92091,A000000,01300,0000,01300SOCIAL SERVICE 92091,A000000,01350,0000,01500ACTIVITIES 92091,A000000,01600,0000,01600SKILLED NURSING FACILITY 92091,A000000,01800,0000,01800NURSING FACILITY 92091,A000000,01900,0000,01900OTHER LONG TERM CARE 92091,A000000,02100,0000,02100RADIOLOGY 92091,A000000,02200,0000,02200LABORATORY 92091,A000000,02500,0000,02500PHYSICAL THERAPY 92091,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92091,A000000,02700,0000,02700SPEECH PATHOLOGY 92091,A000000,02800,0000,02800ELECTROCARDIOLOGY 92091,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92091,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92091,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92091,A000000,03200,0000,03200SUPPORT SURFACES 92091,A000000,04800,0000,04800AMBULANCE 92091,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92091,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92091,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92091,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92091,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92091,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92091,A000000,06150,0000,06300PSYCHIATRIST 92091,A000000,06151,0000,06301NON-REIMBURSABLE COST 92091,A81000A,00100,0100,Y 92091,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 92091,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 92091,A81000C,00100,0100,D 92091,A81000C,00100,0200,ANDOVER NH 92091,A81000C,00100,0400,H KIPIANI MD 92091,A81000C,00100,0600,MEDICAL DIRECTO 92091,A81000C,00200,0100,D 92091,A81000C,00200,0200,ANDOVER NH 92091,A81000C,00200,0400,ALP MANAGEMENT 92091,A81000C,00200,0600,BOOKKEEPING SER 92091,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 92091,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 92091,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 92091,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 92091,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 92091,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 92091,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 92091,B100000,00000,0800,00001MEALS SERVED :DIETARY 92091,B100000,00000,0950,00001 PAT DAYS :NURSING ADMINISTRATION 92091,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 92091,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 92091,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 92091,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 92091,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 92091,E10A180,00301,0100,08/17/1999 92091,S000000,00100,0200,06/01/2000 92091,S200000,00100,0100,MULFORD ROAD 92091,S200000,00100,0300,1279 92091,S200000,00200,0100,ANDOVER 92091,S200000,00200,0200,NJ 92091,S200000,00200,0300,07821- 92091,S200000,00300,0100,SUSSEX 92091,S200000,00300,0200,5640 92091,S200000,00300,0300,U 92091,S200000,00400,0100,ANDOVER SUBACUTE & REHAB #2 92091,S200000,00400,0200,315248 92091,S200000,00400,0300,07/02/1987 92091,S200000,00400,0500,P 92091,S200000,01600,0100,Y 92100,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92100,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92100,A000000,00300,0000,00300EMPLOYEE BENEFITS 92100,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92100,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92100,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92100,A000000,00700,0000,00700HOUSEKEEPING 92100,A000000,00800,0000,00800DIETARY 92100,A000000,00900,0000,00900NURSING ADMINISTRATION 92100,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92100,A000000,01100,0000,01100PHARMACY 92100,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92100,A000000,01300,0000,01300SOCIAL SERVICE 92100,A000000,01350,0000,01500ACTIVITIES 92100,A000000,01600,0000,01600SKILLED NURSING FACILITY 92100,A000000,01800,0000,01800NURSING FACILITY 92100,A000000,01900,0000,01900OTHER LONG TERM CARE 92100,A000000,02100,0000,02100RADIOLOGY 92100,A000000,02200,0000,02200LABORATORY 92100,A000000,02500,0000,02500PHYSICAL THERAPY 92100,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92100,A000000,02700,0000,02700SPEECH PATHOLOGY 92100,A000000,02800,0000,02800ELECTROCARDIOLOGY 92100,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92100,A000000,03200,0000,03200SUPPORT SURFACES 92100,A000000,04800,0000,04800AMBULANCE 92100,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92100,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92100,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92100,A81000A,00100,0100,Y 92100,A81000B,00100,0300,MEDICAL DIRECTOR 92100,A81000B,00200,0300,ACCOUNTING/BOOKKEEPING SERVICES 92100,A81000C,00100,0100,D 92100,A81000C,00100,0200,H KIPIANI MD 92100,A81000C,00100,0400,LINCOLN PARK IC 92100,A81000C,00100,0600,MEDICAL DIRECTO 92100,A81000C,00200,0100,D 92100,A81000C,00200,0200,ALP MANAGEMENT 92100,A81000C,00200,0400,LINCOLN PARK IC 92100,A81000C,00200,0600,ACCOUNTING & BO 92100,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92100,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92100,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92100,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92100,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92100,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92100,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92100,B100000,00000,0800,00000MEALS SERVED :DIETARY 92100,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 92100,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92100,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92100,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92100,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92100,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92100,S000000,00100,0200,06/01/2000 92100,S200000,00100,0100,499 PINEBROOK ROAD 92100,S200000,00200,0100,LINCOLN PARK 92100,S200000,00200,0200,NJ 92100,S200000,00200,0300,07035- 92100,S200000,00300,0100,MORRIS 92100,S200000,00300,0200,5640 92100,S200000,00300,0300,U 92100,S200000,00400,0100,LINCOLN PARK SUBACUTE & REHAB CTR #2 92100,S200000,00400,0200,315249 92100,S200000,00400,0300,07/02/1987 92100,S200000,00400,0500,P 92100,S200000,01600,0100,Y 92111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92111,A000000,00300,0000,00300EMPLOYEE BENEFITS 92111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92111,A000000,00700,0000,00700HOUSEKEEPING 92111,A000000,00800,0000,00800DIETARY 92111,A000000,00900,0000,00900NURSING ADMINISTRATION 92111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92111,A000000,01100,0000,01100PHARMACY 92111,A000000,01300,0000,01300SOCIAL SERVICE 92111,A000000,01350,0000,01500ACTIVITIES 92111,A000000,01600,0000,01600SKILLED NURSING FACILITY 92111,A000000,01800,0000,01800NURSING FACILITY 92111,A000000,01900,0000,01900OTHER LONG TERM CARE 92111,A000000,02100,0000,02100RADIOLOGY 92111,A000000,02200,0000,02200LABORATORY 92111,A000000,02300,0000,02300INTRAVENOUS THERAPY 92111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92111,A000000,02500,0000,02500PHYSICAL THERAPY 92111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92111,A000000,02700,0000,02700SPEECH PATHOLOGY 92111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92111,A000000,03200,0000,03200SUPPORT SURFACES 92111,A000000,04800,0000,04800AMBULANCE 92111,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92111,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92111,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92111,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92111,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92111,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92111,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92111,B100000,00000,0800,00000MEALS SERVED :DIETARY 92111,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92111,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92111,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92111,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92111,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92111,S000000,00100,0200,05/22/2000 92111,S200000,00100,0100,3819 BOULEVARD EAST 92111,S200000,00200,0100,GUTTENBERG 92111,S200000,00200,0200,NJ 92111,S200000,00200,0300,07093- 92111,S200000,00300,0100,HUDSON 92111,S200000,00300,0200,3640 92111,S200000,00300,0300,U 92111,S200000,00400,0100,PALISADE NURSING CENTER 92111,S200000,00400,0200,315254 92111,S200000,00400,0300,06/13/1997 92111,S200000,00400,0500,P 92111,S200000,01600,0100,Y 92111,S200000,04700,0100,Y 92111,S200000,04700,0200,Y 92119,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92119,A000000,00300,0000,00300EMPLOYEE BENEFITS 92119,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92119,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92119,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92119,A000000,00700,0000,00700HOUSEKEEPING 92119,A000000,00800,0000,00800DIETARY 92119,A000000,00900,0000,00900NURSING ADMINISTRATION 92119,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92119,A000000,01100,0000,01100PHARMACY 92119,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92119,A000000,01300,0000,01300SOCIAL SERVICE 92119,A000000,01350,0000,01500PATIENT ACTIVITIES 92119,A000000,01600,0000,01600SKILLED NURSING FACILITY 92119,A000000,01800,0000,01800NURSING FACILITY 92119,A000000,01900,0000,01900OTHER LONG TERM CARE 92119,A000000,02100,0000,02100RADIOLOGY 92119,A000000,02200,0000,02200LABORATORY 92119,A000000,02300,0000,02300INTRAVENOUS THERAPY 92119,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92119,A000000,02500,0000,02500PHYSICAL THERAPY 92119,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92119,A000000,02700,0000,02700SPEECH PATHOLOGY 92119,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92119,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92119,A000000,03200,0000,03200SUPPORT SURFACES 92119,A000000,04800,0000,04800AMBULANCE 92119,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92119,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92119,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92119,A000000,06100,0000,06100NONPAID WORKERS 92119,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92119,A000000,06200,0000,06200PATIENTS LAUNDRY 92119,A81000A,00100,0100,Y 92119,A81000B,00100,0300,MANGEMENT FEES-HOME OFFICE 92119,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 92119,A81000B,00300,0300,ADMINISTRATOR 92119,A81000B,00400,0300,HUMAN RESOURCES 92119,A81000C,00100,0100,B 92119,A81000C,00100,0200,BRANDYWINE SENIOR CARE 92119,A81000C,00100,0400,BRANDYWINE SENIOR CARE 92119,A81000C,00100,0600,HOME OFFICE 92119,A81000C,00200,0100,G 92119,A81000C,00200,0200,KATHERINE SALEMA 92119,A81000C,00200,0400,RELATIVE 92119,A81000C,00200,0600,ADMINISTRATOR 92119,A81000C,00300,0100,G 92119,A81000C,00300,0200,PATRICIA BACON 92119,A81000C,00300,0400,RELATIVE 92119,A81000C,00300,0600,HUMAN RESOURCES 92119,A81000C,03100,0000,RELATIVE 92119,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92119,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92119,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92119,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92119,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92119,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92119,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92119,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92119,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92119,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92119,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92119,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92119,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92119,S000000,00100,0200,05/31/2000 92119,S200000,00100,0100,1328 BLACK HORSE PIKE 92119,S200000,00200,0100,WILLIAMSTOWN 92119,S200000,00200,0200,NJ 92119,S200000,00200,0300,08094- 92119,S200000,00300,0100,GLOUCESTER 92119,S200000,00400,0100,MEADOW VIEW NURSING & RESPIRATORY 92119,S200000,00400,0200,315257 92119,S200000,00400,0300,02/09/1988 92119,S200000,00400,0500,P 92119,S200000,01600,0100,Y 92119,S700003,00000,0100,1 92127,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92127,A000000,00300,0000,00300EMPLOYEE BENEFITS 92127,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92127,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92127,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92127,A000000,00700,0000,00700HOUSEKEEPING 92127,A000000,00800,0000,00800DIETARY 92127,A000000,00900,0000,00900NURSING ADMINISTRATION 92127,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92127,A000000,01100,0000,01100PHARMACY 92127,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92127,A000000,01300,0000,01300SOCIAL SERVICE 92127,A000000,01350,0000,01500PATIENT ACTIVITIES 92127,A000000,01600,0000,01600SKILLED NURSING FACILITY 92127,A000000,01800,0000,01800NURSING FACILITY 92127,A000000,01900,0000,01900OTHER LONG TERM CARE 92127,A000000,02100,0000,02100RADIOLOGY 92127,A000000,02200,0000,02200LABORATORY 92127,A000000,02300,0000,02300INTRAVENOUS THERAPY 92127,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92127,A000000,02500,0000,02500PHYSICAL THERAPY 92127,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92127,A000000,02700,0000,02700SPEECH PATHOLOGY 92127,A000000,02800,0000,02800ELECTROCARDIOLOGY 92127,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92127,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92127,A000000,03200,0000,03200SUPPORT SURFACES 92127,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92127,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92127,A000000,04800,0000,04800AMBULANCE 92127,A000000,05300,0000,05300INTEREST EXPENSE 92127,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92127,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92127,A000000,05500,0000,05500HOSPICE 92127,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92127,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92127,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92127,A000000,06100,0000,06100NONPAID WORKERS 92127,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92127,A000000,06200,0000,06200PATIENTS LAUNDRY 92127,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92127,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92127,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92127,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92127,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 92127,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92127,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92127,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92127,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92127,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92127,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92127,E10A180,00301,0100,08/13/1999 92127,S000000,00100,0200,06/01/2000 92127,S200000,00100,0100,ONE UNIVERSITY PLAZA SU 92127,S200000,00200,0100,HACKENSACK 92127,S200000,00200,0200,NJ 92127,S200000,00200,0300,07601- 92127,S200000,00300,0100,BURLINGTON 92127,S200000,00300,0200,6160 92127,S200000,00300,0300,U 92127,S200000,00400,0100,ROSEWOOD MANOR NURSING CTR 92127,S200000,00400,0200,315263 92127,S200000,00400,0300,06/24/1988 92127,S200000,00400,0500,P 92127,S200000,01500,0100,Y 92143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92143,A000000,00300,0000,00300EMPLOYEE BENEFITS 92143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92143,A000000,00700,0000,00700HOUSEKEEPING 92143,A000000,00800,0000,00800DIETARY 92143,A000000,00900,0000,00900NURSING ADMINISTRATION 92143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92143,A000000,01100,0000,01100PHARMACY 92143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92143,A000000,01300,0000,01300SOCIAL SERVICE 92143,A000000,01350,0000,01500ACTIVITIES 92143,A000000,01600,0000,01600SKILLED NURSING FACILITY 92143,A000000,01800,0000,01800NURSING FACILITY 92143,A000000,01900,0000,01900OTHER LONG TERM CARE 92143,A000000,02100,0000,02100RADIOLOGY 92143,A000000,02200,0000,02200LABORATORY 92143,A000000,02300,0000,02300INTRAVENOUS THERAPY 92143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92143,A000000,02500,0000,02500PHYSICAL THERAPY 92143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92143,A000000,02700,0000,02700SPEECH PATHOLOGY 92143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92143,A000000,03200,0000,03200SUPPORT SURFACES 92143,A000000,04800,0000,04800AMBULANCE 92143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92143,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92143,A81000A,00100,0100,Y 92143,A81000B,00100,0300,SECURITY GUARD SERVICE 92143,A81000B,00200,0300,SECURITY GUARD SERVICE - CONTRACT MA 92143,A81000C,00100,0100,A 92143,A81000C,00100,0200,JOHN J. APREA 92143,A81000C,00100,0400,FEDERATED GROUP 92143,A81000C,00100,0600,SECURITY SERVIC 92143,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92143,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92143,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92143,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92143,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92143,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92143,B100000,00000,0800,00000MEALS SERVED :DIETARY 92143,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92143,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92143,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92143,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92143,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92143,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92143,E10A180,00301,0100,08/24/1999 92143,S000000,00100,0200,06/01/2000 92143,S200000,00100,0100,SOUTH HARRISON & KENWOOD ROAD 92143,S200000,00200,0100,EAST ORANGE 92143,S200000,00200,0200,NJ 92143,S200000,00200,0300,07017- 92143,S200000,00300,0100,ESSEX 92143,S200000,00300,0200,5640 92143,S200000,00300,0300,U 92143,S200000,00400,0100,BROOKHAVEN HEALTH CARE CENTER 92143,S200000,00400,0200,315268 92143,S200000,00400,0300,10/24/1988 92143,S200000,00400,0500,P 92143,S200000,01600,0100,Y 92143,S200000,04700,0100,Y 92143,S200000,04700,0200,Y 92152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92152,A000000,00300,0000,00300EMPLOYEE BENEFITS 92152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92152,A000000,00700,0000,00700HOUSEKEEPING 92152,A000000,00800,0000,00800DIETARY 92152,A000000,00900,0000,00900NURSING ADMINISTRATION 92152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92152,A000000,01100,0000,01100PHARMACY 92152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92152,A000000,01300,0000,01300SOCIAL SERVICE 92152,A000000,01350,0000,01500PATIENT ACTIVITIES 92152,A000000,01600,0000,01600SKILLED NURSING FACILITY 92152,A000000,01800,0000,01800NURSING FACILITY 92152,A000000,01900,0000,01900OTHER LONG TERM CARE 92152,A000000,02100,0000,02100RADIOLOGY 92152,A000000,02200,0000,02200LABORATORY 92152,A000000,02300,0000,02300INTRAVENOUS THERAPY 92152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92152,A000000,02500,0000,02500PHYSICAL THERAPY 92152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92152,A000000,02700,0000,02700SPEECH PATHOLOGY 92152,A000000,02800,0000,02800ELECTROCARDIOLOGY 92152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92152,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92152,A000000,03200,0000,03200SUPPORT SURFACES 92152,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92152,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92152,A000000,04800,0000,04800AMBULANCE 92152,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92152,A000000,05300,0000,05300INTEREST EXPENSE 92152,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92152,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92152,A000000,05500,0000,05500HOSPICE 92152,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92152,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92152,A000000,06100,0000,06100NONPAID WORKERS 92152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92152,A000000,06200,0000,06200PATIENTS LAUNDRY 92152,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92152,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92152,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92152,B100000,00000,0650,00000PT DAYS EXC RESID:LAUNDRY & LINEN S 92152,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 92152,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92152,B100000,00000,0950,00000PT DAYS EXC RESID:NURSING ADMINISTR 92152,B100000,00000,1050,00000PT DAYS EXC RESID:CENTRAL SERVICES 92152,B100000,00000,1150,00000PT DAYS EXC RESID:PHARMACY 92152,B100000,00000,1330,00000PT DAYS EXC RESID:SOCIAL SERVICE 92152,B100000,00000,1350,00000PT DAYS EXC RESID:PATIENT ACTIVITIE 92152,E10A180,00301,0100,08/25/1999 92152,S000000,00100,0200,06/01/2000 92152,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 92152,S200000,00200,0100,HACKENSACK 92152,S200000,00200,0200,NJ 92152,S200000,00200,0300,07601- 92152,S200000,00300,0100,SALEM 92152,S200000,00300,0200,6160 92152,S200000,00300,0300,U 92152,S200000,00400,0100,PARKVIEW HEALTH CARE CENTER 92152,S200000,00400,0200,315271 92152,S200000,00400,0300,01/09/1989 92152,S200000,00400,0500,P 92152,S200000,01500,0100,Y 92174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92174,A000000,00300,0000,00300EMPLOYEE BENEFITS 92174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92174,A000000,00700,0000,00700HOUSEKEEPING 92174,A000000,00800,0000,00800DIETARY 92174,A000000,00900,0000,00900NURSING ADMINISTRATION 92174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92174,A000000,01100,0000,01100PHARMACY 92174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92174,A000000,01300,0000,01300SOCIAL SERVICE 92174,A000000,01350,0000,01500PATIENT ACTIVITIES 92174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92174,A000000,01600,0000,01600SKILLED NURSING FACILITY 92174,A000000,01800,0000,01800NURSING FACILITY 92174,A000000,01810,0000,01810ICF/MR 92174,A000000,01900,0000,01900OTHER LONG TERM CARE 92174,A000000,02100,0000,02100RADIOLOGY 92174,A000000,02200,0000,02200LABORATORY 92174,A000000,02300,0000,02300INTRAVENOUS THERAPY 92174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92174,A000000,02500,0000,02500PHYSICAL THERAPY 92174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92174,A000000,02700,0000,02700SPEECH PATHOLOGY 92174,A000000,02800,0000,02800ELECTROCARDIOLOGY 92174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92174,A000000,03200,0000,03200SUPPORT SURFACES 92174,A000000,03400,0000,03400CLINIC 92174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92174,A000000,03500,0000,03500RURAL HEALTH CLINIC 92174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92174,A000000,04800,0000,04800AMBULANCE 92174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92174,A000000,05000,0000,05000CORF 92174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92174,A000000,05300,0000,05300INTEREST EXPENSE 92174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92174,A000000,05500,0000,05500HOSPICE 92174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92174,A000000,06100,0000,06100NONPAID WORKERS 92174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92174,A000000,06200,0000,06200PATIENTS LAUNDRY 92174,A81000A,00100,0100,Y 92174,A81000B,00100,0300,PT SALARY & BENEFITS 92174,A81000B,00200,0300,OT SALARY & BENEFITS 92174,A81000B,00300,0300,ST SALARY & BENEFITS 92174,A81000B,00400,0300,PERSONNEL SALARIES & BENEFITS 92174,A81000B,00500,0300,ACCOUNTING SALARIES & BENEFITS 92174,A81000B,00600,0300,MEDICAL DIRECTOR 92174,A81000B,00700,0300,MGT. PURCHASE SERVICES 92174,A81000B,00800,0300,DEPRECIATION CORP OFFICE 92174,A81000B,00900,0300,SUPPLIES 92174,A81000B,01000,0300,MGT - LEGAL 92174,A81000B,01100,0300,HEALTH INSURANCE PREMIUM 92174,A81000B,01200,0300,WORKERS COMP 92174,A81000B,01300,0300,HELP WANTED ADVERTISING 92174,A81000C,00100,0100,B 92174,A81000C,00100,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,00200,0100,B 92174,A81000C,00200,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,00300,0100,B 92174,A81000C,00300,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,00400,0100,B 92174,A81000C,00400,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,00500,0100,B 92174,A81000C,00500,0200,HARTWYCK AT OAKTREE 92174,A81000C,00600,0100,B 92174,A81000C,00600,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,00700,0100,B 92174,A81000C,00700,0200,JFK SOLARIS HEALTH SYSTEM 92174,A81000C,00800,0100,B 92174,A81000C,00800,0200,JFK SOLARIS HEALTH SYSTEM 92174,A81000C,00900,0100,B 92174,A81000C,00900,0200,JFK SOLARIS HEALTH SYSTEM 92174,A81000C,01000,0100,B 92174,A81000C,01000,0200,JFK SOLARIS HEALTH SYSTEM 92174,A81000C,01001,0100,B 92174,A81000C,01001,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,01002,0100,B 92174,A81000C,01002,0200,COMMUNITY HOSPITAL GROUP 92174,A81000C,01003,0100,B 92174,A81000C,01003,0200,COMMUNITY HOSPITAL GROUP 92174,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92174,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92174,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92174,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92174,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92174,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92174,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92174,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 92174,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92174,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92174,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92174,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92174,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92174,E10A180,00301,0100,08/25/1999 92174,S000000,00100,0200,06/06/2000 92174,S200000,00100,0100,465 PLAINFIELD AVENUE 92174,S200000,00200,0100,EDISON 92174,S200000,00200,0200,NJ 92174,S200000,00200,0300,08817- 92174,S200000,00300,0100,MIDDLESEX 92174,S200000,00300,0200,5015 92174,S200000,00300,0300,U 92174,S200000,00400,0100,JFK HARTWYCK AT EDISON ESTATES 92174,S200000,00400,0200,315279 92174,S200000,00400,0300,07/01/1989 92174,S200000,00400,0500,P 92174,S200000,01600,0100,Y 92182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92182,A000000,00300,0000,00300EMPLOYEE BENEFITS 92182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92182,A000000,00700,0000,00700HOUSEKEEPING 92182,A000000,00800,0000,00800DIETARY 92182,A000000,00900,0000,00900NURSING ADMINISTRATION 92182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92182,A000000,01100,0000,01100PHARMACY 92182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92182,A000000,01300,0000,01300SOCIAL SERVICE 92182,A000000,01350,0000,01500PATIENT ACTIVITIES 92182,A000000,01600,0000,01600SKILLED NURSING FACILITY 92182,A000000,01800,0000,01800NURSING FACILITY 92182,A000000,01900,0000,01900OTHER LONG TERM CARE 92182,A000000,02100,0000,02100RADIOLOGY 92182,A000000,02200,0000,02200LABORATORY 92182,A000000,02300,0000,02300INTRAVENOUS THERAPY 92182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92182,A000000,02500,0000,02500PHYSICAL THERAPY 92182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92182,A000000,02700,0000,02700SPEECH PATHOLOGY 92182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92182,A000000,03200,0000,03200SUPPORT SURFACES 92182,A000000,04800,0000,04800AMBULANCE 92182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92182,A000000,06100,0000,06100NONPAID WORKERS 92182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92182,A000000,06200,0000,06200PATIENTS LAUNDRY 92182,A81000A,00100,0100,Y 92182,A81000B,00100,0300,HOME OFFICE 92182,A81000B,00200,0300,HOME OFFICE 92182,A81000B,00300,0300,RENT 92182,A81000B,00400,0300,A & G EXPENSE-PENSION RD REALTY 92182,A81000B,00500,0300,PROPERTY/BOILER INSURANCE 92182,A81000B,00600,0300,WORKMENS COMP INS. 92182,A81000B,00700,0300,LIABILITY/AUTO INS. 92182,A81000B,00800,0300,ASST ADM 92182,A81000C,00100,0100,B 92182,A81000C,00100,0200,GERI CARE INC. 92182,A81000C,00100,0400,GERI CARE INC. 92182,A81000C,00100,0600,HOME OFFICE 92182,A81000C,00200,0100,B 92182,A81000C,00200,0200,SAUL WOLF 92182,A81000C,00200,0400,HIRSCH WOLF & CO. 92182,A81000C,00200,0600,INSURANCE EXPENSES 92182,A81000C,00300,0100,B 92182,A81000C,00300,0200,PENSION ROAD REALTY 92182,A81000C,00300,0400,PENSION ROAD REALTY 92182,A81000C,00300,0600,REALTY COMPANY 92182,A81000C,00400,0100,B 92182,A81000C,00400,0200,GERALD FRIEDERWITZER 92182,A81000C,00400,0400,GERALD FRIEDERWITZER 92182,A81000C,00400,0600,ASST. ADM. 92182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92182,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92182,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92182,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92182,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92182,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92182,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92182,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92182,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92182,E10A180,00301,0100,07/27/1999 92182,S000000,00100,0200,06/01/2000 92182,S200000,00100,0100,104 PENSION ROAD 92182,S200000,00200,0100,ENGLISHTOWN 92182,S200000,00200,0200,NJ 92182,S200000,00200,0300,07726- 92182,S200000,00300,0100,MONMOUTH 92182,S200000,00400,0100,PINEBROOK CARE CENTER 92182,S200000,00400,0200,315282 92182,S200000,00400,0300,08/01/1989 92182,S200000,00400,0500,P 92182,S200000,01600,0100,Y 92182,S700003,00000,0100,1 92189,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92189,A000000,00300,0000,00300EMPLOYEE BENEFITS 92189,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92189,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92189,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92189,A000000,00700,0000,00700HOUSEKEEPING 92189,A000000,00800,0000,00800DIETARY 92189,A000000,00900,0000,00900NURSING ADMINISTRATION 92189,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92189,A000000,01100,0000,01100PHARMACY 92189,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92189,A000000,01300,0000,01300SOCIAL SERVICE 92189,A000000,01350,0000,01500PATIENT ACTIVITIES 92189,A000000,01600,0000,01600SKILLED NURSING FACILITY 92189,A000000,01800,0000,01800NURSING FACILITY 92189,A000000,01900,0000,01900OTHER LONG TERM CARE 92189,A000000,02100,0000,02100RADIOLOGY 92189,A000000,02200,0000,02200LABORATORY 92189,A000000,02300,0000,02300INTRAVENOUS THERAPY 92189,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92189,A000000,02500,0000,02500PHYSICAL THERAPY 92189,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92189,A000000,02700,0000,02700SPEECH PATHOLOGY 92189,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92189,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92189,A000000,03200,0000,03200SUPPORT SURFACES 92189,A000000,04800,0000,04800AMBULANCE 92189,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92189,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92189,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92189,A000000,06100,0000,06100NONPAID WORKERS 92189,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92189,A000000,06200,0000,06200PATIENTS LAUNDRY 92189,A81000A,00100,0100,Y 92189,A81000B,00100,0300,HOME OFFICE 92189,A81000B,00200,0300,HOME OFFICE 92189,A81000C,00100,0100,B 92189,A81000C,00100,0200,GERI CARE INC. 92189,A81000C,00100,0400,GERI CARE INC. 92189,A81000C,00100,0600,HOME OFFICE 92189,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92189,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92189,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92189,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92189,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92189,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92189,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92189,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92189,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92189,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92189,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92189,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92189,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92189,E10A180,00301,0100,07/27/1999 92189,S000000,00100,0200,06/01/2000 92189,S200000,00100,0100,229 BATH AVENUR 92189,S200000,00200,0100,LOMG BRANCH 92189,S200000,00200,0200,NJ 92189,S200000,00200,0300,07740- 92189,S200000,00300,0100,MONMOUTH 92189,S200000,00400,0100,MONMOUTH CONVALESCENT CORP 92189,S200000,00400,0200,315284 92189,S200000,00400,0300,07/11/1989 92189,S200000,00400,0500,P 92189,S200000,01600,0100,Y 92197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92197,A000000,00300,0000,00300EMPLOYEE BENEFITS 92197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92197,A000000,00700,0000,00700HOUSEKEEPING 92197,A000000,00800,0000,00800DIETARY 92197,A000000,00900,0000,00900NURSING ADMINISTRATION 92197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92197,A000000,01100,0000,01100PHARMACY 92197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92197,A000000,01300,0000,01300SOCIAL SERVICE 92197,A000000,01350,0000,01500PATIENT ACTIVITIES 92197,A000000,01600,0000,01600SKILLED NURSING FACILITY 92197,A000000,01800,0000,01800NURSING FACILITY 92197,A000000,01900,0000,01900OTHER LONG TERM CARE 92197,A000000,02100,0000,02100RADIOLOGY 92197,A000000,02200,0000,02200LABORATORY 92197,A000000,02300,0000,02300INTRAVENOUS THERAPY 92197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92197,A000000,02500,0000,02500PHYSICAL THERAPY 92197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92197,A000000,02700,0000,02700SPEECH PATHOLOGY 92197,A000000,02800,0000,02800ELECTROCARDIOLOGY 92197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92197,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92197,A000000,03200,0000,03200SUPPORT SURFACES 92197,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92197,A000000,04800,0000,04800AMBULANCE 92197,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92197,A000000,05300,0000,05300INTEREST EXPENSE 92197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92197,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92197,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92197,A000000,06100,0000,06100NONPAID WORKERS 92197,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92197,A000000,06200,0000,06200PATIENTS LAUNDRY 92197,A81000A,00100,0100,Y 92197,A81000B,00100,0300,RENT 92197,A81000B,00200,0300,OTHER EXPENSES-BARTLEY ASS. 92197,A81000B,00300,0300,ASST ADM-P.MAZEJY 92197,A81000B,00400,0300,CEO-P. SCALO 92197,A81000B,00500,0300,MEDICAL DIR.-P.DEMURO 92197,A81000B,00600,0300,LEGAL 92197,A81000C,00100,0100,A 92197,A81000C,00100,0200,V. DEMURO 92197,A81000C,00100,0400,BARTLEY ASSOCIATES 92197,A81000C,00100,0600,REAL ESTATE CO. 92197,A81000C,00200,0100,A 92197,A81000C,00200,0200,A. CHRISTIANO 92197,A81000C,00200,0400,BARTLEY ASSOICATES 92197,A81000C,00200,0600,REAL ESTATE CO. 92197,A81000C,00300,0100,A 92197,A81000C,00300,0200,P. DEMURO 92197,A81000C,00300,0400,BARTLEY ASSOCIATES 92197,A81000C,00300,0600,REAL ESTATE CO. 92197,A81000C,00400,0100,A 92197,A81000C,00400,0200,P. SCALO 92197,A81000C,00400,0400,BARTLEY ASSOCIATES 92197,A81000C,00400,0600,REAL ESTATE CO. 92197,A81000C,00500,0100,F 92197,A81000C,00500,0200,P. MAZEGY 92197,A81000C,00500,0400,ASST. ADM. 92197,A81000C,00500,0600,RELATIVE 92197,A81000C,00600,0100,A 92197,A81000C,00600,0200,P. SCALO 92197,A81000C,00600,0600,LEGAL SERVICES 92197,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92197,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92197,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92197,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92197,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92197,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92197,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92197,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92197,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92197,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92197,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92197,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92197,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92197,E10A180,00301,0100,07/20/1999 92197,S000000,00100,0200,05/31/2000 92197,S200000,00100,0100,20 BARTLEY ROAD 92197,S200000,00200,0100,JACKSON 92197,S200000,00200,0200,NJ 92197,S200000,00200,0300,08527- 92197,S200000,00300,0100,OCEAN 92197,S200000,00400,0100,BARTLEY HEALTHCARE NURS & REHAB 92197,S200000,00400,0200,315288 92197,S200000,00400,0300,03/01/1990 92197,S200000,00400,0500,P 92197,S200000,01500,0100,Y 92197,S700003,00000,0100,1 92200,S000000,00100,0200,06/09/2000 92208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92208,A000000,00300,0000,00300EMPLOYEE BENEFITS 92208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92208,A000000,00700,0000,00700HOUSEKEEPING 92208,A000000,00800,0000,00800DIETARY 92208,A000000,00900,0000,00900NURSING ADMINISTRATION 92208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92208,A000000,01100,0000,01100PHARMACY 92208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92208,A000000,01300,0000,01300SOCIAL SERVICE 92208,A000000,01350,0000,01500PATIENT ACTIVITIES 92208,A000000,01600,0000,01600SKILLED NURSING FACILITY 92208,A000000,01800,0000,01800NURSING FACILITY 92208,A000000,01900,0000,01900OTHER LONG TERM CARE 92208,A000000,02100,0000,02100RADIOLOGY 92208,A000000,02200,0000,02200LABORATORY 92208,A000000,02300,0000,02300INTRAVENOUS THERAPY 92208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92208,A000000,02500,0000,02500PHYSICAL THERAPY 92208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92208,A000000,02700,0000,02700SPEECH PATHOLOGY 92208,A000000,02800,0000,02800ELECTROCARDIOLOGY 92208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92208,A000000,03050,0000,03300AMBULANCE 92208,A000000,03200,0000,03200SUPPORT SURFACES 92208,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92208,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92208,A000000,04800,0000,04800AMBULANCE 92208,A000000,05300,0000,05300INTEREST EXPENSE 92208,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92208,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92208,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92208,A000000,06100,0000,06100NONPAID WORKERS 92208,A000000,06150,0000,06300ADULT DAY CARE 92208,A000000,06200,0000,06200PATIENTS LAUNDRY 92208,A81000A,00100,0100,Y 92208,A81000B,00100,0300,MANAGEMENT FEE 92208,A81000B,00200,0300,ADMINISTRATION 92208,A81000B,00300,0300,MAINTENANCE 92208,A81000B,00400,0300,INT DEP & AMORT 92208,A81000C,00100,0100,B 92208,A81000C,00100,0200,BRANYWINE SENIOR CARE 92208,A81000C,00100,0400,ADMIN MAINT INT DEP A 92208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92208,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 92208,B100000,00000,0800,00000MEALS :DIETARY 92208,B100000,00000,0950,00000DIRECT NRSING SAL :NURSING ADMINIST 92208,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92208,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92208,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92208,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92208,S000000,00100,0200,02/05/2001 92208,S200000,00100,0100,3000 HILLTOP RD 92208,S200000,00200,0100,WHITING 92208,S200000,00200,0200,NJ 92208,S200000,00200,0300,08759- 92208,S200000,00300,0100,OCEAN 92208,S200000,00300,0200,5190 92208,S200000,00300,0300,U 92208,S200000,00400,0100,WHITING HEALTH CARE CENTER 92208,S200000,00400,0200,315293 92208,S200000,00400,0300,03/05/1990 92208,S200000,00400,0500,P 92208,S200000,01600,0100,Y 92215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92215,A000000,00300,0000,00300EMPLOYEE BENEFITS 92215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92215,A000000,00700,0000,00700HOUSEKEEPING 92215,A000000,00800,0000,00800DIETARY 92215,A000000,00900,0000,00900NURSING ADMINISTRATION 92215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92215,A000000,01100,0000,01100PHARMACY 92215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92215,A000000,01300,0000,01300SOCIAL SERVICE 92215,A000000,01350,0000,01500PATIENT ACTIVITIES 92215,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92215,A000000,01600,0000,01600SKILLED NURSING FACILITY 92215,A000000,01800,0000,01800NURSING FACILITY 92215,A000000,01810,0000,01810ICF/MR 92215,A000000,01900,0000,01900OTHER LONG TERM CARE 92215,A000000,02100,0000,02100RADIOLOGY 92215,A000000,02200,0000,02200LABORATORY 92215,A000000,02300,0000,02300INTRAVENOUS THERAPY 92215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92215,A000000,02500,0000,02500PHYSICAL THERAPY 92215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92215,A000000,02700,0000,02700SPEECH PATHOLOGY 92215,A000000,02800,0000,02800ELECTROCARDIOLOGY 92215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92215,A000000,02901,0000,02901AIR FLUIDIZED BEDS 92215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92215,A000000,04800,0000,04800AMBULANCE 92215,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92215,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92215,A000000,06100,0000,06100NONPAID WORKERS 92215,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92215,A000000,06200,0000,06200PATIENTS LAUNDRY 92215,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92215,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92215,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92215,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92215,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92215,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92215,B100000,00000,0800,00000MEALS SERVED :DIETARY 92215,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92215,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92215,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92215,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92215,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92215,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92215,S000000,00100,0200,04/25/2000 92215,S200000,00100,0100,12 MOORE ROAD 92215,S200000,00200,0100,CAPE MAY COURT HOUSE 92215,S200000,00200,0200,NJ 92215,S200000,00200,0300,08210- 92215,S200000,00300,0100,CAPE MAY 92215,S200000,00300,0200,0560 92215,S200000,00300,0300,U 92215,S200000,00400,0100,CREST HAVEN NURSING HOME 92215,S200000,00400,0200,315294 92215,S200000,00400,0300,04/07/1990 92215,S200000,00400,0500,P 92215,S200000,01500,0100,Y 92224,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92224,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92224,A000000,00300,0000,00300EMPLOYEE BENEFITS 92224,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92224,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92224,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92224,A000000,00700,0000,00700HOUSEKEEPING 92224,A000000,00800,0000,00800DIETARY 92224,A000000,00900,0000,00900NURSING ADMINISTRATION 92224,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92224,A000000,01100,0000,01100PHARMACY 92224,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92224,A000000,01300,0000,01300SOCIAL SERVICE 92224,A000000,01350,0000,01500PATIENT ACTIVITIES 92224,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92224,A000000,01600,0000,01600SKILLED NURSING FACILITY 92224,A000000,01800,0000,01800NURSING FACILITY 92224,A000000,01810,0000,01801ICF/MR 92224,A000000,01900,0000,01900OTHER LONG TERM CARE 92224,A000000,02100,0000,02100RADIOLOGY 92224,A000000,02200,0000,02200LABORATORY 92224,A000000,02300,0000,02300INTRAVENOUS THERAPY 92224,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92224,A000000,02500,0000,02500PHYSICAL THERAPY 92224,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92224,A000000,02700,0000,02700SPEECH PATHOLOGY 92224,A000000,02800,0000,02800ELECTROCARDIOLOGY 92224,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92224,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92224,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92224,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92224,A000000,03200,0000,03200SUPPORT SURFACES 92224,A000000,03400,0000,03400CLINIC 92224,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92224,A000000,03500,0000,03500RURAL HEALTH CLINIC 92224,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92224,A000000,04800,0000,04800AMBULANCE 92224,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92224,A000000,05000,0000,05000CORF 92224,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92224,A000000,05300,0000,05300INTEREST EXPENSE 92224,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92224,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92224,A000000,05500,0000,05500HOSPICE 92224,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92224,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92224,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92224,A000000,06100,0000,06100NONPAID WORKERS 92224,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92224,A000000,06200,0000,06200PATIENTS LAUNDRY 92224,A81000A,00100,0100,Y 92224,A81000B,00100,0300,ADMINISTRATOR SALARY 92224,A81000C,00100,0100,A 92224,A81000C,00100,0200,DR. DAVID ROSEN 92224,A81000C,00100,0400,SELF 92224,A81000C,00100,0600,OWNER 92224,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92224,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 92224,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92224,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92224,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92224,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92224,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92224,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92224,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92224,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92224,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92224,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92224,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92224,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92224,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92224,S000000,00100,0200,05/31/2000 92224,S200000,00100,0100,16 CRATETOWN ROAD 92224,S200000,00200,0100,LEBANON 92224,S200000,00200,0200,NJ 92224,S200000,00200,0300,08833- 92224,S200000,00300,0100,HUNTERTON 92224,S200000,00400,0100,ROLLING HILLS CARE CENTER 92224,S200000,00400,0200,315302 92224,S200000,00400,0300,04/01/1991 92224,S200000,00400,0500,P 92224,S200000,01500,0100,Y 92224,S700003,00000,0100,1 92232,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92232,A000000,00300,0000,00300EMPLOYEE BENEFITS 92232,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92232,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92232,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92232,A000000,00700,0000,00700HOUSEKEEPING 92232,A000000,00800,0000,00800DIETARY 92232,A000000,00900,0000,00900NURSING ADMINISTRATION 92232,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92232,A000000,01100,0000,01100PHARMACY 92232,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92232,A000000,01300,0000,01300SOCIAL SERVICE 92232,A000000,01350,0000,01500PATIENT ACTIVITIES 92232,A000000,01600,0000,01600SKILLED NURSING FACILITY 92232,A000000,01800,0000,01800NURSING FACILITY 92232,A000000,01900,0000,01900OTHER LONG TERM CARE 92232,A000000,02100,0000,02100RADIOLOGY 92232,A000000,02200,0000,02200LABORATORY 92232,A000000,02300,0000,02300INTRAVENOUS THERAPY 92232,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92232,A000000,02500,0000,02500PHYSICAL THERAPY 92232,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92232,A000000,02700,0000,02700SPEECH PATHOLOGY 92232,A000000,02800,0000,02800ELECTROCARDIOLOGY 92232,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92232,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92232,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92232,A000000,03200,0000,03200SUPPORT SURFACES 92232,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92232,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92232,A000000,04800,0000,04800AMBULANCE 92232,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92232,A000000,05300,0000,05300INTEREST EXPENSE 92232,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92232,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92232,A000000,05500,0000,05500HOSPICE 92232,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92232,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92232,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92232,A000000,06100,0000,06100NONPAID WORKERS 92232,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92232,A000000,06200,0000,06200PATIENTS LAUNDRY 92232,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92232,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92232,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92232,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92232,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92232,B100000,00000,0750,00000SQ FT EXC KITCHEN:HOUSEKEEPING 92232,B100000,00000,0800,00000MEALS :DIETARY 92232,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92232,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92232,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92232,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92232,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92232,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92232,E10A180,00302,0100,07/22/1999 92232,S000000,00100,0200,06/02/2000 92232,S200000,00100,0100,540 WEST HANOVER AVE 92232,S200000,00200,0100,MORRIS PLAINS 92232,S200000,00200,0200,NJ 92232,S200000,00200,0300,07950- 92232,S200000,00300,0100,MORRIS 92232,S200000,00400,0100,MORRIS VIEW NURSING HOME 92232,S200000,00400,0200,315303 92232,S200000,00400,0300,09/01/1991 92232,S200000,00400,0500,P 92232,S200000,01600,0100,Y 92232,S700003,00000,0400,4 92240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92240,A000000,00300,0000,00300EMPLOYEE BENEFITS 92240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92240,A000000,00700,0000,00700HOUSEKEEPING 92240,A000000,00800,0000,00800DIETARY 92240,A000000,00900,0000,00900NURSING ADMINISTRATION 92240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92240,A000000,01100,0000,01100PHARMACY 92240,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92240,A000000,01300,0000,01300SOCIAL SERVICE 92240,A000000,01350,0000,01500PATIENT ACTIVITIES 92240,A000000,01600,0000,01600SKILLED NURSING FACILITY 92240,A000000,01800,0000,01800NURSING FACILITY 92240,A000000,01900,0000,01900OTHER LONG TERM CARE 92240,A000000,02100,0000,02100RADIOLOGY 92240,A000000,02200,0000,02200LABORATORY 92240,A000000,02300,0000,02300INTRAVENOUS THERAPY 92240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92240,A000000,02500,0000,02500PHYSICAL THERAPY 92240,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92240,A000000,02700,0000,02700SPEECH PATHOLOGY 92240,A000000,02800,0000,02800ELECTROCARDIOLOGY 92240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92240,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92240,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92240,A000000,03200,0000,03200SUPPORT SURFACES 92240,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92240,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92240,A000000,04800,0000,04800AMBULANCE 92240,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92240,A000000,05300,0000,05300INTEREST EXPENSE 92240,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92240,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92240,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92240,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92240,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92240,A000000,06100,0000,06100NONPAID WORKERS 92240,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92240,A000000,06200,0000,06200PATIENTS LAUNDRY 92240,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92240,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92240,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92240,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92240,B100000,00000,0750,00000SQUAREFEET T EXC KITC:HOUSEKEEPING 92240,B100000,00000,0800,00000MEALS :DIETARY 92240,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92240,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92240,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92240,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92240,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92240,E10A180,00301,0100,06/16/1999 92240,S000000,00100,0200,05/18/2000 92240,S200000,00100,0100,350 OXFORD ROAD 92240,S200000,00200,0100,OXFORD 92240,S200000,00200,0200,NJ 92240,S200000,00200,0300,07863- 92240,S200000,00300,0100,WARREN 92240,S200000,00300,0200,5640 92240,S200000,00300,0300,U 92240,S200000,00400,0100,WARREN HAVEN 92240,S200000,00400,0200,315304 92240,S200000,00400,0300,11/01/1991 92240,S200000,00400,0500,P 92240,S200000,01600,0100,Y 92249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92249,A000000,00300,0000,00300EMPLOYEE BENEFITS 92249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92249,A000000,00700,0000,00700HOUSEKEEPING 92249,A000000,00800,0000,00800DIETARY 92249,A000000,00900,0000,00900NURSING ADMINISTRATION 92249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92249,A000000,01100,0000,01100PHARMACY 92249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92249,A000000,01300,0000,01300SOCIAL SERVICE 92249,A000000,01350,0000,01500PATIENT ACTIVITIES 92249,A000000,01600,0000,01600SKILLED NURSING FACILITY 92249,A000000,01800,0000,01800NURSING FACILITY 92249,A000000,01900,0000,01900OTHER LONG TERM CARE 92249,A000000,02100,0000,02100RADIOLOGY 92249,A000000,02200,0000,02200LABORATORY 92249,A000000,02300,0000,02300INTRAVENOUS THERAPY 92249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92249,A000000,02500,0000,02500PHYSICAL THERAPY 92249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92249,A000000,02700,0000,02700SPEECH PATHOLOGY 92249,A000000,02800,0000,02800ELECTROCARDIOLOGY 92249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92249,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92249,A000000,03200,0000,03200SUPPORT SURFACES 92249,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92249,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92249,A000000,04800,0000,04800AMBULANCE 92249,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92249,A000000,05300,0000,05300INTEREST EXPENSE 92249,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92249,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92249,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92249,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92249,A000000,06100,0000,06100NONPAID WORKERS 92249,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92249,A000000,06200,0000,06200PATIENTS LAUNDRY 92249,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92249,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92249,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92249,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92249,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92249,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92249,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92249,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92249,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92249,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92249,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92249,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92249,E10A180,00301,0100,08/16/1999 92249,S000000,00100,0200,06/01/2000 92249,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 92249,S200000,00200,0100,HACKENSACK 92249,S200000,00200,0200,NJ 92249,S200000,00200,0300,07601- 92249,S200000,00300,0100,MIDDLESEX 92249,S200000,00400,0100,AMBOY CARE CENTER 92249,S200000,00400,0200,315305 92249,S200000,00400,0300,05/01/1991 92249,S200000,00400,0500,P 92249,S200000,01500,0100,Y 92249,S700003,00000,0100,1 92257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92257,A000000,00300,0000,00300EMPLOYEE BENEFITS 92257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92257,A000000,00700,0000,00700HOUSEKEEPING 92257,A000000,00800,0000,00800DIETARY 92257,A000000,00900,0000,00900NURSING ADMINISTRATION 92257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92257,A000000,01100,0000,01100PHARMACY 92257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92257,A000000,01300,0000,01300SOCIAL SERVICE 92257,A000000,01350,0000,01500ACTIVITIES 92257,A000000,01600,0000,01600SKILLED NURSING FACILITY 92257,A000000,01800,0000,01800NURSING FACILITY 92257,A000000,01900,0000,01900OTHER LONG TERM CARE 92257,A000000,02100,0000,02100RADIOLOGY 92257,A000000,02200,0000,02200LABORATORY 92257,A000000,02300,0000,02300INTRAVENOUS THERAPY 92257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92257,A000000,02500,0000,02500PHYSICAL THERAPY 92257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92257,A000000,02700,0000,02700SPEECH PATHOLOGY 92257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92257,A000000,03200,0000,03200SUPPORT SURFACES 92257,A000000,04800,0000,04800AMBULANCE 92257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92257,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92257,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92257,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92257,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92257,B100000,00000,0800,00000MEALS SERVED :DIETARY 92257,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92257,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92257,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92257,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92257,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92257,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92257,S000000,00100,0200,05/22/2000 92257,S200000,00100,0100,96 PARKWAY AVE 92257,S200000,00200,0100,ROCHELLE PARK 92257,S200000,00200,0200,NJ 92257,S200000,00200,0300,07662- 92257,S200000,00300,0100,BERGEN 92257,S200000,00300,0200,0875 92257,S200000,00300,0300,U 92257,S200000,00400,0100,BRISTOL MANOR HEALTH CARE CENTER 92257,S200000,00400,0200,315308 92257,S200000,00400,0300,01/01/1992 92257,S200000,00400,0500,P 92257,S200000,01600,0100,Y 92257,S200000,04700,0100,Y 92257,S200000,04700,0200,Y 92269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92269,A000000,00300,0000,00300EMPLOYEE BENEFITS 92269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92269,A000000,00700,0000,00700HOUSEKEEPING 92269,A000000,00800,0000,00800DIETARY 92269,A000000,00900,0000,00900NURSING ADMINISTRATION 92269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92269,A000000,01100,0000,01100PHARMACY 92269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92269,A000000,01300,0000,01300SOCIAL SERVICE 92269,A000000,01350,0000,01500ACTIVITIES 92269,A000000,01600,0000,01600SKILLED NURSING FACILITY 92269,A000000,01800,0000,01800NURSING FACILITY 92269,A000000,01900,0000,01900OTHER LONG TERM CARE 92269,A000000,02100,0000,02100RADIOLOGY 92269,A000000,02200,0000,02200LABORATORY 92269,A000000,02300,0000,02300INTRAVENOUS THERAPY 92269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92269,A000000,02500,0000,02500PHYSICAL THERAPY 92269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92269,A000000,02700,0000,02700SPEECH PATHOLOGY 92269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92269,A000000,03200,0000,03200SUPPORT SURFACES 92269,A000000,04800,0000,04800AMBULANCE 92269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92269,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92269,B100000,00000,0800,00000MEALS SERVED :DIETARY 92269,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92269,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92269,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92269,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92269,E10A180,00301,0100,07/31/1999 92269,S000000,00100,0200,05/22/2000 92269,S200000,00100,0100,178-198 OGDEN AVENUE 92269,S200000,00200,0100,JERSEY CITY 92269,S200000,00200,0200,NJ 92269,S200000,00200,0300,07307- 92269,S200000,00300,0100,HUDSON 92269,S200000,00400,0100,HARBORVIEW HEALTH CARE CENTER 92269,S200000,00400,0200,315310 92269,S200000,00400,0300,01/01/1992 92269,S200000,00400,0500,P 92269,S200000,01600,0100,Y 92269,S200000,04700,0100,Y 92269,S700003,00000,0100,1 92279,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92279,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92279,A000000,00300,0000,00300EMPLOYEE BENEFITS 92279,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92279,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92279,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92279,A000000,00700,0000,00700HOUSEKEEPING 92279,A000000,00800,0000,00800DIETARY 92279,A000000,00900,0000,00900NURSING ADMINISTRATION 92279,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92279,A000000,01100,0000,01100PHARMACY 92279,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92279,A000000,01300,0000,01300SOCIAL SERVICE 92279,A000000,01350,0000,01500PATIENT ACTIVITIES 92279,A000000,01600,0000,01600SKILLED NURSING FACILITY 92279,A000000,01800,0000,01800NURSING FACILITY 92279,A000000,01900,0000,01900OTHER LONG TERM CARE 92279,A000000,02100,0000,02100RADIOLOGY 92279,A000000,02200,0000,02200LABORATORY 92279,A000000,02300,0000,02300INTRAVENOUS THERAPY 92279,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92279,A000000,02500,0000,02500PHYSICAL THERAPY 92279,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92279,A000000,02700,0000,02700SPEECH PATHOLOGY 92279,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92279,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92279,A000000,03200,0000,03200SUPPORT SURFACES 92279,A000000,04800,0000,04800AMBULANCE 92279,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92279,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92279,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92279,A000000,06100,0000,06100NONPAID WORKERS 92279,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92279,A000000,06200,0000,06200PATIENTS LAUNDRY 92279,A81000A,00100,0100,Y 92279,A81000B,00100,0300,OCCUPATIONAL THERAPIST 92279,A81000B,00200,0300,PHYSICAL THERAPISTS 92279,A81000B,00300,0300,SPEECH THEAPISTS 92279,A81000B,00400,0300,A & G EXPENSES 92279,A81000B,00500,0300,RESPIRATORY THERAPISTS 92279,A81000B,00600,0300,PUBLIC RELATIONS/MARKETING 92279,A81000B,00700,0300,INTEREST 92279,A81000B,00800,0300,ADMINISTRATIVE SERV 92279,A81000B,00900,0300,SBC MGT MAINT. 92279,A81000C,00100,0100,B 92279,A81000C,00100,0200,ST. BARNABAS REHAB 92279,A81000C,00100,0400,RELATED COMPANY 92279,A81000C,00100,0600,THERAPY SERVICES 92279,A81000C,00200,0100,B 92279,A81000C,00200,0200,CENTRAL BEHAVIORAL 92279,A81000C,00200,0400,RELATED COMPANY 92279,A81000C,00200,0600,PSYCHLOLGISTS 92279,A81000C,00300,0100,B 92279,A81000C,00300,0200,COMMUNITY MEDICAL CTR 92279,A81000C,00300,0400,RELATED COMPANY 92279,A81000C,00300,0600,ADMINISTRATIVE SERV 92279,A81000C,00400,0100,B 92279,A81000C,00400,0200,HUMAN CONCEPTS 92279,A81000C,00400,0400,RELATED COMPANY 92279,A81000C,00400,0600,PUBLIC RELATIONS 92279,A81000C,00500,0100,B 92279,A81000C,00500,0200,SBC MGT 92279,A81000C,00500,0400,RELATED COMPANY 92279,A81000C,00500,0600,ADMINISTRATIVE SERV 92279,A81000C,00600,0100,B 92279,A81000C,00600,0200,ST. BARNABAS HEALTHCARE 92279,A81000C,00600,0400,RELATED COMPANY 92279,A81000C,00600,0600,ADMINISTRATIVE SERV 92279,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92279,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92279,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92279,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92279,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92279,B100000,00000,0650,00000PATIENT DAYS-NF :LAUNDRY & LINEN S 92279,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92279,B100000,00000,0850,00000PATIENT DAYS-NF-AL :DIETARY 92279,B100000,00000,0950,00000PATIENT DAYS-NF :NURSING ADMINISTR 92279,B100000,00000,1050,00000PATIENT DAYS-NF :CENTRAL SERVICES 92279,B100000,00000,1150,00000PATIENT DAYS-NF :PHARMACY 92279,B100000,00000,1250,00000PATIENT DAYS-NF :MEDICAL RECORDS & 92279,B100000,00000,1330,00000PATIENT DAYS-NF :SOCIAL SERVICE 92279,B100000,00000,1350,00000PATIENT DAYS-NF-AL :PATIENT ACTIVI 92279,E10A180,00301,0100,08/02/1999 92279,S000000,00100,0200,05/22/2000 92279,S200000,00100,0100,94 STEVENS ROAD 92279,S200000,00200,0100,TOMS RIVER 92279,S200000,00200,0200,NJ 92279,S200000,00200,0300,18755- 92279,S200000,00300,0100,OCEAN 92279,S200000,00300,0200,5190 92279,S200000,00300,0300,U 92279,S200000,00400,0100,KENSINGTON MANOR 92279,S200000,00400,0200,315312 92279,S200000,00400,0300,05/06/1992 92279,S200000,00400,0500,P 92279,S200000,01500,0100,Y 92283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92283,A000000,00300,0000,00300EMPLOYEE BENEFITS 92283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92283,A000000,00700,0000,00700HOUSEKEEPING 92283,A000000,00800,0000,00800DIETARY 92283,A000000,00900,0000,00900NURSING ADMINISTRATION 92283,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92283,A000000,01100,0000,01100PHARMACY 92283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92283,A000000,01300,0000,01300SOCIAL SERVICE 92283,A000000,01600,0000,01600SKILLED NURSING FACILITY 92283,A000000,02100,0000,02100RADIOLOGY 92283,A000000,02300,0000,02300INTRAVENOUS THERAPY 92283,A000000,02500,0000,02500PHYSICAL THERAPY 92283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92283,A000000,02700,0000,02700SPEECH PATHOLOGY 92283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92283,A000000,03550,0000,03550FQHC 92283,A000000,05000,0000,05000CORF 92283,A000000,05010,0000,05010CMHC 92283,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 92283,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 92283,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 92283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92283,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92283,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92283,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92283,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92283,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92283,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92283,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 92283,B100000,00000,0800,00000MEALS SERVED :DIETARY 92283,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92283,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92283,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92283,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92283,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92283,S000000,00100,0200,04/24/2000 92283,S200000,00100,0100,221 COUNTY ROAD 92283,S200000,00200,0100,CRESSKILL 92283,S200000,00200,0200,NJ 92283,S200000,00200,0300,07626- 92283,S200000,00300,0100,BERGEN 92283,S200000,00400,0100,DUNROVEN HEALTHCARE CENTER 92283,S200000,00400,0200,315313 92283,S200000,00400,0300,05/14/1992 92283,S200000,00400,0500,P 92283,S200000,01500,0100,Y 92283,S200000,03300,0100,Y 92283,S200000,03300,0200,Y 92283,S200000,04300,0100,Y 92283,S700003,00000,0200,2 92294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92294,A000000,00300,0000,00300EMPLOYEE BENEFITS 92294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92294,A000000,00700,0000,00700HOUSEKEEPING 92294,A000000,00800,0000,00800DIETARY 92294,A000000,00900,0000,00900NURSING ADMINISTRATION 92294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92294,A000000,01100,0000,01100PHARMACY 92294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92294,A000000,01300,0000,01300SOCIAL SERVICE 92294,A000000,01350,0000,01500PATIENT ACTIVITIES 92294,A000000,01600,0000,01600SKILLED NURSING FACILITY 92294,A000000,01800,0000,01800NURSING FACILITY 92294,A000000,01900,0000,01900OTHER LONG TERM CARE 92294,A000000,02100,0000,02100RADIOLOGY 92294,A000000,02200,0000,02200LABORATORY 92294,A000000,02300,0000,02300INTRAVENOUS THERAPY 92294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92294,A000000,02500,0000,02500PHYSICAL THERAPY 92294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92294,A000000,02700,0000,02700SPEECH PATHOLOGY 92294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92294,A000000,03200,0000,03200SUPPORT SURFACES 92294,A000000,04800,0000,04800AMBULANCE 92294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92294,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92294,A000000,06100,0000,06100NONPAID WORKERS 92294,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92294,A000000,06200,0000,06200PATIENTS LAUNDRY 92294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92294,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92294,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92294,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92294,S000000,00100,0200,06/01/2000 92294,S200000,00100,0100,3 ST. JOSEPH TERRACE 92294,S200000,00200,0100,WOODBRIDGE 92294,S200000,00200,0200,NJ 92294,S200000,00200,0300,07095- 92294,S200000,00300,0100,MIDDLESEX 92294,S200000,00300,0200,5015 92294,S200000,00300,0300,U 92294,S200000,00400,0100,ST. JOSEPHS SENIOR HOME 92294,S200000,00400,0200,315318 92294,S200000,00400,0300,11/17/1992 92294,S200000,00400,0500,P 92294,S200000,01500,0100,Y 92302,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92302,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92302,A000000,00300,0000,00300EMPLOYEE BENEFITS 92302,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92302,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92302,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92302,A000000,00700,0000,00700HOUSEKEEPING 92302,A000000,00800,0000,00800DIETARY 92302,A000000,00900,0000,00900NURSING ADMINISTRATION 92302,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92302,A000000,01100,0000,01100PHARMACY 92302,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92302,A000000,01300,0000,01300SOCIAL SERVICE 92302,A000000,01350,0000,01500PATIENT ACTIVITIES 92302,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92302,A000000,01600,0000,01600SKILLED NURSING FACILITY 92302,A000000,01800,0000,01800NURSING FACILITY 92302,A000000,01810,0000,01810ICF/MR 92302,A000000,01900,0000,01900OTHER LONG TERM CARE 92302,A000000,02100,0000,02100RADIOLOGY 92302,A000000,02200,0000,02200LABORATORY 92302,A000000,02300,0000,02300INTRAVENOUS THERAPY 92302,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92302,A000000,02500,0000,02500PHYSICAL THERAPY 92302,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92302,A000000,02700,0000,02700SPEECH PATHOLOGY 92302,A000000,02800,0000,02800ELECTROCARDIOLOGY 92302,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92302,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92302,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92302,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92302,A000000,03200,0000,03200SUPPORT SURFACES 92302,A000000,03400,0000,03400CLINIC 92302,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92302,A000000,03500,0000,03500RURAL HEALTH CLINIC 92302,A000000,04500,0000,04500DME SOLD - HHA 92302,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92302,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92302,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92302,A000000,04800,0000,04800AMBULANCE 92302,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92302,A000000,05000,0000,05000CORF 92302,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92302,A000000,05300,0000,05300INTEREST EXPENSE 92302,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92302,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92302,A000000,05500,0000,05500HOSPICE 92302,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92302,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92302,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92302,A000000,06100,0000,06100NONPAID WORKERS 92302,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92302,A000000,06200,0000,06200PATIENTS LAUNDRY 92302,A81000A,00100,0100,Y 92302,A81000B,00100,0300,ADMINISTRATIVE SAL & BENEFITS 92302,A81000B,00200,0300,RENT 92302,A81000C,00100,0100,B 92302,A81000C,00100,0200,ELEDA MANAGMENT 92302,A81000C,00100,0400,ELEDA MANAGEMENT 92302,A81000C,00200,0100,B 92302,A81000C,00200,0200,HANOVER OF MANCHESTER 92302,A81000C,00200,0400,PARENT COMPANY 92302,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92302,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92302,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92302,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92302,B100000,00000,0650,0000007 LAUNDRY :LAUNDRY & LINEN SERVIC 92302,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92302,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92302,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92302,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92302,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92302,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92302,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92302,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92302,E10A180,00301,0100,08/25/1999 92302,S000000,00100,0200,05/31/2000 92302,S200000,00100,0100,4 PLAZA DRIVE 92302,S200000,00200,0100,TOMS RIVER 92302,S200000,00200,0200,NJ 92302,S200000,00200,0300,08757- 92302,S200000,00300,0100,OCEAN 92302,S200000,00300,0200,5190 92302,S200000,00300,0300,U 92302,S200000,00400,0100,HOLIDAY CARE CENTER 92302,S200000,00400,0200,315320 92302,S200000,00400,0300,01/01/1993 92302,S200000,00400,0500,P 92302,S200000,01600,0100,Y 92310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92310,A000000,00300,0000,00300EMPLOYEE BENEFITS 92310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92310,A000000,00700,0000,00700HOUSEKEEPING 92310,A000000,00800,0000,00800DIETARY 92310,A000000,00900,0000,00900NURSING ADMINISTRATION 92310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92310,A000000,01100,0000,01100PHARMACY 92310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92310,A000000,01300,0000,01300SOCIAL SERVICE 92310,A000000,01600,0000,01600SKILLED NURSING FACILITY 92310,A000000,01800,0000,01800NURSING FACILITY 92310,A000000,01900,0000,01900OTHER LONG TERM CARE 92310,A000000,02100,0000,02100RADIOLOGY 92310,A000000,02200,0000,02200LABORATORY 92310,A000000,02300,0000,02300INTRAVENOUS THERAPY 92310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92310,A000000,02500,0000,02500PHYSICAL THERAPY 92310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92310,A000000,02700,0000,02700SPEECH PATHOLOGY 92310,A000000,02800,0000,02800ELECTROCARDIOLOGY 92310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92310,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92310,A000000,05300,0000,05300INTEREST EXPENSE 92310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92310,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92310,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92310,A000000,06100,0000,06100NONPAID WORKERS 92310,A000000,06200,0000,06200PATIENTS LAUNDRY 92310,A81000A,00100,0100,Y 92310,A81000B,00100,0300,HOME OFFICE COSTS 92310,A81000B,00200,0300,HOME OFFICE COSTS 92310,A81000C,00100,0100,B 92310,A81000C,00100,0200,INTL HLTH CARE 92310,A81000C,00100,0400,ADMIN SUPERVISO 92310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92310,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 92310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92310,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92310,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92310,B100000,00000,0800,00000MEALS SERVED :DIETARY 92310,B100000,00000,0900,00000HOURS SUPERVISED :NURSING ADMINIST 92310,B100000,00000,1050,00000HOURS SUPERVISED :CENTRAL SERVICES 92310,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 92310,B100000,00000,1200,00000TIME STUDIES :MEDICAL RECORDS & LI 92310,B100000,00000,1300,00000TIME STUDIES :SOCIAL SERVICE 92310,S000000,00100,0200,03/31/2000 92310,S200000,00100,0100,101 WHIPPANY ROAD 92310,S200000,00200,0100,WHIPPANY 92310,S200000,00200,0200,NJ 92310,S200000,00200,0300,07981-1406 92310,S200000,00300,0100,MORRIS 92310,S200000,00400,0100,CRESTWOOD NURSING HOME 92310,S200000,00400,0200,315323 92310,S200000,00400,0300,06/01/1993 92310,S200000,00400,0500,P 92310,S200000,01004,0500,O 92310,S200000,01600,0100,Y 92310,S700003,00000,0100,1 92312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92312,A000000,00300,0000,00300EMPLOYEE BENEFITS 92312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92312,A000000,00700,0000,00700HOUSEKEEPING 92312,A000000,00800,0000,00800DIETARY 92312,A000000,00900,0000,00900NURSING ADMINISTRATION 92312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92312,A000000,01100,0000,01100PHARMACY 92312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92312,A000000,01300,0000,01300SOCIAL SERVICE 92312,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 92312,A000000,01600,0000,01600SKILLED NURSING FACILITY 92312,A000000,01800,0000,01800NURSING FACILITY 92312,A000000,01900,0000,01900OTHER LONG TERM CARE 92312,A000000,02100,0000,02100RADIOLOGY 92312,A000000,02200,0000,02200LABORATORY 92312,A000000,02300,0000,02300INTRAVENOUS THERAPY 92312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92312,A000000,02500,0000,02500PHYSICAL THERAPY 92312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92312,A000000,02700,0000,02700SPEECH PATHOLOGY 92312,A000000,02800,0000,02800ELECTROCARDIOLOGY 92312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92312,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92312,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 92312,A000000,04800,0000,04800AMBULANCE 92312,A000000,05000,0000,05000CORF 92312,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92312,A000000,05300,0000,05300INTEREST EXPENSE 92312,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92312,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92312,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92312,A000000,06100,0000,06100NONPAID WORKERS 92312,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92312,A000000,06200,0000,06200PATIENTS LAUNDRY 92312,A81000A,00100,0100,Y 92312,A81000B,00100,0300,MANAGEMENT FEES 92312,A81000B,00200,0300,MANAGEMENT FEES 92312,A81000B,00300,0300,HOME OFFICE COSTS 92312,A81000C,00100,0100,B 92312,A81000C,00100,0200,VANGUARD HEALTH 92312,A81000C,00100,0600,MANAGEMENT COMP 92312,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92312,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92312,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92312,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92312,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92312,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92312,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92312,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92312,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 92312,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92312,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92312,S000000,00100,0200,06/02/2000 92312,S200000,00100,0100,101 WHIPPANY RD 92312,S200000,00200,0100,WHIPPANY 92312,S200000,00200,0200,NJ 92312,S200000,00200,0300,07981-1406 92312,S200000,00300,0100,MORRIS 92312,S200000,00300,0200,5640 92312,S200000,00300,0300,U 92312,S200000,00400,0100,CRESTWOOD NURSING HOME 92312,S200000,00400,0200,315323 92312,S200000,00400,0300,06/01/1993 92312,S200000,00400,0500,P 92312,S200000,01004,0500,O 92312,S200000,01600,0100,Y 92326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92326,A000000,00300,0000,00300EMPLOYEE BENEFITS 92326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92326,A000000,00700,0000,00700HOUSEKEEPING 92326,A000000,00800,0000,00800DIETARY 92326,A000000,00900,0000,00900NURSING ADMINISTRATION 92326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92326,A000000,01100,0000,01100PHARMACY 92326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92326,A000000,01300,0000,01300SOCIAL SERVICE 92326,A000000,01350,0000,01500PATIENT ACTIVITIES 92326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92326,A000000,01600,0000,01600SKILLED NURSING FACILITY 92326,A000000,01800,0000,01800NURSING FACILITY 92326,A000000,01810,0000,01810ICF/MR 92326,A000000,01900,0000,01900OTHER LONG TERM CARE 92326,A000000,02100,0000,02100RADIOLOGY 92326,A000000,02200,0000,02200LABORATORY 92326,A000000,02300,0000,02300INTRAVENOUS THERAPY 92326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92326,A000000,02500,0000,02500PHYSICAL THERAPY 92326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92326,A000000,02700,0000,02700SPEECH PATHOLOGY 92326,A000000,02800,0000,02800ELECTROCARDIOLOGY 92326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92326,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92326,A000000,03200,0000,03200SUPPORT SURFACES 92326,A000000,03400,0000,03400CLINIC 92326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92326,A000000,03500,0000,03500RURAL HEALTH CLINIC 92326,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92326,A000000,04800,0000,04800AMBULANCE 92326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92326,A000000,05000,0000,05000CORF 92326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92326,A000000,05300,0000,05300INTEREST EXPENSE 92326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92326,A000000,05500,0000,05500HOSPICE 92326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92326,A000000,06100,0000,06100NONPAID WORKERS 92326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92326,A000000,06200,0000,06200PATIENTS LAUNDRY 92326,A81000A,00100,0100,Y 92326,A81000B,00100,0300,RENT EXPENSE 92326,A81000B,00200,0300,FURNITURE & FIXTURE LEASE 92326,A81000C,00100,0100,B 92326,A81000C,00100,0200,HOVCARE OF MANCHESTER 92326,A81000C,00100,0400,RELATED COMPANY 92326,A81000C,00200,0100,B 92326,A81000C,00200,0200,4 & 1 LEASING 92326,A81000C,00200,0400,RELATED COMPANY 92326,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92326,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92326,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92326,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92326,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92326,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92326,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92326,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 92326,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92326,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92326,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92326,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92326,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92326,E10A180,00301,0100,08/25/1999 92326,S000000,00100,0200,05/31/2000 92326,S200000,00100,0100,1750 ROUTE 37 WEST 92326,S200000,00200,0100,TOMS RIVER 92326,S200000,00200,0200,NM 92326,S200000,00200,0300,08757- 92326,S200000,00300,0100,OCEAN 92326,S200000,00300,0200,5190 92326,S200000,00300,0300,U 92326,S200000,00400,0100,ARBORS CARE CENTER 92326,S200000,00400,0200,315333 92326,S200000,00400,0300,07/14/1994 92326,S200000,00400,0500,P 92326,S200000,01600,0100,Y 92333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92333,A000000,00300,0000,00300EMPLOYEE BENEFITS 92333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92333,A000000,00700,0000,00700HOUSEKEEPING 92333,A000000,00800,0000,00800DIETARY 92333,A000000,00900,0000,00900NURSING ADMINISTRATION 92333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92333,A000000,01300,0000,01300SOCIAL SERVICE 92333,A000000,01350,0000,01500PATIENT ACTIVITIES 92333,A000000,01600,0000,01600SKILLED NURSING FACILITY 92333,A000000,01900,0000,01900OTHER LONG TERM CARE 92333,A000000,02100,0000,02100RADIOLOGY 92333,A000000,02200,0000,02200LABORATORY 92333,A000000,02500,0000,02500PHYSICAL THERAPY 92333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92333,A000000,02700,0000,02700SPEECH PATHOLOGY 92333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92333,A000000,04800,0000,04800AMBULANCE 92333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92333,A81000A,00100,0100,Y 92333,A81000B,00100,0300,RELATED RENT 92333,A81000C,00100,0100,B 92333,A81000C,00100,0200,SISTERS OF MERC 92333,A81000C,00100,0400,MCAULEY HALL 92333,A81000C,00100,0600,RELIGIOUS ORDER 92333,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92333,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92333,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92333,B100000,00000,0650,00000(PATIENT CENSUS) :LAUNDRY & LINEN 92333,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 92333,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92333,B100000,00000,0950,00000(DIRECT NRSG HRS) :NURSING ADMINIST 92333,B100000,00000,1250,00000(PATIENT CENSUS) :MEDICAL RECORDS 92333,B100000,00000,1330,00000(PATIENT CENSUS) :SOCIAL SERVICE 92333,B100000,00000,1350,00000(PATIENT CENSUS) :PATIENT ACTIVITI 92333,S000000,00100,0200,05/10/2000 92333,S200000,00100,0100,1633 HIGHWAY 22 WEST 92333,S200000,00200,0100,WATCHUNG 92333,S200000,00200,0200,NJ 92333,S200000,00200,0300,07060- 92333,S200000,00300,0100,SOMERSET 92333,S200000,00400,0100,MCAULEY HALL 92333,S200000,00400,0200,315337 92333,S200000,00400,0300,10/04/1994 92333,S200000,00400,0500,P 92333,S200000,01500,0100,Y 92333,S200000,04300,0100,Y 92333,S200000,04700,0100,Y 92342,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92342,A000000,00300,0000,00300EMPLOYEE BENEFITS 92342,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92342,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92342,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92342,A000000,00700,0000,00700HOUSEKEEPING 92342,A000000,00800,0000,00800DIETARY 92342,A000000,00900,0000,00900NURSING ADMINISTRATION 92342,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92342,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92342,A000000,01300,0000,01300SOCIAL SERVICE 92342,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 92342,A000000,01351,0000,01501RECREATIONAL THERAPY 92342,A000000,01600,0000,01600SKILLED NURSING FACILITY 92342,A000000,01800,0000,01800NURSING FACILITY 92342,A000000,01900,0000,01900OTHER LONG TERM CARE 92342,A000000,02100,0000,02100RADIOLOGY 92342,A000000,02200,0000,02200LABORATORY 92342,A000000,02300,0000,02300INTRAVENOUS THERAPY 92342,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92342,A000000,02500,0000,02500PHYSICAL THERAPY 92342,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92342,A000000,02700,0000,02700SPEECH PATHOLOGY 92342,A000000,02800,0000,02800ELECTROCARDIOLOGY 92342,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92342,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92342,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92342,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92342,A000000,03200,0000,03200SUPPORT SURFACES 92342,A000000,03400,0000,03400CLINIC 92342,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 92342,A000000,04800,0000,04800AMBULANCE 92342,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92342,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92342,A000000,05300,0000,05300INTEREST EXPENSE 92342,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92342,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92342,A000000,05500,0000,05500HOSPICE 92342,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92342,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92342,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92342,A000000,06100,0000,06100NONPAID WORKERS 92342,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92342,A000000,06200,0000,06200PATIENTS LAUNDRY 92342,A81000A,00100,0100,Y 92342,A81000B,00100,0300,HOME OFFICE PROPERTY 92342,A81000B,00200,0300,HOME OFFICE ADMIN 92342,A81000B,00300,0300,PHYSICAL THERAPY 92342,A81000B,00400,0300,OCCUPATIONAL THERAPY 92342,A81000B,00500,0300,SPEECH THERAPY 92342,A81000C,00100,0100,A 92342,A81000C,00100,0200,BARTON WEISMAN 92342,A81000C,00100,0400,HBA CORP 92342,A81000C,00100,0600,MANAGEMENT CO. 92342,A81000C,00200,0100,A 92342,A81000C,00200,0200,BARTON WEISMAN 92342,A81000C,00200,0400,HBA CORP 92342,A81000C,00200,0600,MANAGEMENT CO. 92342,A81000C,00300,0100,A 92342,A81000C,00300,0200,BARTON WEISMAN 92342,A81000C,00300,0400,FOCUS REHAB 92342,A81000C,00300,0600,THERAPY CO. 92342,A81000C,00400,0100,A 92342,A81000C,00400,0200,BARTON WEISMAN 92342,A81000C,00400,0400,FOCUS REHAB 92342,A81000C,00400,0600,THERAPY CO. 92342,A81000C,00500,0100,A 92342,A81000C,00500,0200,BARTON WEISMAN 92342,A81000C,00500,0400,FOCUS REHAB 92342,A81000C,00500,0600,THERAPY CO. 92342,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92342,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92342,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92342,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92342,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92342,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92342,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92342,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 92342,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92342,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92342,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92342,B100000,00000,1351,00000PATIENT DAYS :RECREATIONAL THERAPY 92342,E10A180,00301,0100,06/09/1999 92342,E10A180,00302,0100,09/29/1999 92342,E10A180,00303,0100,03/29/2000 92342,E10A180,00351,0100,04/28/1999 92342,S000000,00100,0200,06/05/2000 92342,S200000,00100,0100,1213 WESTFIELD AVE 92342,S200000,00200,0100,CLARK 92342,S200000,00200,0200,NJ 92342,S200000,00200,0300,07066- 92342,S200000,00300,0100,UNION 92342,S200000,00300,0200,5640 92342,S200000,00300,0300,U 92342,S200000,00400,0100,CLARK NURSING & REHAB 92342,S200000,00400,0200,315341 92342,S200000,00400,0300,03/03/1995 92342,S200000,00400,0500,P 92342,S200000,01600,0100,Y 92349,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92349,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92349,A000000,00300,0000,00300EMPLOYEE BENEFITS 92349,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92349,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92349,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92349,A000000,00700,0000,00700HOUSEKEEPING 92349,A000000,00800,0000,00800DIETARY 92349,A000000,00900,0000,00900NURSING ADMINISTRATION 92349,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92349,A000000,01100,0000,01100PHARMACY 92349,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92349,A000000,01300,0000,01300SOCIAL SERVICE 92349,A000000,01350,0000,01500ACTIVITIES 92349,A000000,01600,0000,01600SKILLED NURSING FACILITY 92349,A000000,01800,0000,01800NURSING FACILITY 92349,A000000,01900,0000,01900OTHER LONG TERM CARE 92349,A000000,02100,0000,02100RADIOLOGY 92349,A000000,02200,0000,02200LABORATORY 92349,A000000,02300,0000,02300INTRAVENOUS THERAPY 92349,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92349,A000000,02500,0000,02500PHYSICAL THERAPY 92349,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92349,A000000,02700,0000,02700SPEECH PATHOLOGY 92349,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92349,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92349,A000000,03200,0000,03200SUPPORT SURFACES 92349,A000000,04800,0000,04800AMBULANCE 92349,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92349,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92349,A81000A,00100,0100,Y 92349,A81000B,00100,0300,HOME OFFICE - ADMIN 92349,A81000B,00200,0300,HOME OFFICE - BUILDING 92349,A81000B,00300,0300,HOME OFFICE - MME 92349,A81000C,00100,0100,B 92349,A81000C,00100,0200,MERIDIAN HEALTH 92349,A81000C,00100,0400,MERIDIAN HEALTH 92349,A81000C,00100,0600,HEALTHCARE 92349,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92349,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92349,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92349,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92349,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92349,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92349,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92349,B100000,00000,0800,00000MEALS SERVED :DIETARY 92349,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92349,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92349,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92349,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92349,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92349,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92349,E10A180,00301,0100,08/31/1999 92349,S000000,00100,0200,06/01/2000 92349,S200000,00100,0100,415 JACK MARTIN BOULEVARD 92349,S200000,00200,0100,BRICK 92349,S200000,00200,0200,NJ 92349,S200000,00200,0300,08724- 92349,S200000,00300,0100,OCEAN 92349,S200000,00400,0100,MERIDIAN NURSING & REHAB AT BRICK 92349,S200000,00400,0200,315342 92349,S200000,00400,0300,04/10/1995 92349,S200000,00400,0500,P 92349,S200000,01600,0100,Y 92349,S200000,04700,0100,Y 92349,S700003,00000,0400,4 92361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92361,A000000,00300,0000,00300EMPLOYEE BENEFITS 92361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92361,A000000,00700,0000,00700HOUSEKEEPING 92361,A000000,00800,0000,00800DIETARY 92361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92361,A000000,01300,0000,01300SOCIAL SERVICE 92361,A000000,01350,0000,01500RECREATION 92361,A000000,01600,0000,01600SKILLED NURSING FACILITY 92361,A000000,01800,0000,01800NURSING FACILITY 92361,A000000,01900,0000,01900OTHER LONG TERM CARE 92361,A000000,02100,0000,02100RADIOLOGY 92361,A000000,02200,0000,02200LABORATORY 92361,A000000,02500,0000,02500PHYSICAL THERAPY 92361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92361,A000000,02700,0000,02700SPEECH PATHOLOGY 92361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92361,A000000,03200,0000,03200SUPPORT SURFACES 92361,A000000,04800,0000,04800AMBULANCE 92361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92361,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92361,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92361,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92361,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92361,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 92361,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92361,B100000,00000,1050,00000CENSUS :CENTRAL SERVICES & SUPPLY 92361,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 92361,B100000,00000,1330,00000CENSUS :SOCIAL SERVICE 92361,B100000,00000,1350,00000CENSUS :RECREATION 92361,S000000,00100,0200,06/02/2000 92361,S200000,00100,0100,RAMSHORN DRIVE & LAKEWOOD ROAD 92361,S200000,00200,0100,MANASQUAN 92361,S200000,00200,0200,NJ 92361,S200000,00200,0300,08736- 92361,S200000,00300,0100,MONMOUTH 92361,S200000,00400,0100,SUNNYSIDE MANOR 92361,S200000,00400,0200,315354 92361,S200000,00400,0300,05/08/1996 92361,S200000,00400,0500,P 92361,S200000,01600,0100,Y 92361,S200000,01900,0100,LLC 92361,S700003,00000,0400,4 92366,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92366,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92366,A000000,00300,0000,00300EMPLOYEE BENEFITS 92366,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92366,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92366,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92366,A000000,00700,0000,00700HOUSEKEEPING 92366,A000000,00800,0000,00800DIETARY 92366,A000000,00900,0000,00900NURSING ADMINISTRATION 92366,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92366,A000000,01100,0000,01100PHARMACY 92366,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92366,A000000,01300,0000,01300SOCIAL SERVICE 92366,A000000,01350,0000,01500ACTIVITIES 92366,A000000,01600,0000,01600SKILLED NURSING FACILITY 92366,A000000,01800,0000,01800NURSING FACILITY 92366,A000000,01900,0000,01900OTHER LONG TERM CARE 92366,A000000,02100,0000,02100RADIOLOGY 92366,A000000,02200,0000,02200LABORATORY 92366,A000000,02300,0000,02300INTRAVENOUS THERAPY 92366,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92366,A000000,02500,0000,02500PHYSICAL THERAPY 92366,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92366,A000000,02700,0000,02700SPEECH PATHOLOGY 92366,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92366,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92366,A000000,03200,0000,03200SUPPORT SURFACES 92366,A000000,04800,0000,04800AMBULANCE 92366,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92366,A000000,06150,0000,06300PSYCHIATRY 92366,A000000,06151,0000,06301NON REIMBURSEABLE COST 92366,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 92366,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 92366,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 92366,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 92366,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 92366,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 92366,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 92366,B100000,00000,0800,00001MEALS SERVED :DIETARY 92366,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 92366,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 92366,B100000,00000,1150,00001PATIENT DAYS :PHARMACY 92366,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 92366,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 92366,B100000,00000,1350,00001PATIENT DAYS :ACTIVITIES 92366,E10A180,00301,0100,07/16/1999 92366,S000000,00100,0200,05/31/2000 92366,S200000,00100,0100,155 FORTIETH STREET 92366,S200000,00200,0100,IRVINGTON 92366,S200000,00200,0200,NJ 92366,S200000,00200,0300,07111- 92366,S200000,00300,0100,ESSEX 92366,S200000,00300,0200,5640 92366,S200000,00300,0300,U 92366,S200000,00400,0100,BROOKVILLE HEALTH CARE CENTER 92366,S200000,00400,0200,315359 92366,S200000,00400,0300,09/15/1996 92366,S200000,00400,0500,P 92366,S200000,01600,0100,Y 92366,S200000,04700,0100,Y 92366,S200000,04700,0200,Y 92371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92371,A000000,00300,0000,00300EMPLOYEE BENEFITS 92371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92371,A000000,00700,0000,00700HOUSEKEEPING 92371,A000000,00800,0000,00800DIETARY 92371,A000000,00900,0000,00900NURSING ADMINISTRATION 92371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92371,A000000,01100,0000,01100PHARMACY 92371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92371,A000000,01300,0000,01300SOCIAL SERVICE 92371,A000000,01350,0000,01500ACTIVITIES 92371,A000000,01600,0000,01600SKILLED NURSING FACILITY 92371,A000000,01800,0000,01800NURSING FACILITY 92371,A000000,01900,0000,01900OTHER LONG TERM CARE 92371,A000000,02100,0000,02100RADIOLOGY 92371,A000000,02200,0000,02200LABORATORY 92371,A000000,02300,0000,02300INTRAVENOUS THERAPY 92371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92371,A000000,02500,0000,02500PHYSICAL THERAPY 92371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92371,A000000,02700,0000,02700SPEECH PATHOLOGY 92371,A000000,02800,0000,02800ELECTROCARDIOLOGY 92371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92371,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92371,A000000,03200,0000,03200SUPPORT SURFACES 92371,A000000,04800,0000,04800AMBULANCE 92371,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92371,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92371,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92371,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92371,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92371,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92371,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92371,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92371,B100000,00000,0800,00000MEALS SERVED :DIETARY 92371,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92371,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92371,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92371,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92371,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92371,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92371,E10A180,00301,0100,07/28/1999 92371,S000000,00100,0200,06/02/2000 92371,S200000,00100,0100,560 BERKELEY AVENUE 92371,S200000,00200,0100,ORANGE 92371,S200000,00200,0200,NJ 92371,S200000,00200,0300,07050-2109 92371,S200000,00300,0100,ESSEX 92371,S200000,00400,0100,WHITE HOUSE NURSING HOME 92371,S200000,00400,0200,315372 92371,S200000,00400,0300,07/01/1997 92371,S200000,00400,0500,P 92371,S200000,01600,0100,Y 92375,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92375,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92375,A000000,00300,0000,00300EMPLOYEE BENEFITS 92375,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92375,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92375,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92375,A000000,00700,0000,00700HOUSEKEEPING 92375,A000000,00800,0000,00800DIETARY 92375,A000000,00900,0000,00900NURSING ADMINISTRATION 92375,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92375,A000000,01100,0000,01100PHARMACY 92375,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92375,A000000,01300,0000,01300SOCIAL SERVICE 92375,A000000,01350,0000,01500ACTIVITIES 92375,A000000,01600,0000,01600SKILLED NURSING FACILITY 92375,A000000,01800,0000,01800NURSING FACILITY 92375,A000000,01900,0000,01900OTHER LONG TERM CARE 92375,A000000,02100,0000,02100RADIOLOGY 92375,A000000,02200,0000,02200LABORATORY 92375,A000000,02300,0000,02300INTRAVENOUS THERAPY 92375,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92375,A000000,02500,0000,02500PHYSICAL THERAPY 92375,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92375,A000000,02700,0000,02700SPEECH PATHOLOGY 92375,A000000,02800,0000,02800ELECTROCARDIOLOGY 92375,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92375,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92375,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92375,A000000,03200,0000,03200SUPPORT SURFACES 92375,A000000,04800,0000,04800AMBULANCE 92375,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92375,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92375,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92375,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92375,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92375,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92375,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92375,A81000A,00100,0100,Y 92375,A81000B,00100,0300,ADMINISTRATOR WAGES 92375,A81000B,00200,0300,DIETARY SUPERVISOR 92375,A81000C,00100,0100,A 92375,A81000C,00100,0200,NEIL KERMAN 92375,A81000C,00200,0100,G 92375,A81000C,00200,0200,DAVID KERMAN 92375,A81000C,03100,0000,DAVID KERMAN 92375,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92375,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92375,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92375,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92375,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92375,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92375,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92375,B100000,00000,0800,00000MEALS SERVED :DIETARY 92375,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92375,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92375,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92375,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92375,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92375,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92375,E10A180,00301,0100,08/19/1999 92375,S000000,00100,0200,06/01/2000 92375,S200000,00100,0100,111 ROUTE 516 92375,S200000,00200,0100,OLD BRIDGE 92375,S200000,00200,0200,NJ 92375,S200000,00200,0300,08857- 92375,S200000,00300,0100,MIDDLESEX 92375,S200000,00400,0100,SUMMER HILL NURSING HOME 92375,S200000,00400,0200,315381 92375,S200000,00400,0300,10/01/1997 92375,S200000,00400,0500,P 92375,S200000,01600,0100,Y 92375,S200000,04300,0100,Y 92375,S200000,04700,0100,Y 92379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92379,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES 92379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92379,A000000,00300,0000,00300EMPLOYEE BENEFITS 92379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92379,A000000,00700,0000,00700HOUSEKEEPING 92379,A000000,00800,0000,00800DIETARY 92379,A000000,00900,0000,00900NURSING ADMINISTRATION 92379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92379,A000000,01100,0000,01100PHARMACY 92379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92379,A000000,01300,0000,01300SOCIAL SERVICE 92379,A000000,01350,0000,01500PATIENT ACTIVITIES 92379,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92379,A000000,01600,0000,01600SKILLED NURSING FACILITY 92379,A000000,01800,0000,01800NURSING FACILITY 92379,A000000,01810,0000,01810ICF/MR 92379,A000000,01900,0000,01900OTHER LONG TERM CARE 92379,A000000,02100,0000,02100RADIOLOGY 92379,A000000,02200,0000,02200LABORATORY 92379,A000000,02300,0000,02300INTRAVENOUS THERAPY 92379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92379,A000000,02500,0000,02500PHYSICAL THERAPY 92379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92379,A000000,02700,0000,02700SPEECH PATHOLOGY 92379,A000000,02800,0000,02800ELECTROCARDIOLOGY 92379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92379,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92379,A000000,03200,0000,03200SUPPORT SURFACES 92379,A000000,03400,0000,03400CLINIC 92379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92379,A000000,03500,0000,03500RURAL HEALTH CLINIC 92379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92379,A000000,04800,0000,04800AMBULANCE 92379,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92379,A000000,05000,0000,05000CORF 92379,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92379,A000000,05300,0000,05300INTEREST EXPENSE 92379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92379,A000000,05500,0000,05500HOSPICE 92379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92379,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92379,A000000,06100,0000,06100NONPAID WORKERS 92379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92379,A000000,06200,0000,06200PATIENTS LAUNDRY 92379,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 92379,B100000,00000,0150,00000DOLLAR VALUE :CAP REL COSTS - BLDG 92379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92379,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92379,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92379,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92379,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92379,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92379,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92379,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92379,E10A180,00301,0100,08/18/1999 92379,S000000,00100,0200,05/30/2000 92379,S200000,00100,0100,9 RIDGEDALE AVENUE 92379,S200000,00200,0100,FLORHAM PARK 92379,S200000,00200,0200,NJ 92379,S200000,00200,0300,07932- 92379,S200000,00300,0100,MORRIS 92379,S200000,00300,0200,5640 92379,S200000,00300,0300,U 92379,S200000,00400,0100,CHESHIRE HOME INC. 92379,S200000,00400,0200,315383 92379,S200000,00400,0300,12/01/1997 92379,S200000,00400,0500,P 92379,S200000,01500,0100,Y 92383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92383,A000000,00300,0000,00300EMPLOYEE BENEFITS 92383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92383,A000000,00700,0000,00700HOUSEKEEPING 92383,A000000,00800,0000,00800DIETARY 92383,A000000,00900,0000,00900NURSING ADMINISTRATION 92383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92383,A000000,01100,0000,01100PHARMACY 92383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92383,A000000,01300,0000,01300SOCIAL SERVICE 92383,A000000,01350,0000,01500ACTIVITIES 92383,A000000,01600,0000,01600SKILLED NURSING FACILITY 92383,A000000,01800,0000,01800NURSING FACILITY 92383,A000000,01900,0000,01900OTHER LONG TERM CARE 92383,A000000,02100,0000,02100RADIOLOGY 92383,A000000,02200,0000,02200LABORATORY 92383,A000000,02300,0000,02300INTRAVENOUS THERAPY 92383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92383,A000000,02500,0000,02500PHYSICAL THERAPY 92383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92383,A000000,02700,0000,02700SPEECH PATHOLOGY 92383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92383,A000000,03200,0000,03200SUPPORT SURFACES 92383,A000000,06200,0000,06200PATIENTS LAUNDRY 92383,A81000A,00100,0100,Y 92383,A81000B,00100,0300,RENTAL INCOME 92383,A81000B,00200,0300,MORTGAGE INTEREST 92383,A81000B,00300,0300,DEPRECIATION 92383,A81000B,00400,0300,AMORTIZATION OF MORTGAGE COSTS 92383,A81000B,00500,0300,INSURANCE 92383,A81000C,00100,0100,A 92383,A81000C,00100,0200,J ROSENBERG 92383,A81000C,00100,0400,ROSE MTN ASSOC 92383,A81000C,00100,0600,REALTY 92383,A81000C,00200,0100,A 92383,A81000C,00200,0200,E ROSENBERG 92383,A81000C,00200,0400,ROSE MTN ASSOC 92383,A81000C,00200,0600,REALTY 92383,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92383,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92383,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92383,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92383,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92383,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92383,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92383,B100000,00000,0800,00000MEALS SERVED :DIETARY 92383,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92383,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92383,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92383,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92383,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92383,S000000,00100,0200,05/03/2000 92383,S200000,00100,0100,ROUTE 1 & 18 92383,S200000,00200,0100,NEW BRUNSWICK 92383,S200000,00200,0200,NJ 92383,S200000,00200,0300,08901- 92383,S200000,00300,0100,MIDDLESEX 92383,S200000,00300,0200,5015 92383,S200000,00300,0300,U 92383,S200000,00400,0100,ROSE MOUNTAIN CARE CENTER 92383,S200000,00400,0200,315384 92383,S200000,00400,0300,12/01/1997 92383,S200000,00400,0500,P 92383,S200000,01600,0100,Y 92387,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92387,A000000,00300,0000,00300EMPLOYEE BENEFITS 92387,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92387,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92387,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92387,A000000,00700,0000,00700HOUSEKEEPING 92387,A000000,00800,0000,00800DIETARY 92387,A000000,00900,0000,00900NURSING ADMINISTRATION 92387,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92387,A000000,01100,0000,01100PHARMACY 92387,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92387,A000000,01300,0000,01300SOCIAL SERVICE 92387,A000000,01350,0000,01500PATIENT ACTIVITIES 92387,A000000,01600,0000,01600SKILLED NURSING FACILITY 92387,A000000,01800,0000,01800NURSING FACILITY 92387,A000000,01900,0000,01900OTHER LONG TERM CARE 92387,A000000,02100,0000,02100RADIOLOGY 92387,A000000,02200,0000,02200LABORATORY 92387,A000000,02300,0000,02300INTRAVENOUS THERAPY 92387,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92387,A000000,02500,0000,02500PHYSICAL THERAPY 92387,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92387,A000000,02700,0000,02700SPEECH PATHOLOGY 92387,A000000,02800,0000,02800ELECTROCARDIOLOGY 92387,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92387,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92387,A000000,03050,0000,03300AMBULANCE 92387,A000000,03051,0000,03301PROST/ORTHO 92387,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92387,A000000,03200,0000,03200SUPPORT SURFACES 92387,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92387,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92387,A000000,04800,0000,04800AMBULANCE 92387,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92387,A000000,05300,0000,05300INTEREST EXPENSE 92387,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92387,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92387,A000000,05500,0000,05500HOSPICE 92387,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92387,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92387,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92387,A000000,06100,0000,06100NONPAID WORKERS 92387,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92387,A000000,06200,0000,06200PATIENTS LAUNDRY 92387,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92387,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92387,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92387,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92387,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92387,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92387,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92387,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92387,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92387,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92387,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92387,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92387,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92387,S000000,00100,0200,05/31/2000 92387,S200000,00100,0100,115 DUTCH LANE 92387,S200000,00200,0100,FREEHOLD 92387,S200000,00200,0200,NJ 92387,S200000,00200,0300,07728- 92387,S200000,00300,0100,MONMOUTH 92387,S200000,00300,0200,5190 92387,S200000,00300,0300,U 92387,S200000,00400,0100,JOHN L MONTGOMERY 92387,S200000,00400,0200,315387 92387,S200000,00400,0300,03/02/1998 92387,S200000,00400,0500,P 92387,S200000,01500,0100,Y 92392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92392,A000000,00300,0000,00300EMPLOYEE BENEFITS 92392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92392,A000000,00700,0000,00700HOUSEKEEPING 92392,A000000,00800,0000,00800DIETARY 92392,A000000,00900,0000,00900NURSING ADMINISTRATION 92392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92392,A000000,01100,0000,01100PHARMACY 92392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92392,A000000,01300,0000,01300SOCIAL SERVICE 92392,A000000,01350,0000,01500PATIENT ACTIVITIES 92392,A000000,01600,0000,01600SKILLED NURSING FACILITY 92392,A000000,01800,0000,01800NURSING FACILITY 92392,A000000,01900,0000,01900OTHER LONG TERM CARE 92392,A000000,02100,0000,02100RADIOLOGY 92392,A000000,02200,0000,02200LABORATORY 92392,A000000,02300,0000,02300INTRAVENOUS THERAPY 92392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92392,A000000,02500,0000,02500PHYSICAL THERAPY 92392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92392,A000000,02700,0000,02700SPEECH PATHOLOGY 92392,A000000,02800,0000,02800ELECTROCARDIOLOGY 92392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92392,A000000,03050,0000,03300AMBULANCE 92392,A000000,03051,0000,03301PROST/ORTH 92392,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92392,A000000,03200,0000,03200SUPPORT SURFACES 92392,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92392,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92392,A000000,04800,0000,04800AMBULANCE 92392,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92392,A000000,05300,0000,05300INTEREST EXPENSE 92392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92392,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92392,A000000,06100,0000,06100NONPAID WORKERS 92392,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92392,A000000,06200,0000,06200PATIENTS LAUNDRY 92392,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92392,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92392,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92392,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92392,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92392,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92392,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92392,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92392,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92392,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92392,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92392,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92392,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92392,S000000,00100,0200,05/31/2000 92392,S200000,00100,0100,HOSPITAL ROAD 92392,S200000,00200,0100,ALLENWOOD 92392,S200000,00200,0200,NJ 92392,S200000,00200,0300,08720- 92392,S200000,00300,0100,MONMOUTH 92392,S200000,00400,0100,GERALDINE THOMPSON 92392,S200000,00400,0200,315397 92392,S200000,00400,0300,12/01/1997 92392,S200000,00400,0500,P 92392,S200000,01500,0100,Y 92398,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92398,A000000,00300,0000,00300EMPLOYEE BENEFITS 92398,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92398,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92398,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92398,A000000,00700,0000,00700HOUSEKEEPING 92398,A000000,00800,0000,00800DIETARY 92398,A000000,00900,0000,00900NURSING ADMINISTRATION 92398,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92398,A000000,01100,0000,01100PHARMACY 92398,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92398,A000000,01300,0000,01300SOCIAL SERVICE 92398,A000000,01350,0000,01500PATIENT ACTIVITIES 92398,A000000,01600,0000,01600SKILLED NURSING FACILITY 92398,A000000,01800,0000,01800NURSING FACILITY 92398,A000000,01900,0000,01900OTHER LONG TERM CARE 92398,A000000,02100,0000,02100RADIOLOGY 92398,A000000,02200,0000,02200LABORATORY 92398,A000000,02300,0000,02300INTRAVENOUS THERAPY 92398,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92398,A000000,02500,0000,02500PHYSICAL THERAPY 92398,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92398,A000000,02700,0000,02700SPEECH PATHOLOGY 92398,A000000,02800,0000,02800ELECTROCARDIOLOGY 92398,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92398,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92398,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92398,A000000,03200,0000,03200SUPPORT SURFACES 92398,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92398,A000000,05300,0000,05300INTEREST EXPENSE 92398,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92398,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92398,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92398,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92398,A000000,06100,0000,06100NONPAID WORKERS 92398,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92398,A000000,06200,0000,06200PATIENTS LAUNDRY 92398,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92398,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92398,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92398,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92398,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92398,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92398,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92398,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92398,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92398,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92398,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92398,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92398,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92398,E10A180,00301,0100,08/25/1999 92398,S000000,00100,0200,06/01/2000 92398,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 92398,S200000,00200,0100,HACKENSACK 92398,S200000,00200,0200,NJ 92398,S200000,00200,0300,07601- 92398,S200000,00300,0100,HUDSON 92398,S200000,00400,0100,PROGRESSIVE NURSING CENTER 92398,S200000,00400,0200,315401 92398,S200000,00400,0300,04/01/1997 92398,S200000,00400,0500,P 92398,S200000,01500,0100,Y 92403,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92403,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92403,A000000,00300,0000,00300EMPLOYEE BENEFITS 92403,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92403,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92403,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92403,A000000,00700,0000,00700HOUSEKEEPING 92403,A000000,00800,0000,00800DIETARY 92403,A000000,00900,0000,00900NURSING ADMINISTRATION 92403,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92403,A000000,01100,0000,01100PHARMACY 92403,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92403,A000000,01300,0000,01300SOCIAL SERVICE 92403,A000000,01350,0000,01500ACTIVITIES 92403,A000000,01600,0000,01600SKILLED NURSING FACILITY 92403,A000000,01800,0000,01800NURSING FACILITY 92403,A000000,01810,0000,01801ICF/MR 92403,A000000,01900,0000,01900OTHER LONG TERM CARE 92403,A000000,02100,0000,02100RADIOLOGY 92403,A000000,02200,0000,02200LABORATORY 92403,A000000,02300,0000,02300INTRAVENOUS THERAPY 92403,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92403,A000000,02500,0000,02500PHYSICAL THERAPY 92403,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92403,A000000,02700,0000,02700SPEECH PATHOLOGY 92403,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92403,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92403,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92403,A000000,05300,0000,05300INTEREST EXPENSE 92403,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92403,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92403,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92403,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92403,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92403,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92403,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92403,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92403,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92403,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92403,B100000,00000,0800,00000MEALS SERVED :DIETARY 92403,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92403,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92403,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92403,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92403,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92403,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92403,S000000,00100,0200,05/30/2000 92403,S200000,00100,0100,COUNTY HOUSE ROAD 92403,S200000,00200,0100,CLARKSBORO 92403,S200000,00200,0200,NJ 92403,S200000,00200,0300,08020- 92403,S200000,00300,0100,GLOUCESTER 92403,S200000,00400,0100,SHADY LANE NURSING HOME 92403,S200000,00400,0200,315405 92403,S200000,00400,0300,12/01/1997 92403,S200000,00400,0500,P 92403,S200000,01600,0100,Y 92403,S200000,02200,0100,Y 92403,S700003,00000,0400,4 92409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92409,A000000,00300,0000,00300EMPLOYEE BENEFITS 92409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92409,A000000,00700,0000,00700HOUSEKEEPING 92409,A000000,00800,0000,00800DIETARY 92409,A000000,00900,0000,00900NURSING ADMINISTRATION 92409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92409,A000000,01100,0000,01100PHARMACY 92409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92409,A000000,01300,0000,01300SOCIAL SERVICE 92409,A000000,01350,0000,01500ACTIVITIES 92409,A000000,01600,0000,01600SKILLED NURSING FACILITY 92409,A000000,01800,0000,01800NURSING FACILITY 92409,A000000,01900,0000,01900OTHER LONG TERM CARE 92409,A000000,02100,0000,02100RADIOLOGY 92409,A000000,02200,0000,02200LABORATORY 92409,A000000,02300,0000,02300INTRAVENOUS THERAPY 92409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92409,A000000,02500,0000,02500PHYSICAL THERAPY 92409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92409,A000000,02700,0000,02700SPEECH PATHOLOGY 92409,A000000,02800,0000,02800ELECTROCARDIOLOGY 92409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92409,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92409,A000000,03200,0000,03200SUPPORT SURFACES 92409,A000000,04800,0000,04800AMBULANCE 92409,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92409,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92409,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92409,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92409,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92409,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92409,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92409,B100000,00000,0800,00000MEALS SERVED :DIETARY 92409,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92409,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92409,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92409,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92409,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92409,S000000,00100,0200,06/02/2000 92409,S200000,00100,0100,524 WARDELL ROAD 92409,S200000,00200,0100,NEPTUNE 92409,S200000,00200,0200,NJ 92409,S200000,00200,0300,07753- 92409,S200000,00300,0100,MONMOUTH 92409,S200000,00300,0200,5190 92409,S200000,00300,0300,U 92409,S200000,00400,0100,TINTON FALLS CONVALESCENT CENTER 92409,S200000,00400,0200,315414 92409,S200000,00400,0300,07/10/1997 92409,S200000,00400,0500,P 92409,S200000,01600,0100,Y 92409,S200000,04700,0100,Y 92409,S200000,04700,0200,Y 92414,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92414,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92414,A000000,00300,0000,00300EMPLOYEE BENEFITS 92414,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92414,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92414,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92414,A000000,00700,0000,00700HOUSEKEEPING 92414,A000000,00800,0000,00800DIETARY 92414,A000000,00900,0000,00900NURSING ADMINISTRATION 92414,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92414,A000000,01100,0000,01100PHARMACY 92414,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92414,A000000,01300,0000,01300SOCIAL SERVICE 92414,A000000,01350,0000,01500PATIENT ACTIVITIES 92414,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92414,A000000,01600,0000,01600SKILLED NURSING FACILITY 92414,A000000,01800,0000,01800NURSING FACILITY 92414,A000000,01810,0000,01801ICF/MR 92414,A000000,01900,0000,01900OTHER LONG TERM CARE 92414,A000000,02100,0000,02100RADIOLOGY 92414,A000000,02200,0000,02200LABORATORY 92414,A000000,02300,0000,02300INTRAVENOUS THERAPY 92414,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92414,A000000,02500,0000,02500PHYSICAL THERAPY 92414,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92414,A000000,02700,0000,02700SPEECH PATHOLOGY 92414,A000000,02800,0000,02800ELECTROCARDIOLOGY 92414,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92414,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92414,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92414,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92414,A000000,03200,0000,03200SUPPORT SURFACES 92414,A000000,03400,0000,03400CLINIC 92414,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92414,A000000,03500,0000,03500RURAL HEALTH CLINIC 92414,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92414,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92414,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92414,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92414,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92414,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92414,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92414,A000000,04400,0000,04400DME RENTED - HHA 92414,A000000,04500,0000,04500DME SOLD - HHA 92414,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92414,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92414,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92414,A000000,04800,0000,04800AMBULANCE 92414,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92414,A000000,05000,0000,05000CORF 92414,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92414,A000000,05300,0000,05300INTEREST EXPENSE 92414,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92414,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92414,A000000,05500,0000,05500HOSPICE 92414,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92414,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92414,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92414,A000000,06100,0000,06100NONPAID WORKERS 92414,A000000,06150,0000,06300RESIDENTIAL/ASST LIV 92414,A000000,06200,0000,06200PATIENTS LAUNDRY 92414,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92414,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92414,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92414,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92414,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92414,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92414,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92414,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92414,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92414,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92414,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92414,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92414,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92414,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92414,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92414,S000000,00100,0200,06/01/2000 92414,S200000,00100,0100,798 WILLOW GROVE STREET 92414,S200000,00200,0100,HACKETTSTOWN 92414,S200000,00200,0200,NJ 92414,S200000,00200,0300,07840- 92414,S200000,00300,0100,WARREN 92414,S200000,00400,0100,HOUSE OF THE GOOD SHEPHERD 92414,S200000,00400,0200,315422 92414,S200000,00400,0300,08/25/1997 92414,S200000,00400,0500,P 92414,S200000,01004,0500,O 92414,S200000,01600,0100,Y 92414,S700003,00000,0400,4 92418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92418,A000000,00300,0000,00300EMPLOYEE BENEFITS 92418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92418,A000000,00700,0000,00700HOUSEKEEPING 92418,A000000,00800,0000,00800DIETARY 92418,A000000,00900,0000,00900NURSING ADMINISTRATION 92418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92418,A000000,01100,0000,01100PHARMACY 92418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92418,A000000,01300,0000,01300SOCIAL SERVICE 92418,A000000,01350,0000,01500PATIENT ACTIVITIES 92418,A000000,01600,0000,01600SKILLED NURSING FACILITY 92418,A000000,01800,0000,01800NURSING FACILITY 92418,A000000,01900,0000,01900OTHER LONG TERM CARE 92418,A000000,02100,0000,02100RADIOLOGY 92418,A000000,02200,0000,02200LABORATORY 92418,A000000,02300,0000,02300INTRAVENOUS THERAPY 92418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92418,A000000,02500,0000,02500PHYSICAL THERAPY 92418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92418,A000000,02700,0000,02700SPEECH PATHOLOGY 92418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92418,A000000,03200,0000,03200SUPPORT SURFACES 92418,A000000,04800,0000,04800AMBULANCE 92418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92418,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92418,A000000,06100,0000,06100NONPAID WORKERS 92418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92418,A000000,06200,0000,06200PATIENTS LAUNDRY 92418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92418,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92418,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92418,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92418,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92418,S000000,00100,0200,06/06/2000 92418,S200000,00100,0100,2300 HAMILTON AVENUE 92418,S200000,00200,0100,TRENTON 92418,S200000,00200,0200,NJ 92418,S200000,00200,0300,08619- 92418,S200000,00300,0100,MERCER 92418,S200000,00300,0200,8480 92418,S200000,00300,0300,U 92418,S200000,00400,0100,MERCER COUNTY GERIATRICS CENTER 92418,S200000,00400,0200,315423 92418,S200000,00400,0300,12/01/1997 92418,S200000,00400,0500,P 92418,S200000,01500,0100,Y 92423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92423,A000000,00300,0000,00300EMPLOYEE BENEFITS 92423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92423,A000000,00700,0000,00700HOUSEKEEPING 92423,A000000,00800,0000,00800DIETARY 92423,A000000,00900,0000,00900NURSING ADMINISTRATION 92423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92423,A000000,01100,0000,01100PHARMACY 92423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92423,A000000,01300,0000,01300SOCIAL SERVICE 92423,A000000,01350,0000,01500ACTIVITIES 92423,A000000,01600,0000,01600SKILLED NURSING FACILITY 92423,A000000,01800,0000,01800NURSING FACILITY 92423,A000000,02100,0000,02100RADIOLOGY 92423,A000000,02200,0000,02200LABORATORY 92423,A000000,02300,0000,02300INTRAVENOUS THERAPY 92423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92423,A000000,02500,0000,02500PHYSICAL THERAPY 92423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92423,A000000,02700,0000,02700SPEECH PATHOLOGY 92423,A000000,02800,0000,02800ELECTROCARDIOLOGY 92423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92423,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92423,A000000,03200,0000,03200SUPPORT SURFACES 92423,A000000,04800,0000,04800AMBULANCE 92423,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92423,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92423,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92423,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92423,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92423,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92423,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92423,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92423,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92423,B100000,00000,0800,00000MEALS SERVED :DIETARY 92423,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92423,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 92423,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 92423,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92423,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92423,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92423,S000000,00100,0200,03/01/2000 92423,S200000,00100,0100,210 FIFTH AVENUE 92423,S200000,00200,0100,ASBURY PARK 92423,S200000,00200,0200,NJ 92423,S200000,00200,0300,07712- 92423,S200000,00300,0100,OCEAN 92423,S200000,00400,0100,THE SALVATION ARMY RETIREMENT COMM 92423,S200000,00400,0200,315424 92423,S200000,00400,0300,04/01/1997 92423,S200000,00400,0500,P 92423,S200000,01500,0100,Y 92428,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92428,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92428,A000000,00300,0000,00300EMPLOYEE BENEFITS 92428,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92428,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92428,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92428,A000000,00700,0000,00700HOUSEKEEPING 92428,A000000,00800,0000,00800DIETARY 92428,A000000,00900,0000,00900NURSING ADMINISTRATION 92428,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92428,A000000,01100,0000,01100PHARMACY 92428,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92428,A000000,01300,0000,01300SOCIAL SERVICE 92428,A000000,01600,0000,01600SKILLED NURSING FACILITY 92428,A000000,01800,0000,01800NURSING FACILITY 92428,A000000,01810,0000,01810ICF/MR 92428,A000000,01900,0000,01900OTHER LONG TERM CARE 92428,A000000,02100,0000,02100RADIOLOGY 92428,A000000,02200,0000,02200LABORATORY 92428,A000000,02300,0000,02300INTRAVENOUS THERAPY 92428,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92428,A000000,02500,0000,02500PHYSICAL THERAPY 92428,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92428,A000000,02700,0000,02700SPEECH PATHOLOGY 92428,A000000,02800,0000,02800ELECTROCARDIOLOGY 92428,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92428,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92428,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92428,A000000,03200,0000,03200SUPPORT SURFACES 92428,A000000,03400,0000,03400CLINIC 92428,A000000,03500,0000,03500RURAL HEALTH CLINIC 92428,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 92428,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92428,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92428,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92428,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92428,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92428,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92428,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92428,A000000,04400,0000,04400DME RENTED - HHA 92428,A000000,04500,0000,04500DME SOLD - HHA 92428,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92428,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92428,A000000,04800,0000,04800AMBULANCE 92428,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92428,A000000,05000,0000,05000CORF 92428,A000000,05010,0000,05010CMHC 92428,A000000,05020,0000,05020OPT 92428,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 92428,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 92428,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92428,A000000,05300,0000,05300INTEREST EXPENSE 92428,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92428,A000000,05500,0000,05500HOSPICE 92428,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92428,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92428,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92428,A000000,06100,0000,06100NONPAID WORKERS 92428,A000000,06200,0000,06200PATIENTS LAUNDRY 92428,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92428,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 92428,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92428,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92428,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92428,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 92428,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 92428,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92428,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 92428,B100000,00000,1000,00000(COSTED REQUIS) :CENTRAL SERVICES 92428,B100000,00000,1100,00000(COSTED REQUIS) :PHARMACY 92428,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 92428,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 92428,S000000,00100,0200,07/21/2000 92428,S200000,00100,0100,615 AMWELL ROAD 92428,S200000,00100,0300,780 92428,S200000,00200,0100,NESHANIC 92428,S200000,00200,0200,NJ 92428,S200000,00200,0300,08853- 92428,S200000,00300,0100,SOMERSET 92428,S200000,00400,0100,FOOTHILL ACRES NURSING HOME 92428,S200000,00400,0200,315425 92428,S200000,00400,0300,09/01/1998 92428,S200000,00400,0500,P 92428,S200000,01004,0500,O 92428,S200000,01600,0100,Y 92428,S700003,00000,0400,4 92433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92433,A000000,00300,0000,00300EMPLOYEE BENEFITS 92433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92433,A000000,00700,0000,00700HOUSEKEEPING 92433,A000000,00800,0000,00800DIETARY 92433,A000000,00900,0000,00900NURSING ADMINISTRATION 92433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92433,A000000,01100,0000,01100PHARMACY 92433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92433,A000000,01300,0000,01300SOCIAL SERVICE 92433,A000000,01350,0000,01500PATIENT ACTIVITIES 92433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92433,A000000,01600,0000,01600SKILLED NURSING FACILITY 92433,A000000,01800,0000,01800NURSING FACILITY 92433,A000000,01810,0000,01801ICF/MR 92433,A000000,01900,0000,01900OTHER LONG TERM CARE 92433,A000000,02100,0000,02100RADIOLOGY 92433,A000000,02200,0000,02200LABORATORY 92433,A000000,02300,0000,02300INTRAVENOUS THERAPY 92433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92433,A000000,02500,0000,02500PHYSICAL THERAPY 92433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92433,A000000,02700,0000,02700SPEECH PATHOLOGY 92433,A000000,02800,0000,02800ELECTROCARDIOLOGY 92433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92433,A000000,03200,0000,03200SUPPORT SURFACES 92433,A000000,03400,0000,03400CLINIC 92433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92433,A000000,03500,0000,03500RURAL HEALTH CLINIC 92433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92433,A000000,04800,0000,04800AMBULANCE 92433,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92433,A000000,05000,0000,05000CORF 92433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92433,A000000,05300,0000,05300INTEREST EXPENSE 92433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92433,A000000,05500,0000,05500HOSPICE 92433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92433,A000000,06100,0000,06100NONPAID WORKERS 92433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92433,A000000,06200,0000,06200PATIENTS LAUNDRY 92433,A81000A,00100,0100,Y 92433,A81000B,00100,0300,ADMINISTRATOR SALARY 92433,A81000B,00200,0300,MANAGEMENT 92433,A81000B,00300,0300,FACILITY MANAGER 92433,A81000C,00100,0100,B 92433,A81000C,00100,0200,TIMOTHY ROBBINS 92433,A81000C,00200,0100,B 92433,A81000C,00200,0200,ARTHUR W.B. ROBBINS 92433,A81000C,00300,0100,B 92433,A81000C,00300,0200,ARTHRU ROBBINS 92433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92433,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 92433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92433,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92433,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92433,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92433,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92433,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92433,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92433,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92433,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92433,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92433,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92433,S000000,00100,0200,05/31/2000 92433,S200000,00100,0100,28 WASHINGTON STREET 92433,S200000,00200,0100,COLUMBIA 92433,S200000,00200,0200,NJ 92433,S200000,00200,0300,07832- 92433,S200000,00300,0100,WARREN 92433,S200000,00400,0100,CLOVER REST HOME 92433,S200000,00400,0200,315429 92433,S200000,00400,0300,08/29/1997 92433,S200000,00400,0500,P 92433,S200000,01600,0100,Y 92433,S700003,00000,0400,4 92436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92436,A000000,00300,0000,00300EMPLOYEE BENEFITS 92436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92436,A000000,00700,0000,00700HOUSEKEEPING 92436,A000000,00800,0000,00800DIETARY 92436,A000000,00900,0000,00900NURSING ADMINISTRATION 92436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92436,A000000,01100,0000,01100PHARMACY 92436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92436,A000000,01300,0000,01300SOCIAL SERVICE 92436,A000000,01350,0000,01500ACTIVITIES 92436,A000000,01600,0000,01600SKILLED NURSING FACILITY 92436,A000000,01800,0000,01800NURSING FACILITY 92436,A000000,01900,0000,01900OTHER LONG TERM CARE 92436,A000000,02100,0000,02100RADIOLOGY 92436,A000000,02200,0000,02200LABORATORY 92436,A000000,02300,0000,02300INTRAVENOUS THERAPY 92436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92436,A000000,02500,0000,02500PHYSICAL THERAPY 92436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92436,A000000,02700,0000,02700SPEECH PATHOLOGY 92436,A000000,02800,0000,02800ELECTROCARDIOLOGY 92436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92436,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92436,A000000,03200,0000,03200SUPPORT SURFACES 92436,A000000,04800,0000,04800AMBULANCE 92436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92436,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92436,A81000A,00100,0100,Y 92436,A81000B,00100,0300,RENT AND REAL ESTATE TAX 92436,A81000B,00200,0300,DEPRECIATION 92436,A81000B,00300,0300,REAL ESTATE TAX 92436,A81000B,00400,0300,MORTGAGE INTEREST 92436,A81000B,00500,0300,AMORTIZATION OF MORTGAGE COSTS 92436,A81000B,00600,0300,OTHER COSTS 92436,A81000C,00100,0100,A 92436,A81000C,00100,0200,JOEL WILLINGER 92436,A81000C,00100,0400,BEACHVIEW REALT 92436,A81000C,00100,0600,REALTY 92436,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92436,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92436,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92436,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92436,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92436,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92436,B100000,00000,0800,00000MEALS SERVED :DIETARY 92436,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92436,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 92436,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 92436,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92436,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92436,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 92436,E10A180,00301,0100,09/21/1999 92436,S000000,00100,0200,06/01/2000 92436,S200000,00100,0100,32 LAUREL AVENUE 92436,S200000,00200,0100,KEANSBURG 92436,S200000,00200,0200,NJ 92436,S200000,00200,0300,07734- 92436,S200000,00300,0100,MONMOUTH 92436,S200000,00300,0200,5190 92436,S200000,00300,0300,U 92436,S200000,00400,0100,BEACHVIEW CARE & REHAB CENTER 92436,S200000,00400,0200,315437 92436,S200000,00400,0300,03/18/1998 92436,S200000,00400,0500,P 92436,S200000,01500,0100,Y 92442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92442,A000000,00300,0000,00300EMPLOYEE BENEFITS 92442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92442,A000000,00700,0000,00700HOUSEKEEPING 92442,A000000,00800,0000,00800DIETARY 92442,A000000,00900,0000,00900NURSING ADMINISTRATION 92442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92442,A000000,01100,0000,01100PHARMACY 92442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92442,A000000,01300,0000,01300SOCIAL SERVICE 92442,A000000,01350,0000,01500PATIENT ACTIVITIES 92442,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92442,A000000,01600,0000,01600SKILLED NURSING FACILITY 92442,A000000,01800,0000,01800NURSING FACILITY 92442,A000000,01810,0000,01810ICF/MR 92442,A000000,01900,0000,01900OTHER LONG TERM CARE 92442,A000000,02100,0000,02100RADIOLOGY 92442,A000000,02200,0000,02200LABORATORY 92442,A000000,02300,0000,02300INTRAVENOUS THERAPY 92442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92442,A000000,02500,0000,02500PHYSICAL THERAPY 92442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92442,A000000,02700,0000,02700SPEECH PATHOLOGY 92442,A000000,02800,0000,02800ELECTROCARDIOLOGY 92442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92442,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92442,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92442,A000000,03200,0000,03200SUPPORT SURFACES 92442,A000000,03400,0000,03400CLINIC 92442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92442,A000000,03500,0000,03500RURAL HEALTH CLINIC 92442,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92442,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92442,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92442,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92442,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92442,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92442,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92442,A000000,04400,0000,04400DME RENTED - HHA 92442,A000000,04500,0000,04500DME SOLD - HHA 92442,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92442,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92442,A000000,04800,0000,04800AMBULANCE 92442,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92442,A000000,05000,0000,05000CORF 92442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92442,A000000,05300,0000,05300INTEREST EXPENSE 92442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92442,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92442,A000000,05500,0000,05500HOSPICE 92442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92442,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92442,A000000,06100,0000,06100NONPAID WORKERS 92442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92442,A000000,06200,0000,06200PATIENTS LAUNDRY 92442,A81000A,00100,0100,Y 92442,A81000B,00100,0300,BUILDING RENT 92442,A81000B,00200,0300,EQUIPMENT LEASE 92442,A81000C,00100,0100,B 92442,A81000C,00100,0200,HOVCARE BRICK INC. 92442,A81000C,00100,0400,RELATED ORGANIZATION 92442,A81000C,00100,0600,REALITY HOLDING COMPANY 92442,A81000C,00200,0100,B 92442,A81000C,00200,0200,HOVCARE BRICK INC. 92442,A81000C,00200,0400,RELATED ORGAINIZATION 92442,A81000C,00200,0600,REALITY HOLDING COMPANY 92442,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92442,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 92442,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92442,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92442,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92442,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92442,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92442,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92442,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92442,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92442,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92442,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92442,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92442,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92442,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92442,S000000,00100,0200,05/31/2000 92442,S200000,00100,0100,75 OLD TOMS RIVER ROAD 92442,S200000,00200,0100,BRICK 92442,S200000,00200,0200,NJ 92442,S200000,00200,0300,08723- 92442,S200000,00300,0100,OCEAN 92442,S200000,00400,0100,SHORROCK GARDENS CARE CENTER 92442,S200000,00400,0200,315453 92442,S200000,00400,0300,06/10/1999 92442,S200000,00400,0500,P 92442,S200000,01600,0100,Y 92444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92444,A000000,00300,0000,00300EMPLOYEE BENEFITS 92444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92444,A000000,00700,0000,00700HOUSEKEEPING 92444,A000000,00800,0000,00800DIETARY 92444,A000000,00900,0000,00900NURSING ADMINISTRATION 92444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92444,A000000,01100,0000,01100PHARMACY 92444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92444,A000000,01300,0000,01300SOCIAL SERVICE 92444,A000000,01350,0000,01500PATIENT ACTIVITIES 92444,A000000,01600,0000,01600SKILLED NURSING FACILITY 92444,A000000,01800,0000,01800NURSING FACILITY 92444,A000000,01900,0000,01900OTHER LONG TERM CARE 92444,A000000,02100,0000,02100RADIOLOGY 92444,A000000,02200,0000,02200LABORATORY 92444,A000000,02300,0000,02300INTRAVENOUS THERAPY 92444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92444,A000000,02500,0000,02500PHYSICAL THERAPY 92444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92444,A000000,02700,0000,02700SPEECH PATHOLOGY 92444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92444,A000000,03200,0000,03200SUPPORT SURFACES 92444,A000000,04800,0000,04800AMBULANCE 92444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92444,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92444,A000000,06100,0000,06100NONPAID WORKERS 92444,A000000,06150,0000,06300RESIDENTIAL UNIT 92444,A000000,06200,0000,06200PATIENTS LAUNDRY 92444,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92444,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92444,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92444,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92444,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92444,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92444,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92444,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92444,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92444,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92444,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92444,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92444,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92444,S000000,00100,0200,06/09/2000 92444,S200000,00100,0100,1231 WARNER STREET 92444,S200000,00200,0100,TOMS RIVER 92444,S200000,00200,0200,NJ 92444,S200000,00200,0300,08757- 92444,S200000,00300,0100,OCEAN 92444,S200000,00400,0100,REGAL MANOR HEALTH CARE CENTER 92444,S200000,00400,0200,315454 92444,S200000,00400,0300,06/10/1999 92444,S200000,00400,0500,P 92444,S200000,01004,0500,O 92444,S200000,01500,0100,Y 92446,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92446,A000000,00300,0000,00300EMPLOYEE BENEFITS 92446,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92446,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92446,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92446,A000000,00700,0000,00700HOUSEKEEPING 92446,A000000,00800,0000,00800DIETARY 92446,A000000,00900,0000,00900NURSING ADMINISTRATION 92446,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92446,A000000,01100,0000,01100PHARMACY 92446,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92446,A000000,01300,0000,01300SOCIAL SERVICE 92446,A000000,01350,0000,01500PATIENT ACTIVITIES 92446,A000000,01600,0000,01600SKILLED NURSING FACILITY 92446,A000000,01800,0000,01800NURSING FACILITY 92446,A000000,01900,0000,01900OTHER LONG TERM CARE 92446,A000000,02100,0000,02100RADIOLOGY 92446,A000000,02200,0000,02200LABORATORY 92446,A000000,02300,0000,02300INTRAVENOUS THERAPY 92446,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92446,A000000,02500,0000,02500PHYSICAL THERAPY 92446,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92446,A000000,02700,0000,02700SPEECH PATHOLOGY 92446,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92446,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92446,A000000,03200,0000,03200SUPPORT SURFACES 92446,A000000,04800,0000,04800AMBULANCE 92446,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92446,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92446,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92446,A000000,06100,0000,06100NONPAID WORKERS 92446,A000000,06150,0000,06300RESIDENTIAL 92446,A000000,06200,0000,06200PATIENTS LAUNDRY 92446,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92446,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92446,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92446,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92446,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92446,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92446,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92446,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92446,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92446,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92446,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92446,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92446,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 92446,S000000,00100,0200,06/14/2000 92446,S200000,00100,0100,1314 BRUNSWICK AVENUE 92446,S200000,00200,0100,TRENTON 92446,S200000,00200,0200,NJ 92446,S200000,00200,0300,08638- 92446,S200000,00300,0100,MERCER 92446,S200000,00400,0100,ROYAL HEALTH GATE NURSING AND REHAB 92446,S200000,00400,0200,315455 92446,S200000,00400,0300,06/23/1999 92446,S200000,00400,0500,P 92446,S200000,01004,0500,O 92446,S200000,01500,0100,Y 92446,S700003,00000,0400,4 92455,S000000,00100,0200,08/11/2000 92551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92551,A000000,00300,0000,00300EMPLOYEE BENEFITS 92551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92551,A000000,00700,0000,00700HOUSEKEEPING 92551,A000000,00800,0000,00800DIETARY 92551,A000000,00900,0000,00900NURSING ADMINISTRATION 92551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92551,A000000,01100,0000,01100PHARMACY 92551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92551,A000000,01300,0000,01300SOCIAL SERVICE 92551,A000000,01600,0000,01600SKILLED NURSING FACILITY 92551,A000000,01800,0000,01800NURSING FACILITY 92551,A000000,01900,0000,01900OTHER LONG TERM CARE 92551,A000000,02100,0000,02100RADIOLOGY 92551,A000000,02200,0000,02200LABORATORY 92551,A000000,02300,0000,02300INTRAVENOUS THERAPY 92551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92551,A000000,02500,0000,02500PHYSICAL THERAPY 92551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92551,A000000,02700,0000,02700SPEECH PATHOLOGY 92551,A000000,02800,0000,02800ELECTROCARDIOLOGY 92551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92551,A000000,03051,0000,03301NUTRITIONAL THERAPY 92551,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92551,A000000,03053,0000,03303PHYSICIAN SERVICES 92551,A000000,03054,0000,03304MEDICAL SERVICES 92551,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92551,A000000,03200,0000,03200SUPPORT SURFACES 92551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92551,A000000,04800,0000,04800AMBULANCE 92551,A000000,05300,0000,05300INTEREST EXPENSE 92551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92551,A000000,06100,0000,06100NONPAID WORKERS 92551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92551,A000000,06200,0000,06200PATIENTS LAUNDRY 92551,A81000A,00100,0100,Y 92551,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92551,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92551,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92551,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92551,A81000B,00500,0300,REGIONAL ALLOCATION 92551,A81000B,00600,0300,SEE ATTACHED 92551,A81000C,00100,0100,B 92551,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92551,A81000C,00200,0200,A-8-1. 92551,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92551,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92551,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92551,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92551,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92551,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92551,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92551,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92551,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92551,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92551,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92551,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92551,S000000,00100,0200,06/02/2000 92551,S200000,00100,0100,543 MAPLE AVENUE 92551,S200000,00200,0100,REIDSVILLE 92551,S200000,00200,0200,NC 92551,S200000,00200,0300,27320- 92551,S200000,00300,0100,ROCKINGHAM 92551,S200000,00300,0200,34 92551,S200000,00300,0300,R 92551,S200000,00400,0100,SUNBRIDGE CARE & REHAB FR REIDSVILLE 92551,S200000,00400,0200,345227 92551,S200000,00400,0300,04/01/1997 92551,S200000,00400,0500,P 92551,S200000,01600,0100,Y 92558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92558,A000000,00300,0000,00300EMPLOYEE BENEFITS 92558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92558,A000000,00700,0000,00700HOUSEKEEPING 92558,A000000,00800,0000,00800DIETARY 92558,A000000,00900,0000,00900NURSING ADMINISTRATION 92558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92558,A000000,01100,0000,01100PHARMACY 92558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92558,A000000,01300,0000,01300SOCIAL SERVICE 92558,A000000,01350,0000,01500PATIENT ACTIVITIES 92558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92558,A000000,01600,0000,01600SKILLED NURSING FACILITY 92558,A000000,01800,0000,01800NURSING FACILITY 92558,A000000,01810,0000,01801ICF/MR 92558,A000000,01900,0000,01900OTHER LONG TERM CARE 92558,A000000,02100,0000,02100RADIOLOGY 92558,A000000,02200,0000,02200LABORATORY 92558,A000000,02300,0000,02300INTRAVENOUS THERAPY 92558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92558,A000000,02500,0000,02500PHYSICAL THERAPY 92558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92558,A000000,02700,0000,02700SPEECH PATHOLOGY 92558,A000000,02800,0000,02800ELECTROCARDIOLOGY 92558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92558,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92558,A000000,03200,0000,03200SUPPORT SURFACES 92558,A000000,03400,0000,03400CLINIC 92558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92558,A000000,03500,0000,03500RURAL HEALTH CLINIC 92558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92558,A000000,04800,0000,04800AMBULANCE 92558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92558,A000000,05000,0000,05000CORF 92558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92558,A000000,05300,0000,05300INTEREST EXPENSE 92558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92558,A000000,05500,0000,05500HOSPICE 92558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92558,A000000,06100,0000,06100NONPAID WORKERS 92558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92558,A000000,06200,0000,06200PATIENTS LAUNDRY 92558,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92558,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92558,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92558,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92558,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92558,B100000,00000,0750,00000SQ FTG EXC DIET:HOUSEKEEPING 92558,B100000,00000,0800,00000MEALS SERVED :DIETARY 92558,B100000,00000,0950,00000NRSING HRS :NURSING ADMINISTRATION 92558,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92558,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92558,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92558,B100000,00000,1330,00000PAT DAYS EXC AST:SOCIAL SERVICE 92558,B100000,00000,1350,00000PAT DAYS EXC AST:PATIENT ACTIVITIES 92558,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92558,E10A180,00501,0300,05/03/2000 92558,E10A180,00550,0100,05/03/2000 92558,S000000,00100,0200,03/07/2000 92558,S200000,00100,0100,100 WADE COBLE DRIVE 92558,S200000,00200,0100,BURLINGTON 92558,S200000,00200,0200,NC 92558,S200000,00200,0300,27215- 92558,S200000,00300,0100,ALAMANCE 92558,S200000,00400,0100,TWIN LAKES CENTER 92558,S200000,00400,0200,345235 92558,S200000,00400,0300,10/04/1983 92558,S200000,00400,0500,P 92558,S200000,01700,0100,Y 92558,S700003,00000,0100,1 92576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92576,A000000,00300,0000,00300EMPLOYEE BENEFITS 92576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92576,A000000,00700,0000,00700HOUSEKEEPING 92576,A000000,00800,0000,00800DIETARY 92576,A000000,00900,0000,00900NURSING ADMINISTRATION 92576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92576,A000000,01100,0000,01100PHARMACY 92576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92576,A000000,01300,0000,01300SOCIAL SERVICE 92576,A000000,01600,0000,01600SKILLED NURSING FACILITY 92576,A000000,01800,0000,01800NURSING FACILITY 92576,A000000,01900,0000,01900OTHER LONG TERM CARE 92576,A000000,02100,0000,02100RADIOLOGY 92576,A000000,02200,0000,02200LABORATORY 92576,A000000,02300,0000,02300INTRAVENOUS THERAPY 92576,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92576,A000000,02500,0000,02500PHYSICAL THERAPY 92576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92576,A000000,02700,0000,02700SPEECH PATHOLOGY 92576,A000000,02800,0000,02800ELECTROCARDIOLOGY 92576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92576,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92576,A000000,03051,0000,03301NUTRITIONAL THERAPY 92576,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92576,A000000,03053,0000,03303PHYSICIAN SERVICES 92576,A000000,03054,0000,03304MEDICAL SERVICES 92576,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92576,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92576,A000000,03200,0000,03200SUPPORT SURFACES 92576,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92576,A000000,04800,0000,04800AMBULANCE 92576,A000000,05300,0000,05300INTEREST EXPENSE 92576,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92576,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92576,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92576,A000000,06100,0000,06100NONPAID WORKERS 92576,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92576,A000000,06200,0000,06200PATIENTS LAUNDRY 92576,A81000A,00100,0100,Y 92576,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92576,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92576,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92576,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92576,A81000B,00500,0300,REGIONAL ALLOCATION 92576,A81000B,00600,0300,PLEASE SEE ATTACHED 92576,A81000C,00100,0100,B 92576,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92576,A81000C,00200,0200,A-8-1. 92576,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92576,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92576,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92576,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92576,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92576,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92576,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92576,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92576,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92576,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92576,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92576,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92576,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92576,S000000,00100,0200,06/02/2000 92576,S200000,00100,0100,HIGHWAY 701 SOUTH 92576,S200000,00200,0100,ELIZABETHTOWN 92576,S200000,00200,0200,NC 92576,S200000,00200,0300,28337- 92576,S200000,00300,0100,BLADEN 92576,S200000,00300,0200,34 92576,S200000,00300,0300,R 92576,S200000,00400,0100,SUNBRIDGE C & R FOR ELIZABETHTOWN 92576,S200000,00400,0200,345267 92576,S200000,00400,0300,11/15/1987 92576,S200000,00400,0500,P 92576,S200000,01600,0100,Y 92576,S200000,02200,0100,Y 92582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92582,A000000,00300,0000,00300EMPLOYEE BENEFITS 92582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92582,A000000,00700,0000,00700HOUSEKEEPING 92582,A000000,00800,0000,00800DIETARY 92582,A000000,00900,0000,00900NURSING ADMINISTRATION 92582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92582,A000000,01300,0000,01300SOCIAL SERVICE 92582,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTER 92582,A000000,01351,0000,01501CENTRAL ADMISSIONS 92582,A000000,01600,0000,01600SKILLED NURSING FACILITY 92582,A000000,01800,0000,01800NURSING FACILITY 92582,A000000,01900,0000,01900OTHER LONG TERM CARE 92582,A000000,02100,0000,02100RADIOLOGY 92582,A000000,02200,0000,02200LABORATORY 92582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92582,A000000,02500,0000,02500PHYSICAL THERAPY 92582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92582,A000000,02700,0000,02700SPEECH PATHOLOGY 92582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92582,A000000,03050,0000,03300CLINITRON THERAPY 92582,A000000,03051,0000,03301ENTERAL THERAPY 92582,A000000,03052,0000,03302OTHER-AMBULANCE(EMERG ROOM) 92582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92582,A000000,05300,0000,05300INTEREST EXPENSE 92582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 92582,A81000A,00100,0100,Y 92582,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 92582,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 92582,A81000C,00100,0100,B 92582,A81000C,00100,0400,SENTARA HLTH CA 92582,A81000C,00100,0600,HEALTH CARE 92582,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92582,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92582,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 92582,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92582,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92582,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 92582,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92582,B100000,00000,0800,00000MEALS SERVED :DIETARY 92582,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 92582,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92582,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92582,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 92582,S000000,00100,0200,05/30/2000 92582,S200000,00100,0100,3907 CARATOKE HWY 92582,S200000,00200,0100,BARCO 92582,S200000,00200,0200,NC 92582,S200000,00200,0300,27917- 92582,S200000,00300,0100,CURRITUCK 92582,S200000,00300,0200,0034 92582,S200000,00300,0300,U 92582,S200000,00400,0100,SENTARA NURSING CENTER-CURRITUCK 92582,S200000,00400,0200,345289 92582,S200000,00400,0300,09/29/1988 92582,S200000,00400,0500,P 92582,S200000,01600,0100,Y 92582,S200000,04700,0100,Y 92582,S200000,04700,0200,Y 92587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92587,A000000,00300,0000,00300EMPLOYEE BENEFITS 92587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92587,A000000,00700,0000,00700HOUSEKEEPING 92587,A000000,00800,0000,00800DIETARY 92587,A000000,00900,0000,00900NURSING ADMINISTRATION 92587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92587,A000000,01100,0000,01100PHARMACY 92587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92587,A000000,01300,0000,01300SOCIAL SERVICE 92587,A000000,01600,0000,01600SKILLED NURSING FACILITY 92587,A000000,01800,0000,01800NURSING FACILITY 92587,A000000,01900,0000,01900OTHER LONG TERM CARE 92587,A000000,02100,0000,02100RADIOLOGY 92587,A000000,02200,0000,02200LABORATORY 92587,A000000,02300,0000,02300INTRAVENOUS THERAPY 92587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92587,A000000,02500,0000,02500PHYSICAL THERAPY 92587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92587,A000000,02700,0000,02700SPEECH PATHOLOGY 92587,A000000,02800,0000,02800ELECTROCARDIOLOGY 92587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92587,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92587,A000000,03051,0000,03301NUTRITIONAL THERAPY 92587,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92587,A000000,03053,0000,03303PHYSICIAN SERVICES 92587,A000000,03054,0000,03304MEDICAL SERVICES 92587,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92587,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92587,A000000,03200,0000,03200SUPPORT SURFACES 92587,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92587,A000000,04800,0000,04800AMBULANCE 92587,A000000,05300,0000,05300INTEREST EXPENSE 92587,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92587,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92587,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92587,A000000,06100,0000,06100NONPAID WORKERS 92587,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92587,A000000,06200,0000,06200PATIENTS LAUNDRY 92587,A81000A,00100,0100,Y 92587,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92587,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92587,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92587,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92587,A81000B,00500,0300,REGIONAL ALLOCATION 92587,A81000B,00600,0300,SEE ATTACHED 92587,A81000C,00100,0100,B 92587,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92587,A81000C,00200,0200,A-8-1. 92587,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92587,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92587,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92587,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92587,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92587,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92587,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92587,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92587,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92587,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92587,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92587,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92587,S000000,00100,0200,06/02/2000 92587,S200000,00100,0100,4414 WILKINSON BLVD 92587,S200000,00200,0100,GASTONIA 92587,S200000,00200,0200,NC 92587,S200000,00200,0300,28056- 92587,S200000,00300,0100,GASTON 92587,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR LOWELL 92587,S200000,00400,0200,345307 92587,S200000,00400,0300,01/01/1996 92587,S200000,00400,0500,P 92587,S200000,01500,0100,Y 92587,S200000,02200,0100,Y 92587,S700003,00000,0200,2 92625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92625,A000000,00300,0000,00300EMPLOYEE BENEFITS 92625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92625,A000000,00700,0000,00700HOUSEKEEPING 92625,A000000,00800,0000,00800DIETARY 92625,A000000,00900,0000,00900NURSING ADMINISTRATION 92625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92625,A000000,01100,0000,01100PHARMACY 92625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92625,A000000,01300,0000,01300SOCIAL SERVICE 92625,A000000,01350,0000,01500ACTIVITIES 92625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92625,A000000,01600,0000,01600SKILLED NURSING FACILITY 92625,A000000,01800,0000,01800NURSING FACILITY 92625,A000000,01900,0000,01900OTHER LONG TERM CARE 92625,A000000,02100,0000,02100RADIOLOGY 92625,A000000,02200,0000,02200LABORATORY 92625,A000000,02300,0000,02300INTRAVENOUS THERAPY 92625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92625,A000000,02500,0000,02500PHYSICAL THERAPY 92625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92625,A000000,02700,0000,02700SPEECH PATHOLOGY 92625,A000000,02800,0000,02800ELECTROCARDIOLOGY 92625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92625,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92625,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92625,A000000,03200,0000,03200SUPPORT SURFACES 92625,A000000,03400,0000,03400CLINIC 92625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 92625,A000000,03500,0000,03500RURAL HEALTH CLINIC 92625,A000000,04800,0000,04800AMBULANCE 92625,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92625,A000000,05000,0000,05000CORF 92625,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92625,A000000,05300,0000,05300INTEREST EXPENSE 92625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92625,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92625,A000000,05500,0000,05500HOSPICE 92625,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92625,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92625,A000000,06100,0000,06100NONPAID WORKERS 92625,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92625,A000000,06200,0000,06200PATIENTS LAUNDRY 92625,A81000A,00100,0100,Y 92625,A81000B,00100,0300,NURSING SUPPLIES 92625,A81000B,00200,0300,NURSING SUPPLIES 92625,A81000B,00300,0300,BLOOD BORNE PATH SUPPLIES 92625,A81000B,00400,0300,DRUGS RELATED 92625,A81000B,00500,0300,CHARGEABLE MEDICAL SUPPLIES 92625,A81000B,00600,0300,DIETARY SUPPLIES 92625,A81000B,00700,0300,LAUNDRY SUPPLIES 92625,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 92625,A81000B,00900,0300,PLANT OPERATION MAINT. & REPAIRS 92625,A81000B,01000,0300,ADMINISTRATIVE & GENERAL 92625,A81000B,01100,0300,FACILITY LEASE 92625,A81000B,01200,0300,POOLED COST/INTEREST EXP/INTEREST IN 92625,A81000B,01300,0300,FACILITY ADMINISTRATOR 92625,A81000B,01400,0300,DIETARY CONSULTANT 92625,A81000B,01500,0300,NURSE CONSULTANT 92625,A81000B,01600,0300,REGIONAL PERSONNEL 92625,A81000B,01700,0300,CAP REL COSTS - BLDGS & FIXTURES 92625,A81000B,01800,0300,THERAPY CONSULTANT 92625,A81000B,01900,0300,MAINTENANCE CONSULTANT 92625,A81000B,02000,0300,ACCOUNTS RECEIVABLE DEPT 92625,A81000B,02100,0300,PHYSICAL THERAPY 92625,A81000B,02200,0300,SOCIAL SERVICES 92625,A81000B,02300,0300,ACTIVITIES 92625,A81000B,02400,0300,MEDICAL RECORDS 92625,A81000C,00100,0100,B 92625,A81000C,00100,0200,NEIL PRUITT 92625,A81000C,00100,0400,UNITED REHAB 92625,A81000C,00100,0600,THERAPY 92625,A81000C,00200,0100,B 92625,A81000C,00200,0200,NEIL PRUITT 92625,A81000C,00200,0400,UNITED PHARMACY 92625,A81000C,00200,0600,PHARMACY 92625,A81000C,00300,0100,B 92625,A81000C,00300,0200,NEIL PRUITT 92625,A81000C,00300,0400,PRUITT PROPERTI 92625,A81000C,00300,0600,RENTAL 92625,A81000C,00400,0100,B 92625,A81000C,00400,0200,NEIL PRUITT 92625,A81000C,00400,0400,PRUITT CORPORAT 92625,A81000C,00400,0600,MANAGEMENT 92625,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92625,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92625,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92625,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92625,B100000,00000,0800,00000MEALS SERVED :DIETARY 92625,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92625,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 92625,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92625,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92625,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92625,E10A180,00301,0100,01/27/2000 92625,S000000,00100,0200,12/04/2000 92625,S200000,00100,0100,836 HOSPITAL DRIVE 92625,S200000,00200,0100,NEW BERN 92625,S200000,00200,0200,CA 92625,S200000,00200,0300,28560- 92625,S200000,00300,0100,CRAVEN 92625,S200000,00300,0200,34 92625,S200000,00300,0300,R 92625,S200000,00400,0100,NEW BERN HEALTH CARE INC. 92625,S200000,00400,0200,345371 92625,S200000,00400,0300,07/01/1998 92625,S200000,00400,0500,P 92625,S200000,01600,0100,Y 92653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92653,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 92653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92653,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 92653,A000000,00300,0000,00300EMPLOYEE BENEFITS 92653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92653,A000000,00700,0000,00700HOUSEKEEPING 92653,A000000,00800,0000,00800DIETARY 92653,A000000,00801,0000,00801CAFETERIA 92653,A000000,00900,0000,00900NURSING ADMINISTRATION 92653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92653,A000000,01100,0000,01100PHARMACY 92653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92653,A000000,01300,0000,01300SOCIAL SERVICE 92653,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 92653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92653,A000000,01600,0000,01600SKILLED NURSING FACILITY 92653,A000000,01800,0000,01800NURSING FACILITY 92653,A000000,01900,0000,01900OTHER LONG TERM CARE 92653,A000000,02100,0000,02100RADIOLOGY 92653,A000000,02200,0000,02200LABORATORY 92653,A000000,02300,0000,02300INTRAVENOUS THERAPY 92653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92653,A000000,02500,0000,02500PHYSICAL THERAPY 92653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92653,A000000,02700,0000,02700SPEECH PATHOLOGY 92653,A000000,02800,0000,02800ELECTROCARDIOLOGY 92653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92653,A000000,03050,0000,03300OTHER ANCILLARY 92653,A000000,03051,0000,03301OTHER ANCILLARY II 92653,A000000,03052,0000,03302OTHER ANCILLARY III 92653,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92653,A000000,03200,0000,03200SUPPORT SURFACES 92653,A000000,03400,0000,03400CLINIC 92653,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 92653,A000000,03500,0000,03500RURAL HEALTH CLINIC 92653,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92653,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92653,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92653,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92653,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92653,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92653,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92653,A000000,04400,0000,04400DME RENTED - HHA 92653,A000000,04500,0000,04500DME SOLD - HHA 92653,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92653,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92653,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92653,A000000,04800,0000,04800AMBULANCE 92653,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92653,A000000,05000,0000,05000CORF 92653,A000000,05010,0000,05010CMHC I 92653,A000000,05020,0000,05020OPT I 92653,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92653,A000000,05300,0000,05300INTEREST EXPENSE 92653,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 92653,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 92653,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92653,A000000,05500,0000,05500HOSPICE 92653,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92653,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92653,A000000,06100,0000,06100NONPAID WORKERS 92653,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92653,A000000,06200,0000,06200PATIENTS LAUNDRY 92653,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92653,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92653,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92653,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92653,B100000,00000,0650,00000PATIENT DA :LAUNDRY & LINEN SERVIC 92653,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 92653,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92653,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 92653,B100000,00000,1050,00000PATIENT DA :CENTRAL SERVICES & SUP 92653,B100000,00000,1250,00000PATIENT DA :MEDICAL RECORDS & LIBR 92653,B100000,00000,1330,00000PATIENT DA :SOCIAL SERVICE 92653,E10A180,00550,0100,07/20/2000 92653,E10A180,00550,0300,07/20/2000 92653,S000000,00100,0200,06/02/2000 92653,S200000,00100,0100,1403 CONNER DRIVE 92653,S200000,00200,0100,WINDSOR 92653,S200000,00200,0200,NC 92653,S200000,00200,0300,27983- 92653,S200000,00300,0100,BERTIE 92653,S200000,00300,0200,34 92653,S200000,00300,0300,R 92653,S200000,00400,0100,QUALITY LINK BERTIE LP 92653,S200000,00400,0200,345404 92653,S200000,00400,0300,10/01/1992 92653,S200000,00400,0500,P 92653,S200000,01600,0100,Y 92663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92663,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 92663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92663,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 92663,A000000,00300,0000,00300EMPLOYEE BENEFITS 92663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92663,A000000,00700,0000,00700HOUSEKEEPING 92663,A000000,00800,0000,00800DIETARY 92663,A000000,00801,0000,00801CAFETERIA 92663,A000000,00900,0000,00900NURSING ADMINISTRATION 92663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92663,A000000,01100,0000,01100PHARMACY 92663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92663,A000000,01300,0000,01300SOCIAL SERVICE 92663,A000000,01350,0000,01500ACTIVITIES 92663,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92663,A000000,01600,0000,01600SKILLED NURSING FACILITY 92663,A000000,01800,0000,01800NURSING FACILITY 92663,A000000,01900,0000,01900OTHER LONG TERM CARE 92663,A000000,02100,0000,02100RADIOLOGY 92663,A000000,02200,0000,02200LABORATORY 92663,A000000,02300,0000,02300INTRAVENOUS THERAPY 92663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92663,A000000,02500,0000,02500PHYSICAL THERAPY 92663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92663,A000000,02700,0000,02700SPEECH PATHOLOGY 92663,A000000,02800,0000,02800ELECTROCARDIOLOGY 92663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92663,A000000,03050,0000,03300OTHER ANCILLARY 92663,A000000,03051,0000,03301OTHER ANCILLARY II 92663,A000000,03052,0000,03302OTHER ANCILLARY III 92663,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92663,A000000,03200,0000,03200SUPPORT SURFACES 92663,A000000,03400,0000,03400CLINIC 92663,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 92663,A000000,03500,0000,03500RURAL HEALTH CLINIC 92663,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92663,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92663,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92663,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92663,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92663,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92663,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92663,A000000,04400,0000,04400DME RENTED - HHA 92663,A000000,04500,0000,04500DME SOLD - HHA 92663,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92663,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92663,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92663,A000000,04800,0000,04800AMBULANCE 92663,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92663,A000000,05000,0000,05000CORF 92663,A000000,05010,0000,05010CMHC I 92663,A000000,05020,0000,05020OPT I 92663,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92663,A000000,05300,0000,05300INTEREST EXPENSE 92663,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 92663,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 92663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92663,A000000,05500,0000,05500HOSPICE 92663,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92663,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92663,A000000,06100,0000,06100NONPAID WORKERS 92663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92663,A000000,06200,0000,06200PATIENTS LAUNDRY 92663,A81000A,00100,0100,Y 92663,A81000B,00100,0300,CAPITAL 92663,A81000B,00200,0300,A&G 92663,A81000B,00300,0300,A&G 92663,A81000B,00400,0300,A&G 92663,A81000B,00500,0300,DIETARY 92663,A81000B,00600,0300,MEDICAL SUPPLIES 92663,A81000B,00700,0300,MEDICAL SUPPLIES 92663,A81000C,00100,0100,A 92663,A81000C,00100,0200,HP/HAMILTON 92663,A81000C,00100,0600,LONG TERM 92663,A81000C,00200,0100,A 92663,A81000C,00200,0200,LP HEALTHPRIME 92663,A81000C,00200,0600,CARE MGMT 92663,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92663,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 92663,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 92663,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 92663,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92663,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92663,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 92663,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 92663,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92663,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 92663,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 92663,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 92663,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 92663,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 92663,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 92663,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 92663,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 92663,E10A180,00550,0100,07/27/2000 92663,E10A180,00550,0300,07/27/2000 92663,S000000,00100,0200,06/22/2000 92663,S200000,00100,0100,1719 QUARTER RD 92663,S200000,00200,0100,SWAN QUARTER 92663,S200000,00200,0200,NC 92663,S200000,00200,0300,27885- 92663,S200000,00300,0100,HYDE 92663,S200000,00400,0100,CROSS CREEK 92663,S200000,00400,0200,345407 92663,S200000,00400,0300,01/01/1992 92663,S200000,00400,0500,P 92663,S200000,01600,0100,Y 92663,S200000,02200,0100,Y 92663,S700003,00000,0100,1 92669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92669,A000000,00300,0000,00300EMPLOYEE BENEFITS 92669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92669,A000000,00700,0000,00700HOUSEKEEPING 92669,A000000,00800,0000,00800DIETARY 92669,A000000,00900,0000,00900NURSING ADMINISTRATION 92669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92669,A000000,01100,0000,01100PHARMACY 92669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92669,A000000,01300,0000,01300SOCIAL SERVICE 92669,A000000,01600,0000,01600SKILLED NURSING FACILITY 92669,A000000,01800,0000,01800NURSING FACILITY 92669,A000000,01900,0000,01900OTHER LONG TERM CARE 92669,A000000,02100,0000,02100RADIOLOGY 92669,A000000,02200,0000,02200LABORATORY 92669,A000000,02300,0000,02300INTRAVENOUS THERAPY 92669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92669,A000000,02500,0000,02500PHYSICAL THERAPY 92669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92669,A000000,02700,0000,02700SPEECH PATHOLOGY 92669,A000000,02800,0000,02800ELECTROCARDIOLOGY 92669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92669,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92669,A000000,03051,0000,03301NUTRITIONAL THERAPY 92669,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92669,A000000,03053,0000,03303PHYSICIAN SERVICES 92669,A000000,03054,0000,03304MEDICAL SERVICES 92669,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92669,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92669,A000000,03200,0000,03200SUPPORT SURFACES 92669,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92669,A000000,04800,0000,04800AMBULANCE 92669,A000000,05300,0000,05300INTEREST EXPENSE 92669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92669,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92669,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92669,A000000,06100,0000,06100NONPAID WORKERS 92669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92669,A000000,06200,0000,06200PATIENTS LAUNDRY 92669,A81000A,00100,0100,Y 92669,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92669,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92669,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92669,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92669,A81000B,00500,0300,SEE ATTACHED 92669,A81000B,00600,0300,REGIONAL ALLOC. RELATED PARTY 92669,A81000C,00100,0100,B 92669,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92669,A81000C,00200,0200,A-8-1. 92669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92669,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92669,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92669,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92669,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92669,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92669,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92669,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92669,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92669,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 92669,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92669,S000000,00100,0200,06/02/2000 92669,S200000,00100,0100,310 EAST WARDELL DRIVE 92669,S200000,00200,0100,PEMBROKE 92669,S200000,00200,0200,NC 92669,S200000,00200,0300,28372- 92669,S200000,00300,0100,ROBESON 92669,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR PEMBROKE 92669,S200000,00400,0200,345409 92669,S200000,00400,0300,01/07/1992 92669,S200000,00400,0500,P 92669,S200000,01600,0100,Y 92669,S700003,00000,0200,2 92674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92674,A000000,00300,0000,00300EMPLOYEE BENEFITS 92674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92674,A000000,00700,0000,00700HOUSEKEEPING 92674,A000000,00800,0000,00800DIETARY 92674,A000000,00900,0000,00900NURSING ADMINISTRATION 92674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92674,A000000,01100,0000,01100PHARMACY 92674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92674,A000000,01300,0000,01300SOCIAL SERVICE 92674,A000000,01600,0000,01600SKILLED NURSING FACILITY 92674,A000000,01800,0000,01800NURSING FACILITY 92674,A000000,01900,0000,01900OTHER LONG TERM CARE 92674,A000000,02100,0000,02100RADIOLOGY 92674,A000000,02200,0000,02200LABORATORY 92674,A000000,02300,0000,02300INTRAVENOUS THERAPY 92674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92674,A000000,02500,0000,02500PHYSICAL THERAPY 92674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92674,A000000,02700,0000,02700SPEECH PATHOLOGY 92674,A000000,02800,0000,02800ELECTROCARDIOLOGY 92674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92674,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92674,A000000,03051,0000,03301NUTRITIONAL THERAPY 92674,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92674,A000000,03053,0000,03303PHYSICIAN SERVICES 92674,A000000,03054,0000,03304MEDICAL SERVICES 92674,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92674,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92674,A000000,03200,0000,03200SUPPORT SURFACES 92674,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92674,A000000,04800,0000,04800AMBULANCE 92674,A000000,05300,0000,05300INTEREST EXPENSE 92674,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92674,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92674,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92674,A000000,06100,0000,06100NONPAID WORKERS 92674,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92674,A000000,06200,0000,06200PATIENTS LAUNDRY 92674,A81000A,00100,0100,Y 92674,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92674,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92674,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92674,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92674,A81000B,00500,0300,REGIONAL ALLOCATION 92674,A81000B,00600,0300,PLEASE SEE ATTACHED 92674,A81000C,00100,0100,B 92674,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92674,A81000C,00200,0200,A-8-1. 92674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92674,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92674,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92674,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92674,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92674,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92674,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92674,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92674,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92674,B100000,00000,1250,00000PATIENT DAYS R :MEDICAL RECORDS & L 92674,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92674,S000000,00100,0200,06/02/2000 92674,S200000,00100,0100,300 MEADOWLAND DRIVE 92674,S200000,00200,0100,HILLSBOROUGH 92674,S200000,00200,0200,NC 92674,S200000,00200,0300,27278- 92674,S200000,00300,0100,ORANGE 92674,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR HILLSBORO 92674,S200000,00400,0200,345439 92674,S200000,00400,0300,06/23/1993 92674,S200000,00400,0500,P 92674,S200000,01600,0100,Y 92674,S200000,02200,0100,Y 92674,S700003,00000,0200,2 92679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92679,A000000,00300,0000,00300EMPLOYEE BENEFITS 92679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92679,A000000,00700,0000,00700HOUSEKEEPING 92679,A000000,00800,0000,00800DIETARY 92679,A000000,00900,0000,00900NURSING ADMINISTRATION 92679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92679,A000000,01100,0000,01100PHARMACY 92679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92679,A000000,01300,0000,01300SOCIAL SERVICE 92679,A000000,01350,0000,01500ACTIVITIES 92679,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92679,A000000,01600,0000,01600SKILLED NURSING FACILITY 92679,A000000,01800,0000,01800NURSING FACILITY 92679,A000000,01900,0000,01900OTHER LONG TERM CARE 92679,A000000,02100,0000,02100RADIOLOGY 92679,A000000,02200,0000,02200LABORATORY 92679,A000000,02300,0000,02300INTRAVENOUS THERAPY 92679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92679,A000000,02500,0000,02500PHYSICAL THERAPY 92679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92679,A000000,02700,0000,02700SPEECH PATHOLOGY 92679,A000000,02800,0000,02800ELECTROCARDIOLOGY 92679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92679,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 92679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92679,A000000,03200,0000,03200SUPPORT SURFACES 92679,A000000,03400,0000,03400CLINIC 92679,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 92679,A000000,03500,0000,03500RURAL HEALTH CLINIC 92679,A000000,04800,0000,04800AMBULANCE 92679,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92679,A000000,05000,0000,05000CORF 92679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92679,A000000,05300,0000,05300INTEREST EXPENSE 92679,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92679,A000000,05500,0000,05500HOSPICE 92679,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92679,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92679,A000000,06100,0000,06100NONPAID WORKERS 92679,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 92679,A000000,06200,0000,06200PATIENTS LAUNDRY 92679,A81000A,00100,0100,Y 92679,A81000B,00100,0300,NURSING SUPPLIES 92679,A81000B,00200,0300,NURSING SUPPLIES 92679,A81000B,00300,0300,FLU VACCINE 92679,A81000B,00400,0300,DRUGS RELATED 92679,A81000B,00500,0300,CONTRACTED SERVICE 92679,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 92679,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 92679,A81000B,00800,0300,HEPATITIS B VACCINE 92679,A81000B,00900,0300,MEDICAL SUPPLIES 92679,A81000B,01000,0300,DIETARY SUPPLIES 92679,A81000B,01100,0300,LAUNDRY SUPPLIES 92679,A81000B,01200,0300,HOUSEKEEPING SUPPLIES 92679,A81000B,01300,0300,PLANT OPERATION MAINT. & REPAIRS 92679,A81000B,01400,0300,ADMINISTRATIVE & GENERAL 92679,A81000B,01500,0300,FACILITY LEASE 92679,A81000B,01600,0300,POOLED COST/INTEREST EXP/INTEREST IN 92679,A81000B,01700,0300,FACILITY ADMINISTRATOR 92679,A81000B,01800,0300,DIETARY CONSULTANT 92679,A81000B,01900,0300,NURSE CONSULTANT 92679,A81000B,02000,0300,REGIONAL PERSONNEL 92679,A81000B,02100,0300,CAP REL COSTS - BLDGS & FIXTURES 92679,A81000B,02200,0300,THERAPY CONSULTANT 92679,A81000B,02300,0300,MAINTENANCE CONSULTANT 92679,A81000B,02400,0300,ACCOUNTS RECEIVABLE DEPT 92679,A81000B,02500,0300,AIDE TRAINING 92679,A81000B,02600,0300,PHYSICAL THERAPY 92679,A81000C,00100,0100,B 92679,A81000C,00100,0200,NEIL PRUITT 92679,A81000C,00100,0400,UNITED REHAB 92679,A81000C,00100,0600,THERAPY 92679,A81000C,00200,0100,B 92679,A81000C,00200,0200,NEIL PRUITT 92679,A81000C,00200,0400,UNITED PHARMACY 92679,A81000C,00200,0600,PHARMACY 92679,A81000C,00300,0100,B 92679,A81000C,00300,0200,NEIL PRUITT 92679,A81000C,00300,0400,PRUITT PROPERTI 92679,A81000C,00300,0600,RENTAL 92679,A81000C,00400,0100,B 92679,A81000C,00400,0200,NEIL PRUITT 92679,A81000C,00400,0400,PRUITT CORPORAT 92679,A81000C,00400,0600,MANAGEMENT 92679,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92679,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92679,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92679,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92679,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92679,B100000,00000,0800,00000MEALS SERVED :DIETARY 92679,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92679,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 92679,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92679,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92679,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 92679,E10A180,00301,0100,01/27/2000 92679,S000000,00100,0200,12/04/2000 92679,S200000,00100,0100,ROUTE 3 MORRIS ROAD 92679,S200000,00100,0300,1156 92679,S200000,00200,0100,BREVARD 92679,S200000,00200,0200,CA 92679,S200000,00200,0300,28712- 92679,S200000,00300,0100,TRANSYLVANIA 92679,S200000,00300,0200,0034 92679,S200000,00300,0300,R 92679,S200000,00400,0100,IVY HILL HEALTH & RETIREMENT CTR 92679,S200000,00400,0200,345462 92679,S200000,00400,0300,07/21/1994 92679,S200000,00400,0500,P 92679,S200000,01600,0100,Y 92685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92685,A000000,00300,0000,00300EMPLOYEE BENEFITS 92685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92685,A000000,00700,0000,00700HOUSEKEEPING 92685,A000000,00800,0000,00800DIETARY 92685,A000000,00900,0000,00900NURSING ADMINISTRATION 92685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92685,A000000,01100,0000,01100PHARMACY 92685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92685,A000000,01300,0000,01300SOCIAL SERVICE 92685,A000000,01600,0000,01600SKILLED NURSING FACILITY 92685,A000000,01800,0000,01800NURSING FACILITY 92685,A000000,01900,0000,01900OTHER LONG TERM CARE 92685,A000000,02100,0000,02100RADIOLOGY 92685,A000000,02200,0000,02200LABORATORY 92685,A000000,02300,0000,02300INTRAVENOUS THERAPY 92685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92685,A000000,02500,0000,02500PHYSICAL THERAPY 92685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92685,A000000,02700,0000,02700SPEECH PATHOLOGY 92685,A000000,02800,0000,02800ELECTROCARDIOLOGY 92685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92685,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92685,A000000,03051,0000,03301NUTRITIONAL THERAPY 92685,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 92685,A000000,03053,0000,03303PHYSICIAN SERVICES 92685,A000000,03054,0000,03304MEDICAL SERVICES 92685,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 92685,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92685,A000000,03200,0000,03200SUPPORT SURFACES 92685,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92685,A000000,04800,0000,04800AMBULANCE 92685,A000000,05300,0000,05300INTEREST EXPENSE 92685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92685,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92685,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92685,A000000,06100,0000,06100NONPAID WORKERS 92685,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92685,A000000,06200,0000,06200PATIENTS LAUNDRY 92685,A81000A,00100,0100,Y 92685,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 92685,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 92685,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 92685,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 92685,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 92685,A81000B,00600,0300,SEE ATTACHED TOTAL 92685,A81000C,00100,0100,B 92685,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 92685,A81000C,00200,0200,A-8-1. 92685,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92685,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92685,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92685,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92685,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92685,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92685,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 92685,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92685,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92685,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92685,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92685,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92685,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92685,S000000,00100,0200,10/16/2000 92685,S200000,00100,0100,400 PELT DRIVE 92685,S200000,00200,0100,FAYETTEVILLE 92685,S200000,00200,0200,CA 92685,S200000,00200,0300,28301- 92685,S200000,00300,0100,CUMBERLAND 92685,S200000,00400,0100,SUNBRIDGE CARE & REHAB FAYETTEVILLE 92685,S200000,00400,0200,345481 92685,S200000,00400,0300,02/27/1997 92685,S200000,00400,0500,P 92685,S200000,01600,0100,Y 92685,S200000,02200,0100,Y 92685,S700003,00000,0400,4 92686,S000000,00100,0200,10/03/2000 92693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92693,A000000,00300,0000,00300EMPLOYEE BENEFITS 92693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92693,A000000,00700,0000,00700HOUSEKEEPING 92693,A000000,00800,0000,00800DIETARY 92693,A000000,00900,0000,00900NURSING ADMINISTRATION 92693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92693,A000000,01100,0000,01100PHARMACY 92693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92693,A000000,01300,0000,01300SOCIAL SERVICE 92693,A000000,01350,0000,01500ACTIVITIES 92693,A000000,01600,0000,01600SKILLED NURSING FACILITY 92693,A000000,01800,0000,01800NURSING FACILITY 92693,A000000,01900,0000,01900OTHER LONG TERM CARE 92693,A000000,02100,0000,02100RADIOLOGY 92693,A000000,02200,0000,02200LABORATORY 92693,A000000,02300,0000,02300INTRAVENOUS THERAPY 92693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92693,A000000,02500,0000,02500PHYSICAL THERAPY 92693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92693,A000000,02700,0000,02700SPEECH PATHOLOGY 92693,A000000,02800,0000,02800ELECTROCARDIOLOGY 92693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92693,A000000,03050,0000,03300COMPLEX MEDICAL SERVICES 92693,A000000,03200,0000,03200SUPPORT SURFACES 92693,A000000,03400,0000,03400CLINIC 92693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92693,A000000,04800,0000,04800AMBULANCE 92693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92693,A000000,05300,0000,05300INTEREST EXPENSE 92693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92693,A000000,05500,0000,05500HOSPICE 92693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92693,A000000,06100,0000,06100NONPAID WORKERS 92693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92693,A000000,06200,0000,06200PATIENTS LAUNDRY 92693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92693,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92693,B100000,00000,0800,00000MEALS SERVED :DIETARY 92693,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92693,S000000,00100,0200,12/04/2000 92693,S200000,00100,0100,241 COCHRAN AVE 92693,S200000,00200,0100,FAYETTEVILLE 92693,S200000,00200,0200,NC 92693,S200000,00200,0300,28302- 92693,S200000,00300,0100,CUMBERLAND 92693,S200000,00300,0200,2560 92693,S200000,00300,0300,U 92693,S200000,00400,0100,NORTH CAROLINA STATE VETERANS HOME 92693,S200000,00400,0200,345492 92693,S200000,00400,0300,05/01/1999 92693,S200000,00400,0500,P 92693,S200000,01600,0100,Y 92693,S200000,02800,0100,Y 92774,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92774,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92774,A000000,00300,0000,00300EMPLOYEE BENEFITS 92774,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92774,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92774,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92774,A000000,00700,0000,00700HOUSEKEEPING 92774,A000000,00800,0000,00800DIETARY 92774,A000000,00900,0000,00900NURSING ADMINISTRATION 92774,A000000,00901,0000,00901OTHER NURSING 92774,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92774,A000000,01100,0000,01100PHARMACY 92774,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92774,A000000,01300,0000,01300SOCIAL SERVICE 92774,A000000,01600,0000,01600SKILLED NURSING FACILITY 92774,A000000,01800,0000,01800NURSING FACILITY 92774,A000000,02100,0000,02100RADIOLOGY 92774,A000000,02200,0000,02200LABORATORY 92774,A000000,02300,0000,02300INTRAVENOUS THERAPY 92774,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92774,A000000,02500,0000,02500PHYSICAL THERAPY 92774,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92774,A000000,02700,0000,02700SPEECH PATHOLOGY 92774,A000000,02800,0000,02800ELECTROCARDIOLOGY 92774,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92774,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92774,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92774,A000000,03051,0000,03301NUTRITIONAL THERAPY 92774,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 92774,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 92774,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92774,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92774,A000000,04800,0000,04800AMBULANCE 92774,A000000,05300,0000,05300INTEREST EXPENSE 92774,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92774,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92774,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92774,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92774,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 92774,A000000,06152,0000,06302GUEST MEALS/M.O.W. 92774,A000000,06153,0000,06303DISTRICT OFFICE SPACE 92774,A000000,06200,0000,06200PATIENTS LAUNDRY 92774,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 92774,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 92774,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 92774,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 92774,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 92774,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 92774,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 92774,B100000,00000,0850,00003PATIENT DAYS :DIETARY 92774,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 92774,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 92774,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 92774,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 92774,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 92774,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 92774,E10A180,00350,0100,01/19/2000 92774,E10A180,00351,0100,04/04/2000 92774,S000000,00100,0200,06/01/2000 92774,S200000,00100,0100,117 BARTLETT STREET 92774,S200000,00200,0100,MARIETTA 92774,S200000,00200,0200,OH 92774,S200000,00200,0300,45750- 92774,S200000,00300,0100,WASHINGTON 92774,S200000,00400,0100,MARIETTA CENTER FOR HEALTH #920 92774,S200000,00400,0200,365792 92774,S200000,00400,0300,05/10/1990 92774,S200000,00400,0500,P 92774,S200000,01500,0100,Y 92774,S700003,00000,0100,1 92807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92807,A000000,00300,0000,00300EMPLOYEE BENEFITS 92807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92807,A000000,00700,0000,00700HOUSEKEEPING 92807,A000000,00800,0000,00800DIETARY 92807,A000000,00900,0000,00900NURSING ADMINISTRATION 92807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92807,A000000,01100,0000,01100PHARMACY 92807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92807,A000000,01300,0000,01300SOCIAL SERVICE 92807,A000000,01600,0000,01600SKILLED NURSING FACILITY 92807,A000000,01800,0000,01800NURSING FACILITY 92807,A000000,02100,0000,02100RADIOLOGY 92807,A000000,02200,0000,02200LABORATORY 92807,A000000,02500,0000,02500PHYSICAL THERAPY 92807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92807,A000000,02700,0000,02700SPEECH PATHOLOGY 92807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92807,A000000,03200,0000,03200SUPPORT SURFACES 92807,A000000,05300,0000,05300INTEREST EXPENSE 92807,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92807,A81000A,00100,0100,Y 92807,A81000B,00100,0300,ADMINISTRATIVE EXPENSES 92807,A81000B,00200,0300,REPAIRS AND MAINTENANCE 92807,A81000C,00100,0100,A 92807,A81000C,00100,0200,RM&G INC. 92807,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92807,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92807,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92807,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92807,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92807,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92807,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92807,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92807,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92807,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92807,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 92807,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92807,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92807,E10A180,00302,0100,08/20/1999 92807,S000000,00100,0200,06/01/2000 92807,S200000,00100,0100,2200 NORTH FLAMINGO 92807,S200000,00200,0100,BETHANY 92807,S200000,00200,0200,OK 92807,S200000,00200,0300,73003- 92807,S200000,00300,0100,OKLAHOMA 92807,S200000,00400,0100,HEARTLAND CARE OF BETHANY 92807,S200000,00400,0200,375099 92807,S200000,00400,0300,07/11/1989 92807,S200000,00400,0500,P 92807,S200000,01600,0100,Y 92807,S700003,00000,0100,1 92815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92815,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 92815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92815,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 92815,A000000,00300,0000,00300EMPLOYEE BENEFITS 92815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92815,A000000,00700,0000,00700HOUSEKEEPING 92815,A000000,00800,0000,00800DIETARY 92815,A000000,00801,0000,00801CAFETERIA 92815,A000000,00900,0000,00900NURSING ADMINISTRATION 92815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92815,A000000,01100,0000,01100PHARMACY 92815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92815,A000000,01300,0000,01300SOCIAL SERVICE 92815,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 92815,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92815,A000000,01600,0000,01600SKILLED NURSING FACILITY 92815,A000000,01800,0000,01800NURSING FACILITY 92815,A000000,01900,0000,01900OTHER LONG TERM CARE 92815,A000000,02100,0000,02100RADIOLOGY 92815,A000000,02200,0000,02200LABORATORY 92815,A000000,02300,0000,02300INTRAVENOUS THERAPY 92815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92815,A000000,02500,0000,02500PHYSICAL THERAPY 92815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92815,A000000,02700,0000,02700SPEECH PATHOLOGY 92815,A000000,02800,0000,02800ELECTROCARDIOLOGY 92815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92815,A000000,03050,0000,03300OTHER ANCILLARY 92815,A000000,03051,0000,03301OTHER ANCILLARY II 92815,A000000,03052,0000,03302OTHER ANCILLARY III 92815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92815,A000000,03200,0000,03200SUPPORT SURFACES 92815,A000000,03400,0000,03400CLINIC 92815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 92815,A000000,03500,0000,03500RURAL HEALTH CLINIC 92815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92815,A000000,04400,0000,04400DME RENTED - HHA 92815,A000000,04500,0000,04500DME SOLD - HHA 92815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92815,A000000,04800,0000,04800AMBULANCE 92815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92815,A000000,05000,0000,05000CORF 92815,A000000,05010,0000,05010CMHC I 92815,A000000,05020,0000,05020OPT I 92815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92815,A000000,05300,0000,05300INTEREST EXPENSE 92815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 92815,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 92815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92815,A000000,05500,0000,05500HOSPICE 92815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92815,A000000,06100,0000,06100NONPAID WORKERS 92815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92815,A000000,06200,0000,06200PATIENTS LAUNDRY 92815,A81000A,00100,0100,Y 92815,A81000B,00100,0300,HOME OFFICE ALLOC 92815,A81000B,00200,0300,HOME OFFICE ALLOC 92815,A81000C,00100,0100,A 92815,A81000C,00100,0200,LTC SERVICES 92815,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 92815,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 92815,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 92815,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 92815,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 92815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92815,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 92815,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 92815,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 92815,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 92815,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 92815,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 92815,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 92815,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 92815,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 92815,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 92815,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 92815,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 92815,S000000,00100,0200,06/21/2000 92815,S200000,00300,0100,CIMARRON 92815,S200000,00400,0100,CIMARRON NURSING CTR 92815,S200000,00400,0200,375102 92815,S200000,00400,0300,08/26/1992 92815,S200000,00400,0500,P 92815,S200000,01600,0100,Y 92815,S700003,00000,0100,1 92824,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92824,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92824,A000000,00300,0000,00300EMPLOYEE BENEFITS 92824,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92824,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92824,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92824,A000000,00700,0000,00700HOUSEKEEPING 92824,A000000,00800,0000,00800DIETARY 92824,A000000,00900,0000,00900NURSING ADMINISTRATION 92824,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92824,A000000,01100,0000,01100PHARMACY 92824,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92824,A000000,01300,0000,01300SOCIAL SERVICE 92824,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92824,A000000,01600,0000,01600SKILLED NURSING FACILITY 92824,A000000,01800,0000,01800NURSING FACILITY 92824,A000000,02100,0000,02100RADIOLOGY 92824,A000000,02200,0000,02200LABORATORY 92824,A000000,02300,0000,02300INTRAVENOUS THERAPY 92824,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92824,A000000,02500,0000,02500PHYSICAL THERAPY 92824,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92824,A000000,02700,0000,02700SPEECH PATHOLOGY 92824,A000000,02800,0000,02800ELECTROCARDIOLOGY 92824,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92824,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92824,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92824,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92824,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92824,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92824,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92824,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92824,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 92824,B100000,00000,0800,00000MEALS SERVED :DIETARY 92824,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92824,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92824,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92824,S000000,00100,0200,06/27/2000 92824,S200000,00100,0100,500 E. ROBINSON 92824,S200000,00200,0100,NORMAN 92824,S200000,00200,0200,OK 92824,S200000,00200,0300,73071- 92824,S200000,00300,0100,CLEVALAND 92824,S200000,00300,0200,5880 92824,S200000,00300,0300,U 92824,S200000,00400,0100,ROSEWOOD MANOR 92824,S200000,00400,0200,375104 92824,S200000,00400,0300,05/24/1995 92824,S200000,00400,0500,P 92833,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92833,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92833,A000000,00300,0000,00300EMPLOYEE BENEFITS 92833,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92833,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92833,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92833,A000000,00700,0000,00700HOUSEKEEPING 92833,A000000,00800,0000,00800DIETARY 92833,A000000,00900,0000,00900NURSING ADMINISTRATION 92833,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92833,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92833,A000000,01300,0000,01300SOCIAL SERVICE 92833,A000000,01350,0000,01500ACTIVITIES 92833,A000000,01600,0000,01600SKILLED NURSING FACILITY 92833,A000000,01800,0000,01800NURSING FACILITY 92833,A000000,02100,0000,02100RADIOLOGY 92833,A000000,02200,0000,02200LABORATORY 92833,A000000,02300,0000,02300INTRAVENOUS THERAPY 92833,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92833,A000000,02500,0000,02500PHYSICAL THERAPY 92833,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92833,A000000,02700,0000,02700SPEECH PATHOLOGY 92833,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92833,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92833,A000000,03200,0000,03200SUPPORT SURFACES 92833,A000000,04800,0000,04800AMBULANCE 92833,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92833,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92833,A81000A,00100,0100,Y 92833,A81000B,00100,0300,MANAGEMENT FEE 92833,A81000B,00200,0300,RADIOLOGY 92833,A81000B,00300,0300,PHARMACY COSTS 92833,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 92833,A81000B,00500,0300,PHARMACY COSTS 92833,A81000B,00600,0300,PHARMACY COSTS 92833,A81000B,00700,0300,PEN SUPPLIES 92833,A81000B,00800,0300,SUPPORT SURFACES 92833,A81000B,00900,0300,OXYGEN THERAPY 92833,A81000B,01000,0300,THERAPY COSTS 92833,A81000B,01100,0300,THERAPY COSTS 92833,A81000B,01200,0300,THERAPY COSTS 92833,A81000B,01300,0300,IV THERAPY COSTS 92833,A81000B,01400,0300,MEDICAL SUPPLY COSTS 92833,A81000C,00100,0100,F 92833,A81000C,00100,0200,BROOKWOOD 92833,A81000C,00100,0400,AMITY CARE CORP 92833,A81000C,00100,0600,LTC MGMT CO 92833,A81000C,00200,0100,F 92833,A81000C,00200,0200,BROOKWOOD 92833,A81000C,00200,0400,U S X-RAY 92833,A81000C,00200,0600,X-RAY CO 92833,A81000C,00300,0100,F 92833,A81000C,00300,0200,BROOKWOOD 92833,A81000C,00300,0400,PHARMACY SOLUTIONS 92833,A81000C,00300,0600,PHARMACY CO 92833,A81000C,00400,0100,F 92833,A81000C,00400,0200,BROOKWOOD 92833,A81000C,00400,0400,CARE SOURCE 92833,A81000C,00400,0600,MEDICAL SUPPLY CO 92833,A81000C,00500,0100,F 92833,A81000C,00500,0200,BROOKWOOD 92833,A81000C,00500,0400,REHABSOURCE 92833,A81000C,00500,0600,THERAPY CO 92833,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92833,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92833,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92833,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92833,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92833,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92833,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92833,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92833,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92833,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92833,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92833,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92833,E10A180,00301,0100,01/11/2000 92833,S000000,00100,0200,12/05/2000 92833,S200000,00100,0100,940 SOUTHWEST 84TH 92833,S200000,00200,0100,OKLAHOMA CITY 92833,S200000,00200,0200,OK 92833,S200000,00200,0300,73139- 92833,S200000,00300,0100,OKLAHOMA 92833,S200000,00300,0200,5880 92833,S200000,00300,0300,U 92833,S200000,00400,0100,BROOKWOOD NURSING CENTER 92833,S200000,00400,0200,375106 92833,S200000,00400,0300,05/30/1990 92833,S200000,00400,0500,P 92833,S200000,01500,0100,Y 92833,S200000,02200,0100,Y 92841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92841,A000000,00300,0000,00300EMPLOYEE BENEFITS 92841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92841,A000000,00700,0000,00700HOUSEKEEPING 92841,A000000,00800,0000,00800DIETARY 92841,A000000,00900,0000,00900NURSING ADMINISTRATION 92841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92841,A000000,01300,0000,01300SOCIAL SERVICE 92841,A000000,01350,0000,01500ACTIVITIES 92841,A000000,01600,0000,01600SKILLED NURSING FACILITY 92841,A000000,01800,0000,01800NURSING FACILITY 92841,A000000,02100,0000,02100RADIOLOGY 92841,A000000,02200,0000,02200LABORATORY 92841,A000000,02300,0000,02300INTRAVENOUS THERAPY 92841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92841,A000000,02500,0000,02500PHYSICAL THERAPY 92841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92841,A000000,02700,0000,02700SPEECH PATHOLOGY 92841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92841,A000000,03200,0000,03200SUPPORT SURFACES 92841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92841,A81000A,00100,0100,Y 92841,A81000B,00100,0300,MANAGEMENT FEE 92841,A81000B,00200,0300,RADIOLOGY 92841,A81000B,00300,0300,PHARMACY COSTS 92841,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 92841,A81000B,00500,0300,PHARMACY COSTS 92841,A81000B,00600,0300,PHARMACY COSTS 92841,A81000B,00700,0300,PEN SUPPLY COSTS 92841,A81000B,00800,0300,THERAPY COSTS 92841,A81000B,00900,0300,THERAPY COSTS 92841,A81000B,01000,0300,THERAPY COSTS 92841,A81000B,01100,0300,THERAPY COSTS 92841,A81000B,01200,0300,THERAPY COSTS 92841,A81000B,01300,0300,OXYGEN COSTS 92841,A81000C,00100,0100,F 92841,A81000C,00100,0200,PUTNAM CITY 92841,A81000C,00100,0400,AMITY CARE CORP 92841,A81000C,00100,0600,LTC MGMT CO 92841,A81000C,00200,0100,F 92841,A81000C,00200,0200,PUTNAM CITY 92841,A81000C,00200,0400,US X-RAY 92841,A81000C,00200,0600,X-RAY CO 92841,A81000C,00300,0100,F 92841,A81000C,00300,0200,PUTNAM CITY 92841,A81000C,00300,0400,PHARMACY SOLUTI 92841,A81000C,00300,0600,PHARMACY CO 92841,A81000C,00400,0100,F 92841,A81000C,00400,0200,PUTNAM CITY 92841,A81000C,00400,0400,CARE SOURCE 92841,A81000C,00400,0600,MEDICAL SUPPLY 92841,A81000C,00500,0100,F 92841,A81000C,00500,0200,PUTNAM CITY 92841,A81000C,00500,0400,REHAB SOURCE 92841,A81000C,00500,0600,THERAPY CO 92841,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92841,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92841,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92841,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92841,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92841,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92841,S000000,00100,0200,06/02/2000 92841,S200000,00100,0100,7000 NORTHWEST 32ND 92841,S200000,00200,0100,BETHANY 92841,S200000,00200,0200,OK 92841,S200000,00200,0300,73008- 92841,S200000,00300,0100,OKLAHOMA 92841,S200000,00400,0100,PUTNAM CITY CONVALESCENT CTR. 92841,S200000,00400,0200,375107 92841,S200000,00400,0300,10/19/1990 92841,S200000,00400,0500,P 92841,S200000,01500,0100,Y 92841,S200000,02200,0100,Y 92841,S700003,00000,0100,1 92855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92855,A000000,00300,0000,00300EMPLOYEE BENEFITS 92855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92855,A000000,00700,0000,00700HOUSEKEEPING 92855,A000000,00800,0000,00800DIETARY 92855,A000000,00900,0000,00900NURSING ADMINISTRATION 92855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92855,A000000,01100,0000,01100PHARMACY 92855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92855,A000000,01300,0000,01300SOCIAL SERVICE 92855,A000000,01350,0000,01500OTHER GENERAL SERVICES 92855,A000000,01600,0000,01600SKILLED NURSING FACILITY 92855,A000000,01800,0000,01800NURSING FACILITY 92855,A000000,01900,0000,01900OTHER LONG TERM CARE 92855,A000000,02100,0000,02100RADIOLOGY 92855,A000000,02200,0000,02200LABORATORY 92855,A000000,02300,0000,02300INTRAVENOUS THERAPY 92855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92855,A000000,02500,0000,02500PHYSICAL THERAPY 92855,A000000,02501,0000,02501PHYSICAL THERAPY PART B 92855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92855,A000000,02601,0000,02601OCCUPATIONAL THERAPY 92855,A000000,02700,0000,02700SPEECH PATHOLOGY 92855,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 92855,A000000,02702,0000,02702SPEECH PATHOLOGY 92855,A000000,02800,0000,02800ELECTROCARDIOLOGY 92855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92855,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92855,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92855,A000000,03200,0000,03200SUPPORT SURFACES 92855,A000000,03400,0000,03400CLINIC 92855,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92855,A000000,03500,0000,03500RURAL HEALTH CLINIC 92855,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92855,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92855,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92855,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92855,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92855,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92855,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92855,A000000,04400,0000,04400DME RENTED - HHA 92855,A000000,04500,0000,04500DME SOLD - HHA 92855,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92855,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92855,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92855,A000000,04800,0000,04800AMBULANCE 92855,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92855,A000000,05000,0000,05000CORF 92855,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92855,A000000,05300,0000,05300INTEREST EXPENSE 92855,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92855,A000000,05500,0000,05500HOSPICE 92855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92855,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92855,A000000,06100,0000,06100NONPAID WORKERS 92855,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92855,A000000,06200,0000,06200PATIENTS LAUNDRY 92855,A81000A,00100,0100,Y 92855,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 92855,A81000C,00100,0100,B 92855,A81000C,00100,0200,JIM BROWN & ASSOCIATES 92855,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92855,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92855,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92855,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92855,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92855,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92855,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92855,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92855,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92855,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 92855,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 92855,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92855,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92855,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 92855,E10A180,00301,0100,07/26/1999 92855,S000000,00100,0200,05/31/2000 92855,S200000,00100,0100,3434 KENTUCKY PLACE 92855,S200000,00200,0100,BARTLESVILLE 92855,S200000,00200,0200,OK 92855,S200000,00200,0300,74003- 92855,S200000,00300,0100,WASHINGTON 92855,S200000,00400,0100,BARTLESVILLE CARE CENTER 92855,S200000,00400,0200,375110 92855,S200000,00400,0300,04/01/1991 92855,S200000,00400,0500,P 92855,S200000,01600,0100,Y 92855,S200000,02800,0100,Y 92855,S700003,00000,0100,1 92862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92862,A000000,00300,0000,00300EMPLOYEE BENEFITS 92862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92862,A000000,00700,0000,00700HOUSEKEEPING 92862,A000000,00800,0000,00800DIETARY 92862,A000000,00900,0000,00900NURSING ADMINISTRATION 92862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92862,A000000,01100,0000,01100PHARMACY 92862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92862,A000000,01300,0000,01300SOCIAL SERVICE 92862,A000000,01600,0000,01600SKILLED NURSING FACILITY 92862,A000000,01800,0000,01800NURSING FACILITY 92862,A000000,02100,0000,02100RADIOLOGY 92862,A000000,02200,0000,02200LABORATORY 92862,A000000,02500,0000,02500PHYSICAL THERAPY 92862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92862,A000000,02700,0000,02700SPEECH PATHOLOGY 92862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92862,A000000,03200,0000,03200SUPPORT SURFACES 92862,A000000,05300,0000,05300INTEREST EXPENSE 92862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92862,A81000A,00100,0100,Y 92862,A81000B,00100,0300,ADMINISTRATIVE COSTS 92862,A81000B,00200,0300,REPAIRS AND MAINTENANCE 92862,A81000C,00100,0100,A 92862,A81000C,00100,0200,RM&G INC. 92862,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92862,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92862,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92862,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92862,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92862,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92862,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92862,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92862,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92862,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92862,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 92862,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92862,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92862,S000000,00100,0200,06/01/2000 92862,S200000,00100,0100,39 SOUTHEAST 33RD 92862,S200000,00200,0100,EDMOND 92862,S200000,00200,0200,OK 92862,S200000,00200,0300,73013- 92862,S200000,00300,0100,OKLAHOMA 92862,S200000,00400,0100,EDMOND NURSING CENTER 92862,S200000,00400,0200,375112 92862,S200000,00400,0300,07/01/1991 92862,S200000,00400,0500,P 92862,S200000,01600,0100,Y 92862,S700003,00000,0100,1 92871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92871,A000000,00300,0000,00300EMPLOYEE BENEFITS 92871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92871,A000000,00700,0000,00700HOUSEKEEPING 92871,A000000,00800,0000,00800DIETARY 92871,A000000,00900,0000,00900NURSING ADMINISTRATION 92871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92871,A000000,01300,0000,01300SOCIAL SERVICE 92871,A000000,01350,0000,01500ACTIVITIES 92871,A000000,01600,0000,01600SKILLED NURSING FACILITY 92871,A000000,01800,0000,01800NURSING FACILITY 92871,A000000,02100,0000,02100RADIOLOGY 92871,A000000,02200,0000,02200LABORATORY 92871,A000000,02300,0000,02300INTRAVENOUS THERAPY 92871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92871,A000000,02500,0000,02500PHYSICAL THERAPY 92871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92871,A000000,02700,0000,02700SPEECH PATHOLOGY 92871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92871,A000000,03200,0000,03200SUPPORT SURFACES 92871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92871,A81000A,00100,0100,Y 92871,A81000B,00100,0300,MANAGEMENT FEE 92871,A81000B,00200,0300,RADIOLOGY 92871,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 92871,A81000B,00400,0300,PHARMACY COSTS 92871,A81000B,00500,0300,PHARMACY COSTS 92871,A81000B,00600,0300,PEN SUPPLIES 92871,A81000B,00700,0300,SUPPORT SURFACES 92871,A81000B,00800,0300,OXYGEN THERAPY 92871,A81000B,00900,0300,THERAPY COSTS 92871,A81000B,01000,0300,THERAPY COSTS 92871,A81000B,01100,0300,THERAPY COSTS 92871,A81000B,01200,0300,IV THERAPY COSTS 92871,A81000B,01300,0300,FACILITY LEASE EXPENSE 92871,A81000B,01400,0300,MEDICAL SUPPLY COSTS 92871,A81000C,00100,0100,F 92871,A81000C,00100,0200,EL RENO 92871,A81000C,00100,0400,AMITY CARE CORP 92871,A81000C,00100,0600,LTC MGMT CO 92871,A81000C,00200,0100,F 92871,A81000C,00200,0200,EL RENO 92871,A81000C,00200,0400,U S X-RAY 92871,A81000C,00200,0600,X-RAY CO 92871,A81000C,00300,0100,F 92871,A81000C,00300,0200,EL RENO 92871,A81000C,00300,0400,PHARMACY SOLUTIONS 92871,A81000C,00300,0600,PHARMACY CO 92871,A81000C,00400,0100,F 92871,A81000C,00400,0200,EL RENO 92871,A81000C,00400,0400,CARE SOURCE 92871,A81000C,00400,0600,MEDICAL SUPPLY CO 92871,A81000C,00500,0100,F 92871,A81000C,00500,0200,EL RENO 92871,A81000C,00500,0400,REHABSOURCE 92871,A81000C,00500,0600,THERAPY CO 92871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92871,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92871,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92871,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92871,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92871,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92871,S000000,00100,0200,12/04/2000 92871,S200000,00100,0100,1901 PARKVIEW DRIVE 92871,S200000,00200,0100,EL RENO 92871,S200000,00200,0200,OK 92871,S200000,00200,0300,73036- 92871,S200000,00300,0100,CANADIAN 92871,S200000,00300,0200,5880 92871,S200000,00300,0300,U 92871,S200000,00400,0100,EL RENO NURSING CENTER 92871,S200000,00400,0200,375113 92871,S200000,00400,0300,10/11/1991 92871,S200000,00400,0500,P 92871,S200000,01500,0100,Y 92871,S200000,02200,0100,Y 92881,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92881,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92881,A000000,00300,0000,00300EMPLOYEE BENEFITS 92881,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92881,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92881,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92881,A000000,00700,0000,00700HOUSEKEEPING 92881,A000000,00800,0000,00800DIETARY 92881,A000000,00900,0000,00900NURSING ADMINISTRATION 92881,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92881,A000000,01100,0000,01100PHARMACY 92881,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92881,A000000,01300,0000,01300SOCIAL SERVICE 92881,A000000,01350,0000,01500OTHER GENERAL SERVICES 92881,A000000,01600,0000,01600SKILLED NURSING FACILITY 92881,A000000,01800,0000,01800NURSING FACILITY 92881,A000000,01900,0000,01900OTHER LONG TERM CARE 92881,A000000,02100,0000,02100RADIOLOGY 92881,A000000,02200,0000,02200LABORATORY 92881,A000000,02300,0000,02300INTRAVENOUS THERAPY 92881,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92881,A000000,02500,0000,02500PHYSICAL THERAPY 92881,A000000,02501,0000,02501PHYSICAL THERAPY PART B 92881,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92881,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 92881,A000000,02700,0000,02700SPEECH PATHOLOGY 92881,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 92881,A000000,02800,0000,02800ELECTROCARDIOLOGY 92881,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92881,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92881,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92881,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92881,A000000,03200,0000,03200SUPPORT SURFACES 92881,A000000,03400,0000,03400CLINIC 92881,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92881,A000000,03500,0000,03500RURAL HEALTH CLINIC 92881,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92881,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92881,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92881,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92881,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92881,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92881,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92881,A000000,04400,0000,04400DME RENTED - HHA 92881,A000000,04500,0000,04500DME SOLD - HHA 92881,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92881,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92881,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92881,A000000,04800,0000,04800AMBULANCE 92881,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92881,A000000,05000,0000,05000CORF 92881,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92881,A000000,05300,0000,05300INTEREST EXPENSE 92881,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92881,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92881,A000000,05500,0000,05500HOSPICE 92881,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92881,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92881,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92881,A000000,06100,0000,06100NONPAID WORKERS 92881,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92881,A000000,06200,0000,06200PATIENTS LAUNDRY 92881,A81000A,00100,0100,Y 92881,A81000B,00100,0300,DIRECTORS FEES 92881,A81000B,00200,0300,MANAGEMENT FEES 92881,A81000C,00100,0100,B 92881,A81000C,00100,0200,BLUE DOLPHIN HEALTH MGMT 92881,A81000C,00200,0100,B 92881,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92881,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92881,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92881,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92881,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92881,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 92881,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92881,B100000,00000,0800,00000MEALS SERVED :DIETARY 92881,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 92881,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92881,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 92881,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92881,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92881,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 92881,S000000,00100,0200,06/01/2000 92881,S200000,00100,0100,103 WEST HAR-BER ROAD 92881,S200000,00100,0300,1029 92881,S200000,00200,0100,GROVE 92881,S200000,00200,0200,OK 92881,S200000,00200,0300,74344- 92881,S200000,00300,0100,DELAWARE 92881,S200000,00400,0100,GRAND LAKE VILLA 92881,S200000,00400,0200,375116 92881,S200000,00400,0300,01/07/1992 92881,S200000,00400,0500,P 92881,S200000,01600,0100,Y 92881,S700003,00000,0100,1 92891,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92891,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92891,A000000,00300,0000,00300EMPLOYEE BENEFITS 92891,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92891,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92891,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92891,A000000,00700,0000,00700HOUSEKEEPING 92891,A000000,00800,0000,00800DIETARY 92891,A000000,00900,0000,00900NURSING ADMINISTRATION 92891,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92891,A000000,01100,0000,01100PHARMACY 92891,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92891,A000000,01300,0000,01300SOCIAL SERVICE 92891,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92891,A000000,01600,0000,01600SKILLED NURSING FACILITY 92891,A000000,01800,0000,01800NURSING FACILITY 92891,A000000,02100,0000,02100RADIOLOGY 92891,A000000,02200,0000,02200LABORATORY 92891,A000000,02300,0000,02300INTRAVENOUS THERAPY 92891,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92891,A000000,02500,0000,02500PHYSICAL THERAPY 92891,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92891,A000000,02700,0000,02700SPEECH PATHOLOGY 92891,A000000,02800,0000,02800ELECTROCARDIOLOGY 92891,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92891,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92891,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92891,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92891,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92891,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92891,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92891,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92891,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 92891,B100000,00000,0800,00000MEALS SERVED :DIETARY 92891,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 92891,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 92891,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 92891,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 92891,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 92891,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 92891,S000000,00100,0200,06/21/2000 92891,S200000,00100,0100,1100 W. GEORGIA 92891,S200000,00200,0100,JONES 92891,S200000,00200,0200,OK 92891,S200000,00200,0300,73049- 92891,S200000,00300,0100,OKLAHOMA 92891,S200000,00400,0100,OAK HILL LIVING CENTER 92891,S200000,00400,0200,375117 92891,S200000,00400,0300,01/01/1994 92891,S200000,00400,0500,P 92891,S200000,01600,0100,Y 92891,S700003,00000,0100,1 92901,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92901,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92901,A000000,00300,0000,00300EMPLOYEE BENEFITS 92901,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92901,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92901,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92901,A000000,00700,0000,00700HOUSEKEEPING 92901,A000000,00800,0000,00800DIETARY 92901,A000000,00900,0000,00900NURSING ADMINISTRATION 92901,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92901,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92901,A000000,01300,0000,01300SOCIAL SERVICE 92901,A000000,01350,0000,01500ACTIVITIES 92901,A000000,01600,0000,01600SKILLED NURSING FACILITY 92901,A000000,01800,0000,01800NURSING FACILITY 92901,A000000,02100,0000,02100RADIOLOGY 92901,A000000,02200,0000,02200LABORATORY 92901,A000000,02300,0000,02300INTRAVENOUS THERAPY 92901,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92901,A000000,02500,0000,02500PHYSICAL THERAPY 92901,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92901,A000000,02700,0000,02700SPEECH PATHOLOGY 92901,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92901,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92901,A000000,03200,0000,03200SUPPORT SURFACES 92901,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92901,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92901,A81000A,00100,0100,Y 92901,A81000B,00100,0300,MANAGEMENT FEE 92901,A81000B,00200,0300,RADILOGOY 92901,A81000B,00300,0300,PHARMACY COSTS 92901,A81000B,00400,0300,PHARMACY CONSULTANT COST 92901,A81000B,00500,0300,PHARMACY COSTS 92901,A81000B,00600,0300,PHARMACY COSTS 92901,A81000B,00700,0300,THERAPY COSTS 92901,A81000B,00800,0300,PEN SUPPLY COSTS 92901,A81000B,00900,0300,THERAPY COSTS 92901,A81000B,01000,0300,OXYGEN COSTS 92901,A81000B,01100,0300,INTEREST EXPENSE 92901,A81000B,01200,0300,LEASE EXPENSE 92901,A81000C,00100,0100,F 92901,A81000C,00100,0200,NORMAN 92901,A81000C,00100,0400,AMITY CARE CORP 92901,A81000C,00100,0600,LTC MGMT CO 92901,A81000C,00200,0100,F 92901,A81000C,00200,0200,NORMAN 92901,A81000C,00200,0400,US X-RAY 92901,A81000C,00200,0600,X-RAY CO 92901,A81000C,00300,0100,F 92901,A81000C,00300,0200,NORMAN 92901,A81000C,00300,0400,PHARMACY SOLUTI 92901,A81000C,00300,0600,PHARMACY CO 92901,A81000C,00400,0100,F 92901,A81000C,00400,0200,NORMAN 92901,A81000C,00400,0400,CARE SOURCE 92901,A81000C,00400,0600,MEDICAL SUPPLY 92901,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92901,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92901,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92901,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92901,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92901,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92901,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92901,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92901,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92901,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92901,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92901,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92901,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92901,S000000,00100,0200,06/05/2000 92901,S200000,00100,0100,201 48TH AVE SW 92901,S200000,00200,0100,NORMAN 92901,S200000,00200,0200,OK 92901,S200000,00200,0300,73072- 92901,S200000,00300,0100,CLEVELAND 92901,S200000,00400,0100,NORMAN REHAB & HEALTH CARE CTR. 92901,S200000,00400,0200,375122 92901,S200000,00400,0300,06/01/1992 92901,S200000,00400,0500,P 92901,S200000,01500,0100,Y 92901,S200000,02200,0100,Y 92901,S700003,00000,0100,1 92909,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92909,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92909,A000000,00300,0000,00300EMPLOYEE BENEFITS 92909,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92909,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92909,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92909,A000000,00700,0000,00700HOUSEKEEPING 92909,A000000,00800,0000,00800DIETARY 92909,A000000,00900,0000,00900NURSING ADMINISTRATION 92909,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92909,A000000,01100,0000,01100PHARMACY 92909,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92909,A000000,01300,0000,01300SOCIAL SERVICE 92909,A000000,01350,0000,01500OTHER GENERAL SERVICES 92909,A000000,01351,0000,01501ACTIVITIES 92909,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92909,A000000,01600,0000,01600SKILLED NURSING FACILITY 92909,A000000,01800,0000,01800NURSING FACILITY 92909,A000000,01810,0000,01810ICF/MR 92909,A000000,01900,0000,01900OTHER LONG TERM CARE 92909,A000000,02100,0000,02100RADIOLOGY 92909,A000000,02200,0000,02200LABORATORY 92909,A000000,02300,0000,02300INTRAVENOUS THERAPY 92909,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92909,A000000,02500,0000,02500PHYSICAL THERAPY 92909,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92909,A000000,02700,0000,02700SPEECH PATHOLOGY 92909,A000000,02800,0000,02800ELECTROCARDIOLOGY 92909,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92909,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92909,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92909,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92909,A000000,03200,0000,03200SUPPORT SURFACES 92909,A000000,03400,0000,03400CLINIC 92909,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92909,A000000,03500,0000,03500RURAL HEALTH CLINIC 92909,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92909,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92909,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92909,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92909,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92909,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92909,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92909,A000000,04400,0000,04400DME RENTED - HHA 92909,A000000,04500,0000,04500DME SOLD - HHA 92909,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92909,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92909,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92909,A000000,04800,0000,04800AMBULANCE 92909,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92909,A000000,05000,0000,05000CORF 92909,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92909,A000000,05300,0000,05300INTEREST EXPENSE 92909,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92909,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92909,A000000,05500,0000,05500HOSPICE 92909,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92909,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92909,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92909,A000000,06100,0000,06100NONPAID WORKERS 92909,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92909,A000000,06200,0000,06200PATIENTS LAUNDRY 92909,A81000A,00100,0100,Y 92909,A81000B,00100,0300,HOME OFFICE ALLOCATION 92909,A81000C,00100,0100,B 92909,A81000C,00100,0400,HEARTWAY CORPORATION 92909,A81000C,00100,0600,NURSING HOME OPERATORS 92909,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92909,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92909,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92909,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92909,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92909,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92909,B100000,00000,0800,00000MEALS SERVED :DIETARY 92909,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 92909,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92909,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92909,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92909,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 92909,S000000,00100,0200,12/21/2000 92909,S200000,00100,0100,1305 SOUTH EAST ADAMS 92909,S200000,00200,0100,IDABEL 92909,S200000,00200,0200,OK 92909,S200000,00200,0300,74745- 92909,S200000,00300,0100,MCCURTAIN 92909,S200000,00300,0200,37 92909,S200000,00300,0300,R 92909,S200000,00400,0100,MEMORIAL HEIGHTS NURSING CENTER 92909,S200000,00400,0200,375123 92909,S200000,00400,0300,06/22/1992 92909,S200000,00400,0500,P 92909,S200000,01600,0100,Y 92917,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92917,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92917,A000000,00300,0000,00300EMPLOYEE BENEFITS 92917,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92917,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92917,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92917,A000000,00700,0000,00700HOUSEKEEPING 92917,A000000,00800,0000,00800DIETARY 92917,A000000,00900,0000,00900NURSING ADMINISTRATION 92917,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92917,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92917,A000000,01300,0000,01300SOCIAL SERVICE 92917,A000000,01350,0000,01500ACTIVITIES 92917,A000000,01600,0000,01600SKILLED NURSING FACILITY 92917,A000000,01800,0000,01800NURSING FACILITY 92917,A000000,01900,0000,01900OTHER LONG TERM CARE 92917,A000000,02100,0000,02100RADIOLOGY 92917,A000000,02200,0000,02200LABORATORY 92917,A000000,02300,0000,02300INTRAVENOUS THERAPY 92917,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92917,A000000,02500,0000,02500PHYSICAL THERAPY 92917,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92917,A000000,02700,0000,02700SPEECH PATHOLOGY 92917,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92917,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92917,A000000,03200,0000,03200SUPPORT SURFACES 92917,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92917,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92917,A81000A,00100,0100,Y 92917,A81000B,00100,0300,RADIOLOGY 92917,A81000B,00200,0300,PHARMACY COSTS 92917,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 92917,A81000B,00400,0300,PHARMACY COSTS 92917,A81000B,00500,0300,PHARMACY COSTS 92917,A81000B,00600,0300,PEN SUPPLIES 92917,A81000B,00700,0300,THERAPY COSTS 92917,A81000B,00800,0300,THERAPY COSTS 92917,A81000B,00900,0300,THERAPY COSTS 92917,A81000B,01000,0300,THERAPY COSTS 92917,A81000B,01100,0300,MANAGEMENT FEE 92917,A81000B,01200,0300,THERAPY COSTS 92917,A81000B,01300,0300,OXYGEN COSTS 92917,A81000C,00100,0100,F 92917,A81000C,00100,0200,TAHLEQUAH 92917,A81000C,00100,0400,AMITY CARE CORP 92917,A81000C,00100,0600,LTC MGMT CO 92917,A81000C,00200,0100,F 92917,A81000C,00200,0200,TAHLEQUAH 92917,A81000C,00200,0400,US X-RAY 92917,A81000C,00200,0600,X-RAY CO 92917,A81000C,00300,0100,F 92917,A81000C,00300,0200,TAHLEQUAH 92917,A81000C,00300,0400,PHARMACY SOLUTI 92917,A81000C,00300,0600,PHARMACY CO 92917,A81000C,00400,0100,F 92917,A81000C,00400,0200,TAHLEQUAH 92917,A81000C,00400,0400,CARE SOURCE 92917,A81000C,00400,0600,MEDICAL SUPPLY 92917,A81000C,00500,0100,F 92917,A81000C,00500,0200,TAHLEQUAH 92917,A81000C,00500,0400,REHABSOURCE 92917,A81000C,00500,0600,THERAPY CO 92917,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92917,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92917,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92917,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92917,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92917,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92917,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92917,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92917,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92917,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92917,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92917,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92917,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92917,S000000,00100,0200,06/01/2000 92917,S200000,00100,0100,614 EAST CHERRIE 92917,S200000,00200,0100,TAHLEQUAH 92917,S200000,00200,0200,OK 92917,S200000,00200,0300,74464- 92917,S200000,00300,0100,CHEROKEE 92917,S200000,00400,0100,TAHLEQUAH NURSING HOME 92917,S200000,00400,0200,375124 92917,S200000,00400,0300,08/04/1992 92917,S200000,00400,0500,P 92917,S200000,01500,0100,Y 92917,S200000,02200,0100,Y 92917,S700003,00000,0100,1 92926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92926,A000000,00300,0000,00300EMPLOYEE BENEFITS 92926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92926,A000000,00700,0000,00700HOUSEKEEPING 92926,A000000,00800,0000,00800DIETARY 92926,A000000,00900,0000,00900NURSING ADMINISTRATION 92926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92926,A000000,01100,0000,01100PHARMACY 92926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92926,A000000,01300,0000,01300SOCIAL SERVICE 92926,A000000,01350,0000,01500OTHER GENERAL SERVICES 92926,A000000,01351,0000,01501ACTIVITIES 92926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92926,A000000,01600,0000,01600SKILLED NURSING FACILITY 92926,A000000,01800,0000,01800NURSING FACILITY 92926,A000000,01810,0000,01810ICF/MR 92926,A000000,01900,0000,01900OTHER LONG TERM CARE 92926,A000000,02100,0000,02100RADIOLOGY 92926,A000000,02200,0000,02200LABORATORY 92926,A000000,02300,0000,02300INTRAVENOUS THERAPY 92926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92926,A000000,02500,0000,02500PHYSICAL THERAPY 92926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92926,A000000,02700,0000,02700SPEECH PATHOLOGY 92926,A000000,02800,0000,02800ELECTROCARDIOLOGY 92926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92926,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92926,A000000,03200,0000,03200SUPPORT SURFACES 92926,A000000,03400,0000,03400CLINIC 92926,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92926,A000000,03500,0000,03500RURAL HEALTH CLINIC 92926,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92926,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92926,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92926,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92926,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92926,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92926,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92926,A000000,04400,0000,04400DME RENTED - HHA 92926,A000000,04500,0000,04500DME SOLD - HHA 92926,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92926,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92926,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92926,A000000,04800,0000,04800AMBULANCE 92926,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92926,A000000,05000,0000,05000CORF 92926,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92926,A000000,05300,0000,05300INTEREST EXPENSE 92926,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92926,A000000,05500,0000,05500HOSPICE 92926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92926,A000000,06100,0000,06100NONPAID WORKERS 92926,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92926,A000000,06200,0000,06200PATIENTS LAUNDRY 92926,A81000A,00100,0100,Y 92926,A81000B,00100,0300,ALLOCATED HOME OFFICE EXP 92926,A81000C,00100,0100,B 92926,A81000C,00100,0400,HEARTWAY CORPORATION 92926,A81000C,00100,0600,NURSING HOME OPERATIONS 92926,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92926,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92926,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92926,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92926,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92926,B100000,00000,0800,00000MEALS SERVED :DIETARY 92926,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 92926,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92926,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92926,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 92926,S000000,00100,0200,12/21/2000 92926,S200000,00100,0100,500 S YORK 92926,S200000,00200,0100,MUSKOGEE 92926,S200000,00200,0200,OK 92926,S200000,00200,0300,74403- 92926,S200000,00300,0100,MUSKOGEE 92926,S200000,00300,0200,37 92926,S200000,00300,0300,R 92926,S200000,00400,0100,YORK MANOR NURSING CENTER 92926,S200000,00400,0200,375132 92926,S200000,00400,0300,01/20/1993 92926,S200000,00400,0500,P 92926,S200000,01600,0100,Y 92942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92942,A000000,00300,0000,00300EMPLOYEE BENEFITS 92942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92942,A000000,00700,0000,00700HOUSEKEEPING 92942,A000000,00800,0000,00800DIETARY 92942,A000000,00900,0000,00900NURSING ADMINISTRATION 92942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92942,A000000,01100,0000,01100PHARMACY 92942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92942,A000000,01300,0000,01300SOCIAL SERVICE 92942,A000000,01350,0000,01500OTHER GENERAL SERVICES 92942,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 92942,A000000,01600,0000,01600SKILLED NURSING FACILITY 92942,A000000,01800,0000,01800NURSING FACILITY 92942,A000000,01810,0000,01810ICF/MR 92942,A000000,01900,0000,01900OTHER LONG TERM CARE 92942,A000000,02100,0000,02100RADIOLOGY 92942,A000000,02200,0000,02200LABORATORY 92942,A000000,02300,0000,02300INTRAVENOUS THERAPY 92942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92942,A000000,02500,0000,02500PHYSICAL THERAPY 92942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92942,A000000,02700,0000,02700SPEECH PATHOLOGY 92942,A000000,02800,0000,02800ELECTROCARDIOLOGY 92942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92942,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92942,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92942,A000000,03200,0000,03200SUPPORT SURFACES 92942,A000000,03400,0000,03400CLINIC 92942,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92942,A000000,03500,0000,03500RURAL HEALTH CLINIC 92942,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92942,A000000,04800,0000,04800AMBULANCE 92942,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92942,A000000,05000,0000,05000CORF 92942,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92942,A000000,05300,0000,05300INTEREST EXPENSE 92942,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92942,A000000,05500,0000,05500HOSPICE 92942,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92942,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92942,A000000,06100,0000,06100NONPAID WORKERS 92942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92942,A000000,06200,0000,06200PATIENTS LAUNDRY 92942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92942,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92942,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 92942,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 92942,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92942,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 92942,B100000,00000,1330,00000DIRECT HOURS :SOCIAL SERVICE 92942,S000000,00100,0200,06/08/2000 92942,S200000,00100,0100,112 SE 1ST STREET 92942,S200000,00200,0100,CHECOTAH 92942,S200000,00200,0200,OK 92942,S200000,00200,0300,74426- 92942,S200000,00300,0100,CHECOTAH 92942,S200000,00300,0200,37 92942,S200000,00300,0300,R 92942,S200000,00400,0100,CHECOTAH MANOR 92942,S200000,00400,0200,375140 92942,S200000,00400,0300,09/01/1993 92942,S200000,00400,0500,P 92942,S200000,01600,0100,Y 92950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92950,A000000,00300,0000,00300EMPLOYEE BENEFITS 92950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92950,A000000,00700,0000,00700HOUSEKEEPING 92950,A000000,00800,0000,00800DIETARY 92950,A000000,00900,0000,00900NURSING ADMINISTRATION 92950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92950,A000000,01300,0000,01300SOCIAL SERVICE 92950,A000000,01350,0000,01500ACTIVITIES 92950,A000000,01600,0000,01600SKILLED NURSING FACILITY 92950,A000000,01800,0000,01800NURSING FACILITY 92950,A000000,02100,0000,02100RADIOLOGY 92950,A000000,02200,0000,02200LABORATORY 92950,A000000,02300,0000,02300INTRAVENOUS THERAPY 92950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92950,A000000,02500,0000,02500PHYSICAL THERAPY 92950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92950,A000000,02700,0000,02700SPEECH PATHOLOGY 92950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92950,A000000,03200,0000,03200SUPPORT SURFACES 92950,A000000,04800,0000,04800AMBULANCE 92950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92950,A81000A,00100,0100,Y 92950,A81000B,00100,0300,MANAGEMENT FEE 92950,A81000B,00200,0300,RADIOLOGY 92950,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 92950,A81000B,00400,0300,PHARMACY COSTS 92950,A81000B,00500,0300,PEN SUPPLY COSTS 92950,A81000B,00600,0300,THERAPY COSTS 92950,A81000B,00700,0300,THERAPY COSTS 92950,A81000B,00800,0300,THERAPY COSTS 92950,A81000B,00900,0300,THERAPY COSTS 92950,A81000B,01000,0300,THERAPY COSTS 92950,A81000B,01100,0300,OXYGEN COSTS 92950,A81000B,01200,0300,INTEREST EXPENSE 92950,A81000C,00100,0100,F 92950,A81000C,00100,0200,HERITAGE CARE 92950,A81000C,00100,0400,AMITY CARE CORP 92950,A81000C,00100,0600,LTC MGMT CO 92950,A81000C,00200,0100,F 92950,A81000C,00200,0200,HERITAGE CARE 92950,A81000C,00200,0400,US X-RAY 92950,A81000C,00200,0600,X-RAY CO 92950,A81000C,00300,0100,F 92950,A81000C,00300,0200,HERITAGE CARE 92950,A81000C,00300,0400,PHARMACY SOLUTI 92950,A81000C,00300,0600,PHARMACY CO 92950,A81000C,00400,0100,F 92950,A81000C,00400,0200,HERITAGE CARE 92950,A81000C,00400,0400,CARE SOURCE 92950,A81000C,00400,0600,MEDICAL SUPPLY 92950,A81000C,00500,0100,F 92950,A81000C,00500,0200,HERITAGE CARE 92950,A81000C,00500,0400,REHABSOURCE 92950,A81000C,00500,0600,THERAPY CO 92950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92950,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92950,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92950,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92950,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92950,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92950,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92950,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92950,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92950,S000000,00100,0200,06/05/2000 92950,S200000,00100,0100,2400 MODELLE 92950,S200000,00200,0100,CLINTON 92950,S200000,00200,0200,OK 92950,S200000,00200,0300,73601- 92950,S200000,00300,0100,CUSTER 92950,S200000,00400,0100,HERITAGE CARE CENTER 92950,S200000,00400,0200,375141 92950,S200000,00400,0300,11/01/1993 92950,S200000,00400,0500,P 92950,S200000,01500,0100,Y 92950,S200000,02200,0100,Y 92950,S200000,04700,0100,Y 92950,S700003,00000,0100,1 92955,S000000,00100,0200,11/15/1999 92967,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92967,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92967,A000000,00300,0000,00300EMPLOYEE BENEFITS 92967,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92967,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92967,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92967,A000000,00700,0000,00700HOUSEKEEPING 92967,A000000,00800,0000,00800DIETARY 92967,A000000,00900,0000,00900NURSING ADMINISTRATION 92967,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92967,A000000,01300,0000,01300SOCIAL SERVICE 92967,A000000,01600,0000,01600SKILLED NURSING FACILITY 92967,A000000,01800,0000,01800NURSING FACILITY 92967,A000000,02100,0000,02100RADIOLOGY 92967,A000000,02200,0000,02200LABORATORY 92967,A000000,02300,0000,02300INTRAVENOUS THERAPY 92967,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92967,A000000,02500,0000,02500PHYSICAL THERAPY 92967,A000000,02501,0000,02501PHYSICAL THERAPY PART B 92967,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92967,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 92967,A000000,02700,0000,02700SPEECH PATHOLOGY 92967,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 92967,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92967,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92967,A000000,05300,0000,05300INTEREST EXPENSE 92967,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92967,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92967,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92967,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92967,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92967,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92967,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92967,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92967,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92967,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 92967,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92967,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92967,S000000,00100,0200,05/31/2000 92967,S200000,00100,0100,1622 EAST BROADWAY 92967,S200000,00200,0100,MUSKOGEE 92967,S200000,00200,0200,OK 92967,S200000,00200,0300,74403- 92967,S200000,00300,0100,MUSKOGEE 92967,S200000,00400,0100,BROADWAY MANOR NURSING HOME 92967,S200000,00400,0200,375146 92967,S200000,00400,0300,12/06/1993 92967,S200000,00400,0500,P 92967,S200000,01600,0100,Y 92967,S700003,00000,0100,1 92974,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92974,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92974,A000000,00300,0000,00300EMPLOYEE BENEFITS 92974,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92974,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92974,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92974,A000000,00700,0000,00700HOUSEKEEPING 92974,A000000,00800,0000,00800DIETARY 92974,A000000,00900,0000,00900NURSING ADMINISTRATION 92974,A000000,01300,0000,01300SOCIAL SERVICE 92974,A000000,01600,0000,01600SKILLED NURSING FACILITY 92974,A000000,01800,0000,01800NURSING FACILITY 92974,A000000,02100,0000,02100RADIOLOGY 92974,A000000,02200,0000,02200LABORATORY 92974,A000000,02300,0000,02300INTRAVENOUS THERAPY 92974,A000000,02500,0000,02500PHYSICAL THERAPY 92974,A000000,02501,0000,02501PHYSICAL THERAPY - PART B 92974,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92974,A000000,02601,0000,02601OCCUPATIONAL THERAPY - PART B 92974,A000000,02700,0000,02700SPEECH PATHOLOGY 92974,A000000,02701,0000,02701SPEECH PATHOLOGY - PART B 92974,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92974,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92974,A000000,05300,0000,05300INTEREST EXPENSE 92974,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92974,A81000A,00100,0100,Y 92974,A81000B,00100,0300,DEPRECIATION 92974,A81000B,00200,0300,ADMIN AND GENERAL 92974,A81000B,00300,0300,INTEREST 92974,A81000B,00400,0300,RENT 92974,A81000B,00500,0300,DEPRECIATION 92974,A81000C,00100,0100,D 92974,A81000C,00100,0200,ALL MEMBERS 92974,A81000C,00100,0400,GHCC 92974,A81000C,00100,0600,REAL ESTATE 92974,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92974,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92974,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92974,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92974,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92974,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92974,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92974,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92974,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 92974,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92974,E10A180,00301,0100,08/16/1999 92974,S000000,00100,0200,06/01/2000 92974,S200000,00100,0100,1700 E 141ST STREET 92974,S200000,00200,0100,GLENPOOL 92974,S200000,00200,0200,OK 92974,S200000,00200,0300,74033- 92974,S200000,00300,0100,TULSA 92974,S200000,00400,0100,GLENPOOL HEALTH SERVICES LLC 92974,S200000,00400,0200,375148 92974,S200000,00400,0300,01/01/1994 92974,S200000,00400,0500,P 92974,S200000,01600,0100,Y 92974,S700003,00000,0100,1 92983,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92983,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92983,A000000,00300,0000,00300EMPLOYEE BENEFITS 92983,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92983,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92983,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92983,A000000,00700,0000,00700HOUSEKEEPING 92983,A000000,00800,0000,00800DIETARY 92983,A000000,00900,0000,00900NURSING ADMINISTRATION 92983,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92983,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92983,A000000,01300,0000,01300SOCIAL SERVICE 92983,A000000,01350,0000,01500ACTIVITIES 92983,A000000,01600,0000,01600SKILLED NURSING FACILITY 92983,A000000,01800,0000,01800NURSING FACILITY 92983,A000000,02100,0000,02100RADIOLOGY 92983,A000000,02200,0000,02200LABORATORY 92983,A000000,02300,0000,02300INTRAVENOUS THERAPY 92983,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92983,A000000,02500,0000,02500PHYSICAL THERAPY 92983,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92983,A000000,02700,0000,02700SPEECH PATHOLOGY 92983,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92983,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92983,A000000,03200,0000,03200SUPPORT SURFACES 92983,A000000,04800,0000,04800AMBULANCE 92983,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92983,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92983,A81000A,00100,0100,Y 92983,A81000B,00100,0300,MANAGEMENT FEE 92983,A81000B,00200,0300,RADIOLOGY 92983,A81000B,00300,0300,PHARMACY COSTS 92983,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 92983,A81000B,00500,0300,PHARMACY COSTS 92983,A81000B,00600,0300,PHARMACY COSTS 92983,A81000B,00700,0300,PEN SUPPLIES 92983,A81000B,00800,0300,THERAPY COSTS 92983,A81000B,00900,0300,INTEREST EXPENSE 92983,A81000B,01000,0300,OXYGEN THERAPY 92983,A81000C,00100,0100,F 92983,A81000C,00100,0200,WALNUT CREEK 92983,A81000C,00100,0400,AMITY CARE CORP 92983,A81000C,00100,0600,LTC MGMT CO. 92983,A81000C,00200,0100,F 92983,A81000C,00200,0200,WALNUT CREEK 92983,A81000C,00200,0400,US X-RAY 92983,A81000C,00200,0600,X-RAY CO 92983,A81000C,00300,0100,F 92983,A81000C,00300,0200,WALNUT CREEK 92983,A81000C,00300,0400,PHARMACY SOULUT 92983,A81000C,00300,0600,PHAMACY CO 92983,A81000C,00400,0100,F 92983,A81000C,00400,0200,WALNUT CREEK 92983,A81000C,00400,0400,CARE SOURCE 92983,A81000C,00400,0600,MEDICAL SUPPLY 92983,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92983,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92983,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92983,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92983,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92983,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92983,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92983,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92983,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92983,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92983,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92983,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92983,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92983,S000000,00100,0200,06/01/2000 92983,S200000,00100,0100,2400 SOUTHWEST 55TH 92983,S200000,00200,0100,OKLAHOMA CITY 92983,S200000,00200,0200,OK 92983,S200000,00200,0300,73119- 92983,S200000,00300,0100,OKLAHOMA 92983,S200000,00400,0100,WALNUT CREEK NURSING HOME 92983,S200000,00400,0200,375151 92983,S200000,00400,0300,02/01/1994 92983,S200000,00400,0500,P 92983,S200000,01500,0100,Y 92983,S200000,02200,0100,Y 92983,S200000,04700,0100,Y 92983,S700003,00000,0100,1 92992,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92992,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92992,A000000,00300,0000,00300EMPLOYEE BENEFITS 92992,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92992,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92992,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92992,A000000,00700,0000,00700HOUSEKEEPING 92992,A000000,00800,0000,00800DIETARY 92992,A000000,00900,0000,00900NURSING ADMINISTRATION 92992,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92992,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92992,A000000,01300,0000,01300SOCIAL SERVICE 92992,A000000,01350,0000,01500ACTIVITIES 92992,A000000,01600,0000,01600SKILLED NURSING FACILITY 92992,A000000,01800,0000,01800NURSING FACILITY 92992,A000000,02100,0000,02100RADIOLOGY 92992,A000000,02200,0000,02200LABORATORY 92992,A000000,02300,0000,02300INTRAVENOUS THERAPY 92992,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92992,A000000,02500,0000,02500PHYSICAL THERAPY 92992,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92992,A000000,02700,0000,02700SPEECH PATHOLOGY 92992,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92992,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92992,A000000,03200,0000,03200SUPPORT SURFACES 92992,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92992,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92992,A81000A,00100,0100,Y 92992,A81000B,00100,0300,MANAGEMENT FEE 92992,A81000B,00200,0300,RADIOLOGY 92992,A81000B,00300,0300,PHARMACY COSTS 92992,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 92992,A81000B,00500,0300,PHARMACY COSTS 92992,A81000B,00600,0300,PHARMACY COSTS 92992,A81000B,00700,0300,PEN SUPPLIES 92992,A81000B,00800,0300,SUPPORT SURFACES 92992,A81000B,00900,0300,OXYGEN THERAPY SUPPLIES 92992,A81000B,01000,0300,THERAPY COSTS 92992,A81000B,01100,0300,THERAPY COSTS 92992,A81000B,01200,0300,THERAPY COSTS 92992,A81000B,01300,0300,OXYGEN THERAPY 92992,A81000B,01400,0300,MEDICAL SUPPLY COSTS 92992,A81000C,00100,0100,F 92992,A81000C,00100,0200,TERRACE GARDENS 92992,A81000C,00100,0400,AMITY CARE CORP 92992,A81000C,00100,0600,LTC MGMT CO 92992,A81000C,00200,0100,F 92992,A81000C,00200,0200,TERRACE GARDENS 92992,A81000C,00200,0400,U S X-RAY 92992,A81000C,00200,0600,X-RAY CO 92992,A81000C,00300,0100,F 92992,A81000C,00300,0200,TERRACE 92992,A81000C,00300,0400,PHARMACY SOLUTIONS 92992,A81000C,00300,0600,PHARMACY CO 92992,A81000C,00400,0100,F 92992,A81000C,00400,0200,TERRACE GARDENS 92992,A81000C,00400,0400,CARE SOURCE 92992,A81000C,00400,0600,MEDICAL SUPPLY CO 92992,A81000C,00500,0100,F 92992,A81000C,00500,0200,TERRACE GARDENS 92992,A81000C,00500,0400,REHABSOURCE 92992,A81000C,00500,0600,THERAPY CO 92992,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92992,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92992,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92992,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92992,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92992,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92992,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92992,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 92992,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 92992,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92992,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92992,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 92992,E10A180,00301,0100,01/24/2000 92992,S000000,00100,0200,12/04/2000 92992,S200000,00100,0100,1921 NORTHEAST 21ST 92992,S200000,00200,0100,OKLAHOMA CITY 92992,S200000,00200,0200,OK 92992,S200000,00200,0300,73111- 92992,S200000,00300,0100,OKLAHOMA 92992,S200000,00300,0200,5880 92992,S200000,00300,0300,U 92992,S200000,00400,0100,TERRACE GARDENS NURSING HOME 92992,S200000,00400,0200,375155 92992,S200000,00400,0300,01/01/1994 92992,S200000,00400,0500,P 92992,S200000,01500,0100,Y 92992,S200000,02200,0100,Y 92998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 92998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 92998,A000000,00300,0000,00300EMPLOYEE BENEFITS 92998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 92998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 92998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 92998,A000000,00700,0000,00700HOUSEKEEPING 92998,A000000,00800,0000,00800DIETARY 92998,A000000,00900,0000,00900NURSING ADMINISTRATION 92998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 92998,A000000,01100,0000,01100PHARMACY 92998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 92998,A000000,01300,0000,01300SOCIAL SERVICE 92998,A000000,01350,0000,01500OTHER GENERAL SERVICES 92998,A000000,01600,0000,01600SKILLED NURSING FACILITY 92998,A000000,01800,0000,01800NURSING FACILITY 92998,A000000,01900,0000,01900OTHER LONG TERM CARE 92998,A000000,02100,0000,02100RADIOLOGY 92998,A000000,02200,0000,02200LABORATORY 92998,A000000,02300,0000,02300INTRAVENOUS THERAPY 92998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 92998,A000000,02500,0000,02500PHYSICAL THERAPY 92998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 92998,A000000,02700,0000,02700SPEECH PATHOLOGY 92998,A000000,02800,0000,02800ELECTROCARDIOLOGY 92998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 92998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 92998,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 92998,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 92998,A000000,03200,0000,03200SUPPORT SURFACES 92998,A000000,03400,0000,03400CLINIC 92998,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 92998,A000000,03500,0000,03500RURAL HEALTH CLINIC 92998,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 92998,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 92998,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 92998,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 92998,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 92998,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 92998,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 92998,A000000,04400,0000,04400DME RENTED - HHA 92998,A000000,04500,0000,04500DME SOLD - HHA 92998,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 92998,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 92998,A000000,04750,0000,05100OTHER REIMBURSABLE COST 92998,A000000,04800,0000,04800AMBULANCE 92998,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 92998,A000000,05000,0000,05000CORF 92998,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 92998,A000000,05300,0000,05300INTEREST EXPENSE 92998,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 92998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 92998,A000000,05500,0000,05500HOSPICE 92998,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 92998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 92998,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 92998,A000000,06100,0000,06100NONPAID WORKERS 92998,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 92998,A000000,06200,0000,06200PATIENTS LAUNDRY 92998,A81000A,00100,0100,Y 92998,A81000B,00100,0300,DEPRECIATION ON EQUIPMENT 92998,A81000B,00200,0300,INTEREST EXPENSE ON BUILDING 92998,A81000C,00100,0100,A 92998,A81000C,00100,0200,MR & MRS ROBERT BARNARD 92998,A81000C,00100,0400,DIVERSIFIED INVESTMENTS 92998,A81000C,00100,0600,OWNERS OF BUILDING 92998,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 92998,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 92998,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 92998,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 92998,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 92998,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 92998,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 92998,B100000,00000,0850,00000PATIENT DAYS :DIETARY 92998,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 92998,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 92998,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 92998,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 92998,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 92998,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 92998,S000000,00100,0200,05/19/2000 92998,S200000,00100,0100,1701 EAST SIXTH STREET 92998,S200000,00200,0100,OKMULGEE 92998,S200000,00200,0200,OK 92998,S200000,00200,0300,74447- 92998,S200000,00300,0100,OKMULGEE 92998,S200000,00400,0100,REBOLD MANOR NURSING HOME 92998,S200000,00400,0200,375156 92998,S200000,00400,0300,04/01/1994 92998,S200000,00400,0500,P 92998,S200000,01600,0100,Y 93022,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93022,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93022,A000000,00300,0000,00300EMPLOYEE BENEFITS 93022,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93022,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93022,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93022,A000000,00700,0000,00700HOUSEKEEPING 93022,A000000,00800,0000,00800DIETARY 93022,A000000,00900,0000,00900NURSING ADMINISTRATION 93022,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93022,A000000,01100,0000,01100PHARMACY 93022,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93022,A000000,01300,0000,01300SOCIAL SERVICE 93022,A000000,01600,0000,01600SKILLED NURSING FACILITY 93022,A000000,01800,0000,01800NURSING FACILITY 93022,A000000,02100,0000,02100RADIOLOGY 93022,A000000,02200,0000,02200LABORATORY 93022,A000000,02300,0000,02300INTRAVENOUS THERAPY 93022,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93022,A000000,02500,0000,02500PHYSICAL THERAPY 93022,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93022,A000000,02700,0000,02700SPEECH PATHOLOGY 93022,A000000,02800,0000,02800ELECTROCARDIOLOGY 93022,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93022,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93022,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93022,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93022,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93022,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93022,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93022,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93022,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93022,B100000,00000,0800,00000MEALS SERVED :DIETARY 93022,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 93022,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 93022,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 93022,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93022,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93022,S000000,00100,0200,05/31/2000 93022,S200000,00100,0100,1811 9TH AVE. NW 93022,S200000,00200,0100,ARDMORE 93022,S200000,00200,0200,OK 93022,S200000,00200,0300,73401- 93022,S200000,00300,0100,CARTER 93022,S200000,00400,0100,ELMBROOK HOME INC. 93022,S200000,00400,0200,375160 93022,S200000,00400,0300,11/15/1994 93022,S200000,00400,0500,P 93022,S200000,01500,0100,Y 93022,S200000,04100,0100,Y 93022,S200000,04200,0100,Y 93022,S700003,00000,0100,1 93031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93031,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93031,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93031,A000000,00300,0000,00300EMPLOYEE BENEFITS 93031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93031,A000000,00700,0000,00700HOUSEKEEPING 93031,A000000,00800,0000,00800DIETARY 93031,A000000,00801,0000,00801CAFETERIA 93031,A000000,00900,0000,00900NURSING ADMINISTRATION 93031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93031,A000000,01100,0000,01100PHARMACY 93031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93031,A000000,01300,0000,01300SOCIAL SERVICE 93031,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93031,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93031,A000000,01600,0000,01600SKILLED NURSING FACILITY 93031,A000000,01800,0000,01800NURSING FACILITY 93031,A000000,01900,0000,01900OTHER LONG TERM CARE 93031,A000000,02100,0000,02100RADIOLOGY 93031,A000000,02200,0000,02200LABORATORY 93031,A000000,02300,0000,02300INTRAVENOUS THERAPY 93031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93031,A000000,02500,0000,02500PHYSICAL THERAPY 93031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93031,A000000,02700,0000,02700SPEECH PATHOLOGY 93031,A000000,02800,0000,02800ELECTROCARDIOLOGY 93031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93031,A000000,03050,0000,03300OTHER ANCILLARY 93031,A000000,03051,0000,03301OTHER ANCILLARY II 93031,A000000,03052,0000,03302OTHER ANCILLARY III 93031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93031,A000000,03200,0000,03200SUPPORT SURFACES 93031,A000000,03400,0000,03400CLINIC 93031,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93031,A000000,03500,0000,03500RURAL HEALTH CLINIC 93031,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93031,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93031,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93031,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93031,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93031,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93031,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93031,A000000,04400,0000,04400DME RENTED - HHA 93031,A000000,04500,0000,04500DME SOLD - HHA 93031,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93031,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93031,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93031,A000000,04800,0000,04800AMBULANCE 93031,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93031,A000000,05000,0000,05000CORF 93031,A000000,05010,0000,05010CMHC I 93031,A000000,05020,0000,05020OPT I 93031,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93031,A000000,05300,0000,05300INTEREST EXPENSE 93031,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93031,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93031,A000000,05500,0000,05500HOSPICE 93031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93031,A000000,06100,0000,06100NONPAID WORKERS 93031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93031,A000000,06200,0000,06200PATIENTS LAUNDRY 93031,A81000A,00100,0100,Y 93031,A81000B,00100,0300,HOME OFFICE ALLOC 93031,A81000C,00100,0100,A 93031,A81000C,00100,0200,LTC SERVICES 93031,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93031,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93031,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93031,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93031,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93031,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93031,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93031,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93031,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93031,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93031,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93031,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93031,S000000,00100,0200,06/15/2000 93031,S200000,00100,0100,ROUTE 1 93031,S200000,00100,0300,919-05 93031,S200000,00200,0100,CALERA 93031,S200000,00200,0200,OK 93031,S200000,00200,0300,74730- 93031,S200000,00300,0100,BRYAN 93031,S200000,00300,0200,037 93031,S200000,00300,0300,R 93031,S200000,00400,0100,CALERA MANOR 93031,S200000,00400,0200,375161 93031,S200000,00400,0300,02/01/1994 93031,S200000,00400,0500,P 93031,S200000,01600,0100,Y 93038,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93038,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93038,A000000,00300,0000,00300EMPLOYEE BENEFITS 93038,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93038,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93038,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93038,A000000,00700,0000,00700HOUSEKEEPING 93038,A000000,00800,0000,00800DIETARY 93038,A000000,00900,0000,00900NURSING ADMINISTRATION 93038,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93038,A000000,01100,0000,01100PHARMACY 93038,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93038,A000000,01300,0000,01300SOCIAL SERVICE 93038,A000000,01350,0000,01500RECREATION 93038,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93038,A000000,01600,0000,01600SKILLED NURSING FACILITY 93038,A000000,01800,0000,01800NURSING FACILITY 93038,A000000,01810,0000,01810ICF/MR 93038,A000000,02100,0000,02100RADIOLOGY 93038,A000000,02200,0000,02200LABORATORY 93038,A000000,02300,0000,02300INTRAVENOUS THERAPY 93038,A000000,02500,0000,02500PHYSICAL THERAPY 93038,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93038,A000000,02700,0000,02700SPEECH PATHOLOGY 93038,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93038,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93038,A000000,03200,0000,03200SUPPORT SURFACES 93038,A000000,03550,0000,03550FQHC 93038,A000000,05000,0000,05000CORF 93038,A000000,05010,0000,05010CMHC 93038,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 93038,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 93038,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 93038,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93038,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93038,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93038,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93038,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93038,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93038,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93038,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93038,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93038,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 93038,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93038,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 93038,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 93038,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 93038,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93038,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93038,B100000,00000,1350,00000PATIENT DAYS :RECREATION 93038,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93038,S000000,00100,0200,05/31/2000 93038,S200000,00100,0100,2552 EAST 21ST STREET 93038,S200000,00200,0100,TULSA 93038,S200000,00200,0200,OK 93038,S200000,00200,0300,74114- 93038,S200000,00300,0100,TULSA 93038,S200000,00400,0100,GEORGIAN COURT 93038,S200000,00400,0200,375164 93038,S200000,00400,0300,03/28/1994 93038,S200000,00400,0500,P 93038,S200000,01600,0100,Y 93038,S700003,00000,0100,1 93044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93044,A000000,00300,0000,00300EMPLOYEE BENEFITS 93044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93044,A000000,00700,0000,00700HOUSEKEEPING 93044,A000000,00800,0000,00800DIETARY 93044,A000000,00900,0000,00900NURSING ADMINISTRATION 93044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93044,A000000,01300,0000,01300SOCIAL SERVICE 93044,A000000,01350,0000,01500OTHER GENERAL SERVICES 93044,A000000,01600,0000,01600SKILLED NURSING FACILITY 93044,A000000,01800,0000,01800NURSING FACILITY 93044,A000000,01900,0000,01900OTHER LONG TERM CARE 93044,A000000,02100,0000,02100RADIOLOGY 93044,A000000,02200,0000,02200LABORATORY 93044,A000000,02300,0000,02300INTRAVENOUS THERAPY 93044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93044,A000000,02500,0000,02500PHYSICAL THERAPY 93044,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93044,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93044,A000000,02700,0000,02700SPEECH PATHOLOGY 93044,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93044,A000000,02800,0000,02800ELECTROCARDIOLOGY 93044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93044,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93044,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93044,A000000,03200,0000,03200SUPPORT SURFACES 93044,A000000,03400,0000,03400CLINIC 93044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93044,A000000,03500,0000,03500RURAL HEALTH CLINIC 93044,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93044,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93044,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93044,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93044,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93044,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93044,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93044,A000000,04400,0000,04400DME RENTED - HHA 93044,A000000,04500,0000,04500DME SOLD - HHA 93044,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93044,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93044,A000000,04800,0000,04800AMBULANCE 93044,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93044,A000000,05000,0000,05000CORF 93044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93044,A000000,05300,0000,05300INTEREST EXPENSE 93044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93044,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93044,A000000,05500,0000,05500HOSPICE 93044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93044,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93044,A000000,06100,0000,06100NONPAID WORKERS 93044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93044,A000000,06200,0000,06200PATIENTS LAUNDRY 93044,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93044,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93044,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93044,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93044,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93044,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93044,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93044,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93044,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93044,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93044,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93044,S000000,00100,0200,05/11/2000 93044,S200000,00100,0100,700 WEST JONES 93044,S200000,00200,0100,BROKEN BOW 93044,S200000,00200,0200,OK 93044,S200000,00200,0300,74728- 93044,S200000,00300,0100,MCCURTAIN 93044,S200000,00400,0100,BROKEN BOW NURSING HOME 93044,S200000,00400,0200,375165 93044,S200000,00400,0300,04/01/1994 93044,S200000,00400,0500,P 93044,S200000,01004,0500,O 93044,S200000,01600,0100,Y 93044,S700003,00000,0100,1 93046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93046,A000000,00300,0000,00300EMPLOYEE BENEFITS 93046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93046,A000000,00700,0000,00700HOUSEKEEPING 93046,A000000,00800,0000,00800DIETARY 93046,A000000,00900,0000,00900NURSING ADMINISTRATION 93046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93046,A000000,01300,0000,01300SOCIAL SERVICE 93046,A000000,01350,0000,01500OTHER GENERAL SERVICES 93046,A000000,01600,0000,01600SKILLED NURSING FACILITY 93046,A000000,01800,0000,01800NURSING FACILITY 93046,A000000,01900,0000,01900OTHER LONG TERM CARE 93046,A000000,02100,0000,02100RADIOLOGY 93046,A000000,02200,0000,02200LABORATORY 93046,A000000,02300,0000,02300INTRAVENOUS THERAPY 93046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93046,A000000,02500,0000,02500PHYSICAL THERAPY 93046,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93046,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93046,A000000,02700,0000,02700SPEECH PATHOLOGY 93046,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93046,A000000,02800,0000,02800ELECTROCARDIOLOGY 93046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93046,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93046,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93046,A000000,03200,0000,03200SUPPORT SURFACES 93046,A000000,03400,0000,03400CLINIC 93046,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93046,A000000,03500,0000,03500RURAL HEALTH CLINIC 93046,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93046,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93046,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93046,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93046,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93046,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93046,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93046,A000000,04400,0000,04400DME RENTED - HHA 93046,A000000,04500,0000,04500DME SOLD - HHA 93046,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93046,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93046,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93046,A000000,04800,0000,04800AMBULANCE 93046,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93046,A000000,05000,0000,05000CORF 93046,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93046,A000000,05300,0000,05300INTEREST EXPENSE 93046,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93046,A000000,05500,0000,05500HOSPICE 93046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93046,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93046,A000000,06100,0000,06100NONPAID WORKERS 93046,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93046,A000000,06200,0000,06200PATIENTS LAUNDRY 93046,A81000A,00100,0100,Y 93046,A81000B,00100,0300,RENT EXPENSE 93046,A81000B,00200,0300,DEPRECIATION - BUILDING 93046,A81000B,00300,0300,DEPRECIATION - EQUIPMENT 93046,A81000B,00400,0300,FRANCHISE TAX 93046,A81000C,00100,0100,D 93046,A81000C,00100,0200,ALL MEMBERS 93046,A81000C,00100,0400,BBNH 93046,A81000C,00100,0600,REAL ESTATE 93046,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93046,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93046,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93046,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93046,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93046,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93046,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93046,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93046,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93046,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93046,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93046,S000000,00100,0200,05/11/2000 93046,S200000,00100,0100,700 WEST JONES 93046,S200000,00200,0100,BROKEN BOW 93046,S200000,00200,0200,OK 93046,S200000,00200,0300,74728- 93046,S200000,00300,0100,MCCURTAIN 93046,S200000,00400,0100,BROKEN BOW NURSING HOME 93046,S200000,00400,0200,375165 93046,S200000,00400,0300,04/01/1994 93046,S200000,00400,0500,P 93046,S200000,01600,0100,Y 93046,S700003,00000,0200,2 93055,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93055,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93055,A000000,00300,0000,00300EMPLOYEE BENEFITS 93055,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93055,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93055,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93055,A000000,00700,0000,00700HOUSEKEEPING 93055,A000000,00800,0000,00800DIETARY 93055,A000000,00900,0000,00900NURSING ADMINISTRATION 93055,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93055,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93055,A000000,01300,0000,01300SOCIAL SERVICE 93055,A000000,01600,0000,01600SKILLED NURSING FACILITY 93055,A000000,01800,0000,01800NURSING FACILITY 93055,A000000,01900,0000,01900OTHER LONG TERM CARE 93055,A000000,02100,0000,02100RADIOLOGY 93055,A000000,02200,0000,02200LABORATORY 93055,A000000,02300,0000,02300INTRAVENOUS THERAPY 93055,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93055,A000000,02500,0000,02500PHYSICAL THERAPY 93055,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93055,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93055,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93055,A000000,02700,0000,02700SPEECH PATHOLOGY 93055,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93055,A000000,02800,0000,02800ELECTROCARDIOLOGY 93055,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93055,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93055,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93055,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93055,A000000,03200,0000,03200SUPPORT SURFACES 93055,A000000,03400,0000,03400CLINIC 93055,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93055,A000000,03500,0000,03500RURAL HEALTH CLINIC 93055,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93055,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93055,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93055,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93055,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93055,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93055,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93055,A000000,04400,0000,04400DME RENTED - HHA 93055,A000000,04500,0000,04500DME SOLD - HHA 93055,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93055,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93055,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93055,A000000,04800,0000,04800AMBULANCE 93055,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93055,A000000,05000,0000,05000CORF 93055,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93055,A000000,05300,0000,05300INTEREST EXPENSE 93055,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93055,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93055,A000000,05500,0000,05500HOSPICE 93055,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93055,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93055,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93055,A000000,06100,0000,06100NONPAID WORKERS 93055,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93055,A000000,06200,0000,06200PATIENTS LAUNDRY 93055,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93055,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93055,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93055,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93055,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93055,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93055,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93055,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93055,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93055,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93055,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93055,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93055,S000000,00100,0200,07/05/2000 93055,S200000,00100,0100,1501 CLAYTON 93055,S200000,00200,0100,POTEAU 93055,S200000,00200,0200,OK 93055,S200000,00200,0300,74953- 93055,S200000,00300,0100,LEFLORE 93055,S200000,00400,0100,THE OAKS HEALTHCARE CENTER 93055,S200000,00400,0200,375166 93055,S200000,00400,0300,04/01/1994 93055,S200000,00400,0500,P 93055,S200000,01004,0500,O 93055,S200000,01600,0100,Y 93055,S700003,00000,0100,1 93056,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93056,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93056,A000000,00300,0000,00300EMPLOYEE BENEFITS 93056,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93056,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93056,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93056,A000000,00700,0000,00700HOUSEKEEPING 93056,A000000,00800,0000,00800DIETARY 93056,A000000,00900,0000,00900NURSING ADMINISTRATION 93056,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93056,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93056,A000000,01300,0000,01300SOCIAL SERVICE 93056,A000000,01600,0000,01600SKILLED NURSING FACILITY 93056,A000000,01800,0000,01800NURSING FACILITY 93056,A000000,01900,0000,01900OTHER LONG TERM CARE 93056,A000000,02100,0000,02100RADIOLOGY 93056,A000000,02200,0000,02200LABORATORY 93056,A000000,02300,0000,02300INTRAVENOUS THERAPY 93056,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93056,A000000,02500,0000,02500PHYSICAL THERAPY 93056,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93056,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93056,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93056,A000000,02700,0000,02700SPEECH PATHOLOGY 93056,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93056,A000000,02800,0000,02800ELECTROCARDIOLOGY 93056,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93056,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93056,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93056,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93056,A000000,03200,0000,03200SUPPORT SURFACES 93056,A000000,03400,0000,03400CLINIC 93056,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93056,A000000,03500,0000,03500RURAL HEALTH CLINIC 93056,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93056,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93056,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93056,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93056,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93056,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93056,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93056,A000000,04400,0000,04400DME RENTED - HHA 93056,A000000,04500,0000,04500DME SOLD - HHA 93056,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93056,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93056,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93056,A000000,04800,0000,04800AMBULANCE 93056,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93056,A000000,05000,0000,05000CORF 93056,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93056,A000000,05300,0000,05300INTEREST EXPENSE 93056,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93056,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93056,A000000,05500,0000,05500HOSPICE 93056,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93056,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93056,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93056,A000000,06100,0000,06100NONPAID WORKERS 93056,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93056,A000000,06200,0000,06200PATIENTS LAUNDRY 93056,A81000A,00100,0100,Y 93056,A81000B,00100,0300,RENT EXPENSE 93056,A81000B,00200,0300,INTEREST AND DEPRECIATION 93056,A81000B,00300,0300,MISC TAX AND DUES 93056,A81000B,00400,0300,REPAIRS AND MAINTENANCE 93056,A81000B,00500,0300,CRC - MME 93056,A81000C,00100,0100,D 93056,A81000C,00100,0200,ALL MEMBERS 93056,A81000C,00100,0400,TOHC 93056,A81000C,00100,0600,REAL ESTATE 93056,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93056,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93056,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93056,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93056,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93056,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93056,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93056,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93056,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93056,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93056,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93056,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93056,S000000,00100,0200,07/05/2000 93056,S200000,00100,0100,1501 CLAYTON 93056,S200000,00200,0100,POTEAU 93056,S200000,00200,0200,OK 93056,S200000,00200,0300,74953- 93056,S200000,00300,0100,LEFLORE 93056,S200000,00400,0100,THE OAKS HEALTHCARE CENTER 93056,S200000,00400,0200,375166 93056,S200000,00400,0300,04/01/1994 93056,S200000,00400,0500,P 93056,S200000,01600,0100,Y 93056,S700003,00000,0200,2 93067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93067,A000000,00300,0000,00300EMPLOYEE BENEFITS 93067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93067,A000000,00700,0000,00700HOUSEKEEPING 93067,A000000,00800,0000,00800DIETARY 93067,A000000,00900,0000,00900NURSING ADMINISTRATION 93067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93067,A000000,01100,0000,01100PHARMACY 93067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93067,A000000,01300,0000,01300SOCIAL SERVICE 93067,A000000,01600,0000,01600SKILLED NURSING FACILITY 93067,A000000,01800,0000,01800NURSING FACILITY 93067,A000000,01900,0000,01900OTHER LONG TERM CARE 93067,A000000,02100,0000,02100RADIOLOGY 93067,A000000,02200,0000,02200LABORATORY 93067,A000000,02300,0000,02300INTRAVENOUS THERAPY 93067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93067,A000000,02500,0000,02500PHYSICAL THERAPY 93067,A000000,02501,0000,02501PHYSICAL THERAPY - PT B 93067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93067,A000000,02601,0000,02601OCCUPATIONAL THERAPY - PT B 93067,A000000,02700,0000,02700SPEECH PATHOLOGY 93067,A000000,02701,0000,02701SPEECH PATHOLOGY - PT B 93067,A000000,02800,0000,02800ELECTROCARDIOLOGY 93067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93067,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93067,A000000,03200,0000,03200SUPPORT SURFACES 93067,A000000,03400,0000,03400CLINIC 93067,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93067,A000000,03500,0000,03500RURAL HEALTH CLINIC 93067,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93067,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93067,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93067,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93067,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93067,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93067,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93067,A000000,04400,0000,04400DME RENTED - HHA 93067,A000000,04500,0000,04500DME SOLD - HHA 93067,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93067,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93067,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93067,A000000,04800,0000,04800AMBULANCE 93067,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93067,A000000,05000,0000,05000CORF 93067,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93067,A000000,05300,0000,05300INTEREST EXPENSE 93067,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93067,A000000,05500,0000,05500HOSPICE 93067,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93067,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93067,A000000,06100,0000,06100NONPAID WORKERS 93067,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93067,A000000,06200,0000,06200PATIENTS LAUNDRY 93067,A81000A,00100,0100,Y 93067,A81000B,00100,0300,RENTAL INCOME FROM F&L PROPERTIES 93067,A81000C,00100,0100,B 93067,A81000C,00100,0200,F&L PROPERTIES INC. 93067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93067,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93067,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93067,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93067,B100000,00000,0800,00000MEALS SERVED :DIETARY 93067,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93067,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93067,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93067,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93067,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93067,S000000,00100,0200,05/30/2000 93067,S200000,00100,0100,1340 EAST 61ST STREET 93067,S200000,00200,0100,TULSA 93067,S200000,00200,0200,OK 93067,S200000,00200,0300,74136- 93067,S200000,00300,0100,TULSA 93067,S200000,00400,0100,AMBASSADOR MANOR NURSING CENTER 93067,S200000,00400,0200,375168 93067,S200000,00400,0300,05/01/1994 93067,S200000,00400,0500,P 93067,S200000,01600,0100,Y 93067,S700003,00000,0100,1 93076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93076,A000000,00300,0000,00300EMPLOYEE BENEFITS 93076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93076,A000000,00700,0000,00700HOUSEKEEPING 93076,A000000,00800,0000,00800DIETARY 93076,A000000,00900,0000,00900NURSING ADMINISTRATION 93076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93076,A000000,01100,0000,01100PHARMACY 93076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93076,A000000,01300,0000,01300SOCIAL SERVICE 93076,A000000,01350,0000,01500OTHER GENERAL SERVICES 93076,A000000,01600,0000,01600SKILLED NURSING FACILITY 93076,A000000,01800,0000,01800NURSING FACILITY 93076,A000000,01900,0000,01900OTHER LONG TERM CARE 93076,A000000,02100,0000,02100RADIOLOGY 93076,A000000,02200,0000,02200LABORATORY 93076,A000000,02300,0000,02300INTRAVENOUS THERAPY 93076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93076,A000000,02500,0000,02500PHYSICAL THERAPY 93076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93076,A000000,02700,0000,02700SPEECH PATHOLOGY 93076,A000000,02800,0000,02800ELECTROCARDIOLOGY 93076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93076,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93076,A000000,03200,0000,03200SUPPORT SURFACES 93076,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93076,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93076,A000000,06100,0000,06100NONPAID WORKERS 93076,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93076,A000000,06200,0000,06200PATIENTS LAUNDRY 93076,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 93076,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 93076,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 93076,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93076,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 93076,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 93076,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 93076,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 93076,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 93076,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 93076,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 93076,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 93076,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 93076,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 93076,S000000,00100,0200,06/01/2000 93076,S200000,00100,0100,6201 EAST 36TH STREET 93076,S200000,00200,0100,TULSA 93076,S200000,00200,0200,OK 93076,S200000,00200,0300,74135- 93076,S200000,00300,0100,TULSA 93076,S200000,00400,0100,TULSA CHRISTIAN CARE CENTER 93076,S200000,00400,0200,375169 93076,S200000,00400,0300,04/15/1994 93076,S200000,00400,0500,P 93076,S200000,01600,0100,Y 93076,S700003,00000,0100,1 93087,S000000,00100,0200,06/01/2000 93093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93093,A000000,00300,0000,00300EMPLOYEE BENEFITS 93093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93093,A000000,00700,0000,00700HOUSEKEEPING 93093,A000000,00800,0000,00800DIETARY 93093,A000000,00900,0000,00900NURSING ADMINISTRATION 93093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93093,A000000,01100,0000,01100PHARMACY 93093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93093,A000000,01300,0000,01300SOCIAL SERVICE 93093,A000000,01350,0000,01500OTHER GENERAL SERVICES 93093,A000000,01600,0000,01600SKILLED NURSING FACILITY 93093,A000000,01800,0000,01800NURSING FACILITY 93093,A000000,01900,0000,01900OTHER LONG TERM CARE 93093,A000000,02100,0000,02100RADIOLOGY 93093,A000000,02200,0000,02200LABORATORY 93093,A000000,02300,0000,02300INTRAVENOUS THERAPY 93093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93093,A000000,02500,0000,02500PHYSICAL THERAPY 93093,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93093,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93093,A000000,02700,0000,02700SPEECH PATHOLOGY 93093,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93093,A000000,02800,0000,02800ELECTROCARDIOLOGY 93093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93093,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93093,A000000,03200,0000,03200SUPPORT SURFACES 93093,A000000,03400,0000,03400CLINIC 93093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93093,A000000,03500,0000,03500RURAL HEALTH CLINIC 93093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93093,A000000,04400,0000,04400DME RENTED - HHA 93093,A000000,04500,0000,04500DME SOLD - HHA 93093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93093,A000000,04800,0000,04800AMBULANCE 93093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93093,A000000,05000,0000,05000CORF 93093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93093,A000000,05300,0000,05300INTEREST EXPENSE 93093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93093,A000000,05500,0000,05500HOSPICE 93093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93093,A000000,06100,0000,06100NONPAID WORKERS 93093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93093,A000000,06200,0000,06200PATIENTS LAUNDRY 93093,A81000A,00100,0100,Y 93093,A81000B,00100,0300,HOME OFFICE A&G 93093,A81000B,00200,0300,HOME OFFICE CRC COSTS 93093,A81000B,00300,0300,RELATED PARTY RENT 93093,A81000C,00100,0100,A 93093,A81000C,00100,0200,LADONNA ROSS 93093,A81000C,00100,0400,PARK BOULEVARD INC. 93093,A81000C,00100,0600,MANAGEMENT 93093,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93093,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93093,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93093,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93093,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93093,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93093,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93093,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93093,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93093,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93093,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93093,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93093,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93093,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93093,S000000,00100,0200,06/01/2000 93093,S200000,00100,0100,1709 SOUTH MAIN 93093,S200000,00200,0100,BROKEN ARROW 93093,S200000,00200,0200,OK 93093,S200000,00200,0300,74012- 93093,S200000,00300,0100,TULSA 93093,S200000,00400,0100,THE VILLAGE HEALTH CARE CENTER 93093,S200000,00400,0200,375171 93093,S200000,00400,0300,04/15/1994 93093,S200000,00400,0500,P 93093,S200000,01600,0100,Y 93093,S700003,00000,0100,1 93102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93102,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93102,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93102,A000000,00300,0000,00300EMPLOYEE BENEFITS 93102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93102,A000000,00700,0000,00700HOUSEKEEPING 93102,A000000,00800,0000,00800DIETARY 93102,A000000,00801,0000,00801CAFETERIA 93102,A000000,00900,0000,00900NURSING ADMINISTRATION 93102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93102,A000000,01100,0000,01100PHARMACY 93102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93102,A000000,01300,0000,01300SOCIAL SERVICE 93102,A000000,01350,0000,01500ACTIVITIES 93102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93102,A000000,01600,0000,01600SKILLED NURSING FACILITY 93102,A000000,01800,0000,01800NURSING FACILITY 93102,A000000,01900,0000,01900OTHER LONG TERM CARE 93102,A000000,02100,0000,02100RADIOLOGY 93102,A000000,02200,0000,02200LABORATORY 93102,A000000,02300,0000,02300INTRAVENOUS THERAPY 93102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93102,A000000,02500,0000,02500PHYSICAL THERAPY 93102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93102,A000000,02700,0000,02700SPEECH PATHOLOGY 93102,A000000,02800,0000,02800ELECTROCARDIOLOGY 93102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93102,A000000,03050,0000,03300MED EQUIP RENTAL 93102,A000000,03051,0000,03301OTHER ANCILLARY II 93102,A000000,03052,0000,03302OTHER ANCILLARY III 93102,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93102,A000000,03200,0000,03200SUPPORT SURFACES 93102,A000000,03400,0000,03400CLINIC 93102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93102,A000000,03500,0000,03500RURAL HEALTH CLINIC 93102,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93102,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93102,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93102,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93102,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93102,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93102,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93102,A000000,04400,0000,04400DME RENTED - HHA 93102,A000000,04500,0000,04500DME SOLD - HHA 93102,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93102,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93102,A000000,04800,0000,04800AMBULANCE 93102,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93102,A000000,05000,0000,05000CORF 93102,A000000,05010,0000,05010CMHC I 93102,A000000,05020,0000,05020OPT I 93102,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93102,A000000,05300,0000,05300INTEREST EXPENSE 93102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93102,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93102,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93102,A000000,05500,0000,05500HOSPICE 93102,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93102,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93102,A000000,06100,0000,06100NONPAID WORKERS 93102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93102,A000000,06200,0000,06200PATIENTS LAUNDRY 93102,A81000A,00100,0100,Y 93102,A81000B,00100,0300,MANAGEMENT FEES 93102,A81000B,00200,0300,PART B BILLING COST 93102,A81000B,00300,0300,NURSING CONS COST 93102,A81000B,00400,0300,ENVIRON CONS COST 93102,A81000B,00500,0300,DIETARY CONS 93102,A81000C,00100,0100,A 93102,A81000C,00100,0200,GEORGE P WAGNER 93102,A81000C,00100,0400,NAL MNT CORP 93102,A81000C,00100,0600,LTC OPERATION 93102,A81000C,00200,0100,A 93102,A81000C,00200,0200,ALAN D. PARISH 93102,A81000C,00200,0400,NAL MGT CORP 93102,A81000C,00200,0600,LTC OPERATION 93102,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93102,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93102,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93102,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93102,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93102,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93102,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93102,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 93102,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93102,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93102,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93102,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 93102,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 93102,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93102,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 93102,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 93102,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 93102,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93102,S000000,00100,0200,05/22/2000 93102,S200000,00100,0100,5170 VIDALIA 93102,S200000,00200,0100,TULSA 93102,S200000,00200,0200,OK 93102,S200000,00200,0300,74135- 93102,S200000,00300,0100,TULSA 93102,S200000,00400,0100,SOUTHERN HILLS NURSING CENTER 93102,S200000,00400,0200,375172 93102,S200000,00400,0300,03/01/1994 93102,S200000,00400,0500,P 93102,S200000,00400,0600,P 93102,S200000,00600,0200,375173 93102,S200000,00600,0300,02/01/1972 93102,S200000,00600,0600,P 93102,S200000,01600,0100,Y 93102,S200000,04300,0100,Y 93102,S700003,00000,0100,1 93112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93112,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93112,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93112,A000000,00300,0000,00300EMPLOYEE BENEFITS 93112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93112,A000000,00700,0000,00700HOUSEKEEPING 93112,A000000,00800,0000,00800DIETARY 93112,A000000,00801,0000,00801CAFETERIA 93112,A000000,00900,0000,00900NURSING ADMINISTRATION 93112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93112,A000000,01100,0000,01100PHARMACY 93112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93112,A000000,01300,0000,01300SOCIAL SERVICE 93112,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93112,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93112,A000000,01600,0000,01600SKILLED NURSING FACILITY 93112,A000000,01800,0000,01800NURSING FACILITY 93112,A000000,01900,0000,01900OTHER LONG TERM CARE 93112,A000000,02100,0000,02100RADIOLOGY 93112,A000000,02200,0000,02200LABORATORY 93112,A000000,02300,0000,02300INTRAVENOUS THERAPY 93112,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93112,A000000,02500,0000,02500PHYSICAL THERAPY 93112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93112,A000000,02700,0000,02700SPEECH PATHOLOGY 93112,A000000,02800,0000,02800ELECTROCARDIOLOGY 93112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93112,A000000,03050,0000,03300OTHER ANCILLARY 93112,A000000,03051,0000,03301OTHER ANCILLARY II 93112,A000000,03052,0000,03302OTHER ANCILLARY III 93112,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93112,A000000,03200,0000,03200SUPPORT SURFACES 93112,A000000,03400,0000,03400CLINIC 93112,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93112,A000000,03500,0000,03500RURAL HEALTH CLINIC 93112,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93112,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93112,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93112,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93112,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93112,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93112,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93112,A000000,04400,0000,04400DME RENTED - HHA 93112,A000000,04500,0000,04500DME SOLD - HHA 93112,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93112,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93112,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93112,A000000,04800,0000,04800AMBULANCE 93112,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93112,A000000,05000,0000,05000CORF 93112,A000000,05010,0000,05010CMHC I 93112,A000000,05020,0000,05020OPT I 93112,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93112,A000000,05300,0000,05300INTEREST EXPENSE 93112,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93112,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93112,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93112,A000000,05500,0000,05500HOSPICE 93112,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93112,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93112,A000000,06100,0000,06100NONPAID WORKERS 93112,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93112,A000000,06200,0000,06200PATIENTS LAUNDRY 93112,A81000A,00100,0100,Y 93112,A81000B,00100,0300,MED DIR FEES 93112,A81000B,00200,0300,ADMINISTRATIVE COST 93112,A81000C,00100,0100,A 93112,A81000C,00100,0200,DR. CORLEY 93112,A81000C,00100,0400,DR. CORLEY 93112,A81000C,00100,0600,PHYSICIAN 93112,A81000C,00200,0100,A 93112,A81000C,00200,0200,DR.MITCHELL 93112,A81000C,00200,0400,MITCHELL HEALTH 93112,A81000C,00200,0600,NH OWNER 93112,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93112,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93112,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93112,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93112,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93112,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93112,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93112,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93112,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93112,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93112,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93112,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93112,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93112,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93112,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93112,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93112,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93112,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93112,S000000,00100,0200,06/07/2000 93112,S200000,00100,0300,427 93112,S200000,00200,0100,SALLISAW 93112,S200000,00200,0200,OK 93112,S200000,00200,0300,74955- 93112,S200000,00300,0100,SEQUOYAH 93112,S200000,00400,0100,SEQUOYAH HOUSE INC. 93112,S200000,00400,0200,375173 93112,S200000,00400,0300,10/01/1994 93112,S200000,00400,0500,P 93112,S200000,01600,0100,Y 93112,S700003,00000,0100,1 93120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93120,A000000,00300,0000,00300EMPLOYEE BENEFITS 93120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93120,A000000,00700,0000,00700HOUSEKEEPING 93120,A000000,00800,0000,00800DIETARY 93120,A000000,00900,0000,00900NURSING ADMINISTRATION 93120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93120,A000000,01100,0000,01100PHARMACY 93120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93120,A000000,01300,0000,01300SOCIAL SERVICE 93120,A000000,01350,0000,01500OTHER GENERAL SERVICES 93120,A000000,01600,0000,01600SKILLED NURSING FACILITY 93120,A000000,01800,0000,01800NURSING FACILITY 93120,A000000,01900,0000,01900OTHER LONG TERM CARE 93120,A000000,02100,0000,02100RADIOLOGY 93120,A000000,02200,0000,02200LABORATORY 93120,A000000,02300,0000,02300INTRAVENOUS THERAPY 93120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93120,A000000,02500,0000,02500PHYSICAL THERAPY 93120,A000000,02501,0000,02501PHYSICAL THERAPY-PART B 93120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93120,A000000,02601,0000,02601OCCUPATIONAL THERAPY-PART B 93120,A000000,02700,0000,02700SPEECH PATHOLOGY 93120,A000000,02701,0000,02701SPEECH PATHOLOGY-PART B 93120,A000000,02800,0000,02800ELECTROCARDIOLOGY 93120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93120,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93120,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93120,A000000,03200,0000,03200SUPPORT SURFACES 93120,A000000,03400,0000,03400CLINIC 93120,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93120,A000000,03500,0000,03500RURAL HEALTH CLINIC 93120,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93120,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93120,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93120,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93120,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93120,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93120,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93120,A000000,04400,0000,04400DME RENTED - HHA 93120,A000000,04500,0000,04500DME SOLD - HHA 93120,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93120,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93120,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93120,A000000,04800,0000,04800AMBULANCE 93120,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93120,A000000,05000,0000,05000CORF 93120,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93120,A000000,05300,0000,05300INTEREST EXPENSE 93120,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93120,A000000,05500,0000,05500HOSPICE 93120,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93120,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93120,A000000,06100,0000,06100NONPAID WORKERS 93120,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93120,A000000,06200,0000,06200PATIENTS LAUNDRY 93120,A81000A,00100,0100,Y 93120,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 93120,A81000B,00200,0300,HOME OFFICE COST ALLOCATION 93120,A81000C,00100,0100,A 93120,A81000C,00100,0200,LADONNA ROSS 93120,A81000C,00100,0400,PARK BOULEVARD INC. 93120,A81000C,00100,0600,PROPRIETARY 93120,A81000C,00200,0100,B 93120,A81000C,00200,0200,JERRY FRANKS 93120,A81000C,00200,0400,PARK BOULEVARD INC. 93120,A81000C,00200,0600,PROPRIETARY 93120,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93120,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93120,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93120,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93120,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93120,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93120,B100000,00000,0800,00000MEALS SERVED :DIETARY 93120,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93120,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93120,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93120,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93120,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93120,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93120,S000000,00100,0200,06/01/2000 93120,S200000,00100,0100,841 NORTH 38TH STREET 93120,S200000,00200,0100,MUSKOGEE 93120,S200000,00200,0200,OK 93120,S200000,00200,0300,74401- 93120,S200000,00300,0100,MUSKOGEE 93120,S200000,00400,0100,PARK BOULEVARD CARE CENTER 93120,S200000,00400,0200,375174 93120,S200000,00400,0300,04/15/1994 93120,S200000,00400,0500,P 93120,S200000,01600,0100,Y 93120,S700003,00000,0100,1 93135,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93135,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93135,A000000,00300,0000,00300EMPLOYEE BENEFITS 93135,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93135,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93135,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93135,A000000,00700,0000,00700HOUSEKEEPING 93135,A000000,00800,0000,00800DIETARY 93135,A000000,00900,0000,00900NURSING ADMINISTRATION 93135,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93135,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93135,A000000,01300,0000,01300SOCIAL SERVICE 93135,A000000,01350,0000,01500ACTIVITIES 93135,A000000,01600,0000,01600SKILLED NURSING FACILITY 93135,A000000,01800,0000,01800NURSING FACILITY 93135,A000000,02100,0000,02100RADIOLOGY 93135,A000000,02200,0000,02200LABORATORY 93135,A000000,02300,0000,02300INTRAVENOUS THERAPY 93135,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93135,A000000,02500,0000,02500PHYSICAL THERAPY 93135,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93135,A000000,02700,0000,02700SPEECH PATHOLOGY 93135,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93135,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93135,A000000,03200,0000,03200SUPPORT SURFACES 93135,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93135,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93135,A81000A,00100,0100,Y 93135,A81000B,00100,0300,MANAGEMENT FEE 93135,A81000B,00200,0300,RADIOLOGY 93135,A81000B,00300,0300,PHARMACY COSTS 93135,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 93135,A81000B,00500,0300,PHARMACY COSTS 93135,A81000B,00600,0300,PHARMACY COSTS 93135,A81000B,00700,0300,PEN SUPPLY COSTS 93135,A81000B,00800,0300,THERAPY COSTS 93135,A81000B,00900,0300,THERAPY COSTS 93135,A81000B,01000,0300,THERAPY COSTS 93135,A81000B,01100,0300,THERAPY COSTS 93135,A81000B,01200,0300,THERAPY COSTS 93135,A81000B,01300,0300,OXYGEN COSTS 93135,A81000C,00100,0100,F 93135,A81000C,00100,0200,WYNNEWOOD 93135,A81000C,00100,0400,AMITY CARE CORP 93135,A81000C,00100,0600,LTC MGMT CO 93135,A81000C,00200,0100,F 93135,A81000C,00200,0200,WYNNEWOOD 93135,A81000C,00200,0400,US X-RAY 93135,A81000C,00200,0600,X-RAY CO 93135,A81000C,00300,0100,F 93135,A81000C,00300,0200,WYNNEWOOD 93135,A81000C,00300,0400,PHARMACY SOLUTI 93135,A81000C,00300,0600,PHARMACY CO 93135,A81000C,00400,0100,F 93135,A81000C,00400,0200,WYNNEWOOD 93135,A81000C,00400,0400,CARE SOURCE 93135,A81000C,00400,0600,MEDICAL SUPPLY 93135,A81000C,00500,0100,F 93135,A81000C,00500,0200,WYNNEWOOD 93135,A81000C,00500,0400,REHABSOURCE 93135,A81000C,00500,0600,THERAPY CO 93135,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93135,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93135,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93135,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93135,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93135,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93135,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93135,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93135,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93135,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93135,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93135,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93135,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93135,S000000,00100,0200,06/01/2000 93135,S200000,00100,0100,810 E. CALIFORNIA 93135,S200000,00200,0100,WYNNEWOOD 93135,S200000,00200,0200,OK 93135,S200000,00200,0300,73098- 93135,S200000,00300,0100,GARVIN 93135,S200000,00400,0100,WYNNEWOOD CONVALESCENT CTR. 93135,S200000,00400,0200,375176 93135,S200000,00400,0300,06/01/1994 93135,S200000,00400,0500,P 93135,S200000,01500,0100,Y 93135,S200000,02200,0100,Y 93135,S700003,00000,0100,1 93140,S000000,00100,0200,09/12/2001 93141,S000000,00100,0200,09/12/2001 93149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93149,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93149,A000000,00300,0000,00300EMPLOYEE BENEFITS 93149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93149,A000000,00700,0000,00700HOUSEKEEPING 93149,A000000,00800,0000,00800DIETARY 93149,A000000,00900,0000,00900NURSING ADMINISTRATION 93149,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93149,A000000,01300,0000,01300SOCIAL SERVICE 93149,A000000,01350,0000,01500ACTIVITIES 93149,A000000,01600,0000,01600SKILLED NURSING FACILITY 93149,A000000,01800,0000,01800NURSING FACILITY 93149,A000000,02100,0000,02100RADIOLOGY 93149,A000000,02200,0000,02200LABORATORY 93149,A000000,02300,0000,02300INTRAVENOUS THERAPY 93149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93149,A000000,02500,0000,02500PHYSICAL THERAPY 93149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93149,A000000,02700,0000,02700SPEECH PATHOLOGY 93149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93149,A000000,03200,0000,03200SUPPORT SURFACES 93149,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93149,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93149,A81000A,00100,0100,Y 93149,A81000B,00100,0300,MANAGEMENT FEE 93149,A81000B,00200,0300,RADIOLOGY 93149,A81000B,00300,0300,PHARMACY COSTS 93149,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 93149,A81000B,00500,0300,PHARMACY COSTS 93149,A81000B,00600,0300,PHARMACY COSTS 93149,A81000B,00700,0300,PEN SUPPLIES 93149,A81000B,00800,0300,SUPPORT SURFACES 93149,A81000B,00900,0300,OXYGEN THERAPY 93149,A81000B,01000,0300,THERAPY COSTS 93149,A81000B,01100,0300,THERAPY COSTS 93149,A81000B,01200,0300,THERAPY COSTS 93149,A81000B,01300,0300,MEDICAL SUPPLY COSTS 93149,A81000C,00100,0100,F 93149,A81000C,00100,0200,STILLWATER 93149,A81000C,00100,0400,AMITY CARE CORP 93149,A81000C,00100,0600,LTC MGMT CO 93149,A81000C,00200,0100,F 93149,A81000C,00200,0200,STILLWATER 93149,A81000C,00200,0400,U S X-RAY 93149,A81000C,00200,0600,X-RAY CO 93149,A81000C,00300,0100,F 93149,A81000C,00300,0200,STILLWATER 93149,A81000C,00300,0400,PHARMACY SOLUTIONS 93149,A81000C,00300,0600,PHARMACY CO 93149,A81000C,00400,0100,F 93149,A81000C,00400,0200,STILLWATER 93149,A81000C,00400,0400,CARE SOURCE 93149,A81000C,00400,0600,MEDICAL SUPPLY CO 93149,A81000C,00500,0100,F 93149,A81000C,00500,0200,STILLWATER 93149,A81000C,00500,0400,REHABSOURCE 93149,A81000C,00500,0600,THERAPY CO 93149,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93149,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93149,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93149,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93149,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93149,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93149,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93149,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93149,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93149,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93149,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93149,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93149,E10A180,00301,0100,01/11/2000 93149,S000000,00100,0200,12/05/2000 93149,S200000,00100,0100,1215 WEST 10TH 93149,S200000,00200,0100,STILLWATER 93149,S200000,00200,0200,OK 93149,S200000,00200,0300,74074- 93149,S200000,00300,0100,PAYNE 93149,S200000,00300,0200,37 93149,S200000,00300,0300,R 93149,S200000,00400,0100,STILLWATER NURSING HOME 93149,S200000,00400,0200,375178 93149,S200000,00400,0300,08/01/1994 93149,S200000,00400,0500,P 93149,S200000,01500,0100,Y 93149,S200000,02200,0100,Y 93168,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93168,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93168,A000000,00300,0000,00300EMPLOYEE BENEFITS 93168,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93168,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93168,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93168,A000000,00700,0000,00700HOUSEKEEPING 93168,A000000,00800,0000,00800DIETARY 93168,A000000,00801,0000,00801CAFETERIA 93168,A000000,00900,0000,00900NURSING ADMINISTRATION 93168,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93168,A000000,01100,0000,01100PHARMACY 93168,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93168,A000000,01300,0000,01300SOCIAL SERVICE 93168,A000000,01350,0000,01500OTHER GENERAL SERVICES 93168,A000000,01600,0000,01600SKILLED NURSING FACILITY 93168,A000000,01800,0000,01800NURSING FACILITY 93168,A000000,01900,0000,01900OTHER LONG TERM CARE 93168,A000000,02100,0000,02100RADIOLOGY 93168,A000000,02200,0000,02200LABORATORY 93168,A000000,02300,0000,02300INTRAVENOUS THERAPY 93168,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93168,A000000,02500,0000,02500PHYSICAL THERAPY 93168,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93168,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93168,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93168,A000000,02700,0000,02700SPEECH PATHOLOGY 93168,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93168,A000000,02800,0000,02800ELECTROCARDIOLOGY 93168,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93168,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93168,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93168,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93168,A000000,03200,0000,03200SUPPORT SURFACES 93168,A000000,03400,0000,03400CLINIC 93168,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93168,A000000,03500,0000,03500RURAL HEALTH CLINIC 93168,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93168,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93168,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93168,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93168,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93168,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93168,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93168,A000000,04400,0000,04400DME RENTED - HHA 93168,A000000,04500,0000,04500DME SOLD - HHA 93168,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93168,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93168,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93168,A000000,04800,0000,04800AMBULANCE 93168,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93168,A000000,05000,0000,05000CORF 93168,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93168,A000000,05300,0000,05300INTEREST EXPENSE 93168,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93168,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93168,A000000,05500,0000,05500HOSPICE 93168,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93168,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93168,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93168,A000000,06100,0000,06100NONPAID WORKERS 93168,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93168,A000000,06151,0000,06301OTHER NONREIMBURSABLE COST 93168,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 93168,A000000,06153,0000,06303GUEST MEALS 93168,A000000,06200,0000,06200PATIENTS LAUNDRY 93168,A81000A,00100,0100,Y 93168,A81000B,00100,0300,ADMIN & GENERAL RELATED COST 93168,A81000C,00100,0100,B 93168,A81000C,00100,0200,ENID MEMORIAL HOSPITAL 93168,A81000C,00100,0400,D/B/A NW OK OSTEOPATHIC 93168,A81000C,00100,0600,FOUNDATION 93168,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 93168,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 93168,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 93168,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 93168,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 93168,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 93168,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 93168,B100000,00000,0800,00003MEALS SERVED :DIETARY 93168,B100000,00000,0851,00003FTE :CAFETERIA 93168,B100000,00000,0900,00003NURSING HOURS :NURSING ADMINISTRAT 93168,B100000,00000,1000,00003COSTED REQUIS. :CENTRAL SERVICES & 93168,B100000,00000,1100,00003COSTED REQUIS. :PHARMACY 93168,B100000,00000,1200,00003TIME SPENT :MEDICAL RECORDS & LIBR 93168,B100000,00000,1300,00003TIME SPENT :SOCIAL SERVICE 93168,B100000,00000,1350,00003NO STATISTICS :OTHER GENERAL SERVI 93168,E10A180,00302,0100,08/02/1999 93168,S000000,00100,0200,04/27/2000 93168,S200000,00100,0100,410 NORTH 30TH 93168,S200000,00200,0100,ENID 93168,S200000,00200,0200,OK 93168,S200000,00200,0300,73701- 93168,S200000,00300,0100,GARFIELD 93168,S200000,00400,0100,UNIVERSITY NURSING CENTER 93168,S200000,00400,0200,375182 93168,S200000,00400,0300,01/01/1985 93168,S200000,00400,0500,P 93168,S200000,01600,0100,Y 93168,S700003,00000,0100,1 93177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93177,A000000,00300,0000,00300EMPLOYEE BENEFITS 93177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93177,A000000,00700,0000,00700HOUSEKEEPING 93177,A000000,00800,0000,00800DIETARY 93177,A000000,00900,0000,00900NURSING ADMINISTRATION 93177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93177,A000000,01100,0000,01100PHARMACY 93177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93177,A000000,01300,0000,01300SOCIAL SERVICE 93177,A000000,01350,0000,01500ACTIVITIES 93177,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93177,A000000,01600,0000,01600SKILLED NURSING FACILITY 93177,A000000,01800,0000,01800NURSING FACILITY 93177,A000000,01810,0000,01810ICF/MR 93177,A000000,01900,0000,01900OTHER LONG TERM CARE 93177,A000000,02100,0000,02100RADIOLOGY 93177,A000000,02200,0000,02200LABORATORY 93177,A000000,02300,0000,02300INTRAVENOUS THERAPY 93177,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93177,A000000,02500,0000,02500PHYSICAL THERAPY 93177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93177,A000000,02700,0000,02700SPEECH PATHOLOGY 93177,A000000,02800,0000,02800ELECTROCARDIOLOGY 93177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93177,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93177,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93177,A000000,03200,0000,03200SUPPORT SURFACES 93177,A000000,03400,0000,03400CLINIC 93177,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93177,A000000,03500,0000,03500RURAL HEALTH CLINIC 93177,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93177,A000000,04800,0000,04800AMBULANCE 93177,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93177,A000000,05000,0000,05000CORF 93177,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93177,A000000,05300,0000,05300INTEREST EXPENSE 93177,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93177,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93177,A000000,05500,0000,05500HOSPICE 93177,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93177,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93177,A000000,06100,0000,06100NONPAID WORKERS 93177,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93177,A000000,06200,0000,06200PATIENTS LAUNDRY 93177,A81000A,00100,0100,Y 93177,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 93177,A81000C,00100,0100,B 93177,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 93177,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93177,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93177,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93177,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93177,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93177,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93177,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93177,B100000,00000,0800,00000MEALS SERVED :DIETARY 93177,B100000,00000,0950,00000DIRECT SALARIES :NURSING ADMINISTR 93177,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93177,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93177,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93177,S000000,00100,0200,12/01/2000 93177,S200000,00100,0100,1414 NW 122ND STREET 93177,S200000,00200,0100,OKLAHOMA CITY 93177,S200000,00200,0200,OK 93177,S200000,00200,0300,73114- 93177,S200000,00300,0100,OKLAHOMA CITY 93177,S200000,00300,0200,5880 93177,S200000,00300,0300,U 93177,S200000,00400,0100,THE SPRINGS AT CANTERBURY 93177,S200000,00400,0200,375183 93177,S200000,00400,0300,09/01/1994 93177,S200000,00400,0500,P 93177,S200000,01600,0100,Y 93187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93187,A000000,00300,0000,00300EMPLOYEE BENEFITS 93187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93187,A000000,00700,0000,00700HOUSEKEEPING 93187,A000000,00800,0000,00800DIETARY 93187,A000000,00900,0000,00900NURSING ADMINISTRATION 93187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93187,A000000,01300,0000,01300SOCIAL SERVICE 93187,A000000,01350,0000,01500ACTIVITIES 93187,A000000,01600,0000,01600SKILLED NURSING FACILITY 93187,A000000,01800,0000,01800NURSING FACILITY 93187,A000000,02100,0000,02100RADIOLOGY 93187,A000000,02200,0000,02200LABORATORY 93187,A000000,02300,0000,02300INTRAVENOUS THERAPY 93187,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93187,A000000,02500,0000,02500PHYSICAL THERAPY 93187,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93187,A000000,02700,0000,02700SPEECH PATHOLOGY 93187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93187,A000000,03200,0000,03200SUPPORT SURFACES 93187,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93187,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93187,A81000A,00100,0100,Y 93187,A81000B,00100,0300,MANAGEMENT FEE 93187,A81000B,00200,0300,RADIOLOGY 93187,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 93187,A81000B,00400,0300,PEN SUPPLY COSTS 93187,A81000B,00500,0300,THERAPY COSTS 93187,A81000B,00600,0300,THERAPY COSTS 93187,A81000B,00700,0300,THERAPY COSTS 93187,A81000B,00800,0300,THERAPY COSTS 93187,A81000B,00900,0300,THERAPY COSTS 93187,A81000B,01000,0300,OXYGEN COSTS 93187,A81000C,00100,0100,F 93187,A81000C,00100,0200,DAVIS 93187,A81000C,00100,0400,AMITY CARE CORP 93187,A81000C,00100,0600,LTC MGMT CO 93187,A81000C,00200,0100,F 93187,A81000C,00200,0200,DAVIS 93187,A81000C,00200,0400,US X-RAY 93187,A81000C,00200,0600,X-RAY CO 93187,A81000C,00300,0100,F 93187,A81000C,00300,0200,DAVIS 93187,A81000C,00300,0400,PHARMACY SOLUTI 93187,A81000C,00300,0600,PHARMACY CO 93187,A81000C,00400,0100,F 93187,A81000C,00400,0200,DAVIS 93187,A81000C,00400,0400,CARE SOURCE 93187,A81000C,00400,0600,MEDICAL SUPPLY 93187,A81000C,00500,0100,F 93187,A81000C,00500,0200,DAVIS 93187,A81000C,00500,0400,REHABSOURCE 93187,A81000C,00500,0600,THERAPY CO 93187,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93187,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93187,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93187,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93187,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93187,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93187,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93187,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93187,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93187,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93187,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93187,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93187,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93187,S000000,00100,0200,06/01/2000 93187,S200000,00100,0100,1201 N. VINITA AVE. 93187,S200000,00200,0100,TAHLEQUAH 93187,S200000,00200,0200,OK 93187,S200000,00200,0300,74464- 93187,S200000,00300,0100,CHEROKEE 93187,S200000,00400,0100,DAVIS NURSING HOME 93187,S200000,00400,0200,375185 93187,S200000,00400,0300,09/01/1994 93187,S200000,00400,0500,P 93187,S200000,01500,0100,Y 93187,S200000,02200,0100,Y 93187,S700003,00000,0100,1 93192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93192,A000000,00300,0000,00300EMPLOYEE BENEFITS 93192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93192,A000000,00700,0000,00700HOUSEKEEPING 93192,A000000,00800,0000,00800DIETARY 93192,A000000,00900,0000,00900NURSING ADMINISTRATION 93192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93192,A000000,01300,0000,01300SOCIAL SERVICE 93192,A000000,01350,0000,01500ACTIVITIES 93192,A000000,01600,0000,01600SKILLED NURSING FACILITY 93192,A000000,01800,0000,01800NURSING FACILITY 93192,A000000,02100,0000,02100RADIOLOGY 93192,A000000,02200,0000,02200LABORATORY 93192,A000000,02300,0000,02300INTRAVENOUS THERAPY 93192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93192,A000000,02500,0000,02500PHYSICAL THERAPY 93192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93192,A000000,02700,0000,02700SPEECH PATHOLOGY 93192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93192,A000000,03200,0000,03200SUPPORT SURFACES 93192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93192,A81000A,00100,0100,Y 93192,A81000B,00100,0300,MANAGEMENT FEE 93192,A81000B,00200,0300,RADIOLOGY 93192,A81000B,00300,0300,PHARMACY COSTS 93192,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 93192,A81000B,00500,0300,PHARMACY COSTS 93192,A81000B,00600,0300,PHARMACY COSTS 93192,A81000B,00700,0300,PEN SUPPLY COSTS 93192,A81000B,00800,0300,OXYGEN COSTS 93192,A81000B,00900,0300,RESPIRATORY THERAPY COSTS 93192,A81000C,00100,0100,F 93192,A81000C,00100,0200,EVERGREEN 93192,A81000C,00100,0400,AMITY CARE CORP 93192,A81000C,00100,0600,LTC MGMT CO 93192,A81000C,00200,0100,F 93192,A81000C,00200,0200,EVERGREEN 93192,A81000C,00200,0400,US X-RAY 93192,A81000C,00200,0600,X-RAY CO 93192,A81000C,00300,0100,F 93192,A81000C,00300,0200,EVERGREEN 93192,A81000C,00300,0400,PHARMACY SOLUTI 93192,A81000C,00300,0600,PHARMACY 93192,A81000C,00400,0100,F 93192,A81000C,00400,0200,EVERGREEN 93192,A81000C,00400,0400,CARE SOURCE 93192,A81000C,00400,0600,MEDICAL SUPPLY 93192,A81000C,00500,0100,F 93192,A81000C,00500,0200,EVERGREEN 93192,A81000C,00500,0400,REHABSOURCE 93192,A81000C,00500,0600,THERAPY CO 93192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93192,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93192,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93192,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93192,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93192,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93192,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93192,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93192,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93192,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93192,S000000,00100,0200,06/01/2000 93192,S200000,00100,0100,400 SOUTH SCOTT STREET 93192,S200000,00200,0100,DEL CITY 93192,S200000,00200,0200,OK 93192,S200000,00200,0300,73115- 93192,S200000,00300,0100,OKLAHOMA 93192,S200000,00400,0100,EVERGREEN NURSING CENTER 93192,S200000,00400,0200,375186 93192,S200000,00400,0300,09/01/1994 93192,S200000,00400,0500,P 93192,S200000,01500,0100,Y 93192,S200000,02200,0100,Y 93192,S700003,00000,0100,1 93204,S000000,00100,0200,11/30/2000 93211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93211,A000000,00300,0000,00300EMPLOYEE BENEFITS 93211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93211,A000000,00700,0000,00700HOUSEKEEPING 93211,A000000,00800,0000,00800DIETARY 93211,A000000,00900,0000,00900NURSING ADMINISTRATION 93211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93211,A000000,01300,0000,01300SOCIAL SERVICE 93211,A000000,01350,0000,01500ACTIVITIES 93211,A000000,01600,0000,01600SKILLED NURSING FACILITY 93211,A000000,01800,0000,01800NURSING FACILITY 93211,A000000,02100,0000,02100RADIOLOGY 93211,A000000,02200,0000,02200LABORATORY 93211,A000000,02300,0000,02300INTRAVENOUS THERAPY 93211,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93211,A000000,02500,0000,02500PHYSICAL THERAPY 93211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93211,A000000,02700,0000,02700SPEECH PATHOLOGY 93211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93211,A000000,03200,0000,03200SUPPORT SURFACES 93211,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93211,A81000A,00100,0100,Y 93211,A81000B,00100,0300,MANAGEMENT FEE 93211,A81000B,00200,0300,RADIOLOGY 93211,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 93211,A81000B,00400,0300,PHARMACY COSTS 93211,A81000B,00500,0300,PHARMACY COSTS 93211,A81000B,00600,0300,PEN SUPPLIES 93211,A81000B,00700,0300,SUPPORT SURFACES 93211,A81000B,00800,0300,OXYGEN THERAPY 93211,A81000B,00900,0300,THERAPY COSTS 93211,A81000B,01000,0300,THERAPY COSTS 93211,A81000B,01100,0300,THERAPY COSTS 93211,A81000B,01200,0300,MEDICAL SUPPLY COSTS 93211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93211,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93211,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93211,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93211,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93211,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93211,S000000,00100,0200,12/04/2000 93211,S200000,00100,0100,505 EAST WILSHIRE BLVD 93211,S200000,00200,0100,OKLAHOMA CITY 93211,S200000,00200,0200,OK 93211,S200000,00200,0300,73105- 93211,S200000,00300,0100,OKLAHOMA 93211,S200000,00400,0100,WILSHIRE NURSING HOME 93211,S200000,00400,0200,375189 93211,S200000,00400,0300,09/01/1994 93211,S200000,00400,0500,P 93211,S200000,01500,0100,Y 93211,S200000,02200,0100,Y 93211,S700003,00000,0200,2 93218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93218,A000000,00300,0000,00300EMPLOYEE BENEFITS 93218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93218,A000000,00700,0000,00700HOUSEKEEPING 93218,A000000,00800,0000,00800DIETARY 93218,A000000,00900,0000,00900NURSING ADMINISTRATION 93218,A000000,01300,0000,01300SOCIAL SERVICE 93218,A000000,01600,0000,01600SKILLED NURSING FACILITY 93218,A000000,01800,0000,01800NURSING FACILITY 93218,A000000,02100,0000,02100RADIOLOGY 93218,A000000,02200,0000,02200LABORATORY 93218,A000000,02500,0000,02500PHYSICAL THERAPY 93218,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93218,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93218,A000000,02700,0000,02700SPEECH PATHOLOGY 93218,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93218,A000000,05300,0000,05300INTEREST EXPENSE 93218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93218,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93218,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93218,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93218,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93218,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93218,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93218,E10A180,00301,0100,01/13/2000 93218,S000000,00100,0200,11/30/2000 93218,S200000,00100,0100,3500 HASKELL BLVD 93218,S200000,00200,0100,MUSKOGEE 93218,S200000,00200,0200,OK 93218,S200000,00200,0300,74403- 93218,S200000,00300,0100,MUSKOGEE 93218,S200000,00300,0200,9937 93218,S200000,00300,0300,R 93218,S200000,00400,0100,EASTGATE VILLAGE RETIREMENT CENTER 93218,S200000,00400,0200,375190 93218,S200000,00400,0300,09/01/1994 93218,S200000,00400,0500,P 93218,S200000,01600,0100,Y 93226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93226,A000000,00300,0000,00300EMPLOYEE BENEFITS 93226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93226,A000000,00700,0000,00700HOUSEKEEPING 93226,A000000,00800,0000,00800DIETARY 93226,A000000,00900,0000,00900NURSING ADMINISTRATION 93226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93226,A000000,01100,0000,01100PHARMACY 93226,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93226,A000000,01300,0000,01300SOCIAL SERVICE 93226,A000000,01600,0000,01600SKILLED NURSING FACILITY 93226,A000000,01800,0000,01800NURSING FACILITY 93226,A000000,02100,0000,02100RADIOLOGY 93226,A000000,02200,0000,02200LABORATORY 93226,A000000,02300,0000,02300INTRAVENOUS THERAPY 93226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93226,A000000,02500,0000,02500PHYSICAL THERAPY 93226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93226,A000000,02700,0000,02700SPEECH PATHOLOGY 93226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93226,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93226,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93226,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93226,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93226,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93226,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93226,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93226,B100000,00000,0800,00000MEALS SERVED :DIETARY 93226,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93226,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93226,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93226,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93226,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93226,S000000,00100,0200,08/15/2000 93226,S200000,00100,0100,300 W. WASHINGTON 93226,S200000,00200,0100,ANADARKO 93226,S200000,00200,0200,OK 93226,S200000,00200,0300,73005- 93226,S200000,00300,0100,CADDO 93226,S200000,00400,0100,SILVER CREST MANOR 93226,S200000,00400,0200,375191 93226,S200000,00400,0300,01/01/1994 93226,S200000,00400,0500,P 93226,S200000,01600,0100,Y 93226,S700003,00000,0100,1 93235,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93235,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93235,A000000,00300,0000,00300EMPLOYEE BENEFITS 93235,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93235,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93235,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93235,A000000,00700,0000,00700HOUSEKEEPING 93235,A000000,00800,0000,00800DIETARY 93235,A000000,00900,0000,00900NURSING ADMINISTRATION 93235,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93235,A000000,01100,0000,01100PHARMACY 93235,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93235,A000000,01300,0000,01300SOCIAL SERVICE 93235,A000000,01600,0000,01600SKILLED NURSING FACILITY 93235,A000000,01800,0000,01800NURSING FACILITY 93235,A000000,02500,0000,02500PHYSICAL THERAPY 93235,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93235,A000000,02700,0000,02700SPEECH PATHOLOGY 93235,A000000,02800,0000,02800ELECTROCARDIOLOGY 93235,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93235,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93235,A000000,05300,0000,05300INTEREST EXPENSE 93235,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93235,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93235,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93235,A000000,06100,0000,06100NONPAID WORKERS 93235,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93235,A000000,06200,0000,06200PATIENTS LAUNDRY 93235,A81000A,00100,0100,Y 93235,A81000B,00100,0300,ADMINISTRATIVE EXPENSE 93235,A81000B,00200,0300,REPAIRS AND MAINTENANCE 93235,A81000C,00100,0100,A 93235,A81000C,00100,0200,RM&G INC 93235,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93235,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93235,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93235,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93235,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93235,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93235,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93235,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93235,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93235,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93235,B100000,00000,1100,00000COSTED REQUISTION :PHARMACY 93235,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93235,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93235,E10A180,00301,0100,08/16/1999 93235,S000000,00100,0200,06/01/2000 93235,S200000,00100,0100,700 PALM 93235,S200000,00200,0100,DUNCAN 93235,S200000,00200,0200,OK 93235,S200000,00200,0300,73533- 93235,S200000,00300,0100,STEPHENS 93235,S200000,00400,0100,DUNCAN CARE CENTER 93235,S200000,00400,0200,375192 93235,S200000,00400,0300,10/15/1994 93235,S200000,00400,0500,P 93235,S200000,01600,0100,Y 93235,S700003,00000,0100,1 93240,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93240,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93240,A000000,00300,0000,00300EMPLOYEE BENEFITS 93240,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93240,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93240,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93240,A000000,00700,0000,00700HOUSEKEEPING 93240,A000000,00800,0000,00800DIETARY 93240,A000000,00900,0000,00900NURSING ADMINISTRATION 93240,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93240,A000000,01100,0000,01100PHARMACY 93240,A000000,01300,0000,01300SOCIAL SERVICE 93240,A000000,01600,0000,01600SKILLED NURSING FACILITY 93240,A000000,01800,0000,01800NURSING FACILITY 93240,A000000,02100,0000,02100RADIOLOGY 93240,A000000,02200,0000,02200LABORATORY 93240,A000000,02300,0000,02300INTRAVENOUS THERAPY 93240,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93240,A000000,02500,0000,02500PHYSICAL THERAPY 93240,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93240,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93240,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93240,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93240,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93240,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93240,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93240,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93240,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93240,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93240,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93240,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 93240,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 93240,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93240,S000000,00100,0200,05/31/2000 93240,S200000,00100,0100,1100 NORTH ASH STREET 93240,S200000,00100,0300,390 93240,S200000,00200,0100,WAURIKA 93240,S200000,00200,0200,OK 93240,S200000,00200,0300,73573- 93240,S200000,00300,0100,JEFFERSON 93240,S200000,00400,0100,WESTBROOK HEALTHCARE 93240,S200000,00400,0200,375193 93240,S200000,00400,0300,11/15/1994 93240,S200000,00400,0500,P 93240,S200000,01600,0100,Y 93240,S200000,04100,0100,Y 93240,S200000,04200,0100,Y 93240,S700003,00000,0200,2 93249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93249,A000000,00300,0000,00300EMPLOYEE BENEFITS 93249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93249,A000000,00700,0000,00700HOUSEKEEPING 93249,A000000,00800,0000,00800DIETARY 93249,A000000,00900,0000,00900NURSING ADMINISTRATION 93249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93249,A000000,01100,0000,01100PHARMACY 93249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93249,A000000,01300,0000,01300SOCIAL SERVICE 93249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93249,A000000,01600,0000,01600SKILLED NURSING FACILITY 93249,A000000,01800,0000,01800NURSING FACILITY 93249,A000000,02100,0000,02100RADIOLOGY 93249,A000000,02200,0000,02200LABORATORY 93249,A000000,02300,0000,02300INTRAVENOUS THERAPY 93249,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93249,A000000,02500,0000,02500PHYSICAL THERAPY 93249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93249,A000000,02700,0000,02700SPEECH PATHOLOGY 93249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93249,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93249,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93249,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93249,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93249,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93249,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93249,B100000,00000,0800,00000MEALS SERVED :DIETARY 93249,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93249,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93249,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93249,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93249,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93249,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93249,S000000,00100,0200,05/31/2000 93249,S200000,00100,0100,2024 TURNER ROAD 93249,S200000,00200,0100,PONCA CITY 93249,S200000,00200,0200,OK 93249,S200000,00200,0300,74604- 93249,S200000,00300,0100,KAY 93249,S200000,00400,0100,SHAWN MANOR 93249,S200000,00400,0200,375194 93249,S200000,00400,0300,01/16/1995 93249,S200000,00400,0500,P 93249,S200000,01600,0100,Y 93249,S700003,00000,0100,1 93257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93257,A000000,00300,0000,00300EMPLOYEE BENEFITS 93257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93257,A000000,00700,0000,00700HOUSEKEEPING 93257,A000000,00800,0000,00800DIETARY 93257,A000000,00900,0000,00900NURSING ADMINISTRATION 93257,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93257,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93257,A000000,01300,0000,01300SOCIAL SERVICE 93257,A000000,01350,0000,01500ACTIVITIES 93257,A000000,01600,0000,01600SKILLED NURSING FACILITY 93257,A000000,01800,0000,01800NURSING FACILITY 93257,A000000,02100,0000,02100RADIOLOGY 93257,A000000,02200,0000,02200LABORATORY 93257,A000000,02300,0000,02300INTRAVENOUS THERAPY 93257,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93257,A000000,02500,0000,02500PHYSICAL THERAPY 93257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93257,A000000,02700,0000,02700SPEECH PATHOLOGY 93257,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93257,A000000,03200,0000,03200SUPPORT SURFACES 93257,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93257,A81000A,00100,0100,Y 93257,A81000B,00100,0300,MANAGEMENT FEE 93257,A81000B,00200,0300,PHARMACY COSTS 93257,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 93257,A81000B,00400,0300,MEDICAL SUPPLY COSTS 93257,A81000B,00500,0300,PEN SUPPLIES 93257,A81000B,00600,0300,SUPPORT SURFACES 93257,A81000B,00700,0300,OXYGEN THERAPY 93257,A81000B,00800,0300,THERAPY COSTS 93257,A81000B,00900,0300,THERAPY COSTS 93257,A81000B,01000,0300,THERAPY COSTS 93257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93257,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93257,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93257,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93257,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93257,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93257,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93257,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93257,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93257,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93257,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93257,S000000,00100,0200,12/05/2000 93257,S200000,00100,0100,429 EAST DOWNS 93257,S200000,00200,0100,WOODWARD 93257,S200000,00200,0200,OK 93257,S200000,00200,0300,73801- 93257,S200000,00300,0100,WOODWARD 93257,S200000,00400,0100,WOODWARD NURSING CENTER 93257,S200000,00400,0200,375195 93257,S200000,00400,0300,11/01/1994 93257,S200000,00400,0500,P 93257,S200000,01500,0100,Y 93257,S200000,02200,0100,Y 93257,S700003,00000,0200,2 93270,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93270,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93270,A000000,00300,0000,00300EMPLOYEE BENEFITS 93270,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93270,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93270,A000000,00700,0000,00700HOUSEKEEPING 93270,A000000,00800,0000,00800DIETARY 93270,A000000,00900,0000,00900NURSING ADMINISTRATION 93270,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93270,A000000,01100,0000,01100PHARMACY 93270,A000000,01300,0000,01300SOCIAL SERVICE 93270,A000000,01600,0000,01600SKILLED NURSING FACILITY 93270,A000000,01800,0000,01800NURSING FACILITY 93270,A000000,02200,0000,02200LABORATORY 93270,A000000,02300,0000,02300INTRAVENOUS THERAPY 93270,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93270,A000000,02500,0000,02500PHYSICAL THERAPY 93270,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93270,A000000,02700,0000,02700SPEECH PATHOLOGY 93270,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93270,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93270,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93270,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93270,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93270,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93270,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93270,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93270,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93270,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93270,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93270,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93270,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 93270,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93270,S000000,00100,0200,07/07/2000 93270,S200000,00100,0100,ROUTE 1 93270,S200000,00100,0300,54 93270,S200000,00200,0100,HOLDENVILLE 93270,S200000,00200,0200,OK 93270,S200000,00200,0300,74808- 93270,S200000,00300,0100,HUGHES 93270,S200000,00400,0100,HERITAGE VILLAGE 93270,S200000,00400,0200,375199 93270,S200000,00400,0300,01/01/1995 93270,S200000,00400,0500,P 93270,S200000,00600,0200,375199 93270,S200000,00600,0300,01/01/1995 93270,S200000,00600,0600,P 93270,S200000,01500,0100,Y 93270,S200000,02200,0100,Y 93270,S200000,04300,0100,Y 93270,S700003,00000,0100,1 93278,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93278,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93278,A000000,00300,0000,00300EMPLOYEE BENEFITS 93278,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93278,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93278,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93278,A000000,00700,0000,00700HOUSEKEEPING 93278,A000000,00800,0000,00800DIETARY 93278,A000000,00900,0000,00900NURSING ADMINISTRATION 93278,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93278,A000000,01100,0000,01100PHARMACY 93278,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93278,A000000,01300,0000,01300SOCIAL SERVICE 93278,A000000,01350,0000,01500OTHER GENERAL SERVICES 93278,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93278,A000000,01600,0000,01600SKILLED NURSING FACILITY 93278,A000000,01800,0000,01800NURSING FACILITY 93278,A000000,01810,0000,01801ICF/MR 93278,A000000,01900,0000,01900OTHER LONG TERM CARE 93278,A000000,02100,0000,02100RADIOLOGY 93278,A000000,02200,0000,02200LABORATORY 93278,A000000,02300,0000,02300INTRAVENOUS THERAPY 93278,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93278,A000000,02500,0000,02500PHYSICAL THERAPY 93278,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93278,A000000,02700,0000,02700SPEECH PATHOLOGY 93278,A000000,02800,0000,02800ELECTROCARDIOLOGY 93278,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93278,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93278,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93278,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93278,A000000,03200,0000,03200SUPPORT SURFACES 93278,A000000,03400,0000,03400CLINIC 93278,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93278,A000000,03500,0000,03500RURAL HEALTH CLINIC 93278,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93278,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93278,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93278,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93278,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93278,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93278,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93278,A000000,04400,0000,04400DME RENTED - HHA 93278,A000000,04500,0000,04500DME SOLD - HHA 93278,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93278,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93278,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93278,A000000,04800,0000,04800AMBULANCE 93278,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93278,A000000,05000,0000,05000CORF 93278,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93278,A000000,05300,0000,05300INTEREST EXPENSE 93278,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93278,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93278,A000000,05500,0000,05500HOSPICE 93278,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93278,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93278,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93278,A000000,06100,0000,06100NONPAID WORKERS 93278,A000000,06150,0000,06300STAFFING SALARIES 93278,A000000,06200,0000,06200PATIENTS LAUNDRY 93278,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93278,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93278,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93278,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93278,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93278,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93278,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93278,B100000,00000,0800,00000MEALS SERVED :DIETARY 93278,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93278,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93278,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 93278,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93278,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93278,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93278,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93278,S000000,00100,0200,06/16/2000 93278,S200000,00100,0300,299 93278,S200000,00200,0100,IDABEL 93278,S200000,00200,0200,OK 93278,S200000,00200,0300,74745- 93278,S200000,00300,0100,MCCURTAIN 93278,S200000,00400,0100,OAK GROVE MANOR 93278,S200000,00400,0200,375201 93278,S200000,00400,0300,01/23/1995 93278,S200000,00400,0500,P 93278,S200000,01600,0100,Y 93278,S700003,00000,0100,1 93283,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93283,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93283,A000000,00300,0000,00300EMPLOYEE BENEFITS 93283,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93283,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93283,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93283,A000000,00700,0000,00700HOUSEKEEPING 93283,A000000,00800,0000,00800DIETARY 93283,A000000,00900,0000,00900NURSING ADMINISTRATION 93283,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93283,A000000,01300,0000,01300SOCIAL SERVICE 93283,A000000,01600,0000,01600SKILLED NURSING FACILITY 93283,A000000,01800,0000,01800NURSING FACILITY 93283,A000000,01900,0000,01900OTHER LONG TERM CARE 93283,A000000,02100,0000,02100RADIOLOGY 93283,A000000,02200,0000,02200LABORATORY 93283,A000000,02300,0000,02300INTRAVENOUS THERAPY 93283,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93283,A000000,02500,0000,02500PHYSICAL THERAPY 93283,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93283,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93283,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93283,A000000,02700,0000,02700SPEECH PATHOLOGY 93283,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93283,A000000,02800,0000,02800ELECTROCARDIOLOGY 93283,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93283,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93283,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93283,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93283,A000000,03200,0000,03200SUPPORT SURFACES 93283,A000000,03400,0000,03400CLINIC 93283,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93283,A000000,03500,0000,03500RURAL HEALTH CLINIC 93283,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93283,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93283,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93283,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93283,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93283,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93283,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93283,A000000,04400,0000,04400DME RENTED - HHA 93283,A000000,04500,0000,04500DME SOLD - HHA 93283,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93283,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93283,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93283,A000000,04800,0000,04800AMBULANCE 93283,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93283,A000000,05000,0000,05000CORF 93283,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93283,A000000,05300,0000,05300INTEREST EXPENSE 93283,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93283,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93283,A000000,05500,0000,05500HOSPICE 93283,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93283,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93283,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93283,A000000,06100,0000,06100NONPAID WORKERS 93283,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93283,A000000,06200,0000,06200PATIENTS LAUNDRY 93283,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93283,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93283,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93283,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93283,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93283,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93283,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93283,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93283,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93283,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93283,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93283,S000000,00100,0200,06/05/2000 93283,S200000,00100,0100,703 LEE AVE 93283,S200000,00200,0100,RYAN 93283,S200000,00200,0200,OK 93283,S200000,00200,0300,73565- 93283,S200000,00300,0100,JEFFERSON 93283,S200000,00400,0100,RYAN NURSING HOME 93283,S200000,00400,0200,375203 93283,S200000,00400,0300,02/16/1995 93283,S200000,00400,0500,P 93283,S200000,01600,0100,Y 93283,S700003,00000,0100,1 93290,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93290,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93290,A000000,00300,0000,00300EMPLOYEE BENEFITS 93290,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93290,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93290,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93290,A000000,00700,0000,00700HOUSEKEEPING 93290,A000000,00800,0000,00800DIETARY 93290,A000000,00900,0000,00900NURSING ADMINISTRATION 93290,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93290,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93290,A000000,01300,0000,01300SOCIAL SERVICE 93290,A000000,01350,0000,01500ACTIVITIES 93290,A000000,01600,0000,01600SKILLED NURSING FACILITY 93290,A000000,01800,0000,01800NURSING FACILITY 93290,A000000,02100,0000,02100RADIOLOGY 93290,A000000,02200,0000,02200LABORATORY 93290,A000000,02300,0000,02300INTRAVENOUS THERAPY 93290,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93290,A000000,02500,0000,02500PHYSICAL THERAPY 93290,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93290,A000000,02700,0000,02700SPEECH PATHOLOGY 93290,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93290,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93290,A000000,03200,0000,03200SUPPORT SURFACES 93290,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93290,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93290,A81000A,00100,0100,Y 93290,A81000B,00100,0300,MANAGEMENT FEE 93290,A81000B,00200,0300,RADIOLOGY 93290,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 93290,A81000B,00400,0300,PEN SUPPLY COSTS 93290,A81000B,00500,0300,THERAPY COSTS 93290,A81000B,00600,0300,THERAPY COSTS 93290,A81000B,00700,0300,THERAPY COSTS 93290,A81000B,00800,0300,THERAPY COSTS 93290,A81000B,00900,0300,THERAPY COSTS 93290,A81000B,01000,0300,OXYGEN COSTS 93290,A81000C,00100,0100,F 93290,A81000C,00100,0200,WASHITA VALLEY 93290,A81000C,00100,0400,AMITY CARE CORP 93290,A81000C,00100,0600,LTC MGMT CO 93290,A81000C,00200,0100,F 93290,A81000C,00200,0200,WASHITA VALLEY 93290,A81000C,00200,0400,US X-RAY 93290,A81000C,00200,0600,X-RAY CO 93290,A81000C,00300,0100,F 93290,A81000C,00300,0200,WASHITA VALLEY 93290,A81000C,00300,0400,PHARMACY SOLUTI 93290,A81000C,00300,0600,PHARMACY CO 93290,A81000C,00400,0100,F 93290,A81000C,00400,0200,WASHITA VALLEY 93290,A81000C,00400,0400,CARE SOURCE 93290,A81000C,00400,0600,MEDICAL SUPPLY 93290,A81000C,00500,0100,F 93290,A81000C,00500,0200,WASHITA VALLEY 93290,A81000C,00500,0400,REHABSOURCE 93290,A81000C,00500,0600,THERAPY CO 93290,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93290,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93290,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93290,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93290,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93290,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93290,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93290,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93290,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93290,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93290,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93290,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93290,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93290,S000000,00100,0200,06/02/2000 93290,S200000,00100,0100,ROUTE 4 BOX 3 93290,S200000,00200,0100,LINDSAY 93290,S200000,00200,0200,OK 93290,S200000,00200,0300,73052- 93290,S200000,00300,0100,GARVIN 93290,S200000,00400,0100,WASHITA VALLEY NURSING CENTER 93290,S200000,00400,0200,375206 93290,S200000,00400,0300,02/01/1995 93290,S200000,00400,0500,P 93290,S200000,01500,0100,Y 93290,S200000,02200,0100,Y 93290,S700003,00000,0100,1 93297,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93297,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93297,A000000,00300,0000,00300EMPLOYEE BENEFITS 93297,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93297,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93297,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93297,A000000,00700,0000,00700HOUSEKEEPING 93297,A000000,00800,0000,00800DIETARY 93297,A000000,00900,0000,00900NURSING ADMINISTRATION 93297,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93297,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93297,A000000,01300,0000,01300SOCIAL SERVICE 93297,A000000,01350,0000,01500ACTIVITIES 93297,A000000,01600,0000,01600SKILLED NURSING FACILITY 93297,A000000,01800,0000,01800NURSING FACILITY 93297,A000000,02100,0000,02100RADIOLOGY 93297,A000000,02200,0000,02200LABORATORY 93297,A000000,02300,0000,02300INTRAVENOUS THERAPY 93297,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93297,A000000,02500,0000,02500PHYSICAL THERAPY 93297,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93297,A000000,02700,0000,02700SPEECH PATHOLOGY 93297,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93297,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93297,A000000,03200,0000,03200SUPPORT SURFACES 93297,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93297,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93297,A81000A,00100,0100,Y 93297,A81000B,00100,0300,MANAGEMENT FEE 93297,A81000B,00200,0300,PHARMACY COSTS 93297,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 93297,A81000B,00400,0300,PHARMACY COSTS 93297,A81000B,00500,0300,PEN SUPPLY COSTS 93297,A81000B,00600,0300,THERAPY COSTS 93297,A81000B,00700,0300,THERAPY COSTS 93297,A81000B,00800,0300,THERAPY COSTS 93297,A81000B,00900,0300,THERAPY COSTS 93297,A81000B,01000,0300,OXYGEN COSTS 93297,A81000B,01100,0300,THERAPY COSTS 93297,A81000C,00100,0100,F 93297,A81000C,00100,0200,MANGUM 93297,A81000C,00100,0400,AMITY CARE CORP 93297,A81000C,00100,0600,LTC MGMT CO 93297,A81000C,00200,0100,F 93297,A81000C,00200,0200,MANGUM 93297,A81000C,00200,0400,PHARMACY SOLUTI 93297,A81000C,00200,0600,PHARMACY CO 93297,A81000C,00300,0100,F 93297,A81000C,00300,0200,MANGUM 93297,A81000C,00300,0400,CARE SOURCE 93297,A81000C,00300,0600,MEDICAL SUPPLY 93297,A81000C,00400,0100,F 93297,A81000C,00400,0200,MANGUM 93297,A81000C,00400,0400,REHABSOURCE 93297,A81000C,00400,0600,THERAPY CO 93297,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93297,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93297,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93297,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93297,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93297,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93297,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93297,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93297,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93297,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93297,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93297,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93297,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93297,S000000,00100,0200,06/02/2000 93297,S200000,00100,0100,320 CAREY 93297,S200000,00100,0300,550 93297,S200000,00200,0100,MANGUM 93297,S200000,00200,0200,OK 93297,S200000,00200,0300,73554- 93297,S200000,00300,0100,GREER 93297,S200000,00400,0100,MANGUM NURSING CENTER 93297,S200000,00400,0200,375207 93297,S200000,00400,0300,02/01/1995 93297,S200000,00400,0500,P 93297,S200000,01500,0100,Y 93297,S200000,02200,0100,Y 93297,S700003,00000,0100,1 93306,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93306,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93306,A000000,00300,0000,00300EMPLOYEE BENEFITS 93306,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93306,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93306,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93306,A000000,00700,0000,00700HOUSEKEEPING 93306,A000000,00800,0000,00800DIETARY 93306,A000000,00900,0000,00900NURSING ADMINISTRATION 93306,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93306,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93306,A000000,01300,0000,01300SOCIAL SERVICE 93306,A000000,01350,0000,01500ACTIVITIES 93306,A000000,01600,0000,01600SKILLED NURSING FACILITY 93306,A000000,01800,0000,01800NURSING FACILITY 93306,A000000,02100,0000,02100RADIOLOGY 93306,A000000,02200,0000,02200LABORATORY 93306,A000000,02300,0000,02300INTRAVENOUS THERAPY 93306,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93306,A000000,02500,0000,02500PHYSICAL THERAPY 93306,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93306,A000000,02700,0000,02700SPEECH PATHOLOGY 93306,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93306,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93306,A000000,03200,0000,03200SUPPORT SURFACES 93306,A000000,04800,0000,04800AMBULANCE 93306,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93306,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93306,A81000A,00100,0100,Y 93306,A81000B,00100,0300,MANAGEMENT FEE 93306,A81000B,00200,0300,RADIOLOGY 93306,A81000B,00300,0300,PHARMACY COSTS 93306,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 93306,A81000B,00500,0300,PHARMACY COSTS 93306,A81000B,00600,0300,PHARMACY COSTS 93306,A81000B,00700,0300,PEN SUPPLIES 93306,A81000B,00800,0300,SUPPORT SURFACES 93306,A81000B,00900,0300,OXYGEN THERAPY 93306,A81000B,01000,0300,THERAPY COSTS 93306,A81000B,01100,0300,THERAPY COSTS 93306,A81000B,01200,0300,THERAPY COSTS 93306,A81000B,01300,0300,IV THERAPY COSTS 93306,A81000B,01400,0300,MEDICAL SUPPLY COSTS 93306,A81000B,01500,0300,INTEREST EXPENSE 93306,A81000C,00100,0100,F 93306,A81000C,00100,0200,OKLAHOMA CITY 93306,A81000C,00100,0400,AMITY CARE CORP 93306,A81000C,00100,0600,LTC MGMT CO 93306,A81000C,00200,0100,F 93306,A81000C,00200,0200,OKLAHOMA CITY 93306,A81000C,00200,0400,U S X-RAY 93306,A81000C,00200,0600,X-RAY CO 93306,A81000C,00300,0100,F 93306,A81000C,00300,0200,OKLAHOMA CITY 93306,A81000C,00300,0400,PHARMACY SOLUTIONS 93306,A81000C,00300,0600,PHARMACY CO 93306,A81000C,00400,0100,F 93306,A81000C,00400,0200,OKLAHOMA CITY 93306,A81000C,00400,0400,CARE SOURCE 93306,A81000C,00400,0600,MEDICAL SUPPLY CO 93306,A81000C,00500,0100,F 93306,A81000C,00500,0200,OKLAHOMA CITY 93306,A81000C,00500,0400,REHABSOURCE 93306,A81000C,00500,0600,THERAPY CO 93306,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93306,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93306,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93306,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93306,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93306,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93306,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93306,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93306,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93306,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93306,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93306,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93306,S000000,00100,0200,12/05/2000 93306,S200000,00100,0100,3233 NW 10TH ST. 93306,S200000,00200,0100,OKLAHOMA CITY 93306,S200000,00200,0200,OK 93306,S200000,00200,0300,73107- 93306,S200000,00300,0100,OKLAHOMA 93306,S200000,00300,0200,5880 93306,S200000,00300,0300,U 93306,S200000,00400,0100,CONVALESCENT CTR OF OKLAHOMA CITY 93306,S200000,00400,0200,375209 93306,S200000,00400,0300,02/01/1995 93306,S200000,00400,0500,P 93306,S200000,01500,0100,Y 93306,S200000,02200,0100,Y 93314,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93314,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93314,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93314,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93314,A000000,00300,0000,00300EMPLOYEE BENEFITS 93314,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93314,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93314,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93314,A000000,00700,0000,00700HOUSEKEEPING 93314,A000000,00800,0000,00800DIETARY 93314,A000000,00801,0000,00801CAFETERIA 93314,A000000,00900,0000,00900NURSING ADMINISTRATION 93314,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93314,A000000,01100,0000,01100PHARMACY 93314,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93314,A000000,01300,0000,01300SOCIAL SERVICE 93314,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93314,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93314,A000000,01600,0000,01600SKILLED NURSING FACILITY 93314,A000000,01800,0000,01800NURSING FACILITY 93314,A000000,01900,0000,01900OTHER LONG TERM CARE 93314,A000000,02100,0000,02100RADIOLOGY 93314,A000000,02200,0000,02200LABORATORY 93314,A000000,02300,0000,02300INTRAVENOUS THERAPY 93314,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93314,A000000,02500,0000,02500PHYSICAL THERAPY 93314,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93314,A000000,02700,0000,02700SPEECH PATHOLOGY 93314,A000000,02800,0000,02800ELECTROCARDIOLOGY 93314,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93314,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93314,A000000,03050,0000,03300OTHER ANCILLARY 93314,A000000,03051,0000,03301OTHER ANCILLARY II 93314,A000000,03052,0000,03302OTHER ANCILLARY III 93314,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93314,A000000,03200,0000,03200SUPPORT SURFACES 93314,A000000,03400,0000,03400CLINIC 93314,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93314,A000000,03500,0000,03500RURAL HEALTH CLINIC 93314,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93314,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93314,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93314,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93314,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93314,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93314,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93314,A000000,04400,0000,04400DME RENTED - HHA 93314,A000000,04500,0000,04500DME SOLD - HHA 93314,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93314,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93314,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93314,A000000,04800,0000,04800AMBULANCE 93314,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93314,A000000,05000,0000,05000CORF 93314,A000000,05010,0000,05010CMHC I 93314,A000000,05020,0000,05020OPT I 93314,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93314,A000000,05300,0000,05300INTEREST EXPENSE 93314,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93314,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93314,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93314,A000000,05500,0000,05500HOSPICE 93314,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93314,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93314,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93314,A000000,06100,0000,06100NONPAID WORKERS 93314,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93314,A000000,06200,0000,06200PATIENTS LAUNDRY 93314,A81000A,00100,0100,Y 93314,A81000B,00100,0300,HOME OFFICE ALLOC 93314,A81000B,00200,0300,HOME OFFICE ALLOC 93314,A81000C,00100,0100,A 93314,A81000C,00100,0200,LTC SERVICES 93314,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93314,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93314,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93314,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93314,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93314,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93314,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93314,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93314,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93314,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93314,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93314,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93314,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93314,S000000,00100,0200,06/28/2000 93314,S200000,00100,0100,1001 HERITAGE ROAD 93314,S200000,00200,0100,HUGO 93314,S200000,00200,0200,OK 93314,S200000,00200,0300,74743- 93314,S200000,00300,0100,CHOCTAW 93314,S200000,00300,0200,037 93314,S200000,00300,0300,R 93314,S200000,00400,0100,HUGO MANOR 93314,S200000,00400,0200,375213 93314,S200000,00400,0300,05/01/1995 93314,S200000,00400,0500,P 93314,S200000,01600,0100,Y 93321,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93321,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93321,A000000,00300,0000,00300EMPLOYEE BENEFITS 93321,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93321,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93321,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93321,A000000,00700,0000,00700HOUSEKEEPING 93321,A000000,00800,0000,00800DIETARY 93321,A000000,00900,0000,00900NURSING ADMINISTRATION 93321,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93321,A000000,01100,0000,01100PHARMACY 93321,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93321,A000000,01300,0000,01300SOCIAL SERVICE 93321,A000000,01350,0000,01500OTHER GENERAL SERVICES 93321,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93321,A000000,01600,0000,01600SKILLED NURSING FACILITY 93321,A000000,01800,0000,01800NURSING FACILITY 93321,A000000,01810,0000,01801ICF/MR 93321,A000000,01900,0000,01900OTHER LONG TERM CARE 93321,A000000,02100,0000,02100RADIOLOGY 93321,A000000,02200,0000,02200LABORATORY 93321,A000000,02300,0000,02300INTRAVENOUS THERAPY 93321,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93321,A000000,02500,0000,02500PHYSICAL THERAPY 93321,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93321,A000000,02700,0000,02700SPEECH PATHOLOGY 93321,A000000,02800,0000,02800ELECTROCARDIOLOGY 93321,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93321,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93321,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93321,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93321,A000000,03200,0000,03200SUPPORT SURFACES 93321,A000000,03400,0000,03400CLINIC 93321,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93321,A000000,03500,0000,03500RURAL HEALTH CLINIC 93321,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93321,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93321,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93321,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93321,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93321,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93321,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93321,A000000,04400,0000,04400DME RENTED - HHA 93321,A000000,04500,0000,04500DME SOLD - HHA 93321,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93321,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93321,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93321,A000000,04800,0000,04800AMBULANCE 93321,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93321,A000000,05000,0000,05000CORF 93321,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93321,A000000,05300,0000,05300INTEREST EXPENSE 93321,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93321,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93321,A000000,05500,0000,05500HOSPICE 93321,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93321,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93321,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93321,A000000,06100,0000,06100NONPAID WORKERS 93321,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93321,A000000,06200,0000,06200PATIENTS LAUNDRY 93321,A81000A,00100,0100,Y 93321,A81000B,00100,0300,RENT - BUILDING 93321,A81000C,00100,0100,A 93321,A81000C,00100,0200,HOLLY CHAPPELL 93321,A81000C,00100,0400,CCG&K 93321,A81000C,00100,0600,REAL ESTATE RENTAL 93321,A81000C,00200,0100,A 93321,A81000C,00200,0200,DR. BURDGE F. GREEN 93321,A81000C,00200,0400,CCG&K 93321,A81000C,00200,0600,REAL ESTATE RENTAL 93321,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93321,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93321,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93321,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93321,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93321,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93321,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93321,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93321,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93321,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93321,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93321,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93321,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93321,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93321,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93321,S000000,00100,0200,06/01/2000 93321,S200000,00100,0100,308 WILLIAMS STREET 93321,S200000,00200,0100,WESTVILLE 93321,S200000,00200,0200,OK 93321,S200000,00200,0300,74965- 93321,S200000,00300,0100,ADAIR 93321,S200000,00400,0100,WESTVILLE NURSING HOME 93321,S200000,00400,0200,375214 93321,S200000,00400,0300,04/01/1995 93321,S200000,00400,0500,P 93321,S200000,01600,0100,Y 93321,S700003,00000,0100,1 93329,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93329,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93329,A000000,00300,0000,00300EMPLOYEE BENEFITS 93329,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93329,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93329,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93329,A000000,00700,0000,00700HOUSEKEEPING 93329,A000000,00800,0000,00800DIETARY 93329,A000000,00900,0000,00900NURSING ADMINISTRATION 93329,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93329,A000000,01100,0000,01100PHARMACY 93329,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93329,A000000,01300,0000,01300SOCIAL SERVICE 93329,A000000,01350,0000,01500OTHER GENERAL SERVICES 93329,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93329,A000000,01600,0000,01600SKILLED NURSING FACILITY 93329,A000000,01800,0000,01800NURSING FACILITY 93329,A000000,01810,0000,01801ICF/MR 93329,A000000,01900,0000,01900OTHER LONG TERM CARE 93329,A000000,02100,0000,02100RADIOLOGY 93329,A000000,02200,0000,02200LABORATORY 93329,A000000,02300,0000,02300INTRAVENOUS THERAPY 93329,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93329,A000000,02500,0000,02500PHYSICAL THERAPY 93329,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93329,A000000,02700,0000,02700SPEECH PATHOLOGY 93329,A000000,02800,0000,02800ELECTROCARDIOLOGY 93329,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93329,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93329,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93329,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93329,A000000,03200,0000,03200SUPPORT SURFACES 93329,A000000,03400,0000,03400CLINIC 93329,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93329,A000000,03500,0000,03500RURAL HEALTH CLINIC 93329,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93329,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93329,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93329,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93329,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93329,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93329,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93329,A000000,04400,0000,04400DME RENTED - HHA 93329,A000000,04500,0000,04500DME SOLD - HHA 93329,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93329,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93329,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93329,A000000,04800,0000,04800AMBULANCE 93329,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93329,A000000,05000,0000,05000CORF 93329,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93329,A000000,05300,0000,05300INTEREST EXPENSE 93329,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93329,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93329,A000000,05500,0000,05500HOSPICE 93329,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93329,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93329,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93329,A000000,06100,0000,06100NONPAID WORKERS 93329,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93329,A000000,06200,0000,06200PATIENTS LAUNDRY 93329,A81000A,00100,0100,Y 93329,A81000B,00100,0300,HOME OFFICE COST 93329,A81000C,00100,0100,A 93329,A81000C,00100,0200,ROCKY LEMON 93329,A81000C,00100,0400,CRESCENT HEALTH SERVICES 93329,A81000C,00100,0600,NURSING HOME MANAGEMENT 93329,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93329,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93329,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93329,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93329,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93329,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93329,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93329,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93329,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93329,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 93329,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 93329,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93329,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93329,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93329,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93329,S000000,00100,0200,06/01/2000 93329,S200000,00100,0100,1215 SOUTH WESTERN 93329,S200000,00200,0100,STILLWATER 93329,S200000,00200,0200,OK 93329,S200000,00200,0300,74074- 93329,S200000,00300,0100,PAYNE 93329,S200000,00400,0100,WESTHAVEN NURSING HOME 93329,S200000,00400,0200,375217 93329,S200000,00400,0300,04/01/1995 93329,S200000,00400,0500,P 93329,S200000,01600,0100,Y 93352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93352,A000000,00300,0000,00300EMPLOYEE BENEFITS 93352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93352,A000000,00700,0000,00700HOUSEKEEPING 93352,A000000,00800,0000,00800DIETARY 93352,A000000,00900,0000,00900NURSING ADMINISTRATION 93352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93352,A000000,01100,0000,01100PHARMACY 93352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93352,A000000,01300,0000,01300SOCIAL SERVICE 93352,A000000,01600,0000,01600SKILLED NURSING FACILITY 93352,A000000,01800,0000,01800NURSING FACILITY 93352,A000000,02100,0000,02100RADIOLOGY 93352,A000000,02200,0000,02200LABORATORY 93352,A000000,02500,0000,02500PHYSICAL THERAPY 93352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93352,A000000,02700,0000,02700SPEECH PATHOLOGY 93352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93352,A000000,03200,0000,03200SUPPORT SURFACES 93352,A000000,05300,0000,05300INTEREST EXPENSE 93352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93352,A81000A,00100,0100,Y 93352,A81000B,00100,0300,ADMINISTRATIVE EXPENSE 93352,A81000B,00200,0300,REPAIRS AND MAINTENANCE 93352,A81000C,00100,0100,A 93352,A81000C,00100,0200,RM&G INC. 93352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93352,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93352,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93352,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93352,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93352,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93352,B100000,00000,1000,00000REQUIS. :CENTRAL SERVICES & SUPPL 93352,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93352,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93352,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93352,S000000,00100,0200,06/01/2000 93352,S200000,00100,0100,600 24TH AVE SW 93352,S200000,00200,0100,NORMAN 93352,S200000,00200,0200,OK 93352,S200000,00200,0300,73069- 93352,S200000,00300,0100,CLEVELAND 93352,S200000,00400,0100,CEDAR CREEK LIVING CENTER 93352,S200000,00400,0200,375222 93352,S200000,00400,0300,04/01/1995 93352,S200000,00400,0500,P 93352,S200000,01600,0100,Y 93352,S700003,00000,0100,1 93361,S000000,00100,0200,04/12/2000 93381,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93381,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93381,A000000,00300,0000,00300EMPLOYEE BENEFITS 93381,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93381,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93381,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93381,A000000,00700,0000,00700HOUSEKEEPING 93381,A000000,00800,0000,00800DIETARY 93381,A000000,00900,0000,00900NURSING ADMINISTRATION 93381,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93381,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93381,A000000,01300,0000,01300SOCIAL SERVICE 93381,A000000,01600,0000,01600SKILLED NURSING FACILITY 93381,A000000,01800,0000,01800NURSING FACILITY 93381,A000000,02100,0000,02100RADIOLOGY 93381,A000000,02200,0000,02200LABORATORY 93381,A000000,02300,0000,02300INTRAVENOUS THERAPY 93381,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93381,A000000,02500,0000,02500PHYSICAL THERAPY 93381,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93381,A000000,02700,0000,02700SPEECH PATHOLOGY 93381,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93381,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93381,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93381,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93381,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93381,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93381,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93381,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93381,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93381,B100000,00000,0800,00000MEALS SERVED :DIETARY 93381,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93381,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93381,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93381,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93381,S000000,00100,0200,06/05/2000 93381,S200000,00100,0100,2730 N. MUSTANG ROAD 93381,S200000,00200,0100,YUKON 93381,S200000,00200,0200,OK 93381,S200000,00200,0300,73099- 93381,S200000,00300,0100,CANADIAN 93381,S200000,00400,0100,RANCHWOOD 93381,S200000,00400,0200,375229 93381,S200000,00400,0300,06/19/1995 93381,S200000,00400,0500,P 93381,S200000,01600,0100,Y 93389,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93389,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93389,A000000,00300,0000,00300EMPLOYEE BENEFITS 93389,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93389,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93389,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93389,A000000,00700,0000,00700HOUSEKEEPING 93389,A000000,00800,0000,00800DIETARY 93389,A000000,00900,0000,00900NURSING ADMINISTRATION 93389,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93389,A000000,01100,0000,01100PHARMACY 93389,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93389,A000000,01300,0000,01300SOCIAL SERVICE 93389,A000000,01350,0000,01500OTHER GENERAL SERVICES 93389,A000000,01600,0000,01600SKILLED NURSING FACILITY 93389,A000000,01800,0000,01800NURSING FACILITY 93389,A000000,01900,0000,01900OTHER LONG TERM CARE 93389,A000000,02100,0000,02100RADIOLOGY 93389,A000000,02200,0000,02200LABORATORY 93389,A000000,02300,0000,02300INTRAVENOUS THERAPY 93389,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93389,A000000,02500,0000,02500PHYSICAL THERAPY 93389,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93389,A000000,02700,0000,02700SPEECH PATHOLOGY 93389,A000000,02800,0000,02800ELECTROCARDIOLOGY 93389,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93389,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93389,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93389,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93389,A000000,03200,0000,03200SUPPORT SURFACES 93389,A000000,03400,0000,03400CLINIC 93389,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93389,A000000,03500,0000,03500RURAL HEALTH CLINIC 93389,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93389,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93389,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93389,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93389,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93389,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93389,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93389,A000000,04400,0000,04400DME RENTED - HHA 93389,A000000,04500,0000,04500DME SOLD - HHA 93389,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93389,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93389,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93389,A000000,04800,0000,04800AMBULANCE 93389,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93389,A000000,05000,0000,05000CORF 93389,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93389,A000000,05300,0000,05300INTEREST EXPENSE 93389,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93389,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93389,A000000,05500,0000,05500HOSPICE 93389,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93389,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93389,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93389,A000000,06100,0000,06100NONPAID WORKERS 93389,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93389,A000000,06200,0000,06200PATIENTS LAUNDRY 93389,A81000A,00100,0100,Y 93389,A81000B,00100,0300,ADMINISTRATIVE & GENERAL H.O. ALLOC. 93389,A81000C,00100,0100,B 93389,A81000C,00100,0200,COOPER NURSING HOME CORP 93389,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93389,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93389,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93389,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93389,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93389,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93389,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93389,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93389,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93389,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93389,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93389,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93389,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93389,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93389,S000000,00100,0200,06/05/2000 93389,S200000,00100,0100,2100 TOWNSEND DRIVE 93389,S200000,00200,0100,EL RENO 93389,S200000,00200,0200,OK 93389,S200000,00200,0300,73036- 93389,S200000,00300,0100,CANADIAN 93389,S200000,00400,0100,SUNSET ESTATES NURSING CENTER 93389,S200000,00400,0200,375231 93389,S200000,00400,0300,07/10/1995 93389,S200000,00400,0500,P 93389,S200000,01600,0100,Y 93389,S700003,00000,0100,1 93402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93402,A000000,00300,0000,00300EMPLOYEE BENEFITS 93402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93402,A000000,00700,0000,00700HOUSEKEEPING 93402,A000000,00800,0000,00800DIETARY 93402,A000000,00900,0000,00900NURSING ADMINISTRATION 93402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93402,A000000,01100,0000,01100PHARMACY 93402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93402,A000000,01300,0000,01300SOCIAL SERVICE 93402,A000000,01350,0000,01500OTHER GENERAL SERVICES 93402,A000000,01600,0000,01600SKILLED NURSING FACILITY 93402,A000000,01800,0000,01800NURSING FACILITY 93402,A000000,01900,0000,01900OTHER LONG TERM CARE 93402,A000000,02100,0000,02100RADIOLOGY 93402,A000000,02200,0000,02200LABORATORY 93402,A000000,02300,0000,02300INTRAVENOUS THERAPY 93402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93402,A000000,02500,0000,02500PHYSICAL THERAPY 93402,A000000,02501,0000,02501PHYSICAL THERAPY - PART B 93402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93402,A000000,02601,0000,02601OCCUPATIONAL THERAPY - PART B 93402,A000000,02700,0000,02700SPEECH PATHOLOGY 93402,A000000,02701,0000,02701SPEECH PATHOLOGY - PART B 93402,A000000,02800,0000,02800ELECTROCARDIOLOGY 93402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93402,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93402,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93402,A000000,03200,0000,03200SUPPORT SURFACES 93402,A000000,03400,0000,03400CLINIC 93402,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93402,A000000,03500,0000,03500RURAL HEALTH CLINIC 93402,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93402,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93402,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93402,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93402,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93402,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93402,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93402,A000000,04400,0000,04400DME RENTED - HHA 93402,A000000,04500,0000,04500DME SOLD - HHA 93402,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93402,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93402,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93402,A000000,04800,0000,04800AMBULANCE 93402,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93402,A000000,05000,0000,05000CORF 93402,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93402,A000000,05300,0000,05300INTEREST EXPENSE 93402,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93402,A000000,05500,0000,05500HOSPICE 93402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93402,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93402,A000000,06100,0000,06100NONPAID WORKERS 93402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93402,A000000,06200,0000,06200PATIENTS LAUNDRY 93402,A81000A,00100,0100,Y 93402,A81000B,00100,0300,HOME OFFICE A&G ALLOCATION 93402,A81000B,00200,0300,HOME OFFICE CRC COST ALLOCATION 93402,A81000B,00300,0300,RELATED PARTY RENT 93402,A81000C,00100,0100,A 93402,A81000C,00100,0200,JERRY FRANKS 93402,A81000C,00100,0400,PARK BOULEVARD INC. 93402,A81000C,00100,0600,MANAGEMENT 93402,A81000C,00200,0100,B 93402,A81000C,00200,0200,LADONNA ROSS 93402,A81000C,00200,0400,PARK BOULEVARD INC. 93402,A81000C,00200,0600,MANAGEMENT 93402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93402,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93402,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93402,B100000,00000,0800,00000MEALS SERVED :DIETARY 93402,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93402,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93402,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93402,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93402,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93402,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93402,S000000,00100,0200,06/01/2000 93402,S200000,00100,0100,1306 EAST COLLEGE 93402,S200000,00200,0100,BROKEN ARROW 93402,S200000,00200,0200,OK 93402,S200000,00200,0300,74012- 93402,S200000,00300,0100,TULSA 93402,S200000,00400,0100,CEDARCREST CARE CENTER 93402,S200000,00400,0200,375233 93402,S200000,00400,0300,07/01/1995 93402,S200000,00400,0500,P 93402,S200000,01600,0100,Y 93402,S700003,00000,0400,4 93412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93412,A000000,00300,0000,00300EMPLOYEE BENEFITS 93412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93412,A000000,00700,0000,00700HOUSEKEEPING 93412,A000000,00800,0000,00800DIETARY 93412,A000000,00900,0000,00900NURSING ADMINISTRATION 93412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93412,A000000,01100,0000,01100PHARMACY 93412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93412,A000000,01300,0000,01300SOCIAL SERVICE 93412,A000000,01350,0000,01500OTHER GENERAL SERVICES 93412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93412,A000000,01600,0000,01600SKILLED NURSING FACILITY 93412,A000000,01800,0000,01800NURSING FACILITY 93412,A000000,01810,0000,01801ICF/MR 93412,A000000,01900,0000,01900OTHER LONG TERM CARE 93412,A000000,02100,0000,02100RADIOLOGY 93412,A000000,02200,0000,02200LABORATORY 93412,A000000,02300,0000,02300INTRAVENOUS THERAPY 93412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93412,A000000,02500,0000,02500PHYSICAL THERAPY 93412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93412,A000000,02700,0000,02700SPEECH PATHOLOGY 93412,A000000,02800,0000,02800ELECTROCARDIOLOGY 93412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93412,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93412,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93412,A000000,03200,0000,03200SUPPORT SURFACES 93412,A000000,03400,0000,03400CLINIC 93412,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93412,A000000,03500,0000,03500RURAL HEALTH CLINIC 93412,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93412,A000000,04800,0000,04800AMBULANCE 93412,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93412,A000000,05000,0000,05000CORF 93412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93412,A000000,05300,0000,05300INTEREST EXPENSE 93412,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93412,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93412,A000000,05500,0000,05500HOSPICE 93412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93412,A000000,06100,0000,06100NONPAID WORKERS 93412,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93412,A000000,06200,0000,06200PATIENTS LAUNDRY 93412,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93412,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93412,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93412,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93412,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93412,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93412,B100000,00000,0800,00000MEALS SERVED :DIETARY 93412,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93412,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93412,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93412,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93412,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93412,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93412,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93412,S000000,00100,0200,06/23/2000 93412,S200000,00100,0100,808 NORTHWEST FIRST ST 93412,S200000,00200,0100,IDABEL 93412,S200000,00200,0200,OK 93412,S200000,00200,0300,74745- 93412,S200000,00300,0100,MCCURTAIN 93412,S200000,00400,0100,HILL NURSING HOME 93412,S200000,00400,0200,375234 93412,S200000,00400,0300,07/01/1995 93412,S200000,00400,0500,P 93412,S200000,01600,0100,Y 93412,S700003,00000,0400,4 93420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93420,A000000,00300,0000,00300EMPLOYEE BENEFITS 93420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93420,A000000,00700,0000,00700HOUSEKEEPING 93420,A000000,00800,0000,00800DIETARY 93420,A000000,00900,0000,00900NURSING ADMINISTRATION 93420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93420,A000000,01100,0000,01100PHARMACY 93420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93420,A000000,01300,0000,01300SOCIAL SERVICE 93420,A000000,01350,0000,01500OTHER GENERAL SERVICES 93420,A000000,01600,0000,01600SKILLED NURSING FACILITY 93420,A000000,01800,0000,01800NURSING FACILITY 93420,A000000,01900,0000,01900OTHER LONG TERM CARE 93420,A000000,02100,0000,02100RADIOLOGY 93420,A000000,02200,0000,02200LABORATORY 93420,A000000,02300,0000,02300INTRAVENOUS THERAPY 93420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93420,A000000,02500,0000,02500PHYSICAL THERAPY 93420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93420,A000000,02700,0000,02700SPEECH PATHOLOGY 93420,A000000,02800,0000,02800ELECTROCARDIOLOGY 93420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93420,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93420,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93420,A000000,03200,0000,03200SUPPORT SURFACES 93420,A000000,03400,0000,03400CLINIC 93420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93420,A000000,03500,0000,03500RURAL HEALTH CLINIC 93420,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93420,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93420,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93420,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93420,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93420,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93420,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93420,A000000,04400,0000,04400DME RENTED - HHA 93420,A000000,04500,0000,04500DME SOLD - HHA 93420,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93420,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93420,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93420,A000000,04800,0000,04800AMBULANCE 93420,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93420,A000000,05000,0000,05000CORF 93420,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93420,A000000,05300,0000,05300INTEREST EXPENSE 93420,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93420,A000000,05500,0000,05500HOSPICE 93420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93420,A000000,06100,0000,06100NONPAID WORKERS 93420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93420,A000000,06200,0000,06200PATIENTS LAUNDRY 93420,A81000A,00100,0100,Y 93420,A81000B,00100,0300,PLANT OPERATION MAINT. & H.O. ALLOC 93420,A81000B,00200,0300,PT-RED RIVER REHAB 93420,A81000B,00300,0300,OT-RED RIVER REHAB 93420,A81000B,00400,0300,ST-RED RIVER REHAB 93420,A81000C,00100,0100,B 93420,A81000C,00100,0200,RED RIVER MANAGEMENT 93420,A81000C,00200,0100,A 93420,A81000C,00200,0200,RED RIVER REHABILITATION 93420,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93420,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93420,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93420,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93420,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93420,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93420,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93420,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93420,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93420,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93420,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93420,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93420,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93420,S000000,00100,0200,05/26/2000 93420,S200000,00100,0100,HIGHWAY 99 SOUTH 93420,S200000,00200,0100,MADILL 93420,S200000,00200,0200,OK 93420,S200000,00200,0300,73446- 93420,S200000,00300,0100,MARSHALL 93420,S200000,00400,0100,BROOKSIDE MANOR 93420,S200000,00400,0200,375235 93420,S200000,00400,0300,09/01/1995 93420,S200000,00400,0500,P 93420,S200000,01600,0100,Y 93420,S700003,00000,0400,4 93426,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93426,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93426,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93426,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93426,A000000,00300,0000,00300EMPLOYEE BENEFITS 93426,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93426,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93426,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93426,A000000,00700,0000,00700HOUSEKEEPING 93426,A000000,00800,0000,00800DIETARY 93426,A000000,00801,0000,00801CAFETERIA 93426,A000000,00900,0000,00900NURSING ADMINISTRATION 93426,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93426,A000000,01100,0000,01100PHARMACY 93426,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93426,A000000,01300,0000,01300SOCIAL SERVICE 93426,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93426,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93426,A000000,01600,0000,01600SKILLED NURSING FACILITY 93426,A000000,01800,0000,01800NURSING FACILITY 93426,A000000,01900,0000,01900OTHER LONG TERM CARE 93426,A000000,02100,0000,02100RADIOLOGY 93426,A000000,02200,0000,02200LABORATORY 93426,A000000,02300,0000,02300INTRAVENOUS THERAPY 93426,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93426,A000000,02500,0000,02500PHYSICAL THERAPY 93426,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93426,A000000,02700,0000,02700SPEECH PATHOLOGY 93426,A000000,02800,0000,02800ELECTROCARDIOLOGY 93426,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93426,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93426,A000000,03050,0000,03300OTHER ANCILLARY 93426,A000000,03051,0000,03301OTHER ANCILLARY II 93426,A000000,03052,0000,03302OTHER ANCILLARY III 93426,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93426,A000000,03200,0000,03200SUPPORT SURFACES 93426,A000000,03400,0000,03400CLINIC 93426,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93426,A000000,03500,0000,03500RURAL HEALTH CLINIC 93426,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93426,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93426,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93426,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93426,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93426,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93426,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93426,A000000,04400,0000,04400DME RENTED - HHA 93426,A000000,04500,0000,04500DME SOLD - HHA 93426,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93426,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93426,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93426,A000000,04800,0000,04800AMBULANCE 93426,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93426,A000000,05000,0000,05000CORF 93426,A000000,05010,0000,05010CMHC I 93426,A000000,05020,0000,05020OPT I 93426,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93426,A000000,05300,0000,05300INTEREST EXPENSE 93426,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93426,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93426,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93426,A000000,05500,0000,05500HOSPICE 93426,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93426,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93426,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93426,A000000,06100,0000,06100NONPAID WORKERS 93426,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93426,A000000,06200,0000,06200PATIENTS LAUNDRY 93426,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93426,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93426,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93426,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93426,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93426,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93426,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93426,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93426,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93426,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93426,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93426,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93426,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93426,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93426,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93426,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93426,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93426,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93426,S000000,00100,0200,06/28/2000 93426,S200000,00100,0300,778 93426,S200000,00200,0100,MAYSVILLE 93426,S200000,00200,0200,OK 93426,S200000,00200,0300,73057- 93426,S200000,00300,0100,GARVIN 93426,S200000,00400,0100,MCCASKILL NURSING HOME 93426,S200000,00400,0200,375236 93426,S200000,00400,0300,08/21/1995 93426,S200000,00400,0500,P 93426,S200000,01600,0100,Y 93426,S700003,00000,0400,4 93434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93434,A000000,00300,0000,00300EMPLOYEE BENEFITS 93434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93434,A000000,00700,0000,00700HOUSEKEEPING 93434,A000000,00800,0000,00800DIETARY 93434,A000000,00900,0000,00900NURSING ADMINISTRATION 93434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93434,A000000,01100,0000,01100PHARMACY 93434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93434,A000000,01300,0000,01300SOCIAL SERVICE 93434,A000000,01350,0000,01500OTHER GENERAL SERVICES 93434,A000000,01600,0000,01600SKILLED NURSING FACILITY 93434,A000000,01800,0000,01800NURSING FACILITY 93434,A000000,02100,0000,02100RADIOLOGY 93434,A000000,02200,0000,02200LABORATORY 93434,A000000,02300,0000,02300INTRAVENOUS THERAPY 93434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93434,A000000,02500,0000,02500PHYSICAL THERAPY 93434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93434,A000000,02700,0000,02700SPEECH PATHOLOGY 93434,A000000,02800,0000,02800ELECTROCARDIOLOGY 93434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93434,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93434,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93434,A000000,03101,0000,03101INTEREST INCOME 93434,A000000,03102,0000,03102INTEREST INCOME 93434,A000000,03103,0000,03103DENTAL CARE - TITLE XIX ONLY 93434,A000000,03104,0000,03104MISCELLANEOUS INCOME 93434,A000000,03200,0000,03200SUPPORT SURFACES 93434,A000000,03400,0000,03400CLINIC 93434,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93434,A000000,03500,0000,03500RURAL HEALTH CLINIC 93434,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93434,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93434,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93434,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93434,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93434,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93434,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93434,A000000,04400,0000,04400DME RENTED - HHA 93434,A000000,04500,0000,04500DME SOLD - HHA 93434,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93434,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93434,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93434,A000000,04800,0000,04800AMBULANCE 93434,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93434,A000000,05000,0000,05000CORF 93434,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93434,A000000,05300,0000,05300INTEREST EXPENSE 93434,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93434,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93434,A000000,05500,0000,05500HOSPICE 93434,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93434,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93434,A000000,06100,0000,06100NONPAID WORKERS 93434,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93434,A000000,06200,0000,06200PATIENTS LAUNDRY 93434,A81000A,00100,0100,Y 93434,A81000B,00100,0300,PLANT OPERATION MAINT & H.O. ALLOC 93434,A81000B,00200,0300,PT-RED RIVER REHAB 93434,A81000B,00300,0300,OT-RED RIVER REHAB 93434,A81000B,00400,0300,ST-RED RIVER REHAB 93434,A81000C,00100,0100,B 93434,A81000C,00100,0200,RED RIVER MANAGEMENT 93434,A81000C,00200,0100,A 93434,A81000C,00200,0200,RED RIVER REHABILITATION 93434,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93434,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93434,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93434,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93434,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93434,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93434,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93434,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93434,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93434,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93434,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93434,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93434,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 93434,S000000,00100,0200,05/26/2000 93434,S200000,00100,0100,607 SOUTH BYRD STREET 93434,S200000,00200,0100,TISHOMINGO 93434,S200000,00200,0200,OK 93434,S200000,00200,0300,73460- 93434,S200000,00300,0100,JOHNSTON 93434,S200000,00400,0100,LAWNVIEW NURSING CENTER 93434,S200000,00400,0200,375237 93434,S200000,00400,0300,08/01/1995 93434,S200000,00400,0500,P 93434,S200000,01600,0100,Y 93434,S700003,00000,0100,1 93442,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93442,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93442,A000000,00300,0000,00300EMPLOYEE BENEFITS 93442,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93442,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93442,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93442,A000000,00700,0000,00700HOUSEKEEPING 93442,A000000,00800,0000,00800DIETARY 93442,A000000,00900,0000,00900NURSING ADMINISTRATION 93442,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93442,A000000,01100,0000,01100PHARMACY 93442,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93442,A000000,01300,0000,01300SOCIAL SERVICE 93442,A000000,01350,0000,01500OTHER GENERAL SERVICES 93442,A000000,01600,0000,01600SKILLED NURSING FACILITY 93442,A000000,01800,0000,01800NURSING FACILITY 93442,A000000,01900,0000,01900OTHER LONG TERM CARE 93442,A000000,02100,0000,02100RADIOLOGY 93442,A000000,02200,0000,02200LABORATORY 93442,A000000,02300,0000,02300INTRAVENOUS THERAPY 93442,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93442,A000000,02500,0000,02500PHYSICAL THERAPY 93442,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93442,A000000,02700,0000,02700SPEECH PATHOLOGY 93442,A000000,02800,0000,02800ELECTROCARDIOLOGY 93442,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93442,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93442,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93442,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93442,A000000,03200,0000,03200SUPPORT SURFACES 93442,A000000,03400,0000,03400CLINIC 93442,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93442,A000000,03500,0000,03500RURAL HEALTH CLINIC 93442,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93442,A000000,04751,0000,05101OTHER REIMBURSABLE COST CENTERS 93442,A000000,04800,0000,04800AMBULANCE 93442,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93442,A000000,05300,0000,05300INTEREST EXPENSE 93442,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93442,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93442,A000000,05500,0000,05500HOSPICE 93442,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93442,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93442,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93442,A000000,06100,0000,06100NONPAID WORKERS 93442,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93442,A000000,06200,0000,06200PATIENTS LAUNDRY 93442,A81000A,00100,0100,Y 93442,A81000B,00100,0300,PLANT OPERATION MAINT & H.O. ALLOC 93442,A81000B,00200,0300,PT-RED RIVER REHAB 93442,A81000B,00300,0300,OT-RED RIVER REHAB 93442,A81000B,00400,0300,ST-RED RIVER REHAB 93442,A81000C,00100,0100,B 93442,A81000C,00100,0200,RED RIVER MANAGEMENT 93442,A81000C,00200,0100,A 93442,A81000C,00200,0200,RED RIVER REHABILITATION 93442,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93442,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93442,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93442,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93442,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93442,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93442,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93442,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93442,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93442,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93442,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93442,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93442,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93442,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93442,S000000,00100,0200,05/26/2000 93442,S200000,00100,0100,1212 FOUR SEASONS DRIVE 93442,S200000,00200,0100,DURANT 93442,S200000,00200,0200,OK 93442,S200000,00200,0300,74701- 93442,S200000,00300,0100,BRYAN 93442,S200000,00400,0100,FOUR SEASONS NURSING CENTER 93442,S200000,00400,0200,375238 93442,S200000,00400,0300,09/01/1995 93442,S200000,00400,0500,P 93442,S200000,01600,0100,Y 93442,S700003,00000,0400,4 93451,S000000,00100,0200,05/31/2000 93456,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93456,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93456,A000000,00300,0000,00300EMPLOYEE BENEFITS 93456,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93456,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93456,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93456,A000000,00700,0000,00700HOUSEKEEPING 93456,A000000,00800,0000,00800DIETARY 93456,A000000,00900,0000,00900NURSING ADMINISTRATION 93456,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93456,A000000,01100,0000,01100PHARMACY 93456,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93456,A000000,01300,0000,01300SOCIAL SERVICE 93456,A000000,01350,0000,01500OTHER GENERAL SERVICES 93456,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93456,A000000,01600,0000,01600SKILLED NURSING FACILITY 93456,A000000,01800,0000,01800NURSING FACILITY 93456,A000000,01810,0000,01801ICF/MR 93456,A000000,01900,0000,01900OTHER LONG TERM CARE 93456,A000000,02100,0000,02100RADIOLOGY 93456,A000000,02200,0000,02200LABORATORY 93456,A000000,02300,0000,02300INTRAVENOUS THERAPY 93456,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93456,A000000,02500,0000,02500PHYSICAL THERAPY 93456,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93456,A000000,02700,0000,02700SPEECH PATHOLOGY 93456,A000000,02800,0000,02800ELECTROCARDIOLOGY 93456,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93456,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93456,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93456,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93456,A000000,03200,0000,03200SUPPORT SURFACES 93456,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93456,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93456,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93456,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93456,A000000,06100,0000,06100NONPAID WORKERS 93456,A000000,06200,0000,06200PATIENTS LAUNDRY 93456,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 93456,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 93456,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 93456,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93456,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 93456,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 93456,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 93456,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 93456,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 93456,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 93456,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 93456,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 93456,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 93456,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 93456,B100000,00000,1400,00000 ASSIGNED TIME :INTERNS & RESIDENTS 93456,S000000,00100,0200,06/01/2000 93456,S200000,00100,0100,801 N. 103RD EAST AVENUE 93456,S200000,00100,0300,958 93456,S200000,00200,0100,CATOOSA 93456,S200000,00200,0200,OK 93456,S200000,00200,0300,74015- 93456,S200000,00300,0100,TULSA 93456,S200000,00400,0100,ROLLING HILLS HEALTH CARE CENTER 93456,S200000,00400,0200,375241 93456,S200000,00400,0300,07/01/1995 93456,S200000,00400,0500,P 93456,S200000,01600,0100,Y 93456,S700003,00000,0400,4 93462,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93462,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93462,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93462,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93462,A000000,00300,0000,00300EMPLOYEE BENEFITS 93462,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93462,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93462,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93462,A000000,00700,0000,00700HOUSEKEEPING 93462,A000000,00800,0000,00800DIETARY 93462,A000000,00801,0000,00801CAFETERIA 93462,A000000,00900,0000,00900NURSING ADMINISTRATION 93462,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93462,A000000,01100,0000,01100PHARMACY 93462,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93462,A000000,01300,0000,01300SOCIAL SERVICE 93462,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93462,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93462,A000000,01600,0000,01600SKILLED NURSING FACILITY 93462,A000000,01800,0000,01800NURSING FACILITY 93462,A000000,01900,0000,01900OTHER LONG TERM CARE 93462,A000000,02100,0000,02100RADIOLOGY 93462,A000000,02200,0000,02200LABORATORY 93462,A000000,02300,0000,02300INTRAVENOUS THERAPY 93462,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93462,A000000,02500,0000,02500PHYSICAL THERAPY 93462,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93462,A000000,02700,0000,02700SPEECH PATHOLOGY 93462,A000000,02800,0000,02800ELECTROCARDIOLOGY 93462,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93462,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93462,A000000,03050,0000,03300OTHER ANCILLARY 93462,A000000,03051,0000,03301OTHER ANCILLARY II 93462,A000000,03052,0000,03302OTHER ANCILLARY III 93462,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93462,A000000,03200,0000,03200SUPPORT SURFACES 93462,A000000,03400,0000,03400CLINIC 93462,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93462,A000000,03500,0000,03500RURAL HEALTH CLINIC 93462,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93462,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93462,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93462,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93462,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93462,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93462,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93462,A000000,04400,0000,04400DME RENTED - HHA 93462,A000000,04500,0000,04500DME SOLD - HHA 93462,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93462,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93462,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93462,A000000,04800,0000,04800AMBULANCE 93462,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93462,A000000,05000,0000,05000CORF 93462,A000000,05010,0000,05010CMHC I 93462,A000000,05020,0000,05020OPT I 93462,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93462,A000000,05300,0000,05300INTEREST EXPENSE 93462,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93462,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93462,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93462,A000000,05500,0000,05500HOSPICE 93462,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93462,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93462,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93462,A000000,06100,0000,06100NONPAID WORKERS 93462,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93462,A000000,06200,0000,06200PATIENTS LAUNDRY 93462,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93462,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93462,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93462,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93462,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93462,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93462,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93462,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93462,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93462,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93462,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93462,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93462,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93462,E10A180,00501,0300,08/04/2000 93462,E10A180,00550,0100,08/04/2000 93462,S000000,00100,0200,07/07/2000 93462,S200000,00100,0100,101 SOUTH MAIN 93462,S200000,00200,0100,HOBART 93462,S200000,00200,0200,OK 93462,S200000,00200,0300,73651- 93462,S200000,00300,0100,KIOWA 93462,S200000,00300,0200,037 93462,S200000,00300,0300,R 93462,S200000,00400,0100,B&K NURSING CENTER 93462,S200000,00400,0200,375242 93462,S200000,00400,0300,09/21/1995 93462,S200000,00400,0500,P 93462,S200000,01600,0100,Y 93471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93471,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93471,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93471,A000000,00300,0000,00300EMPLOYEE BENEFITS 93471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93471,A000000,00700,0000,00700HOUSEKEEPING 93471,A000000,00800,0000,00800DIETARY 93471,A000000,00801,0000,00801CAFETERIA 93471,A000000,00900,0000,00900NURSING ADMINISTRATION 93471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93471,A000000,01100,0000,01100PHARMACY 93471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93471,A000000,01300,0000,01300SOCIAL SERVICE 93471,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93471,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93471,A000000,01600,0000,01600SKILLED NURSING FACILITY 93471,A000000,01800,0000,01800NURSING FACILITY 93471,A000000,01900,0000,01900OTHER LONG TERM CARE 93471,A000000,02100,0000,02100RADIOLOGY 93471,A000000,02200,0000,02200LABORATORY 93471,A000000,02300,0000,02300INTRAVENOUS THERAPY 93471,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93471,A000000,02500,0000,02500PHYSICAL THERAPY 93471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93471,A000000,02700,0000,02700SPEECH PATHOLOGY 93471,A000000,02800,0000,02800ELECTROCARDIOLOGY 93471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93471,A000000,03050,0000,03300OTHER ANCILLARY 93471,A000000,03051,0000,03301OTHER ANCILLARY II 93471,A000000,03052,0000,03302OTHER ANCILLARY III 93471,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93471,A000000,03200,0000,03200SUPPORT SURFACES 93471,A000000,03400,0000,03400CLINIC 93471,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93471,A000000,03500,0000,03500RURAL HEALTH CLINIC 93471,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93471,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93471,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93471,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93471,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93471,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93471,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93471,A000000,04400,0000,04400DME RENTED - HHA 93471,A000000,04500,0000,04500DME SOLD - HHA 93471,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93471,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93471,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93471,A000000,04800,0000,04800AMBULANCE 93471,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93471,A000000,05000,0000,05000CORF 93471,A000000,05010,0000,05010CMHC I 93471,A000000,05020,0000,05020OPT I 93471,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93471,A000000,05300,0000,05300INTEREST EXPENSE 93471,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93471,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93471,A000000,05500,0000,05500HOSPICE 93471,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93471,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93471,A000000,06100,0000,06100NONPAID WORKERS 93471,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93471,A000000,06200,0000,06200PATIENTS LAUNDRY 93471,A81000A,00100,0100,Y 93471,A81000B,00100,0300,HOME OFFICE ALLOC 93471,A81000B,00200,0300,HOME OFFICE ALLOC 93471,A81000C,00100,0100,A 93471,A81000C,00100,0200,LTC SERVICES 93471,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93471,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93471,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93471,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93471,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93471,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93471,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93471,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93471,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93471,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93471,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93471,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93471,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93471,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93471,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93471,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93471,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93471,S000000,00100,0200,06/23/2000 93471,S200000,00100,0100,815 N.COUNTRY CLUB 93471,S200000,00200,0100,ADA 93471,S200000,00200,0200,OK 93471,S200000,00200,0300,74820- 93471,S200000,00300,0100,PONTOTOC 93471,S200000,00400,0100,JAN FRANCES CARE CENTER 93471,S200000,00400,0200,375243 93471,S200000,00400,0300,10/01/1995 93471,S200000,00400,0500,P 93471,S200000,01600,0100,Y 93471,S700003,00000,0400,4 93482,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93482,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93482,A000000,00300,0000,00300EMPLOYEE BENEFITS 93482,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93482,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93482,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93482,A000000,00700,0000,00700HOUSEKEEPING 93482,A000000,00800,0000,00800DIETARY 93482,A000000,00900,0000,00900NURSING ADMINISTRATION 93482,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93482,A000000,01100,0000,01100PHARMACY 93482,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93482,A000000,01300,0000,01300SOCIAL SERVICE 93482,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93482,A000000,01600,0000,01600SKILLED NURSING FACILITY 93482,A000000,01800,0000,01800NURSING FACILITY 93482,A000000,01900,0000,01900OTHER LONG TERM CARE 93482,A000000,02100,0000,02100RADIOLOGY 93482,A000000,02200,0000,02200LABORATORY 93482,A000000,02300,0000,02300INTRAVENOUS THERAPY 93482,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93482,A000000,02500,0000,02500PHYSICAL THERAPY 93482,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93482,A000000,02700,0000,02700SPEECH PATHOLOGY 93482,A000000,02800,0000,02800ELECTROCARDIOLOGY 93482,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93482,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93482,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93482,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93482,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93482,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93482,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93482,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93482,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93482,B100000,00000,0800,00000MEALS SERVED :DIETARY 93482,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93482,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93482,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93482,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93482,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93482,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93482,S000000,00100,0200,06/05/2000 93482,S200000,00100,0100,1501 N 8TH 93482,S200000,00100,0300,99 93482,S200000,00200,0100,NOBLE 93482,S200000,00200,0200,OK 93482,S200000,00200,0300,73068- 93482,S200000,00300,0100,CLEVELAND 93482,S200000,00400,0100,NOBLE HEALTH CARE CENTER 93482,S200000,00400,0200,375245 93482,S200000,00400,0300,11/01/1995 93482,S200000,00400,0500,P 93482,S700003,00000,0400,4 93492,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93492,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93492,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93492,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93492,A000000,00300,0000,00300EMPLOYEE BENEFITS 93492,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93492,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93492,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93492,A000000,00700,0000,00700HOUSEKEEPING 93492,A000000,00800,0000,00800DIETARY 93492,A000000,00801,0000,00801CAFETERIA 93492,A000000,00900,0000,00900NURSING ADMINISTRATION 93492,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93492,A000000,01100,0000,01100PHARMACY 93492,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93492,A000000,01300,0000,01300SOCIAL SERVICE 93492,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93492,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93492,A000000,01600,0000,01600SKILLED NURSING FACILITY 93492,A000000,01800,0000,01800NURSING FACILITY 93492,A000000,01900,0000,01900OTHER LONG TERM CARE 93492,A000000,02100,0000,02100RADIOLOGY 93492,A000000,02200,0000,02200LABORATORY 93492,A000000,02300,0000,02300INTRAVENOUS THERAPY 93492,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93492,A000000,02500,0000,02500PHYSICAL THERAPY 93492,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93492,A000000,02700,0000,02700SPEECH PATHOLOGY 93492,A000000,02800,0000,02800ELECTROCARDIOLOGY 93492,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93492,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93492,A000000,03050,0000,03300OTHER ANCILLARY 93492,A000000,03051,0000,03301OTHER ANCILLARY II 93492,A000000,03052,0000,03302OTHER ANCILLARY III 93492,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93492,A000000,03200,0000,03200SUPPORT SURFACES 93492,A000000,03400,0000,03400CLINIC 93492,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93492,A000000,03500,0000,03500RURAL HEALTH CLINIC 93492,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93492,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93492,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93492,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93492,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93492,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93492,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93492,A000000,04400,0000,04400DME RENTED - HHA 93492,A000000,04500,0000,04500DME SOLD - HHA 93492,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93492,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93492,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93492,A000000,04800,0000,04800AMBULANCE 93492,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93492,A000000,05000,0000,05000CORF 93492,A000000,05010,0000,05010CMHC I 93492,A000000,05020,0000,05020OPT I 93492,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93492,A000000,05300,0000,05300INTEREST EXPENSE 93492,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93492,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93492,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93492,A000000,05500,0000,05500HOSPICE 93492,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93492,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93492,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93492,A000000,06100,0000,06100NONPAID WORKERS 93492,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93492,A000000,06200,0000,06200PATIENTS LAUNDRY 93492,A81000A,00100,0100,Y 93492,A81000B,00100,0300,HOME OFFICE ALLOC 93492,A81000B,00200,0300,HOME OFFICE ALLOC 93492,A81000C,00100,0100,A 93492,A81000C,00100,0200,LTC SERVICES 93492,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93492,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93492,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93492,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93492,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93492,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93492,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93492,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93492,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93492,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93492,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93492,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93492,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93492,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93492,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93492,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93492,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93492,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93492,S000000,00100,0200,07/05/2000 93492,S200000,00100,0100,1202 W. GILMORE 93492,S200000,00200,0100,SHAWNEE 93492,S200000,00200,0200,OK 93492,S200000,00200,0300,74801- 93492,S200000,00300,0100,POTTAWATAMIE 93492,S200000,00400,0100,SHAWNEE CARE CENTER 93492,S200000,00400,0200,375246 93492,S200000,00400,0300,10/01/1995 93492,S200000,00400,0500,P 93492,S200000,01600,0100,Y 93492,S700003,00000,0400,4 93500,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93500,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93500,A000000,00300,0000,00300EMPLOYEE BENEFITS 93500,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93500,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93500,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93500,A000000,00700,0000,00700HOUSEKEEPING 93500,A000000,00800,0000,00800DIETARY 93500,A000000,00900,0000,00900NURSING ADMINISTRATION 93500,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93500,A000000,01100,0000,01100PHARMACY 93500,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93500,A000000,01300,0000,01300SOCIAL SERVICE 93500,A000000,01350,0000,01500OTHER GENERAL SERVICES 93500,A000000,01600,0000,01600SKILLED NURSING FACILITY 93500,A000000,01800,0000,01800NURSING FACILITY 93500,A000000,01900,0000,01900OTHER LONG TERM CARE 93500,A000000,02100,0000,02100RADIOLOGY 93500,A000000,02200,0000,02200LABORATORY 93500,A000000,02300,0000,02300INTRAVENOUS THERAPY 93500,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93500,A000000,02500,0000,02500PHYSICAL THERAPY 93500,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93500,A000000,02700,0000,02700SPEECH PATHOLOGY 93500,A000000,02800,0000,02800ELECTROCARDIOLOGY 93500,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93500,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93500,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93500,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93500,A000000,03200,0000,03200SUPPORT SURFACES 93500,A000000,03400,0000,03400CLINIC 93500,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93500,A000000,03500,0000,03500RURAL HEALTH CLINIC 93500,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93500,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93500,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93500,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93500,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93500,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93500,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93500,A000000,04400,0000,04400DME RENTED - HHA 93500,A000000,04500,0000,04500DME SOLD - HHA 93500,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93500,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93500,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93500,A000000,04800,0000,04800AMBULANCE 93500,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93500,A000000,05000,0000,05000CORF 93500,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93500,A000000,05300,0000,05300INTEREST EXPENSE 93500,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93500,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93500,A000000,05500,0000,05500HOSPICE 93500,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93500,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93500,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93500,A000000,06100,0000,06100NONPAID WORKERS 93500,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93500,A000000,06200,0000,06200PATIENTS LAUNDRY 93500,A81000A,00100,0100,Y 93500,A81000B,00100,0300,ADMINISTRATIVE & GENERAL H.O. ALLOC 93500,A81000C,00100,0100,B 93500,A81000C,00100,0200,COOPER NURSING HOME CORP 93500,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93500,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93500,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93500,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93500,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93500,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93500,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93500,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93500,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93500,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93500,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93500,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93500,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93500,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93500,S000000,00100,0200,06/05/2000 93500,S200000,00100,0100,301 NORTH GARRETT 93500,S200000,00200,0100,ELK CITY 93500,S200000,00200,0200,OK 93500,S200000,00200,0300,73644- 93500,S200000,00300,0100,BECKHAM 93500,S200000,00400,0100,ELK CITY NURSING CENTER 93500,S200000,00400,0200,375247 93500,S200000,00400,0300,07/10/1995 93500,S200000,00400,0500,P 93500,S200000,01600,0100,Y 93500,S700003,00000,0400,4 93510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93510,A000000,00300,0000,00300EMPLOYEE BENEFITS 93510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93510,A000000,00700,0000,00700HOUSEKEEPING 93510,A000000,00800,0000,00800DIETARY 93510,A000000,00900,0000,00900NURSING ADMINISTRATION 93510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93510,A000000,01100,0000,01100PHARMACY 93510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93510,A000000,01300,0000,01300SOCIAL SERVICE 93510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93510,A000000,01600,0000,01600SKILLED NURSING FACILITY 93510,A000000,01800,0000,01800NURSING FACILITY 93510,A000000,02100,0000,02100RADIOLOGY 93510,A000000,02200,0000,02200LABORATORY 93510,A000000,02300,0000,02300INTRAVENOUS THERAPY 93510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93510,A000000,02500,0000,02500PHYSICAL THERAPY 93510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93510,A000000,02700,0000,02700SPEECH PATHOLOGY 93510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93510,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93510,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93510,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93510,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93510,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93510,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93510,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93510,B100000,00000,0800,00000MEALS SERVED :DIETARY 93510,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93510,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93510,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93510,S000000,00100,0200,06/05/2000 93510,S200000,00100,0100,5900 N ROBINSON 93510,S200000,00200,0100,OKLAHOMA CITY 93510,S200000,00200,0200,OK 93510,S200000,00200,0300,73118- 93510,S200000,00300,0100,OKLAHOMA 93510,S200000,00300,0200,5880 93510,S200000,00300,0300,U 93510,S200000,00400,0100,AMBERWOOD 93510,S200000,00400,0200,375248 93510,S200000,00400,0300,01/10/1996 93510,S200000,00400,0500,P 93510,S200000,01600,0100,Y 93521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93521,A000000,00300,0000,00300EMPLOYEE BENEFITS 93521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93521,A000000,00700,0000,00700HOUSEKEEPING 93521,A000000,00800,0000,00800DIETARY 93521,A000000,00900,0000,00900NURSING ADMINISTRATION 93521,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93521,A000000,01100,0000,01100PHARMACY 93521,A000000,01300,0000,01300SOCIAL SERVICE 93521,A000000,01600,0000,01600SKILLED NURSING FACILITY 93521,A000000,01800,0000,01800NURSING FACILITY 93521,A000000,02100,0000,02100RADIOLOGY 93521,A000000,02200,0000,02200LABORATORY 93521,A000000,02300,0000,02300INTRAVENOUS THERAPY 93521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93521,A000000,02500,0000,02500PHYSICAL THERAPY 93521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93521,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93521,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93521,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93521,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93521,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93521,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93521,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93521,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93521,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93521,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 93521,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 93521,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93521,S000000,00100,0200,05/31/2000 93521,S200000,00100,0100,832 ISABEL 93521,S200000,00200,0100,ARDMORE 93521,S200000,00200,0200,OK 93521,S200000,00200,0300,73401- 93521,S200000,00300,0100,CARTER 93521,S200000,00400,0100,SOUTHBROOK HEALTHCARE 93521,S200000,00400,0200,375255 93521,S200000,00400,0300,05/13/1996 93521,S200000,00400,0500,P 93521,S200000,01600,0100,Y 93521,S200000,04100,0100,Y 93521,S200000,04200,0100,Y 93529,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93529,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93529,A000000,00300,0000,00300EMPLOYEE BENEFITS 93529,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93529,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93529,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93529,A000000,00700,0000,00700HOUSEKEEPING 93529,A000000,00800,0000,00800DIETARY 93529,A000000,00900,0000,00900NURSING ADMINISTRATION 93529,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93529,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93529,A000000,01300,0000,01300SOCIAL SERVICE 93529,A000000,01600,0000,01600SKILLED NURSING FACILITY 93529,A000000,01800,0000,01800NURSING FACILITY 93529,A000000,02100,0000,02100RADIOLOGY 93529,A000000,02200,0000,02200LABORATORY 93529,A000000,02300,0000,02300INTRAVENOUS THERAPY 93529,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93529,A000000,02500,0000,02500PHYSICAL THERAPY 93529,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93529,A000000,02700,0000,02700SPEECH PATHOLOGY 93529,A000000,02800,0000,02800ELECTROCARDIOLOGY 93529,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93529,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93529,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93529,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93529,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93529,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93529,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93529,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93529,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93529,B100000,00000,0800,00000MEALS SERVED :DIETARY 93529,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93529,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93529,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93529,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93529,S000000,00100,0200,06/05/2000 93529,S200000,00100,0100,301 SW 74TH 93529,S200000,00200,0100,OKLAHOMA CITY 93529,S200000,00200,0200,OK 93529,S200000,00200,0300,73139- 93529,S200000,00300,0100,OKLAHOMA 93529,S200000,00400,0100,SOUTHERN OAKS 93529,S200000,00400,0200,375256 93529,S200000,00400,0300,04/01/1996 93529,S200000,00400,0500,P 93529,S200000,01600,0100,Y 93529,S700003,00000,0400,4 93535,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93535,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93535,A000000,00300,0000,00300EMPLOYEE BENEFITS 93535,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93535,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93535,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93535,A000000,00700,0000,00700HOUSEKEEPING 93535,A000000,00800,0000,00800DIETARY 93535,A000000,00900,0000,00900NURSING ADMINISTRATION 93535,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93535,A000000,01300,0000,01300SOCIAL SERVICE 93535,A000000,01600,0000,01600SKILLED NURSING FACILITY 93535,A000000,01800,0000,01800NURSING FACILITY 93535,A000000,02500,0000,02500PHYSICAL THERAPY 93535,A000000,02501,0000,02501PHYSICAL THERAPY-PART B 93535,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93535,A000000,02601,0000,02601OCCUPATIONAL THERAPY-PART B 93535,A000000,02700,0000,02700SPEECH PATHOLOGY 93535,A000000,02701,0000,02701SPEECH PATHOLOGY-PART B 93535,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93535,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93535,A000000,05300,0000,05300INTEREST EXPENSE 93535,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93535,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93535,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93535,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93535,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93535,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93535,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93535,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93535,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93535,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93535,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93535,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93535,S000000,00100,0200,05/30/2000 93535,S200000,00100,0100,401 S MAIN 93535,S200000,00200,0100,SPIRO 93535,S200000,00200,0200,OK 93535,S200000,00200,0300,74959- 93535,S200000,00300,0100,LEFLORE 93535,S200000,00400,0100,SPIRO NURSING HOME 93535,S200000,00400,0200,375258 93535,S200000,00400,0300,05/01/1996 93535,S200000,00400,0500,P 93535,S200000,01600,0100,Y 93535,S700003,00000,0400,4 93542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93542,A000000,00300,0000,00300EMPLOYEE BENEFITS 93542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93542,A000000,00700,0000,00700HOUSEKEEPING 93542,A000000,00800,0000,00800DIETARY 93542,A000000,00900,0000,00900NURSING ADMINISTRATION 93542,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93542,A000000,01300,0000,01300SOCIAL SERVICE 93542,A000000,01350,0000,01500ACTIVITIES 93542,A000000,01600,0000,01600SKILLED NURSING FACILITY 93542,A000000,01800,0000,01800NURSING FACILITY 93542,A000000,02100,0000,02100RADIOLOGY 93542,A000000,02200,0000,02200LABORATORY 93542,A000000,02300,0000,02300INTRAVENOUS THERAPY 93542,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93542,A000000,02500,0000,02500PHYSICAL THERAPY 93542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93542,A000000,02700,0000,02700SPEECH PATHOLOGY 93542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93542,A000000,03200,0000,03200SUPPORT SURFACES 93542,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93542,A81000A,00100,0100,Y 93542,A81000B,00100,0300,MANAGEMENT FEE 93542,A81000B,00200,0300,PHARMACY CONSULTANT COSTS 93542,A81000B,00300,0300,PHARMACY COSTS 93542,A81000B,00400,0300,PEN SUPPLIES 93542,A81000B,00500,0300,MEDICAL SUPPLY COSTS 93542,A81000B,00600,0300,OXYGEN THERAPY 93542,A81000B,00700,0300,THERAPY COSTS 93542,A81000B,00800,0300,THERAPY COSTS 93542,A81000B,00900,0300,THERAPY COSTS 93542,A81000C,00100,0100,F 93542,A81000C,00100,0200,WESTERN 93542,A81000C,00100,0400,AMITY CARE CORP 93542,A81000C,00100,0600,LTC MGMT CO 93542,A81000C,00200,0100,F 93542,A81000C,00200,0200,WESTERN 93542,A81000C,00200,0400,PHARMACY SOLUTIONS 93542,A81000C,00200,0600,PHARMACY CO 93542,A81000C,00300,0100,F 93542,A81000C,00300,0200,WESTERN 93542,A81000C,00300,0400,CARE SOURCE 93542,A81000C,00300,0600,MEDICAL SUPPLY CO 93542,A81000C,00400,0100,F 93542,A81000C,00400,0200,WESTERN 93542,A81000C,00400,0400,REHABSOURCE 93542,A81000C,00400,0600,THERAPY CO 93542,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93542,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93542,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93542,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93542,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93542,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93542,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93542,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93542,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93542,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93542,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93542,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93542,S000000,00100,0200,12/04/2000 93542,S200000,00100,0100,111 WALNUT DRIVE 93542,S200000,00200,0100,BUFFALO 93542,S200000,00200,0200,OK 93542,S200000,00200,0300,73834- 93542,S200000,00300,0100,HARPER 93542,S200000,00300,0200,0037 93542,S200000,00300,0300,R 93542,S200000,00400,0100,WESTERN NURSING HOME 93542,S200000,00400,0200,375259 93542,S200000,00400,0300,05/01/1996 93542,S200000,00400,0500,P 93542,S200000,01500,0100,Y 93542,S200000,02200,0100,Y 93547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93547,A000000,00300,0000,00300EMPLOYEE BENEFITS 93547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93547,A000000,00700,0000,00700HOUSEKEEPING 93547,A000000,00800,0000,00800DIETARY 93547,A000000,00900,0000,00900NURSING ADMINISTRATION 93547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93547,A000000,01300,0000,01300SOCIAL SERVICE 93547,A000000,01350,0000,01500ACTIVITIES 93547,A000000,01600,0000,01600SKILLED NURSING FACILITY 93547,A000000,01800,0000,01800NURSING FACILITY 93547,A000000,02100,0000,02100RADIOLOGY 93547,A000000,02200,0000,02200LABORATORY 93547,A000000,02300,0000,02300INTRAVENOUS THERAPY 93547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93547,A000000,02500,0000,02500PHYSICAL THERAPY 93547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93547,A000000,02700,0000,02700SPEECH PATHOLOGY 93547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93547,A000000,03200,0000,03200SUPPORT SURFACES 93547,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93547,A81000A,00100,0100,Y 93547,A81000B,00100,0300,MANAGEMENT FEE 93547,A81000B,00200,0300,PHARMACY COSTS 93547,A81000B,00300,0300,PHARMACY CONSULTANT COST 93547,A81000B,00400,0300,PHARMACY COSTS 93547,A81000B,00500,0300,PEN SUPPLY COSTS 93547,A81000B,00600,0300,THERAPY COSTS 93547,A81000B,00700,0300,THERAPY COSTS 93547,A81000B,00800,0300,THERAPY COSTS 93547,A81000B,00900,0300,THERAPY COSTS 93547,A81000B,01000,0300,THERAPY COSTS 93547,A81000B,01100,0300,OXYGEN COSTS 93547,A81000C,00100,0100,F 93547,A81000C,00100,0200,ALTUS HOUSE 93547,A81000C,00100,0400,AMITY CARE CORP 93547,A81000C,00100,0600,LTC MGMT CO 93547,A81000C,00200,0100,F 93547,A81000C,00200,0200,ALTUS HOUSE 93547,A81000C,00200,0400,PHARMACY SOLUTI 93547,A81000C,00200,0600,PHARMACY 93547,A81000C,00300,0100,F 93547,A81000C,00300,0200,ALTUS HOUSE 93547,A81000C,00300,0400,CARE SOURCE 93547,A81000C,00300,0600,MEDICAL SUPPLY 93547,A81000C,00400,0100,F 93547,A81000C,00400,0200,ALTUS HOUSE 93547,A81000C,00400,0400,REHABSOURCE 93547,A81000C,00400,0600,THERAPY CO 93547,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93547,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93547,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93547,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93547,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93547,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93547,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93547,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93547,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93547,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93547,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93547,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93547,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93547,S000000,00100,0200,06/01/2000 93547,S200000,00100,0100,1059 EAST PECAN STREET 93547,S200000,00200,0100,ALTUS 93547,S200000,00200,0200,OK 93547,S200000,00200,0300,73521- 93547,S200000,00300,0100,JACKSON 93547,S200000,00400,0100,ALTUS HOUSE NURSING HOME 93547,S200000,00400,0200,375260 93547,S200000,00400,0300,05/01/1996 93547,S200000,00400,0500,P 93547,S200000,01500,0100,Y 93547,S200000,02200,0100,Y 93547,S700003,00000,0400,4 93552,S000000,00100,0200,02/02/2001 93557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93557,A000000,00300,0000,00300EMPLOYEE BENEFITS 93557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93557,A000000,00700,0000,00700HOUSEKEEPING 93557,A000000,00800,0000,00800DIETARY 93557,A000000,00900,0000,00900NURSING ADMINISTRATION 93557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93557,A000000,01100,0000,01100PHARMACY 93557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93557,A000000,01300,0000,01300SOCIAL SERVICE 93557,A000000,01600,0000,01600SKILLED NURSING FACILITY 93557,A000000,01800,0000,01800NURSING FACILITY 93557,A000000,01900,0000,01900OTHER LONG TERM CARE 93557,A000000,02100,0000,02100RADIOLOGY 93557,A000000,02200,0000,02200LABORATORY 93557,A000000,02300,0000,02300INTRAVENOUS THERAPY 93557,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93557,A000000,02500,0000,02500PHYSICAL THERAPY 93557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93557,A000000,02700,0000,02700SPEECH PATHOLOGY 93557,A000000,02800,0000,02800ELECTROCARDIOLOGY 93557,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93557,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93557,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93557,A000000,03200,0000,03200SUPPORT SURFACES 93557,A000000,03400,0000,03400CLINIC 93557,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93557,A000000,03500,0000,03500RURAL HEALTH CLINIC 93557,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93557,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93557,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93557,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93557,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93557,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93557,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93557,A000000,04400,0000,04400DME RENTED - HHA 93557,A000000,04500,0000,04500DME SOLD - HHA 93557,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93557,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93557,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93557,A000000,04800,0000,04800AMBULANCE 93557,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93557,A000000,05000,0000,05000CORF 93557,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93557,A000000,05300,0000,05300INTEREST EXPENSE 93557,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93557,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93557,A000000,05500,0000,05500HOSPICE 93557,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93557,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93557,A000000,06100,0000,06100NONPAID WORKERS 93557,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93557,A000000,06200,0000,06200PATIENTS LAUNDRY 93557,A81000A,00100,0100,Y 93557,A81000B,00100,0300,HOME OFFICE COSTS 93557,A81000B,00200,0300,REPAIRS AND MAINTENANCE 93557,A81000C,00100,0100,A 93557,A81000C,00100,0200,RM&G INC. 93557,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93557,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93557,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93557,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93557,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93557,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93557,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93557,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93557,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93557,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93557,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 93557,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93557,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93557,S000000,00100,0200,06/01/2000 93557,S200000,00100,0100,406 EAST MAIN 93557,S200000,00100,0300,879 93557,S200000,00200,0100,HEALDTON 93557,S200000,00200,0200,OK 93557,S200000,00200,0300,73438- 93557,S200000,00300,0100,CARTER 93557,S200000,00400,0100,HEARTLAND CARE OF HEALDTON 93557,S200000,00400,0200,375262 93557,S200000,00400,0300,05/13/1996 93557,S200000,00400,0500,P 93557,S200000,01600,0100,Y 93557,S700003,00000,0400,4 93562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93562,A000000,00300,0000,00300EMPLOYEE BENEFITS 93562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93562,A000000,00700,0000,00700HOUSEKEEPING 93562,A000000,00800,0000,00800DIETARY 93562,A000000,00900,0000,00900NURSING ADMINISTRATION 93562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93562,A000000,01100,0000,01100PHARMACY 93562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93562,A000000,01300,0000,01300SOCIAL SERVICE 93562,A000000,01350,0000,01500OTHER GENERAL SERVICES 93562,A000000,01600,0000,01600SKILLED NURSING FACILITY 93562,A000000,01800,0000,01800NURSING FACILITY 93562,A000000,01900,0000,01900OTHER LONG TERM CARE 93562,A000000,02100,0000,02100RADIOLOGY 93562,A000000,02200,0000,02200LABORATORY 93562,A000000,02300,0000,02300INTRAVENOUS THERAPY 93562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93562,A000000,02500,0000,02500PHYSICAL THERAPY 93562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93562,A000000,02700,0000,02700SPEECH PATHOLOGY 93562,A000000,02800,0000,02800ELECTROCARDIOLOGY 93562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93562,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93562,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93562,A000000,03200,0000,03200SUPPORT SURFACES 93562,A000000,03400,0000,03400CLINIC 93562,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93562,A000000,03500,0000,03500RURAL HEALTH CLINIC 93562,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93562,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93562,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93562,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93562,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93562,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93562,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93562,A000000,04400,0000,04400DME RENTED - HHA 93562,A000000,04500,0000,04500DME SOLD - HHA 93562,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93562,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93562,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93562,A000000,04800,0000,04800AMBULANCE 93562,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93562,A000000,05000,0000,05000CORF 93562,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93562,A000000,05300,0000,05300INTEREST EXPENSE 93562,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93562,A000000,05500,0000,05500HOSPICE 93562,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93562,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93562,A000000,06100,0000,06100NONPAID WORKERS 93562,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93562,A000000,06200,0000,06200PATIENTS LAUNDRY 93562,A81000A,00100,0100,Y 93562,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 93562,A81000C,00100,0100,A 93562,A81000C,00100,0200,IHS MANAGEMENT 93562,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93562,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93562,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93562,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93562,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93562,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93562,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93562,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93562,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93562,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93562,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93562,E10A180,00301,0100,01/11/2000 93562,S000000,00100,0200,12/01/2000 93562,S200000,00100,0100,201 WEST 5TH STREET 93562,S200000,00200,0100,ADA 93562,S200000,00200,0200,OK 93562,S200000,00200,0300,74820- 93562,S200000,00300,0100,PONTOTOC 93562,S200000,00300,0200,0037 93562,S200000,00300,0300,R 93562,S200000,00400,0100,BALLARD NURSING CENTER 93562,S200000,00400,0200,375263 93562,S200000,00400,0300,08/01/1996 93562,S200000,00400,0500,P 93562,S200000,01600,0100,Y 93568,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93568,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93568,A000000,00300,0000,00300EMPLOYEE BENEFITS 93568,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93568,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93568,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93568,A000000,00700,0000,00700HOUSEKEEPING 93568,A000000,00800,0000,00800DIETARY 93568,A000000,00900,0000,00900NURSING ADMINISTRATION 93568,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93568,A000000,01100,0000,01100PHARMACY 93568,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93568,A000000,01300,0000,01300SOCIAL SERVICE 93568,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93568,A000000,01600,0000,01600SKILLED NURSING FACILITY 93568,A000000,01800,0000,01800NURSING FACILITY 93568,A000000,01900,0000,01900OTHER LONG TERM CARE 93568,A000000,02100,0000,02100RADIOLOGY 93568,A000000,02200,0000,02200LABORATORY 93568,A000000,02300,0000,02300INTRAVENOUS THERAPY 93568,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93568,A000000,02500,0000,02500PHYSICAL THERAPY 93568,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93568,A000000,02700,0000,02700SPEECH PATHOLOGY 93568,A000000,02800,0000,02800ELECTROCARDIOLOGY 93568,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93568,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93568,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93568,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93568,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93568,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93568,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93568,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93568,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93568,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93568,B100000,00000,0800,00000MEALS SERVED :DIETARY 93568,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93568,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93568,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93568,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93568,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93568,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93568,S000000,00100,0200,06/05/2000 93568,S200000,00100,0100,1410 W WILLOW ROAD 93568,S200000,00100,0300,1766 93568,S200000,00200,0100,ENID 93568,S200000,00200,0200,OK 93568,S200000,00200,0300,73703-2509 93568,S200000,00300,0100,GARFIELD 93568,S200000,00400,0100,HIGHLAND PARK MANOR 93568,S200000,00400,0200,375265 93568,S200000,00400,0300,06/01/1996 93568,S200000,00400,0500,P 93568,S700003,00000,0400,4 93582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93582,A000000,00300,0000,00300EMPLOYEE BENEFITS 93582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93582,A000000,00700,0000,00700HOUSEKEEPING 93582,A000000,00800,0000,00800DIETARY 93582,A000000,00900,0000,00900NURSING ADMINISTRATION 93582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93582,A000000,01100,0000,01100PHARMACY 93582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93582,A000000,01300,0000,01300SOCIAL SERVICE 93582,A000000,01350,0000,01500OTHER GENERAL SERVICES 93582,A000000,01600,0000,01600SKILLED NURSING FACILITY 93582,A000000,01800,0000,01800NURSING FACILITY 93582,A000000,01900,0000,01900OTHER LONG TERM CARE 93582,A000000,02100,0000,02100RADIOLOGY 93582,A000000,02200,0000,02200LABORATORY 93582,A000000,02300,0000,02300INTRAVENOUS THERAPY 93582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93582,A000000,02500,0000,02500PHYSICAL THERAPY 93582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93582,A000000,02700,0000,02700SPEECH PATHOLOGY 93582,A000000,02800,0000,02800ELECTROCARDIOLOGY 93582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93582,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93582,A000000,03200,0000,03200SUPPORT SURFACES 93582,A000000,03400,0000,03400CLINIC 93582,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93582,A000000,03500,0000,03500RURAL HEALTH CLINIC 93582,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93582,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93582,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93582,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93582,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93582,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93582,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93582,A000000,04400,0000,04400DME RENTED - HHA 93582,A000000,04500,0000,04500DME SOLD - HHA 93582,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93582,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93582,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93582,A000000,04800,0000,04800AMBULANCE 93582,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93582,A000000,05000,0000,05000CORF 93582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93582,A000000,05300,0000,05300INTEREST EXPENSE 93582,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93582,A000000,05500,0000,05500HOSPICE 93582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93582,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93582,A000000,06100,0000,06100NONPAID WORKERS 93582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93582,A000000,06200,0000,06200PATIENTS LAUNDRY 93582,A81000A,00100,0100,Y 93582,A81000B,00100,0300,ADMINISTRATIVE & GENERAL H.O. COST 93582,A81000C,00100,0100,B 93582,A81000C,00100,0200,COOPER NURSING HOME CORP 93582,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93582,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93582,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93582,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93582,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93582,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93582,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93582,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93582,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93582,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93582,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93582,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93582,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93582,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93582,S000000,00100,0200,06/05/2000 93582,S200000,00100,0100,HIGHWAY 64 AND ASH 93582,S200000,00100,0300,1319 93582,S200000,00200,0100,HASKELL 93582,S200000,00200,0200,OK 93582,S200000,00200,0300,74436-1319 93582,S200000,00300,0100,MUSKOGEE 93582,S200000,00400,0100,HASKELL MANOR 93582,S200000,00400,0200,375268 93582,S200000,00400,0300,06/17/1996 93582,S200000,00400,0500,P 93582,S200000,01004,0500,O 93582,S200000,01600,0100,Y 93582,S700003,00000,0400,4 93586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93586,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93586,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93586,A000000,00300,0000,00300EMPLOYEE BENEFITS 93586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93586,A000000,00700,0000,00700HOUSEKEEPING 93586,A000000,00800,0000,00800DIETARY 93586,A000000,00801,0000,00801CAFETERIA 93586,A000000,00900,0000,00900NURSING ADMINISTRATION 93586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93586,A000000,01100,0000,01100PHARMACY 93586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93586,A000000,01300,0000,01300SOCIAL SERVICE 93586,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93586,A000000,01600,0000,01600SKILLED NURSING FACILITY 93586,A000000,01800,0000,01800NURSING FACILITY 93586,A000000,01900,0000,01900OTHER LONG TERM CARE 93586,A000000,02100,0000,02100RADIOLOGY 93586,A000000,02200,0000,02200LABORATORY 93586,A000000,02300,0000,02300INTRAVENOUS THERAPY 93586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93586,A000000,02500,0000,02500PHYSICAL THERAPY 93586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93586,A000000,02700,0000,02700SPEECH PATHOLOGY 93586,A000000,02800,0000,02800ELECTROCARDIOLOGY 93586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93586,A000000,03050,0000,03300OTHER ANCILLARY 93586,A000000,03051,0000,03301OTHER ANCILLARY II 93586,A000000,03052,0000,03302OTHER ANCILLARY III 93586,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93586,A000000,03200,0000,03200SUPPORT SURFACES 93586,A000000,03400,0000,03400CLINIC 93586,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93586,A000000,03500,0000,03500RURAL HEALTH CLINIC 93586,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93586,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93586,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93586,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93586,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93586,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93586,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93586,A000000,04400,0000,04400DME RENTED - HHA 93586,A000000,04500,0000,04500DME SOLD - HHA 93586,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93586,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93586,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93586,A000000,04800,0000,04800AMBULANCE 93586,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93586,A000000,05000,0000,05000CORF 93586,A000000,05010,0000,05010CMHC I 93586,A000000,05020,0000,05020OPT I 93586,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93586,A000000,05300,0000,05300INTEREST EXPENSE 93586,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93586,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93586,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93586,A000000,05500,0000,05500HOSPICE 93586,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93586,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93586,A000000,06100,0000,06100NONPAID WORKERS 93586,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93586,A000000,06200,0000,06200PATIENTS LAUNDRY 93586,A81000A,00100,0100,Y 93586,A81000B,00100,0300,HOME OFFICE ALLOC 93586,A81000B,00200,0300,HOME OFFICE ALLOC 93586,A81000B,00300,0300,HOME OFFICE ALLOC 93586,A81000C,00100,0100,A 93586,A81000C,00100,0200,CRESCENT HEALTH 93586,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93586,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93586,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93586,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93586,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93586,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93586,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93586,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93586,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93586,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93586,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93586,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93586,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93586,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93586,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93586,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93586,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93586,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93586,S000000,00100,0200,06/23/2000 93586,S200000,00100,0100,702 NORTH PARK LANE 93586,S200000,00100,0300,659 93586,S200000,00200,0100,ALTUS 93586,S200000,00200,0200,OK 93586,S200000,00200,0300,73521- 93586,S200000,00300,0100,JACKSON 93586,S200000,00400,0100,QUARTZ MTN CARE CENTER 93586,S200000,00400,0200,375271 93586,S200000,00400,0300,06/10/1996 93586,S200000,00400,0500,P 93586,S200000,01004,0500,O 93586,S200000,01600,0100,Y 93595,S000000,00100,0200,06/01/2000 93609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93609,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93609,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93609,A000000,00300,0000,00300EMPLOYEE BENEFITS 93609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93609,A000000,00700,0000,00700HOUSEKEEPING 93609,A000000,00800,0000,00800DIETARY 93609,A000000,00801,0000,00801CAFETERIA 93609,A000000,00900,0000,00900NURSING ADMINISTRATION 93609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93609,A000000,01100,0000,01100PHARMACY 93609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93609,A000000,01300,0000,01300SOCIAL SERVICE 93609,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93609,A000000,01600,0000,01600SKILLED NURSING FACILITY 93609,A000000,01800,0000,01800NURSING FACILITY 93609,A000000,01900,0000,01900OTHER LONG TERM CARE 93609,A000000,02100,0000,02100RADIOLOGY 93609,A000000,02200,0000,02200LABORATORY 93609,A000000,02300,0000,02300INTRAVENOUS THERAPY 93609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93609,A000000,02500,0000,02500PHYSICAL THERAPY 93609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93609,A000000,02700,0000,02700SPEECH PATHOLOGY 93609,A000000,02800,0000,02800ELECTROCARDIOLOGY 93609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93609,A000000,03050,0000,03300OTHER ANCILLARY 93609,A000000,03051,0000,03301OTHER ANCILLARY II 93609,A000000,03052,0000,03302OTHER ANCILLARY III 93609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93609,A000000,03200,0000,03200SUPPORT SURFACES 93609,A000000,03400,0000,03400CLINIC 93609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93609,A000000,03500,0000,03500RURAL HEALTH CLINIC 93609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93609,A000000,04400,0000,04400DME RENTED - HHA 93609,A000000,04500,0000,04500DME SOLD - HHA 93609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93609,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93609,A000000,04800,0000,04800AMBULANCE 93609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93609,A000000,05000,0000,05000CORF 93609,A000000,05010,0000,05010CMHC I 93609,A000000,05020,0000,05020OPT I 93609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93609,A000000,05300,0000,05300INTEREST EXPENSE 93609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93609,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93609,A000000,05500,0000,05500HOSPICE 93609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93609,A000000,06100,0000,06100NONPAID WORKERS 93609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93609,A000000,06200,0000,06200PATIENTS LAUNDRY 93609,A81000A,00100,0100,Y 93609,A81000B,00100,0300,HOME OFFICE ALLOC 93609,A81000B,00200,0300,HOME OFFICE ALLOC 93609,A81000C,00100,0100,A 93609,A81000C,00100,0200,LTC SERVICES 93609,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93609,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93609,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93609,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93609,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93609,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93609,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93609,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93609,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93609,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93609,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93609,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93609,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93609,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93609,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93609,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93609,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93609,S000000,00100,0200,07/18/2000 93609,S200000,00100,0100,113 E. JONES 93609,S200000,00100,0300,430 93609,S200000,00200,0100,CHOUTEAU 93609,S200000,00200,0200,OK 93609,S200000,00200,0300,74337- 93609,S200000,00300,0100,MAYES 93609,S200000,00400,0100,MEADOWBROOK NURSING CENTER 93609,S200000,00400,0200,375276 93609,S200000,00400,0300,08/19/1996 93609,S200000,00400,0500,P 93609,S200000,01600,0100,Y 93609,S700003,00000,0400,4 93617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93617,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93617,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93617,A000000,00300,0000,00300EMPLOYEE BENEFITS 93617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93617,A000000,00700,0000,00700HOUSEKEEPING 93617,A000000,00800,0000,00800DIETARY 93617,A000000,00801,0000,00801CAFETERIA 93617,A000000,00900,0000,00900NURSING ADMINISTRATION 93617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93617,A000000,01100,0000,01100PHARMACY 93617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93617,A000000,01300,0000,01300SOCIAL SERVICE 93617,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93617,A000000,01600,0000,01600SKILLED NURSING FACILITY 93617,A000000,01800,0000,01800NURSING FACILITY 93617,A000000,01900,0000,01900OTHER LONG TERM CARE 93617,A000000,02100,0000,02100RADIOLOGY 93617,A000000,02200,0000,02200LABORATORY 93617,A000000,02300,0000,02300INTRAVENOUS THERAPY 93617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93617,A000000,02500,0000,02500PHYSICAL THERAPY 93617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93617,A000000,02700,0000,02700SPEECH PATHOLOGY 93617,A000000,02800,0000,02800ELECTROCARDIOLOGY 93617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93617,A000000,03050,0000,03300OTHER ANCILLARY 93617,A000000,03051,0000,03301OTHER ANCILLARY II 93617,A000000,03052,0000,03302OTHER ANCILLARY III 93617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93617,A000000,03200,0000,03200SUPPORT SURFACES 93617,A000000,03400,0000,03400CLINIC 93617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93617,A000000,03500,0000,03500RURAL HEALTH CLINIC 93617,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93617,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93617,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93617,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93617,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93617,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93617,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93617,A000000,04400,0000,04400DME RENTED - HHA 93617,A000000,04500,0000,04500DME SOLD - HHA 93617,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93617,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93617,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93617,A000000,04800,0000,04800AMBULANCE 93617,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93617,A000000,05000,0000,05000CORF 93617,A000000,05010,0000,05010CMHC I 93617,A000000,05020,0000,05020OPT I 93617,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93617,A000000,05300,0000,05300INTEREST EXPENSE 93617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93617,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93617,A000000,05500,0000,05500HOSPICE 93617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93617,A000000,06100,0000,06100NONPAID WORKERS 93617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93617,A000000,06200,0000,06200PATIENTS LAUNDRY 93617,A81000A,00100,0100,Y 93617,A81000B,00100,0300,HOME OFFICE ALLOC 93617,A81000B,00200,0300,HOME OFFICE ALLOC 93617,A81000C,00100,0100,A 93617,A81000C,00100,0200,LTC SERVICES 93617,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93617,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93617,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93617,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93617,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93617,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93617,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93617,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93617,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93617,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93617,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93617,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93617,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93617,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93617,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93617,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93617,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93617,S000000,00100,0200,06/05/2000 93617,S200000,00100,0100,401 REDBUD LANE 93617,S200000,00100,0300,69 93617,S200000,00200,0100,CHELSEA 93617,S200000,00200,0200,OK 93617,S200000,00200,0300,74016- 93617,S200000,00300,0100,ROGERS 93617,S200000,00400,0100,COLONIAL CARE OF CHELSEA 93617,S200000,00400,0200,375278 93617,S200000,00400,0300,08/19/1996 93617,S200000,00400,0500,P 93617,S200000,01600,0100,Y 93617,S700003,00000,0400,4 93628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93628,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93628,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93628,A000000,00300,0000,00300EMPLOYEE BENEFITS 93628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93628,A000000,00700,0000,00700HOUSEKEEPING 93628,A000000,00800,0000,00800DIETARY 93628,A000000,00801,0000,00801CAFETERIA 93628,A000000,00900,0000,00900NURSING ADMINISTRATION 93628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93628,A000000,01100,0000,01100PHARMACY 93628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93628,A000000,01300,0000,01300SOCIAL SERVICE 93628,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93628,A000000,01600,0000,01600SKILLED NURSING FACILITY 93628,A000000,01800,0000,01800NURSING FACILITY 93628,A000000,01900,0000,01900OTHER LONG TERM CARE 93628,A000000,02100,0000,02100RADIOLOGY 93628,A000000,02200,0000,02200LABORATORY 93628,A000000,02300,0000,02300INTRAVENOUS THERAPY 93628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93628,A000000,02500,0000,02500PHYSICAL THERAPY 93628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93628,A000000,02700,0000,02700SPEECH PATHOLOGY 93628,A000000,02800,0000,02800ELECTROCARDIOLOGY 93628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93628,A000000,03050,0000,03300OTHER ANCILLARY 93628,A000000,03051,0000,03301OTHER ANCILLARY II 93628,A000000,03052,0000,03302OTHER ANCILLARY III 93628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93628,A000000,03200,0000,03200SUPPORT SURFACES 93628,A000000,03400,0000,03400CLINIC 93628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93628,A000000,03500,0000,03500RURAL HEALTH CLINIC 93628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93628,A000000,04400,0000,04400DME RENTED - HHA 93628,A000000,04500,0000,04500DME SOLD - HHA 93628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93628,A000000,04800,0000,04800AMBULANCE 93628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93628,A000000,05000,0000,05000CORF 93628,A000000,05010,0000,05010CMHC I 93628,A000000,05020,0000,05020OPT I 93628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93628,A000000,05300,0000,05300INTEREST EXPENSE 93628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93628,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93628,A000000,05500,0000,05500HOSPICE 93628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93628,A000000,06100,0000,06100NONPAID WORKERS 93628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93628,A000000,06200,0000,06200PATIENTS LAUNDRY 93628,A81000A,00100,0100,Y 93628,A81000B,00100,0300,HOME OFFICE ALLOC 93628,A81000B,00200,0300,HOME OFFICE ALLOC 93628,A81000C,00100,0100,A 93628,A81000C,00100,0200,LTC SERVICES 93628,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93628,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93628,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93628,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93628,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93628,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93628,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93628,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93628,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93628,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93628,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93628,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93628,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93628,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93628,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93628,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93628,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93628,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93628,S000000,00100,0200,06/30/2000 93628,S200000,00100,0100,101 SHERRARD DR 93628,S200000,00200,0100,COLBERT 93628,S200000,00200,0200,OK 93628,S200000,00200,0300,74733- 93628,S200000,00300,0100,BRYAN 93628,S200000,00400,0100,SOUTHERN POINTE LIVING CENTER 93628,S200000,00400,0200,375281 93628,S200000,00400,0300,09/09/1996 93628,S200000,00400,0500,P 93628,S200000,01600,0100,Y 93628,S700003,00000,0400,4 93638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93638,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93638,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93638,A000000,00300,0000,00300EMPLOYEE BENEFITS 93638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93638,A000000,00700,0000,00700HOUSEKEEPING 93638,A000000,00800,0000,00800DIETARY 93638,A000000,00801,0000,00801CAFETERIA 93638,A000000,00900,0000,00900NURSING ADMINISTRATION 93638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93638,A000000,01100,0000,01100PHARMACY 93638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93638,A000000,01300,0000,01300SOCIAL SERVICE 93638,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93638,A000000,01600,0000,01600SKILLED NURSING FACILITY 93638,A000000,01800,0000,01800NURSING FACILITY 93638,A000000,01900,0000,01900OTHER LONG TERM CARE 93638,A000000,02100,0000,02100RADIOLOGY 93638,A000000,02200,0000,02200LABORATORY 93638,A000000,02300,0000,02300INTRAVENOUS THERAPY 93638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93638,A000000,02500,0000,02500PHYSICAL THERAPY 93638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93638,A000000,02700,0000,02700SPEECH PATHOLOGY 93638,A000000,02800,0000,02800ELECTROCARDIOLOGY 93638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93638,A000000,03050,0000,03300OTHER ANCILLARY 93638,A000000,03051,0000,03301OTHER ANCILLARY II 93638,A000000,03052,0000,03302OTHER ANCILLARY III 93638,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93638,A000000,03200,0000,03200SUPPORT SURFACES 93638,A000000,03400,0000,03400CLINIC 93638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93638,A000000,03500,0000,03500RURAL HEALTH CLINIC 93638,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93638,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93638,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93638,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93638,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93638,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93638,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93638,A000000,04400,0000,04400DME RENTED - HHA 93638,A000000,04500,0000,04500DME SOLD - HHA 93638,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93638,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93638,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93638,A000000,04800,0000,04800AMBULANCE 93638,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93638,A000000,05000,0000,05000CORF 93638,A000000,05010,0000,05010CMHC I 93638,A000000,05020,0000,05020OPT I 93638,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93638,A000000,05300,0000,05300INTEREST EXPENSE 93638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93638,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93638,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93638,A000000,05500,0000,05500HOSPICE 93638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93638,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93638,A000000,06100,0000,06100NONPAID WORKERS 93638,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93638,A000000,06200,0000,06200PATIENTS LAUNDRY 93638,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93638,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93638,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93638,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93638,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93638,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93638,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93638,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93638,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93638,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93638,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93638,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93638,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93638,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93638,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93638,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93638,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93638,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93638,S000000,00100,0200,06/13/2000 93638,S200000,00100,0100,310 WEST TAFT 93638,S200000,00200,0100,SAPULPA 93638,S200000,00200,0200,OK 93638,S200000,00200,0300,74006- 93638,S200000,00300,0100,CREEK 93638,S200000,00400,0100,PLEASANT MANOR NURSING HOME 93638,S200000,00400,0200,375284 93638,S200000,00400,0300,11/04/1996 93638,S200000,00400,0500,P 93638,S200000,01600,0100,Y 93638,S700003,00000,0400,4 93645,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93645,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93645,A000000,00300,0000,00300EMPLOYEE BENEFITS 93645,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93645,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93645,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93645,A000000,00700,0000,00700HOUSEKEEPING 93645,A000000,00800,0000,00800DIETARY 93645,A000000,00900,0000,00900NURSING ADMINISTRATION 93645,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93645,A000000,01100,0000,01100PHARMACY 93645,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93645,A000000,01300,0000,01300SOCIAL SERVICE 93645,A000000,01350,0000,01500OTHER GENERAL SERVICES 93645,A000000,01600,0000,01600SKILLED NURSING FACILITY 93645,A000000,01800,0000,01800NURSING FACILITY 93645,A000000,01900,0000,01900OTHER LONG TERM CARE 93645,A000000,02100,0000,02100RADIOLOGY 93645,A000000,02300,0000,02300INTRAVENOUS THERAPY 93645,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93645,A000000,02500,0000,02500PHYSICAL THERAPY 93645,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93645,A000000,02700,0000,02700SPEECH PATHOLOGY 93645,A000000,02800,0000,02800ELECTROCARDIOLOGY 93645,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93645,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93645,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93645,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93645,A000000,03200,0000,03200SUPPORT SURFACES 93645,A000000,03400,0000,03400CLINIC 93645,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93645,A000000,03500,0000,03500RURAL HEALTH CLINIC 93645,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93645,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93645,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93645,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93645,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93645,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93645,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93645,A000000,04400,0000,04400DME RENTED - HHA 93645,A000000,04500,0000,04500DME SOLD - HHA 93645,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93645,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93645,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93645,A000000,04800,0000,04800AMBULANCE 93645,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93645,A000000,05000,0000,05000CORF 93645,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93645,A000000,05300,0000,05300INTEREST EXPENSE 93645,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93645,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93645,A000000,05500,0000,05500HOSPICE 93645,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93645,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93645,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93645,A000000,06100,0000,06100NONPAID WORKERS 93645,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93645,A000000,06200,0000,06200PATIENTS LAUNDRY 93645,A81000A,00100,0100,Y 93645,A81000B,00100,0300,HOME OFFICE EXPENSE 93645,A81000C,00100,0100,A 93645,A81000C,00100,0200,ROCKY LEMON 93645,A81000C,00100,0400,CRESCENT HEALTH SERVICES 93645,A81000C,00100,0600,NURSING HOME MGMT 93645,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93645,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93645,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93645,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93645,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93645,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93645,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93645,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93645,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93645,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93645,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93645,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93645,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93645,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93645,S000000,00100,0200,06/01/2000 93645,S200000,00100,0100,1025 N. ADAMS 93645,S200000,00200,0100,SAND SPRINGS 93645,S200000,00200,0200,OK 93645,S200000,00200,0300,74063- 93645,S200000,00300,0100,TULSA 93645,S200000,00400,0100,OAK DALE MANOR 93645,S200000,00400,0200,375285 93645,S200000,00400,0300,01/01/1997 93645,S200000,00400,0500,P 93645,S200000,01600,0100,Y 93653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93653,A000000,00300,0000,00300EMPLOYEE BENEFITS 93653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93653,A000000,00700,0000,00700HOUSEKEEPING 93653,A000000,00800,0000,00800DIETARY 93653,A000000,00900,0000,00900NURSING ADMINISTRATION 93653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93653,A000000,01100,0000,01100PHARMACY 93653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93653,A000000,01300,0000,01300SOCIAL SERVICE 93653,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93653,A000000,01600,0000,01600SKILLED NURSING FACILITY 93653,A000000,01800,0000,01800NURSING FACILITY 93653,A000000,01810,0000,01810ICF/MR 93653,A000000,01900,0000,01900OTHER LONG TERM CARE 93653,A000000,02100,0000,02100RADIOLOGY 93653,A000000,02200,0000,02200LABORATORY 93653,A000000,02300,0000,02300INTRAVENOUS THERAPY 93653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93653,A000000,02500,0000,02500PHYSICAL THERAPY 93653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93653,A000000,02700,0000,02700SPEECH PATHOLOGY 93653,A000000,02800,0000,02800ELECTROCARDIOLOGY 93653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93653,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93653,A000000,03200,0000,03200SUPPORT SURFACES 93653,A000000,03400,0000,03400CLINIC 93653,A000000,03500,0000,03500RURAL HEALTH CLINIC 93653,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 93653,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93653,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93653,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93653,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93653,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93653,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93653,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93653,A000000,04400,0000,04400DME RENTED - HHA 93653,A000000,04500,0000,04500DME SOLD - HHA 93653,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93653,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93653,A000000,04800,0000,04800AMBULANCE 93653,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93653,A000000,05000,0000,05000CORF 93653,A000000,05010,0000,05010CMHC 93653,A000000,05020,0000,05020OPT 93653,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 93653,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 93653,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93653,A000000,05300,0000,05300INTEREST EXPENSE 93653,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93653,A000000,05500,0000,05500HOSPICE 93653,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93653,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93653,A000000,06100,0000,06100NONPAID WORKERS 93653,A000000,06200,0000,06200PATIENTS LAUNDRY 93653,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93653,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93653,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93653,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93653,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93653,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 93653,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 93653,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93653,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 93653,S000000,00100,0200,05/31/2000 93653,S200000,00100,0100,801 NORTH 6TH STREET 93653,S200000,00200,0100,PURCELL 93653,S200000,00200,0200,OK 93653,S200000,00200,0300,73080- 93653,S200000,00300,0100,MCCLAIN 93653,S200000,00300,0200,5880 93653,S200000,00300,0300,U 93653,S200000,00400,0100,WADLEY CARE CENTER 93653,S200000,00400,0200,375286 93653,S200000,00400,0300,12/01/1996 93653,S200000,00400,0500,P 93653,S200000,01042,0600,O 93658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93658,A000000,00300,0000,00300EMPLOYEE BENEFITS 93658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93658,A000000,00700,0000,00700HOUSEKEEPING 93658,A000000,00800,0000,00800DIETARY 93658,A000000,00900,0000,00900NURSING ADMINISTRATION 93658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93658,A000000,01100,0000,01100PHARMACY 93658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93658,A000000,01300,0000,01300SOCIAL SERVICE 93658,A000000,01350,0000,01500OTHER GENERAL SERVICES 93658,A000000,01600,0000,01600SKILLED NURSING FACILITY 93658,A000000,01800,0000,01800NURSING FACILITY 93658,A000000,01900,0000,01900OTHER LONG TERM CARE 93658,A000000,02100,0000,02100RADIOLOGY 93658,A000000,02200,0000,02200LABORATORY 93658,A000000,02300,0000,02300INTRAVENOUS THERAPY 93658,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93658,A000000,02500,0000,02500PHYSICAL THERAPY 93658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93658,A000000,02700,0000,02700SPEECH PATHOLOGY 93658,A000000,02800,0000,02800ELECTROCARDIOLOGY 93658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93658,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93658,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93658,A000000,03200,0000,03200SUPPORT SURFACES 93658,A000000,03400,0000,03400CLINIC 93658,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93658,A000000,03500,0000,03500RURAL HEALTH CLINIC 93658,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93658,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93658,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93658,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93658,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93658,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93658,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93658,A000000,04400,0000,04400DME RENTED - HHA 93658,A000000,04500,0000,04500DME SOLD - HHA 93658,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93658,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93658,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93658,A000000,04800,0000,04800AMBULANCE 93658,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93658,A000000,05000,0000,05000CORF 93658,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93658,A000000,05300,0000,05300INTEREST EXPENSE 93658,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93658,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93658,A000000,05500,0000,05500HOSPICE 93658,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93658,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93658,A000000,06100,0000,06100NONPAID WORKERS 93658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93658,A000000,06200,0000,06200PATIENTS LAUNDRY 93658,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93658,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93658,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93658,B100000,00000,0450,00000SQUARE FEET :ADMINISTRATIVE & GENE 93658,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93658,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 93658,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93658,B100000,00000,0800,00000MEALS SERVED :DIETARY 93658,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93658,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 93658,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 93658,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93658,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93658,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93658,S000000,00100,0200,05/30/2000 93658,S200000,00100,0100,8016 SOUTHEAST 15TH 93658,S200000,00200,0100,MIDWEST CITY 93658,S200000,00200,0200,OK 93658,S200000,00200,0300,73110- 93658,S200000,00300,0100,OKLAHOMA 93658,S200000,00400,0100,COLONIAL MANOR NURSING HOME 93658,S200000,00400,0200,375287 93658,S200000,00400,0300,01/01/1997 93658,S200000,00400,0500,P 93658,S200000,01600,0100,Y 93658,S700003,00000,0400,4 93664,S000000,00100,0200,02/09/2001 93665,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93665,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93665,A000000,00300,0000,00300EMPLOYEE BENEFITS 93665,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93665,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93665,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93665,A000000,00700,0000,00700HOUSEKEEPING 93665,A000000,00800,0000,00800DIETARY 93665,A000000,00900,0000,00900NURSING ADMINISTRATION 93665,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93665,A000000,01100,0000,01100PHARMACY 93665,A000000,01300,0000,01300SOCIAL SERVICE 93665,A000000,01600,0000,01600SKILLED NURSING FACILITY 93665,A000000,01800,0000,01800NURSING FACILITY 93665,A000000,02100,0000,02100RADIOLOGY 93665,A000000,02200,0000,02200LABORATORY 93665,A000000,02300,0000,02300INTRAVENOUS THERAPY 93665,A000000,02500,0000,02500PHYSICAL THERAPY 93665,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93665,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93665,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93665,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93665,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93665,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93665,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93665,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93665,B100000,00000,0800,00000MEALS SERVED :DIETARY 93665,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 93665,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 93665,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 93665,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93665,S000000,00100,0200,11/21/2000 93665,S200000,00100,0100,1415 WEST 15TH 93665,S200000,00200,0100,SULPHUR 93665,S200000,00200,0200,OK 93665,S200000,00200,0300,73086- 93665,S200000,00300,0100,MURRAY 93665,S200000,00300,0200,37 93665,S200000,00300,0300,R 93665,S200000,00400,0100,ARTESIAN HOME 93665,S200000,00400,0200,375289 93665,S200000,00400,0300,01/06/1997 93665,S200000,00400,0500,P 93665,S200000,01600,0100,Y 93665,S200000,04100,0100,Y 93665,S200000,04200,0100,Y 93672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93672,A000000,00300,0000,00300EMPLOYEE BENEFITS 93672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93672,A000000,00700,0000,00700HOUSEKEEPING 93672,A000000,00800,0000,00800DIETARY 93672,A000000,00900,0000,00900NURSING ADMINISTRATION 93672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93672,A000000,01100,0000,01100PHARMACY 93672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93672,A000000,01300,0000,01300SOCIAL SERVICE 93672,A000000,01350,0000,01500OTHER GENERAL SERVICES 93672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93672,A000000,01600,0000,01600SKILLED NURSING FACILITY 93672,A000000,01800,0000,01800NURSING FACILITY 93672,A000000,01810,0000,01810ICF/MR 93672,A000000,01900,0000,01900OTHER LONG TERM CARE 93672,A000000,02100,0000,02100RADIOLOGY 93672,A000000,02200,0000,02200LABORATORY 93672,A000000,02300,0000,02300INTRAVENOUS THERAPY 93672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93672,A000000,02500,0000,02500PHYSICAL THERAPY 93672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93672,A000000,02700,0000,02700SPEECH PATHOLOGY 93672,A000000,02800,0000,02800ELECTROCARDIOLOGY 93672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93672,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93672,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93672,A000000,03200,0000,03200SUPPORT SURFACES 93672,A000000,03400,0000,03400CLINIC 93672,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93672,A000000,03500,0000,03500RURAL HEALTH CLINIC 93672,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93672,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93672,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93672,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93672,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93672,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93672,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93672,A000000,04400,0000,04400DME RENTED - HHA 93672,A000000,04500,0000,04500DME SOLD - HHA 93672,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93672,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93672,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93672,A000000,04800,0000,04800AMBULANCE 93672,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93672,A000000,05000,0000,05000CORF 93672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93672,A000000,05300,0000,05300INTEREST EXPENSE 93672,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93672,A000000,05500,0000,05500HOSPICE 93672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93672,A000000,06100,0000,06100NONPAID WORKERS 93672,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93672,A000000,06200,0000,06200PATIENTS LAUNDRY 93672,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93672,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93672,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93672,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93672,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93672,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93672,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93672,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93672,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93672,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93672,S000000,00100,0200,11/27/2000 93672,S200000,00100,0100,500 CHEROKEE STREET 93672,S200000,00200,0100,WAKITA 93672,S200000,00200,0200,OK 93672,S200000,00200,0300,73771- 93672,S200000,00300,0100,GRANT 93672,S200000,00300,0200,0037 93672,S200000,00300,0300,R 93672,S200000,00400,0100,COMMUNITY HEALTH CENTER 93672,S200000,00400,0200,375290 93672,S200000,00400,0300,10/23/1996 93672,S200000,00400,0500,P 93672,S200000,01004,0500,O 93672,S200000,01600,0100,Y 93679,S000000,00100,0200,07/21/1999 93684,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93684,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93684,A000000,00300,0000,00300EMPLOYEE BENEFITS 93684,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93684,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93684,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93684,A000000,00700,0000,00700HOUSEKEEPING 93684,A000000,00800,0000,00800DIETARY 93684,A000000,00900,0000,00900NURSING ADMINISTRATION 93684,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93684,A000000,01100,0000,01100PHARMACY 93684,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93684,A000000,01300,0000,01300SOCIAL SERVICE 93684,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93684,A000000,01600,0000,01600SKILLED NURSING FACILITY 93684,A000000,01800,0000,01800NURSING FACILITY 93684,A000000,02100,0000,02100RADIOLOGY 93684,A000000,02200,0000,02200LABORATORY 93684,A000000,02300,0000,02300INTRAVENOUS THERAPY 93684,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93684,A000000,02500,0000,02500PHYSICAL THERAPY 93684,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93684,A000000,02700,0000,02700SPEECH PATHOLOGY 93684,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93684,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93684,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93684,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93684,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93684,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93684,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93684,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93684,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93684,B100000,00000,0800,00000MEALS SERVED :DIETARY 93684,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93684,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93684,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93684,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93684,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93684,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93684,S000000,00100,0200,07/18/2000 93684,S200000,00100,0100,2801 NW 63RD STREET 93684,S200000,00200,0100,OKLAHOMA CITY 93684,S200000,00200,0200,OK 93684,S200000,00200,0300,73112- 93684,S200000,00300,0100,OKLAHOMA 93684,S200000,00400,0100,NORTHWEST NURSING CENTER 93684,S200000,00400,0200,375292 93684,S200000,00400,0300,02/01/1997 93684,S200000,00400,0500,P 93684,S700003,00000,0400,4 93691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93691,A000000,00300,0000,00300EMPLOYEE BENEFITS 93691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93691,A000000,00700,0000,00700HOUSEKEEPING 93691,A000000,00800,0000,00800DIETARY 93691,A000000,00900,0000,00900NURSING ADMINISTRATION 93691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93691,A000000,01100,0000,01100PHARMACY 93691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93691,A000000,01300,0000,01300SOCIAL SERVICE 93691,A000000,01350,0000,01500OTHER GENERAL SERVICES 93691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93691,A000000,01600,0000,01600SKILLED NURSING FACILITY 93691,A000000,01800,0000,01800NURSING FACILITY 93691,A000000,01810,0000,01801ICF/MR 93691,A000000,01900,0000,01900OTHER LONG TERM CARE 93691,A000000,02100,0000,02100RADIOLOGY 93691,A000000,02200,0000,02200LABORATORY 93691,A000000,02300,0000,02300INTRAVENOUS THERAPY 93691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93691,A000000,02500,0000,02500PHYSICAL THERAPY 93691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93691,A000000,02700,0000,02700SPEECH PATHOLOGY 93691,A000000,02800,0000,02800ELECTROCARDIOLOGY 93691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93691,A000000,03200,0000,03200SUPPORT SURFACES 93691,A000000,03400,0000,03400CLINIC 93691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93691,A000000,03500,0000,03500RURAL HEALTH CLINIC 93691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93691,A000000,04400,0000,04400DME RENTED - HHA 93691,A000000,04500,0000,04500DME SOLD - HHA 93691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93691,A000000,04800,0000,04800AMBULANCE 93691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93691,A000000,05000,0000,05000CORF 93691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93691,A000000,05300,0000,05300INTEREST EXPENSE 93691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93691,A000000,05500,0000,05500HOSPICE 93691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93691,A000000,06100,0000,06100NONPAID WORKERS 93691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93691,A000000,06200,0000,06200PATIENTS LAUNDRY 93691,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93691,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93691,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93691,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93691,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93691,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93691,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93691,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93691,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93691,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93691,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 93691,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93691,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93691,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93691,S000000,00100,0200,07/10/2000 93691,S200000,00100,0100,318 S. CHERRY 93691,S200000,00100,0300,218 93691,S200000,00200,0100,SKIATOOK 93691,S200000,00200,0200,OK 93691,S200000,00200,0300,74070- 93691,S200000,00300,0100,TULSA 93691,S200000,00400,0100,SKIATOOK NURSING HOME 93691,S200000,00400,0200,375293 93691,S200000,00400,0300,03/01/1997 93691,S200000,00400,0500,P 93691,S200000,01004,0500,O 93691,S200000,01600,0100,Y 93698,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93698,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93698,A000000,00300,0000,00300EMPLOYEE BENEFITS 93698,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93698,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93698,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93698,A000000,00700,0000,00700HOUSEKEEPING 93698,A000000,00800,0000,00800DIETARY 93698,A000000,00900,0000,00900NURSING ADMINISTRATION 93698,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93698,A000000,01100,0000,01100PHARMACY 93698,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93698,A000000,01300,0000,01300SOCIAL SERVICE 93698,A000000,01350,0000,01500OTHER GENERAL SERVICES 93698,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93698,A000000,01600,0000,01600SKILLED NURSING FACILITY 93698,A000000,01800,0000,01800NURSING FACILITY 93698,A000000,01810,0000,01801ICF/MR 93698,A000000,01900,0000,01900OTHER LONG TERM CARE 93698,A000000,02100,0000,02100RADIOLOGY 93698,A000000,02200,0000,02200LABORATORY 93698,A000000,02300,0000,02300INTRAVENOUS THERAPY 93698,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93698,A000000,02500,0000,02500PHYSICAL THERAPY 93698,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93698,A000000,02700,0000,02700SPEECH PATHOLOGY 93698,A000000,02800,0000,02800ELECTROCARDIOLOGY 93698,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93698,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93698,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93698,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93698,A000000,03200,0000,03200SUPPORT SURFACES 93698,A000000,03400,0000,03400CLINIC 93698,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93698,A000000,03500,0000,03500RURAL HEALTH CLINIC 93698,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93698,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93698,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93698,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93698,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93698,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93698,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93698,A000000,04400,0000,04400DME RENTED - HHA 93698,A000000,04500,0000,04500DME SOLD - HHA 93698,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93698,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93698,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93698,A000000,04800,0000,04800AMBULANCE 93698,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93698,A000000,05000,0000,05000CORF 93698,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93698,A000000,05300,0000,05300INTEREST EXPENSE 93698,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93698,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93698,A000000,05500,0000,05500HOSPICE 93698,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93698,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93698,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93698,A000000,06100,0000,06100NONPAID WORKERS 93698,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93698,A000000,06200,0000,06200PATIENTS LAUNDRY 93698,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93698,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93698,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93698,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93698,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93698,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93698,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93698,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93698,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93698,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93698,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93698,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93698,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93698,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93698,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93698,S000000,00100,0200,06/01/2000 93698,S200000,00100,0100,400 S. MAIN STREET 93698,S200000,00200,0100,GORE 93698,S200000,00200,0200,OK 93698,S200000,00200,0300,74435- 93698,S200000,00300,0100,SEQUOYAH 93698,S200000,00400,0100,COMMUNITY HEALTH CARE OF GORE 93698,S200000,00400,0200,375295 93698,S200000,00400,0300,02/01/1997 93698,S200000,00400,0500,P 93698,S200000,01600,0100,Y 93698,S700003,00000,0400,4 93704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93704,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93704,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93704,A000000,00300,0000,00300EMPLOYEE BENEFITS 93704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93704,A000000,00700,0000,00700HOUSEKEEPING 93704,A000000,00800,0000,00800DIETARY 93704,A000000,00801,0000,00801CAFETERIA 93704,A000000,00900,0000,00900NURSING ADMINISTRATION 93704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93704,A000000,01100,0000,01100PHARMACY 93704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93704,A000000,01300,0000,01300SOCIAL SERVICE 93704,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93704,A000000,01600,0000,01600SKILLED NURSING FACILITY 93704,A000000,01800,0000,01800NURSING FACILITY 93704,A000000,01900,0000,01900OTHER LONG TERM CARE 93704,A000000,02100,0000,02100RADIOLOGY 93704,A000000,02200,0000,02200LABORATORY 93704,A000000,02300,0000,02300INTRAVENOUS THERAPY 93704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93704,A000000,02500,0000,02500PHYSICAL THERAPY 93704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93704,A000000,02700,0000,02700SPEECH PATHOLOGY 93704,A000000,02800,0000,02800ELECTROCARDIOLOGY 93704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93704,A000000,03050,0000,03300AMBULANCE/TRANS 93704,A000000,03051,0000,03301OTHER ANCILLARY II 93704,A000000,03052,0000,03302OTHER ANCILLARY III 93704,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93704,A000000,03200,0000,03200SUPPORT SURFACES 93704,A000000,03400,0000,03400CLINIC 93704,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93704,A000000,03500,0000,03500RURAL HEALTH CLINIC 93704,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93704,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93704,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93704,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93704,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93704,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93704,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93704,A000000,04400,0000,04400DME RENTED - HHA 93704,A000000,04500,0000,04500DME SOLD - HHA 93704,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93704,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93704,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93704,A000000,04800,0000,04800AMBULANCE 93704,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93704,A000000,05000,0000,05000CORF 93704,A000000,05010,0000,05010CMHC I 93704,A000000,05020,0000,05020OPT I 93704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93704,A000000,05300,0000,05300INTEREST EXPENSE 93704,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93704,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93704,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93704,A000000,05500,0000,05500HOSPICE 93704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93704,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93704,A000000,06100,0000,06100NONPAID WORKERS 93704,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93704,A000000,06200,0000,06200PATIENTS LAUNDRY 93704,A81000A,00100,0100,Y 93704,A81000B,00100,0300,HOME OFFICE ALLOC 93704,A81000B,00200,0300,HOME OFFICE ALLOC 93704,A81000B,00300,0300,HOME OFFICE ALLOC 93704,A81000C,00100,0100,A 93704,A81000C,00100,0200,CRESCENT HEALT 93704,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93704,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93704,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93704,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93704,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93704,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93704,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93704,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93704,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93704,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93704,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93704,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93704,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93704,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93704,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93704,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93704,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93704,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93704,S000000,00100,0200,06/21/2000 93704,S200000,00100,0100,6312 NORTH PORTLAND 93704,S200000,00200,0100,OKLAHOMA CITY 93704,S200000,00200,0200,OK 93704,S200000,00200,0300,73112- 93704,S200000,00300,0100,OKLAHOMA 93704,S200000,00400,0100,CENTRAL OK CHRISTIAN HOME 93704,S200000,00400,0200,375297 93704,S200000,00400,0300,04/01/1997 93704,S200000,00400,0500,P 93704,S200000,01600,0100,Y 93707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93707,A000000,00300,0000,00300EMPLOYEE BENEFITS 93707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93707,A000000,00700,0000,00700HOUSEKEEPING 93707,A000000,00800,0000,00800DIETARY 93707,A000000,00900,0000,00900NURSING ADMINISTRATION 93707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93707,A000000,01100,0000,01100PHARMACY 93707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93707,A000000,01300,0000,01300SOCIAL SERVICE 93707,A000000,01350,0000,01500OTHER GENERAL SERVICES 93707,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93707,A000000,01600,0000,01600SKILLED NURSING FACILITY 93707,A000000,01800,0000,01800NURSING FACILITY 93707,A000000,01810,0000,01810ICF/MR 93707,A000000,01900,0000,01900OTHER LONG TERM CARE 93707,A000000,02100,0000,02100RADIOLOGY 93707,A000000,02200,0000,02200LABORATORY 93707,A000000,02300,0000,02300INTRAVENOUS THERAPY 93707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93707,A000000,02500,0000,02500PHYSICAL THERAPY 93707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93707,A000000,02700,0000,02700SPEECH PATHOLOGY 93707,A000000,02800,0000,02800ELECTROCARDIOLOGY 93707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93707,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93707,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93707,A000000,03200,0000,03200SUPPORT SURFACES 93707,A000000,03400,0000,03400CLINIC 93707,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93707,A000000,03500,0000,03500RURAL HEALTH CLINIC 93707,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93707,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93707,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93707,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93707,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93707,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93707,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93707,A000000,04400,0000,04400DME RENTED - HHA 93707,A000000,04500,0000,04500DME SOLD - HHA 93707,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93707,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93707,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93707,A000000,04800,0000,04800AMBULANCE 93707,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93707,A000000,05000,0000,05000CORF 93707,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93707,A000000,05300,0000,05300INTEREST EXPENSE 93707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93707,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93707,A000000,05500,0000,05500HOSPICE 93707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93707,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93707,A000000,06100,0000,06100NONPAID WORKERS 93707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93707,A000000,06200,0000,06200PATIENTS LAUNDRY 93707,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 93707,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 93707,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 93707,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 93707,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 93707,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 93707,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 93707,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 93707,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 93707,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 93707,S000000,00100,0200,08/17/2001 93707,S200000,00100,0100,3200 WEST HAYES 93707,S200000,00200,0100,CLINTON 93707,S200000,00200,0200,OK 93707,S200000,00200,0300,73601- 93707,S200000,00300,0100,CUSTER 93707,S200000,00300,0200,37 93707,S200000,00300,0300,R 93707,S200000,00400,0100,PRAIRIE VIEW HEALTH CARE 93707,S200000,00400,0200,375298 93707,S200000,00400,0300,04/01/1997 93707,S200000,00400,0500,P 93707,S200000,01600,0100,Y 93714,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93714,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93714,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93714,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93714,A000000,00300,0000,00300EMPLOYEE BENEFITS 93714,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93714,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93714,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93714,A000000,00700,0000,00700HOUSEKEEPING 93714,A000000,00800,0000,00800DIETARY 93714,A000000,00801,0000,00801CAFETERIA 93714,A000000,00900,0000,00900NURSING ADMINISTRATION 93714,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93714,A000000,01100,0000,01100PHARMACY 93714,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93714,A000000,01300,0000,01300SOCIAL SERVICE 93714,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93714,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93714,A000000,01600,0000,01600SKILLED NURSING FACILITY 93714,A000000,01800,0000,01800NURSING FACILITY 93714,A000000,01900,0000,01900OTHER LONG TERM CARE 93714,A000000,02100,0000,02100RADIOLOGY 93714,A000000,02200,0000,02200LABORATORY 93714,A000000,02300,0000,02300INTRAVENOUS THERAPY 93714,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93714,A000000,02500,0000,02500PHYSICAL THERAPY 93714,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93714,A000000,02700,0000,02700SPEECH PATHOLOGY 93714,A000000,02800,0000,02800ELECTROCARDIOLOGY 93714,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93714,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93714,A000000,03050,0000,03300OTHER ANCILLARY 93714,A000000,03051,0000,03301OTHER ANCILLARY II 93714,A000000,03052,0000,03302OTHER ANCILLARY III 93714,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93714,A000000,03200,0000,03200SUPPORT SURFACES 93714,A000000,03400,0000,03400CLINIC 93714,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93714,A000000,03500,0000,03500RURAL HEALTH CLINIC 93714,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93714,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93714,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93714,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93714,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93714,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93714,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93714,A000000,04400,0000,04400DME RENTED - HHA 93714,A000000,04500,0000,04500DME SOLD - HHA 93714,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93714,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93714,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93714,A000000,04800,0000,04800AMBULANCE 93714,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93714,A000000,05000,0000,05000CORF 93714,A000000,05010,0000,05010CMHC I 93714,A000000,05020,0000,05020OPT I 93714,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93714,A000000,05300,0000,05300INTEREST EXPENSE 93714,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93714,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93714,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93714,A000000,05500,0000,05500HOSPICE 93714,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93714,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93714,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93714,A000000,06100,0000,06100NONPAID WORKERS 93714,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93714,A000000,06200,0000,06200PATIENTS LAUNDRY 93714,A81000A,00100,0100,Y 93714,A81000B,00100,0300,HOME OFFICE ALLOC 93714,A81000B,00200,0300,HOME OFFICE ALLOC 93714,A81000C,00100,0100,A 93714,A81000C,00100,0200,LTC SERVICES 93714,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93714,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93714,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93714,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93714,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93714,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93714,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93714,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93714,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93714,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93714,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93714,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93714,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93714,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93714,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93714,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93714,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93714,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93714,S000000,00100,0200,07/05/2000 93714,S200000,00100,0100,1320 NE 1ST PL 93714,S200000,00200,0100,PRYOR 93714,S200000,00200,0200,OK 93714,S200000,00200,0300,74362- 93714,S200000,00300,0100,MAYES 93714,S200000,00400,0100,COLONIAL TERRACE CARE CTR 93714,S200000,00400,0200,375299 93714,S200000,00400,0300,04/14/1997 93714,S200000,00400,0500,P 93714,S200000,01500,0100,Y 93714,S700003,00000,0400,4 93722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93722,A000000,00300,0000,00300EMPLOYEE BENEFITS 93722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93722,A000000,00700,0000,00700HOUSEKEEPING 93722,A000000,00800,0000,00800DIETARY 93722,A000000,00900,0000,00900NURSING ADMINISTRATION 93722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93722,A000000,01100,0000,01100PHARMACY 93722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93722,A000000,01300,0000,01300SOCIAL SERVICE 93722,A000000,01600,0000,01600SKILLED NURSING FACILITY 93722,A000000,01800,0000,01800NURSING FACILITY 93722,A000000,01900,0000,01900OTHER LONG TERM CARE 93722,A000000,02100,0000,02100RADIOLOGY 93722,A000000,02200,0000,02200LABORATORY 93722,A000000,02300,0000,02300INTRAVENOUS THERAPY 93722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93722,A000000,02500,0000,02500PHYSICAL THERAPY 93722,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93722,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93722,A000000,02700,0000,02700SPEECH PATHOLOGY 93722,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93722,A000000,02800,0000,02800ELECTROCARDIOLOGY 93722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93722,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93722,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93722,A000000,03200,0000,03200SUPPORT SURFACES 93722,A000000,03400,0000,03400CLINIC 93722,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93722,A000000,03500,0000,03500RURAL HEALTH CLINIC 93722,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93722,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93722,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93722,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93722,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93722,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93722,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93722,A000000,04400,0000,04400DME RENTED - HHA 93722,A000000,04500,0000,04500DME SOLD - HHA 93722,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93722,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93722,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93722,A000000,04800,0000,04800AMBULANCE 93722,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93722,A000000,05000,0000,05000CORF 93722,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93722,A000000,05300,0000,05300INTEREST EXPENSE 93722,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93722,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93722,A000000,05500,0000,05500HOSPICE 93722,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93722,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93722,A000000,06100,0000,06100NONPAID WORKERS 93722,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93722,A000000,06200,0000,06200PATIENTS LAUNDRY 93722,A81000A,00100,0100,Y 93722,A81000B,00100,0300,CENTRAL MGMT MAINT FEES 93722,A81000B,00200,0300,CENTRAL MGMT MAINT FEES 93722,A81000C,00100,0100,A 93722,A81000C,00100,0200,JOHN SMART 93722,A81000C,00100,0400,J SMART CO 93722,A81000C,00100,0600,MANAGEMENT CO 93722,A81000C,00200,0100,A 93722,A81000C,00200,0200,JIM SMART 93722,A81000C,00200,0400,J SMART CO 93722,A81000C,00200,0600,MANAGEMENT CO 93722,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93722,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93722,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93722,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93722,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93722,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93722,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93722,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93722,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93722,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93722,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93722,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93722,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93722,S000000,00100,0200,06/01/2000 93722,S200000,00100,0100,1400 WEST FIRST STREET 93722,S200000,00200,0100,WEWOKA 93722,S200000,00200,0200,OK 93722,S200000,00200,0300,74884- 93722,S200000,00300,0100,SEMINOLE 93722,S200000,00400,0100,WEWOKA NURSING CENTER 93722,S200000,00400,0200,375303 93722,S200000,00400,0300,04/27/1997 93722,S200000,00400,0500,P 93722,S200000,01500,0100,Y 93731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93731,A000000,00300,0000,00300EMPLOYEE BENEFITS 93731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93731,A000000,00700,0000,00700HOUSEKEEPING 93731,A000000,00800,0000,00800DIETARY 93731,A000000,00900,0000,00900NURSING ADMINISTRATION 93731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93731,A000000,01100,0000,01100PHARMACY 93731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93731,A000000,01300,0000,01300SOCIAL SERVICE 93731,A000000,01600,0000,01600SKILLED NURSING FACILITY 93731,A000000,01800,0000,01800NURSING FACILITY 93731,A000000,02100,0000,02100RADIOLOGY 93731,A000000,02200,0000,02200LABORATORY 93731,A000000,02300,0000,02300INTRAVENOUS THERAPY 93731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93731,A000000,02500,0000,02500PHYSICAL THERAPY 93731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93731,A000000,02700,0000,02700SPEECH PATHOLOGY 93731,A000000,02800,0000,02800ELECTROCARDIOLOGY 93731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93731,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93731,A000000,03200,0000,03200SUPPORT SURFACES 93731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93731,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93731,A000000,06100,0000,06100NONPAID WORKERS 93731,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93731,A000000,06200,0000,06200PATIENTS LAUNDRY 93731,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 93731,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 93731,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 93731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93731,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 93731,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 93731,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 93731,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 93731,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 93731,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 93731,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 93731,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 93731,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 93731,S000000,00100,0200,05/31/2000 93731,S200000,00100,0300,465 93731,S200000,00200,0100,SAYRE 93731,S200000,00200,0200,OK 93731,S200000,00200,0300,73662- 93731,S200000,00300,0100,BECKHAM 93731,S200000,00400,0100,HENSLEYS NURSING CENTER 93731,S200000,00400,0200,375307 93731,S200000,00400,0300,05/01/1997 93731,S200000,00400,0500,P 93731,S200000,01600,0100,Y 93731,S700003,00000,0400,4 93737,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93737,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93737,A000000,00300,0000,00300EMPLOYEE BENEFITS 93737,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93737,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93737,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93737,A000000,00700,0000,00700HOUSEKEEPING 93737,A000000,00800,0000,00800DIETARY 93737,A000000,00900,0000,00900NURSING ADMINISTRATION 93737,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93737,A000000,01100,0000,01100PHARMACY 93737,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93737,A000000,01300,0000,01300SOCIAL SERVICE 93737,A000000,01350,0000,01500OTHER GENERAL SERVICES 93737,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93737,A000000,01600,0000,01600SKILLED NURSING FACILITY 93737,A000000,01800,0000,01800NURSING FACILITY 93737,A000000,01810,0000,01801ICF/MR 93737,A000000,01900,0000,01900OTHER LONG TERM CARE 93737,A000000,02100,0000,02100RADIOLOGY 93737,A000000,02200,0000,02200LABORATORY 93737,A000000,02300,0000,02300INTRAVENOUS THERAPY 93737,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93737,A000000,02500,0000,02500PHYSICAL THERAPY 93737,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93737,A000000,02700,0000,02700SPEECH PATHOLOGY 93737,A000000,02800,0000,02800ELECTROCARDIOLOGY 93737,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93737,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93737,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93737,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93737,A000000,03200,0000,03200SUPPORT SURFACES 93737,A000000,03400,0000,03400CLINIC 93737,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93737,A000000,03500,0000,03500RURAL HEALTH CLINIC 93737,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93737,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93737,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93737,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93737,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93737,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93737,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93737,A000000,04400,0000,04400DME RENTED - HHA 93737,A000000,04500,0000,04500DME SOLD - HHA 93737,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93737,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93737,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93737,A000000,04800,0000,04800AMBULANCE 93737,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93737,A000000,05000,0000,05000CORF 93737,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93737,A000000,05300,0000,05300INTEREST EXPENSE 93737,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93737,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93737,A000000,05500,0000,05500HOSPICE 93737,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93737,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93737,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93737,A000000,06100,0000,06100NONPAID WORKERS 93737,A000000,06150,0000,06300TUBE FEEDING 93737,A000000,06200,0000,06200PATIENTS LAUNDRY 93737,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93737,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93737,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93737,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93737,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93737,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93737,B100000,00000,0750,00000MOD. SQUARE :HOUSEKEEPING 93737,B100000,00000,0800,00000MEALS SERVED :DIETARY 93737,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 93737,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93737,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93737,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93737,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93737,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93737,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93737,S000000,00100,0200,06/08/2000 93737,S200000,00100,0100,632 SE 3RD STREET 93737,S200000,00200,0100,LEXINGTON 93737,S200000,00200,0200,OK 93737,S200000,00200,0300,73051- 93737,S200000,00300,0100,CLEVELAND 93737,S200000,00400,0100,LEXINGTON NURSING HOME 93737,S200000,00400,0200,375308 93737,S200000,00400,0300,06/01/1997 93737,S200000,00400,0500,P 93737,S200000,01004,0500,O 93737,S200000,01600,0100,Y 93737,S700003,00000,0400,4 93741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93741,A000000,00300,0000,00300EMPLOYEE BENEFITS 93741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93741,A000000,00700,0000,00700HOUSEKEEPING 93741,A000000,00800,0000,00800DIETARY 93741,A000000,00900,0000,00900NURSING ADMINISTRATION 93741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93741,A000000,01100,0000,01100PHARMACY 93741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93741,A000000,01300,0000,01300SOCIAL SERVICE 93741,A000000,01600,0000,01600SKILLED NURSING FACILITY 93741,A000000,01800,0000,01800NURSING FACILITY 93741,A000000,02500,0000,02500PHYSICAL THERAPY 93741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93741,A000000,02700,0000,02700SPEECH PATHOLOGY 93741,A000000,02800,0000,02800ELECTROCARDIOLOGY 93741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93741,A000000,05300,0000,05300INTEREST EXPENSE 93741,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93741,A81000A,00100,0100,Y 93741,A81000B,00100,0300,ADMINISTRATIVE EXPENSES 93741,A81000C,00100,0100,A 93741,A81000C,00100,0200,RM&G INC 93741,A81000C,00200,0100,A 93741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93741,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93741,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93741,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93741,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93741,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93741,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93741,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93741,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93741,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93741,S000000,00100,0200,06/01/2000 93741,S200000,00100,0100,615 EAST MORRIS STREET 93741,S200000,00200,0100,MCALESTER 93741,S200000,00200,0200,OK 93741,S200000,00200,0300,74501- 93741,S200000,00300,0100,PITTSBURG 93741,S200000,00400,0100,HEARTLAND OF MCALESTER 93741,S200000,00400,0200,375309 93741,S200000,00400,0300,07/01/1997 93741,S200000,00400,0500,P 93741,S200000,01500,0100,Y 93741,S700003,00000,0400,4 93744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93744,A000000,00300,0000,00300EMPLOYEE BENEFITS 93744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93744,A000000,00700,0000,00700HOUSEKEEPING 93744,A000000,00800,0000,00800DIETARY 93744,A000000,00900,0000,00900NURSING ADMINISTRATION 93744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93744,A000000,01100,0000,01100PHARMACY 93744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93744,A000000,01300,0000,01300SOCIAL SERVICE 93744,A000000,01350,0000,01500OTHER GENERAL SERVICES 93744,A000000,01600,0000,01600SKILLED NURSING FACILITY 93744,A000000,01800,0000,01800NURSING FACILITY 93744,A000000,01900,0000,01900OTHER LONG TERM CARE 93744,A000000,02100,0000,02100RADIOLOGY 93744,A000000,02200,0000,02200LABORATORY 93744,A000000,02300,0000,02300INTRAVENOUS THERAPY 93744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93744,A000000,02500,0000,02500PHYSICAL THERAPY 93744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93744,A000000,02700,0000,02700SPEECH PATHOLOGY 93744,A000000,02800,0000,02800ELECTROCARDIOLOGY 93744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93744,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93744,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93744,A000000,03200,0000,03200SUPPORT SURFACES 93744,A000000,03400,0000,03400CLINIC 93744,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93744,A000000,03500,0000,03500RURAL HEALTH CLINIC 93744,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93744,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93744,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93744,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93744,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93744,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93744,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93744,A000000,04400,0000,04400DME RENTED - HHA 93744,A000000,04500,0000,04500DME SOLD - HHA 93744,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93744,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93744,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93744,A000000,04800,0000,04800AMBULANCE 93744,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93744,A000000,05000,0000,05000CORF 93744,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93744,A000000,05300,0000,05300INTEREST EXPENSE 93744,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93744,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93744,A000000,05500,0000,05500HOSPICE 93744,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93744,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93744,A000000,06100,0000,06100NONPAID WORKERS 93744,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93744,A000000,06200,0000,06200PATIENTS LAUNDRY 93744,A81000A,00100,0100,Y 93744,A81000B,00100,0300,PLANT OPERATION MAINT. & H.O. ALLOC 93744,A81000B,00200,0300,PT- RED RIVER REHAB 93744,A81000B,00300,0300,PT- RED RIVER REHAB 93744,A81000B,00400,0300,ST- RED RIVER REHAB 93744,A81000C,00100,0100,B 93744,A81000C,00100,0200,RED RIVER MANAGEMENT 93744,A81000C,00200,0100,A 93744,A81000C,00200,0200,RED RIVER REHABILITATION 93744,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93744,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93744,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93744,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93744,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93744,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93744,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93744,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93744,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93744,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93744,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93744,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93744,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93744,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93744,S000000,00100,0200,05/30/2000 93744,S200000,00100,0100,401 SE DOLSTON DRIVE 93744,S200000,00200,0100,MARIETTA 93744,S200000,00200,0200,OK 93744,S200000,00200,0300,73446- 93744,S200000,00300,0100,LOVE 93744,S200000,00400,0100,LAKE COUNTRY MANOR 93744,S200000,00400,0200,375310 93744,S200000,00400,0300,08/01/1997 93744,S200000,00400,0500,P 93744,S200000,01600,0100,Y 93744,S700003,00000,0400,4 93751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93751,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93751,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93751,A000000,00300,0000,00300EMPLOYEE BENEFITS 93751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93751,A000000,00700,0000,00700HOUSEKEEPING 93751,A000000,00800,0000,00800DIETARY 93751,A000000,00801,0000,00801CAFETERIA 93751,A000000,00900,0000,00900NURSING ADMINISTRATION 93751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93751,A000000,01100,0000,01100PHARMACY 93751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93751,A000000,01300,0000,01300SOCIAL SERVICE 93751,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93751,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93751,A000000,01600,0000,01600SKILLED NURSING FACILITY 93751,A000000,01800,0000,01800NURSING FACILITY 93751,A000000,01900,0000,01900OTHER LONG TERM CARE 93751,A000000,02100,0000,02100RADIOLOGY 93751,A000000,02200,0000,02200LABORATORY 93751,A000000,02300,0000,02300INTRAVENOUS THERAPY 93751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93751,A000000,02500,0000,02500PHYSICAL THERAPY 93751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93751,A000000,02700,0000,02700SPEECH PATHOLOGY 93751,A000000,02800,0000,02800ELECTROCARDIOLOGY 93751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93751,A000000,03050,0000,03300OTHER ANCILLARY 93751,A000000,03051,0000,03301OTHER ANCILLARY II 93751,A000000,03052,0000,03302OTHER ANCILLARY III 93751,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93751,A000000,03200,0000,03200SUPPORT SURFACES 93751,A000000,03400,0000,03400CLINIC 93751,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93751,A000000,03500,0000,03500RURAL HEALTH CLINIC 93751,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93751,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93751,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93751,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93751,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93751,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93751,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93751,A000000,04400,0000,04400DME RENTED - HHA 93751,A000000,04500,0000,04500DME SOLD - HHA 93751,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93751,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93751,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93751,A000000,04800,0000,04800AMBULANCE 93751,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93751,A000000,05000,0000,05000CORF 93751,A000000,05010,0000,05010CMHC I 93751,A000000,05020,0000,05020OPT I 93751,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93751,A000000,05300,0000,05300INTEREST EXPENSE 93751,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93751,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93751,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93751,A000000,05500,0000,05500HOSPICE 93751,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93751,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93751,A000000,06100,0000,06100NONPAID WORKERS 93751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93751,A000000,06200,0000,06200PATIENTS LAUNDRY 93751,A81000A,00100,0100,Y 93751,A81000B,00100,0300,HOME OFFICE ALLOC 93751,A81000B,00200,0300,HOME OFFICE ALLOC 93751,A81000C,00100,0100,A 93751,A81000C,00100,0200,LTC SERVICES 93751,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93751,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93751,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93751,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93751,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93751,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93751,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93751,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93751,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93751,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93751,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93751,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93751,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93751,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93751,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93751,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93751,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93751,S000000,00100,0200,06/13/2000 93751,S200000,00100,0100,501 E. MAIN 93751,S200000,00200,0100,ANTLERS 93751,S200000,00200,0200,OK 93751,S200000,00200,0300,74523- 93751,S200000,00300,0100,PUSHMATAHA 93751,S200000,00400,0100,ANTLERS NURSING HOME 93751,S200000,00400,0200,375313 93751,S200000,00400,0300,07/07/1997 93751,S200000,00400,0500,P 93751,S200000,01600,0100,Y 93751,S700003,00000,0400,4 93758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93758,A000000,00300,0000,00300EMPLOYEE BENEFITS 93758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93758,A000000,00700,0000,00700HOUSEKEEPING 93758,A000000,00800,0000,00800DIETARY 93758,A000000,00900,0000,00900NURSING ADMINISTRATION 93758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93758,A000000,01300,0000,01300SOCIAL SERVICE 93758,A000000,01600,0000,01600SKILLED NURSING FACILITY 93758,A000000,01800,0000,01800NURSING FACILITY 93758,A000000,02100,0000,02100RADIOLOGY 93758,A000000,02200,0000,02200LABORATORY 93758,A000000,02300,0000,02300INTRAVENOUS THERAPY 93758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93758,A000000,02500,0000,02500PHYSICAL THERAPY 93758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93758,A000000,02700,0000,02700SPEECH PATHOLOGY 93758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93758,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93758,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93758,B100000,00000,0800,00000MEALS SERVED :DIETARY 93758,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93758,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93758,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93758,S000000,00100,0200,05/31/2000 93758,S200000,00100,0100,1215 NE 34TH STREET 93758,S200000,00200,0100,OKLAHOMA CITY 93758,S200000,00200,0200,OK 93758,S200000,00200,0300,73111- 93758,S200000,00300,0100,OKLAHOMA 93758,S200000,00400,0100,ALVIRA HEIGHTS 93758,S200000,00400,0200,375315 93758,S200000,00400,0300,01/01/1997 93758,S200000,00400,0500,P 93758,S200000,01600,0100,Y 93758,S700003,00000,0400,4 93762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93762,A000000,00300,0000,00300EMPLOYEE BENEFITS 93762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93762,A000000,00700,0000,00700HOUSEKEEPING 93762,A000000,00800,0000,00800DIETARY 93762,A000000,00900,0000,00900NURSING ADMINISTRATION 93762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93762,A000000,01100,0000,01100PHARMACY 93762,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93762,A000000,01300,0000,01300SOCIAL SERVICE 93762,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93762,A000000,01600,0000,01600SKILLED NURSING FACILITY 93762,A000000,01800,0000,01800NURSING FACILITY 93762,A000000,01810,0000,01810ICF/MR 93762,A000000,01900,0000,01900OTHER LONG TERM CARE 93762,A000000,02100,0000,02100RADIOLOGY 93762,A000000,02200,0000,02200LABORATORY 93762,A000000,02300,0000,02300INTRAVENOUS THERAPY 93762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93762,A000000,02500,0000,02500PHYSICAL THERAPY 93762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93762,A000000,02700,0000,02700SPEECH PATHOLOGY 93762,A000000,02800,0000,02800ELECTROCARDIOLOGY 93762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93762,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93762,A000000,03200,0000,03200SUPPORT SURFACES 93762,A000000,03400,0000,03400CLINIC 93762,A000000,03500,0000,03500RURAL HEALTH CLINIC 93762,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 93762,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93762,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93762,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93762,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93762,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93762,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93762,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93762,A000000,04400,0000,04400DME RENTED - HHA 93762,A000000,04500,0000,04500DME SOLD - HHA 93762,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93762,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93762,A000000,04800,0000,04800AMBULANCE 93762,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93762,A000000,05000,0000,05000CORF 93762,A000000,05010,0000,05010CMHC 93762,A000000,05020,0000,05020OPT 93762,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 93762,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 93762,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93762,A000000,05300,0000,05300INTEREST EXPENSE 93762,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93762,A000000,05500,0000,05500HOSPICE 93762,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93762,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93762,A000000,06100,0000,06100NONPAID WORKERS 93762,A000000,06200,0000,06200PATIENTS LAUNDRY 93762,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93762,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93762,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93762,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93762,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 93762,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 93762,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93762,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 93762,S000000,00100,0200,12/11/2000 93762,S200000,00100,0100,6TH & WOODLAND 93762,S200000,00100,0300,P. O. BOX 111 93762,S200000,00200,0100,EUFAULA 93762,S200000,00200,0200,OK 93762,S200000,00200,0300,74432- 93762,S200000,00300,0100,MCINTOSH 93762,S200000,00300,0200,37 93762,S200000,00300,0300,R 93762,S200000,00400,0100,WELLINGTON HILSS NC 93762,S200000,00400,0200,375316 93762,S200000,00400,0300,08/01/1997 93762,S200000,00400,0500,P 93762,S200000,01004,0500,O 93762,S200000,01600,0100,Y 93766,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93766,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93766,A000000,00300,0000,00300EMPLOYEE BENEFITS 93766,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93766,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93766,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93766,A000000,00700,0000,00700HOUSEKEEPING 93766,A000000,00800,0000,00800DIETARY 93766,A000000,00900,0000,00900NURSING ADMINISTRATION 93766,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93766,A000000,01100,0000,01100PHARMACY 93766,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93766,A000000,01300,0000,01300SOCIAL SERVICE 93766,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93766,A000000,01600,0000,01600SKILLED NURSING FACILITY 93766,A000000,01800,0000,01800NURSING FACILITY 93766,A000000,01810,0000,01810ICF/MR 93766,A000000,01900,0000,01900OTHER LONG TERM CARE 93766,A000000,02100,0000,02100RADIOLOGY 93766,A000000,02200,0000,02200LABORATORY 93766,A000000,02300,0000,02300INTRAVENOUS THERAPY 93766,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93766,A000000,02500,0000,02500PHYSICAL THERAPY 93766,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93766,A000000,02700,0000,02700SPEECH PATHOLOGY 93766,A000000,02800,0000,02800ELECTROCARDIOLOGY 93766,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93766,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93766,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93766,A000000,03200,0000,03200SUPPORT SURFACES 93766,A000000,03400,0000,03400CLINIC 93766,A000000,03500,0000,03500RURAL HEALTH CLINIC 93766,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 93766,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93766,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93766,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93766,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93766,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93766,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93766,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93766,A000000,04400,0000,04400DME RENTED - HHA 93766,A000000,04500,0000,04500DME SOLD - HHA 93766,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93766,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93766,A000000,04800,0000,04800AMBULANCE 93766,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93766,A000000,05000,0000,05000CORF 93766,A000000,05010,0000,05010CMHC 93766,A000000,05020,0000,05020OPT 93766,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 93766,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 93766,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93766,A000000,05300,0000,05300INTEREST EXPENSE 93766,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93766,A000000,05500,0000,05500HOSPICE 93766,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93766,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93766,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93766,A000000,06100,0000,06100NONPAID WORKERS 93766,A000000,06200,0000,06200PATIENTS LAUNDRY 93766,A81000A,00100,0100,Y 93766,A81000B,00100,0300,RENT 93766,A81000C,00100,0100,A 93766,A81000C,00100,0200,CHARLES HARDY 93766,A81000C,00100,0400,CHARLES HARDY ENT 93766,A81000C,00100,0600,RENTAL 93766,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93766,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93766,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93766,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93766,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93766,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 93766,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 93766,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93766,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 93766,S000000,00100,0200,05/26/2000 93766,S200000,00100,0100,411 NORTH WEST STREET 93766,S200000,00200,0100,MCALESTER 93766,S200000,00200,0200,OK 93766,S200000,00200,0300,74501- 93766,S200000,00300,0100,PITTSBURG 93766,S200000,00300,0200,37 93766,S200000,00300,0300,R 93766,S200000,00400,0100,HERITAGE HILLS NURSING CENTER 93766,S200000,00400,0200,375317 93766,S200000,00400,0300,08/01/1997 93766,S200000,00400,0500,P 93766,S200000,01004,0500,O 93766,S200000,01600,0100,Y 93773,S000000,00100,0200,06/05/2000 93778,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93778,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93778,A000000,00300,0000,00300EMPLOYEE BENEFITS 93778,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93778,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93778,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93778,A000000,00700,0000,00700HOUSEKEEPING 93778,A000000,00800,0000,00800DIETARY 93778,A000000,00900,0000,00900NURSING ADMINISTRATION 93778,A000000,01300,0000,01300SOCIAL SERVICE 93778,A000000,01600,0000,01600SKILLED NURSING FACILITY 93778,A000000,01800,0000,01800NURSING FACILITY 93778,A000000,02100,0000,02100RADIOLOGY 93778,A000000,02200,0000,02200LABORATORY 93778,A000000,02300,0000,02300INTRAVENOUS THERAPY 93778,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93778,A000000,02500,0000,02500PHYSICAL THERAPY 93778,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93778,A000000,02700,0000,02700SPEECH PATHOLOGY 93778,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93778,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93778,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93778,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93778,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93778,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93778,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93778,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93778,B100000,00000,0800,00000MEALS SERVED :DIETARY 93778,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93778,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93778,S000000,00100,0200,05/31/2000 93778,S200000,00100,0100,600 E. CALIFORNIA 93778,S200000,00100,0300,PO BOX 246 93778,S200000,00200,0100,WALTERS 93778,S200000,00200,0200,OK 93778,S200000,00200,0300,73527- 93778,S200000,00300,0100,COTTON 93778,S200000,00300,0200,37 93778,S200000,00300,0300,R 93778,S200000,00400,0100,PARK VIEW MANOR 93778,S200000,00400,0200,375319 93778,S200000,00400,0300,11/01/1997 93778,S200000,00400,0500,P 93778,S200000,01600,0100,Y 93781,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93781,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93781,A000000,00300,0000,00300EMPLOYEE BENEFITS 93781,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93781,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93781,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93781,A000000,00700,0000,00700HOUSEKEEPING 93781,A000000,00800,0000,00800DIETARY 93781,A000000,00900,0000,00900NURSING ADMINISTRATION 93781,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93781,A000000,01100,0000,01100PHARMACY 93781,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93781,A000000,01300,0000,01300SOCIAL SERVICE 93781,A000000,01600,0000,01600SKILLED NURSING FACILITY 93781,A000000,01800,0000,01800NURSING FACILITY 93781,A000000,02100,0000,02100RADIOLOGY 93781,A000000,02200,0000,02200LABORATORY 93781,A000000,02500,0000,02500PHYSICAL THERAPY 93781,A000000,02501,0000,02501PHYSICAL THERAPY PT B 93781,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93781,A000000,02601,0000,02601OCCUPATIONAL THERAPY PT B 93781,A000000,02700,0000,02700SPEECH PATHOLOGY 93781,A000000,02701,0000,02701SPEECH PATHOLOGY PT B 93781,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93781,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93781,A000000,05300,0000,05300INTEREST EXPENSE 93781,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93781,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93781,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93781,A000000,06100,0000,06100NONPAID WORKERS 93781,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93781,A000000,06200,0000,06200PATIENTS LAUNDRY 93781,A81000A,00100,0100,Y 93781,A81000B,00100,0300,HOME OFFICE A&G ALLOCATION 93781,A81000B,00200,0300,CRC BUILDINGS 93781,A81000C,00100,0100,A 93781,A81000C,00100,0200,JOSEPH H HAMRA 93781,A81000C,00100,0400,GOLD MEDALLION 93781,A81000C,00100,0600,MANAGEMENT 93781,A81000C,00200,0100,A 93781,A81000C,00200,0200,MURIEL HAMRA 93781,A81000C,00200,0400,GOLD MEDALLION 93781,A81000C,00200,0600,MANAGEMENT 93781,A81000C,00300,0100,A 93781,A81000C,00300,0200,JOSEPH HAMRA JR. 93781,A81000C,00300,0400,GOLD MEDALLION 93781,A81000C,00300,0600,MANAGEMENT 93781,A81000C,00400,0100,A 93781,A81000C,00400,0200,DIANE HAMBRIC 93781,A81000C,00400,0400,GOLD MEDALLION 93781,A81000C,00400,0600,MANAGEMENT 93781,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93781,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93781,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93781,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93781,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93781,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93781,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93781,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93781,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93781,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93781,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93781,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93781,E10A180,00501,0100,07/12/2001 93781,E10A180,00501,0300,07/12/2001 93781,S000000,00100,0200,06/01/2000 93781,S200000,00100,0100,111 EAST WASHINGTON 93781,S200000,00100,0300,1219 93781,S200000,00200,0100,BRISTOW 93781,S200000,00200,0200,OK 93781,S200000,00200,0300,74010- 93781,S200000,00300,0100,CREEK 93781,S200000,00300,0200,8560 93781,S200000,00300,0300,U 93781,S200000,00400,0100,RAINBOW HEALTHCARE CENTER 93781,S200000,00400,0200,375320 93781,S200000,00400,0300,12/01/1997 93781,S200000,00400,0500,P 93781,S200000,01600,0100,Y 93790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93790,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93790,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93790,A000000,00300,0000,00300EMPLOYEE BENEFITS 93790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93790,A000000,00700,0000,00700HOUSEKEEPING 93790,A000000,00800,0000,00800DIETARY 93790,A000000,00801,0000,00801CAFETERIA 93790,A000000,00900,0000,00900NURSING ADMINISTRATION 93790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93790,A000000,01100,0000,01100PHARMACY 93790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93790,A000000,01300,0000,01300SOCIAL SERVICE 93790,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93790,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93790,A000000,01600,0000,01600SKILLED NURSING FACILITY 93790,A000000,01800,0000,01800NURSING FACILITY 93790,A000000,01900,0000,01900OTHER LONG TERM CARE 93790,A000000,02100,0000,02100RADIOLOGY 93790,A000000,02200,0000,02200LABORATORY 93790,A000000,02300,0000,02300INTRAVENOUS THERAPY 93790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93790,A000000,02500,0000,02500PHYSICAL THERAPY 93790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93790,A000000,02700,0000,02700SPEECH PATHOLOGY 93790,A000000,02800,0000,02800ELECTROCARDIOLOGY 93790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93790,A000000,03050,0000,03300OTHER ANCILLARY 93790,A000000,03051,0000,03301OTHER ANCILLARY II 93790,A000000,03052,0000,03302OTHER ANCILLARY III 93790,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93790,A000000,03200,0000,03200SUPPORT SURFACES 93790,A000000,03400,0000,03400CLINIC 93790,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93790,A000000,03500,0000,03500RURAL HEALTH CLINIC 93790,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93790,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93790,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93790,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93790,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93790,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93790,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93790,A000000,04400,0000,04400DME RENTED - HHA 93790,A000000,04500,0000,04500DME SOLD - HHA 93790,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93790,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93790,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93790,A000000,04800,0000,04800AMBULANCE 93790,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93790,A000000,05000,0000,05000CORF 93790,A000000,05010,0000,05010CMHC I 93790,A000000,05020,0000,05020OPT I 93790,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93790,A000000,05300,0000,05300INTEREST EXPENSE 93790,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93790,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93790,A000000,05500,0000,05500HOSPICE 93790,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93790,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93790,A000000,06100,0000,06100NONPAID WORKERS 93790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93790,A000000,06200,0000,06200PATIENTS LAUNDRY 93790,A81000A,00100,0100,Y 93790,A81000B,00100,0300,HOME OFFICE ALLOC 93790,A81000B,00200,0300,HOME OFFICE ALLOC 93790,A81000C,00100,0100,A 93790,A81000C,00100,0200,LTC SERVICES 93790,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93790,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93790,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93790,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93790,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93790,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93790,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93790,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93790,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93790,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93790,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93790,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93790,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93790,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93790,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93790,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93790,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93790,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93790,S000000,00100,0200,07/10/2000 93790,S200000,00100,0100,319 N. OWEN WALTERS 93790,S200000,00100,0300,357 93790,S200000,00200,0100,SALINA 93790,S200000,00200,0200,OK 93790,S200000,00200,0300,74365- 93790,S200000,00300,0100,MAYES 93790,S200000,00400,0100,PARKHILL NORTH 93790,S200000,00400,0200,375322 93790,S200000,00400,0300,10/21/1997 93790,S200000,00400,0500,P 93790,S200000,01500,0100,Y 93790,S700003,00000,0400,4 93798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93798,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93798,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93798,A000000,00300,0000,00300EMPLOYEE BENEFITS 93798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93798,A000000,00700,0000,00700HOUSEKEEPING 93798,A000000,00800,0000,00800DIETARY 93798,A000000,00801,0000,00801CAFETERIA 93798,A000000,00900,0000,00900NURSING ADMINISTRATION 93798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93798,A000000,01100,0000,01100PHARMACY 93798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93798,A000000,01300,0000,01300SOCIAL SERVICE 93798,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93798,A000000,01600,0000,01600SKILLED NURSING FACILITY 93798,A000000,01800,0000,01800NURSING FACILITY 93798,A000000,01900,0000,01900OTHER LONG TERM CARE 93798,A000000,02100,0000,02100RADIOLOGY 93798,A000000,02200,0000,02200LABORATORY 93798,A000000,02300,0000,02300INTRAVENOUS THERAPY 93798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93798,A000000,02500,0000,02500PHYSICAL THERAPY 93798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93798,A000000,02700,0000,02700SPEECH PATHOLOGY 93798,A000000,02800,0000,02800ELECTROCARDIOLOGY 93798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93798,A000000,03050,0000,03300OTHER ANCILLARY 93798,A000000,03051,0000,03301OTHER ANCILLARY II 93798,A000000,03052,0000,03302OTHER ANCILLARY III 93798,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93798,A000000,03200,0000,03200SUPPORT SURFACES 93798,A000000,03400,0000,03400CLINIC 93798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93798,A000000,03500,0000,03500RURAL HEALTH CLINIC 93798,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93798,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93798,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93798,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93798,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93798,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93798,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93798,A000000,04400,0000,04400DME RENTED - HHA 93798,A000000,04500,0000,04500DME SOLD - HHA 93798,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93798,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93798,A000000,04800,0000,04800AMBULANCE 93798,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93798,A000000,05000,0000,05000CORF 93798,A000000,05010,0000,05010CMHC I 93798,A000000,05020,0000,05020OPT I 93798,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93798,A000000,05300,0000,05300INTEREST EXPENSE 93798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93798,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93798,A000000,05500,0000,05500HOSPICE 93798,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93798,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93798,A000000,06100,0000,06100NONPAID WORKERS 93798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93798,A000000,06200,0000,06200PATIENTS LAUNDRY 93798,A81000A,00100,0100,Y 93798,A81000B,00100,0300,HOME OFFICE ALLOC 93798,A81000B,00200,0300,HOME OFFICE ALLOC 93798,A81000C,00100,0100,A 93798,A81000C,00100,0200,LTC SERVICES 93798,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93798,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93798,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93798,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93798,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93798,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93798,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93798,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93798,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93798,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93798,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93798,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93798,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93798,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93798,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93798,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93798,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93798,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93798,S000000,00100,0200,07/13/2000 93798,S200000,00100,0300,578 93798,S200000,00200,0100,LOCUST GROVE 93798,S200000,00200,0200,OK 93798,S200000,00200,0300,74352- 93798,S200000,00300,0100,MAYES 93798,S200000,00400,0100,PARKHILL SOUTH NURSING HOME 93798,S200000,00400,0200,375323 93798,S200000,00400,0300,10/21/1997 93798,S200000,00400,0500,P 93798,S200000,01600,0100,Y 93798,S700003,00000,0400,4 93804,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93804,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93804,A000000,00300,0000,00300EMPLOYEE BENEFITS 93804,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93804,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93804,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93804,A000000,00700,0000,00700HOUSEKEEPING 93804,A000000,00800,0000,00800DIETARY 93804,A000000,00900,0000,00900NURSING ADMINISTRATION 93804,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93804,A000000,01100,0000,01100PHARMACY 93804,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93804,A000000,01300,0000,01300SOCIAL SERVICE 93804,A000000,01600,0000,01600SKILLED NURSING FACILITY 93804,A000000,01800,0000,01800NURSING FACILITY 93804,A000000,02100,0000,02100RADIOLOGY 93804,A000000,02200,0000,02200LABORATORY 93804,A000000,02500,0000,02500PHYSICAL THERAPY 93804,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93804,A000000,02700,0000,02700SPEECH PATHOLOGY 93804,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93804,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93804,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93804,A81000A,00100,0100,Y 93804,A81000B,00100,0300,CRC - BLDG 93804,A81000B,00200,0300,CRC - MME 93804,A81000B,00300,0300,HOME OFFICE A&G 93804,A81000B,00400,0300,EE BENEFITS 93804,A81000C,00100,0100,B 93804,A81000C,00100,0200,CHEROKEE COUNTY NURSING C 93804,A81000C,00100,0400,CENTRAL AR NURSING CENTER 93804,A81000C,00100,0600,HOME OFFICE 93804,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93804,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93804,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93804,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93804,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93804,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93804,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93804,B100000,00000,0800,00000MEALS SERVED :DIETARY 93804,B100000,00000,0900,00000HOURS SUPERVISED :NURSING ADMINIST 93804,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93804,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93804,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 93804,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93804,S000000,00100,0200,05/26/2000 93804,S200000,00100,0100,1501 N. CEDAR AVE 93804,S200000,00100,0300,1415 93804,S200000,00200,0100,TAHLEQUAH 93804,S200000,00200,0200,OK 93804,S200000,00200,0300,74464- 93804,S200000,00300,0100,CHEROKEE 93804,S200000,00400,0100,CHEROKKE COUNTY NURSING CENTER 93804,S200000,00400,0200,375324 93804,S200000,00400,0300,01/01/1998 93804,S200000,00400,0500,P 93804,S200000,01600,0100,Y 93804,S700003,00000,0400,4 93809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93809,A000000,00300,0000,00300EMPLOYEE BENEFITS 93809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93809,A000000,00700,0000,00700HOUSEKEEPING 93809,A000000,00800,0000,00800DIETARY 93809,A000000,00900,0000,00900NURSING ADMINISTRATION 93809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93809,A000000,01100,0000,01100PHARMACY 93809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93809,A000000,01300,0000,01300SOCIAL SERVICE 93809,A000000,01600,0000,01600SKILLED NURSING FACILITY 93809,A000000,01800,0000,01800NURSING FACILITY 93809,A000000,01900,0000,01900OTHER LONG TERM CARE 93809,A000000,02100,0000,02100RADIOLOGY 93809,A000000,02200,0000,02200LABORATORY 93809,A000000,02300,0000,02300INTRAVENOUS THERAPY 93809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93809,A000000,02500,0000,02500PHYSICAL THERAPY 93809,A000000,02501,0000,02501PHYSICAL THERAPY PT B 93809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93809,A000000,02601,0000,02601OCCUPATIONAL THERAPY PT B 93809,A000000,02700,0000,02700SPEECH PATHOLOGY 93809,A000000,02701,0000,02701SPEECH PATHOLOGY PT B 93809,A000000,02800,0000,02800ELECTROCARDIOLOGY 93809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93809,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93809,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93809,A000000,03200,0000,03200SUPPORT SURFACES 93809,A000000,03400,0000,03400CLINIC 93809,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93809,A000000,03500,0000,03500RURAL HEALTH CLINIC 93809,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93809,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93809,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93809,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93809,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93809,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93809,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93809,A000000,04400,0000,04400DME RENTED - HHA 93809,A000000,04500,0000,04500DME SOLD - HHA 93809,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93809,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93809,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93809,A000000,04800,0000,04800AMBULANCE 93809,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93809,A000000,05000,0000,05000CORF 93809,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93809,A000000,05300,0000,05300INTEREST EXPENSE 93809,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93809,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93809,A000000,05500,0000,05500HOSPICE 93809,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93809,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93809,A000000,06100,0000,06100NONPAID WORKERS 93809,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93809,A000000,06200,0000,06200PATIENTS LAUNDRY 93809,A81000A,00100,0100,Y 93809,A81000B,00100,0300,CENTRAL MGMT MGMT FEES 93809,A81000B,00200,0300,CENTRAL MGMT MAINT FEES 93809,A81000C,00100,0100,A 93809,A81000C,00100,0200,JOHN SMART 93809,A81000C,00100,0400,J SMART CO 93809,A81000C,00100,0600,MGMT OFFICE 93809,A81000C,00200,0100,A 93809,A81000C,00200,0200,JIM SMART 93809,A81000C,00200,0400,J SMART CO 93809,A81000C,00200,0600,MGMT OFFICE 93809,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93809,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93809,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93809,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93809,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93809,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93809,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93809,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93809,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93809,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93809,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93809,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93809,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93809,S000000,00100,0200,06/01/2000 93809,S200000,00100,0100,500 N. DAWSON STREET 93809,S200000,00200,0100,MEEKER 93809,S200000,00200,0200,OK 93809,S200000,00200,0300,74855- 93809,S200000,00300,0100,LINCOLN 93809,S200000,00400,0100,MEEKER NURSING CENTER 93809,S200000,00400,0200,375326 93809,S200000,00400,0300,01/05/1998 93809,S200000,00400,0500,P 93809,S200000,01500,0100,Y 93815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93815,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93815,A000000,00300,0000,00300EMPLOYEE BENEFITS 93815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93815,A000000,00700,0000,00700HOUSEKEEPING 93815,A000000,00800,0000,00800DIETARY 93815,A000000,00900,0000,00900NURSING ADMINISTRATION 93815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93815,A000000,01100,0000,01100PHARMACY 93815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93815,A000000,01300,0000,01300SOCIAL SERVICE 93815,A000000,01350,0000,01500OTHER GENERAL SERVICES 93815,A000000,01600,0000,01600SKILLED NURSING FACILITY 93815,A000000,01800,0000,01800NURSING FACILITY 93815,A000000,01900,0000,01900OTHER LONG TERM CARE 93815,A000000,02100,0000,02100RADIOLOGY 93815,A000000,02200,0000,02200LABORATORY 93815,A000000,02300,0000,02300INTRAVENOUS THERAPY 93815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93815,A000000,02500,0000,02500PHYSICAL THERAPY 93815,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93815,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93815,A000000,02700,0000,02700SPEECH PATHOLOGY 93815,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93815,A000000,02800,0000,02800ELECTROCARDIOLOGY 93815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93815,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93815,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93815,A000000,03200,0000,03200SUPPORT SURFACES 93815,A000000,03400,0000,03400CLINIC 93815,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93815,A000000,03500,0000,03500RURAL HEALTH CLINIC 93815,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93815,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93815,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93815,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93815,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93815,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93815,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93815,A000000,04400,0000,04400DME RENTED - HHA 93815,A000000,04500,0000,04500DME SOLD - HHA 93815,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93815,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93815,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93815,A000000,04800,0000,04800AMBULANCE 93815,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93815,A000000,05000,0000,05000CORF 93815,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93815,A000000,05300,0000,05300INTEREST EXPENSE 93815,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93815,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93815,A000000,05500,0000,05500HOSPICE 93815,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93815,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93815,A000000,06100,0000,06100NONPAID WORKERS 93815,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93815,A000000,06200,0000,06200PATIENTS LAUNDRY 93815,A81000A,00100,0100,Y 93815,A81000B,00100,0300,MANAGEMENT FEES 93815,A81000B,00200,0300,MAINTENANCE FEES 93815,A81000C,00100,0100,A 93815,A81000C,00100,0200,JOHN SMART 93815,A81000C,00100,0400,J. SMART CO. 93815,A81000C,00100,0600,MANAGEMENT 93815,A81000C,00200,0100,A 93815,A81000C,00200,0200,JIM SMART 93815,A81000C,00200,0400,J. SMART CO 93815,A81000C,00200,0600,MANAGEMENT 93815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93815,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93815,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93815,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93815,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93815,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93815,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93815,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93815,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93815,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93815,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93815,S000000,00100,0200,06/01/2000 93815,S200000,00100,0100,600 W. FRONTAGE ROAD 93815,S200000,00100,0300,27 93815,S200000,00200,0100,OKEMAH 93815,S200000,00200,0200,OK 93815,S200000,00200,0300,74859- 93815,S200000,00300,0100,OKFUSKEE 93815,S200000,00400,0100,COLONIAL PARK NURSING HOME 93815,S200000,00400,0200,375327 93815,S200000,00400,0300,01/05/1998 93815,S200000,00400,0500,P 93815,S200000,01500,0100,Y 93821,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93821,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93821,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93821,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93821,A000000,00300,0000,00300EMPLOYEE BENEFITS 93821,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93821,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93821,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93821,A000000,00700,0000,00700HOUSEKEEPING 93821,A000000,00800,0000,00800DIETARY 93821,A000000,00801,0000,00801CAFETERIA 93821,A000000,00900,0000,00900NURSING ADMINISTRATION 93821,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93821,A000000,01100,0000,01100PHARMACY 93821,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93821,A000000,01300,0000,01300SOCIAL SERVICE 93821,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93821,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93821,A000000,01600,0000,01600SKILLED NURSING FACILITY 93821,A000000,01800,0000,01800NURSING FACILITY 93821,A000000,01900,0000,01900OTHER LONG TERM CARE 93821,A000000,02100,0000,02100RADIOLOGY 93821,A000000,02200,0000,02200LABORATORY 93821,A000000,02300,0000,02300INTRAVENOUS THERAPY 93821,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93821,A000000,02500,0000,02500PHYSICAL THERAPY 93821,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93821,A000000,02700,0000,02700SPEECH PATHOLOGY 93821,A000000,02800,0000,02800ELECTROCARDIOLOGY 93821,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93821,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93821,A000000,03050,0000,03300OTHER ANCILLARY 93821,A000000,03051,0000,03301OTHER ANCILLARY II 93821,A000000,03052,0000,03302OTHER ANCILLARY III 93821,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93821,A000000,03200,0000,03200SUPPORT SURFACES 93821,A000000,03400,0000,03400CLINIC 93821,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93821,A000000,03500,0000,03500RURAL HEALTH CLINIC 93821,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93821,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93821,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93821,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93821,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93821,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93821,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93821,A000000,04400,0000,04400DME RENTED - HHA 93821,A000000,04500,0000,04500DME SOLD - HHA 93821,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93821,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93821,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93821,A000000,04800,0000,04800AMBULANCE 93821,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93821,A000000,05000,0000,05000CORF 93821,A000000,05010,0000,05010CMHC I 93821,A000000,05020,0000,05020OPT I 93821,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93821,A000000,05300,0000,05300INTEREST EXPENSE 93821,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93821,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93821,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93821,A000000,05500,0000,05500HOSPICE 93821,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93821,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93821,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93821,A000000,06100,0000,06100NONPAID WORKERS 93821,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93821,A000000,06200,0000,06200PATIENTS LAUNDRY 93821,A81000A,00100,0100,Y 93821,A81000B,00100,0300,HOME OFFICE ALLOC 93821,A81000B,00200,0300,HOME OFFICE ALLOC 93821,A81000C,00100,0100,A 93821,A81000C,00100,0200,LTC SERVICES 93821,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93821,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93821,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93821,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93821,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93821,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93821,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93821,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93821,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93821,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93821,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93821,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93821,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93821,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93821,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93821,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93821,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93821,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93821,S000000,00100,0200,06/26/2000 93821,S200000,00100,0100,301 EMMERT STREET 93821,S200000,00200,0100,TALIHINA 93821,S200000,00200,0200,OK 93821,S200000,00200,0300,74571- 93821,S200000,00300,0100,LEFLORE 93821,S200000,00400,0100,TALIHINA MANOR 93821,S200000,00400,0200,375328 93821,S200000,00400,0300,11/05/1997 93821,S200000,00400,0500,P 93821,S200000,01600,0100,Y 93821,S700003,00000,0400,4 93827,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93827,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93827,A000000,00300,0000,00300EMPLOYEE BENEFITS 93827,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93827,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93827,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93827,A000000,00700,0000,00700HOUSEKEEPING 93827,A000000,00800,0000,00800DIETARY 93827,A000000,00900,0000,00900NURSING ADMINISTRATION 93827,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93827,A000000,01100,0000,01100PHARMACY 93827,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93827,A000000,01300,0000,01300SOCIAL SERVICE 93827,A000000,01600,0000,01600SKILLED NURSING FACILITY 93827,A000000,01800,0000,01800NURSING FACILITY 93827,A000000,01900,0000,01900OTHER LONG TERM CARE 93827,A000000,02100,0000,02100RADIOLOGY 93827,A000000,02200,0000,02200LABORATORY 93827,A000000,02300,0000,02300INTRAVENOUS THERAPY 93827,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93827,A000000,02500,0000,02500PHYSICAL THERAPY 93827,A000000,02501,0000,02501PHYSICAL THERAPY PT B 93827,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93827,A000000,02601,0000,02601OCCUPATIONAL THERAPY PT B 93827,A000000,02700,0000,02700SPEECH PATHOLOGY 93827,A000000,02701,0000,02701SPEECH PATHOLOGY PT B 93827,A000000,02800,0000,02800ELECTROCARDIOLOGY 93827,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93827,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93827,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93827,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93827,A000000,03200,0000,03200SUPPORT SURFACES 93827,A000000,03400,0000,03400CLINIC 93827,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93827,A000000,03500,0000,03500RURAL HEALTH CLINIC 93827,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93827,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93827,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93827,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93827,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93827,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93827,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93827,A000000,04400,0000,04400DME RENTED - HHA 93827,A000000,04500,0000,04500DME SOLD - HHA 93827,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93827,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93827,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93827,A000000,04800,0000,04800AMBULANCE 93827,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93827,A000000,05000,0000,05000CORF 93827,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93827,A000000,05300,0000,05300INTEREST EXPENSE 93827,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93827,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93827,A000000,05500,0000,05500HOSPICE 93827,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93827,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93827,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93827,A000000,06100,0000,06100NONPAID WORKERS 93827,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93827,A000000,06200,0000,06200PATIENTS LAUNDRY 93827,A81000A,00100,0100,Y 93827,A81000B,00100,0300,MANAGEMENT FEES 93827,A81000B,00200,0300,MAINTENANCE FEES 93827,A81000C,00100,0100,A 93827,A81000C,00100,0200,JIM SMART 93827,A81000C,00100,0400,J. SMART CO. 93827,A81000C,00100,0600,MANAGEMENT 93827,A81000C,00200,0100,A 93827,A81000C,00200,0200,JOHN SMART 93827,A81000C,00200,0400,J. SMART CO. 93827,A81000C,00200,0600,MANAGEMENT 93827,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93827,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93827,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93827,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93827,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93827,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93827,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93827,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93827,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93827,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93827,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93827,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93827,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93827,S000000,00100,0200,06/01/2000 93827,S200000,00100,0100,2400 WHITES MEADOW DRIVE 93827,S200000,00200,0100,HARRAH 93827,S200000,00200,0200,OK 93827,S200000,00200,0300,73045- 93827,S200000,00300,0100,OKLAHOMA 93827,S200000,00400,0100,HARRAH NURSING CENTER 93827,S200000,00400,0200,375329 93827,S200000,00400,0300,01/05/1998 93827,S200000,00400,0500,P 93827,S200000,01500,0100,Y 93831,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93831,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93831,A000000,00300,0000,00300EMPLOYEE BENEFITS 93831,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93831,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93831,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93831,A000000,00700,0000,00700HOUSEKEEPING 93831,A000000,00800,0000,00800DIETARY 93831,A000000,00900,0000,00900NURSING ADMINISTRATION 93831,A000000,01300,0000,01300SOCIAL SERVICE 93831,A000000,01600,0000,01600SKILLED NURSING FACILITY 93831,A000000,01800,0000,01800NURSING FACILITY 93831,A000000,02100,0000,02100RADIOLOGY 93831,A000000,02200,0000,02200LABORATORY 93831,A000000,02500,0000,02500PHYSICAL THERAPY 93831,A000000,02501,0000,02501PHYSICAL THERAPY - PART B 93831,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93831,A000000,02601,0000,02601OCCUPATIONAL THERAPY - PART B 93831,A000000,02700,0000,02700SPEECH PATHOLOGY 93831,A000000,02701,0000,02701SPEECH PATHOLOGY - PART B 93831,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93831,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93831,A000000,05300,0000,05300INTEREST EXPENSE 93831,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93831,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93831,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93831,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93831,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93831,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93831,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93831,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93831,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93831,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93831,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93831,S000000,00100,0200,05/30/2000 93831,S200000,00100,0100,205 POPLAR STREET 93831,S200000,00200,0100,FORT GIBSON 93831,S200000,00200,0200,OK 93831,S200000,00200,0300,74434- 93831,S200000,00300,0100,MUSKOGEE 93831,S200000,00400,0100,FORT GIBSON NURSING HOME 93831,S200000,00400,0200,375330 93831,S200000,00400,0300,01/01/1998 93831,S200000,00400,0500,P 93831,S200000,01600,0100,Y 93837,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93837,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93837,A000000,00300,0000,00300EMPLOYEE BENEFITS 93837,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93837,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93837,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93837,A000000,00700,0000,00700HOUSEKEEPING 93837,A000000,00800,0000,00800DIETARY 93837,A000000,00900,0000,00900NURSING ADMINISTRATION 93837,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93837,A000000,01100,0000,01100PHARMACY 93837,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93837,A000000,01300,0000,01300SOCIAL SERVICE 93837,A000000,01600,0000,01600SKILLED NURSING FACILITY 93837,A000000,01800,0000,01800NURSING FACILITY 93837,A000000,02100,0000,02100RADIOLOGY 93837,A000000,02200,0000,02200LABORATORY 93837,A000000,02500,0000,02500PHYSICAL THERAPY 93837,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93837,A000000,02700,0000,02700SPEECH PATHOLOGY 93837,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93837,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93837,A000000,03200,0000,03200SUPPORT SURFACES 93837,A000000,05300,0000,05300INTEREST EXPENSE 93837,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93837,A81000A,00100,0100,Y 93837,A81000B,00100,0300,ADMINISTRATIVE COSTS 93837,A81000B,00200,0300,REPAIRS AND MAINTENANCE 93837,A81000C,00100,0100,A 93837,A81000C,00100,0200,RM&G INC. 93837,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93837,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93837,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93837,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93837,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93837,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93837,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93837,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93837,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93837,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93837,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 93837,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93837,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93837,S000000,00100,0200,06/01/2000 93837,S200000,00100,0100,2120 N. BROADWAY 93837,S200000,00200,0100,MOORE 93837,S200000,00200,0200,OK 93837,S200000,00200,0300,73160- 93837,S200000,00300,0100,CLEVELAND 93837,S200000,00400,0100,HILLCREST LIVING CENTER 93837,S200000,00400,0200,375331 93837,S200000,00400,0300,11/03/1997 93837,S200000,00400,0500,P 93837,S200000,01004,0500,O 93837,S200000,01600,0100,Y 93837,S700003,00000,0400,4 93843,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93843,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93843,A000000,00300,0000,00300EMPLOYEE BENEFITS 93843,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93843,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93843,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93843,A000000,00700,0000,00700HOUSEKEEPING 93843,A000000,00800,0000,00800DIETARY 93843,A000000,00900,0000,00900NURSING ADMINISTRATION 93843,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93843,A000000,01100,0000,01100PHARMACY 93843,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93843,A000000,01300,0000,01300SOCIAL SERVICE 93843,A000000,01350,0000,01500OTHER GENERAL SERVICES 93843,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93843,A000000,01600,0000,01600SKILLED NURSING FACILITY 93843,A000000,01800,0000,01800NURSING FACILITY 93843,A000000,01810,0000,01801ICF/MR 93843,A000000,01900,0000,01900OTHER LONG TERM CARE 93843,A000000,02100,0000,02100RADIOLOGY 93843,A000000,02200,0000,02200LABORATORY 93843,A000000,02300,0000,02300INTRAVENOUS THERAPY 93843,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93843,A000000,02500,0000,02500PHYSICAL THERAPY 93843,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93843,A000000,02700,0000,02700SPEECH PATHOLOGY 93843,A000000,02800,0000,02800ELECTROCARDIOLOGY 93843,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93843,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93843,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93843,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93843,A000000,03200,0000,03200SUPPORT SURFACES 93843,A000000,03400,0000,03400CLINIC 93843,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93843,A000000,03500,0000,03500RURAL HEALTH CLINIC 93843,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93843,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93843,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93843,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93843,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93843,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93843,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93843,A000000,04400,0000,04400DME RENTED - HHA 93843,A000000,04500,0000,04500DME SOLD - HHA 93843,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93843,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93843,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93843,A000000,04800,0000,04800AMBULANCE 93843,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93843,A000000,05000,0000,05000CORF 93843,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93843,A000000,05300,0000,05300INTEREST EXPENSE 93843,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93843,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93843,A000000,05500,0000,05500HOSPICE 93843,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93843,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93843,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93843,A000000,06100,0000,06100NONPAID WORKERS 93843,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93843,A000000,06200,0000,06200PATIENTS LAUNDRY 93843,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93843,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93843,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93843,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93843,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93843,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93843,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93843,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93843,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93843,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93843,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93843,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93843,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93843,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93843,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93843,S000000,00100,0200,06/01/2000 93843,S200000,00100,0100,2200 NORTH LYLE ROAD 93843,S200000,00200,0100,WEATHERFORD 93843,S200000,00200,0200,OK 93843,S200000,00200,0300,73096- 93843,S200000,00300,0100,CUSTER 93843,S200000,00400,0100,WEATHERFORD LIVING CENTER 93843,S200000,00400,0200,375332 93843,S200000,00400,0300,02/01/1998 93843,S200000,00400,0500,P 93843,S200000,01600,0100,Y 93843,S700003,00000,0400,4 93849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93849,A000000,00300,0000,00300EMPLOYEE BENEFITS 93849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93849,A000000,00700,0000,00700HOUSEKEEPING 93849,A000000,00800,0000,00800DIETARY 93849,A000000,00900,0000,00900NURSING ADMINISTRATION 93849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93849,A000000,01100,0000,01100PHARMACY 93849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93849,A000000,01300,0000,01300SOCIAL SERVICE 93849,A000000,01350,0000,01500OTHER GENERAL SERVICES 93849,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93849,A000000,01600,0000,01600SKILLED NURSING FACILITY 93849,A000000,01800,0000,01800NURSING FACILITY 93849,A000000,01810,0000,01801ICF/MR 93849,A000000,01900,0000,01900OTHER LONG TERM CARE 93849,A000000,02100,0000,02100RADIOLOGY 93849,A000000,02200,0000,02200LABORATORY 93849,A000000,02300,0000,02300INTRAVENOUS THERAPY 93849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93849,A000000,02500,0000,02500PHYSICAL THERAPY 93849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93849,A000000,02700,0000,02700SPEECH PATHOLOGY 93849,A000000,02800,0000,02800ELECTROCARDIOLOGY 93849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93849,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93849,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93849,A000000,03200,0000,03200SUPPORT SURFACES 93849,A000000,03400,0000,03400CLINIC 93849,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93849,A000000,03500,0000,03500RURAL HEALTH CLINIC 93849,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93849,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93849,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93849,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93849,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93849,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93849,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93849,A000000,04400,0000,04400DME RENTED - HHA 93849,A000000,04500,0000,04500DME SOLD - HHA 93849,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93849,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93849,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93849,A000000,04800,0000,04800AMBULANCE 93849,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93849,A000000,05000,0000,05000CORF 93849,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93849,A000000,05300,0000,05300INTEREST EXPENSE 93849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93849,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93849,A000000,05500,0000,05500HOSPICE 93849,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93849,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93849,A000000,06100,0000,06100NONPAID WORKERS 93849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93849,A000000,06200,0000,06200PATIENTS LAUNDRY 93849,A81000A,00100,0100,Y 93849,A81000B,00100,0300,RENT - BUILDING 93849,A81000C,00100,0100,A 93849,A81000C,00100,0200,HOLLY CHAPPELL 93849,A81000C,00100,0400,CC&G 93849,A81000C,00100,0600,REAL ESTATE RENTAL 93849,A81000C,00200,0100,A 93849,A81000C,00200,0200,DR. BURGE F. GREEN 93849,A81000C,00200,0400,CC&G 93849,A81000C,00200,0600,REAL ESTATE RENTAL 93849,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93849,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93849,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93849,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93849,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93849,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93849,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93849,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93849,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 93849,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93849,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93849,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93849,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93849,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93849,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93849,S000000,00100,0200,05/31/2000 93849,S200000,00100,0300,651 93849,S200000,00200,0100,STILWELL 93849,S200000,00200,0200,OK 93849,S200000,00200,0300,74960- 93849,S200000,00300,0100,ADAIR 93849,S200000,00400,0100,STILWELL NURSING HOME 93849,S200000,00400,0200,375333 93849,S200000,00400,0300,02/01/1998 93849,S200000,00400,0500,P 93849,S200000,01600,0100,Y 93849,S700003,00000,0400,4 93852,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93852,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93852,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93852,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93852,A000000,00300,0000,00300EMPLOYEE BENEFITS 93852,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93852,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93852,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93852,A000000,00700,0000,00700HOUSEKEEPING 93852,A000000,00800,0000,00800DIETARY 93852,A000000,00801,0000,00801CAFETERIA 93852,A000000,00900,0000,00900NURSING ADMINISTRATION 93852,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93852,A000000,01100,0000,01100PHARMACY 93852,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93852,A000000,01300,0000,01300SOCIAL SERVICE 93852,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93852,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93852,A000000,01600,0000,01600SKILLED NURSING FACILITY 93852,A000000,01800,0000,01800NURSING FACILITY 93852,A000000,01900,0000,01900OTHER LONG TERM CARE 93852,A000000,02100,0000,02100RADIOLOGY 93852,A000000,02200,0000,02200LABORATORY 93852,A000000,02300,0000,02300INTRAVENOUS THERAPY 93852,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93852,A000000,02500,0000,02500PHYSICAL THERAPY 93852,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93852,A000000,02700,0000,02700SPEECH PATHOLOGY 93852,A000000,02800,0000,02800ELECTROCARDIOLOGY 93852,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93852,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93852,A000000,03050,0000,03300OTHER ANCILLARY 93852,A000000,03051,0000,03301OTHER ANCILLARY II 93852,A000000,03052,0000,03302OTHER ANCILLARY III 93852,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93852,A000000,03200,0000,03200SUPPORT SURFACES 93852,A000000,03400,0000,03400CLINIC 93852,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93852,A000000,03500,0000,03500RURAL HEALTH CLINIC 93852,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93852,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93852,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93852,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93852,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93852,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93852,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93852,A000000,04400,0000,04400DME RENTED - HHA 93852,A000000,04500,0000,04500DME SOLD - HHA 93852,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93852,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93852,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93852,A000000,04800,0000,04800AMBULANCE 93852,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93852,A000000,05000,0000,05000CORF 93852,A000000,05010,0000,05010CMHC I 93852,A000000,05020,0000,05020OPT I 93852,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93852,A000000,05300,0000,05300INTEREST EXPENSE 93852,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93852,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93852,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93852,A000000,05500,0000,05500HOSPICE 93852,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93852,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93852,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93852,A000000,06100,0000,06100NONPAID WORKERS 93852,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93852,A000000,06200,0000,06200PATIENTS LAUNDRY 93852,A81000A,00100,0100,Y 93852,A81000B,00100,0300,HOME OFFICE ALLOC 93852,A81000B,00200,0300,HOME OFFICE ALLOC 93852,A81000C,00100,0100,A 93852,A81000C,00100,0200,LTC SERVICES 93852,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93852,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93852,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93852,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93852,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93852,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93852,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93852,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93852,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93852,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93852,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93852,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93852,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93852,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93852,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93852,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93852,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93852,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93852,S000000,00100,0200,07/19/2000 93852,S200000,00100,0300,1107 93852,S200000,00200,0100,PRYOR 93852,S200000,00200,0200,OK 93852,S200000,00200,0300,74362- 93852,S200000,00300,0100,MAYES 93852,S200000,00400,0100,SHADY REST CARE CENTER 93852,S200000,00400,0200,375334 93852,S200000,00400,0300,03/02/1998 93852,S200000,00400,0500,P 93852,S200000,01600,0100,Y 93852,S700003,00000,0400,4 93858,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93858,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93858,A000000,00300,0000,00300EMPLOYEE BENEFITS 93858,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93858,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93858,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93858,A000000,00700,0000,00700HOUSEKEEPING 93858,A000000,00800,0000,00800DIETARY 93858,A000000,00900,0000,00900NURSING ADMINISTRATION 93858,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93858,A000000,01300,0000,01300SOCIAL SERVICE 93858,A000000,01600,0000,01600SKILLED NURSING FACILITY 93858,A000000,01800,0000,01800NURSING FACILITY 93858,A000000,01900,0000,01900OTHER LONG TERM CARE 93858,A000000,02100,0000,02100RADIOLOGY 93858,A000000,02200,0000,02200LABORATORY 93858,A000000,02300,0000,02300INTRAVENOUS THERAPY 93858,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93858,A000000,02500,0000,02500PHYSICAL THERAPY 93858,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93858,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93858,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93858,A000000,02700,0000,02700SPEECH PATHOLOGY 93858,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93858,A000000,02800,0000,02800ELECTROCARDIOLOGY 93858,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93858,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93858,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93858,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93858,A000000,03200,0000,03200SUPPORT SURFACES 93858,A000000,03400,0000,03400CLINIC 93858,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93858,A000000,03500,0000,03500RURAL HEALTH CLINIC 93858,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93858,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93858,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93858,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93858,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93858,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93858,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93858,A000000,04400,0000,04400DME RENTED - HHA 93858,A000000,04500,0000,04500DME SOLD - HHA 93858,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93858,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93858,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93858,A000000,04800,0000,04800AMBULANCE 93858,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93858,A000000,05000,0000,05000CORF 93858,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93858,A000000,05300,0000,05300INTEREST EXPENSE 93858,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93858,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93858,A000000,05500,0000,05500HOSPICE 93858,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93858,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93858,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93858,A000000,06100,0000,06100NONPAID WORKERS 93858,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93858,A000000,06200,0000,06200PATIENTS LAUNDRY 93858,A81000A,00100,0100,Y 93858,A81000B,00100,0300,BUILDING LEASE EXPENSE 93858,A81000B,00200,0300,INTEREST EXPENSE 93858,A81000B,00300,0300,AMORTIZATION EXPENSE 93858,A81000B,00400,0300,DEPRECIATION EXPENSE 93858,A81000C,00100,0100,A 93858,A81000C,00100,0200,ANNA OSBORNE 93858,A81000C,00100,0400,INDIVIDUAL 93858,A81000C,00100,0600,BLDG OWNED PERSONALLY 93858,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93858,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93858,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93858,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93858,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93858,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93858,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93858,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93858,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93858,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93858,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93858,S000000,00100,0200,05/31/2000 93858,S200000,00100,0100,2530 NORTH ELM 93858,S200000,00200,0100,MIAMI 93858,S200000,00200,0200,OK 93858,S200000,00200,0300,74354- 93858,S200000,00300,0100,OTTAWA 93858,S200000,00400,0100,NEO HEALTH CARE CENTER 93858,S200000,00400,0200,375335 93858,S200000,00400,0300,03/06/1998 93858,S200000,00400,0500,P 93858,S200000,01600,0100,Y 93863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93863,A000000,00300,0000,00300EMPLOYEE BENEFITS 93863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93863,A000000,00700,0000,00700HOUSEKEEPING 93863,A000000,00800,0000,00800DIETARY 93863,A000000,00900,0000,00900NURSING ADMINISTRATION 93863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93863,A000000,01100,0000,01100PHARMACY 93863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93863,A000000,01300,0000,01300SOCIAL SERVICE 93863,A000000,01600,0000,01600SKILLED NURSING FACILITY 93863,A000000,01800,0000,01800NURSING FACILITY 93863,A000000,01810,0000,01810ICF/MR 93863,A000000,01900,0000,01900OTHER LONG TERM CARE 93863,A000000,02100,0000,02100RADIOLOGY 93863,A000000,02200,0000,02200LABORATORY 93863,A000000,02300,0000,02300INTRAVENOUS THERAPY 93863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93863,A000000,02500,0000,02500PHYSICAL THERAPY 93863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93863,A000000,02700,0000,02700SPEECH PATHOLOGY 93863,A000000,02800,0000,02800ELECTROCARDIOLOGY 93863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93863,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93863,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93863,A000000,03200,0000,03200SUPPORT SURFACES 93863,A000000,03400,0000,03400CLINIC 93863,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93863,A000000,03500,0000,03500RURAL HEALTH CLINIC 93863,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93863,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93863,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93863,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93863,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93863,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93863,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93863,A000000,04400,0000,04400DME RENTED - HHA 93863,A000000,04500,0000,04500DME SOLD - HHA 93863,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93863,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93863,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93863,A000000,04800,0000,04800AMBULANCE 93863,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93863,A000000,05000,0000,05000CORF 93863,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93863,A000000,05300,0000,05300INTEREST EXPENSE 93863,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93863,A000000,05500,0000,05500HOSPICE 93863,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93863,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93863,A000000,06100,0000,06100NONPAID WORKERS 93863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93863,A000000,06200,0000,06200PATIENTS LAUNDRY 93863,A81000A,00100,0100,Y 93863,A81000B,00100,0300,HOME OFFICE ALLOCATION 93863,A81000C,00100,0100,A 93863,A81000C,00100,0200,CRESCENT HEALTH 93863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93863,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93863,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93863,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93863,B100000,00000,0800,00000MEALS SERVED :DIETARY 93863,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93863,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 93863,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 93863,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93863,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93863,S000000,00100,0200,08/10/2001 93863,S200000,00100,0100,1400 N WAVERLY 93863,S200000,00100,0300,267 93863,S200000,00200,0100,PONCA CITY 93863,S200000,00200,0200,OK 93863,S200000,00200,0300,74602- 93863,S200000,00300,0100,KAY 93863,S200000,00300,0200,9937 93863,S200000,00300,0300,R 93863,S200000,00400,0100,PONCA CITY N&R 93863,S200000,00400,0200,375337 93863,S200000,00400,0300,04/01/1997 93863,S200000,00400,0500,P 93863,S200000,01004,0500,O 93863,S200000,01600,0100,Y 93866,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93866,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93866,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93866,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93866,A000000,00300,0000,00300EMPLOYEE BENEFITS 93866,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93866,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93866,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93866,A000000,00700,0000,00700HOUSEKEEPING 93866,A000000,00800,0000,00800DIETARY 93866,A000000,00801,0000,00801CAFETERIA 93866,A000000,00900,0000,00900NURSING ADMINISTRATION 93866,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93866,A000000,01100,0000,01100PHARMACY 93866,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93866,A000000,01300,0000,01300SOCIAL SERVICE 93866,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93866,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93866,A000000,01600,0000,01600SKILLED NURSING FACILITY 93866,A000000,01800,0000,01800NURSING FACILITY 93866,A000000,01900,0000,01900OTHER LONG TERM CARE 93866,A000000,02100,0000,02100RADIOLOGY 93866,A000000,02200,0000,02200LABORATORY 93866,A000000,02300,0000,02300INTRAVENOUS THERAPY 93866,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93866,A000000,02500,0000,02500PHYSICAL THERAPY 93866,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93866,A000000,02700,0000,02700SPEECH PATHOLOGY 93866,A000000,02800,0000,02800ELECTROCARDIOLOGY 93866,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93866,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93866,A000000,03050,0000,03300OTHER ANCILLARY 93866,A000000,03051,0000,03301OTHER ANCILLARY II 93866,A000000,03052,0000,03302OTHER ANCILLARY III 93866,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93866,A000000,03200,0000,03200SUPPORT SURFACES 93866,A000000,03400,0000,03400CLINIC 93866,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93866,A000000,03500,0000,03500RURAL HEALTH CLINIC 93866,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93866,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93866,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93866,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93866,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93866,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93866,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93866,A000000,04400,0000,04400DME RENTED - HHA 93866,A000000,04500,0000,04500DME SOLD - HHA 93866,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93866,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93866,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93866,A000000,04800,0000,04800AMBULANCE 93866,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93866,A000000,05000,0000,05000CORF 93866,A000000,05010,0000,05010CMHC I 93866,A000000,05020,0000,05020OPT I 93866,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93866,A000000,05300,0000,05300INTEREST EXPENSE 93866,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93866,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93866,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93866,A000000,05500,0000,05500HOSPICE 93866,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93866,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93866,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93866,A000000,06100,0000,06100NONPAID WORKERS 93866,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93866,A000000,06200,0000,06200PATIENTS LAUNDRY 93866,A81000A,00100,0100,Y 93866,A81000B,00100,0300,HOME OFFICE ALLOC 93866,A81000B,00200,0300,HOME OFFICE ALLOC 93866,A81000B,00300,0300,HOME OFFICE ALLOC 93866,A81000C,00100,0100,A 93866,A81000C,00100,0200,CRESCENT HEALTH 93866,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93866,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93866,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93866,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93866,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93866,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93866,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93866,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93866,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93866,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93866,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93866,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93866,S000000,00100,0200,06/21/2000 93866,S200000,00100,0100,2608 READON ROAD 93866,S200000,00200,0100,WOODWARD 93866,S200000,00200,0200,OK 93866,S200000,00200,0300,73801- 93866,S200000,00300,0100,WOODWARD 93866,S200000,00300,0200,037 93866,S200000,00300,0300,R 93866,S200000,00400,0100,TLC OF WOODWARD 93866,S200000,00400,0200,375338 93866,S200000,00400,0300,05/01/1998 93866,S200000,00400,0500,P 93866,S200000,01500,0100,Y 93871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93871,A000000,00300,0000,00300EMPLOYEE BENEFITS 93871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93871,A000000,00700,0000,00700HOUSEKEEPING 93871,A000000,00800,0000,00800DIETARY 93871,A000000,00900,0000,00900NURSING ADMINISTRATION 93871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93871,A000000,01100,0000,01100PHARMACY 93871,A000000,01300,0000,01300SOCIAL SERVICE 93871,A000000,01600,0000,01600SKILLED NURSING FACILITY 93871,A000000,01800,0000,01800NURSING FACILITY 93871,A000000,02300,0000,02300INTRAVENOUS THERAPY 93871,A000000,02500,0000,02500PHYSICAL THERAPY 93871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93871,A000000,02700,0000,02700SPEECH PATHOLOGY 93871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93871,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 93871,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 93871,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 93871,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 93871,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 93871,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 93871,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 93871,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 93871,B100000,00000,0850,00040PATIENT DAYS :DIETARY 93871,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 93871,B100000,00000,1050,00040PATIENT DAYS :CENTRAL SERVICES & S 93871,B100000,00000,1150,00040PATIENT DAYS :PHARMACY 93871,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 93871,S000000,00100,0200,07/07/2000 93871,S200000,00100,0100,1530 NE GRAND BLVD 93871,S200000,00200,0100,OKLAHOMA CITY 93871,S200000,00200,0200,OK 93871,S200000,00200,0300,73117- 93871,S200000,00300,0100,OKLAHOMA 93871,S200000,00300,0200,5880 93871,S200000,00300,0300,U 93871,S200000,00400,0100,EDWARDS REDEEMER 93871,S200000,00400,0200,375339 93871,S200000,00400,0300,05/01/1998 93871,S200000,00400,0500,P 93871,S200000,00600,0200,375339 93871,S200000,00600,0300,05/01/1998 93871,S200000,00600,0600,P 93871,S200000,01500,0100,Y 93871,S200000,02200,0100,Y 93871,S200000,04100,0100,Y 93871,S200000,04300,0100,Y 93876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93876,A000000,00300,0000,00300EMPLOYEE BENEFITS 93876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93876,A000000,00700,0000,00700HOUSEKEEPING 93876,A000000,00800,0000,00800DIETARY 93876,A000000,00900,0000,00900NURSING ADMINISTRATION 93876,A000000,01100,0000,01100PHARMACY 93876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93876,A000000,01300,0000,01300SOCIAL SERVICE 93876,A000000,01600,0000,01600SKILLED NURSING FACILITY 93876,A000000,01800,0000,01800NURSING FACILITY 93876,A000000,01900,0000,01900OTHER LONG TERM CARE 93876,A000000,02100,0000,02100RADIOLOGY 93876,A000000,02200,0000,02200LABORATORY 93876,A000000,02300,0000,02300INTRAVENOUS THERAPY 93876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93876,A000000,02500,0000,02500PHYSICAL THERAPY 93876,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93876,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93876,A000000,02700,0000,02700SPEECH PATHOLOGY 93876,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93876,A000000,02800,0000,02800ELECTROCARDIOLOGY 93876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93876,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93876,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93876,A000000,03200,0000,03200SUPPORT SURFACES 93876,A000000,03400,0000,03400CLINIC 93876,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93876,A000000,03500,0000,03500RURAL HEALTH CLINIC 93876,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93876,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93876,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93876,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93876,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93876,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93876,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93876,A000000,04400,0000,04400DME RENTED - HHA 93876,A000000,04500,0000,04500DME SOLD - HHA 93876,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93876,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93876,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93876,A000000,04800,0000,04800AMBULANCE 93876,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93876,A000000,05000,0000,05000CORF 93876,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93876,A000000,05300,0000,05300INTEREST EXPENSE 93876,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93876,A000000,05500,0000,05500HOSPICE 93876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93876,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93876,A000000,06100,0000,06100NONPAID WORKERS 93876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93876,A000000,06200,0000,06200PATIENTS LAUNDRY 93876,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93876,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93876,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93876,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93876,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93876,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93876,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93876,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93876,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 93876,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 93876,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93876,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93876,S000000,00100,0200,05/30/2000 93876,S200000,00100,0100,1001 S. GEORGE NIGH EXPRESWAY 93876,S200000,00100,0300,3303 93876,S200000,00200,0100,MCALESTER 93876,S200000,00200,0200,OK 93876,S200000,00200,0300,74502- 93876,S200000,00300,0100,PITTSBURG 93876,S200000,00400,0100,WALNUT GROVE LIVING CENTER 93876,S200000,00400,0200,375340 93876,S200000,00400,0300,05/01/1998 93876,S200000,00400,0500,P 93876,S200000,01004,0500,O 93876,S200000,01600,0100,Y 93876,S700003,00000,0400,4 93881,S000000,00100,0200,12/04/2000 93886,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93886,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93886,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93886,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93886,A000000,00300,0000,00300EMPLOYEE BENEFITS 93886,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93886,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93886,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93886,A000000,00700,0000,00700HOUSEKEEPING 93886,A000000,00800,0000,00800DIETARY 93886,A000000,00801,0000,00801CAFETERIA 93886,A000000,00900,0000,00900NURSING ADMINISTRATION 93886,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93886,A000000,01100,0000,01100PHARMACY 93886,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93886,A000000,01300,0000,01300SOCIAL SERVICE 93886,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93886,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93886,A000000,01600,0000,01600SKILLED NURSING FACILITY 93886,A000000,01800,0000,01800NURSING FACILITY 93886,A000000,01900,0000,01900OTHER LONG TERM CARE 93886,A000000,02100,0000,02100RADIOLOGY 93886,A000000,02200,0000,02200LABORATORY 93886,A000000,02300,0000,02300INTRAVENOUS THERAPY 93886,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93886,A000000,02500,0000,02500PHYSICAL THERAPY 93886,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93886,A000000,02700,0000,02700SPEECH PATHOLOGY 93886,A000000,02800,0000,02800ELECTROCARDIOLOGY 93886,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93886,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93886,A000000,03050,0000,03300OTHER ANCILLARY 93886,A000000,03051,0000,03301OTHER ANCILLARY II 93886,A000000,03052,0000,03302OTHER ANCILLARY III 93886,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93886,A000000,03200,0000,03200SUPPORT SURFACES 93886,A000000,03400,0000,03400CLINIC 93886,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93886,A000000,03500,0000,03500RURAL HEALTH CLINIC 93886,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93886,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93886,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93886,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93886,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93886,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93886,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93886,A000000,04400,0000,04400DME RENTED - HHA 93886,A000000,04500,0000,04500DME SOLD - HHA 93886,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93886,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93886,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93886,A000000,04800,0000,04800AMBULANCE 93886,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93886,A000000,05000,0000,05000CORF 93886,A000000,05010,0000,05010CMHC I 93886,A000000,05020,0000,05020OPT I 93886,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93886,A000000,05300,0000,05300INTEREST EXPENSE 93886,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93886,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93886,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93886,A000000,05500,0000,05500HOSPICE 93886,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93886,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93886,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93886,A000000,06100,0000,06100NONPAID WORKERS 93886,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93886,A000000,06200,0000,06200PATIENTS LAUNDRY 93886,A81000A,00100,0100,Y 93886,A81000B,00100,0300,HOME OFFICE ALLOC 93886,A81000B,00200,0300,HOME OFFICE ALLOC 93886,A81000B,00300,0300,HOME OFFICE ALLOC 93886,A81000C,00100,0100,A 93886,A81000C,00100,0200,CRESCENT HEALTH 93886,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93886,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93886,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93886,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93886,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93886,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93886,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93886,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93886,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93886,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93886,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93886,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93886,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93886,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93886,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93886,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93886,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93886,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93886,S000000,00100,0200,06/28/2000 93886,S200000,00100,0100,105 WASHINGTON 93886,S200000,00100,0300,267 93886,S200000,00200,0100,PAULS VALLEY 93886,S200000,00200,0200,OK 93886,S200000,00200,0300,73075- 93886,S200000,00300,0100,GARVIN 93886,S200000,00400,0100,TLC OF PAULS VALLEY 93886,S200000,00400,0200,375342 93886,S200000,00400,0300,04/01/1998 93886,S200000,00400,0500,P 93886,S200000,01500,0100,Y 93886,S700003,00000,0400,4 93890,S000000,00100,0200,05/31/2000 93894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93894,A000000,00300,0000,00300EMPLOYEE BENEFITS 93894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93894,A000000,00700,0000,00700HOUSEKEEPING 93894,A000000,00800,0000,00800DIETARY 93894,A000000,00900,0000,00900NURSING ADMINISTRATION 93894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93894,A000000,01100,0000,01100PHARMACY 93894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93894,A000000,01300,0000,01300SOCIAL SERVICE 93894,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93894,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93894,A000000,01600,0000,01600SKILLED NURSING FACILITY 93894,A000000,01800,0000,01800NURSING FACILITY 93894,A000000,01810,0000,01810ICF/MR 93894,A000000,01900,0000,01900OTHER LONG TERM CARE 93894,A000000,02100,0000,02100RADIOLOGY 93894,A000000,02200,0000,02200LABORATORY 93894,A000000,02300,0000,02300INTRAVENOUS THERAPY 93894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93894,A000000,02500,0000,02500PHYSICAL THERAPY 93894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93894,A000000,02700,0000,02700SPEECH PATHOLOGY 93894,A000000,02800,0000,02800ELECTROCARDIOLOGY 93894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93894,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 93894,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93894,A000000,03200,0000,03200SUPPORT SURFACES 93894,A000000,03400,0000,03400CLINIC 93894,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 93894,A000000,03500,0000,03500RURAL HEALTH CLINIC 93894,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93894,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93894,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93894,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93894,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93894,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93894,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93894,A000000,04400,0000,04400DME RENTED - HHA 93894,A000000,04500,0000,04500DME SOLD - HHA 93894,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93894,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93894,A000000,04800,0000,04800AMBULANCE 93894,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93894,A000000,05000,0000,05000CORF 93894,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93894,A000000,05300,0000,05300INTEREST EXPENSE 93894,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93894,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93894,A000000,05500,0000,05500HOSPICE 93894,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93894,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93894,A000000,06100,0000,06100NONPAID WORKERS 93894,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 93894,A000000,06200,0000,06200PATIENTS LAUNDRY 93894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93894,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93894,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93894,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93894,B100000,00000,0800,00000MEALS SERVED :DIETARY 93894,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93894,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93894,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93894,S000000,00100,0200,05/31/2000 93894,S200000,00100,0100,8515 N 123RD E. AVE 93894,S200000,00200,0100,OWASSO 93894,S200000,00200,0200,OK 93894,S200000,00200,0300,74065- 93894,S200000,00300,0100,TULSA 93894,S200000,00300,0200,8560 93894,S200000,00300,0300,U 93894,S200000,00400,0100,SEQUOYAH POINTE 93894,S200000,00400,0200,375344 93894,S200000,00400,0300,07/20/1998 93894,S200000,00400,0500,P 93900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93900,A000000,00300,0000,00300EMPLOYEE BENEFITS 93900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93900,A000000,00700,0000,00700HOUSEKEEPING 93900,A000000,00800,0000,00800DIETARY 93900,A000000,00900,0000,00900NURSING ADMINISTRATION 93900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93900,A000000,01100,0000,01100PHARMACY 93900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93900,A000000,01300,0000,01300SOCIAL SERVICE 93900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93900,A000000,01600,0000,01600SKILLED NURSING FACILITY 93900,A000000,01800,0000,01800NURSING FACILITY 93900,A000000,02100,0000,02100RADIOLOGY 93900,A000000,02200,0000,02200LABORATORY 93900,A000000,02300,0000,02300INTRAVENOUS THERAPY 93900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93900,A000000,02500,0000,02500PHYSICAL THERAPY 93900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93900,A000000,02700,0000,02700SPEECH PATHOLOGY 93900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93900,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93900,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93900,B100000,00000,0800,00000MEALS SERVED :DIETARY 93900,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93900,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93900,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93900,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93900,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93900,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93900,S000000,00100,0200,05/31/2000 93900,S200000,00100,0100,6006 SE ADAMS 93900,S200000,00200,0100,BARTLESVILLE 93900,S200000,00200,0200,OK 93900,S200000,00200,0300,74006- 93900,S200000,00300,0100,WASHINGTON 93900,S200000,00400,0100,SILVER LAKE 93900,S200000,00400,0200,375345 93900,S200000,00400,0300,07/20/1998 93900,S200000,00400,0500,P 93900,S200000,01600,0100,Y 93900,S700003,00000,0400,4 93904,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93904,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93904,A000000,00300,0000,00300EMPLOYEE BENEFITS 93904,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93904,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93904,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93904,A000000,00700,0000,00700HOUSEKEEPING 93904,A000000,00800,0000,00800DIETARY 93904,A000000,00900,0000,00900NURSING ADMINISTRATION 93904,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93904,A000000,01100,0000,01100PHARMACY 93904,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93904,A000000,01300,0000,01300SOCIAL SERVICE 93904,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93904,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93904,A000000,01600,0000,01600SKILLED NURSING FACILITY 93904,A000000,01800,0000,01800NURSING FACILITY 93904,A000000,02100,0000,02100RADIOLOGY 93904,A000000,02200,0000,02200LABORATORY 93904,A000000,02300,0000,02300INTRAVENOUS THERAPY 93904,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93904,A000000,02500,0000,02500PHYSICAL THERAPY 93904,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93904,A000000,02700,0000,02700SPEECH PATHOLOGY 93904,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93904,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93904,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93904,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93904,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93904,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93904,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93904,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93904,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93904,B100000,00000,0800,00000MEALS SERVED :DIETARY 93904,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93904,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 93904,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93904,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93904,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93904,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93904,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93904,S000000,00100,0200,05/31/2000 93904,S200000,00100,0100,404 E. CIMARRON 93904,S200000,00100,0300,1300 93904,S200000,00200,0100,MANNFORD 93904,S200000,00200,0200,OK 93904,S200000,00200,0300,74044- 93904,S200000,00300,0100,CREEK 93904,S200000,00400,0100,CIMARRON POINTE 93904,S200000,00400,0200,375346 93904,S200000,00400,0300,07/20/1998 93904,S200000,00400,0500,P 93904,S200000,01600,0100,Y 93904,S700003,00000,0400,4 93908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93908,A000000,00300,0000,00300EMPLOYEE BENEFITS 93908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93908,A000000,00700,0000,00700HOUSEKEEPING 93908,A000000,00800,0000,00800DIETARY 93908,A000000,00801,0000,00801CAFETERIA 93908,A000000,00900,0000,00900NURSING ADMINISTRATION 93908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93908,A000000,01100,0000,01100PHARMACY 93908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93908,A000000,01300,0000,01300SOCIAL SERVICE 93908,A000000,01600,0000,01600SKILLED NURSING FACILITY 93908,A000000,01800,0000,01800NURSING FACILITY 93908,A000000,01900,0000,01900OTHER LONG TERM CARE 93908,A000000,02100,0000,02100RADIOLOGY 93908,A000000,02200,0000,02200LABORATORY 93908,A000000,02300,0000,02300INTRAVENOUS THERAPY 93908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93908,A000000,02500,0000,02500PHYSICAL THERAPY 93908,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93908,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93908,A000000,02700,0000,02700SPEECH PATHOLOGY 93908,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93908,A000000,02800,0000,02800ELECTROCARDIOLOGY 93908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93908,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93908,A000000,03200,0000,03200SUPPORT SURFACES 93908,A000000,03400,0000,03400CLINIC 93908,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93908,A000000,03500,0000,03500RURAL HEALTH CLINIC 93908,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93908,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93908,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93908,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93908,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93908,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93908,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93908,A000000,04400,0000,04400DME RENTED - HHA 93908,A000000,04500,0000,04500DME SOLD - HHA 93908,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93908,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93908,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93908,A000000,04800,0000,04800AMBULANCE 93908,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93908,A000000,05000,0000,05000CORF 93908,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93908,A000000,05300,0000,05300INTEREST EXPENSE 93908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93908,A000000,05500,0000,05500HOSPICE 93908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93908,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93908,A000000,06100,0000,06100NONPAID WORKERS 93908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93908,A000000,06200,0000,06200PATIENTS LAUNDRY 93908,A81000A,00100,0100,Y 93908,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL H.O. ALLO 93908,A81000B,00200,0300,PLANT OPERATION & MAINTENANCE 93908,A81000C,00100,0100,A 93908,A81000C,00100,0200,JIM SMART 93908,A81000C,00100,0400,J SMART CO 93908,A81000C,00100,0600,MANAGEMENT 93908,A81000C,00200,0100,A 93908,A81000C,00200,0200,JOHN SMART 93908,A81000C,00200,0400,J SMART CO 93908,A81000C,00200,0600,MANAGEMENT 93908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93908,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93908,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93908,B100000,00000,0851,00000PATIENT DAYS :CAFETERIA 93908,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93908,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93908,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93908,S000000,00100,0200,06/01/2000 93908,S200000,00100,0100,701 SOUTH 8TH 93908,S200000,00100,0300,250 93908,S200000,00200,0100,MCLOUD 93908,S200000,00200,0200,OK 93908,S200000,00200,0300,74851- 93908,S200000,00300,0100,POTTAWATOMIE 93908,S200000,00400,0100,MCLOUD NURSING CENTER 93908,S200000,00400,0200,375347 93908,S200000,00400,0300,06/28/1998 93908,S200000,00400,0500,P 93908,S200000,01500,0100,Y 93913,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93913,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93913,A000000,00300,0000,00300EMPLOYEE BENEFITS 93913,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93913,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93913,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93913,A000000,00700,0000,00700HOUSEKEEPING 93913,A000000,00800,0000,00800DIETARY 93913,A000000,00900,0000,00900NURSING ADMINISTRATION 93913,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93913,A000000,01100,0000,01100PHARMACY 93913,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93913,A000000,01300,0000,01300SOCIAL SERVICE 93913,A000000,01600,0000,01600SKILLED NURSING FACILITY 93913,A000000,01800,0000,01800NURSING FACILITY 93913,A000000,01900,0000,01900OTHER LONG TERM CARE 93913,A000000,02100,0000,02100RADIOLOGY 93913,A000000,02200,0000,02200LABORATORY 93913,A000000,02300,0000,02300INTRAVENOUS THERAPY 93913,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93913,A000000,02500,0000,02500PHYSICAL THERAPY 93913,A000000,02501,0000,02501PHYSICAL THERAPY PT B 93913,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93913,A000000,02601,0000,02601OCCUPATIONAL THERAPY PT B 93913,A000000,02700,0000,02700SPEECH PATHOLOGY 93913,A000000,02701,0000,02701SPEECH PATHOLOGY PT B 93913,A000000,02800,0000,02800ELECTROCARDIOLOGY 93913,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93913,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93913,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93913,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93913,A000000,03200,0000,03200SUPPORT SURFACES 93913,A000000,03400,0000,03400CLINIC 93913,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93913,A000000,03500,0000,03500RURAL HEALTH CLINIC 93913,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93913,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93913,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93913,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93913,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93913,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93913,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93913,A000000,04400,0000,04400DME RENTED - HHA 93913,A000000,04500,0000,04500DME SOLD - HHA 93913,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93913,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93913,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93913,A000000,04800,0000,04800AMBULANCE 93913,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93913,A000000,05000,0000,05000CORF 93913,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93913,A000000,05300,0000,05300INTEREST EXPENSE 93913,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93913,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93913,A000000,05500,0000,05500HOSPICE 93913,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93913,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93913,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93913,A000000,06100,0000,06100NONPAID WORKERS 93913,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93913,A000000,06200,0000,06200PATIENTS LAUNDRY 93913,A81000A,00100,0100,Y 93913,A81000B,00100,0300,MANAGEMENT FEES 93913,A81000B,00200,0300,MAINTENANCE FEES 93913,A81000C,00100,0100,A 93913,A81000C,00100,0200,JIM SMART 93913,A81000C,00100,0400,J SMART CO 93913,A81000C,00100,0600,MANAGEMENT 93913,A81000C,00200,0100,A 93913,A81000C,00200,0200,JOHN SMART 93913,A81000C,00200,0400,J SMART CO 93913,A81000C,00200,0600,MANAGEMENT 93913,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93913,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93913,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93913,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93913,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93913,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93913,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93913,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93913,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93913,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93913,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93913,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93913,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93913,S000000,00100,0200,06/01/2000 93913,S200000,00100,0100,1200 HIGHWAY 9 EAST 93913,S200000,00200,0100,SEMINOLE 93913,S200000,00200,0200,OK 93913,S200000,00200,0300,74868- 93913,S200000,00300,0100,SEMINOLE 93913,S200000,00400,0100,SEMINOLE NURSING CENTER 93913,S200000,00400,0200,375348 93913,S200000,00400,0300,06/28/1998 93913,S200000,00400,0500,P 93913,S200000,01004,0500,O 93913,S200000,01600,0100,Y 93919,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93919,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93919,A000000,00300,0000,00300EMPLOYEE BENEFITS 93919,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93919,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93919,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93919,A000000,00700,0000,00700HOUSEKEEPING 93919,A000000,00800,0000,00800DIETARY 93919,A000000,00900,0000,00900NURSING ADMINISTRATION 93919,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93919,A000000,01100,0000,01100PHARMACY 93919,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93919,A000000,01300,0000,01300SOCIAL SERVICE 93919,A000000,01350,0000,01500OTHER GENERAL SERVICES 93919,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93919,A000000,01600,0000,01600SKILLED NURSING FACILITY 93919,A000000,01800,0000,01800NURSING FACILITY 93919,A000000,01810,0000,01810ICF/MR 93919,A000000,01900,0000,01900OTHER LONG TERM CARE 93919,A000000,02100,0000,02100RADIOLOGY 93919,A000000,02200,0000,02200LABORATORY 93919,A000000,02300,0000,02300INTRAVENOUS THERAPY 93919,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93919,A000000,02500,0000,02500PHYSICAL THERAPY 93919,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93919,A000000,02700,0000,02700SPEECH PATHOLOGY 93919,A000000,02800,0000,02800ELECTROCARDIOLOGY 93919,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93919,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93919,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93919,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93919,A000000,03200,0000,03200SUPPORT SURFACES 93919,A000000,03400,0000,03400CLINIC 93919,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93919,A000000,03500,0000,03500RURAL HEALTH CLINIC 93919,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93919,A000000,04800,0000,04800AMBULANCE 93919,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93919,A000000,05000,0000,05000CORF 93919,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93919,A000000,05300,0000,05300INTEREST EXPENSE 93919,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93919,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93919,A000000,05500,0000,05500HOSPICE 93919,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93919,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93919,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93919,A000000,06100,0000,06100NONPAID WORKERS 93919,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93919,A000000,06200,0000,06200PATIENTS LAUNDRY 93919,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93919,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93919,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93919,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93919,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93919,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93919,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93919,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93919,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93919,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93919,S000000,00100,0200,06/20/2000 93919,S200000,00100,0100,6500 NORTH PORTLAND 93919,S200000,00200,0100,OKLAHOMA CITY 93919,S200000,00200,0200,OK 93919,S200000,00200,0300,73116- 93919,S200000,00300,0100,OKLAHOMA 93919,S200000,00300,0200,5880 93919,S200000,00300,0300,U 93919,S200000,00400,0100,BELLEVUE NURSING CENTER 93919,S200000,00400,0200,375349 93919,S200000,00400,0300,08/28/1998 93919,S200000,00400,0500,P 93919,S200000,01600,0100,Y 93924,S000000,00100,0200,05/31/2000 93928,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93928,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93928,A000000,00300,0000,00300EMPLOYEE BENEFITS 93928,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93928,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93928,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93928,A000000,00700,0000,00700HOUSEKEEPING 93928,A000000,00800,0000,00800DIETARY 93928,A000000,00900,0000,00900NURSING ADMINISTRATION 93928,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93928,A000000,01100,0000,01100PHARMACY 93928,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93928,A000000,01300,0000,01300SOCIAL SERVICE 93928,A000000,01600,0000,01600SKILLED NURSING FACILITY 93928,A000000,01800,0000,01800NURSING FACILITY 93928,A000000,02100,0000,02100RADIOLOGY 93928,A000000,02200,0000,02200LABORATORY 93928,A000000,02500,0000,02500PHYSICAL THERAPY 93928,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93928,A000000,02700,0000,02700SPEECH PATHOLOGY 93928,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93928,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93928,A000000,03200,0000,03200SUPPORT SURFACES 93928,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93928,A81000A,00100,0100,Y 93928,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 93928,A81000B,00200,0300,CRC-BLDG 93928,A81000B,00300,0300,CRC-EQUIPMENT 93928,A81000B,00400,0300,HEALTH INSURANCE 93928,A81000C,00100,0100,B 93928,A81000C,00100,0200,PARKS EDGE NURSING CNTR 93928,A81000C,00100,0400,CENTRAL ARK NURSING CNTRS 93928,A81000C,00100,0600,HOME OFFICE 93928,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93928,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93928,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93928,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93928,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93928,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93928,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93928,B100000,00000,0800,00000MEALS SERVED :DIETARY 93928,B100000,00000,0900,00000HOURS SUPERVISED :NURSING ADMINIST 93928,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93928,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93928,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 93928,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93928,S000000,00100,0200,06/01/2000 93928,S200000,00100,0100,5115 EAST 51ST STREET 93928,S200000,00200,0100,TULSA 93928,S200000,00200,0200,OK 93928,S200000,00200,0300,74135- 93928,S200000,00300,0100,TULSA 93928,S200000,00400,0100,PARKS EDGE NURSING & REHABILITATION 93928,S200000,00400,0200,375351 93928,S200000,00400,0300,09/14/1998 93928,S200000,00400,0500,P 93928,S200000,01600,0100,Y 93928,S700003,00000,0400,4 93932,S000000,00100,0200,07/06/1999 93933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93933,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93933,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93933,A000000,00300,0000,00300EMPLOYEE BENEFITS 93933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93933,A000000,00700,0000,00700HOUSEKEEPING 93933,A000000,00800,0000,00800DIETARY 93933,A000000,00801,0000,00801CAFETERIA 93933,A000000,00900,0000,00900NURSING ADMINISTRATION 93933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93933,A000000,01100,0000,01100PHARMACY 93933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93933,A000000,01300,0000,01300SOCIAL SERVICE 93933,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93933,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93933,A000000,01600,0000,01600SKILLED NURSING FACILITY 93933,A000000,01800,0000,01800NURSING FACILITY 93933,A000000,01900,0000,01900OTHER LONG TERM CARE 93933,A000000,02100,0000,02100RADIOLOGY 93933,A000000,02200,0000,02200LABORATORY 93933,A000000,02300,0000,02300INTRAVENOUS THERAPY 93933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93933,A000000,02500,0000,02500PHYSICAL THERAPY 93933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93933,A000000,02700,0000,02700SPEECH PATHOLOGY 93933,A000000,02800,0000,02800ELECTROCARDIOLOGY 93933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93933,A000000,03050,0000,03300OTHER ANCILLARY 93933,A000000,03051,0000,03301OTHER ANCILLARY II 93933,A000000,03052,0000,03302OTHER ANCILLARY III 93933,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93933,A000000,03200,0000,03200SUPPORT SURFACES 93933,A000000,03400,0000,03400CLINIC 93933,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93933,A000000,03500,0000,03500RURAL HEALTH CLINIC 93933,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93933,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93933,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93933,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93933,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93933,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93933,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93933,A000000,04400,0000,04400DME RENTED - HHA 93933,A000000,04500,0000,04500DME SOLD - HHA 93933,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93933,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93933,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93933,A000000,04800,0000,04800AMBULANCE 93933,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93933,A000000,05000,0000,05000CORF 93933,A000000,05010,0000,05010CMHC I 93933,A000000,05020,0000,05020OPT I 93933,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93933,A000000,05300,0000,05300INTEREST EXPENSE 93933,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93933,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93933,A000000,05500,0000,05500HOSPICE 93933,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93933,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93933,A000000,06100,0000,06100NONPAID WORKERS 93933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93933,A000000,06200,0000,06200PATIENTS LAUNDRY 93933,A81000A,00100,0100,Y 93933,A81000B,00100,0300,HOME OFFICE ALLOC 93933,A81000B,00200,0300,HOME OFFICE ALLOC 93933,A81000B,00300,0300,HOME OFFICE ALLOC 93933,A81000C,00100,0100,A 93933,A81000C,00100,0200,CRESCENT HEALTH 93933,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93933,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93933,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93933,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93933,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93933,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93933,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93933,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93933,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93933,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93933,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93933,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93933,S000000,00100,0200,06/21/2000 93933,S200000,00100,0100,616 S. FRONT ST 93933,S200000,00200,0100,MEDFORD 93933,S200000,00200,0200,OK 93933,S200000,00200,0300,73759- 93933,S200000,00300,0100,GRANT 93933,S200000,00300,0200,037 93933,S200000,00300,0300,R 93933,S200000,00400,0100,MEDFORD NURSING HOME 93933,S200000,00400,0200,375352 93933,S200000,00400,0300,10/01/1998 93933,S200000,00400,0500,P 93933,S200000,01500,0100,Y 93937,S000000,00100,0200,01/03/2000 93939,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93939,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93939,A000000,00300,0000,00300EMPLOYEE BENEFITS 93939,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93939,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93939,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93939,A000000,00700,0000,00700HOUSEKEEPING 93939,A000000,00800,0000,00800DIETARY 93939,A000000,00900,0000,00900NURSING ADMINISTRATION 93939,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93939,A000000,01100,0000,01100PHARMACY 93939,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93939,A000000,01300,0000,01300SOCIAL SERVICE 93939,A000000,01600,0000,01600SKILLED NURSING FACILITY 93939,A000000,01800,0000,01800NURSING FACILITY 93939,A000000,01900,0000,01900OTHER LONG TERM CARE 93939,A000000,02100,0000,02100RADIOLOGY 93939,A000000,02200,0000,02200LABORATORY 93939,A000000,02300,0000,02300INTRAVENOUS THERAPY 93939,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93939,A000000,02500,0000,02500PHYSICAL THERAPY 93939,A000000,02501,0000,02501PHYSICAL THERAPY PART B 93939,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93939,A000000,02601,0000,02601OCCUPATIONAL THERAPY PART B 93939,A000000,02700,0000,02700SPEECH PATHOLOGY 93939,A000000,02701,0000,02701SPEECH PATHOLOGY PART B 93939,A000000,02800,0000,02800ELECTROCARDIOLOGY 93939,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93939,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93939,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93939,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93939,A000000,03200,0000,03200SUPPORT SURFACES 93939,A000000,03400,0000,03400CLINIC 93939,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93939,A000000,03500,0000,03500RURAL HEALTH CLINIC 93939,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93939,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93939,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93939,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93939,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93939,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93939,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93939,A000000,04400,0000,04400DME RENTED - HHA 93939,A000000,04500,0000,04500DME SOLD - HHA 93939,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93939,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93939,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93939,A000000,04800,0000,04800AMBULANCE 93939,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93939,A000000,05000,0000,05000CORF 93939,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93939,A000000,05300,0000,05300INTEREST EXPENSE 93939,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93939,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93939,A000000,05500,0000,05500HOSPICE 93939,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93939,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93939,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93939,A000000,06100,0000,06100NONPAID WORKERS 93939,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93939,A000000,06200,0000,06200PATIENTS LAUNDRY 93939,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93939,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93939,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93939,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93939,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93939,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93939,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93939,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93939,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93939,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93939,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93939,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93939,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93939,S000000,00100,0200,05/26/2000 93939,S200000,00100,0100,1119 E OWEN K GARRIOTT ROAD 93939,S200000,00200,0100,ENID 93939,S200000,00200,0200,OK 93939,S200000,00200,0300,73701- 93939,S200000,00300,0100,GARFIELD 93939,S200000,00400,0100,GREENBRIER NURSING HOME 93939,S200000,00400,0200,375353 93939,S200000,00400,0300,10/01/1998 93939,S200000,00400,0500,P 93939,S200000,01600,0100,Y 93939,S700003,00000,0400,4 93943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93943,A000000,00300,0000,00300EMPLOYEE BENEFITS 93943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93943,A000000,00700,0000,00700HOUSEKEEPING 93943,A000000,00800,0000,00800DIETARY 93943,A000000,00900,0000,00900NURSING ADMINISTRATION 93943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93943,A000000,01100,0000,01100PHARMACY 93943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93943,A000000,01300,0000,01300SOCIAL SERVICE 93943,A000000,01350,0000,01500OTHER GENERAL SERVICES 93943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93943,A000000,01600,0000,01600SKILLED NURSING FACILITY 93943,A000000,01800,0000,01800NURSING FACILITY 93943,A000000,01900,0000,01900OTHER LONG TERM CARE 93943,A000000,02100,0000,02100RADIOLOGY 93943,A000000,02200,0000,02200LABORATORY 93943,A000000,02300,0000,02300INTRAVENOUS THERAPY 93943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93943,A000000,02500,0000,02500PHYSICAL THERAPY 93943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93943,A000000,02700,0000,02700SPEECH PATHOLOGY 93943,A000000,02800,0000,02800ELECTROCARDIOLOGY 93943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93943,A000000,03200,0000,03200SUPPORT SURFACES 93943,A000000,03400,0000,03400CLINIC 93943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93943,A000000,03500,0000,03500RURAL HEALTH CLINIC 93943,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93943,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93943,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93943,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93943,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93943,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93943,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93943,A000000,04400,0000,04400DME RENTED - HHA 93943,A000000,04500,0000,04500DME SOLD - HHA 93943,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93943,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93943,A000000,04800,0000,04800AMBULANCE 93943,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93943,A000000,05000,0000,05000CORF 93943,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93943,A000000,05300,0000,05300INTEREST EXPENSE 93943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93943,A000000,05500,0000,05500HOSPICE 93943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93943,A000000,06100,0000,06100NONPAID WORKERS 93943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93943,A000000,06200,0000,06200PATIENTS LAUNDRY 93943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93943,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93943,B100000,00000,0750,00000MOD SQ FT :HOUSEKEEPING 93943,B100000,00000,0850,00000PAT. DAYS TIMES 3:DIETARY 93943,B100000,00000,0950,00000NURSE SALARIES :NURSING ADMINISTRA 93943,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93943,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93943,S000000,00100,0200,12/02/1999 93943,S200000,00100,0100,436 SOUTH JOE STREET 93943,S200000,00100,0300,650 93943,S200000,00200,0100,NOWATA 93943,S200000,00200,0200,OK 93943,S200000,00200,0300,74048- 93943,S200000,00300,0100,NOWATA 93943,S200000,00300,0200,37 93943,S200000,00300,0300,R 93943,S200000,00400,0100,NOWATA NURSING CENTER INC. 93943,S200000,00400,0200,375354 93943,S200000,00400,0300,10/01/1998 93943,S200000,00400,0500,P 93943,S200000,01600,0100,Y 93943,S200000,02800,0100,Y 93945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93945,A000000,00300,0000,00300EMPLOYEE BENEFITS 93945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93945,A000000,00700,0000,00700HOUSEKEEPING 93945,A000000,00800,0000,00800DIETARY 93945,A000000,00900,0000,00900NURSING ADMINISTRATION 93945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93945,A000000,01100,0000,01100PHARMACY 93945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93945,A000000,01300,0000,01300SOCIAL SERVICE 93945,A000000,01350,0000,01500OTHER GENERAL SERVICES 93945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93945,A000000,01600,0000,01600SKILLED NURSING FACILITY 93945,A000000,01800,0000,01800NURSING FACILITY 93945,A000000,01810,0000,01810ICF/MR 93945,A000000,01900,0000,01900OTHER LONG TERM CARE 93945,A000000,02100,0000,02100RADIOLOGY 93945,A000000,02200,0000,02200LABORATORY 93945,A000000,02300,0000,02300INTRAVENOUS THERAPY 93945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93945,A000000,02500,0000,02500PHYSICAL THERAPY 93945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93945,A000000,02700,0000,02700SPEECH PATHOLOGY 93945,A000000,02800,0000,02800ELECTROCARDIOLOGY 93945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93945,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93945,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93945,A000000,03200,0000,03200SUPPORT SURFACES 93945,A000000,03400,0000,03400CLINIC 93945,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93945,A000000,03500,0000,03500RURAL HEALTH CLINIC 93945,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93945,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93945,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93945,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93945,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93945,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93945,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93945,A000000,04400,0000,04400DME RENTED - HHA 93945,A000000,04500,0000,04500DME SOLD - HHA 93945,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93945,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93945,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93945,A000000,04800,0000,04800AMBULANCE 93945,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93945,A000000,05000,0000,05000CORF 93945,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93945,A000000,05300,0000,05300INTEREST EXPENSE 93945,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93945,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93945,A000000,05500,0000,05500HOSPICE 93945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93945,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93945,A000000,06100,0000,06100NONPAID WORKERS 93945,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93945,A000000,06200,0000,06200PATIENTS LAUNDRY 93945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93945,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93945,B100000,00000,0750,00000MOD. SQ. FEET :HOUSEKEEPING 93945,B100000,00000,0850,00000PT. DAYS TIMES 3:DIETARY 93945,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 93945,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93945,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93945,S000000,00100,0200,12/04/2000 93945,S200000,00100,0100,436 SOUTH JOE STREET 93945,S200000,00100,0300,650 93945,S200000,00200,0100,NOWATA 93945,S200000,00200,0200,OK 93945,S200000,00200,0300,74048- 93945,S200000,00300,0100,NOWATA 93945,S200000,00300,0200,0037 93945,S200000,00300,0300,R 93945,S200000,00400,0100,NOWATA NURSING CENTER INC. 93945,S200000,00400,0200,375354 93945,S200000,00400,0300,10/01/1998 93945,S200000,00400,0500,P 93945,S200000,01600,0100,Y 93948,S000000,00100,0200,04/20/1999 93950,S000000,00100,0200,04/06/1999 93951,S000000,00100,0200,05/31/2000 93955,S000000,00100,0200,07/15/1999 93956,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93956,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93956,A000000,00300,0000,00300EMPLOYEE BENEFITS 93956,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93956,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93956,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93956,A000000,00700,0000,00700HOUSEKEEPING 93956,A000000,00800,0000,00800DIETARY 93956,A000000,00900,0000,00900NURSING ADMINISTRATION 93956,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93956,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93956,A000000,01300,0000,01300SOCIAL SERVICE 93956,A000000,01350,0000,01500ACTIVITIES 93956,A000000,01600,0000,01600SKILLED NURSING FACILITY 93956,A000000,01800,0000,01800NURSING FACILITY 93956,A000000,02100,0000,02100RADIOLOGY 93956,A000000,02200,0000,02200LABORATORY 93956,A000000,02300,0000,02300INTRAVENOUS THERAPY 93956,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93956,A000000,02500,0000,02500PHYSICAL THERAPY 93956,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93956,A000000,02700,0000,02700SPEECH PATHOLOGY 93956,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93956,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93956,A000000,03200,0000,03200SUPPORT SURFACES 93956,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93956,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93956,A81000A,00100,0100,Y 93956,A81000B,00100,0300,MANAGEMENT FEE 93956,A81000B,00200,0300,RADIOLOGY 93956,A81000B,00300,0300,PHARMACY COSTS 93956,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 93956,A81000B,00500,0300,PHARMACY COSTS 93956,A81000B,00600,0300,PHARMACY COSTS 93956,A81000B,00700,0300,PEN SUPPLY COSTS 93956,A81000B,00800,0300,THERAPY COSTS 93956,A81000B,00900,0300,THERAPY COSTS 93956,A81000B,01000,0300,THERAPY COSTS 93956,A81000B,01100,0300,THERAPY COSTS 93956,A81000B,01200,0300,THERAPY COSTS 93956,A81000B,01300,0300,OXYGEN COSTS 93956,A81000B,01400,0300,INTEREST EXPENSE 93956,A81000B,01500,0300,LEASE EXPENSE 93956,A81000C,00100,0100,F 93956,A81000C,00100,0200,JENKS 93956,A81000C,00100,0400,AMITY CARE CORP 93956,A81000C,00100,0600,LTC MGMT CO 93956,A81000C,00200,0100,F 93956,A81000C,00200,0200,JENKS 93956,A81000C,00200,0400,US X-RAY 93956,A81000C,00200,0600,X-RAY CO 93956,A81000C,00300,0100,F 93956,A81000C,00300,0200,JENKS 93956,A81000C,00300,0400,PHARMACY SOLUTI 93956,A81000C,00300,0600,PHARMACY CO 93956,A81000C,00400,0100,F 93956,A81000C,00400,0200,JENKS 93956,A81000C,00400,0400,CARE SOURCE 93956,A81000C,00400,0600,MEDICAL SUPPLY 93956,A81000C,00500,0100,F 93956,A81000C,00500,0200,JENKS 93956,A81000C,00500,0400,REHABSOURCE 93956,A81000C,00500,0600,THERAPY CO 93956,A81000C,00600,0100,F 93956,A81000C,00600,0200,JENKS 93956,A81000C,00600,0400,HIGHLINE 93956,A81000C,00600,0600,REAL ESTATE CO 93956,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93956,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93956,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93956,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93956,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93956,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93956,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93956,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 93956,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 93956,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93956,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93956,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 93956,S000000,00100,0200,06/05/2000 93956,S200000,00100,0100,711 N. 5TH 93956,S200000,00200,0100,JENKS 93956,S200000,00200,0200,OK 93956,S200000,00200,0300,74037- 93956,S200000,00300,0100,TULSA 93956,S200000,00300,0200,8560 93956,S200000,00300,0300,U 93956,S200000,00400,0100,GRACE LIVING CENTER - JENKS 93956,S200000,00400,0200,375358 93956,S200000,00400,0300,11/01/1998 93956,S200000,00400,0500,P 93956,S200000,01500,0100,Y 93958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93958,A000000,00300,0000,00300EMPLOYEE BENEFITS 93958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93958,A000000,00700,0000,00700HOUSEKEEPING 93958,A000000,00800,0000,00800DIETARY 93958,A000000,00900,0000,00900NURSING ADMINISTRATION 93958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93958,A000000,01100,0000,01100PHARMACY 93958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93958,A000000,01300,0000,01300SOCIAL SERVICE 93958,A000000,01350,0000,01500OTHER GENERAL SERVICES 93958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93958,A000000,01600,0000,01600SKILLED NURSING FACILITY 93958,A000000,01800,0000,01800NURSING FACILITY 93958,A000000,01810,0000,01810ICF/MR 93958,A000000,01900,0000,01900OTHER LONG TERM CARE 93958,A000000,02100,0000,02100RADIOLOGY 93958,A000000,02200,0000,02200LABORATORY 93958,A000000,02300,0000,02300INTRAVENOUS THERAPY 93958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93958,A000000,02500,0000,02500PHYSICAL THERAPY 93958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93958,A000000,02700,0000,02700SPEECH PATHOLOGY 93958,A000000,02800,0000,02800ELECTROCARDIOLOGY 93958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93958,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93958,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93958,A000000,03200,0000,03200SUPPORT SURFACES 93958,A000000,03400,0000,03400CLINIC 93958,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93958,A000000,03500,0000,03500RURAL HEALTH CLINIC 93958,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93958,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93958,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93958,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93958,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93958,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93958,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93958,A000000,04400,0000,04400DME RENTED - HHA 93958,A000000,04500,0000,04500DME SOLD - HHA 93958,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93958,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93958,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93958,A000000,04800,0000,04800AMBULANCE 93958,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93958,A000000,05000,0000,05000CORF 93958,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93958,A000000,05300,0000,05300INTEREST EXPENSE 93958,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93958,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93958,A000000,05500,0000,05500HOSPICE 93958,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93958,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93958,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93958,A000000,06100,0000,06100NONPAID WORKERS 93958,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93958,A000000,06200,0000,06200PATIENTS LAUNDRY 93958,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93958,B100000,00000,0350,00000DOLLARS :EMPLOYEE BENEFITS 93958,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93958,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93958,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93958,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93958,B100000,00000,0850,00000DOLLARS :DIETARY 93958,B100000,00000,0950,00000DOLLARS :NURSING ADMINISTRATION 93958,B100000,00000,1050,00000DOLLARS :CENTRAL SERVICES & SUPPL 93958,B100000,00000,1150,00000DOLLARS :PHARMACY 93958,B100000,00000,1250,00000DOLLARS :MEDICAL RECORDS & LIBRAR 93958,B100000,00000,1330,00000DOLLARS :SOCIAL SERVICE 93958,B100000,00000,1350,00000DOLLARS SPENT :OTHER GENERAL SERVI 93958,S000000,00100,0200,06/05/2000 93958,S200000,00100,0100,3003 IOWA 93958,S200000,00100,0300,580 93958,S200000,00200,0100,CHICKASHA 93958,S200000,00200,0200,OK 93958,S200000,00200,0300,73023- 93958,S200000,00300,0100,GRADY 93958,S200000,00300,0200,37 93958,S200000,00300,0300,R 93958,S200000,00400,0100,CHRISTIAN CARE RETIREMENT VILLAGE 93958,S200000,00400,0200,375359 93958,S200000,00400,0300,01/01/1999 93958,S200000,00400,0500,P 93958,S200000,01004,0500,O 93958,S200000,01500,0100,Y 93958,S200000,02900,0100,Y 93958,S200000,03000,0100,Y 93962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93962,A000000,00300,0000,00300EMPLOYEE BENEFITS 93962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93962,A000000,00700,0000,00700HOUSEKEEPING 93962,A000000,00800,0000,00800DIETARY 93962,A000000,00900,0000,00900NURSING ADMINISTRATION 93962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93962,A000000,01100,0000,01100PHARMACY 93962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93962,A000000,01300,0000,01300SOCIAL SERVICE 93962,A000000,01350,0000,01500OTHER GENERAL SERVICES 93962,A000000,01600,0000,01600SKILLED NURSING FACILITY 93962,A000000,01800,0000,01800NURSING FACILITY 93962,A000000,01900,0000,01900OTHER LONG TERM CARE 93962,A000000,02100,0000,02100RADIOLOGY 93962,A000000,02200,0000,02200LABORATORY 93962,A000000,02300,0000,02300INTRAVENOUS THERAPY 93962,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93962,A000000,02500,0000,02500PHYSICAL THERAPY 93962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93962,A000000,02700,0000,02700SPEECH PATHOLOGY 93962,A000000,02800,0000,02800ELECTROCARDIOLOGY 93962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93962,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93962,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93962,A000000,03200,0000,03200SUPPORT SURFACES 93962,A000000,03400,0000,03400CLINIC 93962,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93962,A000000,03500,0000,03500RURAL HEALTH CLINIC 93962,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93962,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93962,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93962,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93962,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93962,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93962,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93962,A000000,04400,0000,04400DME RENTED - HHA 93962,A000000,04500,0000,04500DME SOLD - HHA 93962,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93962,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93962,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93962,A000000,04800,0000,04800AMBULANCE 93962,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93962,A000000,05000,0000,05000CORF 93962,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93962,A000000,05300,0000,05300INTEREST EXPENSE 93962,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93962,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93962,A000000,05500,0000,05500HOSPICE 93962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93962,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93962,A000000,06100,0000,06100NONPAID WORKERS 93962,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93962,A000000,06200,0000,06200PATIENTS LAUNDRY 93962,A81000A,00100,0100,Y 93962,A81000B,00100,0300,PLANT OPERATION MAINT& H.O. ALLOC 93962,A81000B,00200,0300,PT- RED RIVER REHAB 93962,A81000B,00300,0300,OT- RED RIVER REHAB 93962,A81000B,00400,0300,ST- RED RIVER REHAB 93962,A81000C,00100,0100,B 93962,A81000C,00100,0200,RED RIVER MANAGEMENT 93962,A81000C,00200,0100,A 93962,A81000C,00200,0200,RED RIVER REHABILITATION 93962,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93962,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93962,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93962,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93962,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93962,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93962,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93962,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 93962,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93962,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93962,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93962,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93962,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93962,S000000,00100,0200,05/26/2000 93962,S200000,00100,0100,1100 OAK RIDGE DRIVE 93962,S200000,00200,0100,DURANT 93962,S200000,00200,0200,OK 93962,S200000,00200,0300,74702- 93962,S200000,00300,0100,BRYAN 93962,S200000,00400,0100,OAK RIDGE MANOR 93962,S200000,00400,0200,375360 93962,S200000,00400,0300,01/01/1999 93962,S200000,00400,0500,P 93962,S200000,01600,0100,Y 93962,S700003,00000,0400,4 93965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93965,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93965,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93965,A000000,00300,0000,00300EMPLOYEE BENEFITS 93965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93965,A000000,00700,0000,00700HOUSEKEEPING 93965,A000000,00800,0000,00800DIETARY 93965,A000000,00801,0000,00801CAFETERIA 93965,A000000,00900,0000,00900NURSING ADMINISTRATION 93965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93965,A000000,01100,0000,01100PHARMACY 93965,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93965,A000000,01300,0000,01300SOCIAL SERVICE 93965,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93965,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93965,A000000,01600,0000,01600SKILLED NURSING FACILITY 93965,A000000,01800,0000,01800NURSING FACILITY 93965,A000000,01900,0000,01900OTHER LONG TERM CARE 93965,A000000,02100,0000,02100RADIOLOGY 93965,A000000,02200,0000,02200LABORATORY 93965,A000000,02300,0000,02300INTRAVENOUS THERAPY 93965,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93965,A000000,02500,0000,02500PHYSICAL THERAPY 93965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93965,A000000,02700,0000,02700SPEECH PATHOLOGY 93965,A000000,02800,0000,02800ELECTROCARDIOLOGY 93965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93965,A000000,03050,0000,03300OTHER ANCILLARY 93965,A000000,03051,0000,03301OTHER ANCILLARY II 93965,A000000,03052,0000,03302OTHER ANCILLARY III 93965,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93965,A000000,03200,0000,03200SUPPORT SURFACES 93965,A000000,03400,0000,03400CLINIC 93965,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93965,A000000,03500,0000,03500RURAL HEALTH CLINIC 93965,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93965,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93965,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93965,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93965,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93965,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93965,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93965,A000000,04400,0000,04400DME RENTED - HHA 93965,A000000,04500,0000,04500DME SOLD - HHA 93965,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93965,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93965,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93965,A000000,04800,0000,04800AMBULANCE 93965,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93965,A000000,05000,0000,05000CORF 93965,A000000,05010,0000,05010CMHC I 93965,A000000,05020,0000,05020OPT I 93965,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93965,A000000,05300,0000,05300INTEREST EXPENSE 93965,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93965,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93965,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93965,A000000,05500,0000,05500HOSPICE 93965,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93965,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93965,A000000,06100,0000,06100NONPAID WORKERS 93965,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93965,A000000,06200,0000,06200PATIENTS LAUNDRY 93965,A81000A,00100,0100,Y 93965,A81000B,00100,0300,HOME OFFICE ALLOC 93965,A81000B,00200,0300,HOME OFFICE ALLOC 93965,A81000C,00100,0100,A 93965,A81000C,00100,0200,LTC SERVICES 93965,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93965,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93965,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93965,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93965,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93965,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93965,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93965,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93965,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 93965,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93965,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93965,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93965,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93965,S000000,00100,0200,07/20/2000 93965,S200000,00100,0100,1600 E HIGHWAY ST 93965,S200000,00100,0300,938 93965,S200000,00200,0100,HOLDENVILLE 93965,S200000,00200,0200,OK 93965,S200000,00200,0300,74848- 93965,S200000,00300,0100,HUGHES 93965,S200000,00300,0200,037 93965,S200000,00300,0300,R 93965,S200000,00400,0100,BOYCE MANOR (LTC SERVICES) 93965,S200000,00400,0200,375361 93965,S200000,00400,0300,02/16/1998 93965,S200000,00400,0500,P 93965,S200000,01600,0100,Y 93968,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93968,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93968,A000000,00300,0000,00300EMPLOYEE BENEFITS 93968,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93968,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93968,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93968,A000000,00700,0000,00700HOUSEKEEPING 93968,A000000,00800,0000,00800DIETARY 93968,A000000,00900,0000,00900NURSING ADMINISTRATION 93968,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93968,A000000,01300,0000,01300SOCIAL SERVICE 93968,A000000,01600,0000,01600SKILLED NURSING FACILITY 93968,A000000,01800,0000,01800NURSING FACILITY 93968,A000000,02100,0000,02100RADIOLOGY 93968,A000000,02200,0000,02200LABORATORY 93968,A000000,02300,0000,02300INTRAVENOUS THERAPY 93968,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93968,A000000,02500,0000,02500PHYSICAL THERAPY 93968,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93968,A000000,02700,0000,02700SPEECH PATHOLOGY 93968,A000000,02800,0000,02800ELECTROCARDIOLOGY 93968,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93968,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93968,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93968,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93968,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93968,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93968,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93968,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93968,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93968,B100000,00000,0800,00000MEALS SERVED :DIETARY 93968,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93968,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93968,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93968,S000000,00100,0200,05/31/2000 93968,S200000,00100,0100,MONTANA & 12 STREET 93968,S200000,00100,0300,PO BOX 969 93968,S200000,00200,0100,CHICKASHA 93968,S200000,00200,0200,OK 93968,S200000,00200,0300,73023- 93968,S200000,00300,0100,GRADY 93968,S200000,00300,0200,0037 93968,S200000,00300,0300,R 93968,S200000,00400,0100,SHANOAN SPRINGS 93968,S200000,00400,0200,375362 93968,S200000,00400,0300,02/01/1999 93968,S200000,00400,0500,P 93968,S200000,01600,0100,Y 93972,S000000,00100,0200,07/15/1999 93973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93973,A000000,00300,0000,00300EMPLOYEE BENEFITS 93973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93973,A000000,00700,0000,00700HOUSEKEEPING 93973,A000000,00800,0000,00800DIETARY 93973,A000000,00900,0000,00900NURSING ADMINISTRATION 93973,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93973,A000000,01100,0000,01100PHARMACY 93973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93973,A000000,01300,0000,01300SOCIAL SERVICE 93973,A000000,01600,0000,01600SKILLED NURSING FACILITY 93973,A000000,01800,0000,01800NURSING FACILITY 93973,A000000,01810,0000,01801ICF/MR 93973,A000000,01900,0000,01900OTHER LONG TERM CARE 93973,A000000,02100,0000,02100RADIOLOGY 93973,A000000,02200,0000,02200LABORATORY 93973,A000000,02300,0000,02300INTRAVENOUS THERAPY 93973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93973,A000000,02500,0000,02500PHYSICAL THERAPY 93973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93973,A000000,02700,0000,02700SPEECH PATHOLOGY 93973,A000000,02800,0000,02800ELECTROCARDIOLOGY 93973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93973,A000000,03200,0000,03200SUPPORT SURFACES 93973,A000000,05300,0000,05300INTEREST EXPENSE 93973,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93973,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93973,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93973,A000000,06100,0000,06100NONPAID WORKERS 93973,A000000,06200,0000,06200PATIENTS LAUNDRY 93973,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 93973,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 93973,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 93973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93973,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 93973,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 93973,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 93973,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 93973,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 93973,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 93973,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 93973,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 93973,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 93973,S000000,00100,0200,05/31/2000 93973,S200000,00100,0100,400 N. CLEARSPRINGS ROAD 93973,S200000,00100,0300,447 93973,S200000,00200,0100,MUSTANG 93973,S200000,00200,0200,OK 93973,S200000,00200,0300,73064- 93973,S200000,00300,0100,CANADIAN 93973,S200000,00400,0100,MUSTANG NURSING HOME 93973,S200000,00400,0200,375363 93973,S200000,00400,0300,11/16/1998 93973,S200000,00400,0500,P 93973,S200000,01600,0100,Y 93973,S700003,00000,0400,4 93976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93976,A000000,00300,0000,00300EMPLOYEE BENEFITS 93976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93976,A000000,00700,0000,00700HOUSEKEEPING 93976,A000000,00800,0000,00800DIETARY 93976,A000000,00900,0000,00900NURSING ADMINISTRATION 93976,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93976,A000000,01100,0000,01100PHARMACY 93976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93976,A000000,01300,0000,01300SOCIAL SERVICE 93976,A000000,01350,0000,01500OTHER GENERAL SERVICES 93976,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93976,A000000,01600,0000,01600SKILLED NURSING FACILITY 93976,A000000,01800,0000,01800NURSING FACILITY 93976,A000000,01810,0000,01801ICF/MR 93976,A000000,01900,0000,01900OTHER LONG TERM CARE 93976,A000000,02100,0000,02100RADIOLOGY 93976,A000000,02200,0000,02200LABORATORY 93976,A000000,02300,0000,02300INTRAVENOUS THERAPY 93976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93976,A000000,02500,0000,02500PHYSICAL THERAPY 93976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93976,A000000,02700,0000,02700SPEECH PATHOLOGY 93976,A000000,02800,0000,02800ELECTROCARDIOLOGY 93976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93976,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93976,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93976,A000000,03200,0000,03200SUPPORT SURFACES 93976,A000000,03400,0000,03400CLINIC 93976,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93976,A000000,03500,0000,03500RURAL HEALTH CLINIC 93976,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93976,A000000,04800,0000,04800AMBULANCE 93976,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93976,A000000,05000,0000,05000CORF 93976,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93976,A000000,05300,0000,05300INTEREST EXPENSE 93976,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93976,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93976,A000000,05500,0000,05500HOSPICE 93976,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93976,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93976,A000000,06100,0000,06100NONPAID WORKERS 93976,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93976,A000000,06200,0000,06200PATIENTS LAUNDRY 93976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93976,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93976,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 93976,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93976,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93976,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93976,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93976,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 93976,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93976,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93976,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 93976,S000000,00100,0200,06/23/2000 93976,S200000,00100,0100,205 NORTH LINCOLN 93976,S200000,00200,0100,WAGONER 93976,S200000,00200,0200,OK 93976,S200000,00200,0300,74467- 93976,S200000,00300,0100,WAGONER 93976,S200000,00400,0100,WAGONER CARE CENTER 93976,S200000,00400,0200,375369 93976,S200000,00400,0300,02/22/1999 93976,S200000,00400,0500,P 93976,S200000,01600,0100,Y 93976,S700003,00000,0400,4 93979,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93979,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93979,A000000,00300,0000,00300EMPLOYEE BENEFITS 93979,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93979,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93979,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93979,A000000,00700,0000,00700HOUSEKEEPING 93979,A000000,00800,0000,00800DIETARY 93979,A000000,00900,0000,00900NURSING ADMINISTRATION 93979,A000000,01100,0000,01100PHARMACY 93979,A000000,01300,0000,01300SOCIAL SERVICE 93979,A000000,01600,0000,01600SKILLED NURSING FACILITY 93979,A000000,01800,0000,01800NURSING FACILITY 93979,A000000,02100,0000,02100RADIOLOGY 93979,A000000,02200,0000,02200LABORATORY 93979,A000000,02300,0000,02300INTRAVENOUS THERAPY 93979,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93979,A000000,02500,0000,02500PHYSICAL THERAPY 93979,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93979,A000000,02700,0000,02700SPEECH PATHOLOGY 93979,A000000,02800,0000,02800ELECTROCARDIOLOGY 93979,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93979,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93979,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93979,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93979,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93979,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93979,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93979,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 93979,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 93979,B100000,00000,0800,00000MEALS SERVED :DIETARY 93979,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 93979,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 93979,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 93979,S000000,00100,0200,05/31/2000 93979,S200000,00100,0100,1008 ARKANSAS ST 93979,S200000,00100,0300,410 93979,S200000,00200,0100,ARKOMA 93979,S200000,00200,0200,OK 93979,S200000,00200,0300,74901- 93979,S200000,00300,0100,SEQUOYAH 93979,S200000,00400,0100,MEDIHOME OF ARKOMA 93979,S200000,00400,0200,375371 93979,S200000,00400,0300,09/01/1999 93979,S200000,00400,0500,P 93979,S700003,00000,0400,4 93982,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93982,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 93982,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93982,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 93982,A000000,00300,0000,00300EMPLOYEE BENEFITS 93982,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93982,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93982,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93982,A000000,00700,0000,00700HOUSEKEEPING 93982,A000000,00800,0000,00800DIETARY 93982,A000000,00801,0000,00801CAFETERIA 93982,A000000,00900,0000,00900NURSING ADMINISTRATION 93982,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93982,A000000,01100,0000,01100PHARMACY 93982,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93982,A000000,01300,0000,01300SOCIAL SERVICE 93982,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 93982,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93982,A000000,01600,0000,01600SKILLED NURSING FACILITY 93982,A000000,01800,0000,01800NURSING FACILITY 93982,A000000,01900,0000,01900OTHER LONG TERM CARE 93982,A000000,02100,0000,02100RADIOLOGY 93982,A000000,02200,0000,02200LABORATORY 93982,A000000,02300,0000,02300INTRAVENOUS THERAPY 93982,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93982,A000000,02500,0000,02500PHYSICAL THERAPY 93982,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93982,A000000,02700,0000,02700SPEECH PATHOLOGY 93982,A000000,02800,0000,02800ELECTROCARDIOLOGY 93982,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93982,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93982,A000000,03050,0000,03300OTHER ANCILLARY 93982,A000000,03051,0000,03301OTHER ANCILLARY II 93982,A000000,03052,0000,03302OTHER ANCILLARY III 93982,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93982,A000000,03200,0000,03200SUPPORT SURFACES 93982,A000000,03400,0000,03400CLINIC 93982,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 93982,A000000,03500,0000,03500RURAL HEALTH CLINIC 93982,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93982,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93982,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93982,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93982,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93982,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93982,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93982,A000000,04400,0000,04400DME RENTED - HHA 93982,A000000,04500,0000,04500DME SOLD - HHA 93982,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93982,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93982,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93982,A000000,04800,0000,04800AMBULANCE 93982,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93982,A000000,05000,0000,05000CORF 93982,A000000,05010,0000,05010CMHC I 93982,A000000,05020,0000,05020OPT I 93982,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93982,A000000,05300,0000,05300INTEREST EXPENSE 93982,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 93982,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 93982,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93982,A000000,05500,0000,05500HOSPICE 93982,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93982,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93982,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93982,A000000,06100,0000,06100NONPAID WORKERS 93982,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93982,A000000,06200,0000,06200PATIENTS LAUNDRY 93982,A81000A,00100,0100,Y 93982,A81000B,00100,0300,HOME OFFICE ALLOC 93982,A81000B,00200,0300,HOME OFFICE ALLOC 93982,A81000C,00100,0100,A 93982,A81000C,00100,0200,LTC SERVICES 93982,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 93982,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 93982,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 93982,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 93982,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 93982,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93982,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 93982,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 93982,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 93982,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 93982,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 93982,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 93982,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 93982,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 93982,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 93982,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 93982,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 93982,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 93982,S000000,00100,0200,06/26/2000 93982,S200000,00100,0100,400 SW O STREET 93982,S200000,00100,0300,850 93982,S200000,00200,0100,ANTLERS 93982,S200000,00200,0200,OK 93982,S200000,00200,0300,74523- 93982,S200000,00300,0100,PUSHMATAHA 93982,S200000,00400,0100,CHOCTAW NURSING HOME 93982,S200000,00400,0200,375372 93982,S200000,00400,0300,09/20/1999 93982,S200000,00400,0500,P 93982,S200000,01600,0100,Y 93982,S700003,00000,0400,4 93986,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 93986,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 93986,A000000,00300,0000,00300EMPLOYEE BENEFITS 93986,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 93986,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 93986,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 93986,A000000,00700,0000,00700HOUSEKEEPING 93986,A000000,00800,0000,00800DIETARY 93986,A000000,00900,0000,00900NURSING ADMINISTRATION 93986,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 93986,A000000,01100,0000,01100PHARMACY 93986,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 93986,A000000,01300,0000,01300SOCIAL SERVICE 93986,A000000,01350,0000,01500OTHER GENERAL SERVICES 93986,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 93986,A000000,01600,0000,01600SKILLED NURSING FACILITY 93986,A000000,01800,0000,01800NURSING FACILITY 93986,A000000,01810,0000,01801ICF/MR 93986,A000000,01900,0000,01900OTHER LONG TERM CARE 93986,A000000,02100,0000,02100RADIOLOGY 93986,A000000,02200,0000,02200LABORATORY 93986,A000000,02300,0000,02300INTRAVENOUS THERAPY 93986,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 93986,A000000,02500,0000,02500PHYSICAL THERAPY 93986,A000000,02600,0000,02600OCCUPATIONAL THERAPY 93986,A000000,02700,0000,02700SPEECH PATHOLOGY 93986,A000000,02800,0000,02800ELECTROCARDIOLOGY 93986,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 93986,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 93986,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 93986,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 93986,A000000,03200,0000,03200SUPPORT SURFACES 93986,A000000,03400,0000,03400CLINIC 93986,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 93986,A000000,03500,0000,03500RURAL HEALTH CLINIC 93986,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 93986,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 93986,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 93986,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 93986,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 93986,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 93986,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 93986,A000000,04400,0000,04400DME RENTED - HHA 93986,A000000,04500,0000,04500DME SOLD - HHA 93986,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 93986,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 93986,A000000,04750,0000,05100OTHER REIMBURSABLE COST 93986,A000000,04800,0000,04800AMBULANCE 93986,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 93986,A000000,05000,0000,05000CORF 93986,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 93986,A000000,05300,0000,05300INTEREST EXPENSE 93986,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 93986,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 93986,A000000,05500,0000,05500HOSPICE 93986,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 93986,A000000,05900,0000,05900BARBER & BEAUTY SHOP 93986,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 93986,A000000,06100,0000,06100NONPAID WORKERS 93986,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 93986,A000000,06200,0000,06200PATIENTS LAUNDRY 93986,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 93986,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 93986,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 93986,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 93986,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 93986,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 93986,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 93986,B100000,00000,0850,00000PATIENT DAYS :DIETARY 93986,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 93986,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 93986,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 93986,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 93986,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 93986,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 93986,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 93986,S000000,00100,0200,07/13/2000 93986,S200000,00100,0100,1103 BIRCH STREET 93986,S200000,00200,0100,PERRY 93986,S200000,00200,0200,OK 93986,S200000,00200,0300,73077-6269 93986,S200000,00300,0100,NOBLE 93986,S200000,00400,0100,PERRY GREEN VALLEY NURSING HOME INC 93986,S200000,00400,0200,375373 93986,S200000,00400,0300,09/03/1999 93986,S200000,00400,0500,P 93986,S200000,01600,0100,Y 93986,S700003,00000,0400,4 94015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94015,A000000,00300,0000,00300EMPLOYEE BENEFITS 94015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94015,A000000,00700,0000,00700HOUSEKEEPING 94015,A000000,00800,0000,00800DIETARY 94015,A000000,00900,0000,00900NURSING ADMINISTRATION 94015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94015,A000000,01100,0000,01100PHARMACY 94015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94015,A000000,01300,0000,01300SOCIAL SERVICE 94015,A000000,01600,0000,01600SKILLED NURSING FACILITY 94015,A000000,01800,0000,01800NURSING FACILITY 94015,A000000,01810,0000,01810ICF/MR 94015,A000000,01900,0000,01900OTHER LONG TERM CARE 94015,A000000,02100,0000,02100RADIOLOGY 94015,A000000,02200,0000,02200LABORATORY 94015,A000000,02300,0000,02300INTRAVENOUS THERAPY 94015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94015,A000000,02500,0000,02500PHYSICAL THERAPY 94015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94015,A000000,02700,0000,02700SPEECH PATHOLOGY 94015,A000000,02800,0000,02800ELECTROCARDIOLOGY 94015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94015,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94015,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94015,A000000,03200,0000,03200SUPPORT SURFACES 94015,A000000,03400,0000,03400CLINIC 94015,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94015,A000000,03500,0000,03500RURAL HEALTH CLINIC 94015,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94015,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94015,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94015,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94015,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94015,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94015,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94015,A000000,04400,0000,04400DME RENTED - HHA 94015,A000000,04500,0000,04500DME SOLD - HHA 94015,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94015,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94015,A000000,04800,0000,04800AMBULANCE 94015,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94015,A000000,05000,0000,05000CORF 94015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94015,A000000,05300,0000,05300INTEREST EXPENSE 94015,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94015,A000000,05500,0000,05500HOSPICE 94015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94015,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94015,A000000,06100,0000,06100NONPAID WORKERS 94015,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94015,A000000,06200,0000,06200PATIENTS LAUNDRY 94015,A81000A,00100,0100,Y 94015,A81000B,00100,0300,RELATED PARTY LEASE 94015,A81000B,00200,0300,RELATED PARTY LEASE 94015,A81000B,00300,0300,RELATED PARTY MGMT 94015,A81000B,00400,0300,RELATED PARTY ACCT 94015,A81000B,00500,0300,HOME OFFICE CAP 94015,A81000B,00600,0300,HOME OFFICE CAP 94015,A81000B,00700,0300,HOME OFFICE ALLOC 94015,A81000B,00800,0300,HOME OFFICE ALLOC 94015,A81000C,00100,0100,A 94015,A81000C,00100,0200,DAVID L. ROGGE 94015,A81000C,00100,0400,HILLTOP HC 94015,A81000C,00100,0600,HEALTH CARE 94015,A81000C,00200,0100,A 94015,A81000C,00200,0200,JAMES L. CLAY 94015,A81000C,00200,0400,HILLTOP HC 94015,A81000C,00200,0600,HEALTH CARE 94015,A81000C,00300,0100,A 94015,A81000C,00300,0200,JAMES L. CLAY 94015,A81000C,00300,0400,REGENCY PACIFIC 94015,A81000C,00300,0600,HEALTH CARE CEN 94015,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94015,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94015,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94015,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94015,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94015,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94015,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94015,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94015,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94015,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94015,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94015,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94015,S000000,00100,0200,06/01/2000 94015,S200000,00100,0100,1710 N. E. FAIRVIEW 94015,S200000,00200,0100,GRANTS PASS 94015,S200000,00200,0200,OR 94015,S200000,00200,0300,97526- 94015,S200000,00300,0100,JOSEPHINE 94015,S200000,00400,0100,FAIR VIEW TRANSITIONAL HEALTH CTR 94015,S200000,00400,0200,385064 94015,S200000,00400,0300,09/01/1985 94015,S200000,00400,0500,P 94015,S200000,01500,0100,Y 94015,S700003,00000,0100,1 94023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94023,A000000,00300,0000,00300EMPLOYEE BENEFITS 94023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94023,A000000,00700,0000,00700HOUSEKEEPING 94023,A000000,00800,0000,00800DIETARY 94023,A000000,00900,0000,00900NURSING ADMINISTRATION 94023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94023,A000000,01300,0000,01300SOCIAL SERVICE 94023,A000000,01600,0000,01600SKILLED NURSING FACILITY 94023,A000000,01800,0000,01800NURSING FACILITY 94023,A000000,02100,0000,02100RADIOLOGY 94023,A000000,02200,0000,02200LABORATORY 94023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94023,A000000,02500,0000,02500PHYSICAL THERAPY 94023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94023,A000000,02700,0000,02700SPEECH PATHOLOGY 94023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94023,A81000A,00100,0100,Y 94023,A81000B,00100,0300,BUILDING COSTS 94023,A81000C,00100,0100,A 94023,A81000C,00100,0200,GENE SETTLEMIER 94023,A81000C,00100,0400,BOHLMAN & SETTL 94023,A81000C,00100,0600,REAL ESTATE 94023,A81000C,00200,0100,A 94023,A81000C,00200,0200,DONALD BOHLMAN 94023,A81000C,00200,0400,BOHLMAN & SETTL 94023,A81000C,00200,0600,REAL ESTATE 94023,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94023,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94023,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94023,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94023,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94023,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94023,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94023,B100000,00000,0800,00000MEALS SERVED :DIETARY 94023,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94023,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94023,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94023,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94023,E10A180,00501,0100,07/12/2000 94023,E10A180,00501,0300,07/12/2000 94023,S000000,00100,0200,06/05/2000 94023,S200000,00100,0100,3955 SE 182ND AVENUE 94023,S200000,00200,0100,GRESHAM 94023,S200000,00200,0200,OR 94023,S200000,00200,0300,97030- 94023,S200000,00300,0100,MULTNOMAH 94023,S200000,00400,0100,VILLAGE HEALTH CARE 94023,S200000,00400,0200,385068 94023,S200000,00400,0300,04/03/1967 94023,S200000,00400,0500,P 94023,S200000,01600,0100,Y 94023,S200000,02200,0100,Y 94036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94036,A000000,00300,0000,00300EMPLOYEE BENEFITS 94036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94036,A000000,00700,0000,00700HOUSEKEEPING 94036,A000000,00800,0000,00800DIETARY 94036,A000000,00900,0000,00900NURSING ADMINISTRATION 94036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94036,A000000,01100,0000,01100PHARMACY 94036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94036,A000000,01300,0000,01300SOCIAL SERVICE 94036,A000000,01600,0000,01600SKILLED NURSING FACILITY 94036,A000000,01800,0000,01800NURSING FACILITY 94036,A000000,01810,0000,01810ICF/MR 94036,A000000,01900,0000,01900OTHER LONG TERM CARE 94036,A000000,02100,0000,02100RADIOLOGY 94036,A000000,02200,0000,02200LABORATORY 94036,A000000,02300,0000,02300INTRAVENOUS THERAPY 94036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94036,A000000,02500,0000,02500PHYSICAL THERAPY 94036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94036,A000000,02700,0000,02700SPEECH PATHOLOGY 94036,A000000,02800,0000,02800ELECTROCARDIOLOGY 94036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94036,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94036,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94036,A000000,03200,0000,03200SUPPORT SURFACES 94036,A000000,03400,0000,03400CLINIC 94036,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94036,A000000,03500,0000,03500RURAL HEALTH CLINIC 94036,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94036,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94036,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94036,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94036,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94036,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94036,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94036,A000000,04400,0000,04400DME RENTED - HHA 94036,A000000,04500,0000,04500DME SOLD - HHA 94036,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94036,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94036,A000000,04800,0000,04800AMBULANCE 94036,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94036,A000000,05000,0000,05000CORF 94036,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94036,A000000,05300,0000,05300INTEREST EXPENSE 94036,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94036,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94036,A000000,05500,0000,05500HOSPICE 94036,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94036,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94036,A000000,06100,0000,06100NONPAID WORKERS 94036,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94036,A000000,06200,0000,06200PATIENTS LAUNDRY 94036,A81000A,00100,0100,Y 94036,A81000B,00100,0300,HOME OFFICE ALLOCATION 94036,A81000B,00200,0300,HOME OFFICE ALLOCATION 94036,A81000B,00300,0300,HOME OFFICE ALLOCATION 94036,A81000B,00400,0300,HOME OFFICE ALLOCATION 94036,A81000B,00500,0300,RELATED PARTY LEASE 94036,A81000B,00600,0300,RELATED PARTY LEASE 94036,A81000B,00700,0300,HOME OFFICE ALLOCATION 94036,A81000B,00800,0300,HOME OFFICE ALLOCATION 94036,A81000C,00100,0100,B 94036,A81000C,00100,0200,JAMES L. CLAY 94036,A81000C,00100,0400,REGENCY PACIFIC 94036,A81000C,00100,0600,HEALTH CARE MAN 94036,A81000C,00200,0100,B 94036,A81000C,00200,0200,JAMES L. CLAY 94036,A81000C,00200,0400,REGENCY DEVELOP 94036,A81000C,00200,0600,DEVELOPMENT 94036,A81000C,00300,0100,B 94036,A81000C,00300,0200,JAMES L. CLAY 94036,A81000C,00300,0400,EXPRESS MEDICAL 94036,A81000C,00300,0600,SUPPLIES 94036,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94036,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94036,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94036,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94036,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94036,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94036,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94036,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94036,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94036,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 94036,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94036,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94036,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94036,E10A180,00501,0100,07/10/2000 94036,E10A180,00501,0300,07/10/2000 94036,S000000,00100,0200,06/01/2000 94036,S200000,00100,0100,415 N.E. 5TH STREET 94036,S200000,00200,0100,GRESHAM 94036,S200000,00200,0200,OR 94036,S200000,00200,0300,97030- 94036,S200000,00300,0100,CLAKAMAS 94036,S200000,00400,0100,REGENCY AT GRESHAM REHAB CTR. 94036,S200000,00400,0200,385190 94036,S200000,00400,0300,09/01/1985 94036,S200000,00400,0500,P 94036,S200000,01500,0100,Y 94036,S200000,02200,0100,Y 94054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94054,A000000,00300,0000,00300EMPLOYEE BENEFITS 94054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94054,A000000,00700,0000,00700HOUSEKEEPING 94054,A000000,00800,0000,00800DIETARY 94054,A000000,00900,0000,00900NURSING ADMINISTRATION 94054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94054,A000000,01100,0000,01100PHARMACY 94054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94054,A000000,01300,0000,01300SOCIAL SERVICE 94054,A000000,01600,0000,01600SKILLED NURSING FACILITY 94054,A000000,01800,0000,01800NURSING FACILITY 94054,A000000,01810,0000,01810ICF/MR 94054,A000000,01900,0000,01900OTHER LONG TERM CARE 94054,A000000,02100,0000,02100RADIOLOGY 94054,A000000,02200,0000,02200LABORATORY 94054,A000000,02300,0000,02300INTRAVENOUS THERAPY 94054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94054,A000000,02500,0000,02500PHYSICAL THERAPY 94054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94054,A000000,02700,0000,02700SPEECH PATHOLOGY 94054,A000000,02800,0000,02800ELECTROCARDIOLOGY 94054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94054,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94054,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94054,A000000,03200,0000,03200SUPPORT SURFACES 94054,A000000,03400,0000,03400CLINIC 94054,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94054,A000000,03500,0000,03500RURAL HEALTH CLINIC 94054,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94054,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94054,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94054,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94054,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94054,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94054,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94054,A000000,04400,0000,04400DME RENTED - HHA 94054,A000000,04500,0000,04500DME SOLD - HHA 94054,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94054,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94054,A000000,04800,0000,04800AMBULANCE 94054,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94054,A000000,05000,0000,05000CORF 94054,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94054,A000000,05300,0000,05300INTEREST EXPENSE 94054,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94054,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94054,A000000,05500,0000,05500HOSPICE 94054,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94054,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94054,A000000,06100,0000,06100NONPAID WORKERS 94054,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94054,A000000,06200,0000,06200PATIENTS LAUNDRY 94054,A81000A,00100,0100,Y 94054,A81000B,00100,0300,RELATED PARTY LEASE 94054,A81000B,00200,0300,RELATED PARTY LEASE 94054,A81000B,00300,0300,RELATED PARTY MGMT 94054,A81000B,00400,0300,RELATED PARTY ACCT 94054,A81000B,00500,0300,HOME OFFICE CAP 94054,A81000B,00600,0300,HOME OFFICE CAP 94054,A81000B,00700,0300,HOME OFFICE ACCT 94054,A81000B,00800,0300,HOME OFFICE MGMT 94054,A81000B,00900,0300,RELATED PARTY LEASE 94054,A81000C,00100,0100,A 94054,A81000C,00100,0200,DAVID L. ROGGE 94054,A81000C,00100,0400,HILLTOP HC 94054,A81000C,00100,0600,HEALTH CARE 94054,A81000C,00200,0100,A 94054,A81000C,00200,0200,JAMES L. CLAY 94054,A81000C,00200,0400,HILLTOP HC 94054,A81000C,00200,0600,HEALTH CARE 94054,A81000C,00300,0100,A 94054,A81000C,00300,0200,JAMES L. CLAY 94054,A81000C,00300,0400,REGENCY PACIFIC 94054,A81000C,00300,0600,HEALTH CARE 94054,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94054,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94054,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94054,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94054,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94054,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94054,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94054,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94054,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94054,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94054,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94054,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94054,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94054,S000000,00100,0200,06/01/2000 94054,S200000,00100,0100,859 N.E. SIXTH STREET 94054,S200000,00200,0100,GRANTS PASS 94054,S200000,00200,0200,OR 94054,S200000,00200,0300,97526- 94054,S200000,00300,0100,JOSEPHINE 94054,S200000,00400,0100,LAUREL HILL NURSING CTR. 94054,S200000,00400,0200,385232 94054,S200000,00400,0300,10/01/1992 94054,S200000,00400,0500,P 94054,S200000,01500,0100,Y 94054,S700003,00000,0100,1 94060,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94060,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94060,A000000,00300,0000,00300EMPLOYEE BENEFITS 94060,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94060,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94060,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94060,A000000,00700,0000,00700HOUSEKEEPING 94060,A000000,00800,0000,00800DIETARY 94060,A000000,00900,0000,00900NURSING ADMINISTRATION 94060,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94060,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94060,A000000,01300,0000,01300SOCIAL SERVICE 94060,A000000,01600,0000,01600SKILLED NURSING FACILITY 94060,A000000,01800,0000,01800NURSING FACILITY 94060,A000000,01900,0000,01900OTHER LONG TERM CARE 94060,A000000,02200,0000,02200LABORATORY 94060,A000000,02500,0000,02500PHYSICAL THERAPY 94060,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94060,A000000,02700,0000,02700SPEECH PATHOLOGY 94060,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94060,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94060,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94060,A81000A,00100,0100,Y 94060,A81000B,00100,0300,DIETARY SLARY ALLOCATION 94060,A81000B,00200,0300,INTEREST 94060,A81000B,00300,0300,MANAGEMENT/ACCOUNTING 94060,A81000B,00400,0300,CAPITAL-BUILDING 94060,A81000B,00500,0300,CAPITAL-EQUIPMENT 94060,A81000B,00600,0300,HOME OFFICE ACCOUNTING 94060,A81000B,00700,0300,MANAGEMENT FEES 94060,A81000C,00100,0100,B 94060,A81000C,00100,0200,REGENCY NORTHWEST 94060,A81000C,00100,0600,MANAGEMENT/ACCOUNTING 94060,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94060,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94060,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94060,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94060,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94060,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94060,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94060,B100000,00000,0800,00000MEALS SERVED :DIETARY 94060,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94060,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94060,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94060,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94060,E10A180,00501,0100,05/02/2001 94060,E10A180,00501,0300,05/02/2001 94060,S000000,00100,0200,03/19/2001 94060,S200000,00100,0100,39641 SCENIC STREET 94060,S200000,00200,0100,SANDY 94060,S200000,00200,0200,OR 94060,S200000,00200,0300,97055- 94060,S200000,00300,0100,CLACKAMAS 94060,S200000,00300,0200,6440 94060,S200000,00300,0300,U 94060,S200000,00400,0100,REGENCY NORTHWEST-SCENIC POINT 94060,S200000,00400,0200,385246 94060,S200000,00400,0300,11/25/1994 94060,S200000,00400,0500,P 94060,S200000,01600,0100,Y 94067,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94067,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94067,A000000,00300,0000,00300EMPLOYEE BENEFITS 94067,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94067,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94067,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94067,A000000,00700,0000,00700HOUSEKEEPING 94067,A000000,00800,0000,00800DIETARY 94067,A000000,00900,0000,00900NURSING ADMINISTRATION 94067,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94067,A000000,01100,0000,01100PHARMACY 94067,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94067,A000000,01300,0000,01300SOCIAL SERVICE 94067,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 94067,A000000,01600,0000,01600SKILLED NURSING FACILITY 94067,A000000,01800,0000,01800NURSING FACILITY 94067,A000000,01900,0000,01900OTHER LONG TERM CARE 94067,A000000,02100,0000,02100RADIOLOGY 94067,A000000,02200,0000,02200LABORATORY 94067,A000000,02300,0000,02300INTRAVENOUS THERAPY 94067,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94067,A000000,02500,0000,02500PHYSICAL THERAPY 94067,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94067,A000000,02700,0000,02700SPEECH PATHOLOGY 94067,A000000,02800,0000,02800ELECTROCARDIOLOGY 94067,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94067,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94067,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94067,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94067,A000000,04800,0000,04800AMBULANCE 94067,A000000,05000,0000,05000CORF 94067,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94067,A000000,05300,0000,05300INTEREST EXPENSE 94067,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94067,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94067,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94067,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94067,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94067,A000000,06100,0000,06100NONPAID WORKERS 94067,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94067,A000000,06200,0000,06200PATIENTS LAUNDRY 94067,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94067,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94067,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94067,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94067,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94067,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94067,B100000,00000,0800,00000MEALS SERVED :DIETARY 94067,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94067,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 94067,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94067,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94067,S000000,00100,0200,11/30/2000 94067,S200000,00100,0100,700 VETERANS DRIVE 94067,S200000,00200,0100,THE DALES 94067,S200000,00200,0200,OR 94067,S200000,00200,0300,97058- 94067,S200000,00300,0100,WASCO 94067,S200000,00300,0300,R 94067,S200000,00400,0100,OREGON VETERANS HOME 94067,S200000,00400,0200,385257 94067,S200000,00400,0300,04/29/1998 94067,S200000,00400,0500,P 94067,S200000,01004,0500,O 94067,S200000,01600,0100,Y 94106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94106,A000000,00300,0000,00300EMPLOYEE BENEFITS 94106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94106,A000000,00700,0000,00700HOUSEKEEPING 94106,A000000,00800,0000,00800DIETARY 94106,A000000,00900,0000,00900NURSING ADMINISTRATION 94106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94106,A000000,01100,0000,01100PHARMACY 94106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94106,A000000,01300,0000,01300SOCIAL SERVICE 94106,A000000,01350,0000,01500RESIDENT ACTIVITIES 94106,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94106,A000000,01600,0000,01600SKILLED NURSING FACILITY 94106,A000000,01800,0000,01800NURSING FACILITY 94106,A000000,01810,0000,01810ICF/MR 94106,A000000,01900,0000,01900OTHER LONG TERM CARE 94106,A000000,02100,0000,02100RADIOLOGY 94106,A000000,02200,0000,02200LABORATORY 94106,A000000,02300,0000,02300INTRAVENOUS THERAPY 94106,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94106,A000000,02500,0000,02500PHYSICAL THERAPY 94106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94106,A000000,02700,0000,02700SPEECH PATHOLOGY 94106,A000000,02800,0000,02800ELECTROCARDIOLOGY 94106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94106,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94106,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94106,A000000,03200,0000,03200SUPPORT SURFACES 94106,A000000,03400,0000,03400CLINIC 94106,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94106,A000000,03500,0000,03500RURAL HEALTH CLINIC 94106,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94106,A000000,04800,0000,04800AMBULANCE 94106,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94106,A000000,05000,0000,05000CORF 94106,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94106,A000000,05300,0000,05300INTEREST EXPENSE 94106,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94106,A000000,05500,0000,05500HOSPICE 94106,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94106,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94106,A000000,06100,0000,06100NONPAID WORKERS 94106,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94106,A000000,06200,0000,06200PATIENTS LAUNDRY 94106,A81000A,00100,0100,Y 94106,A81000B,00100,0300,HOME OFFICE FEE 94106,A81000C,00100,0100,B 94106,A81000C,00100,0200,QUALITY CARE FOUNDATION 94106,A81000C,00100,0400,QUALITY CARE FOUNDATION 94106,A81000C,00100,0600,HOME OFFICE 94106,B100000,00000,0100,00000SQUARE FT :CAP REL COSTS - BLDGS & 94106,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94106,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94106,B100000,00000,0500,00000SQUARE FT :PLANT OPERATION MAINT. 94106,B100000,00000,0650,00000LBS OF LAUND :LAUNDRY & LINEN SERVI 94106,B100000,00000,0750,00000SQ FEET EXCL D:HOUSEKEEPING 94106,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94106,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94106,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94106,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94106,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94106,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94106,B100000,00000,1350,00000PATIENT DAYS :RESIDENT ACTIVITIES 94106,S000000,00100,0200,06/01/2000 94106,S200000,00100,0100,223 PITTSBURGH STREET 94106,S200000,00100,0300,458 94106,S200000,00200,0100,SAXONBURG 94106,S200000,00200,0200,PA 94106,S200000,00200,0300,16056- 94106,S200000,00300,0100,BUTLER 94106,S200000,00300,0200,6280 94106,S200000,00300,0300,U 94106,S200000,00400,0100,SAXONY HEALTH CENTER 94106,S200000,00400,0200,395160 94106,S200000,00400,0300,01/01/1998 94106,S200000,00400,0500,P 94106,S200000,01500,0100,Y 94118,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94118,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94118,A000000,00300,0000,00300EMPLOYEE BENEFITS 94118,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94118,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94118,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94118,A000000,00700,0000,00700HOUSEKEEPING 94118,A000000,00800,0000,00800DIETARY 94118,A000000,00900,0000,00900NURSING ADMINISTRATION 94118,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94118,A000000,01100,0000,01100PHARMACY 94118,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94118,A000000,01300,0000,01300SOCIAL SERVICE 94118,A000000,01350,0000,01500PATIENT ACTIVITIES 94118,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94118,A000000,01600,0000,01600SKILLED NURSING FACILITY 94118,A000000,01800,0000,01800NURSING FACILITY 94118,A000000,01810,0000,01810ICF/MR 94118,A000000,01900,0000,01900OTHER LONG TERM CARE 94118,A000000,02100,0000,02100RADIOLOGY 94118,A000000,02200,0000,02200LABORATORY 94118,A000000,02300,0000,02300INTRAVENOUS THERAPY 94118,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94118,A000000,02500,0000,02500PHYSICAL THERAPY 94118,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94118,A000000,02700,0000,02700SPEECH PATHOLOGY 94118,A000000,02800,0000,02800ELECTROCARDIOLOGY 94118,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94118,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94118,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94118,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94118,A000000,03200,0000,03200SUPPORT SURFACES 94118,A000000,03400,0000,03400CLINIC 94118,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94118,A000000,03500,0000,03500RURAL HEALTH CLINIC 94118,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94118,A000000,04800,0000,04800AMBULANCE 94118,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94118,A000000,05000,0000,05000CORF 94118,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94118,A000000,05300,0000,05300INTEREST EXPENSE 94118,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94118,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94118,A000000,05500,0000,05500HOSPICE 94118,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94118,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94118,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94118,A000000,06100,0000,06100NONPAID WORKERS 94118,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94118,A000000,06200,0000,06200PATIENTS LAUNDRY 94118,A81000A,00100,0100,Y 94118,A81000B,00100,0300,HOME OFFICE - CAPITAL 94118,A81000B,00200,0300,HOME OFFICE - ADMINISTRATIVE 94118,A81000C,00100,0100,B 94118,A81000C,00100,0200,WELLNESS CONCEPTS INC. 94118,A81000C,00100,0400,WELLNESS CONCEPTS INC. 94118,A81000C,00100,0600,HOME OFFICE 94118,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94118,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94118,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94118,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94118,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94118,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94118,B100000,00000,0800,00000MEALS SERVED :DIETARY 94118,B100000,00000,0900,00000HOURS WORKED :NURSING ADMINISTRATI 94118,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94118,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94118,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 94118,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94118,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 94118,S000000,00100,0200,06/01/2000 94118,S200000,00100,0100,2644 BRISTOL RD 94118,S200000,00200,0100,WARRINGTON 94118,S200000,00200,0200,PA 94118,S200000,00200,0300,18976- 94118,S200000,00300,0100,BUCKS 94118,S200000,00300,0200,6160 94118,S200000,00300,0300,U 94118,S200000,00400,0100,FOX SUBACUTE CENTER 94118,S200000,00400,0200,395194 94118,S200000,00400,0300,07/01/1995 94118,S200000,00400,0500,P 94118,S200000,00400,0600,P 94118,S200000,01500,0100,Y 94118,S200000,04300,0100,Y 94139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94139,A000000,00300,0000,00300EMPLOYEE BENEFITS 94139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94139,A000000,00700,0000,00700HOUSEKEEPING 94139,A000000,00800,0000,00800DIETARY 94139,A000000,00900,0000,00900NURSING ADMINISTRATION 94139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94139,A000000,01300,0000,01300SOCIAL SERVICE 94139,A000000,01600,0000,01600SKILLED NURSING FACILITY 94139,A000000,01800,0000,01800NURSING FACILITY 94139,A000000,02100,0000,02100RADIOLOGY 94139,A000000,02200,0000,02200LABORATORY 94139,A000000,02500,0000,02500PHYSICAL THERAPY 94139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94139,A000000,02700,0000,02700SPEECH PATHOLOGY 94139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94139,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94139,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94139,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94139,B100000,00000,0800,00000MEALS SERVED :DIETARY 94139,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94139,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94139,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94139,S000000,00100,0200,06/12/2000 94139,S200000,00100,0100,10 HART PLACE 94139,S200000,00200,0100,CARBONDALE 94139,S200000,00200,0200,PA 94139,S200000,00200,0300,18407- 94139,S200000,00300,0100,LACKAWANNA 94139,S200000,00400,0100,CNH INC. 94139,S200000,00400,0200,395260 94139,S200000,00400,0300,01/01/1986 94139,S200000,00400,0500,P 94139,S200000,01004,0500,O 94139,S200000,01600,0100,Y 94139,S700003,00000,0100,1 94148,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94148,A000000,00300,0000,00300EMPLOYEE BENEFITS 94148,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94148,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94148,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94148,A000000,00700,0000,00700HOUSEKEEPING 94148,A000000,00800,0000,00800DIETARY 94148,A000000,00900,0000,00900NURSING ADMINISTRATION 94148,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94148,A000000,01300,0000,01300SOCIAL SERVICE 94148,A000000,01600,0000,01600SKILLED NURSING FACILITY 94148,A000000,01900,0000,01900OTHER LONG TERM CARE 94148,A000000,02100,0000,02100RADIOLOGY 94148,A000000,02200,0000,02200LABORATORY 94148,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94148,A000000,02500,0000,02500PHYSICAL THERAPY 94148,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94148,A000000,02700,0000,02700SPEECH PATHOLOGY 94148,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94148,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94148,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94148,A000000,06150,0000,06300DAYCARE 94148,A81000A,00100,0100,Y 94148,A81000B,00100,0300,INTEREST 94148,A81000C,00100,0100,B 94148,A81000C,00100,0400,LUTHERAN SERVI 94148,A81000C,00100,0600,HEALTHCARE 94148,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94148,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 94148,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94148,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94148,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 94148,B100000,00000,0700,00000HSKG HOURS :HOUSEKEEPING 94148,B100000,00000,0800,00000MEALS :DIETARY 94148,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 94148,B100000,00000,1200,00000TIME :MEDICAL RECORDS & LIBRARY 94148,B100000,00000,1300,00000TIME :SOCIAL SERVICE 94148,S000000,00100,0200,07/06/1999 94148,S200000,00100,0100,RT. 724 OLD SCHUYLKILL ROAD 94148,S200000,00100,0300,799 94148,S200000,00200,0100,POTTSTOWN 94148,S200000,00200,0200,PA 94148,S200000,00200,0300,19464- 94148,S200000,00300,0100,CHESTER 94148,S200000,00400,0100,MANATAWNY MANOR - LSN 94148,S200000,00400,0200,395319 94148,S200000,00400,0300,11/01/1998 94148,S200000,00400,0500,P 94148,S200000,01500,0100,Y 94148,S200000,04300,0100,Y 94149,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94149,A000000,00300,0000,00300EMPLOYEE BENEFITS 94149,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94149,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94149,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94149,A000000,00700,0000,00700HOUSEKEEPING 94149,A000000,00800,0000,00800DIETARY 94149,A000000,00900,0000,00900NURSING ADMINISTRATION 94149,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94149,A000000,01300,0000,01300SOCIAL SERVICE 94149,A000000,01600,0000,01600SKILLED NURSING FACILITY 94149,A000000,01900,0000,01900OTHER LONG TERM CARE 94149,A000000,02100,0000,02100RADIOLOGY 94149,A000000,02200,0000,02200LABORATORY 94149,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94149,A000000,02500,0000,02500PHYSICAL THERAPY 94149,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94149,A000000,02700,0000,02700SPEECH PATHOLOGY 94149,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94149,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94149,A000000,06100,0000,06100NONPAID WORKERS 94149,A81000A,00100,0100,Y 94149,A81000B,00100,0300,INTEREST 94149,A81000B,00200,0300,MANAGEMENT 94149,A81000C,00100,0100,B 94149,A81000C,00100,0200,LUTHERAN SERVIC 94149,A81000C,00100,0400,LSN 94149,A81000C,00100,0600,HEALTHCARE 94149,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94149,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94149,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94149,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94149,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94149,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 94149,B100000,00000,0800,00000MEALS SERVED :DIETARY 94149,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94149,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94149,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94149,S000000,00100,0200,05/30/2000 94149,S200000,00100,0100,OLD SCHUYLKILL RD RT. 724 94149,S200000,00100,0300,799 94149,S200000,00200,0100,POTTSTOWN 94149,S200000,00200,0200,PA 94149,S200000,00200,0300,19464- 94149,S200000,00300,0100,CHESTER 94149,S200000,00400,0100,MANATAWNY MANOR - LSN 94149,S200000,00400,0200,395319 94149,S200000,00400,0300,11/01/1998 94149,S200000,00400,0500,P 94149,S200000,01500,0100,Y 94149,S700003,00000,0300,3 94156,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94156,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94156,A000000,00300,0000,00300EMPLOYEE BENEFITS 94156,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94156,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94156,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94156,A000000,00700,0000,00700HOUSEKEEPING 94156,A000000,00800,0000,00800DIETARY 94156,A000000,00900,0000,00900NURSING ADMINISTRATION 94156,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94156,A000000,01100,0000,01100PHARMACY 94156,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94156,A000000,01300,0000,01300SOCIAL SERVICE 94156,A000000,01350,0000,01500ACTIVITIES VOLUNTEERS 94156,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94156,A000000,01600,0000,01600SKILLED NURSING FACILITY 94156,A000000,01810,0000,01810ICF/MR 94156,A000000,01900,0000,01900OTHER LONG TERM CARE 94156,A000000,02100,0000,02100RADIOLOGY 94156,A000000,02200,0000,02200LABORATORY 94156,A000000,02300,0000,02300INTRAVENOUS THERAPY 94156,A000000,02500,0000,02500PHYSICAL THERAPY 94156,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94156,A000000,02700,0000,02700SPEECH PATHOLOGY 94156,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94156,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94156,A000000,03550,0000,03550FQHC 94156,A000000,05000,0000,05000CORF 94156,A000000,05010,0000,05010CMHC 94156,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 94156,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 94156,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 94156,A000000,05300,0000,05300INTEREST EXPENSE 94156,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94156,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94156,A000000,06150,0000,06300DAY CARE 94156,A000000,06151,0000,06301INDEPENDENT LIVING 94156,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 94156,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 94156,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 94156,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 94156,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 94156,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 94156,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 94156,B100000,00000,0800,00001MEALS SERVED :DIETARY 94156,B100000,00000,0950,00001DIRECT NRSG HRS :NURSING ADMINISTRA 94156,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 94156,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 94156,B100000,00000,1350,00001SQUARE FEET :ACTIVITIES VOLUNTEER 94156,E10A180,00302,0100,06/30/1999 94156,S000000,00100,0200,05/23/2000 94156,S200000,00100,0100,300 WEST LEMON STREET 94156,S200000,00200,0100,LITITZ 94156,S200000,00200,0200,PA 94156,S200000,00200,0300,17543- 94156,S200000,00300,0100,LANCASTER 94156,S200000,00300,0200,TER 94156,S200000,00300,0300,U 94156,S200000,00400,0100,MORAVIAN MANORS INC. 94156,S200000,00400,0200,395325 94156,S200000,00400,0300,01/01/1975 94156,S200000,00400,0500,P 94156,S200000,01500,0100,Y 94156,S200000,04300,0100,Y 94164,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94164,A000000,00300,0000,00300EMPLOYEE BENEFITS 94164,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94164,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94164,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94164,A000000,00700,0000,00700HOUSEKEEPING 94164,A000000,00800,0000,00800DIETARY 94164,A000000,00900,0000,00900NURSING ADMINISTRATION 94164,A000000,01300,0000,01300SOCIAL SERVICE 94164,A000000,01600,0000,01600SKILLED NURSING FACILITY 94164,A000000,01900,0000,01900OTHER LONG TERM CARE 94164,A000000,02100,0000,02100RADIOLOGY 94164,A000000,02200,0000,02200LABORATORY 94164,A000000,02500,0000,02500PHYSICAL THERAPY 94164,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94164,A000000,02700,0000,02700SPEECH PATHOLOGY 94164,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94164,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94164,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94164,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94164,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94164,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94164,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94164,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 94164,B100000,00000,0800,00000MEALS SERVED :DIETARY 94164,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94164,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94164,E10A180,00301,0100,01/11/2000 94164,S000000,00100,0200,12/05/2000 94164,S200000,00100,0100,2499 ZERBE ROAD 94164,S200000,00200,0100,NARVON 94164,S200000,00200,0200,PA 94164,S200000,00200,0300,17555- 94164,S200000,00300,0100,LANCASTER 94164,S200000,00300,0200,4000 94164,S200000,00300,0300,U 94164,S200000,00400,0100,ZERBE SSITERS NURSING CENTER 94164,S200000,00400,0200,395326 94164,S200000,00400,0300,07/01/1975 94164,S200000,00400,0500,P 94164,S200000,01500,0100,Y 94172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94172,A000000,00300,0000,00300EMPLOYEE BENEFITS 94172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94172,A000000,00700,0000,00700HOUSEKEEPING 94172,A000000,00800,0000,00800DIETARY 94172,A000000,00900,0000,00900NURSING ADMINISTRATION 94172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94172,A000000,01300,0000,01300SOCIAL SERVICE 94172,A000000,01350,0000,01500ACTIVITIES 94172,A000000,01600,0000,01600SKILLED NURSING FACILITY 94172,A000000,01800,0000,01800NURSING FACILITY 94172,A000000,01900,0000,01900OTHER LONG TERM CARE 94172,A000000,02100,0000,02100RADIOLOGY 94172,A000000,02200,0000,02200LABORATORY 94172,A000000,02300,0000,02300INTRAVENOUS THERAPY 94172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94172,A000000,02500,0000,02500PHYSICAL THERAPY 94172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94172,A000000,02700,0000,02700SPEECH PATHOLOGY 94172,A000000,02800,0000,02800ELECTROCARDIOLOGY 94172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94172,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94172,A000000,03200,0000,03200SUPPORT SURFACES 94172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94172,A000000,04800,0000,04800AMBULANCE 94172,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94172,A000000,05300,0000,05300INTEREST EXPENSE 94172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94172,A000000,06200,0000,06200PATIENTS LAUNDRY 94172,A81000A,00100,0100,Y 94172,A81000B,00100,0300,MANAGEMENT FEE 94172,A81000C,00100,0100,A 94172,A81000C,00100,0200,ERNST G. SCHMIDT 94172,A81000C,00100,0400,LUTHER WOODS CORP. 94172,A81000C,00100,0600,MANAGEMENT SERVICES 94172,A81000C,00200,0100,A 94172,A81000C,00200,0200,ALFRED O BREINIG 94172,A81000C,00200,0400,LUTHER WOODS CORP. 94172,A81000C,00200,0600,MANAGEMENT SERVICES 94172,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94172,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94172,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94172,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94172,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94172,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94172,B100000,00000,0800,00000MEALS SERVED :DIETARY 94172,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94172,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94172,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94172,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94172,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 94172,S000000,00100,0200,05/31/2000 94172,S200000,00100,0100,313 COUNTY LINE ROAD 94172,S200000,00200,0100,HATBORO 94172,S200000,00200,0200,PA 94172,S200000,00200,0300,19040- 94172,S200000,00300,0100,MONTGOMERY 94172,S200000,00300,0200,6160 94172,S200000,00300,0300,U 94172,S200000,00400,0100,LUTHER WOODS CONVALESCENT CENTER 94172,S200000,00400,0200,395370 94172,S200000,00400,0300,06/03/1977 94172,S200000,00400,0500,P 94172,S200000,01500,0100,Y 94172,S200000,02800,0100,Y 94181,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94181,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94181,A000000,00300,0000,00300EMPLOYEE BENEFITS 94181,A000000,00301,0000,00301OSHA COSTS 94181,A000000,00302,0000,00302OBRA COSTS 94181,A000000,00303,0000,00303NURSE AIDE TRAINING 94181,A000000,00304,0000,00304STAFF DEVELOPMENT 94181,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94181,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94181,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94181,A000000,00700,0000,00700HOUSEKEEPING 94181,A000000,00800,0000,00800DIETARY 94181,A000000,00801,0000,00801TOTAL ENTERAL NUTRITION 94181,A000000,00802,0000,00802EMPLOYEE CAFETERIA 94181,A000000,00900,0000,00900NURSING ADMINISTRATION 94181,A000000,00901,0000,00901MEDICAL DIRECTOR 94181,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94181,A000000,01100,0000,01100PHARMACY 94181,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94181,A000000,01300,0000,01300SOCIAL SERVICE 94181,A000000,01301,0000,01301RESIDENT TRANSPORT 94181,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94181,A000000,01600,0000,01600SKILLED NURSING FACILITY 94181,A000000,02200,0000,02200LABORATORY 94181,A000000,02300,0000,02300INTRAVENOUS THERAPY 94181,A000000,02500,0000,02500PHYSICAL THERAPY 94181,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94181,A000000,02700,0000,02700SPEECH PATHOLOGY 94181,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94181,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94181,A000000,05300,0000,05300INTEREST EXPENSE 94181,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94181,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94181,A81000A,00100,0100,Y 94181,A81000B,00100,0300,INDIRECT COUNTY COST 94181,A81000B,00200,0300,LAN USAGE CHARGE 94181,A81000B,00300,0300,LAUNDRY SERVICES 94181,A81000C,00100,0100,G 94181,A81000C,00100,0200,CHESTER COUNTY 94181,A81000C,00100,0400,CHESTER COUNTY 94181,A81000C,00100,0600,MUNICIPALITY 94181,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94181,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94181,B100000,00000,0304,00000GROSS SALARIES :STAFF DEVELOPMENT 94181,B100000,00000,0353,00000HRS OF SERVICE :NURSE AIDE TRAINING 94181,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94181,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94181,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94181,B100000,00000,0750,00000SQUARE FEE EXCL. KITC:HOUSEKEEPING 94181,B100000,00000,0800,00000MEALS SERVED :DIETARY 94181,B100000,00000,0851,00000ACTUAL COSTS :TOTAL ENTERAL NUTRIT 94181,B100000,00000,0852,00000FTES :EMPLOYEE CAFETERIA 94181,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 94181,B100000,00000,0951,00000PATIENT DAYS :MEDICAL DIRECTOR 94181,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 94181,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 94181,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94181,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94181,B100000,00000,1301,00000TIME SPENT :RESIDENT TRANSPORT 94181,S000000,00100,0200,05/24/2000 94181,S200000,00100,0100,1695 LENAPE ROAD 94181,S200000,00200,0100,WEST CHESTER 94181,S200000,00200,0200,PA 94181,S200000,00200,0300,19382- 94181,S200000,00300,0100,CHESTER 94181,S200000,00300,0200,6160 94181,S200000,00300,0300,U 94181,S200000,00400,0100,POCOPSON HOME 94181,S200000,00400,0200,395384 94181,S200000,00400,0300,04/01/1977 94181,S200000,00400,0500,P 94181,S200000,01500,0100,Y 94188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94188,A000000,00300,0000,00300EMPLOYEE BENEFITS 94188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94188,A000000,00700,0000,00700HOUSEKEEPING 94188,A000000,00800,0000,00800DIETARY 94188,A000000,00900,0000,00900NURSING ADMINISTRATION 94188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94188,A000000,01100,0000,01100PHARMACY 94188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94188,A000000,01300,0000,01300SOCIAL SERVICE 94188,A000000,01350,0000,01500ACTIVITIES 94188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94188,A000000,01600,0000,01600SKILLED NURSING FACILITY 94188,A000000,01800,0000,01800NURSING FACILITY 94188,A000000,01810,0000,01810ICF/MR 94188,A000000,01900,0000,01900OTHER LONG TERM CARE 94188,A000000,02100,0000,02100RADIOLOGY 94188,A000000,02200,0000,02200LABORATORY 94188,A000000,02300,0000,02300INTRAVENOUS THERAPY 94188,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94188,A000000,02500,0000,02500PHYSICAL THERAPY 94188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94188,A000000,02700,0000,02700SPEECH PATHOLOGY 94188,A000000,02800,0000,02800ELECTROCARDIOLOGY 94188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94188,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94188,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94188,A000000,03200,0000,03200SUPPORT SURFACES 94188,A000000,03400,0000,03400CLINIC 94188,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94188,A000000,03500,0000,03500RURAL HEALTH CLINIC 94188,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94188,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94188,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94188,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94188,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94188,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94188,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94188,A000000,04400,0000,04400DME RENTED - HHA 94188,A000000,04500,0000,04500DME SOLD - HHA 94188,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94188,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94188,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94188,A000000,04800,0000,04800AMBULANCE 94188,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94188,A000000,05000,0000,05000CORF 94188,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94188,A000000,05300,0000,05300INTEREST EXPENSE 94188,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94188,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94188,A000000,05500,0000,05500HOSPICE 94188,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94188,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94188,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94188,A000000,06100,0000,06100NONPAID WORKERS 94188,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94188,A000000,06200,0000,06200PATIENTS LAUNDRY 94188,A81000A,00100,0100,Y 94188,A81000B,00100,0300,MANAGEMENT FEE 94188,A81000B,00200,0300,RENT 94188,A81000B,00300,0300,AMORTIZATION 94188,A81000B,00400,0300,REAL ESTATE TAXES 94188,A81000B,00500,0300,DEPRECIATION-BUILDINGS 94188,A81000B,00600,0300,DEPRECIATION-LAND IMP. 94188,A81000B,00700,0300,MORTGAGE INTEREST 94188,A81000C,00100,0100,A 94188,A81000C,00100,0200,HARRY TRACTMAN 94188,A81000C,00100,0400,ACCORD HEALTH 94188,A81000C,00100,0600,HOME OFFICE 94188,A81000C,00200,0100,A 94188,A81000C,00200,0200,HARRY TRACTMAN 94188,A81000C,00200,0400,ELISA LTD. 94188,A81000C,00200,0600,REAL ESTATE 94188,A81000C,00300,0100,A 94188,A81000C,00300,0200,HARRY TRACTMAN 94188,A81000C,00300,0400,CHESTER DEVELOPMENT 94188,A81000C,00300,0600,BUILDING SERVICES 94188,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94188,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94188,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94188,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94188,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 94188,B100000,00000,0800,00000MEALS SERVED :DIETARY 94188,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94188,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94188,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94188,B100000,00000,1350,00000PATIEN DAYS :ACTIVITIES 94188,S000000,00100,0200,11/30/2000 94188,S200000,00100,0100,252 BELMONT AVENUE 94188,S200000,00200,0100,DOYLESTOWN 94188,S200000,00200,0200,PA 94188,S200000,00200,0300,18901- 94188,S200000,00300,0100,BUCKS 94188,S200000,00300,0200,0039 94188,S200000,00300,0300,U 94188,S200000,00400,0100,BRIARLEAF NURSING & CONV. INC. 94188,S200000,00400,0200,395409 94188,S200000,00400,0300,06/10/1981 94188,S200000,00400,0500,P 94188,S200000,01500,0100,Y 94188,S200000,04300,0100,Y 94192,S000000,00100,0200,05/24/2000 94199,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94199,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94199,A000000,00300,0000,00300EMPLOYEE BENEFITS 94199,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94199,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94199,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94199,A000000,00700,0000,00700HOUSEKEEPING 94199,A000000,00800,0000,00800DIETARY 94199,A000000,00900,0000,00900NURSING ADMINISTRATION 94199,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94199,A000000,01100,0000,01100PHARMACY 94199,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94199,A000000,01300,0000,01300SOCIAL SERVICE 94199,A000000,01350,0000,01500ACTIVITIES 94199,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94199,A000000,01600,0000,01600SKILLED NURSING FACILITY 94199,A000000,01800,0000,01800NURSING FACILITY 94199,A000000,01810,0000,01810ICF/MR 94199,A000000,01900,0000,01900OTHER LONG TERM CARE 94199,A000000,02100,0000,02100RADIOLOGY 94199,A000000,02200,0000,02200LABORATORY 94199,A000000,02300,0000,02300INTRAVENOUS THERAPY 94199,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94199,A000000,02500,0000,02500PHYSICAL THERAPY 94199,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94199,A000000,02700,0000,02700SPEECH PATHOLOGY 94199,A000000,02800,0000,02800ELECTROCARDIOLOGY 94199,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94199,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94199,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94199,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94199,A000000,03200,0000,03200SUPPORT SURFACES 94199,A000000,03400,0000,03400CLINIC 94199,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94199,A000000,03500,0000,03500RURAL HEALTH CLINIC 94199,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94199,A000000,04800,0000,04800AMBULANCE 94199,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94199,A000000,05000,0000,05000CORF 94199,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94199,A000000,05300,0000,05300INTEREST EXPENSE 94199,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94199,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94199,A000000,05500,0000,05500HOSPICE 94199,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94199,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94199,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94199,A000000,06100,0000,06100NONPAID WORKERS 94199,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94199,A000000,06200,0000,06200PATIENTS LAUNDRY 94199,A81000A,00100,0100,Y 94199,A81000B,00100,0300,HOME OFFICE EXPENSE 94199,A81000C,00100,0100,B 94199,A81000C,00100,0200,GREEN ACRES HEALTH SYSTEM 94199,A81000C,00100,0400,GREEN ACRES HEALTH SYSTEM 94199,A81000C,00100,0600,HOME OFFICE 94199,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94199,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94199,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94199,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94199,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94199,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94199,B100000,00000,0800,00000MEALS SERVED :DIETARY 94199,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 94199,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94199,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 94199,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94199,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94199,E10A180,00301,0100,01/01/2000 94199,S000000,00100,0200,12/01/2000 94199,S200000,00100,0100,1401 IVY HILL ROAD 94199,S200000,00200,0100,WYNDMOR 94199,S200000,00200,0200,PA 94199,S200000,00200,0300,19150- 94199,S200000,00300,0100,MONTGOMERY 94199,S200000,00300,0200,6160 94199,S200000,00300,0300,U 94199,S200000,00400,0100,GREEN ACRES IVY HILL 94199,S200000,00400,0200,395525 94199,S200000,00400,0300,05/15/1984 94199,S200000,00400,0500,P 94199,S200000,01600,0100,Y 94207,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94207,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94207,A000000,00300,0000,00300EMPLOYEE BENEFITS 94207,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94207,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94207,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94207,A000000,00700,0000,00700HOUSEKEEPING 94207,A000000,00800,0000,00800DIETARY 94207,A000000,00900,0000,00900NURSING ADMINISTRATION 94207,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94207,A000000,01100,0000,01100PHARMACY 94207,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94207,A000000,01300,0000,01300SOCIAL SERVICE 94207,A000000,01350,0000,01500ACTIVITIES 94207,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94207,A000000,01600,0000,01600SKILLED NURSING FACILITY 94207,A000000,01800,0000,01800NURSING FACILITY 94207,A000000,01900,0000,01900OTHER LONG TERM CARE 94207,A000000,02100,0000,02100RADIOLOGY 94207,A000000,02200,0000,02200LABORATORY 94207,A000000,02300,0000,02300INTRAVENOUS THERAPY 94207,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94207,A000000,02500,0000,02500PHYSICAL THERAPY 94207,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94207,A000000,02700,0000,02700SPEECH PATHOLOGY 94207,A000000,02800,0000,02800ELECTROCARDIOLOGY 94207,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94207,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94207,A000000,03050,0000,03300RESPIRATORY THERAPY 94207,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94207,A000000,03200,0000,03200SUPPORT SURFACES 94207,A000000,03400,0000,03400CLINIC 94207,A000000,03500,0000,03500RURAL HEALTH CLINIC 94207,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94207,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94207,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94207,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94207,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94207,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94207,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94207,A000000,04400,0000,04400DME RENTED - HHA 94207,A000000,04500,0000,04500DME SOLD - HHA 94207,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94207,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94207,A000000,04800,0000,04800AMBULANCE 94207,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94207,A000000,05000,0000,05000CORF 94207,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94207,A000000,05300,0000,05300INTEREST EXPENSE 94207,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94207,A000000,05500,0000,05500HOSPICE 94207,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94207,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94207,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94207,A000000,06100,0000,06100NONPAID WORKERS 94207,A000000,06200,0000,06200PATIENTS LAUNDRY 94207,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94207,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94207,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94207,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94207,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94207,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 94207,B100000,00000,0800,00000MEALS SERVED :DIETARY 94207,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94207,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94207,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94207,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94207,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94207,S000000,00100,0200,05/19/2000 94207,S200000,00100,0100,125 KALASSAY DRIVE 94207,S200000,00200,0100,LIGONIER 94207,S200000,00200,0200,PA 94207,S200000,00200,0300,15658-8726 94207,S200000,00300,0100,WESTMORELAND 94207,S200000,00300,0200,6280 94207,S200000,00300,0300,U 94207,S200000,00400,0100,THE BETHLEN HOME 94207,S200000,00400,0200,395552 94207,S200000,00400,0300,04/01/1984 94207,S200000,00400,0500,P 94207,S200000,01500,0100,Y 94207,S200000,02800,0100,Y 94207,S200000,04300,0100,Y 94215,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94215,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94215,A000000,00300,0000,00300EMPLOYEE BENEFITS 94215,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94215,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94215,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94215,A000000,00700,0000,00700HOUSEKEEPING 94215,A000000,00800,0000,00800DIETARY 94215,A000000,00900,0000,00900NURSING ADMINISTRATION 94215,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94215,A000000,01100,0000,01100PHARMACY 94215,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94215,A000000,01300,0000,01300SOCIAL SERVICE 94215,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 94215,A000000,01600,0000,01600SKILLED NURSING FACILITY 94215,A000000,01800,0000,01800NURSING FACILITY 94215,A000000,01900,0000,01900OTHER LONG TERM CARE 94215,A000000,02100,0000,02100RADIOLOGY 94215,A000000,02200,0000,02200LABORATORY 94215,A000000,02300,0000,02300INTRAVENOUS THERAPY 94215,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94215,A000000,02500,0000,02500PHYSICAL THERAPY 94215,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94215,A000000,02700,0000,02700SPEECH PATHOLOGY 94215,A000000,02800,0000,02800ELECTROCARDIOLOGY 94215,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94215,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94215,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94215,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94215,A000000,03200,0000,03200SUPPORT SURFACES 94215,A000000,03400,0000,03400CLINIC 94215,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94215,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94215,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94215,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94215,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94215,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94215,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94215,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94215,A000000,04400,0000,04400DME RENTED - HHA 94215,A000000,04500,0000,04500DME SOLD - HHA 94215,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94215,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94215,A000000,04800,0000,04800AMBULANCE 94215,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94215,A000000,05000,0000,05000CORF 94215,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94215,A000000,05300,0000,05300INTEREST EXPENSE 94215,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94215,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94215,A000000,05500,0000,05500HOSPICE 94215,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94215,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94215,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94215,A000000,06100,0000,06100NONPAID WORKERS 94215,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94215,A000000,06200,0000,06200PATIENTS LAUNDRY 94215,A81000A,00100,0100,Y 94215,A81000B,00100,0300,MANAGEMENT FEES 94215,A81000B,00200,0300,OFFICE SUPPLIES CONSULTING 94215,A81000B,00300,0300,POM SUPPLIES 94215,A81000B,00400,0300,NURSE AIDE CLASSES 94215,A81000B,00500,0300,FIXED ASSETS 94215,A81000B,00600,0300,MEAT 94215,A81000B,00700,0300,NURSING SUPPLIES O2 X-RAYS 94215,A81000B,00800,0300,THERAPY SUPPLIES 94215,A81000B,00900,0300,DIETARY SUPPLIES 94215,A81000B,01000,0300,POM-REPAIRS 94215,A81000C,00100,0100,A 94215,A81000C,00100,0200,JOHN D KLINGERM 94215,A81000C,00100,0400,JDK MGMT CO. IN 94215,A81000C,00100,0600,SERVICE 94215,A81000C,00200,0100,A 94215,A81000C,00200,0200,JOHN D KLINGERM 94215,A81000C,00200,0400,JDK MGMT CO. IN 94215,A81000C,00200,0600,SERVICE 94215,A81000C,00300,0100,A 94215,A81000C,00300,0200,JOHN D KLINGERM 94215,A81000C,00300,0400,COLUMBIA ANC SV 94215,A81000C,00300,0600,SERVICE 94215,A81000C,00400,0100,A 94215,A81000C,00400,0200,JOHN D KLINGERM 94215,A81000C,00400,0400,JDK MGMT CO. IN 94215,A81000C,00400,0600,SERVICE 94215,A81000C,00500,0100,A 94215,A81000C,00500,0200,JOHN D KLINGERM 94215,A81000C,00500,0400,JDK MGMT CO. IN 94215,A81000C,00500,0600,SERVICE 94215,A81000C,00600,0100,A 94215,A81000C,00600,0200,DAVID KLINGERMA 94215,A81000C,00600,0400,KLINGERMAN FARM 94215,A81000C,00600,0600,SERVICE 94215,A81000C,00700,0100,A 94215,A81000C,00700,0200,JOHN D KLINGERM 94215,A81000C,00700,0400,COLUMBIA ANC SV 94215,A81000C,00700,0600,SERVICE 94215,A81000C,00800,0100,A 94215,A81000C,00800,0200,JOHN D KLINGERM 94215,A81000C,00800,0400,COLUMBIA ANC SV 94215,A81000C,00800,0600,SERVICE 94215,A81000C,00900,0100,A 94215,A81000C,00900,0200,JOHN D KLINGERM 94215,A81000C,00900,0400,COLUMBIA ANC SV 94215,A81000C,00900,0600,SERVICE 94215,A81000C,01000,0100,A 94215,A81000C,01000,0200,JOHN D KLINGERM 94215,A81000C,01000,0400,JDK MGMT CO. IN 94215,A81000C,01000,0600,SERVICE 94215,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94215,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94215,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94215,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94215,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94215,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94215,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94215,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94215,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 94215,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94215,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94215,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94215,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94215,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 94215,S000000,00100,0200,05/11/2000 94215,S200000,00100,0100,101 EAST WASHINGTON STREET 94215,S200000,00200,0100,SHENANDOAH 94215,S200000,00200,0200,PA 94215,S200000,00200,0300,17976- 94215,S200000,00300,0100,SCHUYLKILL 94215,S200000,00300,0200,39 94215,S200000,00300,0300,R 94215,S200000,00400,0100,SHENANDOAH MANOR NURSING CENTER 94215,S200000,00400,0200,395556 94215,S200000,00400,0300,12/01/1982 94215,S200000,00400,0500,P 94215,S200000,01500,0100,Y 94215,S200000,04300,0100,Y 94231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94231,A000000,00300,0000,00300EMPLOYEE BENEFITS 94231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94231,A000000,00700,0000,00700HOUSEKEEPING 94231,A000000,00800,0000,00800DIETARY 94231,A000000,00900,0000,00900NURSING ADMINISTRATION 94231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94231,A000000,01100,0000,01100PHARMACY 94231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94231,A000000,01300,0000,01300SOCIAL SERVICE 94231,A000000,01350,0000,01500OTHER GENERAL SERVICES 94231,A000000,01351,0000,01501RESIDENT ACTIVITIES 94231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94231,A000000,01600,0000,01600SKILLED NURSING FACILITY 94231,A000000,01800,0000,01800NURSING FACILITY 94231,A000000,01810,0000,01810ICF/MR 94231,A000000,01900,0000,01900OTHER LONG TERM CARE 94231,A000000,02100,0000,02100RADIOLOGY 94231,A000000,02200,0000,02200LABORATORY 94231,A000000,02300,0000,02300INTRAVENOUS THERAPY 94231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94231,A000000,02500,0000,02500PHYSICAL THERAPY 94231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94231,A000000,02700,0000,02700SPEECH PATHOLOGY 94231,A000000,02800,0000,02800ELECTROCARDIOLOGY 94231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94231,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94231,A000000,03101,0000,03101DENTAL CARE - TITLE XIX ONLY 94231,A000000,03102,0000,03102DENTAL CARE - TITLE XIX ONLY 94231,A000000,03200,0000,03200SUPPORT SURFACES 94231,A000000,03400,0000,03400CLINIC 94231,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94231,A000000,03500,0000,03500RURAL HEALTH CLINIC 94231,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94231,A000000,04800,0000,04800AMBULANCE 94231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94231,A000000,05000,0000,05000CORF 94231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94231,A000000,05300,0000,05300INTEREST EXPENSE 94231,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94231,A000000,05500,0000,05500HOSPICE 94231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94231,A000000,06100,0000,06100NONPAID WORKERS 94231,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94231,A000000,06200,0000,06200PATIENTS LAUNDRY 94231,A81000A,00100,0100,Y 94231,A81000B,00100,0300,HOME OFFICE EXPENSE 94231,A81000B,00200,0300,REPAIRS/MAINTENANCE 94231,A81000B,00300,0300,COMPUTER CABLING 94231,A81000B,00400,0300,OUTSIDE LABOR 94231,A81000B,00500,0300,BUILDING MAINTENANCE 94231,A81000C,00100,0100,B 94231,A81000C,00100,0200,TEL HAI RETIREMENT COMMUN 94231,A81000C,00100,0400,TEL HAI SERVICES 94231,A81000C,00100,0600,HOME OFFICE 94231,A81000C,00200,0100,D 94231,A81000C,00200,0200,JAMES BUCK 94231,A81000C,00200,0400,BUCK BROTHERS PAINING 94231,A81000C,00200,0600,REPAIRS/MAINTENANCE 94231,A81000C,00300,0100,D 94231,A81000C,00300,0200,VINCENT VERDEGEM 94231,A81000C,00300,0400,E.T.S. 94231,A81000C,00300,0600,COMPUTER SERVICES 94231,A81000C,00400,0100,D 94231,A81000C,00400,0200,PHYLLIS STUCKEY 94231,A81000C,00400,0400,PES ASSOCIATES 94231,A81000C,00400,0600,OUTSIDE LABOR 94231,A81000C,00500,0100,D 94231,A81000C,00500,0200,STEVE STOTT 94231,A81000C,00500,0400,TECHNISYS INC. 94231,A81000C,00500,0600,BUILDING MAINTENANCE 94231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94231,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94231,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94231,B100000,00000,0800,00000MEALS SERVED :DIETARY 94231,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94231,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 94231,B100000,00000,1351,00000RESIDENT DAYS :RESIDENT ACTIVITIES 94231,E10A180,00501,0100,01/03/2001 94231,E10A180,00501,0300,11/14/2000 94231,E10A180,00550,0100,11/14/2000 94231,S000000,00100,0200,11/03/2000 94231,S200000,00100,0100,BEAVER DAM ROAD 94231,S200000,00100,0300,BOX 190 94231,S200000,00200,0100,HONEY BROOK 94231,S200000,00200,0200,PA 94231,S200000,00200,0300,19344-0190 94231,S200000,00300,0100,CHESTER 94231,S200000,00300,0200,6160 94231,S200000,00300,0300,U 94231,S200000,00400,0100,TEL HAI RETIREMENT COMMUNITY 94231,S200000,00400,0200,395562 94231,S200000,00400,0300,11/17/1982 94231,S200000,00400,0500,P 94231,S200000,01500,0100,Y 94239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94239,A000000,00300,0000,00300EMPLOYEE BENEFITS 94239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94239,A000000,00700,0000,00700HOUSEKEEPING 94239,A000000,00800,0000,00800DIETARY 94239,A000000,00900,0000,00900NURSING ADMINISTRATION 94239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94239,A000000,01100,0000,01100PHARMACY 94239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94239,A000000,01300,0000,01300SOCIAL SERVICE 94239,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 94239,A000000,01600,0000,01600SKILLED NURSING FACILITY 94239,A000000,01800,0000,01800NURSING FACILITY 94239,A000000,01900,0000,01900OTHER LONG TERM CARE 94239,A000000,02100,0000,02100RADIOLOGY 94239,A000000,02200,0000,02200LABORATORY 94239,A000000,02300,0000,02300INTRAVENOUS THERAPY 94239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94239,A000000,02500,0000,02500PHYSICAL THERAPY 94239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94239,A000000,02700,0000,02700SPEECH PATHOLOGY 94239,A000000,02800,0000,02800ELECTROCARDIOLOGY 94239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94239,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94239,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94239,A000000,03200,0000,03200SUPPORT SURFACES 94239,A000000,03400,0000,03400CLINIC 94239,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94239,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94239,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94239,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94239,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94239,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94239,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94239,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94239,A000000,04400,0000,04400DME RENTED - HHA 94239,A000000,04500,0000,04500DME SOLD - HHA 94239,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94239,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94239,A000000,04800,0000,04800AMBULANCE 94239,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94239,A000000,05000,0000,05000CORF 94239,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94239,A000000,05300,0000,05300INTEREST EXPENSE 94239,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94239,A000000,05500,0000,05500HOSPICE 94239,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94239,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94239,A000000,06100,0000,06100NONPAID WORKERS 94239,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94239,A000000,06200,0000,06200PATIENTS LAUNDRY 94239,A81000A,00100,0100,Y 94239,A81000B,00100,0300,MANAGEMENT FEES 94239,A81000B,00200,0300,DIRECTORS FEES 94239,A81000B,00300,0300,DIETARY MAINT 94239,A81000B,00400,0300,FIXED ASSETS 94239,A81000B,00500,0300,FAX FORMS SUPPLIES 94239,A81000B,00600,0300,CNA TRAINING 94239,A81000B,00700,0300,EQUIP REPAIRS 94239,A81000B,00800,0300,VEHICLE REPAIRS 94239,A81000B,00900,0300,MEAT 94239,A81000B,01000,0300,FIXED ASSETS 94239,A81000B,01100,0300,INCONT O2 GLOVES 94239,A81000B,01200,0300,SUPP FEED GLOVES 94239,A81000B,01300,0300,LINENS SUPPLIES 94239,A81000B,01400,0300,THERAPY EQUIP SUPPLIES 94239,A81000B,01500,0300,RADIOLOGY 94239,A81000C,00100,0100,A 94239,A81000C,00100,0200,JOHN KLINGERMAN 94239,A81000C,00100,0400,JDK MGMT CO IN 94239,A81000C,00100,0600,SERVICE 94239,A81000C,00200,0100,A 94239,A81000C,00200,0200,VARIOUS 94239,A81000C,00200,0400,INDIVIDUALS 94239,A81000C,00200,0600,NONE 94239,A81000C,00300,0100,A 94239,A81000C,00300,0200,JOHN KLINGERMAN 94239,A81000C,00300,0400,JDK MGMT CO IN 94239,A81000C,00300,0600,SERVICE 94239,A81000C,00400,0100,A 94239,A81000C,00400,0200,JOHN KLINGERMAN 94239,A81000C,00400,0400,JDK MGMT CO IN 94239,A81000C,00400,0600,SERVICE 94239,A81000C,00500,0100,A 94239,A81000C,00500,0200,JOHN KLINGERMAN 94239,A81000C,00500,0400,JDK MGMT CO IN 94239,A81000C,00500,0600,SERVICE 94239,A81000C,00600,0100,A 94239,A81000C,00600,0200,JOHN KLINGERMAN 94239,A81000C,00600,0400,JDK MGMT CO IN 94239,A81000C,00600,0600,SERVICE 94239,A81000C,00700,0100,A 94239,A81000C,00700,0200,JOHN KLINGERMAN 94239,A81000C,00700,0400,JDK MGMT CO IN 94239,A81000C,00700,0600,SERVICE 94239,A81000C,00800,0100,A 94239,A81000C,00800,0200,DAVID KLINGERMA 94239,A81000C,00800,0400,KLINGERMAN BROS 94239,A81000C,00800,0600,AUTO SALES 94239,A81000C,00900,0100,A 94239,A81000C,00900,0200,DAVID KLINGERMA 94239,A81000C,00900,0400,KLINGERMAN FARM 94239,A81000C,00900,0600,SERVICE 94239,A81000C,01000,0100,A 94239,A81000C,01000,0200,JOHN KLINGERMAN 94239,A81000C,01000,0400,COLUMBIA ANC SV 94239,A81000C,01000,0600,SERVICE 94239,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94239,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94239,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94239,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94239,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94239,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94239,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94239,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94239,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 94239,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94239,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94239,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94239,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94239,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 94239,S000000,00100,0200,05/30/2000 94239,S200000,00100,0100,700 WEST THIRD STREET 94239,S200000,00200,0100,MT. CARMEL 94239,S200000,00200,0200,PA 94239,S200000,00200,0300,17851- 94239,S200000,00300,0100,NORTHUMBERLAND 94239,S200000,00300,0200,39 94239,S200000,00300,0300,R 94239,S200000,00400,0100,MT. CARMEL NURSING & REHAB CENTER 94239,S200000,00400,0200,395589 94239,S200000,00400,0300,07/20/1983 94239,S200000,00400,0500,P 94239,S200000,01500,0100,Y 94239,S200000,04300,0100,Y 94249,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94249,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94249,A000000,00300,0000,00300EMPLOYEE BENEFITS 94249,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94249,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94249,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94249,A000000,00700,0000,00700HOUSEKEEPING 94249,A000000,00800,0000,00800DIETARY 94249,A000000,00900,0000,00900NURSING ADMINISTRATION 94249,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94249,A000000,01100,0000,01100PHARMACY 94249,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94249,A000000,01300,0000,01300SOCIAL SERVICE 94249,A000000,01301,0000,01301ACTIVITY/RECREATION 94249,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94249,A000000,01600,0000,01600SKILLED NURSING FACILITY 94249,A000000,01800,0000,01800NURSING FACILITY 94249,A000000,01810,0000,01810ICF/MR 94249,A000000,02500,0000,02500PHYSICAL THERAPY 94249,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94249,A000000,02700,0000,02700SPEECH PATHOLOGY 94249,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94249,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94249,A000000,03550,0000,03550FQHC 94249,A000000,05000,0000,05000CORF 94249,A000000,05010,0000,05010CMHC 94249,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 94249,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 94249,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 94249,A000000,05300,0000,05300INTEREST EXPENSE 94249,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94249,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94249,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94249,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94249,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94249,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94249,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94249,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94249,B100000,00000,0800,00000MEALS SERVED :DIETARY 94249,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94249,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94249,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94249,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94249,B100000,00000,1331,00000PATIENT DAYS :ACTIVITY/RECREATION 94249,E10A180,00301,0100,01/12/2000 94249,S000000,00100,0200,11/30/2000 94249,S200000,00100,0100,520 WEST MAIN STREET 94249,S200000,00200,0100,UNIONTOWN 94249,S200000,00200,0200,PA 94249,S200000,00200,0300,15401- 94249,S200000,00300,0100,FAYETTE 94249,S200000,00300,0200,6280 94249,S200000,00300,0300,U 94249,S200000,00400,0100,MT. MACRINA MANOR NURSING HOME 94249,S200000,00400,0200,395629 94249,S200000,00400,0300,07/01/1972 94249,S200000,00400,0500,P 94249,S200000,01600,0100,Y 94257,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94257,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94257,A000000,00300,0000,00300EMPLOYEE BENEFITS 94257,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94257,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94257,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94257,A000000,00700,0000,00700HOUSEKEEPING 94257,A000000,00800,0000,00800DIETARY 94257,A000000,00900,0000,00900NURSING ADMINISTRATION 94257,A000000,01300,0000,01300SOCIAL SERVICE 94257,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94257,A000000,01600,0000,01600SKILLED NURSING FACILITY 94257,A000000,01800,0000,01800NURSING FACILITY 94257,A000000,02200,0000,02200LABORATORY 94257,A000000,02500,0000,02500PHYSICAL THERAPY 94257,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94257,A000000,02700,0000,02700SPEECH PATHOLOGY 94257,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94257,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94257,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94257,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94257,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94257,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94257,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94257,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94257,B100000,00000,0800,00000MEALS SERVED :DIETARY 94257,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94257,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94257,S000000,00100,0200,06/05/2000 94257,S200000,00100,0100,RR # 1 94257,S200000,00200,0100,STILLWATER 94257,S200000,00200,0200,PA 94257,S200000,00200,0300,17878- 94257,S200000,00300,0100,LUZERNE 94257,S200000,00300,0200,7560 94257,S200000,00300,0300,U 94257,S200000,00400,0100,BONHAM NURSING CENTER 94257,S200000,00400,0200,395654 94257,S200000,00400,0300,07/01/1984 94257,S200000,00400,0500,P 94257,S200000,01004,0500,O 94257,S200000,01600,0100,Y 94267,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94267,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94267,A000000,00300,0000,00300EMPLOYEE BENEFITS 94267,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94267,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94267,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94267,A000000,00700,0000,00700HOUSEKEEPING 94267,A000000,00800,0000,00800DIETARY 94267,A000000,00900,0000,00900NURSING ADMINISTRATION 94267,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94267,A000000,01100,0000,01100PHARMACY 94267,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94267,A000000,01300,0000,01300SOCIAL SERVICE 94267,A000000,01350,0000,01500OTHER GENERAL SERVICES 94267,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94267,A000000,01401,0000,01401ACTIVITIES 94267,A000000,01600,0000,01600SKILLED NURSING FACILITY 94267,A000000,01800,0000,01800NURSING FACILITY 94267,A000000,01810,0000,01810ICF/MR 94267,A000000,01900,0000,01900OTHER LONG TERM CARE 94267,A000000,02100,0000,02100RADIOLOGY 94267,A000000,02200,0000,02200LABORATORY 94267,A000000,02300,0000,02300INTRAVENOUS THERAPY 94267,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94267,A000000,02500,0000,02500PHYSICAL THERAPY 94267,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94267,A000000,02700,0000,02700SPEECH PATHOLOGY 94267,A000000,02800,0000,02800ELECTROCARDIOLOGY 94267,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94267,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94267,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94267,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94267,A000000,03200,0000,03200SUPPORT SURFACES 94267,A000000,03400,0000,03400CLINIC 94267,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94267,A000000,03500,0000,03500RURAL HEALTH CLINIC 94267,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94267,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94267,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94267,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94267,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94267,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94267,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94267,A000000,04400,0000,04400DME RENTED - HHA 94267,A000000,04500,0000,04500DME SOLD - HHA 94267,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94267,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94267,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94267,A000000,04800,0000,04800AMBULANCE 94267,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94267,A000000,05000,0000,05000CORF 94267,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94267,A000000,05300,0000,05300INTEREST EXPENSE 94267,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94267,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94267,A000000,05500,0000,05500HOSPICE 94267,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94267,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94267,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94267,A000000,06100,0000,06100NONPAID WORKERS 94267,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94267,A000000,06200,0000,06200PATIENTS LAUNDRY 94267,A81000A,00100,0100,Y 94267,A81000B,00100,0300,MANAGEMENT FEE 94267,A81000B,00200,0300,RENT 94267,A81000B,00300,0300,AMORTIZATION 94267,A81000B,00400,0300,REAL ESTATE TAXES 94267,A81000B,00500,0300,DEPRECIATION-BUILDING 94267,A81000B,00600,0300,DEPRECIATION-L.I. 94267,A81000B,00700,0300,DEPRECIATION-LEASEHOLD IMP. 94267,A81000B,00800,0300,INTEREST EXPENSE 94267,A81000C,00100,0100,A 94267,A81000C,00100,0200,HARRY TRACTMAN 94267,A81000C,00100,0400,ACCORD HEALTH SERVICES 94267,A81000C,00100,0600,HOME OFFICE 94267,A81000C,00200,0100,A 94267,A81000C,00200,0200,HARRY TRACTMAN 94267,A81000C,00200,0400,KUTZTOWN ASSOCIATES 94267,A81000C,00200,0600,REAL ESTATE 94267,A81000C,00300,0100,A 94267,A81000C,00300,0200,HARRY TRACTMAN 94267,A81000C,00300,0400,CHESTER DEVELOPMENT CORP. 94267,A81000C,00300,0600,BUILDING SERVICES 94267,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94267,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94267,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94267,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94267,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 94267,B100000,00000,0800,00000MEALS SERVED :DIETARY 94267,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94267,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94267,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94267,B100000,00000,1451,00000PATIENT DAYS :ACTIVITIES 94267,S000000,00100,0200,11/30/2000 94267,S200000,00100,0100,120 TREXLER AVENUE 94267,S200000,00200,0100,KUTZTOWN 94267,S200000,00200,0200,PA 94267,S200000,00200,0300,19530- 94267,S200000,00300,0100,BERKS 94267,S200000,00300,0200,0039 94267,S200000,00300,0300,U 94267,S200000,00400,0100,KUTZTOWN MANOR INC. 94267,S200000,00400,0200,395680 94267,S200000,00400,0300,04/01/1984 94267,S200000,00400,0500,P 94267,S200000,01500,0100,Y 94267,S200000,04300,0100,Y 94275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94275,A000000,00300,0000,00300EMPLOYEE BENEFITS 94275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94275,A000000,00700,0000,00700HOUSEKEEPING 94275,A000000,00800,0000,00800DIETARY 94275,A000000,00900,0000,00900NURSING ADMINISTRATION 94275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94275,A000000,01100,0000,01100PHARMACY 94275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94275,A000000,01300,0000,01300SOCIAL SERVICE 94275,A000000,01350,0000,01500PATIENT ACTIVITIES 94275,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94275,A000000,01600,0000,01600SKILLED NURSING FACILITY 94275,A000000,01800,0000,01800NURSING FACILITY 94275,A000000,01810,0000,01810ICF/MR 94275,A000000,01900,0000,01900OTHER LONG TERM CARE 94275,A000000,02100,0000,02100RADIOLOGY 94275,A000000,02200,0000,02200LABORATORY 94275,A000000,02300,0000,02300INTRAVENOUS THERAPY 94275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94275,A000000,02500,0000,02500PHYSICAL THERAPY 94275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94275,A000000,02700,0000,02700SPEECH PATHOLOGY 94275,A000000,02800,0000,02800ELECTROCARDIOLOGY 94275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94275,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94275,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94275,A000000,03200,0000,03200SUPPORT SURFACES 94275,A000000,03400,0000,03400CLINIC 94275,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94275,A000000,03500,0000,03500RURAL HEALTH CLINIC 94275,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94275,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94275,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94275,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94275,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94275,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94275,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94275,A000000,04400,0000,04400DME RENTED - HHA 94275,A000000,04500,0000,04500DME SOLD - HHA 94275,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94275,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94275,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94275,A000000,04800,0000,04800AMBULANCE 94275,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94275,A000000,05000,0000,05000CORF 94275,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94275,A000000,05300,0000,05300INTEREST EXPENSE 94275,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94275,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94275,A000000,05500,0000,05500HOSPICE 94275,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94275,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94275,A000000,06100,0000,06100NONPAID WORKERS 94275,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94275,A000000,06200,0000,06200PATIENTS LAUNDRY 94275,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94275,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94275,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94275,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94275,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94275,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94275,B100000,00000,0800,00000MEALS SERVED :DIETARY 94275,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94275,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94275,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94275,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 94275,E10A180,00301,0100,08/30/1999 94275,S000000,00100,0200,06/05/2000 94275,S200000,00100,0100,595 BIGLERVILLE ROAD 94275,S200000,00200,0100,GETTYSBURG 94275,S200000,00200,0200,PA 94275,S200000,00200,0300,17235- 94275,S200000,00300,0100,ADAMS 94275,S200000,00300,0200,0039 94275,S200000,00300,0300,R 94275,S200000,00400,0100,GREEN ACRES NURSING & REHAB CENTER 94275,S200000,00400,0200,395798 94275,S200000,00400,0300,08/01/1989 94275,S200000,00400,0500,P 94275,S200000,01600,0100,Y 94280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94280,A000000,00300,0000,00300EMPLOYEE BENEFITS 94280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94280,A000000,00700,0000,00700HOUSEKEEPING 94280,A000000,00800,0000,00800DIETARY 94280,A000000,00900,0000,00900NURSING ADMINISTRATION 94280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94280,A000000,01300,0000,01300SOCIAL SERVICE 94280,A000000,01350,0000,01500ACTIVITIES 94280,A000000,01600,0000,01600SKILLED NURSING FACILITY 94280,A000000,01800,0000,01800NURSING FACILITY 94280,A000000,01900,0000,01900OTHER LONG TERM CARE 94280,A000000,02100,0000,02100RADIOLOGY 94280,A000000,02200,0000,02200LABORATORY 94280,A000000,02300,0000,02300INTRAVENOUS THERAPY 94280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94280,A000000,02500,0000,02500PHYSICAL THERAPY 94280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94280,A000000,02700,0000,02700SPEECH PATHOLOGY 94280,A000000,02800,0000,02800ELECTROCARDIOLOGY 94280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94280,A000000,03200,0000,03200SUPPORT SURFACES 94280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94280,A000000,04800,0000,04800AMBULANCE 94280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94280,A000000,05300,0000,05300INTEREST EXPENSE 94280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94280,A000000,06150,0000,06300PERSONAL CARE 94280,A000000,06200,0000,06200PATIENTS LAUNDRY 94280,A81000A,00100,0100,Y 94280,A81000B,00100,0300,CAPITAL COSTS 94280,A81000B,00200,0300,PLANT OP & MAINTENANCE 94280,A81000B,00300,0300,LAUNDRY 94280,A81000B,00400,0300,HOUSEKEEPING 94280,A81000B,00500,0300,DIETARY 94280,A81000B,00600,0300,PERSONAL CARE 94280,A81000C,00100,0100,G 94280,A81000C,00100,0200,AFFILIATED CORP. 94280,A81000C,00100,0400,L. C. & TELFORD MGT CO. 94280,A81000C,00100,0600,CONTRACTED SERVICES 94280,A81000C,03100,0000,NON-FINANCIAL 94280,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94280,B100000,00000,0350,00000RELATED SALARIES :EMPLOYEE BENEFIT 94280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94280,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94280,B100000,00000,0650,00000SNF PATIENT :LAUNDRY & LINEN SERVI 94280,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94280,B100000,00000,0800,00000MEALS SERVED :DIETARY 94280,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94280,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94280,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94280,B100000,00000,1350,00000ACTUAL SALARY :ACTIVITIES 94280,E10A180,00301,0100,01/12/2000 94280,S000000,00100,0200,11/21/2000 94280,S200000,00100,0100,235 N. WASHINGTON AVENUE 94280,S200000,00200,0100,TELFORD 94280,S200000,00200,0200,PA 94280,S200000,00200,0300,18969- 94280,S200000,00300,0100,MONTGOMERY 94280,S200000,00400,0100,LUTHERAN COMMUNITY AT TELFORD 94280,S200000,00400,0200,395804 94280,S200000,00400,0300,10/01/1989 94280,S200000,00400,0500,P 94280,S200000,01500,0100,Y 94280,S200000,02800,0100,Y 94280,S700003,00000,0200,2 94293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94293,A000000,00300,0000,00300EMPLOYEE BENEFITS 94293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94293,A000000,00700,0000,00700HOUSEKEEPING 94293,A000000,00800,0000,00800DIETARY 94293,A000000,00900,0000,00900NURSING ADMINISTRATION 94293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94293,A000000,01100,0000,01100PHARMACY 94293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94293,A000000,01300,0000,01300SOCIAL SERVICE 94293,A000000,01350,0000,01500RECREATIONAL THERAPY 94293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94293,A000000,01600,0000,01600SKILLED NURSING FACILITY 94293,A000000,01900,0000,01900OTHER LONG TERM CARE 94293,A000000,02100,0000,02100RADIOLOGY 94293,A000000,02200,0000,02200LABORATORY 94293,A000000,02300,0000,02300INTRAVENOUS THERAPY 94293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94293,A000000,02500,0000,02500PHYSICAL THERAPY 94293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94293,A000000,02700,0000,02700SPEECH PATHOLOGY 94293,A000000,02800,0000,02800ELECTROCARDIOLOGY 94293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94293,A000000,03200,0000,03200SUPPORT SURFACES 94293,A000000,03400,0000,03400CLINIC 94293,A000000,04800,0000,04800AMBULANCE 94293,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94293,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94293,A000000,05300,0000,05300INTEREST EXPENSE 94293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94293,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94293,A000000,06100,0000,06100NONPAID WORKERS 94293,A000000,06150,0000,06300OTHER NONREIMBURSABLE 94293,A000000,06200,0000,06200PATIENTS LAUNDRY 94293,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94293,B100000,00000,0200,00000DOLLAR VAL OR SQ.FEET:CAP REL COSTS 94293,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94293,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94293,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94293,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94293,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94293,B100000,00000,0800,00000MEALS SERVED :DIETARY 94293,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94293,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 94293,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 94293,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94293,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94293,B100000,00000,1350,00000PATIENT DAYS :RECREATIONAL THERAPY 94293,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94293,S000000,00100,0200,05/18/2000 94293,S200000,00100,0100,875 MONTOUR BOULEVARD 94293,S200000,00200,0100,DANVILLE 94293,S200000,00200,0200,PA 94293,S200000,00200,0300,17821- 94293,S200000,00300,0100,MONTOUR 94293,S200000,00400,0100,MARIA JOSEPH MANOR 94293,S200000,00400,0200,395824 94293,S200000,00400,0300,05/01/1990 94293,S200000,00400,0500,P 94293,S200000,01500,0100,Y 94293,S200000,01900,0100,RELIGIOUS AFFILIATIO 94293,S200000,02200,0100,Y 94293,S700003,00000,0100,1 94300,A000000,00100,0000,00100CAP REL COSTS - 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BLDGS 94300,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94300,B100000,00000,0400,00000 ACCUM. 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IN 94310,A81000C,00100,0600,SERVICE 94310,A81000C,00200,0100,A 94310,A81000C,00200,0200,JOHN KLINGERMAN 94310,A81000C,00200,0400,JDK MGMT CO IN 94310,A81000C,00200,0600,SERVICE 94310,A81000C,00300,0100,A 94310,A81000C,00300,0200,JOHN KLINGERMAN 94310,A81000C,00300,0400,COLUMBIA ANC SV 94310,A81000C,00300,0600,SERVICE 94310,A81000C,00400,0100,A 94310,A81000C,00400,0200,JOHN KLINGERMAN 94310,A81000C,00400,0400,JDK MGMT CO IN 94310,A81000C,00400,0600,SERVICE 94310,A81000C,00500,0100,A 94310,A81000C,00500,0200,JOHN KLINGERMAN 94310,A81000C,00500,0400,COLUMBIA ANC SV 94310,A81000C,00500,0600,SERVICE 94310,A81000C,00600,0100,A 94310,A81000C,00600,0200,JOHN KLINGERMAN 94310,A81000C,00600,0400,JDK MGMT CO IN 94310,A81000C,00600,0600,SERVICE 94310,A81000C,00700,0100,A 94310,A81000C,00700,0200,JOHN KLINGERMAN 94310,A81000C,00700,0400,JDK MGMT CO IN 94310,A81000C,00700,0600,SERVICE 94310,A81000C,00800,0100,A 94310,A81000C,00800,0200,JOHN KLINGERMAN 94310,A81000C,00800,0400,COLUMBIA ANC SV 94310,A81000C,00800,0600,SERVICE 94310,A81000C,00900,0100,A 94310,A81000C,00900,0200,JOHN KLINGERMAN 94310,A81000C,00900,0400,COLUMBIA ANC SV 94310,A81000C,00900,0600,SERVICE 94310,A81000C,01000,0100,A 94310,A81000C,01000,0200,JOHN KLINGERMAN 94310,A81000C,01000,0400,COLUMBIA ANC SV 94310,A81000C,01000,0600,SERVICE 94310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94310,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94310,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94310,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94310,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 94310,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94310,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94310,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94310,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94310,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 94310,S000000,00100,0200,05/09/2000 94310,S200000,00100,0100,R.R.#2 BOX 118-B 94310,S200000,00200,0100,TAMAQUA 94310,S200000,00200,0200,PA 94310,S200000,00200,0300,18252- 94310,S200000,00300,0100,SCHUYLKILL 94310,S200000,00300,0200,39 94310,S200000,00300,0300,R 94310,S200000,00400,0100,HOMETOWN NURSING & REHAB CENTER 94310,S200000,00400,0200,395875 94310,S200000,00400,0300,02/26/1992 94310,S200000,00400,0500,P 94310,S200000,01600,0100,Y 94318,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94318,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94318,A000000,00300,0000,00300EMPLOYEE BENEFITS 94318,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94318,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94318,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94318,A000000,00700,0000,00700HOUSEKEEPING 94318,A000000,00800,0000,00800DIETARY 94318,A000000,00900,0000,00900NURSING ADMINISTRATION 94318,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94318,A000000,01100,0000,01100PHARMACY 94318,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94318,A000000,01300,0000,01300SOCIAL SERVICE 94318,A000000,01350,0000,01500ACTIVITIES 94318,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94318,A000000,01600,0000,01600SKILLED NURSING FACILITY 94318,A000000,01800,0000,01800NURSING FACILITY 94318,A000000,01810,0000,01801ICF/MR 94318,A000000,01900,0000,01900OTHER LONG TERM CARE 94318,A000000,02100,0000,02100RADIOLOGY 94318,A000000,02200,0000,02200LABORATORY 94318,A000000,02300,0000,02300INTRAVENOUS THERAPY 94318,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94318,A000000,02500,0000,02500PHYSICAL THERAPY 94318,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94318,A000000,02700,0000,02700SPEECH PATHOLOGY 94318,A000000,02800,0000,02800ELECTROCARDIOLOGY 94318,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94318,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94318,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94318,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94318,A000000,03200,0000,03200SUPPORT SURFACES 94318,A000000,03400,0000,03400CLINIC 94318,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94318,A000000,03500,0000,03500RURAL HEALTH CLINIC 94318,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94318,A000000,04800,0000,04800AMBULANCE 94318,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94318,A000000,05000,0000,05000CORF 94318,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94318,A000000,05300,0000,05300INTEREST EXPENSE 94318,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94318,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94318,A000000,05500,0000,05500HOSPICE 94318,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94318,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94318,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94318,A000000,06100,0000,06100NONPAID WORKERS 94318,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94318,A000000,06200,0000,06200PATIENTS LAUNDRY 94318,A81000A,00100,0100,Y 94318,A81000B,00100,0300,ALLOCATED CAPITAL 94318,A81000B,00200,0300,MANAGEMENT FEES 94318,A81000B,00300,0300,ACCOUNTING FEES 94318,A81000C,00100,0100,B 94318,A81000C,00100,0200,DOUG MITTLEIDER 94318,A81000C,00100,0400,HEALTHPRIME INC. 94318,A81000C,00100,0600,MANAGEMENT CO. 94318,A81000C,00200,0100,B 94318,A81000C,00200,0200,MIKE FOXWORTHY 94318,A81000C,00200,0400,HEALTHPRIME INC 94318,A81000C,00200,0600,MANAGEMENT CO. 94318,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94318,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 94318,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94318,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94318,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94318,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94318,B100000,00000,0750,00000SQUARE FT (EX DIETAR:HOUSEKEEPING 94318,B100000,00000,0800,00000MEALS SERVED :DIETARY 94318,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 94318,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94318,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94318,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 94318,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94318,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94318,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94318,S000000,00100,0200,06/01/2000 94318,S200000,00100,0100,5253 NATIONAL PIKE 94318,S200000,00200,0100,MARKLEYSBURG 94318,S200000,00200,0200,PA 94318,S200000,00200,0300,15469- 94318,S200000,00300,0100,FAYETTE 94318,S200000,00400,0100,HENRY CLAY VILLA 94318,S200000,00400,0200,395906 94318,S200000,00400,0300,07/23/1993 94318,S200000,00400,0500,P 94318,S200000,01600,0100,Y 94318,S700003,00000,0100,1 94319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94319,A000000,00300,0000,00300EMPLOYEE BENEFITS 94319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94319,A000000,00700,0000,00700HOUSEKEEPING 94319,A000000,00800,0000,00800DIETARY 94319,A000000,00900,0000,00900NURSING ADMINISTRATION 94319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94319,A000000,01100,0000,01100PHARMACY 94319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94319,A000000,01300,0000,01300SOCIAL SERVICE 94319,A000000,01350,0000,01500ACTIVITIES 94319,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94319,A000000,01600,0000,01600SKILLED NURSING FACILITY 94319,A000000,01800,0000,01800NURSING FACILITY 94319,A000000,01810,0000,01810ICF/MR 94319,A000000,01900,0000,01900OTHER LONG TERM CARE 94319,A000000,02100,0000,02100RADIOLOGY 94319,A000000,02200,0000,02200LABORATORY 94319,A000000,02300,0000,02300INTRAVENOUS THERAPY 94319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94319,A000000,02500,0000,02500PHYSICAL THERAPY 94319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94319,A000000,02700,0000,02700SPEECH PATHOLOGY 94319,A000000,02800,0000,02800ELECTROCARDIOLOGY 94319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94319,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94319,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94319,A000000,03200,0000,03200SUPPORT SURFACES 94319,A000000,03400,0000,03400CLINIC 94319,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94319,A000000,03500,0000,03500RURAL HEALTH CLINIC 94319,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94319,A000000,04800,0000,04800AMBULANCE 94319,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94319,A000000,05000,0000,05000CORF 94319,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94319,A000000,05300,0000,05300INTEREST EXPENSE 94319,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94319,A000000,05500,0000,05500HOSPICE 94319,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94319,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94319,A000000,06100,0000,06100NONPAID WORKERS 94319,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94319,A000000,06200,0000,06200PATIENTS LAUNDRY 94319,A81000A,00100,0100,Y 94319,A81000B,00100,0300,HOME OFFICE - CAPITAL 94319,A81000B,00200,0300,HOME OFFICE - ADMINISTRATIVE 94319,A81000C,00100,0100,B 94319,A81000C,00100,0200,BRANDYWINE SENIOR CARE 94319,A81000C,00100,0400,BRANDYWINE SENIOR CARE 94319,A81000C,00100,0600,HOME OFFICE 94319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94319,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94319,B100000,00000,0750,00000SQ FEET (EX DIETAR:HOUSEKEEPING 94319,B100000,00000,0800,00000MEALS SERVED :DIETARY 94319,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 94319,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94319,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 94319,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94319,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94319,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94319,S000000,00100,0200,05/31/2000 94319,S200000,00100,0100,2751 DEKALB PIKE 94319,S200000,00200,0100,NORRISTOWN 94319,S200000,00200,0200,PA 94319,S200000,00200,0300,19401- 94319,S200000,00300,0100,MONTGOMERY 94319,S200000,00300,0200,6160 94319,S200000,00300,0300,U 94319,S200000,00400,0100,SUBURBAN WOODS HLTH & REHAB 94319,S200000,00400,0200,395912 94319,S200000,00400,0300,09/01/1993 94319,S200000,00400,0500,P 94319,S200000,01600,0100,Y 94326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94326,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94326,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94326,A000000,00300,0000,00300EMPLOYEE BENEFITS 94326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94326,A000000,00700,0000,00700HOUSEKEEPING 94326,A000000,00800,0000,00800DIETARY 94326,A000000,00801,0000,00801CAFETERIA 94326,A000000,00900,0000,00900NURSING ADMINISTRATION 94326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94326,A000000,01100,0000,01100PHARMACY 94326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94326,A000000,01300,0000,01300SOCIAL SERVICE 94326,A000000,01350,0000,01500ACTIVITIES 94326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94326,A000000,01600,0000,01600SKILLED NURSING FACILITY 94326,A000000,01800,0000,01800NURSING FACILITY 94326,A000000,01900,0000,01900OTHER LONG TERM CARE 94326,A000000,02100,0000,02100RADIOLOGY 94326,A000000,02200,0000,02200LABORATORY 94326,A000000,02300,0000,02300INTRAVENOUS THERAPY 94326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94326,A000000,02500,0000,02500PHYSICAL THERAPY 94326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94326,A000000,02700,0000,02700SPEECH PATHOLOGY 94326,A000000,02800,0000,02800ELECTROCARDIOLOGY 94326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94326,A000000,03050,0000,03300OTHER ANCILLARY 94326,A000000,03051,0000,03301OTHER ANCILLARY II 94326,A000000,03052,0000,03302OTHER ANCILLARY III 94326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94326,A000000,03200,0000,03200SUPPORT SURFACES 94326,A000000,03400,0000,03400CLINIC 94326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94326,A000000,03500,0000,03500RURAL HEALTH CLINIC 94326,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94326,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94326,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94326,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94326,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94326,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94326,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94326,A000000,04400,0000,04400DME RENTED - HHA 94326,A000000,04500,0000,04500DME SOLD - HHA 94326,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94326,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94326,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94326,A000000,04800,0000,04800AMBULANCE 94326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94326,A000000,05000,0000,05000CORF 94326,A000000,05010,0000,05010CMHC I 94326,A000000,05020,0000,05020OPT I 94326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94326,A000000,05300,0000,05300INTEREST EXPENSE 94326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94326,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94326,A000000,05500,0000,05500HOSPICE 94326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94326,A000000,06100,0000,06100NONPAID WORKERS 94326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94326,A000000,06200,0000,06200PATIENTS LAUNDRY 94326,A81000A,00100,0100,Y 94326,A81000B,00100,0300,MANAGEMENT FEE 94326,A81000B,00200,0300,INTEREST EXPENSE 94326,A81000C,00100,0100,C 94326,A81000C,00100,0200,MAGNOLIA MGMT 94326,A81000C,00100,0400,DOMINIC PERRINI 94326,A81000C,00100,0600,MGMT. CO. 94326,A81000C,00200,0100,C 94326,A81000C,00200,0200,VARIOUS 94326,A81000C,00200,0400,DOMINIC PERRINI 94326,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94326,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94326,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94326,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94326,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94326,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94326,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94326,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94326,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94326,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94326,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 94326,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 94326,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 94326,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 94326,S000000,00100,0200,05/30/2000 94326,S200000,00100,0100,121 WALNUT BOTTOM ROAD 94326,S200000,00200,0100,SHIPPENSBURG 94326,S200000,00200,0200,PA 94326,S200000,00200,0300,17257- 94326,S200000,00300,0100,CUMBERLAND 94326,S200000,00300,0300,U 94326,S200000,00400,0100,SHIPPENSBURG HEALTH CARE CENTER 94326,S200000,00400,0200,395964 94326,S200000,00400,0300,10/11/1995 94326,S200000,00400,0500,P 94326,S200000,01004,0500,O 94326,S200000,01600,0100,Y 94336,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94336,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94336,A000000,00300,0000,00300EMPLOYEE BENEFITS 94336,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94336,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94336,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94336,A000000,00700,0000,00700HOUSEKEEPING 94336,A000000,00800,0000,00800DIETARY 94336,A000000,00900,0000,00900NURSING ADMINISTRATION 94336,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94336,A000000,01100,0000,01100PHARMACY 94336,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94336,A000000,01300,0000,01300SOCIAL SERVICE 94336,A000000,01350,0000,01500PATIENT ACTIVITIES 94336,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94336,A000000,01600,0000,01600SKILLED NURSING FACILITY 94336,A000000,01800,0000,01800NURSING FACILITY 94336,A000000,01900,0000,01900OTHER LONG TERM CARE 94336,A000000,02100,0000,02100RADIOLOGY 94336,A000000,02200,0000,02200LABORATORY 94336,A000000,02300,0000,02300INTRAVENOUS THERAPY 94336,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94336,A000000,02500,0000,02500PHYSICAL THERAPY 94336,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94336,A000000,02700,0000,02700SPEECH PATHOLOGY 94336,A000000,02800,0000,02800ELECTROCARDIOLOGY 94336,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94336,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94336,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94336,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94336,A000000,03200,0000,03200SUPPORT SURFACES 94336,A000000,03400,0000,03400CLINIC 94336,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94336,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94336,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94336,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94336,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94336,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94336,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94336,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94336,A000000,04400,0000,04400DME RENTED - HHA 94336,A000000,04500,0000,04500DME SOLD - HHA 94336,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94336,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94336,A000000,04800,0000,04800AMBULANCE 94336,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94336,A000000,05000,0000,05000CORF 94336,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94336,A000000,05300,0000,05300INTEREST EXPENSE 94336,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94336,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94336,A000000,05500,0000,05500HOSPICE 94336,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94336,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94336,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94336,A000000,06100,0000,06100NONPAID WORKERS 94336,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94336,A000000,06200,0000,06200PATIENTS LAUNDRY 94336,A81000A,00100,0100,Y 94336,A81000B,00100,0300,VARIOUS NURSING SUPPLIES 94336,A81000B,00200,0300,INFECTIOUS WASTE 94336,A81000B,00300,0300,AMBULANCE SERVICE 94336,A81000C,00100,0100,G 94336,A81000C,00100,0200,AMBULATORY HEAL 94336,A81000C,00100,0400,BLOOMSBURG HOSP 94336,A81000C,00100,0600,HEALTH 94336,A81000C,00200,0100,G 94336,A81000C,00200,0200,AMBULATORY HEAL 94336,A81000C,00200,0400,BLOOMSBURG HOSP 94336,A81000C,00200,0600,HEALTH 94336,A81000C,00300,0100,G 94336,A81000C,00300,0200,AMBULATORY HEAL 94336,A81000C,00300,0400,BLOOMSBURG HOSP 94336,A81000C,00300,0600,HEALTH 94336,A81000C,03100,0000,AMBULATORY HEALTH SERVICES INC. 94336,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94336,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94336,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94336,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94336,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94336,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94336,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94336,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94336,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 94336,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94336,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 94336,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94336,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94336,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 94336,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94336,S000000,00100,0200,02/14/2000 94336,S200000,00100,0100,211 EAST FIRST STREET 94336,S200000,00200,0100,BLOOMSBURG PA 17815 94336,S200000,00300,0100,COLUMBIA COUNTY 94336,S200000,00400,0100,BLOOMSBURG HEALTH CARE CENTER 94336,S200000,00400,0200,396065 94336,S200000,00400,0300,05/18/1999 94336,S200000,00400,0500,P 94336,S200000,01600,0100,Y 94336,S700003,00000,0400,4 94343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94343,A000000,00300,0000,00300EMPLOYEE BENEFITS 94343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94343,A000000,00700,0000,00700HOUSEKEEPING 94343,A000000,00800,0000,00800DIETARY 94343,A000000,00900,0000,00900NURSING ADMINISTRATION 94343,A000000,00901,0000,00901OTHER NURSING 94343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94343,A000000,01100,0000,01100PHARMACY 94343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94343,A000000,01301,0000,01301SOCIAL SERVICE 94343,A000000,01302,0000,01302ACTIVITIES 94343,A000000,01600,0000,01600SKILLED NURSING FACILITY 94343,A000000,01800,0000,01800NURSING FACILITY 94343,A000000,02100,0000,02100RADIOLOGY 94343,A000000,02200,0000,02200LABORATORY 94343,A000000,02300,0000,02300INTRAVENOUS THERAPY 94343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94343,A000000,02500,0000,02500PHYSICAL THERAPY 94343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94343,A000000,02700,0000,02700SPEECH PATHOLOGY 94343,A000000,02800,0000,02800ELECTROCARDIOLOGY 94343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94343,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94343,A000000,03051,0000,03301NUTRITIONAL THERAPY 94343,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 94343,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 94343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94343,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94343,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94343,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94343,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94343,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94343,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94343,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94343,A000000,04400,0000,04400DME RENTED - HHA 94343,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94343,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94343,A000000,04800,0000,04800AMBULANCE 94343,A000000,05300,0000,05300INTEREST EXPENSE 94343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94343,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94343,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 94343,A000000,06152,0000,06302GUEST MEALS/M.O.W. 94343,A000000,06153,0000,06303DISTRICT OFFICE SPACE 94343,A000000,06200,0000,06200PATIENTS LAUNDRY 94343,A81000A,00100,0100,Y 94343,A81000B,00100,0300,HOME OFFICE COSTS 94343,A81000B,00400,0300,LIABILITY INSURANCE 94343,A81000B,00900,0300,VC PHARM MED SUPPS COSTS 94343,A81000B,01000,0300,VC PHARM CMPLX EQ COSTS 94343,A81000B,01100,0300,VC PHARM SNF ROUTINE CST 94343,A81000B,01200,0300,VENCARE ANCILLARY - PT 94343,A81000B,01300,0300,VENCARE ANCILLARY - OT 94343,A81000B,01400,0300,VENCARE ANCILLARY - ST 94343,A81000B,01500,0300,VC HOSP - INHAL THER COST 94343,A81000C,00100,0100,B 94343,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 94343,A81000C,00100,0400,CORNERSTONE INSURANCE CO 94343,A81000C,00100,0600,LIABILITY INSURANCE 94343,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 94343,A81000C,00200,0600,PHARMACY 94343,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 94343,A81000C,00300,0600,RESPIRATORY THERAPY 94343,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 94343,A81000C,00500,0400,HEALTHCARE RESPIRATORY 94343,A81000C,00600,0400,THERAPY INC. 94343,A81000C,00700,0400,VENCARE ANCILLARY 94343,A81000C,00700,0600,THERAPY SERVICES 94343,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 94343,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 94343,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 94343,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 94343,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 94343,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 94343,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 94343,B100000,00000,0850,00003PATIENT DAYS :DIETARY 94343,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 94343,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 94343,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 94343,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 94343,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 94343,B100000,00000,1331,00003PATIENT DAYS :SOCIAL SERVICE 94343,B100000,00000,1332,00003PATIENT DAYS :ACTIVITIES 94343,E10A180,00350,0100,07/22/1999 94343,S000000,00100,0200,12/30/1999 94343,S200000,00100,0100,100 WAMPANOAG 94343,S200000,00200,0100,E. PROVIDENCE 94343,S200000,00200,0200,RI 94343,S200000,00200,0300,02915- 94343,S200000,00300,0100,PROVIDENCE 94343,S200000,00400,0100,HEALTH HAVENS NURSING CENTER 94343,S200000,00400,0200,415007 94343,S200000,00400,0300,01/01/1992 94343,S200000,00400,0500,P 94343,S200000,01600,0100,Y 94343,S200000,02200,0100,Y 94343,S700003,00000,0100,1 94350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94350,A000000,00300,0000,00300EMPLOYEE BENEFITS 94350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94350,A000000,00700,0000,00700HOUSEKEEPING 94350,A000000,00800,0000,00800DIETARY 94350,A000000,00900,0000,00900NURSING ADMINISTRATION 94350,A000000,00901,0000,00901OTHER NURSING 94350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94350,A000000,01100,0000,01100PHARMACY 94350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94350,A000000,01301,0000,01301SOCIAL SERVICE 94350,A000000,01302,0000,01302ACTIVITIES 94350,A000000,01600,0000,01600SKILLED NURSING FACILITY 94350,A000000,01800,0000,01800NURSING FACILITY 94350,A000000,02100,0000,02100RADIOLOGY 94350,A000000,02200,0000,02200LABORATORY 94350,A000000,02300,0000,02300INTRAVENOUS THERAPY 94350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94350,A000000,02500,0000,02500PHYSICAL THERAPY 94350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94350,A000000,02700,0000,02700SPEECH PATHOLOGY 94350,A000000,02800,0000,02800ELECTROCARDIOLOGY 94350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94350,A000000,03051,0000,03301NUTRITIONAL THERAPY 94350,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 94350,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 94350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94350,A000000,04400,0000,04400DME RENTED - HHA 94350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94350,A000000,04800,0000,04800AMBULANCE 94350,A000000,05300,0000,05300INTEREST EXPENSE 94350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94350,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 94350,A000000,06152,0000,06302GUEST MEALS/M.O.W. 94350,A000000,06153,0000,06303DISTRICT OFFICE SPACE 94350,A000000,06200,0000,06200PATIENTS LAUNDRY 94350,A81000A,00100,0100,Y 94350,A81000B,00100,0300,HOME OFFICE COSTS 94350,A81000B,00400,0300,LIABILITY INSURANCE 94350,A81000B,00900,0300,VC PHARM MED SUPPS COSTS 94350,A81000B,01000,0300,VC PHARM PHARMACY COSTS 94350,A81000B,01100,0300,VC PHARM CMPLX EQ COSTS 94350,A81000B,01200,0300,VC PHARM FOOD SUPPS COSTS 94350,A81000B,01300,0300,VENCARE ANCILLARY - PT 94350,A81000B,01400,0300,VENCARE ANCILLARY - OT 94350,A81000B,01500,0300,VENCARE ANCILLARY - ST 94350,A81000B,01600,0300,VC HOSP - INHAL THER COST 94350,A81000B,01700,0300,VC HOSP - MOBILE RAD-XRAY 94350,A81000C,00100,0100,B 94350,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 94350,A81000C,00100,0400,CORNERSTONE INSURANCE CO 94350,A81000C,00100,0600,LIABILITY INSURANCE 94350,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 94350,A81000C,00200,0600,PHARMACY 94350,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 94350,A81000C,00300,0600,RESPIRATORY THERAPY 94350,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 94350,A81000C,00500,0400,HEALTHCARE RESPIRATORY 94350,A81000C,00600,0400,THERAPY INC. 94350,A81000C,00700,0400,VENCARE ANCILLARY 94350,A81000C,00700,0600,THERAPY SERVICES 94350,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 94350,A81000C,00800,0600,PORTABLE X-RAY SERVICES 94350,A81000C,00900,0400,RADIOLOGY 94350,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 94350,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 94350,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 94350,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 94350,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 94350,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 94350,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 94350,B100000,00000,0850,00003PATIENT DAYS :DIETARY 94350,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 94350,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 94350,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 94350,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 94350,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 94350,B100000,00000,1331,00003PATIENT DAYS :SOCIAL SERVICE 94350,B100000,00000,1332,00003PATIENT DAYS :ACTIVITIES 94350,E10A180,00303,0100,07/21/1999 94350,S000000,00100,0200,12/30/1999 94350,S200000,00100,0100,544 PLEASANT AVENUE 94350,S200000,00200,0100,PAWTUCKET 94350,S200000,00200,0200,RI 94350,S200000,00200,0300,02860- 94350,S200000,00300,0100,PROVIDENCE 94350,S200000,00400,0100,OAK HILL NURSING & REHAB CENTER 94350,S200000,00400,0200,415027 94350,S200000,00400,0300,01/01/1992 94350,S200000,00400,0500,P 94350,S200000,01600,0100,Y 94350,S200000,02200,0100,Y 94350,S700003,00000,0100,1 94358,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94358,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94358,A000000,00300,0000,00300EMPLOYEE BENEFITS 94358,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94358,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94358,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94358,A000000,00700,0000,00700HOUSEKEEPING 94358,A000000,00800,0000,00800DIETARY 94358,A000000,00900,0000,00900NURSING ADMINISTRATION 94358,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94358,A000000,01100,0000,01100PHARMACY 94358,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94358,A000000,01300,0000,01300SOCIAL SERVICE 94358,A000000,01350,0000,01500ACTIVITIES 94358,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94358,A000000,01600,0000,01600SKILLED NURSING FACILITY 94358,A000000,01800,0000,01800NURSING FACILITY 94358,A000000,01900,0000,01900OTHER LONG TERM CARE 94358,A000000,02100,0000,02100RADIOLOGY 94358,A000000,02200,0000,02200LABORATORY 94358,A000000,02300,0000,02300INTRAVENOUS THERAPY 94358,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94358,A000000,02500,0000,02500PHYSICAL THERAPY 94358,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94358,A000000,02700,0000,02700SPEECH PATHOLOGY 94358,A000000,02800,0000,02800ELECTROCARDIOLOGY 94358,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94358,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94358,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94358,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94358,A000000,03200,0000,03200SUPPORT SURFACES 94358,A000000,03400,0000,03400CLINIC 94358,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94358,A000000,03500,0000,03500RURAL HEALTH CLINIC 94358,A000000,04800,0000,04800AMBULANCE 94358,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94358,A000000,05000,0000,05000CORF 94358,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94358,A000000,05300,0000,05300INTEREST EXPENSE 94358,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94358,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94358,A000000,05500,0000,05500HOSPICE 94358,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94358,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94358,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94358,A000000,06100,0000,06100NONPAID WORKERS 94358,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94358,A000000,06200,0000,06200PATIENTS LAUNDRY 94358,A81000A,00100,0100,Y 94358,A81000B,00100,0300,NURSING SUPPLIES 94358,A81000B,00200,0300,NURSING SUPPLIES 94358,A81000B,00300,0300,FLU VACCINE 94358,A81000B,00400,0300,DRUGS RELATED 94358,A81000B,00500,0300,CONTRACTED SERVICE 94358,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 94358,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 94358,A81000B,00800,0300,DIETARY SUPPLIES 94358,A81000B,00900,0300,LAUNDRY SUPPLIES 94358,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 94358,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 94358,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 94358,A81000B,01300,0300,FACILITY LEASE 94358,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 94358,A81000B,01500,0300,FACILITY ADMINISTRATOR 94358,A81000B,01600,0300,DIETARY CONSULTANT 94358,A81000B,01700,0300,NURSE CONSULTANT 94358,A81000B,01800,0300,REGIONAL PERSONNEL 94358,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 94358,A81000B,02000,0300,THERAPY CONSULTANT 94358,A81000B,02100,0300,MAINTENANCE CONSULTANT 94358,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 94358,A81000B,02300,0300,PHYSICAL THERAPY 94358,A81000B,02400,0300,MEDICAL RECORDS 94358,A81000B,02500,0300,SOCIAL SERVICES 94358,A81000B,02600,0300,ACTIVITIES 94358,A81000C,00100,0100,B 94358,A81000C,00100,0200,NEIL PRUITT 94358,A81000C,00100,0400,UNITED REHAB 94358,A81000C,00100,0600,THERAPY 94358,A81000C,00200,0100,B 94358,A81000C,00200,0200,NEIL PRUITT 94358,A81000C,00200,0400,UNITED PHARMACY 94358,A81000C,00200,0600,PHARMACY 94358,A81000C,00300,0100,B 94358,A81000C,00300,0200,NEIL PRUITT 94358,A81000C,00300,0400,PRUITT PROPERTI 94358,A81000C,00300,0600,RENTAL 94358,A81000C,00400,0100,B 94358,A81000C,00400,0200,NEIL PRUITT 94358,A81000C,00400,0400,PRUITT CORPORAT 94358,A81000C,00400,0600,MANAGEMENT 94358,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94358,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94358,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94358,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94358,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94358,B100000,00000,0800,00000MEALS SERVED :DIETARY 94358,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94358,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 94358,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94358,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94358,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 94358,E10A180,00301,0100,01/27/2000 94358,S000000,00100,0200,12/01/2000 94358,S200000,00100,0100,401 WITSELL STREET 94358,S200000,00200,0100,WALTERBORO 94358,S200000,00200,0200,CA 94358,S200000,00200,0300,29488- 94358,S200000,00300,0100,COLLETON 94358,S200000,00300,0200,0042 94358,S200000,00300,0300,R 94358,S200000,00400,0100,SOUTHERN MEDICAL OF WALTERBORO INC. 94358,S200000,00400,0200,425053 94358,S200000,00400,0300,11/01/1996 94358,S200000,00400,0500,P 94358,S200000,01600,0100,Y 94371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94371,A000000,00300,0000,00300EMPLOYEE BENEFITS 94371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94371,A000000,00700,0000,00700HOUSEKEEPING 94371,A000000,00800,0000,00800DIETARY 94371,A000000,00900,0000,00900NURSING ADMINISTRATION 94371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94371,A000000,01100,0000,01100PHARMACY 94371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94371,A000000,01300,0000,01300SOCIAL SERVICE 94371,A000000,01350,0000,01500ACTIVITIES 94371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94371,A000000,01600,0000,01600SKILLED NURSING FACILITY 94371,A000000,01800,0000,01800NURSING FACILITY 94371,A000000,01900,0000,01900OTHER LONG TERM CARE 94371,A000000,02100,0000,02100RADIOLOGY 94371,A000000,02200,0000,02200LABORATORY 94371,A000000,02300,0000,02300INTRAVENOUS THERAPY 94371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94371,A000000,02500,0000,02500PHYSICAL THERAPY 94371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94371,A000000,02700,0000,02700SPEECH PATHOLOGY 94371,A000000,02800,0000,02800ELECTROCARDIOLOGY 94371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94371,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94371,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94371,A000000,03200,0000,03200SUPPORT SURFACES 94371,A000000,03400,0000,03400CLINIC 94371,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94371,A000000,03500,0000,03500RURAL HEALTH CLINIC 94371,A000000,04800,0000,04800AMBULANCE 94371,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94371,A000000,05000,0000,05000CORF 94371,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94371,A000000,05300,0000,05300INTEREST EXPENSE 94371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94371,A000000,05500,0000,05500HOSPICE 94371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94371,A000000,06100,0000,06100NONPAID WORKERS 94371,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94371,A000000,06200,0000,06200PATIENTS LAUNDRY 94371,A81000A,00100,0100,Y 94371,A81000B,00100,0300,NURSING SUPPLIES 94371,A81000B,00200,0300,NURSING SUPPLIES 94371,A81000B,00300,0300,FLU VACCINE 94371,A81000B,00400,0300,DRUGS RELATED 94371,A81000B,00500,0300,CONTRACTED SERVICE 94371,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 94371,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 94371,A81000B,00800,0300,BLOOD BORNE PATHOGEN 94371,A81000B,00900,0300,DIETARY SUPPLIES 94371,A81000B,01000,0300,LAUNDRY SUPPLIES 94371,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 94371,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 94371,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 94371,A81000B,01400,0300,FACILITY LEASE 94371,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 94371,A81000B,01600,0300,FACILITY ADMINISTRATOR 94371,A81000B,01700,0300,DIETARY CONSULTANT 94371,A81000B,01800,0300,NURSE CONSULTANT 94371,A81000B,01900,0300,REGIONAL PERSONNEL 94371,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 94371,A81000B,02100,0300,THERAPY CONSULTANT 94371,A81000B,02200,0300,MAINTENANCE CONSULTANT 94371,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 94371,A81000B,02400,0300,PHYSICAL THERAPY 94371,A81000B,02500,0300,SOCIAL SERVIES SUPPLIES 94371,A81000B,02600,0300,ACTIVITIES SUPPLIES 94371,A81000C,00100,0100,B 94371,A81000C,00100,0200,NEIL PRUITT 94371,A81000C,00100,0400,UNITED REHAB 94371,A81000C,00100,0600,THERAPY 94371,A81000C,00200,0100,B 94371,A81000C,00200,0200,NEIL PRUITT 94371,A81000C,00200,0400,UNITED PHARMACY 94371,A81000C,00200,0600,PHARMACY 94371,A81000C,00300,0100,B 94371,A81000C,00300,0200,NEIL PRUITT 94371,A81000C,00300,0400,PRUITT PROPERTI 94371,A81000C,00300,0600,RENTAL 94371,A81000C,00400,0100,B 94371,A81000C,00400,0200,NEIL PRUITT 94371,A81000C,00400,0400,PRUITT CORPORAT 94371,A81000C,00400,0600,MANAGEMENT 94371,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94371,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94371,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94371,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94371,B100000,00000,0800,00000MEALS SERVED :DIETARY 94371,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 94371,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 94371,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94371,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94371,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 94371,E10A180,00301,0100,01/27/2000 94371,S000000,00100,0200,12/01/2000 94371,S200000,00100,0100,3RD STREET 94371,S200000,00200,0100,RIDGEWAY 94371,S200000,00200,0200,SC 94371,S200000,00300,0100,FAIRFIELD 94371,S200000,00300,0200,0042 94371,S200000,00300,0300,R 94371,S200000,00400,0100,SOUTHERN MEDICAL OF RIDGEWAY INC. 94371,S200000,00400,0200,425288 94371,S200000,00400,0300,11/01/1996 94371,S200000,00400,0500,P 94371,S200000,01600,0100,Y 94380,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94380,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94380,A000000,00300,0000,00300EMPLOYEE BENEFITS 94380,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94380,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94380,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94380,A000000,00700,0000,00700HOUSEKEEPING 94380,A000000,00800,0000,00800DIETARY 94380,A000000,00900,0000,00900NURSING ADMINISTRATION 94380,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94380,A000000,01100,0000,01100PHARMACY 94380,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94380,A000000,01300,0000,01300SOCIAL SERVICE 94380,A000000,01350,0000,01500OTHER GENERAL SERVICES 94380,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94380,A000000,01600,0000,01600SKILLED NURSING FACILITY 94380,A000000,01800,0000,01800NURSING FACILITY 94380,A000000,01810,0000,01810ICF/MR 94380,A000000,01900,0000,01900OTHER LONG TERM CARE 94380,A000000,02100,0000,02100RADIOLOGY 94380,A000000,02200,0000,02200LABORATORY 94380,A000000,02300,0000,02300INTRAVENOUS THERAPY 94380,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94380,A000000,02500,0000,02500PHYSICAL THERAPY 94380,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94380,A000000,02700,0000,02700SPEECH PATHOLOGY 94380,A000000,02800,0000,02800ELECTROCARDIOLOGY 94380,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94380,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94380,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94380,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94380,A000000,03200,0000,03200SUPPORT SURFACES 94380,A000000,03400,0000,03400CLINIC 94380,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94380,A000000,03500,0000,03500RURAL HEALTH CLINIC 94380,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94380,A000000,04800,0000,04800AMBULANCE 94380,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94380,A000000,05000,0000,05000CORF 94380,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94380,A000000,05300,0000,05300INTEREST EXPENSE 94380,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94380,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94380,A000000,05500,0000,05500HOSPICE 94380,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94380,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94380,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94380,A000000,06100,0000,06100NONPAID WORKERS 94380,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94380,A000000,06200,0000,06200PATIENTS LAUNDRY 94380,A81000A,00100,0100,Y 94380,A81000B,00100,0300,HOME OFFICE COSTS 94380,A81000C,00100,0100,B 94380,A81000C,00100,0200,ABERDEEN LIVING CENTER 94380,A81000C,00100,0400,BENEDICTINE LIVING COMMUN 94380,A81000C,00100,0600,MANAGEMENT CONSULTING 94380,A81000C,00200,0100,B 94380,A81000C,00200,0200,ABERDEEN LIVING CENTER 94380,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 94380,A81000C,00200,0600,MANAGEMENT CONSULTING 94380,A81000C,00300,0100,B 94380,A81000C,00300,0200,ABERDEEN LIVING CENTER 94380,A81000C,00300,0400,BENEDICTINE HEALTH DIMENS 94380,A81000C,00300,0600,MANAGEMENT CONSULTING 94380,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94380,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94380,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94380,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94380,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94380,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 94380,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94380,B100000,00000,0800,00000MEALS SERVED :DIETARY 94380,B100000,00000,0950,00000RESIDENT DAYS :NURSING ADMINISTRAT 94380,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 94380,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 94380,S000000,00100,0200,12/04/2000 94380,S200000,00100,0100,1700 NORTH HIGHWAY 281 94380,S200000,00200,0100,ABERDEEN 94380,S200000,00200,0200,SD 94380,S200000,00200,0300,57401- 94380,S200000,00300,0100,BROWN 94380,S200000,00300,0200,0043 94380,S200000,00300,0300,R 94380,S200000,00400,0100,ABERDEEN LIVING CENTER 94380,S200000,00400,0200,435041 94380,S200000,00400,0300,09/01/1989 94380,S200000,00400,0500,P 94380,S200000,00400,0600,O 94380,S200000,01500,0100,Y 94405,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94405,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94405,A000000,00300,0000,00300EMPLOYEE BENEFITS 94405,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94405,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94405,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94405,A000000,00700,0000,00700HOUSEKEEPING 94405,A000000,00800,0000,00800DIETARY 94405,A000000,00900,0000,00900NURSING ADMINISTRATION 94405,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94405,A000000,01100,0000,01100PHARMACY 94405,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94405,A000000,01300,0000,01300SOCIAL SERVICE 94405,A000000,01301,0000,01301ACTIVITIES 94405,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94405,A000000,01600,0000,01600SKILLED NURSING FACILITY 94405,A000000,01810,0000,01810ICF/MR 94405,A000000,03201,0000,03201OTHER ANCILLARY SERVICES 94405,A000000,03550,0000,03550FQHC 94405,A000000,05000,0000,05000CORF 94405,A000000,05010,0000,05010CMHC 94405,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 94405,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 94405,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 94405,A81000A,00100,0100,Y 94405,A81000B,00100,0300,HOME OFFICE COSTS 94405,A81000C,00100,0100,A 94405,A81000C,00100,0400,TENET HEALTHCAR 94405,A81000C,00100,0600,HEALTHCARE 94405,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 94405,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 94405,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 94405,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 94405,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 94405,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 94405,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 94405,B100000,00000,0800,00040MEALS SERVED :DIETARY 94405,B100000,00000,0950,00040DIRECT NRSG HRS :NURSING ADMINISTRA 94405,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 94405,B100000,00000,1250,00040GROSS REVENUE :MEDICAL RECORDS & L 94405,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 94405,B100000,00000,1301,00040TIME SPENT :ACTIVITIES 94405,S000000,00100,0200,12/27/2000 94405,S200000,00100,0100,5959 PARK AVENUE 94405,S200000,00200,0100,MEMPHIS 94405,S200000,00200,0200,TN 94405,S200000,00200,0300,38119- 94405,S200000,00300,0100,SHELBY 94405,S200000,00300,0200,4920 94405,S200000,00300,0300,U 94405,S200000,00400,0100,ST. FRANCIS - SNF 94405,S200000,00400,0200,445149 94405,S200000,00400,0300,09/10/1982 94405,S200000,00400,0500,P 94405,S200000,00400,0600,O 94405,S200000,01500,0100,Y 94405,S200000,04300,0100,Y 94412,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94412,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94412,A000000,00300,0000,00300EMPLOYEE BENEFITS 94412,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94412,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94412,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94412,A000000,00700,0000,00700HOUSEKEEPING 94412,A000000,00800,0000,00800DIETARY 94412,A000000,00900,0000,00900NURSING ADMINISTRATION 94412,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94412,A000000,01100,0000,01100PHARMACY 94412,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94412,A000000,01300,0000,01300SOCIAL SERVICE 94412,A000000,01350,0000,01500OTHER GENERAL SERVICES 94412,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94412,A000000,01600,0000,01600SKILLED NURSING FACILITY 94412,A000000,01800,0000,01800NURSING FACILITY 94412,A000000,01810,0000,01810ICF/MR 94412,A000000,01900,0000,01900OTHER LONG TERM CARE 94412,A000000,02100,0000,02100RADIOLOGY 94412,A000000,02200,0000,02200LABORATORY 94412,A000000,02300,0000,02300INTRAVENOUS THERAPY 94412,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94412,A000000,02500,0000,02500PHYSICAL THERAPY 94412,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94412,A000000,02700,0000,02700SPEECH PATHOLOGY 94412,A000000,02800,0000,02800ELECTROCARDIOLOGY 94412,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94412,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94412,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94412,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94412,A000000,03200,0000,03200SUPPORT SURFACES 94412,A000000,03400,0000,03400CLINIC 94412,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94412,A000000,03500,0000,03500RURAL HEALTH CLINIC 94412,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94412,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94412,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94412,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94412,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94412,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94412,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94412,A000000,04400,0000,04400DME RENTED - HHA 94412,A000000,04500,0000,04500DME SOLD - HHA 94412,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94412,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94412,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94412,A000000,04800,0000,04800AMBULANCE 94412,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94412,A000000,05000,0000,05000CORF 94412,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94412,A000000,05300,0000,05300INTEREST EXPENSE 94412,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94412,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94412,A000000,05500,0000,05500HOSPICE 94412,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94412,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94412,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94412,A000000,06100,0000,06100NONPAID WORKERS 94412,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94412,A000000,06200,0000,06200PATIENTS LAUNDRY 94412,A81000A,00100,0100,Y 94412,A81000B,00100,0300,MANAGEMENT FEES 94412,A81000B,00200,0300,CRC - BLDG. 94412,A81000C,00100,0100,A 94412,A81000C,00100,0200,EBENEZER INC. 94412,A81000C,00100,0400,EBENEZER INC. 94412,A81000C,00100,0600,MGT COMPANY 94412,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 94412,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 94412,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94412,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94412,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 94412,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94412,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 94412,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94412,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 94412,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94412,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 94412,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94412,E10A180,00301,0100,03/17/1999 94412,S000000,00100,0200,09/14/2000 94412,S200000,00100,0100,500 HICKORY HOLLOW TERRACE 94412,S200000,00200,0100,ANTIOCH 94412,S200000,00200,0200,TN 94412,S200000,00200,0300,37013- 94412,S200000,00300,0100,DAVIDSON 94412,S200000,00300,0200,5360 94412,S200000,00300,0300,U 94412,S200000,00400,0100,GOOD SAMARITAN NURSG & REHAB 94412,S200000,00400,0200,445170 94412,S200000,00400,0300,08/01/1986 94412,S200000,00400,0500,P 94412,S200000,00600,0200,445170 94412,S200000,00600,0300,08/01/1986 94412,S200000,00600,0600,P 94412,S200000,01600,0100,Y 94423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94423,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94423,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94423,A000000,00300,0000,00300EMPLOYEE BENEFITS 94423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94423,A000000,00700,0000,00700HOUSEKEEPING 94423,A000000,00800,0000,00800DIETARY 94423,A000000,00801,0000,00801CAFETERIA 94423,A000000,00900,0000,00900NURSING ADMINISTRATION 94423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94423,A000000,01100,0000,01100PHARMACY 94423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94423,A000000,01300,0000,01300SOCIAL SERVICE 94423,A000000,01350,0000,01500ACTIVITIES 94423,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94423,A000000,01600,0000,01600SKILLED NURSING FACILITY 94423,A000000,01800,0000,01800NURSING FACILITY 94423,A000000,01900,0000,01900OTHER LONG TERM CARE 94423,A000000,02100,0000,02100RADIOLOGY 94423,A000000,02200,0000,02200LABORATORY 94423,A000000,02300,0000,02300INTRAVENOUS THERAPY 94423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94423,A000000,02500,0000,02500PHYSICAL THERAPY 94423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94423,A000000,02700,0000,02700SPEECH PATHOLOGY 94423,A000000,02800,0000,02800ELECTROCARDIOLOGY 94423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94423,A000000,03050,0000,03300OTHER ANCILLARY 94423,A000000,03051,0000,03301OTHER ANCILLARY II 94423,A000000,03052,0000,03302OTHER ANCILLARY III 94423,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94423,A000000,03200,0000,03200SUPPORT SURFACES 94423,A000000,03400,0000,03400CLINIC 94423,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94423,A000000,03500,0000,03500RURAL HEALTH CLINIC 94423,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94423,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94423,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94423,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94423,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94423,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94423,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94423,A000000,04400,0000,04400DME RENTED - HHA 94423,A000000,04500,0000,04500DME SOLD - HHA 94423,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94423,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94423,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94423,A000000,04800,0000,04800AMBULANCE 94423,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94423,A000000,05000,0000,05000CORF 94423,A000000,05010,0000,05010CMHC I 94423,A000000,05020,0000,05020OPT I 94423,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94423,A000000,05300,0000,05300INTEREST EXPENSE 94423,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94423,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94423,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94423,A000000,05500,0000,05500HOSPICE 94423,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94423,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94423,A000000,06100,0000,06100NONPAID WORKERS 94423,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94423,A000000,06200,0000,06200PATIENTS LAUNDRY 94423,A81000A,00100,0100,Y 94423,A81000B,00100,0300,CAPITAL 94423,A81000B,00200,0300,A&G 94423,A81000B,00300,0300,DIETARY 94423,A81000B,00400,0300,MED SUPPLIES 94423,A81000C,00100,0100,B 94423,A81000C,00100,0200,DOUG METTLEIDER 94423,A81000C,00100,0600,LTC MGT 94423,A81000C,00200,0100,B 94423,A81000C,00200,0200,MIKE FOXWORTHY 94423,A81000C,00200,0600,LTC MGT 94423,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94423,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94423,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94423,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94423,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94423,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94423,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94423,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 94423,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94423,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94423,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94423,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94423,B100000,00000,1050,00000PAT. DAYS :CENTRAL SERVICES & SUPP 94423,B100000,00000,1150,00000PAT. DAYS :PHARMACY 94423,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94423,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94423,B100000,00000,1350,00000PAT. DAYS :ACTIVITIES 94423,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94423,E10A180,00301,0100,09/10/1999 94423,S000000,00100,0200,05/31/2000 94423,S200000,00100,0100,250 BELLEBROOK ROAD 94423,S200000,00200,0100,BRISTOL 94423,S200000,00200,0200,TN 94423,S200000,00200,0300,37620- 94423,S200000,00300,0100,SULLIVAN 94423,S200000,00400,0100,THE CAMBRIDGE HOUSE 94423,S200000,00400,0200,445190 94423,S200000,00400,0300,12/22/1989 94423,S200000,00400,0500,P 94423,S200000,01600,0100,Y 94423,S200000,02200,0100,Y 94423,S700003,00000,0100,1 94436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94436,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94436,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94436,A000000,00300,0000,00300EMPLOYEE BENEFITS 94436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94436,A000000,00700,0000,00700HOUSEKEEPING 94436,A000000,00800,0000,00800DIETARY 94436,A000000,00801,0000,00801CAFETERIA 94436,A000000,00900,0000,00900NURSING ADMINISTRATION 94436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94436,A000000,01100,0000,01100PHARMACY 94436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94436,A000000,01300,0000,01300SOCIAL SERVICE 94436,A000000,01350,0000,01500ACTIVITIES 94436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94436,A000000,01600,0000,01600SKILLED NURSING FACILITY 94436,A000000,01800,0000,01800NURSING FACILITY 94436,A000000,01900,0000,01900OTHER LONG TERM CARE 94436,A000000,02100,0000,02100RADIOLOGY 94436,A000000,02200,0000,02200LABORATORY 94436,A000000,02300,0000,02300INTRAVENOUS THERAPY 94436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94436,A000000,02500,0000,02500PHYSICAL THERAPY 94436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94436,A000000,02700,0000,02700SPEECH PATHOLOGY 94436,A000000,02800,0000,02800ELECTROCARDIOLOGY 94436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94436,A000000,03050,0000,03300OTHER ANCILLARY 94436,A000000,03051,0000,03301OTHER ANCILLARY II 94436,A000000,03052,0000,03302OTHER ANCILLARY III 94436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94436,A000000,03200,0000,03200SUPPORT SURFACES 94436,A000000,03400,0000,03400CLINIC 94436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94436,A000000,03500,0000,03500RURAL HEALTH CLINIC 94436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94436,A000000,04400,0000,04400DME RENTED - HHA 94436,A000000,04500,0000,04500DME SOLD - HHA 94436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94436,A000000,04800,0000,04800AMBULANCE 94436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94436,A000000,05000,0000,05000CORF 94436,A000000,05010,0000,05010CMHC I 94436,A000000,05020,0000,05020OPT I 94436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94436,A000000,05300,0000,05300INTEREST EXPENSE 94436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94436,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94436,A000000,05500,0000,05500HOSPICE 94436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94436,A000000,06100,0000,06100NONPAID WORKERS 94436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94436,A000000,06200,0000,06200PATIENTS LAUNDRY 94436,A81000A,00100,0100,Y 94436,A81000B,00100,0300,CAPITAL BLDG 94436,A81000B,00200,0300,CAPITAL 94436,A81000B,00300,0300,ADM AND GENERAL 94436,A81000B,00400,0300,DIETARY 94436,A81000B,00500,0300,MED SUPPLY AND STOCK 94436,A81000C,00100,0100,A 94436,A81000C,00100,0200,DOUG MITTLEIDER 94436,A81000C,00100,0600,LTC MGT 94436,A81000C,00200,0100,A 94436,A81000C,00200,0200,MIKE FOXWORTHY 94436,A81000C,00200,0600,LTC MGT 94436,A81000C,00300,0100,E 94436,A81000C,00300,0200,DEMQUARTER 94436,A81000C,00300,0600,BLDG OWNER 94436,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94436,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94436,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94436,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94436,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94436,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94436,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 94436,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94436,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94436,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94436,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 94436,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 94436,B100000,00000,1150,00000GROSS CHRG :PHARMACY 94436,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94436,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94436,B100000,00000,1350,00000PAT. DAY :ACTIVITIES 94436,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94436,E10A180,00501,0100,07/24/2000 94436,E10A180,00501,0300,07/24/2000 94436,S000000,00100,0200,05/31/2000 94436,S200000,00100,0100,8249 STANDIFER GAP ROAD 94436,S200000,00200,0100,CHATTANOOGA 94436,S200000,00200,0200,TN 94436,S200000,00200,0300,37421- 94436,S200000,00300,0100,HAMILTON 94436,S200000,00400,0100,THE STRATFORD HOUSE 94436,S200000,00400,0200,445205 94436,S200000,00400,0300,02/16/1988 94436,S200000,00400,0500,P 94436,S200000,01600,0100,Y 94436,S200000,02200,0100,Y 94443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94443,A000000,00300,0000,00300EMPLOYEE BENEFITS 94443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94443,A000000,00700,0000,00700HOUSEKEEPING 94443,A000000,00800,0000,00800DIETARY 94443,A000000,00900,0000,00900NURSING ADMINISTRATION 94443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94443,A000000,01100,0000,01100PHARMACY 94443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94443,A000000,01300,0000,01300SOCIAL SERVICE 94443,A000000,01350,0000,01500ACTIVITIES 94443,A000000,01600,0000,01600SKILLED NURSING FACILITY 94443,A000000,01800,0000,01800NURSING FACILITY 94443,A000000,01900,0000,01900OTHER LONG TERM CARE 94443,A000000,02100,0000,02100RADIOLOGY 94443,A000000,02200,0000,02200LABORATORY 94443,A000000,02300,0000,02300INTRAVENOUS THERAPY 94443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94443,A000000,02500,0000,02500PHYSICAL THERAPY 94443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94443,A000000,02700,0000,02700SPEECH PATHOLOGY 94443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94443,A000000,03200,0000,03200SUPPORT SURFACES 94443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94443,A000000,04800,0000,04800AMBULANCE 94443,A000000,05000,0000,05000CORF 94443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94443,A000000,05300,0000,05300INTEREST EXPENSE 94443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94443,A000000,05500,0000,05500HOSPICE 94443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94443,A000000,06100,0000,06100NONPAID WORKERS 94443,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94443,A000000,06200,0000,06200PATIENTS LAUNDRY 94443,A81000A,00100,0100,Y 94443,A81000B,00100,0300,HOME OFFICE ALLOCATION 94443,A81000C,00100,0100,B 94443,A81000C,00100,0200,RHA INC. 94443,A81000C,00100,0400,RHA INC. 94443,A81000C,00100,0600,LTC OPERATOR 94443,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94443,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94443,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94443,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94443,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94443,B100000,00000,0800,00000MEALS SERVED :DIETARY 94443,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94443,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94443,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94443,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94443,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94443,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94443,S000000,00100,0200,12/15/2000 94443,S200000,00100,0100,2421 JOHN B DENN 94443,S200000,00200,0100,KINGSPORT 94443,S200000,00200,0200,TN 94443,S200000,00200,0300,37660- 94443,S200000,00300,0100,SULLIVAN 94443,S200000,00300,0200,3660 94443,S200000,00300,0300,U 94443,S200000,00400,0100,THE WEXFORD HOUSE 94443,S200000,00400,0200,445207 94443,S200000,00400,0300,01/07/1989 94443,S200000,00400,0500,P 94443,S200000,01600,0100,Y 94443,S200000,02200,0100,Y 94476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94476,A000000,00300,0000,00300EMPLOYEE BENEFITS 94476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94476,A000000,00700,0000,00700HOUSEKEEPING 94476,A000000,00800,0000,00800DIETARY 94476,A000000,00900,0000,00900NURSING ADMINISTRATION 94476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94476,A000000,01100,0000,01100PHARMACY 94476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94476,A000000,01300,0000,01300SOCIAL SERVICE 94476,A000000,01600,0000,01600SKILLED NURSING FACILITY 94476,A000000,01800,0000,01800NURSING FACILITY 94476,A000000,01900,0000,01900OTHER LONG TERM CARE 94476,A000000,02100,0000,02100RADIOLOGY 94476,A000000,02200,0000,02200LABORATORY 94476,A000000,02300,0000,02300INTRAVENOUS THERAPY 94476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94476,A000000,02500,0000,02500PHYSICAL THERAPY 94476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94476,A000000,02700,0000,02700SPEECH PATHOLOGY 94476,A000000,02800,0000,02800ELECTROCARDIOLOGY 94476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94476,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94476,A000000,03051,0000,03301NUTRITIONAL THERAPY 94476,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94476,A000000,03053,0000,03303PHYSICIAN SERVICES 94476,A000000,03054,0000,03304MEDICAL SERVICES 94476,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94476,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94476,A000000,03200,0000,03200SUPPORT SURFACES 94476,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94476,A000000,04800,0000,04800AMBULANCE 94476,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94476,A000000,05300,0000,05300INTEREST EXPENSE 94476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94476,A000000,06100,0000,06100NONPAID WORKERS 94476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94476,A000000,06200,0000,06200PATIENTS LAUNDRY 94476,A81000A,00100,0100,Y 94476,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94476,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94476,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94476,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94476,A81000B,00500,0300,REGIONAL ALLOCATION 94476,A81000B,00600,0300,SEE ATTACHED DETAIL 94476,A81000C,00100,0100,B 94476,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94476,A81000C,00200,0200,A-8-1. 94476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94476,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94476,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94476,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94476,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94476,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94476,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94476,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94476,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94476,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94476,S000000,00100,0200,06/02/2000 94476,S200000,00100,0100,257 PATTON LANE 94476,S200000,00200,0100,HARIMAN 94476,S200000,00200,0200,TN 94476,S200000,00200,0300,37748- 94476,S200000,00300,0100,ROANE 94476,S200000,00300,0200,44 94476,S200000,00300,0300,R 94476,S200000,00400,0100,MARSHALL C VOSS HEALTH & REHAB CTR 94476,S200000,00400,0200,445223 94476,S200000,00400,0300,05/15/1989 94476,S200000,00400,0500,P 94476,S200000,01600,0100,Y 94476,S200000,02200,0100,Y 94525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94525,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94525,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94525,A000000,00300,0000,00300EMPLOYEE BENEFITS 94525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94525,A000000,00700,0000,00700HOUSEKEEPING 94525,A000000,00800,0000,00800DIETARY 94525,A000000,00801,0000,00801CAFETERIA 94525,A000000,00900,0000,00900NURSING ADMINISTRATION 94525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94525,A000000,01100,0000,01100PHARMACY 94525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94525,A000000,01300,0000,01300SOCIAL SERVICE 94525,A000000,01350,0000,01500ACTIVITIES 94525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94525,A000000,01600,0000,01600SKILLED NURSING FACILITY 94525,A000000,01800,0000,01800NURSING FACILITY 94525,A000000,01900,0000,01900OTHER LONG TERM CARE 94525,A000000,02100,0000,02100RADIOLOGY 94525,A000000,02200,0000,02200LABORATORY 94525,A000000,02300,0000,02300INTRAVENOUS THERAPY 94525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94525,A000000,02500,0000,02500PHYSICAL THERAPY 94525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94525,A000000,02700,0000,02700SPEECH PATHOLOGY 94525,A000000,02800,0000,02800ELECTROCARDIOLOGY 94525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94525,A000000,03050,0000,03300OTHER ANCILLARY 94525,A000000,03051,0000,03301OTHER ANCILLARY II 94525,A000000,03052,0000,03302OTHER ANCILLARY III 94525,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94525,A000000,03200,0000,03200SUPPORT SURFACES 94525,A000000,03400,0000,03400CLINIC 94525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94525,A000000,03500,0000,03500RURAL HEALTH CLINIC 94525,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94525,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94525,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94525,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94525,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94525,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94525,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94525,A000000,04400,0000,04400DME RENTED - HHA 94525,A000000,04500,0000,04500DME SOLD - HHA 94525,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94525,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94525,A000000,04800,0000,04800AMBULANCE 94525,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94525,A000000,05000,0000,05000CORF 94525,A000000,05010,0000,05010CMHC I 94525,A000000,05020,0000,05020OPT I 94525,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94525,A000000,05300,0000,05300INTEREST EXPENSE 94525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94525,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94525,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94525,A000000,05500,0000,05500HOSPICE 94525,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94525,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94525,A000000,06100,0000,06100NONPAID WORKERS 94525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94525,A000000,06200,0000,06200PATIENTS LAUNDRY 94525,A81000A,00100,0100,Y 94525,A81000B,00100,0300,MANAGEMENT FEES 94525,A81000B,00200,0300,INTEREST INCOME 94525,A81000B,00300,0300,THERAPY COST 94525,A81000B,00400,0300,THERAPY COST 94525,A81000B,00500,0300,THERPAY COST 94525,A81000B,00600,0300,NET INTERCOMPANY INT 94525,A81000C,00100,0100,A 94525,A81000C,00100,0200,AMERICAN HEALTH 94525,A81000C,00100,0400,TENNESSEE HEALH 94525,A81000C,00100,0600,MANAGEMENT COMPANY 94525,A81000C,00200,0100,B 94525,A81000C,00200,0200,AMERICAN HEALTH 94525,A81000C,00200,0400,AHC 94525,A81000C,00200,0600,HOME OFFICE 94525,A81000C,00300,0100,C 94525,A81000C,00300,0200,AMERICAN HEALTH 94525,A81000C,00300,0400,REHAB AMERICA 94525,A81000C,00300,0600,THERAPY COMPANY 94525,A81000C,00400,0100,D 94525,A81000C,00400,0200,AMERICAN HEALTH 94525,A81000C,00400,0400,REHAB AMERICA 94525,A81000C,00400,0600,THERAPY COMPANY 94525,A81000C,00500,0100,E 94525,A81000C,00500,0200,AMERICAN HEALTH 94525,A81000C,00500,0400,REHAB AMERICA 94525,A81000C,00500,0600,THERAPY COMPANY 94525,A81000C,00600,0100,F 94525,A81000C,00600,0200,AMERICAN HEALTH 94525,A81000C,00600,0400,AHC 94525,A81000C,00600,0600,HOME OFFICE 94525,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94525,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94525,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94525,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94525,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94525,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94525,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94525,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94525,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94525,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94525,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94525,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94525,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 94525,E10A180,00301,0100,07/26/1999 94525,S000000,00100,0200,05/30/2000 94525,S200000,00100,0100,4343 HYDES FERRY PIKE 94525,S200000,00200,0100,NASHVILLE 94525,S200000,00200,0200,TN 94525,S200000,00300,0100,DAVIDSON 94525,S200000,00300,0200,5360 94525,S200000,00300,0300,U 94525,S200000,00400,0100,CUMBERLAND MANOR 94525,S200000,00400,0200,445262 94525,S200000,00400,0300,03/08/1991 94525,S200000,00400,0500,P 94525,S200000,01600,0100,Y 94525,S200000,02200,0100,Y 94525,S200000,04700,0100,Y 94525,S200000,04700,0200,Y 94540,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94540,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94540,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94540,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94540,A000000,00300,0000,00300EMPLOYEE BENEFITS 94540,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94540,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94540,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94540,A000000,00700,0000,00700HOUSEKEEPING 94540,A000000,00800,0000,00800DIETARY 94540,A000000,00801,0000,00801CAFETERIA 94540,A000000,00900,0000,00900NURSING ADMINISTRATION 94540,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94540,A000000,01100,0000,01100PHARMACY 94540,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94540,A000000,01300,0000,01300SOCIAL SERVICE 94540,A000000,01350,0000,01500ACTIVITIES 94540,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94540,A000000,01600,0000,01600SKILLED NURSING FACILITY 94540,A000000,01800,0000,01800NURSING FACILITY 94540,A000000,01900,0000,01900OTHER LONG TERM CARE 94540,A000000,02100,0000,02100RADIOLOGY 94540,A000000,02200,0000,02200LABORATORY 94540,A000000,02300,0000,02300INTRAVENOUS THERAPY 94540,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94540,A000000,02500,0000,02500PHYSICAL THERAPY 94540,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94540,A000000,02700,0000,02700SPEECH PATHOLOGY 94540,A000000,02800,0000,02800ELECTROCARDIOLOGY 94540,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94540,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94540,A000000,03050,0000,03300OTHER ANCILLARY 94540,A000000,03051,0000,03301OTHER ANCILLARY II 94540,A000000,03052,0000,03302OTHER ANCILLARY III 94540,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94540,A000000,03200,0000,03200SUPPORT SURFACES 94540,A000000,03400,0000,03400CLINIC 94540,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94540,A000000,03500,0000,03500RURAL HEALTH CLINIC 94540,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94540,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94540,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94540,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94540,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94540,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94540,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94540,A000000,04400,0000,04400DME RENTED - HHA 94540,A000000,04500,0000,04500DME SOLD - HHA 94540,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94540,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94540,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94540,A000000,04800,0000,04800AMBULANCE 94540,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94540,A000000,05000,0000,05000CORF 94540,A000000,05010,0000,05010CMHC I 94540,A000000,05020,0000,05020OPT I 94540,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94540,A000000,05300,0000,05300INTEREST EXPENSE 94540,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94540,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94540,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94540,A000000,05500,0000,05500HOSPICE 94540,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94540,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94540,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94540,A000000,06100,0000,06100NONPAID WORKERS 94540,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94540,A000000,06200,0000,06200PATIENTS LAUNDRY 94540,A81000A,00100,0100,Y 94540,A81000B,00100,0300,ALLOCATED CAPITAL 94540,A81000B,00200,0300,CAPITAL HOME OFFICE 94540,A81000B,00300,0300,ADM AND GENERAL 94540,A81000B,00400,0300,DIETARY 94540,A81000B,00500,0300,MED SUPPLIES 94540,A81000C,00100,0100,A 94540,A81000C,00100,0200,DOUG MITTLEIDER 94540,A81000C,00100,0600,LTC MGT 94540,A81000C,00200,0100,A 94540,A81000C,00200,0200,MIKE FOXWORTHY 94540,A81000C,00200,0600,LTC MGT 94540,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94540,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94540,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94540,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94540,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94540,B100000,00000,0650,00000PAT. DAYS :LAUNDRY & LINEN SERVICE 94540,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94540,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94540,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94540,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 94540,B100000,00000,1150,00000GROSS CHRG :PHARMACY 94540,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94540,B100000,00000,1350,00000PAT. DAYS :ACTIVITIES 94540,E10A180,00301,0100,09/10/1999 94540,S000000,00100,0200,05/31/2000 94540,S200000,00100,0100,3425 KNIGHT ROAD 94540,S200000,00200,0100,WHITES CREEK 94540,S200000,00200,0200,TN 94540,S200000,00200,0300,37189- 94540,S200000,00300,0100,DAVIDSON 94540,S200000,00300,0200,5360 94540,S200000,00300,0300,U 94540,S200000,00400,0100,WINDSOR HOUSE 94540,S200000,00400,0200,445281 94540,S200000,00400,0300,05/04/1992 94540,S200000,00400,0500,P 94540,S200000,01600,0100,Y 94540,S200000,02200,0100,Y 94565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94565,A000000,00300,0000,00300EMPLOYEE BENEFITS 94565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94565,A000000,00700,0000,00700HOUSEKEEPING 94565,A000000,00800,0000,00800DIETARY 94565,A000000,00900,0000,00900NURSING ADMINISTRATION 94565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94565,A000000,01100,0000,01100PHARMACY 94565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94565,A000000,01300,0000,01300SOCIAL SERVICE 94565,A000000,01600,0000,01600SKILLED NURSING FACILITY 94565,A000000,01800,0000,01800NURSING FACILITY 94565,A000000,01900,0000,01900OTHER LONG TERM CARE 94565,A000000,02100,0000,02100RADIOLOGY 94565,A000000,02200,0000,02200LABORATORY 94565,A000000,02300,0000,02300INTRAVENOUS THERAPY 94565,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94565,A000000,02500,0000,02500PHYSICAL THERAPY 94565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94565,A000000,02700,0000,02700SPEECH PATHOLOGY 94565,A000000,02800,0000,02800ELECTROCARDIOLOGY 94565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94565,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94565,A000000,03051,0000,03301NUTRITIONAL THERAPY 94565,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94565,A000000,03053,0000,03303PHYSICIAN SERVICES 94565,A000000,03054,0000,03304MEDICAL SERVICES 94565,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94565,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94565,A000000,03200,0000,03200SUPPORT SURFACES 94565,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94565,A000000,04800,0000,04800AMBULANCE 94565,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94565,A000000,05300,0000,05300INTEREST EXPENSE 94565,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94565,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94565,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94565,A000000,06100,0000,06100NONPAID WORKERS 94565,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94565,A000000,06200,0000,06200PATIENTS LAUNDRY 94565,A81000A,00100,0100,Y 94565,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94565,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94565,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94565,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94565,A81000B,00500,0300,REGIONAL ALLOCATION 94565,A81000B,00600,0300,SEE ATTACHED 94565,A81000C,00100,0100,B 94565,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94565,A81000C,00200,0200,A-8-1. 94565,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94565,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94565,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94565,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94565,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94565,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94565,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94565,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94565,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94565,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94565,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94565,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94565,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94565,S000000,00100,0200,05/30/2000 94565,S200000,00100,0100,2036 HIGHWAY 45 BYPASS 94565,S200000,00200,0100,TRENTON 94565,S200000,00200,0200,TN 94565,S200000,00200,0300,38382- 94565,S200000,00300,0100,GIBSON 94565,S200000,00400,0100,TRENTON HEALTHCARE CENTER 94565,S200000,00400,0200,445308 94565,S200000,00400,0300,10/09/1992 94565,S200000,00400,0500,P 94565,S200000,01500,0100,Y 94565,S200000,02200,0100,Y 94565,S700003,00000,0200,2 94570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94570,A000000,00300,0000,00300EMPLOYEE BENEFITS 94570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94570,A000000,00700,0000,00700HOUSEKEEPING 94570,A000000,00800,0000,00800DIETARY 94570,A000000,00900,0000,00900NURSING ADMINISTRATION 94570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94570,A000000,01100,0000,01100PHARMACY 94570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94570,A000000,01300,0000,01300SOCIAL SERVICE 94570,A000000,01600,0000,01600SKILLED NURSING FACILITY 94570,A000000,01800,0000,01800NURSING FACILITY 94570,A000000,01900,0000,01900OTHER LONG TERM CARE 94570,A000000,02100,0000,02100RADIOLOGY 94570,A000000,02200,0000,02200LABORATORY 94570,A000000,02300,0000,02300INTRAVENOUS THERAPY 94570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94570,A000000,02500,0000,02500PHYSICAL THERAPY 94570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94570,A000000,02700,0000,02700SPEECH PATHOLOGY 94570,A000000,02800,0000,02800ELECTROCARDIOLOGY 94570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94570,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94570,A000000,03051,0000,03301NUTRITIONAL THERAPY 94570,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94570,A000000,03053,0000,03303PHYSICIAN SERVICES 94570,A000000,03054,0000,03304MEDICAL SERVICES 94570,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94570,A000000,03200,0000,03200SUPPORT SURFACES 94570,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94570,A000000,04800,0000,04800AMBULANCE 94570,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94570,A000000,05300,0000,05300INTEREST EXPENSE 94570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94570,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94570,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94570,A000000,06100,0000,06100NONPAID WORKERS 94570,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94570,A000000,06200,0000,06200PATIENTS LAUNDRY 94570,A81000A,00100,0100,Y 94570,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94570,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94570,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94570,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94570,A81000B,00500,0300,REGIONAL ALLOCATION 94570,A81000B,00600,0300,SEE ATTACHED DETAIL 94570,A81000C,00100,0100,B 94570,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94570,A81000C,00200,0200,A-8-1. 94570,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94570,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94570,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94570,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94570,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94570,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94570,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94570,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94570,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94570,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94570,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94570,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94570,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94570,S000000,00100,0200,06/02/2000 94570,S200000,00100,0100,1306 KATIE AVENUE 94570,S200000,00200,0100,NASHVILLE 94570,S200000,00200,0200,TN 94570,S200000,00200,0300,37207- 94570,S200000,00300,0100,DAVIDSON 94570,S200000,00400,0100,SUNBRIDGE CARE & REHAB - NASHVILLE 94570,S200000,00400,0200,445312 94570,S200000,00400,0300,11/01/1993 94570,S200000,00400,0500,P 94570,S200000,01500,0100,Y 94570,S200000,02200,0100,Y 94570,S700003,00000,0200,2 94580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94580,A000000,00300,0000,00300EMPLOYEE BENEFITS 94580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94580,A000000,00700,0000,00700HOUSEKEEPING 94580,A000000,00800,0000,00800DIETARY 94580,A000000,00900,0000,00900NURSING ADMINISTRATION 94580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94580,A000000,01100,0000,01100PHARMACY 94580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94580,A000000,01300,0000,01300SOCIAL SERVICE 94580,A000000,01600,0000,01600SKILLED NURSING FACILITY 94580,A000000,01800,0000,01800NURSING FACILITY 94580,A000000,01900,0000,01900OTHER LONG TERM CARE 94580,A000000,02100,0000,02100RADIOLOGY 94580,A000000,02200,0000,02200LABORATORY 94580,A000000,02300,0000,02300INTRAVENOUS THERAPY 94580,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94580,A000000,02500,0000,02500PHYSICAL THERAPY 94580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94580,A000000,02700,0000,02700SPEECH PATHOLOGY 94580,A000000,02800,0000,02800ELECTROCARDIOLOGY 94580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94580,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94580,A000000,03051,0000,03301NUTRITIONAL THERAPY 94580,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94580,A000000,03053,0000,03303PHYSICIAN SERVICES 94580,A000000,03054,0000,03304MEDICAL SERVICES 94580,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94580,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94580,A000000,03200,0000,03200SUPPORT SURFACES 94580,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94580,A000000,04800,0000,04800AMBULANCE 94580,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94580,A000000,05300,0000,05300INTEREST EXPENSE 94580,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94580,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94580,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94580,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94580,A000000,06100,0000,06100NONPAID WORKERS 94580,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94580,A000000,06200,0000,06200PATIENTS LAUNDRY 94580,A81000A,00100,0100,Y 94580,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94580,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94580,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94580,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94580,A81000B,00500,0300,REGIONAL ALLOCATION 94580,A81000B,00600,0300,SEE ATTACHED 94580,A81000C,00100,0100,B 94580,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94580,A81000C,00200,0200,A-8-1. 94580,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94580,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94580,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94580,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94580,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94580,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94580,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94580,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94580,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94580,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94580,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94580,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94580,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94580,S000000,00100,0200,06/02/2000 94580,S200000,00100,0100,32 MEMORIAL DRIVE 94580,S200000,00200,0100,WINCHESTER 94580,S200000,00200,0200,TN 94580,S200000,00200,0300,37398- 94580,S200000,00300,0100,FRANKLIN 94580,S200000,00400,0100,SUNBRIDGE CARE&REHAB -WINCHESTER 94580,S200000,00400,0200,445319 94580,S200000,00400,0300,10/01/1993 94580,S200000,00400,0500,P 94580,S200000,01500,0100,Y 94580,S200000,02200,0100,Y 94580,S700003,00000,0200,2 94585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94585,A000000,00300,0000,00300EMPLOYEE BENEFITS 94585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94585,A000000,00700,0000,00700HOUSEKEEPING 94585,A000000,00800,0000,00800DIETARY 94585,A000000,00900,0000,00900NURSING ADMINISTRATION 94585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94585,A000000,01100,0000,01100PHARMACY 94585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94585,A000000,01300,0000,01300SOCIAL SERVICE 94585,A000000,01600,0000,01600SKILLED NURSING FACILITY 94585,A000000,01800,0000,01800NURSING FACILITY 94585,A000000,01900,0000,01900OTHER LONG TERM CARE 94585,A000000,02100,0000,02100RADIOLOGY 94585,A000000,02200,0000,02200LABORATORY 94585,A000000,02300,0000,02300INTRAVENOUS THERAPY 94585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94585,A000000,02500,0000,02500PHYSICAL THERAPY 94585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94585,A000000,02700,0000,02700SPEECH PATHOLOGY 94585,A000000,02800,0000,02800ELECTROCARDIOLOGY 94585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94585,A000000,03051,0000,03301NUTRITIONAL THERAPY 94585,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94585,A000000,03053,0000,03303PHYSICIAN SERVICES 94585,A000000,03054,0000,03304MEDICAL SERVICES 94585,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94585,A000000,03200,0000,03200SUPPORT SURFACES 94585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94585,A000000,04800,0000,04800AMBULANCE 94585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94585,A000000,05300,0000,05300INTEREST EXPENSE 94585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94585,A000000,06100,0000,06100NONPAID WORKERS 94585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94585,A000000,06200,0000,06200PATIENTS LAUNDRY 94585,A81000A,00100,0100,Y 94585,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94585,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94585,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94585,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94585,A81000B,00500,0300,REGIONAL ALLOCATION 94585,A81000B,00600,0300,SEE ATTACHED 94585,A81000C,00100,0100,B 94585,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94585,A81000C,00200,0200,A-8-1. 94585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94585,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94585,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94585,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94585,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94585,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94585,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94585,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94585,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94585,S000000,00100,0200,05/30/2000 94585,S200000,00100,0100,4081 THORTON-TAYLOR PARKWAY 94585,S200000,00200,0100,FAYETTEVILLE 94585,S200000,00200,0200,TN 94585,S200000,00200,0300,37334- 94585,S200000,00300,0100,LINCOLN 94585,S200000,00400,0100,SUNBRIDGE CARE & REHAB FAYETTEVILLE 94585,S200000,00400,0200,445320 94585,S200000,00400,0300,10/01/1993 94585,S200000,00400,0500,P 94585,S200000,01600,0100,Y 94585,S200000,02200,0100,Y 94585,S700003,00000,0200,2 94590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94590,A000000,00300,0000,00300EMPLOYEE BENEFITS 94590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94590,A000000,00700,0000,00700HOUSEKEEPING 94590,A000000,00800,0000,00800DIETARY 94590,A000000,00900,0000,00900NURSING ADMINISTRATION 94590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94590,A000000,01100,0000,01100PHARMACY 94590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94590,A000000,01300,0000,01300SOCIAL SERVICE 94590,A000000,01600,0000,01600SKILLED NURSING FACILITY 94590,A000000,01800,0000,01800NURSING FACILITY 94590,A000000,01900,0000,01900OTHER LONG TERM CARE 94590,A000000,02100,0000,02100RADIOLOGY 94590,A000000,02200,0000,02200LABORATORY 94590,A000000,02300,0000,02300INTRAVENOUS THERAPY 94590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94590,A000000,02500,0000,02500PHYSICAL THERAPY 94590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94590,A000000,02700,0000,02700SPEECH PATHOLOGY 94590,A000000,02800,0000,02800ELECTROCARDIOLOGY 94590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94590,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94590,A000000,03051,0000,03301NUTRITIONAL THERAPY 94590,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94590,A000000,03053,0000,03303PHYSICIAN SERVICES 94590,A000000,03054,0000,03304MEDICAL SERVICES 94590,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94590,A000000,03200,0000,03200SUPPORT SURFACES 94590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94590,A000000,04800,0000,04800AMBULANCE 94590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94590,A000000,05300,0000,05300INTEREST EXPENSE 94590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94590,A000000,06100,0000,06100NONPAID WORKERS 94590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94590,A000000,06200,0000,06200PATIENTS LAUNDRY 94590,A81000A,00100,0100,Y 94590,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94590,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94590,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94590,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94590,A81000B,00500,0300,REGIONAL ALLOCATION 94590,A81000B,00600,0300,SEE ATTACHED 94590,A81000C,00100,0100,B 94590,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94590,A81000C,00200,0200,A-8-1. 94590,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94590,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94590,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94590,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94590,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94590,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94590,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94590,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94590,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94590,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94590,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94590,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94590,S000000,00100,0200,06/02/2000 94590,S200000,00100,0100,25385 MAIN STREET 94590,S200000,00200,0100,ARDMORE 94590,S200000,00200,0200,TN 94590,S200000,00200,0300,38449- 94590,S200000,00300,0100,GILES 94590,S200000,00400,0100,SUNBRIDGE CARE & REHAB ARDMORE 94590,S200000,00400,0200,445321 94590,S200000,00400,0300,10/01/1993 94590,S200000,00400,0500,P 94590,S200000,01600,0100,Y 94590,S200000,02200,0100,Y 94590,S700003,00000,0200,2 94619,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94619,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94619,A000000,00300,0000,00300EMPLOYEE BENEFITS 94619,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94619,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94619,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94619,A000000,00700,0000,00700HOUSEKEEPING 94619,A000000,00800,0000,00800DIETARY 94619,A000000,00900,0000,00900NURSING ADMINISTRATION 94619,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94619,A000000,01100,0000,01100PHARMACY 94619,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94619,A000000,01300,0000,01300SOCIAL SERVICE 94619,A000000,01600,0000,01600SKILLED NURSING FACILITY 94619,A000000,01800,0000,01800NURSING FACILITY 94619,A000000,01900,0000,01900OTHER LONG TERM CARE 94619,A000000,02100,0000,02100RADIOLOGY 94619,A000000,02200,0000,02200LABORATORY 94619,A000000,02300,0000,02300INTRAVENOUS THERAPY 94619,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94619,A000000,02500,0000,02500PHYSICAL THERAPY 94619,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94619,A000000,02700,0000,02700SPEECH PATHOLOGY 94619,A000000,02800,0000,02800ELECTROCARDIOLOGY 94619,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94619,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94619,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94619,A000000,03051,0000,03301NUTRITIONAL THERAPY 94619,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94619,A000000,03053,0000,03303PHYSICIAN SERVICES 94619,A000000,03054,0000,03304MEDICAL SERVICES 94619,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94619,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94619,A000000,03200,0000,03200SUPPORT SURFACES 94619,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94619,A000000,04800,0000,04800AMBULANCE 94619,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94619,A000000,05300,0000,05300INTEREST EXPENSE 94619,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94619,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94619,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94619,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94619,A000000,06100,0000,06100NONPAID WORKERS 94619,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94619,A000000,06200,0000,06200PATIENTS LAUNDRY 94619,A81000A,00100,0100,Y 94619,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94619,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94619,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94619,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94619,A81000B,00500,0300,REGIONAL ALLOCATION 94619,A81000B,00600,0300,SEE ATTACHED DETAIL 94619,A81000C,00100,0100,B 94619,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94619,A81000C,00200,0200,A-8-1. 94619,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94619,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94619,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94619,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94619,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94619,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94619,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94619,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94619,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94619,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94619,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94619,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94619,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94619,S000000,00100,0200,05/30/2000 94619,S200000,00100,0100,LACKEY LANE 94619,S200000,00200,0100,RIPLEY 94619,S200000,00200,0200,TX 94619,S200000,00200,0300,38063- 94619,S200000,00300,0100,LAUDERDALE 94619,S200000,00400,0100,SUNBRIDGE CARE & REHAB - LAUDERDALE 94619,S200000,00400,0200,445354 94619,S200000,00400,0300,08/01/1995 94619,S200000,00400,0500,P 94619,S200000,01500,0100,Y 94619,S200000,02200,0100,Y 94619,S700003,00000,0200,2 94632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94632,A000000,00300,0000,00300EMPLOYEE BENEFITS 94632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94632,A000000,00700,0000,00700HOUSEKEEPING 94632,A000000,00800,0000,00800DIETARY 94632,A000000,00900,0000,00900NURSING ADMINISTRATION 94632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94632,A000000,01100,0000,01100PHARMACY 94632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94632,A000000,01300,0000,01300SOCIAL SERVICE 94632,A000000,01600,0000,01600SKILLED NURSING FACILITY 94632,A000000,01800,0000,01800NURSING FACILITY 94632,A000000,01900,0000,01900OTHER LONG TERM CARE 94632,A000000,02100,0000,02100RADIOLOGY 94632,A000000,02200,0000,02200LABORATORY 94632,A000000,02300,0000,02300INTRAVENOUS THERAPY 94632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94632,A000000,02500,0000,02500PHYSICAL THERAPY 94632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94632,A000000,02700,0000,02700SPEECH PATHOLOGY 94632,A000000,02800,0000,02800ELECTROCARDIOLOGY 94632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94632,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94632,A000000,03051,0000,03301NUTRITIONAL THERAPY 94632,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94632,A000000,03053,0000,03303PHYSICIAN SERVICES 94632,A000000,03054,0000,03304MEDICAL SERVICES 94632,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94632,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94632,A000000,03200,0000,03200SUPPORT SURFACES 94632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94632,A000000,04800,0000,04800AMBULANCE 94632,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94632,A000000,05300,0000,05300INTEREST EXPENSE 94632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94632,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94632,A000000,06100,0000,06100NONPAID WORKERS 94632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94632,A000000,06200,0000,06200PATIENTS LAUNDRY 94632,A81000A,00100,0100,Y 94632,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94632,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94632,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94632,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94632,A81000B,00500,0300,REGIONAL ALLOCATION 94632,A81000B,00600,0300,SEE ATTACHED 94632,A81000C,00100,0100,B 94632,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94632,A81000C,00200,0200,A-8-1. 94632,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94632,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94632,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94632,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94632,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94632,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94632,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94632,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94632,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94632,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94632,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94632,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94632,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94632,S000000,00100,0200,05/30/2000 94632,S200000,00100,0100,897 EVERGREEN STREET 94632,S200000,00200,0100,DRESDEN 94632,S200000,00200,0200,TN 94632,S200000,00200,0300,38382- 94632,S200000,00300,0100,CARTER 94632,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR DRESDEN 94632,S200000,00400,0200,445367 94632,S200000,00400,0300,01/01/1996 94632,S200000,00400,0500,P 94632,S200000,01500,0100,Y 94632,S200000,02200,0100,Y 94632,S700003,00000,0400,4 94640,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94640,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94640,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94640,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94640,A000000,00300,0000,00300EMPLOYEE BENEFITS 94640,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94640,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94640,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94640,A000000,00700,0000,00700HOUSEKEEPING 94640,A000000,00800,0000,00800DIETARY 94640,A000000,00801,0000,00801CAFETERIA 94640,A000000,00900,0000,00900NURSING ADMINISTRATION 94640,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94640,A000000,01100,0000,01100PHARMACY 94640,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94640,A000000,01300,0000,01300SOCIAL SERVICE 94640,A000000,01350,0000,01500ACTIVTIES 94640,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94640,A000000,01600,0000,01600SKILLED NURSING FACILITY 94640,A000000,01800,0000,01800NURSING FACILITY 94640,A000000,01900,0000,01900OTHER LONG TERM CARE 94640,A000000,02100,0000,02100RADIOLOGY 94640,A000000,02200,0000,02200LABORATORY 94640,A000000,02300,0000,02300INTRAVENOUS THERAPY 94640,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94640,A000000,02500,0000,02500PHYSICAL THERAPY 94640,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94640,A000000,02700,0000,02700SPEECH PATHOLOGY 94640,A000000,02800,0000,02800ELECTROCARDIOLOGY 94640,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94640,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94640,A000000,03050,0000,03300OTHER ANCILLARY 94640,A000000,03051,0000,03301OTHER ANCILLARY II 94640,A000000,03052,0000,03302OTHER ANCILLARY III 94640,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94640,A000000,03200,0000,03200SUPPORT SURFACES 94640,A000000,03400,0000,03400CLINIC 94640,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94640,A000000,03500,0000,03500RURAL HEALTH CLINIC 94640,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94640,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94640,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94640,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94640,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94640,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94640,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94640,A000000,04400,0000,04400DME RENTED - HHA 94640,A000000,04500,0000,04500DME SOLD - HHA 94640,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94640,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94640,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94640,A000000,04800,0000,04800AMBULANCE 94640,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94640,A000000,05000,0000,05000CORF 94640,A000000,05010,0000,05010CMHC I 94640,A000000,05020,0000,05020OPT I 94640,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94640,A000000,05300,0000,05300INTEREST EXPENSE 94640,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94640,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94640,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94640,A000000,05500,0000,05500HOSPICE 94640,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94640,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94640,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94640,A000000,06100,0000,06100NONPAID WORKERS 94640,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94640,A000000,06200,0000,06200PATIENTS LAUNDRY 94640,A81000A,00100,0100,Y 94640,A81000B,00100,0300,MANAGEMENT FEES 94640,A81000B,00200,0300,INTEREST INCOME 94640,A81000B,00300,0300,PHYSICAL THERPY 94640,A81000B,00400,0300,OCCUPATIONAL THERAPY 94640,A81000B,00500,0300,SPEECH THERAPY 94640,A81000C,00100,0100,A 94640,A81000C,00100,0200,AMERICAN HEALTH 94640,A81000C,00100,0400,TENN HEALTH MGMT 94640,A81000C,00100,0600,MANAGEMENT COMPANY 94640,A81000C,00200,0100,B 94640,A81000C,00200,0200,AMERICAN HEALTH 94640,A81000C,00200,0400,AHC 94640,A81000C,00200,0600,HOME OFFICE 94640,A81000C,00300,0100,C 94640,A81000C,00300,0200,AMERICAN HEALTH 94640,A81000C,00300,0400,REHAB AMERICA 94640,A81000C,00300,0600,THERAPY COMPANY 94640,A81000C,00400,0100,D 94640,A81000C,00400,0200,AMERICAN HEALTH 94640,A81000C,00400,0400,REHAB AMERICA 94640,A81000C,00400,0600,THERAPY COMPANY 94640,A81000C,00500,0100,E 94640,A81000C,00500,0200,AMERICAN HEALTH 94640,A81000C,00500,0400,REHAB AMERICA 94640,A81000C,00500,0600,THEAPY COMPANY 94640,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94640,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94640,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94640,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94640,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94640,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94640,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94640,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94640,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94640,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94640,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94640,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94640,B100000,00000,1350,00000ASSIGNED TIME :ACTIVTIES 94640,E10A180,00301,0100,08/13/1999 94640,S000000,00100,0200,05/19/2000 94640,S200000,00100,0100,202 MTCS ROAD 94640,S200000,00200,0100,MURFREESBORO 94640,S200000,00200,0200,TN 94640,S200000,00300,0100,RUTHERFORD 94640,S200000,00300,0200,5360 94640,S200000,00300,0300,U 94640,S200000,00400,0100,NORTHSIDE HEALTH CARE 94640,S200000,00400,0200,445373 94640,S200000,00400,0300,05/14/1996 94640,S200000,00400,0500,P 94640,S200000,01600,0100,Y 94640,S200000,02200,0100,Y 94640,S200000,04700,0100,Y 94640,S200000,04700,0200,Y 94648,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94648,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94648,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94648,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94648,A000000,00300,0000,00300EMPLOYEE BENEFITS 94648,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94648,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94648,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94648,A000000,00700,0000,00700HOUSEKEEPING 94648,A000000,00800,0000,00800DIETARY 94648,A000000,00801,0000,00801CAFETERIA 94648,A000000,00900,0000,00900NURSING ADMINISTRATION 94648,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94648,A000000,01100,0000,01100PHARMACY 94648,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94648,A000000,01300,0000,01300SOCIAL SERVICE 94648,A000000,01350,0000,01500ACTIVITIES 94648,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94648,A000000,01600,0000,01600SKILLED NURSING FACILITY 94648,A000000,01800,0000,01800NURSING FACILITY 94648,A000000,01900,0000,01900OTHER LONG TERM CARE 94648,A000000,02100,0000,02100RADIOLOGY 94648,A000000,02200,0000,02200LABORATORY 94648,A000000,02300,0000,02300INTRAVENOUS THERAPY 94648,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94648,A000000,02500,0000,02500PHYSICAL THERAPY 94648,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94648,A000000,02700,0000,02700SPEECH PATHOLOGY 94648,A000000,02800,0000,02800ELECTROCARDIOLOGY 94648,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94648,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94648,A000000,03050,0000,03300OTHER ANCILLARY 94648,A000000,03051,0000,03301OTHER ANCILLARY II 94648,A000000,03052,0000,03302OTHER ANCILLARY III 94648,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94648,A000000,03200,0000,03200SUPPORT SURFACES 94648,A000000,03400,0000,03400CLINIC 94648,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94648,A000000,03500,0000,03500RURAL HEALTH CLINIC 94648,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94648,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94648,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94648,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94648,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94648,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94648,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94648,A000000,04400,0000,04400DME RENTED - HHA 94648,A000000,04500,0000,04500DME SOLD - HHA 94648,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94648,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94648,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94648,A000000,04800,0000,04800AMBULANCE 94648,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94648,A000000,05000,0000,05000CORF 94648,A000000,05010,0000,05010CMHC I 94648,A000000,05020,0000,05020OPT I 94648,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94648,A000000,05300,0000,05300INTEREST EXPENSE 94648,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94648,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94648,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94648,A000000,05500,0000,05500HOSPICE 94648,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94648,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94648,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94648,A000000,06100,0000,06100NONPAID WORKERS 94648,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94648,A000000,06200,0000,06200PATIENTS LAUNDRY 94648,A81000A,00100,0100,Y 94648,A81000B,00100,0300,CAPITAL 94648,A81000B,00200,0300,ADM AND GENERAL 94648,A81000C,00100,0100,A 94648,A81000C,00100,0200,ASCEND HEALTH 94648,A81000C,00100,0600,LTC OPS 94648,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94648,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94648,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94648,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94648,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94648,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94648,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94648,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 94648,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94648,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94648,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94648,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94648,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 94648,B100000,00000,1150,00000GROSS CHRG :PHARMACY 94648,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94648,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94648,B100000,00000,1350,00000PAT. DAYS :ACTIVITIES 94648,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94648,E10A180,00550,0100,07/27/2000 94648,S000000,00100,0200,05/31/2000 94648,S200000,00100,0100,904 HIDDEN ACRES DRIVE 94648,S200000,00200,0100,MT. PLEASANT 94648,S200000,00200,0200,TN 94648,S200000,00200,0300,38484- 94648,S200000,00300,0100,MAURY 94648,S200000,00400,0100,HIDDEN ACRES 94648,S200000,00400,0200,445374 94648,S200000,00400,0300,07/01/1996 94648,S200000,00400,0500,P 94648,S200000,01600,0100,Y 94648,S200000,02200,0100,Y 94654,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94654,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94654,A000000,00300,0000,00300EMPLOYEE BENEFITS 94654,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94654,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94654,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94654,A000000,00700,0000,00700HOUSEKEEPING 94654,A000000,00800,0000,00800DIETARY 94654,A000000,00900,0000,00900NURSING ADMINISTRATION 94654,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94654,A000000,01100,0000,01100PHARMACY 94654,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94654,A000000,01300,0000,01300SOCIAL SERVICE 94654,A000000,01600,0000,01600SKILLED NURSING FACILITY 94654,A000000,01800,0000,01800NURSING FACILITY 94654,A000000,01900,0000,01900OTHER LONG TERM CARE 94654,A000000,02100,0000,02100RADIOLOGY 94654,A000000,02200,0000,02200LABORATORY 94654,A000000,02300,0000,02300INTRAVENOUS THERAPY 94654,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94654,A000000,02500,0000,02500PHYSICAL THERAPY 94654,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94654,A000000,02700,0000,02700SPEECH PATHOLOGY 94654,A000000,02800,0000,02800ELECTROCARDIOLOGY 94654,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94654,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94654,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94654,A000000,03051,0000,03301NUTRITIONAL THERAPY 94654,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 94654,A000000,03053,0000,03303PHYSICIAN SERVICES 94654,A000000,03054,0000,03304MEDICAL SERVICES 94654,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 94654,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94654,A000000,03200,0000,03200SUPPORT SURFACES 94654,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94654,A000000,04800,0000,04800AMBULANCE 94654,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94654,A000000,05300,0000,05300INTEREST EXPENSE 94654,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94654,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94654,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94654,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94654,A000000,06100,0000,06100NONPAID WORKERS 94654,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94654,A000000,06200,0000,06200PATIENTS LAUNDRY 94654,A81000A,00100,0100,Y 94654,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 94654,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 94654,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 94654,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 94654,A81000B,00500,0300,REGIONAL ALLOCATION 94654,A81000B,00600,0300,SEE ATTACHED 94654,A81000C,00100,0100,B 94654,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 94654,A81000C,00200,0200,A-8-1. 94654,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94654,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94654,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94654,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94654,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94654,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94654,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 94654,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94654,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94654,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94654,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94654,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94654,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94654,S000000,00100,0200,05/30/2000 94654,S200000,00100,0100,30 POWERS BRIDGE ROAD 94654,S200000,00200,0100,MANCHESTER 94654,S200000,00200,0200,TN 94654,S200000,00200,0300,37355- 94654,S200000,00300,0100,COFFEE 94654,S200000,00400,0100,SUNBRIDGE CARE AND REHAB MANCHESTER 94654,S200000,00400,0200,445376 94654,S200000,00400,0300,11/01/1995 94654,S200000,00400,0500,P 94654,S200000,01500,0100,Y 94654,S200000,02200,0100,Y 94654,S700003,00000,0400,4 94668,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94668,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94668,A000000,00300,0000,00300EMPLOYEE BENEFITS 94668,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94668,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94668,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94668,A000000,00700,0000,00700HOUSEKEEPING 94668,A000000,00800,0000,00800DIETARY 94668,A000000,00900,0000,00900NURSING ADMINISTRATION 94668,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94668,A000000,01100,0000,01100PHARMACY 94668,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94668,A000000,01300,0000,01300SOCIAL SERVICE 94668,A000000,01350,0000,01500OTHER GENERAL SERVICES 94668,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94668,A000000,01600,0000,01600SKILLED NURSING FACILITY 94668,A000000,01800,0000,01800NURSING FACILITY 94668,A000000,01810,0000,01810ICF/MR 94668,A000000,01900,0000,01900OTHER LONG TERM CARE 94668,A000000,02100,0000,02100RADIOLOGY 94668,A000000,02200,0000,02200LABORATORY 94668,A000000,02300,0000,02300INTRAVENOUS THERAPY 94668,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94668,A000000,02500,0000,02500PHYSICAL THERAPY 94668,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94668,A000000,02700,0000,02700SPEECH PATHOLOGY 94668,A000000,02800,0000,02800ELECTROCARDIOLOGY 94668,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94668,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94668,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94668,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94668,A000000,03200,0000,03200SUPPORT SURFACES 94668,A000000,03400,0000,03400CLINIC 94668,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94668,A000000,03500,0000,03500RURAL HEALTH CLINIC 94668,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94668,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94668,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94668,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94668,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94668,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94668,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94668,A000000,04400,0000,04400DME RENTED - HHA 94668,A000000,04500,0000,04500DME SOLD - HHA 94668,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94668,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94668,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94668,A000000,04800,0000,04800AMBULANCE 94668,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94668,A000000,05000,0000,05000CORF 94668,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94668,A000000,05300,0000,05300INTEREST EXPENSE 94668,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94668,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94668,A000000,05500,0000,05500HOSPICE 94668,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94668,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94668,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94668,A000000,06100,0000,06100NONPAID WORKERS 94668,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94668,A000000,06200,0000,06200PATIENTS LAUNDRY 94668,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94668,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94668,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94668,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94668,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94668,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94668,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94668,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94668,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94668,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94668,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94668,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94668,S000000,00100,0200,08/01/2001 94668,S200000,00100,0100,200 SOUTH PARKWAY WEST 94668,S200000,00200,0100,MEMPHIS 94668,S200000,00200,0200,TN 94668,S200000,00200,0300,38109- 94668,S200000,00300,0100,SHELBY 94668,S200000,00300,0200,4920 94668,S200000,00300,0300,U 94668,S200000,00400,0100,PARKWAY HEALTH & REHAB CTR 94668,S200000,00400,0200,445387 94668,S200000,00400,0300,08/12/1996 94668,S200000,00400,0500,P 94668,S200000,00400,0600,O 94668,S200000,01600,0100,Y 94668,S200000,04300,0100,Y 94670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94670,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94670,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94670,A000000,00300,0000,00300EMPLOYEE BENEFITS 94670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94670,A000000,00700,0000,00700HOUSEKEEPING 94670,A000000,00800,0000,00800DIETARY 94670,A000000,00801,0000,00801CAFETERIA 94670,A000000,00900,0000,00900NURSING ADMINISTRATION 94670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94670,A000000,01100,0000,01100PHARMACY 94670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94670,A000000,01300,0000,01300SOCIAL SERVICE 94670,A000000,01350,0000,01500ACTIVITIES 94670,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94670,A000000,01600,0000,01600SKILLED NURSING FACILITY 94670,A000000,01800,0000,01800NURSING FACILITY 94670,A000000,01900,0000,01900OTHER LONG TERM CARE 94670,A000000,02100,0000,02100RADIOLOGY 94670,A000000,02200,0000,02200LABORATORY 94670,A000000,02300,0000,02300INTRAVENOUS THERAPY 94670,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94670,A000000,02500,0000,02500PHYSICAL THERAPY 94670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94670,A000000,02700,0000,02700SPEECH PATHOLOGY 94670,A000000,02800,0000,02800ELECTROCARDIOLOGY 94670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94670,A000000,03050,0000,03300OTHER ANCILLARY 94670,A000000,03051,0000,03301OTHER ANCILLARY II 94670,A000000,03052,0000,03302OTHER ANCILLARY III 94670,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94670,A000000,03200,0000,03200SUPPORT SURFACES 94670,A000000,03400,0000,03400CLINIC 94670,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94670,A000000,03500,0000,03500RURAL HEALTH CLINIC 94670,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94670,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94670,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94670,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94670,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94670,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94670,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94670,A000000,04400,0000,04400DME RENTED - HHA 94670,A000000,04500,0000,04500DME SOLD - HHA 94670,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94670,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94670,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94670,A000000,04800,0000,04800AMBULANCE 94670,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94670,A000000,05000,0000,05000CORF 94670,A000000,05010,0000,05010CMHC I 94670,A000000,05020,0000,05020OPT I 94670,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94670,A000000,05300,0000,05300INTEREST EXPENSE 94670,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94670,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94670,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94670,A000000,05500,0000,05500HOSPICE 94670,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94670,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94670,A000000,06100,0000,06100NONPAID WORKERS 94670,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94670,A000000,06200,0000,06200PATIENTS LAUNDRY 94670,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94670,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94670,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94670,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94670,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94670,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 94670,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94670,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94670,B100000,00000,0950,00000PAT. DAYS :NURSING ADMINISTRATION 94670,B100000,00000,1050,00000GROSS REV :CENTRAL SERVICES & SUPP 94670,B100000,00000,1150,00000GROSS REV :PHARMACY 94670,B100000,00000,1250,00000GROSS REV :MEDICAL RECORDS & LIBRA 94670,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 94670,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 94670,E10A180,00501,0100,10/19/2000 94670,E10A180,00501,0300,10/19/2000 94670,S000000,00100,0200,06/22/2000 94670,S200000,00100,0100,200 S PARKWAY WEST 94670,S200000,00200,0100,MEMPHIS 94670,S200000,00200,0200,TN 94670,S200000,00200,0300,38109- 94670,S200000,00300,0100,SHELBY 94670,S200000,00300,0200,4920 94670,S200000,00300,0300,U 94670,S200000,00400,0100,PARKWAY HEALTH AND REHAB 94670,S200000,00400,0200,445387 94670,S200000,00400,0300,09/13/1999 94670,S200000,00400,0500,P 94670,S200000,01004,0500,O 94670,S200000,01600,0100,Y 94670,S200000,02200,0100,Y 94677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94677,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94677,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94677,A000000,00300,0000,00300EMPLOYEE BENEFITS 94677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94677,A000000,00700,0000,00700HOUSEKEEPING 94677,A000000,00800,0000,00800DIETARY 94677,A000000,00801,0000,00801CAFETERIA 94677,A000000,00900,0000,00900NURSING ADMINISTRATION 94677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94677,A000000,01100,0000,01100PHARMACY 94677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94677,A000000,01300,0000,01300SOCIAL SERVICE 94677,A000000,01350,0000,01500ACTIVITIES 94677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94677,A000000,01600,0000,01600SKILLED NURSING FACILITY 94677,A000000,01800,0000,01800NURSING FACILITY 94677,A000000,01900,0000,01900OTHER LONG TERM CARE 94677,A000000,02100,0000,02100RADIOLOGY 94677,A000000,02200,0000,02200LABORATORY 94677,A000000,02300,0000,02300INTRAVENOUS THERAPY 94677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94677,A000000,02500,0000,02500PHYSICAL THERAPY 94677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94677,A000000,02700,0000,02700SPEECH PATHOLOGY 94677,A000000,02800,0000,02800ELECTROCARDIOLOGY 94677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94677,A000000,03050,0000,03300OTHER ANCILLARY 94677,A000000,03051,0000,03301OTHER ANCILLARY II 94677,A000000,03052,0000,03302OTHER ANCILLARY III 94677,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94677,A000000,03200,0000,03200SUPPORT SURFACES 94677,A000000,03400,0000,03400CLINIC 94677,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94677,A000000,03500,0000,03500RURAL HEALTH CLINIC 94677,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94677,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94677,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94677,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94677,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94677,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94677,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94677,A000000,04400,0000,04400DME RENTED - HHA 94677,A000000,04500,0000,04500DME SOLD - HHA 94677,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94677,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94677,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94677,A000000,04800,0000,04800AMBULANCE 94677,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94677,A000000,05000,0000,05000CORF 94677,A000000,05010,0000,05010CMHC I 94677,A000000,05020,0000,05020OPT I 94677,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94677,A000000,05300,0000,05300INTEREST EXPENSE 94677,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94677,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94677,A000000,05500,0000,05500HOSPICE 94677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94677,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94677,A000000,06100,0000,06100NONPAID WORKERS 94677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94677,A000000,06200,0000,06200PATIENTS LAUNDRY 94677,A81000A,00100,0100,Y 94677,A81000B,00100,0300,MED. DIR AND COMP. 94677,A81000B,00200,0300,PHARMACY 94677,A81000C,00100,0100,A 94677,A81000C,00100,0200,DR HARRY PEELER 94677,A81000C,00100,0600,LTC OPS 94677,A81000C,00200,0100,A 94677,A81000C,00200,0400,SHILOH DRUG 94677,A81000C,00200,0600,PHARMACY 94677,A81000C,00300,0100,D 94677,A81000C,00300,0200,DELORES PEELER 94677,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94677,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94677,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94677,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94677,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 94677,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94677,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94677,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94677,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 94677,B100000,00000,1150,00000GROSS CHRG :PHARMACY 94677,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94677,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94677,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 94677,E10A180,00501,0100,07/20/2000 94677,S000000,00100,0200,05/31/2000 94677,S200000,00100,0100,409 PARK AVENUE 94677,S200000,00200,0100,ADAMSVILLE 94677,S200000,00200,0200,TN 94677,S200000,00200,0300,38310- 94677,S200000,00300,0100,MCNAIRY 94677,S200000,00300,0200,44 94677,S200000,00300,0300,R 94677,S200000,00400,0100,TRI-COUNTY CONV. HOME 94677,S200000,00400,0200,445397 94677,S200000,00400,0300,06/01/1997 94677,S200000,00400,0500,P 94677,S200000,01600,0100,Y 94677,S200000,02200,0100,Y 94685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94685,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94685,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94685,A000000,00300,0000,00300EMPLOYEE BENEFITS 94685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94685,A000000,00700,0000,00700HOUSEKEEPING 94685,A000000,00800,0000,00800DIETARY 94685,A000000,00801,0000,00801CAFETERIA 94685,A000000,00900,0000,00900NURSING ADMINISTRATION 94685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94685,A000000,01100,0000,01100PHARMACY 94685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94685,A000000,01300,0000,01300SOCIAL SERVICE 94685,A000000,01350,0000,01500ACTIVITIES 94685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94685,A000000,01600,0000,01600SKILLED NURSING FACILITY 94685,A000000,01800,0000,01800NURSING FACILITY 94685,A000000,01900,0000,01900OTHER LONG TERM CARE 94685,A000000,02100,0000,02100RADIOLOGY 94685,A000000,02200,0000,02200LABORATORY 94685,A000000,02300,0000,02300INTRAVENOUS THERAPY 94685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94685,A000000,02500,0000,02500PHYSICAL THERAPY 94685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94685,A000000,02700,0000,02700SPEECH PATHOLOGY 94685,A000000,02800,0000,02800ELECTROCARDIOLOGY 94685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94685,A000000,03050,0000,03300OTHER ANCILLARY 94685,A000000,03051,0000,03301OTHER ANCILLARY II 94685,A000000,03052,0000,03302OTHER ANCILLARY III 94685,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94685,A000000,03200,0000,03200SUPPORT SURFACES 94685,A000000,03400,0000,03400CLINIC 94685,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94685,A000000,03500,0000,03500RURAL HEALTH CLINIC 94685,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94685,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94685,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94685,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94685,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94685,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94685,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94685,A000000,04400,0000,04400DME RENTED - HHA 94685,A000000,04500,0000,04500DME SOLD - HHA 94685,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94685,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94685,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94685,A000000,04800,0000,04800AMBULANCE 94685,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94685,A000000,05000,0000,05000CORF 94685,A000000,05010,0000,05010CMHC I 94685,A000000,05020,0000,05020OPT I 94685,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94685,A000000,05300,0000,05300INTEREST EXPENSE 94685,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94685,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94685,A000000,05500,0000,05500HOSPICE 94685,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94685,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94685,A000000,06100,0000,06100NONPAID WORKERS 94685,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94685,A000000,06200,0000,06200PATIENTS LAUNDRY 94685,A81000A,00100,0100,Y 94685,A81000B,00100,0300,MANAGEMENT FEES 94685,A81000B,00200,0300,INTEREST INCOME 94685,A81000B,00300,0300,OCCUPATIONAL THERAPY 94685,A81000B,00400,0300,SPEECH THERAPY 94685,A81000C,00100,0100,A 94685,A81000C,00100,0200,TN HEALTH MGT 94685,A81000C,00100,0400,AMERICAN HEALTH 94685,A81000C,00100,0600,MANAGEMENT CO 94685,A81000C,00200,0100,B 94685,A81000C,00200,0200,AMERICAN HEALTH 94685,A81000C,00200,0400,AHC 94685,A81000C,00200,0600,HOME OFFICE 94685,A81000C,00300,0100,C 94685,A81000C,00300,0200,AMERICAN HEALTH 94685,A81000C,00300,0400,REHAB AMERICA 94685,A81000C,00300,0600,THERAPY COMPANY 94685,A81000C,00400,0100,D 94685,A81000C,00400,0200,AMERICAN HEALTH 94685,A81000C,00400,0400,REHAB AMERICA 94685,A81000C,00400,0600,THERAPY COMPANY 94685,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94685,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94685,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94685,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94685,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94685,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94685,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94685,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94685,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94685,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94685,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94685,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94685,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94685,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 94685,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 94685,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 94685,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 94685,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94685,E10A180,00301,0100,08/13/1999 94685,E10A180,00501,0300,07/20/2000 94685,E10A180,00551,0100,07/20/2000 94685,S000000,00100,0200,05/30/2000 94685,S200000,00100,0100,121 PHYSICIANS DRIVE 94685,S200000,00200,0100,JACKSON 94685,S200000,00200,0200,TN 94685,S200000,00200,0300,38305- 94685,S200000,00300,0100,MADISON 94685,S200000,00400,0100,NORTHBROOKE HEALTH CARE 94685,S200000,00400,0200,445401 94685,S200000,00400,0300,08/26/1997 94685,S200000,00400,0500,P 94685,S200000,01600,0100,Y 94685,S200000,02200,0100,Y 94685,S200000,04200,0100,Y 94685,S200000,04700,0100,Y 94689,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94689,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94689,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94689,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94689,A000000,00300,0000,00300EMPLOYEE BENEFITS 94689,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94689,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94689,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94689,A000000,00700,0000,00700HOUSEKEEPING 94689,A000000,00800,0000,00800DIETARY 94689,A000000,00801,0000,00801CAFETERIA 94689,A000000,00900,0000,00900NURSING ADMINISTRATION 94689,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94689,A000000,01100,0000,01100PHARMACY 94689,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94689,A000000,01300,0000,01300SOCIAL SERVICE 94689,A000000,01350,0000,01500ACTIVITIES 94689,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94689,A000000,01600,0000,01600SKILLED NURSING FACILITY 94689,A000000,01800,0000,01800NURSING FACILITY 94689,A000000,01900,0000,01900OTHER LONG TERM CARE 94689,A000000,02100,0000,02100RADIOLOGY 94689,A000000,02200,0000,02200LABORATORY 94689,A000000,02300,0000,02300INTRAVENOUS THERAPY 94689,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94689,A000000,02500,0000,02500PHYSICAL THERAPY 94689,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94689,A000000,02700,0000,02700SPEECH PATHOLOGY 94689,A000000,02800,0000,02800ELECTROCARDIOLOGY 94689,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94689,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94689,A000000,03050,0000,03300OTHER ANCILLARY 94689,A000000,03051,0000,03301OTHER ANCILLARY II 94689,A000000,03052,0000,03302OTHER ANCILLARY III 94689,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94689,A000000,03200,0000,03200SUPPORT SURFACES 94689,A000000,03400,0000,03400CLINIC 94689,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94689,A000000,03500,0000,03500RURAL HEALTH CLINIC 94689,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94689,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94689,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94689,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94689,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94689,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94689,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94689,A000000,04400,0000,04400DME RENTED - HHA 94689,A000000,04500,0000,04500DME SOLD - HHA 94689,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94689,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94689,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94689,A000000,04800,0000,04800AMBULANCE 94689,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94689,A000000,05000,0000,05000CORF 94689,A000000,05010,0000,05010CMHC I 94689,A000000,05020,0000,05020OPT I 94689,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94689,A000000,05300,0000,05300INTEREST EXPENSE 94689,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94689,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94689,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94689,A000000,05500,0000,05500HOSPICE 94689,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94689,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94689,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94689,A000000,06100,0000,06100NONPAID WORKERS 94689,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94689,A000000,06200,0000,06200PATIENTS LAUNDRY 94689,A81000A,00100,0100,Y 94689,A81000B,00100,0300,CAPITAL COST 94689,A81000B,00200,0300,A&G COST 94689,A81000B,00300,0300,DIETARY 94689,A81000B,00400,0300,MED SUPPLIES 94689,A81000C,00100,0100,B 94689,A81000C,00100,0200,HEALTHPRIME 94689,A81000C,00100,0600,LTC MGT 94689,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94689,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94689,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94689,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94689,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94689,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94689,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94689,B100000,00000,0650,00000PAT. DAYS :LAUNDRY & LINEN SERVICE 94689,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94689,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94689,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94689,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 94689,B100000,00000,1050,00000GROSS CHRG :CENTRAL SERVICES & SUP 94689,B100000,00000,1150,00000GROSS CHRG :PHARMACY 94689,B100000,00000,1250,00000GROSS CHRG :MEDICAL RECORDS & LIBR 94689,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 94689,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 94689,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94689,E10A180,00301,0100,02/28/2000 94689,E10A180,00501,0100,07/19/2000 94689,E10A180,00501,0300,07/19/2000 94689,S000000,00100,0200,05/31/2000 94689,S200000,00100,0100,701 SEQUOYAH ROAD 94689,S200000,00200,0100,SODDY DAISY 94689,S200000,00200,0200,TN 94689,S200000,00200,0300,37379- 94689,S200000,00300,0100,HAMILTON 94689,S200000,00400,0100,SODDY DAISY HEALTHCARE CENTER 94689,S200000,00400,0200,445408 94689,S200000,00400,0300,09/01/1999 94689,S200000,00400,0500,P 94689,S200000,01600,0100,Y 94689,S200000,02200,0100,Y 94693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94693,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94693,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94693,A000000,00300,0000,00300EMPLOYEE BENEFITS 94693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94693,A000000,00700,0000,00700HOUSEKEEPING 94693,A000000,00800,0000,00800DIETARY 94693,A000000,00801,0000,00801CAFETERIA 94693,A000000,00900,0000,00900NURSING ADMINISTRATION 94693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94693,A000000,01100,0000,01100PHARMACY 94693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94693,A000000,01300,0000,01300SOCIAL SERVICE 94693,A000000,01350,0000,01500ACTIVITIES 94693,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94693,A000000,01600,0000,01600SKILLED NURSING FACILITY 94693,A000000,01800,0000,01800NURSING FACILITY 94693,A000000,01900,0000,01900OTHER LONG TERM CARE 94693,A000000,02100,0000,02100RADIOLOGY 94693,A000000,02200,0000,02200LABORATORY 94693,A000000,02300,0000,02300INTRAVENOUS THERAPY 94693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94693,A000000,02500,0000,02500PHYSICAL THERAPY 94693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94693,A000000,02700,0000,02700SPEECH PATHOLOGY 94693,A000000,02800,0000,02800ELECTROCARDIOLOGY 94693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94693,A000000,03050,0000,03300OTHER ANCILLARY 94693,A000000,03051,0000,03301OTHER ANCILLARY II 94693,A000000,03052,0000,03302OTHER ANCILLARY III 94693,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94693,A000000,03200,0000,03200SUPPORT SURFACES 94693,A000000,03400,0000,03400CLINIC 94693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94693,A000000,03500,0000,03500RURAL HEALTH CLINIC 94693,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94693,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94693,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94693,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94693,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94693,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94693,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94693,A000000,04400,0000,04400DME RENTED - HHA 94693,A000000,04500,0000,04500DME SOLD - HHA 94693,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94693,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94693,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94693,A000000,04800,0000,04800AMBULANCE 94693,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94693,A000000,05000,0000,05000CORF 94693,A000000,05010,0000,05010CMHC I 94693,A000000,05020,0000,05020OPT I 94693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94693,A000000,05300,0000,05300INTEREST EXPENSE 94693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94693,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94693,A000000,05500,0000,05500HOSPICE 94693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94693,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94693,A000000,06100,0000,06100NONPAID WORKERS 94693,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94693,A000000,06200,0000,06200PATIENTS LAUNDRY 94693,A81000A,00100,0100,Y 94693,A81000B,00100,0300,MANAGEMENT FEES 94693,A81000B,00200,0300,NET INTERCOMPANY IN 94693,A81000B,00300,0300,INTREST INCOME 94693,A81000B,00400,0300,PHYSICAL THERAPY 94693,A81000B,00500,0300,OCCUPATIONAL THERAPY 94693,A81000B,00600,0300,SPEECH THERAPY 94693,A81000C,00100,0100,A 94693,A81000C,00100,0200,AMERICAN HEALTH 94693,A81000C,00100,0400,AHC 94693,A81000C,00100,0600,MANAGEMENT CO 94693,A81000C,00200,0100,B 94693,A81000C,00200,0200,AMERICAN HEALTH 94693,A81000C,00200,0400,THM 94693,A81000C,00200,0600,MANAGEMENT CO 94693,A81000C,00300,0100,C 94693,A81000C,00300,0200,AMERICAN HEALTH 94693,A81000C,00300,0400,AHC 94693,A81000C,00300,0600,HOME OFFICE 94693,A81000C,00400,0100,D 94693,A81000C,00400,0200,AMERICAN HEALTH 94693,A81000C,00400,0400,REHAB AMERICA 94693,A81000C,00400,0600,THERAPY COMPANY 94693,A81000C,00500,0100,E 94693,A81000C,00500,0200,AMERICAN HEALTH 94693,A81000C,00500,0400,REHAB AMERICA 94693,A81000C,00500,0600,THERAPY COMPANY 94693,A81000C,00600,0100,F 94693,A81000C,00600,0200,AMERICAN HEALTH 94693,A81000C,00600,0400,REHAB AMERICA 94693,A81000C,00600,0600,THERAPY COMPANY 94693,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94693,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 94693,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94693,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 94693,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94693,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94693,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94693,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94693,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94693,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 94693,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94693,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94693,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 94693,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 94693,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 94693,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 94693,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 94693,E10A180,00501,0100,07/18/2000 94693,E10A180,00501,0300,07/18/2000 94693,S000000,00100,0200,05/19/2000 94693,S200000,00100,0100,1536 APPLINGCARE LN 94693,S200000,00200,0100,CORDOVA 94693,S200000,00200,0200,TN 94693,S200000,00200,0300,38018- 94693,S200000,00300,0100,SHELBY 94693,S200000,00400,0100,APPLINGWOOD HEALTH CARE CENTER 94693,S200000,00400,0200,445411 94693,S200000,00400,0300,06/13/1998 94693,S200000,00400,0500,P 94693,S200000,01600,0100,Y 94693,S200000,02200,0100,Y 94693,S700003,00000,0400,4 94705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94705,A000000,00300,0000,00300EMPLOYEE BENEFITS 94705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94705,A000000,00700,0000,00700HOUSEKEEPING 94705,A000000,00800,0000,00800DIETARY 94705,A000000,00900,0000,00900NURSING ADMINISTRATION 94705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94705,A000000,01100,0000,01100PHARMACY 94705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94705,A000000,01300,0000,01300SOCIAL SERVICE 94705,A000000,01350,0000,01500OTHER GENERAL SERVICES 94705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94705,A000000,01600,0000,01600SKILLED NURSING FACILITY 94705,A000000,01800,0000,01800NURSING FACILITY 94705,A000000,01810,0000,01810ICF/MR 94705,A000000,01900,0000,01900OTHER LONG TERM CARE 94705,A000000,02100,0000,02100RADIOLOGY 94705,A000000,02200,0000,02200LABORATORY 94705,A000000,02300,0000,02300INTRAVENOUS THERAPY 94705,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94705,A000000,02500,0000,02500PHYSICAL THERAPY 94705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94705,A000000,02700,0000,02700SPEECH PATHOLOGY 94705,A000000,02800,0000,02800ELECTROCARDIOLOGY 94705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94705,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94705,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94705,A000000,03200,0000,03200SUPPORT SURFACES 94705,A000000,03400,0000,03400CLINIC 94705,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94705,A000000,03500,0000,03500RURAL HEALTH CLINIC 94705,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94705,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94705,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94705,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94705,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94705,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94705,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94705,A000000,04400,0000,04400DME RENTED - HHA 94705,A000000,04500,0000,04500DME SOLD - HHA 94705,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94705,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94705,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94705,A000000,04800,0000,04800AMBULANCE 94705,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94705,A000000,05000,0000,05000CORF 94705,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94705,A000000,05300,0000,05300INTEREST EXPENSE 94705,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94705,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94705,A000000,05500,0000,05500HOSPICE 94705,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94705,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94705,A000000,06100,0000,06100NONPAID WORKERS 94705,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94705,A000000,06200,0000,06200PATIENTS LAUNDRY 94705,A81000A,00100,0100,Y 94705,A81000B,00100,0300,RENT 94705,A81000C,00100,0100,G 94705,B100000,00000,0150,00000PATIENT DAYS :CAP REL COSTS - BLDG 94705,B100000,00000,0250,00000PATIENT DAYS :CAP REL COSTS - MOVA 94705,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 94705,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94705,B100000,00000,0550,00000PATIENT DAYS :PLANT OPERATION MAI 94705,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94705,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 94705,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94705,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94705,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94705,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94705,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 94705,E10A180,00501,0100,09/15/2000 94705,E10A180,00550,0300,09/15/2000 94705,S000000,00100,0200,06/28/2000 94705,S200000,00100,0100,200 BIRCH STREET 94705,S200000,00200,0100,JACKSON 94705,S200000,00200,0200,TN 94705,S200000,00200,0300,38301- 94705,S200000,00300,0100,MADISON 94705,S200000,00300,0200,3580 94705,S200000,00300,0300,U 94705,S200000,00400,0100,LAURELWOOD HEALTH CARE 94705,S200000,00400,0200,445413 94705,S200000,00400,0300,09/01/1999 94705,S200000,00400,0500,P 94705,S200000,01500,0100,Y 94721,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94721,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94721,A000000,00300,0000,00300EMPLOYEE BENEFITS 94721,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94721,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94721,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94721,A000000,00700,0000,00700HOUSEKEEPING 94721,A000000,00800,0000,00800DIETARY 94721,A000000,00900,0000,00900NURSING ADMINISTRATION 94721,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94721,A000000,01100,0000,01100PHARMACY 94721,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94721,A000000,01300,0000,01300SOCIAL SERVICE 94721,A000000,01350,0000,01500ACTIVITIES 94721,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94721,A000000,01600,0000,01600SKILLED NURSING FACILITY 94721,A000000,01800,0000,01800NURSING FACILITY 94721,A000000,01810,0000,01810ICF/MR 94721,A000000,01900,0000,01900OTHER LONG TERM CARE 94721,A000000,02100,0000,02100RADIOLOGY 94721,A000000,02200,0000,02200LABORATORY 94721,A000000,02300,0000,02300INTRAVENOUS THERAPY 94721,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94721,A000000,02500,0000,02500PHYSICAL THERAPY 94721,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94721,A000000,02700,0000,02700SPEECH PATHOLOGY 94721,A000000,02800,0000,02800ELECTROCARDIOLOGY 94721,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94721,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94721,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94721,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94721,A000000,03200,0000,03200SUPPORT SURFACES 94721,A000000,03400,0000,03400CLINIC 94721,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94721,A000000,03500,0000,03500RURAL HEALTH CLINIC 94721,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94721,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94721,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94721,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94721,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94721,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94721,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94721,A000000,04400,0000,04400DME RENTED - HHA 94721,A000000,04500,0000,04500DME SOLD - HHA 94721,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94721,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94721,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94721,A000000,04800,0000,04800AMBULANCE 94721,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94721,A000000,05000,0000,05000CORF 94721,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94721,A000000,05300,0000,05300INTEREST EXPENSE 94721,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94721,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94721,A000000,05500,0000,05500HOSPICE 94721,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94721,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94721,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94721,A000000,06100,0000,06100NONPAID WORKERS 94721,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94721,A000000,06200,0000,06200PATIENTS LAUNDRY 94721,A81000A,00100,0100,Y 94721,A81000B,00100,0300,HOME OFFICE FEES 94721,A81000B,00200,0300,ANCILLARY MANAGEMENT FEE 94721,A81000B,00300,0300,HOME OFFICE CAPITAL 94721,A81000B,00400,0300,HOME OFFICE NON CAPITAL 94721,A81000B,00500,0300,MANAGEMENT FEE 94721,A81000C,00100,0100,A 94721,A81000C,00100,0200,FOUNDATION HEALTH SVC INC 94721,A81000C,00100,0400,FOUNDATION HEALTH SVC INC 94721,A81000C,00100,0600,HOME OFFICE 94721,A81000C,00200,0100,A 94721,A81000C,00200,0200,FOUNDATION ANCILLARY SVC 94721,A81000C,00200,0400,FOUNDATION ANCILLARY SVC 94721,A81000C,00200,0600,THERAPY 94721,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94721,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94721,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94721,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94721,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94721,B100000,00000,0750,00000SQUARE FEET EXC :HOUSEKEEPING 94721,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94721,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94721,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94721,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94721,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94721,S000000,00100,0200,03/22/2000 94721,S200000,00100,0100,841 RICE ROAD 94721,S200000,00200,0100,SAN ANTONIO 94721,S200000,00200,0200,TX 94721,S200000,00200,0300,78220- 94721,S200000,00300,0100,BEXAR 94721,S200000,00300,0200,7240 94721,S200000,00300,0300,U 94721,S200000,00400,0100,NORMANDY TERRACE S.E. 94721,S200000,00400,0200,455011 94721,S200000,00400,0300,05/28/1993 94721,S200000,00400,0500,P 94721,S200000,01600,0100,Y 94734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94734,A000000,00300,0000,00300EMPLOYEE BENEFITS 94734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94734,A000000,00700,0000,00700HOUSEKEEPING 94734,A000000,00800,0000,00800DIETARY 94734,A000000,00900,0000,00900NURSING ADMINISTRATION 94734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94734,A000000,01100,0000,01100PHARMACY 94734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94734,A000000,01300,0000,01300SOCIAL SERVICE 94734,A000000,01600,0000,01600SKILLED NURSING FACILITY 94734,A000000,01800,0000,01800NURSING FACILITY 94734,A000000,02100,0000,02100RADIOLOGY 94734,A000000,02200,0000,02200LABORATORY 94734,A000000,02300,0000,02300INTRAVENOUS THERAPY 94734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94734,A000000,02500,0000,02500PHYSICAL THERAPY 94734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94734,A000000,02700,0000,02700SPEECH PATHOLOGY 94734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94734,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94734,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94734,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94734,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94734,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94734,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94734,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94734,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94734,B100000,00000,0800,00000MEALS SERVED :DIETARY 94734,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94734,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94734,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94734,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94734,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94734,S000000,00100,0200,07/06/2000 94734,S200000,00100,0100,1208 NORTH LLANO HIGHWAY 94734,S200000,00200,0100,FREDERICKSBURG 94734,S200000,00200,0200,TX 94734,S200000,00200,0300,78624- 94734,S200000,00300,0100,GILLESPIE 94734,S200000,00400,0100,KNOPP NURSING HOME # 1 94734,S200000,00400,0200,455278 94734,S200000,00400,0300,10/03/1967 94734,S200000,00400,0500,P 94734,S200000,01600,0100,Y 94734,S700003,00000,0100,1 94745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94745,A000000,00300,0000,00300EMPLOYEE BENEFITS 94745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94745,A000000,00700,0000,00700HOUSEKEEPING 94745,A000000,00800,0000,00800DIETARY 94745,A000000,00900,0000,00900NURSING ADMINISTRATION 94745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94745,A000000,01100,0000,01100PHARMACY 94745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94745,A000000,01300,0000,01300SOCIAL SERVICE 94745,A000000,01350,0000,01500OTHER GENERAL SERVICES 94745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94745,A000000,01600,0000,01600SKILLED NURSING FACILITY 94745,A000000,01800,0000,01800NURSING FACILITY 94745,A000000,01900,0000,01900OTHER LONG TERM CARE 94745,A000000,02100,0000,02100RADIOLOGY 94745,A000000,02200,0000,02200LABORATORY 94745,A000000,02300,0000,02300INTRAVENOUS THERAPY 94745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94745,A000000,02500,0000,02500PHYSICAL THERAPY 94745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94745,A000000,02700,0000,02700SPEECH PATHOLOGY 94745,A000000,02800,0000,02800ELECTROCARDIOLOGY 94745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94745,A000000,03001,0000,03001CONSULTANTS 94745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94745,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94745,A000000,03200,0000,03200SUPPORT SURFACES 94745,A000000,03400,0000,03400CLINIC 94745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94745,A000000,03500,0000,03500RURAL HEALTH CLINIC 94745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94745,A000000,04800,0000,04800AMBULANCE 94745,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94745,A000000,05000,0000,05000CORF 94745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94745,A000000,05300,0000,05300INTEREST EXPENSE 94745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94745,A000000,05500,0000,05500HOSPICE 94745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94745,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94745,A000000,06100,0000,06100NONPAID WORKERS 94745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94745,A000000,06151,0000,06301CHILDRENS DAY CARE 94745,A000000,06152,0000,06302ADULT DAY CARE 94745,A000000,06200,0000,06200PATIENTS LAUNDRY 94745,A81000A,00100,0100,Y 94745,A81000B,00100,0300,RENT 94745,A81000C,00100,0100,A 94745,A81000C,00100,0200,JOHN C CULPEPPER III 94745,A81000C,00100,0400,JOHN C CULPEPPER III 94745,A81000C,00100,0600,REAL ESTATE 94745,A81000C,00200,0100,A 94745,A81000C,00200,0200,WILLIAM TYLE MOORE 94745,A81000C,00200,0400,MACILLE MOORE 94745,A81000C,00200,0600,REAL ESTATE 94745,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 94745,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 94745,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 94745,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 94745,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 94745,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 94745,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 94745,B100000,00000,0800,00002MEALS SERVED :DIETARY 94745,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 94745,S000000,00100,0200,08/30/2000 94745,S200000,00100,0100,1401 MEMORIAL 94745,S200000,00100,0300,3866 94745,S200000,00200,0100,BRYAN 94745,S200000,00200,0200,TX 94745,S200000,00200,0300,77802- 94745,S200000,00300,0100,BRAZOS 94745,S200000,00300,0200,1260 94745,S200000,00300,0300,U 94745,S200000,00400,0100,SHERWOOD HEALTH CARE INC. 94745,S200000,00400,0200,455351 94745,S200000,00400,0300,02/07/1969 94745,S200000,00400,0500,P 94745,S200000,01600,0100,Y 94745,S200000,04300,0100,Y 94754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94754,A000000,00300,0000,00300EMPLOYEE BENEFITS 94754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94754,A000000,00700,0000,00700HOUSEKEEPING 94754,A000000,00800,0000,00800DIETARY 94754,A000000,00900,0000,00900NURSING ADMINISTRATION 94754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94754,A000000,01100,0000,01100PHARMACY 94754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94754,A000000,01300,0000,01300SOCIAL SERVICE 94754,A000000,01350,0000,01500OTHER GENERAL SERVICES 94754,A000000,01351,0000,01501ACTIVITIES 94754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94754,A000000,01600,0000,01600SKILLED NURSING FACILITY 94754,A000000,01800,0000,01800NURSING FACILITY 94754,A000000,01810,0000,01810ICF/MR 94754,A000000,01900,0000,01900OTHER LONG TERM CARE 94754,A000000,02100,0000,02100RADIOLOGY 94754,A000000,02200,0000,02200LABORATORY 94754,A000000,02300,0000,02300INTRAVENOUS THERAPY 94754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94754,A000000,02500,0000,02500PHYSICAL THERAPY 94754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94754,A000000,02700,0000,02700SPEECH PATHOLOGY 94754,A000000,02800,0000,02800ELECTROCARDIOLOGY 94754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94754,A000000,03200,0000,03200SUPPORT SURFACES 94754,A000000,03400,0000,03400CLINIC 94754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94754,A000000,03500,0000,03500RURAL HEALTH CLINIC 94754,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94754,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94754,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94754,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94754,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94754,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94754,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94754,A000000,04400,0000,04400DME RENTED - HHA 94754,A000000,04500,0000,04500DME SOLD - HHA 94754,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94754,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94754,A000000,04800,0000,04800AMBULANCE 94754,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94754,A000000,05000,0000,05000CORF 94754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94754,A000000,05300,0000,05300INTEREST EXPENSE 94754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94754,A000000,05500,0000,05500HOSPICE 94754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94754,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94754,A000000,06100,0000,06100NONPAID WORKERS 94754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94754,A000000,06200,0000,06200PATIENTS LAUNDRY 94754,A81000A,00100,0100,Y 94754,A81000B,00100,0300,HOME OFFICE ALLOCATION 94754,A81000C,00100,0100,B 94754,A81000C,00100,0400,HEARTWAY CORPORATION 94754,A81000C,00100,0600,NURSING HOME OPERATORS 94754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94754,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94754,B100000,00000,0800,00000MEALS SERVED :DIETARY 94754,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94754,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94754,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 94754,S000000,00100,0200,12/22/2000 94754,S200000,00100,0100,5027 PECAN GROVE 94754,S200000,00200,0100,SAN ANTONIO 94754,S200000,00200,0200,TX 94754,S200000,00200,0300,78222- 94754,S200000,00300,0100,BEXAR 94754,S200000,00300,0200,7240 94754,S200000,00300,0300,U 94754,S200000,00400,0100,AVALON PLACE - SAN ANTONIO 94754,S200000,00400,0200,455390 94754,S200000,00400,0300,06/01/1984 94754,S200000,00400,0500,P 94754,S200000,01600,0100,Y 94759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94759,A000000,00300,0000,00300EMPLOYEE BENEFITS 94759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94759,A000000,00700,0000,00700HOUSEKEEPING 94759,A000000,00800,0000,00800DIETARY 94759,A000000,00900,0000,00900NURSING ADMINISTRATION 94759,A000000,00901,0000,00901OTHER NURSING 94759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94759,A000000,01100,0000,01100PHARMACY 94759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94759,A000000,01300,0000,01300SOCIAL SERVICE 94759,A000000,01301,0000,01301ACTIVITIES 94759,A000000,01600,0000,01600SKILLED NURSING FACILITY 94759,A000000,01800,0000,01800NURSING FACILITY 94759,A000000,02100,0000,02100RADIOLOGY 94759,A000000,02200,0000,02200LABORATORY 94759,A000000,02300,0000,02300INTRAVENOUS THERAPY 94759,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94759,A000000,02500,0000,02500PHYSICAL THERAPY 94759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94759,A000000,02700,0000,02700SPEECH PATHOLOGY 94759,A000000,02800,0000,02800ELECTROCARDIOLOGY 94759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94759,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94759,A000000,03051,0000,03301NUTRITIONAL THERAPY 94759,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 94759,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 94759,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94759,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94759,A000000,04800,0000,04800AMBULANCE 94759,A000000,05300,0000,05300INTEREST EXPENSE 94759,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94759,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94759,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94759,A000000,06151,0000,06301DAY CARE 94759,A000000,06152,0000,06302REVIEW AND ANALYZE ACCOUNTS 94759,A000000,06153,0000,06303DISTRICT OFFICE SPACE 94759,A000000,06200,0000,06200PATIENTS LAUNDRY 94759,A81000A,00100,0100,Y 94759,A81000B,00100,0300,HOME OFFICE COSTS 94759,A81000B,00200,0300,LIABILITY INSURANCE 94759,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 94759,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 94759,A81000B,00500,0300,VC PHARMACY - ADMIN 94759,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 94759,A81000B,00700,0300,VC PHARMACY - LAUNDRY 94759,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 94759,A81000B,00900,0300,VC PHARMACY - DIETARY 94759,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 94759,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 94759,A81000B,01200,0300,VC PHARMACY - NONLEGEND 94759,A81000B,01300,0300,VC PHARMACY - MED RECORDS 94759,A81000B,01400,0300,VC PHARMACY - SOC SVCS 94759,A81000B,01500,0300,VC PHARMACY - ACTIVITY 94759,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 94759,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 94759,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 94759,A81000B,01900,0300,VC PHARMACY - LAB 94759,A81000B,02000,0300,VC PHARMACY - IV THERAPY 94759,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 94759,A81000B,02200,0300,VENCARE REHAB - PHYS THER 94759,A81000B,02300,0300,VENCARE REHAB - OCCP THER 94759,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 94759,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 94759,A81000B,02600,0300,VC PHARMACY - LEGEND 94759,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 94759,A81000B,02800,0300,VC PHARMACY - NUTR THER 94759,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 94759,A81000B,02901,0300,VC PHARMACY - PROS & ORTHOS 94759,A81000B,02902,0300,VC PHARMACY - NONREIMB 94759,A81000B,02903,0300,VC PHARMACY - EMPL BENEFITS 94759,A81000C,00100,0100,B 94759,A81000C,00100,0200,TENET HEALTHCARE CORP 94759,A81000C,00100,0400,TENET HEALTHCARE CORP 94759,A81000C,00100,0600,HEALTHCARE 94759,A81000C,00200,0400,HOSPITAL UNDERWRITERS GRP 94759,A81000C,00200,0600,INSURANCE 94759,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 94759,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 94759,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 94759,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 94759,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 94759,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 94759,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 94759,B100000,00000,0850,00003PATIENT DAYS :DIETARY 94759,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 94759,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 94759,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 94759,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 94759,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 94759,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 94759,B100000,00000,1331,00003PATIENT DAYS :ACTIVITIES 94759,E10A180,00350,0100,08/17/1999 94759,S000000,00100,0200,12/11/2000 94759,S200000,00100,0100,1855 CHEYENNE 94759,S200000,00200,0100,CARROLLTON 94759,S200000,00200,0200,TX 94759,S200000,00200,0300,75008- 94759,S200000,00300,0100,DENTON 94759,S200000,00300,0300,U 94759,S200000,00400,0100,226-BROOKHAVEN NURSING CENTER 94759,S200000,00400,0200,455412 94759,S200000,00400,0300,10/01/1986 94759,S200000,00400,0500,P 94759,S200000,01600,0100,Y 94759,S200000,02200,0100,Y 94769,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94769,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94769,A000000,00300,0000,00300EMPLOYEE BENEFITS 94769,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94769,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94769,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94769,A000000,00700,0000,00700HOUSEKEEPING 94769,A000000,00800,0000,00800DIETARY 94769,A000000,00900,0000,00900NURSING ADMINISTRATION 94769,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94769,A000000,01100,0000,01100PHARMACY 94769,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94769,A000000,01300,0000,01300SOCIAL SERVICE 94769,A000000,01350,0000,01500ACTIVITIES 94769,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94769,A000000,01600,0000,01600SKILLED NURSING FACILITY 94769,A000000,01800,0000,01800NURSING FACILITY 94769,A000000,01900,0000,01900OTHER LONG TERM CARE 94769,A000000,02100,0000,02100RADIOLOGY 94769,A000000,02200,0000,02200LABORATORY 94769,A000000,02300,0000,02300INTRAVENOUS THERAPY 94769,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94769,A000000,02500,0000,02500PHYSICAL THERAPY 94769,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94769,A000000,02700,0000,02700SPEECH PATHOLOGY 94769,A000000,02800,0000,02800ELECTROCARDIOLOGY 94769,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94769,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94769,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94769,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94769,A000000,03200,0000,03200SUPPORT SURFACES 94769,A000000,03400,0000,03400CLINIC 94769,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 94769,A000000,03500,0000,03500RURAL HEALTH CLINIC 94769,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94769,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94769,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94769,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94769,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94769,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94769,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94769,A000000,04400,0000,04400DME RENTED - HHA 94769,A000000,04500,0000,04500DME SOLD - HHA 94769,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94769,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94769,A000000,04800,0000,04800AMBULANCE 94769,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94769,A000000,05000,0000,05000CORF 94769,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94769,A000000,05300,0000,05300INTEREST EXPENSE 94769,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94769,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94769,A000000,05500,0000,05500HOSPICE 94769,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94769,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94769,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94769,A000000,06100,0000,06100NONPAID WORKERS 94769,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 94769,A000000,06200,0000,06200PATIENTS LAUNDRY 94769,A81000A,00100,0100,Y 94769,A81000B,00100,0300,MANAGEMENT FEES 94769,A81000C,00100,0100,B 94769,A81000C,00100,0200,HUNTER CARE CEN 94769,A81000C,00100,0400,HUNTER CARE CEN 94769,A81000C,00100,0600,LTC MGT 94769,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94769,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94769,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94769,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94769,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94769,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94769,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94769,B100000,00000,0800,00000MEALS SERVED :DIETARY 94769,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94769,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94769,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94769,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94769,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94769,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 94769,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94769,S000000,00100,0200,11/10/2000 94769,S200000,00100,0100,616 W. RUSSELL 94769,S200000,00200,0100,SAN ANTONIO 94769,S200000,00200,0200,TX 94769,S200000,00200,0300,78212- 94769,S200000,00300,0100,BEXAR 94769,S200000,00400,0100,ALTA VISTA NURSING CENTER 94769,S200000,00400,0200,455450 94769,S200000,00400,0300,01/01/1994 94769,S200000,00400,0500,P 94769,S200000,01600,0100,Y 94777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94777,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 94777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94777,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 94777,A000000,00300,0000,00300EMPLOYEE BENEFITS 94777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94777,A000000,00700,0000,00700HOUSEKEEPING 94777,A000000,00800,0000,00800DIETARY 94777,A000000,00801,0000,00801CAFETERIA 94777,A000000,00900,0000,00900NURSING ADMINISTRATION 94777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94777,A000000,01100,0000,01100PHARMACY 94777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94777,A000000,01300,0000,01300SOCIAL SERVICE 94777,A000000,01350,0000,01500ACTIVITIES 94777,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94777,A000000,01600,0000,01600SKILLED NURSING FACILITY 94777,A000000,01800,0000,01800NURSING FACILITY 94777,A000000,01900,0000,01900OTHER LONG TERM CARE 94777,A000000,02100,0000,02100RADIOLOGY 94777,A000000,02200,0000,02200LABORATORY 94777,A000000,02300,0000,02300INTRAVENOUS THERAPY 94777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94777,A000000,02500,0000,02500PHYSICAL THERAPY 94777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94777,A000000,02700,0000,02700SPEECH PATHOLOGY 94777,A000000,02800,0000,02800ELECTROCARDIOLOGY 94777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94777,A000000,03050,0000,03300PEN SUPPLIES 94777,A000000,03051,0000,03301OTHER ANCILLARY II 94777,A000000,03052,0000,03302OTHER ANCILLARY III 94777,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94777,A000000,03200,0000,03200SUPPORT SURFACES 94777,A000000,03400,0000,03400CLINIC 94777,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 94777,A000000,03500,0000,03500RURAL HEALTH CLINIC 94777,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94777,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94777,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94777,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94777,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94777,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94777,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94777,A000000,04400,0000,04400DME RENTED - HHA 94777,A000000,04500,0000,04500DME SOLD - HHA 94777,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94777,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94777,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94777,A000000,04800,0000,04800AMBULANCE 94777,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94777,A000000,05000,0000,05000CORF 94777,A000000,05010,0000,05010CMHC I 94777,A000000,05020,0000,05020OPT I 94777,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94777,A000000,05300,0000,05300INTEREST EXPENSE 94777,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 94777,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 94777,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94777,A000000,05500,0000,05500HOSPICE 94777,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94777,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94777,A000000,06100,0000,06100NONPAID WORKERS 94777,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94777,A000000,06200,0000,06200PATIENTS LAUNDRY 94777,A81000A,00100,0100,Y 94777,A81000B,00100,0300,STORAGE BLDG LEASE 94777,A81000B,00200,0300,EQUIPMENT LEASES 94777,A81000B,00300,0300,LAUNDRY SUPPLIES 94777,A81000B,00400,0300,FOOD & KITCHEN SUPP 94777,A81000B,00500,0300,ROUTINE MED SUPPLIES 94777,A81000B,00600,0300,ACTIVITIES SUPPLIES 94777,A81000B,00700,0300,CHARGEABLE MED SUPP 94777,A81000B,00800,0300,OFFICE EXPENSE 94777,A81000B,00900,0300,HOUSEKEEPING SUPPLIES 94777,A81000C,00100,0100,B 94777,A81000C,00100,0200,T-D-D DRAKE 94777,A81000C,00100,0400,DRAKE-C INC. 94777,A81000C,00100,0600,LEASING 94777,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 94777,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 94777,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 94777,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94777,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 94777,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 94777,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 94777,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 94777,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 94777,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 94777,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 94777,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 94777,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 94777,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 94777,S000000,00100,0200,03/01/2000 94777,S200000,00100,0100,219 N KING ST 94777,S200000,00200,0100,ALICE 94777,S200000,00200,0200,TX 94777,S200000,00200,0300,78332- 94777,S200000,00300,0100,JIM WELLS 94777,S200000,00300,0200,45 94777,S200000,00300,0300,R 94777,S200000,00400,0100,HOSPITALITY HOUSE 94777,S200000,00400,0200,455455 94777,S200000,00400,0300,10/24/1979 94777,S200000,00400,0500,P 94777,S200000,01600,0100,Y 94792,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94792,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94792,A000000,00300,0000,00300EMPLOYEE BENEFITS 94792,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94792,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94792,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94792,A000000,00700,0000,00700HOUSEKEEPING 94792,A000000,00800,0000,00800DIETARY 94792,A000000,00900,0000,00900NURSING ADMINISTRATION 94792,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94792,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94792,A000000,01300,0000,01300SOCIAL SERVICE 94792,A000000,01350,0000,01500RECREATION 94792,A000000,01600,0000,01600SKILLED NURSING FACILITY 94792,A000000,01800,0000,01800NURSING FACILITY 94792,A000000,02100,0000,02100RADIOLOGY 94792,A000000,02200,0000,02200LABORATORY 94792,A000000,02300,0000,02300INTRAVENOUS THERAPY 94792,A000000,02500,0000,02500PHYSICAL THERAPY 94792,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94792,A000000,02700,0000,02700SPEECH PATHOLOGY 94792,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94792,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94792,A000000,03050,0000,03300PEN THERAPY 94792,A000000,03200,0000,03200SUPPORT SURFACES 94792,A000000,05300,0000,05300INTEREST EXPENSE 94792,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94792,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94792,A81000A,00100,0100,Y 94792,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 94792,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 94792,A81000C,00100,0100,A 94792,A81000C,00100,0200,PAUL R. STEBBINS 94792,A81000C,00100,0600,LONG TERM CARE 94792,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94792,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94792,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94792,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94792,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94792,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94792,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94792,B100000,00000,0800,00000MEALS SERVED :DIETARY 94792,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 94792,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94792,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94792,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94792,B100000,00000,1350,00000PATIENT DAYS :RECREATION 94792,S000000,00100,0200,06/01/2000 94792,S200000,00100,0100,1000 6TH AVENUE 94792,S200000,00200,0100,FORT WORTH 94792,S200000,00200,0200,TX 94792,S200000,00200,0300,76104- 94792,S200000,00300,0100,TARRANT 94792,S200000,00400,0100,FORT WORTH NURSING & REHABILITATION 94792,S200000,00400,0200,455460 94792,S200000,00400,0300,05/25/1980 94792,S200000,00400,0500,P 94792,S200000,01600,0100,Y 94792,S700003,00000,0400,4 94811,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94811,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94811,A000000,00300,0000,00300EMPLOYEE BENEFITS 94811,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94811,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94811,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94811,A000000,00700,0000,00700HOUSEKEEPING 94811,A000000,00800,0000,00800DIETARY 94811,A000000,00900,0000,00900NURSING ADMINISTRATION 94811,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94811,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94811,A000000,01300,0000,01300SOCIAL SERVICE 94811,A000000,01350,0000,01500RECREATION 94811,A000000,01600,0000,01600SKILLED NURSING FACILITY 94811,A000000,01800,0000,01800NURSING FACILITY 94811,A000000,02100,0000,02100RADIOLOGY 94811,A000000,02200,0000,02200LABORATORY 94811,A000000,02300,0000,02300INTRAVENOUS THERAPY 94811,A000000,02500,0000,02500PHYSICAL THERAPY 94811,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94811,A000000,02700,0000,02700SPEECH PATHOLOGY 94811,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94811,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94811,A000000,03050,0000,03300PEN THERAPY 94811,A000000,03200,0000,03200SUPPORT SURFACES 94811,A000000,05300,0000,05300INTEREST EXPENSE 94811,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94811,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94811,A81000A,00100,0100,Y 94811,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 94811,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 94811,A81000C,00100,0100,A 94811,A81000C,00100,0200,DICK STEBBINS 94811,A81000C,00100,0400,STEBBINS 5 COMPANIES LTD 94811,A81000C,00100,0600,LONG TERM CARE 94811,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94811,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94811,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94811,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94811,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94811,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94811,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94811,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94811,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94811,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94811,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94811,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94811,B100000,00000,1350,00000PATIENT DAYS :RECREATION 94811,S000000,00100,0200,06/01/2000 94811,S200000,00100,0100,2501 MAPLE AVENUE 94811,S200000,00200,0100,WACO 94811,S200000,00200,0200,TX 94811,S200000,00200,0300,76104- 94811,S200000,00300,0100,MCCLENNAN 94811,S200000,00400,0100,QUALITY CARE OF WACO 94811,S200000,00400,0200,455478 94811,S200000,00400,0300,01/01/1993 94811,S200000,00400,0500,P 94811,S200000,01600,0100,Y 94811,S700003,00000,0100,1 94819,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94819,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94819,A000000,00300,0000,00300EMPLOYEE BENEFITS 94819,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94819,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94819,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94819,A000000,00700,0000,00700HOUSEKEEPING 94819,A000000,00800,0000,00800DIETARY 94819,A000000,00900,0000,00900NURSING ADMINISTRATION 94819,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94819,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94819,A000000,01300,0000,01300SOCIAL SERVICE 94819,A000000,01350,0000,01500RECREATION SERVICE 94819,A000000,01600,0000,01600SKILLED NURSING FACILITY 94819,A000000,02100,0000,02100RADIOLOGY 94819,A000000,02200,0000,02200LABORATORY 94819,A000000,02500,0000,02500PHYSICAL THERAPY 94819,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94819,A000000,02700,0000,02700SPEECH PATHOLOGY 94819,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94819,A000000,03050,0000,03300PEN THERAPY 94819,A000000,05300,0000,05300INTEREST EXPENSE 94819,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94819,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94819,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94819,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94819,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94819,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94819,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94819,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 94819,B100000,00000,0800,00000MEALS SERVED :DIETARY 94819,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94819,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94819,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94819,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94819,B100000,00000,1350,00000PATIENT DAYS :RECREATION SERVICE 94819,S000000,00100,0200,05/31/2000 94819,S200000,00100,0100,1009 CLYDE STREET 94819,S200000,00200,0100,AMARILLO 94819,S200000,00200,0200,TX 94819,S200000,00200,0300,79106- 94819,S200000,00300,0100,POTTER 94819,S200000,00400,0100,HERITAGE CONVALESCENT CENTER 94819,S200000,00400,0200,455480 94819,S200000,00400,0300,01/01/1997 94819,S200000,00400,0500,P 94819,S200000,00400,0600,O 94819,S200000,01500,0100,Y 94838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94838,A000000,00300,0000,00300EMPLOYEE BENEFITS 94838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94838,A000000,00700,0000,00700HOUSEKEEPING 94838,A000000,00800,0000,00800DIETARY 94838,A000000,00900,0000,00900NURSING ADMINISTRATION 94838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94838,A000000,01300,0000,01300SOCIAL SERVICE 94838,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 94838,A000000,01600,0000,01600SKILLED NURSING FACILITY 94838,A000000,01800,0000,01800NURSING FACILITY 94838,A000000,02100,0000,02100RADIOLOGY 94838,A000000,02200,0000,02200LABORATORY 94838,A000000,02300,0000,02300INTRAVENOUS THERAPY 94838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94838,A000000,02500,0000,02500PHYSICAL THERAPY 94838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94838,A000000,02700,0000,02700SPEECH PATHOLOGY 94838,A000000,02800,0000,02800ELECTROCARDIOLOGY 94838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94838,A000000,03050,0000,03300P.E.N. 94838,A000000,03200,0000,03200SUPPORT SURFACES 94838,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94838,A000000,05300,0000,05300INTEREST EXPENSE 94838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94838,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 94838,A81000A,00100,0100,Y 94838,A81000B,00100,0300,FACILITY LEASE EXPENS 94838,A81000B,00200,0300,CENTRAL MGT OFFICE FEES 94838,A81000C,00100,0100,F 94838,A81000C,00100,0200,FRANKLIN HOUSE 94838,A81000C,00200,0100,F 94838,A81000C,00200,0200,CHARLES HOUSE 94838,A81000C,00300,0100,F 94838,A81000C,00300,0200,LOU ANN CROSS 94838,A81000C,00400,0100,F 94838,A81000C,00400,0200,DARREL CROSS 94838,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94838,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94838,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 94838,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94838,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94838,B100000,00000,0650,00000LBS LAUNDRY :LAUNDRY & LINEN SERVI 94838,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94838,B100000,00000,0850,00000PAT DAYS :DIETARY 94838,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94838,B100000,00000,1200,00000TIME SPENT 2 :MEDICAL RECORDS & LIB 94838,B100000,00000,1300,00000TIME SPENT 3 :SOCIAL SERVICE 94838,B100000,00000,1350,00000PAT DAYS :RECREATIONAL ACTIVITIES 94838,E10A180,00301,0100,05/15/2000 94838,S000000,00100,0200,06/07/2000 94838,S200000,00100,0100,1002 MEDICAL DRIVE 94838,S200000,00200,0100,KILLEEN 94838,S200000,00200,0200,TX 94838,S200000,00200,0300,76543- 94838,S200000,00300,0100,BELL 94838,S200000,00300,0200,3810 94838,S200000,00300,0300,U 94838,S200000,00400,0100,BELL HAVEN NURSING CENTER 94838,S200000,00400,0200,455496 94838,S200000,00400,0300,02/01/1985 94838,S200000,00400,0500,P 94838,S200000,01500,0100,Y 94838,S200000,04300,0100,Y 94846,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94846,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94846,A000000,00300,0000,00300EMPLOYEE BENEFITS 94846,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94846,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94846,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94846,A000000,00700,0000,00700HOUSEKEEPING 94846,A000000,00800,0000,00800DIETARY 94846,A000000,00900,0000,00900NURSING ADMINISTRATION 94846,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94846,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94846,A000000,01300,0000,01300SOCIAL SERVICE 94846,A000000,01301,0000,01301ACTIVITES 94846,A000000,01350,0000,01500REHABILITATION 94846,A000000,01600,0000,01600SKILLED NURSING FACILITY 94846,A000000,01800,0000,01800NURSING FACILITY 94846,A000000,01900,0000,01900OTHER LONG TERM CARE 94846,A000000,02100,0000,02100RADIOLOGY 94846,A000000,02200,0000,02200LABORATORY 94846,A000000,02300,0000,02300INTRAVENOUS THERAPY 94846,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94846,A000000,02500,0000,02500PHYSICAL THERAPY 94846,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94846,A000000,02700,0000,02700SPEECH PATHOLOGY 94846,A000000,02800,0000,02800ELECTROCARDIOLOGY 94846,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94846,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94846,A000000,03050,0000,03300EQUIPMENT RENTAL 94846,A000000,03051,0000,03301PEN THERAPY 94846,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94846,A000000,03200,0000,03200SUPPORT SURFACES 94846,A000000,04800,0000,04800AMBULANCE 94846,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94846,A000000,05300,0000,05300INTEREST EXPENSE 94846,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94846,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94846,A000000,06150,0000,06300VENDING 94846,A000000,06151,0000,06301STAND-BY 94846,A000000,06200,0000,06200PATIENTS LAUNDRY 94846,A81000A,00100,0100,Y 94846,A81000B,00100,0300,HOME OFFICE COST 94846,A81000B,00200,0300,DIETARY SUPPLEMENTS 94846,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 94846,A81000B,00400,0300,PRESCRIPTION DRUGS 94846,A81000B,00500,0300,MEDICAL SUPPLIES 94846,A81000B,00600,0300,ADMIN COSTS 94846,A81000B,00700,0300,HOME OFFICE INTEREST 94846,A81000B,00800,0300,EQUIPMENT REPLACEMENT 94846,A81000B,00900,0300,IV THERAPY 94846,A81000B,01000,0300,CAPITAL 94846,A81000B,01100,0300,PHYSICAL THERAPY 94846,A81000B,01200,0300,OCCUPATIONAL THERAPY 94846,A81000B,01300,0300,SPEECH THERAPY 94846,A81000B,01400,0300,PEN 94846,A81000C,00100,0100,B 94846,A81000C,00100,0200,CRESTVIEW MANOR 94846,A81000C,00100,0400,MARINER PAN 94846,A81000C,00100,0600,NURSING HOMES 94846,A81000C,00200,0100,G 94846,A81000C,00200,0200,MARINER PAN 94846,A81000C,00200,0400,AMER PHARM SVCS 94846,A81000C,00200,0600,PHARMACEUTICALS 94846,A81000C,00300,0100,G 94846,A81000C,00300,0200,MARINER PAN 94846,A81000C,00300,0400,PRISM-ATS-ARS-T 94846,A81000C,00300,0600,THERAPIES 94846,A81000C,03100,0000,MARINER PAN 94846,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 94846,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 94846,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 94846,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 94846,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 94846,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 94846,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 94846,B100000,00000,0800,00001MEALS SERVED :DIETARY 94846,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 94846,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 94846,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 94846,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 94846,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 94846,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 94846,E10A180,00301,0100,01/19/2000 94846,E10A180,00350,0100,06/09/1999 94846,E10A180,00351,0100,10/13/1999 94846,S000000,00100,0200,08/31/2000 94846,S200000,00100,0100,1103 MARY JANE ST. 94846,S200000,00200,0100,BELTON 94846,S200000,00200,0200,TX 94846,S200000,00200,0300,76513- 94846,S200000,00300,0100,BELL 94846,S200000,00300,0200,3810 94846,S200000,00300,0300,U 94846,S200000,00400,0100,CRESTVIEW MANOR NURSING CENTER 94846,S200000,00400,0200,455497 94846,S200000,00400,0300,05/01/1992 94846,S200000,00400,0500,P 94846,S200000,01600,0100,Y 94846,S200000,02200,0100,Y 94846,S200000,04300,0100,Y 94859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94859,A000000,00300,0000,00300EMPLOYEE BENEFITS 94859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94859,A000000,00700,0000,00700HOUSEKEEPING 94859,A000000,00800,0000,00800DIETARY 94859,A000000,00900,0000,00900NURSING ADMINISTRATION 94859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94859,A000000,01100,0000,01100PHARMACY 94859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94859,A000000,01300,0000,01300SOCIAL SERVICE 94859,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 94859,A000000,01600,0000,01600SKILLED NURSING FACILITY 94859,A000000,01800,0000,01800NURSING FACILITY 94859,A000000,01900,0000,01900OTHER LONG TERM CARE 94859,A000000,02100,0000,02100RADIOLOGY 94859,A000000,02200,0000,02200LABORATORY 94859,A000000,02300,0000,02300INTRAVENOUS THERAPY 94859,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94859,A000000,02500,0000,02500PHYSICAL THERAPY 94859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94859,A000000,02700,0000,02700SPEECH PATHOLOGY 94859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94859,A000000,03050,0000,03300P.E.N. THERAPY 94859,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94859,A000000,03200,0000,03200SUPPORT SURFACES 94859,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94859,A000000,05300,0000,05300INTEREST EXPENSE 94859,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94859,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 94859,A81000A,00100,0100,Y 94859,A81000B,00100,0300,FACILITY LEASE 94859,A81000B,00200,0300,SHARED CENTRAL OFFICE ADMIN COSTS 94859,A81000C,00100,0100,F 94859,A81000C,00100,0200,FRANKLIN HOUSE 94859,A81000C,00200,0100,F 94859,A81000C,00200,0200,CHARLES HOUSE 94859,A81000C,00300,0100,F 94859,A81000C,00300,0200,LOU ANN CROSS 94859,A81000C,00400,0100,F 94859,A81000C,00400,0200,DARREL CROSS 94859,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94859,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94859,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 94859,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94859,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94859,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 94859,B100000,00000,0750,00000PAT DAYS :HOUSEKEEPING 94859,B100000,00000,0850,00000PAT DAYS :DIETARY 94859,B100000,00000,0950,00000RES DAYS SNF :NURSING ADMINISTRATIO 94859,B100000,00000,1050,00000BLANK :CENTRAL SERVICES & SUPPLY 94859,B100000,00000,1150,00000BLANK :PHARMACY 94859,B100000,00000,1250,00000RES DAYS SNF :MEDICAL RECORDS & LIB 94859,B100000,00000,1330,00000RES DAYS SNF :SOCIAL SERVICE 94859,B100000,00000,1350,00000RES DAYS SNF :RECREATIONAL ACTIVITI 94859,S000000,00100,0200,06/07/2000 94859,S200000,00100,0100,5700 EAST CENTRAL TEXAS EXPRESSWAY 94859,S200000,00200,0100,KILLEEN 94859,S200000,00200,0200,TX 94859,S200000,00200,0300,76543- 94859,S200000,00300,0100,BELL 94859,S200000,00400,0100,RANCIER NURSING CENTER 94859,S200000,00400,0200,455503 94859,S200000,00400,0300,05/01/1992 94859,S200000,00400,0500,P 94859,S200000,01500,0100,Y 94859,S200000,04300,0100,Y 94876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94876,A000000,00300,0000,00300EMPLOYEE BENEFITS 94876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94876,A000000,00700,0000,00700HOUSEKEEPING 94876,A000000,00800,0000,00800DIETARY 94876,A000000,00900,0000,00900NURSING ADMINISTRATION 94876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94876,A000000,01100,0000,01100PHARMACY 94876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94876,A000000,01300,0000,01300SOCIAL SERVICE 94876,A000000,01350,0000,01500OTHER GENERAL SERVICES 94876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94876,A000000,01600,0000,01600SKILLED NURSING FACILITY 94876,A000000,01800,0000,01800NURSING FACILITY 94876,A000000,01810,0000,01801ICF/MR 94876,A000000,01900,0000,01900OTHER LONG TERM CARE 94876,A000000,02100,0000,02100RADIOLOGY 94876,A000000,02200,0000,02200LABORATORY 94876,A000000,02300,0000,02300INTRAVENOUS THERAPY 94876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94876,A000000,02500,0000,02500PHYSICAL THERAPY 94876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94876,A000000,02700,0000,02700SPEECH PATHOLOGY 94876,A000000,02800,0000,02800ELECTROCARDIOLOGY 94876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94876,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94876,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94876,A000000,03200,0000,03200SUPPORT SURFACES 94876,A000000,03400,0000,03400CLINIC 94876,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94876,A000000,03500,0000,03500RURAL HEALTH CLINIC 94876,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94876,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94876,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94876,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94876,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94876,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94876,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94876,A000000,04400,0000,04400DME RENTED - HHA 94876,A000000,04500,0000,04500DME SOLD - HHA 94876,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94876,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94876,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94876,A000000,04800,0000,04800AMBULANCE 94876,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94876,A000000,05000,0000,05000CORF 94876,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94876,A000000,05300,0000,05300INTEREST EXPENSE 94876,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94876,A000000,05500,0000,05500HOSPICE 94876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94876,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94876,A000000,06100,0000,06100NONPAID WORKERS 94876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94876,A000000,06200,0000,06200PATIENTS LAUNDRY 94876,A81000A,00100,0100,Y 94876,A81000B,00100,0300,HOME OFFICE EXPENSE 94876,A81000C,00100,0100,B 94876,A81000C,00100,0200,ROCKY LEMON 94876,A81000C,00100,0400,CRESCENT HEALTH SERVICES 94876,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 94876,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 94876,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 94876,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 94876,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 94876,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 94876,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 94876,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 94876,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 94876,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 94876,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 94876,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 94876,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 94876,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 94876,B100000,00000,1450,00000 PATIENT DAYS :INTERNS & RESIDENTS 94876,S000000,00100,0200,06/01/2000 94876,S200000,00100,0100,814 WEILER BLVD. 94876,S200000,00200,0100,FT. WORTH 94876,S200000,00200,0200,TX 94876,S200000,00200,0300,76112- 94876,S200000,00300,0100,TARRANT COUNTY 94876,S200000,00400,0100,CRESCENT CARE OF WEILER 94876,S200000,00400,0200,455508 94876,S200000,00400,0300,04/30/1985 94876,S200000,00400,0500,P 94876,S200000,01600,0100,Y 94876,S700003,00000,0100,1 94884,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94884,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94884,A000000,00300,0000,00300EMPLOYEE BENEFITS 94884,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94884,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94884,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94884,A000000,00700,0000,00700HOUSEKEEPING 94884,A000000,00800,0000,00800DIETARY 94884,A000000,00900,0000,00900NURSING ADMINISTRATION 94884,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94884,A000000,01100,0000,01100PHARMACY 94884,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94884,A000000,01300,0000,01300SOCIAL SERVICE 94884,A000000,01351,0000,01301ACTIVITIES 94884,A000000,01600,0000,01600SKILLED NURSING FACILITY 94884,A000000,01800,0000,01800NURSING FACILITY 94884,A000000,02100,0000,02100RADIOLOGY 94884,A000000,02200,0000,02200LABORATORY 94884,A000000,02300,0000,02300INTRAVENOUS THERAPY 94884,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94884,A000000,02500,0000,02500PHYSICAL THERAPY 94884,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94884,A000000,02700,0000,02700SPEECH PATHOLOGY 94884,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94884,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94884,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94884,A000000,03051,0000,03301MEDICAL EQUIPMENT 94884,A000000,04800,0000,04800AMBULANCE 94884,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94884,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94884,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94884,A81000A,00100,0100,Y 94884,A81000B,00100,0300,HOME OFFICE CAPITAL 94884,A81000B,00200,0300,HOME OFFICE NONCAPITAL 94884,A81000B,00300,0300,WAREHOUSE 94884,A81000C,00100,0100,A 94884,A81000C,00100,0200,PETER C. KERN 94884,A81000C,00100,0400,HEA MANAGEMENT GROUP 94884,A81000C,00100,0600,HOME OFFICE 94884,A81000C,00200,0100,A 94884,A81000C,00200,0200,PETER C. KERN 94884,A81000C,00200,0400,WAREHOUSE STORAGE 94884,A81000C,00200,0600,OLD RECORD STORAGE 94884,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94884,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94884,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94884,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94884,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94884,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94884,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94884,B100000,00000,0800,00000MEALS SERVED :DIETARY 94884,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94884,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94884,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94884,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94884,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94884,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 94884,S000000,00100,0200,05/30/2000 94884,S200000,00100,0100,1901 LAMAR 94884,S200000,00100,0300,1369 94884,S200000,00200,0100,SWEETWATER 94884,S200000,00200,0200,TX 94884,S200000,00200,0300,79556-1369 94884,S200000,00300,0100,NOLAN 94884,S200000,00300,0200,45 94884,S200000,00300,0300,R 94884,S200000,00400,0100,HOLIDAY RETIREMENT CENTER 94884,S200000,00400,0200,455509 94884,S200000,00400,0300,08/26/1992 94884,S200000,00400,0500,P 94884,S200000,01600,0100,Y 94884,S200000,02200,0100,Y 94884,S200000,04300,0100,Y 94894,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94894,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94894,A000000,00300,0000,00300EMPLOYEE BENEFITS 94894,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94894,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94894,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94894,A000000,00700,0000,00700HOUSEKEEPING 94894,A000000,00800,0000,00800DIETARY 94894,A000000,00900,0000,00900NURSING ADMINISTRATION 94894,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94894,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94894,A000000,01300,0000,01300SOCIAL SERVICE 94894,A000000,01600,0000,01600SKILLED NURSING FACILITY 94894,A000000,01800,0000,01800NURSING FACILITY 94894,A000000,02200,0000,02200LABORATORY 94894,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94894,A000000,02500,0000,02500PHYSICAL THERAPY 94894,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94894,A000000,02700,0000,02700SPEECH PATHOLOGY 94894,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94894,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94894,A000000,03050,0000,03300FEE SCREEN REHAB 94894,A000000,03200,0000,03200SUPPORT SURFACES 94894,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94894,A81000A,00100,0100,Y 94894,A81000B,00100,0300,HOME OFFICE COSTS 94894,A81000C,00100,0100,B 94894,A81000C,00100,0200,ADVOCAT INC. 94894,A81000C,00100,0400,TDLP 94894,A81000C,00100,0600,L/T CARE MGT CO 94894,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94894,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94894,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94894,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94894,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94894,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94894,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94894,B100000,00000,0850,00000PATIENT DAYS :DIETARY 94894,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 94894,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 94894,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94894,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94894,S000000,00100,0200,03/02/2000 94894,S200000,00100,0100,611 NORTH BROAD STREET 94894,S200000,00100,0300,970 94894,S200000,00200,0100,LAMPASAS 94894,S200000,00200,0200,TX 94894,S200000,00200,0300,76550- 94894,S200000,00300,0100,LAMPASAS 94894,S200000,00400,0100,LAMPASAS MANOR 94894,S200000,00400,0200,455513 94894,S200000,00400,0300,04/26/1985 94894,S200000,00400,0500,P 94894,S200000,00400,0600,P 94894,S200000,01600,0100,Y 94894,S200000,02200,0100,Y 94894,S700003,00000,0100,1 94903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94903,A000000,00300,0000,00300EMPLOYEE BENEFITS 94903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94903,A000000,00700,0000,00700HOUSEKEEPING 94903,A000000,00800,0000,00800DIETARY 94903,A000000,00900,0000,00900NURSING ADMINISTRATION 94903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94903,A000000,01100,0000,01100PHARMACY 94903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94903,A000000,01300,0000,01300SOCIAL SERVICE 94903,A000000,01301,0000,01301ACTIVITIES 94903,A000000,01600,0000,01600SKILLED NURSING FACILITY 94903,A000000,01800,0000,01800NURSING FACILITY 94903,A000000,02100,0000,02100RADIOLOGY 94903,A000000,02200,0000,02200LABORATORY 94903,A000000,02300,0000,02300INTRAVENOUS THERAPY 94903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94903,A000000,02500,0000,02500PHYSICAL THERAPY 94903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94903,A000000,02700,0000,02700SPEECH PATHOLOGY 94903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94903,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94903,A000000,03051,0000,03301MEDICAL EQUIPMENT 94903,A000000,04800,0000,04800AMBULANCE 94903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94903,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94903,A81000A,00100,0100,Y 94903,A81000B,00100,0300,HOME OFFICE CAPITAL 94903,A81000B,00200,0300,HOME OFFICE NONCAPITAL 94903,A81000B,00300,0300,WAREHOUSE 94903,A81000C,00100,0100,A 94903,A81000C,00100,0200,PETER C. KERN 94903,A81000C,00100,0400,HEA MANAGEMENT GROUP 94903,A81000C,00100,0600,HOME OFFICE 94903,A81000C,00200,0100,A 94903,A81000C,00200,0200,PETER C. KERN 94903,A81000C,00200,0400,WAREHOUSE STORAGE 94903,A81000C,00200,0600,OLD RECORD STORAGE 94903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94903,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94903,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94903,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94903,B100000,00000,0800,00000MEALS SERVED :DIETARY 94903,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94903,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94903,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94903,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94903,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94903,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 94903,S000000,00100,0200,09/15/2000 94903,S200000,00100,0100,4607 CALIFORNIA PKWY EAST 94903,S200000,00200,0100,FORT WORTH 94903,S200000,00200,0200,TX 94903,S200000,00200,0300,76119-7571 94903,S200000,00300,0100,TARRANT 94903,S200000,00300,0200,2800 94903,S200000,00300,0300,U 94903,S200000,00400,0100,FOREST HILL NURSING CENTER 94903,S200000,00400,0200,455514 94903,S200000,00400,0300,08/26/1992 94903,S200000,00400,0500,P 94903,S200000,01600,0100,Y 94903,S200000,02200,0100,Y 94903,S200000,04300,0100,Y 94910,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94910,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94910,A000000,00300,0000,00300EMPLOYEE BENEFITS 94910,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94910,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94910,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94910,A000000,00700,0000,00700HOUSEKEEPING 94910,A000000,00800,0000,00800DIETARY 94910,A000000,00900,0000,00900NURSING ADMINISTRATION 94910,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94910,A000000,01300,0000,01300SOCIAL SERVICE 94910,A000000,01350,0000,01500RECREATIONAL ACTIVITIES 94910,A000000,01600,0000,01600SKILLED NURSING FACILITY 94910,A000000,01800,0000,01800NURSING FACILITY 94910,A000000,02100,0000,02100RADIOLOGY 94910,A000000,02200,0000,02200LABORATORY 94910,A000000,02300,0000,02300INTRAVENOUS THERAPY 94910,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94910,A000000,02500,0000,02500PHYSICAL THERAPY 94910,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94910,A000000,02700,0000,02700SPEECH PATHOLOGY 94910,A000000,02800,0000,02800ELECTROCARDIOLOGY 94910,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94910,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94910,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94910,A000000,03200,0000,03200SUPPORT SURFACES 94910,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94910,A000000,05300,0000,05300INTEREST EXPENSE 94910,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94910,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94910,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 94910,A81000A,00100,0100,Y 94910,A81000B,00100,0300,FACILITY LEASE 94910,A81000B,00200,0300,CENTRAL OFFICE ADMIN COSTS 94910,A81000C,00100,0100,F 94910,A81000C,00100,0200,FRANKLIN HOUSE 94910,A81000C,00200,0100,F 94910,A81000C,00200,0200,CHARLES HOUSE 94910,A81000C,00300,0100,F 94910,A81000C,00300,0200,DARREL CROSS 94910,A81000C,00400,0100,F 94910,A81000C,00400,0200,LOU ANN CROSS 94910,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 94910,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 94910,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 94910,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94910,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 94910,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 94910,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 94910,B100000,00000,0850,00000PAT DAYS :DIETARY 94910,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 94910,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 94910,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 94910,B100000,00000,1350,00000PAT DAYS :RECREATIONAL ACTIVITIES 94910,S000000,00100,0200,06/07/2000 94910,S200000,00100,0100,607 WEST AVENUE B 94910,S200000,00200,0100,COPPERAS COVE 94910,S200000,00200,0200,TX 94910,S200000,00200,0300,76522- 94910,S200000,00300,0100,CORYELL 94910,S200000,00400,0100,WIND CREST NURSING CENTER 94910,S200000,00400,0200,455515 94910,S200000,00400,0300,02/22/1985 94910,S200000,00400,0500,P 94910,S200000,01500,0100,Y 94916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94916,A000000,00300,0000,00300EMPLOYEE BENEFITS 94916,A000000,00401,0000,00401ADMIN & GEN - NSG FACILITY 94916,A000000,00402,0000,00402ADMIN & GEN - TOTAL FACILITY 94916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94916,A000000,00700,0000,00700HOUSEKEEPING 94916,A000000,00800,0000,00800DIETARY 94916,A000000,00801,0000,00801DIETARY 94916,A000000,00900,0000,00900NURSING ADMINISTRATION 94916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94916,A000000,01100,0000,01100PHARMACY 94916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94916,A000000,01300,0000,01300SOCIAL SERVICE 94916,A000000,01350,0000,01500OTHER GENERAL SERVICES 94916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94916,A000000,01600,0000,01600SKILLED NURSING FACILITY 94916,A000000,01800,0000,01800NURSING FACILITY 94916,A000000,01810,0000,01810ICF/MR 94916,A000000,01900,0000,01900OTHER LONG TERM CARE 94916,A000000,02100,0000,02100RADIOLOGY 94916,A000000,02200,0000,02200LABORATORY 94916,A000000,02300,0000,02300INTRAVENOUS THERAPY 94916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94916,A000000,02500,0000,02500PHYSICAL THERAPY 94916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94916,A000000,02700,0000,02700SPEECH PATHOLOGY 94916,A000000,02800,0000,02800ELECTROCARDIOLOGY 94916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94916,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94916,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94916,A000000,03200,0000,03200SUPPORT SURFACES 94916,A000000,03400,0000,03400CLINIC 94916,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94916,A000000,03500,0000,03500RURAL HEALTH CLINIC 94916,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94916,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94916,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94916,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94916,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94916,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94916,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94916,A000000,04400,0000,04400DME RENTED - HHA 94916,A000000,04500,0000,04500DME SOLD - HHA 94916,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94916,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94916,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94916,A000000,04800,0000,04800AMBULANCE 94916,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94916,A000000,05000,0000,05000CORF 94916,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94916,A000000,05300,0000,05300INTEREST EXPENSE 94916,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94916,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94916,A000000,05500,0000,05500HOSPICE 94916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94916,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94916,A000000,06100,0000,06100NONPAID WORKERS 94916,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94916,A000000,06200,0000,06200PATIENTS LAUNDRY 94916,A81000A,00100,0100,Y 94916,A81000B,00100,0300,HOME OFFICE COSTS 94916,A81000C,00100,0100,B 94916,A81000C,00100,0200,CHRISTIAN CARE CENTERS 94916,A81000C,00100,0600,CORPORATE HOME OFFICE 94916,B100000,00000,0100,00000SQUARE FEET-NF :CAP REL COSTS - BL 94916,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 94916,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94916,B100000,00000,0401,00000 ACCUM. COST :ADMIN & GEN - NSG FAC 94916,B100000,00000,0402,00000 ACCUM. COST :ADMIN & GEN - TOTAL F 94916,B100000,00000,0500,00000SQUARE FEET-NF :PLANT OPERATION M 94916,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94916,B100000,00000,0750,00000SQUARE FT CLEANED-NF :HOUSEKEEPING 94916,B100000,00000,0800,00000MEALS SERVED-TOT :DIETARY 94916,B100000,00000,0801,00000MEALS SERVED-NF :DIETARY 94916,B100000,00000,0950,00000SALARIES SUPERVISED :NURSING ADMIN 94916,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94916,B100000,00000,1150,00000NO STATISTICS :PHARMACY 94916,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 94916,B100000,00000,1330,00000TOTAL CHARGES :SOCIAL SERVICE 94916,B100000,00000,1350,00000ASSIGNED TIME :OTHER GENERAL SERVI 94916,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 94916,S000000,00100,0200,05/25/2000 94916,S200000,00100,0100,5100 RANDOL MILL RD 94916,S200000,00200,0100,FORT WORTH 94916,S200000,00200,0200,TX 94916,S200000,00200,0300,76112- 94916,S200000,00300,0100,TARRANT 94916,S200000,00400,0100,LAKEWOOD VILLAGE 94916,S200000,00400,0200,455516 94916,S200000,00400,0300,03/01/1985 94916,S200000,00400,0500,P 94916,S200000,01004,0500,O 94916,S200000,01500,0100,Y 94926,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94926,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94926,A000000,00300,0000,00300EMPLOYEE BENEFITS 94926,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94926,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94926,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94926,A000000,00700,0000,00700HOUSEKEEPING 94926,A000000,00800,0000,00800DIETARY 94926,A000000,00900,0000,00900NURSING ADMINISTRATION 94926,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94926,A000000,01100,0000,01100PHARMACY 94926,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94926,A000000,01300,0000,01300SOCIAL SERVICE 94926,A000000,01350,0000,01500OTHER GENERAL SERVICES 94926,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94926,A000000,01600,0000,01600SKILLED NURSING FACILITY 94926,A000000,01800,0000,01800NURSING FACILITY 94926,A000000,01810,0000,01810ICF/MR 94926,A000000,01900,0000,01900OTHER LONG TERM CARE 94926,A000000,02100,0000,02100RADIOLOGY 94926,A000000,02200,0000,02200LABORATORY 94926,A000000,02300,0000,02300INTRAVENOUS THERAPY 94926,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94926,A000000,02500,0000,02500PHYSICAL THERAPY 94926,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94926,A000000,02700,0000,02700SPEECH PATHOLOGY 94926,A000000,02800,0000,02800ELECTROCARDIOLOGY 94926,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94926,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94926,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94926,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94926,A000000,03200,0000,03200SUPPORT SURFACES 94926,A000000,03400,0000,03400CLINIC 94926,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94926,A000000,03500,0000,03500RURAL HEALTH CLINIC 94926,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94926,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94926,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94926,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94926,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94926,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94926,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94926,A000000,04400,0000,04400DME RENTED - HHA 94926,A000000,04500,0000,04500DME SOLD - HHA 94926,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94926,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94926,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94926,A000000,04800,0000,04800AMBULANCE 94926,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94926,A000000,05000,0000,05000CORF 94926,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94926,A000000,05300,0000,05300INTEREST EXPENSE 94926,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94926,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94926,A000000,05500,0000,05500HOSPICE 94926,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94926,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94926,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94926,A000000,06100,0000,06100NONPAID WORKERS 94926,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94926,A000000,06200,0000,06200PATIENTS LAUNDRY 94926,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94926,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94926,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94926,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94926,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94926,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94926,B100000,00000,0800,00000MEALS SERVED :DIETARY 94926,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94926,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94926,S000000,00100,0200,06/01/2000 94926,S200000,00100,0100,602 BABCOCK ROAD 94926,S200000,00200,0100,SAN ANTONIO 94926,S200000,00200,0200,TX 94926,S200000,00200,0300,78284- 94926,S200000,00300,0100,BEXAR 94926,S200000,00300,0200,7240 94926,S200000,00300,0300,U 94926,S200000,00400,0100,MORNINGSIDE MANOR 94926,S200000,00400,0200,455523 94926,S200000,00400,0300,05/07/1993 94926,S200000,00400,0500,P 94926,S200000,01600,0100,Y 94935,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94935,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94935,A000000,00300,0000,00300EMPLOYEE BENEFITS 94935,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94935,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94935,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94935,A000000,00700,0000,00700HOUSEKEEPING 94935,A000000,00800,0000,00800DIETARY 94935,A000000,00900,0000,00900NURSING ADMINISTRATION 94935,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94935,A000000,01100,0000,01100PHARMACY 94935,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94935,A000000,01300,0000,01300SOCIAL SERVICE 94935,A000000,01350,0000,01500OTHER GENERAL SERVICES 94935,A000000,01351,0000,01501ACTIVITIES 94935,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94935,A000000,01600,0000,01600SKILLED NURSING FACILITY 94935,A000000,01800,0000,01800NURSING FACILITY 94935,A000000,01810,0000,01801ICF/MR 94935,A000000,01900,0000,01900OTHER LONG TERM CARE 94935,A000000,02100,0000,02100RADIOLOGY 94935,A000000,02200,0000,02200LABORATORY 94935,A000000,02300,0000,02300INTRAVENOUS THERAPY 94935,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94935,A000000,02500,0000,02500PHYSICAL THERAPY 94935,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94935,A000000,02700,0000,02700SPEECH PATHOLOGY 94935,A000000,02800,0000,02800ELECTROCARDIOLOGY 94935,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94935,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94935,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94935,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94935,A000000,03200,0000,03200SUPPORT SURFACES 94935,A000000,03400,0000,03400CLINIC 94935,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94935,A000000,03500,0000,03500RURAL HEALTH CLINIC 94935,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94935,A000000,04800,0000,04800AMBULANCE 94935,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94935,A000000,05000,0000,05000CORF 94935,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94935,A000000,05300,0000,05300INTEREST EXPENSE 94935,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94935,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94935,A000000,05500,0000,05500HOSPICE 94935,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94935,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94935,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94935,A000000,06100,0000,06100NONPAID WORKERS 94935,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94935,A000000,06200,0000,06200PATIENTS LAUNDRY 94935,A81000A,00100,0100,Y 94935,A81000B,00100,0300,A&G 94935,A81000C,00100,0400,HEARTWAY CORPORATION 94935,A81000C,00100,0600,NURSING HOME OPERATORS 94935,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94935,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 94935,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94935,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94935,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94935,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94935,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94935,B100000,00000,0800,00000MEALS SERVED :DIETARY 94935,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94935,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94935,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 94935,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94935,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94935,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 94935,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 94935,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94935,S000000,00100,0200,06/06/2000 94935,S200000,00100,0100,210 GULF FREEWAY 94935,S200000,00200,0100,TEXAS CITY 94935,S200000,00200,0200,TX 94935,S200000,00200,0300,77591- 94935,S200000,00300,0100,GALVESTON 94935,S200000,00400,0100,AVALON PLACE - TEXAS CITY 94935,S200000,00400,0200,455524 94935,S200000,00400,0300,01/01/1993 94935,S200000,00400,0500,P 94935,S200000,01600,0100,Y 94935,S700003,00000,0200,2 94940,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94940,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94940,A000000,00300,0000,00300EMPLOYEE BENEFITS 94940,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94940,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94940,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94940,A000000,00700,0000,00700HOUSEKEEPING 94940,A000000,00800,0000,00800DIETARY 94940,A000000,00900,0000,00900NURSING ADMINISTRATION 94940,A000000,00901,0000,00901NURSING ADMINISTRATION 94940,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94940,A000000,01100,0000,01100PHARMACY 94940,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94940,A000000,01300,0000,01300SOCIAL SERVICE 94940,A000000,01350,0000,01500OTHER GENERAL SERVICES 94940,A000000,01351,0000,01501ACTIVITIES 94940,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94940,A000000,01600,0000,01600SKILLED NURSING FACILITY 94940,A000000,01800,0000,01800NURSING FACILITY 94940,A000000,01810,0000,01810ICF/MR 94940,A000000,01900,0000,01900OTHER LONG TERM CARE 94940,A000000,02100,0000,02100RADIOLOGY 94940,A000000,02200,0000,02200LABORATORY 94940,A000000,02300,0000,02300INTRAVENOUS THERAPY 94940,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94940,A000000,02500,0000,02500PHYSICAL THERAPY 94940,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94940,A000000,02700,0000,02700SPEECH PATHOLOGY 94940,A000000,02800,0000,02800ELECTROCARDIOLOGY 94940,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94940,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94940,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94940,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94940,A000000,03200,0000,03200SUPPORT SURFACES 94940,A000000,03400,0000,03400CLINIC 94940,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94940,A000000,03500,0000,03500RURAL HEALTH CLINIC 94940,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94940,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94940,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94940,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94940,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94940,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94940,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94940,A000000,04400,0000,04400DME RENTED - HHA 94940,A000000,04500,0000,04500DME SOLD - HHA 94940,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94940,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94940,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94940,A000000,04800,0000,04800AMBULANCE 94940,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94940,A000000,05000,0000,05000CORF 94940,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94940,A000000,05300,0000,05300INTEREST EXPENSE 94940,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94940,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94940,A000000,05500,0000,05500HOSPICE 94940,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94940,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94940,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94940,A000000,06100,0000,06100NONPAID WORKERS 94940,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94940,A000000,06200,0000,06200PATIENTS LAUNDRY 94940,A81000A,00100,0100,Y 94940,A81000B,00100,0300,HOME OFFICE COST A & G 94940,A81000B,00200,0300,HOME OFFICE COST CAPTIAL REL 94940,A81000C,00100,0100,B 94940,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 94940,A81000C,00100,0600,NURSING HOME MANAGEMENT 94940,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94940,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94940,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94940,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94940,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94940,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94940,B100000,00000,0800,00000MEALS SERVED :DIETARY 94940,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 94940,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94940,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94940,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 94940,S000000,00100,0200,01/31/2001 94940,S200000,00100,0100,925 MINTERS CHAPEL ROAD 94940,S200000,00200,0100,GRAPEVINE 94940,S200000,00200,0200,TX 94940,S200000,00200,0300,76051-4134 94940,S200000,00300,0100,TARRANT 94940,S200000,00300,0200,0840 94940,S200000,00300,0300,U 94940,S200000,00400,0100,BROOKHOLLOW MANOR NURSING HOME 94940,S200000,00400,0200,455525 94940,S200000,00400,0300,11/02/1993 94940,S200000,00400,0500,P 94940,S200000,01600,0100,Y 94947,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94947,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94947,A000000,00300,0000,00300EMPLOYEE BENEFITS 94947,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94947,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94947,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94947,A000000,00700,0000,00700HOUSEKEEPING 94947,A000000,00800,0000,00800DIETARY 94947,A000000,00900,0000,00900NURSING ADMINISTRATION 94947,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94947,A000000,01100,0000,01100PHARMACY 94947,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94947,A000000,01300,0000,01300SOCIAL SERVICE 94947,A000000,01351,0000,01301ACTIVITIES 94947,A000000,01600,0000,01600SKILLED NURSING FACILITY 94947,A000000,01800,0000,01800NURSING FACILITY 94947,A000000,02100,0000,02100RADIOLOGY 94947,A000000,02200,0000,02200LABORATORY 94947,A000000,02300,0000,02300INTRAVENOUS THERAPY 94947,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94947,A000000,02500,0000,02500PHYSICAL THERAPY 94947,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94947,A000000,02700,0000,02700SPEECH PATHOLOGY 94947,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94947,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94947,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 94947,A000000,03051,0000,03301MEDICAL EQUIPMENT 94947,A000000,04800,0000,04800AMBULANCE 94947,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94947,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94947,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94947,A81000A,00100,0100,Y 94947,A81000B,00100,0300,HOME OFFICE CAPITAL 94947,A81000B,00200,0300,HOME OFFICE NONCAPITAL 94947,A81000B,00300,0300,WAREHOUSE 94947,A81000C,00100,0100,A 94947,A81000C,00100,0200,PETER C. KERN 94947,A81000C,00100,0400,HEA MANAGEMENT GROUP 94947,A81000C,00100,0600,HOME OFFICE 94947,A81000C,00200,0100,A 94947,A81000C,00200,0200,PETER C. KERN 94947,A81000C,00200,0400,WAREHOUSE STORAGE 94947,A81000C,00200,0600,OLD RECORD STORAGE 94947,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94947,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94947,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94947,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94947,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94947,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 94947,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94947,B100000,00000,0800,00000MEALS SERVED :DIETARY 94947,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 94947,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 94947,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 94947,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 94947,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 94947,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 94947,S000000,00100,0200,05/30/2000 94947,S200000,00100,0100,144 SOUTHWEST THOMAS 94947,S200000,00200,0100,BURLESON 94947,S200000,00200,0200,TX 94947,S200000,00200,0300,76028-3898 94947,S200000,00300,0100,JOHNSON 94947,S200000,00300,0200,2800 94947,S200000,00300,0300,U 94947,S200000,00400,0100,BURLESON NURSING CENTER 94947,S200000,00400,0200,455526 94947,S200000,00400,0300,07/09/1995 94947,S200000,00400,0500,P 94947,S200000,01600,0100,Y 94947,S200000,02200,0100,Y 94947,S200000,04300,0100,Y 94964,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94964,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94964,A000000,00300,0000,00300EMPLOYEE BENEFITS 94964,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94964,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94964,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94964,A000000,00700,0000,00700HOUSEKEEPING 94964,A000000,00800,0000,00800DIETARY 94964,A000000,00900,0000,00900NURSING ADMINISTRATION 94964,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94964,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94964,A000000,01300,0000,01300SOCIAL SERVICE 94964,A000000,01301,0000,01301ACTIVITES 94964,A000000,01350,0000,01500REHABILITATION 94964,A000000,01600,0000,01600SKILLED NURSING FACILITY 94964,A000000,01800,0000,01800NURSING FACILITY 94964,A000000,01900,0000,01900OTHER LONG TERM CARE 94964,A000000,02100,0000,02100RADIOLOGY 94964,A000000,02200,0000,02200LABORATORY 94964,A000000,02300,0000,02300INTRAVENOUS THERAPY 94964,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94964,A000000,02500,0000,02500PHYSICAL THERAPY 94964,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94964,A000000,02700,0000,02700SPEECH PATHOLOGY 94964,A000000,02800,0000,02800ELECTROCARDIOLOGY 94964,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94964,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94964,A000000,03050,0000,03300EQUIPMENT RENTAL 94964,A000000,03051,0000,03301PEN THERAPY 94964,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94964,A000000,03200,0000,03200SUPPORT SURFACES 94964,A000000,04800,0000,04800AMBULANCE 94964,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94964,A000000,05300,0000,05300INTEREST EXPENSE 94964,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94964,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94964,A000000,06150,0000,06300VENDING 94964,A000000,06151,0000,06301STAND-BY 94964,A000000,06200,0000,06200PATIENTS LAUNDRY 94964,A81000A,00100,0100,Y 94964,A81000B,00100,0300,HOME OFFICE COST 94964,A81000B,00200,0300,DIETARY SUPPLEMENTS 94964,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 94964,A81000B,00400,0300,PRESCRIPTION DRUGS 94964,A81000B,00500,0300,MEDICAL SUPPLIES 94964,A81000B,00600,0300,ADMIN COSTS 94964,A81000B,00700,0300,HOME OFFICE INTEREST 94964,A81000B,00800,0300,PEN 94964,A81000B,00900,0300,IV THERAPY 94964,A81000B,01000,0300,NURSING ADMIN 94964,A81000B,01100,0300,PHYSICAL THERAPY 94964,A81000B,01200,0300,OCCUPATIONAL THERAPY 94964,A81000B,01300,0300,SPEECH THERAPY 94964,A81000B,01400,0300,PT SUPPLIES 94964,A81000C,00100,0100,B 94964,A81000C,00100,0200,R.M.LAREDO WEST 94964,A81000C,00100,0400,MARINER PAN 94964,A81000C,00100,0600,NURSING HOMES 94964,A81000C,00200,0100,G 94964,A81000C,00200,0200,MARINER PAN 94964,A81000C,00200,0400,AMER PHARM SVCS 94964,A81000C,00200,0600,PHARMACEUTICALS 94964,A81000C,00300,0100,G 94964,A81000C,00300,0200,MARINER PAN 94964,A81000C,00300,0400,PRISM-ATS-ARS-T 94964,A81000C,00300,0600,THERAPIES 94964,A81000C,03100,0000,MARINER PAN 94964,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 94964,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 94964,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 94964,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 94964,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 94964,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 94964,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 94964,B100000,00000,0800,00001MEALS SERVED :DIETARY 94964,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 94964,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 94964,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 94964,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 94964,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 94964,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 94964,E10A180,00301,0100,01/20/1999 94964,E10A180,00302,0100,08/04/1999 94964,E10A180,00303,0100,01/10/2000 94964,E10A180,00350,0100,03/31/1999 94964,E10A180,00351,0100,07/21/1999 94964,E10A180,00352,0100,09/29/1999 94964,S000000,00100,0200,03/03/2000 94964,S200000,00100,0100,1200 LAKE STREET 94964,S200000,00200,0100,LAREDO 94964,S200000,00200,0200,TX 94964,S200000,00200,0300,78040- 94964,S200000,00300,0100,WEBB 94964,S200000,00400,0100,RETAMA MANOR WEST-LAREDO 94964,S200000,00400,0200,455528 94964,S200000,00400,0300,07/03/1985 94964,S200000,00400,0500,P 94964,S200000,01600,0100,Y 94964,S200000,02200,0100,Y 94964,S200000,04300,0100,Y 94970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94970,A000000,00300,0000,00300EMPLOYEE BENEFITS 94970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94970,A000000,00700,0000,00700HOUSEKEEPING 94970,A000000,00800,0000,00800DIETARY 94970,A000000,00900,0000,00900NURSING ADMINISTRATION 94970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94970,A000000,01100,0000,01100PHARMACY 94970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94970,A000000,01300,0000,01300SOCIAL SERVICE 94970,A000000,01350,0000,01500OTHER GENERAL SERVICES 94970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94970,A000000,01600,0000,01600SKILLED NURSING FACILITY 94970,A000000,01800,0000,01800NURSING FACILITY 94970,A000000,01810,0000,01801ICF/MR 94970,A000000,01900,0000,01900OTHER LONG TERM CARE 94970,A000000,02100,0000,02100RADIOLOGY 94970,A000000,02200,0000,02200LABORATORY 94970,A000000,02300,0000,02300INTRAVENOUS THERAPY 94970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94970,A000000,02500,0000,02500PHYSICAL THERAPY 94970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94970,A000000,02700,0000,02700SPEECH PATHOLOGY 94970,A000000,02800,0000,02800ELECTROCARDIOLOGY 94970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94970,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 94970,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94970,A000000,03200,0000,03200SUPPORT SURFACES 94970,A000000,03400,0000,03400CLINIC 94970,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 94970,A000000,03500,0000,03500RURAL HEALTH CLINIC 94970,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 94970,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 94970,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 94970,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 94970,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 94970,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 94970,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 94970,A000000,04400,0000,04400DME RENTED - HHA 94970,A000000,04500,0000,04500DME SOLD - HHA 94970,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 94970,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 94970,A000000,04750,0000,05100OTHER REIMBURSABLE COST 94970,A000000,04800,0000,04800AMBULANCE 94970,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94970,A000000,05000,0000,05000CORF 94970,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94970,A000000,05300,0000,05300INTEREST EXPENSE 94970,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 94970,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94970,A000000,05500,0000,05500HOSPICE 94970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94970,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94970,A000000,06100,0000,06100NONPAID WORKERS 94970,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94970,A000000,06200,0000,06200PATIENTS LAUNDRY 94970,A81000A,00100,0100,Y 94970,A81000B,00100,0300,NURSING HOME ADMINISTRATION 94970,A81000C,00100,0100,B 94970,A81000C,00100,0400,HARVEST SENIOR SERVICES 94970,A81000C,00100,0600,LTC MANAGEMENT 94970,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94970,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94970,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94970,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94970,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94970,B100000,00000,0800,00000MEALS SERVED :DIETARY 94970,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94970,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94970,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 94970,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94970,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94970,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 94970,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94970,S000000,00100,0200,05/31/2000 94970,S200000,00100,0100,3002 AVENUE Q 94970,S200000,00200,0100,HONDO 94970,S200000,00200,0200,TX 94970,S200000,00200,0300,78861- 94970,S200000,00300,0100,MEDINA 94970,S200000,00400,0100,HARVEST COMMUNITIES OF HONDO 94970,S200000,00400,0200,455534 94970,S200000,00400,0300,01/01/1992 94970,S200000,00400,0500,P 94970,S200000,01004,0500,O 94970,S200000,01600,0100,Y 94970,S200000,04300,0100,Y 94970,S700003,00000,0100,1 94985,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94985,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94985,A000000,00300,0000,00300EMPLOYEE BENEFITS 94985,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94985,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94985,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94985,A000000,00700,0000,00700HOUSEKEEPING 94985,A000000,00800,0000,00800DIETARY 94985,A000000,00900,0000,00900NURSING ADMINISTRATION 94985,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94985,A000000,01100,0000,01100PHARMACY 94985,A000000,01300,0000,01300SOCIAL SERVICE 94985,A000000,01600,0000,01600SKILLED NURSING FACILITY 94985,A000000,01800,0000,01800NURSING FACILITY 94985,A000000,02100,0000,02100RADIOLOGY 94985,A000000,02200,0000,02200LABORATORY 94985,A000000,02300,0000,02300INTRAVENOUS THERAPY 94985,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94985,A000000,02500,0000,02500PHYSICAL THERAPY 94985,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94985,A000000,02700,0000,02700SPEECH PATHOLOGY 94985,A000000,02800,0000,02800ELECTROCARDIOLOGY 94985,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94985,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94985,A000000,03200,0000,03200SUPPORT SURFACES 94985,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94985,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94985,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 94985,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94985,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 94985,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94985,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94985,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94985,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 94985,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 94985,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 94985,B100000,00000,0950,00000DIRECT NURS HRS :NURSING ADMINISTRA 94985,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94985,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 94985,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 94985,S000000,00100,0200,05/30/2000 94985,S200000,00100,0100,200 RIVERSIDE DRIVE 94985,S200000,00200,0100,UVALDE 94985,S200000,00200,0200,TX 94985,S200000,00200,0300,78801-5727 94985,S200000,00300,0100,UVALDE 94985,S200000,00400,0100,AMISTAD NURSING HOME 94985,S200000,00400,0200,455536 94985,S200000,00400,0300,06/14/1994 94985,S200000,00400,0500,P 94985,S200000,01600,0100,Y 94985,S700003,00000,0100,1 94998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 94998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 94998,A000000,00300,0000,00300EMPLOYEE BENEFITS 94998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 94998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 94998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 94998,A000000,00700,0000,00700HOUSEKEEPING 94998,A000000,00800,0000,00800DIETARY 94998,A000000,00900,0000,00900NURSING ADMINISTRATION 94998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 94998,A000000,01100,0000,01100PHARMACY 94998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 94998,A000000,01300,0000,01300SOCIAL SERVICE 94998,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 94998,A000000,01600,0000,01600SKILLED NURSING FACILITY 94998,A000000,01900,0000,01900OTHER LONG TERM CARE 94998,A000000,02100,0000,02100RADIOLOGY 94998,A000000,02200,0000,02200LABORATORY 94998,A000000,02300,0000,02300INTRAVENOUS THERAPY 94998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 94998,A000000,02500,0000,02500PHYSICAL THERAPY 94998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 94998,A000000,02700,0000,02700SPEECH PATHOLOGY 94998,A000000,02800,0000,02800ELECTROCARDIOLOGY 94998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 94998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 94998,A000000,03050,0000,03201ENTERNAL THERAPY 94998,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 94998,A000000,03200,0000,03200SUPPORT SURFACES 94998,A000000,03400,0000,03400CLINIC 94998,A000000,04800,0000,04800AMBULANCE 94998,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 94998,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 94998,A000000,05300,0000,05300INTEREST EXPENSE 94998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 94998,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 94998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 94998,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 94998,A000000,06100,0000,06100NONPAID WORKERS 94998,A000000,06200,0000,06200PATIENTS LAUNDRY 94998,A81000A,00100,0100,Y 94998,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 94998,A81000B,00200,0300,LAUNDRY SERVICES 94998,A81000B,00300,0300,MENU PLANNING 94998,A81000B,00400,0300,CENTRAL OFFICE: BLDG 94998,A81000B,00500,0300,CENTRAL OFFICE: EQUIP 94998,A81000B,00600,0300,DRUGS 94998,A81000C,00100,0100,B 94998,A81000C,00100,0200,CANTEX HC CTRS 94998,A81000C,00100,0600,LTC MANAGEMENT 94998,A81000C,00200,0100,B 94998,A81000C,00200,0200,HEALTHCARE LNEN 94998,A81000C,00200,0600,LAUNDRY SERVICE 94998,A81000C,00300,0100,A 94998,A81000C,00300,0200,ALBERT J. LONGO 94998,A81000C,00300,0400,NOVA 94998,A81000C,00300,0600,MENU PLANNING 94998,A81000C,00400,0100,B 94998,A81000C,00400,0200,CANTEX HC CTRS 94998,A81000C,00400,0600,LTC MANAGEMENT 94998,A81000C,00500,0100,B 94998,A81000C,00500,0200,CANTEX HC CTRS 94998,A81000C,00500,0600,LTC MANAGEMENT 94998,A81000C,00600,0100,B 94998,A81000C,00600,0200,PHARMACARE 94998,A81000C,00600,0600,LTC MANAGEMENT 94998,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 94998,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 94998,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 94998,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 94998,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 94998,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 94998,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 94998,B100000,00000,0800,00000MEALS SERVED :DIETARY 94998,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 94998,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 94998,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 94998,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 94998,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 94998,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 94998,E10A180,00350,0100,12/31/1999 94998,S000000,00100,0200,05/31/2000 94998,S200000,00100,0100,400 GULF STREET 94998,S200000,00200,0100,GROVES 94998,S200000,00200,0200,TX 94998,S200000,00200,0300,77619- 94998,S200000,00300,0100,JEFFERSON 94998,S200000,00400,0100,CRESTHAVEN NURSING RESIDENCE 94998,S200000,00400,0200,455538 94998,S200000,00400,0300,07/10/1985 94998,S200000,00400,0500,P 94998,S200000,01600,0100,Y 94998,S700003,00000,0100,1 95003,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95003,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95003,A000000,00300,0000,00300EMPLOYEE BENEFITS 95003,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95003,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95003,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95003,A000000,00700,0000,00700HOUSEKEEPING 95003,A000000,00800,0000,00800DIETARY 95003,A000000,00900,0000,00900NURSING ADMINISTRATION 95003,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95003,A000000,01100,0000,01100PHARMACY 95003,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95003,A000000,01300,0000,01300SOCIAL SERVICE 95003,A000000,01600,0000,01600SKILLED NURSING FACILITY 95003,A000000,01800,0000,01800NURSING FACILITY 95003,A000000,02100,0000,02100RADIOLOGY 95003,A000000,02200,0000,02200LABORATORY 95003,A000000,02300,0000,02300INTRAVENOUS THERAPY 95003,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95003,A000000,02500,0000,02500PHYSICAL THERAPY 95003,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95003,A000000,02700,0000,02700SPEECH PATHOLOGY 95003,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95003,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95003,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95003,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95003,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95003,A81000A,00100,0100,Y 95003,A81000B,00100,0300,HOME OFFICE - CAPITAL 95003,A81000B,00200,0300,HOME OFFICE - NONCAPITAL 95003,A81000B,00300,0300,MANAGEMENT FEES 95003,A81000C,00100,0100,B 95003,A81000C,00100,0200,SOUTHERN MANOR 95003,A81000C,00100,0400,DIAMOND CARE I 95003,A81000C,00100,0600,LTC/MGT 95003,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95003,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95003,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95003,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95003,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95003,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95003,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95003,B100000,00000,0800,00000MEALS SERVED :DIETARY 95003,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95003,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95003,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95003,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95003,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95003,S000000,00100,0200,06/28/2000 95003,S200000,00100,0100,4320 19TH STREET 95003,S200000,00200,0100,LUBBOCK 95003,S200000,00200,0200,TX 95003,S200000,00200,0300,79407- 95003,S200000,00300,0100,LUBBOCK 95003,S200000,00300,0200,4600 95003,S200000,00300,0300,U 95003,S200000,00400,0100,SOUTHERN MANOR NURSING HOME 95003,S200000,00400,0200,455539 95003,S200000,00400,0300,11/01/1993 95003,S200000,00400,0500,P 95003,S200000,01500,0100,Y 95008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95008,A000000,00300,0000,00300EMPLOYEE BENEFITS 95008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95008,A000000,00700,0000,00700HOUSEKEEPING 95008,A000000,00800,0000,00800DIETARY 95008,A000000,00900,0000,00900NURSING ADMINISTRATION 95008,A000000,01100,0000,01100PHARMACY 95008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95008,A000000,01300,0000,01300SOCIAL SERVICE 95008,A000000,01350,0000,01500ACTIVITIES 95008,A000000,01600,0000,01600SKILLED NURSING FACILITY 95008,A000000,01800,0000,01800NURSING FACILITY 95008,A000000,02100,0000,02100RADIOLOGY 95008,A000000,02200,0000,02200LABORATORY 95008,A000000,02300,0000,02300INTRAVENOUS THERAPY 95008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95008,A000000,02500,0000,02500PHYSICAL THERAPY 95008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95008,A000000,02700,0000,02700SPEECH PATHOLOGY 95008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95008,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95008,A000000,03200,0000,03200SUPPORT SURFACES 95008,A000000,04800,0000,04800AMBULANCE 95008,A000000,05300,0000,05300INTEREST EXPENSE 95008,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95008,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95008,A000000,06200,0000,06200PATIENTS LAUNDRY 95008,A81000A,00100,0100,Y 95008,A81000B,00100,0300,HOME OFFICE AND CORPORATE ALLOCATION 95008,A81000C,00100,0100,C 95008,A81000C,00100,0200,HUNTER CARE CEN 95008,A81000C,00100,0400,HUNTER CARE CEN 95008,A81000C,00100,0600,LONG TERM CARE 95008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95008,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95008,B100000,00000,0800,00000MEALS SERVED :DIETARY 95008,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95008,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95008,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95008,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95008,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 95008,S000000,00100,0200,11/10/2000 95008,S200000,00100,0100,5600 CHENEVERT 95008,S200000,00200,0100,HOUSTON 95008,S200000,00200,0200,TE 95008,S200000,00200,0300,77004- 95008,S200000,00300,0100,HOUSTON 95008,S200000,00400,0100,HERMAN PARK MANOR 95008,S200000,00400,0200,455543 95008,S200000,00400,0300,04/01/1995 95008,S200000,00400,0500,P 95008,S200000,01600,0100,Y 95015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95015,A000000,00300,0000,00300EMPLOYEE BENEFITS 95015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95015,A000000,00700,0000,00700HOUSEKEEPING 95015,A000000,00800,0000,00800DIETARY 95015,A000000,00900,0000,00900NURSING ADMINISTRATION 95015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95015,A000000,01100,0000,01100PHARMACY 95015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95015,A000000,01300,0000,01300SOCIAL SERVICE 95015,A000000,01600,0000,01600SKILLED NURSING FACILITY 95015,A000000,01800,0000,01800NURSING FACILITY 95015,A000000,02200,0000,02200LABORATORY 95015,A000000,02500,0000,02500PHYSICAL THERAPY 95015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95015,A000000,02700,0000,02700SPEECH PATHOLOGY 95015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95015,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95015,A81000A,00100,0100,Y 95015,A81000B,00100,0300,REMOVE REL PARTY LESSOR RENT EXP 95015,A81000B,00200,0300,ADD BACK ACTUAL BUILDING DEPR EXP 95015,A81000B,00300,0300,ADD BACK ACTUAL EQUIP DEPR EXP 95015,A81000B,00400,0300,ADD BACK ACTUAL INTEREST EXP 95015,A81000B,00500,0300,ADD BACK AMORT PREPAID FINAN COSTS 95015,A81000B,00600,0300,ADD BACK OTHER REL PARTY ADMIN COSTS 95015,A81000C,00100,0100,B 95015,A81000C,00100,0200,YOAKUM INVESTORS LP 95015,A81000C,00100,0400,NEW COVENANT CARE OF TX 95015,A81000C,00100,0600,RELATED LESSOR 95015,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95015,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95015,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95015,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95015,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95015,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95015,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95015,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95015,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95015,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95015,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95015,S000000,00100,0200,03/06/2000 95015,S200000,00100,0100,205 WALTER STREET 95015,S200000,00200,0100,YOAKUM 95015,S200000,00200,0200,TX 95015,S200000,00200,0300,77995-1799 95015,S200000,00300,0100,DEWITT 95015,S200000,00300,0200,0045 95015,S200000,00300,0300,R 95015,S200000,00400,0100,STEVENS NURSING HOME 95015,S200000,00400,0200,455544 95015,S200000,00400,0300,01/01/1989 95015,S200000,00400,0500,P 95015,S200000,01500,0100,Y 95024,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95024,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95024,A000000,00300,0000,00300EMPLOYEE BENEFITS 95024,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95024,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95024,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95024,A000000,00700,0000,00700HOUSEKEEPING 95024,A000000,00800,0000,00800DIETARY 95024,A000000,00900,0000,00900NURSING ADMINISTRATION 95024,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95024,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95024,A000000,01300,0000,01300SOCIAL SERVICE 95024,A000000,01301,0000,01301ACTIVITES 95024,A000000,01350,0000,01500REHABILITATION 95024,A000000,01600,0000,01600SKILLED NURSING FACILITY 95024,A000000,01800,0000,01800NURSING FACILITY 95024,A000000,01900,0000,01900OTHER LONG TERM CARE 95024,A000000,02100,0000,02100RADIOLOGY 95024,A000000,02200,0000,02200LABORATORY 95024,A000000,02300,0000,02300INTRAVENOUS THERAPY 95024,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95024,A000000,02500,0000,02500PHYSICAL THERAPY 95024,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95024,A000000,02700,0000,02700SPEECH PATHOLOGY 95024,A000000,02800,0000,02800ELECTROCARDIOLOGY 95024,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95024,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95024,A000000,03050,0000,03300EQUIPMENT RENTAL 95024,A000000,03051,0000,03301PEN THERAPY 95024,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95024,A000000,03200,0000,03200SUPPORT SURFACES 95024,A000000,04800,0000,04800AMBULANCE 95024,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95024,A000000,05300,0000,05300INTEREST EXPENSE 95024,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95024,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95024,A000000,06150,0000,06300VENDING 95024,A000000,06151,0000,06301STAND-BY 95024,A000000,06200,0000,06200PATIENTS LAUNDRY 95024,A81000A,00100,0100,Y 95024,A81000B,00100,0300,HOME OFFICE COST 95024,A81000B,00200,0300,DIETARY SUPPLEMENTS 95024,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95024,A81000B,00400,0300,PRESCRIPTION DRUGS 95024,A81000B,00500,0300,MEDICAL SUPPLIES 95024,A81000B,00600,0300,LEASES EXPENSE EQUIP 95024,A81000B,00700,0300,HOME OFFICE INTEREST 95024,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95024,A81000B,00900,0300,IV THERAPY 95024,A81000B,01000,0300,PEN THERAPY 95024,A81000B,01100,0300,PHYSICAL THERAPY 95024,A81000B,01200,0300,OCCUPATIONAL THERAPY 95024,A81000B,01300,0300,SPEECH THERAPY 95024,A81000B,01400,0300,ANC EQUIP RENTAL 95024,A81000B,01500,0300,RESPIRATORY THERAPY 95024,A81000C,00100,0100,B 95024,A81000C,00100,0200,RM JOURDANTON-1 95024,A81000C,00100,0400,MARINER PAN 95024,A81000C,00100,0600,NURSING HOMES 95024,A81000C,00200,0100,G 95024,A81000C,00200,0200,MARINER PAN 95024,A81000C,00200,0400,AMER PHARM SVCS 95024,A81000C,00200,0600,PHARMACEUTICALS 95024,A81000C,00300,0100,G 95024,A81000C,00300,0200,MARINER PAN 95024,A81000C,00300,0400,PRISM-ATS-ARS-T 95024,A81000C,00300,0600,THERAPIES 95024,A81000C,03100,0000,MARINER PAN 95024,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95024,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95024,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95024,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95024,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95024,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95024,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95024,B100000,00000,0800,00001MEALS SERVED :DIETARY 95024,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95024,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95024,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95024,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95024,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95024,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95024,E10A180,00301,0100,02/03/1999 95024,E10A180,00302,0100,09/29/1999 95024,E10A180,00350,0100,03/31/1999 95024,E10A180,00351,0100,08/04/1999 95024,E10A180,00352,0100,01/10/2000 95024,S000000,00100,0200,03/03/2000 95024,S200000,00100,0100,1504 OAK STREET 95024,S200000,00200,0100,JOURDANTON 95024,S200000,00200,0200,CA 95024,S200000,00200,0300,78026- 95024,S200000,00300,0100,ATASCOSA 95024,S200000,00400,0100,RETAMA MANOR-JOURDANTON 95024,S200000,00400,0200,455549 95024,S200000,00400,0300,08/28/1985 95024,S200000,00400,0500,P 95024,S200000,01600,0100,Y 95024,S200000,02200,0100,Y 95024,S200000,04300,0100,Y 95024,S700003,00000,0100,1 95031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95031,A000000,00300,0000,00300EMPLOYEE BENEFITS 95031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95031,A000000,00700,0000,00700HOUSEKEEPING 95031,A000000,00800,0000,00800DIETARY 95031,A000000,00900,0000,00900NURSING ADMINISTRATION 95031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95031,A000000,01300,0000,01300SOCIAL SERVICE 95031,A000000,01301,0000,01301ACTIVITES 95031,A000000,01350,0000,01500REHABILITATION 95031,A000000,01600,0000,01600SKILLED NURSING FACILITY 95031,A000000,01800,0000,01800NURSING FACILITY 95031,A000000,01900,0000,01900OTHER LONG TERM CARE 95031,A000000,02100,0000,02100RADIOLOGY 95031,A000000,02200,0000,02200LABORATORY 95031,A000000,02300,0000,02300INTRAVENOUS THERAPY 95031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95031,A000000,02500,0000,02500PHYSICAL THERAPY 95031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95031,A000000,02700,0000,02700SPEECH PATHOLOGY 95031,A000000,02800,0000,02800ELECTROCARDIOLOGY 95031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95031,A000000,03050,0000,03300EQUIPMENT RENTAL 95031,A000000,03051,0000,03301PEN THERAPY 95031,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95031,A000000,03200,0000,03200SUPPORT SURFACES 95031,A000000,04800,0000,04800AMBULANCE 95031,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95031,A000000,05300,0000,05300INTEREST EXPENSE 95031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95031,A000000,06150,0000,06300VENDING 95031,A000000,06151,0000,06301STAND-BY 95031,A000000,06200,0000,06200PATIENTS LAUNDRY 95031,A81000A,00100,0100,Y 95031,A81000B,00100,0300,HOME OFFICE COST 95031,A81000B,00200,0300,DIETARY SUPPLEMENTS 95031,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95031,A81000B,00400,0300,PRESCRIPTION DRUGS 95031,A81000B,00500,0300,MEDICAL SUPPLIES 95031,A81000B,00600,0300,ADMIN COSTS 95031,A81000B,00700,0300,HOME OFFICE INTEREST 95031,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95031,A81000B,00900,0300,IV THERAPY 95031,A81000B,01000,0300,THERAPY CONSULTING 95031,A81000B,01100,0300,PHYSICAL THERAPY 95031,A81000B,01200,0300,OCCUPATIONAL THERAPY 95031,A81000B,01300,0300,SPEECH THERAPY 95031,A81000B,01400,0300,ANC EQUIP RENTAL 95031,A81000B,01500,0300,PEN 95031,A81000B,01600,0300,RT SUPPLIES 95031,A81000B,01700,0300,CAPITAL 95031,A81000C,00100,0100,B 95031,A81000C,00100,0200,NORTHWAY 95031,A81000C,00100,0400,MARINER PAN 95031,A81000C,00100,0600,NURSING HOMES 95031,A81000C,00200,0100,G 95031,A81000C,00200,0200,MARINER PAN 95031,A81000C,00200,0400,AMER PHARM SVCS 95031,A81000C,00200,0600,PHARMACEUTICALS 95031,A81000C,00300,0100,G 95031,A81000C,00300,0200,MARINER PAN 95031,A81000C,00300,0400,PRISM-ATS-ARS-T 95031,A81000C,00300,0600,THERAPIES 95031,A81000C,03100,0000,MARINER PAN 95031,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95031,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95031,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95031,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95031,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95031,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95031,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95031,B100000,00000,0800,00001MEALS SERVED :DIETARY 95031,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95031,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95031,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95031,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95031,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95031,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95031,E10A180,00301,0100,02/17/1999 95031,E10A180,00302,0100,09/29/1999 95031,E10A180,00303,0100,01/10/1999 95031,E10A180,00304,0100,07/23/1999 95031,E10A180,00350,0100,03/31/1999 95031,E10A180,00351,0100,07/21/1999 95031,S000000,00100,0200,03/03/2000 95031,S200000,00100,0100,5329 NORTH FREEWAY 95031,S200000,00200,0100,HOUSTON 95031,S200000,00200,0200,TX 95031,S200000,00200,0300,77022- 95031,S200000,00300,0100,HARRIS 95031,S200000,00400,0100,NORTHWAY HEALTHCARE CENTER 95031,S200000,00400,0200,455553 95031,S200000,00400,0300,05/09/1985 95031,S200000,00400,0500,P 95031,S200000,01600,0100,Y 95031,S200000,02200,0100,Y 95031,S200000,04300,0100,Y 95031,S700003,00000,0100,1 95036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95036,A000000,00300,0000,00300EMPLOYEE BENEFITS 95036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95036,A000000,00700,0000,00700HOUSEKEEPING 95036,A000000,00800,0000,00800DIETARY 95036,A000000,00900,0000,00900NURSING ADMINISTRATION 95036,A000000,01300,0000,01300SOCIAL SERVICE 95036,A000000,01600,0000,01600SKILLED NURSING FACILITY 95036,A000000,01800,0000,01800NURSING FACILITY 95036,A000000,02200,0000,02200LABORATORY 95036,A000000,02500,0000,02500PHYSICAL THERAPY 95036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95036,A000000,02700,0000,02700SPEECH PATHOLOGY 95036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95036,A81000A,00100,0100,Y 95036,A81000B,00100,0300,OWNER SALARY 95036,A81000B,00200,0300,OWNER SALARY 95036,A81000B,00300,0300,OWNER PAYROLL TAXES 95036,A81000B,00400,0300,MANAGEMENT FEE 95036,A81000C,00100,0100,A 95036,A81000C,00100,0200,CARROLL ROBERTSON 95036,A81000C,00100,0400,WESTVIEW MGMT. CO 95036,A81000C,00100,0600,MGMT CONSULTING 95036,A81000C,00200,0100,A 95036,A81000C,00200,0200,GENE ROBERTSON 95036,A81000C,00200,0400,WESTVIEW MGMT. CO 95036,A81000C,00200,0600,MGMT CONSULTING 95036,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95036,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95036,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95036,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95036,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95036,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 95036,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 95036,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95036,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 95036,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 95036,S000000,00100,0200,07/11/2000 95036,S200000,00100,0100,414 JOHNSON DRIVE 95036,S200000,00200,0100,MCGREGOR 95036,S200000,00200,0200,TX 95036,S200000,00200,0300,76657- 95036,S200000,00300,0100,MCLENNAN COUNTY 95036,S200000,00300,0200,8800 95036,S200000,00300,0300,R 95036,S200000,00400,0100,WESTVIEW MANOR 95036,S200000,00400,0200,455554 95036,S200000,00400,0300,06/17/1985 95036,S200000,00400,0500,P 95036,S200000,01600,0100,Y 95046,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95046,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95046,A000000,00300,0000,00300EMPLOYEE BENEFITS 95046,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95046,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95046,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95046,A000000,00700,0000,00700HOUSEKEEPING 95046,A000000,00800,0000,00800DIETARY 95046,A000000,00801,0000,00801CAFETERIA 95046,A000000,00900,0000,00900NURSING ADMINISTRATION 95046,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95046,A000000,01100,0000,01100PHARMACY 95046,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95046,A000000,01300,0000,01300SOCIAL SERVICE 95046,A000000,01600,0000,01600SKILLED NURSING FACILITY 95046,A000000,01800,0000,01800NURSING FACILITY 95046,A000000,01900,0000,01900OTHER LONG TERM CARE 95046,A000000,02100,0000,02100RADIOLOGY 95046,A000000,02200,0000,02200LABORATORY 95046,A000000,02300,0000,02300INTRAVENOUS THERAPY 95046,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95046,A000000,02500,0000,02500PHYSICAL THERAPY 95046,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95046,A000000,02700,0000,02700SPEECH PATHOLOGY 95046,A000000,02800,0000,02800ELECTROCARDIOLOGY 95046,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95046,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95046,A000000,03200,0000,03200SUPPORT SURFACES 95046,A000000,04800,0000,04800AMBULANCE 95046,A000000,05300,0000,05300INTEREST EXPENSE 95046,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95046,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95046,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95046,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95046,A81000A,00100,0100,Y 95046,A81000B,00100,0300,HOME OFC COSTS 95046,A81000B,00200,0300,HOME OFC COSTS 95046,A81000B,00300,0300,PRESCRIPTION RX 95046,A81000B,00400,0300,I V THERAPY 95046,A81000B,00500,0300,HOME OFC COSTS 95046,A81000C,00100,0100,B 95046,A81000C,00100,0200,AHCC INC. 95046,A81000C,00100,0400,AHCC INC. 95046,A81000C,00100,0600,HOME OFC 95046,A81000C,00200,0100,B 95046,A81000C,00200,0200,AHCC INC 95046,A81000C,00200,0400,LTC MGMT 95046,A81000C,00200,0600,BILLING SERV 95046,A81000C,00300,0100,B 95046,A81000C,00300,0200,AHCC INC 95046,A81000C,00300,0400,NIPSI 95046,A81000C,00300,0600,PHARMACY 95046,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95046,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95046,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95046,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95046,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95046,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95046,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95046,B100000,00000,0800,00000MEALS SERVED :DIETARY 95046,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 95046,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95046,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95046,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95046,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95046,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95046,S000000,00100,0200,06/19/2000 95046,S200000,00100,0100,795 LINDBERGH DRIVE 95046,S200000,00200,0100,BEAUMONT 95046,S200000,00200,0200,TX 95046,S200000,00200,0300,77707- 95046,S200000,00300,0100,JEFFERSON 95046,S200000,00400,0100,LINDBERGH HEALTH CARE CENTER 95046,S200000,00400,0200,455561 95046,S200000,00400,0300,07/01/1992 95046,S200000,00400,0500,P 95046,S200000,01600,0100,Y 95046,S700003,00000,0100,1 95054,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95054,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95054,A000000,00300,0000,00300EMPLOYEE BENEFITS 95054,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95054,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95054,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95054,A000000,00700,0000,00700HOUSEKEEPING 95054,A000000,00800,0000,00800DIETARY 95054,A000000,00900,0000,00900NURSING ADMINISTRATION 95054,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95054,A000000,01100,0000,01100PHARMACY 95054,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95054,A000000,01300,0000,01300SOCIAL SERVICE 95054,A000000,01351,0000,01301ACTIVITIES 95054,A000000,01600,0000,01600SKILLED NURSING FACILITY 95054,A000000,01800,0000,01800NURSING FACILITY 95054,A000000,02100,0000,02100RADIOLOGY 95054,A000000,02200,0000,02200LABORATORY 95054,A000000,02300,0000,02300INTRAVENOUS THERAPY 95054,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95054,A000000,02500,0000,02500PHYSICAL THERAPY 95054,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95054,A000000,02700,0000,02700SPEECH PATHOLOGY 95054,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95054,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95054,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95054,A000000,03051,0000,03301MEDICAL EQUIPMENT 95054,A000000,04800,0000,04800AMBULANCE 95054,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95054,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95054,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95054,A81000A,00100,0100,Y 95054,A81000B,00100,0300,HOME OFFICE CAPITAL 95054,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95054,A81000B,00300,0300,WAREHOUSE 95054,A81000C,00100,0100,A 95054,A81000C,00100,0200,PETER C. KERN 95054,A81000C,00100,0400,HEA MANAGEMENT GROUP 95054,A81000C,00100,0600,HOME OFFICE 95054,A81000C,00200,0100,A 95054,A81000C,00200,0200,PETER C. KERN 95054,A81000C,00200,0400,WAREHOUSE STORAGE 95054,A81000C,00200,0600,OLD RECORD STORAGE 95054,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95054,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95054,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95054,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95054,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95054,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95054,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95054,B100000,00000,0800,00000MEALS SERVED :DIETARY 95054,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95054,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95054,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95054,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95054,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95054,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95054,S000000,00100,0200,05/30/2000 95054,S200000,00100,0100,601 EAST HIGHWAY 69 95054,S200000,00200,0100,DENISON 95054,S200000,00200,0200,TX 95054,S200000,00200,0300,75020-8713 95054,S200000,00300,0100,GRAYSON 95054,S200000,00300,0200,7640 95054,S200000,00300,0300,U 95054,S200000,00400,0100,DENISON MANOR 95054,S200000,00400,0200,455563 95054,S200000,00400,0300,10/16/1985 95054,S200000,00400,0500,P 95054,S200000,01600,0100,Y 95054,S200000,02200,0100,Y 95054,S200000,04300,0100,Y 95065,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95065,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95065,A000000,00300,0000,00300EMPLOYEE BENEFITS 95065,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95065,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95065,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95065,A000000,00700,0000,00700HOUSEKEEPING 95065,A000000,00800,0000,00800DIETARY 95065,A000000,00900,0000,00900NURSING ADMINISTRATION 95065,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95065,A000000,01100,0000,01100PHARMACY 95065,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95065,A000000,01300,0000,01300SOCIAL SERVICE 95065,A000000,01351,0000,01301ACTIVITIES 95065,A000000,01600,0000,01600SKILLED NURSING FACILITY 95065,A000000,01800,0000,01800NURSING FACILITY 95065,A000000,02100,0000,02100RADIOLOGY 95065,A000000,02200,0000,02200LABORATORY 95065,A000000,02300,0000,02300INTRAVENOUS THERAPY 95065,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95065,A000000,02500,0000,02500PHYSICAL THERAPY 95065,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95065,A000000,02700,0000,02700SPEECH PATHOLOGY 95065,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95065,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95065,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95065,A000000,03051,0000,03301MEDICAL EQUIPMENT 95065,A000000,04800,0000,04800AMBULANCE 95065,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95065,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95065,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95065,A81000A,00100,0100,Y 95065,A81000B,00100,0300,HOME OFFICE CAPITAL 95065,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95065,A81000B,00300,0300,WAREHOUSE 95065,A81000C,00100,0100,A 95065,A81000C,00100,0200,PETER C. KERN 95065,A81000C,00100,0400,HEA MANAGEMENT GROUP 95065,A81000C,00100,0600,HOME OFFICE 95065,A81000C,00200,0100,A 95065,A81000C,00200,0200,PETER C. KERN 95065,A81000C,00200,0400,WAREHOUSE STORAGE 95065,A81000C,00200,0600,OLD RECORD STORAGE 95065,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95065,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95065,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95065,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95065,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95065,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95065,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95065,B100000,00000,0800,00000MEALS SERVED :DIETARY 95065,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95065,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95065,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95065,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95065,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95065,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95065,S000000,00100,0200,05/30/2000 95065,S200000,00100,0100,316 SOUTHWEST 25TH AVENUE 95065,S200000,00200,0100,MINERAL WELLS 95065,S200000,00200,0200,TX 95065,S200000,00200,0300,76067-8244 95065,S200000,00300,0100,PALO PINTO 95065,S200000,00300,0300,R 95065,S200000,00400,0100,MINERAL WELLS HEALTHCARE CENTER 95065,S200000,00400,0200,455570 95065,S200000,00400,0300,10/08/1985 95065,S200000,00400,0500,P 95065,S200000,01600,0100,Y 95065,S200000,02200,0100,Y 95065,S200000,04300,0100,Y 95072,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95072,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95072,A000000,00300,0000,00300EMPLOYEE BENEFITS 95072,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95072,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95072,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95072,A000000,00700,0000,00700HOUSEKEEPING 95072,A000000,00800,0000,00800DIETARY 95072,A000000,00900,0000,00900NURSING ADMINISTRATION 95072,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95072,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95072,A000000,01300,0000,01300SOCIAL SERVICE 95072,A000000,01301,0000,01301ACTIVITES 95072,A000000,01350,0000,01500REHABILITATION 95072,A000000,01600,0000,01600SKILLED NURSING FACILITY 95072,A000000,01800,0000,01800NURSING FACILITY 95072,A000000,01900,0000,01900OTHER LONG TERM CARE 95072,A000000,02100,0000,02100RADIOLOGY 95072,A000000,02200,0000,02200LABORATORY 95072,A000000,02300,0000,02300INTRAVENOUS THERAPY 95072,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95072,A000000,02500,0000,02500PHYSICAL THERAPY 95072,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95072,A000000,02700,0000,02700SPEECH PATHOLOGY 95072,A000000,02800,0000,02800ELECTROCARDIOLOGY 95072,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95072,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95072,A000000,03050,0000,03300EQUIPMENT RENTAL 95072,A000000,03051,0000,03301PEN THERAPY 95072,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95072,A000000,03200,0000,03200SUPPORT SURFACES 95072,A000000,04800,0000,04800AMBULANCE 95072,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95072,A000000,05300,0000,05300INTEREST EXPENSE 95072,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95072,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95072,A000000,06150,0000,06300VENDING 95072,A000000,06151,0000,06301STAND-BY 95072,A000000,06200,0000,06200PATIENTS LAUNDRY 95072,A81000A,00100,0100,Y 95072,A81000B,00100,0300,HOME OFFICE COST 95072,A81000B,00200,0300,DIETARY SUPPLEMENTS 95072,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95072,A81000B,00400,0300,PRESCRIPTION DRUGS 95072,A81000B,00500,0300,MEDICAL SUPPLIES 95072,A81000B,00600,0300,ADMIN COSTS 95072,A81000B,00700,0300,HOME OFFICE INTEREST 95072,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95072,A81000B,00900,0300,IV THERAPY 95072,A81000B,01000,0300,THERAPY CONSULTING 95072,A81000B,01100,0300,PHYSICAL THERAPY 95072,A81000B,01200,0300,OCCUPATIONAL THERAPY 95072,A81000B,01300,0300,SPEECH THERAPY 95072,A81000B,01400,0300,ANC EQUIP RENTAL 95072,A81000B,01500,0300,PEN 95072,A81000C,00100,0100,B 95072,A81000C,00100,0200,WEATHERFORD 140 95072,A81000C,00100,0400,MARINER PAN 95072,A81000C,00100,0600,NURSING HOMES 95072,A81000C,00200,0100,G 95072,A81000C,00200,0200,MARINER PAN 95072,A81000C,00200,0400,AMER PHARM SVCS 95072,A81000C,00200,0600,PHARMACEUTICALS 95072,A81000C,00300,0100,G 95072,A81000C,00300,0200,MARINER PAN 95072,A81000C,00300,0400,PRISM-ATS-ARS-T 95072,A81000C,00300,0600,THERAPIES 95072,A81000C,03100,0000,MARINER PAN 95072,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95072,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95072,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95072,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95072,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95072,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95072,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95072,B100000,00000,0800,00001MEALS SERVED :DIETARY 95072,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95072,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95072,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95072,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95072,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95072,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95072,E10A180,00301,0100,07/21/1999 95072,E10A180,00302,0100,09/29/1999 95072,E10A180,00350,0100,02/17/1999 95072,E10A180,00351,0100,03/31/1999 95072,E10A180,00352,0100,06/23/1999 95072,E10A180,00353,0100,01/10/2000 95072,S000000,00100,0200,03/03/2000 95072,S200000,00100,0100,521 W. 7TH 95072,S200000,00200,0100,WEATHERFORD 95072,S200000,00200,0200,TX 95072,S200000,00200,0300,76086- 95072,S200000,00300,0100,PARKER 95072,S200000,00400,0100,WEATHERFORD HEALTHCARE CENTER 95072,S200000,00400,0200,455574 95072,S200000,00400,0300,11/01/1985 95072,S200000,00400,0500,P 95072,S200000,01600,0100,Y 95072,S200000,02200,0100,Y 95072,S200000,04300,0100,Y 95080,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95080,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95080,A000000,00300,0000,00300EMPLOYEE BENEFITS 95080,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95080,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95080,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95080,A000000,00700,0000,00700HOUSEKEEPING 95080,A000000,00800,0000,00800DIETARY 95080,A000000,00900,0000,00900NURSING ADMINISTRATION 95080,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95080,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95080,A000000,01300,0000,01300SOCIAL SERVICE 95080,A000000,01301,0000,01301ACTIVITES 95080,A000000,01350,0000,01500REHABILITATION 95080,A000000,01600,0000,01600SKILLED NURSING FACILITY 95080,A000000,01800,0000,01800NURSING FACILITY 95080,A000000,01900,0000,01900OTHER LONG TERM CARE 95080,A000000,02100,0000,02100RADIOLOGY 95080,A000000,02200,0000,02200LABORATORY 95080,A000000,02300,0000,02300INTRAVENOUS THERAPY 95080,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95080,A000000,02500,0000,02500PHYSICAL THERAPY 95080,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95080,A000000,02700,0000,02700SPEECH PATHOLOGY 95080,A000000,02800,0000,02800ELECTROCARDIOLOGY 95080,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95080,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95080,A000000,03050,0000,03300EQUIPMENT RENTAL 95080,A000000,03051,0000,03301PEN THERAPY 95080,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95080,A000000,03200,0000,03200SUPPORT SURFACES 95080,A000000,04800,0000,04800AMBULANCE 95080,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95080,A000000,05300,0000,05300INTEREST EXPENSE 95080,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95080,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95080,A000000,06150,0000,06300VENDING 95080,A000000,06151,0000,06301STAND-BY 95080,A000000,06200,0000,06200PATIENTS LAUNDRY 95080,A81000A,00100,0100,Y 95080,A81000B,00100,0300,HOME OFFICE COST 95080,A81000B,00200,0300,DIETARY SUPPLEMENTS 95080,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95080,A81000B,00400,0300,PRESCRIPTION DRUGS 95080,A81000B,00500,0300,MEDICAL SUPPLIES 95080,A81000B,00600,0300,ADMIN COSTS 95080,A81000B,00700,0300,HOME OFFICE INTEREST 95080,A81000B,00800,0300,LEASE EXP. EQUIPMENT 95080,A81000B,00900,0300,IV THERAPY 95080,A81000B,01000,0300,THERAPY CONSULTING 95080,A81000B,01100,0300,PHYSICAL THERAPY 95080,A81000B,01200,0300,OCCUPATIONAL THERAPY 95080,A81000B,01300,0300,SPEECH THERAPY 95080,A81000B,01400,0300,ANC EQUIP RENTAL 95080,A81000B,01500,0300,PEN THERAPY 95080,A81000B,01600,0300,OTHER ACTIVITIES 95080,A81000C,00100,0100,B 95080,A81000C,00100,0200,CORPUSCHRISTI N 95080,A81000C,00100,0400,MARINER PAN 95080,A81000C,00100,0600,NURSING HOMES 95080,A81000C,00200,0100,G 95080,A81000C,00200,0200,MARINER PAN 95080,A81000C,00200,0400,AMER PHARM SVCS 95080,A81000C,00200,0600,PHARMACEUTICALS 95080,A81000C,00300,0100,G 95080,A81000C,00300,0200,MARINER PAN 95080,A81000C,00300,0400,PRISM-ATS-ARS-T 95080,A81000C,00300,0600,THERAPIES 95080,A81000C,03100,0000,MARINER PAN 95080,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95080,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95080,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95080,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95080,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95080,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95080,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95080,B100000,00000,0800,00001MEALS SERVED :DIETARY 95080,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95080,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95080,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95080,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95080,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95080,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95080,E10A180,00301,0100,02/17/1999 95080,E10A180,00302,0100,09/29/1999 95080,E10A180,00350,0100,03/31/1999 95080,E10A180,00351,0100,07/21/1999 95080,E10A180,00352,0100,01/10/2000 95080,S000000,00100,0200,03/03/2000 95080,S200000,00100,0100,2322 MORGAN AVENUE 95080,S200000,00200,0100,CORPUS CHRISTI 95080,S200000,00200,0200,CA 95080,S200000,00200,0300,78405- 95080,S200000,00300,0100,NUECES 95080,S200000,00400,0100,RETAMA MANOR NORTH-CORPUS CHRISTI 95080,S200000,00400,0200,455575 95080,S200000,00400,0300,09/03/1985 95080,S200000,00400,0500,P 95080,S200000,01600,0100,Y 95080,S200000,02200,0100,Y 95080,S200000,04300,0100,Y 95088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95088,A000000,00300,0000,00300EMPLOYEE BENEFITS 95088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95088,A000000,00700,0000,00700HOUSEKEEPING 95088,A000000,00800,0000,00800DIETARY 95088,A000000,00900,0000,00900NURSING ADMINISTRATION 95088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95088,A000000,01300,0000,01300SOCIAL SERVICE 95088,A000000,01301,0000,01301ACTIVITES 95088,A000000,01350,0000,01500REHABILITATION 95088,A000000,01600,0000,01600SKILLED NURSING FACILITY 95088,A000000,01800,0000,01800NURSING FACILITY 95088,A000000,01900,0000,01900OTHER LONG TERM CARE 95088,A000000,02100,0000,02100RADIOLOGY 95088,A000000,02200,0000,02200LABORATORY 95088,A000000,02300,0000,02300INTRAVENOUS THERAPY 95088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95088,A000000,02500,0000,02500PHYSICAL THERAPY 95088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95088,A000000,02700,0000,02700SPEECH PATHOLOGY 95088,A000000,02800,0000,02800ELECTROCARDIOLOGY 95088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95088,A000000,03050,0000,03300EQUIPMENT RENTAL 95088,A000000,03051,0000,03301PEN THERAPY 95088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95088,A000000,03200,0000,03200SUPPORT SURFACES 95088,A000000,04800,0000,04800AMBULANCE 95088,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95088,A000000,05300,0000,05300INTEREST EXPENSE 95088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95088,A000000,06150,0000,06300VENDING 95088,A000000,06151,0000,06301STAND-BY 95088,A000000,06200,0000,06200PATIENTS LAUNDRY 95088,A81000A,00100,0100,Y 95088,A81000B,00100,0300,HOME OFFICE COST 95088,A81000B,00200,0300,DIETARY SUPPLEMENTS 95088,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95088,A81000B,00400,0300,PRESCRIPTION DRUGS 95088,A81000B,00500,0300,MEDICAL SUPPLIES 95088,A81000B,00600,0300,CAPITAL 95088,A81000B,00700,0300,HOME OFFICE INTEREST 95088,A81000B,00800,0300,PT SUPPLIES 95088,A81000B,00900,0300,IV THERAPY 95088,A81000B,01000,0300,THERAPY CONSULTING 95088,A81000B,01100,0300,PHYSICAL THERAPY 95088,A81000B,01200,0300,OCCUPATIONAL THERAPY 95088,A81000B,01300,0300,SPEECH THERAPY 95088,A81000B,01400,0300,PEN 95088,A81000C,00100,0100,B 95088,A81000C,00100,0200,BAY VILLA 95088,A81000C,00100,0400,MARINER PAN 95088,A81000C,00100,0600,NURSING HOMES 95088,A81000C,00200,0100,G 95088,A81000C,00200,0200,MARINER PAN 95088,A81000C,00200,0400,AMER PHARM SVCS 95088,A81000C,00200,0600,PHARMACEUTICALS 95088,A81000C,00300,0100,G 95088,A81000C,00300,0200,MARINER PAN 95088,A81000C,00300,0400,PRISM-ATS-ARS-T 95088,A81000C,00300,0600,THERAPIES 95088,A81000C,03100,0000,MARINER PAN 95088,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95088,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95088,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95088,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95088,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95088,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95088,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95088,B100000,00000,0800,00001MEALS SERVED :DIETARY 95088,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95088,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95088,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95088,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95088,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95088,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95088,E10A180,00301,0100,09/29/1999 95088,E10A180,00350,0100,02/03/1999 95088,E10A180,00351,0100,03/31/1999 95088,E10A180,00352,0100,07/21/1999 95088,E10A180,00353,0100,01/10/2000 95088,S000000,00100,0200,03/03/2000 95088,S200000,00100,0100,1800 13TH ST 95088,S200000,00200,0100,BAY CITY 95088,S200000,00200,0200,TX 95088,S200000,00200,0300,77414- 95088,S200000,00300,0100,MATAGORDA 95088,S200000,00400,0100,BAY VILLA HEALTH CARE CENTER 95088,S200000,00400,0200,455582 95088,S200000,00400,0300,08/12/1985 95088,S200000,00400,0500,P 95088,S200000,01600,0100,Y 95088,S200000,02200,0100,Y 95088,S200000,04300,0100,Y 95088,S700003,00000,0100,1 95103,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95103,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95103,A000000,00300,0000,00300EMPLOYEE BENEFITS 95103,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95103,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95103,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95103,A000000,00700,0000,00700HOUSEKEEPING 95103,A000000,00800,0000,00800DIETARY 95103,A000000,00900,0000,00900NURSING ADMINISTRATION 95103,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95103,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95103,A000000,01300,0000,01300SOCIAL SERVICE 95103,A000000,01301,0000,01301ACTIVITES 95103,A000000,01350,0000,01500REHABILITATION 95103,A000000,01600,0000,01600SKILLED NURSING FACILITY 95103,A000000,01800,0000,01800NURSING FACILITY 95103,A000000,01900,0000,01900OTHER LONG TERM CARE 95103,A000000,02100,0000,02100RADIOLOGY 95103,A000000,02200,0000,02200LABORATORY 95103,A000000,02300,0000,02300INTRAVENOUS THERAPY 95103,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95103,A000000,02500,0000,02500PHYSICAL THERAPY 95103,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95103,A000000,02700,0000,02700SPEECH PATHOLOGY 95103,A000000,02800,0000,02800ELECTROCARDIOLOGY 95103,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95103,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95103,A000000,03050,0000,03300EQUIPMENT RENTAL 95103,A000000,03051,0000,03301PEN THERAPY 95103,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95103,A000000,03200,0000,03200SUPPORT SURFACES 95103,A000000,04800,0000,04800AMBULANCE 95103,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95103,A000000,05300,0000,05300INTEREST EXPENSE 95103,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95103,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95103,A000000,06150,0000,06300VENDING 95103,A000000,06151,0000,06301STAND-BY 95103,A000000,06200,0000,06200PATIENTS LAUNDRY 95103,A81000A,00100,0100,Y 95103,A81000B,00100,0300,HOME OFFICE COST 95103,A81000B,00200,0300,DIETARY SUPPLEMENTS 95103,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95103,A81000B,00400,0300,PRESCRIPTION DRUGS 95103,A81000B,00500,0300,PEN 95103,A81000B,00600,0300,HOME OFFICE INTEREST 95103,A81000B,00700,0300,EQUIPMENT REPLACEMENT 95103,A81000B,00800,0300,IV THERAPY 95103,A81000B,00900,0300,THERAPY CONSULTING 95103,A81000B,01000,0300,PHYSICAL THERAPY 95103,A81000B,01100,0300,OCCUPATIONAL THERAPY 95103,A81000B,01200,0300,SPEECH THERAPY 95103,A81000B,01300,0300,ANC EQUIP RENTAL 95103,A81000C,00100,0100,B 95103,A81000C,00100,0200,KOUNTZE 95103,A81000C,00100,0400,MARINER PAN 95103,A81000C,00100,0600,NURSING HOMES 95103,A81000C,00200,0100,G 95103,A81000C,00200,0200,MARINER PAN 95103,A81000C,00200,0400,AMER PHARM SVCS 95103,A81000C,00200,0600,PHARMACEUTICALS 95103,A81000C,00300,0100,G 95103,A81000C,00300,0200,MARINER PAN 95103,A81000C,00300,0400,PRISM-ATS-ARS-T 95103,A81000C,00300,0600,THERAPIES 95103,A81000C,03100,0000,MARINER PAN 95103,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95103,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95103,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95103,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95103,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95103,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95103,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95103,B100000,00000,0800,00001MEALS SERVED :DIETARY 95103,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95103,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95103,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95103,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95103,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95103,E10A180,00350,0100,01/20/1999 95103,E10A180,00351,0100,03/31/1999 95103,E10A180,00352,0100,07/21/1999 95103,E10A180,00353,0100,09/29/1999 95103,E10A180,00354,0100,01/10/2000 95103,S000000,00100,0200,03/03/2000 95103,S200000,00100,0100,750 FARM ROAD 1293 95103,S200000,00100,0300,BOX 940 95103,S200000,00200,0100,KOUNTZE 95103,S200000,00200,0200,TX 95103,S200000,00200,0300,77625- 95103,S200000,00300,0100,HARDIN 95103,S200000,00300,0200,0840 95103,S200000,00300,0300,U 95103,S200000,00400,0100,KOUNTZE NURSING CENTER 95103,S200000,00400,0200,455594 95103,S200000,00400,0300,10/23/1985 95103,S200000,00400,0500,P 95103,S200000,01600,0100,Y 95103,S200000,02200,0100,Y 95103,S200000,04300,0100,Y 95112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95112,A000000,00300,0000,00300EMPLOYEE BENEFITS 95112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95112,A000000,00700,0000,00700HOUSEKEEPING 95112,A000000,00800,0000,00800DIETARY 95112,A000000,00900,0000,00900NURSING ADMINISTRATION 95112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95112,A000000,01300,0000,01300SOCIAL SERVICE 95112,A000000,01301,0000,01301ACTIVITES 95112,A000000,01350,0000,01500REHABILITATION 95112,A000000,01600,0000,01600SKILLED NURSING FACILITY 95112,A000000,01800,0000,01800NURSING FACILITY 95112,A000000,01900,0000,01900OTHER LONG TERM CARE 95112,A000000,02100,0000,02100RADIOLOGY 95112,A000000,02200,0000,02200LABORATORY 95112,A000000,02300,0000,02300INTRAVENOUS THERAPY 95112,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95112,A000000,02500,0000,02500PHYSICAL THERAPY 95112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95112,A000000,02700,0000,02700SPEECH PATHOLOGY 95112,A000000,02800,0000,02800ELECTROCARDIOLOGY 95112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95112,A000000,03050,0000,03300EQUIPMENT RENTAL 95112,A000000,03051,0000,03301PEN THERAPY 95112,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95112,A000000,03200,0000,03200SUPPORT SURFACES 95112,A000000,04800,0000,04800AMBULANCE 95112,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95112,A000000,05300,0000,05300INTEREST EXPENSE 95112,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95112,A000000,06150,0000,06300VENDING 95112,A000000,06151,0000,06301STAND-BY 95112,A000000,06200,0000,06200PATIENTS LAUNDRY 95112,A81000A,00100,0100,Y 95112,A81000B,00100,0300,HOME OFFICE COST 95112,A81000B,00200,0300,DIETARY SUPPLEMENTS 95112,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95112,A81000B,00400,0300,PRESCRIPTION DRUGS 95112,A81000B,00500,0300,MEDICAL SUPPLIES 95112,A81000B,00600,0300,ADMIN COSTS 95112,A81000B,00700,0300,HOME OFFICE INTEREST 95112,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95112,A81000B,00900,0300,IV THERAPY 95112,A81000B,01000,0300,THERAPY CONSULTING 95112,A81000B,01100,0300,PHYSICAL THERAPY 95112,A81000B,01200,0300,OCCUPATIONAL THERAPY 95112,A81000B,01300,0300,SPEECH THERAPY 95112,A81000B,01400,0300,ANC EQUIP RENTAL 95112,A81000B,01500,0300,PEN 95112,A81000B,01600,0300,RT SUPPLIES 95112,A81000B,01700,0300,CAPITAL 95112,A81000B,01800,0300,PT SUPPLIES 95112,A81000C,00100,0100,B 95112,A81000C,00100,0200,MEMORIAL MEDICA 95112,A81000C,00100,0400,MARINER PAN 95112,A81000C,00100,0600,NURSING HOMES 95112,A81000C,00200,0100,G 95112,A81000C,00200,0200,MARINER PAN 95112,A81000C,00200,0400,AMER PHARM SVCS 95112,A81000C,00200,0600,PHARMACEUTICALS 95112,A81000C,00300,0100,G 95112,A81000C,00300,0200,MARINER PAN 95112,A81000C,00300,0400,PRISM-ATS-ARS-T 95112,A81000C,00300,0600,THERAPIES 95112,A81000C,03100,0000,MARINER PAN 95112,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95112,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95112,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95112,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95112,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95112,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95112,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95112,B100000,00000,0800,00001MEALS SERVED :DIETARY 95112,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95112,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95112,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95112,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95112,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95112,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95112,E10A180,00301,0100,01/06/1999 95112,E10A180,00302,0100,09/29/1999 95112,E10A180,00350,0100,03/31/1999 95112,E10A180,00351,0100,07/21/1999 95112,E10A180,00352,0100,01/10/2000 95112,S000000,00100,0200,03/03/2000 95112,S200000,00100,0100,315 LEWIS 95112,S200000,00200,0100,SAN ANTONIO 95112,S200000,00200,0200,TX 95112,S200000,00200,0300,78212- 95112,S200000,00300,0100,BEXAR 95112,S200000,00400,0100,MEMORIAL MEDICAL NURSING CENTER 95112,S200000,00400,0200,455597 95112,S200000,00400,0300,09/20/1985 95112,S200000,00400,0500,P 95112,S200000,01600,0100,Y 95112,S200000,02200,0100,Y 95112,S200000,04300,0100,Y 95112,S700003,00000,0100,1 95121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95121,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 95121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95121,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 95121,A000000,00300,0000,00300EMPLOYEE BENEFITS 95121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95121,A000000,00700,0000,00700HOUSEKEEPING 95121,A000000,00800,0000,00800DIETARY 95121,A000000,00801,0000,00801CAFETERIA 95121,A000000,00900,0000,00900NURSING ADMINISTRATION 95121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95121,A000000,01100,0000,01100PHARMACY 95121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95121,A000000,01300,0000,01300SOCIAL SERVICE 95121,A000000,01350,0000,01500ACTIVITIES 95121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95121,A000000,01600,0000,01600SKILLED NURSING FACILITY 95121,A000000,01800,0000,01800NURSING FACILITY 95121,A000000,01900,0000,01900OTHER LONG TERM CARE 95121,A000000,02100,0000,02100RADIOLOGY 95121,A000000,02200,0000,02200LABORATORY 95121,A000000,02300,0000,02300INTRAVENOUS THERAPY 95121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95121,A000000,02500,0000,02500PHYSICAL THERAPY 95121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95121,A000000,02700,0000,02700SPEECH PATHOLOGY 95121,A000000,02800,0000,02800ELECTROCARDIOLOGY 95121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95121,A000000,03050,0000,03300OTHER ANCILLARY 95121,A000000,03051,0000,03301OTHER ANCILLARY II 95121,A000000,03052,0000,03302OTHER ANCILLARY III 95121,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95121,A000000,03200,0000,03200SUPPORT SURFACES 95121,A000000,03400,0000,03400CLINIC 95121,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 95121,A000000,03500,0000,03500RURAL HEALTH CLINIC 95121,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95121,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95121,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95121,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95121,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95121,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95121,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95121,A000000,04400,0000,04400DME RENTED - HHA 95121,A000000,04500,0000,04500DME SOLD - HHA 95121,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95121,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95121,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95121,A000000,04800,0000,04800AMBULANCE 95121,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95121,A000000,05000,0000,05000CORF 95121,A000000,05010,0000,05010CMHC I 95121,A000000,05020,0000,05020OPT I 95121,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95121,A000000,05300,0000,05300INTEREST EXPENSE 95121,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 95121,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 95121,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95121,A000000,05500,0000,05500HOSPICE 95121,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95121,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95121,A000000,06100,0000,06100NONPAID WORKERS 95121,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95121,A000000,06200,0000,06200PATIENTS LAUNDRY 95121,A81000A,00100,0100,Y 95121,A81000B,00100,0300,HO MGMT FEE 95121,A81000B,00200,0300,NURSING ADMIN 95121,A81000C,00100,0100,B 95121,A81000C,00100,0400,REGENCY NURSING 95121,A81000C,00100,0600,HEALTHCARE 95121,A81000C,00200,0400,& REHAB INC 95121,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95121,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 95121,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95121,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 95121,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95121,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95121,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 95121,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 95121,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95121,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 95121,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 95121,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 95121,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 95121,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 95121,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 95121,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 95121,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 95121,S000000,00100,0200,06/01/2000 95121,S200000,00100,0100,2806 REAL STREET 95121,S200000,00200,0100,AUSTIN 95121,S200000,00200,0200,TX 95121,S200000,00200,0300,78722- 95121,S200000,00300,0100,TRAVIS 95121,S200000,00400,0100,HERITAGE PARK R.S.N. CTR. 95121,S200000,00400,0200,455599 95121,S200000,00400,0300,04/12/1993 95121,S200000,00400,0500,P 95121,S200000,01600,0100,Y 95121,S200000,02200,0100,Y 95121,S200000,04300,0100,Y 95121,S700003,00000,0100,1 95129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95129,A000000,00300,0000,00300EMPLOYEE BENEFITS 95129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95129,A000000,00700,0000,00700HOUSEKEEPING 95129,A000000,00800,0000,00800DIETARY 95129,A000000,00900,0000,00900NURSING ADMINISTRATION 95129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95129,A000000,01100,0000,01100PHARMACY 95129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95129,A000000,01300,0000,01300SOCIAL SERVICE 95129,A000000,01350,0000,01500OTHER GENERAL SERVICES 95129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95129,A000000,01600,0000,01600SKILLED NURSING FACILITY 95129,A000000,01800,0000,01800NURSING FACILITY 95129,A000000,01810,0000,01801ICF/MR 95129,A000000,01900,0000,01900OTHER LONG TERM CARE 95129,A000000,02100,0000,02100RADIOLOGY 95129,A000000,02200,0000,02200LABORATORY 95129,A000000,02300,0000,02300INTRAVENOUS THERAPY 95129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95129,A000000,02500,0000,02500PHYSICAL THERAPY 95129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95129,A000000,02700,0000,02700SPEECH PATHOLOGY 95129,A000000,02800,0000,02800ELECTROCARDIOLOGY 95129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95129,A000000,03050,0000,03300MEDICARE PART B SERVICES 95129,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95129,A000000,03200,0000,03200SUPPORT SURFACES 95129,A000000,03400,0000,03400CLINIC 95129,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95129,A000000,03500,0000,03500RURAL HEALTH CLINIC 95129,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95129,A000000,04800,0000,04800AMBULANCE 95129,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95129,A000000,05000,0000,05000CORF 95129,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95129,A000000,05300,0000,05300INTEREST EXPENSE 95129,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95129,A000000,05500,0000,05500HOSPICE 95129,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95129,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95129,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95129,A000000,06100,0000,06100NONPAID WORKERS 95129,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95129,A000000,06200,0000,06200PATIENTS LAUNDRY 95129,A81000A,00100,0100,Y 95129,A81000B,00100,0300,CENTRAL OFFICE COSTS 95129,A81000B,00200,0300,CENTRAL OFFICE COSTS 95129,A81000B,00300,0300,CENTRAL OFFICE COSTS 95129,A81000B,00400,0300,RENTAL/LEASE BLDG & EQUIP 95129,A81000B,00500,0300,RENTAL/LEASE BLDG & EQUIP 95129,A81000C,00100,0100,B 95129,A81000C,00100,0200,MARWITZ HEALTHCARE SERVIC 95129,A81000C,00100,0400,HEALTHCARE & OTHER 95129,A81000C,00100,0600,NURSING HOME CHAIN 95129,A81000C,00200,0100,B 95129,A81000C,00200,0200,MARWITZ HEALTHCARE SERVIC 95129,A81000C,00200,0400,MANAGEMENT SERVICES 95129,A81000C,00200,0600,NURSING HOME 95129,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95129,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95129,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95129,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95129,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95129,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95129,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95129,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95129,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 95129,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95129,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95129,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95129,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95129,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95129,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95129,S000000,00100,0200,05/02/2000 95129,S200000,00100,0100,ROUTE 5 BOX 23 95129,S200000,00200,0100,COMANCHE 95129,S200000,00200,0200,TX 95129,S200000,00200,0300,76442- 95129,S200000,00300,0100,COMANCHE 95129,S200000,00400,0100,WESTERN HILLS NURSING HOME 95129,S200000,00400,0200,455602 95129,S200000,00400,0300,11/14/1985 95129,S200000,00400,0500,P 95129,S200000,01004,0500,O 95129,S200000,01600,0100,Y 95129,S700003,00000,0100,1 95139,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95139,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95139,A000000,00300,0000,00300EMPLOYEE BENEFITS 95139,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95139,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95139,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95139,A000000,00700,0000,00700HOUSEKEEPING 95139,A000000,00800,0000,00800DIETARY 95139,A000000,00900,0000,00900NURSING ADMINISTRATION 95139,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95139,A000000,01100,0000,01100PHARMACY 95139,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95139,A000000,01300,0000,01300SOCIAL SERVICE 95139,A000000,01600,0000,01600SKILLED NURSING FACILITY 95139,A000000,01800,0000,01800NURSING FACILITY 95139,A000000,02100,0000,02100RADIOLOGY 95139,A000000,02200,0000,02200LABORATORY 95139,A000000,02300,0000,02300INTRAVENOUS THERAPY 95139,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95139,A000000,02500,0000,02500PHYSICAL THERAPY 95139,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95139,A000000,02700,0000,02700SPEECH PATHOLOGY 95139,A000000,02800,0000,02800ELECTROCARDIOLOGY 95139,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95139,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95139,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95139,A000000,05300,0000,05300INTEREST EXPENSE 95139,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95139,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95139,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95139,A000000,06200,0000,06200PATIENTS LAUNDRY 95139,A81000A,00100,0100,Y 95139,A81000B,00100,0300,GENERAL PARTNER FEES 95139,A81000B,00200,0300,BOOKKEEPING FEES 95139,A81000C,00100,0100,B 95139,A81000C,00100,0400,GRAND COURT 95139,A81000C,00100,0600,MANAGEMENT CO 95139,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95139,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 95139,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95139,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95139,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 95139,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95139,B100000,00000,0800,00000MEALS SERVED :DIETARY 95139,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 95139,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 95139,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95139,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95139,S000000,00100,0200,05/31/2000 95139,S200000,00100,0100,5100 NEWCOME DRIVE 95139,S200000,00200,0100,SAN ANTONIO 95139,S200000,00200,0200,TX 95139,S200000,00200,0300,78229- 95139,S200000,00300,0100,BEXAR 95139,S200000,00300,0200,7240 95139,S200000,00300,0300,U 95139,S200000,00400,0100,GRAND COURT II SAN ANTONIO 95139,S200000,00400,0200,455603 95139,S200000,00400,0300,07/01/1987 95139,S200000,00400,0500,P 95139,S200000,01600,0100,Y 95139,S200000,03300,0100,Y 95139,S200000,03300,0200,Y 95153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95153,A000000,00300,0000,00300EMPLOYEE BENEFITS 95153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95153,A000000,00700,0000,00700HOUSEKEEPING 95153,A000000,00800,0000,00800DIETARY 95153,A000000,00900,0000,00900NURSING ADMINISTRATION 95153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95153,A000000,01300,0000,01300SOCIAL SERVICE 95153,A000000,01600,0000,01600SKILLED NURSING FACILITY 95153,A000000,01800,0000,01800NURSING FACILITY 95153,A000000,02100,0000,02100RADIOLOGY 95153,A000000,02200,0000,02200LABORATORY 95153,A000000,02300,0000,02300INTRAVENOUS THERAPY 95153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95153,A000000,02500,0000,02500PHYSICAL THERAPY 95153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95153,A000000,02700,0000,02700SPEECH PATHOLOGY 95153,A000000,02800,0000,02800ELECTROCARDIOLOGY 95153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95153,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95153,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95153,A000000,04800,0000,04800AMBULANCE 95153,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95153,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95153,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95153,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95153,A000000,06200,0000,06200PATIENTS LAUNDRY 95153,A81000A,00100,0100,Y 95153,A81000B,00100,0300,MANAGEMENT FEES 95153,A81000B,00200,0300,MGMT FEES-PROP COSTS 95153,A81000C,00100,0100,A 95153,A81000C,00100,0200,JAMES C. ROSNER 95153,A81000C,00100,0400,COMPREHENSIVE H 95153,A81000C,00100,0600,MGMT CO 95153,A81000C,00200,0100,A 95153,A81000C,00200,0200,LEO C. SAENGER 95153,A81000C,00200,0400,CHCA 95153,A81000C,00200,0600,MGMT CO 95153,A81000C,00300,0100,A 95153,A81000C,00300,0200,RICHARD L. KIST 95153,A81000C,00300,0400,CHCA 95153,A81000C,00300,0600,MGMT CO 95153,A81000C,00400,0100,A 95153,A81000C,00400,0200,H.D.BURKEMPER T 95153,A81000C,00400,0400,CHCA 95153,A81000C,00400,0600,MGMT CO 95153,A81000C,00500,0100,A 95153,A81000C,00500,0200,H.D. BALL TRUST 95153,A81000C,00500,0400,CHCA 95153,A81000C,00500,0600,MGMT CO 95153,A81000C,00600,0100,A 95153,A81000C,00600,0200,H.D. ROSNER TRU 95153,A81000C,00600,0400,CHCA 95153,A81000C,00600,0600,MGMT CO 95153,A81000C,00700,0100,F 95153,A81000C,00700,0200,JAMES J. THORPE 95153,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95153,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95153,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95153,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95153,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95153,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95153,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95153,B100000,00000,0800,00000MEALS SERVED :DIETARY 95153,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95153,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95153,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95153,S000000,00100,0200,05/30/2000 95153,S200000,00100,0100,1402 WEST ELM 95153,S200000,00200,0100,OLNEY 95153,S200000,00200,0200,TE 95153,S200000,00200,0300,76374-0188 95153,S200000,00300,0100,YOUNG 95153,S200000,00400,0100,SEVEN OAKS NURSING HOME 95153,S200000,00400,0200,455611 95153,S200000,00400,0300,04/01/1986 95153,S200000,00400,0500,P 95153,S200000,01600,0100,Y 95161,S000000,00100,0200,11/12/2001 95167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95167,A000000,00300,0000,00300EMPLOYEE BENEFITS 95167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95167,A000000,00501,0000,00501PLANT OPERATION-HCC 95167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95167,A000000,00700,0000,00700HOUSEKEEPING 95167,A000000,00800,0000,00800DIETARY 95167,A000000,00900,0000,00900NURSING ADMINISTRATION 95167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95167,A000000,01100,0000,01100PHARMACY 95167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95167,A000000,01300,0000,01300SOCIAL SERVICE 95167,A000000,01350,0000,01500OTHER GENERAL SERVICES 95167,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95167,A000000,01600,0000,01600SKILLED NURSING FACILITY 95167,A000000,01800,0000,01800NURSING FACILITY 95167,A000000,01810,0000,01810ICF/MR 95167,A000000,01900,0000,01900OTHER LONG TERM CARE 95167,A000000,02100,0000,02100RADIOLOGY 95167,A000000,02200,0000,02200LABORATORY 95167,A000000,02300,0000,02300INTRAVENOUS THERAPY 95167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95167,A000000,02500,0000,02500PHYSICAL THERAPY 95167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95167,A000000,02700,0000,02700SPEECH PATHOLOGY 95167,A000000,02800,0000,02800ELECTROCARDIOLOGY 95167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95167,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95167,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95167,A000000,03200,0000,03200SUPPORT SURFACES 95167,A000000,03400,0000,03400CLINIC 95167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95167,A000000,03500,0000,03500RURAL HEALTH CLINIC 95167,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95167,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95167,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95167,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95167,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95167,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95167,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95167,A000000,04400,0000,04400DME RENTED - HHA 95167,A000000,04500,0000,04500DME SOLD - HHA 95167,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95167,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95167,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95167,A000000,04800,0000,04800AMBULANCE 95167,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95167,A000000,05000,0000,05000CORF 95167,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95167,A000000,05300,0000,05300INTEREST EXPENSE 95167,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95167,A000000,05500,0000,05500HOSPICE 95167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95167,A000000,06100,0000,06100NONPAID WORKERS 95167,A000000,06150,0000,06300OTHER REIMBURSABLE COST 95167,A000000,06151,0000,06301PERSONAL CARE UNIT 95167,A000000,06152,0000,06302APARTMENTS 95167,A000000,06153,0000,06303FEE SCREEN (NONREIMB) 95167,A000000,06200,0000,06200PATIENTS LAUNDRY 95167,A81000A,00100,0100,Y 95167,A81000B,00100,0300,HOME OFFICE COSTS 95167,A81000B,00200,0300,HHA SPACE - FT WORTH 95167,A81000B,00300,0300,ADMINISTRATION SALARY 95167,A81000C,00100,0100,B 95167,A81000C,00100,0200,CHRISTIAN CARE CENTERS 95167,A81000C,00100,0600,CORPORATE HOME OFFICE 95167,A81000C,00200,0100,B 95167,A81000C,00200,0200,CHRISTIAN CARE CENTERS 95167,A81000C,00200,0400,LAKEWOOD VILLAGE 95167,A81000C,00200,0600,NURSING FACILITY 95167,A81000C,00300,0100,G 95167,A81000C,00300,0200,CRAIG GRIFFITH 95167,A81000C,00300,0400,DR. JOHN LOSHER 95167,A81000C,00300,0600,PRESIDENT & CEO 95167,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 95167,B100000,00000,0200,00003DOLLAR VALUE :CAP REL COSTS - MOVA 95167,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 95167,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 95167,B100000,00000,0501,00003SQUARE FEET :PLANT OPERATION-HCC 95167,B100000,00000,0550,00003NO STATISTICS :PLANT OPERATION MA 95167,B100000,00000,0600,00003POUNDS OF LAUNDRY :LAUNDRY & LINEN 95167,B100000,00000,0750,00003SQUARE FEET CLEA :HOUSEKEEPING 95167,B100000,00000,0800,00003MEALS SERVED :DIETARY 95167,B100000,00000,0950,00003SALARIES SUPERVISED :NURSING ADMIN 95167,B100000,00000,1000,00003COSTED REQUIS. :CENTRAL SERVICES & 95167,B100000,00000,1100,00003COSTED REQUIS. :PHARMACY 95167,B100000,00000,1250,00003NO STATISTICS :MEDICAL RECORDS & L 95167,B100000,00000,1330,00003NO STATISTICS :SOCIAL SERVICE 95167,B100000,00000,1350,00003NO STATISTICS :OTHER GENERAL SERVI 95167,B100000,00000,1400,00003ASSIGNED TIME :INTERNS & RESIDENTS 95167,H510100,00000,0000,1920 95167,H510100,02400,0000,1920 95167,H510100,02401,0000,2800 95167,H510200,00000,0000,2800 95167,H710000,00301,0100,11/17/1999 95167,S000000,00100,0200,06/06/2000 95167,S200000,00100,0100,1000 WIGGINS PARKWAY 95167,S200000,00200,0100,MESQUITE 95167,S200000,00200,0200,TX 95167,S200000,00200,0300,75150- 95167,S200000,00300,0100,DALLAS 95167,S200000,00400,0100,CHRISTIAN CARE CENTER-MESQUITE 95167,S200000,00400,0200,455617 95167,S200000,00400,0300,12/12/1985 95167,S200000,00400,0500,P 95167,S200000,00800,0200,678148 95167,S200000,00800,0300,02/29/1996 95167,S200000,00800,0500,P 95167,S200000,01600,0100,Y 95175,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95175,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95175,A000000,00300,0000,00300EMPLOYEE BENEFITS 95175,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95175,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95175,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95175,A000000,00700,0000,00700HOUSEKEEPING 95175,A000000,00800,0000,00800DIETARY 95175,A000000,00900,0000,00900NURSING ADMINISTRATION 95175,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95175,A000000,01100,0000,01100PHARMACY 95175,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95175,A000000,01300,0000,01300SOCIAL SERVICE 95175,A000000,01350,0000,01500OTHER GENERAL SERVICES 95175,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95175,A000000,01600,0000,01600SKILLED NURSING FACILITY 95175,A000000,01800,0000,01800NURSING FACILITY 95175,A000000,01810,0000,01810ICF/MR 95175,A000000,01900,0000,01900OTHER LONG TERM CARE 95175,A000000,02100,0000,02100RADIOLOGY 95175,A000000,02200,0000,02200LABORATORY 95175,A000000,02300,0000,02300INTRAVENOUS THERAPY 95175,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95175,A000000,02500,0000,02500PHYSICAL THERAPY 95175,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95175,A000000,02700,0000,02700SPEECH PATHOLOGY 95175,A000000,02800,0000,02800ELECTROCARDIOLOGY 95175,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95175,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95175,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95175,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95175,A000000,03200,0000,03200SUPPORT SURFACES 95175,A000000,03400,0000,03400CLINIC 95175,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95175,A000000,03500,0000,03500RURAL HEALTH CLINIC 95175,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95175,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95175,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95175,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95175,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95175,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95175,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95175,A000000,04400,0000,04400DME RENTED - HHA 95175,A000000,04500,0000,04500DME SOLD - HHA 95175,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95175,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95175,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95175,A000000,04800,0000,04800AMBULANCE 95175,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95175,A000000,05000,0000,05000CORF 95175,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95175,A000000,05300,0000,05300INTEREST EXPENSE 95175,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95175,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95175,A000000,05500,0000,05500HOSPICE 95175,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95175,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95175,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95175,A000000,06100,0000,06100NONPAID WORKERS 95175,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95175,A000000,06200,0000,06200PATIENTS LAUNDRY 95175,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95175,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95175,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95175,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95175,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95175,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95175,B100000,00000,0800,00000MEALS SERVED :DIETARY 95175,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 95175,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95175,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95175,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95175,S000000,00100,0200,06/01/2000 95175,S200000,00100,0100,631 LAKEVIEW BLVD. 95175,S200000,00200,0100,NEW BRAUNFELS 95175,S200000,00200,0200,TX 95175,S200000,00200,0300,78130- 95175,S200000,00300,0100,COMAL 95175,S200000,00300,0200,7240 95175,S200000,00300,0300,U 95175,S200000,00400,0100,EDEN HOME INC. 95175,S200000,00400,0200,455618 95175,S200000,00400,0300,01/01/1986 95175,S200000,00400,0500,P 95175,S200000,01600,0100,Y 95182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95182,A000000,00300,0000,00300EMPLOYEE BENEFITS 95182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95182,A000000,00700,0000,00700HOUSEKEEPING 95182,A000000,00800,0000,00800DIETARY 95182,A000000,00900,0000,00900NURSING ADMINISTRATION 95182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95182,A000000,01100,0000,01100PHARMACY 95182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95182,A000000,01300,0000,01300SOCIAL SERVICE 95182,A000000,01350,0000,01500OTHER GENERAL SERVICES 95182,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95182,A000000,01600,0000,01600SKILLED NURSING FACILITY 95182,A000000,01800,0000,01800NURSING FACILITY 95182,A000000,01810,0000,01810ICF/MR 95182,A000000,01900,0000,01900OTHER LONG TERM CARE 95182,A000000,02100,0000,02100RADIOLOGY 95182,A000000,02200,0000,02200LABORATORY 95182,A000000,02300,0000,02300INTRAVENOUS THERAPY 95182,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95182,A000000,02500,0000,02500PHYSICAL THERAPY 95182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95182,A000000,02700,0000,02700SPEECH PATHOLOGY 95182,A000000,02800,0000,02800ELECTROCARDIOLOGY 95182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95182,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95182,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95182,A000000,03200,0000,03200SUPPORT SURFACES 95182,A000000,03400,0000,03400CLINIC 95182,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95182,A000000,03500,0000,03500RURAL HEALTH CLINIC 95182,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95182,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95182,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95182,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95182,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95182,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95182,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95182,A000000,04400,0000,04400DME RENTED - HHA 95182,A000000,04500,0000,04500DME SOLD - HHA 95182,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95182,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95182,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95182,A000000,04800,0000,04800AMBULANCE 95182,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95182,A000000,05000,0000,05000CORF 95182,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95182,A000000,05300,0000,05300INTEREST EXPENSE 95182,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95182,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95182,A000000,05500,0000,05500HOSPICE 95182,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95182,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95182,A000000,06100,0000,06100NONPAID WORKERS 95182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95182,A000000,06200,0000,06200PATIENTS LAUNDRY 95182,A81000A,00100,0100,Y 95182,A81000B,00100,0300,HOME OFFICE COSTS 95182,A81000B,00200,0300,HOME OFFICE COSTS 95182,A81000C,00100,0100,A 95182,A81000C,00100,0200,GLEN HAMEL 95182,A81000C,00100,0400,ELDER CARE MGMT SVC INC. 95182,A81000C,00100,0600,MANAGEMENT COMPANY 95182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95182,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95182,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95182,B100000,00000,0800,00000MEALS SERVED :DIETARY 95182,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 95182,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95182,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95182,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95182,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95182,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95182,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95182,E10A180,00302,0100,12/13/1999 95182,S000000,00100,0200,05/30/2000 95182,S200000,00100,0100,1212 S BRIDGE AVE 95182,S200000,00200,0100,WESLACO 95182,S200000,00200,0200,TX 95182,S200000,00200,0300,78596- 95182,S200000,00300,0100,HIDALGO 95182,S200000,00400,0100,VALLEY GRANDE MANOR 95182,S200000,00400,0200,455621 95182,S200000,00400,0300,02/28/1986 95182,S200000,00400,0500,P 95182,S200000,01600,0100,Y 95190,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95190,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95190,A000000,00300,0000,00300EMPLOYEE BENEFITS 95190,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95190,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95190,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95190,A000000,00700,0000,00700HOUSEKEEPING 95190,A000000,00800,0000,00800DIETARY 95190,A000000,00900,0000,00900NURSING ADMINISTRATION 95190,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95190,A000000,01100,0000,01100PHARMACY 95190,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95190,A000000,01300,0000,01300SOCIAL SERVICE 95190,A000000,01351,0000,01301ACTIVITIES 95190,A000000,01600,0000,01600SKILLED NURSING FACILITY 95190,A000000,01800,0000,01800NURSING FACILITY 95190,A000000,02100,0000,02100RADIOLOGY 95190,A000000,02200,0000,02200LABORATORY 95190,A000000,02300,0000,02300INTRAVENOUS THERAPY 95190,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95190,A000000,02500,0000,02500PHYSICAL THERAPY 95190,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95190,A000000,02700,0000,02700SPEECH PATHOLOGY 95190,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95190,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95190,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95190,A000000,03051,0000,03301MEDICAL EQUIPMENT 95190,A000000,04800,0000,04800AMBULANCE 95190,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95190,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95190,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95190,A81000A,00100,0100,Y 95190,A81000B,00100,0300,HOME OFFICE CAPITAL 95190,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95190,A81000B,00300,0300,WAREHOUSE 95190,A81000C,00100,0100,A 95190,A81000C,00100,0200,PETER C. KERN 95190,A81000C,00100,0400,HEA MANAGEMENT GROUP 95190,A81000C,00100,0600,HOME OFFICE 95190,A81000C,00200,0100,A 95190,A81000C,00200,0200,PETER C. KERN 95190,A81000C,00200,0400,WAREHOUSE STORAGE 95190,A81000C,00200,0600,OLD RECORD STORAGE 95190,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95190,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95190,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95190,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95190,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95190,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95190,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95190,B100000,00000,0800,00000MEALS SERVED :DIETARY 95190,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95190,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95190,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95190,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95190,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95190,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95190,S000000,00100,0200,04/24/2000 95190,S200000,00100,0100,2337 DOREEN STREET 95190,S200000,00200,0100,GRAND PRARIE 95190,S200000,00200,0200,TX 95190,S200000,00200,0300,75050- 95190,S200000,00300,0100,DALLAS 95190,S200000,00300,0200,1920 95190,S200000,00300,0300,U 95190,S200000,00400,0100,PRARIE MEADOWS NURSING HOME 95190,S200000,00400,0200,455624 95190,S200000,00400,0300,04/01/1993 95190,S200000,00400,0500,P 95190,S200000,01600,0100,Y 95190,S200000,02200,0100,Y 95190,S200000,04300,0100,Y 95197,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95197,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95197,A000000,00300,0000,00300EMPLOYEE BENEFITS 95197,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95197,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95197,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95197,A000000,00700,0000,00700HOUSEKEEPING 95197,A000000,00800,0000,00800DIETARY 95197,A000000,00900,0000,00900NURSING ADMINISTRATION 95197,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95197,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95197,A000000,01300,0000,01300SOCIAL SERVICE 95197,A000000,01301,0000,01301ACTIVITES 95197,A000000,01350,0000,01500REHABILITATION 95197,A000000,01600,0000,01600SKILLED NURSING FACILITY 95197,A000000,01800,0000,01800NURSING FACILITY 95197,A000000,01900,0000,01900OTHER LONG TERM CARE 95197,A000000,02100,0000,02100RADIOLOGY 95197,A000000,02200,0000,02200LABORATORY 95197,A000000,02300,0000,02300INTRAVENOUS THERAPY 95197,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95197,A000000,02500,0000,02500PHYSICAL THERAPY 95197,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95197,A000000,02700,0000,02700SPEECH PATHOLOGY 95197,A000000,02800,0000,02800ELECTROCARDIOLOGY 95197,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95197,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95197,A000000,03050,0000,03300EQUIPMENT RENTAL 95197,A000000,03051,0000,03301PEN THERAPY 95197,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95197,A000000,03200,0000,03200SUPPORT SURFACES 95197,A000000,04800,0000,04800AMBULANCE 95197,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95197,A000000,05300,0000,05300INTEREST EXPENSE 95197,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95197,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95197,A000000,06150,0000,06300VENDING 95197,A000000,06151,0000,06301STAND-BY 95197,A000000,06200,0000,06200PATIENTS LAUNDRY 95197,A81000A,00100,0100,Y 95197,A81000B,00100,0300,HOME OFFICE COST 95197,A81000B,00200,0300,DIETARY SUPPLEMENTS 95197,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95197,A81000B,00400,0300,PRESCRIPTION DRUGS 95197,A81000B,00500,0300,MEDICAL SUPPLIES 95197,A81000B,00600,0300,ADMIN COSTS 95197,A81000B,00700,0300,HOME OFFICE INTEREST 95197,A81000B,00800,0300,ST EQUIP. RENTAL 95197,A81000B,00900,0300,IV THERAPY 95197,A81000B,01000,0300,THERAPY CONSULTING 95197,A81000B,01100,0300,PHYSICAL THERAPY 95197,A81000B,01200,0300,OCCUPATIONAL THERAPY 95197,A81000B,01300,0300,SPEECH THERAPY 95197,A81000B,01400,0300,ANC EQUIP RENTAL 95197,A81000B,01500,0300,TRAINING & EDUCATION 95197,A81000C,00100,0100,B 95197,A81000C,00100,0200,HILLTOP VILLAGE 95197,A81000C,00100,0400,MARINER PAN 95197,A81000C,00100,0600,NURSING HOMES 95197,A81000C,00200,0100,G 95197,A81000C,00200,0200,MARINER PAN 95197,A81000C,00200,0400,AMER PHARM SVCS 95197,A81000C,00200,0600,PHARMACEUTICALS 95197,A81000C,00300,0100,G 95197,A81000C,00300,0200,MARINER PAN 95197,A81000C,00300,0400,PRISM-ATS-ARS-T 95197,A81000C,00300,0600,THERAPIES 95197,A81000C,03100,0000,MARINER PAN 95197,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95197,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95197,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95197,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95197,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95197,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95197,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95197,B100000,00000,0800,00001MEALS SERVED :DIETARY 95197,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95197,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95197,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95197,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95197,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95197,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95197,E10A180,00301,0100,01/10/2000 95197,E10A180,00302,0100,03/31/1999 95197,E10A180,00303,0100,09/29/1999 95197,E10A180,00350,0100,01/20/1999 95197,E10A180,00351,0100,07/21/1999 95197,S000000,00100,0200,03/03/2000 95197,S200000,00100,0100,HILLTOP CIRCLE 95197,S200000,00200,0100,KERRVILLE 95197,S200000,00200,0200,CA 95197,S200000,00200,0300,78028- 95197,S200000,00300,0100,KERR 95197,S200000,00400,0100,HILLTOP VILLAGE 95197,S200000,00400,0200,455628 95197,S200000,00400,0300,06/01/1987 95197,S200000,00400,0500,P 95197,S200000,01600,0100,Y 95197,S200000,02200,0100,Y 95197,S200000,04300,0100,Y 95206,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95206,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95206,A000000,00300,0000,00300EMPLOYEE BENEFITS 95206,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95206,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95206,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95206,A000000,00700,0000,00700HOUSEKEEPING 95206,A000000,00800,0000,00800DIETARY 95206,A000000,00900,0000,00900NURSING ADMINISTRATION 95206,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95206,A000000,01100,0000,01100PHARMACY 95206,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95206,A000000,01300,0000,01300SOCIAL SERVICE 95206,A000000,01350,0000,01500OTHER GENERAL SERVICES 95206,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95206,A000000,01600,0000,01600SKILLED NURSING FACILITY 95206,A000000,01800,0000,01800NURSING FACILITY 95206,A000000,01810,0000,01801ICF/MR 95206,A000000,01900,0000,01900OTHER LONG TERM CARE 95206,A000000,02100,0000,02100RADIOLOGY 95206,A000000,02200,0000,02200LABORATORY 95206,A000000,02300,0000,02300INTRAVENOUS THERAPY 95206,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95206,A000000,02500,0000,02500PHYSICAL THERAPY 95206,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95206,A000000,02700,0000,02700SPEECH PATHOLOGY 95206,A000000,02800,0000,02800ELECTROCARDIOLOGY 95206,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95206,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95206,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95206,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95206,A000000,03200,0000,03200SUPPORT SURFACES 95206,A000000,03400,0000,03400CLINIC 95206,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95206,A000000,03500,0000,03500RURAL HEALTH CLINIC 95206,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95206,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95206,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95206,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95206,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95206,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95206,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95206,A000000,04400,0000,04400DME RENTED - HHA 95206,A000000,04500,0000,04500DME SOLD - HHA 95206,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95206,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95206,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95206,A000000,04800,0000,04800AMBULANCE 95206,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95206,A000000,05000,0000,05000CORF 95206,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95206,A000000,05300,0000,05300INTEREST EXPENSE 95206,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95206,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95206,A000000,05500,0000,05500HOSPICE 95206,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95206,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95206,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95206,A000000,06100,0000,06100NONPAID WORKERS 95206,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95206,A000000,06200,0000,06200PATIENTS LAUNDRY 95206,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95206,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95206,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95206,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95206,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95206,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95206,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95206,B100000,00000,0800,00000MEALS SERVED :DIETARY 95206,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95206,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 95206,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95206,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95206,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95206,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95206,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 95206,S000000,00100,0200,05/25/2000 95206,S200000,00100,0100,401 NORTHWEST 4TH ST 95206,S200000,00200,0100,MINERAL WELLS 95206,S200000,00200,0200,TX 95206,S200000,00200,0300,76076- 95206,S200000,00300,0100,PALO PINTO 95206,S200000,00400,0100,RESORT LODGE 95206,S200000,00400,0200,455634 95206,S200000,00400,0300,04/27/1996 95206,S200000,00400,0500,P 95206,S200000,01600,0100,Y 95206,S700003,00000,0400,4 95210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95210,A000000,00300,0000,00300EMPLOYEE BENEFITS 95210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95210,A000000,00700,0000,00700HOUSEKEEPING 95210,A000000,00800,0000,00800DIETARY 95210,A000000,00900,0000,00900NURSING ADMINISTRATION 95210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95210,A000000,01100,0000,01100PHARMACY 95210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95210,A000000,01300,0000,01300SOCIAL SERVICE 95210,A000000,01350,0000,01500OTHER GENERAL SERVICES 95210,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95210,A000000,01600,0000,01600SKILLED NURSING FACILITY 95210,A000000,01800,0000,01800NURSING FACILITY 95210,A000000,01810,0000,01801ICF/MR 95210,A000000,01900,0000,01900OTHER LONG TERM CARE 95210,A000000,02100,0000,02100RADIOLOGY 95210,A000000,02200,0000,02200LABORATORY 95210,A000000,02300,0000,02300INTRAVENOUS THERAPY 95210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95210,A000000,02500,0000,02500PHYSICAL THERAPY 95210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95210,A000000,02700,0000,02700SPEECH PATHOLOGY 95210,A000000,02800,0000,02800ELECTROCARDIOLOGY 95210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95210,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95210,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95210,A000000,03200,0000,03200SUPPORT SURFACES 95210,A000000,03400,0000,03400CLINIC 95210,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95210,A000000,03500,0000,03500RURAL HEALTH CLINIC 95210,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95210,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95210,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95210,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95210,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95210,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95210,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95210,A000000,04400,0000,04400DME RENTED - HHA 95210,A000000,04500,0000,04500DME SOLD - HHA 95210,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95210,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95210,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95210,A000000,04800,0000,04800AMBULANCE 95210,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95210,A000000,05000,0000,05000CORF 95210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95210,A000000,05300,0000,05300INTEREST EXPENSE 95210,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95210,A000000,05500,0000,05500HOSPICE 95210,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95210,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95210,A000000,06100,0000,06100NONPAID WORKERS 95210,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95210,A000000,06200,0000,06200PATIENTS LAUNDRY 95210,A81000A,00100,0100,Y 95210,A81000B,00100,0300,MANAGEMENT FEES 95210,A81000C,00100,0100,B 95210,A81000C,00100,0400,CAMLU CARE CENTERS INC 95210,A81000C,00100,0600,HEALTH CARE MGMT 95210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95210,B100000,00000,0300,00000GROSS SALARI :EMPLOYEE BENEFITS 95210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95210,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95210,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95210,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95210,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95210,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 95210,B100000,00000,1150,00000NO STATISTICS :PHARMACY 95210,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95210,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95210,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95210,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 95210,E10A180,00301,0300,01/24/2000 95210,S000000,00100,0200,05/10/2000 95210,S200000,00100,0100,1802 SOUTH 31ST STREET 95210,S200000,00200,0100,TEMPLE 95210,S200000,00200,0200,TX 95210,S200000,00200,0300,76504- 95210,S200000,00300,0100,BELL 95210,S200000,00400,0100,CAMLU CARE CENTER - TEMPLE 95210,S200000,00400,0200,455637 95210,S200000,00400,0300,06/01/1986 95210,S200000,00400,0500,P 95210,S200000,01500,0100,Y 95210,S200000,03100,0100,Y 95210,S700003,00000,0100,1 95212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95212,A000000,00300,0000,00300EMPLOYEE BENEFITS 95212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95212,A000000,00700,0000,00700HOUSEKEEPING 95212,A000000,00800,0000,00800DIETARY 95212,A000000,00900,0000,00900NURSING ADMINISTRATION 95212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95212,A000000,01100,0000,01100PHARMACY 95212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95212,A000000,01300,0000,01300SOCIAL SERVICE 95212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95212,A000000,01600,0000,01600SKILLED NURSING FACILITY 95212,A000000,01800,0000,01800NURSING FACILITY 95212,A000000,01810,0000,01810ICF/MR 95212,A000000,01900,0000,01900OTHER LONG TERM CARE 95212,A000000,02100,0000,02100RADIOLOGY 95212,A000000,02200,0000,02200LABORATORY 95212,A000000,02300,0000,02300INTRAVENOUS THERAPY 95212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95212,A000000,02500,0000,02500PHYSICAL THERAPY 95212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95212,A000000,02700,0000,02700SPEECH PATHOLOGY 95212,A000000,02800,0000,02800ELECTROCARDIOLOGY 95212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95212,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95212,A000000,03200,0000,03200SUPPORT SURFACES 95212,A000000,03400,0000,03400CLINIC 95212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95212,A000000,03500,0000,03500RURAL HEALTH CLINIC 95212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95212,A000000,04400,0000,04400DME RENTED - HHA 95212,A000000,04500,0000,04500DME SOLD - HHA 95212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95212,A000000,04800,0000,04800AMBULANCE 95212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95212,A000000,05000,0000,05000CORF 95212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95212,A000000,05300,0000,05300INTEREST EXPENSE 95212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95212,A000000,05500,0000,05500HOSPICE 95212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95212,A000000,06100,0000,06100NONPAID WORKERS 95212,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95212,A000000,06200,0000,06200PATIENTS LAUNDRY 95212,A81000A,00100,0100,Y 95212,A81000B,00100,0300,HOME OFFICE CAPITAL 95212,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 95212,A81000B,00300,0300,MANAGEMENT FEE 95212,A81000C,00100,0100,B 95212,A81000C,00100,0400,THE ENSIGN GROU 95212,A81000C,00100,0600,HOME OFFICE 95212,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95212,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95212,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95212,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95212,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95212,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95212,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95212,B100000,00000,0800,00000MEALS SERVED :DIETARY 95212,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95212,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95212,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95212,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95212,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95212,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95212,S000000,00100,0200,06/21/2000 95212,S200000,00100,0100,1802 SOUTH 31ST 95212,S200000,00200,0100,TEMPLE TX 76504 95212,S200000,00300,0100,SAN ANTONIO 95212,S200000,00400,0100,CAMLU CARE CENTER-TEMPLE 95212,S200000,00400,0200,455637 95212,S200000,00400,0300,06/01/1986 95212,S200000,00400,0500,P 95212,S200000,01600,0100,Y 95212,S700003,00000,0200,2 95220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95220,A000000,00300,0000,00300EMPLOYEE BENEFITS 95220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95220,A000000,00700,0000,00700HOUSEKEEPING 95220,A000000,00800,0000,00800DIETARY 95220,A000000,00900,0000,00900NURSING ADMINISTRATION 95220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95220,A000000,01300,0000,01300SOCIAL SERVICE 95220,A000000,01301,0000,01301ACTIVITES 95220,A000000,01350,0000,01500REHABILITATION 95220,A000000,01600,0000,01600SKILLED NURSING FACILITY 95220,A000000,01800,0000,01800NURSING FACILITY 95220,A000000,01900,0000,01900OTHER LONG TERM CARE 95220,A000000,02100,0000,02100RADIOLOGY 95220,A000000,02200,0000,02200LABORATORY 95220,A000000,02300,0000,02300INTRAVENOUS THERAPY 95220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95220,A000000,02500,0000,02500PHYSICAL THERAPY 95220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95220,A000000,02700,0000,02700SPEECH PATHOLOGY 95220,A000000,02800,0000,02800ELECTROCARDIOLOGY 95220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95220,A000000,03050,0000,03300EQUIPMENT RENTAL 95220,A000000,03051,0000,03301PEN THERAPY 95220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95220,A000000,03200,0000,03200SUPPORT SURFACES 95220,A000000,04800,0000,04800AMBULANCE 95220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95220,A000000,05300,0000,05300INTEREST EXPENSE 95220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95220,A000000,06150,0000,06300VENDING 95220,A000000,06151,0000,06301STAND-BY 95220,A000000,06200,0000,06200PATIENTS LAUNDRY 95220,A81000A,00100,0100,Y 95220,A81000B,00100,0300,HOME OFFICE COST 95220,A81000B,00200,0300,DIETARY SUPPLEMENTS 95220,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95220,A81000B,00400,0300,PRESCRIPTION DRUGS 95220,A81000B,00500,0300,MEDICAL SUPPLIES 95220,A81000B,00600,0300,ACTIVITIES SUPPLIES 95220,A81000B,00700,0300,HOME OFFICE INTEREST 95220,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95220,A81000B,00900,0300,IV THERAPY 95220,A81000B,01000,0300,PEN 95220,A81000B,01100,0300,PHYSICAL THERAPY 95220,A81000B,01200,0300,OCCUPATIONAL THERAPY 95220,A81000B,01300,0300,SPEECH THERAPY 95220,A81000C,00100,0100,B 95220,A81000C,00100,0200,GREENVIEW MANOR 95220,A81000C,00100,0400,MARINER PAN 95220,A81000C,00100,0600,NURSING HOMES 95220,A81000C,00200,0100,G 95220,A81000C,00200,0200,MARINER PAN 95220,A81000C,00200,0400,AMER PHARM SVCS 95220,A81000C,00200,0600,PHARMACEUTICALS 95220,A81000C,00300,0100,G 95220,A81000C,00300,0200,MARINER PAN 95220,A81000C,00300,0400,PRISM-ATS-ARS-T 95220,A81000C,00300,0600,THERAPIES 95220,A81000C,03100,0000,MARINER PAN 95220,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95220,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95220,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95220,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95220,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95220,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95220,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95220,B100000,00000,0800,00001MEALS SERVED :DIETARY 95220,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95220,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95220,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95220,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95220,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95220,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95220,E10A180,00301,0100,07/07/1999 95220,E10A180,00302,0100,07/21/1999 95220,E10A180,00303,0100,09/29/1999 95220,E10A180,00350,0100,01/20/1999 95220,E10A180,00351,0100,03/31/1999 95220,E10A180,00352,0100,01/10/2000 95220,S000000,00100,0200,03/03/2000 95220,S200000,00100,0100,401 OWEN LANE 95220,S200000,00200,0100,WACO 95220,S200000,00200,0200,TX 95220,S200000,00200,0300,76710- 95220,S200000,00300,0100,MCLENNAN 95220,S200000,00400,0100,GREENVIEW MANOR 95220,S200000,00400,0200,455638 95220,S200000,00400,0300,12/06/1986 95220,S200000,00400,0500,P 95220,S200000,01600,0100,Y 95220,S200000,02200,0100,Y 95220,S200000,04300,0100,Y 95220,S700003,00000,0100,1 95229,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95229,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 95229,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95229,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 95229,A000000,00300,0000,00300EMPLOYEE BENEFITS 95229,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95229,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95229,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95229,A000000,00700,0000,00700HOUSEKEEPING 95229,A000000,00800,0000,00800DIETARY 95229,A000000,00801,0000,00801CAFETERIA 95229,A000000,00900,0000,00900NURSING ADMINISTRATION 95229,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95229,A000000,01100,0000,01100PHARMACY 95229,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95229,A000000,01300,0000,01300SOCIAL SERVICE 95229,A000000,01350,0000,01500ACTIVITIES 95229,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95229,A000000,01600,0000,01600SKILLED NURSING FACILITY 95229,A000000,01800,0000,01800NURSING FACILITY 95229,A000000,01900,0000,01900OTHER LONG TERM CARE 95229,A000000,02100,0000,02100RADIOLOGY 95229,A000000,02200,0000,02200LABORATORY 95229,A000000,02300,0000,02300INTRAVENOUS THERAPY 95229,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95229,A000000,02500,0000,02500PHYSICAL THERAPY 95229,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95229,A000000,02700,0000,02700SPEECH PATHOLOGY 95229,A000000,02800,0000,02800ELECTROCARDIOLOGY 95229,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95229,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95229,A000000,03050,0000,03300PEN & UROLOGICALS 95229,A000000,03051,0000,03301OTHER ANCILLARY II 95229,A000000,03052,0000,03302OTHER ANCILLARY III 95229,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95229,A000000,03200,0000,03200SUPPORT SURFACES 95229,A000000,03400,0000,03400CLINIC 95229,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 95229,A000000,03500,0000,03500RURAL HEALTH CLINIC 95229,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95229,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95229,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95229,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95229,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95229,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95229,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95229,A000000,04400,0000,04400DME RENTED - HHA 95229,A000000,04500,0000,04500DME SOLD - HHA 95229,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95229,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95229,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95229,A000000,04800,0000,04800AMBULANCE 95229,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95229,A000000,05000,0000,05000CORF 95229,A000000,05010,0000,05010CMHC I 95229,A000000,05020,0000,05020OPT I 95229,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95229,A000000,05300,0000,05300INTEREST EXPENSE 95229,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 95229,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 95229,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95229,A000000,05500,0000,05500HOSPICE 95229,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95229,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95229,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95229,A000000,06100,0000,06100NONPAID WORKERS 95229,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95229,A000000,06200,0000,06200PATIENTS LAUNDRY 95229,A81000A,00100,0100,Y 95229,A81000B,00100,0300,BUILDING 95229,A81000B,00200,0300,LOAN FROM OWNER 95229,A81000C,00100,0100,B 95229,A81000C,00100,0200,SHARON WETZEL 95229,A81000C,00100,0600,OWNER 95229,A81000C,00200,0100,B 95229,A81000C,00200,0200,SHARON WETZEL 95229,A81000C,00200,0600,OWNER 95229,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95229,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 95229,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95229,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 95229,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95229,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95229,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95229,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 95229,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 95229,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95229,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 95229,B100000,00000,0950,00000(NURSING SALARIES) :NURSING ADMINI 95229,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 95229,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 95229,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 95229,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 95229,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 95229,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 95229,S000000,00100,0200,06/02/2000 95229,S200000,00100,0100,405 COLLINS 95229,S200000,00100,0300,786 95229,S200000,00200,0100,CLAUDE 95229,S200000,00200,0200,TX 95229,S200000,00200,0300,79019- 95229,S200000,00300,0100,ARMSTRONG 95229,S200000,00400,0100,PALO DURO NURSING HOME INC. 95229,S200000,00400,0200,455641 95229,S200000,00400,0300,12/01/1986 95229,S200000,00400,0500,P 95229,S200000,01500,0100,Y 95229,S200000,02800,0100,Y 95229,S700003,00000,0100,1 95246,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95246,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95246,A000000,00300,0000,00300EMPLOYEE BENEFITS 95246,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95246,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95246,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95246,A000000,00700,0000,00700HOUSEKEEPING 95246,A000000,00800,0000,00800DIETARY 95246,A000000,00900,0000,00900NURSING ADMINISTRATION 95246,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95246,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95246,A000000,01300,0000,01300SOCIAL SERVICE 95246,A000000,01301,0000,01301ACTIVITES 95246,A000000,01350,0000,01500REHABILITATION 95246,A000000,01600,0000,01600SKILLED NURSING FACILITY 95246,A000000,01800,0000,01800NURSING FACILITY 95246,A000000,01900,0000,01900OTHER LONG TERM CARE 95246,A000000,02100,0000,02100RADIOLOGY 95246,A000000,02200,0000,02200LABORATORY 95246,A000000,02300,0000,02300INTRAVENOUS THERAPY 95246,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95246,A000000,02500,0000,02500PHYSICAL THERAPY 95246,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95246,A000000,02700,0000,02700SPEECH PATHOLOGY 95246,A000000,02800,0000,02800ELECTROCARDIOLOGY 95246,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95246,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95246,A000000,03050,0000,03300EQUIPMENT RENTAL 95246,A000000,03051,0000,03301PEN THERAPY 95246,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95246,A000000,03200,0000,03200SUPPORT SURFACES 95246,A000000,04800,0000,04800AMBULANCE 95246,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95246,A000000,05300,0000,05300INTEREST EXPENSE 95246,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95246,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95246,A000000,06150,0000,06300VENDING 95246,A000000,06151,0000,06301STAND-BY 95246,A000000,06200,0000,06200PATIENTS LAUNDRY 95246,A81000A,00100,0100,Y 95246,A81000B,00100,0300,HOME OFFICE COST 95246,A81000B,00200,0300,DIETARY SUPPLEMENTS 95246,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95246,A81000B,00400,0300,PRESCRIPTION DRUGS 95246,A81000B,00500,0300,MEDICAL SUPPLIES 95246,A81000B,00600,0300,ADMIN COSTS 95246,A81000B,00700,0300,HOME OFFICE INTEREST 95246,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95246,A81000B,00900,0300,IV THERAPY 95246,A81000B,01000,0300,PT SUPPLIES 95246,A81000B,01100,0300,PHYSICAL THERAPY 95246,A81000B,01200,0300,OCCUPATIONAL THERAPY 95246,A81000B,01300,0300,SPEECH THERAPY 95246,A81000B,01400,0300,ANC EQUIP RENTAL 95246,A81000B,01500,0300,PEN 95246,A81000B,01600,0300,CAPITAL 95246,A81000B,01700,0300,RT SUPPLIES 95246,A81000C,00100,0100,B 95246,A81000C,00100,0200,AUTUMN YEARS 95246,A81000C,00100,0400,MARINER PAN 95246,A81000C,00100,0600,NURSING HOMES 95246,A81000C,00200,0100,G 95246,A81000C,00200,0200,MARINER PAN 95246,A81000C,00200,0400,AMER PHARM SVCS 95246,A81000C,00200,0600,PHARMACEUTICALS 95246,A81000C,00300,0100,G 95246,A81000C,00300,0200,MARINER PAN 95246,A81000C,00300,0400,PRISM-ATS-ARS-T 95246,A81000C,00300,0600,THERAPIES 95246,A81000C,03100,0000,MARINER PAN 95246,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95246,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95246,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95246,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95246,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95246,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95246,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95246,B100000,00000,0800,00001MEALS SERVED :DIETARY 95246,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95246,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95246,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95246,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95246,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95246,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95246,E10A180,00301,0100,01/20/1999 95246,E10A180,00302,0100,07/21/1999 95246,E10A180,00303,0100,01/10/2000 95246,E10A180,00350,0100,03/31/1999 95246,E10A180,00351,0100,09/29/1999 95246,S000000,00100,0200,03/03/2000 95246,S200000,00100,0100,424 S. ADAMS 95246,S200000,00200,0100,FT. WORTH 95246,S200000,00200,0200,TX 95246,S200000,00200,0300,76104- 95246,S200000,00300,0100,TARRANT 95246,S200000,00400,0100,AUTUMN YEARS LODGE 95246,S200000,00400,0200,455651 95246,S200000,00400,0300,04/23/1986 95246,S200000,00400,0500,P 95246,S200000,01600,0100,Y 95246,S200000,02200,0100,Y 95246,S200000,04300,0100,Y 95254,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95254,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95254,A000000,00300,0000,00300EMPLOYEE BENEFITS 95254,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95254,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95254,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95254,A000000,00700,0000,00700HOUSEKEEPING 95254,A000000,00800,0000,00800DIETARY 95254,A000000,00900,0000,00900NURSING ADMINISTRATION 95254,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95254,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95254,A000000,01300,0000,01300SOCIAL SERVICE 95254,A000000,01301,0000,01301ACTIVITES 95254,A000000,01350,0000,01500REHABILITATION 95254,A000000,01600,0000,01600SKILLED NURSING FACILITY 95254,A000000,01800,0000,01800NURSING FACILITY 95254,A000000,01900,0000,01900OTHER LONG TERM CARE 95254,A000000,02100,0000,02100RADIOLOGY 95254,A000000,02200,0000,02200LABORATORY 95254,A000000,02300,0000,02300INTRAVENOUS THERAPY 95254,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95254,A000000,02500,0000,02500PHYSICAL THERAPY 95254,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95254,A000000,02700,0000,02700SPEECH PATHOLOGY 95254,A000000,02800,0000,02800ELECTROCARDIOLOGY 95254,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95254,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95254,A000000,03050,0000,03300EQUIPMENT RENTAL 95254,A000000,03051,0000,03301PEN THERAPY 95254,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95254,A000000,03200,0000,03200SUPPORT SURFACES 95254,A000000,04800,0000,04800AMBULANCE 95254,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95254,A000000,05300,0000,05300INTEREST EXPENSE 95254,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95254,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95254,A000000,06150,0000,06300VENDING 95254,A000000,06151,0000,06301STAND-BY 95254,A000000,06200,0000,06200PATIENTS LAUNDRY 95254,A81000A,00100,0100,Y 95254,A81000B,00100,0300,HOME OFFICE COST 95254,A81000B,00200,0300,DIETARY SUPPLEMENTS 95254,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95254,A81000B,00400,0300,PRESCRIPTION DRUGS 95254,A81000B,00500,0300,MEDICAL SUPPLIES 95254,A81000B,00600,0300,ADMIN COSTS 95254,A81000B,00700,0300,HOME OFFICE INTEREST 95254,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95254,A81000B,00900,0300,IV THERAPY 95254,A81000B,01000,0300,THERAPY CONSULTING 95254,A81000B,01100,0300,PHYSICAL THERAPY 95254,A81000B,01200,0300,OCCUPATIONAL THERAPY 95254,A81000B,01300,0300,SPEECH THERAPY 95254,A81000B,01400,0300,ANC EQUIP RENTAL 95254,A81000B,01500,0300,PEN THERAPY 95254,A81000C,00100,0100,B 95254,A81000C,00100,0200,SILVER CREEK-14 95254,A81000C,00100,0400,MARINER PAN 95254,A81000C,00100,0600,NURSING HOMES 95254,A81000C,00200,0100,G 95254,A81000C,00200,0200,MARINER PAN 95254,A81000C,00200,0400,AMER PHARM SVCS 95254,A81000C,00200,0600,PHARMACEUTICALS 95254,A81000C,00300,0100,G 95254,A81000C,00300,0200,MARINER PAN 95254,A81000C,00300,0400,PRISM-ATS-ARS-T 95254,A81000C,00300,0600,THERAPIES 95254,A81000C,03100,0000,MARINER PAN 95254,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95254,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95254,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95254,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95254,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95254,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95254,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95254,B100000,00000,0800,00001MEALS SERVED :DIETARY 95254,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95254,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95254,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95254,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95254,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95254,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95254,E10A180,00301,0100,09/29/1999 95254,E10A180,00350,0100,01/20/1999 95254,E10A180,00351,0100,03/31/1999 95254,E10A180,00352,0100,07/21/1999 95254,E10A180,00353,0100,01/10/2000 95254,S000000,00100,0200,03/03/2000 95254,S200000,00100,0100,9014 TIMBER PATH 95254,S200000,00200,0100,SAN ANTONIO 95254,S200000,00200,0200,CA 95254,S200000,00200,0300,78250- 95254,S200000,00300,0100,BEXAR 95254,S200000,00400,0100,SILVER CREEK MANOR 95254,S200000,00400,0200,455652 95254,S200000,00400,0300,06/01/1983 95254,S200000,00400,0500,P 95254,S200000,01600,0100,Y 95254,S200000,02200,0100,Y 95254,S200000,04300,0100,Y 95254,S700003,00000,0100,1 95266,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95266,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95266,A000000,00300,0000,00300EMPLOYEE BENEFITS 95266,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95266,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95266,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95266,A000000,00700,0000,00700HOUSEKEEPING 95266,A000000,00800,0000,00800DIETARY 95266,A000000,00900,0000,00900NURSING ADMINISTRATION 95266,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95266,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95266,A000000,01300,0000,01300SOCIAL SERVICE 95266,A000000,01301,0000,01301ACTIVITES 95266,A000000,01350,0000,01500REHABILITATION 95266,A000000,01600,0000,01600SKILLED NURSING FACILITY 95266,A000000,01800,0000,01800NURSING FACILITY 95266,A000000,01900,0000,01900OTHER LONG TERM CARE 95266,A000000,02100,0000,02100RADIOLOGY 95266,A000000,02200,0000,02200LABORATORY 95266,A000000,02300,0000,02300INTRAVENOUS THERAPY 95266,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95266,A000000,02500,0000,02500PHYSICAL THERAPY 95266,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95266,A000000,02700,0000,02700SPEECH PATHOLOGY 95266,A000000,02800,0000,02800ELECTROCARDIOLOGY 95266,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95266,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95266,A000000,03050,0000,03300EQUIPMENT RENTAL 95266,A000000,03051,0000,03301PEN THERAPY 95266,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95266,A000000,03200,0000,03200SUPPORT SURFACES 95266,A000000,04800,0000,04800AMBULANCE 95266,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95266,A000000,05300,0000,05300INTEREST EXPENSE 95266,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95266,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95266,A000000,06150,0000,06300VENDING 95266,A000000,06151,0000,06301STAND-BY 95266,A000000,06200,0000,06200PATIENTS LAUNDRY 95266,A81000A,00100,0100,Y 95266,A81000B,00100,0300,HOME OFFICE COST 95266,A81000B,00200,0300,DIETARY SUPPLEMENTS 95266,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95266,A81000B,00400,0300,PRESCRIPTION DRUGS 95266,A81000B,00500,0300,MEDICAL SUPPLIES 95266,A81000B,00600,0300,HOME OFFICE INTEREST 95266,A81000B,00700,0300,PEN 95266,A81000B,00800,0300,IV THERAPY 95266,A81000B,00900,0300,PT SUPPLIES 95266,A81000B,01000,0300,PHYSICAL THERAPY 95266,A81000B,01100,0300,OCCUPATIONAL THERAPY 95266,A81000B,01200,0300,SPEECH THERAPY 95266,A81000B,01300,0300,ANC EQUIP RENTAL 95266,A81000C,00100,0100,B 95266,A81000C,00100,0200,RM - MCALLEN 95266,A81000C,00100,0400,MARINER PAN 95266,A81000C,00100,0600,NURSING HOMES 95266,A81000C,00200,0100,G 95266,A81000C,00200,0200,MARINER PAN 95266,A81000C,00200,0400,AMER PHARM SVCS 95266,A81000C,00200,0600,PHARMACEUTICALS 95266,A81000C,00300,0100,G 95266,A81000C,00300,0200,MARINER PAN 95266,A81000C,00300,0400,PRISM-ATS-ARS-T 95266,A81000C,00300,0600,THERAPIES 95266,A81000C,03100,0000,MARINER PAN 95266,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95266,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95266,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95266,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95266,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95266,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95266,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95266,B100000,00000,0800,00001MEALS SERVED :DIETARY 95266,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95266,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95266,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95266,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95266,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95266,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95266,E10A180,00301,0100,01/20/1999 95266,E10A180,00302,0100,09/29/1999 95266,E10A180,00350,0100,03/17/1999 95266,E10A180,00351,0100,07/21/1999 95266,E10A180,00352,0100,01/10/2000 95266,S000000,00100,0200,03/03/2000 95266,S200000,00100,0100,900 SOUTH 12TH STREET 95266,S200000,00200,0100,MCALLEN 95266,S200000,00200,0200,TX 95266,S200000,00200,0300,78501- 95266,S200000,00300,0100,HIDALGO 95266,S200000,00300,0200,4880 95266,S200000,00300,0300,U 95266,S200000,00400,0100,RETAMA MANOR NURSING CENTER-MCALLEN 95266,S200000,00400,0200,455662 95266,S200000,00400,0300,07/09/1986 95266,S200000,00400,0500,P 95266,S200000,01600,0100,Y 95266,S200000,02200,0100,Y 95266,S200000,04300,0100,Y 95275,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95275,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95275,A000000,00300,0000,00300EMPLOYEE BENEFITS 95275,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95275,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95275,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95275,A000000,00700,0000,00700HOUSEKEEPING 95275,A000000,00800,0000,00800DIETARY 95275,A000000,00900,0000,00900NURSING ADMINISTRATION 95275,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95275,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95275,A000000,01300,0000,01300SOCIAL SERVICE 95275,A000000,01301,0000,01301ACTIVITES 95275,A000000,01350,0000,01500REHABILITATION 95275,A000000,01600,0000,01600SKILLED NURSING FACILITY 95275,A000000,01800,0000,01800NURSING FACILITY 95275,A000000,01900,0000,01900OTHER LONG TERM CARE 95275,A000000,02100,0000,02100RADIOLOGY 95275,A000000,02200,0000,02200LABORATORY 95275,A000000,02300,0000,02300INTRAVENOUS THERAPY 95275,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95275,A000000,02500,0000,02500PHYSICAL THERAPY 95275,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95275,A000000,02700,0000,02700SPEECH PATHOLOGY 95275,A000000,02800,0000,02800ELECTROCARDIOLOGY 95275,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95275,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95275,A000000,03050,0000,03300EQUIPMENT RENTAL 95275,A000000,03051,0000,03301PEN THERAPY 95275,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95275,A000000,03200,0000,03200SUPPORT SURFACES 95275,A000000,04800,0000,04800AMBULANCE 95275,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95275,A000000,05300,0000,05300INTEREST EXPENSE 95275,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95275,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95275,A000000,06150,0000,06300VENDING 95275,A000000,06151,0000,06301STAND-BY 95275,A000000,06200,0000,06200PATIENTS LAUNDRY 95275,A81000A,00100,0100,Y 95275,A81000B,00100,0300,HOME OFFICE COST 95275,A81000B,00200,0300,DIETARY SUPPLEMENTS 95275,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95275,A81000B,00400,0300,PRESCRIPTION DRUGS 95275,A81000B,00500,0300,MEDICAL SUPPLIES 95275,A81000B,00600,0300,ADMIN COSTS 95275,A81000B,00700,0300,HOME OFFICE INTEREST 95275,A81000B,00800,0300,CAPITAL 95275,A81000B,00900,0300,IV THERAPY 95275,A81000B,01000,0300,NURSING ADMIN 95275,A81000B,01100,0300,PHYSICAL THERAPY 95275,A81000B,01200,0300,OCCUPATIONAL THERAPY 95275,A81000B,01300,0300,SPEECH THERAPY 95275,A81000B,01400,0300,PEN 95275,A81000C,00100,0100,B 95275,A81000C,00100,0200,HOLIDAY LODGE 95275,A81000C,00100,0400,MARINER PAN 95275,A81000C,00100,0600,NURSING HOMES 95275,A81000C,00200,0100,G 95275,A81000C,00200,0200,MARINER PAN 95275,A81000C,00200,0400,AMER PHARM SVCS 95275,A81000C,00200,0600,PHARMACEUTICALS 95275,A81000C,00300,0100,G 95275,A81000C,00300,0200,MARINER PAN 95275,A81000C,00300,0400,PRISM-ATS-ARS-T 95275,A81000C,00300,0600,THERAPIES 95275,A81000C,03100,0000,MARINER PAN 95275,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95275,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95275,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95275,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95275,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95275,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95275,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95275,B100000,00000,0800,00001MEALS SERVED :DIETARY 95275,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95275,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95275,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95275,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95275,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95275,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95275,E10A180,00301,0100,07/21/1999 95275,E10A180,00302,0100,01/10/2000 95275,E10A180,00350,0100,02/17/1999 95275,E10A180,00351,0100,03/17/1999 95275,E10A180,00352,0100,06/23/1999 95275,E10A180,00353,0100,09/29/1999 95275,S000000,00100,0200,03/03/2000 95275,S200000,00100,0100,1301 EDEN DR 95275,S200000,00200,0100,LONGVIEW 95275,S200000,00200,0200,TX 95275,S200000,00200,0300,75601- 95275,S200000,00300,0100,GREGG 95275,S200000,00300,0200,4420 95275,S200000,00300,0300,U 95275,S200000,00400,0100,HOLIDAY LODGE 95275,S200000,00400,0200,455664 95275,S200000,00400,0300,08/06/1986 95275,S200000,00400,0500,P 95275,S200000,01600,0100,Y 95275,S200000,02200,0100,Y 95275,S200000,04300,0100,Y 95288,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95288,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95288,A000000,00300,0000,00300EMPLOYEE BENEFITS 95288,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95288,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95288,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95288,A000000,00700,0000,00700HOUSEKEEPING 95288,A000000,00800,0000,00800DIETARY 95288,A000000,00900,0000,00900NURSING ADMINISTRATION 95288,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95288,A000000,01100,0000,01100PHARMACY 95288,A000000,01300,0000,01300SOCIAL SERVICE 95288,A000000,01350,0000,01500OTHER GENERAL SERVICES 95288,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95288,A000000,01600,0000,01600SKILLED NURSING FACILITY 95288,A000000,01800,0000,01800NURSING FACILITY 95288,A000000,01810,0000,01810ICF/MR 95288,A000000,01900,0000,01900OTHER LONG TERM CARE 95288,A000000,02100,0000,02100RADIOLOGY 95288,A000000,02200,0000,02200LABORATORY 95288,A000000,02300,0000,02300INTRAVENOUS THERAPY 95288,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95288,A000000,02500,0000,02500PHYSICAL THERAPY 95288,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95288,A000000,02700,0000,02700SPEECH PATHOLOGY 95288,A000000,02800,0000,02800ELECTROCARDIOLOGY 95288,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95288,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95288,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95288,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95288,A000000,03200,0000,03200SUPPORT SURFACES 95288,A000000,03400,0000,03400CLINIC 95288,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95288,A000000,03500,0000,03500RURAL HEALTH CLINIC 95288,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95288,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95288,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95288,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95288,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95288,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95288,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95288,A000000,04400,0000,04400DME RENTED - HHA 95288,A000000,04500,0000,04500DME SOLD - HHA 95288,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95288,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95288,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95288,A000000,04800,0000,04800AMBULANCE 95288,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95288,A000000,05000,0000,05000CORF 95288,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95288,A000000,05300,0000,05300INTEREST EXPENSE 95288,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95288,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95288,A000000,05500,0000,05500HOSPICE 95288,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95288,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95288,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95288,A000000,06100,0000,06100NONPAID WORKERS 95288,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95288,A000000,06200,0000,06200PATIENTS LAUNDRY 95288,A81000A,00100,0100,Y 95288,A81000B,00100,0300,INTRVENOUS THERAPY 95288,A81000C,00100,0100,B 95288,A81000C,00100,0400,VALLEY BAPTIST MEDICAL CE 95288,A81000C,00100,0600,HOSPITAL 95288,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95288,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95288,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95288,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95288,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95288,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95288,B100000,00000,0800,00000MEALS SERVED :DIETARY 95288,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 95288,B100000,00000,1000,00000COSTED REQUSITION :CENTRAL SERVICE 95288,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 95288,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95288,S000000,00100,0200,02/09/2001 95288,S200000,00100,0100,2101 TREASURE HILLS BLVD. 95288,S200000,00200,0100,HARLINGEN 95288,S200000,00200,0200,TX 95288,S200000,00200,0300,78550- 95288,S200000,00300,0100,CAMERON 95288,S200000,00300,0200,1240 95288,S200000,00300,0300,U 95288,S200000,00400,0100,GOLDEN PALMS RETIREMENT & HEALTHCARE 95288,S200000,00400,0200,455672 95288,S200000,00400,0300,11/10/1986 95288,S200000,00400,0500,P 95288,S200000,01500,0100,Y 95294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95294,A000000,00300,0000,00300EMPLOYEE BENEFITS 95294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95294,A000000,00700,0000,00700HOUSEKEEPING 95294,A000000,00800,0000,00800DIETARY 95294,A000000,00900,0000,00900NURSING ADMINISTRATION 95294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95294,A000000,01100,0000,01100PHARMACY 95294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95294,A000000,01300,0000,01300SOCIAL SERVICE 95294,A000000,01350,0000,01500ACTIVITIES 95294,A000000,01600,0000,01600SKILLED NURSING FACILITY 95294,A000000,01800,0000,01800NURSING FACILITY 95294,A000000,01900,0000,01900OTHER LONG TERM CARE 95294,A000000,02100,0000,02100RADIOLOGY 95294,A000000,02200,0000,02200LABORATORY 95294,A000000,02300,0000,02300INTRAVENOUS THERAPY 95294,A000000,02301,0000,02301ENTERNAL/PARENTAL FEEDING 95294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95294,A000000,02500,0000,02500PHYSICAL THERAPY 95294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95294,A000000,02700,0000,02700SPEECH PATHOLOGY 95294,A000000,02800,0000,02800ELECTROCARDIOLOGY 95294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95294,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95294,A000000,03200,0000,03200SUPPORT SURFACES 95294,A000000,03400,0000,03400CLINIC 95294,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95294,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95294,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95294,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95294,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95294,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95294,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95294,A000000,04400,0000,04400DME RENTED - HHA 95294,A000000,04500,0000,04500DME SOLD - HHA 95294,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95294,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95294,A000000,04800,0000,04800AMBULANCE 95294,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95294,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95294,A000000,05300,0000,05300INTEREST EXPENSE 95294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95294,A000000,05500,0000,05500HOSPICE 95294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95294,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95294,A000000,06100,0000,06100NONPAID WORKERS 95294,A000000,06200,0000,06200PATIENTS LAUNDRY 95294,A81000A,00100,0100,Y 95294,A81000B,00100,0300,RENT EXPENSE 95294,A81000B,00200,0300,PAYROLL TAX EXPENSE 95294,A81000B,00300,0300,MANAGEMENT FEES 95294,A81000B,00400,0300,WAGES EXPENSE 95294,A81000B,00500,0300,SEMINARS AND TRAINING 95294,A81000B,00600,0300,TRAVEL 95294,A81000B,00700,0300,OUTSIDE SERVICES 95294,A81000B,00800,0300,COST REPORT EXPENSE 95294,A81000B,00900,0300,OFFICE EXPENSE 95294,A81000B,01000,0300,TELEPHONE 95294,A81000B,01100,0300,INTEREST 95294,A81000B,01200,0300,INSURANCE 95294,A81000B,01300,0300,LEGAL AND ACCOUNTING 95294,A81000C,00100,0100,B 95294,A81000C,00100,0400,BALLANTRAE 95294,A81000C,00100,0600,HEALTH CARE 95294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95294,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 95294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95294,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 95294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95294,B100000,00000,0800,00000MEALS SERVED :DIETARY 95294,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 95294,B100000,00000,1000,00000COSTED REQ :CENTRAL SERVICES & SUP 95294,B100000,00000,1100,00000COSTED REQ :PHARMACY 95294,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 95294,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 95294,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 95294,S000000,00100,0200,06/09/2000 95294,S200000,00100,0100,701 ST. LOUIS AVENUE 95294,S200000,00200,0100,FT. WORTH 95294,S200000,00200,0200,TX 95294,S200000,00200,0300,76104- 95294,S200000,00300,0100,TARRANT 95294,S200000,00400,0100,WELLINGTON OAKS 95294,S200000,00400,0200,455674 95294,S200000,00400,0300,10/02/1986 95294,S200000,00400,0500,P 95294,S200000,01004,0500,O 95294,S200000,01500,0100,Y 95294,S200000,02200,0100,Y 95294,S200000,03500,0300,Y 95294,S200000,04300,0100,Y 95294,S700003,00000,0400,4 95303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95303,A000000,00300,0000,00300EMPLOYEE BENEFITS 95303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95303,A000000,00700,0000,00700HOUSEKEEPING 95303,A000000,00800,0000,00800DIETARY 95303,A000000,00900,0000,00900NURSING ADMINISTRATION 95303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95303,A000000,01100,0000,01100PHARMACY 95303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95303,A000000,01300,0000,01300SOCIAL SERVICE 95303,A000000,01351,0000,01301ACTIVITIES 95303,A000000,01600,0000,01600SKILLED NURSING FACILITY 95303,A000000,01800,0000,01800NURSING FACILITY 95303,A000000,02100,0000,02100RADIOLOGY 95303,A000000,02200,0000,02200LABORATORY 95303,A000000,02300,0000,02300INTRAVENOUS THERAPY 95303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95303,A000000,02500,0000,02500PHYSICAL THERAPY 95303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95303,A000000,02700,0000,02700SPEECH PATHOLOGY 95303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95303,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95303,A000000,03051,0000,03301MEDICAL EQUIPMENT 95303,A000000,04800,0000,04800AMBULANCE 95303,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95303,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95303,A81000A,00100,0100,Y 95303,A81000B,00100,0300,HOME OFFICE CAPITAL 95303,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95303,A81000B,00300,0300,WAREHOUSE 95303,A81000C,00100,0100,A 95303,A81000C,00100,0200,PETER C. KERN 95303,A81000C,00100,0400,HEA MANAGEMENT GROUP 95303,A81000C,00100,0600,HOME OFFICE 95303,A81000C,00200,0100,A 95303,A81000C,00200,0200,PETER C. KERN 95303,A81000C,00200,0400,WAREHOUSE STORAGE 95303,A81000C,00200,0600,OLD RECORD STORAGE 95303,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95303,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95303,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95303,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95303,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95303,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95303,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95303,B100000,00000,0800,00000MEALS SERVED :DIETARY 95303,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95303,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95303,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95303,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95303,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95303,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95303,S000000,00100,0200,05/30/2000 95303,S200000,00100,0100,1201 CARDINAL DRIVE 95303,S200000,00200,0100,WOODVILLE 95303,S200000,00200,0200,TX 95303,S200000,00200,0300,75979-5499 95303,S200000,00300,0100,TYLER 95303,S200000,00300,0200,45 95303,S200000,00300,0300,R 95303,S200000,00400,0100,HOLIDAY PINES MANOR 95303,S200000,00400,0200,455680 95303,S200000,00400,0300,10/30/1986 95303,S200000,00400,0500,P 95303,S200000,01600,0100,Y 95303,S200000,02200,0100,Y 95303,S200000,04300,0100,Y 95326,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95326,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95326,A000000,00300,0000,00300EMPLOYEE BENEFITS 95326,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95326,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95326,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95326,A000000,00700,0000,00700HOUSEKEEPING 95326,A000000,00800,0000,00800DIETARY 95326,A000000,00900,0000,00900NURSING ADMINISTRATION 95326,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95326,A000000,01100,0000,01100PHARMACY 95326,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95326,A000000,01300,0000,01300SOCIAL SERVICE 95326,A000000,01350,0000,01500OTHER GENERAL SERVICES 95326,A000000,01351,0000,01501ACTIVITIES 95326,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95326,A000000,01600,0000,01600SKILLED NURSING FACILITY 95326,A000000,01800,0000,01800NURSING FACILITY 95326,A000000,01810,0000,01810ICF/MR 95326,A000000,01900,0000,01900OTHER LONG TERM CARE 95326,A000000,02100,0000,02100RADIOLOGY 95326,A000000,02200,0000,02200LABORATORY 95326,A000000,02300,0000,02300INTRAVENOUS THERAPY 95326,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95326,A000000,02500,0000,02500PHYSICAL THERAPY 95326,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95326,A000000,02700,0000,02700SPEECH PATHOLOGY 95326,A000000,02800,0000,02800ELECTROCARDIOLOGY 95326,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95326,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95326,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95326,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95326,A000000,03200,0000,03200SUPPORT SURFACES 95326,A000000,03400,0000,03400CLINIC 95326,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95326,A000000,03500,0000,03500RURAL HEALTH CLINIC 95326,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95326,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95326,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95326,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95326,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95326,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95326,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95326,A000000,04400,0000,04400DME RENTED - HHA 95326,A000000,04500,0000,04500DME SOLD - HHA 95326,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95326,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95326,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95326,A000000,04800,0000,04800AMBULANCE 95326,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95326,A000000,05000,0000,05000CORF 95326,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95326,A000000,05300,0000,05300INTEREST EXPENSE 95326,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95326,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95326,A000000,05500,0000,05500HOSPICE 95326,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95326,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95326,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95326,A000000,06100,0000,06100NONPAID WORKERS 95326,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95326,A000000,06200,0000,06200PATIENTS LAUNDRY 95326,A81000A,00100,0100,Y 95326,A81000B,00100,0300,HOME OFFICE COST A & G 95326,A81000C,00100,0100,B 95326,A81000C,00100,0400,HEARTWAY III CORPORATION 95326,A81000C,00100,0600,NURSING HOME OPERATOR 95326,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95326,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95326,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95326,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95326,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95326,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95326,B100000,00000,0800,00000MEALS SERVED :DIETARY 95326,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95326,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95326,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95326,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95326,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95326,S000000,00100,0200,12/18/2000 95326,S200000,00100,0100,1405 VALHALLA DRIVE 95326,S200000,00200,0100,WHARTON 95326,S200000,00200,0200,TX 95326,S200000,00200,0300,77488- 95326,S200000,00300,0100,WHARTON 95326,S200000,00300,0200,45 95326,S200000,00300,0300,R 95326,S200000,00400,0100,AVALON PLACE - WHARTON 95326,S200000,00400,0200,455699 95326,S200000,00400,0300,03/01/1988 95326,S200000,00400,0500,P 95326,S200000,01600,0100,Y 95332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95332,A000000,00300,0000,00300EMPLOYEE BENEFITS 95332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95332,A000000,00700,0000,00700HOUSEKEEPING 95332,A000000,00800,0000,00800DIETARY 95332,A000000,00900,0000,00900NURSING ADMINISTRATION 95332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95332,A000000,01100,0000,01100PHARMACY 95332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95332,A000000,01300,0000,01300SOCIAL SERVICE 95332,A000000,01350,0000,01500OTHER GENERAL SERVICES 95332,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95332,A000000,01600,0000,01600SKILLED NURSING FACILITY 95332,A000000,01800,0000,01800NURSING FACILITY 95332,A000000,01810,0000,01801ICF/MR 95332,A000000,01900,0000,01900OTHER LONG TERM CARE 95332,A000000,02100,0000,02100RADIOLOGY 95332,A000000,02200,0000,02200LABORATORY 95332,A000000,02300,0000,02300INTRAVENOUS THERAPY 95332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95332,A000000,02500,0000,02500PHYSICAL THERAPY 95332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95332,A000000,02700,0000,02700SPEECH PATHOLOGY 95332,A000000,02800,0000,02800ELECTROCARDIOLOGY 95332,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95332,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95332,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95332,A000000,03200,0000,03200SUPPORT SURFACES 95332,A000000,03400,0000,03400CLINIC 95332,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95332,A000000,03500,0000,03500RURAL HEALTH CLINIC 95332,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95332,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95332,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95332,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95332,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95332,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95332,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95332,A000000,04400,0000,04400DME RENTED - HHA 95332,A000000,04500,0000,04500DME SOLD - HHA 95332,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95332,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95332,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95332,A000000,04800,0000,04800AMBULANCE 95332,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95332,A000000,05000,0000,05000CORF 95332,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95332,A000000,05300,0000,05300INTEREST EXPENSE 95332,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95332,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95332,A000000,05500,0000,05500HOSPICE 95332,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95332,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95332,A000000,06100,0000,06100NONPAID WORKERS 95332,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95332,A000000,06200,0000,06200PATIENTS LAUNDRY 95332,A81000A,00100,0100,Y 95332,A81000B,00100,0300,HOME OFFICE ADMINISTRATION 95332,A81000C,00100,0100,B 95332,A81000C,00100,0400,HARVEST SENIOR SERVICES 95332,A81000C,00100,0600,LTC OPERATIONS 95332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95332,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95332,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95332,B100000,00000,0800,00000MEALS SERVED :DIETARY 95332,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95332,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95332,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95332,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95332,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95332,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95332,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95332,S000000,00100,0200,05/31/2000 95332,S200000,00100,0100,209 COUNTRY CLUB 95332,S200000,00200,0100,KARNES CITY 95332,S200000,00200,0200,TX 95332,S200000,00200,0300,78118- 95332,S200000,00300,0100,KARNES 95332,S200000,00400,0100,KARNES CITY HEALTH & REHAB 95332,S200000,00400,0200,455702 95332,S200000,00400,0300,05/01/1989 95332,S200000,00400,0500,P 95332,S200000,01004,0500,O 95332,S200000,01600,0100,Y 95332,S200000,04300,0100,Y 95332,S700003,00000,0100,1 95343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95343,A000000,00300,0000,00300EMPLOYEE BENEFITS 95343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95343,A000000,00700,0000,00700HOUSEKEEPING 95343,A000000,00800,0000,00800DIETARY 95343,A000000,00900,0000,00900NURSING ADMINISTRATION 95343,A000000,00901,0000,00901NURSING ADMINISTRATION 95343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95343,A000000,01100,0000,01100PHARMACY 95343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95343,A000000,01300,0000,01300SOCIAL SERVICE 95343,A000000,01350,0000,01500OTHER GENERAL SERVICES 95343,A000000,01352,0000,01502ACTIVITIES 95343,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95343,A000000,01600,0000,01600SKILLED NURSING FACILITY 95343,A000000,01800,0000,01800NURSING FACILITY 95343,A000000,01810,0000,01810ICF/MR 95343,A000000,01900,0000,01900OTHER LONG TERM CARE 95343,A000000,02100,0000,02100RADIOLOGY 95343,A000000,02200,0000,02200LABORATORY 95343,A000000,02300,0000,02300INTRAVENOUS THERAPY 95343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95343,A000000,02500,0000,02500PHYSICAL THERAPY 95343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95343,A000000,02700,0000,02700SPEECH PATHOLOGY 95343,A000000,02800,0000,02800ELECTROCARDIOLOGY 95343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95343,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95343,A000000,03200,0000,03200SUPPORT SURFACES 95343,A000000,03400,0000,03400CLINIC 95343,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95343,A000000,03500,0000,03500RURAL HEALTH CLINIC 95343,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95343,A000000,04800,0000,04800AMBULANCE 95343,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95343,A000000,05000,0000,05000CORF 95343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95343,A000000,05300,0000,05300INTEREST EXPENSE 95343,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95343,A000000,05500,0000,05500HOSPICE 95343,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95343,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95343,A000000,06100,0000,06100NONPAID WORKERS 95343,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95343,A000000,06200,0000,06200PATIENTS LAUNDRY 95343,A81000A,00100,0100,Y 95343,A81000B,00100,0300,HOME OFFICE COST A/G 95343,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 95343,A81000C,00100,0100,B 95343,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 95343,A81000C,00100,0600,NURSING HOME MANAGEMENT 95343,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95343,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95343,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95343,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95343,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95343,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95343,B100000,00000,0800,00000MEALS SERVED :DIETARY 95343,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95343,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95343,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95343,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95343,B100000,00000,1352,00000PATIENT DAYS :ACTIVITIES 95343,S000000,00100,0200,01/31/2001 95343,S200000,00100,0100,329 SCHOOL DR 95343,S200000,00100,0300,995 95343,S200000,00200,0100,POTEET 95343,S200000,00200,0200,TX 95343,S200000,00200,0300,78065-1807 95343,S200000,00300,0100,ATASCOSA 95343,S200000,00300,0200,45 95343,S200000,00300,0300,R 95343,S200000,00400,0100,POTEET NURSING HOME 95343,S200000,00400,0200,455709 95343,S200000,00400,0300,06/16/1987 95343,S200000,00400,0500,P 95343,S200000,01600,0100,Y 95352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95352,A000000,00300,0000,00300EMPLOYEE BENEFITS 95352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95352,A000000,00700,0000,00700HOUSEKEEPING 95352,A000000,00800,0000,00800DIETARY 95352,A000000,00900,0000,00900NURSING ADMINISTRATION 95352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95352,A000000,01100,0000,01100PHARMACY 95352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95352,A000000,01300,0000,01300SOCIAL SERVICE 95352,A000000,01600,0000,01600SKILLED NURSING FACILITY 95352,A000000,01800,0000,01800NURSING FACILITY 95352,A000000,02100,0000,02100RADIOLOGY 95352,A000000,02200,0000,02200LABORATORY 95352,A000000,02300,0000,02300INTRAVENOUS THERAPY 95352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95352,A000000,02500,0000,02500PHYSICAL THERAPY 95352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95352,A000000,02700,0000,02700SPEECH PATHOLOGY 95352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95352,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95352,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95352,A81000A,00100,0100,Y 95352,A81000B,00100,0300,HOME OFFICE - CAPITAL 95352,A81000B,00200,0300,HOME OFFICE -NONCAPITAL 95352,A81000C,00100,0100,A 95352,A81000C,00100,0200,KEITH NICHOLS 95352,A81000C,00100,0400,KB ENTERPRISES 95352,A81000C,00100,0600,LTC MGT 95352,A81000C,00200,0100,A 95352,A81000C,00200,0200,BOBBIE NICHOLS 95352,A81000C,00200,0400,KB ENTERPRISES 95352,A81000C,00200,0600,LTC MGT 95352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95352,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95352,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95352,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95352,B100000,00000,0800,00000MEALS SERVED :DIETARY 95352,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95352,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95352,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95352,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95352,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95352,S000000,00100,0200,06/02/2000 95352,S200000,00100,0100,704 DOBKINS 95352,S200000,00200,0100,DUBLIN 95352,S200000,00200,0200,TX 95352,S200000,00200,0300,76445- 95352,S200000,00300,0100,ERATH 95352,S200000,00400,0100,GOLDEN AGE MANOR 95352,S200000,00400,0200,455712 95352,S200000,00400,0300,01/17/1987 95352,S200000,00400,0500,P 95352,S200000,01500,0100,Y 95361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95361,A000000,00300,0000,00300EMPLOYEE BENEFITS 95361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95361,A000000,00700,0000,00700HOUSEKEEPING 95361,A000000,00800,0000,00800DIETARY 95361,A000000,00801,0000,00801CAFETERIA 95361,A000000,00900,0000,00900NURSING ADMINISTRATION 95361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95361,A000000,01100,0000,01100PHARMACY 95361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95361,A000000,01300,0000,01300SOCIAL SERVICE 95361,A000000,01600,0000,01600SKILLED NURSING FACILITY 95361,A000000,01800,0000,01800NURSING FACILITY 95361,A000000,01900,0000,01900OTHER LONG TERM CARE 95361,A000000,02100,0000,02100RADIOLOGY 95361,A000000,02200,0000,02200LABORATORY 95361,A000000,02300,0000,02300INTRAVENOUS THERAPY 95361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95361,A000000,02500,0000,02500PHYSICAL THERAPY 95361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95361,A000000,02700,0000,02700SPEECH PATHOLOGY 95361,A000000,02800,0000,02800ELECTROCARDIOLOGY 95361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95361,A000000,03200,0000,03200SUPPORT SURFACES 95361,A000000,04800,0000,04800AMBULANCE 95361,A000000,05300,0000,05300INTEREST EXPENSE 95361,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95361,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95361,A81000A,00100,0100,Y 95361,A81000B,00100,0300,MGMT FEES 95361,A81000B,00200,0300,MGMT TRAVEL 95361,A81000B,00300,0300,MGMT TRAVEL & MEALS 95361,A81000B,00400,0300,OWNERS COMP 95361,A81000B,00500,0300,PROF FEES 95361,A81000B,00600,0300,TRAVEL 95361,A81000C,00100,0100,B 95361,A81000C,00100,0200,CONVALESCENT CT 95361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95361,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95361,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95361,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95361,B100000,00000,0800,00000MEALS SERVED :DIETARY 95361,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 95361,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 95361,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95361,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95361,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95361,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95361,S000000,00100,0200,06/02/2000 95361,S200000,00100,0100,11608 SCOTT SIMPSON DR 95361,S200000,00200,0100,EL PASO 95361,S200000,00200,0200,TX 95361,S200000,00200,0300,79936-6210 95361,S200000,00300,0100,EL PASO 95361,S200000,00400,0100,PEBBLE CREEK NURSING CENTER 95361,S200000,00400,0200,455718 95361,S200000,00400,0300,11/13/1994 95361,S200000,00400,0500,P 95361,S200000,01600,0100,Y 95361,S700003,00000,0100,1 95370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95370,A000000,00300,0000,00300EMPLOYEE BENEFITS 95370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95370,A000000,00700,0000,00700HOUSEKEEPING 95370,A000000,00800,0000,00800DIETARY 95370,A000000,00900,0000,00900NURSING ADMINISTRATION 95370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95370,A000000,01100,0000,01100PHARMACY 95370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95370,A000000,01300,0000,01300SOCIAL SERVICE 95370,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95370,A000000,01600,0000,01600SKILLED NURSING FACILITY 95370,A000000,01900,0000,01900OTHER LONG TERM CARE 95370,A000000,02100,0000,02100RADIOLOGY 95370,A000000,02200,0000,02200LABORATORY 95370,A000000,02300,0000,02300INTRAVENOUS THERAPY 95370,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95370,A000000,02500,0000,02500PHYSICAL THERAPY 95370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95370,A000000,02700,0000,02700SPEECH PATHOLOGY 95370,A000000,02800,0000,02800ELECTROCARDIOLOGY 95370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95370,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95370,A000000,03200,0000,03200SUPPORT SURFACES 95370,A000000,03400,0000,03400CLINIC 95370,A000000,04800,0000,04800AMBULANCE 95370,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95370,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95370,A000000,05300,0000,05300INTEREST EXPENSE 95370,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95370,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95370,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95370,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95370,A000000,06100,0000,06100NONPAID WORKERS 95370,A000000,06200,0000,06200PATIENTS LAUNDRY 95370,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95370,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 95370,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95370,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95370,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95370,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95370,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95370,B100000,00000,0800,00000MEALS SERVED :DIETARY 95370,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95370,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95370,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95370,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95370,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95370,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95370,E10A180,00350,0100,12/31/1999 95370,S000000,00100,0200,06/20/2000 95370,S200000,00100,0100,2450 EAST FIFTH STREET 95370,S200000,00200,0100,TYLER 95370,S200000,00200,0200,TX 95370,S200000,00200,0300,75701- 95370,S200000,00300,0100,SMITH 95370,S200000,00400,0100,PARK PLACE NURSING CENTER 95370,S200000,00400,0200,455721 95370,S200000,00400,0300,11/20/1987 95370,S200000,00400,0500,P 95370,S200000,01600,0100,Y 95377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95377,A000000,00300,0000,00300EMPLOYEE BENEFITS 95377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95377,A000000,00700,0000,00700HOUSEKEEPING 95377,A000000,00800,0000,00800DIETARY 95377,A000000,00900,0000,00900NURSING ADMINISTRATION 95377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95377,A000000,01300,0000,01300SOCIAL SERVICE 95377,A000000,01301,0000,01301ACTIVITES 95377,A000000,01350,0000,01500REHABILITATION 95377,A000000,01600,0000,01600SKILLED NURSING FACILITY 95377,A000000,01800,0000,01800NURSING FACILITY 95377,A000000,01900,0000,01900OTHER LONG TERM CARE 95377,A000000,02100,0000,02100RADIOLOGY 95377,A000000,02200,0000,02200LABORATORY 95377,A000000,02300,0000,02300INTRAVENOUS THERAPY 95377,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95377,A000000,02500,0000,02500PHYSICAL THERAPY 95377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95377,A000000,02700,0000,02700SPEECH PATHOLOGY 95377,A000000,02800,0000,02800ELECTROCARDIOLOGY 95377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95377,A000000,03050,0000,03300EQUIPMENT RENTAL 95377,A000000,03051,0000,03301PEN THERAPY 95377,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95377,A000000,03200,0000,03200SUPPORT SURFACES 95377,A000000,04800,0000,04800AMBULANCE 95377,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95377,A000000,05300,0000,05300INTEREST EXPENSE 95377,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95377,A000000,06150,0000,06300VENDING 95377,A000000,06151,0000,06301STAND-BY 95377,A000000,06200,0000,06200PATIENTS LAUNDRY 95377,A81000A,00100,0100,Y 95377,A81000B,00100,0300,HOME OFFICE COST 95377,A81000B,00200,0300,DIETARY SUPPLEMENTS 95377,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95377,A81000B,00400,0300,PRESCRIPTION DRUGS 95377,A81000B,00500,0300,MEDICAL SUPPLIES 95377,A81000B,00600,0300,ADMIN COSTS 95377,A81000B,00700,0300,HOME OFFICE INTEREST 95377,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95377,A81000B,00900,0300,IV THERAPY 95377,A81000B,01000,0300,PHYSICAL THERAPY 95377,A81000B,01100,0300,OCCUPATIONAL THERAPY 95377,A81000B,01200,0300,SPEECH THERAPY 95377,A81000B,01300,0300,ANC EQUIP RENTAL 95377,A81000B,01400,0300,PEN 95377,A81000B,01500,0300,NURSING 95377,A81000B,01600,0300,CAPITAL 95377,A81000C,00100,0100,B 95377,A81000C,00100,0200,SOUTHFIELD 95377,A81000C,00100,0400,MARINER PAN 95377,A81000C,00100,0600,NURSING HOMES 95377,A81000C,00200,0100,G 95377,A81000C,00200,0200,MARINER PAN 95377,A81000C,00200,0400,AMER PHARM SVCS 95377,A81000C,00200,0600,PHARMACEUTICALS 95377,A81000C,00300,0100,G 95377,A81000C,00300,0200,MARINER PAN 95377,A81000C,00300,0400,PRISM-ATS-ARS-T 95377,A81000C,00300,0600,THERAPIES 95377,A81000C,03100,0000,MARINER PAN 95377,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95377,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95377,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95377,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95377,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95377,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95377,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95377,B100000,00000,0800,00001MEALS SERVED :DIETARY 95377,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95377,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95377,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95377,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95377,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95377,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95377,E10A180,00301,0100,01/20/1999 95377,E10A180,00302,0100,03/31/1999 95377,E10A180,00303,0100,01/10/2000 95377,E10A180,00350,0100,07/07/1999 95377,E10A180,00351,0100,09/29/1999 95377,S000000,00100,0200,03/03/2000 95377,S200000,00100,0100,802 FRESA 95377,S200000,00200,0100,PASADENA 95377,S200000,00200,0200,TX 95377,S200000,00200,0300,77502- 95377,S200000,00300,0100,HARRIS 95377,S200000,00300,0200,3360 95377,S200000,00300,0300,U 95377,S200000,00400,0100,SOUTHFIELD HEALTHCARE CENTER 95377,S200000,00400,0200,455722 95377,S200000,00400,0300,10/01/1987 95377,S200000,00400,0500,P 95377,S200000,01600,0100,Y 95377,S200000,02200,0100,Y 95377,S200000,04300,0100,Y 95384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95384,A000000,00300,0000,00300EMPLOYEE BENEFITS 95384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95384,A000000,00700,0000,00700HOUSEKEEPING 95384,A000000,00800,0000,00800DIETARY 95384,A000000,00900,0000,00900NURSING ADMINISTRATION 95384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95384,A000000,01300,0000,01300SOCIAL SERVICE 95384,A000000,01301,0000,01301ACTIVITES 95384,A000000,01350,0000,01500REHABILITATION 95384,A000000,01600,0000,01600SKILLED NURSING FACILITY 95384,A000000,01800,0000,01800NURSING FACILITY 95384,A000000,01900,0000,01900OTHER LONG TERM CARE 95384,A000000,02100,0000,02100RADIOLOGY 95384,A000000,02200,0000,02200LABORATORY 95384,A000000,02300,0000,02300INTRAVENOUS THERAPY 95384,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95384,A000000,02500,0000,02500PHYSICAL THERAPY 95384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95384,A000000,02700,0000,02700SPEECH PATHOLOGY 95384,A000000,02800,0000,02800ELECTROCARDIOLOGY 95384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95384,A000000,03050,0000,03300EQUIPMENT RENTAL 95384,A000000,03051,0000,03301PEN THERAPY 95384,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95384,A000000,03200,0000,03200SUPPORT SURFACES 95384,A000000,04800,0000,04800AMBULANCE 95384,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95384,A000000,05300,0000,05300INTEREST EXPENSE 95384,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95384,A000000,06150,0000,06300VENDING 95384,A000000,06151,0000,06301STAND-BY 95384,A000000,06200,0000,06200PATIENTS LAUNDRY 95384,A81000A,00100,0100,Y 95384,A81000B,00100,0300,HOME OFFICE COST 95384,A81000B,00200,0300,DIETARY SUPPLEMENTS 95384,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95384,A81000B,00400,0300,PRESCRIPTION DRUGS 95384,A81000B,00500,0300,MEDICAL SUPPLIES 95384,A81000B,00600,0300,ADMIN COSTS 95384,A81000B,00700,0300,HOME OFFICE INTEREST 95384,A81000B,00800,0300,PEN 95384,A81000B,00900,0300,IV THERAPY 95384,A81000B,01000,0300,THERAPY CONSULTING 95384,A81000B,01100,0300,PHYSICAL THERAPY 95384,A81000B,01200,0300,OCCUPATIONAL THERAPY 95384,A81000B,01300,0300,SPEECH THERAPY 95384,A81000B,01400,0300,ANC EQUIP RENTAL 95384,A81000B,01500,0300,CAPITAL 95384,A81000C,00100,0100,B 95384,A81000C,00100,0200,EDGEWATER 95384,A81000C,00100,0400,MARINER PAN 95384,A81000C,00100,0600,NURSING HOMES 95384,A81000C,00200,0100,G 95384,A81000C,00200,0200,MARINER PAN 95384,A81000C,00200,0400,AMER PHARM SVCS 95384,A81000C,00200,0600,PHARMACEUTICALS 95384,A81000C,00300,0100,G 95384,A81000C,00300,0200,MARINER PAN 95384,A81000C,00300,0400,PRISM-ATS-ARS-T 95384,A81000C,00300,0600,THERAPIES 95384,A81000C,03100,0000,MARINER PAN 95384,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95384,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95384,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95384,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95384,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95384,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95384,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95384,B100000,00000,0800,00001MEALS SERVED :DIETARY 95384,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95384,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95384,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95384,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95384,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95384,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95384,E10A180,00301,0100,02/03/1999 95384,E10A180,00302,0100,03/31/1999 95384,E10A180,00303,0100,07/21/1999 95384,E10A180,00304,0100,01/10/2000 95384,E10A180,00350,0100,09/29/1999 95384,S000000,00100,0200,03/03/2000 95384,S200000,00100,0100,1213 WATER STREET 95384,S200000,00200,0100,KERRVILLE 95384,S200000,00200,0200,TX 95384,S200000,00200,0300,78028- 95384,S200000,00300,0100,KERR 95384,S200000,00400,0100,EDGEWATER CARE CENTER 95384,S200000,00400,0200,455724 95384,S200000,00400,0300,06/01/1985 95384,S200000,00400,0500,P 95384,S200000,01600,0100,Y 95384,S200000,02200,0100,Y 95384,S200000,04300,0100,Y 95384,S700003,00000,0100,1 95396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95396,A000000,00300,0000,00300EMPLOYEE BENEFITS 95396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95396,A000000,00700,0000,00700HOUSEKEEPING 95396,A000000,00800,0000,00800DIETARY 95396,A000000,00900,0000,00900NURSING ADMINISTRATION 95396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95396,A000000,01300,0000,01300SOCIAL SERVICE 95396,A000000,01301,0000,01301ACTIVITES 95396,A000000,01350,0000,01500REHABILITATION 95396,A000000,01600,0000,01600SKILLED NURSING FACILITY 95396,A000000,01800,0000,01800NURSING FACILITY 95396,A000000,01900,0000,01900OTHER LONG TERM CARE 95396,A000000,02100,0000,02100RADIOLOGY 95396,A000000,02200,0000,02200LABORATORY 95396,A000000,02300,0000,02300INTRAVENOUS THERAPY 95396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95396,A000000,02500,0000,02500PHYSICAL THERAPY 95396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95396,A000000,02700,0000,02700SPEECH PATHOLOGY 95396,A000000,02800,0000,02800ELECTROCARDIOLOGY 95396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95396,A000000,03050,0000,03300EQUIPMENT RENTAL 95396,A000000,03051,0000,03301PEN THERAPY 95396,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95396,A000000,03200,0000,03200SUPPORT SURFACES 95396,A000000,04800,0000,04800AMBULANCE 95396,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95396,A000000,05300,0000,05300INTEREST EXPENSE 95396,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95396,A000000,06150,0000,06300VENDING 95396,A000000,06151,0000,06301STAND-BY 95396,A000000,06200,0000,06200PATIENTS LAUNDRY 95396,A81000A,00100,0100,Y 95396,A81000B,00100,0300,HOME OFFICE COST 95396,A81000B,00200,0300,DIETARY SUPPLEMENTS 95396,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95396,A81000B,00400,0300,PRESCRIPTION DRUGS 95396,A81000B,00500,0300,MEDICAL SUPPLIES 95396,A81000B,00600,0300,ADMIN COSTS 95396,A81000B,00700,0300,HOME OFFICE INTEREST 95396,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95396,A81000B,00900,0300,IV THERAPY 95396,A81000B,01000,0300,CAPITAL 95396,A81000B,01100,0300,PHYSICAL THERAPY 95396,A81000B,01200,0300,OCCUPATIONAL THERAPY 95396,A81000B,01300,0300,SPEECH THERAPY 95396,A81000B,01400,0300,ANC EQUIP RENTAL 95396,A81000B,01500,0300,PEN 95396,A81000C,00100,0100,B 95396,A81000C,00100,0200,RM SOUTH VICTOR 95396,A81000C,00100,0400,MARINER PAN 95396,A81000C,00100,0600,NURSING HOMES 95396,A81000C,00200,0100,G 95396,A81000C,00200,0200,MARINER PAN 95396,A81000C,00200,0400,AMER PHARM SVCS 95396,A81000C,00200,0600,PHARMACEUTICALS 95396,A81000C,00300,0100,G 95396,A81000C,00300,0200,MARINER PAN 95396,A81000C,00300,0400,PRISM-ATS-ARS-T 95396,A81000C,00300,0600,THERAPIES 95396,A81000C,03100,0000,MARINER PAN 95396,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95396,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95396,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95396,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95396,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95396,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95396,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95396,B100000,00000,0800,00001MEALS SERVED :DIETARY 95396,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95396,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95396,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95396,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95396,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95396,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95396,E10A180,00301,0100,01/20/1999 95396,E10A180,00302,0100,09/29/1999 95396,E10A180,00350,0100,03/17/1999 95396,E10A180,00351,0100,07/07/1999 95396,E10A180,00352,0100,01/10/2000 95396,S000000,00100,0200,03/03/2000 95396,S200000,00100,0100,3103 AIRLINE DRIVE 95396,S200000,00200,0100,VICTORIA 95396,S200000,00200,0200,TX 95396,S200000,00200,0300,77901- 95396,S200000,00300,0100,VICTORIA 95396,S200000,00400,0100,RETAMA MANOR SOUTH-VICTORIA 95396,S200000,00400,0200,455726 95396,S200000,00400,0300,11/30/1987 95396,S200000,00400,0500,P 95396,S200000,01600,0100,Y 95396,S200000,02200,0100,Y 95396,S200000,04300,0100,Y 95409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95409,A000000,00300,0000,00300EMPLOYEE BENEFITS 95409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95409,A000000,00700,0000,00700HOUSEKEEPING 95409,A000000,00800,0000,00800DIETARY 95409,A000000,00900,0000,00900NURSING ADMINISTRATION 95409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95409,A000000,01300,0000,01300SOCIAL SERVICE 95409,A000000,01600,0000,01600SKILLED NURSING FACILITY 95409,A000000,01800,0000,01800NURSING FACILITY 95409,A000000,02100,0000,02100RADIOLOGY 95409,A000000,02200,0000,02200LABORATORY 95409,A000000,02300,0000,02300INTRAVENOUS THERAPY 95409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95409,A000000,02500,0000,02500PHYSICAL THERAPY 95409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95409,A000000,02700,0000,02700SPEECH PATHOLOGY 95409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95409,A000000,03050,0000,03300FEE SCREEN REHAB 95409,A000000,03051,0000,03301ORTHOTICS 95409,A000000,03200,0000,03200SUPPORT SURFACES 95409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95409,A81000A,00100,0100,Y 95409,A81000B,00100,0300,HOME OFFICE COSTS 95409,A81000C,00100,0100,B 95409,A81000C,00100,0200,ADVOCAT INC. 95409,A81000C,00100,0400,DVCR LEASING CO 95409,A81000C,00100,0600,L/T CARE MGT CO 95409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95409,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95409,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95409,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 95409,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 95409,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95409,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95409,S000000,00100,0200,03/02/2000 95409,S200000,00100,0100,1661 WEST YOAKUM 95409,S200000,00100,0300,1208 95409,S200000,00200,0100,ARANSAS PASS 95409,S200000,00200,0200,TX 95409,S200000,00200,0300,78336- 95409,S200000,00300,0100,NUECES 95409,S200000,00300,0200,1880 95409,S200000,00300,0300,U 95409,S200000,00400,0100,ARANSAS PASS NURSING CENTER 95409,S200000,00400,0200,455728 95409,S200000,00400,0300,12/11/1987 95409,S200000,00400,0500,P 95409,S200000,00400,0600,P 95409,S200000,01600,0100,Y 95409,S200000,02200,0100,Y 95421,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95421,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95421,A000000,00300,0000,00300EMPLOYEE BENEFITS 95421,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95421,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95421,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95421,A000000,00700,0000,00700HOUSEKEEPING 95421,A000000,00800,0000,00800DIETARY 95421,A000000,00900,0000,00900NURSING ADMINISTRATION 95421,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95421,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95421,A000000,01300,0000,01300SOCIAL SERVICE 95421,A000000,01301,0000,01301ACTIVITES 95421,A000000,01350,0000,01500REHABILITATION 95421,A000000,01600,0000,01600SKILLED NURSING FACILITY 95421,A000000,01800,0000,01800NURSING FACILITY 95421,A000000,01900,0000,01900OTHER LONG TERM CARE 95421,A000000,02100,0000,02100RADIOLOGY 95421,A000000,02200,0000,02200LABORATORY 95421,A000000,02300,0000,02300INTRAVENOUS THERAPY 95421,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95421,A000000,02500,0000,02500PHYSICAL THERAPY 95421,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95421,A000000,02700,0000,02700SPEECH PATHOLOGY 95421,A000000,02800,0000,02800ELECTROCARDIOLOGY 95421,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95421,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95421,A000000,03050,0000,03300EQUIPMENT RENTAL 95421,A000000,03051,0000,03301PEN THERAPY 95421,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95421,A000000,03200,0000,03200SUPPORT SURFACES 95421,A000000,04800,0000,04800AMBULANCE 95421,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95421,A000000,05300,0000,05300INTEREST EXPENSE 95421,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95421,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95421,A000000,06150,0000,06300VENDING 95421,A000000,06151,0000,06301STAND-BY 95421,A000000,06200,0000,06200PATIENTS LAUNDRY 95421,A81000A,00100,0100,Y 95421,A81000B,00100,0300,HOME OFFICE COST 95421,A81000B,00200,0300,DIETARY SUPPLEMENTS 95421,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95421,A81000B,00400,0300,PRESCRIPTION DRUGS 95421,A81000B,00500,0300,MEDICAL SUPPLIES 95421,A81000B,00600,0300,PEN 95421,A81000B,00700,0300,HOME OFFICE INTEREST 95421,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95421,A81000B,00900,0300,IV THERAPY 95421,A81000B,01000,0300,PHYSICAL THERAPY 95421,A81000B,01100,0300,OCCUPATIONAL THERAPY 95421,A81000B,01200,0300,SPEECH THERAPY 95421,A81000B,01300,0300,ANC EQUIP RENTAL 95421,A81000C,00100,0100,B 95421,A81000C,00100,0200,MULBERRY MANOR 95421,A81000C,00100,0400,MARINER PAN 95421,A81000C,00100,0600,NURSING HOMES 95421,A81000C,00200,0100,G 95421,A81000C,00200,0200,MARINER PAN 95421,A81000C,00200,0400,AMER PHARM SVCS 95421,A81000C,00200,0600,PHARMACEUTICALS 95421,A81000C,00300,0100,G 95421,A81000C,00300,0200,MARINER PAN 95421,A81000C,00300,0400,PRISM-ATS-ARS-T 95421,A81000C,00300,0600,THERAPIES 95421,A81000C,03100,0000,MARINER PAN 95421,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95421,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95421,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95421,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95421,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95421,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95421,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95421,B100000,00000,0800,00001MEALS SERVED :DIETARY 95421,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95421,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95421,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95421,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95421,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95421,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95421,E10A180,00301,0100,03/31/1999 95421,E10A180,00350,0100,10/28/1998 95421,E10A180,00351,0100,06/23/1999 95421,E10A180,00352,0100,09/29/1999 95421,E10A180,00353,0100,01/10/2000 95421,S000000,00100,0200,03/03/2000 95421,S200000,00100,0100,1670 LINGLEVILLE ROAD 95421,S200000,00200,0100,STEPHENVILLE 95421,S200000,00200,0200,TX 95421,S200000,00200,0300,78401- 95421,S200000,00300,0100,ERATH 95421,S200000,00300,0300,R 95421,S200000,00400,0100,MULBERRY MANOR 95421,S200000,00400,0200,455744 95421,S200000,00400,0300,03/16/1988 95421,S200000,00400,0500,P 95421,S200000,01600,0100,Y 95421,S200000,02200,0100,Y 95421,S200000,04300,0100,Y 95429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95429,A000000,00300,0000,00300EMPLOYEE BENEFITS 95429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95429,A000000,00700,0000,00700HOUSEKEEPING 95429,A000000,00800,0000,00800DIETARY 95429,A000000,00900,0000,00900NURSING ADMINISTRATION 95429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95429,A000000,01100,0000,01100PHARMACY 95429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95429,A000000,01300,0000,01300SOCIAL SERVICE 95429,A000000,01350,0000,01500OTHER GENERAL SERVICES 95429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95429,A000000,01600,0000,01600SKILLED NURSING FACILITY 95429,A000000,01800,0000,01800NURSING FACILITY 95429,A000000,01810,0000,01810ICF/MR 95429,A000000,01900,0000,01900OTHER LONG TERM CARE 95429,A000000,02100,0000,02100RADIOLOGY 95429,A000000,02200,0000,02200LABORATORY 95429,A000000,02300,0000,02300INTRAVENOUS THERAPY 95429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95429,A000000,02500,0000,02500PHYSICAL THERAPY 95429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95429,A000000,02700,0000,02700SPEECH PATHOLOGY 95429,A000000,02800,0000,02800ELECTROCARDIOLOGY 95429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95429,A000000,03001,0000,03001AIR FLUIDIZED BED THERAPY 95429,A000000,03002,0000,03002ENTERAL FEEDING PALMETTO 95429,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95429,A000000,03200,0000,03200SUPPORT SURFACES 95429,A000000,03400,0000,03400CLINIC 95429,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95429,A000000,03500,0000,03500RURAL HEALTH CLINIC 95429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95429,A000000,04400,0000,04400DME RENTED - HHA 95429,A000000,04500,0000,04500DME SOLD - HHA 95429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95429,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95429,A000000,04800,0000,04800AMBULANCE 95429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95429,A000000,05000,0000,05000CORF 95429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95429,A000000,05300,0000,05300INTEREST EXPENSE 95429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95429,A000000,05500,0000,05500HOSPICE 95429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95429,A000000,06100,0000,06100NONPAID WORKERS 95429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95429,A000000,06200,0000,06200PATIENTS LAUNDRY 95429,A81000A,00100,0100,Y 95429,A81000B,00100,0300,CENTRAL OFFICE COST 95429,A81000B,00200,0300,CENTRAL OFFICE COST 95429,A81000C,00100,0100,B 95429,A81000C,00100,0200,LION HEALTH CENTERS INC 95429,A81000C,00100,0400,LION HEALTH CENTERS INC 95429,A81000C,00100,0600,CENTRAL OFFICE 95429,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95429,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95429,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95429,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95429,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95429,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95429,B100000,00000,0800,00000MEALS SERVED :DIETARY 95429,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95429,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95429,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95429,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95429,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95429,S000000,00100,0200,06/26/2000 95429,S200000,00100,0100,2021 SHOAF DRIVE 95429,S200000,00200,0100,IRVING 95429,S200000,00200,0200,TX 95429,S200000,00200,0300,75061- 95429,S200000,00300,0100,DALLAS 95429,S200000,00300,0200,1920 95429,S200000,00300,0300,U 95429,S200000,00400,0100,ASHFORD HALL 95429,S200000,00400,0200,455748 95429,S200000,00400,0300,05/01/1988 95429,S200000,00400,0500,P 95429,S200000,01600,0100,Y 95436,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95436,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 95436,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95436,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 95436,A000000,00300,0000,00300EMPLOYEE BENEFITS 95436,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95436,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95436,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95436,A000000,00700,0000,00700HOUSEKEEPING 95436,A000000,00800,0000,00800DIETARY 95436,A000000,00801,0000,00801CAFETERIA 95436,A000000,00900,0000,00900NURSING ADMINISTRATION 95436,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95436,A000000,01100,0000,01100PHARMACY 95436,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95436,A000000,01300,0000,01300SOCIAL SERVICE 95436,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 95436,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95436,A000000,01600,0000,01600SKILLED NURSING FACILITY 95436,A000000,01800,0000,01800NURSING FACILITY 95436,A000000,01900,0000,01900OTHER LONG TERM CARE 95436,A000000,02100,0000,02100RADIOLOGY 95436,A000000,02200,0000,02200LABORATORY 95436,A000000,02300,0000,02300INTRAVENOUS THERAPY 95436,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95436,A000000,02500,0000,02500PHYSICAL THERAPY 95436,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95436,A000000,02700,0000,02700SPEECH PATHOLOGY 95436,A000000,02800,0000,02800ELECTROCARDIOLOGY 95436,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95436,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95436,A000000,03050,0000,03300OTHER ANCILLARY 95436,A000000,03051,0000,03301OTHER ANCILLARY II 95436,A000000,03052,0000,03302OTHER ANCILLARY III 95436,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95436,A000000,03200,0000,03200SUPPORT SURFACES 95436,A000000,03400,0000,03400CLINIC 95436,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 95436,A000000,03500,0000,03500RURAL HEALTH CLINIC 95436,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95436,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95436,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95436,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95436,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95436,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95436,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95436,A000000,04400,0000,04400DME RENTED - HHA 95436,A000000,04500,0000,04500DME SOLD - HHA 95436,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95436,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95436,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95436,A000000,04800,0000,04800AMBULANCE 95436,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95436,A000000,05000,0000,05000CORF 95436,A000000,05010,0000,05010CMHC I 95436,A000000,05020,0000,05020OPT I 95436,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95436,A000000,05300,0000,05300INTEREST EXPENSE 95436,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 95436,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 95436,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95436,A000000,05500,0000,05500HOSPICE 95436,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95436,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95436,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95436,A000000,06100,0000,06100NONPAID WORKERS 95436,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95436,A000000,06200,0000,06200PATIENTS LAUNDRY 95436,A81000A,00100,0100,Y 95436,A81000B,00100,0300,HOME OFFICE 95436,A81000B,00200,0300,HOME OFFICE 95436,A81000C,00100,0100,A 95436,A81000C,00100,0200,OAKBROOK HCC 95436,A81000C,00100,0400,METRO HF 95436,A81000C,00100,0600,HOME OFFICE 95436,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95436,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 95436,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95436,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 95436,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95436,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95436,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95436,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 95436,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 95436,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95436,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 95436,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 95436,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 95436,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 95436,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 95436,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 95436,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 95436,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 95436,E10A180,00301,0100,07/29/1999 95436,E10A180,00501,0100,06/14/2000 95436,E10A180,00501,0300,06/14/2000 95436,S000000,00100,0200,05/22/2000 95436,S200000,00100,0100,107 STACEY 95436,S200000,00200,0100,WHITEHOUSE 95436,S200000,00200,0200,TX 95436,S200000,00200,0300,75791- 95436,S200000,00300,0100,SMITH 95436,S200000,00400,0100,OAKBROOK HEALTHCARE CENTER 95436,S200000,00400,0200,455753 95436,S200000,00400,0300,12/14/1989 95436,S200000,00400,0500,P 95436,S200000,01700,0100,Y 95436,S200000,04300,0100,Y 95441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95441,A000000,00300,0000,00300EMPLOYEE BENEFITS 95441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95441,A000000,00700,0000,00700HOUSEKEEPING 95441,A000000,00800,0000,00800DIETARY 95441,A000000,00900,0000,00900NURSING ADMINISTRATION 95441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95441,A000000,01100,0000,01100PHARMACY 95441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95441,A000000,01300,0000,01300SOCIAL SERVICE 95441,A000000,01350,0000,01500OTHER GENERAL SERVICES 95441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95441,A000000,01600,0000,01600SKILLED NURSING FACILITY 95441,A000000,01800,0000,01800NURSING FACILITY 95441,A000000,01810,0000,01810ICF/MR 95441,A000000,01900,0000,01900OTHER LONG TERM CARE 95441,A000000,02100,0000,02100RADIOLOGY 95441,A000000,02200,0000,02200LABORATORY 95441,A000000,02300,0000,02300INTRAVENOUS THERAPY 95441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95441,A000000,02500,0000,02500PHYSICAL THERAPY 95441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95441,A000000,02700,0000,02700SPEECH PATHOLOGY 95441,A000000,02800,0000,02800ELECTROCARDIOLOGY 95441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95441,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95441,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95441,A000000,03200,0000,03200SUPPORT SURFACES 95441,A000000,03400,0000,03400CLINIC 95441,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95441,A000000,03500,0000,03500RURAL HEALTH CLINIC 95441,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95441,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95441,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95441,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95441,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95441,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95441,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95441,A000000,04400,0000,04400DME RENTED - HHA 95441,A000000,04500,0000,04500DME SOLD - HHA 95441,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95441,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95441,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95441,A000000,04800,0000,04800AMBULANCE 95441,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95441,A000000,05000,0000,05000CORF 95441,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95441,A000000,05300,0000,05300INTEREST EXPENSE 95441,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95441,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95441,A000000,05500,0000,05500HOSPICE 95441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95441,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95441,A000000,06100,0000,06100NONPAID WORKERS 95441,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95441,A000000,06200,0000,06200PATIENTS LAUNDRY 95441,A81000A,00100,0100,Y 95441,A81000B,00100,0300,MANAGEMENT FEES 95441,A81000C,00100,0100,B 95441,A81000C,00100,0400,CAMLU CARE CENTER INC 95441,A81000C,00100,0600,HEALTH CARE MGMT 95441,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95441,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95441,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 95441,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95441,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95441,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95441,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95441,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95441,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95441,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95441,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95441,S000000,00100,0200,05/10/2000 95441,S200000,00100,0100,603 CORINE 95441,S200000,00200,0100,SAN ANTONIO 95441,S200000,00200,0200,TX 95441,S200000,00200,0300,78218- 95441,S200000,00300,0100,BEXTER 95441,S200000,00300,0200,7240 95441,S200000,00300,0300,U 95441,S200000,00400,0100,CAMLU CARE CENTER - SAN ANTONIO 95441,S200000,00400,0200,455754 95441,S200000,00400,0300,06/30/1988 95441,S200000,00400,0500,P 95441,S200000,01500,0100,Y 95441,S200000,03100,0100,Y 95443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95443,A000000,00300,0000,00300EMPLOYEE BENEFITS 95443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95443,A000000,00700,0000,00700HOUSEKEEPING 95443,A000000,00800,0000,00800DIETARY 95443,A000000,00900,0000,00900NURSING ADMINISTRATION 95443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95443,A000000,01100,0000,01100PHARMACY 95443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95443,A000000,01300,0000,01300SOCIAL SERVICE 95443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95443,A000000,01600,0000,01600SKILLED NURSING FACILITY 95443,A000000,01800,0000,01800NURSING FACILITY 95443,A000000,01810,0000,01810ICF/MR 95443,A000000,01900,0000,01900OTHER LONG TERM CARE 95443,A000000,02100,0000,02100RADIOLOGY 95443,A000000,02200,0000,02200LABORATORY 95443,A000000,02300,0000,02300INTRAVENOUS THERAPY 95443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95443,A000000,02500,0000,02500PHYSICAL THERAPY 95443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95443,A000000,02700,0000,02700SPEECH PATHOLOGY 95443,A000000,02800,0000,02800ELECTROCARDIOLOGY 95443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95443,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95443,A000000,03200,0000,03200SUPPORT SURFACES 95443,A000000,03400,0000,03400CLINIC 95443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95443,A000000,03500,0000,03500RURAL HEALTH CLINIC 95443,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95443,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95443,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95443,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95443,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95443,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95443,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95443,A000000,04400,0000,04400DME RENTED - HHA 95443,A000000,04500,0000,04500DME SOLD - HHA 95443,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95443,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95443,A000000,04800,0000,04800AMBULANCE 95443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95443,A000000,05000,0000,05000CORF 95443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95443,A000000,05300,0000,05300INTEREST EXPENSE 95443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95443,A000000,05500,0000,05500HOSPICE 95443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95443,A000000,06100,0000,06100NONPAID WORKERS 95443,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95443,A000000,06200,0000,06200PATIENTS LAUNDRY 95443,A81000A,00100,0100,Y 95443,A81000B,00100,0300,HOME OFFICE CAPITAL 95443,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 95443,A81000B,00300,0300,MANAGEMENT FEE 95443,A81000C,00100,0100,B 95443,A81000C,00100,0400,THE ENSIGN GROU 95443,A81000C,00100,0600,HOME OFFICE 95443,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95443,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95443,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95443,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95443,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95443,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95443,B100000,00000,0800,00000MEALS SERVED :DIETARY 95443,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95443,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95443,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95443,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95443,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95443,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95443,S000000,00100,0200,06/21/2000 95443,S200000,00100,0100,603 CORINNE 95443,S200000,00200,0100,SAN ANTONIO 95443,S200000,00200,0200,TX 95443,S200000,00200,0300,78218- 95443,S200000,00300,0100,SAN ANTONIO 95443,S200000,00400,0100,CAMLU CARE CENTER-SAN ANTONIO 95443,S200000,00400,0200,455754 95443,S200000,00400,0300,06/30/1999 95443,S200000,00400,0500,P 95443,S200000,01600,0100,Y 95443,S700003,00000,0200,2 95455,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95455,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95455,A000000,00300,0000,00300EMPLOYEE BENEFITS 95455,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95455,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95455,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95455,A000000,00700,0000,00700HOUSEKEEPING 95455,A000000,00800,0000,00800DIETARY 95455,A000000,00900,0000,00900NURSING ADMINISTRATION 95455,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95455,A000000,01100,0000,01100PHARMACY 95455,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95455,A000000,01300,0000,01300SOCIAL SERVICE 95455,A000000,01350,0000,01500RECREATION 95455,A000000,01600,0000,01600SKILLED NURSING FACILITY 95455,A000000,01800,0000,01800NURSING FACILITY 95455,A000000,01810,0000,01801ICF/MR 95455,A000000,01900,0000,01900OTHER LONG TERM CARE 95455,A000000,02100,0000,02100RADIOLOGY 95455,A000000,02200,0000,02200LABORATORY 95455,A000000,02300,0000,02300INTRAVENOUS THERAPY 95455,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95455,A000000,02500,0000,02500PHYSICAL THERAPY 95455,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95455,A000000,02700,0000,02700SPEECH PATHOLOGY 95455,A000000,02800,0000,02800ELECTROCARDIOLOGY 95455,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95455,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95455,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95455,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95455,A000000,03200,0000,03200SUPPORT SURFACES 95455,A000000,03400,0000,03400CLINIC 95455,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95455,A000000,03500,0000,03500RURAL HEALTH CLINIC 95455,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95455,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95455,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95455,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95455,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95455,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95455,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95455,A000000,04400,0000,04400DME RENTED - HHA 95455,A000000,04500,0000,04500DME SOLD - HHA 95455,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95455,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95455,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95455,A000000,04800,0000,04800AMBULANCE 95455,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95455,A000000,05000,0000,05000CORF 95455,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95455,A000000,05300,0000,05300INTEREST EXPENSE 95455,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95455,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95455,A000000,05500,0000,05500HOSPICE 95455,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95455,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95455,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95455,A000000,06100,0000,06100NONPAID WORKERS 95455,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95455,A000000,06200,0000,06200PATIENTS LAUNDRY 95455,A81000A,00100,0100,Y 95455,A81000B,00100,0300,CAPITAL RELATED COSTS 95455,A81000C,00100,0100,B 95455,A81000C,00100,0200,MISSION PROPERTY LTD 95455,A81000C,00100,0400,MISSION NURSING & REHAB 95455,A81000C,00100,0600,PROPERTY MANAGEMENT 95455,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95455,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95455,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95455,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95455,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95455,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95455,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95455,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95455,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95455,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95455,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95455,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95455,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95455,B100000,00000,1350,00000PATIENT DAYS :RECREATION 95455,S000000,00100,0200,05/30/2000 95455,S200000,00100,0100,1013 SOUTH BRYAN 95455,S200000,00200,0100,MISSION 95455,S200000,00200,0200,TX 95455,S200000,00200,0300,78752- 95455,S200000,00300,0100,HIDALGO 95455,S200000,00400,0100,MISSION NURSING & REHABILITATION C 95455,S200000,00400,0200,455761 95455,S200000,00400,0300,07/27/1998 95455,S200000,00400,0500,P 95455,S200000,01600,0100,Y 95455,S700003,00000,0100,1 95464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95464,A000000,00300,0000,00300EMPLOYEE BENEFITS 95464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95464,A000000,00700,0000,00700HOUSEKEEPING 95464,A000000,00800,0000,00800DIETARY 95464,A000000,00900,0000,00900NURSING ADMINISTRATION 95464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95464,A000000,01100,0000,01100PHARMACY 95464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95464,A000000,01300,0000,01300SOCIAL SERVICE 95464,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 95464,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95464,A000000,01600,0000,01600SKILLED NURSING FACILITY 95464,A000000,01800,0000,01800NURSING FACILITY 95464,A000000,01810,0000,01810ICF/MR 95464,A000000,01900,0000,01900OTHER LONG TERM CARE 95464,A000000,02100,0000,02100RADIOLOGY 95464,A000000,02200,0000,02200LABORATORY 95464,A000000,02300,0000,02300INTRAVENOUS THERAPY 95464,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95464,A000000,02500,0000,02500PHYSICAL THERAPY 95464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95464,A000000,02700,0000,02700SPEECH PATHOLOGY 95464,A000000,02800,0000,02800ELECTROCARDIOLOGY 95464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95464,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95464,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95464,A000000,03200,0000,03200SUPPORT SURFACES 95464,A000000,03400,0000,03400CLINIC 95464,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95464,A000000,03500,0000,03500RURAL HEALTH CLINIC 95464,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95464,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95464,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95464,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95464,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95464,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95464,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95464,A000000,04400,0000,04400DME RENTED - HHA 95464,A000000,04500,0000,04500DME SOLD - HHA 95464,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95464,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95464,A000000,04800,0000,04800AMBULANCE 95464,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95464,A000000,05000,0000,05000CORF 95464,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95464,A000000,05300,0000,05300INTEREST EXPENSE 95464,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95464,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95464,A000000,05500,0000,05500HOSPICE 95464,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95464,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95464,A000000,06100,0000,06100NONPAID WORKERS 95464,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95464,A000000,06200,0000,06200PATIENTS LAUNDRY 95464,A81000A,00100,0100,Y 95464,A81000B,00100,0300,HOME OFFICE EXPENSE 95464,A81000B,00200,0300,HOME OFFICE EXPENSE 95464,A81000B,00300,0300,NURSING SUPPLIES 95464,A81000C,00100,0100,B 95464,A81000C,00100,0400,ADVENTIST CARE 95464,A81000C,00100,0600,NSG HOME COMP 95464,A81000C,00200,0100,G 95464,A81000C,00200,0200,HUGULEY NURSING 95464,A81000C,00200,0400,Q-CARE 95464,A81000C,00200,0600,MEDICAL SUP 95464,A81000C,03100,0000,HUGULEY NURSING CENTER 95464,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95464,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95464,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95464,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95464,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95464,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95464,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95464,B100000,00000,0800,00000MEALS SERVED :DIETARY 95464,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95464,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95464,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95464,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95464,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95464,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 95464,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95464,S000000,00100,0200,03/13/2001 95464,S200000,00100,0100,301 HUGULEY BLVD 95464,S200000,00200,0100,BURLESON/TX/76028 95464,S200000,00200,0200,TX 95464,S200000,00300,0100,TARRANT 95464,S200000,00400,0100,HUGULEY NURSING CENTER 95464,S200000,00400,0200,455763 95464,S200000,00400,0300,08/05/1988 95464,S200000,00400,0500,P 95464,S200000,01600,0100,Y 95472,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95472,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95472,A000000,00300,0000,00300EMPLOYEE BENEFITS 95472,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95472,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95472,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95472,A000000,00700,0000,00700HOUSEKEEPING 95472,A000000,00800,0000,00800DIETARY 95472,A000000,00900,0000,00900NURSING ADMINISTRATION 95472,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95472,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95472,A000000,01300,0000,01300SOCIAL SERVICE 95472,A000000,01301,0000,01301ACTIVITES 95472,A000000,01350,0000,01500REHABILITATION 95472,A000000,01600,0000,01600SKILLED NURSING FACILITY 95472,A000000,01800,0000,01800NURSING FACILITY 95472,A000000,01900,0000,01900OTHER LONG TERM CARE 95472,A000000,02100,0000,02100RADIOLOGY 95472,A000000,02200,0000,02200LABORATORY 95472,A000000,02300,0000,02300INTRAVENOUS THERAPY 95472,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95472,A000000,02500,0000,02500PHYSICAL THERAPY 95472,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95472,A000000,02700,0000,02700SPEECH PATHOLOGY 95472,A000000,02800,0000,02800ELECTROCARDIOLOGY 95472,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95472,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95472,A000000,03050,0000,03300EQUIPMENT RENTAL 95472,A000000,03051,0000,03301PEN THERAPY 95472,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95472,A000000,03200,0000,03200SUPPORT SURFACES 95472,A000000,04800,0000,04800AMBULANCE 95472,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95472,A000000,05300,0000,05300INTEREST EXPENSE 95472,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95472,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95472,A000000,06150,0000,06300VENDING 95472,A000000,06151,0000,06301STAND-BY 95472,A000000,06200,0000,06200PATIENTS LAUNDRY 95472,A81000A,00100,0100,Y 95472,A81000B,00100,0300,HOME OFFICE COST 95472,A81000B,00200,0300,DIETARY SUPPLEMENTS 95472,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95472,A81000B,00400,0300,PRESCRIPTION DRUGS 95472,A81000B,00500,0300,MEDICAL SUPPLIES 95472,A81000B,00600,0300,ADMIN COSTS 95472,A81000B,00700,0300,HOME OFFICE INTEREST 95472,A81000B,00800,0300,CAPITAL 95472,A81000B,00900,0300,IV THERAPY 95472,A81000B,01000,0300,PEN 95472,A81000B,01100,0300,ANC EQUIP RENTAL 95472,A81000C,00100,0100,B 95472,A81000C,00100,0200,HEARTHSTONE OF 95472,A81000C,00100,0400,MARINER PAN 95472,A81000C,00100,0600,NURSING HOMES 95472,A81000C,00200,0100,G 95472,A81000C,00200,0200,MARINER PAN 95472,A81000C,00200,0400,AMER PHARM SVCS 95472,A81000C,00200,0600,PHARMACEUTICALS 95472,A81000C,00300,0100,G 95472,A81000C,00300,0200,MARINER PAN 95472,A81000C,00300,0400,PRISM-ATS-ARS-T 95472,A81000C,00300,0600,THERAPIES 95472,A81000C,03100,0000,MARINER PAN 95472,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95472,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95472,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95472,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95472,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95472,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95472,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95472,B100000,00000,0800,00001MEALS SERVED :DIETARY 95472,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95472,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 95472,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95472,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95472,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95472,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95472,E10A180,00301,0100,03/31/1999 95472,E10A180,00302,0100,07/07/1999 95472,E10A180,00303,0100,07/21/1999 95472,E10A180,00304,0100,08/04/1999 95472,E10A180,00350,0100,12/23/1998 95472,E10A180,00351,0100,09/29/1999 95472,E10A180,00352,0100,01/10/2000 95472,S000000,00100,0200,03/03/2000 95472,S200000,00100,0100,401 OAKWOOD BLVD 95472,S200000,00200,0100,ROUND ROCK 95472,S200000,00200,0200,TX 95472,S200000,00200,0300,78681- 95472,S200000,00300,0100,WILLIAMSON 95472,S200000,00400,0100,HEARTHSTONE OF ROUND ROCK 95472,S200000,00400,0200,455771 95472,S200000,00400,0300,09/26/1988 95472,S200000,00400,0500,P 95472,S200000,01600,0100,Y 95472,S200000,02200,0100,Y 95472,S200000,04300,0100,Y 95472,S700003,00000,0100,1 95479,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95479,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95479,A000000,00300,0000,00300EMPLOYEE BENEFITS 95479,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95479,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95479,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95479,A000000,00700,0000,00700HOUSEKEEPING 95479,A000000,00800,0000,00800DIETARY 95479,A000000,00900,0000,00900NURSING ADMINISTRATION 95479,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95479,A000000,01100,0000,01100PHARMACY 95479,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95479,A000000,01600,0000,01600SKILLED NURSING FACILITY 95479,A000000,01800,0000,01800NURSING FACILITY 95479,A000000,02500,0000,02500PHYSICAL THERAPY 95479,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95479,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95479,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95479,A81000A,00100,0100,Y 95479,A81000B,00100,0300,REMOVE RELATED LESSOR RENT EXPENSE 95479,A81000B,00200,0300,ADD BACK RELATED LESSOR BLDG COSTS 95479,A81000B,00300,0300,ADD BACK RELATED LESSOR EQUIP DEPR 95479,A81000B,00400,0300,ADD BACK RELATED LESSOR START-UP CST 95479,A81000B,00500,0300,ADD BACK RELATED LESSOR FINAN COSTS 95479,A81000B,00600,0300,HOME OFFICE CAPITAL RELATED COSTS 95479,A81000B,00700,0300,HOME OFFICE ADMINISTRATIVE COSTS 95479,A81000B,00800,0300,REMOVE RELATED LESSOR EQUIP RENT EXP 95479,A81000C,00100,0100,B 95479,A81000C,00100,0200,MORNINGSTAR HEALTH GROUP 95479,A81000C,00100,0400,MORNINGSTAR OPERATING #2 95479,A81000C,00100,0600,FACILITY OPER COMPANY 95479,A81000C,00200,0100,B 95479,A81000C,00200,0200,MORNINGSTAR MGMT GROUP 95479,A81000C,00200,0400,MORNINGSTAR OPERATING #2 95479,A81000C,00200,0600,FACILITY OPER COMPANY 95479,A81000C,00300,0100,B 95479,A81000C,00300,0200,MORNINGSTAR HEALTH GROUP 95479,A81000C,00300,0400,MORNINGSTAR REALTY #2 95479,A81000C,00300,0600,RP LAND & BLDG LESSOR 95479,A81000C,00400,0100,B 95479,A81000C,00400,0200,MORNINGSTAR MGMT GROUP 95479,A81000C,00400,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,00400,0600,RP EQUIPMENT LESSOR 95479,A81000C,00500,0100,A 95479,A81000C,00500,0200,JOHN WILCOX 95479,A81000C,00500,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,00500,0600,CORPORATE MANAGEMENT 95479,A81000C,00600,0100,A 95479,A81000C,00600,0200,JOHN WILCOX 95479,A81000C,00600,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,00600,0600,CENTRAL OFFICE MANAGEMENT 95479,A81000C,00700,0100,A 95479,A81000C,00700,0200,JOHN WILCOX 95479,A81000C,00700,0400,ORTHO-TEK INC. 95479,A81000C,00700,0600,DME & SUPPLY COMPANY 95479,A81000C,00800,0100,A 95479,A81000C,00800,0200,JOHN WILCOX 95479,A81000C,00800,0400,PROFESSIONAL OP SERVICES 95479,A81000C,00800,0600,CONTRACT THERAPY 95479,A81000C,00900,0100,A 95479,A81000C,00900,0200,JOHN WILCOX 95479,A81000C,00900,0400,PROS HOME HEALTHCARE 95479,A81000C,00900,0600,HOME HEALTH AGENCY 95479,A81000C,01000,0100,A 95479,A81000C,01000,0200,LINDA WILCOX 95479,A81000C,01000,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,01000,0600,CORPORATE MANAGEMENT 95479,A81000C,01001,0100,A 95479,A81000C,01001,0200,LINDA WILCOX 95479,A81000C,01001,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,01001,0600,CENTRAL OFFICE MANAGEMENT 95479,A81000C,01002,0100,A 95479,A81000C,01002,0200,LINDA WILCOX 95479,A81000C,01002,0400,ORTHO-TEK INC. 95479,A81000C,01002,0600,DME & SUPPLY COMPANY 95479,A81000C,01003,0100,A 95479,A81000C,01003,0200,LINDA WILCOX 95479,A81000C,01003,0400,PROFESSIONAL OP SERVICES 95479,A81000C,01003,0600,CONTRACT THERAPY 95479,A81000C,01004,0100,A 95479,A81000C,01004,0200,LINDA WILCOX 95479,A81000C,01004,0400,PROS HOME HEALTHCARE 95479,A81000C,01004,0600,HOME HEALTH AGENCY 95479,A81000C,01005,0100,A 95479,A81000C,01005,0200,BOB PETTY 95479,A81000C,01005,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,01005,0600,CORPORATE MANAGEMENT 95479,A81000C,01006,0100,A 95479,A81000C,01006,0200,BOB PETTY 95479,A81000C,01006,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,01006,0600,CENTRAL OFFICE MANAGEMENT 95479,A81000C,01007,0100,A 95479,A81000C,01007,0200,BOB PETTY 95479,A81000C,01007,0400,ORTHO-TEK INC. 95479,A81000C,01007,0600,DME & SUPPLY COMPANY 95479,A81000C,01008,0100,A 95479,A81000C,01008,0200,BOB PETTY 95479,A81000C,01008,0400,PROFESSIONAL OP SERVICES 95479,A81000C,01008,0600,CONTRACT THERAPY 95479,A81000C,01009,0100,A 95479,A81000C,01009,0200,BOB PETTY 95479,A81000C,01009,0400,PROS HOME HEALTHCARE 95479,A81000C,01009,0600,HOME HEALTH AGENCY 95479,A81000C,01010,0100,A 95479,A81000C,01010,0200,CAROLYN PETTY 95479,A81000C,01010,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,01010,0600,CORPORATE MANAGEMENT 95479,A81000C,01011,0100,A 95479,A81000C,01011,0200,CAROLYN PETTY 95479,A81000C,01011,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,01011,0600,CENTRAL OFFICE MANAGEMENT 95479,A81000C,01012,0100,A 95479,A81000C,01012,0200,CAROLYN PETTY 95479,A81000C,01012,0400,ORTHO-TEK INC. 95479,A81000C,01012,0600,DME & SUPPLY COMPANY 95479,A81000C,01013,0100,A 95479,A81000C,01013,0200,CAROLYN PETTY 95479,A81000C,01013,0400,PROFESSIONAL OP SERVICES 95479,A81000C,01013,0600,CONTRACT THERAPY 95479,A81000C,01014,0100,A 95479,A81000C,01014,0200,CAROLYN PETTY 95479,A81000C,01014,0400,PROS HOME HEALTHCARE 95479,A81000C,01014,0600,HOME HEALTH AGENCY 95479,A81000C,01015,0100,A 95479,A81000C,01015,0200,BARRY REYNOLDS 95479,A81000C,01015,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,01015,0600,CORPORATE MANAGEMENT 95479,A81000C,01016,0100,A 95479,A81000C,01016,0200,BARRY REYNOLDS 95479,A81000C,01016,0400,MORNINGSTAR MGMT GROUP 95479,A81000C,01016,0600,CENTRAL OFFICE MANAGEMENT 95479,A81000C,01017,0100,A 95479,A81000C,01017,0200,BARRY REYNOLDS 95479,A81000C,01017,0400,ORTHO-TEK INC. 95479,A81000C,01017,0600,DME & SUPPLY COMPANY 95479,A81000C,01018,0100,A 95479,A81000C,01018,0200,BARRY REYNOLDS 95479,A81000C,01018,0400,PROFESSIONAL OP SERVICES 95479,A81000C,01018,0600,CONTRACT THERAPY 95479,A81000C,01019,0100,A 95479,A81000C,01019,0200,BARRY REYNOLDS 95479,A81000C,01019,0400,PROS HOME HEALTHCARE 95479,A81000C,01019,0600,HOME HEALTH AGENCY 95479,A81000C,01020,0100,B 95479,A81000C,01020,0200,MORNINGSTAR MGMT GROUP 95479,A81000C,01020,0400,MORNINGSTAR HEALTH GROUP 95479,A81000C,01020,0600,CORPORATE MANAGEMENT 95479,A81000C,01021,0100,B 95479,A81000C,01021,0200,MORNINGSTAR HEALTH GROUP 95479,A81000C,01021,0400,MORNINGSTAR RESOURCE #2 95479,A81000C,01021,0600,RP EQUIPMENT LESSOR 95479,A81000C,01022,0100,B 95479,A81000C,01022,0200,MORNINGSTAR MGMT GROUP 95479,A81000C,01022,0400,MORNINGSTAR RESOURCE #2 95479,A81000C,01022,0600,RP EQUIPMENT LESSOR 95479,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95479,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95479,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95479,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95479,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95479,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 95479,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95479,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 95479,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 95479,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95479,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95479,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 95479,S000000,00100,0200,01/27/2000 95479,S200000,00100,0100,1102 WILLIAMS AVENUE 95479,S200000,00200,0100,CLEBURNE 95479,S200000,00200,0200,TX 95479,S200000,00200,0300,76031- 95479,S200000,00300,0100,JOHNSON 95479,S200000,00400,0100,SUNRISE REHABILITATION CENTER 95479,S200000,00400,0200,455783 95479,S200000,00400,0300,05/02/1985 95479,S200000,00400,0500,O 95479,S200000,01600,0100,Y 95479,S700003,00000,0100,1 95480,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95480,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95480,A000000,00300,0000,00300EMPLOYEE BENEFITS 95480,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95480,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95480,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95480,A000000,00700,0000,00700HOUSEKEEPING 95480,A000000,00800,0000,00800DIETARY 95480,A000000,00900,0000,00900NURSING ADMINISTRATION 95480,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95480,A000000,01100,0000,01100PHARMACY 95480,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95480,A000000,01300,0000,01300SOCIAL SERVICE 95480,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95480,A000000,01600,0000,01600SKILLED NURSING FACILITY 95480,A000000,01800,0000,01800NURSING FACILITY 95480,A000000,01810,0000,01810ICF/MR 95480,A000000,02100,0000,02100RADIOLOGY 95480,A000000,02200,0000,02200LABORATORY 95480,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95480,A000000,02500,0000,02500PHYSICAL THERAPY 95480,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95480,A000000,02700,0000,02700SPEECH PATHOLOGY 95480,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95480,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95480,A000000,03050,0000,03300OTHER ANCILLIARY SERVICES 95480,A000000,03550,0000,03550FQHC 95480,A000000,05000,0000,05000CORF 95480,A000000,05010,0000,05010CMHC 95480,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 95480,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 95480,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 95480,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95480,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 95480,A81000A,00100,0100,Y 95480,A81000B,00100,0300,REMOVE BLDG RENT 95480,A81000B,00200,0300,REMOVE EQUIP RENT 95480,A81000B,00300,0300,ADD BLDG COSTS 95480,A81000B,00400,0300,ADD EQUIP COSTS 95480,A81000B,00500,0300,ADD START UP COSTS 95480,A81000B,00600,0300,ADD ADMIN COSTS 95480,A81000B,00700,0300,REMOVE MGT FEES 95480,A81000B,00800,0300,HOME OFF DIRECT COST 95480,A81000B,00900,0300,HOME OFF POOLED COST 95480,A81000B,01000,0300,CONTRACT PT COSTS 95480,A81000B,01100,0300,CONTRACT OT COSTS 95480,A81000B,01200,0300,CONTRACT ST COSTS 95480,A81000C,00100,0100,B 95480,A81000C,00100,0200,MS HEALTH GROUP 95480,A81000C,00100,0400,MS OPERATING #2 95480,A81000C,00100,0600,RP FACILITY OPE 95480,A81000C,00200,0100,B 95480,A81000C,00200,0200,MS HEALTH GROUP 95480,A81000C,00200,0400,MS REALTY 95480,A81000C,00200,0600,RP LAND/BUILD L 95480,A81000C,00300,0100,B 95480,A81000C,00300,0200,MS HEALTH GROUP 95480,A81000C,00300,0400,MS RESOURCE #2 95480,A81000C,00300,0600,RP EQUIP LESSOR 95480,A81000C,00400,0100,B 95480,A81000C,00400,0200,MS MGMT GROUP 95480,A81000C,00400,0400,MS OPERATING #2 95480,A81000C,00400,0600,RP FACILITY OPE 95480,A81000C,00500,0100,B 95480,A81000C,00500,0200,MS MGMT GROUP 95480,A81000C,00500,0400,MS REALTY 95480,A81000C,00500,0600,RP LAND/BUILD L 95480,A81000C,00600,0100,B 95480,A81000C,00600,0200,MS MGMT GROUP 95480,A81000C,00600,0400,MS RESOURCE #2 95480,A81000C,00600,0600,RP EQUIP LESSOR 95480,A81000C,00700,0100,B 95480,A81000C,00700,0200,MS MGMT GROUP 95480,A81000C,00700,0400,MS HEALTH GROUP 95480,A81000C,00700,0600,CORP MGMT CO 95480,A81000C,00800,0100,A 95480,A81000C,00800,0200,JOHN WILCOX 95480,A81000C,00800,0400,MS HEALTH GROUP 95480,A81000C,00800,0600,CORP MGMT CO 95480,A81000C,00900,0100,A 95480,A81000C,00900,0200,JOHN WILCOX 95480,A81000C,00900,0400,MS MGMT GROUP 95480,A81000C,00900,0600,RP HOME OFFICE 95480,A81000C,01000,0100,A 95480,A81000C,01000,0200,JOHN WILCOX 95480,A81000C,01000,0400,ORTHO-TEK INC 95480,A81000C,01000,0600,DME & SUPPLY CO 95480,A81000C,01001,0100,A 95480,A81000C,01001,0200,JOHN WILCOX 95480,A81000C,01001,0400,PROF OP SERVICE 95480,A81000C,01001,0600,CONTRACT THERAP 95480,A81000C,01002,0100,A 95480,A81000C,01002,0200,JOHN WILCOX 95480,A81000C,01002,0400,PROS HOME HEALT 95480,A81000C,01002,0600,HOME HEALTH AGE 95480,A81000C,01003,0100,A 95480,A81000C,01003,0200,LINDA WILCOX 95480,A81000C,01003,0400,MS HEALTH GROUP 95480,A81000C,01003,0600,CORP MGMT CO 95480,A81000C,01004,0100,A 95480,A81000C,01004,0200,LINDA WILCOX 95480,A81000C,01004,0400,MS MGMT GROUP 95480,A81000C,01004,0600,RP HOME OFFICE 95480,A81000C,01005,0100,A 95480,A81000C,01005,0200,LINDA WILCOX 95480,A81000C,01005,0400,ORTHO-TEK INC 95480,A81000C,01005,0600,DME & SUPPLY CO 95480,A81000C,01006,0100,A 95480,A81000C,01006,0200,LINDA WILCOX 95480,A81000C,01006,0400,PROF OP SERVICE 95480,A81000C,01006,0600,CONTRACT THERAP 95480,A81000C,01007,0100,A 95480,A81000C,01007,0200,LINDA WILCOX 95480,A81000C,01007,0400,PROS HOME HEALT 95480,A81000C,01007,0600,HOME HEALTH AGE 95480,A81000C,01008,0100,A 95480,A81000C,01008,0200,BARRY REYNOLDS 95480,A81000C,01008,0400,MS HEALTH GROUP 95480,A81000C,01008,0600,CORP MGMT CO 95480,A81000C,01009,0100,A 95480,A81000C,01009,0200,BARRY REYNOLDS 95480,A81000C,01009,0400,MS MGMT GROUP 95480,A81000C,01009,0600,RP HOME OFFICE 95480,A81000C,01010,0100,A 95480,A81000C,01010,0200,BARRY REYNOLDS 95480,A81000C,01010,0400,ORTHO-TEK INC 95480,A81000C,01010,0600,DME & SUPPY CO 95480,A81000C,01011,0100,A 95480,A81000C,01011,0200,BARRY REYNOLDS 95480,A81000C,01011,0400,PROF OP SERVICE 95480,A81000C,01011,0600,CONTRACT THERAP 95480,A81000C,01012,0100,A 95480,A81000C,01012,0200,BARRY REYNOLDS 95480,A81000C,01012,0400,PROS HOME HEALT 95480,A81000C,01012,0600,HOME HEALTH AGE 95480,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95480,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95480,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95480,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95480,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95480,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 95480,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95480,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 95480,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 95480,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 95480,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 95480,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 95480,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 95480,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95480,S000000,00100,0200,07/19/2000 95480,S200000,00100,0100,1102 WILLIAMS AVENUE 95480,S200000,00200,0100,CLEBURNE 95480,S200000,00200,0200,TX 95480,S200000,00200,0300,76031- 95480,S200000,00300,0100,JOHNSON 95480,S200000,00400,0100,SUNRISE REHABILITATION CTR 95480,S200000,00400,0200,455783 95480,S200000,00400,0300,05/02/1985 95480,S200000,00400,0500,P 95480,S200000,01600,0100,Y 95480,S700003,00000,0200,2 95486,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95486,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95486,A000000,00300,0000,00300EMPLOYEE BENEFITS 95486,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95486,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95486,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95486,A000000,00700,0000,00700HOUSEKEEPING 95486,A000000,00800,0000,00800DIETARY 95486,A000000,00900,0000,00900NURSING ADMINISTRATION 95486,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95486,A000000,01100,0000,01100PHARMACY 95486,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95486,A000000,01300,0000,01300SOCIAL SERVICE 95486,A000000,01350,0000,01500OTHER GENERAL SERVICES 95486,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95486,A000000,01600,0000,01600SKILLED NURSING FACILITY 95486,A000000,01800,0000,01800NURSING FACILITY 95486,A000000,01810,0000,01801ICF/MR 95486,A000000,01900,0000,01900OTHER LONG TERM CARE 95486,A000000,02100,0000,02100RADIOLOGY 95486,A000000,02200,0000,02200LABORATORY 95486,A000000,02300,0000,02300INTRAVENOUS THERAPY 95486,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95486,A000000,02500,0000,02500PHYSICAL THERAPY 95486,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95486,A000000,02700,0000,02700SPEECH PATHOLOGY 95486,A000000,02800,0000,02800ELECTROCARDIOLOGY 95486,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95486,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95486,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95486,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95486,A000000,03200,0000,03200SUPPORT SURFACES 95486,A000000,03400,0000,03400CLINIC 95486,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95486,A000000,03500,0000,03500RURAL HEALTH CLINIC 95486,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95486,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95486,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95486,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95486,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95486,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95486,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95486,A000000,04400,0000,04400DME RENTED - HHA 95486,A000000,04500,0000,04500DME SOLD - HHA 95486,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95486,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95486,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95486,A000000,04800,0000,04800AMBULANCE 95486,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95486,A000000,05000,0000,05000CORF 95486,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95486,A000000,05300,0000,05300INTEREST EXPENSE 95486,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95486,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95486,A000000,05500,0000,05500HOSPICE 95486,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95486,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95486,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95486,A000000,06100,0000,06100NONPAID WORKERS 95486,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95486,A000000,06200,0000,06200PATIENTS LAUNDRY 95486,A81000A,00100,0100,Y 95486,A81000B,00100,0300,NURSING HOME ADMINISTRATION 95486,A81000C,00100,0100,B 95486,A81000C,00100,0400,HARVEST SENIOR SERVICES 95486,A81000C,00100,0600,LTC MANAGEMENT 95486,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95486,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95486,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95486,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95486,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95486,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95486,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95486,B100000,00000,0800,00000MEALS SERVED :DIETARY 95486,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95486,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95486,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95486,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95486,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95486,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95486,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95486,S000000,00100,0200,05/31/2000 95486,S200000,00100,0100,6518 SAMARITAN DR 95486,S200000,00200,0100,SAN ANTONIO 95486,S200000,00200,0200,TX 95486,S200000,00200,0300,78238- 95486,S200000,00300,0100,BEXAR 95486,S200000,00400,0100,COVENANT CARE CENTER 95486,S200000,00400,0200,455792 95486,S200000,00400,0300,02/01/1989 95486,S200000,00400,0500,P 95486,S200000,01004,0500,O 95486,S200000,01600,0100,Y 95486,S200000,04300,0100,Y 95486,S700003,00000,0100,1 95494,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95494,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 95494,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95494,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 95494,A000000,00300,0000,00300EMPLOYEE BENEFITS 95494,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95494,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95494,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95494,A000000,00700,0000,00700HOUSEKEEPING 95494,A000000,00800,0000,00800DIETARY 95494,A000000,00801,0000,00801CAFETERIA 95494,A000000,00900,0000,00900NURSING ADMINISTRATION 95494,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95494,A000000,01100,0000,01100PHARMACY 95494,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95494,A000000,01300,0000,01300SOCIAL SERVICE 95494,A000000,01350,0000,01500ACTIVITIES 95494,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95494,A000000,01600,0000,01600SKILLED NURSING FACILITY 95494,A000000,01800,0000,01800NURSING FACILITY 95494,A000000,01900,0000,01900OTHER LONG TERM CARE 95494,A000000,02100,0000,02100RADIOLOGY 95494,A000000,02200,0000,02200LABORATORY 95494,A000000,02300,0000,02300INTRAVENOUS THERAPY 95494,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95494,A000000,02500,0000,02500PHYSICAL THERAPY 95494,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95494,A000000,02700,0000,02700SPEECH PATHOLOGY 95494,A000000,02800,0000,02800ELECTROCARDIOLOGY 95494,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95494,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95494,A000000,03050,0000,03300OTHER ANCILLARY 95494,A000000,03051,0000,03301OTHER ANCILLARY II 95494,A000000,03052,0000,03302OTHER ANCILLARY III 95494,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95494,A000000,03200,0000,03200SUPPORT SURFACES 95494,A000000,03400,0000,03400CLINIC 95494,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 95494,A000000,03500,0000,03500RURAL HEALTH CLINIC 95494,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95494,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95494,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95494,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95494,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95494,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95494,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95494,A000000,04400,0000,04400DME RENTED - HHA 95494,A000000,04500,0000,04500DME SOLD - HHA 95494,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95494,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95494,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95494,A000000,04800,0000,04800AMBULANCE 95494,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95494,A000000,05000,0000,05000CORF 95494,A000000,05010,0000,05010CMHC I 95494,A000000,05020,0000,05020OPT I 95494,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95494,A000000,05300,0000,05300INTEREST EXPENSE 95494,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 95494,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 95494,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95494,A000000,05500,0000,05500HOSPICE 95494,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95494,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95494,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95494,A000000,06100,0000,06100NONPAID WORKERS 95494,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95494,A000000,06200,0000,06200PATIENTS LAUNDRY 95494,A81000A,00100,0100,Y 95494,A81000B,00100,0300,HO MGT FEES 95494,A81000B,00200,0300,NURSE CONSULTANT 95494,A81000C,00100,0100,A 95494,A81000C,00100,0200,REGENCY NURSING 95494,A81000C,00100,0400,SOUTH TEXAS 95494,A81000C,00200,0200,& REHAB CTR 95494,A81000C,00200,0400,SKILLED NURSING 95494,A81000C,00200,0600,HEALTHCARE 95494,A81000C,00300,0400,CENTER 95494,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95494,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 95494,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95494,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 95494,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95494,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95494,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95494,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 95494,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 95494,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95494,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 95494,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 95494,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 95494,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 95494,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 95494,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 95494,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 95494,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 95494,S000000,00100,0200,06/01/2000 95494,S200000,00100,0100,311 HACKBERRY 95494,S200000,00200,0100,PEARSALL 95494,S200000,00200,0200,TX 95494,S200000,00200,0300,78061- 95494,S200000,00300,0100,FRIO 95494,S200000,00400,0100,SOUTH TEXAS SK NUR. CTR 95494,S200000,00400,0200,455797 95494,S200000,00400,0300,06/01/1993 95494,S200000,00400,0500,P 95494,S200000,01600,0100,Y 95494,S200000,02200,0100,Y 95494,S200000,04300,0100,Y 95494,S700003,00000,0100,1 95506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95506,A000000,00300,0000,00300EMPLOYEE BENEFITS 95506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95506,A000000,00700,0000,00700HOUSEKEEPING 95506,A000000,00800,0000,00800DIETARY 95506,A000000,00900,0000,00900NURSING ADMINISTRATION 95506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95506,A000000,01300,0000,01300SOCIAL SERVICE 95506,A000000,01301,0000,01301ACTIVITES 95506,A000000,01350,0000,01500REHABILITATION 95506,A000000,01600,0000,01600SKILLED NURSING FACILITY 95506,A000000,01800,0000,01800NURSING FACILITY 95506,A000000,01900,0000,01900OTHER LONG TERM CARE 95506,A000000,02100,0000,02100RADIOLOGY 95506,A000000,02200,0000,02200LABORATORY 95506,A000000,02300,0000,02300INTRAVENOUS THERAPY 95506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95506,A000000,02500,0000,02500PHYSICAL THERAPY 95506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95506,A000000,02700,0000,02700SPEECH PATHOLOGY 95506,A000000,02800,0000,02800ELECTROCARDIOLOGY 95506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95506,A000000,03050,0000,03300EQUIPMENT RENTAL 95506,A000000,03051,0000,03301PEN THERAPY 95506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95506,A000000,03200,0000,03200SUPPORT SURFACES 95506,A000000,04800,0000,04800AMBULANCE 95506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95506,A000000,05300,0000,05300INTEREST EXPENSE 95506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95506,A000000,06150,0000,06300VENDING 95506,A000000,06151,0000,06301STAND-BY 95506,A000000,06200,0000,06200PATIENTS LAUNDRY 95506,A81000A,00100,0100,Y 95506,A81000B,00100,0300,HOME OFFICE COST 95506,A81000B,00200,0300,DIETARY SUPPLEMENTS 95506,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95506,A81000B,00400,0300,PRESCRIPTION DRUGS 95506,A81000B,00500,0300,MEDICAL SUPPLIES 95506,A81000B,00600,0300,DME 95506,A81000B,00700,0300,HOME OFFICE INTEREST 95506,A81000B,00900,0300,IV THERAPY 95506,A81000B,01000,0300,THERAPY CONSULTING 95506,A81000B,01100,0300,PHYSICAL THERAPY 95506,A81000B,01200,0300,OCCUPATIONAL THERAPY 95506,A81000B,01300,0300,SPEECH THERAPY 95506,A81000B,01400,0300,ANC EQUIP RENTAL 95506,A81000B,01500,0300,PEN 95506,A81000C,00100,0100,B 95506,A81000C,00100,0200,THE VILLAGE 95506,A81000C,00100,0400,MARINER PAN 95506,A81000C,00100,0600,NURSING HOMES 95506,A81000C,00200,0100,G 95506,A81000C,00200,0200,MARINER PAN 95506,A81000C,00200,0400,AMER PHARM SVCS 95506,A81000C,00200,0600,PHARMACEUTICALS 95506,A81000C,00300,0100,G 95506,A81000C,00300,0200,MARINER PAN 95506,A81000C,00300,0400,PRISM-ATS-ARS-T 95506,A81000C,00300,0600,THERAPIES 95506,A81000C,03100,0000,MARINER PAN 95506,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95506,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95506,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95506,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95506,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95506,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95506,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95506,B100000,00000,0800,00001MEALS SERVED :DIETARY 95506,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95506,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95506,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95506,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95506,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95506,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95506,E10A180,00301,0100,01/05/2000 95506,E10A180,00350,0100,06/09/1999 95506,E10A180,00351,0100,10/13/1999 95506,S000000,00100,0200,08/31/2000 95506,S200000,00100,0100,1341 BLALOCK 95506,S200000,00200,0100,HOUSTON 95506,S200000,00200,0200,TX 95506,S200000,00200,0300,77055- 95506,S200000,00300,0100,HARRIS 95506,S200000,00300,0200,3360 95506,S200000,00300,0300,U 95506,S200000,00400,0100,THE VILLAGE HEALTHCARE CENTER 95506,S200000,00400,0200,455809 95506,S200000,00400,0300,04/11/1989 95506,S200000,00400,0500,P 95506,S200000,01600,0100,Y 95506,S200000,02200,0100,Y 95506,S200000,04300,0100,Y 95514,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95514,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95514,A000000,00300,0000,00300EMPLOYEE BENEFITS 95514,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95514,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95514,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95514,A000000,00700,0000,00700HOUSEKEEPING 95514,A000000,00800,0000,00800DIETARY 95514,A000000,00900,0000,00900NURSING ADMINISTRATION 95514,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95514,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95514,A000000,01300,0000,01300SOCIAL SERVICE 95514,A000000,01350,0000,01500ACTIVITIES 95514,A000000,01600,0000,01600SKILLED NURSING FACILITY 95514,A000000,01800,0000,01800NURSING FACILITY 95514,A000000,01900,0000,01900OTHER LONG TERM CARE 95514,A000000,02100,0000,02100RADIOLOGY 95514,A000000,02200,0000,02200LABORATORY 95514,A000000,02300,0000,02300INTRAVENOUS THERAPY 95514,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95514,A000000,02500,0000,02500PHYSICAL THERAPY 95514,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95514,A000000,02700,0000,02700SPEECH PATHOLOGY 95514,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95514,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95514,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95514,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95514,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95514,A000000,05300,0000,05300INTEREST EXPENSE 95514,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95514,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95514,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95514,A000000,06100,0000,06100NONPAID WORKERS 95514,A000000,06101,0000,06101HOME HEALTH 95514,A000000,06150,0000,06300RETIREMENT CENTER 95514,A81000A,00100,0100,Y 95514,A81000B,00100,0300,HO CAPITAL 95514,A81000B,00200,0300,HO A&G 95514,A81000C,00100,0100,B 95514,A81000C,00100,0400,AMERICAN RETIREMENT CORP 95514,A81000C,00100,0600,HOME OFFICE 95514,A81000C,00200,0100,B 95514,A81000C,00200,0400,AMERICAN RETIREMENT CORP 95514,A81000C,00200,0600,HOME OFFICE 95514,A81000C,00300,0100,B 95514,A81000C,00400,0100,B 95514,A81000C,00500,0100,B 95514,B100000,00000,0100,00000SQUARE FT (HC) :CAP REL COSTS - BLD 95514,B100000,00000,0250,00000SQUARE FT (RC) :CAP REL COSTS - MOV 95514,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95514,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95514,B100000,00000,0500,00000SQUARE FT (ALL) :PLANT OPERATION M 95514,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95514,B100000,00000,0750,00000MODIFIED SQ FT :HOUSEKEEPING 95514,B100000,00000,0800,00000MEALS SERVED :DIETARY 95514,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 95514,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95514,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95514,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95514,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 95514,S000000,00100,0200,06/05/2000 95514,S200000,00100,0100,5301 BRYANT IRVIN ROAD 95514,S200000,00200,0100,FT. WORTH 95514,S200000,00200,0200,TX 95514,S200000,00200,0300,76132- 95514,S200000,00300,0100,JOHNSON 95514,S200000,00400,0100,BROADWAY PLAZA AT CITIVIEW 95514,S200000,00400,0200,455810 95514,S200000,00400,0300,04/01/1992 95514,S200000,00400,0500,P 95514,S200000,01600,0100,Y 95514,S700003,00000,0100,1 95536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95536,A000000,00300,0000,00300EMPLOYEE BENEFITS 95536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95536,A000000,00700,0000,00700HOUSEKEEPING 95536,A000000,00800,0000,00800DIETARY 95536,A000000,00900,0000,00900NURSING ADMINISTRATION 95536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95536,A000000,01300,0000,01300SOCIAL SERVICE 95536,A000000,01301,0000,01301ACTIVITES 95536,A000000,01350,0000,01500REHABILITATION 95536,A000000,01600,0000,01600SKILLED NURSING FACILITY 95536,A000000,01800,0000,01800NURSING FACILITY 95536,A000000,01900,0000,01900OTHER LONG TERM CARE 95536,A000000,02100,0000,02100RADIOLOGY 95536,A000000,02200,0000,02200LABORATORY 95536,A000000,02300,0000,02300INTRAVENOUS THERAPY 95536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95536,A000000,02500,0000,02500PHYSICAL THERAPY 95536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95536,A000000,02700,0000,02700SPEECH PATHOLOGY 95536,A000000,02800,0000,02800ELECTROCARDIOLOGY 95536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95536,A000000,03050,0000,03300EQUIPMENT RENTAL 95536,A000000,03051,0000,03301PEN THERAPY 95536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95536,A000000,03200,0000,03200SUPPORT SURFACES 95536,A000000,04800,0000,04800AMBULANCE 95536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95536,A000000,05300,0000,05300INTEREST EXPENSE 95536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95536,A000000,06150,0000,06300VENDING 95536,A000000,06151,0000,06301STAND-BY 95536,A000000,06200,0000,06200PATIENTS LAUNDRY 95536,A81000A,00100,0100,Y 95536,A81000B,00100,0300,HOME OFFICE COST 95536,A81000B,00200,0300,DIETARY SUPPLEMENTS 95536,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95536,A81000B,00400,0300,PRESCRIPTION DRUGS 95536,A81000B,00500,0300,MEDICAL SUPPLIES 95536,A81000B,00600,0300,ADMIN COSTS 95536,A81000B,00700,0300,HOME OFFICE INTEREST 95536,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95536,A81000B,00900,0300,IV THERAPY 95536,A81000B,01000,0300,THERAPY CONSULTING 95536,A81000B,01100,0300,PHYSICAL THERAPY 95536,A81000B,01200,0300,OCCUPATIONAL THERAPY 95536,A81000B,01300,0300,SPEECH THERAPY 95536,A81000B,01400,0300,ANC EQUIP RENTAL 95536,A81000B,01500,0300,DME 95536,A81000B,01600,0300,PT SUPPLIES 95536,A81000C,00100,0100,B 95536,A81000C,00100,0200,R.M.NO. SAN ANT 95536,A81000C,00100,0400,MARINER PAN 95536,A81000C,00100,0600,NURSING HOMES 95536,A81000C,00200,0100,G 95536,A81000C,00200,0200,MARINER PAN 95536,A81000C,00200,0400,AMER PHARM SVCS 95536,A81000C,00200,0600,PHARMACEUTICALS 95536,A81000C,00300,0100,G 95536,A81000C,00300,0200,MARINER PAN 95536,A81000C,00300,0400,PRISM-ATS-ARS-T 95536,A81000C,00300,0600,THERAPIES 95536,A81000C,03100,0000,MARINER PAN 95536,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95536,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95536,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95536,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95536,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95536,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95536,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95536,B100000,00000,0800,00001MEALS SERVED :DIETARY 95536,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95536,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95536,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95536,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95536,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95536,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95536,E10A180,00301,0100,01/05/2000 95536,E10A180,00350,0100,06/09/1999 95536,E10A180,00351,0100,10/13/1999 95536,S000000,00100,0200,08/31/2000 95536,S200000,00100,0100,501 OGDEN 95536,S200000,00200,0100,SAN ANTONIO 95536,S200000,00200,0200,TX 95536,S200000,00200,0300,78212- 95536,S200000,00300,0100,BEXAR 95536,S200000,00400,0100,RETAMA MANOR NRSG CTR N.-SAN ANTONIO 95536,S200000,00400,0200,455817 95536,S200000,00400,0300,06/08/1989 95536,S200000,00400,0500,P 95536,S200000,01600,0100,Y 95536,S200000,02200,0100,Y 95536,S200000,04300,0100,Y 95544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95544,A000000,00300,0000,00300EMPLOYEE BENEFITS 95544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95544,A000000,00700,0000,00700HOUSEKEEPING 95544,A000000,00800,0000,00800DIETARY 95544,A000000,00900,0000,00900NURSING ADMINISTRATION 95544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95544,A000000,01300,0000,01300SOCIAL SERVICE 95544,A000000,01301,0000,01301ACTIVITES 95544,A000000,01350,0000,01500REHABILITATION 95544,A000000,01600,0000,01600SKILLED NURSING FACILITY 95544,A000000,01800,0000,01800NURSING FACILITY 95544,A000000,01900,0000,01900OTHER LONG TERM CARE 95544,A000000,02100,0000,02100RADIOLOGY 95544,A000000,02200,0000,02200LABORATORY 95544,A000000,02300,0000,02300INTRAVENOUS THERAPY 95544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95544,A000000,02500,0000,02500PHYSICAL THERAPY 95544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95544,A000000,02700,0000,02700SPEECH PATHOLOGY 95544,A000000,02800,0000,02800ELECTROCARDIOLOGY 95544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95544,A000000,03050,0000,03300EQUIPMENT RENTAL 95544,A000000,03051,0000,03301PEN THERAPY 95544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95544,A000000,03200,0000,03200SUPPORT SURFACES 95544,A000000,04800,0000,04800AMBULANCE 95544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95544,A000000,05300,0000,05300INTEREST EXPENSE 95544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95544,A000000,06150,0000,06300VENDING 95544,A000000,06151,0000,06301STAND-BY 95544,A000000,06200,0000,06200PATIENTS LAUNDRY 95544,A81000A,00100,0100,Y 95544,A81000B,00100,0300,HOME OFFICE COST 95544,A81000B,00200,0300,DIETARY SUPPLEMENTS 95544,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95544,A81000B,00400,0300,PRESCRIPTION DRUGS 95544,A81000B,00500,0300,MEDICAL SUPPLIES 95544,A81000B,00600,0300,ADMIN COSTS 95544,A81000B,00700,0300,HOME OFFICE INTEREST 95544,A81000B,00800,0300,EQUIPMENT REPLACEMENT 95544,A81000B,00900,0300,IV THERAPY 95544,A81000B,01000,0300,DME 95544,A81000B,01100,0300,PHYSICAL THERAPY 95544,A81000B,01200,0300,OCCUPATIONAL THERAPY 95544,A81000B,01300,0300,SPEECH THERAPY 95544,A81000B,01400,0300,RESPIRATORY THERAPY 95544,A81000C,00100,0100,B 95544,A81000C,00100,0200,R.M. HARLINGEN 95544,A81000C,00100,0400,MARINER PAN 95544,A81000C,00100,0600,NURSING HOMES 95544,A81000C,00200,0100,G 95544,A81000C,00200,0200,MARINER PAN 95544,A81000C,00200,0400,AMER PHARM SVCS 95544,A81000C,00200,0600,PHARMACEUTICALS 95544,A81000C,00300,0100,G 95544,A81000C,00300,0200,MARINER PAN 95544,A81000C,00300,0400,PRISM-ATS-ARS-T 95544,A81000C,00300,0600,THERAPIES 95544,A81000C,03100,0000,MARINER PAN 95544,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95544,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95544,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95544,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95544,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95544,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95544,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95544,B100000,00000,0800,00001MEALS SERVED :DIETARY 95544,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95544,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95544,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95544,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95544,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95544,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95544,E10A180,00301,0100,01/05/2000 95544,E10A180,00350,0100,06/09/1999 95544,E10A180,00351,0100,10/13/1999 95544,S000000,00100,0200,08/31/2000 95544,S200000,00100,0100,820 CAMELOT DRIVE 95544,S200000,00200,0100,HARLINGEN 95544,S200000,00200,0200,TX 95544,S200000,00200,0300,78550- 95544,S200000,00300,0100,CAMERON 95544,S200000,00300,0200,1240 95544,S200000,00300,0300,U 95544,S200000,00400,0100,RETAMA MANOR NURSING CTR-HARLINGEN 95544,S200000,00400,0200,455822 95544,S200000,00400,0300,06/12/1989 95544,S200000,00400,0500,P 95544,S200000,01600,0100,Y 95544,S200000,02200,0100,Y 95544,S200000,04300,0100,Y 95555,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95555,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95555,A000000,00300,0000,00300EMPLOYEE BENEFITS 95555,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95555,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95555,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95555,A000000,00700,0000,00700HOUSEKEEPING 95555,A000000,00800,0000,00800DIETARY 95555,A000000,00900,0000,00900NURSING ADMINISTRATION 95555,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95555,A000000,01100,0000,01100PHARMACY 95555,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95555,A000000,01300,0000,01300SOCIAL SERVICE 95555,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95555,A000000,01600,0000,01600SKILLED NURSING FACILITY 95555,A000000,01900,0000,01900OTHER LONG TERM CARE 95555,A000000,02100,0000,02100RADIOLOGY 95555,A000000,02200,0000,02200LABORATORY 95555,A000000,02300,0000,02300INTRAVENOUS THERAPY 95555,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95555,A000000,02500,0000,02500PHYSICAL THERAPY 95555,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95555,A000000,02700,0000,02700SPEECH PATHOLOGY 95555,A000000,02800,0000,02800ELECTROCARDIOLOGY 95555,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95555,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95555,A000000,03050,0000,03201ENTERNAL SUPPLIES 95555,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95555,A000000,03200,0000,03200SUPPORT SURFACES 95555,A000000,03400,0000,03400CLINIC 95555,A000000,04800,0000,04800AMBULANCE 95555,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95555,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95555,A000000,05300,0000,05300INTEREST EXPENSE 95555,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95555,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95555,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95555,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95555,A000000,06100,0000,06100NONPAID WORKERS 95555,A000000,06200,0000,06200PATIENTS LAUNDRY 95555,A81000A,00100,0100,Y 95555,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 95555,A81000B,00200,0300,LAUNDRY SERVICES 95555,A81000B,00300,0300,MENU PLANNING 95555,A81000B,00400,0300,BUILDING LEASE 95555,A81000B,00500,0300,CENTRAL OFFICE: BLDG 95555,A81000B,00600,0300,CENTRAL OFFICE: EQUIPMENT 95555,A81000B,00700,0300,DRUGS 95555,A81000C,00100,0100,B 95555,A81000C,00100,0200,CANTEX HC CTRS 95555,A81000C,00100,0600,LTC MANAGEMENT 95555,A81000C,00200,0100,B 95555,A81000C,00200,0200,HEALTHCARE LNEN 95555,A81000C,00200,0600,LAUNDRY SERVICE 95555,A81000C,00300,0100,A 95555,A81000C,00300,0200,ALBERT J. LONGO 95555,A81000C,00300,0400,NOVA 95555,A81000C,00300,0600,MENU PLANNING 95555,A81000C,00400,0100,B 95555,A81000C,00400,0200,CANTEX HC CTRS 95555,A81000C,00400,0400,BAREL INVEST 95555,A81000C,00400,0600,BUILDING LEASE 95555,A81000C,00500,0100,B 95555,A81000C,00500,0200,CANTEX HC CTRS 95555,A81000C,00500,0600,LTC MANAGEMENT 95555,A81000C,00600,0100,B 95555,A81000C,00600,0200,CANTEX HC CTRS 95555,A81000C,00600,0600,LTC MANAGEMENT 95555,A81000C,00700,0100,B 95555,A81000C,00700,0200,PHARMACARE 95555,A81000C,00700,0600,LTC MANAGEMENT 95555,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95555,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 95555,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95555,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95555,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95555,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95555,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95555,B100000,00000,0800,00000MEALS SERVED :DIETARY 95555,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95555,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95555,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95555,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95555,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95555,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95555,E10A180,00301,0100,12/31/1999 95555,S000000,00100,0200,06/02/2000 95555,S200000,00100,0100,2537 WEST PLEASANT RUN 95555,S200000,00200,0100,LANCASTER 95555,S200000,00200,0200,TX 95555,S200000,00200,0300,75146- 95555,S200000,00300,0100,DALLAS 95555,S200000,00400,0100,WINDSOR PLACE 95555,S200000,00400,0200,455832 95555,S200000,00400,0300,03/01/1998 95555,S200000,00400,0500,P 95555,S200000,01600,0100,Y 95555,S700003,00000,0100,1 95561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95561,A000000,00300,0000,00300EMPLOYEE BENEFITS 95561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95561,A000000,00700,0000,00700HOUSEKEEPING 95561,A000000,00800,0000,00800DIETARY 95561,A000000,00900,0000,00900NURSING ADMINISTRATION 95561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95561,A000000,01300,0000,01300SOCIAL SERVICE 95561,A000000,01301,0000,01301ACTIVITES 95561,A000000,01350,0000,01500REHABILITATION 95561,A000000,01600,0000,01600SKILLED NURSING FACILITY 95561,A000000,01800,0000,01800NURSING FACILITY 95561,A000000,01900,0000,01900OTHER LONG TERM CARE 95561,A000000,02100,0000,02100RADIOLOGY 95561,A000000,02200,0000,02200LABORATORY 95561,A000000,02300,0000,02300INTRAVENOUS THERAPY 95561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95561,A000000,02500,0000,02500PHYSICAL THERAPY 95561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95561,A000000,02700,0000,02700SPEECH PATHOLOGY 95561,A000000,02800,0000,02800ELECTROCARDIOLOGY 95561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95561,A000000,03050,0000,03300EQUIPMENT RENTAL 95561,A000000,03051,0000,03301PEN THERAPY 95561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95561,A000000,03200,0000,03200SUPPORT SURFACES 95561,A000000,04800,0000,04800AMBULANCE 95561,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95561,A000000,05300,0000,05300INTEREST EXPENSE 95561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95561,A000000,06150,0000,06300VENDING 95561,A000000,06151,0000,06301STAND-BY 95561,A000000,06200,0000,06200PATIENTS LAUNDRY 95561,A81000A,00100,0100,Y 95561,A81000B,00100,0300,HOME OFFICE COST 95561,A81000B,00200,0300,DIETARY SUPPLEMENTS 95561,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95561,A81000B,00400,0300,PRESCRIPTION DRUGS 95561,A81000B,00500,0300,MEDICAL SUPPLIES 95561,A81000B,00600,0300,ADMIN COSTS 95561,A81000B,00700,0300,HOME OFFICE INTEREST 95561,A81000B,00900,0300,IV THERAPY 95561,A81000B,01000,0300,DME 95561,A81000B,01100,0300,PHYSICAL THERAPY 95561,A81000B,01200,0300,OCCUPATIONAL THERAPY 95561,A81000B,01300,0300,SPEECH THERAPY 95561,A81000C,00100,0100,B 95561,A81000C,00100,0200,R.M. ROBSTOWN 95561,A81000C,00100,0400,MARINER PAN 95561,A81000C,00100,0600,NURSING HOMES 95561,A81000C,00200,0100,G 95561,A81000C,00200,0200,MARINER PAN 95561,A81000C,00200,0400,AMER PHARM SVCS 95561,A81000C,00200,0600,PHARMACEUTICALS 95561,A81000C,00300,0100,G 95561,A81000C,00300,0200,MARINER PAN 95561,A81000C,00300,0400,PRISM-ATS-ARS-T 95561,A81000C,00300,0600,THERAPIES 95561,A81000C,03100,0000,MARINER PAN 95561,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95561,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95561,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95561,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95561,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95561,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95561,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95561,B100000,00000,0800,00001MEALS SERVED :DIETARY 95561,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95561,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95561,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95561,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95561,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95561,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95561,E10A180,00301,0100,01/05/2000 95561,E10A180,00350,0100,06/09/1999 95561,E10A180,00351,0100,10/13/1999 95561,S000000,00100,0200,08/31/2000 95561,S200000,00100,0100,603 EAST AVENUE J. 95561,S200000,00200,0100,ROBSTOWN 95561,S200000,00200,0200,TX 95561,S200000,00200,0300,78380- 95561,S200000,00300,0100,NUECES 95561,S200000,00400,0100,RETAMA MANOR NRSG CTR-N. ROBSTOWN 95561,S200000,00400,0200,455838 95561,S200000,00400,0300,08/14/1989 95561,S200000,00400,0500,P 95561,S200000,01600,0100,Y 95561,S200000,02200,0100,Y 95561,S200000,04300,0100,Y 95569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95569,A000000,00300,0000,00300EMPLOYEE BENEFITS 95569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95569,A000000,00700,0000,00700HOUSEKEEPING 95569,A000000,00800,0000,00800DIETARY 95569,A000000,00801,0000,00801CAFETERIA 95569,A000000,00900,0000,00900NURSING ADMINISTRATION 95569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95569,A000000,01100,0000,01100PHARMACY 95569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95569,A000000,01300,0000,01300SOCIAL SERVICE 95569,A000000,01600,0000,01600SKILLED NURSING FACILITY 95569,A000000,01800,0000,01800NURSING FACILITY 95569,A000000,01900,0000,01900OTHER LONG TERM CARE 95569,A000000,02100,0000,02100RADIOLOGY 95569,A000000,02200,0000,02200LABORATORY 95569,A000000,02300,0000,02300INTRAVENOUS THERAPY 95569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95569,A000000,02500,0000,02500PHYSICAL THERAPY 95569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95569,A000000,02700,0000,02700SPEECH PATHOLOGY 95569,A000000,02800,0000,02800ELECTROCARDIOLOGY 95569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95569,A000000,03200,0000,03200SUPPORT SURFACES 95569,A000000,04800,0000,04800AMBULANCE 95569,A000000,05300,0000,05300INTEREST EXPENSE 95569,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95569,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95569,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95569,A81000A,00100,0100,Y 95569,A81000B,00100,0300,HOME OFFICE COSTS 95569,A81000B,00200,0300,HOME OFFICE COSTS 95569,A81000C,00100,0100,B 95569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95569,B100000,00000,0800,00000MEALS SERVED :DIETARY 95569,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 95569,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95569,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95569,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95569,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95569,S000000,00100,0200,06/23/2000 95569,S200000,00100,0100,305 MAGGIE SESSIONS 95569,S200000,00100,0300,640 95569,S200000,00200,0100,ALTO 95569,S200000,00200,0200,TX 95569,S200000,00200,0300,75925- 95569,S200000,00300,0100,CHEROKEE 95569,S200000,00400,0100,ALTO CARE CENTER 95569,S200000,00400,0200,455840 95569,S200000,00400,0300,09/01/1992 95569,S200000,00400,0500,P 95569,S200000,01600,0100,Y 95569,S700003,00000,0100,1 95576,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95576,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95576,A000000,00300,0000,00300EMPLOYEE BENEFITS 95576,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95576,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95576,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95576,A000000,00700,0000,00700HOUSEKEEPING 95576,A000000,00800,0000,00800DIETARY 95576,A000000,00900,0000,00900NURSING ADMINISTRATION 95576,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95576,A000000,01100,0000,01100PHARMACY 95576,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95576,A000000,01300,0000,01300SOCIAL SERVICE 95576,A000000,01600,0000,01600SKILLED NURSING FACILITY 95576,A000000,01800,0000,01800NURSING FACILITY 95576,A000000,02100,0000,02100RADIOLOGY 95576,A000000,02200,0000,02200LABORATORY 95576,A000000,02300,0000,02300INTRAVENOUS THERAPY 95576,A000000,02500,0000,02500PHYSICAL THERAPY 95576,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95576,A000000,02700,0000,02700SPEECH PATHOLOGY 95576,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95576,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95576,A000000,03200,0000,03200SUPPORT SURFACES 95576,A000000,04800,0000,04800AMBULANCE 95576,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95576,A000000,05300,0000,05300INTEREST EXPENSE 95576,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95576,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95576,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95576,A000000,06200,0000,06200PATIENTS LAUNDRY 95576,A81000A,00100,0100,Y 95576,A81000B,00100,0300,HOME OFFICE EXPENSES ALLOCATED 95576,A81000B,00200,0300,PURCHASE OF BLD LEASE RIGHTS W/STOCK 95576,A81000B,00300,0300,AMORTIZING OVER LIFE OF MAIN LEASE 95576,A81000C,00100,0100,C 95576,A81000C,00100,0400,GRETHER HEALTH 95576,A81000C,00100,0600,HOME OFFICE 95576,A81000C,00200,0100,C 95576,A81000C,00200,0400,PLANTATION HCC 95576,A81000C,00200,0600,WHOLLY OWNED 95576,B100000,00000,0100,00000SQUARE FEET 1 :CAP REL COSTS - BLDG 95576,B100000,00000,0250,00000SQUARE FEET 2 :CAP REL COSTS - MOVA 95576,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 95576,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95576,B100000,00000,0500,00000SQUARE FEET 3 :PLANT OPERATION MAI 95576,B100000,00000,0650,00000SQUARE FEET 4 :LAUNDRY & LINEN SERV 95576,B100000,00000,0750,00000SQUARE FEET 5 :HOUSEKEEPING 95576,B100000,00000,0850,00000PAT DAYS :DIETARY 95576,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 95576,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 95576,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 95576,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 95576,S000000,00100,0200,06/01/2000 95576,S200000,00100,0100,914 N. BRAZOSPORT BLVD. 95576,S200000,00200,0100,CLUTE 95576,S200000,00200,0200,TX 95576,S200000,00200,0300,77531- 95576,S200000,00300,0100,BRAZORIA 95576,S200000,00300,0200,1145 95576,S200000,00300,0300,U 95576,S200000,00400,0100,VILLAGE ON THE CREEK 95576,S200000,00400,0200,455841 95576,S200000,00400,0300,08/18/1989 95576,S200000,00400,0500,P 95576,S200000,01600,0100,Y 95576,S200000,04300,0100,Y 95576,S200000,04700,0100,Y 95576,S200000,04700,0200,Y 95585,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95585,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95585,A000000,00300,0000,00300EMPLOYEE BENEFITS 95585,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95585,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95585,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95585,A000000,00700,0000,00700HOUSEKEEPING 95585,A000000,00800,0000,00800DIETARY 95585,A000000,00900,0000,00900NURSING ADMINISTRATION 95585,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95585,A000000,01100,0000,01100PHARMACY 95585,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95585,A000000,01300,0000,01300SOCIAL SERVICE 95585,A000000,01350,0000,01500OTHER GENERAL SERVICES 95585,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95585,A000000,01600,0000,01600SKILLED NURSING FACILITY 95585,A000000,01800,0000,01800NURSING FACILITY 95585,A000000,01810,0000,01801ICF/MR 95585,A000000,01900,0000,01900OTHER LONG TERM CARE 95585,A000000,02100,0000,02100RADIOLOGY 95585,A000000,02200,0000,02200LABORATORY 95585,A000000,02300,0000,02300INTRAVENOUS THERAPY 95585,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95585,A000000,02500,0000,02500PHYSICAL THERAPY 95585,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95585,A000000,02700,0000,02700SPEECH PATHOLOGY 95585,A000000,02800,0000,02800ELECTROCARDIOLOGY 95585,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95585,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95585,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95585,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95585,A000000,03200,0000,03200SUPPORT SURFACES 95585,A000000,03400,0000,03400CLINIC 95585,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95585,A000000,03500,0000,03500RURAL HEALTH CLINIC 95585,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95585,A000000,04800,0000,04800AMBULANCE 95585,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95585,A000000,05000,0000,05000CORF 95585,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95585,A000000,05300,0000,05300INTEREST EXPENSE 95585,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95585,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95585,A000000,05500,0000,05500HOSPICE 95585,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95585,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95585,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95585,A000000,06100,0000,06100NONPAID WORKERS 95585,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95585,A000000,06200,0000,06200PATIENTS LAUNDRY 95585,A81000A,00100,0100,Y 95585,A81000B,00100,0300,MANAGEMENT FEES 95585,A81000C,00100,0100,B 95585,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95585,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95585,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95585,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95585,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95585,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95585,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95585,B100000,00000,0800,00000MEALS SERVED :DIETARY 95585,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95585,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95585,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95585,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95585,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95585,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95585,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95585,S000000,00100,0200,05/31/2000 95585,S200000,00100,0100,320 SOUTH ASH 95585,S200000,00200,0100,PEARSALL 95585,S200000,00200,0200,TX 95585,S200000,00200,0300,78061- 95585,S200000,00300,0100,FRIO 95585,S200000,00400,0100,HARVEST CARE CENTER OF PEARSALL 95585,S200000,00400,0200,455847 95585,S200000,00400,0300,09/29/1989 95585,S200000,00400,0500,P 95585,S200000,01004,0500,O 95585,S200000,01600,0100,Y 95585,S200000,04300,0100,Y 95585,S700003,00000,0100,1 95608,S000000,00100,0200,03/14/2000 95609,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95609,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 95609,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95609,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 95609,A000000,00300,0000,00300EMPLOYEE BENEFITS 95609,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95609,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95609,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95609,A000000,00700,0000,00700HOUSEKEEPING 95609,A000000,00800,0000,00800DIETARY 95609,A000000,00801,0000,00801CAFETERIA 95609,A000000,00900,0000,00900NURSING ADMINISTRATION 95609,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95609,A000000,01100,0000,01100PHARMACY 95609,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95609,A000000,01300,0000,01300SOCIAL SERVICE 95609,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 95609,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95609,A000000,01600,0000,01600SKILLED NURSING FACILITY 95609,A000000,01800,0000,01800NURSING FACILITY 95609,A000000,01900,0000,01900OTHER LONG TERM CARE 95609,A000000,02100,0000,02100RADIOLOGY 95609,A000000,02200,0000,02200LABORATORY 95609,A000000,02300,0000,02300INTRAVENOUS THERAPY 95609,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95609,A000000,02500,0000,02500PHYSICAL THERAPY 95609,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95609,A000000,02700,0000,02700SPEECH PATHOLOGY 95609,A000000,02800,0000,02800ELECTROCARDIOLOGY 95609,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95609,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95609,A000000,03050,0000,03300OTHER ANCILLARY 95609,A000000,03051,0000,03301OTHER ANCILLARY II 95609,A000000,03052,0000,03302OTHER ANCILLARY III 95609,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95609,A000000,03200,0000,03200SUPPORT SURFACES 95609,A000000,03400,0000,03400CLINIC 95609,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 95609,A000000,03500,0000,03500RURAL HEALTH CLINIC 95609,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95609,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95609,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95609,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95609,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95609,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95609,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95609,A000000,04400,0000,04400DME RENTED - HHA 95609,A000000,04500,0000,04500DME SOLD - HHA 95609,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95609,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95609,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95609,A000000,04800,0000,04800AMBULANCE 95609,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95609,A000000,05000,0000,05000CORF 95609,A000000,05010,0000,05010CMHC I 95609,A000000,05020,0000,05020OPT I 95609,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95609,A000000,05300,0000,05300INTEREST EXPENSE 95609,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 95609,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 95609,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95609,A000000,05500,0000,05500HOSPICE 95609,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95609,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95609,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95609,A000000,06100,0000,06100NONPAID WORKERS 95609,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95609,A000000,06200,0000,06200PATIENTS LAUNDRY 95609,A81000A,00100,0100,Y 95609,A81000B,00100,0300,HOME OFFICE ALLOC 95609,A81000B,00200,0300,HOME OFFICE ALLOC 95609,A81000B,00300,0300,HOME OFFICE ALLOC 95609,A81000C,00100,0100,A 95609,A81000C,00100,0200,CRESCENT HEALTH 95609,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 95609,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 95609,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 95609,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95609,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 95609,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 95609,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 95609,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 95609,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 95609,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 95609,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 95609,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 95609,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 95609,S000000,00100,0200,07/06/2000 95609,S200000,00100,0100,2108 15TH STREET 95609,S200000,00200,0100,BRIDGEPORT 95609,S200000,00200,0200,TX 95609,S200000,00200,0300,76426- 95609,S200000,00300,0100,WISE 95609,S200000,00300,0200,045 95609,S200000,00300,0300,R 95609,S200000,00400,0100,CRESCENT CARE-BRIDGEPORT 95609,S200000,00400,0200,455859 95609,S200000,00400,0300,12/21/1989 95609,S200000,00400,0500,P 95609,S200000,01500,0100,Y 95618,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95618,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95618,A000000,00300,0000,00300EMPLOYEE BENEFITS 95618,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95618,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95618,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95618,A000000,00700,0000,00700HOUSEKEEPING 95618,A000000,00800,0000,00800DIETARY 95618,A000000,00900,0000,00900NURSING ADMINISTRATION 95618,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95618,A000000,01300,0000,01300SOCIAL SERVICE 95618,A000000,01600,0000,01600SKILLED NURSING FACILITY 95618,A000000,01800,0000,01800NURSING FACILITY 95618,A000000,02100,0000,02100RADIOLOGY 95618,A000000,02200,0000,02200LABORATORY 95618,A000000,02300,0000,02300INTRAVENOUS THERAPY 95618,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95618,A000000,02500,0000,02500PHYSICAL THERAPY 95618,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95618,A000000,02700,0000,02700SPEECH PATHOLOGY 95618,A000000,02800,0000,02800ELECTROCARDIOLOGY 95618,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95618,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95618,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95618,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95618,A000000,04800,0000,04800AMBULANCE 95618,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95618,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95618,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95618,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95618,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95618,A000000,06200,0000,06200PATIENTS LAUNDRY 95618,A81000A,00100,0100,Y 95618,A81000B,00100,0300,MANAGEMENT FEES 95618,A81000B,00200,0300,MGMT FEES-PROP COSTS 95618,A81000C,00100,0100,A 95618,A81000C,00100,0200,JAMES C. ROSNER 95618,A81000C,00100,0400,COMPREHENSIVE H 95618,A81000C,00100,0600,MGMT CO 95618,A81000C,00200,0100,A 95618,A81000C,00200,0200,LEO C. SAENGER 95618,A81000C,00200,0400,CHCA 95618,A81000C,00200,0600,MGMT CO 95618,A81000C,00300,0100,A 95618,A81000C,00300,0200,RICHARD L. KIST 95618,A81000C,00300,0400,CHCA 95618,A81000C,00300,0600,MGMT CO 95618,A81000C,00400,0100,A 95618,A81000C,00400,0200,H.D.BURKEMPER T 95618,A81000C,00400,0400,CHCA 95618,A81000C,00400,0600,MGMT CO 95618,A81000C,00500,0100,A 95618,A81000C,00500,0200,H.D. BALL TRUST 95618,A81000C,00500,0400,CHCA 95618,A81000C,00500,0600,MGMT CO 95618,A81000C,00600,0100,A 95618,A81000C,00600,0200,H.D. ROSNER TRU 95618,A81000C,00600,0400,CHCA 95618,A81000C,00600,0600,MGMT CO 95618,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95618,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95618,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95618,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95618,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95618,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95618,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95618,B100000,00000,0800,00000MEALS SERVED :DIETARY 95618,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95618,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95618,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95618,S000000,00100,0200,05/30/2000 95618,S200000,00100,0300,449 95618,S200000,00200,0100,NOCONA 95618,S200000,00200,0200,TE 95618,S200000,00200,0300,76255-0449 95618,S200000,00300,0100,MONTAGUE 95618,S200000,00400,0100,HORIZON MANOR 95618,S200000,00400,0200,455863 95618,S200000,00400,0300,01/11/1990 95618,S200000,00400,0500,P 95618,S200000,01600,0100,Y 95618,S700003,00000,0100,1 95625,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95625,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95625,A000000,00300,0000,00300EMPLOYEE BENEFITS 95625,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95625,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95625,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95625,A000000,00700,0000,00700HOUSEKEEPING 95625,A000000,00800,0000,00800DIETARY 95625,A000000,00900,0000,00900NURSING ADMINISTRATION 95625,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95625,A000000,01100,0000,01100PHARMACY 95625,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95625,A000000,01300,0000,01300SOCIAL SERVICE 95625,A000000,01350,0000,01500ACTIVITIES 95625,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95625,A000000,01600,0000,01600SKILLED NURSING FACILITY 95625,A000000,01800,0000,01800NURSING FACILITY 95625,A000000,01810,0000,01801ICF/MR 95625,A000000,01900,0000,01900OTHER LONG TERM CARE 95625,A000000,02100,0000,02100RADIOLOGY 95625,A000000,02200,0000,02200LABORATORY 95625,A000000,02300,0000,02300INTRAVENOUS THERAPY 95625,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95625,A000000,02500,0000,02500PHYSICAL THERAPY 95625,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95625,A000000,02700,0000,02700SPEECH PATHOLOGY 95625,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95625,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95625,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95625,A000000,03200,0000,03200SUPPORT SURFACES 95625,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95625,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95625,A000000,05000,0000,05000CORF 95625,A000000,05300,0000,05300INTEREST EXPENSE 95625,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95625,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95625,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95625,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95625,A81000A,00100,0100,Y 95625,A81000B,00100,0300,HOME OFFICE CAPITAL 95625,A81000B,00200,0300,MANAGEMENT FEE 95625,A81000C,00100,0100,B 95625,A81000C,00100,0400,AMERICAN RETIREMENT CORP. 95625,A81000C,00100,0600,HOME OFFICE 95625,A81000C,00200,0100,B 95625,A81000C,00200,0400,AMERICAN RETIREMENT CORP. 95625,A81000C,00200,0600,HOME OFFICE 95625,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95625,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 95625,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95625,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95625,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95625,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95625,B100000,00000,0750,00000MODIFIED SQ. FT. :HOUSEKEEPING 95625,B100000,00000,0800,00000MEALS SERVED :DIETARY 95625,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 95625,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95625,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95625,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95625,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95625,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 95625,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95625,S000000,00100,0200,06/05/2000 95625,S200000,00100,0100,1034 CAPITAL PARKWAY 95625,S200000,00200,0100,AUSTIN 95625,S200000,00200,0200,TX 95625,S200000,00200,0300,78746- 95625,S200000,00300,0100,BASTROP 95625,S200000,00400,0100,SUMMIT AT WESTLAKE HILLS 95625,S200000,00400,0200,455866 95625,S200000,00400,0300,04/01/1992 95625,S200000,00400,0500,P 95625,S200000,01600,0100,Y 95625,S700003,00000,0100,1 95638,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95638,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95638,A000000,00300,0000,00300EMPLOYEE BENEFITS 95638,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95638,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95638,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95638,A000000,00700,0000,00700HOUSEKEEPING 95638,A000000,00800,0000,00800DIETARY 95638,A000000,00900,0000,00900NURSING ADMINISTRATION 95638,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95638,A000000,01100,0000,01100PHARMACY 95638,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95638,A000000,01300,0000,01300SOCIAL SERVICE 95638,A000000,01350,0000,01500OTHER GENERAL SERVICES 95638,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95638,A000000,01600,0000,01600SKILLED NURSING FACILITY 95638,A000000,01800,0000,01800NURSING FACILITY 95638,A000000,01810,0000,01801ICF/MR 95638,A000000,01900,0000,01900OTHER LONG TERM CARE 95638,A000000,02100,0000,02100RADIOLOGY 95638,A000000,02200,0000,02200LABORATORY 95638,A000000,02300,0000,02300INTRAVENOUS THERAPY 95638,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95638,A000000,02500,0000,02500PHYSICAL THERAPY 95638,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95638,A000000,02700,0000,02700SPEECH PATHOLOGY 95638,A000000,02800,0000,02800ELECTROCARDIOLOGY 95638,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95638,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95638,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95638,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95638,A000000,03200,0000,03200SUPPORT SURFACES 95638,A000000,03400,0000,03400CLINIC 95638,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95638,A000000,03500,0000,03500RURAL HEALTH CLINIC 95638,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95638,A000000,04800,0000,04800AMBULANCE 95638,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95638,A000000,05000,0000,05000CORF 95638,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95638,A000000,05300,0000,05300INTEREST EXPENSE 95638,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95638,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95638,A000000,05500,0000,05500HOSPICE 95638,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95638,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95638,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95638,A000000,06100,0000,06100NONPAID WORKERS 95638,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95638,A000000,06200,0000,06200PATIENTS LAUNDRY 95638,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95638,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95638,B100000,00000,0350,00000COSTS :EMPLOYEE BENEFITS 95638,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95638,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95638,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95638,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95638,B100000,00000,0800,00000MEALS SERVED :DIETARY 95638,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95638,B100000,00000,1050,00000COSTS :CENTRAL SERVICES & SUPPLY 95638,B100000,00000,1150,00000COSTS :PHARMACY 95638,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95638,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95638,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95638,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 95638,S000000,00100,0200,05/30/2000 95638,S200000,00100,0100,HIGHWAY 96 NORTH 95638,S200000,00100,0300,1088 95638,S200000,00200,0100,BUNA 95638,S200000,00200,0200,TX 95638,S200000,00200,0300,77612- 95638,S200000,00300,0100,JASPER 95638,S200000,00400,0100,BUNA NURSING HOME 95638,S200000,00400,0200,455878 95638,S200000,00400,0300,05/24/1990 95638,S200000,00400,0500,P 95638,S200000,01500,0100,Y 95638,S700003,00000,0400,4 95644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95644,A000000,00300,0000,00300EMPLOYEE BENEFITS 95644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95644,A000000,00700,0000,00700HOUSEKEEPING 95644,A000000,00800,0000,00800DIETARY 95644,A000000,00900,0000,00900NURSING ADMINISTRATION 95644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95644,A000000,01100,0000,01100PHARMACY 95644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95644,A000000,01300,0000,01300SOCIAL SERVICE 95644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95644,A000000,01600,0000,01600SKILLED NURSING FACILITY 95644,A000000,01800,0000,01800NURSING FACILITY 95644,A000000,01900,0000,01900OTHER LONG TERM CARE 95644,A000000,02100,0000,02100RADIOLOGY 95644,A000000,02200,0000,02200LABORATORY 95644,A000000,02300,0000,02300INTRAVENOUS THERAPY 95644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95644,A000000,02500,0000,02500PHYSICAL THERAPY 95644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95644,A000000,02700,0000,02700SPEECH PATHOLOGY 95644,A000000,02800,0000,02800ELECTROCARDIOLOGY 95644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95644,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95644,A000000,03200,0000,03200SUPPORT SURFACES 95644,A000000,03400,0000,03400CLINIC 95644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95644,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95644,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95644,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95644,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95644,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95644,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95644,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95644,A000000,04400,0000,04400DME RENTED - HHA 95644,A000000,04500,0000,04500DME SOLD - HHA 95644,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95644,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95644,A000000,04800,0000,04800AMBULANCE 95644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95644,A000000,05000,0000,05000CORF 95644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95644,A000000,05300,0000,05300INTEREST EXPENSE 95644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95644,A000000,05500,0000,05500HOSPICE 95644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95644,A000000,06100,0000,06100NONPAID WORKERS 95644,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95644,A000000,06200,0000,06200PATIENTS LAUNDRY 95644,A81000A,00100,0100,Y 95644,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 95644,A81000B,00200,0300,CAP REL COSTS - BLDGS & FIXTURES 95644,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95644,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95644,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95644,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95644,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95644,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95644,B100000,00000,0800,00000MEALS SERVED :DIETARY 95644,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95644,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95644,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95644,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95644,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95644,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95644,S000000,00100,0200,12/23/1999 95644,S200000,00100,0100,405 W BOGGESS 95644,S200000,00200,0100,SAINT JO 95644,S200000,00200,0200,TX 95644,S200000,00200,0300,76265- 95644,S200000,00300,0100,MONTAGUE 95644,S200000,00400,0100,ST. JO NURSING CENTER 95644,S200000,00400,0200,455880 95644,S200000,00400,0300,06/07/1990 95644,S200000,00400,0500,P 95644,S200000,01600,0100,Y 95644,S200000,03100,0100,Y 95644,S700003,00000,0100,1 95649,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95649,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95649,A000000,00300,0000,00300EMPLOYEE BENEFITS 95649,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95649,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95649,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95649,A000000,00700,0000,00700HOUSEKEEPING 95649,A000000,00800,0000,00800DIETARY 95649,A000000,00900,0000,00900NURSING ADMINISTRATION 95649,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95649,A000000,01100,0000,01100PHARMACY 95649,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95649,A000000,01300,0000,01300SOCIAL SERVICE 95649,A000000,01600,0000,01600SKILLED NURSING FACILITY 95649,A000000,01800,0000,01800NURSING FACILITY 95649,A000000,02100,0000,02100RADIOLOGY 95649,A000000,02200,0000,02200LABORATORY 95649,A000000,02300,0000,02300INTRAVENOUS THERAPY 95649,A000000,02500,0000,02500PHYSICAL THERAPY 95649,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95649,A000000,02700,0000,02700SPEECH PATHOLOGY 95649,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95649,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95649,A000000,03200,0000,03200SUPPORT SURFACES 95649,A000000,04800,0000,04800AMBULANCE 95649,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95649,A000000,05300,0000,05300INTEREST EXPENSE 95649,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95649,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95649,A81000A,00100,0100,Y 95649,A81000B,00100,0300,PURCHASED BLDG LEASE RIGHTS & COMPNY 95649,A81000B,00200,0300,AMORTIZING COST OVER 3 YEARS 95649,A81000B,00300,0300,HOME OFFICE OVERHEAD ALLOCATED 95649,A81000C,00100,0100,C 95649,A81000C,00100,0400,GRETHER HEALTH 95649,A81000C,00100,0600,HOME OFFICE 95649,A81000C,00200,0100,C 95649,A81000C,00200,0400,PLANTATION HCC 95649,A81000C,00200,0600,LEASEHOLDER 95649,B100000,00000,0100,00000SQUARE FEET 1 :CAP REL COSTS - BLDG 95649,B100000,00000,0250,00000SQUARE FEET 2 :CAP REL COSTS - MOVA 95649,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 95649,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95649,B100000,00000,0500,00000SQUARE FEET 3 :PLANT OPERATION MAI 95649,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 95649,B100000,00000,0750,00000SQUARE FEET 4 :HOUSEKEEPING 95649,B100000,00000,0850,00000PAT DAYS :DIETARY 95649,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 95649,B100000,00000,1050,00000PAT DAYS :CENTRAL SERVICES & SUPPL 95649,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 95649,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 95649,S000000,00100,0200,05/26/2000 95649,S200000,00100,0100,204 OAK DRIVE SOUTH 95649,S200000,00200,0100,LAKE JACKSON 95649,S200000,00200,0200,TX 95649,S200000,00200,0300,77566- 95649,S200000,00300,0100,BRAZORIA 95649,S200000,00300,0200,1145 95649,S200000,00300,0300,U 95649,S200000,00400,0100,THE PLANTATION HEALTH CARE CENTER 95649,S200000,00400,0200,455885 95649,S200000,00400,0300,07/05/1990 95649,S200000,00400,0500,P 95649,S200000,01600,0100,Y 95649,S200000,04300,0100,Y 95649,S200000,04700,0100,Y 95649,S200000,04700,0200,Y 95663,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95663,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95663,A000000,00300,0000,00300EMPLOYEE BENEFITS 95663,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95663,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95663,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95663,A000000,00700,0000,00700HOUSEKEEPING 95663,A000000,00800,0000,00800DIETARY 95663,A000000,00900,0000,00900NURSING ADMINISTRATION 95663,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95663,A000000,01100,0000,01100PHARMACY 95663,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95663,A000000,01300,0000,01300SOCIAL SERVICE 95663,A000000,01351,0000,01301ACTIVITIES 95663,A000000,01600,0000,01600SKILLED NURSING FACILITY 95663,A000000,01800,0000,01800NURSING FACILITY 95663,A000000,02100,0000,02100RADIOLOGY 95663,A000000,02200,0000,02200LABORATORY 95663,A000000,02300,0000,02300INTRAVENOUS THERAPY 95663,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95663,A000000,02500,0000,02500PHYSICAL THERAPY 95663,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95663,A000000,02700,0000,02700SPEECH PATHOLOGY 95663,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95663,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95663,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95663,A000000,03051,0000,03301MEDICAL EQUIPMENT 95663,A000000,04800,0000,04800AMBULANCE 95663,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95663,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95663,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95663,A81000A,00100,0100,Y 95663,A81000B,00100,0300,HOME OFFICE CAPITAL 95663,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95663,A81000B,00300,0300,WAREHOUSE 95663,A81000C,00100,0100,A 95663,A81000C,00100,0200,PETER C. KERN 95663,A81000C,00100,0400,HEA MANAGEMENT GROUP 95663,A81000C,00100,0600,HOME OFFICE 95663,A81000C,00200,0100,A 95663,A81000C,00200,0200,PETER C. KERN 95663,A81000C,00200,0400,WAREHOUSE STORAGE 95663,A81000C,00200,0600,OLD RECORD STORAGE 95663,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95663,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95663,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95663,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95663,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95663,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95663,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95663,B100000,00000,0800,00000MEALS SERVED :DIETARY 95663,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95663,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95663,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95663,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95663,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95663,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95663,S000000,00100,0200,05/30/2000 95663,S200000,00100,0100,901 CENTRAL TEXAS EXPRESSWAY 95663,S200000,00200,0100,LAMPASAS 95663,S200000,00200,0200,TX 95663,S200000,00200,0300,76550-3382 95663,S200000,00300,0100,LAMPASAS 95663,S200000,00300,0200,45 95663,S200000,00300,0300,R 95663,S200000,00400,0100,SPRING OAKS TERRACE 95663,S200000,00400,0200,455889 95663,S200000,00400,0300,06/14/1996 95663,S200000,00400,0500,P 95663,S200000,01600,0100,Y 95663,S200000,02200,0100,Y 95663,S200000,04300,0100,Y 95674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95674,A000000,00300,0000,00300EMPLOYEE BENEFITS 95674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95674,A000000,00700,0000,00700HOUSEKEEPING 95674,A000000,00800,0000,00800DIETARY 95674,A000000,00900,0000,00900NURSING ADMINISTRATION 95674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95674,A000000,01300,0000,01300SOCIAL SERVICE 95674,A000000,01600,0000,01600SKILLED NURSING FACILITY 95674,A000000,01800,0000,01800NURSING FACILITY 95674,A000000,02100,0000,02100RADIOLOGY 95674,A000000,02200,0000,02200LABORATORY 95674,A000000,02300,0000,02300INTRAVENOUS THERAPY 95674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95674,A000000,02500,0000,02500PHYSICAL THERAPY 95674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95674,A000000,02700,0000,02700SPEECH PATHOLOGY 95674,A000000,02800,0000,02800ELECTROCARDIOLOGY 95674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95674,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95674,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95674,A000000,04800,0000,04800AMBULANCE 95674,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95674,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95674,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95674,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95674,A000000,06200,0000,06200PATIENTS LAUNDRY 95674,A81000A,00100,0100,Y 95674,A81000B,00100,0300,MANAGEMENT FEES 95674,A81000B,00200,0300,MGMT FEES-PROP COSTS 95674,A81000C,00100,0100,A 95674,A81000C,00100,0200,JAMES C. ROSNER 95674,A81000C,00100,0400,COMPREHENSIVE H 95674,A81000C,00100,0600,MGMT CO 95674,A81000C,00200,0100,A 95674,A81000C,00200,0200,LEO C. SAENGER 95674,A81000C,00200,0400,CHCA 95674,A81000C,00200,0600,MGMT CO 95674,A81000C,00300,0100,A 95674,A81000C,00300,0200,RICHARD L. KIST 95674,A81000C,00300,0400,CHCA 95674,A81000C,00300,0600,MGMT CO 95674,A81000C,00400,0100,A 95674,A81000C,00400,0200,H.D.BURKEMPER T 95674,A81000C,00400,0400,CHCA 95674,A81000C,00400,0600,MGMT CO 95674,A81000C,00500,0100,A 95674,A81000C,00500,0200,H.D. BALL TRUST 95674,A81000C,00500,0400,CHCA 95674,A81000C,00500,0600,MGMT CO 95674,A81000C,00600,0100,A 95674,A81000C,00600,0200,H.D. ROSNER TRU 95674,A81000C,00600,0400,CHCA 95674,A81000C,00600,0600,MGMT CO 95674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95674,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95674,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95674,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95674,B100000,00000,0800,00000MEALS SERVED :DIETARY 95674,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95674,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95674,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95674,S000000,00100,0200,05/30/2000 95674,S200000,00100,0100,807 WEST BOIS DARC 95674,S200000,00200,0100,HENRIETTA 95674,S200000,00200,0200,TE 95674,S200000,00200,0300,76365-0587 95674,S200000,00300,0100,CLAY 95674,S200000,00300,0200,0045 95674,S200000,00300,0300,R 95674,S200000,00400,0100,HENRIETTA CARE CENTER 95674,S200000,00400,0200,455893 95674,S200000,00400,0300,09/07/1990 95674,S200000,00400,0500,P 95674,S200000,01600,0100,Y 95681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95681,A000000,00300,0000,00300EMPLOYEE BENEFITS 95681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95681,A000000,00700,0000,00700HOUSEKEEPING 95681,A000000,00800,0000,00800DIETARY 95681,A000000,00900,0000,00900NURSING ADMINISTRATION 95681,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95681,A000000,01100,0000,01100PHARMACY 95681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95681,A000000,01300,0000,01300SOCIAL SERVICE 95681,A000000,01351,0000,01301ACTIVITIES 95681,A000000,01600,0000,01600SKILLED NURSING FACILITY 95681,A000000,01800,0000,01800NURSING FACILITY 95681,A000000,02100,0000,02100RADIOLOGY 95681,A000000,02200,0000,02200LABORATORY 95681,A000000,02300,0000,02300INTRAVENOUS THERAPY 95681,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95681,A000000,02500,0000,02500PHYSICAL THERAPY 95681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95681,A000000,02700,0000,02700SPEECH PATHOLOGY 95681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95681,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95681,A000000,03051,0000,03301MEDICAL EQUIPMENT 95681,A000000,04800,0000,04800AMBULANCE 95681,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95681,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95681,A81000A,00100,0100,Y 95681,A81000B,00100,0300,HOME OFFICE CAPITAL 95681,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95681,A81000B,00300,0300,WAREHOUSE 95681,A81000C,00100,0100,A 95681,A81000C,00100,0200,PETER C. KERN 95681,A81000C,00100,0400,HEA MANAGEMENT GROUP 95681,A81000C,00100,0600,HOME OFFICE 95681,A81000C,00200,0100,A 95681,A81000C,00200,0200,PETER C. KERN 95681,A81000C,00200,0400,WAREHOUSE STORAGE 95681,A81000C,00200,0600,OLD RECORD STORAGE 95681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95681,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95681,B100000,00000,0800,00000MEALS SERVED :DIETARY 95681,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95681,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95681,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95681,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95681,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95681,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95681,S000000,00100,0200,03/03/2000 95681,S200000,00100,0100,1515 WEST MAIN 95681,S200000,00200,0100,BELLVILLE 95681,S200000,00200,0200,TX 95681,S200000,00200,0300,77418- 95681,S200000,00300,0100,AUSTIN 95681,S200000,00300,0200,45 95681,S200000,00300,0300,R 95681,S200000,00400,0100,ROLLING OAKS CARE CENTER 95681,S200000,00400,0200,455896 95681,S200000,00400,0300,10/30/1990 95681,S200000,00400,0500,P 95681,S200000,01600,0100,Y 95681,S200000,02200,0100,Y 95681,S200000,04300,0100,Y 95693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95693,A000000,00300,0000,00300EMPLOYEE BENEFITS 95693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95693,A000000,00700,0000,00700HOUSEKEEPING 95693,A000000,00800,0000,00800DIETARY 95693,A000000,00900,0000,00900NURSING ADMINISTRATION 95693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95693,A000000,01300,0000,01300SOCIAL SERVICE 95693,A000000,01600,0000,01600SKILLED NURSING FACILITY 95693,A000000,01800,0000,01800NURSING FACILITY 95693,A000000,02100,0000,02100RADIOLOGY 95693,A000000,02200,0000,02200LABORATORY 95693,A000000,02300,0000,02300INTRAVENOUS THERAPY 95693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95693,A000000,02500,0000,02500PHYSICAL THERAPY 95693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95693,A000000,02700,0000,02700SPEECH PATHOLOGY 95693,A000000,02800,0000,02800ELECTROCARDIOLOGY 95693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95693,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95693,A000000,04800,0000,04800AMBULANCE 95693,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95693,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95693,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95693,A000000,06200,0000,06200PATIENTS LAUNDRY 95693,A81000A,00100,0100,Y 95693,A81000B,00100,0300,MANAGEMENT FEES 95693,A81000B,00200,0300,MGMT FEES-PROP COSTS 95693,A81000C,00100,0100,A 95693,A81000C,00100,0200,JAMES C. ROSNER 95693,A81000C,00100,0400,COMPREHENSIVE H 95693,A81000C,00100,0600,MGMT CO 95693,A81000C,00200,0100,A 95693,A81000C,00200,0200,LEO C. SAENGER 95693,A81000C,00200,0400,CHCA 95693,A81000C,00200,0600,MGMT CO 95693,A81000C,00300,0100,A 95693,A81000C,00300,0200,RICHARD L. KIST 95693,A81000C,00300,0400,CHCA 95693,A81000C,00300,0600,MGMT CO 95693,A81000C,00400,0100,A 95693,A81000C,00400,0200,H.D.BURKEMPER T 95693,A81000C,00400,0400,CHCA 95693,A81000C,00400,0600,MGMT CO 95693,A81000C,00500,0100,A 95693,A81000C,00500,0200,H.D. BALL TRUST 95693,A81000C,00500,0400,CHCA 95693,A81000C,00500,0600,MGMT CO 95693,A81000C,00600,0100,A 95693,A81000C,00600,0200,H.D. ROSNER TRU 95693,A81000C,00600,0400,CHCA 95693,A81000C,00600,0600,MGMT CO 95693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95693,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95693,B100000,00000,0800,00000MEALS SERVED :DIETARY 95693,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95693,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95693,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95693,S000000,00100,0200,06/05/2000 95693,S200000,00100,0100,3350 OLSEN BLVD 95693,S200000,00200,0100,AMARILLO 95693,S200000,00200,0200,TE 95693,S200000,00200,0300,79109-3087 95693,S200000,00300,0100,POTTER 95693,S200000,00300,0200,0320 95693,S200000,00300,0300,U 95693,S200000,00400,0100,OLSEN MANOR NURSING HOME 95693,S200000,00400,0200,455899 95693,S200000,00400,0300,11/19/1990 95693,S200000,00400,0500,P 95693,S200000,01600,0100,Y 95699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95699,A000000,00300,0000,00300EMPLOYEE BENEFITS 95699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95699,A000000,00700,0000,00700HOUSEKEEPING 95699,A000000,00800,0000,00800DIETARY 95699,A000000,00900,0000,00900NURSING ADMINISTRATION 95699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95699,A000000,01100,0000,01100PHARMACY 95699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95699,A000000,01300,0000,01300SOCIAL SERVICE 95699,A000000,01351,0000,01301ACTIVITIES 95699,A000000,01600,0000,01600SKILLED NURSING FACILITY 95699,A000000,01800,0000,01800NURSING FACILITY 95699,A000000,02100,0000,02100RADIOLOGY 95699,A000000,02200,0000,02200LABORATORY 95699,A000000,02300,0000,02300INTRAVENOUS THERAPY 95699,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95699,A000000,02500,0000,02500PHYSICAL THERAPY 95699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95699,A000000,02700,0000,02700SPEECH PATHOLOGY 95699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95699,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95699,A000000,03051,0000,03301MEDICAL EQUIPMENT 95699,A000000,04800,0000,04800AMBULANCE 95699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95699,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95699,A81000A,00100,0100,Y 95699,A81000B,00100,0300,HOME OFFICE CAPITAL 95699,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95699,A81000B,00300,0300,WAREHOUSE 95699,A81000C,00100,0100,A 95699,A81000C,00100,0200,PETER C. KERN 95699,A81000C,00100,0400,HEA MANAGEMENT GROUP 95699,A81000C,00100,0600,HOME OFFICE 95699,A81000C,00200,0100,A 95699,A81000C,00200,0200,PETER C. KERN 95699,A81000C,00200,0400,WAREHOUSE STORAGE 95699,A81000C,00200,0600,OLD RECORD STORAGE 95699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95699,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95699,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95699,B100000,00000,0800,00000MEALS SERVED :DIETARY 95699,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95699,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95699,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95699,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95699,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95699,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95699,S000000,00100,0200,05/30/2000 95699,S200000,00100,0100,3800 MARINA DRIVE 95699,S200000,00200,0100,LAKE WORTH 95699,S200000,00200,0200,TX 95699,S200000,00200,0300,76135- 95699,S200000,00300,0100,LAKE WORTH 95699,S200000,00300,0200,2800 95699,S200000,00300,0300,U 95699,S200000,00400,0100,LAKE LODGE 95699,S200000,00400,0200,455903 95699,S200000,00400,0300,11/20/1990 95699,S200000,00400,0500,P 95699,S200000,01600,0100,Y 95699,S200000,02200,0100,Y 95699,S200000,04300,0100,Y 95702,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95702,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95702,A000000,00300,0000,00300EMPLOYEE BENEFITS 95702,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95702,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95702,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95702,A000000,00700,0000,00700HOUSEKEEPING 95702,A000000,00800,0000,00800DIETARY 95702,A000000,00900,0000,00900NURSING ADMINISTRATION 95702,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95702,A000000,01100,0000,01100PHARMACY 95702,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95702,A000000,01300,0000,01300SOCIAL SERVICE 95702,A000000,01350,0000,01500OTHER GENERAL SERVICES 95702,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95702,A000000,01600,0000,01600SKILLED NURSING FACILITY 95702,A000000,01800,0000,01800NURSING FACILITY 95702,A000000,01810,0000,01801ICF/MR 95702,A000000,01900,0000,01900OTHER LONG TERM CARE 95702,A000000,02100,0000,02100RADIOLOGY 95702,A000000,02200,0000,02200LABORATORY 95702,A000000,02300,0000,02300INTRAVENOUS THERAPY 95702,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95702,A000000,02500,0000,02500PHYSICAL THERAPY 95702,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95702,A000000,02700,0000,02700SPEECH PATHOLOGY 95702,A000000,02800,0000,02800ELECTROCARDIOLOGY 95702,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95702,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95702,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95702,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95702,A000000,03200,0000,03200SUPPORT SURFACES 95702,A000000,03400,0000,03400CLINIC 95702,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95702,A000000,03500,0000,03500RURAL HEALTH CLINIC 95702,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95702,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95702,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95702,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95702,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95702,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95702,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95702,A000000,04400,0000,04400DME RENTED - HHA 95702,A000000,04500,0000,04500DME SOLD - HHA 95702,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95702,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95702,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95702,A000000,04800,0000,04800AMBULANCE 95702,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95702,A000000,05000,0000,05000CORF 95702,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95702,A000000,05300,0000,05300INTEREST EXPENSE 95702,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95702,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95702,A000000,05500,0000,05500HOSPICE 95702,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95702,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95702,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95702,A000000,06100,0000,06100NONPAID WORKERS 95702,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95702,A000000,06151,0000,06301FEE SCREEN 95702,A000000,06200,0000,06200PATIENTS LAUNDRY 95702,A81000A,00100,0100,Y 95702,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 95702,A81000B,00200,0300,FACILITY LEASE 95702,A81000B,00300,0300,MANAGEMENT/ACCOUNTING FEES 95702,A81000B,00400,0300,PT 95702,A81000B,00500,0300,OT 95702,A81000B,00600,0300,ST 95702,A81000B,00700,0300,HOME OFFICE NURSE 95702,A81000B,00800,0300,HOME OFFICE TRAINING COORD 95702,A81000B,00900,0300,HOME OFFICE DIETARY CONS 95702,A81000B,01000,0300,HOME OFFICE MAINTENANCE 95702,A81000C,00100,0100,A 95702,A81000C,00100,0200,W. E. CAMPBELL 95702,A81000C,00100,0400,L.P. SERVICES INC. 95702,A81000C,00100,0600,ACCOUNTING SERVICES 95702,A81000C,00200,0100,A 95702,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 95702,A81000C,00200,0400,ROWLETT NH REALTY 95702,A81000C,00200,0600,REALTY COMPANY 95702,A81000C,00300,0100,A 95702,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 95702,A81000C,00300,0400,SENIOR CARE CONSULTANTS 95702,A81000C,00300,0600,MANAGEMENT COMPANY 95702,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95702,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95702,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95702,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95702,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95702,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 95702,B100000,00000,0750,00001SQUARE FT CLEANED :HOUSEKEEPING 95702,B100000,00000,0800,00001MEALS SERVED :DIETARY 95702,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 95702,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 95702,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 95702,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 95702,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 95702,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 95702,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 95702,S000000,00100,0200,06/08/2000 95702,S200000,00100,0100,9300 HWY 66 95702,S200000,00200,0100,ROWLETT 95702,S200000,00200,0200,TX 95702,S200000,00200,0300,75088- 95702,S200000,00300,0100,ROCKWALL 95702,S200000,00400,0100,ROWLETT NURSING CENTER 95702,S200000,00400,0200,455904 95702,S200000,00400,0300,12/04/1990 95702,S200000,00400,0500,P 95702,S200000,01500,0100,Y 95702,S700003,00000,0100,1 95707,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95707,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95707,A000000,00300,0000,00300EMPLOYEE BENEFITS 95707,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95707,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95707,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95707,A000000,00700,0000,00700HOUSEKEEPING 95707,A000000,00800,0000,00800DIETARY 95707,A000000,00900,0000,00900NURSING ADMINISTRATION 95707,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95707,A000000,01100,0000,01100PHARMACY 95707,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95707,A000000,01300,0000,01300SOCIAL SERVICE 95707,A000000,01350,0000,01500RECREATION 95707,A000000,01600,0000,01600SKILLED NURSING FACILITY 95707,A000000,01800,0000,01800NURSING FACILITY 95707,A000000,01810,0000,01801ICF/MR 95707,A000000,01900,0000,01900OTHER LONG TERM CARE 95707,A000000,02100,0000,02100RADIOLOGY 95707,A000000,02200,0000,02200LABORATORY 95707,A000000,02300,0000,02300INTRAVENOUS THERAPY 95707,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95707,A000000,02500,0000,02500PHYSICAL THERAPY 95707,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95707,A000000,02700,0000,02700SPEECH PATHOLOGY 95707,A000000,02800,0000,02800ELECTROCARDIOLOGY 95707,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95707,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95707,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95707,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95707,A000000,03200,0000,03200SUPPORT SURFACES 95707,A000000,03400,0000,03400CLINIC 95707,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95707,A000000,03500,0000,03500RURAL HEALTH CLINIC 95707,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95707,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95707,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95707,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95707,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95707,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95707,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95707,A000000,04400,0000,04400DME RENTED - HHA 95707,A000000,04500,0000,04500DME SOLD - HHA 95707,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95707,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95707,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95707,A000000,04800,0000,04800AMBULANCE 95707,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95707,A000000,05000,0000,05000CORF 95707,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95707,A000000,05300,0000,05300INTEREST EXPENSE 95707,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95707,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95707,A000000,05500,0000,05500HOSPICE 95707,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95707,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95707,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95707,A000000,06100,0000,06100NONPAID WORKERS 95707,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95707,A000000,06200,0000,06200PATIENTS LAUNDRY 95707,A81000A,00100,0100,Y 95707,A81000B,00100,0300,RELATED PARTY DEPRECIATION 95707,A81000B,00200,0300,RELATED PARTY INTEREST EXP 95707,A81000B,00300,0300,RELATED PARTY MANAGEMENT 95707,A81000C,00100,0100,B 95707,A81000C,00100,0200,COMMUNITY NURSING & REHAB 95707,A81000C,00100,0400,COMPLETE CARE CENTERS INC 95707,A81000C,00100,0600,LEASING NURSING FACILITY 95707,A81000C,00200,0100,B 95707,A81000C,00200,0200,COMMUNITY NURSING & REHAB 95707,A81000C,00200,0400,BRANT MANAGEMENT GROUP 95707,A81000C,00200,0600,MGT LTC OPERATIONS 95707,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95707,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95707,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95707,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95707,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95707,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95707,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95707,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95707,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 95707,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95707,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95707,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95707,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95707,B100000,00000,1350,00000PATIENT DAYS :RECREATION 95707,S000000,00100,0200,05/30/2000 95707,S200000,00100,0100,2026 NORTHWEST LOOP 95707,S200000,00200,0100,STEPHENVILLE 95707,S200000,00200,0200,TX 95707,S200000,00200,0300,76401- 95707,S200000,00300,0100,ERATH 95707,S200000,00400,0100,COMMUNITY NURSING & REHABILITATION 95707,S200000,00400,0200,455906 95707,S200000,00400,0300,12/20/1990 95707,S200000,00400,0500,P 95707,S200000,01600,0100,Y 95707,S700003,00000,0100,1 95713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95713,A000000,00300,0000,00300EMPLOYEE BENEFITS 95713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95713,A000000,00700,0000,00700HOUSEKEEPING 95713,A000000,00800,0000,00800DIETARY 95713,A000000,00900,0000,00900NURSING ADMINISTRATION 95713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95713,A000000,01100,0000,01100PHARMACY 95713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95713,A000000,01300,0000,01300SOCIAL SERVICE 95713,A000000,01350,0000,01500ACTIVITIES 95713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95713,A000000,01600,0000,01600SKILLED NURSING FACILITY 95713,A000000,01800,0000,01800NURSING FACILITY 95713,A000000,01900,0000,01900OTHER LONG TERM CARE 95713,A000000,02100,0000,02100RADIOLOGY 95713,A000000,02200,0000,02200LABORATORY 95713,A000000,02300,0000,02300INTRAVENOUS THERAPY 95713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95713,A000000,02500,0000,02500PHYSICAL THERAPY 95713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95713,A000000,02700,0000,02700SPEECH PATHOLOGY 95713,A000000,02800,0000,02800ELECTROCARDIOLOGY 95713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95713,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95713,A000000,03200,0000,03200SUPPORT SURFACES 95713,A000000,03400,0000,03400CLINIC 95713,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95713,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95713,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95713,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95713,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95713,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95713,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95713,A000000,04400,0000,04400DME RENTED - HHA 95713,A000000,04500,0000,04500DME SOLD - HHA 95713,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95713,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95713,A000000,04800,0000,04800AMBULANCE 95713,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95713,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95713,A000000,05300,0000,05300INTEREST EXPENSE 95713,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95713,A000000,05500,0000,05500HOSPICE 95713,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95713,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95713,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95713,A000000,06100,0000,06100NONPAID WORKERS 95713,A000000,06200,0000,06200PATIENTS LAUNDRY 95713,A81000A,00100,0100,Y 95713,A81000B,00100,0300,MANAGEMENT FEES 95713,A81000C,00100,0100,D 95713,A81000C,00100,0200,LESLIE GRIEVE 95713,A81000C,00100,0400,DLC CENTRAL OFF 95713,A81000C,00100,0600,FIN MGT COMPANY 95713,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95713,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95713,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 95713,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95713,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95713,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95713,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95713,B100000,00000,0800,00000MEALS SERVED :DIETARY 95713,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 95713,B100000,00000,1200,00000TIME SPENT -MED :MEDICAL RECORDS & 95713,B100000,00000,1300,00000TIME SPENT -SOC :SOCIAL SERVICE 95713,B100000,00000,1350,00000TIME SPENT -ACT :ACTIVITIES 95713,S000000,00100,0200,10/02/2000 95713,S200000,00100,0100,111 COLLEGE AVENUE 95713,S200000,00200,0100,SCHULENBURG 95713,S200000,00200,0200,TX 95713,S200000,00200,0300,78956- 95713,S200000,00300,0100,FAYETTE 95713,S200000,00300,0200,45 95713,S200000,00300,0300,R 95713,S200000,00400,0100,SCHULENBURG REGENCY NURSING CENTER 95713,S200000,00400,0200,455908 95713,S200000,00400,0300,12/06/1990 95713,S200000,00400,0500,P 95713,S200000,00600,0200,455908 95713,S200000,00600,0300,12/06/1990 95713,S200000,00600,0600,P 95713,S200000,01600,0100,Y 95713,S200000,02800,0100,Y 95723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95723,A000000,00300,0000,00300EMPLOYEE BENEFITS 95723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95723,A000000,00700,0000,00700HOUSEKEEPING 95723,A000000,00800,0000,00800DIETARY 95723,A000000,00900,0000,00900NURSING ADMINISTRATION 95723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95723,A000000,01100,0000,01100PHARMACY 95723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95723,A000000,01300,0000,01300SOCIAL SERVICE 95723,A000000,01350,0000,01500OTHER GENERAL SERVICES 95723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95723,A000000,01600,0000,01600SKILLED NURSING FACILITY 95723,A000000,01800,0000,01800NURSING FACILITY 95723,A000000,01810,0000,01801ICF/MR 95723,A000000,01900,0000,01900OTHER LONG TERM CARE 95723,A000000,02100,0000,02100RADIOLOGY 95723,A000000,02200,0000,02200LABORATORY 95723,A000000,02300,0000,02300INTRAVENOUS THERAPY 95723,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95723,A000000,02500,0000,02500PHYSICAL THERAPY 95723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95723,A000000,02700,0000,02700SPEECH PATHOLOGY 95723,A000000,02800,0000,02800ELECTROCARDIOLOGY 95723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95723,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95723,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95723,A000000,03200,0000,03200SUPPORT SURFACES 95723,A000000,03400,0000,03400CLINIC 95723,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95723,A000000,03500,0000,03500RURAL HEALTH CLINIC 95723,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95723,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95723,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95723,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95723,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95723,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95723,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95723,A000000,04400,0000,04400DME RENTED - HHA 95723,A000000,04500,0000,04500DME SOLD - HHA 95723,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95723,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95723,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95723,A000000,04800,0000,04800AMBULANCE 95723,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95723,A000000,05000,0000,05000CORF 95723,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95723,A000000,05300,0000,05300INTEREST EXPENSE 95723,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95723,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95723,A000000,05500,0000,05500HOSPICE 95723,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95723,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95723,A000000,06100,0000,06100NONPAID WORKERS 95723,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95723,A000000,06200,0000,06200PATIENTS LAUNDRY 95723,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95723,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 95723,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95723,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95723,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95723,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95723,B100000,00000,0750,00000SQUARE FT CLEANED :HOUSEKEEPING 95723,B100000,00000,0800,00000MEALS SERVED :DIETARY 95723,B100000,00000,0900,00000HOURS SUPERVISED :NURSING ADMINIST 95723,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95723,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95723,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95723,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95723,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95723,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95723,S000000,00100,0200,07/11/2000 95723,S200000,00100,0100,300 CHERRY STREET 95723,S200000,00200,0100,CHANDLER 95723,S200000,00200,0200,TX 95723,S200000,00200,0300,75758- 95723,S200000,00300,0100,HENDERSON 95723,S200000,00400,0100,ATRIA CHANDLER NURSING CENTER 95723,S200000,00400,0200,455910 95723,S200000,00400,0300,01/10/1991 95723,S200000,00400,0500,P 95723,S200000,01600,0100,Y 95729,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95729,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95729,A000000,00300,0000,00300EMPLOYEE BENEFITS 95729,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95729,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95729,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95729,A000000,00700,0000,00700HOUSEKEEPING 95729,A000000,00800,0000,00800DIETARY 95729,A000000,00900,0000,00900NURSING ADMINISTRATION 95729,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95729,A000000,01100,0000,01100PHARMACY 95729,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95729,A000000,01300,0000,01300SOCIAL SERVICE 95729,A000000,01350,0000,01500OTHER GENERAL SERVICES 95729,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95729,A000000,01600,0000,01600SKILLED NURSING FACILITY 95729,A000000,01800,0000,01800NURSING FACILITY 95729,A000000,01810,0000,01801ICF/MR 95729,A000000,01900,0000,01900OTHER LONG TERM CARE 95729,A000000,02100,0000,02100RADIOLOGY 95729,A000000,02200,0000,02200LABORATORY 95729,A000000,02300,0000,02300INTRAVENOUS THERAPY 95729,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95729,A000000,02500,0000,02500PHYSICAL THERAPY 95729,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95729,A000000,02700,0000,02700SPEECH PATHOLOGY 95729,A000000,02800,0000,02800ELECTROCARDIOLOGY 95729,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95729,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95729,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95729,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95729,A000000,03200,0000,03200SUPPORT SURFACES 95729,A000000,03400,0000,03400CLINIC 95729,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95729,A000000,03500,0000,03500RURAL HEALTH CLINIC 95729,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95729,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95729,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95729,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95729,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95729,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95729,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95729,A000000,04400,0000,04400DME RENTED - HHA 95729,A000000,04500,0000,04500DME SOLD - HHA 95729,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95729,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95729,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95729,A000000,04800,0000,04800AMBULANCE 95729,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95729,A000000,05000,0000,05000CORF 95729,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95729,A000000,05300,0000,05300INTEREST EXPENSE 95729,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95729,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95729,A000000,05500,0000,05500HOSPICE 95729,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95729,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95729,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95729,A000000,06100,0000,06100NONPAID WORKERS 95729,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95729,A000000,06200,0000,06200PATIENTS LAUNDRY 95729,A81000A,00100,0100,Y 95729,A81000B,00100,0300,HOME OFFICE ADMINISTRATION 95729,A81000C,00100,0100,B 95729,A81000C,00100,0400,HARVEST SENIOR SERVICES 95729,A81000C,00100,0600,LTC OPERATIONS 95729,A81000C,00200,0100,B 95729,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95729,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95729,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95729,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95729,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95729,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95729,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95729,B100000,00000,0800,00000MEALS SERVED :DIETARY 95729,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95729,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95729,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95729,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95729,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95729,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95729,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95729,S000000,00100,0200,05/31/2000 95729,S200000,00100,0100,4511 CORONADO ST 95729,S200000,00200,0100,WICHITA FALLS 95729,S200000,00200,0200,TX 95729,S200000,00200,0300,76310- 95729,S200000,00300,0100,WICHITA 95729,S200000,00400,0100,UNIVERSITY PARK HEALTH & REHAB 95729,S200000,00400,0200,455916 95729,S200000,00400,0300,02/01/1990 95729,S200000,00400,0500,P 95729,S200000,01004,0500,O 95729,S200000,01600,0100,Y 95729,S200000,04300,0100,Y 95729,S700003,00000,0100,1 95736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95736,A000000,00300,0000,00300EMPLOYEE BENEFITS 95736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95736,A000000,00700,0000,00700HOUSEKEEPING 95736,A000000,00800,0000,00800DIETARY 95736,A000000,00900,0000,00900NURSING ADMINISTRATION 95736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95736,A000000,01300,0000,01300SOCIAL SERVICE 95736,A000000,01301,0000,01301ACTIVITES 95736,A000000,01350,0000,01500REHABILITATION 95736,A000000,01600,0000,01600SKILLED NURSING FACILITY 95736,A000000,01800,0000,01800NURSING FACILITY 95736,A000000,01900,0000,01900OTHER LONG TERM CARE 95736,A000000,02100,0000,02100RADIOLOGY 95736,A000000,02200,0000,02200LABORATORY 95736,A000000,02300,0000,02300INTRAVENOUS THERAPY 95736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95736,A000000,02500,0000,02500PHYSICAL THERAPY 95736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95736,A000000,02700,0000,02700SPEECH PATHOLOGY 95736,A000000,02800,0000,02800ELECTROCARDIOLOGY 95736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95736,A000000,03050,0000,03300EQUIPMENT RENTAL 95736,A000000,03051,0000,03301PEN THERAPY 95736,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95736,A000000,03200,0000,03200SUPPORT SURFACES 95736,A000000,04800,0000,04800AMBULANCE 95736,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95736,A000000,05300,0000,05300INTEREST EXPENSE 95736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95736,A000000,06150,0000,06300VENDING 95736,A000000,06151,0000,06301STAND-BY 95736,A000000,06200,0000,06200PATIENTS LAUNDRY 95736,A81000A,00100,0100,Y 95736,A81000B,00100,0300,HOME OFFICE COST 95736,A81000B,00200,0300,DIETARY SUPPLEMENTS 95736,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95736,A81000B,00400,0300,PRESCRIPTION DRUGS 95736,A81000B,00500,0300,MEDICAL SUPPLIES 95736,A81000B,00600,0300,ADMIN COSTS 95736,A81000B,00700,0300,HOME OFFICE INTEREST 95736,A81000B,00800,0300,EQUIPMENT RENTAL 95736,A81000B,00900,0300,IV THERAPY 95736,A81000B,01000,0300,OTHER DIRECT 95736,A81000B,01100,0300,PHYSICAL THERAPY 95736,A81000B,01200,0300,OCCUPATIONAL THERAPY 95736,A81000B,01300,0300,SPEECH THERAPY 95736,A81000B,01400,0300,PT SUPPLIES 95736,A81000C,00100,0100,B 95736,A81000C,00100,0200,DEER CREEK 95736,A81000C,00100,0400,MARINER PAN 95736,A81000C,00100,0600,NURSING HOMES 95736,A81000C,00200,0100,G 95736,A81000C,00200,0200,MARINER PAN 95736,A81000C,00200,0400,AMER PHARM SVCS 95736,A81000C,00200,0600,PHARMACEUTICALS 95736,A81000C,00300,0100,G 95736,A81000C,00300,0200,MARINER PAN 95736,A81000C,00300,0400,PRISM-ATS-ARS-T 95736,A81000C,00300,0600,THERAPIES 95736,A81000C,03100,0000,MARINER PAN 95736,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95736,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95736,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95736,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95736,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95736,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95736,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95736,B100000,00000,0800,00001MEALS SERVED :DIETARY 95736,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95736,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95736,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95736,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95736,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95736,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95736,E10A180,00301,0100,01/05/2000 95736,E10A180,00350,0100,06/09/1999 95736,E10A180,00351,0100,10/13/1999 95736,S000000,00100,0200,08/31/2000 95736,S200000,00100,0100,555 RANCH ROAD 3237 95736,S200000,00200,0100,WIMBERLEY 95736,S200000,00200,0200,TX 95736,S200000,00200,0300,78676- 95736,S200000,00300,0100,HAYS 95736,S200000,00300,0200,0640 95736,S200000,00300,0300,U 95736,S200000,00400,0100,DEER CREEK NURSING CENTER 95736,S200000,00400,0200,455917 95736,S200000,00400,0300,05/01/1993 95736,S200000,00400,0500,P 95736,S200000,01600,0100,Y 95736,S200000,02200,0100,Y 95736,S200000,04300,0100,Y 95744,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95744,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95744,A000000,00300,0000,00300EMPLOYEE BENEFITS 95744,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95744,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95744,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95744,A000000,00700,0000,00700HOUSEKEEPING 95744,A000000,00800,0000,00800DIETARY 95744,A000000,00801,0000,00801CAFETERIA 95744,A000000,00900,0000,00900NURSING ADMINISTRATION 95744,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95744,A000000,01100,0000,01100PHARMACY 95744,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95744,A000000,01300,0000,01300SOCIAL SERVICE 95744,A000000,01600,0000,01600SKILLED NURSING FACILITY 95744,A000000,01800,0000,01800NURSING FACILITY 95744,A000000,01900,0000,01900OTHER LONG TERM CARE 95744,A000000,02100,0000,02100RADIOLOGY 95744,A000000,02200,0000,02200LABORATORY 95744,A000000,02300,0000,02300INTRAVENOUS THERAPY 95744,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95744,A000000,02500,0000,02500PHYSICAL THERAPY 95744,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95744,A000000,02700,0000,02700SPEECH PATHOLOGY 95744,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95744,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95744,A000000,03200,0000,03200SUPPORT SURFACES 95744,A000000,05300,0000,05300INTEREST EXPENSE 95744,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95744,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95744,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95744,A81000A,00100,0100,Y 95744,A81000B,00100,0300,HOME OFFICE COSTS 95744,A81000B,00200,0300,HOME OFFICE COSTS 95744,A81000C,00100,0100,B 95744,A81000C,00100,0200,SISTERS OF CHAR 95744,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95744,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95744,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95744,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95744,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95744,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95744,B100000,00000,0800,00000MEALS SERVED :DIETARY 95744,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 95744,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95744,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95744,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95744,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95744,S000000,00100,0200,01/29/2001 95744,S200000,00100,0100,400 AUSTIN AVENUE 95744,S200000,00200,0100,WACO 95744,S200000,00200,0200,TX 95744,S200000,00200,0300,76703- 95744,S200000,00300,0100,MCLENNEN 95744,S200000,00300,0200,8800 95744,S200000,00300,0300,U 95744,S200000,00400,0100,REGIS/ST. ELIZABETH CENTERS 95744,S200000,00400,0200,455919 95744,S200000,00400,0300,05/20/1991 95744,S200000,00400,0500,P 95744,S200000,01600,0100,Y 95751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95751,A000000,00300,0000,00300EMPLOYEE BENEFITS 95751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95751,A000000,00700,0000,00700HOUSEKEEPING 95751,A000000,00800,0000,00800DIETARY 95751,A000000,00900,0000,00900NURSING ADMINISTRATION 95751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95751,A000000,01300,0000,01300SOCIAL SERVICE 95751,A000000,01600,0000,01600SKILLED NURSING FACILITY 95751,A000000,01800,0000,01800NURSING FACILITY 95751,A000000,02100,0000,02100RADIOLOGY 95751,A000000,02200,0000,02200LABORATORY 95751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95751,A000000,02500,0000,02500PHYSICAL THERAPY 95751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95751,A000000,02700,0000,02700SPEECH PATHOLOGY 95751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95751,A000000,03050,0000,03300FEE SCREEN REHAB 95751,A000000,03200,0000,03200SUPPORT SURFACES 95751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95751,A81000A,00100,0100,Y 95751,A81000B,00100,0300,HOME OFFICE COSTS 95751,A81000C,00100,0100,B 95751,A81000C,00100,0200,ADVOCAT INC. 95751,A81000C,00100,0400,DVCR LEASING CO 95751,A81000C,00100,0600,L/T CARE MGT CO 95751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95751,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95751,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95751,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95751,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 95751,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 95751,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95751,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95751,S000000,00100,0200,03/02/2000 95751,S200000,00100,0100,600 HILLSIDE DRIVE 95751,S200000,00200,0100,BEEVILLE 95751,S200000,00200,0200,TX 95751,S200000,00200,0300,78102- 95751,S200000,00300,0100,BEE 95751,S200000,00300,0200,45 95751,S200000,00300,0300,R 95751,S200000,00400,0100,HILLSIDE LODGE & CONV. CENTER 95751,S200000,00400,0200,455923 95751,S200000,00400,0300,07/12/1991 95751,S200000,00400,0500,P 95751,S200000,00400,0600,P 95751,S200000,01600,0100,Y 95751,S200000,02200,0100,Y 95758,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95758,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95758,A000000,00300,0000,00300EMPLOYEE BENEFITS 95758,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95758,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95758,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95758,A000000,00700,0000,00700HOUSEKEEPING 95758,A000000,00800,0000,00800DIETARY 95758,A000000,00900,0000,00900NURSING ADMINISTRATION 95758,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95758,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95758,A000000,01300,0000,01300SOCIAL SERVICE 95758,A000000,01600,0000,01600SKILLED NURSING FACILITY 95758,A000000,01800,0000,01800NURSING FACILITY 95758,A000000,02100,0000,02100RADIOLOGY 95758,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95758,A000000,02500,0000,02500PHYSICAL THERAPY 95758,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95758,A000000,02700,0000,02700SPEECH PATHOLOGY 95758,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95758,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95758,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 95758,A000000,03051,0000,03002ENTERAL THERAPY 95758,A000000,03052,0000,03003LAB TEST FEE SCREEN 95758,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95758,A81000A,00100,0100,Y 95758,A81000B,00100,0300,HOME OFFICE COSTS 95758,A81000C,00100,0100,A 95758,A81000C,00100,0200,GRANBURY VILLA 95758,A81000C,00100,0400,CENTURY CARE I 95758,A81000C,00100,0600,HOME OFFICE 95758,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95758,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95758,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95758,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95758,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95758,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95758,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95758,B100000,00000,0800,00000MEALS SERVED :DIETARY 95758,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 95758,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95758,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95758,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95758,S000000,00100,0200,03/26/2001 95758,S200000,00100,0100,2124 PALUXY ROAD 95758,S200000,00200,0100,GRANBURY 95758,S200000,00200,0200,TX 95758,S200000,00200,0300,76048- 95758,S200000,00300,0100,HOOD 95758,S200000,00300,0200,2800 95758,S200000,00300,0300,U 95758,S200000,00400,0100,GRANBURY VILLA NURSING CENTER 95758,S200000,00400,0200,455929 95758,S200000,00400,0300,07/01/1996 95758,S200000,00400,0500,P 95758,S200000,00600,0200,455929 95758,S200000,00600,0300,01/01/1996 95758,S200000,00600,0600,P 95758,S200000,01600,0100,Y 95758,S200000,04200,0100,Y 95765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95765,A000000,00300,0000,00300EMPLOYEE BENEFITS 95765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95765,A000000,00700,0000,00700HOUSEKEEPING 95765,A000000,00800,0000,00800DIETARY 95765,A000000,00900,0000,00900NURSING ADMINISTRATION 95765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95765,A000000,01100,0000,01100PHARMACY 95765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95765,A000000,01300,0000,01300SOCIAL SERVICE 95765,A000000,01351,0000,01301ACTIVITIES 95765,A000000,01600,0000,01600SKILLED NURSING FACILITY 95765,A000000,01800,0000,01800NURSING FACILITY 95765,A000000,02100,0000,02100RADIOLOGY 95765,A000000,02200,0000,02200LABORATORY 95765,A000000,02300,0000,02300INTRAVENOUS THERAPY 95765,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95765,A000000,02500,0000,02500PHYSICAL THERAPY 95765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95765,A000000,02700,0000,02700SPEECH PATHOLOGY 95765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95765,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95765,A000000,03051,0000,03301MEDICAL EQUIPMENT 95765,A000000,04800,0000,04800AMBULANCE 95765,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95765,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95765,A81000A,00100,0100,Y 95765,A81000B,00100,0300,HOME OFFICE CAPITAL 95765,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95765,A81000B,00300,0300,WAREHOUSE 95765,A81000C,00100,0100,A 95765,A81000C,00100,0200,PETER C. KERN 95765,A81000C,00100,0400,HEA MANAGEMENT GROUP 95765,A81000C,00100,0600,HOME OFFICE 95765,A81000C,00200,0100,A 95765,A81000C,00200,0200,PETER C. KERN 95765,A81000C,00200,0400,WAREHOUSE STORAGE 95765,A81000C,00200,0600,OLD RECORD STORAGE 95765,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95765,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95765,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95765,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95765,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95765,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95765,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95765,B100000,00000,0800,00000MEALS SERVED :DIETARY 95765,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95765,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95765,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95765,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95765,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95765,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95765,S000000,00100,0200,05/30/2000 95765,S200000,00100,0100,1700 WASHINGTON 95765,S200000,00200,0100,PILOT POINT 95765,S200000,00200,0200,TX 95765,S200000,00200,0300,76258- 95765,S200000,00300,0100,DENTON 95765,S200000,00300,0200,1920 95765,S200000,00300,0300,U 95765,S200000,00400,0100,KERN MANOR 95765,S200000,00400,0200,455930 95765,S200000,00400,0300,07/18/1991 95765,S200000,00400,0500,P 95765,S200000,01600,0100,Y 95765,S200000,02200,0100,Y 95765,S200000,04300,0100,Y 95777,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95777,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95777,A000000,00300,0000,00300EMPLOYEE BENEFITS 95777,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95777,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95777,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95777,A000000,00700,0000,00700HOUSEKEEPING 95777,A000000,00800,0000,00800DIETARY 95777,A000000,00900,0000,00900NURSING ADMINISTRATION 95777,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95777,A000000,01100,0000,01100PHARMACY 95777,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95777,A000000,01300,0000,01300SOCIAL SERVICE 95777,A000000,01301,0000,01301ACTIVITIES 95777,A000000,01600,0000,01600SKILLED NURSING FACILITY 95777,A000000,01800,0000,01800NURSING FACILITY 95777,A000000,02100,0000,02100RADIOLOGY 95777,A000000,02200,0000,02200LABORATORY 95777,A000000,02300,0000,02300INTRAVENOUS THERAPY 95777,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95777,A000000,02500,0000,02500PHYSICAL THERAPY 95777,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95777,A000000,02700,0000,02700SPEECH PATHOLOGY 95777,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95777,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95777,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95777,A000000,03051,0000,03301MEDICAL EQUIPMENT 95777,A000000,04800,0000,04800AMBULANCE 95777,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95777,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95777,A81000A,00100,0100,Y 95777,A81000B,00100,0300,HOME OFFICE CAPITAL 95777,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95777,A81000B,00300,0300,WAREHOUSE 95777,A81000C,00100,0100,A 95777,A81000C,00100,0200,PETER C. KERN 95777,A81000C,00100,0400,HEA MANAGEMENT GROUP 95777,A81000C,00100,0600,HOME OFFICE 95777,A81000C,00200,0100,A 95777,A81000C,00200,0200,PETER C. KERN 95777,A81000C,00200,0400,WAREHOUSE STORAGE 95777,A81000C,00200,0600,OLD RECORD STORAGE 95777,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95777,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95777,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95777,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95777,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95777,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95777,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95777,B100000,00000,0800,00000MEALS SERVED :DIETARY 95777,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95777,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95777,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95777,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95777,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95777,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 95777,S000000,00100,0200,09/14/2000 95777,S200000,00100,0100,2722 OLD ANSON ROAD 95777,S200000,00200,0100,ABILENE 95777,S200000,00200,0200,TX 95777,S200000,00200,0300,79603-1834 95777,S200000,00300,0100,TAYLOR 95777,S200000,00300,0200,0040 95777,S200000,00300,0300,U 95777,S200000,00400,0100,NORTHERN OAKS NURSING CENTER 95777,S200000,00400,0200,455934 95777,S200000,00400,0300,07/30/1991 95777,S200000,00400,0500,P 95777,S200000,01600,0100,Y 95777,S200000,02200,0100,Y 95777,S200000,04300,0100,Y 95779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95779,A000000,00300,0000,00300EMPLOYEE BENEFITS 95779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95779,A000000,00700,0000,00700HOUSEKEEPING 95779,A000000,00800,0000,00800DIETARY 95779,A000000,00900,0000,00900NURSING ADMINISTRATION 95779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95779,A000000,01100,0000,01100PHARMACY 95779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95779,A000000,01300,0000,01300SOCIAL SERVICE 95779,A000000,01600,0000,01600SKILLED NURSING FACILITY 95779,A000000,01800,0000,01800NURSING FACILITY 95779,A000000,01900,0000,01900OTHER LONG TERM CARE 95779,A000000,02100,0000,02100RADIOLOGY 95779,A000000,02200,0000,02200LABORATORY 95779,A000000,02300,0000,02300INTRAVENOUS THERAPY 95779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95779,A000000,02500,0000,02500PHYSICAL THERAPY 95779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95779,A000000,02700,0000,02700SPEECH PATHOLOGY 95779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95779,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95779,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95779,A000000,03200,0000,03200SUPPORT SURFACES 95779,A000000,04800,0000,04800AMBULANCE 95779,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95779,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95779,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95779,A81000A,00100,0100,Y 95779,A81000B,00100,0300,HOME OFFICE CAPITAL 95779,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 95779,A81000B,00300,0300,MANAGEMENT FEE 95779,A81000C,00100,0100,B 95779,A81000C,00100,0400,THE ENSIGN GROUP INC 95779,A81000C,00100,0600,HOME OFFICE 95779,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95779,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95779,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95779,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95779,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95779,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95779,B100000,00000,0800,00000MEALS SERVED :DIETARY 95779,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95779,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95779,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95779,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95779,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95779,S000000,00100,0200,10/02/2000 95779,S200000,00100,0100,2272 OLD ANSON ROAD 95779,S200000,00200,0100,ABILENE 95779,S200000,00200,0200,TX 95779,S200000,00200,0300,79603- 95779,S200000,00300,0100,TAYLOR 95779,S200000,00400,0100,NORTHERN OAKS NURSING & REHAB CTR 95779,S200000,00400,0200,455934 95779,S200000,00400,0300,07/30/1991 95779,S200000,00400,0500,P 95779,S200000,01600,0100,Y 95779,S700003,00000,0200,2 95787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95787,A000000,00300,0000,00300EMPLOYEE BENEFITS 95787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95787,A000000,00700,0000,00700HOUSEKEEPING 95787,A000000,00800,0000,00800DIETARY 95787,A000000,00900,0000,00900NURSING ADMINISTRATION 95787,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95787,A000000,01100,0000,01100PHARMACY 95787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95787,A000000,01300,0000,01300SOCIAL SERVICE 95787,A000000,01351,0000,01301ACTIVITIES 95787,A000000,01600,0000,01600SKILLED NURSING FACILITY 95787,A000000,01800,0000,01800NURSING FACILITY 95787,A000000,02100,0000,02100RADIOLOGY 95787,A000000,02200,0000,02200LABORATORY 95787,A000000,02300,0000,02300INTRAVENOUS THERAPY 95787,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95787,A000000,02500,0000,02500PHYSICAL THERAPY 95787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95787,A000000,02700,0000,02700SPEECH PATHOLOGY 95787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95787,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95787,A000000,03051,0000,03301MEDICAL EQUIPMENT 95787,A000000,04800,0000,04800AMBULANCE 95787,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95787,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95787,A81000A,00100,0100,Y 95787,A81000B,00100,0300,HOME OFFICE CAPITAL 95787,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95787,A81000B,00300,0300,WAREHOUSE 95787,A81000C,00100,0100,A 95787,A81000C,00100,0200,PETER C. KERN 95787,A81000C,00100,0400,HEA MANAGEMENT GROUP 95787,A81000C,00100,0600,HOME OFFICE 95787,A81000C,00200,0100,A 95787,A81000C,00200,0200,PETER C. KERN 95787,A81000C,00200,0400,WAREHOUSE STORAGE 95787,A81000C,00200,0600,OLD RECORD STORAGE 95787,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95787,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95787,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95787,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95787,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95787,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95787,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95787,B100000,00000,0800,00000MEALS SERVED :DIETARY 95787,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95787,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95787,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95787,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95787,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95787,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95787,S000000,00100,0200,05/30/2000 95787,S200000,00100,0100,1621 BUTLER BLVD 95787,S200000,00200,0100,DIMMIT 95787,S200000,00200,0200,TX 95787,S200000,00200,0300,79027-2718 95787,S200000,00300,0100,CASTRO 95787,S200000,00300,0200,45 95787,S200000,00300,0300,R 95787,S200000,00400,0100,CANTERBURY VILLLA OF DIMMIT 95787,S200000,00400,0200,455939 95787,S200000,00400,0300,07/31/1991 95787,S200000,00400,0500,P 95787,S200000,01600,0100,Y 95787,S200000,02200,0100,Y 95787,S200000,04300,0100,Y 95794,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95794,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95794,A000000,00300,0000,00300EMPLOYEE BENEFITS 95794,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95794,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95794,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95794,A000000,00700,0000,00700HOUSEKEEPING 95794,A000000,00800,0000,00800DIETARY 95794,A000000,00900,0000,00900NURSING ADMINISTRATION 95794,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95794,A000000,01100,0000,01100PHARMACY 95794,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95794,A000000,01300,0000,01300SOCIAL SERVICE 95794,A000000,01350,0000,01500RECREATION 95794,A000000,01600,0000,01600SKILLED NURSING FACILITY 95794,A000000,01800,0000,01800NURSING FACILITY 95794,A000000,01810,0000,01801ICF/MR 95794,A000000,01900,0000,01900OTHER LONG TERM CARE 95794,A000000,02100,0000,02100RADIOLOGY 95794,A000000,02200,0000,02200LABORATORY 95794,A000000,02300,0000,02300INTRAVENOUS THERAPY 95794,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95794,A000000,02500,0000,02500PHYSICAL THERAPY 95794,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95794,A000000,02700,0000,02700SPEECH PATHOLOGY 95794,A000000,02800,0000,02800ELECTROCARDIOLOGY 95794,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95794,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95794,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95794,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95794,A000000,03200,0000,03200SUPPORT SURFACES 95794,A000000,03400,0000,03400CLINIC 95794,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95794,A000000,03500,0000,03500RURAL HEALTH CLINIC 95794,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95794,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95794,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95794,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95794,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95794,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95794,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95794,A000000,04400,0000,04400DME RENTED - HHA 95794,A000000,04500,0000,04500DME SOLD - HHA 95794,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95794,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95794,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95794,A000000,04800,0000,04800AMBULANCE 95794,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95794,A000000,05000,0000,05000CORF 95794,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95794,A000000,05300,0000,05300INTEREST EXPENSE 95794,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95794,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95794,A000000,05500,0000,05500HOSPICE 95794,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95794,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95794,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95794,A000000,06100,0000,06100NONPAID WORKERS 95794,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95794,A000000,06200,0000,06200PATIENTS LAUNDRY 95794,A81000A,00100,0100,Y 95794,A81000B,00100,0300,CAPITAL RELATED COSTS 95794,A81000C,00100,0100,B 95794,A81000C,00100,0200,1ST WINDCREST PROP LTD 95794,A81000C,00100,0400,WINDCREST NURSING & REHAB 95794,A81000C,00100,0600,PROPERTY MANAGEMENT 95794,A81000C,00200,0100,B 95794,A81000C,00200,0200,BRANT MANGEMENT GROUP 95794,A81000C,00200,0400,WINDCREST NURSING & REHAB 95794,A81000C,00200,0600,NURSING HOME MGT 95794,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 95794,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 95794,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 95794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95794,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 95794,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95794,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 95794,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95794,B100000,00000,0950,00000GROSS SALARY :NURSING ADMINISTRATI 95794,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95794,B100000,00000,1150,00000NO STATISTICS :PHARMACY 95794,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95794,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95794,B100000,00000,1350,00000PATIENT DAYS :RECREATION 95794,S000000,00100,0200,05/30/2000 95794,S200000,00100,0100,210 WINDCREST DRIVE 95794,S200000,00200,0100,FREDRICKSBURG 95794,S200000,00200,0200,TX 95794,S200000,00200,0300,78624- 95794,S200000,00300,0100,GILLESPIE 95794,S200000,00400,0100,WINDCREST NURSING & REHABILITATION C 95794,S200000,00400,0200,455941 95794,S200000,00400,0300,07/26/1991 95794,S200000,00400,0500,P 95794,S200000,01600,0100,Y 95794,S700003,00000,0100,1 95806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95806,A000000,00300,0000,00300EMPLOYEE BENEFITS 95806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95806,A000000,00700,0000,00700HOUSEKEEPING 95806,A000000,00800,0000,00800DIETARY 95806,A000000,00900,0000,00900NURSING ADMINISTRATION 95806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95806,A000000,01100,0000,01100PHARMACY 95806,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95806,A000000,01300,0000,01300SOCIAL SERVICE 95806,A000000,01350,0000,01500OTHER GENERAL SERVICES 95806,A000000,01351,0000,01501ACTIVITIES 95806,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95806,A000000,01600,0000,01600SKILLED NURSING FACILITY 95806,A000000,01800,0000,01800NURSING FACILITY 95806,A000000,01810,0000,01810ICF/MR 95806,A000000,01900,0000,01900OTHER LONG TERM CARE 95806,A000000,02100,0000,02100RADIOLOGY 95806,A000000,02200,0000,02200LABORATORY 95806,A000000,02300,0000,02300INTRAVENOUS THERAPY 95806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95806,A000000,02500,0000,02500PHYSICAL THERAPY 95806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95806,A000000,02700,0000,02700SPEECH PATHOLOGY 95806,A000000,02800,0000,02800ELECTROCARDIOLOGY 95806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95806,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95806,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95806,A000000,03200,0000,03200SUPPORT SURFACES 95806,A000000,03400,0000,03400CLINIC 95806,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95806,A000000,03500,0000,03500RURAL HEALTH CLINIC 95806,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95806,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95806,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95806,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95806,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95806,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95806,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95806,A000000,04400,0000,04400DME RENTED - HHA 95806,A000000,04500,0000,04500DME SOLD - HHA 95806,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95806,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95806,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95806,A000000,04800,0000,04800AMBULANCE 95806,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95806,A000000,05000,0000,05000CORF 95806,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95806,A000000,05300,0000,05300INTEREST EXPENSE 95806,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95806,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95806,A000000,05500,0000,05500HOSPICE 95806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95806,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95806,A000000,06100,0000,06100NONPAID WORKERS 95806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95806,A000000,06200,0000,06200PATIENTS LAUNDRY 95806,A81000A,00100,0100,Y 95806,A81000B,00100,0300,HOME OFFICE ALLOCATION 95806,A81000C,00100,0100,B 95806,A81000C,00100,0400,HEARTWAY III CORPORATION 95806,A81000C,00100,0600,NURSING HOME OPERATIONS 95806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95806,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95806,B100000,00000,0800,00000MEALS SERVED :DIETARY 95806,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 95806,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 95806,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95806,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95806,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95806,S000000,00100,0200,12/18/2000 95806,S200000,00100,0100,HIGHWAY 19 NORTH 95806,S200000,00200,0100,TRINITY 95806,S200000,00200,0200,TX 95806,S200000,00200,0300,75862- 95806,S200000,00300,0100,TRINITY 95806,S200000,00300,0200,45 95806,S200000,00300,0300,U 95806,S200000,00400,0100,AVALON PLACE - TRINITY 95806,S200000,00400,0200,455945 95806,S200000,00400,0300,08/22/1991 95806,S200000,00400,0500,P 95806,S200000,01600,0100,Y 95826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95826,A000000,00300,0000,00300EMPLOYEE BENEFITS 95826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95826,A000000,00700,0000,00700HOUSEKEEPING 95826,A000000,00800,0000,00800DIETARY 95826,A000000,00801,0000,00801CAFETERIA 95826,A000000,00900,0000,00900NURSING ADMINISTRATION 95826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95826,A000000,01100,0000,01100PHARMACY 95826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95826,A000000,01300,0000,01300SOCIAL SERVICE 95826,A000000,01600,0000,01600SKILLED NURSING FACILITY 95826,A000000,01800,0000,01800NURSING FACILITY 95826,A000000,01900,0000,01900OTHER LONG TERM CARE 95826,A000000,02100,0000,02100RADIOLOGY 95826,A000000,02200,0000,02200LABORATORY 95826,A000000,02300,0000,02300INTRAVENOUS THERAPY 95826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95826,A000000,02500,0000,02500PHYSICAL THERAPY 95826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95826,A000000,02700,0000,02700SPEECH PATHOLOGY 95826,A000000,02800,0000,02800ELECTROCARDIOLOGY 95826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95826,A000000,03200,0000,03200SUPPORT SURFACES 95826,A000000,04800,0000,04800AMBULANCE 95826,A000000,05300,0000,05300INTEREST EXPENSE 95826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95826,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95826,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95826,A81000A,00100,0100,Y 95826,A81000B,00100,0300,HOME OFC COSTS 95826,A81000B,00200,0300,HOME OFC COSTS 95826,A81000B,00300,0300,PRESCRIPTION RX 95826,A81000B,00400,0300,I V THERAPY 95826,A81000B,00500,0300,HOME OFC COSTS 95826,A81000C,00100,0100,B 95826,A81000C,00100,0200,AHCC INC. 95826,A81000C,00100,0400,AHCC INC. 95826,A81000C,00100,0600,HOME OFC 95826,A81000C,00200,0100,B 95826,A81000C,00200,0200,AHCC INC 95826,A81000C,00200,0400,LTC MGMT 95826,A81000C,00200,0600,BILLING SERV 95826,A81000C,00300,0100,B 95826,A81000C,00300,0200,AHCC INC 95826,A81000C,00300,0400,NIPSI 95826,A81000C,00300,0600,PHARMACY 95826,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95826,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95826,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95826,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95826,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95826,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95826,B100000,00000,0800,00000MEALS SERVED :DIETARY 95826,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 95826,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 95826,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95826,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95826,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95826,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95826,S000000,00100,0200,06/19/2000 95826,S200000,00100,0100,903 E. HOUSTON 95826,S200000,00200,0100,CLEVELAND 95826,S200000,00200,0200,TX 95826,S200000,00200,0300,77327- 95826,S200000,00300,0100,LIBERTY 95826,S200000,00400,0100,GALAXY MANOR NURSING CENTER 95826,S200000,00400,0200,455952 95826,S200000,00400,0300,07/01/1992 95826,S200000,00400,0500,P 95826,S200000,01600,0100,Y 95826,S700003,00000,0100,1 95841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95841,A000000,00300,0000,00300EMPLOYEE BENEFITS 95841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95841,A000000,00700,0000,00700HOUSEKEEPING 95841,A000000,00800,0000,00800DIETARY 95841,A000000,00900,0000,00900NURSING ADMINISTRATION 95841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95841,A000000,01100,0000,01100PHARMACY 95841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95841,A000000,01300,0000,01300SOCIAL SERVICE 95841,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 95841,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95841,A000000,01600,0000,01600SKILLED NURSING FACILITY 95841,A000000,01800,0000,01800NURSING FACILITY 95841,A000000,01810,0000,01810ICF/MR 95841,A000000,01900,0000,01900OTHER LONG TERM CARE 95841,A000000,02100,0000,02100RADIOLOGY 95841,A000000,02200,0000,02200LABORATORY 95841,A000000,02300,0000,02300INTRAVENOUS THERAPY 95841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95841,A000000,02500,0000,02500PHYSICAL THERAPY 95841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95841,A000000,02700,0000,02700SPEECH PATHOLOGY 95841,A000000,02800,0000,02800ELECTROCARDIOLOGY 95841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95841,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95841,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95841,A000000,03200,0000,03200SUPPORT SURFACES 95841,A000000,03400,0000,03400CLINIC 95841,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 95841,A000000,03500,0000,03500RURAL HEALTH CLINIC 95841,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95841,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95841,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95841,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95841,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95841,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95841,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95841,A000000,04400,0000,04400DME RENTED - HHA 95841,A000000,04500,0000,04500DME SOLD - HHA 95841,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95841,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95841,A000000,04800,0000,04800AMBULANCE 95841,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95841,A000000,05000,0000,05000CORF 95841,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95841,A000000,05300,0000,05300INTEREST EXPENSE 95841,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95841,A000000,05500,0000,05500HOSPICE 95841,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95841,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95841,A000000,06100,0000,06100NONPAID WORKERS 95841,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95841,A000000,06200,0000,06200PATIENTS LAUNDRY 95841,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95841,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95841,B100000,00000,0800,00000MEALS SERVED :DIETARY 95841,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95841,S000000,00100,0200,06/02/2000 95841,S200000,00100,0100,1900 MEDICAL PARKWAY 95841,S200000,00200,0100,SAN MARCOS 95841,S200000,00200,0200,TX 95841,S200000,00200,0300,78666- 95841,S200000,00300,0100,HAYS 95841,S200000,00300,0200,0640 95841,S200000,00300,0300,U 95841,S200000,00400,0100,HAYS NURSING CENTER 95841,S200000,00400,0200,455960 95841,S200000,00400,0300,10/01/1991 95841,S200000,00400,0500,P 95841,S200000,01600,0100,Y 95841,S200000,02800,0100,Y 95854,A000000,00300,0000,00300EMPLOYEE BENEFITS 95854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95854,A000000,00700,0000,00700HOUSEKEEPING 95854,A000000,00800,0000,00800DIETARY 95854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95854,A000000,01300,0000,01300SOCIAL SERVICE 95854,A000000,01600,0000,01600SKILLED NURSING FACILITY 95854,A000000,01800,0000,01800NURSING FACILITY 95854,A000000,02300,0000,02300INTRAVENOUS THERAPY 95854,A000000,02500,0000,02500PHYSICAL THERAPY 95854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95854,A000000,02700,0000,02700SPEECH PATHOLOGY 95854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95854,B100000,00000,0300,00000 GROSS SALARIES :EMPLOYEE BENEFITS 95854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95854,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 95854,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 95854,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 95854,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 95854,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 95854,S000000,00100,0200,01/31/2000 95854,S200000,00100,0100,619 W. LIVE OAK 95854,S200000,00200,0100,FREDERICKSBURG 95854,S200000,00200,0200,TX 95854,S200000,00200,0300,78624- 95854,S200000,00400,0100,DAS EDEN HEIM 95854,S200000,00400,0200,455964 95854,S200000,00400,0300,12/04/1991 95854,S200000,00400,0500,P 95854,S700003,00000,0100,1 95856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95856,A000000,00300,0000,00300EMPLOYEE BENEFITS 95856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95856,A000000,00700,0000,00700HOUSEKEEPING 95856,A000000,00800,0000,00800DIETARY 95856,A000000,00900,0000,00900NURSING ADMINISTRATION 95856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95856,A000000,01100,0000,01100PHARMACY 95856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95856,A000000,01300,0000,01300SOCIAL SERVICE 95856,A000000,01350,0000,01500OTHER GENERAL SERVICES 95856,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95856,A000000,01600,0000,01600SKILLED NURSING FACILITY 95856,A000000,01800,0000,01800NURSING FACILITY 95856,A000000,01810,0000,01810ICF/MR 95856,A000000,01900,0000,01900OTHER LONG TERM CARE 95856,A000000,02100,0000,02100RADIOLOGY 95856,A000000,02200,0000,02200LABORATORY 95856,A000000,02300,0000,02300INTRAVENOUS THERAPY 95856,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95856,A000000,02500,0000,02500PHYSICAL THERAPY 95856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95856,A000000,02700,0000,02700SPEECH PATHOLOGY 95856,A000000,02800,0000,02800ELECTROCARDIOLOGY 95856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95856,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95856,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95856,A000000,03200,0000,03200SUPPORT SURFACES 95856,A000000,03400,0000,03400CLINIC 95856,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95856,A000000,03500,0000,03500RURAL HEALTH CLINIC 95856,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95856,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95856,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95856,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95856,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95856,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95856,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95856,A000000,04400,0000,04400DME RENTED - HHA 95856,A000000,04500,0000,04500DME SOLD - HHA 95856,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95856,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95856,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95856,A000000,04800,0000,04800AMBULANCE 95856,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95856,A000000,05000,0000,05000CORF 95856,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95856,A000000,05300,0000,05300INTEREST EXPENSE 95856,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95856,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95856,A000000,05500,0000,05500HOSPICE 95856,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95856,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95856,A000000,06100,0000,06100NONPAID WORKERS 95856,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95856,A000000,06200,0000,06200PATIENTS LAUNDRY 95856,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 95856,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 95856,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 95856,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 95856,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 95856,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 95856,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 95856,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 95856,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 95856,S000000,00100,0200,05/31/2000 95856,S200000,00100,0100,619 W. LIVE OAK 95856,S200000,00200,0100,FREDERICKSBURG 95856,S200000,00200,0200,TX 95856,S200000,00200,0300,78624- 95856,S200000,00300,0100,GILLESPIE 95856,S200000,00300,0200,9945 95856,S200000,00300,0300,U 95856,S200000,00400,0100,DAS EDEN HEIM 95856,S200000,00400,0200,455964 95856,S200000,00400,0300,12/04/1991 95856,S200000,00400,0500,P 95856,S200000,01600,0100,Y 95862,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95862,A000000,00101,0000,00101CAP REL COSTS - WEST BLDG 95862,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95862,A000000,00300,0000,00300EMPLOYEE BENEFITS 95862,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95862,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95862,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95862,A000000,00700,0000,00700HOUSEKEEPING 95862,A000000,00800,0000,00800DIETARY 95862,A000000,00900,0000,00900NURSING ADMINISTRATION 95862,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95862,A000000,01100,0000,01100PHARMACY 95862,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95862,A000000,01300,0000,01300SOCIAL SERVICE 95862,A000000,01350,0000,01500OTHER GENERAL SERVICES 95862,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95862,A000000,01600,0000,01600SKILLED NURSING FACILITY 95862,A000000,01800,0000,01800NURSING FACILITY 95862,A000000,01900,0000,01900OTHER LONG TERM CARE 95862,A000000,02100,0000,02100RADIOLOGY 95862,A000000,02200,0000,02200LABORATORY 95862,A000000,02300,0000,02300INTRAVENOUS THERAPY 95862,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95862,A000000,02500,0000,02500PHYSICAL THERAPY 95862,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95862,A000000,02700,0000,02700SPEECH PATHOLOGY 95862,A000000,02800,0000,02800ELECTROCARDIOLOGY 95862,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95862,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95862,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95862,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95862,A000000,03200,0000,03200SUPPORT SURFACES 95862,A000000,03400,0000,03400CLINIC 95862,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95862,A000000,03500,0000,03500RURAL HEALTH CLINIC 95862,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95862,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95862,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95862,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95862,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95862,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95862,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95862,A000000,04400,0000,04400DME RENTED - HHA 95862,A000000,04500,0000,04500DME SOLD - HHA 95862,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95862,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95862,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95862,A000000,04800,0000,04800AMBULANCE 95862,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95862,A000000,05000,0000,05000CORF 95862,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95862,A000000,05300,0000,05300INTEREST EXPENSE 95862,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95862,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95862,A000000,05500,0000,05500HOSPICE 95862,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95862,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95862,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95862,A000000,06100,0000,06100NONPAID WORKERS 95862,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95862,A000000,06151,0000,06301DAY CARE 95862,A000000,06152,0000,06302COUNTRY STORE - VENDING 95862,A000000,06153,0000,06303HOUSE RENTAL 95862,A000000,06154,0000,06304COTTAGES 95862,A000000,06155,0000,06305FEE SCREEN 95862,A000000,06200,0000,06200PATIENTS LAUNDRY 95862,A81000A,00100,0100,Y 95862,A81000B,00100,0300,PHARMACY CONSULTANT 95862,A81000B,00200,0300,DEPR EXP - TRUCK PURCHASE 95862,A81000C,00100,0100,G 95862,A81000C,00100,0200,BILL WILLIS 95862,A81000C,00100,0400,INDIVIDUAL 95862,A81000C,00100,0600,CHAIRMAN OF BOARD 95862,A81000C,00200,0100,G 95862,A81000C,00200,0200,HARRY PATTERSON 95862,A81000C,00200,0400,INDIVIDUAL 95862,A81000C,00200,0600,VICE-PRES OF BOARD 95862,B100000,00000,0100,00005SQUARE FEET :CAP REL COSTS - BLDGS 95862,B100000,00000,0101,00005SQUARE FEET :CAP REL COSTS - WEST 95862,B100000,00000,0250,00005SQUARE FEET :CAP REL COSTS - MOVAB 95862,B100000,00000,0300,00005GROSS SALARIES :EMPLOYEE BENEFITS 95862,B100000,00000,0400,00005 ACCUM. COST :ADMINISTRATIVE & GENE 95862,B100000,00000,0500,00005SQUARE FEET :PLANT OPERATION MAIN 95862,B100000,00000,0650,00005PATIENT DAYS :LAUNDRY & LINEN SERV 95862,B100000,00000,0750,00005SQUARE FEET CLEAN :HOUSEKEEPING 95862,B100000,00000,0800,00005MEALS SERVED :DIETARY 95862,B100000,00000,0900,00005HOURS OF SERVICE :NURSING ADMINISTR 95862,B100000,00000,1000,00005COSTED REQUIS. :CENTRAL SERVICES & 95862,B100000,00000,1100,00005COSTED REQUIS. :PHARMACY 95862,B100000,00000,1250,00005TOTAL CHARGES :MEDICAL RECORDS & L 95862,B100000,00000,1330,00005ADMISSIONS S :SOCIAL SERVICE 95862,B100000,00000,1350,00005SQUARE FEET :OTHER GENERAL SERVICE 95862,B100000,00000,1400,00005ASSIGNED TIME :INTERNS & RESIDENTS 95862,S000000,00100,0200,07/07/2000 95862,S200000,00100,0100,300 LOOP 11 95862,S200000,00200,0100,WICHITA FALLS 95862,S200000,00200,0200,TX 95862,S200000,00200,0300,76305-3798 95862,S200000,00300,0100,WICHITA 95862,S200000,00400,0100,TEXHOMA CHRISTIAN CARE CENTER INC. 95862,S200000,00400,0200,455965 95862,S200000,00400,0300,09/05/1991 95862,S200000,00400,0500,P 95862,S200000,01600,0100,Y 95862,S200000,02800,0100,Y 95862,S700003,00000,0100,1 95873,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95873,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95873,A000000,00300,0000,00300EMPLOYEE BENEFITS 95873,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95873,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95873,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95873,A000000,00700,0000,00700HOUSEKEEPING 95873,A000000,00800,0000,00800DIETARY 95873,A000000,00900,0000,00900NURSING ADMINISTRATION 95873,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95873,A000000,01100,0000,01100PHARMACY 95873,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95873,A000000,01300,0000,01300SOCIAL SERVICE 95873,A000000,01351,0000,01301ACTIVITIES 95873,A000000,01600,0000,01600SKILLED NURSING FACILITY 95873,A000000,01800,0000,01800NURSING FACILITY 95873,A000000,02100,0000,02100RADIOLOGY 95873,A000000,02200,0000,02200LABORATORY 95873,A000000,02300,0000,02300INTRAVENOUS THERAPY 95873,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95873,A000000,02500,0000,02500PHYSICAL THERAPY 95873,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95873,A000000,02700,0000,02700SPEECH PATHOLOGY 95873,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95873,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95873,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95873,A000000,03051,0000,03301MEDICAL EQUIPMENT 95873,A000000,04800,0000,04800AMBULANCE 95873,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95873,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95873,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95873,A81000A,00100,0100,Y 95873,A81000B,00100,0300,HOME OFFICE CAPITAL 95873,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95873,A81000B,00300,0300,WAREHOUSE 95873,A81000C,00100,0100,A 95873,A81000C,00100,0200,PETER C. KERN 95873,A81000C,00100,0400,HEA MANAGEMENT GROUP 95873,A81000C,00100,0600,HOME OFFICE 95873,A81000C,00200,0100,A 95873,A81000C,00200,0200,PETER C. KERN 95873,A81000C,00200,0400,WAREHOUSE STORAGE 95873,A81000C,00200,0600,OLD RECORD STORAGE 95873,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95873,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95873,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95873,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95873,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95873,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95873,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95873,B100000,00000,0800,00000MEALS SERVED :DIETARY 95873,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95873,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95873,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95873,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95873,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95873,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95873,S000000,00100,0200,01/28/2000 95873,S200000,00100,0100,1325 FIRST STREET 95873,S200000,00200,0100,GRAHAM 95873,S200000,00200,0200,TX 95873,S200000,00200,0300,76046- 95873,S200000,00300,0100,YOUNG 95873,S200000,00300,0200,45 95873,S200000,00300,0300,R 95873,S200000,00400,0100,GRAHAM OAKS CARE CENTER 95873,S200000,00400,0200,455968 95873,S200000,00400,0300,11/01/1994 95873,S200000,00400,0500,P 95873,S200000,01600,0100,Y 95873,S200000,02200,0100,Y 95873,S200000,04300,0100,Y 95875,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95875,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95875,A000000,00300,0000,00300EMPLOYEE BENEFITS 95875,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95875,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95875,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95875,A000000,00700,0000,00700HOUSEKEEPING 95875,A000000,00800,0000,00800DIETARY 95875,A000000,00900,0000,00900NURSING ADMINISTRATION 95875,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95875,A000000,01100,0000,01100PHARMACY 95875,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95875,A000000,01300,0000,01300SOCIAL SERVICE 95875,A000000,01600,0000,01600SKILLED NURSING FACILITY 95875,A000000,01800,0000,01800NURSING FACILITY 95875,A000000,01900,0000,01900OTHER LONG TERM CARE 95875,A000000,02100,0000,02100RADIOLOGY 95875,A000000,02200,0000,02200LABORATORY 95875,A000000,02300,0000,02300INTRAVENOUS THERAPY 95875,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95875,A000000,02500,0000,02500PHYSICAL THERAPY 95875,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95875,A000000,02700,0000,02700SPEECH PATHOLOGY 95875,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95875,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95875,A000000,03200,0000,03200SUPPORT SURFACES 95875,A000000,05300,0000,05300INTEREST EXPENSE 95875,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95875,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95875,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 95875,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95875,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95875,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95875,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95875,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95875,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95875,B100000,00000,0800,00000MEALS SERVED :DIETARY 95875,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95875,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 95875,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 95875,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95875,S000000,00100,0200,05/02/2000 95875,S200000,00100,0100,1325 FIRST STREET 95875,S200000,00200,0100,GRAHAM 95875,S200000,00200,0200,TX 95875,S200000,00200,0300,76450-3603 95875,S200000,00300,0100,YOUNG 95875,S200000,00300,0200,45 95875,S200000,00300,0300,R 95875,S200000,00400,0100,GRAHAM OAKS CARE CENTER 95875,S200000,00400,0200,455968 95875,S200000,00400,0300,07/01/1999 95875,S200000,00400,0500,P 95875,S200000,01600,0100,Y 95880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95880,A000000,00300,0000,00300EMPLOYEE BENEFITS 95880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95880,A000000,00700,0000,00700HOUSEKEEPING 95880,A000000,00800,0000,00800DIETARY 95880,A000000,00900,0000,00900NURSING ADMINISTRATION 95880,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95880,A000000,01100,0000,01100PHARMACY 95880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95880,A000000,01300,0000,01300SOCIAL SERVICE 95880,A000000,01350,0000,01500OTHER GENERAL SERVICES 95880,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95880,A000000,01600,0000,01600SKILLED NURSING FACILITY 95880,A000000,01800,0000,01800NURSING FACILITY 95880,A000000,01810,0000,01801ICF/MR 95880,A000000,01900,0000,01900OTHER LONG TERM CARE 95880,A000000,02100,0000,02100RADIOLOGY 95880,A000000,02200,0000,02200LABORATORY 95880,A000000,02300,0000,02300INTRAVENOUS THERAPY 95880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95880,A000000,02500,0000,02500PHYSICAL THERAPY 95880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95880,A000000,02700,0000,02700SPEECH PATHOLOGY 95880,A000000,02800,0000,02800ELECTROCARDIOLOGY 95880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95880,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95880,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95880,A000000,03200,0000,03200SUPPORT SURFACES 95880,A000000,03400,0000,03400CLINIC 95880,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95880,A000000,03500,0000,03500RURAL HEALTH CLINIC 95880,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95880,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95880,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95880,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95880,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95880,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95880,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95880,A000000,04400,0000,04400DME RENTED - HHA 95880,A000000,04500,0000,04500DME SOLD - HHA 95880,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95880,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95880,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95880,A000000,04800,0000,04800AMBULANCE 95880,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95880,A000000,05000,0000,05000CORF 95880,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95880,A000000,05300,0000,05300INTEREST EXPENSE 95880,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95880,A000000,05500,0000,05500HOSPICE 95880,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95880,A000000,05901,0000,05901APARTMENTS 95880,A000000,05902,0000,05902VILLAS 95880,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95880,A000000,06100,0000,06100NONPAID WORKERS 95880,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95880,A000000,06200,0000,06200PATIENTS LAUNDRY 95880,A81000A,00100,0100,Y 95880,A81000B,00100,0300,SUPPORTIVE SERVICES 95880,A81000B,00200,0300,CAPITAL RELATED 95880,A81000B,00300,0300,CAPITAL RELATED 95880,A81000B,00400,0300,CAPITAL RELATED 95880,A81000B,00500,0300,GENERAL ADMINISTRATION 95880,A81000C,00100,0100,A 95880,A81000C,00100,0200,NATL BENEV. ASSOC. 95880,A81000C,00100,0600,HOME OFFICE 95880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95880,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 95880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95880,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95880,B100000,00000,0800,00000MEALS SERVED :DIETARY 95880,B100000,00000,0950,00000DIRECT COST :NURSING ADMINISTRATIO 95880,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95880,B100000,00000,1150,00000NO STATISTICS :PHARMACY 95880,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95880,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95880,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95880,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 95880,S000000,00100,0200,06/01/2000 95880,S200000,00100,0100,5000 FAWN MEADOW 95880,S200000,00200,0100,SAN ANTONIO 95880,S200000,00200,0200,TX 95880,S200000,00200,0300,78240- 95880,S200000,00300,0100,BEXAR 95880,S200000,00400,0100,PATRIOT HEIGHTS INC. 95880,S200000,00400,0200,455969 95880,S200000,00400,0300,01/01/1992 95880,S200000,00400,0500,P 95880,S200000,01004,0500,O 95880,S200000,01600,0100,Y 95880,S700003,00000,0100,1 95895,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95895,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95895,A000000,00300,0000,00300EMPLOYEE BENEFITS 95895,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95895,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95895,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95895,A000000,00700,0000,00700HOUSEKEEPING 95895,A000000,00800,0000,00800DIETARY 95895,A000000,00900,0000,00900NURSING ADMINISTRATION 95895,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95895,A000000,01100,0000,01100PHARMACY 95895,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95895,A000000,01300,0000,01300SOCIAL SERVICE 95895,A000000,01351,0000,01301ACTIVITIES 95895,A000000,01600,0000,01600SKILLED NURSING FACILITY 95895,A000000,01800,0000,01800NURSING FACILITY 95895,A000000,02100,0000,02100RADIOLOGY 95895,A000000,02200,0000,02200LABORATORY 95895,A000000,02300,0000,02300INTRAVENOUS THERAPY 95895,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95895,A000000,02500,0000,02500PHYSICAL THERAPY 95895,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95895,A000000,02700,0000,02700SPEECH PATHOLOGY 95895,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95895,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95895,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 95895,A000000,03051,0000,03301MEDICAL EQUIPMENT 95895,A000000,04800,0000,04800AMBULANCE 95895,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95895,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95895,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95895,A81000A,00100,0100,Y 95895,A81000B,00100,0300,HOME OFFICE CAPITAL 95895,A81000B,00200,0300,HOME OFFICE NONCAPITAL 95895,A81000B,00300,0300,WAREHOUSE 95895,A81000C,00100,0100,A 95895,A81000C,00100,0200,PETER C. KERN 95895,A81000C,00100,0400,HEA MANAGEMENT GROUP 95895,A81000C,00100,0600,HOME OFFICE 95895,A81000C,00200,0100,A 95895,A81000C,00200,0200,PETER C. KERN 95895,A81000C,00200,0400,WAREHOUSE STORAGE 95895,A81000C,00200,0600,OLD RECORD STORAGE 95895,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95895,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95895,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95895,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95895,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95895,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95895,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95895,B100000,00000,0800,00000MEALS SERVED :DIETARY 95895,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 95895,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 95895,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95895,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95895,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95895,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 95895,S000000,00100,0200,01/20/2000 95895,S200000,00100,0100,1701 WEST WACO DRIVE 95895,S200000,00100,0300,PO BOX 3491 95895,S200000,00200,0100,WACO 95895,S200000,00200,0200,TX 95895,S200000,00200,0300,76707-3578 95895,S200000,00300,0100,MCCLENNAN 95895,S200000,00300,0200,8800 95895,S200000,00300,0300,U 95895,S200000,00400,0100,OAKBROOK NURSING AND REHAB CENTER 95895,S200000,00400,0200,455979 95895,S200000,00400,0300,03/13/1991 95895,S200000,00400,0500,P 95895,S200000,01600,0100,Y 95895,S200000,02200,0100,Y 95895,S200000,04300,0100,Y 95907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95907,A000000,00300,0000,00300EMPLOYEE BENEFITS 95907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95907,A000000,00700,0000,00700HOUSEKEEPING 95907,A000000,00800,0000,00800DIETARY 95907,A000000,00900,0000,00900NURSING ADMINISTRATION 95907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95907,A000000,01100,0000,01100PHARMACY 95907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95907,A000000,01300,0000,01300SOCIAL SERVICE 95907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95907,A000000,01600,0000,01600SKILLED NURSING FACILITY 95907,A000000,01810,0000,01810ICF/MR 95907,A000000,02100,0000,02100RADIOLOGY 95907,A000000,02200,0000,02200LABORATORY 95907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95907,A000000,02500,0000,02500PHYSICAL THERAPY 95907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95907,A000000,02700,0000,02700SPEECH PATHOLOGY 95907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95907,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95907,A000000,03550,0000,03550FQHC 95907,A000000,05000,0000,05000CORF 95907,A000000,05010,0000,05010CMHC 95907,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 95907,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 95907,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 95907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95907,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 95907,A81000A,00100,0100,Y 95907,A81000B,00100,0300,REMOVE BLDG RENT 95907,A81000B,00200,0300,ADD BLDG COSTS 95907,A81000B,00300,0300,ADD EQUIP COSTS 95907,A81000B,00400,0300,ADD ADMIN COSTS 95907,A81000B,00500,0300,REMOVE MGT FEES 95907,A81000B,00600,0300,HOME OFF DIRECT COST 95907,A81000B,00700,0300,HOME OFF POOLED COST 95907,A81000B,00800,0300,CONTRACT PT COSTS 95907,A81000B,00900,0300,CONTRACT OT COSTS 95907,A81000B,01000,0300,CONTRACT ST COSTS 95907,A81000C,00100,0100,B 95907,A81000C,00100,0200,MS HEALTH GROUP 95907,A81000C,00100,0400,MS OPERATING #4 95907,A81000C,00100,0600,RP FACILITY OPE 95907,A81000C,00200,0100,B 95907,A81000C,00200,0200,MS HEALTH GROUP 95907,A81000C,00200,0400,MS REALTY GROUP 95907,A81000C,00200,0600,RP LND/BLG/EQ L 95907,A81000C,00300,0100,B 95907,A81000C,00300,0200,MS MGMT GROUP 95907,A81000C,00300,0400,MS OPERATING #4 95907,A81000C,00300,0600,RP FACILITY OPE 95907,A81000C,00400,0100,B 95907,A81000C,00400,0200,MS MGMT GROUP 95907,A81000C,00400,0400,MS REALTY GROUP 95907,A81000C,00400,0600,RP LND/BLG/EQ L 95907,A81000C,00500,0100,B 95907,A81000C,00500,0200,MS MGMT GROUP 95907,A81000C,00500,0400,MS HEALTH GROUP 95907,A81000C,00500,0600,CORP MGMT CO 95907,A81000C,00600,0100,A 95907,A81000C,00600,0200,JOHN WILCOX 95907,A81000C,00600,0400,MS HEALTH GROUP 95907,A81000C,00600,0600,CORP MGMT CO 95907,A81000C,00700,0100,A 95907,A81000C,00700,0200,JOHN WILCOX 95907,A81000C,00700,0400,MS MGMT GROUP 95907,A81000C,00700,0600,RP HOME OFFICE 95907,A81000C,00800,0100,A 95907,A81000C,00800,0200,JOHN WILCOX 95907,A81000C,00800,0400,ORTHO-TEK INC 95907,A81000C,00800,0600,DME & SUPPLY CO 95907,A81000C,00900,0100,A 95907,A81000C,00900,0200,JOHN WILCOX 95907,A81000C,00900,0400,PROF OP SERVICE 95907,A81000C,00900,0600,CONTRACT THERAP 95907,A81000C,01000,0100,A 95907,A81000C,01000,0200,JOHN WILCOX 95907,A81000C,01000,0400,PROS HOME HEALT 95907,A81000C,01000,0600,HOME HEALTH AGE 95907,A81000C,01001,0100,A 95907,A81000C,01001,0200,LINDA WILCOX 95907,A81000C,01001,0400,MS HEALTH GROUP 95907,A81000C,01001,0600,CORP MGMT CO 95907,A81000C,01002,0100,A 95907,A81000C,01002,0200,LINDA WILCOX 95907,A81000C,01002,0400,MS MGMT GROUP 95907,A81000C,01002,0600,RP HOME OFFICE 95907,A81000C,01003,0100,A 95907,A81000C,01003,0200,LINDA WILCOX 95907,A81000C,01003,0400,ORTHO-TEK INC 95907,A81000C,01003,0600,DME & SUPPLY CO 95907,A81000C,01004,0100,A 95907,A81000C,01004,0200,LINDA WILCOX 95907,A81000C,01004,0400,PROF OP SERVICE 95907,A81000C,01004,0600,CONTRACT THERAP 95907,A81000C,01005,0100,A 95907,A81000C,01005,0200,LINDA WILCOX 95907,A81000C,01005,0400,PROS HOME HEALT 95907,A81000C,01005,0600,HOME HEALTH AGE 95907,A81000C,01006,0100,A 95907,A81000C,01006,0200,BARRY REYNOLDS 95907,A81000C,01006,0400,MS HEALTH GROUP 95907,A81000C,01006,0600,CORP MGMT CO 95907,A81000C,01007,0100,A 95907,A81000C,01007,0200,BARRY REYNOLDS 95907,A81000C,01007,0400,MS MGMT GROUP 95907,A81000C,01007,0600,RP HOME OFFICE 95907,A81000C,01008,0100,A 95907,A81000C,01008,0200,BARRY REYNOLDS 95907,A81000C,01008,0400,ORTHO-TEK INC 95907,A81000C,01008,0600,DME & SUPPLY CO 95907,A81000C,01009,0100,A 95907,A81000C,01009,0200,BARRY REYNOLDS 95907,A81000C,01009,0400,PROF OP SERVICE 95907,A81000C,01009,0600,CONTRACT THERAP 95907,A81000C,01010,0100,A 95907,A81000C,01010,0200,BARRY REYNOLDS 95907,A81000C,01010,0400,PROS HOME HEALT 95907,A81000C,01010,0600,HOME HEALTH AGE 95907,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95907,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95907,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95907,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95907,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95907,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 95907,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95907,B100000,00000,0850,00000PATIENT DAYS :DIETARY 95907,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95907,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 95907,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 95907,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 95907,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95907,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 95907,S000000,00100,0200,06/23/2000 95907,S200000,00100,0100,117 TWIN CIRCLE ADDITION 95907,S200000,00200,0100,WORTHAM 95907,S200000,00200,0200,TX 95907,S200000,00200,0300,76673- 95907,S200000,00300,0100,FREESTONE 95907,S200000,00400,0100,WORTHAM REHABILITATION CTR 95907,S200000,00400,0200,455988 95907,S200000,00400,0300,07/01/1999 95907,S200000,00400,0500,P 95907,S200000,01600,0100,Y 95907,S700003,00000,0200,2 95918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95918,A000000,00300,0000,00300EMPLOYEE BENEFITS 95918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95918,A000000,00700,0000,00700HOUSEKEEPING 95918,A000000,00800,0000,00800DIETARY 95918,A000000,00900,0000,00900NURSING ADMINISTRATION 95918,A000000,01100,0000,01100PHARMACY 95918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95918,A000000,01300,0000,01300SOCIAL SERVICE 95918,A000000,01350,0000,01500PATIENT ACTIVITIES 95918,A000000,01600,0000,01600SKILLED NURSING FACILITY 95918,A000000,01800,0000,01800NURSING FACILITY 95918,A000000,01900,0000,01900OTHER LONG TERM CARE 95918,A000000,02100,0000,02100RADIOLOGY 95918,A000000,02200,0000,02200LABORATORY 95918,A000000,02300,0000,02300INTRAVENOUS THERAPY 95918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95918,A000000,02500,0000,02500PHYSICAL THERAPY 95918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95918,A000000,02700,0000,02700SPEECH PATHOLOGY 95918,A000000,02800,0000,02800ELECTROCARDIOLOGY 95918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95918,A000000,03001,0000,03001AIR FLUIDIZED BED 95918,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95918,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95918,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95918,A81000A,00100,0100,Y 95918,A81000B,00100,0300,HOME OFFICE COSTS 95918,A81000C,00100,0100,F 95918,A81000C,00100,0400,CAMELOT HEALTHCARE 95918,A81000C,00100,0600,MANAGEMENT COMPANY 95918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95918,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 95918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95918,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 95918,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 95918,B100000,00000,0800,00000MEALS SERVED :DIETARY 95918,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 95918,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 95918,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95918,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 95918,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 95918,S000000,00100,0200,07/06/2000 95918,S200000,00100,0100,225 SOWER ROAD 95918,S200000,00200,0100,PLANO 95918,S200000,00200,0200,TX 95918,S200000,00200,0300,75094- 95918,S200000,00300,0100,COLLIN 95918,S200000,00400,0100,PIONEER CARE CENTER 95918,S200000,00400,0200,455991 95918,S200000,00400,0300,02/01/1994 95918,S200000,00400,0500,P 95918,S200000,01600,0100,Y 95932,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95932,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95932,A000000,00300,0000,00300EMPLOYEE BENEFITS 95932,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95932,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95932,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95932,A000000,00700,0000,00700HOUSEKEEPING 95932,A000000,00800,0000,00800DIETARY 95932,A000000,00900,0000,00900NURSING ADMINISTRATION 95932,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95932,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95932,A000000,01300,0000,01300SOCIAL SERVICE 95932,A000000,01301,0000,01301ACTIVITES 95932,A000000,01350,0000,01500REHABILITATION 95932,A000000,01600,0000,01600SKILLED NURSING FACILITY 95932,A000000,01800,0000,01800NURSING FACILITY 95932,A000000,01900,0000,01900OTHER LONG TERM CARE 95932,A000000,02100,0000,02100RADIOLOGY 95932,A000000,02200,0000,02200LABORATORY 95932,A000000,02300,0000,02300INTRAVENOUS THERAPY 95932,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95932,A000000,02500,0000,02500PHYSICAL THERAPY 95932,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95932,A000000,02700,0000,02700SPEECH PATHOLOGY 95932,A000000,02800,0000,02800ELECTROCARDIOLOGY 95932,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95932,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95932,A000000,03050,0000,03300EQUIPMENT RENTAL 95932,A000000,03051,0000,03301PEN THERAPY 95932,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95932,A000000,03200,0000,03200SUPPORT SURFACES 95932,A000000,04800,0000,04800AMBULANCE 95932,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95932,A000000,05300,0000,05300INTEREST EXPENSE 95932,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95932,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95932,A000000,06150,0000,06300VENDING 95932,A000000,06151,0000,06301STAND-BY 95932,A000000,06200,0000,06200PATIENTS LAUNDRY 95932,A81000A,00100,0100,Y 95932,A81000B,00100,0300,HOME OFFICE COST 95932,A81000B,00200,0300,DIETARY SUPPLEMENTS 95932,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 95932,A81000B,00400,0300,PRESCRIPTION DRUGS 95932,A81000B,00500,0300,MEDICAL SUPPLIES 95932,A81000B,00600,0300,ADMIN COSTS 95932,A81000B,00700,0300,HOME OFFICE INTEREST 95932,A81000B,00800,0300,EQUIPMENT RENTAL 95932,A81000B,00900,0300,IV THERAPY 95932,A81000B,01000,0300,THERAPY CONSULTING 95932,A81000B,01100,0300,PHYSICAL THERAPY 95932,A81000B,01200,0300,OCCUPATIONAL THERAPY 95932,A81000C,00100,0100,B 95932,A81000C,00100,0200,COASTAL 95932,A81000C,00100,0400,MARINER PAN 95932,A81000C,00100,0600,NURSING HOMES 95932,A81000C,00200,0100,G 95932,A81000C,00200,0200,MARINER PAN 95932,A81000C,00200,0400,AMER PHARM SVCS 95932,A81000C,00200,0600,PHARMACEUTICALS 95932,A81000C,00300,0100,G 95932,A81000C,00300,0200,MARINER PAN 95932,A81000C,00300,0400,PRISM-ATS-ARS-T 95932,A81000C,00300,0600,THERAPIES 95932,A81000C,03100,0000,MARINER PAN 95932,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 95932,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 95932,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 95932,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 95932,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 95932,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 95932,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 95932,B100000,00000,0800,00001MEALS SERVED :DIETARY 95932,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 95932,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 95932,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 95932,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 95932,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 95932,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 95932,E10A180,00301,0100,10/13/1999 95932,E10A180,00350,0100,06/09/1999 95932,E10A180,00351,0100,01/05/2000 95932,S000000,00100,0200,08/31/2000 95932,S200000,00100,0100,524 VILLAGE ROAD 95932,S200000,00200,0100,PORT LAVACA 95932,S200000,00200,0200,TX 95932,S200000,00200,0300,77979- 95932,S200000,00300,0100,CALHOUN 95932,S200000,00400,0100,COASTAL HEALTHCARE CENTER 95932,S200000,00400,0200,455999 95932,S200000,00400,0300,02/25/1992 95932,S200000,00400,0500,P 95932,S200000,01600,0100,Y 95932,S200000,02200,0100,Y 95932,S200000,04300,0100,Y 95966,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95966,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95966,A000000,00300,0000,00300EMPLOYEE BENEFITS 95966,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95966,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95966,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95966,A000000,00700,0000,00700HOUSEKEEPING 95966,A000000,00800,0000,00800DIETARY 95966,A000000,00900,0000,00900NURSING ADMINISTRATION 95966,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95966,A000000,01100,0000,01100PHARMACY 95966,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95966,A000000,01300,0000,01300SOCIAL SERVICE 95966,A000000,01350,0000,01500OTHER GENERAL SERVICES 95966,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 95966,A000000,01600,0000,01600SKILLED NURSING FACILITY 95966,A000000,01800,0000,01800NURSING FACILITY 95966,A000000,01900,0000,01900OTHER LONG TERM CARE 95966,A000000,02100,0000,02100RADIOLOGY 95966,A000000,02200,0000,02200LABORATORY 95966,A000000,02300,0000,02300INTRAVENOUS THERAPY 95966,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95966,A000000,02500,0000,02500PHYSICAL THERAPY 95966,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95966,A000000,02700,0000,02700SPEECH PATHOLOGY 95966,A000000,02800,0000,02800ELECTROCARDIOLOGY 95966,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95966,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95966,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95966,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 95966,A000000,03200,0000,03200SUPPORT SURFACES 95966,A000000,03400,0000,03400CLINIC 95966,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95966,A000000,03500,0000,03500RURAL HEALTH CLINIC 95966,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 95966,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 95966,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 95966,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 95966,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 95966,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 95966,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 95966,A000000,04400,0000,04400DME RENTED - HHA 95966,A000000,04500,0000,04500DME SOLD - HHA 95966,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 95966,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 95966,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95966,A000000,04800,0000,04800AMBULANCE 95966,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 95966,A000000,05000,0000,05000CORF 95966,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 95966,A000000,05300,0000,05300INTEREST EXPENSE 95966,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 95966,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95966,A000000,05500,0000,05500HOSPICE 95966,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95966,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95966,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 95966,A000000,06100,0000,06100NONPAID WORKERS 95966,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95966,A000000,06200,0000,06200PATIENTS LAUNDRY 95966,A81000A,00100,0100,Y 95966,A81000B,00100,0300,MANAGEMENT FEES 95966,A81000C,00100,0100,F 95966,A81000C,00100,0200,NORTH AMERICAN HEALTH CAR 95966,A81000C,00100,0600,MANAGEMENT 95966,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 95966,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 95966,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 95966,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 95966,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 95966,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 95966,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 95966,B100000,00000,0800,00000MEALS SERVED :DIETARY 95966,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 95966,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 95966,B100000,00000,1150,00000NO STATISTICS :PHARMACY 95966,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 95966,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 95966,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 95966,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 95966,E10A180,00301,0100,07/01/1998 95966,S000000,00100,0200,05/05/2000 95966,S200000,00100,0100,740 NORTH 300 EAST 95966,S200000,00200,0100,OREM 95966,S200000,00200,0200,UT 95966,S200000,00200,0300,84057- 95966,S200000,00300,0100,UTAH 95966,S200000,00400,0100,ORCHARD PARK CARE CENTER 95966,S200000,00400,0200,465090 95966,S200000,00400,0300,03/01/1989 95966,S200000,00400,0500,P 95966,S200000,00600,0200,465090 95966,S200000,00600,0300,03/01/1989 95966,S200000,00600,0600,P 95966,S200000,01600,0100,Y 95966,S700003,00000,0100,1 95987,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 95987,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 95987,A000000,00300,0000,00300EMPLOYEE BENEFITS 95987,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 95987,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 95987,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 95987,A000000,00700,0000,00700HOUSEKEEPING 95987,A000000,00800,0000,00800DIETARY 95987,A000000,00900,0000,00900NURSING ADMINISTRATION 95987,A000000,00901,0000,00901OTHER NURSING 95987,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 95987,A000000,01100,0000,01100PHARMACY 95987,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 95987,A000000,01300,0000,01300SOCIAL SERVICE 95987,A000000,01600,0000,01600SKILLED NURSING FACILITY 95987,A000000,01800,0000,01800NURSING FACILITY 95987,A000000,02100,0000,02100RADIOLOGY 95987,A000000,02200,0000,02200LABORATORY 95987,A000000,02300,0000,02300INTRAVENOUS THERAPY 95987,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 95987,A000000,02500,0000,02500PHYSICAL THERAPY 95987,A000000,02600,0000,02600OCCUPATIONAL THERAPY 95987,A000000,02700,0000,02700SPEECH PATHOLOGY 95987,A000000,02800,0000,02800ELECTROCARDIOLOGY 95987,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 95987,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 95987,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 95987,A000000,03051,0000,03301NUTRITIONAL THERAPY 95987,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 95987,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 95987,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 95987,A000000,04750,0000,05100OTHER REIMBURSABLE COST 95987,A000000,04800,0000,04800AMBULANCE 95987,A000000,05300,0000,05300INTEREST EXPENSE 95987,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 95987,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 95987,A000000,05900,0000,05900BARBER & BEAUTY SHOP 95987,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 95987,A000000,06151,0000,06301OUTSIDE REHAB SERVICES 95987,A000000,06152,0000,06302GUEST MEALS/M.O.W. 95987,A000000,06153,0000,06303DISTRICT OFFICE SPACE 95987,A000000,06200,0000,06200PATIENTS LAUNDRY 95987,A81000A,00100,0100,Y 95987,A81000B,00100,0300,HOME OFFICE COSTS 95987,A81000B,00200,0300,LIABILITY INSURANCE 95987,A81000B,01000,0300,SKILLED NURSING FACILITY 95987,A81000B,01100,0300,NURSING FACILITY 95987,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 95987,A81000B,01300,0300,VC PHARMACY - PHYS THER 95987,A81000B,01400,0300,VC PHARMACY - OCCP THER 95987,A81000B,01500,0300,VC PHARMACY - SPEECH THER 95987,A81000C,00100,0100,B 95987,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 95987,A81000C,00100,0400,CORNERSTONE INSURANCE CO 95987,A81000C,00100,0600,LIABILITY INSURANCE 95987,A81000C,00200,0100,B 95987,A81000C,00200,0200,FLETCHER ALLEN SKILD NURS 95987,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 95987,A81000C,00300,0600,RESPIRATORY THERAPY 95987,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 95987,A81000C,00500,0400,HEALTHCARE RESPIRATORY 95987,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 95987,A81000C,00700,0400,VENCARE ANCILLARY 95987,A81000C,00700,0600,THERAPY SERVICES 95987,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 95987,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 95987,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 95987,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 95987,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 95987,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 95987,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 95987,B100000,00000,0850,00003PATIENT DAYS :DIETARY 95987,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 95987,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 95987,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 95987,B100000,00000,1150,00003PATIENT DAYS :PHARMACY 95987,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 95987,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 95987,E10A180,00350,0100,04/04/2000 95987,S000000,00100,0200,06/01/2000 95987,S200000,00100,0100,98 STARR FARM ROAD 95987,S200000,00200,0100,BURLINGTON 95987,S200000,00200,0200,VT 95987,S200000,00200,0300,05401- 95987,S200000,00300,0100,CHITTENDEN 95987,S200000,00400,0100,STARR FARM NURSING CENTER 95987,S200000,00400,0200,475030 95987,S200000,00400,0300,06/17/1987 95987,S200000,00400,0500,P 95987,S200000,01600,0100,Y 95987,S200000,02200,0100,Y 95987,S700003,00000,0100,1 96008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96008,A000000,00300,0000,00300EMPLOYEE BENEFITS 96008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96008,A000000,00700,0000,00700HOUSEKEEPING 96008,A000000,00800,0000,00800DIETARY 96008,A000000,00900,0000,00900NURSING ADMINISTRATION 96008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96008,A000000,01100,0000,01100PHARMACY 96008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96008,A000000,01300,0000,01300SOCIAL SERVICE 96008,A000000,01600,0000,01600SKILLED NURSING FACILITY 96008,A000000,01800,0000,01800NURSING FACILITY 96008,A000000,01900,0000,01900OTHER LONG TERM CARE 96008,A000000,02100,0000,02100RADIOLOGY 96008,A000000,02200,0000,02200LABORATORY 96008,A000000,02300,0000,02300INTRAVENOUS THERAPY 96008,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96008,A000000,02500,0000,02500PHYSICAL THERAPY 96008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96008,A000000,02700,0000,02700SPEECH PATHOLOGY 96008,A000000,02800,0000,02800ELECTROCARDIOLOGY 96008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96008,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96008,A000000,03051,0000,03301NUTRITIONAL THERAPY 96008,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96008,A000000,03053,0000,03303PHYSICIAN SERVICES 96008,A000000,03054,0000,03304MEDICAL SERVICES 96008,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96008,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96008,A000000,03200,0000,03200SUPPORT SURFACES 96008,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96008,A000000,04800,0000,04800AMBULANCE 96008,A000000,05300,0000,05300INTEREST EXPENSE 96008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96008,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96008,A000000,06100,0000,06100NONPAID WORKERS 96008,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96008,A000000,06200,0000,06200PATIENTS LAUNDRY 96008,A81000A,00100,0100,Y 96008,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96008,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96008,A81000B,00300,0300,RELATED PARTY DEPRECIATION 96008,A81000B,00400,0300,HOME OFFICE 96008,A81000B,00500,0300,REGIONAL ALLOCATION REL. PARTY 96008,A81000B,00600,0300,PLEASE SEE ATTACHED 96008,A81000C,00100,0100,B 96008,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 96008,A81000C,00200,0200,A-8-1. 96008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96008,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96008,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96008,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96008,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96008,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96008,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96008,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 96008,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96008,S000000,00100,0200,05/30/2000 96008,S200000,00100,0100,340 LYNN SHORES DRIVE 96008,S200000,00200,0100,VIRGINIA BEACH 96008,S200000,00200,0200,VA 96008,S200000,00200,0300,23452- 96008,S200000,00300,0100,PRINCESS ANNE 96008,S200000,00400,0100,SB CARE & REHAB FOR VIRGINIA BEACH 96008,S200000,00400,0200,495150 96008,S200000,00400,0300,04/01/1997 96008,S200000,00400,0500,P 96008,S200000,01600,0100,Y 96008,S200000,02200,0100,Y 96008,S700003,00000,0200,2 96015,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96015,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96015,A000000,00300,0000,00300EMPLOYEE BENEFITS 96015,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96015,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96015,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96015,A000000,00700,0000,00700HOUSEKEEPING 96015,A000000,00800,0000,00800DIETARY 96015,A000000,00900,0000,00900NURSING ADMINISTRATION 96015,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96015,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96015,A000000,01300,0000,01300SOCIAL SERVICE 96015,A000000,01350,0000,01500OTHER GENERAL SERVICES 96015,A000000,01351,0000,01501CENTRAL ADMISSIONS 96015,A000000,01600,0000,01600SKILLED NURSING FACILITY 96015,A000000,01800,0000,01800NURSING FACILITY 96015,A000000,02100,0000,02100RADIOLOGY 96015,A000000,02200,0000,02200LABORATORY 96015,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96015,A000000,02500,0000,02500PHYSICAL THERAPY 96015,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96015,A000000,02700,0000,02700SPEECH PATHOLOGY 96015,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96015,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96015,A000000,03050,0000,03300CLINITRON THERAPY 96015,A000000,03051,0000,03301ENTERAL THERAPY 96015,A000000,03052,0000,03302OTHER ANCILLARY (AMBULANCE) 96015,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96015,A000000,05300,0000,05300INTEREST EXPENSE 96015,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96015,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96015,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96015,A000000,06150,0000,06300OTHER NONREIMBURSABLE 96015,A000000,06200,0000,06200PATIENTS LAUNDRY 96015,A81000A,00100,0100,Y 96015,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 96015,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 96015,A81000C,00100,0100,B 96015,A81000C,00100,0400,SENTARA HLTH CA 96015,A81000C,00100,0600,HEALTH CARE 96015,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96015,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96015,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 96015,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96015,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96015,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 96015,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96015,B100000,00000,0800,00000MEALS SERVED :DIETARY 96015,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 96015,B100000,00000,1000,00000COST REQUISITIO :CENTRAL SERVICES 96015,B100000,00000,1200,00000TIME SPENT -REC :MEDICAL RECORDS & 96015,B100000,00000,1300,00000TIME SPENT -SOC :SOCIAL SERVICE 96015,B100000,00000,1350,00000TIME SPENT -OTH :OTHER GENERAL SERV 96015,B100000,00000,1351,00000PAT DAYS :CENTRAL ADMISSIONS 96015,S000000,00100,0200,05/30/2000 96015,S200000,00100,0100,249 SOUTH NEWTOWN ROAD 96015,S200000,00200,0100,NORFOLK 96015,S200000,00200,0200,VA 96015,S200000,00200,0300,23502- 96015,S200000,00300,0100,CITY OF NORFOLK 96015,S200000,00300,0200,5720 96015,S200000,00300,0300,U 96015,S200000,00400,0100,SENTARA NURSING CENTER-NORFOLK 96015,S200000,00400,0200,495173 96015,S200000,00400,0300,12/15/1987 96015,S200000,00400,0500,P 96015,S200000,01600,0100,Y 96015,S200000,04700,0100,Y 96015,S200000,04700,0200,Y 96023,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96023,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96023,A000000,00300,0000,00300EMPLOYEE BENEFITS 96023,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96023,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96023,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96023,A000000,00700,0000,00700HOUSEKEEPING 96023,A000000,00800,0000,00800DIETARY 96023,A000000,00900,0000,00900NURSING ADMINISTRATION 96023,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96023,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96023,A000000,01300,0000,01300SOCIAL SERVICE 96023,A000000,01350,0000,01500ACTIVITIES 96023,A000000,01600,0000,01600SKILLED NURSING FACILITY 96023,A000000,01800,0000,01800NURSING FACILITY 96023,A000000,01900,0000,01900OTHER LONG TERM CARE 96023,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96023,A000000,02500,0000,02500PHYSICAL THERAPY 96023,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96023,A000000,02700,0000,02700SPEECH PATHOLOGY 96023,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96023,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96023,A000000,05300,0000,05300INTEREST EXPENSE 96023,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96023,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96023,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96023,A000000,06150,0000,06300DAY TREATMENT AREA 96023,A000000,06151,0000,06301ACCESS 96023,A000000,06152,0000,06302OTHER NONREIMBURSABLE COST 96023,A81000A,00100,0100,Y 96023,A81000B,00100,0300,A&G 96023,A81000B,00200,0300,CAPITAL 96023,A81000C,00100,0100,B 96023,A81000C,00100,0400,INOVA 96023,A81000C,00100,0600,HOME OFFICE 96023,A81000C,00200,0100,B 96023,A81000C,00200,0400,INOVA 96023,A81000C,00200,0600,HOME OFFICE 96023,A81000C,00300,0100,B 96023,A81000C,00400,0100,B 96023,A81000C,00500,0100,B 96023,A81000C,00600,0100,B 96023,A81000C,00700,0100,B 96023,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 96023,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 96023,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 96023,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 96023,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 96023,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 96023,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 96023,B100000,00000,0800,00002MEALS SERVED :DIETARY 96023,B100000,00000,0950,00002SALARIES :NURSING ADMINISTRATION 96023,B100000,00000,1050,00002PATIENT DAYS :CENTRAL SERVICES & S 96023,B100000,00000,1250,00002REVENUE :MEDICAL RECORDS & LIBRAR 96023,B100000,00000,1330,00002PATIENT DAYS :SOCIAL SERVICE 96023,B100000,00000,1350,00002NO STATISTICS :ACTIVITIES 96023,S000000,00100,0200,06/01/2000 96023,S200000,00100,0100,4315 CHAIN BRIDGE ROAD 96023,S200000,00200,0100,FAIRFAX 96023,S200000,00200,0200,VA 96023,S200000,00200,0300,22030- 96023,S200000,00300,0100,FAIRFAX 96023,S200000,00400,0100,COMMONWEALTH CARE CENTER 96023,S200000,00400,0200,495174 96023,S200000,00400,0300,12/01/1987 96023,S200000,00400,0500,P 96023,S200000,00600,0200,495174 96023,S200000,00600,0300,12/01/1987 96023,S200000,00600,0600,P 96023,S200000,01500,0100,Y 96031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96031,A000000,00300,0000,00300EMPLOYEE BENEFITS 96031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96031,A000000,00700,0000,00700HOUSEKEEPING 96031,A000000,00800,0000,00800DIETARY 96031,A000000,00900,0000,00900NURSING ADMINISTRATION 96031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96031,A000000,01300,0000,01300SOCIAL SERVICE 96031,A000000,01600,0000,01600SKILLED NURSING FACILITY 96031,A000000,01800,0000,01800NURSING FACILITY 96031,A000000,01900,0000,01900OTHER LONG TERM CARE 96031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96031,A000000,02500,0000,02500PHYSICAL THERAPY 96031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96031,A000000,02700,0000,02700SPEECH PATHOLOGY 96031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96031,A000000,04800,0000,04800AMBULANCE 96031,A000000,05300,0000,05300INTEREST EXPENSE 96031,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96031,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96031,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96031,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96031,A81000A,00100,0100,Y 96031,A81000B,00100,0300,HOME OFFICE 96031,A81000B,00200,0300,HOME OFFICE CAPT 96031,A81000C,00100,0100,A 96031,A81000C,00100,0400,INOVA 96031,A81000C,00100,0600,HOME OFFICE 96031,A81000C,00200,0100,A 96031,A81000C,00200,0400,INOVA 96031,A81000C,00200,0600,HOME OFFICE 96031,A81000C,00300,0100,A 96031,A81000C,00400,0100,A 96031,A81000C,00500,0100,A 96031,A81000C,00600,0100,A 96031,A81000C,00700,0100,A 96031,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96031,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96031,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96031,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96031,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96031,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96031,B100000,00000,0800,00000MEALS SERVED :DIETARY 96031,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 96031,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96031,B100000,00000,1250,00000REVENUE :MEDICAL RECORDS & LIBRAR 96031,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96031,S000000,00100,0200,06/01/2000 96031,S200000,00100,0100,4315 CHAIN BRIDGE ROAD 96031,S200000,00200,0100,ROANOKE 96031,S200000,00200,0200,VA 96031,S200000,00200,0300,24018- 96031,S200000,00300,0100,FAIRFAX 96031,S200000,00400,0100,CAMERON GLEN CARE CENTER 96031,S200000,00400,0200,495179 96031,S200000,00400,0300,03/01/1988 96031,S200000,00400,0500,P 96031,S200000,00600,0200,495179 96031,S200000,00600,0300,03/01/1988 96031,S200000,00600,0600,P 96031,S200000,01500,0100,Y 96041,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96041,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96041,A000000,00300,0000,00300EMPLOYEE BENEFITS 96041,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96041,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96041,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96041,A000000,00700,0000,00700HOUSEKEEPING 96041,A000000,00800,0000,00800DIETARY 96041,A000000,00900,0000,00900NURSING ADMINISTRATION 96041,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96041,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96041,A000000,01300,0000,01300SOCIAL SERVICE 96041,A000000,01350,0000,01500OTHER GENERAL SERVICES 96041,A000000,01351,0000,01501CENTRAL ADMISSIONS 96041,A000000,01600,0000,01600SKILLED NURSING FACILITY 96041,A000000,01800,0000,01800NURSING FACILITY 96041,A000000,02100,0000,02100RADIOLOGY 96041,A000000,02200,0000,02200LABORATORY 96041,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96041,A000000,02500,0000,02500PHYSICAL THERAPY 96041,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96041,A000000,02700,0000,02700SPEECH PATHOLOGY 96041,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96041,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96041,A000000,03050,0000,03300CLINITRON THERAPY 96041,A000000,03051,0000,03301ENTERAL THERAPY 96041,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96041,A000000,05300,0000,05300INTEREST EXPENSE 96041,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96041,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96041,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96041,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 96041,A81000A,00100,0100,Y 96041,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 96041,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 96041,A81000C,00100,0100,B 96041,A81000C,00100,0400,SENTARA HLTH CA 96041,A81000C,00100,0600,HEALTH CARE 96041,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96041,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96041,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 96041,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96041,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96041,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 96041,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96041,B100000,00000,0800,00000MEALS SERVED :DIETARY 96041,B100000,00000,0900,00000DIRECT NRSG HOURS :NURSING ADMINIST 96041,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96041,B100000,00000,1200,00000TIME SPENT -REC :MEDICAL RECORDS & 96041,B100000,00000,1300,00000TIME SPENT -SOC :SOCIAL SERVICE 96041,B100000,00000,1350,00000PAT DAYS :OTHER GENERAL SERVICES 96041,S000000,00100,0200,05/30/2000 96041,S200000,00100,0100,4201 GREENWOOD DRIVE 96041,S200000,00200,0100,PORTSMOUTH 96041,S200000,00200,0200,VA 96041,S200000,00200,0300,23701- 96041,S200000,00300,0100,CITY OF PORTSMOUTH 96041,S200000,00300,0200,0049 96041,S200000,00300,0300,U 96041,S200000,00400,0100,SNC-PORTSMOUTH 96041,S200000,00400,0200,495201 96041,S200000,00400,0300,05/01/1989 96041,S200000,00400,0500,P 96041,S200000,01600,0100,Y 96049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96049,A000000,00300,0000,00300EMPLOYEE BENEFITS 96049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96049,A000000,00700,0000,00700HOUSEKEEPING 96049,A000000,00800,0000,00800DIETARY 96049,A000000,00900,0000,00900NURSING ADMINISTRATION 96049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96049,A000000,01300,0000,01300SOCIAL SERVICE 96049,A000000,01350,0000,01500OTHER GENERAL SERVICES 96049,A000000,01351,0000,01501CENTRAL ADMISSIONS 96049,A000000,01600,0000,01600SKILLED NURSING FACILITY 96049,A000000,01800,0000,01800NURSING FACILITY 96049,A000000,02100,0000,02100RADIOLOGY 96049,A000000,02200,0000,02200LABORATORY 96049,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96049,A000000,02500,0000,02500PHYSICAL THERAPY 96049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96049,A000000,02700,0000,02700SPEECH PATHOLOGY 96049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96049,A000000,03050,0000,03300CLINITRON THERAPY 96049,A000000,03051,0000,03301ENTERAL THERAPY 96049,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96049,A000000,05300,0000,05300INTEREST EXPENSE 96049,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96049,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96049,A000000,06150,0000,06300OTHER NONREIMBURSABLE COSTS 96049,A81000A,00100,0100,Y 96049,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 96049,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 96049,A81000C,00100,0100,B 96049,A81000C,00100,0400,SENTARA HLTH CA 96049,A81000C,00100,0600,HEALTH CARE 96049,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96049,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96049,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 96049,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96049,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96049,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 96049,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96049,B100000,00000,0800,00000MEALS SERVED :DIETARY 96049,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 96049,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96049,B100000,00000,1200,00000TIME SPENT- REC :MEDICAL RECORDS & 96049,B100000,00000,1300,00000TIME SPENT -SOC :SOCIAL SERVICE 96049,B100000,00000,1350,00000PAT DAYS :OTHER GENERAL SERVICES 96049,S000000,00100,0200,05/30/2000 96049,S200000,00100,0100,776 OAK GROVE ROAD 96049,S200000,00200,0100,CHESAPEAKE 96049,S200000,00200,0200,VA 96049,S200000,00200,0300,23320- 96049,S200000,00300,0100,CITY OF CHESAPEAKE 96049,S200000,00300,0200,0049 96049,S200000,00300,0300,U 96049,S200000,00400,0100,SNC - CHESAPEAKE 96049,S200000,00400,0200,495215 96049,S200000,00400,0300,09/09/1990 96049,S200000,00400,0500,P 96049,S200000,01600,0100,Y 96049,S200000,04700,0100,Y 96049,S200000,04700,0200,Y 96057,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96057,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96057,A000000,00300,0000,00300EMPLOYEE BENEFITS 96057,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96057,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96057,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96057,A000000,00700,0000,00700HOUSEKEEPING 96057,A000000,00800,0000,00800DIETARY 96057,A000000,00900,0000,00900NURSING ADMINISTRATION 96057,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96057,A000000,01100,0000,01100PHARMACY 96057,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96057,A000000,01300,0000,01300SOCIAL SERVICE 96057,A000000,01350,0000,01500ACTIVITIES 96057,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96057,A000000,01600,0000,01600SKILLED NURSING FACILITY 96057,A000000,01800,0000,01800NURSING FACILITY 96057,A000000,01900,0000,01900OTHER LONG TERM CARE 96057,A000000,02100,0000,02100RADIOLOGY 96057,A000000,02200,0000,02200LABORATORY 96057,A000000,02300,0000,02300INTRAVENOUS THERAPY 96057,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96057,A000000,02500,0000,02500PHYSICAL THERAPY 96057,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96057,A000000,02700,0000,02700SPEECH PATHOLOGY 96057,A000000,02800,0000,02800ELECTROCARDIOLOGY 96057,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96057,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96057,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96057,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96057,A000000,03200,0000,03200SUPPORT SURFACES 96057,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 96057,A000000,04800,0000,04800AMBULANCE 96057,A000000,05300,0000,05300INTEREST EXPENSE 96057,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 96057,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96057,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96057,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96057,A000000,06100,0000,06100NONPAID WORKERS 96057,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96057,A000000,06200,0000,06200PATIENTS LAUNDRY 96057,A81000A,00100,0100,Y 96057,A81000B,00100,0300,HOME OFFICE COST 96057,A81000B,00200,0300,PT ADMIN FEES 96057,A81000B,00300,0300,OT ADMIN FEES 96057,A81000B,00400,0300,ST ADMIN FEES 96057,A81000B,00500,0300,INTEREST EXPENSE 96057,A81000C,00100,0100,B 96057,A81000C,00100,0200,MCHS - FAIROAKS 96057,A81000C,00100,0400,HCR MANORCARE INC. 96057,A81000C,00100,0600,LONG TERM CARE FACILITIES 96057,A81000C,00200,0100,B 96057,A81000C,00200,0200,MCHS - FAIROAKS 96057,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 96057,A81000C,00200,0600,THERAPY MANAGEMENT 96057,A81000C,00300,0100,B 96057,A81000C,00300,0200,MCHS - FAIROAKS 96057,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 96057,A81000C,00300,0600,THERAPY MANAGEMENT 96057,A81000C,00400,0100,B 96057,A81000C,00400,0200,MCHS - FAIROAKS 96057,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 96057,A81000C,00400,0600,THERAPY MANAGEMENT 96057,A81000C,00500,0100,B 96057,A81000C,00500,0200,MCHS - FAIROAKS 96057,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 96057,A81000C,00500,0600,THERAPY MANAGEMENT 96057,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96057,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96057,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96057,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96057,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96057,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96057,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96057,B100000,00000,0800,00000MEALS SERVED :DIETARY 96057,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 96057,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96057,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96057,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96057,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96057,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 96057,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 96057,S000000,00100,0200,10/17/2000 96057,S200000,00100,0100,12475 LEE JACKSON MEMORIAL HWY 96057,S200000,00200,0100,FAIRFAX 96057,S200000,00200,0200,VA 96057,S200000,00200,0300,22033- 96057,S200000,00300,0100,FAIRFAX 96057,S200000,00400,0100,MCHS - FAIROAKS 96057,S200000,00400,0200,495217 96057,S200000,00400,0300,09/06/1990 96057,S200000,00400,0500,P 96057,S200000,00400,0600,P 96057,S200000,01004,0500,O 96057,S200000,01600,0100,Y 96057,S200000,04300,0100,Y 96066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96066,A000000,00300,0000,00300EMPLOYEE BENEFITS 96066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96066,A000000,00700,0000,00700HOUSEKEEPING 96066,A000000,00800,0000,00800DIETARY 96066,A000000,00900,0000,00900NURSING ADMINISTRATION 96066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96066,A000000,01300,0000,01300SOCIAL SERVICE 96066,A000000,01600,0000,01600SKILLED NURSING FACILITY 96066,A000000,01800,0000,01800NURSING FACILITY 96066,A000000,01900,0000,01900OTHER LONG TERM CARE 96066,A000000,02100,0000,02100RADIOLOGY 96066,A000000,02200,0000,02200LABORATORY 96066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96066,A000000,02500,0000,02500PHYSICAL THERAPY 96066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96066,A000000,02700,0000,02700SPEECH PATHOLOGY 96066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96066,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96066,A000000,05300,0000,05300INTEREST EXPENSE 96066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96066,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96066,A81000A,00100,0100,Y 96066,A81000B,00100,0300,CORPORATE EXPENSES 96066,A81000C,00100,0100,B 96066,A81000C,00100,0200,ARLEIGH BURKE PAVILION 96066,A81000C,00100,0400,NAVY MARINE COAST FDN 96066,A81000C,00100,0600,MANAGEMENT SERVICE 96066,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96066,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96066,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96066,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96066,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96066,B100000,00000,0650,00000RESIDENT DAYS :LAUNDRY & LINEN SER 96066,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96066,B100000,00000,0800,00000MEALS SERVED :DIETARY 96066,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 96066,B100000,00000,1250,00000RESIDENT DAYS :MEDICAL RECORDS & L 96066,B100000,00000,1330,00000RESIDENT DAYS :SOCIAL SERVICE 96066,S000000,00100,0200,06/02/2000 96066,S200000,00100,0100,1739 KIRBY ROAD 96066,S200000,00200,0100,MCLEAN 96066,S200000,00200,0200,VA 96066,S200000,00200,0300,22101- 96066,S200000,00300,0100,FAIRFAX 96066,S200000,00400,0100,ARLEIGH BURKE PAVILLION 96066,S200000,00400,0200,495231 96066,S200000,00400,0300,02/21/1991 96066,S200000,00400,0500,P 96066,S200000,01004,0500,O 96066,S200000,01600,0100,Y 96066,S200000,01900,0100,501(C)(3) CORP 96066,S700003,00000,0200,2 96087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96087,A000000,00300,0000,00300EMPLOYEE BENEFITS 96087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96087,A000000,00700,0000,00700HOUSEKEEPING 96087,A000000,00800,0000,00800DIETARY 96087,A000000,00900,0000,00900NURSING ADMINISTRATION 96087,A000000,01300,0000,01300SOCIAL SERVICE 96087,A000000,01350,0000,01500OTHER GENERAL SERVICES 96087,A000000,01351,0000,01501ACTIVITIES 96087,A000000,01600,0000,01600SKILLED NURSING FACILITY 96087,A000000,01800,0000,01800NURSING FACILITY 96087,A000000,01900,0000,01900OTHER LONG TERM CARE 96087,A000000,02500,0000,02500PHYSICAL THERAPY 96087,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96087,A000000,02700,0000,02700SPEECH PATHOLOGY 96087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96087,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96087,A000000,03051,0000,03301AIR FLUIDIZED BEDS 96087,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96087,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96087,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96087,A81000A,00100,0100,Y 96087,A81000B,00100,0300,MEDICAL SUPPLIES 96087,A81000B,00200,0300,DRUG EXPENSES 96087,A81000B,00300,0300,NURSING SERVICES 96087,A81000B,00400,0300,NURSING SERVICES 96087,A81000C,00100,0100,C 96087,A81000C,00100,0200,OAK SPGS NSG HOME LTDSHP 96087,A81000C,00100,0400,GAINESVILLE PHARMACY 96087,A81000C,00100,0600,PHARMACY 96087,A81000C,00200,0100,C 96087,A81000C,00200,0200,OAK SPGS NSG HOME LTDSHP 96087,A81000C,00200,0400,GAINESVILLE PHARMACY 96087,A81000C,00200,0600,PHARMACY 96087,A81000C,00300,0100,C 96087,A81000C,00300,0200,OAK SPGS NSG HOME LTDSHP 96087,A81000C,00300,0400,HUNT COUNTRY NURSING SVCS 96087,A81000C,00300,0600,NURSING SERVICES 96087,A81000C,00400,0100,C 96087,A81000C,00400,0200,OAK SPGS NSG HOME LTDSHP 96087,A81000C,00400,0400,HUNT COUNTRY NURSING SVCS 96087,A81000C,00400,0600,NURSING SERVICES 96087,A81000C,00500,0100,C 96087,A81000C,00600,0100,C 96087,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96087,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96087,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96087,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96087,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96087,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96087,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96087,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 96087,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96087,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 96087,S000000,00100,0200,06/01/2000 96087,S200000,00100,0100,1066 HASTINGS LANE 96087,S200000,00200,0100,WARRENTON 96087,S200000,00200,0200,VA 96087,S200000,00200,0300,22186- 96087,S200000,00300,0100,FAUQUIER 96087,S200000,00300,0200,8840 96087,S200000,00300,0300,U 96087,S200000,00400,0100,OAK SPRINGS OF WARRENTON 96087,S200000,00400,0200,495267 96087,S200000,00400,0300,09/01/1992 96087,S200000,00400,0500,P 96087,S200000,00600,0200,495267 96087,S200000,00600,0300,09/01/1992 96087,S200000,00600,0600,P 96087,S200000,01600,0100,Y 96101,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96101,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96101,A000000,00300,0000,00300EMPLOYEE BENEFITS 96101,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96101,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96101,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96101,A000000,00700,0000,00700HOUSEKEEPING 96101,A000000,00800,0000,00800DIETARY 96101,A000000,00900,0000,00900NURSING ADMINISTRATION 96101,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96101,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96101,A000000,01300,0000,01300SOCIAL SERVICE 96101,A000000,01350,0000,01500OTHER GENERAL SERVICES 96101,A000000,01351,0000,01501CENTRAL ADMISSIONS 96101,A000000,01600,0000,01600SKILLED NURSING FACILITY 96101,A000000,01800,0000,01800NURSING FACILITY 96101,A000000,02100,0000,02100RADIOLOGY 96101,A000000,02200,0000,02200LABORATORY 96101,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96101,A000000,02500,0000,02500PHYSICAL THERAPY 96101,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96101,A000000,02700,0000,02700SPEECH PATHOLOGY 96101,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96101,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96101,A000000,03050,0000,03300CLINITRON THERAPY 96101,A000000,03051,0000,03301ENTERAL THERAPY 96101,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96101,A000000,05300,0000,05300INTEREST EXPENSE 96101,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96101,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96101,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96101,A000000,06150,0000,06300OTHER NONREIMBURSABLE COSTS 96101,A81000A,00100,0100,Y 96101,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 96101,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 96101,A81000C,00100,0100,B 96101,A81000C,00100,0400,SENTARA HLTH CA 96101,A81000C,00100,0600,HEALTH CARE 96101,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96101,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96101,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 96101,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96101,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96101,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 96101,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96101,B100000,00000,0800,00000MEALS SERVED :DIETARY 96101,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 96101,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96101,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 96101,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 96101,B100000,00000,1350,00000PAT DAYS :OTHER GENERAL SERVICES 96101,S000000,00100,0200,05/30/2000 96101,S200000,00100,0100,3750 SENTARA WAY 96101,S200000,00200,0100,VIRGINIA BEACH 96101,S200000,00200,0200,VA 96101,S200000,00200,0300,23462- 96101,S200000,00300,0100,CITY OF VIRGINIA BEACH 96101,S200000,00300,0200,0049 96101,S200000,00300,0300,U 96101,S200000,00400,0100,SNC-VIRGINIA BEACH 96101,S200000,00400,0200,495270 96101,S200000,00400,0300,11/11/1992 96101,S200000,00400,0500,P 96101,S200000,01600,0100,Y 96101,S200000,04700,0100,Y 96101,S200000,04700,0200,Y 96109,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96109,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96109,A000000,00300,0000,00300EMPLOYEE BENEFITS 96109,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96109,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96109,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96109,A000000,00700,0000,00700HOUSEKEEPING 96109,A000000,00800,0000,00800DIETARY 96109,A000000,00900,0000,00900NURSING ADMINISTRATION 96109,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96109,A000000,01100,0000,01100PHARMACY 96109,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96109,A000000,01300,0000,01300SOCIAL SERVICE 96109,A000000,01350,0000,01500RECREATION 96109,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96109,A000000,01600,0000,01600SKILLED NURSING FACILITY 96109,A000000,01800,0000,01800NURSING FACILITY 96109,A000000,01810,0000,01801ICF/MR 96109,A000000,01900,0000,01900OTHER LONG TERM CARE 96109,A000000,02100,0000,02100RADIOLOGY 96109,A000000,02200,0000,02200LABORATORY 96109,A000000,02300,0000,02300INTRAVENOUS THERAPY 96109,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96109,A000000,02500,0000,02500PHYSICAL THERAPY 96109,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96109,A000000,02700,0000,02700SPEECH PATHOLOGY 96109,A000000,02800,0000,02800ELECTROCARDIOLOGY 96109,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96109,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96109,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96109,A000000,03200,0000,03200SUPPORT SURFACES 96109,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96109,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96109,A000000,04800,0000,04800AMBULANCE 96109,A000000,05300,0000,05300INTEREST EXPENSE 96109,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96109,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96109,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96109,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96109,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96109,A000000,06100,0000,06100NONPAID WORKERS 96109,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96109,A000000,06200,0000,06200PATIENTS LAUNDRY 96109,A81000A,00100,0100,Y 96109,A81000B,00100,0300,COLONIAL CARE HOME OFFICE 96109,A81000B,00200,0300,COLONIAL CARE HOME OFFICE 96109,A81000B,00300,0300,RENT EXPENSE 96109,A81000B,00400,0300,RENT EXPENSE 96109,A81000C,00100,0100,B 96109,A81000C,00100,0200,TANDEM HEALTH CARE OF VA 96109,A81000C,00100,0400,COLONIAL CARE 96109,A81000C,00100,0600,HOME OFFICE 96109,A81000C,00200,0100,B 96109,A81000C,00200,0200,TANDEM HEALTH CARE OF VA 96109,A81000C,00200,0400,COLONIAL CARE 96109,A81000C,00200,0600,HOME OFFICE 96109,A81000C,00300,0100,A 96109,A81000C,00300,0200,JIM SMITH 96109,A81000C,00300,0400,LAFAYETTE HEALTH INVESTOR 96109,A81000C,00300,0600,RENTAL 96109,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96109,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96109,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96109,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96109,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96109,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96109,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96109,B100000,00000,0800,00000MEALS SERVED :DIETARY 96109,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96109,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96109,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96109,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96109,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96109,B100000,00000,1350,00000PATIENT DAYS :RECREATION 96109,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96109,E10A180,00301,0100,08/24/1999 96109,S000000,00100,0200,06/01/2000 96109,S200000,00100,0100,3900 LLEWELLYN AVENUE 96109,S200000,00200,0100,NORFOLK 96109,S200000,00200,0200,VA 96109,S200000,00200,0300,23504- 96109,S200000,00300,0100,YORK 96109,S200000,00400,0100,LAYFAYETTE VILLA HEALTH CARE 96109,S200000,00400,0200,495273 96109,S200000,00400,0300,04/01/1993 96109,S200000,00400,0500,P 96109,S200000,01600,0100,Y 96109,S700003,00000,0100,1 96116,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96116,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 96116,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96116,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 96116,A000000,00300,0000,00300EMPLOYEE BENEFITS 96116,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96116,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96116,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96116,A000000,00700,0000,00700HOUSEKEEPING 96116,A000000,00800,0000,00800DIETARY 96116,A000000,00801,0000,00801CAFETERIA 96116,A000000,00900,0000,00900NURSING ADMINISTRATION 96116,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96116,A000000,01100,0000,01100PHARMACY 96116,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96116,A000000,01300,0000,01300SOCIAL SERVICE 96116,A000000,01350,0000,01500ACTIVITIES 96116,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96116,A000000,01600,0000,01600SKILLED NURSING FACILITY 96116,A000000,01800,0000,01800NURSING FACILITY 96116,A000000,01900,0000,01900OTHER LONG TERM CARE 96116,A000000,02100,0000,02100RADIOLOGY 96116,A000000,02200,0000,02200LABORATORY 96116,A000000,02300,0000,02300INTRAVENOUS THERAPY 96116,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96116,A000000,02500,0000,02500PHYSICAL THERAPY 96116,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96116,A000000,02700,0000,02700SPEECH PATHOLOGY 96116,A000000,02800,0000,02800ELECTROCARDIOLOGY 96116,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96116,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96116,A000000,03050,0000,03300MED EQUIP RENTAL 96116,A000000,03051,0000,03301OTHER ANCILLARY II 96116,A000000,03052,0000,03302OTHER ANCILLARY III 96116,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96116,A000000,03200,0000,03200SUPPORT SURFACES 96116,A000000,03400,0000,03400CLINIC 96116,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 96116,A000000,03500,0000,03500RURAL HEALTH CLINIC 96116,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96116,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96116,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96116,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96116,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96116,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96116,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96116,A000000,04400,0000,04400DME RENTED - HHA 96116,A000000,04500,0000,04500DME SOLD - HHA 96116,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96116,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96116,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96116,A000000,04800,0000,04800AMBULANCE 96116,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96116,A000000,05000,0000,05000CORF 96116,A000000,05010,0000,05010CMHC I 96116,A000000,05020,0000,05020OPT I 96116,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96116,A000000,05300,0000,05300INTEREST EXPENSE 96116,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 96116,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 96116,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96116,A000000,05500,0000,05500HOSPICE 96116,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96116,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96116,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96116,A000000,06100,0000,06100NONPAID WORKERS 96116,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96116,A000000,06200,0000,06200PATIENTS LAUNDRY 96116,A81000A,00100,0100,Y 96116,A81000B,00100,0300,MANAGEMENT FEES 96116,A81000B,00200,0300,PART B BILLING COST 96116,A81000B,00300,0300,NURSING CONS COST 96116,A81000B,00400,0300,ENVIRON CONS COST 96116,A81000B,00500,0300,DIETARY CONS 96116,A81000C,00100,0100,A 96116,A81000C,00100,0200,GEORGE P WAGNER 96116,A81000C,00100,0400,NAL MNT CORP 96116,A81000C,00100,0600,LTC OPERATION 96116,A81000C,00200,0100,A 96116,A81000C,00200,0200,ALAN D. PARISH 96116,A81000C,00200,0400,NAL MGT CORP 96116,A81000C,00200,0600,LTC OPERATION 96116,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 96116,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 96116,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 96116,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 96116,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 96116,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96116,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 96116,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 96116,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 96116,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 96116,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 96116,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 96116,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 96116,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 96116,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 96116,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 96116,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 96116,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 96116,S000000,00100,0200,05/22/2000 96116,S200000,00100,0100,300 BLUE RIDGE STREET 96116,S200000,00200,0100,MARTINSVILLE 96116,S200000,00200,0200,VA 96116,S200000,00200,0300,24115- 96116,S200000,00300,0100,HENRY 96116,S200000,00400,0100,BLUE RIDGE REHAB CENTER 96116,S200000,00400,0200,495281 96116,S200000,00400,0300,07/14/1993 96116,S200000,00400,0500,P 96116,S200000,00400,0600,O 96116,S200000,00600,0200,067747 96116,S200000,00600,0300,10/25/1987 96116,S200000,00600,0600,P 96116,S200000,01600,0100,Y 96116,S200000,04300,0100,Y 96123,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96123,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96123,A000000,00300,0000,00300EMPLOYEE BENEFITS 96123,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96123,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96123,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96123,A000000,00700,0000,00700HOUSEKEEPING 96123,A000000,00800,0000,00800DIETARY 96123,A000000,00900,0000,00900NURSING ADMINISTRATION 96123,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96123,A000000,01300,0000,01300SOCIAL SERVICE 96123,A000000,01350,0000,01500OTHER GENERAL SERVICES 96123,A000000,01351,0000,01501CENTRAL ADMISSIONS 96123,A000000,01600,0000,01600SKILLED NURSING FACILITY 96123,A000000,01800,0000,01800NURSING FACILITY 96123,A000000,02200,0000,02200LABORATORY 96123,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96123,A000000,02500,0000,02500PHYSICAL THERAPY 96123,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96123,A000000,02700,0000,02700SPEECH PATHOLOGY 96123,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96123,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96123,A000000,03050,0000,03300CLINITRON THERAPY 96123,A000000,03051,0000,03301ENTERAL THERAPY 96123,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96123,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96123,A000000,05300,0000,05300INTEREST EXPENSE 96123,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96123,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96123,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96123,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST CENTERS 96123,A81000A,00100,0100,Y 96123,A81000B,00100,0300,SENTARA LIFE CARE HOME OFFICE 96123,A81000B,00200,0300,SENTARA LIFE CARE HOME OFFICE 96123,A81000C,00100,0100,B 96123,A81000C,00100,0400,SENTARA HLTH CA 96123,A81000C,00100,0600,HEALTH CARE 96123,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96123,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96123,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 96123,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96123,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96123,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 96123,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96123,B100000,00000,0800,00000MEALS SERVED :DIETARY 96123,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 96123,B100000,00000,1200,00000TIME SPENT -REC :MEDICAL RECORDS & 96123,B100000,00000,1300,00000TIME SPENT -SOC :SOCIAL SERVICE 96123,B100000,00000,1350,00000TIME SPENT -OTH :OTHER GENERAL SER 96123,B100000,00000,1351,00000PAT DAYS :CENTRAL ADMISSIONS 96123,S000000,00100,0200,05/30/2000 96123,S200000,00100,0100,2230 EXECUTIVE DRIVE 96123,S200000,00200,0100,HAMPTON 96123,S200000,00200,0200,VA 96123,S200000,00200,0300,23666- 96123,S200000,00300,0100,CITY OF HAMPTON 96123,S200000,00400,0100,SNC-HAMPTON 96123,S200000,00400,0200,495287 96123,S200000,00400,0300,01/01/1994 96123,S200000,00400,0500,P 96123,S200000,01600,0100,Y 96123,S200000,02200,0100,Y 96123,S200000,04600,0100,Y 96123,S700003,00000,0100,1 96131,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96131,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96131,A000000,00300,0000,00300EMPLOYEE BENEFITS 96131,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96131,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96131,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96131,A000000,00700,0000,00700HOUSEKEEPING 96131,A000000,00800,0000,00800DIETARY 96131,A000000,00900,0000,00900NURSING ADMINISTRATION 96131,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96131,A000000,01100,0000,01100PHARMACY 96131,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96131,A000000,01300,0000,01300SOCIAL SERVICE 96131,A000000,01350,0000,01500RECREATION 96131,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96131,A000000,01600,0000,01600SKILLED NURSING FACILITY 96131,A000000,01800,0000,01800NURSING FACILITY 96131,A000000,01900,0000,01900OTHER LONG TERM CARE 96131,A000000,02100,0000,02100RADIOLOGY 96131,A000000,02200,0000,02200LABORATORY 96131,A000000,02300,0000,02300INTRAVENOUS THERAPY 96131,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96131,A000000,02500,0000,02500PHYSICAL THERAPY 96131,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96131,A000000,02700,0000,02700SPEECH PATHOLOGY 96131,A000000,02800,0000,02800ELECTROCARDIOLOGY 96131,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96131,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96131,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96131,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96131,A000000,03200,0000,03200SUPPORT SURFACES 96131,A000000,03400,0000,03400CLINIC 96131,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96131,A000000,03500,0000,03500RURAL HEALTH CLINIC 96131,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96131,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96131,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96131,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96131,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96131,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96131,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96131,A000000,04400,0000,04400DME RENTED - HHA 96131,A000000,04500,0000,04500DME SOLD - HHA 96131,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96131,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96131,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96131,A000000,04800,0000,04800AMBULANCE 96131,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96131,A000000,05000,0000,05000CORF 96131,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96131,A000000,05300,0000,05300INTEREST EXPENSE 96131,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96131,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96131,A000000,05500,0000,05500HOSPICE 96131,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96131,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96131,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96131,A000000,06100,0000,06100NONPAID WORKERS 96131,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96131,A000000,06200,0000,06200PATIENTS LAUNDRY 96131,A81000A,00100,0100,Y 96131,A81000B,00100,0300,BUILDING REPAIRS 96131,A81000B,00200,0300,GROUNDS MAINTENANCE 96131,A81000B,00300,0300,EQUIPMENT REPAIRS 96131,A81000B,00400,0300,A&G AUTO EXPENSE 96131,A81000C,00100,0100,D 96131,A81000C,00100,0200,ROBERT FISCELLA 96131,A81000C,00100,0400,RIVERDALE MANAGEMENT 96131,A81000C,00100,0600,REAL ESTATE/NF MGMT 96131,A81000C,00200,0100,D 96131,A81000C,00200,0200,ROBERT FISCELLA 96131,A81000C,00200,0400,RIVERDALE MANAGEMENT 96131,A81000C,00200,0600,REAL ESTATE/NF MGMT 96131,A81000C,00300,0100,D 96131,A81000C,00300,0200,ROBERT FISCELLA 96131,A81000C,00300,0400,RIVERDALE MANAGEMENT 96131,A81000C,00300,0600,REAL ESTATE/NF MGMT 96131,A81000C,00400,0100,D 96131,A81000C,00400,0200,ROBERT FISCELLA 96131,A81000C,00400,0400,RIVERDALE MANAGEMENT 96131,A81000C,00400,0600,REAL ESTATE/NT MGMT 96131,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96131,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96131,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96131,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96131,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96131,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96131,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96131,B100000,00000,0800,00000MEALS SERVED :DIETARY 96131,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 96131,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96131,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96131,B100000,00000,1250,00000GROSS SALARY :MEDICAL RECORDS & LI 96131,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96131,B100000,00000,1350,00000PATIENT DAYS :RECREATION 96131,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96131,S000000,00100,0200,05/26/2000 96131,S200000,00100,0100,305 MARCELLA ROAD 96131,S200000,00200,0100,HAMPTON 96131,S200000,00200,0200,VA 96131,S200000,00200,0300,23666- 96131,S200000,00300,0100,CITY OF HAMPTON 96131,S200000,00400,0100,COLISEUM PARK NURSING HOME 96131,S200000,00400,0200,495305 96131,S200000,00400,0300,03/01/1996 96131,S200000,00400,0500,P 96131,S200000,01600,0100,Y 96141,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96141,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96141,A000000,00300,0000,00300EMPLOYEE BENEFITS 96141,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96141,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96141,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96141,A000000,00700,0000,00700HOUSEKEEPING 96141,A000000,00800,0000,00800DIETARY 96141,A000000,00900,0000,00900NURSING ADMINISTRATION 96141,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96141,A000000,01100,0000,01100PHARMACY 96141,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96141,A000000,01300,0000,01300SOCIAL SERVICE 96141,A000000,01350,0000,01500RECREATION 96141,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96141,A000000,01600,0000,01600SKILLED NURSING FACILITY 96141,A000000,01800,0000,01800NURSING FACILITY 96141,A000000,01810,0000,01810ICF/MR 96141,A000000,01900,0000,01900OTHER LONG TERM CARE 96141,A000000,02100,0000,02100RADIOLOGY 96141,A000000,02200,0000,02200LABORATORY 96141,A000000,02300,0000,02300INTRAVENOUS THERAPY 96141,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96141,A000000,02500,0000,02500PHYSICAL THERAPY 96141,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96141,A000000,02700,0000,02700SPEECH PATHOLOGY 96141,A000000,02800,0000,02800ELECTROCARDIOLOGY 96141,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96141,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96141,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96141,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96141,A000000,03200,0000,03200SUPPORT SURFACES 96141,A000000,03400,0000,03400CLINIC 96141,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96141,A000000,03500,0000,03500RURAL HEALTH CLINIC 96141,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96141,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96141,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96141,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96141,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96141,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96141,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96141,A000000,04400,0000,04400DME RENTED - HHA 96141,A000000,04500,0000,04500DME SOLD - HHA 96141,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96141,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96141,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96141,A000000,04800,0000,04800AMBULANCE 96141,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96141,A000000,05000,0000,05000CORF 96141,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96141,A000000,05300,0000,05300INTEREST EXPENSE 96141,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96141,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96141,A000000,05500,0000,05500HOSPICE 96141,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96141,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96141,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96141,A000000,06100,0000,06100NONPAID WORKERS 96141,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96141,A000000,06200,0000,06200PATIENTS LAUNDRY 96141,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96141,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96141,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96141,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96141,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96141,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96141,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96141,B100000,00000,0800,00000MEALS SERVED :DIETARY 96141,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 96141,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96141,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96141,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96141,B100000,00000,1350,00000PATIENT DAYS :RECREATION 96141,S000000,00100,0200,09/25/2000 96141,S200000,00100,0100,9229 ARLINGTON BLVD 96141,S200000,00200,0100,FAIRFAX 96141,S200000,00200,0200,VA 96141,S200000,00200,0300,22031- 96141,S200000,00300,0100,FAIRFAX 96141,S200000,00300,0200,8840 96141,S200000,00300,0300,U 96141,S200000,00400,0100,THE VIRGINIAN 96141,S200000,00400,0200,495319 96141,S200000,00400,0300,04/03/1997 96141,S200000,00400,0500,P 96141,S200000,01600,0100,Y 96165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96165,A000000,00300,0000,00300EMPLOYEE BENEFITS 96165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96165,A000000,00700,0000,00700HOUSEKEEPING 96165,A000000,00800,0000,00800DIETARY 96165,A000000,00900,0000,00900NURSING ADMINISTRATION 96165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96165,A000000,01100,0000,01100PHARMACY 96165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96165,A000000,01300,0000,01300SOCIAL SERVICE 96165,A000000,01600,0000,01600SKILLED NURSING FACILITY 96165,A000000,01800,0000,01800NURSING FACILITY 96165,A000000,01900,0000,01900OTHER LONG TERM CARE 96165,A000000,02100,0000,02100RADIOLOGY 96165,A000000,02200,0000,02200LABORATORY 96165,A000000,02300,0000,02300INTRAVENOUS THERAPY 96165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96165,A000000,02500,0000,02500PHYSICAL THERAPY 96165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96165,A000000,02700,0000,02700SPEECH PATHOLOGY 96165,A000000,02800,0000,02800ELECTROCARDIOLOGY 96165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96165,A000000,03051,0000,03301NUTRITIONAL THERAPY 96165,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96165,A000000,03053,0000,03303PHYSICIAN SERVICES 96165,A000000,03054,0000,03304MEDICAL SERVICES 96165,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96165,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96165,A000000,03200,0000,03200SUPPORT SURFACES 96165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96165,A000000,04800,0000,04800AMBULANCE 96165,A000000,05300,0000,05300INTEREST EXPENSE 96165,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96165,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96165,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96165,A000000,06100,0000,06100NONPAID WORKERS 96165,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96165,A000000,06200,0000,06200PATIENTS LAUNDRY 96165,A81000A,00100,0100,Y 96165,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96165,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96165,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96165,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96165,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96165,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96165,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96165,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96165,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96165,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96165,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96165,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96165,B100000,00000,0950,00000NRSG ADM TIME STUDI:NURSING ADMINIS 96165,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96165,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96165,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96165,B100000,00000,1300,00000SOC SVC TIME STUDI:SOCIAL SERVICE 96165,S000000,00100,0200,02/01/2000 96165,S200000,00100,0100,1250 NE 145TH STREET 96165,S200000,00200,0100,SEATTLE 96165,S200000,00200,0200,WA 96165,S200000,00200,0300,98155- 96165,S200000,00300,0100,KING 96165,S200000,00400,0100,PARK RIDGE CARE CENTER 96165,S200000,00400,0200,505009 96165,S200000,00400,0300,02/01/1983 96165,S200000,00400,0500,P 96165,S200000,01600,0100,Y 96165,S200000,02800,0100,Y 96165,S700003,00000,0100,1 96167,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96167,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96167,A000000,00300,0000,00300EMPLOYEE BENEFITS 96167,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96167,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96167,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96167,A000000,00700,0000,00700HOUSEKEEPING 96167,A000000,00800,0000,00800DIETARY 96167,A000000,00900,0000,00900NURSING ADMINISTRATION 96167,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96167,A000000,01100,0000,01100PHARMACY 96167,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96167,A000000,01300,0000,01300SOCIAL SERVICE 96167,A000000,01600,0000,01600SKILLED NURSING FACILITY 96167,A000000,01800,0000,01800NURSING FACILITY 96167,A000000,01900,0000,01900OTHER LONG TERM CARE 96167,A000000,02100,0000,02100RADIOLOGY 96167,A000000,02200,0000,02200LABORATORY 96167,A000000,02300,0000,02300INTRAVENOUS THERAPY 96167,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96167,A000000,02500,0000,02500PHYSICAL THERAPY 96167,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96167,A000000,02700,0000,02700SPEECH PATHOLOGY 96167,A000000,02800,0000,02800ELECTROCARDIOLOGY 96167,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96167,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96167,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96167,A000000,03051,0000,03301NUTRITIONAL THERAPY 96167,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96167,A000000,03053,0000,03303PHYSICIAN SERVICES 96167,A000000,03054,0000,03304MEDICAL SERVICES 96167,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96167,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96167,A000000,03200,0000,03200SUPPORT SURFACES 96167,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96167,A000000,04800,0000,04800AMBULANCE 96167,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96167,A000000,05300,0000,05300INTEREST EXPENSE 96167,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96167,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96167,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96167,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96167,A000000,06100,0000,06100NONPAID WORKERS 96167,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96167,A000000,06200,0000,06200PATIENTS LAUNDRY 96167,A81000A,00100,0100,Y 96167,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96167,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96167,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96167,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96167,A81000B,00600,0300,SEE ATTACHEMENT A-8-1 96167,A81000C,00100,0100,B 96167,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 96167,A81000C,00200,0200,A-8-1. 96167,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96167,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96167,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96167,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96167,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96167,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96167,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96167,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96167,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96167,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96167,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96167,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96167,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96167,E10A180,00501,0100,07/11/2000 96167,E10A180,00501,0300,07/11/2000 96167,S000000,00100,0200,06/02/2000 96167,S200000,00100,0100,1250 NE 145TH STREET 96167,S200000,00200,0100,SEATTLE 96167,S200000,00200,0200,WA 96167,S200000,00200,0300,98155- 96167,S200000,00300,0100,KING 96167,S200000,00400,0100,PARK RIDGE CARE CTR. 96167,S200000,00400,0200,505009 96167,S200000,00400,0300,02/01/1983 96167,S200000,00400,0500,P 96167,S200000,01500,0100,Y 96177,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96177,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96177,A000000,00300,0000,00300EMPLOYEE BENEFITS 96177,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96177,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96177,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96177,A000000,00700,0000,00700HOUSEKEEPING 96177,A000000,00800,0000,00800DIETARY 96177,A000000,00900,0000,00900NURSING ADMINISTRATION 96177,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96177,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96177,A000000,01300,0000,01300SOCIAL SERVICE 96177,A000000,01600,0000,01600SKILLED NURSING FACILITY 96177,A000000,01800,0000,01800NURSING FACILITY 96177,A000000,01900,0000,01900OTHER LONG TERM CARE 96177,A000000,02100,0000,02100RADIOLOGY 96177,A000000,02200,0000,02200LABORATORY 96177,A000000,02300,0000,02300INTRAVENOUS THERAPY 96177,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96177,A000000,02500,0000,02500PHYSICAL THERAPY 96177,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96177,A000000,02700,0000,02700SPEECH PATHOLOGY 96177,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96177,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96177,A000000,03200,0000,03200SUPPORT SURFACES 96177,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96177,A000000,05300,0000,05300INTEREST EXPENSE 96177,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96177,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96177,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96177,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96177,A81000A,00100,0100,Y 96177,A81000B,00100,0300,ADMINISTRATOR WAGES 96177,A81000B,00200,0300,RESPIRATORY THERAPY 96177,A81000B,00300,0300,INFUSION CARE 96177,A81000C,00100,0100,B 96177,A81000C,00100,0200,YAKIMA VALLEY MEMORIAL 96177,A81000C,00100,0600,ADMIN PATIENT CARE 96177,A81000C,00200,0200,HOSPITAL 96177,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96177,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96177,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96177,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96177,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96177,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96177,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96177,B100000,00000,0800,00000MEALS SERVED :DIETARY 96177,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96177,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96177,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96177,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96177,S000000,00100,0200,05/17/2000 96177,S200000,00100,0100,306 HOLTON AVENUE 96177,S200000,00200,0100,YAKIMA 96177,S200000,00200,0200,WA 96177,S200000,00200,0300,98902- 96177,S200000,00300,0100,YAKIMA 96177,S200000,00400,0100,GARDEN VILLAGE 96177,S200000,00400,0200,505010 96177,S200000,00400,0300,01/01/1979 96177,S200000,00400,0500,P 96177,S200000,01600,0100,Y 96177,S700003,00000,0100,1 96187,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96187,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96187,A000000,00300,0000,00300EMPLOYEE BENEFITS 96187,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96187,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96187,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96187,A000000,00700,0000,00700HOUSEKEEPING 96187,A000000,00800,0000,00800DIETARY 96187,A000000,00900,0000,00900NURSING ADMINISTRATION 96187,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96187,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96187,A000000,01300,0000,01300SOCIAL SERVICE 96187,A000000,01600,0000,01600SKILLED NURSING FACILITY 96187,A000000,01800,0000,01800NURSING FACILITY 96187,A000000,02100,0000,02100RADIOLOGY 96187,A000000,02200,0000,02200LABORATORY 96187,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96187,A000000,02500,0000,02500PHYSICAL THERAPY 96187,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96187,A000000,02700,0000,02700SPEECH PATHOLOGY 96187,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96187,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96187,A000000,03200,0000,03200SUPPORT SURFACES 96187,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96187,A81000A,00100,0100,Y 96187,A81000B,00100,0300,BUILDING DEPRECIATION 96187,A81000B,00200,0300,EQUIPMENT DEPRECIATION 96187,A81000B,00300,0300,BUILDING INTEREST 96187,A81000B,00400,0300,EQUIPMENT INTEREST 96187,A81000C,00100,0100,A 96187,A81000C,00100,0200,WARREN CLEVELAN 96187,A81000C,00100,0400,PROPERTY OWNER 96187,A81000C,00100,0600,REAL ESTATE 96187,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96187,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96187,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96187,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96187,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96187,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96187,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96187,B100000,00000,0800,00000MEALS SERVED :DIETARY 96187,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96187,B100000,00000,1050,00000GROSS REVENUES :CENTRAL SERVICES & 96187,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96187,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96187,S000000,00100,0200,05/19/2000 96187,S200000,00100,0100,424 WEST 7TH AVENUE 96187,S200000,00200,0100,SPOKANE 96187,S200000,00200,0200,CA 96187,S200000,00300,0100,SPOKANE 96187,S200000,00400,0100,GARDEN TERRACE MANOR 96187,S200000,00400,0200,505032 96187,S200000,00400,0300,10/01/1989 96187,S200000,00400,0500,P 96187,S200000,01600,0100,Y 96200,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96200,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96200,A000000,00300,0000,00300EMPLOYEE BENEFITS 96200,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96200,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96200,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96200,A000000,00700,0000,00700HOUSEKEEPING 96200,A000000,00800,0000,00800DIETARY 96200,A000000,00900,0000,00900NURSING ADMINISTRATION 96200,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96200,A000000,01100,0000,01100PHARMACY 96200,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96200,A000000,01300,0000,01300SOCIAL SERVICE 96200,A000000,01600,0000,01600SKILLED NURSING FACILITY 96200,A000000,01800,0000,01800NURSING FACILITY 96200,A000000,01810,0000,01810ICF/MR 96200,A000000,01900,0000,01900OTHER LONG TERM CARE 96200,A000000,02100,0000,02100RADIOLOGY 96200,A000000,02200,0000,02200LABORATORY 96200,A000000,02300,0000,02300INTRAVENOUS THERAPY 96200,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96200,A000000,02500,0000,02500PHYSICAL THERAPY 96200,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96200,A000000,02700,0000,02700SPEECH PATHOLOGY 96200,A000000,02800,0000,02800ELECTROCARDIOLOGY 96200,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96200,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96200,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96200,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96200,A000000,03200,0000,03200SUPPORT SURFACES 96200,A000000,03400,0000,03400CLINIC 96200,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96200,A000000,03500,0000,03500RURAL HEALTH CLINIC 96200,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96200,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96200,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96200,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96200,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96200,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96200,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96200,A000000,04400,0000,04400DME RENTED - HHA 96200,A000000,04500,0000,04500DME SOLD - HHA 96200,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96200,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96200,A000000,04800,0000,04800AMBULANCE 96200,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96200,A000000,05000,0000,05000CORF 96200,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96200,A000000,05300,0000,05300INTEREST EXPENSE 96200,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96200,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96200,A000000,05500,0000,05500HOSPICE 96200,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96200,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96200,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96200,A000000,06100,0000,06100NONPAID WORKERS 96200,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96200,A000000,06200,0000,06200PATIENTS LAUNDRY 96200,A81000A,00100,0100,Y 96200,A81000B,00100,0300,HOME OFFICE CAPITAL 96200,A81000B,00200,0300,HOME OFFICE CAPITAL 96200,A81000B,00300,0300,HOME OFFICE ALLOC 96200,A81000B,00400,0300,HOME OFFICE ALLOC 96200,A81000B,00500,0300,HOME OFFICE ALLOC 96200,A81000C,00100,0100,B 96200,A81000C,00100,0200,JAMES L. CLAY 96200,A81000C,00100,0400,REGENCY PACIFIC 96200,A81000C,00100,0600,HEALTHCARE MGMT 96200,A81000C,00200,0100,B 96200,A81000C,00200,0200,JAMES L. CLAY 96200,A81000C,00200,0400,REGENCY DEVELOP 96200,A81000C,00200,0600,PROPERTY 96200,A81000C,00300,0100,B 96200,A81000C,00300,0200,JAMES L. CLAY 96200,A81000C,00300,0400,EXPRESS MEDICAL 96200,A81000C,00300,0600,SUPPLIES 96200,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96200,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96200,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96200,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96200,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96200,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96200,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96200,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96200,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96200,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96200,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96200,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96200,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96200,E10A180,00301,0100,08/02/1999 96200,E10A180,00501,0100,07/11/2000 96200,E10A180,00501,0300,07/11/2000 96200,S000000,00100,0200,06/01/2000 96200,S200000,00100,0100,420 MYRA ROAD 96200,S200000,00200,0100,COLLEGE PLACE 96200,S200000,00200,0200,WA 96200,S200000,00200,0300,99362- 96200,S200000,00300,0100,WALLA WALLA 96200,S200000,00400,0100,REGENCY CARE CENTER AT WALLA WALLA 96200,S200000,00400,0200,505075 96200,S200000,00400,0300,01/01/1985 96200,S200000,00400,0500,P 96200,S200000,01500,0100,Y 96211,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96211,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96211,A000000,00300,0000,00300EMPLOYEE BENEFITS 96211,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96211,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96211,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96211,A000000,00700,0000,00700HOUSEKEEPING 96211,A000000,00800,0000,00800DIETARY 96211,A000000,00900,0000,00900NURSING ADMINISTRATION 96211,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96211,A000000,01100,0000,01100PHARMACY 96211,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96211,A000000,01300,0000,01300SOCIAL SERVICE 96211,A000000,01350,0000,01500RECREATION 96211,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96211,A000000,01600,0000,01600SKILLED NURSING FACILITY 96211,A000000,01800,0000,01800NURSING FACILITY 96211,A000000,01810,0000,01810ICF/MR 96211,A000000,02500,0000,02500PHYSICAL THERAPY 96211,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96211,A000000,02700,0000,02700SPEECH PATHOLOGY 96211,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96211,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96211,A000000,03200,0000,03200SUPPORT SURFACES 96211,A000000,03550,0000,03550FQHC 96211,A000000,05000,0000,05000CORF 96211,A000000,05010,0000,05010CMHC 96211,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 96211,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 96211,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 96211,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96211,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96211,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96211,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96211,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96211,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96211,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96211,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 96211,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96211,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 96211,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 96211,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 96211,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96211,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96211,B100000,00000,1350,00000PATIENT DAYS :RECREATION 96211,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96211,S000000,00100,0200,05/31/2000 96211,S200000,00100,0100,3035 CHERRY STREET 96211,S200000,00200,0100,HOQUIAM 96211,S200000,00200,0200,WA 96211,S200000,00200,0300,98550- 96211,S200000,00300,0100,GRAYS HARBOR 96211,S200000,00400,0100,PACIFIC CARE CENTER 96211,S200000,00400,0200,505081 96211,S200000,00400,0300,01/18/1996 96211,S200000,00400,0500,P 96211,S200000,01600,0100,Y 96211,S700003,00000,0100,1 96220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96220,A000000,00300,0000,00300EMPLOYEE BENEFITS 96220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96220,A000000,00700,0000,00700HOUSEKEEPING 96220,A000000,00800,0000,00800DIETARY 96220,A000000,00900,0000,00900NURSING ADMINISTRATION 96220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96220,A000000,01100,0000,01100PHARMACY 96220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96220,A000000,01300,0000,01300SOCIAL SERVICE 96220,A000000,01350,0000,01500OTHER GENERAL SERVICES 96220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96220,A000000,01600,0000,01600SKILLED NURSING FACILITY 96220,A000000,01800,0000,01800NURSING FACILITY 96220,A000000,01810,0000,01801ICF/MR 96220,A000000,01900,0000,01900OTHER LONG TERM CARE 96220,A000000,02100,0000,02100RADIOLOGY 96220,A000000,02200,0000,02200LABORATORY 96220,A000000,02300,0000,02300INTRAVENOUS THERAPY 96220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96220,A000000,02500,0000,02500PHYSICAL THERAPY 96220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96220,A000000,02700,0000,02700SPEECH PATHOLOGY 96220,A000000,02800,0000,02800ELECTROCARDIOLOGY 96220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96220,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96220,A000000,03200,0000,03200SUPPORT SURFACES 96220,A000000,03400,0000,03400CLINIC 96220,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96220,A000000,03500,0000,03500RURAL HEALTH CLINIC 96220,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96220,A000000,04800,0000,04800AMBULANCE 96220,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96220,A000000,05000,0000,05000CORF 96220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96220,A000000,05300,0000,05300INTEREST EXPENSE 96220,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96220,A000000,05500,0000,05500HOSPICE 96220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96220,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96220,A000000,06100,0000,06100NONPAID WORKERS 96220,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96220,A000000,06200,0000,06200PATIENTS LAUNDRY 96220,A81000A,00100,0100,Y 96220,A81000B,00100,0300,ACCOUNTING ALLIANCE 96220,A81000B,00200,0300,CONSULTANT- ADMIN AL 96220,A81000B,00300,0300,SECURITY AL 96220,A81000B,00400,0300,CAPITAL BUILDING 96220,A81000B,00500,0300,CAPITAL EQUIPMENT 96220,A81000B,00600,0300,PAYROLLTAXES AND BENEFITS 96220,A81000B,00700,0300,OVERHEAD 96220,A81000C,00100,0100,A 96220,A81000C,00100,0200,RON E. FOSTER 96220,A81000C,00100,0400,HEALTH WEST ALLIANCE 96220,A81000C,00100,0600,MGMT AND ACTG 96220,A81000C,00200,0100,B 96220,A81000C,00200,0200,RON E. FOSTER 96220,A81000C,00200,0400,TIETON VILLAGE DRUG 96220,A81000C,00200,0600,PHARMACY 96220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96220,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96220,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96220,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96220,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96220,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96220,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96220,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96220,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96220,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96220,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96220,E10A180,00301,0100,08/13/1999 96220,S000000,00100,0200,06/05/2000 96220,S200000,00100,0100,505 N. 40TH AVENUE 96220,S200000,00200,0100,YAKIMA 96220,S200000,00200,0200,WA 96220,S200000,00200,0300,98908- 96220,S200000,00300,0100,YAKIMA 96220,S200000,00400,0100,CRESCENT CONVALESCENT CENTER 96220,S200000,00400,0200,505085 96220,S200000,00400,0300,01/01/1997 96220,S200000,00400,0500,P 96220,S200000,01600,0100,Y 96220,S700003,00000,0100,1 96228,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96228,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96228,A000000,00300,0000,00300EMPLOYEE BENEFITS 96228,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96228,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96228,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96228,A000000,00700,0000,00700HOUSEKEEPING 96228,A000000,00800,0000,00800DIETARY 96228,A000000,00900,0000,00900NURSING ADMINISTRATION 96228,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96228,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96228,A000000,01300,0000,01300SOCIAL SERVICE 96228,A000000,01350,0000,01500OTHER GENERAL SERVICES 96228,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96228,A000000,01600,0000,01600SKILLED NURSING FACILITY 96228,A000000,01800,0000,01800NURSING FACILITY 96228,A000000,01810,0000,01801ICF/MR 96228,A000000,01900,0000,01900OTHER LONG TERM CARE 96228,A000000,02100,0000,02100RADIOLOGY 96228,A000000,02200,0000,02200LABORATORY 96228,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96228,A000000,02500,0000,02500PHYSICAL THERAPY 96228,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96228,A000000,02700,0000,02700SPEECH PATHOLOGY 96228,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96228,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96228,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96228,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96228,A000000,03200,0000,03200SUPPORT SURFACES 96228,A000000,03400,0000,03400CLINIC 96228,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96228,A000000,03500,0000,03500RURAL HEALTH CLINIC 96228,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96228,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96228,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96228,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96228,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96228,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96228,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96228,A000000,04400,0000,04400DME RENTED - HHA 96228,A000000,04500,0000,04500DME SOLD - HHA 96228,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96228,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96228,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96228,A000000,04800,0000,04800AMBULANCE 96228,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96228,A000000,05000,0000,05000CORF 96228,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96228,A000000,05300,0000,05300INTEREST EXPENSE 96228,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96228,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96228,A000000,05500,0000,05500HOSPICE 96228,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96228,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96228,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96228,A000000,06100,0000,06100NONPAID WORKERS 96228,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96228,A000000,06200,0000,06200PATIENTS LAUNDRY 96228,A81000A,00100,0100,Y 96228,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 96228,A81000C,00100,0100,B 96228,A81000C,00100,0400,ALLIANCE 96228,A81000C,00100,0600,HOME OFFICE 96228,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96228,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96228,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96228,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96228,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96228,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96228,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96228,B100000,00000,0800,00000MEALS SERVED :DIETARY 96228,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96228,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96228,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96228,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96228,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96228,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96228,E10A180,00301,0100,07/26/1999 96228,S000000,00100,0200,06/05/2000 96228,S200000,00100,0100,YAKIMA CONVALESCENT CENTER 96228,S200000,00200,0100,YAKIMA 96228,S200000,00200,0200,WA 96228,S200000,00200,0300,98902- 96228,S200000,00300,0100,YAKIMA 96228,S200000,00400,0100,YAKIMA CONVALESCENT CENTER 96228,S200000,00400,0200,505086 96228,S200000,00400,0300,01/01/1987 96228,S200000,00400,0500,P 96228,S200000,01600,0100,Y 96228,S700003,00000,0100,1 96239,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96239,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96239,A000000,00300,0000,00300EMPLOYEE BENEFITS 96239,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96239,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96239,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96239,A000000,00700,0000,00700HOUSEKEEPING 96239,A000000,00800,0000,00800DIETARY 96239,A000000,00900,0000,00900NURSING ADMINISTRATION 96239,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96239,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96239,A000000,01300,0000,01300SOCIAL SERVICE 96239,A000000,01600,0000,01600SKILLED NURSING FACILITY 96239,A000000,01800,0000,01800NURSING FACILITY 96239,A000000,01900,0000,01900OTHER LONG TERM CARE 96239,A000000,02100,0000,02100RADIOLOGY 96239,A000000,02200,0000,02200LABORATORY 96239,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96239,A000000,02500,0000,02500PHYSICAL THERAPY 96239,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96239,A000000,02700,0000,02700SPEECH PATHOLOGY 96239,A000000,02800,0000,02800ELECTROCARDIOLOGY 96239,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96239,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96239,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96239,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96239,A000000,05901,0000,05901BARBER & BEAUTY SHOP 96239,A81000A,00100,0100,Y 96239,A81000B,00100,0300,HOME OFFICE COSTS 96239,A81000B,00200,0300,HOME OFFICE COSTS 96239,A81000B,00300,0300,HOME OFFICE COSTS 96239,A81000C,00100,0100,B 96239,A81000C,00100,0400,COMMON OWNER 96239,A81000C,00100,0600,HOME OFFICE 96239,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 96239,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 96239,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 96239,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 96239,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 96239,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 96239,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 96239,B100000,00000,0800,00001MEALS SERVED :DIETARY 96239,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 96239,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 96239,B100000,00000,1200,00001TIME SPENT :MEDICAL RECORDS & LIBR 96239,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 96239,E10A180,00301,0100,07/01/1999 96239,E10A180,00501,0100,07/12/2000 96239,E10A180,00501,0300,07/12/2000 96239,S000000,00100,0200,05/31/2000 96239,S200000,00100,0100,2726 ALDERWOOD AVENUE 96239,S200000,00200,0100,BELLINGHAM 96239,S200000,00200,0200,WA 96239,S200000,00300,0100,WHATCOM 96239,S200000,00300,0200,0860 96239,S200000,00300,0300,U 96239,S200000,00400,0100,ALDERWOOD PARK CONVALESCENT CTR 96239,S200000,00400,0200,505092 96239,S200000,00400,0300,08/01/1984 96239,S200000,00400,0500,P 96239,S200000,01600,0100,Y 96251,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96251,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96251,A000000,00300,0000,00300EMPLOYEE BENEFITS 96251,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96251,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96251,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96251,A000000,00700,0000,00700HOUSEKEEPING 96251,A000000,00800,0000,00800DIETARY 96251,A000000,00900,0000,00900NURSING ADMINISTRATION 96251,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96251,A000000,01100,0000,01100PHARMACY 96251,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96251,A000000,01300,0000,01300SOCIAL SERVICE 96251,A000000,01301,0000,01301ACTIVITIES 96251,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 96251,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96251,A000000,01600,0000,01600SKILLED NURSING FACILITY 96251,A000000,01800,0000,01800NURSING FACILITY 96251,A000000,01900,0000,01900OTHER LONG TERM CARE 96251,A000000,02100,0000,02100RADIOLOGY 96251,A000000,02200,0000,02200LABORATORY 96251,A000000,02300,0000,02300INTRAVENOUS THERAPY 96251,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96251,A000000,02500,0000,02500PHYSICAL THERAPY 96251,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96251,A000000,02700,0000,02700SPEECH PATHOLOGY 96251,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96251,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96251,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96251,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96251,A000000,04800,0000,04800AMBULANCE 96251,A000000,05300,0000,05300INTEREST EXPENSE 96251,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96251,A81000A,00100,0100,Y 96251,A81000B,00100,0300,HOME OFFICE CAPITAL 96251,A81000B,00200,0300,HOME OFFICE OTHER 96251,A81000C,00100,0100,B 96251,A81000C,00100,0200,CENTRAL PARK LO 96251,A81000C,00100,0400,CENTRAL PARK LO 96251,A81000C,00100,0600,MGMT 96251,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96251,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96251,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96251,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96251,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96251,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96251,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96251,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96251,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96251,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96251,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96251,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96251,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96251,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 96251,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 96251,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96251,E10A180,00501,0100,04/03/2000 96251,E10A180,00550,0300,04/03/2000 96251,S000000,00100,0200,03/03/2000 96251,S200000,00100,0100,4755 S 48TH STREET 96251,S200000,00200,0100,TACOMA 96251,S200000,00200,0200,WA 96251,S200000,00200,0300,98409- 96251,S200000,00300,0100,PIERCE 96251,S200000,00400,0100,ORCHARD PARK CARE CENTER 96251,S200000,00400,0200,505093 96251,S200000,00400,0300,07/01/1998 96251,S200000,00400,0500,P 96251,S200000,01600,0100,Y 96251,S200000,04300,0100,Y 96251,S700003,00000,0200,2 96269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96269,A000000,00300,0000,00300EMPLOYEE BENEFITS 96269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96269,A000000,00700,0000,00700HOUSEKEEPING 96269,A000000,00800,0000,00800DIETARY 96269,A000000,00900,0000,00900NURSING ADMINISTRATION 96269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96269,A000000,01100,0000,01100PHARMACY 96269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96269,A000000,01300,0000,01300SOCIAL SERVICE 96269,A000000,01600,0000,01600SKILLED NURSING FACILITY 96269,A000000,01800,0000,01800NURSING FACILITY 96269,A000000,01900,0000,01900OTHER LONG TERM CARE 96269,A000000,02100,0000,02100RADIOLOGY 96269,A000000,02200,0000,02200LABORATORY 96269,A000000,02300,0000,02300INTRAVENOUS THERAPY 96269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96269,A000000,02500,0000,02500PHYSICAL THERAPY 96269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96269,A000000,02700,0000,02700SPEECH PATHOLOGY 96269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96269,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96269,A000000,03200,0000,03200SUPPORT SURFACES 96269,A000000,04800,0000,04800AMBULANCE 96269,A000000,05300,0000,05300INTEREST EXPENSE 96269,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96269,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96269,A000000,06200,0000,06200PATIENTS LAUNDRY 96269,A81000A,00100,0100,Y 96269,A81000B,00100,0300,CAP - BLDG & FIXTURE 96269,A81000B,00200,0300,CAP - MOVE EQUIPMENT 96269,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 96269,A81000B,00400,0300,LAUNDRY SERVICES 96269,A81000C,00100,0100,A 96269,A81000C,00100,0200,KARL R. MILLER 96269,A81000C,00100,0400,GENESIS HEALTH CARE 96269,A81000C,00100,0600,HOME OFFICE / MANAGEMENT 96269,A81000C,00200,0100,A 96269,A81000C,00200,0200,RICK DILLON 96269,A81000C,00200,0400,GENESIS HEALTH CARE 96269,A81000C,00200,0600,HOME OFFICE / MANAGEMENT 96269,A81000C,00300,0100,A 96269,A81000C,00300,0200,KARL R. MILLER 96269,A81000C,00300,0400,AVAMERE REHAB SERVICES 96269,A81000C,00300,0600,CONTRACT REHAB SERVICES 96269,A81000C,00400,0100,A 96269,A81000C,00400,0200,RICK DILLON 96269,A81000C,00400,0400,AVAMERE REHAB SERVICES 96269,A81000C,00400,0600,CONTRACT REHAB SERVICES 96269,A81000C,00500,0100,G 96269,A81000C,00500,0200,GENESIS HEALTH CARE 96269,A81000C,00500,0400,SOUTH SOUND LAUNDRY 96269,A81000C,00500,0600,CONTRACT LAUNDRY SERVICE 96269,A81000C,00600,0100,G 96269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96269,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96269,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96269,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96269,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96269,E10A180,00301,0100,09/30/1999 96269,S000000,00100,0200,03/02/2000 96269,S200000,00100,0100,630 SOUTH PEARL 96269,S200000,00200,0100,TACOMA 96269,S200000,00200,0200,WA 96269,S200000,00200,0300,98465- 96269,S200000,00300,0100,PIERCE 96269,S200000,00300,0200,8200 96269,S200000,00300,0300,U 96269,S200000,00400,0100,BEL AIR REHAB 96269,S200000,00400,0200,505107 96269,S200000,00400,0300,12/01/1981 96269,S200000,00400,0500,P 96269,S200000,01500,0100,Y 96285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96285,A000000,00300,0000,00300EMPLOYEE BENEFITS 96285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96285,A000000,00700,0000,00700HOUSEKEEPING 96285,A000000,00800,0000,00800DIETARY 96285,A000000,00900,0000,00900NURSING ADMINISTRATION 96285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96285,A000000,01300,0000,01300SOCIAL SERVICE 96285,A000000,01600,0000,01600SKILLED NURSING FACILITY 96285,A000000,01800,0000,01800NURSING FACILITY 96285,A000000,01900,0000,01900OTHER LONG TERM CARE 96285,A000000,02100,0000,02100RADIOLOGY 96285,A000000,02200,0000,02200LABORATORY 96285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96285,A000000,02500,0000,02500PHYSICAL THERAPY 96285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96285,A000000,02700,0000,02700SPEECH PATHOLOGY 96285,A000000,02800,0000,02800ELECTROCARDIOLOGY 96285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96285,A000000,04800,0000,04800AMBULANCE 96285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96285,A81000A,00100,0100,Y 96285,A81000B,00100,0300,HOME OFFICE COSTS 96285,A81000B,00200,0300,HOME OFFICE COSTS 96285,A81000B,00300,0300,HOME OFFICE COSTS 96285,A81000C,00100,0100,B 96285,A81000C,00100,0400,COMMON OWNERSHI 96285,A81000C,00100,0600,HOME OFFICE 96285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96285,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96285,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96285,B100000,00000,0800,00000MEALS SERVED :DIETARY 96285,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96285,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96285,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96285,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96285,E10A180,00301,0100,06/25/1999 96285,S000000,00100,0200,05/25/2000 96285,S200000,00100,0100,2400 SAMISH WAY 96285,S200000,00200,0100,BELLINGHAM 96285,S200000,00200,0200,WA 96285,S200000,00200,0300,98226- 96285,S200000,00300,0100,WHATCOM 96285,S200000,00400,0100,HIGHLAND CONVALESCENT CENTER 96285,S200000,00400,0200,505140 96285,S200000,00400,0300,07/01/1994 96285,S200000,00400,0500,P 96285,S200000,01500,0100,Y 96285,S700003,00000,0100,1 96292,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96292,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96292,A000000,00300,0000,00300EMPLOYEE BENEFITS 96292,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96292,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96292,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96292,A000000,00700,0000,00700HOUSEKEEPING 96292,A000000,00800,0000,00800DIETARY 96292,A000000,00900,0000,00900NURSING ADMINISTRATION 96292,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96292,A000000,01100,0000,01100PHARMACY 96292,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96292,A000000,01300,0000,01300SOCIAL SERVICE 96292,A000000,01600,0000,01600SKILLED NURSING FACILITY 96292,A000000,01800,0000,01800NURSING FACILITY 96292,A000000,01810,0000,01810ICF/MR 96292,A000000,01900,0000,01900OTHER LONG TERM CARE 96292,A000000,02100,0000,02100RADIOLOGY 96292,A000000,02200,0000,02200LABORATORY 96292,A000000,02300,0000,02300INTRAVENOUS THERAPY 96292,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96292,A000000,02500,0000,02500PHYSICAL THERAPY 96292,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96292,A000000,02700,0000,02700SPEECH PATHOLOGY 96292,A000000,02800,0000,02800ELECTROCARDIOLOGY 96292,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96292,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96292,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96292,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96292,A000000,03200,0000,03200SUPPORT SURFACES 96292,A000000,03400,0000,03400CLINIC 96292,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96292,A000000,03500,0000,03500RURAL HEALTH CLINIC 96292,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96292,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96292,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96292,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96292,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96292,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96292,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96292,A000000,04400,0000,04400DME RENTED - HHA 96292,A000000,04500,0000,04500DME SOLD - HHA 96292,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96292,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96292,A000000,04800,0000,04800AMBULANCE 96292,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96292,A000000,05000,0000,05000CORF 96292,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96292,A000000,05300,0000,05300INTEREST EXPENSE 96292,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96292,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96292,A000000,05500,0000,05500HOSPICE 96292,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96292,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96292,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96292,A000000,06100,0000,06100NONPAID WORKERS 96292,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96292,A000000,06200,0000,06200PATIENTS LAUNDRY 96292,A81000A,00100,0100,Y 96292,A81000B,00100,0300,HOME OFFICE ALLOCATION 96292,A81000B,00200,0300,HOME OFFICE ALLOCATION 96292,A81000B,00300,0300,HOME OFFICE ALLOCATION 96292,A81000B,00400,0300,HOME OFFICE ALLOCATION 96292,A81000B,00500,0300,HOME OFFICE ALLOCATION 96292,A81000B,00600,0300,HOME OFFICE ALLOCATION 96292,A81000C,00100,0100,B 96292,A81000C,00100,0200,JAMES L. CLAY 96292,A81000C,00100,0400,REGENCY PACIFIC 96292,A81000C,00100,0600,HEALTH CARE MGM 96292,A81000C,00200,0100,B 96292,A81000C,00200,0200,JAMES L. CLAY 96292,A81000C,00200,0400,REGENCY DEVELOP 96292,A81000C,00200,0600,DEVELOPMENT 96292,A81000C,00300,0100,B 96292,A81000C,00300,0200,JAMES L. CLAY 96292,A81000C,00300,0400,EXPRESS MEDICAL 96292,A81000C,00300,0600,SUPPLIES 96292,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96292,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96292,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96292,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96292,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96292,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96292,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96292,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96292,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96292,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96292,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96292,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96292,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96292,E10A180,00301,0100,08/02/1999 96292,E10A180,00501,0100,07/12/2000 96292,E10A180,00501,0300,07/12/2000 96292,S000000,00100,0200,06/01/2000 96292,S200000,00100,0100,2102 S. 96TH STREET 96292,S200000,00200,0100,TACOMA 96292,S200000,00200,0200,WA 96292,S200000,00200,0300,98444-1753 96292,S200000,00300,0100,PIERCE 96292,S200000,00400,0100,REGENCY AT TACOMA 96292,S200000,00400,0200,505154 96292,S200000,00400,0300,01/01/1985 96292,S200000,00400,0500,P 96292,S200000,01500,0100,Y 96292,S200000,02200,0100,Y 96301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96301,A000000,00300,0000,00300EMPLOYEE BENEFITS 96301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96301,A000000,00700,0000,00700HOUSEKEEPING 96301,A000000,00800,0000,00800DIETARY 96301,A000000,00900,0000,00900NURSING ADMINISTRATION 96301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96301,A000000,01300,0000,01300SOCIAL SERVICE 96301,A000000,01301,0000,01301ACTIVITIES 96301,A000000,01600,0000,01600SKILLED NURSING FACILITY 96301,A000000,01800,0000,01800NURSING FACILITY 96301,A000000,02100,0000,02100RADIOLOGY 96301,A000000,02200,0000,02200LABORATORY 96301,A000000,02300,0000,02300INTRAVENOUS THERAPY 96301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96301,A000000,02500,0000,02500PHYSICAL THERAPY 96301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96301,A000000,02700,0000,02700SPEECH PATHOLOGY 96301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96301,A000000,03050,0000,03300EQUIPMENT RENTAL - DME 96301,A000000,03051,0000,03301OXYGEN 96301,A000000,05300,0000,05300INTEREST EXPENSE 96301,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96301,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96301,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96301,A81000A,00100,0100,Y 96301,A81000B,00100,0300,BUILDING LEASE 96301,A81000C,00100,0100,B 96301,A81000C,00100,0400,CAMBELL BARNES 96301,A81000C,00100,0600,LESSOR 96301,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96301,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96301,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96301,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96301,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96301,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96301,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96301,B100000,00000,0800,00000MEALS SERVED :DIETARY 96301,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96301,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96301,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96301,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96301,B100000,00000,1301,00000TIME SPENT :ACTIVITIES 96301,E10A180,00501,0100,06/14/2000 96301,E10A180,00501,0300,06/14/2000 96301,S000000,00100,0200,04/28/2000 96301,S200000,00100,0100,7900 WILLOWS ROAD 96301,S200000,00200,0100,REDMOND 96301,S200000,00200,0200,WA 96301,S200000,00200,0300,98052-6838 96301,S200000,00300,0100,KING 96301,S200000,00400,0100,CASCADE VISTA 96301,S200000,00400,0200,505181 96301,S200000,00400,0300,06/01/1968 96301,S200000,00400,0500,P 96301,S200000,01600,0100,Y 96312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96312,A000000,00300,0000,00300EMPLOYEE BENEFITS 96312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96312,A000000,00700,0000,00700HOUSEKEEPING 96312,A000000,00800,0000,00800DIETARY 96312,A000000,00900,0000,00900NURSING ADMINISTRATION 96312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96312,A000000,01100,0000,01100PHARMACY 96312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96312,A000000,01300,0000,01300SOCIAL SERVICE 96312,A000000,01600,0000,01600SKILLED NURSING FACILITY 96312,A000000,01800,0000,01800NURSING FACILITY 96312,A000000,01900,0000,01900OTHER LONG TERM CARE 96312,A000000,02100,0000,02100RADIOLOGY 96312,A000000,02200,0000,02200LABORATORY 96312,A000000,02300,0000,02300INTRAVENOUS THERAPY 96312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96312,A000000,02500,0000,02500PHYSICAL THERAPY 96312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96312,A000000,02700,0000,02700SPEECH PATHOLOGY 96312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96312,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96312,A000000,03200,0000,03200SUPPORT SURFACES 96312,A000000,04800,0000,04800AMBULANCE 96312,A000000,05300,0000,05300INTEREST EXPENSE 96312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96312,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96312,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96312,A000000,06200,0000,06200PATIENTS LAUNDRY 96312,A81000A,00100,0100,Y 96312,A81000B,00100,0300,CAP RELATED - BUILDING 96312,A81000B,00200,0300,CAP RELATED - MOVE EQUIPMENT 96312,A81000B,00300,0300,ADMIN & GENERAL 96312,A81000C,00100,0100,A 96312,A81000C,00100,0200,KARL R. MILLER 96312,A81000C,00100,0400,GENESIS HEALTH CARE 96312,A81000C,00100,0600,MANAGEMENT SERVICES 96312,A81000C,00200,0100,A 96312,A81000C,00200,0200,RICK DILLON 96312,A81000C,00200,0400,GENESIS HEALTH CARE 96312,A81000C,00200,0600,MANAGEMENT SERVICES 96312,A81000C,00300,0100,A 96312,A81000C,00300,0200,KARL R. MILLER 96312,A81000C,00300,0400,AVAMERE REHAB SERVICES 96312,A81000C,00300,0600,CONTRACT REHAB SERVICES 96312,A81000C,00400,0100,A 96312,A81000C,00400,0200,RICK DILLON 96312,A81000C,00400,0400,AVAMERE REHAB SERVICES 96312,A81000C,00400,0600,CONTRACT REHAB SERVICES 96312,A81000C,00500,0100,G 96312,A81000C,00500,0200,GENESIS HEALTH CARE 96312,A81000C,00500,0400,SOUTH SOUND LAUNDRY 96312,A81000C,00500,0600,CONTRACT LAUNDRY SERVICES 96312,A81000C,00600,0100,G 96312,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96312,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96312,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96312,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96312,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96312,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 96312,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96312,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96312,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96312,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96312,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96312,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96312,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96312,S000000,00100,0200,03/03/2000 96312,S200000,00100,0100,7411 PACIFIC AVENUE 96312,S200000,00200,0100,TACOMA 96312,S200000,00200,0200,WA 96312,S200000,00200,0300,98408- 96312,S200000,00300,0100,PIERCE 96312,S200000,00300,0200,8200 96312,S200000,00300,0300,U 96312,S200000,00400,0100,HERITAGE 96312,S200000,00400,0200,505183 96312,S200000,00400,0300,12/01/1981 96312,S200000,00400,0500,P 96312,S200000,01500,0100,Y 96319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96319,A000000,00300,0000,00300EMPLOYEE BENEFITS 96319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96319,A000000,00700,0000,00700HOUSEKEEPING 96319,A000000,00800,0000,00800DIETARY 96319,A000000,00900,0000,00900NURSING ADMINISTRATION 96319,A000000,00901,0000,00901OTHER NURSING 96319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96319,A000000,01100,0000,01100PHARMACY 96319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96319,A000000,01300,0000,01300SOCIAL SERVICE 96319,A000000,01301,0000,01301ACTIVITIES 96319,A000000,01600,0000,01600SKILLED NURSING FACILITY 96319,A000000,01800,0000,01800NURSING FACILITY 96319,A000000,02100,0000,02100RADIOLOGY 96319,A000000,02200,0000,02200LABORATORY 96319,A000000,02300,0000,02300INTRAVENOUS THERAPY 96319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96319,A000000,02500,0000,02500PHYSICAL THERAPY 96319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96319,A000000,02700,0000,02700SPEECH PATHOLOGY 96319,A000000,02800,0000,02800ELECTROCARDIOLOGY 96319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96319,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96319,A000000,03051,0000,03301NUTRITIONAL THERAPY 96319,A000000,03052,0000,03302COMPLEX MEDICAL EQUIPMENT 96319,A000000,03053,0000,03303PROSTHETICS & ORTHOTICS 96319,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96319,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96319,A000000,04800,0000,04800AMBULANCE 96319,A000000,05300,0000,05300INTEREST EXPENSE 96319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96319,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96319,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96319,A000000,06151,0000,06301DAY CARE 96319,A000000,06152,0000,06302REVIEW AND ANALYZE ACCOUNTS 96319,A000000,06153,0000,06303DISTRICT OFFICE SPACE 96319,A000000,06200,0000,06200PATIENTS LAUNDRY 96319,A81000A,00100,0100,Y 96319,A81000B,00100,0300,HOME OFFICE COSTS 96319,A81000B,00200,0300,LIABILITY INSURANCE 96319,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 96319,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 96319,A81000B,00500,0300,VC PHARMACY - ADMIN 96319,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 96319,A81000B,00700,0300,VC PHARMACY - LAUNDRY 96319,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 96319,A81000B,00900,0300,VC PHARMACY - DIETARY 96319,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 96319,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 96319,A81000B,01200,0300,VC PHARMACY - NONLEGEND 96319,A81000B,01300,0300,VC PHARMACY - MED RECORDS 96319,A81000B,01400,0300,VC PHARMACY - SOC SVCS 96319,A81000B,01500,0300,VC PHARMACY - ACTIVITY 96319,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 96319,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 96319,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 96319,A81000B,01900,0300,VC PHARMACY - LAB 96319,A81000B,02000,0300,VC PHARMACY - IV THERAPY 96319,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 96319,A81000B,02200,0300,VENCARE REHAB - PHYS THER 96319,A81000B,02300,0300,VENCARE REHAB - OCCP THER 96319,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 96319,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 96319,A81000B,02600,0300,VC PHARMACY - LEGEND 96319,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 96319,A81000B,02800,0300,VC PHARMACY - NUTR THER 96319,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 96319,A81000B,02901,0300,VC PHARMACY - PROS & ORTHOS 96319,A81000B,02902,0300,VC PHARMACY - NONREIMB 96319,A81000B,02903,0300,VC PHARMACY - EMPL BENEFITS 96319,A81000C,00100,0100,B 96319,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 96319,A81000C,00100,0400,CORNERSTONE INSURANCE CO 96319,A81000C,00100,0600,LIABILITY INSURANCE 96319,A81000C,00200,0400,VENCARE PHARMACY SERVICES 96319,A81000C,00200,0600,PHARMACY 96319,A81000C,00300,0400,VENCARE RESPIRATORY 96319,A81000C,00300,0600,RESPIRATORY THERAPY 96319,A81000C,00400,0400,THERAPY SERVICES 96319,A81000C,00500,0400,VENCARE REHAB SERVICES 96319,A81000C,00500,0600,REHAB 96319,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 96319,A81000C,00600,0600,PORTABLE X-RAY 96319,B100000,00000,0100,00003SQUARE FEET :CAP REL COSTS - BLDGS 96319,B100000,00000,0250,00003SQUARE FEET :CAP REL COSTS - MOVAB 96319,B100000,00000,0300,00003GROSS SALARIES :EMPLOYEE BENEFITS 96319,B100000,00000,0400,00003 ACCUM. COST :ADMINISTRATIVE & GENE 96319,B100000,00000,0500,00003SQUARE FEET :PLANT OPERATION MAIN 96319,B100000,00000,0650,00003PATIENT DAYS :LAUNDRY & LINEN SERV 96319,B100000,00000,0750,00003SQUARE FEET :HOUSEKEEPING 96319,B100000,00000,0850,00003PATIENT DAYS :DIETARY 96319,B100000,00000,0901,00003HOURS OF SERVICE :OTHER NURSING 96319,B100000,00000,0950,00003NURSES SALARIES :NURSING ADMINISTR 96319,B100000,00000,1050,00003GROSS REVENUE :CENTRAL SERVICES & 96319,B100000,00000,1150,00003GROSS REVENUE :PHARMACY 96319,B100000,00000,1250,00003GROSS REVENUE :MEDICAL RECORDS & L 96319,B100000,00000,1330,00003PATIENT DAYS :SOCIAL SERVICE 96319,B100000,00000,1331,00003PATIENT DAYS :ACTIVITIES 96319,E10A180,00301,0100,06/30/2000 96319,E10A180,00350,0100,11/30/2000 96319,S000000,00100,0200,12/01/2000 96319,S200000,00100,0100,4430 TALBOT ROAD SOUTH 96319,S200000,00200,0100,RENTON 96319,S200000,00200,0200,WA 96319,S200000,00200,0300,98055- 96319,S200000,00300,0100,KING 96319,S200000,00400,0100,163 TALBOT CTR FOR REHAB & HEALTHCAR 96319,S200000,00400,0200,505202 96319,S200000,00400,0300,07/01/1984 96319,S200000,00400,0500,P 96319,S200000,01500,0100,Y 96319,S200000,02200,0100,Y 96319,S700003,00000,0200,2 96340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96340,A000000,00300,0000,00300EMPLOYEE BENEFITS 96340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96340,A000000,00700,0000,00700HOUSEKEEPING 96340,A000000,00800,0000,00800DIETARY 96340,A000000,00900,0000,00900NURSING ADMINISTRATION 96340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96340,A000000,01100,0000,01100PHARMACY 96340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96340,A000000,01300,0000,01300SOCIAL SERVICE 96340,A000000,01600,0000,01600SKILLED NURSING FACILITY 96340,A000000,01800,0000,01800NURSING FACILITY 96340,A000000,01810,0000,01810ICF/MR 96340,A000000,01900,0000,01900OTHER LONG TERM CARE 96340,A000000,02100,0000,02100RADIOLOGY 96340,A000000,02200,0000,02200LABORATORY 96340,A000000,02300,0000,02300INTRAVENOUS THERAPY 96340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96340,A000000,02500,0000,02500PHYSICAL THERAPY 96340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96340,A000000,02700,0000,02700SPEECH PATHOLOGY 96340,A000000,02800,0000,02800ELECTROCARDIOLOGY 96340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96340,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96340,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96340,A000000,03200,0000,03200SUPPORT SURFACES 96340,A000000,03400,0000,03400CLINIC 96340,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96340,A000000,03500,0000,03500RURAL HEALTH CLINIC 96340,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96340,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96340,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96340,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96340,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96340,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96340,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96340,A000000,04400,0000,04400DME RENTED - HHA 96340,A000000,04500,0000,04500DME SOLD - HHA 96340,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96340,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96340,A000000,04800,0000,04800AMBULANCE 96340,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96340,A000000,05000,0000,05000CORF 96340,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96340,A000000,05300,0000,05300INTEREST EXPENSE 96340,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96340,A000000,05500,0000,05500HOSPICE 96340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96340,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96340,A000000,06100,0000,06100NONPAID WORKERS 96340,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96340,A000000,06200,0000,06200PATIENTS LAUNDRY 96340,A81000A,00100,0100,Y 96340,A81000B,00100,0300,HOME OFFICE ALLOCATION 96340,A81000B,00200,0300,HOME OFFICE ALLOCATION 96340,A81000B,00300,0300,HOME OFFICE ALLOCATION 96340,A81000B,00400,0300,HOME OFFICE ALLOCATION 96340,A81000B,00500,0300,HOME OFFICE ALLOCATION 96340,A81000B,00600,0300,HOME OFFICE ALLOCATION 96340,A81000C,00100,0100,B 96340,A81000C,00100,0200,JAMES L. CLAY 96340,A81000C,00100,0400,REGENCY PACIFIC 96340,A81000C,00100,0600,HEALTH CARE MAN 96340,A81000C,00200,0100,B 96340,A81000C,00200,0200,JAMES L. CLAY 96340,A81000C,00200,0400,REGENCY DEVELOP 96340,A81000C,00200,0600,DEVELOPMENT 96340,A81000C,00300,0100,B 96340,A81000C,00300,0200,JAMES L. CLAY 96340,A81000C,00300,0400,EXPRESS MEDICAL 96340,A81000C,00300,0600,SUPPLIES 96340,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96340,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96340,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96340,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96340,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96340,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96340,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96340,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96340,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96340,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96340,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96340,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96340,E10A180,00301,0100,08/02/1999 96340,E10A180,00501,0100,07/12/2000 96340,E10A180,00501,0300,07/12/2000 96340,S000000,00100,0200,06/01/2000 96340,S200000,00100,0100,909 S. MERIDIAN STREET 96340,S200000,00200,0100,PUYALLUP 96340,S200000,00200,0200,WA 96340,S200000,00200,0300,98371- 96340,S200000,00300,0100,PIERCE 96340,S200000,00400,0100,REGENCY AT PUYALLUP REHAB CTR. 96340,S200000,00400,0200,505211 96340,S200000,00400,0300,09/01/1985 96340,S200000,00400,0500,P 96340,S200000,01500,0100,Y 96340,S200000,02200,0100,Y 96352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96352,A000000,00300,0000,00300EMPLOYEE BENEFITS 96352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96352,A000000,00700,0000,00700HOUSEKEEPING 96352,A000000,00800,0000,00800DIETARY 96352,A000000,00900,0000,00900NURSING ADMINISTRATION 96352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96352,A000000,01300,0000,01300SOCIAL SERVICE 96352,A000000,01600,0000,01600SKILLED NURSING FACILITY 96352,A000000,01800,0000,01800NURSING FACILITY 96352,A000000,02100,0000,02100RADIOLOGY 96352,A000000,02200,0000,02200LABORATORY 96352,A000000,02500,0000,02500PHYSICAL THERAPY 96352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96352,A000000,02700,0000,02700SPEECH PATHOLOGY 96352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96352,A000000,03050,0000,03300RESPIRATORY THERAPY 96352,A000000,03051,0000,03301EQUIPMENT RENTAL 96352,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96352,A81000A,00100,0100,Y 96352,A81000B,00100,0300,MANAGEMENT FEES 96352,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 96352,A81000B,00300,0300,DEPRECIATION 96352,A81000B,00400,0300,DEPRECIATION 96352,A81000B,00500,0300,INTEREST 96352,A81000B,00600,0300,LEASE PAYMENTS 96352,A81000C,00100,0100,A 96352,A81000C,00100,0200,JAMES E. MOCK 96352,A81000C,00100,0400,HMH ASSOCIATES 96352,A81000C,00100,0600,MANAGEMENT CO. 96352,A81000C,00200,0100,A 96352,A81000C,00200,0200,JAMES E. MOCK 96352,A81000C,00200,0400,HMH ASSOCIATES 96352,A81000C,00200,0600,MANAGEMENT CO. 96352,A81000C,00300,0100,A 96352,A81000C,00300,0200,JAMES E. MOCK 96352,A81000C,00300,0400,ANACORTES LLC 96352,A81000C,00300,0600,REAL ESTATE 96352,A81000C,00400,0100,A 96352,A81000C,00400,0200,JAMES E. MOCK 96352,A81000C,00400,0400,ANACORTES LLC 96352,A81000C,00400,0600,REAL ESTATE 96352,A81000C,00500,0100,A 96352,A81000C,00500,0200,JAMES E. MOCK 96352,A81000C,00500,0400,ANACORTES LLC 96352,A81000C,00500,0600,REAL ESTATE 96352,A81000C,00600,0100,A 96352,A81000C,00600,0200,JAMES E. MOCK 96352,A81000C,00600,0400,ANACORTES LLC 96352,A81000C,00600,0600,REAL ESTATE 96352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96352,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96352,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96352,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96352,B100000,00000,0800,00000MEALS SERVED :DIETARY 96352,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96352,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96352,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96352,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96352,E10A180,00501,0100,07/12/2000 96352,E10A180,00501,0300,07/12/2000 96352,S000000,00100,0200,06/05/2000 96352,S200000,00100,0100,1105 26TH STREET 96352,S200000,00200,0100,ANACORTES 96352,S200000,00200,0200,WA 96352,S200000,00200,0300,98221- 96352,S200000,00300,0100,SKAGIT 96352,S200000,00400,0100,ALLIANCE LIVING COMM OF ANACORTES 96352,S200000,00400,0200,505216 96352,S200000,00400,0300,01/01/1979 96352,S200000,00400,0500,P 96352,S200000,01600,0100,Y 96361,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96361,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96361,A000000,00300,0000,00300EMPLOYEE BENEFITS 96361,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96361,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96361,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96361,A000000,00700,0000,00700HOUSEKEEPING 96361,A000000,00800,0000,00800DIETARY 96361,A000000,00900,0000,00900NURSING ADMINISTRATION 96361,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96361,A000000,01100,0000,01100PHARMACY 96361,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96361,A000000,01300,0000,01300SOCIAL SERVICE 96361,A000000,01350,0000,01500ACTIVITY 96361,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96361,A000000,01600,0000,01600SKILLED NURSING FACILITY 96361,A000000,01800,0000,01800NURSING FACILITY 96361,A000000,01810,0000,01801ICF/MR 96361,A000000,01900,0000,01900OTHER LONG TERM CARE 96361,A000000,02100,0000,02100RADIOLOGY 96361,A000000,02200,0000,02200LABORATORY 96361,A000000,02300,0000,02300INTRAVENOUS THERAPY 96361,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96361,A000000,02500,0000,02500PHYSICAL THERAPY 96361,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96361,A000000,02700,0000,02700SPEECH PATHOLOGY 96361,A000000,02800,0000,02800ELECTROCARDIOLOGY 96361,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96361,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96361,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96361,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96361,A000000,03200,0000,03200SUPPORT SURFACES 96361,A000000,03400,0000,03400CLINIC 96361,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96361,A000000,03500,0000,03500RURAL HEALTH CLINIC 96361,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96361,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96361,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96361,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96361,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96361,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96361,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96361,A000000,04400,0000,04400DME RENTED - HHA 96361,A000000,04500,0000,04500DME SOLD - HHA 96361,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96361,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96361,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96361,A000000,04800,0000,04800AMBULANCE 96361,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96361,A000000,05000,0000,05000CORF 96361,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96361,A000000,05300,0000,05300INTEREST EXPENSE 96361,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96361,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96361,A000000,05500,0000,05500HOSPICE 96361,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96361,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96361,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96361,A000000,06100,0000,06100NONPAID WORKERS 96361,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96361,A000000,06200,0000,06200PATIENTS LAUNDRY 96361,A81000A,00100,0100,Y 96361,A81000B,00100,0300,MANAGEMENT 96361,A81000B,00200,0300,LEASE 96361,A81000C,00100,0100,A 96361,A81000C,00100,0200,DON STROM 96361,A81000C,00100,0400,DON STROM 96361,A81000C,00100,0600,MANAGEMENT 96361,A81000C,00200,0100,A 96361,A81000C,00200,0200,DON STROM 96361,A81000C,00200,0400,DON STROM 96361,A81000C,00200,0600,LEASE 96361,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96361,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96361,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96361,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96361,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96361,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96361,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 96361,B100000,00000,0800,00000MEALS SERVED :DIETARY 96361,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96361,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96361,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96361,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96361,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96361,B100000,00000,1350,00000TIME SPENT :ACTIVITY 96361,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96361,E10A180,00301,0100,06/17/1999 96361,E10A180,00501,0100,05/31/2000 96361,E10A180,00501,0300,05/31/2000 96361,S000000,00100,0200,04/17/2000 96361,S200000,00100,0100,2051 POTTERY 96361,S200000,00200,0100,PORT ORCHARD 96361,S200000,00200,0200,WA 96361,S200000,00200,0300,98366- 96361,S200000,00300,0100,KITSAP 96361,S200000,00400,0100,RIDGEMONT TERRACE 96361,S200000,00400,0200,505217 96361,S200000,00400,0300,04/01/1972 96361,S200000,00400,0500,P 96361,S200000,00400,0600,P 96361,S200000,01600,0100,Y 96361,S200000,02800,0100,Y 96361,S200000,04300,0100,Y 96371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96371,A000000,00300,0000,00300EMPLOYEE BENEFITS 96371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96371,A000000,00700,0000,00700HOUSEKEEPING 96371,A000000,00800,0000,00800DIETARY 96371,A000000,00900,0000,00900NURSING ADMINISTRATION 96371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96371,A000000,01300,0000,01300SOCIAL SERVICE 96371,A000000,01301,0000,01301ACTIVITIES 96371,A000000,01600,0000,01600SKILLED NURSING FACILITY 96371,A000000,01800,0000,01800NURSING FACILITY 96371,A000000,01900,0000,01900OTHER LONG TERM CARE 96371,A000000,02100,0000,02100RADIOLOGY 96371,A000000,02200,0000,02200LABORATORY 96371,A000000,02300,0000,02300INTRAVENOUS THERAPY 96371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96371,A000000,02500,0000,02500PHYSICAL THERAPY 96371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96371,A000000,02700,0000,02700SPEECH PATHOLOGY 96371,A000000,02800,0000,02800ELECTROCARDIOLOGY 96371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96371,A000000,03050,0000,03300EQUIPMENT RENTAL - DME 96371,A000000,03051,0000,03301OXYGEN 96371,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96371,A000000,03200,0000,03200SUPPORT SURFACES 96371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96371,A81000A,00100,0100,Y 96371,A81000B,00100,0300,DATA PROCESSING 96371,A81000C,00100,0100,B 96371,A81000C,00100,0400,CASCADE PLAZA 96371,A81000C,00100,0600,ASSISTED LIVING 96371,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96371,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96371,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96371,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96371,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96371,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96371,B100000,00000,0800,00000MEALS SERVED :DIETARY 96371,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96371,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96371,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96371,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96371,B100000,00000,1331,00000GROSS REVENUES :ACTIVITIES 96371,E10A180,00301,0100,08/31/1999 96371,E10A180,00501,0100,05/22/2000 96371,E10A180,00501,0300,05/22/2000 96371,S000000,00100,0200,04/28/2000 96371,S200000,00100,0100,11800 NE 128TH ST. 96371,S200000,00200,0100,KIRKLAND 96371,S200000,00200,0200,WA 96371,S200000,00200,0300,98034-7201 96371,S200000,00300,0100,KING 96371,S200000,00400,0100,EVERGREEN VISTA 96371,S200000,00400,0200,505219 96371,S200000,00400,0300,07/01/1992 96371,S200000,00400,0500,P 96371,S200000,01600,0100,Y 96385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96385,A000000,00300,0000,00300EMPLOYEE BENEFITS 96385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96385,A000000,00700,0000,00700HOUSEKEEPING 96385,A000000,00800,0000,00800DIETARY 96385,A000000,00900,0000,00900NURSING ADMINISTRATION 96385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96385,A000000,01100,0000,01100PHARMACY 96385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96385,A000000,01300,0000,01300SOCIAL SERVICE 96385,A000000,01350,0000,01500ACTIVITY 96385,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96385,A000000,01600,0000,01600SKILLED NURSING FACILITY 96385,A000000,01800,0000,01800NURSING FACILITY 96385,A000000,01810,0000,01801ICF/MR 96385,A000000,01900,0000,01900OTHER LONG TERM CARE 96385,A000000,02100,0000,02100RADIOLOGY 96385,A000000,02200,0000,02200LABORATORY 96385,A000000,02300,0000,02300INTRAVENOUS THERAPY 96385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96385,A000000,02500,0000,02500PHYSICAL THERAPY 96385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96385,A000000,02700,0000,02700SPEECH PATHOLOGY 96385,A000000,02800,0000,02800ELECTROCARDIOLOGY 96385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96385,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96385,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96385,A000000,03200,0000,03200SUPPORT SURFACES 96385,A000000,03400,0000,03400CLINIC 96385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96385,A000000,03500,0000,03500RURAL HEALTH CLINIC 96385,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96385,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96385,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96385,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96385,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96385,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96385,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96385,A000000,04400,0000,04400DME RENTED - HHA 96385,A000000,04500,0000,04500DME SOLD - HHA 96385,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96385,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96385,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96385,A000000,04800,0000,04800AMBULANCE 96385,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96385,A000000,05000,0000,05000CORF 96385,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96385,A000000,05300,0000,05300INTEREST EXPENSE 96385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96385,A000000,05500,0000,05500HOSPICE 96385,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96385,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96385,A000000,06100,0000,06100NONPAID WORKERS 96385,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96385,A000000,06200,0000,06200PATIENTS LAUNDRY 96385,A81000A,00100,0100,Y 96385,A81000B,00100,0300,LEASE 96385,A81000B,00200,0300,DEPRECIATION 96385,A81000B,00300,0300,INTEREST 96385,A81000B,00400,0300,FHA INSURANCE 96385,A81000C,00100,0100,A 96385,A81000C,00100,0200,WANDA GOLKA 96385,A81000C,00100,0400,SEATOMA 96385,A81000C,00100,0600,LEASE 96385,A81000C,00200,0100,A 96385,A81000C,00200,0200,KRIS BOLT 96385,A81000C,00200,0400,LIMITED 96385,A81000C,00200,0600,LEASE 96385,A81000C,00300,0100,A 96385,A81000C,00300,0200,VICTOR GOLKA 96385,A81000C,00300,0400,PARTNERSHIP 96385,A81000C,00300,0600,LEASE 96385,A81000C,00400,0100,A 96385,A81000C,00400,0200,MAREK GOLKA 96385,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96385,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96385,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96385,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96385,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96385,B100000,00000,0650,00000PPD :LAUNDRY & LINEN SERVICE 96385,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96385,B100000,00000,0800,00000MEALS SERVED :DIETARY 96385,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96385,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96385,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96385,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96385,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96385,B100000,00000,1350,00000TIME SPENT :ACTIVITY 96385,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96385,E10A180,00501,0100,01/05/2001 96385,S000000,00100,0200,11/21/2000 96385,S200000,00100,0300,3806 96385,S200000,00200,0100,KENT 96385,S200000,00200,0200,WA 96385,S200000,00200,0300,98032-0306 96385,S200000,00300,0100,KING 96385,S200000,00400,0100,SEATOMA CONVALESCENT CENTER 96385,S200000,00400,0200,505224 96385,S200000,00400,0300,09/25/1972 96385,S200000,00400,0500,P 96385,S200000,00400,0600,O 96385,S200000,01600,0100,Y 96385,S200000,04300,0100,Y 96385,S700003,00000,0100,1 96393,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96393,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96393,A000000,00300,0000,00300EMPLOYEE BENEFITS 96393,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96393,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96393,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96393,A000000,00700,0000,00700HOUSEKEEPING 96393,A000000,00800,0000,00800DIETARY 96393,A000000,00900,0000,00900NURSING ADMINISTRATION 96393,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96393,A000000,01100,0000,01100PHARMACY 96393,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96393,A000000,01300,0000,01300SOCIAL SERVICE 96393,A000000,01350,0000,01500OTHER GENERAL SERVICES 96393,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96393,A000000,01600,0000,01600SKILLED NURSING FACILITY 96393,A000000,01800,0000,01800NURSING FACILITY 96393,A000000,01810,0000,01801ICF/MR 96393,A000000,01900,0000,01900OTHER LONG TERM CARE 96393,A000000,02100,0000,02100RADIOLOGY 96393,A000000,02200,0000,02200LABORATORY 96393,A000000,02300,0000,02300INTRAVENOUS THERAPY 96393,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96393,A000000,02500,0000,02500PHYSICAL THERAPY 96393,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96393,A000000,02700,0000,02700SPEECH PATHOLOGY 96393,A000000,02800,0000,02800ELECTROCARDIOLOGY 96393,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96393,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96393,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96393,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96393,A000000,03200,0000,03200SUPPORT SURFACES 96393,A000000,03201,0000,03201DURABLE MEDICAL EQPT 96393,A000000,03202,0000,03202ENTERALS 96393,A000000,03203,0000,03203PROSTHETICS & ORTHOTICS 96393,A000000,03204,0000,03204DIABETICS TESTING 96393,A000000,03400,0000,03400CLINIC 96393,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96393,A000000,03500,0000,03500RURAL HEALTH CLINIC 96393,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96393,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96393,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96393,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96393,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96393,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96393,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96393,A000000,04400,0000,04400DME RENTED - HHA 96393,A000000,04500,0000,04500DME SOLD - HHA 96393,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96393,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96393,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96393,A000000,04800,0000,04800AMBULANCE 96393,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96393,A000000,05000,0000,05000CORF 96393,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96393,A000000,05300,0000,05300INTEREST EXPENSE 96393,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96393,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96393,A000000,05500,0000,05500HOSPICE 96393,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96393,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96393,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96393,A000000,06100,0000,06100NONPAID WORKERS 96393,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96393,A000000,06200,0000,06200PATIENTS LAUNDRY 96393,A81000A,00100,0100,Y 96393,A81000B,00100,0300,HOME OFFICE CAPITAL 96393,A81000B,00200,0300,HOME OFFICE CAPITAL 96393,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96393,A81000B,00400,0300,HOME OFFICE NURSE CONSULTANT 96393,A81000B,00500,0300,MANAGEMENT FEES 96393,A81000B,00600,0300,MANAGEMENT FEES 96393,A81000B,00700,0300,MANAGEMENT FEES 96393,A81000B,00800,0300,MANAGEMENT FEES 96393,A81000C,00100,0100,B 96393,A81000C,00100,0200,HILLCREST MANOR 96393,A81000C,00100,0400,EAGLE HEALTHCARE INC 96393,A81000C,00100,0600,HEALTHCARE 96393,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96393,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96393,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96393,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96393,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96393,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96393,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96393,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96393,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96393,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96393,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96393,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96393,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96393,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96393,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96393,E10A180,00301,0100,06/14/1999 96393,S000000,00100,0200,06/02/2000 96393,S200000,00100,0100,721 OTIS AVENUE 96393,S200000,00200,0100,SUNNYSIDE 96393,S200000,00200,0200,WA 96393,S200000,00200,0300,98944- 96393,S200000,00300,0100,YAKIMA 96393,S200000,00400,0100,HILLCREST MANOR 96393,S200000,00400,0200,505226 96393,S200000,00400,0300,05/01/1983 96393,S200000,00400,0500,P 96393,S200000,00600,0200,411175 96393,S200000,00600,0300,12/01/1992 96393,S200000,00600,0600,P 96393,S200000,01600,0100,Y 96393,S700003,00000,0100,1 96401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96401,A000000,00300,0000,00300EMPLOYEE BENEFITS 96401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96401,A000000,00700,0000,00700HOUSEKEEPING 96401,A000000,00800,0000,00800DIETARY 96401,A000000,00900,0000,00900NURSING ADMINISTRATION 96401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96401,A000000,01300,0000,01300SOCIAL SERVICE 96401,A000000,01600,0000,01600SKILLED NURSING FACILITY 96401,A000000,01800,0000,01800NURSING FACILITY 96401,A000000,01900,0000,01900OTHER LONG TERM CARE 96401,A000000,02100,0000,02100RADIOLOGY 96401,A000000,02200,0000,02200LABORATORY 96401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96401,A000000,02500,0000,02500PHYSICAL THERAPY 96401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96401,A000000,02700,0000,02700SPEECH PATHOLOGY 96401,A000000,02800,0000,02800ELECTROCARDIOLOGY 96401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96401,A000000,04800,0000,04800AMBULANCE 96401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96401,A81000A,00100,0100,Y 96401,A81000B,00100,0300,BUILDING RENTAL 96401,A81000B,00200,0300,DEPRECIATION 96401,A81000B,00300,0300,INTEREST 96401,A81000B,00400,0300,HOME OFFICE COSTS 96401,A81000B,00500,0300,HOME OFFICE COSTS 96401,A81000B,00600,0300,HOME OFFICE COSTS 96401,A81000C,00100,0100,A 96401,A81000C,00100,0200,GENE SETTLEMEIR 96401,A81000C,00100,0600,PROPERTY RENTAL 96401,A81000C,00200,0100,B 96401,A81000C,00200,0400,EVERGREEN LIVIN 96401,A81000C,00200,0600,HOME OFFICE 96401,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96401,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96401,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96401,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96401,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96401,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96401,B100000,00000,0800,00000MEALS SERVED :DIETARY 96401,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96401,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96401,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96401,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96401,E10A180,00301,0100,06/01/1999 96401,E10A180,00501,0100,07/12/2000 96401,E10A180,00501,0300,07/12/2000 96401,S000000,00100,0200,05/31/2000 96401,S200000,00100,0100,310 4TH STREET 96401,S200000,00100,0300,P.O. BOX 69 96401,S200000,00200,0100,WOODLAND 96401,S200000,00200,0200,WA 96401,S200000,00200,0300,98674- 96401,S200000,00300,0100,COWLITZ 96401,S200000,00300,0200,0050 96401,S200000,00300,0300,R 96401,S200000,00400,0100,WOODLAND CONVALESCENT CENTER 96401,S200000,00400,0200,505232 96401,S200000,00400,0300,01/01/1975 96401,S200000,00400,0500,P 96401,S200000,01500,0100,Y 96409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96409,A000000,00300,0000,00300EMPLOYEE BENEFITS 96409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96409,A000000,00700,0000,00700HOUSEKEEPING 96409,A000000,00800,0000,00800DIETARY 96409,A000000,00900,0000,00900NURSING ADMINISTRATION 96409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96409,A000000,01300,0000,01300SOCIAL SERVICE 96409,A000000,01600,0000,01600SKILLED NURSING FACILITY 96409,A000000,01800,0000,01800NURSING FACILITY 96409,A000000,01900,0000,01900OTHER LONG TERM CARE 96409,A000000,02100,0000,02100RADIOLOGY 96409,A000000,02200,0000,02200LABORATORY 96409,A000000,02300,0000,02300INTRAVENOUS THERAPY 96409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96409,A000000,02500,0000,02500PHYSICAL THERAPY 96409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96409,A000000,02700,0000,02700SPEECH PATHOLOGY 96409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96409,A000000,03200,0000,03200SUPPORT SURFACES 96409,A000000,04800,0000,04800AMBULANCE 96409,A000000,05300,0000,05300INTEREST EXPENSE 96409,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96409,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96409,A000000,06200,0000,06200PATIENTS LAUNDRY 96409,A81000A,00100,0100,Y 96409,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 96409,A81000C,00100,0100,D 96409,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 96409,A81000C,00100,0600,HOME OFFICE 96409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96409,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96409,B100000,00000,0800,00000MEALS SERVED :DIETARY 96409,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96409,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96409,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96409,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96409,S000000,00100,0200,12/22/1999 96409,S200000,00100,0100,3919 SOUTH 19TH 96409,S200000,00200,0100,TACOMA 96409,S200000,00200,0200,WA 96409,S200000,00200,0300,98405- 96409,S200000,00300,0100,PIERCE 96409,S200000,00400,0100,PARK ROSE CC 96409,S200000,00400,0200,505239 96409,S200000,00400,0300,01/01/1983 96409,S200000,00400,0500,O 96409,S200000,01600,0100,Y 96409,S200000,02200,0100,Y 96409,S700003,00000,0100,1 96411,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96411,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96411,A000000,00300,0000,00300EMPLOYEE BENEFITS 96411,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96411,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96411,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96411,A000000,00700,0000,00700HOUSEKEEPING 96411,A000000,00800,0000,00800DIETARY 96411,A000000,00900,0000,00900NURSING ADMINISTRATION 96411,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96411,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96411,A000000,01300,0000,01300SOCIAL SERVICE 96411,A000000,01600,0000,01600SKILLED NURSING FACILITY 96411,A000000,01800,0000,01800NURSING FACILITY 96411,A000000,01900,0000,01900OTHER LONG TERM CARE 96411,A000000,02100,0000,02100RADIOLOGY 96411,A000000,02200,0000,02200LABORATORY 96411,A000000,02300,0000,02300INTRAVENOUS THERAPY 96411,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96411,A000000,02500,0000,02500PHYSICAL THERAPY 96411,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96411,A000000,02700,0000,02700SPEECH PATHOLOGY 96411,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96411,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96411,A000000,03200,0000,03200SUPPORT SURFACES 96411,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96411,A000000,05300,0000,05300INTEREST EXPENSE 96411,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96411,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96411,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96411,A000000,06200,0000,06200PATIENTS LAUNDRY 96411,A81000A,00100,0100,Y 96411,A81000B,00100,0300,A & G 96411,A81000B,00200,0300,PT 96411,A81000B,00300,0300,OT 96411,A81000B,00400,0300,ST 96411,A81000C,00100,0100,D 96411,A81000C,00100,0200,ANDY MARTINI 96411,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 96411,A81000C,00100,0600,MANAGEMENT SERVICES 96411,A81000C,00200,0100,B 96411,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 96411,A81000C,00200,0400,EVERGREEN ANCILLARY 96411,A81000C,00200,0600,THERAPY SERVICES 96411,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96411,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96411,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96411,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96411,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96411,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96411,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96411,B100000,00000,0800,00000MEALS SERVED :DIETARY 96411,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 96411,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96411,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96411,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96411,E10A180,00301,0100,09/15/1999 96411,E10A180,00302,0100,09/05/2000 96411,E10A180,00351,0100,05/16/2000 96411,E10A180,00501,0100,07/19/2000 96411,E10A180,00501,0300,07/19/2000 96411,S000000,00100,0200,06/05/2000 96411,S200000,00100,0100,3919 SOUTH 19TH 96411,S200000,00200,0100,TACOMA 96411,S200000,00200,0200,WA 96411,S200000,00200,0300,98405- 96411,S200000,00300,0100,PIERCE 96411,S200000,00400,0100,PARK ROSE CC 96411,S200000,00400,0200,505239 96411,S200000,00400,0300,01/01/1983 96411,S200000,00400,0500,P 96411,S200000,01600,0100,Y 96418,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96418,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96418,A000000,00300,0000,00300EMPLOYEE BENEFITS 96418,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96418,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96418,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96418,A000000,00700,0000,00700HOUSEKEEPING 96418,A000000,00800,0000,00800DIETARY 96418,A000000,00900,0000,00900NURSING ADMINISTRATION 96418,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96418,A000000,01100,0000,01100PHARMACY 96418,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96418,A000000,01300,0000,01300SOCIAL SERVICE 96418,A000000,01600,0000,01600SKILLED NURSING FACILITY 96418,A000000,01800,0000,01800NURSING FACILITY 96418,A000000,01900,0000,01900OTHER LONG TERM CARE 96418,A000000,02100,0000,02100RADIOLOGY 96418,A000000,02200,0000,02200LABORATORY 96418,A000000,02300,0000,02300INTRAVENOUS THERAPY 96418,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96418,A000000,02500,0000,02500PHYSICAL THERAPY 96418,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96418,A000000,02700,0000,02700SPEECH PATHOLOGY 96418,A000000,02800,0000,02800ELECTROCARDIOLOGY 96418,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96418,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96418,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96418,A000000,03051,0000,03301NUTRITIONAL THERAPY 96418,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96418,A000000,03053,0000,03303PHYSICIAN SERVICES 96418,A000000,03054,0000,03304MEDICAL SERVICES 96418,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96418,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96418,A000000,03200,0000,03200SUPPORT SURFACES 96418,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96418,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96418,A000000,04800,0000,04800AMBULANCE 96418,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96418,A000000,05300,0000,05300INTEREST EXPENSE 96418,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96418,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96418,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96418,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96418,A000000,06100,0000,06100NONPAID WORKERS 96418,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96418,A000000,06200,0000,06200PATIENTS LAUNDRY 96418,A81000A,00100,0100,Y 96418,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96418,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96418,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96418,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96418,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96418,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96418,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96418,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96418,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96418,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96418,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96418,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96418,B100000,00000,0900,00000NURSING HOUR :NURSING ADMINISTRATI 96418,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96418,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96418,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96418,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96418,S000000,00100,0200,02/01/2000 96418,S200000,00100,0100,700 S. 32ND STREET 96418,S200000,00200,0100,BELLINGHAM 96418,S200000,00200,0200,WA 96418,S200000,00200,0300,98225- 96418,S200000,00300,0100,WHATCOM 96418,S200000,00400,0100,SEHOME PARK CARE CENTER INC. 96418,S200000,00400,0200,505249 96418,S200000,00400,0300,10/01/1984 96418,S200000,00400,0500,P 96418,S200000,01600,0100,Y 96418,S700003,00000,0100,1 96420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96420,A000000,00300,0000,00300EMPLOYEE BENEFITS 96420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96420,A000000,00700,0000,00700HOUSEKEEPING 96420,A000000,00800,0000,00800DIETARY 96420,A000000,00900,0000,00900NURSING ADMINISTRATION 96420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96420,A000000,01100,0000,01100PHARMACY 96420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96420,A000000,01300,0000,01300SOCIAL SERVICE 96420,A000000,01600,0000,01600SKILLED NURSING FACILITY 96420,A000000,01800,0000,01800NURSING FACILITY 96420,A000000,01900,0000,01900OTHER LONG TERM CARE 96420,A000000,02100,0000,02100RADIOLOGY 96420,A000000,02200,0000,02200LABORATORY 96420,A000000,02300,0000,02300INTRAVENOUS THERAPY 96420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96420,A000000,02500,0000,02500PHYSICAL THERAPY 96420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96420,A000000,02700,0000,02700SPEECH PATHOLOGY 96420,A000000,02800,0000,02800ELECTROCARDIOLOGY 96420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96420,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96420,A000000,03051,0000,03301NUTRITIONAL THERAPY 96420,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96420,A000000,03053,0000,03303PHYSICIAN SERVICES 96420,A000000,03054,0000,03304MEDICAL SERVICES 96420,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96420,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96420,A000000,03200,0000,03200SUPPORT SURFACES 96420,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96420,A000000,04800,0000,04800AMBULANCE 96420,A000000,05300,0000,05300INTEREST EXPENSE 96420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96420,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96420,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96420,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96420,A000000,06100,0000,06100NONPAID WORKERS 96420,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96420,A000000,06200,0000,06200PATIENTS LAUNDRY 96420,A81000A,00100,0100,Y 96420,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96420,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96420,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96420,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96420,A81000C,00100,0100,B 96420,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 96420,A81000C,00200,0200,A-8-1. 96420,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96420,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96420,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96420,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96420,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96420,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96420,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96420,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96420,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96420,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96420,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96420,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96420,E10A180,00501,0100,07/11/2000 96420,E10A180,00501,0300,07/11/2000 96420,S000000,00100,0200,06/02/2000 96420,S200000,00100,0100,700 S. 32ND STREET 96420,S200000,00200,0100,BELLINGHAM 96420,S200000,00200,0200,WA 96420,S200000,00200,0300,98225- 96420,S200000,00300,0100,WHATCOM 96420,S200000,00400,0100,SEHOME PARK CARE CENTER INC. 96420,S200000,00400,0200,505249 96420,S200000,00400,0300,10/01/1984 96420,S200000,00400,0500,P 96420,S200000,01600,0100,Y 96429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96429,A000000,00300,0000,00300EMPLOYEE BENEFITS 96429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96429,A000000,00700,0000,00700HOUSEKEEPING 96429,A000000,00800,0000,00800DIETARY 96429,A000000,00900,0000,00900NURSING ADMINISTRATION 96429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96429,A000000,01100,0000,01100PHARMACY 96429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96429,A000000,01300,0000,01300SOCIAL SERVICE 96429,A000000,01350,0000,01500ACTIVITY 96429,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96429,A000000,01600,0000,01600SKILLED NURSING FACILITY 96429,A000000,01800,0000,01800NURSING FACILITY 96429,A000000,01810,0000,01801ICF/MR 96429,A000000,01900,0000,01900OTHER LONG TERM CARE 96429,A000000,02100,0000,02100RADIOLOGY 96429,A000000,02200,0000,02200LABORATORY 96429,A000000,02300,0000,02300INTRAVENOUS THERAPY 96429,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96429,A000000,02500,0000,02500PHYSICAL THERAPY 96429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96429,A000000,02700,0000,02700SPEECH PATHOLOGY 96429,A000000,02800,0000,02800ELECTROCARDIOLOGY 96429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96429,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96429,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96429,A000000,03200,0000,03200SUPPORT SURFACES 96429,A000000,03400,0000,03400CLINIC 96429,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96429,A000000,03500,0000,03500RURAL HEALTH CLINIC 96429,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96429,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96429,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96429,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96429,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96429,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96429,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96429,A000000,04400,0000,04400DME RENTED - HHA 96429,A000000,04500,0000,04500DME SOLD - HHA 96429,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96429,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96429,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96429,A000000,04800,0000,04800AMBULANCE 96429,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96429,A000000,05000,0000,05000CORF 96429,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96429,A000000,05300,0000,05300INTEREST EXPENSE 96429,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96429,A000000,05500,0000,05500HOSPICE 96429,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96429,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96429,A000000,06100,0000,06100NONPAID WORKERS 96429,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96429,A000000,06200,0000,06200PATIENTS LAUNDRY 96429,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96429,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96429,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96429,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96429,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96429,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 96429,B100000,00000,0800,00000MEALS SERVED :DIETARY 96429,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96429,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96429,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96429,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96429,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96429,B100000,00000,1350,00000PPD :ACTIVITY 96429,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96429,E10A180,00301,0100,06/14/1999 96429,E10A180,00501,0100,06/26/2000 96429,E10A180,00501,0300,06/26/2000 96429,S000000,00100,0200,05/30/2000 96429,S200000,00100,0100,1510 CARPENTER ROAD 96429,S200000,00200,0100,LACEY 96429,S200000,00200,0200,WA 96429,S200000,00200,0300,98503- 96429,S200000,00300,0100,THURSTON 96429,S200000,00400,0100,ROOLAN 96429,S200000,00400,0200,505254 96429,S200000,00400,0300,04/01/1980 96429,S200000,00400,0500,P 96429,S200000,00400,0600,P 96429,S200000,01600,0100,Y 96429,S200000,04300,0100,Y 96438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96438,A000000,00300,0000,00300EMPLOYEE BENEFITS 96438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96438,A000000,00700,0000,00700HOUSEKEEPING 96438,A000000,00800,0000,00800DIETARY 96438,A000000,00900,0000,00900NURSING ADMINISTRATION 96438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96438,A000000,01100,0000,01100PHARMACY 96438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96438,A000000,01300,0000,01300SOCIAL SERVICE 96438,A000000,01350,0000,01500OTHER GENERAL SERVICES 96438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96438,A000000,01600,0000,01600SKILLED NURSING FACILITY 96438,A000000,01800,0000,01800NURSING FACILITY 96438,A000000,01810,0000,01801ICF/MR 96438,A000000,01900,0000,01900OTHER LONG TERM CARE 96438,A000000,02100,0000,02100RADIOLOGY 96438,A000000,02200,0000,02200LABORATORY 96438,A000000,02300,0000,02300INTRAVENOUS THERAPY 96438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96438,A000000,02500,0000,02500PHYSICAL THERAPY 96438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96438,A000000,02700,0000,02700SPEECH PATHOLOGY 96438,A000000,02800,0000,02800ELECTROCARDIOLOGY 96438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96438,A000000,03200,0000,03200SUPPORT SURFACES 96438,A000000,03201,0000,03201COMPLEX MED EQPT 96438,A000000,03202,0000,03202PROSTHETICS & ORTHOTICS 96438,A000000,03203,0000,03203ENTERALS 96438,A000000,03204,0000,03204DIABETICS SUPPLIES 96438,A000000,03400,0000,03400CLINIC 96438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96438,A000000,03500,0000,03500RURAL HEALTH CLINIC 96438,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96438,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96438,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96438,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96438,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96438,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96438,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96438,A000000,04400,0000,04400DME RENTED - HHA 96438,A000000,04500,0000,04500DME SOLD - HHA 96438,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96438,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96438,A000000,04800,0000,04800AMBULANCE 96438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96438,A000000,05000,0000,05000CORF 96438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96438,A000000,05300,0000,05300INTEREST EXPENSE 96438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96438,A000000,05500,0000,05500HOSPICE 96438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96438,A000000,06100,0000,06100NONPAID WORKERS 96438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96438,A000000,06200,0000,06200PATIENTS LAUNDRY 96438,A81000A,00100,0100,Y 96438,A81000B,00100,0300,HOME OFFICE CAPITAL 96438,A81000B,00200,0300,HOME OFFICE CAPITAL 96438,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96438,A81000B,00400,0300,HOME OFFICE NURSE CONSULT 96438,A81000B,00500,0300,MANAGEMENT FEES 96438,A81000B,00600,0300,MANAGEMENT FEES 96438,A81000B,00700,0300,MANAGEMENT FEES 96438,A81000C,00100,0100,B 96438,A81000C,00100,0200,PINEHURST PARK TERRACE 96438,A81000C,00100,0400,EAGLE HEALTHCARE INC 96438,A81000C,00100,0600,HEALTHCARE 96438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96438,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96438,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96438,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96438,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96438,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96438,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96438,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96438,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96438,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96438,E10A180,00301,0100,06/14/1999 96438,S000000,00100,0200,06/02/2000 96438,S200000,00100,0100,2818 NE 145TH ST 96438,S200000,00200,0100,SEATTLE 96438,S200000,00200,0200,WA 96438,S200000,00200,0300,98155- 96438,S200000,00300,0100,KING 96438,S200000,00400,0100,PINEHURST PARK TERRACE 96438,S200000,00400,0200,505262 96438,S200000,00400,0300,09/01/1985 96438,S200000,00400,0500,P 96438,S200000,00600,0200,411115 96438,S200000,00600,0300,12/01/1992 96438,S200000,00600,0600,P 96438,S200000,01600,0100,Y 96438,S700003,00000,0100,1 96449,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96449,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96449,A000000,00300,0000,00300EMPLOYEE BENEFITS 96449,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96449,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96449,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96449,A000000,00700,0000,00700HOUSEKEEPING 96449,A000000,00800,0000,00800DIETARY 96449,A000000,00900,0000,00900NURSING ADMINISTRATION 96449,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96449,A000000,01100,0000,01100PHARMACY 96449,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96449,A000000,01300,0000,01300SOCIAL SERVICE 96449,A000000,01600,0000,01600SKILLED NURSING FACILITY 96449,A000000,01800,0000,01800NURSING FACILITY 96449,A000000,01900,0000,01900OTHER LONG TERM CARE 96449,A000000,02100,0000,02100RADIOLOGY 96449,A000000,02200,0000,02200LABORATORY 96449,A000000,02300,0000,02300INTRAVENOUS THERAPY 96449,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96449,A000000,02500,0000,02500PHYSICAL THERAPY 96449,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96449,A000000,02700,0000,02700SPEECH PATHOLOGY 96449,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96449,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96449,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96449,A000000,03200,0000,03200SUPPORT SURFACES 96449,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96449,A000000,04800,0000,04800AMBULANCE 96449,A000000,05300,0000,05300INTEREST EXPENSE 96449,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96449,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96449,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96449,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96449,A000000,06200,0000,06200PATIENTS LAUNDRY 96449,A81000A,00100,0100,Y 96449,A81000B,00100,0300,CAPITAL - BUILDING RELATED 96449,A81000B,00200,0300,CAPTIAL - EQUIPMENT RELATED 96449,A81000B,00300,0300,ADMIN & GENERAL 96449,A81000C,00100,0100,A 96449,A81000C,00100,0200,KARL R. MILLER 96449,A81000C,00100,0400,GENESIS HEALTH CARE 96449,A81000C,00100,0600,HOME OFFICE / MANAGEMENT 96449,A81000C,00200,0100,A 96449,A81000C,00200,0200,RICK DILLON 96449,A81000C,00200,0400,GENESIS HEALTH CARE 96449,A81000C,00200,0600,HOME OFFICE / MANAGEMENT 96449,A81000C,00300,0100,A 96449,A81000C,00300,0200,KARL R. MILLER 96449,A81000C,00300,0400,AVAMERE REHAB SERVICES 96449,A81000C,00300,0600,CONTRACT REHAB SERVICES 96449,A81000C,00400,0100,A 96449,A81000C,00400,0200,RICK DILLION 96449,A81000C,00400,0400,AVAMERE REHAB SERVICES 96449,A81000C,00400,0600,CONTRACT REHAB SERVICES 96449,A81000C,00500,0100,G 96449,A81000C,00500,0200,GENESIS HEALTH CARE 96449,A81000C,00500,0400,SOUTH SOUND LAUNDRY 96449,A81000C,00500,0600,CONTRACT LAUNDRY SERVICE 96449,A81000C,00600,0100,G 96449,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96449,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96449,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96449,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96449,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96449,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 96449,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96449,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96449,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96449,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96449,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96449,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96449,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96449,E10A180,00301,0100,01/14/1999 96449,E10A180,00501,0100,04/17/2000 96449,E10A180,00501,0300,04/17/2000 96449,S000000,00100,0200,03/02/2000 96449,S200000,00100,0100,3625 EAST B STREET 96449,S200000,00200,0100,TACOMA 96449,S200000,00200,0200,WA 96449,S200000,00200,0300,98404- 96449,S200000,00300,0100,PIERCE 96449,S200000,00300,0200,8200 96449,S200000,00300,0300,U 96449,S200000,00400,0100,TACOMA TERRACE 96449,S200000,00400,0200,505264 96449,S200000,00400,0300,01/01/1990 96449,S200000,00400,0500,P 96449,S200000,01500,0100,Y 96457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96457,A000000,00300,0000,00300EMPLOYEE BENEFITS 96457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96457,A000000,00700,0000,00700HOUSEKEEPING 96457,A000000,00800,0000,00800DIETARY 96457,A000000,00900,0000,00900NURSING ADMINISTRATION 96457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96457,A000000,01300,0000,01300SOCIAL SERVICE 96457,A000000,01350,0000,01500OTHER GENERAL SERVICES 96457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96457,A000000,01600,0000,01600SKILLED NURSING FACILITY 96457,A000000,01800,0000,01800NURSING FACILITY 96457,A000000,01810,0000,01810ICF/MR 96457,A000000,01900,0000,01900OTHER LONG TERM CARE 96457,A000000,02100,0000,02100RADIOLOGY 96457,A000000,02200,0000,02200LABORATORY 96457,A000000,02300,0000,02300INTRAVENOUS THERAPY 96457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96457,A000000,02500,0000,02500PHYSICAL THERAPY 96457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96457,A000000,02700,0000,02700SPEECH PATHOLOGY 96457,A000000,02800,0000,02800ELECTROCARDIOLOGY 96457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96457,A000000,03200,0000,03200SUPPORT SURFACES 96457,A000000,03400,0000,03400CLINIC 96457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96457,A000000,03500,0000,03500RURAL HEALTH CLINIC 96457,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96457,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96457,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96457,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96457,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96457,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96457,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96457,A000000,04400,0000,04400DME RENTED - HHA 96457,A000000,04500,0000,04500DME SOLD - HHA 96457,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96457,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96457,A000000,04800,0000,04800AMBULANCE 96457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96457,A000000,05000,0000,05000CORF 96457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96457,A000000,05300,0000,05300INTEREST EXPENSE 96457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96457,A000000,05500,0000,05500HOSPICE 96457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96457,A000000,06100,0000,06100NONPAID WORKERS 96457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96457,A000000,06200,0000,06200PATIENTS LAUNDRY 96457,A81000A,00100,0100,Y 96457,A81000B,00100,0300,PHARMACY CONSULTANT 96457,A81000B,00200,0300,RESPIRATORY THERAPY 96457,A81000B,00300,0300,PHYSICAL THERAPY 96457,A81000B,00400,0300,OCCUPATIONAL THERAPY 96457,A81000B,00500,0300,SPEECH THERAPY 96457,A81000B,00600,0300,MEDICAL RECORDS 96457,A81000B,00700,0300,EQUIPMENT RENTAL 96457,A81000B,00800,0300,THERAPY MGMT PT 96457,A81000B,00900,0300,THERAPY MGMT OT 96457,A81000B,01000,0300,THERAPY MGMT ST 96457,A81000C,00100,0100,B 96457,A81000C,00100,0200,MIKE HOON 96457,A81000C,00100,0400,QUEST THERAPY 96457,A81000C,00100,0600,REHAB SERVICES 96457,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96457,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96457,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96457,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96457,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96457,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96457,B100000,00000,0800,00000MEALS SERVED :DIETARY 96457,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96457,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96457,B100000,00000,1250,00000ROUTINE REVENUE :MEDICAL RECORDS & 96457,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96457,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96457,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96457,E10A180,00301,0100,07/20/1999 96457,E10A180,00501,0100,07/21/2000 96457,E10A180,00501,0300,07/21/2000 96457,S000000,00100,0200,06/26/2000 96457,S200000,00100,0100,209 NORTH AHTANUM AVENUE 96457,S200000,00200,0100,WAPATO 96457,S200000,00200,0200,WA 96457,S200000,00200,0300,98951- 96457,S200000,00300,0100,YAKIMA 96457,S200000,00400,0100,EMERALD CIRCLE CONVALESCENT CENTER 96457,S200000,00400,0200,505265 96457,S200000,00400,0300,06/01/1982 96457,S200000,00400,0500,P 96457,S200000,01600,0100,Y 96464,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96464,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96464,A000000,00300,0000,00300EMPLOYEE BENEFITS 96464,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96464,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96464,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96464,A000000,00700,0000,00700HOUSEKEEPING 96464,A000000,00800,0000,00800DIETARY 96464,A000000,00900,0000,00900NURSING ADMINISTRATION 96464,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96464,A000000,01100,0000,01100PHARMACY 96464,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96464,A000000,01300,0000,01300SOCIAL SERVICE 96464,A000000,01600,0000,01600SKILLED NURSING FACILITY 96464,A000000,01800,0000,01800NURSING FACILITY 96464,A000000,01900,0000,01900OTHER LONG TERM CARE 96464,A000000,02100,0000,02100RADIOLOGY 96464,A000000,02200,0000,02200LABORATORY 96464,A000000,02300,0000,02300INTRAVENOUS THERAPY 96464,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96464,A000000,02500,0000,02500PHYSICAL THERAPY 96464,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96464,A000000,02700,0000,02700SPEECH PATHOLOGY 96464,A000000,02800,0000,02800ELECTROCARDIOLOGY 96464,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96464,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96464,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96464,A000000,03051,0000,03301NUTRITIONAL THERAPY 96464,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96464,A000000,03053,0000,03303PHYSICIAN SERVICES 96464,A000000,03054,0000,03304MEDICAL SERVICES 96464,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96464,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96464,A000000,03200,0000,03200SUPPORT SURFACES 96464,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96464,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96464,A000000,04800,0000,04800AMBULANCE 96464,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96464,A000000,05300,0000,05300INTEREST EXPENSE 96464,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96464,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96464,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96464,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96464,A000000,06100,0000,06100NONPAID WORKERS 96464,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96464,A000000,06200,0000,06200PATIENTS LAUNDRY 96464,A81000A,00100,0100,Y 96464,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96464,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96464,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96464,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96464,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96464,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96464,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96464,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96464,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96464,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96464,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96464,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96464,B100000,00000,0900,00000NURSING HOURS :NURSING ADMINISTRAT 96464,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96464,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96464,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96464,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96464,S000000,00100,0200,02/01/2000 96464,S200000,00100,0100,1703 CALIFORNIA AVE. SW 96464,S200000,00200,0100,SEATTLE 96464,S200000,00200,0200,WA 96464,S200000,00200,0300,98116- 96464,S200000,00300,0100,KING 96464,S200000,00400,0100,PARK WEST CARE CENTER 96464,S200000,00400,0200,505270 96464,S200000,00400,0300,03/01/1983 96464,S200000,00400,0500,P 96464,S200000,01600,0100,Y 96464,S700003,00000,0100,1 96466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96466,A000000,00300,0000,00300EMPLOYEE BENEFITS 96466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96466,A000000,00700,0000,00700HOUSEKEEPING 96466,A000000,00800,0000,00800DIETARY 96466,A000000,00900,0000,00900NURSING ADMINISTRATION 96466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96466,A000000,01100,0000,01100PHARMACY 96466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96466,A000000,01300,0000,01300SOCIAL SERVICE 96466,A000000,01600,0000,01600SKILLED NURSING FACILITY 96466,A000000,01800,0000,01800NURSING FACILITY 96466,A000000,01900,0000,01900OTHER LONG TERM CARE 96466,A000000,02100,0000,02100RADIOLOGY 96466,A000000,02200,0000,02200LABORATORY 96466,A000000,02300,0000,02300INTRAVENOUS THERAPY 96466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96466,A000000,02500,0000,02500PHYSICAL THERAPY 96466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96466,A000000,02700,0000,02700SPEECH PATHOLOGY 96466,A000000,02800,0000,02800ELECTROCARDIOLOGY 96466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96466,A000000,03051,0000,03301NUTRITIONAL THERAPY 96466,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96466,A000000,03053,0000,03303PHYSICIAN SERVICES 96466,A000000,03054,0000,03304MEDICAL SERVICES 96466,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96466,A000000,03200,0000,03200SUPPORT SURFACES 96466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96466,A000000,04800,0000,04800AMBULANCE 96466,A000000,05300,0000,05300INTEREST EXPENSE 96466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96466,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96466,A000000,06100,0000,06100NONPAID WORKERS 96466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96466,A000000,06200,0000,06200PATIENTS LAUNDRY 96466,A81000A,00100,0100,Y 96466,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96466,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96466,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96466,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 96466,A81000C,00100,0100,B 96466,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 96466,A81000C,00200,0200,A-8-1. 96466,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96466,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96466,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96466,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96466,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96466,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96466,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96466,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96466,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96466,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96466,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96466,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96466,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96466,E10A180,00550,0100,07/11/2000 96466,E10A180,00550,0300,07/11/2000 96466,S000000,00100,0200,06/02/2000 96466,S200000,00100,0100,1703 CALIFORNIA AVE. SW 96466,S200000,00200,0100,SEATTLE 96466,S200000,00200,0200,WA 96466,S200000,00200,0300,98116- 96466,S200000,00300,0100,KING 96466,S200000,00400,0100,PARK WEST CARE CTR. 96466,S200000,00400,0200,505270 96466,S200000,00400,0300,03/01/1983 96466,S200000,00400,0500,P 96466,S200000,01600,0100,Y 96466,S700003,00000,0200,2 96477,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96477,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96477,A000000,00300,0000,00300EMPLOYEE BENEFITS 96477,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96477,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96477,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96477,A000000,00700,0000,00700HOUSEKEEPING 96477,A000000,00800,0000,00800DIETARY 96477,A000000,00900,0000,00900NURSING ADMINISTRATION 96477,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96477,A000000,01100,0000,01100PHARMACY 96477,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96477,A000000,01300,0000,01300SOCIAL SERVICE 96477,A000000,01600,0000,01600SKILLED NURSING FACILITY 96477,A000000,01800,0000,01800NURSING FACILITY 96477,A000000,01900,0000,01900OTHER LONG TERM CARE 96477,A000000,02100,0000,02100RADIOLOGY 96477,A000000,02200,0000,02200LABORATORY 96477,A000000,02300,0000,02300INTRAVENOUS THERAPY 96477,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96477,A000000,02500,0000,02500PHYSICAL THERAPY 96477,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96477,A000000,02700,0000,02700SPEECH PATHOLOGY 96477,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96477,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96477,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96477,A000000,03200,0000,03200SUPPORT SURFACES 96477,A000000,04800,0000,04800AMBULANCE 96477,A000000,05300,0000,05300INTEREST EXPENSE 96477,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96477,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96477,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96477,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96477,A000000,06200,0000,06200PATIENTS LAUNDRY 96477,A81000A,00100,0100,Y 96477,A81000B,00100,0300,CAPITAL - BUILDING RELATED 96477,A81000B,00200,0300,CAPITAL - EQUIPMENT RELATED 96477,A81000B,00300,0300,ADMIN & GENERAL 96477,A81000C,00100,0100,A 96477,A81000C,00100,0200,KARL R. MILLER 96477,A81000C,00100,0400,GENESIS HEALTH CARE 96477,A81000C,00100,0600,MANAGEMENT SERVICES 96477,A81000C,00200,0100,A 96477,A81000C,00200,0200,RICK DILLON 96477,A81000C,00200,0400,GENESIS HEALTH CARE 96477,A81000C,00200,0600,MANAGEMENT SERVICES 96477,A81000C,00300,0100,A 96477,A81000C,00300,0200,KARL R. MILLER 96477,A81000C,00300,0400,AVAMERE REHAB SERVICES 96477,A81000C,00300,0600,CONTRACT REHAB SERVICES 96477,A81000C,00400,0100,A 96477,A81000C,00400,0200,RICK DILLON 96477,A81000C,00400,0400,AVAMERE REHAB SERVICES 96477,A81000C,00400,0600,CONTRACT REHAB SERVICES 96477,A81000C,00500,0100,G 96477,A81000C,00500,0200,GENESIS HEALTH CARE 96477,A81000C,00500,0400,SOUTH SOUND LAUNDRY 96477,A81000C,00500,0600,CONTRACT LAUNDRY SERVICES 96477,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96477,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96477,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96477,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96477,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96477,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96477,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96477,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96477,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96477,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96477,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96477,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96477,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96477,E10A180,00501,0100,04/17/2000 96477,E10A180,00501,0300,04/17/2000 96477,S000000,00100,0200,03/02/2000 96477,S200000,00100,0100,8407 STEILCOOM BLVD. SW 96477,S200000,00200,0100,TACOMA 96477,S200000,00200,0200,WA 96477,S200000,00200,0300,98498- 96477,S200000,00300,0100,PIERCE 96477,S200000,00300,0200,8200 96477,S200000,00300,0300,U 96477,S200000,00400,0100,GEORGIAN HOUSE 96477,S200000,00400,0200,505271 96477,S200000,00400,0300,12/01/1981 96477,S200000,00400,0500,P 96477,S200000,01500,0100,Y 96487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96487,A000000,00300,0000,00300EMPLOYEE BENEFITS 96487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96487,A000000,00700,0000,00700HOUSEKEEPING 96487,A000000,00800,0000,00800DIETARY 96487,A000000,00900,0000,00900NURSING ADMINISTRATION 96487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96487,A000000,01100,0000,01100PHARMACY 96487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96487,A000000,01300,0000,01300SOCIAL SERVICE 96487,A000000,01350,0000,01500OTHER GENERAL SERVICES 96487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96487,A000000,01600,0000,01600SKILLED NURSING FACILITY 96487,A000000,01800,0000,01800NURSING FACILITY 96487,A000000,01810,0000,01801ICF/MR 96487,A000000,01900,0000,01900OTHER LONG TERM CARE 96487,A000000,02100,0000,02100RADIOLOGY 96487,A000000,02200,0000,02200LABORATORY 96487,A000000,02300,0000,02300INTRAVENOUS THERAPY 96487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96487,A000000,02500,0000,02500PHYSICAL THERAPY 96487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96487,A000000,02700,0000,02700SPEECH PATHOLOGY 96487,A000000,02800,0000,02800ELECTROCARDIOLOGY 96487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96487,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96487,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96487,A000000,03200,0000,03200SUPPORT SURFACES 96487,A000000,03201,0000,03201PROTHETICS & ORTHOTICS 96487,A000000,03202,0000,03202ENTERALS 96487,A000000,03203,0000,03203DIABETIC SUPPLIES 96487,A000000,03400,0000,03400CLINIC 96487,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96487,A000000,03500,0000,03500RURAL HEALTH CLINIC 96487,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96487,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96487,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96487,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96487,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96487,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96487,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96487,A000000,04400,0000,04400DME RENTED - HHA 96487,A000000,04500,0000,04500DME SOLD - HHA 96487,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96487,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96487,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96487,A000000,04800,0000,04800AMBULANCE 96487,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96487,A000000,05000,0000,05000CORF 96487,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96487,A000000,05300,0000,05300INTEREST EXPENSE 96487,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96487,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96487,A000000,05500,0000,05500HOSPICE 96487,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96487,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96487,A000000,06100,0000,06100NONPAID WORKERS 96487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96487,A000000,06200,0000,06200PATIENTS LAUNDRY 96487,A81000A,00100,0100,Y 96487,A81000B,00100,0300,HOME OFFICE CAPITAL 96487,A81000B,00200,0300,HOME OFFICE CAPITAL 96487,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96487,A81000B,00400,0300,HOME OFFICE NURSE CONSULTANT 96487,A81000B,00500,0300,MANAGEMENT FEES 96487,A81000B,00600,0300,MANAGEMENT FEES 96487,A81000B,00700,0300,MANAGEMENT FEES 96487,A81000B,00800,0300,MANAGEMENT FEES 96487,A81000B,00900,0300,PHYSICAL THERAPY 96487,A81000C,00100,0100,B 96487,A81000C,00100,0200,HIGHLAND TERRACE 96487,A81000C,00100,0400,EAGLE HEALTHCARE INC 96487,A81000C,00100,0600,HEALTHCARE 96487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96487,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96487,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96487,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96487,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96487,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96487,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96487,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96487,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96487,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96487,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96487,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96487,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96487,E10A180,00501,0100,07/13/2000 96487,S000000,00100,0200,06/02/2000 96487,S200000,00100,0100,640 NE EVERETT 96487,S200000,00200,0100,CAMAS 96487,S200000,00200,0200,WA 96487,S200000,00200,0300,98607- 96487,S200000,00300,0100,CLARK 96487,S200000,00400,0100,HIGHLAND TERRACE NURSING HOME 96487,S200000,00400,0200,505273 96487,S200000,00400,0300,09/01/1985 96487,S200000,00400,0500,P 96487,S200000,00600,0200,411159 96487,S200000,00600,0300,01/01/1995 96487,S200000,00600,0600,P 96487,S200000,01600,0100,Y 96487,S700003,00000,0100,1 96502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96502,A000000,00300,0000,00300EMPLOYEE BENEFITS 96502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96502,A000000,00700,0000,00700HOUSEKEEPING 96502,A000000,00800,0000,00800DIETARY 96502,A000000,00900,0000,00900NURSING ADMINISTRATION 96502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96502,A000000,01100,0000,01100PHARMACY 96502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96502,A000000,01300,0000,01300SOCIAL SERVICE 96502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96502,A000000,01600,0000,01600SKILLED NURSING FACILITY 96502,A000000,01800,0000,01800NURSING FACILITY 96502,A000000,01810,0000,01810ICF/MR 96502,A000000,01900,0000,01900OTHER LONG TERM CARE 96502,A000000,02100,0000,02100RADIOLOGY 96502,A000000,02200,0000,02200LABORATORY 96502,A000000,02300,0000,02300INTRAVENOUS THERAPY 96502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96502,A000000,02500,0000,02500PHYSICAL THERAPY 96502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96502,A000000,02700,0000,02700SPEECH PATHOLOGY 96502,A000000,02800,0000,02800ELECTROCARDIOLOGY 96502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96502,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96502,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96502,A000000,03200,0000,03200SUPPORT SURFACES 96502,A000000,03400,0000,03400CLINIC 96502,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96502,A000000,03500,0000,03500RURAL HEALTH CLINIC 96502,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96502,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96502,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96502,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96502,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96502,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96502,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96502,A000000,04400,0000,04400DME RENTED - HHA 96502,A000000,04500,0000,04500DME SOLD - HHA 96502,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96502,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96502,A000000,04800,0000,04800AMBULANCE 96502,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96502,A000000,05000,0000,05000CORF 96502,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96502,A000000,05300,0000,05300INTEREST EXPENSE 96502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96502,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96502,A000000,05500,0000,05500HOSPICE 96502,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96502,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96502,A000000,06100,0000,06100NONPAID WORKERS 96502,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96502,A000000,06200,0000,06200PATIENTS LAUNDRY 96502,A81000A,00100,0100,Y 96502,A81000B,00100,0300,HOME OFFICE ALLOCATION 96502,A81000B,00200,0300,HOME OFFICE ALLOCATION 96502,A81000B,00300,0300,HOME OFFICE ALLOCATION 96502,A81000B,00400,0300,HOME OFFICE ALLOCATION 96502,A81000B,00500,0300,HOME OFFICE ALLOCATION 96502,A81000B,00600,0300,HOME OFFICE ALLOCATION 96502,A81000C,00100,0100,B 96502,A81000C,00100,0200,JAMES L. CLAY 96502,A81000C,00100,0400,REGENCY PACIFIC 96502,A81000C,00100,0600,HEALTH CARE MAN 96502,A81000C,00200,0100,B 96502,A81000C,00200,0200,JAMES L. CLAY 96502,A81000C,00200,0400,REGENCY DEVELOP 96502,A81000C,00200,0600,DEVELOPMENT 96502,A81000C,00300,0100,B 96502,A81000C,00300,0200,JAMES L. CLAY 96502,A81000C,00300,0400,EXPRESS MEDICAL 96502,A81000C,00300,0600,SUPPLIES 96502,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96502,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96502,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96502,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96502,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96502,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96502,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96502,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96502,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96502,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96502,B100000,00000,1150,00000HOURS OF SERVICE :PHARMACY 96502,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96502,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96502,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96502,E10A180,00301,0100,08/02/1999 96502,E10A180,00501,0100,07/12/2000 96502,E10A180,00501,0300,07/12/2000 96502,S000000,00100,0200,06/01/2000 96502,S200000,00100,0100,80 S.W. 2ND STREET 96502,S200000,00200,0100,RENTON 96502,S200000,00200,0200,WA 96502,S200000,00200,0300,98055-1998 96502,S200000,00300,0100,KING 96502,S200000,00400,0100,REGENCY AT RENTON REHAB CTR. 96502,S200000,00400,0200,505280 96502,S200000,00400,0300,09/01/1985 96502,S200000,00400,0500,P 96502,S200000,01500,0100,Y 96502,S200000,02200,0100,Y 96510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96510,A000000,00300,0000,00300EMPLOYEE BENEFITS 96510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96510,A000000,00700,0000,00700HOUSEKEEPING 96510,A000000,00800,0000,00800DIETARY 96510,A000000,00900,0000,00900NURSING ADMINISTRATION 96510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96510,A000000,01100,0000,01100PHARMACY 96510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96510,A000000,01300,0000,01300SOCIAL SERVICE 96510,A000000,01350,0000,01500OTHER GENERAL SERVICES 96510,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96510,A000000,01600,0000,01600SKILLED NURSING FACILITY 96510,A000000,01800,0000,01800NURSING FACILITY 96510,A000000,01810,0000,01801ICF/MR 96510,A000000,01900,0000,01900OTHER LONG TERM CARE 96510,A000000,02100,0000,02100RADIOLOGY 96510,A000000,02200,0000,02200LABORATORY 96510,A000000,02300,0000,02300INTRAVENOUS THERAPY 96510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96510,A000000,02500,0000,02500PHYSICAL THERAPY 96510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96510,A000000,02700,0000,02700SPEECH PATHOLOGY 96510,A000000,02800,0000,02800ELECTROCARDIOLOGY 96510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96510,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96510,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96510,A000000,03200,0000,03200SUPPORT SURFACES 96510,A000000,03201,0000,03201DURABLE MEDICAL EQPT 96510,A000000,03202,0000,03202ENTERALS 96510,A000000,03203,0000,03203PROSTHETICS & ORTHOTICS 96510,A000000,03204,0000,03204DIBAETIC SUPPLIES 96510,A000000,03400,0000,03400CLINIC 96510,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96510,A000000,03500,0000,03500RURAL HEALTH CLINIC 96510,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96510,A000000,04800,0000,04800AMBULANCE 96510,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96510,A000000,05000,0000,05000CORF 96510,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96510,A000000,05300,0000,05300INTEREST EXPENSE 96510,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96510,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96510,A000000,05500,0000,05500HOSPICE 96510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96510,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96510,A000000,06100,0000,06100NONPAID WORKERS 96510,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96510,A000000,06200,0000,06200PATIENTS LAUNDRY 96510,A81000A,00100,0100,Y 96510,A81000B,00100,0300,HOME OFFICE CAPITAL 96510,A81000B,00200,0300,HOME OFFICE CAPITAL 96510,A81000B,00300,0300,HOME OFFICE ADMIN 96510,A81000B,00400,0300,HOME OFFICE NURSE CONSULTANT 96510,A81000B,00500,0300,MANAGEMENT FEES 96510,A81000B,00600,0300,MANAGEMENT FEES 96510,A81000B,00700,0300,MANAGEMENT FEES 96510,A81000B,00800,0300,MANAGEMENT FEES 96510,A81000C,00100,0100,B 96510,A81000C,00100,0200,CLARKSTON CARE CENTER 96510,A81000C,00100,0400,EAGLE HEALTHCARE INC 96510,A81000C,00100,0600,HEALTHCARE 96510,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96510,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96510,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96510,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96510,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96510,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96510,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96510,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96510,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96510,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96510,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96510,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96510,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96510,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96510,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96510,E10A180,00301,0100,06/14/1999 96510,S000000,00100,0200,06/02/2000 96510,S200000,00100,0100,1242 11TH STREET 96510,S200000,00200,0100,CLARKSTON 96510,S200000,00200,0200,WA 96510,S200000,00200,0300,99403- 96510,S200000,00300,0100,ASOTIN 96510,S200000,00400,0100,CLARKSTON CARE CENTER 96510,S200000,00400,0200,505283 96510,S200000,00400,0300,01/01/1987 96510,S200000,00400,0500,P 96510,S200000,00600,0200,411173 96510,S200000,00600,0300,01/01/1994 96510,S200000,00600,0600,P 96510,S200000,01600,0100,Y 96510,S200000,02200,0100,Y 96510,S700003,00000,0100,1 96518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96518,A000000,00300,0000,00300EMPLOYEE BENEFITS 96518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96518,A000000,00700,0000,00700HOUSEKEEPING 96518,A000000,00800,0000,00800DIETARY 96518,A000000,00900,0000,00900NURSING ADMINISTRATION 96518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96518,A000000,01100,0000,01100PHARMACY 96518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96518,A000000,01300,0000,01300SOCIAL SERVICE 96518,A000000,01350,0000,01500ACTIVITY 96518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96518,A000000,01600,0000,01600SKILLED NURSING FACILITY 96518,A000000,01800,0000,01800NURSING FACILITY 96518,A000000,01810,0000,01810ICF/MR 96518,A000000,01900,0000,01900OTHER LONG TERM CARE 96518,A000000,02100,0000,02100RADIOLOGY 96518,A000000,02200,0000,02200LABORATORY 96518,A000000,02300,0000,02300INTRAVENOUS THERAPY 96518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96518,A000000,02500,0000,02500PHYSICAL THERAPY 96518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96518,A000000,02700,0000,02700SPEECH PATHOLOGY 96518,A000000,02800,0000,02800ELECTROCARDIOLOGY 96518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96518,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96518,A000000,03200,0000,03200SUPPORT SURFACES 96518,A000000,03400,0000,03400CLINIC 96518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96518,A000000,03500,0000,03500RURAL HEALTH CLINIC 96518,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96518,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96518,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96518,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96518,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96518,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96518,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96518,A000000,04400,0000,04400DME RENTED - HHA 96518,A000000,04500,0000,04500DME SOLD - HHA 96518,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96518,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96518,A000000,04800,0000,04800AMBULANCE 96518,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96518,A000000,05000,0000,05000CORF 96518,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96518,A000000,05300,0000,05300INTEREST EXPENSE 96518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96518,A000000,05500,0000,05500HOSPICE 96518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96518,A000000,06100,0000,06100NONPAID WORKERS 96518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96518,A000000,06200,0000,06200PATIENTS LAUNDRY 96518,A81000A,00100,0100,Y 96518,A81000B,00100,0300,MANAGEMENT 96518,A81000B,00200,0300,LEASE 96518,A81000C,00100,0100,A 96518,A81000C,00100,0200,DON OSTROM 96518,A81000C,00100,0400,OMS 96518,A81000C,00100,0600,MANAGEMENT 96518,A81000C,00200,0100,D 96518,A81000C,00200,0200,DON OSTROM 96518,A81000C,00200,0400,KITSAP PROP 96518,A81000C,00200,0600,LESSOR 96518,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96518,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96518,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96518,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96518,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96518,B100000,00000,0800,00000MEALS SERVED :DIETARY 96518,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96518,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96518,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96518,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96518,B100000,00000,1350,00000TIME SPENT :ACTIVITY 96518,E10A180,00301,0100,07/13/1999 96518,E10A180,00501,0100,06/13/2000 96518,E10A180,00501,0300,06/13/2000 96518,S000000,00100,0200,04/18/2000 96518,S200000,00100,0100,560 LEBO BLVD 96518,S200000,00200,0100,BREMERTON 96518,S200000,00200,0200,WA 96518,S200000,00200,0300,98310- 96518,S200000,00300,0100,KITSAP 96518,S200000,00300,0200,1150 96518,S200000,00300,0300,U 96518,S200000,00400,0100,BELMONT TERRACE 96518,S200000,00400,0200,505290 96518,S200000,00400,0300,08/24/1970 96518,S200000,00400,0500,P 96518,S200000,00400,0600,P 96518,S200000,01600,0100,Y 96518,S200000,02800,0100,Y 96518,S200000,04300,0100,Y 96532,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96532,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96532,A000000,00300,0000,00300EMPLOYEE BENEFITS 96532,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96532,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96532,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96532,A000000,00700,0000,00700HOUSEKEEPING 96532,A000000,00800,0000,00800DIETARY 96532,A000000,00900,0000,00900NURSING ADMINISTRATION 96532,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96532,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96532,A000000,01300,0000,01300SOCIAL SERVICE 96532,A000000,01600,0000,01600SKILLED NURSING FACILITY 96532,A000000,01800,0000,01800NURSING FACILITY 96532,A000000,01900,0000,01900OTHER LONG TERM CARE 96532,A000000,02100,0000,02100RADIOLOGY 96532,A000000,02200,0000,02200LABORATORY 96532,A000000,02300,0000,02300INTRAVENOUS THERAPY 96532,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96532,A000000,02500,0000,02500PHYSICAL THERAPY 96532,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96532,A000000,02700,0000,02700SPEECH PATHOLOGY 96532,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96532,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96532,A000000,03200,0000,03200SUPPORT SURFACES 96532,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96532,A000000,05300,0000,05300INTEREST EXPENSE 96532,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96532,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96532,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96532,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96532,A000000,06200,0000,06200PATIENTS LAUNDRY 96532,A81000A,00100,0100,Y 96532,A81000B,00100,0300,PROPERTY LEASE 96532,A81000B,00200,0300,ALLOWABLE INTEREST 96532,A81000B,00300,0300,ALLOWABLE DEPRECIATION 96532,A81000B,00400,0300,ALLOWABLE LAND LEASE 96532,A81000C,00100,0100,A 96532,A81000C,00100,0200,WERNER G NISTLER 96532,A81000C,00100,0400,TLC-ST FRANCIS 96532,A81000C,00100,0600,LESSOR OF REAL PROPERTY 96532,A81000C,00200,0100,A 96532,A81000C,00200,0200,STEVE NISTLER 96532,A81000C,00200,0400,TLC-ST FRANCIS 96532,A81000C,00200,0600,LESSOR OF REAL PROPERTY 96532,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96532,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96532,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96532,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96532,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96532,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96532,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96532,B100000,00000,0800,00000MEALS SERVED :DIETARY 96532,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96532,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96532,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96532,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96532,S000000,00100,0200,07/08/1999 96532,S200000,00100,0100,3121 SQUALICUM PARKWAY 96532,S200000,00200,0100,BELLINGHAM 96532,S200000,00200,0200,WA 96532,S200000,00200,0300,98227- 96532,S200000,00300,0100,WHATCOM 96532,S200000,00400,0100,ST FRANCIS EXTENDED HEALTH CARE 96532,S200000,00400,0200,505296 96532,S200000,00400,0300,10/01/1986 96532,S200000,00400,0500,P 96532,S200000,01600,0100,Y 96532,S200000,04600,0100,Y 96532,S700003,00000,0100,1 96534,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96534,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96534,A000000,00300,0000,00300EMPLOYEE BENEFITS 96534,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96534,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96534,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96534,A000000,00700,0000,00700HOUSEKEEPING 96534,A000000,00800,0000,00800DIETARY 96534,A000000,00900,0000,00900NURSING ADMINISTRATION 96534,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96534,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96534,A000000,01300,0000,01300SOCIAL SERVICE 96534,A000000,01600,0000,01600SKILLED NURSING FACILITY 96534,A000000,01800,0000,01800NURSING FACILITY 96534,A000000,02100,0000,02100RADIOLOGY 96534,A000000,02200,0000,02200LABORATORY 96534,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96534,A000000,02500,0000,02500PHYSICAL THERAPY 96534,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96534,A000000,02700,0000,02700SPEECH PATHOLOGY 96534,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96534,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96534,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96534,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96534,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96534,A81000A,00100,0100,Y 96534,A81000B,00100,0300,PROPERTY LEASE 96534,A81000B,00200,0300,MANAGEMENT FEES 96534,A81000B,00300,0300,ALLOWABLE A&G 96534,A81000B,00400,0300,CAPITAL BUILDING 96534,A81000B,00500,0300,CAPTIAL EQUIPMENT 96534,A81000B,00600,0300,ALLOWABLE INTEREST 96534,A81000B,00700,0300,ADMINISTRATOR COST REIMBURSE 96534,A81000B,00800,0300,HEALTH SPECTRUM 96534,A81000B,00900,0300,ALLOWABLE INTEREST 96534,A81000B,01000,0300,ALLOWALBE DEPRECIATION 96534,A81000B,01100,0300,ALLOWABLE LAND LEASE 96534,A81000C,00100,0100,A 96534,A81000C,00100,0200,WERNER G. NISTLER 96534,A81000C,00100,0400,TLC 96534,A81000C,00100,0600,LESSOR REAL PROPERTY 96534,A81000C,00200,0100,A 96534,A81000C,00200,0200,STEVE NISTLER 96534,A81000C,00200,0400,TLC 96534,A81000C,00200,0600,LESSOR REAL PROPERTY 96534,A81000C,00300,0100,A 96534,A81000C,00300,0200,HEALTH SPECTRUM 96534,A81000C,00300,0400,TLC - HSI 96534,A81000C,00300,0600,NURSING HOME 96534,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96534,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96534,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96534,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96534,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96534,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96534,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96534,B100000,00000,0800,00000MEALS SERVED :DIETARY 96534,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96534,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96534,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96534,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96534,E10A180,00301,0100,08/01/1999 96534,E10A180,00550,0100,07/13/2000 96534,E10A180,00550,0300,07/13/2000 96534,S000000,00100,0200,06/01/2000 96534,S200000,00100,0100,3121 SQUALICUM PARKWAY 96534,S200000,00200,0100,BELLINGHAM 96534,S200000,00200,0200,WA 96534,S200000,00200,0300,98227- 96534,S200000,00300,0100,WHATCOM 96534,S200000,00400,0100,TLC - SAINT FRANCIS 96534,S200000,00400,0200,505296 96534,S200000,00400,0300,10/01/1986 96534,S200000,00400,0500,P 96534,S200000,01600,0100,Y 96534,S700003,00000,0200,2 96541,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96541,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96541,A000000,00300,0000,00300EMPLOYEE BENEFITS 96541,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96541,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96541,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96541,A000000,00700,0000,00700HOUSEKEEPING 96541,A000000,00800,0000,00800DIETARY 96541,A000000,00900,0000,00900NURSING ADMINISTRATION 96541,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96541,A000000,01100,0000,01100PHARMACY 96541,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96541,A000000,01300,0000,01300SOCIAL SERVICE 96541,A000000,01350,0000,01500OTHER GENERAL SERVICES 96541,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96541,A000000,01600,0000,01600SKILLED NURSING FACILITY 96541,A000000,01800,0000,01800NURSING FACILITY 96541,A000000,01810,0000,01801ICF/MR 96541,A000000,01900,0000,01900OTHER LONG TERM CARE 96541,A000000,02100,0000,02100RADIOLOGY 96541,A000000,02200,0000,02200LABORATORY 96541,A000000,02300,0000,02300INTRAVENOUS THERAPY 96541,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96541,A000000,02500,0000,02500PHYSICAL THERAPY 96541,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96541,A000000,02700,0000,02700SPEECH PATHOLOGY 96541,A000000,02800,0000,02800ELECTROCARDIOLOGY 96541,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96541,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96541,A000000,03001,0000,03001DIABETIC SUPPLIES 96541,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96541,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96541,A000000,03200,0000,03200SUPPORT SURFACES 96541,A000000,03201,0000,03201PROTH/ORTHOTICSS 96541,A000000,03202,0000,03202ENTERAL EXP 96541,A000000,03400,0000,03400CLINIC 96541,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96541,A000000,03500,0000,03500RURAL HEALTH CLINIC 96541,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96541,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96541,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96541,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96541,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96541,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96541,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96541,A000000,04400,0000,04400DME RENTED - HHA 96541,A000000,04500,0000,04500DME SOLD - HHA 96541,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96541,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96541,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96541,A000000,04800,0000,04800AMBULANCE 96541,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96541,A000000,05000,0000,05000CORF 96541,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96541,A000000,05300,0000,05300INTEREST EXPENSE 96541,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96541,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96541,A000000,05500,0000,05500HOSPICE 96541,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96541,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96541,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96541,A000000,06100,0000,06100NONPAID WORKERS 96541,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96541,A000000,06200,0000,06200PATIENTS LAUNDRY 96541,A81000A,00100,0100,Y 96541,A81000B,00100,0300,HOME OFFICE CAPITAL 96541,A81000B,00200,0300,HOME OFFICE CAPITAL 96541,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96541,A81000B,00400,0300,HOME OFFICE NURSE CONSULTANT 96541,A81000B,00500,0300,MANAGEMENT FEES 96541,A81000B,00600,0300,MANAGEMENT FEES 96541,A81000B,00700,0300,MANAGEMENT FEES 96541,A81000B,00800,0300,MANAGEMENT FEES 96541,A81000C,00100,0100,B 96541,A81000C,00100,0200,MEADOW GLADE MANOR 96541,A81000C,00100,0400,EAGLE HEALTHCARE INC 96541,A81000C,00100,0600,HEALTHCARE 96541,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96541,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96541,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96541,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96541,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96541,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96541,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96541,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96541,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96541,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96541,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96541,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96541,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96541,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96541,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96541,E10A180,00301,0100,07/26/1999 96541,E10A180,00550,0100,07/07/2000 96541,S000000,00100,0200,06/02/2000 96541,S200000,00100,0100,11117 NE 189TH STREET 96541,S200000,00200,0100,BATTLEGROUND 96541,S200000,00200,0200,WA 96541,S200000,00200,0300,98604- 96541,S200000,00300,0100,CLARK 96541,S200000,00400,0100,MEADOW GLADE MANOR 96541,S200000,00400,0200,505298 96541,S200000,00400,0300,12/31/1986 96541,S200000,00400,0500,P 96541,S200000,00600,0200,411167 96541,S200000,00600,0300,01/01/1995 96541,S200000,00600,0600,P 96541,S200000,01600,0100,Y 96541,S200000,02200,0100,Y 96541,S700003,00000,0100,1 96544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96544,A000000,00300,0000,00300EMPLOYEE BENEFITS 96544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96544,A000000,00700,0000,00700HOUSEKEEPING 96544,A000000,00800,0000,00800DIETARY 96544,A000000,00900,0000,00900NURSING ADMINISTRATION 96544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96544,A000000,01100,0000,01100PHARMACY 96544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96544,A000000,01300,0000,01300SOCIAL SERVICE 96544,A000000,01600,0000,01600SKILLED NURSING FACILITY 96544,A000000,01800,0000,01800NURSING FACILITY 96544,A000000,01810,0000,01810ICF/MR 96544,A000000,01900,0000,01900OTHER LONG TERM CARE 96544,A000000,02100,0000,02100RADIOLOGY 96544,A000000,02200,0000,02200LABORATORY 96544,A000000,02300,0000,02300INTRAVENOUS THERAPY 96544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96544,A000000,02500,0000,02500PHYSICAL THERAPY 96544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96544,A000000,02700,0000,02700SPEECH PATHOLOGY 96544,A000000,02800,0000,02800ELECTROCARDIOLOGY 96544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96544,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96544,A000000,03200,0000,03200SUPPORT SURFACES 96544,A000000,03400,0000,03400CLINIC 96544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96544,A000000,03500,0000,03500RURAL HEALTH CLINIC 96544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96544,A000000,04400,0000,04400DME RENTED - HHA 96544,A000000,04500,0000,04500DME SOLD - HHA 96544,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96544,A000000,04800,0000,04800AMBULANCE 96544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96544,A000000,05000,0000,05000CORF 96544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96544,A000000,05300,0000,05300INTEREST EXPENSE 96544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96544,A000000,05500,0000,05500HOSPICE 96544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96544,A000000,06100,0000,06100NONPAID WORKERS 96544,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96544,A000000,06200,0000,06200PATIENTS LAUNDRY 96544,A81000A,00100,0100,Y 96544,A81000B,00100,0300,RELATED PARTY LEASE 96544,A81000B,00200,0300,RELATED PARTY LEASE 96544,A81000B,00300,0300,RELATED PARTY ACCT 96544,A81000B,00400,0300,HOME OFFICE CAP 96544,A81000B,00500,0300,HOME OFFICE CAP 96544,A81000B,00600,0300,HOME OFFICE ALLOCATION 96544,A81000C,00100,0100,B 96544,A81000C,00100,0200,DAVID L. ROGGE 96544,A81000C,00100,0400,HILLTOP HEALTHC 96544,A81000C,00100,0600,HEALTHCARE 96544,A81000C,00200,0100,B 96544,A81000C,00200,0200,JAMES L. CLAY 96544,A81000C,00200,0400,HILLTOP HEALTHC 96544,A81000C,00200,0600,HEALTHCARE 96544,A81000C,00300,0100,B 96544,A81000C,00300,0200,JAMES L. CLAY 96544,A81000C,00300,0400,REGENCY PACIFIC 96544,A81000C,00300,0600,HEALTHCARE 96544,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96544,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96544,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96544,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96544,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96544,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96544,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96544,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96544,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96544,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96544,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96544,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96544,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96544,S000000,00100,0200,06/01/2000 96544,S200000,00100,0300,PO BOX 977 96544,S200000,00200,0100,OKANOGAN 96544,S200000,00200,0200,WA 96544,S200000,00200,0300,98840- 96544,S200000,00300,0100,OKANOGAN 96544,S200000,00400,0100,VALLEY CARE CENTER 96544,S200000,00400,0200,505303 96544,S200000,00400,0300,06/01/1999 96544,S200000,00400,0500,P 96544,S200000,01500,0100,Y 96544,S700003,00000,0200,2 96557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96557,A000000,00300,0000,00300EMPLOYEE BENEFITS 96557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96557,A000000,00700,0000,00700HOUSEKEEPING 96557,A000000,00800,0000,00800DIETARY 96557,A000000,00900,0000,00900NURSING ADMINISTRATION 96557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96557,A000000,01100,0000,01100PHARMACY 96557,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96557,A000000,01300,0000,01300SOCIAL SERVICE 96557,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96557,A000000,01600,0000,01600SKILLED NURSING FACILITY 96557,A000000,01800,0000,01800NURSING FACILITY 96557,A000000,01810,0000,01810ICF/MR 96557,A000000,02200,0000,02200LABORATORY 96557,A000000,02500,0000,02500PHYSICAL THERAPY 96557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96557,A000000,02700,0000,02700SPEECH PATHOLOGY 96557,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96557,A000000,03200,0000,03200SUPPORT SURFACES 96557,A000000,03550,0000,03550FQHC 96557,A000000,05000,0000,05000CORF 96557,A000000,05010,0000,05010CMHC 96557,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 96557,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 96557,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 96557,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96557,A000000,05300,0000,05300INTEREST EXPENSE 96557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96557,A81000A,00100,0100,Y 96557,A81000B,00100,0300,BUILDING COSTS 96557,A81000B,00200,0300,EQUIPMENT COSTS 96557,A81000B,00300,0300,BENEFITS 96557,A81000B,00400,0300,ADMIN & GENERAL 96557,A81000B,00500,0300,PLANT 96557,A81000B,00600,0300,HOUSEKEEPING 96557,A81000B,00700,0300,DIETARY 96557,A81000B,00800,0300,NURSING ADMIN 96557,A81000B,00900,0300,CENTRAL SUPPLY 96557,A81000B,01000,0300,PHARMACY 96557,A81000B,01100,0300,SOCIAL SERVICES 96557,A81000B,01200,0300,SNF SERVICES 96557,A81000B,01300,0300,NF SERVICES 96557,A81000B,01400,0300,PHYSICAL THERAPY 96557,A81000B,01500,0300,LAB TESTING SERVICES 96557,A81000B,01600,0300,NURSING ADMIN 96557,A81000B,01700,0300,PHARMACY 96557,A81000B,01800,0300,SOCIAL SERVCIES 96557,A81000B,01900,0300,SNF SERVICES 96557,A81000B,02000,0300,NF SERVICES 96557,A81000B,02100,0300,PT SERVICES 96557,A81000B,02200,0300,OT SERVICES 96557,A81000B,02300,0300,ST SERVICES 96557,A81000B,02400,0300,PHARMACY SERVICES 96557,A81000B,02500,0300,DIETARY SERVICES 96557,A81000C,00100,0100,E 96557,A81000C,00100,0400,EMPIRE HEALTH S 96557,A81000C,00100,0600,HEALTH CARE 96557,A81000C,00200,0100,E 96557,A81000C,00200,0400,EMPIRE HEALTH S 96557,A81000C,00200,0600,HEALTH CARE 96557,A81000C,00300,0100,E 96557,A81000C,00300,0400,EMPIRE HEALTH S 96557,A81000C,00300,0600,HEALTH CARE 96557,A81000C,00400,0100,E 96557,A81000C,00400,0400,EMPIRE HEALTH S 96557,A81000C,00400,0600,HEALTH CARE 96557,A81000C,00500,0100,E 96557,A81000C,00500,0400,EMPIRE HEALTH S 96557,A81000C,00500,0600,HEALTHCARE 96557,A81000C,00600,0100,E 96557,A81000C,00600,0400,EMPIRE HEALTH S 96557,A81000C,00600,0600,HEALTHCARE 96557,A81000C,00700,0100,E 96557,A81000C,00700,0400,EMPIRE HEALTH S 96557,A81000C,00700,0600,HEALTHCARE 96557,A81000C,00800,0100,E 96557,A81000C,00800,0400,EMPIRE HEALTH S 96557,A81000C,00800,0600,HEALTHCARE 96557,A81000C,00900,0100,E 96557,A81000C,00900,0400,EMPIRE HEALTH S 96557,A81000C,00900,0600,HEALTHCARE 96557,A81000C,01000,0100,E 96557,A81000C,01000,0400,EMPIRE HEALTH S 96557,A81000C,01000,0600,HEALTHCARE 96557,A81000C,01001,0100,E 96557,A81000C,01001,0400,EMPIRE HEALTH S 96557,A81000C,01001,0600,HEALTHCARE 96557,A81000C,01002,0100,E 96557,A81000C,01002,0400,EMPIRE HEALTH S 96557,A81000C,01002,0600,HEALTHCARE 96557,A81000C,01003,0100,E 96557,A81000C,01003,0400,EMPIRE HEALTH S 96557,A81000C,01003,0600,HEALTHCARE 96557,A81000C,01004,0100,E 96557,A81000C,01004,0400,EMPIRE HEALTH S 96557,A81000C,01004,0600,HEALTHCARE 96557,A81000C,01005,0100,E 96557,A81000C,01005,0400,EMPIRE HEALTH S 96557,A81000C,01005,0600,HEALTHCARE 96557,A81000C,01006,0100,G 96557,A81000C,01006,0200,EHCS 96557,A81000C,01006,0400,INLAND NW HLTH 96557,A81000C,01006,0600,HEALTHCARE 96557,A81000C,01007,0100,G 96557,A81000C,01007,0200,EHCS 96557,A81000C,01007,0400,INLAND NW HLTH 96557,A81000C,01007,0600,HEALTHCARE 96557,A81000C,01008,0100,G 96557,A81000C,01008,0200,EHCS 96557,A81000C,01008,0400,INLAND NW HLTH 96557,A81000C,01008,0600,HEALTHCARE 96557,A81000C,01009,0100,G 96557,A81000C,01009,0200,EHCS 96557,A81000C,01009,0400,INLAND NW HLTH 96557,A81000C,01009,0600,HEALTHCARE 96557,A81000C,01010,0100,G 96557,A81000C,01010,0200,EHCS 96557,A81000C,01010,0400,INLAND NW HLTH 96557,A81000C,01010,0600,HEALTHCARE 96557,A81000C,01011,0100,G 96557,A81000C,01011,0200,EHCS 96557,A81000C,01011,0400,INLAND NW HLTH 96557,A81000C,01011,0600,HEALTHCARE 96557,A81000C,01012,0100,G 96557,A81000C,01012,0200,EHCS 96557,A81000C,01012,0400,INLAND NW HLTH 96557,A81000C,01012,0600,HEALTHCARE 96557,A81000C,01013,0100,G 96557,A81000C,01013,0200,EHCS 96557,A81000C,01013,0400,INLAND NW HLTH 96557,A81000C,01013,0600,HEALTHCARE 96557,A81000C,01014,0100,G 96557,A81000C,01014,0200,EHCS 96557,A81000C,01014,0400,INLAND NW HLTH 96557,A81000C,01014,0600,HEALTCARE 96557,A81000C,01015,0100,G 96557,A81000C,01015,0200,EHCS 96557,A81000C,01015,0400,DEACONESS MED C 96557,A81000C,01015,0600,HEALTHCARE 96557,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96557,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96557,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96557,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96557,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96557,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96557,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96557,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96557,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 96557,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 96557,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 96557,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96557,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96557,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96557,E10A180,00301,0100,06/16/1999 96557,S000000,00100,0200,06/05/2000 96557,S200000,00100,0100,222 EAST FIFTH AVENUE 96557,S200000,00200,0100,SPOKANE 96557,S200000,00200,0200,WA 96557,S200000,00200,0300,99202- 96557,S200000,00300,0100,SPOKANE 96557,S200000,00400,0100,ST. LUKES EXTENDED CARE CENTER 96557,S200000,00400,0200,505307 96557,S200000,00400,0300,03/11/1987 96557,S200000,00400,0500,P 96557,S200000,00400,0600,O 96557,S200000,00600,0200,505307 96557,S200000,00600,0300,03/11/1987 96557,S200000,00600,0600,P 96557,S200000,01600,0100,Y 96557,S200000,02200,0100,Y 96557,S700003,00000,0100,1 96565,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96565,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96565,A000000,00300,0000,00300EMPLOYEE BENEFITS 96565,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96565,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96565,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96565,A000000,00700,0000,00700HOUSEKEEPING 96565,A000000,00800,0000,00800DIETARY 96565,A000000,00900,0000,00900NURSING ADMINISTRATION 96565,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96565,A000000,01100,0000,01100PHARMACY 96565,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96565,A000000,01300,0000,01300SOCIAL SERVICE 96565,A000000,01350,0000,01500OTHER GENERAL SERVICES 96565,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96565,A000000,01600,0000,01600SKILLED NURSING FACILITY 96565,A000000,01800,0000,01800NURSING FACILITY 96565,A000000,01810,0000,01801ICF/MR 96565,A000000,01900,0000,01900OTHER LONG TERM CARE 96565,A000000,02100,0000,02100RADIOLOGY 96565,A000000,02200,0000,02200LABORATORY 96565,A000000,02300,0000,02300INTRAVENOUS THERAPY 96565,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96565,A000000,02500,0000,02500PHYSICAL THERAPY 96565,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96565,A000000,02700,0000,02700SPEECH PATHOLOGY 96565,A000000,02800,0000,02800ELECTROCARDIOLOGY 96565,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96565,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96565,A000000,03001,0000,03001DIABETIC SUPPLIES 96565,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96565,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96565,A000000,03200,0000,03200SUPPORT SURFACES 96565,A000000,03201,0000,03201PROSTHETICS & ORTHOTICS 96565,A000000,03202,0000,03202ENTERALS 96565,A000000,03400,0000,03400CLINIC 96565,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96565,A000000,03500,0000,03500RURAL HEALTH CLINIC 96565,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96565,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96565,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96565,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96565,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96565,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96565,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96565,A000000,04400,0000,04400DME RENTED - HHA 96565,A000000,04500,0000,04500DME SOLD - HHA 96565,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96565,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96565,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96565,A000000,04800,0000,04800AMBULANCE 96565,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96565,A000000,05000,0000,05000CORF 96565,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96565,A000000,05300,0000,05300INTEREST EXPENSE 96565,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96565,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96565,A000000,05500,0000,05500HOSPICE 96565,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96565,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96565,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96565,A000000,06100,0000,06100NONPAID WORKERS 96565,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96565,A000000,06200,0000,06200PATIENTS LAUNDRY 96565,A81000A,00100,0100,Y 96565,A81000B,00100,0300,HOME OFFICE CAPITAL 96565,A81000B,00200,0300,HOME OFFICE CAPITAL 96565,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96565,A81000B,00400,0300,HOME OFFICE NURSE CONSULT 96565,A81000B,00500,0300,MANAGEMENT FEES 96565,A81000B,00600,0300,MANAGEMENT FEES 96565,A81000B,00700,0300,MANAGEMENT FEES 96565,A81000B,00800,0300,MANAGEMENT FEES 96565,A81000C,00100,0100,B 96565,A81000C,00100,0200,GRANDVIEW HEALTH CARE 96565,A81000C,00100,0400,EAGLE HEALTHCARE INC 96565,A81000C,00100,0600,HEALTHCARE 96565,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96565,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96565,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96565,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96565,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96565,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96565,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96565,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96565,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96565,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96565,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96565,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96565,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96565,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96565,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96565,E10A180,00301,0100,07/26/1999 96565,S000000,00100,0200,06/02/2000 96565,S200000,00100,0100,912 HILLCREST AVENUE 96565,S200000,00200,0100,GRANDVIEW 96565,S200000,00200,0200,WA 96565,S200000,00200,0300,98930- 96565,S200000,00300,0100,YAKIMA 96565,S200000,00400,0100,GRANDVIEW HEALTH CARE 96565,S200000,00400,0200,505323 96565,S200000,00400,0300,01/01/1989 96565,S200000,00400,0500,P 96565,S200000,00600,0200,411183 96565,S200000,00600,0300,12/01/1992 96565,S200000,00600,0600,P 96565,S200000,01600,0100,Y 96565,S700003,00000,0100,1 96572,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96572,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96572,A000000,00300,0000,00300EMPLOYEE BENEFITS 96572,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96572,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96572,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96572,A000000,00700,0000,00700HOUSEKEEPING 96572,A000000,00800,0000,00800DIETARY 96572,A000000,00900,0000,00900NURSING ADMINISTRATION 96572,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96572,A000000,01100,0000,01100PHARMACY 96572,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96572,A000000,01300,0000,01300SOCIAL SERVICE 96572,A000000,01350,0000,01500OTHER GENERAL SERVICE COST CENTERS 96572,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96572,A000000,01600,0000,01600SKILLED NURSING FACILITY 96572,A000000,01800,0000,01800NURSING FACILITY 96572,A000000,01810,0000,01801ICF/MR 96572,A000000,01900,0000,01900OTHER LONG TERM CARE 96572,A000000,02100,0000,02100RADIOLOGY 96572,A000000,02200,0000,02200LABORATORY 96572,A000000,02300,0000,02300INTRAVENOUS THERAPY 96572,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96572,A000000,02500,0000,02500PHYSICAL THERAPY 96572,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96572,A000000,02700,0000,02700SPEECH PATHOLOGY 96572,A000000,02800,0000,02800ELECTROCARDIOLOGY 96572,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96572,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96572,A000000,03001,0000,03001DIABETIC SUPPLIES 96572,A000000,03002,0000,03002PROSTHETICS & ORTHOTICS 96572,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96572,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96572,A000000,03200,0000,03200SUPPORT SURFACES 96572,A000000,03201,0000,03201DME 96572,A000000,03202,0000,03202ENTERALS 96572,A000000,03400,0000,03400CLINIC 96572,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST CENTE 96572,A000000,03500,0000,03500RURAL HEALTH CLINIC 96572,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96572,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96572,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96572,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96572,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96572,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96572,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96572,A000000,04400,0000,04400DME RENTED - HHA 96572,A000000,04500,0000,04500DME SOLD - HHA 96572,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96572,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96572,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96572,A000000,04800,0000,04800AMBULANCE 96572,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96572,A000000,05000,0000,05000CORF 96572,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96572,A000000,05300,0000,05300INTEREST EXPENSE 96572,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 96572,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96572,A000000,05500,0000,05500HOSPICE 96572,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96572,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96572,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96572,A000000,06100,0000,06100NONPAID WORKERS 96572,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96572,A000000,06200,0000,06200PATIENTS LAUNDRY 96572,A81000A,00100,0100,Y 96572,A81000B,00100,0300,HOME OFFICE CAPITAL 96572,A81000B,00200,0300,HOME OFFICE CAPITAL 96572,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96572,A81000B,00400,0300,MANAGEMENT FEES 96572,A81000B,00500,0300,MANAGEMENT FEES 96572,A81000B,00600,0300,MANAGEMENT FEES 96572,A81000B,00700,0300,MANAGEMENT FEES 96572,A81000B,00800,0300,HOME OFFICE NURSE CONSULT 96572,A81000B,00900,0300,MANAGEMENT FEES 96572,A81000C,00100,0100,B 96572,A81000C,00100,0200,PARKWAY NORTH CARE CENTER 96572,A81000C,00100,0400,EAGLE HEALTHCARE INC 96572,A81000C,00100,0600,HEALTHCARE 96572,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96572,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96572,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96572,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96572,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96572,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96572,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96572,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96572,B100000,00000,0900,00000DIRECT HOURS :NURSING ADMINISTRATI 96572,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96572,B100000,00000,1150,00000NO STATISTICS :PHARMACY 96572,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96572,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96572,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96572,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 96572,E10A180,00501,0100,07/07/2000 96572,E10A180,00550,0300,07/07/2000 96572,S000000,00100,0200,06/02/2000 96572,S200000,00100,0100,510 N. PARKWAY 96572,S200000,00200,0100,BATTLE GROUND 96572,S200000,00200,0200,WA 96572,S200000,00200,0300,98604- 96572,S200000,00300,0100,CLARK 96572,S200000,00400,0100,PARKWAY NORTH CARE CENTER 96572,S200000,00400,0200,505331 96572,S200000,00400,0300,07/01/1997 96572,S200000,00400,0500,P 96572,S200000,00600,0200,412298 96572,S200000,00600,0300,07/01/1997 96572,S200000,00600,0600,P 96572,S200000,01600,0100,Y 96572,S700003,00000,0100,1 96582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96582,A000000,00300,0000,00300EMPLOYEE BENEFITS 96582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96582,A000000,00700,0000,00700HOUSEKEEPING 96582,A000000,00800,0000,00800DIETARY 96582,A000000,00900,0000,00900NURSING ADMINISTRATION 96582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96582,A000000,01100,0000,01100PHARMACY 96582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96582,A000000,01300,0000,01300SOCIAL SERVICE 96582,A000000,01600,0000,01600SKILLED NURSING FACILITY 96582,A000000,01800,0000,01800NURSING FACILITY 96582,A000000,01900,0000,01900OTHER LONG TERM CARE 96582,A000000,02100,0000,02100RADIOLOGY 96582,A000000,02200,0000,02200LABORATORY 96582,A000000,02300,0000,02300INTRAVENOUS THERAPY 96582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96582,A000000,02500,0000,02500PHYSICAL THERAPY 96582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96582,A000000,02700,0000,02700SPEECH PATHOLOGY 96582,A000000,02800,0000,02800ELECTROCARDIOLOGY 96582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96582,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96582,A000000,03200,0000,03200SUPPORT SURFACES 96582,A000000,04800,0000,04800AMBULANCE 96582,A000000,05300,0000,05300INTEREST EXPENSE 96582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96582,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96582,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96582,A000000,06200,0000,06200PATIENTS LAUNDRY 96582,A81000A,00100,0100,Y 96582,A81000B,00100,0300,CAPITAL - BUILDING RELATED 96582,A81000B,00200,0300,CAPITAL - EQUIPMENT RELATED 96582,A81000B,00300,0300,ADMIN & GENERAL 96582,A81000C,00100,0100,A 96582,A81000C,00100,0200,KARL R. MILLER 96582,A81000C,00100,0400,GENESIS HEALTH CARE 96582,A81000C,00100,0600,MANAGEMENT SERVICES 96582,A81000C,00200,0100,A 96582,A81000C,00200,0200,RICK DILLON 96582,A81000C,00200,0400,GENESIS HEALTH CARE 96582,A81000C,00200,0600,MANAGEMENT SERVICES 96582,A81000C,00300,0100,A 96582,A81000C,00300,0200,KARL R. MILLER 96582,A81000C,00300,0400,AVAMERE REHAB SERVICES 96582,A81000C,00300,0600,CONTRACT REHAB SERVICES 96582,A81000C,00400,0100,A 96582,A81000C,00400,0200,RICK DILLON 96582,A81000C,00400,0400,AVAMERE REHAB SERVICES 96582,A81000C,00400,0600,CONTRACT REHAB SERVICES 96582,A81000C,00500,0100,G 96582,A81000C,00500,0200,GENESIS HEALTH CARE 96582,A81000C,00500,0400,SOUTH SOUND LAUNDRY 96582,A81000C,00500,0600,CONTRACT LAUNDRY SERVICES 96582,A81000C,00600,0100,G 96582,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96582,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96582,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96582,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96582,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96582,B100000,00000,0600,00000LAUNDRY POUNDS :LAUNDRY & LINEN SE 96582,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96582,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96582,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96582,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96582,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96582,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96582,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96582,E10A180,00501,0100,04/17/2000 96582,E10A180,00501,0300,04/17/2000 96582,S000000,00100,0200,03/03/2000 96582,S200000,00100,0100,5954 NORTH 26TH 96582,S200000,00200,0100,TACOMA 96582,S200000,00200,0200,WA 96582,S200000,00200,0300,98407- 96582,S200000,00300,0100,PIERCE 96582,S200000,00300,0200,8200 96582,S200000,00300,0300,U 96582,S200000,00400,0100,THE HIGHLANDS 96582,S200000,00400,0200,505333 96582,S200000,00400,0300,07/01/1987 96582,S200000,00400,0500,P 96582,S200000,01500,0100,Y 96589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96589,A000000,00300,0000,00300EMPLOYEE BENEFITS 96589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96589,A000000,00700,0000,00700HOUSEKEEPING 96589,A000000,00800,0000,00800DIETARY 96589,A000000,00900,0000,00900NURSING ADMINISTRATION 96589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96589,A000000,01300,0000,01300SOCIAL SERVICE 96589,A000000,01301,0000,01301ACTIVITIES 96589,A000000,01600,0000,01600SKILLED NURSING FACILITY 96589,A000000,01800,0000,01800NURSING FACILITY 96589,A000000,02100,0000,02100RADIOLOGY 96589,A000000,02200,0000,02200LABORATORY 96589,A000000,02300,0000,02300INTRAVENOUS THERAPY 96589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96589,A000000,02500,0000,02500PHYSICAL THERAPY 96589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96589,A000000,02700,0000,02700SPEECH PATHOLOGY 96589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96589,A000000,03050,0000,03300DME 96589,A000000,03051,0000,03301OXYGEN 96589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96589,A81000A,00100,0100,Y 96589,A81000B,00100,0300,HOME OFFICE BUILDING 96589,A81000B,00200,0300,HOME OFFICE MANAGEMENT 96589,A81000B,00300,0300,BUILDING DEPRECIATION 96589,A81000B,00400,0300,BUILDING MORTGAGE 96589,A81000C,00100,0100,A 96589,A81000C,00100,0200,ANDREW BRANCH 96589,A81000C,00100,0400,BRANCH MANAGEME 96589,A81000C,00100,0600,ACTG & MGMT 96589,A81000C,00200,0100,A 96589,A81000C,00200,0200,ANDREW BRANCH 96589,A81000C,00200,0400,BRANCH MANAGEME 96589,A81000C,00200,0600,ACTG & MGMT 96589,A81000C,00300,0100,A 96589,A81000C,00300,0200,ANDREW BRANCH 96589,A81000C,00300,0400,ANDREW BRANCH 96589,A81000C,00300,0600,PROPERTY LESSOR 96589,A81000C,00400,0100,A 96589,A81000C,00400,0200,ANDREW BRANCH 96589,A81000C,00400,0400,ANDREW BRANCH 96589,A81000C,00400,0600,PROPERTY LESSOR 96589,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96589,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96589,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96589,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96589,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96589,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96589,B100000,00000,0800,00000MEALS SERVED :DIETARY 96589,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96589,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96589,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96589,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96589,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 96589,E10A180,00301,0100,06/30/1999 96589,E10A180,00501,0100,07/10/2000 96589,E10A180,00501,0300,07/10/2000 96589,S000000,00100,0200,05/30/2000 96589,S200000,00100,0300,PO BOX 69 96589,S200000,00200,0100,SNOHOMISH 96589,S200000,00200,0200,WA 96589,S200000,00200,0300,98290- 96589,S200000,00300,0100,SNOHOMISH 96589,S200000,00400,0100,MERRY HAVEN 96589,S200000,00400,0200,505338 96589,S200000,00400,0300,09/29/1989 96589,S200000,00400,0500,P 96589,S200000,01600,0100,Y 96597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96597,A000000,00300,0000,00300EMPLOYEE BENEFITS 96597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96597,A000000,00700,0000,00700HOUSEKEEPING 96597,A000000,00800,0000,00800DIETARY 96597,A000000,00900,0000,00900NURSING ADMINISTRATION 96597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96597,A000000,01100,0000,01100PHARMACY 96597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96597,A000000,01300,0000,01300SOCIAL SERVICE 96597,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96597,A000000,01600,0000,01600SKILLED NURSING FACILITY 96597,A000000,01800,0000,01800NURSING FACILITY 96597,A000000,01810,0000,01810ICF/MR 96597,A000000,01900,0000,01900OTHER LONG TERM CARE 96597,A000000,02100,0000,02100RADIOLOGY 96597,A000000,02200,0000,02200LABORATORY 96597,A000000,02300,0000,02300INTRAVENOUS THERAPY 96597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96597,A000000,02500,0000,02500PHYSICAL THERAPY 96597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96597,A000000,02700,0000,02700SPEECH PATHOLOGY 96597,A000000,02800,0000,02800ELECTROCARDIOLOGY 96597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96597,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96597,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96597,A000000,03200,0000,03200SUPPORT SURFACES 96597,A000000,03400,0000,03400CLINIC 96597,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96597,A000000,03500,0000,03500RURAL HEALTH CLINIC 96597,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96597,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96597,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96597,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96597,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96597,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96597,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96597,A000000,04400,0000,04400DME RENTED - HHA 96597,A000000,04500,0000,04500DME SOLD - HHA 96597,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96597,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96597,A000000,04800,0000,04800AMBULANCE 96597,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96597,A000000,05000,0000,05000CORF 96597,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96597,A000000,05300,0000,05300INTEREST EXPENSE 96597,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96597,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96597,A000000,05500,0000,05500HOSPICE 96597,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96597,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96597,A000000,06100,0000,06100NONPAID WORKERS 96597,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96597,A000000,06200,0000,06200PATIENTS LAUNDRY 96597,A81000A,00100,0100,Y 96597,A81000B,00100,0300,RELATED PARTY LEASE 96597,A81000B,00200,0300,RELATED PARTY LEASE 96597,A81000B,00300,0300,RELATED PARTY MANAGEMENT 96597,A81000B,00400,0300,RELATED PARTY ACCOUNTING 96597,A81000B,00500,0300,HOME OFFICE ALLOCATION 96597,A81000B,00600,0300,HOME OFFICE ALLOCATION 96597,A81000B,00700,0300,HOME OFFICE ALLOCATION 96597,A81000B,00800,0300,HOME OFFICE ALLOCATIONS 96597,A81000C,00100,0100,A 96597,A81000C,00100,0200,JAMES L. CLAY 96597,A81000C,00100,0400,REGENCY PACIFIC 96597,A81000C,00100,0600,HEALTH CARE MAN 96597,A81000C,00200,0100,A 96597,A81000C,00200,0200,JAMES L. CLAY 96597,A81000C,00200,0400,HILLTOP HEALTH 96597,A81000C,00200,0600,HEALTH CARE MAN 96597,A81000C,00300,0100,A 96597,A81000C,00300,0200,DAVID ROGGE 96597,A81000C,00300,0400,HILLTOP HEALTH 96597,A81000C,00300,0600,HEALTH CARE MAN 96597,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96597,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96597,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96597,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96597,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96597,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96597,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96597,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96597,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96597,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96597,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96597,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96597,E10A180,00301,0100,08/20/1999 96597,S000000,00100,0200,06/01/2000 96597,S200000,00100,0100,219 CEDAR AVE S. 96597,S200000,00200,0100,NORTH BEND 96597,S200000,00200,0200,WA 96597,S200000,00200,0300,98045- 96597,S200000,00300,0100,KING 96597,S200000,00300,0200,7600 96597,S200000,00300,0300,U 96597,S200000,00400,0100,MT. SI TRANSITIONAL HEALTH CTR. 96597,S200000,00400,0200,505339 96597,S200000,00400,0300,09/01/1985 96597,S200000,00400,0500,P 96597,S200000,01500,0100,Y 96612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96612,A000000,00300,0000,00300EMPLOYEE BENEFITS 96612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96612,A000000,00700,0000,00700HOUSEKEEPING 96612,A000000,00800,0000,00800DIETARY 96612,A000000,00900,0000,00900NURSING ADMINISTRATION 96612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96612,A000000,01100,0000,01100PHARMACY 96612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96612,A000000,01300,0000,01300SOCIAL SERVICE 96612,A000000,01350,0000,01500OTHER GENERAL SERVICES 96612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96612,A000000,01600,0000,01600SKILLED NURSING FACILITY 96612,A000000,01800,0000,01800NURSING FACILITY 96612,A000000,01810,0000,01810ICF/MR 96612,A000000,01900,0000,01900OTHER LONG TERM CARE 96612,A000000,02100,0000,02100RADIOLOGY 96612,A000000,02200,0000,02200LABORATORY 96612,A000000,02300,0000,02300INTRAVENOUS THERAPY 96612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96612,A000000,02500,0000,02500PHYSICAL THERAPY 96612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96612,A000000,02700,0000,02700SPEECH PATHOLOGY 96612,A000000,02800,0000,02800ELECTROCARDIOLOGY 96612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96612,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96612,A000000,03200,0000,03200SUPPORT SURFACES 96612,A000000,03400,0000,03400CLINIC 96612,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96612,A000000,03500,0000,03500RURAL HEALTH CLINIC 96612,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96612,A000000,04800,0000,04800AMBULANCE 96612,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96612,A000000,05000,0000,05000CORF 96612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96612,A000000,05300,0000,05300INTEREST EXPENSE 96612,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96612,A000000,05500,0000,05500HOSPICE 96612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96612,A000000,06100,0000,06100NONPAID WORKERS 96612,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96612,A000000,06200,0000,06200PATIENTS LAUNDRY 96612,B100000,00000,0100,00000 SQUARE FEET :CAP REL COSTS - BLDGS 96612,B100000,00000,0250,00000 SQUARE FEET :CAP REL COSTS - MOVAB 96612,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96612,B100000,00000,0500,00000 SQUARE FEET :PLANT OPERATION MAIN 96612,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 96612,B100000,00000,0750,00000 SQUARE FEET :HOUSEKEEPING 96612,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 96612,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 96612,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 96612,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96612,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96612,E10A180,00301,0100,06/16/1999 96612,E10A180,00350,0100,02/29/2000 96612,S000000,00100,0200,04/12/2001 96612,S200000,00100,0100,702 NORTH 16TH AVENUE 96612,S200000,00200,0100,YAKIMA 96612,S200000,00200,0200,WA 96612,S200000,00200,0300,98902- 96612,S200000,00300,0100,YAKIMA 96612,S200000,00300,0200,9260 96612,S200000,00300,0300,U 96612,S200000,00400,0100,GOOD SAMARITAN HEALTH CARE 96612,S200000,00400,0200,505348 96612,S200000,00400,0300,09/01/1985 96612,S200000,00400,0500,P 96612,S200000,01600,0100,Y 96621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96621,A000000,00300,0000,00300EMPLOYEE BENEFITS 96621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96621,A000000,00700,0000,00700HOUSEKEEPING 96621,A000000,00800,0000,00800DIETARY 96621,A000000,00900,0000,00900NURSING ADMINISTRATION 96621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96621,A000000,01300,0000,01300SOCIAL SERVICE 96621,A000000,01350,0000,01500OTHER GENERAL SERVICES 96621,A000000,01600,0000,01600SKILLED NURSING FACILITY 96621,A000000,01800,0000,01800NURSING FACILITY 96621,A000000,01810,0000,01810ICF/MR 96621,A000000,01900,0000,01900OTHER LONG TERM CARE 96621,A000000,02100,0000,02100RADIOLOGY 96621,A000000,02200,0000,02200LABORATORY 96621,A000000,02300,0000,02300INTRAVENOUS THERAPY 96621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96621,A000000,02500,0000,02500PHYSICAL THERAPY 96621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96621,A000000,02700,0000,02700SPEECH PATHOLOGY 96621,A000000,02800,0000,02800ELECTROCARDIOLOGY 96621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96621,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96621,A000000,03200,0000,03200SUPPORT SURFACES 96621,A000000,03400,0000,03400CLINIC 96621,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96621,A000000,03500,0000,03500RURAL HEALTH CLINIC 96621,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96621,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96621,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96621,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96621,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96621,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96621,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96621,A000000,04400,0000,04400DME RENTED - HHA 96621,A000000,04500,0000,04500DME SOLD - HHA 96621,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96621,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96621,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96621,A000000,04800,0000,04800AMBULANCE 96621,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96621,A000000,05000,0000,05000CORF 96621,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96621,A000000,05300,0000,05300INTEREST EXPENSE 96621,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96621,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96621,A000000,05500,0000,05500HOSPICE 96621,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96621,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96621,A000000,06100,0000,06100NONPAID WORKERS 96621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96621,A000000,06200,0000,06200PATIENTS LAUNDRY 96621,A81000A,00100,0100,Y 96621,A81000B,00100,0300,MANAGEMENT FEES 96621,A81000B,00200,0300,HOME OFFICE ACCOUNTING 96621,A81000B,00300,0300,PHYSICAL THERAPY 96621,A81000B,00400,0300,OCCUPATIONAL THERAPY 96621,A81000B,00500,0300,DIRECT ADMIN ALLOCATION 96621,A81000B,00600,0300,CAPITAL BLDG 96621,A81000B,00700,0300,CAPITAL INTEREST 96621,A81000B,00800,0300,CAPITAL EQUIPMENT 96621,A81000B,00900,0300,MGMT & ACCOUNTING FEES 96621,A81000C,00100,0100,B 96621,A81000C,00100,0200,REGENCY NORTHWEST 96621,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 96621,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96621,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96621,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96621,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96621,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96621,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96621,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96621,B100000,00000,0800,00000MEALS SERVED :DIETARY 96621,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96621,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96621,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96621,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96621,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96621,E10A180,00301,0100,07/16/1999 96621,E10A180,00501,0100,07/13/2000 96621,E10A180,00501,0300,07/13/2000 96621,S000000,00100,0200,06/01/2000 96621,S200000,00100,0100,1533 WEST MAIN STREET 96621,S200000,00200,0100,MONROE 96621,S200000,00200,0200,WA 96621,S200000,00200,0300,98272- 96621,S200000,00300,0100,SNOHOMISH 96621,S200000,00400,0100,REGENCY CARE CENTER AT MONROE 96621,S200000,00400,0200,505350 96621,S200000,00400,0300,10/01/1989 96621,S200000,00400,0500,P 96621,S200000,01600,0100,Y 96628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96628,A000000,00300,0000,00300EMPLOYEE BENEFITS 96628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96628,A000000,00700,0000,00700HOUSEKEEPING 96628,A000000,00800,0000,00800DIETARY 96628,A000000,00900,0000,00900NURSING ADMINISTRATION 96628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96628,A000000,01300,0000,01300SOCIAL SERVICE 96628,A000000,01350,0000,01500OTHER GENERAL SERVICES 96628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96628,A000000,01600,0000,01600SKILLED NURSING FACILITY 96628,A000000,01800,0000,01800NURSING FACILITY 96628,A000000,01810,0000,01810ICF/MR 96628,A000000,01900,0000,01900OTHER LONG TERM CARE 96628,A000000,02100,0000,02100RADIOLOGY 96628,A000000,02200,0000,02200LABORATORY 96628,A000000,02300,0000,02300INTRAVENOUS THERAPY 96628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96628,A000000,02500,0000,02500PHYSICAL THERAPY 96628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96628,A000000,02700,0000,02700SPEECH PATHOLOGY 96628,A000000,02800,0000,02800ELECTROCARDIOLOGY 96628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96628,A000000,03200,0000,03200SUPPORT SURFACES 96628,A000000,03400,0000,03400CLINIC 96628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96628,A000000,03500,0000,03500RURAL HEALTH CLINIC 96628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96628,A000000,04400,0000,04400DME RENTED - HHA 96628,A000000,04500,0000,04500DME SOLD - HHA 96628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96628,A000000,04800,0000,04800AMBULANCE 96628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96628,A000000,05000,0000,05000CORF 96628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96628,A000000,05300,0000,05300INTEREST EXPENSE 96628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96628,A000000,05500,0000,05500HOSPICE 96628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96628,A000000,06100,0000,06100NONPAID WORKERS 96628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96628,A000000,06200,0000,06200PATIENTS LAUNDRY 96628,A81000A,00100,0100,Y 96628,A81000B,00100,0300,HOME OFFICE ACCONTING 96628,A81000B,00200,0300,MGMT FEES 96628,A81000B,00300,0300,CAPITAL- BUILDING 96628,A81000B,00400,0300,CAPITAL- EQUIPMENT 96628,A81000B,00500,0300,INTEREST 96628,A81000B,00600,0300,DIRECT SALARY ALLOCATION 96628,A81000C,00100,0100,B 96628,A81000C,00100,0200,REGENCY NORTHWEST 96628,A81000C,00100,0400,REGENCY NORTHWEST 96628,A81000C,00100,0600,MGMT & ACTG 96628,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96628,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96628,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96628,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96628,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96628,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96628,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96628,B100000,00000,0800,00000MEALS SERVED :DIETARY 96628,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96628,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96628,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96628,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96628,E10A180,00301,0100,07/21/1999 96628,E10A180,00501,0100,07/13/2000 96628,E10A180,00501,0300,07/13/2000 96628,S000000,00100,0200,06/01/2000 96628,S200000,00100,0100,620 S. HAZEL STREET 96628,S200000,00200,0100,ARLINGTON 96628,S200000,00200,0200,WA 96628,S200000,00200,0300,98223- 96628,S200000,00300,0100,SNOHOMISH 96628,S200000,00300,0300,U 96628,S200000,00400,0100,REGENCY CARE CENTER AT ARLINGTON 96628,S200000,00400,0200,505351 96628,S200000,00400,0300,05/01/1996 96628,S200000,00400,0500,P 96628,S200000,01600,0100,Y 96636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96636,A000000,00300,0000,00300EMPLOYEE BENEFITS 96636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96636,A000000,00700,0000,00700HOUSEKEEPING 96636,A000000,00800,0000,00800DIETARY 96636,A000000,00900,0000,00900NURSING ADMINISTRATION 96636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96636,A000000,01100,0000,01100PHARMACY 96636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96636,A000000,01300,0000,01300SOCIAL SERVICE 96636,A000000,01350,0000,01500OTHER GENERAL SERVICES 96636,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96636,A000000,01600,0000,01600SKILLED NURSING FACILITY 96636,A000000,01800,0000,01800NURSING FACILITY 96636,A000000,01810,0000,01801ICF/MR 96636,A000000,01900,0000,01900OTHER LONG TERM CARE 96636,A000000,02100,0000,02100RADIOLOGY 96636,A000000,02200,0000,02200LABORATORY 96636,A000000,02300,0000,02300INTRAVENOUS THERAPY 96636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96636,A000000,02500,0000,02500PHYSICAL THERAPY 96636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96636,A000000,02700,0000,02700SPEECH PATHOLOGY 96636,A000000,02800,0000,02800ELECTROCARDIOLOGY 96636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96636,A000000,03001,0000,03001COMPLEX MEDICAL EQPT 96636,A000000,03002,0000,03002ENTERALS AND UROLOGICALSS 96636,A000000,03003,0000,03003PROSTHETICS AND ORTHOTICS 96636,A000000,03004,0000,03004DIABETIC SUPPLIES 96636,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96636,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96636,A000000,03200,0000,03200SUPPORT SURFACES 96636,A000000,03400,0000,03400CLINIC 96636,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96636,A000000,03500,0000,03500RURAL HEALTH CLINIC 96636,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96636,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96636,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96636,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96636,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96636,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96636,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96636,A000000,04400,0000,04400DME RENTED - HHA 96636,A000000,04500,0000,04500DME SOLD - HHA 96636,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96636,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96636,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96636,A000000,04800,0000,04800AMBULANCE 96636,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96636,A000000,05000,0000,05000CORF 96636,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96636,A000000,05300,0000,05300INTEREST EXPENSE 96636,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96636,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96636,A000000,05500,0000,05500HOSPICE 96636,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96636,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96636,A000000,06100,0000,06100NONPAID WORKERS 96636,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96636,A000000,06200,0000,06200PATIENTS LAUNDRY 96636,A81000A,00100,0100,Y 96636,A81000B,00100,0300,HOME OFFICE CAPITAL 96636,A81000B,00200,0300,HOME OFFICE CAPITAL 96636,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96636,A81000B,00400,0300,HOME OFFICE NURSE CONSULTANT 96636,A81000B,00500,0300,MANAGEMENT FEES 96636,A81000B,00600,0300,MANAGEMENT FEES 96636,A81000C,00100,0100,B 96636,A81000C,00100,0200,NORTHGATE REHAB CENTER 96636,A81000C,00100,0400,EAGLE HEALTHCARE INC 96636,A81000C,00100,0600,HEALTHCARE 96636,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96636,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96636,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96636,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96636,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96636,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96636,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96636,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96636,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96636,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96636,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96636,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96636,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96636,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96636,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96636,E10A180,00301,0100,07/19/1999 96636,S000000,00100,0200,06/02/2000 96636,S200000,00100,0100,10509 STONE AVE NE 96636,S200000,00200,0100,SEATTLE 96636,S200000,00200,0200,WA 96636,S200000,00200,0300,98133- 96636,S200000,00300,0100,KING 96636,S200000,00400,0100,NORTHGATE REHAB CENTER 96636,S200000,00400,0200,505360 96636,S200000,00400,0300,11/01/1989 96636,S200000,00400,0500,P 96636,S200000,00600,0200,411167 96636,S200000,00600,0300,12/01/1992 96636,S200000,00600,0600,P 96636,S200000,01600,0100,Y 96636,S700003,00000,0100,1 96643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96643,A000000,00300,0000,00300EMPLOYEE BENEFITS 96643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96643,A000000,00700,0000,00700HOUSEKEEPING 96643,A000000,00800,0000,00800DIETARY 96643,A000000,00900,0000,00900NURSING ADMINISTRATION 96643,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96643,A000000,01100,0000,01100PHARMACY 96643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96643,A000000,01300,0000,01300SOCIAL SERVICE 96643,A000000,01600,0000,01600SKILLED NURSING FACILITY 96643,A000000,01800,0000,01800NURSING FACILITY 96643,A000000,01810,0000,01810ICF/MR 96643,A000000,01900,0000,01900OTHER LONG TERM CARE 96643,A000000,02100,0000,02100RADIOLOGY 96643,A000000,02200,0000,02200LABORATORY 96643,A000000,02300,0000,02300INTRAVENOUS THERAPY 96643,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96643,A000000,02500,0000,02500PHYSICAL THERAPY 96643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96643,A000000,02700,0000,02700SPEECH PATHOLOGY 96643,A000000,02800,0000,02800ELECTROCARDIOLOGY 96643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96643,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96643,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96643,A000000,03200,0000,03200SUPPORT SURFACES 96643,A000000,03400,0000,03400CLINIC 96643,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96643,A000000,03500,0000,03500RURAL HEALTH CLINIC 96643,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96643,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96643,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96643,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96643,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96643,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96643,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96643,A000000,04400,0000,04400DME RENTED - HHA 96643,A000000,04500,0000,04500DME SOLD - HHA 96643,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96643,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96643,A000000,04800,0000,04800AMBULANCE 96643,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96643,A000000,05000,0000,05000CORF 96643,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96643,A000000,05300,0000,05300INTEREST EXPENSE 96643,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96643,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96643,A000000,05500,0000,05500HOSPICE 96643,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96643,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96643,A000000,06100,0000,06100NONPAID WORKERS 96643,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96643,A000000,06200,0000,06200PATIENTS LAUNDRY 96643,A81000A,00100,0100,Y 96643,A81000B,00100,0300,RELATED PARTY LEASE 96643,A81000B,00200,0300,RELATED PARTY LEASE 96643,A81000B,00300,0300,HOME OFFICE CAPITAL 96643,A81000B,00400,0300,HOME OFFICE CAPITAL 96643,A81000B,00500,0300,HOME OFFICE MANAGMENT 96643,A81000B,00600,0300,HOME OFFICE ACCT 96643,A81000B,00700,0300,RELATED PARTY MGMT 96643,A81000B,00800,0300,RELATED PARTY ACCT 96643,A81000C,00100,0100,B 96643,A81000C,00100,0200,DAVID L. ROGGE 96643,A81000C,00100,0400,HILLTOP HEALTHC 96643,A81000C,00100,0600,HEALTHCARE 96643,A81000C,00200,0100,B 96643,A81000C,00200,0200,JAMES L. CLAY 96643,A81000C,00200,0400,HILLTOP HEALTHC 96643,A81000C,00200,0600,HEALTHCARE 96643,A81000C,00300,0100,B 96643,A81000C,00300,0200,JAMES L. CLAY 96643,A81000C,00300,0400,REGENCY PACIFIC 96643,A81000C,00300,0600,HEALTHCARE 96643,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96643,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96643,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96643,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96643,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96643,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96643,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96643,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96643,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96643,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96643,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96643,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96643,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96643,E10A180,00301,0100,06/30/1999 96643,S000000,00100,0200,06/01/2000 96643,S200000,00100,0100,5129 HILLTOP ROAD 96643,S200000,00200,0100,EVERETT 96643,S200000,00200,0200,WA 96643,S200000,00200,0300,98203- 96643,S200000,00300,0100,SNOHOMISH 96643,S200000,00400,0100,FOREST VIEW TRANSITIONAL HEALTH CTR 96643,S200000,00400,0200,505362 96643,S200000,00400,0300,09/01/1985 96643,S200000,00400,0500,P 96643,S200000,01500,0100,Y 96643,S700003,00000,0100,1 96652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96652,A000000,00300,0000,00300EMPLOYEE BENEFITS 96652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96652,A000000,00700,0000,00700HOUSEKEEPING 96652,A000000,00800,0000,00800DIETARY 96652,A000000,00900,0000,00900NURSING ADMINISTRATION 96652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96652,A000000,01300,0000,01300SOCIAL SERVICE 96652,A000000,01350,0000,01500OTHER GENERAL SERVICES 96652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96652,A000000,01600,0000,01600SKILLED NURSING FACILITY 96652,A000000,01800,0000,01800NURSING FACILITY 96652,A000000,01810,0000,01810ICF/MR 96652,A000000,01900,0000,01900OTHER LONG TERM CARE 96652,A000000,02100,0000,02100RADIOLOGY 96652,A000000,02200,0000,02200LABORATORY 96652,A000000,02300,0000,02300INTRAVENOUS THERAPY 96652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96652,A000000,02500,0000,02500PHYSICAL THERAPY 96652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96652,A000000,02700,0000,02700SPEECH PATHOLOGY 96652,A000000,02800,0000,02800ELECTROCARDIOLOGY 96652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96652,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96652,A000000,03200,0000,03200SUPPORT SURFACES 96652,A000000,03400,0000,03400CLINIC 96652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96652,A000000,03500,0000,03500RURAL HEALTH CLINIC 96652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96652,A000000,04400,0000,04400DME RENTED - HHA 96652,A000000,04500,0000,04500DME SOLD - HHA 96652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96652,A000000,04800,0000,04800AMBULANCE 96652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96652,A000000,05000,0000,05000CORF 96652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96652,A000000,05300,0000,05300INTEREST EXPENSE 96652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96652,A000000,05500,0000,05500HOSPICE 96652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96652,A000000,06100,0000,06100NONPAID WORKERS 96652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96652,A000000,06200,0000,06200PATIENTS LAUNDRY 96652,A81000A,00100,0100,Y 96652,A81000B,00100,0300,ACCOUNTING 96652,A81000B,00200,0300,CONSULTANT 96652,A81000B,00300,0300,SECURITY 96652,A81000B,00400,0300,NURSING CONSULTANT 96652,A81000B,00500,0300,EMPLOYEE BENEFITS 96652,A81000B,00600,0300,CAPITAL-BLDG 96652,A81000B,00700,0300,CAPITAL-EQUIPMENT 96652,A81000B,00800,0300,NON-CAPITAL 96652,A81000C,00100,0100,A 96652,A81000C,00100,0200,RON E. FOSTER 96652,A81000C,00200,0200,HEALTHWEST 96652,A81000C,00200,0600,MGMT/ACCOUNTING 96652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96652,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96652,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96652,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96652,B100000,00000,0800,00000MEALS SERVED :DIETARY 96652,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 96652,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96652,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96652,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96652,E10A180,00301,0100,08/31/1999 96652,S000000,00100,0200,06/05/2000 96652,S200000,00100,0100,4007 TIETON DRIVE 96652,S200000,00200,0100,YAKIMA 96652,S200000,00200,0200,WA 96652,S200000,00200,0300,98908- 96652,S200000,00300,0100,YAKIMA 96652,S200000,00300,0200,9260 96652,S200000,00300,0300,U 96652,S200000,00400,0100,RENAISSANCE CARE CENTER 96652,S200000,00400,0200,505367 96652,S200000,00400,0300,11/01/1991 96652,S200000,00400,0500,P 96652,S200000,01600,0100,Y 96659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96659,A000000,00300,0000,00300EMPLOYEE BENEFITS 96659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96659,A000000,00700,0000,00700HOUSEKEEPING 96659,A000000,00800,0000,00800DIETARY 96659,A000000,00900,0000,00900NURSING ADMINISTRATION 96659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96659,A000000,01100,0000,01100PHARMACY 96659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96659,A000000,01300,0000,01300SOCIAL SERVICE 96659,A000000,01600,0000,01600SKILLED NURSING FACILITY 96659,A000000,01800,0000,01800NURSING FACILITY 96659,A000000,01810,0000,01810ICF/MR 96659,A000000,01900,0000,01900OTHER LONG TERM CARE 96659,A000000,02100,0000,02100RADIOLOGY 96659,A000000,02200,0000,02200LABORATORY 96659,A000000,02300,0000,02300INTRAVENOUS THERAPY 96659,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96659,A000000,02500,0000,02500PHYSICAL THERAPY 96659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96659,A000000,02700,0000,02700SPEECH PATHOLOGY 96659,A000000,02800,0000,02800ELECTROCARDIOLOGY 96659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96659,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96659,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96659,A000000,03200,0000,03200SUPPORT SURFACES 96659,A000000,03400,0000,03400CLINIC 96659,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96659,A000000,03500,0000,03500RURAL HEALTH CLINIC 96659,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96659,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96659,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96659,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96659,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96659,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96659,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96659,A000000,04400,0000,04400DME RENTED - HHA 96659,A000000,04500,0000,04500DME SOLD - HHA 96659,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96659,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96659,A000000,04800,0000,04800AMBULANCE 96659,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96659,A000000,05000,0000,05000CORF 96659,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96659,A000000,05300,0000,05300INTEREST EXPENSE 96659,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96659,A000000,05500,0000,05500HOSPICE 96659,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96659,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96659,A000000,06100,0000,06100NONPAID WORKERS 96659,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96659,A000000,06200,0000,06200PATIENTS LAUNDRY 96659,A81000A,00100,0100,Y 96659,A81000B,00100,0300,RELATED PARTY LEASE 96659,A81000B,00200,0300,RELATED PARTY LEASE 96659,A81000B,00300,0300,HOME OFFICE CAPITAL 96659,A81000B,00400,0300,HOME OFFICE CAPITAL 96659,A81000B,00500,0300,HOME OFFICE ALLOC 96659,A81000B,00600,0300,HOME OFFICE ALLOC 96659,A81000B,00700,0300,HOME OFFICE ALLOC 96659,A81000C,00100,0100,B 96659,A81000C,00100,0200,JAMES L. CLAY 96659,A81000C,00100,0400,REGENCY PACIFIC 96659,A81000C,00100,0600,HELATHCARE MGMT 96659,A81000C,00200,0100,B 96659,A81000C,00200,0200,JAMES L. CLAY 96659,A81000C,00200,0400,REGENCY DEVELOP 96659,A81000C,00200,0600,DEVELOPEMENT 96659,A81000C,00300,0100,B 96659,A81000C,00300,0200,JAMES L. CLAY 96659,A81000C,00300,0400,EXPRESS MEDICAL 96659,A81000C,00300,0600,SUPPLIES 96659,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96659,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96659,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96659,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96659,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96659,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96659,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96659,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96659,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96659,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96659,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96659,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96659,E10A180,00301,0100,08/02/1999 96659,E10A180,00501,0100,07/12/2000 96659,E10A180,00501,0300,07/12/2000 96659,S000000,00100,0200,06/01/2000 96659,S200000,00100,0100,1224 E. WESTVIEW COURT 96659,S200000,00200,0100,SPOKANE 96659,S200000,00200,0200,WA 96659,S200000,00200,0300,99218- 96659,S200000,00300,0100,SPOKANE 96659,S200000,00400,0100,REGENCY AT NORTHPOINTE 96659,S200000,00400,0200,505369 96659,S200000,00400,0300,01/01/1985 96659,S200000,00400,0500,P 96659,S200000,01500,0100,Y 96667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96667,A000000,00300,0000,00300EMPLOYEE BENEFITS 96667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96667,A000000,00700,0000,00700HOUSEKEEPING 96667,A000000,00800,0000,00800DIETARY 96667,A000000,00900,0000,00900NURSING ADMINISTRATION 96667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96667,A000000,01100,0000,01100PHARMACY 96667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96667,A000000,01300,0000,01300SOCIAL SERVICE 96667,A000000,01350,0000,01500ACTIVITIES 96667,A000000,01600,0000,01600SKILLED NURSING FACILITY 96667,A000000,01800,0000,01800NURSING FACILITY 96667,A000000,01810,0000,01810ICF/MR 96667,A000000,01900,0000,01900OTHER LONG TERM CARE 96667,A000000,02100,0000,02100RADIOLOGY 96667,A000000,02200,0000,02200LABORATORY 96667,A000000,02300,0000,02300INTRAVENOUS THERAPY 96667,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96667,A000000,02500,0000,02500PHYSICAL THERAPY 96667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96667,A000000,02700,0000,02700SPEECH PATHOLOGY 96667,A000000,02800,0000,02800ELECTROCARDIOLOGY 96667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96667,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96667,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96667,A000000,03200,0000,03200SUPPORT SURFACES 96667,A000000,03400,0000,03400CLINIC 96667,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96667,A000000,03500,0000,03500RURAL HEALTH CLINIC 96667,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96667,A000000,04800,0000,04800AMBULANCE 96667,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96667,A000000,05300,0000,05300INTEREST EXPENSE 96667,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96667,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96667,A000000,05500,0000,05500HOSPICE 96667,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96667,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96667,A000000,06100,0000,06100NONPAID WORKERS 96667,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96667,A000000,06200,0000,06200PATIENTS LAUNDRY 96667,A81000A,00100,0100,Y 96667,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 96667,A81000C,00100,0100,B 96667,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 96667,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96667,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96667,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96667,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96667,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96667,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96667,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 96667,B100000,00000,0800,00000MEALS SERVED :DIETARY 96667,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96667,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96667,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96667,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96667,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 96667,S000000,00100,0200,12/01/2000 96667,S200000,00100,0100,919 109TH AVENUE NE 96667,S200000,00200,0100,BELLEVUE 96667,S200000,00200,0200,WA 96667,S200000,00200,0300,98004-4493 96667,S200000,00300,0100,KING 96667,S200000,00300,0200,7600 96667,S200000,00300,0300,U 96667,S200000,00400,0100,THE SPRINGS AT PR - BELLEVUE 96667,S200000,00400,0200,505371 96667,S200000,00400,0300,01/01/1990 96667,S200000,00400,0500,P 96667,S200000,01600,0100,Y 96674,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96674,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96674,A000000,00300,0000,00300EMPLOYEE BENEFITS 96674,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96674,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96674,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96674,A000000,00700,0000,00700HOUSEKEEPING 96674,A000000,00800,0000,00800DIETARY 96674,A000000,00900,0000,00900NURSING ADMINISTRATION 96674,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96674,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96674,A000000,01300,0000,01300SOCIAL SERVICE 96674,A000000,01301,0000,01301ACTIVITIES 96674,A000000,01600,0000,01600SKILLED NURSING FACILITY 96674,A000000,01800,0000,01800NURSING FACILITY 96674,A000000,02100,0000,02100RADIOLOGY 96674,A000000,02200,0000,02200LABORATORY 96674,A000000,02300,0000,02300INTRAVENOUS THERAPY 96674,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96674,A000000,02500,0000,02500PHYSICAL THERAPY 96674,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96674,A000000,02700,0000,02700SPEECH PATHOLOGY 96674,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96674,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96674,A000000,03050,0000,03300AMBULANCE 96674,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96674,A81000A,00100,0100,Y 96674,A81000B,00100,0300,HO ALLOCATED BLDG 96674,A81000B,00200,0300,HO MGMT/ACTG 96674,A81000B,00300,0300,RELATED PARTY INTEREST 96674,A81000B,00400,0300,RELATED PARTY DEPREC. 96674,A81000C,00100,0100,A 96674,A81000C,00100,0200,ANDREW BRANCH 96674,A81000C,00100,0400,BRANCH MANAGEME 96674,A81000C,00100,0600,MGMT/ACTG 96674,A81000C,00200,0100,A 96674,A81000C,00200,0200,ANDREW BRANCH 96674,A81000C,00200,0400,BRANCH MANAGEME 96674,A81000C,00200,0600,MGMT/ACTG 96674,A81000C,00300,0100,A 96674,A81000C,00300,0200,ANDREW BRANCH 96674,A81000C,00300,0400,ANDREW BRANCH 96674,A81000C,00300,0600,BLDG. LESSOR 96674,A81000C,00400,0100,A 96674,A81000C,00400,0200,ANDREW BRANCH 96674,A81000C,00400,0400,ANDREW BRANCH 96674,A81000C,00400,0600,BLDG. LESSOR 96674,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96674,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96674,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96674,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96674,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96674,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96674,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96674,B100000,00000,0800,00000MEALS SERVED :DIETARY 96674,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96674,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96674,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96674,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96674,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 96674,E10A180,00301,0100,06/23/1999 96674,S000000,00100,0200,05/30/2000 96674,S200000,00100,0100,2611 SOUTH DEARBORN STREET 96674,S200000,00200,0100,SEATTLE 96674,S200000,00200,0200,WA 96674,S200000,00200,0300,98144- 96674,S200000,00300,0100,KING 96674,S200000,00400,0100,BRANCH VILLA 96674,S200000,00400,0200,505374 96674,S200000,00400,0300,10/31/1982 96674,S200000,00400,0500,P 96674,S200000,01500,0100,Y 96674,S700003,00000,0100,1 96682,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96682,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96682,A000000,00300,0000,00300EMPLOYEE BENEFITS 96682,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96682,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96682,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96682,A000000,00700,0000,00700HOUSEKEEPING 96682,A000000,00800,0000,00800DIETARY 96682,A000000,00900,0000,00900NURSING ADMINISTRATION 96682,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96682,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96682,A000000,01300,0000,01300SOCIAL SERVICE 96682,A000000,01600,0000,01600SKILLED NURSING FACILITY 96682,A000000,01800,0000,01800NURSING FACILITY 96682,A000000,02100,0000,02100RADIOLOGY 96682,A000000,02200,0000,02200LABORATORY 96682,A000000,02500,0000,02500PHYSICAL THERAPY 96682,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96682,A000000,02700,0000,02700SPEECH PATHOLOGY 96682,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96682,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96682,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96682,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96682,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96682,A81000A,00100,0100,Y 96682,A81000B,00100,0300,DIRECT SALARY ALLOCATION 96682,A81000B,00200,0300,INTEREST 96682,A81000B,00300,0300,MGMT / ACCOUNTING 96682,A81000B,00400,0300,CAPITAL - BUILDING 96682,A81000B,00500,0300,CAPITAL - EQUIPMENT 96682,A81000B,00600,0300,HOME OFFICE ACCOUNTING 96682,A81000B,00700,0300,MANAGEMENT FEES 96682,A81000C,00100,0100,B 96682,A81000C,00100,0200,REGENCY NORTHWEST 96682,A81000C,00100,0600,ACCTG & MGMT 96682,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96682,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96682,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96682,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96682,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96682,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96682,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96682,B100000,00000,0800,00000MEALS SERVED :DIETARY 96682,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96682,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96682,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96682,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96682,E10A180,00350,0100,01/01/1999 96682,E10A180,00501,0100,07/12/2000 96682,E10A180,00501,0300,07/12/2000 96682,S000000,00100,0200,06/01/2000 96682,S200000,00100,0100,2905 CONNELLY AVENUE 96682,S200000,00200,0100,BELLINGHAM 96682,S200000,00200,0200,WA 96682,S200000,00200,0300,98225- 96682,S200000,00300,0100,WHATCOM 96682,S200000,00300,0200,0860 96682,S200000,00300,0300,U 96682,S200000,00400,0100,MT. BAKER CARE CENTER 96682,S200000,00400,0200,505376 96682,S200000,00400,0300,05/01/1996 96682,S200000,00400,0500,P 96682,S200000,01600,0100,Y 96691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96691,A000000,00300,0000,00300EMPLOYEE BENEFITS 96691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96691,A000000,00700,0000,00700HOUSEKEEPING 96691,A000000,00800,0000,00800DIETARY 96691,A000000,00900,0000,00900NURSING ADMINISTRATION 96691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96691,A000000,01300,0000,01300SOCIAL SERVICE 96691,A000000,01600,0000,01600SKILLED NURSING FACILITY 96691,A000000,01800,0000,01800NURSING FACILITY 96691,A000000,01900,0000,01900OTHER LONG TERM CARE 96691,A000000,02100,0000,02100RADIOLOGY 96691,A000000,02200,0000,02200LABORATORY 96691,A000000,02300,0000,02300INTRAVENOUS THERAPY 96691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96691,A000000,02500,0000,02500PHYSICAL THERAPY 96691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96691,A000000,02700,0000,02700SPEECH PATHOLOGY 96691,A000000,02800,0000,02800ELECTROCARDIOLOGY 96691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96691,A000000,04800,0000,04800AMBULANCE 96691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96691,A81000A,00100,0100,Y 96691,A81000B,00100,0300,HOME OFFICE COSTS 96691,A81000B,00200,0300,HOME OFFICE COSTS 96691,A81000B,00300,0300,HOME OFFICE COSTS 96691,A81000C,00100,0100,B 96691,A81000C,00100,0200,EVERGREEN LIVIN 96691,A81000C,00100,0400,COMMON OWNER 96691,A81000C,00100,0600,HOME OFFICE 96691,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96691,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96691,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96691,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96691,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96691,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96691,B100000,00000,0800,00000MEALS SERVED :DIETARY 96691,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96691,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96691,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96691,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96691,E10A180,00301,0100,06/14/1999 96691,E10A180,00501,0100,06/26/2000 96691,E10A180,00501,0300,06/26/2000 96691,S000000,00100,0200,05/25/2000 96691,S200000,00100,0100,7411 NORTH NEVADA 96691,S200000,00200,0100,SPOKANE 96691,S200000,00200,0200,WA 96691,S200000,00200,0300,99207- 96691,S200000,00300,0100,SPOKANE 96691,S200000,00400,0100,ROYAL PARK 96691,S200000,00400,0200,505379 96691,S200000,00400,0300,06/06/1992 96691,S200000,00400,0500,P 96691,S200000,01600,0100,Y 96700,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96700,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96700,A000000,00300,0000,00300EMPLOYEE BENEFITS 96700,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96700,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96700,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96700,A000000,00700,0000,00700HOUSEKEEPING 96700,A000000,00800,0000,00800DIETARY 96700,A000000,00900,0000,00900NURSING ADMINISTRATION 96700,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96700,A000000,01100,0000,01100PHARMACY 96700,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96700,A000000,01300,0000,01300SOCIAL SERVICE 96700,A000000,01350,0000,01500OTHER GENERAL SERVICES 96700,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96700,A000000,01600,0000,01600SKILLED NURSING FACILITY 96700,A000000,01800,0000,01800NURSING FACILITY 96700,A000000,01810,0000,01801ICF/MR 96700,A000000,01900,0000,01900OTHER LONG TERM CARE 96700,A000000,02100,0000,02100RADIOLOGY 96700,A000000,02200,0000,02200LABORATORY 96700,A000000,02300,0000,02300INTRAVENOUS THERAPY 96700,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96700,A000000,02500,0000,02500PHYSICAL THERAPY 96700,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96700,A000000,02700,0000,02700SPEECH PATHOLOGY 96700,A000000,02800,0000,02800ELECTROCARDIOLOGY 96700,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96700,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96700,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96700,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96700,A000000,03200,0000,03200SUPPORT SURFACES 96700,A000000,03201,0000,03201DURABLE MED EQPT 96700,A000000,03202,0000,03202PROSTHETICS & ORTHOTICS 96700,A000000,03203,0000,03203ENTERALS 96700,A000000,03204,0000,03204DIABETICS TESTING 96700,A000000,03400,0000,03400CLINIC 96700,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96700,A000000,03500,0000,03500RURAL HEALTH CLINIC 96700,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96700,A000000,04800,0000,04800AMBULANCE 96700,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96700,A000000,05000,0000,05000CORF 96700,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96700,A000000,05300,0000,05300INTEREST EXPENSE 96700,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96700,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96700,A000000,05500,0000,05500HOSPICE 96700,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96700,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96700,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96700,A000000,06100,0000,06100NONPAID WORKERS 96700,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96700,A000000,06200,0000,06200PATIENTS LAUNDRY 96700,A81000A,00100,0100,Y 96700,A81000B,00100,0300,HOME OFFICE CAPITAL 96700,A81000B,00200,0300,HOME OFFICE CAPITAL 96700,A81000B,00300,0300,HOME OFFICE ADMINISTRATIVE 96700,A81000B,00400,0300,MANAGEMENT FEES 96700,A81000B,00500,0300,MANAGEMENT FEES 96700,A81000B,00600,0300,MANAGEMENT FEES 96700,A81000B,00700,0300,MANAGEMENT FEES 96700,A81000B,00800,0300,HOME OFFICE NURSE CONSULT 96700,A81000C,00100,0100,B 96700,A81000C,00100,0200,WALNUT GROVE 96700,A81000C,00100,0400,EAGLE HEALTHCARE INC 96700,A81000C,00100,0600,HEALTHCARE 96700,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96700,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96700,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96700,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96700,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96700,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96700,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96700,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96700,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96700,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96700,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96700,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96700,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96700,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96700,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96700,E10A180,00301,0100,06/15/1999 96700,E10A180,00550,0100,07/12/2000 96700,E10A180,00550,0300,07/12/2000 96700,S000000,00100,0200,06/02/2000 96700,S200000,00100,0100,5305 HICKS ROAD 96700,S200000,00200,0100,GRANDVIEW 96700,S200000,00200,0200,WA 96700,S200000,00200,0300,98938- 96700,S200000,00300,0100,BENTON 96700,S200000,00400,0100,WALNUT GROVE NURSING HOME 96700,S200000,00400,0200,505380 96700,S200000,00400,0300,04/01/1991 96700,S200000,00400,0500,P 96700,S200000,00600,0200,411357 96700,S200000,00600,0300,12/01/1994 96700,S200000,00600,0600,P 96700,S200000,01600,0100,Y 96700,S700003,00000,0100,1 96709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96709,A000000,00300,0000,00300EMPLOYEE BENEFITS 96709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96709,A000000,00700,0000,00700HOUSEKEEPING 96709,A000000,00800,0000,00800DIETARY 96709,A000000,00900,0000,00900NURSING ADMINISTRATION 96709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96709,A000000,01100,0000,01100PHARMACY 96709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96709,A000000,01300,0000,01300SOCIAL SERVICE 96709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96709,A000000,01600,0000,01600SKILLED NURSING FACILITY 96709,A000000,01800,0000,01800NURSING FACILITY 96709,A000000,01810,0000,01810ICF/MR 96709,A000000,01900,0000,01900OTHER LONG TERM CARE 96709,A000000,02100,0000,02100RADIOLOGY 96709,A000000,02200,0000,02200LABORATORY 96709,A000000,02300,0000,02300INTRAVENOUS THERAPY 96709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96709,A000000,02500,0000,02500PHYSICAL THERAPY 96709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96709,A000000,02700,0000,02700SPEECH PATHOLOGY 96709,A000000,02800,0000,02800ELECTROCARDIOLOGY 96709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96709,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96709,A000000,03200,0000,03200SUPPORT SURFACES 96709,A000000,03400,0000,03400CLINIC 96709,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96709,A000000,03500,0000,03500RURAL HEALTH CLINIC 96709,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96709,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96709,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96709,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96709,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96709,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96709,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96709,A000000,04400,0000,04400DME RENTED - HHA 96709,A000000,04500,0000,04500DME SOLD - HHA 96709,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96709,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96709,A000000,04800,0000,04800AMBULANCE 96709,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96709,A000000,05000,0000,05000CORF 96709,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96709,A000000,05300,0000,05300INTEREST EXPENSE 96709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96709,A000000,05500,0000,05500HOSPICE 96709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96709,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96709,A000000,06100,0000,06100NONPAID WORKERS 96709,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96709,A000000,06200,0000,06200PATIENTS LAUNDRY 96709,A81000A,00100,0100,Y 96709,A81000B,00100,0300,RELATED PARTY LEASE 96709,A81000B,00200,0300,RELATED PARTY MANAGEMENT 96709,A81000B,00300,0300,RELATED PARTY ACCOUNTING 96709,A81000B,00400,0300,HOME OFFICE ALLOCATION 96709,A81000B,00500,0300,HOME OFFICE ALLOCATION 96709,A81000B,00600,0300,HOME OFFICE ALLOCATION 96709,A81000B,00700,0300,HOME OFFICE ALLOCATION 96709,A81000B,00800,0300,RELATED PARTY DEPRECIATION 96709,A81000C,00100,0100,B 96709,A81000C,00100,0200,JAMES L CLAY 96709,A81000C,00100,0400,REGENCY PACIFIC 96709,A81000C,00100,0600,HEALTH CARE MAN 96709,A81000C,00200,0100,B 96709,A81000C,00200,0200,JAMES L CLAY 96709,A81000C,00200,0400,HILLTOP HC 96709,A81000C,00200,0600,HEALTH CARE MAN 96709,A81000C,00300,0100,B 96709,A81000C,00300,0200,DAVID ROGGE 96709,A81000C,00300,0400,HILLTOP HC 96709,A81000C,00300,0600,HEALTH CARE MAN 96709,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96709,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96709,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96709,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96709,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96709,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96709,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96709,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96709,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96709,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96709,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96709,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96709,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96709,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96709,E10A180,00301,0100,06/30/1999 96709,S000000,00100,0200,06/01/2000 96709,S200000,00100,0100,726 N. MARKESON 96709,S200000,00200,0100,CHELAN 96709,S200000,00200,0200,WA 96709,S200000,00200,0300,98816- 96709,S200000,00400,0100,REGENCY MANOR 96709,S200000,00400,0200,505382 96709,S200000,00400,0300,09/01/1985 96709,S200000,00400,0500,P 96709,S200000,01500,0100,Y 96709,S700003,00000,0100,1 96716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96716,A000000,00300,0000,00300EMPLOYEE BENEFITS 96716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96716,A000000,00700,0000,00700HOUSEKEEPING 96716,A000000,00800,0000,00800DIETARY 96716,A000000,00900,0000,00900NURSING ADMINISTRATION 96716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96716,A000000,01100,0000,01100PHARMACY 96716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96716,A000000,01300,0000,01300SOCIAL SERVICE 96716,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96716,A000000,01600,0000,01600SKILLED NURSING FACILITY 96716,A000000,01800,0000,01800NURSING FACILITY 96716,A000000,01810,0000,01810ICF/MR 96716,A000000,01900,0000,01900OTHER LONG TERM CARE 96716,A000000,02100,0000,02100RADIOLOGY 96716,A000000,02200,0000,02200LABORATORY 96716,A000000,02300,0000,02300INTRAVENOUS THERAPY 96716,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96716,A000000,02500,0000,02500PHYSICAL THERAPY 96716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96716,A000000,02700,0000,02700SPEECH PATHOLOGY 96716,A000000,02800,0000,02800ELECTROCARDIOLOGY 96716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96716,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96716,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96716,A000000,03200,0000,03200SUPPORT SURFACES 96716,A000000,03400,0000,03400CLINIC 96716,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96716,A000000,03500,0000,03500RURAL HEALTH CLINIC 96716,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96716,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96716,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96716,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96716,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96716,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96716,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96716,A000000,04400,0000,04400DME RENTED - HHA 96716,A000000,04500,0000,04500DME SOLD - HHA 96716,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96716,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96716,A000000,04800,0000,04800AMBULANCE 96716,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96716,A000000,05000,0000,05000CORF 96716,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96716,A000000,05300,0000,05300INTEREST EXPENSE 96716,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96716,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96716,A000000,05500,0000,05500HOSPICE 96716,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96716,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96716,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96716,A000000,06100,0000,06100NONPAID WORKERS 96716,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96716,A000000,06200,0000,06200PATIENTS LAUNDRY 96716,A81000A,00100,0100,Y 96716,A81000B,00100,0300,HOME OFFICE ALLOCATION 96716,A81000B,00200,0300,HOME OFFICE ALLOCATION 96716,A81000B,00300,0300,HOME OFFICE ALLOCATION 96716,A81000B,00400,0300,HOME OFFICE ALLOCATION 96716,A81000B,00500,0300,HOME OFFICE ALLOCATION 96716,A81000B,00600,0300,HOME OFFICE ALLOCATION 96716,A81000C,00100,0100,B 96716,A81000C,00100,0200,JAMES L. CLAY 96716,A81000C,00100,0400,REGENCY PACIFIC 96716,A81000C,00100,0600,HEALTH CARE MAN 96716,A81000C,00200,0100,B 96716,A81000C,00200,0200,JAMES L. CLAY 96716,A81000C,00200,0400,REGENCY DEVELOP 96716,A81000C,00200,0600,DEVELOPMENT 96716,A81000C,00300,0100,B 96716,A81000C,00300,0200,JAMES L. CLAY 96716,A81000C,00300,0400,EXPRESS MEDICAL 96716,A81000C,00300,0600,SUPPLIES 96716,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96716,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96716,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96716,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96716,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96716,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96716,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96716,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96716,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96716,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96716,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96716,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96716,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96716,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96716,E10A180,00301,0100,08/10/1999 96716,E10A180,00501,0100,07/12/2000 96716,E10A180,00501,0300,07/12/2000 96716,S000000,00100,0200,06/01/2000 96716,S200000,00100,0100,216 E. SIMCOE DRIVE 96716,S200000,00200,0100,GOLDENDALE 96716,S200000,00200,0200,WA 96716,S200000,00200,0300,98620- 96716,S200000,00300,0100,KLICKITAT 96716,S200000,00400,0100,MT. ADAMS CARE CTR. 96716,S200000,00400,0200,505384 96716,S200000,00400,0300,08/01/1991 96716,S200000,00400,0500,P 96716,S200000,01500,0100,Y 96724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96724,A000000,00300,0000,00300EMPLOYEE BENEFITS 96724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96724,A000000,00700,0000,00700HOUSEKEEPING 96724,A000000,00800,0000,00800DIETARY 96724,A000000,00900,0000,00900NURSING ADMINISTRATION 96724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96724,A000000,01300,0000,01300SOCIAL SERVICE 96724,A000000,01600,0000,01600SKILLED NURSING FACILITY 96724,A000000,01800,0000,01800NURSING FACILITY 96724,A000000,01900,0000,01900OTHER LONG TERM CARE 96724,A000000,02100,0000,02100RADIOLOGY 96724,A000000,02200,0000,02200LABORATORY 96724,A000000,02300,0000,02300INTRAVENOUS THERAPY 96724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96724,A000000,02500,0000,02500PHYSICAL THERAPY 96724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96724,A000000,02700,0000,02700SPEECH PATHOLOGY 96724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96724,A000000,03200,0000,03200SUPPORT SURFACES 96724,A000000,04800,0000,04800AMBULANCE 96724,A000000,05300,0000,05300INTEREST EXPENSE 96724,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96724,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96724,A81000A,00100,0100,Y 96724,A81000B,00100,0300,MANAGEMENT FEES 96724,A81000B,00200,0300,ALLOWABLE HOME OFFICE COSTS 96724,A81000B,00300,0300,INTEREST 96724,A81000B,00400,0300,EQUIPMENT 96724,A81000B,00500,0300,BENEFITS INSURANCE 96724,A81000B,00600,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,00700,0300,UTILITIES/REPAIR 96724,A81000B,00800,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,00900,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01000,0300,CENTRAL SUPPLIES 96724,A81000B,01100,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01200,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01300,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01400,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01500,0300,IV SUPPLIES 96724,A81000B,01600,0300,OXYGEN 96724,A81000B,01700,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01800,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,01900,0300,PURCHASED SERVICES/SUPPLIES 96724,A81000B,02000,0300,MEDICAL SUPPLIES 96724,A81000B,02100,0300,DRUGS 96724,A81000B,02200,0300,DME 96724,A81000B,02300,0300,AMBULANCE 96724,A81000C,00100,0100,B 96724,A81000C,00100,0200,PROVIDENCE HOME SERVICES 96724,A81000C,00100,0600,SUPPLIES/EQUIPMENT RENTAL 96724,A81000C,00200,0100,B 96724,A81000C,00200,0200,PROVIDENCE ST PETER HOSP. 96724,A81000C,00200,0600,SUPPLIES CONFERENCE MIS 96724,A81000C,00300,0100,B 96724,A81000C,00300,0200,PROVIDENCE CORP 96724,A81000C,00300,0600,MGMT BENEFITS INSURANCE 96724,A81000C,00400,0100,B 96724,A81000C,00400,0200,PROVIDENCE CENTRALIA HOSP 96724,A81000C,00400,0600,PT/OT 96724,A81000C,00500,0100,B 96724,A81000C,00500,0200,PROVIDENCE MEDICAL CENTER 96724,A81000C,00500,0600,PHONE 96724,A81000C,00600,0100,B 96724,A81000C,00600,0200,PROVIDENCE HOME INFUSION 96724,A81000C,00600,0600,IV SUPPLIES 96724,A81000C,00700,0100,B 96724,A81000C,00700,0200,PROVIDENCE ST PETER FOUND 96724,A81000C,00700,0600,PURCHASED SERVICES 96724,A81000C,00800,0100,B 96724,A81000C,00800,0200,PROVIDENCE MT ST VINCENT 96724,A81000C,00800,0600,SUPPLIES/ PR 96724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96724,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96724,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96724,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96724,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96724,B100000,00000,0800,00000MEALS SERVED :DIETARY 96724,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96724,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96724,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96724,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96724,E10A180,00301,0100,08/12/1999 96724,E10A180,00501,0100,07/27/2000 96724,E10A180,00501,0300,07/27/2000 96724,S000000,00100,0200,05/31/2000 96724,S200000,00100,0100,3333 ENSIGN RD NE 96724,S200000,00200,0100,OLYMPIA 96724,S200000,00200,0200,WA 96724,S200000,00200,0300,98506- 96724,S200000,00300,0100,THURSTON 96724,S200000,00400,0100,PROVIDENCE MOTHER JOSEPH CARE CTR 96724,S200000,00400,0200,505387 96724,S200000,00400,0300,06/07/1991 96724,S200000,00400,0500,P 96724,S200000,01600,0100,Y 96734,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96734,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96734,A000000,00300,0000,00300EMPLOYEE BENEFITS 96734,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96734,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96734,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96734,A000000,00700,0000,00700HOUSEKEEPING 96734,A000000,00800,0000,00800DIETARY 96734,A000000,00900,0000,00900NURSING ADMINISTRATION 96734,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96734,A000000,01100,0000,01100PHARMACY 96734,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96734,A000000,01300,0000,01300SOCIAL SERVICE 96734,A000000,01600,0000,01600SKILLED NURSING FACILITY 96734,A000000,01800,0000,01800NURSING FACILITY 96734,A000000,01900,0000,01900OTHER LONG TERM CARE 96734,A000000,02100,0000,02100RADIOLOGY 96734,A000000,02200,0000,02200LABORATORY 96734,A000000,02300,0000,02300INTRAVENOUS THERAPY 96734,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96734,A000000,02500,0000,02500PHYSICAL THERAPY 96734,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96734,A000000,02700,0000,02700SPEECH PATHOLOGY 96734,A000000,02800,0000,02800ELECTROCARDIOLOGY 96734,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96734,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96734,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96734,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96734,A000000,04800,0000,04800AMBULANCE 96734,A000000,05000,0000,05000CORF 96734,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96734,A000000,05300,0000,05300INTEREST EXPENSE 96734,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96734,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96734,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96734,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96734,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96734,A000000,06100,0000,06100NONPAID WORKERS 96734,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96734,A000000,06200,0000,06200PATIENTS LAUNDRY 96734,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96734,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96734,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96734,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96734,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96734,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96734,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96734,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96734,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 96734,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96734,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96734,E10A180,00301,0100,07/27/1999 96734,E10A180,00501,0100,06/26/2000 96734,S000000,00100,0200,05/31/2000 96734,S200000,00100,0100,515 NORTH 34TH AVENUE 96734,S200000,00200,0100,YAKIMA 96734,S200000,00200,0200,WA 96734,S200000,00200,0300,98902- 96734,S200000,00300,0100,YAKIMA 96734,S200000,00300,0200,9260 96734,S200000,00300,0300,U 96734,S200000,00400,0100,CHINOOK CONVALESCENT CENTER 96734,S200000,00400,0200,505396 96734,S200000,00400,0300,10/01/1991 96734,S200000,00400,0500,P 96734,S200000,01500,0100,Y 96741,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96741,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96741,A000000,00300,0000,00300EMPLOYEE BENEFITS 96741,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96741,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96741,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96741,A000000,00700,0000,00700HOUSEKEEPING 96741,A000000,00800,0000,00800DIETARY 96741,A000000,00900,0000,00900NURSING ADMINISTRATION 96741,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96741,A000000,01100,0000,01100PHARMACY 96741,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96741,A000000,01300,0000,01300SOCIAL SERVICE 96741,A000000,01600,0000,01600SKILLED NURSING FACILITY 96741,A000000,01800,0000,01800NURSING FACILITY 96741,A000000,01900,0000,01900OTHER LONG TERM CARE 96741,A000000,02100,0000,02100RADIOLOGY 96741,A000000,02200,0000,02200LABORATORY 96741,A000000,02300,0000,02300INTRAVENOUS THERAPY 96741,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96741,A000000,02500,0000,02500PHYSICAL THERAPY 96741,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96741,A000000,02700,0000,02700SPEECH PATHOLOGY 96741,A000000,02800,0000,02800ELECTROCARDIOLOGY 96741,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96741,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96741,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96741,A000000,03051,0000,03301NUTRITIONAL THERAPY 96741,A000000,03052,0000,03302PROSTHETIC/ORTHOTICS 96741,A000000,03053,0000,03303PHYSICIAN SERVICES 96741,A000000,03054,0000,03304MEDICAL SERVICES 96741,A000000,03055,0000,03201OTHER ANCILLARY SERVICE COST CENTER 96741,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96741,A000000,03200,0000,03200SUPPORT SURFACES 96741,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96741,A000000,04800,0000,04800AMBULANCE 96741,A000000,05300,0000,05300INTEREST EXPENSE 96741,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96741,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96741,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96741,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96741,A000000,06100,0000,06100NONPAID WORKERS 96741,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96741,A000000,06200,0000,06200PATIENTS LAUNDRY 96741,A81000A,00100,0100,Y 96741,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96741,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 96741,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 96741,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96741,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96741,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96741,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96741,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96741,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96741,B100000,00000,0750,00000HSKP SQUARE :HOUSEKEEPING 96741,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96741,B100000,00000,0950,00000NRSG ADM TIME STUDI:NURSING ADMINIS 96741,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96741,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96741,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96741,B100000,00000,1300,00000SOC SVC TIME STUDI:SOCIAL SERVICE 96741,S000000,00100,0200,02/01/2000 96741,S200000,00100,0100,220 SW 160TH STREET 96741,S200000,00200,0100,SEATTLE 96741,S200000,00200,0200,WA 96741,S200000,00200,0300,98166- 96741,S200000,00300,0100,KING 96741,S200000,00400,0100,HIGHLINE CARE CENTER 96741,S200000,00400,0200,505398 96741,S200000,00400,0300,10/01/1991 96741,S200000,00400,0500,P 96741,S200000,01600,0100,Y 96741,S200000,02800,0100,Y 96741,S700003,00000,0100,1 96743,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96743,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96743,A000000,00300,0000,00300EMPLOYEE BENEFITS 96743,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96743,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96743,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96743,A000000,00700,0000,00700HOUSEKEEPING 96743,A000000,00800,0000,00800DIETARY 96743,A000000,00900,0000,00900NURSING ADMINISTRATION 96743,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96743,A000000,01100,0000,01100PHARMACY 96743,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96743,A000000,01300,0000,01300SOCIAL SERVICE 96743,A000000,01350,0000,01500OTHER GENERAL SERVICES 96743,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96743,A000000,01600,0000,01600SKILLED NURSING FACILITY 96743,A000000,01800,0000,01800NURSING FACILITY 96743,A000000,01810,0000,01801ICF/MR 96743,A000000,01900,0000,01900OTHER LONG TERM CARE 96743,A000000,02100,0000,02100RADIOLOGY 96743,A000000,02200,0000,02200LABORATORY 96743,A000000,02300,0000,02300INTRAVENOUS THERAPY 96743,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96743,A000000,02500,0000,02500PHYSICAL THERAPY 96743,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96743,A000000,02700,0000,02700SPEECH PATHOLOGY 96743,A000000,02800,0000,02800ELECTROCARDIOLOGY 96743,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96743,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96743,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96743,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96743,A000000,03200,0000,03200SUPPORT SURFACES 96743,A000000,03400,0000,03400CLINIC 96743,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96743,A000000,03500,0000,03500RURAL HEALTH CLINIC 96743,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96743,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96743,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96743,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96743,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96743,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96743,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96743,A000000,04400,0000,04400DME RENTED - HHA 96743,A000000,04500,0000,04500DME SOLD - HHA 96743,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96743,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96743,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96743,A000000,04800,0000,04800AMBULANCE 96743,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96743,A000000,05000,0000,05000CORF 96743,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96743,A000000,05300,0000,05300INTEREST EXPENSE 96743,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96743,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96743,A000000,05500,0000,05500HOSPICE 96743,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96743,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96743,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96743,A000000,06100,0000,06100NONPAID WORKERS 96743,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96743,A000000,06200,0000,06200PATIENTS LAUNDRY 96743,A81000A,00100,0100,Y 96743,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 96743,A81000B,00200,0300,MOVABLE E CAPITAL REL CST-MVBL-E 96743,A81000B,00300,0300,MOVABLE E CAP REL CST-MVBL EQ DEP. 96743,A81000B,00400,0300,ADM.& GEN. 96743,A81000C,00100,0100,A 96743,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96743,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96743,B100000,00000,0300,00000GROSS SALARY :EMPLOYEE BENEFITS 96743,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96743,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96743,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96743,B100000,00000,0750,00000HSKPG SQUARE :HOUSEKEEPING 96743,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96743,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96743,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96743,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96743,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96743,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96743,B100000,00000,1350,00000POUNDS OF LAUNDRY :OTHER GENERAL SE 96743,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 96743,E10A180,00501,0100,07/11/2000 96743,E10A180,00550,0300,07/11/2000 96743,S000000,00100,0200,06/02/2000 96743,S200000,00100,0100,220 SW 160TH. STREET 96743,S200000,00200,0100,SEATTLE 96743,S200000,00200,0200,WA 96743,S200000,00200,0300,98166- 96743,S200000,00300,0100,KING 96743,S200000,00400,0100,HIGHLINE CARE CTR. 96743,S200000,00400,0200,505398 96743,S200000,00400,0300,10/01/1991 96743,S200000,00400,0500,P 96743,S200000,01500,0100,Y 96743,S200000,02200,0100,Y 96743,S700003,00000,0200,2 96751,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96751,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96751,A000000,00300,0000,00300EMPLOYEE BENEFITS 96751,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96751,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96751,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96751,A000000,00700,0000,00700HOUSEKEEPING 96751,A000000,00800,0000,00800DIETARY 96751,A000000,00900,0000,00900NURSING ADMINISTRATION 96751,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96751,A000000,01100,0000,01100PHARMACY 96751,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96751,A000000,01300,0000,01300SOCIAL SERVICE 96751,A000000,01350,0000,01500OTHER GENERAL SERVICES 96751,A000000,01600,0000,01600SKILLED NURSING FACILITY 96751,A000000,01800,0000,01800NURSING FACILITY 96751,A000000,01900,0000,01900OTHER LONG TERM CARE 96751,A000000,02100,0000,02100RADIOLOGY 96751,A000000,02200,0000,02200LABORATORY 96751,A000000,02300,0000,02300INTRAVENOUS THERAPY 96751,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96751,A000000,02500,0000,02500PHYSICAL THERAPY 96751,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96751,A000000,02700,0000,02700SPEECH PATHOLOGY 96751,A000000,02800,0000,02800ELECTROCARDIOLOGY 96751,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96751,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96751,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96751,A000000,03200,0000,03200SUPPORT SURFACES 96751,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96751,A000000,05300,0000,05300INTEREST EXPENSE 96751,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96751,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96751,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96751,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96751,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96751,A000000,06200,0000,06200PATIENTS LAUNDRY 96751,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96751,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96751,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96751,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96751,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96751,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96751,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96751,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96751,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96751,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96751,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96751,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96751,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96751,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96751,E10A180,00501,0100,07/07/2000 96751,E10A180,00501,0300,07/07/2000 96751,S000000,00100,0200,05/31/2000 96751,S200000,00100,0100,15333 VASHON HWY SW 96751,S200000,00200,0100,VASHON 96751,S200000,00200,0200,WA 96751,S200000,00200,0300,98070- 96751,S200000,00300,0100,KING 96751,S200000,00400,0100,VASHON COMMUNITY CARE CTR 96751,S200000,00400,0200,505399 96751,S200000,00400,0300,01/01/1994 96751,S200000,00400,0500,P 96751,S200000,01500,0100,Y 96751,S700003,00000,0100,1 96759,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96759,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96759,A000000,00300,0000,00300EMPLOYEE BENEFITS 96759,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96759,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96759,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96759,A000000,00700,0000,00700HOUSEKEEPING 96759,A000000,00800,0000,00800DIETARY 96759,A000000,00900,0000,00900NURSING ADMINISTRATION 96759,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96759,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96759,A000000,01300,0000,01300SOCIAL SERVICE 96759,A000000,01600,0000,01600SKILLED NURSING FACILITY 96759,A000000,01800,0000,01800NURSING FACILITY 96759,A000000,01810,0000,01801ICF/MR 96759,A000000,01900,0000,01900OTHER LONG TERM CARE 96759,A000000,02100,0000,02100RADIOLOGY 96759,A000000,02200,0000,02200LABORATORY 96759,A000000,02300,0000,02300INTRAVENOUS THERAPY 96759,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96759,A000000,02500,0000,02500PHYSICAL THERAPY 96759,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96759,A000000,02700,0000,02700SPEECH PATHOLOGY 96759,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96759,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96759,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96759,A000000,03200,0000,03200SUPPORT SURFACES 96759,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96759,A000000,05300,0000,05300INTEREST EXPENSE 96759,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96759,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96759,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96759,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96759,A81000A,00100,0100,Y 96759,A81000B,00100,0300,LEASE EXPENSE 96759,A81000B,00200,0300,ALLOWABLE DEPRECIATION 96759,A81000C,00100,0100,A 96759,A81000C,00100,0200,CLINTON NEAL SMITH 96759,A81000C,00100,0600,STORAGE LEASE 96759,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96759,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96759,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96759,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96759,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96759,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96759,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96759,B100000,00000,0800,00000MEALS SERVED :DIETARY 96759,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96759,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96759,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96759,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96759,E10A180,00301,0100,06/14/1999 96759,E10A180,00501,0100,06/14/2000 96759,E10A180,00501,0300,06/14/2000 96759,S000000,00100,0200,04/28/2000 96759,S200000,00100,0100,308 W EMMA 96759,S200000,00200,0100,UNION GAP 96759,S200000,00200,0200,WA 96759,S200000,00200,0300,98903- 96759,S200000,00300,0100,YAKIMA 96759,S200000,00400,0100,PARKSIDE CARE CENTER 96759,S200000,00400,0200,505401 96759,S200000,00400,0300,01/01/1972 96759,S200000,00400,0500,P 96759,S200000,01500,0100,Y 96759,S700003,00000,0100,1 96767,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96767,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96767,A000000,00300,0000,00300EMPLOYEE BENEFITS 96767,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96767,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96767,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96767,A000000,00700,0000,00700HOUSEKEEPING 96767,A000000,00800,0000,00800DIETARY 96767,A000000,00900,0000,00900NURSING ADMINISTRATION 96767,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96767,A000000,01100,0000,01100PHARMACY 96767,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96767,A000000,01300,0000,01300SOCIAL SERVICE 96767,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96767,A000000,01600,0000,01600SKILLED NURSING FACILITY 96767,A000000,02100,0000,02100RADIOLOGY 96767,A000000,02200,0000,02200LABORATORY 96767,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96767,A000000,02500,0000,02500PHYSICAL THERAPY 96767,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96767,A000000,02700,0000,02700SPEECH PATHOLOGY 96767,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96767,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96767,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96767,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96767,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96767,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96767,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96767,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96767,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96767,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96767,B100000,00000,0800,00000MEALS SERVED :DIETARY 96767,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 96767,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 96767,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 96767,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96767,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96767,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96767,E10A180,00301,0100,07/23/1999 96767,E10A180,00501,0100,06/29/2000 96767,E10A180,00501,0300,06/29/2000 96767,S000000,00100,0200,05/25/2000 96767,S200000,00100,0100,205 SOUTH B.C. AVENUE 96767,S200000,00200,0100,LYNDEN 96767,S200000,00200,0200,WA 96767,S200000,00200,0300,98264- 96767,S200000,00300,0100,WHATCOM 96767,S200000,00400,0100,CHRISTIAN HEALTH CARE CENTER 96767,S200000,00400,0200,505406 96767,S200000,00400,0300,01/01/1992 96767,S200000,00400,0500,P 96767,S200000,00400,0600,O 96767,S200000,01500,0100,Y 96767,S200000,01900,0100,NON-PROFIT 96767,S200000,02200,0100,Y 96776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96776,A000000,00300,0000,00300EMPLOYEE BENEFITS 96776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96776,A000000,00700,0000,00700HOUSEKEEPING 96776,A000000,00800,0000,00800DIETARY 96776,A000000,00900,0000,00900NURSING ADMINISTRATION 96776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96776,A000000,01300,0000,01300SOCIAL SERVICE 96776,A000000,01301,0000,01301ACTIVITIES 96776,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96776,A000000,01600,0000,01600SKILLED NURSING FACILITY 96776,A000000,01800,0000,01800NURSING FACILITY 96776,A000000,01900,0000,01900OTHER LONG TERM CARE 96776,A000000,02100,0000,02100RADIOLOGY 96776,A000000,02200,0000,02200LABORATORY 96776,A000000,02300,0000,02300INTRAVENOUS THERAPY 96776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96776,A000000,02500,0000,02500PHYSICAL THERAPY 96776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96776,A000000,02700,0000,02700SPEECH PATHOLOGY 96776,A000000,02800,0000,02800ELECTROCARDIOLOGY 96776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96776,A000000,03050,0000,03300DME 96776,A000000,03051,0000,03301OXYGEN 96776,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96776,A000000,03200,0000,03200SUPPORT SURFACES 96776,A000000,05350,0000,05600BOARDING HOME 96776,A000000,05351,0000,05601MISC NON-REIMBURSABLE 96776,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 96776,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 96776,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 96776,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 96776,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 96776,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 96776,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 96776,B100000,00000,0800,00001MEALS SERVED :DIETARY 96776,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 96776,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 96776,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 96776,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 96776,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 96776,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 96776,E10A180,00301,0100,07/20/1999 96776,S000000,00100,0200,06/01/2000 96776,S200000,00100,0100,5925 47TH AVENUE NE 96776,S200000,00200,0100,MARYSVILLE 96776,S200000,00200,0200,WA 96776,S200000,00200,0300,98270- 96776,S200000,00300,0100,SNOHOMISH 96776,S200000,00400,0100,MADELEINE VILLA 96776,S200000,00400,0200,505407 96776,S200000,00400,0300,01/01/1992 96776,S200000,00400,0500,P 96776,S200000,01600,0100,Y 96776,S700003,00000,0100,1 96783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96783,A000000,00300,0000,00300EMPLOYEE BENEFITS 96783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96783,A000000,00700,0000,00700HOUSEKEEPING 96783,A000000,00800,0000,00800DIETARY 96783,A000000,00900,0000,00900NURSING ADMINISTRATION 96783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96783,A000000,01300,0000,01300SOCIAL SERVICE 96783,A000000,01600,0000,01600SKILLED NURSING FACILITY 96783,A000000,01800,0000,01800NURSING FACILITY 96783,A000000,02100,0000,02100RADIOLOGY 96783,A000000,02200,0000,02200LABORATORY 96783,A000000,02500,0000,02500PHYSICAL THERAPY 96783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96783,A000000,02700,0000,02700SPEECH PATHOLOGY 96783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96783,A000000,03050,0000,03300EQUIPMENT RENTAL 96783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96783,A81000A,00100,0100,Y 96783,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 96783,A81000B,00200,0300,MANAGEMENT FEES 96783,A81000B,00300,0300,DEPRECIATION 96783,A81000B,00400,0300,INTEREST 96783,A81000B,00500,0300,LEASE PAYMENTS 96783,A81000C,00100,0100,A 96783,A81000C,00100,0200,JAMES E. MOCK 96783,A81000C,00100,0400,HMH ASSOCIATES 96783,A81000C,00100,0600,MANAGEMENT CO. 96783,A81000C,00200,0100,A 96783,A81000C,00200,0200,JAMES E. MOCK 96783,A81000C,00200,0400,HMH ASSOCIATES 96783,A81000C,00200,0600,MANAGEMENT CO. 96783,A81000C,00300,0100,A 96783,A81000C,00300,0200,JAMES E. MOCK 96783,A81000C,00300,0400,HEALTH CARE INV 96783,A81000C,00300,0600,REAL ESTATE 96783,A81000C,00400,0100,A 96783,A81000C,00400,0200,JAMES E. MOCK 96783,A81000C,00400,0400,HEALTH CARE INV 96783,A81000C,00400,0600,REAL ESTATE 96783,A81000C,00500,0100,A 96783,A81000C,00500,0200,JAMES E. MOCK 96783,A81000C,00500,0400,HEALTH CARE INV 96783,A81000C,00500,0600,REAL ESTATE 96783,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96783,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96783,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96783,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96783,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96783,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96783,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96783,B100000,00000,0800,00000MEALS SERVED :DIETARY 96783,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96783,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96783,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96783,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96783,E10A180,00301,0100,07/20/1999 96783,E10A180,00501,0100,07/13/2000 96783,E10A180,00501,0300,07/13/2000 96783,S000000,00100,0200,06/05/2000 96783,S200000,00100,0100,525 13TH STREET 96783,S200000,00200,0100,SNOHOMISH 96783,S200000,00200,0200,WA 96783,S200000,00200,0300,98290- 96783,S200000,00300,0100,SNOHOMISH 96783,S200000,00400,0100,PARKWAY NURSING CENTER 96783,S200000,00400,0200,505408 96783,S200000,00400,0300,01/01/1992 96783,S200000,00400,0500,P 96783,S200000,01600,0100,Y 96791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96791,A000000,00101,0000,00101CAP REL COSTS-RESIDENTIAL BLDG 96791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96791,A000000,00201,0000,00201CAP REL-RESIDENTAL EQUIPMENT 96791,A000000,00300,0000,00300EMPLOYEE BENEFITS 96791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96791,A000000,00501,0000,00501MAINTENANCE & REPAIR 96791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96791,A000000,00700,0000,00700HOUSEKEEPING 96791,A000000,00800,0000,00800DIETARY 96791,A000000,00900,0000,00900NURSING ADMINISTRATION 96791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96791,A000000,01300,0000,01300SOCIAL SERVICE 96791,A000000,01600,0000,01600SKILLED NURSING FACILITY 96791,A000000,01900,0000,01900OTHER LONG TERM CARE 96791,A000000,02100,0000,02100RADIOLOGY 96791,A000000,02200,0000,02200LABORATORY 96791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96791,A000000,02500,0000,02500PHYSICAL THERAPY 96791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96791,A000000,02700,0000,02700SPEECH PATHOLOGY 96791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96791,A81000A,00100,0100,Y 96791,A81000B,00100,0300,MANAGEMENT SERVICES 96791,A81000B,00200,0300,SPECIFIC SERVICES 96791,A81000B,00300,0300,MANAGEMENT OVERHEAD 96791,A81000C,00200,0100,B 96791,A81000C,00200,0200,WEST VALLEY NUR 96791,A81000C,00200,0400,LIVING CARE HOU 96791,A81000C,00200,0600,APARTMENTS 96791,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 96791,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS-RESID 96791,B100000,00000,0200,00000(DOLLAR VALUE) :CAP REL COSTS - MO 96791,B100000,00000,0201,00000(DOLLAR VALUE) :CAP REL-RESIDENTAL 96791,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 96791,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96791,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 96791,B100000,00000,0551,00000(TIME SPENT) :MAINTENANCE & REPAIR 96791,B100000,00000,0600,00000(POUNDS LAUNDRY) :LAUNDRY & LINEN 96791,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 96791,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 96791,B100000,00000,0900,00000(HOURS OF SERV) :NURSING ADMINISTRA 96791,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 96791,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 96791,E10A180,00301,0100,07/26/1999 96791,S000000,00100,0200,06/05/2000 96791,S200000,00100,0100,3905 KNOBEL AVE. 96791,S200000,00200,0100,YAKIMA 96791,S200000,00200,0200,WA 96791,S200000,00200,0300,98902- 96791,S200000,00300,0100,YAKIMA 96791,S200000,00300,0200,9260 96791,S200000,00300,0300,U 96791,S200000,00400,0100,SUMMITVIEW MANOR 96791,S200000,00400,0200,505409 96791,S200000,00400,0300,01/01/1992 96791,S200000,00400,0500,P 96791,S200000,00400,0600,O 96791,S200000,01500,0100,Y 96791,S200000,01900,0100,NON-DEMONINATIONAL 96791,S200000,02200,0100,Y 96791,S200000,02800,0100,Y 96798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96798,A000000,00300,0000,00300EMPLOYEE BENEFITS 96798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96798,A000000,00700,0000,00700HOUSEKEEPING 96798,A000000,00800,0000,00800DIETARY 96798,A000000,00900,0000,00900NURSING ADMINISTRATION 96798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96798,A000000,01300,0000,01300SOCIAL SERVICE 96798,A000000,01350,0000,01500OTHER GENERAL SERVICES 96798,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96798,A000000,01600,0000,01600SKILLED NURSING FACILITY 96798,A000000,01800,0000,01800NURSING FACILITY 96798,A000000,01810,0000,01801ICF/MR 96798,A000000,01900,0000,01900OTHER LONG TERM CARE 96798,A000000,02100,0000,02100RADIOLOGY 96798,A000000,02200,0000,02200LABORATORY 96798,A000000,02300,0000,02300INTRAVENOUS THERAPY 96798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96798,A000000,02500,0000,02500PHYSICAL THERAPY 96798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96798,A000000,02700,0000,02700SPEECH PATHOLOGY 96798,A000000,02800,0000,02800ELECTROCARDIOLOGY 96798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96798,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96798,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96798,A000000,03200,0000,03200SUPPORT SURFACES 96798,A000000,03400,0000,03400CLINIC 96798,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96798,A000000,03500,0000,03500RURAL HEALTH CLINIC 96798,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96798,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96798,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96798,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96798,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96798,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96798,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96798,A000000,04400,0000,04400DME RENTED - HHA 96798,A000000,04500,0000,04500DME SOLD - HHA 96798,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96798,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96798,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96798,A000000,04800,0000,04800AMBULANCE 96798,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96798,A000000,05000,0000,05000CORF 96798,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96798,A000000,05300,0000,05300INTEREST EXPENSE 96798,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96798,A000000,05500,0000,05500HOSPICE 96798,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96798,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96798,A000000,06100,0000,06100NONPAID WORKERS 96798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96798,A000000,06200,0000,06200PATIENTS LAUNDRY 96798,A81000A,00100,0100,Y 96798,A81000B,00100,0300,LEASE PAYMENTS 96798,A81000B,00200,0300,DEPRECIATION 96798,A81000B,00300,0300,INTEREST 96798,A81000C,00100,0100,A 96798,A81000C,00100,0200,CAROL HYATT 96798,A81000C,00100,0400,CAROL HYATT 96798,A81000C,00100,0600,MANAGEMENT 96798,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96798,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96798,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96798,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96798,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96798,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96798,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96798,B100000,00000,0800,00000MEALS SERVED :DIETARY 96798,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96798,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96798,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96798,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96798,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96798,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96798,E10A180,00301,0100,08/02/1999 96798,S000000,00100,0200,06/01/2000 96798,S200000,00100,0100,203 W. NACHES 96798,S200000,00200,0100,SELAH 96798,S200000,00200,0200,WA 96798,S200000,00200,0300,98942- 96798,S200000,00300,0100,YAKIMA 96798,S200000,00400,0100,SELAH CONVALESCENT INC. 96798,S200000,00400,0200,505410 96798,S200000,00400,0300,12/01/1991 96798,S200000,00400,0500,P 96798,S200000,01600,0100,Y 96798,S700003,00000,0100,1 96805,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96805,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96805,A000000,00300,0000,00300EMPLOYEE BENEFITS 96805,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96805,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96805,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96805,A000000,00700,0000,00700HOUSEKEEPING 96805,A000000,00800,0000,00800DIETARY 96805,A000000,00900,0000,00900NURSING ADMINISTRATION 96805,A000000,01100,0000,01100PHARMACY 96805,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96805,A000000,01300,0000,01300SOCIAL SERVICE 96805,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 96805,A000000,01600,0000,01600SKILLED NURSING FACILITY 96805,A000000,01800,0000,01800NURSING FACILITY 96805,A000000,01900,0000,01900OTHER LONG TERM CARE 96805,A000000,02100,0000,02100RADIOLOGY 96805,A000000,02200,0000,02200LABORATORY 96805,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96805,A000000,02500,0000,02500PHYSICAL THERAPY 96805,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96805,A000000,02700,0000,02700SPEECH PATHOLOGY 96805,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96805,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96805,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96805,A000000,03200,0000,03200SUPPORT SURFACES 96805,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96805,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96805,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96805,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96805,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96805,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96805,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96805,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96805,A000000,04400,0000,04400DME RENTED - HHA 96805,A000000,04500,0000,04500DME SOLD - HHA 96805,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96805,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96805,A000000,04800,0000,04800AMBULANCE 96805,A000000,05000,0000,05000CORF 96805,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96805,A000000,05300,0000,05300INTEREST EXPENSE 96805,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96805,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96805,A000000,05500,0000,05500HOSPICE 96805,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96805,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96805,A000000,06100,0000,06100NONPAID WORKERS 96805,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96805,A000000,06200,0000,06200PATIENTS LAUNDRY 96805,A81000A,00100,0100,Y 96805,A81000B,00100,0300,MANAGEMENT SERVICES 96805,A81000C,00100,0100,B 96805,A81000C,00100,0400,SRS. OF PROVIDE 96805,A81000C,00100,0600,HEALTH CARE ORG 96805,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96805,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96805,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96805,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96805,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96805,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96805,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96805,B100000,00000,0800,00000MEALS SERVED :DIETARY 96805,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96805,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96805,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96805,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96805,E10A180,00501,0100,07/13/2000 96805,E10A180,00501,0300,07/13/2000 96805,H510100,00000,0000,7600 96805,H510100,02400,0000,7600 96805,S000000,00100,0200,06/05/2000 96805,S200000,00100,0100,3725 PROVIDENCE POINT DR. S.E. 96805,S200000,00200,0100,ISSAQUAH 96805,S200000,00200,0200,WA 96805,S200000,00200,0300,98027- 96805,S200000,00300,0100,KING 96805,S200000,00300,0200,7600 96805,S200000,00300,0300,U 96805,S200000,00400,0100,PROVIDENCE MARIANWOOD 96805,S200000,00400,0200,505418 96805,S200000,00400,0300,02/01/1996 96805,S200000,00400,0500,P 96805,S200000,00800,0200,507068 96805,S200000,00800,0300,02/01/1996 96805,S200000,00800,0500,P 96805,S200000,01600,0100,Y 96812,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96812,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96812,A000000,00300,0000,00300EMPLOYEE BENEFITS 96812,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96812,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96812,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96812,A000000,00700,0000,00700HOUSEKEEPING 96812,A000000,00800,0000,00800DIETARY 96812,A000000,00900,0000,00900NURSING ADMINISTRATION 96812,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96812,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96812,A000000,01300,0000,01300SOCIAL SERVICE 96812,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96812,A000000,01600,0000,01600SKILLED NURSING FACILITY 96812,A000000,01800,0000,01800NURSING FACILITY 96812,A000000,01810,0000,01801ICF/MR 96812,A000000,01900,0000,01900OTHER LONG TERM CARE 96812,A000000,02100,0000,02100RADIOLOGY 96812,A000000,02200,0000,02200LABORATORY 96812,A000000,02300,0000,02300INTRAVENOUS THERAPY 96812,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96812,A000000,02500,0000,02500PHYSICAL THERAPY 96812,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96812,A000000,02700,0000,02700SPEECH PATHOLOGY 96812,A000000,02800,0000,02800ELECTROCARDIOLOGY 96812,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96812,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96812,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96812,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96812,A000000,03200,0000,03200SUPPORT SURFACES 96812,A000000,03400,0000,03400CLINIC 96812,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96812,A000000,03500,0000,03500RURAL HEALTH CLINIC 96812,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96812,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96812,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96812,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96812,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96812,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96812,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96812,A000000,04400,0000,04400DME RENTED - HHA 96812,A000000,04500,0000,04500DME SOLD - HHA 96812,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96812,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96812,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96812,A000000,04800,0000,04800AMBULANCE 96812,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96812,A000000,05000,0000,05000CORF 96812,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96812,A000000,05300,0000,05300INTEREST EXPENSE 96812,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96812,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96812,A000000,05500,0000,05500HOSPICE 96812,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96812,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96812,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96812,A000000,06100,0000,06100NONPAID WORKERS 96812,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96812,A000000,06200,0000,06200PATIENTS LAUNDRY 96812,A81000A,00100,0100,Y 96812,A81000B,00100,0300,ACCOUTING FEES 96812,A81000B,00200,0300,MANAGEMENT FEES 96812,A81000B,00300,0300,HUMAN RESOURCES ADMIN 96812,A81000B,00400,0300,HUMAN RESOURCES NURSING 96812,A81000C,00100,0100,B 96812,A81000C,00100,0200,RICK CHASTEEN 96812,A81000C,00100,0600,MANAGEMENT/ACCOUNTING 96812,A81000C,00200,0200,INTEGRITY HEALTH SERVICES 96812,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96812,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96812,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96812,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96812,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96812,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96812,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96812,B100000,00000,0800,00000MEALS SERVED :DIETARY 96812,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96812,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96812,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96812,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96812,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96812,S000000,00100,0200,06/29/2000 96812,S200000,00100,0300,375 96812,S200000,00200,0100,RONALD 96812,S200000,00200,0200,WA 96812,S200000,00200,0300,98940- 96812,S200000,00300,0100,YAKIMA 96812,S200000,00400,0100,IHS HERITAGE GARDENS CARE CENTER 96812,S200000,00400,0200,505426 96812,S200000,00400,0300,01/01/1992 96812,S200000,00400,0500,P 96812,S200000,01600,0100,Y 96812,S700003,00000,0100,1 96820,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96820,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96820,A000000,00300,0000,00300EMPLOYEE BENEFITS 96820,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96820,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96820,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96820,A000000,00700,0000,00700HOUSEKEEPING 96820,A000000,00800,0000,00800DIETARY 96820,A000000,00900,0000,00900NURSING ADMINISTRATION 96820,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96820,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96820,A000000,01300,0000,01300SOCIAL SERVICE 96820,A000000,01600,0000,01600SKILLED NURSING FACILITY 96820,A000000,01800,0000,01800NURSING FACILITY 96820,A000000,01900,0000,01900OTHER LONG TERM CARE 96820,A000000,02200,0000,02200LABORATORY 96820,A000000,02500,0000,02500PHYSICAL THERAPY 96820,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96820,A000000,02700,0000,02700SPEECH PATHOLOGY 96820,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96820,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96820,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96820,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96820,A81000A,00100,0100,Y 96820,A81000B,00100,0300,BUILDING RENT 96820,A81000B,00200,0300,INTEREST 96820,A81000B,00300,0300,DEPRECIATION 96820,A81000C,00100,0100,B 96820,A81000C,00100,0200,WILLIAM HAMMOND 96820,A81000C,00100,0600,LESSOR OF REAL PROPERTY 96820,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96820,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96820,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96820,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96820,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96820,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96820,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96820,B100000,00000,0800,00000MEALS SERVED :DIETARY 96820,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96820,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96820,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96820,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96820,S000000,00100,0200,05/24/2000 96820,S200000,00100,0100,1509 HARRISON AVENUE 96820,S200000,00200,0100,CENTRALIA 96820,S200000,00200,0200,WA 96820,S200000,00300,0100,LEWIS 96820,S200000,00400,0100,SHARON CARE CENTER 96820,S200000,00400,0200,505429 96820,S200000,00400,0300,01/01/1992 96820,S200000,00400,0500,P 96820,S200000,01600,0100,Y 96820,S700003,00000,0100,1 96829,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96829,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96829,A000000,00300,0000,00300EMPLOYEE BENEFITS 96829,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96829,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96829,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96829,A000000,00700,0000,00700HOUSEKEEPING 96829,A000000,00800,0000,00800DIETARY 96829,A000000,00900,0000,00900NURSING ADMINISTRATION 96829,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96829,A000000,01100,0000,01100PHARMACY 96829,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96829,A000000,01300,0000,01300SOCIAL SERVICE 96829,A000000,01350,0000,01500ACTIVITY 96829,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96829,A000000,01600,0000,01600SKILLED NURSING FACILITY 96829,A000000,01800,0000,01800NURSING FACILITY 96829,A000000,01810,0000,01801ICF/MR 96829,A000000,01900,0000,01900OTHER LONG TERM CARE 96829,A000000,02100,0000,02100RADIOLOGY 96829,A000000,02200,0000,02200LABORATORY 96829,A000000,02300,0000,02300INTRAVENOUS THERAPY 96829,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96829,A000000,02500,0000,02500PHYSICAL THERAPY 96829,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96829,A000000,02700,0000,02700SPEECH PATHOLOGY 96829,A000000,02800,0000,02800ELECTROCARDIOLOGY 96829,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96829,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96829,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96829,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96829,A000000,03200,0000,03200SUPPORT SURFACES 96829,A000000,03400,0000,03400CLINIC 96829,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96829,A000000,03500,0000,03500RURAL HEALTH CLINIC 96829,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96829,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96829,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96829,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96829,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96829,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96829,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96829,A000000,04400,0000,04400DME RENTED - HHA 96829,A000000,04500,0000,04500DME SOLD - HHA 96829,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96829,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96829,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96829,A000000,04800,0000,04800AMBULANCE 96829,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96829,A000000,05000,0000,05000CORF 96829,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96829,A000000,05300,0000,05300INTEREST EXPENSE 96829,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96829,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96829,A000000,05500,0000,05500HOSPICE 96829,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96829,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96829,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96829,A000000,06100,0000,06100NONPAID WORKERS 96829,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96829,A000000,06200,0000,06200PATIENTS LAUNDRY 96829,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96829,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96829,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96829,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96829,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96829,B100000,00000,0650,00000PPD :LAUNDRY & LINEN SERVICE 96829,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 96829,B100000,00000,0800,00000MEALS SERVED :DIETARY 96829,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96829,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96829,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96829,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96829,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96829,B100000,00000,1350,00000PPD :ACTIVITY 96829,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96829,E10A180,00301,0100,07/01/1999 96829,S000000,00100,0200,05/24/2000 96829,S200000,00100,0300,829 96829,S200000,00200,0100,BREWESTER 96829,S200000,00200,0200,WA 96829,S200000,00200,0300,98812- 96829,S200000,00300,0100,OKANOGAN 96829,S200000,00400,0100,HARMONY 96829,S200000,00400,0200,505430 96829,S200000,00400,0300,01/01/1992 96829,S200000,00400,0500,P 96829,S200000,00400,0600,P 96829,S200000,01600,0100,Y 96829,S200000,04300,0100,Y 96829,S700003,00000,0100,1 96838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96838,A000000,00300,0000,00300EMPLOYEE BENEFITS 96838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96838,A000000,00700,0000,00700HOUSEKEEPING 96838,A000000,00800,0000,00800DIETARY 96838,A000000,00900,0000,00900NURSING ADMINISTRATION 96838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96838,A000000,01300,0000,01300SOCIAL SERVICE 96838,A000000,01600,0000,01600SKILLED NURSING FACILITY 96838,A000000,01800,0000,01800NURSING FACILITY 96838,A000000,02100,0000,02100RADIOLOGY 96838,A000000,02200,0000,02200LABORATORY 96838,A000000,02500,0000,02500PHYSICAL THERAPY 96838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96838,A000000,02700,0000,02700SPEECH PATHOLOGY 96838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96838,A000000,03050,0000,03300RESPIRATORY THERAPY 96838,A000000,03051,0000,03301EQUIPMENT RENTAL 96838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96838,A81000A,00100,0100,Y 96838,A81000B,00100,0300,MANAGEMENT FEES 96838,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 96838,A81000B,00300,0300,DEPRECIATION 96838,A81000B,00400,0300,INTEREST 96838,A81000B,00500,0300,LEASE PAYMENTS 96838,A81000C,00100,0100,A 96838,A81000C,00100,0200,JAMES E. MOCK 96838,A81000C,00100,0400,HMH ASSOCIATES 96838,A81000C,00100,0600,MANAGEMENT CO. 96838,A81000C,00200,0100,A 96838,A81000C,00200,0200,JAMES E. MOCK 96838,A81000C,00200,0400,HMH ASSOCIATES 96838,A81000C,00200,0600,MANAGEMENT CO. 96838,A81000C,00300,0100,A 96838,A81000C,00300,0200,JAMES E. MOCK 96838,A81000C,00300,0400,H&M PROPERTIES 96838,A81000C,00300,0600,REAL ESTATE 96838,A81000C,00400,0100,A 96838,A81000C,00400,0200,JAMES E. MOCK 96838,A81000C,00400,0400,H&M PROPERTIES 96838,A81000C,00400,0600,REAL ESTATE 96838,A81000C,00500,0100,A 96838,A81000C,00500,0200,JAMES E. MOCK 96838,A81000C,00500,0400,H&M PROPERTIES 96838,A81000C,00500,0600,REAL ESTATE 96838,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96838,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96838,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96838,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96838,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96838,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96838,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96838,B100000,00000,0800,00000MEALS SERVED :DIETARY 96838,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96838,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96838,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96838,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96838,E10A180,00301,0100,07/22/1999 96838,E10A180,00501,0100,07/13/2000 96838,E10A180,00501,0300,07/13/2000 96838,S000000,00100,0200,06/05/2000 96838,S200000,00100,0100,5821 188TH ST. S.W. 96838,S200000,00200,0100,LYNNWOOD 96838,S200000,00200,0200,WA 96838,S200000,00200,0300,98037- 96838,S200000,00300,0100,SNOHOMISH 96838,S200000,00400,0100,LYNNWOOD MANOR HEALTH CARE CENTER 96838,S200000,00400,0200,505434 96838,S200000,00400,0300,01/01/1992 96838,S200000,00400,0500,P 96838,S200000,01600,0100,Y 96847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96847,A000000,00101,0000,00101CAPITAL BLDGS & FIXTURES - TOWER 96847,A000000,00102,0000,00102CAPITAL BLDGS & FIXTURES - TERRACE 96847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96847,A000000,00300,0000,00300EMPLOYEE BENEFITS 96847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96847,A000000,00700,0000,00700HOUSEKEEPING 96847,A000000,00800,0000,00800DIETARY 96847,A000000,00900,0000,00900NURSING ADMINISTRATION 96847,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96847,A000000,01100,0000,01100PHARMACY 96847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96847,A000000,01300,0000,01300SOCIAL SERVICE 96847,A000000,01350,0000,01500ACTIVITIES 96847,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96847,A000000,01600,0000,01600SKILLED NURSING FACILITY 96847,A000000,01800,0000,01800NURSING FACILITY 96847,A000000,01810,0000,01810ICF/MR 96847,A000000,02500,0000,02500PHYSICAL THERAPY 96847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96847,A000000,02700,0000,02700SPEECH PATHOLOGY 96847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96847,A000000,03050,0000,03300COMPLEX MEDICAL EQUIPMENT 96847,A000000,03550,0000,03550FQHC 96847,A000000,05000,0000,05000CORF 96847,A000000,05010,0000,05010CMHC 96847,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 96847,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 96847,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 96847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96847,A000000,06150,0000,06300INTERGENERATIONAL CHILDCARE 96847,A000000,06151,0000,06310RESIDENTIAL UNIT 96847,B100000,00000,0101,00010SQUARE FEET :CAPITAL BLDGS & FIXTU 96847,B100000,00000,0102,00010SQUARE FEET :CAPITAL BLDGS & FIXTU 96847,B100000,00000,0250,00010SQUARE FEET :CAP REL COSTS - MOVAB 96847,B100000,00000,0300,00010GROSS SALARIES :EMPLOYEE BENEFITS 96847,B100000,00000,0400,00010 ACCUM. COST :ADMINISTRATIVE & GENE 96847,B100000,00000,0500,00010SQUARE FEET :PLANT OPERATION MAIN 96847,B100000,00000,0600,00010POUNDS OF LAUNDRY :LAUNDRY & LINEN 96847,B100000,00000,0750,00010SQUARE FEET :HOUSEKEEPING 96847,B100000,00000,0800,00010MEALS SERVED :DIETARY 96847,B100000,00000,0950,00010DIRECT NRSG HRS :NURSING ADMINISTRA 96847,B100000,00000,1250,00010PATIENT DAYS :MEDICAL RECORDS & LI 96847,B100000,00000,1330,00010PATIENT DAYS :SOCIAL SERVICE 96847,B100000,00000,1350,00010PATIENT DAYS :ACTIVITIES 96847,E10A180,00501,0100,07/11/2000 96847,S000000,00100,0200,05/30/2000 96847,S200000,00100,0100,11 WEST ALOHA STREET 96847,S200000,00200,0100,SEATTLE 96847,S200000,00200,0200,WA 96847,S200000,00200,0300,98119- 96847,S200000,00300,0100,KING 96847,S200000,00300,0200,7600 96847,S200000,00300,0300,U 96847,S200000,00400,0100,BAYVIEW MANOR 96847,S200000,00400,0200,505439 96847,S200000,00400,0300,01/01/1992 96847,S200000,00400,0500,P 96847,S200000,00600,0200,505439 96847,S200000,00600,0300,01/01/1992 96847,S200000,01600,0100,Y 96847,S200000,01700,0100,Y 96851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96851,A000000,00300,0000,00300EMPLOYEE BENEFITS 96851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96851,A000000,00700,0000,00700HOUSEKEEPING 96851,A000000,00800,0000,00800DIETARY 96851,A000000,00900,0000,00900NURSING ADMINISTRATION 96851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96851,A000000,01100,0000,01100PHARMACY 96851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96851,A000000,01300,0000,01300SOCIAL SERVICE 96851,A000000,01600,0000,01600SKILLED NURSING FACILITY 96851,A000000,01800,0000,01800NURSING FACILITY 96851,A000000,01810,0000,01810ICF/MR 96851,A000000,01900,0000,01900OTHER LONG TERM CARE 96851,A000000,02100,0000,02100RADIOLOGY 96851,A000000,02200,0000,02200LABORATORY 96851,A000000,02300,0000,02300INTRAVENOUS THERAPY 96851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96851,A000000,02500,0000,02500PHYSICAL THERAPY 96851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96851,A000000,02700,0000,02700SPEECH PATHOLOGY 96851,A000000,02800,0000,02800ELECTROCARDIOLOGY 96851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96851,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96851,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96851,A000000,03200,0000,03200SUPPORT SURFACES 96851,A000000,03400,0000,03400CLINIC 96851,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96851,A000000,03500,0000,03500RURAL HEALTH CLINIC 96851,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96851,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96851,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96851,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96851,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96851,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96851,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96851,A000000,04400,0000,04400DME RENTED - HHA 96851,A000000,04500,0000,04500DME SOLD - HHA 96851,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96851,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96851,A000000,04800,0000,04800AMBULANCE 96851,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96851,A000000,05000,0000,05000CORF 96851,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96851,A000000,05300,0000,05300INTEREST EXPENSE 96851,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96851,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96851,A000000,05500,0000,05500HOSPICE 96851,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96851,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96851,A000000,06100,0000,06100NONPAID WORKERS 96851,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96851,A000000,06200,0000,06200PATIENTS LAUNDRY 96851,A81000A,00100,0100,Y 96851,A81000B,00100,0300,HOME OFFICE CAPITAL 96851,A81000B,00200,0300,HOME OFFICE CAP EQUIP 96851,A81000B,00300,0300,HOME OFFICE ALLOC 96851,A81000B,00400,0300,HOME OFFICE ALLOC 96851,A81000B,00500,0300,RELATED PARTY MGMT 96851,A81000B,00600,0300,RELATED PARTY ACCT 96851,A81000C,00100,0100,A 96851,A81000C,00100,0200,DAVID L. ROGGE 96851,A81000C,00100,0400,HILLTOP HC 96851,A81000C,00100,0600,HEALTH CARE 96851,A81000C,00200,0100,A 96851,A81000C,00200,0200,JAMES L. CLAY 96851,A81000C,00200,0400,HILLTOP HC 96851,A81000C,00200,0600,HEALTH CARE 96851,A81000C,00300,0100,A 96851,A81000C,00300,0200,JAMES L. CLAY 96851,A81000C,00300,0400,REGENCY PACIFIC 96851,A81000C,00300,0600,HEALTH CARE 96851,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96851,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96851,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96851,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96851,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96851,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96851,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96851,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 96851,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96851,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96851,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96851,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96851,S000000,00100,0200,06/01/2000 96851,S200000,00100,0100,1811 22ND AVENUE SE 96851,S200000,00200,0100,OLYMPIA 96851,S200000,00200,0200,WA 96851,S200000,00200,0300,98501- 96851,S200000,00300,0100,THURSTON 96851,S200000,00400,0100,OLYMPIA MANOR 96851,S200000,00400,0200,505440 96851,S200000,00400,0300,04/01/1992 96851,S200000,00400,0500,P 96851,S200000,01500,0100,Y 96851,S700003,00000,0100,1 96859,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96859,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96859,A000000,00300,0000,00300EMPLOYEE BENEFITS 96859,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96859,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96859,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96859,A000000,00700,0000,00700HOUSEKEEPING 96859,A000000,00800,0000,00800DIETARY 96859,A000000,00900,0000,00900NURSING ADMINISTRATION 96859,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96859,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96859,A000000,01300,0000,01300SOCIAL SERVICE 96859,A000000,01600,0000,01600SKILLED NURSING FACILITY 96859,A000000,01800,0000,01800NURSING FACILITY 96859,A000000,02100,0000,02100RADIOLOGY 96859,A000000,02500,0000,02500PHYSICAL THERAPY 96859,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96859,A000000,02700,0000,02700SPEECH PATHOLOGY 96859,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96859,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96859,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96859,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96859,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96859,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96859,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96859,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96859,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96859,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96859,B100000,00000,0800,00000MEALS SERVED :DIETARY 96859,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96859,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96859,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96859,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96859,E10A180,00501,0100,06/29/2000 96859,S000000,00100,0200,06/05/2000 96859,S200000,00100,0100,1812 N. WALL STREET 96859,S200000,00200,0100,SPOKANE 96859,S200000,00200,0200,WA 96859,S200000,00200,0300,99205- 96859,S200000,00300,0100,SPOKANE 96859,S200000,00300,0200,7840 96859,S200000,00300,0300,U 96859,S200000,00400,0100,NORTH CENTRAL CARE CENTER 96859,S200000,00400,0200,505441 96859,S200000,00400,0300,03/01/1992 96859,S200000,00400,0500,P 96859,S200000,01600,0100,Y 96869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96869,A000000,00300,0000,00300EMPLOYEE BENEFITS 96869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96869,A000000,00700,0000,00700HOUSEKEEPING 96869,A000000,00800,0000,00800DIETARY 96869,A000000,00900,0000,00900NURSING ADMINISTRATION 96869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96869,A000000,01100,0000,01100PHARMACY 96869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96869,A000000,01300,0000,01300SOCIAL SERVICE 96869,A000000,01350,0000,01500OTHER GENERAL SERVICES 96869,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96869,A000000,01600,0000,01600SKILLED NURSING FACILITY 96869,A000000,01800,0000,01800NURSING FACILITY 96869,A000000,01810,0000,01810ICF/MR 96869,A000000,01900,0000,01900OTHER LONG TERM CARE 96869,A000000,02100,0000,02100RADIOLOGY 96869,A000000,02200,0000,02200LABORATORY 96869,A000000,02300,0000,02300INTRAVENOUS THERAPY 96869,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96869,A000000,02500,0000,02500PHYSICAL THERAPY 96869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96869,A000000,02700,0000,02700SPEECH PATHOLOGY 96869,A000000,02800,0000,02800ELECTROCARDIOLOGY 96869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96869,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96869,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96869,A000000,03200,0000,03200SUPPORT SURFACES 96869,A000000,03400,0000,03400CLINIC 96869,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96869,A000000,03500,0000,03500RURAL HEALTH CLINIC 96869,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96869,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96869,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96869,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96869,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96869,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96869,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96869,A000000,04400,0000,04400DME RENTED - HHA 96869,A000000,04500,0000,04500DME SOLD - HHA 96869,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96869,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96869,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96869,A000000,04800,0000,04800AMBULANCE 96869,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96869,A000000,05000,0000,05000CORF 96869,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96869,A000000,05300,0000,05300INTEREST EXPENSE 96869,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96869,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96869,A000000,05500,0000,05500HOSPICE 96869,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96869,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96869,A000000,06100,0000,06100NONPAID WORKERS 96869,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96869,A000000,06200,0000,06200PATIENTS LAUNDRY 96869,A81000A,00100,0100,Y 96869,A81000B,00100,0300,ACCT & MGMT 96869,A81000C,00100,0100,B 96869,A81000C,00100,0200,MESSENGER HOUSE 96869,A81000C,00100,0400,SOUNDCARE HOME OFFICE 96869,A81000C,00100,0600,MGMT & ACCT 96869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96869,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96869,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96869,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96869,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96869,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96869,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96869,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96869,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96869,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96869,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96869,E10A180,00301,0100,06/25/1999 96869,E10A180,00501,0100,06/21/2000 96869,E10A180,00501,0300,06/21/2000 96869,S000000,00100,0200,06/05/2000 96869,S200000,00100,0100,10861 MANITOU PARK BLVD 96869,S200000,00200,0100,BAINBRIDGE ISLAND 96869,S200000,00200,0200,WA 96869,S200000,00200,0300,98110- 96869,S200000,00300,0100,KITSAP 96869,S200000,00400,0100,MESSENGER HOUSE CARE CENTER 96869,S200000,00400,0200,505452 96869,S200000,00400,0300,01/01/1992 96869,S200000,00400,0500,P 96869,S200000,00400,0600,P 96869,S200000,01600,0100,Y 96869,S200000,04300,0100,Y 96876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96876,A000000,00300,0000,00300EMPLOYEE BENEFITS 96876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96876,A000000,00700,0000,00700HOUSEKEEPING 96876,A000000,00800,0000,00800DIETARY 96876,A000000,00900,0000,00900NURSING ADMINISTRATION 96876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96876,A000000,01100,0000,01100PHARMACY 96876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96876,A000000,01300,0000,01300SOCIAL SERVICE 96876,A000000,01600,0000,01600SKILLED NURSING FACILITY 96876,A000000,01800,0000,01800NURSING FACILITY 96876,A000000,01810,0000,01801ICF/MR 96876,A000000,01900,0000,01900OTHER LONG TERM CARE 96876,A000000,02100,0000,02100RADIOLOGY 96876,A000000,02200,0000,02200LABORATORY 96876,A000000,02300,0000,02300INTRAVENOUS THERAPY 96876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96876,A000000,02500,0000,02500PHYSICAL THERAPY 96876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96876,A000000,02700,0000,02700SPEECH PATHOLOGY 96876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96876,A000000,03200,0000,03200SUPPORT SURFACES 96876,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96876,A000000,05300,0000,05300INTEREST EXPENSE 96876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96876,A81000A,00100,0100,Y 96876,A81000B,00100,0300,MANAGEMENT FEES 96876,A81000B,00200,0300,CAPITAL-BLDG 96876,A81000B,00300,0300,CAPITAL-EQUIP 96876,A81000B,00400,0300,NON-CAPITAL 96876,A81000C,00100,0100,B 96876,A81000C,00100,0200,ABHOW 96876,A81000C,00100,0600,MANAGEMENT & ACCOUNTING 96876,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96876,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96876,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96876,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96876,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96876,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96876,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96876,B100000,00000,0800,00000MEALS SERVED :DIETARY 96876,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96876,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96876,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96876,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 96876,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96876,S000000,00100,0200,03/01/2000 96876,S200000,00100,0100,23600 MARINE VIEW DR 96876,S200000,00200,0100,DES MOINES 96876,S200000,00200,0200,WA 96876,S200000,00200,0300,98198- 96876,S200000,00300,0100,KING 96876,S200000,00400,0100,JUDSON PARK RETIREMENT COMMUNITY 96876,S200000,00400,0200,505455 96876,S200000,00400,0300,01/01/1992 96876,S200000,00400,0500,P 96876,S200000,01600,0100,Y 96876,S700003,00000,0100,1 96883,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96883,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96883,A000000,00300,0000,00300EMPLOYEE BENEFITS 96883,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96883,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96883,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96883,A000000,00700,0000,00700HOUSEKEEPING 96883,A000000,00800,0000,00800DIETARY 96883,A000000,00900,0000,00900NURSING ADMINISTRATION 96883,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96883,A000000,01100,0000,01100PHARMACY 96883,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96883,A000000,01300,0000,01300SOCIAL SERVICE 96883,A000000,01350,0000,01500OTHER GENERAL SERVICES 96883,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96883,A000000,01600,0000,01600SKILLED NURSING FACILITY 96883,A000000,01800,0000,01800NURSING FACILITY 96883,A000000,01900,0000,01900OTHER LONG TERM CARE 96883,A000000,02100,0000,02100RADIOLOGY 96883,A000000,02200,0000,02200LABORATORY 96883,A000000,02300,0000,02300INTRAVENOUS THERAPY 96883,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96883,A000000,02500,0000,02500PHYSICAL THERAPY 96883,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96883,A000000,02700,0000,02700SPEECH PATHOLOGY 96883,A000000,02800,0000,02800ELECTROCARDIOLOGY 96883,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96883,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96883,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96883,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96883,A000000,03200,0000,03200SUPPORT SURFACES 96883,A000000,03400,0000,03400CLINIC 96883,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96883,A000000,03500,0000,03500RURAL HEALTH CLINIC 96883,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96883,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96883,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96883,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96883,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96883,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96883,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96883,A000000,04400,0000,04400DME RENTED - HHA 96883,A000000,04500,0000,04500DME SOLD - HHA 96883,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96883,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96883,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96883,A000000,04800,0000,04800AMBULANCE 96883,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96883,A000000,05000,0000,05000CORF 96883,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96883,A000000,05300,0000,05300INTEREST EXPENSE 96883,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96883,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96883,A000000,05500,0000,05500HOSPICE 96883,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96883,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96883,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96883,A000000,06100,0000,06100NONPAID WORKERS 96883,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96883,A000000,06200,0000,06200PATIENTS LAUNDRY 96883,A81000A,00100,0100,Y 96883,A81000B,00100,0300,ACCT & MGMT 96883,A81000C,00100,0100,G 96883,A81000C,00100,0200,HOME OFFICE 96883,A81000C,00100,0400,HOME OFFICE 96883,A81000C,00100,0600,HOME OFFICE 96883,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96883,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 96883,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96883,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96883,B100000,00000,0550,00000PAIENT DAYS :PLANT OPERATION MAIN 96883,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96883,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 96883,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96883,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 96883,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96883,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96883,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96883,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96883,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96883,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96883,E10A180,00301,0100,07/30/1999 96883,S000000,00100,0200,12/07/1999 96883,S200000,00100,0100,1748 JEFFERSON AVE 96883,S200000,00200,0100,TACOMA 96883,S200000,00200,0200,WA 96883,S200000,00200,0300,98402- 96883,S200000,00300,0100,PIERCE 96883,S200000,00400,0100,JEFFERSON HOUSE 96883,S200000,00400,0200,505456 96883,S200000,00400,0300,01/01/1992 96883,S200000,00400,0500,P 96883,S200000,01600,0100,Y 96883,S200000,04300,0100,Y 96883,S700003,00000,0100,1 96889,S000000,00100,0200,06/05/2000 96896,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96896,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96896,A000000,00300,0000,00300EMPLOYEE BENEFITS 96896,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96896,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96896,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96896,A000000,00700,0000,00700HOUSEKEEPING 96896,A000000,00800,0000,00800DIETARY 96896,A000000,00900,0000,00900NURSING ADMINISTRATION 96896,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96896,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96896,A000000,01300,0000,01300SOCIAL SERVICE 96896,A000000,01350,0000,01500OTHER GENERAL SERVICES 96896,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96896,A000000,01600,0000,01600SKILLED NURSING FACILITY 96896,A000000,01800,0000,01800NURSING FACILITY 96896,A000000,01810,0000,01810ICF/MR 96896,A000000,01900,0000,01900OTHER LONG TERM CARE 96896,A000000,02100,0000,02100RADIOLOGY 96896,A000000,02200,0000,02200LABORATORY 96896,A000000,02300,0000,02300INTRAVENOUS THERAPY 96896,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96896,A000000,02500,0000,02500PHYSICAL THERAPY 96896,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96896,A000000,02700,0000,02700SPEECH PATHOLOGY 96896,A000000,02800,0000,02800ELECTROCARDIOLOGY 96896,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96896,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96896,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96896,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96896,A000000,03200,0000,03200SUPPORT SURFACES 96896,A000000,03400,0000,03400CLINIC 96896,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96896,A000000,03500,0000,03500RURAL HEALTH CLINIC 96896,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96896,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96896,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96896,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96896,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96896,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96896,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96896,A000000,04400,0000,04400DME RENTED - HHA 96896,A000000,04500,0000,04500DME SOLD - HHA 96896,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96896,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96896,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96896,A000000,04800,0000,04800AMBULANCE 96896,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96896,A000000,05000,0000,05000CORF 96896,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96896,A000000,05300,0000,05300INTEREST EXPENSE 96896,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96896,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96896,A000000,05500,0000,05500HOSPICE 96896,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96896,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96896,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96896,A000000,06100,0000,06100NONPAID WORKERS 96896,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96896,A000000,06200,0000,06200PATIENTS LAUNDRY 96896,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96896,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96896,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96896,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96896,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96896,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96896,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96896,B100000,00000,0800,00000MEALS SERVED :DIETARY 96896,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96896,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96896,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96896,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96896,E10A180,00301,0100,07/22/1999 96896,E10A180,00501,0100,07/13/2000 96896,S000000,00100,0200,06/05/2000 96896,S200000,00100,0100,235 SW 6TH AVENUE 96896,S200000,00200,0100,OAK HARBOR 96896,S200000,00200,0200,WA 96896,S200000,00200,0300,98277- 96896,S200000,00300,0100,ISLAND 96896,S200000,00300,0200,7600 96896,S200000,00300,0300,U 96896,S200000,00400,0100,WHIDBEY ISLAND MANOR 96896,S200000,00400,0200,505461 96896,S200000,00400,0300,07/03/1993 96896,S200000,00400,0500,P 96896,S200000,01600,0100,Y 96903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96903,A000000,00300,0000,00300EMPLOYEE BENEFITS 96903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96903,A000000,00700,0000,00700HOUSEKEEPING 96903,A000000,00800,0000,00800DIETARY 96903,A000000,00900,0000,00900NURSING ADMINISTRATION 96903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96903,A000000,01300,0000,01300SOCIAL SERVICE 96903,A000000,01600,0000,01600SKILLED NURSING FACILITY 96903,A000000,01800,0000,01800NURSING FACILITY 96903,A000000,02100,0000,02100RADIOLOGY 96903,A000000,02200,0000,02200LABORATORY 96903,A000000,02500,0000,02500PHYSICAL THERAPY 96903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96903,A000000,02700,0000,02700SPEECH PATHOLOGY 96903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96903,A000000,03050,0000,03300RESPIRATORY THERAPY 96903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96903,A81000A,00100,0100,Y 96903,A81000B,00100,0300,BUILDING LEASE 96903,A81000C,00100,0100,B 96903,A81000C,00100,0400,ANDERSON 96903,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96903,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96903,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96903,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96903,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96903,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96903,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96903,B100000,00000,0800,00000MEALS SERVED :DIETARY 96903,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96903,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96903,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96903,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96903,E10A180,00501,0100,07/12/2000 96903,S000000,00100,0200,06/06/2000 96903,S200000,00100,0100,17127 15TH AVE. NE 96903,S200000,00200,0100,SEATTLE 96903,S200000,00200,0200,WA 96903,S200000,00200,0300,98155- 96903,S200000,00300,0100,KING 96903,S200000,00300,0200,7600 96903,S200000,00300,0300,U 96903,S200000,00400,0100,ANDERSON HOUSE 96903,S200000,00400,0200,505462 96903,S200000,00400,0300,01/01/1992 96903,S200000,00400,0500,P 96903,S200000,01600,0100,Y 96911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96911,A000000,00300,0000,00300EMPLOYEE BENEFITS 96911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96911,A000000,00700,0000,00700HOUSEKEEPING 96911,A000000,00800,0000,00800DIETARY 96911,A000000,00900,0000,00900NURSING ADMINISTRATION 96911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96911,A000000,01100,0000,01100PHARMACY 96911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96911,A000000,01300,0000,01300SOCIAL SERVICE 96911,A000000,01350,0000,01500ACTIVITY 96911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96911,A000000,01600,0000,01600SKILLED NURSING FACILITY 96911,A000000,01800,0000,01800NURSING FACILITY 96911,A000000,01810,0000,01810ICF/MR 96911,A000000,01900,0000,01900OTHER LONG TERM CARE 96911,A000000,02100,0000,02100RADIOLOGY 96911,A000000,02200,0000,02200LABORATORY 96911,A000000,02300,0000,02300INTRAVENOUS THERAPY 96911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96911,A000000,02500,0000,02500PHYSICAL THERAPY 96911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96911,A000000,02700,0000,02700SPEECH PATHOLOGY 96911,A000000,02800,0000,02800ELECTROCARDIOLOGY 96911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96911,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96911,A000000,03200,0000,03200SUPPORT SURFACES 96911,A000000,03400,0000,03400CLINIC 96911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96911,A000000,03500,0000,03500RURAL HEALTH CLINIC 96911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 96911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 96911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 96911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 96911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 96911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 96911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 96911,A000000,04400,0000,04400DME RENTED - HHA 96911,A000000,04500,0000,04500DME SOLD - HHA 96911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 96911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 96911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96911,A000000,04800,0000,04800AMBULANCE 96911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96911,A000000,05000,0000,05000CORF 96911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96911,A000000,05300,0000,05300INTEREST EXPENSE 96911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96911,A000000,05500,0000,05500HOSPICE 96911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96911,A000000,06100,0000,06100NONPAID WORKERS 96911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96911,A000000,06200,0000,06200PATIENTS LAUNDRY 96911,A81000A,00100,0100,Y 96911,A81000B,00100,0300,MANAGEMENT 96911,A81000C,00100,0100,B 96911,A81000C,00100,0200,UNIVERSITY PLACE 96911,A81000C,00100,0400,HOME OFFICE 96911,A81000C,00100,0600,MGMT/ACCT 96911,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96911,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96911,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96911,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96911,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 96911,B100000,00000,0800,00000MEALS SERVED :DIETARY 96911,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96911,B100000,00000,1050,00000PPD :CENTRAL SERVICES & SUPPLY 96911,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96911,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96911,B100000,00000,1350,00000PPD :ACTIVITY 96911,E10A180,00301,0100,07/01/1999 96911,E10A180,00501,0100,06/29/2000 96911,E10A180,00501,0300,06/29/2000 96911,S000000,00100,0200,06/05/2000 96911,S200000,00100,0100,5520 BRIDGEPORT WAY 96911,S200000,00200,0100,UNIVERSITY PLACE 96911,S200000,00200,0200,WA 96911,S200000,00200,0300,98467- 96911,S200000,00300,0100,PIERCE 96911,S200000,00300,0200,8200 96911,S200000,00300,0300,U 96911,S200000,00400,0100,UNIVERSITY PLACE 96911,S200000,00400,0200,505473 96911,S200000,00400,0300,05/01/1992 96911,S200000,00400,0500,P 96911,S200000,00400,0600,P 96911,S200000,01600,0100,Y 96918,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96918,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96918,A000000,00300,0000,00300EMPLOYEE BENEFITS 96918,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96918,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96918,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96918,A000000,00700,0000,00700HOUSEKEEPING 96918,A000000,00800,0000,00800DIETARY 96918,A000000,00900,0000,00900NURSING ADMINISTRATION 96918,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96918,A000000,01100,0000,01100PHARMACY 96918,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96918,A000000,01300,0000,01300SOCIAL SERVICE 96918,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 96918,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96918,A000000,01600,0000,01600SKILLED NURSING FACILITY 96918,A000000,01800,0000,01800NURSING FACILITY 96918,A000000,01900,0000,01900OTHER LONG TERM CARE 96918,A000000,02100,0000,02100RADIOLOGY 96918,A000000,02200,0000,02200LABORATORY 96918,A000000,02300,0000,02300INTRAVENOUS THERAPY 96918,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96918,A000000,02500,0000,02500PHYSICAL THERAPY 96918,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96918,A000000,02700,0000,02700SPEECH PATHOLOGY 96918,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96918,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96918,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96918,A000000,03200,0000,03200SUPPORT SURFACES 96918,A000000,03400,0000,03400CLINIC 96918,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 96918,A000000,04800,0000,04800AMBULANCE 96918,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96918,A000000,05000,0000,05000CORF 96918,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96918,A000000,05300,0000,05300INTEREST EXPENSE 96918,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96918,A000000,05500,0000,05500HOSPICE 96918,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96918,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96918,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 96918,A000000,06200,0000,06200PATIENTS LAUNDRY 96918,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96918,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96918,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96918,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96918,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96918,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96918,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96918,B100000,00000,0800,00000MEALS SERVED :DIETARY 96918,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96918,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 96918,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 96918,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96918,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96918,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 96918,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96918,S000000,00100,0200,03/02/2000 96918,S200000,00100,0100,10901 - 176TH CIRCLE N.E. 96918,S200000,00200,0100,REDMOND 96918,S200000,00200,0200,WA 96918,S200000,00200,0300,98052- 96918,S200000,00300,0100,KING 96918,S200000,00400,0100,EMERALD HEIGHTS 96918,S200000,00400,0200,505478 96918,S200000,00400,0300,12/08/1992 96918,S200000,00400,0500,P 96918,S200000,01500,0100,Y 96918,S200000,02800,0100,Y 96918,S700003,00000,0100,1 96929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96929,A000000,00300,0000,00300EMPLOYEE BENEFITS 96929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96929,A000000,00700,0000,00700HOUSEKEEPING 96929,A000000,00800,0000,00800DIETARY 96929,A000000,00900,0000,00900NURSING ADMINISTRATION 96929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96929,A000000,01100,0000,01100PHARMACY 96929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96929,A000000,01300,0000,01300SOCIAL SERVICE 96929,A000000,01301,0000,01301ACTIVITIES 96929,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 96929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96929,A000000,01600,0000,01600SKILLED NURSING FACILITY 96929,A000000,01800,0000,01800NURSING FACILITY 96929,A000000,01900,0000,01900OTHER LONG TERM CARE 96929,A000000,02100,0000,02100RADIOLOGY 96929,A000000,02200,0000,02200LABORATORY 96929,A000000,02300,0000,02300INTRAVENOUS THERAPY 96929,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96929,A000000,02500,0000,02500PHYSICAL THERAPY 96929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96929,A000000,02700,0000,02700SPEECH PATHOLOGY 96929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96929,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 96929,A000000,04800,0000,04800AMBULANCE 96929,A000000,05300,0000,05300INTEREST EXPENSE 96929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96929,A81000A,00100,0100,Y 96929,A81000B,00100,0300,HOME OFFICE CAPITAL 96929,A81000B,00200,0300,HOME OFFICE OTHER 96929,A81000C,00100,0100,B 96929,A81000C,00100,0200,CENTRAL PARK LO 96929,A81000C,00100,0400,CENTRAL PARK LO 96929,A81000C,00100,0600,MGMT 96929,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96929,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96929,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96929,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96929,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96929,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 96929,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 96929,B100000,00000,0850,00000PATIENT DAYS :DIETARY 96929,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 96929,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 96929,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 96929,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 96929,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 96929,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 96929,B100000,00000,1350,00000PATIENT DAYS :OTHER GENERAL SERVIC 96929,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 96929,S000000,00100,0200,03/06/2000 96929,S200000,00100,0100,400 29TH STREET NE 96929,S200000,00200,0100,PUYALLUP 96929,S200000,00200,0200,WA 96929,S200000,00200,0300,98372- 96929,S200000,00300,0100,PIERCE 96929,S200000,00400,0100,LINDEN GROVE CARE CENTER 96929,S200000,00400,0200,505485 96929,S200000,00400,0300,07/01/1998 96929,S200000,00400,0500,P 96929,S200000,01600,0100,Y 96929,S200000,04300,0100,Y 96929,S700003,00000,0200,2 96937,S000000,00100,0200,10/31/2000 96945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96945,A000000,00300,0000,00300EMPLOYEE BENEFITS 96945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96945,A000000,00700,0000,00700HOUSEKEEPING 96945,A000000,00800,0000,00800DIETARY 96945,A000000,00900,0000,00900NURSING ADMINISTRATION 96945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96945,A000000,01100,0000,01100PHARMACY 96945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96945,A000000,01300,0000,01300SOCIAL SERVICE 96945,A000000,01350,0000,01500OTHER GENERAL SERVICES 96945,A000000,01600,0000,01600SKILLED NURSING FACILITY 96945,A000000,02100,0000,02100RADIOLOGY 96945,A000000,02200,0000,02200LABORATORY 96945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96945,A000000,02500,0000,02500PHYSICAL THERAPY 96945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96945,A000000,02700,0000,02700SPEECH PATHOLOGY 96945,A000000,02800,0000,02800ELECTROCARDIOLOGY 96945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96945,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96945,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96945,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96945,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96945,A000000,05300,0000,05300INTEREST EXPENSE 96945,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96945,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96945,A000000,06100,0000,06100NONPAID WORKERS 96945,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96945,A000000,06200,0000,06200PATIENTS LAUNDRY 96945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 96945,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 96945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 96945,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96945,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96945,B100000,00000,0800,00000MEALS SERVED :DIETARY 96945,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 96945,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 96945,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 96945,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96945,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96945,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96945,S000000,00100,0200,05/25/2000 96945,S200000,00100,0100,2525 PENNSYLVANIA AVENUE 96945,S200000,00200,0100,WEIRTON 96945,S200000,00200,0200,WV 96945,S200000,00200,0300,26062- 96945,S200000,00300,0100,HANCOCK 96945,S200000,00400,0100,WEIRTON GERIATRIC CENTER 96945,S200000,00400,0200,515037 96945,S200000,00400,0300,05/21/1970 96945,S200000,00400,0500,P 96945,S200000,00400,0600,O 96945,S200000,01500,0100,Y 96945,S700003,00000,0100,1 96954,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 96954,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 96954,A000000,00300,0000,00300EMPLOYEE BENEFITS 96954,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 96954,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 96954,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 96954,A000000,00700,0000,00700HOUSEKEEPING 96954,A000000,00800,0000,00800DIETARY 96954,A000000,00900,0000,00900NURSING ADMINISTRATION 96954,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 96954,A000000,01100,0000,01100PHARMACY 96954,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 96954,A000000,01300,0000,01300SOCIAL SERVICE 96954,A000000,01350,0000,01500OTHER GENERAL SERVICES 96954,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 96954,A000000,01600,0000,01600SKILLED NURSING FACILITY 96954,A000000,01800,0000,01800NURSING FACILITY 96954,A000000,01810,0000,01801ICF/MR 96954,A000000,01900,0000,01900OTHER LONG TERM CARE 96954,A000000,02100,0000,02100RADIOLOGY 96954,A000000,02200,0000,02200LABORATORY 96954,A000000,02300,0000,02300INTRAVENOUS THERAPY 96954,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 96954,A000000,02500,0000,02500PHYSICAL THERAPY 96954,A000000,02600,0000,02600OCCUPATIONAL THERAPY 96954,A000000,02700,0000,02700SPEECH PATHOLOGY 96954,A000000,02800,0000,02800ELECTROCARDIOLOGY 96954,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 96954,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 96954,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 96954,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 96954,A000000,03200,0000,03200SUPPORT SURFACES 96954,A000000,03400,0000,03400CLINIC 96954,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 96954,A000000,03500,0000,03500RURAL HEALTH CLINIC 96954,A000000,04750,0000,05100OTHER REIMBURSABLE COST 96954,A000000,04800,0000,04800AMBULANCE 96954,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 96954,A000000,05000,0000,05000CORF 96954,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 96954,A000000,05300,0000,05300INTEREST EXPENSE 96954,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 96954,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 96954,A000000,05500,0000,05500HOSPICE 96954,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 96954,A000000,05900,0000,05900BARBER & BEAUTY SHOP 96954,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 96954,A000000,06100,0000,06100NONPAID WORKERS 96954,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 96954,A000000,06200,0000,06200PATIENTS LAUNDRY 96954,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 96954,B100000,00000,0250,00000SQUARE FOOTAGE :CAP REL COSTS - MO 96954,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 96954,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 96954,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 96954,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 96954,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 96954,B100000,00000,0800,00000MEALS SERVED :DIETARY 96954,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 96954,B100000,00000,1000,00000COSTEDREQU UISITIONS :CENTRAL SERV 96954,B100000,00000,1100,00000COSTEDREQU UISITIONS :PHARMACY 96954,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 96954,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 96954,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 96954,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 96954,S000000,00100,0200,04/28/2000 96954,S200000,00100,0100,41 CRESTVIEW TERRACE 96954,S200000,00200,0100,BRIDGEPORT 96954,S200000,00200,0200,WV 96954,S200000,00200,0300,26330- 96954,S200000,00300,0100,HARRISON 96954,S200000,00400,0100,MEADOWVIEW MANOR HEALTH CARE CENTER 96954,S200000,00400,0200,515141 96954,S200000,00400,0300,06/06/1996 96954,S200000,00400,0500,P 96954,S200000,01500,0100,Y 96954,S200000,02100,0100,A 96954,S200000,02800,0100,Y 96954,S700003,00000,0400,4 97044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97044,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 97044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97044,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 97044,A000000,00300,0000,00300EMPLOYEE BENEFITS 97044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97044,A000000,00700,0000,00700HOUSEKEEPING 97044,A000000,00800,0000,00800DIETARY 97044,A000000,00801,0000,00801CAFETERIA 97044,A000000,00900,0000,00900NURSING ADMINISTRATION 97044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97044,A000000,01100,0000,01100PHARMACY 97044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97044,A000000,01300,0000,01300SOCIAL SERVICE 97044,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 97044,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97044,A000000,01600,0000,01600SKILLED NURSING FACILITY 97044,A000000,01800,0000,01800NURSING FACILITY 97044,A000000,01900,0000,01900OTHER LONG TERM CARE 97044,A000000,02100,0000,02100RADIOLOGY 97044,A000000,02200,0000,02200LABORATORY 97044,A000000,02300,0000,02300INTRAVENOUS THERAPY 97044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97044,A000000,02500,0000,02500PHYSICAL THERAPY 97044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97044,A000000,02700,0000,02700SPEECH PATHOLOGY 97044,A000000,02800,0000,02800ELECTROCARDIOLOGY 97044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97044,A000000,03050,0000,03300OTHER ANCILLARY 97044,A000000,03051,0000,03301OTHER ANCILLARY II 97044,A000000,03052,0000,03302OTHER ANCILLARY III 97044,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97044,A000000,03200,0000,03200SUPPORT SURFACES 97044,A000000,03400,0000,03400CLINIC 97044,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 97044,A000000,03500,0000,03500RURAL HEALTH CLINIC 97044,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97044,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97044,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97044,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97044,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97044,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97044,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97044,A000000,04400,0000,04400DME RENTED - HHA 97044,A000000,04500,0000,04500DME SOLD - HHA 97044,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97044,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97044,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97044,A000000,04800,0000,04800AMBULANCE 97044,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97044,A000000,05000,0000,05000CORF 97044,A000000,05010,0000,05010CMHC I 97044,A000000,05020,0000,05020OPT I 97044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97044,A000000,05300,0000,05300INTEREST EXPENSE 97044,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 97044,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 97044,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97044,A000000,05500,0000,05500HOSPICE 97044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97044,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97044,A000000,06100,0000,06100NONPAID WORKERS 97044,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97044,A000000,06200,0000,06200PATIENTS LAUNDRY 97044,A81000A,00100,0100,Y 97044,A81000B,00100,0300,HOME OFFICE 97044,A81000B,00200,0300,HOME OFFICE 97044,A81000C,00100,0100,C 97044,A81000C,00100,0200,PRAIRIE HCC 97044,A81000C,00100,0400,MHF 97044,A81000C,00100,0600,HOME OFFICE 97044,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 97044,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 97044,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 97044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97044,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 97044,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 97044,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 97044,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 97044,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 97044,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 97044,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 97044,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 97044,B100000,00000,1350,00000(PATIENT DAYS) :OTHER GENERAL SERV 97044,E10A180,00501,0100,06/14/2000 97044,E10A180,00501,0300,06/14/2000 97044,S000000,00100,0200,05/22/2000 97044,S200000,00100,0100,1505 EAST BRUNSON STREET 97044,S200000,00200,0100,PRAIRIE DU CHIEN 97044,S200000,00200,0200,WI 97044,S200000,00200,0300,53821- 97044,S200000,00300,0100,CRAWFORD 97044,S200000,00300,0200,52 97044,S200000,00300,0300,R 97044,S200000,00400,0100,PRAIRIE HEALTH CARE CENTER 97044,S200000,00400,0200,525525 97044,S200000,00400,0300,12/01/1993 97044,S200000,00400,0500,P 97044,S200000,01004,0500,O 97044,S200000,01600,0100,Y 97044,S200000,04300,0100,Y 97044,S200000,04700,0100,Y 97044,S200000,04700,0200,Y 97074,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97074,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97074,A000000,00300,0000,00300EMPLOYEE BENEFITS 97074,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97074,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97074,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97074,A000000,00700,0000,00700HOUSEKEEPING 97074,A000000,00800,0000,00800DIETARY 97074,A000000,00900,0000,00900NURSING ADMINISTRATION 97074,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97074,A000000,01100,0000,01100PHARMACY 97074,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97074,A000000,01300,0000,01300SOCIAL SERVICE 97074,A000000,01350,0000,01500OTHER GENERAL SERVICES 97074,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97074,A000000,01600,0000,01600SKILLED NURSING FACILITY 97074,A000000,01800,0000,01800NURSING FACILITY 97074,A000000,01900,0000,01900OTHER LONG TERM CARE 97074,A000000,02100,0000,02100RADIOLOGY 97074,A000000,02200,0000,02200LABORATORY 97074,A000000,02300,0000,02300INTRAVENOUS THERAPY 97074,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97074,A000000,02500,0000,02500PHYSICAL THERAPY 97074,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97074,A000000,02700,0000,02700SPEECH PATHOLOGY 97074,A000000,02800,0000,02800ELECTROCARDIOLOGY 97074,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97074,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97074,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97074,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97074,A000000,03200,0000,03200SUPPORT SURFACES 97074,A000000,03400,0000,03400CLINIC 97074,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97074,A000000,03500,0000,03500RURAL HEALTH CLINIC 97074,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97074,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97074,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97074,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97074,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97074,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97074,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97074,A000000,04400,0000,04400DME RENTED - HHA 97074,A000000,04500,0000,04500DME SOLD - HHA 97074,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97074,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97074,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97074,A000000,04800,0000,04800AMBULANCE 97074,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97074,A000000,05000,0000,05000CORF 97074,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97074,A000000,05300,0000,05300INTEREST EXPENSE 97074,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97074,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97074,A000000,05500,0000,05500HOSPICE 97074,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97074,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97074,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97074,A000000,06100,0000,06100NONPAID WORKERS 97074,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97074,A000000,06200,0000,06200PATIENTS LAUNDRY 97074,A81000A,00100,0100,Y 97074,A81000B,00100,0300,MANAGEMENT FEES 97074,A81000B,00200,0300,BUILDING LEASE 97074,A81000B,00300,0300,DEPR-BLDG RELATED PARTY 97074,A81000B,00400,0300,MORTGAGE INTEREST EXP 97074,A81000B,00500,0300,DEPR-EQPT HOME OFFICE 97074,A81000B,00600,0300,HOME OFFICE COSTS 97074,A81000B,00700,0300,INTEREST EXP. HOME OFFICE 97074,A81000C,00100,0100,B 97074,A81000C,00100,0200,TIMBERLAKE-FORREST INC. 97074,A81000C,00100,0400,SHEFFIELD CONV. HOSPITAL 97074,A81000C,00100,0600,SNF 97074,A81000C,00200,0100,B 97074,A81000C,00200,0400,CALIFORNIA CONV. HOSPITAL 97074,A81000C,00200,0600,SNF 97074,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97074,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97074,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97074,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97074,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97074,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97074,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97074,B100000,00000,0800,00000MEALS SERVED :DIETARY 97074,B100000,00000,0950,00000DIR. NRSG LABOR COST:NURSING ADMINI 97074,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97074,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97074,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97074,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97074,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97074,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97074,S000000,00100,0200,03/17/2000 97074,S200000,00100,0100,1420 HAMPSHIRE STREET 97074,S200000,00200,0100,SAN FRANCISCO 97074,S200000,00200,0200,CA 97074,S200000,00200,0300,94110- 97074,S200000,00300,0100,SAN FRANCISCO 97074,S200000,00400,0100,MISSION VILLA CONVALESCENT HOSPITAL 97074,S200000,00400,0200,555001 97074,S200000,00400,0300,10/17/1975 97074,S200000,00400,0500,P 97074,S200000,01004,0500,O 97074,S200000,01500,0100,Y 97074,S700003,00000,0100,1 97087,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97087,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97087,A000000,00300,0000,00300EMPLOYEE BENEFITS 97087,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97087,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97087,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97087,A000000,00700,0000,00700HOUSEKEEPING 97087,A000000,00800,0000,00800DIETARY 97087,A000000,00900,0000,00900NURSING ADMINISTRATION 97087,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97087,A000000,01100,0000,01100PHARMACY 97087,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97087,A000000,01300,0000,01300SOCIAL SERVICE 97087,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97087,A000000,01600,0000,01600SKILLED NURSING FACILITY 97087,A000000,02100,0000,02100RADIOLOGY 97087,A000000,02200,0000,02200LABORATORY 97087,A000000,02500,0000,02500PHYSICAL THERAPY 97087,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97087,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97087,A000000,03201,0000,03201CLINITRON BEDS 97087,A000000,05300,0000,05300INTEREST EXPENSE 97087,A81000A,00100,0100,Y 97087,A81000B,00100,0300,BUILDING RENT 97087,A81000C,00100,0100,A 97087,A81000C,00100,0200,O. CLARIZIO JR 97087,A81000C,00100,0400,SHADOW HILLS 97087,A81000C,00100,0600,SNF 97087,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97087,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97087,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97087,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97087,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97087,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97087,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97087,B100000,00000,0800,00000MEALS SERVED :DIETARY 97087,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97087,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97087,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97087,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97087,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97087,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97087,S000000,00100,0200,03/20/2000 97087,S200000,00100,0100,2710 W. OLIVE AVENUE 97087,S200000,00200,0100,BURBANK 97087,S200000,00200,0200,CA 97087,S200000,00200,0300,91505- 97087,S200000,00300,0100,LOS ANGELES 97087,S200000,00400,0100,BURBANK CONVALESCENT HOSPITAL 97087,S200000,00400,0200,555008 97087,S200000,00400,0300,12/08/1975 97087,S200000,00400,0500,P 97087,S200000,01500,0100,Y 97087,S200000,03100,0100,Y 97087,S200000,04300,0100,Y 97087,S700003,00000,0100,1 97095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97095,A000000,00300,0000,00300EMPLOYEE BENEFITS 97095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97095,A000000,00700,0000,00700HOUSEKEEPING 97095,A000000,00800,0000,00800DIETARY 97095,A000000,00900,0000,00900NURSING ADMINISTRATION 97095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97095,A000000,01100,0000,01100PHARMACY 97095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97095,A000000,01300,0000,01300SOCIAL SERVICE 97095,A000000,01350,0000,01500OTHER GENERAL SERVICES 97095,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97095,A000000,01600,0000,01600SKILLED NURSING FACILITY 97095,A000000,01800,0000,01800NURSING FACILITY 97095,A000000,01810,0000,01810ICF/MR 97095,A000000,01900,0000,01900OTHER LONG TERM CARE 97095,A000000,02100,0000,02100RADIOLOGY 97095,A000000,02200,0000,02200LABORATORY 97095,A000000,02300,0000,02300INTRAVENOUS THERAPY 97095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97095,A000000,02500,0000,02500PHYSICAL THERAPY 97095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97095,A000000,02700,0000,02700SPEECH PATHOLOGY 97095,A000000,02800,0000,02800ELECTROCARDIOLOGY 97095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97095,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97095,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97095,A000000,03200,0000,03200SUPPORT SURFACES 97095,A000000,03400,0000,03400CLINIC 97095,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97095,A000000,03500,0000,03500RURAL HEALTH CLINIC 97095,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97095,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97095,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97095,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97095,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97095,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97095,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97095,A000000,04400,0000,04400DME RENTED - HHA 97095,A000000,04500,0000,04500DME SOLD - HHA 97095,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97095,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97095,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97095,A000000,04800,0000,04800AMBULANCE 97095,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97095,A000000,05000,0000,05000CORF 97095,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97095,A000000,05300,0000,05300INTEREST EXPENSE 97095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97095,A000000,05500,0000,05500HOSPICE 97095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97095,A000000,06100,0000,06100NONPAID WORKERS 97095,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97095,A000000,06200,0000,06200PATIENTS LAUNDRY 97095,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 97095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97095,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 97095,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 97095,B100000,00000,0850,00000NO STATISTICS :DIETARY 97095,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 97095,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97095,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 97095,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 97095,S000000,00100,0200,05/22/2000 97095,S200000,00100,0100,300 HOT SPRINGS ROAD 97095,S200000,00200,0100,MONTECITO 97095,S200000,00200,0200,CA 97095,S200000,00200,0300,93108- 97095,S200000,00300,0100,SANTA BARBARA 97095,S200000,00300,0200,7480 97095,S200000,00300,0300,U 97095,S200000,00400,0100,CASA DORINDA CONVALESCENT 97095,S200000,00400,0200,555023 97095,S200000,00400,0300,06/22/1976 97095,S200000,00400,0500,P 97095,S200000,01500,0100,Y 97095,S200000,01700,0100,Y 97112,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97112,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97112,A000000,00300,0000,00300EMPLOYEE BENEFITS 97112,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97112,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97112,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97112,A000000,00700,0000,00700HOUSEKEEPING 97112,A000000,00800,0000,00800DIETARY 97112,A000000,00900,0000,00900NURSING ADMINISTRATION 97112,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97112,A000000,01100,0000,01100PHARMACY 97112,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97112,A000000,01300,0000,01300SOCIAL SERVICE 97112,A000000,01350,0000,01500OTHER GENERAL SERVICES 97112,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97112,A000000,01600,0000,01600SKILLED NURSING FACILITY 97112,A000000,01800,0000,01800NURSING FACILITY 97112,A000000,01810,0000,01801ICF/MR 97112,A000000,01900,0000,01900OTHER LONG TERM CARE 97112,A000000,02100,0000,02100RADIOLOGY 97112,A000000,02200,0000,02200LABORATORY 97112,A000000,02300,0000,02300INTRAVENOUS THERAPY 97112,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97112,A000000,02500,0000,02500PHYSICAL THERAPY 97112,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97112,A000000,02700,0000,02700SPEECH PATHOLOGY 97112,A000000,02800,0000,02800ELECTROCARDIOLOGY 97112,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97112,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97112,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97112,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97112,A000000,03200,0000,03200SUPPORT SURFACES 97112,A000000,03400,0000,03400CLINIC 97112,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97112,A000000,03500,0000,03500RURAL HEALTH CLINIC 97112,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97112,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97112,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97112,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97112,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97112,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97112,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97112,A000000,04400,0000,04400DME RENTED - HHA 97112,A000000,04500,0000,04500DME SOLD - HHA 97112,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97112,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97112,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97112,A000000,04800,0000,04800AMBULANCE 97112,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97112,A000000,05000,0000,05000CORF 97112,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97112,A000000,05300,0000,05300INTEREST EXPENSE 97112,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97112,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97112,A000000,05500,0000,05500HOSPICE 97112,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97112,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97112,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97112,A000000,06100,0000,06100NONPAID WORKERS 97112,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97112,A000000,06200,0000,06200PATIENTS LAUNDRY 97112,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 97112,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 97112,B100000,00000,0300,00000GROSS WAGES :EMPLOYEE BENEFITS 97112,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97112,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 97112,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 97112,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 97112,B100000,00000,0800,00000MEALS SERVED :DIETARY 97112,B100000,00000,0950,00000PAT DAYS :NURSING ADMINISTRATION 97112,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97112,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97112,B100000,00000,1250,00000GROSS REVENU :MEDICAL RECORDS & LI 97112,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 97112,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97112,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97112,S000000,00100,0200,05/22/2000 97112,S200000,00100,0100,4681 EAGLE ROCK BLVD 97112,S200000,00200,0100,LOS ANGELES 97112,S200000,00200,0200,CA 97112,S200000,00200,0300,90041- 97112,S200000,00300,0100,LOS ANGELES 97112,S200000,00400,0100,COLLEGE VISTA 97112,S200000,00400,0200,555030 97112,S200000,00400,0300,07/01/1976 97112,S200000,00400,0500,P 97112,S200000,01500,0100,Y 97120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97120,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97120,A000000,00300,0000,00300EMPLOYEE BENEFITS 97120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97120,A000000,00700,0000,00700HOUSEKEEPING 97120,A000000,00800,0000,00800DIETARY 97120,A000000,01300,0000,01300SOCIAL SERVICE 97120,A000000,01600,0000,01600SKILLED NURSING FACILITY 97120,A000000,01810,0000,01810ICF/MR 97120,A000000,02100,0000,02100RADIOLOGY 97120,A000000,02200,0000,02200LABORATORY 97120,A000000,02500,0000,02500PHYSICAL THERAPY 97120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97120,A000000,02700,0000,02700SPEECH PATHOLOGY 97120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97120,A000000,03550,0000,03550FQHC 97120,A000000,05000,0000,05000CORF 97120,A000000,05010,0000,05010CMHC 97120,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97120,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97120,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97120,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97120,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97120,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97120,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97120,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97120,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97120,B100000,00000,0800,00000MEALS SERVED :DIETARY 97120,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97120,S000000,00100,0200,05/25/2000 97120,S200000,00100,0100,2655 BUSH STREET 97120,S200000,00200,0100,SAN FRANCISCO 97120,S200000,00200,0200,CA 97120,S200000,00200,0300,94111- 97120,S200000,00300,0100,SAN FRANCISCO 97120,S200000,00300,0200,7360 97120,S200000,00300,0300,U 97120,S200000,00400,0100,S.F. COMMUNITY CONVALESCENT HOSPITAL 97120,S200000,00400,0200,555031 97120,S200000,00400,0300,01/01/1967 97120,S200000,00400,0500,P 97120,S200000,01500,0100,Y 97120,S200000,04300,0100,Y 97129,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97129,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97129,A000000,00300,0000,00300EMPLOYEE BENEFITS 97129,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97129,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97129,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97129,A000000,00700,0000,00700HOUSEKEEPING 97129,A000000,00800,0000,00800DIETARY 97129,A000000,00900,0000,00900NURSING ADMINISTRATION 97129,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97129,A000000,01100,0000,01100PHARMACY 97129,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97129,A000000,01300,0000,01300SOCIAL SERVICE 97129,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97129,A000000,01600,0000,01600SKILLED NURSING FACILITY 97129,A000000,01800,0000,01800NURSING FACILITY 97129,A000000,02100,0000,02100RADIOLOGY 97129,A000000,02200,0000,02200LABORATORY 97129,A000000,02300,0000,02300INTRAVENOUS THERAPY 97129,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97129,A000000,02500,0000,02500PHYSICAL THERAPY 97129,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97129,A000000,02700,0000,02700SPEECH PATHOLOGY 97129,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97129,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97129,A000000,03200,0000,03200SUPPORT SURFACES 97129,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97129,A81000A,00100,0100,Y 97129,A81000B,00100,0300,MANAGEMENT FEES 97129,A81000B,00200,0300,CAP REL-BLDG 97129,A81000B,00300,0300,CAP REL-EQUIP 97129,A81000C,00300,0100,B 97129,A81000C,00300,0200,J&L FRIEDMAN 97129,A81000C,00300,0400,LONGWOOD MGT 97129,A81000C,00300,0600,MANAGEMENT 97129,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97129,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97129,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97129,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97129,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97129,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97129,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97129,B100000,00000,0800,00000MEALS SERVED :DIETARY 97129,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97129,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97129,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97129,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97129,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97129,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97129,S000000,00100,0200,06/05/2000 97129,S200000,00100,0100,3453 BALL ROAD 97129,S200000,00200,0100,ANAHEIM 97129,S200000,00200,0200,CA 97129,S200000,00200,0300,92804- 97129,S200000,00300,0100,ORANGE 97129,S200000,00400,0100,PARK ANAHEIM HEALTH CARE CENTER 97129,S200000,00400,0200,555035 97129,S200000,00400,0300,01/01/1987 97129,S200000,00400,0500,P 97129,S200000,01600,0100,Y 97129,S200000,04300,0100,Y 97129,S700003,00000,0100,1 97136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97136,A000000,00300,0000,00300EMPLOYEE BENEFITS 97136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97136,A000000,00700,0000,00700HOUSEKEEPING 97136,A000000,00800,0000,00800DIETARY 97136,A000000,00900,0000,00900NURSING ADMINISTRATION 97136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97136,A000000,01100,0000,01100PHARMACY 97136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97136,A000000,01300,0000,01300SOCIAL SERVICE 97136,A000000,01350,0000,01500OTHER GENERAL SERVICES 97136,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97136,A000000,01600,0000,01600SKILLED NURSING FACILITY 97136,A000000,01800,0000,01800NURSING FACILITY 97136,A000000,01900,0000,01900OTHER LONG TERM CARE 97136,A000000,02100,0000,02100RADIOLOGY 97136,A000000,02200,0000,02200LABORATORY 97136,A000000,02300,0000,02300INTRAVENOUS THERAPY 97136,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97136,A000000,02500,0000,02500PHYSICAL THERAPY 97136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97136,A000000,02700,0000,02700SPEECH PATHOLOGY 97136,A000000,02800,0000,02800ELECTROCARDIOLOGY 97136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97136,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97136,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97136,A000000,03200,0000,03200SUPPORT SURFACES 97136,A000000,03400,0000,03400CLINIC 97136,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97136,A000000,03500,0000,03500RURAL HEALTH CLINIC 97136,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97136,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97136,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97136,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97136,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97136,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97136,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97136,A000000,04400,0000,04400DME RENTED - HHA 97136,A000000,04500,0000,04500DME SOLD - HHA 97136,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97136,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97136,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97136,A000000,04800,0000,04800AMBULANCE 97136,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97136,A000000,05000,0000,05000CORF 97136,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97136,A000000,05300,0000,05300INTEREST EXPENSE 97136,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97136,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97136,A000000,05500,0000,05500HOSPICE 97136,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97136,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97136,A000000,06100,0000,06100NONPAID WORKERS 97136,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97136,A000000,06200,0000,06200PATIENTS LAUNDRY 97136,A81000A,00100,0100,Y 97136,A81000B,00100,0300,MANAGEMENT FEE 97136,A81000C,00100,0100,F 97136,A81000C,00100,0200,J & S SORENSEN D LAWS 97136,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 97136,A81000C,00100,0600,MANAGEMENT 97136,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97136,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97136,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97136,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97136,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97136,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 97136,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 97136,B100000,00000,0800,00000MEALS SERVED :DIETARY 97136,B100000,00000,0900,00000NSG HOURS :NURSING ADMINISTRATION 97136,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97136,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97136,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97136,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97136,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97136,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97136,S000000,00100,0200,05/15/2000 97136,S200000,00100,0100,947 THIRD ST. 97136,S200000,00200,0100,SANTA MONICA 97136,S200000,00200,0200,CA 97136,S200000,00200,0300,90403- 97136,S200000,00300,0100,LOS ANGELES 97136,S200000,00400,0100,FIRESIDE CONVALESCENT HOSPITAL 97136,S200000,00400,0200,555039 97136,S200000,00400,0300,11/01/1994 97136,S200000,00400,0500,P 97136,S200000,00600,0200,555039 97136,S200000,00600,0300,01/01/1994 97136,S200000,00600,0600,P 97136,S200000,01600,0100,Y 97136,S200000,02200,0100,Y 97136,S700003,00000,0100,1 97140,S000000,00100,0200,02/01/2001 97146,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97146,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97146,A000000,00300,0000,00300EMPLOYEE BENEFITS 97146,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97146,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97146,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97146,A000000,00700,0000,00700HOUSEKEEPING 97146,A000000,00800,0000,00800DIETARY 97146,A000000,00900,0000,00900NURSING ADMINISTRATION 97146,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97146,A000000,01100,0000,01100PHARMACY 97146,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97146,A000000,01300,0000,01300SOCIAL SERVICE 97146,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97146,A000000,01600,0000,01600SKILLED NURSING FACILITY 97146,A000000,02100,0000,02100RADIOLOGY 97146,A000000,02200,0000,02200LABORATORY 97146,A000000,02500,0000,02500PHYSICAL THERAPY 97146,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97146,A000000,02700,0000,02700SPEECH PATHOLOGY 97146,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97146,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97146,A000000,03050,0000,03300CLINITRON BEDS 97146,A000000,05300,0000,05300INTEREST EXPENSE 97146,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97146,A81000A,00100,0100,Y 97146,A81000B,00100,0300,BUILDING RENT 97146,A81000C,00100,0100,A 97146,A81000C,00100,0200,O. CLARIZIO SR 97146,A81000C,00100,0400,ARCADIA CONV 97146,A81000C,00100,0600,SNF 97146,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97146,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97146,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97146,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97146,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97146,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97146,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97146,B100000,00000,0800,00000MEALS SERVED :DIETARY 97146,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97146,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97146,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97146,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97146,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97146,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97146,S000000,00100,0200,12/05/2000 97146,S200000,00100,0100,10158 SUNLAND BLVD. 97146,S200000,00200,0100,SUNLAND 97146,S200000,00200,0200,CA 97146,S200000,00200,0300,91040- 97146,S200000,00300,0100,LOS ANGELES 97146,S200000,00400,0100,SHADOW HILLS CONVALESCENT HOSP. 97146,S200000,00400,0200,555045 97146,S200000,00400,0300,06/01/1986 97146,S200000,00400,0500,P 97146,S200000,01500,0100,Y 97146,S200000,04300,0100,Y 97153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97153,A000000,00300,0000,00300EMPLOYEE BENEFITS 97153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97153,A000000,00700,0000,00700HOUSEKEEPING 97153,A000000,00800,0000,00800DIETARY 97153,A000000,01300,0000,01300SOCIAL SERVICE 97153,A000000,01600,0000,01600SKILLED NURSING FACILITY 97153,A000000,01810,0000,01810ICF/MR 97153,A000000,02100,0000,02100RADIOLOGY 97153,A000000,02200,0000,02200LABORATORY 97153,A000000,02500,0000,02500PHYSICAL THERAPY 97153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97153,A000000,02700,0000,02700SPEECH PATHOLOGY 97153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97153,A000000,03550,0000,03550FQHC 97153,A000000,05000,0000,05000CORF 97153,A000000,05010,0000,05010CMHC 97153,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97153,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97153,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97153,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 97153,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 97153,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 97153,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 97153,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 97153,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 97153,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 97153,B100000,00000,0800,00040MEALS SERVED :DIETARY 97153,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 97153,S000000,00100,0200,05/25/2000 97153,S200000,00100,0100,1421 BRODERICK STREET 97153,S200000,00200,0100,SAN FRANCISCO 97153,S200000,00200,0200,CA 97153,S200000,00200,0300,94115- 97153,S200000,00300,0100,SAN FRANCISCO 97153,S200000,00400,0100,PARC PACIFIC CONV. HOSP. 97153,S200000,00400,0200,555048 97153,S200000,00400,0300,01/01/1972 97153,S200000,00400,0500,P 97153,S200000,01004,0500,O 97153,S200000,01500,0100,Y 97153,S200000,04300,0100,Y 97161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97161,A000000,00300,0000,00300EMPLOYEE BENEFITS 97161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97161,A000000,00700,0000,00700HOUSEKEEPING 97161,A000000,00800,0000,00800DIETARY 97161,A000000,00900,0000,00900NURSING ADMINISTRATION 97161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97161,A000000,01100,0000,01100PHARMACY 97161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97161,A000000,01300,0000,01300SOCIAL SERVICE 97161,A000000,01350,0000,01500OTHER GENERAL SERVICES 97161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97161,A000000,01600,0000,01600SKILLED NURSING FACILITY 97161,A000000,01800,0000,01800NURSING FACILITY 97161,A000000,01900,0000,01900OTHER LONG TERM CARE 97161,A000000,02100,0000,02100RADIOLOGY 97161,A000000,02200,0000,02200LABORATORY 97161,A000000,02300,0000,02300INTRAVENOUS THERAPY 97161,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97161,A000000,02500,0000,02500PHYSICAL THERAPY 97161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97161,A000000,02700,0000,02700SPEECH PATHOLOGY 97161,A000000,02800,0000,02800ELECTROCARDIOLOGY 97161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97161,A000000,03050,0000,03300EQUIPMENT RENTAL 97161,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97161,A000000,03200,0000,03200SUPPORT SURFACES 97161,A000000,03400,0000,03400CLINIC 97161,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97161,A000000,03500,0000,03500RURAL HEALTH CLINIC 97161,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97161,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97161,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97161,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97161,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97161,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97161,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97161,A000000,04400,0000,04400DME RENTED - HHA 97161,A000000,04500,0000,04500DME SOLD - HHA 97161,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97161,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97161,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97161,A000000,04800,0000,04800AMBULANCE 97161,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97161,A000000,05000,0000,05000CORF 97161,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97161,A000000,05300,0000,05300INTEREST EXPENSE 97161,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97161,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97161,A000000,05500,0000,05500HOSPICE 97161,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97161,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97161,A000000,06100,0000,06100NONPAID WORKERS 97161,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97161,A000000,06200,0000,06200PATIENTS LAUNDRY 97161,A81000A,00100,0100,Y 97161,A81000B,00100,0300,RELATED LEASE 97161,A81000B,00200,0300,OWNER BASIS INTEREST 97161,A81000C,00100,0100,A 97161,A81000C,00100,0200,SHARON JENNINGS 97161,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 97161,A81000C,00100,0600,PROPERTY MANAGEMENT 97161,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97161,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97161,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97161,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97161,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97161,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97161,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97161,B100000,00000,0800,00000MEALS SERVED :DIETARY 97161,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97161,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97161,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97161,S000000,00100,0200,03/30/2000 97161,S200000,00100,0100,1334 SO. HAM AVE. 97161,S200000,00200,0100,LODI 97161,S200000,00200,0200,CA 97161,S200000,00200,0300,95242- 97161,S200000,00300,0100,STANISLAUS 97161,S200000,00300,0300,U 97161,S200000,00400,0100,DELTA REHAB AND CARE CENTER 97161,S200000,00400,0200,555049 97161,S200000,00400,0300,01/01/1967 97161,S200000,00400,0500,P 97161,S200000,01500,0100,Y 97170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97170,A000000,00300,0000,00300EMPLOYEE BENEFITS 97170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97170,A000000,00700,0000,00700HOUSEKEEPING 97170,A000000,00800,0000,00800DIETARY 97170,A000000,00900,0000,00900NURSING ADMINISTRATION 97170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97170,A000000,01100,0000,01100PHARMACY 97170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97170,A000000,01300,0000,01300SOCIAL SERVICE 97170,A000000,01350,0000,01500OTHER GENERAL SERVICES 97170,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97170,A000000,01600,0000,01600SKILLED NURSING FACILITY 97170,A000000,01800,0000,01800NURSING FACILITY 97170,A000000,01810,0000,01801ICF/MR 97170,A000000,01900,0000,01900OTHER LONG TERM CARE 97170,A000000,02100,0000,02100RADIOLOGY 97170,A000000,02200,0000,02200LABORATORY 97170,A000000,02300,0000,02300INTRAVENOUS THERAPY 97170,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97170,A000000,02500,0000,02500PHYSICAL THERAPY 97170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97170,A000000,02700,0000,02700SPEECH PATHOLOGY 97170,A000000,02800,0000,02800ELECTROCARDIOLOGY 97170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97170,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97170,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97170,A000000,03200,0000,03200SUPPORT SURFACES 97170,A000000,03400,0000,03400CLINIC 97170,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97170,A000000,03500,0000,03500RURAL HEALTH CLINIC 97170,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97170,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97170,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97170,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97170,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97170,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97170,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97170,A000000,04400,0000,04400DME RENTED - HHA 97170,A000000,04500,0000,04500DME SOLD - HHA 97170,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97170,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97170,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97170,A000000,04800,0000,04800AMBULANCE 97170,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97170,A000000,05000,0000,05000CORF 97170,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97170,A000000,05300,0000,05300INTEREST EXPENSE 97170,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97170,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97170,A000000,05500,0000,05500HOSPICE 97170,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97170,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97170,A000000,06100,0000,06100NONPAID WORKERS 97170,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97170,A000000,06200,0000,06200PATIENTS LAUNDRY 97170,A81000A,00100,0100,Y 97170,A81000B,00100,0300,FACILITY LEASE 97170,A81000B,00200,0300,UNDERLYING LEASE 97170,A81000B,00300,0300,DEPRECIATION 97170,A81000C,00100,0100,A 97170,A81000C,00100,0200,CRAIG KIRSCH 97170,A81000C,00100,0400,PACON RENTAL CO. 97170,A81000C,00100,0600,LESSOR 97170,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97170,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97170,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97170,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97170,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97170,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97170,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97170,B100000,00000,0800,00000MEALS SERVED :DIETARY 97170,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 97170,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97170,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97170,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97170,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97170,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97170,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97170,S000000,00100,0200,06/05/2000 97170,S200000,00100,0100,1323 17TH STREET 97170,S200000,00200,0100,SANTA MONICA 97170,S200000,00200,0200,CA 97170,S200000,00200,0300,90404- 97170,S200000,00300,0100,LOS ANGELES 97170,S200000,00400,0100,PACIFIC CONVALESCENT CENTER 97170,S200000,00400,0200,555054 97170,S200000,00400,0300,01/01/1988 97170,S200000,00400,0500,P 97170,S200000,01500,0100,Y 97170,S700003,00000,0200,2 97188,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97188,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97188,A000000,00300,0000,00300EMPLOYEE BENEFITS 97188,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97188,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97188,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97188,A000000,00700,0000,00700HOUSEKEEPING 97188,A000000,00800,0000,00800DIETARY 97188,A000000,00900,0000,00900NURSING ADMINISTRATION 97188,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97188,A000000,01100,0000,01100PHARMACY 97188,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97188,A000000,01300,0000,01300SOCIAL SERVICE 97188,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97188,A000000,01600,0000,01600SKILLED NURSING FACILITY 97188,A000000,02100,0000,02100RADIOLOGY 97188,A000000,02200,0000,02200LABORATORY 97188,A000000,02300,0000,02300INTRAVENOUS THERAPY 97188,A000000,02500,0000,02500PHYSICAL THERAPY 97188,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97188,A000000,02700,0000,02700SPEECH PATHOLOGY 97188,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97188,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97188,A000000,03200,0000,03200SUPPORT SURFACES 97188,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97188,A000000,06150,0000,06300VACANT OFFICE SPACE 97188,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97188,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97188,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97188,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97188,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97188,B100000,00000,0650,00000I/P DAYS :LAUNDRY & LINEN SERVICE 97188,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97188,B100000,00000,0850,00000I/P DAYS :DIETARY 97188,B100000,00000,0950,00000I/P DAYS :NURSING ADMINISTRATION 97188,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97188,S000000,00100,0200,07/25/2000 97188,S200000,00100,0100,1277 NORTH WILCOX AVENUE 97188,S200000,00200,0100,HOLLYWOOD 97188,S200000,00200,0200,CA 97188,S200000,00200,0300,90038- 97188,S200000,00300,0100,LOS ANGELES 97188,S200000,00300,0200,4480 97188,S200000,00300,0300,U 97188,S200000,00400,0100,ORCHARD GABLES CONVALESCENT 97188,S200000,00400,0200,555062 97188,S200000,00400,0300,01/01/1992 97188,S200000,00400,0500,P 97188,S200000,01500,0100,Y 97188,S200000,04300,0100,Y 97195,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97195,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97195,A000000,00300,0000,00300EMPLOYEE BENEFITS 97195,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97195,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97195,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97195,A000000,00700,0000,00700HOUSEKEEPING 97195,A000000,00800,0000,00800DIETARY 97195,A000000,00900,0000,00900NURSING ADMINISTRATION 97195,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97195,A000000,01100,0000,01100PHARMACY 97195,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97195,A000000,01300,0000,01300SOCIAL SERVICE 97195,A000000,01350,0000,01500OTHER GENERAL SERVICES 97195,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97195,A000000,01600,0000,01600SKILLED NURSING FACILITY 97195,A000000,01800,0000,01800NURSING FACILITY 97195,A000000,01810,0000,01810ICF/MR 97195,A000000,01900,0000,01900OTHER LONG TERM CARE 97195,A000000,02100,0000,02100RADIOLOGY 97195,A000000,02200,0000,02200LABORATORY 97195,A000000,02300,0000,02300INTRAVENOUS THERAPY 97195,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97195,A000000,02500,0000,02500PHYSICAL THERAPY 97195,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97195,A000000,02700,0000,02700SPEECH PATHOLOGY 97195,A000000,02800,0000,02800ELECTROCARDIOLOGY 97195,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97195,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97195,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97195,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97195,A000000,03200,0000,03200SUPPORT SURFACES 97195,A000000,03400,0000,03400CLINIC 97195,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97195,A000000,03500,0000,03500RURAL HEALTH CLINIC 97195,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97195,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97195,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97195,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97195,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97195,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97195,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97195,A000000,04400,0000,04400DME RENTED - HHA 97195,A000000,04500,0000,04500DME SOLD - HHA 97195,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97195,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97195,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97195,A000000,04800,0000,04800AMBULANCE 97195,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97195,A000000,05000,0000,05000CORF 97195,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97195,A000000,05300,0000,05300INTEREST EXPENSE 97195,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97195,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97195,A000000,05500,0000,05500HOSPICE 97195,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97195,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97195,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97195,A000000,06100,0000,06100NONPAID WORKERS 97195,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97195,A000000,06200,0000,06200PATIENTS LAUNDRY 97195,A81000A,00100,0100,Y 97195,A81000B,00100,0300,MANAGEMENT 97195,A81000B,00200,0300,HOME OFFICE BUILDING 97195,A81000B,00300,0300,HOME OFFICE EQUIP. 97195,A81000B,00400,0300,HOME OFFICE COST 97195,A81000B,00500,0300,BUILDING LEASE 97195,A81000B,00600,0300,BUILDING DEPRECIATION 97195,A81000B,00700,0300,MORTGAGE INTEREST 97195,A81000B,00800,0300,EQUIP. DEPRECIATION 97195,A81000C,00100,0100,A 97195,A81000C,00100,0200,STEVEN DUNTON 97195,A81000C,00100,0400,EDEN WEST C.H. 97195,A81000C,00100,0600,SNF 97195,A81000C,00200,0100,A 97195,A81000C,00200,0400,PLEASANT VIEW 97195,A81000C,00200,0600,SNF 97195,A81000C,00300,0100,A 97195,A81000C,00300,0400,SVD MGMT LLC 97195,A81000C,00300,0600,HOME OFFICE 97195,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97195,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97195,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97195,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97195,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97195,B100000,00000,0600,00000POUNDS LAUNDRY :LAUNDRY & LINEN SE 97195,B100000,00000,0700,00000HOURS SERVICE :HOUSEKEEPING 97195,B100000,00000,0800,00000MEALS SERVED :DIETARY 97195,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97195,S000000,00100,0200,07/05/2000 97195,S200000,00100,0100,118 B STREET 97195,S200000,00200,0100,FILLMORE 97195,S200000,00200,0200,CA 97195,S200000,00200,0300,93015- 97195,S200000,00300,0100,VENTURA 97195,S200000,00300,0200,8735 97195,S200000,00300,0300,U 97195,S200000,00400,0100,FILLMORE COVALESCENT HOSP. 97195,S200000,00400,0200,555066 97195,S200000,00400,0300,09/01/1995 97195,S200000,00400,0500,P 97195,S200000,01004,0500,O 97195,S200000,01500,0100,Y 97204,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97204,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97204,A000000,00300,0000,00300EMPLOYEE BENEFITS 97204,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97204,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97204,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97204,A000000,00700,0000,00700HOUSEKEEPING 97204,A000000,00800,0000,00800DIETARY 97204,A000000,00900,0000,00900NURSING ADMINISTRATION 97204,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97204,A000000,01100,0000,01100PHARMACY 97204,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97204,A000000,01300,0000,01300SOCIAL SERVICE 97204,A000000,01301,0000,01301ACTIVITIES 97204,A000000,01350,0000,01500OTHER GENERAL SERVICES 97204,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97204,A000000,01600,0000,01600SKILLED NURSING FACILITY 97204,A000000,01800,0000,01800NURSING FACILITY 97204,A000000,01810,0000,01801ICF/MR 97204,A000000,01900,0000,01900OTHER LONG TERM CARE 97204,A000000,02100,0000,02100RADIOLOGY 97204,A000000,02200,0000,02200LABORATORY 97204,A000000,02300,0000,02300INTRAVENOUS THERAPY 97204,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97204,A000000,02500,0000,02500PHYSICAL THERAPY 97204,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97204,A000000,02700,0000,02700SPEECH PATHOLOGY 97204,A000000,02800,0000,02800ELECTROCARDIOLOGY 97204,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97204,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97204,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97204,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97204,A000000,03200,0000,03200SUPPORT SURFACES 97204,A000000,03201,0000,03201EQUIPMENT RENTAL 97204,A000000,03400,0000,03400CLINIC 97204,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97204,A000000,03500,0000,03500RURAL HEALTH CLINIC 97204,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97204,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97204,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97204,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97204,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97204,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97204,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97204,A000000,04400,0000,04400DME RENTED - HHA 97204,A000000,04500,0000,04500DME SOLD - HHA 97204,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97204,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97204,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97204,A000000,04800,0000,04800AMBULANCE 97204,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97204,A000000,05000,0000,05000CORF 97204,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97204,A000000,05300,0000,05300INTEREST EXPENSE 97204,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97204,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97204,A000000,05500,0000,05500HOSPICE 97204,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97204,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97204,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97204,A000000,06100,0000,06100NONPAID WORKERS 97204,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97204,A000000,06200,0000,06200PATIENTS LAUNDRY 97204,A81000A,00100,0100,Y 97204,A81000B,00100,0300,PHARMACY 97204,A81000B,00200,0300,IV 97204,A81000B,00300,0300,PHARMACY CONSULTANT 97204,A81000B,00400,0300,HO ADMIN 97204,A81000B,00500,0300,HO ADMIN 97204,A81000B,00600,0300,HO CAPITAL COSTS 97204,A81000B,00700,0300,HO CAPITAL COSTS 97204,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97204,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97204,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97204,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97204,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97204,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97204,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97204,B100000,00000,0800,00000MEALS SERVED :DIETARY 97204,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97204,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97204,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97204,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97204,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97204,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 97204,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97204,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97204,S000000,00100,0200,10/02/2000 97204,S200000,00100,0100,1990 FRUITDALE AVENUE 97204,S200000,00200,0100,SAN JOSE 97204,S200000,00200,0200,CA 97204,S200000,00200,0300,95128- 97204,S200000,00300,0100,SANTA CLARA 97204,S200000,00400,0100,GUARDIAN OF SANTA CLARA VALLEY 97204,S200000,00400,0200,555068 97204,S200000,00400,0300,05/01/1977 97204,S200000,00400,0500,P 97204,S200000,00400,0600,O 97204,S200000,01600,0100,Y 97204,S700003,00000,0100,1 97210,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97210,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97210,A000000,00300,0000,00300EMPLOYEE BENEFITS 97210,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97210,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97210,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97210,A000000,00700,0000,00700HOUSEKEEPING 97210,A000000,00800,0000,00800DIETARY 97210,A000000,00900,0000,00900NURSING ADMINISTRATION 97210,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97210,A000000,01100,0000,01100PHARMACY 97210,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97210,A000000,01300,0000,01300SOCIAL SERVICE 97210,A000000,01600,0000,01600SKILLED NURSING FACILITY 97210,A000000,01800,0000,01800NURSING FACILITY 97210,A000000,01900,0000,01900OTHER LONG TERM CARE 97210,A000000,02100,0000,02100RADIOLOGY 97210,A000000,02200,0000,02200LABORATORY 97210,A000000,02300,0000,02300INTRAVENOUS THERAPY 97210,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97210,A000000,02500,0000,02500PHYSICAL THERAPY 97210,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97210,A000000,02700,0000,02700SPEECH PATHOLOGY 97210,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97210,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97210,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97210,A000000,03200,0000,03200SUPPORT SURFACES 97210,A000000,04800,0000,04800AMBULANCE 97210,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97210,A000000,05300,0000,05300INTEREST EXPENSE 97210,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97210,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97210,A81000A,00100,0100,Y 97210,A81000B,00100,0300,HEADQUARTER ALLOCATION 97210,A81000B,00200,0300,INTEREST ALLOCATION 97210,A81000B,00300,0300,CAPITAL RELATED 97210,A81000B,00400,0300,NON-CAPITAL RELATED 97210,A81000B,00500,0300,RELATED PHARMACY 97210,A81000C,00100,0100,B 97210,A81000C,00100,0200,INTERNEXT GROUP 97210,A81000C,00100,0400,SOUTHLAND GERIA 97210,A81000C,00100,0600,HOME OFFICE 97210,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97210,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97210,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97210,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97210,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97210,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97210,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97210,B100000,00000,0800,00000MEALS SERVED :DIETARY 97210,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97210,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97210,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97210,S000000,00100,0200,01/04/2001 97210,S200000,00100,0100,11701 STUDEBAKER ROAD 97210,S200000,00200,0100,NORWALK 97210,S200000,00200,0200,CA 97210,S200000,00200,0300,90650- 97210,S200000,00300,0100,LOS ANGELES 97210,S200000,00300,0200,4480 97210,S200000,00300,0300,U 97210,S200000,00400,0100,SOUTHLAND GERIATRIC CENTER 97210,S200000,00400,0200,555070 97210,S200000,00400,0300,01/01/1987 97210,S200000,00400,0500,P 97210,S200000,01600,0100,Y 97218,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97218,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97218,A000000,00300,0000,00300EMPLOYEE BENEFITS 97218,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97218,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97218,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97218,A000000,00700,0000,00700HOUSEKEEPING 97218,A000000,00800,0000,00800DIETARY 97218,A000000,00900,0000,00900NURSING ADMINISTRATION 97218,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97218,A000000,01100,0000,01100PHARMACY 97218,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97218,A000000,01300,0000,01300SOCIAL SERVICE 97218,A000000,01350,0000,01500OTHER GENERAL SERVICES 97218,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97218,A000000,01600,0000,01600SKILLED NURSING FACILITY 97218,A000000,01800,0000,01800NURSING FACILITY 97218,A000000,01810,0000,01810ICF/MR 97218,A000000,01900,0000,01900OTHER LONG TERM CARE 97218,A000000,02100,0000,02100RADIOLOGY 97218,A000000,02200,0000,02200LABORATORY 97218,A000000,02300,0000,02300INTRAVENOUS THERAPY 97218,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97218,A000000,02500,0000,02500PHYSICAL THERAPY 97218,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97218,A000000,02700,0000,02700SPEECH PATHOLOGY 97218,A000000,02800,0000,02800ELECTROCARDIOLOGY 97218,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97218,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97218,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97218,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97218,A000000,03200,0000,03200SUPPORT SURFACES 97218,A000000,03400,0000,03400CLINIC 97218,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97218,A000000,03500,0000,03500RURAL HEALTH CLINIC 97218,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97218,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97218,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97218,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97218,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97218,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97218,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97218,A000000,04400,0000,04400DME RENTED - HHA 97218,A000000,04500,0000,04500DME SOLD - HHA 97218,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97218,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97218,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97218,A000000,04800,0000,04800AMBULANCE 97218,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97218,A000000,05000,0000,05000CORF 97218,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97218,A000000,05300,0000,05300INTEREST EXPENSE 97218,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97218,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97218,A000000,05500,0000,05500HOSPICE 97218,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97218,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97218,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97218,A000000,06100,0000,06100NONPAID WORKERS 97218,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97218,A000000,06200,0000,06200PATIENTS LAUNDRY 97218,A81000A,00100,0100,Y 97218,A81000B,00100,0300,DEPRECIATION PER BOOKS 97218,A81000B,00200,0300,DEPRECIATION PER MEDICARE 97218,A81000B,00300,0300,OPERATING LEASE PER BOOKS 97218,A81000B,00400,0300,CAPITALIZED LEASE INT. PER BOOKS 97218,A81000B,00500,0300,INTEREST EXP PER MEDICARE 97218,A81000B,00600,0300,DEPRECIATION PER BOOKS 97218,A81000B,00700,0300,DEPRECIATION PER MEDICARE 97218,A81000B,00800,0300,BAD DEBT EXPENSE 97218,A81000C,00100,0100,A 97218,A81000C,00100,0200,HELEN ANNE BUNN 97218,A81000C,00100,0400,LEASE OF LAND BLDG & MME 97218,A81000C,00100,0600,RENTAL 97218,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97218,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97218,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97218,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97218,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97218,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97218,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97218,B100000,00000,0800,00000MEALS SERVED :DIETARY 97218,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 97218,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97218,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97218,S000000,00100,0200,10/30/2000 97218,S200000,00100,0100,510 E. WASHINGTON AVENUE 97218,S200000,00200,0100,EL CAJON 97218,S200000,00200,0200,CA 97218,S200000,00200,0300,92020- 97218,S200000,00300,0100,SAN DIEGO 97218,S200000,00300,0300,U 97218,S200000,00400,0100,EL CAJON CONVALESCENT CENTER 97218,S200000,00400,0200,555076 97218,S200000,00400,0300,08/04/1977 97218,S200000,00400,0500,P 97218,S200000,01600,0100,Y 97225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97225,A000000,00300,0000,00300EMPLOYEE BENEFITS 97225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97225,A000000,00700,0000,00700HOUSEKEEPING 97225,A000000,00800,0000,00800DIETARY 97225,A000000,00900,0000,00900NURSING ADMINISTRATION 97225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97225,A000000,01100,0000,01100PHARMACY 97225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97225,A000000,01300,0000,01300SOCIAL SERVICE 97225,A000000,01350,0000,01500OTHER GENERAL SERVICES 97225,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97225,A000000,01600,0000,01600SKILLED NURSING FACILITY 97225,A000000,01800,0000,01800NURSING FACILITY 97225,A000000,01810,0000,01810ICF/MR 97225,A000000,01900,0000,01900OTHER LONG TERM CARE 97225,A000000,02100,0000,02100RADIOLOGY 97225,A000000,02200,0000,02200LABORATORY 97225,A000000,02300,0000,02300INTRAVENOUS THERAPY 97225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97225,A000000,02500,0000,02500PHYSICAL THERAPY 97225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97225,A000000,02700,0000,02700SPEECH PATHOLOGY 97225,A000000,02800,0000,02800ELECTROCARDIOLOGY 97225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97225,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97225,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97225,A000000,03200,0000,03200SUPPORT SURFACES 97225,A000000,03400,0000,03400CLINIC 97225,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97225,A000000,03500,0000,03500RURAL HEALTH CLINIC 97225,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97225,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97225,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97225,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97225,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97225,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97225,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97225,A000000,04400,0000,04400DME RENTED - HHA 97225,A000000,04500,0000,04500DME SOLD - HHA 97225,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97225,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97225,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97225,A000000,04800,0000,04800AMBULANCE 97225,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97225,A000000,05000,0000,05000CORF 97225,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97225,A000000,05300,0000,05300INTEREST EXPENSE 97225,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97225,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97225,A000000,05500,0000,05500HOSPICE 97225,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97225,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97225,A000000,06100,0000,06100NONPAID WORKERS 97225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97225,A000000,06200,0000,06200PATIENTS LAUNDRY 97225,A81000A,00100,0100,Y 97225,A81000B,00100,0300,RELATED LEASE 97225,A81000B,00200,0300,OWNER BASIS DEPRECIATION 97225,A81000C,00100,0100,A 97225,A81000C,00100,0200,SHARON JENNINGS 97225,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 97225,A81000C,00100,0600,PROPERTY MANAGEMENT 97225,A81000C,00200,0100,A 97225,A81000C,00200,0200,GLADYS JENNINGS 97225,A81000C,00200,0400,SEASCAPE MANAGEMENT CO. 97225,A81000C,00200,0600,PROPERTY MANAGEMENT 97225,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97225,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97225,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97225,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97225,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97225,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97225,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97225,B100000,00000,0800,00000MEALS SERVED :DIETARY 97225,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97225,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97225,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97225,S000000,00100,0200,12/04/2000 97225,S200000,00100,0100,610 SO. FAIRMONT AVE. 97225,S200000,00200,0100,LODI 97225,S200000,00200,0200,CA 97225,S200000,00200,0300,95240- 97225,S200000,00300,0100,STANISLAUS 97225,S200000,00300,0200,8120 97225,S200000,00300,0300,U 97225,S200000,00400,0100,CRESCENT COURT NURSING HOME 97225,S200000,00400,0200,555079 97225,S200000,00400,0300,01/01/1967 97225,S200000,00400,0500,P 97225,S200000,01500,0100,Y 97225,S200000,02800,0100,Y 97231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97231,A000000,00300,0000,00300EMPLOYEE BENEFITS 97231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97231,A000000,00700,0000,00700HOUSEKEEPING 97231,A000000,00800,0000,00800DIETARY 97231,A000000,01300,0000,01300SOCIAL SERVICE 97231,A000000,01600,0000,01600SKILLED NURSING FACILITY 97231,A000000,01810,0000,01810ICF/MR 97231,A000000,02100,0000,02100RADIOLOGY 97231,A000000,02200,0000,02200LABORATORY 97231,A000000,02500,0000,02500PHYSICAL THERAPY 97231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97231,A000000,02700,0000,02700SPEECH PATHOLOGY 97231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97231,A000000,03550,0000,03550FQHC 97231,A000000,05000,0000,05000CORF 97231,A000000,05010,0000,05010CMHC 97231,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97231,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97231,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97231,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97231,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97231,B100000,00000,0800,00000MEALS SERVED :DIETARY 97231,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97231,S000000,00100,0200,06/02/2000 97231,S200000,00100,0100,545 W. BEVERLY PLACE 97231,S200000,00200,0100,TRACY 97231,S200000,00200,0200,CA 97231,S200000,00200,0300,95376- 97231,S200000,00300,0100,SAN JOAQUIN 97231,S200000,00300,0300,U 97231,S200000,00400,0100,TRACY CONVALESCENT HOSPITAL 97231,S200000,00400,0200,555080 97231,S200000,00400,0300,01/01/1967 97231,S200000,00400,0500,P 97231,S200000,01500,0100,Y 97231,S200000,04300,0100,Y 97241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97241,A000000,00300,0000,00300EMPLOYEE BENEFITS 97241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97241,A000000,00700,0000,00700HOUSEKEEPING 97241,A000000,00800,0000,00800DIETARY 97241,A000000,00900,0000,00900NURSING ADMINISTRATION 97241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97241,A000000,01100,0000,01100PHARMACY 97241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97241,A000000,01300,0000,01300SOCIAL SERVICE 97241,A000000,01350,0000,01500OTHER GENERAL SERVICES 97241,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97241,A000000,01600,0000,01600SKILLED NURSING FACILITY 97241,A000000,01800,0000,01800NURSING FACILITY 97241,A000000,01810,0000,01801ICF/MR 97241,A000000,01900,0000,01900OTHER LONG TERM CARE 97241,A000000,02100,0000,02100RADIOLOGY 97241,A000000,02200,0000,02200LABORATORY 97241,A000000,02300,0000,02300INTRAVENOUS THERAPY 97241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97241,A000000,02500,0000,02500PHYSICAL THERAPY 97241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97241,A000000,02700,0000,02700SPEECH PATHOLOGY 97241,A000000,02800,0000,02800ELECTROCARDIOLOGY 97241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97241,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97241,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97241,A000000,03200,0000,03200SUPPORT SURFACES 97241,A000000,03400,0000,03400CLINIC 97241,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97241,A000000,03500,0000,03500RURAL HEALTH CLINIC 97241,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97241,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97241,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97241,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97241,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97241,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97241,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97241,A000000,04400,0000,04400DME RENTED - HHA 97241,A000000,04500,0000,04500DME SOLD - HHA 97241,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97241,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97241,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97241,A000000,04800,0000,04800AMBULANCE 97241,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97241,A000000,05000,0000,05000CORF 97241,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97241,A000000,05300,0000,05300INTEREST EXPENSE 97241,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97241,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97241,A000000,05500,0000,05500HOSPICE 97241,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97241,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97241,A000000,06100,0000,06100NONPAID WORKERS 97241,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97241,A000000,06200,0000,06200PATIENTS LAUNDRY 97241,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97241,B100000,00000,0250,00000SQUARE FEER :CAP REL COSTS - MOVAB 97241,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97241,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97241,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97241,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97241,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97241,B100000,00000,0800,00000MEALS SERVED :DIETARY 97241,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 97241,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97241,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97241,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97241,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97241,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97241,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97241,S000000,00100,0200,06/28/2000 97241,S200000,00100,0100,20090 STANTON AVENE 97241,S200000,00200,0100,CASTRO VALLEY 97241,S200000,00200,0200,CA 97241,S200000,00200,0300,94546- 97241,S200000,00300,0100,ALAMEDA 97241,S200000,00400,0100,VALLEY POINTE NURSING CENTER 97241,S200000,00400,0200,555082 97241,S200000,00400,0300,03/01/1996 97241,S200000,00400,0500,P 97241,S200000,01500,0100,Y 97241,S700003,00000,0100,1 97248,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97248,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97248,A000000,00300,0000,00300EMPLOYEE BENEFITS 97248,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97248,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97248,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97248,A000000,00700,0000,00700HOUSEKEEPING 97248,A000000,00800,0000,00800DIETARY 97248,A000000,00900,0000,00900NURSING ADMINISTRATION 97248,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97248,A000000,01100,0000,01100PHARMACY 97248,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97248,A000000,01300,0000,01300SOCIAL SERVICE 97248,A000000,01600,0000,01600SKILLED NURSING FACILITY 97248,A000000,01800,0000,01800NURSING FACILITY 97248,A000000,02100,0000,02100RADIOLOGY 97248,A000000,02200,0000,02200LABORATORY 97248,A000000,02300,0000,02300INTRAVENOUS THERAPY 97248,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97248,A000000,02500,0000,02500PHYSICAL THERAPY 97248,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97248,A000000,02700,0000,02700SPEECH PATHOLOGY 97248,A000000,02800,0000,02800ELECTROCARDIOLOGY 97248,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97248,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97248,A000000,03050,0000,03300OTHER-ENTERAL SERVICES 97248,A000000,03200,0000,03200SUPPORT SURFACES 97248,A000000,03400,0000,03400CLINIC 97248,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97248,A000000,04800,0000,04800AMBULANCE 97248,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97248,A000000,05300,0000,05300INTEREST EXPENSE 97248,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97248,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97248,A000000,05500,0000,05500HOSPICE 97248,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97248,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97248,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97248,A000000,06100,0000,06100NONPAID WORKERS 97248,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97248,A000000,06151,0000,06301OTHER-PATIENT PHONES 97248,A000000,06200,0000,06200PATIENTS LAUNDRY 97248,A81000A,00100,0100,Y 97248,A81000B,00100,0300,ADMINISTRATION 97248,A81000C,00100,0100,B 97248,A81000C,00100,0200,ESKATON PROPERTIES INC. 97248,A81000C,00100,0600,HEALTHCARE/RESIDENTIAL 97248,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 97248,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 97248,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 97248,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 97248,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 97248,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 97248,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 97248,B100000,00000,0800,00001MEALS SERVED :DIETARY 97248,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 97248,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 97248,B100000,00000,1250,00001REVENUES TMSPENT :MEDICAL RECORDS 97248,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 97248,S000000,00100,0200,06/04/2000 97248,S200000,00100,0100,5318 MANZANITA AVENUE 97248,S200000,00200,0100,CARMICHAEL 97248,S200000,00200,0200,CA 97248,S200000,00200,0300,95608- 97248,S200000,00300,0100,SACRAMENTO 97248,S200000,00300,0200,6920 97248,S200000,00300,0300,U 97248,S200000,00400,0100,ESKATON MANZANITA MANOR 97248,S200000,00400,0200,555083 97248,S200000,00400,0300,07/01/1966 97248,S200000,00400,0500,P 97248,S200000,00600,0200,555083 97248,S200000,00600,0300,07/01/1966 97248,S200000,00600,0600,P 97248,S200000,01600,0100,Y 97248,S200000,02200,0100,Y 97248,S200000,03300,0100,Y 97248,S200000,04100,0100,Y 97254,S000000,00100,0200,09/25/2000 97261,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97261,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97261,A000000,00300,0000,00300EMPLOYEE BENEFITS 97261,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97261,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97261,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97261,A000000,00700,0000,00700HOUSEKEEPING 97261,A000000,00800,0000,00800DIETARY 97261,A000000,00900,0000,00900NURSING ADMINISTRATION 97261,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97261,A000000,01300,0000,01300SOCIAL SERVICE 97261,A000000,01600,0000,01600SKILLED NURSING FACILITY 97261,A000000,01800,0000,01800NURSING FACILITY 97261,A000000,01900,0000,01900OTHER LONG TERM CARE 97261,A000000,02100,0000,02100RADIOLOGY 97261,A000000,02200,0000,02200LABORATORY 97261,A000000,02300,0000,02300INTRAVENOUS THERAPY 97261,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97261,A000000,02500,0000,02500PHYSICAL THERAPY 97261,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97261,A000000,02700,0000,02700SPEECH PATHOLOGY 97261,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97261,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97261,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97261,A000000,03200,0000,03200SUPPORT SURFACES 97261,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97261,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97261,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97261,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97261,A81000A,00100,0100,Y 97261,A81000B,00100,0300,MANAGEMENT FEES 97261,A81000B,00200,0300,INTEREST EXPENSE 97261,A81000B,00300,0300,HOME OFFICE ALLOCATION 97261,A81000B,00400,0300,PHARMACY 97261,A81000C,00100,0100,B 97261,A81000C,00100,0200,INTERNEXT GROUP 97261,A81000C,00100,0400,INTERNEXT GROUP 97261,A81000C,00100,0600,PARENT 97261,A81000C,00200,0100,B 97261,A81000C,00200,0200,INTERNEXT GROUP 97261,A81000C,00200,0400,LA JOLLA CARE C 97261,A81000C,00200,0600,SNF 97261,A81000C,00300,0100,B 97261,A81000C,00300,0200,INTERNEXT GROUP 97261,A81000C,00300,0400,CLAREMONT CARE 97261,A81000C,00300,0600,RCF & SNF 97261,A81000C,00400,0100,B 97261,A81000C,00400,0200,INTERNEXT GROUP 97261,A81000C,00400,0400,FREDERICKA CARE 97261,A81000C,00400,0600,RCF & SNF 97261,A81000C,00500,0100,B 97261,A81000C,00500,0200,INTERNEXT GROUP 97261,A81000C,00500,0400,WALNUT MANOR 97261,A81000C,00500,0600,RCF & SNF 97261,A81000C,00600,0100,B 97261,A81000C,00600,0200,INTERNEXT GROUP 97261,A81000C,00600,0400,CARLSBAD BY THE 97261,A81000C,00600,0600,RCF & SNF 97261,A81000C,00700,0100,B 97261,A81000C,00700,0200,INTERNEXT GROUP 97261,A81000C,00700,0400,SOUTHLAND GERIA 97261,A81000C,00700,0600,RCF & SNF 97261,A81000C,00800,0100,B 97261,A81000C,00800,0200,INTERNEXT GROUP 97261,A81000C,00800,0400,THE ALHAMBRA 97261,A81000C,00800,0600,RCF & SNF 97261,A81000C,00900,0100,B 97261,A81000C,00900,0200,INTERNEXT GROUP 97261,A81000C,00900,0400,VILLA GARDENS 97261,A81000C,00900,0600,RCF & SNF 97261,A81000C,01000,0100,B 97261,A81000C,01000,0200,INTERNEXT GROUP 97261,A81000C,01000,0400,VISTA DEL MONTE 97261,A81000C,01000,0600,RCF & SNF 97261,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97261,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97261,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97261,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97261,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97261,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97261,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97261,B100000,00000,0800,00000MEALS SERVED :DIETARY 97261,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97261,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97261,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97261,S000000,00100,0200,09/25/2000 97261,S200000,00100,0100,1055 N. KINGSLEY DRIVE 97261,S200000,00200,0100,LOS ANGELES 97261,S200000,00200,0200,CA 97261,S200000,00200,0300,90029- 97261,S200000,00300,0100,LOS ANGELES 97261,S200000,00400,0100,KINGSLEY MANOR CARE CENTER 97261,S200000,00400,0200,555086 97261,S200000,00400,0300,03/02/1978 97261,S200000,00400,0500,P 97261,S200000,01500,0100,Y 97272,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97272,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97272,A000000,00300,0000,00300EMPLOYEE BENEFITS 97272,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97272,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97272,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97272,A000000,00700,0000,00700HOUSEKEEPING 97272,A000000,00800,0000,00800DIETARY 97272,A000000,00900,0000,00900NURSING ADMINISTRATION 97272,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97272,A000000,01300,0000,01300SOCIAL SERVICE 97272,A000000,01600,0000,01600SKILLED NURSING FACILITY 97272,A000000,02100,0000,02100RADIOLOGY 97272,A000000,02200,0000,02200LABORATORY 97272,A000000,02300,0000,02300INTRAVENOUS THERAPY 97272,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97272,A000000,02500,0000,02500PHYSICAL THERAPY 97272,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97272,A000000,02700,0000,02700SPEECH PATHOLOGY 97272,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97272,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97272,A000000,03200,0000,03200SUPPORT SURFACES 97272,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97272,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97272,A81000A,00100,0100,Y 97272,A81000B,00100,0300,MANAGEMENT FEES 97272,A81000B,00200,0300,BUILDING LEASE 97272,A81000C,00100,0100,A 97272,A81000C,00100,0200,EVERETT GOINGS 97272,A81000C,00100,0400,PROGRESSIVE HEALTHCARE 97272,A81000C,00100,0600,MANAGEMENT COMPANY 97272,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97272,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97272,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97272,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97272,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97272,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97272,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97272,B100000,00000,0800,00000MEALS SERVED :DIETARY 97272,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97272,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97272,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97272,S000000,00100,0200,12/04/2000 97272,S200000,00100,0100,1700 E. WASHINGTON BLVD. 97272,S200000,00200,0100,COLTON 97272,S200000,00200,0200,CA 97272,S200000,00200,0300,92324- 97272,S200000,00300,0100,SAN BERNARDINO 97272,S200000,00300,0200,6780 97272,S200000,00300,0300,U 97272,S200000,00400,0100,WESTERN HEALTHCARE CENTER 97272,S200000,00400,0200,555089 97272,S200000,00400,0300,08/01/1991 97272,S200000,00400,0500,P 97272,S200000,00400,0600,O 97272,S200000,01500,0100,Y 97280,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97280,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97280,A000000,00300,0000,00300EMPLOYEE BENEFITS 97280,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97280,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97280,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97280,A000000,00700,0000,00700HOUSEKEEPING 97280,A000000,00800,0000,00800DIETARY 97280,A000000,00900,0000,00900NURSING ADMINISTRATION 97280,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97280,A000000,01100,0000,01100PHARMACY 97280,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97280,A000000,01300,0000,01300SOCIAL SERVICE 97280,A000000,01301,0000,01301ACTIVITIES 97280,A000000,01350,0000,01500OTHER GENERAL SERVICES 97280,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97280,A000000,01600,0000,01600SKILLED NURSING FACILITY 97280,A000000,01800,0000,01800NURSING FACILITY 97280,A000000,01810,0000,01801ICF/MR 97280,A000000,01900,0000,01900OTHER LONG TERM CARE 97280,A000000,02100,0000,02100RADIOLOGY 97280,A000000,02200,0000,02200LABORATORY 97280,A000000,02300,0000,02300INTRAVENOUS THERAPY 97280,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97280,A000000,02500,0000,02500PHYSICAL THERAPY 97280,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97280,A000000,02700,0000,02700SPEECH PATHOLOGY 97280,A000000,02800,0000,02800ELECTROCARDIOLOGY 97280,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97280,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97280,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97280,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97280,A000000,03200,0000,03200SUPPORT SURFACES 97280,A000000,03201,0000,03201EQUIPMENT RENTAL 97280,A000000,03400,0000,03400CLINIC 97280,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97280,A000000,03500,0000,03500RURAL HEALTH CLINIC 97280,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97280,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97280,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97280,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97280,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97280,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97280,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97280,A000000,04400,0000,04400DME RENTED - HHA 97280,A000000,04500,0000,04500DME SOLD - HHA 97280,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97280,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97280,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97280,A000000,04800,0000,04800AMBULANCE 97280,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97280,A000000,05000,0000,05000CORF 97280,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97280,A000000,05300,0000,05300INTEREST EXPENSE 97280,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97280,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97280,A000000,05500,0000,05500HOSPICE 97280,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97280,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97280,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97280,A000000,06100,0000,06100NONPAID WORKERS 97280,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97280,A000000,06200,0000,06200PATIENTS LAUNDRY 97280,A81000A,00100,0100,Y 97280,A81000B,00100,0300,PHARMACY 97280,A81000B,00200,0300,I.V. 97280,A81000B,00300,0300,PHARMACY CONSULTANT 97280,A81000B,00400,0300,HO ADMIN 97280,A81000B,00500,0300,HO ADMIN 97280,A81000B,00600,0300,HO CAPITAL COSTS 97280,A81000B,00700,0300,HO CAPITAL COSTS 97280,A81000C,00100,0100,B 97280,A81000C,00100,0200,GUARDIAN HEALTH GROUP 97280,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97280,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97280,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97280,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97280,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97280,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97280,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97280,B100000,00000,0800,00000MEALS SERVED :DIETARY 97280,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97280,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97280,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97280,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97280,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97280,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 97280,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97280,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97280,S000000,00100,0200,10/02/2000 97280,S200000,00100,0100,720 EAST ROMIE LANE 97280,S200000,00200,0100,SALINAS 97280,S200000,00200,0200,CA 97280,S200000,00200,0300,93901- 97280,S200000,00300,0100,MONTEREY 97280,S200000,00400,0100,GUARDIAN OF SALINAS 97280,S200000,00400,0200,555090 97280,S200000,00400,0300,11/01/1995 97280,S200000,00400,0500,P 97280,S200000,00400,0600,O 97280,S200000,01600,0100,Y 97280,S700003,00000,0100,1 97294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97294,A000000,00300,0000,00300EMPLOYEE BENEFITS 97294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97294,A000000,00700,0000,00700HOUSEKEEPING 97294,A000000,00800,0000,00800DIETARY 97294,A000000,00900,0000,00900NURSING ADMINISTRATION 97294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97294,A000000,01100,0000,01100PHARMACY 97294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97294,A000000,01300,0000,01300SOCIAL SERVICE 97294,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97294,A000000,01600,0000,01600SKILLED NURSING FACILITY 97294,A000000,01800,0000,01800NURSING FACILITY 97294,A000000,01810,0000,01810ICF/MR 97294,A000000,02100,0000,02100RADIOLOGY 97294,A000000,02200,0000,02200LABORATORY 97294,A000000,02300,0000,02300INTRAVENOUS THERAPY 97294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97294,A000000,02500,0000,02500PHYSICAL THERAPY 97294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97294,A000000,02700,0000,02700SPEECH PATHOLOGY 97294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97294,A000000,03550,0000,03550FQHC 97294,A000000,05000,0000,05000CORF 97294,A000000,05010,0000,05010CMHC 97294,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97294,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97294,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97294,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97294,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97294,B100000,00000,0800,00000MEALS SERVED :DIETARY 97294,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 97294,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 97294,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 97294,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97294,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97294,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97294,S000000,00100,0200,05/30/2000 97294,S200000,00100,0100,1450 N FAIR OAKS AVENUE 97294,S200000,00200,0100,PASADENA 97294,S200000,00200,0200,CA 97294,S200000,00200,0300,91103- 97294,S200000,00300,0100,LOS ANGELES 97294,S200000,00400,0100,GOLDEN CROSS HEALTH CARE 97294,S200000,00400,0200,555096 97294,S200000,00400,0300,04/01/1991 97294,S200000,00400,0500,P 97294,S200000,01600,0100,Y 97294,S700003,00000,0100,1 97303,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97303,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97303,A000000,00300,0000,00300EMPLOYEE BENEFITS 97303,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97303,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97303,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97303,A000000,00700,0000,00700HOUSEKEEPING 97303,A000000,00800,0000,00800DIETARY 97303,A000000,00900,0000,00900NURSING ADMINISTRATION 97303,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97303,A000000,01100,0000,01100PHARMACY 97303,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97303,A000000,01300,0000,01300SOCIAL SERVICE 97303,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97303,A000000,01600,0000,01600SKILLED NURSING FACILITY 97303,A000000,01800,0000,01800NURSING FACILITY 97303,A000000,02100,0000,02100RADIOLOGY 97303,A000000,02200,0000,02200LABORATORY 97303,A000000,02210,0000,02201LABORATORY - O/P - GLUCOSE 97303,A000000,02300,0000,02300INTRAVENOUS THERAPY 97303,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97303,A000000,02500,0000,02500PHYSICAL THERAPY 97303,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97303,A000000,02700,0000,02700SPEECH PATHOLOGY 97303,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97303,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97303,A000000,03200,0000,03200SUPPORT SURFACES 97303,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97303,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97303,A81000A,00100,0100,Y 97303,A81000B,00100,0300,MANAGEMENT FEES 97303,A81000C,00100,0100,A 97303,A81000C,00100,0200,O T DAVID 97303,A81000C,00100,0400,UNIFIED CARE SERVICES 97303,A81000C,00100,0600,HOME OFFICE 97303,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97303,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97303,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97303,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97303,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97303,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97303,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97303,B100000,00000,0800,00000MEALS SERVED :DIETARY 97303,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97303,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97303,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97303,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97303,S000000,00100,0200,09/29/2000 97303,S200000,00100,0100,11505 KAGEL CANYON ROAD 97303,S200000,00200,0100,LAKEVIEW TERRACE 97303,S200000,00200,0200,CA 97303,S200000,00200,0300,91342- 97303,S200000,00300,0100,RIVERSIDE 97303,S200000,00300,0200,6780 97303,S200000,00300,0300,U 97303,S200000,00400,0100,GOOD SHEPHERD CONVALESCENT CTR 97303,S200000,00400,0200,555097 97303,S200000,00400,0300,01/01/1987 97303,S200000,00400,0500,P 97303,S200000,00600,0200,555097 97303,S200000,00600,0300,01/01/1987 97303,S200000,00600,0600,P 97303,S200000,01600,0100,Y 97312,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97312,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97312,A000000,00300,0000,00300EMPLOYEE BENEFITS 97312,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97312,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97312,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97312,A000000,00700,0000,00700HOUSEKEEPING 97312,A000000,00800,0000,00800DIETARY 97312,A000000,00900,0000,00900NURSING ADMINISTRATION 97312,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97312,A000000,01100,0000,01100PHARMACY 97312,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97312,A000000,01300,0000,01300SOCIAL SERVICE 97312,A000000,01600,0000,01600SKILLED NURSING FACILITY 97312,A000000,01800,0000,01800NURSING FACILITY 97312,A000000,02100,0000,02100RADIOLOGY 97312,A000000,02200,0000,02200LABORATORY 97312,A000000,02300,0000,02300INTRAVENOUS THERAPY 97312,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97312,A000000,02500,0000,02500PHYSICAL THERAPY 97312,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97312,A000000,02700,0000,02700SPEECH PATHOLOGY 97312,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97312,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97312,A000000,03050,0000,03300OTHER ANCILLARY SERVICES-ENTERAL 97312,A000000,03200,0000,03200SUPPORT SURFACES 97312,A000000,03400,0000,03400CLINIC 97312,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97312,A000000,04800,0000,04800AMBULANCE 97312,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97312,A000000,05300,0000,05300INTEREST EXPENSE 97312,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97312,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97312,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97312,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97312,A000000,06150,0000,06300TV & TELEPHONE-PATIENTS 97312,A000000,06200,0000,06200PATIENTS LAUNDRY 97312,A81000A,00100,0100,Y 97312,A81000B,00100,0300,ADMIN-HOME OFFICE FEES 97312,A81000C,00100,0100,B 97312,A81000C,00100,0200,ESKATON PROPERTIES INC. 97312,A81000C,00100,0600,HEALTH/RESIDENTIAL 97312,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97312,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97312,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97312,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97312,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97312,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97312,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97312,B100000,00000,0800,00000MEALS SERVED :DIETARY 97312,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97312,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97312,B100000,00000,1250,00000REVENUES TM SPENT :MEDICAL RECORDS 97312,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97312,S000000,00100,0200,05/31/2000 97312,S200000,00100,0100,455 FLORIN ROAD 97312,S200000,00200,0100,SACRAMENTO 97312,S200000,00200,0200,CA 97312,S200000,00200,0300,95831- 97312,S200000,00300,0100,SACRAMENTO 97312,S200000,00300,0200,6920 97312,S200000,00300,0300,U 97312,S200000,00400,0100,GREENHAVEN COUNTRY PLACE 97312,S200000,00400,0200,555098 97312,S200000,00400,0300,07/01/1986 97312,S200000,00400,0500,P 97312,S200000,00600,0200,555098 97312,S200000,00600,0300,07/01/1986 97312,S200000,00600,0600,P 97312,S200000,01600,0100,Y 97312,S200000,02200,0100,Y 97312,S200000,03300,0100,Y 97312,S200000,04100,0100,Y 97319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97319,A000000,00300,0000,00300EMPLOYEE BENEFITS 97319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97319,A000000,00700,0000,00700HOUSEKEEPING 97319,A000000,00800,0000,00800DIETARY 97319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97319,A000000,01300,0000,01300SOCIAL SERVICE 97319,A000000,01600,0000,01600SKILLED NURSING FACILITY 97319,A000000,02100,0000,02100RADIOLOGY 97319,A000000,02200,0000,02200LABORATORY 97319,A000000,02300,0000,02300INTRAVENOUS THERAPY 97319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97319,A000000,02500,0000,02500PHYSICAL THERAPY 97319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97319,A000000,02700,0000,02700SPEECH PATHOLOGY 97319,A000000,02800,0000,02800ELECTROCARDIOLOGY 97319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97319,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97319,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97319,A000000,05000,0000,05000CORF 97319,A000000,05300,0000,05300INTEREST EXPENSE 97319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97319,A000000,06200,0000,06200PATIENTS LAUNDRY 97319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97319,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97319,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97319,B100000,00000,0800,00000MEALS SERVED :DIETARY 97319,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97319,B100000,00000,1330,00000 PAT. DAYS :SOCIAL SERVICE 97319,S000000,00100,0200,03/06/2000 97319,S200000,00100,0100,12023 LAKEWOOD BLVD 97319,S200000,00200,0100,DOWNEY 97319,S200000,00200,0200,CA 97319,S200000,00200,0300,90242- 97319,S200000,00300,0100,LOS ANGELES 97319,S200000,00300,0200,4480 97319,S200000,00300,0300,U 97319,S200000,00400,0100,LAKEWOOD PARK HEALTH CENTER 97319,S200000,00400,0200,555099 97319,S200000,00400,0300,01/07/1976 97319,S200000,00400,0500,P 97319,S200000,01500,0100,Y 97333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97333,A000000,00300,0000,00300EMPLOYEE BENEFITS 97333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97333,A000000,00700,0000,00700HOUSEKEEPING 97333,A000000,00800,0000,00800DIETARY 97333,A000000,00900,0000,00900NURSING ADMINISTRATION 97333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97333,A000000,01100,0000,01100PHARMACY 97333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97333,A000000,01300,0000,01300SOCIAL SERVICE 97333,A000000,01350,0000,01500OTHER GENERAL SERVICES 97333,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97333,A000000,01600,0000,01600SKILLED NURSING FACILITY 97333,A000000,01800,0000,01800NURSING FACILITY 97333,A000000,01900,0000,01900OTHER LONG TERM CARE 97333,A000000,02100,0000,02100RADIOLOGY 97333,A000000,02200,0000,02200LABORATORY 97333,A000000,02300,0000,02300INTRAVENOUS THERAPY 97333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97333,A000000,02500,0000,02500PHYSICAL THERAPY 97333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97333,A000000,02700,0000,02700SPEECH PATHOLOGY 97333,A000000,02800,0000,02800ELECTROCARDIOLOGY 97333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97333,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97333,A000000,03200,0000,03200SUPPORT SURFACES 97333,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97333,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97333,A000000,04800,0000,04800AMBULANCE 97333,A000000,05300,0000,05300INTEREST EXPENSE 97333,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97333,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97333,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97333,A000000,06100,0000,06100NONPAID WORKERS 97333,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97333,A000000,06200,0000,06200PATIENTS LAUNDRY 97333,A81000A,00100,0100,Y 97333,A81000B,00100,0300,BUILDING LEASE 97333,A81000C,00100,0100,A 97333,A81000C,00100,0200,L. CALLAWAY 97333,A81000C,00100,0600,LESSOR 97333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97333,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97333,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97333,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97333,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97333,B100000,00000,0800,00000MEALS SERVED :DIETARY 97333,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97333,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97333,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97333,S000000,00100,0200,11/28/2000 97333,S200000,00100,0100,1050 SAN MIGUEL ROAD 97333,S200000,00200,0100,CONCORD 97333,S200000,00200,0200,CA 97333,S200000,00200,0300,94518- 97333,S200000,00300,0100,CONTRA COSTA 97333,S200000,00300,0200,5775 97333,S200000,00300,0300,U 97333,S200000,00400,0100,SAN MIGUEL VILLA 97333,S200000,00400,0200,555104 97333,S200000,00400,0300,12/15/1991 97333,S200000,00400,0500,P 97333,S200000,01600,0100,Y 97340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97340,A000000,00300,0000,00300EMPLOYEE BENEFITS 97340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97340,A000000,00700,0000,00700HOUSEKEEPING 97340,A000000,00800,0000,00800DIETARY 97340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97340,A000000,01300,0000,01300SOCIAL SERVICE 97340,A000000,01600,0000,01600SKILLED NURSING FACILITY 97340,A000000,02100,0000,02100RADIOLOGY 97340,A000000,02200,0000,02200LABORATORY 97340,A000000,02300,0000,02300INTRAVENOUS THERAPY 97340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97340,A000000,02500,0000,02500PHYSICAL THERAPY 97340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97340,A000000,02700,0000,02700SPEECH PATHOLOGY 97340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97340,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97340,A000000,05000,0000,05000CORF 97340,A000000,05300,0000,05300INTEREST EXPENSE 97340,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97340,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97340,A000000,06200,0000,06200PATIENTS LAUNDRY 97340,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97340,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97340,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97340,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97340,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97340,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97340,B100000,00000,0800,00000MEALS SERVED :DIETARY 97340,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97340,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97340,S000000,00100,0200,06/23/2000 97340,S200000,00100,0100,5053 PECK ROAD 97340,S200000,00200,0100,EL MONTE 97340,S200000,00200,0200,CA 97340,S200000,00200,0300,91732- 97340,S200000,00300,0100,LOS ANGELES 97340,S200000,00400,0100,CHERRYLEE LODGE 97340,S200000,00400,0200,555106 97340,S200000,00400,0300,01/01/1985 97340,S200000,00400,0500,P 97340,S200000,01500,0100,Y 97340,S700003,00000,0100,1 97348,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97348,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97348,A000000,00300,0000,00300EMPLOYEE BENEFITS 97348,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97348,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97348,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97348,A000000,00700,0000,00700HOUSEKEEPING 97348,A000000,00800,0000,00800DIETARY 97348,A000000,00900,0000,00900NURSING ADMINISTRATION 97348,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97348,A000000,01100,0000,01100PHARMACY 97348,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97348,A000000,01300,0000,01300SOCIAL SERVICE 97348,A000000,01350,0000,01500OTHER GENERAL SERVICES 97348,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97348,A000000,01600,0000,01600SKILLED NURSING FACILITY 97348,A000000,01800,0000,01800NURSING FACILITY 97348,A000000,01900,0000,01900OTHER LONG TERM CARE 97348,A000000,02100,0000,02100RADIOLOGY 97348,A000000,02200,0000,02200LABORATORY 97348,A000000,02300,0000,02300INTRAVENOUS THERAPY 97348,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97348,A000000,02500,0000,02500PHYSICAL THERAPY 97348,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97348,A000000,02700,0000,02700SPEECH PATHOLOGY 97348,A000000,02800,0000,02800ELECTROCARDIOLOGY 97348,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97348,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97348,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97348,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97348,A000000,03200,0000,03200SUPPORT SURFACES 97348,A000000,03400,0000,03400CLINIC 97348,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97348,A000000,03500,0000,03500RURAL HEALTH CLINIC 97348,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97348,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97348,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97348,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97348,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97348,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97348,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97348,A000000,04400,0000,04400DME RENTED - HHA 97348,A000000,04500,0000,04500DME SOLD - HHA 97348,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97348,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97348,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97348,A000000,04800,0000,04800AMBULANCE 97348,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97348,A000000,05000,0000,05000CORF 97348,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97348,A000000,05300,0000,05300INTEREST EXPENSE 97348,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97348,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97348,A000000,05500,0000,05500HOSPICE 97348,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97348,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97348,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97348,A000000,06100,0000,06100NONPAID WORKERS 97348,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97348,A000000,06200,0000,06200PATIENTS LAUNDRY 97348,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97348,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97348,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97348,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97348,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97348,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97348,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97348,B100000,00000,0800,00000MEALS SERVED :DIETARY 97348,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97348,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97348,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97348,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97348,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97348,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97348,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97348,S000000,00100,0200,07/11/2000 97348,S200000,00100,0100,3541 PUENTE AVE 97348,S200000,00200,0100,BALDWIN PARK 97348,S200000,00200,0200,CA 97348,S200000,00200,0300,91706- 97348,S200000,00300,0100,LOS ANGELES 97348,S200000,00400,0100,ROSE CONVALESCENT HOSPITAL 97348,S200000,00400,0200,555107 97348,S200000,00400,0300,11/01/1996 97348,S200000,00400,0500,P 97348,S200000,01500,0100,Y 97348,S700003,00000,0100,1 97357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97357,A000000,00300,0000,00300EMPLOYEE BENEFITS 97357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97357,A000000,00700,0000,00700HOUSEKEEPING 97357,A000000,00800,0000,00800DIETARY 97357,A000000,00900,0000,00900NURSING ADMINISTRATION 97357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97357,A000000,01300,0000,01300SOCIAL SERVICE 97357,A000000,01301,0000,01301ACTIVITIES 97357,A000000,01350,0000,01500REHAB 97357,A000000,01600,0000,01600SKILLED NURSING FACILITY 97357,A000000,01800,0000,01800NURSING FACILITY 97357,A000000,01900,0000,01900OTHER LONG TERM CARE 97357,A000000,02100,0000,02100RADIOLOGY 97357,A000000,02200,0000,02200LABORATORY 97357,A000000,02300,0000,02300INTRAVENOUS THERAPY 97357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97357,A000000,02500,0000,02500PHYSICAL THERAPY 97357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97357,A000000,02700,0000,02700SPEECH PATHOLOGY 97357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97357,A000000,03050,0000,03300EQUIPMENT RENTAL 97357,A000000,03051,0000,03301PEN THERAPY 97357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97357,A000000,03200,0000,03200SUPPORT SURFACES 97357,A000000,04800,0000,04800AMBULANCE 97357,A000000,05300,0000,05300INTEREST EXPENSE 97357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97357,A000000,06150,0000,06300VENDING 97357,A000000,06151,0000,06301OTHER & STAND-BY 97357,A81000A,00100,0100,Y 97357,A81000B,00100,0300,ADMIN & GENERAL 97357,A81000B,00200,0300,MEDICAL SUPPLIES 97357,A81000C,00100,0100,B 97357,A81000C,00100,0200,EL RANCHO VISTA 97357,A81000C,00100,0400,MARINER PAN 97357,A81000C,00100,0600,NURSING HOMES 97357,A81000C,00200,0100,G 97357,A81000C,00200,0200,MARINER PAN 97357,A81000C,00200,0400,AMERICAN PHARM 97357,A81000C,00200,0600,PHARMACEUTICALS 97357,A81000C,00300,0100,G 97357,A81000C,00300,0200,MARINER PAN 97357,A81000C,00300,0400,PRISM (ATS ARS 97357,A81000C,00300,0600,THERAPIES 97357,A81000C,03100,0000,MARINER PAN 97357,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 97357,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 97357,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 97357,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 97357,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 97357,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 97357,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 97357,B100000,00000,0800,00001MEALS SERVED :DIETARY 97357,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 97357,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 97357,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 97357,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 97357,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 97357,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 97357,S000000,00100,0200,06/06/2000 97357,S200000,00100,0100,8925 MINES AVENUE 97357,S200000,00200,0100,PICO RIVERA 97357,S200000,00200,0200,CA 97357,S200000,00200,0300,90660-3006 97357,S200000,00300,0100,LOS ANGELES 97357,S200000,00300,0200,4480 97357,S200000,00300,0300,U 97357,S200000,00400,0100,EL RANCHO VISTA HEALTHCARE CENTER 97357,S200000,00400,0200,555112 97357,S200000,00400,0300,10/01/1981 97357,S200000,00400,0500,P 97357,S200000,01600,0100,Y 97362,S000000,00100,0200,09/05/2000 97370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97370,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97370,A000000,00300,0000,00300EMPLOYEE BENEFITS 97370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97370,A000000,00700,0000,00700HOUSEKEEPING 97370,A000000,00800,0000,00800DIETARY 97370,A000000,00900,0000,00900NURSING ADMINISTRATION 97370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97370,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97370,A000000,01300,0000,01300SOCIAL SERVICE 97370,A000000,01301,0000,01301ACTIVITIES 97370,A000000,01350,0000,01500REHAB 97370,A000000,01600,0000,01600SKILLED NURSING FACILITY 97370,A000000,01800,0000,01800NURSING FACILITY 97370,A000000,01900,0000,01900OTHER LONG TERM CARE 97370,A000000,02100,0000,02100RADIOLOGY 97370,A000000,02200,0000,02200LABORATORY 97370,A000000,02300,0000,02300INTRAVENOUS THERAPY 97370,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97370,A000000,02500,0000,02500PHYSICAL THERAPY 97370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97370,A000000,02700,0000,02700SPEECH PATHOLOGY 97370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97370,A000000,02901,0000,02901OXYGEN 97370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97370,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97370,A000000,03051,0000,03301PEN THERAPY 97370,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97370,A000000,04800,0000,04800AMBULANCE 97370,A000000,05300,0000,05300INTEREST EXPENSE 97370,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97370,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97370,A000000,06150,0000,06300VENDING 97370,A000000,06151,0000,06301OTHER & STAND-BY 97370,A81000A,00100,0100,Y 97370,A81000B,00100,0300,ADMIN & GENERAL 97370,A81000B,00200,0300,NON-CERT 97370,A81000B,00300,0300,MEDICAL SUPPLIES 97370,A81000B,00400,0300,PT 97370,A81000B,00500,0300,OT 97370,A81000B,00600,0300,ST 97370,A81000C,00100,0100,B 97370,A81000C,00100,0200,DRIFTWOOD-TORRA 97370,A81000C,00100,0400,MARINER PAN 97370,A81000C,00100,0600,NURSING HOMES 97370,A81000C,00200,0100,G 97370,A81000C,00200,0200,MARINER PAN 97370,A81000C,00200,0400,AMERICAN PHARMA 97370,A81000C,00200,0600,PHARMACEUTICALS 97370,A81000C,00300,0100,G 97370,A81000C,00300,0200,MARINER PAN 97370,A81000C,00300,0400,PRISM(ATS ARS T 97370,A81000C,00300,0600,THERAPIES 97370,A81000C,03100,0000,MARINER PAN 97370,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 97370,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 97370,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 97370,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 97370,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 97370,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 97370,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 97370,B100000,00000,0800,00001MEALS SERVED :DIETARY 97370,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 97370,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 97370,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 97370,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 97370,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 97370,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 97370,S000000,00100,0200,06/05/2000 97370,S200000,00100,0100,4109 EMERALD STREET 97370,S200000,00200,0100,TORRANCE 97370,S200000,00200,0200,CA 97370,S200000,00200,0300,90503-3197 97370,S200000,00300,0100,LOS ANGELES 97370,S200000,00400,0100,DRIFTWOOD HEALTHCARE CENTER-TORRANCE 97370,S200000,00400,0200,555114 97370,S200000,00400,0300,01/01/1980 97370,S200000,00400,0500,P 97370,S200000,01600,0100,Y 97377,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97377,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97377,A000000,00300,0000,00300EMPLOYEE BENEFITS 97377,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97377,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97377,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97377,A000000,00700,0000,00700HOUSEKEEPING 97377,A000000,00800,0000,00800DIETARY 97377,A000000,00900,0000,00900NURSING ADMINISTRATION 97377,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97377,A000000,01100,0000,01100PHARMACY 97377,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97377,A000000,01300,0000,01300SOCIAL SERVICE 97377,A000000,01600,0000,01600SKILLED NURSING FACILITY 97377,A000000,02500,0000,02500PHYSICAL THERAPY 97377,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97377,A000000,02700,0000,02700SPEECH PATHOLOGY 97377,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97377,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97377,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97377,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97377,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97377,A81000A,00100,0100,Y 97377,A81000B,00100,0300,CORPORATE SERVICES 97377,A81000B,00200,0300,ALLOWABLE HOME OFFICE COSTS 97377,A81000B,00300,0300,CAPITAL - BUILDING 97377,A81000B,00400,0300,CAPITAL - EQUIPMENT 97377,A81000C,00100,0100,B 97377,A81000C,00100,0200,ABHOW 97377,A81000C,00100,0600,ACCTG & MGMT 97377,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97377,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97377,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97377,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97377,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97377,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97377,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97377,B100000,00000,0800,00000MEALS SERVED :DIETARY 97377,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97377,B100000,00000,1050,00000GROSS REVENUE :CENTRAL SERVICES & 97377,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97377,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97377,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97377,S000000,00100,0200,03/01/2000 97377,S200000,00100,0100,1301 NEW STINE ROAD 97377,S200000,00200,0100,BAKERSFIELD 97377,S200000,00200,0200,CA 97377,S200000,00200,0300,93309- 97377,S200000,00300,0100,BAKERSFIELD 97377,S200000,00400,0100,ABHOW - ROSEWOOD GARDENS 97377,S200000,00400,0200,555116 97377,S200000,00400,0300,07/09/1979 97377,S200000,00400,0500,P 97377,S200000,01500,0100,Y 97377,S700003,00000,0100,1 97385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97385,A000000,00300,0000,00300EMPLOYEE BENEFITS 97385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97385,A000000,00700,0000,00700HOUSEKEEPING 97385,A000000,00800,0000,00800DIETARY 97385,A000000,00900,0000,00900NURSING ADMINISTRATION 97385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97385,A000000,01300,0000,01300SOCIAL SERVICE 97385,A000000,01301,0000,01301ACTIVITIES 97385,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 97385,A000000,01600,0000,01600SKILLED NURSING FACILITY 97385,A000000,01800,0000,01800NURSING FACILITY 97385,A000000,01810,0000,01810ICF/MR 97385,A000000,01900,0000,01900OTHER LONG TERM CARE 97385,A000000,02100,0000,02100RADIOLOGY 97385,A000000,02200,0000,02200LABORATORY 97385,A000000,02300,0000,02300INTRAVENOUS THERAPY 97385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97385,A000000,02500,0000,02500PHYSICAL THERAPY 97385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97385,A000000,02700,0000,02700SPEECH PATHOLOGY 97385,A000000,02800,0000,02800ELECTROCARDIOLOGY 97385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97385,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97385,A000000,03051,0000,03301PEN THERAPY 97385,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97385,A000000,03200,0000,03200SUPPORT SURFACES 97385,A000000,03400,0000,03400CLINIC 97385,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97385,A000000,03500,0000,03500RURAL HEALTH CLINIC 97385,A000000,04800,0000,04800AMBULANCE 97385,A000000,05000,0000,05000CORF 97385,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97385,A000000,05300,0000,05300INTEREST EXPENSE 97385,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97385,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97385,A000000,05500,0000,05500HOSPICE 97385,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97385,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97385,A000000,06100,0000,06100NONPAID WORKERS 97385,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97385,A000000,06200,0000,06200PATIENTS LAUNDRY 97385,A81000A,00100,0100,Y 97385,A81000B,00100,0300,HOME OFFICE ALLOCATION 97385,A81000B,00200,0300,NON CERT 97385,A81000B,00300,0300,MEDICAL SUPPLIES 97385,A81000B,00400,0300,CAPITAL 97385,A81000C,00100,0100,B 97385,A81000C,00100,0200,SKYLINE LOS ANG 97385,A81000C,00100,0400,MARINER POST AC 97385,A81000C,00100,0600,NURSING HOMES 97385,A81000C,00200,0100,G 97385,A81000C,00200,0200,MARINER POST AC 97385,A81000C,00200,0400,AMERICAN PHARMA 97385,A81000C,00200,0600,PHARMACEUTICALS 97385,A81000C,00300,0100,G 97385,A81000C,00300,0200,MARINER POST AC 97385,A81000C,00300,0400,PRISM (ATS ARS 97385,A81000C,00300,0600,THERAPIES 97385,A81000C,03100,0000,MARINER POST ACUTE NETWORK 97385,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97385,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97385,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97385,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97385,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97385,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97385,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97385,B100000,00000,0800,00000MEALS SERVED :DIETARY 97385,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97385,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97385,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97385,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97385,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 97385,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 97385,S000000,00100,0200,06/05/2000 97385,S200000,00100,0100,3032 ROWENA AVE 97385,S200000,00200,0100,LOS ANGELES 97385,S200000,00200,0200,CA 97385,S200000,00200,0300,90039- 97385,S200000,00300,0100,LOS ANGELES 97385,S200000,00400,0100,SKYLINE HEALTHCARE CTR-LOS ANGELES 97385,S200000,00400,0200,555117 97385,S200000,00400,0300,10/01/1981 97385,S200000,00400,0500,P 97385,S700003,00000,0100,1 97392,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97392,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97392,A000000,00300,0000,00300EMPLOYEE BENEFITS 97392,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97392,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97392,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97392,A000000,00700,0000,00700HOUSEKEEPING 97392,A000000,00800,0000,00800DIETARY 97392,A000000,00900,0000,00900NURSING ADMINISTRATION 97392,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97392,A000000,01100,0000,01100PHARMACY 97392,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97392,A000000,01300,0000,01300SOCIAL SERVICE 97392,A000000,01350,0000,01500RESPIRATORY THERAPY 97392,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97392,A000000,01600,0000,01600SKILLED NURSING FACILITY 97392,A000000,01800,0000,01800NURSING FACILITY 97392,A000000,01810,0000,01801ICF/MR 97392,A000000,01900,0000,01900OTHER LONG TERM CARE 97392,A000000,02100,0000,02100RADIOLOGY 97392,A000000,02200,0000,02200LABORATORY 97392,A000000,02300,0000,02300INTRAVENOUS THERAPY 97392,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97392,A000000,02500,0000,02500PHYSICAL THERAPY 97392,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97392,A000000,02700,0000,02700SPEECH PATHOLOGY 97392,A000000,02800,0000,02800ELECTROCARDIOLOGY 97392,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97392,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97392,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97392,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97392,A000000,03200,0000,03200SUPPORT SURFACES 97392,A000000,03400,0000,03400CLINIC 97392,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97392,A000000,03500,0000,03500RURAL HEALTH CLINIC 97392,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97392,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97392,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97392,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97392,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97392,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97392,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97392,A000000,04400,0000,04400DME RENTED - HHA 97392,A000000,04500,0000,04500DME SOLD - HHA 97392,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97392,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97392,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97392,A000000,04800,0000,04800AMBULANCE 97392,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97392,A000000,05000,0000,05000CORF 97392,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97392,A000000,05300,0000,05300INTEREST EXPENSE 97392,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97392,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97392,A000000,05500,0000,05500HOSPICE 97392,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97392,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97392,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97392,A000000,06100,0000,06100NONPAID WORKERS 97392,A000000,06150,0000,06300BOUTIQUE 97392,A000000,06200,0000,06200PATIENTS LAUNDRY 97392,A81000A,00100,0100,Y 97392,A81000B,00100,0300,BUILDING LEASE 97392,A81000B,00200,0300,MORTGAGE INTEREST 97392,A81000B,00300,0300,DEPRECIATION-BUILDING 97392,A81000C,00100,0100,A 97392,A81000C,00100,0200,B. CIPPONERI 97392,A81000C,00100,0400,EVERGREEN C.H. 97392,A81000C,00100,0600,LESSOR 97392,A81000C,00200,0100,A 97392,A81000C,00200,0200,A. CIPPONERI 97392,A81000C,00200,0400,EVERGREEN C.H. 97392,A81000C,00200,0600,LESSOR 97392,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97392,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97392,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97392,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97392,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97392,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97392,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97392,B100000,00000,0800,00000MEALS SERVED :DIETARY 97392,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 97392,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97392,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97392,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97392,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97392,B100000,00000,1350,00000PATIENT DAY :RESPIRATORY THERAPY 97392,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97392,S000000,00100,0200,04/18/2000 97392,S200000,00100,0100,2030 EVERGREEN AVENUE 97392,S200000,00200,0100,MODESTO 97392,S200000,00200,0200,CA 97392,S200000,00200,0300,95350- 97392,S200000,00300,0100,STANISLAUS 97392,S200000,00400,0100,EVERGREEN REHABILITATION CARE CENTER 97392,S200000,00400,0200,555118 97392,S200000,00400,0300,03/01/1984 97392,S200000,00400,0500,P 97392,S200000,01600,0100,Y 97392,S200000,02800,0100,Y 97392,S700003,00000,0100,1 97401,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97401,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97401,A000000,00300,0000,00300EMPLOYEE BENEFITS 97401,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97401,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97401,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97401,A000000,00700,0000,00700HOUSEKEEPING 97401,A000000,00800,0000,00800DIETARY 97401,A000000,00900,0000,00900NURSING ADMINISTRATION 97401,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97401,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97401,A000000,01300,0000,01300SOCIAL SERVICE 97401,A000000,01600,0000,01600SKILLED NURSING FACILITY 97401,A000000,01800,0000,01800NURSING FACILITY 97401,A000000,01900,0000,01900OTHER LONG TERM CARE 97401,A000000,02100,0000,02100RADIOLOGY 97401,A000000,02200,0000,02200LABORATORY 97401,A000000,02300,0000,02300INTRAVENOUS THERAPY 97401,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97401,A000000,02500,0000,02500PHYSICAL THERAPY 97401,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97401,A000000,02700,0000,02700SPEECH PATHOLOGY 97401,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97401,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97401,A000000,03200,0000,03200SUPPORT SURFACES 97401,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97401,A000000,04800,0000,04800AMBULANCE 97401,A000000,05300,0000,05300INTEREST EXPENSE 97401,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97401,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97401,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97401,A000000,06200,0000,06200PATIENTS LAUNDRY 97401,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97401,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97401,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97401,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97401,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97401,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97401,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97401,B100000,00000,0800,00000MEALS SERVED :DIETARY 97401,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 97401,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97401,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97401,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97401,S000000,00100,0200,06/05/2000 97401,S200000,00100,0100,246 SPRUCE STREET 97401,S200000,00200,0100,GRIDLEY 97401,S200000,00200,0200,CA 97401,S200000,00200,0300,95948- 97401,S200000,00300,0100,SUTTER 97401,S200000,00400,0100,VALLEY OAKS HEALTH CARE CENTER 97401,S200000,00400,0200,555124 97401,S200000,00400,0300,05/01/1995 97401,S200000,00400,0500,P 97401,S200000,01600,0100,Y 97401,S700003,00000,0100,1 97407,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97407,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97407,A000000,00300,0000,00300EMPLOYEE BENEFITS 97407,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97407,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97407,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97407,A000000,00700,0000,00700HOUSEKEEPING 97407,A000000,00800,0000,00800DIETARY 97407,A000000,00900,0000,00900NURSING ADMINISTRATION 97407,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97407,A000000,01100,0000,01100PHARMACY 97407,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97407,A000000,01300,0000,01300SOCIAL SERVICE 97407,A000000,01600,0000,01600SKILLED NURSING FACILITY 97407,A000000,01800,0000,01800NURSING FACILITY 97407,A000000,01900,0000,01900OTHER LONG TERM CARE 97407,A000000,02100,0000,02100RADIOLOGY 97407,A000000,02200,0000,02200LABORATORY 97407,A000000,02300,0000,02300INTRAVENOUS THERAPY 97407,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97407,A000000,02500,0000,02500PHYSICAL THERAPY 97407,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97407,A000000,02700,0000,02700SPEECH PATHOLOGY 97407,A000000,02800,0000,02800ELECTROCARDIOLOGY 97407,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97407,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97407,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97407,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97407,A000000,03200,0000,03200SUPPORT SURFACES 97407,A000000,04800,0000,04800AMBULANCE 97407,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97407,A000000,05000,0000,05000CORF 97407,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97407,A000000,05300,0000,05300INTEREST EXPENSE 97407,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97407,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97407,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97407,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97407,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97407,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97407,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97407,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97407,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97407,B100000,00000,0800,00000MEALS SERVED :DIETARY 97407,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97407,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97407,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 97407,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 97407,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97407,S000000,00100,0200,05/11/2000 97407,S200000,00100,0100,450 HAYES LANE 97407,S200000,00200,0100,PETALUMA 97407,S200000,00200,0200,CA 97407,S200000,00200,0300,94952- 97407,S200000,00300,0100,SONOMA 97407,S200000,00400,0100,THE OAKS NURSING CENTER 97407,S200000,00400,0200,555127 97407,S200000,00400,0300,06/07/1980 97407,S200000,00400,0500,P 97407,S200000,01500,0100,Y 97407,S200000,01800,0100,Y 97407,S700003,00000,0100,1 97415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97415,A000000,00300,0000,00300EMPLOYEE BENEFITS 97415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97415,A000000,00700,0000,00700HOUSEKEEPING 97415,A000000,00800,0000,00800DIETARY 97415,A000000,00900,0000,00900NURSING ADMINISTRATION 97415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97415,A000000,01600,0000,01600SKILLED NURSING FACILITY 97415,A000000,01800,0000,01800NURSING FACILITY 97415,A000000,02100,0000,02100RADIOLOGY 97415,A000000,02200,0000,02200LABORATORY 97415,A000000,02300,0000,02300INTRAVENOUS THERAPY 97415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97415,A000000,02500,0000,02500PHYSICAL THERAPY 97415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97415,A000000,02700,0000,02700SPEECH PATHOLOGY 97415,A000000,02800,0000,02800ELECTROCARDIOLOGY 97415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97415,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97415,A81000A,00100,0100,Y 97415,A81000B,00100,0300,HOME OFFICE EXPENSES 97415,A81000C,00100,0100,A 97415,A81000C,00100,0200,E.I. BERNABE 97415,A81000C,00100,0400,PLEASANT CARE C 97415,A81000C,00100,0600,HEALTH CARE PRO 97415,A81000C,00200,0100,A 97415,A81000C,00200,0200,E.I. BERNABE 97415,A81000C,00200,0400,PCC HEALTH SERV 97415,A81000C,00200,0600,HEALTH CARE PRO 97415,A81000C,00300,0100,A 97415,A81000C,00300,0200,E.I. BERNABE 97415,A81000C,00300,0400,EMBER CARE CORP 97415,A81000C,00300,0600,HEALTH CARE PRO 97415,A81000C,00400,0100,A 97415,A81000C,00400,0200,E.I. BERNABE 97415,A81000C,00400,0400,ATLAS CARE ENTE 97415,A81000C,00400,0600,HEALTH CARE PRO 97415,A81000C,00500,0100,A 97415,A81000C,00500,0200,E.I. BERNABE 97415,A81000C,00500,0400,SNF PROPERTIES 97415,A81000C,00500,0600,HEALTH CARE PRO 97415,A81000C,00600,0100,A 97415,A81000C,00600,0200,E.I. BERNABE 97415,A81000C,00600,0400,STOCKTON EDISON 97415,A81000C,00600,0600,HEALTH CARE PRO 97415,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97415,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97415,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97415,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97415,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97415,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97415,B100000,00000,0750,00000SQUARE FEE :HOUSEKEEPING 97415,B100000,00000,0800,00000MEALS SERVED :DIETARY 97415,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 97415,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97415,S000000,00100,0200,08/25/2000 97415,S200000,00100,0100,6025 PINE AVENUE 97415,S200000,00200,0100,MAYWOOD 97415,S200000,00200,0200,CA 97415,S200000,00200,0300,90270- 97415,S200000,00300,0100,LOS ANGELES 97415,S200000,00300,0200,4480 97415,S200000,00300,0300,U 97415,S200000,00400,0100,EMMANUEL HEALTH CARE CENTR - MAYWOOD 97415,S200000,00400,0200,555130 97415,S200000,00400,0300,04/01/1995 97415,S200000,00400,0500,P 97415,S200000,00600,0200,555130 97415,S200000,00600,0300,04/01/1995 97415,S200000,00600,0600,P 97415,S200000,01600,0100,Y 97430,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97430,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97430,A000000,00300,0000,00300EMPLOYEE BENEFITS 97430,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97430,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97430,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97430,A000000,00700,0000,00700HOUSEKEEPING 97430,A000000,00800,0000,00800DIETARY 97430,A000000,00900,0000,00900NURSING ADMINISTRATION 97430,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97430,A000000,01100,0000,01100PHARMACY 97430,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97430,A000000,01300,0000,01300SOCIAL SERVICE 97430,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97430,A000000,01600,0000,01600SKILLED NURSING FACILITY 97430,A000000,01800,0000,01800NURSING FACILITY 97430,A000000,02100,0000,02100RADIOLOGY 97430,A000000,02200,0000,02200LABORATORY 97430,A000000,02210,0000,02201LABORATORY - O/P - GLUCOSE 97430,A000000,02300,0000,02300INTRAVENOUS THERAPY 97430,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97430,A000000,02500,0000,02500PHYSICAL THERAPY 97430,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97430,A000000,02700,0000,02700SPEECH PATHOLOGY 97430,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97430,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97430,A000000,04800,0000,04800AMBULANCE 97430,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97430,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97430,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97430,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97430,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97430,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97430,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97430,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97430,B100000,00000,0800,00000MEALS SERVED :DIETARY 97430,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97430,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97430,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97430,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97430,S000000,00100,0200,10/03/2000 97430,S200000,00100,0100,1441 MICHIGAN AVENUE 97430,S200000,00200,0100,BEAUMONT 97430,S200000,00200,0200,CA 97430,S200000,00200,0300,92223- 97430,S200000,00300,0100,RIVERSIDE 97430,S200000,00300,0200,6780 97430,S200000,00300,0300,U 97430,S200000,00400,0100,BEAUMONT CARE CENTER 97430,S200000,00400,0200,555135 97430,S200000,00400,0300,01/01/1990 97430,S200000,00400,0500,P 97430,S200000,00600,0200,555135 97430,S200000,00600,0300,01/01/1990 97430,S200000,00600,0600,P 97430,S200000,01600,0100,Y 97430,S200000,04700,0100,Y 97438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97438,A000000,00300,0000,00300EMPLOYEE BENEFITS 97438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97438,A000000,00700,0000,00700HOUSEKEEPING 97438,A000000,00800,0000,00800DIETARY 97438,A000000,00900,0000,00900NURSING ADMINISTRATION 97438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97438,A000000,01100,0000,01100PHARMACY 97438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97438,A000000,01300,0000,01300SOCIAL SERVICE 97438,A000000,01350,0000,01500ACTIVITIES 97438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97438,A000000,01600,0000,01600SKILLED NURSING FACILITY 97438,A000000,01800,0000,01800NURSING FACILITY 97438,A000000,01900,0000,01900OTHER LONG TERM CARE 97438,A000000,02100,0000,02100RADIOLOGY 97438,A000000,02200,0000,02200LABORATORY 97438,A000000,02300,0000,02300INTRAVENOUS THERAPY 97438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97438,A000000,02500,0000,02500PHYSICAL THERAPY 97438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97438,A000000,02700,0000,02700SPEECH PATHOLOGY 97438,A000000,02800,0000,02800ELECTROCARDIOLOGY 97438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97438,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97438,A000000,03200,0000,03200SUPPORT SURFACES 97438,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 97438,A000000,04800,0000,04800AMBULANCE 97438,A000000,05300,0000,05300INTEREST EXPENSE 97438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 97438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97438,A000000,06100,0000,06100NONPAID WORKERS 97438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97438,A000000,06200,0000,06200PATIENTS LAUNDRY 97438,A81000A,00100,0100,Y 97438,A81000B,00100,0300,HOME OFFICE COST 97438,A81000C,00100,0100,B 97438,A81000C,00100,0200,MCHS-RANCHO BERNARDO 97438,A81000C,00100,0400,HCR MANORCARE INC. 97438,A81000C,00100,0600,LONG TERM CARE FACILITIES 97438,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97438,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97438,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97438,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97438,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97438,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97438,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97438,B100000,00000,0800,00000MEALS SERVED :DIETARY 97438,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 97438,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97438,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97438,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97438,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 97438,S000000,00100,0200,10/19/2000 97438,S200000,00100,0100,15632 POMERADO 97438,S200000,00200,0100,POWAY 97438,S200000,00200,0200,CA 97438,S200000,00200,0300,92064- 97438,S200000,00300,0100,SAN DIEGO 97438,S200000,00300,0200,7320 97438,S200000,00300,0300,U 97438,S200000,00400,0100,MCHS-RANCHO BERNARDO 97438,S200000,00400,0200,555136 97438,S200000,00400,0300,09/01/1996 97438,S200000,00400,0500,P 97438,S200000,00400,0600,P 97438,S200000,01004,0500,O 97438,S200000,01600,0100,Y 97438,S200000,02200,0100,Y 97448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97448,A000000,00300,0000,00300EMPLOYEE BENEFITS 97448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97448,A000000,00700,0000,00700HOUSEKEEPING 97448,A000000,00800,0000,00800DIETARY 97448,A000000,00900,0000,00900NURSING ADMINISTRATION 97448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97448,A000000,01100,0000,01100PHARMACY 97448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97448,A000000,01300,0000,01300SOCIAL SERVICE 97448,A000000,01600,0000,01600SKILLED NURSING FACILITY 97448,A000000,01800,0000,01800NURSING FACILITY 97448,A000000,01900,0000,01900OTHER LONG TERM CARE 97448,A000000,02100,0000,02100RADIOLOGY 97448,A000000,02200,0000,02200LABORATORY 97448,A000000,02300,0000,02300INTRAVENOUS THERAPY 97448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97448,A000000,02500,0000,02500PHYSICAL THERAPY 97448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97448,A000000,02700,0000,02700SPEECH PATHOLOGY 97448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97448,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97448,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97448,A000000,03200,0000,03200SUPPORT SURFACES 97448,A000000,04800,0000,04800AMBULANCE 97448,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97448,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97448,A81000A,00100,0100,Y 97448,A81000B,00100,0300,FACILITY LEASE 97448,A81000B,00200,0300,INTEREST 3J INVEST 97448,A81000B,00300,0300,DEPRECIATION 97448,A81000C,00100,0100,A 97448,A81000C,00100,0200,JEROLD STERN 97448,A81000C,00200,0100,A 97448,A81000C,00200,0200,JOYCE STERN 97448,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97448,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97448,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97448,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97448,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97448,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97448,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97448,B100000,00000,0800,00000MEALS SERVED :DIETARY 97448,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97448,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97448,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97448,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97448,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97448,S000000,00100,0200,05/31/2000 97448,S200000,00100,0100,527 W. REGENT ST. 97448,S200000,00200,0100,INGLEWOOD 97448,S200000,00200,0200,CA 97448,S200000,00200,0300,90301- 97448,S200000,00300,0100,LOS ANGELES 97448,S200000,00300,0200,4480 97448,S200000,00300,0300,U 97448,S200000,00400,0100,ST. ERNE CONVALESCENT 97448,S200000,00400,0200,555138 97448,S200000,00400,0300,07/01/1980 97448,S200000,00400,0500,P 97448,S200000,01600,0100,Y 97448,S200000,02200,0100,Y 97457,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97457,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97457,A000000,00300,0000,00300EMPLOYEE BENEFITS 97457,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97457,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97457,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97457,A000000,00700,0000,00700HOUSEKEEPING 97457,A000000,00800,0000,00800DIETARY 97457,A000000,00900,0000,00900NURSING ADMINISTRATION 97457,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97457,A000000,01100,0000,01100PHARMACY 97457,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97457,A000000,01300,0000,01300SOCIAL SERVICE 97457,A000000,01350,0000,01500OTHER GENERAL SERVICES 97457,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97457,A000000,01600,0000,01600SKILLED NURSING FACILITY 97457,A000000,01800,0000,01800NURSING FACILITY 97457,A000000,01810,0000,01801ICF/MR 97457,A000000,01900,0000,01900OTHER LONG TERM CARE 97457,A000000,02100,0000,02100RADIOLOGY 97457,A000000,02200,0000,02200LABORATORY 97457,A000000,02300,0000,02300INTRAVENOUS THERAPY 97457,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97457,A000000,02500,0000,02500PHYSICAL THERAPY 97457,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97457,A000000,02700,0000,02700SPEECH PATHOLOGY 97457,A000000,02800,0000,02800ELECTROCARDIOLOGY 97457,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97457,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97457,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97457,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97457,A000000,03200,0000,03200SUPPORT SURFACES 97457,A000000,03400,0000,03400CLINIC 97457,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97457,A000000,03500,0000,03500RURAL HEALTH CLINIC 97457,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97457,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97457,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97457,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97457,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97457,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97457,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97457,A000000,04400,0000,04400DME RENTED - HHA 97457,A000000,04500,0000,04500DME SOLD - HHA 97457,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97457,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97457,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97457,A000000,04800,0000,04800AMBULANCE 97457,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97457,A000000,05000,0000,05000CORF 97457,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97457,A000000,05300,0000,05300INTEREST EXPENSE 97457,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97457,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97457,A000000,05500,0000,05500HOSPICE 97457,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97457,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97457,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97457,A000000,06100,0000,06100NONPAID WORKERS 97457,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97457,A000000,06200,0000,06200PATIENTS LAUNDRY 97457,A81000A,00100,0100,Y 97457,A81000B,00100,0300,HOME OFFICE COSTS 97457,A81000B,00200,0300,LEASE PAYMENTS 97457,A81000B,00300,0300,DEPRECIATION 97457,A81000B,00400,0300,INTEREST 97457,A81000C,00100,0100,B 97457,A81000C,00100,0200,GEORGE HARDI 97457,A81000C,00100,0400,HARDI NURSING HOME MGMT 97457,A81000C,00100,0600,HOME OFFICE 97457,A81000C,00200,0100,B 97457,A81000C,00200,0200,GEORGE HARDI 97457,A81000C,00200,0400,HARDI WEIMER PARTNERSHIP 97457,A81000C,00200,0600,LESSOR 97457,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97457,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97457,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97457,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97457,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97457,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97457,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97457,B100000,00000,0800,00000MEALS SERVED :DIETARY 97457,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 97457,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97457,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97457,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97457,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97457,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97457,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97457,S000000,00100,0200,05/30/2000 97457,S200000,00100,0100,1020 SOUTH FAIRFAX 97457,S200000,00200,0100,LOS ANGELES 97457,S200000,00200,0200,CA 97457,S200000,00200,0300,90019- 97457,S200000,00300,0100,LOS ANGELES 97457,S200000,00400,0100,WESTSIDE HEALTH CENTER 97457,S200000,00400,0200,555139 97457,S200000,00400,0300,01/01/1998 97457,S200000,00400,0500,P 97457,S200000,01500,0100,Y 97457,S700003,00000,0100,1 97465,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97465,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97465,A000000,00300,0000,00300EMPLOYEE BENEFITS 97465,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97465,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97465,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97465,A000000,00700,0000,00700HOUSEKEEPING 97465,A000000,00800,0000,00800DIETARY 97465,A000000,00900,0000,00900NURSING ADMINISTRATION 97465,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97465,A000000,01100,0000,01100PHARMACY 97465,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97465,A000000,01300,0000,01300SOCIAL SERVICE 97465,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97465,A000000,01600,0000,01600SKILLED NURSING FACILITY 97465,A000000,02100,0000,02100RADIOLOGY 97465,A000000,02200,0000,02200LABORATORY 97465,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97465,A000000,02500,0000,02500PHYSICAL THERAPY 97465,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97465,A000000,02700,0000,02700SPEECH PATHOLOGY 97465,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97465,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97465,A000000,03200,0000,03200SUPPORT SURFACES 97465,A81000A,00100,0100,Y 97465,A81000B,00100,0300,MANAGEMENT FEES 97465,A81000C,00100,0100,A 97465,A81000C,00100,0200,ERWIN CABLAYAN 97465,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97465,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97465,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97465,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97465,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97465,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97465,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97465,B100000,00000,0800,00000MEALS SERVED :DIETARY 97465,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97465,S000000,00100,0200,10/09/2000 97465,S200000,00100,0100,675 E. BRADLEY AVE. 97465,S200000,00200,0100,EL CAJON 97465,S200000,00200,0200,CA 97465,S200000,00200,0300,91977- 97465,S200000,00300,0100,SAN DIEGO 97465,S200000,00300,0200,7320 97465,S200000,00300,0300,U 97465,S200000,00400,0100,THE BRADLEY COURT 97465,S200000,00400,0200,555140 97465,S200000,00400,0300,10/01/1996 97465,S200000,00400,0500,P 97465,S200000,01500,0100,Y 97474,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97474,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97474,A000000,00300,0000,00300EMPLOYEE BENEFITS 97474,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97474,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97474,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97474,A000000,00700,0000,00700HOUSEKEEPING 97474,A000000,00800,0000,00800DIETARY 97474,A000000,00900,0000,00900NURSING ADMINISTRATION 97474,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97474,A000000,01100,0000,01100PHARMACY 97474,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97474,A000000,01300,0000,01300SOCIAL SERVICE 97474,A000000,01350,0000,01500OTHER GENERAL SERVICES 97474,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97474,A000000,01600,0000,01600SKILLED NURSING FACILITY 97474,A000000,01800,0000,01800NURSING FACILITY 97474,A000000,01810,0000,01810ICF/MR 97474,A000000,01900,0000,01900OTHER LONG TERM CARE 97474,A000000,02100,0000,02100RADIOLOGY 97474,A000000,02200,0000,02200LABORATORY 97474,A000000,02300,0000,02300INTRAVENOUS THERAPY 97474,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97474,A000000,02500,0000,02500PHYSICAL THERAPY 97474,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97474,A000000,02700,0000,02700SPEECH PATHOLOGY 97474,A000000,02800,0000,02800ELECTROCARDIOLOGY 97474,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97474,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97474,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97474,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97474,A000000,03200,0000,03200SUPPORT SURFACES 97474,A000000,03400,0000,03400CLINIC 97474,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97474,A000000,03500,0000,03500RURAL HEALTH CLINIC 97474,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97474,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97474,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97474,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97474,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97474,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97474,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97474,A000000,04400,0000,04400DME RENTED - HHA 97474,A000000,04500,0000,04500DME SOLD - HHA 97474,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97474,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97474,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97474,A000000,04800,0000,04800AMBULANCE 97474,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97474,A000000,05000,0000,05000CORF 97474,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97474,A000000,05300,0000,05300INTEREST EXPENSE 97474,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97474,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97474,A000000,05500,0000,05500HOSPICE 97474,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97474,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97474,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97474,A000000,06100,0000,06100NONPAID WORKERS 97474,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97474,A000000,06200,0000,06200PATIENTS LAUNDRY 97474,A81000A,00100,0100,Y 97474,A81000B,00100,0300,MANAGEMENT FEES 97474,A81000B,00200,0300,HOME OFFICE-BUILDING 97474,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 97474,A81000B,00400,0300,HOME OFFICE COSTS 97474,A81000B,00500,0300,BUILDING LEASE 97474,A81000B,00600,0300,DEPRECIATION-BUILDING 97474,A81000B,00700,0300,DEPRECIATION-EQUIPMENT 97474,A81000B,00800,0300,MORTGAGE INTEREST EXP 97474,A81000C,00100,0100,A 97474,A81000C,00100,0200,ALBA TILLER 97474,A81000C,00100,0400,A.T. ASSOCIATES INC. 97474,A81000C,00100,0600,HOME OFFICE/MANAGER 97474,A81000C,00200,0100,A 97474,A81000C,00200,0200,ALBA TILLER 97474,A81000C,00200,0600,LESSOR 97474,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97474,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97474,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97474,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97474,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97474,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97474,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97474,B100000,00000,0800,00000MEALS SERVED :DIETARY 97474,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97474,S000000,00100,0200,06/16/2000 97474,S200000,00100,0100,1310 CREEKSIDE DRIVE 97474,S200000,00200,0100,WALNUT CREEK 97474,S200000,00200,0200,CA 97474,S200000,00200,0300,94596- 97474,S200000,00300,0100,CONTRA COSTA 97474,S200000,00300,0200,5775 97474,S200000,00300,0300,U 97474,S200000,00400,0100,ELM MANOR CONV. HOSPITAL 97474,S200000,00400,0200,555150 97474,S200000,00400,0300,11/01/1991 97474,S200000,00400,0500,P 97474,S200000,01500,0100,Y 97474,S200000,02800,0100,Y 97488,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97488,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97488,A000000,00300,0000,00300EMPLOYEE BENEFITS 97488,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97488,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97488,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97488,A000000,00700,0000,00700HOUSEKEEPING 97488,A000000,00800,0000,00800DIETARY 97488,A000000,00900,0000,00900NURSING ADMINISTRATION 97488,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97488,A000000,01100,0000,01100PHARMACY 97488,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97488,A000000,01300,0000,01300SOCIAL SERVICE 97488,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97488,A000000,01600,0000,01600SKILLED NURSING FACILITY 97488,A000000,01800,0000,01800NURSING FACILITY 97488,A000000,01900,0000,01900OTHER LONG TERM CARE 97488,A000000,02100,0000,02100RADIOLOGY 97488,A000000,02200,0000,02200LABORATORY 97488,A000000,02300,0000,02300INTRAVENOUS THERAPY 97488,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97488,A000000,02500,0000,02500PHYSICAL THERAPY 97488,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97488,A000000,02700,0000,02700SPEECH PATHOLOGY 97488,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97488,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97488,A000000,03050,0000,03300ENTERAL SERVICES 97488,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 97488,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97488,A000000,03200,0000,03200SUPPORT SURFACES 97488,A000000,03400,0000,03400CLINIC 97488,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97488,A000000,03500,0000,03500RURAL HEALTH CLINIC 97488,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97488,A000000,04800,0000,04800AMBULANCE 97488,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97488,A000000,05300,0000,05300INTEREST EXPENSE 97488,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97488,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97488,A000000,05500,0000,05500HOSPICE 97488,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97488,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97488,A000000,06200,0000,06200PATIENTS LAUNDRY 97488,A81000A,00100,0100,Y 97488,A81000B,00100,0300,ADMIN-HOME OFFICE FEES 97488,A81000C,00100,0100,B 97488,A81000C,00100,0200,ESKATON PROPERTIES INC. 97488,A81000C,00100,0600,HEALTHCARE/RESIDENTIAL 97488,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97488,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97488,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97488,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97488,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97488,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97488,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97488,B100000,00000,0800,00000MEALS SERVED :DIETARY 97488,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97488,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97488,B100000,00000,1250,00000REVENUES TMSPENT :MEDICAL RECORDS 97488,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97488,S000000,00100,0200,05/31/2000 97488,S200000,00100,0100,11300 FAIR OAKS BLVD 97488,S200000,00200,0100,FAIR OAKS 97488,S200000,00200,0200,CA 97488,S200000,00200,0300,95831- 97488,S200000,00300,0100,SACRAMENTO 97488,S200000,00300,0200,6920 97488,S200000,00300,0300,U 97488,S200000,00400,0100,THE HOMESTEAD OF FAIR OAKS 97488,S200000,00400,0200,555153 97488,S200000,00400,0300,01/23/1983 97488,S200000,00400,0500,P 97488,S200000,01600,0100,Y 97488,S200000,02200,0100,Y 97488,S200000,03300,0100,Y 97488,S200000,04100,0100,Y 97488,S200000,04200,0100,Y 97496,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97496,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97496,A000000,00300,0000,00300EMPLOYEE BENEFITS 97496,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97496,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97496,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97496,A000000,00700,0000,00700HOUSEKEEPING 97496,A000000,00800,0000,00800DIETARY 97496,A000000,00900,0000,00900NURSING ADMINISTRATION 97496,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97496,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97496,A000000,01300,0000,01300SOCIAL SERVICE 97496,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97496,A000000,01600,0000,01600SKILLED NURSING FACILITY 97496,A000000,01800,0000,01800NURSING FACILITY 97496,A000000,01810,0000,01810ICF/MR 97496,A000000,02100,0000,02100RADIOLOGY 97496,A000000,02200,0000,02200LABORATORY 97496,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97496,A000000,02500,0000,02500PHYSICAL THERAPY 97496,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97496,A000000,02700,0000,02700SPEECH PATHOLOGY 97496,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97496,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97496,A000000,03550,0000,03550FQHC 97496,A000000,05000,0000,05000CORF 97496,A000000,05010,0000,05010CMHC 97496,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97496,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97496,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97496,A81000A,00100,0100,Y 97496,A81000B,00100,0300,MANAGEMENT FEES 97496,A81000B,00200,0300,DIETARY 97496,A81000C,00100,0100,B 97496,A81000C,00100,0200,LYTTON GARDENS 97496,A81000C,00100,0400,LYTTON GARDENS 97496,A81000C,00100,0600,DIETARY AND ADM 97496,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 97496,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 97496,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 97496,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 97496,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 97496,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 97496,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 97496,B100000,00000,0800,00040MEALS SERVED :DIETARY 97496,B100000,00000,0950,00040DIRECT NSG HRS :NURSING ADMINISTRAT 97496,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 97496,B100000,00000,1250,00040GROSS REV :MEDICAL RECORDS & LIBRA 97496,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 97496,E10A180,00301,0100,10/29/1999 97496,S000000,00100,0200,08/31/2000 97496,S200000,00100,0100,437 WEBSTER STREET 97496,S200000,00200,0100,PALO ALTO 97496,S200000,00200,0200,CA 97496,S200000,00200,0300,94301- 97496,S200000,00300,0100,SANTA CLARA 97496,S200000,00300,0300,U 97496,S200000,00400,0100,LYTTON GARDENS HEALTH CENTER 97496,S200000,00400,0200,555156 97496,S200000,00400,0300,06/08/1983 97496,S200000,00400,0500,P 97496,S200000,01600,0100,Y 97496,S200000,01900,0100,NOT FOR PROFIT 97502,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97502,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97502,A000000,00300,0000,00300EMPLOYEE BENEFITS 97502,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97502,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97502,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97502,A000000,00700,0000,00700HOUSEKEEPING 97502,A000000,00800,0000,00800DIETARY 97502,A000000,00900,0000,00900NURSING ADMINISTRATION 97502,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97502,A000000,01100,0000,01100PHARMACY 97502,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97502,A000000,01300,0000,01300SOCIAL SERVICE 97502,A000000,01350,0000,01500OTHER GENERAL SERVICES 97502,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97502,A000000,01600,0000,01600SKILLED NURSING FACILITY 97502,A000000,01800,0000,01800NURSING FACILITY 97502,A000000,01810,0000,01810ICF/MR 97502,A000000,01900,0000,01900OTHER LONG TERM CARE 97502,A000000,02100,0000,02100RADIOLOGY 97502,A000000,02200,0000,02200LABORATORY 97502,A000000,02300,0000,02300INTRAVENOUS THERAPY 97502,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97502,A000000,02500,0000,02500PHYSICAL THERAPY 97502,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97502,A000000,02700,0000,02700SPEECH PATHOLOGY 97502,A000000,02800,0000,02800ELECTROCARDIOLOGY 97502,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97502,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97502,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97502,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97502,A000000,03200,0000,03200SUPPORT SURFACES 97502,A000000,03400,0000,03400CLINIC 97502,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97502,A000000,03500,0000,03500RURAL HEALTH CLINIC 97502,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97502,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97502,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97502,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97502,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97502,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97502,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97502,A000000,04400,0000,04400DME RENTED - HHA 97502,A000000,04500,0000,04500DME SOLD - HHA 97502,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97502,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97502,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97502,A000000,04800,0000,04800AMBULANCE 97502,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97502,A000000,05000,0000,05000CORF 97502,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97502,A000000,05300,0000,05300INTEREST EXPENSE 97502,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97502,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97502,A000000,05500,0000,05500HOSPICE 97502,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97502,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97502,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97502,A000000,06100,0000,06100NONPAID WORKERS 97502,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97502,A000000,06200,0000,06200PATIENTS LAUNDRY 97502,A81000A,00100,0100,Y 97502,A81000B,00100,0300,RELATED LEASE BUILDING 97502,A81000B,00200,0300,OWNER BASIS DEPRECIATION 97502,A81000C,00100,0100,A 97502,A81000C,00100,0200,SHARON JENNINGS 97502,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 97502,A81000C,00100,0600,PROPERTY MANAGEMENT 97502,A81000C,00200,0100,A 97502,A81000C,00200,0200,GLADYS JENNINGS 97502,A81000C,00200,0400,SEASCAPE MANAGEMENT CO. 97502,A81000C,00200,0600,PROPERTY MANAGEMENT 97502,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97502,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97502,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97502,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97502,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97502,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97502,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97502,B100000,00000,0800,00000MEALS SERVED :DIETARY 97502,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97502,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97502,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97502,S000000,00100,0200,12/04/2000 97502,S200000,00100,0100,7419 SKYWAY 97502,S200000,00200,0100,PARADISE 97502,S200000,00200,0200,CA 97502,S200000,00200,0300,95969- 97502,S200000,00300,0100,BUTTE 97502,S200000,00300,0200,1620 97502,S200000,00300,0300,U 97502,S200000,00400,0100,PARADISE CONVALESCENT HOSPITAL 97502,S200000,00400,0200,555157 97502,S200000,00400,0300,01/01/1967 97502,S200000,00400,0500,P 97502,S200000,01500,0100,Y 97510,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97510,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97510,A000000,00300,0000,00300EMPLOYEE BENEFITS 97510,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97510,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97510,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97510,A000000,00700,0000,00700HOUSEKEEPING 97510,A000000,00800,0000,00800DIETARY 97510,A000000,00900,0000,00900NURSING ADMINISTRATION 97510,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97510,A000000,01100,0000,01100PHARMACY 97510,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97510,A000000,01300,0000,01300SOCIAL SERVICE 97510,A000000,01600,0000,01600SKILLED NURSING FACILITY 97510,A000000,01800,0000,01800NURSING FACILITY 97510,A000000,01900,0000,01900OTHER LONG TERM CARE 97510,A000000,02100,0000,02100RADIOLOGY 97510,A000000,02200,0000,02200LABORATORY 97510,A000000,02300,0000,02300INTRAVENOUS THERAPY 97510,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97510,A000000,02500,0000,02500PHYSICAL THERAPY 97510,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97510,A000000,02700,0000,02700SPEECH PATHOLOGY 97510,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97510,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97510,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97510,A000000,03200,0000,03200SUPPORT SURFACES 97510,A000000,05000,0000,05000CORF 97510,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97510,A000000,05300,0000,05300INTEREST EXPENSE 97510,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97510,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97510,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97510,A81000A,00100,0100,Y 97510,A81000B,00100,0300,HOME OFFICE CAPITAL 97510,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 97510,A81000B,00300,0300,MANAGEMENT FEE 97510,A81000C,00100,0100,A 97510,A81000C,00100,0200,MITCH WORD 97510,A81000C,00100,0400,STEFAN HEALTH C 97510,A81000C,00100,0600,HOME OFFICE 97510,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97510,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97510,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97510,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97510,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97510,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97510,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97510,B100000,00000,0800,00000MEALS SERVED :DIETARY 97510,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 97510,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97510,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97510,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97510,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97510,S000000,00100,0200,08/07/2000 97510,S200000,00100,0100,1700 SOUTH IMPERIAL AVENUE 97510,S200000,00200,0100,EL CENTRO 97510,S200000,00200,0200,CA 97510,S200000,00200,0300,92243- 97510,S200000,00300,0100,IMPERIAL 97510,S200000,00400,0100,VALLEY CONVALESCENT HOSPITAL 97510,S200000,00400,0200,555158 97510,S200000,00400,0300,10/01/1985 97510,S200000,00400,0500,P 97510,S200000,01600,0100,Y 97510,S700003,00000,0100,1 97512,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97512,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97512,A000000,00300,0000,00300EMPLOYEE BENEFITS 97512,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97512,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97512,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97512,A000000,00700,0000,00700HOUSEKEEPING 97512,A000000,00800,0000,00800DIETARY 97512,A000000,00900,0000,00900NURSING ADMINISTRATION 97512,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97512,A000000,01100,0000,01100PHARMACY 97512,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97512,A000000,01300,0000,01300SOCIAL SERVICE 97512,A000000,01600,0000,01600SKILLED NURSING FACILITY 97512,A000000,01800,0000,01800NURSING FACILITY 97512,A000000,01900,0000,01900OTHER LONG TERM CARE 97512,A000000,02100,0000,02100RADIOLOGY 97512,A000000,02200,0000,02200LABORATORY 97512,A000000,02300,0000,02300INTRAVENOUS THERAPY 97512,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97512,A000000,02500,0000,02500PHYSICAL THERAPY 97512,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97512,A000000,02700,0000,02700SPEECH PATHOLOGY 97512,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97512,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97512,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97512,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97512,A000000,03200,0000,03200SUPPORT SURFACES 97512,A000000,04800,0000,04800AMBULANCE 97512,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97512,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97512,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97512,A81000A,00100,0100,Y 97512,A81000B,00100,0300,MANAGEMENT FEES 97512,A81000B,00200,0300,PHYSICAL THERAPY 97512,A81000B,00300,0300,OCCUPATIONAL THERAPY 97512,A81000B,00400,0300,SPEECH THERAPY 97512,A81000C,00100,0100,A 97512,A81000C,00100,0200,JOHANN KEIL 97512,A81000C,00100,0400,CONTINUUM HEALT 97512,A81000C,00100,0600,MANAGEMENT 97512,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97512,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97512,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97512,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97512,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97512,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97512,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97512,B100000,00000,0800,00000MEALS SERVED :DIETARY 97512,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97512,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 97512,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 97512,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97512,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97512,S000000,00100,0200,08/03/2000 97512,S200000,00100,0100,1700 SOUTH IMPERIAL AVENUE 97512,S200000,00200,0100,EL CENTRO 97512,S200000,00200,0200,CA 97512,S200000,00200,0300,92243- 97512,S200000,00300,0100,IMPERIAL 97512,S200000,00300,0200,0005 97512,S200000,00300,0300,R 97512,S200000,00400,0100,VALLEY CONVALESCENT HOSPITAL 97512,S200000,00400,0200,555158 97512,S200000,00400,0300,10/01/1985 97512,S200000,00400,0500,P 97521,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97521,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97521,A000000,00300,0000,00300EMPLOYEE BENEFITS 97521,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97521,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97521,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97521,A000000,00700,0000,00700HOUSEKEEPING 97521,A000000,00800,0000,00800DIETARY 97521,A000000,00900,0000,00900NURSING ADMINISTRATION 97521,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97521,A000000,01300,0000,01300SOCIAL SERVICE 97521,A000000,01600,0000,01600SKILLED NURSING FACILITY 97521,A000000,01800,0000,01800NURSING FACILITY 97521,A000000,01900,0000,01900OTHER LONG TERM CARE 97521,A000000,02100,0000,02100RADIOLOGY 97521,A000000,02200,0000,02200LABORATORY 97521,A000000,02300,0000,02300INTRAVENOUS THERAPY 97521,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97521,A000000,02500,0000,02500PHYSICAL THERAPY 97521,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97521,A000000,02700,0000,02700SPEECH PATHOLOGY 97521,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97521,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97521,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97521,A000000,03200,0000,03200SUPPORT SURFACES 97521,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97521,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97521,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97521,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97521,A81000A,00100,0100,Y 97521,A81000B,00100,0300,MANAGEMENT FEES 97521,A81000B,00200,0300,INTEREST EXPENSE 97521,A81000B,00300,0300,HOME OFFICE ALLOCATION 97521,A81000B,00400,0300,PHARMACY 97521,A81000C,00100,0100,B 97521,A81000C,00100,0200,INTERNEXT GROUP 97521,A81000C,00100,0400,INTERNEXT GROUP 97521,A81000C,00100,0600,HOME OFFICE 97521,A81000C,00200,0100,B 97521,A81000C,00200,0200,INTERNEXT GROUP 97521,A81000C,00200,0400,FREDERICKA MANO 97521,A81000C,00200,0600,RCF & SNF 97521,A81000C,00300,0100,B 97521,A81000C,00300,0200,INTERNEXT GROUP 97521,A81000C,00300,0400,CLAREMONT CARE 97521,A81000C,00300,0600,RCF & SNF 97521,A81000C,00400,0100,B 97521,A81000C,00400,0200,INTERNEXT GROUP 97521,A81000C,00400,0400,KINGSLEY MANOR 97521,A81000C,00400,0600,RCF & SNF 97521,A81000C,00500,0100,B 97521,A81000C,00500,0200,INTERNEXT GROUP 97521,A81000C,00500,0400,THE ALHAMBRA 97521,A81000C,00500,0600,RCF & SNF 97521,A81000C,00600,0100,B 97521,A81000C,00600,0200,INTERNEXT GROUP 97521,A81000C,00600,0400,CARLSBAD BY THE 97521,A81000C,00600,0600,RCF & SNF 97521,A81000C,00700,0100,B 97521,A81000C,00700,0200,INTERNEXT GROUP 97521,A81000C,00700,0400,WALNUT MANOR CA 97521,A81000C,00700,0600,RCF & SNF 97521,A81000C,00800,0100,B 97521,A81000C,00800,0200,INTERNEXT GROUP 97521,A81000C,00800,0400,SOUTHALND GERIA 97521,A81000C,00800,0600,RCF & SNF 97521,A81000C,00900,0100,B 97521,A81000C,00900,0200,INTERNEXT GROUP 97521,A81000C,00900,0400,VILLA GARDENS 97521,A81000C,00900,0600,RCF & SNF 97521,A81000C,01000,0100,B 97521,A81000C,01000,0200,INTERNEXT GROUP 97521,A81000C,01000,0400,VISTA DEL MONTE 97521,A81000C,01000,0600,RCF & SNF 97521,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97521,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97521,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97521,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97521,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97521,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97521,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97521,B100000,00000,0800,00000MEALS SERVED :DIETARY 97521,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97521,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97521,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97521,S000000,00100,0200,09/25/2000 97521,S200000,00100,0100,6211 LA JOLLA HERMOSA AVENUE 97521,S200000,00200,0100,LA JOLLA 97521,S200000,00200,0200,CA 97521,S200000,00200,0300,92037- 97521,S200000,00300,0100,SAN DIEGO 97521,S200000,00400,0100,LA JOLLA CARE CENTER 97521,S200000,00400,0200,555159 97521,S200000,00400,0300,11/15/1983 97521,S200000,00400,0500,P 97521,S200000,01500,0100,Y 97528,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97528,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97528,A000000,00300,0000,00300EMPLOYEE BENEFITS 97528,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97528,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97528,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97528,A000000,00700,0000,00700HOUSEKEEPING 97528,A000000,00800,0000,00800DIETARY 97528,A000000,00900,0000,00900NURSING ADMINISTRATION 97528,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97528,A000000,01100,0000,01100PHARMACY 97528,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97528,A000000,01300,0000,01300SOCIAL SERVICE 97528,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97528,A000000,01600,0000,01600SKILLED NURSING FACILITY 97528,A000000,01800,0000,01800NURSING FACILITY 97528,A000000,01810,0000,01810ICF/MR 97528,A000000,02100,0000,02100RADIOLOGY 97528,A000000,02200,0000,02200LABORATORY 97528,A000000,02500,0000,02500PHYSICAL THERAPY 97528,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97528,A000000,02700,0000,02700SPEECH PATHOLOGY 97528,A000000,02800,0000,02800ELECTROCARDIOLOGY 97528,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97528,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97528,A000000,03550,0000,03550FQHC 97528,A000000,05000,0000,05000CORF 97528,A000000,05010,0000,05010CMHC 97528,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97528,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97528,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97528,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 97528,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 97528,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 97528,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 97528,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 97528,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 97528,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 97528,B100000,00000,0850,00040PATIENT DAYS :DIETARY 97528,B100000,00000,0950,00040PATIENT DAYS :NURSING ADMINISTRATI 97528,B100000,00000,1050,00040DIRECT NUR SALARIES :CENTRAL SERVIC 97528,B100000,00000,1250,00040PATIENT DAYS :MEDICAL RECORDS & LI 97528,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 97528,S000000,00100,0200,10/03/2000 97528,S200000,00100,0100,6248 66TH STREET 97528,S200000,00200,0100,SACRAMENTO 97528,S200000,00200,0200,CA 97528,S200000,00200,0300,95823- 97528,S200000,00300,0100,SACRAMENTO 97528,S200000,00300,0200,6920 97528,S200000,00300,0300,U 97528,S200000,00400,0100,ST. CLAIRES NURSING CENTER 97528,S200000,00400,0200,555160 97528,S200000,00400,0300,12/06/1983 97528,S200000,00400,0500,P 97528,S200000,01600,0100,Y 97542,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97542,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97542,A000000,00300,0000,00300EMPLOYEE BENEFITS 97542,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97542,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97542,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97542,A000000,00700,0000,00700HOUSEKEEPING 97542,A000000,00800,0000,00800DIETARY 97542,A000000,00900,0000,00900NURSING ADMINISTRATION 97542,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97542,A000000,01600,0000,01600SKILLED NURSING FACILITY 97542,A000000,01800,0000,01800NURSING FACILITY 97542,A000000,02100,0000,02100RADIOLOGY 97542,A000000,02200,0000,02200LABORATORY 97542,A000000,02300,0000,02300INTRAVENOUS THERAPY 97542,A000000,02500,0000,02500PHYSICAL THERAPY 97542,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97542,A000000,02700,0000,02700SPEECH PATHOLOGY 97542,A000000,02800,0000,02800ELECTROCARDIOLOGY 97542,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97542,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97542,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97542,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97542,A81000A,00100,0100,Y 97542,A81000B,00100,0300,HOME OFFICE EXPENSES 97542,A81000C,00100,0100,A 97542,A81000C,00100,0200,E.I. BERNABE 97542,A81000C,00100,0400,PLEASANT CARE C 97542,A81000C,00100,0600,HEALTH CARE PRO 97542,A81000C,00200,0100,A 97542,A81000C,00200,0200,E.I. BERNABE 97542,A81000C,00200,0400,PCC HEALTH SERV 97542,A81000C,00200,0600,HEALTH CARE PRO 97542,A81000C,00300,0100,A 97542,A81000C,00300,0200,E.I. BERNABE 97542,A81000C,00300,0400,EMBER CARE CORP 97542,A81000C,00300,0600,HEALTH CARE PRO 97542,A81000C,00400,0100,A 97542,A81000C,00400,0200,E.I. BERNABE 97542,A81000C,00400,0400,ATLAS CARE CORP 97542,A81000C,00400,0600,HEALTH CARE PRO 97542,A81000C,00500,0100,A 97542,A81000C,00500,0200,E.I. BERNABE 97542,A81000C,00500,0400,SNF PROPERTIES 97542,A81000C,00500,0600,HEALTH CARE PRO 97542,A81000C,00600,0100,A 97542,A81000C,00600,0200,E.I. BERNABE 97542,A81000C,00600,0400,STOCKTON EDISON 97542,A81000C,00600,0600,HEALTH CARE PRO 97542,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97542,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97542,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97542,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97542,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97542,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97542,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97542,B100000,00000,0800,00000MEALS SERVED :DIETARY 97542,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 97542,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97542,S000000,00100,0200,07/18/2000 97542,S200000,00100,0100,900 NORTH CHURCH STREET 97542,S200000,00200,0100,LODI 97542,S200000,00200,0200,CA 97542,S200000,00200,0300,95240- 97542,S200000,00300,0100,SAN JOAQUIN 97542,S200000,00300,0200,8120 97542,S200000,00300,0300,U 97542,S200000,00400,0100,ARBOR CONVALESCENT HOSPITAL 97542,S200000,00400,0200,555164 97542,S200000,00400,0300,02/17/1984 97542,S200000,00400,0500,P 97542,S200000,00600,0200,555164 97542,S200000,00600,0300,02/17/1984 97542,S200000,00600,0600,P 97542,S200000,01600,0100,Y 97550,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97550,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97550,A000000,00300,0000,00300EMPLOYEE BENEFITS 97550,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97550,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97550,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97550,A000000,00700,0000,00700HOUSEKEEPING 97550,A000000,00800,0000,00800DIETARY 97550,A000000,00900,0000,00900NURSING ADMINISTRATION 97550,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97550,A000000,01600,0000,01600SKILLED NURSING FACILITY 97550,A000000,01800,0000,01800NURSING FACILITY 97550,A000000,02100,0000,02100RADIOLOGY 97550,A000000,02200,0000,02200LABORATORY 97550,A000000,02300,0000,02300INTRAVENOUS THERAPY 97550,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97550,A000000,02500,0000,02500PHYSICAL THERAPY 97550,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97550,A000000,02700,0000,02700SPEECH PATHOLOGY 97550,A000000,02800,0000,02800ELECTROCARDIOLOGY 97550,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97550,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97550,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97550,A81000A,00100,0100,Y 97550,A81000B,00100,0300,HOME OFFICE EXPENSE 97550,A81000C,00100,0100,A 97550,A81000C,00100,0200,EMMANUEL BERNAB 97550,A81000C,00100,0400,PLEASANT CARE C 97550,A81000C,00100,0600,HEALTH CARE PRO 97550,A81000C,00200,0100,A 97550,A81000C,00200,0200,EMMANUEL BERNAB 97550,A81000C,00200,0400,PCC HEALTH SVCS 97550,A81000C,00200,0600,HEALTH CARE PRO 97550,A81000C,00300,0100,A 97550,A81000C,00300,0200,EMMANUEL BERNAB 97550,A81000C,00300,0400,EMBER CARE CORP 97550,A81000C,00300,0600,HEALTH CARE PRO 97550,A81000C,00400,0100,A 97550,A81000C,00400,0200,EMMANUEL BERNAB 97550,A81000C,00400,0400,ATLAS CARE CORP 97550,A81000C,00400,0600,HEALTH CARE PRO 97550,A81000C,00500,0100,A 97550,A81000C,00500,0200,EMMANUEL BERNAB 97550,A81000C,00500,0400,SNF PROPERTIES 97550,A81000C,00500,0600,HEALTH CARE PRO 97550,A81000C,00600,0100,A 97550,A81000C,00600,0200,EMMANUEL BERNAB 97550,A81000C,00600,0400,STOCKTON EDISON 97550,A81000C,00600,0600,HEALTH CARE PRO 97550,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97550,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97550,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97550,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97550,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97550,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97550,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97550,B100000,00000,0800,00000MEALS SERVED :DIETARY 97550,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97550,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97550,S000000,00100,0200,12/08/2000 97550,S200000,00100,0100,5125 MONTEVISTA STREET 97550,S200000,00200,0100,LOS ANGELES 97550,S200000,00200,0200,CA 97550,S200000,00200,0300,90042- 97550,S200000,00300,0100,LOS ANGELES 97550,S200000,00300,0200,4480 97550,S200000,00300,0300,U 97550,S200000,00400,0100,EMBER CARE HEALTH CTR - MONTEVISTA 97550,S200000,00400,0200,555165 97550,S200000,00400,0300,06/01/1992 97550,S200000,00400,0500,P 97550,S200000,00600,0200,555165 97550,S200000,00600,0300,06/01/1992 97550,S200000,00600,0600,P 97550,S200000,01600,0100,Y 97550,S200000,04300,0100,Y 97558,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97558,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97558,A000000,00300,0000,00300EMPLOYEE BENEFITS 97558,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97558,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97558,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97558,A000000,00700,0000,00700HOUSEKEEPING 97558,A000000,00800,0000,00800DIETARY 97558,A000000,00900,0000,00900NURSING ADMINISTRATION 97558,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97558,A000000,01100,0000,01100PHARMACY 97558,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97558,A000000,01300,0000,01300SOCIAL SERVICE 97558,A000000,01350,0000,01500OTHER GENERAL SERVICES 97558,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97558,A000000,01600,0000,01600SKILLED NURSING FACILITY 97558,A000000,01800,0000,01800NURSING FACILITY 97558,A000000,01810,0000,01801ICF/MR 97558,A000000,01900,0000,01900OTHER LONG TERM CARE 97558,A000000,02100,0000,02100RADIOLOGY 97558,A000000,02200,0000,02200LABORATORY 97558,A000000,02300,0000,02300INTRAVENOUS THERAPY 97558,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97558,A000000,02500,0000,02500PHYSICAL THERAPY 97558,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97558,A000000,02700,0000,02700SPEECH PATHOLOGY 97558,A000000,02800,0000,02800ELECTROCARDIOLOGY 97558,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97558,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97558,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97558,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97558,A000000,03200,0000,03200SUPPORT SURFACES 97558,A000000,03400,0000,03400CLINIC 97558,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97558,A000000,03500,0000,03500RURAL HEALTH CLINIC 97558,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97558,A000000,04800,0000,04800AMBULANCE 97558,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97558,A000000,05000,0000,05000CORF 97558,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97558,A000000,05300,0000,05300INTEREST EXPENSE 97558,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97558,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97558,A000000,05500,0000,05500HOSPICE 97558,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97558,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97558,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97558,A000000,06100,0000,06100NONPAID WORKERS 97558,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97558,A000000,06200,0000,06200PATIENTS LAUNDRY 97558,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97558,B100000,00000,0250,00000DIRECT COSTS :CAP REL COSTS - MOVA 97558,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 97558,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97558,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97558,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97558,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 97558,B100000,00000,0800,00000MEALS SERVED :DIETARY 97558,B100000,00000,0950,00000 ACCUM. COST :NURSING ADMINISTRATIO 97558,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97558,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97558,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 97558,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97558,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97558,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97558,S000000,00100,0200,09/01/2000 97558,S200000,00100,0100,684 BENICIA DRIVE 97558,S200000,00200,0100,SANTA ROSA 97558,S200000,00200,0200,CA 97558,S200000,00200,0300,95409-3058 97558,S200000,00300,0100,SONOMA 97558,S200000,00400,0100,FRIENDS HOUSE 97558,S200000,00400,0200,555168 97558,S200000,00400,0300,04/13/1984 97558,S200000,00400,0500,P 97558,S200000,01500,0100,Y 97558,S200000,02800,0100,Y 97565,S000000,00100,0200,01/31/2000 97574,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97574,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97574,A000000,00300,0000,00300EMPLOYEE BENEFITS 97574,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97574,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97574,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97574,A000000,00700,0000,00700HOUSEKEEPING 97574,A000000,00800,0000,00800DIETARY 97574,A000000,00900,0000,00900NURSING ADMINISTRATION 97574,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97574,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97574,A000000,01300,0000,01300SOCIAL SERVICE 97574,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 97574,A000000,01600,0000,01600SKILLED NURSING FACILITY 97574,A000000,01800,0000,01800NURSING FACILITY 97574,A000000,01900,0000,01900OTHER LONG TERM CARE 97574,A000000,02100,0000,02100RADIOLOGY 97574,A000000,02200,0000,02200LABORATORY 97574,A000000,02300,0000,02300INTRAVENOUS THERAPY 97574,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97574,A000000,02500,0000,02500PHYSICAL THERAPY 97574,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97574,A000000,02700,0000,02700SPEECH PATHOLOGY 97574,A000000,02800,0000,02800ELECTROCARDIOLOGY 97574,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97574,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97574,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97574,A000000,03200,0000,03200SUPPORT SURFACES 97574,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97574,A000000,04800,0000,04800AMBULANCE 97574,A000000,05000,0000,05000CORF 97574,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97574,A000000,05300,0000,05300INTEREST EXPENSE 97574,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97574,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97574,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97574,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97574,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97574,A000000,06100,0000,06100NONPAID WORKERS 97574,A000000,06150,0000,06300ASSISTED LIVING 97574,A000000,06200,0000,06200PATIENTS LAUNDRY 97574,A000000,06201,0000,06201RESIDENTIAL 97574,A81000A,00100,0100,Y 97574,A81000B,00100,0300,HOME OFFICE COSTS 97574,A81000B,00200,0300,HOME OFFICE COSTS 97574,A81000C,00100,0100,C 97574,A81000C,00100,0400,RHF 97574,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97574,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97574,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97574,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97574,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97574,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97574,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97574,B100000,00000,0800,00000MEALS SERVED :DIETARY 97574,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97574,B100000,00000,1050,00000HOURS OF SERVICE :CENTRAL SERVICES 97574,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97574,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97574,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 97574,S000000,00100,0200,08/31/2000 97574,S200000,00100,0100,4301 GOLDEN CENTER DR. 97574,S200000,00200,0100,PLACERVILLE 97574,S200000,00200,0200,CA 97574,S200000,00200,0300,95667- 97574,S200000,00300,0100,SACRAMENTO 97574,S200000,00400,0100,GOLD COUNTRY REHAB CENTER 97574,S200000,00400,0200,555180 97574,S200000,00400,0300,01/01/1980 97574,S200000,00400,0500,P 97574,S200000,01004,0500,O 97574,S200000,01600,0100,Y 97574,S200000,01800,0100,Y 97574,S200000,02200,0100,Y 97583,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97583,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97583,A000000,00300,0000,00300EMPLOYEE BENEFITS 97583,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97583,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97583,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97583,A000000,00700,0000,00700HOUSEKEEPING 97583,A000000,00800,0000,00800DIETARY 97583,A000000,00900,0000,00900NURSING ADMINISTRATION 97583,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97583,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97583,A000000,01300,0000,01300SOCIAL SERVICE 97583,A000000,01600,0000,01600SKILLED NURSING FACILITY 97583,A000000,01800,0000,01800NURSING FACILITY 97583,A000000,01900,0000,01900OTHER LONG TERM CARE 97583,A000000,02100,0000,02100RADIOLOGY 97583,A000000,02200,0000,02200LABORATORY 97583,A000000,02300,0000,02300INTRAVENOUS THERAPY 97583,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97583,A000000,02500,0000,02500PHYSICAL THERAPY 97583,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97583,A000000,02700,0000,02700SPEECH PATHOLOGY 97583,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97583,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97583,A000000,03200,0000,03200SUPPORT SURFACES 97583,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97583,A000000,05300,0000,05300INTEREST EXPENSE 97583,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97583,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97583,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97583,A000000,06200,0000,06200PATIENTS LAUNDRY 97583,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97583,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97583,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97583,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97583,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97583,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97583,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97583,B100000,00000,0800,00000MEALS SERVED :DIETARY 97583,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 97583,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97583,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97583,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97583,S000000,00100,0200,06/05/2000 97583,S200000,00100,0100,1044 HEARTWOOD AVE 97583,S200000,00200,0100,VALLEJO 97583,S200000,00200,0200,CA 97583,S200000,00200,0300,94591- 97583,S200000,00300,0100,SOLANO 97583,S200000,00400,0100,HEARTWOOD LIVING CENTER 97583,S200000,00400,0200,555184 97583,S200000,00400,0300,02/01/1974 97583,S200000,00400,0500,P 97583,S200000,01600,0100,Y 97583,S700003,00000,0100,1 97587,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97587,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97587,A000000,00300,0000,00300EMPLOYEE BENEFITS 97587,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97587,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97587,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97587,A000000,00700,0000,00700HOUSEKEEPING 97587,A000000,00800,0000,00800DIETARY 97587,A000000,00900,0000,00900NURSING ADMINISTRATION 97587,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97587,A000000,01100,0000,01100PHARMACY 97587,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97587,A000000,01300,0000,01300SOCIAL SERVICE 97587,A000000,01600,0000,01600SKILLED NURSING FACILITY 97587,A000000,01800,0000,01800NURSING FACILITY 97587,A000000,01900,0000,01900OTHER LONG TERM CARE 97587,A000000,02100,0000,02100RADIOLOGY 97587,A000000,02200,0000,02200LABORATORY 97587,A000000,02300,0000,02300INTRAVENOUS THERAPY 97587,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97587,A000000,02500,0000,02500PHYSICAL THERAPY 97587,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97587,A000000,02700,0000,02700SPEECH PATHOLOGY 97587,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97587,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97587,A000000,05000,0000,05000CORF 97587,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97587,A000000,05300,0000,05300INTEREST EXPENSE 97587,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97587,A81000A,00100,0100,Y 97587,A81000B,00100,0300,HOME OFFICE ALLOCATION 97587,A81000C,00100,0100,A 97587,A81000C,00100,0200,CRESCENT HEALTH 97587,A81000C,00100,0400,CRESCENT HEALTH 97587,A81000C,00100,0600,HEALTHCARE 97587,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97587,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97587,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97587,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97587,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97587,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97587,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97587,B100000,00000,0800,00000MEALS SERVED :DIETARY 97587,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97587,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97587,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97587,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97587,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97587,S000000,00100,0200,06/01/2000 97587,S200000,00100,0100,8815 CHOLLA AVENUE 97587,S200000,00200,0100,YUCCA VALLEY 97587,S200000,00200,0200,CA 97587,S200000,00200,0300,92284- 97587,S200000,00300,0100,SAN BERNARDINO 97587,S200000,00400,0100,CRESCENT ALZHEIMERS CARE CENTER 97587,S200000,00400,0200,555185 97587,S200000,00400,0300,11/01/1988 97587,S200000,00400,0500,P 97587,S200000,01500,0100,Y 97587,S700003,00000,0200,2 97596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97596,A000000,00300,0000,00300EMPLOYEE BENEFITS 97596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97596,A000000,00700,0000,00700HOUSEKEEPING 97596,A000000,00800,0000,00800DIETARY 97596,A000000,00900,0000,00900NURSING ADMINISTRATION 97596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97596,A000000,01100,0000,01100PHARMACY 97596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97596,A000000,01300,0000,01300SOCIAL SERVICE 97596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97596,A000000,01600,0000,01600SKILLED NURSING FACILITY 97596,A000000,01800,0000,01800NURSING FACILITY 97596,A000000,01810,0000,01810ICF/MR 97596,A000000,01900,0000,01900OTHER LONG TERM CARE 97596,A000000,02100,0000,02100RADIOLOGY 97596,A000000,02200,0000,02200LABORATORY 97596,A000000,02300,0000,02300INTRAVENOUS THERAPY 97596,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97596,A000000,02500,0000,02500PHYSICAL THERAPY 97596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97596,A000000,02700,0000,02700SPEECH PATHOLOGY 97596,A000000,02800,0000,02800ELECTROCARDIOLOGY 97596,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97596,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97596,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97596,A000000,03200,0000,03200SUPPORT SURFACES 97596,A000000,03400,0000,03400CLINIC 97596,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97596,A000000,03500,0000,03500RURAL HEALTH CLINIC 97596,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97596,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97596,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97596,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97596,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97596,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97596,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97596,A000000,04400,0000,04400DME RENTED - HHA 97596,A000000,04500,0000,04500DME SOLD - HHA 97596,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97596,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97596,A000000,04800,0000,04800AMBULANCE 97596,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97596,A000000,05000,0000,05000CORF 97596,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97596,A000000,05300,0000,05300INTEREST EXPENSE 97596,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97596,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97596,A000000,05500,0000,05500HOSPICE 97596,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97596,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97596,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97596,A000000,06100,0000,06100NONPAID WORKERS 97596,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97596,A000000,06200,0000,06200PATIENTS LAUNDRY 97596,A81000A,00100,0100,Y 97596,A81000B,00100,0300,CRC BUILDING 97596,A81000B,00200,0300,CRC EQUIPMENT 97596,A81000B,00300,0300,EMP. BENEFITS 97596,A81000B,00400,0300,ADMIN & GENERAL 97596,A81000B,00500,0300,PLANT OPERATION 97596,A81000C,00100,0100,E 97596,A81000C,00100,0200,STEVEN PAVLOW 97596,A81000C,00100,0400,QLTC 97596,A81000C,00100,0600,MANAGEMENT 97596,A81000C,00200,0100,E 97596,A81000C,00200,0200,SCOTT DALE 97596,A81000C,00200,0400,QLTC 97596,A81000C,00200,0600,MANAGEMENT 97596,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97596,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97596,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97596,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97596,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97596,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97596,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97596,B100000,00000,0800,00000MEALS SERVED :DIETARY 97596,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97596,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 97596,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 97596,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97596,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97596,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97596,S000000,00100,0200,05/24/2000 97596,S200000,00100,0100,1032 NORTH LINCOLN STREET 97596,S200000,00200,0100,STOCKTON 97596,S200000,00200,0200,CA 97596,S200000,00200,0300,95203- 97596,S200000,00300,0100,STOCKTON 97596,S200000,00400,0100,DELTA VALLEY CONV. HOSPITAL 97596,S200000,00400,0200,555186 97596,S200000,00400,0300,04/09/1985 97596,S200000,00400,0500,P 97596,S200000,01600,0100,Y 97596,S200000,02200,0100,Y 97596,S700003,00000,0100,1 97603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97603,A000000,00300,0000,00300EMPLOYEE BENEFITS 97603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97603,A000000,00700,0000,00700HOUSEKEEPING 97603,A000000,00800,0000,00800DIETARY 97603,A000000,00900,0000,00900NURSING ADMINISTRATION 97603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97603,A000000,01100,0000,01100PHARMACY 97603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97603,A000000,01300,0000,01300SOCIAL SERVICE 97603,A000000,01350,0000,01500RESPIRATORY THERAPY 97603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97603,A000000,01600,0000,01600SKILLED NURSING FACILITY 97603,A000000,01800,0000,01800NURSING FACILITY 97603,A000000,01810,0000,01810ICF/MR 97603,A000000,01900,0000,01900OTHER LONG TERM CARE 97603,A000000,02100,0000,02100RADIOLOGY 97603,A000000,02200,0000,02200LABORATORY 97603,A000000,02300,0000,02300INTRAVENOUS THERAPY 97603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97603,A000000,02500,0000,02500PHYSICAL THERAPY 97603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97603,A000000,02700,0000,02700SPEECH PATHOLOGY 97603,A000000,02800,0000,02800ELECTROCARDIOLOGY 97603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97603,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97603,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97603,A000000,03200,0000,03200SUPPORT SURFACES 97603,A000000,03400,0000,03400CLINIC 97603,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97603,A000000,03500,0000,03500RURAL HEALTH CLINIC 97603,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97603,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97603,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97603,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97603,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97603,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97603,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97603,A000000,04400,0000,04400DME RENTED - HHA 97603,A000000,04500,0000,04500DME SOLD - HHA 97603,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97603,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97603,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97603,A000000,04800,0000,04800AMBULANCE 97603,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97603,A000000,05000,0000,05000CORF 97603,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97603,A000000,05300,0000,05300INTEREST EXPENSE 97603,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97603,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97603,A000000,05500,0000,05500HOSPICE 97603,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97603,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97603,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97603,A000000,06100,0000,06100NONPAID WORKERS 97603,A000000,06150,0000,06300OUTSIDE PHARMACY 97603,A000000,06200,0000,06200PATIENTS LAUNDRY 97603,A81000A,00100,0100,Y 97603,A81000B,00100,0300,BUILDING RENT 97603,A81000B,00200,0300,BUILDING INTEREST 97603,A81000B,00300,0300,DEPRECIATION-BUILDING 97603,A81000B,00400,0300,DEPRECIATION-EQUIPMENT 97603,A81000B,00500,0300,AMORTIZATION-LOAN FEES 97603,A81000B,00600,0300,PROPERTY INSURANCE 97603,A81000C,00100,0100,A 97603,A81000C,00100,0200,T. MUNDY 97603,A81000C,00100,0400,MUNDY CHADLOR ENTERPRISES 97603,A81000C,00100,0600,LESSOR 97603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97603,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97603,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97603,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97603,B100000,00000,0800,00000MEALS SERVED :DIETARY 97603,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 97603,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97603,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97603,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97603,B100000,00000,1350,00000PATIENT DAY :RESPIRATORY THERAPY 97603,S000000,00100,0200,06/05/2000 97603,S200000,00100,0100,2633 WEST RUMBLE ROAD 97603,S200000,00200,0100,MODESTO 97603,S200000,00200,0200,CA 97603,S200000,00200,0300,95350- 97603,S200000,00300,0100,STANISLAUS 97603,S200000,00300,0200,5170 97603,S200000,00300,0300,U 97603,S200000,00400,0100,ENGLISH OAKS CONVALESCENT HOSPITAL 97603,S200000,00400,0200,555190 97603,S200000,00400,0300,01/01/1985 97603,S200000,00400,0500,P 97603,S200000,01600,0100,Y 97614,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97614,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97614,A000000,00300,0000,00300EMPLOYEE BENEFITS 97614,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97614,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97614,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97614,A000000,00700,0000,00700HOUSEKEEPING 97614,A000000,00800,0000,00800DIETARY 97614,A000000,00900,0000,00900NURSING ADMINISTRATION 97614,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97614,A000000,01100,0000,01100PHARMACY 97614,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97614,A000000,01300,0000,01300SOCIAL SERVICE 97614,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 97614,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97614,A000000,01600,0000,01600SKILLED NURSING FACILITY 97614,A000000,01800,0000,01800NURSING FACILITY 97614,A000000,01900,0000,01900OTHER LONG TERM CARE 97614,A000000,02100,0000,02100RADIOLOGY 97614,A000000,02200,0000,02200LABORATORY 97614,A000000,02300,0000,02300INTRAVENOUS THERAPY 97614,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97614,A000000,02500,0000,02500PHYSICAL THERAPY 97614,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97614,A000000,02700,0000,02700SPEECH PATHOLOGY 97614,A000000,02800,0000,02800ELECTROCARDIOLOGY 97614,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97614,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97614,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97614,A000000,03051,0000,03301ENTERAL 97614,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97614,A000000,03200,0000,03200SUPPORT SURFACES 97614,A000000,03400,0000,03400CLINIC 97614,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97614,A000000,03500,0000,03500RURAL HEALTH CLINIC 97614,A000000,04800,0000,04800AMBULANCE 97614,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97614,A000000,05000,0000,05000CORF 97614,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97614,A000000,05300,0000,05300INTEREST EXPENSE 97614,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97614,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97614,A000000,05500,0000,05500HOSPICE 97614,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97614,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97614,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97614,A000000,06100,0000,06100NONPAID WORKERS 97614,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97614,A000000,06200,0000,06200PATIENTS LAUNDRY 97614,A81000A,00100,0100,Y 97614,A81000B,00100,0300,LEASE EXPENSE 97614,A81000B,00200,0300,ALLOWABLE DEPREC & REPAIRS 97614,A81000B,00300,0300,MGT FEES & SHARED COSTS 97614,A81000B,00400,0300,ALLOWABLE G & A - HOME OFFICE 97614,A81000B,00500,0300,INT PAID TO RELATED PARTY 97614,A81000C,00100,0100,B 97614,A81000C,00100,0200,COAST CARE 97614,A81000C,00100,0400,CARE TECH 97614,A81000C,00100,0600,BLDG RENTAL 97614,A81000C,00200,0100,B 97614,A81000C,00200,0200,COAST CARE 97614,A81000C,00200,0400,CARE TECH 97614,A81000C,00200,0600,HOME OFFICE FEE 97614,A81000C,00300,0100,B 97614,A81000C,00300,0200,COAST CARE 97614,A81000C,00300,0400,CARE TECH 97614,A81000C,00300,0600,INTEREST 97614,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97614,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97614,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97614,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97614,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97614,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97614,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97614,B100000,00000,0800,00000MEALS SERVED :DIETARY 97614,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97614,S000000,00100,0200,03/29/2001 97614,S200000,00100,0100,14518 LOS ANGELES BLVD 97614,S200000,00200,0100,BALDWIN PARK 97614,S200000,00200,0200,CA 97614,S200000,00200,0300,91706- 97614,S200000,00300,0100,LOS ANGELES 97614,S200000,00300,0200,4480 97614,S200000,00300,0300,U 97614,S200000,00400,0100,COAST CARE CONVALESCENT CENTER 97614,S200000,00400,0200,555199 97614,S200000,00400,0300,06/12/1985 97614,S200000,00400,0500,P 97621,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97621,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97621,A000000,00300,0000,00300EMPLOYEE BENEFITS 97621,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97621,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97621,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97621,A000000,00700,0000,00700HOUSEKEEPING 97621,A000000,00800,0000,00800DIETARY 97621,A000000,00900,0000,00900NURSING ADMINISTRATION 97621,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97621,A000000,01100,0000,01100PHARMACY 97621,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97621,A000000,01300,0000,01300SOCIAL SERVICE 97621,A000000,01350,0000,01500OTHER GENERAL SERVICES 97621,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97621,A000000,01600,0000,01600SKILLED NURSING FACILITY 97621,A000000,01800,0000,01800NURSING FACILITY 97621,A000000,01810,0000,01810ICF/MR 97621,A000000,01900,0000,01900OTHER LONG TERM CARE 97621,A000000,02100,0000,02100RADIOLOGY 97621,A000000,02200,0000,02200LABORATORY 97621,A000000,02300,0000,02300INTRAVENOUS THERAPY 97621,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97621,A000000,02500,0000,02500PHYSICAL THERAPY 97621,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97621,A000000,02700,0000,02700SPEECH PATHOLOGY 97621,A000000,02800,0000,02800ELECTROCARDIOLOGY 97621,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97621,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97621,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97621,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97621,A000000,03200,0000,03200SUPPORT SURFACES 97621,A000000,03400,0000,03400CLINIC 97621,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97621,A000000,03500,0000,03500RURAL HEALTH CLINIC 97621,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97621,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97621,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97621,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97621,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97621,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97621,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97621,A000000,04400,0000,04400DME RENTED - HHA 97621,A000000,04500,0000,04500DME SOLD - HHA 97621,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97621,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97621,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97621,A000000,04800,0000,04800AMBULANCE 97621,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97621,A000000,05000,0000,05000CORF 97621,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97621,A000000,05300,0000,05300INTEREST EXPENSE 97621,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97621,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97621,A000000,05500,0000,05500HOSPICE 97621,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97621,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97621,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97621,A000000,06100,0000,06100NONPAID WORKERS 97621,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97621,A000000,06200,0000,06200PATIENTS LAUNDRY 97621,A81000A,00100,0100,Y 97621,A81000B,00100,0300,RELATED LEASE 97621,A81000B,00200,0300,OWNER BASIS MORTG. INTEREST 97621,A81000B,00300,0300,OWNER BASIS BLDG. DEPRECIATION 97621,A81000C,00100,0100,A 97621,A81000C,00100,0200,SHARON JENNINGS 97621,A81000C,00100,0400,SEASCAPE MANAGEMENT CO. 97621,A81000C,00100,0600,PROPERTY MANAGEMENT 97621,A81000C,00200,0100,0 97621,A81000C,00200,0200,GLADYS JENNINGS 97621,A81000C,00200,0400,SEASCAPE MANAGEMENT CO. 97621,A81000C,00200,0600,PROPERTY MANAGEMENT 97621,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97621,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97621,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97621,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97621,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97621,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97621,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97621,B100000,00000,0800,00000MEALS SERVED :DIETARY 97621,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97621,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97621,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97621,S000000,00100,0200,11/30/2000 97621,S200000,00100,0100,---------- 97621,S200000,00200,0100,WILLIAMS 97621,S200000,00200,0200,CA 97621,S200000,00200,0300,95897- 97621,S200000,00300,0100,COLUSA 97621,S200000,00300,0200,05 97621,S200000,00300,0300,R 97621,S200000,00400,0100,VALLEY WEST CONVALESCVENT HOSPITAL 97621,S200000,00400,0200,555200 97621,S200000,00400,0300,01/01/1967 97621,S200000,00400,0500,P 97621,S200000,01500,0100,Y 97628,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97628,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97628,A000000,00300,0000,00300EMPLOYEE BENEFITS 97628,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97628,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97628,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97628,A000000,00700,0000,00700HOUSEKEEPING 97628,A000000,00800,0000,00800DIETARY 97628,A000000,00900,0000,00900NURSING ADMINISTRATION 97628,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97628,A000000,01100,0000,01100PHARMACY 97628,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97628,A000000,01300,0000,01300SOCIAL SERVICE 97628,A000000,01350,0000,01500RESPIRATORY THERAPY 97628,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97628,A000000,01600,0000,01600SKILLED NURSING FACILITY 97628,A000000,01800,0000,01800NURSING FACILITY 97628,A000000,01810,0000,01801ICF/MR 97628,A000000,01900,0000,01900OTHER LONG TERM CARE 97628,A000000,02100,0000,02100RADIOLOGY 97628,A000000,02200,0000,02200LABORATORY 97628,A000000,02300,0000,02300INTRAVENOUS THERAPY 97628,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97628,A000000,02500,0000,02500PHYSICAL THERAPY 97628,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97628,A000000,02700,0000,02700SPEECH PATHOLOGY 97628,A000000,02800,0000,02800ELECTROCARDIOLOGY 97628,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97628,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97628,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97628,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97628,A000000,03200,0000,03200SUPPORT SURFACES 97628,A000000,03400,0000,03400CLINIC 97628,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97628,A000000,03500,0000,03500RURAL HEALTH CLINIC 97628,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97628,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97628,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97628,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97628,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97628,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97628,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97628,A000000,04400,0000,04400DME RENTED - HHA 97628,A000000,04500,0000,04500DME SOLD - HHA 97628,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97628,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97628,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97628,A000000,04800,0000,04800AMBULANCE 97628,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97628,A000000,05000,0000,05000CORF 97628,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97628,A000000,05300,0000,05300INTEREST EXPENSE 97628,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97628,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97628,A000000,05500,0000,05500HOSPICE 97628,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97628,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97628,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97628,A000000,06100,0000,06100NONPAID WORKERS 97628,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97628,A000000,06200,0000,06200PATIENTS LAUNDRY 97628,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97628,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97628,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97628,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97628,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97628,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97628,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97628,B100000,00000,0800,00000MEALS SERVED :DIETARY 97628,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97628,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97628,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97628,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97628,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97628,B100000,00000,1350,00000PATIENT DAYS :RESPIRATORY THERAPY 97628,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97628,S000000,00100,0200,08/10/2000 97628,S200000,00100,0100,18611 SOUSA LANE 97628,S200000,00200,0100,SARATOGA 97628,S200000,00200,0200,CA 97628,S200000,00200,0300,95070- 97628,S200000,00300,0100,SANTA CLARA 97628,S200000,00400,0100,SUBACUTE SARATOGA 97628,S200000,00400,0200,555204 97628,S200000,00400,0300,07/15/1985 97628,S200000,00400,0500,P 97628,S200000,01004,0500,O 97628,S200000,01500,0100,Y 97628,S200000,02800,0100,Y 97636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97636,A000000,00300,0000,00300EMPLOYEE BENEFITS 97636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97636,A000000,00700,0000,00700HOUSEKEEPING 97636,A000000,00800,0000,00800DIETARY 97636,A000000,00900,0000,00900NURSING ADMINISTRATION 97636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97636,A000000,01300,0000,01300SOCIAL SERVICE 97636,A000000,01600,0000,01600SKILLED NURSING FACILITY 97636,A000000,02100,0000,02100RADIOLOGY 97636,A000000,02200,0000,02200LABORATORY 97636,A000000,02300,0000,02300INTRAVENOUS THERAPY 97636,A000000,02500,0000,02500PHYSICAL THERAPY 97636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97636,A000000,02700,0000,02700SPEECH PATHOLOGY 97636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97636,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97636,A000000,03200,0000,03200SUPPORT SURFACES 97636,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97636,A81000A,00100,0100,Y 97636,A81000B,00100,0300,MANAGEMENT FEES 97636,A81000B,00200,0300,HOME OFFICE - BUILDING 97636,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 97636,A81000C,00100,0100,A 97636,A81000C,00100,0200,JAMES W. BRASWELL 97636,A81000C,00100,0400,BRASWELL ENTERPRISES 97636,A81000C,00100,0600,MANAGEMENT COMPANY 97636,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97636,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97636,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97636,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97636,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97636,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97636,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97636,B100000,00000,0800,00000MEALS SERVED :DIETARY 97636,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97636,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97636,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97636,S000000,00100,0200,06/05/2000 97636,S200000,00100,0100,12696 MONTE VISTA ROAD 97636,S200000,00200,0100,POWAY 97636,S200000,00200,0200,CA 97636,S200000,00200,0300,92064- 97636,S200000,00300,0100,SAN DIEGO 97636,S200000,00400,0100,VILLA MONTE VISTA 97636,S200000,00400,0200,555206 97636,S200000,00400,0300,01/01/1992 97636,S200000,00400,0500,P 97636,S200000,00400,0600,O 97636,S200000,01500,0100,Y 97636,S700003,00000,0100,1 97644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97644,A000000,00300,0000,00300EMPLOYEE BENEFITS 97644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97644,A000000,00700,0000,00700HOUSEKEEPING 97644,A000000,00800,0000,00800DIETARY 97644,A000000,00900,0000,00900NURSING ADMINISTRATION 97644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97644,A000000,01100,0000,01100PHARMACY 97644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97644,A000000,01300,0000,01300SOCIAL SERVICE 97644,A000000,01350,0000,01500OTHER GENERAL SERVICES 97644,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97644,A000000,01600,0000,01600SKILLED NURSING FACILITY 97644,A000000,01800,0000,01800NURSING FACILITY 97644,A000000,01810,0000,01810ICF/MR 97644,A000000,01900,0000,01900OTHER LONG TERM CARE 97644,A000000,02100,0000,02100RADIOLOGY 97644,A000000,02200,0000,02200LABORATORY 97644,A000000,02300,0000,02300INTRAVENOUS THERAPY 97644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97644,A000000,02500,0000,02500PHYSICAL THERAPY 97644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97644,A000000,02700,0000,02700SPEECH PATHOLOGY 97644,A000000,02800,0000,02800ELECTROCARDIOLOGY 97644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97644,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97644,A000000,03200,0000,03200SUPPORT SURFACES 97644,A000000,03400,0000,03400CLINIC 97644,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97644,A000000,03500,0000,03500RURAL HEALTH CLINIC 97644,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97644,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97644,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97644,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97644,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97644,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97644,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97644,A000000,04400,0000,04400DME RENTED - HHA 97644,A000000,04500,0000,04500DME SOLD - HHA 97644,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97644,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97644,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97644,A000000,04800,0000,04800AMBULANCE 97644,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97644,A000000,05000,0000,05000CORF 97644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97644,A000000,05300,0000,05300INTEREST EXPENSE 97644,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97644,A000000,05500,0000,05500HOSPICE 97644,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97644,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97644,A000000,06100,0000,06100NONPAID WORKERS 97644,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97644,A000000,06200,0000,06200PATIENTS LAUNDRY 97644,A81000A,00100,0100,Y 97644,A81000B,00100,0300,SUPPLIES 97644,A81000B,00200,0300,SUPPLIES 97644,A81000B,00300,0300,MINOR EQUIP 97644,A81000B,00400,0300,MINOR EQUIP 97644,A81000B,00500,0300,MINOR EQUIP 97644,A81000B,00700,0300,MED SUPPLIES-MEDICARE 97644,A81000B,00800,0300,DRUGS CGD-MEDICARE 97644,A81000B,00900,0300,ADMINISTRATIVE & GENERAL 97644,A81000C,00100,0100,C 97644,A81000C,00100,0200,GARY PINER 97644,B100000,00000,0150,00000NO STATISTICS :CAP REL COSTS - BLD 97644,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 97644,B100000,00000,0350,00000NO STATISTICS :EMPLOYEE BENEFITS 97644,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97644,B100000,00000,0550,00000NO STATISTICS :PLANT OPERATION MA 97644,B100000,00000,0650,00000NO STATISTICS :LAUNDRY & LINEN SER 97644,B100000,00000,0750,00000NO STATISTICS :HOUSEKEEPING 97644,B100000,00000,0850,00000NO STATISTICS :DIETARY 97644,B100000,00000,0950,00000NO STATISTICS :NURSING ADMINISTRAT 97644,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97644,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 97644,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 97644,S000000,00100,0200,12/11/2000 97644,S200000,00100,0100,1800 PUEBLO AVE 97644,S200000,00200,0100,NAPA 97644,S200000,00200,0200,CA 97644,S200000,00200,0300,94558- 97644,S200000,00300,0100,NAPA 97644,S200000,00300,0200,8720 97644,S200000,00300,0300,U 97644,S200000,00400,0100,PINERS NURSING HOME INC 97644,S200000,00400,0200,555207 97644,S200000,00400,0300,07/01/1999 97644,S200000,00400,0500,P 97644,S200000,01500,0100,Y 97652,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97652,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97652,A000000,00300,0000,00300EMPLOYEE BENEFITS 97652,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97652,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97652,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97652,A000000,00700,0000,00700HOUSEKEEPING 97652,A000000,00800,0000,00800DIETARY 97652,A000000,00900,0000,00900NURSING ADMINISTRATION 97652,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97652,A000000,01100,0000,01100PHARMACY 97652,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97652,A000000,01300,0000,01300SOCIAL SERVICE 97652,A000000,01350,0000,01500OTHER GENERAL SERVICES 97652,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97652,A000000,01600,0000,01600SKILLED NURSING FACILITY 97652,A000000,01800,0000,01800NURSING FACILITY 97652,A000000,01810,0000,01801ICF/MR 97652,A000000,01900,0000,01900OTHER LONG TERM CARE 97652,A000000,02100,0000,02100RADIOLOGY 97652,A000000,02200,0000,02200LABORATORY 97652,A000000,02300,0000,02300INTRAVENOUS THERAPY 97652,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97652,A000000,02500,0000,02500PHYSICAL THERAPY 97652,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97652,A000000,02700,0000,02700SPEECH PATHOLOGY 97652,A000000,02800,0000,02800ELECTROCARDIOLOGY 97652,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97652,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 97652,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97652,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97652,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97652,A000000,03200,0000,03200SUPPORT SURFACES 97652,A000000,03400,0000,03400CLINIC 97652,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97652,A000000,03500,0000,03500RURAL HEALTH CLINIC 97652,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97652,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97652,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97652,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97652,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97652,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97652,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97652,A000000,04400,0000,04400DME RENTED - HHA 97652,A000000,04500,0000,04500DME SOLD - HHA 97652,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97652,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97652,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97652,A000000,04800,0000,04800AMBULANCE 97652,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97652,A000000,05000,0000,05000CORF 97652,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97652,A000000,05300,0000,05300INTEREST EXPENSE 97652,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97652,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97652,A000000,05500,0000,05500HOSPICE 97652,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97652,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97652,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97652,A000000,06100,0000,06100NONPAID WORKERS 97652,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97652,A000000,06200,0000,06200PATIENTS LAUNDRY 97652,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97652,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97652,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97652,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97652,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97652,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97652,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97652,B100000,00000,0800,00000MEALS SERVED :DIETARY 97652,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97652,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97652,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97652,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 97652,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97652,B100000,00000,1350,00000GROSS SALARIES :OTHER GENERAL SERV 97652,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97652,S000000,00100,0200,06/01/2000 97652,S200000,00100,0100,206 HOSPITAL CIRCLE 97652,S200000,00200,0100,WESTMINSTER 97652,S200000,00200,0200,CA 97652,S200000,00200,0300,92683- 97652,S200000,00300,0100,ORANGE 97652,S200000,00400,0100,EXTND CARE HOSP OF WESTMINTER 97652,S200000,00400,0200,555211 97652,S200000,00400,0300,03/01/1996 97652,S200000,00400,0500,P 97652,S200000,00600,0200,555211 97652,S200000,00600,0300,03/01/1996 97652,S200000,00600,0600,P 97652,S200000,00601,0200,555211 97652,S200000,00601,0300,03/01/1996 97652,S200000,00601,0600,O 97652,S200000,01600,0100,Y 97652,S200000,04900,0100,Y 97652,S700003,00000,0100,1 97660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97660,A000000,00300,0000,00300EMPLOYEE BENEFITS 97660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97660,A000000,00700,0000,00700HOUSEKEEPING 97660,A000000,00800,0000,00800DIETARY 97660,A000000,00900,0000,00900NURSING ADMINISTRATION 97660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97660,A000000,01100,0000,01100PHARMACY 97660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97660,A000000,01300,0000,01300SOCIAL SERVICE 97660,A000000,01350,0000,01500OTHER GENERAL SERVICES 97660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97660,A000000,01600,0000,01600SKILLED NURSING FACILITY 97660,A000000,01800,0000,01800NURSING FACILITY 97660,A000000,01810,0000,01801ICF/MR 97660,A000000,01900,0000,01900OTHER LONG TERM CARE 97660,A000000,02100,0000,02100RADIOLOGY 97660,A000000,02200,0000,02200LABORATORY 97660,A000000,02300,0000,02300INTRAVENOUS THERAPY 97660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97660,A000000,02500,0000,02500PHYSICAL THERAPY 97660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97660,A000000,02700,0000,02700SPEECH PATHOLOGY 97660,A000000,02800,0000,02800ELECTROCARDIOLOGY 97660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97660,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97660,A000000,03051,0000,03301COMPLEX MEDICAL EQUIPMENT 97660,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97660,A000000,03200,0000,03200SUPPORT SURFACES 97660,A000000,03400,0000,03400CLINIC 97660,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97660,A000000,03500,0000,03500RURAL HEALTH CLINIC 97660,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97660,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97660,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97660,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97660,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97660,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97660,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97660,A000000,04400,0000,04400DME RENTED - HHA 97660,A000000,04500,0000,04500DME SOLD - HHA 97660,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97660,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97660,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97660,A000000,04800,0000,04800AMBULANCE 97660,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97660,A000000,05000,0000,05000CORF 97660,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97660,A000000,05300,0000,05300INTEREST EXPENSE 97660,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97660,A000000,05500,0000,05500HOSPICE 97660,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97660,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97660,A000000,06100,0000,06100NONPAID WORKERS 97660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97660,A000000,06200,0000,06200PATIENTS LAUNDRY 97660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97660,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97660,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97660,B100000,00000,0850,00000PATIENT DAYS :DIETARY 97660,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97660,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97660,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97660,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97660,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97660,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97660,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97660,S000000,00100,0200,05/18/2000 97660,S200000,00100,0100,1640 NORTH FAIR OAKS 97660,S200000,00200,0100,PASADENA 97660,S200000,00200,0200,CA 97660,S200000,00200,0300,91103- 97660,S200000,00300,0100,LOS ANGELES 97660,S200000,00400,0100,SUNRISE CONVALESCENT HOSPITAL 97660,S200000,00400,0200,555213 97660,S200000,00400,0300,05/01/1989 97660,S200000,00400,0500,P 97660,S200000,01600,0100,Y 97660,S700003,00000,0100,1 97669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97669,A000000,00700,0000,00700HOUSEKEEPING 97669,A000000,00800,0000,00800DIETARY 97669,A000000,00900,0000,00900NURSING ADMINISTRATION 97669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97669,A000000,01300,0000,01300SOCIAL SERVICE 97669,A000000,01600,0000,01600SKILLED NURSING FACILITY 97669,A000000,01800,0000,01800NURSING FACILITY 97669,A000000,02100,0000,02100RADIOLOGY 97669,A000000,02200,0000,02200LABORATORY 97669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97669,A000000,02500,0000,02500PHYSICAL THERAPY 97669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97669,A000000,02700,0000,02700SPEECH PATHOLOGY 97669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97669,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97669,A000000,05300,0000,05300INTEREST EXPENSE 97669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97669,A81000A,00100,0100,Y 97669,A81000B,00100,0300,LEASE EXPENSE 97669,A81000B,00200,0300,MANAGEMENT FEES 97669,A81000B,00300,0300,HOME OFFICE BUILDING 97669,A81000B,00400,0300,HOME OFFICE EQUIPMENT 97669,A81000C,00100,0100,G 97669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97669,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97669,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97669,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97669,B100000,00000,0800,00000MEALS SERVED :DIETARY 97669,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97669,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97669,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97669,E10A180,00301,0100,07/27/1999 97669,S000000,00100,0200,05/25/2000 97669,S200000,00100,0100,81 PROFESIONAL CENTER PARKWAY 97669,S200000,00200,0100,SAN RAFAEL 97669,S200000,00200,0200,CA 97669,S200000,00200,0300,94903- 97669,S200000,00300,0100,MARIN 97669,S200000,00300,0200,7360 97669,S200000,00300,0300,U 97669,S200000,00400,0100,HILLSIDE CARE CENTER 97669,S200000,00400,0200,555214 97669,S200000,00400,0300,12/01/1991 97669,S200000,00400,0500,P 97669,S200000,01500,0100,Y 97675,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97675,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97675,A000000,00300,0000,00300EMPLOYEE BENEFITS 97675,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97675,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97675,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97675,A000000,00700,0000,00700HOUSEKEEPING 97675,A000000,00800,0000,00800DIETARY 97675,A000000,00900,0000,00900NURSING ADMINISTRATION 97675,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97675,A000000,01100,0000,01100PHARMACY 97675,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97675,A000000,01300,0000,01300SOCIAL SERVICE 97675,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97675,A000000,01600,0000,01600SKILLED NURSING FACILITY 97675,A000000,02100,0000,02100RADIOLOGY 97675,A000000,02200,0000,02200LABORATORY 97675,A000000,02210,0000,02201LABORATORY - O/P - GLUCOSE MONITORI 97675,A000000,02300,0000,02300INTRAVENOUS THERAPY 97675,A000000,02500,0000,02500PHYSICAL THERAPY 97675,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97675,A000000,02700,0000,02700SPEECH PATHOLOGY 97675,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97675,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97675,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97675,A81000A,00100,0100,Y 97675,A81000B,00100,0300,LEASES & RENTALS - BUILDING 97675,A81000C,00100,0100,A 97675,A81000C,00100,0200,E B DAVID 97675,A81000C,00100,0400,WASHINGTON 97675,A81000C,00100,0600,REALTY CO. 97675,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97675,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97675,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97675,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97675,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97675,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97675,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97675,B100000,00000,0800,00000MEALS SERVED :DIETARY 97675,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97675,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97675,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97675,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97675,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97675,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97675,S000000,00100,0200,10/11/2000 97675,S200000,00100,0100,2350 WASHINGTON BOULEVARD 97675,S200000,00200,0100,LOS ANGELES 97675,S200000,00200,0200,CA 97675,S200000,00300,0100,LOS ANGELES 97675,S200000,00400,0100,ST. ANDREWS HEALTHCARE 97675,S200000,00400,0200,555218 97675,S200000,00400,0300,04/01/1999 97675,S200000,00400,0500,P 97675,S200000,01500,0100,Y 97675,S700003,00000,0400,4 97686,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97686,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97686,A000000,00300,0000,00300EMPLOYEE BENEFITS 97686,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97686,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97686,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97686,A000000,00700,0000,00700HOUSEKEEPING 97686,A000000,00800,0000,00800DIETARY 97686,A000000,00900,0000,00900NURSING ADMINISTRATION 97686,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97686,A000000,01100,0000,01100PHARMACY 97686,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97686,A000000,01300,0000,01300SOCIAL SERVICE 97686,A000000,01350,0000,01500OTHER GENERAL SERVICES 97686,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97686,A000000,01600,0000,01600SKILLED NURSING FACILITY 97686,A000000,01800,0000,01800NURSING FACILITY 97686,A000000,01900,0000,01900OTHER LONG TERM CARE 97686,A000000,02100,0000,02100RADIOLOGY 97686,A000000,02200,0000,02200LABORATORY 97686,A000000,02300,0000,02300INTRAVENOUS THERAPY 97686,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97686,A000000,02500,0000,02500PHYSICAL THERAPY 97686,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97686,A000000,02700,0000,02700SPEECH PATHOLOGY 97686,A000000,02800,0000,02800ELECTROCARDIOLOGY 97686,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97686,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 97686,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97686,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97686,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97686,A000000,03200,0000,03200SUPPORT SURFACES 97686,A000000,03400,0000,03400CLINIC 97686,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97686,A000000,03500,0000,03500RURAL HEALTH CLINIC 97686,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97686,A000000,04800,0000,04800AMBULANCE 97686,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97686,A000000,05000,0000,05000CORF 97686,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97686,A000000,05300,0000,05300INTEREST EXPENSE 97686,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97686,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97686,A000000,05500,0000,05500HOSPICE 97686,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97686,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97686,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97686,A000000,06100,0000,06100NONPAID WORKERS 97686,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97686,A000000,06200,0000,06200PATIENTS LAUNDRY 97686,A81000A,00100,0100,Y 97686,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 97686,A81000B,00200,0300,CAP REL COSTS - MOVABLE EQUIPMENT 97686,A81000B,00300,0300,ADMINISTRATIVE & GENERAL MGMT FEE 97686,A81000C,00100,0100,B 97686,A81000C,00100,0200,COASTAL LLC 97686,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97686,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97686,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97686,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97686,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97686,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97686,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97686,B100000,00000,0800,00000MEALS SERVED :DIETARY 97686,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97686,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97686,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97686,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97686,S000000,00100,0200,07/06/2000 97686,S200000,00100,0100,290 HEATHER COURT 97686,S200000,00200,0100,TEMPLETON 97686,S200000,00200,0200,CA 97686,S200000,00200,0300,93465- 97686,S200000,00300,0100,SAN LUIS OBISPO 97686,S200000,00300,0200,7460 97686,S200000,00300,0300,U 97686,S200000,00400,0100,WILSHIRE NURSING & REHAB CTR TEMPLTN 97686,S200000,00400,0200,555220 97686,S200000,00400,0300,04/01/1986 97686,S200000,00400,0500,P 97686,S200000,01500,0100,Y 97693,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97693,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97693,A000000,00300,0000,00300EMPLOYEE BENEFITS 97693,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97693,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97693,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97693,A000000,00700,0000,00700HOUSEKEEPING 97693,A000000,00800,0000,00800DIETARY 97693,A000000,00900,0000,00900NURSING ADMINISTRATION 97693,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97693,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97693,A000000,01300,0000,01300SOCIAL SERVICE 97693,A000000,01600,0000,01600SKILLED NURSING FACILITY 97693,A000000,01800,0000,01800NURSING FACILITY 97693,A000000,01900,0000,01900OTHER LONG TERM CARE 97693,A000000,02100,0000,02100RADIOLOGY 97693,A000000,02200,0000,02200LABORATORY 97693,A000000,02300,0000,02300INTRAVENOUS THERAPY 97693,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97693,A000000,02500,0000,02500PHYSICAL THERAPY 97693,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97693,A000000,02700,0000,02700SPEECH PATHOLOGY 97693,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97693,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97693,A000000,03200,0000,03200SUPPORT SURFACES 97693,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97693,A000000,04800,0000,04800AMBULANCE 97693,A000000,05300,0000,05300INTEREST EXPENSE 97693,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97693,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97693,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97693,A000000,06200,0000,06200PATIENTS LAUNDRY 97693,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97693,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97693,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97693,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97693,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97693,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97693,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97693,B100000,00000,0800,00000MEALS SERVED :DIETARY 97693,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 97693,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97693,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97693,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97693,S000000,00100,0200,06/05/2000 97693,S200000,00100,0100,1291 CRAIG AVENUE 97693,S200000,00200,0100,LAKEPORT 97693,S200000,00200,0200,CA 97693,S200000,00200,0300,95453- 97693,S200000,00300,0100,LAKE 97693,S200000,00400,0100,PACIFIC REGENCY - LAKEPORT 97693,S200000,00400,0200,555222 97693,S200000,00400,0300,05/21/1986 97693,S200000,00400,0500,P 97693,S200000,01600,0100,Y 97693,S700003,00000,0100,1 97695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97695,A000000,00300,0000,00300EMPLOYEE BENEFITS 97695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97695,A000000,00700,0000,00700HOUSEKEEPING 97695,A000000,00800,0000,00800DIETARY 97695,A000000,00900,0000,00900NURSING ADMINISTRATION 97695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97695,A000000,01100,0000,01100PHARMACY 97695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97695,A000000,01300,0000,01300SOCIAL SERVICE 97695,A000000,01350,0000,01500ACTIVITIES 97695,A000000,01600,0000,01600SKILLED NURSING FACILITY 97695,A000000,01800,0000,01800NURSING FACILITY 97695,A000000,02100,0000,02100RADIOLOGY 97695,A000000,02200,0000,02200LABORATORY 97695,A000000,02300,0000,02300INTRAVENOUS THERAPY 97695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97695,A000000,02500,0000,02500PHYSICAL THERAPY 97695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97695,A000000,02700,0000,02700SPEECH PATHOLOGY 97695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97695,A000000,05300,0000,05300INTEREST EXPENSE 97695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97695,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97695,A000000,06100,0000,06100NONPAID WORKERS 97695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97695,A000000,06200,0000,06200PATIENTS LAUNDRY 97695,A81000A,00100,0100,Y 97695,A81000B,00100,0300,MANAGEMENT FEE - HM OFFICE 97695,A81000C,00100,0100,B 97695,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 97695,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97695,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97695,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97695,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97695,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97695,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97695,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 97695,B100000,00000,0850,00000PATIENT DAYS :DIETARY 97695,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 97695,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97695,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97695,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97695,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97695,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 97695,S000000,00100,0200,12/01/1999 97695,S200000,00100,0100,41-405 CARLOTTA DRIVE 97695,S200000,00200,0100,PALM DESERT 97695,S200000,00200,0200,CA 97695,S200000,00200,0300,92211- 97695,S200000,00300,0100,RIVERSIDE 97695,S200000,00400,0100,THE SPRINGS AT THE CARLOTTA 97695,S200000,00400,0200,555226 97695,S200000,00400,0300,01/01/1989 97695,S200000,00400,0500,P 97695,S200000,01600,0100,Y 97695,S700003,00000,0100,1 97697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97697,A000000,00300,0000,00300EMPLOYEE BENEFITS 97697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97697,A000000,00700,0000,00700HOUSEKEEPING 97697,A000000,00800,0000,00800DIETARY 97697,A000000,00900,0000,00900NURSING ADMINISTRATION 97697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97697,A000000,01100,0000,01100PHARMACY 97697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97697,A000000,01300,0000,01300SOCIAL SERVICE 97697,A000000,01350,0000,01500ACTIVITIES 97697,A000000,01600,0000,01600SKILLED NURSING FACILITY 97697,A000000,01800,0000,01800NURSING FACILITY 97697,A000000,01900,0000,01900OTHER LONG TERM CARE 97697,A000000,02100,0000,02100RADIOLOGY 97697,A000000,02200,0000,02200LABORATORY 97697,A000000,02300,0000,02300INTRAVENOUS THERAPY 97697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97697,A000000,02500,0000,02500PHYSICAL THERAPY 97697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97697,A000000,02700,0000,02700SPEECH PATHOLOGY 97697,A000000,02800,0000,02800ELECTROCARDIOLOGY 97697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97697,A000000,03200,0000,03200SUPPORT SURFACES 97697,A000000,03400,0000,03400CLINIC 97697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97697,A000000,03500,0000,03500RURAL HEALTH CLINIC 97697,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97697,A000000,04800,0000,04800AMBULANCE 97697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97697,A000000,05300,0000,05300INTEREST EXPENSE 97697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97697,A000000,05500,0000,05500HOSPICE 97697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97697,A000000,06100,0000,06100NONPAID WORKERS 97697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97697,A000000,06200,0000,06200PATIENTS LAUNDRY 97697,A81000A,00100,0100,Y 97697,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 97697,A81000C,00100,0100,B 97697,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 97697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97697,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97697,B100000,00000,0650,00000DAYS :LAUNDRY & LINEN SERVICE 97697,B100000,00000,0750,00000DAYS :HOUSEKEEPING 97697,B100000,00000,0800,00000MEALS SERVED :DIETARY 97697,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97697,B100000,00000,1250,00000DAYS :MEDICAL RECORDS & LIBRARY 97697,B100000,00000,1330,00000DAYS :SOCIAL SERVICE 97697,B100000,00000,1350,00000DAYS :ACTIVITIES 97697,S000000,00100,0200,12/01/2000 97697,S200000,00100,0100,41-405 CARLOTTA DRIVE 97697,S200000,00200,0100,PALM DESERT 97697,S200000,00200,0200,CA 97697,S200000,00200,0300,92211- 97697,S200000,00300,0100,RIVERSIDE 97697,S200000,00300,0200,3780 97697,S200000,00300,0300,U 97697,S200000,00400,0100,THE SPRINGS AT THE CARLOTTA 97697,S200000,00400,0200,555226 97697,S200000,00400,0300,01/01/1989 97697,S200000,00400,0500,P 97697,S200000,01600,0100,Y 97704,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97704,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97704,A000000,00300,0000,00300EMPLOYEE BENEFITS 97704,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97704,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97704,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97704,A000000,00700,0000,00700HOUSEKEEPING 97704,A000000,00800,0000,00800DIETARY 97704,A000000,00900,0000,00900NURSING ADMINISTRATION 97704,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97704,A000000,01100,0000,01100PHARMACY 97704,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97704,A000000,01300,0000,01300SOCIAL SERVICE 97704,A000000,01350,0000,01500OTHER GENERAL SERVICES 97704,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97704,A000000,01600,0000,01600SKILLED NURSING FACILITY 97704,A000000,01800,0000,01800NURSING FACILITY 97704,A000000,01810,0000,01810ICF/MR 97704,A000000,01900,0000,01900OTHER LONG TERM CARE 97704,A000000,02100,0000,02100RADIOLOGY 97704,A000000,02200,0000,02200LABORATORY 97704,A000000,02300,0000,02300INTRAVENOUS THERAPY 97704,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97704,A000000,02500,0000,02500PHYSICAL THERAPY 97704,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97704,A000000,02700,0000,02700SPEECH PATHOLOGY 97704,A000000,02800,0000,02800ELECTROCARDIOLOGY 97704,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97704,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97704,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97704,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97704,A000000,03200,0000,03200SUPPORT SURFACES 97704,A000000,03400,0000,03400CLINIC 97704,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97704,A000000,03500,0000,03500RURAL HEALTH CLINIC 97704,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97704,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97704,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97704,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97704,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97704,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97704,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97704,A000000,04400,0000,04400DME RENTED - HHA 97704,A000000,04500,0000,04500DME SOLD - HHA 97704,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97704,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97704,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97704,A000000,04800,0000,04800AMBULANCE 97704,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97704,A000000,05000,0000,05000CORF 97704,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97704,A000000,05300,0000,05300INTEREST EXPENSE 97704,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97704,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97704,A000000,05500,0000,05500HOSPICE 97704,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97704,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97704,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97704,A000000,06100,0000,06100NONPAID WORKERS 97704,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97704,A000000,06200,0000,06200PATIENTS LAUNDRY 97704,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 97704,B100000,00000,0350,00000WAGES :EMPLOYEE BENEFITS 97704,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97704,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 97704,B100000,00000,0600,00000POUNDS :LAUNDRY & LINEN SERVICE 97704,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 97704,B100000,00000,0800,00000MEALS :DIETARY 97704,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 97704,S000000,00100,0200,06/05/2000 97704,S200000,00100,0100,1205 EIGHTH STREET 97704,S200000,00200,0100,BAKERSFIELD 97704,S200000,00200,0200,CA 97704,S200000,00200,0300,93304- 97704,S200000,00300,0100,KERN 97704,S200000,00300,0200,0680 97704,S200000,00300,0300,U 97704,S200000,00400,0100,VALLEY CONVALESCENT 97704,S200000,00400,0200,555229 97704,S200000,00400,0300,07/01/1997 97704,S200000,00400,0500,P 97704,S200000,01600,0100,Y 97713,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97713,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97713,A000000,00300,0000,00300EMPLOYEE BENEFITS 97713,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97713,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97713,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97713,A000000,00700,0000,00700HOUSEKEEPING 97713,A000000,00800,0000,00800DIETARY 97713,A000000,00900,0000,00900NURSING ADMINISTRATION 97713,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97713,A000000,01100,0000,01100PHARMACY 97713,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97713,A000000,01300,0000,01300SOCIAL SERVICE 97713,A000000,01350,0000,01500OTHER GENERAL SERVICES 97713,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97713,A000000,01600,0000,01600SKILLED NURSING FACILITY 97713,A000000,01800,0000,01800NURSING FACILITY 97713,A000000,01810,0000,01801ICF/MR 97713,A000000,01900,0000,01900OTHER LONG TERM CARE 97713,A000000,02100,0000,02100RADIOLOGY 97713,A000000,02200,0000,02200LABORATORY 97713,A000000,02300,0000,02300INTRAVENOUS THERAPY 97713,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97713,A000000,02500,0000,02500PHYSICAL THERAPY 97713,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97713,A000000,02700,0000,02700SPEECH PATHOLOGY 97713,A000000,02800,0000,02800ELECTROCARDIOLOGY 97713,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97713,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97713,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97713,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97713,A000000,03200,0000,03200SUPPORT SURFACES 97713,A000000,03400,0000,03400CLINIC 97713,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97713,A000000,03500,0000,03500RURAL HEALTH CLINIC 97713,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97713,A000000,04800,0000,04800AMBULANCE 97713,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97713,A000000,05000,0000,05000CORF 97713,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97713,A000000,05300,0000,05300INTEREST EXPENSE 97713,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97713,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97713,A000000,05500,0000,05500HOSPICE 97713,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97713,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97713,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97713,A000000,06100,0000,06100NONPAID WORKERS 97713,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97713,A000000,06200,0000,06200PATIENTS LAUNDRY 97713,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97713,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97713,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97713,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97713,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97713,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97713,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97713,B100000,00000,0800,00000MEALS SERVED :DIETARY 97713,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 97713,B100000,00000,1050,00000 ACCUM. COST :CENTRAL SERVICES & SU 97713,B100000,00000,1150,00000 ACCUM. COST :PHARMACY 97713,B100000,00000,1250,00000 ACCUM. COST :MEDICAL RECORDS & LIB 97713,B100000,00000,1330,00000PATIENT DAYS S :SOCIAL SERVICE 97713,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97713,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97713,S000000,00100,0200,07/05/2000 97713,S200000,00100,0100,1098 38TH STREET 97713,S200000,00200,0100,SANTA CRUZ 97713,S200000,00200,0200,CA 97713,S200000,00200,0300,95060- 97713,S200000,00300,0100,SANTA CRUZ 97713,S200000,00400,0100,BROMMER MANOR CONV HOSP 97713,S200000,00400,0200,555239 97713,S200000,00400,0300,09/01/1989 97713,S200000,00400,0500,P 97713,S200000,01600,0100,Y 97713,S700003,00000,0100,1 97724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97724,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXTURES II 97724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97724,A000000,00300,0000,00300EMPLOYEE BENEFITS 97724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97724,A000000,00700,0000,00700HOUSEKEEPING 97724,A000000,00800,0000,00800DIETARY 97724,A000000,00900,0000,00900NURSING ADMINISTRATION 97724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97724,A000000,01100,0000,01100PHARMACY 97724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97724,A000000,01300,0000,01300SOCIAL SERVICE 97724,A000000,01350,0000,01500OTHER GENERAL SERVICES 97724,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97724,A000000,01600,0000,01600SKILLED NURSING FACILITY 97724,A000000,01800,0000,01800NURSING FACILITY 97724,A000000,01810,0000,01810ICF/MR 97724,A000000,01900,0000,01900OTHER LONG TERM CARE 97724,A000000,02100,0000,02100RADIOLOGY 97724,A000000,02200,0000,02200LABORATORY 97724,A000000,02300,0000,02300INTRAVENOUS THERAPY 97724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97724,A000000,02500,0000,02500PHYSICAL THERAPY 97724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97724,A000000,02700,0000,02700SPEECH PATHOLOGY 97724,A000000,02800,0000,02800ELECTROCARDIOLOGY 97724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97724,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97724,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97724,A000000,03200,0000,03200SUPPORT SURFACES 97724,A000000,03400,0000,03400CLINIC 97724,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97724,A000000,03500,0000,03500RURAL HEALTH CLINIC 97724,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97724,A000000,04800,0000,04800AMBULANCE 97724,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97724,A000000,05000,0000,05000CORF 97724,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97724,A000000,05300,0000,05300INTEREST EXPENSE 97724,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97724,A000000,05500,0000,05500HOSPICE 97724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97724,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97724,A000000,06100,0000,06100NONPAID WORKERS 97724,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97724,A000000,06200,0000,06200PATIENTS LAUNDRY 97724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97724,B100000,00000,0101,00000SQUARE FEET :CAP REL COSTS - BLDGS 97724,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97724,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97724,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97724,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97724,B100000,00000,0800,00000MEALS SERVED :DIETARY 97724,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97724,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97724,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97724,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97724,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97724,S000000,00100,0200,08/17/2000 97724,S200000,00100,0100,1685 SHAFFER ROAD 97724,S200000,00200,0100,ATWATER 97724,S200000,00200,0200,CA 97724,S200000,00200,0300,95301- 97724,S200000,00300,0100,MERCED 97724,S200000,00300,0200,4940 97724,S200000,00300,0300,U 97724,S200000,00400,0100,ANBERRY REHABILITATION HOSPITAL 97724,S200000,00400,0200,555244 97724,S200000,00400,0300,01/01/1985 97724,S200000,00400,0500,P 97724,S200000,01600,0100,Y 97724,S200000,02800,0100,Y 97724,S200000,04300,0100,Y 97731,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97731,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97731,A000000,00300,0000,00300EMPLOYEE BENEFITS 97731,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97731,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97731,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97731,A000000,00700,0000,00700HOUSEKEEPING 97731,A000000,00800,0000,00800DIETARY 97731,A000000,00900,0000,00900NURSING ADMINISTRATION 97731,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97731,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97731,A000000,01300,0000,01300SOCIAL SERVICE 97731,A000000,01600,0000,01600SKILLED NURSING FACILITY 97731,A000000,01800,0000,01800NURSING FACILITY 97731,A000000,01900,0000,01900OTHER LONG TERM CARE 97731,A000000,02100,0000,02100RADIOLOGY 97731,A000000,02200,0000,02200LABORATORY 97731,A000000,02300,0000,02300INTRAVENOUS THERAPY 97731,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97731,A000000,02500,0000,02500PHYSICAL THERAPY 97731,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97731,A000000,02700,0000,02700SPEECH PATHOLOGY 97731,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97731,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97731,A000000,03200,0000,03200SUPPORT SURFACES 97731,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97731,A000000,04800,0000,04800AMBULANCE 97731,A000000,05300,0000,05300INTEREST EXPENSE 97731,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97731,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97731,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97731,A000000,06200,0000,06200PATIENTS LAUNDRY 97731,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97731,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97731,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97731,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97731,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97731,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97731,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97731,B100000,00000,0800,00000MEALS SERVED :DIETARY 97731,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 97731,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97731,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97731,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97731,S000000,00100,0200,06/05/2000 97731,S200000,00100,0100,2588 BUTHMANN AVENUE 97731,S200000,00200,0100,TRACY 97731,S200000,00200,0200,CA 97731,S200000,00200,0300,95378- 97731,S200000,00300,0100,SAN JOAQUIN 97731,S200000,00400,0100,NEW HOPE CARE CENTER 97731,S200000,00400,0200,555245 97731,S200000,00400,0300,07/01/1991 97731,S200000,00400,0500,P 97731,S200000,01600,0100,Y 97745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97745,A000000,00300,0000,00300EMPLOYEE BENEFITS 97745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97745,A000000,00700,0000,00700HOUSEKEEPING 97745,A000000,00800,0000,00800DIETARY 97745,A000000,00900,0000,00900NURSING ADMINISTRATION 97745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97745,A000000,01100,0000,01100PHARMACY 97745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97745,A000000,01300,0000,01300SOCIAL SERVICE 97745,A000000,01301,0000,01301ACTIVITIES 97745,A000000,01350,0000,01500OTHER GENERAL SERVICES 97745,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97745,A000000,01600,0000,01600SKILLED NURSING FACILITY 97745,A000000,01800,0000,01800NURSING FACILITY 97745,A000000,01810,0000,01801ICF/MR 97745,A000000,01900,0000,01900OTHER LONG TERM CARE 97745,A000000,02100,0000,02100RADIOLOGY 97745,A000000,02200,0000,02200LABORATORY 97745,A000000,02300,0000,02300INTRAVENOUS THERAPY 97745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97745,A000000,02500,0000,02500PHYSICAL THERAPY 97745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97745,A000000,02700,0000,02700SPEECH PATHOLOGY 97745,A000000,02800,0000,02800ELECTROCARDIOLOGY 97745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97745,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97745,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97745,A000000,03200,0000,03200SUPPORT SURFACES 97745,A000000,03201,0000,03201EQUIPMENT RENTAL 97745,A000000,03400,0000,03400CLINIC 97745,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97745,A000000,03500,0000,03500RURAL HEALTH CLINIC 97745,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97745,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97745,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97745,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97745,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97745,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97745,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97745,A000000,04400,0000,04400DME RENTED - HHA 97745,A000000,04500,0000,04500DME SOLD - HHA 97745,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97745,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97745,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97745,A000000,04800,0000,04800AMBULANCE 97745,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97745,A000000,05000,0000,05000CORF 97745,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97745,A000000,05300,0000,05300INTEREST EXPENSE 97745,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97745,A000000,05500,0000,05500HOSPICE 97745,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97745,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97745,A000000,06100,0000,06100NONPAID WORKERS 97745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97745,A000000,06200,0000,06200PATIENTS LAUNDRY 97745,A81000A,00100,0100,Y 97745,A81000B,00100,0300,PHARMACY 97745,A81000B,00200,0300,PHARMACY CONSULTANT 97745,A81000B,00300,0300,HO ADMIN 97745,A81000B,00400,0300,HO ADMIN 97745,A81000B,00500,0300,HO CAPITAL COSTS 97745,A81000B,00600,0300,HO CAPITAL COSTS 97745,A81000C,00100,0100,B 97745,A81000C,00100,0200,GUARDIAN HEALTH GROUP 97745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97745,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97745,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97745,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97745,B100000,00000,0800,00000MEALS SERVED :DIETARY 97745,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97745,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97745,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97745,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97745,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97745,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 97745,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97745,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97745,S000000,00100,0200,10/02/2000 97745,S200000,00100,0100,475 29TH STREET 97745,S200000,00200,0100,OAKLAND 97745,S200000,00200,0200,CA 97745,S200000,00200,0300,94609- 97745,S200000,00300,0100,ALAMEDA 97745,S200000,00400,0100,MEDICAL HILL REHABILITATION CENTER 97745,S200000,00400,0200,555254 97745,S200000,00400,0300,03/02/1987 97745,S200000,00400,0500,P 97745,S200000,00400,0600,O 97745,S200000,01600,0100,Y 97745,S700003,00000,0100,1 97755,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97755,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97755,A000000,00300,0000,00300EMPLOYEE BENEFITS 97755,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97755,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97755,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97755,A000000,00700,0000,00700HOUSEKEEPING 97755,A000000,00800,0000,00800DIETARY 97755,A000000,00900,0000,00900NURSING ADMINISTRATION 97755,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97755,A000000,01100,0000,01100PHARMACY 97755,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97755,A000000,01300,0000,01300SOCIAL SERVICE 97755,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97755,A000000,01600,0000,01600SKILLED NURSING FACILITY 97755,A000000,01800,0000,01800NURSING FACILITY 97755,A000000,02100,0000,02100RADIOLOGY 97755,A000000,02200,0000,02200LABORATORY 97755,A000000,02300,0000,02300INTRAVENOUS THERAPY 97755,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97755,A000000,02500,0000,02500PHYSICAL THERAPY 97755,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97755,A000000,02700,0000,02700SPEECH PATHOLOGY 97755,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97755,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97755,A000000,03050,0000,03300ENTERAL FEED THER. 97755,A000000,03051,0000,03301OTHER ANCILLARY SERVICE COST CENTER 97755,A000000,03200,0000,03200SUPPORT SURFACES 97755,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97755,A000000,03500,0000,03500RURAL HEALTH CLINIC 97755,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97755,A000000,04800,0000,04800AMBULANCE 97755,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97755,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97755,A000000,05300,0000,05300INTEREST EXPENSE 97755,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97755,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97755,A000000,05500,0000,05500HOSPICE 97755,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97755,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97755,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97755,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97755,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97755,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97755,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97755,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97755,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97755,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97755,B100000,00000,0800,00000MEALS SERVED :DIETARY 97755,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97755,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97755,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97755,B100000,00000,1250,00000REVENUES TMSPENT :MEDICAL RECORDS 97755,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97755,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97755,S000000,00100,0200,05/22/2000 97755,S200000,00100,0100,7201 RUSH RIVER DR 97755,S200000,00200,0100,SACRAMENTO 97755,S200000,00200,0200,CA 97755,S200000,00200,0300,95831- 97755,S200000,00300,0100,SACRAMENTO 97755,S200000,00400,0100,ASIAN COMMUNITY NURSING HOME 97755,S200000,00400,0200,555261 97755,S200000,00400,0300,04/29/1987 97755,S200000,00400,0500,P 97755,S200000,01500,0100,Y 97755,S200000,02200,0100,Y 97755,S200000,03300,0100,Y 97755,S200000,04100,0100,Y 97755,S700003,00000,0100,1 97763,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97763,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97763,A000000,00300,0000,00300EMPLOYEE BENEFITS 97763,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97763,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97763,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97763,A000000,00700,0000,00700HOUSEKEEPING 97763,A000000,00800,0000,00800DIETARY 97763,A000000,00900,0000,00900NURSING ADMINISTRATION 97763,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97763,A000000,01100,0000,01100PHARMACY 97763,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97763,A000000,01300,0000,01300SOCIAL SERVICE 97763,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97763,A000000,01600,0000,01600SKILLED NURSING FACILITY 97763,A000000,01800,0000,01800NURSING FACILITY 97763,A000000,01810,0000,01810ICF/MR 97763,A000000,02100,0000,02100RADIOLOGY 97763,A000000,02200,0000,02200LABORATORY 97763,A000000,02500,0000,02500PHYSICAL THERAPY 97763,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97763,A000000,02700,0000,02700SPEECH PATHOLOGY 97763,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97763,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97763,A000000,03550,0000,03550FQHC 97763,A000000,05000,0000,05000CORF 97763,A000000,05010,0000,05010CMHC 97763,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97763,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97763,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97763,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97763,A81000A,00100,0100,Y 97763,A81000B,00100,0300,GHC HOME OFFICE 97763,A81000B,00200,0300,GHC HOME OFFICE 97763,A81000B,00300,0300,GHC HOME OFFICE 97763,A81000B,00400,0300,GHN REGIONAL OFFICE 97763,A81000B,00500,0300,LAUNDRY 97763,A81000B,00600,0300,BASIC 4 FOODS 97763,A81000B,00700,0300,THERAGEN 97763,A81000B,00800,0300,THERAGEN 97763,A81000B,00900,0300,THERAGEN 97763,A81000B,01000,0300,DIRECT COST TRANS 97763,A81000B,01100,0300,DIRECT COST TRANS 97763,A81000B,01200,0300,DIRECT COST TRANS 97763,A81000B,01300,0300,DIRECT COST TRANS 97763,A81000B,01400,0300,DIRECT COST TRANS 97763,A81000B,01500,0300,DIRECT COST TRANS 97763,A81000C,00100,0100,G 97763,A81000C,00100,0400,GENERATIONS HEA 97763,A81000C,00100,0600,HEALTHCARE 97763,A81000C,00200,0100,G 97763,A81000C,00200,0400,GENERATION REGI 97763,A81000C,00200,0600,HEALTHCARE 97763,A81000C,00300,0100,G 97763,A81000C,00300,0400,R & E LAUNDRY 97763,A81000C,00300,0600,LAUNDRY SERVICE 97763,A81000C,00400,0100,G 97763,A81000C,00400,0400,BASIC 4 FOOD SE 97763,A81000C,00400,0600,FOOD SERVICES 97763,A81000C,00500,0100,G 97763,A81000C,00500,0400,THERAGEN 97763,A81000C,00500,0600,THERAPY SERVICE 97763,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97763,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97763,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97763,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97763,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97763,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97763,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97763,B100000,00000,0800,00000MEALS SERVED :DIETARY 97763,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 97763,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97763,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 97763,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 97763,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97763,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97763,S000000,00100,0200,05/31/2000 97763,S200000,00100,0100,541 V STREET 97763,S200000,00200,0100,NATIONAL CITY 97763,S200000,00200,0200,CA 97763,S200000,00200,0300,92050- 97763,S200000,00300,0100,SAN DIEGO 97763,S200000,00400,0100,CASTLE MANOR CONVALESCENT CENTER 97763,S200000,00400,0200,555263 97763,S200000,00400,0300,01/01/1990 97763,S200000,00400,0500,P 97763,S200000,00400,0600,O 97763,S200000,00600,0200,555263 97763,S200000,00600,0300,01/01/1990 97763,S200000,00600,0600,P 97763,S200000,01600,0100,Y 97763,S700003,00000,0100,1 97772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97772,A000000,00300,0000,00300EMPLOYEE BENEFITS 97772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97772,A000000,00700,0000,00700HOUSEKEEPING 97772,A000000,00800,0000,00800DIETARY 97772,A000000,00900,0000,00900NURSING ADMINISTRATION 97772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97772,A000000,01100,0000,01100PHARMACY 97772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97772,A000000,01300,0000,01300SOCIAL SERVICE 97772,A000000,01350,0000,01500OTHER GENERAL SERVICES 97772,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97772,A000000,01600,0000,01600SKILLED NURSING FACILITY 97772,A000000,01800,0000,01800NURSING FACILITY 97772,A000000,01900,0000,01900OTHER LONG TERM CARE 97772,A000000,02100,0000,02100RADIOLOGY 97772,A000000,02200,0000,02200LABORATORY 97772,A000000,02300,0000,02300INTRAVENOUS THERAPY 97772,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97772,A000000,02500,0000,02500PHYSICAL THERAPY 97772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97772,A000000,02700,0000,02700SPEECH PATHOLOGY 97772,A000000,02800,0000,02800ELECTROCARDIOLOGY 97772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97772,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97772,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97772,A000000,03200,0000,03200SUPPORT SURFACES 97772,A000000,03400,0000,03400CLINIC 97772,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97772,A000000,03500,0000,03500RURAL HEALTH CLINIC 97772,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97772,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97772,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97772,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97772,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97772,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97772,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97772,A000000,04400,0000,04400DME RENTED - HHA 97772,A000000,04500,0000,04500DME SOLD - HHA 97772,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97772,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97772,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97772,A000000,04800,0000,04800AMBULANCE 97772,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97772,A000000,05000,0000,05000CORF 97772,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97772,A000000,05300,0000,05300INTEREST EXPENSE 97772,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97772,A000000,05500,0000,05500HOSPICE 97772,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97772,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97772,A000000,06100,0000,06100NONPAID WORKERS 97772,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97772,A000000,06200,0000,06200PATIENTS LAUNDRY 97772,A81000A,00100,0100,Y 97772,A81000B,00100,0300,MANAGEMENT FEE 97772,A81000C,00100,0100,F 97772,A81000C,00100,0200,J & D SORENSEN D LAWS 97772,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 97772,A81000C,00100,0600,MANAGEMENT 97772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97772,B100000,00000,0250,00000SQUARE FET :CAP REL COSTS - MOVABL 97772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97772,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 97772,B100000,00000,0750,00000HRS OF SERV. :HOUSEKEEPING 97772,B100000,00000,0800,00000MEALS SERVED :DIETARY 97772,B100000,00000,0900,00000NRSG HOURS :NURSING ADMINISTRATION 97772,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97772,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97772,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97772,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97772,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97772,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97772,S000000,00100,0200,05/15/2000 97772,S200000,00100,0100,2120 STOCKTON BLVD. 97772,S200000,00200,0100,SACRAMENTO 97772,S200000,00200,0200,CA 97772,S200000,00200,0300,95817- 97772,S200000,00300,0100,SACRAMENTO 97772,S200000,00400,0100,VALLEY SKILLED NURSING FACILITY 97772,S200000,00400,0200,555265 97772,S200000,00400,0300,03/23/1995 97772,S200000,00400,0500,P 97772,S200000,00600,0200,555265 97772,S200000,00600,0300,03/23/1995 97772,S200000,00600,0600,P 97772,S200000,01600,0100,Y 97772,S200000,02200,0100,Y 97772,S700003,00000,0100,1 97779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97779,A000000,00300,0000,00300EMPLOYEE BENEFITS 97779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97779,A000000,00700,0000,00700HOUSEKEEPING 97779,A000000,00800,0000,00800DIETARY 97779,A000000,00900,0000,00900NURSING ADMINISTRATION 97779,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97779,A000000,01100,0000,01100PHARMACY 97779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97779,A000000,01300,0000,01300SOCIAL SERVICE 97779,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97779,A000000,01600,0000,01600SKILLED NURSING FACILITY 97779,A000000,02100,0000,02100RADIOLOGY 97779,A000000,02500,0000,02500PHYSICAL THERAPY 97779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97779,A000000,02700,0000,02700SPEECH PATHOLOGY 97779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97779,A000000,06150,0000,06300NON-REIMBURSABLE COSTS 97779,A81000A,00100,0100,Y 97779,A81000B,00100,0300,ADMIN. & GEN.-ACCTG. & MGMT. 97779,A81000C,00100,0100,B 97779,A81000C,00100,0400,EHF 97779,A81000C,00100,0600,CORP OFF. 97779,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97779,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97779,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97779,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97779,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97779,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97779,B100000,00000,0800,00000MEALS SERVED :DIETARY 97779,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97779,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97779,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97779,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97779,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97779,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97779,S000000,00100,0200,09/05/2000 97779,S200000,00100,0100,5555 MONTGOMERY DRIVE 97779,S200000,00200,0100,SANTA ROSA 97779,S200000,00200,0200,CA 97779,S200000,00200,0300,95405- 97779,S200000,00300,0100,SONOMA 97779,S200000,00400,0100,SPRING LAKE VILLAGE 97779,S200000,00400,0200,555268 97779,S200000,00400,0300,12/04/1986 97779,S200000,00400,0500,P 97779,S700003,00000,0100,1 97786,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97786,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97786,A000000,00300,0000,00300EMPLOYEE BENEFITS 97786,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97786,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97786,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97786,A000000,00700,0000,00700HOUSEKEEPING 97786,A000000,00800,0000,00800DIETARY 97786,A000000,00900,0000,00900NURSING ADMINISTRATION 97786,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97786,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97786,A000000,01300,0000,01300SOCIAL SERVICE 97786,A000000,01600,0000,01600SKILLED NURSING FACILITY 97786,A000000,01800,0000,01800NURSING FACILITY 97786,A000000,01900,0000,01900OTHER LONG TERM CARE 97786,A000000,02100,0000,02100RADIOLOGY 97786,A000000,02200,0000,02200LABORATORY 97786,A000000,02300,0000,02300INTRAVENOUS THERAPY 97786,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97786,A000000,02500,0000,02500PHYSICAL THERAPY 97786,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97786,A000000,02700,0000,02700SPEECH PATHOLOGY 97786,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97786,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97786,A000000,03200,0000,03200SUPPORT SURFACES 97786,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97786,A000000,04800,0000,04800AMBULANCE 97786,A000000,05300,0000,05300INTEREST EXPENSE 97786,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97786,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97786,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97786,A000000,06200,0000,06200PATIENTS LAUNDRY 97786,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97786,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97786,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97786,B100000,00000,0400,00000 ACCUM. 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JOHNSON 97794,A81000C,00100,0600,LESSOR 97794,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97794,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97794,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97794,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97794,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97794,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97794,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97794,B100000,00000,0800,00000MEALS SERVED :DIETARY 97794,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97794,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97794,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 97794,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97794,S000000,00100,0200,06/05/2000 97794,S200000,00100,0100,14750 EL CAMINO REAL 97794,S200000,00200,0100,DEL MAR 97794,S200000,00200,0200,CA 97794,S200000,00200,0300,92014- 97794,S200000,00300,0100,SAN DIEGO 97794,S200000,00300,0200,7320 97794,S200000,00300,0300,U 97794,S200000,00400,0100,CASA PALMERA CARE CENTER INC. 97794,S200000,00400,0200,555285 97794,S200000,00400,0300,06/05/1987 97794,S200000,00400,0500,P 97794,S200000,01600,0100,Y 97801,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97801,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97801,A000000,00300,0000,00300EMPLOYEE BENEFITS 97801,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97801,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97801,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97801,A000000,00700,0000,00700HOUSEKEEPING 97801,A000000,00800,0000,00800DIETARY 97801,A000000,00900,0000,00900NURSING ADMINISTRATION 97801,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97801,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97801,A000000,01300,0000,01300SOCIAL SERVICE 97801,A000000,01301,0000,01301ACTIVITIES 97801,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 97801,A000000,01600,0000,01600SKILLED NURSING FACILITY 97801,A000000,01800,0000,01800NURSING FACILITY 97801,A000000,01810,0000,01810ICF/MR 97801,A000000,01900,0000,01900OTHER LONG TERM CARE 97801,A000000,02100,0000,02100RADIOLOGY 97801,A000000,02200,0000,02200LABORATORY 97801,A000000,02300,0000,02300INTRAVENOUS THERAPY 97801,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97801,A000000,02500,0000,02500PHYSICAL THERAPY 97801,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97801,A000000,02700,0000,02700SPEECH PATHOLOGY 97801,A000000,02800,0000,02800ELECTROCARDIOLOGY 97801,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97801,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97801,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97801,A000000,03051,0000,03301PEN THERAPY 97801,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97801,A000000,03200,0000,03200SUPPORT SURFACES 97801,A000000,03400,0000,03400CLINIC 97801,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97801,A000000,03500,0000,03500RURAL HEALTH CLINIC 97801,A000000,04800,0000,04800AMBULANCE 97801,A000000,05000,0000,05000CORF 97801,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97801,A000000,05300,0000,05300INTEREST EXPENSE 97801,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97801,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97801,A000000,05500,0000,05500HOSPICE 97801,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97801,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97801,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97801,A000000,06100,0000,06100NONPAID WORKERS 97801,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97801,A000000,06200,0000,06200PATIENTS LAUNDRY 97801,A81000A,00100,0100,Y 97801,A81000B,00100,0300,HOME OFFICE ALLOCATION 97801,A81000B,00200,0300,CENTRAL SUPPLY 97801,A81000B,00300,0300,MEDICAL SUPPLIES 97801,A81000B,00400,0300,CAPITAL 97801,A81000C,00100,0100,B 97801,A81000C,00100,0200,DIAMOND RIDGE 1 97801,A81000C,00100,0400,MARINER POST AC 97801,A81000C,00100,0600,NURSING HOMES 97801,A81000C,00200,0100,G 97801,A81000C,00200,0200,MARINER POST AC 97801,A81000C,00200,0400,AMERICAN PHARMA 97801,A81000C,00200,0600,PHARMACUTICALS 97801,A81000C,00300,0100,G 97801,A81000C,00300,0200,MARINER POST AC 97801,A81000C,00300,0400,PRISM (ATS ARS 97801,A81000C,00300,0600,THERAPIES 97801,A81000C,03100,0000,MARINER POST ACUTE NETWORK 97801,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97801,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97801,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97801,B100000,00000,0400,00000 ACCUM. 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COST :ADMINISTRATIVE & GENE 97864,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97864,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97864,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97864,B100000,00000,0800,00000MEALS SERVED :DIETARY 97864,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 97864,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97864,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97864,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97864,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 97864,S000000,00100,0200,10/19/2000 97864,S200000,00100,0100,11680 WARNER AVENUE 97864,S200000,00200,0100,FOUNTAIN VALLEY 97864,S200000,00200,0200,CA 97864,S200000,00200,0300,92708- 97864,S200000,00300,0100,ORANGE 97864,S200000,00300,0200,5945 97864,S200000,00300,0300,U 97864,S200000,00400,0100,MCHS-FOUNTAIN VALLEY 97864,S200000,00400,0200,555328 97864,S200000,00400,0300,02/09/1989 97864,S200000,00400,0500,P 97864,S200000,00400,0600,P 97864,S200000,01004,0500,O 97864,S200000,01600,0100,Y 97864,S200000,02200,0100,Y 97872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97872,A000000,00300,0000,00300EMPLOYEE BENEFITS 97872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97872,A000000,00700,0000,00700HOUSEKEEPING 97872,A000000,00800,0000,00800DIETARY 97872,A000000,00900,0000,00900NURSING ADMINISTRATION 97872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97872,A000000,01300,0000,01300SOCIAL SERVICE 97872,A000000,01600,0000,01600SKILLED NURSING FACILITY 97872,A000000,01800,0000,01800NURSING FACILITY 97872,A000000,01900,0000,01900OTHER LONG TERM CARE 97872,A000000,02100,0000,02100RADIOLOGY 97872,A000000,02200,0000,02200LABORATORY 97872,A000000,02300,0000,02300INTRAVENOUS THERAPY 97872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97872,A000000,02500,0000,02500PHYSICAL THERAPY 97872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97872,A000000,02700,0000,02700SPEECH PATHOLOGY 97872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97872,A000000,03200,0000,03200SUPPORT SURFACES 97872,A000000,05000,0000,05000CORF 97872,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97872,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97872,A81000A,00100,0100,Y 97872,A81000B,00100,0300,HOME OFFICE CAPITAL 97872,A81000B,00200,0300,MANAGEMENT FEE 97872,A81000C,00100,0100,A 97872,A81000C,00100,0200,LYDIA GOODELL 97872,A81000C,00100,0400,LTG MGMT SERVIC 97872,A81000C,00100,0600,MGMT COMPANY 97872,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97872,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97872,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97872,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97872,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97872,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97872,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97872,B100000,00000,0800,00000MEALS SERVED :DIETARY 97872,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97872,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97872,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97872,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97872,S000000,00100,0200,06/12/2000 97872,S200000,00100,0100,1130 WEST LA PALMA AVENUE 97872,S200000,00200,0100,ANAHEIM 97872,S200000,00200,0200,CA 97872,S200000,00200,0300,92801- 97872,S200000,00300,0100,ORANGE 97872,S200000,00400,0100,LA PALMA NURSING CENTER 97872,S200000,00400,0200,555329 97872,S200000,00400,0300,01/01/1967 97872,S200000,00400,0500,P 97872,S200000,01600,0100,Y 97872,S700003,00000,0100,1 97880,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97880,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97880,A000000,00300,0000,00300EMPLOYEE BENEFITS 97880,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97880,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97880,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97880,A000000,00700,0000,00700HOUSEKEEPING 97880,A000000,00800,0000,00800DIETARY 97880,A000000,00900,0000,00900NURSING ADMINISTRATION 97880,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97880,A000000,01600,0000,01600SKILLED NURSING FACILITY 97880,A000000,01800,0000,01800NURSING FACILITY 97880,A000000,02100,0000,02100RADIOLOGY 97880,A000000,02200,0000,02200LABORATORY 97880,A000000,02300,0000,02300INTRAVENOUS THERAPY 97880,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97880,A000000,02500,0000,02500PHYSICAL THERAPY 97880,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97880,A000000,02700,0000,02700SPEECH PATHOLOGY 97880,A000000,02800,0000,02800ELECTROCARDIOLOGY 97880,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97880,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97880,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97880,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97880,A81000A,00100,0100,Y 97880,A81000B,00100,0300,HOME OFFICE EXPENSE 97880,A81000C,00100,0100,A 97880,A81000C,00100,0200,EMMANUEL BERNAB 97880,A81000C,00100,0400,PLEASANT CARE C 97880,A81000C,00100,0600,HEALTH CARE PRO 97880,A81000C,00200,0100,A 97880,A81000C,00200,0200,EMMANUEL BERNAB 97880,A81000C,00200,0400,PCC HEALTH SVCS 97880,A81000C,00200,0600,HEALTH CARE PRO 97880,A81000C,00300,0100,A 97880,A81000C,00300,0200,EMMANUEL BERNAB 97880,A81000C,00300,0400,ATLAS CARE ENTE 97880,A81000C,00300,0600,HEALTH CARE PRO 97880,A81000C,00400,0100,A 97880,A81000C,00400,0200,EMMANUEL BERNAB 97880,A81000C,00400,0400,EMBER CARE CORP 97880,A81000C,00400,0600,HEALTH CARE PRO 97880,A81000C,00500,0100,A 97880,A81000C,00500,0200,EMMANUEL BERNAB 97880,A81000C,00500,0400,SNF PROPERTIES 97880,A81000C,00500,0600,HEALTH CARE PRO 97880,A81000C,00600,0100,A 97880,A81000C,00600,0200,EMMANUEL BERNAB 97880,A81000C,00600,0400,STOCKTON EDISON 97880,A81000C,00600,0600,HEALTH CARE PRO 97880,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97880,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97880,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97880,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97880,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97880,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97880,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97880,B100000,00000,0800,00000MEALS SERVED :DIETARY 97880,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97880,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97880,S000000,00100,0200,10/02/2000 97880,S200000,00100,0100,8781 LAKEVIEW AVENUE 97880,S200000,00200,0100,RIVERSIDE 97880,S200000,00200,0200,CA 97880,S200000,00200,0300,92509- 97880,S200000,00300,0100,RIVERSIDE 97880,S200000,00300,0200,6780 97880,S200000,00300,0300,U 97880,S200000,00400,0100,PLEASANT CARE CONVAL - RIVERSIDE 97880,S200000,00400,0200,555330 97880,S200000,00400,0300,05/01/1994 97880,S200000,00400,0500,P 97880,S200000,00600,0200,555330 97880,S200000,00600,0300,05/01/1994 97880,S200000,00600,0600,P 97880,S200000,01600,0100,Y 97880,S200000,04300,0100,Y 97888,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97888,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97888,A000000,00300,0000,00300EMPLOYEE BENEFITS 97888,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97888,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97888,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97888,A000000,00700,0000,00700HOUSEKEEPING 97888,A000000,00800,0000,00800DIETARY 97888,A000000,00900,0000,00900NURSING ADMINISTRATION 97888,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97888,A000000,01100,0000,01100PHARMACY 97888,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97888,A000000,01300,0000,01300SOCIAL SERVICE 97888,A000000,01350,0000,01500OTHER GENERAL SERVICES 97888,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97888,A000000,01600,0000,01600SKILLED NURSING FACILITY 97888,A000000,01800,0000,01800NURSING FACILITY 97888,A000000,01810,0000,01810ICF/MR 97888,A000000,01900,0000,01900OTHER LONG TERM CARE 97888,A000000,02100,0000,02100RADIOLOGY 97888,A000000,02200,0000,02200LABORATORY 97888,A000000,02300,0000,02300INTRAVENOUS THERAPY 97888,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97888,A000000,02500,0000,02500PHYSICAL THERAPY 97888,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97888,A000000,02700,0000,02700SPEECH PATHOLOGY 97888,A000000,02800,0000,02800ELECTROCARDIOLOGY 97888,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97888,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97888,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97888,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97888,A000000,03200,0000,03200SUPPORT SURFACES 97888,A000000,03400,0000,03400CLINIC 97888,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97888,A000000,03500,0000,03500RURAL HEALTH CLINIC 97888,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97888,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97888,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97888,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97888,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97888,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97888,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97888,A000000,04400,0000,04400DME RENTED - HHA 97888,A000000,04500,0000,04500DME SOLD - HHA 97888,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97888,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97888,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97888,A000000,04800,0000,04800AMBULANCE 97888,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97888,A000000,05000,0000,05000CORF 97888,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97888,A000000,05300,0000,05300INTEREST EXPENSE 97888,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97888,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97888,A000000,05500,0000,05500HOSPICE 97888,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97888,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97888,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97888,A000000,06100,0000,06100NONPAID WORKERS 97888,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97888,A000000,06200,0000,06200PATIENTS LAUNDRY 97888,A81000A,00100,0100,Y 97888,A81000B,00100,0300,FACILITY RENT 97888,A81000B,00200,0300,DEPRECIATION 97888,A81000B,00300,0300,INTEREST 97888,A81000C,00100,0100,B 97888,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97888,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97888,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97888,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97888,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97888,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97888,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97888,B100000,00000,0800,00000MEALS SERVED :DIETARY 97888,B100000,00000,0950,00000ADMISSIONS S :NURSING ADMINISTRATI 97888,B100000,00000,1250,00000ADMISSIONS S :MEDICAL RECORDS & LI 97888,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97888,S000000,00100,0200,11/06/2000 97888,S200000,00100,0100,4301 CAROLINE COURT 97888,S200000,00200,0100,RIVERSIDE 97888,S200000,00200,0200,CA 97888,S200000,00200,0300,92506- 97888,S200000,00300,0100,RIVERSIDE 97888,S200000,00300,0200,6780 97888,S200000,00300,0300,U 97888,S200000,00400,0100,CHAPMAN CONVALESCENT HOSPITAL 97888,S200000,00400,0200,555331 97888,S200000,00400,0300,03/01/1989 97888,S200000,00400,0500,P 97888,S200000,01200,0200,051643 97888,S200000,01200,0300,03/01/1998 97888,S200000,01600,0100,Y 97893,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97893,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97893,A000000,00300,0000,00300EMPLOYEE BENEFITS 97893,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97893,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97893,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97893,A000000,00700,0000,00700HOUSEKEEPING 97893,A000000,00800,0000,00800DIETARY 97893,A000000,00900,0000,00900NURSING ADMINISTRATION 97893,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97893,A000000,01100,0000,01100PHARMACY 97893,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97893,A000000,01300,0000,01300SOCIAL SERVICE 97893,A000000,01301,0000,01301SOCIAL SERVICES 97893,A000000,01302,0000,01302ACTIVITIES 97893,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97893,A000000,01600,0000,01600SKILLED NURSING FACILITY 97893,A000000,01800,0000,01800NURSING FACILITY 97893,A000000,01810,0000,01810ICF/MR 97893,A000000,02100,0000,02100RADIOLOGY 97893,A000000,02200,0000,02200LABORATORY 97893,A000000,02300,0000,02300INTRAVENOUS THERAPY 97893,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97893,A000000,02500,0000,02500PHYSICAL THERAPY 97893,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97893,A000000,02700,0000,02700SPEECH PATHOLOGY 97893,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97893,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97893,A000000,03050,0000,03301NUTRITIONAL SERVICES 97893,A000000,03550,0000,03550FQHC 97893,A000000,05000,0000,05000CORF 97893,A000000,05010,0000,05010CMHC 97893,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 97893,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 97893,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 97893,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97893,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97893,A000000,06100,0000,06100NONPAID WORKERS 97893,A81000A,00100,0100,Y 97893,A81000B,00100,0300,HOME OFFICE COSTS 97893,A81000C,00100,0100,A 97893,A81000C,00100,0400,TENET HEALTHCAR 97893,A81000C,00100,0600,HEALTHCARE 97893,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97893,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97893,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97893,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97893,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97893,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97893,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97893,B100000,00000,0800,00000MEALS SERVED :DIETARY 97893,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 97893,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 97893,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 97893,B100000,00000,1250,00000PATIENT REVENUE :MEDICAL RECORDS & 97893,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICES 97893,B100000,00000,1332,00000PATIENT DAYS :ACTIVITIES 97893,S000000,00100,0200,12/04/2000 97893,S200000,00100,0100,6599 ALVARADO ROAD 97893,S200000,00200,0100,SAN DIEGO 97893,S200000,00200,0200,CA 97893,S200000,00200,0300,92120- 97893,S200000,00300,0100,SAN DIEGO 97893,S200000,00300,0200,7320 97893,S200000,00300,0300,U 97893,S200000,00400,0100,ALVARADO CONVALESCENT & REHAB HOSPIT 97893,S200000,00400,0200,555334 97893,S200000,00400,0300,07/01/1966 97893,S200000,00400,0500,P 97893,S200000,00400,0600,O 97893,S200000,01500,0100,Y 97893,S200000,04200,0100,Y 97900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97900,A000000,00300,0000,00300EMPLOYEE BENEFITS 97900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97900,A000000,00700,0000,00700HOUSEKEEPING 97900,A000000,00800,0000,00800DIETARY 97900,A000000,00900,0000,00900NURSING ADMINISTRATION 97900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97900,A000000,01600,0000,01600SKILLED NURSING FACILITY 97900,A000000,01800,0000,01800NURSING FACILITY 97900,A000000,02100,0000,02100RADIOLOGY 97900,A000000,02200,0000,02200LABORATORY 97900,A000000,02300,0000,02300INTRAVENOUS THERAPY 97900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97900,A000000,02500,0000,02500PHYSICAL THERAPY 97900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97900,A000000,02700,0000,02700SPEECH PATHOLOGY 97900,A000000,02800,0000,02800ELECTROCARDIOLOGY 97900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97900,A81000A,00100,0100,Y 97900,A81000B,00100,0300,HOME OFFICE EXPENSE 97900,A81000C,00100,0100,A 97900,A81000C,00100,0200,EMMANUEL BERNAB 97900,A81000C,00100,0400,PLEASANT CARE C 97900,A81000C,00100,0600,HEALTH CARE PRO 97900,A81000C,00200,0100,A 97900,A81000C,00200,0200,EMMANUEL BERNAB 97900,A81000C,00200,0400,PCC HEALTH SVCS 97900,A81000C,00200,0600,HEALTH CARE PRO 97900,A81000C,00300,0100,A 97900,A81000C,00300,0200,EMMANUEL BERNAB 97900,A81000C,00300,0400,ATLAS CARE CORP 97900,A81000C,00300,0600,HEALTH CARE PRO 97900,A81000C,00400,0100,A 97900,A81000C,00400,0200,EMMANUEL BERNAB 97900,A81000C,00400,0400,EMBER CARE CORP 97900,A81000C,00400,0600,HEALTH CARE PRO 97900,A81000C,00500,0100,A 97900,A81000C,00500,0200,EMMANUEL BERNAB 97900,A81000C,00500,0400,SNF PROPERTIES 97900,A81000C,00500,0600,HEALTH CARE PRO 97900,A81000C,00600,0100,A 97900,A81000C,00600,0200,EMMANUEL BERNAB 97900,A81000C,00600,0400,STOCKTON EDISON 97900,A81000C,00600,0600,HEALTH CARE PRO 97900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97900,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97900,B100000,00000,0800,00000MEALS SERVED :DIETARY 97900,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 97900,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97900,S000000,00100,0200,09/01/2000 97900,S200000,00100,0100,329 REAL ROAD 97900,S200000,00200,0100,BAKERSFIELD 97900,S200000,00200,0200,CA 97900,S200000,00200,0300,93309- 97900,S200000,00300,0100,KERN 97900,S200000,00300,0200,0680 97900,S200000,00300,0300,U 97900,S200000,00400,0100,EMMANUEL CONVAL HOSPITAL - PARKVIEW 97900,S200000,00400,0200,555336 97900,S200000,00400,0300,04/01/1997 97900,S200000,00400,0500,P 97900,S200000,00600,0200,555336 97900,S200000,00600,0300,04/01/1997 97900,S200000,00600,0600,P 97900,S200000,01600,0100,Y 97900,S200000,04300,0100,Y 97908,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97908,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97908,A000000,00300,0000,00300EMPLOYEE BENEFITS 97908,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97908,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97908,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97908,A000000,00700,0000,00700HOUSEKEEPING 97908,A000000,00800,0000,00800DIETARY 97908,A000000,00900,0000,00900NURSING ADMINISTRATION 97908,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97908,A000000,01100,0000,01100PHARMACY 97908,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97908,A000000,01300,0000,01300SOCIAL SERVICE 97908,A000000,01350,0000,01500ACTIVITIES 97908,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97908,A000000,01600,0000,01600SKILLED NURSING FACILITY 97908,A000000,01800,0000,01800NURSING FACILITY 97908,A000000,01900,0000,01900OTHER LONG TERM CARE 97908,A000000,02100,0000,02100RADIOLOGY 97908,A000000,02200,0000,02200LABORATORY 97908,A000000,02300,0000,02300INTRAVENOUS THERAPY 97908,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97908,A000000,02500,0000,02500PHYSICAL THERAPY 97908,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97908,A000000,02700,0000,02700SPEECH PATHOLOGY 97908,A000000,02800,0000,02800ELECTROCARDIOLOGY 97908,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97908,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97908,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97908,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97908,A000000,03200,0000,03200SUPPORT SURFACES 97908,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 97908,A000000,04800,0000,04800AMBULANCE 97908,A000000,05300,0000,05300INTEREST EXPENSE 97908,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 97908,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97908,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97908,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97908,A000000,06100,0000,06100NONPAID WORKERS 97908,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97908,A000000,06200,0000,06200PATIENTS LAUNDRY 97908,A81000A,00100,0100,Y 97908,A81000B,00100,0300,HOME OFFICE COST 97908,A81000B,00200,0300,PT ADMIN FEE 97908,A81000B,00300,0300,OT ADMIN FEE 97908,A81000B,00400,0300,ST ADMIN FEE 97908,A81000C,00100,0100,B 97908,A81000C,00100,0200,MCHS - CITRUS HEIGHTS 97908,A81000C,00100,0400,HCR MANORCARE INC. 97908,A81000C,00100,0600,LONG TERM CARE FACILITIES 97908,A81000C,00200,0100,B 97908,A81000C,00200,0200,MCHS - CITRUS HEIGHTS 97908,A81000C,00200,0400,HEARTLAND MGMT SERV. 97908,A81000C,00200,0600,THERAPY MANAGEMENT 97908,A81000C,00300,0100,B 97908,A81000C,00300,0200,MCHS - CITRUS HEIGHTS 97908,A81000C,00300,0400,HEARTLAND MGMT SERV. 97908,A81000C,00300,0600,THERAPY MANAGEMENT 97908,A81000C,00400,0100,B 97908,A81000C,00400,0200,MCHS - CITRUS HEIGHTS 97908,A81000C,00400,0400,HEARTLAND MGMT SERV. 97908,A81000C,00400,0600,THERAPY MANAGEMENT 97908,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97908,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97908,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97908,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97908,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97908,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97908,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97908,B100000,00000,0800,00000MEALS SERVED :DIETARY 97908,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 97908,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97908,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97908,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97908,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97908,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 97908,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 97908,S000000,00100,0200,11/01/2000 97908,S200000,00100,0100,7807 UPLANDS WAY 97908,S200000,00200,0100,CITRUS HEIGHTS 97908,S200000,00200,0200,CA 97908,S200000,00200,0300,95610- 97908,S200000,00300,0100,SACRAMENTO 97908,S200000,00400,0100,MCHS - CITRUS HEIGHTS 97908,S200000,00400,0200,555337 97908,S200000,00400,0300,01/01/1989 97908,S200000,00400,0500,P 97908,S200000,00400,0600,P 97908,S200000,01004,0500,O 97908,S200000,01600,0100,Y 97908,S200000,02200,0100,Y 97916,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97916,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97916,A000000,00300,0000,00300EMPLOYEE BENEFITS 97916,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97916,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97916,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97916,A000000,00700,0000,00700HOUSEKEEPING 97916,A000000,00800,0000,00800DIETARY 97916,A000000,00900,0000,00900NURSING ADMINISTRATION 97916,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97916,A000000,01100,0000,01100PHARMACY 97916,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97916,A000000,01300,0000,01300SOCIAL SERVICE 97916,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97916,A000000,01600,0000,01600SKILLED NURSING FACILITY 97916,A000000,01800,0000,01800NURSING FACILITY 97916,A000000,01810,0000,01810ICF/MR 97916,A000000,01900,0000,01900OTHER LONG TERM CARE 97916,A000000,02100,0000,02100RADIOLOGY 97916,A000000,02200,0000,02200LABORATORY 97916,A000000,02300,0000,02300INTRAVENOUS THERAPY 97916,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97916,A000000,02500,0000,02500PHYSICAL THERAPY 97916,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97916,A000000,02700,0000,02700SPEECH PATHOLOGY 97916,A000000,02800,0000,02800ELECTROCARDIOLOGY 97916,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97916,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97916,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97916,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97916,A000000,03200,0000,03200SUPPORT SURFACES 97916,A000000,03400,0000,03400CLINIC 97916,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 97916,A000000,03500,0000,03500RURAL HEALTH CLINIC 97916,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97916,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97916,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97916,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97916,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97916,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97916,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97916,A000000,04400,0000,04400DME RENTED - HHA 97916,A000000,04500,0000,04500DME SOLD - HHA 97916,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97916,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97916,A000000,04800,0000,04800AMBULANCE 97916,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97916,A000000,05000,0000,05000CORF 97916,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97916,A000000,05300,0000,05300INTEREST EXPENSE 97916,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97916,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97916,A000000,05500,0000,05500HOSPICE 97916,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97916,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97916,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97916,A000000,06100,0000,06100NONPAID WORKERS 97916,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 97916,A000000,06200,0000,06200PATIENTS LAUNDRY 97916,A81000A,00100,0100,Y 97916,A81000B,00100,0300,CRC BUILDINGS 97916,A81000B,00200,0300,CRC EQUIPMENT 97916,A81000B,00300,0300,EMP BENEFITS 97916,A81000B,00400,0300,ADMIN & GENERAL 97916,A81000B,00500,0300,PLANT OPERATIONS 97916,A81000C,00100,0100,E 97916,A81000C,00100,0200,STEVE PAVLOW 97916,A81000C,00100,0400,QLTC 97916,A81000C,00100,0600,MANAGEMENT 97916,A81000C,00200,0100,E 97916,A81000C,00200,0200,SCOTT DALE 97916,A81000C,00200,0400,QLTC 97916,A81000C,00200,0600,MANAGEMENT 97916,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97916,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97916,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97916,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97916,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97916,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97916,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97916,B100000,00000,0800,00000MEALS SERVED :DIETARY 97916,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97916,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 97916,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 97916,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97916,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97916,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97916,S000000,00100,0200,05/24/2000 97916,S200000,00100,0100,1836 NORTH FAIR OAKS AVE 97916,S200000,00200,0100,PASADENA 97916,S200000,00200,0200,CA 97916,S200000,00200,0300,91103- 97916,S200000,00300,0100,LOS ANGELES 97916,S200000,00400,0100,BRIGHTON CONV. CENTER 97916,S200000,00400,0200,555338 97916,S200000,00400,0300,02/10/1989 97916,S200000,00400,0500,P 97916,S200000,01600,0100,Y 97916,S700003,00000,0100,1 97921,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97921,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97921,A000000,00300,0000,00300EMPLOYEE BENEFITS 97921,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97921,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97921,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97921,A000000,00700,0000,00700HOUSEKEEPING 97921,A000000,00800,0000,00800DIETARY 97921,A000000,00900,0000,00900NURSING ADMINISTRATION 97921,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97921,A000000,01100,0000,01100PHARMACY 97921,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97921,A000000,01300,0000,01300SOCIAL SERVICE 97921,A000000,01350,0000,01500ACTIVITIES 97921,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97921,A000000,01600,0000,01600SKILLED NURSING FACILITY 97921,A000000,01800,0000,01800NURSING FACILITY 97921,A000000,01900,0000,01900OTHER LONG TERM CARE 97921,A000000,02100,0000,02100RADIOLOGY 97921,A000000,02200,0000,02200LABORATORY 97921,A000000,02300,0000,02300INTRAVENOUS THERAPY 97921,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97921,A000000,02500,0000,02500PHYSICAL THERAPY 97921,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97921,A000000,02700,0000,02700SPEECH PATHOLOGY 97921,A000000,02800,0000,02800ELECTROCARDIOLOGY 97921,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97921,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97921,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97921,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97921,A000000,03200,0000,03200SUPPORT SURFACES 97921,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 97921,A000000,04800,0000,04800AMBULANCE 97921,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97921,A000000,05300,0000,05300INTEREST EXPENSE 97921,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 97921,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97921,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97921,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97921,A000000,06100,0000,06100NONPAID WORKERS 97921,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97921,A000000,06200,0000,06200PATIENTS LAUNDRY 97921,A81000A,00100,0100,Y 97921,A81000B,00100,0300,HOME OFFICE COST 97921,A81000B,00200,0300,PT ADMIN FEES 97921,A81000B,00300,0300,OT ADIMIN FEES 97921,A81000B,00400,0300,ST ADMIN FEES 97921,A81000C,00100,0100,B 97921,A81000C,00100,0200,HCR MANORCARE 97921,A81000C,00100,0400,HCR MANORCARE INC. 97921,A81000C,00100,0600,LONG TERM CARE FACILITIES 97921,A81000C,00200,0100,B 97921,A81000C,00200,0200,MCHS PALM DESERT 97921,A81000C,00200,0400,HEARTLAND MGMT SERVICES 97921,A81000C,00200,0600,THERAPY MANAGEMENT 97921,A81000C,00300,0100,B 97921,A81000C,00300,0200,MCHS PALM DESERT 97921,A81000C,00300,0400,HEARTLAND MGMT SERVICES 97921,A81000C,00300,0600,THERAPY MANAGEMENT 97921,A81000C,00400,0100,B 97921,A81000C,00400,0200,MCHS PALM DESERT 97921,A81000C,00400,0400,HEARTLAHD MGMT SERVICES 97921,A81000C,00400,0600,THERAPY MANAGEMENT 97921,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97921,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97921,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97921,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97921,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97921,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 97921,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97921,B100000,00000,0800,00000MEALS SERVED :DIETARY 97921,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 97921,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97921,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97921,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97921,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97921,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 97921,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 97921,S000000,00100,0200,11/01/2000 97921,S200000,00100,0100,74-350 COUNTRY CLUB DRIVE 97921,S200000,00200,0100,PALM DESERT 97921,S200000,00200,0200,CA 97921,S200000,00200,0300,92260- 97921,S200000,00300,0100,RIVERSIDE 97921,S200000,00400,0100,MANOR CARE PALM DESERT 97921,S200000,00400,0200,555339 97921,S200000,00400,0300,02/09/1989 97921,S200000,00400,0500,P 97921,S200000,00400,0600,P 97921,S200000,01004,0500,O 97921,S200000,01600,0100,Y 97921,S200000,02200,0100,Y 97929,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97929,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97929,A000000,00300,0000,00300EMPLOYEE BENEFITS 97929,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97929,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97929,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97929,A000000,00700,0000,00700HOUSEKEEPING 97929,A000000,00800,0000,00800DIETARY 97929,A000000,00900,0000,00900NURSING ADMINISTRATION 97929,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97929,A000000,01100,0000,01100PHARMACY 97929,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97929,A000000,01300,0000,01300SOCIAL SERVICE 97929,A000000,01350,0000,01500OTHER GENERAL SERVICES 97929,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97929,A000000,01600,0000,01600SKILLED NURSING FACILITY 97929,A000000,01800,0000,01800NURSING FACILITY 97929,A000000,01810,0000,01801ICF/MR 97929,A000000,01900,0000,01900OTHER LONG TERM CARE 97929,A000000,02100,0000,02100RADIOLOGY 97929,A000000,02200,0000,02200LABORATORY 97929,A000000,02300,0000,02300INTRAVENOUS THERAPY 97929,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97929,A000000,02500,0000,02500PHYSICAL THERAPY 97929,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97929,A000000,02700,0000,02700SPEECH PATHOLOGY 97929,A000000,02800,0000,02800ELECTROCARDIOLOGY 97929,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97929,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97929,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97929,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97929,A000000,03200,0000,03200SUPPORT SURFACES 97929,A000000,03400,0000,03400CLINIC 97929,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97929,A000000,03500,0000,03500RURAL HEALTH CLINIC 97929,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97929,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97929,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97929,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97929,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97929,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97929,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97929,A000000,04400,0000,04400DME RENTED - HHA 97929,A000000,04500,0000,04500DME SOLD - HHA 97929,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97929,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97929,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97929,A000000,04800,0000,04800AMBULANCE 97929,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97929,A000000,05000,0000,05000CORF 97929,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97929,A000000,05300,0000,05300INTEREST EXPENSE 97929,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97929,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97929,A000000,05500,0000,05500HOSPICE 97929,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97929,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97929,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97929,A000000,06100,0000,06100NONPAID WORKERS 97929,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97929,A000000,06200,0000,06200PATIENTS LAUNDRY 97929,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97929,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97929,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97929,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97929,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97929,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97929,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97929,B100000,00000,0800,00000MEALS SERVED :DIETARY 97929,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97929,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97929,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97929,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97929,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97929,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97929,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97929,S000000,00100,0200,06/26/2000 97929,S200000,00100,0100,22103 REDWOOD ROAD 97929,S200000,00200,0100,CASTRO VALLEY 97929,S200000,00200,0200,CA 97929,S200000,00200,0300,94546- 97929,S200000,00300,0100,ALAMEDA 97929,S200000,00400,0100,REDWOOD CONVALESCENT HOSP. 97929,S200000,00400,0200,555341 97929,S200000,00400,0300,03/01/1989 97929,S200000,00400,0500,P 97929,S200000,01004,0500,O 97929,S200000,01500,0100,Y 97929,S200000,02200,0100,Y 97936,S000000,00100,0200,05/30/2000 97943,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97943,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97943,A000000,00300,0000,00300EMPLOYEE BENEFITS 97943,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97943,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97943,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97943,A000000,00700,0000,00700HOUSEKEEPING 97943,A000000,00800,0000,00800DIETARY 97943,A000000,00900,0000,00900NURSING ADMINISTRATION 97943,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97943,A000000,01100,0000,01100PHARMACY 97943,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97943,A000000,01300,0000,01300SOCIAL SERVICE 97943,A000000,01350,0000,01500OTHER GENERAL SERVICES 97943,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97943,A000000,01600,0000,01600SKILLED NURSING FACILITY 97943,A000000,01800,0000,01800NURSING FACILITY 97943,A000000,01810,0000,01810ICF/MR 97943,A000000,01900,0000,01900OTHER LONG TERM CARE 97943,A000000,02100,0000,02100RADIOLOGY 97943,A000000,02200,0000,02200LABORATORY 97943,A000000,02300,0000,02300INTRAVENOUS THERAPY 97943,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97943,A000000,02500,0000,02500PHYSICAL THERAPY 97943,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97943,A000000,02700,0000,02700SPEECH PATHOLOGY 97943,A000000,02800,0000,02800ELECTROCARDIOLOGY 97943,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97943,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97943,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97943,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97943,A000000,03200,0000,03200SUPPORT SURFACES 97943,A000000,03400,0000,03400CLINIC 97943,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97943,A000000,03500,0000,03500RURAL HEALTH CLINIC 97943,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97943,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97943,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97943,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97943,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97943,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97943,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97943,A000000,04400,0000,04400DME RENTED - HHA 97943,A000000,04500,0000,04500DME SOLD - HHA 97943,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97943,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97943,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97943,A000000,04800,0000,04800AMBULANCE 97943,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97943,A000000,05000,0000,05000CORF 97943,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97943,A000000,05300,0000,05300INTEREST EXPENSE 97943,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97943,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97943,A000000,05500,0000,05500HOSPICE 97943,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97943,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97943,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97943,A000000,06100,0000,06100NONPAID WORKERS 97943,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97943,A000000,06200,0000,06200PATIENTS LAUNDRY 97943,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97943,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97943,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97943,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97943,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97943,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97943,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97943,B100000,00000,0800,00000MEALS SERVED :DIETARY 97943,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97943,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97943,S000000,00100,0200,09/06/2000 97943,S200000,00100,0100,14500 FRUITVALE AVENUE 97943,S200000,00200,0100,SARATOGA 97943,S200000,00200,0200,CA 97943,S200000,00200,0300,95070- 97943,S200000,00300,0100,SANTA CLARA 97943,S200000,00300,0300,U 97943,S200000,00400,0100,SARATOGA RETIREMENT COMMUNITY 97943,S200000,00400,0200,555343 97943,S200000,00400,0300,05/01/1987 97943,S200000,00400,0500,P 97943,S200000,01500,0100,Y 97943,S200000,02800,0100,Y 97950,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97950,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97950,A000000,00300,0000,00300EMPLOYEE BENEFITS 97950,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97950,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97950,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97950,A000000,00700,0000,00700HOUSEKEEPING 97950,A000000,00800,0000,00800DIETARY 97950,A000000,00900,0000,00900NURSING ADMINISTRATION 97950,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97950,A000000,01100,0000,01100PHARMACY 97950,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97950,A000000,01300,0000,01300SOCIAL SERVICE 97950,A000000,01350,0000,01500OTHER GENERAL SERVICES 97950,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97950,A000000,01600,0000,01600SKILLED NURSING FACILITY 97950,A000000,01800,0000,01800NURSING FACILITY 97950,A000000,01810,0000,01801ICF/MR 97950,A000000,01900,0000,01900OTHER LONG TERM CARE 97950,A000000,02100,0000,02100RADIOLOGY 97950,A000000,02200,0000,02200LABORATORY 97950,A000000,02300,0000,02300INTRAVENOUS THERAPY 97950,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97950,A000000,02500,0000,02500PHYSICAL THERAPY 97950,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97950,A000000,02700,0000,02700SPEECH PATHOLOGY 97950,A000000,02800,0000,02800ELECTROCARDIOLOGY 97950,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97950,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97950,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97950,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97950,A000000,03200,0000,03200SUPPORT SURFACES 97950,A000000,03400,0000,03400CLINIC 97950,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97950,A000000,03500,0000,03500RURAL HEALTH CLINIC 97950,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97950,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97950,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97950,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97950,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97950,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97950,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97950,A000000,04400,0000,04400DME RENTED - HHA 97950,A000000,04500,0000,04500DME SOLD - HHA 97950,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97950,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97950,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97950,A000000,04800,0000,04800AMBULANCE 97950,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97950,A000000,05000,0000,05000CORF 97950,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97950,A000000,05300,0000,05300INTEREST EXPENSE 97950,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97950,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97950,A000000,05500,0000,05500HOSPICE 97950,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97950,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97950,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97950,A000000,06100,0000,06100NONPAID WORKERS 97950,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97950,A000000,06200,0000,06200PATIENTS LAUNDRY 97950,A81000A,00100,0100,Y 97950,A81000B,00100,0300,MANAGEMENT FEES 97950,A81000B,00200,0300,BUILDING LEASE 97950,A81000B,00300,0300,DEPRECIATION EXP-BUILDING 97950,A81000B,00400,0300,SHARED COST W/ELNESS C.H. 97950,A81000B,00500,0300,DEPR-EQPT HOME OFFICE 97950,A81000B,00600,0300,HOME OFFICE COSTS 97950,A81000B,00700,0300,ADMINISTRATIVE-WAGES 97950,A81000B,00800,0300,ADMIN-EMP. BENEFITS 97950,A81000C,00100,0100,A 97950,A81000C,00100,0200,MARY BAKER 97950,A81000C,00100,0400,ELNESS/BAKER PARTNERS 97950,A81000C,00100,0600,LESSOR 97950,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97950,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97950,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97950,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97950,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97950,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97950,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97950,B100000,00000,0800,00000MEALS SERVED :DIETARY 97950,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97950,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97950,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97950,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97950,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97950,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97950,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97950,S000000,00100,0200,04/06/2000 97950,S200000,00100,0100,180 STARR AVENUE 97950,S200000,00200,0100,TURLOCK 97950,S200000,00200,0200,CA 97950,S200000,00200,0300,95380- 97950,S200000,00300,0100,STANISLAUS 97950,S200000,00400,0100,BEL AIR LODGE CONVALESCENT HOSPITAL 97950,S200000,00400,0200,555347 97950,S200000,00400,0300,03/01/1989 97950,S200000,00400,0500,P 97950,S200000,01500,0100,Y 97950,S200000,02800,0100,Y 97950,S700003,00000,0100,1 97958,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97958,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97958,A000000,00300,0000,00300EMPLOYEE BENEFITS 97958,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97958,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97958,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97958,A000000,00700,0000,00700HOUSEKEEPING 97958,A000000,00800,0000,00800DIETARY 97958,A000000,00900,0000,00900NURSING ADMINISTRATION 97958,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97958,A000000,01100,0000,01100PHARMACY 97958,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97958,A000000,01300,0000,01300SOCIAL SERVICE 97958,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97958,A000000,01600,0000,01600SKILLED NURSING FACILITY 97958,A000000,01800,0000,01800NURSING FACILITY 97958,A000000,02100,0000,02100RADIOLOGY 97958,A000000,02200,0000,02200LABORATORY 97958,A000000,02300,0000,02300INTRAVENOUS THERAPY 97958,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97958,A000000,02500,0000,02500PHYSICAL THERAPY 97958,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97958,A000000,02700,0000,02700SPEECH PATHOLOGY 97958,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97958,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97958,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97958,A000000,03200,0000,03200SUPPORT SURFACES 97958,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97958,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 97958,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97958,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97958,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97958,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97958,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97958,B100000,00000,0800,00000MEALS SERVED :DIETARY 97958,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97958,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97958,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97958,S000000,00100,0200,07/18/2000 97958,S200000,00100,0100,3565 E. IMPERIAL HIGHWAY 97958,S200000,00200,0100,LYNWOOD 97958,S200000,00200,0200,CA 97958,S200000,00200,0300,90262- 97958,S200000,00300,0100,LOS ANGELES 97958,S200000,00300,0200,4480 97958,S200000,00300,0300,U 97958,S200000,00400,0100,ROYAL OAKS CARE CENTER 97958,S200000,00400,0200,555348 97958,S200000,00400,0300,03/01/1996 97958,S200000,00400,0500,P 97958,S200000,01600,0100,Y 97969,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97969,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97969,A000000,00300,0000,00300EMPLOYEE BENEFITS 97969,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97969,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97969,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97969,A000000,00700,0000,00700HOUSEKEEPING 97969,A000000,00800,0000,00800DIETARY 97969,A000000,00900,0000,00900NURSING ADMINISTRATION 97969,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97969,A000000,01100,0000,01100PHARMACY 97969,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97969,A000000,01300,0000,01300SOCIAL SERVICE 97969,A000000,01350,0000,01500OTHER GENERAL SERVICES 97969,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97969,A000000,01600,0000,01600SKILLED NURSING FACILITY 97969,A000000,01800,0000,01800NURSING FACILITY 97969,A000000,01810,0000,01801ICF/MR 97969,A000000,01900,0000,01900OTHER LONG TERM CARE 97969,A000000,02100,0000,02100RADIOLOGY 97969,A000000,02200,0000,02200LABORATORY 97969,A000000,02300,0000,02300INTRAVENOUS THERAPY 97969,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97969,A000000,02500,0000,02500PHYSICAL THERAPY 97969,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97969,A000000,02700,0000,02700SPEECH PATHOLOGY 97969,A000000,02800,0000,02800ELECTROCARDIOLOGY 97969,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97969,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97969,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97969,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97969,A000000,03200,0000,03200SUPPORT SURFACES 97969,A000000,03400,0000,03400CLINIC 97969,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97969,A000000,03500,0000,03500RURAL HEALTH CLINIC 97969,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97969,A000000,04800,0000,04800AMBULANCE 97969,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97969,A000000,05000,0000,05000CORF 97969,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97969,A000000,05300,0000,05300INTEREST EXPENSE 97969,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97969,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97969,A000000,05500,0000,05500HOSPICE 97969,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97969,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97969,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97969,A000000,06100,0000,06100NONPAID WORKERS 97969,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97969,A000000,06200,0000,06200PATIENTS LAUNDRY 97969,A81000A,00100,0100,Y 97969,A81000B,00100,0300,BUILDING LEASE 97969,A81000B,00200,0300,DEPRECIATION-BUILDING 97969,A81000B,00300,0300,MORTGAGE INTEREST 97969,A81000B,00400,0300,PROPERTY INSURANCE EXP 97969,A81000B,00500,0300,PROPERTY TAXES EXP 97969,A81000B,00600,0300,PROPERTY MAINT. EXP 97969,A81000B,00700,0300,BUILDING LEASE 97969,A81000C,00100,0100,A 97969,A81000C,00100,0200,M. & W. KELLY 97969,A81000C,00100,0400,VACAVILLE CONV & REHAB 97969,A81000C,00100,0600,LESSOR 97969,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97969,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97969,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97969,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97969,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97969,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97969,B100000,00000,0700,00000HOURS OF SERVICES :HOUSEKEEPING 97969,B100000,00000,0800,00000MEALS SERVED :DIETARY 97969,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 97969,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 97969,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 97969,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97969,B100000,00000,1300,00000TIME SPTENT :SOCIAL SERVICE 97969,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97969,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 97969,S000000,00100,0200,05/31/2000 97969,S200000,00100,0100,585 NUT TREE COURT 97969,S200000,00200,0100,VACAVILLE 97969,S200000,00200,0200,CA 97969,S200000,00200,0300,95687- 97969,S200000,00300,0100,SOLANO 97969,S200000,00400,0100,VACAVILLE CONV. & REHAB. CENTER INC 97969,S200000,00400,0200,555349 97969,S200000,00400,0300,04/20/1989 97969,S200000,00400,0500,P 97969,S200000,01600,0100,Y 97969,S700003,00000,0100,1 97976,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97976,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97976,A000000,00300,0000,00300EMPLOYEE BENEFITS 97976,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97976,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97976,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97976,A000000,00700,0000,00700HOUSEKEEPING 97976,A000000,00800,0000,00800DIETARY 97976,A000000,00900,0000,00900NURSING ADMINISTRATION 97976,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97976,A000000,01300,0000,01300SOCIAL SERVICE 97976,A000000,01600,0000,01600SKILLED NURSING FACILITY 97976,A000000,02100,0000,02100RADIOLOGY 97976,A000000,02200,0000,02200LABORATORY 97976,A000000,02300,0000,02300INTRAVENOUS THERAPY 97976,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97976,A000000,02500,0000,02500PHYSICAL THERAPY 97976,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97976,A000000,02700,0000,02700SPEECH PATHOLOGY 97976,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97976,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97976,A000000,03200,0000,03200SUPPORT SURFACES 97976,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97976,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97976,A81000A,00100,0100,Y 97976,A81000B,00100,0300,MANAGEMENT SERVICES 97976,A81000B,00200,0300,HOME OFFICE - BUILDING 97976,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 97976,A81000B,00400,0300,LEASES 97976,A81000C,00100,0100,A 97976,A81000C,00100,0200,JAMES W. BRASWELL 97976,A81000C,00100,0400,BRASWELL ENTERPRISES 97976,A81000C,00100,0600,MANAGEMENT COMPANY 97976,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97976,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97976,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97976,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97976,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97976,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97976,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97976,B100000,00000,0800,00000MEALS SERVED :DIETARY 97976,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 97976,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 97976,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97976,S000000,00100,0200,06/05/2000 97976,S200000,00100,0100,1618 LAUREL STREET 97976,S200000,00200,0100,REDLANDS 97976,S200000,00200,0200,CA 97976,S200000,00200,0300,92373- 97976,S200000,00300,0100,SAN BERNARDINO 97976,S200000,00300,0200,6780 97976,S200000,00300,0300,U 97976,S200000,00400,0100,BRASWELLS COLONIAL CARE 97976,S200000,00400,0200,555350 97976,S200000,00400,0300,03/17/1989 97976,S200000,00400,0500,P 97976,S200000,00400,0600,O 97976,S200000,01500,0100,Y 97982,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97982,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97982,A000000,00300,0000,00300EMPLOYEE BENEFITS 97982,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97982,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97982,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97982,A000000,00700,0000,00700HOUSEKEEPING 97982,A000000,00800,0000,00800DIETARY 97982,A000000,00900,0000,00900NURSING ADMINISTRATION 97982,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97982,A000000,01100,0000,01100PHARMACY 97982,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97982,A000000,01300,0000,01300SOCIAL SERVICE 97982,A000000,01600,0000,01600SKILLED NURSING FACILITY 97982,A000000,01800,0000,01800NURSING FACILITY 97982,A000000,01900,0000,01900OTHER LONG TERM CARE 97982,A000000,02100,0000,02100RADIOLOGY 97982,A000000,02200,0000,02200LABORATORY 97982,A000000,02300,0000,02300INTRAVENOUS THERAPY 97982,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97982,A000000,02500,0000,02500PHYSICAL THERAPY 97982,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97982,A000000,02700,0000,02700SPEECH PATHOLOGY 97982,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97982,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97982,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 97982,A000000,03200,0000,03200SUPPORT SURFACES 97982,A000000,05000,0000,05000CORF 97982,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97982,A000000,05300,0000,05300INTEREST EXPENSE 97982,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97982,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97982,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97982,A000000,06200,0000,06200PATIENTS LAUNDRY 97982,A81000A,00100,0100,Y 97982,A81000B,00100,0300,HOME OFFICE ALLOCATION 97982,A81000C,00100,0100,A 97982,A81000C,00100,0200,CRESCENT HEALTH 97982,A81000C,00100,0400,CRESCENT HEALTH 97982,A81000C,00100,0600,HEALTHCARE 97982,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97982,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97982,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97982,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97982,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97982,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97982,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97982,B100000,00000,0800,00000MEALS SERVED :DIETARY 97982,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 97982,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 97982,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 97982,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97982,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 97982,S000000,00100,0200,06/01/2000 97982,S200000,00100,0100,57333 JOSHUA LANE 97982,S200000,00200,0100,YUCCA VALLEY 97982,S200000,00200,0200,CA 97982,S200000,00200,0300,92284- 97982,S200000,00300,0100,SAN BERNARDINO 97982,S200000,00300,0200,6780 97982,S200000,00300,0300,U 97982,S200000,00400,0100,CRESCENT CARE CENTER OF YUCCA VALLEY 97982,S200000,00400,0200,555351 97982,S200000,00400,0300,03/03/1989 97982,S200000,00400,0500,P 97988,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97988,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97988,A000000,00300,0000,00300EMPLOYEE BENEFITS 97988,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97988,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97988,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97988,A000000,00700,0000,00700HOUSEKEEPING 97988,A000000,00800,0000,00800DIETARY 97988,A000000,00900,0000,00900NURSING ADMINISTRATION 97988,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97988,A000000,01100,0000,01100PHARMACY 97988,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97988,A000000,01300,0000,01300SOCIAL SERVICE 97988,A000000,01350,0000,01500OTHER GENERAL SERVICES 97988,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97988,A000000,01600,0000,01600SKILLED NURSING FACILITY 97988,A000000,01800,0000,01800NURSING FACILITY 97988,A000000,01900,0000,01900OTHER LONG TERM CARE 97988,A000000,02100,0000,02100RADIOLOGY 97988,A000000,02200,0000,02200LABORATORY 97988,A000000,02300,0000,02300INTRAVENOUS THERAPY 97988,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97988,A000000,02500,0000,02500PHYSICAL THERAPY 97988,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97988,A000000,02700,0000,02700SPEECH PATHOLOGY 97988,A000000,02800,0000,02800ELECTROCARDIOLOGY 97988,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97988,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97988,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97988,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97988,A000000,03200,0000,03200SUPPORT SURFACES 97988,A000000,03400,0000,03400CLINIC 97988,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97988,A000000,03500,0000,03500RURAL HEALTH CLINIC 97988,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 97988,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 97988,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 97988,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 97988,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 97988,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 97988,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 97988,A000000,04400,0000,04400DME RENTED - HHA 97988,A000000,04500,0000,04500DME SOLD - HHA 97988,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 97988,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 97988,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97988,A000000,04800,0000,04800AMBULANCE 97988,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97988,A000000,05000,0000,05000CORF 97988,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97988,A000000,05300,0000,05300INTEREST EXPENSE 97988,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97988,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97988,A000000,05500,0000,05500HOSPICE 97988,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97988,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97988,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97988,A000000,06100,0000,06100NONPAID WORKERS 97988,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97988,A000000,06200,0000,06200PATIENTS LAUNDRY 97988,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97988,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97988,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97988,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97988,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97988,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 97988,B100000,00000,0800,00000MEALS SERVED :DIETARY 97988,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 97988,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 97988,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97988,S000000,00100,0200,10/02/2000 97988,S200000,00100,0100,2939 SOUTH PEACH AVENUE 97988,S200000,00200,0100,FRESNO 97988,S200000,00200,0200,CA 97988,S200000,00200,0300,93725- 97988,S200000,00300,0100,FRESNO 97988,S200000,00300,0200,2840 97988,S200000,00300,0300,U 97988,S200000,00400,0100,SUNNYSIDE CONVALESCENT HOSPITAL 97988,S200000,00400,0200,555352 97988,S200000,00400,0300,06/01/1989 97988,S200000,00400,0500,P 97988,S200000,01500,0100,Y 97988,S200000,02800,0100,Y 97999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 97999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 97999,A000000,00300,0000,00300EMPLOYEE BENEFITS 97999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 97999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 97999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 97999,A000000,00700,0000,00700HOUSEKEEPING 97999,A000000,00800,0000,00800DIETARY 97999,A000000,00900,0000,00900NURSING ADMINISTRATION 97999,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 97999,A000000,01100,0000,01100PHARMACY 97999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 97999,A000000,01300,0000,01300SOCIAL SERVICE 97999,A000000,01350,0000,01500OTHER GENERAL SERVICES 97999,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 97999,A000000,01600,0000,01600SKILLED NURSING FACILITY 97999,A000000,01800,0000,01800NURSING FACILITY 97999,A000000,01900,0000,01900OTHER LONG TERM CARE 97999,A000000,02100,0000,02100RADIOLOGY 97999,A000000,02200,0000,02200LABORATORY 97999,A000000,02300,0000,02300INTRAVENOUS THERAPY 97999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 97999,A000000,02500,0000,02500PHYSICAL THERAPY 97999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 97999,A000000,02700,0000,02700SPEECH PATHOLOGY 97999,A000000,02800,0000,02800ELECTROCARDIOLOGY 97999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 97999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 97999,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 97999,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 97999,A000000,03200,0000,03200SUPPORT SURFACES 97999,A000000,03400,0000,03400CLINIC 97999,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 97999,A000000,03500,0000,03500RURAL HEALTH CLINIC 97999,A000000,04750,0000,05100OTHER REIMBURSABLE COST 97999,A000000,04800,0000,04800AMBULANCE 97999,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 97999,A000000,05000,0000,05000CORF 97999,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 97999,A000000,05300,0000,05300INTEREST EXPENSE 97999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 97999,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 97999,A000000,05500,0000,05500HOSPICE 97999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 97999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 97999,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 97999,A000000,06100,0000,06100NONPAID WORKERS 97999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 97999,A000000,06200,0000,06200PATIENTS LAUNDRY 97999,A81000A,00100,0100,Y 97999,A81000B,00100,0300,MANAGEMENT FEE 97999,A81000C,00100,0100,F 97999,A81000C,00100,0200,J & D SORENSEN D. LAWS 97999,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 97999,A81000C,00100,0600,MANAGEMENT 97999,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 97999,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 97999,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 97999,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 97999,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 97999,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 97999,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 97999,B100000,00000,0800,00000MEALS SERVED :DIETARY 97999,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 97999,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 97999,B100000,00000,1150,00000NO STATISTICS :PHARMACY 97999,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 97999,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 97999,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 97999,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 97999,S000000,00100,0200,05/15/2000 97999,S200000,00100,0100,8965 MAGNOLIA AVE 97999,S200000,00200,0100,RIVERSIDE 97999,S200000,00200,0200,CA 97999,S200000,00200,0300,92503- 97999,S200000,00300,0100,RIVERSIDE 97999,S200000,00400,0100,VILLA REHAB & CONTINUING CARE 97999,S200000,00400,0200,555353 97999,S200000,00400,0300,11/01/1997 97999,S200000,00400,0500,P 97999,S200000,00600,0200,555353 97999,S200000,00600,0300,11/01/1997 97999,S200000,00600,0600,P 97999,S200000,01600,0100,Y 97999,S200000,02200,0100,Y 97999,S700003,00000,0100,1 98007,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98007,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98007,A000000,00300,0000,00300EMPLOYEE BENEFITS 98007,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98007,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98007,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98007,A000000,00700,0000,00700HOUSEKEEPING 98007,A000000,00800,0000,00800DIETARY 98007,A000000,00900,0000,00900NURSING ADMINISTRATION 98007,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98007,A000000,01100,0000,01100PHARMACY 98007,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98007,A000000,01300,0000,01300SOCIAL SERVICE 98007,A000000,01600,0000,01600SKILLED NURSING FACILITY 98007,A000000,01800,0000,01800NURSING FACILITY 98007,A000000,01900,0000,01900OTHER LONG TERM CARE 98007,A000000,02100,0000,02100RADIOLOGY 98007,A000000,02200,0000,02200LABORATORY 98007,A000000,02300,0000,02300INTRAVENOUS THERAPY 98007,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98007,A000000,02500,0000,02500PHYSICAL THERAPY 98007,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98007,A000000,02700,0000,02700SPEECH PATHOLOGY 98007,A000000,02800,0000,02800ELECTROCARDIOLOGY 98007,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98007,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98007,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98007,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98007,A000000,03200,0000,03200SUPPORT SURFACES 98007,A000000,04800,0000,04800AMBULANCE 98007,A000000,05000,0000,05000CORF 98007,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98007,A000000,05300,0000,05300INTEREST EXPENSE 98007,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98007,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98007,A81000A,00100,0100,Y 98007,A81000B,00100,0300,HOME OFFICE CAPITAL 98007,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 98007,A81000C,00100,0100,B 98007,A81000C,00100,0200,MISSION MEDICAL 98007,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98007,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98007,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98007,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98007,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98007,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98007,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98007,B100000,00000,0800,00000MEALS SERVED :DIETARY 98007,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98007,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 98007,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 98007,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98007,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98007,S000000,00100,0200,06/28/2000 98007,S200000,00100,0100,514 NORTH BRIDGE STREET 98007,S200000,00200,0100,VISALIA 98007,S200000,00200,0200,CA 98007,S200000,00200,0300,93291- 98007,S200000,00300,0100,TULARE 98007,S200000,00400,0100,DELTA NURSING & REHAB 98007,S200000,00400,0200,555354 98007,S200000,00400,0300,08/18/1990 98007,S200000,00400,0500,P 98007,S200000,01500,0100,Y 98028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98028,A000000,00300,0000,00300EMPLOYEE BENEFITS 98028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98028,A000000,00700,0000,00700HOUSEKEEPING 98028,A000000,00800,0000,00800DIETARY 98028,A000000,00900,0000,00900NURSING ADMINISTRATION 98028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98028,A000000,01300,0000,01300SOCIAL SERVICE 98028,A000000,01301,0000,01301ACTIVITIES 98028,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 98028,A000000,01600,0000,01600SKILLED NURSING FACILITY 98028,A000000,01800,0000,01800NURSING FACILITY 98028,A000000,01810,0000,01810ICF/MR 98028,A000000,01900,0000,01900OTHER LONG TERM CARE 98028,A000000,02100,0000,02100RADIOLOGY 98028,A000000,02200,0000,02200LABORATORY 98028,A000000,02300,0000,02300INTRAVENOUS THERAPY 98028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98028,A000000,02500,0000,02500PHYSICAL THERAPY 98028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98028,A000000,02700,0000,02700SPEECH PATHOLOGY 98028,A000000,02800,0000,02800ELECTROCARDIOLOGY 98028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98028,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98028,A000000,03200,0000,03200SUPPORT SURFACES 98028,A000000,03400,0000,03400CLINIC 98028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98028,A000000,03500,0000,03500RURAL HEALTH CLINIC 98028,A000000,04800,0000,04800AMBULANCE 98028,A000000,05000,0000,05000CORF 98028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98028,A000000,05300,0000,05300INTEREST EXPENSE 98028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98028,A000000,05500,0000,05500HOSPICE 98028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98028,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98028,A000000,06100,0000,06100NONPAID WORKERS 98028,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98028,A000000,06200,0000,06200PATIENTS LAUNDRY 98028,A81000A,00100,0100,Y 98028,A81000B,00100,0300,HOME OFFICE ALLOCATION 98028,A81000B,00200,0300,NON CERT 98028,A81000B,00300,0300,MEDICAL SUPPLIES 98028,A81000B,00400,0300,DRUGS 98028,A81000B,00500,0300,PT 98028,A81000B,00600,0300,OT 98028,A81000B,00700,0300,ST 98028,A81000C,00100,0100,B 98028,A81000C,00100,0200,FRUITVALE 10470 98028,A81000C,00100,0400,MARINER POST AC 98028,A81000C,00100,0600,NURSING HOMES 98028,A81000C,00200,0100,G 98028,A81000C,00200,0200,MARINER POST AC 98028,A81000C,00200,0400,AMERICAN PHARMA 98028,A81000C,00200,0600,PHARMACEUTICALS 98028,A81000C,00300,0100,G 98028,A81000C,00300,0200,MARINER POST AC 98028,A81000C,00300,0400,PRISM (ATS ARS 98028,A81000C,00300,0600,THERAPIES 98028,A81000C,03100,0000,MARINER POST ACUTE NETWORK 98028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98028,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98028,B100000,00000,0800,00000MEALS SERVED :DIETARY 98028,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98028,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98028,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98028,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 98028,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 98028,S000000,00100,0200,06/05/2000 98028,S200000,00100,0100,3020 E. 15TH ST 98028,S200000,00200,0100,OAKLAND 98028,S200000,00200,0200,CA 98028,S200000,00200,0300,94601- 98028,S200000,00300,0100,ALAMEDA 98028,S200000,00400,0100,FRUITVALE HEALTHCARE CENTER 98028,S200000,00400,0200,555358 98028,S200000,00400,0300,01/01/1995 98028,S200000,00400,0500,P 98034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98034,A000000,00300,0000,00300EMPLOYEE BENEFITS 98034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98034,A000000,00700,0000,00700HOUSEKEEPING 98034,A000000,00800,0000,00800DIETARY 98034,A000000,00900,0000,00900NURSING ADMINISTRATION 98034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98034,A000000,01100,0000,01100PHARMACY 98034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98034,A000000,01300,0000,01300SOCIAL SERVICE 98034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98034,A000000,01600,0000,01600SKILLED NURSING FACILITY 98034,A000000,01800,0000,01800NURSING FACILITY 98034,A000000,02100,0000,02100RADIOLOGY 98034,A000000,02200,0000,02200LABORATORY 98034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98034,A000000,02500,0000,02500PHYSICAL THERAPY 98034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98034,A000000,02700,0000,02700SPEECH PATHOLOGY 98034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98034,A000000,06150,0000,06300STATE CORP TAXES 98034,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98034,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98034,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98034,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98034,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98034,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98034,B100000,00000,0800,00000MEALS SERVED :DIETARY 98034,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98034,S000000,00100,0200,08/23/2000 98034,S200000,00100,0100,625 WILLOW 98034,S200000,00200,0100,ALAMEDA 98034,S200000,00200,0200,CA 98034,S200000,00200,0300,94501- 98034,S200000,00300,0100,ALAMEDA 98034,S200000,00300,0200,5775 98034,S200000,00300,0300,U 98034,S200000,00400,0100,SOUTHSHORE CONVALESCENT HOSP 98034,S200000,00400,0200,555359 98034,S200000,00400,0300,11/01/1989 98034,S200000,00400,0500,P 98034,S200000,01500,0100,Y 98044,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98044,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98044,A000000,00300,0000,00300EMPLOYEE BENEFITS 98044,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98044,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98044,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98044,A000000,00700,0000,00700HOUSEKEEPING 98044,A000000,00800,0000,00800DIETARY 98044,A000000,00900,0000,00900NURSING ADMINISTRATION 98044,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98044,A000000,01100,0000,01100PHARMACY 98044,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98044,A000000,01300,0000,01300SOCIAL SERVICE 98044,A000000,01600,0000,01600SKILLED NURSING FACILITY 98044,A000000,01800,0000,01800NURSING FACILITY 98044,A000000,01900,0000,01900OTHER LONG TERM CARE 98044,A000000,02100,0000,02100RADIOLOGY 98044,A000000,02200,0000,02200LABORATORY 98044,A000000,02300,0000,02300INTRAVENOUS THERAPY 98044,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98044,A000000,02500,0000,02500PHYSICAL THERAPY 98044,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98044,A000000,02700,0000,02700SPEECH PATHOLOGY 98044,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98044,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98044,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98044,A000000,03200,0000,03200SUPPORT SURFACES 98044,A000000,04800,0000,04800AMBULANCE 98044,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98044,A000000,05300,0000,05300INTEREST EXPENSE 98044,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98044,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98044,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98044,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98044,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98044,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98044,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98044,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98044,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98044,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98044,B100000,00000,0800,00000MEALS SERVED :DIETARY 98044,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98044,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98044,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98044,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98044,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98044,S000000,00100,0200,02/08/2001 98044,S200000,00100,0100,16855 WEST BERNARDO RD. 98044,S200000,00200,0100,SAN DIEGO 98044,S200000,00200,0200,CA 98044,S200000,00200,0300,92127- 98044,S200000,00300,0100,SAN DIEGO 98044,S200000,00300,0200,7320 98044,S200000,00300,0300,U 98044,S200000,00400,0100,CASA DE LAS CAMPANAS 98044,S200000,00400,0200,555362 98044,S200000,00400,0300,02/24/1989 98044,S200000,00400,0500,P 98044,S200000,01004,0500,O 98044,S200000,01500,0100,Y 98052,S000000,00100,0200,02/29/2000 98058,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98058,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98058,A000000,00300,0000,00300EMPLOYEE BENEFITS 98058,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98058,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98058,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98058,A000000,00700,0000,00700HOUSEKEEPING 98058,A000000,00800,0000,00800DIETARY 98058,A000000,00900,0000,00900NURSING ADMINISTRATION 98058,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98058,A000000,01100,0000,01100PHARMACY 98058,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98058,A000000,01300,0000,01300SOCIAL SERVICE 98058,A000000,01350,0000,01500OTHER GENERAL SERVICES 98058,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98058,A000000,01600,0000,01600SKILLED NURSING FACILITY 98058,A000000,01800,0000,01800NURSING FACILITY 98058,A000000,01810,0000,01810ICF/MR 98058,A000000,01900,0000,01900OTHER LONG TERM CARE 98058,A000000,02100,0000,02100RADIOLOGY 98058,A000000,02200,0000,02200LABORATORY 98058,A000000,02300,0000,02300INTRAVENOUS THERAPY 98058,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98058,A000000,02500,0000,02500PHYSICAL THERAPY 98058,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98058,A000000,02700,0000,02700SPEECH PATHOLOGY 98058,A000000,02800,0000,02800ELECTROCARDIOLOGY 98058,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98058,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98058,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98058,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98058,A000000,03200,0000,03200SUPPORT SURFACES 98058,A000000,03400,0000,03400CLINIC 98058,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98058,A000000,03500,0000,03500RURAL HEALTH CLINIC 98058,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98058,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98058,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98058,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98058,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98058,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98058,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98058,A000000,04400,0000,04400DME RENTED - HHA 98058,A000000,04500,0000,04500DME SOLD - HHA 98058,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98058,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98058,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98058,A000000,04800,0000,04800AMBULANCE 98058,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98058,A000000,05000,0000,05000CORF 98058,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98058,A000000,05300,0000,05300INTEREST EXPENSE 98058,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98058,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98058,A000000,05500,0000,05500HOSPICE 98058,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98058,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98058,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98058,A000000,06100,0000,06100NONPAID WORKERS 98058,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98058,A000000,06200,0000,06200PATIENTS LAUNDRY 98058,A81000A,00100,0100,Y 98058,A81000B,00100,0300,MANAGEMENT FEES 98058,A81000B,00200,0300,HOME OFFICE-BUILDING 98058,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 98058,A81000B,00400,0300,HOME OFFICE COSTS 98058,A81000B,00500,0300,BUILDING LEASE 98058,A81000C,00100,0100,A 98058,A81000C,00100,0200,WILLIE SHIELDS JR. 98058,A81000C,00100,0400,SHIELDS NURSING CTRS INC 98058,A81000C,00100,0600,HOME OFFICE 98058,A81000C,00200,0100,A 98058,A81000C,00200,0400,SHIELDS NURSING CENTER 98058,A81000C,00200,0600,SNF 98058,A81000C,00300,0100,A 98058,A81000C,00300,0200,WILLIE SHIELDS SR. 98058,A81000C,00300,0600,SUBLEASE LESSOR 98058,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98058,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98058,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98058,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98058,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98058,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98058,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98058,B100000,00000,0800,00000MEALS SERVED :DIETARY 98058,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98058,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98058,E10A180,00301,0100,06/29/1999 98058,S000000,00100,0200,07/10/2000 98058,S200000,00100,0100,3230 CARLSON BLVD. 98058,S200000,00200,0100,EL CERRITO 98058,S200000,00200,0200,CA 98058,S200000,00200,0300,94530- 98058,S200000,00300,0100,ALAMEDA 98058,S200000,00300,0200,5775 98058,S200000,00300,0300,U 98058,S200000,00400,0100,SHIELDS NURSING CENTER 98058,S200000,00400,0200,555364 98058,S200000,00400,0300,05/17/1989 98058,S200000,00400,0500,P 98058,S200000,01600,0100,Y 98058,S200000,02800,0100,Y 98066,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98066,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98066,A000000,00300,0000,00300EMPLOYEE BENEFITS 98066,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98066,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98066,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98066,A000000,00700,0000,00700HOUSEKEEPING 98066,A000000,00800,0000,00800DIETARY 98066,A000000,00900,0000,00900NURSING ADMINISTRATION 98066,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98066,A000000,01100,0000,01100PHARMACY 98066,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98066,A000000,01300,0000,01300SOCIAL SERVICE 98066,A000000,01350,0000,01500OTHER GENERAL SERVICES 98066,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98066,A000000,01600,0000,01600SKILLED NURSING FACILITY 98066,A000000,01800,0000,01800NURSING FACILITY 98066,A000000,01900,0000,01900OTHER LONG TERM CARE 98066,A000000,02100,0000,02100RADIOLOGY 98066,A000000,02200,0000,02200LABORATORY 98066,A000000,02300,0000,02300INTRAVENOUS THERAPY 98066,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98066,A000000,02500,0000,02500PHYSICAL THERAPY 98066,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98066,A000000,02700,0000,02700SPEECH PATHOLOGY 98066,A000000,02800,0000,02800ELECTROCARDIOLOGY 98066,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98066,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98066,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98066,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98066,A000000,03200,0000,03200SUPPORT SURFACES 98066,A000000,03400,0000,03400CLINIC 98066,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98066,A000000,03500,0000,03500RURAL HEALTH CLINIC 98066,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98066,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98066,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98066,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98066,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98066,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98066,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98066,A000000,04400,0000,04400DME RENTED - HHA 98066,A000000,04500,0000,04500DME SOLD - HHA 98066,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98066,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98066,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98066,A000000,04800,0000,04800AMBULANCE 98066,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98066,A000000,05000,0000,05000CORF 98066,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98066,A000000,05300,0000,05300INTEREST EXPENSE 98066,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98066,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98066,A000000,05500,0000,05500HOSPICE 98066,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98066,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98066,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98066,A000000,06100,0000,06100NONPAID WORKERS 98066,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98066,A000000,06200,0000,06200PATIENTS LAUNDRY 98066,A81000A,00100,0100,Y 98066,A81000B,00100,0300,MANAGEMENT FEE 98066,A81000C,00100,0100,F 98066,A81000C,00100,0200,J & D SORENSEN D.LAWS 98066,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 98066,A81000C,00100,0600,MANAGEMENT 98066,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98066,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98066,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98066,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98066,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98066,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98066,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98066,B100000,00000,0800,00000MEALS SERVED :DIETARY 98066,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98066,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 98066,B100000,00000,1150,00000NO STATISTICS :PHARMACY 98066,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98066,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98066,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98066,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 98066,S000000,00100,0200,05/15/2000 98066,S200000,00100,0100,11162 PALM TERRACE LANE 98066,S200000,00200,0100,RIVERSIDE 98066,S200000,00200,0200,CA 98066,S200000,00200,0300,92505- 98066,S200000,00300,0100,RIVERSIDE 98066,S200000,00400,0100,PALM TERRACE CONVALESCENT HOSPITAL 98066,S200000,00400,0200,555365 98066,S200000,00400,0300,09/16/1996 98066,S200000,00400,0500,P 98066,S200000,00600,0200,555365 98066,S200000,00600,0300,09/16/1996 98066,S200000,00600,0600,P 98066,S200000,01600,0100,Y 98066,S200000,02200,0100,Y 98066,S700003,00000,0100,1 98077,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98077,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98077,A000000,00300,0000,00300EMPLOYEE BENEFITS 98077,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98077,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98077,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98077,A000000,00700,0000,00700HOUSEKEEPING 98077,A000000,00800,0000,00800DIETARY 98077,A000000,00900,0000,00900NURSING ADMINISTRATION 98077,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98077,A000000,01100,0000,01100PHARMACY 98077,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98077,A000000,01300,0000,01300SOCIAL SERVICE 98077,A000000,01350,0000,01500OTHER GENERAL SERVICES 98077,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98077,A000000,01600,0000,01600SKILLED NURSING FACILITY 98077,A000000,01800,0000,01800NURSING FACILITY 98077,A000000,01810,0000,01810ICF/MR 98077,A000000,01900,0000,01900OTHER LONG TERM CARE 98077,A000000,02100,0000,02100RADIOLOGY 98077,A000000,02200,0000,02200LABORATORY 98077,A000000,02300,0000,02300INTRAVENOUS THERAPY 98077,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98077,A000000,02500,0000,02500PHYSICAL THERAPY 98077,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98077,A000000,02700,0000,02700SPEECH PATHOLOGY 98077,A000000,02800,0000,02800ELECTROCARDIOLOGY 98077,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98077,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98077,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98077,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98077,A000000,03200,0000,03200SUPPORT SURFACES 98077,A000000,03400,0000,03400CLINIC 98077,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98077,A000000,03500,0000,03500RURAL HEALTH CLINIC 98077,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98077,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98077,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98077,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98077,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98077,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98077,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98077,A000000,04400,0000,04400DME RENTED - HHA 98077,A000000,04500,0000,04500DME SOLD - HHA 98077,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98077,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98077,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98077,A000000,04800,0000,04800AMBULANCE 98077,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98077,A000000,05000,0000,05000CORF 98077,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98077,A000000,05300,0000,05300INTEREST EXPENSE 98077,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98077,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98077,A000000,05500,0000,05500HOSPICE 98077,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98077,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98077,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98077,A000000,06100,0000,06100NONPAID WORKERS 98077,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98077,A000000,06200,0000,06200PATIENTS LAUNDRY 98077,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98077,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98077,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98077,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98077,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98077,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98077,B100000,00000,0800,00000MEALS SERVED :DIETARY 98077,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98077,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98077,S000000,00100,0200,02/21/2001 98077,S200000,00100,0100,21601 DEVONSHIRE STREET 320 98077,S200000,00100,0300,3427 98077,S200000,00200,0100,CHATSWORTH CA 98077,S200000,00200,0200,CA 98077,S200000,00200,0300,91311- 98077,S200000,00300,0100,LOS ANGELES 98077,S200000,00300,0200,4480 98077,S200000,00300,0300,U 98077,S200000,00400,0100,NEW HORIZONS 98077,S200000,00400,0200,555368 98077,S200000,00400,0300,06/09/1989 98077,S200000,00400,0500,P 98086,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98086,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98086,A000000,00300,0000,00300EMPLOYEE BENEFITS 98086,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98086,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98086,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98086,A000000,00700,0000,00700HOUSEKEEPING 98086,A000000,00800,0000,00800DIETARY 98086,A000000,00900,0000,00900NURSING ADMINISTRATION 98086,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98086,A000000,01100,0000,01100PHARMACY 98086,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98086,A000000,01300,0000,01300SOCIAL SERVICE 98086,A000000,01350,0000,01500OTHER GENERAL SERVICES 98086,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98086,A000000,01600,0000,01600SKILLED NURSING FACILITY 98086,A000000,01800,0000,01800NURSING FACILITY 98086,A000000,01900,0000,01900OTHER LONG TERM CARE 98086,A000000,02100,0000,02100RADIOLOGY 98086,A000000,02200,0000,02200LABORATORY 98086,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98086,A000000,02500,0000,02500PHYSICAL THERAPY 98086,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98086,A000000,02700,0000,02700SPEECH PATHOLOGY 98086,A000000,02800,0000,02800ELECTROCARDIOLOGY 98086,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98086,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98086,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98086,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98086,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98086,A000000,03200,0000,03200SUPPORT SURFACES 98086,A000000,03400,0000,03400CLINIC 98086,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98086,A000000,03500,0000,03500RURAL HEALTH CLINIC 98086,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98086,A000000,04800,0000,04800AMBULANCE 98086,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98086,A000000,05000,0000,05000CORF 98086,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98086,A000000,05300,0000,05300INTEREST EXPENSE 98086,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98086,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98086,A000000,05500,0000,05500HOSPICE 98086,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98086,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98086,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98086,A000000,06100,0000,06100NONPAID WORKERS 98086,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98086,A000000,06200,0000,06200PATIENTS LAUNDRY 98086,A81000A,00100,0100,Y 98086,A81000B,00100,0300,HOME OFFICE COSTS 98086,A81000B,00200,0300,HOME OFFICE COSTS 98086,A81000B,00300,0300,HOME OFFICE COSTS 98086,A81000C,00100,0100,B 98086,A81000C,00100,0200,COMPASS HEALTH INC. 98086,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98086,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98086,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98086,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98086,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98086,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98086,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98086,B100000,00000,0800,00000MEALS SERVED :DIETARY 98086,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98086,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98086,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98086,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98086,S000000,00100,0200,06/05/2000 98086,S200000,00100,0100,1405 TERESA DRIVE 98086,S200000,00200,0100,MORRO BAY 98086,S200000,00200,0200,CA 98086,S200000,00200,0300,93442- 98086,S200000,00300,0100,SAN LUIS OBISPO 98086,S200000,00300,0200,7460 98086,S200000,00300,0300,U 98086,S200000,00400,0100,PACIFIC CARE CENTER 98086,S200000,00400,0200,555371 98086,S200000,00400,0300,12/01/1988 98086,S200000,00400,0500,P 98086,S200000,01500,0100,Y 98102,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98102,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98102,A000000,00300,0000,00300EMPLOYEE BENEFITS 98102,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98102,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98102,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98102,A000000,00700,0000,00700HOUSEKEEPING 98102,A000000,00800,0000,00800DIETARY 98102,A000000,00900,0000,00900NURSING ADMINISTRATION 98102,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98102,A000000,01100,0000,01100PHARMACY 98102,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98102,A000000,01300,0000,01300SOCIAL SERVICE 98102,A000000,01350,0000,01500OTHER GENERAL SERVICES 98102,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98102,A000000,01600,0000,01600SKILLED NURSING FACILITY 98102,A000000,01800,0000,01800NURSING FACILITY 98102,A000000,01810,0000,01810ICF/MR 98102,A000000,01900,0000,01900OTHER LONG TERM CARE 98102,A000000,02100,0000,02100RADIOLOGY 98102,A000000,02200,0000,02200LABORATORY 98102,A000000,02300,0000,02300INTRAVENOUS THERAPY 98102,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98102,A000000,02500,0000,02500PHYSICAL THERAPY 98102,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98102,A000000,02700,0000,02700SPEECH PATHOLOGY 98102,A000000,02800,0000,02800ELECTROCARDIOLOGY 98102,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98102,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98102,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98102,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98102,A000000,03200,0000,03200SUPPORT SURFACES 98102,A000000,03400,0000,03400CLINIC 98102,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98102,A000000,03500,0000,03500RURAL HEALTH CLINIC 98102,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98102,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98102,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98102,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98102,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98102,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98102,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98102,A000000,04400,0000,04400DME RENTED - HHA 98102,A000000,04500,0000,04500DME SOLD - HHA 98102,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98102,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98102,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98102,A000000,04800,0000,04800AMBULANCE 98102,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98102,A000000,05000,0000,05000CORF 98102,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98102,A000000,05300,0000,05300INTEREST EXPENSE 98102,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98102,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98102,A000000,05500,0000,05500HOSPICE 98102,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98102,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98102,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98102,A000000,06100,0000,06100NONPAID WORKERS 98102,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98102,A000000,06200,0000,06200PATIENTS LAUNDRY 98102,A81000A,00100,0100,Y 98102,A81000B,00100,0300,MANAGEMENT FEES 98102,A81000C,00100,0100,A 98102,A81000C,00100,0200,LEE C. SAMSON 98102,A81000C,00100,0400,WHCM INC. 98102,A81000C,00100,0600,MANAGEMENT 98102,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98102,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98102,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98102,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98102,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98102,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98102,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98102,B100000,00000,0800,00000MEALS SERVED :DIETARY 98102,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 98102,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98102,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98102,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98102,S000000,00100,0200,06/06/2000 98102,S200000,00100,0100,3232 E ARTESIA BLVD 98102,S200000,00200,0100,LONG BEACH 98102,S200000,00200,0200,CA 98102,S200000,00200,0300,90805- 98102,S200000,00300,0100,LOS ANGELES 98102,S200000,00300,0200,4480 98102,S200000,00300,0300,U 98102,S200000,00400,0100,WINDSOR GARDENS OF LONG BEACH 98102,S200000,00400,0200,555375 98102,S200000,00400,0300,05/15/1996 98102,S200000,00400,0500,P 98102,S200000,01600,0100,Y 98111,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98111,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98111,A000000,00300,0000,00300EMPLOYEE BENEFITS 98111,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98111,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98111,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98111,A000000,00700,0000,00700HOUSEKEEPING 98111,A000000,00800,0000,00800DIETARY 98111,A000000,00900,0000,00900NURSING ADMINISTRATION 98111,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98111,A000000,01100,0000,01100PHARMACY 98111,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98111,A000000,01300,0000,01300SOCIAL SERVICE 98111,A000000,01350,0000,01500OTHER GENERAL SERVICES 98111,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98111,A000000,01600,0000,01600SKILLED NURSING FACILITY 98111,A000000,01800,0000,01800NURSING FACILITY 98111,A000000,01900,0000,01900OTHER LONG TERM CARE 98111,A000000,02100,0000,02100RADIOLOGY 98111,A000000,02200,0000,02200LABORATORY 98111,A000000,02300,0000,02300INTRAVENOUS THERAPY 98111,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98111,A000000,02500,0000,02500PHYSICAL THERAPY 98111,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98111,A000000,02700,0000,02700SPEECH PATHOLOGY 98111,A000000,02800,0000,02800ELECTROCARDIOLOGY 98111,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98111,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98111,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98111,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98111,A000000,03200,0000,03200SUPPORT SURFACES 98111,A000000,03400,0000,03400CLINIC 98111,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98111,A000000,03500,0000,03500RURAL HEALTH CLINIC 98111,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98111,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98111,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98111,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98111,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98111,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98111,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98111,A000000,04400,0000,04400DME RENTED - HHA 98111,A000000,04500,0000,04500DME SOLD - HHA 98111,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98111,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98111,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98111,A000000,04800,0000,04800AMBULANCE 98111,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98111,A000000,05000,0000,05000CORF 98111,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98111,A000000,05300,0000,05300INTEREST EXPENSE 98111,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98111,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98111,A000000,05500,0000,05500HOSPICE 98111,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98111,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98111,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98111,A000000,06100,0000,06100NONPAID WORKERS 98111,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98111,A000000,06200,0000,06200PATIENTS LAUNDRY 98111,A81000A,00100,0100,Y 98111,A81000B,00100,0300,MANAGEMENT FEES 98111,A81000C,00100,0100,F 98111,A81000C,00100,0200,J & D SORENSEN D. LAWS 98111,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 98111,A81000C,00100,0600,MANAGEMENT 98111,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98111,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98111,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98111,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98111,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98111,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98111,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98111,B100000,00000,0800,00000MEALS SERVED :DIETARY 98111,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98111,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 98111,B100000,00000,1150,00000NO STATISTICS :PHARMACY 98111,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98111,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98111,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98111,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 98111,E10A180,00301,0100,07/01/1998 98111,S000000,00100,0200,05/15/2000 98111,S200000,00100,0100,336 DIABLO ROAD 98111,S200000,00200,0100,DANVILLE 98111,S200000,00200,0200,CA 98111,S200000,00200,0300,94526- 98111,S200000,00300,0100,CONTRA COSTA 98111,S200000,00400,0100,DANVILLE NURSING AND REHAB CENTER 98111,S200000,00400,0200,555376 98111,S200000,00400,0300,07/01/1997 98111,S200000,00400,0500,P 98111,S200000,00600,0200,555376 98111,S200000,00600,0300,07/01/1997 98111,S200000,00600,0600,P 98111,S200000,01500,0100,Y 98111,S200000,02200,0100,Y 98111,S700003,00000,0100,1 98120,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98120,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98120,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98120,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98120,A000000,00700,0000,00700HOUSEKEEPING 98120,A000000,00800,0000,00800DIETARY 98120,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98120,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98120,A000000,01300,0000,01300SOCIAL SERVICE 98120,A000000,01600,0000,01600SKILLED NURSING FACILITY 98120,A000000,01900,0000,01900OTHER LONG TERM CARE 98120,A000000,02100,0000,02100RADIOLOGY 98120,A000000,02200,0000,02200LABORATORY 98120,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98120,A000000,02500,0000,02500PHYSICAL THERAPY 98120,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98120,A000000,02700,0000,02700SPEECH PATHOLOGY 98120,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98120,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98120,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98120,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98120,A81000A,00100,0100,Y 98120,A81000B,00100,0300,LABORATORY 98120,A81000B,00200,0300,OXYGEN (INHALATION) THERAPY 98120,A81000B,00300,0300,PHYSICAL THERAPY 98120,A81000B,00400,0300,OCCUPATIONAL THERAPY 98120,A81000B,00500,0300,SPEECH PATHOLOGY 98120,A81000B,00600,0300,MEDICAL SUPPLIES 98120,A81000B,00700,0300,CAPITAL-RELATED COSTS 98120,A81000B,00800,0300,ADMINISTRATIVE AND GENERAL 98120,A81000C,00100,0100,B 98120,A81000C,00100,0200,REDLANDS HEALTH 98120,A81000C,00100,0400,REDLANDS COMMUNITY HOSP. 98120,A81000C,00100,0600,HOSPITAL 98120,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98120,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98120,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98120,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98120,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98120,B100000,00000,0800,00000MEALS SERVED :DIETARY 98120,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98120,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98120,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98120,S000000,00100,0200,03/01/2000 98120,S200000,00100,0100,1875 BARTON ROAD 98120,S200000,00200,0100,REDLANDS 98120,S200000,00200,0200,CA 98120,S200000,00200,0300,92373- 98120,S200000,00300,0100,SAN BERNARDINO 98120,S200000,00300,0200,6780 98120,S200000,00300,0300,U 98120,S200000,00400,0100,ASISTENCIA VILLA CONVALESCENT CENTER 98120,S200000,00400,0200,555379 98120,S200000,00400,0300,08/04/1989 98120,S200000,00400,0500,P 98120,S200000,01600,0100,Y 98120,S200000,01900,0100,SKILLED NURSING FACI 98134,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98134,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98134,A000000,00300,0000,00300EMPLOYEE BENEFITS 98134,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98134,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98134,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98134,A000000,00700,0000,00700HOUSEKEEPING 98134,A000000,00800,0000,00800DIETARY 98134,A000000,00900,0000,00900NURSING ADMINISTRATION 98134,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98134,A000000,01100,0000,01100PHARMACY 98134,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98134,A000000,01300,0000,01300SOCIAL SERVICE 98134,A000000,01350,0000,01500OTHER GENERAL SERVICES 98134,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98134,A000000,01600,0000,01600SKILLED NURSING FACILITY 98134,A000000,01800,0000,01800NURSING FACILITY 98134,A000000,01810,0000,01810ICF/MR 98134,A000000,01900,0000,01900OTHER LONG TERM CARE 98134,A000000,02100,0000,02100RADIOLOGY 98134,A000000,02200,0000,02200LABORATORY 98134,A000000,02300,0000,02300INTRAVENOUS THERAPY 98134,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98134,A000000,02500,0000,02500PHYSICAL THERAPY 98134,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98134,A000000,02700,0000,02700SPEECH PATHOLOGY 98134,A000000,02800,0000,02800ELECTROCARDIOLOGY 98134,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98134,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98134,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98134,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98134,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98134,A000000,03200,0000,03200SUPPORT SURFACES 98134,A000000,03400,0000,03400CLINIC 98134,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98134,A000000,03500,0000,03500RURAL HEALTH CLINIC 98134,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98134,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98134,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98134,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98134,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98134,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98134,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98134,A000000,04400,0000,04400DME RENTED - HHA 98134,A000000,04500,0000,04500DME SOLD - HHA 98134,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98134,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98134,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98134,A000000,04800,0000,04800AMBULANCE 98134,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98134,A000000,05000,0000,05000CORF 98134,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98134,A000000,05300,0000,05300INTEREST EXPENSE 98134,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98134,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98134,A000000,05500,0000,05500HOSPICE 98134,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98134,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98134,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98134,A000000,06100,0000,06100NONPAID WORKERS 98134,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98134,A000000,06200,0000,06200PATIENTS LAUNDRY 98134,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98134,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98134,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98134,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98134,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98134,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98134,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98134,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98134,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98134,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98134,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 98134,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98134,S000000,00100,0200,06/01/2000 98134,S200000,00100,0100,645 S. BEACH BLVD. 98134,S200000,00200,0100,ANAHEIM 98134,S200000,00200,0200,CA 98134,S200000,00200,0300,92804- 98134,S200000,00300,0100,ORANGE 98134,S200000,00300,0200,5945 98134,S200000,00300,0300,U 98134,S200000,00400,0100,WEST ANAHEIM EXTENDED CARE 98134,S200000,00400,0200,555388 98134,S200000,00400,0300,05/01/1992 98134,S200000,00400,0500,P 98134,S200000,00600,0200,555388 98134,S200000,00600,0300,05/01/1992 98134,S200000,00600,0600,P 98134,S200000,01600,0100,Y 98143,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98143,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98143,A000000,00300,0000,00300EMPLOYEE BENEFITS 98143,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98143,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98143,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98143,A000000,00700,0000,00700HOUSEKEEPING 98143,A000000,00800,0000,00800DIETARY 98143,A000000,00900,0000,00900NURSING ADMINISTRATION 98143,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98143,A000000,01100,0000,01100PHARMACY 98143,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98143,A000000,01300,0000,01300SOCIAL SERVICE 98143,A000000,01600,0000,01600SKILLED NURSING FACILITY 98143,A000000,01800,0000,01800NURSING FACILITY 98143,A000000,01900,0000,01900OTHER LONG TERM CARE 98143,A000000,02100,0000,02100RADIOLOGY 98143,A000000,02200,0000,02200LABORATORY 98143,A000000,02300,0000,02300INTRAVENOUS THERAPY 98143,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98143,A000000,02500,0000,02500PHYSICAL THERAPY 98143,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98143,A000000,02700,0000,02700SPEECH PATHOLOGY 98143,A000000,02800,0000,02800ELECTROCARDIOLOGY 98143,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98143,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98143,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98143,A000000,03200,0000,03200SUPPORT SURFACES 98143,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98143,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98143,A81000A,00100,0100,Y 98143,A81000B,00100,0300,MANAGEMENT FEE 98143,A81000B,00200,0300,HOME OFFICE CAPITAL 98143,A81000C,00100,0100,B 98143,A81000C,00100,0400,FREEDOM MGMT. 98143,A81000C,00100,0600,MGMT. COMPANY 98143,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98143,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98143,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98143,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98143,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98143,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98143,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98143,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98143,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 98143,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 98143,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 98143,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98143,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98143,S000000,00100,0200,06/06/2000 98143,S200000,00100,0100,23442 EL TORO ROAD 98143,S200000,00200,0100,LAKE FOREST 98143,S200000,00200,0200,CA 98143,S200000,00200,0300,92630- 98143,S200000,00300,0100,ORANGE 98143,S200000,00400,0100,FREEDOM VILLAGE HEALTHCARE CENTER 98143,S200000,00400,0200,555391 98143,S200000,00400,0300,10/26/1989 98143,S200000,00400,0500,P 98143,S200000,01600,0100,Y 98143,S700003,00000,0100,1 98150,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98150,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98150,A000000,00300,0000,00300EMPLOYEE BENEFITS 98150,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98150,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98150,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98150,A000000,00700,0000,00700HOUSEKEEPING 98150,A000000,00800,0000,00800DIETARY 98150,A000000,00900,0000,00900NURSING ADMINISTRATION 98150,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98150,A000000,01100,0000,01100PHARMACY 98150,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98150,A000000,01300,0000,01300SOCIAL SERVICE 98150,A000000,01600,0000,01600SKILLED NURSING FACILITY 98150,A000000,01800,0000,01800NURSING FACILITY 98150,A000000,01900,0000,01900OTHER LONG TERM CARE 98150,A000000,02100,0000,02100RADIOLOGY 98150,A000000,02200,0000,02200LABORATORY 98150,A000000,02300,0000,02300INTRAVENOUS THERAPY 98150,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98150,A000000,02500,0000,02500PHYSICAL THERAPY 98150,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98150,A000000,02700,0000,02700SPEECH PATHOLOGY 98150,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98150,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98150,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 98150,A000000,04800,0000,04800AMBULANCE 98150,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98150,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98150,A81000A,00100,0100,Y 98150,A81000B,00100,0300,HOME OFFICE ALLOC 98150,A81000B,00200,0300,HOME OFFICE ALLOC 98150,A81000B,00300,0300,PHARMACY 98150,A81000B,00400,0300,PHYSICAL THERAPY 98150,A81000B,00500,0300,OCCUPATIONAL THERAPY 98150,A81000B,00600,0300,SPEECH THERAPY 98150,A81000C,00100,0100,A 98150,A81000C,00100,0200,COVENANT CARE INC 98150,A81000C,00100,0400,COVENANT CARE INC. 98150,A81000C,00100,0600,HEALTH CARE 98150,A81000C,00200,0100,B 98150,A81000C,00200,0200,PHARMACY 98150,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 98150,A81000C,00200,0600,PHARMACY - HEALTH CARE 98150,A81000C,00300,0100,C 98150,A81000C,00300,0200,THERAPY 98150,A81000C,00300,0400,SELECT THEREAPY 98150,A81000C,00300,0600,THERAPY SERVICES 98150,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98150,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98150,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98150,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98150,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98150,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98150,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98150,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98150,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98150,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98150,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98150,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98150,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98150,S000000,00100,0200,06/01/2000 98150,S200000,00100,0100,160 SOUTH PATTERSON AVENUE 98150,S200000,00200,0100,SANTA BARBARA 98150,S200000,00200,0200,CA 98150,S200000,00200,0300,93111- 98150,S200000,00300,0100,VENTURA 98150,S200000,00400,0100,BUENA VISTA CARE CENTER 98150,S200000,00400,0200,555394 98150,S200000,00400,0300,02/01/1991 98150,S200000,00400,0500,P 98150,S200000,00600,0200,555394 98150,S200000,00600,0300,02/01/1991 98150,S200000,01600,0100,Y 98150,S700003,00000,0100,1 98165,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98165,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98165,A000000,00300,0000,00300EMPLOYEE BENEFITS 98165,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98165,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98165,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98165,A000000,00700,0000,00700HOUSEKEEPING 98165,A000000,00800,0000,00800DIETARY 98165,A000000,00900,0000,00900NURSING ADMINISTRATION 98165,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98165,A000000,01100,0000,01100PHARMACY 98165,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98165,A000000,01300,0000,01300SOCIAL SERVICE 98165,A000000,01350,0000,01500OTHER GENERAL SERVICES 98165,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98165,A000000,01600,0000,01600SKILLED NURSING FACILITY 98165,A000000,01800,0000,01800NURSING FACILITY 98165,A000000,01810,0000,01801ICF/MR 98165,A000000,01900,0000,01900OTHER LONG TERM CARE 98165,A000000,02100,0000,02100RADIOLOGY 98165,A000000,02200,0000,02200LABORATORY 98165,A000000,02300,0000,02300INTRAVENOUS THERAPY 98165,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98165,A000000,02500,0000,02500PHYSICAL THERAPY 98165,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98165,A000000,02700,0000,02700SPEECH PATHOLOGY 98165,A000000,02800,0000,02800ELECTROCARDIOLOGY 98165,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98165,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98165,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98165,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98165,A000000,03200,0000,03200SUPPORT SURFACES 98165,A000000,03400,0000,03400CLINIC 98165,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98165,A000000,03500,0000,03500RURAL HEALTH CLINIC 98165,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98165,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98165,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98165,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98165,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98165,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98165,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98165,A000000,04400,0000,04400DME RENTED - HHA 98165,A000000,04500,0000,04500DME SOLD - HHA 98165,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98165,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98165,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98165,A000000,04800,0000,04800AMBULANCE 98165,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98165,A000000,05000,0000,05000CORF 98165,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98165,A000000,05300,0000,05300INTEREST EXPENSE 98165,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98165,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98165,A000000,05500,0000,05500HOSPICE 98165,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98165,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98165,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98165,A000000,06100,0000,06100NONPAID WORKERS 98165,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98165,A000000,06200,0000,06200PATIENTS LAUNDRY 98165,A81000A,00100,0100,Y 98165,A81000B,00100,0300,MANAGEMENT FEES 98165,A81000B,00200,0300,BUILDING LEASE 98165,A81000B,00300,0300,DEPRECIATION-BUILDING 98165,A81000B,00400,0300,MORTGAGE INTEREST 98165,A81000B,00500,0300,HOME OFFICE-BUILDING 98165,A81000B,00600,0300,HOME OFFICE-EQUIPMENT 98165,A81000B,00700,0300,HOME OFFICE COSTS 98165,A81000B,00800,0300,LEGAL FEES 98165,A81000C,00100,0100,A 98165,A81000C,00100,0200,S & R RAPP 98165,A81000C,00100,0400,BUILDING 98165,A81000C,00100,0600,LESSOR 98165,A81000C,00200,0100,B 98165,A81000C,00200,0200,SR MANAGEMENT SVC INC. 98165,A81000C,00200,0600,HOME OFFICE/MANAGER 98165,A81000C,00300,0100,B 98165,A81000C,00300,0400,ST. FRANCIS EXTENDED CARE 98165,A81000C,00300,0600,SNF 98165,A81000C,00400,0100,B 98165,A81000C,00400,0400,VINTAGE ESTATES-SACRAMENT 98165,A81000C,00400,0600,SNF 98165,A81000C,00500,0100,B 98165,A81000C,00500,0400,SAYLOR LANE HEALTHCARE CT 98165,A81000C,00500,0600,SNF 98165,A81000C,00600,0100,B 98165,A81000C,00600,0400,VINTAGE ESTATES-RICHMOND 98165,A81000C,00600,0600,SNF 98165,A81000C,00700,0100,B 98165,A81000C,00700,0400,NORTHWEST DMES 98165,A81000C,00700,0600,MEDICAL SUPPLY 98165,A81000C,00800,0100,B 98165,A81000C,00800,0400,LIVE OAK-GREENRIDGE HGTS 98165,A81000C,00800,0600,SNF/MANAGER 98165,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98165,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98165,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98165,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98165,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98165,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98165,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98165,B100000,00000,0800,00000MEALS SERVED :DIETARY 98165,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98165,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98165,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98165,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98165,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98165,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98165,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98165,S000000,00100,0200,06/05/2000 98165,S200000,00100,0100,25919 GADING ROAD 98165,S200000,00200,0100,HAYWARD 98165,S200000,00200,0200,CA 98165,S200000,00200,0300,94544- 98165,S200000,00300,0100,ALAMEDA 98165,S200000,00400,0100,ST. MICHAEL CONVALESCENT HOSPITAL 98165,S200000,00400,0200,555398 98165,S200000,00400,0300,10/02/1989 98165,S200000,00400,0500,P 98165,S200000,01600,0100,Y 98165,S700003,00000,0100,1 98172,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98172,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98172,A000000,00300,0000,00300EMPLOYEE BENEFITS 98172,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98172,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98172,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98172,A000000,00700,0000,00700HOUSEKEEPING 98172,A000000,00800,0000,00800DIETARY 98172,A000000,00900,0000,00900NURSING ADMINISTRATION 98172,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98172,A000000,01100,0000,01100PHARMACY 98172,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98172,A000000,01300,0000,01300SOCIAL SERVICE 98172,A000000,01350,0000,01500OTHER GENERAL SERVICES 98172,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98172,A000000,01600,0000,01600SKILLED NURSING FACILITY 98172,A000000,01800,0000,01800NURSING FACILITY 98172,A000000,01810,0000,01801ICF/MR 98172,A000000,01900,0000,01900OTHER LONG TERM CARE 98172,A000000,02100,0000,02100RADIOLOGY 98172,A000000,02200,0000,02200LABORATORY 98172,A000000,02300,0000,02300INTRAVENOUS THERAPY 98172,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98172,A000000,02500,0000,02500PHYSICAL THERAPY 98172,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98172,A000000,02700,0000,02700SPEECH PATHOLOGY 98172,A000000,02800,0000,02800ELECTROCARDIOLOGY 98172,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98172,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98172,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98172,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98172,A000000,03200,0000,03200SUPPORT SURFACES 98172,A000000,03400,0000,03400CLINIC 98172,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98172,A000000,03500,0000,03500RURAL HEALTH CLINIC 98172,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98172,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98172,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98172,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98172,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98172,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98172,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98172,A000000,04400,0000,04400DME RENTED - HHA 98172,A000000,04500,0000,04500DME SOLD - HHA 98172,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98172,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98172,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98172,A000000,04800,0000,04800AMBULANCE 98172,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98172,A000000,05000,0000,05000CORF 98172,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98172,A000000,05300,0000,05300INTEREST EXPENSE 98172,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98172,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98172,A000000,05500,0000,05500HOSPICE 98172,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98172,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98172,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98172,A000000,06100,0000,06100NONPAID WORKERS 98172,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98172,A000000,06200,0000,06200PATIENTS LAUNDRY 98172,A81000A,00100,0100,Y 98172,A81000B,00100,0300,BUILDING LEASE 98172,A81000B,00200,0300,DEPRECIATION-BUILDING 98172,A81000B,00300,0300,MORTGAGE INTEREST EXP 98172,A81000C,00100,0100,A 98172,A81000C,00100,0200,FRED STAMM 98172,A81000C,00100,0600,LESSOR 98172,A81000C,00200,0100,A 98172,A81000C,00200,0200,ANELLI STAMM 98172,A81000C,00200,0600,LESSOR 98172,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98172,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98172,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98172,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98172,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98172,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98172,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98172,B100000,00000,0800,00000MEALS SERVED :DIETARY 98172,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98172,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98172,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98172,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98172,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98172,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98172,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98172,S000000,00100,0200,06/08/2000 98172,S200000,00100,0100,788 HOLMES STREET 98172,S200000,00200,0100,LIVERMORE 98172,S200000,00200,0200,CA 98172,S200000,00200,0300,94550- 98172,S200000,00300,0100,ALAMEDA 98172,S200000,00400,0100,SILVER OAK MANOR 98172,S200000,00400,0200,555399 98172,S200000,00400,0300,07/26/1989 98172,S200000,00400,0500,P 98172,S200000,01004,0500,O 98172,S200000,01500,0100,Y 98172,S700003,00000,0100,1 98184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98184,A000000,00300,0000,00300EMPLOYEE BENEFITS 98184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98184,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98184,A000000,00700,0000,00700HOUSEKEEPING 98184,A000000,00800,0000,00800DIETARY 98184,A000000,00900,0000,00900NURSING ADMINISTRATION 98184,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98184,A000000,01300,0000,01300SOCIAL SERVICE 98184,A000000,01301,0000,01301ACTIVITIES 98184,A000000,01350,0000,01500REHAB 98184,A000000,01600,0000,01600SKILLED NURSING FACILITY 98184,A000000,01800,0000,01800NURSING FACILITY 98184,A000000,01900,0000,01900OTHER LONG TERM CARE 98184,A000000,02100,0000,02100RADIOLOGY 98184,A000000,02200,0000,02200LABORATORY 98184,A000000,02300,0000,02300INTRAVENOUS THERAPY 98184,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98184,A000000,02500,0000,02500PHYSICAL THERAPY 98184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98184,A000000,02700,0000,02700SPEECH PATHOLOGY 98184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98184,A000000,02901,0000,02901OXYGEN 98184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98184,A000000,03050,0000,03300EQUIPMENT RENTAL 98184,A000000,03051,0000,03301PEN THERAPY 98184,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98184,A000000,04800,0000,04800AMBULANCE 98184,A000000,05300,0000,05300INTEREST EXPENSE 98184,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98184,A000000,06150,0000,06300VENDING 98184,A000000,06151,0000,06301OTHER & STANDBY 98184,A81000A,00100,0100,Y 98184,A81000B,00100,0300,ADMIN & GENERAL 98184,A81000B,00200,0300,ADMIN 98184,A81000B,00300,0300,PLANT 98184,A81000B,00400,0300,REHAB 98184,A81000B,00500,0300,PT 98184,A81000B,00600,0300,OT 98184,A81000B,00700,0300,ST 98184,A81000B,00800,0300,MEDICAL SUPPLIES 98184,A81000C,00100,0100,B 98184,A81000C,00100,0200,MONTEREY PALMS 98184,A81000C,00100,0400,MARINER PAN 98184,A81000C,00100,0600,NURSING HOMES 98184,A81000C,00200,0100,G 98184,A81000C,00200,0200,MARINER PAN 98184,A81000C,00200,0400,AMERICAN PHARMA 98184,A81000C,00200,0600,PHARMACEUTICALS 98184,A81000C,00300,0100,G 98184,A81000C,00300,0200,MARINER PAN 98184,A81000C,00300,0400,PRISM (ATS ARS 98184,A81000C,00300,0600,THERAPIES 98184,A81000C,03100,0000,MARINER PAN 98184,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98184,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 98184,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 98184,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98184,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98184,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 98184,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 98184,B100000,00000,0800,00001MEALS SERVED :DIETARY 98184,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 98184,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 98184,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 98184,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 98184,B100000,00000,1331,00001PATIENT DAYS :ACTIVITIES 98184,B100000,00000,1350,00001UNITS OF SERVICE :REHAB 98184,S000000,00100,0200,06/05/2000 98184,S200000,00100,0100,44610 MONTEREY AVENUE 98184,S200000,00200,0100,PALM DESERT 98184,S200000,00200,0200,CA 98184,S200000,00200,0300,92260- 98184,S200000,00300,0100,RIVERSIDE 98184,S200000,00300,0200,6780 98184,S200000,00300,0300,U 98184,S200000,00400,0100,MONTEREY PALMS HEALTH CARE CENTER 98184,S200000,00400,0200,555403 98184,S200000,00400,0300,12/04/1989 98184,S200000,00400,0500,P 98184,S200000,01600,0100,Y 98191,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98191,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98191,A000000,00300,0000,00300EMPLOYEE BENEFITS 98191,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98191,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98191,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98191,A000000,00700,0000,00700HOUSEKEEPING 98191,A000000,00800,0000,00800DIETARY 98191,A000000,00900,0000,00900NURSING ADMINISTRATION 98191,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98191,A000000,01100,0000,01100PHARMACY 98191,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98191,A000000,01300,0000,01300SOCIAL SERVICE 98191,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98191,A000000,01600,0000,01600SKILLED NURSING FACILITY 98191,A000000,02100,0000,02100RADIOLOGY 98191,A000000,02200,0000,02200LABORATORY 98191,A000000,02300,0000,02300INTRAVENOUS THERAPY 98191,A000000,02500,0000,02500PHYSICAL THERAPY 98191,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98191,A000000,02700,0000,02700SPEECH PATHOLOGY 98191,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98191,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98191,A000000,03051,0000,03300SPECIAL BEDS 98191,A000000,05300,0000,05300INTEREST EXPENSE 98191,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98191,A81000A,00100,0100,Y 98191,A81000B,00100,0300,INTEREST EXPENSE 98191,A81000B,00200,0300,EQUIPMENT DEPRECIATION 98191,A81000B,00300,0300,BUILDING DEPRECIATION 98191,A81000B,00400,0300,INSURANCE EXPENSE 98191,A81000B,00500,0300,AMORT-DEBT ISSUE 98191,A81000C,00500,0100,B 98191,A81000C,00500,0400,AFVW 98191,A81000C,00500,0600,RETIREMENT 98191,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98191,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98191,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98191,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98191,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98191,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98191,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98191,B100000,00000,0800,00000MEALS SERVED :DIETARY 98191,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98191,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98191,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98191,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98191,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98191,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98191,S000000,00100,0200,06/05/2000 98191,S200000,00100,0100,17050 ARNOLD DRIVE 98191,S200000,00200,0100,RIVERSIDE 98191,S200000,00200,0200,CA 98191,S200000,00200,0300,92508- 98191,S200000,00300,0100,RIVERSIDE 98191,S200000,00400,0100,AIR FORCE VILLAGE WEST 98191,S200000,00400,0200,555404 98191,S200000,00400,0300,12/07/1989 98191,S200000,00400,0500,P 98191,S200000,01500,0100,Y 98191,S200000,02200,0100,Y 98191,S200000,04300,0100,Y 98191,S200000,04700,0100,Y 98191,S700003,00000,0100,1 98212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98212,A000000,00300,0000,00300EMPLOYEE BENEFITS 98212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98212,A000000,00700,0000,00700HOUSEKEEPING 98212,A000000,00800,0000,00800DIETARY 98212,A000000,00900,0000,00900NURSING ADMINISTRATION 98212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98212,A000000,01100,0000,01100PHARMACY 98212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98212,A000000,01300,0000,01300SOCIAL SERVICE 98212,A000000,01350,0000,01500OTHER GENERAL SERVICES 98212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98212,A000000,01600,0000,01600SKILLED NURSING FACILITY 98212,A000000,01800,0000,01800NURSING FACILITY 98212,A000000,01810,0000,01810ICF/MR 98212,A000000,01900,0000,01900OTHER LONG TERM CARE 98212,A000000,02100,0000,02100RADIOLOGY 98212,A000000,02200,0000,02200LABORATORY 98212,A000000,02300,0000,02300INTRAVENOUS THERAPY 98212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98212,A000000,02500,0000,02500PHYSICAL THERAPY 98212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98212,A000000,02700,0000,02700SPEECH PATHOLOGY 98212,A000000,02800,0000,02800ELECTROCARDIOLOGY 98212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98212,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98212,A000000,03200,0000,03200SUPPORT SURFACES 98212,A000000,03400,0000,03400CLINIC 98212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98212,A000000,03500,0000,03500RURAL HEALTH CLINIC 98212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98212,A000000,04400,0000,04400DME RENTED - HHA 98212,A000000,04500,0000,04500DME SOLD - HHA 98212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98212,A000000,04800,0000,04800AMBULANCE 98212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98212,A000000,05000,0000,05000CORF 98212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98212,A000000,05300,0000,05300INTEREST EXPENSE 98212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98212,A000000,05500,0000,05500HOSPICE 98212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98212,A000000,06100,0000,06100NONPAID WORKERS 98212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98212,A000000,06200,0000,06200PATIENTS LAUNDRY 98212,A81000A,00100,0100,Y 98212,A81000B,00100,0300,BUILDING LEASE 98212,A81000B,00200,0300,DEPRECIATION-BUILDING 98212,A81000B,00300,0300,HOME OFFICE-BUILDING 98212,A81000B,00400,0300,HOME OFFICE-EQUIPMENT 98212,A81000B,00500,0300,HOME OFFICE COSTS 98212,A81000B,00600,0300,MANAGEMENT FEES 98212,A81000B,00700,0300,LEGAL FEES 98212,A81000C,00100,0100,B 98212,A81000C,00100,0400,SR MANAGEMENT SVC INC. 98212,A81000C,00100,0600,HOME OFFICE 98212,A81000C,00200,0100,B 98212,A81000C,00200,0400,ST. MICHAEL C.H. 98212,A81000C,00200,0600,SNF 98212,A81000C,00300,0100,B 98212,A81000C,00300,0400,VINTAGE ESTATES OF SACRAM 98212,A81000C,00300,0600,SNF 98212,A81000C,00400,0100,B 98212,A81000C,00400,0400,SAYLOR LANE HEALTHCARE 98212,A81000C,00400,0600,SNF 98212,A81000C,00500,0100,B 98212,A81000C,00500,0400,VINTAGE ESTATES OF RICHMO 98212,A81000C,00500,0600,SNF 98212,A81000C,00600,0100,B 98212,A81000C,00600,0400,NORTHWEST DMES 98212,A81000C,00600,0600,MEDICAL SUPPLIES 98212,A81000C,00700,0100,B 98212,A81000C,00700,0400,GREENRIDGE HEIGHTS C.H. 98212,A81000C,00700,0600,SNF/MANAGER 98212,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98212,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98212,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98212,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98212,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98212,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98212,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98212,B100000,00000,0800,00000MEALS SERVED :DIETARY 98212,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 98212,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98212,S000000,00100,0200,06/05/2000 98212,S200000,00100,0100,718 BARTLETT AVENUE 98212,S200000,00200,0100,HAYWARD 98212,S200000,00200,0200,CA 98212,S200000,00200,0300,94541- 98212,S200000,00300,0100,ALAMEDA 98212,S200000,00300,0300,U 98212,S200000,00400,0100,ST. FRANCIS EXTENDED CARE INC. 98212,S200000,00400,0200,555418 98212,S200000,00400,0300,03/29/1990 98212,S200000,00400,0500,P 98212,S200000,01600,0100,Y 98212,S200000,02800,0100,Y 98220,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98220,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98220,A000000,00300,0000,00300EMPLOYEE BENEFITS 98220,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98220,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98220,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98220,A000000,00700,0000,00700HOUSEKEEPING 98220,A000000,00800,0000,00800DIETARY 98220,A000000,00900,0000,00900NURSING ADMINISTRATION 98220,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98220,A000000,01100,0000,01100PHARMACY 98220,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98220,A000000,01300,0000,01300SOCIAL SERVICE 98220,A000000,01350,0000,01500OTHER GENERAL SERVICES 98220,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98220,A000000,01600,0000,01600SKILLED NURSING FACILITY 98220,A000000,01800,0000,01800NURSING FACILITY 98220,A000000,01810,0000,01810ICF/MR 98220,A000000,01900,0000,01900OTHER LONG TERM CARE 98220,A000000,02100,0000,02100RADIOLOGY 98220,A000000,02200,0000,02200LABORATORY 98220,A000000,02300,0000,02300INTRAVENOUS THERAPY 98220,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98220,A000000,02500,0000,02500PHYSICAL THERAPY 98220,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98220,A000000,02700,0000,02700SPEECH PATHOLOGY 98220,A000000,02800,0000,02800ELECTROCARDIOLOGY 98220,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98220,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98220,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98220,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98220,A000000,03200,0000,03200SUPPORT SURFACES 98220,A000000,03400,0000,03400CLINIC 98220,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98220,A000000,03500,0000,03500RURAL HEALTH CLINIC 98220,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98220,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98220,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98220,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98220,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98220,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98220,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98220,A000000,04400,0000,04400DME RENTED - HHA 98220,A000000,04500,0000,04500DME SOLD - HHA 98220,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98220,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98220,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98220,A000000,04800,0000,04800AMBULANCE 98220,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98220,A000000,05000,0000,05000CORF 98220,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98220,A000000,05300,0000,05300INTEREST EXPENSE 98220,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98220,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98220,A000000,05500,0000,05500HOSPICE 98220,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98220,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98220,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98220,A000000,06100,0000,06100NONPAID WORKERS 98220,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98220,A000000,06200,0000,06200PATIENTS LAUNDRY 98220,A81000A,00100,0100,Y 98220,A81000B,00100,0300,MANAGEMENT FEES 98220,A81000B,00200,0300,HOME OFFICE-BUILDING 98220,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 98220,A81000B,00400,0300,HOME OFFICE COSTS 98220,A81000B,00500,0300,INTEREST EXPENSE 98220,A81000C,00100,0100,B 98220,A81000C,00100,0200,HEALTHMARK SERVICES INC. 98220,A81000C,00100,0600,HOME OFFICE 98220,A81000C,00200,0100,B 98220,A81000C,00200,0400,HILLCREST CARE CENTER INC 98220,A81000C,00200,0600,SNF 98220,A81000C,00300,0100,B 98220,A81000C,00300,0400,CUBA MANOR INC. 98220,A81000C,00300,0600,SNF 98220,A81000C,00400,0100,B 98220,A81000C,00400,0400,HILLCREST HEALTHCARE LLC 98220,A81000C,00400,0600,SNF 98220,A81000C,00500,0100,B 98220,A81000C,00500,0400,POTOSI MANOR INC. 98220,A81000C,00500,0600,SNF 98220,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98220,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98220,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98220,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98220,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98220,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98220,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98220,B100000,00000,0800,00000MEALS SERVED :DIETARY 98220,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98220,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98220,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98220,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98220,S000000,00100,0200,06/05/2000 98220,S200000,00100,0100,4367 CONCORD BLVD. 98220,S200000,00200,0100,CONCORD 98220,S200000,00200,0200,CA 98220,S200000,00200,0300,94521- 98220,S200000,00300,0100,CONTRA COSTA 98220,S200000,00300,0200,5775 98220,S200000,00300,0300,U 98220,S200000,00400,0100,STONEBROOK HEALTHCARE CENTER 98220,S200000,00400,0200,555421 98220,S200000,00400,0300,05/24/1990 98220,S200000,00400,0500,P 98220,S200000,01600,0100,Y 98228,S000000,00100,0200,09/25/2000 98237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98237,A000000,00300,0000,00300EMPLOYEE BENEFITS 98237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98237,A000000,00700,0000,00700HOUSEKEEPING 98237,A000000,00800,0000,00800DIETARY 98237,A000000,00900,0000,00900NURSING ADMINISTRATION 98237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98237,A000000,01100,0000,01100PHARMACY 98237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98237,A000000,01300,0000,01300SOCIAL SERVICE 98237,A000000,01600,0000,01600SKILLED NURSING FACILITY 98237,A000000,01800,0000,01800NURSING FACILITY 98237,A000000,01900,0000,01900OTHER LONG TERM CARE 98237,A000000,02100,0000,02100RADIOLOGY 98237,A000000,02200,0000,02200LABORATORY 98237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98237,A000000,02500,0000,02500PHYSICAL THERAPY 98237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98237,A000000,02700,0000,02700SPEECH PATHOLOGY 98237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98237,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98237,A000000,03200,0000,03200SUPPORT SURFACES 98237,A000000,05000,0000,05000CORF 98237,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98237,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98237,A81000A,00100,0100,Y 98237,A81000B,00100,0300,MANAGEMENT FEE 98237,A81000B,00200,0300,HOME OFFICE CAPITAL 98237,A81000C,00100,0100,B 98237,A81000C,00100,0200,PAVILION HEALTH 98237,A81000C,00100,0400,SAN DIEGO HEBRE 98237,A81000C,00100,0600,HOME OFFICE 98237,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98237,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98237,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98237,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98237,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98237,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98237,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98237,B100000,00000,0800,00000MEALS SERVED :DIETARY 98237,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98237,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98237,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98237,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98237,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98237,S000000,00100,0200,11/27/2000 98237,S200000,00100,0100,211 SAXONY ROAD 98237,S200000,00200,0100,ENCINITAS 98237,S200000,00200,0200,CA 98237,S200000,00200,0300,92024- 98237,S200000,00300,0100,SAN DIEGO 98237,S200000,00300,0200,7320 98237,S200000,00300,0300,U 98237,S200000,00400,0100,PAVILION HEALTH CARE CENTER 98237,S200000,00400,0200,555424 98237,S200000,00400,0300,06/06/1990 98237,S200000,00400,0500,P 98237,S200000,01500,0100,Y 98245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98245,A000000,00300,0000,00300EMPLOYEE BENEFITS 98245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98245,A000000,00700,0000,00700HOUSEKEEPING 98245,A000000,00800,0000,00800DIETARY 98245,A000000,00900,0000,00900NURSING ADMINISTRATION 98245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98245,A000000,01100,0000,01100PHARMACY 98245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98245,A000000,01300,0000,01300SOCIAL SERVICE 98245,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98245,A000000,01600,0000,01600SKILLED NURSING FACILITY 98245,A000000,01800,0000,01800NURSING FACILITY 98245,A000000,01810,0000,01810ICF/MR 98245,A000000,02100,0000,02100RADIOLOGY 98245,A000000,02200,0000,02200LABORATORY 98245,A000000,02300,0000,02300INTRAVENOUS THERAPY 98245,A000000,02500,0000,02500PHYSICAL THERAPY 98245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98245,A000000,02700,0000,02700SPEECH PATHOLOGY 98245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98245,A000000,03550,0000,03550FQHC 98245,A000000,05000,0000,05000CORF 98245,A000000,05010,0000,05010CMHC 98245,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98245,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98245,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98245,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98245,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98245,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98245,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98245,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98245,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98245,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98245,B100000,00000,0800,00000MEALS SERVED :DIETARY 98245,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 98245,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 98245,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 98245,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98245,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98245,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98245,S000000,00100,0200,05/31/2000 98245,S200000,00100,0100,1233 A STREE 98245,S200000,00200,0100,FRESNO 98245,S200000,00200,0200,CA 98245,S200000,00200,0300,93706- 98245,S200000,00300,0100,FRESNO 98245,S200000,00400,0100,GOLDEN CROSS HEALTH CARE OF FRESNO 98245,S200000,00400,0200,555426 98245,S200000,00400,0300,03/01/1992 98245,S200000,00400,0500,P 98245,S200000,01600,0100,Y 98245,S200000,04300,0100,Y 98252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98252,A000000,00300,0000,00300EMPLOYEE BENEFITS 98252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98252,A000000,00700,0000,00700HOUSEKEEPING 98252,A000000,00800,0000,00800DIETARY 98252,A000000,00900,0000,00900NURSING ADMINISTRATION 98252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98252,A000000,01100,0000,01100PHARMACY 98252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98252,A000000,01300,0000,01300SOCIAL SERVICE 98252,A000000,01600,0000,01600SKILLED NURSING FACILITY 98252,A000000,01800,0000,01800NURSING FACILITY 98252,A000000,01900,0000,01900OTHER LONG TERM CARE 98252,A000000,02100,0000,02100RADIOLOGY 98252,A000000,02200,0000,02200LABORATORY 98252,A000000,02300,0000,02300INTRAVENOUS THERAPY 98252,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98252,A000000,02500,0000,02500PHYSICAL THERAPY 98252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98252,A000000,02700,0000,02700SPEECH PATHOLOGY 98252,A000000,02800,0000,02800ELECTROCARDIOLOGY 98252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98252,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98252,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98252,A000000,03200,0000,03200SUPPORT SURFACES 98252,A000000,04800,0000,04800AMBULANCE 98252,A000000,05000,0000,05000CORF 98252,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98252,A000000,05300,0000,05300INTEREST EXPENSE 98252,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98252,A81000A,00100,0100,Y 98252,A81000B,00100,0300,INTEREST ALLOCATION 98252,A81000B,00200,0300,HEADQUARTERS ALLOCATION 98252,A81000B,00300,0300,RELATED PHARMACY 98252,A81000C,00100,0100,B 98252,A81000C,00100,0200,INTERNEXT GROUP 98252,A81000C,00100,0400,INTERNEXT GROUP 98252,A81000C,00100,0600,HOME OFFICE 98252,A81000C,00200,0100,B 98252,A81000C,00200,0200,INTERNEXT GROUP 98252,A81000C,00200,0400,ALHAMBRA 98252,A81000C,00200,0600,SNF 98252,A81000C,00300,0100,B 98252,A81000C,00300,0200,INTERNEXT GROUP 98252,A81000C,00300,0400,CARLSBAD 98252,A81000C,00300,0600,SNF 98252,A81000C,00400,0100,B 98252,A81000C,00400,0200,INTERNEXT GROUP 98252,A81000C,00400,0400,SOUTHLAND 98252,A81000C,00400,0600,SNF 98252,A81000C,00500,0100,B 98252,A81000C,00500,0200,INTERNEXT GROUP 98252,A81000C,00500,0400,WALNUT MANOR 98252,A81000C,00500,0600,SNF 98252,A81000C,00600,0100,B 98252,A81000C,00600,0200,INTERNEXT GROUP 98252,A81000C,00600,0400,VISTA DEL MONTE 98252,A81000C,00600,0600,SNF 98252,A81000C,00700,0100,B 98252,A81000C,00700,0200,INTERNEXT GROUP 98252,A81000C,00700,0400,KINGSLEY 98252,A81000C,00700,0600,SNF 98252,A81000C,00800,0100,B 98252,A81000C,00800,0200,INTERNEXT GROUP 98252,A81000C,00800,0400,CLAREMONT 98252,A81000C,00800,0600,SNF 98252,A81000C,00900,0100,B 98252,A81000C,00900,0200,INTERNEXT GROUP 98252,A81000C,00900,0400,FREDERICKA 98252,A81000C,00900,0600,SNF 98252,A81000C,01000,0100,B 98252,A81000C,01000,0200,INTERNEXT GROUP 98252,A81000C,01000,0400,LA JOLLA 98252,A81000C,01000,0600,SNF 98252,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98252,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98252,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98252,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98252,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98252,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98252,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98252,B100000,00000,0800,00000MEALS SERVED :DIETARY 98252,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98252,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98252,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98252,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98252,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98252,S000000,00100,0200,09/25/2000 98252,S200000,00100,0100,842 EAST VILLA STREET 98252,S200000,00200,0100,PASADENA 98252,S200000,00200,0200,CA 98252,S200000,00200,0300,91101- 98252,S200000,00300,0100,LOS ANGELES 98252,S200000,00300,0200,4480 98252,S200000,00300,0300,U 98252,S200000,00400,0100,VILLA GARDENS CARE CENTER 98252,S200000,00400,0200,555429 98252,S200000,00400,0300,05/29/1990 98252,S200000,00400,0500,P 98252,S200000,01500,0100,Y 98262,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98262,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98262,A000000,00300,0000,00300EMPLOYEE BENEFITS 98262,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98262,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98262,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98262,A000000,00700,0000,00700HOUSEKEEPING 98262,A000000,00800,0000,00800DIETARY 98262,A000000,00900,0000,00900NURSING ADMINISTRATION 98262,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98262,A000000,01100,0000,01100PHARMACY 98262,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98262,A000000,01300,0000,01300SOCIAL SERVICE 98262,A000000,01350,0000,01500OTHER GENERAL SERVICES 98262,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98262,A000000,01600,0000,01600SKILLED NURSING FACILITY 98262,A000000,01800,0000,01800NURSING FACILITY 98262,A000000,01810,0000,01801ICF/MR 98262,A000000,01900,0000,01900OTHER LONG TERM CARE 98262,A000000,02100,0000,02100RADIOLOGY 98262,A000000,02200,0000,02200LABORATORY 98262,A000000,02300,0000,02300INTRAVENOUS THERAPY 98262,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98262,A000000,02500,0000,02500PHYSICAL THERAPY 98262,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98262,A000000,02700,0000,02700SPEECH PATHOLOGY 98262,A000000,02800,0000,02800ELECTROCARDIOLOGY 98262,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98262,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98262,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98262,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98262,A000000,03200,0000,03200SUPPORT SURFACES 98262,A000000,03400,0000,03400CLINIC 98262,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98262,A000000,03500,0000,03500RURAL HEALTH CLINIC 98262,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98262,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98262,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98262,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98262,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98262,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98262,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98262,A000000,04400,0000,04400DME RENTED - HHA 98262,A000000,04500,0000,04500DME SOLD - HHA 98262,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98262,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98262,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98262,A000000,04800,0000,04800AMBULANCE 98262,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98262,A000000,05000,0000,05000CORF 98262,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98262,A000000,05300,0000,05300INTEREST EXPENSE 98262,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98262,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98262,A000000,05500,0000,05500HOSPICE 98262,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98262,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98262,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98262,A000000,06100,0000,06100NONPAID WORKERS 98262,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98262,A000000,06200,0000,06200PATIENTS LAUNDRY 98262,A81000A,00100,0100,Y 98262,A81000B,00100,0300,MANAGEMENT FEE 98262,A81000B,00200,0300,OTHER PROFESSIONAL FEES 98262,A81000C,00100,0100,A 98262,A81000C,00100,0200,ARCH GILBERT 98262,A81000C,00100,0400,INTETWEST MEDICAL CORP 98262,A81000C,00100,0600,MANAGEMENT COMPANY 98262,A81000C,00200,0100,A 98262,A81000C,00200,0200,MRS GILBERT 98262,A81000C,00200,0600,CONTRACTING GOODS & SRVCS 98262,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98262,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98262,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98262,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98262,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98262,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98262,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98262,B100000,00000,0800,00000MEALS SERVED :DIETARY 98262,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98262,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98262,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98262,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98262,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98262,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98262,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98262,S000000,00100,0200,06/01/2000 98262,S200000,00100,0100,1350 RECHE CANYON RD 98262,S200000,00200,0100,COLTON 98262,S200000,00200,0200,CA 98262,S200000,00200,0300,92324-9744 98262,S200000,00300,0100,SAN BERNARDINO 98262,S200000,00400,0100,RECHE CANYON REHAB & HEALTHCARE 98262,S200000,00400,0200,555435 98262,S200000,00400,0300,09/24/1990 98262,S200000,00400,0500,P 98262,S200000,01500,0100,Y 98262,S700003,00000,0100,1 98276,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98276,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98276,A000000,00300,0000,00300EMPLOYEE BENEFITS 98276,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98276,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98276,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98276,A000000,00700,0000,00700HOUSEKEEPING 98276,A000000,00800,0000,00800DIETARY 98276,A000000,00900,0000,00900NURSING ADMINISTRATION 98276,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98276,A000000,01100,0000,01100PHARMACY 98276,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98276,A000000,01300,0000,01300SOCIAL SERVICE 98276,A000000,01350,0000,01500ACTIVITIES 98276,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98276,A000000,01600,0000,01600SKILLED NURSING FACILITY 98276,A000000,01800,0000,01800NURSING FACILITY 98276,A000000,01900,0000,01900OTHER LONG TERM CARE 98276,A000000,02100,0000,02100RADIOLOGY 98276,A000000,02200,0000,02200LABORATORY 98276,A000000,02300,0000,02300INTRAVENOUS THERAPY 98276,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98276,A000000,02500,0000,02500PHYSICAL THERAPY 98276,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98276,A000000,02700,0000,02700SPEECH PATHOLOGY 98276,A000000,02800,0000,02800ELECTROCARDIOLOGY 98276,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98276,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98276,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98276,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98276,A000000,03200,0000,03200SUPPORT SURFACES 98276,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 98276,A000000,04800,0000,04800AMBULANCE 98276,A000000,05300,0000,05300INTEREST EXPENSE 98276,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 98276,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98276,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98276,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98276,A000000,06100,0000,06100NONPAID WORKERS 98276,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98276,A000000,06200,0000,06200PATIENTS LAUNDRY 98276,A81000A,00100,0100,Y 98276,A81000B,00100,0300,HOME OFFICE COST 98276,A81000B,00200,0300,PT ADMIN FEES 98276,A81000B,00300,0300,OT ADMIN FEES 98276,A81000B,00400,0300,ST ADMIN FEES 98276,A81000C,00100,0100,B 98276,A81000C,00100,0200,MCHS-SUNNYVALE 98276,A81000C,00100,0400,HCR MANORCARE INC. 98276,A81000C,00100,0600,LONG TERM CARE FACILITIES 98276,A81000C,00200,0100,B 98276,A81000C,00200,0200,MCHS-SUNNYVALE 98276,A81000C,00200,0400,HEARTLAND MGMT SERV 98276,A81000C,00200,0600,THERAPY ADMIN 98276,A81000C,00300,0100,B 98276,A81000C,00300,0200,MCHS-SUNNYVALE 98276,A81000C,00300,0400,HEARTLAND MGMT SERV 98276,A81000C,00300,0600,THERAPY ADMIN 98276,A81000C,00400,0100,B 98276,A81000C,00400,0200,MCHS-SUNNYVALE 98276,A81000C,00400,0400,HEARTLAND MGMT SERV 98276,A81000C,00400,0600,THERAPY ADMIN 98276,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98276,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98276,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98276,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98276,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98276,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98276,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98276,B100000,00000,0800,00000MEALS SERVED :DIETARY 98276,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 98276,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98276,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98276,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98276,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98276,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 98276,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 98276,S000000,00100,0200,11/01/2000 98276,S200000,00100,0100,1150 TILTON DRIVE 98276,S200000,00200,0100,SUNNYVALE 98276,S200000,00200,0200,CA 98276,S200000,00200,0300,94087- 98276,S200000,00300,0100,SANTA CLARA 98276,S200000,00400,0100,MCHS-SUNNYVALE 98276,S200000,00400,0200,555444 98276,S200000,00400,0300,12/17/1990 98276,S200000,00400,0500,P 98276,S200000,00400,0600,P 98276,S200000,01004,0500,O 98276,S200000,01600,0100,Y 98276,S200000,02200,0100,Y 98284,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98284,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98284,A000000,00300,0000,00300EMPLOYEE BENEFITS 98284,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98284,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98284,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98284,A000000,00700,0000,00700HOUSEKEEPING 98284,A000000,00800,0000,00800DIETARY 98284,A000000,00900,0000,00900NURSING ADMINISTRATION 98284,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98284,A000000,01300,0000,01300SOCIAL SERVICE 98284,A000000,01600,0000,01600SKILLED NURSING FACILITY 98284,A000000,01800,0000,01800NURSING FACILITY 98284,A000000,02100,0000,02100RADIOLOGY 98284,A000000,02200,0000,02200LABORATORY 98284,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98284,A000000,02500,0000,02500PHYSICAL THERAPY 98284,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98284,A000000,02700,0000,02700SPEECH PATHOLOGY 98284,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98284,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98284,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98284,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98284,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98284,A81000A,00100,0100,Y 98284,A81000B,00100,0300,MANAGEMENT FEES 98284,A81000B,00200,0300,HOME OFFICE - BUILDING 98284,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 98284,A81000B,00400,0300,HOME OFFICE - INTEREST 98284,A81000B,00500,0300,PHYSICAL THERAPY 98284,A81000B,00600,0300,OCCUPATIONAL THERAPY 98284,A81000B,00700,0300,SPEECH THERAPY 98284,A81000B,00800,0300,CONSULTING 98284,A81000C,00100,0100,A 98284,A81000C,00100,0200,GARY DEVOIR 98284,A81000C,00100,0400,QUALITY CARE CONV. MGMT. 98284,A81000C,00100,0600,MANAGEMENT COMPANY 98284,A81000C,00200,0100,A 98284,A81000C,00200,0200,GARY DEVOIR 98284,A81000C,00200,0400,WESTERN ANC. & CONSLT. 98284,A81000C,00200,0600,ANCILLARY COMPANY 98284,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98284,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98284,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98284,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98284,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98284,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98284,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98284,B100000,00000,0800,00000MEALS SERVED :DIETARY 98284,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98284,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98284,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98284,S000000,00100,0200,03/07/2000 98284,S200000,00100,0100,3067 W. ORANGE AVENUE 98284,S200000,00200,0100,ANAHEIM 98284,S200000,00200,0200,CA 98284,S200000,00200,0300,92804- 98284,S200000,00300,0100,ORANGE 98284,S200000,00400,0100,ANAHEIM CONVALESCENT CENTER 98284,S200000,00400,0200,555445 98284,S200000,00400,0300,12/14/1990 98284,S200000,00400,0500,P 98284,S200000,00400,0600,O 98284,S200000,00600,0200,555445 98284,S200000,00600,0300,12/14/1990 98284,S200000,00600,0600,P 98284,S200000,01600,0100,Y 98284,S700003,00000,0100,1 98293,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98293,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98293,A000000,00300,0000,00300EMPLOYEE BENEFITS 98293,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98293,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98293,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98293,A000000,00700,0000,00700HOUSEKEEPING 98293,A000000,00800,0000,00800DIETARY 98293,A000000,00900,0000,00900NURSING ADMINISTRATION 98293,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98293,A000000,01100,0000,01100PHARMACY 98293,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98293,A000000,01300,0000,01300SOCIAL SERVICE 98293,A000000,01350,0000,01500ACTIVITIES 98293,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98293,A000000,01600,0000,01600SKILLED NURSING FACILITY 98293,A000000,01800,0000,01800NURSING FACILITY 98293,A000000,01900,0000,01900OTHER LONG TERM CARE 98293,A000000,02100,0000,02100RADIOLOGY 98293,A000000,02200,0000,02200LABORATORY 98293,A000000,02300,0000,02300INTRAVENOUS THERAPY 98293,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98293,A000000,02500,0000,02500PHYSICAL THERAPY 98293,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98293,A000000,02700,0000,02700SPEECH PATHOLOGY 98293,A000000,02800,0000,02800ELECTROCARDIOLOGY 98293,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98293,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98293,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98293,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98293,A000000,03200,0000,03200SUPPORT SURFACES 98293,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 98293,A000000,04800,0000,04800AMBULANCE 98293,A000000,05300,0000,05300INTEREST EXPENSE 98293,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 98293,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98293,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98293,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98293,A000000,06100,0000,06100NONPAID WORKERS 98293,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98293,A000000,06200,0000,06200PATIENTS LAUNDRY 98293,A81000A,00100,0100,Y 98293,A81000B,00100,0300,HOME OFFICE COST 98293,A81000B,00200,0300,PT ADMIN FEE 98293,A81000B,00300,0300,OT ADMIN FEE 98293,A81000B,00400,0300,ST ADMIN FEE 98293,A81000C,00100,0100,B 98293,A81000C,00100,0200,MCHS - WALNUT CREEK 98293,A81000C,00100,0400,HCR MANORCARE INC. 98293,A81000C,00100,0600,LONG TERM CARE FACILITIES 98293,A81000C,00200,0100,B 98293,A81000C,00200,0200,MCHS - WALNUT CREEK 98293,A81000C,00200,0400,HRTLND MGMT SERVICES 98293,A81000C,00200,0600,THERAPY MANAGEMENT 98293,A81000C,00300,0100,B 98293,A81000C,00300,0200,MCHS - WALNUT CREEK 98293,A81000C,00300,0400,HRTLND MGMT SERVICES 98293,A81000C,00300,0600,THERAPY MANAGEMENT 98293,A81000C,00400,0100,B 98293,A81000C,00400,0200,MCHS - WALNUT CREEK 98293,A81000C,00400,0400,HRTLND MGMT SERVICES 98293,A81000C,00400,0600,THERAPY MANAGEMENT 98293,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98293,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98293,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98293,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98293,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98293,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98293,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98293,B100000,00000,0800,00000MEALS SERVED :DIETARY 98293,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 98293,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98293,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98293,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98293,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98293,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 98293,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 98293,S000000,00100,0200,11/01/2000 98293,S200000,00100,0100,1226 ROSSMOOR PKWY 98293,S200000,00200,0100,WALNUT CREEK 98293,S200000,00200,0200,CA 98293,S200000,00200,0300,94595- 98293,S200000,00300,0100,CONTA COSTA 98293,S200000,00400,0100,MCHS - WALNUT CREEK 98293,S200000,00400,0200,555446 98293,S200000,00400,0300,12/19/1990 98293,S200000,00400,0500,P 98293,S200000,00400,0600,P 98293,S200000,01004,0500,O 98293,S200000,01600,0100,Y 98293,S200000,02200,0100,Y 98309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98309,A000000,00300,0000,00300EMPLOYEE BENEFITS 98309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98309,A000000,00700,0000,00700HOUSEKEEPING 98309,A000000,00800,0000,00800DIETARY 98309,A000000,00900,0000,00900NURSING ADMINISTRATION 98309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98309,A000000,01100,0000,01100PHARMACY 98309,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98309,A000000,01300,0000,01300SOCIAL SERVICE 98309,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98309,A000000,01600,0000,01600SKILLED NURSING FACILITY 98309,A000000,01800,0000,01800NURSING FACILITY 98309,A000000,01810,0000,01810ICF/MR 98309,A000000,02100,0000,02100RADIOLOGY 98309,A000000,02200,0000,02200LABORATORY 98309,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98309,A000000,02500,0000,02500PHYSICAL THERAPY 98309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98309,A000000,02700,0000,02700SPEECH PATHOLOGY 98309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98309,A000000,03550,0000,03550FQHC 98309,A000000,05000,0000,05000CORF 98309,A000000,05010,0000,05010CMHC 98309,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98309,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98309,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98309,A000000,05500,0000,05500HOSPICE 98309,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98309,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98309,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98309,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98309,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98309,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98309,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98309,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98309,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98309,B100000,00000,0950,00000TIME STUDY :NURSING ADMINISTRATION 98309,B100000,00000,1050,00000GROSS SALARIES :CENTRAL SERVICES & 98309,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 98309,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 98309,S000000,00100,0200,06/01/2000 98309,S200000,00100,0100,2200 GRAMERCY DRIVE 98309,S200000,00200,0100,SACRAMENTO 98309,S200000,00200,0200,CA 98309,S200000,00200,0300,95825- 98309,S200000,00300,0100,SACRAMENTO 98309,S200000,00300,0300,U 98309,S200000,00400,0100,GRAMERCY COURT 98309,S200000,00400,0200,555459 98309,S200000,00400,0300,06/01/1991 98309,S200000,00400,0500,P 98309,S200000,00600,0600,O 98309,S200000,01600,0100,Y 98319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98319,A000000,00300,0000,00300EMPLOYEE BENEFITS 98319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98319,A000000,00700,0000,00700HOUSEKEEPING 98319,A000000,00800,0000,00800DIETARY 98319,A000000,00900,0000,00900NURSING ADMINISTRATION 98319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98319,A000000,01100,0000,01100PHARMACY 98319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98319,A000000,01300,0000,01300SOCIAL SERVICE 98319,A000000,01600,0000,01600SKILLED NURSING FACILITY 98319,A000000,01800,0000,01800NURSING FACILITY 98319,A000000,01900,0000,01900OTHER LONG TERM CARE 98319,A000000,02100,0000,02100RADIOLOGY 98319,A000000,02200,0000,02200LABORATORY 98319,A000000,02300,0000,02300INTRAVENOUS THERAPY 98319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98319,A000000,02500,0000,02500PHYSICAL THERAPY 98319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98319,A000000,02700,0000,02700SPEECH PATHOLOGY 98319,A000000,02800,0000,02800ELECTROCARDIOLOGY 98319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98319,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98319,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98319,A000000,03200,0000,03200SUPPORT SURFACES 98319,A000000,04800,0000,04800AMBULANCE 98319,A000000,05000,0000,05000CORF 98319,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98319,A000000,05300,0000,05300INTEREST EXPENSE 98319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98319,A81000A,00100,0100,Y 98319,A81000B,00100,0300,MANAGEMENT FEES 98319,A81000B,00200,0300,HOME OFFICE CAPITAL 98319,A81000C,00100,0100,B 98319,A81000C,00100,0400,FREEDOM MANAGEM 98319,A81000C,00100,0600,MGMT COMPANY 98319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98319,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98319,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98319,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98319,B100000,00000,0800,00000MEALS SERVED :DIETARY 98319,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98319,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98319,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98319,S000000,00100,0200,06/02/2000 98319,S200000,00100,0100,2400 WEST ACACIA 98319,S200000,00200,0100,HEMET 98319,S200000,00200,0200,CA 98319,S200000,00200,0300,92545- 98319,S200000,00300,0100,RIVERSIDE 98319,S200000,00300,0200,6780 98319,S200000,00300,0300,U 98319,S200000,00400,0100,THE VILLAGE HEALTH CARE CENTER 98319,S200000,00400,0200,555463 98319,S200000,00400,0300,06/03/1991 98319,S200000,00400,0500,P 98319,S200000,01600,0100,Y 98325,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98325,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98325,A000000,00300,0000,00300EMPLOYEE BENEFITS 98325,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98325,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98325,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98325,A000000,00700,0000,00700HOUSEKEEPING 98325,A000000,00800,0000,00800DIETARY 98325,A000000,00900,0000,00900NURSING ADMINISTRATION 98325,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98325,A000000,01100,0000,01100PHARMACY 98325,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98325,A000000,01300,0000,01300SOCIAL SERVICE 98325,A000000,01350,0000,01500OTHER GENERAL SERVICES 98325,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98325,A000000,01600,0000,01600SKILLED NURSING FACILITY 98325,A000000,01800,0000,01800NURSING FACILITY 98325,A000000,01810,0000,01810ICF/MR 98325,A000000,01900,0000,01900OTHER LONG TERM CARE 98325,A000000,02100,0000,02100RADIOLOGY 98325,A000000,02200,0000,02200LABORATORY 98325,A000000,02300,0000,02300INTRAVENOUS THERAPY 98325,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98325,A000000,02500,0000,02500PHYSICAL THERAPY 98325,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98325,A000000,02700,0000,02700SPEECH PATHOLOGY 98325,A000000,02800,0000,02800ELECTROCARDIOLOGY 98325,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98325,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98325,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98325,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98325,A000000,03200,0000,03200SUPPORT SURFACES 98325,A000000,03400,0000,03400CLINIC 98325,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98325,A000000,03500,0000,03500RURAL HEALTH CLINIC 98325,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98325,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98325,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98325,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98325,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98325,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98325,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98325,A000000,04400,0000,04400DME RENTED - HHA 98325,A000000,04500,0000,04500DME SOLD - HHA 98325,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98325,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98325,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98325,A000000,04800,0000,04800AMBULANCE 98325,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98325,A000000,05000,0000,05000CORF 98325,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98325,A000000,05300,0000,05300INTEREST EXPENSE 98325,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98325,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98325,A000000,05500,0000,05500HOSPICE 98325,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98325,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98325,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98325,A000000,06100,0000,06100NONPAID WORKERS 98325,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98325,A000000,06200,0000,06200PATIENTS LAUNDRY 98325,A81000A,00100,0100,Y 98325,A81000B,00100,0300,BUILDING LEASE 98325,A81000B,00200,0300,DEPR. EXP-BUILDING 98325,A81000B,00300,0300,DEPR. EXP-LEASEHOLD 98325,A81000B,00400,0300,DEPR. EXP-EQUIPMENT 98325,A81000C,00100,0100,A 98325,A81000C,00100,0200,LAGUNA PARK LTD PORTION 98325,A81000C,00100,0600,LESSOR 98325,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98325,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98325,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98325,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98325,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98325,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98325,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98325,B100000,00000,0800,00000MEALS SERVED :DIETARY 98325,B100000,00000,0900,00000DIRECT NRGS HOURS :NURSING ADMINIST 98325,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98325,S000000,00100,0200,12/01/2000 98325,S200000,00100,0100,2401 BLANDING AVENUE 98325,S200000,00200,0100,ALAMEDA 98325,S200000,00200,0200,CA 98325,S200000,00200,0300,94502- 98325,S200000,00300,0100,ALAMEDA 98325,S200000,00300,0200,5775 98325,S200000,00300,0300,U 98325,S200000,00400,0100,THE WATERS EDGE 98325,S200000,00400,0200,555464 98325,S200000,00400,0300,06/01/1995 98325,S200000,00400,0500,P 98325,S200000,01004,0500,O 98325,S200000,01500,0100,Y 98333,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98333,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98333,A000000,00300,0000,00300EMPLOYEE BENEFITS 98333,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98333,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98333,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98333,A000000,00700,0000,00700HOUSEKEEPING 98333,A000000,00800,0000,00800DIETARY 98333,A000000,00900,0000,00900NURSING ADMINISTRATION 98333,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98333,A000000,01100,0000,01100PHARMACY 98333,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98333,A000000,01300,0000,01300SOCIAL SERVICE 98333,A000000,01600,0000,01600SKILLED NURSING FACILITY 98333,A000000,01800,0000,01800NURSING FACILITY 98333,A000000,01900,0000,01900OTHER LONG TERM CARE 98333,A000000,02100,0000,02100RADIOLOGY 98333,A000000,02200,0000,02200LABORATORY 98333,A000000,02300,0000,02300INTRAVENOUS THERAPY 98333,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98333,A000000,02500,0000,02500PHYSICAL THERAPY 98333,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98333,A000000,02700,0000,02700SPEECH PATHOLOGY 98333,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98333,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98333,A000000,03050,0000,03001COMPLEX MEDICAL EQUIPMENT 98333,A000000,04800,0000,04800AMBULANCE 98333,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98333,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98333,A81000A,00100,0100,Y 98333,A81000B,00100,0300,HOME OFFICE ALLOC 98333,A81000B,00200,0300,HOME OFFICE ALLOC 98333,A81000B,00300,0300,PHARMACY 98333,A81000B,00400,0300,PHYSICAL THERAPY 98333,A81000B,00500,0300,OCCUPATIONAL THERAPY 98333,A81000B,00600,0300,SPEECH THERAPY 98333,A81000C,00100,0100,A 98333,A81000C,00100,0200,COVENANT CARE INC 98333,A81000C,00100,0400,COVENANT CARE INC. 98333,A81000C,00100,0600,HEALTH CARE 98333,A81000C,00200,0100,B 98333,A81000C,00200,0200,PHARMACY 98333,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 98333,A81000C,00200,0600,PHARMACY - HEALTH CARE 98333,A81000C,00300,0100,C 98333,A81000C,00300,0200,THERAPY 98333,A81000C,00300,0400,SELECT THEREAPY 98333,A81000C,00300,0600,THERAPY SERVICES 98333,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98333,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98333,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98333,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98333,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98333,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98333,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98333,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98333,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98333,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98333,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98333,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98333,S000000,00100,0200,06/01/2000 98333,S200000,00100,0100,9289 BRANSTETTER PLACE 98333,S200000,00200,0100,STOCKTON 98333,S200000,00200,0200,CA 98333,S200000,00200,0300,95209- 98333,S200000,00300,0100,SAN JOAQUIN/STOCKTON 98333,S200000,00300,0200,8120 98333,S200000,00300,0300,U 98333,S200000,00400,0100,WAGNER HEIGHTS NURSING & REHAB 98333,S200000,00400,0200,555470 98333,S200000,00400,0300,06/19/1991 98333,S200000,00400,0500,P 98333,S200000,00600,0300,01/01/2000 98333,S200000,01600,0100,Y 98341,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98341,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98341,A000000,00300,0000,00300EMPLOYEE BENEFITS 98341,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98341,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98341,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98341,A000000,00700,0000,00700HOUSEKEEPING 98341,A000000,00800,0000,00800DIETARY 98341,A000000,00900,0000,00900NURSING ADMINISTRATION 98341,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98341,A000000,01100,0000,01100PHARMACY 98341,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98341,A000000,01300,0000,01300SOCIAL SERVICE 98341,A000000,01600,0000,01600SKILLED NURSING FACILITY 98341,A000000,01800,0000,01800NURSING FACILITY 98341,A000000,01900,0000,01900OTHER LONG TERM CARE 98341,A000000,02100,0000,02100RADIOLOGY 98341,A000000,02200,0000,02200LABORATORY 98341,A000000,02300,0000,02300INTRAVENOUS THERAPY 98341,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98341,A000000,02500,0000,02500PHYSICAL THERAPY 98341,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98341,A000000,02700,0000,02700SPEECH PATHOLOGY 98341,A000000,02800,0000,02800ELECTROCARDIOLOGY 98341,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98341,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98341,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98341,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98341,A000000,03200,0000,03200SUPPORT SURFACES 98341,A000000,04800,0000,04800AMBULANCE 98341,A000000,05000,0000,05000CORF 98341,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98341,A000000,05300,0000,05300INTEREST EXPENSE 98341,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98341,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98341,A81000A,00100,0100,Y 98341,A81000B,00100,0300,HEADQUARTERS ALLOCATION 98341,A81000B,00200,0300,RELATED PHARMACY 98341,A81000B,00300,0300,INTEREST ALLOCATION 98341,A81000C,00100,0100,B 98341,A81000C,00100,0200,INTERNEXT 98341,A81000C,00100,0400,INTERNEXT GROUP 98341,A81000C,00100,0600,HOME OFFICE 98341,A81000C,00200,0100,B 98341,A81000C,00200,0200,INTERNEXT 98341,A81000C,00200,0400,SOUTHLAND 98341,A81000C,00200,0600,SENIOR HOUSING 98341,A81000C,00300,0100,B 98341,A81000C,00300,0200,INTERNEXT 98341,A81000C,00300,0400,CARLSBAD BY THE 98341,A81000C,00300,0600,SENIOR 98341,A81000C,00400,0100,B 98341,A81000C,00400,0200,INTERNEXT 98341,A81000C,00400,0400,THE ALHAMBRA 98341,A81000C,00400,0600,SENIOR 98341,A81000C,00500,0100,B 98341,A81000C,00500,0200,INTERNEXT 98341,A81000C,00500,0400,KINGSLEY MANOR 98341,A81000C,00500,0600,SENIOR 98341,A81000C,00600,0100,B 98341,A81000C,00600,0200,INTERNEXT 98341,A81000C,00600,0400,FREDERICKA MANO 98341,A81000C,00600,0600,SENIOR 98341,A81000C,00700,0100,B 98341,A81000C,00700,0200,INTERNEXT 98341,A81000C,00700,0400,CLAREMONT MANOR 98341,A81000C,00700,0600,SENIOR 98341,A81000C,00800,0100,B 98341,A81000C,00800,0200,INTERNEXT 98341,A81000C,00800,0400,LA JOLLA CARE C 98341,A81000C,00800,0600,SENIOR 98341,A81000C,00900,0100,B 98341,A81000C,00900,0200,INTERNEXT 98341,A81000C,00900,0400,VISTA DEL MONTE 98341,A81000C,00900,0600,SENIOR 98341,A81000C,01000,0100,B 98341,A81000C,01000,0200,INTERNEXT 98341,A81000C,01000,0400,VILLA GARDENS 98341,A81000C,01000,0600,SENIOR 98341,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98341,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98341,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98341,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98341,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98341,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98341,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98341,B100000,00000,0800,00000MEALS SERVED :DIETARY 98341,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98341,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98341,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98341,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98341,S000000,00100,0200,09/25/2000 98341,S200000,00100,0100,891 S. WALNUT STREET 98341,S200000,00200,0100,ANAHEIM 98341,S200000,00200,0200,CA 98341,S200000,00200,0300,92802- 98341,S200000,00300,0100,ORANGE 98341,S200000,00300,0200,5945 98341,S200000,00300,0300,U 98341,S200000,00400,0100,WALNUT MANOR CARE CENTER 98341,S200000,00400,0200,555472 98341,S200000,00400,0300,08/03/1991 98341,S200000,00400,0500,P 98341,S200000,01600,0100,Y 98352,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98352,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98352,A000000,00300,0000,00300EMPLOYEE BENEFITS 98352,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98352,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98352,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98352,A000000,00700,0000,00700HOUSEKEEPING 98352,A000000,00800,0000,00800DIETARY 98352,A000000,00900,0000,00900NURSING ADMINISTRATION 98352,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98352,A000000,01100,0000,01100PHARMACY 98352,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98352,A000000,01300,0000,01300SOCIAL SERVICE 98352,A000000,01350,0000,01500OTHER GENERAL SERVICES 98352,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98352,A000000,01600,0000,01600SKILLED NURSING FACILITY 98352,A000000,01800,0000,01800NURSING FACILITY 98352,A000000,01810,0000,01810ICF/MR 98352,A000000,01900,0000,01900OTHER LONG TERM CARE 98352,A000000,02100,0000,02100RADIOLOGY 98352,A000000,02200,0000,02200LABORATORY 98352,A000000,02300,0000,02300INTRAVENOUS THERAPY 98352,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98352,A000000,02500,0000,02500PHYSICAL THERAPY 98352,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98352,A000000,02700,0000,02700SPEECH PATHOLOGY 98352,A000000,02800,0000,02800ELECTROCARDIOLOGY 98352,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98352,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98352,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98352,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98352,A000000,03200,0000,03200SUPPORT SURFACES 98352,A000000,03400,0000,03400CLINIC 98352,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98352,A000000,03500,0000,03500RURAL HEALTH CLINIC 98352,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98352,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98352,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98352,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98352,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98352,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98352,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98352,A000000,04400,0000,04400DME RENTED - HHA 98352,A000000,04500,0000,04500DME SOLD - HHA 98352,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98352,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98352,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98352,A000000,04800,0000,04800AMBULANCE 98352,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98352,A000000,05000,0000,05000CORF 98352,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98352,A000000,05300,0000,05300INTEREST EXPENSE 98352,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98352,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98352,A000000,05500,0000,05500HOSPICE 98352,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98352,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98352,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98352,A000000,06100,0000,06100NONPAID WORKERS 98352,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98352,A000000,06200,0000,06200PATIENTS LAUNDRY 98352,A81000A,00100,0100,Y 98352,A81000B,00100,0300,DRUGS 98352,A81000C,00100,0100,B 98352,A81000C,00100,0200,THE INTERNEXT GROUP 98352,A81000C,00100,0400,HEALTH SOLUTIONS INC. 98352,A81000C,00100,0600,HOME OFFICE/MANAGER 98352,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98352,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98352,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98352,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98352,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98352,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98352,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98352,B100000,00000,0800,00000MEALS SERVED :DIETARY 98352,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 98352,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98352,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98352,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98352,S000000,00100,0200,12/19/2000 98352,S200000,00100,0100,11959 APPLE VALLEY ROAD 98352,S200000,00200,0100,APPLE VALLEY 98352,S200000,00200,0200,CA 98352,S200000,00200,0300,92308- 98352,S200000,00300,0100,SAN BERNARDINO 98352,S200000,00300,0200,6780 98352,S200000,00300,0300,U 98352,S200000,00400,0100,APPLE VALLEY CARE CENTER 98352,S200000,00400,0200,555476 98352,S200000,00400,0300,09/26/1991 98352,S200000,00400,0500,P 98352,S200000,01600,0100,Y 98360,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98360,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98360,A000000,00300,0000,00300EMPLOYEE BENEFITS 98360,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98360,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98360,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98360,A000000,00700,0000,00700HOUSEKEEPING 98360,A000000,00800,0000,00800DIETARY 98360,A000000,00900,0000,00900NURSING ADMINISTRATION 98360,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98360,A000000,01100,0000,01100PHARMACY 98360,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98360,A000000,01300,0000,01300SOCIAL SERVICE 98360,A000000,01350,0000,01500OTHER GENERAL SERVICES 98360,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98360,A000000,01600,0000,01600SKILLED NURSING FACILITY 98360,A000000,01800,0000,01800NURSING FACILITY 98360,A000000,01810,0000,01810ICF/MR 98360,A000000,01900,0000,01900OTHER LONG TERM CARE 98360,A000000,02100,0000,02100RADIOLOGY 98360,A000000,02200,0000,02200LABORATORY 98360,A000000,02300,0000,02300INTRAVENOUS THERAPY 98360,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98360,A000000,02500,0000,02500PHYSICAL THERAPY 98360,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98360,A000000,02700,0000,02700SPEECH PATHOLOGY 98360,A000000,02800,0000,02800ELECTROCARDIOLOGY 98360,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98360,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98360,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98360,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98360,A000000,03200,0000,03200SUPPORT SURFACES 98360,A000000,03400,0000,03400CLINIC 98360,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98360,A000000,03500,0000,03500RURAL HEALTH CLINIC 98360,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98360,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98360,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98360,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98360,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98360,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98360,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98360,A000000,04400,0000,04400DME RENTED - HHA 98360,A000000,04500,0000,04500DME SOLD - HHA 98360,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98360,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98360,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98360,A000000,04800,0000,04800AMBULANCE 98360,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98360,A000000,05000,0000,05000CORF 98360,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98360,A000000,05300,0000,05300INTEREST EXPENSE 98360,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98360,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98360,A000000,05500,0000,05500HOSPICE 98360,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98360,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98360,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98360,A000000,06100,0000,06100NONPAID WORKERS 98360,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98360,A000000,06200,0000,06200PATIENTS LAUNDRY 98360,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98360,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98360,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98360,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98360,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98360,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98360,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98360,B100000,00000,0800,00000MEALS SERVED :DIETARY 98360,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 98360,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 98360,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 98360,S000000,00100,0200,12/01/2000 98360,S200000,00100,0100,1509 TOKAY STREET 98360,S200000,00200,0100,DELANO 98360,S200000,00200,0200,CA 98360,S200000,00200,0300,93215- 98360,S200000,00300,0100,KERN 98360,S200000,00300,0200,0680 98360,S200000,00300,0300,U 98360,S200000,00400,0100,DELANO DISTRICT SNF 98360,S200000,00400,0200,555479 98360,S200000,00400,0300,11/01/1991 98360,S200000,00400,0500,P 98360,S200000,01600,0100,Y 98365,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98365,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98365,A000000,00300,0000,00300EMPLOYEE BENEFITS 98365,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98365,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98365,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98365,A000000,00700,0000,00700HOUSEKEEPING 98365,A000000,00800,0000,00800DIETARY 98365,A000000,00900,0000,00900NURSING ADMINISTRATION 98365,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98365,A000000,01100,0000,01100PHARMACY 98365,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98365,A000000,01300,0000,01300SOCIAL SERVICE 98365,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98365,A000000,01600,0000,01600SKILLED NURSING FACILITY 98365,A000000,01800,0000,01800NURSING FACILITY 98365,A000000,01810,0000,01810ICF/MR 98365,A000000,02100,0000,02100RADIOLOGY 98365,A000000,02500,0000,02500PHYSICAL THERAPY 98365,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98365,A000000,02700,0000,02700SPEECH PATHOLOGY 98365,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98365,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98365,A000000,03550,0000,03550FQHC 98365,A000000,05000,0000,05000CORF 98365,A000000,05010,0000,05010CMHC 98365,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98365,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98365,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98365,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98365,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98365,A81000A,00100,0100,Y 98365,A81000B,00100,0300,HOME OFFICE DEPREC 98365,A81000B,00200,0300,HOME OFFICE DEPREC 98365,A81000B,00300,0300,HOME OFFICE ADMIN 98365,A81000B,00400,0300,THERAGEN 98365,A81000B,00500,0300,DIRECT COST TRANS 98365,A81000B,00600,0300,DIRECT COST TRANS 98365,A81000B,00700,0300,DIRECT COST TRANS 98365,A81000C,00100,0100,G 98365,A81000C,00100,0400,LIFE GENERATION 98365,A81000C,00100,0600,HEALTHCARE 98365,A81000C,00200,0100,G 98365,A81000C,00200,0400,THERAGEN 98365,A81000C,00200,0600,PHYSICAL THERAP 98365,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98365,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98365,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98365,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98365,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98365,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98365,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98365,B100000,00000,0800,00000MEALS SERVED :DIETARY 98365,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 98365,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 98365,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98365,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98365,S000000,00100,0200,05/31/2000 98365,S200000,00100,0100,120 JOSE FIGUERES AVENUE 98365,S200000,00200,0100,SAN JOSE 98365,S200000,00200,0200,CA 98365,S200000,00200,0300,95116- 98365,S200000,00300,0100,SANTA CLARA 98365,S200000,00300,0300,U 98365,S200000,00400,0100,PARKVIEW NURSING CENTER 98365,S200000,00400,0200,555483 98365,S200000,00400,0300,05/01/1998 98365,S200000,00400,0500,P 98365,S200000,00400,0600,O 98365,S200000,00600,0200,555483 98365,S200000,00600,0300,05/01/1998 98365,S200000,00600,0600,P 98365,S200000,01600,0100,Y 98374,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98374,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98374,A000000,00300,0000,00300EMPLOYEE BENEFITS 98374,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98374,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98374,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98374,A000000,00700,0000,00700HOUSEKEEPING 98374,A000000,00800,0000,00800DIETARY 98374,A000000,00900,0000,00900NURSING ADMINISTRATION 98374,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98374,A000000,01100,0000,01100PHARMACY 98374,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98374,A000000,01300,0000,01300SOCIAL SERVICE 98374,A000000,01600,0000,01600SKILLED NURSING FACILITY 98374,A000000,01800,0000,01800NURSING FACILITY 98374,A000000,01900,0000,01900OTHER LONG TERM CARE 98374,A000000,02100,0000,02100RADIOLOGY 98374,A000000,02200,0000,02200LABORATORY 98374,A000000,02300,0000,02300INTRAVENOUS THERAPY 98374,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98374,A000000,02500,0000,02500PHYSICAL THERAPY 98374,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98374,A000000,02700,0000,02700SPEECH PATHOLOGY 98374,A000000,02800,0000,02800ELECTROCARDIOLOGY 98374,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98374,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98374,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98374,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98374,A000000,03200,0000,03200SUPPORT SURFACES 98374,A000000,04800,0000,04800AMBULANCE 98374,A000000,05000,0000,05000CORF 98374,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98374,A000000,05300,0000,05300INTEREST EXPENSE 98374,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98374,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98374,A81000A,00100,0100,Y 98374,A81000B,00100,0300,HOME OFFICE CAPITAL 98374,A81000B,00200,0300,HOME OFFICE NON-CAPITAL 98374,A81000B,00300,0300,BUILDING RENT 98374,A81000B,00400,0300,MANAGEMENT SERV 98374,A81000C,00100,0100,B 98374,A81000C,00100,0200,MISSION MEDICAL 98374,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98374,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98374,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98374,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98374,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98374,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98374,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98374,B100000,00000,0800,00000MEALS SERVED :DIETARY 98374,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98374,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98374,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98374,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98374,S000000,00100,0200,06/30/2000 98374,S200000,00100,0100,851 LESLIE LANE 98374,S200000,00200,0100,HANFORD 98374,S200000,00200,0200,CA 98374,S200000,00200,0300,93230- 98374,S200000,00300,0100,KINGS 98374,S200000,00300,0200,05 98374,S200000,00300,0300,R 98374,S200000,00400,0100,KINGS NURSING & REHAB 98374,S200000,00400,0200,555485 98374,S200000,00400,0300,01/01/1990 98374,S200000,00400,0500,P 98374,S200000,01500,0100,Y 98383,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98383,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98383,A000000,00300,0000,00300EMPLOYEE BENEFITS 98383,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98383,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98383,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98383,A000000,00700,0000,00700HOUSEKEEPING 98383,A000000,00800,0000,00800DIETARY 98383,A000000,00900,0000,00900NURSING ADMINISTRATION 98383,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98383,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98383,A000000,01300,0000,01300SOCIAL SERVICE 98383,A000000,01600,0000,01600SKILLED NURSING FACILITY 98383,A000000,01800,0000,01800NURSING FACILITY 98383,A000000,01900,0000,01900OTHER LONG TERM CARE 98383,A000000,02100,0000,02100RADIOLOGY 98383,A000000,02200,0000,02200LABORATORY 98383,A000000,02300,0000,02300INTRAVENOUS THERAPY 98383,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98383,A000000,02500,0000,02500PHYSICAL THERAPY 98383,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98383,A000000,02700,0000,02700SPEECH PATHOLOGY 98383,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98383,A000000,02901,0000,02901ENTERAL NUTRITION 98383,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98383,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98383,A000000,03051,0000,03201EQUIPMENT RENTAL 98383,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98383,A000000,03200,0000,03200SUPPORT SURFACES 98383,A000000,03400,0000,03400CLINIC 98383,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98383,A000000,03500,0000,03500RURAL HEALTH CLINIC 98383,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98383,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98383,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98383,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98383,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98383,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98383,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98383,A000000,04400,0000,04400DME RENTED - HHA 98383,A000000,04500,0000,04500DME SOLD - HHA 98383,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98383,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98383,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98383,A000000,04800,0000,04800AMBULANCE 98383,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98383,A000000,05000,0000,05000CORF 98383,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98383,A000000,05300,0000,05300INTEREST EXPENSE 98383,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98383,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98383,A000000,05500,0000,05500HOSPICE 98383,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98383,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98383,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98383,A000000,06100,0000,06100NONPAID WORKERS 98383,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98383,A000000,06151,0000,06301BOARD AND CARE 98383,A000000,06200,0000,06200PATIENTS LAUNDRY 98383,A81000A,00100,0100,Y 98383,A81000B,00100,0300,ADMINISTRATIVE/GENERAL 98383,A81000C,00100,0100,B 98383,A81000C,00100,0200,B 98383,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98383,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 98383,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 98383,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98383,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98383,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 98383,B100000,00000,0750,00001SQUARE FEET - DIE:HOUSEKEEPING 98383,B100000,00000,0800,00001MEALS SERVED :DIETARY 98383,B100000,00000,0950,00001NURSING SALARIES :NURSING ADMINIST 98383,B100000,00000,1050,00001NURSING SALARIES :CENTRAL SERVICES 98383,B100000,00000,1250,00001 ACCUM. COST :MEDICAL RECORDS & LIB 98383,B100000,00000,1330,00001RESIDENT DAYS :SOCIAL SERVICE 98383,E10A180,00301,0100,05/24/2000 98383,S000000,00100,0200,12/01/2000 98383,S200000,00100,0100,430 WILLOW STREET 98383,S200000,00200,0100,ALAMEDA 98383,S200000,00200,0200,CA 98383,S200000,00200,0300,94501- 98383,S200000,00300,0100,ALAMEDA 98383,S200000,00300,0200,5775 98383,S200000,00300,0300,U 98383,S200000,00400,0100,ALAMEDA CARE CENTER 98383,S200000,00400,0200,555486 98383,S200000,00400,0300,11/01/1991 98383,S200000,00400,0500,P 98383,S200000,01600,0100,Y 98394,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98394,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98394,A000000,00300,0000,00300EMPLOYEE BENEFITS 98394,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98394,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98394,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98394,A000000,00700,0000,00700HOUSEKEEPING 98394,A000000,00800,0000,00800DIETARY 98394,A000000,00900,0000,00900NURSING ADMINISTRATION 98394,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98394,A000000,01100,0000,01100PHARMACY 98394,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98394,A000000,01300,0000,01300SOCIAL SERVICE 98394,A000000,01350,0000,01500OTHER GENERAL SERVICES 98394,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98394,A000000,01600,0000,01600SKILLED NURSING FACILITY 98394,A000000,01800,0000,01800NURSING FACILITY 98394,A000000,01900,0000,01900OTHER LONG TERM CARE 98394,A000000,02100,0000,02100RADIOLOGY 98394,A000000,02200,0000,02200LABORATORY 98394,A000000,02300,0000,02300INTRAVENOUS THERAPY 98394,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98394,A000000,02500,0000,02500PHYSICAL THERAPY 98394,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98394,A000000,02700,0000,02700SPEECH PATHOLOGY 98394,A000000,02800,0000,02800ELECTROCARDIOLOGY 98394,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98394,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98394,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98394,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98394,A000000,03200,0000,03200SUPPORT SURFACES 98394,A000000,03400,0000,03400CLINIC 98394,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98394,A000000,03500,0000,03500RURAL HEALTH CLINIC 98394,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98394,A000000,04800,0000,04800AMBULANCE 98394,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98394,A000000,05000,0000,05000CORF 98394,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98394,A000000,05300,0000,05300INTEREST EXPENSE 98394,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98394,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98394,A000000,05500,0000,05500HOSPICE 98394,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98394,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98394,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98394,A000000,06100,0000,06100NONPAID WORKERS 98394,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98394,A000000,06200,0000,06200PATIENTS LAUNDRY 98394,A81000A,00100,0100,Y 98394,A81000B,00100,0300,RELATED LEASE 98394,A81000B,00200,0300,OWNER BASIS INTEREST 98394,A81000B,00300,0300,OWNER BASIS DEPRECIATION 98394,A81000B,00400,0300,OWNER BASIS REPAIRS 98394,A81000B,00500,0300,OWNER BASIS INSURANCE 98394,A81000B,00600,0300,OWNER BASIS AMORTIZATION 98394,A81000B,00700,0300,OWNER BASIS PROPERTY TAXES 98394,A81000B,00800,0300,OWNER BASIS ADMIN. EXPENSES 98394,A81000B,00900,0300,OWNER BASIS UTILITIES 98394,A81000C,00100,0100,A 98394,A81000C,00100,0200,CALVIN BAKER SR. 98394,A81000C,00100,0400,BAKER & BAKER PARTNERSHIP 98394,A81000C,00100,0600,PROPERTY MANAGEMENT 98394,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98394,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98394,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98394,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98394,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98394,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98394,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98394,B100000,00000,0800,00000MEALS SERVED :DIETARY 98394,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 98394,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98394,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98394,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98394,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98394,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98394,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98394,S000000,00100,0200,06/02/2000 98394,S200000,00100,0100,3805 DEXTER LANE 98394,S200000,00200,0100,CLEAR LAKE 98394,S200000,00200,0200,CA 98394,S200000,00200,0300,95422- 98394,S200000,00300,0100,LAKE 98394,S200000,00400,0100,MEADOWOOD NURSING CENTER 98394,S200000,00400,0200,555490 98394,S200000,00400,0300,02/14/1992 98394,S200000,00400,0500,P 98394,S200000,01600,0100,Y 98394,S700003,00000,0100,1 98404,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98404,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98404,A000000,00300,0000,00300EMPLOYEE BENEFITS 98404,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98404,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98404,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98404,A000000,00700,0000,00700HOUSEKEEPING 98404,A000000,00800,0000,00800DIETARY 98404,A000000,00900,0000,00900NURSING ADMINISTRATION 98404,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98404,A000000,01300,0000,01300SOCIAL SERVICE 98404,A000000,01600,0000,01600SKILLED NURSING FACILITY 98404,A000000,01800,0000,01800NURSING FACILITY 98404,A000000,01810,0000,01810ICF/MR 98404,A000000,02100,0000,02100RADIOLOGY 98404,A000000,02200,0000,02200LABORATORY 98404,A000000,02300,0000,02300INTRAVENOUS THERAPY 98404,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98404,A000000,02500,0000,02500PHYSICAL THERAPY 98404,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98404,A000000,02700,0000,02700SPEECH PATHOLOGY 98404,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98404,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98404,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98404,A000000,03101,0000,03101EQUIPMENT RENTAL 98404,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98404,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98404,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98404,A81000A,00100,0100,Y 98404,A81000B,00100,0300,HOME OFFICE ALLOCATION 98404,A81000B,00200,0300,HOME OFFICE CAPITAL 98404,A81000B,00300,0300,MANAGEMENT FEES 98404,A81000C,00100,0100,B 98404,A81000C,00100,0400,SUNSET CORP 98404,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98404,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98404,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98404,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98404,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98404,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98404,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98404,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98404,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98404,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98404,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98404,S000000,00100,0200,06/30/2000 98404,S200000,00100,0100,9246 AVENIDA MIRA VILLA 98404,S200000,00200,0100,CHERRY VALLEY 98404,S200000,00200,0200,CA 98404,S200000,00200,0300,92223- 98404,S200000,00300,0100,RIVERSIDE 98404,S200000,00300,0200,6780 98404,S200000,00300,0300,U 98404,S200000,00400,0100,SUNSET HAVEN HEALTH CENTER 98404,S200000,00400,0200,555492 98404,S200000,00400,0300,11/22/1991 98404,S200000,00400,0500,P 98404,S200000,01500,0100,Y 98420,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98420,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98420,A000000,00300,0000,00300EMPLOYEE BENEFITS 98420,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98420,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98420,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98420,A000000,00700,0000,00700HOUSEKEEPING 98420,A000000,00800,0000,00800DIETARY 98420,A000000,00900,0000,00900NURSING ADMINISTRATION 98420,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98420,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98420,A000000,01300,0000,01300SOCIAL SERVICE 98420,A000000,01600,0000,01600SKILLED NURSING FACILITY 98420,A000000,02100,0000,02100RADIOLOGY 98420,A000000,02200,0000,02200LABORATORY 98420,A000000,02300,0000,02300INTRAVENOUS THERAPY 98420,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98420,A000000,02500,0000,02500PHYSICAL THERAPY 98420,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98420,A000000,02700,0000,02700SPEECH PATHOLOGY 98420,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98420,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98420,A000000,03200,0000,03200SUPPORT SURFACES 98420,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98420,A81000A,00100,0100,Y 98420,A81000B,00100,0300,MANAGEMENT FEES 98420,A81000B,00200,0300,HOME OFFICE - BUILDING 98420,A81000B,00300,0300,HOME OFFICE - EQUIPMENT 98420,A81000C,00100,0100,A 98420,A81000C,00100,0200,JAMES W. BRASWELL 98420,A81000C,00100,0400,BRASWELL ENTERPRISES 98420,A81000C,00100,0600,MANAGEMENT COMPANY 98420,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98420,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98420,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98420,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98420,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98420,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98420,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98420,B100000,00000,0800,00000MEALS SERVED :DIETARY 98420,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98420,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98420,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98420,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98420,S000000,00100,0200,06/05/2000 98420,S200000,00100,0100,11970 4TH STREET 98420,S200000,00200,0100,YUCAIPA 98420,S200000,00200,0200,CA 98420,S200000,00200,0300,92399- 98420,S200000,00300,0100,SAN BERNARDINO 98420,S200000,00400,0100,BRASWELL HAMPTON MANOR 98420,S200000,00400,0200,555494 98420,S200000,00400,0300,01/22/1993 98420,S200000,00400,0500,P 98420,S200000,00400,0600,O 98420,S200000,01500,0100,Y 98420,S700003,00000,0100,1 98427,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98427,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98427,A000000,00300,0000,00300EMPLOYEE BENEFITS 98427,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98427,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98427,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98427,A000000,00700,0000,00700HOUSEKEEPING 98427,A000000,00800,0000,00800DIETARY 98427,A000000,00900,0000,00900NURSING ADMINISTRATION 98427,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98427,A000000,01100,0000,01100PHARMACY 98427,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98427,A000000,01300,0000,01300SOCIAL SERVICE 98427,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98427,A000000,01600,0000,01600SKILLED NURSING FACILITY 98427,A000000,01800,0000,01800NURSING FACILITY 98427,A000000,02100,0000,02100RADIOLOGY 98427,A000000,02500,0000,02500PHYSICAL THERAPY 98427,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98427,A000000,02700,0000,02700SPEECH PATHOLOGY 98427,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98427,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98427,A81000A,00100,0100,Y 98427,A81000B,00100,0300,ADMINISTRATOR COMPENSATION 98427,A81000C,00100,0100,A 98427,A81000C,00100,0200,ABC 98427,A81000C,00100,0400,DEF 98427,A81000C,00100,0600,MEDICARE 98427,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98427,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98427,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98427,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98427,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98427,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98427,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98427,B100000,00000,0800,00000MEALS SERVED :DIETARY 98427,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98427,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98427,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98427,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98427,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98427,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98427,S000000,00100,0200,07/05/2000 98427,S200000,00100,0100,5320 CARRINGTON CIRCLE 98427,S200000,00200,0100,STOCKTON 98427,S200000,00200,0200,CA 98427,S200000,00200,0300,95210- 98427,S200000,00300,0100,SAN JOAQUIN 98427,S200000,00400,0100,WHISPERING HOPE CARE CENTER 98427,S200000,00400,0200,555496 98427,S200000,00400,0300,04/01/1992 98427,S200000,00400,0500,P 98427,S200000,00600,0200,555496 98427,S200000,00600,0300,04/01/1992 98427,S200000,01600,0100,Y 98427,S200000,02200,0100,Y 98427,S200000,04300,0100,Y 98427,S700003,00000,0100,1 98433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98433,A000000,00300,0000,00300EMPLOYEE BENEFITS 98433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98433,A000000,00700,0000,00700HOUSEKEEPING 98433,A000000,00800,0000,00800DIETARY 98433,A000000,00900,0000,00900NURSING ADMINISTRATION 98433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98433,A000000,01100,0000,01100PHARMACY 98433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98433,A000000,01300,0000,01300SOCIAL SERVICE 98433,A000000,01350,0000,01500OTHER GENERAL SERVICES 98433,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98433,A000000,01600,0000,01600SKILLED NURSING FACILITY 98433,A000000,01800,0000,01800NURSING FACILITY 98433,A000000,01900,0000,01900OTHER LONG TERM CARE 98433,A000000,02100,0000,02100RADIOLOGY 98433,A000000,02200,0000,02200LABORATORY 98433,A000000,02300,0000,02300INTRAVENOUS THERAPY 98433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98433,A000000,02500,0000,02500PHYSICAL THERAPY 98433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98433,A000000,02700,0000,02700SPEECH PATHOLOGY 98433,A000000,02800,0000,02800ELECTROCARDIOLOGY 98433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98433,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98433,A000000,03200,0000,03200SUPPORT SURFACES 98433,A000000,03400,0000,03400CLINIC 98433,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98433,A000000,03500,0000,03500RURAL HEALTH CLINIC 98433,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98433,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98433,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98433,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98433,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98433,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98433,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98433,A000000,04400,0000,04400DME RENTED - HHA 98433,A000000,04500,0000,04500DME SOLD - HHA 98433,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98433,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98433,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98433,A000000,04800,0000,04800AMBULANCE 98433,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98433,A000000,05000,0000,05000CORF 98433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98433,A000000,05300,0000,05300INTEREST EXPENSE 98433,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98433,A000000,05500,0000,05500HOSPICE 98433,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98433,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98433,A000000,06100,0000,06100NONPAID WORKERS 98433,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98433,A000000,06200,0000,06200PATIENTS LAUNDRY 98433,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98433,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98433,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98433,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98433,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98433,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98433,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98433,B100000,00000,0800,00000MEALS SERVED :DIETARY 98433,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98433,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98433,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98433,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98433,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98433,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98433,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98433,S000000,00100,0200,07/10/2000 98433,S200000,00100,0100,3145 HIGH STREET 98433,S200000,00200,0100,OAKLAND 98433,S200000,00200,0200,CA 98433,S200000,00200,0300,94619- 98433,S200000,00300,0100,ALAMEDA 98433,S200000,00400,0100,HIGH STREET NURSING CENTER 98433,S200000,00400,0200,555499 98433,S200000,00400,0300,11/01/1994 98433,S200000,00400,0500,P 98433,S200000,01500,0100,Y 98443,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98443,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 98443,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98443,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 98443,A000000,00300,0000,00300EMPLOYEE BENEFITS 98443,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98443,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98443,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98443,A000000,00700,0000,00700HOUSEKEEPING 98443,A000000,00800,0000,00800DIETARY 98443,A000000,00801,0000,00801CAFETERIA 98443,A000000,00900,0000,00900NURSING ADMINISTRATION 98443,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98443,A000000,01100,0000,01100PHARMACY 98443,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98443,A000000,01300,0000,01300SOCIAL SERVICE 98443,A000000,01350,0000,01500ACTIVITIES 98443,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98443,A000000,01600,0000,01600SKILLED NURSING FACILITY 98443,A000000,01800,0000,01800NURSING FACILITY 98443,A000000,01900,0000,01900OTHER LONG TERM CARE 98443,A000000,02100,0000,02100RADIOLOGY 98443,A000000,02200,0000,02200LABORATORY 98443,A000000,02300,0000,02300INTRAVENOUS THERAPY 98443,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98443,A000000,02500,0000,02500PHYSICAL THERAPY 98443,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98443,A000000,02700,0000,02700SPEECH PATHOLOGY 98443,A000000,02800,0000,02800ELECTROCARDIOLOGY 98443,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98443,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98443,A000000,03050,0000,03300OTHER ANCILLARY 98443,A000000,03051,0000,03301OTHER ANCILLARY II 98443,A000000,03052,0000,03302OTHER ANCILLARY III 98443,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98443,A000000,03200,0000,03200SUPPORT SURFACES 98443,A000000,03400,0000,03400CLINIC 98443,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 98443,A000000,03500,0000,03500RURAL HEALTH CLINIC 98443,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98443,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98443,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98443,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98443,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98443,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98443,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98443,A000000,04400,0000,04400DME RENTED - HHA 98443,A000000,04500,0000,04500DME SOLD - HHA 98443,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98443,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98443,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98443,A000000,04800,0000,04800AMBULANCE 98443,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98443,A000000,05000,0000,05000CORF 98443,A000000,05010,0000,05010CMHC I 98443,A000000,05020,0000,05020OPT I 98443,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98443,A000000,05300,0000,05300INTEREST EXPENSE 98443,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 98443,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 98443,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98443,A000000,05500,0000,05500HOSPICE 98443,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98443,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98443,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98443,A000000,06100,0000,06100NONPAID WORKERS 98443,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98443,A000000,06200,0000,06200PATIENTS LAUNDRY 98443,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 98443,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 98443,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 98443,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98443,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 98443,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 98443,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 98443,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 98443,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 98443,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 98443,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 98443,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 98443,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 98443,E10A180,00301,0100,07/21/1999 98443,S000000,00100,0200,06/01/2000 98443,S200000,00100,0100,701 WEST HERBERT AVE. 98443,S200000,00200,0100,REEDLEY 98443,S200000,00200,0200,CA 98443,S200000,00200,0300,93654- 98443,S200000,00300,0100,FRESNO 98443,S200000,00300,0200,2840 98443,S200000,00300,0300,U 98443,S200000,00400,0100,PLEASANT VIEW MANOR 98443,S200000,00400,0200,555513 98443,S200000,00400,0300,04/01/1992 98443,S200000,00400,0500,P 98443,S200000,01500,0100,Y 98443,S200000,02200,0100,Y 98443,S200000,02800,0100,Y 98451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98451,A000000,00300,0000,00300EMPLOYEE BENEFITS 98451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98451,A000000,00700,0000,00700HOUSEKEEPING 98451,A000000,00800,0000,00800DIETARY 98451,A000000,00900,0000,00900NURSING ADMINISTRATION 98451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98451,A000000,01300,0000,01300SOCIAL SERVICE 98451,A000000,01600,0000,01600SKILLED NURSING FACILITY 98451,A000000,01800,0000,01800NURSING FACILITY 98451,A000000,02100,0000,02100RADIOLOGY 98451,A000000,02200,0000,02200LABORATORY 98451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98451,A000000,02500,0000,02500PHYSICAL THERAPY 98451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98451,A000000,02700,0000,02700SPEECH PATHOLOGY 98451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98451,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98451,A81000A,00100,0100,Y 98451,A81000B,00100,0300,HOME OFFICE CAPITAL 98451,A81000B,00200,0300,MANAGEMENT FEES 98451,A81000B,00300,0300,MANAGEMENT FEES 98451,A81000C,00100,0100,B 98451,A81000C,00100,0400,SUNSET HAVEN 98451,A81000C,00100,0600,MGMT CO. 98451,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98451,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98451,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98451,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98451,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98451,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98451,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98451,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98451,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 98451,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98451,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98451,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98451,S000000,00100,0200,06/30/2000 98451,S200000,00100,0100,275 GARNET WAY 98451,S200000,00200,0100,UPLAND 98451,S200000,00200,0200,CA 98451,S200000,00200,0300,91786- 98451,S200000,00300,0100,SAN BERNARDINO 98451,S200000,00300,0200,6780 98451,S200000,00300,0300,U 98451,S200000,00400,0100,CHRISTIAN HERITAGE CARE CENTER 98451,S200000,00400,0200,555514 98451,S200000,00400,0300,07/01/1992 98451,S200000,00400,0500,P 98451,S200000,01600,0100,Y 98460,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98460,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98460,A000000,00300,0000,00300EMPLOYEE BENEFITS 98460,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98460,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98460,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98460,A000000,00700,0000,00700HOUSEKEEPING 98460,A000000,00800,0000,00800DIETARY 98460,A000000,00900,0000,00900NURSING ADMINISTRATION 98460,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98460,A000000,01100,0000,01100PHARMACY 98460,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98460,A000000,01300,0000,01300SOCIAL SERVICE 98460,A000000,01600,0000,01600SKILLED NURSING FACILITY 98460,A000000,01800,0000,01800NURSING FACILITY 98460,A000000,01900,0000,01900OTHER LONG TERM CARE 98460,A000000,02100,0000,02100RADIOLOGY 98460,A000000,02200,0000,02200LABORATORY 98460,A000000,02300,0000,02300INTRAVENOUS THERAPY 98460,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98460,A000000,02500,0000,02500PHYSICAL THERAPY 98460,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98460,A000000,02700,0000,02700SPEECH PATHOLOGY 98460,A000000,02800,0000,02800ELECTROCARDIOLOGY 98460,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98460,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98460,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98460,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98460,A000000,03200,0000,03200SUPPORT SURFACES 98460,A000000,04800,0000,04800AMBULANCE 98460,A000000,05000,0000,05000CORF 98460,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98460,A000000,05300,0000,05300INTEREST EXPENSE 98460,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98460,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98460,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98460,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98460,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98460,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98460,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98460,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98460,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98460,B100000,00000,0800,00000MEALS SERVED :DIETARY 98460,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98460,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98460,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98460,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98460,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98460,S000000,00100,0200,05/26/2000 98460,S200000,00100,0100,2525 BREA BLVD. 98460,S200000,00200,0100,FULLERTON 98460,S200000,00200,0200,CA 98460,S200000,00200,0300,92635- 98460,S200000,00300,0100,ORANGE 98460,S200000,00400,0100,PARKVISTA @ MORNINGSIDE 98460,S200000,00400,0200,555515 98460,S200000,00400,0300,08/04/1992 98460,S200000,00400,0500,P 98460,S200000,01600,0100,Y 98460,S700003,00000,0100,1 98469,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98469,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98469,A000000,00300,0000,00300EMPLOYEE BENEFITS 98469,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98469,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98469,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98469,A000000,00700,0000,00700HOUSEKEEPING 98469,A000000,00800,0000,00800DIETARY 98469,A000000,00900,0000,00900NURSING ADMINISTRATION 98469,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98469,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98469,A000000,01300,0000,01300SOCIAL SERVICE 98469,A000000,01301,0000,01301ACTIVITIES 98469,A000000,01350,0000,01500REHAB 98469,A000000,01600,0000,01600SKILLED NURSING FACILITY 98469,A000000,01800,0000,01800NURSING FACILITY 98469,A000000,01900,0000,01900OTHER LONG TERM CARE 98469,A000000,02100,0000,02100RADIOLOGY 98469,A000000,02200,0000,02200LABORATORY 98469,A000000,02300,0000,02300INTRAVENOUS THERAPY 98469,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98469,A000000,02500,0000,02500PHYSICAL THERAPY 98469,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98469,A000000,02700,0000,02700SPEECH PATHOLOGY 98469,A000000,02800,0000,02800ELECTROCARDIOLOGY 98469,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98469,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98469,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98469,A000000,03051,0000,03301P.E.N. THERAPY 98469,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98469,A000000,03200,0000,03200SUPPORT SURFACES 98469,A000000,03400,0000,03400CLINIC 98469,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98469,A000000,04800,0000,04800AMBULANCE 98469,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98469,A000000,05000,0000,05000CORF 98469,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98469,A000000,05300,0000,05300INTEREST EXPENSE 98469,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98469,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98469,A000000,05500,0000,05500HOSPICE 98469,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98469,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98469,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98469,A000000,06100,0000,06100NONPAID WORKERS 98469,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98469,A000000,06200,0000,06200PATIENTS LAUNDRY 98469,A81000A,00100,0100,Y 98469,A81000B,00100,0300,HOME OFFICE ALLOCATION 98469,A81000B,00200,0300,NON CERT 98469,A81000B,00300,0300,MEDICAL SUPPLIES 98469,A81000B,00400,0300,EQPT RENTAL 98469,A81000B,00500,0300,RT 98469,A81000C,00100,0100,B 98469,A81000C,00100,0200,VAY NUYS 10484 98469,A81000C,00100,0400,MARINER POST AC 98469,A81000C,00100,0600,NURSING HOMES 98469,A81000C,00200,0100,G 98469,A81000C,00200,0200,MARINER POST AC 98469,A81000C,00200,0400,AMERICAN PHARMA 98469,A81000C,00200,0600,PHARMACEUTICALS 98469,A81000C,00300,0100,G 98469,A81000C,00300,0200,MARINER POST AC 98469,A81000C,00300,0400,PRISM (ATS ARS 98469,A81000C,00300,0600,THERAPIES 98469,A81000C,03100,0000,MARINER POST ACUTE NETWORK 98469,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98469,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98469,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98469,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98469,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98469,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98469,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98469,B100000,00000,0800,00000MEALS SERVED :DIETARY 98469,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98469,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98469,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98469,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98469,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 98469,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 98469,S000000,00100,0200,06/05/2000 98469,S200000,00100,0100,6835 HAZELTINE AVE 98469,S200000,00200,0100,VAN NUYS 98469,S200000,00200,0200,CA 98469,S200000,00200,0300,91405- 98469,S200000,00300,0100,LOS ANGELES 98469,S200000,00400,0100,VAN NUYS HEALTHCARE CENTER 98469,S200000,00400,0200,555519 98469,S200000,00400,0300,09/16/1992 98469,S200000,00400,0500,P 98469,S700003,00000,0100,1 98475,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98475,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98475,A000000,00300,0000,00300EMPLOYEE BENEFITS 98475,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98475,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98475,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98475,A000000,00700,0000,00700HOUSEKEEPING 98475,A000000,00800,0000,00800DIETARY 98475,A000000,00900,0000,00900NURSING ADMINISTRATION 98475,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98475,A000000,01100,0000,01100PHARMACY 98475,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98475,A000000,01300,0000,01300SOCIAL SERVICE 98475,A000000,01600,0000,01600SKILLED NURSING FACILITY 98475,A000000,01800,0000,01800NURSING FACILITY 98475,A000000,01900,0000,01900OTHER LONG TERM CARE 98475,A000000,02100,0000,02100RADIOLOGY 98475,A000000,02200,0000,02200LABORATORY 98475,A000000,02300,0000,02300INTRAVENOUS THERAPY 98475,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98475,A000000,02500,0000,02500PHYSICAL THERAPY 98475,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98475,A000000,02700,0000,02700SPEECH PATHOLOGY 98475,A000000,02800,0000,02800ELECTROCARDIOLOGY 98475,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98475,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98475,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98475,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98475,A000000,03200,0000,03200SUPPORT SURFACES 98475,A000000,04800,0000,04800AMBULANCE 98475,A000000,05000,0000,05000CORF 98475,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98475,A000000,05300,0000,05300INTEREST EXPENSE 98475,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98475,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98475,A81000A,00100,0100,Y 98475,A81000B,00100,0300,HOME OFFICE CAPITAL 98475,A81000B,00200,0300,MANAGEMENT FEE 98475,A81000C,00100,0100,A 98475,A81000C,00100,0200,LYDIA GOODELL 98475,A81000C,00100,0400,LTG MGMT SVCS 98475,A81000C,00100,0600,MGMT COMPANY 98475,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98475,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98475,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98475,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98475,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98475,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98475,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98475,B100000,00000,0800,00000MEALS SERVED :DIETARY 98475,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98475,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98475,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98475,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98475,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98475,S000000,00100,0200,06/28/2000 98475,S200000,00100,0100,1135 N. LEISURE CT 98475,S200000,00200,0100,ANAHEIM 98475,S200000,00200,0200,CA 98475,S200000,00200,0300,92801- 98475,S200000,00300,0100,ORANGE 98475,S200000,00400,0100,LEISURE COURT NURSING CENTER 98475,S200000,00400,0200,555520 98475,S200000,00400,0300,06/01/1992 98475,S200000,00400,0500,P 98475,S200000,01600,0100,Y 98475,S700003,00000,0100,1 98489,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98489,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98489,A000000,00300,0000,00300EMPLOYEE BENEFITS 98489,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98489,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98489,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98489,A000000,00700,0000,00700HOUSEKEEPING 98489,A000000,00800,0000,00800DIETARY 98489,A000000,00900,0000,00900NURSING ADMINISTRATION 98489,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98489,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98489,A000000,01300,0000,01300SOCIAL SERVICE 98489,A000000,01301,0000,01301ACTIVITIES 98489,A000000,01350,0000,01500REHAB 98489,A000000,01600,0000,01600SKILLED NURSING FACILITY 98489,A000000,01800,0000,01800NURSING FACILITY 98489,A000000,01900,0000,01900OTHER LONG TERM CARE 98489,A000000,02100,0000,02100RADIOLOGY 98489,A000000,02200,0000,02200LABORATORY 98489,A000000,02300,0000,02300INTRAVENOUS THERAPY 98489,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98489,A000000,02500,0000,02500PHYSICAL THERAPY 98489,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98489,A000000,02700,0000,02700SPEECH PATHOLOGY 98489,A000000,02800,0000,02800ELECTROCARDIOLOGY 98489,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98489,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98489,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98489,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98489,A000000,03200,0000,03200SUPPORT SURFACES 98489,A000000,03400,0000,03400CLINIC 98489,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98489,A000000,04800,0000,04800AMBULANCE 98489,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98489,A000000,05000,0000,05000CORF 98489,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98489,A000000,05300,0000,05300INTEREST EXPENSE 98489,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98489,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98489,A000000,05500,0000,05500HOSPICE 98489,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98489,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98489,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98489,A000000,06100,0000,06100NONPAID WORKERS 98489,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98489,A000000,06200,0000,06200PATIENTS LAUNDRY 98489,A81000A,00100,0100,Y 98489,A81000B,00100,0300,HOME OFFICE ALLOCATION 98489,A81000B,00200,0300,CENTRAL SUPPLY 98489,A81000B,00300,0300,MEDICAL SUPPLIES 98489,A81000B,00400,0300,REHAB 98489,A81000B,00500,0300,PT 98489,A81000B,00600,0300,OT 98489,A81000B,00700,0300,ST 98489,A81000C,00100,0100,B 98489,A81000C,00100,0200,DRIFTWOOD 10462 98489,A81000C,00100,0400,MARINER POST AC 98489,A81000C,00100,0600,NURSING HOMES 98489,A81000C,00200,0100,G 98489,A81000C,00200,0200,MARINER POST AC 98489,A81000C,00200,0400,AMERICAN PHARMA 98489,A81000C,00200,0600,PHARMACEUTICALS 98489,A81000C,00300,0100,G 98489,A81000C,00300,0200,MARINER POST AC 98489,A81000C,00300,0400,PRISM (ATS ARS 98489,A81000C,00300,0600,THERAPIES 98489,A81000C,03100,0000,MARINER POST ACUTE NETWORK 98489,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98489,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98489,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98489,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98489,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98489,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98489,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98489,B100000,00000,0800,00000MEALS SERVED :DIETARY 98489,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98489,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 98489,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98489,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98489,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 98489,B100000,00000,1350,00000UNITS OF SERVICE :REHAB 98489,S000000,00100,0200,06/05/2000 98489,S200000,00100,0100,19700 HESPERIAN BLVD 98489,S200000,00200,0100,HAYWARD 98489,S200000,00200,0200,CA 98489,S200000,00200,0300,94541- 98489,S200000,00300,0100,ALAMEDA 98489,S200000,00400,0100,DRIFTWOOD HEALTHCARE CENTER-HAYWARD 98489,S200000,00400,0200,555533 98489,S200000,00400,0300,01/01/1995 98489,S200000,00400,0500,P 98489,S700003,00000,0100,1 98499,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98499,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98499,A000000,00300,0000,00300EMPLOYEE BENEFITS 98499,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98499,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98499,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98499,A000000,00700,0000,00700HOUSEKEEPING 98499,A000000,00800,0000,00800DIETARY 98499,A000000,00900,0000,00900NURSING ADMINISTRATION 98499,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98499,A000000,01100,0000,01100PHARMACY 98499,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98499,A000000,01300,0000,01300SOCIAL SERVICE 98499,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98499,A000000,01600,0000,01600SKILLED NURSING FACILITY 98499,A000000,01800,0000,01800NURSING FACILITY 98499,A000000,01810,0000,01810ICF/MR 98499,A000000,02100,0000,02100RADIOLOGY 98499,A000000,02200,0000,02200LABORATORY 98499,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98499,A000000,02500,0000,02500PHYSICAL THERAPY 98499,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98499,A000000,02700,0000,02700SPEECH PATHOLOGY 98499,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98499,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98499,A000000,03500,0000,03500RURAL HEALTH CLINIC 98499,A000000,03550,0000,03550FQHC 98499,A000000,05000,0000,05000CORF 98499,A000000,05010,0000,05010CMHC 98499,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98499,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98499,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98499,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98499,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98499,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98499,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98499,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98499,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98499,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98499,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98499,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98499,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 98499,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98499,B100000,00000,1200,00000TIME STUDY :MEDICAL RECORDS & LIBR 98499,B100000,00000,1300,00000TIME STUDY :SOCIAL SERVICE 98499,S000000,00100,0200,11/02/2000 98499,S200000,00100,0100,612 MAIN STREET 98499,S200000,00200,0100,SOLEDAD 98499,S200000,00200,0200,CA 98499,S200000,00200,0300,93960- 98499,S200000,00300,0100,MONTEREY 98499,S200000,00300,0200,7120 98499,S200000,00300,0300,U 98499,S200000,00400,0100,EDEN VALLEY CARE CENTER 98499,S200000,00400,0200,555538 98499,S200000,00400,0300,01/15/1993 98499,S200000,00400,0500,P 98499,S200000,01100,0200,553997 98499,S200000,01100,0300,01/18/1995 98499,S200000,01100,0500,P 98499,S200000,01600,0100,Y 98499,S51R000,00100,0100,600 MAIN STREET 98499,S51R000,00100,0200,MONTEREY 98499,S51R000,00200,0100,SOLEDAD 98499,S51R000,00200,0200,CA 98499,S51R000,00200,0300,93960 98499,S51R000,01000,0100,ROBERT ROSETT 98499,S51R000,01001,0100,DANIELLE ACTON 98499,S51R000,01002,0100,KIM ZELLER 98499,S51R000,01003,0100,LEOPOLD GRAUPERA 98499,S51R000,01100,0100,ROBERT ROSETT 98499,S51R000,01300,0300,900 98499,S51R000,01300,0400,1700 98499,S51R000,01300,0500,900 98499,S51R000,01300,0600,1700 98499,S51R000,01300,0700,900 98499,S51R000,01300,0800,1700 98499,S51R000,01300,0900,900 98499,S51R000,01300,1000,1700 98499,S51R000,01300,1100,900 98499,S51R000,01300,1200,1700 98506,S000000,00100,0200,04/14/2000 98513,S000000,00100,0200,04/19/2000 98527,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98527,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98527,A000000,00300,0000,00300EMPLOYEE BENEFITS 98527,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98527,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98527,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98527,A000000,00700,0000,00700HOUSEKEEPING 98527,A000000,00800,0000,00800DIETARY 98527,A000000,00900,0000,00900NURSING ADMINISTRATION 98527,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98527,A000000,01100,0000,01100PHARMACY 98527,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98527,A000000,01300,0000,01300SOCIAL SERVICE 98527,A000000,01350,0000,01500OTHER GENERAL SERVICES 98527,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98527,A000000,01600,0000,01600SKILLED NURSING FACILITY 98527,A000000,01800,0000,01800NURSING FACILITY 98527,A000000,01900,0000,01900OTHER LONG TERM CARE 98527,A000000,02100,0000,02100RADIOLOGY 98527,A000000,02200,0000,02200LABORATORY 98527,A000000,02300,0000,02300INTRAVENOUS THERAPY 98527,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98527,A000000,02500,0000,02500PHYSICAL THERAPY 98527,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98527,A000000,02700,0000,02700SPEECH PATHOLOGY 98527,A000000,02800,0000,02800ELECTROCARDIOLOGY 98527,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98527,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98527,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98527,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98527,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98527,A000000,03200,0000,03200SUPPORT SURFACES 98527,A000000,03400,0000,03400CLINIC 98527,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98527,A000000,03500,0000,03500RURAL HEALTH CLINIC 98527,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98527,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98527,A000000,04800,0000,04800AMBULANCE 98527,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98527,A000000,05000,0000,05000CORF 98527,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98527,A000000,05300,0000,05300INTEREST EXPENSE 98527,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98527,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98527,A000000,05500,0000,05500HOSPICE 98527,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98527,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98527,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98527,A000000,06100,0000,06100NONPAID WORKERS 98527,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98527,A000000,06200,0000,06200PATIENTS LAUNDRY 98527,A81000A,00100,0100,Y 98527,A81000B,00100,0300,HOME OFFICE COSTS 98527,A81000B,00200,0300,HOME OFFICE COSTS 98527,A81000B,00300,0300,HOME OFFICE COSTS 98527,A81000C,00100,0100,A 98527,A81000C,00100,0200,COMPASS HEALTH 98527,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98527,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98527,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98527,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98527,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98527,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98527,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98527,B100000,00000,0800,00000MEALS SERVED :DIETARY 98527,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98527,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98527,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98527,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98527,S000000,00100,0200,06/05/2000 98527,S200000,00100,0100,10805 EL CAMINO REAL 98527,S200000,00200,0100,ATASCADERO 98527,S200000,00200,0200,CA 98527,S200000,00200,0300,93423- 98527,S200000,00300,0100,SAN LUIS OBISPO 98527,S200000,00300,0200,7460 98527,S200000,00300,0300,U 98527,S200000,00400,0100,DANISH CARE CENTER 98527,S200000,00400,0200,555554 98527,S200000,00400,0300,03/17/1993 98527,S200000,00400,0500,P 98527,S200000,01500,0100,Y 98527,S200000,02200,0100,Y 98536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98536,A000000,00300,0000,00300EMPLOYEE BENEFITS 98536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98536,A000000,00700,0000,00700HOUSEKEEPING 98536,A000000,00800,0000,00800DIETARY 98536,A000000,00900,0000,00900NURSING ADMINISTRATION 98536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98536,A000000,01100,0000,01100PHARMACY 98536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98536,A000000,01300,0000,01300SOCIAL SERVICE 98536,A000000,01350,0000,01500OTHER GENERAL SERVICES 98536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98536,A000000,01600,0000,01600SKILLED NURSING FACILITY 98536,A000000,01800,0000,01800NURSING FACILITY 98536,A000000,02100,0000,02100RADIOLOGY 98536,A000000,02200,0000,02200LABORATORY 98536,A000000,02300,0000,02300INTRAVENOUS THERAPY 98536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98536,A000000,02500,0000,02500PHYSICAL THERAPY 98536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98536,A000000,02700,0000,02700SPEECH PATHOLOGY 98536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98536,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98536,A000000,03200,0000,03200SUPPORT SURFACES 98536,A000000,03400,0000,03400CLINIC 98536,A000000,04800,0000,04800AMBULANCE 98536,A000000,05000,0000,05000CORF 98536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98536,A000000,05300,0000,05300INTEREST EXPENSE 98536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98536,A000000,05500,0000,05500HOSPICE 98536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98536,A000000,06200,0000,06200PATIENTS LAUNDRY 98536,A81000A,00100,0100,Y 98536,A81000B,00100,0300,ADMIN-HOME OFFICE FEES 98536,A81000C,00100,0100,B 98536,A81000C,00100,0200,ESKATON PROPERTIES INC. 98536,A81000C,00100,0600,HEALTHCARE/RESIDENTIAL 98536,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98536,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98536,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98536,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98536,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98536,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98536,B100000,00000,0800,00000MEALS SERVED :DIETARY 98536,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98536,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98536,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98536,B100000,00000,1250,00000REVENUES TMSPENT :MEDICAL RECORDS 98536,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98536,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98536,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98536,S000000,00100,0200,05/23/2000 98536,S200000,00100,0100,3939 WALNUT AVENUE 98536,S200000,00200,0100,CARMICHAEL 98536,S200000,00200,0200,CA 98536,S200000,00200,0300,95608- 98536,S200000,00300,0100,SACRAMENTO 98536,S200000,00400,0100,ESKATON VILLAGE CARE CENTER 98536,S200000,00400,0200,555555 98536,S200000,00400,0300,04/01/1993 98536,S200000,00400,0500,P 98536,S200000,01500,0100,Y 98536,S200000,03300,0100,Y 98536,S200000,04100,0100,Y 98544,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98544,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98544,A000000,00300,0000,00300EMPLOYEE BENEFITS 98544,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98544,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98544,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98544,A000000,00700,0000,00700HOUSEKEEPING 98544,A000000,00800,0000,00800DIETARY 98544,A000000,00900,0000,00900NURSING ADMINISTRATION 98544,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98544,A000000,01100,0000,01100PHARMACY 98544,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98544,A000000,01300,0000,01300SOCIAL SERVICE 98544,A000000,01350,0000,01500OTHER GENERAL SERVICES 98544,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98544,A000000,01600,0000,01600SKILLED NURSING FACILITY 98544,A000000,01800,0000,01800NURSING FACILITY 98544,A000000,01900,0000,01900OTHER LONG TERM CARE 98544,A000000,02100,0000,02100RADIOLOGY 98544,A000000,02200,0000,02200LABORATORY 98544,A000000,02300,0000,02300INTRAVENOUS THERAPY 98544,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98544,A000000,02500,0000,02500PHYSICAL THERAPY 98544,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98544,A000000,02700,0000,02700SPEECH PATHOLOGY 98544,A000000,02800,0000,02800ELECTROCARDIOLOGY 98544,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98544,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98544,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98544,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98544,A000000,03200,0000,03200SUPPORT SURFACES 98544,A000000,03400,0000,03400CLINIC 98544,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98544,A000000,03500,0000,03500RURAL HEALTH CLINIC 98544,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98544,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98544,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98544,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98544,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98544,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98544,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98544,A000000,04400,0000,04400DME RENTED - HHA 98544,A000000,04500,0000,04500DME SOLD - HHA 98544,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98544,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98544,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98544,A000000,04800,0000,04800AMBULANCE 98544,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98544,A000000,05000,0000,05000CORF 98544,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98544,A000000,05300,0000,05300INTEREST EXPENSE 98544,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98544,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98544,A000000,05500,0000,05500HOSPICE 98544,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98544,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98544,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98544,A000000,06100,0000,06100NONPAID WORKERS 98544,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98544,A000000,06200,0000,06200PATIENTS LAUNDRY 98544,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98544,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98544,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98544,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98544,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98544,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98544,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98544,B100000,00000,0800,00000MEALS SERVED :DIETARY 98544,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98544,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98544,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98544,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98544,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98544,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98544,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98544,S000000,00100,0200,03/13/2000 98544,S200000,00100,0100,320 CATTLE CALL DR 98544,S200000,00200,0100,BRAWLEY 98544,S200000,00200,0200,CA 98544,S200000,00200,0300,92227- 98544,S200000,00300,0100,IMPERIAL 98544,S200000,00400,0100,ROYAL CONVALESCENT HOSPITAL 98544,S200000,00400,0200,555557 98544,S200000,00400,0300,06/01/1993 98544,S200000,00400,0500,P 98544,S200000,01500,0100,Y 98544,S700003,00000,0100,1 98554,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98554,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98554,A000000,00300,0000,00300EMPLOYEE BENEFITS 98554,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98554,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98554,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98554,A000000,00700,0000,00700HOUSEKEEPING 98554,A000000,00800,0000,00800DIETARY 98554,A000000,00900,0000,00900NURSING ADMINISTRATION 98554,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98554,A000000,01100,0000,01100PHARMACY 98554,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98554,A000000,01300,0000,01300SOCIAL SERVICE 98554,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98554,A000000,01600,0000,01600SKILLED NURSING FACILITY 98554,A000000,01810,0000,01810ICF/MR 98554,A000000,01900,0000,01900OTHER LONG TERM CARE 98554,A000000,02100,0000,02100RADIOLOGY 98554,A000000,02200,0000,02200LABORATORY 98554,A000000,02500,0000,02500PHYSICAL THERAPY 98554,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98554,A000000,02700,0000,02700SPEECH PATHOLOGY 98554,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98554,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98554,A000000,03200,0000,03200SUPPORT SURFACES 98554,A000000,03550,0000,03550FQHC 98554,A000000,05000,0000,05000CORF 98554,A000000,05010,0000,05010CMHC 98554,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98554,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98554,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98554,A81000A,00100,0100,Y 98554,A81000B,00100,0300,MANAGEMENT FEES 98554,A81000B,00200,0300,HOME OFFICE DEPRE-BL 98554,A81000B,00300,0300,HOME OFFICE DEPRE-EQ 98554,A81000B,00400,0300,HOME OFFICE COSTS 98554,A81000B,00500,0300,HOME OFFICE INTEREST 98554,A81000C,00100,0100,B 98554,A81000C,00100,0200,ELDER CARE ALLI 98554,A81000C,00100,0400,ELDER CARE ALLI 98554,A81000C,00100,0600,HOME OFFICE 98554,A81000C,00200,0100,B 98554,A81000C,00200,0400,MERCY RETIREMT 98554,A81000C,00200,0600,SNF 98554,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 98554,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 98554,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 98554,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 98554,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 98554,B100000,00000,0600,00040POUNDS OF LAUNDRY :LAUNDRY & LINEN 98554,B100000,00000,0700,00040HOURS OF SERVICE :HOUSEKEEPING 98554,B100000,00000,0800,00040MEALS SERVED :DIETARY 98554,B100000,00000,1300,00040TIME SPENT :SOCIAL SERVICE 98554,S000000,00100,0200,01/18/2001 98554,S200000,00100,0100,2361 E. 29TH STREET 98554,S200000,00200,0100,OAKLAND 98554,S200000,00200,0200,CA 98554,S200000,00200,0300,94606- 98554,S200000,00300,0100,ALAMEDA 98554,S200000,00300,0200,5775 98554,S200000,00300,0300,U 98554,S200000,00400,0100,SALEM CARE CENTER 98554,S200000,00400,0200,555570 98554,S200000,00400,0300,10/14/1993 98554,S200000,00400,0500,P 98554,S200000,01600,0100,Y 98560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98560,A000000,00300,0000,00300EMPLOYEE BENEFITS 98560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98560,A000000,00700,0000,00700HOUSEKEEPING 98560,A000000,00800,0000,00800DIETARY 98560,A000000,00900,0000,00900NURSING ADMINISTRATION 98560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98560,A000000,01100,0000,01100PHARMACY 98560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98560,A000000,01300,0000,01300SOCIAL SERVICE 98560,A000000,01350,0000,01500OTHER GENERAL SERVICES 98560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98560,A000000,01600,0000,01600SKILLED NURSING FACILITY 98560,A000000,01800,0000,01800NURSING FACILITY 98560,A000000,01810,0000,01801ICF/MR 98560,A000000,01900,0000,01900OTHER LONG TERM CARE 98560,A000000,02100,0000,02100RADIOLOGY 98560,A000000,02200,0000,02200LABORATORY 98560,A000000,02300,0000,02300INTRAVENOUS THERAPY 98560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98560,A000000,02500,0000,02500PHYSICAL THERAPY 98560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98560,A000000,02700,0000,02700SPEECH PATHOLOGY 98560,A000000,02800,0000,02800ELECTROCARDIOLOGY 98560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98560,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98560,A000000,03200,0000,03200SUPPORT SURFACES 98560,A000000,03400,0000,03400CLINIC 98560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98560,A000000,03500,0000,03500RURAL HEALTH CLINIC 98560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98560,A000000,04800,0000,04800AMBULANCE 98560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98560,A000000,05000,0000,05000CORF 98560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98560,A000000,05300,0000,05300INTEREST EXPENSE 98560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98560,A000000,05500,0000,05500HOSPICE 98560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98560,A000000,06100,0000,06100NONPAID WORKERS 98560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98560,A000000,06200,0000,06200PATIENTS LAUNDRY 98560,A81000A,00100,0100,Y 98560,A81000B,00100,0300,WELL LEASE 98560,A81000B,00200,0300,NURSING-REGISTRY 98560,A81000B,00300,0300,NURSING-REGISTRY 98560,A81000C,00100,0100,A 98560,A81000C,00100,0200,JOHN & JANICE HARSHMAN 98560,A81000C,00100,0400,WISH-I-AH CARE CENTER 98560,A81000C,00100,0600,LESSOR 98560,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98560,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98560,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98560,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98560,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98560,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98560,B100000,00000,0800,00000MEALS SERVED :DIETARY 98560,B100000,00000,0950,00000DIR NRSG LABOR COST:NURSING ADMINIS 98560,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98560,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98560,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98560,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98560,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98560,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98560,S000000,00100,0200,09/08/2000 98560,S200000,00100,0100,35680 N. WISH-I-AH ROAD 98560,S200000,00200,0100,AUBERRY 98560,S200000,00200,0200,CA 98560,S200000,00200,0300,93602- 98560,S200000,00300,0100,FRESNO 98560,S200000,00400,0100,WISH-I-AH CARE CENTER INC. 98560,S200000,00400,0200,555581 98560,S200000,00400,0300,11/12/1993 98560,S200000,00400,0500,P 98560,S200000,01600,0100,Y 98560,S700003,00000,0100,1 98579,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98579,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98579,A000000,00300,0000,00300EMPLOYEE BENEFITS 98579,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98579,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98579,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98579,A000000,00700,0000,00700HOUSEKEEPING 98579,A000000,00800,0000,00800DIETARY 98579,A000000,00900,0000,00900NURSING ADMINISTRATION 98579,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98579,A000000,01600,0000,01600SKILLED NURSING FACILITY 98579,A000000,01800,0000,01800NURSING FACILITY 98579,A000000,02100,0000,02100RADIOLOGY 98579,A000000,02200,0000,02200LABORATORY 98579,A000000,02300,0000,02300INTRAVENOUS THERAPY 98579,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98579,A000000,02500,0000,02500PHYSICAL THERAPY 98579,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98579,A000000,02700,0000,02700SPEECH PATHOLOGY 98579,A000000,02800,0000,02800ELECTROCARDIOLOGY 98579,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98579,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98579,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98579,A81000A,00100,0100,Y 98579,A81000B,00100,0300,HOME OFFICE EXPENSE 98579,A81000C,00100,0100,A 98579,A81000C,00100,0200,EMMANUEL I. BER 98579,A81000C,00100,0400,PLEASANT CARE C 98579,A81000C,00100,0600,HEALTH CARE PRO 98579,A81000C,00200,0100,A 98579,A81000C,00200,0200,EMMANUEL I. BER 98579,A81000C,00200,0400,PCC HEALTH SVCS 98579,A81000C,00200,0600,HEALTH CARE PRO 98579,A81000C,00300,0100,A 98579,A81000C,00300,0200,EMMANUEL I. BER 98579,A81000C,00300,0400,ATLAS CARE CORP 98579,A81000C,00300,0600,HEALTH CARE PRO 98579,A81000C,00400,0100,A 98579,A81000C,00400,0200,EMMANUEL I. BER 98579,A81000C,00400,0400,EMBER CARE CORP 98579,A81000C,00400,0600,HEALTH CARE PRO 98579,A81000C,00500,0100,A 98579,A81000C,00500,0200,EMMANUEL I. BER 98579,A81000C,00500,0400,SNF PROPERTIES 98579,A81000C,00500,0600,HEALTH CARE PRO 98579,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98579,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98579,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98579,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98579,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98579,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98579,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98579,B100000,00000,0800,00000MEALS SERVED :DIETARY 98579,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 98579,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98579,S000000,00100,0200,05/05/2000 98579,S200000,00100,0100,2828 MEADOW LARK DRIVE 98579,S200000,00200,0100,SAN DIEGO 98579,S200000,00200,0200,CA 98579,S200000,00200,0300,92123- 98579,S200000,00300,0100,SAN DIEGO 98579,S200000,00300,0200,7320 98579,S200000,00300,0300,U 98579,S200000,00400,0100,PLEASANT CARE NRSG/REHAB-SAN DIEGO 98579,S200000,00400,0200,555585 98579,S200000,00400,0300,12/01/1997 98579,S200000,00400,0500,P 98579,S200000,00600,0200,555585 98579,S200000,00600,0300,12/01/1997 98579,S200000,00600,0600,P 98579,S200000,01600,0100,Y 98579,S200000,01800,0100,Y 98589,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98589,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98589,A000000,00300,0000,00300EMPLOYEE BENEFITS 98589,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98589,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98589,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98589,A000000,00700,0000,00700HOUSEKEEPING 98589,A000000,00800,0000,00800DIETARY 98589,A000000,00900,0000,00900NURSING ADMINISTRATION 98589,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98589,A000000,01100,0000,01100PHARMACY 98589,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98589,A000000,01300,0000,01300SOCIAL SERVICE 98589,A000000,01301,0000,01301ACTIVITIES 98589,A000000,01350,0000,01500OTHER GENERAL SERVICES 98589,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98589,A000000,01600,0000,01600SKILLED NURSING FACILITY 98589,A000000,01800,0000,01800NURSING FACILITY 98589,A000000,01810,0000,01801ICF/MR 98589,A000000,01900,0000,01900OTHER LONG TERM CARE 98589,A000000,02100,0000,02100RADIOLOGY 98589,A000000,02200,0000,02200LABORATORY 98589,A000000,02300,0000,02300INTRAVENOUS THERAPY 98589,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98589,A000000,02500,0000,02500PHYSICAL THERAPY 98589,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98589,A000000,02700,0000,02700SPEECH PATHOLOGY 98589,A000000,02800,0000,02800ELECTROCARDIOLOGY 98589,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98589,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98589,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98589,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98589,A000000,03200,0000,03200SUPPORT SURFACES 98589,A000000,03201,0000,03201EQUIPMENT RENTAL 98589,A000000,03400,0000,03400CLINIC 98589,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98589,A000000,03500,0000,03500RURAL HEALTH CLINIC 98589,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98589,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98589,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98589,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98589,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98589,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98589,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98589,A000000,04400,0000,04400DME RENTED - HHA 98589,A000000,04500,0000,04500DME SOLD - HHA 98589,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98589,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98589,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98589,A000000,04800,0000,04800AMBULANCE 98589,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98589,A000000,05000,0000,05000CORF 98589,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98589,A000000,05300,0000,05300INTEREST EXPENSE 98589,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98589,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98589,A000000,05500,0000,05500HOSPICE 98589,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98589,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98589,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98589,A000000,06100,0000,06100NONPAID WORKERS 98589,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98589,A000000,06200,0000,06200PATIENTS LAUNDRY 98589,A81000A,00100,0100,Y 98589,A81000B,00100,0300,PHARMACY 98589,A81000B,00200,0300,PHARMACY CONSULTANT 98589,A81000B,00300,0300,HO ADMIN 98589,A81000B,00400,0300,HO ADMIN 98589,A81000B,00500,0300,HO CAPITAL COSTS 98589,A81000B,00600,0300,HO CAPITAL COSTS 98589,A81000C,00100,0100,B 98589,A81000C,00100,0200,GUARDIAN HEALTH GROUP 98589,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98589,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98589,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98589,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98589,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98589,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98589,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98589,B100000,00000,0800,00000MEALS SERVED :DIETARY 98589,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98589,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98589,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98589,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98589,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98589,B100000,00000,1301,00000ASSIGNED TIME :ACTIVITIES 98589,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98589,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98589,S000000,00100,0200,10/02/2000 98589,S200000,00100,0100,1550 SILVEIRA PARKWAY 98589,S200000,00200,0100,SAN RAFAEL 98589,S200000,00200,0200,CA 98589,S200000,00200,0300,94903- 98589,S200000,00300,0100,MARIN 98589,S200000,00400,0100,GUARDIAN AT SMITH RANCH 98589,S200000,00400,0200,555595 98589,S200000,00400,0300,05/15/1994 98589,S200000,00400,0500,P 98589,S200000,01600,0100,Y 98589,S700003,00000,0100,1 98596,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98596,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98596,A000000,00300,0000,00300EMPLOYEE BENEFITS 98596,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98596,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98596,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98596,A000000,00700,0000,00700HOUSEKEEPING 98596,A000000,00800,0000,00800DIETARY 98596,A000000,00900,0000,00900NURSING ADMINISTRATION 98596,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98596,A000000,01100,0000,01100PHARMACY 98596,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98596,A000000,01300,0000,01300SOCIAL SERVICE 98596,A000000,01310,0000,01301OTHER GENERAL SERVICES 98596,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98596,A000000,01600,0000,01600SKILLED NURSING FACILITY 98596,A000000,02100,0000,02100RADIOLOGY 98596,A000000,02200,0000,02200LABORATORY 98596,A000000,02500,0000,02500PHYSICAL THERAPY 98596,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98596,A000000,02700,0000,02700SPEECH PATHOLOGY 98596,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98596,A000000,06210,0000,06201OTHER ADMIN COSTS 98596,A81000A,00100,0100,Y 98596,A81000B,00100,0300,BUILDING LEASE 98596,A81000C,00100,0100,A 98596,A81000C,00100,0200,VINCE MUZZI 98596,A81000C,00100,0400,VINCE MUZZI 98596,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98596,B100000,00000,0200,00001DOLLAR VALUE :CAP REL COSTS - MOVA 98596,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98596,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98596,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 98596,B100000,00000,0700,00001HOURS OF SERVICE :HOUSEKEEPING 98596,B100000,00000,0800,00001MEALS SERVED :DIETARY 98596,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 98596,B100000,00000,1310,00001TIME SPENT :OTHER GENERAL SERVICES 98596,S000000,00100,0200,02/12/2001 98596,S200000,00100,0100,150 SERRA AVENUE 98596,S200000,00200,0100,MILLBRAE 98596,S200000,00200,0200,CA 98596,S200000,00200,0300,94030- 98596,S200000,00300,0100,SAN MATEO 98596,S200000,00300,0200,7360 98596,S200000,00300,0300,U 98596,S200000,00400,0100,MILLBRAE SERRA CONV HOSPITAL 98596,S200000,00400,0200,555602 98596,S200000,00400,0300,08/01/1994 98596,S200000,00400,0500,P 98596,S200000,01500,0100,Y 98596,S200000,02100,0100,A 98603,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98603,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98603,A000000,00300,0000,00300EMPLOYEE BENEFITS 98603,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98603,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98603,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98603,A000000,00700,0000,00700HOUSEKEEPING 98603,A000000,00800,0000,00800DIETARY 98603,A000000,00900,0000,00900NURSING ADMINISTRATION 98603,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98603,A000000,01100,0000,01100PHARMACY 98603,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98603,A000000,01300,0000,01300SOCIAL SERVICE 98603,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98603,A000000,01600,0000,01600SKILLED NURSING FACILITY 98603,A000000,02100,0000,02100RADIOLOGY 98603,A000000,02200,0000,02200LABORATORY 98603,A000000,02300,0000,02300INTRAVENOUS THERAPY 98603,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98603,A000000,02500,0000,02500PHYSICAL THERAPY 98603,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98603,A000000,02700,0000,02700SPEECH PATHOLOGY 98603,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98603,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98603,A81000A,00100,0100,Y 98603,A81000B,00100,0300,RENT 98603,A81000C,00100,0100,A 98603,A81000C,00100,0200,ALECK KNELL 98603,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98603,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98603,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98603,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98603,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98603,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98603,B100000,00000,0800,00000MEALS SERVED :DIETARY 98603,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98603,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98603,S000000,00100,0200,12/01/2000 98603,S200000,00100,0100,212 W. CHEVY CHASE DR. 98603,S200000,00200,0100,GLENDALE 98603,S200000,00200,0200,CA 98603,S200000,00200,0300,91204- 98603,S200000,00300,0100,LOS ANGELES 98603,S200000,00300,0200,4480 98603,S200000,00300,0300,U 98603,S200000,00400,0100,ELMS CONVALESCENT HOSPITAL 98603,S200000,00400,0200,555605 98603,S200000,00400,0300,05/01/1995 98603,S200000,00400,0500,P 98603,S200000,01500,0100,Y 98612,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98612,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98612,A000000,00300,0000,00300EMPLOYEE BENEFITS 98612,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98612,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98612,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98612,A000000,00700,0000,00700HOUSEKEEPING 98612,A000000,00800,0000,00800DIETARY 98612,A000000,00900,0000,00900NURSING ADMINISTRATION 98612,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98612,A000000,01100,0000,01100PHARMACY 98612,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98612,A000000,01300,0000,01300SOCIAL SERVICE 98612,A000000,01350,0000,01500OTHER GENERAL SERVICES 98612,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98612,A000000,01600,0000,01600SKILLED NURSING FACILITY 98612,A000000,01800,0000,01800NURSING FACILITY 98612,A000000,01810,0000,01810ICF/MR 98612,A000000,01900,0000,01900OTHER LONG TERM CARE 98612,A000000,02100,0000,02100RADIOLOGY 98612,A000000,02200,0000,02200LABORATORY 98612,A000000,02300,0000,02300INTRAVENOUS THERAPY 98612,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98612,A000000,02500,0000,02500PHYSICAL THERAPY 98612,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98612,A000000,02700,0000,02700SPEECH PATHOLOGY 98612,A000000,02800,0000,02800ELECTROCARDIOLOGY 98612,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98612,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98612,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98612,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98612,A000000,03200,0000,03200SUPPORT SURFACES 98612,A000000,03400,0000,03400CLINIC 98612,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98612,A000000,03500,0000,03500RURAL HEALTH CLINIC 98612,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98612,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98612,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98612,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98612,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98612,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98612,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98612,A000000,04400,0000,04400DME RENTED - HHA 98612,A000000,04500,0000,04500DME SOLD - HHA 98612,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98612,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98612,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98612,A000000,04800,0000,04800AMBULANCE 98612,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98612,A000000,05000,0000,05000CORF 98612,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98612,A000000,05300,0000,05300INTEREST EXPENSE 98612,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98612,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98612,A000000,05500,0000,05500HOSPICE 98612,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98612,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98612,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98612,A000000,06100,0000,06100NONPAID WORKERS 98612,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98612,A000000,06200,0000,06200PATIENTS LAUNDRY 98612,A81000A,00100,0100,Y 98612,A81000B,00100,0300,HOME OFFICE COSTS 98612,A81000C,00100,0100,B 98612,A81000C,00100,0400,TELECARE CORPORATION 98612,A81000C,00100,0600,HOME OFFICE 98612,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98612,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98612,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98612,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98612,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98612,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98612,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98612,B100000,00000,0800,00000MEALS SERVED :DIETARY 98612,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98612,S000000,00100,0200,12/01/2000 98612,S200000,00100,0100,494 BLOSSOM WAY 98612,S200000,00200,0100,HAYWARD 98612,S200000,00200,0200,CA 98612,S200000,00200,0300,94541- 98612,S200000,00300,0100,ALAMEDA 98612,S200000,00300,0200,5775 98612,S200000,00300,0300,U 98612,S200000,00400,0100,MORTON BAKAR CENTER 98612,S200000,00400,0200,555611 98612,S200000,00400,0300,10/05/1994 98612,S200000,00400,0500,P 98612,S200000,01004,0500,O 98612,S200000,01500,0100,Y 98620,S000000,00100,0200,04/21/2000 98627,S000000,00100,0200,12/31/2000 98635,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98635,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98635,A000000,00300,0000,00300EMPLOYEE BENEFITS 98635,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98635,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98635,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98635,A000000,00700,0000,00700HOUSEKEEPING 98635,A000000,00800,0000,00800DIETARY 98635,A000000,00900,0000,00900NURSING ADMINISTRATION 98635,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98635,A000000,01100,0000,01100PHARMACY 98635,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98635,A000000,01300,0000,01300SOCIAL SERVICE 98635,A000000,01350,0000,01500OTHER GENERAL SERVICES 98635,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98635,A000000,01600,0000,01600SKILLED NURSING FACILITY 98635,A000000,01800,0000,01800NURSING FACILITY 98635,A000000,01900,0000,01900OTHER LONG TERM CARE 98635,A000000,02100,0000,02100RADIOLOGY 98635,A000000,02200,0000,02200LABORATORY 98635,A000000,02300,0000,02300INTRAVENOUS THERAPY 98635,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98635,A000000,02500,0000,02500PHYSICAL THERAPY 98635,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98635,A000000,02700,0000,02700SPEECH PATHOLOGY 98635,A000000,02800,0000,02800ELECTROCARDIOLOGY 98635,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98635,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98635,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98635,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98635,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98635,A000000,03200,0000,03200SUPPORT SURFACES 98635,A000000,03400,0000,03400CLINIC 98635,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98635,A000000,03500,0000,03500RURAL HEALTH CLINIC 98635,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98635,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98635,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98635,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98635,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98635,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98635,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98635,A000000,04400,0000,04400DME RENTED - HHA 98635,A000000,04500,0000,04500DME SOLD - HHA 98635,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98635,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98635,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98635,A000000,04800,0000,04800AMBULANCE 98635,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98635,A000000,05000,0000,05000CORF 98635,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98635,A000000,05300,0000,05300INTEREST EXPENSE 98635,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98635,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98635,A000000,05500,0000,05500HOSPICE 98635,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98635,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98635,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98635,A000000,06100,0000,06100NONPAID WORKERS 98635,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98635,A000000,06200,0000,06200PATIENTS LAUNDRY 98635,A81000A,00100,0100,Y 98635,A81000B,00100,0300,CAP RELATED COSTS - BLDGS & FIXTURES 98635,A81000B,00200,0300,CAP REL COSTS - MOVABLE EQUIPMENT 98635,A81000B,00300,0300,ADMINISTRATIVE & GENERAL POOLED COST 98635,A81000C,00100,0100,B 98635,A81000C,00100,0200,COMPASS HEALTH INC. 98635,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98635,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98635,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98635,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98635,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98635,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98635,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98635,B100000,00000,0800,00000MEALS SERVED :DIETARY 98635,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98635,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98635,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98635,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98635,S000000,00100,0200,12/05/2000 98635,S200000,00100,0100,1212 FARROLL AVE. 98635,S200000,00200,0100,ARROYO GRANDE 98635,S200000,00200,0200,CA 98635,S200000,00200,0300,93420- 98635,S200000,00300,0100,SAN LUIS OBISPO 98635,S200000,00300,0200,7460 98635,S200000,00300,0300,U 98635,S200000,00400,0100,ARROYO GRANDE CARE CENTER 98635,S200000,00400,0200,555619 98635,S200000,00400,0300,01/01/1995 98635,S200000,00400,0500,P 98635,S200000,00400,0600,P 98635,S200000,01500,0100,Y 98635,S200000,02200,0100,Y 98643,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98643,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98643,A000000,00300,0000,00300EMPLOYEE BENEFITS 98643,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98643,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98643,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98643,A000000,00700,0000,00700HOUSEKEEPING 98643,A000000,00800,0000,00800DIETARY 98643,A000000,00900,0000,00900NURSING ADMINISTRATION 98643,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98643,A000000,01300,0000,01300SOCIAL SERVICE 98643,A000000,01600,0000,01600SKILLED NURSING FACILITY 98643,A000000,01800,0000,01800NURSING FACILITY 98643,A000000,02100,0000,02100RADIOLOGY 98643,A000000,02200,0000,02200LABORATORY 98643,A000000,02500,0000,02500PHYSICAL THERAPY 98643,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98643,A000000,02700,0000,02700SPEECH PATHOLOGY 98643,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98643,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98643,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98643,A81000A,00100,0100,Y 98643,A81000B,00100,0300,MANAGEMENT SERVICES 98643,A81000C,00100,0100,B 98643,A81000C,00100,0200,WALKER MANAGEMENT 98643,A81000C,00100,0400,THE HEALTH CENTER AT 98643,A81000C,00100,0600,SNF 98643,A81000C,00200,0400,SIERRA SUNRISE VILLAGE 98643,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98643,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98643,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98643,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98643,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98643,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98643,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98643,B100000,00000,0800,00000MEALS SERVED :DIETARY 98643,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98643,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98643,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98643,S000000,00100,0200,07/11/2000 98643,S200000,00100,0100,2850 SIERRA SUNRISE TERRACE 98643,S200000,00200,0100,CHICO 98643,S200000,00200,0200,CA 98643,S200000,00200,0300,95928- 98643,S200000,00300,0100,YUBA 98643,S200000,00300,0200,1620 98643,S200000,00300,0300,U 98643,S200000,00400,0100,HEALTH CENTER AT SIERRA SUNRISE 98643,S200000,00400,0200,555625 98643,S200000,00400,0300,03/02/1995 98643,S200000,00400,0500,P 98643,S200000,00400,0600,O 98643,S200000,00600,0200,555625 98643,S200000,00600,0300,03/02/1995 98643,S200000,00600,0600,P 98643,S200000,01600,0100,Y 98653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98653,A000000,00300,0000,00300EMPLOYEE BENEFITS 98653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98653,A000000,00700,0000,00700HOUSEKEEPING 98653,A000000,00800,0000,00800DIETARY 98653,A000000,00900,0000,00900NURSING ADMINISTRATION 98653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98653,A000000,01300,0000,01300SOCIAL SERVICE 98653,A000000,01301,0000,01301ACTIVITIES 98653,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 98653,A000000,01600,0000,01600SKILLED NURSING FACILITY 98653,A000000,01800,0000,01800NURSING FACILITY 98653,A000000,01810,0000,01810ICF/MR 98653,A000000,01900,0000,01900OTHER LONG TERM CARE 98653,A000000,02100,0000,02100RADIOLOGY 98653,A000000,02200,0000,02200LABORATORY 98653,A000000,02300,0000,02300INTRAVENOUS THERAPY 98653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98653,A000000,02500,0000,02500PHYSICAL THERAPY 98653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98653,A000000,02700,0000,02700SPEECH PATHOLOGY 98653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98653,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98653,A000000,03200,0000,03200SUPPORT SURFACES 98653,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98653,A000000,04800,0000,04800AMBULANCE 98653,A000000,05000,0000,05000CORF 98653,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98653,A000000,05300,0000,05300INTEREST EXPENSE 98653,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98653,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98653,A000000,05500,0000,05500HOSPICE 98653,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98653,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98653,A000000,06100,0000,06100NONPAID WORKERS 98653,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98653,A000000,06200,0000,06200PATIENTS LAUNDRY 98653,A81000A,00100,0100,Y 98653,A81000B,00100,0300,HOME OFFICE ALLOCATION 98653,A81000B,00200,0300,CENTRAL SUPPLY 98653,A81000B,00300,0300,MEDICAL SUPPLIES 98653,A81000B,00400,0300,ADMINISTRATION 98653,A81000C,00100,0100,B 98653,A81000C,00100,0200,COURTYARD 10490 98653,A81000C,00100,0400,MPAN 98653,A81000C,00100,0600,NURSING HOMES 98653,A81000C,00200,0100,G 98653,A81000C,00200,0200,MPAN 98653,A81000C,00200,0400,AMERICAN PHARMA 98653,A81000C,00200,0600,PHARMACEUTICALS 98653,A81000C,00300,0100,G 98653,A81000C,00300,0200,MPAN 98653,A81000C,00300,0400,PRISM (ATS ARS 98653,A81000C,00300,0600,THERAPIES 98653,A81000C,03100,0000,THERAPIES 98653,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98653,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98653,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98653,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98653,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98653,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98653,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98653,B100000,00000,0800,00000MEALS SERVED :DIETARY 98653,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98653,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98653,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98653,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98653,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 98653,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 98653,S000000,00100,0200,12/01/2000 98653,S200000,00100,0100,240 NORTHLAKE DRIVE 98653,S200000,00200,0100,SAN JOSE 98653,S200000,00200,0200,CA 98653,S200000,00200,0300,95117- 98653,S200000,00300,0100,SANTA CLARA 98653,S200000,00300,0200,7400 98653,S200000,00300,0300,U 98653,S200000,00400,0100,COURTYARD CARE CENTER-SAN JOSE 98653,S200000,00400,0200,555635 98653,S200000,00400,0300,05/24/1995 98653,S200000,00400,0500,P 98660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98660,A000000,00300,0000,00300EMPLOYEE BENEFITS 98660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98660,A000000,00700,0000,00700HOUSEKEEPING 98660,A000000,00800,0000,00800DIETARY 98660,A000000,00900,0000,00900NURSING ADMINISTRATION 98660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98660,A000000,01100,0000,01100PHARMACY 98660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98660,A000000,01300,0000,01300SOCIAL SERVICE 98660,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98660,A000000,01600,0000,01600SKILLED NURSING FACILITY 98660,A000000,01810,0000,01810ICF/MR 98660,A000000,02100,0000,02100RADIOLOGY 98660,A000000,02200,0000,02200LABORATORY 98660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98660,A000000,02500,0000,02500PHYSICAL THERAPY 98660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98660,A000000,02700,0000,02700SPEECH PATHOLOGY 98660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98660,A000000,03550,0000,03550FQHC 98660,A000000,05000,0000,05000CORF 98660,A000000,05010,0000,05010CMHC 98660,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98660,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98660,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98660,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 98660,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 98660,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 98660,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 98660,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 98660,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 98660,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 98660,B100000,00000,0850,00040PATIENT DAYS :DIETARY 98660,B100000,00000,0900,00040NURSING HOURS :NURSING ADMINISTRAT 98660,B100000,00000,1000,00040COSTED REQUIS :CENTRAL SERVICES & 98660,B100000,00000,1100,00040COSTED REQUIS :PHARMACY 98660,B100000,00000,1200,00040TIME STUDY :MEDICAL RECORDS & LIBR 98660,B100000,00000,1300,00040TIME STUDY :SOCIAL SERVICE 98660,B100000,00000,1400,00040ASSIGNED TIME :INTERNS & RESIDENTS 98660,S000000,00100,0200,09/06/2000 98660,S200000,00100,0100,1900 ATRIUM WAY 98660,S200000,00200,0100,NAPA 98660,S200000,00200,0200,CA 98660,S200000,00200,0300,94559- 98660,S200000,00300,0100,NAPA 98660,S200000,00400,0100,THE MEADOWS OF NAPA VALLEY 98660,S200000,00400,0200,555639 98660,S200000,00400,0300,06/25/1995 98660,S200000,00400,0500,P 98660,S200000,01004,0500,O 98660,S200000,01600,0100,Y 98660,S200000,04100,0100,Y 98660,S200000,04300,0100,Y 98660,S700003,00000,0100,1 98667,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98667,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98667,A000000,00300,0000,00300EMPLOYEE BENEFITS 98667,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98667,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98667,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98667,A000000,00700,0000,00700HOUSEKEEPING 98667,A000000,00800,0000,00800DIETARY 98667,A000000,00900,0000,00900NURSING ADMINISTRATION 98667,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98667,A000000,01100,0000,01100PHARMACY 98667,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98667,A000000,01300,0000,01300SOCIAL SERVICE 98667,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98667,A000000,01600,0000,01600SKILLED NURSING FACILITY 98667,A000000,01800,0000,01800NURSING FACILITY 98667,A000000,01900,0000,01900OTHER LONG TERM CARE 98667,A000000,02100,0000,02100RADIOLOGY 98667,A000000,02200,0000,02200LABORATORY 98667,A000000,02300,0000,02300INTRAVENOUS THERAPY 98667,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98667,A000000,02500,0000,02500PHYSICAL THERAPY 98667,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98667,A000000,02700,0000,02700SPEECH PATHOLOGY 98667,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98667,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98667,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98667,A000000,03200,0000,03200SUPPORT SURFACES 98667,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98667,A000000,04800,0000,04800AMBULANCE 98667,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98667,A000000,05000,0000,05000CORF 98667,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98667,A000000,05300,0000,05300INTEREST EXPENSE 98667,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98667,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98667,A000000,05500,0000,05500HOSPICE 98667,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98667,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98667,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98667,A000000,06100,0000,06100NONPAID WORKERS 98667,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98667,A000000,06200,0000,06200PATIENTS LAUNDRY 98667,A81000A,00100,0100,Y 98667,A81000B,00100,0300,HOME OFFICE ALLOCATION 98667,A81000C,00100,0100,A 98667,A81000C,00100,0200,CRESCENT HEALTH 98667,A81000C,00100,0400,CRESCENT HEALTH 98667,A81000C,00100,0600,HEALTHCARE 98667,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98667,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98667,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98667,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98667,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98667,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98667,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98667,B100000,00000,0800,00000MEALS SERVED :DIETARY 98667,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 98667,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98667,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 98667,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98667,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98667,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98667,S000000,00100,0200,12/21/1999 98667,S200000,00100,0100,47763 MONROE AVENUE 98667,S200000,00200,0100,INDIO 98667,S200000,00200,0200,CA 98667,S200000,00200,0300,92201- 98667,S200000,00300,0100,INDIO 98667,S200000,00400,0100,CRESCENT GARDENS-INDIO 98667,S200000,00400,0200,555640 98667,S200000,00400,0300,05/17/1995 98667,S200000,00400,0500,P 98667,S200000,01600,0100,Y 98667,S200000,03100,0100,Y 98667,S700003,00000,0100,1 98674,S000000,00100,0200,04/25/2000 98681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98681,A000000,00300,0000,00300EMPLOYEE BENEFITS 98681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98681,A000000,00700,0000,00700HOUSEKEEPING 98681,A000000,00800,0000,00800DIETARY 98681,A000000,00900,0000,00900NURSING ADMINISTRATION 98681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98681,A000000,01300,0000,01300SOCIAL SERVICE 98681,A000000,01600,0000,01600SKILLED NURSING FACILITY 98681,A000000,02100,0000,02100RADIOLOGY 98681,A000000,02200,0000,02200LABORATORY 98681,A000000,02500,0000,02500PHYSICAL THERAPY 98681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98681,A000000,02700,0000,02700SPEECH PATHOLOGY 98681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98681,A000000,03200,0000,03200SUPPORT SURFACES 98681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98681,A81000A,00100,0100,Y 98681,A81000B,00100,0300,MANAGEMENT FEES 98681,A81000B,00200,0300,HOME OFFICE - EQUIPMENT 98681,A81000C,00100,0100,A 98681,A81000C,00100,0200,E.E. GOINGS 98681,A81000C,00100,0400,PROGRESSIVE HEALTHCARE 98681,A81000C,00100,0600,MANAGEMENT COMPANY 98681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98681,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98681,B100000,00000,0800,00000MEALS SERVED :DIETARY 98681,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98681,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98681,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98681,S000000,00100,0200,06/01/2000 98681,S200000,00100,0100,14105 SPRINGDALE STREET 98681,S200000,00200,0100,WESTMINISTER 98681,S200000,00200,0200,CA 98681,S200000,00200,0300,92683- 98681,S200000,00300,0100,ORANGE 98681,S200000,00400,0100,STANLEY HEALTHCARE CENTER 98681,S200000,00400,0200,555651 98681,S200000,00400,0300,01/01/1998 98681,S200000,00400,0500,P 98681,S200000,00400,0600,O 98681,S200000,01500,0100,Y 98681,S700003,00000,0400,4 98690,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98690,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98690,A000000,00300,0000,00300EMPLOYEE BENEFITS 98690,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98690,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98690,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98690,A000000,00700,0000,00700HOUSEKEEPING 98690,A000000,00800,0000,00800DIETARY 98690,A000000,01300,0000,01300SOCIAL SERVICE 98690,A000000,01600,0000,01600SKILLED NURSING FACILITY 98690,A000000,01810,0000,01810ICF/MR 98690,A000000,02100,0000,02100RADIOLOGY 98690,A000000,02200,0000,02200LABORATORY 98690,A000000,02500,0000,02500PHYSICAL THERAPY 98690,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98690,A000000,02700,0000,02700SPEECH PATHOLOGY 98690,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98690,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98690,A000000,03550,0000,03550FQHC 98690,A000000,05000,0000,05000CORF 98690,A000000,05010,0000,05010CMHC 98690,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98690,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98690,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98690,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98690,A81000A,00100,0100,Y 98690,A81000B,00100,0300,HOME OFFICE RECON 98690,A81000B,00200,0300,HOME OFFICE RECON 98690,A81000B,00300,0300,HOME OFFICE RECON 98690,A81000C,00100,0100,A 98690,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98690,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98690,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98690,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98690,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98690,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98690,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98690,B100000,00000,0800,00000MEALS SERVED :DIETARY 98690,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98690,S000000,00100,0200,06/05/2000 98690,S200000,00100,0100,2240 CARLMONT AVENUE 98690,S200000,00200,0100,BELMONT 98690,S200000,00200,0200,CA 98690,S200000,00200,0300,94522- 98690,S200000,00300,0100,SAN MATEO 98690,S200000,00300,0200,7360 98690,S200000,00300,0300,U 98690,S200000,00400,0100,CARLMONT CONV. HOSP. 98690,S200000,00400,0200,555657 98690,S200000,00400,0300,01/01/1967 98690,S200000,00400,0500,P 98690,S200000,01500,0100,Y 98690,S200000,04300,0100,Y 98699,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98699,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98699,A000000,00300,0000,00300EMPLOYEE BENEFITS 98699,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98699,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98699,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98699,A000000,00700,0000,00700HOUSEKEEPING 98699,A000000,00800,0000,00800DIETARY 98699,A000000,00900,0000,00900NURSING ADMINISTRATION 98699,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98699,A000000,01100,0000,01100PHARMACY 98699,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98699,A000000,01300,0000,01300SOCIAL SERVICE 98699,A000000,01350,0000,01500RECREATION 98699,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98699,A000000,01600,0000,01600SKILLED NURSING FACILITY 98699,A000000,01800,0000,01800NURSING FACILITY 98699,A000000,01810,0000,01810ICF/MR 98699,A000000,02100,0000,02100RADIOLOGY 98699,A000000,02200,0000,02200LABORATORY 98699,A000000,02500,0000,02500PHYSICAL THERAPY 98699,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98699,A000000,02700,0000,02700SPEECH PATHOLOGY 98699,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98699,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98699,A000000,03200,0000,03200SUPPORT SURFACES 98699,A000000,03550,0000,03550FQHC 98699,A000000,05000,0000,05000CORF 98699,A000000,05010,0000,05010CMHC 98699,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98699,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98699,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98699,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98699,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98699,A81000A,00100,0100,Y 98699,A81000B,00100,0300,MANAGEMENT FEES 98699,A81000B,00200,0300,CAPITAL COSTS 98699,A81000C,00100,0100,B 98699,A81000C,00100,0200,MOYLE MEDICAL 98699,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98699,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98699,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98699,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98699,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98699,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98699,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 98699,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98699,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 98699,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 98699,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 98699,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98699,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98699,B100000,00000,1350,00000PATIENT DAYS :RECREATION 98699,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98699,S000000,00100,0200,05/25/2000 98699,S200000,00100,0100,1100 WEST MORTON AVENUE 98699,S200000,00200,0100,PORTERVILLE 98699,S200000,00200,0200,CA 98699,S200000,00200,0300,93257- 98699,S200000,00300,0100,TULARE 98699,S200000,00400,0100,PORTERVILLE CONVALESCENT HOSPITAL 98699,S200000,00400,0200,555658 98699,S200000,00400,0300,01/01/1996 98699,S200000,00400,0500,P 98699,S200000,01600,0100,Y 98699,S700003,00000,0400,4 98705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98705,A000000,00300,0000,00300EMPLOYEE BENEFITS 98705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98705,A000000,00700,0000,00700HOUSEKEEPING 98705,A000000,00800,0000,00800DIETARY 98705,A000000,00900,0000,00900NURSING ADMINISTRATION 98705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98705,A000000,01100,0000,01100PHARMACY 98705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98705,A000000,01300,0000,01300SOCIAL SERVICE 98705,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98705,A000000,01600,0000,01600SKILLED NURSING FACILITY 98705,A000000,02100,0000,02100RADIOLOGY 98705,A000000,02200,0000,02200LABORATORY 98705,A000000,02500,0000,02500PHYSICAL THERAPY 98705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98705,A000000,02700,0000,02700SPEECH PATHOLOGY 98705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98705,A000000,03200,0000,03200SUPPORT SURFACES 98705,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98705,A81000A,00100,0100,Y 98705,A81000B,00100,0300,MANAGEMENT FEES 98705,A81000B,00200,0300,CAP REL-BLDG 98705,A81000C,00200,0100,B 98705,A81000C,00200,0200,LEE 98705,A81000C,00200,0400,JPH INC. 98705,A81000C,00200,0600,MANAGEMENT 98705,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98705,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98705,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98705,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98705,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98705,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98705,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98705,B100000,00000,0800,00000MEALS SERVED :DIETARY 98705,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98705,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98705,S000000,00100,0200,07/05/2000 98705,S200000,00100,0100,1201 S. ORANGE AVENUE 98705,S200000,00200,0100,EL CAJON 98705,S200000,00200,0200,CA 98705,S200000,00200,0300,92020- 98705,S200000,00300,0100,SAN DIEGO 98705,S200000,00300,0200,7320 98705,S200000,00300,0300,U 98705,S200000,00400,0100,CHASE CARE CENTER 98705,S200000,00400,0200,555659 98705,S200000,00400,0300,03/19/1996 98705,S200000,00400,0500,P 98705,S200000,01500,0100,Y 98705,S200000,04300,0100,Y 98711,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98711,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98711,A000000,00300,0000,00300EMPLOYEE BENEFITS 98711,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98711,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98711,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98711,A000000,00700,0000,00700HOUSEKEEPING 98711,A000000,00800,0000,00800DIETARY 98711,A000000,00900,0000,00900NURSING ADMINISTRATION 98711,A000000,01300,0000,01300SOCIAL SERVICE 98711,A000000,01600,0000,01600SKILLED NURSING FACILITY 98711,A000000,02500,0000,02500PHYSICAL THERAPY 98711,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98711,A000000,02700,0000,02700SPEECH PATHOLOGY 98711,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98711,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98711,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98711,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98711,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98711,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98711,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98711,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98711,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98711,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98711,B100000,00000,0800,00000MEALS SERVED :DIETARY 98711,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98711,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98711,S000000,00100,0200,02/22/2001 98711,S200000,00100,0100,HIGHWAY 1 & VALLEY WAY 98711,S200000,00200,0100,CARMEL 98711,S200000,00200,0200,CA 98711,S200000,00200,0300,93921- 98711,S200000,00300,0100,MONTEREY 98711,S200000,00300,0200,7120 98711,S200000,00300,0300,U 98711,S200000,00400,0100,CARMEL CONVALESCENT HOSPITAL 98711,S200000,00400,0200,555661 98711,S200000,00400,0300,04/04/1996 98711,S200000,00400,0500,P 98711,S200000,00400,0600,O 98711,S200000,01500,0100,Y 98718,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98718,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98718,A000000,00300,0000,00300EMPLOYEE BENEFITS 98718,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98718,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98718,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98718,A000000,00700,0000,00700HOUSEKEEPING 98718,A000000,00800,0000,00800DIETARY 98718,A000000,00900,0000,00900NURSING ADMINISTRATION 98718,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98718,A000000,01600,0000,01600SKILLED NURSING FACILITY 98718,A000000,01800,0000,01800NURSING FACILITY 98718,A000000,02100,0000,02100RADIOLOGY 98718,A000000,02200,0000,02200LABORATORY 98718,A000000,02300,0000,02300INTRAVENOUS THERAPY 98718,A000000,02500,0000,02500PHYSICAL THERAPY 98718,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98718,A000000,02700,0000,02700SPEECH PATHOLOGY 98718,A000000,02800,0000,02800ELECTROCARDIOLOGY 98718,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98718,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98718,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98718,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98718,A81000A,00100,0100,Y 98718,A81000B,00100,0300,HOME OFFICE EXPENSE 98718,A81000C,00100,0100,A 98718,A81000C,00100,0200,E.I. BERNABE 98718,A81000C,00100,0400,PLEASANT CARE C 98718,A81000C,00100,0600,HEALTH CARE PRO 98718,A81000C,00200,0100,A 98718,A81000C,00200,0200,E.I. BERNABE 98718,A81000C,00200,0400,PCC HEALTH SERV 98718,A81000C,00200,0600,HEALTH CARE PRO 98718,A81000C,00300,0100,A 98718,A81000C,00300,0200,E.I. BERNABE 98718,A81000C,00300,0400,EMBER CARE CORP 98718,A81000C,00300,0600,HEALTH CARE PRO 98718,A81000C,00400,0100,A 98718,A81000C,00400,0200,E.I. BERNABE 98718,A81000C,00400,0400,ATLAS CARE CORP 98718,A81000C,00400,0600,HEALTH CARE PRO 98718,A81000C,00500,0100,A 98718,A81000C,00500,0200,E.I. BERNABE 98718,A81000C,00500,0400,SNF PROPERTIES 98718,A81000C,00500,0600,HEALTH CARE PRO 98718,A81000C,00600,0100,A 98718,A81000C,00600,0200,E.I. BERNABE 98718,A81000C,00600,0400,STOCKTON EDISON 98718,A81000C,00600,0600,HEALTH CARE PRO 98718,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98718,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98718,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98718,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98718,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98718,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98718,B100000,00000,0750,00000SQUARE OF FEET :HOUSEKEEPING 98718,B100000,00000,0800,00000MEALS SERVED :DIETARY 98718,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 98718,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98718,S000000,00100,0200,07/27/2000 98718,S200000,00100,0100,11510 EAST IMPERIAL HIGHWAY 98718,S200000,00200,0100,NORWALK 98718,S200000,00200,0200,CA 98718,S200000,00200,0300,90650- 98718,S200000,00300,0100,LOS ANGELES 98718,S200000,00300,0300,U 98718,S200000,00400,0100,EMMANUEL HEALTH CARE NORWALK 98718,S200000,00400,0200,555668 98718,S200000,00400,0300,03/01/1995 98718,S200000,00400,0500,P 98718,S200000,00600,0200,555668 98718,S200000,00600,0300,03/01/1995 98718,S200000,00600,0600,P 98718,S200000,01600,0100,Y 98726,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98726,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98726,A000000,00300,0000,00300EMPLOYEE BENEFITS 98726,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98726,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98726,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98726,A000000,00700,0000,00700HOUSEKEEPING 98726,A000000,00800,0000,00800DIETARY 98726,A000000,00900,0000,00900NURSING ADMINISTRATION 98726,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98726,A000000,01100,0000,01100PHARMACY 98726,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98726,A000000,01300,0000,01300SOCIAL SERVICE 98726,A000000,01350,0000,01500OTHER GENERAL SERVICES 98726,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98726,A000000,01600,0000,01600SKILLED NURSING FACILITY 98726,A000000,01800,0000,01800NURSING FACILITY 98726,A000000,01900,0000,01900OTHER LONG TERM CARE 98726,A000000,02100,0000,02100RADIOLOGY 98726,A000000,02200,0000,02200LABORATORY 98726,A000000,02300,0000,02300INTRAVENOUS THERAPY 98726,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98726,A000000,02500,0000,02500PHYSICAL THERAPY 98726,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98726,A000000,02700,0000,02700SPEECH PATHOLOGY 98726,A000000,02800,0000,02800ELECTROCARDIOLOGY 98726,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98726,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98726,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98726,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98726,A000000,03200,0000,03200SUPPORT SURFACES 98726,A000000,03400,0000,03400CLINIC 98726,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98726,A000000,03500,0000,03500RURAL HEALTH CLINIC 98726,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98726,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98726,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98726,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98726,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98726,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98726,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98726,A000000,04400,0000,04400DME RENTED - HHA 98726,A000000,04500,0000,04500DME SOLD - HHA 98726,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98726,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98726,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98726,A000000,04800,0000,04800AMBULANCE 98726,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98726,A000000,05000,0000,05000CORF 98726,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98726,A000000,05300,0000,05300INTEREST EXPENSE 98726,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98726,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98726,A000000,05500,0000,05500HOSPICE 98726,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98726,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98726,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98726,A000000,06100,0000,06100NONPAID WORKERS 98726,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98726,A000000,06200,0000,06200PATIENTS LAUNDRY 98726,A81000A,00100,0100,Y 98726,A81000B,00100,0300,MANAGEMENT FEE 98726,A81000C,00100,0100,F 98726,A81000C,00100,0200,J & D SORENSEN D. LAWS 98726,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 98726,A81000C,00100,0600,MANAGEMENT 98726,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98726,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98726,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98726,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98726,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98726,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98726,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98726,B100000,00000,0800,00000MEALS SERVED :DIETARY 98726,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98726,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 98726,B100000,00000,1150,00000NO STATISTICS :PHARMACY 98726,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98726,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98726,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98726,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 98726,E10A180,00301,0100,08/01/1998 98726,S000000,00100,0200,05/15/2000 98726,S200000,00100,0100,201 E. BASTANCHURY 98726,S200000,00200,0100,FULLERTON 98726,S200000,00200,0200,CA 98726,S200000,00200,0300,92835- 98726,S200000,00300,0100,ORANGE 98726,S200000,00400,0100,TERRACE VIEW CARE CENTER 98726,S200000,00400,0200,555671 98726,S200000,00400,0300,03/01/1997 98726,S200000,00400,0500,P 98726,S200000,00600,0200,555671 98726,S200000,00600,0300,03/01/1997 98726,S200000,00600,0600,P 98726,S200000,01600,0100,Y 98726,S200000,02200,0100,Y 98726,S700003,00000,0400,4 98733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98733,A000000,00300,0000,00300EMPLOYEE BENEFITS 98733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98733,A000000,00700,0000,00700HOUSEKEEPING 98733,A000000,00800,0000,00800DIETARY 98733,A000000,00900,0000,00900NURSING ADMINISTRATION 98733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98733,A000000,01300,0000,01300SOCIAL SERVICE 98733,A000000,01600,0000,01600SKILLED NURSING FACILITY 98733,A000000,01800,0000,01800NURSING FACILITY 98733,A000000,01900,0000,01900OTHER LONG TERM CARE 98733,A000000,02100,0000,02100RADIOLOGY 98733,A000000,02200,0000,02200LABORATORY 98733,A000000,02300,0000,02300INTRAVENOUS THERAPY 98733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98733,A000000,02500,0000,02500PHYSICAL THERAPY 98733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98733,A000000,02700,0000,02700SPEECH PATHOLOGY 98733,A000000,02800,0000,02800ELECTROCARDIOLOGY 98733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98733,A000000,03200,0000,03200SUPPORT SURFACES 98733,A000000,04800,0000,04800AMBULANCE 98733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98733,A000000,05000,0000,05000CORF 98733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98733,A000000,05300,0000,05300INTEREST EXPENSE 98733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98733,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98733,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98733,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98733,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98733,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98733,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98733,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98733,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98733,B100000,00000,0800,00000MEALS SERVED :DIETARY 98733,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98733,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 98733,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98733,S000000,00100,0200,05/31/2000 98733,S200000,00100,0100,2257 FAIR OAKS BLVD. 98733,S200000,00200,0100,SACRAMENTO 98733,S200000,00200,0200,CA 98733,S200000,00200,0300,95825- 98733,S200000,00300,0100,SACRAMENTO 98733,S200000,00400,0100,ASBURY PARK NURSING & REHAB CTR 98733,S200000,00400,0200,555673 98733,S200000,00400,0300,01/16/1997 98733,S200000,00400,0500,P 98733,S200000,01500,0100,Y 98739,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98739,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98739,A000000,00300,0000,00300EMPLOYEE BENEFITS 98739,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98739,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98739,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98739,A000000,00700,0000,00700HOUSEKEEPING 98739,A000000,00800,0000,00800DIETARY 98739,A000000,00900,0000,00900NURSING ADMINISTRATION 98739,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98739,A000000,01100,0000,01100PHARMACY 98739,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98739,A000000,01300,0000,01300SOCIAL SERVICE 98739,A000000,01350,0000,01500OTHER GENERAL SERVICES 98739,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98739,A000000,01600,0000,01600SKILLED NURSING FACILITY 98739,A000000,01800,0000,01800NURSING FACILITY 98739,A000000,01810,0000,01801ICF/MR 98739,A000000,01900,0000,01900OTHER LONG TERM CARE 98739,A000000,02100,0000,02100RADIOLOGY 98739,A000000,02200,0000,02200LABORATORY 98739,A000000,02300,0000,02300INTRAVENOUS THERAPY 98739,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98739,A000000,02500,0000,02500PHYSICAL THERAPY 98739,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98739,A000000,02700,0000,02700SPEECH PATHOLOGY 98739,A000000,02800,0000,02800ELECTROCARDIOLOGY 98739,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98739,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98739,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98739,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98739,A000000,03200,0000,03200SUPPORT SURFACES 98739,A000000,03400,0000,03400CLINIC 98739,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98739,A000000,03500,0000,03500RURAL HEALTH CLINIC 98739,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98739,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98739,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98739,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98739,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98739,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98739,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98739,A000000,04400,0000,04400DME RENTED - HHA 98739,A000000,04500,0000,04500DME SOLD - HHA 98739,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98739,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98739,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98739,A000000,04800,0000,04800AMBULANCE 98739,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98739,A000000,05000,0000,05000CORF 98739,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98739,A000000,05300,0000,05300INTEREST EXPENSE 98739,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98739,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98739,A000000,05500,0000,05500HOSPICE 98739,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98739,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98739,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98739,A000000,06100,0000,06100NONPAID WORKERS 98739,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98739,A000000,06200,0000,06200PATIENTS LAUNDRY 98739,A81000A,00100,0100,Y 98739,A81000B,00100,0300,HOME OFFICE 98739,A81000C,00100,0100,A 98739,A81000C,00100,0200,GEORGE HARDI 98739,A81000C,00100,0400,HARDI NURSING HOME MNGMT 98739,A81000C,00100,0600,HOME OFFICE 98739,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98739,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98739,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98739,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98739,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98739,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98739,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98739,B100000,00000,0800,00000MEALS SERVED :DIETARY 98739,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 98739,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98739,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98739,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98739,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98739,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98739,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98739,S000000,00100,0200,06/05/2000 98739,S200000,00100,0100,11630 S GREVILLEA AVE 98739,S200000,00200,0100,HAWTHORNE 98739,S200000,00200,0200,CA 98739,S200000,00200,0300,90250- 98739,S200000,00300,0100,LOS ANGELES 98739,S200000,00400,0100,HAWTHORNE CONVALESCENT HOSPITAL 98739,S200000,00400,0200,555677 98739,S200000,00400,0300,09/13/1996 98739,S200000,00400,0500,P 98739,S200000,01500,0100,Y 98739,S700003,00000,0400,4 98749,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98749,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98749,A000000,00300,0000,00300EMPLOYEE BENEFITS 98749,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98749,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98749,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98749,A000000,00700,0000,00700HOUSEKEEPING 98749,A000000,00800,0000,00800DIETARY 98749,A000000,01300,0000,01300SOCIAL SERVICE 98749,A000000,01600,0000,01600SKILLED NURSING FACILITY 98749,A000000,01810,0000,01810ICF/MR 98749,A000000,02100,0000,02100RADIOLOGY 98749,A000000,02200,0000,02200LABORATORY 98749,A000000,02500,0000,02500PHYSICAL THERAPY 98749,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98749,A000000,02700,0000,02700SPEECH PATHOLOGY 98749,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98749,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98749,A000000,03550,0000,03550FQHC 98749,A000000,05000,0000,05000CORF 98749,A000000,05010,0000,05010CMHC 98749,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 98749,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 98749,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 98749,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 98749,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 98749,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 98749,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 98749,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 98749,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 98749,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 98749,B100000,00000,0850,00040PATIENT DAYS :DIETARY 98749,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 98749,S000000,00100,0200,08/17/2000 98749,S200000,00100,0100,1790 MUIR ROAD 98749,S200000,00200,0100,MARTINEZ 98749,S200000,00200,0200,CA 98749,S200000,00200,0300,94553- 98749,S200000,00300,0100,CONTRA COSTA 98749,S200000,00400,0100,HILL VIEW NURSING AND REHAB 98749,S200000,00400,0200,555684 98749,S200000,00400,0300,11/12/1996 98749,S200000,00400,0500,P 98749,S200000,01500,0100,Y 98749,S200000,01800,0100,Y 98749,S200000,01900,0100,PROPRIETORSHIP 98754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98754,A000000,00300,0000,00300EMPLOYEE BENEFITS 98754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98754,A000000,00700,0000,00700HOUSEKEEPING 98754,A000000,00800,0000,00800DIETARY 98754,A000000,00900,0000,00900NURSING ADMINISTRATION 98754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98754,A000000,01100,0000,01100PHARMACY 98754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98754,A000000,01300,0000,01300SOCIAL SERVICE 98754,A000000,01350,0000,01500OTHER GENERAL SERVICES 98754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98754,A000000,01600,0000,01600SKILLED NURSING FACILITY 98754,A000000,01800,0000,01800NURSING FACILITY 98754,A000000,01810,0000,01801ICF/MR 98754,A000000,01900,0000,01900OTHER LONG TERM CARE 98754,A000000,02100,0000,02100RADIOLOGY 98754,A000000,02200,0000,02200LABORATORY 98754,A000000,02300,0000,02300INTRAVENOUS THERAPY 98754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98754,A000000,02500,0000,02500PHYSICAL THERAPY 98754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98754,A000000,02700,0000,02700SPEECH PATHOLOGY 98754,A000000,02800,0000,02800ELECTROCARDIOLOGY 98754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98754,A000000,03200,0000,03200SUPPORT SURFACES 98754,A000000,03400,0000,03400CLINIC 98754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98754,A000000,03500,0000,03500RURAL HEALTH CLINIC 98754,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98754,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98754,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98754,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98754,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98754,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98754,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98754,A000000,04400,0000,04400DME RENTED - HHA 98754,A000000,04500,0000,04500DME SOLD - HHA 98754,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98754,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98754,A000000,04800,0000,04800AMBULANCE 98754,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98754,A000000,05000,0000,05000CORF 98754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98754,A000000,05300,0000,05300INTEREST EXPENSE 98754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98754,A000000,05500,0000,05500HOSPICE 98754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98754,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98754,A000000,06100,0000,06100NONPAID WORKERS 98754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98754,A000000,06200,0000,06200PATIENTS LAUNDRY 98754,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 98754,B100000,00000,0250,00000 :CAP REL COSTS - MOVABLE EQUIPME 98754,B100000,00000,0350,00000 :EMPLOYEE BENEFITS 98754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98754,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 98754,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 98754,B100000,00000,0750,00000 :HOUSEKEEPING 98754,B100000,00000,0850,00000 :DIETARY 98754,B100000,00000,0950,00000 :NURSING ADMINISTRATION 98754,B100000,00000,1050,00000 :CENTRAL SERVICES & SUPPLY 98754,B100000,00000,1150,00000 :PHARMACY 98754,B100000,00000,1250,00000 :MEDICAL RECORDS & LIBRARY 98754,B100000,00000,1330,00000 :SOCIAL SERVICE 98754,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 98754,B100000,00000,1450,00000 :INTERNS & RESIDENTS (APPRVD PRO 98754,S000000,00100,0200,08/04/2000 98754,S200000,00100,0100,3415 BROWNS VALLEY ROAD 98754,S200000,00200,0100,NAPA 98754,S200000,00200,0200,CA 98754,S200000,00200,0300,94558- 98754,S200000,00300,0100,NAPA 98754,S200000,00400,0100,ROBERTS NURSING HOME 98754,S200000,00400,0200,555687 98754,S200000,00400,0300,12/31/1996 98754,S200000,00400,0500,P 98754,S200000,01500,0100,Y 98760,S000000,00100,0200,04/14/2000 98765,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98765,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98765,A000000,00300,0000,00300EMPLOYEE BENEFITS 98765,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98765,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98765,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98765,A000000,00700,0000,00700HOUSEKEEPING 98765,A000000,00800,0000,00800DIETARY 98765,A000000,00900,0000,00900NURSING ADMINISTRATION 98765,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98765,A000000,01100,0000,01100PHARMACY 98765,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98765,A000000,01300,0000,01300SOCIAL SERVICE 98765,A000000,01350,0000,01500OTHER GENERAL SERVICES 98765,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98765,A000000,01600,0000,01600SKILLED NURSING FACILITY 98765,A000000,01800,0000,01800NURSING FACILITY 98765,A000000,01900,0000,01900OTHER LONG TERM CARE 98765,A000000,02100,0000,02100RADIOLOGY 98765,A000000,02200,0000,02200LABORATORY 98765,A000000,02300,0000,02300INTRAVENOUS THERAPY 98765,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98765,A000000,02500,0000,02500PHYSICAL THERAPY 98765,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98765,A000000,02700,0000,02700SPEECH PATHOLOGY 98765,A000000,02800,0000,02800ELECTROCARDIOLOGY 98765,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98765,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98765,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98765,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98765,A000000,03200,0000,03200SUPPORT SURFACES 98765,A000000,03400,0000,03400CLINIC 98765,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98765,A000000,03500,0000,03500RURAL HEALTH CLINIC 98765,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98765,A000000,04800,0000,04800AMBULANCE 98765,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98765,A000000,05000,0000,05000CORF 98765,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98765,A000000,05300,0000,05300INTEREST EXPENSE 98765,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98765,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98765,A000000,05500,0000,05500HOSPICE 98765,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98765,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98765,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98765,A000000,06100,0000,06100NONPAID WORKERS 98765,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98765,A000000,06200,0000,06200PATIENTS LAUNDRY 98765,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98765,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98765,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98765,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98765,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98765,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98765,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98765,B100000,00000,0800,00000MEALS SERVED :DIETARY 98765,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98765,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98765,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98765,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98765,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98765,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98765,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98765,S000000,00100,0200,03/31/2000 98765,S200000,00100,0100,326 MISSION AVENUE 98765,S200000,00200,0100,SAN RAFAEL 98765,S200000,00200,0200,CA 98765,S200000,00200,0300,94901- 98765,S200000,00300,0100,MARIN 98765,S200000,00400,0100,ALDERSLY INC. 98765,S200000,00400,0200,555694 98765,S200000,00400,0300,10/02/1996 98765,S200000,00400,0500,P 98765,S200000,01004,0500,O 98765,S200000,01500,0100,Y 98765,S700003,00000,0100,1 98772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98772,A000000,00300,0000,00300EMPLOYEE BENEFITS 98772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98772,A000000,00700,0000,00700HOUSEKEEPING 98772,A000000,00800,0000,00800DIETARY 98772,A000000,00900,0000,00900NURSING ADMINISTRATION 98772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98772,A000000,01100,0000,01100PHARMACY 98772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98772,A000000,01300,0000,01300SOCIAL SERVICE 98772,A000000,01600,0000,01600SKILLED NURSING FACILITY 98772,A000000,01800,0000,01800NURSING FACILITY 98772,A000000,01900,0000,01900OTHER LONG TERM CARE 98772,A000000,02100,0000,02100RADIOLOGY 98772,A000000,02200,0000,02200LABORATORY 98772,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98772,A000000,02500,0000,02500PHYSICAL THERAPY 98772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98772,A000000,02700,0000,02700SPEECH PATHOLOGY 98772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98772,A000000,02901,0000,02901COMPLEX MEDICAL EQUIP 98772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98772,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98772,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98772,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98772,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98772,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98772,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98772,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98772,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98772,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98772,S000000,00100,0200,06/19/2000 98772,S200000,00100,0100,5270 LOS ANGELES AVENUE 98772,S200000,00200,0100,SIMI VALLEY 98772,S200000,00200,0200,CA 98772,S200000,00200,0300,93063- 98772,S200000,00300,0100,VENTURA 98772,S200000,00400,0100,SIMI VALLEY CARE CENTER 98772,S200000,00400,0200,555701 98772,S200000,00400,0300,05/21/1997 98772,S200000,00400,0500,P 98772,S200000,01600,0100,Y 98772,S200000,04100,0100,Y 98772,S700003,00000,0400,4 98779,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98779,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98779,A000000,00300,0000,00300EMPLOYEE BENEFITS 98779,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98779,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98779,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98779,A000000,00700,0000,00700HOUSEKEEPING 98779,A000000,00800,0000,00800DIETARY 98779,A000000,00900,0000,00900NURSING ADMINISTRATION 98779,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98779,A000000,01600,0000,01600SKILLED NURSING FACILITY 98779,A000000,01800,0000,01800NURSING FACILITY 98779,A000000,02100,0000,02100RADIOLOGY 98779,A000000,02200,0000,02200LABORATORY 98779,A000000,02300,0000,02300INTRAVENOUS THERAPY 98779,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98779,A000000,02500,0000,02500PHYSICAL THERAPY 98779,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98779,A000000,02700,0000,02700SPEECH PATHOLOGY 98779,A000000,02800,0000,02800ELECTROCARDIOLOGY 98779,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98779,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98779,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98779,A81000A,00100,0100,Y 98779,A81000B,00100,0300,HOME OFFICE EXPENSES 98779,A81000C,00100,0100,A 98779,A81000C,00100,0200,E.I. BERNABE 98779,A81000C,00100,0400,PLEASANT CARE C 98779,A81000C,00100,0600,HEALTH CARE PRO 98779,A81000C,00200,0100,A 98779,A81000C,00200,0200,E.I. BERNABE 98779,A81000C,00200,0400,PCC HEALTH SERV 98779,A81000C,00200,0600,HEALTH CARE PRO 98779,A81000C,00300,0100,A 98779,A81000C,00300,0200,E.I. BERNABE 98779,A81000C,00300,0400,EMBER CARE CORP 98779,A81000C,00300,0600,HEALTH CARE PRO 98779,A81000C,00400,0100,A 98779,A81000C,00400,0200,E.I. BERNABE 98779,A81000C,00400,0400,ATLAS CARE ENTE 98779,A81000C,00400,0600,HEALTH CARE PRO 98779,A81000C,00500,0100,A 98779,A81000C,00500,0200,E.I. BERNABE 98779,A81000C,00500,0400,SNF PROPERTIES 98779,A81000C,00500,0600,HEALTH CARE PRO 98779,A81000C,00600,0100,A 98779,A81000C,00600,0200,E.I. BERNABE 98779,A81000C,00600,0400,STOCKTON EDISON 98779,A81000C,00600,0600,HEALTH CARE PRO 98779,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98779,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98779,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98779,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98779,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98779,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98779,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98779,B100000,00000,0800,00000MEALS SERVED :DIETARY 98779,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 98779,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98779,S000000,00100,0200,11/27/2000 98779,S200000,00100,0100,730 34TH STREET 98779,S200000,00200,0100,BAKERSFIELD 98779,S200000,00200,0200,CA 98779,S200000,00200,0300,93301- 98779,S200000,00300,0100,KERN 98779,S200000,00300,0200,0680 98779,S200000,00300,0300,U 98779,S200000,00400,0100,PLEASANT CARE CONVAL - BAKERSFIELD 98779,S200000,00400,0200,555702 98779,S200000,00400,0300,02/10/1997 98779,S200000,00400,0500,P 98779,S200000,00600,0200,555702 98779,S200000,00600,0300,02/10/1997 98779,S200000,00600,0600,P 98779,S200000,01600,0100,Y 98787,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98787,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98787,A000000,00300,0000,00300EMPLOYEE BENEFITS 98787,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98787,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98787,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98787,A000000,00700,0000,00700HOUSEKEEPING 98787,A000000,00800,0000,00800DIETARY 98787,A000000,00900,0000,00900NURSING ADMINISTRATION 98787,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98787,A000000,01600,0000,01600SKILLED NURSING FACILITY 98787,A000000,01800,0000,01800NURSING FACILITY 98787,A000000,02100,0000,02100RADIOLOGY 98787,A000000,02200,0000,02200LABORATORY 98787,A000000,02300,0000,02300INTRAVENOUS THERAPY 98787,A000000,02500,0000,02500PHYSICAL THERAPY 98787,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98787,A000000,02700,0000,02700SPEECH PATHOLOGY 98787,A000000,02800,0000,02800ELECTROCARDIOLOGY 98787,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98787,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98787,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98787,A81000A,00100,0100,Y 98787,A81000B,00100,0300,HOME OFFICE EXPENSE 98787,A81000C,00100,0100,A 98787,A81000C,00100,0200,EMMANUEL BERNAB 98787,A81000C,00100,0400,PLEASANT CARE C 98787,A81000C,00100,0600,HEALTH CARE PRO 98787,A81000C,00200,0100,A 98787,A81000C,00200,0200,EMMANUEL BERNAB 98787,A81000C,00200,0400,PCC HEALTH SVCS 98787,A81000C,00200,0600,HEALTH CARE PRO 98787,A81000C,00300,0100,A 98787,A81000C,00300,0200,EMMANUEL BERNAB 98787,A81000C,00300,0400,ATLAS CARE ENTE 98787,A81000C,00300,0600,HEALTH CARE PRO 98787,A81000C,00400,0100,A 98787,A81000C,00400,0200,EMMANUEL BERNAB 98787,A81000C,00400,0400,EMBER CARE CORP 98787,A81000C,00400,0600,HEALTH CARE PRO 98787,A81000C,00500,0100,A 98787,A81000C,00500,0200,EMMANUEL BERNAB 98787,A81000C,00500,0400,SNF PROPERTIES 98787,A81000C,00500,0600,HEALTH CARE PRO 98787,A81000C,00600,0100,A 98787,A81000C,00600,0200,EMMANUEL BERNAB 98787,A81000C,00600,0400,STOCKTON EDISON 98787,A81000C,00600,0600,HEALTH CARE PRO 98787,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98787,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98787,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98787,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98787,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98787,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98787,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98787,B100000,00000,0800,00000MEALS SERVED :DIETARY 98787,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 98787,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98787,S000000,00100,0200,11/30/2000 98787,S200000,00100,0100,523 HAYES LANE 98787,S200000,00200,0100,PETALUMA 98787,S200000,00200,0200,CA 98787,S200000,00200,0300,94952- 98787,S200000,00300,0100,SONOMA 98787,S200000,00300,0200,7500 98787,S200000,00300,0300,U 98787,S200000,00400,0100,PLEASANT CARE CONVALESCENT- PETALUMA 98787,S200000,00400,0200,555703 98787,S200000,00400,0300,04/18/1997 98787,S200000,00400,0500,P 98787,S200000,00600,0200,555703 98787,S200000,00600,0300,04/18/1997 98787,S200000,00600,0600,P 98787,S200000,01600,0100,Y 98787,S200000,04300,0100,Y 98793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98793,A000000,00300,0000,00300EMPLOYEE BENEFITS 98793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98793,A000000,00700,0000,00700HOUSEKEEPING 98793,A000000,00800,0000,00800DIETARY 98793,A000000,00900,0000,00900NURSING ADMINISTRATION 98793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98793,A000000,01100,0000,01100PHARMACY 98793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98793,A000000,01300,0000,01300SOCIAL SERVICE 98793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98793,A000000,01600,0000,01600SKILLED NURSING FACILITY 98793,A000000,02100,0000,02100RADIOLOGY 98793,A000000,02200,0000,02200LABORATORY 98793,A000000,02500,0000,02500PHYSICAL THERAPY 98793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98793,A000000,02700,0000,02700SPEECH PATHOLOGY 98793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98793,A000000,03200,0000,03200SUPPORT SURFACES 98793,A81000A,00100,0100,Y 98793,A81000B,00100,0300,MANAGEMENT FEES 98793,A81000B,00200,0300,CAP REL-BLDG 98793,A81000B,00300,0300,CAP REL-EQUIP 98793,A81000C,00300,0100,A 98793,A81000C,00300,0200,JACOB FRIEDMAN 98793,A81000C,00300,0400,LONGWOOD MGT 98793,A81000C,00300,0600,MANAGEMENT 98793,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98793,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98793,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98793,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98793,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98793,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98793,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98793,B100000,00000,0800,00000MEALS SERVED :DIETARY 98793,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98793,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98793,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98793,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98793,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98793,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98793,S000000,00100,0200,06/05/2000 98793,S200000,00100,0100,11441 VENTURA BLVD. 98793,S200000,00200,0100,STUDIO CITY 98793,S200000,00200,0200,CA 98793,S200000,00200,0300,91604- 98793,S200000,00300,0100,LOS ANGELES 98793,S200000,00400,0100,IMPERIAL CARE CENTER 98793,S200000,00400,0200,555707 98793,S200000,00400,0300,05/07/1997 98793,S200000,00400,0500,P 98793,S200000,01600,0100,Y 98793,S200000,04300,0100,Y 98793,S700003,00000,0400,4 98800,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98800,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98800,A000000,00300,0000,00300EMPLOYEE BENEFITS 98800,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98800,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98800,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98800,A000000,00700,0000,00700HOUSEKEEPING 98800,A000000,00800,0000,00800DIETARY 98800,A000000,00900,0000,00900NURSING ADMINISTRATION 98800,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98800,A000000,01100,0000,01100PHARMACY 98800,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98800,A000000,01300,0000,01300SOCIAL SERVICE 98800,A000000,01350,0000,01500ACTIVITIES 98800,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98800,A000000,01600,0000,01600SKILLED NURSING FACILITY 98800,A000000,01800,0000,01800NURSING FACILITY 98800,A000000,01900,0000,01900OTHER LONG TERM CARE 98800,A000000,02100,0000,02100RADIOLOGY 98800,A000000,02200,0000,02200LABORATORY 98800,A000000,02300,0000,02300INTRAVENOUS THERAPY 98800,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98800,A000000,02500,0000,02500PHYSICAL THERAPY 98800,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98800,A000000,02700,0000,02700SPEECH PATHOLOGY 98800,A000000,02800,0000,02800ELECTROCARDIOLOGY 98800,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98800,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98800,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98800,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98800,A000000,03200,0000,03200SUPPORT SURFACES 98800,A000000,04750,0000,05100OTHER REIMBURSABLE COST CENTERS 98800,A000000,04800,0000,04800AMBULANCE 98800,A000000,05300,0000,05300INTEREST EXPENSE 98800,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST CENTERS 98800,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98800,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98800,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98800,A000000,06100,0000,06100NONPAID WORKERS 98800,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98800,A000000,06200,0000,06200PATIENTS LAUNDRY 98800,A81000A,00100,0100,Y 98800,A81000B,00100,0300,HOME OFFICE COST 98800,A81000B,00200,0300,PT ADMIN FEES 98800,A81000B,00300,0300,OT ADMIN FEES 98800,A81000B,00400,0300,ST ADMIN FEES 98800,A81000C,00100,0100,B 98800,A81000C,00100,0200,MCHS-ROSSMOOR 98800,A81000C,00100,0400,HCR MANORCARE INC. 98800,A81000C,00100,0600,LONG TERM CARE FACILITIES 98800,A81000C,00200,0100,B 98800,A81000C,00200,0200,MCHS ROSSMOOR 98800,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 98800,A81000C,00200,0600,THERAPY MANAGEMENT 98800,A81000C,00300,0100,B 98800,A81000C,00300,0200,MCHS ROSSMOOR 98800,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 98800,A81000C,00300,0600,THERAPY MANAGEMENT 98800,A81000C,00400,0100,B 98800,A81000C,00400,0200,MCHS ROSSMOOR 98800,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 98800,A81000C,00400,0600,THERAPY MANAGEMENT 98800,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98800,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98800,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98800,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98800,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98800,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98800,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98800,B100000,00000,0800,00000MEALS SERVED :DIETARY 98800,B100000,00000,0950,00000NURSING WAGES :NURSING ADMINISTRAT 98800,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98800,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98800,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98800,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98800,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 98800,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 98800,S000000,00100,0200,11/01/2000 98800,S200000,00100,0100,1975 TICE VALLEY BOULEVARD 98800,S200000,00200,0100,WALNUT CREEK 98800,S200000,00200,0200,CA 98800,S200000,00200,0300,94595- 98800,S200000,00300,0100,CONTRA COSTA 98800,S200000,00400,0100,MCHS-ROSSMOOR 98800,S200000,00400,0200,555710 98800,S200000,00400,0300,08/07/1997 98800,S200000,00400,0500,P 98800,S200000,00400,0600,P 98800,S200000,01004,0500,O 98800,S200000,01600,0100,Y 98800,S200000,02200,0100,Y 98807,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98807,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98807,A000000,00300,0000,00300EMPLOYEE BENEFITS 98807,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98807,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98807,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98807,A000000,00700,0000,00700HOUSEKEEPING 98807,A000000,00800,0000,00800DIETARY 98807,A000000,00900,0000,00900NURSING ADMINISTRATION 98807,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98807,A000000,01100,0000,01100PHARMACY 98807,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98807,A000000,01300,0000,01300SOCIAL SERVICE 98807,A000000,01350,0000,01500OTHER GENERAL SERVICES 98807,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98807,A000000,01600,0000,01600SKILLED NURSING FACILITY 98807,A000000,01800,0000,01800NURSING FACILITY 98807,A000000,01810,0000,01810ICF/MR 98807,A000000,01900,0000,01900OTHER LONG TERM CARE 98807,A000000,02100,0000,02100RADIOLOGY 98807,A000000,02200,0000,02200LABORATORY 98807,A000000,02300,0000,02300INTRAVENOUS THERAPY 98807,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98807,A000000,02500,0000,02500PHYSICAL THERAPY 98807,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98807,A000000,02700,0000,02700SPEECH PATHOLOGY 98807,A000000,02800,0000,02800ELECTROCARDIOLOGY 98807,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98807,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98807,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98807,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98807,A000000,03200,0000,03200SUPPORT SURFACES 98807,A000000,03400,0000,03400CLINIC 98807,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98807,A000000,03500,0000,03500RURAL HEALTH CLINIC 98807,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98807,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98807,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98807,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98807,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98807,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98807,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98807,A000000,04400,0000,04400DME RENTED - HHA 98807,A000000,04500,0000,04500DME SOLD - HHA 98807,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98807,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98807,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98807,A000000,04800,0000,04800AMBULANCE 98807,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98807,A000000,05000,0000,05000CORF 98807,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98807,A000000,05300,0000,05300INTEREST EXPENSE 98807,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98807,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98807,A000000,05500,0000,05500HOSPICE 98807,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98807,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98807,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98807,A000000,06100,0000,06100NONPAID WORKERS 98807,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98807,A000000,06200,0000,06200PATIENTS LAUNDRY 98807,A81000A,00100,0100,Y 98807,A81000B,00100,0300,MANAGEMENT FEES 98807,A81000B,00200,0300,HOME OFFICE COSTS 98807,A81000B,00300,0300,FACILITY LEASE 98807,A81000B,00400,0300,INTEREST 98807,A81000C,00100,0100,B 98807,A81000C,00100,0200,CRESTWOOD ASSOC. 98807,A81000C,00100,0400,ST. JOSEPHS HOSPITAL 98807,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98807,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98807,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98807,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98807,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98807,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98807,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98807,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98807,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 98807,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98807,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98807,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98807,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98807,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98807,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98807,S000000,00100,0200,06/01/2000 98807,S200000,00100,0100,3110 WAGNER HEIGHTS ROAD 98807,S200000,00200,0100,STOCKTON 98807,S200000,00200,0200,CA 98807,S200000,00200,0300,95209- 98807,S200000,00300,0100,SAN JOAQUIN 98807,S200000,00400,0100,MEADOWOOD CARE CENTER 98807,S200000,00400,0200,555713 98807,S200000,00400,0300,10/10/1997 98807,S200000,00400,0500,P 98807,S200000,01004,0500,O 98807,S200000,01600,0100,Y 98816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98816,A000000,00300,0000,00300EMPLOYEE BENEFITS 98816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98816,A000000,00700,0000,00700HOUSEKEEPING 98816,A000000,00800,0000,00800DIETARY 98816,A000000,00900,0000,00900NURSING ADMINISTRATION 98816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98816,A000000,01300,0000,01300SOCIAL SERVICE 98816,A000000,01301,0000,01301ACTIVITIES 98816,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 98816,A000000,01600,0000,01600SKILLED NURSING FACILITY 98816,A000000,01800,0000,01800NURSING FACILITY 98816,A000000,01810,0000,01810ICF/MR 98816,A000000,01900,0000,01900OTHER LONG TERM CARE 98816,A000000,02100,0000,02100RADIOLOGY 98816,A000000,02200,0000,02200LABORATORY 98816,A000000,02300,0000,02300INTRAVENOUS THERAPY 98816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98816,A000000,02500,0000,02500PHYSICAL THERAPY 98816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98816,A000000,02700,0000,02700SPEECH PATHOLOGY 98816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98816,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98816,A000000,03051,0000,03301PEN THERAPY 98816,A000000,03200,0000,03200SUPPORT SURFACES 98816,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 98816,A000000,04800,0000,04800AMBULANCE 98816,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98816,A000000,05300,0000,05300INTEREST EXPENSE 98816,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98816,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98816,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98816,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98816,A000000,06100,0000,06100NONPAID WORKERS 98816,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98816,A000000,06200,0000,06200PATIENTS LAUNDRY 98816,A81000A,00100,0100,Y 98816,A81000B,00100,0300,HOME OFFICE ALLOCATION 98816,A81000B,00200,0300,CENTRAL SUPPLY 98816,A81000B,00300,0300,MEDICAL SUPPLIES 98816,A81000B,00400,0300,PT 98816,A81000B,00500,0300,OT 98816,A81000B,00600,0300,ST 98816,A81000C,00100,0100,B 98816,A81000C,00100,0200,MENLO PARK 1049 98816,A81000C,00100,0400,MPAN 98816,A81000C,00100,0600,NURSING HOMES 98816,A81000C,00200,0100,G 98816,A81000C,00200,0200,MPAN 98816,A81000C,00200,0400,AMERICAN PHARMA 98816,A81000C,00200,0600,PHARMACEUTICALS 98816,A81000C,00300,0100,G 98816,A81000C,00300,0200,MPAN 98816,A81000C,00300,0400,PRISM (ATS ARS 98816,A81000C,00300,0600,THERAPIES 98816,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98816,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98816,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98816,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98816,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98816,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98816,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98816,B100000,00000,0800,00000MEALS SERVED :DIETARY 98816,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 98816,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98816,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98816,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98816,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 98816,B100000,00000,1350,00000UNITS OF SERVICE :OTHER GENERAL SER 98816,S000000,00100,0200,12/01/2000 98816,S200000,00100,0100,1275 CRANE ST 98816,S200000,00200,0100,MENLO PARK 98816,S200000,00200,0200,CA 98816,S200000,00200,0300,94025- 98816,S200000,00300,0100,SAN MATEO 98816,S200000,00400,0100,MENLO PARK PLACE 98816,S200000,00400,0200,555714 98816,S200000,00400,0300,10/28/1997 98816,S200000,00400,0500,P 98822,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98822,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98822,A000000,00300,0000,00300EMPLOYEE BENEFITS 98822,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98822,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98822,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98822,A000000,00700,0000,00700HOUSEKEEPING 98822,A000000,00800,0000,00800DIETARY 98822,A000000,00900,0000,00900NURSING ADMINISTRATION 98822,A000000,01100,0000,01100PHARMACY 98822,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98822,A000000,01300,0000,01300SOCIAL SERVICE 98822,A000000,01600,0000,01600SKILLED NURSING FACILITY 98822,A000000,01800,0000,01800NURSING FACILITY 98822,A000000,01810,0000,01810ICF/MR 98822,A000000,01900,0000,01900OTHER LONG TERM CARE 98822,A000000,02100,0000,02100RADIOLOGY 98822,A000000,02200,0000,02200LABORATORY 98822,A000000,02300,0000,02300INTRAVENOUS THERAPY 98822,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98822,A000000,02500,0000,02500PHYSICAL THERAPY 98822,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98822,A000000,02700,0000,02700SPEECH PATHOLOGY 98822,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98822,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98822,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98822,A000000,05300,0000,05300INTEREST EXPENSE 98822,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98822,A000000,06150,0000,06300NONREIMBURSABLE COST INC. TAX 98822,A000000,06200,0000,06200PATIENTS LAUNDRY 98822,A81000A,00100,0100,Y 98822,A81000B,00100,0300,RENT 98822,A81000B,00200,0300,ADMININSTRATOR SALARY 98822,A81000B,00300,0300,ASST ADMIN SALARY 98822,A81000C,00100,0100,D 98822,A81000C,00100,0200,ELIZABETH NEUFELD 98822,A81000C,00200,0100,F 98822,A81000C,00200,0200,KENT STEPHENS 98822,A81000C,00300,0100,D 98822,A81000C,00300,0200,ELIZABETH NEUFELD 98822,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 98822,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 98822,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 98822,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98822,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 98822,B100000,00000,0600,00000(POUNDS OF LAUNDRY) :LAUNDRY & LINE 98822,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 98822,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 98822,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 98822,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 98822,S000000,00100,0200,12/26/2000 98822,S200000,00100,0100,7246 ROSEMEAD BLVD 98822,S200000,00200,0100,PICO RIVERA 98822,S200000,00200,0200,CA 98822,S200000,00200,0300,90660- 98822,S200000,00300,0100,LOS ANGELES 98822,S200000,00300,0200,4480 98822,S200000,00300,0300,U 98822,S200000,00400,0100,RIVERA SANATARIUM 98822,S200000,00400,0200,555715 98822,S200000,00400,0300,12/03/1997 98822,S200000,00400,0500,P 98822,S200000,01600,0100,Y 98822,S200000,02800,0100,Y 98826,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98826,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98826,A000000,00300,0000,00300EMPLOYEE BENEFITS 98826,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98826,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98826,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98826,A000000,00700,0000,00700HOUSEKEEPING 98826,A000000,00800,0000,00800DIETARY 98826,A000000,00900,0000,00900NURSING ADMINISTRATION 98826,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98826,A000000,01100,0000,01100PHARMACY 98826,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98826,A000000,01300,0000,01300SOCIAL SERVICE 98826,A000000,01350,0000,01500OTHER GENERAL SERVICES 98826,A000000,01600,0000,01600SKILLED NURSING FACILITY 98826,A000000,01800,0000,01800NURSING FACILITY 98826,A000000,01900,0000,01900OTHER LONG TERM CARE 98826,A000000,02100,0000,02100RADIOLOGY 98826,A000000,02200,0000,02200LABORATORY 98826,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98826,A000000,02500,0000,02500PHYSICAL THERAPY 98826,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98826,A000000,02700,0000,02700SPEECH PATHOLOGY 98826,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98826,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98826,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98826,A000000,05300,0000,05300INTEREST EXPENSE 98826,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98826,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98826,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98826,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98826,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98826,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98826,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98826,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98826,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98826,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98826,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98826,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98826,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98826,S000000,00100,0200,06/19/2000 98826,S200000,00100,0100,6740 WILBUR ROAD 98826,S200000,00200,0100,RESEDA 98826,S200000,00200,0200,CA 98826,S200000,00300,0100,LOS ANGELES 98826,S200000,00300,0200,4480 98826,S200000,00300,0300,U 98826,S200000,00400,0100,PARK WEST NURSING & REHAB 98826,S200000,00400,0200,555716 98826,S200000,00400,0300,02/09/1998 98826,S200000,00400,0500,P 98826,S200000,01600,0100,Y 98826,S200000,02200,0100,Y 98826,S200000,04100,0100,Y 98830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98830,A000000,00300,0000,00300EMPLOYEE BENEFITS 98830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98830,A000000,00700,0000,00700HOUSEKEEPING 98830,A000000,00800,0000,00800DIETARY 98830,A000000,00900,0000,00900NURSING ADMINISTRATION 98830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98830,A000000,01100,0000,01100PHARMACY 98830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98830,A000000,01300,0000,01300SOCIAL SERVICE 98830,A000000,01350,0000,01500OTHER GENERAL SERVICES 98830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98830,A000000,01600,0000,01600SKILLED NURSING FACILITY 98830,A000000,01800,0000,01800NURSING FACILITY 98830,A000000,01810,0000,01801ICF/MR 98830,A000000,01900,0000,01900OTHER LONG TERM CARE 98830,A000000,02100,0000,02100RADIOLOGY 98830,A000000,02200,0000,02200LABORATORY 98830,A000000,02300,0000,02300INTRAVENOUS THERAPY 98830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98830,A000000,02500,0000,02500PHYSICAL THERAPY 98830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98830,A000000,02700,0000,02700SPEECH PATHOLOGY 98830,A000000,02800,0000,02800ELECTROCARDIOLOGY 98830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98830,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98830,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98830,A000000,03200,0000,03200SUPPORT SURFACES 98830,A000000,03400,0000,03400CLINIC 98830,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98830,A000000,03500,0000,03500RURAL HEALTH CLINIC 98830,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98830,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98830,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98830,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98830,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98830,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98830,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98830,A000000,04400,0000,04400DME RENTED - HHA 98830,A000000,04500,0000,04500DME SOLD - HHA 98830,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98830,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98830,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98830,A000000,04800,0000,04800AMBULANCE 98830,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98830,A000000,05000,0000,05000CORF 98830,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98830,A000000,05300,0000,05300INTEREST EXPENSE 98830,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98830,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98830,A000000,05500,0000,05500HOSPICE 98830,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98830,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98830,A000000,06100,0000,06100NONPAID WORKERS 98830,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98830,A000000,06200,0000,06200PATIENTS LAUNDRY 98830,A81000A,00100,0100,Y 98830,A81000B,00100,0300,MANAGEMENT FEES 98830,A81000B,00200,0300,HOME OFFICE-BUILDING 98830,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 98830,A81000B,00400,0300,HOME OFFICE COSTS 98830,A81000B,00500,0300,LEGAL FEES 98830,A81000C,00100,0100,B 98830,A81000C,00100,0200,SR MANAGEMENT SVC INC. 98830,A81000C,00100,0600,HOME OFFICE/MANAGER 98830,A81000C,00200,0100,B 98830,A81000C,00200,0400,ST. FRANCIS EXTENDED CARE 98830,A81000C,00200,0600,SNF 98830,A81000C,00300,0100,B 98830,A81000C,00300,0400,ST. MICHAEL CONV HOSPITAL 98830,A81000C,00300,0600,SNF 98830,A81000C,00400,0100,B 98830,A81000C,00400,0400,VINTAGE ESTATES OF RICHMO 98830,A81000C,00400,0600,SNF 98830,A81000C,00500,0100,B 98830,A81000C,00500,0400,VINTAGE ESTATES-SAYLOR LN 98830,A81000C,00500,0600,SNF 98830,A81000C,00600,0100,B 98830,A81000C,00600,0400,NORTHWEST DMES 98830,A81000C,00600,0600,MEDICAL SUPPLY 98830,A81000C,00700,0100,B 98830,A81000C,00700,0400,LIVE OAK-GREENRIDGE HGTS 98830,A81000C,00700,0600,SNF/MANAGER 98830,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98830,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98830,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98830,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98830,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98830,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98830,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98830,B100000,00000,0800,00000MEALS SERVED :DIETARY 98830,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98830,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98830,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98830,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98830,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98830,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98830,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98830,S000000,00100,0200,06/05/2000 98830,S200000,00100,0100,501 JESSIE AVENUE 98830,S200000,00200,0100,SACRAMENTO 98830,S200000,00200,0200,CA 98830,S200000,00200,0300,95838- 98830,S200000,00300,0100,SACRAMENTO 98830,S200000,00400,0100,VINTAGE ESTATES OF SACRAMENTO 98830,S200000,00400,0200,555717 98830,S200000,00400,0300,12/30/1997 98830,S200000,00400,0500,P 98830,S200000,01600,0100,Y 98830,S200000,02800,0100,Y 98830,S700003,00000,0400,4 98834,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98834,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98834,A000000,00300,0000,00300EMPLOYEE BENEFITS 98834,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98834,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98834,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98834,A000000,00700,0000,00700HOUSEKEEPING 98834,A000000,00800,0000,00800DIETARY 98834,A000000,00900,0000,00900NURSING ADMINISTRATION 98834,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98834,A000000,01100,0000,01100PHARMACY 98834,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98834,A000000,01300,0000,01300SOCIAL SERVICE 98834,A000000,01350,0000,01500OTHER GENERAL SERVICES 98834,A000000,01600,0000,01600SKILLED NURSING FACILITY 98834,A000000,01800,0000,01800NURSING FACILITY 98834,A000000,01900,0000,01900OTHER LONG TERM CARE 98834,A000000,02100,0000,02100RADIOLOGY 98834,A000000,02200,0000,02200LABORATORY 98834,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98834,A000000,02500,0000,02500PHYSICAL THERAPY 98834,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98834,A000000,02700,0000,02700SPEECH PATHOLOGY 98834,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98834,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98834,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98834,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98834,A000000,04800,0000,04800AMBULANCE 98834,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98834,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98834,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98834,A000000,05901,0000,05901OUTPATIENT REHAB AGENCY 98834,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98834,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 98834,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 98834,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98834,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98834,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 98834,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 98834,B100000,00000,0850,00001PATIENT DAYS :DIETARY 98834,B100000,00000,0900,00001HOURS OF SERVICE :NURSING ADMINISTR 98834,B100000,00000,1250,00001GROSS CHARGES :MEDICAL RECORDS & L 98834,B100000,00000,1300,00001TIME SPENT :SOCIAL SERVICE 98834,S000000,00100,0200,05/26/2000 98834,S200000,00100,0100,12151 DALE STREET 98834,S200000,00200,0100,STANTON 98834,S200000,00200,0200,CA 98834,S200000,00200,0300,90680- 98834,S200000,00300,0100,ORANGE 98834,S200000,00300,0200,5945 98834,S200000,00300,0300,U 98834,S200000,00400,0100,QUAKER GARDENS 98834,S200000,00400,0200,555718 98834,S200000,00400,0300,02/19/1998 98834,S200000,00400,0500,P 98834,S200000,00600,0200,555718 98834,S200000,00600,0300,02/19/1998 98834,S200000,00600,0600,P 98834,S200000,01600,0100,Y 98842,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98842,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98842,A000000,00300,0000,00300EMPLOYEE BENEFITS 98842,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98842,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98842,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98842,A000000,00700,0000,00700HOUSEKEEPING 98842,A000000,00800,0000,00800DIETARY 98842,A000000,00900,0000,00900NURSING ADMINISTRATION 98842,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98842,A000000,01100,0000,01100PHARMACY 98842,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98842,A000000,01300,0000,01300SOCIAL SERVICE 98842,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98842,A000000,01600,0000,01600SKILLED NURSING FACILITY 98842,A000000,02100,0000,02100RADIOLOGY 98842,A000000,02300,0000,02300INTRAVENOUS THERAPY 98842,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98842,A000000,02500,0000,02500PHYSICAL THERAPY 98842,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98842,A000000,02700,0000,02700SPEECH PATHOLOGY 98842,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98842,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98842,A000000,03200,0000,03200SUPPORT SURFACES 98842,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98842,A81000A,00100,0100,Y 98842,A81000B,00100,0300,MANAGEMENT FEES 98842,A81000B,00200,0300,CAP REL-BLDG 98842,A81000B,00300,0300,CAP REL-EQUIP 98842,A81000B,00400,0300,RENT EXPENSE 98842,A81000C,00400,0100,B 98842,A81000C,00400,0200,J&L FRIEDMAN 98842,A81000C,00400,0400,LONGWOOD MGT 98842,A81000C,00400,0600,MANAGEMENT 98842,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98842,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98842,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98842,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98842,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98842,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98842,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98842,B100000,00000,0800,00000MEALS SERVED :DIETARY 98842,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98842,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98842,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98842,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98842,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98842,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98842,S000000,00100,0200,07/06/2000 98842,S200000,00100,0100,11834 INGLEWOOD AVENUE 98842,S200000,00200,0100,HAWTHORNE 98842,S200000,00200,0200,CA 98842,S200000,00200,0300,90250- 98842,S200000,00300,0100,LOS ANGELES 98842,S200000,00400,0100,IMPERIAL CREST HEALTH CARE CTR 98842,S200000,00400,0200,555719 98842,S200000,00400,0300,10/16/1997 98842,S200000,00400,0500,P 98842,S200000,01500,0100,Y 98842,S200000,04300,0100,Y 98842,S700003,00000,0400,4 98847,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98847,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98847,A000000,00300,0000,00300EMPLOYEE BENEFITS 98847,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98847,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98847,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98847,A000000,00700,0000,00700HOUSEKEEPING 98847,A000000,00800,0000,00800DIETARY 98847,A000000,00900,0000,00900NURSING ADMINISTRATION 98847,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98847,A000000,01600,0000,01600SKILLED NURSING FACILITY 98847,A000000,01800,0000,01800NURSING FACILITY 98847,A000000,02100,0000,02100RADIOLOGY 98847,A000000,02200,0000,02200LABORATORY 98847,A000000,02300,0000,02300INTRAVENOUS THERAPY 98847,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98847,A000000,02500,0000,02500PHYSICAL THERAPY 98847,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98847,A000000,02700,0000,02700SPEECH PATHOLOGY 98847,A000000,02800,0000,02800ELECTROCARDIOLOGY 98847,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98847,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98847,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98847,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98847,A81000A,00100,0100,Y 98847,A81000B,00100,0300,HOME OFFICE EXPENSES 98847,A81000C,00100,0100,A 98847,A81000C,00100,0200,E.I. BERNABE 98847,A81000C,00100,0400,PLEASANT CARE C 98847,A81000C,00100,0600,HEALTH CARE PRO 98847,A81000C,00200,0100,A 98847,A81000C,00200,0200,E.I. BERNABE 98847,A81000C,00200,0400,PCC HEALTH SERV 98847,A81000C,00200,0600,HEALTH CARE PRO 98847,A81000C,00300,0100,A 98847,A81000C,00300,0200,E.I. BERNABE 98847,A81000C,00300,0400,EMBER CARE CORP 98847,A81000C,00300,0600,HEALTH CARE PRO 98847,A81000C,00400,0100,A 98847,A81000C,00400,0200,E.I. BERNABE 98847,A81000C,00400,0400,ATLAS CARE ENTE 98847,A81000C,00400,0600,HEALTH CARE PRO 98847,A81000C,00500,0100,A 98847,A81000C,00500,0200,E.I. BERNABE 98847,A81000C,00500,0400,SNF PROPERTIES 98847,A81000C,00500,0600,HEALTH CARE PRO 98847,A81000C,00600,0100,A 98847,A81000C,00600,0200,E.I. BERNABE 98847,A81000C,00600,0400,STOCKTON EDISON 98847,A81000C,00600,0600,HEALTH CARE PRO 98847,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98847,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98847,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98847,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98847,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98847,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98847,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98847,B100000,00000,0800,00000MEALS SERVED :DIETARY 98847,B100000,00000,0950,00000GROSS SALARIES :NURSING ADMINISTRA 98847,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 98847,S000000,00100,0200,04/18/2000 98847,S200000,00100,0100,247 E. BOBIER DRIVE 98847,S200000,00200,0100,VISTA 98847,S200000,00200,0200,CA 98847,S200000,00200,0300,92084- 98847,S200000,00300,0100,SAN DIEGO 98847,S200000,00300,0200,7320 98847,S200000,00300,0300,U 98847,S200000,00400,0100,PLEASANT CARE CONVALESCENT - VISTA 98847,S200000,00400,0200,555723 98847,S200000,00400,0300,04/22/1998 98847,S200000,00400,0500,P 98847,S200000,00600,0200,555723 98847,S200000,00600,0300,04/22/1998 98847,S200000,00600,0600,P 98847,S200000,01600,0100,Y 98851,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98851,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98851,A000000,00300,0000,00300EMPLOYEE BENEFITS 98851,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98851,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98851,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98851,A000000,00700,0000,00700HOUSEKEEPING 98851,A000000,00800,0000,00800DIETARY 98851,A000000,00900,0000,00900NURSING ADMINISTRATION 98851,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98851,A000000,01100,0000,01100PHARMACY 98851,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98851,A000000,01300,0000,01300SOCIAL SERVICE 98851,A000000,01350,0000,01500OTHER GENERAL SERVICES 98851,A000000,01600,0000,01600SKILLED NURSING FACILITY 98851,A000000,01800,0000,01800NURSING FACILITY 98851,A000000,01900,0000,01900OTHER LONG TERM CARE 98851,A000000,02100,0000,02100RADIOLOGY 98851,A000000,02200,0000,02200LABORATORY 98851,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98851,A000000,02500,0000,02500PHYSICAL THERAPY 98851,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98851,A000000,02700,0000,02700SPEECH PATHOLOGY 98851,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98851,A000000,02901,0000,02901COMPLEX MEDICAL EQUIPMENT 98851,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98851,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98851,A000000,04800,0000,04800AMBULANCE 98851,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98851,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98851,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98851,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98851,A81000A,00100,0100,Y 98851,A81000B,00100,0300,MANAGEMENT FEE 98851,A81000B,00200,0300,CAPITAL 98851,A81000B,00300,0300,DATA PROCESSING FEE 98851,A81000B,00400,0300,PHYSICAL THERAPY 98851,A81000B,00500,0300,OCCUPATIONAL THERAPY 98851,A81000B,00600,0300,SPEECH THERAPY 98851,A81000C,00100,0100,A 98851,A81000C,00100,0200,CVHS CORP 98851,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98851,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98851,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98851,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98851,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98851,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98851,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98851,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98851,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 98851,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98851,B100000,00000,1250,00000GROSS REVENUE :MEDICAL RECORDS & L 98851,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98851,S000000,00100,0200,05/30/2000 98851,S200000,00100,0100,3966 MARCASEL AVENUE 98851,S200000,00200,0100,LOS ANGELES 98851,S200000,00200,0200,CA 98851,S200000,00200,0300,90066- 98851,S200000,00300,0100,LOS ANGELES 98851,S200000,00300,0200,4480 98851,S200000,00300,0300,U 98851,S200000,00400,0100,COUNTRY VILLA MAR VISTA 98851,S200000,00400,0200,555726 98851,S200000,00400,0300,06/11/1998 98851,S200000,00400,0500,P 98851,S200000,01500,0100,Y 98851,S200000,02200,0100,Y 98851,S200000,02800,0100,Y 98856,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98856,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98856,A000000,00300,0000,00300EMPLOYEE BENEFITS 98856,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98856,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98856,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98856,A000000,00700,0000,00700HOUSEKEEPING 98856,A000000,00800,0000,00800DIETARY 98856,A000000,00900,0000,00900NURSING ADMINISTRATION 98856,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98856,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98856,A000000,01300,0000,01300SOCIAL SERVICE 98856,A000000,01600,0000,01600SKILLED NURSING FACILITY 98856,A000000,01800,0000,01800NURSING FACILITY 98856,A000000,01900,0000,01900OTHER LONG TERM CARE 98856,A000000,02100,0000,02100RADIOLOGY 98856,A000000,02200,0000,02200LABORATORY 98856,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98856,A000000,02500,0000,02500PHYSICAL THERAPY 98856,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98856,A000000,02700,0000,02700SPEECH PATHOLOGY 98856,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98856,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98856,A000000,03200,0000,03200SUPPORT SURFACES 98856,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98856,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98856,A000000,06151,0000,06301ASSISTED LIVING 98856,A000000,06152,0000,06302APARTMENTS 98856,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 98856,B100000,00000,0250,00002SQUARE FEET :CAP REL COSTS - MOVAB 98856,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 98856,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 98856,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 98856,B100000,00000,0650,00002PATIENT DAYS :LAUNDRY & LINEN SERV 98856,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 98856,B100000,00000,0800,00002MEALS SERVED :DIETARY 98856,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 98856,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 98856,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 98856,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 98856,S000000,00100,0200,05/31/2000 98856,S200000,00100,0100,2600 ESTATES DRIVE 98856,S200000,00200,0100,FAIRFIELD 98856,S200000,00200,0200,CA 98856,S200000,00200,0300,94533- 98856,S200000,00300,0100,SLANO 98856,S200000,00400,0100,PARADISE VALLEY ESTATES/LAUREL CREEK 98856,S200000,00400,0200,555727 98856,S200000,00400,0300,07/13/1998 98856,S200000,00400,0500,P 98856,S200000,01004,0500,O 98856,S200000,01600,0100,Y 98860,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98860,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98860,A000000,00300,0000,00300EMPLOYEE BENEFITS 98860,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98860,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98860,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98860,A000000,00700,0000,00700HOUSEKEEPING 98860,A000000,00800,0000,00800DIETARY 98860,A000000,00900,0000,00900NURSING ADMINISTRATION 98860,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98860,A000000,01100,0000,01100PHARMACY 98860,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98860,A000000,01300,0000,01300SOCIAL SERVICE 98860,A000000,01350,0000,01500OTHER GENERAL SERVICES 98860,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98860,A000000,01600,0000,01600SKILLED NURSING FACILITY 98860,A000000,01800,0000,01800NURSING FACILITY 98860,A000000,01810,0000,01810ICF/MR 98860,A000000,01900,0000,01900OTHER LONG TERM CARE 98860,A000000,02100,0000,02100RADIOLOGY 98860,A000000,02200,0000,02200LABORATORY 98860,A000000,02300,0000,02300INTRAVENOUS THERAPY 98860,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98860,A000000,02500,0000,02500PHYSICAL THERAPY 98860,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98860,A000000,02700,0000,02700SPEECH PATHOLOGY 98860,A000000,02800,0000,02800ELECTROCARDIOLOGY 98860,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98860,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98860,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98860,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98860,A000000,03200,0000,03200SUPPORT SURFACES 98860,A000000,03400,0000,03400CLINIC 98860,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98860,A000000,03500,0000,03500RURAL HEALTH CLINIC 98860,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98860,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98860,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98860,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98860,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98860,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98860,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98860,A000000,04400,0000,04400DME RENTED - HHA 98860,A000000,04500,0000,04500DME SOLD - HHA 98860,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98860,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98860,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98860,A000000,04800,0000,04800AMBULANCE 98860,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98860,A000000,05000,0000,05000CORF 98860,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98860,A000000,05300,0000,05300INTEREST EXPENSE 98860,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98860,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98860,A000000,05500,0000,05500HOSPICE 98860,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98860,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98860,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98860,A000000,06100,0000,06100NONPAID WORKERS 98860,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98860,A000000,06151,0000,06301MARKETING 98860,A000000,06200,0000,06200PATIENTS LAUNDRY 98860,A81000A,00100,0100,Y 98860,A81000B,00100,0300,MANAGEMENT FEE 98860,A81000B,00200,0300,ACCOUNTING FEE 98860,A81000B,00300,0300,HOME OFFICE COST 98860,A81000C,00100,0100,B 98860,A81000C,00100,0400,EHF 98860,A81000C,00100,0600,CORP OFC. 98860,A81000C,00200,0100,B 98860,A81000C,00200,0400,EHF 98860,A81000C,00200,0600,CORP OFC. 98860,A81000C,00300,0100,B 98860,A81000C,00300,0400,EHF 98860,A81000C,00300,0600,CORP OFC. 98860,B100000,00000,0100,00001 SQUARE FEET :CAP REL COSTS - BLDGS 98860,B100000,00000,0250,00001 SQUARE FEET :CAP REL COSTS - MOVAB 98860,B100000,00000,0300,00001 GROSS SALARIES :EMPLOYEE BENEFITS 98860,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98860,B100000,00000,0500,00001 SQUARE FEET :PLANT OPERATION MAIN 98860,B100000,00000,0600,00001 POUNDS OF LAUNDRY:LAUNDRY & LINEN 98860,B100000,00000,0700,00001 HOURS OF SERVICE:HOUSEKEEPING 98860,B100000,00000,0800,00001 MEALS SERVED :DIETARY 98860,B100000,00000,0950,00001 DIRECT NRSING HRS:NURSING ADMINIST 98860,B100000,00000,1200,00001 TIME SPENT :MEDICAL RECORDS & LIBR 98860,B100000,00000,1300,00001 TIME SPENT :SOCIAL SERVICE 98860,S000000,00100,0200,09/01/2000 98860,S200000,00100,0100,1661 PINE STREET 98860,S200000,00200,0100,SAN FRANCISCO 98860,S200000,00200,0200,CA 98860,S200000,00200,0300,94109- 98860,S200000,00300,0100,SAN FRANCISCO 98860,S200000,00300,0200,7360 98860,S200000,00300,0300,U 98860,S200000,00400,0100,SAN FRANCISCO TOWERS 98860,S200000,00400,0200,555728 98860,S200000,00400,0300,06/01/1998 98860,S200000,00400,0500,P 98860,S200000,01700,0100,Y 98865,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98865,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98865,A000000,00300,0000,00300EMPLOYEE BENEFITS 98865,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98865,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98865,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98865,A000000,00700,0000,00700HOUSEKEEPING 98865,A000000,00800,0000,00800DIETARY 98865,A000000,00900,0000,00900NURSING ADMINISTRATION 98865,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98865,A000000,01100,0000,01100PHARMACY 98865,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98865,A000000,01300,0000,01300SOCIAL SERVICE 98865,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98865,A000000,01600,0000,01600SKILLED NURSING FACILITY 98865,A000000,02100,0000,02100RADIOLOGY 98865,A000000,02200,0000,02200LABORATORY 98865,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98865,A000000,02500,0000,02500PHYSICAL THERAPY 98865,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98865,A000000,02700,0000,02700SPEECH PATHOLOGY 98865,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98865,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98865,A000000,03050,0000,03300CLINITRON BEDS 98865,A000000,05300,0000,05300INTEREST EXPENSE 98865,A81000A,00100,0100,Y 98865,A81000B,00100,0300,BUILDING RENT 98865,A81000C,00100,0100,B 98865,A81000C,00100,0200,O. CLARIZIO SR 98865,A81000C,00100,0400,SHADOW HILLS 98865,A81000C,00100,0600,SNF 98865,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98865,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 98865,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98865,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98865,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98865,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98865,B100000,00000,0800,00000MEALS SERVED :DIETARY 98865,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98865,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98865,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98865,S000000,00100,0200,12/05/2000 98865,S200000,00100,0100,1601 SO. BALDWIN AVE. 98865,S200000,00200,0100,ARCADIA 98865,S200000,00200,0200,CA 98865,S200000,00200,0300,91006- 98865,S200000,00300,0100,LOS ANGELES 98865,S200000,00300,0200,4480 98865,S200000,00300,0300,U 98865,S200000,00400,0100,ARCADIA CONVALESCENT HOSPITAL 98865,S200000,00400,0200,555729 98865,S200000,00400,0300,06/01/1986 98865,S200000,00400,0500,P 98865,S200000,01500,0100,Y 98865,S200000,04300,0100,Y 98868,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98868,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98868,A000000,00300,0000,00300EMPLOYEE BENEFITS 98868,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98868,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98868,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98868,A000000,00700,0000,00700HOUSEKEEPING 98868,A000000,00800,0000,00800DIETARY 98868,A000000,00900,0000,00900NURSING ADMINISTRATION 98868,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98868,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98868,A000000,01300,0000,01300SOCIAL SERVICE 98868,A000000,01600,0000,01600SKILLED NURSING FACILITY 98868,A000000,01800,0000,01800NURSING FACILITY 98868,A000000,01900,0000,01900OTHER LONG TERM CARE 98868,A000000,02100,0000,02100RADIOLOGY 98868,A000000,02200,0000,02200LABORATORY 98868,A000000,02300,0000,02300INTRAVENOUS THERAPY 98868,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98868,A000000,02500,0000,02500PHYSICAL THERAPY 98868,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98868,A000000,02700,0000,02700SPEECH PATHOLOGY 98868,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98868,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98868,A000000,03200,0000,03200SUPPORT SURFACES 98868,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98868,A000000,04800,0000,04800AMBULANCE 98868,A000000,05300,0000,05300INTEREST EXPENSE 98868,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98868,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98868,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98868,A000000,06150,0000,06300OUT OF PERIOD ITEMS 98868,A000000,06200,0000,06200PATIENTS LAUNDRY 98868,A81000A,00100,0100,Y 98868,A81000B,00100,0300,HOME OFFICE COSTS 98868,A81000B,00200,0300,PHYSICAL THERAPY 98868,A81000B,00300,0300,OCCUPATIONAL THERAPY 98868,A81000B,00400,0300,SPEECH THERAPY 98868,A81000C,00100,0100,D 98868,A81000C,00100,0200,ANDY MARTINI 98868,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 98868,A81000C,00100,0600,MANAGEMENT SERVICES 98868,A81000C,00200,0100,B 98868,A81000C,00200,0200,EVERGREEN HEALTHCARE MGMT 98868,A81000C,00200,0400,EVERGREEN ANCILLARY 98868,A81000C,00200,0600,THERAPY SERVICES 98868,A81000C,00300,0100,B 98868,A81000C,00300,0200,EVERGREEN HEALTHCARE MGMT 98868,A81000C,00300,0400,EVERGREEN ANCILLARY 98868,A81000C,00300,0600,THERAPY SERVICES 98868,A81000C,00400,0100,B 98868,A81000C,00400,0200,EVERGREEN HEALTHCARE MGMT 98868,A81000C,00400,0400,EVERGREEN ANCILLARY 98868,A81000C,00400,0600,THERAPY SERVICES 98868,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98868,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98868,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98868,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98868,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98868,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98868,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98868,B100000,00000,0800,00000MEALS SERVED :DIETARY 98868,B100000,00000,0950,00000DIRECT NRSG :NURSING ADMINISTRATIO 98868,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98868,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98868,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98868,S000000,00100,0200,06/06/2000 98868,S200000,00100,0100,2222 N HARBOR BLVD 98868,S200000,00200,0100,FULLERTON 98868,S200000,00200,0200,CA 98868,S200000,00200,0300,92635- 98868,S200000,00300,0100,ORANGE 98868,S200000,00400,0100,EVERGREEN FULLERTON HEALTH CARE CENT 98868,S200000,00400,0200,555733 98868,S200000,00400,0300,01/19/1999 98868,S200000,00400,0500,P 98868,S200000,01600,0100,Y 98868,S700003,00000,0400,4 98872,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98872,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98872,A000000,00300,0000,00300EMPLOYEE BENEFITS 98872,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98872,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98872,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98872,A000000,00700,0000,00700HOUSEKEEPING 98872,A000000,00800,0000,00800DIETARY 98872,A000000,00900,0000,00900NURSING ADMINISTRATION 98872,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98872,A000000,01100,0000,01100PHARMACY 98872,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98872,A000000,01300,0000,01300SOCIAL SERVICE 98872,A000000,01350,0000,01500OTHER GENERAL SERVICES 98872,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98872,A000000,01600,0000,01600SKILLED NURSING FACILITY 98872,A000000,01800,0000,01800NURSING FACILITY 98872,A000000,01810,0000,01810ICF/MR 98872,A000000,01900,0000,01900OTHER LONG TERM CARE 98872,A000000,02100,0000,02100RADIOLOGY 98872,A000000,02200,0000,02200LABORATORY 98872,A000000,02300,0000,02300INTRAVENOUS THERAPY 98872,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98872,A000000,02500,0000,02500PHYSICAL THERAPY 98872,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98872,A000000,02700,0000,02700SPEECH PATHOLOGY 98872,A000000,02800,0000,02800ELECTROCARDIOLOGY 98872,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98872,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98872,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98872,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98872,A000000,03200,0000,03200SUPPORT SURFACES 98872,A000000,03400,0000,03400CLINIC 98872,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98872,A000000,03500,0000,03500RURAL HEALTH CLINIC 98872,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98872,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98872,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98872,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98872,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98872,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98872,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98872,A000000,04400,0000,04400DME RENTED - HHA 98872,A000000,04500,0000,04500DME SOLD - HHA 98872,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98872,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98872,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98872,A000000,04800,0000,04800AMBULANCE 98872,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98872,A000000,05000,0000,05000CORF 98872,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98872,A000000,05300,0000,05300INTEREST EXPENSE 98872,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98872,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98872,A000000,05500,0000,05500HOSPICE 98872,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98872,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98872,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98872,A000000,06100,0000,06100NONPAID WORKERS 98872,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98872,A000000,06200,0000,06200PATIENTS LAUNDRY 98872,A81000A,00100,0100,Y 98872,A81000B,00100,0300,MANAGEMENT FEES 98872,A81000B,00200,0300,BUILDING LEASE 98872,A81000B,00300,0300,DEPR-BUILDING 98872,A81000B,00400,0300,DEPR-EQUIPMENT 98872,A81000B,00500,0300,MORTGAGE INTEREST EXP 98872,A81000B,00600,0300,HOME OFFICE-BUILDING 98872,A81000B,00700,0300,HOME OFFICE-EQUIPMENT 98872,A81000B,00800,0300,HOME OFFICE COSTS 98872,A81000B,00900,0300,LEGAL FEES 98872,A81000C,00100,0100,B 98872,A81000C,00100,0200,SR MANAGEMENT SVC. INC. 98872,A81000C,00100,0600,HOME OFFICE/MANAGER 98872,A81000C,00200,0100,B 98872,A81000C,00200,0400,ST. FRANCIS EXTENDED CARE 98872,A81000C,00200,0600,SNF 98872,A81000C,00300,0100,B 98872,A81000C,00300,0400,ST. MICHAEL CONV HOSPITAL 98872,A81000C,00300,0600,SNF 98872,A81000C,00400,0100,B 98872,A81000C,00400,0400,VINTAGE ESTATES OF SACRAM 98872,A81000C,00400,0600,SNF 98872,A81000C,00500,0100,B 98872,A81000C,00500,0400,VINTAGE ESTATES-SAYLOR LN 98872,A81000C,00500,0600,SNF 98872,A81000C,00600,0100,B 98872,A81000C,00600,0400,NORTHWEST DMES 98872,A81000C,00600,0600,MEDICAL SUPPLY 98872,A81000C,00700,0100,B 98872,A81000C,00700,0400,LIVE OAK-GREENRIDGE HGTS. 98872,A81000C,00700,0600,SNF/MANAGER 98872,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98872,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98872,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98872,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98872,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98872,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98872,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 98872,B100000,00000,0800,00000MEALS SERVED :DIETARY 98872,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98872,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98872,S000000,00100,0200,06/13/2000 98872,S200000,00100,0100,955 23RD STREET 98872,S200000,00200,0100,RICHMOND 98872,S200000,00200,0200,CA 98872,S200000,00200,0300,94804- 98872,S200000,00300,0100,CONTRA COSTA 98872,S200000,00300,0300,U 98872,S200000,00400,0100,VINTAGE ESTATES OF RICHMOND 98872,S200000,00400,0200,555735 98872,S200000,00400,0300,03/16/1999 98872,S200000,00400,0500,P 98872,S200000,01004,0500,O 98872,S200000,01600,0100,Y 98872,S200000,02800,0100,Y 98874,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98874,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98874,A000000,00300,0000,00300EMPLOYEE BENEFITS 98874,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98874,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98874,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98874,A000000,00700,0000,00700HOUSEKEEPING 98874,A000000,00800,0000,00800DIETARY 98874,A000000,00900,0000,00900NURSING ADMINISTRATION 98874,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98874,A000000,01100,0000,01100PHARMACY 98874,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98874,A000000,01300,0000,01300SOCIAL SERVICE 98874,A000000,01350,0000,01500ACTIVITIES 98874,A000000,01600,0000,01600SKILLED NURSING FACILITY 98874,A000000,01800,0000,01800NURSING FACILITY 98874,A000000,01810,0000,01810ICF/MR 98874,A000000,01900,0000,01900OTHER LONG TERM CARE 98874,A000000,02100,0000,02100RADIOLOGY 98874,A000000,02200,0000,02200LABORATORY 98874,A000000,02300,0000,02300INTRAVENOUS THERAPY 98874,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98874,A000000,02500,0000,02500PHYSICAL THERAPY 98874,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98874,A000000,02700,0000,02700SPEECH PATHOLOGY 98874,A000000,02800,0000,02800ELECTROCARDIOLOGY 98874,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98874,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98874,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98874,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98874,A000000,03200,0000,03200SUPPORT SURFACES 98874,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98874,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98874,A000000,04800,0000,04800AMBULANCE 98874,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98874,A000000,05300,0000,05300INTEREST EXPENSE 98874,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98874,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98874,A000000,05500,0000,05500HOSPICE 98874,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98874,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98874,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98874,A000000,06100,0000,06100NONPAID WORKERS 98874,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98874,A000000,06200,0000,06200PATIENTS LAUNDRY 98874,A81000A,00100,0100,Y 98874,A81000B,00100,0300,MANAGEMENT FEE (HOME OFFICE) 98874,A81000C,00100,0100,B 98874,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 98874,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98874,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98874,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98874,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98874,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98874,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 98874,B100000,00000,0800,00000MEALS SERVED :DIETARY 98874,B100000,00000,0950,00000DIRECT NRSING $$$ :NURSING ADMINIST 98874,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98874,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98874,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98874,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 98874,S000000,00100,0200,12/01/2000 98874,S200000,00100,0100,3890 NOBEL DRIVE 98874,S200000,00200,0100,SAN DIEGO 98874,S200000,00200,0200,CA 98874,S200000,00200,0300,92122- 98874,S200000,00300,0100,SAN DIEGO 98874,S200000,00300,0200,7320 98874,S200000,00300,0300,U 98874,S200000,00400,0100,THE SPRINGS AT PACIFIC REGENT 98874,S200000,00400,0200,555739 98874,S200000,00400,0300,12/14/1995 98874,S200000,00400,0500,P 98874,S200000,01600,0100,Y 98892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98892,A000000,00300,0000,00300EMPLOYEE BENEFITS 98892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98892,A000000,00700,0000,00700HOUSEKEEPING 98892,A000000,00800,0000,00800DIETARY 98892,A000000,00900,0000,00900NURSING ADMINISTRATION 98892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98892,A000000,01100,0000,01100PHARMACY 98892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98892,A000000,01300,0000,01300SOCIAL SERVICE 98892,A000000,01350,0000,01500OTHER GENERAL SERVICES 98892,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98892,A000000,01600,0000,01600SKILLED NURSING FACILITY 98892,A000000,01800,0000,01800NURSING FACILITY 98892,A000000,01900,0000,01900OTHER LONG TERM CARE 98892,A000000,02100,0000,02100RADIOLOGY 98892,A000000,02200,0000,02200LABORATORY 98892,A000000,02300,0000,02300INTRAVENOUS THERAPY 98892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98892,A000000,02500,0000,02500PHYSICAL THERAPY 98892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98892,A000000,02700,0000,02700SPEECH PATHOLOGY 98892,A000000,02800,0000,02800ELECTROCARDIOLOGY 98892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98892,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98892,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98892,A000000,03200,0000,03200SUPPORT SURFACES 98892,A000000,03400,0000,03400CLINIC 98892,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98892,A000000,03500,0000,03500RURAL HEALTH CLINIC 98892,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98892,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98892,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98892,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98892,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98892,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98892,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98892,A000000,04400,0000,04400DME RENTED - HHA 98892,A000000,04500,0000,04500DME SOLD - HHA 98892,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98892,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98892,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98892,A000000,04800,0000,04800AMBULANCE 98892,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98892,A000000,05000,0000,05000CORF 98892,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98892,A000000,05300,0000,05300INTEREST EXPENSE 98892,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98892,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98892,A000000,05500,0000,05500HOSPICE 98892,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98892,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98892,A000000,06100,0000,06100NONPAID WORKERS 98892,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98892,A000000,06200,0000,06200PATIENTS LAUNDRY 98892,A81000A,00100,0100,Y 98892,A81000B,00100,0300,MANAGEMENT FEE 98892,A81000C,00100,0100,F 98892,A81000C,00100,0200,J & D SORENSEN & D LAWS 98892,A81000C,00100,0400,NORTH AMERICAN HEALTH CAR 98892,A81000C,00100,0600,MANAGEMENT 98892,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98892,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98892,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98892,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98892,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98892,B100000,00000,0650,00000LBS OF LNDRY :LAUNDRY & LINEN SERVI 98892,B100000,00000,0750,00000HRS OF SVC :HOUSEKEEPING 98892,B100000,00000,0800,00000MEALS SERVED :DIETARY 98892,B100000,00000,0900,00000NSG HOURS :NURSING ADMINISTRATION 98892,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 98892,B100000,00000,1150,00000NO STATISTICS :PHARMACY 98892,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98892,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98892,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98892,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 98892,S000000,00100,0200,05/15/2000 98892,S200000,00100,0100,1880 DAWSON AVE. 98892,S200000,00200,0100,SIGNAL HILL 98892,S200000,00200,0200,CA 98892,S200000,00200,0300,90806- 98892,S200000,00300,0100,LOS ANGELES 98892,S200000,00400,0100,ST. CHRISTOPHER CARE CENTER 98892,S200000,00400,0200,555785 98892,S200000,00400,0300,06/05/1997 98892,S200000,00400,0500,P 98892,S200000,00600,0200,555785 98892,S200000,00600,0300,06/05/1997 98892,S200000,00600,0600,P 98892,S200000,01600,0100,Y 98892,S200000,02200,0100,Y 98892,S700003,00000,0400,4 98897,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98897,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98897,A000000,00300,0000,00300EMPLOYEE BENEFITS 98897,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98897,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98897,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98897,A000000,00700,0000,00700HOUSEKEEPING 98897,A000000,00800,0000,00800DIETARY 98897,A000000,00900,0000,00900NURSING ADMINISTRATION 98897,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98897,A000000,01100,0000,01100PHARMACY 98897,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98897,A000000,01300,0000,01300SOCIAL SERVICE 98897,A000000,01350,0000,01500OTHER GENERAL SERVICES 98897,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 98897,A000000,01600,0000,01600SKILLED NURSING FACILITY 98897,A000000,01800,0000,01800NURSING FACILITY 98897,A000000,01810,0000,01801ICF/MR 98897,A000000,01900,0000,01900OTHER LONG TERM CARE 98897,A000000,02100,0000,02100RADIOLOGY 98897,A000000,02200,0000,02200LABORATORY 98897,A000000,02300,0000,02300INTRAVENOUS THERAPY 98897,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98897,A000000,02500,0000,02500PHYSICAL THERAPY 98897,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98897,A000000,02700,0000,02700SPEECH PATHOLOGY 98897,A000000,02800,0000,02800ELECTROCARDIOLOGY 98897,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98897,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98897,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98897,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98897,A000000,03200,0000,03200SUPPORT SURFACES 98897,A000000,03400,0000,03400CLINIC 98897,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 98897,A000000,03500,0000,03500RURAL HEALTH CLINIC 98897,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 98897,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 98897,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 98897,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 98897,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 98897,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 98897,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 98897,A000000,04400,0000,04400DME RENTED - HHA 98897,A000000,04500,0000,04500DME SOLD - HHA 98897,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 98897,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 98897,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98897,A000000,04800,0000,04800AMBULANCE 98897,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 98897,A000000,05000,0000,05000CORF 98897,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98897,A000000,05300,0000,05300INTEREST EXPENSE 98897,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98897,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98897,A000000,05500,0000,05500HOSPICE 98897,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98897,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98897,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 98897,A000000,06100,0000,06100NONPAID WORKERS 98897,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98897,A000000,06200,0000,06200PATIENTS LAUNDRY 98897,A81000A,00100,0100,Y 98897,A81000B,00100,0300,NURSING HOME ADMINISTRATION 98897,A81000C,00100,0100,B 98897,A81000C,00100,0400,HARVEST SENIOR SERVICES 98897,A81000C,00100,0600,LTC MANAGEMENT 98897,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98897,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98897,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98897,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98897,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98897,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 98897,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98897,B100000,00000,0800,00000MEALS SERVED :DIETARY 98897,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98897,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 98897,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 98897,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98897,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98897,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 98897,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 98897,S000000,00100,0200,05/31/2000 98897,S200000,00100,0100,1339 W CHAVANEAUX RD 98897,S200000,00200,0100,SAN ANTONIO 98897,S200000,00200,0200,TX 98897,S200000,00200,0300,78224- 98897,S200000,00300,0100,BEXAR 98897,S200000,00400,0100,CHAVANEAUX HEALTH & REHAB 98897,S200000,00400,0200,615107 98897,S200000,00400,0300,03/01/1993 98897,S200000,00400,0500,P 98897,S200000,01004,0500,O 98897,S200000,01600,0100,Y 98897,S700003,00000,0100,1 98903,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98903,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98903,A000000,00300,0000,00300EMPLOYEE BENEFITS 98903,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98903,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98903,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98903,A000000,00700,0000,00700HOUSEKEEPING 98903,A000000,00800,0000,00800DIETARY 98903,A000000,00900,0000,00900NURSING ADMINISTRATION 98903,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98903,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98903,A000000,01300,0000,01300SOCIAL SERVICE 98903,A000000,01301,0000,01301ACTIVITES 98903,A000000,01350,0000,01500REHABILITATION 98903,A000000,01600,0000,01600SKILLED NURSING FACILITY 98903,A000000,01800,0000,01800NURSING FACILITY 98903,A000000,01900,0000,01900OTHER LONG TERM CARE 98903,A000000,02100,0000,02100RADIOLOGY 98903,A000000,02200,0000,02200LABORATORY 98903,A000000,02300,0000,02300INTRAVENOUS THERAPY 98903,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98903,A000000,02500,0000,02500PHYSICAL THERAPY 98903,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98903,A000000,02700,0000,02700SPEECH PATHOLOGY 98903,A000000,02800,0000,02800ELECTROCARDIOLOGY 98903,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98903,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98903,A000000,03050,0000,03300EQUIPMENT RENTAL 98903,A000000,03051,0000,03301PEN THERAPY 98903,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98903,A000000,03200,0000,03200SUPPORT SURFACES 98903,A000000,04800,0000,04800AMBULANCE 98903,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98903,A000000,05300,0000,05300INTEREST EXPENSE 98903,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98903,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98903,A000000,06150,0000,06300VENDING 98903,A000000,06151,0000,06301STAND-BY 98903,A000000,06200,0000,06200PATIENTS LAUNDRY 98903,A81000A,00100,0100,Y 98903,A81000B,00100,0300,HOME OFFICE COST 98903,A81000B,00200,0300,DIETARY SUPPLEMENTS 98903,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 98903,A81000B,00400,0300,PRESCRIPTION DRUGS 98903,A81000B,00500,0300,MEDICAL SUPPLIES 98903,A81000B,00600,0300,ADMIN COSTS 98903,A81000B,00700,0300,HOME OFFICE INTEREST 98903,A81000B,00800,0300,EQUIPMENT RENTAL 98903,A81000B,00900,0300,IV THERAPY 98903,A81000B,01000,0300,THERAPY CONSULTING 98903,A81000B,01100,0300,PHYSICAL THERAPY 98903,A81000B,01200,0300,OCCUPATIONAL THERAPY 98903,A81000B,01300,0300,SPEECH THERAPY 98903,A81000B,01400,0300,ANC EQUIP RENTAL 98903,A81000C,00100,0100,B 98903,A81000C,00100,0200,BEECHNUT MANOR 98903,A81000C,00100,0400,MARINER PAN 98903,A81000C,00100,0600,NURSING HOMES 98903,A81000C,00200,0100,G 98903,A81000C,00200,0200,MARINER PAN 98903,A81000C,00200,0400,AMER PHARM SVCS 98903,A81000C,00200,0600,PHARMACEUTICALS 98903,A81000C,00300,0100,G 98903,A81000C,00300,0200,MARINER PAN 98903,A81000C,00300,0400,PRISM-ATS-ARS-T 98903,A81000C,00300,0600,THERAPIES 98903,A81000C,03100,0000,MARINER PAN 98903,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98903,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 98903,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 98903,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98903,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98903,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 98903,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 98903,B100000,00000,0800,00001MEALS SERVED :DIETARY 98903,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 98903,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 98903,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 98903,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 98903,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 98903,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 98903,E10A180,00350,0100,06/09/1999 98903,E10A180,00351,0100,10/13/1999 98903,E10A180,00352,0100,01/05/2000 98903,S000000,00100,0200,08/31/2000 98903,S200000,00100,0100,12777 BEECHNUT ST. 98903,S200000,00200,0100,HOUSTON 98903,S200000,00200,0200,TX 98903,S200000,00200,0300,77072- 98903,S200000,00300,0100,HARRIS 98903,S200000,00300,0200,3360 98903,S200000,00300,0300,U 98903,S200000,00400,0100,BEECHNUT MANOR 98903,S200000,00400,0200,675000 98903,S200000,00400,0300,02/03/1992 98903,S200000,00400,0500,P 98903,S200000,01600,0100,Y 98903,S200000,02200,0100,Y 98903,S200000,04300,0100,Y 98914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98914,A000000,00300,0000,00300EMPLOYEE BENEFITS 98914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98914,A000000,00700,0000,00700HOUSEKEEPING 98914,A000000,00800,0000,00800DIETARY 98914,A000000,00900,0000,00900NURSING ADMINISTRATION 98914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98914,A000000,01300,0000,01300SOCIAL SERVICE 98914,A000000,01301,0000,01301ACTIVITES 98914,A000000,01350,0000,01500REHABILITATION 98914,A000000,01600,0000,01600SKILLED NURSING FACILITY 98914,A000000,01800,0000,01800NURSING FACILITY 98914,A000000,01900,0000,01900OTHER LONG TERM CARE 98914,A000000,02100,0000,02100RADIOLOGY 98914,A000000,02200,0000,02200LABORATORY 98914,A000000,02300,0000,02300INTRAVENOUS THERAPY 98914,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98914,A000000,02500,0000,02500PHYSICAL THERAPY 98914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98914,A000000,02700,0000,02700SPEECH PATHOLOGY 98914,A000000,02800,0000,02800ELECTROCARDIOLOGY 98914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98914,A000000,03050,0000,03300EQUIPMENT RENTAL 98914,A000000,03051,0000,03301PEN THERAPY 98914,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 98914,A000000,03200,0000,03200SUPPORT SURFACES 98914,A000000,04800,0000,04800AMBULANCE 98914,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98914,A000000,05300,0000,05300INTEREST EXPENSE 98914,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98914,A000000,06150,0000,06300VENDING 98914,A000000,06151,0000,06301STAND-BY 98914,A000000,06200,0000,06200PATIENTS LAUNDRY 98914,A81000A,00100,0100,Y 98914,A81000B,00100,0300,HOME OFFICE COST 98914,A81000B,00200,0300,DIETARY SUPPLEMENTS 98914,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 98914,A81000B,00400,0300,PRESCRIPTION DRUGS 98914,A81000B,00500,0300,MEDICAL SUPPLIES 98914,A81000B,00600,0300,ADMIN COSTS 98914,A81000B,00700,0300,HOME OFFICE INTEREST 98914,A81000B,00800,0300,EQUIPMENT REPLACEMENT 98914,A81000B,00900,0300,IV THERAPY 98914,A81000B,01000,0300,THERAPY CONSULTING 98914,A81000B,01100,0300,PHYSICAL THERAPY 98914,A81000B,01200,0300,OCCUPATIONAL THERAPY 98914,A81000B,01300,0300,SPEECH THERAPY 98914,A81000B,01400,0300,OTHER DIRECT 98914,A81000B,01500,0300,DME 98914,A81000C,00100,0100,B 98914,A81000C,00100,0200,R.M.W. SAN ANTO 98914,A81000C,00100,0400,MARINER PAN 98914,A81000C,00100,0600,NURSING HOMES 98914,A81000C,00200,0100,G 98914,A81000C,00200,0200,MARINER PAN 98914,A81000C,00200,0400,AMER PHARM SVCS 98914,A81000C,00200,0600,PHARMACEUTICALS 98914,A81000C,00300,0100,G 98914,A81000C,00300,0200,MARINER PAN 98914,A81000C,00300,0400,PRISM-ATS-ARS-T 98914,A81000C,00300,0600,THERAPIES 98914,A81000C,03100,0000,MARINER PAN 98914,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 98914,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 98914,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 98914,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 98914,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 98914,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 98914,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 98914,B100000,00000,0800,00001MEALS SERVED :DIETARY 98914,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 98914,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 98914,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 98914,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 98914,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 98914,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 98914,E10A180,00301,0100,06/09/1999 98914,E10A180,00302,0100,09/29/1999 98914,E10A180,00350,0100,01/05/2000 98914,S000000,00100,0200,08/31/2000 98914,S200000,00100,0100,636 CUPPLES ROAD 98914,S200000,00200,0100,SAN ANTONIO 98914,S200000,00200,0200,TX 98914,S200000,00200,0300,78237- 98914,S200000,00300,0100,BEXAR 98914,S200000,00400,0100,RETAMA MANOR WEST SAN ANTONIO 98914,S200000,00400,0200,675002 98914,S200000,00400,0300,01/15/1992 98914,S200000,00400,0500,P 98914,S200000,01600,0100,Y 98914,S200000,02200,0100,Y 98914,S200000,04300,0100,Y 98924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98924,A000000,00300,0000,00300EMPLOYEE BENEFITS 98924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98924,A000000,00700,0000,00700HOUSEKEEPING 98924,A000000,00800,0000,00800DIETARY 98924,A000000,00900,0000,00900NURSING ADMINISTRATION 98924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98924,A000000,01100,0000,01100PHARMACY 98924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98924,A000000,01300,0000,01300SOCIAL SERVICE 98924,A000000,01351,0000,01301ACTIVITIES 98924,A000000,01600,0000,01600SKILLED NURSING FACILITY 98924,A000000,01800,0000,01800NURSING FACILITY 98924,A000000,02100,0000,02100RADIOLOGY 98924,A000000,02200,0000,02200LABORATORY 98924,A000000,02300,0000,02300INTRAVENOUS THERAPY 98924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98924,A000000,02500,0000,02500PHYSICAL THERAPY 98924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98924,A000000,02700,0000,02700SPEECH PATHOLOGY 98924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98924,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98924,A000000,03051,0000,03301MEDICAL EQUIPMENT 98924,A000000,04800,0000,04800AMBULANCE 98924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 98924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98924,A81000A,00100,0100,Y 98924,A81000B,00100,0300,HOME OFFICE CAPITAL 98924,A81000B,00200,0300,HOME OFFICE NONCAPITAL 98924,A81000B,00300,0300,WAREHOUSE 98924,A81000C,00100,0100,A 98924,A81000C,00100,0200,PETER C. KERN 98924,A81000C,00100,0400,HEA MANAGEMENT GROUP 98924,A81000C,00100,0600,HOME OFFICE 98924,A81000C,00200,0100,A 98924,A81000C,00200,0200,PETER C. KERN 98924,A81000C,00200,0400,WAREHOUSE STORAGE 98924,A81000C,00200,0600,OLD RECORD STORAGE 98924,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98924,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98924,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98924,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98924,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98924,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98924,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98924,B100000,00000,0800,00000MEALS SERVED :DIETARY 98924,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98924,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 98924,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98924,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98924,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98924,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 98924,S000000,00100,0200,05/30/2000 98924,S200000,00100,0100,203 BO GIBBS ROAD 98924,S200000,00200,0100,GLEN ROSE 98924,S200000,00200,0200,TX 98924,S200000,00200,0300,76043- 98924,S200000,00300,0100,SOMERVELL 98924,S200000,00300,0200,45 98924,S200000,00300,0300,R 98924,S200000,00400,0100,CHEROKEE ROSE MANOR 98924,S200000,00400,0200,675008 98924,S200000,00400,0300,07/01/1992 98924,S200000,00400,0500,P 98924,S200000,01600,0100,Y 98924,S200000,02200,0100,Y 98924,S200000,04300,0100,Y 98936,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98936,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98936,A000000,00300,0000,00300EMPLOYEE BENEFITS 98936,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98936,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98936,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98936,A000000,00700,0000,00700HOUSEKEEPING 98936,A000000,00800,0000,00800DIETARY 98936,A000000,00900,0000,00900NURSING ADMINISTRATION 98936,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98936,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98936,A000000,01300,0000,01300SOCIAL SERVICE 98936,A000000,01350,0000,01500ACTIVITY 98936,A000000,01600,0000,01600SKILLED NURSING FACILITY 98936,A000000,01800,0000,01800NURSING FACILITY 98936,A000000,02200,0000,02200LABORATORY 98936,A000000,02500,0000,02500PHYSICAL THERAPY 98936,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98936,A000000,02700,0000,02700SPEECH PATHOLOGY 98936,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98936,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98936,A000000,03050,0000,03300PEN THERAPY 98936,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98936,A000000,05300,0000,05300INTEREST EXPENSE 98936,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98936,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98936,A81000A,00100,0100,Y 98936,A81000B,00100,0300,FACILITY RENTAL 98936,A81000B,00200,0300,INTEREST - PEEK 98936,A81000B,00300,0300,INTEREST - CROOK 98936,A81000B,00400,0300,INTEREST - WITT 98936,A81000B,00500,0300,INTEREST - BEN PEEK 98936,A81000C,00100,0100,B 98936,A81000C,00100,0200,L. PEEK & C. CROOK 98936,A81000C,00100,0400,CLARKSVILLE REGENCY PROP. 98936,A81000C,00100,0600,REAL ESTATE 98936,A81000C,00200,0100,B 98936,A81000C,00200,0200,L. PEEK 98936,A81000C,00200,0400,PALO ALTO CONV. CTR. 98936,A81000C,00200,0600,REAL ESTATE 98936,A81000C,00300,0100,G 98936,A81000C,00300,0200,C. CROOK 98936,A81000C,00300,0600,OWNER 98936,A81000C,00400,0100,G 98936,A81000C,00400,0200,H WITT 98936,A81000C,00400,0600,OWNER 98936,A81000C,00500,0100,D 98936,A81000C,00500,0200,BEN PEEK 98936,A81000C,00500,0600,HUSBAND OF OWNER 98936,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98936,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98936,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98936,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98936,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98936,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98936,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98936,B100000,00000,0800,00000MEALS SERVED :DIETARY 98936,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 98936,B100000,00000,1050,00000DIRECT NRSING HRS :CENTRAL SERVICES 98936,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98936,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98936,B100000,00000,1350,00000PATIENT DAYS :ACTIVITY 98936,S000000,00100,0200,06/02/2000 98936,S200000,00100,0100,ROUTE 1 BOX 341 98936,S200000,00200,0100,CLARKSVILLE 98936,S200000,00200,0200,TX 98936,S200000,00200,0300,75426- 98936,S200000,00300,0100,RED RIVER 98936,S200000,00400,0100,REGENCY NURSING HOME INC. 98936,S200000,00400,0200,675010 98936,S200000,00400,0300,03/31/1992 98936,S200000,00400,0500,P 98936,S200000,01004,0500,O 98936,S200000,01600,0100,Y 98936,S700003,00000,0400,4 98952,S000000,00100,0200,07/06/2000 98973,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98973,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98973,A000000,00300,0000,00300EMPLOYEE BENEFITS 98973,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98973,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98973,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98973,A000000,00700,0000,00700HOUSEKEEPING 98973,A000000,00800,0000,00800DIETARY 98973,A000000,00900,0000,00900NURSING ADMINISTRATION 98973,A000000,01100,0000,01100PHARMACY 98973,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98973,A000000,01300,0000,01300SOCIAL SERVICE 98973,A000000,01350,0000,01500ACTIVITIES 98973,A000000,01600,0000,01600SKILLED NURSING FACILITY 98973,A000000,01800,0000,01800NURSING FACILITY 98973,A000000,02100,0000,02100RADIOLOGY 98973,A000000,02200,0000,02200LABORATORY 98973,A000000,02300,0000,02300INTRAVENOUS THERAPY 98973,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98973,A000000,02500,0000,02500PHYSICAL THERAPY 98973,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98973,A000000,02700,0000,02700SPEECH PATHOLOGY 98973,A000000,02800,0000,02800ELECTROCARDIOLOGY 98973,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98973,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98973,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 98973,A000000,03200,0000,03200SUPPORT SURFACES 98973,A000000,04800,0000,04800AMBULANCE 98973,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 98973,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98973,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98973,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 98973,A81000A,00100,0100,Y 98973,A81000B,00100,0300,HOME OFFICE COSTS 98973,A81000C,00100,0100,B 98973,A81000C,00100,0200,REGENT CARE CEN 98973,A81000C,00100,0400,REGENT CARE CEN 98973,A81000C,00100,0600,MANAGEMENT COMP 98973,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98973,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98973,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98973,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98973,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98973,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98973,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98973,B100000,00000,0800,00000MEALS SERVED :DIETARY 98973,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 98973,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 98973,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 98973,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 98973,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 98973,S000000,00100,0200,06/30/2000 98973,S200000,00100,0100,7001 MCPHERSON 98973,S200000,00200,0100,LAREDO 98973,S200000,00200,0200,TX 98973,S200000,00200,0300,78041- 98973,S200000,00300,0100,WEBB 98973,S200000,00400,0100,REGENT CARE CENTER OF LAREDO 98973,S200000,00400,0200,675030 98973,S200000,00400,0300,04/15/1992 98973,S200000,00400,0500,P 98973,S200000,01600,0100,Y 98973,S700003,00000,0100,1 98980,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98980,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98980,A000000,00300,0000,00300EMPLOYEE BENEFITS 98980,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98980,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98980,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98980,A000000,00700,0000,00700HOUSEKEEPING 98980,A000000,00800,0000,00800DIETARY 98980,A000000,00900,0000,00900NURSING ADMINISTRATION 98980,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 98980,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98980,A000000,01300,0000,01300SOCIAL SERVICE 98980,A000000,01600,0000,01600SKILLED NURSING FACILITY 98980,A000000,01800,0000,01800NURSING FACILITY 98980,A000000,02100,0000,02100RADIOLOGY 98980,A000000,02200,0000,02200LABORATORY 98980,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98980,A000000,02500,0000,02500PHYSICAL THERAPY 98980,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98980,A000000,02700,0000,02700SPEECH PATHOLOGY 98980,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98980,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98980,A000000,03050,0000,03300FEE SCREEN REHAB 98980,A000000,03200,0000,03200SUPPORT SURFACES 98980,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98980,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98980,A81000A,00100,0100,Y 98980,A81000B,00100,0300,HOME OFFICE COSTS 98980,A81000C,00100,0100,B 98980,A81000C,00100,0200,ADVOCAT INC. 98980,A81000C,00100,0400,DVCR LEASING CO 98980,A81000C,00100,0600,L/T CARE MGT CO 98980,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98980,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98980,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98980,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98980,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98980,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98980,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98980,B100000,00000,0850,00000PATIENT DAYS :DIETARY 98980,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 98980,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 98980,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98980,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98980,S000000,00100,0200,03/02/2000 98980,S200000,00100,0100,3115 MCCARDLE 98980,S200000,00200,0100,CORPUS CHRISTI 98980,S200000,00200,0200,TX 98980,S200000,00200,0300,78415- 98980,S200000,00300,0100,SAN PATRICIO 98980,S200000,00400,0100,SOUTH PARK MANOR 98980,S200000,00400,0200,675031 98980,S200000,00400,0300,04/20/1992 98980,S200000,00400,0500,P 98980,S200000,00400,0600,P 98980,S200000,01600,0100,Y 98980,S200000,02200,0100,Y 98980,S700003,00000,0100,1 98999,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 98999,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 98999,A000000,00300,0000,00300EMPLOYEE BENEFITS 98999,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 98999,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 98999,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 98999,A000000,00700,0000,00700HOUSEKEEPING 98999,A000000,00800,0000,00800DIETARY 98999,A000000,00900,0000,00900NURSING ADMINISTRATION 98999,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 98999,A000000,01300,0000,01300SOCIAL SERVICE 98999,A000000,01350,0000,01500PATIENT ACTIVITIES 98999,A000000,01600,0000,01600SKILLED NURSING FACILITY 98999,A000000,01800,0000,01800NURSING FACILITY 98999,A000000,02100,0000,02100RADIOLOGY 98999,A000000,02200,0000,02200LABORATORY 98999,A000000,02300,0000,02300INTRAVENOUS THERAPY 98999,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 98999,A000000,02500,0000,02500PHYSICAL THERAPY 98999,A000000,02600,0000,02600OCCUPATIONAL THERAPY 98999,A000000,02700,0000,02700SPEECH PATHOLOGY 98999,A000000,02800,0000,02800ELECTROCARDIOLOGY 98999,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 98999,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 98999,A000000,03001,0000,03001AIR FLUIDIZED BED 98999,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 98999,A000000,04750,0000,05100OTHER REIMBURSABLE COST 98999,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 98999,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 98999,A000000,05900,0000,05900BARBER & BEAUTY SHOP 98999,A000000,06100,0000,06100NONPAID WORKERS 98999,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 98999,A000000,06200,0000,06200PATIENTS LAUNDRY 98999,A81000A,00100,0100,Y 98999,A81000B,00100,0300,HOME OFFICE COSTS 98999,A81000B,00200,0300,SPEECH THERAPY 98999,A81000B,00300,0300,PHYSICAL THERAPY 98999,A81000B,00400,0300,OCCUPATIONAL THERAPY 98999,A81000C,00100,0100,F 98999,A81000C,00100,0400,CAMELOT HEALTHCARE 98999,A81000C,00100,0600,MANAGEMENT COMPANY 98999,A81000C,00200,0100,A 98999,A81000C,00200,0400,FIRST KNIGHT 98999,A81000C,00200,0600,ANCILLARY SERVICES 98999,A81000C,00300,0100,A 98999,A81000C,00300,0400,FIRST KNIGHT 98999,A81000C,00300,0600,ANCILLARY SERVICES 98999,A81000C,00400,0100,A 98999,A81000C,00400,0400,FIRST KNIGHT 98999,A81000C,00400,0600,ANCILLARY SERVICES 98999,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 98999,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 98999,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 98999,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 98999,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 98999,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 98999,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 98999,B100000,00000,0800,00000MEALS SERVED :DIETARY 98999,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 98999,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 98999,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 98999,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 98999,S000000,00100,0200,07/10/2000 98999,S200000,00100,0100,208 NORTH PRARIE 98999,S200000,00200,0100,PILOT POINT 98999,S200000,00200,0200,TX 98999,S200000,00200,0300,76258- 98999,S200000,00300,0100,DENTON 98999,S200000,00400,0100,CAREAGE PLACE OF PILOT POINT INC. 98999,S200000,00400,0200,675041 98999,S200000,00400,0300,05/14/1992 98999,S200000,00400,0500,P 98999,S200000,01600,0100,Y 98999,S700003,00000,0100,1 99013,S000000,00100,0200,09/11/2000 99031,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99031,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99031,A000000,00300,0000,00300EMPLOYEE BENEFITS 99031,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99031,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99031,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99031,A000000,00700,0000,00700HOUSEKEEPING 99031,A000000,00800,0000,00800DIETARY 99031,A000000,00900,0000,00900NURSING ADMINISTRATION 99031,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99031,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99031,A000000,01300,0000,01300SOCIAL SERVICE 99031,A000000,01600,0000,01600SKILLED NURSING FACILITY 99031,A000000,01800,0000,01800NURSING FACILITY 99031,A000000,02100,0000,02100RADIOLOGY 99031,A000000,02200,0000,02200LABORATORY 99031,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99031,A000000,02500,0000,02500PHYSICAL THERAPY 99031,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99031,A000000,02700,0000,02700SPEECH PATHOLOGY 99031,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99031,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99031,A000000,03050,0000,03201OTHER ANCILLARY 99031,A000000,03200,0000,03200SUPPORT SURFACES 99031,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99031,A81000A,00100,0100,Y 99031,A81000B,00100,0300,HOME OFFICE COSTS 99031,A81000B,00200,0300,NURSING SUPPLIES 99031,A81000B,00300,0300,MEDICAL SUPPLIES 99031,A81000B,00400,0300,PHARMACY SUPPLIES 99031,A81000B,00500,0300,PRESCRIPTION DRUGS 99031,A81000B,00600,0300,PHARMACY CONSULTANT 99031,A81000B,00700,0300,MED RECORDS SUPPLIES 99031,A81000B,00800,0300,LAB SUPPLIES 99031,A81000C,00100,0100,B 99031,A81000C,00100,0200,TX DVCR LTD PAR 99031,A81000C,00100,0400,ADVOCAT INC. 99031,A81000C,00100,0600,L/T CARE MGT CO 99031,A81000C,00200,0100,B 99031,A81000C,00200,0200,ADVOCAT DIST SE 99031,A81000C,00200,0400,ADVOCAT INC. 99031,A81000C,00200,0600,M/S SUPPLY COMP 99031,A81000C,00300,0100,B 99031,A81000C,00300,0200,ADVOCAT DIST SE 99031,A81000C,00300,0400,ADVOCAT INC. 99031,A81000C,00300,0600,M/S SUPPLY COMP 99031,A81000C,00400,0100,B 99031,A81000C,00400,0200,AAS PHARMACY 99031,A81000C,00400,0400,ADVOCAT INC. 99031,A81000C,00400,0600,PHARMACY SUPPLY 99031,A81000C,00500,0100,B 99031,A81000C,00500,0200,AAS PHARMACY 99031,A81000C,00500,0400,ADVOCAT INC. 99031,A81000C,00500,0600,PHARMACY SUPPLY 99031,A81000C,00600,0100,B 99031,A81000C,00600,0200,AAS PHARMACY 99031,A81000C,00600,0400,ADVOCAT INC. 99031,A81000C,00600,0600,PHARMACY SUPPLY 99031,A81000C,00700,0100,B 99031,A81000C,00700,0200,AAS PHARMACY 99031,A81000C,00700,0400,ADVOCAT INC. 99031,A81000C,00700,0600,PHARMACY SUPPLY 99031,A81000C,00800,0100,B 99031,A81000C,00800,0200,AAS PHARMACY 99031,A81000C,00800,0400,ADVOCAT INC. 99031,A81000C,00800,0600,PHARMACY SUPPLY 99031,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99031,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99031,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99031,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99031,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99031,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99031,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99031,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99031,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 99031,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 99031,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99031,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99031,S000000,00100,0200,09/01/2000 99031,S200000,00100,0100,107 NORTH MEDINA 99031,S200000,00200,0100,LOCKHART 99031,S200000,00200,0200,TX 99031,S200000,00200,0300,78644- 99031,S200000,00300,0100,CALDWELL 99031,S200000,00400,0100,CHISOLM TRAIL NURSING CENTER 99031,S200000,00400,0200,675053 99031,S200000,00400,0300,06/26/1992 99031,S200000,00400,0500,P 99031,S200000,01600,0100,Y 99031,S200000,02200,0100,Y 99031,S700003,00000,0100,1 99042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99042,A000000,00300,0000,00300EMPLOYEE BENEFITS 99042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99042,A000000,00700,0000,00700HOUSEKEEPING 99042,A000000,00800,0000,00800DIETARY 99042,A000000,00900,0000,00900NURSING ADMINISTRATION 99042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99042,A000000,01100,0000,01100PHARMACY 99042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99042,A000000,01300,0000,01300SOCIAL SERVICE 99042,A000000,01350,0000,01500OTHER GENERAL SERVICES 99042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99042,A000000,01600,0000,01600SKILLED NURSING FACILITY 99042,A000000,01800,0000,01800NURSING FACILITY 99042,A000000,01810,0000,01801ICF/MR 99042,A000000,01900,0000,01900OTHER LONG TERM CARE 99042,A000000,02100,0000,02100RADIOLOGY 99042,A000000,02200,0000,02200LABORATORY 99042,A000000,02300,0000,02300INTRAVENOUS THERAPY 99042,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99042,A000000,02500,0000,02500PHYSICAL THERAPY 99042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99042,A000000,02700,0000,02700SPEECH PATHOLOGY 99042,A000000,02800,0000,02800ELECTROCARDIOLOGY 99042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99042,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99042,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99042,A000000,03200,0000,03200SUPPORT SURFACES 99042,A000000,03400,0000,03400CLINIC 99042,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99042,A000000,03500,0000,03500RURAL HEALTH CLINIC 99042,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99042,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99042,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99042,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99042,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99042,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99042,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99042,A000000,04400,0000,04400DME RENTED - HHA 99042,A000000,04500,0000,04500DME SOLD - HHA 99042,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99042,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99042,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99042,A000000,04800,0000,04800AMBULANCE 99042,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99042,A000000,05000,0000,05000CORF 99042,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99042,A000000,05300,0000,05300INTEREST EXPENSE 99042,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99042,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99042,A000000,05500,0000,05500HOSPICE 99042,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99042,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99042,A000000,06100,0000,06100NONPAID WORKERS 99042,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99042,A000000,06200,0000,06200PATIENTS LAUNDRY 99042,A81000A,00100,0100,Y 99042,A81000B,00100,0300,NURSING HOME ADMINISTRATION 99042,A81000C,00100,0100,B 99042,A81000C,00100,0400,HARVEST SENIOR SERVICES 99042,A81000C,00100,0600,LTC MANAGEMENT 99042,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99042,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99042,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99042,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99042,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99042,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99042,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99042,B100000,00000,0800,00000MEALS SERVED :DIETARY 99042,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99042,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99042,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99042,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99042,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99042,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99042,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99042,S000000,00100,0200,05/31/2000 99042,S200000,00100,0100,913 HWY 90 WEST 99042,S200000,00200,0100,CASTROVILLE 99042,S200000,00200,0200,TX 99042,S200000,00200,0300,78009- 99042,S200000,00300,0100,MEDINA 99042,S200000,00400,0100,HARVEST CARE CENTER OF MEDINA 99042,S200000,00400,0200,675060 99042,S200000,00400,0300,07/16/1992 99042,S200000,00400,0500,P 99042,S200000,01004,0500,O 99042,S200000,01600,0100,Y 99042,S200000,04300,0100,Y 99042,S700003,00000,0100,1 99052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99052,A000000,00300,0000,00300EMPLOYEE BENEFITS 99052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99052,A000000,00700,0000,00700HOUSEKEEPING 99052,A000000,00800,0000,00800DIETARY 99052,A000000,00900,0000,00900NURSING ADMINISTRATION 99052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99052,A000000,01100,0000,01100PHARMACY 99052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99052,A000000,01300,0000,01300SOCIAL SERVICE 99052,A000000,01350,0000,01500OTHER GENERAL SERVICES 99052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99052,A000000,01600,0000,01600SKILLED NURSING FACILITY 99052,A000000,01800,0000,01800NURSING FACILITY 99052,A000000,01810,0000,01801ICF/MR 99052,A000000,01900,0000,01900OTHER LONG TERM CARE 99052,A000000,02100,0000,02100RADIOLOGY 99052,A000000,02200,0000,02200LABORATORY 99052,A000000,02300,0000,02300INTRAVENOUS THERAPY 99052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99052,A000000,02500,0000,02500PHYSICAL THERAPY 99052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99052,A000000,02700,0000,02700SPEECH PATHOLOGY 99052,A000000,02800,0000,02800ELECTROCARDIOLOGY 99052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99052,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99052,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99052,A000000,03200,0000,03200SUPPORT SURFACES 99052,A000000,03400,0000,03400CLINIC 99052,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99052,A000000,03500,0000,03500RURAL HEALTH CLINIC 99052,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99052,A000000,04800,0000,04800AMBULANCE 99052,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99052,A000000,05000,0000,05000CORF 99052,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99052,A000000,05300,0000,05300INTEREST EXPENSE 99052,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99052,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99052,A000000,05500,0000,05500HOSPICE 99052,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99052,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99052,A000000,06100,0000,06100NONPAID WORKERS 99052,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99052,A000000,06151,0000,06301FEE SCREEN 99052,A000000,06200,0000,06200PATIENTS LAUNDRY 99052,A81000A,00100,0100,Y 99052,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 99052,A81000B,00200,0300,FACILITY LEASE 99052,A81000B,00300,0300,MANAGEMENT/ACCOUNTING FEES 99052,A81000B,00400,0300,PT 99052,A81000B,00500,0300,OT 99052,A81000B,00600,0300,ST 99052,A81000B,00700,0300,HOME OFFICE TRAINING COORD 99052,A81000B,00800,0300,HOME OFFICE DIETARY CONS 99052,A81000B,00900,0300,HOME OFFICE MAINTENANCE 99052,A81000B,01000,0300,HOME OFFICE NURSE 99052,A81000C,00100,0100,A 99052,A81000C,00100,0200,W.E. CAMPBELL 99052,A81000C,00100,0400,LP SERVICES INC. 99052,A81000C,00100,0600,ACCOUNTING SERVICES 99052,A81000C,00200,0100,A 99052,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 99052,A81000C,00200,0400,HONEY GROVE NH REALTY LTD 99052,A81000C,00200,0600,REALTY COMPANY 99052,A81000C,00300,0100,A 99052,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 99052,A81000C,00300,0400,SENIOR CARE CONSULTANTS 99052,A81000C,00300,0600,MANAGEMENT COMPANY 99052,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99052,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99052,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99052,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99052,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99052,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 99052,B100000,00000,0750,00001SQUARE FT CLEANED :HOUSEKEEPING 99052,B100000,00000,0800,00001MEALS SERVED :DIETARY 99052,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 99052,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 99052,B100000,00000,1150,00001NO STATISTICS :PHARMACY 99052,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 99052,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 99052,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 99052,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 99052,S000000,00100,0200,06/02/2000 99052,S200000,00100,0100,ROUTE 2 BOX 22 99052,S200000,00200,0100,HONEY GROVE 99052,S200000,00200,0200,TX 99052,S200000,00200,0300,75446- 99052,S200000,00300,0100,FANNIN 99052,S200000,00400,0100,HONEY GROVE NURSING CENTER 99052,S200000,00400,0200,675066 99052,S200000,00400,0300,07/12/1992 99052,S200000,00400,0500,P 99052,S200000,01500,0100,Y 99052,S700003,00000,0100,1 99069,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99069,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99069,A000000,00300,0000,00300EMPLOYEE BENEFITS 99069,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99069,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99069,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99069,A000000,00700,0000,00700HOUSEKEEPING 99069,A000000,00800,0000,00800DIETARY 99069,A000000,00900,0000,00900NURSING ADMINISTRATION 99069,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99069,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99069,A000000,01300,0000,01300SOCIAL SERVICE 99069,A000000,01600,0000,01600SKILLED NURSING FACILITY 99069,A000000,01800,0000,01800NURSING FACILITY 99069,A000000,02100,0000,02100RADIOLOGY 99069,A000000,02200,0000,02200LABORATORY 99069,A000000,02300,0000,02300INTRAVENOUS THERAPY 99069,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99069,A000000,02500,0000,02500PHYSICAL THERAPY 99069,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99069,A000000,02700,0000,02700SPEECH PATHOLOGY 99069,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99069,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99069,A000000,03050,0000,03201OTHER ANCILLARY 99069,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99069,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99069,A81000A,00100,0100,Y 99069,A81000B,00100,0300,HOME OFFICE COSTS 99069,A81000B,00200,0300,NURSING SUPPLIES 99069,A81000B,00300,0300,MEDICAL SUPPLIES 99069,A81000B,00400,0300,PHARMACY SUPPLIES 99069,A81000B,00500,0300,PRESCRIPTION DRUGS 99069,A81000B,00600,0300,PHARMACY CONSULTANT 99069,A81000B,00700,0300,VACCINES 99069,A81000C,00100,0100,B 99069,A81000C,00100,0200,TXS DVCR LTD PA 99069,A81000C,00100,0400,ADVOCAT INC. 99069,A81000C,00100,0600,L/T CARE MGT CO 99069,A81000C,00200,0100,B 99069,A81000C,00200,0200,ADVOCAT DIST SE 99069,A81000C,00200,0400,ADVOCAT INC. 99069,A81000C,00200,0600,M/S SUPPLY COMP 99069,A81000C,00300,0100,B 99069,A81000C,00300,0200,ADVOCAT DIST SE 99069,A81000C,00300,0400,ADVOCAT INC. 99069,A81000C,00300,0600,M/S SUPPLY COMP 99069,A81000C,00400,0100,B 99069,A81000C,00400,0200,AAS PHARMACY 99069,A81000C,00400,0400,ADVOCAT INC. 99069,A81000C,00400,0600,PHARMACY SUPPLY 99069,A81000C,00500,0100,B 99069,A81000C,00500,0200,AAS PHARMACY 99069,A81000C,00500,0400,ADVOCAT INC. 99069,A81000C,00500,0600,PHARMACY SUPPLY 99069,A81000C,00600,0100,B 99069,A81000C,00600,0200,AAS PHARMACY 99069,A81000C,00600,0400,ADVOCAT INC. 99069,A81000C,00600,0600,PHARMACY SUPPLY 99069,A81000C,00700,0100,B 99069,A81000C,00700,0200,AAS PHARMACY 99069,A81000C,00700,0400,ADVOCAT INC. 99069,A81000C,00700,0600,PHARMACY SUPPLY 99069,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99069,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99069,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99069,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99069,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99069,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99069,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99069,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99069,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 99069,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 99069,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99069,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99069,S000000,00100,0200,09/01/2000 99069,S200000,00100,0100,670 WEST 4TH ST 99069,S200000,00100,0300,805 99069,S200000,00200,0100,YORKTOWN 99069,S200000,00200,0200,TX 99069,S200000,00200,0300,78164-0805 99069,S200000,00300,0100,DEWITT 99069,S200000,00400,0100,YORKTOWN MANOR 99069,S200000,00400,0200,675071 99069,S200000,00400,0300,09/15/1992 99069,S200000,00400,0500,P 99069,S200000,01004,0500,O 99069,S200000,01600,0100,Y 99069,S200000,02200,0100,Y 99069,S700003,00000,0100,1 99084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99084,A000000,00300,0000,00300EMPLOYEE BENEFITS 99084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99084,A000000,00700,0000,00700HOUSEKEEPING 99084,A000000,00800,0000,00800DIETARY 99084,A000000,00900,0000,00900NURSING ADMINISTRATION 99084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99084,A000000,01300,0000,01300SOCIAL SERVICE 99084,A000000,01600,0000,01600SKILLED NURSING FACILITY 99084,A000000,01800,0000,01800NURSING FACILITY 99084,A000000,02100,0000,02100RADIOLOGY 99084,A000000,02200,0000,02200LABORATORY 99084,A000000,02300,0000,02300INTRAVENOUS THERAPY 99084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99084,A000000,02500,0000,02500PHYSICAL THERAPY 99084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99084,A000000,02700,0000,02700SPEECH PATHOLOGY 99084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99084,A000000,03050,0000,03201OTHER ANCILLARY 99084,A000000,03200,0000,03200SUPPORT SURFACES 99084,A81000A,00100,0100,Y 99084,A81000B,00100,0300,HOME OFFICE COSTS 99084,A81000B,00200,0300,NURSING SUPPLIES 99084,A81000B,00300,0300,MEDICAL SUPPLIES 99084,A81000B,00400,0300,PHARMACY SUPPLIES 99084,A81000B,00500,0300,PRESCRIPTION DRUGS 99084,A81000B,00600,0300,PHARMACY CONSULTANT 99084,A81000B,00700,0300,IV THERAPY SUPPLIES 99084,A81000C,00100,0100,B 99084,A81000C,00100,0200,TXS DVCR LTD PA 99084,A81000C,00100,0400,ADVOCAT INC. 99084,A81000C,00100,0600,L/T CARE MGT CO 99084,A81000C,00200,0100,B 99084,A81000C,00200,0200,ADVOCAT DIST SE 99084,A81000C,00200,0400,ADVOCAT INC. 99084,A81000C,00200,0600,M/S SUPPLY COMP 99084,A81000C,00300,0100,B 99084,A81000C,00300,0200,ADVOCAT DIST SE 99084,A81000C,00300,0400,ADVOCAT INC. 99084,A81000C,00300,0600,M/S SUPPLY COMP 99084,A81000C,00400,0100,B 99084,A81000C,00400,0200,AAS PHARMACY 99084,A81000C,00400,0400,ADVOCAT INC. 99084,A81000C,00400,0600,PHARMACY SUPPLY 99084,A81000C,00500,0100,B 99084,A81000C,00500,0200,AAS PHARMACY 99084,A81000C,00500,0400,ADVOCAT INC. 99084,A81000C,00500,0600,PHARMACY SUPPLY 99084,A81000C,00600,0100,B 99084,A81000C,00600,0200,AAS PHARMACY 99084,A81000C,00600,0400,ADVOCAT INC. 99084,A81000C,00600,0600,PHARMACY SUPPLY 99084,A81000C,00700,0100,B 99084,A81000C,00700,0200,AAS PHARMACY 99084,A81000C,00700,0400,ADVOCAT INC. 99084,A81000C,00700,0600,PHARMACY SUPPLY 99084,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99084,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99084,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99084,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99084,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99084,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99084,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99084,B100000,00000,0850,00001PATIENT DAYS :DIETARY 99084,B100000,00000,0950,00001TOTAL HRS SUPRVSD :NURSING ADMINIST 99084,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 99084,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99084,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99084,S000000,00100,0200,09/01/2000 99084,S200000,00100,0100,201 SWIFT STREET 99084,S200000,00200,0100,REFUGIO 99084,S200000,00200,0200,TX 99084,S200000,00200,0300,78377- 99084,S200000,00300,0100,REFUGIO 99084,S200000,00400,0100,REFUGIO MANOR 99084,S200000,00400,0200,675074 99084,S200000,00400,0300,09/15/1992 99084,S200000,00400,0500,P 99084,S200000,01600,0100,Y 99084,S200000,02200,0100,Y 99084,S700003,00000,0100,1 99090,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99090,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99090,A000000,00300,0000,00300EMPLOYEE BENEFITS 99090,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99090,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99090,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99090,A000000,00700,0000,00700HOUSEKEEPING 99090,A000000,00800,0000,00800DIETARY 99090,A000000,00900,0000,00900NURSING ADMINISTRATION 99090,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99090,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99090,A000000,01300,0000,01300SOCIAL SERVICE 99090,A000000,01600,0000,01600SKILLED NURSING FACILITY 99090,A000000,01800,0000,01800NURSING FACILITY 99090,A000000,02100,0000,02100RADIOLOGY 99090,A000000,02200,0000,02200LABORATORY 99090,A000000,02300,0000,02300INTRAVENOUS THERAPY 99090,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99090,A000000,02500,0000,02500PHYSICAL THERAPY 99090,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99090,A000000,02700,0000,02700SPEECH PATHOLOGY 99090,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99090,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99090,A000000,03050,0000,03201OTHER ANCILLARY 99090,A000000,03200,0000,03200SUPPORT SURFACES 99090,A81000A,00100,0100,Y 99090,A81000B,00100,0300,HOME OFFICE COSTS 99090,A81000B,00200,0300,NURSING SUPPLIES 99090,A81000B,00300,0300,MEDICAL SUPPLIES 99090,A81000B,00400,0300,PHARMACY SUPPLIES 99090,A81000B,00500,0300,PRESCRIPTION DRUGS 99090,A81000B,00600,0300,PHARMACY CONSULTANT 99090,A81000B,00700,0300,IV THERAPY SUPPLIES 99090,A81000C,00100,0100,B 99090,A81000C,00100,0200,TXS DVCR LTD PA 99090,A81000C,00100,0400,ADVOCAT INC. 99090,A81000C,00100,0600,L/T CARE MGT CO 99090,A81000C,00200,0100,B 99090,A81000C,00200,0200,ADVOCAT DIST SE 99090,A81000C,00200,0400,ADVOCAT INC. 99090,A81000C,00200,0600,M/S SUPPLY COMP 99090,A81000C,00300,0100,B 99090,A81000C,00300,0200,ADVOCAT DIST SE 99090,A81000C,00300,0400,ADVOCAT INC. 99090,A81000C,00300,0600,M/S SUPPLY COMP 99090,A81000C,00400,0100,B 99090,A81000C,00400,0200,AAS PHARMACY 99090,A81000C,00400,0400,ADVOCAT INC. 99090,A81000C,00400,0600,PHARMACY SUPPLY 99090,A81000C,00500,0100,B 99090,A81000C,00500,0200,AAS PHARMACY 99090,A81000C,00500,0400,ADVOCAT INC. 99090,A81000C,00500,0600,PHARMACY SUPPLY 99090,A81000C,00600,0100,B 99090,A81000C,00600,0200,AAS PHARMACY 99090,A81000C,00600,0400,ADVOCAT INC. 99090,A81000C,00600,0600,PHARMACY SUPPLY 99090,A81000C,00700,0100,B 99090,A81000C,00700,0200,AAS PHARMACY 99090,A81000C,00700,0400,ADVOCAT INC. 99090,A81000C,00700,0600,PHARMACY SUPPLY 99090,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99090,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99090,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99090,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99090,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99090,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99090,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99090,B100000,00000,0850,00001PATIENT DAYS :DIETARY 99090,B100000,00000,0950,00001TOTAL HRS SUPRVSD :NURSING ADMINIST 99090,B100000,00000,1000,00001COSTED REQUIS :CENTRAL SERVICES & 99090,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99090,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99090,S000000,00100,0200,09/01/2000 99090,S200000,00100,0100,HOUSTON HIGHWAY 99090,S200000,00100,0300,230 99090,S200000,00200,0100,LULING 99090,S200000,00200,0200,TX 99090,S200000,00200,0300,78648- 99090,S200000,00300,0100,CALDWELL 99090,S200000,00400,0100,HILLCREST MANOR 99090,S200000,00400,0200,675075 99090,S200000,00400,0300,08/27/1992 99090,S200000,00400,0500,P 99090,S200000,01600,0100,Y 99090,S200000,02200,0100,Y 99090,S700003,00000,0100,1 99098,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99098,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99098,A000000,00300,0000,00300EMPLOYEE BENEFITS 99098,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99098,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99098,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99098,A000000,00700,0000,00700HOUSEKEEPING 99098,A000000,00800,0000,00800DIETARY 99098,A000000,00900,0000,00900NURSING ADMINISTRATION 99098,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99098,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99098,A000000,01300,0000,01300SOCIAL SERVICE 99098,A000000,01301,0000,01301ACTIVITES 99098,A000000,01350,0000,01500REHABILITATION 99098,A000000,01600,0000,01600SKILLED NURSING FACILITY 99098,A000000,01800,0000,01800NURSING FACILITY 99098,A000000,01900,0000,01900OTHER LONG TERM CARE 99098,A000000,02100,0000,02100RADIOLOGY 99098,A000000,02200,0000,02200LABORATORY 99098,A000000,02300,0000,02300INTRAVENOUS THERAPY 99098,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99098,A000000,02500,0000,02500PHYSICAL THERAPY 99098,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99098,A000000,02700,0000,02700SPEECH PATHOLOGY 99098,A000000,02800,0000,02800ELECTROCARDIOLOGY 99098,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99098,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99098,A000000,03050,0000,03300EQUIPMENT RENTAL 99098,A000000,03051,0000,03301PEN THERAPY 99098,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99098,A000000,03200,0000,03200SUPPORT SURFACES 99098,A000000,04800,0000,04800AMBULANCE 99098,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99098,A000000,05300,0000,05300INTEREST EXPENSE 99098,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99098,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99098,A000000,06150,0000,06300VENDING 99098,A000000,06151,0000,06301STAND-BY 99098,A000000,06200,0000,06200PATIENTS LAUNDRY 99098,A81000A,00100,0100,Y 99098,A81000B,00100,0300,HOME OFFICE COST 99098,A81000B,00200,0300,DIETARY SUPPLEMENTS 99098,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99098,A81000B,00400,0300,PRESCRIPTION DRUGS 99098,A81000B,00500,0300,MEDICAL SUPPLIES 99098,A81000B,00600,0300,ADMIN COSTS 99098,A81000B,00700,0300,HOME OFFICE INTEREST 99098,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99098,A81000B,00900,0300,LEASE EXP-EQUIP. 99098,A81000B,01000,0300,THERAPY CONSULTING 99098,A81000B,01100,0300,PHYSICAL THERAPY 99098,A81000B,01200,0300,OCCUPATIONAL THERAPY 99098,A81000B,01300,0300,SPEECH THERAPY 99098,A81000B,01400,0300,ANC EQUIP RENTAL 99098,A81000B,01500,0300,SUPPLIES-ACTIVITIES 99098,A81000C,00100,0100,B 99098,A81000C,00100,0200,CI OF LLANO-#13 99098,A81000C,00100,0400,MARINER PAN 99098,A81000C,00100,0600,NURSING HOMES 99098,A81000C,00200,0100,G 99098,A81000C,00200,0200,MARINER PAN 99098,A81000C,00200,0400,AMER PHARM SVCS 99098,A81000C,00200,0600,PHARMACEUTICALS 99098,A81000C,00300,0100,G 99098,A81000C,00300,0200,MARINER PAN 99098,A81000C,00300,0400,PRISM-ATS-ARS-T 99098,A81000C,00300,0600,THERAPIES 99098,A81000C,03100,0000,MARINER PAN 99098,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99098,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99098,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99098,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99098,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99098,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99098,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99098,B100000,00000,0800,00001MEALS SERVED :DIETARY 99098,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99098,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99098,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99098,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99098,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99098,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99098,E10A180,00301,0100,03/31/1999 99098,E10A180,00302,0100,01/10/2000 99098,E10A180,00350,0100,01/06/1999 99098,E10A180,00351,0100,06/23/1999 99098,E10A180,00352,0100,09/29/1999 99098,S000000,00100,0200,03/03/2000 99098,S200000,00100,0100,800 WEST HAYNIE 99098,S200000,00200,0100,LLANO 99098,S200000,00200,0200,CA 99098,S200000,00200,0300,78643- 99098,S200000,00300,0100,LLANO 99098,S200000,00400,0100,CARE INN OF LLANO 99098,S200000,00400,0200,675076 99098,S200000,00400,0300,08/28/1992 99098,S200000,00400,0500,P 99098,S200000,01600,0100,Y 99098,S200000,02200,0100,Y 99098,S200000,04300,0100,Y 99098,S700003,00000,0100,1 99106,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99106,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99106,A000000,00300,0000,00300EMPLOYEE BENEFITS 99106,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99106,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99106,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99106,A000000,00700,0000,00700HOUSEKEEPING 99106,A000000,00800,0000,00800DIETARY 99106,A000000,00900,0000,00900NURSING ADMINISTRATION 99106,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99106,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99106,A000000,01300,0000,01300SOCIAL SERVICE 99106,A000000,01301,0000,01301ACTIVITES 99106,A000000,01350,0000,01500REHABILITATION 99106,A000000,01600,0000,01600SKILLED NURSING FACILITY 99106,A000000,01800,0000,01800NURSING FACILITY 99106,A000000,01900,0000,01900OTHER LONG TERM CARE 99106,A000000,02100,0000,02100RADIOLOGY 99106,A000000,02200,0000,02200LABORATORY 99106,A000000,02300,0000,02300INTRAVENOUS THERAPY 99106,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99106,A000000,02500,0000,02500PHYSICAL THERAPY 99106,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99106,A000000,02700,0000,02700SPEECH PATHOLOGY 99106,A000000,02800,0000,02800ELECTROCARDIOLOGY 99106,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99106,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99106,A000000,03050,0000,03300EQUIPMENT RENTAL 99106,A000000,03051,0000,03301PEN THERAPY 99106,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99106,A000000,03200,0000,03200SUPPORT SURFACES 99106,A000000,04800,0000,04800AMBULANCE 99106,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99106,A000000,05300,0000,05300INTEREST EXPENSE 99106,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99106,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99106,A000000,06150,0000,06300VENDING 99106,A000000,06151,0000,06301STAND-BY 99106,A000000,06200,0000,06200PATIENTS LAUNDRY 99106,A81000A,00100,0100,Y 99106,A81000B,00100,0300,HOME OFFICE COST 99106,A81000B,00200,0300,DIETARY SUPPLEMENTS 99106,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99106,A81000B,00400,0300,PRESCRIPTION DRUGS 99106,A81000B,00500,0300,MEDICAL SUPPLIES 99106,A81000B,00600,0300,CAPITAL 99106,A81000B,00700,0300,HOME OFFICE INTEREST 99106,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99106,A81000B,00900,0300,IV THERAPY 99106,A81000B,01000,0300,THERAPY CONSULTING 99106,A81000B,01100,0300,PHYSICAL THERAPY 99106,A81000B,01200,0300,OCCUPATIONAL THERAPY 99106,A81000B,01300,0300,SPEECH THERAPY 99106,A81000B,01400,0300,PEN 99106,A81000C,00100,0100,B 99106,A81000C,00100,0200,STONEYBROOK 139 99106,A81000C,00100,0400,MARINER PAN 99106,A81000C,00100,0600,NURSING HOMES 99106,A81000C,00200,0100,G 99106,A81000C,00200,0200,MARINER PAN 99106,A81000C,00200,0400,AMER PHARM SVCS 99106,A81000C,00200,0600,PHARMACEUTICALS 99106,A81000C,00300,0100,G 99106,A81000C,00300,0200,MARINER PAN 99106,A81000C,00300,0400,PRISM-ATS-ARS-T 99106,A81000C,00300,0600,THERAPIES 99106,A81000C,03100,0000,MARINER PAN 99106,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99106,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99106,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99106,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99106,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99106,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99106,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99106,B100000,00000,0800,00001MEALS SERVED :DIETARY 99106,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99106,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99106,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99106,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99106,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99106,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99106,E10A180,00301,0100,01/06/1999 99106,E10A180,00302,0100,09/29/1999 99106,E10A180,00350,0100,03/31/1999 99106,E10A180,00351,0100,07/07/1999 99106,E10A180,00352,0100,01/10/2000 99106,S000000,00100,0200,03/03/2000 99106,S200000,00100,0100,2808 STONEYBROOK 99106,S200000,00200,0100,HOUSTON 99106,S200000,00200,0200,TX 99106,S200000,00200,0300,77063- 99106,S200000,00300,0100,HARRIS 99106,S200000,00400,0100,STONEYBROOK HEALTHCARE CENTER 99106,S200000,00400,0200,675078 99106,S200000,00400,0300,08/01/1992 99106,S200000,00400,0500,P 99106,S200000,01600,0100,Y 99106,S200000,02200,0100,Y 99106,S200000,04300,0100,Y 99114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99114,A000000,00300,0000,00300EMPLOYEE BENEFITS 99114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99114,A000000,00700,0000,00700HOUSEKEEPING 99114,A000000,00800,0000,00800DIETARY 99114,A000000,00900,0000,00900NURSING ADMINISTRATION 99114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99114,A000000,01300,0000,01300SOCIAL SERVICE 99114,A000000,01301,0000,01301ACTIVITES 99114,A000000,01350,0000,01500REHABILITATION 99114,A000000,01600,0000,01600SKILLED NURSING FACILITY 99114,A000000,01800,0000,01800NURSING FACILITY 99114,A000000,01900,0000,01900OTHER LONG TERM CARE 99114,A000000,02100,0000,02100RADIOLOGY 99114,A000000,02200,0000,02200LABORATORY 99114,A000000,02300,0000,02300INTRAVENOUS THERAPY 99114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99114,A000000,02500,0000,02500PHYSICAL THERAPY 99114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99114,A000000,02700,0000,02700SPEECH PATHOLOGY 99114,A000000,02800,0000,02800ELECTROCARDIOLOGY 99114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99114,A000000,03050,0000,03300EQUIPMENT RENTAL 99114,A000000,03051,0000,03301PEN THERAPY 99114,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99114,A000000,03200,0000,03200SUPPORT SURFACES 99114,A000000,04800,0000,04800AMBULANCE 99114,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99114,A000000,05300,0000,05300INTEREST EXPENSE 99114,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99114,A000000,06150,0000,06300VENDING 99114,A000000,06151,0000,06301STAND-BY 99114,A000000,06200,0000,06200PATIENTS LAUNDRY 99114,A81000A,00100,0100,Y 99114,A81000B,00100,0300,HOME OFFICE COST 99114,A81000B,00200,0300,DIETARY SUPPLEMENTS 99114,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99114,A81000B,00400,0300,PRESCRIPTION DRUGS 99114,A81000B,00500,0300,MEDICAL SUPPLIES 99114,A81000B,00600,0300,ADMIN COSTS 99114,A81000B,00700,0300,HOME OFFICE INTEREST 99114,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99114,A81000B,00900,0300,IV THERAPY 99114,A81000B,01000,0300,OTHER ACTIVITIES 99114,A81000B,01100,0300,PHYSICAL THERAPY 99114,A81000B,01200,0300,OCCUPATIONAL THERAPY 99114,A81000B,01300,0300,SPEECH THERAPY 99114,A81000B,01400,0300,ANC EQUIP RENTAL 99114,A81000B,01500,0300,PEN THERAPY 99114,A81000C,00100,0100,B 99114,A81000C,00100,0200,ALLENBROOK-#139 99114,A81000C,00100,0400,MARINER PAN 99114,A81000C,00100,0600,NURSING HOMES 99114,A81000C,00200,0100,G 99114,A81000C,00200,0200,MARINER PAN 99114,A81000C,00200,0400,AMER PHARM SVCS 99114,A81000C,00200,0600,PHARMACEUTICALS 99114,A81000C,00300,0100,G 99114,A81000C,00300,0200,MARINER PAN 99114,A81000C,00300,0400,PRISM-ATS-ARS-T 99114,A81000C,00300,0600,THERAPIES 99114,A81000C,03100,0000,MARINER PAN 99114,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99114,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99114,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99114,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99114,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99114,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99114,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99114,B100000,00000,0800,00001MEALS SERVED :DIETARY 99114,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99114,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99114,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99114,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99114,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99114,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99114,E10A180,00301,0100,01/06/1999 99114,E10A180,00302,0100,09/29/1999 99114,E10A180,00350,0100,03/31/1999 99114,E10A180,00351,0100,07/07/1999 99114,E10A180,00352,0100,01/10/2000 99114,S000000,00100,0200,03/03/2000 99114,S200000,00100,0100,4109 ALLENBROOK DR. 99114,S200000,00200,0100,BAYTOWN 99114,S200000,00200,0200,TX 99114,S200000,00200,0300,77520- 99114,S200000,00300,0100,HARRIS 99114,S200000,00300,0200,3360 99114,S200000,00300,0300,U 99114,S200000,00400,0100,ALLENBROOK HEALTHCARE CENTER 99114,S200000,00400,0200,675079 99114,S200000,00400,0300,08/01/1992 99114,S200000,00400,0500,P 99114,S200000,01600,0100,Y 99114,S200000,02200,0100,Y 99114,S200000,04300,0100,Y 99121,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99121,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99121,A000000,00300,0000,00300EMPLOYEE BENEFITS 99121,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99121,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99121,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99121,A000000,00700,0000,00700HOUSEKEEPING 99121,A000000,00800,0000,00800DIETARY 99121,A000000,00900,0000,00900NURSING ADMINISTRATION 99121,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99121,A000000,01100,0000,01100PHARMACY 99121,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99121,A000000,01300,0000,01300SOCIAL SERVICE 99121,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99121,A000000,01600,0000,01600SKILLED NURSING FACILITY 99121,A000000,01800,0000,01800NURSING FACILITY 99121,A000000,01810,0000,01810ICF/MR 99121,A000000,02100,0000,02100RADIOLOGY 99121,A000000,02200,0000,02200LABORATORY 99121,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99121,A000000,02500,0000,02500PHYSICAL THERAPY 99121,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99121,A000000,02700,0000,02700SPEECH PATHOLOGY 99121,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99121,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99121,A000000,03550,0000,03550FQHC 99121,A000000,05000,0000,05000CORF 99121,A000000,05010,0000,05010CMHC 99121,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 99121,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 99121,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 99121,A000000,05500,0000,05500HOSPICE 99121,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99121,A000000,05801,0000,05801BYER CENTER/ECHAD/APARTMENTS 99121,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99121,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99121,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99121,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99121,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99121,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99121,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99121,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 99121,B100000,00000,0800,00000MEALS SERVED :DIETARY 99121,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 99121,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 99121,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 99121,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99121,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99121,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99121,S000000,00100,0200,04/03/2000 99121,S200000,00100,0100,2525 CENTERVILLE ROAD 99121,S200000,00200,0100,DALLAS 99121,S200000,00200,0200,TX 99121,S200000,00200,0300,75228- 99121,S200000,00300,0100,DALLAS 99121,S200000,00400,0100,DALLAS HOME FOR THE JEWISH AGED 99121,S200000,00400,0200,675081 99121,S200000,00400,0300,02/01/1993 99121,S200000,00400,0500,P 99121,S200000,00600,0200,675081 99121,S200000,00600,0300,02/01/1993 99121,S200000,00600,0600,P 99121,S200000,01600,0100,Y 99121,S700003,00000,0100,1 99144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99144,A000000,00300,0000,00300EMPLOYEE BENEFITS 99144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99144,A000000,00700,0000,00700HOUSEKEEPING 99144,A000000,00800,0000,00800DIETARY 99144,A000000,00900,0000,00900NURSING ADMINISTRATION 99144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99144,A000000,01100,0000,01100PHARMACY 99144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99144,A000000,01300,0000,01300SOCIAL SERVICE 99144,A000000,01600,0000,01600SKILLED NURSING FACILITY 99144,A000000,01800,0000,01800NURSING FACILITY 99144,A000000,02100,0000,02100RADIOLOGY 99144,A000000,02200,0000,02200LABORATORY 99144,A000000,02300,0000,02300INTRAVENOUS THERAPY 99144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99144,A000000,02500,0000,02500PHYSICAL THERAPY 99144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99144,A000000,02700,0000,02700SPEECH PATHOLOGY 99144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99144,A000000,03200,0000,03200SUPPORT SURFACES 99144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99144,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99144,A81000A,00100,0100,Y 99144,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99144,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99144,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL 99144,A81000C,00100,0100,A 99144,A81000C,00100,0200,JAMES PATTERSON 99144,A81000C,00100,0400,PYRAMID HEALTHCARE 99144,A81000C,00100,0600,LTC MANAGEMENT 99144,A81000C,00200,0100,A 99144,A81000C,00200,0200,ROBERT GRIMES 99144,A81000C,00200,0400,PYRAMID HEALTHCARE 99144,A81000C,00200,0600,LTC MANAGEMENT 99144,A81000C,00300,0100,A 99144,A81000C,00300,0200,DIANE WARD 99144,A81000C,00300,0400,PYRAMID HEALTHCARE 99144,A81000C,00300,0600,LTC MANAGEMENT 99144,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99144,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99144,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99144,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99144,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99144,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99144,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99144,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99144,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99144,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99144,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99144,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99144,S000000,00100,0200,06/28/2000 99144,S200000,00100,0100,1725 OLD BRANDON RD RT. 3 99144,S200000,00200,0100,HILLSBORO 99144,S200000,00200,0200,TX 99144,S200000,00200,0300,76645-2798 99144,S200000,00300,0100,HILL 99144,S200000,00300,0200,0045 99144,S200000,00300,0300,R 99144,S200000,00400,0100,CANTERBURY VILLA OF HILLSBORO 99144,S200000,00400,0200,675096 99144,S200000,00400,0300,11/12/1992 99144,S200000,00400,0500,P 99144,S200000,01600,0100,Y 99161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99161,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 99161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99161,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 99161,A000000,00300,0000,00300EMPLOYEE BENEFITS 99161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99161,A000000,00700,0000,00700HOUSEKEEPING 99161,A000000,00800,0000,00800DIETARY 99161,A000000,00801,0000,00801CAFETERIA 99161,A000000,00900,0000,00900NURSING ADMINISTRATION 99161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99161,A000000,01100,0000,01100PHARMACY 99161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99161,A000000,01300,0000,01300SOCIAL SERVICE 99161,A000000,01350,0000,01500ACTIVITIES 99161,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99161,A000000,01600,0000,01600SKILLED NURSING FACILITY 99161,A000000,01800,0000,01800NURSING FACILITY 99161,A000000,01900,0000,01900OTHER LONG TERM CARE 99161,A000000,02100,0000,02100RADIOLOGY 99161,A000000,02200,0000,02200LABORATORY 99161,A000000,02300,0000,02300INTRAVENOUS THERAPY 99161,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99161,A000000,02500,0000,02500PHYSICAL THERAPY 99161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99161,A000000,02700,0000,02700SPEECH PATHOLOGY 99161,A000000,02800,0000,02800ELECTROCARDIOLOGY 99161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99161,A000000,03050,0000,03300OTHER ANCILLARY 99161,A000000,03051,0000,03301OTHER ANCILLARY II 99161,A000000,03052,0000,03302OTHER ANCILLARY III 99161,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99161,A000000,03200,0000,03200SUPPORT SURFACES 99161,A000000,03400,0000,03400CLINIC 99161,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 99161,A000000,03500,0000,03500RURAL HEALTH CLINIC 99161,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99161,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99161,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99161,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99161,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99161,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99161,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99161,A000000,04400,0000,04400DME RENTED - HHA 99161,A000000,04500,0000,04500DME SOLD - HHA 99161,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99161,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99161,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99161,A000000,04800,0000,04800AMBULANCE 99161,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99161,A000000,05000,0000,05000CORF 99161,A000000,05010,0000,05010CMHC I 99161,A000000,05020,0000,05020OPT I 99161,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99161,A000000,05300,0000,05300INTEREST EXPENSE 99161,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 99161,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 99161,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99161,A000000,05500,0000,05500HOSPICE 99161,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99161,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99161,A000000,06100,0000,06100NONPAID WORKERS 99161,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99161,A000000,06200,0000,06200PATIENTS LAUNDRY 99161,A81000A,00100,0100,Y 99161,A81000B,00100,0300,HO MGT FEES 99161,A81000B,00200,0300,NURSE CONSULTANT 99161,A81000C,00100,0100,B 99161,A81000C,00100,0400,REG NURS&REHAB 99161,A81000C,00100,0600,HEALTHCARE 99161,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 99161,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 99161,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 99161,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 99161,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 99161,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99161,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 99161,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 99161,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 99161,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 99161,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 99161,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 99161,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 99161,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 99161,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 99161,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 99161,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 99161,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 99161,S000000,00100,0200,06/01/2000 99161,S200000,00100,0100,1310 EAST BROADWAY 99161,S200000,00200,0100,CUERO 99161,S200000,00200,0200,TX 99161,S200000,00200,0300,77954- 99161,S200000,00300,0100,DEWITT 99161,S200000,00400,0100,CUERO NURSING CENTER 99161,S200000,00400,0200,675110 99161,S200000,00400,0300,02/28/1993 99161,S200000,00400,0500,P 99161,S200000,01600,0100,Y 99161,S200000,02200,0100,Y 99161,S200000,04300,0100,Y 99161,S700003,00000,0100,1 99169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99169,A000000,00300,0000,00300EMPLOYEE BENEFITS 99169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99169,A000000,00700,0000,00700HOUSEKEEPING 99169,A000000,00800,0000,00800DIETARY 99169,A000000,00900,0000,00900NURSING ADMINISTRATION 99169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99169,A000000,01300,0000,01300SOCIAL SERVICE 99169,A000000,01600,0000,01600SKILLED NURSING FACILITY 99169,A000000,01800,0000,01800NURSING FACILITY 99169,A000000,02100,0000,02100RADIOLOGY 99169,A000000,02200,0000,02200LABORATORY 99169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99169,A000000,02500,0000,02500PHYSICAL THERAPY 99169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99169,A000000,02700,0000,02700SPEECH PATHOLOGY 99169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99169,A000000,03050,0000,03201OTHER ANCILLARY 99169,A000000,03200,0000,03200SUPPORT SURFACES 99169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99169,A81000A,00100,0100,Y 99169,A81000B,00100,0300,HOME OFFICE COSTS 99169,A81000B,00200,0300,NURSING SUPPLIES 99169,A81000B,00300,0300,MEDICAL SUPPLIES 99169,A81000B,00400,0300,PHARMACY SUPPLIES 99169,A81000B,00500,0300,PRESCRIPTION DRUGS 99169,A81000B,00600,0300,PHARMACY CONSULTANT 99169,A81000B,00700,0300,MEDICAL SUPPLIES 99169,A81000C,00100,0100,B 99169,A81000C,00100,0200,TX DVCR LTD PAR 99169,A81000C,00100,0400,ADVOCAT INC. 99169,A81000C,00100,0600,L/T CARE MGT CO 99169,A81000C,00200,0100,B 99169,A81000C,00200,0200,ADVOCAT DIST SE 99169,A81000C,00200,0400,ADVOCAT INC. 99169,A81000C,00200,0600,M/S SUPPLY COMP 99169,A81000C,00300,0100,B 99169,A81000C,00300,0200,ADVOCAT DIST SE 99169,A81000C,00300,0400,ADVOCAT INC. 99169,A81000C,00300,0600,M/S SUPPLY COMP 99169,A81000C,00400,0100,B 99169,A81000C,00400,0200,AAS PHARMACY 99169,A81000C,00400,0400,ADVOCAT INC. 99169,A81000C,00400,0600,PHARMACY SUPPLY 99169,A81000C,00500,0100,B 99169,A81000C,00500,0200,AAS PHARMACY 99169,A81000C,00500,0400,ADVOCAT INC. 99169,A81000C,00500,0600,PHARMACY SUPPLY 99169,A81000C,00600,0100,B 99169,A81000C,00600,0200,AAS PHARMACY 99169,A81000C,00600,0400,ADVOCAT INC. 99169,A81000C,00600,0600,PHARMACY SUPPLY 99169,A81000C,00700,0100,B 99169,A81000C,00700,0200,AAS PHARMACY 99169,A81000C,00700,0400,ADVOCAT INC. 99169,A81000C,00700,0600,PHARMACY SUPPLY 99169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99169,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99169,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99169,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99169,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99169,B100000,00000,0950,00000TOTAL HRS SUPRVSD :NURSING ADMINIST 99169,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99169,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99169,S000000,00100,0200,09/01/2000 99169,S200000,00100,0100,161 NORTH WELCH ST. 99169,S200000,00200,0100,GOLIAD 99169,S200000,00200,0200,TX 99169,S200000,00200,0300,77963-0108 99169,S200000,00300,0100,GOLIAD 99169,S200000,00400,0100,GOLIAD MANOR 99169,S200000,00400,0200,675114 99169,S200000,00400,0300,01/29/1993 99169,S200000,00400,0500,P 99169,S200000,01600,0100,Y 99169,S200000,02200,0100,Y 99169,S700003,00000,0100,1 99176,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99176,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99176,A000000,00300,0000,00300EMPLOYEE BENEFITS 99176,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99176,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99176,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99176,A000000,00700,0000,00700HOUSEKEEPING 99176,A000000,00800,0000,00800DIETARY 99176,A000000,00801,0000,00801CAFETERIA 99176,A000000,00900,0000,00900NURSING ADMINISTRATION 99176,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99176,A000000,01100,0000,01100PHARMACY 99176,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99176,A000000,01300,0000,01300SOCIAL SERVICE 99176,A000000,01600,0000,01600SKILLED NURSING FACILITY 99176,A000000,01800,0000,01800NURSING FACILITY 99176,A000000,01900,0000,01900OTHER LONG TERM CARE 99176,A000000,02100,0000,02100RADIOLOGY 99176,A000000,02200,0000,02200LABORATORY 99176,A000000,02300,0000,02300INTRAVENOUS THERAPY 99176,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99176,A000000,02500,0000,02500PHYSICAL THERAPY 99176,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99176,A000000,02700,0000,02700SPEECH PATHOLOGY 99176,A000000,02800,0000,02800ELECTROCARDIOLOGY 99176,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99176,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99176,A000000,03200,0000,03200SUPPORT SURFACES 99176,A000000,04800,0000,04800AMBULANCE 99176,A000000,05300,0000,05300INTEREST EXPENSE 99176,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99176,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99176,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99176,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99176,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99176,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99176,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99176,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99176,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99176,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99176,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99176,B100000,00000,0800,00000MEALS SERVED :DIETARY 99176,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99176,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99176,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99176,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99176,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99176,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99176,S000000,00100,0200,06/13/2000 99176,S200000,00100,0100,800 WEST 13TH STREET 99176,S200000,00100,0300,409 99176,S200000,00200,0100,OLTON 99176,S200000,00200,0200,TX 99176,S200000,00200,0300,79064- 99176,S200000,00300,0100,LAMB 99176,S200000,00400,0100,RUNNINGWATER DRAW CARE CENTER 99176,S200000,00400,0200,675117 99176,S200000,00400,0300,02/09/1993 99176,S200000,00400,0500,P 99176,S200000,01600,0100,Y 99176,S700003,00000,0100,1 99184,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99184,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99184,A000000,00300,0000,00300EMPLOYEE BENEFITS 99184,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99184,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99184,A000000,00700,0000,00700HOUSEKEEPING 99184,A000000,00800,0000,00800DIETARY 99184,A000000,00900,0000,00900NURSING ADMINISTRATION 99184,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99184,A000000,01300,0000,01300SOCIAL SERVICE 99184,A000000,01450,0000,01500ACTIVITIES 99184,A000000,01600,0000,01600SKILLED NURSING FACILITY 99184,A000000,01800,0000,01800NURSING FACILITY 99184,A000000,01810,0000,01810ICF/MR 99184,A000000,01900,0000,01900OTHER LONG TERM CARE 99184,A000000,02100,0000,02100RADIOLOGY 99184,A000000,02200,0000,02200LABORATORY 99184,A000000,02300,0000,02300INTRAVENOUS THERAPY 99184,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99184,A000000,02500,0000,02500PHYSICAL THERAPY 99184,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99184,A000000,02700,0000,02700SPEECH PATHOLOGY 99184,A000000,02800,0000,02800ELECTROCARDIOLOGY 99184,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99184,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99184,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 99184,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99184,A000000,03200,0000,03200SUPPORT SURFACES 99184,A000000,03400,0000,03400CLINIC 99184,A000000,03500,0000,03500RURAL HEALTH CLINIC 99184,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 99184,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99184,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99184,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99184,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99184,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99184,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99184,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99184,A000000,04400,0000,04400DME RENTED - HHA 99184,A000000,04500,0000,04500DME SOLD - HHA 99184,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99184,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99184,A000000,04800,0000,04800AMBULANCE 99184,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99184,A000000,05000,0000,05000CORF 99184,A000000,05010,0000,05010CMHC 99184,A000000,05020,0000,05020OPT 99184,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 99184,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 99184,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99184,A000000,05300,0000,05300INTEREST EXPENSE 99184,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99184,A000000,05500,0000,05500HOSPICE 99184,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99184,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99184,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99184,A000000,06100,0000,06100NONPAID WORKERS 99184,A000000,06200,0000,06200PATIENTS LAUNDRY 99184,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 99184,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 99184,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 99184,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99184,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 99184,B100000,00000,0700,00000(HOURS OF SERVICE) :HOUSEKEEPING 99184,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 99184,B100000,00000,0900,00000(DIR NRSG HOURS) :NURSING ADMINISTR 99184,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 99184,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 99184,B100000,00000,1450,00000PT DAYS :ACTIVITIES 99184,S000000,00100,0200,08/24/2000 99184,S200000,00100,0100,6500 BRUSH COUNTRY ROAD 99184,S200000,00200,0100,AUSTIN 99184,S200000,00200,0200,CA 99184,S200000,00200,0300,78749- 99184,S200000,00300,0100,TRAVIS 99184,S200000,00300,0200,0640 99184,S200000,00300,0300,U 99184,S200000,00400,0100,REGENCY VILLAGE CARE CENTER 99184,S200000,00400,0200,675118 99184,S200000,00400,0300,03/01/1993 99184,S200000,00400,0500,P 99184,S200000,01600,0100,Y 99184,S200000,02200,0100,Y 99184,S200000,04900,0100,Y 99192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99192,A000000,00300,0000,00300EMPLOYEE BENEFITS 99192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99192,A000000,00700,0000,00700HOUSEKEEPING 99192,A000000,00800,0000,00800DIETARY 99192,A000000,00900,0000,00900NURSING ADMINISTRATION 99192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99192,A000000,01100,0000,01100PHARMACY 99192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99192,A000000,01300,0000,01300SOCIAL SERVICE 99192,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99192,A000000,01600,0000,01600SKILLED NURSING FACILITY 99192,A000000,01900,0000,01900OTHER LONG TERM CARE 99192,A000000,02100,0000,02100RADIOLOGY 99192,A000000,02200,0000,02200LABORATORY 99192,A000000,02300,0000,02300INTRAVENOUS THERAPY 99192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99192,A000000,02500,0000,02500PHYSICAL THERAPY 99192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99192,A000000,02700,0000,02700SPEECH PATHOLOGY 99192,A000000,02800,0000,02800ELECTROCARDIOLOGY 99192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99192,A000000,03050,0000,03201ENTERNAL SUPPLIES 99192,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99192,A000000,03200,0000,03200SUPPORT SURFACES 99192,A000000,03400,0000,03400CLINIC 99192,A000000,04800,0000,04800AMBULANCE 99192,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99192,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99192,A000000,05300,0000,05300INTEREST EXPENSE 99192,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99192,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99192,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99192,A000000,06100,0000,06100NONPAID WORKERS 99192,A000000,06200,0000,06200PATIENTS LAUNDRY 99192,A81000A,00100,0100,Y 99192,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 99192,A81000B,00200,0300,LAUNDRY SERVICES 99192,A81000B,00300,0300,MENU PLANNING 99192,A81000B,00400,0300,CENTRAL OFFICE: BLDG 99192,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 99192,A81000B,00600,0300,DRUGS 99192,A81000C,00100,0100,B 99192,A81000C,00100,0200,CANTEX HC CTRS 99192,A81000C,00100,0600,LTC MANAGEMENT 99192,A81000C,00200,0100,B 99192,A81000C,00200,0200,HEALTHCARE LNEN 99192,A81000C,00200,0600,LAUNDRY SERVICE 99192,A81000C,00300,0100,A 99192,A81000C,00300,0200,ALBERT J. LONGO 99192,A81000C,00300,0400,NOVA 99192,A81000C,00300,0600,MENU PLANNING 99192,A81000C,00400,0100,B 99192,A81000C,00400,0200,CANTEX HC CTRS 99192,A81000C,00400,0600,LTC MANAGEMENT 99192,A81000C,00500,0100,B 99192,A81000C,00500,0200,CANTEX HC CTRS 99192,A81000C,00500,0600,LTC MANAGEMENT 99192,A81000C,00600,0100,B 99192,A81000C,00600,0200,PHARMACARE 99192,A81000C,00600,0600,LTC MANAGEMENT 99192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99192,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 99192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99192,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99192,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 99192,B100000,00000,0800,00000MEALS SERVED :DIETARY 99192,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99192,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99192,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99192,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99192,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99192,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99192,E10A180,00350,0100,12/31/1999 99192,S000000,00100,0200,05/31/2000 99192,S200000,00100,0100,102 NORTH BEACH STREET 99192,S200000,00200,0100,WOODVILLE 99192,S200000,00200,0200,TX 99192,S200000,00200,0300,75979- 99192,S200000,00300,0100,TYLER 99192,S200000,00400,0100,WOODVILLE CONVALESCENT CENTER 99192,S200000,00400,0200,675120 99192,S200000,00400,0300,04/12/1993 99192,S200000,00400,0500,P 99192,S200000,01600,0100,Y 99192,S700003,00000,0100,1 99201,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99201,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99201,A000000,00300,0000,00300EMPLOYEE BENEFITS 99201,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99201,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99201,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99201,A000000,00700,0000,00700HOUSEKEEPING 99201,A000000,00800,0000,00800DIETARY 99201,A000000,00900,0000,00900NURSING ADMINISTRATION 99201,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99201,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99201,A000000,01300,0000,01300SOCIAL SERVICE 99201,A000000,01301,0000,01301ACTIVITES 99201,A000000,01350,0000,01500REHABILITATION 99201,A000000,01600,0000,01600SKILLED NURSING FACILITY 99201,A000000,01800,0000,01800NURSING FACILITY 99201,A000000,01900,0000,01900OTHER LONG TERM CARE 99201,A000000,02100,0000,02100RADIOLOGY 99201,A000000,02200,0000,02200LABORATORY 99201,A000000,02300,0000,02300INTRAVENOUS THERAPY 99201,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99201,A000000,02500,0000,02500PHYSICAL THERAPY 99201,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99201,A000000,02700,0000,02700SPEECH PATHOLOGY 99201,A000000,02800,0000,02800ELECTROCARDIOLOGY 99201,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99201,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99201,A000000,03050,0000,03300EQUIPMENT RENTAL 99201,A000000,03051,0000,03301PEN THERAPY 99201,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99201,A000000,03200,0000,03200SUPPORT SURFACES 99201,A000000,04800,0000,04800AMBULANCE 99201,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99201,A000000,05300,0000,05300INTEREST EXPENSE 99201,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99201,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99201,A000000,06150,0000,06300VENDING 99201,A000000,06151,0000,06301STAND-BY 99201,A000000,06200,0000,06200PATIENTS LAUNDRY 99201,A81000A,00100,0100,Y 99201,A81000B,00100,0300,HOME OFFICE COST 99201,A81000B,00200,0300,DIETARY SUPPLEMENTS 99201,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99201,A81000B,00400,0300,PRESCRIPTION DRUGS 99201,A81000B,00500,0300,MEDICAL SUPPLIES 99201,A81000B,00600,0300,HOME OFFICE INTEREST 99201,A81000B,00700,0300,IV THERAPY 99201,A81000B,00800,0300,ANC EQUIP RENTAL 99201,A81000B,00900,0300,PEN 99201,A81000B,01000,0300,CAPITAL 99201,A81000C,00100,0100,B 99201,A81000C,00100,0200,CI-GONZALES 99201,A81000C,00100,0400,MARINER PAN 99201,A81000C,00100,0600,NURSING HOMES 99201,A81000C,00200,0100,G 99201,A81000C,00200,0200,MARINER PAN 99201,A81000C,00200,0400,AMER PHARM SVCS 99201,A81000C,00200,0600,PHARMACEUTICALS 99201,A81000C,00300,0100,G 99201,A81000C,00300,0200,MARINER PAN 99201,A81000C,00300,0400,PRISM-ATS-ARS-T 99201,A81000C,00300,0600,THERAPIES 99201,A81000C,03100,0000,MARINER PAN 99201,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99201,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99201,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99201,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99201,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99201,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99201,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99201,B100000,00000,0800,00001MEALS SERVED :DIETARY 99201,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99201,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99201,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99201,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99201,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99201,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99201,E10A180,00301,0100,03/31/1999 99201,E10A180,00302,0100,07/21/1999 99201,E10A180,00350,0100,09/29/1999 99201,E10A180,00351,0100,01/10/2000 99201,S000000,00100,0200,03/03/2000 99201,S200000,00100,0100,ROUTE 4 99201,S200000,00100,0300,BOX 145 99201,S200000,00200,0100,GONZALES 99201,S200000,00200,0200,TX 99201,S200000,00200,0300,78629- 99201,S200000,00300,0100,GONZALES 99201,S200000,00400,0100,CARE INN OF GONZALES 99201,S200000,00400,0200,675124 99201,S200000,00400,0300,01/06/1993 99201,S200000,00400,0500,P 99201,S200000,01600,0100,Y 99201,S200000,02200,0100,Y 99201,S200000,04300,0100,Y 99209,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99209,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99209,A000000,00300,0000,00300EMPLOYEE BENEFITS 99209,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99209,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99209,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99209,A000000,00700,0000,00700HOUSEKEEPING 99209,A000000,00800,0000,00800DIETARY 99209,A000000,00900,0000,00900NURSING ADMINISTRATION 99209,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99209,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99209,A000000,01300,0000,01300SOCIAL SERVICE 99209,A000000,01301,0000,01301ACTIVITES 99209,A000000,01350,0000,01500REHABILITATION 99209,A000000,01600,0000,01600SKILLED NURSING FACILITY 99209,A000000,01800,0000,01800NURSING FACILITY 99209,A000000,01900,0000,01900OTHER LONG TERM CARE 99209,A000000,02100,0000,02100RADIOLOGY 99209,A000000,02200,0000,02200LABORATORY 99209,A000000,02300,0000,02300INTRAVENOUS THERAPY 99209,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99209,A000000,02500,0000,02500PHYSICAL THERAPY 99209,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99209,A000000,02700,0000,02700SPEECH PATHOLOGY 99209,A000000,02800,0000,02800ELECTROCARDIOLOGY 99209,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99209,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99209,A000000,03050,0000,03300EQUIPMENT RENTAL 99209,A000000,03051,0000,03301PEN THERAPY 99209,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99209,A000000,03200,0000,03200SUPPORT SURFACES 99209,A000000,04800,0000,04800AMBULANCE 99209,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99209,A000000,05300,0000,05300INTEREST EXPENSE 99209,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99209,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99209,A000000,06150,0000,06300VENDING 99209,A000000,06151,0000,06301STAND-BY 99209,A000000,06200,0000,06200PATIENTS LAUNDRY 99209,A81000A,00100,0100,Y 99209,A81000B,00100,0300,HOME OFFICE COST 99209,A81000B,00200,0300,DIETARY SUPPLEMENTS 99209,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99209,A81000B,00400,0300,PRESCRIPTION DRUGS 99209,A81000B,00500,0300,MEDICAL SUPPLIES 99209,A81000B,00600,0300,ADMIN COSTS 99209,A81000B,00700,0300,HOME OFFICE INTEREST 99209,A81000B,00800,0300,EQUIPMENT RENTAL 99209,A81000B,00900,0300,IV THERAPY 99209,A81000B,01000,0300,THERAPY CONSULTING 99209,A81000B,01100,0300,PHYSICAL THERAPY 99209,A81000B,01200,0300,OCCUPATIONAL THERAPY 99209,A81000B,01300,0300,SPEECH THERAPY 99209,A81000B,01400,0300,ANC EQUIP RENTAL 99209,A81000B,01500,0300,PT SUPPLIES 99209,A81000B,01600,0300,OTHER DIRECT 99209,A81000C,00100,0100,B 99209,A81000C,00100,0200,G.A. - HUMBLE 99209,A81000C,00100,0400,MARINER PAN 99209,A81000C,00100,0600,NURSING HOMES 99209,A81000C,00200,0100,G 99209,A81000C,00200,0200,MARINER PAN 99209,A81000C,00200,0400,AMER PHARM SVCS 99209,A81000C,00200,0600,PHARMACEUTICALS 99209,A81000C,00300,0100,G 99209,A81000C,00300,0200,MARINER PAN 99209,A81000C,00300,0400,PRISM-ATS-ARS-T 99209,A81000C,00300,0600,THERAPIES 99209,A81000C,03100,0000,MARINER PAN 99209,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99209,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99209,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99209,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99209,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99209,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99209,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99209,B100000,00000,0800,00001MEALS SERVED :DIETARY 99209,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99209,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99209,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99209,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99209,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99209,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99209,E10A180,00301,0100,06/23/1999 99209,E10A180,00350,0100,10/13/1999 99209,E10A180,00351,0100,01/05/2000 99209,S000000,00100,0200,08/31/2000 99209,S200000,00100,0100,93 ISAACKS ROAD 99209,S200000,00200,0100,HUMBLE 99209,S200000,00200,0200,TX 99209,S200000,00200,0300,77338- 99209,S200000,00300,0100,HARRIS 99209,S200000,00300,0200,3360 99209,S200000,00300,0300,U 99209,S200000,00400,0100,GREEN ACRES CONVALESCENT CTR HUMBLE 99209,S200000,00400,0200,675127 99209,S200000,00400,0300,03/22/1993 99209,S200000,00400,0500,P 99209,S200000,01600,0100,Y 99209,S200000,02200,0100,Y 99209,S200000,04300,0100,Y 99216,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99216,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99216,A000000,00300,0000,00300EMPLOYEE BENEFITS 99216,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99216,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99216,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99216,A000000,00700,0000,00700HOUSEKEEPING 99216,A000000,00800,0000,00800DIETARY 99216,A000000,00900,0000,00900NURSING ADMINISTRATION 99216,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99216,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99216,A000000,01300,0000,01300SOCIAL SERVICE 99216,A000000,01350,0000,01500RECREATION 99216,A000000,01600,0000,01600SKILLED NURSING FACILITY 99216,A000000,01800,0000,01800NURSING FACILITY 99216,A000000,02100,0000,02100RADIOLOGY 99216,A000000,02200,0000,02200LABORATORY 99216,A000000,02300,0000,02300INTRAVENOUS THERAPY 99216,A000000,02500,0000,02500PHYSICAL THERAPY 99216,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99216,A000000,02700,0000,02700SPEECH PATHOLOGY 99216,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99216,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99216,A000000,03050,0000,03300PEN THERAPY 99216,A000000,03200,0000,03200SUPPORT SURFACES 99216,A000000,05300,0000,05300INTEREST EXPENSE 99216,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99216,A81000A,00100,0100,Y 99216,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 99216,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 99216,A81000C,00100,0100,B 99216,A81000C,00100,0200,STEBBINS FIVE COMPANIES 99216,A81000C,00100,0600,LONG TERM CARE 99216,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99216,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99216,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99216,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99216,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99216,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99216,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99216,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99216,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99216,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99216,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99216,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99216,B100000,00000,1350,00000PATIENT DAYS :RECREATION 99216,S000000,00100,0200,06/01/2000 99216,S200000,00100,0100,1100 NORTH FOURTH STREET 99216,S200000,00200,0100,LONGVIEW 99216,S200000,00200,0200,TX 99216,S200000,00200,0300,75601- 99216,S200000,00300,0100,GREGG 99216,S200000,00400,0100,HIGHLAND PINES NURSING HOME 99216,S200000,00400,0200,675133 99216,S200000,00400,0300,05/01/1993 99216,S200000,00400,0500,P 99216,S200000,01600,0100,Y 99216,S700003,00000,0100,1 99234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99234,A000000,00300,0000,00300EMPLOYEE BENEFITS 99234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99234,A000000,00700,0000,00700HOUSEKEEPING 99234,A000000,00800,0000,00800DIETARY 99234,A000000,00900,0000,00900NURSING ADMINISTRATION 99234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99234,A000000,01100,0000,01100PHARMACY 99234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99234,A000000,01300,0000,01300SOCIAL SERVICE 99234,A000000,01350,0000,01500ACTIVITIES 99234,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99234,A000000,01600,0000,01600SKILLED NURSING FACILITY 99234,A000000,01800,0000,01800NURSING FACILITY 99234,A000000,01900,0000,01900OTHER LONG TERM CARE 99234,A000000,02100,0000,02100RADIOLOGY 99234,A000000,02200,0000,02200LABORATORY 99234,A000000,02300,0000,02300INTRAVENOUS THERAPY 99234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99234,A000000,02500,0000,02500PHYSICAL THERAPY 99234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99234,A000000,02700,0000,02700SPEECH PATHOLOGY 99234,A000000,02800,0000,02800ELECTROCARDIOLOGY 99234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99234,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99234,A000000,03200,0000,03200SUPPORT SURFACES 99234,A000000,03400,0000,03400CLINIC 99234,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99234,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99234,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99234,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99234,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99234,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99234,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99234,A000000,04400,0000,04400DME RENTED - HHA 99234,A000000,04500,0000,04500DME SOLD - HHA 99234,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99234,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99234,A000000,04800,0000,04800AMBULANCE 99234,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99234,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99234,A000000,05300,0000,05300INTEREST EXPENSE 99234,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99234,A000000,05500,0000,05500HOSPICE 99234,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99234,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99234,A000000,06100,0000,06100NONPAID WORKERS 99234,A000000,06200,0000,06200PATIENTS LAUNDRY 99234,A81000A,00100,0100,Y 99234,A81000B,00100,0300,FACILITY LEASE 99234,A81000C,00100,0100,E 99234,A81000C,00100,0200,WILLIAM CUDD 99234,A81000C,00100,0400,NAUVOO PROPERTY 99234,A81000C,00100,0600,RELATED LESSOR 99234,A81000C,00200,0100,E 99234,A81000C,00200,0200,THOMAS F CUDD 99234,A81000C,00200,0400,NAUVOO PROPERTY 99234,A81000C,00200,0600,RELATED LESSOR 99234,A81000C,00300,0100,D 99234,A81000C,00300,0200,ROBERT FOSTER 99234,A81000C,00300,0400,NAUVOO PROPERTY 99234,A81000C,00300,0600,RELATED LESSOR 99234,B100000,00000,0100,00000SQ FT :CAP REL COSTS - BLDGS & FIX 99234,B100000,00000,0250,00000SQ FT :CAP REL COSTS - MOVABLE EQU 99234,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 99234,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99234,B100000,00000,0500,00000SQ FT :PLANT OPERATION MAINT. & R 99234,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 99234,B100000,00000,0750,00000SQ FT :HOUSEKEEPING 99234,B100000,00000,0800,00000MEALS SERVED :DIETARY 99234,B100000,00000,0950,00000DIR HRS OF SERV:NURSING ADMINISTRAT 99234,B100000,00000,1000,00000COSTED REQ CEN SU:CENTRAL SERVICES 99234,B100000,00000,1100,00000PHARM COSTED REQ :PHARMACY 99234,B100000,00000,1200,00000MED REC TIME SPENT:MEDICAL RECORDS 99234,B100000,00000,1300,00000SOC SERV TIME SPENT:SOCIAL SERVICE 99234,B100000,00000,1350,00000ACTIV TIME SPENT :ACTIVITIES 99234,B100000,00000,1450,00000BLANK :INTERNS & RESIDENTS (APPRV 99234,E10A180,00350,0100,01/25/2000 99234,S000000,00100,0200,06/05/2000 99234,S200000,00100,0100,2229 N CARROLL 99234,S200000,00200,0100,DENTON 99234,S200000,00200,0200,TX 99234,S200000,00200,0300,76201- 99234,S200000,00300,0100,DENTON 99234,S200000,00400,0100,DENTON REHAB & NURSING CENTER 99234,S200000,00400,0200,675136 99234,S200000,00400,0300,04/23/1993 99234,S200000,00400,0500,P 99234,S200000,00600,0200,675136 99234,S200000,00600,0300,04/23/1993 99234,S200000,00600,0600,P 99234,S200000,01600,0100,Y 99234,S200000,04300,0100,Y 99243,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99243,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99243,A000000,00300,0000,00300EMPLOYEE BENEFITS 99243,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99243,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99243,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99243,A000000,00700,0000,00700HOUSEKEEPING 99243,A000000,00800,0000,00800DIETARY 99243,A000000,00801,0000,00801CAFETERIA 99243,A000000,00900,0000,00900NURSING ADMINISTRATION 99243,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99243,A000000,01100,0000,01100PHARMACY 99243,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99243,A000000,01300,0000,01300SOCIAL SERVICE 99243,A000000,01600,0000,01600SKILLED NURSING FACILITY 99243,A000000,01800,0000,01800NURSING FACILITY 99243,A000000,01900,0000,01900OTHER LONG TERM CARE 99243,A000000,02100,0000,02100RADIOLOGY 99243,A000000,02200,0000,02200LABORATORY 99243,A000000,02300,0000,02300INTRAVENOUS THERAPY 99243,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99243,A000000,02500,0000,02500PHYSICAL THERAPY 99243,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99243,A000000,02700,0000,02700SPEECH PATHOLOGY 99243,A000000,02800,0000,02800ELECTROCARDIOLOGY 99243,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99243,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99243,A000000,03200,0000,03200SUPPORT SURFACES 99243,A000000,04800,0000,04800AMBULANCE 99243,A000000,05300,0000,05300INTEREST EXPENSE 99243,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99243,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99243,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99243,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99243,A81000A,00100,0100,Y 99243,A81000B,00100,0300,CAPITAL RELATED 99243,A81000B,00200,0300,ADMIN & GEN 99243,A81000C,00100,0100,A 99243,A81000C,00100,0200,DANNY PRINCE 99243,A81000C,00100,0400,P & L MANAGEMEN 99243,A81000C,00100,0600,SNF MGMT COMPAN 99243,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99243,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99243,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99243,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99243,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99243,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99243,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99243,B100000,00000,0800,00000MEALS SERVED :DIETARY 99243,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99243,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99243,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99243,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99243,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99243,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99243,S000000,00100,0200,06/09/2000 99243,S200000,00100,0100,1939 BANDERA ROAD 99243,S200000,00200,0100,SAN ANTONIO 99243,S200000,00200,0200,TX 99243,S200000,00200,0300,78228-2805 99243,S200000,00300,0100,BEXAR 99243,S200000,00400,0100,WILLIAMSBURG NURSING & REHAB 99243,S200000,00400,0200,675138 99243,S200000,00400,0300,04/15/1997 99243,S200000,00400,0500,P 99243,S200000,01600,0100,Y 99243,S700003,00000,0100,1 99250,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99250,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99250,A000000,00300,0000,00300EMPLOYEE BENEFITS 99250,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99250,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99250,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99250,A000000,00700,0000,00700HOUSEKEEPING 99250,A000000,00800,0000,00800DIETARY 99250,A000000,00900,0000,00900NURSING ADMINISTRATION 99250,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99250,A000000,01100,0000,01100PHARMACY 99250,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99250,A000000,01300,0000,01300SOCIAL SERVICE 99250,A000000,01350,0000,01500OTHER GENERAL SERVICES 99250,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99250,A000000,01600,0000,01600SKILLED NURSING FACILITY 99250,A000000,01800,0000,01800NURSING FACILITY 99250,A000000,01810,0000,01801ICF/MR 99250,A000000,01900,0000,01900OTHER LONG TERM CARE 99250,A000000,02100,0000,02100RADIOLOGY 99250,A000000,02200,0000,02200LABORATORY 99250,A000000,02300,0000,02300INTRAVENOUS THERAPY 99250,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99250,A000000,02500,0000,02500PHYSICAL THERAPY 99250,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99250,A000000,02700,0000,02700SPEECH PATHOLOGY 99250,A000000,02800,0000,02800ELECTROCARDIOLOGY 99250,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99250,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99250,A000000,03050,0000,03300MEDICARE PART B SERVICES 99250,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99250,A000000,03200,0000,03200SUPPORT SURFACES 99250,A000000,03201,0000,03201AIR FLUIDIZED THERAPY 99250,A000000,03400,0000,03400CLINIC 99250,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99250,A000000,03500,0000,03500RURAL HEALTH CLINIC 99250,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99250,A000000,04800,0000,04800AMBULANCE 99250,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99250,A000000,05000,0000,05000CORF 99250,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99250,A000000,05300,0000,05300INTEREST EXPENSE 99250,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99250,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99250,A000000,05500,0000,05500HOSPICE 99250,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99250,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99250,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99250,A000000,06100,0000,06100NONPAID WORKERS 99250,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99250,A000000,06200,0000,06200PATIENTS LAUNDRY 99250,A81000A,00100,0100,Y 99250,A81000B,00100,0300,CENTRAL OFFICE COSTS 99250,A81000B,00200,0300,CENTRAL OFFICE COSTS 99250,A81000B,00300,0300,CENTRAL OFFICE COSTS 99250,A81000B,00400,0300,RENTAL/LEASE/BLDG EQUIP 99250,A81000B,00500,0300,RENTAL/LEASE/BLDG EQUIP 99250,A81000B,00600,0300,RENTAL/LEASE/BLDG EQUIP 99250,A81000C,00100,0100,B 99250,A81000C,00100,0200,MARWITZ HEALTHCARE SERVIC 99250,A81000C,00100,0400,MARWITZ HEALTHCARE SERVI 99250,A81000C,00100,0600,NURSING HOME CHAIN 99250,A81000C,00200,0100,B 99250,A81000C,00200,0200,MARWITZ HEALTHCARE SERVI 99250,A81000C,00200,0400,MARWITZ HEALTHCARE SERVIC 99250,A81000C,00200,0600,NURSING HOME 99250,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99250,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99250,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99250,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99250,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99250,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99250,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99250,B100000,00000,0800,00000MEALS SERVED :DIETARY 99250,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99250,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99250,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99250,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99250,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99250,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99250,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99250,S000000,00100,0200,05/02/2000 99250,S200000,00100,0100,1025 W LEAGUE STREET 99250,S200000,00200,0100,GROESBECK 99250,S200000,00200,0200,TX 99250,S200000,00200,0300,76642- 99250,S200000,00300,0100,LIMESTONE 99250,S200000,00400,0100,WINDSOR MANOR NURSING CENTER 99250,S200000,00400,0200,675139 99250,S200000,00400,0300,05/01/1993 99250,S200000,00400,0500,P 99250,S200000,01004,0500,O 99250,S200000,01600,0100,Y 99250,S700003,00000,0100,1 99255,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99255,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99255,A000000,00300,0000,00300EMPLOYEE BENEFITS 99255,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99255,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99255,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99255,A000000,00700,0000,00700HOUSEKEEPING 99255,A000000,00800,0000,00800DIETARY 99255,A000000,00900,0000,00900NURSING ADMINISTRATION 99255,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99255,A000000,01100,0000,01100PHARMACY 99255,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99255,A000000,01300,0000,01300SOCIAL SERVICE 99255,A000000,01350,0000,01500OTHER GENERAL SERVICES 99255,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99255,A000000,01600,0000,01600SKILLED NURSING FACILITY 99255,A000000,01800,0000,01800NURSING FACILITY 99255,A000000,01810,0000,01801ICF/MR 99255,A000000,01900,0000,01900OTHER LONG TERM CARE 99255,A000000,02100,0000,02100RADIOLOGY 99255,A000000,02200,0000,02200LABORATORY 99255,A000000,02300,0000,02300INTRAVENOUS THERAPY 99255,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99255,A000000,02500,0000,02500PHYSICAL THERAPY 99255,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99255,A000000,02700,0000,02700SPEECH PATHOLOGY 99255,A000000,02800,0000,02800ELECTROCARDIOLOGY 99255,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99255,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99255,A000000,03050,0000,03300MEDICARE PART B EXPENSES 99255,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99255,A000000,03200,0000,03200SUPPORT SURFACES 99255,A000000,03201,0000,03201AIR FLUIDIZED THERAPY 99255,A000000,03400,0000,03400CLINIC 99255,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99255,A000000,03500,0000,03500RURAL HEALTH CLINIC 99255,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99255,A000000,04800,0000,04800AMBULANCE 99255,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99255,A000000,05000,0000,05000CORF 99255,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99255,A000000,05300,0000,05300INTEREST EXPENSE 99255,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99255,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99255,A000000,05500,0000,05500HOSPICE 99255,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99255,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99255,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99255,A000000,06100,0000,06100NONPAID WORKERS 99255,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99255,A000000,06200,0000,06200PATIENTS LAUNDRY 99255,A81000A,00100,0100,Y 99255,A81000B,00100,0300,H/O ALLOCATION 99255,A81000B,00200,0300,H/O ALLOCATION 99255,A81000B,00300,0300,H/O ALLOCATION 99255,A81000B,00400,0300,RENTAL/LEASE/BLDG EQUIP 99255,A81000B,00500,0300,RENTAL/LEASE/BLDG EQUIP 99255,A81000B,00600,0300,RENTAL/LEASE/BLDG EQUIP 99255,A81000C,00100,0100,B 99255,A81000C,00100,0200,MARWITZ HEALTHCARE SERVIC 99255,A81000C,00100,0400,MARWITZ HEALTHCARE SERVIC 99255,A81000C,00100,0600,NURSING HOME CHAIN 99255,A81000C,00200,0100,B 99255,A81000C,00200,0200,MARWITZ HEALTHCARE SERVIC 99255,A81000C,00200,0400,MARWITZ HEALTHCARE SERVIC 99255,A81000C,00200,0600,NURSING HOME 99255,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99255,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99255,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99255,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99255,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99255,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99255,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99255,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99255,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99255,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99255,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99255,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99255,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99255,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99255,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99255,S000000,00100,0200,05/01/2000 99255,S200000,00100,0100,1400 LAKE SHORE 99255,S200000,00200,0100,WACO 99255,S200000,00200,0200,TX 99255,S200000,00200,0300,76708-8718 99255,S200000,00300,0100,MCLENNAN 99255,S200000,00400,0100,CRESTVIEW MANOR RETIRE & CONV 99255,S200000,00400,0200,675141 99255,S200000,00400,0300,05/01/1993 99255,S200000,00400,0500,P 99255,S200000,01004,0500,O 99255,S200000,01600,0100,Y 99255,S700003,00000,0100,1 99264,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99264,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99264,A000000,00300,0000,00300EMPLOYEE BENEFITS 99264,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99264,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99264,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99264,A000000,00700,0000,00700HOUSEKEEPING 99264,A000000,00800,0000,00800DIETARY 99264,A000000,00900,0000,00900NURSING ADMINISTRATION 99264,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99264,A000000,01100,0000,01100PHARMACY 99264,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99264,A000000,01300,0000,01300SOCIAL SERVICE 99264,A000000,01350,0000,01500OTHER GENERAL SERVICES 99264,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99264,A000000,01600,0000,01600SKILLED NURSING FACILITY 99264,A000000,01800,0000,01800NURSING FACILITY 99264,A000000,01810,0000,01801ICF/MR 99264,A000000,01900,0000,01900OTHER LONG TERM CARE 99264,A000000,02100,0000,02100RADIOLOGY 99264,A000000,02200,0000,02200LABORATORY 99264,A000000,02300,0000,02300INTRAVENOUS THERAPY 99264,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99264,A000000,02500,0000,02500PHYSICAL THERAPY 99264,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99264,A000000,02700,0000,02700SPEECH PATHOLOGY 99264,A000000,02800,0000,02800ELECTROCARDIOLOGY 99264,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99264,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99264,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99264,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99264,A000000,03200,0000,03200SUPPORT SURFACES 99264,A000000,03400,0000,03400CLINIC 99264,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99264,A000000,03500,0000,03500RURAL HEALTH CLINIC 99264,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99264,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99264,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99264,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99264,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99264,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99264,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99264,A000000,04400,0000,04400DME RENTED - HHA 99264,A000000,04500,0000,04500DME SOLD - HHA 99264,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99264,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99264,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99264,A000000,04800,0000,04800AMBULANCE 99264,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99264,A000000,05000,0000,05000CORF 99264,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99264,A000000,05300,0000,05300INTEREST EXPENSE 99264,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99264,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99264,A000000,05500,0000,05500HOSPICE 99264,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99264,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99264,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99264,A000000,06100,0000,06100NONPAID WORKERS 99264,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99264,A000000,06200,0000,06200PATIENTS LAUNDRY 99264,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99264,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 99264,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99264,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99264,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99264,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99264,B100000,00000,0750,00000SQUARE FT CLEANED :HOUSEKEEPING 99264,B100000,00000,0800,00000MEALS SERVED :DIETARY 99264,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99264,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99264,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99264,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99264,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99264,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99264,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99264,E10A180,00301,0100,08/13/1999 99264,S000000,00100,0200,07/07/2000 99264,S200000,00100,0100,3403 SOUTH VINE STREET 99264,S200000,00200,0100,TYLER 99264,S200000,00200,0200,TX 99264,S200000,00200,0300,75701- 99264,S200000,00300,0100,SMITH 99264,S200000,00400,0100,ATRIA BRIARCLIFF HEALTH CENTER 99264,S200000,00400,0200,675142 99264,S200000,00400,0300,04/13/1993 99264,S200000,00400,0500,P 99264,S200000,01600,0100,Y 99285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99285,A000000,00300,0000,00300EMPLOYEE BENEFITS 99285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99285,A000000,00700,0000,00700HOUSEKEEPING 99285,A000000,00800,0000,00800DIETARY 99285,A000000,00900,0000,00900NURSING ADMINISTRATION 99285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99285,A000000,01100,0000,01100PHARMACY 99285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99285,A000000,01300,0000,01300SOCIAL SERVICE 99285,A000000,01350,0000,01500OTHER GENERAL SERVICES 99285,A000000,01351,0000,01501ACTIVITIES 99285,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99285,A000000,01600,0000,01600SKILLED NURSING FACILITY 99285,A000000,01800,0000,01800NURSING FACILITY 99285,A000000,01810,0000,01810ICF/MR 99285,A000000,01900,0000,01900OTHER LONG TERM CARE 99285,A000000,02100,0000,02100RADIOLOGY 99285,A000000,02200,0000,02200LABORATORY 99285,A000000,02300,0000,02300INTRAVENOUS THERAPY 99285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99285,A000000,02500,0000,02500PHYSICAL THERAPY 99285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99285,A000000,02700,0000,02700SPEECH PATHOLOGY 99285,A000000,02800,0000,02800ELECTROCARDIOLOGY 99285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99285,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99285,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99285,A000000,03200,0000,03200SUPPORT SURFACES 99285,A000000,03400,0000,03400CLINIC 99285,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99285,A000000,03500,0000,03500RURAL HEALTH CLINIC 99285,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99285,A000000,04800,0000,04800AMBULANCE 99285,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99285,A000000,05000,0000,05000CORF 99285,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99285,A000000,05300,0000,05300INTEREST EXPENSE 99285,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99285,A000000,05500,0000,05500HOSPICE 99285,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99285,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99285,A000000,06100,0000,06100NONPAID WORKERS 99285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99285,A000000,06200,0000,06200PATIENTS LAUNDRY 99285,A81000A,00100,0100,Y 99285,A81000B,00100,0300,HOME OFFICE ALLOCATION 99285,A81000C,00100,0100,B 99285,A81000C,00100,0400,HEARTWAY CORPORATION 99285,A81000C,00100,0600,NURSING HOME OPERATORS 99285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99285,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99285,B100000,00000,0800,00000MEALS SERVED :DIETARY 99285,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99285,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99285,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99285,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99285,S000000,00100,0200,12/18/2000 99285,S200000,00100,0100,3800 ENGLEWOOD LANE 99285,S200000,00200,0100,ODESSA 99285,S200000,00200,0200,TX 99285,S200000,00200,0300,75956- 99285,S200000,00300,0100,ECTOR 99285,S200000,00300,0200,5800 99285,S200000,00300,0300,U 99285,S200000,00400,0100,AVALON PLACE - ODESSA 99285,S200000,00400,0200,675145 99285,S200000,00400,0300,04/29/1993 99285,S200000,00400,0500,P 99285,S200000,01600,0100,Y 99294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99294,A000000,00300,0000,00300EMPLOYEE BENEFITS 99294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99294,A000000,00700,0000,00700HOUSEKEEPING 99294,A000000,00800,0000,00800DIETARY 99294,A000000,00801,0000,00801CAFETERIA 99294,A000000,00900,0000,00900NURSING ADMINISTRATION 99294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99294,A000000,01100,0000,01100PHARMACY 99294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99294,A000000,01300,0000,01300SOCIAL SERVICE 99294,A000000,01600,0000,01600SKILLED NURSING FACILITY 99294,A000000,01800,0000,01800NURSING FACILITY 99294,A000000,01900,0000,01900OTHER LONG TERM CARE 99294,A000000,02100,0000,02100RADIOLOGY 99294,A000000,02200,0000,02200LABORATORY 99294,A000000,02300,0000,02300INTRAVENOUS THERAPY 99294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99294,A000000,02500,0000,02500PHYSICAL THERAPY 99294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99294,A000000,02700,0000,02700SPEECH PATHOLOGY 99294,A000000,02800,0000,02800ELECTROCARDIOLOGY 99294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99294,A000000,03200,0000,03200SUPPORT SURFACES 99294,A000000,04800,0000,04800AMBULANCE 99294,A000000,05300,0000,05300INTEREST EXPENSE 99294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99294,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99294,A81000A,00100,0100,Y 99294,A81000B,00100,0300,RLTD PARTY RENT 99294,A81000B,00200,0300,RLTD PARTY MGMT 99294,A81000C,00100,0100,A 99294,A81000C,00100,0200,T. MCGRATH 99294,A81000C,00100,0400,MCGRATH-KNAPP P 99294,A81000C,00100,0600,REAL ESTATE 99294,A81000C,00200,0100,A 99294,A81000C,00200,0200,T. MCGRATH 99294,A81000C,00200,0400,MCGRATH MGMT 99294,A81000C,00200,0600,SNF MGMT 99294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99294,B100000,00000,0800,00000MEALS SERVED :DIETARY 99294,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99294,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99294,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99294,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99294,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99294,E10A180,00301,0100,02/08/2000 99294,S000000,00100,0200,06/27/2000 99294,S200000,00100,0100,4800 WHITE SETTLEMENT RD 99294,S200000,00200,0100,FT. WORTH 99294,S200000,00200,0200,TX 99294,S200000,00200,0300,76114- 99294,S200000,00300,0100,TARRANT 99294,S200000,00400,0100,FIRESIDE LODGE & RETIREMENT 99294,S200000,00400,0200,675147 99294,S200000,00400,0300,04/26/1993 99294,S200000,00400,0500,P 99294,S200000,01600,0100,Y 99307,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99307,A000000,00300,0000,00300EMPLOYEE BENEFITS 99307,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99307,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99307,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99307,A000000,00700,0000,00700HOUSEKEEPING 99307,A000000,00800,0000,00800DIETARY 99307,A000000,00900,0000,00900NURSING ADMINISTRATION 99307,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99307,A000000,01100,0000,01100PHARMACY 99307,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99307,A000000,01300,0000,01300SOCIAL SERVICE 99307,A000000,01350,0000,01500PATIENT ACTIVITIES 99307,A000000,01600,0000,01600SKILLED NURSING FACILITY 99307,A000000,01800,0000,01800NURSING FACILITY 99307,A000000,01900,0000,01900OTHER LONG TERM CARE 99307,A000000,02100,0000,02100RADIOLOGY 99307,A000000,02200,0000,02200LABORATORY 99307,A000000,02300,0000,02300INTRAVENOUS THERAPY 99307,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99307,A000000,02500,0000,02500PHYSICAL THERAPY 99307,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99307,A000000,02700,0000,02700SPEECH PATHOLOGY 99307,A000000,02800,0000,02800ELECTROCARDIOLOGY 99307,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99307,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99307,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99307,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99307,A000000,03200,0000,03200SUPPORT SURFACES 99307,A000000,03400,0000,03400CLINIC 99307,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99307,A000000,03500,0000,03500RURAL HEALTH CLINIC 99307,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99307,A000000,04800,0000,04800AMBULANCE 99307,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99307,A000000,05000,0000,05000CORF 99307,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99307,A000000,05300,0000,05300INTEREST EXPENSE 99307,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99307,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99307,A000000,05500,0000,05500HOSPICE 99307,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99307,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99307,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99307,A000000,06100,0000,06100NONPAID WORKERS 99307,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99307,A000000,06200,0000,06200PATIENTS LAUNDRY 99307,A81000A,00100,0100,Y 99307,A81000B,00100,0300,HOME OFFICE COST-NON CAPITAL 99307,A81000B,00200,0300,HOME OFFICE COST-CAPITAL 99307,A81000C,00100,0100,A 99307,A81000C,00100,0200,KENNETH AND LYNN HUBBARD 99307,A81000C,00100,0400,HUBBARD HEALTH CARE 99307,A81000C,00100,0600,HOME OFFICE 99307,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99307,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99307,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99307,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99307,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99307,B100000,00000,0750,00000SQ.FTG. EXC. DIET :HOUSEKEEPING 99307,B100000,00000,0800,00000MEALS SERVED :DIETARY 99307,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99307,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99307,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99307,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99307,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99307,B100000,00000,1350,00000TIME SPENT :PATIENT ACTIVITIES 99307,S000000,00100,0200,06/01/2000 99307,S200000,00100,0100,76 HWY 190 WEST 99307,S200000,00200,0100,WOODVILLE 99307,S200000,00200,0200,TX 99307,S200000,00200,0300,75979- 99307,S200000,00300,0100,TYLER 99307,S200000,00400,0100,DOGWOOD TRAILS MANOR 99307,S200000,00400,0200,675152 99307,S200000,00400,0300,07/01/1996 99307,S200000,00400,0500,P 99307,S200000,01600,0100,Y 99307,S700003,00000,0400,4 99316,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99316,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 99316,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99316,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 99316,A000000,00300,0000,00300EMPLOYEE BENEFITS 99316,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99316,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99316,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99316,A000000,00700,0000,00700HOUSEKEEPING 99316,A000000,00800,0000,00800DIETARY 99316,A000000,00801,0000,00801CAFETERIA 99316,A000000,00900,0000,00900NURSING ADMINISTRATION 99316,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99316,A000000,01100,0000,01100PHARMACY 99316,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99316,A000000,01300,0000,01300SOCIAL SERVICE 99316,A000000,01350,0000,01500ACTIVITIES 99316,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99316,A000000,01600,0000,01600SKILLED NURSING FACILITY 99316,A000000,01800,0000,01800NURSING FACILITY 99316,A000000,01900,0000,01900OTHER LONG TERM CARE 99316,A000000,02100,0000,02100RADIOLOGY 99316,A000000,02200,0000,02200LABORATORY 99316,A000000,02300,0000,02300INTRAVENOUS THERAPY 99316,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99316,A000000,02500,0000,02500PHYSICAL THERAPY 99316,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99316,A000000,02700,0000,02700SPEECH PATHOLOGY 99316,A000000,02800,0000,02800ELECTROCARDIOLOGY 99316,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99316,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99316,A000000,03050,0000,03300OTHER ANCILLARY 99316,A000000,03051,0000,03301OTHER ANCILLARY II 99316,A000000,03052,0000,03302OTHER ANCILLARY III 99316,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99316,A000000,03200,0000,03200SUPPORT SURFACES 99316,A000000,03400,0000,03400CLINIC 99316,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 99316,A000000,03500,0000,03500RURAL HEALTH CLINIC 99316,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99316,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99316,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99316,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99316,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99316,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99316,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99316,A000000,04400,0000,04400DME RENTED - HHA 99316,A000000,04500,0000,04500DME SOLD - HHA 99316,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99316,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99316,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99316,A000000,04800,0000,04800AMBULANCE 99316,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99316,A000000,05000,0000,05000CORF 99316,A000000,05010,0000,05010CMHC I 99316,A000000,05020,0000,05020OPT I 99316,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99316,A000000,05300,0000,05300INTEREST EXPENSE 99316,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 99316,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 99316,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99316,A000000,05500,0000,05500HOSPICE 99316,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99316,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99316,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99316,A000000,06100,0000,06100NONPAID WORKERS 99316,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99316,A000000,06200,0000,06200PATIENTS LAUNDRY 99316,A81000A,00100,0100,Y 99316,A81000B,00100,0300,HO MGT FEES 99316,A81000B,00200,0300,NURSE CONSULTANT 99316,A81000B,00300,0300,LEASE EXPENSES 99316,A81000C,00100,0100,B 99316,A81000C,00100,0400,REGENCY NURSING 99316,A81000C,00200,0400,& REHAB INC. 99316,A81000C,00200,0600,HEALTHCARE 99316,A81000C,00300,0100,B 99316,A81000C,00300,0400,SOUTHBROOKE 99316,A81000C,00400,0400,MANOR PTRS LTD 99316,A81000C,00400,0600,REAL ESTATE 99316,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 99316,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 99316,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 99316,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 99316,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 99316,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99316,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 99316,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 99316,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 99316,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 99316,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 99316,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 99316,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 99316,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 99316,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 99316,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 99316,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 99316,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 99316,S000000,00100,0200,06/01/2000 99316,S200000,00100,0100,1401 W. MAIN 99316,S200000,00100,0300,818 99316,S200000,00200,0100,EDNA 99316,S200000,00200,0200,TX 99316,S200000,00200,0300,77957- 99316,S200000,00300,0100,JACKSON 99316,S200000,00400,0100,SOUTHBROOKE MANOR INC. 99316,S200000,00400,0200,675159 99316,S200000,00400,0300,07/01/1993 99316,S200000,00400,0500,P 99316,S200000,01600,0100,Y 99316,S200000,02200,0100,Y 99316,S200000,04300,0100,Y 99316,S700003,00000,0100,1 99328,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99328,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99328,A000000,00300,0000,00300EMPLOYEE BENEFITS 99328,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99328,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99328,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99328,A000000,00700,0000,00700HOUSEKEEPING 99328,A000000,00800,0000,00800DIETARY 99328,A000000,00900,0000,00900NURSING ADMINISTRATION 99328,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99328,A000000,01100,0000,01100PHARMACY 99328,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99328,A000000,01300,0000,01300SOCIAL SERVICE 99328,A000000,01350,0000,01500OTHER GENERAL SERVICES 99328,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99328,A000000,01600,0000,01600SKILLED NURSING FACILITY 99328,A000000,01800,0000,01800NURSING FACILITY 99328,A000000,01810,0000,01801ICF/MR 99328,A000000,01900,0000,01900OTHER LONG TERM CARE 99328,A000000,02100,0000,02100RADIOLOGY 99328,A000000,02200,0000,02200LABORATORY 99328,A000000,02300,0000,02300INTRAVENOUS THERAPY 99328,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99328,A000000,02500,0000,02500PHYSICAL THERAPY 99328,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99328,A000000,02700,0000,02700SPEECH PATHOLOGY 99328,A000000,02800,0000,02800ELECTROCARDIOLOGY 99328,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99328,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99328,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99328,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99328,A000000,03200,0000,03200SUPPORT SURFACES 99328,A000000,03400,0000,03400CLINIC 99328,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99328,A000000,03500,0000,03500RURAL HEALTH CLINIC 99328,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99328,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99328,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99328,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99328,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99328,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99328,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99328,A000000,04400,0000,04400DME RENTED - HHA 99328,A000000,04500,0000,04500DME SOLD - HHA 99328,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99328,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99328,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99328,A000000,04800,0000,04800AMBULANCE 99328,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99328,A000000,05000,0000,05000CORF 99328,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99328,A000000,05300,0000,05300INTEREST EXPENSE 99328,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99328,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99328,A000000,05500,0000,05500HOSPICE 99328,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99328,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99328,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99328,A000000,06100,0000,06100NONPAID WORKERS 99328,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99328,A000000,06200,0000,06200PATIENTS LAUNDRY 99328,A81000A,00100,0100,Y 99328,A81000B,00100,0300,NURSING HOME ADMINISTRATION 99328,A81000C,00100,0100,B 99328,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99328,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99328,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99328,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99328,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99328,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99328,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99328,B100000,00000,0800,00000MEALS SERVED :DIETARY 99328,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99328,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99328,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99328,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99328,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99328,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99328,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99328,S000000,00100,0200,05/31/2000 99328,S200000,00100,0100,705 N MAIN 99328,S200000,00200,0100,LUMBERTON 99328,S200000,00200,0200,TX 99328,S200000,00200,0300,77657- 99328,S200000,00300,0100,HARDIN 99328,S200000,00400,0100,HARVEST CARE CENTER OF LUMBERTON 99328,S200000,00400,0200,675168 99328,S200000,00400,0300,07/16/1992 99328,S200000,00400,0500,P 99328,S200000,01004,0500,O 99328,S200000,01600,0100,Y 99328,S200000,04300,0100,Y 99328,S700003,00000,0100,1 99337,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99337,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99337,A000000,00300,0000,00300EMPLOYEE BENEFITS 99337,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99337,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99337,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99337,A000000,00700,0000,00700HOUSEKEEPING 99337,A000000,00800,0000,00800DIETARY 99337,A000000,00900,0000,00900NURSING ADMINISTRATION 99337,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99337,A000000,01100,0000,01100PHARMACY 99337,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99337,A000000,01300,0000,01300SOCIAL SERVICE 99337,A000000,01351,0000,01301ACTIVITIES 99337,A000000,01600,0000,01600SKILLED NURSING FACILITY 99337,A000000,01800,0000,01800NURSING FACILITY 99337,A000000,02100,0000,02100RADIOLOGY 99337,A000000,02200,0000,02200LABORATORY 99337,A000000,02300,0000,02300INTRAVENOUS THERAPY 99337,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99337,A000000,02500,0000,02500PHYSICAL THERAPY 99337,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99337,A000000,02700,0000,02700SPEECH PATHOLOGY 99337,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99337,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99337,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99337,A000000,03051,0000,03301MEDICAL EQUIPMENT 99337,A000000,04800,0000,04800AMBULANCE 99337,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99337,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99337,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99337,A81000A,00100,0100,Y 99337,A81000B,00100,0300,HOME OFFICE CAPITAL 99337,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99337,A81000B,00300,0300,WAREHOUSE 99337,A81000C,00100,0100,A 99337,A81000C,00100,0200,PETER C. KERN 99337,A81000C,00100,0400,HEA MANAGEMENT GROUP 99337,A81000C,00100,0600,HOME OFFICE 99337,A81000C,00200,0100,A 99337,A81000C,00200,0200,PETER C. KERN 99337,A81000C,00200,0400,WAREHOUSE STORAGE 99337,A81000C,00200,0600,OLD RECORD STORAGE 99337,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99337,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99337,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99337,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99337,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99337,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99337,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99337,B100000,00000,0800,00000MEALS SERVED :DIETARY 99337,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99337,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99337,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99337,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99337,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99337,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99337,S000000,00100,0200,05/30/2000 99337,S200000,00100,0100,1117 SOUTH ADAMS 99337,S200000,00200,0100,FREDERICKSBURG 99337,S200000,00200,0200,TX 99337,S200000,00200,0300,78624-5003 99337,S200000,00300,0100,GILLESPIE 99337,S200000,00300,0200,45 99337,S200000,00300,0300,R 99337,S200000,00400,0100,FREDERICKS NURSING HOME 99337,S200000,00400,0200,675169 99337,S200000,00400,0300,08/12/1993 99337,S200000,00400,0500,P 99337,S200000,01600,0100,Y 99337,S200000,02200,0100,Y 99337,S200000,04300,0100,Y 99343,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99343,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99343,A000000,00300,0000,00300EMPLOYEE BENEFITS 99343,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99343,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99343,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99343,A000000,00700,0000,00700HOUSEKEEPING 99343,A000000,00800,0000,00800DIETARY 99343,A000000,00900,0000,00900NURSING ADMINISTRATION 99343,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99343,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99343,A000000,01300,0000,01300SOCIAL SERVICE 99343,A000000,01301,0000,01301ACTIVITES 99343,A000000,01350,0000,01500REHABILITATION 99343,A000000,01600,0000,01600SKILLED NURSING FACILITY 99343,A000000,01800,0000,01800NURSING FACILITY 99343,A000000,01900,0000,01900OTHER LONG TERM CARE 99343,A000000,02100,0000,02100RADIOLOGY 99343,A000000,02200,0000,02200LABORATORY 99343,A000000,02300,0000,02300INTRAVENOUS THERAPY 99343,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99343,A000000,02500,0000,02500PHYSICAL THERAPY 99343,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99343,A000000,02700,0000,02700SPEECH PATHOLOGY 99343,A000000,02800,0000,02800ELECTROCARDIOLOGY 99343,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99343,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99343,A000000,03050,0000,03300EQUIPMENT RENTAL 99343,A000000,03051,0000,03301PEN THERAPY 99343,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99343,A000000,03200,0000,03200SUPPORT SURFACES 99343,A000000,04800,0000,04800AMBULANCE 99343,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99343,A000000,05300,0000,05300INTEREST EXPENSE 99343,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99343,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99343,A000000,06150,0000,06300VENDING 99343,A000000,06151,0000,06301STAND-BY 99343,A000000,06200,0000,06200PATIENTS LAUNDRY 99343,A81000A,00100,0100,Y 99343,A81000B,00100,0300,HOME OFFICE COST 99343,A81000B,00200,0300,DIETARY SUPPLEMENTS 99343,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99343,A81000B,00400,0300,PRESCRIPTION DRUGS 99343,A81000B,00500,0300,MEDICAL SUPPLIES 99343,A81000B,00600,0300,ADMIN COSTS 99343,A81000B,00700,0300,HOME OFFICE INTEREST 99343,A81000B,00800,0300,PEN 99343,A81000B,00900,0300,IV THERAPY 99343,A81000B,01000,0300,THERAPY CONSULTING 99343,A81000B,01100,0300,PHYSICAL THERAPY 99343,A81000B,01200,0300,OCCUPATIONAL THERAPY 99343,A81000B,01300,0300,SPEECH THERAPY 99343,A81000B,01400,0300,ANC EQUIP RENTAL 99343,A81000C,00100,0100,B 99343,A81000C,00100,0200,LA PALOMA 99343,A81000C,00100,0400,MARINER PAN 99343,A81000C,00100,0600,NURSING HOMES 99343,A81000C,00200,0100,G 99343,A81000C,00200,0200,MARINER PAN 99343,A81000C,00200,0400,AMER PHARM SVCS 99343,A81000C,00200,0600,PHARMACEUTICALS 99343,A81000C,00300,0100,G 99343,A81000C,00300,0200,MARINER PAN 99343,A81000C,00300,0400,PRISM-ATS-ARS-T 99343,A81000C,00300,0600,THERAPIES 99343,A81000C,03100,0000,MARINER PAN 99343,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99343,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99343,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99343,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99343,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99343,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99343,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99343,B100000,00000,0800,00001MEALS SERVED :DIETARY 99343,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99343,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99343,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99343,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99343,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99343,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99343,E10A180,00301,0100,01/06/1999 99343,E10A180,00302,0100,01/10/2000 99343,E10A180,00350,0100,03/17/1999 99343,E10A180,00351,0100,07/07/1999 99343,E10A180,00352,0100,09/29/1999 99343,S000000,00100,0200,03/03/2000 99343,S200000,00100,0100,129 FM 1329 99343,S200000,00200,0100,SAN DIEGO 99343,S200000,00200,0200,TX 99343,S200000,00200,0300,78384- 99343,S200000,00300,0100,DUVAL 99343,S200000,00400,0100,LA PALOMA NURSING CENTER 99343,S200000,00400,0200,675170 99343,S200000,00400,0300,08/26/1993 99343,S200000,00400,0500,P 99343,S200000,01600,0100,Y 99343,S200000,02200,0100,Y 99343,S200000,04300,0100,Y 99343,S700003,00000,0100,1 99351,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99351,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99351,A000000,00300,0000,00300EMPLOYEE BENEFITS 99351,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99351,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99351,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99351,A000000,00700,0000,00700HOUSEKEEPING 99351,A000000,00800,0000,00800DIETARY 99351,A000000,00900,0000,00900NURSING ADMINISTRATION 99351,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99351,A000000,01100,0000,01100PHARMACY 99351,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99351,A000000,01300,0000,01300SOCIAL SERVICE 99351,A000000,01350,0000,01500OTHER GENERAL SERVICES 99351,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99351,A000000,01600,0000,01600SKILLED NURSING FACILITY 99351,A000000,01800,0000,01800NURSING FACILITY 99351,A000000,01810,0000,01801ICF/MR 99351,A000000,01900,0000,01900OTHER LONG TERM CARE 99351,A000000,02100,0000,02100RADIOLOGY 99351,A000000,02200,0000,02200LABORATORY 99351,A000000,02300,0000,02300INTRAVENOUS THERAPY 99351,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99351,A000000,02500,0000,02500PHYSICAL THERAPY 99351,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99351,A000000,02700,0000,02700SPEECH PATHOLOGY 99351,A000000,02800,0000,02800ELECTROCARDIOLOGY 99351,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99351,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99351,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99351,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99351,A000000,03200,0000,03200SUPPORT SURFACES 99351,A000000,03400,0000,03400CLINIC 99351,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99351,A000000,03500,0000,03500RURAL HEALTH CLINIC 99351,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99351,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99351,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99351,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99351,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99351,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99351,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99351,A000000,04400,0000,04400DME RENTED - HHA 99351,A000000,04500,0000,04500DME SOLD - HHA 99351,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99351,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99351,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99351,A000000,04800,0000,04800AMBULANCE 99351,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99351,A000000,05000,0000,05000CORF 99351,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99351,A000000,05300,0000,05300INTEREST EXPENSE 99351,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99351,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99351,A000000,05500,0000,05500HOSPICE 99351,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99351,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99351,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99351,A000000,06100,0000,06100NONPAID WORKERS 99351,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99351,A000000,06200,0000,06200PATIENTS LAUNDRY 99351,A81000A,00100,0100,Y 99351,A81000B,00100,0300,NURSING HOME ADMINISTRATION 99351,A81000C,00100,0100,B 99351,A81000C,00100,0400,HARVEST SENIOR SERVICES 99351,A81000C,00100,0600,LTC MANAGEMENT 99351,A81000C,00200,0100,B 99351,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99351,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99351,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99351,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99351,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99351,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99351,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99351,B100000,00000,0800,00000MEALS SERVED :DIETARY 99351,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99351,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99351,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99351,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99351,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99351,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99351,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99351,S000000,00100,0200,05/31/2000 99351,S200000,00100,0100,7181 CRESTWAY DR 99351,S200000,00200,0100,SAN ANTONIO 99351,S200000,00200,0200,LA 99351,S200000,00200,0300,78239- 99351,S200000,00300,0100,BEXAR 99351,S200000,00400,0100,TRINITY CARE CENTER 99351,S200000,00400,0200,675171 99351,S200000,00400,0300,08/11/1993 99351,S200000,00400,0500,P 99351,S200000,01004,0500,O 99351,S200000,01600,0100,Y 99351,S200000,04300,0100,Y 99351,S700003,00000,0100,1 99362,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99362,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99362,A000000,00300,0000,00300EMPLOYEE BENEFITS 99362,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99362,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99362,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99362,A000000,00700,0000,00700HOUSEKEEPING 99362,A000000,00800,0000,00800DIETARY 99362,A000000,00900,0000,00900NURSING ADMINISTRATION 99362,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99362,A000000,01100,0000,01100PHARMACY 99362,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99362,A000000,01300,0000,01300SOCIAL SERVICE 99362,A000000,01350,0000,01500PATIENT ACTIVITIES 99362,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99362,A000000,01600,0000,01600SKILLED NURSING FACILITY 99362,A000000,01800,0000,01800NURSING FACILITY 99362,A000000,01900,0000,01900OTHER LONG TERM CARE 99362,A000000,02100,0000,02100RADIOLOGY 99362,A000000,02200,0000,02200LABORATORY 99362,A000000,02300,0000,02300INTRAVENOUS THERAPY 99362,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99362,A000000,02500,0000,02500PHYSICAL THERAPY 99362,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99362,A000000,02700,0000,02700SPEECH PATHOLOGY 99362,A000000,02800,0000,02800ELECTROCARDIOLOGY 99362,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99362,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99362,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99362,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99362,A000000,03200,0000,03200SUPPORT SURFACES 99362,A000000,03400,0000,03400CLINIC 99362,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99362,A000000,03500,0000,03500RURAL HEALTH CLINIC 99362,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99362,A000000,04800,0000,04800AMBULANCE 99362,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99362,A000000,05000,0000,05000CORF 99362,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99362,A000000,05300,0000,05300INTEREST EXPENSE 99362,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99362,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99362,A000000,05500,0000,05500HOSPICE 99362,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99362,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99362,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99362,A000000,06100,0000,06100NONPAID WORKERS 99362,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99362,A000000,06200,0000,06200PATIENTS LAUNDRY 99362,A81000A,00100,0100,Y 99362,A81000B,00100,0300,MANAGEMENT FEE 99362,A81000B,00200,0300,LEASE EXPENSE 99362,A81000C,00100,0100,B 99362,A81000C,00100,0400,HEALTHMARK PARTNERS LLC 99362,A81000C,00100,0600,MANAGEMENT COMPANY 99362,A81000C,00200,0100,B 99362,A81000C,00200,0400,HCFP REIT EQUITY INC. 99362,A81000C,00200,0600,REAL ESTATE TRUST COMPANY 99362,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99362,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99362,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99362,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99362,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99362,B100000,00000,0750,00000SQ FT EXCL D:HOUSEKEEPING 99362,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99362,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99362,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99362,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 99362,S000000,00100,0200,02/09/2001 99362,S200000,00100,0100,6600 9TH AVENUE 99362,S200000,00200,0100,PORT ARTHUR 99362,S200000,00200,0200,TX 99362,S200000,00200,0300,77640- 99362,S200000,00300,0100,JEFFERSON 99362,S200000,00300,0200,0840 99362,S200000,00300,0300,U 99362,S200000,00400,0100,GULF HEALTHCARE CTR OF PORT ARTHUR 99362,S200000,00400,0200,675172 99362,S200000,00400,0300,08/30/1993 99362,S200000,00400,0500,P 99362,S200000,01600,0100,Y 99371,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99371,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99371,A000000,00300,0000,00300EMPLOYEE BENEFITS 99371,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99371,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99371,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99371,A000000,00700,0000,00700HOUSEKEEPING 99371,A000000,00800,0000,00800DIETARY 99371,A000000,00900,0000,00900NURSING ADMINISTRATION 99371,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99371,A000000,01100,0000,01100PHARMACY 99371,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99371,A000000,01300,0000,01300SOCIAL SERVICE 99371,A000000,01350,0000,01500OTHER GENERAL SERVICES 99371,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99371,A000000,01600,0000,01600SKILLED NURSING FACILITY 99371,A000000,01800,0000,01800NURSING FACILITY 99371,A000000,01810,0000,01801ICF/MR 99371,A000000,01900,0000,01900OTHER LONG TERM CARE 99371,A000000,02100,0000,02100RADIOLOGY 99371,A000000,02200,0000,02200LABORATORY 99371,A000000,02300,0000,02300INTRAVENOUS THERAPY 99371,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99371,A000000,02500,0000,02500PHYSICAL THERAPY 99371,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99371,A000000,02700,0000,02700SPEECH PATHOLOGY 99371,A000000,02800,0000,02800ELECTROCARDIOLOGY 99371,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99371,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99371,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99371,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99371,A000000,03200,0000,03200SUPPORT SURFACES 99371,A000000,03400,0000,03400CLINIC 99371,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99371,A000000,03500,0000,03500RURAL HEALTH CLINIC 99371,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99371,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99371,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99371,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99371,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99371,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99371,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99371,A000000,04400,0000,04400DME RENTED - HHA 99371,A000000,04500,0000,04500DME SOLD - HHA 99371,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99371,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99371,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99371,A000000,04800,0000,04800AMBULANCE 99371,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99371,A000000,05000,0000,05000CORF 99371,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99371,A000000,05300,0000,05300INTEREST EXPENSE 99371,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99371,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99371,A000000,05500,0000,05500HOSPICE 99371,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99371,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99371,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99371,A000000,06100,0000,06100NONPAID WORKERS 99371,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99371,A000000,06200,0000,06200PATIENTS LAUNDRY 99371,A81000A,00100,0100,Y 99371,A81000B,00100,0300,NURSING HOME ADMINISTRATION 99371,A81000C,00100,0100,B 99371,A81000C,00100,0400,HARVEST SENIOR SERVICES 99371,A81000C,00100,0600,LTC MANAGEMENT 99371,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99371,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99371,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99371,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99371,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99371,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99371,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99371,B100000,00000,0800,00000MEALS SERVED :DIETARY 99371,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99371,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99371,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99371,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99371,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99371,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99371,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99371,S000000,00100,0200,06/01/2000 99371,S200000,00100,0100,1510 NORTH PLANO ROAD 99371,S200000,00200,0100,RICHARDSON 99371,S200000,00200,0200,TX 99371,S200000,00200,0300,75081- 99371,S200000,00300,0100,DALLAS 99371,S200000,00400,0100,RICHARDSON HEALTH & REHAB 99371,S200000,00400,0200,675180 99371,S200000,00400,0300,10/08/1993 99371,S200000,00400,0500,P 99371,S200000,01004,0500,O 99371,S200000,01600,0100,Y 99371,S200000,04300,0100,Y 99371,S700003,00000,0400,4 99378,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99378,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99378,A000000,00300,0000,00300EMPLOYEE BENEFITS 99378,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99378,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99378,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99378,A000000,00700,0000,00700HOUSEKEEPING 99378,A000000,00800,0000,00800DIETARY 99378,A000000,00801,0000,00801CAFETERIA 99378,A000000,00900,0000,00900NURSING ADMINISTRATION 99378,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99378,A000000,01100,0000,01100PHARMACY 99378,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99378,A000000,01300,0000,01300SOCIAL SERVICE 99378,A000000,01600,0000,01600SKILLED NURSING FACILITY 99378,A000000,01800,0000,01800NURSING FACILITY 99378,A000000,01900,0000,01900OTHER LONG TERM CARE 99378,A000000,02100,0000,02100RADIOLOGY 99378,A000000,02200,0000,02200LABORATORY 99378,A000000,02300,0000,02300INTRAVENOUS THERAPY 99378,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99378,A000000,02500,0000,02500PHYSICAL THERAPY 99378,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99378,A000000,02700,0000,02700SPEECH PATHOLOGY 99378,A000000,02800,0000,02800ELECTROCARDIOLOGY 99378,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99378,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99378,A000000,03200,0000,03200SUPPORT SURFACES 99378,A000000,04800,0000,04800AMBULANCE 99378,A000000,05300,0000,05300INTEREST EXPENSE 99378,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99378,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99378,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99378,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99378,A81000A,00100,0100,Y 99378,A81000B,00100,0300,PROPERTY COSTS 99378,A81000C,00100,0100,B 99378,A81000C,00100,0200,MCDONALD CONSTR 99378,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99378,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99378,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99378,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99378,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99378,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99378,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99378,B100000,00000,0800,00000MEALS SERVED :DIETARY 99378,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99378,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99378,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99378,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99378,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99378,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99378,S000000,00100,0200,06/09/2000 99378,S200000,00100,0100,210 PIPELINE ROAD 99378,S200000,00200,0100,SULPHUR SPRINGS 99378,S200000,00200,0200,TX 99378,S200000,00200,0300,75482- 99378,S200000,00300,0100,HOPKINS 99378,S200000,00400,0100,CARRIAGE HOUSE MANOR 99378,S200000,00400,0200,675181 99378,S200000,00400,0300,07/06/1993 99378,S200000,00400,0500,P 99378,S200000,01600,0100,Y 99378,S700003,00000,0100,1 99384,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99384,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99384,A000000,00300,0000,00300EMPLOYEE BENEFITS 99384,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99384,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99384,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99384,A000000,00700,0000,00700HOUSEKEEPING 99384,A000000,00800,0000,00800DIETARY 99384,A000000,00900,0000,00900NURSING ADMINISTRATION 99384,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99384,A000000,01100,0000,01100PHARMACY 99384,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99384,A000000,01300,0000,01300SOCIAL SERVICE 99384,A000000,01600,0000,01600SKILLED NURSING FACILITY 99384,A000000,01800,0000,01800NURSING FACILITY 99384,A000000,02100,0000,02100RADIOLOGY 99384,A000000,02200,0000,02200LABORATORY 99384,A000000,02500,0000,02500PHYSICAL THERAPY 99384,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99384,A000000,02700,0000,02700SPEECH PATHOLOGY 99384,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99384,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99384,A000000,04800,0000,04800AMBULANCE 99384,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99384,A000000,05300,0000,05300INTEREST EXPENSE 99384,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99384,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99384,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99384,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99384,A000000,06200,0000,06200PATIENTS LAUNDRY 99384,A81000A,00100,0100,Y 99384,A81000B,00100,0300,MANAGEMENT FEES 99384,A81000B,00200,0300,MANAGEMENT FEES 99384,A81000C,00100,0100,B 99384,A81000C,00100,0200,PARAGON INC. 99384,A81000C,00100,0400,SOUTHAVEN N. CT 99384,A81000C,00100,0600,N. HOME 99384,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99384,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99384,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99384,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99384,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99384,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99384,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99384,B100000,00000,0800,00000MEALS SERVED :DIETARY 99384,B100000,00000,0950,00000GROSS SAL. NURSING :NURSING ADMINIS 99384,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99384,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99384,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 99384,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99384,S000000,00100,0200,06/22/2000 99384,S200000,00100,0100,5300 HOUSTON SCHOOL RD. 99384,S200000,00100,0300,41389 99384,S200000,00200,0100,DALLAS 99384,S200000,00200,0200,TX 99384,S200000,00200,0300,75241- 99384,S200000,00300,0100,DALLAS 99384,S200000,00400,0100,SOUTHAVEN NURSING CENTER 99384,S200000,00400,0200,675187 99384,S200000,00400,0300,09/14/1993 99384,S200000,00400,0500,P 99384,S200000,01004,0500,O 99384,S200000,01600,0100,Y 99384,S700003,00000,0100,1 99395,S000000,00100,0200,02/07/2001 99402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99402,A000000,00300,0000,00300EMPLOYEE BENEFITS 99402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99402,A000000,00700,0000,00700HOUSEKEEPING 99402,A000000,00800,0000,00800DIETARY 99402,A000000,00801,0000,00801CAFETERIA 99402,A000000,00900,0000,00900NURSING ADMINISTRATION 99402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99402,A000000,01100,0000,01100PHARMACY 99402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99402,A000000,01300,0000,01300SOCIAL SERVICE 99402,A000000,01600,0000,01600SKILLED NURSING FACILITY 99402,A000000,01800,0000,01800NURSING FACILITY 99402,A000000,01900,0000,01900OTHER LONG TERM CARE 99402,A000000,02100,0000,02100RADIOLOGY 99402,A000000,02200,0000,02200LABORATORY 99402,A000000,02300,0000,02300INTRAVENOUS THERAPY 99402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99402,A000000,02500,0000,02500PHYSICAL THERAPY 99402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99402,A000000,02700,0000,02700SPEECH PATHOLOGY 99402,A000000,02800,0000,02800ELECTROCARDIOLOGY 99402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99402,A000000,03200,0000,03200SUPPORT SURFACES 99402,A000000,04800,0000,04800AMBULANCE 99402,A000000,05300,0000,05300INTEREST EXPENSE 99402,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99402,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99402,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99402,A81000A,00100,0100,Y 99402,A81000B,00100,0300,HOME OFFICE COSTS 99402,A81000B,00200,0300,HOME OFFICE COSTS 99402,A81000C,00100,0100,B 99402,A81000C,00100,0200,TRILLIUM HEALTH 99402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99402,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99402,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99402,B100000,00000,0800,00000MEALS SERVED :DIETARY 99402,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99402,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99402,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99402,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99402,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99402,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99402,S000000,00100,0200,07/10/2000 99402,S200000,00100,0100,231 N. KINGWOOD 99402,S200000,00200,0100,HEREFORD 99402,S200000,00200,0200,TX 99402,S200000,00200,0300,79045- 99402,S200000,00300,0100,DEAF SMITH 99402,S200000,00400,0100,HEREFORD CARE CENTER 99402,S200000,00400,0200,675192 99402,S200000,00400,0300,10/03/1993 99402,S200000,00400,0500,P 99402,S200000,01500,0100,Y 99402,S700003,00000,0100,1 99409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99409,A000000,00300,0000,00300EMPLOYEE BENEFITS 99409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99409,A000000,00700,0000,00700HOUSEKEEPING 99409,A000000,00800,0000,00800DIETARY 99409,A000000,00900,0000,00900NURSING ADMINISTRATION 99409,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99409,A000000,01100,0000,01100PHARMACY 99409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99409,A000000,01300,0000,01300SOCIAL SERVICE 99409,A000000,01351,0000,01301ACTIVITIES 99409,A000000,01600,0000,01600SKILLED NURSING FACILITY 99409,A000000,01800,0000,01800NURSING FACILITY 99409,A000000,02100,0000,02100RADIOLOGY 99409,A000000,02200,0000,02200LABORATORY 99409,A000000,02300,0000,02300INTRAVENOUS THERAPY 99409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99409,A000000,02500,0000,02500PHYSICAL THERAPY 99409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99409,A000000,02700,0000,02700SPEECH PATHOLOGY 99409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99409,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99409,A000000,03051,0000,03301MEDICAL EQUIPMENT 99409,A000000,04800,0000,04800AMBULANCE 99409,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99409,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99409,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99409,A81000A,00100,0100,Y 99409,A81000B,00100,0300,HOME OFFICE CAPITAL 99409,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99409,A81000B,00300,0300,WAREHOUSE 99409,A81000C,00100,0100,A 99409,A81000C,00100,0200,PETER C. KERN 99409,A81000C,00100,0400,HEA MANAGEMENT GROUP 99409,A81000C,00100,0600,HOME OFFICE 99409,A81000C,00200,0100,A 99409,A81000C,00200,0200,PETER C. KERN 99409,A81000C,00200,0400,WAREHOUSE STORAGE 99409,A81000C,00200,0600,OLD RECORD STORAGE 99409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99409,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99409,B100000,00000,0800,00000MEALS SERVED :DIETARY 99409,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99409,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99409,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99409,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99409,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99409,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99409,S000000,00100,0200,05/30/2000 99409,S200000,00100,0100,658 SOUTHWEST 3RD STREET 99409,S200000,00200,0100,GRAND PRARIE 99409,S200000,00200,0200,TX 99409,S200000,00200,0300,75051-1805 99409,S200000,00300,0100,DALLAS 99409,S200000,00300,0200,1920 99409,S200000,00300,0300,U 99409,S200000,00400,0100,METROPLEX CARE CENTER 99409,S200000,00400,0200,675194 99409,S200000,00400,0300,10/27/1993 99409,S200000,00400,0500,P 99409,S200000,01600,0100,Y 99409,S200000,02200,0100,Y 99409,S200000,04300,0100,Y 99425,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99425,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99425,A000000,00300,0000,00300EMPLOYEE BENEFITS 99425,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99425,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99425,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99425,A000000,00700,0000,00700HOUSEKEEPING 99425,A000000,00800,0000,00800DIETARY 99425,A000000,00900,0000,00900NURSING ADMINISTRATION 99425,A000000,00901,0000,00901NURSING ADMINISTRATION 99425,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99425,A000000,01100,0000,01100PHARMACY 99425,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99425,A000000,01300,0000,01300SOCIAL SERVICE 99425,A000000,01350,0000,01500OTHER GENERAL SERVICES 99425,A000000,01351,0000,01501ACTIVITIES 99425,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99425,A000000,01600,0000,01600SKILLED NURSING FACILITY 99425,A000000,01800,0000,01800NURSING FACILITY 99425,A000000,01810,0000,01810ICF/MR 99425,A000000,01900,0000,01900OTHER LONG TERM CARE 99425,A000000,02100,0000,02100RADIOLOGY 99425,A000000,02200,0000,02200LABORATORY 99425,A000000,02300,0000,02300INTRAVENOUS THERAPY 99425,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99425,A000000,02500,0000,02500PHYSICAL THERAPY 99425,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99425,A000000,02700,0000,02700SPEECH PATHOLOGY 99425,A000000,02800,0000,02800ELECTROCARDIOLOGY 99425,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99425,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99425,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99425,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99425,A000000,03200,0000,03200SUPPORT SURFACES 99425,A000000,03400,0000,03400CLINIC 99425,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99425,A000000,03500,0000,03500RURAL HEALTH CLINIC 99425,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99425,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99425,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99425,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99425,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99425,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99425,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99425,A000000,04400,0000,04400DME RENTED - HHA 99425,A000000,04500,0000,04500DME SOLD - HHA 99425,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99425,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99425,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99425,A000000,04800,0000,04800AMBULANCE 99425,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99425,A000000,05000,0000,05000CORF 99425,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99425,A000000,05300,0000,05300INTEREST EXPENSE 99425,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99425,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99425,A000000,05500,0000,05500HOSPICE 99425,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99425,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99425,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99425,A000000,06100,0000,06100NONPAID WORKERS 99425,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99425,A000000,06200,0000,06200PATIENTS LAUNDRY 99425,A81000A,00100,0100,Y 99425,A81000B,00100,0300,HOME OFFICE COST A & G 99425,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 99425,A81000C,00100,0100,B 99425,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 99425,A81000C,00100,0600,NURSING HOME OPERATORS 99425,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99425,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99425,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99425,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99425,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99425,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99425,B100000,00000,0800,00000MEALS SERVED :DIETARY 99425,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99425,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99425,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99425,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99425,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99425,S000000,00100,0200,01/31/2001 99425,S200000,00100,0100,4130 SANTA ELENA 99425,S200000,00200,0100,CORPUS CHRISTI 99425,S200000,00200,0200,TX 99425,S200000,00200,0300,78405-3401 99425,S200000,00300,0100,NUECES 99425,S200000,00300,0200,1880 99425,S200000,00300,0300,U 99425,S200000,00400,0100,DEL MAR HEALTH CARE CENTER 99425,S200000,00400,0200,675197 99425,S200000,00400,0300,11/02/1993 99425,S200000,00400,0500,P 99425,S200000,01600,0100,Y 99434,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99434,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99434,A000000,00300,0000,00300EMPLOYEE BENEFITS 99434,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99434,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99434,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99434,A000000,00700,0000,00700HOUSEKEEPING 99434,A000000,00800,0000,00800DIETARY 99434,A000000,00900,0000,00900NURSING ADMINISTRATION 99434,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99434,A000000,01100,0000,01100PHARMACY 99434,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99434,A000000,01300,0000,01300SOCIAL SERVICE 99434,A000000,01351,0000,01301ACTIVITIES 99434,A000000,01600,0000,01600SKILLED NURSING FACILITY 99434,A000000,01800,0000,01800NURSING FACILITY 99434,A000000,02100,0000,02100RADIOLOGY 99434,A000000,02200,0000,02200LABORATORY 99434,A000000,02300,0000,02300INTRAVENOUS THERAPY 99434,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99434,A000000,02500,0000,02500PHYSICAL THERAPY 99434,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99434,A000000,02700,0000,02700SPEECH PATHOLOGY 99434,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99434,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99434,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99434,A000000,03051,0000,03301MEDICAL EQUIPMENT 99434,A000000,04800,0000,04800AMBULANCE 99434,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99434,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99434,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99434,A81000A,00100,0100,Y 99434,A81000B,00100,0300,HOME OFFICE CAPITAL 99434,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99434,A81000B,00300,0300,WAREHOUSE 99434,A81000C,00100,0100,A 99434,A81000C,00100,0200,PETER C. KERN 99434,A81000C,00100,0400,HEA MANAGEMENT GROUP 99434,A81000C,00100,0600,HOME OFFICE 99434,A81000C,00200,0100,A 99434,A81000C,00200,0200,PETER C. KERN 99434,A81000C,00200,0400,WAREHOUSE STORAGE 99434,A81000C,00200,0600,OLD RECORD STORAGE 99434,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99434,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99434,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99434,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99434,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99434,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99434,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99434,B100000,00000,0800,00000MEALS SERVED :DIETARY 99434,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99434,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99434,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99434,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99434,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99434,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99434,S000000,00100,0200,05/30/2000 99434,S200000,00100,0100,101 SOUTH 34TH STREET 99434,S200000,00200,0100,GATESVILLE 99434,S200000,00200,0200,TX 99434,S200000,00200,0300,76528-2699 99434,S200000,00300,0100,CORYELL 99434,S200000,00300,0200,3810 99434,S200000,00300,0300,U 99434,S200000,00400,0100,HILLSIDE MANOR NURSING CENTER 99434,S200000,00400,0200,675201 99434,S200000,00400,0300,11/16/1993 99434,S200000,00400,0500,P 99434,S200000,01600,0100,Y 99434,S200000,02200,0100,Y 99434,S200000,04300,0100,Y 99444,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99444,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99444,A000000,00300,0000,00300EMPLOYEE BENEFITS 99444,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99444,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99444,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99444,A000000,00700,0000,00700HOUSEKEEPING 99444,A000000,00800,0000,00800DIETARY 99444,A000000,00900,0000,00900NURSING ADMINISTRATION 99444,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99444,A000000,01100,0000,01100PHARMACY 99444,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99444,A000000,01300,0000,01300SOCIAL SERVICE 99444,A000000,01301,0000,01301SOCIAL SERVICE 99444,A000000,01350,0000,01500OTHER GENERAL SERVICES 99444,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99444,A000000,01600,0000,01600SKILLED NURSING FACILITY 99444,A000000,01800,0000,01800NURSING FACILITY 99444,A000000,01810,0000,01801ICF/MR 99444,A000000,01900,0000,01900OTHER LONG TERM CARE 99444,A000000,02100,0000,02100RADIOLOGY 99444,A000000,02200,0000,02200LABORATORY 99444,A000000,02300,0000,02300INTRAVENOUS THERAPY 99444,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99444,A000000,02500,0000,02500PHYSICAL THERAPY 99444,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99444,A000000,02700,0000,02700SPEECH PATHOLOGY 99444,A000000,02800,0000,02800ELECTROCARDIOLOGY 99444,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99444,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99444,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99444,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99444,A000000,03200,0000,03200SUPPORT SURFACES 99444,A000000,03400,0000,03400CLINIC 99444,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99444,A000000,03500,0000,03500RURAL HEALTH CLINIC 99444,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99444,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99444,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99444,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99444,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99444,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99444,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99444,A000000,04400,0000,04400DME RENTED - HHA 99444,A000000,04500,0000,04500DME SOLD - HHA 99444,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99444,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99444,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99444,A000000,04800,0000,04800AMBULANCE 99444,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99444,A000000,05000,0000,05000CORF 99444,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99444,A000000,05300,0000,05300INTEREST EXPENSE 99444,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99444,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99444,A000000,05500,0000,05500HOSPICE 99444,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99444,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99444,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99444,A000000,06100,0000,06100NONPAID WORKERS 99444,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99444,A000000,06200,0000,06200PATIENTS LAUNDRY 99444,A81000A,00100,0100,Y 99444,A81000B,00100,0300,MANAGEMENT FEES 99444,A81000C,00100,0100,B 99444,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 99444,A81000C,00100,0600,MANAGEMENT SERVICES 99444,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99444,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99444,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99444,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99444,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99444,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99444,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99444,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99444,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99444,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99444,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99444,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99444,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99444,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICE 99444,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99444,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99444,S000000,00100,0200,07/07/2000 99444,S200000,00100,0100,611 N.W. STALLINGS 99444,S200000,00200,0100,NACOGDOCHES 99444,S200000,00200,0200,TX 99444,S200000,00200,0300,75963- 99444,S200000,00300,0100,NACOGDOCHES 99444,S200000,00400,0100,WESTRIDGE MANOR 99444,S200000,00400,0200,675202 99444,S200000,00400,0300,10/01/1997 99444,S200000,00400,0500,P 99444,S200000,00400,0600,O 99444,S200000,01004,0500,O 99444,S200000,01600,0100,Y 99444,S700003,00000,0100,1 99451,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99451,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99451,A000000,00300,0000,00300EMPLOYEE BENEFITS 99451,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99451,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99451,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99451,A000000,00700,0000,00700HOUSEKEEPING 99451,A000000,00800,0000,00800DIETARY 99451,A000000,00801,0000,00801CAFETERIA 99451,A000000,00900,0000,00900NURSING ADMINISTRATION 99451,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99451,A000000,01100,0000,01100PHARMACY 99451,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99451,A000000,01300,0000,01300SOCIAL SERVICE 99451,A000000,01600,0000,01600SKILLED NURSING FACILITY 99451,A000000,01800,0000,01800NURSING FACILITY 99451,A000000,01900,0000,01900OTHER LONG TERM CARE 99451,A000000,02100,0000,02100RADIOLOGY 99451,A000000,02200,0000,02200LABORATORY 99451,A000000,02300,0000,02300INTRAVENOUS THERAPY 99451,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99451,A000000,02500,0000,02500PHYSICAL THERAPY 99451,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99451,A000000,02700,0000,02700SPEECH PATHOLOGY 99451,A000000,02800,0000,02800ELECTROCARDIOLOGY 99451,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99451,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99451,A000000,03200,0000,03200SUPPORT SURFACES 99451,A000000,04800,0000,04800AMBULANCE 99451,A000000,05300,0000,05300INTEREST EXPENSE 99451,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99451,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99451,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99451,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99451,A81000A,00100,0100,Y 99451,A81000B,00100,0300,HOME OFFICE COSTS 99451,A81000B,00200,0300,HOME OFFICE COSTS 99451,A81000C,00100,0100,B 99451,A81000C,00100,0200,TRILLIUM HEALTH 99451,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99451,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99451,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99451,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99451,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99451,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99451,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99451,B100000,00000,0800,00000MEALS SERVED :DIETARY 99451,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99451,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99451,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99451,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99451,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99451,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99451,S000000,00100,0200,06/29/2000 99451,S200000,00100,0100,315 EAST 19TH STREET 99451,S200000,00200,0100,DUMAS 99451,S200000,00200,0200,TX 99451,S200000,00200,0300,79029- 99451,S200000,00300,0100,MOORE 99451,S200000,00400,0100,CANYON VIEW MANOR 99451,S200000,00400,0200,675203 99451,S200000,00400,0300,09/15/1993 99451,S200000,00400,0500,P 99451,S200000,01600,0100,Y 99451,S700003,00000,0100,1 99459,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99459,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99459,A000000,00300,0000,00300EMPLOYEE BENEFITS 99459,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99459,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99459,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99459,A000000,00700,0000,00700HOUSEKEEPING 99459,A000000,00800,0000,00800DIETARY 99459,A000000,00900,0000,00900NURSING ADMINISTRATION 99459,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99459,A000000,01100,0000,01100PHARMACY 99459,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99459,A000000,01300,0000,01300SOCIAL SERVICE 99459,A000000,01600,0000,01600SKILLED NURSING FACILITY 99459,A000000,01800,0000,01800NURSING FACILITY 99459,A000000,02100,0000,02100RADIOLOGY 99459,A000000,02200,0000,02200LABORATORY 99459,A000000,02300,0000,02300INTRAVENOUS THERAPY 99459,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99459,A000000,02500,0000,02500PHYSICAL THERAPY 99459,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99459,A000000,02700,0000,02700SPEECH PATHOLOGY 99459,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99459,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99459,A000000,03200,0000,03200SUPPORT SURFACES 99459,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99459,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99459,A81000A,00100,0100,Y 99459,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99459,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99459,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99459,A81000C,00100,0100,A 99459,A81000C,00100,0200,JAMES PATTERSON 99459,A81000C,00100,0400,PYRAMID HEALTHCARE 99459,A81000C,00100,0600,LTC MANAGEMENT 99459,A81000C,00200,0100,A 99459,A81000C,00200,0200,ROBERT GRIMES 99459,A81000C,00200,0400,PYRAMID HEALTHCARE 99459,A81000C,00200,0600,LTC MANAGEMENT 99459,A81000C,00300,0100,A 99459,A81000C,00300,0200,DIANE WARD 99459,A81000C,00300,0400,PYRAMID HEALTHCARE 99459,A81000C,00300,0600,LTC MANAGEMENT 99459,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99459,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99459,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99459,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99459,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99459,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99459,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99459,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99459,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99459,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99459,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99459,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99459,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99459,S000000,00100,0200,06/28/2000 99459,S200000,00100,0100,1244 STATE PARK ROAD 99459,S200000,00200,0100,WHITNEY 99459,S200000,00200,0200,TX 99459,S200000,00200,0300,76692-4343 99459,S200000,00300,0100,HILL 99459,S200000,00300,0200,0045 99459,S200000,00300,0300,R 99459,S200000,00400,0100,PARK PLAZA NURSING HOME 99459,S200000,00400,0200,675204 99459,S200000,00400,0300,10/27/1993 99459,S200000,00400,0500,P 99459,S200000,01600,0100,Y 99468,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99468,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99468,A000000,00300,0000,00300EMPLOYEE BENEFITS 99468,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99468,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99468,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99468,A000000,00700,0000,00700HOUSEKEEPING 99468,A000000,00800,0000,00800DIETARY 99468,A000000,00801,0000,00801CAFETERIA 99468,A000000,00900,0000,00900NURSING ADMINISTRATION 99468,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99468,A000000,01100,0000,01100PHARMACY 99468,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99468,A000000,01300,0000,01300SOCIAL SERVICE 99468,A000000,01600,0000,01600SKILLED NURSING FACILITY 99468,A000000,01800,0000,01800NURSING FACILITY 99468,A000000,01900,0000,01900OTHER LONG TERM CARE 99468,A000000,02100,0000,02100RADIOLOGY 99468,A000000,02200,0000,02200LABORATORY 99468,A000000,02300,0000,02300INTRAVENOUS THERAPY 99468,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99468,A000000,02500,0000,02500PHYSICAL THERAPY 99468,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99468,A000000,02700,0000,02700SPEECH PATHOLOGY 99468,A000000,02800,0000,02800ELECTROCARDIOLOGY 99468,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99468,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99468,A000000,03200,0000,03200SUPPORT SURFACES 99468,A000000,04800,0000,04800AMBULANCE 99468,A000000,05300,0000,05300INTEREST EXPENSE 99468,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99468,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99468,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99468,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99468,A81000A,00100,0100,Y 99468,A81000B,00100,0300,CAPITAL RELATED 99468,A81000B,00200,0300,ADMIN & GEN 99468,A81000C,00100,0100,B 99468,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99468,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99468,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99468,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99468,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99468,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99468,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99468,B100000,00000,0800,00000MEALS SERVED :DIETARY 99468,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99468,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99468,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99468,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99468,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99468,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99468,S000000,00100,0200,06/08/2000 99468,S200000,00100,0100,7602 LOUIS PASTEUR DRIVE 99468,S200000,00200,0100,SAN ANTONIO 99468,S200000,00200,0200,TX 99468,S200000,00200,0300,78229- 99468,S200000,00300,0100,BEXAR 99468,S200000,00400,0100,FREDERICKSBURG NURSING & REHAB 99468,S200000,00400,0200,675205 99468,S200000,00400,0300,04/15/1997 99468,S200000,00400,0500,P 99468,S200000,01600,0100,Y 99468,S700003,00000,0100,1 99476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99476,A000000,00300,0000,00300EMPLOYEE BENEFITS 99476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99476,A000000,00700,0000,00700HOUSEKEEPING 99476,A000000,00800,0000,00800DIETARY 99476,A000000,00900,0000,00900NURSING ADMINISTRATION 99476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99476,A000000,01100,0000,01100PHARMACY 99476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99476,A000000,01300,0000,01300SOCIAL SERVICE 99476,A000000,01600,0000,01600SKILLED NURSING FACILITY 99476,A000000,01800,0000,01800NURSING FACILITY 99476,A000000,02100,0000,02100RADIOLOGY 99476,A000000,02200,0000,02200LABORATORY 99476,A000000,02300,0000,02300INTRAVENOUS THERAPY 99476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99476,A000000,02500,0000,02500PHYSICAL THERAPY 99476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99476,A000000,02700,0000,02700SPEECH PATHOLOGY 99476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99476,A000000,03200,0000,03200SUPPORT SURFACES 99476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99476,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99476,A81000A,00100,0100,Y 99476,A81000B,00100,0300,HOME OFFICE CAPITAL 99476,A81000B,00200,0300,ADMINISTRATIVE 99476,A81000B,00300,0300,WORKING CAPITAL INTEREST 99476,A81000C,00100,0100,A 99476,A81000C,00100,0200,JAMES PATTERSON 99476,A81000C,00100,0400,PYRAMID HEALTHCARE 99476,A81000C,00100,0600,LTC MANAGEMENT 99476,A81000C,00200,0100,A 99476,A81000C,00200,0200,ROBERT GRIMES 99476,A81000C,00200,0400,PYRAMID HEALTHCARE 99476,A81000C,00200,0600,LTC MANAGEMENT 99476,A81000C,00300,0100,A 99476,A81000C,00300,0200,DIANE WARD 99476,A81000C,00300,0400,PYRAMID HEALTHCARE 99476,A81000C,00300,0600,LTC MANAGEMENT 99476,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99476,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 99476,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99476,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99476,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99476,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99476,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99476,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99476,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99476,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99476,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99476,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99476,S000000,00100,0200,06/28/2000 99476,S200000,00100,0100,501 N. MAIN 99476,S200000,00200,0100,COLLINSVILLE 99476,S200000,00200,0200,TX 99476,S200000,00200,0300,76233-5106 99476,S200000,00300,0100,GRAYSON 99476,S200000,00300,0200,7640 99476,S200000,00300,0300,U 99476,S200000,00400,0100,COLLINSVILLE CARE CENTER 99476,S200000,00400,0200,675206 99476,S200000,00400,0300,12/06/1993 99476,S200000,00400,0500,P 99476,S200000,01600,0100,Y 99491,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99491,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99491,A000000,00300,0000,00300EMPLOYEE BENEFITS 99491,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99491,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99491,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99491,A000000,00700,0000,00700HOUSEKEEPING 99491,A000000,00800,0000,00800DIETARY 99491,A000000,00900,0000,00900NURSING ADMINISTRATION 99491,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99491,A000000,01100,0000,01100PHARMACY 99491,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99491,A000000,01300,0000,01300SOCIAL SERVICE 99491,A000000,01351,0000,01301ACTIVITIES 99491,A000000,01600,0000,01600SKILLED NURSING FACILITY 99491,A000000,01800,0000,01800NURSING FACILITY 99491,A000000,02100,0000,02100RADIOLOGY 99491,A000000,02200,0000,02200LABORATORY 99491,A000000,02300,0000,02300INTRAVENOUS THERAPY 99491,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99491,A000000,02500,0000,02500PHYSICAL THERAPY 99491,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99491,A000000,02700,0000,02700SPEECH PATHOLOGY 99491,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99491,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99491,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99491,A000000,03051,0000,03301MEDICAL EQUIPMENT 99491,A000000,04800,0000,04800AMBULANCE 99491,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99491,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99491,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99491,A81000A,00100,0100,Y 99491,A81000B,00100,0300,HOME OFFICE CAPITAL 99491,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99491,A81000B,00300,0300,WAREHOUSE 99491,A81000C,00100,0100,A 99491,A81000C,00100,0200,PETER C. KERN 99491,A81000C,00100,0400,HEA MANAGEMENT GROUP 99491,A81000C,00100,0600,HOME OFFICE 99491,A81000C,00200,0100,A 99491,A81000C,00200,0200,PETER C. KERN 99491,A81000C,00200,0400,WAREHOUSE STORAGE 99491,A81000C,00200,0600,OLD RECORD STORAGE 99491,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99491,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99491,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99491,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99491,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99491,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99491,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99491,B100000,00000,0800,00000MEALS SERVED :DIETARY 99491,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99491,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99491,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99491,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99491,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99491,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99491,S000000,00100,0200,05/30/2000 99491,S200000,00100,0100,AVENUE E AT COLLEGE STREET 99491,S200000,00100,0300,DRAWER 656 99491,S200000,00200,0100,ROSEBUD 99491,S200000,00200,0200,TX 99491,S200000,00200,0300,76570-0656 99491,S200000,00300,0100,FALLS 99491,S200000,00300,0200,45 99491,S200000,00300,0300,R 99491,S200000,00400,0100,HERITAGE HOUSE 99491,S200000,00400,0200,675210 99491,S200000,00400,0300,11/01/1993 99491,S200000,00400,0500,P 99491,S200000,01600,0100,Y 99491,S200000,02200,0100,Y 99491,S200000,04300,0100,Y 99501,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99501,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 99501,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99501,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 99501,A000000,00300,0000,00300EMPLOYEE BENEFITS 99501,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99501,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99501,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99501,A000000,00700,0000,00700HOUSEKEEPING 99501,A000000,00800,0000,00800DIETARY 99501,A000000,00801,0000,00801CAFETERIA 99501,A000000,00900,0000,00900NURSING ADMINISTRATION 99501,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99501,A000000,01100,0000,01100PHARMACY 99501,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99501,A000000,01300,0000,01300SOCIAL SERVICE 99501,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 99501,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99501,A000000,01600,0000,01600SKILLED NURSING FACILITY 99501,A000000,01800,0000,01800NURSING FACILITY 99501,A000000,01900,0000,01900OTHER LONG TERM CARE 99501,A000000,02100,0000,02100RADIOLOGY 99501,A000000,02200,0000,02200LABORATORY 99501,A000000,02300,0000,02300INTRAVENOUS THERAPY 99501,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99501,A000000,02500,0000,02500PHYSICAL THERAPY 99501,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99501,A000000,02700,0000,02700SPEECH PATHOLOGY 99501,A000000,02800,0000,02800ELECTROCARDIOLOGY 99501,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99501,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99501,A000000,03050,0000,03300OTHER ANCILLARY 99501,A000000,03051,0000,03301OTHER ANCILLARY II 99501,A000000,03052,0000,03302OTHER ANCILLARY III 99501,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99501,A000000,03200,0000,03200SUPPORT SURFACES 99501,A000000,03400,0000,03400CLINIC 99501,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 99501,A000000,03500,0000,03500RURAL HEALTH CLINIC 99501,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99501,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99501,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99501,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99501,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99501,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99501,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99501,A000000,04400,0000,04400DME RENTED - HHA 99501,A000000,04500,0000,04500DME SOLD - HHA 99501,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99501,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99501,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99501,A000000,04800,0000,04800AMBULANCE 99501,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99501,A000000,05000,0000,05000CORF 99501,A000000,05010,0000,05010CMHC I 99501,A000000,05020,0000,05020OPT I 99501,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99501,A000000,05300,0000,05300INTEREST EXPENSE 99501,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 99501,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 99501,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99501,A000000,05500,0000,05500HOSPICE 99501,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99501,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99501,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99501,A000000,06100,0000,06100NONPAID WORKERS 99501,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99501,A000000,06200,0000,06200PATIENTS LAUNDRY 99501,A81000A,00100,0100,Y 99501,A81000B,00100,0300,HOME OFFICE ALLOC 99501,A81000B,00200,0300,HOME OFFICE ALLOC 99501,A81000C,00100,0100,A 99501,A81000C,00100,0200,LTC SERVICES 99501,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 99501,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 99501,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 99501,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 99501,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 99501,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99501,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 99501,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 99501,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 99501,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 99501,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 99501,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 99501,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 99501,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 99501,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 99501,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 99501,B100000,00000,1350,00000 :OTHER GENERAL SERVICE COST 99501,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 99501,S000000,00100,0200,06/19/2000 99501,S200000,00100,0100,1101 REBA MCINTIRE LN 99501,S200000,00200,0100,DENISON 99501,S200000,00200,0200,TX 99501,S200000,00200,0300,75020- 99501,S200000,00300,0100,GRAYSON 99501,S200000,00400,0100,HOMESTEAD OF DENISON 99501,S200000,00400,0200,675212 99501,S200000,00400,0300,11/04/1993 99501,S200000,00400,0500,P 99501,S200000,01600,0100,Y 99501,S700003,00000,0100,1 99518,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99518,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99518,A000000,00300,0000,00300EMPLOYEE BENEFITS 99518,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99518,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99518,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99518,A000000,00700,0000,00700HOUSEKEEPING 99518,A000000,00800,0000,00800DIETARY 99518,A000000,00900,0000,00900NURSING ADMINISTRATION 99518,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99518,A000000,01100,0000,01100PHARMACY 99518,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99518,A000000,01300,0000,01300SOCIAL SERVICE 99518,A000000,01350,0000,01500PATIENT ACTIVITIES 99518,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99518,A000000,01600,0000,01600SKILLED NURSING FACILITY 99518,A000000,01800,0000,01800NURSING FACILITY 99518,A000000,01900,0000,01900OTHER LONG TERM CARE 99518,A000000,02100,0000,02100RADIOLOGY 99518,A000000,02200,0000,02200LABORATORY 99518,A000000,02300,0000,02300INTRAVENOUS THERAPY 99518,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99518,A000000,02500,0000,02500PHYSICAL THERAPY 99518,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99518,A000000,02700,0000,02700SPEECH PATHOLOGY 99518,A000000,02800,0000,02800ELECTROCARDIOLOGY 99518,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99518,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99518,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99518,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99518,A000000,03200,0000,03200SUPPORT SURFACES 99518,A000000,03400,0000,03400CLINIC 99518,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99518,A000000,03500,0000,03500RURAL HEALTH CLINIC 99518,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99518,A000000,04800,0000,04800AMBULANCE 99518,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99518,A000000,05000,0000,05000CORF 99518,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99518,A000000,05300,0000,05300INTEREST EXPENSE 99518,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99518,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99518,A000000,05500,0000,05500HOSPICE 99518,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99518,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99518,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99518,A000000,06100,0000,06100NONPAID WORKERS 99518,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99518,A000000,06200,0000,06200PATIENTS LAUNDRY 99518,A81000A,00100,0100,Y 99518,A81000B,00100,0300,MANAGEMENT FEES 99518,A81000B,00200,0300,LEASE EXPENSE 99518,A81000C,00100,0100,B 99518,A81000C,00100,0400,HEALTHMARK PARTNERS LLC 99518,A81000C,00100,0600,MANAGEMENT COMPANY 99518,A81000C,00200,0100,B 99518,A81000C,00200,0400,HCFP REIT EQUITY INC. 99518,A81000C,00200,0600,REAL ESTATE TRUST COMPANY 99518,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99518,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99518,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99518,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99518,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99518,B100000,00000,0750,00000SQ FT EXCL D:HOUSEKEEPING 99518,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99518,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99518,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99518,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 99518,S000000,00100,0200,02/09/2001 99518,S200000,00100,0100,1720 NORTH LOGAN 99518,S200000,00200,0100,TEXAS CITY 99518,S200000,00200,0200,TX 99518,S200000,00200,0300,77590- 99518,S200000,00300,0100,GALVESTON 99518,S200000,00300,0200,2920 99518,S200000,00300,0300,U 99518,S200000,00400,0100,GULF HEALTHCARE CENTER - TEXAS CITY 99518,S200000,00400,0200,675214 99518,S200000,00400,0300,11/01/1993 99518,S200000,00400,0500,P 99518,S200000,01600,0100,Y 99526,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99526,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99526,A000000,00300,0000,00300EMPLOYEE BENEFITS 99526,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99526,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99526,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99526,A000000,00700,0000,00700HOUSEKEEPING 99526,A000000,00800,0000,00800DIETARY 99526,A000000,00900,0000,00900NURSING ADMINISTRATION 99526,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99526,A000000,01100,0000,01100PHARMACY 99526,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99526,A000000,01300,0000,01300SOCIAL SERVICE 99526,A000000,01351,0000,01301ACTIVITIES 99526,A000000,01600,0000,01600SKILLED NURSING FACILITY 99526,A000000,01800,0000,01800NURSING FACILITY 99526,A000000,02100,0000,02100RADIOLOGY 99526,A000000,02200,0000,02200LABORATORY 99526,A000000,02300,0000,02300INTRAVENOUS THERAPY 99526,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99526,A000000,02500,0000,02500PHYSICAL THERAPY 99526,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99526,A000000,02700,0000,02700SPEECH PATHOLOGY 99526,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99526,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99526,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99526,A000000,03051,0000,03301MEDICAL EQUIPMENT 99526,A000000,04800,0000,04800AMBULANCE 99526,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99526,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99526,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99526,A81000A,00100,0100,Y 99526,A81000B,00100,0300,HOME OFFICE CAPITAL 99526,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99526,A81000B,00300,0300,WAREHOUSE 99526,A81000C,00100,0100,A 99526,A81000C,00100,0200,PETER C. KERN 99526,A81000C,00100,0400,HEA MANAGEMENT GROUP 99526,A81000C,00100,0600,HOME OFFICE 99526,A81000C,00200,0100,A 99526,A81000C,00200,0200,PETER C. KERN 99526,A81000C,00200,0400,WAREHOUSE STORAGE 99526,A81000C,00200,0600,OLD RECORD STORAGE 99526,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99526,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99526,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99526,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99526,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99526,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99526,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99526,B100000,00000,0800,00000MEALS SERVED :DIETARY 99526,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99526,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99526,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99526,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99526,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99526,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99526,S000000,00100,0200,05/30/2000 99526,S200000,00100,0100,350 SPRINGHILL ROAD 99526,S200000,00200,0100,JASPER 99526,S200000,00200,0200,TX 99526,S200000,00200,0300,75951-4996 99526,S200000,00300,0100,JASPER 99526,S200000,00300,0200,45 99526,S200000,00300,0300,R 99526,S200000,00400,0100,JASPER CONVALESCENT CENTER 99526,S200000,00400,0200,675215 99526,S200000,00400,0300,11/09/1993 99526,S200000,00400,0500,P 99526,S200000,01600,0100,Y 99526,S200000,02200,0100,Y 99526,S200000,04300,0100,Y 99537,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99537,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99537,A000000,00300,0000,00300EMPLOYEE BENEFITS 99537,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99537,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99537,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99537,A000000,00700,0000,00700HOUSEKEEPING 99537,A000000,00800,0000,00800DIETARY 99537,A000000,00900,0000,00900NURSING ADMINISTRATION 99537,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99537,A000000,01100,0000,01100PHARMACY 99537,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99537,A000000,01300,0000,01300SOCIAL SERVICE 99537,A000000,01350,0000,01500OTHER GENERAL SERVICES 99537,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99537,A000000,01600,0000,01600SKILLED NURSING FACILITY 99537,A000000,01800,0000,01800NURSING FACILITY 99537,A000000,01810,0000,01810ICF/MR 99537,A000000,01900,0000,01900OTHER LONG TERM CARE 99537,A000000,02100,0000,02100RADIOLOGY 99537,A000000,02200,0000,02200LABORATORY 99537,A000000,02300,0000,02300INTRAVENOUS THERAPY 99537,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99537,A000000,02500,0000,02500PHYSICAL THERAPY 99537,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99537,A000000,02700,0000,02700SPEECH PATHOLOGY 99537,A000000,02800,0000,02800ELECTROCARDIOLOGY 99537,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99537,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99537,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99537,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99537,A000000,03200,0000,03200SUPPORT SURFACES 99537,A000000,03400,0000,03400CLINIC 99537,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99537,A000000,03500,0000,03500RURAL HEALTH CLINIC 99537,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99537,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99537,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99537,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99537,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99537,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99537,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99537,A000000,04400,0000,04400DME RENTED - HHA 99537,A000000,04500,0000,04500DME SOLD - HHA 99537,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99537,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99537,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99537,A000000,04800,0000,04800AMBULANCE 99537,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99537,A000000,05000,0000,05000CORF 99537,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99537,A000000,05300,0000,05300INTEREST EXPENSE 99537,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99537,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99537,A000000,05500,0000,05500HOSPICE 99537,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99537,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99537,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99537,A000000,06100,0000,06100NONPAID WORKERS 99537,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99537,A000000,06200,0000,06200PATIENTS LAUNDRY 99537,A81000A,00100,0100,Y 99537,A81000B,00100,0300,HOME OFFICE COSTS 99537,A81000B,00200,0300,HOME OFFICE COSTS 99537,A81000B,00300,0300,FACILITY RENT 99537,A81000B,00400,0300,NURSE CONSULTANT 99537,A81000B,00500,0300,NURSE CONSULTANT 99537,A81000C,00100,0100,A 99537,A81000C,00100,0200,LARRY PARKER 99537,A81000C,00100,0400,BRIARCLIFF MANAGMENT CO 99537,A81000C,00100,0600,MANAGMENT COMPANY 99537,A81000C,00200,0100,A 99537,A81000C,00200,0200,LARRY PARKER 99537,A81000C,00200,0400,BRIARCLIFF MANAGMENT CO 99537,A81000C,00200,0600,MANAGMENT COMPANY 99537,A81000C,00300,0100,A 99537,A81000C,00300,0200,LARRY PARKER 99537,A81000C,00300,0400,BRIARCLIFF H.C. CARTHAGE 99537,A81000C,00300,0600,PARTNERSHIP 99537,A81000C,00400,0100,A 99537,A81000C,00400,0200,LARRY PARKER 99537,A81000C,00400,0400,BRAIRCLIFF VILLAGE H.C. 99537,A81000C,00400,0600,NURSING FACILITY 99537,A81000C,00500,0100,A 99537,A81000C,00500,0200,LARRY PARKER 99537,A81000C,00500,0400,BRAIRCLIFF VILLAGE H.C. 99537,A81000C,00500,0600,NURSING FACILITY 99537,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99537,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 99537,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99537,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99537,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99537,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99537,B100000,00000,0750,00000SQUARE FT CLEANED :HOUSEKEEPING 99537,B100000,00000,0800,00000MEALS SERVED :DIETARY 99537,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99537,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99537,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99537,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99537,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99537,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99537,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99537,S000000,00100,0200,06/26/2000 99537,S200000,00100,0100,200 NORTHWEST LOOP 99537,S200000,00200,0100,CARTHAGE 99537,S200000,00200,0200,TX 99537,S200000,00200,0300,75633- 99537,S200000,00300,0100,PANOLA 99537,S200000,00400,0100,BRIARCLIFF HEALTH CENTER OF CARTHAGE 99537,S200000,00400,0200,675216 99537,S200000,00400,0300,12/14/1993 99537,S200000,00400,0500,P 99537,S200000,01600,0100,Y 99537,S200000,04700,0100,Y 99546,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99546,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99546,A000000,00300,0000,00300EMPLOYEE BENEFITS 99546,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99546,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99546,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99546,A000000,00700,0000,00700HOUSEKEEPING 99546,A000000,00800,0000,00800DIETARY 99546,A000000,00900,0000,00900NURSING ADMINISTRATION 99546,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99546,A000000,01100,0000,01100PHARMACY 99546,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99546,A000000,01300,0000,01300SOCIAL SERVICE 99546,A000000,01600,0000,01600SKILLED NURSING FACILITY 99546,A000000,01800,0000,01800NURSING FACILITY 99546,A000000,02100,0000,02100RADIOLOGY 99546,A000000,02200,0000,02200LABORATORY 99546,A000000,02300,0000,02300INTRAVENOUS THERAPY 99546,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99546,A000000,02500,0000,02500PHYSICAL THERAPY 99546,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99546,A000000,02700,0000,02700SPEECH PATHOLOGY 99546,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99546,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99546,A000000,03200,0000,03200SUPPORT SURFACES 99546,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99546,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99546,A81000A,00100,0100,Y 99546,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COST 99546,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99546,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99546,A81000C,00100,0100,A 99546,A81000C,00100,0200,ROBERT GRIMES 99546,A81000C,00100,0400,PYRAMID HEALTHCARE 99546,A81000C,00100,0600,LTC OPERATIONS 99546,A81000C,00200,0100,A 99546,A81000C,00200,0200,JAMES PATTERSON 99546,A81000C,00200,0400,PYRAMID HEALTHCARE 99546,A81000C,00200,0600,LTC OPERATIONS 99546,A81000C,00300,0100,A 99546,A81000C,00300,0200,DIANNE WARD 99546,A81000C,00300,0400,PYRAMID HEALTHCARE 99546,A81000C,00300,0600,LTC OPERATIONS 99546,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99546,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99546,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99546,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99546,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99546,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99546,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99546,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99546,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99546,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99546,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99546,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99546,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99546,S000000,00100,0200,06/28/2000 99546,S200000,00100,0100,2630 OLD ANSON RD. 99546,S200000,00200,0100,ABILENE 99546,S200000,00200,0200,TX 99546,S200000,00200,0300,79603-2298 99546,S200000,00300,0100,TAYLOR 99546,S200000,00300,0200,0040 99546,S200000,00300,0300,U 99546,S200000,00400,0100,ABILENE CONVALESCENT CENTER 99546,S200000,00400,0200,675218 99546,S200000,00400,0300,11/04/1993 99546,S200000,00400,0500,P 99546,S200000,01600,0100,Y 99561,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99561,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99561,A000000,00300,0000,00300EMPLOYEE BENEFITS 99561,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99561,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99561,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99561,A000000,00700,0000,00700HOUSEKEEPING 99561,A000000,00800,0000,00800DIETARY 99561,A000000,00900,0000,00900NURSING ADMINISTRATION 99561,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99561,A000000,01100,0000,01100PHARMACY 99561,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99561,A000000,01300,0000,01300SOCIAL SERVICE 99561,A000000,01350,0000,01500OTHER GENERAL SERVICES 99561,A000000,01351,0000,01501ACTIVITIES 99561,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99561,A000000,01600,0000,01600SKILLED NURSING FACILITY 99561,A000000,01800,0000,01800NURSING FACILITY 99561,A000000,01810,0000,01810ICF/MR 99561,A000000,01900,0000,01900OTHER LONG TERM CARE 99561,A000000,02100,0000,02100RADIOLOGY 99561,A000000,02200,0000,02200LABORATORY 99561,A000000,02300,0000,02300INTRAVENOUS THERAPY 99561,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99561,A000000,02500,0000,02500PHYSICAL THERAPY 99561,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99561,A000000,02700,0000,02700SPEECH PATHOLOGY 99561,A000000,02800,0000,02800ELECTROCARDIOLOGY 99561,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99561,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99561,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99561,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99561,A000000,03200,0000,03200SUPPORT SURFACES 99561,A000000,03400,0000,03400CLINIC 99561,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99561,A000000,03500,0000,03500RURAL HEALTH CLINIC 99561,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99561,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99561,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99561,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99561,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99561,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99561,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99561,A000000,04400,0000,04400DME RENTED - HHA 99561,A000000,04500,0000,04500DME SOLD - HHA 99561,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99561,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99561,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99561,A000000,04800,0000,04800AMBULANCE 99561,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99561,A000000,05000,0000,05000CORF 99561,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99561,A000000,05300,0000,05300INTEREST EXPENSE 99561,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99561,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99561,A000000,05500,0000,05500HOSPICE 99561,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99561,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99561,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99561,A000000,06100,0000,06100NONPAID WORKERS 99561,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99561,A000000,06200,0000,06200PATIENTS LAUNDRY 99561,A81000A,00100,0100,Y 99561,A81000B,00100,0300,HOME OFFICE COST A & G 99561,A81000C,00100,0100,B 99561,A81000C,00100,0400,HEARTWAY III CORPORATION 99561,A81000C,00100,0600,NURSING HOME OPERATORS 99561,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99561,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99561,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99561,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99561,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99561,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99561,B100000,00000,0800,00000MEALS SERVED :DIETARY 99561,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99561,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99561,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99561,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99561,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99561,S000000,00100,0200,12/18/2000 99561,S200000,00100,0100,700 N HERNDON 99561,S200000,00200,0100,KIRBYVILLE 99561,S200000,00200,0200,TX 99561,S200000,00200,0300,75956- 99561,S200000,00300,0100,JASPER 99561,S200000,00300,0200,45 99561,S200000,00300,0300,R 99561,S200000,00400,0100,AVALON PLACE - KIRBYVILLE 99561,S200000,00400,0200,675220 99561,S200000,00400,0300,09/28/1993 99561,S200000,00400,0500,P 99561,S200000,01600,0100,Y 99569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99569,A000000,00300,0000,00300EMPLOYEE BENEFITS 99569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99569,A000000,00700,0000,00700HOUSEKEEPING 99569,A000000,00800,0000,00800DIETARY 99569,A000000,00900,0000,00900NURSING ADMINISTRATION 99569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99569,A000000,01100,0000,01100PHARMACY 99569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99569,A000000,01300,0000,01300SOCIAL SERVICE 99569,A000000,01351,0000,01301ACTIVITIES 99569,A000000,01600,0000,01600SKILLED NURSING FACILITY 99569,A000000,01800,0000,01800NURSING FACILITY 99569,A000000,02100,0000,02100RADIOLOGY 99569,A000000,02200,0000,02200LABORATORY 99569,A000000,02300,0000,02300INTRAVENOUS THERAPY 99569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99569,A000000,02500,0000,02500PHYSICAL THERAPY 99569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99569,A000000,02700,0000,02700SPEECH PATHOLOGY 99569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99569,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99569,A000000,03051,0000,03301MEDICAL EQUIPMENT 99569,A000000,04800,0000,04800AMBULANCE 99569,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99569,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99569,A81000A,00100,0100,Y 99569,A81000B,00100,0300,HOME OFFICE CAPITAL 99569,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99569,A81000B,00300,0300,WAREHOUSE 99569,A81000C,00100,0100,A 99569,A81000C,00100,0200,PETER C. KERN 99569,A81000C,00100,0400,HEA MANAGEMENT GROUP 99569,A81000C,00100,0600,HOME OFFICE 99569,A81000C,00200,0100,A 99569,A81000C,00200,0200,PETER C. KERN 99569,A81000C,00200,0400,WAREHOUSE STORAGE 99569,A81000C,00200,0600,OLD RECORD STORAGE 99569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99569,B100000,00000,0800,00000MEALS SERVED :DIETARY 99569,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99569,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99569,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99569,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99569,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99569,S000000,00100,0200,05/30/2000 99569,S200000,00100,0100,6602 MEMORIAL DRIVE 99569,S200000,00200,0100,TEXAS CITY 99569,S200000,00200,0200,TX 99569,S200000,00200,0300,77591-4009 99569,S200000,00300,0100,GALEVESTON 99569,S200000,00300,0200,2920 99569,S200000,00300,0300,U 99569,S200000,00400,0100,SEABREEZE CARE CENTER 99569,S200000,00400,0200,675222 99569,S200000,00400,0300,12/25/1993 99569,S200000,00400,0500,P 99569,S200000,01600,0100,Y 99569,S200000,02200,0100,Y 99569,S200000,04300,0100,Y 99582,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99582,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99582,A000000,00300,0000,00300EMPLOYEE BENEFITS 99582,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99582,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99582,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99582,A000000,00700,0000,00700HOUSEKEEPING 99582,A000000,00800,0000,00800DIETARY 99582,A000000,00900,0000,00900NURSING ADMINISTRATION 99582,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99582,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99582,A000000,01300,0000,01300SOCIAL SERVICE 99582,A000000,01301,0000,01301ACTIVITES 99582,A000000,01350,0000,01500REHABILITATION 99582,A000000,01600,0000,01600SKILLED NURSING FACILITY 99582,A000000,01800,0000,01800NURSING FACILITY 99582,A000000,01900,0000,01900OTHER LONG TERM CARE 99582,A000000,02100,0000,02100RADIOLOGY 99582,A000000,02200,0000,02200LABORATORY 99582,A000000,02300,0000,02300INTRAVENOUS THERAPY 99582,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99582,A000000,02500,0000,02500PHYSICAL THERAPY 99582,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99582,A000000,02700,0000,02700SPEECH PATHOLOGY 99582,A000000,02800,0000,02800ELECTROCARDIOLOGY 99582,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99582,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99582,A000000,03050,0000,03300EQUIPMENT RENTAL 99582,A000000,03051,0000,03301PEN THERAPY 99582,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99582,A000000,03200,0000,03200SUPPORT SURFACES 99582,A000000,04800,0000,04800AMBULANCE 99582,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99582,A000000,05300,0000,05300INTEREST EXPENSE 99582,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99582,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99582,A000000,06150,0000,06300VENDING 99582,A000000,06151,0000,06301STAND-BY 99582,A000000,06200,0000,06200PATIENTS LAUNDRY 99582,A81000A,00100,0100,Y 99582,A81000B,00100,0300,HOME OFFICE COST 99582,A81000B,00200,0300,DIETARY SUPPLEMENTS 99582,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99582,A81000B,00400,0300,PRESCRIPTION DRUGS 99582,A81000B,00500,0300,MEDICAL SUPPLIES 99582,A81000B,00600,0300,ADMIN COSTS 99582,A81000B,00700,0300,HOME OFFICE INTEREST 99582,A81000B,00800,0300,CAPITAL 99582,A81000B,00900,0300,IV THERAPY 99582,A81000B,01000,0300,THERAPY CONSULTING 99582,A81000B,01100,0300,PHYSICAL THERAPY 99582,A81000B,01200,0300,OCCUPATIONAL THERAPY 99582,A81000B,01300,0300,SPEECH THERAPY 99582,A81000B,01400,0300,ANC EQUIP RENTAL 99582,A81000B,01500,0300,PEN 99582,A81000B,01600,0300,NURSING ADMIN 99582,A81000C,00100,0100,B 99582,A81000C,00100,0200,G.A. BAYTOWN 99582,A81000C,00100,0400,MARINER PAN 99582,A81000C,00100,0600,NURSING HOMES 99582,A81000C,00200,0100,G 99582,A81000C,00200,0200,MARINER PAN 99582,A81000C,00200,0400,AMER PHARM SVCS 99582,A81000C,00200,0600,PHARMACEUTICALS 99582,A81000C,00300,0100,G 99582,A81000C,00300,0200,MARINER PAN 99582,A81000C,00300,0400,PRISM-ATS-ARS-T 99582,A81000C,00300,0600,THERAPIES 99582,A81000C,03100,0000,MARINER PAN 99582,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99582,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99582,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99582,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99582,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99582,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99582,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99582,B100000,00000,0800,00001MEALS SERVED :DIETARY 99582,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99582,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99582,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99582,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99582,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99582,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99582,E10A180,00301,0100,09/29/1999 99582,E10A180,00302,0100,07/23/1999 99582,E10A180,00350,0100,01/06/1999 99582,E10A180,00351,0100,04/28/1999 99582,E10A180,00352,0100,07/07/1999 99582,E10A180,00353,0100,01/10/2000 99582,S000000,00100,0200,03/03/2000 99582,S200000,00100,0100,2000 BEAUMONT 99582,S200000,00200,0100,BAYTOWN 99582,S200000,00200,0200,TX 99582,S200000,00200,0300,77520- 99582,S200000,00300,0100,HARRIS 99582,S200000,00300,0300,U 99582,S200000,00400,0100,GREEN ACRES CONVAL CTR-BAYTOWN 99582,S200000,00400,0200,675225 99582,S200000,00400,0300,11/29/1993 99582,S200000,00400,0500,P 99582,S200000,01600,0100,Y 99582,S200000,02200,0100,Y 99582,S200000,04300,0100,Y 99590,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99590,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99590,A000000,00300,0000,00300EMPLOYEE BENEFITS 99590,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99590,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99590,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99590,A000000,00700,0000,00700HOUSEKEEPING 99590,A000000,00800,0000,00800DIETARY 99590,A000000,00900,0000,00900NURSING ADMINISTRATION 99590,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99590,A000000,01100,0000,01100PHARMACY 99590,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99590,A000000,01300,0000,01300SOCIAL SERVICE 99590,A000000,01350,0000,01500PATIENT ACTIVITES 99590,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99590,A000000,01600,0000,01600SKILLED NURSING FACILITY 99590,A000000,01800,0000,01800NURSING FACILITY 99590,A000000,01810,0000,01810ICF/MR 99590,A000000,01900,0000,01900OTHER LONG TERM CARE 99590,A000000,02100,0000,02100RADIOLOGY 99590,A000000,02200,0000,02200LABORATORY 99590,A000000,02300,0000,02300INTRAVENOUS THERAPY 99590,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99590,A000000,02500,0000,02500PHYSICAL THERAPY 99590,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99590,A000000,02700,0000,02700SPEECH PATHOLOGY 99590,A000000,02800,0000,02800ELECTROCARDIOLOGY 99590,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99590,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99590,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99590,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99590,A000000,03200,0000,03200SUPPORT SURFACES 99590,A000000,03400,0000,03400CLINIC 99590,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99590,A000000,03500,0000,03500RURAL HEALTH CLINIC 99590,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99590,A000000,04800,0000,04800AMBULANCE 99590,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99590,A000000,05000,0000,05000CORF 99590,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99590,A000000,05300,0000,05300INTEREST EXPENSE 99590,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99590,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99590,A000000,05500,0000,05500HOSPICE 99590,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99590,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99590,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99590,A000000,06100,0000,06100NONPAID WORKERS 99590,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99590,A000000,06200,0000,06200PATIENTS LAUNDRY 99590,A81000A,00100,0100,Y 99590,A81000B,00100,0300,HOME OFFICE 99590,A81000B,00200,0300,HOME OFFICE CAPITAL 99590,A81000B,00300,0300,HOME OFFICE NON CAPITAL 99590,A81000B,00400,0300,HOME OFFICE CAPITAL 99590,A81000B,00500,0300,HOME OFFICE NON CAPITAL 99590,A81000B,00600,0300,ANCILLARY MGMT FEE 99590,A81000B,00700,0300,ANCILLARY MGMT FEE 99590,A81000B,00800,0300,ANCILLARY MGMT FEE 99590,A81000C,00100,0100,B 99590,A81000C,00100,0200,FHS INC. 99590,A81000C,00100,0400,FHS INC. 99590,A81000C,00100,0600,HOME OFFICE 99590,A81000C,00200,0100,B 99590,A81000C,00200,0200,SOUTHERN HC SYS INC. 99590,A81000C,00200,0400,SOUTHERN HC SYS INC. 99590,A81000C,00200,0600,HOME OFFICE 99590,A81000C,00300,0100,B 99590,A81000C,00300,0200,FAS INC 99590,A81000C,00300,0400,FAS INC 99590,A81000C,00300,0600,ANCILLARY MGMT 99590,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99590,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99590,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99590,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99590,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99590,B100000,00000,0750,00000SQ FT EXCL DIET:HOUSEKEEPING 99590,B100000,00000,0800,00000MEALS SERVED :DIETARY 99590,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99590,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99590,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99590,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITES 99590,S000000,00100,0200,06/01/2000 99590,S200000,00100,0100,106 KAHN STREET 99590,S200000,00200,0100,HALLETTSVILLE 99590,S200000,00200,0200,TX 99590,S200000,00200,0300,77964- 99590,S200000,00300,0100,LAVACA 99590,S200000,00300,0200,45 99590,S200000,00300,0300,R 99590,S200000,00400,0100,STEVENS CONVALESCENT CENTER 99590,S200000,00400,0200,675226 99590,S200000,00400,0300,01/01/1990 99590,S200000,00400,0500,P 99590,S200000,01600,0100,Y 99597,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99597,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99597,A000000,00300,0000,00300EMPLOYEE BENEFITS 99597,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99597,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99597,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99597,A000000,00700,0000,00700HOUSEKEEPING 99597,A000000,00800,0000,00800DIETARY 99597,A000000,00900,0000,00900NURSING ADMINISTRATION 99597,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99597,A000000,01100,0000,01100PHARMACY 99597,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99597,A000000,01300,0000,01300SOCIAL SERVICE 99597,A000000,01351,0000,01301ACTIVITIES 99597,A000000,01600,0000,01600SKILLED NURSING FACILITY 99597,A000000,01800,0000,01800NURSING FACILITY 99597,A000000,02100,0000,02100RADIOLOGY 99597,A000000,02200,0000,02200LABORATORY 99597,A000000,02300,0000,02300INTRAVENOUS THERAPY 99597,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99597,A000000,02500,0000,02500PHYSICAL THERAPY 99597,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99597,A000000,02700,0000,02700SPEECH PATHOLOGY 99597,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99597,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99597,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99597,A000000,03051,0000,03301MEDICAL EQUIPMENT 99597,A000000,04800,0000,04800AMBULANCE 99597,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99597,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99597,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99597,A81000A,00100,0100,Y 99597,A81000B,00100,0300,HOME OFFICE CAPITAL 99597,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99597,A81000B,00300,0300,WAREHOUSE 99597,A81000C,00100,0100,A 99597,A81000C,00100,0200,PETER C. KERN 99597,A81000C,00100,0400,HEA MANAGEMENT GROUP 99597,A81000C,00100,0600,HOME OFFICE 99597,A81000C,00200,0100,A 99597,A81000C,00200,0200,PETER C. KERN 99597,A81000C,00200,0400,WAREHOUSE STORAGE 99597,A81000C,00200,0600,OLD RECORD STORAGE 99597,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99597,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99597,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99597,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99597,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99597,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99597,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99597,B100000,00000,0800,00000MEALS SERVED :DIETARY 99597,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99597,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99597,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99597,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99597,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99597,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99597,S000000,00100,0200,05/03/2000 99597,S200000,00100,0100,99 RIGBY OWEN ROAD 99597,S200000,00200,0100,CONROE 99597,S200000,00200,0200,TX 99597,S200000,00200,0300,77304-1765 99597,S200000,00300,0100,MONTGOMERY 99597,S200000,00300,0200,3360 99597,S200000,00300,0300,U 99597,S200000,00400,0100,WOODLAND MANOR NURSING HOME 99597,S200000,00400,0200,675229 99597,S200000,00400,0300,10/25/1993 99597,S200000,00400,0500,P 99597,S200000,01600,0100,Y 99597,S200000,02200,0100,Y 99597,S200000,04300,0100,Y 99606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99606,A000000,00300,0000,00300EMPLOYEE BENEFITS 99606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99606,A000000,00700,0000,00700HOUSEKEEPING 99606,A000000,00800,0000,00800DIETARY 99606,A000000,00900,0000,00900NURSING ADMINISTRATION 99606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99606,A000000,01300,0000,01300SOCIAL SERVICE 99606,A000000,01301,0000,01301ACTIVITES 99606,A000000,01350,0000,01500REHABILITATION 99606,A000000,01600,0000,01600SKILLED NURSING FACILITY 99606,A000000,01800,0000,01800NURSING FACILITY 99606,A000000,01900,0000,01900OTHER LONG TERM CARE 99606,A000000,02100,0000,02100RADIOLOGY 99606,A000000,02200,0000,02200LABORATORY 99606,A000000,02300,0000,02300INTRAVENOUS THERAPY 99606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99606,A000000,02500,0000,02500PHYSICAL THERAPY 99606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99606,A000000,02700,0000,02700SPEECH PATHOLOGY 99606,A000000,02800,0000,02800ELECTROCARDIOLOGY 99606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99606,A000000,03050,0000,03300EQUIPMENT RENTAL 99606,A000000,03051,0000,03301PEN THERAPY 99606,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99606,A000000,03200,0000,03200SUPPORT SURFACES 99606,A000000,04800,0000,04800AMBULANCE 99606,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99606,A000000,05300,0000,05300INTEREST EXPENSE 99606,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99606,A000000,06150,0000,06300VENDING 99606,A000000,06151,0000,06301STAND-BY 99606,A000000,06200,0000,06200PATIENTS LAUNDRY 99606,A81000A,00100,0100,Y 99606,A81000B,00100,0300,HOME OFFICE COST 99606,A81000B,00200,0300,DIETARY SUPPLEMENTS 99606,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99606,A81000B,00400,0300,PRESCRIPTION DRUGS 99606,A81000B,00500,0300,MEDICAL SUPPLIES 99606,A81000B,00600,0300,ADMIN COSTS 99606,A81000B,00700,0300,HOME OFFICE INTEREST 99606,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99606,A81000B,00900,0300,IV THERAPY 99606,A81000B,01000,0300,THERAPY CONSULTING 99606,A81000B,01100,0300,PHYSICAL THERAPY 99606,A81000B,01200,0300,OCCUPATIONAL THERAPY 99606,A81000B,01300,0300,SPEECH THERAPY 99606,A81000B,01400,0300,ANC EQUIP RENTAL 99606,A81000B,01500,0300,CAPITAL 99606,A81000B,01600,0300,PEN THERAPY 99606,A81000C,00100,0100,B 99606,A81000C,00100,0200,JACINTO CITY-14 99606,A81000C,00100,0400,MARINER PAN 99606,A81000C,00100,0600,NURSING HOMES 99606,A81000C,00200,0100,G 99606,A81000C,00200,0200,MARINER PAN 99606,A81000C,00200,0400,AMER PHARM SVCS 99606,A81000C,00200,0600,PHARMACEUTICALS 99606,A81000C,00300,0100,G 99606,A81000C,00300,0200,MARINER PAN 99606,A81000C,00300,0400,PRISM-ATS-ARS-T 99606,A81000C,00300,0600,THERAPIES 99606,A81000C,03100,0000,MARINER PAN 99606,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99606,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99606,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99606,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99606,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99606,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99606,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99606,B100000,00000,0800,00001MEALS SERVED :DIETARY 99606,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99606,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99606,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99606,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99606,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99606,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99606,E10A180,00301,0100,09/29/1999 99606,E10A180,00302,0100,01/10/2000 99606,E10A180,00350,0100,01/20/1999 99606,E10A180,00351,0100,03/31/1999 99606,E10A180,00352,0100,07/21/1999 99606,S000000,00100,0200,03/03/2000 99606,S200000,00100,0100,1405 HOLLAND 99606,S200000,00200,0100,HOUSTON 99606,S200000,00200,0200,CA 99606,S200000,00200,0300,77029- 99606,S200000,00300,0100,HARRIS 99606,S200000,00400,0100,JACINTO CITY HEALTHCARE CENTER 99606,S200000,00400,0200,675231 99606,S200000,00400,0300,12/02/1993 99606,S200000,00400,0500,P 99606,S200000,01600,0100,Y 99606,S200000,02200,0100,Y 99606,S200000,04300,0100,Y 99610,S000000,00100,0200,08/07/2000 99617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99617,A000000,00300,0000,00300EMPLOYEE BENEFITS 99617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99617,A000000,00700,0000,00700HOUSEKEEPING 99617,A000000,00800,0000,00800DIETARY 99617,A000000,00900,0000,00900NURSING ADMINISTRATION 99617,A000000,00901,0000,00901NURSING ADMINISTRATION 99617,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99617,A000000,01100,0000,01100PHARMACY 99617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99617,A000000,01300,0000,01300SOCIAL SERVICE 99617,A000000,01350,0000,01500OTHER GENERAL SERVICES 99617,A000000,01352,0000,01502ACTIVITIES 99617,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99617,A000000,01600,0000,01600SKILLED NURSING FACILITY 99617,A000000,01800,0000,01800NURSING FACILITY 99617,A000000,01810,0000,01810ICF/MR 99617,A000000,01900,0000,01900OTHER LONG TERM CARE 99617,A000000,02100,0000,02100RADIOLOGY 99617,A000000,02200,0000,02200LABORATORY 99617,A000000,02300,0000,02300INTRAVENOUS THERAPY 99617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99617,A000000,02500,0000,02500PHYSICAL THERAPY 99617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99617,A000000,02700,0000,02700SPEECH PATHOLOGY 99617,A000000,02800,0000,02800ELECTROCARDIOLOGY 99617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99617,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99617,A000000,03200,0000,03200SUPPORT SURFACES 99617,A000000,03400,0000,03400CLINIC 99617,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99617,A000000,03500,0000,03500RURAL HEALTH CLINIC 99617,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99617,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99617,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99617,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99617,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99617,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99617,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99617,A000000,04400,0000,04400DME RENTED - HHA 99617,A000000,04500,0000,04500DME SOLD - HHA 99617,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99617,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99617,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99617,A000000,04800,0000,04800AMBULANCE 99617,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99617,A000000,05000,0000,05000CORF 99617,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99617,A000000,05300,0000,05300INTEREST EXPENSE 99617,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99617,A000000,05500,0000,05500HOSPICE 99617,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99617,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99617,A000000,06100,0000,06100NONPAID WORKERS 99617,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99617,A000000,06200,0000,06200PATIENTS LAUNDRY 99617,A81000A,00100,0100,Y 99617,A81000B,00100,0300,HOME OFFICE COST A & G 99617,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 99617,A81000C,00100,0100,B 99617,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 99617,A81000C,00100,0600,NURSING HOME OPERATORS 99617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99617,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99617,B100000,00000,0800,00000MEALS SERVED :DIETARY 99617,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99617,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99617,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99617,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99617,B100000,00000,1352,00000PATIENT DAYS :ACTIVITIES 99617,S000000,00100,0200,01/31/2001 99617,S200000,00100,0100,6150 S.LOOP EAST 99617,S200000,00200,0100,HOUSTON 99617,S200000,00200,0200,TX 99617,S200000,00200,0300,77087-1096 99617,S200000,00300,0100,HARRIS 99617,S200000,00300,0200,45 99617,S200000,00300,0300,U 99617,S200000,00400,0100,ALL SEASONS CARE CENTER 99617,S200000,00400,0200,675233 99617,S200000,00400,0300,12/22/1993 99617,S200000,00400,0500,P 99617,S200000,01600,0100,Y 99633,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99633,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99633,A000000,00300,0000,00300EMPLOYEE BENEFITS 99633,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99633,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99633,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99633,A000000,00700,0000,00700HOUSEKEEPING 99633,A000000,00800,0000,00800DIETARY 99633,A000000,00900,0000,00900NURSING ADMINISTRATION 99633,A000000,00901,0000,00901NURSING ADMINISTRATION 99633,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99633,A000000,01100,0000,01100PHARMACY 99633,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99633,A000000,01300,0000,01300SOCIAL SERVICE 99633,A000000,01350,0000,01500OTHER GENERAL SERVICES 99633,A000000,01352,0000,01502ACTIVITIES 99633,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99633,A000000,01600,0000,01600SKILLED NURSING FACILITY 99633,A000000,01800,0000,01800NURSING FACILITY 99633,A000000,01810,0000,01810ICF/MR 99633,A000000,01900,0000,01900OTHER LONG TERM CARE 99633,A000000,02100,0000,02100RADIOLOGY 99633,A000000,02200,0000,02200LABORATORY 99633,A000000,02300,0000,02300INTRAVENOUS THERAPY 99633,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99633,A000000,02500,0000,02500PHYSICAL THERAPY 99633,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99633,A000000,02700,0000,02700SPEECH PATHOLOGY 99633,A000000,02800,0000,02800ELECTROCARDIOLOGY 99633,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99633,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99633,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99633,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99633,A000000,03200,0000,03200SUPPORT SURFACES 99633,A000000,03400,0000,03400CLINIC 99633,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99633,A000000,03500,0000,03500RURAL HEALTH CLINIC 99633,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99633,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99633,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99633,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99633,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99633,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99633,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99633,A000000,04400,0000,04400DME RENTED - HHA 99633,A000000,04500,0000,04500DME SOLD - HHA 99633,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99633,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99633,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99633,A000000,04800,0000,04800AMBULANCE 99633,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99633,A000000,05000,0000,05000CORF 99633,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99633,A000000,05300,0000,05300INTEREST EXPENSE 99633,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99633,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99633,A000000,05500,0000,05500HOSPICE 99633,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99633,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99633,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99633,A000000,06100,0000,06100NONPAID WORKERS 99633,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99633,A000000,06200,0000,06200PATIENTS LAUNDRY 99633,A81000A,00100,0100,Y 99633,A81000B,00100,0300,HOME OFFICE COST A & G 99633,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 99633,A81000C,00100,0100,B 99633,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 99633,A81000C,00100,0600,NURSING HOME MANAGEMENT 99633,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99633,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99633,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99633,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99633,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99633,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99633,B100000,00000,0800,00000MEALS SERVED :DIETARY 99633,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99633,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99633,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99633,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99633,B100000,00000,1352,00000PATIENT DAYS :ACTIVITIES 99633,S000000,00100,0200,01/31/2001 99633,S200000,00100,0100,101 COLLEGE ST 99633,S200000,00100,0300,DRAWER D 99633,S200000,00200,0100,MASON 99633,S200000,00200,0200,TX 99633,S200000,00200,0300,75452-1125 99633,S200000,00300,0100,MASON 99633,S200000,00300,0200,45 99633,S200000,00300,0300,R 99633,S200000,00400,0100,MASON CARE CENTER 99633,S200000,00400,0200,675235 99633,S200000,00400,0300,12/15/1993 99633,S200000,00400,0500,P 99633,S200000,01600,0100,Y 99641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99641,A000000,00300,0000,00300EMPLOYEE BENEFITS 99641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99641,A000000,00700,0000,00700HOUSEKEEPING 99641,A000000,00800,0000,00800DIETARY 99641,A000000,00900,0000,00900NURSING ADMINISTRATION 99641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99641,A000000,01100,0000,01100PHARMACY 99641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99641,A000000,01300,0000,01300SOCIAL SERVICE 99641,A000000,01350,0000,01500OTHER GENERAL SERVICES 99641,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99641,A000000,01600,0000,01600SKILLED NURSING FACILITY 99641,A000000,01800,0000,01800NURSING FACILITY 99641,A000000,01900,0000,01900OTHER LONG TERM CARE 99641,A000000,02100,0000,02100RADIOLOGY 99641,A000000,02200,0000,02200LABORATORY 99641,A000000,02300,0000,02300INTRAVENOUS THERAPY 99641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99641,A000000,02500,0000,02500PHYSICAL THERAPY 99641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99641,A000000,02700,0000,02700SPEECH PATHOLOGY 99641,A000000,02800,0000,02800ELECTROCARDIOLOGY 99641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99641,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99641,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99641,A000000,03200,0000,03200SUPPORT SURFACES 99641,A000000,03400,0000,03400CLINIC 99641,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99641,A000000,03500,0000,03500RURAL HEALTH CLINIC 99641,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99641,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99641,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99641,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99641,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99641,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99641,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99641,A000000,04400,0000,04400DME RENTED - HHA 99641,A000000,04500,0000,04500DME SOLD - HHA 99641,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99641,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99641,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99641,A000000,04800,0000,04800AMBULANCE 99641,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99641,A000000,05000,0000,05000CORF 99641,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99641,A000000,05300,0000,05300INTEREST EXPENSE 99641,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99641,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99641,A000000,05500,0000,05500HOSPICE 99641,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99641,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99641,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99641,A000000,06100,0000,06100NONPAID WORKERS 99641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99641,A000000,06151,0000,06301MARKETING 99641,A000000,06152,0000,06302COUNTRY STORE 99641,A000000,06200,0000,06200PATIENTS LAUNDRY 99641,A81000A,00100,0100,Y 99641,A81000B,00100,0300,CAPITAL RELATED NEW B & F 99641,A81000B,00200,0300,A & G HOME OFFICE COSTS 99641,A81000C,00100,0100,B 99641,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 99641,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 99641,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 99641,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 99641,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 99641,B100000,00000,0750,00002SQUARE FEET :HOUSEKEEPING 99641,B100000,00000,0800,00002MEALS SERVED :DIETARY 99641,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 99641,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 99641,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 99641,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 99641,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 99641,H510100,00000,0000,2800 99641,H510100,02400,0000,2800 99641,S000000,00100,0200,03/01/2000 99641,S200000,00100,0100,1600 TEXAS STREET 99641,S200000,00200,0100,FORT WORTH 99641,S200000,00200,0200,TX 99641,S200000,00200,0300,76102-3434 99641,S200000,00300,0100,TARRANT 99641,S200000,00300,0200,2800 99641,S200000,00300,0300,U 99641,S200000,00400,0100,TRINITY TERRACE HEALTH CARE 99641,S200000,00400,0200,675238 99641,S200000,00400,0300,01/01/1994 99641,S200000,00400,0500,P 99641,S200000,00800,0200,459372 99641,S200000,00800,0300,01/01/1994 99641,S200000,00800,0500,P 99641,S200000,01600,0100,Y 99641,S200000,02800,0100,Y 99653,S000000,00100,0200,07/07/2000 99661,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99661,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99661,A000000,00300,0000,00300EMPLOYEE BENEFITS 99661,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99661,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99661,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99661,A000000,00700,0000,00700HOUSEKEEPING 99661,A000000,00800,0000,00800DIETARY 99661,A000000,00900,0000,00900NURSING ADMINISTRATION 99661,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99661,A000000,01100,0000,01100PHARMACY 99661,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99661,A000000,01300,0000,01300SOCIAL SERVICE 99661,A000000,01351,0000,01301ACTIVITIES 99661,A000000,01600,0000,01600SKILLED NURSING FACILITY 99661,A000000,01800,0000,01800NURSING FACILITY 99661,A000000,02100,0000,02100RADIOLOGY 99661,A000000,02200,0000,02200LABORATORY 99661,A000000,02300,0000,02300INTRAVENOUS THERAPY 99661,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99661,A000000,02500,0000,02500PHYSICAL THERAPY 99661,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99661,A000000,02700,0000,02700SPEECH PATHOLOGY 99661,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99661,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99661,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99661,A000000,03051,0000,03301MEDICAL EQUIPMENT 99661,A000000,04800,0000,04800AMBULANCE 99661,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99661,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99661,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99661,A81000A,00100,0100,Y 99661,A81000B,00100,0300,HOME OFFICE CAPITAL 99661,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99661,A81000B,00300,0300,WAREHOUSE 99661,A81000C,00100,0100,A 99661,A81000C,00100,0200,PETER C. KERN 99661,A81000C,00100,0400,HEA MANAGEMENT GROUP 99661,A81000C,00100,0600,HOME OFFICE 99661,A81000C,00200,0100,A 99661,A81000C,00200,0200,PETER C. KERN 99661,A81000C,00200,0400,WAREHOUSE STORAGE 99661,A81000C,00200,0600,OLD RECORD STORAGE 99661,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99661,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99661,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99661,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99661,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99661,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99661,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99661,B100000,00000,0800,00000MEALS SERVED :DIETARY 99661,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99661,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99661,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99661,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99661,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99661,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99661,S000000,00100,0200,05/30/2000 99661,S200000,00100,0100,1307 NORTH FERRIS 99661,S200000,00200,0100,JEFFERSON 99661,S200000,00200,0200,TX 99661,S200000,00200,0300,75657- 99661,S200000,00300,0100,MARION 99661,S200000,00300,0300,R 99661,S200000,00400,0100,PINE HILL TERRACE 99661,S200000,00400,0200,675241 99661,S200000,00400,0300,01/01/1994 99661,S200000,00400,0500,P 99661,S200000,01600,0100,Y 99661,S200000,02200,0100,Y 99661,S200000,04300,0100,Y 99670,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99670,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99670,A000000,00300,0000,00300EMPLOYEE BENEFITS 99670,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99670,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99670,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99670,A000000,00700,0000,00700HOUSEKEEPING 99670,A000000,00800,0000,00800DIETARY 99670,A000000,00900,0000,00900NURSING ADMINISTRATION 99670,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99670,A000000,01100,0000,01100PHARMACY 99670,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99670,A000000,01300,0000,01300SOCIAL SERVICE 99670,A000000,01600,0000,01600SKILLED NURSING FACILITY 99670,A000000,01800,0000,01800NURSING FACILITY 99670,A000000,02100,0000,02100RADIOLOGY 99670,A000000,02200,0000,02200LABORATORY 99670,A000000,02300,0000,02300INTRAVENOUS THERAPY 99670,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99670,A000000,02500,0000,02500PHYSICAL THERAPY 99670,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99670,A000000,02700,0000,02700SPEECH PATHOLOGY 99670,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99670,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99670,A000000,03200,0000,03200SUPPORT SURFACES 99670,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99670,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99670,A81000A,00100,0100,Y 99670,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99670,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99670,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99670,A81000C,00100,0100,A 99670,A81000C,00100,0200,JAMES PATTERSON 99670,A81000C,00100,0400,PYRAMID HEALTHCARE 99670,A81000C,00100,0600,LTC MANAGEMENT 99670,A81000C,00200,0100,A 99670,A81000C,00200,0200,ROBERT GRIMES 99670,A81000C,00200,0400,PYRAMID HEALTHCARE 99670,A81000C,00200,0600,LTC MANAGEMENT 99670,A81000C,00300,0100,A 99670,A81000C,00300,0200,DIANE WARD 99670,A81000C,00300,0400,PYRAMID HEALTHCARE 99670,A81000C,00300,0600,LTC MANAGEMENT 99670,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99670,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99670,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99670,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99670,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99670,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99670,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99670,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99670,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99670,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99670,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99670,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99670,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99670,S000000,00100,0200,06/28/2000 99670,S200000,00100,0100,2309 W. WASHINGTON 99670,S200000,00200,0100,STEPHENVILLE 99670,S200000,00200,0200,TX 99670,S200000,00200,0300,76401-3805 99670,S200000,00300,0100,ERATH 99670,S200000,00300,0200,0045 99670,S200000,00300,0300,R 99670,S200000,00400,0100,CANTERBURY VILLA OF STEPHENVILLE 99670,S200000,00400,0200,675242 99670,S200000,00400,0300,01/01/1996 99670,S200000,00400,0500,P 99670,S200000,01600,0100,Y 99679,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99679,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99679,A000000,00300,0000,00300EMPLOYEE BENEFITS 99679,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99679,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99679,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99679,A000000,00700,0000,00700HOUSEKEEPING 99679,A000000,00800,0000,00800DIETARY 99679,A000000,00900,0000,00900NURSING ADMINISTRATION 99679,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99679,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99679,A000000,01300,0000,01300SOCIAL SERVICE 99679,A000000,01301,0000,01301ACTIVITES 99679,A000000,01350,0000,01500REHABILITATION 99679,A000000,01600,0000,01600SKILLED NURSING FACILITY 99679,A000000,01800,0000,01800NURSING FACILITY 99679,A000000,01900,0000,01900OTHER LONG TERM CARE 99679,A000000,02100,0000,02100RADIOLOGY 99679,A000000,02200,0000,02200LABORATORY 99679,A000000,02300,0000,02300INTRAVENOUS THERAPY 99679,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99679,A000000,02500,0000,02500PHYSICAL THERAPY 99679,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99679,A000000,02700,0000,02700SPEECH PATHOLOGY 99679,A000000,02800,0000,02800ELECTROCARDIOLOGY 99679,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99679,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99679,A000000,03050,0000,03300EQUIPMENT RENTAL 99679,A000000,03051,0000,03301PEN THERAPY 99679,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99679,A000000,03200,0000,03200SUPPORT SURFACES 99679,A000000,04800,0000,04800AMBULANCE 99679,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99679,A000000,05300,0000,05300INTEREST EXPENSE 99679,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99679,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99679,A000000,06150,0000,06300VENDING 99679,A000000,06151,0000,06301STAND-BY 99679,A000000,06200,0000,06200PATIENTS LAUNDRY 99679,A81000A,00100,0100,Y 99679,A81000B,00100,0300,HOME OFFICE COST 99679,A81000B,00200,0300,DIETARY SUPPLEMENTS 99679,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99679,A81000B,00400,0300,PRESCRIPTION DRUGS 99679,A81000B,00500,0300,MEDICAL SUPPLIES 99679,A81000B,00600,0300,ADMIN COSTS 99679,A81000B,00700,0300,HOME OFFICE INTEREST 99679,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99679,A81000B,00900,0300,IV THERAPY 99679,A81000B,01000,0300,HOUSEKEEPING 99679,A81000B,01100,0300,PHYSICAL THERAPY 99679,A81000B,01200,0300,OCCUPATIONAL THERAPY 99679,A81000B,01300,0300,SPEECH THERAPY 99679,A81000B,01400,0300,ANC EQUIP RENTAL 99679,A81000B,01500,0300,PEN THERAPY 99679,A81000C,00100,0100,B 99679,A81000C,00100,0400,MARINER PAN 99679,A81000C,00100,0600,NURSING HOMES 99679,A81000C,00200,0100,G 99679,A81000C,00200,0200,MARINER PAN 99679,A81000C,00200,0400,AMER PHARM SVCS 99679,A81000C,00200,0600,PHARMACEUTICALS 99679,A81000C,00300,0100,G 99679,A81000C,00300,0200,MARINER PAN 99679,A81000C,00300,0400,PRISM-ATS-ARS-T 99679,A81000C,00300,0600,THERAPIES 99679,A81000C,03100,0000,MARINER PAN 99679,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99679,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99679,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99679,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99679,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99679,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99679,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99679,B100000,00000,0800,00001MEALS SERVED :DIETARY 99679,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99679,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 99679,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99679,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99679,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99679,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99679,E10A180,00301,0100,03/31/1999 99679,E10A180,00302,0100,01/10/2000 99679,E10A180,00350,0100,01/06/1999 99679,E10A180,00351,0100,07/21/1999 99679,E10A180,00352,0100,09/29/1999 99679,S000000,00100,0200,03/03/2000 99679,S200000,00100,0100,11025 OLD VOTH ROAD 99679,S200000,00200,0100,BEAUMONT 99679,S200000,00200,0200,CA 99679,S200000,00200,0300,77713- 99679,S200000,00300,0100,JEFFERSON 99679,S200000,00400,0100,GREEN ACRES-PARKDALE 99679,S200000,00400,0200,675243 99679,S200000,00400,0300,01/04/1994 99679,S200000,00400,0500,P 99679,S200000,01600,0100,Y 99679,S200000,02200,0100,Y 99679,S200000,04300,0100,Y 99679,S700003,00000,0100,1 99688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99688,A000000,00300,0000,00300EMPLOYEE BENEFITS 99688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99688,A000000,00700,0000,00700HOUSEKEEPING 99688,A000000,00800,0000,00800DIETARY 99688,A000000,00900,0000,00900NURSING ADMINISTRATION 99688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99688,A000000,01100,0000,01100PHARMACY 99688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99688,A000000,01300,0000,01300SOCIAL SERVICE 99688,A000000,01351,0000,01301ACTIVITIES 99688,A000000,01600,0000,01600SKILLED NURSING FACILITY 99688,A000000,01800,0000,01800NURSING FACILITY 99688,A000000,02100,0000,02100RADIOLOGY 99688,A000000,02200,0000,02200LABORATORY 99688,A000000,02300,0000,02300INTRAVENOUS THERAPY 99688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99688,A000000,02500,0000,02500PHYSICAL THERAPY 99688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99688,A000000,02700,0000,02700SPEECH PATHOLOGY 99688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99688,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99688,A000000,03051,0000,03301MEDICAL EQUIPMENT 99688,A000000,04800,0000,04800AMBULANCE 99688,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99688,A81000A,00100,0100,Y 99688,A81000B,00100,0300,HOME OFFICE CAPITAL 99688,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99688,A81000B,00300,0300,WAREHOUSE 99688,A81000C,00100,0100,A 99688,A81000C,00100,0200,PETER C. KERN 99688,A81000C,00100,0400,HEA MANAGEMENT GROUP 99688,A81000C,00100,0600,HOME OFFICE 99688,A81000C,00200,0100,A 99688,A81000C,00200,0200,PETER C. KERN 99688,A81000C,00200,0400,WAREHOUSE STORAGE 99688,A81000C,00200,0600,OLD RECORD STORAGE 99688,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99688,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99688,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99688,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99688,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99688,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99688,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99688,B100000,00000,0800,00000MEALS SERVED :DIETARY 99688,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99688,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99688,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99688,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99688,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99688,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99688,S000000,00100,0200,05/30/2000 99688,S200000,00100,0100,HIGHWAY 67 EAST 99688,S200000,00200,0100,MT. VERNON 99688,S200000,00200,0200,TX 99688,S200000,00200,0300,75457-0519 99688,S200000,00300,0100,FRAKLIN 99688,S200000,00300,0200,45 99688,S200000,00300,0300,R 99688,S200000,00400,0100,TERRY HAVEN NURSING CENTER 99688,S200000,00400,0200,675246 99688,S200000,00400,0300,11/22/1993 99688,S200000,00400,0500,P 99688,S200000,01600,0100,Y 99688,S200000,02200,0100,Y 99688,S200000,04300,0100,Y 99701,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99701,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99701,A000000,00300,0000,00300EMPLOYEE BENEFITS 99701,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99701,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99701,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99701,A000000,00700,0000,00700HOUSEKEEPING 99701,A000000,00800,0000,00800DIETARY 99701,A000000,00900,0000,00900NURSING ADMINISTRATION 99701,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99701,A000000,01100,0000,01100PHARMACY 99701,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99701,A000000,01300,0000,01300SOCIAL SERVICE 99701,A000000,01600,0000,01600SKILLED NURSING FACILITY 99701,A000000,01800,0000,01800NURSING FACILITY 99701,A000000,02100,0000,02100RADIOLOGY 99701,A000000,02200,0000,02200LABORATORY 99701,A000000,02300,0000,02300INTRAVENOUS THERAPY 99701,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99701,A000000,02500,0000,02500PHYSICAL THERAPY 99701,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99701,A000000,02700,0000,02700SPEECH PATHOLOGY 99701,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99701,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99701,A000000,03200,0000,03200SUPPORT SURFACES 99701,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99701,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99701,A81000A,00100,0100,Y 99701,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99701,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99701,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99701,A81000C,00100,0100,A 99701,A81000C,00100,0200,JAMES PATTERSON 99701,A81000C,00100,0400,PYRAMID HEALTHCARE 99701,A81000C,00100,0600,LTC MANAGEMENT 99701,A81000C,00200,0100,A 99701,A81000C,00200,0200,ROBERT GRIMES 99701,A81000C,00200,0400,PYRAMID HEALTHCARE 99701,A81000C,00200,0600,LTC MANAGEMENT 99701,A81000C,00300,0100,A 99701,A81000C,00300,0200,DIANE WARD 99701,A81000C,00300,0400,PYRAMID HEALTHCARE 99701,A81000C,00300,0600,LTC MANAGEMENT 99701,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99701,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99701,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99701,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99701,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99701,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99701,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99701,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99701,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99701,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99701,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99701,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99701,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99701,S000000,00100,0200,06/28/2000 99701,S200000,00100,0100,411 SPRINGCREEK ROAD 99701,S200000,00200,0100,GRAND SALINE 99701,S200000,00200,0200,TX 99701,S200000,00200,0300,75140-0457 99701,S200000,00300,0100,VAN ZANDT 99701,S200000,00400,0100,AZALEA TRAIL 99701,S200000,00400,0200,675253 99701,S200000,00400,0300,01/01/1996 99701,S200000,00400,0500,P 99701,S200000,01600,0100,Y 99701,S700003,00000,0100,1 99717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99717,A000000,00300,0000,00300EMPLOYEE BENEFITS 99717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99717,A000000,00700,0000,00700HOUSEKEEPING 99717,A000000,00800,0000,00800DIETARY 99717,A000000,00900,0000,00900NURSING ADMINISTRATION 99717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99717,A000000,01100,0000,01100PHARMACY 99717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99717,A000000,01300,0000,01300SOCIAL SERVICE 99717,A000000,01600,0000,01600SKILLED NURSING FACILITY 99717,A000000,01800,0000,01800NURSING FACILITY 99717,A000000,02100,0000,02100RADIOLOGY 99717,A000000,02200,0000,02200LABORATORY 99717,A000000,02300,0000,02300INTRAVENOUS THERAPY 99717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99717,A000000,02500,0000,02500PHYSICAL THERAPY 99717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99717,A000000,02700,0000,02700SPEECH PATHOLOGY 99717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99717,A000000,03200,0000,03200SUPPORT SURFACES 99717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99717,A81000A,00100,0100,Y 99717,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99717,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99717,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99717,A81000C,00100,0100,A 99717,A81000C,00100,0200,JAMES PATTERSON 99717,A81000C,00100,0400,PYRAMID HEALTHCARE 99717,A81000C,00100,0600,LTC MANAGEMENT 99717,A81000C,00200,0100,A 99717,A81000C,00200,0200,ROBERT GRIMES 99717,A81000C,00200,0400,PYRAMID HEALTHCARE 99717,A81000C,00200,0600,LTC MANAGEMENT 99717,A81000C,00300,0100,A 99717,A81000C,00300,0200,DIANE WARD 99717,A81000C,00300,0400,PYRAMID HEALTHCARE 99717,A81000C,00300,0600,LTC MANAGEMENT 99717,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99717,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99717,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99717,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99717,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99717,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99717,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99717,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99717,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99717,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99717,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99717,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99717,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99717,S000000,00100,0200,06/28/2000 99717,S200000,00100,0100,1404 FRONT STREET 99717,S200000,00200,0100,CISCO 99717,S200000,00200,0200,TX 99717,S200000,00200,0300,76437-3636 99717,S200000,00300,0100,EASTLAND 99717,S200000,00300,0200,0045 99717,S200000,00300,0300,R 99717,S200000,00400,0100,CANTERBURY VILLA OF CISCO 99717,S200000,00400,0200,675259 99717,S200000,00400,0300,02/01/1994 99717,S200000,00400,0500,P 99717,S200000,01600,0100,Y 99725,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99725,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99725,A000000,00300,0000,00300EMPLOYEE BENEFITS 99725,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99725,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99725,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99725,A000000,00700,0000,00700HOUSEKEEPING 99725,A000000,00800,0000,00800DIETARY 99725,A000000,00900,0000,00900NURSING ADMINISTRATION 99725,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99725,A000000,01100,0000,01100PHARMACY 99725,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99725,A000000,01300,0000,01300SOCIAL SERVICE 99725,A000000,01600,0000,01600SKILLED NURSING FACILITY 99725,A000000,01800,0000,01800NURSING FACILITY 99725,A000000,02100,0000,02100RADIOLOGY 99725,A000000,02200,0000,02200LABORATORY 99725,A000000,02300,0000,02300INTRAVENOUS THERAPY 99725,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99725,A000000,02500,0000,02500PHYSICAL THERAPY 99725,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99725,A000000,02700,0000,02700SPEECH PATHOLOGY 99725,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99725,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99725,A000000,03200,0000,03200SUPPORT SURFACES 99725,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99725,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99725,A81000A,00100,0100,Y 99725,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99725,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99725,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99725,A81000C,00100,0100,A 99725,A81000C,00100,0200,JAMES PATTERSON 99725,A81000C,00100,0400,PYRAMID HEALTHCARE 99725,A81000C,00100,0600,LTC MANAGEMENT 99725,A81000C,00200,0100,A 99725,A81000C,00200,0200,ROBERT GRIMES 99725,A81000C,00200,0400,PYRAMID HEALTHCARE 99725,A81000C,00200,0600,LTC MANAGEMENT 99725,A81000C,00300,0100,A 99725,A81000C,00300,0200,DIANE WARD 99725,A81000C,00300,0400,PYRAMID HEALTHCARE 99725,A81000C,00300,0600,LTC MANAGEMENT 99725,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99725,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99725,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99725,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99725,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99725,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99725,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99725,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99725,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99725,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99725,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99725,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99725,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99725,S000000,00100,0200,06/28/2000 99725,S200000,00100,0100,305 SOUTH PALESTINE STREET 99725,S200000,00200,0100,ATHENS 99725,S200000,00200,0200,TX 99725,S200000,00200,0300,75751-2592 99725,S200000,00300,0100,HENDERSON 99725,S200000,00300,0200,1920 99725,S200000,00300,0300,U 99725,S200000,00400,0100,DOGWOOD TERRACE 99725,S200000,00400,0200,675264 99725,S200000,00400,0300,01/01/1996 99725,S200000,00400,0500,P 99725,S200000,01600,0100,Y 99736,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99736,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99736,A000000,00300,0000,00300EMPLOYEE BENEFITS 99736,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99736,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99736,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99736,A000000,00700,0000,00700HOUSEKEEPING 99736,A000000,00800,0000,00800DIETARY 99736,A000000,00900,0000,00900NURSING ADMINISTRATION 99736,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99736,A000000,01100,0000,01100PHARMACY 99736,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99736,A000000,01300,0000,01300SOCIAL SERVICE 99736,A000000,01351,0000,01301ACTIVITIES 99736,A000000,01600,0000,01600SKILLED NURSING FACILITY 99736,A000000,01800,0000,01800NURSING FACILITY 99736,A000000,02100,0000,02100RADIOLOGY 99736,A000000,02200,0000,02200LABORATORY 99736,A000000,02300,0000,02300INTRAVENOUS THERAPY 99736,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99736,A000000,02500,0000,02500PHYSICAL THERAPY 99736,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99736,A000000,02700,0000,02700SPEECH PATHOLOGY 99736,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99736,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99736,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99736,A000000,03051,0000,03301MEDICAL EQUIPMENT 99736,A000000,04800,0000,04800AMBULANCE 99736,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99736,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99736,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99736,A81000A,00100,0100,Y 99736,A81000B,00100,0300,HOME OFFICE CAPITAL 99736,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99736,A81000B,00300,0300,WAREHOUSE 99736,A81000C,00100,0100,A 99736,A81000C,00100,0200,PETER C. KERN 99736,A81000C,00100,0400,HEA MANAGEMENT GROUP 99736,A81000C,00100,0600,HOME OFFICE 99736,A81000C,00200,0100,A 99736,A81000C,00200,0200,PETER C. KERN 99736,A81000C,00200,0400,WAREHOUSE STORAGE 99736,A81000C,00200,0600,OLD RECORD STORAGE 99736,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99736,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99736,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99736,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99736,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99736,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99736,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99736,B100000,00000,0800,00000MEALS SERVED :DIETARY 99736,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99736,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99736,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99736,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99736,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99736,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99736,S000000,00100,0200,05/30/2000 99736,S200000,00100,0100,413 EAST MANSFIELD CARDINAL ROAD 99736,S200000,00200,0100,KENNEDALE 99736,S200000,00200,0200,TX 99736,S200000,00200,0300,76060- 99736,S200000,00300,0100,TARRANT 99736,S200000,00300,0200,2800 99736,S200000,00300,0300,U 99736,S200000,00400,0100,PECAN MANOR 99736,S200000,00400,0200,675270 99736,S200000,00400,0300,01/31/1994 99736,S200000,00400,0500,P 99736,S200000,01600,0100,Y 99736,S200000,02200,0100,Y 99736,S200000,04300,0100,Y 99745,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99745,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99745,A000000,00300,0000,00300EMPLOYEE BENEFITS 99745,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99745,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99745,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99745,A000000,00700,0000,00700HOUSEKEEPING 99745,A000000,00800,0000,00800DIETARY 99745,A000000,00900,0000,00900NURSING ADMINISTRATION 99745,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99745,A000000,01100,0000,01100PHARMACY 99745,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99745,A000000,01300,0000,01300SOCIAL SERVICE 99745,A000000,01351,0000,01301ACTIVITIES 99745,A000000,01600,0000,01600SKILLED NURSING FACILITY 99745,A000000,01800,0000,01800NURSING FACILITY 99745,A000000,02100,0000,02100RADIOLOGY 99745,A000000,02200,0000,02200LABORATORY 99745,A000000,02300,0000,02300INTRAVENOUS THERAPY 99745,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99745,A000000,02500,0000,02500PHYSICAL THERAPY 99745,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99745,A000000,02700,0000,02700SPEECH PATHOLOGY 99745,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99745,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99745,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99745,A000000,03051,0000,03301MEDICAL EQUIPMENT 99745,A000000,04800,0000,04800AMBULANCE 99745,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99745,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99745,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99745,A81000A,00100,0100,Y 99745,A81000B,00100,0300,HOME OFFICE CAPITAL 99745,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99745,A81000B,00300,0300,WAREHOUSE 99745,A81000C,00100,0100,A 99745,A81000C,00100,0200,PETER C. KERN 99745,A81000C,00100,0400,HEA MANAGEMENT GROUP 99745,A81000C,00100,0600,HOME OFFICE 99745,A81000C,00200,0100,A 99745,A81000C,00200,0200,PETER C. KERN 99745,A81000C,00200,0400,WAREHOUSE STORAGE 99745,A81000C,00200,0600,OLD RECORD STORAGE 99745,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99745,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99745,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99745,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99745,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99745,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99745,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99745,B100000,00000,0800,00000MEALS SERVED :DIETARY 99745,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99745,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99745,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99745,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99745,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99745,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99745,S000000,00100,0200,05/30/2000 99745,S200000,00100,0100,2231 HIGHWAY 80 EAST 99745,S200000,00200,0100,MESQUITE 99745,S200000,00200,0200,TX 99745,S200000,00200,0300,75150-5510 99745,S200000,00300,0100,DALLAS 99745,S200000,00300,0200,1920 99745,S200000,00300,0300,U 99745,S200000,00400,0100,WILLOW BEND CARE CENTER 99745,S200000,00400,0200,675272 99745,S200000,00400,0300,03/01/1994 99745,S200000,00400,0500,P 99745,S200000,01600,0100,Y 99745,S200000,02200,0100,Y 99745,S200000,04300,0100,Y 99754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99754,A000000,00300,0000,00300EMPLOYEE BENEFITS 99754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99754,A000000,00700,0000,00700HOUSEKEEPING 99754,A000000,00800,0000,00800DIETARY 99754,A000000,00900,0000,00900NURSING ADMINISTRATION 99754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99754,A000000,01100,0000,01100PHARMACY 99754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99754,A000000,01300,0000,01300SOCIAL SERVICE 99754,A000000,01351,0000,01301ACTIVITIES 99754,A000000,01600,0000,01600SKILLED NURSING FACILITY 99754,A000000,01800,0000,01800NURSING FACILITY 99754,A000000,02100,0000,02100RADIOLOGY 99754,A000000,02200,0000,02200LABORATORY 99754,A000000,02300,0000,02300INTRAVENOUS THERAPY 99754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99754,A000000,02500,0000,02500PHYSICAL THERAPY 99754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99754,A000000,02700,0000,02700SPEECH PATHOLOGY 99754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99754,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99754,A000000,03051,0000,03301MEDICAL EQUIPMENT 99754,A000000,04800,0000,04800AMBULANCE 99754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99754,A81000A,00100,0100,Y 99754,A81000B,00100,0300,HOME OFFICE CAPITAL 99754,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99754,A81000B,00300,0300,WAREHOUSE 99754,A81000C,00100,0100,A 99754,A81000C,00100,0200,PETER C. KERN 99754,A81000C,00100,0400,HEA MANAGEMENT GROUP 99754,A81000C,00100,0600,HOME OFFICE 99754,A81000C,00200,0100,A 99754,A81000C,00200,0200,PETER C. KERN 99754,A81000C,00200,0400,WAREHOUSE STORAGE 99754,A81000C,00200,0600,OLD RECORD STORAGE 99754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99754,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99754,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99754,B100000,00000,0800,00000MEALS SERVED :DIETARY 99754,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99754,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99754,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99754,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99754,S000000,00100,0200,05/30/2000 99754,S200000,00100,0100,3000 NORTH DANVILLE ROAD 99754,S200000,00100,0300,247 99754,S200000,00200,0100,WILLIS 99754,S200000,00200,0200,TX 99754,S200000,00200,0300,77378-3490 99754,S200000,00300,0100,MONTGOMERY 99754,S200000,00300,0200,3360 99754,S200000,00300,0300,U 99754,S200000,00400,0100,WILLIS CONVALESCENT CENTER 99754,S200000,00400,0200,675274 99754,S200000,00400,0300,02/02/1994 99754,S200000,00400,0500,P 99754,S200000,01600,0100,Y 99754,S200000,02200,0100,Y 99754,S200000,04300,0100,Y 99768,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99768,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99768,A000000,00300,0000,00300EMPLOYEE BENEFITS 99768,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99768,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99768,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99768,A000000,00700,0000,00700HOUSEKEEPING 99768,A000000,00800,0000,00800DIETARY 99768,A000000,00900,0000,00900NURSING ADMINISTRATION 99768,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99768,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99768,A000000,01300,0000,01300SOCIAL SERVICE 99768,A000000,01301,0000,01301ACTIVITES 99768,A000000,01350,0000,01500REHABILITATION 99768,A000000,01600,0000,01600SKILLED NURSING FACILITY 99768,A000000,01800,0000,01800NURSING FACILITY 99768,A000000,01900,0000,01900OTHER LONG TERM CARE 99768,A000000,02100,0000,02100RADIOLOGY 99768,A000000,02200,0000,02200LABORATORY 99768,A000000,02300,0000,02300INTRAVENOUS THERAPY 99768,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99768,A000000,02500,0000,02500PHYSICAL THERAPY 99768,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99768,A000000,02700,0000,02700SPEECH PATHOLOGY 99768,A000000,02800,0000,02800ELECTROCARDIOLOGY 99768,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99768,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99768,A000000,03050,0000,03300EQUIPMENT RENTAL 99768,A000000,03051,0000,03301PEN THERAPY 99768,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99768,A000000,03200,0000,03200SUPPORT SURFACES 99768,A000000,04800,0000,04800AMBULANCE 99768,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99768,A000000,05300,0000,05300INTEREST EXPENSE 99768,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99768,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99768,A000000,06150,0000,06300VENDING 99768,A000000,06151,0000,06301STAND-BY 99768,A000000,06200,0000,06200PATIENTS LAUNDRY 99768,A81000A,00100,0100,Y 99768,A81000B,00100,0300,HOME OFFICE COST 99768,A81000B,00200,0300,DIETARY SUPPLEMENTS 99768,A81000B,00300,0300,OTHER-CENTRAL SUPPLY 99768,A81000B,00400,0300,PRESCRIPTION DRUGS 99768,A81000B,00500,0300,MEDICAL SUPPLIES 99768,A81000B,00600,0300,ADMIN COSTS 99768,A81000B,00700,0300,HOME OFFICE INTEREST 99768,A81000B,00800,0300,CAPITAL 99768,A81000B,00900,0300,IV THERAPY 99768,A81000B,01000,0300,THERAPY CONSULTING 99768,A81000B,01100,0300,PHYSICAL THERAPY 99768,A81000B,01200,0300,OCCUPATIONAL THERAPY 99768,A81000B,01300,0300,SPEECH THERAPY 99768,A81000B,01400,0300,ANC EQUIP RENTAL 99768,A81000C,00100,0100,B 99768,A81000C,00100,0200,CI OF LAGRANGE- 99768,A81000C,00100,0400,MARINER PAN 99768,A81000C,00100,0600,NURSING HOMES 99768,A81000C,00200,0100,G 99768,A81000C,00200,0200,MARINER PAN 99768,A81000C,00200,0400,AMER PHARM SVCS 99768,A81000C,00200,0600,PHARMACEUTICALS 99768,A81000C,00300,0100,G 99768,A81000C,00300,0200,MARINER PAN 99768,A81000C,00300,0400,PRISM-ATS-ARS-T 99768,A81000C,00300,0600,THERAPIES 99768,A81000C,03100,0000,MARINER PAN 99768,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99768,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99768,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99768,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99768,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99768,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99768,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99768,B100000,00000,0800,00001MEALS SERVED :DIETARY 99768,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99768,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99768,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99768,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99768,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99768,E10A180,00301,0100,03/31/1999 99768,E10A180,00302,0100,09/29/1999 99768,E10A180,00350,0100,06/23/1999 99768,E10A180,00351,0100,01/06/2000 99768,S000000,00100,0200,06/05/2000 99768,S200000,00100,0100,457 NORTH MAIN 99768,S200000,00200,0100,LA GRANGE 99768,S200000,00200,0200,TE 99768,S200000,00200,0300,78945- 99768,S200000,00300,0100,FAYETTE 99768,S200000,00300,0300,R 99768,S200000,00400,0100,CARE INN OF LAGRANGE 99768,S200000,00400,0200,675277 99768,S200000,00400,0300,02/14/1994 99768,S200000,00400,0500,P 99768,S200000,01600,0100,Y 99768,S200000,02200,0100,Y 99768,S200000,04300,0100,Y 99776,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99776,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99776,A000000,00300,0000,00300EMPLOYEE BENEFITS 99776,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99776,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99776,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99776,A000000,00700,0000,00700HOUSEKEEPING 99776,A000000,00800,0000,00800DIETARY 99776,A000000,00900,0000,00900NURSING ADMINISTRATION 99776,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99776,A000000,01100,0000,01100PHARMACY 99776,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99776,A000000,01300,0000,01300SOCIAL SERVICE 99776,A000000,01600,0000,01600SKILLED NURSING FACILITY 99776,A000000,01800,0000,01800NURSING FACILITY 99776,A000000,02100,0000,02100RADIOLOGY 99776,A000000,02200,0000,02200LABORATORY 99776,A000000,02300,0000,02300INTRAVENOUS THERAPY 99776,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99776,A000000,02500,0000,02500PHYSICAL THERAPY 99776,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99776,A000000,02700,0000,02700SPEECH PATHOLOGY 99776,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99776,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99776,A000000,03200,0000,03200SUPPORT SURFACES 99776,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99776,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99776,A81000A,00100,0100,Y 99776,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99776,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99776,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99776,A81000C,00100,0100,A 99776,A81000C,00100,0200,JAMES PATTERSON 99776,A81000C,00100,0400,PYRAMID HEALTHCARE CORP 99776,A81000C,00100,0600,LTC MANAGEMENT 99776,A81000C,00200,0100,A 99776,A81000C,00200,0200,ROBERT GRIMES 99776,A81000C,00200,0400,PYRAMID HEALTHCARE CORP 99776,A81000C,00200,0600,LTC MANAGEMENT 99776,A81000C,00300,0100,A 99776,A81000C,00300,0200,DIANE WARD 99776,A81000C,00300,0400,PYRAMID HEALTHCARE CORP 99776,A81000C,00300,0600,LTC MANAGEMENT 99776,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99776,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99776,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99776,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99776,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99776,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99776,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99776,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99776,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99776,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99776,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99776,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99776,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99776,S000000,00100,0200,06/28/2000 99776,S200000,00100,0100,315 MUSTANG 99776,S200000,00200,0100,DENVER CITY 99776,S200000,00200,0200,TX 99776,S200000,00200,0300,79323-3036 99776,S200000,00300,0100,YOAKUM 99776,S200000,00400,0100,CANTERBURY VILLA OF DENVER CITY 99776,S200000,00400,0200,675280 99776,S200000,00400,0300,07/01/1995 99776,S200000,00400,0500,P 99776,S200000,01600,0100,Y 99776,S700003,00000,0100,1 99783,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99783,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99783,A000000,00300,0000,00300EMPLOYEE BENEFITS 99783,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99783,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99783,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99783,A000000,00700,0000,00700HOUSEKEEPING 99783,A000000,00800,0000,00800DIETARY 99783,A000000,00900,0000,00900NURSING ADMINISTRATION 99783,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99783,A000000,01100,0000,01100PHARMACY 99783,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99783,A000000,01300,0000,01300SOCIAL SERVICE 99783,A000000,01350,0000,01500ACTIVITIES 99783,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99783,A000000,01600,0000,01600SKILLED NURSING FACILITY 99783,A000000,01800,0000,01800NURSING FACILITY 99783,A000000,01810,0000,01810ICF/MR 99783,A000000,01900,0000,01900OTHER LONG TERM CARE 99783,A000000,02100,0000,02100RADIOLOGY 99783,A000000,02200,0000,02200LABORATORY 99783,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99783,A000000,02500,0000,02500PHYSICAL THERAPY 99783,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99783,A000000,02700,0000,02700SPEECH PATHOLOGY 99783,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99783,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99783,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 99783,A000000,03550,0000,03550FQHC 99783,A000000,04800,0000,04800AMBULANCE 99783,A000000,05000,0000,05000CORF 99783,A000000,05010,0000,05010CMHC 99783,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 99783,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 99783,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 99783,A000000,05300,0000,05300INTEREST EXPENSE 99783,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99783,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99783,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99783,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99783,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99783,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99783,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99783,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 99783,B100000,00000,0800,00000MEALS SERVED :DIETARY 99783,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 99783,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 99783,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 99783,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99783,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99783,B100000,00000,1350,00000PT DAYS :ACTIVITIES 99783,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99783,S000000,00100,0200,11/13/2000 99783,S200000,00100,0100,1111 WEST SHORE DRIVE 99783,S200000,00200,0100,RICHARDSON 99783,S200000,00200,0200,TX 99783,S200000,00200,0300,75080- 99783,S200000,00300,0100,DALLAS 99783,S200000,00400,0100,THE GARDENS OF RICHARDSON 99783,S200000,00400,0200,675281 99783,S200000,00400,0300,04/01/1994 99783,S200000,00400,0500,P 99783,S200000,00400,0600,P 99783,S200000,01600,0100,Y 99783,S200000,02200,0100,Y 99783,S200000,04700,0100,Y 99783,S700003,00000,0100,1 99790,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99790,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99790,A000000,00300,0000,00300EMPLOYEE BENEFITS 99790,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99790,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99790,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99790,A000000,00700,0000,00700HOUSEKEEPING 99790,A000000,00800,0000,00800DIETARY 99790,A000000,00900,0000,00900NURSING ADMINISTRATION 99790,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99790,A000000,01100,0000,01100PHARMACY 99790,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99790,A000000,01300,0000,01300SOCIAL SERVICE 99790,A000000,01351,0000,01301ACTIVITIES 99790,A000000,01600,0000,01600SKILLED NURSING FACILITY 99790,A000000,01800,0000,01800NURSING FACILITY 99790,A000000,02100,0000,02100RADIOLOGY 99790,A000000,02200,0000,02200LABORATORY 99790,A000000,02300,0000,02300INTRAVENOUS THERAPY 99790,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99790,A000000,02500,0000,02500PHYSICAL THERAPY 99790,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99790,A000000,02700,0000,02700SPEECH PATHOLOGY 99790,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99790,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99790,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99790,A000000,03051,0000,03301MEDICAL EQUIPMENT 99790,A000000,04800,0000,04800AMBULANCE 99790,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99790,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99790,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99790,A81000A,00100,0100,Y 99790,A81000B,00100,0300,HOME OFFICE CAPITAL 99790,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99790,A81000B,00300,0300,WAREHOUSE 99790,A81000C,00100,0100,A 99790,A81000C,00100,0200,PETER C. KERN 99790,A81000C,00100,0400,HEA MANAGEMENT GROUP 99790,A81000C,00100,0600,HOME OFFICE 99790,A81000C,00200,0100,A 99790,A81000C,00200,0200,PETER C. KERN 99790,A81000C,00200,0400,WAREHOUSE STORAGE 99790,A81000C,00200,0600,OLD RECORD STORAGE 99790,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99790,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99790,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99790,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99790,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99790,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99790,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99790,B100000,00000,0800,00000MEALS SERVED :DIETARY 99790,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99790,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99790,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99790,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99790,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99790,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99790,S000000,00100,0200,05/30/2000 99790,S200000,00100,0100,9 MEDICAL DRIVE 99790,S200000,00200,0100,AMARILLO 99790,S200000,00200,0200,TX 99790,S200000,00200,0300,79106-4137 99790,S200000,00300,0100,POTTER 99790,S200000,00300,0200,0320 99790,S200000,00300,0300,U 99790,S200000,00400,0100,COUNTRY CLUB MANOR 99790,S200000,00400,0200,675282 99790,S200000,00400,0300,04/01/1994 99790,S200000,00400,0500,P 99790,S200000,01600,0100,Y 99790,S200000,02200,0100,Y 99790,S200000,04300,0100,Y 99798,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99798,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99798,A000000,00300,0000,00300EMPLOYEE BENEFITS 99798,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99798,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99798,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99798,A000000,00700,0000,00700HOUSEKEEPING 99798,A000000,00800,0000,00800DIETARY 99798,A000000,00900,0000,00900NURSING ADMINISTRATION 99798,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99798,A000000,01100,0000,01100PHARMACY 99798,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99798,A000000,01300,0000,01300SOCIAL SERVICE 99798,A000000,01351,0000,01301ACTIVITIES 99798,A000000,01600,0000,01600SKILLED NURSING FACILITY 99798,A000000,01800,0000,01800NURSING FACILITY 99798,A000000,02100,0000,02100RADIOLOGY 99798,A000000,02200,0000,02200LABORATORY 99798,A000000,02300,0000,02300INTRAVENOUS THERAPY 99798,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99798,A000000,02500,0000,02500PHYSICAL THERAPY 99798,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99798,A000000,02700,0000,02700SPEECH PATHOLOGY 99798,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99798,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99798,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99798,A000000,03051,0000,03301MEDICAL EQUIPMENT 99798,A000000,04800,0000,04800AMBULANCE 99798,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99798,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99798,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99798,A81000A,00100,0100,Y 99798,A81000B,00100,0300,HOME OFFICE CAPITAL 99798,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99798,A81000B,00300,0300,WAREHOUSE 99798,A81000C,00100,0100,A 99798,A81000C,00100,0200,PETER C. KERN 99798,A81000C,00100,0400,HEA MANAGEMENT GROUP 99798,A81000C,00100,0600,HOME OFFICE 99798,A81000C,00200,0100,A 99798,A81000C,00200,0200,PETER C. KERN 99798,A81000C,00200,0400,WAREHOUSE STORAGE 99798,A81000C,00200,0600,OLD RECORD STORAGE 99798,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99798,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99798,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99798,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99798,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99798,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99798,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99798,B100000,00000,0800,00000MEALS SERVED :DIETARY 99798,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99798,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99798,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99798,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99798,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99798,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99798,S000000,00100,0200,05/31/2000 99798,S200000,00100,0100,1931 MEDIPARK DRIVE 99798,S200000,00200,0100,AMARILLO 99798,S200000,00200,0200,TX 99798,S200000,00200,0300,79160-2182 99798,S200000,00300,0100,POTTER 99798,S200000,00300,0200,0320 99798,S200000,00300,0300,U 99798,S200000,00400,0100,PALO DURO CARE CENTER 99798,S200000,00400,0200,675283 99798,S200000,00400,0300,07/01/1996 99798,S200000,00400,0500,P 99798,S200000,01600,0100,Y 99798,S200000,02200,0100,Y 99798,S200000,04300,0100,Y 99806,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99806,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99806,A000000,00300,0000,00300EMPLOYEE BENEFITS 99806,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99806,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99806,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99806,A000000,00700,0000,00700HOUSEKEEPING 99806,A000000,00800,0000,00800DIETARY 99806,A000000,00900,0000,00900NURSING ADMINISTRATION 99806,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99806,A000000,01100,0000,01100PHARMACY 99806,A000000,01300,0000,01300SOCIAL SERVICE 99806,A000000,01600,0000,01600SKILLED NURSING FACILITY 99806,A000000,01800,0000,01800NURSING FACILITY 99806,A000000,02100,0000,02100RADIOLOGY 99806,A000000,02200,0000,02200LABORATORY 99806,A000000,02300,0000,02300INTRAVENOUS THERAPY 99806,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99806,A000000,02500,0000,02500PHYSICAL THERAPY 99806,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99806,A000000,02700,0000,02700SPEECH PATHOLOGY 99806,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99806,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99806,A000000,03200,0000,03200SUPPORT SURFACES 99806,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99806,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99806,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99806,A81000A,00100,0100,Y 99806,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99806,A81000B,00200,0300,HOME OFFICE ADMIN RELATED COSTS 99806,A81000C,00100,0100,B 99806,A81000C,00100,0200,MJ MANAGEMENT GROUP 99806,A81000C,00100,0400,MIKE JORDAN 99806,A81000C,00100,0600,LTC OPERATIONS 99806,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99806,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99806,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99806,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99806,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99806,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99806,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99806,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99806,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99806,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99806,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99806,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99806,S000000,00100,0200,03/13/2000 99806,S200000,00100,0100,501 YATES 99806,S200000,00100,0300,600 99806,S200000,00200,0100,MOUNT VERNON 99806,S200000,00200,0200,TX 99806,S200000,00200,0300,75457-0600 99806,S200000,00300,0100,FRANKLIN 99806,S200000,00400,0100,MISSION MANOR NURSING HOME 99806,S200000,00400,0200,675284 99806,S200000,00400,0300,02/24/1994 99806,S200000,00400,0500,P 99806,S200000,01600,0100,Y 99806,S700003,00000,0100,1 99816,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99816,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99816,A000000,00300,0000,00300EMPLOYEE BENEFITS 99816,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99816,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99816,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99816,A000000,00700,0000,00700HOUSEKEEPING 99816,A000000,00800,0000,00800DIETARY 99816,A000000,00900,0000,00900NURSING ADMINISTRATION 99816,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99816,A000000,01100,0000,01100PHARMACY 99816,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99816,A000000,01300,0000,01300SOCIAL SERVICE 99816,A000000,01350,0000,01500PATIENT ACTIVITIES 99816,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99816,A000000,01600,0000,01600SKILLED NURSING FACILITY 99816,A000000,01800,0000,01800NURSING FACILITY 99816,A000000,01810,0000,01801ICF/MR 99816,A000000,01900,0000,01900OTHER LONG TERM CARE 99816,A000000,02100,0000,02100RADIOLOGY 99816,A000000,02200,0000,02200LABORATORY 99816,A000000,02300,0000,02300INTRAVENOUS THERAPY 99816,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99816,A000000,02500,0000,02500PHYSICAL THERAPY 99816,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99816,A000000,02700,0000,02700SPEECH PATHOLOGY 99816,A000000,02800,0000,02800ELECTROCARDIOLOGY 99816,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99816,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99816,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 99816,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99816,A000000,03200,0000,03200SUPPORT SURFACES 99816,A000000,03400,0000,03400CLINIC 99816,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99816,A000000,03500,0000,03500RURAL HEALTH CLINIC 99816,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99816,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99816,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99816,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99816,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99816,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99816,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99816,A000000,04400,0000,04400DME RENTED - HHA 99816,A000000,04500,0000,04500DME SOLD - HHA 99816,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99816,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99816,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99816,A000000,04800,0000,04800AMBULANCE 99816,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99816,A000000,05000,0000,05000CORF 99816,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99816,A000000,05300,0000,05300INTEREST EXPENSE 99816,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99816,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99816,A000000,05500,0000,05500HOSPICE 99816,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99816,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99816,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99816,A000000,06100,0000,06100NONPAID WORKERS 99816,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99816,A000000,06200,0000,06200PATIENTS LAUNDRY 99816,A81000A,00100,0100,Y 99816,A81000B,00100,0300,HOME OFFICE 99816,A81000B,00200,0300,HOME OFFICE CAPITAL 99816,A81000B,00300,0300,HOME OFFICE NON CAPITAL 99816,A81000B,00400,0300,ANCILLARY MGMT FEE 99816,A81000B,00500,0300,ANCILLARY MGMT FEE 99816,A81000B,00600,0300,ANCILLARY MGMT FEE 99816,A81000C,00100,0100,B 99816,A81000C,00100,0200,FHS INC 99816,A81000C,00100,0400,FHS INC 99816,A81000C,00100,0600,HOME OFFICE 99816,A81000C,00200,0100,B 99816,A81000C,00200,0200,SOUTHERN HEALTHCARE SYS 99816,A81000C,00200,0400,SOUTHERN HEALTHCARE SYS 99816,A81000C,00200,0600,HOME OFFICE 99816,A81000C,00300,0100,B 99816,A81000C,00300,0200,FAS INC 99816,A81000C,00300,0400,FAS INC 99816,A81000C,00300,0600,ANCILLARY MGMT FEE 99816,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99816,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 99816,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99816,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99816,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99816,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99816,B100000,00000,0750,00000SQ FT EXCL DIET:HOUSEKEEPING 99816,B100000,00000,0800,00000MEALS SERVED :DIETARY 99816,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99816,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99816,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99816,B100000,00000,1250,00000NO STATISTICS :MEDICAL RECORDS & L 99816,B100000,00000,1330,00000NO STATISTICS :SOCIAL SERVICE 99816,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 99816,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 99816,S000000,00100,0200,06/01/2000 99816,S200000,00100,0100,3505 OLD JACKSONVILLE RD 99816,S200000,00200,0100,TYLER 99816,S200000,00200,0200,TX 99816,S200000,00200,0300,75701- 99816,S200000,00300,0100,SMITH 99816,S200000,00400,0100,PINECREST NURSING & REHAB CTR 99816,S200000,00400,0200,675289 99816,S200000,00400,0300,01/13/1994 99816,S200000,00400,0500,P 99816,S200000,01600,0100,Y 99816,S200000,02800,0100,Y 99816,S700003,00000,0100,1 99823,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99823,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99823,A000000,00300,0000,00300EMPLOYEE BENEFITS 99823,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99823,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99823,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99823,A000000,00700,0000,00700HOUSEKEEPING 99823,A000000,00800,0000,00800DIETARY 99823,A000000,00900,0000,00900NURSING ADMINISTRATION 99823,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99823,A000000,01100,0000,01100PHARMACY 99823,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99823,A000000,01300,0000,01300SOCIAL SERVICE 99823,A000000,01351,0000,01301ACTIVITIES 99823,A000000,01600,0000,01600SKILLED NURSING FACILITY 99823,A000000,01800,0000,01800NURSING FACILITY 99823,A000000,02100,0000,02100RADIOLOGY 99823,A000000,02200,0000,02200LABORATORY 99823,A000000,02300,0000,02300INTRAVENOUS THERAPY 99823,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99823,A000000,02500,0000,02500PHYSICAL THERAPY 99823,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99823,A000000,02700,0000,02700SPEECH PATHOLOGY 99823,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99823,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99823,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99823,A000000,03051,0000,03301MEDICAL EQUIPMENT 99823,A000000,04800,0000,04800AMBULANCE 99823,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99823,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99823,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99823,A81000A,00100,0100,Y 99823,A81000B,00100,0300,HOME OFFICE CAPITAL 99823,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99823,A81000B,00300,0300,WAREHOUSE 99823,A81000C,00100,0100,A 99823,A81000C,00100,0200,PETER C. KERN 99823,A81000C,00100,0400,HEA MANAGEMENT GROUP 99823,A81000C,00100,0600,HOME OFFICE 99823,A81000C,00200,0100,A 99823,A81000C,00200,0200,PETER C. KERN 99823,A81000C,00200,0400,WAREHOUSE STORAGE 99823,A81000C,00200,0600,OLD RECORD STORAGE 99823,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99823,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99823,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99823,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99823,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99823,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99823,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99823,B100000,00000,0800,00000MEALS SERVED :DIETARY 99823,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99823,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99823,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99823,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99823,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99823,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99823,S000000,00100,0200,05/30/2000 99823,S200000,00100,0100,2224 NORTH CARROLL BLVD 99823,S200000,00200,0100,DENTON 99823,S200000,00200,0200,TX 99823,S200000,00200,0300,76201-1834 99823,S200000,00300,0100,DENTON 99823,S200000,00300,0200,1920 99823,S200000,00300,0300,U 99823,S200000,00400,0100,COTTONWOOD MANOR 99823,S200000,00400,0200,675292 99823,S200000,00400,0300,03/31/1994 99823,S200000,00400,0500,P 99823,S200000,01600,0100,Y 99823,S200000,02200,0100,Y 99823,S200000,04300,0100,Y 99832,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99832,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99832,A000000,00300,0000,00300EMPLOYEE BENEFITS 99832,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99832,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99832,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99832,A000000,00700,0000,00700HOUSEKEEPING 99832,A000000,00800,0000,00800DIETARY 99832,A000000,00900,0000,00900NURSING ADMINISTRATION 99832,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99832,A000000,01100,0000,01100PHARMACY 99832,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99832,A000000,01300,0000,01300SOCIAL SERVICE 99832,A000000,01351,0000,01301ACTIVITIES 99832,A000000,01600,0000,01600SKILLED NURSING FACILITY 99832,A000000,01800,0000,01800NURSING FACILITY 99832,A000000,02100,0000,02100RADIOLOGY 99832,A000000,02200,0000,02200LABORATORY 99832,A000000,02300,0000,02300INTRAVENOUS THERAPY 99832,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99832,A000000,02500,0000,02500PHYSICAL THERAPY 99832,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99832,A000000,02700,0000,02700SPEECH PATHOLOGY 99832,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99832,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99832,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99832,A000000,03051,0000,03301MEDICAL EQUIPMENT 99832,A000000,04800,0000,04800AMBULANCE 99832,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99832,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99832,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99832,A81000A,00100,0100,Y 99832,A81000B,00100,0300,HOME OFFICE CAPITAL 99832,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99832,A81000B,00300,0300,WAREHOUSE 99832,A81000C,00100,0100,A 99832,A81000C,00100,0200,PETER C. KERN 99832,A81000C,00100,0400,HEA MANAGEMENT GROUP 99832,A81000C,00100,0600,HOME OFFICE 99832,A81000C,00200,0100,A 99832,A81000C,00200,0200,PETER C. KERN 99832,A81000C,00200,0400,WAREHOUSE STORAGE 99832,A81000C,00200,0600,OLD RECORD STORAGE 99832,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99832,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99832,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99832,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99832,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99832,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99832,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99832,B100000,00000,0800,00000MEALS SERVED :DIETARY 99832,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99832,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99832,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99832,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99832,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99832,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99832,S000000,00100,0200,05/30/2000 99832,S200000,00100,0100,614 OAK STREET 99832,S200000,00200,0100,LYTLE 99832,S200000,00200,0200,TX 99832,S200000,00200,0300,78052-0486 99832,S200000,00300,0100,ATASCOSA 99832,S200000,00300,0200,45 99832,S200000,00300,0300,R 99832,S200000,00400,0100,LYTLE NURSING HOME 99832,S200000,00400,0200,675295 99832,S200000,00400,0300,02/17/1994 99832,S200000,00400,0500,P 99832,S200000,01600,0100,Y 99832,S200000,02200,0100,Y 99832,S200000,04300,0100,Y 99841,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99841,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99841,A000000,00300,0000,00300EMPLOYEE BENEFITS 99841,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99841,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99841,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99841,A000000,00700,0000,00700HOUSEKEEPING 99841,A000000,00800,0000,00800DIETARY 99841,A000000,00900,0000,00900NURSING ADMINISTRATION 99841,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99841,A000000,01100,0000,01100PHARMACY 99841,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99841,A000000,01300,0000,01300SOCIAL SERVICE 99841,A000000,01351,0000,01301ACTIVITIES 99841,A000000,01600,0000,01600SKILLED NURSING FACILITY 99841,A000000,01800,0000,01800NURSING FACILITY 99841,A000000,02100,0000,02100RADIOLOGY 99841,A000000,02200,0000,02200LABORATORY 99841,A000000,02300,0000,02300INTRAVENOUS THERAPY 99841,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99841,A000000,02500,0000,02500PHYSICAL THERAPY 99841,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99841,A000000,02700,0000,02700SPEECH PATHOLOGY 99841,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99841,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99841,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99841,A000000,03051,0000,03301MEDICAL EQUIPMENT 99841,A000000,04800,0000,04800AMBULANCE 99841,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99841,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99841,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99841,A81000A,00100,0100,Y 99841,A81000B,00100,0300,HOME OFFICE CAPITAL 99841,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99841,A81000B,00300,0300,WAREHOUSE 99841,A81000C,00100,0100,A 99841,A81000C,00100,0200,PETER C. KERN 99841,A81000C,00100,0400,HEA MANAGEMENT GROUP 99841,A81000C,00100,0600,HOME OFFICE 99841,A81000C,00200,0100,A 99841,A81000C,00200,0200,PETER C. KERN 99841,A81000C,00200,0400,WAREHOUSE STORAGE 99841,A81000C,00200,0600,OLD RECORD STORAGE 99841,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99841,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99841,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99841,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99841,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99841,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99841,B100000,00000,0800,00000MEALS SERVED :DIETARY 99841,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99841,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99841,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99841,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99841,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99841,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99841,S000000,00100,0200,05/30/2000 99841,S200000,00100,0100,4225 DENMARK 99841,S200000,00200,0100,HOUSTON 99841,S200000,00200,0200,TX 99841,S200000,00200,0300,77016-6801 99841,S200000,00300,0100,HARRIS 99841,S200000,00300,0200,3360 99841,S200000,00300,0300,U 99841,S200000,00400,0100,CANTERBURY VILLA OF HOUSTON 99841,S200000,00400,0200,675297 99841,S200000,00400,0300,07/01/1995 99841,S200000,00400,0500,P 99841,S200000,01600,0100,Y 99841,S200000,02200,0100,Y 99841,S200000,04300,0100,Y 99854,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99854,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99854,A000000,00300,0000,00300EMPLOYEE BENEFITS 99854,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99854,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99854,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99854,A000000,00700,0000,00700HOUSEKEEPING 99854,A000000,00800,0000,00800DIETARY 99854,A000000,00900,0000,00900NURSING ADMINISTRATION 99854,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99854,A000000,01100,0000,01100PHARMACY 99854,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99854,A000000,01300,0000,01300SOCIAL SERVICE 99854,A000000,01600,0000,01600SKILLED NURSING FACILITY 99854,A000000,01800,0000,01800NURSING FACILITY 99854,A000000,02100,0000,02100RADIOLOGY 99854,A000000,02200,0000,02200LABORATORY 99854,A000000,02300,0000,02300INTRAVENOUS THERAPY 99854,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99854,A000000,02500,0000,02500PHYSICAL THERAPY 99854,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99854,A000000,02700,0000,02700SPEECH PATHOLOGY 99854,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99854,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99854,A000000,03200,0000,03200SUPPORT SURFACES 99854,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99854,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99854,A81000A,00100,0100,Y 99854,A81000B,00100,0300,REMOVE RELATED LESSOR LEASE 99854,A81000B,00200,0300,ADD BACK RELATED LESSOR A 99854,A81000C,00100,0100,A 99854,A81000C,00100,0200,KATELAND SQUARE GERIATRIC 99854,A81000C,00100,0400,BARRETT HEALTHCARE ICES 99854,A81000C,00100,0600,RELATED LESSOR 99854,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99854,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99854,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99854,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99854,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99854,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99854,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99854,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99854,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99854,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99854,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99854,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99854,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99854,S000000,00100,0200,06/16/2000 99854,S200000,00100,0100,1106 GOLFVIEW 99854,S200000,00200,0100,RICHMOND 99854,S200000,00200,0200,TX 99854,S200000,00200,0300,77469-9120 99854,S200000,00300,0100,FORT BEND 99854,S200000,00400,0100,KATELAND SQUARE GERIATRIC CENTER 99854,S200000,00400,0200,675302 99854,S200000,00400,0300,06/13/1994 99854,S200000,00400,0500,P 99854,S200000,01600,0100,Y 99854,S700003,00000,0100,1 99861,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99861,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99861,A000000,00300,0000,00300EMPLOYEE BENEFITS 99861,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99861,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99861,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99861,A000000,00700,0000,00700HOUSEKEEPING 99861,A000000,00800,0000,00800DIETARY 99861,A000000,00900,0000,00900NURSING ADMINISTRATION 99861,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99861,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99861,A000000,01300,0000,01300SOCIAL SERVICE 99861,A000000,01301,0000,01301ACTIVITES 99861,A000000,01350,0000,01500REHABILITATION 99861,A000000,01600,0000,01600SKILLED NURSING FACILITY 99861,A000000,01800,0000,01800NURSING FACILITY 99861,A000000,01900,0000,01900OTHER LONG TERM CARE 99861,A000000,02100,0000,02100RADIOLOGY 99861,A000000,02200,0000,02200LABORATORY 99861,A000000,02300,0000,02300INTRAVENOUS THERAPY 99861,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99861,A000000,02500,0000,02500PHYSICAL THERAPY 99861,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99861,A000000,02700,0000,02700SPEECH PATHOLOGY 99861,A000000,02800,0000,02800ELECTROCARDIOLOGY 99861,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99861,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99861,A000000,03050,0000,03300EQUIPMENT RENTAL 99861,A000000,03051,0000,03301PEN THERAPY 99861,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99861,A000000,03200,0000,03200SUPPORT SURFACES 99861,A000000,04800,0000,04800AMBULANCE 99861,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99861,A000000,05300,0000,05300INTEREST EXPENSE 99861,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99861,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99861,A000000,06150,0000,06300VENDING 99861,A000000,06151,0000,06301STAND-BY 99861,A000000,06200,0000,06200PATIENTS LAUNDRY 99861,A81000A,00100,0100,Y 99861,A81000B,00100,0300,HOME OFFICE COST 99861,A81000B,00200,0300,CAPITAL 99861,A81000B,00300,0300,CENTRAL/NSG SUPPLY 99861,A81000B,00400,0300,PRESCRIPTION DRUGS 99861,A81000B,00500,0300,MEDICAL SUPPLIES 99861,A81000B,00600,0300,BENEFITS 99861,A81000B,00700,0300,HOME OFFICE INTEREST 99861,A81000B,00800,0300,IV THERAPY 99861,A81000B,00900,0300,THERAPY CONSULTING 99861,A81000B,01000,0300,PHYSICAL THERAPY 99861,A81000B,01100,0300,OCCUPATIONAL THERAPY 99861,A81000B,01200,0300,SPEECH THERAPY 99861,A81000B,01300,0300,ANC EQUIP RENTAL 99861,A81000C,00100,0100,B 99861,A81000C,00100,0200,CASTLE MANOR 13 99861,A81000C,00100,0400,MARINER PAN 99861,A81000C,00100,0600,NURSING HOMES 99861,A81000C,00200,0100,G 99861,A81000C,00200,0200,MARINER PAN 99861,A81000C,00200,0400,AMER PHARM SVCS 99861,A81000C,00200,0600,PHARMACEUTICALS 99861,A81000C,00300,0100,G 99861,A81000C,00300,0200,MARINER PAN 99861,A81000C,00300,0400,PRISM-ATS-ARS-T 99861,A81000C,00300,0600,THERAPIES 99861,A81000C,03100,0000,MARINER PAN 99861,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99861,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99861,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99861,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99861,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99861,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99861,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99861,B100000,00000,0800,00001MEALS SERVED :DIETARY 99861,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99861,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99861,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99861,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99861,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99861,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99861,E10A180,00350,0100,03/31/1999 99861,E10A180,00351,0100,06/23/1999 99861,E10A180,00352,0100,09/29/1999 99861,E10A180,00353,0100,01/06/2000 99861,S000000,00100,0200,06/05/2000 99861,S200000,00100,0100,1922 CASTLE DR. 99861,S200000,00200,0100,GARLAND 99861,S200000,00200,0200,TX 99861,S200000,00200,0300,75040- 99861,S200000,00300,0100,DALLAS 99861,S200000,00400,0100,CASTLE MANOR 99861,S200000,00400,0200,675305 99861,S200000,00400,0300,03/31/1994 99861,S200000,00400,0500,P 99861,S200000,01600,0100,Y 99861,S200000,02200,0100,Y 99861,S200000,04300,0100,Y 99869,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99869,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99869,A000000,00300,0000,00300EMPLOYEE BENEFITS 99869,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99869,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99869,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99869,A000000,00700,0000,00700HOUSEKEEPING 99869,A000000,00800,0000,00800DIETARY 99869,A000000,00900,0000,00900NURSING ADMINISTRATION 99869,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99869,A000000,01100,0000,01100PHARMACY 99869,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99869,A000000,01300,0000,01300SOCIAL SERVICE 99869,A000000,01351,0000,01301ACTIVITIES 99869,A000000,01600,0000,01600SKILLED NURSING FACILITY 99869,A000000,01800,0000,01800NURSING FACILITY 99869,A000000,02100,0000,02100RADIOLOGY 99869,A000000,02200,0000,02200LABORATORY 99869,A000000,02300,0000,02300INTRAVENOUS THERAPY 99869,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99869,A000000,02500,0000,02500PHYSICAL THERAPY 99869,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99869,A000000,02700,0000,02700SPEECH PATHOLOGY 99869,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99869,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99869,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99869,A000000,03051,0000,03301MEDICAL EQUIPMENT 99869,A000000,04800,0000,04800AMBULANCE 99869,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99869,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99869,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99869,A81000A,00100,0100,Y 99869,A81000B,00100,0300,HOME OFFICE CAPITAL 99869,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99869,A81000B,00300,0300,WAREHOUSE 99869,A81000C,00100,0100,A 99869,A81000C,00100,0200,PETER C. KERN 99869,A81000C,00100,0400,HEA MANAGEMENT GROUP 99869,A81000C,00100,0600,HOME OFFICE 99869,A81000C,00200,0100,A 99869,A81000C,00200,0200,PETER C. KERN 99869,A81000C,00200,0400,WAREHOUSE STORAGE 99869,A81000C,00200,0600,OLD RECORD STORAGE 99869,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99869,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99869,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99869,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99869,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99869,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99869,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99869,B100000,00000,0800,00000MEALS SERVED :DIETARY 99869,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99869,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99869,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99869,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99869,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99869,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99869,S000000,00100,0200,05/30/2000 99869,S200000,00100,0100,696 FM 99 99869,S200000,00200,0100,KARNES CITY 99869,S200000,00200,0200,TX 99869,S200000,00200,0300,78118-5009 99869,S200000,00300,0100,KARNES 99869,S200000,00300,0200,45 99869,S200000,00300,0300,R 99869,S200000,00400,0100,BLUEBONNET MANOR 99869,S200000,00400,0200,675306 99869,S200000,00400,0300,03/08/1994 99869,S200000,00400,0500,P 99869,S200000,01600,0100,Y 99869,S200000,02200,0100,Y 99869,S200000,04300,0100,Y 99876,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99876,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99876,A000000,00300,0000,00300EMPLOYEE BENEFITS 99876,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99876,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99876,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99876,A000000,00700,0000,00700HOUSEKEEPING 99876,A000000,00800,0000,00800DIETARY 99876,A000000,00900,0000,00900NURSING ADMINISTRATION 99876,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99876,A000000,01100,0000,01100PHARMACY 99876,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99876,A000000,01300,0000,01300SOCIAL SERVICE 99876,A000000,01350,0000,01500OTHER GENERAL SERVICES 99876,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99876,A000000,01600,0000,01600SKILLED NURSING FACILITY 99876,A000000,01800,0000,01800NURSING FACILITY 99876,A000000,01810,0000,01801ICF/MR 99876,A000000,01900,0000,01900OTHER LONG TERM CARE 99876,A000000,02100,0000,02100RADIOLOGY 99876,A000000,02200,0000,02200LABORATORY 99876,A000000,02300,0000,02300INTRAVENOUS THERAPY 99876,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99876,A000000,02500,0000,02500PHYSICAL THERAPY 99876,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99876,A000000,02700,0000,02700SPEECH PATHOLOGY 99876,A000000,02800,0000,02800ELECTROCARDIOLOGY 99876,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99876,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99876,A000000,03050,0000,03300MEDICARE B SERVICES 99876,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99876,A000000,03200,0000,03200SUPPORT SURFACES 99876,A000000,03201,0000,03201AIR FLUIDIZED THERAPY 99876,A000000,03400,0000,03400CLINIC 99876,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99876,A000000,03500,0000,03500RURAL HEALTH CLINIC 99876,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99876,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99876,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99876,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99876,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99876,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99876,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99876,A000000,04400,0000,04400DME RENTED - HHA 99876,A000000,04500,0000,04500DME SOLD - HHA 99876,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99876,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99876,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99876,A000000,04800,0000,04800AMBULANCE 99876,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99876,A000000,05000,0000,05000CORF 99876,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99876,A000000,05300,0000,05300INTEREST EXPENSE 99876,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99876,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99876,A000000,05500,0000,05500HOSPICE 99876,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99876,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99876,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99876,A000000,06100,0000,06100NONPAID WORKERS 99876,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99876,A000000,06200,0000,06200PATIENTS LAUNDRY 99876,A81000A,00100,0100,Y 99876,A81000B,00100,0300,CENTRAL OFFICE COSTS 99876,A81000B,00200,0300,CENTRAL OFFICE COSTS 99876,A81000B,00300,0300,CENTRAL OFFICE COSTS 99876,A81000B,00400,0300,RENTAL/LEASE BLDG & EQUIP 99876,A81000B,00500,0300,RENTAL/LEASE BLDG & EQUIP 99876,A81000B,00600,0300,RENTAL/LEASE BLDG & EQUIP 99876,A81000C,00100,0100,B 99876,A81000C,00100,0200,MARWITZ HEALTHCARE SERVIC 99876,A81000C,00100,0400,HEALTHCARE & OTHER 99876,A81000C,00100,0600,NURSING HOME CHAIN 99876,A81000C,00200,0100,B 99876,A81000C,00200,0200,MARWITZ HEALTHCARE SERVIC 99876,A81000C,00200,0400,MANAGEMENT SERVICES 99876,A81000C,00200,0600,NURSING HOME 99876,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99876,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99876,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99876,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99876,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99876,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99876,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99876,B100000,00000,0850,00000PATIENT DAYS :DIETARY 99876,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 99876,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99876,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99876,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99876,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99876,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99876,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99876,S000000,00100,0200,05/01/2000 99876,S200000,00100,0100,831 TEHAUCANA HIGHWAY 99876,S200000,00200,0100,MEXIA 99876,S200000,00200,0200,TX 99876,S200000,00200,0300,76667- 99876,S200000,00300,0100,LIMESTONE 99876,S200000,00400,0100,THE MANOR RETIREMENT & CONV CENTER 99876,S200000,00400,0200,675307 99876,S200000,00400,0300,05/26/1994 99876,S200000,00400,0500,P 99876,S200000,01004,0500,O 99876,S200000,01600,0100,Y 99876,S700003,00000,0100,1 99886,S000000,00100,0200,03/06/2001 99892,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99892,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99892,A000000,00300,0000,00300EMPLOYEE BENEFITS 99892,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99892,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99892,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99892,A000000,00700,0000,00700HOUSEKEEPING 99892,A000000,00800,0000,00800DIETARY 99892,A000000,00900,0000,00900NURSING ADMINISTRATION 99892,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99892,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99892,A000000,01300,0000,01300SOCIAL SERVICE 99892,A000000,01301,0000,01301ACTIVITES 99892,A000000,01350,0000,01500REHABILITATION 99892,A000000,01600,0000,01600SKILLED NURSING FACILITY 99892,A000000,01800,0000,01800NURSING FACILITY 99892,A000000,01900,0000,01900OTHER LONG TERM CARE 99892,A000000,02100,0000,02100RADIOLOGY 99892,A000000,02200,0000,02200LABORATORY 99892,A000000,02300,0000,02300INTRAVENOUS THERAPY 99892,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99892,A000000,02500,0000,02500PHYSICAL THERAPY 99892,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99892,A000000,02700,0000,02700SPEECH PATHOLOGY 99892,A000000,02800,0000,02800ELECTROCARDIOLOGY 99892,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99892,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99892,A000000,03050,0000,03300EQUIPMENT RENTAL 99892,A000000,03051,0000,03301PEN THERAPY 99892,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99892,A000000,03200,0000,03200SUPPORT SURFACES 99892,A000000,04800,0000,04800AMBULANCE 99892,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99892,A000000,05300,0000,05300INTEREST EXPENSE 99892,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99892,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99892,A000000,06150,0000,06300VENDING 99892,A000000,06151,0000,06301STAND-BY 99892,A000000,06200,0000,06200PATIENTS LAUNDRY 99892,A81000A,00100,0100,Y 99892,A81000B,00100,0300,HOME OFFICE COST 99892,A81000B,00200,0300,DIETARY SUPPLEMENTS 99892,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99892,A81000B,00400,0300,PRESCRIPTION DRUGS 99892,A81000B,00500,0300,MEDICAL SUPPLIES 99892,A81000B,00600,0300,ADMIN COSTS 99892,A81000B,00700,0300,HOME OFFICE INTEREST 99892,A81000B,00800,0300,EQUIPMENT RENTAL 99892,A81000B,00900,0300,IV THERAPY 99892,A81000B,01000,0300,THERAPY CONSULTING 99892,A81000B,01100,0300,PHYSICAL THERAPY 99892,A81000B,01200,0300,OCCUPATIONAL THERAPY 99892,A81000B,01300,0300,SPEECH THERAPY 99892,A81000C,00100,0100,B 99892,A81000C,00100,0200,R. M. ALICE 99892,A81000C,00100,0400,MARINER PAN 99892,A81000C,00100,0600,NURSING HOMES 99892,A81000C,00200,0100,G 99892,A81000C,00200,0200,MARINER PAN 99892,A81000C,00200,0400,AMER PHARM SVCS 99892,A81000C,00200,0600,PHARMACEUTICALS 99892,A81000C,00300,0100,G 99892,A81000C,00300,0200,MARINER PAN 99892,A81000C,00300,0400,PRISM-ATS-ARS-T 99892,A81000C,00300,0600,THERAPIES 99892,A81000C,03100,0000,MARINER PAN 99892,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99892,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99892,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99892,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99892,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99892,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99892,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99892,B100000,00000,0800,00001MEALS SERVED :DIETARY 99892,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99892,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99892,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99892,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99892,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99892,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99892,E10A180,00301,0100,06/09/1999 99892,E10A180,00302,0100,09/29/1999 99892,E10A180,00303,0100,01/05/2000 99892,S000000,00100,0200,08/31/2000 99892,S200000,00100,0100,606 COYOTE TRAIL 99892,S200000,00200,0100,ALICE 99892,S200000,00200,0200,TX 99892,S200000,00200,0300,78332- 99892,S200000,00300,0100,JIM WELLS 99892,S200000,00300,0300,R 99892,S200000,00400,0100,RETAMA MANOR NURSING CENTER/ALICE 99892,S200000,00400,0200,675309 99892,S200000,00400,0300,05/04/1994 99892,S200000,00400,0500,P 99892,S200000,01600,0100,Y 99892,S200000,02200,0100,Y 99892,S200000,04300,0100,Y 99900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99900,A000000,00300,0000,00300EMPLOYEE BENEFITS 99900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99900,A000000,00700,0000,00700HOUSEKEEPING 99900,A000000,00800,0000,00800DIETARY 99900,A000000,00900,0000,00900NURSING ADMINISTRATION 99900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99900,A000000,01100,0000,01100PHARMACY 99900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99900,A000000,01300,0000,01300SOCIAL SERVICE 99900,A000000,01350,0000,01500OTHER GENERAL SERVICES 99900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99900,A000000,01600,0000,01600SKILLED NURSING FACILITY 99900,A000000,01800,0000,01800NURSING FACILITY 99900,A000000,01810,0000,01801ICF/MR 99900,A000000,01900,0000,01900OTHER LONG TERM CARE 99900,A000000,02100,0000,02100RADIOLOGY 99900,A000000,02200,0000,02200LABORATORY 99900,A000000,02300,0000,02300INTRAVENOUS THERAPY 99900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99900,A000000,02500,0000,02500PHYSICAL THERAPY 99900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99900,A000000,02700,0000,02700SPEECH PATHOLOGY 99900,A000000,02800,0000,02800ELECTROCARDIOLOGY 99900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99900,A000000,03050,0000,03300MEDICARE B EXPENSES 99900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99900,A000000,03200,0000,03200SUPPORT SURFACES 99900,A000000,03201,0000,03201AIR FLUIDIZED THERAPY 99900,A000000,03400,0000,03400CLINIC 99900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 99900,A000000,03500,0000,03500RURAL HEALTH CLINIC 99900,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 99900,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 99900,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 99900,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 99900,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 99900,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 99900,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 99900,A000000,04400,0000,04400DME RENTED - HHA 99900,A000000,04500,0000,04500DME SOLD - HHA 99900,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 99900,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 99900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 99900,A000000,04800,0000,04800AMBULANCE 99900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99900,A000000,05000,0000,05000CORF 99900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99900,A000000,05300,0000,05300INTEREST EXPENSE 99900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 99900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99900,A000000,05500,0000,05500HOSPICE 99900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99900,A000000,06100,0000,06100NONPAID WORKERS 99900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99900,A000000,06200,0000,06200PATIENTS LAUNDRY 99900,A81000A,00100,0100,Y 99900,A81000B,00100,0300,H/O ALLOCATION 99900,A81000B,00200,0300,H/O ALLOCATION 99900,A81000B,00300,0300,H/O ALLOCATION 99900,A81000B,00400,0300,RENTAL/LEASE/BLDG EQUIP 99900,A81000B,00500,0300,RENTAL/LEASE/BLDG EQUIP 99900,A81000C,00100,0100,B 99900,A81000C,00100,0200,MARWITZ HEALTHCARE SERVIC 99900,A81000C,00100,0400,MARWITZ HEALTHCARE SERVIC 99900,A81000C,00100,0600,NURSING HOME CHAIN 99900,A81000C,00200,0100,B 99900,A81000C,00200,0200,MARWITZ HEALTHCARE SERVIC 99900,A81000C,00200,0400,MARWITZ HEALTHCARE SERVIC 99900,A81000C,00200,0600,NURSING HOME 99900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99900,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99900,B100000,00000,0800,00000MEALS SERVED :DIETARY 99900,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99900,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99900,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99900,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99900,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99900,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 99900,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99900,S000000,00100,0200,05/01/2000 99900,S200000,00100,0100,601 REUNION 99900,S200000,00200,0100,FAIRFIELD 99900,S200000,00200,0200,TX 99900,S200000,00200,0300,75860- 99900,S200000,00300,0100,FREESTONE 99900,S200000,00400,0100,FAIRVIEW MANOR NURSING CENTER 99900,S200000,00400,0200,675311 99900,S200000,00400,0300,03/30/1994 99900,S200000,00400,0500,P 99900,S200000,01004,0500,O 99900,S200000,01600,0100,Y 99900,S700003,00000,0100,1 99907,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99907,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99907,A000000,00300,0000,00300EMPLOYEE BENEFITS 99907,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99907,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99907,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99907,A000000,00700,0000,00700HOUSEKEEPING 99907,A000000,00800,0000,00800DIETARY 99907,A000000,00900,0000,00900NURSING ADMINISTRATION 99907,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99907,A000000,01100,0000,01100PHARMACY 99907,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99907,A000000,01300,0000,01300SOCIAL SERVICE 99907,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 99907,A000000,01600,0000,01600SKILLED NURSING FACILITY 99907,A000000,01900,0000,01900OTHER LONG TERM CARE 99907,A000000,02100,0000,02100RADIOLOGY 99907,A000000,02200,0000,02200LABORATORY 99907,A000000,02300,0000,02300INTRAVENOUS THERAPY 99907,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99907,A000000,02500,0000,02500PHYSICAL THERAPY 99907,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99907,A000000,02700,0000,02700SPEECH PATHOLOGY 99907,A000000,02800,0000,02800ELECTROCARDIOLOGY 99907,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99907,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99907,A000000,03050,0000,03201ENTERNAL THERAPY 99907,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99907,A000000,03200,0000,03200SUPPORT SURFACES 99907,A000000,03400,0000,03400CLINIC 99907,A000000,04800,0000,04800AMBULANCE 99907,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 99907,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99907,A000000,05300,0000,05300INTEREST EXPENSE 99907,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99907,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99907,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99907,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 99907,A000000,06100,0000,06100NONPAID WORKERS 99907,A000000,06200,0000,06200PATIENTS LAUNDRY 99907,A81000A,00100,0100,Y 99907,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 99907,A81000B,00200,0300,LAUNDRY SERVICES 99907,A81000B,00300,0300,MENU PLANNING 99907,A81000B,00400,0300,CENTRAL OFFICE: BLDG 99907,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 99907,A81000B,00600,0300,DRUGS 99907,A81000C,00100,0100,B 99907,A81000C,00100,0200,CANTEX HC CTRS 99907,A81000C,00100,0600,LTC MANAGEMENT 99907,A81000C,00200,0100,B 99907,A81000C,00200,0200,HEALTHCARE LNEN 99907,A81000C,00200,0600,LAUNDRY SERVICE 99907,A81000C,00300,0100,A 99907,A81000C,00300,0200,ALBERT J. LONGO 99907,A81000C,00300,0400,NOVA 99907,A81000C,00300,0600,MENU PLANNING 99907,A81000C,00400,0100,B 99907,A81000C,00400,0200,CANTEX HC CTRS 99907,A81000C,00400,0600,LTC MANAGEMENT 99907,A81000C,00500,0100,B 99907,A81000C,00500,0200,CANTEX HC CTRS 99907,A81000C,00500,0600,LTC MANAGEMENT 99907,A81000C,00600,0100,B 99907,A81000C,00600,0200,PHARMACARE 99907,A81000C,00600,0600,LTC MANAGEMENT 99907,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99907,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 99907,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99907,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99907,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99907,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 99907,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 99907,B100000,00000,0800,00000MEALS SERVED :DIETARY 99907,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 99907,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99907,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99907,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 99907,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 99907,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 99907,E10A180,00350,0100,12/31/1999 99907,S000000,00100,0200,06/01/2000 99907,S200000,00100,0100,1220 LOOP 459 99907,S200000,00200,0100,MATHIS 99907,S200000,00200,0200,TX 99907,S200000,00200,0300,78368- 99907,S200000,00300,0100,SAN PATRICIO 99907,S200000,00400,0100,MATHIS NURSING CENTER 99907,S200000,00400,0200,675312 99907,S200000,00400,0300,05/11/1994 99907,S200000,00400,0500,P 99907,S200000,01600,0100,Y 99907,S700003,00000,0100,1 99914,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99914,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99914,A000000,00300,0000,00300EMPLOYEE BENEFITS 99914,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99914,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99914,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99914,A000000,00700,0000,00700HOUSEKEEPING 99914,A000000,00800,0000,00800DIETARY 99914,A000000,00801,0000,00801CAFETERIA 99914,A000000,00900,0000,00900NURSING ADMINISTRATION 99914,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99914,A000000,01100,0000,01100PHARMACY 99914,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99914,A000000,01300,0000,01300SOCIAL SERVICE 99914,A000000,01600,0000,01600SKILLED NURSING FACILITY 99914,A000000,01800,0000,01800NURSING FACILITY 99914,A000000,01900,0000,01900OTHER LONG TERM CARE 99914,A000000,02100,0000,02100RADIOLOGY 99914,A000000,02200,0000,02200LABORATORY 99914,A000000,02300,0000,02300INTRAVENOUS THERAPY 99914,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99914,A000000,02500,0000,02500PHYSICAL THERAPY 99914,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99914,A000000,02700,0000,02700SPEECH PATHOLOGY 99914,A000000,02800,0000,02800ELECTROCARDIOLOGY 99914,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99914,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99914,A000000,03200,0000,03200SUPPORT SURFACES 99914,A000000,04800,0000,04800AMBULANCE 99914,A000000,05300,0000,05300INTEREST EXPENSE 99914,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99914,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 99914,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99914,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 99914,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99914,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99914,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99914,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99914,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99914,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99914,B100000,00000,0800,00000MEALS SERVED :DIETARY 99914,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 99914,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 99914,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 99914,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 99914,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99914,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99914,S000000,00100,0200,06/12/2000 99914,S200000,00100,0100,505 SYLVAN AVENUE 99914,S200000,00100,0300,2430 99914,S200000,00200,0100,PALESTINE 99914,S200000,00200,0200,TX 99914,S200000,00200,0300,75801- 99914,S200000,00300,0100,ANDERSON 99914,S200000,00300,0200,0045 99914,S200000,00300,0300,R 99914,S200000,00400,0100,DOGWOOD TRAILS 99914,S200000,00400,0200,675313 99914,S200000,00400,0300,05/05/1994 99914,S200000,00400,0500,P 99914,S200000,01600,0100,Y 99924,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99924,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99924,A000000,00300,0000,00300EMPLOYEE BENEFITS 99924,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99924,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99924,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99924,A000000,00700,0000,00700HOUSEKEEPING 99924,A000000,00800,0000,00800DIETARY 99924,A000000,00900,0000,00900NURSING ADMINISTRATION 99924,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99924,A000000,01100,0000,01100PHARMACY 99924,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99924,A000000,01300,0000,01300SOCIAL SERVICE 99924,A000000,01351,0000,01301ACTIVITIES 99924,A000000,01600,0000,01600SKILLED NURSING FACILITY 99924,A000000,01800,0000,01800NURSING FACILITY 99924,A000000,02100,0000,02100RADIOLOGY 99924,A000000,02200,0000,02200LABORATORY 99924,A000000,02300,0000,02300INTRAVENOUS THERAPY 99924,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99924,A000000,02500,0000,02500PHYSICAL THERAPY 99924,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99924,A000000,02700,0000,02700SPEECH PATHOLOGY 99924,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99924,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99924,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99924,A000000,03051,0000,03301MEDICAL EQUIPMENT 99924,A000000,04800,0000,04800AMBULANCE 99924,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99924,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99924,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99924,A81000A,00100,0100,Y 99924,A81000B,00100,0300,HOME OFFICE CAPITAL 99924,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99924,A81000B,00300,0300,WAREHOUSE 99924,A81000C,00100,0100,A 99924,A81000C,00100,0200,PETER C. KERN 99924,A81000C,00100,0400,HEA MANAGEMENT GROUP 99924,A81000C,00100,0600,HOME OFFICE 99924,A81000C,00200,0100,A 99924,A81000C,00200,0200,PETER C. KERN 99924,A81000C,00200,0400,WAREHOUSE STORAGE 99924,A81000C,00200,0600,OLD RECORD STORAGE 99924,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99924,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99924,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99924,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99924,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99924,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99924,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99924,B100000,00000,0800,00000MEALS SERVED :DIETARY 99924,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99924,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99924,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99924,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99924,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99924,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99924,S000000,00100,0200,05/30/2000 99924,S200000,00100,0100,1020 WEST COUNTY ROAD NORTH 99924,S200000,00200,0100,ODESSA 99924,S200000,00200,0200,TX 99924,S200000,00200,0300,79763-3498 99924,S200000,00300,0100,ECTOR 99924,S200000,00300,0200,5800 99924,S200000,00300,0300,U 99924,S200000,00400,0100,DEERINGS NURSING HOME 99924,S200000,00400,0200,675317 99924,S200000,00400,0300,05/06/1997 99924,S200000,00400,0500,P 99924,S200000,01600,0100,Y 99924,S200000,02200,0100,Y 99924,S200000,04300,0100,Y 99933,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99933,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99933,A000000,00300,0000,00300EMPLOYEE BENEFITS 99933,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99933,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99933,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99933,A000000,00700,0000,00700HOUSEKEEPING 99933,A000000,00800,0000,00800DIETARY 99933,A000000,00900,0000,00900NURSING ADMINISTRATION 99933,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99933,A000000,01100,0000,01100PHARMACY 99933,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99933,A000000,01300,0000,01300SOCIAL SERVICE 99933,A000000,01351,0000,01301ACTIVITIES 99933,A000000,01600,0000,01600SKILLED NURSING FACILITY 99933,A000000,01800,0000,01800NURSING FACILITY 99933,A000000,02100,0000,02100RADIOLOGY 99933,A000000,02200,0000,02200LABORATORY 99933,A000000,02300,0000,02300INTRAVENOUS THERAPY 99933,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99933,A000000,02500,0000,02500PHYSICAL THERAPY 99933,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99933,A000000,02700,0000,02700SPEECH PATHOLOGY 99933,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99933,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99933,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99933,A000000,03051,0000,03301MEDICAL EQUIPMENT 99933,A000000,04800,0000,04800AMBULANCE 99933,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99933,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99933,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99933,A81000A,00100,0100,Y 99933,A81000B,00100,0300,HOME OFFICE CAPITAL 99933,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99933,A81000B,00300,0300,WAREHOUSE 99933,A81000C,00100,0100,A 99933,A81000C,00100,0200,PETER C. KERN 99933,A81000C,00100,0400,HEA MANAGEMENT GROUP 99933,A81000C,00100,0600,HOME OFFICE 99933,A81000C,00200,0100,A 99933,A81000C,00200,0200,PETER C. KERN 99933,A81000C,00200,0400,WAREHOUSE STORAGE 99933,A81000C,00200,0600,OLD RECORD STORAGE 99933,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99933,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99933,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99933,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99933,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99933,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99933,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99933,B100000,00000,0800,00000MEALS SERVED :DIETARY 99933,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99933,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99933,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99933,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99933,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99933,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99933,S000000,00100,0200,05/30/2000 99933,S200000,00100,0100,103 SWEETBRIAR LANE 99933,S200000,00200,0100,COLUMBUS 99933,S200000,00200,0200,TX 99933,S200000,00200,0300,78934-3099 99933,S200000,00300,0100,COLORADO 99933,S200000,00300,0200,45 99933,S200000,00300,0300,R 99933,S200000,00400,0100,COLUMBUS CARE CENTER 99933,S200000,00400,0200,675318 99933,S200000,00400,0300,03/24/1994 99933,S200000,00400,0500,P 99933,S200000,01600,0100,Y 99933,S200000,02200,0100,Y 99933,S200000,04300,0100,Y 99942,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99942,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99942,A000000,00300,0000,00300EMPLOYEE BENEFITS 99942,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99942,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99942,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99942,A000000,00700,0000,00700HOUSEKEEPING 99942,A000000,00800,0000,00800DIETARY 99942,A000000,00900,0000,00900NURSING ADMINISTRATION 99942,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99942,A000000,01100,0000,01100PHARMACY 99942,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99942,A000000,01300,0000,01300SOCIAL SERVICE 99942,A000000,01351,0000,01301ACTIVITIES 99942,A000000,01600,0000,01600SKILLED NURSING FACILITY 99942,A000000,01800,0000,01800NURSING FACILITY 99942,A000000,02100,0000,02100RADIOLOGY 99942,A000000,02200,0000,02200LABORATORY 99942,A000000,02300,0000,02300INTRAVENOUS THERAPY 99942,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99942,A000000,02500,0000,02500PHYSICAL THERAPY 99942,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99942,A000000,02700,0000,02700SPEECH PATHOLOGY 99942,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99942,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99942,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 99942,A000000,03051,0000,03301MEDICAL EQUIPMENT 99942,A000000,04800,0000,04800AMBULANCE 99942,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99942,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99942,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99942,A81000A,00100,0100,Y 99942,A81000B,00100,0300,HOME OFFICE CAPITAL 99942,A81000B,00200,0300,HOME OFFICE NONCAPITAL 99942,A81000B,00300,0300,WAREHOUSE 99942,A81000C,00100,0100,A 99942,A81000C,00100,0200,PETER C. KERN 99942,A81000C,00100,0400,HEA MANAGEMENT GROUP 99942,A81000C,00100,0600,HOME OFFICE 99942,A81000C,00200,0100,A 99942,A81000C,00200,0200,PETER C. KERN 99942,A81000C,00200,0400,WAREHOUSE STORAGE 99942,A81000C,00200,0600,OLD RECORD STORAGE 99942,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99942,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99942,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99942,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99942,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99942,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 99942,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99942,B100000,00000,0800,00000MEALS SERVED :DIETARY 99942,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 99942,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 99942,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 99942,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 99942,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 99942,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 99942,S000000,00100,0200,05/30/2000 99942,S200000,00100,0100,HIGHWAY 6 EAST 99942,S200000,00200,0100,DELEON 99942,S200000,00200,0200,TX 99942,S200000,00200,0300,76444-0287 99942,S200000,00300,0100,COMMANCHE 99942,S200000,00300,0200,45 99942,S200000,00300,0300,R 99942,S200000,00400,0100,CANTERBURY VILLA OF DELEON 99942,S200000,00400,0200,675319 99942,S200000,00400,0300,03/30/1994 99942,S200000,00400,0500,P 99942,S200000,01600,0100,Y 99942,S200000,02200,0100,Y 99942,S200000,04300,0100,Y 99951,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99951,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99951,A000000,00300,0000,00300EMPLOYEE BENEFITS 99951,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99951,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99951,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99951,A000000,00700,0000,00700HOUSEKEEPING 99951,A000000,00800,0000,00800DIETARY 99951,A000000,00900,0000,00900NURSING ADMINISTRATION 99951,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99951,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99951,A000000,01300,0000,01300SOCIAL SERVICE 99951,A000000,01301,0000,01301ACTIVITES 99951,A000000,01350,0000,01500REHABILITATION 99951,A000000,01600,0000,01600SKILLED NURSING FACILITY 99951,A000000,01800,0000,01800NURSING FACILITY 99951,A000000,01900,0000,01900OTHER LONG TERM CARE 99951,A000000,02100,0000,02100RADIOLOGY 99951,A000000,02200,0000,02200LABORATORY 99951,A000000,02300,0000,02300INTRAVENOUS THERAPY 99951,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99951,A000000,02500,0000,02500PHYSICAL THERAPY 99951,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99951,A000000,02700,0000,02700SPEECH PATHOLOGY 99951,A000000,02800,0000,02800ELECTROCARDIOLOGY 99951,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99951,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99951,A000000,03050,0000,03300EQUIPMENT RENTAL 99951,A000000,03051,0000,03301PEN THERAPY 99951,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99951,A000000,03200,0000,03200SUPPORT SURFACES 99951,A000000,04800,0000,04800AMBULANCE 99951,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99951,A000000,05300,0000,05300INTEREST EXPENSE 99951,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99951,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99951,A000000,06150,0000,06300VENDING 99951,A000000,06151,0000,06301STAND-BY 99951,A000000,06200,0000,06200PATIENTS LAUNDRY 99951,A81000A,00100,0100,Y 99951,A81000B,00100,0300,HOME OFFICE COST 99951,A81000B,00200,0300,DIETARY SUPPLEMENTS 99951,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99951,A81000B,00400,0300,PRESCRIPTION DRUGS 99951,A81000B,00500,0300,MEDICAL SUPPLIES 99951,A81000B,00600,0300,SUPPLIES 99951,A81000B,00700,0300,HOME OFFICE INTEREST 99951,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99951,A81000B,00900,0300,IV THERAPY 99951,A81000B,01000,0300,THERAPY CONSULTING 99951,A81000B,01100,0300,PHYSICAL THERAPY 99951,A81000B,01200,0300,OCCUPATIONAL THERAPY 99951,A81000B,01300,0300,SPEECH THERAPY 99951,A81000B,01400,0300,OTHER NURSING ADMIN 99951,A81000B,01500,0300,EQUIPMENT RENTAL 99951,A81000C,00100,0100,B 99951,A81000C,00100,0200,FAITH MEMORIAL 99951,A81000C,00100,0400,MARINER PAN 99951,A81000C,00100,0600,NURSING HOMES 99951,A81000C,00200,0100,G 99951,A81000C,00200,0200,MARINER PAN 99951,A81000C,00200,0400,AMER PHARM SVCS 99951,A81000C,00200,0600,PHARMACEUTICALS 99951,A81000C,00300,0100,G 99951,A81000C,00300,0200,MARINER PAN 99951,A81000C,00300,0400,PRISM-ATS-ARS-T 99951,A81000C,00300,0600,THERAPIES 99951,A81000C,03100,0000,MARINER PAN 99951,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99951,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99951,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99951,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99951,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99951,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99951,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99951,B100000,00000,0800,00001MEALS SERVED :DIETARY 99951,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99951,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99951,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99951,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99951,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99951,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99951,E10A180,00301,0100,07/07/1999 99951,E10A180,00350,0100,09/29/1999 99951,E10A180,00351,0100,01/05/2000 99951,S000000,00100,0200,08/31/2000 99951,S200000,00100,0100,811 GARNER ROAD 99951,S200000,00200,0100,PASADENA 99951,S200000,00200,0200,TX 99951,S200000,00200,0300,77502- 99951,S200000,00300,0100,HARRIS 99951,S200000,00300,0200,3360 99951,S200000,00300,0300,U 99951,S200000,00400,0100,FAITH MEMORIAL NURSING HOME 99951,S200000,00400,0200,675321 99951,S200000,00400,0300,05/19/1994 99951,S200000,00400,0500,P 99951,S200000,01600,0100,Y 99951,S200000,02200,0100,Y 99951,S200000,04300,0100,Y 99959,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99959,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99959,A000000,00300,0000,00300EMPLOYEE BENEFITS 99959,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99959,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99959,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99959,A000000,00700,0000,00700HOUSEKEEPING 99959,A000000,00800,0000,00800DIETARY 99959,A000000,00900,0000,00900NURSING ADMINISTRATION 99959,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99959,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99959,A000000,01300,0000,01300SOCIAL SERVICE 99959,A000000,01301,0000,01301ACTIVITES 99959,A000000,01350,0000,01500REHABILITATION 99959,A000000,01600,0000,01600SKILLED NURSING FACILITY 99959,A000000,01800,0000,01800NURSING FACILITY 99959,A000000,01900,0000,01900OTHER LONG TERM CARE 99959,A000000,02100,0000,02100RADIOLOGY 99959,A000000,02200,0000,02200LABORATORY 99959,A000000,02300,0000,02300INTRAVENOUS THERAPY 99959,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99959,A000000,02500,0000,02500PHYSICAL THERAPY 99959,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99959,A000000,02700,0000,02700SPEECH PATHOLOGY 99959,A000000,02800,0000,02800ELECTROCARDIOLOGY 99959,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99959,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99959,A000000,03050,0000,03300EQUIPMENT RENTAL 99959,A000000,03051,0000,03301PEN THERAPY 99959,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99959,A000000,03200,0000,03200SUPPORT SURFACES 99959,A000000,04800,0000,04800AMBULANCE 99959,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99959,A000000,05300,0000,05300INTEREST EXPENSE 99959,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99959,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99959,A000000,06150,0000,06300VENDING 99959,A000000,06151,0000,06301STAND-BY 99959,A000000,06200,0000,06200PATIENTS LAUNDRY 99959,A81000A,00100,0100,Y 99959,A81000B,00100,0300,HOME OFFICE COST 99959,A81000B,00200,0300,DIETARY SUPPLEMENTS 99959,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99959,A81000B,00400,0300,PRESCRIPTION DRUGS 99959,A81000B,00500,0300,MEDICAL SUPPLIES 99959,A81000B,00600,0300,NURSING ADMIN 99959,A81000B,00700,0300,HOME OFFICE INTEREST 99959,A81000B,01000,0300,THERAPY CONSULTING 99959,A81000B,01100,0300,PHYSICAL THERAPY 99959,A81000B,01200,0300,OCCUPATIONAL THERAPY 99959,A81000B,01300,0300,SPEECH THERAPY 99959,A81000C,00100,0100,B 99959,A81000C,00100,0200,CARE INN OF SAN 99959,A81000C,00100,0400,MARINER PAN 99959,A81000C,00100,0600,NURSING HOMES 99959,A81000C,00200,0100,G 99959,A81000C,00200,0200,MARINER PAN 99959,A81000C,00200,0400,AMER PHARM SVCS 99959,A81000C,00200,0600,PHARMACEUTICALS 99959,A81000C,00300,0100,G 99959,A81000C,00300,0200,MARINER PAN 99959,A81000C,00300,0400,PRISM-ATS-ARS-T 99959,A81000C,00300,0600,THERAPIES 99959,A81000C,03100,0000,MARINER PAN 99959,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99959,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99959,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99959,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99959,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99959,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99959,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99959,B100000,00000,0800,00001MEALS SERVED :DIETARY 99959,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99959,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99959,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99959,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99959,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99959,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99959,E10A180,00350,0100,06/09/1999 99959,E10A180,00351,0100,10/13/1999 99959,E10A180,00352,0100,01/05/2000 99959,S000000,00100,0200,08/31/2000 99959,S200000,00100,0100,600 N. STEMMONS 99959,S200000,00200,0100,SANGER 99959,S200000,00200,0200,TX 99959,S200000,00200,0300,76266- 99959,S200000,00300,0100,DENTON 99959,S200000,00400,0100,CARE INN OF SANGER 99959,S200000,00400,0200,675322 99959,S200000,00400,0300,05/19/1994 99959,S200000,00400,0500,P 99959,S200000,01600,0100,Y 99959,S200000,02200,0100,Y 99959,S200000,04300,0100,Y 99965,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99965,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99965,A000000,00300,0000,00300EMPLOYEE BENEFITS 99965,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99965,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99965,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99965,A000000,00700,0000,00700HOUSEKEEPING 99965,A000000,00800,0000,00800DIETARY 99965,A000000,00900,0000,00900NURSING ADMINISTRATION 99965,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99965,A000000,01100,0000,01100PHARMACY 99965,A000000,01600,0000,01600SKILLED NURSING FACILITY 99965,A000000,01800,0000,01800NURSING FACILITY 99965,A000000,02100,0000,02100RADIOLOGY 99965,A000000,02200,0000,02200LABORATORY 99965,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99965,A000000,02500,0000,02500PHYSICAL THERAPY 99965,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99965,A000000,02700,0000,02700SPEECH PATHOLOGY 99965,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99965,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99965,A000000,03200,0000,03200SUPPORT SURFACES 99965,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99965,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99965,A81000A,00100,0100,Y 99965,A81000B,00100,0300,REMOVE RELATED LESSOR RENT EXPENSE 99965,A81000B,00200,0300,ADD BACK RELATED LESSOR BLDG DEPREC 99965,A81000B,00300,0300,ADD BACK RELATED LESSOR EQUIP DEPREC 99965,A81000B,00400,0300,ADD BACK RELATED LESSOR INTEREST EXP 99965,A81000B,00500,0300,ADD BACK RELATED LESSOR INSUR COSTS 99965,A81000B,00600,0300,ADD BACK REALTED LESSOR ADMIN COSTS 99965,A81000C,00100,0100,A 99965,A81000C,00100,0200,CECIL W BARCELO SR 99965,A81000C,00100,0400,WATERFORD ENTERPRISES 99965,A81000C,00100,0600,RELATED 99965,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99965,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99965,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99965,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99965,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99965,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99965,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99965,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99965,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99965,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99965,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99965,S000000,00100,0200,05/31/2000 99965,S200000,00100,0100,411 ALABAMA 99965,S200000,00200,0100,LEAGUE CITY 99965,S200000,00200,0200,TX 99965,S200000,00200,0300,77573-2699 99965,S200000,00300,0100,GALVESTON 99965,S200000,00400,0100,BAYWIND VILLAGE 99965,S200000,00400,0200,675323 99965,S200000,00400,0300,05/24/1994 99965,S200000,00400,0500,P 99965,S200000,01500,0100,Y 99965,S700003,00000,0100,1 99972,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99972,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99972,A000000,00300,0000,00300EMPLOYEE BENEFITS 99972,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99972,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99972,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99972,A000000,00700,0000,00700HOUSEKEEPING 99972,A000000,00800,0000,00800DIETARY 99972,A000000,00900,0000,00900NURSING ADMINISTRATION 99972,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99972,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99972,A000000,01300,0000,01300SOCIAL SERVICE 99972,A000000,01301,0000,01301ACTIVITES 99972,A000000,01350,0000,01500REHABILITATION 99972,A000000,01600,0000,01600SKILLED NURSING FACILITY 99972,A000000,01800,0000,01800NURSING FACILITY 99972,A000000,01900,0000,01900OTHER LONG TERM CARE 99972,A000000,02100,0000,02100RADIOLOGY 99972,A000000,02200,0000,02200LABORATORY 99972,A000000,02300,0000,02300INTRAVENOUS THERAPY 99972,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99972,A000000,02500,0000,02500PHYSICAL THERAPY 99972,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99972,A000000,02700,0000,02700SPEECH PATHOLOGY 99972,A000000,02800,0000,02800ELECTROCARDIOLOGY 99972,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99972,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99972,A000000,03050,0000,03300EQUIPMENT RENTAL 99972,A000000,03051,0000,03301PEN THERAPY 99972,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99972,A000000,03200,0000,03200SUPPORT SURFACES 99972,A000000,04800,0000,04800AMBULANCE 99972,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99972,A000000,05300,0000,05300INTEREST EXPENSE 99972,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99972,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99972,A000000,06150,0000,06300VENDING 99972,A000000,06151,0000,06301STAND-BY 99972,A000000,06200,0000,06200PATIENTS LAUNDRY 99972,A81000A,00100,0100,Y 99972,A81000B,00100,0300,HOME OFFICE COST 99972,A81000B,00200,0300,DIETARY SUPPLEMENTS 99972,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99972,A81000B,00400,0300,PRESCRIPTION DRUGS 99972,A81000B,00500,0300,MEDICAL SUPPLIES 99972,A81000B,00600,0300,ADMIN COSTS 99972,A81000B,00700,0300,HOME OFFICE INTEREST 99972,A81000B,00800,0300,EQUIPMENT REPLACEMENT 99972,A81000B,00900,0300,ENTERTAINMENT 99972,A81000B,01000,0300,EQUIPMENT RENTAL 99972,A81000B,01100,0300,PHYSICAL THERAPY 99972,A81000B,01200,0300,OCCUPATIONAL THERAPY 99972,A81000C,00100,0100,B 99972,A81000C,00100,0200,CARE INN PLAINV 99972,A81000C,00100,0400,MARINER PAN 99972,A81000C,00100,0600,NURSING HOMES 99972,A81000C,00200,0100,G 99972,A81000C,00200,0200,MARINER PAN 99972,A81000C,00200,0400,AMER PHARM SVCS 99972,A81000C,00200,0600,PHARMACEUTICALS 99972,A81000C,00300,0100,G 99972,A81000C,00300,0200,MARINER PAN 99972,A81000C,00300,0400,PRISM-ATS-ARS-T 99972,A81000C,00300,0600,THERAPIES 99972,A81000C,03100,0000,MARINER PAN 99972,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99972,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99972,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99972,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99972,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99972,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99972,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99972,B100000,00000,0800,00001MEALS SERVED :DIETARY 99972,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99972,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99972,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99972,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99972,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99972,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99972,E10A180,00350,0100,06/23/1999 99972,E10A180,00351,0100,11/10/1999 99972,E10A180,00352,0100,01/05/2000 99972,S000000,00100,0200,08/31/2000 99972,S200000,00100,0100,224 ST LOUIS 99972,S200000,00200,0100,PLAINVIEW 99972,S200000,00200,0200,TX 99972,S200000,00200,0300,79072- 99972,S200000,00300,0100,HALE 99972,S200000,00300,0300,R 99972,S200000,00400,0100,CARE INN OF PLAINVIEW 99972,S200000,00400,0200,675324 99972,S200000,00400,0300,05/26/1994 99972,S200000,00400,0500,P 99972,S200000,01600,0100,Y 99972,S200000,02200,0100,Y 99972,S200000,04300,0100,Y 99981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99981,A000000,00300,0000,00300EMPLOYEE BENEFITS 99981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99981,A000000,00700,0000,00700HOUSEKEEPING 99981,A000000,00800,0000,00800DIETARY 99981,A000000,00900,0000,00900NURSING ADMINISTRATION 99981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99981,A000000,01100,0000,01100PHARMACY 99981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99981,A000000,01300,0000,01300SOCIAL SERVICE 99981,A000000,01600,0000,01600SKILLED NURSING FACILITY 99981,A000000,01800,0000,01800NURSING FACILITY 99981,A000000,02100,0000,02100RADIOLOGY 99981,A000000,02200,0000,02200LABORATORY 99981,A000000,02300,0000,02300INTRAVENOUS THERAPY 99981,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99981,A000000,02500,0000,02500PHYSICAL THERAPY 99981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99981,A000000,02700,0000,02700SPEECH PATHOLOGY 99981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99981,A000000,03200,0000,03200SUPPORT SURFACES 99981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99981,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 99981,A81000A,00100,0100,Y 99981,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 99981,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 99981,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 99981,A81000C,00100,0100,A 99981,A81000C,00100,0200,JAMES PATTERSON 99981,A81000C,00100,0400,PYRAMID HEALTHCARE 99981,A81000C,00100,0600,LONG TERM CARE MGMT 99981,A81000C,00200,0100,A 99981,A81000C,00200,0200,ROBERT GRIMES 99981,A81000C,00200,0400,PYRAMID HEALTHCARE 99981,A81000C,00200,0600,LONG TERM CARE MGMT 99981,A81000C,00300,0100,A 99981,A81000C,00300,0200,DIANE WARD 99981,A81000C,00300,0400,PYRAMID HEALTHCARE 99981,A81000C,00300,0600,LONG TERM CARE MGMT 99981,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 99981,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 99981,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 99981,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 99981,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 99981,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 99981,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 99981,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 99981,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 99981,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 99981,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 99981,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 99981,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 99981,S000000,00100,0200,06/28/2000 99981,S200000,00100,0100,1800 BROADWAY 99981,S200000,00200,0100,BALLINGER 99981,S200000,00200,0200,TX 99981,S200000,00200,0300,76821-2418 99981,S200000,00300,0100,RUNNELS 99981,S200000,00400,0100,CANTERBURY VILLA OF BALLINGER 99981,S200000,00400,0200,675326 99981,S200000,00400,0300,05/03/1994 99981,S200000,00400,0500,P 99981,S200000,01600,0100,Y 99981,S700003,00000,0100,1 99990,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99990,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99990,A000000,00300,0000,00300EMPLOYEE BENEFITS 99990,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99990,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99990,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99990,A000000,00700,0000,00700HOUSEKEEPING 99990,A000000,00800,0000,00800DIETARY 99990,A000000,00900,0000,00900NURSING ADMINISTRATION 99990,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99990,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99990,A000000,01300,0000,01300SOCIAL SERVICE 99990,A000000,01301,0000,01301ACTIVITES 99990,A000000,01350,0000,01500REHABILITATION 99990,A000000,01600,0000,01600SKILLED NURSING FACILITY 99990,A000000,01800,0000,01800NURSING FACILITY 99990,A000000,01900,0000,01900OTHER LONG TERM CARE 99990,A000000,02100,0000,02100RADIOLOGY 99990,A000000,02200,0000,02200LABORATORY 99990,A000000,02300,0000,02300INTRAVENOUS THERAPY 99990,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99990,A000000,02500,0000,02500PHYSICAL THERAPY 99990,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99990,A000000,02700,0000,02700SPEECH PATHOLOGY 99990,A000000,02800,0000,02800ELECTROCARDIOLOGY 99990,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99990,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99990,A000000,03050,0000,03300EQUIPMENT RENTAL 99990,A000000,03051,0000,03301PEN THERAPY 99990,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99990,A000000,03200,0000,03200SUPPORT SURFACES 99990,A000000,04800,0000,04800AMBULANCE 99990,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99990,A000000,05300,0000,05300INTEREST EXPENSE 99990,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99990,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99990,A000000,06150,0000,06300VENDING 99990,A000000,06151,0000,06301STAND-BY 99990,A000000,06200,0000,06200PATIENTS LAUNDRY 99990,A81000A,00100,0100,Y 99990,A81000B,00100,0300,HOME OFFICE COST 99990,A81000B,00200,0300,DIETARY SUPPLEMENTS 99990,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99990,A81000B,00400,0300,PRESCRIPTION DRUGS 99990,A81000B,00500,0300,MEDICAL SUPPLIES 99990,A81000B,00600,0300,ADMIN COSTS 99990,A81000B,00700,0300,HOME OFFICE INTEREST 99990,A81000B,00800,0300,EQUIPMENT RENTAL 99990,A81000B,00900,0300,IV THERAPY 99990,A81000B,01000,0300,THERAPY CONSULTING 99990,A81000B,01100,0300,PHYSICAL THERAPY 99990,A81000B,01200,0300,OCCUPATIONAL THERAPY 99990,A81000B,01300,0300,SPEECH THERAPY 99990,A81000B,01400,0300,ANC EQUIP RENTAL 99990,A81000C,00100,0100,B 99990,A81000C,00100,0200,PAMPA 99990,A81000C,00100,0400,MARINER PAN 99990,A81000C,00100,0600,NURSING HOMES 99990,A81000C,00200,0100,G 99990,A81000C,00200,0200,MARINER PAN 99990,A81000C,00200,0400,AMER PHARM SVCS 99990,A81000C,00200,0600,PHARMACEUTICALS 99990,A81000C,00300,0100,G 99990,A81000C,00300,0200,MARINER PAN 99990,A81000C,00300,0400,PRISM-ATS-ARS-T 99990,A81000C,00300,0600,THERAPIES 99990,A81000C,03100,0000,MARINER PAN 99990,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99990,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99990,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99990,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99990,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99990,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99990,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99990,B100000,00000,0800,00001MEALS SERVED :DIETARY 99990,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99990,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99990,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99990,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99990,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99990,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99990,E10A180,00301,0100,01/05/2000 99990,E10A180,00350,0100,06/09/1999 99990,E10A180,00351,0100,10/13/1999 99990,S000000,00100,0200,08/31/2000 99990,S200000,00100,0100,1321 W. KENTUCKY 99990,S200000,00100,0300,P. O. BOX 581 99990,S200000,00200,0100,PAMPA 99990,S200000,00200,0200,TX 99990,S200000,00200,0300,79065- 99990,S200000,00300,0100,GRAY 99990,S200000,00400,0100,PAMPA NURSING CENTER 99990,S200000,00400,0200,675327 99990,S200000,00400,0300,04/30/1994 99990,S200000,00400,0500,P 99990,S200000,01600,0100,Y 99990,S200000,02200,0100,Y 99990,S200000,04300,0100,Y 99998,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 99998,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 99998,A000000,00300,0000,00300EMPLOYEE BENEFITS 99998,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 99998,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 99998,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 99998,A000000,00700,0000,00700HOUSEKEEPING 99998,A000000,00800,0000,00800DIETARY 99998,A000000,00900,0000,00900NURSING ADMINISTRATION 99998,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 99998,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 99998,A000000,01300,0000,01300SOCIAL SERVICE 99998,A000000,01301,0000,01301ACTIVITES 99998,A000000,01350,0000,01500REHABILITATION 99998,A000000,01600,0000,01600SKILLED NURSING FACILITY 99998,A000000,01800,0000,01800NURSING FACILITY 99998,A000000,01900,0000,01900OTHER LONG TERM CARE 99998,A000000,02100,0000,02100RADIOLOGY 99998,A000000,02200,0000,02200LABORATORY 99998,A000000,02300,0000,02300INTRAVENOUS THERAPY 99998,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 99998,A000000,02500,0000,02500PHYSICAL THERAPY 99998,A000000,02600,0000,02600OCCUPATIONAL THERAPY 99998,A000000,02700,0000,02700SPEECH PATHOLOGY 99998,A000000,02800,0000,02800ELECTROCARDIOLOGY 99998,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 99998,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 99998,A000000,03050,0000,03300EQUIPMENT RENTAL 99998,A000000,03051,0000,03301PEN THERAPY 99998,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 99998,A000000,03200,0000,03200SUPPORT SURFACES 99998,A000000,04800,0000,04800AMBULANCE 99998,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 99998,A000000,05300,0000,05300INTEREST EXPENSE 99998,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 99998,A000000,05900,0000,05900BARBER & BEAUTY SHOP 99998,A000000,06150,0000,06300VENDING 99998,A000000,06151,0000,06301STAND-BY 99998,A000000,06200,0000,06200PATIENTS LAUNDRY 99998,A81000A,00100,0100,Y 99998,A81000B,00100,0300,HOME OFFICE COST 99998,A81000B,00200,0300,DIETARY SUPPLEMENTS 99998,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 99998,A81000B,00400,0300,PRESCRIPTION DRUGS 99998,A81000B,00500,0300,MEDICAL SUPPLIES 99998,A81000B,00600,0300,ADMIN COSTS 99998,A81000B,00700,0300,HOME OFFICE INTEREST 99998,A81000B,00800,0300,EQUIPMENT RENTAL 99998,A81000B,00900,0300,IV THERAPY 99998,A81000B,01000,0300,PHYSICAL THERAPY 99998,A81000B,01100,0300,OCCUPATIONAL THERAPY 99998,A81000B,01200,0300,SPEECH THERAPY 99998,A81000C,00100,0100,B 99998,A81000C,00100,0200,OAK MANOR 99998,A81000C,00100,0400,MARINER PAN 99998,A81000C,00100,0600,NURSING HOMES 99998,A81000C,00200,0100,G 99998,A81000C,00200,0200,MARINER PAN 99998,A81000C,00200,0400,AMER PHARM SVCS 99998,A81000C,00200,0600,PHARMACEUTICALS 99998,A81000C,00300,0100,G 99998,A81000C,00300,0200,MARINER PAN 99998,A81000C,00300,0400,PRISM-ATS-ARS-T 99998,A81000C,00300,0600,THERAPIES 99998,A81000C,03100,0000,MARINER PAN 99998,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 99998,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 99998,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 99998,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 99998,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 99998,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 99998,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 99998,B100000,00000,0800,00001MEALS SERVED :DIETARY 99998,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 99998,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 99998,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 99998,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 99998,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 99998,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 99998,E10A180,00350,0100,06/09/1999 99998,E10A180,00351,0100,09/15/1999 99998,E10A180,00352,0100,01/05/2000 99998,S000000,00100,0200,08/31/2000 99998,S200000,00100,0100,1200 FERGUSON 99998,S200000,00200,0100,NACOGDOCHES 99998,S200000,00200,0200,TX 99998,S200000,00200,0300,75961- 99998,S200000,00300,0100,NACOGDOCHES 99998,S200000,00300,0200,67 99998,S200000,00300,0300,R 99998,S200000,00400,0100,OAK MANOR NURSING HOME 99998,S200000,00400,0200,675328 99998,S200000,00400,0300,05/06/1994 99998,S200000,00400,0500,P 99998,S200000,01600,0100,Y 99998,S200000,02200,0100,Y 99998,S200000,04300,0100,Y 100006,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100006,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100006,A000000,00300,0000,00300EMPLOYEE BENEFITS 100006,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100006,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100006,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100006,A000000,00700,0000,00700HOUSEKEEPING 100006,A000000,00800,0000,00800DIETARY 100006,A000000,00900,0000,00900NURSING ADMINISTRATION 100006,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100006,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100006,A000000,01300,0000,01300SOCIAL SERVICE 100006,A000000,01301,0000,01301ACTIVITES 100006,A000000,01350,0000,01500REHABILITATION 100006,A000000,01600,0000,01600SKILLED NURSING FACILITY 100006,A000000,01800,0000,01800NURSING FACILITY 100006,A000000,01900,0000,01900OTHER LONG TERM CARE 100006,A000000,02100,0000,02100RADIOLOGY 100006,A000000,02200,0000,02200LABORATORY 100006,A000000,02300,0000,02300INTRAVENOUS THERAPY 100006,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100006,A000000,02500,0000,02500PHYSICAL THERAPY 100006,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100006,A000000,02700,0000,02700SPEECH PATHOLOGY 100006,A000000,02800,0000,02800ELECTROCARDIOLOGY 100006,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100006,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100006,A000000,03050,0000,03300EQUIPMENT RENTAL 100006,A000000,03051,0000,03301PEN THERAPY 100006,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100006,A000000,03200,0000,03200SUPPORT SURFACES 100006,A000000,04800,0000,04800AMBULANCE 100006,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100006,A000000,05300,0000,05300INTEREST EXPENSE 100006,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100006,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100006,A000000,06150,0000,06300VENDING 100006,A000000,06151,0000,06301STAND-BY 100006,A000000,06200,0000,06200PATIENTS LAUNDRY 100006,A81000A,00100,0100,Y 100006,A81000B,00100,0300,HOME OFFICE COST 100006,A81000B,00200,0300,DIETARY SUPPLEMENTS 100006,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100006,A81000B,00400,0300,PRESCRIPTION DRUGS 100006,A81000B,00500,0300,MEDICAL SUPPLIES 100006,A81000B,00600,0300,DME 100006,A81000B,00700,0300,HOME OFFICE INTEREST 100006,A81000B,00800,0300,PEN 100006,A81000B,00900,0300,IV THERAPY 100006,A81000B,01000,0300,PHYSICAL THERAPY 100006,A81000B,01100,0300,OCCUPATIONAL THERAPY 100006,A81000B,01200,0300,SPEECH THERAPY 100006,A81000C,00100,0100,B 100006,A81000C,00100,0200,LEVELLAND 100006,A81000C,00100,0400,MARINER PAN 100006,A81000C,00100,0600,NURSING HOMES 100006,A81000C,00200,0100,G 100006,A81000C,00200,0200,MARINER PAN 100006,A81000C,00200,0400,AMER PHARM SVCS 100006,A81000C,00200,0600,PHARMACEUTICALS 100006,A81000C,00300,0100,G 100006,A81000C,00300,0200,MARINER PAN 100006,A81000C,00300,0400,PRISM-ATS-ARS-T 100006,A81000C,00300,0600,THERAPIES 100006,A81000C,03100,0000,MARINER PAN 100006,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100006,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100006,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100006,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100006,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100006,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100006,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100006,B100000,00000,0800,00001MEALS SERVED :DIETARY 100006,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100006,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100006,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100006,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100006,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100006,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100006,E10A180,00301,0100,07/07/1999 100006,E10A180,00302,0100,09/29/1999 100006,E10A180,00350,0100,01/05/2000 100006,S000000,00100,0200,08/31/2000 100006,S200000,00100,0100,210 WEST AVE. 100006,S200000,00200,0100,LEVELLAND 100006,S200000,00200,0200,TX 100006,S200000,00200,0300,79336- 100006,S200000,00300,0100,HOCKLEY 100006,S200000,00300,0300,R 100006,S200000,00400,0100,LEVELLAND NURSING HOME 100006,S200000,00400,0200,675329 100006,S200000,00400,0300,05/23/1994 100006,S200000,00400,0500,P 100006,S200000,01600,0100,Y 100006,S200000,02200,0100,Y 100006,S200000,04300,0100,Y 100020,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100020,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100020,A000000,00300,0000,00300EMPLOYEE BENEFITS 100020,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100020,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100020,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100020,A000000,00700,0000,00700HOUSEKEEPING 100020,A000000,00800,0000,00800DIETARY 100020,A000000,00900,0000,00900NURSING ADMINISTRATION 100020,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100020,A000000,01100,0000,01100PHARMACY 100020,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100020,A000000,01300,0000,01300SOCIAL SERVICE 100020,A000000,01351,0000,01301ACTIVITIES 100020,A000000,01600,0000,01600SKILLED NURSING FACILITY 100020,A000000,01800,0000,01800NURSING FACILITY 100020,A000000,02100,0000,02100RADIOLOGY 100020,A000000,02200,0000,02200LABORATORY 100020,A000000,02300,0000,02300INTRAVENOUS THERAPY 100020,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100020,A000000,02500,0000,02500PHYSICAL THERAPY 100020,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100020,A000000,02700,0000,02700SPEECH PATHOLOGY 100020,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100020,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100020,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100020,A000000,03051,0000,03301MEDICAL EQUIPMENT 100020,A000000,04800,0000,04800AMBULANCE 100020,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100020,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100020,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100020,A81000A,00100,0100,Y 100020,A81000B,00100,0300,HOME OFFICE CAPITAL 100020,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100020,A81000B,00300,0300,WAREHOUSE 100020,A81000C,00100,0100,A 100020,A81000C,00100,0200,PETER C. KERN 100020,A81000C,00100,0400,HEA MANAGEMENT GROUP 100020,A81000C,00100,0600,HOME OFFICE 100020,A81000C,00200,0100,A 100020,A81000C,00200,0200,PETER C. KERN 100020,A81000C,00200,0400,WAREHOUSE STORAGE 100020,A81000C,00200,0600,OLD RECORD STORAGE 100020,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100020,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100020,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100020,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100020,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100020,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100020,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100020,B100000,00000,0800,00000MEALS SERVED :DIETARY 100020,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100020,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100020,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100020,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100020,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100020,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100020,S000000,00100,0200,05/30/2000 100020,S200000,00100,0100,1610 AVENUE G NORTHWEST 100020,S200000,00200,0100,CHILDRESS 100020,S200000,00200,0200,TX 100020,S200000,00200,0300,79201-0129 100020,S200000,00300,0100,CHILDRESS 100020,S200000,00300,0200,45 100020,S200000,00300,0300,R 100020,S200000,00400,0100,TURNER NURSING HOME 100020,S200000,00400,0200,675331 100020,S200000,00400,0300,06/02/1994 100020,S200000,00400,0500,P 100020,S200000,01600,0100,Y 100020,S200000,02200,0100,Y 100020,S200000,04300,0100,Y 100029,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100029,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100029,A000000,00300,0000,00300EMPLOYEE BENEFITS 100029,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100029,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100029,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100029,A000000,00700,0000,00700HOUSEKEEPING 100029,A000000,00800,0000,00800DIETARY 100029,A000000,00900,0000,00900NURSING ADMINISTRATION 100029,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100029,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100029,A000000,01300,0000,01300SOCIAL SERVICE 100029,A000000,01301,0000,01301ACTIVITES 100029,A000000,01350,0000,01500REHABILITATION 100029,A000000,01600,0000,01600SKILLED NURSING FACILITY 100029,A000000,01800,0000,01800NURSING FACILITY 100029,A000000,01900,0000,01900OTHER LONG TERM CARE 100029,A000000,02100,0000,02100RADIOLOGY 100029,A000000,02200,0000,02200LABORATORY 100029,A000000,02300,0000,02300INTRAVENOUS THERAPY 100029,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100029,A000000,02500,0000,02500PHYSICAL THERAPY 100029,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100029,A000000,02700,0000,02700SPEECH PATHOLOGY 100029,A000000,02800,0000,02800ELECTROCARDIOLOGY 100029,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100029,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100029,A000000,03050,0000,03300EQUIPMENT RENTAL 100029,A000000,03051,0000,03301PEN THERAPY 100029,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100029,A000000,03200,0000,03200SUPPORT SURFACES 100029,A000000,04800,0000,04800AMBULANCE 100029,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100029,A000000,05300,0000,05300INTEREST EXPENSE 100029,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100029,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100029,A000000,06150,0000,06300VENDING 100029,A000000,06151,0000,06301STAND-BY 100029,A000000,06200,0000,06200PATIENTS LAUNDRY 100029,A81000A,00100,0100,Y 100029,A81000B,00100,0300,HOME OFFICE COST 100029,A81000B,00200,0300,DIETARY SUPPLEMENTS 100029,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100029,A81000B,00400,0300,PRESCRIPTION DRUGS 100029,A81000B,00500,0300,MEDICAL SUPPLIES 100029,A81000B,00600,0300,DME 100029,A81000B,00700,0300,HOME OFFICE INTEREST 100029,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100029,A81000B,00900,0300,IV THERAPY 100029,A81000B,01000,0300,PEN 100029,A81000B,01100,0300,PHYSICAL THERAPY 100029,A81000B,01200,0300,OCCUPATIONAL THERAPY 100029,A81000B,01300,0300,SPEECH THERAPY 100029,A81000B,01400,0300,ANC EQUIP RENTAL 100029,A81000C,00100,0100,B 100029,A81000C,00100,0200,WINCHESTER LODG 100029,A81000C,00100,0400,MARINER PAN 100029,A81000C,00100,0600,NURSING HOMES 100029,A81000C,00200,0100,G 100029,A81000C,00200,0200,MARINER PAN 100029,A81000C,00200,0400,AMER PHARM SVCS 100029,A81000C,00200,0600,PHARMACEUTICALS 100029,A81000C,00300,0100,G 100029,A81000C,00300,0200,MARINER PAN 100029,A81000C,00300,0400,PRISM-ATS-ARS-T 100029,A81000C,00300,0600,THERAPIES 100029,A81000C,03100,0000,MARINER PAN 100029,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100029,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100029,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100029,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100029,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100029,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100029,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100029,B100000,00000,0800,00001MEALS SERVED :DIETARY 100029,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100029,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100029,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100029,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100029,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100029,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100029,E10A180,00301,0100,01/05/2000 100029,E10A180,00350,0100,06/09/1999 100029,E10A180,00351,0100,10/13/1999 100029,S000000,00100,0200,08/31/2000 100029,S200000,00100,0100,1112 SMITH DRIVE 100029,S200000,00200,0100,ALVIN 100029,S200000,00200,0200,TX 100029,S200000,00200,0300,77511- 100029,S200000,00300,0100,BRAZORIA 100029,S200000,00400,0100,WINCHESTER LODGE NURSING HOME 100029,S200000,00400,0200,675332 100029,S200000,00400,0300,05/12/1994 100029,S200000,00400,0500,P 100029,S200000,01600,0100,Y 100029,S200000,02200,0100,Y 100029,S200000,04300,0100,Y 100036,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100036,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100036,A000000,00300,0000,00300EMPLOYEE BENEFITS 100036,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100036,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100036,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100036,A000000,00700,0000,00700HOUSEKEEPING 100036,A000000,00800,0000,00800DIETARY 100036,A000000,00900,0000,00900NURSING ADMINISTRATION 100036,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100036,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100036,A000000,01300,0000,01300SOCIAL SERVICE 100036,A000000,01301,0000,01301ACTIVITES 100036,A000000,01350,0000,01500REHABILITATION 100036,A000000,01600,0000,01600SKILLED NURSING FACILITY 100036,A000000,01800,0000,01800NURSING FACILITY 100036,A000000,01900,0000,01900OTHER LONG TERM CARE 100036,A000000,02100,0000,02100RADIOLOGY 100036,A000000,02200,0000,02200LABORATORY 100036,A000000,02300,0000,02300INTRAVENOUS THERAPY 100036,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100036,A000000,02500,0000,02500PHYSICAL THERAPY 100036,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100036,A000000,02700,0000,02700SPEECH PATHOLOGY 100036,A000000,02800,0000,02800ELECTROCARDIOLOGY 100036,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100036,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100036,A000000,03050,0000,03300EQUIPMENT RENTAL 100036,A000000,03051,0000,03301PEN THERAPY 100036,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100036,A000000,03200,0000,03200SUPPORT SURFACES 100036,A000000,04800,0000,04800AMBULANCE 100036,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100036,A000000,05300,0000,05300INTEREST EXPENSE 100036,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100036,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100036,A000000,06150,0000,06300VENDING 100036,A000000,06151,0000,06301STAND-BY 100036,A000000,06200,0000,06200PATIENTS LAUNDRY 100036,A81000A,00100,0100,Y 100036,A81000B,00100,0300,HOME OFFICE COST 100036,A81000B,00200,0300,DIETARY SUPPLEMENTS 100036,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100036,A81000B,00400,0300,PRESCRIPTION DRUGS 100036,A81000B,00500,0300,MEDICAL SUPPLIES 100036,A81000B,00600,0300,DME 100036,A81000B,00700,0300,HOME OFFICE INTEREST 100036,A81000B,00900,0300,IV THERAPY 100036,A81000B,01000,0300,PHYSICAL THERAPY 100036,A81000C,00100,0100,B 100036,A81000C,00100,0200,HERITAGE HOUSE 100036,A81000C,00100,0400,MARINER PAN 100036,A81000C,00100,0600,NURSING HOMES 100036,A81000C,00200,0100,G 100036,A81000C,00200,0200,MARINER PAN 100036,A81000C,00200,0400,AMER PHARM SVCS 100036,A81000C,00200,0600,PHARMACEUTICALS 100036,A81000C,00300,0100,G 100036,A81000C,00300,0200,MARINER PAN 100036,A81000C,00300,0400,PRISM-ATS-ARS-T 100036,A81000C,00300,0600,THERAPIES 100036,A81000C,03100,0000,MARINER PAN 100036,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100036,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100036,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100036,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100036,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100036,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100036,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100036,B100000,00000,0800,00001MEALS SERVED :DIETARY 100036,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100036,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100036,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100036,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100036,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100036,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100036,E10A180,00301,0100,07/21/1999 100036,E10A180,00302,0100,01/05/2000 100036,E10A180,00350,0100,09/01/1999 100036,S000000,00100,0200,08/31/2000 100036,S200000,00100,0100,200 HERITAGE LANE 100036,S200000,00200,0100,EAGLE LAKE 100036,S200000,00200,0200,TX 100036,S200000,00200,0300,77434- 100036,S200000,00300,0100,COLORADO 100036,S200000,00300,0300,R 100036,S200000,00400,0100,HERITAGE HOUSE 100036,S200000,00400,0200,675333 100036,S200000,00400,0300,05/19/1994 100036,S200000,00400,0500,P 100036,S200000,01600,0100,Y 100036,S200000,02200,0100,Y 100036,S200000,04300,0100,Y 100043,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100043,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100043,A000000,00300,0000,00300EMPLOYEE BENEFITS 100043,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100043,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100043,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100043,A000000,00700,0000,00700HOUSEKEEPING 100043,A000000,00800,0000,00800DIETARY 100043,A000000,00900,0000,00900NURSING ADMINISTRATION 100043,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100043,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100043,A000000,01300,0000,01300SOCIAL SERVICE 100043,A000000,01301,0000,01301ACTIVITES 100043,A000000,01350,0000,01500REHABILITATION 100043,A000000,01600,0000,01600SKILLED NURSING FACILITY 100043,A000000,01800,0000,01800NURSING FACILITY 100043,A000000,01900,0000,01900OTHER LONG TERM CARE 100043,A000000,02100,0000,02100RADIOLOGY 100043,A000000,02200,0000,02200LABORATORY 100043,A000000,02300,0000,02300INTRAVENOUS THERAPY 100043,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100043,A000000,02500,0000,02500PHYSICAL THERAPY 100043,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100043,A000000,02700,0000,02700SPEECH PATHOLOGY 100043,A000000,02800,0000,02800ELECTROCARDIOLOGY 100043,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100043,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100043,A000000,03050,0000,03300EQUIPMENT RENTAL 100043,A000000,03051,0000,03301PEN THERAPY 100043,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100043,A000000,03200,0000,03200SUPPORT SURFACES 100043,A000000,04800,0000,04800AMBULANCE 100043,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100043,A000000,05300,0000,05300INTEREST EXPENSE 100043,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100043,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100043,A000000,06150,0000,06300VENDING 100043,A000000,06151,0000,06301STAND-BY 100043,A000000,06200,0000,06200PATIENTS LAUNDRY 100043,A81000A,00100,0100,Y 100043,A81000B,00100,0300,HOME OFFICE COST 100043,A81000B,00200,0300,DIETARY SUPPLEMENTS 100043,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100043,A81000B,00400,0300,PRESCRIPTION DRUGS 100043,A81000B,00500,0300,MEDICAL SUPPLIES 100043,A81000B,00600,0300,ADMIN COSTS 100043,A81000B,00700,0300,HOME OFFICE INTEREST 100043,A81000B,00800,0300,EQUIPMENT RENTAL 100043,A81000B,00900,0300,IV THERAPY 100043,A81000B,01000,0300,PHYSICAL THERAPY 100043,A81000B,01100,0300,OCCUPATIONAL THERAPY 100043,A81000B,01200,0300,SPEECH THERAPY 100043,A81000C,00100,0100,B 100043,A81000C,00100,0200,CARE INN SHAMRO 100043,A81000C,00100,0400,MARINER PAN 100043,A81000C,00100,0600,NURSING HOMES 100043,A81000C,00200,0100,G 100043,A81000C,00200,0200,MARINER PAN 100043,A81000C,00200,0400,AMER PHARM SVCS 100043,A81000C,00200,0600,PHARMACEUTICALS 100043,A81000C,00300,0100,G 100043,A81000C,00300,0200,MARINER PAN 100043,A81000C,00300,0400,PRISM-ATS-ARS-T 100043,A81000C,00300,0600,THERAPIES 100043,A81000C,03100,0000,MARINER PAN 100043,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100043,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100043,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100043,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100043,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100043,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100043,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100043,B100000,00000,0800,00001MEALS SERVED :DIETARY 100043,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100043,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100043,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100043,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100043,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100043,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100043,E10A180,00301,0100,01/05/2000 100043,E10A180,00350,0100,07/07/1999 100043,E10A180,00351,0100,10/27/1999 100043,S000000,00100,0200,08/31/2000 100043,S200000,00100,0100,HIGHWAY 83 SOUTH 100043,S200000,00200,0100,SHAMROCK 100043,S200000,00200,0200,TX 100043,S200000,00200,0300,79079- 100043,S200000,00300,0100,WHEELER 100043,S200000,00400,0100,CARE INN OF SHAMROCK 100043,S200000,00400,0200,675335 100043,S200000,00400,0300,06/02/1994 100043,S200000,00400,0500,P 100043,S200000,01600,0100,Y 100043,S200000,02200,0100,Y 100043,S200000,04300,0100,Y 100052,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100052,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100052,A000000,00300,0000,00300EMPLOYEE BENEFITS 100052,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100052,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100052,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100052,A000000,00700,0000,00700HOUSEKEEPING 100052,A000000,00800,0000,00800DIETARY 100052,A000000,00900,0000,00900NURSING ADMINISTRATION 100052,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100052,A000000,01100,0000,01100PHARMACY 100052,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100052,A000000,01300,0000,01300SOCIAL SERVICE 100052,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100052,A000000,01600,0000,01600SKILLED NURSING FACILITY 100052,A000000,01900,0000,01900OTHER LONG TERM CARE 100052,A000000,02100,0000,02100RADIOLOGY 100052,A000000,02200,0000,02200LABORATORY 100052,A000000,02300,0000,02300INTRAVENOUS THERAPY 100052,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100052,A000000,02500,0000,02500PHYSICAL THERAPY 100052,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100052,A000000,02700,0000,02700SPEECH PATHOLOGY 100052,A000000,02800,0000,02800ELECTROCARDIOLOGY 100052,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100052,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100052,A000000,03050,0000,03201ENTERNAL SUPPLIES 100052,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100052,A000000,03200,0000,03200SUPPORT SURFACES 100052,A000000,03400,0000,03400CLINIC 100052,A000000,04800,0000,04800AMBULANCE 100052,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100052,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100052,A000000,05300,0000,05300INTEREST EXPENSE 100052,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100052,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100052,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100052,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100052,A000000,06100,0000,06100NONPAID WORKERS 100052,A000000,06200,0000,06200PATIENTS LAUNDRY 100052,A81000A,00100,0100,Y 100052,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100052,A81000B,00200,0300,LAUNDRY SERVICES 100052,A81000B,00300,0300,MENU PLANNING 100052,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100052,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100052,A81000B,00600,0300,DRUGS 100052,A81000C,00100,0100,B 100052,A81000C,00100,0200,CANTEX HC CTRS 100052,A81000C,00100,0600,LTC MANAGEMENT 100052,A81000C,00200,0100,B 100052,A81000C,00200,0200,HEALTHCARE LNEN 100052,A81000C,00200,0600,LAUNDRY SERVICE 100052,A81000C,00300,0100,A 100052,A81000C,00300,0200,ALBERT J. LONGO 100052,A81000C,00300,0400,NOVA 100052,A81000C,00300,0600,MENU PLANNING 100052,A81000C,00400,0100,B 100052,A81000C,00400,0200,CANTEX HC CTRS 100052,A81000C,00400,0600,LTC MANAGEMENT 100052,A81000C,00500,0100,B 100052,A81000C,00500,0200,CANTEX HC CTRS 100052,A81000C,00500,0600,LTC MANAGEMENT 100052,A81000C,00600,0100,B 100052,A81000C,00600,0200,PHARMACARE 100052,A81000C,00600,0600,LTC MANAGEMENT 100052,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100052,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100052,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100052,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100052,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100052,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100052,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100052,B100000,00000,0800,00000MEALS SERVED :DIETARY 100052,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100052,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100052,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100052,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100052,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100052,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100052,E10A180,00350,0100,12/31/1999 100052,S000000,00100,0200,05/31/2000 100052,S200000,00100,0100,1105 WEST HIGHWAY 418 100052,S200000,00200,0100,SILSBEE 100052,S200000,00200,0200,TX 100052,S200000,00200,0300,77656- 100052,S200000,00300,0100,HARDIN 100052,S200000,00400,0100,SILSBEE CONVALESCENT CENTER 100052,S200000,00400,0200,675338 100052,S200000,00400,0300,06/13/1994 100052,S200000,00400,0500,P 100052,S200000,01600,0100,Y 100052,S700003,00000,0100,1 100059,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100059,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100059,A000000,00300,0000,00300EMPLOYEE BENEFITS 100059,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100059,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100059,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100059,A000000,00700,0000,00700HOUSEKEEPING 100059,A000000,00800,0000,00800DIETARY 100059,A000000,00900,0000,00900NURSING ADMINISTRATION 100059,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100059,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100059,A000000,01300,0000,01300SOCIAL SERVICE 100059,A000000,01301,0000,01301ACTIVITES 100059,A000000,01350,0000,01500REHABILITATION 100059,A000000,01600,0000,01600SKILLED NURSING FACILITY 100059,A000000,01800,0000,01800NURSING FACILITY 100059,A000000,01900,0000,01900OTHER LONG TERM CARE 100059,A000000,02100,0000,02100RADIOLOGY 100059,A000000,02200,0000,02200LABORATORY 100059,A000000,02300,0000,02300INTRAVENOUS THERAPY 100059,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100059,A000000,02500,0000,02500PHYSICAL THERAPY 100059,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100059,A000000,02700,0000,02700SPEECH PATHOLOGY 100059,A000000,02800,0000,02800ELECTROCARDIOLOGY 100059,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100059,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100059,A000000,03050,0000,03300EQUIPMENT RENTAL 100059,A000000,03051,0000,03301PEN THERAPY 100059,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100059,A000000,03200,0000,03200SUPPORT SURFACES 100059,A000000,04800,0000,04800AMBULANCE 100059,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100059,A000000,05300,0000,05300INTEREST EXPENSE 100059,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100059,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100059,A000000,06150,0000,06300VENDING 100059,A000000,06151,0000,06301STAND-BY 100059,A000000,06200,0000,06200PATIENTS LAUNDRY 100059,A81000A,00100,0100,Y 100059,A81000B,00100,0300,HOME OFFICE COST 100059,A81000B,00200,0300,DIETARY SUPPLEMENTS 100059,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100059,A81000B,00400,0300,PRESCRIPTION DRUGS 100059,A81000B,00500,0300,DME 100059,A81000B,00600,0300,ADMIN COSTS 100059,A81000B,00700,0300,HOME OFFICE INTEREST 100059,A81000B,00800,0300,OTHER DIRECT 100059,A81000B,00900,0300,IV THERAPY 100059,A81000B,01000,0300,PHYSICAL THERAPY 100059,A81000B,01100,0300,OCCUPATIONAL THERAPY 100059,A81000B,01200,0300,SPEECH THERAPY 100059,A81000C,00100,0100,B 100059,A81000C,00100,0200,SAN ANTONIO CON 100059,A81000C,00100,0400,MARINER PAN 100059,A81000C,00100,0600,NURSING HOMES 100059,A81000C,00200,0100,G 100059,A81000C,00200,0200,MARINER PAN 100059,A81000C,00200,0400,AMER PHARM SVCS 100059,A81000C,00200,0600,PHARMACEUTICALS 100059,A81000C,00300,0100,G 100059,A81000C,00300,0200,MARINER PAN 100059,A81000C,00300,0400,PRISM-ATS-ARS-T 100059,A81000C,00300,0600,THERAPIES 100059,A81000C,03100,0000,MARINER PAN 100059,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100059,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100059,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100059,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100059,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100059,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100059,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100059,B100000,00000,0800,00001MEALS SERVED :DIETARY 100059,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100059,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100059,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100059,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100059,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100059,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100059,E10A180,00301,0100,05/12/1999 100059,E10A180,00350,0100,05/12/1999 100059,E10A180,00351,0100,09/15/1999 100059,E10A180,00352,0100,01/05/2000 100059,S000000,00100,0200,08/31/2000 100059,S200000,00100,0100,921 NOLAN STREET 100059,S200000,00200,0100,SAN ANTONIO 100059,S200000,00200,0200,TX 100059,S200000,00200,0300,78202- 100059,S200000,00300,0100,BEXAR 100059,S200000,00300,0200,7240 100059,S200000,00300,0300,U 100059,S200000,00400,0100,SAN ANTONIO CONVALESCENT CENTER 100059,S200000,00400,0200,675339 100059,S200000,00400,0300,06/24/1994 100059,S200000,00400,0500,P 100059,S200000,01600,0100,Y 100059,S200000,02200,0100,Y 100059,S200000,04300,0100,Y 100068,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100068,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 100068,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100068,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 100068,A000000,00300,0000,00300EMPLOYEE BENEFITS 100068,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100068,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100068,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100068,A000000,00700,0000,00700HOUSEKEEPING 100068,A000000,00800,0000,00800DIETARY 100068,A000000,00801,0000,00801CAFETERIA 100068,A000000,00900,0000,00900NURSING ADMINISTRATION 100068,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100068,A000000,01100,0000,01100PHARMACY 100068,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100068,A000000,01300,0000,01300SOCIAL SERVICE 100068,A000000,01350,0000,01500ACTIVITIES 100068,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100068,A000000,01600,0000,01600SKILLED NURSING FACILITY 100068,A000000,01800,0000,01800NURSING FACILITY 100068,A000000,01900,0000,01900OTHER LONG TERM CARE 100068,A000000,02100,0000,02100RADIOLOGY 100068,A000000,02200,0000,02200LABORATORY 100068,A000000,02300,0000,02300INTRAVENOUS THERAPY 100068,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100068,A000000,02500,0000,02500PHYSICAL THERAPY 100068,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100068,A000000,02700,0000,02700SPEECH PATHOLOGY 100068,A000000,02800,0000,02800ELECTROCARDIOLOGY 100068,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100068,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100068,A000000,03050,0000,03300OTHER ANCILLARY 100068,A000000,03051,0000,03301OTHER ANCILLARY II 100068,A000000,03052,0000,03302OTHER ANCILLARY III 100068,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100068,A000000,03200,0000,03200SUPPORT SURFACES 100068,A000000,03400,0000,03400CLINIC 100068,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 100068,A000000,03500,0000,03500RURAL HEALTH CLINIC 100068,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100068,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100068,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100068,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100068,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100068,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100068,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100068,A000000,04400,0000,04400DME RENTED - HHA 100068,A000000,04500,0000,04500DME SOLD - HHA 100068,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100068,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100068,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100068,A000000,04800,0000,04800AMBULANCE 100068,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100068,A000000,05000,0000,05000CORF 100068,A000000,05010,0000,05010CMHC I 100068,A000000,05020,0000,05020OPT I 100068,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100068,A000000,05300,0000,05300INTEREST EXPENSE 100068,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 100068,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 100068,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100068,A000000,05500,0000,05500HOSPICE 100068,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100068,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100068,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100068,A000000,06100,0000,06100NONPAID WORKERS 100068,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100068,A000000,06200,0000,06200PATIENTS LAUNDRY 100068,A81000A,00100,0100,Y 100068,A81000B,00100,0300,CAPITAL 100068,A81000B,00200,0300,A&G 100068,A81000B,00300,0300,A&G 100068,A81000B,00400,0300,A&G 100068,A81000B,00500,0300,DIETARY 100068,A81000B,00600,0300,MEDICAL SUPPLIES 100068,A81000B,00700,0300,MEDICAL SUPPLIES 100068,A81000C,00100,0100,A 100068,A81000C,00100,0200,DOUG MITTLEIDER 100068,A81000C,00100,0600,LONG TERM 100068,A81000C,00200,0100,A 100068,A81000C,00200,0200,MIKE FOXWORTHY 100068,A81000C,00200,0600,CARE MGMT 100068,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 100068,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 100068,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 100068,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 100068,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 100068,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100068,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 100068,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 100068,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 100068,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 100068,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 100068,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 100068,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 100068,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 100068,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 100068,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 100068,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 100068,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 100068,S000000,00100,0200,06/09/2000 100068,S200000,00100,0100,1105 ROCK PRAIRIE 100068,S200000,00200,0100,COLLEGE STATION 100068,S200000,00200,0200,TX 100068,S200000,00200,0300,77845- 100068,S200000,00300,0100,BRAZOS 100068,S200000,00400,0100,SOUTHWOOD LIVING CENTER 100068,S200000,00400,0200,675341 100068,S200000,00400,0300,08/01/1998 100068,S200000,00400,0500,O 100068,S200000,01600,0100,Y 100068,S200000,02200,0100,Y 100068,S700003,00000,0100,1 100076,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100076,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100076,A000000,00300,0000,00300EMPLOYEE BENEFITS 100076,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100076,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100076,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100076,A000000,00700,0000,00700HOUSEKEEPING 100076,A000000,00800,0000,00800DIETARY 100076,A000000,00900,0000,00900NURSING ADMINISTRATION 100076,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100076,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100076,A000000,01300,0000,01300SOCIAL SERVICE 100076,A000000,01301,0000,01301ACTIVITES 100076,A000000,01350,0000,01500REHABILITATION 100076,A000000,01600,0000,01600SKILLED NURSING FACILITY 100076,A000000,01800,0000,01800NURSING FACILITY 100076,A000000,01900,0000,01900OTHER LONG TERM CARE 100076,A000000,02100,0000,02100RADIOLOGY 100076,A000000,02200,0000,02200LABORATORY 100076,A000000,02300,0000,02300INTRAVENOUS THERAPY 100076,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100076,A000000,02500,0000,02500PHYSICAL THERAPY 100076,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100076,A000000,02700,0000,02700SPEECH PATHOLOGY 100076,A000000,02800,0000,02800ELECTROCARDIOLOGY 100076,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100076,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100076,A000000,03050,0000,03300EQUIPMENT RENTAL 100076,A000000,03051,0000,03301PEN THERAPY 100076,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100076,A000000,03200,0000,03200SUPPORT SURFACES 100076,A000000,04800,0000,04800AMBULANCE 100076,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100076,A000000,05300,0000,05300INTEREST EXPENSE 100076,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100076,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100076,A000000,06150,0000,06300VENDING 100076,A000000,06151,0000,06301STAND-BY 100076,A000000,06200,0000,06200PATIENTS LAUNDRY 100076,A81000A,00100,0100,Y 100076,A81000B,00100,0300,HOME OFFICE COST 100076,A81000B,00200,0300,DIETARY SUPPLEMENTS 100076,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100076,A81000B,00400,0300,PRESCRIPTION DRUGS 100076,A81000B,00500,0300,MEDICAL SUPPLIES 100076,A81000B,00600,0300,ADMIN COSTS 100076,A81000B,00700,0300,HOME OFFICE INTEREST 100076,A81000B,00800,0300,EQUIPMENT RENTAL 100076,A81000B,00900,0300,IV THERAPY 100076,A81000B,01000,0300,THERAPY CONSULTING 100076,A81000B,01100,0300,PHYSICAL THERAPY 100076,A81000B,01200,0300,OCCUPATIONAL THERAPY 100076,A81000B,01300,0300,SPEECH THERAPY 100076,A81000B,01400,0300,PT SUPPLIES 100076,A81000C,00100,0100,B 100076,A81000C,00100,0200,SPRING BRANCH 100076,A81000C,00100,0400,MARINER PAN 100076,A81000C,00100,0600,NURSING HOMES 100076,A81000C,00200,0100,G 100076,A81000C,00200,0200,MARINER PAN 100076,A81000C,00200,0400,AMER PHARM SVCS 100076,A81000C,00200,0600,PHARMACEUTICALS 100076,A81000C,00300,0100,G 100076,A81000C,00300,0200,MARINER PAN 100076,A81000C,00300,0400,PRISM-ATS-ARS-T 100076,A81000C,00300,0600,THERAPIES 100076,A81000C,03100,0000,MARINER PAN 100076,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100076,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100076,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100076,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100076,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100076,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100076,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100076,B100000,00000,0800,00001MEALS SERVED :DIETARY 100076,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100076,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100076,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100076,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100076,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100076,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100076,E10A180,00301,0100,01/05/2000 100076,E10A180,00350,0100,06/09/1999 100076,E10A180,00351,0100,10/13/1999 100076,S000000,00100,0200,08/31/2000 100076,S200000,00100,0100,8955 LONG POINT 100076,S200000,00200,0100,HOUSTON 100076,S200000,00200,0200,TX 100076,S200000,00200,0300,77055- 100076,S200000,00300,0100,HARRIS 100076,S200000,00300,0200,3360 100076,S200000,00300,0300,U 100076,S200000,00400,0100,SPRING BRANCH HEALTHCARE CENTER 100076,S200000,00400,0200,675343 100076,S200000,00400,0300,06/09/1994 100076,S200000,00400,0500,P 100076,S200000,01600,0100,Y 100076,S200000,02200,0100,Y 100076,S200000,04300,0100,Y 100084,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100084,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100084,A000000,00300,0000,00300EMPLOYEE BENEFITS 100084,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100084,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100084,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100084,A000000,00700,0000,00700HOUSEKEEPING 100084,A000000,00800,0000,00800DIETARY 100084,A000000,00900,0000,00900NURSING ADMINISTRATION 100084,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100084,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100084,A000000,01300,0000,01300SOCIAL SERVICE 100084,A000000,01301,0000,01301ACTIVITES 100084,A000000,01350,0000,01500REHABILITATION 100084,A000000,01600,0000,01600SKILLED NURSING FACILITY 100084,A000000,01800,0000,01800NURSING FACILITY 100084,A000000,01900,0000,01900OTHER LONG TERM CARE 100084,A000000,02100,0000,02100RADIOLOGY 100084,A000000,02200,0000,02200LABORATORY 100084,A000000,02300,0000,02300INTRAVENOUS THERAPY 100084,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100084,A000000,02500,0000,02500PHYSICAL THERAPY 100084,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100084,A000000,02700,0000,02700SPEECH PATHOLOGY 100084,A000000,02800,0000,02800ELECTROCARDIOLOGY 100084,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100084,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100084,A000000,03050,0000,03300EQUIPMENT RENTAL 100084,A000000,03051,0000,03301PEN THERAPY 100084,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100084,A000000,03200,0000,03200SUPPORT SURFACES 100084,A000000,04800,0000,04800AMBULANCE 100084,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100084,A000000,05300,0000,05300INTEREST EXPENSE 100084,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100084,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100084,A000000,06150,0000,06300VENDING 100084,A000000,06151,0000,06301STAND-BY 100084,A000000,06200,0000,06200PATIENTS LAUNDRY 100084,A81000A,00100,0100,Y 100084,A81000B,00100,0300,HOME OFFICE COST 100084,A81000B,00200,0300,DIETARY SUPPLEMENTS 100084,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100084,A81000B,00400,0300,PRESCRIPTION DRUGS 100084,A81000B,00500,0300,MEDICAL SUPPLIES 100084,A81000B,00600,0300,ADMIN COSTS 100084,A81000B,00700,0300,HOME OFFICE INTEREST 100084,A81000B,00800,0300,EQUIPMENT RENTAL 100084,A81000B,00900,0300,IV THERAPY 100084,A81000B,01000,0300,PEN 100084,A81000B,01100,0300,PHYSICAL THERAPY 100084,A81000B,01200,0300,OCCUPATIONAL THERAPY 100084,A81000B,01300,0300,SPEECH THERAPY 100084,A81000C,00100,0100,B 100084,A81000C,00100,0200,SWEENY HOUSE 100084,A81000C,00100,0400,MARINER PAN 100084,A81000C,00100,0600,NURSING HOMES 100084,A81000C,00200,0100,G 100084,A81000C,00200,0200,MARINER PAN 100084,A81000C,00200,0400,AMER PHARM SVCS 100084,A81000C,00200,0600,PHARMACEUTICALS 100084,A81000C,00300,0100,G 100084,A81000C,00300,0200,MARINER PAN 100084,A81000C,00300,0400,PRISM-ATS-ARS-T 100084,A81000C,00300,0600,THERAPIES 100084,A81000C,03100,0000,MARINER PAN 100084,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100084,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100084,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100084,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100084,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100084,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100084,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100084,B100000,00000,0800,00001MEALS SERVED :DIETARY 100084,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100084,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100084,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100084,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100084,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100084,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100084,E10A180,00301,0100,05/12/1999 100084,E10A180,00350,0100,09/15/1999 100084,E10A180,00351,0100,01/05/2000 100084,S000000,00100,0200,08/31/2000 100084,S200000,00100,0100,109 MCKINNEY 100084,S200000,00200,0100,SWEENY 100084,S200000,00200,0200,TX 100084,S200000,00200,0300,77480- 100084,S200000,00300,0100,BRAZORIA 100084,S200000,00300,0200,1145 100084,S200000,00300,0300,U 100084,S200000,00400,0100,SWEENY HOUSE 100084,S200000,00400,0200,675344 100084,S200000,00400,0300,05/31/1994 100084,S200000,00400,0500,P 100084,S200000,01600,0100,Y 100084,S200000,02200,0100,Y 100084,S200000,04300,0100,Y 100093,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100093,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100093,A000000,00300,0000,00300EMPLOYEE BENEFITS 100093,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100093,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100093,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100093,A000000,00700,0000,00700HOUSEKEEPING 100093,A000000,00800,0000,00800DIETARY 100093,A000000,00900,0000,00900NURSING ADMINISTRATION 100093,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100093,A000000,01100,0000,01100PHARMACY 100093,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100093,A000000,01300,0000,01300SOCIAL SERVICE 100093,A000000,01301,0000,01301SOCIAL SERVICE 100093,A000000,01350,0000,01500OTHER GENERAL SERVICES 100093,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100093,A000000,01600,0000,01600SKILLED NURSING FACILITY 100093,A000000,01800,0000,01800NURSING FACILITY 100093,A000000,01810,0000,01801ICF/MR 100093,A000000,01900,0000,01900OTHER LONG TERM CARE 100093,A000000,02100,0000,02100RADIOLOGY 100093,A000000,02200,0000,02200LABORATORY 100093,A000000,02300,0000,02300INTRAVENOUS THERAPY 100093,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100093,A000000,02500,0000,02500PHYSICAL THERAPY 100093,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100093,A000000,02700,0000,02700SPEECH PATHOLOGY 100093,A000000,02800,0000,02800ELECTROCARDIOLOGY 100093,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100093,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100093,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100093,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100093,A000000,03200,0000,03200SUPPORT SURFACES 100093,A000000,03400,0000,03400CLINIC 100093,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100093,A000000,03500,0000,03500RURAL HEALTH CLINIC 100093,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100093,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100093,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100093,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100093,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100093,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100093,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100093,A000000,04400,0000,04400DME RENTED - HHA 100093,A000000,04500,0000,04500DME SOLD - HHA 100093,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100093,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100093,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100093,A000000,04800,0000,04800AMBULANCE 100093,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100093,A000000,05000,0000,05000CORF 100093,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100093,A000000,05300,0000,05300INTEREST EXPENSE 100093,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100093,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100093,A000000,05500,0000,05500HOSPICE 100093,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100093,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100093,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100093,A000000,06100,0000,06100NONPAID WORKERS 100093,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100093,A000000,06200,0000,06200PATIENTS LAUNDRY 100093,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 100093,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 100093,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 100093,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100093,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 100093,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 100093,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 100093,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 100093,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 100093,B100000,00000,1050,00000 PATIENT DAYS :CENTRAL SERVICES & S 100093,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 100093,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 100093,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 100093,B100000,00000,1331,00000 PATIENT DAYS :SOCIAL SERVICE 100093,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 100093,B100000,00000,1400,00000 ASSIGNED TIME :INTERNS & RESIDENTS 100093,S000000,00100,0200,12/01/1999 100093,S200000,00100,0100,4521 AVENUE F 100093,S200000,00200,0100,BAY CITY 100093,S200000,00200,0200,TX 100093,S200000,00200,0300,77414- 100093,S200000,00300,0100,MATAGORDA 100093,S200000,00400,0100,SEA BREEZE REHAB & CARE CENTER 100093,S200000,00400,0200,675347 100093,S200000,00400,0300,04/01/1997 100093,S200000,00400,0500,P 100093,S200000,01600,0100,Y 100093,S700003,00000,0100,1 100095,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100095,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100095,A000000,00300,0000,00300EMPLOYEE BENEFITS 100095,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100095,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100095,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100095,A000000,00700,0000,00700HOUSEKEEPING 100095,A000000,00800,0000,00800DIETARY 100095,A000000,00900,0000,00900NURSING ADMINISTRATION 100095,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100095,A000000,01100,0000,01100PHARMACY 100095,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100095,A000000,01300,0000,01300SOCIAL SERVICE 100095,A000000,01350,0000,01500OTHER GENERAL SERVICES 100095,A000000,01600,0000,01600SKILLED NURSING FACILITY 100095,A000000,01800,0000,01800NURSING FACILITY 100095,A000000,01900,0000,01900OTHER LONG TERM CARE 100095,A000000,02100,0000,02100RADIOLOGY 100095,A000000,02200,0000,02200LABORATORY 100095,A000000,02300,0000,02300INTRAVENOUS THERAPY 100095,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100095,A000000,02500,0000,02500PHYSICAL THERAPY 100095,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100095,A000000,02700,0000,02700SPEECH PATHOLOGY 100095,A000000,02800,0000,02800ELECTROCARDIOLOGY 100095,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100095,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100095,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100095,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100095,A000000,03200,0000,03200SUPPORT SURFACES 100095,A000000,03400,0000,03400CLINIC 100095,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100095,A000000,03500,0000,03500RURAL HEALTH CLINIC 100095,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100095,A000000,04800,0000,04800AMBULANCE 100095,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100095,A000000,05000,0000,05000CORF 100095,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100095,A000000,05300,0000,05300INTEREST EXPENSE 100095,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100095,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100095,A000000,05500,0000,05500HOSPICE 100095,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100095,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100095,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100095,A000000,06100,0000,06100NONPAID WORKERS 100095,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100095,A000000,06200,0000,06200PATIENTS LAUNDRY 100095,A81000A,00100,0100,Y 100095,A81000B,00100,0300,HOME OFFICE EXPENSE 100095,A81000C,00100,0100,A 100095,A81000C,00100,0200,ROCKY LEMON 100095,A81000C,00100,0400,CRESCENT HEALTH SERVICES 100095,A81000C,00100,0600,NURSING HOME MGMT 100095,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100095,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100095,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100095,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100095,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100095,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100095,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100095,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100095,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100095,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100095,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100095,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100095,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100095,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100095,S000000,00100,0200,05/31/2000 100095,S200000,00100,0100,4521 AVENUE F 100095,S200000,00200,0100,BAY CITY 100095,S200000,00200,0200,TX 100095,S200000,00200,0300,77414- 100095,S200000,00300,0100,MATAGORDA 100095,S200000,00400,0100,SEA BREEZE REHAB & CARE CENTER 100095,S200000,00400,0200,675347 100095,S200000,00400,0300,06/16/1994 100095,S200000,00400,0500,P 100095,S200000,01600,0100,Y 100095,S700003,00000,0200,2 100113,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100113,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100113,A000000,00300,0000,00300EMPLOYEE BENEFITS 100113,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100113,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100113,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100113,A000000,00700,0000,00700HOUSEKEEPING 100113,A000000,00800,0000,00800DIETARY 100113,A000000,00900,0000,00900NURSING ADMINISTRATION 100113,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100113,A000000,01100,0000,01100PHARMACY 100113,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100113,A000000,01300,0000,01300SOCIAL SERVICE 100113,A000000,01600,0000,01600SKILLED NURSING FACILITY 100113,A000000,01800,0000,01800NURSING FACILITY 100113,A000000,02100,0000,02100RADIOLOGY 100113,A000000,02200,0000,02200LABORATORY 100113,A000000,02300,0000,02300INTRAVENOUS THERAPY 100113,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100113,A000000,02500,0000,02500PHYSICAL THERAPY 100113,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100113,A000000,02700,0000,02700SPEECH PATHOLOGY 100113,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100113,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100113,A000000,03200,0000,03200SUPPORT SURFACES 100113,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100113,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100113,A81000A,00100,0100,Y 100113,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 100113,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 100113,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 100113,A81000C,00100,0100,A 100113,A81000C,00100,0200,JAMES PATTERSON 100113,A81000C,00100,0400,PYRAMID HEALHCARE 100113,A81000C,00100,0600,LTC MANAGEMENT 100113,A81000C,00200,0100,A 100113,A81000C,00200,0200,ROBERT GRIMES 100113,A81000C,00200,0400,PYRAMID HEALHCARE 100113,A81000C,00200,0600,LTC MANAGEMENT 100113,A81000C,00300,0100,A 100113,A81000C,00300,0200,DIANE WARD 100113,A81000C,00300,0400,PYRAMID HEALHCARE 100113,A81000C,00300,0600,LTC MANAGEMENT 100113,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100113,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100113,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100113,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100113,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100113,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100113,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100113,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100113,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100113,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100113,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100113,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 100113,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 100113,S000000,00100,0200,06/28/2000 100113,S200000,00100,0100,608 DENVER STREET 100113,S200000,00200,0100,WICHITA FALLS 100113,S200000,00200,0200,TX 100113,S200000,00200,0300,76301-2196 100113,S200000,00300,0100,WICHITA 100113,S200000,00400,0100,DENVER MANOR NURSING HOME 100113,S200000,00400,0200,675351 100113,S200000,00400,0300,05/20/1994 100113,S200000,00400,0500,P 100113,S200000,01600,0100,Y 100113,S700003,00000,0100,1 100122,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100122,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100122,A000000,00300,0000,00300EMPLOYEE BENEFITS 100122,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100122,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100122,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100122,A000000,00700,0000,00700HOUSEKEEPING 100122,A000000,00800,0000,00800DIETARY 100122,A000000,00900,0000,00900NURSING ADMINISTRATION 100122,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100122,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100122,A000000,01300,0000,01300SOCIAL SERVICE 100122,A000000,01350,0000,01500RECREATION 100122,A000000,01600,0000,01600SKILLED NURSING FACILITY 100122,A000000,01800,0000,01800NURSING FACILITY 100122,A000000,02100,0000,02100RADIOLOGY 100122,A000000,02200,0000,02200LABORATORY 100122,A000000,02300,0000,02300INTRAVENOUS THERAPY 100122,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100122,A000000,02500,0000,02500PHYSICAL THERAPY 100122,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100122,A000000,02700,0000,02700SPEECH PATHOLOGY 100122,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100122,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100122,A000000,03050,0000,03300PEN THERAPY 100122,A000000,03200,0000,03200SUPPORT SURFACES 100122,A000000,05300,0000,05300INTEREST EXPENSE 100122,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100122,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100122,A81000A,00100,0100,Y 100122,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 100122,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 100122,A81000C,00100,0100,B 100122,A81000C,00100,0200,STEBBINS FIVE COMPANIES 100122,A81000C,00100,0400,BRENTWOOD PLACE III 100122,A81000C,00100,0600,LONG TERM CARE MANAGEMENT 100122,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100122,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100122,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100122,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100122,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100122,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100122,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100122,B100000,00000,0800,00000MEALS SERVED :DIETARY 100122,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100122,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100122,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100122,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100122,B100000,00000,1350,00000PATIENT DAYS :RECREATION 100122,S000000,00100,0200,06/01/2000 100122,S200000,00100,0100,8039 SCYENE CIRCLE 100122,S200000,00200,0100,DALLAS 100122,S200000,00200,0200,TX 100122,S200000,00200,0300,75227- 100122,S200000,00300,0100,DALLAS 100122,S200000,00400,0100,BRENTWOOD PLACE III 100122,S200000,00400,0200,675352 100122,S200000,00400,0300,06/09/1994 100122,S200000,00400,0500,P 100122,S200000,01600,0100,Y 100122,S700003,00000,0100,1 100130,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100130,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100130,A000000,00300,0000,00300EMPLOYEE BENEFITS 100130,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100130,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100130,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100130,A000000,00700,0000,00700HOUSEKEEPING 100130,A000000,00800,0000,00800DIETARY 100130,A000000,00900,0000,00900NURSING ADMINISTRATION 100130,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100130,A000000,01100,0000,01100PHARMACY 100130,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100130,A000000,01300,0000,01300SOCIAL SERVICE 100130,A000000,01351,0000,01301ACTIVITIES 100130,A000000,01600,0000,01600SKILLED NURSING FACILITY 100130,A000000,01800,0000,01800NURSING FACILITY 100130,A000000,02100,0000,02100RADIOLOGY 100130,A000000,02200,0000,02200LABORATORY 100130,A000000,02300,0000,02300INTRAVENOUS THERAPY 100130,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100130,A000000,02500,0000,02500PHYSICAL THERAPY 100130,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100130,A000000,02700,0000,02700SPEECH PATHOLOGY 100130,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100130,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100130,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100130,A000000,03051,0000,03301MEDICAL EQUIPMENT 100130,A000000,04800,0000,04800AMBULANCE 100130,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100130,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100130,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100130,A81000A,00100,0100,Y 100130,A81000B,00100,0300,HOME OFFICE CAPITAL 100130,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100130,A81000B,00300,0300,WAREHOUSE 100130,A81000C,00100,0100,A 100130,A81000C,00100,0200,PETER C. KERN 100130,A81000C,00100,0400,HEA MANAGEMENT GROUP 100130,A81000C,00100,0600,HOME OFFICE 100130,A81000C,00200,0100,A 100130,A81000C,00200,0200,PETER C. KERN 100130,A81000C,00200,0400,WAREHOUSE STORAGE 100130,A81000C,00200,0600,OLD RECORD STORAGE 100130,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100130,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100130,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100130,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100130,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100130,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100130,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100130,B100000,00000,0800,00000MEALS SERVED :DIETARY 100130,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100130,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100130,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100130,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100130,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100130,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100130,S000000,00100,0200,06/08/2000 100130,S200000,00100,0100,601 OHIO CIRCLE 100130,S200000,00200,0100,CELINA 100130,S200000,00200,0200,TX 100130,S200000,00200,0300,75009-0158 100130,S200000,00300,0100,COLLIN 100130,S200000,00300,0200,1920 100130,S200000,00300,0300,U 100130,S200000,00400,0100,CELINA CARE CENTER 100130,S200000,00400,0200,675354 100130,S200000,00400,0300,07/01/1995 100130,S200000,00400,0500,P 100130,S200000,01600,0100,Y 100130,S200000,02200,0100,Y 100130,S200000,04300,0100,Y 100131,S000000,00100,0200,02/26/2001 100138,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100138,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100138,A000000,00300,0000,00300EMPLOYEE BENEFITS 100138,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100138,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100138,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100138,A000000,00700,0000,00700HOUSEKEEPING 100138,A000000,00800,0000,00800DIETARY 100138,A000000,00900,0000,00900NURSING ADMINISTRATION 100138,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100138,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100138,A000000,01300,0000,01300SOCIAL SERVICE 100138,A000000,01301,0000,01301ACTIVITES 100138,A000000,01350,0000,01500REHABILITATION 100138,A000000,01600,0000,01600SKILLED NURSING FACILITY 100138,A000000,01800,0000,01800NURSING FACILITY 100138,A000000,01900,0000,01900OTHER LONG TERM CARE 100138,A000000,02100,0000,02100RADIOLOGY 100138,A000000,02200,0000,02200LABORATORY 100138,A000000,02300,0000,02300INTRAVENOUS THERAPY 100138,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100138,A000000,02500,0000,02500PHYSICAL THERAPY 100138,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100138,A000000,02700,0000,02700SPEECH PATHOLOGY 100138,A000000,02800,0000,02800ELECTROCARDIOLOGY 100138,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100138,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100138,A000000,03050,0000,03300EQUIPMENT RENTAL 100138,A000000,03051,0000,03301PEN THERAPY 100138,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100138,A000000,03200,0000,03200SUPPORT SURFACES 100138,A000000,04800,0000,04800AMBULANCE 100138,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100138,A000000,05300,0000,05300INTEREST EXPENSE 100138,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100138,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100138,A000000,06150,0000,06300VENDING 100138,A000000,06151,0000,06301STAND-BY 100138,A000000,06200,0000,06200PATIENTS LAUNDRY 100138,A81000A,00100,0100,Y 100138,A81000B,00100,0300,HOME OFFICE COST 100138,A81000B,00200,0300,DIETARY SUPPLEMENTS 100138,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100138,A81000B,00400,0300,PRESCRIPTION DRUGS 100138,A81000B,00500,0300,MEDICAL SUPPLIES 100138,A81000B,00600,0300,ADMIN COSTS 100138,A81000B,00700,0300,HOME OFFICE INTEREST 100138,A81000B,00800,0300,PEN 100138,A81000B,00900,0300,IV THERAPY 100138,A81000B,01000,0300,OTHER DIRECT NURSING 100138,A81000B,01100,0300,PHYSICAL THERAPY 100138,A81000B,01200,0300,OCCUPATIONAL THERAPY 100138,A81000B,01300,0300,SPEECH THERAPY 100138,A81000C,00100,0100,B 100138,A81000C,00100,0200,BASTROP NURSING 100138,A81000C,00100,0400,MARINER PAN 100138,A81000C,00100,0600,NURSING HOMES 100138,A81000C,00200,0100,G 100138,A81000C,00200,0200,MARINER PAN 100138,A81000C,00200,0400,AMER PHARM SVCS 100138,A81000C,00200,0600,PHARMACEUTICALS 100138,A81000C,00300,0100,G 100138,A81000C,00300,0200,MARINER PAN 100138,A81000C,00300,0400,PRISM-ATS-ARS-T 100138,A81000C,00300,0600,THERAPIES 100138,A81000C,03100,0000,MARINER PAN 100138,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100138,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100138,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100138,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100138,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100138,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100138,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100138,B100000,00000,0800,00001MEALS SERVED :DIETARY 100138,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100138,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100138,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100138,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100138,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100138,E10A180,00350,0100,06/09/1999 100138,E10A180,00351,0100,10/13/1999 100138,E10A180,00352,0100,01/03/2000 100138,S000000,00100,0200,08/31/2000 100138,S200000,00100,0100,400 OLD AUSTIN HWY 100138,S200000,00200,0100,BASTROP 100138,S200000,00200,0200,TX 100138,S200000,00200,0300,78602- 100138,S200000,00300,0100,BASTROP 100138,S200000,00300,0200,0640 100138,S200000,00300,0300,U 100138,S200000,00400,0100,BASTROP NURSING HOME 100138,S200000,00400,0200,675356 100138,S200000,00400,0300,06/27/1994 100138,S200000,00400,0500,P 100138,S200000,01600,0100,Y 100138,S200000,02200,0100,Y 100138,S200000,04300,0100,Y 100147,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100147,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100147,A000000,00300,0000,00300EMPLOYEE BENEFITS 100147,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100147,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100147,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100147,A000000,00700,0000,00700HOUSEKEEPING 100147,A000000,00800,0000,00800DIETARY 100147,A000000,00900,0000,00900NURSING ADMINISTRATION 100147,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100147,A000000,01100,0000,01100PHARMACY 100147,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100147,A000000,01300,0000,01300SOCIAL SERVICE 100147,A000000,01350,0000,01500OTHER GENERAL SERVICES 100147,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100147,A000000,01600,0000,01600SKILLED NURSING FACILITY 100147,A000000,01800,0000,01800NURSING FACILITY 100147,A000000,01810,0000,01810ICF/MR 100147,A000000,01900,0000,01900OTHER LONG TERM CARE 100147,A000000,02100,0000,02100RADIOLOGY 100147,A000000,02200,0000,02200LABORATORY 100147,A000000,02300,0000,02300INTRAVENOUS THERAPY 100147,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100147,A000000,02500,0000,02500PHYSICAL THERAPY 100147,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100147,A000000,02700,0000,02700SPEECH PATHOLOGY 100147,A000000,02800,0000,02800ELECTROCARDIOLOGY 100147,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100147,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100147,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100147,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100147,A000000,03200,0000,03200SUPPORT SURFACES 100147,A000000,03400,0000,03400CLINIC 100147,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100147,A000000,03500,0000,03500RURAL HEALTH CLINIC 100147,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100147,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100147,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100147,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100147,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100147,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100147,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100147,A000000,04400,0000,04400DME RENTED - HHA 100147,A000000,04500,0000,04500DME SOLD - HHA 100147,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100147,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100147,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100147,A000000,04800,0000,04800AMBULANCE 100147,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100147,A000000,05000,0000,05000CORF 100147,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100147,A000000,05300,0000,05300INTEREST EXPENSE 100147,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100147,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100147,A000000,05500,0000,05500HOSPICE 100147,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100147,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100147,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100147,A000000,06100,0000,06100NONPAID WORKERS 100147,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100147,A000000,06200,0000,06200PATIENTS LAUNDRY 100147,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100147,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100147,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100147,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100147,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100147,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100147,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100147,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100147,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100147,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100147,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100147,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100147,S000000,00100,0200,06/12/2000 100147,S200000,00100,0100,1010 DALLAS STREET 100147,S200000,00200,0100,WACO 100147,S200000,00200,0200,TX 100147,S200000,00200,0300,76704- 100147,S200000,00300,0100,MCLENNAN 100147,S200000,00300,0200,8800 100147,S200000,00300,0300,U 100147,S200000,00400,0100,WOODLAND SPRINGS NRSG CTR 100147,S200000,00400,0200,675360 100147,S200000,00400,0300,10/10/1994 100147,S200000,00400,0500,P 100147,S200000,01500,0100,Y 100153,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100153,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100153,A000000,00300,0000,00300EMPLOYEE BENEFITS 100153,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100153,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100153,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100153,A000000,00700,0000,00700HOUSEKEEPING 100153,A000000,00800,0000,00800DIETARY 100153,A000000,00900,0000,00900NURSING ADMINISTRATION 100153,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100153,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100153,A000000,01300,0000,01300SOCIAL SERVICE 100153,A000000,01301,0000,01301ACTIVITES 100153,A000000,01350,0000,01500REHABILITATION 100153,A000000,01600,0000,01600SKILLED NURSING FACILITY 100153,A000000,01800,0000,01800NURSING FACILITY 100153,A000000,01900,0000,01900OTHER LONG TERM CARE 100153,A000000,02100,0000,02100RADIOLOGY 100153,A000000,02200,0000,02200LABORATORY 100153,A000000,02300,0000,02300INTRAVENOUS THERAPY 100153,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100153,A000000,02500,0000,02500PHYSICAL THERAPY 100153,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100153,A000000,02700,0000,02700SPEECH PATHOLOGY 100153,A000000,02800,0000,02800ELECTROCARDIOLOGY 100153,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100153,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100153,A000000,03050,0000,03300EQUIPMENT RENTAL 100153,A000000,03051,0000,03301PEN THERAPY 100153,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100153,A000000,03200,0000,03200SUPPORT SURFACES 100153,A000000,04800,0000,04800AMBULANCE 100153,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100153,A000000,05300,0000,05300INTEREST EXPENSE 100153,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100153,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100153,A000000,06150,0000,06300VENDING 100153,A000000,06151,0000,06301STAND-BY 100153,A000000,06200,0000,06200PATIENTS LAUNDRY 100153,A81000A,00100,0100,Y 100153,A81000B,00100,0300,HOME OFFICE COST 100153,A81000B,00200,0300,DIETARY SUPPLEMENTS 100153,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100153,A81000B,00400,0300,PRESCRIPTION DRUGS 100153,A81000B,00500,0300,MEDICAL SUPPLIES 100153,A81000B,00600,0300,ADMIN COSTS 100153,A81000B,00700,0300,HOME OFFICE INTEREST 100153,A81000B,00800,0300,EQUIPMENT RENTAL 100153,A81000B,00900,0300,IV THERAPY 100153,A81000B,01000,0300,PT SUPPLIES 100153,A81000B,01100,0300,PHYSICAL THERAPY 100153,A81000B,01200,0300,OCCUPATIONAL THERAPY 100153,A81000B,01300,0300,SPEECH THERAPY 100153,A81000B,01400,0300,ANC EQUIP RENTAL 100153,A81000B,01500,0300,NURSING ADMIN OTHER 100153,A81000C,00100,0100,B 100153,A81000C,00100,0200,WHARTON MANOR 100153,A81000C,00100,0400,MARINER PAN 100153,A81000C,00100,0600,NURSING HOMES 100153,A81000C,00200,0100,G 100153,A81000C,00200,0200,MARINER PAN 100153,A81000C,00200,0400,AMER PHARM SVCS 100153,A81000C,00200,0600,PHARMACEUTICALS 100153,A81000C,00300,0100,G 100153,A81000C,00300,0200,MARINER PAN 100153,A81000C,00300,0400,PRISM-ATS-ARS-T 100153,A81000C,00300,0600,THERAPIES 100153,A81000C,03100,0000,MARINER PAN 100153,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100153,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100153,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100153,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100153,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100153,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100153,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100153,B100000,00000,0800,00001MEALS SERVED :DIETARY 100153,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100153,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100153,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100153,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100153,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100153,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100153,E10A180,00301,0100,07/07/1999 100153,E10A180,00302,0100,01/05/2000 100153,E10A180,00350,0100,10/13/1999 100153,S000000,00100,0200,08/31/2000 100153,S200000,00100,0100,418 N. RUSK 100153,S200000,00200,0100,WHARTON 100153,S200000,00200,0200,TX 100153,S200000,00200,0300,77488- 100153,S200000,00300,0100,WHARTON 100153,S200000,00400,0100,WHARTON MANOR 100153,S200000,00400,0200,675361 100153,S200000,00400,0300,07/06/1994 100153,S200000,00400,0500,P 100153,S200000,01600,0100,Y 100153,S200000,02200,0100,Y 100153,S200000,04300,0100,Y 100161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100161,A000000,00300,0000,00300EMPLOYEE BENEFITS 100161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100161,A000000,00700,0000,00700HOUSEKEEPING 100161,A000000,00800,0000,00800DIETARY 100161,A000000,00900,0000,00900NURSING ADMINISTRATION 100161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100161,A000000,01300,0000,01300SOCIAL SERVICE 100161,A000000,01301,0000,01301ACTIVITES 100161,A000000,01350,0000,01500REHABILITATION 100161,A000000,01600,0000,01600SKILLED NURSING FACILITY 100161,A000000,01800,0000,01800NURSING FACILITY 100161,A000000,01900,0000,01900OTHER LONG TERM CARE 100161,A000000,02100,0000,02100RADIOLOGY 100161,A000000,02200,0000,02200LABORATORY 100161,A000000,02300,0000,02300INTRAVENOUS THERAPY 100161,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100161,A000000,02500,0000,02500PHYSICAL THERAPY 100161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100161,A000000,02700,0000,02700SPEECH PATHOLOGY 100161,A000000,02800,0000,02800ELECTROCARDIOLOGY 100161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100161,A000000,03050,0000,03300EQUIPMENT RENTAL 100161,A000000,03051,0000,03301PEN THERAPY 100161,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100161,A000000,03200,0000,03200SUPPORT SURFACES 100161,A000000,04800,0000,04800AMBULANCE 100161,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100161,A000000,05300,0000,05300INTEREST EXPENSE 100161,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100161,A000000,06150,0000,06300VENDING 100161,A000000,06151,0000,06301STAND-BY 100161,A000000,06200,0000,06200PATIENTS LAUNDRY 100161,A81000A,00100,0100,Y 100161,A81000B,00100,0300,HOME OFFICE COST 100161,A81000B,00200,0300,DIETARY SUPPLEMENTS 100161,A81000B,00400,0300,PRESCRIPTION DRUGS 100161,A81000B,00500,0300,MEDICAL SUPPLIES 100161,A81000B,00600,0300,DME 100161,A81000B,00700,0300,HOME OFFICE INTEREST 100161,A81000B,00900,0300,IV THERAPY 100161,A81000B,01000,0300,RT THERAPY CONSULTING 100161,A81000B,01100,0300,PHYSICAL THERAPY 100161,A81000B,01200,0300,OCCUPATIONAL THERAPY 100161,A81000B,01300,0300,SPEECH THERAPY 100161,A81000C,00100,0100,B 100161,A81000C,00100,0200,R.M. WESLACO 100161,A81000C,00100,0400,MARINER PAN 100161,A81000C,00100,0600,NURSING HOMES 100161,A81000C,00200,0100,G 100161,A81000C,00200,0200,MARINER PAN 100161,A81000C,00200,0400,AMER PHARM SVCS 100161,A81000C,00200,0600,PHARMACEUTICALS 100161,A81000C,00300,0100,G 100161,A81000C,00300,0200,MARINER PAN 100161,A81000C,00300,0400,PRISM-ATS-ARS-T 100161,A81000C,00300,0600,THERAPIES 100161,A81000C,03100,0000,MARINER PAN 100161,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100161,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100161,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100161,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100161,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100161,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100161,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100161,B100000,00000,0800,00001MEALS SERVED :DIETARY 100161,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100161,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100161,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100161,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100161,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100161,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100161,E10A180,00301,0100,06/23/1999 100161,E10A180,00302,0100,07/07/1999 100161,E10A180,00303,0100,01/05/2000 100161,E10A180,00350,0100,09/29/1999 100161,S000000,00100,0200,08/31/2000 100161,S200000,00100,0100,721 AIRPORT DRIVE 100161,S200000,00200,0100,WESLACO 100161,S200000,00200,0200,TX 100161,S200000,00200,0300,78596- 100161,S200000,00300,0100,HIDALGO 100161,S200000,00300,0200,4880 100161,S200000,00300,0300,U 100161,S200000,00400,0100,RETAMA MANOR NURSING CENTER-WESLACO 100161,S200000,00400,0200,675363 100161,S200000,00400,0300,06/24/1994 100161,S200000,00400,0500,P 100161,S200000,01600,0100,Y 100161,S200000,02200,0100,Y 100161,S200000,04300,0100,Y 100169,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100169,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100169,A000000,00300,0000,00300EMPLOYEE BENEFITS 100169,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100169,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100169,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100169,A000000,00700,0000,00700HOUSEKEEPING 100169,A000000,00800,0000,00800DIETARY 100169,A000000,00900,0000,00900NURSING ADMINISTRATION 100169,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100169,A000000,01100,0000,01100PHARMACY 100169,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100169,A000000,01300,0000,01300SOCIAL SERVICE 100169,A000000,01600,0000,01600SKILLED NURSING FACILITY 100169,A000000,01800,0000,01800NURSING FACILITY 100169,A000000,02100,0000,02100RADIOLOGY 100169,A000000,02200,0000,02200LABORATORY 100169,A000000,02300,0000,02300INTRAVENOUS THERAPY 100169,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100169,A000000,02500,0000,02500PHYSICAL THERAPY 100169,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100169,A000000,02700,0000,02700SPEECH PATHOLOGY 100169,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100169,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100169,A000000,03200,0000,03200SUPPORT SURFACES 100169,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100169,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100169,A81000A,00100,0100,Y 100169,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 100169,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 100169,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 100169,A81000C,00100,0100,A 100169,A81000C,00100,0200,JAMES PETTERSON 100169,A81000C,00100,0400,PYRAMID HEALTHCARE 100169,A81000C,00100,0600,LTC MANAGEMENT 100169,A81000C,00200,0100,A 100169,A81000C,00200,0200,ROBERT GRIMES 100169,A81000C,00200,0400,PYRAMID HEALTHCARE 100169,A81000C,00200,0600,LTC MANAGEMENT 100169,A81000C,00300,0100,A 100169,A81000C,00300,0200,DIANE WARD 100169,A81000C,00300,0400,PYRAMID HEALTHCARE 100169,A81000C,00300,0600,LTC MANAGEMENT 100169,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100169,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100169,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100169,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100169,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100169,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100169,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100169,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100169,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100169,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100169,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100169,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 100169,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 100169,S000000,00100,0200,06/28/2000 100169,S200000,00100,0100,240 E. SIXTH STREET 100169,S200000,00200,0100,BAIRD 100169,S200000,00200,0200,TX 100169,S200000,00200,0300,79504-3606 100169,S200000,00300,0100,CALLAHAN 100169,S200000,00400,0100,CANTERBURY VILLA OF BAIRD 100169,S200000,00400,0200,675364 100169,S200000,00400,0300,07/15/1994 100169,S200000,00400,0500,P 100169,S200000,01600,0100,Y 100169,S700003,00000,0100,1 100178,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100178,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100178,A000000,00300,0000,00300EMPLOYEE BENEFITS 100178,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100178,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100178,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100178,A000000,00700,0000,00700HOUSEKEEPING 100178,A000000,00800,0000,00800DIETARY 100178,A000000,00900,0000,00900NURSING ADMINISTRATION 100178,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100178,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100178,A000000,01300,0000,01300SOCIAL SERVICE 100178,A000000,01301,0000,01301ACTIVITES 100178,A000000,01350,0000,01500REHABILITATION 100178,A000000,01600,0000,01600SKILLED NURSING FACILITY 100178,A000000,01800,0000,01800NURSING FACILITY 100178,A000000,01900,0000,01900OTHER LONG TERM CARE 100178,A000000,02100,0000,02100RADIOLOGY 100178,A000000,02200,0000,02200LABORATORY 100178,A000000,02300,0000,02300INTRAVENOUS THERAPY 100178,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100178,A000000,02500,0000,02500PHYSICAL THERAPY 100178,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100178,A000000,02700,0000,02700SPEECH PATHOLOGY 100178,A000000,02800,0000,02800ELECTROCARDIOLOGY 100178,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100178,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100178,A000000,03050,0000,03300EQUIPMENT RENTAL 100178,A000000,03051,0000,03301PEN THERAPY 100178,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100178,A000000,03200,0000,03200SUPPORT SURFACES 100178,A000000,04800,0000,04800AMBULANCE 100178,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100178,A000000,05300,0000,05300INTEREST EXPENSE 100178,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100178,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100178,A000000,06150,0000,06300VENDING 100178,A000000,06151,0000,06301STAND-BY 100178,A000000,06200,0000,06200PATIENTS LAUNDRY 100178,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100178,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100178,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100178,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100178,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100178,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100178,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100178,B100000,00000,0800,00001MEALS SERVED :DIETARY 100178,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100178,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100178,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100178,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100178,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100178,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100178,E10A180,00350,0100,06/09/1999 100178,E10A180,00351,0100,10/13/1999 100178,E10A180,00352,0100,01/05/2000 100178,S000000,00100,0200,08/31/2000 100178,S200000,00100,0100,4006 VISTA ROAD 100178,S200000,00200,0100,PASADENA 100178,S200000,00200,0200,TX 100178,S200000,00200,0300,77504- 100178,S200000,00300,0100,HARRIS 100178,S200000,00300,0200,3360 100178,S200000,00300,0300,U 100178,S200000,00400,0100,PASADENA CARE CENTER 100178,S200000,00400,0200,675365 100178,S200000,00400,0300,07/08/1994 100178,S200000,00400,0500,P 100178,S200000,01600,0100,Y 100178,S200000,02200,0100,Y 100178,S200000,04300,0100,Y 100185,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100185,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100185,A000000,00300,0000,00300EMPLOYEE BENEFITS 100185,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100185,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100185,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100185,A000000,00700,0000,00700HOUSEKEEPING 100185,A000000,00800,0000,00800DIETARY 100185,A000000,00900,0000,00900NURSING ADMINISTRATION 100185,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100185,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100185,A000000,01300,0000,01300SOCIAL SERVICE 100185,A000000,01301,0000,01301ACTIVITES 100185,A000000,01350,0000,01500REHABILITATION 100185,A000000,01600,0000,01600SKILLED NURSING FACILITY 100185,A000000,01800,0000,01800NURSING FACILITY 100185,A000000,01900,0000,01900OTHER LONG TERM CARE 100185,A000000,02100,0000,02100RADIOLOGY 100185,A000000,02200,0000,02200LABORATORY 100185,A000000,02300,0000,02300INTRAVENOUS THERAPY 100185,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100185,A000000,02500,0000,02500PHYSICAL THERAPY 100185,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100185,A000000,02700,0000,02700SPEECH PATHOLOGY 100185,A000000,02800,0000,02800ELECTROCARDIOLOGY 100185,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100185,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100185,A000000,03050,0000,03300EQUIPMENT RENTAL 100185,A000000,03051,0000,03301PEN THERAPY 100185,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100185,A000000,03200,0000,03200SUPPORT SURFACES 100185,A000000,04800,0000,04800AMBULANCE 100185,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100185,A000000,05300,0000,05300INTEREST EXPENSE 100185,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100185,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100185,A000000,06150,0000,06300VENDING 100185,A000000,06151,0000,06301STAND-BY 100185,A000000,06200,0000,06200PATIENTS LAUNDRY 100185,A81000A,00100,0100,Y 100185,A81000B,00100,0300,HOME OFFICE COST 100185,A81000B,00200,0300,DIETARY SUPPLEMENTS 100185,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100185,A81000B,00400,0300,PRESCRIPTION DRUGS 100185,A81000B,00500,0300,MEDICAL SUPPLIES 100185,A81000B,00600,0300,ADMIN COSTS 100185,A81000B,00700,0300,HOME OFFICE INTEREST 100185,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100185,A81000B,00900,0300,EQUIPMENT RENTAL 100185,A81000B,01000,0300,THERAPY CONSULTING 100185,A81000B,01100,0300,PHYSICAL THERAPY 100185,A81000B,01200,0300,OCCUPATIONAL THERAPY 100185,A81000B,01300,0300,SPEECH THERAPY 100185,A81000B,01400,0300,ANC EQUIP RENTAL 100185,A81000B,01500,0300,OTHER DIRECT 100185,A81000C,00100,0100,B 100185,A81000C,00100,0200,BRAZOS VALLEY 100185,A81000C,00100,0400,MARINER PAN 100185,A81000C,00100,0600,NURSING HOMES 100185,A81000C,00200,0100,G 100185,A81000C,00200,0200,MARINER PAN 100185,A81000C,00200,0400,AMER PHARM SVCS 100185,A81000C,00200,0600,PHARMACEUTICALS 100185,A81000C,00300,0100,G 100185,A81000C,00300,0200,MARINER PAN 100185,A81000C,00300,0400,PRISM-ATS-ARS-T 100185,A81000C,00300,0600,THERAPIES 100185,A81000C,03100,0000,MARINER PAN 100185,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100185,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100185,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100185,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100185,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100185,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100185,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100185,B100000,00000,0800,00001MEALS SERVED :DIETARY 100185,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100185,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100185,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100185,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100185,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100185,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100185,E10A180,00301,0100,06/09/1999 100185,E10A180,00302,0100,06/23/1999 100185,E10A180,00350,0100,10/13/1999 100185,E10A180,00351,0100,01/05/2000 100185,S000000,00100,0200,08/31/2000 100185,S200000,00100,0100,1115 ANDERSON 100185,S200000,00200,0100,COLLEGE STATION 100185,S200000,00200,0200,TX 100185,S200000,00200,0300,77840- 100185,S200000,00300,0100,BRAZOS 100185,S200000,00400,0100,BRAZOS VALLEY GERIATRIC CENTER 100185,S200000,00400,0200,675366 100185,S200000,00400,0300,07/06/1994 100185,S200000,00400,0500,P 100185,S200000,01600,0100,Y 100185,S200000,02200,0100,Y 100185,S200000,04300,0100,Y 100192,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100192,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100192,A000000,00300,0000,00300EMPLOYEE BENEFITS 100192,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100192,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100192,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100192,A000000,00700,0000,00700HOUSEKEEPING 100192,A000000,00800,0000,00800DIETARY 100192,A000000,00900,0000,00900NURSING ADMINISTRATION 100192,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100192,A000000,01100,0000,01100PHARMACY 100192,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100192,A000000,01300,0000,01300SOCIAL SERVICE 100192,A000000,01351,0000,01301ACTIVITIES 100192,A000000,01600,0000,01600SKILLED NURSING FACILITY 100192,A000000,01800,0000,01800NURSING FACILITY 100192,A000000,02100,0000,02100RADIOLOGY 100192,A000000,02200,0000,02200LABORATORY 100192,A000000,02300,0000,02300INTRAVENOUS THERAPY 100192,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100192,A000000,02500,0000,02500PHYSICAL THERAPY 100192,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100192,A000000,02700,0000,02700SPEECH PATHOLOGY 100192,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100192,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100192,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100192,A000000,03051,0000,03301MEDICAL EQUIPMENT 100192,A000000,04800,0000,04800AMBULANCE 100192,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100192,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100192,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100192,A81000A,00100,0100,Y 100192,A81000B,00100,0300,HOME OFFICE CAPITAL 100192,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100192,A81000B,00300,0300,WAREHOUSE 100192,A81000C,00100,0100,A 100192,A81000C,00100,0200,PETER C. KERN 100192,A81000C,00100,0400,HEA MANAGEMENT GROUP 100192,A81000C,00100,0600,HOME OFFICE 100192,A81000C,00200,0100,A 100192,A81000C,00200,0200,PETER C. KERN 100192,A81000C,00200,0400,WAREHOUSE STORAGE 100192,A81000C,00200,0600,OLD RECORD STORAGE 100192,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100192,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100192,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100192,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100192,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100192,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100192,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100192,B100000,00000,0800,00000MEALS SERVED :DIETARY 100192,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100192,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100192,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100192,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100192,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100192,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100192,S000000,00100,0200,05/30/2000 100192,S200000,00100,0100,3500 PARK 100192,S200000,00200,0100,GREENVILLE 100192,S200000,00200,0200,TX 100192,S200000,00200,0300,75401-5159 100192,S200000,00300,0100,HUNT 100192,S200000,00300,0200,1920 100192,S200000,00300,0300,U 100192,S200000,00400,0100,PARK HAVEN CARE CENTER 100192,S200000,00400,0200,675367 100192,S200000,00400,0300,06/10/1994 100192,S200000,00400,0500,P 100192,S200000,01600,0100,Y 100192,S200000,02200,0100,Y 100192,S200000,04300,0100,Y 100208,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100208,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100208,A000000,00300,0000,00300EMPLOYEE BENEFITS 100208,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100208,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100208,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100208,A000000,00700,0000,00700HOUSEKEEPING 100208,A000000,00800,0000,00800DIETARY 100208,A000000,00900,0000,00900NURSING ADMINISTRATION 100208,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100208,A000000,01100,0000,01100PHARMACY 100208,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100208,A000000,01300,0000,01300SOCIAL SERVICE 100208,A000000,01351,0000,01301ACTIVITIES 100208,A000000,01600,0000,01600SKILLED NURSING FACILITY 100208,A000000,01800,0000,01800NURSING FACILITY 100208,A000000,02100,0000,02100RADIOLOGY 100208,A000000,02200,0000,02200LABORATORY 100208,A000000,02300,0000,02300INTRAVENOUS THERAPY 100208,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100208,A000000,02500,0000,02500PHYSICAL THERAPY 100208,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100208,A000000,02700,0000,02700SPEECH PATHOLOGY 100208,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100208,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100208,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100208,A000000,03051,0000,03301MEDICAL EQUIPMENT 100208,A000000,04800,0000,04800AMBULANCE 100208,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100208,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100208,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100208,A81000A,00100,0100,Y 100208,A81000B,00100,0300,HOME OFFICE CAPITAL 100208,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100208,A81000B,00300,0300,WAREHOUSE 100208,A81000C,00100,0100,A 100208,A81000C,00100,0200,PETER C. KERN 100208,A81000C,00100,0400,HEA MANAGEMENT GROUP 100208,A81000C,00100,0600,HOME OFFICE 100208,A81000C,00200,0100,A 100208,A81000C,00200,0200,PETER C. KERN 100208,A81000C,00200,0400,WAREHOUSE STORAGE 100208,A81000C,00200,0600,OLD RECORD STORAGE 100208,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100208,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100208,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100208,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100208,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100208,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100208,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100208,B100000,00000,0800,00000MEALS SERVED :DIETARY 100208,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100208,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100208,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100208,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100208,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100208,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100208,S000000,00100,0200,05/30/2000 100208,S200000,00100,0100,1102 RIVER ROAD 100208,S200000,00200,0100,BOERNE 100208,S200000,00200,0200,TX 100208,S200000,00200,0300,78006-2435 100208,S200000,00300,0100,KENDALL 100208,S200000,00300,0200,45 100208,S200000,00300,0300,R 100208,S200000,00400,0100,RIVERVIEW CARE CENTER 100208,S200000,00400,0200,675371 100208,S200000,00400,0300,06/15/1994 100208,S200000,00400,0500,P 100208,S200000,01600,0100,Y 100208,S200000,02200,0100,Y 100208,S200000,04300,0100,Y 100217,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100217,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100217,A000000,00300,0000,00300EMPLOYEE BENEFITS 100217,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100217,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100217,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100217,A000000,00700,0000,00700HOUSEKEEPING 100217,A000000,00800,0000,00800DIETARY 100217,A000000,00900,0000,00900NURSING ADMINISTRATION 100217,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100217,A000000,01100,0000,01100PHARMACY 100217,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100217,A000000,01300,0000,01300SOCIAL SERVICE 100217,A000000,01351,0000,01301ACTIVITIES 100217,A000000,01600,0000,01600SKILLED NURSING FACILITY 100217,A000000,01800,0000,01800NURSING FACILITY 100217,A000000,02100,0000,02100RADIOLOGY 100217,A000000,02200,0000,02200LABORATORY 100217,A000000,02300,0000,02300INTRAVENOUS THERAPY 100217,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100217,A000000,02500,0000,02500PHYSICAL THERAPY 100217,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100217,A000000,02700,0000,02700SPEECH PATHOLOGY 100217,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100217,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100217,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100217,A000000,03051,0000,03301MEDICAL EQUIPMENT 100217,A000000,04800,0000,04800AMBULANCE 100217,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100217,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100217,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100217,A81000A,00100,0100,Y 100217,A81000B,00100,0300,HOME OFFICE CAPITAL 100217,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100217,A81000B,00300,0300,WAREHOUSE 100217,A81000C,00100,0100,A 100217,A81000C,00100,0200,PETER C. KERN 100217,A81000C,00100,0400,HEA MANAGEMENT GROUP 100217,A81000C,00100,0600,HOME OFFICE 100217,A81000C,00200,0100,A 100217,A81000C,00200,0200,PETER C. KERN 100217,A81000C,00200,0400,WAREHOUSE STORAGE 100217,A81000C,00200,0600,OLD RECORD STORAGE 100217,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100217,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100217,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100217,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100217,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100217,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100217,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100217,B100000,00000,0800,00000MEALS SERVED :DIETARY 100217,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100217,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100217,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100217,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100217,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100217,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100217,S000000,00100,0200,05/30/2000 100217,S200000,00100,0100,225N EAST WARD STREET 100217,S200000,00200,0100,GOLIAD 100217,S200000,00200,0200,TX 100217,S200000,00200,0300,77963- 100217,S200000,00300,0100,GOLIAD 100217,S200000,00300,0300,R 100217,S200000,00400,0100,LA BAHIA CARE CENTER 100217,S200000,00400,0200,675372 100217,S200000,00400,0300,08/31/1994 100217,S200000,00400,0500,P 100217,S200000,01600,0100,Y 100217,S200000,02200,0100,Y 100217,S200000,04300,0100,Y 100225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100225,A000000,00300,0000,00300EMPLOYEE BENEFITS 100225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100225,A000000,00700,0000,00700HOUSEKEEPING 100225,A000000,00800,0000,00800DIETARY 100225,A000000,00900,0000,00900NURSING ADMINISTRATION 100225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100225,A000000,01100,0000,01100PHARMACY 100225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100225,A000000,01300,0000,01300SOCIAL SERVICE 100225,A000000,01351,0000,01301ACTIVITIES 100225,A000000,01600,0000,01600SKILLED NURSING FACILITY 100225,A000000,01800,0000,01800NURSING FACILITY 100225,A000000,02100,0000,02100RADIOLOGY 100225,A000000,02200,0000,02200LABORATORY 100225,A000000,02300,0000,02300INTRAVENOUS THERAPY 100225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100225,A000000,02500,0000,02500PHYSICAL THERAPY 100225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100225,A000000,02700,0000,02700SPEECH PATHOLOGY 100225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100225,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100225,A000000,03051,0000,03301MEDICAL EQUIPMENT 100225,A000000,04800,0000,04800AMBULANCE 100225,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100225,A81000A,00100,0100,Y 100225,A81000B,00100,0300,HOME OFFICE CAPITAL 100225,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100225,A81000B,00300,0300,WAREHOUSE 100225,A81000C,00100,0100,A 100225,A81000C,00100,0200,PETER C. KERN 100225,A81000C,00100,0400,HEA MANAGEMENT GROUP 100225,A81000C,00100,0600,HOME OFFICE 100225,A81000C,00200,0100,A 100225,A81000C,00200,0200,PETER C. KERN 100225,A81000C,00200,0400,WAREHOUSE STORAGE 100225,A81000C,00200,0600,OLD RECORD STORAGE 100225,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100225,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100225,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100225,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100225,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100225,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100225,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100225,B100000,00000,0800,00000MEALS SERVED :DIETARY 100225,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100225,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100225,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100225,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100225,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100225,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100225,S000000,00100,0200,05/30/2000 100225,S200000,00100,0100,18TH AND CLARK STREET 100225,S200000,00200,0100,CARRIZO SPRINGS 100225,S200000,00200,0200,TX 100225,S200000,00200,0300,78834- 100225,S200000,00300,0100,DIMMIT 100225,S200000,00300,0200,45 100225,S200000,00300,0300,R 100225,S200000,00400,0100,CARRIZZO SPRINGS 100225,S200000,00400,0200,675373 100225,S200000,00400,0300,01/27/1994 100225,S200000,00400,0500,P 100225,S200000,01600,0100,Y 100225,S200000,02200,0100,Y 100225,S200000,04300,0100,Y 100234,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100234,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100234,A000000,00300,0000,00300EMPLOYEE BENEFITS 100234,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100234,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100234,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100234,A000000,00700,0000,00700HOUSEKEEPING 100234,A000000,00800,0000,00800DIETARY 100234,A000000,00900,0000,00900NURSING ADMINISTRATION 100234,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100234,A000000,01100,0000,01100PHARMACY 100234,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100234,A000000,01300,0000,01300SOCIAL SERVICE 100234,A000000,01301,0000,01301ACTIVITIES 100234,A000000,01600,0000,01600SKILLED NURSING FACILITY 100234,A000000,01800,0000,01800NURSING FACILITY 100234,A000000,02100,0000,02100RADIOLOGY 100234,A000000,02200,0000,02200LABORATORY 100234,A000000,02300,0000,02300INTRAVENOUS THERAPY 100234,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100234,A000000,02500,0000,02500PHYSICAL THERAPY 100234,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100234,A000000,02700,0000,02700SPEECH PATHOLOGY 100234,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100234,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100234,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100234,A000000,03051,0000,03301MEDICAL EQUIPMENT 100234,A000000,04800,0000,04800AMBULANCE 100234,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100234,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100234,A81000A,00100,0100,Y 100234,A81000B,00100,0300,HOME OFFICE CAPITAL 100234,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100234,A81000B,00300,0300,WAREHOUSE 100234,A81000C,00100,0100,A 100234,A81000C,00100,0200,PETER C. KERN 100234,A81000C,00100,0400,HEA MANAGEMENT GROUP 100234,A81000C,00100,0600,HOME OFFICE 100234,A81000C,00200,0100,A 100234,A81000C,00200,0200,PETER C. KERN 100234,A81000C,00200,0400,WAREHOUSE STORAGE 100234,A81000C,00200,0600,OLD RECORD STORAGE 100234,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100234,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100234,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100234,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100234,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100234,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100234,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100234,B100000,00000,0800,00000MEALS SERVED :DIETARY 100234,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100234,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100234,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100234,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100234,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100234,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 100234,S000000,00100,0200,09/14/2000 100234,S200000,00100,0100,619 BRITAIN ROAD 100234,S200000,00200,0100,IRVING 100234,S200000,00200,0200,TX 100234,S200000,00200,0300,75061-7698 100234,S200000,00300,0100,DALLAS 100234,S200000,00300,0200,1920 100234,S200000,00300,0300,U 100234,S200000,00400,0100,IRVING CARE CENTER 100234,S200000,00400,0200,675374 100234,S200000,00400,0300,07/26/1994 100234,S200000,00400,0500,P 100234,S200000,01600,0100,Y 100234,S200000,02200,0100,Y 100234,S200000,04300,0100,Y 100241,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100241,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100241,A000000,00300,0000,00300EMPLOYEE BENEFITS 100241,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100241,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100241,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100241,A000000,00700,0000,00700HOUSEKEEPING 100241,A000000,00800,0000,00800DIETARY 100241,A000000,00900,0000,00900NURSING ADMINISTRATION 100241,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100241,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100241,A000000,01300,0000,01300SOCIAL SERVICE 100241,A000000,01301,0000,01301ACTIVITES 100241,A000000,01350,0000,01500REHABILITATION 100241,A000000,01600,0000,01600SKILLED NURSING FACILITY 100241,A000000,01800,0000,01800NURSING FACILITY 100241,A000000,01900,0000,01900OTHER LONG TERM CARE 100241,A000000,02100,0000,02100RADIOLOGY 100241,A000000,02200,0000,02200LABORATORY 100241,A000000,02300,0000,02300INTRAVENOUS THERAPY 100241,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100241,A000000,02500,0000,02500PHYSICAL THERAPY 100241,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100241,A000000,02700,0000,02700SPEECH PATHOLOGY 100241,A000000,02800,0000,02800ELECTROCARDIOLOGY 100241,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100241,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100241,A000000,03050,0000,03300EQUIPMENT RENTAL 100241,A000000,03051,0000,03301PEN THERAPY 100241,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100241,A000000,03200,0000,03200SUPPORT SURFACES 100241,A000000,04800,0000,04800AMBULANCE 100241,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100241,A000000,05300,0000,05300INTEREST EXPENSE 100241,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100241,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100241,A000000,06150,0000,06300VENDING 100241,A000000,06151,0000,06301STAND-BY 100241,A000000,06200,0000,06200PATIENTS LAUNDRY 100241,A81000A,00100,0100,Y 100241,A81000B,00100,0300,HOME OFFICE COST 100241,A81000B,00200,0300,DIETARY SUPPLEMENTS 100241,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100241,A81000B,00500,0300,MEDICAL SUPPLIES 100241,A81000B,00700,0300,HOME OFFICE INTEREST 100241,A81000B,00900,0300,IV THERAPY 100241,A81000B,01000,0300,PHYSICAL THERAPY 100241,A81000B,01100,0300,OCCUPATIONAL THERAPY 100241,A81000B,01200,0300,SPEECH THERAPY 100241,A81000C,00100,0100,B 100241,A81000C,00100,0200,BANGS NURSING H 100241,A81000C,00100,0400,MARINER PAN 100241,A81000C,00100,0600,NURSING HOMES 100241,A81000C,00200,0100,G 100241,A81000C,00200,0200,MARINER PAN 100241,A81000C,00200,0400,AMER PHARM SVCS 100241,A81000C,00200,0600,PHARMACEUTICALS 100241,A81000C,00300,0100,G 100241,A81000C,00300,0200,MARINER PAN 100241,A81000C,00300,0400,PRISM-ATS-ARS-T 100241,A81000C,00300,0600,THERAPIES 100241,A81000C,03100,0000,MARINER PAN 100241,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100241,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100241,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100241,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100241,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100241,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100241,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100241,B100000,00000,0800,00001MEALS SERVED :DIETARY 100241,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100241,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100241,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100241,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100241,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100241,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100241,E10A180,00350,0100,07/21/1999 100241,E10A180,00351,0100,09/29/1999 100241,E10A180,00352,0100,01/05/2000 100241,S000000,00100,0200,08/31/2000 100241,S200000,00100,0100,1400 FITZGERALD 100241,S200000,00200,0100,BANGS 100241,S200000,00200,0200,TX 100241,S200000,00200,0300,76823- 100241,S200000,00300,0100,BROWN 100241,S200000,00300,0300,R 100241,S200000,00400,0100,BANGS NURSING HOME 100241,S200000,00400,0200,675377 100241,S200000,00400,0300,07/05/1994 100241,S200000,00400,0500,P 100241,S200000,01600,0100,Y 100241,S200000,02200,0100,Y 100241,S200000,04300,0100,Y 100277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100277,A000000,00300,0000,00300EMPLOYEE BENEFITS 100277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100277,A000000,00700,0000,00700HOUSEKEEPING 100277,A000000,00800,0000,00800DIETARY 100277,A000000,00900,0000,00900NURSING ADMINISTRATION 100277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100277,A000000,01100,0000,01100PHARMACY 100277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100277,A000000,01300,0000,01300SOCIAL SERVICE 100277,A000000,01350,0000,01500OTHER GENERAL SERVICES 100277,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100277,A000000,01600,0000,01600SKILLED NURSING FACILITY 100277,A000000,01800,0000,01800NURSING FACILITY 100277,A000000,02100,0000,02100RADIOLOGY 100277,A000000,02200,0000,02200LABORATORY 100277,A000000,02300,0000,02300INTRAVENOUS THERAPY 100277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100277,A000000,02500,0000,02500PHYSICAL THERAPY 100277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100277,A000000,02700,0000,02700SPEECH PATHOLOGY 100277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100277,A000000,03050,0000,03300PEN THERAPY 100277,A000000,03051,0000,03301VENTILLATOR 100277,A000000,03200,0000,03200SUPPORT SURFACES 100277,A000000,05300,0000,05300INTEREST EXPENSE 100277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100277,A81000A,00100,0100,Y 100277,A81000B,00100,0300,PASS THRU LEASE 100277,A81000B,00200,0300,CENTRAL OFFICE 100277,A81000C,00100,0100,B 100277,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100277,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100277,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100277,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100277,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100277,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100277,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100277,B100000,00000,0800,00000MEALS SERVED :DIETARY 100277,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100277,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100277,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100277,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100277,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 100277,S000000,00100,0200,06/26/2000 100277,S200000,00100,0100,2131 ALPINE RD 100277,S200000,00200,0100,LONGVIEW 100277,S200000,00200,0200,TX 100277,S200000,00200,0300,75601- 100277,S200000,00300,0100,GREGG 100277,S200000,00300,0200,4420 100277,S200000,00300,0300,U 100277,S200000,00400,0100,WHISPERING PINES LODGE 100277,S200000,00400,0200,675386 100277,S200000,00400,0300,09/21/1995 100277,S200000,00400,0500,P 100277,S200000,01600,0100,Y 100294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100294,A000000,00300,0000,00300EMPLOYEE BENEFITS 100294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100294,A000000,00700,0000,00700HOUSEKEEPING 100294,A000000,00800,0000,00800DIETARY 100294,A000000,00801,0000,00801CAFETERIA 100294,A000000,00900,0000,00900NURSING ADMINISTRATION 100294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100294,A000000,01100,0000,01100PHARMACY 100294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100294,A000000,01300,0000,01300SOCIAL SERVICE 100294,A000000,01600,0000,01600SKILLED NURSING FACILITY 100294,A000000,01800,0000,01800NURSING FACILITY 100294,A000000,01900,0000,01900OTHER LONG TERM CARE 100294,A000000,02100,0000,02100RADIOLOGY 100294,A000000,02200,0000,02200LABORATORY 100294,A000000,02300,0000,02300INTRAVENOUS THERAPY 100294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100294,A000000,02500,0000,02500PHYSICAL THERAPY 100294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100294,A000000,02700,0000,02700SPEECH PATHOLOGY 100294,A000000,02800,0000,02800ELECTROCARDIOLOGY 100294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100294,A000000,03200,0000,03200SUPPORT SURFACES 100294,A000000,04800,0000,04800AMBULANCE 100294,A000000,05300,0000,05300INTEREST EXPENSE 100294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100294,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100294,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100294,A81000A,00100,0100,Y 100294,A81000B,00100,0300,HOME OFFICE COSTS 100294,A81000B,00200,0300,HOME OFFICE COSTS 100294,A81000C,00100,0100,B 100294,A81000C,00100,0200,TRILLIUM HEALTH 100294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100294,B100000,00000,0800,00000MEALS SERVED :DIETARY 100294,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100294,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100294,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100294,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100294,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100294,S000000,00100,0200,06/19/2000 100294,S200000,00100,0100,1803 EAST HWY 243 100294,S200000,00200,0100,KAUFMAN 100294,S200000,00200,0200,TX 100294,S200000,00200,0300,75142- 100294,S200000,00300,0100,KAUFMAN 100294,S200000,00400,0100,SUNFLOWER PARK NURSING HOME 100294,S200000,00400,0200,675390 100294,S200000,00400,0300,09/22/1994 100294,S200000,00400,0500,P 100294,S200000,01500,0100,Y 100294,S700003,00000,0100,1 100309,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100309,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100309,A000000,00300,0000,00300EMPLOYEE BENEFITS 100309,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100309,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100309,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100309,A000000,00700,0000,00700HOUSEKEEPING 100309,A000000,00800,0000,00800DIETARY 100309,A000000,00900,0000,00900NURSING ADMINISTRATION 100309,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100309,A000000,01100,0000,01100PHARMACY 100309,A000000,01300,0000,01300SOCIAL SERVICE 100309,A000000,01600,0000,01600SKILLED NURSING FACILITY 100309,A000000,01800,0000,01800NURSING FACILITY 100309,A000000,02100,0000,02100RADIOLOGY 100309,A000000,02200,0000,02200LABORATORY 100309,A000000,02500,0000,02500PHYSICAL THERAPY 100309,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100309,A000000,02700,0000,02700SPEECH PATHOLOGY 100309,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100309,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100309,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100309,A81000A,00100,0100,Y 100309,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COST 100309,A81000B,00200,0300,HOME OFFICE ADMIN RELATED COST 100309,A81000C,00100,0100,B 100309,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100309,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100309,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100309,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100309,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100309,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100309,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100309,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100309,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100309,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100309,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100309,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 100309,S000000,00100,0200,03/09/2000 100309,S200000,00100,0100,ROUTE W BOX 2007 100309,S200000,00200,0100,NAPLES 100309,S200000,00200,0200,TX 100309,S200000,00200,0300,75568- 100309,S200000,00300,0100,MORRIS 100309,S200000,00400,0100,REDBUD RETREAT 100309,S200000,00400,0200,675393 100309,S200000,00400,0300,08/24/1994 100309,S200000,00400,0500,P 100309,S200000,01500,0100,Y 100309,S700003,00000,0100,1 100319,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100319,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100319,A000000,00300,0000,00300EMPLOYEE BENEFITS 100319,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100319,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100319,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100319,A000000,00700,0000,00700HOUSEKEEPING 100319,A000000,00800,0000,00800DIETARY 100319,A000000,00900,0000,00900NURSING ADMINISTRATION 100319,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100319,A000000,01100,0000,01100PHARMACY 100319,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100319,A000000,01300,0000,01300SOCIAL SERVICE 100319,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100319,A000000,01600,0000,01600SKILLED NURSING FACILITY 100319,A000000,01900,0000,01900OTHER LONG TERM CARE 100319,A000000,02100,0000,02100RADIOLOGY 100319,A000000,02200,0000,02200LABORATORY 100319,A000000,02300,0000,02300INTRAVENOUS THERAPY 100319,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100319,A000000,02500,0000,02500PHYSICAL THERAPY 100319,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100319,A000000,02700,0000,02700SPEECH PATHOLOGY 100319,A000000,02800,0000,02800ELECTROCARDIOLOGY 100319,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100319,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100319,A000000,03050,0000,03201ENTERNAL SUPPLIES 100319,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100319,A000000,03200,0000,03200SUPPORT SURFACES 100319,A000000,03400,0000,03400CLINIC 100319,A000000,04800,0000,04800AMBULANCE 100319,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100319,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100319,A000000,05300,0000,05300INTEREST EXPENSE 100319,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100319,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100319,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100319,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100319,A000000,06100,0000,06100NONPAID WORKERS 100319,A000000,06200,0000,06200PATIENTS LAUNDRY 100319,A81000A,00100,0100,Y 100319,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100319,A81000B,00200,0300,LAUNDRY SERVICES 100319,A81000B,00300,0300,MENU PLANNING 100319,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100319,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100319,A81000B,00600,0300,DRUGS 100319,A81000C,00100,0100,B 100319,A81000C,00100,0200,CANTEX HC CTRS 100319,A81000C,00100,0600,LTC MANAGEMENT 100319,A81000C,00200,0100,B 100319,A81000C,00200,0200,HEALTHCARE LNEN 100319,A81000C,00200,0600,LAUNDRY SERVICE 100319,A81000C,00300,0100,A 100319,A81000C,00300,0200,ALBERT J. LONGO 100319,A81000C,00300,0400,NOVA 100319,A81000C,00300,0600,MENU PLANNING 100319,A81000C,00400,0100,B 100319,A81000C,00400,0200,CANTEX HC CTRS 100319,A81000C,00400,0600,LTC MANAGEMENT 100319,A81000C,00500,0100,B 100319,A81000C,00500,0200,CANTEX HC CTRS 100319,A81000C,00500,0600,LTC MANAGEMENT 100319,A81000C,00600,0100,B 100319,A81000C,00600,0200,PHARMACARE 100319,A81000C,00600,0600,LTC MANAGEMENT 100319,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100319,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100319,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100319,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100319,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100319,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100319,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100319,B100000,00000,0800,00000MEALS SERVED :DIETARY 100319,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100319,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100319,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100319,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100319,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100319,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100319,E10A180,00350,0100,12/31/1999 100319,S000000,00100,0200,05/31/2000 100319,S200000,00100,0100,225 SOUTH MAIN STREET 100319,S200000,00200,0100,VIDOR 100319,S200000,00200,0200,TX 100319,S200000,00200,0300,77662- 100319,S200000,00300,0100,ORANGE 100319,S200000,00400,0100,OAKWOOD MANOR NURSING HOME 100319,S200000,00400,0200,675394 100319,S200000,00400,0300,05/20/1994 100319,S200000,00400,0500,P 100319,S200000,01600,0100,Y 100319,S700003,00000,0100,1 100355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100355,A000000,00300,0000,00300EMPLOYEE BENEFITS 100355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100355,A000000,00700,0000,00700HOUSEKEEPING 100355,A000000,00800,0000,00800DIETARY 100355,A000000,00900,0000,00900NURSING ADMINISTRATION 100355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100355,A000000,01100,0000,01100PHARMACY 100355,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100355,A000000,01300,0000,01300SOCIAL SERVICE 100355,A000000,01351,0000,01301ACTIVITIES 100355,A000000,01600,0000,01600SKILLED NURSING FACILITY 100355,A000000,01800,0000,01800NURSING FACILITY 100355,A000000,02100,0000,02100RADIOLOGY 100355,A000000,02200,0000,02200LABORATORY 100355,A000000,02300,0000,02300INTRAVENOUS THERAPY 100355,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100355,A000000,02500,0000,02500PHYSICAL THERAPY 100355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100355,A000000,02700,0000,02700SPEECH PATHOLOGY 100355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100355,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100355,A000000,03051,0000,03301MEDICAL EQUIPMENT 100355,A000000,04800,0000,04800AMBULANCE 100355,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100355,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100355,A81000A,00100,0100,Y 100355,A81000B,00100,0300,HOME OFFICE CAPITAL 100355,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100355,A81000B,00300,0300,WAREHOUSE 100355,A81000C,00100,0100,A 100355,A81000C,00100,0200,PETER C. KERN 100355,A81000C,00100,0400,HEA MANAGEMENT GROUP 100355,A81000C,00100,0600,HOME OFFICE 100355,A81000C,00200,0100,A 100355,A81000C,00200,0200,PETER C. KERN 100355,A81000C,00200,0400,WAREHOUSE STORAGE 100355,A81000C,00200,0600,OLD RECORD STORAGE 100355,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100355,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100355,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100355,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100355,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100355,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100355,B100000,00000,0800,00000MEALS SERVED :DIETARY 100355,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100355,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100355,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100355,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100355,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100355,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100355,S000000,00100,0200,05/30/2000 100355,S200000,00100,0100,1405 EAST WASHINGTON 100355,S200000,00200,0100,NAVASOTA 100355,S200000,00200,0200,TX 100355,S200000,00200,0300,77868-3240 100355,S200000,00300,0100,GRIMES 100355,S200000,00400,0100,CANTERBURY VILLA OF NAVASOTA 100355,S200000,00400,0200,675399 100355,S200000,00400,0300,09/07/1994 100355,S200000,00400,0500,P 100355,S200000,01600,0100,Y 100355,S200000,02200,0100,Y 100355,S200000,04300,0100,Y 100355,S700003,00000,0100,1 100357,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100357,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100357,A000000,00300,0000,00300EMPLOYEE BENEFITS 100357,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100357,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100357,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100357,A000000,00700,0000,00700HOUSEKEEPING 100357,A000000,00800,0000,00800DIETARY 100357,A000000,00900,0000,00900NURSING ADMINISTRATION 100357,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100357,A000000,01100,0000,01100PHARMACY 100357,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100357,A000000,01300,0000,01300SOCIAL SERVICE 100357,A000000,01350,0000,01500OTHER GENERAL SERVICES 100357,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100357,A000000,01600,0000,01600SKILLED NURSING FACILITY 100357,A000000,01800,0000,01800NURSING FACILITY 100357,A000000,01810,0000,01801ICF/MR 100357,A000000,01900,0000,01900OTHER LONG TERM CARE 100357,A000000,02100,0000,02100RADIOLOGY 100357,A000000,02200,0000,02200LABORATORY 100357,A000000,02300,0000,02300INTRAVENOUS THERAPY 100357,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100357,A000000,02500,0000,02500PHYSICAL THERAPY 100357,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100357,A000000,02700,0000,02700SPEECH PATHOLOGY 100357,A000000,02800,0000,02800ELECTROCARDIOLOGY 100357,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100357,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100357,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100357,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100357,A000000,03200,0000,03200SUPPORT SURFACES 100357,A000000,03400,0000,03400CLINIC 100357,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100357,A000000,03500,0000,03500RURAL HEALTH CLINIC 100357,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100357,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100357,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100357,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100357,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100357,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100357,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100357,A000000,04400,0000,04400DME RENTED - HHA 100357,A000000,04500,0000,04500DME SOLD - HHA 100357,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100357,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100357,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100357,A000000,04800,0000,04800AMBULANCE 100357,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100357,A000000,05000,0000,05000CORF 100357,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100357,A000000,05300,0000,05300INTEREST EXPENSE 100357,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100357,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100357,A000000,05500,0000,05500HOSPICE 100357,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100357,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100357,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100357,A000000,06100,0000,06100NONPAID WORKERS 100357,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100357,A000000,06151,0000,06301FEE SCREEN 100357,A000000,06200,0000,06200PATIENTS LAUNDRY 100357,A81000A,00100,0100,Y 100357,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 100357,A81000B,00200,0300,FACILITY LEASE 100357,A81000B,00300,0300,MANAGEMENT/ACCOUNTING FEES 100357,A81000B,00400,0300,PT 100357,A81000B,00500,0300,OT 100357,A81000B,00600,0300,ST 100357,A81000B,00700,0300,HOME OFFICE NURSE 100357,A81000B,00800,0300,HOME OFFICE TRAINING COORD 100357,A81000B,00900,0300,HOME OFFICE DIETARY CONS 100357,A81000B,01000,0300,HOME OFFICE MAINTENANCE 100357,A81000B,01100,0300,HOME OFFICE ASSIST ADMIN 100357,A81000C,00100,0100,A 100357,A81000C,00100,0200,W. E. CAMPBELL 100357,A81000C,00100,0400,L.P. SERVICES 100357,A81000C,00100,0600,ACCOUNTING SERVICES 100357,A81000C,00200,0100,A 100357,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 100357,A81000C,00200,0400,ROCKWALL NH REALTY LTD 100357,A81000C,00200,0600,REALTY COMPANY 100357,A81000C,00300,0100,A 100357,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 100357,A81000C,00300,0400,SENIOR CARE CONSULTANTS 100357,A81000C,00300,0600,MANAGEMENT COMPANY 100357,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100357,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100357,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100357,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100357,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100357,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 100357,B100000,00000,0750,00001SQUARE FT CLEANED :HOUSEKEEPING 100357,B100000,00000,0800,00001MEALS SERVED :DIETARY 100357,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 100357,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 100357,B100000,00000,1150,00001NO STATISTICS :PHARMACY 100357,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 100357,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 100357,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 100357,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 100357,S000000,00100,0200,06/08/2000 100357,S200000,00100,0100,206 STORRS 100357,S200000,00200,0100,ROCKWALL 100357,S200000,00200,0200,TX 100357,S200000,00200,0300,75087- 100357,S200000,00300,0100,ROCKWALL 100357,S200000,00400,0100,ROCKWALL NURSING CARE CENTER 100357,S200000,00400,0200,675402 100357,S200000,00400,0300,10/06/1994 100357,S200000,00400,0500,P 100357,S200000,01500,0100,Y 100357,S700003,00000,0100,1 100368,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100368,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100368,A000000,00300,0000,00300EMPLOYEE BENEFITS 100368,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100368,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100368,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100368,A000000,00700,0000,00700HOUSEKEEPING 100368,A000000,00800,0000,00800DIETARY 100368,A000000,00900,0000,00900NURSING ADMINISTRATION 100368,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100368,A000000,01100,0000,01100PHARMACY 100368,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100368,A000000,01300,0000,01300SOCIAL SERVICE 100368,A000000,01351,0000,01301ACTIVITIES 100368,A000000,01600,0000,01600SKILLED NURSING FACILITY 100368,A000000,01800,0000,01800NURSING FACILITY 100368,A000000,02100,0000,02100RADIOLOGY 100368,A000000,02200,0000,02200LABORATORY 100368,A000000,02300,0000,02300INTRAVENOUS THERAPY 100368,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100368,A000000,02500,0000,02500PHYSICAL THERAPY 100368,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100368,A000000,02700,0000,02700SPEECH PATHOLOGY 100368,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100368,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100368,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100368,A000000,03051,0000,03301MEDICAL EQUIPMENT 100368,A000000,04800,0000,04800AMBULANCE 100368,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100368,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100368,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100368,A81000A,00100,0100,Y 100368,A81000B,00100,0300,HOME OFFICE CAPITAL 100368,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100368,A81000B,00300,0300,WAREHOUSE 100368,A81000C,00100,0100,A 100368,A81000C,00100,0200,PETER C. KERN 100368,A81000C,00100,0400,HEA MANAGEMENT GROUP 100368,A81000C,00100,0600,HOME OFFICE 100368,A81000C,00200,0100,A 100368,A81000C,00200,0200,PETER C. KERN 100368,A81000C,00200,0400,WAREHOUSE STORAGE 100368,A81000C,00200,0600,OLD RECORD STORAGE 100368,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100368,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100368,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100368,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100368,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100368,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100368,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100368,B100000,00000,0800,00000MEALS SERVED :DIETARY 100368,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100368,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100368,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100368,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100368,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100368,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100368,S000000,00100,0200,04/18/2000 100368,S200000,00100,0100,800 SEVENTH STREET 100368,S200000,00100,0300,627 100368,S200000,00200,0100,PADUCAH 100368,S200000,00200,0200,TX 100368,S200000,00200,0300,79248- 100368,S200000,00300,0100,COTTLE 100368,S200000,00300,0200,45 100368,S200000,00300,0300,R 100368,S200000,00400,0100,PADUCAH NURSING CENTER 100368,S200000,00400,0200,675404 100368,S200000,00400,0300,10/14/1994 100368,S200000,00400,0500,P 100368,S200000,01600,0100,Y 100368,S200000,02200,0100,Y 100368,S200000,04300,0100,Y 100370,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100370,A000000,00300,0000,00300EMPLOYEE BENEFITS 100370,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100370,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100370,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100370,A000000,00700,0000,00700HOUSEKEEPING 100370,A000000,00800,0000,00800DIETARY 100370,A000000,00900,0000,00900NURSING ADMINISTRATION 100370,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100370,A000000,01100,0000,01100PHARMACY 100370,A000000,01300,0000,01300SOCIAL SERVICE 100370,A000000,01600,0000,01600SKILLED NURSING FACILITY 100370,A000000,01800,0000,01800NURSING FACILITY 100370,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100370,A000000,02500,0000,02500PHYSICAL THERAPY 100370,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100370,A000000,02700,0000,02700SPEECH PATHOLOGY 100370,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100370,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100370,A000000,03200,0000,03200SUPPORT SURFACES 100370,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100370,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100370,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100370,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100370,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100370,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100370,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100370,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 100370,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100370,B100000,00000,0850,00000SQUARE FEET :DIETARY 100370,B100000,00000,0950,00000SQUARE FEET :NURSING ADMINISTRATIO 100370,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 100370,B100000,00000,1150,00000SQUARE FEET :PHARMACY 100370,B100000,00000,1330,00000SQUARE FEET :SOCIAL SERVICE 100370,S000000,00100,0200,07/20/2000 100370,S200000,00100,0100,800 SEVENTH ST 100370,S200000,00200,0100,PADUCAH 100370,S200000,00300,0100,COTTLE 100370,S200000,00400,0100,PADUCAH NURSING CENTER 100370,S200000,00400,0200,675404 100370,S200000,00400,0300,08/01/1999 100370,S200000,00400,0500,P 100370,S200000,01600,0100,Y 100370,S200000,03300,0100,Y 100370,S200000,04300,0100,Y 100370,S700003,00000,0200,2 100399,S000000,00100,0200,05/02/2001 100407,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100407,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100407,A000000,00300,0000,00300EMPLOYEE BENEFITS 100407,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100407,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100407,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100407,A000000,00700,0000,00700HOUSEKEEPING 100407,A000000,00800,0000,00800DIETARY 100407,A000000,00900,0000,00900NURSING ADMINISTRATION 100407,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100407,A000000,01100,0000,01100PHARMACY 100407,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100407,A000000,01300,0000,01300SOCIAL SERVICE 100407,A000000,01351,0000,01301ACTIVITIES 100407,A000000,01600,0000,01600SKILLED NURSING FACILITY 100407,A000000,01800,0000,01800NURSING FACILITY 100407,A000000,02100,0000,02100RADIOLOGY 100407,A000000,02200,0000,02200LABORATORY 100407,A000000,02300,0000,02300INTRAVENOUS THERAPY 100407,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100407,A000000,02500,0000,02500PHYSICAL THERAPY 100407,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100407,A000000,02700,0000,02700SPEECH PATHOLOGY 100407,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100407,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100407,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100407,A000000,03051,0000,03301MEDICAL EQUIPMENT 100407,A000000,04800,0000,04800AMBULANCE 100407,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100407,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100407,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100407,A81000A,00100,0100,Y 100407,A81000B,00100,0300,HOME OFFICE CAPITAL 100407,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100407,A81000B,00300,0300,WAREHOUSE 100407,A81000C,00100,0100,A 100407,A81000C,00100,0200,PETER C. KERN 100407,A81000C,00100,0400,HEA MANAGEMENT GROUP 100407,A81000C,00100,0600,HOME OFFICE 100407,A81000C,00200,0100,A 100407,A81000C,00200,0200,PETER C. KERN 100407,A81000C,00200,0400,WAREHOUSE STORAGE 100407,A81000C,00200,0600,OLD RECORD STORAGE 100407,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100407,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100407,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100407,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100407,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100407,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100407,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100407,B100000,00000,0800,00000MEALS SERVED :DIETARY 100407,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100407,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100407,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100407,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100407,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100407,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100407,S000000,00100,0200,03/20/2000 100407,S200000,00100,0100,4301 HOSPITAL DRIVE 100407,S200000,00200,0100,VERNON 100407,S200000,00200,0200,TX 100407,S200000,00200,0300,76384- 100407,S200000,00300,0100,WILBARGER 100407,S200000,00300,0200,45 100407,S200000,00300,0300,R 100407,S200000,00400,0100,GREENBELT NURSING & REHAB CENTER 100407,S200000,00400,0200,675412 100407,S200000,00400,0300,11/02/1994 100407,S200000,00400,0500,P 100407,S200000,01600,0100,Y 100407,S200000,02200,0100,Y 100407,S200000,04300,0100,Y 100409,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100409,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100409,A000000,00300,0000,00300EMPLOYEE BENEFITS 100409,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100409,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100409,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100409,A000000,00700,0000,00700HOUSEKEEPING 100409,A000000,00800,0000,00800DIETARY 100409,A000000,00900,0000,00900NURSING ADMINISTRATION 100409,A000000,01100,0000,01100PHARMACY 100409,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100409,A000000,01300,0000,01300SOCIAL SERVICE 100409,A000000,01600,0000,01600SKILLED NURSING FACILITY 100409,A000000,01800,0000,01800NURSING FACILITY 100409,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100409,A000000,02500,0000,02500PHYSICAL THERAPY 100409,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100409,A000000,02700,0000,02700SPEECH PATHOLOGY 100409,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100409,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100409,A000000,03200,0000,03200SUPPORT SURFACES 100409,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100409,A000000,05300,0000,05300INTEREST EXPENSE 100409,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100409,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100409,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100409,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100409,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100409,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100409,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 100409,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100409,B100000,00000,0800,00000MEALS SERVED :DIETARY 100409,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100409,B100000,00000,1150,00000SQUARE FEET :PHARMACY 100409,B100000,00000,1250,00000HOURS OF SERVICE :MEDICAL RECORDS & 100409,B100000,00000,1330,00000HOURS OF SERVICE :SOCIAL SERVICE 100409,S000000,00100,0200,06/26/2000 100409,S200000,00100,0100,4301 HOSPITAL DRIVE 100409,S200000,00200,0100,VERNON 100409,S200000,00200,0200,TE 100409,S200000,00200,0300,76384- 100409,S200000,00300,0100,WILBARGER 100409,S200000,00400,0100,GREENBELT NURSING & REHAB CENTER 100409,S200000,00400,0200,675412 100409,S200000,00400,0300,08/01/1999 100409,S200000,00400,0500,P 100409,S200000,01600,0100,Y 100409,S200000,04300,0100,Y 100409,S700003,00000,0200,2 100417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100417,A000000,00300,0000,00300EMPLOYEE BENEFITS 100417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100417,A000000,00700,0000,00700HOUSEKEEPING 100417,A000000,00800,0000,00800DIETARY 100417,A000000,00900,0000,00900NURSING ADMINISTRATION 100417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100417,A000000,01100,0000,01100PHARMACY 100417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100417,A000000,01300,0000,01300SOCIAL SERVICE 100417,A000000,01350,0000,01500OTHER GENERAL SERVICES 100417,A000000,01600,0000,01600SKILLED NURSING FACILITY 100417,A000000,01800,0000,01800NURSING FACILITY 100417,A000000,01900,0000,01900OTHER LONG TERM CARE 100417,A000000,02100,0000,02100RADIOLOGY 100417,A000000,02200,0000,02200LABORATORY 100417,A000000,02300,0000,02300INTRAVENOUS THERAPY 100417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100417,A000000,02500,0000,02500PHYSICAL THERAPY 100417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100417,A000000,02700,0000,02700SPEECH PATHOLOGY 100417,A000000,02800,0000,02800ELECTROCARDIOLOGY 100417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100417,A000000,03200,0000,03200SUPPORT SURFACES 100417,A000000,03400,0000,03400CLINIC 100417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100417,A000000,03500,0000,03500RURAL HEALTH CLINIC 100417,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100417,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100417,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100417,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100417,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100417,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100417,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100417,A000000,04400,0000,04400DME RENTED - HHA 100417,A000000,04500,0000,04500DME SOLD - HHA 100417,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100417,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100417,A000000,04800,0000,04800AMBULANCE 100417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100417,A000000,05000,0000,05000CORF 100417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100417,A000000,05300,0000,05300INTEREST EXPENSE 100417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100417,A000000,05500,0000,05500HOSPICE 100417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100417,A000000,06100,0000,06100NONPAID WORKERS 100417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100417,A000000,06200,0000,06200PATIENTS LAUNDRY 100417,A81000A,00100,0100,Y 100417,A81000B,00100,0300,MANAGEMENT-HOME OFFICE 100417,A81000C,00100,0100,B 100417,A81000C,00100,0200,ROCKY LEMON 100417,A81000C,00100,0400,CRESCENT HEALTH SERVICES 100417,A81000C,00100,0600,NURSING HOME MANAGEMENT 100417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100417,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100417,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100417,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100417,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100417,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100417,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100417,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100417,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100417,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100417,S000000,00100,0200,07/06/2000 100417,S200000,00100,0100,2704 N. MAIN ST. 100417,S200000,00200,0100,TAYLOR 100417,S200000,00200,0200,TX 100417,S200000,00200,0300,76574- 100417,S200000,00300,0100,WILLIAMSON 100417,S200000,00400,0100,ROSEWOOD CARE CENTER 100417,S200000,00400,0200,675413 100417,S200000,00400,0300,10/01/1994 100417,S200000,00400,0500,P 100417,S200000,01004,0500,O 100417,S200000,01500,0100,Y 100417,S700003,00000,0400,4 100433,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100433,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100433,A000000,00300,0000,00300EMPLOYEE BENEFITS 100433,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100433,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100433,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100433,A000000,00700,0000,00700HOUSEKEEPING 100433,A000000,00800,0000,00800DIETARY 100433,A000000,00900,0000,00900NURSING ADMINISTRATION 100433,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100433,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100433,A000000,01300,0000,01300SOCIAL SERVICE 100433,A000000,01301,0000,01301ACTIVITES 100433,A000000,01350,0000,01500REHABILITATION 100433,A000000,01600,0000,01600SKILLED NURSING FACILITY 100433,A000000,01800,0000,01800NURSING FACILITY 100433,A000000,01900,0000,01900OTHER LONG TERM CARE 100433,A000000,02100,0000,02100RADIOLOGY 100433,A000000,02200,0000,02200LABORATORY 100433,A000000,02300,0000,02300INTRAVENOUS THERAPY 100433,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100433,A000000,02500,0000,02500PHYSICAL THERAPY 100433,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100433,A000000,02700,0000,02700SPEECH PATHOLOGY 100433,A000000,02800,0000,02800ELECTROCARDIOLOGY 100433,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100433,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100433,A000000,03050,0000,03300EQUIPMENT RENTAL 100433,A000000,03051,0000,03301PEN THERAPY 100433,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100433,A000000,03200,0000,03200SUPPORT SURFACES 100433,A000000,04800,0000,04800AMBULANCE 100433,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100433,A000000,05300,0000,05300INTEREST EXPENSE 100433,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100433,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100433,A000000,06150,0000,06300VENDING 100433,A000000,06151,0000,06301STAND-BY 100433,A000000,06200,0000,06200PATIENTS LAUNDRY 100433,A81000A,00100,0100,Y 100433,A81000B,00100,0300,HOME OFFICE COST 100433,A81000B,00200,0300,DIETARY SUPPLEMENTS 100433,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100433,A81000B,00400,0300,PRESCRIPTION DRUGS 100433,A81000B,00500,0300,MEDICAL SUPPLIES 100433,A81000B,00600,0300,ADMIN COSTS 100433,A81000B,00700,0300,HOME OFFICE INTEREST 100433,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100433,A81000B,00900,0300,IV THERAPY 100433,A81000B,01000,0300,THERAPY CONSULTING 100433,A81000B,01100,0300,PHYSICAL THERAPY 100433,A81000B,01200,0300,OCCUPATIONAL THERAPY 100433,A81000B,01300,0300,SPEECH THERAPY 100433,A81000B,01400,0300,PEN 100433,A81000B,01500,0300,RT SUPPLIES 100433,A81000B,01600,0300,CAPITAL 100433,A81000B,01700,0300,PT SUPPLIES 100433,A81000C,00100,0100,B 100433,A81000C,00100,0200,LAS PALMAS 100433,A81000C,00100,0400,MARINER PAN 100433,A81000C,00100,0600,NURSING HOMES 100433,A81000C,00200,0100,G 100433,A81000C,00200,0200,MARINER PAN 100433,A81000C,00200,0400,AMER PHARM SVCS 100433,A81000C,00200,0600,PHARMACEUTICALS 100433,A81000C,00300,0100,G 100433,A81000C,00300,0200,MARINER PAN 100433,A81000C,00300,0400,PRISM-ATS-ARS-T 100433,A81000C,00300,0600,THERAPIES 100433,A81000C,03100,0000,MARINER PAN 100433,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100433,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100433,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100433,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100433,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100433,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100433,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100433,B100000,00000,0800,00001MEALS SERVED :DIETARY 100433,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100433,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100433,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100433,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100433,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100433,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100433,E10A180,00301,0100,01/10/2000 100433,E10A180,00350,0100,01/06/1999 100433,E10A180,00351,0100,03/31/1999 100433,E10A180,00352,0100,07/21/1999 100433,E10A180,00353,0100,09/29/1999 100433,S000000,00100,0200,03/03/2000 100433,S200000,00100,0100,1301 E QUEBEC 100433,S200000,00200,0100,MCALLEN 100433,S200000,00200,0200,TX 100433,S200000,00200,0300,78501- 100433,S200000,00300,0100,HILDALGO 100433,S200000,00400,0100,LAS PALMAS HEALTHCARE CENTER 100433,S200000,00400,0200,675415 100433,S200000,00400,0300,11/02/1994 100433,S200000,00400,0500,P 100433,S200000,01600,0100,Y 100433,S200000,02200,0100,Y 100433,S200000,04300,0100,Y 100433,S700003,00000,0100,1 100438,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100438,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100438,A000000,00300,0000,00300EMPLOYEE BENEFITS 100438,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100438,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100438,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100438,A000000,00700,0000,00700HOUSEKEEPING 100438,A000000,00800,0000,00800DIETARY 100438,A000000,00900,0000,00900NURSING ADMINISTRATION 100438,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100438,A000000,01100,0000,01100PHARMACY 100438,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100438,A000000,01300,0000,01300SOCIAL SERVICE 100438,A000000,01350,0000,01500OTHER GENERAL SERVICES 100438,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100438,A000000,01600,0000,01600SKILLED NURSING FACILITY 100438,A000000,01800,0000,01800NURSING FACILITY 100438,A000000,01810,0000,01810ICF/MR 100438,A000000,01900,0000,01900OTHER LONG TERM CARE 100438,A000000,02100,0000,02100RADIOLOGY 100438,A000000,02200,0000,02200LABORATORY 100438,A000000,02300,0000,02300INTRAVENOUS THERAPY 100438,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100438,A000000,02500,0000,02500PHYSICAL THERAPY 100438,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100438,A000000,02700,0000,02700SPEECH PATHOLOGY 100438,A000000,02800,0000,02800ELECTROCARDIOLOGY 100438,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100438,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100438,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100438,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100438,A000000,03200,0000,03200SUPPORT SURFACES 100438,A000000,03400,0000,03400CLINIC 100438,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100438,A000000,03500,0000,03500RURAL HEALTH CLINIC 100438,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100438,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100438,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100438,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100438,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100438,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100438,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100438,A000000,04400,0000,04400DME RENTED - HHA 100438,A000000,04500,0000,04500DME SOLD - HHA 100438,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100438,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100438,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100438,A000000,04800,0000,04800AMBULANCE 100438,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100438,A000000,05000,0000,05000CORF 100438,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100438,A000000,05300,0000,05300INTEREST EXPENSE 100438,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100438,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100438,A000000,05500,0000,05500HOSPICE 100438,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100438,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100438,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100438,A000000,06100,0000,06100NONPAID WORKERS 100438,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100438,A000000,06151,0000,06301FEE SCREEN 100438,A000000,06200,0000,06200PATIENTS LAUNDRY 100438,A81000A,00100,0100,Y 100438,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 100438,A81000B,00200,0300,LEASE 100438,A81000B,00300,0300,MANAGEMENT/ACCOUNTING FEES 100438,A81000B,00400,0300,PT 100438,A81000B,00500,0300,OT 100438,A81000B,00600,0300,ST 100438,A81000B,00700,0300,HOME OFFICE NURSE 100438,A81000B,00800,0300,HOME OFFICE DIETARY CONSU 100438,A81000B,00900,0300,HOME OFFICE MAINTENANCE 100438,A81000C,00100,0100,A 100438,A81000C,00100,0200,W. E. CAMPBELL 100438,A81000C,00100,0400,LP SERVICES INC. 100438,A81000C,00100,0600,ACCOUNTING SERVICES 100438,A81000C,00200,0100,A 100438,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 100438,A81000C,00200,0400,DALLAS NH REALTY LTD 100438,A81000C,00200,0600,REALTY COMPANY 100438,A81000C,00300,0100,A 100438,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 100438,A81000C,00300,0400,SENIOR CARE CONSULTANTS 100438,A81000C,00300,0600,MANAGEMENT COMPANY 100438,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100438,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100438,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100438,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100438,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100438,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 100438,B100000,00000,0750,00001SQ FT CLEANED :HOUSEKEEPING 100438,B100000,00000,0800,00001MEALS SERVED :DIETARY 100438,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 100438,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 100438,B100000,00000,1150,00001NO STATISTICS :PHARMACY 100438,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 100438,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 100438,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 100438,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 100438,S000000,00100,0200,06/01/2000 100438,S200000,00100,0100,2815 MARTIN LUTHER KING JR BLVD 100438,S200000,00200,0100,DALLAS 100438,S200000,00200,0200,TX 100438,S200000,00200,0300,75215- 100438,S200000,00300,0100,DALLAS 100438,S200000,00400,0100,FAIR PARK HEALTH CARE CENTER 100438,S200000,00400,0200,675417 100438,S200000,00400,0300,11/16/1994 100438,S200000,00400,0500,P 100438,S200000,01500,0100,Y 100438,S200000,04100,0100,Y 100447,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100447,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100447,A000000,00300,0000,00300EMPLOYEE BENEFITS 100447,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100447,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100447,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100447,A000000,00700,0000,00700HOUSEKEEPING 100447,A000000,00800,0000,00800DIETARY 100447,A000000,00900,0000,00900NURSING ADMINISTRATION 100447,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100447,A000000,01100,0000,01100PHARMACY 100447,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100447,A000000,01300,0000,01300SOCIAL SERVICE 100447,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100447,A000000,01600,0000,01600SKILLED NURSING FACILITY 100447,A000000,01900,0000,01900OTHER LONG TERM CARE 100447,A000000,02100,0000,02100RADIOLOGY 100447,A000000,02200,0000,02200LABORATORY 100447,A000000,02300,0000,02300INTRAVENOUS THERAPY 100447,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100447,A000000,02500,0000,02500PHYSICAL THERAPY 100447,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100447,A000000,02700,0000,02700SPEECH PATHOLOGY 100447,A000000,02800,0000,02800ELECTROCARDIOLOGY 100447,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100447,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100447,A000000,03050,0000,03201ENTERNAL SUPPLIES 100447,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100447,A000000,03200,0000,03200SUPPORT SURFACES 100447,A000000,03400,0000,03400CLINIC 100447,A000000,04800,0000,04800AMBULANCE 100447,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100447,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100447,A000000,05300,0000,05300INTEREST EXPENSE 100447,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100447,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100447,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100447,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100447,A000000,06100,0000,06100NONPAID WORKERS 100447,A000000,06200,0000,06200PATIENTS LAUNDRY 100447,A81000A,00100,0100,Y 100447,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100447,A81000B,00200,0300,LAUNDRY SERVICES 100447,A81000B,00300,0300,MENU PLANNING 100447,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100447,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100447,A81000B,00600,0300,DRUGS 100447,A81000C,00100,0100,B 100447,A81000C,00100,0200,CANTEX HC CTRS 100447,A81000C,00100,0600,LTC MANAGEMENT 100447,A81000C,00200,0100,B 100447,A81000C,00200,0200,HEALTHCARE LNEN 100447,A81000C,00200,0600,LAUNDRY SERVICE 100447,A81000C,00300,0100,A 100447,A81000C,00300,0200,ALBERT J. LONGO 100447,A81000C,00300,0400,NOVA 100447,A81000C,00300,0600,MENU PLANNING 100447,A81000C,00400,0100,B 100447,A81000C,00400,0200,CANTEX HC CTRS 100447,A81000C,00400,0600,LTC MANAGEMENT 100447,A81000C,00500,0100,B 100447,A81000C,00500,0200,CANTEX HC CTRS 100447,A81000C,00500,0600,LTC MANAGEMENT 100447,A81000C,00600,0100,B 100447,A81000C,00600,0200,PHARMACARE 100447,A81000C,00600,0600,LTC MANAGEMENT 100447,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100447,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100447,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100447,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100447,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100447,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100447,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100447,B100000,00000,0800,00000MEALS SERVED :DIETARY 100447,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100447,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100447,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100447,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100447,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100447,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100447,E10A180,00301,0100,12/31/1999 100447,S000000,00100,0200,05/31/2000 100447,S200000,00100,0100,2416 ELIZABETH LANE 100447,S200000,00200,0100,SEAGOVILLE 100447,S200000,00200,0200,TX 100447,S200000,00200,0300,75159- 100447,S200000,00300,0100,DALLAS 100447,S200000,00400,0100,SEAGO MANOR 100447,S200000,00400,0200,675418 100447,S200000,00400,0300,11/17/1994 100447,S200000,00400,0500,P 100447,S200000,01600,0100,Y 100447,S700003,00000,0100,1 100454,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100454,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100454,A000000,00300,0000,00300EMPLOYEE BENEFITS 100454,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100454,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100454,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100454,A000000,00700,0000,00700HOUSEKEEPING 100454,A000000,00800,0000,00800DIETARY 100454,A000000,00900,0000,00900NURSING ADMINISTRATION 100454,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100454,A000000,01100,0000,01100PHARMACY 100454,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100454,A000000,01300,0000,01300SOCIAL SERVICE 100454,A000000,01351,0000,01301ACTIVITIES 100454,A000000,01600,0000,01600SKILLED NURSING FACILITY 100454,A000000,01800,0000,01800NURSING FACILITY 100454,A000000,02100,0000,02100RADIOLOGY 100454,A000000,02200,0000,02200LABORATORY 100454,A000000,02300,0000,02300INTRAVENOUS THERAPY 100454,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100454,A000000,02500,0000,02500PHYSICAL THERAPY 100454,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100454,A000000,02700,0000,02700SPEECH PATHOLOGY 100454,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100454,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100454,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100454,A000000,03051,0000,03301MEDICAL EQUIPMENT 100454,A000000,04800,0000,04800AMBULANCE 100454,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100454,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100454,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100454,A81000A,00100,0100,Y 100454,A81000B,00100,0300,HOME OFFICE CAPITAL 100454,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100454,A81000B,00300,0300,WAREHOUSE 100454,A81000C,00100,0100,A 100454,A81000C,00100,0200,PETER C. KERN 100454,A81000C,00100,0400,HEA MANAGEMENT GROUP 100454,A81000C,00100,0600,HOME OFFICE 100454,A81000C,00200,0100,A 100454,A81000C,00200,0200,PETER C. KERN 100454,A81000C,00200,0400,WAREHOUSE STORAGE 100454,A81000C,00200,0600,OLD RECORD STORAGE 100454,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100454,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100454,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100454,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100454,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100454,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100454,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100454,B100000,00000,0800,00000MEALS SERVED :DIETARY 100454,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100454,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100454,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100454,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100454,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100454,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100454,S000000,00100,0200,05/30/2000 100454,S200000,00100,0100,1500 NORTH KENNEDY 100454,S200000,00200,0100,BONHAM 100454,S200000,00200,0200,TX 100454,S200000,00200,0300,75418-2599 100454,S200000,00300,0100,FANNIN 100454,S200000,00300,0200,45 100454,S200000,00300,0300,R 100454,S200000,00400,0100,FAIRVIEW NURSING HOME 100454,S200000,00400,0200,675419 100454,S200000,00400,0300,08/05/1994 100454,S200000,00400,0500,P 100454,S200000,01600,0100,Y 100454,S200000,02200,0100,Y 100454,S200000,04300,0100,Y 100473,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100473,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100473,A000000,00300,0000,00300EMPLOYEE BENEFITS 100473,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100473,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100473,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100473,A000000,00700,0000,00700HOUSEKEEPING 100473,A000000,00800,0000,00800DIETARY 100473,A000000,00900,0000,00900NURSING ADMINISTRATION 100473,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100473,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100473,A000000,01300,0000,01300SOCIAL SERVICE 100473,A000000,01301,0000,01301ACTIVITES 100473,A000000,01350,0000,01500REHABILITATION 100473,A000000,01600,0000,01600SKILLED NURSING FACILITY 100473,A000000,01800,0000,01800NURSING FACILITY 100473,A000000,01900,0000,01900OTHER LONG TERM CARE 100473,A000000,02100,0000,02100RADIOLOGY 100473,A000000,02200,0000,02200LABORATORY 100473,A000000,02300,0000,02300INTRAVENOUS THERAPY 100473,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100473,A000000,02500,0000,02500PHYSICAL THERAPY 100473,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100473,A000000,02700,0000,02700SPEECH PATHOLOGY 100473,A000000,02800,0000,02800ELECTROCARDIOLOGY 100473,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100473,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100473,A000000,03050,0000,03300EQUIPMENT RENTAL 100473,A000000,03051,0000,03301PEN THERAPY 100473,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100473,A000000,03200,0000,03200SUPPORT SURFACES 100473,A000000,04800,0000,04800AMBULANCE 100473,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100473,A000000,05300,0000,05300INTEREST EXPENSE 100473,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100473,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100473,A000000,06150,0000,06300VENDING 100473,A000000,06151,0000,06301STAND-BY 100473,A000000,06200,0000,06200PATIENTS LAUNDRY 100473,A81000A,00100,0100,Y 100473,A81000B,00100,0300,HOME OFFICE COST 100473,A81000B,00200,0300,NSG SUPPL/OSHA SUPP 100473,A81000B,00300,0300,PRESCRIPTION DRUGS 100473,A81000B,00400,0300,MEDICAL SUPPLIES 100473,A81000B,00500,0300,ADMIN COSTS 100473,A81000B,00600,0300,HOME OFFICE INTEREST 100473,A81000B,00700,0300,THERAPY CONSULTING 100473,A81000B,00800,0300,PHYSICAL THERAPY 100473,A81000B,00900,0300,OCCUPATIONAL THERAPY 100473,A81000B,01000,0300,SPEECH THERAPY 100473,A81000B,01100,0300,PEN THERAPY 100473,A81000C,00100,0100,B 100473,A81000C,00100,0200,RIO GRANDE-#140 100473,A81000C,00100,0400,MARINER PAN 100473,A81000C,00100,0600,NURSING HOMES 100473,A81000C,00200,0100,G 100473,A81000C,00200,0200,MARINER PAN 100473,A81000C,00200,0400,AMER PHARM SVCS 100473,A81000C,00200,0600,PHARMACEUTICALS 100473,A81000C,00300,0100,G 100473,A81000C,00300,0200,MARINER PAN 100473,A81000C,00300,0400,PRISM-ATS-ARS-T 100473,A81000C,00300,0600,THERAPIES 100473,A81000C,03100,0000,MARINER PAN 100473,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100473,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100473,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100473,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100473,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100473,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100473,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100473,B100000,00000,0800,00001MEALS SERVED :DIETARY 100473,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100473,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100473,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100473,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100473,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100473,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100473,E10A180,00301,0100,12/23/1998 100473,E10A180,00302,0100,09/29/1999 100473,E10A180,00303,0100,01/10/2000 100473,E10A180,00350,0100,03/31/1999 100473,E10A180,00351,0100,07/21/1999 100473,S000000,00100,0200,03/03/2000 100473,S200000,00100,0100,400 S. PETE DIAZ JR. AVE. 100473,S200000,00200,0100,RIO GRANDE CITY 100473,S200000,00200,0200,TX 100473,S200000,00200,0300,78582- 100473,S200000,00300,0100,STARR 100473,S200000,00300,0200,45 100473,S200000,00300,0300,R 100473,S200000,00400,0100,RETAMA MANOR NURSING CTR-RIO GRANDE 100473,S200000,00400,0200,675421 100473,S200000,00400,0300,11/10/1994 100473,S200000,00400,0500,P 100473,S200000,01600,0100,Y 100473,S200000,02200,0100,Y 100473,S200000,04300,0100,Y 100481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100481,A000000,00300,0000,00300EMPLOYEE BENEFITS 100481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100481,A000000,00700,0000,00700HOUSEKEEPING 100481,A000000,00800,0000,00800DIETARY 100481,A000000,00900,0000,00900NURSING ADMINISTRATION 100481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100481,A000000,01100,0000,01100PHARMACY 100481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100481,A000000,01300,0000,01300SOCIAL SERVICE 100481,A000000,01301,0000,01301ACTIVITIES 100481,A000000,01600,0000,01600SKILLED NURSING FACILITY 100481,A000000,01800,0000,01800NURSING FACILITY 100481,A000000,02100,0000,02100RADIOLOGY 100481,A000000,02200,0000,02200LABORATORY 100481,A000000,02300,0000,02300INTRAVENOUS THERAPY 100481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100481,A000000,02500,0000,02500PHYSICAL THERAPY 100481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100481,A000000,02700,0000,02700SPEECH PATHOLOGY 100481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100481,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100481,A000000,03051,0000,03301MEDICAL EQUIPMENT 100481,A000000,04800,0000,04800AMBULANCE 100481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100481,A81000A,00100,0100,Y 100481,A81000B,00100,0300,HOME OFFICE CAPITAL 100481,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100481,A81000B,00300,0300,WAREHOUSE 100481,A81000C,00100,0100,A 100481,A81000C,00100,0200,PETER C. KERN 100481,A81000C,00100,0400,HEA MANAGEMENT GROUP 100481,A81000C,00100,0600,HOME OFFICE 100481,A81000C,00200,0100,A 100481,A81000C,00200,0200,PETER C. KERN 100481,A81000C,00200,0400,WAREHOUSE STORAGE 100481,A81000C,00200,0600,OLD RECORD STORAGE 100481,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100481,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100481,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100481,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100481,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100481,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100481,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100481,B100000,00000,0800,00000MEALS SERVED :DIETARY 100481,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100481,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100481,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100481,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100481,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100481,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 100481,S000000,00100,0200,02/26/2001 100481,S200000,00100,0100,2901 STERLING HART DRIVE 100481,S200000,00200,0100,COMMERCE 100481,S200000,00200,0200,TX 100481,S200000,00300,0100,HUNT 100481,S200000,00300,0200,1920 100481,S200000,00300,0300,U 100481,S200000,00400,0100,OAK MANOR NURSING HOME 100481,S200000,00400,0200,675422 100481,S200000,00400,0300,10/14/1994 100481,S200000,00400,0500,P 100481,S200000,01600,0100,Y 100481,S200000,02200,0100,Y 100481,S200000,04300,0100,Y 100487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100487,A000000,00300,0000,00300EMPLOYEE BENEFITS 100487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100487,A000000,00700,0000,00700HOUSEKEEPING 100487,A000000,00800,0000,00800DIETARY 100487,A000000,00900,0000,00900NURSING ADMINISTRATION 100487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100487,A000000,01100,0000,01100PHARMACY 100487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100487,A000000,01300,0000,01300SOCIAL SERVICE 100487,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100487,A000000,01600,0000,01600SKILLED NURSING FACILITY 100487,A000000,01900,0000,01900OTHER LONG TERM CARE 100487,A000000,02100,0000,02100RADIOLOGY 100487,A000000,02200,0000,02200LABORATORY 100487,A000000,02300,0000,02300INTRAVENOUS THERAPY 100487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100487,A000000,02500,0000,02500PHYSICAL THERAPY 100487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100487,A000000,02700,0000,02700SPEECH PATHOLOGY 100487,A000000,02800,0000,02800ELECTROCARDIOLOGY 100487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100487,A000000,03050,0000,03201ENTERNAL SUPPLIES 100487,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100487,A000000,03200,0000,03200SUPPORT SURFACES 100487,A000000,03400,0000,03400CLINIC 100487,A000000,04800,0000,04800AMBULANCE 100487,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100487,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100487,A000000,05300,0000,05300INTEREST EXPENSE 100487,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100487,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100487,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100487,A000000,06100,0000,06100NONPAID WORKERS 100487,A000000,06200,0000,06200PATIENTS LAUNDRY 100487,A81000A,00100,0100,Y 100487,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100487,A81000B,00200,0300,LAUNDRY SERVICES 100487,A81000B,00300,0300,MENU PLANNING 100487,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100487,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100487,A81000B,00600,0300,DRUGS 100487,A81000C,00100,0100,B 100487,A81000C,00100,0200,CANTEX HC CTRS 100487,A81000C,00100,0600,LTC MANAGEMENT 100487,A81000C,00200,0100,B 100487,A81000C,00200,0200,HEALTHCARE LNEN 100487,A81000C,00200,0600,LAUNDRY SERVICE 100487,A81000C,00300,0100,A 100487,A81000C,00300,0200,ALBERT J. LONGO 100487,A81000C,00300,0400,NOVA 100487,A81000C,00300,0600,MENU PLANNING 100487,A81000C,00400,0100,B 100487,A81000C,00400,0200,CANTEX HC CTRS 100487,A81000C,00400,0600,LTC MANAGEMENT 100487,A81000C,00500,0100,B 100487,A81000C,00500,0200,CANTEX HC CTRS 100487,A81000C,00500,0600,LTC MANAGEMENT 100487,A81000C,00600,0100,B 100487,A81000C,00600,0200,PHARMACARE 100487,A81000C,00600,0600,LTC MANAGEMENT 100487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100487,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100487,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100487,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100487,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100487,B100000,00000,0800,00000MEALS SERVED :DIETARY 100487,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100487,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100487,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100487,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100487,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100487,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100487,E10A180,00350,0100,12/31/1999 100487,S000000,00100,0200,05/31/2000 100487,S200000,00100,0100,7210 NORTHLINE DRIVE 100487,S200000,00200,0100,HOUSTON 100487,S200000,00200,0200,TX 100487,S200000,00200,0300,77076- 100487,S200000,00300,0100,HARRIS 100487,S200000,00400,0100,ASHFORD GARDENS 100487,S200000,00400,0200,675423 100487,S200000,00400,0300,09/27/1994 100487,S200000,00400,0500,P 100487,S200000,01600,0100,Y 100487,S700003,00000,0100,1 100503,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100503,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100503,A000000,00300,0000,00300EMPLOYEE BENEFITS 100503,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100503,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100503,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100503,A000000,00700,0000,00700HOUSEKEEPING 100503,A000000,00800,0000,00800DIETARY 100503,A000000,00900,0000,00900NURSING ADMINISTRATION 100503,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100503,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100503,A000000,01300,0000,01300SOCIAL SERVICE 100503,A000000,01301,0000,01301ACTIVITES 100503,A000000,01350,0000,01500REHABILITATION 100503,A000000,01600,0000,01600SKILLED NURSING FACILITY 100503,A000000,01800,0000,01800NURSING FACILITY 100503,A000000,01900,0000,01900OTHER LONG TERM CARE 100503,A000000,02100,0000,02100RADIOLOGY 100503,A000000,02200,0000,02200LABORATORY 100503,A000000,02300,0000,02300INTRAVENOUS THERAPY 100503,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100503,A000000,02500,0000,02500PHYSICAL THERAPY 100503,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100503,A000000,02700,0000,02700SPEECH PATHOLOGY 100503,A000000,02800,0000,02800ELECTROCARDIOLOGY 100503,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100503,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100503,A000000,03050,0000,03300EQUIPMENT RENTAL 100503,A000000,03051,0000,03301PEN THERAPY 100503,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100503,A000000,03200,0000,03200SUPPORT SURFACES 100503,A000000,04800,0000,04800AMBULANCE 100503,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100503,A000000,05300,0000,05300INTEREST EXPENSE 100503,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100503,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100503,A000000,06150,0000,06300VENDING 100503,A000000,06151,0000,06301STAND-BY 100503,A000000,06200,0000,06200PATIENTS LAUNDRY 100503,A81000A,00100,0100,Y 100503,A81000B,00100,0300,HOME OFFICE COST 100503,A81000B,00200,0300,DIETARY SUPPLEMENTS 100503,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100503,A81000B,00400,0300,PRESCRIPTION DRUGS 100503,A81000B,00500,0300,MEDICAL SUPPLIES 100503,A81000B,00600,0300,ADMIN COSTS 100503,A81000B,00700,0300,HOME OFFICE INTEREST 100503,A81000B,00800,0300,IV THERAPY 100503,A81000B,00900,0300,PEN 100503,A81000B,01000,0300,PHYSICAL THERAPY 100503,A81000B,01100,0300,OCCUPATIONAL THERAPY 100503,A81000B,01200,0300,SPEECH THERAPY 100503,A81000B,01300,0300,ANC EQUIP RENTAL 100503,A81000B,01400,0300,CAPITAL 100503,A81000C,00100,0100,B 100503,A81000C,00100,0200,RM PLEASANTON S 100503,A81000C,00100,0400,MARINER PAN 100503,A81000C,00100,0600,NURSING HOMES 100503,A81000C,00200,0100,G 100503,A81000C,00200,0200,MARINER PAN 100503,A81000C,00200,0400,AMER PHARM SVCS 100503,A81000C,00200,0600,PHARMACEUTICALS 100503,A81000C,00300,0100,G 100503,A81000C,00300,0200,MARINER PAN 100503,A81000C,00300,0400,PRISM-ATS-ARS-T 100503,A81000C,00300,0600,THERAPIES 100503,A81000C,03100,0000,MARINER PAN 100503,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100503,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100503,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100503,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100503,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100503,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100503,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100503,B100000,00000,0800,00001MEALS SERVED :DIETARY 100503,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100503,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100503,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100503,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100503,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100503,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100503,E10A180,00301,0100,12/23/1998 100503,E10A180,00302,0100,09/29/1999 100503,E10A180,00350,0100,03/31/1999 100503,E10A180,00351,0100,07/21/1999 100503,E10A180,00352,0100,01/10/2000 100503,S000000,00100,0200,03/03/2000 100503,S200000,00100,0100,905 OAKLAWN 100503,S200000,00200,0100,PLEASANTON 100503,S200000,00200,0200,TX 100503,S200000,00200,0300,78064- 100503,S200000,00300,0100,ATASCOSA 100503,S200000,00400,0100,RETAMA MANOR SOUTH-PLEASANTON 100503,S200000,00400,0200,675428 100503,S200000,00400,0300,11/01/1994 100503,S200000,00400,0500,P 100503,S200000,01600,0100,Y 100503,S200000,02200,0100,Y 100503,S200000,04300,0100,Y 100506,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100506,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100506,A000000,00300,0000,00300EMPLOYEE BENEFITS 100506,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100506,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100506,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100506,A000000,00700,0000,00700HOUSEKEEPING 100506,A000000,00800,0000,00800DIETARY 100506,A000000,00900,0000,00900NURSING ADMINISTRATION 100506,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100506,A000000,01100,0000,01100PHARMACY 100506,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100506,A000000,01300,0000,01300SOCIAL SERVICE 100506,A000000,01350,0000,01500OTHER GENERAL SERVICES 100506,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100506,A000000,01600,0000,01600SKILLED NURSING FACILITY 100506,A000000,01800,0000,01800NURSING FACILITY 100506,A000000,01810,0000,01810ICF/MR 100506,A000000,01900,0000,01900OTHER LONG TERM CARE 100506,A000000,02100,0000,02100RADIOLOGY 100506,A000000,02200,0000,02200LABORATORY 100506,A000000,02300,0000,02300INTRAVENOUS THERAPY 100506,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100506,A000000,02500,0000,02500PHYSICAL THERAPY 100506,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100506,A000000,02700,0000,02700SPEECH PATHOLOGY 100506,A000000,02800,0000,02800ELECTROCARDIOLOGY 100506,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100506,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100506,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100506,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100506,A000000,03200,0000,03200SUPPORT SURFACES 100506,A000000,03400,0000,03400CLINIC 100506,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100506,A000000,03500,0000,03500RURAL HEALTH CLINIC 100506,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100506,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100506,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100506,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100506,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100506,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100506,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100506,A000000,04400,0000,04400DME RENTED - HHA 100506,A000000,04500,0000,04500DME SOLD - HHA 100506,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100506,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100506,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100506,A000000,04800,0000,04800AMBULANCE 100506,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100506,A000000,05000,0000,05000CORF 100506,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100506,A000000,05300,0000,05300INTEREST EXPENSE 100506,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100506,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100506,A000000,05500,0000,05500HOSPICE 100506,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100506,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100506,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100506,A000000,06100,0000,06100NONPAID WORKERS 100506,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100506,A000000,06151,0000,06301FEE SCREEN 100506,A000000,06200,0000,06200PATIENTS LAUNDRY 100506,A81000A,00100,0100,Y 100506,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 100506,A81000B,00200,0300,LEASE EXPENSE 100506,A81000B,00300,0300,MANAGEMENT/ACCOUNTING FEES 100506,A81000B,00400,0300,HOME OFFICE NURSE 100506,A81000B,00500,0300,HOME OFFICE DIETARY CONS 100506,A81000B,00600,0300,HOME OFFICE MAINTENANCE 100506,A81000B,00700,0300,PT 100506,A81000B,00800,0300,OT 100506,A81000B,00900,0300,ST 100506,A81000C,00100,0100,A 100506,A81000C,00100,0200,W. E. CAMPBELL 100506,A81000C,00100,0400,LP SERVICES 100506,A81000C,00100,0600,ACCOUNTING SERVICES 100506,A81000C,00200,0100,A 100506,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 100506,A81000C,00200,0400,FERRIS NH REALTY LTD 100506,A81000C,00200,0600,REALTY COMPANY 100506,A81000C,00300,0100,A 100506,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 100506,A81000C,00300,0400,SENIOR CARE CONSULTANTS 100506,A81000C,00300,0600,MANAGEMENT COMPANY 100506,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100506,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100506,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100506,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100506,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100506,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 100506,B100000,00000,0750,00001SQUARE FT CLEANED :HOUSEKEEPING 100506,B100000,00000,0800,00001MEALS SERVED :DIETARY 100506,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 100506,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 100506,B100000,00000,1100,00001COSTED REQUIS. :PHARMACY 100506,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 100506,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 100506,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 100506,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 100506,S000000,00100,0200,06/08/2000 100506,S200000,00100,0100,201 EAST 5TH STREET 100506,S200000,00200,0100,FERRIS 100506,S200000,00200,0200,TX 100506,S200000,00200,0300,75125- 100506,S200000,00300,0100,ELLIS 100506,S200000,00400,0100,FERRIS NURSING CARE CENTER 100506,S200000,00400,0200,675431 100506,S200000,00400,0300,12/07/1994 100506,S200000,00400,0500,P 100506,S200000,01500,0100,Y 100516,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100516,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100516,A000000,00300,0000,00300EMPLOYEE BENEFITS 100516,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100516,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100516,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100516,A000000,00700,0000,00700HOUSEKEEPING 100516,A000000,00800,0000,00800DIETARY 100516,A000000,00900,0000,00900NURSING ADMINISTRATION 100516,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100516,A000000,01100,0000,01100PHARMACY 100516,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100516,A000000,01300,0000,01300SOCIAL SERVICE 100516,A000000,01600,0000,01600SKILLED NURSING FACILITY 100516,A000000,01800,0000,01800NURSING FACILITY 100516,A000000,01900,0000,01900OTHER LONG TERM CARE 100516,A000000,02100,0000,02100RADIOLOGY 100516,A000000,02200,0000,02200LABORATORY 100516,A000000,02300,0000,02300INTRAVENOUS THERAPY 100516,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100516,A000000,02500,0000,02500PHYSICAL THERAPY 100516,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100516,A000000,02700,0000,02700SPEECH PATHOLOGY 100516,A000000,02800,0000,02800ELECTROCARDIOLOGY 100516,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100516,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100516,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100516,A000000,03200,0000,03200SUPPORT SURFACES 100516,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 100516,A000000,04800,0000,04800AMBULANCE 100516,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100516,A000000,05300,0000,05300INTEREST EXPENSE 100516,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100516,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100516,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100516,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100516,A000000,06200,0000,06200PATIENTS LAUNDRY 100516,A81000A,00100,0100,Y 100516,A81000B,00100,0300,MANAGEMENT FEE 100516,A81000C,00100,0100,B 100516,A81000C,00100,0200,REGENT CARE CEN 100516,A81000C,00100,0400,REGENT CARE CEN 100516,A81000C,00100,0600,MGMT CO. 100516,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100516,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100516,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100516,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100516,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100516,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100516,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100516,B100000,00000,0800,00000MEALS SERVED :DIETARY 100516,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100516,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100516,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100516,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100516,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100516,S000000,00100,0200,06/06/2000 100516,S200000,00100,0100,15400 BLANCO ROAD 100516,S200000,00200,0100,SAN ANTONIO 100516,S200000,00200,0200,TX 100516,S200000,00200,0300,78232- 100516,S200000,00300,0100,BEXAR 100516,S200000,00400,0100,REGENT CARE CENTER OF SAN ANTONIO 100516,S200000,00400,0200,675432 100516,S200000,00400,0300,10/01/1994 100516,S200000,00400,0500,P 100516,S200000,01600,0100,Y 100524,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100524,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100524,A000000,00300,0000,00300EMPLOYEE BENEFITS 100524,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100524,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100524,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100524,A000000,00700,0000,00700HOUSEKEEPING 100524,A000000,00800,0000,00800DIETARY 100524,A000000,00900,0000,00900NURSING ADMINISTRATION 100524,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100524,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100524,A000000,01300,0000,01300SOCIAL SERVICE 100524,A000000,01301,0000,01301ACTIVITES 100524,A000000,01350,0000,01500REHABILITATION 100524,A000000,01600,0000,01600SKILLED NURSING FACILITY 100524,A000000,01800,0000,01800NURSING FACILITY 100524,A000000,01900,0000,01900OTHER LONG TERM CARE 100524,A000000,02100,0000,02100RADIOLOGY 100524,A000000,02200,0000,02200LABORATORY 100524,A000000,02300,0000,02300INTRAVENOUS THERAPY 100524,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100524,A000000,02500,0000,02500PHYSICAL THERAPY 100524,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100524,A000000,02700,0000,02700SPEECH PATHOLOGY 100524,A000000,02800,0000,02800ELECTROCARDIOLOGY 100524,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100524,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100524,A000000,03050,0000,03300EQUIPMENT RENTAL 100524,A000000,03051,0000,03301PEN THERAPY 100524,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100524,A000000,03200,0000,03200SUPPORT SURFACES 100524,A000000,04800,0000,04800AMBULANCE 100524,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100524,A000000,05300,0000,05300INTEREST EXPENSE 100524,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100524,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100524,A000000,06150,0000,06300VENDING 100524,A000000,06151,0000,06301STAND-BY 100524,A000000,06200,0000,06200PATIENTS LAUNDRY 100524,A81000A,00100,0100,Y 100524,A81000B,00100,0300,HOME OFFICE COST 100524,A81000B,00200,0300,DIETARY SUPPLEMENTS 100524,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100524,A81000B,00400,0300,PRESCRIPTION DRUGS 100524,A81000B,00500,0300,MEDICAL SUPPLIES 100524,A81000B,00600,0300,CAPITAL 100524,A81000B,00700,0300,HOME OFFICE INTEREST 100524,A81000B,00800,0300,PEN 100524,A81000B,00900,0300,PHYSTHERAPY SUPPLIES 100524,A81000C,00100,0100,B 100524,A81000C,00100,0200,G.A.HUNTSVILLE 100524,A81000C,00100,0400,MARINER PAN 100524,A81000C,00100,0600,NURSING HOMES 100524,A81000C,00200,0100,G 100524,A81000C,00200,0200,MARINER PAN 100524,A81000C,00200,0400,AMER PHARM SVCS 100524,A81000C,00200,0600,PHARMACEUTICALS 100524,A81000C,00300,0100,G 100524,A81000C,00300,0200,MARINER PAN 100524,A81000C,00300,0400,PRISM-ATS-ARS-T 100524,A81000C,00300,0600,THERAPIES 100524,A81000C,03100,0000,MARINER PAN 100524,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100524,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100524,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100524,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100524,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100524,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100524,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100524,B100000,00000,0800,00001MEALS SERVED :DIETARY 100524,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100524,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100524,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100524,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100524,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100524,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100524,E10A180,00301,0100,01/20/1999 100524,E10A180,00302,0100,06/23/1999 100524,E10A180,00303,0100,09/29/1999 100524,E10A180,00350,0100,03/31/1999 100524,E10A180,00351,0100,01/10/2000 100524,S000000,00100,0200,03/03/2000 100524,S200000,00100,0100,1302 INVERNESS 100524,S200000,00200,0100,HUNTSVILLE 100524,S200000,00200,0200,TX 100524,S200000,00200,0300,77340- 100524,S200000,00300,0100,WALKER 100524,S200000,00400,0100,GREEN ACRES NURSING CTR-HUNTSVILLE 100524,S200000,00400,0200,675433 100524,S200000,00400,0300,12/19/1994 100524,S200000,00400,0500,P 100524,S200000,01600,0100,Y 100524,S200000,02200,0100,Y 100524,S200000,04300,0100,Y 100524,S700003,00000,0100,1 100539,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100539,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100539,A000000,00300,0000,00300EMPLOYEE BENEFITS 100539,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100539,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100539,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100539,A000000,00700,0000,00700HOUSEKEEPING 100539,A000000,00800,0000,00800DIETARY 100539,A000000,00900,0000,00900NURSING ADMINISTRATION 100539,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100539,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100539,A000000,01300,0000,01300SOCIAL SERVICE 100539,A000000,01301,0000,01301ACTIVITES 100539,A000000,01350,0000,01500REHABILITATION 100539,A000000,01600,0000,01600SKILLED NURSING FACILITY 100539,A000000,01800,0000,01800NURSING FACILITY 100539,A000000,01900,0000,01900OTHER LONG TERM CARE 100539,A000000,02100,0000,02100RADIOLOGY 100539,A000000,02200,0000,02200LABORATORY 100539,A000000,02300,0000,02300INTRAVENOUS THERAPY 100539,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100539,A000000,02500,0000,02500PHYSICAL THERAPY 100539,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100539,A000000,02700,0000,02700SPEECH PATHOLOGY 100539,A000000,02800,0000,02800ELECTROCARDIOLOGY 100539,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100539,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100539,A000000,03050,0000,03300EQUIPMENT RENTAL 100539,A000000,03051,0000,03301PEN THERAPY 100539,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100539,A000000,03200,0000,03200SUPPORT SURFACES 100539,A000000,04800,0000,04800AMBULANCE 100539,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100539,A000000,05300,0000,05300INTEREST EXPENSE 100539,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100539,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100539,A000000,06150,0000,06300VENDING 100539,A000000,06151,0000,06301STAND-BY 100539,A000000,06200,0000,06200PATIENTS LAUNDRY 100539,A81000A,00100,0100,Y 100539,A81000B,00100,0300,HOME OFFICE COST 100539,A81000B,00200,0300,DIETARY SUPPLEMENTS 100539,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100539,A81000B,00400,0300,PRESCRIPTION DRUGS 100539,A81000B,00500,0300,MEDICAL SUPPLIES 100539,A81000B,00600,0300,ADMIN COSTS 100539,A81000B,00700,0300,HOME OFFICE INTEREST 100539,A81000B,00800,0300,EQUIPMENT RENTAL 100539,A81000B,00900,0300,IV THERAPY 100539,A81000B,01000,0300,PHYSICAL THERAPY 100539,A81000B,01100,0300,OCCUPATIONAL THERAPY 100539,A81000B,01200,0300,SPEECH THERAPY 100539,A81000B,01300,0300,OTHER DIRECT 100539,A81000C,00100,0100,B 100539,A81000C,00100,0200,BROADWAY LODGE 100539,A81000C,00100,0400,MARINER PAN 100539,A81000C,00100,0600,NURSING HOMES 100539,A81000C,00200,0100,G 100539,A81000C,00200,0200,MARINER PAN 100539,A81000C,00200,0400,AMER PHARM SVCS 100539,A81000C,00200,0600,PHARMACEUTICALS 100539,A81000C,00300,0100,G 100539,A81000C,00300,0200,MARINER PAN 100539,A81000C,00300,0400,PRISM-ATS-ARS-T 100539,A81000C,00300,0600,THERAPIES 100539,A81000C,03100,0000,MARINER PAN 100539,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100539,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100539,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100539,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100539,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100539,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100539,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100539,B100000,00000,0800,00001MEALS SERVED :DIETARY 100539,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100539,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100539,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100539,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100539,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100539,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100539,E10A180,00350,0100,06/09/1999 100539,E10A180,00351,0100,10/13/1999 100539,E10A180,00352,0100,01/05/2000 100539,S000000,00100,0200,08/31/2000 100539,S200000,00100,0100,1841 FLAMINGO 100539,S200000,00200,0100,SAN ANTONIO 100539,S200000,00200,0200,TX 100539,S200000,00200,0300,78209- 100539,S200000,00300,0100,BEXAR 100539,S200000,00400,0100,BROADWAY LODGE CONVALESCENT CTR 100539,S200000,00400,0200,675437 100539,S200000,00400,0300,07/28/1994 100539,S200000,00400,0500,P 100539,S200000,01600,0100,Y 100539,S200000,02200,0100,Y 100539,S200000,04300,0100,Y 100547,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100547,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100547,A000000,00300,0000,00300EMPLOYEE BENEFITS 100547,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100547,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100547,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100547,A000000,00700,0000,00700HOUSEKEEPING 100547,A000000,00800,0000,00800DIETARY 100547,A000000,00900,0000,00900NURSING ADMINISTRATION 100547,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100547,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100547,A000000,01300,0000,01300SOCIAL SERVICE 100547,A000000,01301,0000,01301ACTIVITES 100547,A000000,01350,0000,01500REHABILITATION 100547,A000000,01600,0000,01600SKILLED NURSING FACILITY 100547,A000000,01800,0000,01800NURSING FACILITY 100547,A000000,01900,0000,01900OTHER LONG TERM CARE 100547,A000000,02100,0000,02100RADIOLOGY 100547,A000000,02200,0000,02200LABORATORY 100547,A000000,02300,0000,02300INTRAVENOUS THERAPY 100547,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100547,A000000,02500,0000,02500PHYSICAL THERAPY 100547,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100547,A000000,02700,0000,02700SPEECH PATHOLOGY 100547,A000000,02800,0000,02800ELECTROCARDIOLOGY 100547,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100547,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100547,A000000,03050,0000,03300EQUIPMENT RENTAL 100547,A000000,03051,0000,03301PEN THERAPY 100547,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100547,A000000,03200,0000,03200SUPPORT SURFACES 100547,A000000,04800,0000,04800AMBULANCE 100547,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100547,A000000,05300,0000,05300INTEREST EXPENSE 100547,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100547,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100547,A000000,06150,0000,06300VENDING 100547,A000000,06151,0000,06301STAND-BY 100547,A000000,06200,0000,06200PATIENTS LAUNDRY 100547,A81000A,00100,0100,Y 100547,A81000B,00100,0300,HOME OFFICE COST 100547,A81000B,00200,0300,DIETARY SUPPLEMENTS 100547,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100547,A81000B,00400,0300,PRESCRIPTION DRUGS 100547,A81000B,00500,0300,MEDICAL SUPPLIES 100547,A81000B,00600,0300,ADMIN COSTS 100547,A81000B,00700,0300,HOME OFFICE INTEREST 100547,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100547,A81000B,00900,0300,IV THERAPY 100547,A81000B,01000,0300,CAPITAL 100547,A81000B,01100,0300,PHYSICAL THERAPY 100547,A81000B,01200,0300,OCCUPATIONAL THERAPY 100547,A81000B,01300,0300,SPEECH THERAPY 100547,A81000B,01400,0300,ANC EQUIP RENTAL 100547,A81000B,01500,0300,PEN 100547,A81000B,01600,0300,PT TRAINING 100547,A81000C,00100,0100,B 100547,A81000C,00100,0200,LAKE SHORE VILL 100547,A81000C,00100,0400,MARINER PAN 100547,A81000C,00100,0600,NURSING HOMES 100547,A81000C,00200,0100,G 100547,A81000C,00200,0200,MARINER PAN 100547,A81000C,00200,0400,AMER PHARM SVCS 100547,A81000C,00200,0600,PHARMACEUTICALS 100547,A81000C,00300,0100,G 100547,A81000C,00300,0200,MARINER PAN 100547,A81000C,00300,0400,PRISM-ATS-ARS-T 100547,A81000C,00300,0600,THERAPIES 100547,A81000C,03100,0000,MARINER PAN 100547,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100547,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100547,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100547,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100547,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100547,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100547,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100547,B100000,00000,0800,00001MEALS SERVED :DIETARY 100547,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100547,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100547,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100547,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100547,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100547,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100547,E10A180,00301,0100,09/29/1999 100547,E10A180,00350,0100,01/20/1999 100547,E10A180,00351,0100,03/31/1999 100547,E10A180,00352,0100,06/23/1999 100547,E10A180,00353,0100,01/10/2000 100547,S000000,00100,0200,03/03/2000 100547,S200000,00100,0100,2320 LAKE SHORE DRIVE 100547,S200000,00200,0100,WACO 100547,S200000,00200,0200,TX 100547,S200000,00200,0300,76708- 100547,S200000,00300,0100,MCLENNAN 100547,S200000,00400,0100,LAKE SHORE VILLAGE HEALTH CARE CTR 100547,S200000,00400,0200,675438 100547,S200000,00400,0300,12/12/1994 100547,S200000,00400,0500,P 100547,S200000,01600,0100,Y 100547,S200000,02200,0100,Y 100547,S200000,04300,0100,Y 100547,S700003,00000,0100,1 100551,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100551,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100551,A000000,00300,0000,00300EMPLOYEE BENEFITS 100551,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100551,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100551,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100551,A000000,00700,0000,00700HOUSEKEEPING 100551,A000000,00800,0000,00800DIETARY 100551,A000000,00900,0000,00900NURSING ADMINISTRATION 100551,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100551,A000000,01100,0000,01100PHARMACY 100551,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100551,A000000,01300,0000,01300SOCIAL SERVICE 100551,A000000,01350,0000,01500OTHER GENERAL SERVICES 100551,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100551,A000000,01600,0000,01600SKILLED NURSING FACILITY 100551,A000000,01800,0000,01800NURSING FACILITY 100551,A000000,01810,0000,01801ICF/MR 100551,A000000,01900,0000,01900OTHER LONG TERM CARE 100551,A000000,02100,0000,02100RADIOLOGY 100551,A000000,02200,0000,02200LABORATORY 100551,A000000,02300,0000,02300INTRAVENOUS THERAPY 100551,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100551,A000000,02500,0000,02500PHYSICAL THERAPY 100551,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100551,A000000,02700,0000,02700SPEECH PATHOLOGY 100551,A000000,02800,0000,02800ELECTROCARDIOLOGY 100551,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100551,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100551,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100551,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100551,A000000,03200,0000,03200SUPPORT SURFACES 100551,A000000,03400,0000,03400CLINIC 100551,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100551,A000000,03500,0000,03500RURAL HEALTH CLINIC 100551,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100551,A000000,04800,0000,04800AMBULANCE 100551,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100551,A000000,05000,0000,05000CORF 100551,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100551,A000000,05300,0000,05300INTEREST EXPENSE 100551,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100551,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100551,A000000,05500,0000,05500HOSPICE 100551,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100551,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100551,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100551,A000000,06100,0000,06100NONPAID WORKERS 100551,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100551,A000000,06151,0000,06301FEE SCREEN 100551,A000000,06200,0000,06200PATIENTS LAUNDRY 100551,A81000A,00100,0100,Y 100551,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 100551,A81000B,00200,0300,BUILDING LEASE 100551,A81000B,00300,0300,PHYSICAL THERAPY 100551,A81000B,00400,0300,OCCUPATIONAL THERAPY 100551,A81000B,00500,0300,SPEECH THERAPY 100551,A81000B,00600,0300,MANAGEMENT/ACCOUNTING FEES 100551,A81000B,00700,0300,HOME OFFICE TRAINING COOR 100551,A81000B,00800,0300,HOME OFFICE DIETARY CONS 100551,A81000B,00900,0300,HOME OFFICE MAINTENANCE 100551,A81000B,01000,0300,HOME OFFICE NURSE 100551,A81000C,00100,0100,A 100551,A81000C,00100,0200,W.E. CAMPBELL 100551,A81000C,00100,0400,L.P. SERVICES 100551,A81000C,00100,0600,ACCOUNTING SERVICES 100551,A81000C,00200,0100,A 100551,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 100551,A81000C,00200,0400,SAVOY NH REALTY INC. 100551,A81000C,00200,0600,REALTY COMPANY 100551,A81000C,00300,0100,A 100551,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 100551,A81000C,00300,0400,SENIOR CARE CONSULTANTS 100551,A81000C,00300,0600,MANAGEMENT COMPANY 100551,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100551,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100551,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100551,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100551,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100551,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 100551,B100000,00000,0750,00001SQ FT CLEANED :HOUSEKEEPING 100551,B100000,00000,0800,00001MEALS SERVED :DIETARY 100551,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 100551,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 100551,B100000,00000,1150,00001NO STATISTICS :PHARMACY 100551,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 100551,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 100551,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 100551,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 100551,S000000,00100,0200,06/02/2000 100551,S200000,00100,0100,105 NORTH MAIN STREET 100551,S200000,00200,0100,SAVOY 100551,S200000,00200,0200,TX 100551,S200000,00200,0300,75479- 100551,S200000,00300,0100,FANNIN 100551,S200000,00400,0100,MULLICAN CARE CENTER 100551,S200000,00400,0200,675439 100551,S200000,00400,0300,01/01/1995 100551,S200000,00400,0500,P 100551,S200000,01500,0100,Y 100551,S700003,00000,0100,1 100557,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100557,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100557,A000000,00300,0000,00300EMPLOYEE BENEFITS 100557,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100557,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100557,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100557,A000000,00700,0000,00700HOUSEKEEPING 100557,A000000,00800,0000,00800DIETARY 100557,A000000,00900,0000,00900NURSING ADMINISTRATION 100557,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100557,A000000,01100,0000,01100PHARMACY 100557,A000000,01600,0000,01600SKILLED NURSING FACILITY 100557,A000000,01800,0000,01800NURSING FACILITY 100557,A000000,02500,0000,02500PHYSICAL THERAPY 100557,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100557,A000000,02700,0000,02700SPEECH PATHOLOGY 100557,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100557,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100557,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100557,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100557,A81000A,00100,0100,Y 100557,A81000B,00100,0300,REMOVE RELATED PARTY RENT EXPENSE 100557,A81000B,00200,0300,ADD BACK RELATED PARTY INTERST EXP 100557,A81000B,00300,0300,ADD BACK RELATED PARTY DEPR EXP 100557,A81000B,00400,0300,ADD BACK RELATED PARTY PROP INSUR 100557,A81000C,00100,0100,A 100557,A81000C,00100,0200,LEONA HAWKINS 100557,A81000C,00100,0400,CF & H CORPORATION 100557,A81000C,00100,0600,LTC OPERATIONS 100557,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100557,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100557,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100557,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100557,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100557,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100557,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100557,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100557,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100557,B100000,00000,1050,00000INPATIENT DAYS :CENTRAL SERVICES & 100557,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100557,S000000,00100,0200,08/14/2000 100557,S200000,00100,0100,3808 SOUTH CENTRAL EXPRESSWAY 100557,S200000,00200,0100,DALLAS 100557,S200000,00200,0200,TX 100557,S200000,00200,0300,75215- 100557,S200000,00300,0100,DALLAS 100557,S200000,00400,0100,SOUTH DALLAS NURSING HOME 100557,S200000,00400,0200,675440 100557,S200000,00400,0300,01/24/1995 100557,S200000,00400,0500,P 100557,S200000,01004,0500,O 100557,S200000,01600,0100,Y 100557,S700003,00000,0400,4 100562,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100562,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100562,A000000,00300,0000,00300EMPLOYEE BENEFITS 100562,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100562,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100562,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100562,A000000,00700,0000,00700HOUSEKEEPING 100562,A000000,00800,0000,00800DIETARY 100562,A000000,00900,0000,00900NURSING ADMINISTRATION 100562,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100562,A000000,01100,0000,01100PHARMACY 100562,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100562,A000000,01300,0000,01300SOCIAL SERVICE 100562,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100562,A000000,01600,0000,01600SKILLED NURSING FACILITY 100562,A000000,01900,0000,01900OTHER LONG TERM CARE 100562,A000000,02100,0000,02100RADIOLOGY 100562,A000000,02200,0000,02200LABORATORY 100562,A000000,02300,0000,02300INTRAVENOUS THERAPY 100562,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100562,A000000,02500,0000,02500PHYSICAL THERAPY 100562,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100562,A000000,02700,0000,02700SPEECH PATHOLOGY 100562,A000000,02800,0000,02800ELECTROCARDIOLOGY 100562,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100562,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100562,A000000,03050,0000,03201ENTERNAL SUPPLIES 100562,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100562,A000000,03200,0000,03200SUPPORT SURFACES 100562,A000000,03400,0000,03400CLINIC 100562,A000000,04800,0000,04800AMBULANCE 100562,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100562,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100562,A000000,05300,0000,05300INTEREST EXPENSE 100562,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100562,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100562,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100562,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100562,A000000,06100,0000,06100NONPAID WORKERS 100562,A000000,06200,0000,06200PATIENTS LAUNDRY 100562,A81000A,00100,0100,Y 100562,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100562,A81000B,00200,0300,LAUNDRY SERVICES 100562,A81000B,00300,0300,MENU PLANNING 100562,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100562,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100562,A81000B,00600,0300,DRUGS 100562,A81000C,00100,0100,B 100562,A81000C,00100,0200,CANTEX HC CTRS 100562,A81000C,00100,0600,LTC MANAGEMENT 100562,A81000C,00200,0100,B 100562,A81000C,00200,0200,HEALTHCARE LNEN 100562,A81000C,00200,0600,LAUNDRY SERVICE 100562,A81000C,00300,0100,A 100562,A81000C,00300,0200,ALBERT J. LONGO 100562,A81000C,00300,0400,NOVA 100562,A81000C,00300,0600,MENU PLANNING 100562,A81000C,00400,0100,B 100562,A81000C,00400,0200,CANTEX HC CTRS 100562,A81000C,00400,0600,LTC MANAGEMENT 100562,A81000C,00500,0100,B 100562,A81000C,00500,0200,CANTEX HC CTRS 100562,A81000C,00500,0600,LTC MANAGEMENT 100562,A81000C,00600,0100,B 100562,A81000C,00600,0200,PHARMACARE 100562,A81000C,00600,0600,LTC MANAGEMENT 100562,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100562,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100562,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100562,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100562,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100562,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100562,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100562,B100000,00000,0800,00000MEALS SERVED :DIETARY 100562,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100562,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100562,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100562,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100562,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100562,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100562,E10A180,00350,0100,12/31/1999 100562,S000000,00100,0200,05/31/2000 100562,S200000,00100,0100,HWY 51 BLACKS HILL DRIVE 100562,S200000,00200,0100,GAINESVILLE 100562,S200000,00200,0200,TX 100562,S200000,00200,0300,76251- 100562,S200000,00300,0100,COOKE 100562,S200000,00400,0100,RENAISSANCE CARE CENTER 100562,S200000,00400,0200,675441 100562,S200000,00400,0300,01/06/1995 100562,S200000,00400,0500,P 100562,S200000,01600,0100,Y 100562,S700003,00000,0100,1 100570,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100570,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100570,A000000,00300,0000,00300EMPLOYEE BENEFITS 100570,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100570,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100570,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100570,A000000,00700,0000,00700HOUSEKEEPING 100570,A000000,00800,0000,00800DIETARY 100570,A000000,00900,0000,00900NURSING ADMINISTRATION 100570,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100570,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100570,A000000,01300,0000,01300SOCIAL SERVICE 100570,A000000,01301,0000,01301ACTIVITES 100570,A000000,01350,0000,01500REHABILITATION 100570,A000000,01600,0000,01600SKILLED NURSING FACILITY 100570,A000000,01800,0000,01800NURSING FACILITY 100570,A000000,01900,0000,01900OTHER LONG TERM CARE 100570,A000000,02100,0000,02100RADIOLOGY 100570,A000000,02200,0000,02200LABORATORY 100570,A000000,02300,0000,02300INTRAVENOUS THERAPY 100570,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100570,A000000,02500,0000,02500PHYSICAL THERAPY 100570,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100570,A000000,02700,0000,02700SPEECH PATHOLOGY 100570,A000000,02800,0000,02800ELECTROCARDIOLOGY 100570,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100570,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100570,A000000,03050,0000,03300EQUIPMENT RENTAL 100570,A000000,03051,0000,03301PEN THERAPY 100570,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100570,A000000,03200,0000,03200SUPPORT SURFACES 100570,A000000,04800,0000,04800AMBULANCE 100570,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100570,A000000,05300,0000,05300INTEREST EXPENSE 100570,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100570,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100570,A000000,06150,0000,06300VENDING 100570,A000000,06151,0000,06301STAND-BY 100570,A000000,06200,0000,06200PATIENTS LAUNDRY 100570,A81000A,00100,0100,Y 100570,A81000B,00100,0300,HOME OFFICE COST 100570,A81000B,00200,0300,DIETARY SUPPLEMENTS 100570,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100570,A81000B,00400,0300,PRESCRIPTION DRUGS 100570,A81000B,00500,0300,MEDICAL SUPPLIES 100570,A81000B,00600,0300,PEN 100570,A81000B,00700,0300,HOME OFFICE INTEREST 100570,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100570,A81000B,00900,0300,IV THERAPY 100570,A81000B,01000,0300,PT SUPPLIES 100570,A81000B,01100,0300,PHYSICAL THERAPY 100570,A81000B,01200,0300,OCCUPATIONAL THERAPY 100570,A81000B,01300,0300,SPEECH THERAPY 100570,A81000B,01400,0300,ANC EQUIP RENTAL 100570,A81000B,01500,0300,NURSING ADMIN 100570,A81000C,00100,0100,B 100570,A81000C,00100,0200,CARE INN OF WAC 100570,A81000C,00100,0400,MARINER PAN 100570,A81000C,00100,0600,NURSING HOMES 100570,A81000C,00200,0100,G 100570,A81000C,00200,0200,MARINER PAN 100570,A81000C,00200,0400,AMER PHARM SVCS 100570,A81000C,00200,0600,PHARMACEUTICALS 100570,A81000C,00300,0100,G 100570,A81000C,00300,0200,MARINER PAN 100570,A81000C,00300,0400,PRISM-ATS-ARS-T 100570,A81000C,00300,0600,THERAPIES 100570,A81000C,03100,0000,MARINER PAN 100570,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100570,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100570,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100570,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100570,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100570,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100570,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100570,B100000,00000,0800,00001MEALS SERVED :DIETARY 100570,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100570,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 100570,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100570,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100570,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100570,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100570,E10A180,00301,0100,01/06/1999 100570,E10A180,00350,0100,03/31/1999 100570,E10A180,00351,0100,06/09/1999 100570,E10A180,00352,0100,09/29/1999 100570,E10A180,00353,0100,01/10/2000 100570,S000000,00100,0200,03/03/2000 100570,S200000,00100,0100,5900 CLOVER LANE 100570,S200000,00200,0100,WACO 100570,S200000,00200,0200,TX 100570,S200000,00200,0300,76710- 100570,S200000,00300,0100,MCLENNAN 100570,S200000,00300,0200,8800 100570,S200000,00300,0300,U 100570,S200000,00400,0100,CARE INN OF WACO 100570,S200000,00400,0200,675442 100570,S200000,00400,0300,01/30/1995 100570,S200000,00400,0500,P 100570,S200000,01600,0100,Y 100570,S200000,02200,0100,Y 100570,S200000,04300,0100,Y 100578,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100578,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100578,A000000,00300,0000,00300EMPLOYEE BENEFITS 100578,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100578,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100578,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100578,A000000,00700,0000,00700HOUSEKEEPING 100578,A000000,00800,0000,00800DIETARY 100578,A000000,00900,0000,00900NURSING ADMINISTRATION 100578,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100578,A000000,01100,0000,01100PHARMACY 100578,A000000,01600,0000,01600SKILLED NURSING FACILITY 100578,A000000,01800,0000,01800NURSING FACILITY 100578,A000000,02100,0000,02100RADIOLOGY 100578,A000000,02200,0000,02200LABORATORY 100578,A000000,02500,0000,02500PHYSICAL THERAPY 100578,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100578,A000000,02700,0000,02700SPEECH PATHOLOGY 100578,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100578,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100578,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100578,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100578,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100578,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100578,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100578,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100578,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100578,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100578,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100578,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100578,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100578,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100578,S000000,00100,0200,03/02/2000 100578,S200000,00100,0100,201 E 15TH STREET 100578,S200000,00200,0100,FRIONIA 100578,S200000,00200,0200,TX 100578,S200000,00200,0300,79035- 100578,S200000,00300,0100,PARMER 100578,S200000,00300,0200,0045 100578,S200000,00300,0300,R 100578,S200000,00400,0100,PRAIRIE ACRES NURSING HOME 100578,S200000,00400,0200,675443 100578,S200000,00400,0300,01/10/1995 100578,S200000,00400,0500,P 100578,S200000,01600,0100,Y 100586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100586,A000000,00300,0000,00300EMPLOYEE BENEFITS 100586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100586,A000000,00700,0000,00700HOUSEKEEPING 100586,A000000,00800,0000,00800DIETARY 100586,A000000,00900,0000,00900NURSING ADMINISTRATION 100586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100586,A000000,01100,0000,01100PHARMACY 100586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100586,A000000,01300,0000,01300SOCIAL SERVICE 100586,A000000,01351,0000,01301ACTIVITIES 100586,A000000,01600,0000,01600SKILLED NURSING FACILITY 100586,A000000,01800,0000,01800NURSING FACILITY 100586,A000000,02100,0000,02100RADIOLOGY 100586,A000000,02200,0000,02200LABORATORY 100586,A000000,02300,0000,02300INTRAVENOUS THERAPY 100586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100586,A000000,02500,0000,02500PHYSICAL THERAPY 100586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100586,A000000,02700,0000,02700SPEECH PATHOLOGY 100586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100586,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100586,A000000,03051,0000,03301MEDICAL EQUIPMENT 100586,A000000,04800,0000,04800AMBULANCE 100586,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100586,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100586,A81000A,00100,0100,Y 100586,A81000B,00100,0300,HOME OFFICE CAPITAL 100586,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100586,A81000B,00300,0300,WAREHOUSE 100586,A81000C,00100,0100,A 100586,A81000C,00100,0200,PETER C. KERN 100586,A81000C,00100,0400,HEA MANAGEMENT GROUP 100586,A81000C,00100,0600,HOME OFFICE 100586,A81000C,00200,0100,A 100586,A81000C,00200,0200,PETER C. KERN 100586,A81000C,00200,0400,WAREHOUSE STORAGE 100586,A81000C,00200,0600,OLD RECORD STORAGE 100586,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100586,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100586,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100586,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100586,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100586,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100586,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100586,B100000,00000,0800,00000MEALS SERVED :DIETARY 100586,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100586,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100586,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100586,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100586,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100586,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100586,S000000,00100,0200,05/30/2000 100586,S200000,00100,0100,1615 ELEVENTH STREET 100586,S200000,00200,0100,FLORESVILLE 100586,S200000,00200,0200,TX 100586,S200000,00200,0300,78114-5403 100586,S200000,00300,0100,WILSON 100586,S200000,00300,0200,7240 100586,S200000,00300,0300,U 100586,S200000,00400,0100,REGENCY MANOR 100586,S200000,00400,0200,675446 100586,S200000,00400,0300,02/09/1995 100586,S200000,00400,0500,P 100586,S200000,01600,0100,Y 100586,S200000,02200,0100,Y 100586,S200000,04300,0100,Y 100606,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100606,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100606,A000000,00300,0000,00300EMPLOYEE BENEFITS 100606,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100606,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100606,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100606,A000000,00700,0000,00700HOUSEKEEPING 100606,A000000,00800,0000,00800DIETARY 100606,A000000,00900,0000,00900NURSING ADMINISTRATION 100606,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100606,A000000,01100,0000,01100PHARMACY 100606,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100606,A000000,01300,0000,01300SOCIAL SERVICE 100606,A000000,01301,0000,01301ACTIVITIES 100606,A000000,01350,0000,01500OTHER GENERAL SERVICES 100606,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100606,A000000,01600,0000,01600SKILLED NURSING FACILITY 100606,A000000,01800,0000,01800NURSING FACILITY 100606,A000000,01810,0000,01810ICF/MR 100606,A000000,01900,0000,01900OTHER LONG TERM CARE 100606,A000000,02100,0000,02100RADIOLOGY 100606,A000000,02200,0000,02200LABORATORY 100606,A000000,02300,0000,02300INTRAVENOUS THERAPY 100606,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100606,A000000,02500,0000,02500PHYSICAL THERAPY 100606,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100606,A000000,02700,0000,02700SPEECH PATHOLOGY 100606,A000000,02800,0000,02800ELECTROCARDIOLOGY 100606,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100606,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100606,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100606,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100606,A000000,03200,0000,03200SUPPORT SURFACES 100606,A000000,03400,0000,03400CLINIC 100606,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100606,A000000,03500,0000,03500RURAL HEALTH CLINIC 100606,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100606,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100606,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100606,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100606,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100606,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100606,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100606,A000000,04400,0000,04400DME RENTED - HHA 100606,A000000,04500,0000,04500DME SOLD - HHA 100606,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100606,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100606,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100606,A000000,04800,0000,04800AMBULANCE 100606,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100606,A000000,05000,0000,05000CORF 100606,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100606,A000000,05300,0000,05300INTEREST EXPENSE 100606,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100606,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100606,A000000,05500,0000,05500HOSPICE 100606,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100606,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100606,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100606,A000000,06100,0000,06100NONPAID WORKERS 100606,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100606,A000000,06200,0000,06200PATIENTS LAUNDRY 100606,A81000A,00100,0100,Y 100606,A81000B,00100,0300,MANAGEMENT FEES 100606,A81000C,00100,0100,B 100606,A81000C,00100,0200,NEWCARE HEALTH CORP 100606,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100606,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100606,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100606,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100606,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100606,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100606,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100606,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100606,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100606,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100606,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100606,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100606,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100606,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 100606,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 100606,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100606,S000000,00100,0200,06/22/2001 100606,S200000,00100,0100,7700 MESQUITE PASS 100606,S200000,00200,0100,CONVERSE 100606,S200000,00200,0200,TX 100606,S200000,00200,0300,78109- 100606,S200000,00300,0100,BEXAR 100606,S200000,00400,0100,ROSEWOOD REHAB & CARE CENTER 100606,S200000,00400,0200,675452 100606,S200000,00400,0300,02/24/1995 100606,S200000,00400,0500,P 100606,S200000,01600,0100,Y 100615,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100615,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100615,A000000,00300,0000,00300EMPLOYEE BENEFITS 100615,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100615,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100615,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100615,A000000,00700,0000,00700HOUSEKEEPING 100615,A000000,00800,0000,00800DIETARY 100615,A000000,00801,0000,00801CAFETERIA 100615,A000000,00900,0000,00900NURSING ADMINISTRATION 100615,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100615,A000000,01100,0000,01100PHARMACY 100615,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100615,A000000,01300,0000,01300SOCIAL SERVICE 100615,A000000,01600,0000,01600SKILLED NURSING FACILITY 100615,A000000,01800,0000,01800NURSING FACILITY 100615,A000000,01900,0000,01900OTHER LONG TERM CARE 100615,A000000,02100,0000,02100RADIOLOGY 100615,A000000,02200,0000,02200LABORATORY 100615,A000000,02300,0000,02300INTRAVENOUS THERAPY 100615,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100615,A000000,02500,0000,02500PHYSICAL THERAPY 100615,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100615,A000000,02700,0000,02700SPEECH PATHOLOGY 100615,A000000,02800,0000,02800ELECTROCARDIOLOGY 100615,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100615,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100615,A000000,03200,0000,03200SUPPORT SURFACES 100615,A000000,04800,0000,04800AMBULANCE 100615,A000000,05300,0000,05300INTEREST EXPENSE 100615,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100615,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100615,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100615,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100615,A81000A,00100,0100,Y 100615,A81000B,00100,0300,CAPITAL RELATED 100615,A81000B,00200,0300,ADMIN & GEN 100615,A81000C,00100,0100,A 100615,A81000C,00100,0200,DANNY PRINCE 100615,A81000C,00100,0400,P & L MANAGEMEN 100615,A81000C,00100,0600,SNF MGMT COMPAN 100615,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100615,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100615,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100615,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100615,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100615,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100615,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100615,B100000,00000,0800,00000MEALS SERVED :DIETARY 100615,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100615,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100615,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100615,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100615,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100615,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100615,S000000,00100,0200,06/09/2000 100615,S200000,00100,0100,3100 S. RIGSBEE DRIVE 100615,S200000,00200,0100,PLANO 100615,S200000,00200,0200,TX 100615,S200000,00200,0300,75074-7008 100615,S200000,00300,0100,COLLIN 100615,S200000,00400,0100,COLLINWOOD NURSING & REHAB 100615,S200000,00400,0200,675453 100615,S200000,00400,0300,02/01/1994 100615,S200000,00400,0500,P 100615,S200000,01600,0100,Y 100615,S700003,00000,0100,1 100627,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100627,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100627,A000000,00300,0000,00300EMPLOYEE BENEFITS 100627,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100627,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100627,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100627,A000000,00700,0000,00700HOUSEKEEPING 100627,A000000,00800,0000,00800DIETARY 100627,A000000,00900,0000,00900NURSING ADMINISTRATION 100627,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100627,A000000,01100,0000,01100PHARMACY 100627,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100627,A000000,01300,0000,01300SOCIAL SERVICE 100627,A000000,01350,0000,01500OTHER GENERAL SERVICES 100627,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100627,A000000,01600,0000,01600SKILLED NURSING FACILITY 100627,A000000,01800,0000,01800NURSING FACILITY 100627,A000000,01810,0000,01801ICF/MR 100627,A000000,01900,0000,01900OTHER LONG TERM CARE 100627,A000000,02100,0000,02100RADIOLOGY 100627,A000000,02200,0000,02200LABORATORY 100627,A000000,02300,0000,02300INTRAVENOUS THERAPY 100627,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100627,A000000,02500,0000,02500PHYSICAL THERAPY 100627,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100627,A000000,02700,0000,02700SPEECH PATHOLOGY 100627,A000000,02800,0000,02800ELECTROCARDIOLOGY 100627,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100627,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100627,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100627,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100627,A000000,03200,0000,03200SUPPORT SURFACES 100627,A000000,03400,0000,03400CLINIC 100627,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100627,A000000,03500,0000,03500RURAL HEALTH CLINIC 100627,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100627,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100627,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100627,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100627,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100627,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100627,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100627,A000000,04400,0000,04400DME RENTED - HHA 100627,A000000,04500,0000,04500DME SOLD - HHA 100627,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100627,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100627,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100627,A000000,04800,0000,04800AMBULANCE 100627,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100627,A000000,05000,0000,05000CORF 100627,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100627,A000000,05300,0000,05300INTEREST EXPENSE 100627,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100627,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100627,A000000,05500,0000,05500HOSPICE 100627,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100627,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100627,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100627,A000000,06100,0000,06100NONPAID WORKERS 100627,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100627,A000000,06200,0000,06200PATIENTS LAUNDRY 100627,A81000A,00100,0100,Y 100627,A81000B,00100,0300,MANAGEMENT FEES 100627,A81000B,00200,0300,MANAGEMENT FEES 100627,A81000B,00300,0300,FACILITY LEASE 100627,A81000C,00100,0100,A 100627,A81000C,00100,0200,KEVIN COMPTON 100627,A81000C,00100,0400,EPIC MANAGEMENT 100627,A81000C,00100,0600,MANAGEMENT COMPANY 100627,A81000C,00200,0100,A 100627,A81000C,00200,0200,KRIS COMPTON 100627,A81000C,00200,0400,EPIC MANAGEMENT 100627,A81000C,00200,0600,MANAGEMENT COMPANY 100627,A81000C,00300,0100,A 100627,A81000C,00300,0200,BILL THURMAN 100627,A81000C,00300,0400,CANTERBURY LTD 100627,A81000C,00300,0600,FACILITY LESSOR 100627,A81000C,00400,0100,A 100627,A81000C,00400,0200,JEFF SMITHERS 100627,A81000C,00400,0400,CANTERBURY LTD 100627,A81000C,00400,0600,FACILITY LESSOR 100627,A81000C,00500,0100,A 100627,A81000C,00500,0200,KEVIN COMPTON 100627,A81000C,00500,0400,CANTERBURY LTD 100627,A81000C,00500,0600,FACILITY LESSOR 100627,A81000C,00600,0100,A 100627,A81000C,00600,0200,KRIS COMPTON 100627,A81000C,00600,0400,CANTERBURY LTD 100627,A81000C,00600,0600,FACILITY LESSOR 100627,A81000C,00700,0100,A 100627,A81000C,00700,0200,JT COMPTON 100627,A81000C,00700,0400,CANTERBURY LTD 100627,A81000C,00700,0600,FACILITY LESSOR 100627,A81000C,00800,0100,A 100627,A81000C,00800,0200,KEN COMPTON 100627,A81000C,00800,0400,CANTERBURY LTD 100627,A81000C,00800,0600,FACILITY LESSOR 100627,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100627,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100627,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100627,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100627,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100627,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100627,B100000,00000,0750,00000SQUARE FEET C :HOUSEKEEPING 100627,B100000,00000,0800,00000MEALS SERVED :DIETARY 100627,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100627,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100627,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100627,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100627,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100627,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100627,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100627,S000000,00100,0200,05/22/2000 100627,S200000,00100,0100,3625 GREENCREST DRIVE 100627,S200000,00200,0100,HOUSTON 100627,S200000,00200,0200,TX 100627,S200000,00200,0300,77082- 100627,S200000,00300,0100,HARRIS 100627,S200000,00400,0100,WEST OAKS GERIATRIC CENTER 100627,S200000,00400,0200,675454 100627,S200000,00400,0300,02/24/1995 100627,S200000,00400,0500,P 100627,S200000,01600,0100,Y 100627,S700003,00000,0100,1 100634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100634,A000000,00300,0000,00300EMPLOYEE BENEFITS 100634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100634,A000000,00700,0000,00700HOUSEKEEPING 100634,A000000,00800,0000,00800DIETARY 100634,A000000,00900,0000,00900NURSING ADMINISTRATION 100634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100634,A000000,01100,0000,01100PHARMACY 100634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100634,A000000,01300,0000,01300SOCIAL SERVICE 100634,A000000,01350,0000,01500OTHER GENERAL SERVICES 100634,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100634,A000000,01600,0000,01600SKILLED NURSING FACILITY 100634,A000000,01800,0000,01800NURSING FACILITY 100634,A000000,01810,0000,01810ICF/MR 100634,A000000,01900,0000,01900OTHER LONG TERM CARE 100634,A000000,02100,0000,02100RADIOLOGY 100634,A000000,02200,0000,02200LABORATORY 100634,A000000,02300,0000,02300INTRAVENOUS THERAPY 100634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100634,A000000,02500,0000,02500PHYSICAL THERAPY 100634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100634,A000000,02700,0000,02700SPEECH PATHOLOGY 100634,A000000,02800,0000,02800ELECTROCARDIOLOGY 100634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100634,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100634,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100634,A000000,03200,0000,03200SUPPORT SURFACES 100634,A000000,03400,0000,03400CLINIC 100634,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100634,A000000,03500,0000,03500RURAL HEALTH CLINIC 100634,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100634,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100634,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100634,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100634,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100634,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100634,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100634,A000000,04400,0000,04400DME RENTED - HHA 100634,A000000,04500,0000,04500DME SOLD - HHA 100634,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100634,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100634,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100634,A000000,04800,0000,04800AMBULANCE 100634,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100634,A000000,05000,0000,05000CORF 100634,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100634,A000000,05300,0000,05300INTEREST EXPENSE 100634,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100634,A000000,05500,0000,05500HOSPICE 100634,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100634,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100634,A000000,06100,0000,06100NONPAID WORKERS 100634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100634,A000000,06200,0000,06200PATIENTS LAUNDRY 100634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100634,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100634,B100000,00000,0750,00000TIME SPENT :HOUSEKEEPING 100634,B100000,00000,0800,00000MEALS SERVED :DIETARY 100634,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 100634,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100634,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100634,S000000,00100,0200,06/06/2000 100634,S200000,00100,0100,1505 S MAIN ST 100634,S200000,00200,0100,LOCKHART 100634,S200000,00200,0200,TX 100634,S200000,00200,0300,78644- 100634,S200000,00300,0100,CALDWELL 100634,S200000,00300,0200,0640 100634,S200000,00300,0300,U 100634,S200000,00400,0100,GOLDEN AGE HOME 100634,S200000,00400,0200,675458 100634,S200000,00400,0300,04/01/1995 100634,S200000,00400,0500,P 100634,S200000,00800,0200,678281 100634,S200000,00800,0300,06/25/1996 100634,S200000,00800,0500,P 100634,S200000,01600,0100,Y 100641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100641,A000000,00300,0000,00300EMPLOYEE BENEFITS 100641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100641,A000000,00700,0000,00700HOUSEKEEPING 100641,A000000,00800,0000,00800DIETARY 100641,A000000,00900,0000,00900NURSING ADMINISTRATION 100641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100641,A000000,01300,0000,01300SOCIAL SERVICE 100641,A000000,01350,0000,01500RECREATION 100641,A000000,01600,0000,01600SKILLED NURSING FACILITY 100641,A000000,01800,0000,01800NURSING FACILITY 100641,A000000,02100,0000,02100RADIOLOGY 100641,A000000,02200,0000,02200LABORATORY 100641,A000000,02300,0000,02300INTRAVENOUS THERAPY 100641,A000000,02500,0000,02500PHYSICAL THERAPY 100641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100641,A000000,02700,0000,02700SPEECH PATHOLOGY 100641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100641,A000000,03050,0000,03300PEN THERAPY 100641,A000000,03200,0000,03200SUPPORT SURFACES 100641,A000000,05300,0000,05300INTEREST EXPENSE 100641,A81000A,00100,0100,Y 100641,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 100641,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 100641,A81000B,00300,0300,ADMINISTRATOR SALARY 100641,A81000B,00400,0300,CLERICAL SALARY 100641,A81000B,00500,0300,ACCOUNTANT SALARY 100641,A81000B,00600,0300,MAINTENANCE SALARY 100641,A81000B,00700,0300,DON SALARY 100641,A81000B,00800,0300,SOCIAL WORKER SALARY 100641,A81000C,00100,0100,B 100641,A81000C,00100,0200,STEBBINS 5 COMPANIES LTD 100641,A81000C,00100,0600,SKILLED NURSING CARE 100641,A81000C,00200,0100,A 100641,A81000C,00200,0200,BOBBY DOCKAL 100641,A81000C,00200,0400,OWNER ADMINISTRATOR 100641,A81000C,00300,0100,G 100641,A81000C,00300,0200,HELEN DOCKAL 100641,A81000C,00300,0400,WIFE OF OWNER 100641,A81000C,00400,0100,G 100641,A81000C,00400,0200,CHRIS DOCKAL 100641,A81000C,00400,0400,SON OF OWNER 100641,A81000C,00500,0100,G 100641,A81000C,00500,0200,TROY DOCKAL 100641,A81000C,00500,0400,SON OF OWNER 100641,A81000C,00600,0100,G 100641,A81000C,00600,0200,LISA DOCKAL 100641,A81000C,00600,0400,DAUGHTER IN LAW OF OWNER 100641,A81000C,00700,0100,G 100641,A81000C,00700,0200,JENNIFER DOCKAL 100641,A81000C,00700,0400,DAUGHTER IN LAW OF OWNER 100641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100641,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100641,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100641,B100000,00000,0800,00000MEALS SERVED :DIETARY 100641,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100641,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100641,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100641,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100641,B100000,00000,1350,00000PATIENT DAYS :RECREATION 100641,S000000,00100,0200,06/01/2000 100641,S200000,00100,0100,3509 ROGGE LANE 100641,S200000,00200,0100,AUSTIN 100641,S200000,00200,0200,TX 100641,S200000,00200,0300,78723- 100641,S200000,00300,0100,TRAVIS 100641,S200000,00400,0100,WALNUT HILLS CONVALESCENT CENTER 100641,S200000,00400,0200,675459 100641,S200000,00400,0300,03/01/1995 100641,S200000,00400,0500,P 100641,S200000,01600,0100,Y 100641,S700003,00000,0100,1 100651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100651,A000000,00300,0000,00300EMPLOYEE BENEFITS 100651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100651,A000000,00700,0000,00700HOUSEKEEPING 100651,A000000,00800,0000,00800DIETARY 100651,A000000,00900,0000,00900NURSING ADMINISTRATION 100651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100651,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100651,A000000,01300,0000,01300SOCIAL SERVICE 100651,A000000,01301,0000,01301ACTIVITES 100651,A000000,01350,0000,01500REHABILITATION 100651,A000000,01600,0000,01600SKILLED NURSING FACILITY 100651,A000000,01800,0000,01800NURSING FACILITY 100651,A000000,01900,0000,01900OTHER LONG TERM CARE 100651,A000000,02100,0000,02100RADIOLOGY 100651,A000000,02200,0000,02200LABORATORY 100651,A000000,02300,0000,02300INTRAVENOUS THERAPY 100651,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100651,A000000,02500,0000,02500PHYSICAL THERAPY 100651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100651,A000000,02700,0000,02700SPEECH PATHOLOGY 100651,A000000,02800,0000,02800ELECTROCARDIOLOGY 100651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100651,A000000,03050,0000,03300EQUIPMENT RENTAL 100651,A000000,03051,0000,03301PEN THERAPY 100651,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100651,A000000,03200,0000,03200SUPPORT SURFACES 100651,A000000,04800,0000,04800AMBULANCE 100651,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100651,A000000,05300,0000,05300INTEREST EXPENSE 100651,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100651,A000000,06150,0000,06300VENDING 100651,A000000,06151,0000,06301STAND-BY 100651,A000000,06200,0000,06200PATIENTS LAUNDRY 100651,A81000A,00100,0100,Y 100651,A81000B,00100,0300,HOME OFFICE COST 100651,A81000B,00200,0300,DIETARY SUPPLEMENTS 100651,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100651,A81000B,00400,0300,PRESCRIPTION DRUGS 100651,A81000B,00500,0300,MEDICAL SUPPLIES 100651,A81000B,00600,0300,ADMIN COSTS 100651,A81000B,00700,0300,HOME OFFICE INTEREST 100651,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100651,A81000B,00900,0300,IV THERAPY 100651,A81000B,01000,0300,DME 100651,A81000C,00100,0100,B 100651,A81000C,00100,0200,PARK HIGHLANDS 100651,A81000C,00100,0400,MARINER PAN 100651,A81000C,00100,0600,NURSING HOMES 100651,A81000C,00200,0100,G 100651,A81000C,00200,0200,MARINER PAN 100651,A81000C,00200,0400,AMER PHARM SVCS 100651,A81000C,00200,0600,PHARMACEUTICALS 100651,A81000C,00300,0100,G 100651,A81000C,00300,0200,MARINER PAN 100651,A81000C,00300,0400,PRISM-ATS-ARS-T 100651,A81000C,00300,0600,THERAPIES 100651,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100651,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100651,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100651,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100651,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100651,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100651,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100651,B100000,00000,0800,00001MEALS SERVED :DIETARY 100651,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100651,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100651,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100651,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100651,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100651,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100651,E10A180,00301,0100,01/19/2000 100651,E10A180,00350,0100,10/13/1999 100651,S000000,00100,0200,12/01/2000 100651,S200000,00100,0100,711 LUCAS ST 100651,S200000,00200,0100,ATHENS 100651,S200000,00200,0200,TX 100651,S200000,00200,0300,75751- 100651,S200000,00300,0100,HENDERSON 100651,S200000,00400,0100,PARK HIGHLANDS 100651,S200000,00400,0200,675460 100651,S200000,00400,0300,11/11/1994 100651,S200000,00400,0500,P 100651,S200000,01500,0100,Y 100651,S200000,02200,0100,Y 100651,S200000,04300,0100,Y 100651,S700003,00000,0200,2 100659,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100659,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100659,A000000,00300,0000,00300EMPLOYEE BENEFITS 100659,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100659,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100659,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100659,A000000,00700,0000,00700HOUSEKEEPING 100659,A000000,00800,0000,00800DIETARY 100659,A000000,00900,0000,00900NURSING ADMINISTRATION 100659,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100659,A000000,01100,0000,01100PHARMACY 100659,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100659,A000000,01300,0000,01300SOCIAL SERVICE 100659,A000000,01351,0000,01301ACTIVITIES 100659,A000000,01600,0000,01600SKILLED NURSING FACILITY 100659,A000000,01800,0000,01800NURSING FACILITY 100659,A000000,02100,0000,02100RADIOLOGY 100659,A000000,02200,0000,02200LABORATORY 100659,A000000,02300,0000,02300INTRAVENOUS THERAPY 100659,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100659,A000000,02500,0000,02500PHYSICAL THERAPY 100659,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100659,A000000,02700,0000,02700SPEECH PATHOLOGY 100659,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100659,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100659,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100659,A000000,03051,0000,03301MEDICAL EQUIPMENT 100659,A000000,04800,0000,04800AMBULANCE 100659,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100659,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100659,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100659,A81000A,00100,0100,Y 100659,A81000B,00100,0300,HOME OFFICE CAPITAL 100659,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100659,A81000B,00300,0300,WAREHOUSE 100659,A81000C,00100,0100,A 100659,A81000C,00100,0200,PETER C. KERN 100659,A81000C,00100,0400,HEA MANAGEMENT GROUP 100659,A81000C,00100,0600,HOME OFFICE 100659,A81000C,00200,0100,A 100659,A81000C,00200,0200,PETER C. KERN 100659,A81000C,00200,0400,WAREHOUSE STORAGE 100659,A81000C,00200,0600,OLD RECORD STORAGE 100659,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100659,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100659,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100659,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100659,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100659,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100659,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100659,B100000,00000,0800,00000MEALS SERVED :DIETARY 100659,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100659,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100659,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100659,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100659,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100659,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100659,S000000,00100,0200,05/30/2000 100659,S200000,00100,0100,712 RAILROAD STREET 100659,S200000,00200,0100,HICO 100659,S200000,00200,0200,TX 100659,S200000,00200,0300,76457- 100659,S200000,00300,0100,HAMILTON 100659,S200000,00300,0200,45 100659,S200000,00300,0300,R 100659,S200000,00400,0100,VILLAGE NURSING HOME 100659,S200000,00400,0200,675468 100659,S200000,00400,0300,03/29/1995 100659,S200000,00400,0500,P 100659,S200000,01600,0100,Y 100659,S200000,02200,0100,Y 100659,S200000,04300,0100,Y 100666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100666,A000000,00300,0000,00300EMPLOYEE BENEFITS 100666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100666,A000000,00700,0000,00700HOUSEKEEPING 100666,A000000,00800,0000,00800DIETARY 100666,A000000,00900,0000,00900NURSING ADMINISTRATION 100666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100666,A000000,01100,0000,01100PHARMACY 100666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100666,A000000,01300,0000,01300SOCIAL SERVICE 100666,A000000,01350,0000,01500OTHER GENERAL SERVICES 100666,A000000,01351,0000,01501ACTIVITIES 100666,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100666,A000000,01600,0000,01600SKILLED NURSING FACILITY 100666,A000000,01800,0000,01800NURSING FACILITY 100666,A000000,01810,0000,01810ICF/MR 100666,A000000,01900,0000,01900OTHER LONG TERM CARE 100666,A000000,02100,0000,02100RADIOLOGY 100666,A000000,02200,0000,02200LABORATORY 100666,A000000,02300,0000,02300INTRAVENOUS THERAPY 100666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100666,A000000,02500,0000,02500PHYSICAL THERAPY 100666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100666,A000000,02700,0000,02700SPEECH PATHOLOGY 100666,A000000,02800,0000,02800ELECTROCARDIOLOGY 100666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100666,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100666,A000000,03200,0000,03200SUPPORT SURFACES 100666,A000000,03201,0000,03201THERAPUETIC BEDS 100666,A000000,03400,0000,03400CLINIC 100666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100666,A000000,03500,0000,03500RURAL HEALTH CLINIC 100666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100666,A000000,04400,0000,04400DME RENTED - HHA 100666,A000000,04500,0000,04500DME SOLD - HHA 100666,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100666,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100666,A000000,04800,0000,04800AMBULANCE 100666,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100666,A000000,05000,0000,05000CORF 100666,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100666,A000000,05300,0000,05300INTEREST EXPENSE 100666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100666,A000000,05500,0000,05500HOSPICE 100666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100666,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100666,A000000,06100,0000,06100NONPAID WORKERS 100666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100666,A000000,06200,0000,06200PATIENTS LAUNDRY 100666,A81000A,00100,0100,Y 100666,A81000B,00100,0300,CAP REL - BLDG AND FIXTURES 100666,A81000B,00200,0300,A&G 100666,A81000C,00100,0100,B 100666,A81000C,00100,0400,ADVANCED LIVING TECH INC 100666,A81000C,00100,0600,NURSING HOME OPERATORS 100666,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100666,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100666,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100666,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100666,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100666,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100666,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100666,B100000,00000,0800,00000MEALS SERVED :DIETARY 100666,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100666,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100666,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100666,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100666,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100666,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100666,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100666,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100666,S000000,00100,0200,05/30/2000 100666,S200000,00100,0100,1811 SIXTH STREET 100666,S200000,00200,0100,FLORESVILLE 100666,S200000,00200,0200,TX 100666,S200000,00200,0300,78114- 100666,S200000,00300,0100,WILSON 100666,S200000,00400,0100,FLORESVILLE NURSING CENTER 100666,S200000,00400,0200,675469 100666,S200000,00400,0300,04/01/1995 100666,S200000,00400,0500,P 100666,S200000,01600,0100,Y 100678,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100678,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100678,A000000,00300,0000,00300EMPLOYEE BENEFITS 100678,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100678,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100678,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100678,A000000,00700,0000,00700HOUSEKEEPING 100678,A000000,00800,0000,00800DIETARY 100678,A000000,00900,0000,00900NURSING ADMINISTRATION 100678,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100678,A000000,01100,0000,01100PHARMACY 100678,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100678,A000000,01300,0000,01300SOCIAL SERVICE 100678,A000000,01351,0000,01301ACTIVITIES 100678,A000000,01600,0000,01600SKILLED NURSING FACILITY 100678,A000000,01800,0000,01800NURSING FACILITY 100678,A000000,02100,0000,02100RADIOLOGY 100678,A000000,02200,0000,02200LABORATORY 100678,A000000,02300,0000,02300INTRAVENOUS THERAPY 100678,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100678,A000000,02500,0000,02500PHYSICAL THERAPY 100678,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100678,A000000,02700,0000,02700SPEECH PATHOLOGY 100678,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100678,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100678,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100678,A000000,03051,0000,03301MEDICAL EQUIPMENT 100678,A000000,04800,0000,04800AMBULANCE 100678,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100678,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100678,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100678,A81000A,00100,0100,Y 100678,A81000B,00100,0300,HOME OFFICE CAPITAL 100678,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100678,A81000B,00300,0300,WAREHOUSE 100678,A81000C,00100,0100,A 100678,A81000C,00100,0200,PETER C. KERN 100678,A81000C,00100,0400,HEA MANAGEMENT GROUP 100678,A81000C,00100,0600,HOME OFFICE 100678,A81000C,00200,0100,A 100678,A81000C,00200,0200,PETER C. KERN 100678,A81000C,00200,0400,WAREHOUSE STORAGE 100678,A81000C,00200,0600,OLD RECORD STORAGE 100678,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100678,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100678,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100678,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100678,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100678,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100678,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100678,B100000,00000,0800,00000MEALS SERVED :DIETARY 100678,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100678,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100678,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100678,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100678,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100678,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100678,S000000,00100,0200,05/30/2000 100678,S200000,00100,0100,709 WEST FIFTH 100678,S200000,00200,0100,BONHAM 100678,S200000,00200,0200,TX 100678,S200000,00200,0300,75418-4209 100678,S200000,00300,0100,FANNIN 100678,S200000,00300,0300,R 100678,S200000,00400,0100,BONHAM NURSING CENTER 100678,S200000,00400,0200,675471 100678,S200000,00400,0300,03/30/1995 100678,S200000,00400,0500,P 100678,S200000,01600,0100,Y 100678,S200000,02200,0100,Y 100678,S200000,04300,0100,Y 100687,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100687,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100687,A000000,00300,0000,00300EMPLOYEE BENEFITS 100687,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100687,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100687,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100687,A000000,00700,0000,00700HOUSEKEEPING 100687,A000000,00800,0000,00800DIETARY 100687,A000000,00900,0000,00900NURSING ADMINISTRATION 100687,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100687,A000000,01100,0000,01100PHARMACY 100687,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100687,A000000,01300,0000,01300SOCIAL SERVICE 100687,A000000,01600,0000,01600SKILLED NURSING FACILITY 100687,A000000,01800,0000,01800NURSING FACILITY 100687,A000000,02100,0000,02100RADIOLOGY 100687,A000000,02200,0000,02200LABORATORY 100687,A000000,02300,0000,02300INTRAVENOUS THERAPY 100687,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100687,A000000,02500,0000,02500PHYSICAL THERAPY 100687,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100687,A000000,02700,0000,02700SPEECH PATHOLOGY 100687,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100687,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100687,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100687,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100687,A81000A,00100,0100,Y 100687,A81000B,00100,0300,HOME OFFICE - CAPITAL 100687,A81000B,00200,0300,HOME OFFICE - NON CAPITAL 100687,A81000C,00100,0100,A 100687,A81000C,00100,0200,KEITH NICHOLS 100687,A81000C,00100,0400,KB ENTERPRISES 100687,A81000C,00100,0600,LTC MGT 100687,A81000C,00200,0100,A 100687,A81000C,00200,0200,BOBBIE NICHOLS 100687,A81000C,00200,0400,KB ENTERPRISES 100687,A81000C,00200,0600,LTC MGT 100687,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100687,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100687,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100687,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100687,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100687,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100687,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100687,B100000,00000,0800,00000MEALS SERVED :DIETARY 100687,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100687,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100687,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100687,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100687,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100687,S000000,00100,0200,06/02/2000 100687,S200000,00100,0100,726 EAST COKE 100687,S200000,00200,0100,HAMILTON 100687,S200000,00200,0200,TX 100687,S200000,00200,0300,76531- 100687,S200000,00300,0100,HAMILTON 100687,S200000,00300,0200,0045 100687,S200000,00300,0300,R 100687,S200000,00400,0100,FOREST OAKS NURSING HOME 100687,S200000,00400,0200,675473 100687,S200000,00400,0300,03/30/1995 100687,S200000,00400,0500,P 100687,S200000,01500,0100,Y 100695,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100695,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100695,A000000,00300,0000,00300EMPLOYEE BENEFITS 100695,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100695,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100695,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100695,A000000,00700,0000,00700HOUSEKEEPING 100695,A000000,00800,0000,00800DIETARY 100695,A000000,00900,0000,00900NURSING ADMINISTRATION 100695,A000000,00901,0000,00901NURSING ADMINISTRATION 100695,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100695,A000000,01100,0000,01100PHARMACY 100695,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100695,A000000,01300,0000,01300SOCIAL SERVICE 100695,A000000,01350,0000,01500OTHER GENERAL SERVICES 100695,A000000,01351,0000,01501ACTIVITIES 100695,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100695,A000000,01600,0000,01600SKILLED NURSING FACILITY 100695,A000000,01800,0000,01800NURSING FACILITY 100695,A000000,01810,0000,01810ICF/MR 100695,A000000,01900,0000,01900OTHER LONG TERM CARE 100695,A000000,02100,0000,02100RADIOLOGY 100695,A000000,02200,0000,02200LABORATORY 100695,A000000,02300,0000,02300INTRAVENOUS THERAPY 100695,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100695,A000000,02500,0000,02500PHYSICAL THERAPY 100695,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100695,A000000,02700,0000,02700SPEECH PATHOLOGY 100695,A000000,02800,0000,02800ELECTROCARDIOLOGY 100695,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100695,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100695,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100695,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100695,A000000,03200,0000,03200SUPPORT SURFACES 100695,A000000,03400,0000,03400CLINIC 100695,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100695,A000000,03500,0000,03500RURAL HEALTH CLINIC 100695,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100695,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100695,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100695,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100695,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100695,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100695,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100695,A000000,04400,0000,04400DME RENTED - HHA 100695,A000000,04500,0000,04500DME SOLD - HHA 100695,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100695,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100695,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100695,A000000,04800,0000,04800AMBULANCE 100695,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100695,A000000,05000,0000,05000CORF 100695,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100695,A000000,05300,0000,05300INTEREST EXPENSE 100695,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100695,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100695,A000000,05500,0000,05500HOSPICE 100695,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100695,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100695,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100695,A000000,06100,0000,06100NONPAID WORKERS 100695,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100695,A000000,06200,0000,06200PATIENTS LAUNDRY 100695,A81000A,00100,0100,Y 100695,A81000B,00100,0300,HOME OFFICE COST A & G 100695,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 100695,A81000C,00100,0100,B 100695,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 100695,A81000C,00100,0600,NURSING HOME MANAGEMENT 100695,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100695,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100695,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100695,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100695,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100695,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100695,B100000,00000,0800,00000MEALS SERVED :DIETARY 100695,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100695,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100695,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100695,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100695,S000000,00100,0200,02/08/2001 100695,S200000,00100,0100,545 DENVER 100695,S200000,00200,0100,VIDOR 100695,S200000,00200,0200,TX 100695,S200000,00200,0300,75204-6197 100695,S200000,00300,0100,ORANGE 100695,S200000,00300,0200,0840 100695,S200000,00300,0300,U 100695,S200000,00400,0100,CHANGING SEASONS CARE CENTER 100695,S200000,00400,0200,675474 100695,S200000,00400,0300,03/08/1995 100695,S200000,00400,0500,P 100695,S200000,01600,0100,Y 100703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100703,A000000,00300,0000,00300EMPLOYEE BENEFITS 100703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100703,A000000,00700,0000,00700HOUSEKEEPING 100703,A000000,00800,0000,00800DIETARY 100703,A000000,00900,0000,00900NURSING ADMINISTRATION 100703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100703,A000000,01300,0000,01300SOCIAL SERVICE 100703,A000000,01301,0000,01301ACTIVITES 100703,A000000,01350,0000,01500REHABILITATION 100703,A000000,01600,0000,01600SKILLED NURSING FACILITY 100703,A000000,01800,0000,01800NURSING FACILITY 100703,A000000,01900,0000,01900OTHER LONG TERM CARE 100703,A000000,02100,0000,02100RADIOLOGY 100703,A000000,02200,0000,02200LABORATORY 100703,A000000,02300,0000,02300INTRAVENOUS THERAPY 100703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100703,A000000,02500,0000,02500PHYSICAL THERAPY 100703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100703,A000000,02700,0000,02700SPEECH PATHOLOGY 100703,A000000,02800,0000,02800ELECTROCARDIOLOGY 100703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100703,A000000,03050,0000,03300EQUIPMENT RENTAL 100703,A000000,03051,0000,03301PEN THERAPY 100703,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100703,A000000,03200,0000,03200SUPPORT SURFACES 100703,A000000,04800,0000,04800AMBULANCE 100703,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100703,A000000,05300,0000,05300INTEREST EXPENSE 100703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100703,A000000,06150,0000,06300VENDING 100703,A000000,06151,0000,06301STAND-BY 100703,A000000,06200,0000,06200PATIENTS LAUNDRY 100703,A81000A,00100,0100,Y 100703,A81000B,00100,0300,HOME OFFICE COST 100703,A81000B,00200,0300,DIETARY SUPPLEMENTS 100703,A81000B,00300,0300,CENTRAL/NSG SUPPLIES 100703,A81000B,00400,0300,PRESCRIPTION DRUGS 100703,A81000B,00500,0300,MEDICAL SUPPLIES 100703,A81000B,00600,0300,HOME OFFICE INTEREST 100703,A81000B,00700,0300,IV THERAPY 100703,A81000B,00800,0300,THERAPY CONSULTING 100703,A81000B,00900,0300,PHYSICAL THERAPY 100703,A81000B,01000,0300,OCCUPATIONAL THERAPY 100703,A81000B,01100,0300,SPEECH THERAPY 100703,A81000B,01200,0300,ANC EQUIP RENTAL 100703,A81000C,00100,0100,B 100703,A81000C,00100,0200,RM-RAYMONDVILLE 100703,A81000C,00100,0400,MARINER PAN 100703,A81000C,00100,0600,NURSING HOMES 100703,A81000C,00200,0100,G 100703,A81000C,00200,0200,MARINER PAN 100703,A81000C,00200,0400,AMER PHARM SVCS 100703,A81000C,00200,0600,PHARMACEUTICALS 100703,A81000C,00300,0100,G 100703,A81000C,00300,0200,MARINER PAN 100703,A81000C,00300,0400,PRISM-ATS-ARS-T 100703,A81000C,00300,0600,THERAPIES 100703,A81000C,03100,0000,MARINER PAN 100703,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100703,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100703,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100703,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100703,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100703,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100703,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100703,B100000,00000,0800,00001MEALS SERVED :DIETARY 100703,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100703,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100703,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100703,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100703,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100703,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100703,E10A180,00301,0100,03/31/1999 100703,E10A180,00302,0100,09/29/1999 100703,E10A180,00350,0100,06/23/1999 100703,E10A180,00351,0100,01/06/2000 100703,S000000,00100,0200,06/05/2000 100703,S200000,00100,0100,1700 S. EXPRESSWAY 77 100703,S200000,00200,0100,RAYMONDVILLE 100703,S200000,00200,0200,TX 100703,S200000,00200,0300,78580- 100703,S200000,00300,0100,WILLACY CO. 100703,S200000,00300,0300,R 100703,S200000,00400,0100,RETAMA MANOR-RAYMONDVILLE 100703,S200000,00400,0200,675475 100703,S200000,00400,0300,02/07/1995 100703,S200000,00400,0500,P 100703,S200000,01600,0100,Y 100703,S200000,02200,0100,Y 100703,S200000,04300,0100,Y 100709,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100709,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100709,A000000,00300,0000,00300EMPLOYEE BENEFITS 100709,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100709,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100709,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100709,A000000,00700,0000,00700HOUSEKEEPING 100709,A000000,00800,0000,00800DIETARY 100709,A000000,00900,0000,00900NURSING ADMINISTRATION 100709,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100709,A000000,01100,0000,01100PHARMACY 100709,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100709,A000000,01300,0000,01300SOCIAL SERVICE 100709,A000000,01350,0000,01500OTHER GENERAL SERVICES 100709,A000000,01351,0000,01501ACTIVITIES 100709,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100709,A000000,01600,0000,01600SKILLED NURSING FACILITY 100709,A000000,01800,0000,01800NURSING FACILITY 100709,A000000,01810,0000,01810ICF/MR 100709,A000000,01900,0000,01900OTHER LONG TERM CARE 100709,A000000,02100,0000,02100RADIOLOGY 100709,A000000,02200,0000,02200LABORATORY 100709,A000000,02300,0000,02300INTRAVENOUS THERAPY 100709,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100709,A000000,02500,0000,02500PHYSICAL THERAPY 100709,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100709,A000000,02700,0000,02700SPEECH PATHOLOGY 100709,A000000,02800,0000,02800ELECTROCARDIOLOGY 100709,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100709,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100709,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100709,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100709,A000000,03200,0000,03200SUPPORT SURFACES 100709,A000000,03400,0000,03400CLINIC 100709,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100709,A000000,03500,0000,03500RURAL HEALTH CLINIC 100709,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100709,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100709,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100709,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100709,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100709,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100709,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100709,A000000,04400,0000,04400DME RENTED - HHA 100709,A000000,04500,0000,04500DME SOLD - HHA 100709,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100709,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100709,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100709,A000000,04800,0000,04800AMBULANCE 100709,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100709,A000000,05000,0000,05000CORF 100709,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100709,A000000,05300,0000,05300INTEREST EXPENSE 100709,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100709,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100709,A000000,05500,0000,05500HOSPICE 100709,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100709,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100709,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100709,A000000,06100,0000,06100NONPAID WORKERS 100709,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100709,A000000,06200,0000,06200PATIENTS LAUNDRY 100709,A81000A,00100,0100,Y 100709,A81000B,00100,0300,CAP REL - BLDG AND FIXTURES 100709,A81000B,00200,0300,A&G 100709,A81000C,00100,0100,B 100709,A81000C,00100,0400,ADVANCED LIVING TECH INC 100709,A81000C,00100,0600,NURSING HOME OPERATORS 100709,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100709,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100709,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100709,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100709,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100709,B100000,00000,0800,00000MEALS SERVED :DIETARY 100709,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100709,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100709,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100709,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100709,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100709,S000000,00100,0200,05/30/2000 100709,S200000,00100,0100,300 SALMON 100709,S200000,00200,0100,STOCKDALE 100709,S200000,00200,0200,TX 100709,S200000,00200,0300,78160- 100709,S200000,00300,0100,WILSON 100709,S200000,00300,0200,7240 100709,S200000,00300,0300,U 100709,S200000,00400,0100,STOCKDALE NURSING CENTER 100709,S200000,00400,0200,675477 100709,S200000,00400,0300,05/02/1995 100709,S200000,00400,0500,P 100709,S200000,01600,0100,Y 100717,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100717,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 100717,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100717,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 100717,A000000,00300,0000,00300EMPLOYEE BENEFITS 100717,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100717,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100717,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100717,A000000,00700,0000,00700HOUSEKEEPING 100717,A000000,00800,0000,00800DIETARY 100717,A000000,00801,0000,00801CAFETERIA 100717,A000000,00900,0000,00900NURSING ADMINISTRATION 100717,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100717,A000000,01100,0000,01100PHARMACY 100717,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100717,A000000,01300,0000,01300SOCIAL SERVICE 100717,A000000,01350,0000,01500ACTIVITIES 100717,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100717,A000000,01600,0000,01600SKILLED NURSING FACILITY 100717,A000000,01800,0000,01800NURSING FACILITY 100717,A000000,01900,0000,01900OTHER LONG TERM CARE 100717,A000000,02100,0000,02100RADIOLOGY 100717,A000000,02200,0000,02200LABORATORY 100717,A000000,02300,0000,02300INTRAVENOUS THERAPY 100717,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100717,A000000,02500,0000,02500PHYSICAL THERAPY 100717,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100717,A000000,02700,0000,02700SPEECH PATHOLOGY 100717,A000000,02800,0000,02800ELECTROCARDIOLOGY 100717,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100717,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100717,A000000,03050,0000,03300OTHER ANCILLARY 100717,A000000,03051,0000,03301OTHER ANCILLARY II 100717,A000000,03052,0000,03302OTHER ANCILLARY III 100717,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100717,A000000,03200,0000,03200SUPPORT SURFACES 100717,A000000,03400,0000,03400CLINIC 100717,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 100717,A000000,03500,0000,03500RURAL HEALTH CLINIC 100717,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100717,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100717,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100717,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100717,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100717,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100717,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100717,A000000,04400,0000,04400DME RENTED - HHA 100717,A000000,04500,0000,04500DME SOLD - HHA 100717,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100717,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100717,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100717,A000000,04800,0000,04800AMBULANCE 100717,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100717,A000000,05000,0000,05000CORF 100717,A000000,05010,0000,05010CMHC I 100717,A000000,05020,0000,05020OPT I 100717,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100717,A000000,05300,0000,05300INTEREST EXPENSE 100717,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 100717,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 100717,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100717,A000000,05500,0000,05500HOSPICE 100717,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100717,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100717,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100717,A000000,06100,0000,06100NONPAID WORKERS 100717,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100717,A000000,06200,0000,06200PATIENTS LAUNDRY 100717,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 100717,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 100717,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 100717,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100717,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 100717,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 100717,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 100717,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 100717,B100000,00000,0950,00000(DIRECT NRSING HRS :NURSING ADMINIS 100717,B100000,00000,1000,00000(COSTED REQUIS.) :CENTRAL SERVICES 100717,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 100717,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 100717,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 100717,H510100,00000,0000,45 100717,H510100,02400,0000,45 100717,S000000,00100,0200,06/23/2000 100717,S200000,00100,0100,1301 MESA DRIVE 100717,S200000,00200,0100,PLAINVIEW 100717,S200000,00200,0200,TX 100717,S200000,00200,0300,79072- 100717,S200000,00300,0100,HALE 100717,S200000,00300,0200,0045 100717,S200000,00300,0300,R 100717,S200000,00400,0100,PRAIRIE HOUSE LIVING CENTER INC. 100717,S200000,00400,0200,675478 100717,S200000,00400,0300,05/01/1995 100717,S200000,00400,0500,P 100717,S200000,00800,0200,459246 100717,S200000,00800,0300,04/15/1997 100717,S200000,00800,0500,P 100717,S200000,01600,0100,Y 100717,S200000,02200,0100,Y 100717,S410002,01700,0100,45 100724,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100724,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100724,A000000,00300,0000,00300EMPLOYEE BENEFITS 100724,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100724,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100724,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100724,A000000,00700,0000,00700HOUSEKEEPING 100724,A000000,00800,0000,00800DIETARY 100724,A000000,00801,0000,00801CAFETERIA 100724,A000000,00900,0000,00900NURSING ADMINISTRATION 100724,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100724,A000000,01100,0000,01100PHARMACY 100724,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100724,A000000,01300,0000,01300SOCIAL SERVICE 100724,A000000,01600,0000,01600SKILLED NURSING FACILITY 100724,A000000,01800,0000,01800NURSING FACILITY 100724,A000000,01900,0000,01900OTHER LONG TERM CARE 100724,A000000,02100,0000,02100RADIOLOGY 100724,A000000,02200,0000,02200LABORATORY 100724,A000000,02300,0000,02300INTRAVENOUS THERAPY 100724,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100724,A000000,02500,0000,02500PHYSICAL THERAPY 100724,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100724,A000000,02700,0000,02700SPEECH PATHOLOGY 100724,A000000,02800,0000,02800ELECTROCARDIOLOGY 100724,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100724,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100724,A000000,03200,0000,03200SUPPORT SURFACES 100724,A000000,04800,0000,04800AMBULANCE 100724,A000000,05300,0000,05300INTEREST EXPENSE 100724,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100724,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100724,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100724,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100724,A81000A,00100,0100,Y 100724,A81000B,00100,0300,HOME OFFICE COSTS 100724,A81000B,00200,0300,HOME OFFICE COSTS 100724,A81000C,00100,0100,B 100724,A81000C,00100,0200,HEALTHCO INC. 100724,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100724,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100724,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100724,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100724,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100724,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100724,B100000,00000,0800,00000MEALS SERVED :DIETARY 100724,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100724,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100724,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100724,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100724,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100724,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100724,S000000,00100,0200,06/14/2000 100724,S200000,00100,0100,223 S. RESLER 100724,S200000,00200,0100,EL PASO 100724,S200000,00200,0200,TX 100724,S200000,00200,0300,79912- 100724,S200000,00300,0100,EL PASO 100724,S200000,00300,0200,2320 100724,S200000,00300,0300,U 100724,S200000,00400,0100,CORONADO NURSING HOME 100724,S200000,00400,0200,675479 100724,S200000,00400,0300,03/01/1995 100724,S200000,00400,0500,P 100724,S200000,01600,0100,Y 100733,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100733,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100733,A000000,00300,0000,00300EMPLOYEE BENEFITS 100733,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100733,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100733,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100733,A000000,00700,0000,00700HOUSEKEEPING 100733,A000000,00800,0000,00800DIETARY 100733,A000000,00900,0000,00900NURSING ADMINISTRATION 100733,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100733,A000000,01100,0000,01100PHARMACY 100733,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100733,A000000,01300,0000,01300SOCIAL SERVICE 100733,A000000,01350,0000,01500OTHER GENERAL SERVICES 100733,A000000,01351,0000,01501ACTIVITIES 100733,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100733,A000000,01600,0000,01600SKILLED NURSING FACILITY 100733,A000000,01800,0000,01800NURSING FACILITY 100733,A000000,01810,0000,01801ICF/MR 100733,A000000,01900,0000,01900OTHER LONG TERM CARE 100733,A000000,02100,0000,02100RADIOLOGY 100733,A000000,02200,0000,02200LABORATORY 100733,A000000,02300,0000,02300INTRAVENOUS THERAPY 100733,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100733,A000000,02500,0000,02500PHYSICAL THERAPY 100733,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100733,A000000,02700,0000,02700SPEECH PATHOLOGY 100733,A000000,02800,0000,02800ELECTROCARDIOLOGY 100733,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100733,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100733,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100733,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100733,A000000,03200,0000,03200SUPPORT SURFACES 100733,A000000,03201,0000,03201THERAPEUTIC BEDS 100733,A000000,03400,0000,03400CLINIC 100733,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100733,A000000,03500,0000,03500RURAL HEALTH CLINIC 100733,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100733,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100733,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100733,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100733,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100733,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100733,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100733,A000000,04400,0000,04400DME RENTED - HHA 100733,A000000,04500,0000,04500DME SOLD - HHA 100733,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100733,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100733,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100733,A000000,04800,0000,04800AMBULANCE 100733,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100733,A000000,05000,0000,05000CORF 100733,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100733,A000000,05300,0000,05300INTEREST EXPENSE 100733,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100733,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100733,A000000,05500,0000,05500HOSPICE 100733,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100733,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100733,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100733,A000000,06100,0000,06100NONPAID WORKERS 100733,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100733,A000000,06200,0000,06200PATIENTS LAUNDRY 100733,A81000A,00100,0100,Y 100733,A81000B,00100,0300,CAP REL - BLDG AND FIXTUREES 100733,A81000B,00200,0300,A & G 100733,A81000C,00100,0100,B 100733,A81000C,00100,0400,ADVANCED LIVING TECH INC 100733,A81000C,00100,0600,NURSING HOME OPERATORS 100733,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100733,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100733,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100733,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100733,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100733,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100733,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100733,B100000,00000,0800,00000MEALS SERVED :DIETARY 100733,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100733,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100733,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100733,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100733,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100733,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100733,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100733,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100733,S000000,00100,0200,05/30/2000 100733,S200000,00100,0100,114 MEDICAL DRIVE 100733,S200000,00200,0100,VICTORIA 100733,S200000,00200,0200,TX 100733,S200000,00200,0300,77904- 100733,S200000,00300,0100,VICTORIA 100733,S200000,00400,0100,VICTORIA NURSING & REHABILITATION 100733,S200000,00400,0200,675480 100733,S200000,00400,0300,05/04/1995 100733,S200000,00400,0500,P 100733,S700003,00000,0400,4 100740,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100740,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100740,A000000,00300,0000,00300EMPLOYEE BENEFITS 100740,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100740,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100740,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100740,A000000,00700,0000,00700HOUSEKEEPING 100740,A000000,00800,0000,00800DIETARY 100740,A000000,00900,0000,00900NURSING ADMINISTRATION 100740,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100740,A000000,01100,0000,01100PHARMACY 100740,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100740,A000000,01300,0000,01300SOCIAL SERVICE 100740,A000000,01301,0000,01301ACTIVITIES 100740,A000000,01350,0000,01500OTHER GENERAL SERVICES 100740,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100740,A000000,01600,0000,01600SKILLED NURSING FACILITY 100740,A000000,01800,0000,01800NURSING FACILITY 100740,A000000,01810,0000,01810ICF/MR 100740,A000000,01900,0000,01900OTHER LONG TERM CARE 100740,A000000,02100,0000,02100RADIOLOGY 100740,A000000,02200,0000,02200LABORATORY 100740,A000000,02300,0000,02300INTRAVENOUS THERAPY 100740,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100740,A000000,02500,0000,02500PHYSICAL THERAPY 100740,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100740,A000000,02700,0000,02700SPEECH PATHOLOGY 100740,A000000,02800,0000,02800ELECTROCARDIOLOGY 100740,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100740,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100740,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100740,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100740,A000000,03200,0000,03200SUPPORT SURFACES 100740,A000000,03400,0000,03400CLINIC 100740,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100740,A000000,03500,0000,03500RURAL HEALTH CLINIC 100740,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100740,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100740,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100740,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100740,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100740,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100740,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100740,A000000,04400,0000,04400DME RENTED - HHA 100740,A000000,04500,0000,04500DME SOLD - HHA 100740,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100740,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100740,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100740,A000000,04800,0000,04800AMBULANCE 100740,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100740,A000000,05000,0000,05000CORF 100740,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100740,A000000,05300,0000,05300INTEREST EXPENSE 100740,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100740,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100740,A000000,05500,0000,05500HOSPICE 100740,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100740,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100740,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100740,A000000,06100,0000,06100NONPAID WORKERS 100740,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100740,A000000,06200,0000,06200PATIENTS LAUNDRY 100740,A81000A,00100,0100,Y 100740,A81000B,00100,0300,MANAGEMENT FEES 100740,A81000B,00200,0300,CAPITAL 100740,A81000C,00100,0100,B 100740,A81000C,00100,0200,NEWCARE HEALTH CORP 100740,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100740,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100740,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100740,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100740,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100740,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100740,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100740,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100740,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100740,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100740,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100740,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100740,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100740,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 100740,B100000,00000,1350,00000TIME SPENT :OTHER GENERAL SERVICES 100740,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100740,S000000,00100,0200,05/16/2001 100740,S200000,00100,0100,101 WOODLAND PARK DRIVE 100740,S200000,00100,0300,1434 100740,S200000,00200,0100,SHEPHERD 100740,S200000,00200,0200,TX 100740,S200000,00200,0300,77371- 100740,S200000,00300,0100,SAN JACINTO 100740,S200000,00400,0100,WOODLAND PARK 100740,S200000,00400,0200,675484 100740,S200000,00400,0300,05/09/1995 100740,S200000,00400,0500,P 100740,S200000,01600,0100,Y 100748,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100748,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100748,A000000,00300,0000,00300EMPLOYEE BENEFITS 100748,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100748,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100748,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100748,A000000,00700,0000,00700HOUSEKEEPING 100748,A000000,00800,0000,00800DIETARY 100748,A000000,00900,0000,00900NURSING ADMINISTRATION 100748,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100748,A000000,01100,0000,01100PHARMACY 100748,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100748,A000000,01300,0000,01300SOCIAL SERVICE 100748,A000000,01350,0000,01500OTHER GENERAL SERVICES 100748,A000000,01351,0000,01501ACTIVITIES 100748,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100748,A000000,01600,0000,01600SKILLED NURSING FACILITY 100748,A000000,01800,0000,01800NURSING FACILITY 100748,A000000,01810,0000,01810ICF/MR 100748,A000000,01900,0000,01900OTHER LONG TERM CARE 100748,A000000,02100,0000,02100RADIOLOGY 100748,A000000,02200,0000,02200LABORATORY 100748,A000000,02300,0000,02300INTRAVENOUS THERAPY 100748,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100748,A000000,02500,0000,02500PHYSICAL THERAPY 100748,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100748,A000000,02700,0000,02700SPEECH PATHOLOGY 100748,A000000,02800,0000,02800ELECTROCARDIOLOGY 100748,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100748,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100748,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100748,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100748,A000000,03200,0000,03200SUPPORT SURFACES 100748,A000000,03400,0000,03400CLINIC 100748,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100748,A000000,03500,0000,03500RURAL HEALTH CLINIC 100748,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100748,A000000,04800,0000,04800AMBULANCE 100748,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100748,A000000,05000,0000,05000CORF 100748,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100748,A000000,05300,0000,05300INTEREST EXPENSE 100748,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100748,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100748,A000000,05500,0000,05500HOSPICE 100748,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100748,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100748,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100748,A000000,06100,0000,06100NONPAID WORKERS 100748,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100748,A000000,06200,0000,06200PATIENTS LAUNDRY 100748,A81000A,00100,0100,Y 100748,A81000B,00100,0300,A&G 100748,A81000C,00100,0100,A 100748,A81000C,00100,0400,HASMARK CORPORATION 100748,A81000C,00100,0600,NURSING HOME OPERATORS 100748,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100748,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100748,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100748,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100748,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100748,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100748,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100748,B100000,00000,0800,00000MEALS SERVED :DIETARY 100748,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100748,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100748,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100748,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100748,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100748,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100748,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100748,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100748,S000000,00100,0200,06/09/2000 100748,S200000,00100,0100,HIGHWAY 19 NORTH 100748,S200000,00100,0300,PO BOX 40 100748,S200000,00200,0100,EMORY 100748,S200000,00200,0200,TX 100748,S200000,00200,0300,75440- 100748,S200000,00300,0100,RAINS 100748,S200000,00400,0100,GREEN ACRES NURSING CENTER 100748,S200000,00400,0200,675488 100748,S200000,00400,0300,01/20/1995 100748,S200000,00400,0500,P 100748,S200000,01600,0100,Y 100754,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100754,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100754,A000000,00300,0000,00300EMPLOYEE BENEFITS 100754,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100754,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100754,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100754,A000000,00700,0000,00700HOUSEKEEPING 100754,A000000,00800,0000,00800DIETARY 100754,A000000,00900,0000,00900NURSING ADMINISTRATION 100754,A000000,00901,0000,00901NURSING ADMINISTRATION 100754,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100754,A000000,01100,0000,01100PHARMACY 100754,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100754,A000000,01300,0000,01300SOCIAL SERVICE 100754,A000000,01350,0000,01500OTHER GENERAL SERVICES 100754,A000000,01351,0000,01501OTHER GENERAL SERVICE COST CENTERS 100754,A000000,01352,0000,01502ACTIVITIES 100754,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100754,A000000,01600,0000,01600SKILLED NURSING FACILITY 100754,A000000,01800,0000,01800NURSING FACILITY 100754,A000000,01810,0000,01810ICF/MR 100754,A000000,01900,0000,01900OTHER LONG TERM CARE 100754,A000000,02100,0000,02100RADIOLOGY 100754,A000000,02200,0000,02200LABORATORY 100754,A000000,02300,0000,02300INTRAVENOUS THERAPY 100754,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100754,A000000,02500,0000,02500PHYSICAL THERAPY 100754,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100754,A000000,02700,0000,02700SPEECH PATHOLOGY 100754,A000000,02800,0000,02800ELECTROCARDIOLOGY 100754,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100754,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100754,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100754,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100754,A000000,03200,0000,03200SUPPORT SURFACES 100754,A000000,03400,0000,03400CLINIC 100754,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100754,A000000,03500,0000,03500RURAL HEALTH CLINIC 100754,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100754,A000000,04800,0000,04800AMBULANCE 100754,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100754,A000000,05000,0000,05000CORF 100754,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100754,A000000,05300,0000,05300INTEREST EXPENSE 100754,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100754,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100754,A000000,05500,0000,05500HOSPICE 100754,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100754,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100754,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100754,A000000,06100,0000,06100NONPAID WORKERS 100754,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100754,A000000,06200,0000,06200PATIENTS LAUNDRY 100754,A81000A,00100,0100,Y 100754,A81000B,00100,0300,HOME OFFICE COST A & G 100754,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 100754,A81000C,00100,0100,B 100754,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 100754,A81000C,00100,0600,HEALTH CARE MANAGEMENT 100754,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100754,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100754,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100754,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100754,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100754,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100754,B100000,00000,0800,00000MEALS SERVED :DIETARY 100754,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100754,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100754,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100754,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100754,B100000,00000,1351,00000PATIENT DAYS :OTHER GENERAL SERVIC 100754,B100000,00000,1352,00000PATIENT DAYS :ACTIVITIES 100754,S000000,00100,0200,12/12/2000 100754,S200000,00100,0100,104 ENTERPRISE 100754,S200000,00200,0100,DEVINE 100754,S200000,00200,0200,TX 100754,S200000,00200,0300,78016- 100754,S200000,00300,0100,MEDINA 100754,S200000,00300,0200,45 100754,S200000,00300,0300,R 100754,S200000,00400,0100,COLONIAL PARK MANOR 100754,S200000,00400,0200,675489 100754,S200000,00400,0300,04/01/1995 100754,S200000,00400,0500,P 100754,S200000,01600,0100,Y 100762,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100762,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100762,A000000,00300,0000,00300EMPLOYEE BENEFITS 100762,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100762,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100762,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100762,A000000,00700,0000,00700HOUSEKEEPING 100762,A000000,00800,0000,00800DIETARY 100762,A000000,00900,0000,00900NURSING ADMINISTRATION 100762,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100762,A000000,01100,0000,01100PHARMACY 100762,A000000,01300,0000,01300SOCIAL SERVICE 100762,A000000,01600,0000,01600SKILLED NURSING FACILITY 100762,A000000,01800,0000,01800NURSING FACILITY 100762,A000000,02100,0000,02100RADIOLOGY 100762,A000000,02200,0000,02200LABORATORY 100762,A000000,02300,0000,02300INTRAVENOUS THERAPY 100762,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100762,A000000,02500,0000,02500PHYSICAL THERAPY 100762,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100762,A000000,02700,0000,02700SPEECH PATHOLOGY 100762,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100762,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100762,A000000,03200,0000,03200SUPPORT SURFACES 100762,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100762,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100762,A81000A,00100,0100,Y 100762,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COST 100762,A81000B,00200,0300,HOME OFFICE ADMIN RELATED COST 100762,A81000C,00100,0100,B 100762,A81000C,00100,0200,MJ MANAGEMENT GROUP 100762,A81000C,00100,0600,LTC OPERATIONS 100762,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100762,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100762,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100762,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100762,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100762,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100762,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100762,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100762,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100762,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100762,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100762,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 100762,S000000,00100,0200,03/09/2000 100762,S200000,00100,0100,1104 SOUTH WILLIAMS 100762,S200000,00100,0300,219 100762,S200000,00200,0100,ATLANTA 100762,S200000,00200,0200,TX 100762,S200000,00200,0300,75551-0219 100762,S200000,00300,0100,CASS 100762,S200000,00300,0200,0045 100762,S200000,00300,0300,R 100762,S200000,00400,0100,GOLDEN VILLA NURSING HOME 100762,S200000,00400,0200,675490 100762,S200000,00400,0300,05/26/1995 100762,S200000,00400,0500,P 100762,S200000,01600,0100,Y 100772,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100772,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100772,A000000,00300,0000,00300EMPLOYEE BENEFITS 100772,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100772,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100772,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100772,A000000,00700,0000,00700HOUSEKEEPING 100772,A000000,00800,0000,00800DIETARY 100772,A000000,00801,0000,00801CAFETERIA 100772,A000000,00900,0000,00900NURSING ADMINISTRATION 100772,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100772,A000000,01100,0000,01100PHARMACY 100772,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100772,A000000,01300,0000,01300SOCIAL SERVICE 100772,A000000,01600,0000,01600SKILLED NURSING FACILITY 100772,A000000,01800,0000,01800NURSING FACILITY 100772,A000000,01900,0000,01900OTHER LONG TERM CARE 100772,A000000,02100,0000,02100RADIOLOGY 100772,A000000,02200,0000,02200LABORATORY 100772,A000000,02300,0000,02300INTRAVENOUS THERAPY 100772,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100772,A000000,02500,0000,02500PHYSICAL THERAPY 100772,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100772,A000000,02700,0000,02700SPEECH PATHOLOGY 100772,A000000,02800,0000,02800ELECTROCARDIOLOGY 100772,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100772,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100772,A000000,03200,0000,03200SUPPORT SURFACES 100772,A000000,04800,0000,04800AMBULANCE 100772,A000000,05300,0000,05300INTEREST EXPENSE 100772,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100772,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100772,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100772,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100772,A81000A,00100,0100,Y 100772,A81000B,00100,0300,OWNERS COMP 100772,A81000B,00200,0300,OWNERS COMP 100772,A81000C,00100,0100,A 100772,A81000C,00100,0200,R. JORDAN 100772,A81000C,00200,0100,A 100772,A81000C,00200,0200,B. JORDAN 100772,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100772,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100772,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100772,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100772,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100772,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100772,B100000,00000,0800,00000MEALS SERVED :DIETARY 100772,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100772,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100772,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100772,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100772,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100772,S000000,00100,0200,06/09/2000 100772,S200000,00100,0100,2714 MORRISON STREET 100772,S200000,00200,0100,HOUSTON 100772,S200000,00200,0200,TX 100772,S200000,00200,0300,77009- 100772,S200000,00300,0100,HARRIS 100772,S200000,00300,0200,3360 100772,S200000,00300,0300,U 100772,S200000,00400,0100,HIGHLAND PARK CARE CENTER 100772,S200000,00400,0200,675493 100772,S200000,00400,0300,11/01/1994 100772,S200000,00400,0500,P 100772,S200000,01600,0100,Y 100780,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100780,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100780,A000000,00300,0000,00300EMPLOYEE BENEFITS 100780,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100780,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100780,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100780,A000000,00700,0000,00700HOUSEKEEPING 100780,A000000,00800,0000,00800DIETARY 100780,A000000,00900,0000,00900NURSING ADMINISTRATION 100780,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100780,A000000,01100,0000,01100PHARMACY 100780,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100780,A000000,01300,0000,01300SOCIAL SERVICE 100780,A000000,01351,0000,01301ACTIVITIES 100780,A000000,01600,0000,01600SKILLED NURSING FACILITY 100780,A000000,01800,0000,01800NURSING FACILITY 100780,A000000,02100,0000,02100RADIOLOGY 100780,A000000,02200,0000,02200LABORATORY 100780,A000000,02300,0000,02300INTRAVENOUS THERAPY 100780,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100780,A000000,02500,0000,02500PHYSICAL THERAPY 100780,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100780,A000000,02700,0000,02700SPEECH PATHOLOGY 100780,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100780,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100780,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100780,A000000,03051,0000,03301MEDICAL EQUIPMENT 100780,A000000,04800,0000,04800AMBULANCE 100780,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100780,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100780,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100780,A81000A,00100,0100,Y 100780,A81000B,00100,0300,HOME OFFICE CAPITAL 100780,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100780,A81000B,00300,0300,WAREHOUSE 100780,A81000C,00100,0100,A 100780,A81000C,00100,0200,PETER C. KERN 100780,A81000C,00100,0400,HEA MANAGEMENT GROUP 100780,A81000C,00100,0600,HOME OFFICE 100780,A81000C,00200,0100,A 100780,A81000C,00200,0200,PETER C. KERN 100780,A81000C,00200,0400,WAREHOUSE STORAGE 100780,A81000C,00200,0600,OLD RECORD STORAGE 100780,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100780,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100780,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100780,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100780,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100780,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100780,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100780,B100000,00000,0800,00000MEALS SERVED :DIETARY 100780,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100780,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100780,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100780,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100780,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100780,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100780,S000000,00100,0200,05/30/2000 100780,S200000,00100,0100,316 GENERAL CAVZOS BLVD 100780,S200000,00200,0100,KINGSVILLE 100780,S200000,00200,0200,TX 100780,S200000,00200,0300,78363-7245 100780,S200000,00300,0100,KLEBERG 100780,S200000,00300,0300,R 100780,S200000,00400,0100,CANTERBURY VILLA OF KINGSVILLE 100780,S200000,00400,0200,675494 100780,S200000,00400,0300,06/07/1995 100780,S200000,00400,0500,P 100780,S200000,01600,0100,Y 100780,S200000,02200,0100,Y 100780,S200000,04300,0100,Y 100791,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100791,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100791,A000000,00300,0000,00300EMPLOYEE BENEFITS 100791,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100791,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100791,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100791,A000000,00700,0000,00700HOUSEKEEPING 100791,A000000,00800,0000,00800DIETARY 100791,A000000,00900,0000,00900NURSING ADMINISTRATION 100791,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100791,A000000,01100,0000,01100PHARMACY 100791,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100791,A000000,01300,0000,01300SOCIAL SERVICE 100791,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100791,A000000,01600,0000,01600SKILLED NURSING FACILITY 100791,A000000,01900,0000,01900OTHER LONG TERM CARE 100791,A000000,02100,0000,02100RADIOLOGY 100791,A000000,02200,0000,02200LABORATORY 100791,A000000,02300,0000,02300INTRAVENOUS THERAPY 100791,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100791,A000000,02500,0000,02500PHYSICAL THERAPY 100791,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100791,A000000,02700,0000,02700SPEECH PATHOLOGY 100791,A000000,02800,0000,02800ELECTROCARDIOLOGY 100791,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100791,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100791,A000000,03050,0000,03201ENTERNAL THERAPY 100791,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100791,A000000,03200,0000,03200SUPPORT SURFACES 100791,A000000,03400,0000,03400CLINIC 100791,A000000,04800,0000,04800AMBULANCE 100791,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100791,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100791,A000000,05300,0000,05300INTEREST EXPENSE 100791,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100791,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100791,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100791,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100791,A000000,06100,0000,06100NONPAID WORKERS 100791,A000000,06200,0000,06200PATIENTS LAUNDRY 100791,A81000A,00100,0100,Y 100791,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100791,A81000B,00200,0300,LAUNDRY SERVICES 100791,A81000B,00300,0300,MENU PLANNING 100791,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100791,A81000B,00500,0300,CENTRAL OFFICE: EQUIP 100791,A81000B,00600,0300,DRUGS 100791,A81000C,00100,0100,B 100791,A81000C,00100,0200,CANTEX HC CTRS 100791,A81000C,00100,0600,LTC MANAGEMENT 100791,A81000C,00200,0100,B 100791,A81000C,00200,0200,HEALTHCARE LNEN 100791,A81000C,00200,0600,LAUNDRY SERVICE 100791,A81000C,00300,0100,A 100791,A81000C,00300,0200,ALBERT J. LONGO 100791,A81000C,00300,0400,NOVA 100791,A81000C,00300,0600,MENU PLANNING 100791,A81000C,00400,0100,B 100791,A81000C,00400,0200,CANTEX HC CTRS 100791,A81000C,00400,0600,LTC MANAGEMENT 100791,A81000C,00500,0100,B 100791,A81000C,00500,0200,CANTEX HC CTRS 100791,A81000C,00500,0600,LTC MANAGEMENT 100791,A81000C,00600,0100,B 100791,A81000C,00600,0200,CANTEX HC CTRS 100791,A81000C,00600,0400,PHARMACARE 100791,A81000C,00600,0600,LTC MANAGEMENT 100791,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100791,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100791,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100791,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100791,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100791,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100791,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100791,B100000,00000,0800,00000MEALS SERVED :DIETARY 100791,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100791,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100791,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100791,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100791,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100791,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100791,S000000,00100,0200,05/31/2000 100791,S200000,00100,0100,416 SHIRLEY STREET 100791,S200000,00200,0100,ALVIN 100791,S200000,00200,0200,TX 100791,S200000,00200,0300,77511- 100791,S200000,00300,0100,BRAZORIA 100791,S200000,00400,0100,ALVIN CONVALESCENT CENTER 100791,S200000,00400,0200,675495 100791,S200000,00400,0300,09/12/1995 100791,S200000,00400,0500,P 100791,S200000,01600,0100,Y 100797,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100797,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100797,A000000,00300,0000,00300EMPLOYEE BENEFITS 100797,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100797,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100797,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100797,A000000,00700,0000,00700HOUSEKEEPING 100797,A000000,00800,0000,00800DIETARY 100797,A000000,00801,0000,00801CAFETERIA 100797,A000000,00900,0000,00900NURSING ADMINISTRATION 100797,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100797,A000000,01100,0000,01100PHARMACY 100797,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100797,A000000,01300,0000,01300SOCIAL SERVICE 100797,A000000,01600,0000,01600SKILLED NURSING FACILITY 100797,A000000,01800,0000,01800NURSING FACILITY 100797,A000000,01900,0000,01900OTHER LONG TERM CARE 100797,A000000,02100,0000,02100RADIOLOGY 100797,A000000,02200,0000,02200LABORATORY 100797,A000000,02300,0000,02300INTRAVENOUS THERAPY 100797,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100797,A000000,02500,0000,02500PHYSICAL THERAPY 100797,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100797,A000000,02700,0000,02700SPEECH PATHOLOGY 100797,A000000,02800,0000,02800ELECTROCARDIOLOGY 100797,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100797,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100797,A000000,03200,0000,03200SUPPORT SURFACES 100797,A000000,04800,0000,04800AMBULANCE 100797,A000000,05300,0000,05300INTEREST EXPENSE 100797,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100797,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100797,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100797,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100797,A81000A,00100,0100,Y 100797,A81000B,00100,0300,CENTRAL OFC COSTS 100797,A81000B,00200,0300,MACHINE ACCTG 100797,A81000B,00300,0300,RENTAL LS PLANE 100797,A81000B,00400,0300,FUEL REIMBURSEMENT 100797,A81000B,00500,0300,RENTAL LS TRNS EQUIP 100797,A81000B,00600,0300,TELEPHONE REIMBURS 100797,A81000B,00700,0300,INSURANCE REIMBURS 100797,A81000B,00800,0300,TRAVEL REIMBURS 100797,A81000B,00900,0300,RENTAL LS BLDG 100797,A81000B,01000,0300,PROPERTY COSTS 100797,A81000C,00100,0100,B 100797,A81000C,00100,0200,J W MOORE SR 100797,A81000C,00100,0400,CENTEX MGMT 100797,A81000C,00100,0600,N F MGMT 100797,A81000C,00200,0100,B 100797,A81000C,00200,0200,J W MOORE SR 100797,A81000C,00200,0400,SLATON LEASING 100797,A81000C,00200,0600,REIT 100797,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100797,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100797,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100797,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100797,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100797,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100797,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100797,B100000,00000,0800,00000MEALS SERVED :DIETARY 100797,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100797,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100797,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100797,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100797,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100797,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100797,S000000,00100,0200,06/09/2000 100797,S200000,00100,0100,630 S. 19TH 100797,S200000,00200,0100,SLATON 100797,S200000,00200,0200,TX 100797,S200000,00200,0300,79364- 100797,S200000,00300,0100,LUBBOCK 100797,S200000,00400,0100,SLATON CARE CENTER 100797,S200000,00400,0200,675496 100797,S200000,00400,0300,06/09/1995 100797,S200000,00400,0500,P 100797,S200000,01500,0100,Y 100797,S700003,00000,0100,1 100809,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100809,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100809,A000000,00300,0000,00300EMPLOYEE BENEFITS 100809,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100809,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100809,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100809,A000000,00700,0000,00700HOUSEKEEPING 100809,A000000,00800,0000,00800DIETARY 100809,A000000,00900,0000,00900NURSING ADMINISTRATION 100809,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100809,A000000,01100,0000,01100PHARMACY 100809,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100809,A000000,01300,0000,01300SOCIAL SERVICE 100809,A000000,01351,0000,01301ACTIVITIES 100809,A000000,01600,0000,01600SKILLED NURSING FACILITY 100809,A000000,01800,0000,01800NURSING FACILITY 100809,A000000,02100,0000,02100RADIOLOGY 100809,A000000,02200,0000,02200LABORATORY 100809,A000000,02300,0000,02300INTRAVENOUS THERAPY 100809,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100809,A000000,02500,0000,02500PHYSICAL THERAPY 100809,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100809,A000000,02700,0000,02700SPEECH PATHOLOGY 100809,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100809,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100809,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100809,A000000,03051,0000,03301MEDICAL EQUIPMENT 100809,A000000,04800,0000,04800AMBULANCE 100809,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100809,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100809,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100809,A81000A,00100,0100,Y 100809,A81000B,00100,0300,HOME OFFICE CAPITAL 100809,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100809,A81000B,00300,0300,WAREHOUSE 100809,A81000C,00100,0100,A 100809,A81000C,00100,0200,PETER C. KERN 100809,A81000C,00100,0400,HEA MANAGEMENT GROUP 100809,A81000C,00100,0600,HOME OFFICE 100809,A81000C,00200,0100,A 100809,A81000C,00200,0200,PETER C. KERN 100809,A81000C,00200,0400,WAREHOUSE STORAGE 100809,A81000C,00200,0600,OLD RECORD STORAGE 100809,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100809,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100809,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100809,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100809,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100809,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100809,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100809,B100000,00000,0800,00000MEALS SERVED :DIETARY 100809,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100809,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100809,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100809,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100809,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100809,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100809,S000000,00100,0200,01/28/2000 100809,S200000,00100,0100,1333 JEFFERSON 100809,S200000,00200,0100,SULPHUR SPRINGS 100809,S200000,00200,0200,TX 100809,S200000,00200,0300,75482- 100809,S200000,00300,0100,HOPKINS 100809,S200000,00300,0200,45 100809,S200000,00300,0300,R 100809,S200000,00400,0100,HOPKINS COUNTY NURSING HOME 100809,S200000,00400,0200,675500 100809,S200000,00400,0300,04/06/1995 100809,S200000,00400,0500,P 100809,S200000,01600,0100,Y 100809,S200000,02200,0100,Y 100809,S200000,04300,0100,Y 100815,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100815,A000000,00300,0000,00300EMPLOYEE BENEFITS 100815,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100815,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100815,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100815,A000000,00700,0000,00700HOUSEKEEPING 100815,A000000,00800,0000,00800DIETARY 100815,A000000,00900,0000,00900NURSING ADMINISTRATION 100815,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100815,A000000,01100,0000,01100PHARMACY 100815,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100815,A000000,01300,0000,01300SOCIAL SERVICE 100815,A000000,01600,0000,01600SKILLED NURSING FACILITY 100815,A000000,01800,0000,01800NURSING FACILITY 100815,A000000,01900,0000,01900OTHER LONG TERM CARE 100815,A000000,02100,0000,02100RADIOLOGY 100815,A000000,02200,0000,02200LABORATORY 100815,A000000,02300,0000,02300INTRAVENOUS THERAPY 100815,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100815,A000000,02500,0000,02500PHYSICAL THERAPY 100815,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100815,A000000,02700,0000,02700SPEECH PATHOLOGY 100815,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100815,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100815,A000000,03200,0000,03200SUPPORT SURFACES 100815,A000000,05300,0000,05300INTEREST EXPENSE 100815,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100815,A81000A,00100,0100,Y 100815,A81000B,00100,0300,PROPERTY RLTD COSTS 100815,A81000C,00100,0100,A 100815,A81000C,00100,0200,NORMA CARTER 100815,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100815,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100815,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100815,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100815,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100815,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100815,B100000,00000,0800,00000MEALS SERVED :DIETARY 100815,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100815,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100815,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100815,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100815,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100815,S000000,00100,0200,03/28/2000 100815,S200000,00100,0100,3300 W SECOND ST 100815,S200000,00200,0100,CORSICANA 100815,S200000,00200,0200,TX 100815,S200000,00200,0300,75110-2412 100815,S200000,00300,0100,NAVARRO 100815,S200000,00400,0100,REMBRANDT CENTER 100815,S200000,00400,0200,675501 100815,S200000,00400,0300,06/16/1995 100815,S200000,00400,0500,P 100815,S200000,01600,0100,Y 100815,S700003,00000,0100,1 100817,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100817,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100817,A000000,00300,0000,00300EMPLOYEE BENEFITS 100817,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100817,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100817,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100817,A000000,00700,0000,00700HOUSEKEEPING 100817,A000000,00800,0000,00800DIETARY 100817,A000000,00801,0000,00801CAFETERIA 100817,A000000,00900,0000,00900NURSING ADMINISTRATION 100817,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100817,A000000,01100,0000,01100PHARMACY 100817,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100817,A000000,01300,0000,01300SOCIAL SERVICE 100817,A000000,01600,0000,01600SKILLED NURSING FACILITY 100817,A000000,01800,0000,01800NURSING FACILITY 100817,A000000,01900,0000,01900OTHER LONG TERM CARE 100817,A000000,02100,0000,02100RADIOLOGY 100817,A000000,02200,0000,02200LABORATORY 100817,A000000,02300,0000,02300INTRAVENOUS THERAPY 100817,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100817,A000000,02500,0000,02500PHYSICAL THERAPY 100817,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100817,A000000,02700,0000,02700SPEECH PATHOLOGY 100817,A000000,02800,0000,02800ELECTROCARDIOLOGY 100817,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100817,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100817,A000000,03200,0000,03200SUPPORT SURFACES 100817,A000000,04800,0000,04800AMBULANCE 100817,A000000,05300,0000,05300INTEREST EXPENSE 100817,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100817,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100817,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100817,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100817,A81000A,00100,0100,Y 100817,A81000B,00100,0300,CENTRAL OFC COSTS 100817,A81000B,00200,0300,MACHINE ACCOUNTING 100817,A81000B,00300,0300,TELEPHONE 100817,A81000B,00400,0300,HLTH INSUR 100817,A81000B,00500,0300,TRAVEL 100817,A81000B,00600,0300,C O CAP RLTD COSTS 100817,A81000C,00100,0100,B 100817,A81000C,00100,0200,J W MOORE SR. 100817,A81000C,00100,0400,CENTEX MGMT 100817,A81000C,00100,0600,N F MGMT 100817,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100817,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100817,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100817,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100817,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100817,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100817,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100817,B100000,00000,0800,00000MEALS SERVED :DIETARY 100817,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100817,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100817,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100817,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100817,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100817,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100817,S000000,00100,0200,06/08/2000 100817,S200000,00100,0100,3300 W SECOND STREET 100817,S200000,00200,0100,CORSICANA 100817,S200000,00200,0200,TX 100817,S200000,00200,0300,75110- 100817,S200000,00300,0100,NAVARRO 100817,S200000,00400,0100,HERITAGE OAKS WEST 100817,S200000,00400,0200,675501 100817,S200000,00400,0300,03/01/1999 100817,S200000,00400,0500,P 100817,S200000,01600,0100,Y 100817,S700003,00000,0200,2 100823,S000000,00100,0200,05/01/2000 100830,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100830,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100830,A000000,00300,0000,00300EMPLOYEE BENEFITS 100830,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100830,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100830,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100830,A000000,00700,0000,00700HOUSEKEEPING 100830,A000000,00800,0000,00800DIETARY 100830,A000000,00900,0000,00900NURSING ADMINISTRATION 100830,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100830,A000000,01100,0000,01100PHARMACY 100830,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100830,A000000,01300,0000,01300SOCIAL SERVICE 100830,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100830,A000000,01600,0000,01600SKILLED NURSING FACILITY 100830,A000000,01900,0000,01900OTHER LONG TERM CARE 100830,A000000,02100,0000,02100RADIOLOGY 100830,A000000,02200,0000,02200LABORATORY 100830,A000000,02300,0000,02300INTRAVENOUS THERAPY 100830,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100830,A000000,02500,0000,02500PHYSICAL THERAPY 100830,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100830,A000000,02700,0000,02700SPEECH PATHOLOGY 100830,A000000,02800,0000,02800ELECTROCARDIOLOGY 100830,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100830,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100830,A000000,03050,0000,03201ENTERNAL THERAPY 100830,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100830,A000000,03200,0000,03200SUPPORT SURFACES 100830,A000000,03400,0000,03400CLINIC 100830,A000000,04800,0000,04800AMBULANCE 100830,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100830,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100830,A000000,05300,0000,05300INTEREST EXPENSE 100830,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100830,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100830,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100830,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100830,A000000,06100,0000,06100NONPAID WORKERS 100830,A000000,06200,0000,06200PATIENTS LAUNDRY 100830,A81000A,00100,0100,Y 100830,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100830,A81000B,00200,0300,LAUNDRY SERVICE 100830,A81000B,00300,0300,MENU PLANNING 100830,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100830,A81000B,00500,0300,CENTRAL OFFICE: EQUIP 100830,A81000B,00600,0300,CENTRAL SUPPLY 100830,A81000C,00100,0100,B 100830,A81000C,00100,0200,CANTEX HC CTRS 100830,A81000C,00100,0600,LTC MANAGEMENT 100830,A81000C,00200,0100,B 100830,A81000C,00200,0200,HEALTHCARE LNEN 100830,A81000C,00200,0600,LAUNDRY SERVICE 100830,A81000C,00300,0100,A 100830,A81000C,00300,0200,ALBERT J. LONGO 100830,A81000C,00300,0400,NOVA 100830,A81000C,00300,0600,MENU PLANNING 100830,A81000C,00400,0100,B 100830,A81000C,00400,0200,CANTEX HC CTRS 100830,A81000C,00400,0600,LTC MANAGEMENT 100830,A81000C,00500,0100,B 100830,A81000C,00500,0200,CANTEX HC CTRS 100830,A81000C,00500,0600,LTC MANAGEMENT 100830,A81000C,00600,0100,B 100830,A81000C,00600,0200,PHARMACARE 100830,A81000C,00600,0600,PHARMACY 100830,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100830,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100830,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100830,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100830,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100830,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100830,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100830,B100000,00000,0800,00000MEALS SERVED :DIETARY 100830,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100830,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100830,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100830,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100830,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100830,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100830,E10A180,00350,0100,12/31/1999 100830,S000000,00100,0200,05/31/2000 100830,S200000,00100,0100,1001 N. ARMSTRONG 100830,S200000,00200,0100,DENISON 100830,S200000,00200,0200,TX 100830,S200000,00200,0300,75020- 100830,S200000,00300,0100,GRAYSON 100830,S200000,00400,0100,BRENTWOOD PLACE 100830,S200000,00400,0200,675503 100830,S200000,00400,0300,06/12/1995 100830,S200000,00400,0500,P 100830,S200000,01600,0100,Y 100830,S700003,00000,0100,1 100838,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100838,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100838,A000000,00300,0000,00300EMPLOYEE BENEFITS 100838,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100838,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100838,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100838,A000000,00700,0000,00700HOUSEKEEPING 100838,A000000,00800,0000,00800DIETARY 100838,A000000,00900,0000,00900NURSING ADMINISTRATION 100838,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100838,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100838,A000000,01300,0000,01300SOCIAL SERVICE 100838,A000000,01301,0000,01301ACTIVITES 100838,A000000,01350,0000,01500REHABILITATION 100838,A000000,01600,0000,01600SKILLED NURSING FACILITY 100838,A000000,01800,0000,01800NURSING FACILITY 100838,A000000,01900,0000,01900OTHER LONG TERM CARE 100838,A000000,02100,0000,02100RADIOLOGY 100838,A000000,02200,0000,02200LABORATORY 100838,A000000,02300,0000,02300INTRAVENOUS THERAPY 100838,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100838,A000000,02500,0000,02500PHYSICAL THERAPY 100838,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100838,A000000,02700,0000,02700SPEECH PATHOLOGY 100838,A000000,02800,0000,02800ELECTROCARDIOLOGY 100838,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100838,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100838,A000000,03050,0000,03300EQUIPMENT RENTAL 100838,A000000,03051,0000,03301PEN THERAPY 100838,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100838,A000000,03200,0000,03200SUPPORT SURFACES 100838,A000000,04800,0000,04800AMBULANCE 100838,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100838,A000000,05300,0000,05300INTEREST EXPENSE 100838,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100838,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100838,A000000,06150,0000,06300VENDING 100838,A000000,06151,0000,06301STAND-BY 100838,A000000,06200,0000,06200PATIENTS LAUNDRY 100838,A81000A,00100,0100,Y 100838,A81000B,00100,0300,HOME OFFICE COST 100838,A81000B,00200,0300,DIETARY SUPPLEMENTS 100838,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 100838,A81000B,00400,0300,PRESCRIPTION DRUGS 100838,A81000B,00500,0300,MEDICAL SUPPLIES 100838,A81000B,00600,0300,ADMIN COSTS 100838,A81000B,00700,0300,HOME OFFICE INTEREST 100838,A81000B,00800,0300,EQUIPMENT REPLACEMENT 100838,A81000B,00900,0300,IV THERAPY 100838,A81000B,01000,0300,PT SUPPLIES 100838,A81000B,01100,0300,PHYSICAL THERAPY 100838,A81000B,01200,0300,OCCUPATIONAL THERAPY 100838,A81000B,01300,0300,SPEECH THERAPY 100838,A81000B,01400,0300,EQUIP RENTAL 100838,A81000B,01500,0300,FORMS 100838,A81000C,00100,0100,B 100838,A81000C,00100,0200,ALPINE TERRACE 100838,A81000C,00100,0400,MARINER PAN 100838,A81000C,00100,0600,NURSING HOMES 100838,A81000C,00200,0100,G 100838,A81000C,00200,0200,MARINER PAN 100838,A81000C,00200,0400,AMER PHARM SVCS 100838,A81000C,00200,0600,PHARMACEUTICALS 100838,A81000C,00300,0100,G 100838,A81000C,00300,0200,MARINER PAN 100838,A81000C,00300,0400,PRISM-ATS-ARS-T 100838,A81000C,00300,0600,THERAPIES 100838,A81000C,03100,0000,MARINER PAN 100838,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 100838,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 100838,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 100838,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 100838,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 100838,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 100838,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 100838,B100000,00000,0800,00001MEALS SERVED :DIETARY 100838,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 100838,B100000,00000,1050,00001PATIENT DAYS :CENTRAL SERVICES & S 100838,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 100838,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 100838,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 100838,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 100838,E10A180,00301,0100,06/09/1999 100838,E10A180,00350,0100,10/13/1999 100838,E10A180,00351,0100,01/03/2000 100838,S000000,00100,0200,08/31/2000 100838,S200000,00100,0100,746 ALPINE DRIVE 100838,S200000,00200,0100,KERRVILLE 100838,S200000,00200,0200,TX 100838,S200000,00200,0300,78028- 100838,S200000,00300,0100,KERR 100838,S200000,00300,0300,R 100838,S200000,00400,0100,ALPINE TERRACE RETIRE & CONVALES CTR 100838,S200000,00400,0200,675506 100838,S200000,00400,0300,06/07/1995 100838,S200000,00400,0500,P 100838,S200000,01600,0100,Y 100838,S200000,02200,0100,Y 100838,S200000,04300,0100,Y 100849,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100849,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100849,A000000,00300,0000,00300EMPLOYEE BENEFITS 100849,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100849,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100849,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100849,A000000,00700,0000,00700HOUSEKEEPING 100849,A000000,00800,0000,00800DIETARY 100849,A000000,00900,0000,00900NURSING ADMINISTRATION 100849,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100849,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100849,A000000,01300,0000,01300SOCIAL SERVICE 100849,A000000,01350,0000,01500ACTIVITIES 100849,A000000,01600,0000,01600SKILLED NURSING FACILITY 100849,A000000,01800,0000,01800NURSING FACILITY 100849,A000000,01900,0000,01900OTHER LONG TERM CARE 100849,A000000,02100,0000,02100RADIOLOGY 100849,A000000,02200,0000,02200LABORATORY 100849,A000000,02300,0000,02300INTRAVENOUS THERAPY 100849,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100849,A000000,02500,0000,02500PHYSICAL THERAPY 100849,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100849,A000000,02700,0000,02700SPEECH PATHOLOGY 100849,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100849,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100849,A000000,03050,0000,03300CLINITRON THERAPY 100849,A000000,03200,0000,03200SUPPORT SURFACES 100849,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100849,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100849,A000000,04800,0000,04800AMBULANCE 100849,A000000,05300,0000,05300INTEREST EXPENSE 100849,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100849,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100849,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100849,A000000,06100,0000,06100NONPAID WORKERS 100849,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100849,A000000,06200,0000,06200PATIENTS LAUNDRY 100849,A81000A,00100,0100,Y 100849,A81000B,00100,0300,HO COST 100849,A81000B,00200,0300,HO A&G 100849,A81000B,00300,0300,DIRECT THERAPY ALLOC 100849,A81000C,00100,0100,B 100849,A81000C,00100,0400,AMERICAN RETIREMENT CORP 100849,A81000C,00100,0600,MANAGEMENT COMPANY 100849,A81000C,00200,0100,B 100849,A81000C,00200,0400,AMERICAN RETIREMENT CORP 100849,A81000C,00200,0600,MANAGEMENT COMPANY 100849,A81000C,00300,0100,B 100849,A81000C,00300,0400,AMERICAN RETIREMENT CORP 100849,A81000C,00300,0600,MANAGEMENT COMPANY 100849,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100849,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100849,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100849,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100849,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100849,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100849,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100849,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 100849,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100849,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100849,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100849,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 100849,S000000,00100,0200,06/05/2000 100849,S200000,00100,0100,1 TOWERS LANE 100849,S200000,00200,0100,SAN ANTONIO 100849,S200000,00200,0200,FL 100849,S200000,00200,0300,78209- 100849,S200000,00300,0100,BEXAR 100849,S200000,00300,0200,7240 100849,S200000,00300,0300,U 100849,S200000,00400,0100,USAA PARKLANE WEST HEALTHCARE CENTER 100849,S200000,00400,0200,675509 100849,S200000,00400,0300,06/29/1995 100849,S200000,00400,0500,P 100849,S200000,01600,0100,Y 100855,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100855,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100855,A000000,00300,0000,00300EMPLOYEE BENEFITS 100855,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100855,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100855,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100855,A000000,00700,0000,00700HOUSEKEEPING 100855,A000000,00800,0000,00800DIETARY 100855,A000000,00801,0000,00801CAFETERIA 100855,A000000,00900,0000,00900NURSING ADMINISTRATION 100855,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100855,A000000,01100,0000,01100PHARMACY 100855,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100855,A000000,01300,0000,01300SOCIAL SERVICE 100855,A000000,01600,0000,01600SKILLED NURSING FACILITY 100855,A000000,01800,0000,01800NURSING FACILITY 100855,A000000,01900,0000,01900OTHER LONG TERM CARE 100855,A000000,02100,0000,02100RADIOLOGY 100855,A000000,02200,0000,02200LABORATORY 100855,A000000,02300,0000,02300INTRAVENOUS THERAPY 100855,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100855,A000000,02500,0000,02500PHYSICAL THERAPY 100855,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100855,A000000,02700,0000,02700SPEECH PATHOLOGY 100855,A000000,02800,0000,02800ELECTROCARDIOLOGY 100855,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100855,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100855,A000000,03200,0000,03200SUPPORT SURFACES 100855,A000000,04800,0000,04800AMBULANCE 100855,A000000,05300,0000,05300INTEREST EXPENSE 100855,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100855,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100855,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100855,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100855,A81000A,00100,0100,Y 100855,A81000B,00100,0300,PROPERTY COSTS 100855,A81000B,00200,0300,CENTRAL OFC COSTS 100855,A81000B,00300,0300,CENTRAL OFC CAP COSTS 100855,A81000C,00100,0100,B 100855,A81000C,00100,0200,RICHARD CHANEY 100855,A81000C,00100,0400,HEALTHCARE NETW 100855,A81000C,00100,0600,REIT 100855,A81000C,00200,0100,B 100855,A81000C,00200,0200,RICHARD CHANEY 100855,A81000C,00200,0400,PREMIER MANAGEM 100855,A81000C,00200,0600,MGMT CO 100855,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100855,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100855,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100855,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100855,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100855,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100855,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100855,B100000,00000,0800,00000MEALS SERVED :DIETARY 100855,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100855,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100855,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100855,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100855,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100855,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100855,S000000,00100,0200,06/05/2000 100855,S200000,00100,0100,200 TYLER STREET 100855,S200000,00200,0100,BORGER 100855,S200000,00200,0200,TX 100855,S200000,00200,0300,79007- 100855,S200000,00300,0100,HUTCHINSON 100855,S200000,00400,0100,NORTH PLAINS CARE CENTER 100855,S200000,00400,0200,675512 100855,S200000,00400,0300,07/11/1995 100855,S200000,00400,0500,P 100855,S200000,01004,0500,O 100855,S200000,01600,0100,Y 100855,S700003,00000,0400,4 100863,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100863,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100863,A000000,00300,0000,00300EMPLOYEE BENEFITS 100863,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100863,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100863,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100863,A000000,00700,0000,00700HOUSEKEEPING 100863,A000000,00800,0000,00800DIETARY 100863,A000000,00900,0000,00900NURSING ADMINISTRATION 100863,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100863,A000000,01100,0000,01100PHARMACY 100863,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100863,A000000,01300,0000,01300SOCIAL SERVICE 100863,A000000,01351,0000,01301ACTIVITIES 100863,A000000,01600,0000,01600SKILLED NURSING FACILITY 100863,A000000,01800,0000,01800NURSING FACILITY 100863,A000000,02100,0000,02100RADIOLOGY 100863,A000000,02200,0000,02200LABORATORY 100863,A000000,02300,0000,02300INTRAVENOUS THERAPY 100863,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100863,A000000,02500,0000,02500PHYSICAL THERAPY 100863,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100863,A000000,02700,0000,02700SPEECH PATHOLOGY 100863,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100863,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100863,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100863,A000000,03051,0000,03301MEDICAL EQUIPMENT 100863,A000000,04800,0000,04800AMBULANCE 100863,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100863,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100863,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100863,A81000A,00100,0100,Y 100863,A81000B,00100,0300,HOME OFFICE CAPITAL 100863,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100863,A81000B,00300,0300,WAREHOUSE 100863,A81000C,00100,0100,A 100863,A81000C,00100,0200,PETER C. KERN 100863,A81000C,00100,0400,HEA MANAGEMENT GROUP 100863,A81000C,00100,0600,HOME OFFICE 100863,A81000C,00200,0100,A 100863,A81000C,00200,0200,PETER C. KERN 100863,A81000C,00200,0400,WAREHOUSE STORAGE 100863,A81000C,00200,0600,OLD RECORD STORAGE 100863,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100863,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100863,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100863,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100863,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100863,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100863,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100863,B100000,00000,0800,00000MEALS SERVED :DIETARY 100863,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100863,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100863,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100863,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100863,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100863,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100863,S000000,00100,0200,05/30/2000 100863,S200000,00100,0100,605 WEST MULBERRY 100863,S200000,00200,0100,DECATUR 100863,S200000,00200,0200,TX 100863,S200000,00200,0300,76234-0068 100863,S200000,00300,0100,WISE 100863,S200000,00300,0200,45 100863,S200000,00300,0300,R 100863,S200000,00400,0100,DECATUR CONVALESCENT CENTER 100863,S200000,00400,0200,675513 100863,S200000,00400,0300,07/05/1995 100863,S200000,00400,0500,P 100863,S200000,01600,0100,Y 100863,S200000,02200,0100,Y 100863,S200000,04300,0100,Y 100871,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100871,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100871,A000000,00300,0000,00300EMPLOYEE BENEFITS 100871,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100871,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100871,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100871,A000000,00700,0000,00700HOUSEKEEPING 100871,A000000,00800,0000,00800DIETARY 100871,A000000,00900,0000,00900NURSING ADMINISTRATION 100871,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100871,A000000,01100,0000,01100PHARMACY 100871,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100871,A000000,01300,0000,01300SOCIAL SERVICE 100871,A000000,01350,0000,01500OTHER GENERAL SERVICES 100871,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100871,A000000,01600,0000,01600SKILLED NURSING FACILITY 100871,A000000,01800,0000,01800NURSING FACILITY 100871,A000000,01810,0000,01810ICF/MR 100871,A000000,01900,0000,01900OTHER LONG TERM CARE 100871,A000000,02100,0000,02100RADIOLOGY 100871,A000000,02200,0000,02200LABORATORY 100871,A000000,02300,0000,02300INTRAVENOUS THERAPY 100871,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100871,A000000,02500,0000,02500PHYSICAL THERAPY 100871,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100871,A000000,02700,0000,02700SPEECH PATHOLOGY 100871,A000000,02800,0000,02800ELECTROCARDIOLOGY 100871,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100871,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100871,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100871,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100871,A000000,03200,0000,03200SUPPORT SURFACES 100871,A000000,03400,0000,03400CLINIC 100871,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100871,A000000,03500,0000,03500RURAL HEALTH CLINIC 100871,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100871,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100871,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100871,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100871,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100871,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100871,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100871,A000000,04400,0000,04400DME RENTED - HHA 100871,A000000,04500,0000,04500DME SOLD - HHA 100871,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100871,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100871,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100871,A000000,04800,0000,04800AMBULANCE 100871,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100871,A000000,05000,0000,05000CORF 100871,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100871,A000000,05300,0000,05300INTEREST EXPENSE 100871,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100871,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100871,A000000,05500,0000,05500HOSPICE 100871,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100871,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100871,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100871,A000000,06100,0000,06100NONPAID WORKERS 100871,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100871,A000000,06200,0000,06200PATIENTS LAUNDRY 100871,A81000A,00100,0100,Y 100871,A81000B,00100,0300,CAP REL COST-BLDG & FIX 100871,A81000B,00200,0300,EMPLOYEE BENEFITS 100871,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 100871,A81000B,00400,0300,PLANT OPERATIONS 100871,A81000B,00500,0300,HOUSEKEEPING 100871,A81000B,00600,0300,DIETARY 100871,A81000B,00700,0300,SOCIAL SERVICE 100871,A81000B,00800,0300,SKILLED NRSG FACILITY 100871,A81000C,00100,0100,C 100871,A81000C,00100,0200,MERIDIAN HOSP AUTHORITY 100871,A81000C,00100,0400,MERIDIAN MANOR 100871,A81000C,00100,0600,NURSING HOME 100871,A81000C,00200,0100,C 100871,A81000C,00200,0200,MERIDIAN HOSP AUTHORITY 100871,A81000C,00200,0400,MERIDIAN RETIREMENT CTR 100871,A81000C,00200,0600,RETIREMENT CENTER 100871,A81000C,00300,0100,C 100871,A81000C,00300,0200,MERIDIAN HOSP AUTHORITY 100871,A81000C,00300,0400,MERIDIAN RH CLINIC 100871,A81000C,00300,0600,CLINIC 100871,A81000C,00400,0100,C 100871,A81000C,00400,0200,MERIDIAN HOSP AUTHORITY 100871,A81000C,00400,0400,MERIDIAN PHYSICIAN OFFICE 100871,A81000C,00400,0600,PHYSICIANS OFFICE 100871,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100871,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100871,B100000,00000,0350,00000SALARIES :EMPLOYEE BENEFITS 100871,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100871,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100871,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100871,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100871,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100871,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100871,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 100871,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100871,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100871,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100871,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100871,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 100871,S000000,00100,0200,06/15/2000 100871,S200000,00100,0100,1110 NORTH MAIN STREET 100871,S200000,00100,0300,437 100871,S200000,00200,0100,MERIDIAN 100871,S200000,00200,0200,TX 100871,S200000,00200,0300,76665- 100871,S200000,00300,0100,TEXAS 100871,S200000,00400,0100,MERIDIAN MANOR 100871,S200000,00400,0200,675518 100871,S200000,00400,0300,08/01/1995 100871,S200000,00400,0500,P 100871,S200000,01500,0100,Y 100878,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100878,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100878,A000000,00300,0000,00300EMPLOYEE BENEFITS 100878,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100878,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100878,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100878,A000000,00700,0000,00700HOUSEKEEPING 100878,A000000,00800,0000,00800DIETARY 100878,A000000,00900,0000,00900NURSING ADMINISTRATION 100878,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100878,A000000,01100,0000,01100PHARMACY 100878,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100878,A000000,01300,0000,01300SOCIAL SERVICE 100878,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100878,A000000,01600,0000,01600SKILLED NURSING FACILITY 100878,A000000,01900,0000,01900OTHER LONG TERM CARE 100878,A000000,02100,0000,02100RADIOLOGY 100878,A000000,02200,0000,02200LABORATORY 100878,A000000,02300,0000,02300INTRAVENOUS THERAPY 100878,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100878,A000000,02500,0000,02500PHYSICAL THERAPY 100878,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100878,A000000,02700,0000,02700SPEECH PATHOLOGY 100878,A000000,02800,0000,02800ELECTROCARDIOLOGY 100878,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100878,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100878,A000000,03050,0000,03201ENTERNAL SUPPLIES 100878,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100878,A000000,03200,0000,03200SUPPORT SURFACES 100878,A000000,03400,0000,03400CLINIC 100878,A000000,04800,0000,04800AMBULANCE 100878,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100878,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100878,A000000,05300,0000,05300INTEREST EXPENSE 100878,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100878,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100878,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100878,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100878,A000000,06100,0000,06100NONPAID WORKERS 100878,A000000,06200,0000,06200PATIENTS LAUNDRY 100878,A81000A,00100,0100,Y 100878,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100878,A81000B,00200,0300,LAUNDRY SERVICES 100878,A81000B,00300,0300,MENU PLANNING 100878,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100878,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100878,A81000B,00600,0300,DRUGS 100878,A81000C,00100,0100,B 100878,A81000C,00100,0200,CANTEX HC CTRS 100878,A81000C,00100,0600,LTC MANAGEMENT 100878,A81000C,00200,0100,B 100878,A81000C,00200,0200,HEALTHCARE LNEN 100878,A81000C,00200,0600,LAUNDRY SERVICE 100878,A81000C,00300,0100,A 100878,A81000C,00300,0200,ALBERT J. LONGO 100878,A81000C,00300,0400,NOVA 100878,A81000C,00300,0600,MENU PLANNING 100878,A81000C,00400,0100,B 100878,A81000C,00400,0200,CANTEX HC CTRS 100878,A81000C,00400,0600,LTC MANAGEMENT 100878,A81000C,00500,0100,B 100878,A81000C,00500,0200,CANTEX HC CTRS 100878,A81000C,00500,0600,LTC MANAGEMENT 100878,A81000C,00600,0100,B 100878,A81000C,00600,0200,PHARMACARE 100878,A81000C,00600,0600,LTC MANAGEMENT 100878,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100878,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100878,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100878,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100878,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100878,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100878,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100878,B100000,00000,0800,00000MEALS SERVED :DIETARY 100878,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100878,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100878,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100878,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100878,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100878,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100878,E10A180,00350,0100,12/31/1999 100878,S000000,00100,0200,06/01/2000 100878,S200000,00100,0100,1712 NORTH TIMBERLAND 100878,S200000,00200,0100,LUFKIN 100878,S200000,00200,0200,TX 100878,S200000,00200,0300,75901- 100878,S200000,00300,0100,ANGELINA 100878,S200000,00400,0100,PINE HAVEN NURSING HOME 100878,S200000,00400,0200,675519 100878,S200000,00400,0300,07/28/1995 100878,S200000,00400,0500,P 100878,S200000,01600,0100,Y 100890,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100890,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100890,A000000,00300,0000,00300EMPLOYEE BENEFITS 100890,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100890,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100890,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100890,A000000,00700,0000,00700HOUSEKEEPING 100890,A000000,00800,0000,00800DIETARY 100890,A000000,00900,0000,00900NURSING ADMINISTRATION 100890,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100890,A000000,01100,0000,01100PHARMACY 100890,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100890,A000000,01300,0000,01300SOCIAL SERVICE 100890,A000000,01351,0000,01301ACTIVITIES 100890,A000000,01600,0000,01600SKILLED NURSING FACILITY 100890,A000000,01800,0000,01800NURSING FACILITY 100890,A000000,02100,0000,02100RADIOLOGY 100890,A000000,02200,0000,02200LABORATORY 100890,A000000,02300,0000,02300INTRAVENOUS THERAPY 100890,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100890,A000000,02500,0000,02500PHYSICAL THERAPY 100890,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100890,A000000,02700,0000,02700SPEECH PATHOLOGY 100890,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100890,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100890,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 100890,A000000,03051,0000,03301MEDICAL EQUIPMENT 100890,A000000,04800,0000,04800AMBULANCE 100890,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100890,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100890,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100890,A81000A,00100,0100,Y 100890,A81000B,00100,0300,HOME OFFICE CAPITAL 100890,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100890,A81000B,00300,0300,WAREHOUSE 100890,A81000C,00100,0100,A 100890,A81000C,00100,0200,PETER C. KERN 100890,A81000C,00100,0400,HEA MANAGEMENT GROUP 100890,A81000C,00100,0600,HOME OFFICE 100890,A81000C,00200,0100,A 100890,A81000C,00200,0200,PETER C. KERN 100890,A81000C,00200,0400,WAREHOUSE STORAGE 100890,A81000C,00200,0600,OLD RECORD STORAGE 100890,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100890,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100890,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100890,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100890,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100890,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100890,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100890,B100000,00000,0800,00000MEALS SERVED :DIETARY 100890,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100890,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100890,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100890,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100890,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100890,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 100890,S000000,00100,0200,01/31/2000 100890,S200000,00100,0100,2901 FM 2767 100890,S200000,00200,0100,TYLER 100890,S200000,00200,0200,TX 100890,S200000,00200,0300,75708- 100890,S200000,00300,0100,SMITH 100890,S200000,00400,0100,ROSE GARDEN CARE CENTER 100890,S200000,00400,0200,675526 100890,S200000,00400,0300,01/01/1996 100890,S200000,00400,0500,P 100890,S200000,01600,0100,Y 100890,S200000,02200,0100,Y 100890,S200000,04300,0100,Y 100900,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100900,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100900,A000000,00300,0000,00300EMPLOYEE BENEFITS 100900,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100900,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100900,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100900,A000000,00700,0000,00700HOUSEKEEPING 100900,A000000,00800,0000,00800DIETARY 100900,A000000,00900,0000,00900NURSING ADMINISTRATION 100900,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100900,A000000,01100,0000,01100PHARMACY 100900,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100900,A000000,01300,0000,01300SOCIAL SERVICE 100900,A000000,01350,0000,01500OTHER GENERAL SERVICES 100900,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100900,A000000,01600,0000,01600SKILLED NURSING FACILITY 100900,A000000,01800,0000,01800NURSING FACILITY 100900,A000000,01810,0000,01810ICF/MR 100900,A000000,01900,0000,01900OTHER LONG TERM CARE 100900,A000000,02100,0000,02100RADIOLOGY 100900,A000000,02200,0000,02200LABORATORY 100900,A000000,02300,0000,02300INTRAVENOUS THERAPY 100900,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100900,A000000,02500,0000,02500PHYSICAL THERAPY 100900,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100900,A000000,02700,0000,02700SPEECH PATHOLOGY 100900,A000000,02800,0000,02800ELECTROCARDIOLOGY 100900,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100900,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100900,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100900,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100900,A000000,03200,0000,03200SUPPORT SURFACES 100900,A000000,03400,0000,03400CLINIC 100900,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100900,A000000,03500,0000,03500RURAL HEALTH CLINIC 100900,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100900,A000000,04800,0000,04800AMBULANCE 100900,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100900,A000000,05000,0000,05000CORF 100900,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100900,A000000,05300,0000,05300INTEREST EXPENSE 100900,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100900,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100900,A000000,05500,0000,05500HOSPICE 100900,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100900,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100900,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100900,A000000,06100,0000,06100NONPAID WORKERS 100900,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100900,A000000,06200,0000,06200PATIENTS LAUNDRY 100900,A81000A,00100,0100,Y 100900,A81000B,00100,0300,MANAGEMENT FEE 100900,A81000C,00100,0100,A 100900,A81000C,00100,0200,E. DENTON JONES 100900,A81000C,00100,0400,SHELTER CARE MANAGEMENT 100900,A81000C,00100,0600,MANAGEMENT 100900,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100900,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100900,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100900,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100900,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100900,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100900,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100900,B100000,00000,0800,00000MEALS SERVED :DIETARY 100900,B100000,00000,0950,00000DIRECT NSG :NURSING ADMINISTRATION 100900,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100900,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100900,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100900,S000000,00100,0200,07/10/2000 100900,S200000,00100,0100,901 E. 16TH STREET 100900,S200000,00100,0300,510 100900,S200000,00200,0100,CORSICANA 100900,S200000,00200,0200,TX 100900,S200000,00200,0300,75110- 100900,S200000,00300,0100,NAVARRO 100900,S200000,00300,0200,0045 100900,S200000,00300,0300,U 100900,S200000,00400,0100,MEL HAVEN CONVALESCENT HOME 100900,S200000,00400,0200,675530 100900,S200000,00400,0300,08/25/1995 100900,S200000,00400,0500,P 100900,S200000,01600,0100,Y 100906,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100906,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100906,A000000,00300,0000,00300EMPLOYEE BENEFITS 100906,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100906,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100906,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100906,A000000,00700,0000,00700HOUSEKEEPING 100906,A000000,00800,0000,00800DIETARY 100906,A000000,00900,0000,00900NURSING ADMINISTRATION 100906,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100906,A000000,01100,0000,01100PHARMACY 100906,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100906,A000000,01300,0000,01300SOCIAL SERVICE 100906,A000000,01600,0000,01600SKILLED NURSING FACILITY 100906,A000000,01800,0000,01800NURSING FACILITY 100906,A000000,01900,0000,01900OTHER LONG TERM CARE 100906,A000000,02100,0000,02100RADIOLOGY 100906,A000000,02200,0000,02200LABORATORY 100906,A000000,02300,0000,02300INTRAVENOUS THERAPY 100906,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100906,A000000,02500,0000,02500PHYSICAL THERAPY 100906,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100906,A000000,02700,0000,02700SPEECH PATHOLOGY 100906,A000000,02800,0000,02800ELECTROCARDIOLOGY 100906,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100906,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100906,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100906,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100906,A000000,03200,0000,03200SUPPORT SURFACES 100906,A000000,03400,0000,03400CLINIC 100906,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100906,A000000,03500,0000,03500RURAL HEALTH CLINIC 100906,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100906,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100906,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100906,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100906,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100906,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100906,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100906,A000000,04400,0000,04400DME RENTED - HHA 100906,A000000,04500,0000,04500DME SOLD - HHA 100906,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100906,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100906,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100906,A000000,04800,0000,04800AMBULANCE 100906,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100906,A000000,05000,0000,05000CORF 100906,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100906,A000000,05300,0000,05300INTEREST EXPENSE 100906,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100906,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100906,A000000,05500,0000,05500HOSPICE 100906,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100906,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100906,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100906,A000000,06100,0000,06100NONPAID WORKERS 100906,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100906,A000000,06200,0000,06200PATIENTS LAUNDRY 100906,A81000A,00100,0100,Y 100906,A81000B,00100,0300,MANAGEMENT - HOME OFFICE 100906,A81000C,00100,0200,ROCKY LEMON 100906,A81000C,00100,0400,CRESCENT HEALTH SERVICES 100906,A81000C,00100,0600,NURSING HOME MANAGEMENT 100906,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100906,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100906,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100906,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100906,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100906,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100906,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100906,B100000,00000,0850,00000PATIENT DAYS :DIETARY 100906,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 100906,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100906,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100906,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100906,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100906,S000000,00100,0200,07/24/2000 100906,S200000,00100,0100,800 MONTAGUE STREE 100906,S200000,00200,0100,BANDERA 100906,S200000,00200,0200,TX 100906,S200000,00200,0300,78003- 100906,S200000,00300,0100,BANDERA 100906,S200000,00400,0100,CRESCENT CARE CENTER OF BANDERA 100906,S200000,00400,0200,675531 100906,S200000,00400,0300,08/17/1995 100906,S200000,00400,0500,P 100906,S200000,01004,0500,O 100906,S200000,01600,0100,Y 100906,S700003,00000,0200,2 100911,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100911,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 100911,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100911,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 100911,A000000,00300,0000,00300EMPLOYEE BENEFITS 100911,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100911,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100911,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100911,A000000,00700,0000,00700HOUSEKEEPING 100911,A000000,00800,0000,00800DIETARY 100911,A000000,00801,0000,00801CAFETERIA 100911,A000000,00900,0000,00900NURSING ADMINISTRATION 100911,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100911,A000000,01100,0000,01100PHARMACY 100911,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100911,A000000,01300,0000,01300SOCIAL SERVICE 100911,A000000,01350,0000,01500OTHER GENERAL SERVICE COST 100911,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100911,A000000,01600,0000,01600SKILLED NURSING FACILITY 100911,A000000,01800,0000,01800NURSING FACILITY 100911,A000000,01900,0000,01900OTHER LONG TERM CARE 100911,A000000,02100,0000,02100RADIOLOGY 100911,A000000,02200,0000,02200LABORATORY 100911,A000000,02300,0000,02300INTRAVENOUS THERAPY 100911,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100911,A000000,02500,0000,02500PHYSICAL THERAPY 100911,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100911,A000000,02700,0000,02700SPEECH PATHOLOGY 100911,A000000,02800,0000,02800ELECTROCARDIOLOGY 100911,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100911,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100911,A000000,03050,0000,03300OTHER ANCILLARY 100911,A000000,03051,0000,03301OTHER ANCILLARY II 100911,A000000,03052,0000,03302OTHER ANCILLARY III 100911,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100911,A000000,03200,0000,03200SUPPORT SURFACES 100911,A000000,03400,0000,03400CLINIC 100911,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 100911,A000000,03500,0000,03500RURAL HEALTH CLINIC 100911,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100911,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100911,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100911,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100911,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100911,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100911,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100911,A000000,04400,0000,04400DME RENTED - HHA 100911,A000000,04500,0000,04500DME SOLD - HHA 100911,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100911,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100911,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100911,A000000,04800,0000,04800AMBULANCE 100911,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100911,A000000,05000,0000,05000CORF 100911,A000000,05010,0000,05010CMHC I 100911,A000000,05020,0000,05020OPT I 100911,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100911,A000000,05300,0000,05300INTEREST EXPENSE 100911,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 100911,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 100911,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100911,A000000,05500,0000,05500HOSPICE 100911,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100911,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100911,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100911,A000000,06100,0000,06100NONPAID WORKERS 100911,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100911,A000000,06200,0000,06200PATIENTS LAUNDRY 100911,A81000A,00100,0100,Y 100911,A81000B,00100,0300,MANAGEMENT 100911,A81000C,00100,0100,A 100911,A81000C,00100,0200,PATRICIA RHODES 100911,A81000C,00100,0400,SOUTHWOOD MGMT 100911,A81000C,00100,0600,MANAGEMENT 100911,A81000C,00200,0100,A 100911,A81000C,00200,0200,RUSSELL RHODES 100911,A81000C,00200,0400,SOUTHWOOD MGMT 100911,A81000C,00200,0600,MANAGEMENT 100911,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 100911,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 100911,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 100911,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100911,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 100911,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 100911,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 100911,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 100911,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 100911,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 100911,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 100911,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 100911,S000000,00100,0200,04/24/2001 100911,S200000,00100,0100,535 NORTH PARK STREET 100911,S200000,00200,0100,UVALDE 100911,S200000,00200,0200,TX 100911,S200000,00200,0300,78801- 100911,S200000,00300,0100,UVALDE 100911,S200000,00300,0200,45 100911,S200000,00300,0300,R 100911,S200000,00400,0100,UVALDE SOUTHWOOD INC 100911,S200000,00400,0200,675532 100911,S200000,00400,0300,08/17/1995 100911,S200000,00400,0500,P 100911,S200000,01600,0100,Y 100911,S200000,03100,0100,Y 100920,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100920,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100920,A000000,00300,0000,00300EMPLOYEE BENEFITS 100920,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100920,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100920,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100920,A000000,00700,0000,00700HOUSEKEEPING 100920,A000000,00800,0000,00800DIETARY 100920,A000000,00900,0000,00900NURSING ADMINISTRATION 100920,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100920,A000000,01100,0000,01100PHARMACY 100920,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100920,A000000,01300,0000,01300SOCIAL SERVICE 100920,A000000,01350,0000,01500OTHER GENERAL SERVICES 100920,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100920,A000000,01600,0000,01600SKILLED NURSING FACILITY 100920,A000000,01800,0000,01800NURSING FACILITY 100920,A000000,01810,0000,01801ICF/MR 100920,A000000,01900,0000,01900OTHER LONG TERM CARE 100920,A000000,02100,0000,02100RADIOLOGY 100920,A000000,02200,0000,02200LABORATORY 100920,A000000,02300,0000,02300INTRAVENOUS THERAPY 100920,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100920,A000000,02500,0000,02500PHYSICAL THERAPY 100920,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100920,A000000,02700,0000,02700SPEECH PATHOLOGY 100920,A000000,02800,0000,02800ELECTROCARDIOLOGY 100920,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100920,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100920,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100920,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100920,A000000,03200,0000,03200SUPPORT SURFACES 100920,A000000,03400,0000,03400CLINIC 100920,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100920,A000000,03500,0000,03500RURAL HEALTH CLINIC 100920,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100920,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100920,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100920,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100920,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100920,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100920,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100920,A000000,04400,0000,04400DME RENTED - HHA 100920,A000000,04500,0000,04500DME SOLD - HHA 100920,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100920,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100920,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100920,A000000,04800,0000,04800AMBULANCE 100920,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100920,A000000,05000,0000,05000CORF 100920,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100920,A000000,05300,0000,05300INTEREST EXPENSE 100920,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100920,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100920,A000000,05500,0000,05500HOSPICE 100920,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100920,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100920,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100920,A000000,06100,0000,06100NONPAID WORKERS 100920,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100920,A000000,06200,0000,06200PATIENTS LAUNDRY 100920,A81000A,00100,0100,Y 100920,A81000B,00100,0300,MANAGEMENT FEES 100920,A81000B,00200,0300,MANAGEMENT FEES 100920,A81000B,00300,0300,CONTRACTED DON 100920,A81000B,00400,0300,CONTRACTED ADMINISTRATOR 100920,A81000C,00100,0100,A 100920,A81000C,00100,0200,KEVIN COMPTON 100920,A81000C,00100,0400,EPIC MANAGEMENT 100920,A81000C,00100,0600,MANAGEMENT COMPANY 100920,A81000C,00200,0100,A 100920,A81000C,00200,0200,KRIS COMPTON 100920,A81000C,00200,0400,EPIC MANAGEMENT 100920,A81000C,00200,0600,MANAGEMENT COMPANY 100920,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100920,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100920,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100920,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100920,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100920,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100920,B100000,00000,0750,00000SQUARE FEET CLEAN :HOUSEKEEPING 100920,B100000,00000,0800,00000MEALS SERVED :DIETARY 100920,B100000,00000,0900,00000DIRECT NSG HOURS :NURSING ADMINISTR 100920,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100920,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100920,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100920,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100920,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100920,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100920,S000000,00100,0200,04/04/2000 100920,S200000,00100,0100,810 INDUSTRIAL AVE 100920,S200000,00200,0100,COPPERAS COVE 100920,S200000,00200,0200,TX 100920,S200000,00200,0300,76522- 100920,S200000,00300,0100,CORYELL 100920,S200000,00400,0100,HILL COUNTRY REHAB & NSG 100920,S200000,00400,0200,675536 100920,S200000,00400,0300,10/18/1995 100920,S200000,00400,0500,P 100920,S200000,01600,0100,Y 100930,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100930,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100930,A000000,00300,0000,00300EMPLOYEE BENEFITS 100930,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100930,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100930,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100930,A000000,00700,0000,00700HOUSEKEEPING 100930,A000000,00800,0000,00800DIETARY 100930,A000000,00900,0000,00900NURSING ADMINISTRATION 100930,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100930,A000000,01100,0000,01100PHARMACY 100930,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100930,A000000,01300,0000,01300SOCIAL SERVICE 100930,A000000,01301,0000,01301ACTIVITIES 100930,A000000,01600,0000,01600SKILLED NURSING FACILITY 100930,A000000,01800,0000,01800NURSING FACILITY 100930,A000000,02100,0000,02100RADIOLOGY 100930,A000000,02200,0000,02200LABORATORY 100930,A000000,02300,0000,02300INTRAVENOUS THERAPY 100930,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100930,A000000,02500,0000,02500PHYSICAL THERAPY 100930,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100930,A000000,02700,0000,02700SPEECH PATHOLOGY 100930,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100930,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100930,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100930,A000000,03051,0000,03301MEDICAL EQUIPMENT 100930,A000000,04800,0000,04800AMBULANCE 100930,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100930,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100930,A81000A,00100,0100,Y 100930,A81000B,00100,0300,HOME OFFICE CAPITAL 100930,A81000B,00200,0300,HOME OFFICE NONCAPITAL 100930,A81000B,00300,0300,WAREHOUSE 100930,A81000C,00100,0100,A 100930,A81000C,00100,0200,PETER C. KERN 100930,A81000C,00100,0400,HEA MANAGEMENT GROUP 100930,A81000C,00100,0600,HOME OFFICE 100930,A81000C,00200,0100,A 100930,A81000C,00200,0200,PETER C. KERN 100930,A81000C,00200,0400,WAREHOUSE STORAGE 100930,A81000C,00200,0600,OLD RECORD STORAGE 100930,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100930,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100930,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100930,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100930,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100930,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100930,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100930,B100000,00000,0800,00000MEALS SERVED :DIETARY 100930,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 100930,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 100930,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 100930,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100930,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100930,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 100930,S000000,00100,0200,09/14/2000 100930,S200000,00100,0100,101 MILLER DRIVE 100930,S200000,00200,0100,BROWNWOOD 100930,S200000,00200,0200,TX 100930,S200000,00200,0300,76801-5949 100930,S200000,00300,0100,BROWN 100930,S200000,00300,0300,R 100930,S200000,00400,0100,BROWNWOOD CARE CENTER 100930,S200000,00400,0200,675537 100930,S200000,00400,0300,10/11/1995 100930,S200000,00400,0500,P 100930,S200000,01600,0100,Y 100930,S200000,02200,0100,Y 100930,S200000,04300,0100,Y 100937,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100937,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100937,A000000,00300,0000,00300EMPLOYEE BENEFITS 100937,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100937,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100937,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100937,A000000,00700,0000,00700HOUSEKEEPING 100937,A000000,00800,0000,00800DIETARY 100937,A000000,00801,0000,00801CAFETERIA 100937,A000000,00900,0000,00900NURSING ADMINISTRATION 100937,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100937,A000000,01100,0000,01100PHARMACY 100937,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100937,A000000,01300,0000,01300SOCIAL SERVICE 100937,A000000,01600,0000,01600SKILLED NURSING FACILITY 100937,A000000,01800,0000,01800NURSING FACILITY 100937,A000000,01900,0000,01900OTHER LONG TERM CARE 100937,A000000,02100,0000,02100RADIOLOGY 100937,A000000,02200,0000,02200LABORATORY 100937,A000000,02300,0000,02300INTRAVENOUS THERAPY 100937,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100937,A000000,02500,0000,02500PHYSICAL THERAPY 100937,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100937,A000000,02700,0000,02700SPEECH PATHOLOGY 100937,A000000,02800,0000,02800ELECTROCARDIOLOGY 100937,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100937,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100937,A000000,03200,0000,03200SUPPORT SURFACES 100937,A000000,04800,0000,04800AMBULANCE 100937,A000000,05300,0000,05300INTEREST EXPENSE 100937,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100937,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100937,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100937,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100937,A81000A,00100,0100,Y 100937,A81000B,00100,0300,HOME OFC COSTS 100937,A81000B,00200,0300,HOME OFC COSTS 100937,A81000B,00300,0300,PRESCRIPTION RX 100937,A81000B,00400,0300,I V THERAPY 100937,A81000B,00500,0300,HOME OFC COSTS 100937,A81000C,00100,0100,B 100937,A81000C,00100,0200,AHCC INC. 100937,A81000C,00100,0400,AHCC INC. 100937,A81000C,00100,0600,HOME OFC 100937,A81000C,00200,0100,B 100937,A81000C,00200,0200,AHCC INC 100937,A81000C,00200,0400,LTC MGMT 100937,A81000C,00200,0600,BILLING SERV 100937,A81000C,00300,0100,B 100937,A81000C,00300,0200,AHCC INC 100937,A81000C,00300,0400,NIPSI 100937,A81000C,00300,0600,PHARMACY 100937,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100937,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100937,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100937,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100937,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100937,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100937,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100937,B100000,00000,0800,00000MEALS SERVED :DIETARY 100937,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100937,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100937,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100937,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100937,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100937,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100937,S000000,00100,0200,06/19/2000 100937,S200000,00100,0100,333 MATLAGE WAY 100937,S200000,00200,0100,SUGARLAND 100937,S200000,00200,0200,TX 100937,S200000,00200,0300,77478- 100937,S200000,00300,0100,FORT BEND 100937,S200000,00400,0100,AUTUMN HILLS - SUGARLAND 100937,S200000,00400,0200,675538 100937,S200000,00400,0300,09/20/1995 100937,S200000,00400,0500,P 100937,S200000,01600,0100,Y 100937,S700003,00000,0400,4 100945,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100945,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100945,A000000,00300,0000,00300EMPLOYEE BENEFITS 100945,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100945,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100945,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100945,A000000,00700,0000,00700HOUSEKEEPING 100945,A000000,00800,0000,00800DIETARY 100945,A000000,00900,0000,00900NURSING ADMINISTRATION 100945,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100945,A000000,01100,0000,01100PHARMACY 100945,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100945,A000000,01300,0000,01300SOCIAL SERVICE 100945,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100945,A000000,01600,0000,01600SKILLED NURSING FACILITY 100945,A000000,01900,0000,01900OTHER LONG TERM CARE 100945,A000000,02100,0000,02100RADIOLOGY 100945,A000000,02200,0000,02200LABORATORY 100945,A000000,02300,0000,02300INTRAVENOUS THERAPY 100945,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100945,A000000,02500,0000,02500PHYSICAL THERAPY 100945,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100945,A000000,02700,0000,02700SPEECH PATHOLOGY 100945,A000000,02800,0000,02800ELECTROCARDIOLOGY 100945,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100945,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100945,A000000,03050,0000,03201ENTENAL SUPPLIES 100945,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100945,A000000,03200,0000,03200SUPPORT SURFACES 100945,A000000,03400,0000,03400CLINIC 100945,A000000,04800,0000,04800AMBULANCE 100945,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100945,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100945,A000000,05300,0000,05300INTEREST EXPENSE 100945,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100945,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100945,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100945,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100945,A000000,06100,0000,06100NONPAID WORKERS 100945,A000000,06200,0000,06200PATIENTS LAUNDRY 100945,A81000A,00100,0100,Y 100945,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100945,A81000B,00200,0300,LAUNDRY SERVICES 100945,A81000B,00300,0300,MENU PLANNING 100945,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100945,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100945,A81000B,00600,0300,DRUGS 100945,A81000C,00100,0100,B 100945,A81000C,00100,0200,CANTEX HC CTRS 100945,A81000C,00100,0600,LTC MANAGEMENT 100945,A81000C,00200,0100,B 100945,A81000C,00200,0200,HEALTHCARE LNEN 100945,A81000C,00200,0600,LAUNDRY SERVICE 100945,A81000C,00300,0100,A 100945,A81000C,00300,0200,ALBERT J. LONGO 100945,A81000C,00300,0400,NOVA 100945,A81000C,00300,0600,MENU PLANNING 100945,A81000C,00400,0100,B 100945,A81000C,00400,0200,CANTEX HC CTRS 100945,A81000C,00400,0600,LTC MANAGEMENT 100945,A81000C,00500,0100,B 100945,A81000C,00500,0200,CANTEX HC CTRS 100945,A81000C,00500,0600,LTC MANAGEMENT 100945,A81000C,00600,0100,B 100945,A81000C,00600,0200,PHARMACARE 100945,A81000C,00600,0600,LTC MANAGEMENT 100945,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100945,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100945,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100945,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100945,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100945,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100945,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100945,B100000,00000,0800,00000MEALS SERVED :DIETARY 100945,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100945,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100945,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100945,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100945,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100945,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100945,E10A180,00350,0100,12/31/1999 100945,S000000,00100,0200,05/31/2000 100945,S200000,00100,0100,1810 N. WASHINGTON 100945,S200000,00200,0100,LIVINGSTON 100945,S200000,00200,0200,TX 100945,S200000,00200,0300,77351- 100945,S200000,00300,0100,POLK 100945,S200000,00400,0100,LIVINGSTON CONVALESCENT CENTER 100945,S200000,00400,0200,675539 100945,S200000,00400,0300,10/17/1995 100945,S200000,00400,0500,P 100945,S200000,01600,0100,Y 100945,S700003,00000,0400,4 100952,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100952,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100952,A000000,00300,0000,00300EMPLOYEE BENEFITS 100952,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100952,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100952,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100952,A000000,00700,0000,00700HOUSEKEEPING 100952,A000000,00800,0000,00800DIETARY 100952,A000000,00801,0000,00801CAFETERIA 100952,A000000,00900,0000,00900NURSING ADMINISTRATION 100952,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100952,A000000,01100,0000,01100PHARMACY 100952,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100952,A000000,01300,0000,01300SOCIAL SERVICE 100952,A000000,01600,0000,01600SKILLED NURSING FACILITY 100952,A000000,01800,0000,01800NURSING FACILITY 100952,A000000,01900,0000,01900OTHER LONG TERM CARE 100952,A000000,02100,0000,02100RADIOLOGY 100952,A000000,02200,0000,02200LABORATORY 100952,A000000,02300,0000,02300INTRAVENOUS THERAPY 100952,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100952,A000000,02500,0000,02500PHYSICAL THERAPY 100952,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100952,A000000,02700,0000,02700SPEECH PATHOLOGY 100952,A000000,02800,0000,02800ELECTROCARDIOLOGY 100952,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100952,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100952,A000000,03200,0000,03200SUPPORT SURFACES 100952,A000000,04800,0000,04800AMBULANCE 100952,A000000,05300,0000,05300INTEREST EXPENSE 100952,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100952,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100952,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100952,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100952,A81000A,00100,0100,Y 100952,A81000B,00100,0300,HOME OFC COSTS 100952,A81000B,00200,0300,HOME OFC COSTS 100952,A81000B,00300,0300,BILLING SERV COSTS 100952,A81000B,00400,0300,PRESCRIPTION RX 100952,A81000B,00500,0300,I V THERAPY 100952,A81000B,00600,0300,HOME OFC COSTS 100952,A81000C,00100,0100,B 100952,A81000C,00100,0200,AHCC INC. 100952,A81000C,00100,0400,AHCC INC. 100952,A81000C,00100,0600,HOME OFC 100952,A81000C,00200,0100,B 100952,A81000C,00200,0200,AHCC INC 100952,A81000C,00200,0400,LTC MGMT 100952,A81000C,00200,0600,BILLING SERV 100952,A81000C,00300,0100,B 100952,A81000C,00300,0200,AHCC INC 100952,A81000C,00300,0400,NIPSI 100952,A81000C,00300,0600,PHARMACY 100952,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100952,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100952,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100952,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100952,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100952,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100952,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100952,B100000,00000,0800,00000MEALS SERVED :DIETARY 100952,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100952,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100952,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100952,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100952,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100952,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100952,S000000,00100,0200,07/18/2000 100952,S200000,00100,0100,1206 N TRAVIS 100952,S200000,00200,0100,LIBERTY 100952,S200000,00200,0200,TX 100952,S200000,00200,0300,77575- 100952,S200000,00300,0100,LIBERTY 100952,S200000,00400,0100,GOLDEN CHARM NURSING CENTER 100952,S200000,00400,0200,675540 100952,S200000,00400,0300,11/27/1995 100952,S200000,00400,0500,P 100952,S200000,01004,0500,O 100952,S200000,01600,0100,Y 100952,S700003,00000,0400,4 100962,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100962,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100962,A000000,00300,0000,00300EMPLOYEE BENEFITS 100962,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100962,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100962,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100962,A000000,00700,0000,00700HOUSEKEEPING 100962,A000000,00800,0000,00800DIETARY 100962,A000000,00801,0000,00801CAFETERIA 100962,A000000,00900,0000,00900NURSING ADMINISTRATION 100962,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100962,A000000,01100,0000,01100PHARMACY 100962,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100962,A000000,01300,0000,01300SOCIAL SERVICE 100962,A000000,01600,0000,01600SKILLED NURSING FACILITY 100962,A000000,01800,0000,01800NURSING FACILITY 100962,A000000,01900,0000,01900OTHER LONG TERM CARE 100962,A000000,02100,0000,02100RADIOLOGY 100962,A000000,02200,0000,02200LABORATORY 100962,A000000,02300,0000,02300INTRAVENOUS THERAPY 100962,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100962,A000000,02500,0000,02500PHYSICAL THERAPY 100962,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100962,A000000,02700,0000,02700SPEECH PATHOLOGY 100962,A000000,02800,0000,02800ELECTROCARDIOLOGY 100962,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100962,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100962,A000000,03200,0000,03200SUPPORT SURFACES 100962,A000000,04800,0000,04800AMBULANCE 100962,A000000,05300,0000,05300INTEREST EXPENSE 100962,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100962,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100962,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100962,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 100962,A81000A,00100,0100,Y 100962,A81000B,00100,0300,HOME OFC COSTS 100962,A81000B,00200,0300,HOME OFC COSTS 100962,A81000B,00300,0300,PRESCRIPTION RX 100962,A81000B,00400,0300,I V THERAPY 100962,A81000B,00500,0300,HOME OFC COSTS 100962,A81000C,00100,0100,B 100962,A81000C,00100,0200,AHCC INC. 100962,A81000C,00100,0400,AHCC INC. 100962,A81000C,00100,0600,HOME OFC 100962,A81000C,00200,0100,B 100962,A81000C,00200,0200,AHCC INC 100962,A81000C,00200,0400,LTC MGMT 100962,A81000C,00200,0600,BILLING SERV 100962,A81000C,00300,0100,B 100962,A81000C,00300,0200,AHCC INC 100962,A81000C,00300,0400,NIPSI 100962,A81000C,00300,0600,PHARMACY 100962,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100962,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100962,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100962,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100962,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100962,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 100962,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100962,B100000,00000,0800,00000MEALS SERVED :DIETARY 100962,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 100962,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 100962,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 100962,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 100962,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 100962,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 100962,S000000,00100,0200,06/19/2000 100962,S200000,00100,0100,617 JANISCH 100962,S200000,00200,0100,HOUSTON 100962,S200000,00200,0200,TX 100962,S200000,00200,0300,77018- 100962,S200000,00300,0100,HARRIS 100962,S200000,00400,0100,AUTUMN HILLS - JANISCH 100962,S200000,00400,0200,675543 100962,S200000,00400,0300,10/31/1995 100962,S200000,00400,0500,P 100962,S200000,01004,0500,O 100962,S200000,01600,0100,Y 100962,S700003,00000,0400,4 100970,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100970,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100970,A000000,00300,0000,00300EMPLOYEE BENEFITS 100970,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100970,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100970,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100970,A000000,00700,0000,00700HOUSEKEEPING 100970,A000000,00800,0000,00800DIETARY 100970,A000000,00900,0000,00900NURSING ADMINISTRATION 100970,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100970,A000000,01100,0000,01100PHARMACY 100970,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100970,A000000,01300,0000,01300SOCIAL SERVICE 100970,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100970,A000000,01600,0000,01600SKILLED NURSING FACILITY 100970,A000000,01900,0000,01900OTHER LONG TERM CARE 100970,A000000,02100,0000,02100RADIOLOGY 100970,A000000,02200,0000,02200LABORATORY 100970,A000000,02300,0000,02300INTRAVENOUS THERAPY 100970,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100970,A000000,02500,0000,02500PHYSICAL THERAPY 100970,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100970,A000000,02700,0000,02700SPEECH PATHOLOGY 100970,A000000,02800,0000,02800ELECTROCARDIOLOGY 100970,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100970,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100970,A000000,03050,0000,03201ENTERNAL SUPPLIES 100970,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100970,A000000,03200,0000,03200SUPPORT SURFACES 100970,A000000,03400,0000,03400CLINIC 100970,A000000,04800,0000,04800AMBULANCE 100970,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100970,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100970,A000000,05300,0000,05300INTEREST EXPENSE 100970,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100970,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100970,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100970,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100970,A000000,06100,0000,06100NONPAID WORKERS 100970,A000000,06200,0000,06200PATIENTS LAUNDRY 100970,A81000A,00100,0100,Y 100970,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 100970,A81000B,00200,0300,LAUNDRY SERVICES 100970,A81000B,00300,0300,MENU PLANNING 100970,A81000B,00400,0300,CENTRAL OFFICE: BLDG 100970,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 100970,A81000B,00600,0300,DRUGS 100970,A81000C,00100,0100,B 100970,A81000C,00100,0200,CANTEX HC CTRS 100970,A81000C,00100,0600,LTC MANAGEMENT 100970,A81000C,00200,0100,B 100970,A81000C,00200,0200,HEALTHCARE LNEN 100970,A81000C,00200,0600,LAUNDRY SERVICE 100970,A81000C,00300,0100,A 100970,A81000C,00300,0200,ALBERT J. LONGO 100970,A81000C,00300,0400,NOVA 100970,A81000C,00300,0600,MENU PLANNING 100970,A81000C,00400,0100,B 100970,A81000C,00400,0200,CANTEX HC CTRS 100970,A81000C,00400,0600,LTC MANAGEMENT 100970,A81000C,00500,0100,B 100970,A81000C,00500,0200,CANTEX HC CTRS 100970,A81000C,00500,0600,LTC MAMAGEMENT 100970,A81000C,00600,0100,B 100970,A81000C,00600,0200,PHARMACARE 100970,A81000C,00600,0600,LTC MANAGEMENT 100970,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100970,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 100970,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100970,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100970,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100970,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100970,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 100970,B100000,00000,0800,00000MEALS SERVED :DIETARY 100970,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 100970,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100970,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100970,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 100970,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 100970,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 100970,E10A180,00350,0100,12/31/1999 100970,S000000,00100,0200,05/31/2000 100970,S200000,00100,0100,3305 NORTH STREET 100970,S200000,00200,0100,NACOGDOCHES 100970,S200000,00200,0200,TX 100970,S200000,00200,0300,75963- 100970,S200000,00300,0100,NACOGDOCHES 100970,S200000,00400,0100,NACOGDOCHES CONVALESCENT CENTER 100970,S200000,00400,0200,675544 100970,S200000,00400,0300,12/01/1995 100970,S200000,00400,0500,P 100970,S200000,01600,0100,Y 100970,S700003,00000,0400,4 100981,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100981,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100981,A000000,00300,0000,00300EMPLOYEE BENEFITS 100981,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100981,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100981,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100981,A000000,00700,0000,00700HOUSEKEEPING 100981,A000000,00800,0000,00800DIETARY 100981,A000000,00900,0000,00900NURSING ADMINISTRATION 100981,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100981,A000000,01100,0000,01100PHARMACY 100981,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 100981,A000000,01300,0000,01300SOCIAL SERVICE 100981,A000000,01350,0000,01500OTHER GENERAL SERVICES 100981,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 100981,A000000,01600,0000,01600SKILLED NURSING FACILITY 100981,A000000,01800,0000,01800NURSING FACILITY 100981,A000000,01810,0000,01801ICF/MR 100981,A000000,01900,0000,01900OTHER LONG TERM CARE 100981,A000000,02100,0000,02100RADIOLOGY 100981,A000000,02200,0000,02200LABORATORY 100981,A000000,02300,0000,02300INTRAVENOUS THERAPY 100981,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100981,A000000,02500,0000,02500PHYSICAL THERAPY 100981,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100981,A000000,02700,0000,02700SPEECH PATHOLOGY 100981,A000000,02800,0000,02800ELECTROCARDIOLOGY 100981,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100981,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100981,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 100981,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 100981,A000000,03200,0000,03200SUPPORT SURFACES 100981,A000000,03400,0000,03400CLINIC 100981,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 100981,A000000,03500,0000,03500RURAL HEALTH CLINIC 100981,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 100981,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 100981,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 100981,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 100981,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 100981,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 100981,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 100981,A000000,04400,0000,04400DME RENTED - HHA 100981,A000000,04500,0000,04500DME SOLD - HHA 100981,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 100981,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 100981,A000000,04750,0000,05100OTHER REIMBURSABLE COST 100981,A000000,04800,0000,04800AMBULANCE 100981,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 100981,A000000,05000,0000,05000CORF 100981,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 100981,A000000,05300,0000,05300INTEREST EXPENSE 100981,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 100981,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 100981,A000000,05500,0000,05500HOSPICE 100981,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100981,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100981,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 100981,A000000,06100,0000,06100NONPAID WORKERS 100981,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100981,A000000,06200,0000,06200PATIENTS LAUNDRY 100981,A81000A,00100,0100,Y 100981,A81000B,00100,0300,MANAGEMENT FEES 100981,A81000B,00200,0300,HOME OFFICE COSTS 100981,A81000B,00300,0300,LEASE EXPENSE 100981,A81000B,00400,0300,CONTRACTED ADMIN 100981,A81000B,00500,0300,CONTRACTED DON 100981,A81000C,00100,0100,A 100981,A81000C,00100,0200,KEVIN COMPTON 100981,A81000C,00100,0400,EPIC MANAGEMENT 100981,A81000C,00100,0600,MANAGEMENT COMPANY 100981,A81000C,00200,0100,A 100981,A81000C,00200,0200,KRIS COMPTON 100981,A81000C,00200,0400,EPIC MANAGEMENT 100981,A81000C,00200,0600,MANAGEMENT COMPANY 100981,A81000C,00300,0100,A 100981,A81000C,00300,0200,J.T. COMPTON 100981,A81000C,00300,0400,P.T. HEALTHCARE INC. 100981,A81000C,00300,0600,FACILITY LESSOR 100981,A81000C,00400,0100,A 100981,A81000C,00400,0200,KEN COMPTON 100981,A81000C,00400,0400,P.T. HEALTHCARE INC. 100981,A81000C,00400,0600,FACILITY LESSOR 100981,A81000C,00500,0100,A 100981,A81000C,00500,0200,KEVIN COMPTON 100981,A81000C,00500,0400,P.T. HEALTHCARE INC. 100981,A81000C,00500,0600,FACILITY LESSOR 100981,A81000C,00600,0100,A 100981,A81000C,00600,0200,KRIS COMPTON 100981,A81000C,00600,0400,P.T. HEALTHCARE INC. 100981,A81000C,00600,0600,FACILITY LESSOR 100981,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100981,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 100981,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100981,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100981,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100981,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 100981,B100000,00000,0750,00000SQUAREFEET T CLEANED :HOUSEKEEPING 100981,B100000,00000,0800,00000MEALS SERVED :DIETARY 100981,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 100981,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100981,B100000,00000,1150,00000NO STATISTICS :PHARMACY 100981,B100000,00000,1250,00000GROSS CHARGES :MEDICAL RECORDS & L 100981,B100000,00000,1330,00000GROSS CHARGES :SOCIAL SERVICE 100981,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 100981,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 100981,S000000,00100,0200,05/04/2000 100981,S200000,00100,0100,1900 EAST CALIFORNIA STREET 100981,S200000,00200,0100,GAINESVILLE 100981,S200000,00200,0200,TX 100981,S200000,00200,0300,76240- 100981,S200000,00300,0100,COOKE 100981,S200000,00400,0100,PECAN TREE MANOR 100981,S200000,00400,0200,675550 100981,S200000,00400,0300,11/07/1995 100981,S200000,00400,0500,P 100981,S200000,01600,0100,Y 100981,S700003,00000,0400,4 100991,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 100991,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 100991,A000000,00300,0000,00300EMPLOYEE BENEFITS 100991,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 100991,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 100991,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 100991,A000000,00700,0000,00700HOUSEKEEPING 100991,A000000,00800,0000,00800DIETARY 100991,A000000,00900,0000,00900NURSING ADMINISTRATION 100991,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 100991,A000000,01100,0000,01100PHARMACY 100991,A000000,01300,0000,01300SOCIAL SERVICE 100991,A000000,01600,0000,01600SKILLED NURSING FACILITY 100991,A000000,01800,0000,01800NURSING FACILITY 100991,A000000,02100,0000,02100RADIOLOGY 100991,A000000,02200,0000,02200LABORATORY 100991,A000000,02300,0000,02300INTRAVENOUS THERAPY 100991,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 100991,A000000,02500,0000,02500PHYSICAL THERAPY 100991,A000000,02600,0000,02600OCCUPATIONAL THERAPY 100991,A000000,02700,0000,02700SPEECH PATHOLOGY 100991,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 100991,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 100991,A000000,03200,0000,03200SUPPORT SURFACES 100991,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 100991,A000000,05900,0000,05900BARBER & BEAUTY SHOP 100991,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 100991,A81000A,00100,0100,Y 100991,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 100991,A81000B,00200,0300,HOME OFFICE ADMIN RELATED COSTS 100991,A81000C,00100,0100,B 100991,A81000C,00100,0200,MJ MANAGEMENT 100991,A81000C,00100,0400,THE HERITAGE 100991,A81000C,00100,0600,LTC OPERATIONS 100991,A81000C,00200,0100,B 100991,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 100991,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 100991,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 100991,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 100991,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 100991,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 100991,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 100991,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 100991,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 100991,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 100991,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 100991,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 100991,S000000,00100,0200,09/30/2000 100991,S200000,00100,0100,1026 E. GOODE STREET 100991,S200000,00100,0300,P.O. BOX 728 100991,S200000,00200,0100,QUITMAN 100991,S200000,00200,0200,TX 100991,S200000,00200,0300,75783- 100991,S200000,00300,0100,WOOD 100991,S200000,00400,0100,THE HERITAGE 100991,S200000,00400,0200,675553 100991,S200000,00400,0300,10/10/1995 100991,S200000,00400,0500,P 100991,S200000,01600,0100,Y 100991,S700003,00000,0400,4 101000,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101000,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101000,A000000,00300,0000,00300EMPLOYEE BENEFITS 101000,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101000,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101000,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101000,A000000,00700,0000,00700HOUSEKEEPING 101000,A000000,00800,0000,00800DIETARY 101000,A000000,00900,0000,00900NURSING ADMINISTRATION 101000,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101000,A000000,01300,0000,01300SOCIAL SERVICE 101000,A000000,01600,0000,01600SKILLED NURSING FACILITY 101000,A000000,01800,0000,01800NURSING FACILITY 101000,A000000,02100,0000,02100RADIOLOGY 101000,A000000,02200,0000,02200LABORATORY 101000,A000000,02300,0000,02300INTRAVENOUS THERAPY 101000,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101000,A000000,02500,0000,02500PHYSICAL THERAPY 101000,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101000,A000000,02700,0000,02700SPEECH PATHOLOGY 101000,A000000,02800,0000,02800ELECTROCARDIOLOGY 101000,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101000,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101000,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101000,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 101000,A000000,04800,0000,04800AMBULANCE 101000,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101000,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101000,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101000,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101000,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101000,A000000,06200,0000,06200PATIENTS LAUNDRY 101000,A81000A,00100,0100,Y 101000,A81000B,00100,0300,MANAGEMENT FEES 101000,A81000B,00200,0300,MGMT FEES-PROP COSTS 101000,A81000C,00100,0100,A 101000,A81000C,00100,0200,JAMES C. ROSNER 101000,A81000C,00100,0400,COMPREHENSIVE H 101000,A81000C,00100,0600,MGMT CO 101000,A81000C,00200,0100,A 101000,A81000C,00200,0200,LEO C. SAENGER 101000,A81000C,00200,0400,CHCA 101000,A81000C,00200,0600,MGMT CO 101000,A81000C,00300,0100,A 101000,A81000C,00300,0200,RICHARD L. KIST 101000,A81000C,00300,0400,CHCA 101000,A81000C,00300,0600,MGMT CO 101000,A81000C,00400,0100,A 101000,A81000C,00400,0200,H.D.BURKEMPER T 101000,A81000C,00400,0400,CHCA 101000,A81000C,00400,0600,MGMT CO 101000,A81000C,00500,0100,A 101000,A81000C,00500,0200,H.D. BALL TRUST 101000,A81000C,00500,0400,CHCA 101000,A81000C,00500,0600,MGMT CO 101000,A81000C,00600,0100,A 101000,A81000C,00600,0200,H.D. ROSNER TRU 101000,A81000C,00600,0400,CHCA 101000,A81000C,00600,0600,MGMT CO 101000,A81000C,00700,0100,F 101000,A81000C,00700,0200,JAMES J. THORPE 101000,A81000C,00800,0100,F 101000,A81000C,00800,0200,R.DENNY BARNETT 101000,A81000C,00900,0100,F 101000,A81000C,00900,0200,ROBERT NORCROSS 101000,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101000,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101000,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101000,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101000,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101000,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101000,B100000,00000,0800,00000MEALS SERVED :DIETARY 101000,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101000,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101000,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101000,S000000,00100,0200,06/02/2000 101000,S200000,00100,0100,306 CAROLYN ROAD 101000,S200000,00200,0100,NOCONA 101000,S200000,00200,0200,TE 101000,S200000,00200,0300,76255- 101000,S200000,00300,0100,MONTAGUE 101000,S200000,00300,0200,0045 101000,S200000,00300,0300,R 101000,S200000,00400,0100,NOCONA NURSING HOME 101000,S200000,00400,0200,675554 101000,S200000,00400,0300,12/29/1995 101000,S200000,00400,0500,P 101000,S200000,01600,0100,Y 101008,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101008,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101008,A000000,00300,0000,00300EMPLOYEE BENEFITS 101008,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101008,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101008,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101008,A000000,00700,0000,00700HOUSEKEEPING 101008,A000000,00800,0000,00800DIETARY 101008,A000000,00900,0000,00900NURSING ADMINISTRATION 101008,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101008,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101008,A000000,01300,0000,01300SOCIAL SERVICE 101008,A000000,01600,0000,01600SKILLED NURSING FACILITY 101008,A000000,01800,0000,01800NURSING FACILITY 101008,A000000,02100,0000,02100RADIOLOGY 101008,A000000,02200,0000,02200LABORATORY 101008,A000000,02500,0000,02500PHYSICAL THERAPY 101008,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101008,A000000,02700,0000,02700SPEECH PATHOLOGY 101008,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101008,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101008,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101008,A000000,05300,0000,05300INTEREST EXPENSE 101008,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101008,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101008,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101008,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101008,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101008,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101008,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101008,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101008,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101008,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101008,B100000,00000,0800,00000MEALS SERVED :DIETARY 101008,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101008,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101008,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101008,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101008,S000000,00100,0200,05/24/2000 101008,S200000,00100,0100,135 HOSPITAL DRIVE 101008,S200000,00200,0100,ANGLETON 101008,S200000,00200,0200,TX 101008,S200000,00200,0300,77515- 101008,S200000,00300,0100,HARRIS 101008,S200000,00400,0100,CYPRESS WOODS CARE CENTER 101008,S200000,00400,0200,675556 101008,S200000,00400,0300,01/24/1996 101008,S200000,00400,0500,P 101008,S200000,01600,0100,Y 101008,S700003,00000,0100,1 101014,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101014,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101014,A000000,00300,0000,00300EMPLOYEE BENEFITS 101014,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101014,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101014,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101014,A000000,00700,0000,00700HOUSEKEEPING 101014,A000000,00800,0000,00800DIETARY 101014,A000000,00900,0000,00900NURSING ADMINISTRATION 101014,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101014,A000000,01100,0000,01100PHARMACY 101014,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101014,A000000,01300,0000,01300SOCIAL SERVICE 101014,A000000,01350,0000,01500OTHER GENERAL SERVICES 101014,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101014,A000000,01600,0000,01600SKILLED NURSING FACILITY 101014,A000000,01800,0000,01800NURSING FACILITY 101014,A000000,01810,0000,01801ICF/MR 101014,A000000,01900,0000,01900OTHER LONG TERM CARE 101014,A000000,02100,0000,02100RADIOLOGY 101014,A000000,02200,0000,02200LABORATORY 101014,A000000,02300,0000,02300INTRAVENOUS THERAPY 101014,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101014,A000000,02500,0000,02500PHYSICAL THERAPY 101014,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101014,A000000,02700,0000,02700SPEECH PATHOLOGY 101014,A000000,02800,0000,02800ELECTROCARDIOLOGY 101014,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101014,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101014,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 101014,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101014,A000000,03200,0000,03200SUPPORT SURFACES 101014,A000000,03201,0000,03201PEN THERAPY 101014,A000000,03400,0000,03400CLINIC 101014,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101014,A000000,03500,0000,03500RURAL HEALTH CLINIC 101014,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101014,A000000,04800,0000,04800AMBULANCE 101014,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101014,A000000,05000,0000,05000CORF 101014,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101014,A000000,05300,0000,05300INTEREST EXPENSE 101014,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101014,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101014,A000000,05500,0000,05500HOSPICE 101014,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101014,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101014,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101014,A000000,06100,0000,06100NONPAID WORKERS 101014,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101014,A000000,06200,0000,06200PATIENTS LAUNDRY 101014,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101014,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101014,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101014,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101014,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101014,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101014,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101014,B100000,00000,0800,00000MEALS SERVED :DIETARY 101014,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101014,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101014,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101014,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101014,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101014,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101014,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101014,S000000,00100,0200,05/31/2000 101014,S200000,00100,0100,3400 E. WALNUT 101014,S200000,00200,0100,PEARLAND 101014,S200000,00200,0200,TX 101014,S200000,00200,0300,77581- 101014,S200000,00300,0100,BRAZORIA 101014,S200000,00400,0100,PEARLAND CONVALESCENT CENTER 101014,S200000,00400,0200,675557 101014,S200000,00400,0300,11/20/1995 101014,S200000,00400,0500,P 101014,S200000,01600,0100,Y 101014,S700003,00000,0400,4 101021,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101021,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101021,A000000,00300,0000,00300EMPLOYEE BENEFITS 101021,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101021,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101021,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101021,A000000,00700,0000,00700HOUSEKEEPING 101021,A000000,00800,0000,00800DIETARY 101021,A000000,00900,0000,00900NURSING ADMINISTRATION 101021,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101021,A000000,01100,0000,01100PHARMACY 101021,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101021,A000000,01300,0000,01300SOCIAL SERVICE 101021,A000000,01350,0000,01500OTHER GENERAL SERVICES 101021,A000000,01351,0000,01501ACTIVITIES 101021,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101021,A000000,01600,0000,01600SKILLED NURSING FACILITY 101021,A000000,01800,0000,01800NURSING FACILITY 101021,A000000,01900,0000,01900OTHER LONG TERM CARE 101021,A000000,02100,0000,02100RADIOLOGY 101021,A000000,02200,0000,02200LABORATORY 101021,A000000,02300,0000,02300INTRAVENOUS THERAPY 101021,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101021,A000000,02500,0000,02500PHYSICAL THERAPY 101021,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101021,A000000,02700,0000,02700SPEECH PATHOLOGY 101021,A000000,02800,0000,02800ELECTROCARDIOLOGY 101021,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101021,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101021,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101021,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101021,A000000,03200,0000,03200SUPPORT SURFACES 101021,A000000,03400,0000,03400CLINIC 101021,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101021,A000000,03500,0000,03500RURAL HEALTH CLINIC 101021,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101021,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101021,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101021,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101021,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101021,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101021,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101021,A000000,04400,0000,04400DME RENTED - HHA 101021,A000000,04500,0000,04500DME SOLD - HHA 101021,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101021,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101021,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101021,A000000,04800,0000,04800AMBULANCE 101021,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101021,A000000,05000,0000,05000CORF 101021,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101021,A000000,05300,0000,05300INTEREST EXPENSE 101021,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101021,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101021,A000000,05500,0000,05500HOSPICE 101021,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101021,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101021,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101021,A000000,06100,0000,06100NONPAID WORKERS 101021,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101021,A000000,06200,0000,06200PATIENTS LAUNDRY 101021,A81000A,00100,0100,Y 101021,A81000B,00100,0300,CAP REL - BLDG AND FIXTURES 101021,A81000B,00200,0300,A&G 101021,A81000C,00100,0100,B 101021,A81000C,00100,0400,ADVANCED LIVING TECH INC 101021,A81000C,00100,0600,NURSING HOME OPERATORS 101021,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101021,B100000,00000,0250,00000PAT VALUE :CAP REL COSTS - MOVABLE 101021,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101021,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101021,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101021,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101021,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101021,B100000,00000,0800,00000MEALS SERVED :DIETARY 101021,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101021,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101021,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101021,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101021,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101021,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101021,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101021,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101021,S000000,00100,0200,05/30/2000 101021,S200000,00100,0100,ROUTE 1 BOX 7 101021,S200000,00200,0100,ROCKDALE 101021,S200000,00200,0200,TX 101021,S200000,00200,0300,76567- 101021,S200000,00300,0100,MILAM 101021,S200000,00400,0100,MANOR OAKS NURSING CENTER 101021,S200000,00400,0200,675562 101021,S200000,00400,0300,02/01/1996 101021,S200000,00400,0500,P 101021,S200000,01600,0100,Y 101021,S700003,00000,0400,4 101028,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101028,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101028,A000000,00300,0000,00300EMPLOYEE BENEFITS 101028,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101028,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101028,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101028,A000000,00700,0000,00700HOUSEKEEPING 101028,A000000,00800,0000,00800DIETARY 101028,A000000,00900,0000,00900NURSING ADMINISTRATION 101028,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101028,A000000,01100,0000,01100PHARMACY 101028,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101028,A000000,01300,0000,01300SOCIAL SERVICE 101028,A000000,01350,0000,01500OTHER GENERAL SERVICES 101028,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101028,A000000,01600,0000,01600SKILLED NURSING FACILITY 101028,A000000,01800,0000,01800NURSING FACILITY 101028,A000000,01810,0000,01810ICF/MR 101028,A000000,01900,0000,01900OTHER LONG TERM CARE 101028,A000000,02100,0000,02100RADIOLOGY 101028,A000000,02200,0000,02200LABORATORY 101028,A000000,02300,0000,02300INTRAVENOUS THERAPY 101028,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101028,A000000,02500,0000,02500PHYSICAL THERAPY 101028,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101028,A000000,02700,0000,02700SPEECH PATHOLOGY 101028,A000000,02800,0000,02800ELECTROCARDIOLOGY 101028,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101028,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101028,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101028,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101028,A000000,03200,0000,03200SUPPORT SURFACES 101028,A000000,03400,0000,03400CLINIC 101028,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101028,A000000,03500,0000,03500RURAL HEALTH CLINIC 101028,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101028,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101028,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101028,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101028,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101028,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101028,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101028,A000000,04400,0000,04400DME RENTED - HHA 101028,A000000,04500,0000,04500DME SOLD - HHA 101028,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101028,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101028,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101028,A000000,04800,0000,04800AMBULANCE 101028,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101028,A000000,05000,0000,05000CORF 101028,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101028,A000000,05300,0000,05300INTEREST EXPENSE 101028,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101028,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101028,A000000,05500,0000,05500HOSPICE 101028,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101028,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101028,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101028,A000000,06100,0000,06100NONPAID WORKERS 101028,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101028,A000000,06200,0000,06200PATIENTS LAUNDRY 101028,A81000A,00100,0100,Y 101028,A81000B,00100,0300,LEASE 101028,A81000C,00100,0100,A 101028,A81000C,00100,0200,COLONIAL NURSING 101028,A81000C,00100,0400,GREENLAW TRUST 101028,A81000C,00100,0600,TRUST 101028,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101028,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101028,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101028,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101028,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101028,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101028,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101028,B100000,00000,0800,00000MEALS SERVED :DIETARY 101028,B100000,00000,1250,00000MEALS SERVED :MEDICAL RECORDS & LI 101028,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101028,S000000,00100,0200,05/31/2000 101028,S200000,00100,0100,508 PIERCE STREET 101028,S200000,00200,0100,LINDALE 101028,S200000,00200,0200,TX 101028,S200000,00200,0300,75771- 101028,S200000,00300,0100,SMITH 101028,S200000,00300,0200,8640 101028,S200000,00300,0300,U 101028,S200000,00400,0100,COLONIAL NURSING 101028,S200000,00400,0200,675563 101028,S200000,00400,0300,01/01/1997 101028,S200000,00400,0500,P 101028,S200000,01600,0100,Y 101034,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101034,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101034,A000000,00300,0000,00300EMPLOYEE BENEFITS 101034,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101034,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101034,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101034,A000000,00700,0000,00700HOUSEKEEPING 101034,A000000,00800,0000,00800DIETARY 101034,A000000,00900,0000,00900NURSING ADMINISTRATION 101034,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101034,A000000,01100,0000,01100PHARMACY 101034,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101034,A000000,01300,0000,01300SOCIAL SERVICE 101034,A000000,01350,0000,01500OTHER GENERAL SERVICES 101034,A000000,01351,0000,01501ACTIVITIES 101034,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101034,A000000,01600,0000,01600SKILLED NURSING FACILITY 101034,A000000,01800,0000,01800NURSING FACILITY 101034,A000000,01810,0000,01810ICF/MR 101034,A000000,01900,0000,01900OTHER LONG TERM CARE 101034,A000000,02100,0000,02100RADIOLOGY 101034,A000000,02200,0000,02200LABORATORY 101034,A000000,02300,0000,02300INTRAVENOUS THERAPY 101034,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101034,A000000,02500,0000,02500PHYSICAL THERAPY 101034,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101034,A000000,02700,0000,02700SPEECH PATHOLOGY 101034,A000000,02800,0000,02800ELECTROCARDIOLOGY 101034,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101034,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101034,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101034,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101034,A000000,03200,0000,03200SUPPORT SURFACES 101034,A000000,03400,0000,03400CLINIC 101034,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101034,A000000,03500,0000,03500RURAL HEALTH CLINIC 101034,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101034,A000000,04800,0000,04800AMBULANCE 101034,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101034,A000000,05000,0000,05000CORF 101034,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101034,A000000,05300,0000,05300INTEREST EXPENSE 101034,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101034,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101034,A000000,05500,0000,05500HOSPICE 101034,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101034,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101034,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101034,A000000,06100,0000,06100NONPAID WORKERS 101034,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101034,A000000,06200,0000,06200PATIENTS LAUNDRY 101034,A81000A,00100,0100,Y 101034,A81000B,00100,0300,CAP REL - BLDG AND FIXTURES 101034,A81000B,00200,0300,A&G 101034,A81000C,00100,0100,B 101034,A81000C,00100,0400,ADVANCED LIVING TECH INC 101034,A81000C,00100,0600,NURSING HOME OPERATORS 101034,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101034,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101034,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101034,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101034,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101034,B100000,00000,0800,00000MEALS SERVED :DIETARY 101034,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101034,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101034,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101034,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101034,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101034,S000000,00100,0200,05/30/2000 101034,S200000,00100,0100,1181 NORTH WILLIAMSON 101034,S200000,00200,0100,GIDDINGS 101034,S200000,00200,0200,TX 101034,S200000,00200,0300,78942- 101034,S200000,00300,0100,LEE 101034,S200000,00300,0200,45 101034,S200000,00300,0300,R 101034,S200000,00400,0100,COUNTRY CAREPLEX 101034,S200000,00400,0200,675564 101034,S200000,00400,0300,03/01/1996 101034,S200000,00400,0500,P 101034,S200000,01600,0100,Y 101042,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101042,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101042,A000000,00300,0000,00300EMPLOYEE BENEFITS 101042,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101042,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101042,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101042,A000000,00700,0000,00700HOUSEKEEPING 101042,A000000,00800,0000,00800DIETARY 101042,A000000,00900,0000,00900NURSING ADMINISTRATION 101042,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101042,A000000,01100,0000,01100PHARMACY 101042,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101042,A000000,01300,0000,01300SOCIAL SERVICE 101042,A000000,01350,0000,01500OTHER GENERAL SERVICES 101042,A000000,01351,0000,01501ACTIVITIES 101042,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101042,A000000,01600,0000,01600SKILLED NURSING FACILITY 101042,A000000,01800,0000,01800NURSING FACILITY 101042,A000000,01810,0000,01810ICF/MR 101042,A000000,01900,0000,01900OTHER LONG TERM CARE 101042,A000000,02100,0000,02100RADIOLOGY 101042,A000000,02200,0000,02200LABORATORY 101042,A000000,02300,0000,02300INTRAVENOUS THERAPY 101042,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101042,A000000,02500,0000,02500PHYSICAL THERAPY 101042,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101042,A000000,02700,0000,02700SPEECH PATHOLOGY 101042,A000000,02800,0000,02800ELECTROCARDIOLOGY 101042,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101042,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101042,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101042,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101042,A000000,03200,0000,03200SUPPORT SURFACES 101042,A000000,03400,0000,03400CLINIC 101042,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101042,A000000,03500,0000,03500RURAL HEALTH CLINIC 101042,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101042,A000000,04800,0000,04800AMBULANCE 101042,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101042,A000000,05000,0000,05000CORF 101042,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101042,A000000,05300,0000,05300INTEREST EXPENSE 101042,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101042,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101042,A000000,05500,0000,05500HOSPICE 101042,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101042,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101042,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101042,A000000,06100,0000,06100NONPAID WORKERS 101042,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101042,A000000,06200,0000,06200PATIENTS LAUNDRY 101042,A81000A,00100,0100,Y 101042,A81000B,00100,0300,CAP REL - BLDG AND FIXTURES 101042,A81000B,00200,0300,A & G 101042,A81000C,00100,0100,B 101042,A81000C,00100,0400,ADVANCED LIVING TECH INC 101042,A81000C,00100,0600,NURSING HOME OPERATORS 101042,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101042,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101042,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101042,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101042,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101042,B100000,00000,0800,00000MEALS SERVED :DIETARY 101042,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101042,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101042,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101042,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101042,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101042,S000000,00100,0200,05/30/2000 101042,S200000,00100,0100,101 LANCASTER 101042,S200000,00200,0100,MOULTON 101042,S200000,00200,0200,TX 101042,S200000,00200,0300,77975- 101042,S200000,00300,0100,LAVACA 101042,S200000,00300,0200,45 101042,S200000,00300,0300,R 101042,S200000,00400,0100,SHADY OAK NURSING CENTER 101042,S200000,00400,0200,675566 101042,S200000,00400,0300,02/27/1996 101042,S200000,00400,0500,P 101042,S200000,01600,0100,Y 101049,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101049,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101049,A000000,00300,0000,00300EMPLOYEE BENEFITS 101049,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101049,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101049,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101049,A000000,00700,0000,00700HOUSEKEEPING 101049,A000000,00800,0000,00800DIETARY 101049,A000000,00801,0000,00801CAFETERIA 101049,A000000,00900,0000,00900NURSING ADMINISTRATION 101049,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101049,A000000,01100,0000,01100PHARMACY 101049,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101049,A000000,01300,0000,01300SOCIAL SERVICE 101049,A000000,01600,0000,01600SKILLED NURSING FACILITY 101049,A000000,01800,0000,01800NURSING FACILITY 101049,A000000,01900,0000,01900OTHER LONG TERM CARE 101049,A000000,02100,0000,02100RADIOLOGY 101049,A000000,02200,0000,02200LABORATORY 101049,A000000,02300,0000,02300INTRAVENOUS THERAPY 101049,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101049,A000000,02500,0000,02500PHYSICAL THERAPY 101049,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101049,A000000,02700,0000,02700SPEECH PATHOLOGY 101049,A000000,02800,0000,02800ELECTROCARDIOLOGY 101049,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101049,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101049,A000000,03200,0000,03200SUPPORT SURFACES 101049,A000000,04800,0000,04800AMBULANCE 101049,A000000,05300,0000,05300INTEREST EXPENSE 101049,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101049,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101049,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101049,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101049,A81000A,00100,0100,Y 101049,A81000B,00100,0300,HOME OFFICE COSTS 101049,A81000B,00200,0300,HOME OFFICE COSTS 101049,A81000C,00100,0100,B 101049,A81000C,00100,0200,HEALTHCO INC. 101049,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101049,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101049,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101049,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101049,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101049,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101049,B100000,00000,0800,00000MEALS SERVED :DIETARY 101049,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101049,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101049,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101049,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101049,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101049,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101049,S000000,00100,0200,06/12/2000 101049,S200000,00100,0100,9001 N LOOP DRIVE 101049,S200000,00200,0100,EL PASO 101049,S200000,00200,0200,TX 101049,S200000,00200,0300,79907- 101049,S200000,00300,0100,EL PASO 101049,S200000,00300,0200,2320 101049,S200000,00300,0300,U 101049,S200000,00400,0100,SUNSET HAVEN NURSING HOME 101049,S200000,00400,0200,675568 101049,S200000,00400,0300,01/17/1996 101049,S200000,00400,0500,P 101049,S200000,01600,0100,Y 101063,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101063,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101063,A000000,00300,0000,00300EMPLOYEE BENEFITS 101063,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101063,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101063,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101063,A000000,00700,0000,00700HOUSEKEEPING 101063,A000000,00800,0000,00800DIETARY 101063,A000000,00900,0000,00900NURSING ADMINISTRATION 101063,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101063,A000000,01100,0000,01100PHARMACY 101063,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101063,A000000,01300,0000,01300SOCIAL SERVICE 101063,A000000,01350,0000,01500OTHER GENERAL SERVICES 101063,A000000,01351,0000,01501ACTIVITIES 101063,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101063,A000000,01600,0000,01600SKILLED NURSING FACILITY 101063,A000000,01800,0000,01800NURSING FACILITY 101063,A000000,01810,0000,01810ICF/MR 101063,A000000,01900,0000,01900OTHER LONG TERM CARE 101063,A000000,02100,0000,02100RADIOLOGY 101063,A000000,02200,0000,02200LABORATORY 101063,A000000,02300,0000,02300INTRAVENOUS THERAPY 101063,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101063,A000000,02500,0000,02500PHYSICAL THERAPY 101063,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101063,A000000,02700,0000,02700SPEECH PATHOLOGY 101063,A000000,02800,0000,02800ELECTROCARDIOLOGY 101063,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101063,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101063,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101063,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101063,A000000,03200,0000,03200SUPPORT SURFACES 101063,A000000,03400,0000,03400CLINIC 101063,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101063,A000000,03500,0000,03500RURAL HEALTH CLINIC 101063,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101063,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101063,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101063,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101063,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101063,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101063,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101063,A000000,04400,0000,04400DME RENTED - HHA 101063,A000000,04500,0000,04500DME SOLD - HHA 101063,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101063,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101063,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101063,A000000,04800,0000,04800AMBULANCE 101063,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101063,A000000,05000,0000,05000CORF 101063,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101063,A000000,05300,0000,05300INTEREST EXPENSE 101063,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101063,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101063,A000000,05500,0000,05500HOSPICE 101063,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101063,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101063,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101063,A000000,06100,0000,06100NONPAID WORKERS 101063,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101063,A000000,06200,0000,06200PATIENTS LAUNDRY 101063,A81000A,00100,0100,Y 101063,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 101063,A81000B,00200,0300,CAP REL COSTS-BLDG & FIX 101063,A81000C,00100,0100,B 101063,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 101063,A81000C,00100,0600,NURSING HOME OPERATIONS 101063,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101063,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101063,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101063,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101063,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101063,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101063,B100000,00000,0800,00000MEALS SERVED :DIETARY 101063,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101063,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101063,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101063,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101063,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101063,S000000,00100,0200,01/31/2001 101063,S200000,00100,0100,3401 BRYAN STREET 101063,S200000,00200,0100,DALLAS 101063,S200000,00200,0200,TX 101063,S200000,00200,0300,75204- 101063,S200000,00300,0100,DALLAS 101063,S200000,00300,0200,1920 101063,S200000,00300,0300,U 101063,S200000,00400,0100,BRYAN MANOR NURSING HOME 101063,S200000,00400,0200,675571 101063,S200000,00400,0300,02/22/1996 101063,S200000,00400,0500,P 101063,S200000,01600,0100,Y 101070,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101070,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101070,A000000,00300,0000,00300EMPLOYEE BENEFITS 101070,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101070,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101070,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101070,A000000,00700,0000,00700HOUSEKEEPING 101070,A000000,00800,0000,00800DIETARY 101070,A000000,00900,0000,00900NURSING ADMINISTRATION 101070,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101070,A000000,01100,0000,01100PHARMACY 101070,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101070,A000000,01300,0000,01300SOCIAL SERVICE 101070,A000000,01350,0000,01500OTHER GENERAL SERVICES 101070,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101070,A000000,01600,0000,01600SKILLED NURSING FACILITY 101070,A000000,01800,0000,01800NURSING FACILITY 101070,A000000,01900,0000,01900OTHER LONG TERM CARE 101070,A000000,02100,0000,02100RADIOLOGY 101070,A000000,02200,0000,02200LABORATORY 101070,A000000,02300,0000,02300INTRAVENOUS THERAPY 101070,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101070,A000000,02500,0000,02500PHYSICAL THERAPY 101070,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101070,A000000,02700,0000,02700SPEECH PATHOLOGY 101070,A000000,02800,0000,02800ELECTROCARDIOLOGY 101070,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101070,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101070,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101070,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101070,A000000,03200,0000,03200SUPPORT SURFACES 101070,A000000,03400,0000,03400CLINIC 101070,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101070,A000000,03500,0000,03500RURAL HEALTH CLINIC 101070,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101070,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101070,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101070,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101070,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101070,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101070,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101070,A000000,04400,0000,04400DME RENTED - HHA 101070,A000000,04500,0000,04500DME SOLD - HHA 101070,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101070,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101070,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101070,A000000,04800,0000,04800AMBULANCE 101070,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101070,A000000,05000,0000,05000CORF 101070,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101070,A000000,05300,0000,05300INTEREST EXPENSE 101070,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101070,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101070,A000000,05500,0000,05500HOSPICE 101070,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101070,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101070,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101070,A000000,06100,0000,06100NONPAID WORKERS 101070,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101070,A000000,06200,0000,06200PATIENTS LAUNDRY 101070,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101070,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101070,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101070,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101070,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101070,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101070,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101070,B100000,00000,0800,00000MEALS SERVED :DIETARY 101070,B100000,00000,0950,00000SALARIES BY DEPT :NURSING ADMINISTR 101070,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101070,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101070,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101070,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101070,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101070,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101070,S000000,00100,0200,01/18/2000 101070,S200000,00100,0100,1021 HOLDEN STREET 101070,S200000,00100,0300,2099 101070,S200000,00200,0100,GLEN ROSE 101070,S200000,00200,0200,TX 101070,S200000,00200,0300,76043- 101070,S200000,00300,0100,SOMERVELL 101070,S200000,00400,0100,GLEN ROSE MEDICAL CTR NRSG HOME 101070,S200000,00400,0200,675572 101070,S200000,00400,0300,03/22/1996 101070,S200000,00400,0500,P 101070,S200000,01600,0100,Y 101070,S700003,00000,0400,4 101075,S000000,00100,0200,09/11/2000 101082,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101082,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101082,A000000,00300,0000,00300EMPLOYEE BENEFITS 101082,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101082,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101082,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101082,A000000,00700,0000,00700HOUSEKEEPING 101082,A000000,00800,0000,00800DIETARY 101082,A000000,00900,0000,00900NURSING ADMINISTRATION 101082,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101082,A000000,01100,0000,01100PHARMACY 101082,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101082,A000000,01300,0000,01300SOCIAL SERVICE 101082,A000000,01350,0000,01500OTHER GENERAL SERVICES 101082,A000000,01351,0000,01501ACTIVITIES 101082,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101082,A000000,01600,0000,01600SKILLED NURSING FACILITY 101082,A000000,01800,0000,01800NURSING FACILITY 101082,A000000,01810,0000,01810ICF/MR 101082,A000000,01900,0000,01900OTHER LONG TERM CARE 101082,A000000,02100,0000,02100RADIOLOGY 101082,A000000,02200,0000,02200LABORATORY 101082,A000000,02300,0000,02300INTRAVENOUS THERAPY 101082,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101082,A000000,02500,0000,02500PHYSICAL THERAPY 101082,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101082,A000000,02700,0000,02700SPEECH PATHOLOGY 101082,A000000,02800,0000,02800ELECTROCARDIOLOGY 101082,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101082,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101082,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101082,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101082,A000000,03200,0000,03200SUPPORT SURFACES 101082,A000000,03400,0000,03400CLINIC 101082,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101082,A000000,03500,0000,03500RURAL HEALTH CLINIC 101082,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101082,A000000,04800,0000,04800AMBULANCE 101082,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101082,A000000,05000,0000,05000CORF 101082,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101082,A000000,05300,0000,05300INTEREST EXPENSE 101082,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101082,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101082,A000000,05500,0000,05500HOSPICE 101082,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101082,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101082,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101082,A000000,06100,0000,06100NONPAID WORKERS 101082,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101082,A000000,06200,0000,06200PATIENTS LAUNDRY 101082,A81000A,00100,0100,Y 101082,A81000B,00100,0300,A&G 101082,A81000C,00100,0100,A 101082,A81000C,00100,0400,HASMARK CORPORATION 101082,A81000C,00100,0600,NURSING HOME OPERATOR 101082,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101082,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101082,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101082,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101082,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101082,B100000,00000,0800,00000MEALS SERVED :DIETARY 101082,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101082,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101082,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101082,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101082,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101082,S000000,00100,0200,06/09/2000 101082,S200000,00100,0100,901 GOLIAD 101082,S200000,00200,0100,BIG SPRING 101082,S200000,00200,0200,TX 101082,S200000,00200,0300,79720- 101082,S200000,00300,0100,HOWARD 101082,S200000,00300,0200,45 101082,S200000,00300,0300,R 101082,S200000,00400,0100,BIG SPRING CARE CENTER 101082,S200000,00400,0200,675575 101082,S200000,00400,0300,03/05/1996 101082,S200000,00400,0500,P 101082,S200000,01600,0100,Y 101088,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101088,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101088,A000000,00300,0000,00300EMPLOYEE BENEFITS 101088,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101088,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101088,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101088,A000000,00700,0000,00700HOUSEKEEPING 101088,A000000,00800,0000,00800DIETARY 101088,A000000,00900,0000,00900NURSING ADMINISTRATION 101088,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101088,A000000,01100,0000,01100PHARMACY 101088,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101088,A000000,01300,0000,01300SOCIAL SERVICE 101088,A000000,01350,0000,01500OTHER GENERAL SERVICES 101088,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101088,A000000,01600,0000,01600SKILLED NURSING FACILITY 101088,A000000,01800,0000,01800NURSING FACILITY 101088,A000000,01810,0000,01801ICF/MR 101088,A000000,01900,0000,01900OTHER LONG TERM CARE 101088,A000000,02100,0000,02100RADIOLOGY 101088,A000000,02200,0000,02200LABORATORY 101088,A000000,02300,0000,02300INTRAVENOUS THERAPY 101088,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101088,A000000,02500,0000,02500PHYSICAL THERAPY 101088,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101088,A000000,02700,0000,02700SPEECH PATHOLOGY 101088,A000000,02800,0000,02800ELECTROCARDIOLOGY 101088,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101088,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101088,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101088,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101088,A000000,03200,0000,03200SUPPORT SURFACES 101088,A000000,03400,0000,03400CLINIC 101088,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101088,A000000,03500,0000,03500RURAL HEALTH CLINIC 101088,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101088,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101088,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101088,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101088,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101088,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101088,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101088,A000000,04400,0000,04400DME RENTED - HHA 101088,A000000,04500,0000,04500DME SOLD - HHA 101088,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101088,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101088,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101088,A000000,04800,0000,04800AMBULANCE 101088,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101088,A000000,05000,0000,05000CORF 101088,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101088,A000000,05300,0000,05300INTEREST EXPENSE 101088,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101088,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101088,A000000,05500,0000,05500HOSPICE 101088,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101088,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101088,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101088,A000000,06100,0000,06100NONPAID WORKERS 101088,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101088,A000000,06200,0000,06200PATIENTS LAUNDRY 101088,A81000A,00100,0100,Y 101088,A81000B,00100,0300,HOME OFFICE COSTS 101088,A81000B,00200,0300,DIETARY CONSULTANT 101088,A81000B,00300,0300,ADMINISTRATOR 101088,A81000B,00400,0300,ADMINISTRATOR SALARY 101088,A81000C,00100,0100,B 101088,A81000C,00100,0200,CHRISTIAN CARE CENTERS 101088,A81000C,00100,0600,CORPORATE HOME OFFICE 101088,A81000C,00200,0100,G 101088,A81000C,00200,0200,MELODY BURT 101088,A81000C,00200,0400,RICHARD BURT 101088,A81000C,00200,0600,BOARD MEMBER 101088,A81000C,00300,0100,G 101088,A81000C,00300,0200,BRAD BURT 101088,A81000C,00300,0400,RICHARD BURT 101088,A81000C,00300,0600,BOARD MEMBER 101088,A81000C,00400,0100,G 101088,A81000C,00400,0200,GREG LOSHER 101088,A81000C,00400,0400,JOHN J. LOSHER 101088,A81000C,00400,0600,PRESIDENT/CEO 101088,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101088,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 101088,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101088,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101088,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101088,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101088,B100000,00000,0750,00000SQUARE FEET C :HOUSEKEEPING 101088,B100000,00000,0800,00000MEALS SERVED :DIETARY 101088,B100000,00000,0950,00000SALARIES SUPERVISED :NURSING ADMIN 101088,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101088,B100000,00000,1150,00000NO STATISTICS :PHARMACY 101088,B100000,00000,1250,00000TOTAL CHARGES :MEDICAL RECORDS & L 101088,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101088,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101088,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 101088,S000000,00100,0200,05/23/2000 101088,S200000,00100,0100,308 E. COLLEGE 101088,S200000,00200,0100,GUNTER 101088,S200000,00200,0200,TX 101088,S200000,00200,0300,75058- 101088,S200000,00300,0100,GRAYSON 101088,S200000,00400,0100,HILLTOP HAVEN 101088,S200000,00400,0200,675576 101088,S200000,00400,0300,03/18/1996 101088,S200000,00400,0500,P 101088,S200000,01600,0100,Y 101088,S700003,00000,0400,4 101094,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101094,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101094,A000000,00300,0000,00300EMPLOYEE BENEFITS 101094,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101094,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101094,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101094,A000000,00700,0000,00700HOUSEKEEPING 101094,A000000,00800,0000,00800DIETARY 101094,A000000,00801,0000,00801CAFETERIA 101094,A000000,00900,0000,00900NURSING ADMINISTRATION 101094,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101094,A000000,01100,0000,01100PHARMACY 101094,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101094,A000000,01300,0000,01300SOCIAL SERVICE 101094,A000000,01600,0000,01600SKILLED NURSING FACILITY 101094,A000000,01800,0000,01800NURSING FACILITY 101094,A000000,01900,0000,01900OTHER LONG TERM CARE 101094,A000000,02100,0000,02100RADIOLOGY 101094,A000000,02200,0000,02200LABORATORY 101094,A000000,02300,0000,02300INTRAVENOUS THERAPY 101094,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101094,A000000,02500,0000,02500PHYSICAL THERAPY 101094,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101094,A000000,02700,0000,02700SPEECH PATHOLOGY 101094,A000000,02800,0000,02800ELECTROCARDIOLOGY 101094,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101094,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101094,A000000,03200,0000,03200SUPPORT SURFACES 101094,A000000,04800,0000,04800AMBULANCE 101094,A000000,05300,0000,05300INTEREST EXPENSE 101094,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101094,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101094,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101094,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101094,A81000A,00100,0100,Y 101094,A81000B,00100,0300,PROPERTY COSTS 101094,A81000B,00200,0300,OWNERS COMP 101094,A81000C,00100,0100,A 101094,A81000C,00100,0200,N. CARTER 101094,A81000C,00100,0400,CARYLE CENTER 101094,A81000C,00100,0600,R.E.I.T. 101094,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101094,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101094,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101094,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101094,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101094,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101094,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101094,B100000,00000,0800,00000MEALS SERVED :DIETARY 101094,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101094,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101094,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101094,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101094,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101094,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101094,S000000,00100,0200,06/23/2000 101094,S200000,00100,0100,123 LIONS CLUB PARK ROAD 101094,S200000,00200,0100,LANCASTER 101094,S200000,00200,0200,TX 101094,S200000,00200,0300,75146- 101094,S200000,00300,0100,DALLAS 101094,S200000,00400,0100,INN ON THE PARK 101094,S200000,00400,0200,675577 101094,S200000,00400,0300,03/28/1996 101094,S200000,00400,0500,P 101094,S200000,01600,0100,Y 101094,S700003,00000,0400,4 101104,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101104,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101104,A000000,00300,0000,00300EMPLOYEE BENEFITS 101104,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101104,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101104,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101104,A000000,00700,0000,00700HOUSEKEEPING 101104,A000000,00800,0000,00800DIETARY 101104,A000000,00801,0000,00801CAFETERIA 101104,A000000,00900,0000,00900NURSING ADMINISTRATION 101104,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101104,A000000,01100,0000,01100PHARMACY 101104,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101104,A000000,01300,0000,01300SOCIAL SERVICE 101104,A000000,01600,0000,01600SKILLED NURSING FACILITY 101104,A000000,01800,0000,01800NURSING FACILITY 101104,A000000,01900,0000,01900OTHER LONG TERM CARE 101104,A000000,02100,0000,02100RADIOLOGY 101104,A000000,02200,0000,02200LABORATORY 101104,A000000,02300,0000,02300INTRAVENOUS THERAPY 101104,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101104,A000000,02500,0000,02500PHYSICAL THERAPY 101104,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101104,A000000,02700,0000,02700SPEECH PATHOLOGY 101104,A000000,02800,0000,02800ELECTROCARDIOLOGY 101104,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101104,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101104,A000000,03200,0000,03200SUPPORT SURFACES 101104,A000000,04800,0000,04800AMBULANCE 101104,A000000,05300,0000,05300INTEREST EXPENSE 101104,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101104,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101104,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101104,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101104,A81000A,00100,0100,Y 101104,A81000B,00100,0300,CENTRAL OFC COSTS 101104,A81000B,00200,0300,MANAGEMENT FEES 101104,A81000B,00300,0300,MACHINE ACCOUNTING 101104,A81000B,00400,0300,TELEPHONE 101104,A81000B,00500,0300,TRAVEL/SEMINARS 101104,A81000B,00600,0300,GAS/OIL 101104,A81000C,00100,0100,B 101104,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101104,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101104,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101104,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101104,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101104,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101104,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101104,B100000,00000,0800,00000MEALS SERVED :DIETARY 101104,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101104,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101104,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101104,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101104,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101104,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101104,S000000,00100,0200,06/09/2000 101104,S200000,00100,0100,3002 W. SECOND AVE. 101104,S200000,00200,0100,CORSICANA 101104,S200000,00200,0200,TX 101104,S200000,00200,0300,75110- 101104,S200000,00300,0100,NAVARRO 101104,S200000,00400,0100,HERITAGE OAKS RETIREMENT VILLAGE 101104,S200000,00400,0200,675581 101104,S200000,00400,0300,04/01/1998 101104,S200000,00400,0500,P 101104,S200000,01600,0100,Y 101104,S700003,00000,0400,4 101114,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101114,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101114,A000000,00300,0000,00300EMPLOYEE BENEFITS 101114,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101114,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101114,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101114,A000000,00700,0000,00700HOUSEKEEPING 101114,A000000,00800,0000,00800DIETARY 101114,A000000,00900,0000,00900NURSING ADMINISTRATION 101114,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101114,A000000,01100,0000,01100PHARMACY 101114,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101114,A000000,01300,0000,01300SOCIAL SERVICE 101114,A000000,01600,0000,01600SKILLED NURSING FACILITY 101114,A000000,01800,0000,01800NURSING FACILITY 101114,A000000,02100,0000,02100RADIOLOGY 101114,A000000,02200,0000,02200LABORATORY 101114,A000000,02300,0000,02300INTRAVENOUS THERAPY 101114,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101114,A000000,02500,0000,02500PHYSICAL THERAPY 101114,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101114,A000000,02700,0000,02700SPEECH PATHOLOGY 101114,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101114,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101114,A000000,03200,0000,03200SUPPORT SURFACES 101114,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101114,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101114,A81000A,00100,0100,Y 101114,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 101114,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 101114,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 101114,A81000C,00100,0100,A 101114,A81000C,00100,0200,JAMES PATTERSON 101114,A81000C,00100,0400,PYRAMID HEALTHCARE 101114,A81000C,00100,0600,LTC MANAGEMENT 101114,A81000C,00200,0100,A 101114,A81000C,00200,0200,ROBERT GRIMES 101114,A81000C,00200,0400,PYRAMID HEALTHCARE 101114,A81000C,00200,0600,LTC MANAGEMENT 101114,A81000C,00300,0100,A 101114,A81000C,00300,0200,DIANE WARD 101114,A81000C,00300,0400,PYRAMID HEALTHCARE 101114,A81000C,00300,0600,LTC MANAGEMENT 101114,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101114,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101114,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101114,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101114,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101114,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101114,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101114,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101114,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101114,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101114,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101114,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101114,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101114,S000000,00100,0200,06/28/2000 101114,S200000,00100,0100,1908 SIXTH STREET 101114,S200000,00200,0100,WICHITA FALLS 101114,S200000,00200,0200,TX 101114,S200000,00200,0300,76301-2124 101114,S200000,00300,0100,WICHITA 101114,S200000,00400,0100,CEDAR FALLS CARE CENTER 101114,S200000,00400,0200,675586 101114,S200000,00400,0300,05/15/1996 101114,S200000,00400,0500,P 101114,S200000,01600,0100,Y 101114,S700003,00000,0400,4 101126,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101126,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101126,A000000,00300,0000,00300EMPLOYEE BENEFITS 101126,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101126,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101126,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101126,A000000,00700,0000,00700HOUSEKEEPING 101126,A000000,00800,0000,00800DIETARY 101126,A000000,00900,0000,00900NURSING ADMINISTRATION 101126,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101126,A000000,01100,0000,01100PHARMACY 101126,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101126,A000000,01300,0000,01300SOCIAL SERVICE 101126,A000000,01600,0000,01600SKILLED NURSING FACILITY 101126,A000000,01800,0000,01800NURSING FACILITY 101126,A000000,02100,0000,02100RADIOLOGY 101126,A000000,02200,0000,02200LABORATORY 101126,A000000,02300,0000,02300INTRAVENOUS THERAPY 101126,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101126,A000000,02500,0000,02500PHYSICAL THERAPY 101126,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101126,A000000,02700,0000,02700SPEECH PATHOLOGY 101126,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101126,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101126,A000000,03200,0000,03200SUPPORT SURFACES 101126,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101126,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101126,A81000A,00100,0100,Y 101126,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 101126,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 101126,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 101126,A81000C,00100,0100,A 101126,A81000C,00100,0200,JAMES PATTERSON 101126,A81000C,00100,0400,PYRAMID HEALTHCARE 101126,A81000C,00100,0600,LTC MANAGEMENT 101126,A81000C,00200,0100,A 101126,A81000C,00200,0200,ROBERT GRIMES 101126,A81000C,00200,0400,PYRAMID HEALTHCARE 101126,A81000C,00200,0600,LTC MANAGEMENT 101126,A81000C,00300,0100,A 101126,A81000C,00300,0200,DIANE WARD 101126,A81000C,00300,0400,PYRAMID HEALTHCARE 101126,A81000C,00300,0600,LTC MANAGEMENT 101126,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101126,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101126,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101126,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101126,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101126,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101126,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101126,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101126,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101126,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101126,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101126,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101126,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101126,S000000,00100,0200,06/28/2000 101126,S200000,00100,0100,600 W. ROOSEVELT 101126,S200000,00100,0300,669 101126,S200000,00200,0100,GORMAN 101126,S200000,00200,0200,TX 101126,S200000,00200,0300,76454-0669 101126,S200000,00300,0100,EASTLAND 101126,S200000,00400,0100,HERITAGE MANOR OF GORMAN 101126,S200000,00400,0200,675590 101126,S200000,00400,0300,03/10/1996 101126,S200000,00400,0500,P 101126,S200000,01600,0100,Y 101126,S700003,00000,0400,4 101136,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101136,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101136,A000000,00300,0000,00300EMPLOYEE BENEFITS 101136,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101136,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101136,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101136,A000000,00700,0000,00700HOUSEKEEPING 101136,A000000,00800,0000,00800DIETARY 101136,A000000,00900,0000,00900NURSING ADMINISTRATION 101136,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101136,A000000,01100,0000,01100PHARMACY 101136,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101136,A000000,01300,0000,01300SOCIAL SERVICE 101136,A000000,01600,0000,01600SKILLED NURSING FACILITY 101136,A000000,01800,0000,01800NURSING FACILITY 101136,A000000,01810,0000,01810ICF/MR 101136,A000000,01900,0000,01900OTHER LONG TERM CARE 101136,A000000,02100,0000,02100RADIOLOGY 101136,A000000,02200,0000,02200LABORATORY 101136,A000000,02300,0000,02300INTRAVENOUS THERAPY 101136,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101136,A000000,02500,0000,02500PHYSICAL THERAPY 101136,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101136,A000000,02700,0000,02700SPEECH PATHOLOGY 101136,A000000,02800,0000,02800ELECTROCARDIOLOGY 101136,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101136,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101136,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101136,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101136,A000000,03200,0000,03200SUPPORT SURFACES 101136,A000000,03400,0000,03400CLINIC 101136,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 101136,A000000,03500,0000,03500RURAL HEALTH CLINIC 101136,A000000,04800,0000,04800AMBULANCE 101136,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101136,A000000,05000,0000,05000CORF 101136,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101136,A000000,05300,0000,05300INTEREST EXPENSE 101136,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101136,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101136,A000000,05500,0000,05500HOSPICE 101136,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101136,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101136,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101136,A000000,06100,0000,06100NONPAID WORKERS 101136,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101136,A000000,06200,0000,06200PATIENTS LAUNDRY 101136,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101136,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101136,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101136,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101136,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101136,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101136,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101136,B100000,00000,0800,00000MEALS SERVED :DIETARY 101136,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101136,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101136,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101136,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101136,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101136,S000000,00100,0200,09/01/2000 101136,S200000,00100,0100,4847 WEST LAWTHER DRIVE 101136,S200000,00200,0100,DALLAS 101136,S200000,00200,0200,TX 101136,S200000,00200,0300,75214- 101136,S200000,00300,0100,DALLAS 101136,S200000,00400,0100,C.C. YOUNG MEMORIAL HOME 101136,S200000,00400,0200,675592 101136,S200000,00400,0300,09/01/1996 101136,S200000,00400,0500,P 101136,S200000,01600,0100,Y 101136,S51R000,01300,0100,800 101136,S51R000,01300,0200,1700 101136,S51R000,01300,0300,800 101136,S51R000,01300,0400,1700 101136,S51R000,01300,0500,800 101136,S51R000,01300,0600,1700 101136,S51R000,01300,0700,800 101136,S51R000,01300,0800,1700 101136,S51R000,01300,0900,800 101136,S51R000,01300,1000,1700 101136,S51R000,01300,1100,800 101136,S51R000,01300,1200,1700 101136,S51R000,01300,1300,800 101136,S51R000,01300,1400,1700 101136,S700003,00000,0400,4 101144,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101144,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101144,A000000,00300,0000,00300EMPLOYEE BENEFITS 101144,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101144,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101144,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101144,A000000,00700,0000,00700HOUSEKEEPING 101144,A000000,00800,0000,00800DIETARY 101144,A000000,00900,0000,00900NURSING ADMINISTRATION 101144,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101144,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101144,A000000,01300,0000,01300SOCIAL SERVICE 101144,A000000,01350,0000,01500ACTIVITIES 101144,A000000,01600,0000,01600SKILLED NURSING FACILITY 101144,A000000,01800,0000,01800NURSING FACILITY 101144,A000000,01810,0000,01810ICF/MR 101144,A000000,01900,0000,01900OTHER LONG TERM CARE 101144,A000000,02100,0000,02100RADIOLOGY 101144,A000000,02200,0000,02200LABORATORY 101144,A000000,02300,0000,02300INTRAVENOUS THERAPY 101144,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101144,A000000,02500,0000,02500PHYSICAL THERAPY 101144,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101144,A000000,02700,0000,02700SPEECH PATHOLOGY 101144,A000000,02800,0000,02800ELECTROCARDIOLOGY 101144,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101144,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101144,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101144,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101144,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101144,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101144,A000000,06100,0000,06100NONPAID WORKERS 101144,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101144,A81000A,00100,0100,Y 101144,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 101144,A81000B,00200,0300,HOME OFFICE CAPITAL-BLDG 101144,A81000B,00300,0300,HOME OFFICE CAPITAL-EQPT 101144,A81000B,00400,0300,PHARMACY 101144,A81000B,00500,0300,PHARMACY 101144,A81000B,00600,0300,PHARMACY CONSULTANT 101144,A81000B,00700,0300,PHYSICAL THERAPY 101144,A81000B,00800,0300,OCCUPATIONAL THERAPY 101144,A81000B,00900,0300,SPEECH THERAPY 101144,A81000C,00100,0100,B 101144,A81000C,00100,0200,SEARS METHODIST 101144,A81000C,00100,0400,SEARS METHODIST 101144,A81000C,00100,0600,HOME OFFICE 101144,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101144,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101144,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101144,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101144,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101144,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101144,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101144,B100000,00000,0800,00000MEALS SERVED :DIETARY 101144,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101144,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101144,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101144,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101144,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 101144,S000000,00100,0200,05/31/2000 101144,S200000,00100,0100,3202 SOUTH WILLIS STREET 101144,S200000,00200,0100,ABILENE 101144,S200000,00200,0200,TX 101144,S200000,00200,0300,79605- 101144,S200000,00300,0100,TAYLOR 101144,S200000,00400,0100,SEARS METHODIST CENTER 101144,S200000,00400,0200,675593 101144,S200000,00400,0300,01/01/1988 101144,S200000,00400,0500,P 101144,S200000,01600,0100,Y 101144,S200000,02800,0100,Y 101144,S700003,00000,0400,4 101152,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101152,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101152,A000000,00300,0000,00300EMPLOYEE BENEFITS 101152,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101152,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101152,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101152,A000000,00700,0000,00700HOUSEKEEPING 101152,A000000,00800,0000,00800DIETARY 101152,A000000,00900,0000,00900NURSING ADMINISTRATION 101152,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101152,A000000,01100,0000,01100PHARMACY 101152,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101152,A000000,01300,0000,01300SOCIAL SERVICE 101152,A000000,01351,0000,01301ACTIVITIES 101152,A000000,01600,0000,01600SKILLED NURSING FACILITY 101152,A000000,01800,0000,01800NURSING FACILITY 101152,A000000,02100,0000,02100RADIOLOGY 101152,A000000,02200,0000,02200LABORATORY 101152,A000000,02300,0000,02300INTRAVENOUS THERAPY 101152,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101152,A000000,02500,0000,02500PHYSICAL THERAPY 101152,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101152,A000000,02700,0000,02700SPEECH PATHOLOGY 101152,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101152,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101152,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101152,A000000,03051,0000,03301MEDICAL EQUIPMENT 101152,A000000,04800,0000,04800AMBULANCE 101152,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101152,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101152,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101152,A81000A,00100,0100,Y 101152,A81000B,00100,0300,HOME OFFICE CAPITAL 101152,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101152,A81000B,00300,0300,WAREHOUSE 101152,A81000C,00100,0100,A 101152,A81000C,00100,0200,PETER C. KERN 101152,A81000C,00100,0400,HEA MANAGEMENT GROUP 101152,A81000C,00100,0600,HOME OFFICE 101152,A81000C,00200,0100,A 101152,A81000C,00200,0200,PETER C. KERN 101152,A81000C,00200,0400,WAREHOUSE STORAGE 101152,A81000C,00200,0600,OLD RECORD STORAGE 101152,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101152,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101152,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101152,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101152,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101152,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101152,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101152,B100000,00000,0800,00000MEALS SERVED :DIETARY 101152,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101152,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101152,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101152,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101152,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101152,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101152,S000000,00100,0200,05/30/2000 101152,S200000,00100,0100,2800 MIDLAND 101152,S200000,00200,0100,MIDLAND 101152,S200000,00200,0200,TX 101152,S200000,00200,0300,79707- 101152,S200000,00300,0100,MIDLAND 101152,S200000,00300,0200,5800 101152,S200000,00300,0300,U 101152,S200000,00400,0100,TERRACE WEST NURSING HOME 101152,S200000,00400,0200,675594 101152,S200000,00400,0300,05/21/1996 101152,S200000,00400,0500,P 101152,S200000,01600,0100,Y 101152,S200000,02200,0100,Y 101152,S200000,04300,0100,Y 101161,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101161,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101161,A000000,00300,0000,00300EMPLOYEE BENEFITS 101161,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101161,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101161,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101161,A000000,00700,0000,00700HOUSEKEEPING 101161,A000000,00800,0000,00800DIETARY 101161,A000000,00900,0000,00900NURSING ADMINISTRATION 101161,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101161,A000000,01100,0000,01100PHARMACY 101161,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101161,A000000,01300,0000,01300SOCIAL SERVICE 101161,A000000,01351,0000,01301ACTIVITIES 101161,A000000,01600,0000,01600SKILLED NURSING FACILITY 101161,A000000,01800,0000,01800NURSING FACILITY 101161,A000000,02100,0000,02100RADIOLOGY 101161,A000000,02200,0000,02200LABORATORY 101161,A000000,02300,0000,02300INTRAVENOUS THERAPY 101161,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101161,A000000,02500,0000,02500PHYSICAL THERAPY 101161,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101161,A000000,02700,0000,02700SPEECH PATHOLOGY 101161,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101161,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101161,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101161,A000000,03051,0000,03301MEDICAL EQUIPMENT 101161,A000000,04800,0000,04800AMBULANCE 101161,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101161,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101161,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101161,A81000A,00100,0100,Y 101161,A81000B,00100,0300,HOME OFFICE CAPITAL 101161,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101161,A81000B,00300,0300,WAREHOUSE 101161,A81000C,00100,0100,A 101161,A81000C,00100,0200,PETER C. KERN 101161,A81000C,00100,0400,HEA MANAGEMENT GROUP 101161,A81000C,00100,0600,HOME OFFICE 101161,A81000C,00200,0100,A 101161,A81000C,00200,0200,PETER C. KERN 101161,A81000C,00200,0400,WAREHOUSE STORAGE 101161,A81000C,00200,0600,OLD RECORD STORAGE 101161,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101161,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101161,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101161,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101161,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101161,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101161,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101161,B100000,00000,0800,00000MEALS SERVED :DIETARY 101161,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101161,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101161,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101161,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101161,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101161,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101161,S000000,00100,0200,05/30/2000 101161,S200000,00100,0100,2660 BRICKYARD ROAD 101161,S200000,00200,0100,BEAUMONT 101161,S200000,00200,0200,TX 101161,S200000,00200,0300,77703-4708 101161,S200000,00300,0100,JEFFERSON 101161,S200000,00300,0200,0840 101161,S200000,00300,0300,U 101161,S200000,00400,0100,SPRING CREEK MANOR 101161,S200000,00400,0200,675595 101161,S200000,00400,0300,06/14/1996 101161,S200000,00400,0500,P 101161,S200000,01600,0100,Y 101161,S200000,02200,0100,Y 101161,S200000,04300,0100,Y 101170,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101170,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101170,A000000,00300,0000,00300EMPLOYEE BENEFITS 101170,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101170,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101170,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101170,A000000,00700,0000,00700HOUSEKEEPING 101170,A000000,00800,0000,00800DIETARY 101170,A000000,00900,0000,00900NURSING ADMINISTRATION 101170,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101170,A000000,01100,0000,01100PHARMACY 101170,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101170,A000000,01300,0000,01300SOCIAL SERVICE 101170,A000000,01351,0000,01301ACTIVITIES 101170,A000000,01600,0000,01600SKILLED NURSING FACILITY 101170,A000000,01800,0000,01800NURSING FACILITY 101170,A000000,02100,0000,02100RADIOLOGY 101170,A000000,02200,0000,02200LABORATORY 101170,A000000,02300,0000,02300INTRAVENOUS THERAPY 101170,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101170,A000000,02500,0000,02500PHYSICAL THERAPY 101170,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101170,A000000,02700,0000,02700SPEECH PATHOLOGY 101170,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101170,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101170,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101170,A000000,03051,0000,03301MEDICAL EQUIPMENT 101170,A000000,04800,0000,04800AMBULANCE 101170,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101170,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101170,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101170,A81000A,00100,0100,Y 101170,A81000B,00100,0300,HOME OFFICE CAPITAL 101170,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101170,A81000B,00300,0300,WAREHOUSE 101170,A81000C,00100,0100,A 101170,A81000C,00100,0200,PETER C. KERN 101170,A81000C,00100,0400,HEA MANAGEMENT GROUP 101170,A81000C,00100,0600,HOME OFFICE 101170,A81000C,00200,0100,A 101170,A81000C,00200,0200,PETER C. KERN 101170,A81000C,00200,0400,WAREHOUSE STORAGE 101170,A81000C,00200,0600,OLD RECORD STORAGE 101170,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101170,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101170,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101170,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101170,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101170,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101170,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101170,B100000,00000,0800,00000MEALS SERVED :DIETARY 101170,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101170,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101170,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101170,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101170,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101170,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101170,S000000,00100,0200,05/30/2000 101170,S200000,00100,0100,4501 DUDMAR 101170,S200000,00200,0100,AUSTIN 101170,S200000,00200,0200,TX 101170,S200000,00200,0300,78735- 101170,S200000,00300,0100,TRAVIS 101170,S200000,00300,0200,0640 101170,S200000,00300,0300,U 101170,S200000,00400,0100,MONTE SIESTA RETIREMENT CENTER 101170,S200000,00400,0200,675596 101170,S200000,00400,0300,05/08/1996 101170,S200000,00400,0500,P 101170,S200000,01600,0100,Y 101170,S200000,02200,0100,Y 101170,S200000,04300,0100,Y 101174,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101174,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101174,A000000,00300,0000,00300EMPLOYEE BENEFITS 101174,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101174,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101174,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101174,A000000,00700,0000,00700HOUSEKEEPING 101174,A000000,00800,0000,00800DIETARY 101174,A000000,00900,0000,00900NURSING ADMINISTRATION 101174,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101174,A000000,01100,0000,01100PHARMACY 101174,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101174,A000000,01300,0000,01300SOCIAL SERVICE 101174,A000000,01350,0000,01500OTHER GENERAL SERVICES 101174,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101174,A000000,01600,0000,01600SKILLED NURSING FACILITY 101174,A000000,01800,0000,01800NURSING FACILITY 101174,A000000,01810,0000,01801ICF/MR 101174,A000000,01900,0000,01900OTHER LONG TERM CARE 101174,A000000,02100,0000,02100RADIOLOGY 101174,A000000,02200,0000,02200LABORATORY 101174,A000000,02300,0000,02300INTRAVENOUS THERAPY 101174,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101174,A000000,02500,0000,02500PHYSICAL THERAPY 101174,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101174,A000000,02700,0000,02700SPEECH PATHOLOGY 101174,A000000,02800,0000,02800ELECTROCARDIOLOGY 101174,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101174,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101174,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101174,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101174,A000000,03200,0000,03200SUPPORT SURFACES 101174,A000000,03400,0000,03400CLINIC 101174,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101174,A000000,03500,0000,03500RURAL HEALTH CLINIC 101174,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101174,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101174,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101174,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101174,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101174,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101174,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101174,A000000,04400,0000,04400DME RENTED - HHA 101174,A000000,04500,0000,04500DME SOLD - HHA 101174,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101174,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101174,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101174,A000000,04800,0000,04800AMBULANCE 101174,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101174,A000000,05000,0000,05000CORF 101174,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101174,A000000,05300,0000,05300INTEREST EXPENSE 101174,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101174,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101174,A000000,05500,0000,05500HOSPICE 101174,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101174,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101174,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101174,A000000,06100,0000,06100NONPAID WORKERS 101174,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101174,A000000,06151,0000,06301FEE SCREEN 101174,A000000,06200,0000,06200PATIENTS LAUNDRY 101174,A81000A,00100,0100,Y 101174,A81000B,00100,0300,MANAGEMENT/ACCOUNTING FEES 101174,A81000B,00200,0300,MANAGEMENT/ACCOUNTING FEES 101174,A81000B,00300,0300,PT 101174,A81000B,00400,0300,OT 101174,A81000B,00500,0300,ST 101174,A81000B,00600,0300,HOME OFFICE DIETARY CONSU 101174,A81000B,00700,0300,HOME OFFICE MAINTENANCE 101174,A81000B,00800,0300,HOME OFFICE NURSE 101174,A81000B,00900,0300,HOME OFFICE COSTS 101174,A81000C,00100,0100,A 101174,A81000C,00100,0200,W. E. CAMPBELL 101174,A81000C,00100,0400,L.P. SERVICES INC. 101174,A81000C,00100,0600,ACCOUNTING SERVICES 101174,A81000C,00200,0100,A 101174,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 101174,A81000C,00200,0400,HC FINANCIAL PARTNERSHIP 101174,A81000C,00200,0600,FINANCING COMPANY 101174,A81000C,00300,0100,A 101174,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 101174,A81000C,00300,0400,SENIOR CARE CONSULTANTS 101174,A81000C,00300,0600,MANAGMENT COMPANY 101174,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 101174,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 101174,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 101174,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 101174,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 101174,B100000,00000,0600,00001POUNDS OF LAUNDRY :LAUNDRY & LINEN 101174,B100000,00000,0750,00001SQUARE FT CLEANED :HOUSEKEEPING 101174,B100000,00000,0800,00001MEALS SERVED :DIETARY 101174,B100000,00000,0950,00001DIRECT NRSING HRS :NURSING ADMINIST 101174,B100000,00000,1000,00001COSTED REQUIS. :CENTRAL SERVICES & 101174,B100000,00000,1150,00001NO STATISTICS :PHARMACY 101174,B100000,00000,1250,00001NO STATISTICS :MEDICAL RECORDS & L 101174,B100000,00000,1330,00001NO STATISTICS :SOCIAL SERVICE 101174,B100000,00000,1350,00001NO STATISTICS :OTHER GENERAL SERVI 101174,B100000,00000,1400,00001ASSIGNED TIME :INTERNS & RESIDENTS 101174,S000000,00100,0200,06/07/2000 101174,S200000,00100,0100,1448 HOUSTON STREET 101174,S200000,00200,0100,WILLS POINT 101174,S200000,00200,0200,TX 101174,S200000,00200,0300,75169- 101174,S200000,00300,0100,VAN ZANDT 101174,S200000,00400,0100,FREE STATE CRESTWOOD INC. 101174,S200000,00400,0200,675597 101174,S200000,00400,0300,05/29/1996 101174,S200000,00400,0500,P 101174,S200000,01500,0100,Y 101174,S200000,02800,0100,Y 101174,S700003,00000,0400,4 101182,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101182,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101182,A000000,00300,0000,00300EMPLOYEE BENEFITS 101182,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101182,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101182,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101182,A000000,00700,0000,00700HOUSEKEEPING 101182,A000000,00800,0000,00800DIETARY 101182,A000000,00900,0000,00900NURSING ADMINISTRATION 101182,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101182,A000000,01100,0000,01100PHARMACY 101182,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101182,A000000,01300,0000,01300SOCIAL SERVICE 101182,A000000,01350,0000,01500ACTIVITIES 101182,A000000,01600,0000,01600SKILLED NURSING FACILITY 101182,A000000,01800,0000,01800NURSING FACILITY 101182,A000000,01900,0000,01900OTHER LONG TERM CARE 101182,A000000,02100,0000,02100RADIOLOGY 101182,A000000,02200,0000,02200LABORATORY 101182,A000000,02300,0000,02300INTRAVENOUS THERAPY 101182,A000000,02500,0000,02500PHYSICAL THERAPY 101182,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101182,A000000,02700,0000,02700SPEECH PATHOLOGY 101182,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101182,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101182,A000000,03050,0000,03300PEN THERAPY 101182,A000000,03200,0000,03200SUPPORT SURFACES 101182,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101182,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101182,A81000A,00100,0100,Y 101182,A81000B,00100,0300,MANAGEMENT FEES 101182,A81000C,00100,0100,A 101182,A81000C,00100,0200,LLOYD V. STONE 101182,A81000C,00100,0400,CENTRAL OFFICE MANAGEMENT 101182,A81000C,00100,0600,LTC MANAGEMENT 101182,A81000C,00200,0100,A 101182,A81000C,00200,0200,ESTATE OF RON MARABLE 101182,A81000C,00200,0400,CENTRAL OFFICE MANAGEMENT 101182,A81000C,00200,0600,LTC MANAGEMENT 101182,A81000C,00300,0100,A 101182,A81000C,00300,0200,JACK MARSHALL 101182,A81000C,00300,0400,CENTRAL OFFICE MANAGEMENT 101182,A81000C,00300,0600,LTC MANAGEMENT 101182,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101182,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101182,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101182,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101182,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101182,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101182,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101182,B100000,00000,0800,00000MEALS SERVED :DIETARY 101182,B100000,00000,0950,00000DIRECT NURSING HR :NURSING ADMINIST 101182,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101182,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101182,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101182,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101182,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 101182,S000000,00100,0200,10/24/2000 101182,S200000,00100,0100,3055 CLARKSVILLE 101182,S200000,00200,0100,PARIS 101182,S200000,00200,0200,TX 101182,S200000,00200,0300,75460- 101182,S200000,00300,0100,LAMAR 101182,S200000,00400,0100,PARIS NURSING HOME INC. 101182,S200000,00400,0200,675598 101182,S200000,00400,0300,06/25/1996 101182,S200000,00400,0500,P 101182,S200000,01600,0100,Y 101182,S700003,00000,0400,4 101183,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101183,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101183,A000000,00300,0000,00300EMPLOYEE BENEFITS 101183,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101183,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101183,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101183,A000000,00700,0000,00700HOUSEKEEPING 101183,A000000,00800,0000,00800DIETARY 101183,A000000,00900,0000,00900NURSING ADMINISTRATION 101183,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101183,A000000,01100,0000,01100PHARMACY 101183,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101183,A000000,01300,0000,01300SOCIAL SERVICE 101183,A000000,01350,0000,01500ACTIVITIES 101183,A000000,01600,0000,01600SKILLED NURSING FACILITY 101183,A000000,01800,0000,01800NURSING FACILITY 101183,A000000,01900,0000,01900OTHER LONG TERM CARE 101183,A000000,02100,0000,02100RADIOLOGY 101183,A000000,02200,0000,02200LABORATORY 101183,A000000,02300,0000,02300INTRAVENOUS THERAPY 101183,A000000,02500,0000,02500PHYSICAL THERAPY 101183,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101183,A000000,02700,0000,02700SPEECH PATHOLOGY 101183,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101183,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101183,A000000,03050,0000,03300PEN THERAPY 101183,A000000,03200,0000,03200SUPPORT SURFACES 101183,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101183,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101183,A81000A,00100,0100,Y 101183,A81000B,00100,0300,MANAGEMENT FEES 101183,A81000C,00100,0100,A 101183,A81000C,00100,0200,LLOYD V. STONE JR. 101183,A81000C,00100,0400,CENTRAL OFFICE MANAGEMENT 101183,A81000C,00100,0600,LTC MANAGEMENT 101183,A81000C,00200,0100,A 101183,A81000C,00200,0200,ESTATE OF RON MARABLE 101183,A81000C,00200,0400,CENTRAL OFFICE MANAGEMENT 101183,A81000C,00200,0600,LTC MANAGEMENT 101183,A81000C,00300,0100,A 101183,A81000C,00300,0200,JACK MARSHALL 101183,A81000C,00300,0400,CENTRAL OFFICE MANAGEMENT 101183,A81000C,00300,0600,LTC MANAGEMENT 101183,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101183,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101183,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101183,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101183,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101183,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101183,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101183,B100000,00000,0800,00000MEALS SERVED :DIETARY 101183,B100000,00000,0950,00000DIRECTNURS SING HRS. :NURSING ADMIN 101183,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101183,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101183,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101183,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101183,B100000,00000,1350,00000TIME SPENT :ACTIVITIES 101183,S000000,00100,0200,06/01/2000 101183,S200000,00100,0100,3055 CLARKSVILLE 101183,S200000,00200,0100,PARIS 101183,S200000,00200,0200,TX 101183,S200000,00200,0300,75460- 101183,S200000,00300,0100,LAMAR 101183,S200000,00400,0100,PARIS NURSING HOME INC. 101183,S200000,00400,0200,675598 101183,S200000,00400,0300,06/25/1996 101183,S200000,00400,0500,P 101183,S200000,01600,0100,Y 101183,S700003,00000,0400,4 101212,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101212,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 101212,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101212,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 101212,A000000,00300,0000,00300EMPLOYEE BENEFITS 101212,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101212,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101212,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101212,A000000,00700,0000,00700HOUSEKEEPING 101212,A000000,00800,0000,00800DIETARY 101212,A000000,00801,0000,00801CAFETERIA 101212,A000000,00900,0000,00900NURSING ADMINISTRATION 101212,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101212,A000000,01100,0000,01100PHARMACY 101212,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101212,A000000,01300,0000,01300SOCIAL SERVICE 101212,A000000,01350,0000,01500ACTIVITIES 101212,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101212,A000000,01600,0000,01600SKILLED NURSING FACILITY 101212,A000000,01800,0000,01800NURSING FACILITY 101212,A000000,01900,0000,01900OTHER LONG TERM CARE 101212,A000000,02100,0000,02100RADIOLOGY 101212,A000000,02200,0000,02200LABORATORY 101212,A000000,02300,0000,02300INTRAVENOUS THERAPY 101212,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101212,A000000,02500,0000,02500PHYSICAL THERAPY 101212,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101212,A000000,02700,0000,02700SPEECH PATHOLOGY 101212,A000000,02800,0000,02800ELECTROCARDIOLOGY 101212,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101212,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101212,A000000,03050,0000,03300OTHER ANCILLARY 101212,A000000,03051,0000,03301OTHER ANCILLARY II 101212,A000000,03052,0000,03302OTHER ANCILLARY III 101212,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101212,A000000,03200,0000,03200SUPPORT SURFACES 101212,A000000,03400,0000,03400CLINIC 101212,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 101212,A000000,03500,0000,03500RURAL HEALTH CLINIC 101212,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101212,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101212,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101212,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101212,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101212,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101212,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101212,A000000,04400,0000,04400DME RENTED - HHA 101212,A000000,04500,0000,04500DME SOLD - HHA 101212,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101212,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101212,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101212,A000000,04800,0000,04800AMBULANCE 101212,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101212,A000000,05000,0000,05000CORF 101212,A000000,05010,0000,05010CMHC I 101212,A000000,05020,0000,05020OPT I 101212,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101212,A000000,05300,0000,05300INTEREST EXPENSE 101212,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 101212,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 101212,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101212,A000000,05500,0000,05500HOSPICE 101212,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101212,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101212,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101212,A000000,06100,0000,06100NONPAID WORKERS 101212,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101212,A000000,06200,0000,06200PATIENTS LAUNDRY 101212,A81000A,00100,0100,Y 101212,A81000B,00100,0300,HO MGT FEE 101212,A81000B,00200,0300,NURSE CONSULTANT 101212,A81000C,00100,0100,B 101212,A81000C,00100,0400,REGENCY NURSING 101212,A81000C,00200,0400,& REHAB INC 101212,A81000C,00200,0600,HEALTHCARE 101212,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101212,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 101212,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101212,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 101212,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101212,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101212,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101212,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101212,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101212,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 101212,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 101212,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 101212,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 101212,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 101212,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 101212,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 101212,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 101212,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 101212,S000000,00100,0200,06/01/2000 101212,S200000,00100,0100,3810 HALE STREET 101212,S200000,00200,0100,HARLINGEN 101212,S200000,00200,0200,TX 101212,S200000,00200,0300,78550- 101212,S200000,00300,0100,CAMERON 101212,S200000,00400,0100,R.N.C.P. HARLINGEN LTD 101212,S200000,00400,0200,675606 101212,S200000,00400,0300,06/25/1996 101212,S200000,00400,0500,P 101212,S200000,01600,0100,Y 101212,S200000,02200,0100,Y 101212,S200000,04300,0100,Y 101212,S700003,00000,0400,4 101225,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101225,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101225,A000000,00300,0000,00300EMPLOYEE BENEFITS 101225,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101225,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101225,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101225,A000000,00700,0000,00700HOUSEKEEPING 101225,A000000,00800,0000,00800DIETARY 101225,A000000,00900,0000,00900NURSING ADMINISTRATION 101225,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101225,A000000,01100,0000,01100PHARMACY 101225,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101225,A000000,01300,0000,01300SOCIAL SERVICE 101225,A000000,01351,0000,01301ACTIVITIES 101225,A000000,01600,0000,01600SKILLED NURSING FACILITY 101225,A000000,01800,0000,01800NURSING FACILITY 101225,A000000,02100,0000,02100RADIOLOGY 101225,A000000,02200,0000,02200LABORATORY 101225,A000000,02300,0000,02300INTRAVENOUS THERAPY 101225,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101225,A000000,02500,0000,02500PHYSICAL THERAPY 101225,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101225,A000000,02700,0000,02700SPEECH PATHOLOGY 101225,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101225,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101225,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101225,A000000,03051,0000,03301MEDICAL EQUIPMENT 101225,A000000,04800,0000,04800AMBULANCE 101225,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101225,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101225,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101225,A81000A,00100,0100,Y 101225,A81000B,00100,0300,HOME OFFICE CAPITAL 101225,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101225,A81000B,00300,0300,WAREHOUSE 101225,A81000C,00100,0100,A 101225,A81000C,00100,0200,PETER C. KERN 101225,A81000C,00100,0400,HEA MANAGEMENT GROUP 101225,A81000C,00100,0600,HOME OFFICE 101225,A81000C,00200,0100,A 101225,A81000C,00200,0200,PETER C. KERN 101225,A81000C,00200,0400,WAREHOUSE STORAGE 101225,A81000C,00200,0600,OLD RECORD STORAGE 101225,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101225,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101225,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101225,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101225,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101225,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101225,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101225,B100000,00000,0800,00000MEALS SERVED :DIETARY 101225,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101225,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101225,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101225,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101225,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101225,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101225,S000000,00100,0200,05/10/2000 101225,S200000,00100,0100,201 EAST CHESTNUT 101225,S200000,00100,0300,786 101225,S200000,00200,0100,ARCHER CITY 101225,S200000,00200,0200,TX 101225,S200000,00200,0300,76351-0786 101225,S200000,00300,0200,9080 101225,S200000,00300,0300,U 101225,S200000,00400,0100,ARCHER CITY NURSING CENTER 101225,S200000,00400,0200,675610 101225,S200000,00400,0300,07/22/1996 101225,S200000,00400,0500,P 101225,S200000,01600,0100,Y 101225,S200000,02200,0100,Y 101225,S200000,04300,0100,Y 101226,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101226,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101226,A000000,00300,0000,00300EMPLOYEE BENEFITS 101226,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101226,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101226,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101226,A000000,00700,0000,00700HOUSEKEEPING 101226,A000000,00800,0000,00800DIETARY 101226,A000000,00900,0000,00900NURSING ADMINISTRATION 101226,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101226,A000000,01100,0000,01100PHARMACY 101226,A000000,01300,0000,01300SOCIAL SERVICE 101226,A000000,01600,0000,01600SKILLED NURSING FACILITY 101226,A000000,01800,0000,01800NURSING FACILITY 101226,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101226,A000000,02500,0000,02500PHYSICAL THERAPY 101226,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101226,A000000,02700,0000,02700SPEECH PATHOLOGY 101226,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101226,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101226,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101226,A000000,03200,0000,03200SUPPORT SURFACES 101226,A000000,04800,0000,04800AMBULANCE 101226,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101226,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101226,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101226,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101226,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101226,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101226,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101226,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 101226,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101226,B100000,00000,0800,00000MEALS SERVED :DIETARY 101226,B100000,00000,0950,00000SQUARE FEET :NURSING ADMINISTRATIO 101226,B100000,00000,1050,00000SQUARE FEET :CENTRAL SERVICES & SU 101226,B100000,00000,1150,00000SQUARE FEET :PHARMACY 101226,B100000,00000,1330,00000SQUARE FEET :SOCIAL SERVICE 101226,S000000,00100,0200,06/26/2000 101226,S200000,00100,0100,210 E. CHESTNUT 101226,S200000,00100,0300,POST BOX 786 101226,S200000,00200,0100,ARCHER CITY 101226,S200000,00200,0200,TE 101226,S200000,00200,0300,76351- 101226,S200000,00300,0100,ARCHER 101226,S200000,00400,0100,ARCHER CITY NURSING CENTER 101226,S200000,00400,0200,675610 101226,S200000,00400,0300,08/01/1999 101226,S200000,00400,0500,P 101226,S700003,00000,0400,4 101231,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101231,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101231,A000000,00300,0000,00300EMPLOYEE BENEFITS 101231,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101231,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101231,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101231,A000000,00700,0000,00700HOUSEKEEPING 101231,A000000,00800,0000,00800DIETARY 101231,A000000,00900,0000,00900NURSING ADMINISTRATION 101231,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101231,A000000,01100,0000,01100PHARMACY 101231,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101231,A000000,01300,0000,01300SOCIAL SERVICE 101231,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101231,A000000,01600,0000,01600SKILLED NURSING FACILITY 101231,A000000,01800,0000,01800NURSING FACILITY 101231,A000000,01900,0000,01900OTHER LONG TERM CARE 101231,A000000,02100,0000,02100RADIOLOGY 101231,A000000,02200,0000,02200LABORATORY 101231,A000000,02300,0000,02300INTRAVENOUS THERAPY 101231,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101231,A000000,02500,0000,02500PHYSICAL THERAPY 101231,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101231,A000000,02700,0000,02700SPEECH PATHOLOGY 101231,A000000,02800,0000,02800ELECTROCARDIOLOGY 101231,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101231,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101231,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101231,A000000,03200,0000,03200SUPPORT SURFACES 101231,A000000,03400,0000,03400CLINIC 101231,A000000,03500,0000,03500RURAL HEALTH CLINIC 101231,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101231,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101231,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101231,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101231,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101231,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101231,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101231,A000000,04400,0000,04400DME RENTED - HHA 101231,A000000,04500,0000,04500DME SOLD - HHA 101231,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101231,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101231,A000000,04800,0000,04800AMBULANCE 101231,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101231,A000000,05000,0000,05000CORF 101231,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101231,A000000,05300,0000,05300INTEREST EXPENSE 101231,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101231,A000000,05500,0000,05500HOSPICE 101231,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101231,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101231,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101231,A000000,06100,0000,06100NONPAID WORKERS 101231,A000000,06200,0000,06200PATIENTS LAUNDRY 101231,A81000A,00100,0100,Y 101231,A81000B,00100,0300,ADMINISTRATOR SALARY 101231,A81000B,00200,0300,ASST ADMINISTRATOR SALARY 101231,A81000B,00300,0300,MEDICAL RECORDS SALARY 101231,A81000B,00400,0300,DIETARY SUPERVISOR 101231,A81000C,00100,0100,A 101231,A81000C,00100,0200,JOYCE MCCALL 101231,A81000C,00200,0100,B 101231,A81000C,00200,0200,PAULA LEWIS 101231,A81000C,00300,0100,C 101231,A81000C,00300,0200,SHERRY WILLIAMSON 101231,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101231,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101231,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101231,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101231,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101231,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101231,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101231,B100000,00000,0800,00000MEALS SERVED :DIETARY 101231,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 101231,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101231,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101231,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101231,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101231,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101231,S000000,00100,0200,07/25/2000 101231,S200000,00100,0100,608 S. EDGEWOOD 101231,S200000,00200,0100,SAN SABA 101231,S200000,00200,0200,TX 101231,S200000,00200,0300,76877- 101231,S200000,00300,0100,SAN SABA 101231,S200000,00400,0100,SAN SABA NURSING HOME INC 101231,S200000,00400,0200,675613 101231,S200000,00400,0300,07/01/1996 101231,S200000,00400,0500,P 101231,S200000,01600,0100,Y 101231,S700003,00000,0400,4 101237,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101237,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101237,A000000,00300,0000,00300EMPLOYEE BENEFITS 101237,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101237,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101237,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101237,A000000,00700,0000,00700HOUSEKEEPING 101237,A000000,00800,0000,00800DIETARY 101237,A000000,00900,0000,00900NURSING ADMINISTRATION 101237,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101237,A000000,01100,0000,01100PHARMACY 101237,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101237,A000000,01300,0000,01300SOCIAL SERVICE 101237,A000000,01600,0000,01600SKILLED NURSING FACILITY 101237,A000000,01800,0000,01800NURSING FACILITY 101237,A000000,02100,0000,02100RADIOLOGY 101237,A000000,02200,0000,02200LABORATORY 101237,A000000,02300,0000,02300INTRAVENOUS THERAPY 101237,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101237,A000000,02500,0000,02500PHYSICAL THERAPY 101237,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101237,A000000,02700,0000,02700SPEECH PATHOLOGY 101237,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101237,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101237,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101237,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101237,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101237,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101237,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101237,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101237,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101237,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101237,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101237,B100000,00000,0800,00000MEALS SERVED :DIETARY 101237,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101237,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101237,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101237,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101237,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101237,S000000,00100,0200,06/05/2000 101237,S200000,00100,0100,815 EAST GRAYSON 101237,S200000,00200,0100,SAN ANTONIO 101237,S200000,00200,0200,TX 101237,S200000,00200,0300,78208- 101237,S200000,00300,0100,BEXAR 101237,S200000,00400,0100,GRAYSON SQUARE HEALTHCARE CENTER 101237,S200000,00400,0200,675615 101237,S200000,00400,0300,07/23/1996 101237,S200000,00400,0500,P 101237,S200000,01600,0100,Y 101237,S700003,00000,0400,4 101245,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101245,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101245,A000000,00300,0000,00300EMPLOYEE BENEFITS 101245,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101245,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101245,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101245,A000000,00700,0000,00700HOUSEKEEPING 101245,A000000,00800,0000,00800DIETARY 101245,A000000,00900,0000,00900NURSING ADMINISTRATION 101245,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101245,A000000,01100,0000,01100PHARMACY 101245,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101245,A000000,01300,0000,01300SOCIAL SERVICE 101245,A000000,01351,0000,01301ACTIVITIES 101245,A000000,01600,0000,01600SKILLED NURSING FACILITY 101245,A000000,01800,0000,01800NURSING FACILITY 101245,A000000,02100,0000,02100RADIOLOGY 101245,A000000,02200,0000,02200LABORATORY 101245,A000000,02300,0000,02300INTRAVENOUS THERAPY 101245,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101245,A000000,02500,0000,02500PHYSICAL THERAPY 101245,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101245,A000000,02700,0000,02700SPEECH PATHOLOGY 101245,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101245,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101245,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101245,A000000,03051,0000,03301MEDICAL EQUIPMENT 101245,A000000,04800,0000,04800AMBULANCE 101245,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101245,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101245,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101245,A81000A,00100,0100,Y 101245,A81000B,00100,0300,HOME OFFICE CAPITAL 101245,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101245,A81000B,00300,0300,WAREHOUSE 101245,A81000C,00100,0100,A 101245,A81000C,00100,0200,PETER C. KERN 101245,A81000C,00100,0400,HEA MANAGEMENT GROUP 101245,A81000C,00100,0600,HOME OFFICE 101245,A81000C,00200,0100,A 101245,A81000C,00200,0200,PETER C. KERN 101245,A81000C,00200,0400,WAREHOUSE STORAGE 101245,A81000C,00200,0600,OLD RECORD STORAGE 101245,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101245,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101245,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101245,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101245,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101245,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101245,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101245,B100000,00000,0800,00000MEALS SERVED :DIETARY 101245,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101245,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101245,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101245,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101245,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101245,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101245,S000000,00100,0200,05/30/2000 101245,S200000,00100,0100,1201 GREGORY 101245,S200000,00200,0100,TAFT 101245,S200000,00200,0200,TX 101245,S200000,00200,0300,78390-3099 101245,S200000,00300,0100,SAN PARTICIO 101245,S200000,00300,0200,1880 101245,S200000,00300,0300,U 101245,S200000,00400,0100,SHORELINE HEALTHCARE CENTER 101245,S200000,00400,0200,675616 101245,S200000,00400,0300,07/29/1996 101245,S200000,00400,0500,P 101245,S200000,01600,0100,Y 101245,S200000,02200,0100,Y 101245,S200000,04300,0100,Y 101252,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101252,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101252,A000000,00300,0000,00300EMPLOYEE BENEFITS 101252,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101252,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101252,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101252,A000000,00700,0000,00700HOUSEKEEPING 101252,A000000,00800,0000,00800DIETARY 101252,A000000,00900,0000,00900NURSING ADMINISTRATION 101252,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101252,A000000,01100,0000,01100PHARMACY 101252,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101252,A000000,01300,0000,01300SOCIAL SERVICE 101252,A000000,01351,0000,01301ACTIVITIES 101252,A000000,01600,0000,01600SKILLED NURSING FACILITY 101252,A000000,01800,0000,01800NURSING FACILITY 101252,A000000,02100,0000,02100RADIOLOGY 101252,A000000,02200,0000,02200LABORATORY 101252,A000000,02300,0000,02300INTRAVENOUS THERAPY 101252,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101252,A000000,02500,0000,02500PHYSICAL THERAPY 101252,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101252,A000000,02700,0000,02700SPEECH PATHOLOGY 101252,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101252,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101252,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101252,A000000,03051,0000,03301MEDICAL EQUIPMENT 101252,A000000,04800,0000,04800AMBULANCE 101252,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101252,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101252,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101252,A81000A,00100,0100,Y 101252,A81000B,00100,0300,HOME OFFICE CAPITAL 101252,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101252,A81000B,00300,0300,WAREHOUSE 101252,A81000C,00100,0100,A 101252,A81000C,00100,0200,PETER C. KERN 101252,A81000C,00100,0400,HEA MANAGEMENT GROUP 101252,A81000C,00100,0600,HOME OFFICE 101252,A81000C,00200,0100,A 101252,A81000C,00200,0200,PETER C. KERN 101252,A81000C,00200,0400,WAREHOUSE STORAGE 101252,A81000C,00200,0600,OLD RECORD STORAGE 101252,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101252,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101252,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101252,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101252,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101252,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101252,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101252,B100000,00000,0800,00000MEALS SERVED :DIETARY 101252,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101252,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101252,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101252,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101252,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101252,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101252,S000000,00100,0200,05/30/2000 101252,S200000,00100,0100,2550 ZACATECAS 101252,S200000,00200,0100,EAGLE PASS 101252,S200000,00200,0200,TX 101252,S200000,00200,0300,78852-4730 101252,S200000,00300,0100,MAVERICK 101252,S200000,00300,0200,45 101252,S200000,00300,0300,R 101252,S200000,00400,0100,CANTERBURY VILLA OF EAGLE PASS 101252,S200000,00400,0200,675617 101252,S200000,00400,0300,08/01/1996 101252,S200000,00400,0500,P 101252,S200000,01600,0100,Y 101252,S200000,02200,0100,Y 101252,S200000,04300,0100,Y 101260,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101260,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101260,A000000,00300,0000,00300EMPLOYEE BENEFITS 101260,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101260,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101260,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101260,A000000,00700,0000,00700HOUSEKEEPING 101260,A000000,00800,0000,00800DIETARY 101260,A000000,00900,0000,00900NURSING ADMINISTRATION 101260,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101260,A000000,01100,0000,01100PHARMACY 101260,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101260,A000000,01300,0000,01300SOCIAL SERVICE 101260,A000000,01350,0000,01500RECREATION/ACTIVITY 101260,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101260,A000000,01600,0000,01600SKILLED NURSING FACILITY 101260,A000000,01800,0000,01800NURSING FACILITY 101260,A000000,01810,0000,01810ICF/MR 101260,A000000,01900,0000,01900OTHER LONG TERM CARE 101260,A000000,02100,0000,02100RADIOLOGY 101260,A000000,02200,0000,02200LABORATORY 101260,A000000,02300,0000,02300INTRAVENOUS THERAPY 101260,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101260,A000000,02500,0000,02500PHYSICAL THERAPY 101260,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101260,A000000,02700,0000,02700SPEECH PATHOLOGY 101260,A000000,02800,0000,02800ELECTROCARDIOLOGY 101260,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101260,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101260,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101260,A000000,03200,0000,03200SUPPORT SURFACES 101260,A000000,03400,0000,03400CLINIC 101260,A000000,03500,0000,03500RURAL HEALTH CLINIC 101260,A000000,03550,0000,03550FEDERALLY QUALIFIED HEALTH CENTER 101260,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101260,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101260,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101260,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101260,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101260,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101260,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101260,A000000,04400,0000,04400DME RENTED - HHA 101260,A000000,04500,0000,04500DME SOLD - HHA 101260,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101260,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101260,A000000,04800,0000,04800AMBULANCE 101260,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101260,A000000,05000,0000,05000CORF 101260,A000000,05010,0000,05010CMHC 101260,A000000,05020,0000,05020OPT 101260,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 101260,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 101260,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101260,A000000,05300,0000,05300INTEREST EXPENSE 101260,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101260,A000000,05500,0000,05500HOSPICE 101260,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101260,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101260,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101260,A000000,06100,0000,06100NONPAID WORKERS 101260,A000000,06200,0000,06200PATIENTS LAUNDRY 101260,A81000A,00100,0100,Y 101260,A81000B,00100,0300,RENT EXPENSE 101260,A81000C,00100,0100,A 101260,A81000C,00100,0200,J & T ALLEN 101260,A81000C,00100,0400,JUDY & THRASHER 101260,A81000C,00100,0600,PROP. MGT. 101260,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101260,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101260,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101260,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101260,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101260,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101260,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101260,B100000,00000,0850,00000(PATIENT DAYS) :DIETARY 101260,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 101260,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 101260,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 101260,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 101260,B100000,00000,1350,00000(PATIENT DAYS) :RECREATION/ACTIVIT 101260,S000000,00100,0200,07/05/2000 101260,S200000,00100,0100,507 WEST JACKSON 101260,S200000,00200,0100,BURNET 101260,S200000,00200,0200,TX 101260,S200000,00200,0300,78611- 101260,S200000,00300,0100,BURNET 101260,S200000,00300,0200,45 101260,S200000,00300,0300,R 101260,S200000,00400,0100,THE OAKS NURSING HOME 101260,S200000,00400,0200,675619 101260,S200000,00400,0300,01/01/1993 101260,S200000,00400,0500,P 101260,S200000,01600,0100,Y 101269,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101269,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101269,A000000,00300,0000,00300EMPLOYEE BENEFITS 101269,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101269,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101269,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101269,A000000,00700,0000,00700HOUSEKEEPING 101269,A000000,00800,0000,00800DIETARY 101269,A000000,00900,0000,00900NURSING ADMINISTRATION 101269,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101269,A000000,01100,0000,01100PHARMACY 101269,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101269,A000000,01300,0000,01300SOCIAL SERVICE 101269,A000000,01351,0000,01301ACTIVITIES 101269,A000000,01600,0000,01600SKILLED NURSING FACILITY 101269,A000000,01800,0000,01800NURSING FACILITY 101269,A000000,02100,0000,02100RADIOLOGY 101269,A000000,02200,0000,02200LABORATORY 101269,A000000,02300,0000,02300INTRAVENOUS THERAPY 101269,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101269,A000000,02500,0000,02500PHYSICAL THERAPY 101269,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101269,A000000,02700,0000,02700SPEECH PATHOLOGY 101269,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101269,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101269,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101269,A000000,03051,0000,03301MEDICAL EQUIPMENT 101269,A000000,04800,0000,04800AMBULANCE 101269,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101269,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101269,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101269,A81000A,00100,0100,Y 101269,A81000B,00100,0300,HOME OFFICE CAPITAL 101269,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101269,A81000B,00300,0300,WAREHOUSE 101269,A81000C,00100,0100,A 101269,A81000C,00100,0200,PETER C. KERN 101269,A81000C,00100,0400,HEA MANAGEMENT GROUP 101269,A81000C,00100,0600,HOME OFFICE 101269,A81000C,00200,0100,A 101269,A81000C,00200,0200,PETER C. KERN 101269,A81000C,00200,0400,WAREHOUSE STORAGE 101269,A81000C,00200,0600,OLD RECORD STORAGE 101269,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101269,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101269,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101269,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101269,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101269,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101269,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101269,B100000,00000,0800,00000MEALS SERVED :DIETARY 101269,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101269,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101269,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101269,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101269,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101269,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101269,S000000,00100,0200,05/30/2000 101269,S200000,00100,0100,1175 DENTON DRIVE 101269,S200000,00200,0100,BEAUMONT 101269,S200000,00200,0200,TX 101269,S200000,00200,0300,77707-3913 101269,S200000,00300,0100,JEFFERSON 101269,S200000,00300,0200,0840 101269,S200000,00300,0300,U 101269,S200000,00400,0100,CANTERBURY VILLA OF BEAUMONT 101269,S200000,00400,0200,675620 101269,S200000,00400,0300,08/14/1996 101269,S200000,00400,0500,P 101269,S200000,01600,0100,Y 101269,S200000,02200,0100,Y 101269,S200000,04300,0100,Y 101277,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101277,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101277,A000000,00300,0000,00300EMPLOYEE BENEFITS 101277,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101277,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101277,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101277,A000000,00700,0000,00700HOUSEKEEPING 101277,A000000,00800,0000,00800DIETARY 101277,A000000,00801,0000,00801CAFETERIA 101277,A000000,00900,0000,00900NURSING ADMINISTRATION 101277,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101277,A000000,01100,0000,01100PHARMACY 101277,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101277,A000000,01300,0000,01300SOCIAL SERVICE 101277,A000000,01600,0000,01600SKILLED NURSING FACILITY 101277,A000000,01800,0000,01800NURSING FACILITY 101277,A000000,01900,0000,01900OTHER LONG TERM CARE 101277,A000000,02100,0000,02100RADIOLOGY 101277,A000000,02200,0000,02200LABORATORY 101277,A000000,02300,0000,02300INTRAVENOUS THERAPY 101277,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101277,A000000,02500,0000,02500PHYSICAL THERAPY 101277,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101277,A000000,02700,0000,02700SPEECH PATHOLOGY 101277,A000000,02800,0000,02800ELECTROCARDIOLOGY 101277,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101277,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101277,A000000,03200,0000,03200SUPPORT SURFACES 101277,A000000,04800,0000,04800AMBULANCE 101277,A000000,05300,0000,05300INTEREST EXPENSE 101277,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101277,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101277,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101277,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101277,A81000A,00100,0100,Y 101277,A81000B,00100,0300,PROPERTY COSTS 101277,A81000B,00200,0300,CENTRAL OFFICE COSTS 101277,A81000B,00300,0300,CENTRAL OFFICE COSTS 101277,A81000B,00400,0300,DIRECTORS FEES 101277,A81000C,00100,0100,A 101277,A81000C,00100,0200,E. COHEN 101277,A81000C,00100,0400,PASADENA ASSOC 101277,A81000C,00100,0600,R.E.I.T. 101277,A81000C,00200,0100,A 101277,A81000C,00200,0200,S. COHEN 101277,A81000C,00200,0400,EAST TX GREENVI 101277,A81000C,00200,0600,SNF MGMT CO. 101277,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101277,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101277,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101277,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101277,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101277,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101277,B100000,00000,0800,00000MEALS SERVED :DIETARY 101277,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101277,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101277,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101277,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101277,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101277,S000000,00100,0200,06/20/2000 101277,S200000,00100,0100,4300 VISTA ROAD 101277,S200000,00200,0100,PASADENA 101277,S200000,00200,0200,TX 101277,S200000,00200,0300,77504- 101277,S200000,00300,0100,HARRIS 101277,S200000,00300,0200,3360 101277,S200000,00300,0300,U 101277,S200000,00400,0100,VISTA CONTINUING CARE CENTER 101277,S200000,00400,0200,675625 101277,S200000,00400,0300,09/11/1996 101277,S200000,00400,0500,P 101277,S200000,01600,0100,Y 101285,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101285,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101285,A000000,00300,0000,00300EMPLOYEE BENEFITS 101285,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101285,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101285,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101285,A000000,00700,0000,00700HOUSEKEEPING 101285,A000000,00800,0000,00800DIETARY 101285,A000000,00900,0000,00900NURSING ADMINISTRATION 101285,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101285,A000000,01100,0000,01100PHARMACY 101285,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101285,A000000,01300,0000,01300SOCIAL SERVICE 101285,A000000,01351,0000,01301ACTIVITIES 101285,A000000,01600,0000,01600SKILLED NURSING FACILITY 101285,A000000,01800,0000,01800NURSING FACILITY 101285,A000000,02100,0000,02100RADIOLOGY 101285,A000000,02200,0000,02200LABORATORY 101285,A000000,02300,0000,02300INTRAVENOUS THERAPY 101285,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101285,A000000,02500,0000,02500PHYSICAL THERAPY 101285,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101285,A000000,02700,0000,02700SPEECH PATHOLOGY 101285,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101285,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101285,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101285,A000000,03051,0000,03301MEDICAL EQUIPMENT 101285,A000000,04800,0000,04800AMBULANCE 101285,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101285,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101285,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101285,A81000A,00100,0100,Y 101285,A81000B,00100,0300,HOME OFFICE CAPITAL 101285,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101285,A81000B,00300,0300,WAREHOUSE 101285,A81000C,00100,0100,A 101285,A81000C,00100,0200,PETER C. KERN 101285,A81000C,00100,0400,HEA MANAGEMENT GROUP 101285,A81000C,00100,0600,HOME OFFICE 101285,A81000C,00200,0100,A 101285,A81000C,00200,0200,PETER C. KERN 101285,A81000C,00200,0400,WAREHOUSE STORAGE 101285,A81000C,00200,0600,OLD RECORD STORAGE 101285,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101285,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101285,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101285,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101285,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101285,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101285,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101285,B100000,00000,0800,00000MEALS SERVED :DIETARY 101285,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101285,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101285,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101285,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101285,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101285,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101285,S000000,00100,0200,08/15/2000 101285,S200000,00100,0100,301 OAK AVENUE 101285,S200000,00200,0100,SULPHUR SPRINGS 101285,S200000,00200,0200,TX 101285,S200000,00200,0300,75482- 101285,S200000,00300,0100,HOPKINS 101285,S200000,00300,0200,45 101285,S200000,00300,0300,R 101285,S200000,00400,0100,SULPHUR SPRINGS NURSING HOME 101285,S200000,00400,0200,675626 101285,S200000,00400,0300,07/18/1996 101285,S200000,00400,0500,P 101285,S200000,01600,0100,Y 101285,S200000,02200,0100,Y 101285,S200000,04300,0100,Y 101287,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101287,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101287,A000000,00300,0000,00300EMPLOYEE BENEFITS 101287,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101287,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101287,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101287,A000000,00700,0000,00700HOUSEKEEPING 101287,A000000,00800,0000,00800DIETARY 101287,A000000,00900,0000,00900NURSING ADMINISTRATION 101287,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101287,A000000,01100,0000,01100PHARMACY 101287,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101287,A000000,01300,0000,01300SOCIAL SERVICE 101287,A000000,01350,0000,01500OTHER GENERAL SERVICES 101287,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101287,A000000,01600,0000,01600SKILLED NURSING FACILITY 101287,A000000,01800,0000,01800NURSING FACILITY 101287,A000000,01810,0000,01810ICF/MR 101287,A000000,01900,0000,01900OTHER LONG TERM CARE 101287,A000000,02100,0000,02100RADIOLOGY 101287,A000000,02200,0000,02200LABORATORY 101287,A000000,02300,0000,02300INTRAVENOUS THERAPY 101287,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101287,A000000,02500,0000,02500PHYSICAL THERAPY 101287,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101287,A000000,02700,0000,02700SPEECH PATHOLOGY 101287,A000000,02800,0000,02800ELECTROCARDIOLOGY 101287,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101287,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101287,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101287,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101287,A000000,03200,0000,03200SUPPORT SURFACES 101287,A000000,03400,0000,03400CLINIC 101287,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101287,A000000,03500,0000,03500RURAL HEALTH CLINIC 101287,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101287,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101287,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101287,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101287,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101287,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101287,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101287,A000000,04400,0000,04400DME RENTED - HHA 101287,A000000,04500,0000,04500DME SOLD - HHA 101287,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101287,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101287,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101287,A000000,04800,0000,04800AMBULANCE 101287,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101287,A000000,05000,0000,05000CORF 101287,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101287,A000000,05300,0000,05300INTEREST EXPENSE 101287,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101287,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101287,A000000,05500,0000,05500HOSPICE 101287,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101287,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101287,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101287,A000000,06100,0000,06100NONPAID WORKERS 101287,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101287,A000000,06200,0000,06200PATIENTS LAUNDRY 101287,A81000A,00100,0100,Y 101287,A81000B,00100,0300,HOME OFFICE EXPENSE 101287,A81000C,00100,0100,A 101287,A81000C,00100,0200,ROCKY LEMON 101287,A81000C,00100,0400,CRESCENT HEALTH SERVICES 101287,A81000C,00100,0600,NUSRSING HOME MANAGEMENT 101287,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101287,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101287,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101287,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101287,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101287,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101287,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101287,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101287,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101287,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101287,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101287,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101287,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101287,S000000,00100,0200,08/07/2000 101287,S200000,00100,0100,301 OAK AVENUE 101287,S200000,00200,0100,SULPHUR SPRINGS 101287,S200000,00200,0200,TX 101287,S200000,00200,0300,75482- 101287,S200000,00300,0100,HOPKINS 101287,S200000,00300,0200,9967 101287,S200000,00300,0300,R 101287,S200000,00400,0100,SULPHUR SPRINGS NURSING HOME 101287,S200000,00400,0200,675626 101287,S200000,00400,0300,07/18/1996 101287,S200000,00400,0500,P 101287,S200000,01004,0500,O 101287,S200000,01600,0100,Y 101294,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101294,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101294,A000000,00300,0000,00300EMPLOYEE BENEFITS 101294,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101294,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101294,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101294,A000000,00700,0000,00700HOUSEKEEPING 101294,A000000,00800,0000,00800DIETARY 101294,A000000,00900,0000,00900NURSING ADMINISTRATION 101294,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101294,A000000,01100,0000,01100PHARMACY 101294,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101294,A000000,01300,0000,01300SOCIAL SERVICE 101294,A000000,01351,0000,01301ACTIVITIES 101294,A000000,01600,0000,01600SKILLED NURSING FACILITY 101294,A000000,01800,0000,01800NURSING FACILITY 101294,A000000,02100,0000,02100RADIOLOGY 101294,A000000,02200,0000,02200LABORATORY 101294,A000000,02300,0000,02300INTRAVENOUS THERAPY 101294,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101294,A000000,02500,0000,02500PHYSICAL THERAPY 101294,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101294,A000000,02700,0000,02700SPEECH PATHOLOGY 101294,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101294,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101294,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101294,A000000,03051,0000,03301MEDICAL EQUIPMENT 101294,A000000,04800,0000,04800AMBULANCE 101294,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101294,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101294,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101294,A81000A,00100,0100,Y 101294,A81000B,00100,0300,HOME OFFICE CAPITAL 101294,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101294,A81000B,00300,0300,WAREHOUSE 101294,A81000C,00100,0100,A 101294,A81000C,00100,0200,PETER C. KERN 101294,A81000C,00100,0400,HEA MANAGEMENT GROUP 101294,A81000C,00100,0600,HOME OFFICE 101294,A81000C,00200,0100,A 101294,A81000C,00200,0200,PETER C. KERN 101294,A81000C,00200,0400,WAREHOUSE STORAGE 101294,A81000C,00200,0600,OLD RECORD STORAGE 101294,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101294,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101294,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101294,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101294,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101294,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101294,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101294,B100000,00000,0800,00000MEALS SERVED :DIETARY 101294,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101294,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101294,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101294,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101294,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101294,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101294,S000000,00100,0200,07/14/2000 101294,S200000,00100,0100,302 PEARLSTONE STREET 101294,S200000,00200,0100,BUFFALO 101294,S200000,00200,0200,TX 101294,S200000,00200,0300,75831- 101294,S200000,00300,0100,LEON 101294,S200000,00300,0200,45 101294,S200000,00300,0300,R 101294,S200000,00400,0100,BUFFALO NURSING HOME 101294,S200000,00400,0200,675628 101294,S200000,00400,0300,08/23/1996 101294,S200000,00400,0500,P 101294,S200000,01600,0100,Y 101294,S200000,02200,0100,Y 101294,S200000,04300,0100,Y 101296,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101296,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101296,A000000,00300,0000,00300EMPLOYEE BENEFITS 101296,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101296,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101296,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101296,A000000,00700,0000,00700HOUSEKEEPING 101296,A000000,00800,0000,00800DIETARY 101296,A000000,00900,0000,00900NURSING ADMINISTRATION 101296,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101296,A000000,01100,0000,01100PHARMACY 101296,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101296,A000000,01300,0000,01300SOCIAL SERVICE 101296,A000000,01600,0000,01600SKILLED NURSING FACILITY 101296,A000000,01800,0000,01800NURSING FACILITY 101296,A000000,01900,0000,01900OTHER LONG TERM CARE 101296,A000000,02100,0000,02100RADIOLOGY 101296,A000000,02200,0000,02200LABORATORY 101296,A000000,02300,0000,02300INTRAVENOUS THERAPY 101296,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101296,A000000,02500,0000,02500PHYSICAL THERAPY 101296,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101296,A000000,02700,0000,02700SPEECH PATHOLOGY 101296,A000000,02800,0000,02800ELECTROCARDIOLOGY 101296,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101296,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101296,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101296,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101296,A000000,03200,0000,03200SUPPORT SURFACES 101296,A000000,03400,0000,03400CLINIC 101296,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101296,A000000,03500,0000,03500RURAL HEALTH CLINIC 101296,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101296,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101296,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101296,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101296,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101296,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101296,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101296,A000000,04400,0000,04400DME RENTED - HHA 101296,A000000,04500,0000,04500DME SOLD - HHA 101296,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101296,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101296,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101296,A000000,04800,0000,04800AMBULANCE 101296,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101296,A000000,05000,0000,05000CORF 101296,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101296,A000000,05300,0000,05300INTEREST EXPENSE 101296,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101296,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101296,A000000,05500,0000,05500HOSPICE 101296,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101296,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101296,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101296,A000000,06100,0000,06100NONPAID WORKERS 101296,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101296,A000000,06200,0000,06200PATIENTS LAUNDRY 101296,A81000A,00100,0100,Y 101296,A81000B,00100,0300,MANAGEMENT - HOME OFFICE 101296,A81000C,00100,0100,B 101296,A81000C,00100,0200,ROCKY LEMON 101296,A81000C,00100,0400,CRESCENT HEALTH SERVICES 101296,A81000C,00100,0600,NURSING HOME MANAGEMENT 101296,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101296,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101296,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101296,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101296,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101296,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101296,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101296,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101296,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101296,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101296,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101296,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101296,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101296,S000000,00100,0200,07/24/2000 101296,S200000,00100,0100,302 PEARLSTONE 101296,S200000,00200,0100,BUFFALO 101296,S200000,00200,0200,TX 101296,S200000,00200,0300,75831- 101296,S200000,00300,0100,LEON 101296,S200000,00300,0200,45 101296,S200000,00300,0300,R 101296,S200000,00400,0100,CRESCENT CARE CENTER OF BUFFALO 101296,S200000,00400,0200,675628 101296,S200000,00400,0300,08/23/1996 101296,S200000,00400,0500,P 101296,S200000,01004,0500,O 101296,S200000,01600,0100,Y 101301,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101301,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101301,A000000,00300,0000,00300EMPLOYEE BENEFITS 101301,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101301,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101301,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101301,A000000,00700,0000,00700HOUSEKEEPING 101301,A000000,00800,0000,00800DIETARY 101301,A000000,00900,0000,00900NURSING ADMINISTRATION 101301,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101301,A000000,01100,0000,01100PHARMACY 101301,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101301,A000000,01300,0000,01300SOCIAL SERVICE 101301,A000000,01600,0000,01600SKILLED NURSING FACILITY 101301,A000000,01800,0000,01800NURSING FACILITY 101301,A000000,02100,0000,02100RADIOLOGY 101301,A000000,02200,0000,02200LABORATORY 101301,A000000,02300,0000,02300INTRAVENOUS THERAPY 101301,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101301,A000000,02500,0000,02500PHYSICAL THERAPY 101301,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101301,A000000,02700,0000,02700SPEECH PATHOLOGY 101301,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101301,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101301,A000000,03200,0000,03200SUPPORT SURFACES 101301,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101301,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101301,A81000A,00100,0100,Y 101301,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 101301,A81000B,00200,0300,HOME OFFICE CAPITAL RELATION 101301,A81000C,00100,0100,B 101301,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101301,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 101301,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101301,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101301,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101301,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101301,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101301,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101301,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101301,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101301,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101301,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101301,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101301,S000000,00100,0200,06/05/2000 101301,S200000,00100,0100,3007 N NAVARRO 101301,S200000,00200,0100,VICTORIA 101301,S200000,00200,0200,TX 101301,S200000,00200,0300,77901- 101301,S200000,00300,0100,VICTORIA 101301,S200000,00400,0100,THE ARBORETUM OF VICTORIA 101301,S200000,00400,0200,675629 101301,S200000,00400,0300,01/01/1997 101301,S200000,00400,0500,P 101301,S200000,01600,0100,Y 101301,S700003,00000,0400,4 101310,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101310,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101310,A000000,00300,0000,00300EMPLOYEE BENEFITS 101310,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101310,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101310,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101310,A000000,00700,0000,00700HOUSEKEEPING 101310,A000000,00800,0000,00800DIETARY 101310,A000000,00900,0000,00900NURSING ADMINISTRATION 101310,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101310,A000000,01100,0000,01100PHARMACY 101310,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101310,A000000,01300,0000,01300SOCIAL SERVICE 101310,A000000,01351,0000,01301ACTIVITIES 101310,A000000,01600,0000,01600SKILLED NURSING FACILITY 101310,A000000,01800,0000,01800NURSING FACILITY 101310,A000000,02100,0000,02100RADIOLOGY 101310,A000000,02200,0000,02200LABORATORY 101310,A000000,02300,0000,02300INTRAVENOUS THERAPY 101310,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101310,A000000,02500,0000,02500PHYSICAL THERAPY 101310,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101310,A000000,02700,0000,02700SPEECH PATHOLOGY 101310,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101310,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101310,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101310,A000000,03051,0000,03301MEDICAL EQUIPMENT 101310,A000000,04800,0000,04800AMBULANCE 101310,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101310,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101310,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101310,A81000A,00100,0100,Y 101310,A81000B,00100,0300,HOME OFFICE CAPITAL 101310,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101310,A81000B,00300,0300,WAREHOUSE 101310,A81000C,00100,0100,A 101310,A81000C,00100,0200,PETER C. KERN 101310,A81000C,00100,0400,HEA MANAGEMENT GROUP 101310,A81000C,00100,0600,HOME OFFICE 101310,A81000C,00200,0100,A 101310,A81000C,00200,0200,PETER C. KERN 101310,A81000C,00200,0400,WAREHOUSE STORAGE 101310,A81000C,00200,0600,OLD RECORD STORAGE 101310,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101310,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101310,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101310,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101310,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101310,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101310,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101310,B100000,00000,0800,00000MEALS SERVED :DIETARY 101310,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101310,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101310,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101310,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101310,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101310,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101310,S000000,00100,0200,05/30/2000 101310,S200000,00100,0100,1301 SOUTH TERRELL 101310,S200000,00200,0100,FALFURIAS 101310,S200000,00200,0200,TX 101310,S200000,00200,0300,78355-0417 101310,S200000,00300,0100,BROOKS 101310,S200000,00300,0200,45 101310,S200000,00300,0300,R 101310,S200000,00400,0100,CANTERBURY VILLA OF FALURRIAS 101310,S200000,00400,0200,675630 101310,S200000,00400,0300,07/31/1996 101310,S200000,00400,0500,P 101310,S200000,01600,0100,Y 101310,S200000,02200,0100,Y 101310,S200000,04300,0100,Y 101317,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101317,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101317,A000000,00300,0000,00300EMPLOYEE BENEFITS 101317,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101317,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101317,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101317,A000000,00700,0000,00700HOUSEKEEPING 101317,A000000,00800,0000,00800DIETARY 101317,A000000,00900,0000,00900NURSING ADMINISTRATION 101317,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101317,A000000,01100,0000,01100PHARMACY 101317,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101317,A000000,01300,0000,01300SOCIAL SERVICE 101317,A000000,01350,0000,01500OTHER GENERAL SERVICES 101317,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101317,A000000,01600,0000,01600SKILLED NURSING FACILITY 101317,A000000,01800,0000,01800NURSING FACILITY 101317,A000000,01810,0000,01801ICF/MR 101317,A000000,01900,0000,01900OTHER LONG TERM CARE 101317,A000000,02100,0000,02100RADIOLOGY 101317,A000000,02200,0000,02200LABORATORY 101317,A000000,02300,0000,02300INTRAVENOUS THERAPY 101317,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101317,A000000,02500,0000,02500PHYSICAL THERAPY 101317,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101317,A000000,02700,0000,02700SPEECH PATHOLOGY 101317,A000000,02800,0000,02800ELECTROCARDIOLOGY 101317,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101317,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101317,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101317,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101317,A000000,03200,0000,03200SUPPORT SURFACES 101317,A000000,03400,0000,03400CLINIC 101317,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101317,A000000,03500,0000,03500RURAL HEALTH CLINIC 101317,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101317,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101317,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101317,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101317,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101317,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101317,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101317,A000000,04400,0000,04400DME RENTED - HHA 101317,A000000,04500,0000,04500DME SOLD - HHA 101317,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101317,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101317,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101317,A000000,04800,0000,04800AMBULANCE 101317,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101317,A000000,05000,0000,05000CORF 101317,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101317,A000000,05300,0000,05300INTEREST EXPENSE 101317,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101317,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101317,A000000,05500,0000,05500HOSPICE 101317,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101317,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101317,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101317,A000000,06100,0000,06100NONPAID WORKERS 101317,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101317,A000000,06200,0000,06200PATIENTS LAUNDRY 101317,A81000A,00100,0100,Y 101317,A81000B,00100,0300,RENT 101317,A81000C,00100,0100,A 101317,A81000C,00100,0200,CLIFFORD E. MORTON 101317,A81000C,00100,0400,MS INVESTMENTS 101317,A81000C,00100,0600,REAL ESTATE 101317,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101317,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 101317,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101317,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101317,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101317,B100000,00000,0650,00000DIRECT ASSIGNED :LAUNDRY & LINEN S 101317,B100000,00000,0700,00000HOURS SERVED :HOUSEKEEPING 101317,B100000,00000,0800,00000MEALS SERVED :DIETARY 101317,B100000,00000,0900,00000HOURS SERVED :NURSING ADMINISTRATI 101317,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 101317,B100000,00000,1150,00000NO STATISTICS :PHARMACY 101317,B100000,00000,1250,00000DIRECT ASSIGNED :MEDICAL RECORDS & 101317,B100000,00000,1330,00000HOURS SERVED :SOCIAL SERVICE 101317,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101317,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 101317,S000000,00100,0200,05/09/2000 101317,S200000,00100,0100,4033 WEST 51ST AVE 101317,S200000,00200,0100,AMARILLO 101317,S200000,00200,0200,TX 101317,S200000,00200,0300,79109-6129 101317,S200000,00300,0100,RANDALL 101317,S200000,00400,0100,AMARILLO NURSING CENTER 101317,S200000,00400,0200,675631 101317,S200000,00400,0300,09/10/1996 101317,S200000,00400,0500,P 101317,S200000,00400,0600,P 101317,S200000,01600,0100,Y 101317,S200000,04300,0100,Y 101317,S700003,00000,0400,4 101323,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101323,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101323,A000000,00300,0000,00300EMPLOYEE BENEFITS 101323,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101323,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101323,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101323,A000000,00700,0000,00700HOUSEKEEPING 101323,A000000,00800,0000,00800DIETARY 101323,A000000,00900,0000,00900NURSING ADMINISTRATION 101323,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101323,A000000,01100,0000,01100PHARMACY 101323,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101323,A000000,01300,0000,01300SOCIAL SERVICE 101323,A000000,01350,0000,01500OTHER GENERAL SERVICES 101323,A000000,01600,0000,01600SKILLED NURSING FACILITY 101323,A000000,01800,0000,01800NURSING FACILITY 101323,A000000,02100,0000,02100RADIOLOGY 101323,A000000,02200,0000,02200LABORATORY 101323,A000000,02300,0000,02300INTRAVENOUS THERAPY 101323,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101323,A000000,02500,0000,02500PHYSICAL THERAPY 101323,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101323,A000000,02700,0000,02700SPEECH PATHOLOGY 101323,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101323,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101323,A000000,03050,0000,03300AIR FLUIDIZED THERAPY 101323,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101323,A000000,04750,0000,05100INTEREST 101323,A000000,04800,0000,04800AMBULANCE 101323,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101323,A000000,05300,0000,05300INTEREST EXPENSE 101323,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101323,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101323,A000000,05500,0000,05500HOSPICE 101323,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101323,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101323,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101323,A000000,06100,0000,06100NONPAID WORKERS 101323,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101323,A000000,06200,0000,06200PATIENTS LAUNDRY 101323,A81000A,00100,0100,Y 101323,A81000B,00100,0300,MANAGEMENT FEES 101323,A81000B,00200,0300,MANAGEMENT FEES 101323,A81000B,00300,0300,MANAGEMENT FEES 101323,A81000B,00400,0300,BUILDING LEASE 101323,A81000C,00100,0100,A 101323,A81000C,00100,0200,DENNIS DEAPEN 101323,A81000C,00200,0100,A 101323,A81000C,00200,0200,ALTA SUE HAYES 101323,A81000C,00300,0100,A 101323,A81000C,00300,0200,O.L. PITTS 101323,A81000C,00400,0100,B 101323,A81000C,00400,0200,HOLLAND LAKE REALTY LTD 101323,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101323,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101323,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101323,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101323,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101323,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101323,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101323,B100000,00000,0800,00000MEALS SERVED :DIETARY 101323,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 101323,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101323,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101323,S000000,00100,0200,05/24/2000 101323,S200000,00100,0100,201 HOLLAND LAKE DRIVE 101323,S200000,00200,0100,WEATHERFORD 101323,S200000,00200,0200,TX 101323,S200000,00200,0300,76086- 101323,S200000,00300,0100,PARKER 101323,S200000,00300,0200,2800 101323,S200000,00300,0300,U 101323,S200000,00400,0100,HOLLAND LAKE NURSING CENTER 101323,S200000,00400,0200,675633 101323,S200000,00400,0300,09/18/1996 101323,S200000,00400,0500,P 101323,S200000,01600,0100,Y 101323,S200000,04300,0100,Y 101332,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101332,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101332,A000000,00300,0000,00300EMPLOYEE BENEFITS 101332,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101332,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101332,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101332,A000000,00700,0000,00700HOUSEKEEPING 101332,A000000,00800,0000,00800DIETARY 101332,A000000,00900,0000,00900NURSING ADMINISTRATION 101332,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101332,A000000,01100,0000,01100PHARMACY 101332,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101332,A000000,01300,0000,01300SOCIAL SERVICE 101332,A000000,01600,0000,01600SKILLED NURSING FACILITY 101332,A000000,01800,0000,01800NURSING FACILITY 101332,A000000,02100,0000,02100RADIOLOGY 101332,A000000,02200,0000,02200LABORATORY 101332,A000000,02300,0000,02300INTRAVENOUS THERAPY 101332,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101332,A000000,02500,0000,02500PHYSICAL THERAPY 101332,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101332,A000000,02700,0000,02700SPEECH PATHOLOGY 101332,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101332,A000000,03050,0000,03050COMPLEX MEDICAL EQUIPMENT 101332,A000000,03051,0000,03051ENTERAL THERAPY 101332,A000000,03052,0000,03052LAB TEST FEE SCREEN - PART B 101332,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101332,A81000A,00100,0100,Y 101332,A81000B,00100,0300,HOME OFFICE ADMIN 101332,A81000B,00200,0300,HOME OFFICE ADMINISTRATION 101332,A81000B,00300,0300,HOME OFFICE ADMINISTRATION 101332,A81000C,00100,0100,B 101332,A81000C,00100,0200,EBONY LAKE NURS 101332,A81000C,00100,0400,CENTURY CARE I 101332,A81000C,00100,0600,HOME OFFICE 101332,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101332,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101332,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101332,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101332,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101332,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101332,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101332,B100000,00000,0800,00000MEALS SERVED :DIETARY 101332,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 101332,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101332,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101332,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101332,S000000,00100,0200,02/27/2001 101332,S200000,00100,0100,1001 CENTRAL BLVD. 101332,S200000,00200,0100,BROWNSVILLE 101332,S200000,00200,0200,TX 101332,S200000,00200,0300,78520- 101332,S200000,00300,0100,CAMERON 101332,S200000,00300,0200,1240 101332,S200000,00300,0300,U 101332,S200000,00400,0100,EBONY LAKE HEALTHCARE CENTER 101332,S200000,00400,0200,675635 101332,S200000,00400,0300,09/01/1996 101332,S200000,00400,0500,P 101332,S200000,00600,0200,675635 101332,S200000,00600,0300,09/01/1996 101332,S200000,00600,0600,P 101332,S200000,01600,0100,Y 101332,S200000,04200,0100,Y 101340,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101340,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101340,A000000,00300,0000,00300EMPLOYEE BENEFITS 101340,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101340,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101340,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101340,A000000,00700,0000,00700HOUSEKEEPING 101340,A000000,00800,0000,00800DIETARY 101340,A000000,00900,0000,00900NURSING ADMINISTRATION 101340,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101340,A000000,01100,0000,01100PHARMACY 101340,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101340,A000000,01300,0000,01300SOCIAL SERVICE 101340,A000000,01600,0000,01600SKILLED NURSING FACILITY 101340,A000000,01800,0000,01800NURSING FACILITY 101340,A000000,02100,0000,02100RADIOLOGY 101340,A000000,02200,0000,02200LABORATORY 101340,A000000,02300,0000,02300INTRAVENOUS THERAPY 101340,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101340,A000000,02500,0000,02500PHYSICAL THERAPY 101340,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101340,A000000,02700,0000,02700SPEECH PATHOLOGY 101340,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101340,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101340,A000000,03200,0000,03200SUPPORT SURFACES 101340,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101340,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101340,A81000A,00100,0100,Y 101340,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 101340,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 101340,A81000C,00100,0100,B 101340,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101340,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101340,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101340,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101340,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101340,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101340,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101340,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101340,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101340,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101340,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101340,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101340,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101340,S000000,00100,0200,06/05/2000 101340,S200000,00100,0100,3301 E MOCKINGBIRD 101340,S200000,00200,0100,VICTORIA 101340,S200000,00200,0200,TX 101340,S200000,00200,0300,77904-2499 101340,S200000,00300,0100,VICTORIA 101340,S200000,00400,0100,TWIN PINES NURSING CENTER 101340,S200000,00400,0200,675638 101340,S200000,00400,0300,01/01/1997 101340,S200000,00400,0500,P 101340,S200000,01500,0100,Y 101340,S700003,00000,0400,4 101350,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101350,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101350,A000000,00300,0000,00300EMPLOYEE BENEFITS 101350,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101350,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101350,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101350,A000000,00700,0000,00700HOUSEKEEPING 101350,A000000,00800,0000,00800DIETARY 101350,A000000,00900,0000,00900NURSING ADMINISTRATION 101350,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101350,A000000,01100,0000,01100PHARMACY 101350,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101350,A000000,01300,0000,01300SOCIAL SERVICE 101350,A000000,01350,0000,01500OTHER GENERAL SERVICES 101350,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101350,A000000,01600,0000,01600SKILLED NURSING FACILITY 101350,A000000,01800,0000,01800NURSING FACILITY 101350,A000000,01810,0000,01810ICF/MR 101350,A000000,01900,0000,01900OTHER LONG TERM CARE 101350,A000000,02100,0000,02100RADIOLOGY 101350,A000000,02200,0000,02200LABORATORY 101350,A000000,02300,0000,02300INTRAVENOUS THERAPY 101350,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101350,A000000,02500,0000,02500PHYSICAL THERAPY 101350,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101350,A000000,02700,0000,02700SPEECH PATHOLOGY 101350,A000000,02800,0000,02800ELECTROCARDIOLOGY 101350,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101350,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101350,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101350,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101350,A000000,03200,0000,03200SUPPORT SURFACES 101350,A000000,03400,0000,03400CLINIC 101350,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101350,A000000,03500,0000,03500RURAL HEALTH CLINIC 101350,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101350,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101350,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101350,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101350,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101350,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101350,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101350,A000000,04400,0000,04400DME RENTED - HHA 101350,A000000,04500,0000,04500DME SOLD - HHA 101350,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101350,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101350,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101350,A000000,04800,0000,04800AMBULANCE 101350,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101350,A000000,05000,0000,05000CORF 101350,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101350,A000000,05300,0000,05300INTEREST EXPENSE 101350,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101350,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101350,A000000,05500,0000,05500HOSPICE 101350,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101350,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101350,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101350,A000000,06100,0000,06100NONPAID WORKERS 101350,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101350,A000000,06200,0000,06200PATIENTS LAUNDRY 101350,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101350,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101350,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101350,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101350,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101350,B100000,00000,0600,00000POUNDS OF LUNDRY :LAUNDRY & LINEN S 101350,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101350,B100000,00000,0800,00000MEALS SERVED :DIETARY 101350,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 101350,B100000,00000,1000,00000COST IT REQUIS :CENTRAL SERVICES & 101350,B100000,00000,1100,00000COST IT REQUIS :PHARMACY 101350,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101350,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101350,B100000,00000,1350,00000SQUARE FEET :OTHER GENERAL SERVICE 101350,B100000,00000,1450,00000TIME SPENT :INTERNS & RESIDENTS (A 101350,S000000,00100,0200,07/28/2000 101350,S200000,00100,0100,11301 DENNIS ROAD 101350,S200000,00200,0100,DALLAS 101350,S200000,00200,0200,TX 101350,S200000,00200,0300,75229- 101350,S200000,00300,0100,DALLAS 101350,S200000,00400,0100,DALLAS NURSING & REHAB CENTER 101350,S200000,00400,0200,675640 101350,S200000,00400,0300,11/01/1996 101350,S200000,00400,0500,P 101350,S200000,01600,0100,Y 101355,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101355,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101355,A000000,00300,0000,00300EMPLOYEE BENEFITS 101355,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101355,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101355,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101355,A000000,00700,0000,00700HOUSEKEEPING 101355,A000000,00800,0000,00800DIETARY 101355,A000000,00900,0000,00900NURSING ADMINISTRATION 101355,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101355,A000000,01100,0000,01100PHARMACY 101355,A000000,01300,0000,01300SOCIAL SERVICE 101355,A000000,01600,0000,01600SKILLED NURSING FACILITY 101355,A000000,01800,0000,01800NURSING FACILITY 101355,A000000,02100,0000,02100RADIOLOGY 101355,A000000,02200,0000,02200LABORATORY 101355,A000000,02300,0000,02300INTRAVENOUS THERAPY 101355,A000000,02500,0000,02500PHYSICAL THERAPY 101355,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101355,A000000,02700,0000,02700SPEECH PATHOLOGY 101355,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101355,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101355,A000000,03200,0000,03200SUPPORT SURFACES 101355,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101355,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101355,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101355,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101355,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101355,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101355,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101355,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101355,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101355,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101355,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101355,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101355,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101355,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101355,S000000,00100,0200,05/30/2000 101355,S200000,00100,0100,1215 EAST ASHBY 101355,S200000,00200,0100,SEQUIN 101355,S200000,00200,0200,TX 101355,S200000,00200,0300,78155-5103 101355,S200000,00300,0100,GUADALUPE 101355,S200000,00300,0200,7240 101355,S200000,00300,0300,U 101355,S200000,00400,0100,NESBIT NURSING HOME 101355,S200000,00400,0200,675641 101355,S200000,00400,0300,10/31/1996 101355,S200000,00400,0500,P 101355,S200000,01600,0100,Y 101364,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101364,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101364,A000000,00300,0000,00300EMPLOYEE BENEFITS 101364,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101364,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101364,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101364,A000000,00700,0000,00700HOUSEKEEPING 101364,A000000,00800,0000,00800DIETARY 101364,A000000,00801,0000,00801CAFETERIA 101364,A000000,00900,0000,00900NURSING ADMINISTRATION 101364,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101364,A000000,01100,0000,01100PHARMACY 101364,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101364,A000000,01300,0000,01300SOCIAL SERVICE 101364,A000000,01600,0000,01600SKILLED NURSING FACILITY 101364,A000000,01800,0000,01800NURSING FACILITY 101364,A000000,01900,0000,01900OTHER LONG TERM CARE 101364,A000000,02100,0000,02100RADIOLOGY 101364,A000000,02200,0000,02200LABORATORY 101364,A000000,02300,0000,02300INTRAVENOUS THERAPY 101364,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101364,A000000,02500,0000,02500PHYSICAL THERAPY 101364,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101364,A000000,02700,0000,02700SPEECH PATHOLOGY 101364,A000000,02800,0000,02800ELECTROCARDIOLOGY 101364,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101364,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101364,A000000,03200,0000,03200SUPPORT SURFACES 101364,A000000,04800,0000,04800AMBULANCE 101364,A000000,05300,0000,05300INTEREST EXPENSE 101364,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101364,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101364,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101364,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101364,A81000A,00100,0100,Y 101364,A81000B,00100,0300,HOME OFC COSTS 101364,A81000B,00200,0300,HOME OFC COSTS 101364,A81000B,00300,0300,PRESCRIPTION RX 101364,A81000B,00400,0300,HOME OFC COSTS 101364,A81000C,00100,0100,B 101364,A81000C,00100,0200,AHCC INC. 101364,A81000C,00100,0400,AHCC INC. 101364,A81000C,00100,0600,HOME OFC 101364,A81000C,00200,0100,B 101364,A81000C,00200,0200,AHCC INC 101364,A81000C,00200,0400,LTC MGMT 101364,A81000C,00200,0600,BILLING SERV 101364,A81000C,00300,0100,B 101364,A81000C,00300,0200,AHCC INC 101364,A81000C,00300,0400,NIPSI 101364,A81000C,00300,0600,PHARMACY 101364,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101364,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101364,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101364,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101364,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101364,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101364,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101364,B100000,00000,0800,00000MEALS SERVED :DIETARY 101364,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101364,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101364,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101364,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101364,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101364,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101364,S000000,00100,0200,07/18/2000 101364,S200000,00100,0100,209 N. FRAZIER 101364,S200000,00200,0100,CONROE 101364,S200000,00200,0200,TX 101364,S200000,00200,0300,77301- 101364,S200000,00300,0100,MONTGOMERY 101364,S200000,00400,0100,CONROE CONVALESCENT CENTER 101364,S200000,00400,0200,675648 101364,S200000,00400,0300,11/14/1996 101364,S200000,00400,0500,P 101364,S200000,01600,0100,Y 101364,S700003,00000,0400,4 101369,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101369,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101369,A000000,00300,0000,00300EMPLOYEE BENEFITS 101369,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101369,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101369,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101369,A000000,00700,0000,00700HOUSEKEEPING 101369,A000000,00800,0000,00800DIETARY 101369,A000000,00900,0000,00900NURSING ADMINISTRATION 101369,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101369,A000000,01100,0000,01100PHARMACY 101369,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101369,A000000,01300,0000,01300SOCIAL SERVICE 101369,A000000,01600,0000,01600SKILLED NURSING FACILITY 101369,A000000,01800,0000,01800NURSING FACILITY 101369,A000000,02100,0000,02100RADIOLOGY 101369,A000000,02200,0000,02200LABORATORY 101369,A000000,02300,0000,02300INTRAVENOUS THERAPY 101369,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101369,A000000,02500,0000,02500PHYSICAL THERAPY 101369,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101369,A000000,02700,0000,02700SPEECH PATHOLOGY 101369,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101369,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101369,A000000,03200,0000,03200SUPPORT SURFACES 101369,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101369,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101369,A81000A,00100,0100,Y 101369,A81000B,00100,0300,HOME OFFICE ADMINISTRATIVE 101369,A81000B,00200,0300,HOME OFFICE CAPITAL RELATIONS 101369,A81000C,00100,0100,B 101369,A81000C,00100,0400,ARBORETUM GROUP 101369,A81000C,00100,0600,LTC MANAGEMENT 101369,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101369,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101369,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101369,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101369,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101369,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101369,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101369,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101369,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101369,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101369,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101369,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101369,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101369,S000000,00100,0200,06/05/2000 101369,S200000,00100,0100,1600 NORTH IH-35 101369,S200000,00200,0100,SAN MARCOS 101369,S200000,00200,0200,TX 101369,S200000,00200,0300,78666-6712 101369,S200000,00300,0100,HAYS 101369,S200000,00400,0100,THE ARBORETUM OF SAN MARCOS 101369,S200000,00400,0200,675651 101369,S200000,00400,0300,02/01/1997 101369,S200000,00400,0500,P 101369,S200000,01600,0100,Y 101369,S700003,00000,0400,4 101379,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101379,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101379,A000000,00300,0000,00300EMPLOYEE BENEFITS 101379,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101379,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101379,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101379,A000000,00700,0000,00700HOUSEKEEPING 101379,A000000,00800,0000,00800DIETARY 101379,A000000,00900,0000,00900NURSING ADMINISTRATION 101379,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101379,A000000,01100,0000,01100PHARMACY 101379,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101379,A000000,01300,0000,01300SOCIAL SERVICE 101379,A000000,01350,0000,01500OTHER GENERAL SERVICES 101379,A000000,01600,0000,01600SKILLED NURSING FACILITY 101379,A000000,01800,0000,01800NURSING FACILITY 101379,A000000,02100,0000,02100RADIOLOGY 101379,A000000,02200,0000,02200LABORATORY 101379,A000000,02300,0000,02300INTRAVENOUS THERAPY 101379,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101379,A000000,02500,0000,02500PHYSICAL THERAPY 101379,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101379,A000000,02700,0000,02700SPEECH PATHOLOGY 101379,A000000,02800,0000,02800ELECTROCARDIOLOGY 101379,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101379,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101379,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101379,A000000,03200,0000,03200SUPPORT SURFACES 101379,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101379,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101379,A000000,04800,0000,04800AMBULANCE 101379,A000000,05300,0000,05300INTEREST EXPENSE 101379,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101379,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101379,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101379,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101379,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101379,A000000,06200,0000,06200PATIENTS LAUNDRY 101379,A81000A,00100,0100,Y 101379,A81000B,00100,0300,HOME OFFICE MGMT FEE 101379,A81000B,00200,0300,HOME OFFICE PROPERTY 101379,A81000C,00100,0100,B 101379,A81000C,00100,0200,CENTRAL PARK LODGES 101379,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101379,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101379,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101379,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101379,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101379,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101379,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 101379,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101379,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101379,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101379,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101379,B100000,00000,1250,00000GROSS REVENUES :MEDICAL RECORDS & 101379,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101379,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101379,S000000,00100,0200,03/06/2000 101379,S200000,00100,0100,808 GUADALUE 101379,S200000,00200,0100,KERRVILLE 101379,S200000,00200,0200,TX 101379,S200000,00200,0300,78028- 101379,S200000,00300,0100,KERR 101379,S200000,00400,0100,AMERI-PARK KERRVILLE 101379,S200000,00400,0200,675654 101379,S200000,00400,0300,11/13/1996 101379,S200000,00400,0500,P 101379,S200000,01600,0100,Y 101379,S700003,00000,0400,4 101385,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101385,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101385,A000000,00300,0000,00300EMPLOYEE BENEFITS 101385,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101385,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101385,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101385,A000000,00700,0000,00700HOUSEKEEPING 101385,A000000,00800,0000,00800DIETARY 101385,A000000,00900,0000,00900NURSING ADMINISTRATION 101385,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101385,A000000,01100,0000,01100PHARMACY 101385,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101385,A000000,01300,0000,01300SOCIAL SERVICE 101385,A000000,01600,0000,01600SKILLED NURSING FACILITY 101385,A000000,01800,0000,01800NURSING FACILITY 101385,A000000,02100,0000,02100RADIOLOGY 101385,A000000,02200,0000,02200LABORATORY 101385,A000000,02300,0000,02300INTRAVENOUS THERAPY 101385,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101385,A000000,02500,0000,02500PHYSICAL THERAPY 101385,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101385,A000000,02700,0000,02700SPEECH PATHOLOGY 101385,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101385,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101385,A000000,03200,0000,03200SUPPORT SURFACES 101385,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101385,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101385,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101385,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 101385,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101385,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101385,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101385,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101385,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101385,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101385,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101385,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101385,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101385,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101385,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101385,S000000,00100,0200,05/30/2000 101385,S200000,00100,0100,1637 NORTH KING STREET 101385,S200000,00200,0100,SEGUIN 101385,S200000,00200,0200,TX 101385,S200000,00200,0300,78155-2199 101385,S200000,00300,0100,GUADALUPE 101385,S200000,00400,0100,SEGUIN NURSING & REHABILITATION CTR 101385,S200000,00400,0200,675656 101385,S200000,00400,0300,12/10/1996 101385,S200000,00400,0500,P 101385,S200000,01500,0100,Y 101385,S700003,00000,0400,4 101396,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101396,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101396,A000000,00300,0000,00300EMPLOYEE BENEFITS 101396,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101396,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101396,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101396,A000000,00700,0000,00700HOUSEKEEPING 101396,A000000,00800,0000,00800DIETARY 101396,A000000,00900,0000,00900NURSING ADMINISTRATION 101396,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101396,A000000,01100,0000,01100PHARMACY 101396,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101396,A000000,01300,0000,01300SOCIAL SERVICE 101396,A000000,01301,0000,01301ACTIVITIES 101396,A000000,01600,0000,01600SKILLED NURSING FACILITY 101396,A000000,01800,0000,01800NURSING FACILITY 101396,A000000,02100,0000,02100RADIOLOGY 101396,A000000,02200,0000,02200LABORATORY 101396,A000000,02300,0000,02300INTRAVENOUS THERAPY 101396,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101396,A000000,02500,0000,02500PHYSICAL THERAPY 101396,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101396,A000000,02700,0000,02700SPEECH PATHOLOGY 101396,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101396,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101396,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101396,A000000,03051,0000,03301MEDICAL EQUIPMENT 101396,A000000,04800,0000,04800AMBULANCE 101396,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101396,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101396,A81000A,00100,0100,Y 101396,A81000B,00100,0300,HOME OFFICE CAPITAL 101396,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101396,A81000C,00100,0100,A 101396,A81000C,00100,0200,PETER C. KERN 101396,A81000C,00100,0400,HEA MANAGEMENT GROUP 101396,A81000C,00100,0600,HOME OFFICE 101396,A81000C,00200,0100,A 101396,A81000C,00200,0200,PETER C. KERN 101396,A81000C,00200,0400,WAREHOUSE STORAGE 101396,A81000C,00200,0600,OLD RECORD STORAGE 101396,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101396,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101396,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101396,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101396,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101396,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101396,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101396,B100000,00000,0800,00000MEALS SERVED :DIETARY 101396,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101396,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101396,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101396,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101396,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101396,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 101396,S000000,00100,0200,01/30/2002 101396,S200000,00100,0100,316 WEST SEVENTH 101396,S200000,00200,0100,MT. PLEASANT 101396,S200000,00200,0200,TX 101396,S200000,00200,0300,75455-3604 101396,S200000,00300,0100,TITUS 101396,S200000,00300,0200,0067 101396,S200000,00300,0300,R 101396,S200000,00400,0100,GERAS NUSING HOME 101396,S200000,00400,0200,675659 101396,S200000,00400,0300,02/07/1997 101396,S200000,00400,0500,P 101396,S200000,01600,0100,Y 101396,S200000,02200,0100,Y 101396,S200000,04300,0100,Y 101402,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101402,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101402,A000000,00300,0000,00300EMPLOYEE BENEFITS 101402,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101402,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101402,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101402,A000000,00700,0000,00700HOUSEKEEPING 101402,A000000,00800,0000,00800DIETARY 101402,A000000,00900,0000,00900NURSING ADMINISTRATION 101402,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101402,A000000,01100,0000,01100PHARMACY 101402,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101402,A000000,01300,0000,01300SOCIAL SERVICE 101402,A000000,01600,0000,01600SKILLED NURSING FACILITY 101402,A000000,01800,0000,01800NURSING FACILITY 101402,A000000,02100,0000,02100RADIOLOGY 101402,A000000,02200,0000,02200LABORATORY 101402,A000000,02300,0000,02300INTRAVENOUS THERAPY 101402,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101402,A000000,02500,0000,02500PHYSICAL THERAPY 101402,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101402,A000000,02700,0000,02700SPEECH PATHOLOGY 101402,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101402,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101402,A000000,03200,0000,03200SUPPORT SURFACES 101402,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101402,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101402,A81000A,00100,0100,Y 101402,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 101402,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 101402,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 101402,A81000C,00100,0100,A 101402,A81000C,00100,0200,JAMES PATTERSON 101402,A81000C,00100,0400,PYRAMID HEALTHCARE 101402,A81000C,00100,0600,LTC MANAGEMENT 101402,A81000C,00200,0100,A 101402,A81000C,00200,0200,ROBERT GRIMES 101402,A81000C,00200,0400,PYRAMID HEALTHCARE 101402,A81000C,00200,0600,LTC MANAGEMENT 101402,A81000C,00300,0100,A 101402,A81000C,00300,0200,DIANE WARD 101402,A81000C,00300,0400,PYRAMID HEALTHCARE 101402,A81000C,00300,0600,LTC MANAGEMENT 101402,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101402,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101402,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101402,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101402,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101402,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101402,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101402,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101402,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101402,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101402,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101402,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101402,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101402,S000000,00100,0200,06/28/2000 101402,S200000,00100,0100,230 S. BEULAH 101402,S200000,00200,0100,HAWKINS 101402,S200000,00200,0200,TX 101402,S200000,00200,0300,75765-0430 101402,S200000,00300,0100,WOOD 101402,S200000,00400,0100,HAWKINS CARE CENTER 101402,S200000,00400,0200,675660 101402,S200000,00400,0300,02/05/1997 101402,S200000,00400,0500,P 101402,S200000,01600,0100,Y 101402,S700003,00000,0400,4 101415,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101415,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101415,A000000,00300,0000,00300EMPLOYEE BENEFITS 101415,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101415,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101415,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101415,A000000,00700,0000,00700HOUSEKEEPING 101415,A000000,00800,0000,00800DIETARY 101415,A000000,00900,0000,00900NURSING ADMINISTRATION 101415,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101415,A000000,01100,0000,01100PHARMACY 101415,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101415,A000000,01300,0000,01300SOCIAL SERVICE 101415,A000000,01351,0000,01301ACTIVITIES 101415,A000000,01600,0000,01600SKILLED NURSING FACILITY 101415,A000000,01800,0000,01800NURSING FACILITY 101415,A000000,02100,0000,02100RADIOLOGY 101415,A000000,02200,0000,02200LABORATORY 101415,A000000,02300,0000,02300INTRAVENOUS THERAPY 101415,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101415,A000000,02500,0000,02500PHYSICAL THERAPY 101415,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101415,A000000,02700,0000,02700SPEECH PATHOLOGY 101415,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101415,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101415,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101415,A000000,03051,0000,03301MEDICAL EQUIPMENT 101415,A000000,04800,0000,04800AMBULANCE 101415,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101415,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101415,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101415,A81000A,00100,0100,Y 101415,A81000B,00100,0300,HOME OFFICE CAPITAL 101415,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101415,A81000B,00300,0300,WAREHOUSE 101415,A81000C,00100,0100,A 101415,A81000C,00100,0200,PETER C. KERN 101415,A81000C,00100,0400,HEA MANAGEMENT GROUP 101415,A81000C,00100,0600,HOME OFFICE 101415,A81000C,00200,0100,A 101415,A81000C,00200,0200,PETER C. KERN 101415,A81000C,00200,0400,WAREHOUSE STORAGE 101415,A81000C,00200,0600,OLD RECORD STORAGE 101415,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101415,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101415,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101415,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101415,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101415,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101415,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101415,B100000,00000,0800,00000MEALS SERVED :DIETARY 101415,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101415,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101415,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101415,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101415,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101415,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101415,S000000,00100,0200,08/15/2000 101415,S200000,00100,0100,1200 NORTH JACKSON STREET 101415,S200000,00200,0100,SULPHUR SPRINGS 101415,S200000,00200,0200,TX 101415,S200000,00200,0300,75482- 101415,S200000,00300,0100,HOPKINS 101415,S200000,00300,0300,R 101415,S200000,00400,0100,WOODHAVEN NURSING HOME 101415,S200000,00400,0200,675664 101415,S200000,00400,0300,02/08/1997 101415,S200000,00400,0500,P 101415,S200000,01600,0100,Y 101415,S200000,02200,0100,Y 101415,S200000,04300,0100,Y 101417,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101417,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101417,A000000,00300,0000,00300EMPLOYEE BENEFITS 101417,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101417,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101417,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101417,A000000,00700,0000,00700HOUSEKEEPING 101417,A000000,00800,0000,00800DIETARY 101417,A000000,00900,0000,00900NURSING ADMINISTRATION 101417,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101417,A000000,01100,0000,01100PHARMACY 101417,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101417,A000000,01300,0000,01300SOCIAL SERVICE 101417,A000000,01350,0000,01500OTHER GENERAL SERVICES 101417,A000000,01600,0000,01600SKILLED NURSING FACILITY 101417,A000000,01800,0000,01800NURSING FACILITY 101417,A000000,01900,0000,01900OTHER LONG TERM CARE 101417,A000000,02100,0000,02100RADIOLOGY 101417,A000000,02200,0000,02200LABORATORY 101417,A000000,02300,0000,02300INTRAVENOUS THERAPY 101417,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101417,A000000,02500,0000,02500PHYSICAL THERAPY 101417,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101417,A000000,02700,0000,02700SPEECH PATHOLOGY 101417,A000000,02800,0000,02800ELECTROCARDIOLOGY 101417,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101417,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101417,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101417,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101417,A000000,03200,0000,03200SUPPORT SURFACES 101417,A000000,03400,0000,03400CLINIC 101417,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101417,A000000,03500,0000,03500RURAL HEALTH CLINIC 101417,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101417,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101417,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101417,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101417,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101417,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101417,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101417,A000000,04400,0000,04400DME RENTED - HHA 101417,A000000,04500,0000,04500DME SOLD - HHA 101417,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101417,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101417,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101417,A000000,04800,0000,04800AMBULANCE 101417,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101417,A000000,05000,0000,05000CORF 101417,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101417,A000000,05300,0000,05300INTEREST EXPENSE 101417,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101417,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101417,A000000,05500,0000,05500HOSPICE 101417,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101417,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101417,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101417,A000000,06100,0000,06100NONPAID WORKERS 101417,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101417,A000000,06200,0000,06200PATIENTS LAUNDRY 101417,A81000A,00100,0100,Y 101417,A81000B,00100,0300,HOME OFFICE EXPENSE 101417,A81000C,00100,0100,A 101417,A81000C,00100,0200,ROCKY LEMON 101417,A81000C,00100,0400,CRESCENT HEALTH SERVICES 101417,A81000C,00100,0600,NURSING HOME MANAGEMENT 101417,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101417,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101417,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101417,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101417,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101417,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101417,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101417,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101417,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101417,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101417,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101417,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101417,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101417,S000000,00100,0200,08/16/2000 101417,S200000,00100,0100,1200 NORTH JACKSON STREET 101417,S200000,00200,0100,SULPHUR SPRINGS 101417,S200000,00200,0200,TX 101417,S200000,00200,0300,75482- 101417,S200000,00300,0100,HOPKINS 101417,S200000,00300,0200,9967 101417,S200000,00300,0300,R 101417,S200000,00400,0100,WOODHAVEN NURSING HOME 101417,S200000,00400,0200,675664 101417,S200000,00400,0300,02/08/1997 101417,S200000,00400,0500,P 101417,S200000,01004,0500,O 101417,S200000,01600,0100,Y 101423,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101423,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101423,A000000,00300,0000,00300EMPLOYEE BENEFITS 101423,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101423,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101423,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101423,A000000,00700,0000,00700HOUSEKEEPING 101423,A000000,00800,0000,00800DIETARY 101423,A000000,00801,0000,00801CAFETERIA 101423,A000000,00900,0000,00900NURSING ADMINISTRATION 101423,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101423,A000000,01100,0000,01100PHARMACY 101423,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101423,A000000,01300,0000,01300SOCIAL SERVICE 101423,A000000,01600,0000,01600SKILLED NURSING FACILITY 101423,A000000,01800,0000,01800NURSING FACILITY 101423,A000000,01900,0000,01900OTHER LONG TERM CARE 101423,A000000,02100,0000,02100RADIOLOGY 101423,A000000,02200,0000,02200LABORATORY 101423,A000000,02300,0000,02300INTRAVENOUS THERAPY 101423,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101423,A000000,02500,0000,02500PHYSICAL THERAPY 101423,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101423,A000000,02700,0000,02700SPEECH PATHOLOGY 101423,A000000,02800,0000,02800ELECTROCARDIOLOGY 101423,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101423,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101423,A000000,03200,0000,03200SUPPORT SURFACES 101423,A000000,04800,0000,04800AMBULANCE 101423,A000000,05300,0000,05300INTEREST EXPENSE 101423,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101423,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101423,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101423,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101423,A81000A,00100,0100,Y 101423,A81000B,00100,0300,CENTRAL OFC COSTS 101423,A81000B,00200,0300,CENTRAL OFC COSTS 101423,A81000B,00300,0300,PROPERTY COSTS 101423,A81000C,00100,0100,B 101423,A81000C,00100,0200,E. COHEN 101423,A81000C,00100,0400,DETROIT THEATRE 101423,A81000C,00100,0600,REIT 101423,A81000C,00200,0100,B 101423,A81000C,00200,0200,S. COHEN 101423,A81000C,00200,0400,EAST TEXAS GREE 101423,A81000C,00200,0600,SNF MGMT CO. 101423,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101423,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101423,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101423,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101423,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101423,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101423,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101423,B100000,00000,0800,00000MEALS SERVED :DIETARY 101423,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101423,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101423,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101423,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101423,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101423,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101423,S000000,00100,0200,06/12/2000 101423,S200000,00100,0100,320 GREENVILLE HWY 101423,S200000,00200,0100,MINEOLA 101423,S200000,00200,0200,TX 101423,S200000,00200,0300,75773- 101423,S200000,00300,0100,WOOD 101423,S200000,00400,0100,WOOD MEMORIAL NURSING HOME 101423,S200000,00400,0200,675668 101423,S200000,00400,0300,02/04/1997 101423,S200000,00400,0500,P 101423,S200000,01500,0100,Y 101429,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101429,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101429,A000000,00300,0000,00300EMPLOYEE BENEFITS 101429,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101429,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101429,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101429,A000000,00700,0000,00700HOUSEKEEPING 101429,A000000,00800,0000,00800DIETARY 101429,A000000,00900,0000,00900NURSING ADMINISTRATION 101429,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101429,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101429,A000000,01300,0000,01300SOCIAL SERVICE 101429,A000000,01350,0000,01500RECREATION 101429,A000000,01600,0000,01600SKILLED NURSING FACILITY 101429,A000000,01800,0000,01800NURSING FACILITY 101429,A000000,02100,0000,02100RADIOLOGY 101429,A000000,02200,0000,02200LABORATORY 101429,A000000,02500,0000,02500PHYSICAL THERAPY 101429,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101429,A000000,02700,0000,02700SPEECH PATHOLOGY 101429,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101429,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101429,A000000,03050,0000,03300PEN THERAPY 101429,A000000,03200,0000,03200SUPPORT SURFACES 101429,A000000,05300,0000,05300INTEREST EXPENSE 101429,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101429,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101429,A81000A,00100,0100,Y 101429,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 101429,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 101429,A81000C,00100,0100,B 101429,A81000C,00100,0200,STEBBINS FIVE COMPANIES 101429,A81000C,00100,0400,BRENTWOOD PLACE I 101429,A81000C,00100,0600,LONGTERM CARE MANAGEMENT 101429,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101429,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101429,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101429,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101429,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101429,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101429,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101429,B100000,00000,0800,00000MEALS SERVED :DIETARY 101429,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101429,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101429,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101429,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101429,B100000,00000,1350,00000PATIENT DAYS :RECREATION 101429,S000000,00100,0200,06/01/2000 101429,S200000,00100,0100,8069 SCYENE CIRCLE 101429,S200000,00200,0100,DALLAS 101429,S200000,00200,0200,TX 101429,S200000,00200,0300,75227- 101429,S200000,00300,0100,DALLAS 101429,S200000,00400,0100,BRENTWOOD PLACE I 101429,S200000,00400,0200,675680 101429,S200000,00400,0300,04/22/1997 101429,S200000,00400,0500,P 101429,S200000,01600,0100,Y 101435,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101435,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101435,A000000,00300,0000,00300EMPLOYEE BENEFITS 101435,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101435,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101435,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101435,A000000,00700,0000,00700HOUSEKEEPING 101435,A000000,00800,0000,00800DIETARY 101435,A000000,00900,0000,00900NURSING ADMINISTRATION 101435,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101435,A000000,01100,0000,01100PHARMACY 101435,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101435,A000000,01300,0000,01300SOCIAL SERVICE 101435,A000000,01351,0000,01301ACTIVITIES 101435,A000000,01600,0000,01600SKILLED NURSING FACILITY 101435,A000000,01800,0000,01800NURSING FACILITY 101435,A000000,02100,0000,02100RADIOLOGY 101435,A000000,02200,0000,02200LABORATORY 101435,A000000,02300,0000,02300INTRAVENOUS THERAPY 101435,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101435,A000000,02500,0000,02500PHYSICAL THERAPY 101435,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101435,A000000,02700,0000,02700SPEECH PATHOLOGY 101435,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101435,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101435,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101435,A000000,03051,0000,03301MEDICAL EQUIPMENT 101435,A000000,04800,0000,04800AMBULANCE 101435,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101435,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101435,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101435,A81000A,00100,0100,Y 101435,A81000B,00100,0300,HOME OFFICE CAPITAL 101435,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101435,A81000B,00300,0300,WAREHOUSE 101435,A81000C,00100,0100,A 101435,A81000C,00100,0200,PETER C. KERN 101435,A81000C,00100,0400,HEA MANAGEMENT GROUP 101435,A81000C,00100,0600,HOME OFFICE 101435,A81000C,00200,0100,A 101435,A81000C,00200,0200,PETER C. KERN 101435,A81000C,00200,0400,WAREHOUSE STORAGE 101435,A81000C,00200,0600,OLD RECORD STORAGE 101435,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101435,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101435,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101435,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101435,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101435,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101435,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101435,B100000,00000,0800,00000MEALS SERVED :DIETARY 101435,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101435,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101435,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101435,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101435,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101435,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101435,S000000,00100,0200,05/30/2000 101435,S200000,00100,0100,401 SWIFT STREET 101435,S200000,00200,0100,REFUGIO 101435,S200000,00200,0200,TX 101435,S200000,00200,0300,78377- 101435,S200000,00300,0100,REFUGIO 101435,S200000,00300,0300,R 101435,S200000,00400,0100,MISSION RIDGE REHAB & NURSING 101435,S200000,00400,0200,675684 101435,S200000,00400,0300,05/20/1997 101435,S200000,00400,0500,P 101435,S200000,01600,0100,Y 101435,S200000,02200,0100,Y 101435,S200000,04300,0100,Y 101439,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101439,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101439,A000000,00300,0000,00300EMPLOYEE BENEFITS 101439,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101439,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101439,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101439,A000000,00700,0000,00700HOUSEKEEPING 101439,A000000,00800,0000,00800DIETARY 101439,A000000,00900,0000,00900NURSING ADMINISTRATION 101439,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101439,A000000,01100,0000,01100PHARMACY 101439,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101439,A000000,01300,0000,01300SOCIAL SERVICE 101439,A000000,01350,0000,01500OTHER GENERAL SERVICES 101439,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101439,A000000,01600,0000,01600SKILLED NURSING FACILITY 101439,A000000,01800,0000,01800NURSING FACILITY 101439,A000000,01810,0000,01810ICF/MR 101439,A000000,01900,0000,01900OTHER LONG TERM CARE 101439,A000000,02100,0000,02100RADIOLOGY 101439,A000000,02200,0000,02200LABORATORY 101439,A000000,02300,0000,02300INTRAVENOUS THERAPY 101439,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101439,A000000,02500,0000,02500PHYSICAL THERAPY 101439,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101439,A000000,02700,0000,02700SPEECH PATHOLOGY 101439,A000000,02800,0000,02800ELECTROCARDIOLOGY 101439,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101439,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101439,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101439,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101439,A000000,03200,0000,03200SUPPORT SURFACES 101439,A000000,03400,0000,03400CLINIC 101439,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101439,A000000,03500,0000,03500RURAL HEALTH CLINIC 101439,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101439,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101439,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101439,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101439,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101439,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101439,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101439,A000000,04400,0000,04400DME RENTED - HHA 101439,A000000,04500,0000,04500DME SOLD - HHA 101439,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101439,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101439,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101439,A000000,04800,0000,04800AMBULANCE 101439,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101439,A000000,05000,0000,05000CORF 101439,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101439,A000000,05300,0000,05300INTEREST EXPENSE 101439,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101439,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101439,A000000,05500,0000,05500HOSPICE 101439,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101439,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101439,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101439,A000000,06100,0000,06100NONPAID WORKERS 101439,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101439,A000000,06200,0000,06200PATIENTS LAUNDRY 101439,A81000A,00100,0100,Y 101439,A81000B,00100,0300,MANAGEMENT FEES 101439,A81000C,00100,0100,B 101439,A81000C,00100,0400,CAMLU CARE CENTERS INC 101439,A81000C,00100,0600,HEALTH CARE MGMT 101439,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101439,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101439,B100000,00000,0300,00000GROSS SALARI :EMPLOYEE BENEFITS 101439,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101439,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101439,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101439,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101439,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101439,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101439,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 101439,B100000,00000,1150,00000NO STATISTICS :PHARMACY 101439,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101439,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101439,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101439,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 101439,E10A180,00301,0100,01/24/2000 101439,E10A180,00301,0300,01/24/2000 101439,S000000,00100,0200,05/10/2000 101439,S200000,00100,0100,615 NORTH WARE RD 101439,S200000,00200,0100,MCALLEN 101439,S200000,00200,0200,TX 101439,S200000,00200,0300,78501- 101439,S200000,00300,0100,BEXTER 101439,S200000,00400,0100,THE VILLAGE CARE CENTER 101439,S200000,00400,0200,675689 101439,S200000,00400,0300,06/10/1997 101439,S200000,00400,0500,P 101439,S200000,00400,0600,P 101439,S200000,01500,0100,Y 101439,S200000,03100,0100,Y 101439,S200000,03300,0100,Y 101439,S200000,03300,0200,Y 101441,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101441,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101441,A000000,00300,0000,00300EMPLOYEE BENEFITS 101441,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101441,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101441,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101441,A000000,00700,0000,00700HOUSEKEEPING 101441,A000000,00800,0000,00800DIETARY 101441,A000000,00900,0000,00900NURSING ADMINISTRATION 101441,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101441,A000000,01100,0000,01100PHARMACY 101441,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101441,A000000,01300,0000,01300SOCIAL SERVICE 101441,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101441,A000000,01600,0000,01600SKILLED NURSING FACILITY 101441,A000000,01800,0000,01800NURSING FACILITY 101441,A000000,01810,0000,01810ICF/MR 101441,A000000,01900,0000,01900OTHER LONG TERM CARE 101441,A000000,02100,0000,02100RADIOLOGY 101441,A000000,02200,0000,02200LABORATORY 101441,A000000,02300,0000,02300INTRAVENOUS THERAPY 101441,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101441,A000000,02500,0000,02500PHYSICAL THERAPY 101441,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101441,A000000,02700,0000,02700SPEECH PATHOLOGY 101441,A000000,02800,0000,02800ELECTROCARDIOLOGY 101441,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101441,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101441,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101441,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101441,A000000,03200,0000,03200SUPPORT SURFACES 101441,A000000,03400,0000,03400CLINIC 101441,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 101441,A000000,03500,0000,03500RURAL HEALTH CLINIC 101441,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101441,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101441,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101441,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101441,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101441,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101441,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101441,A000000,04400,0000,04400DME RENTED - HHA 101441,A000000,04500,0000,04500DME SOLD - HHA 101441,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101441,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101441,A000000,04800,0000,04800AMBULANCE 101441,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101441,A000000,05000,0000,05000CORF 101441,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101441,A000000,05300,0000,05300INTEREST EXPENSE 101441,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101441,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101441,A000000,05500,0000,05500HOSPICE 101441,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101441,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101441,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101441,A000000,06100,0000,06100NONPAID WORKERS 101441,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101441,A000000,06200,0000,06200PATIENTS LAUNDRY 101441,A81000A,00100,0100,Y 101441,A81000B,00100,0300,HOME OFFICE CAPITAL 101441,A81000B,00200,0300,HOME OFFICE NON-CAP 101441,A81000B,00300,0300,MANAGEMENT FEE 101441,A81000C,00100,0100,B 101441,A81000C,00100,0400,THE ENSIGN GROU 101441,A81000C,00100,0600,HOME OFFICE 101441,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101441,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101441,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101441,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101441,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101441,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101441,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101441,B100000,00000,0800,00000MEALS SERVED :DIETARY 101441,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101441,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101441,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101441,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101441,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101441,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101441,S000000,00100,0200,06/21/2000 101441,S200000,00100,0100,615 NORTH WARE RD 101441,S200000,00200,0100,MCALLEN 101441,S200000,00200,0200,TX 101441,S200000,00200,0300,78501- 101441,S200000,00300,0100,MCALLEN 101441,S200000,00400,0100,THE VILLAGE CARE CENTER 101441,S200000,00400,0200,675689 101441,S200000,00400,0300,06/10/1997 101441,S200000,00400,0500,P 101441,S200000,01600,0100,Y 101441,S700003,00000,0400,4 101448,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101448,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101448,A000000,00300,0000,00300EMPLOYEE BENEFITS 101448,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101448,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101448,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101448,A000000,00700,0000,00700HOUSEKEEPING 101448,A000000,00800,0000,00800DIETARY 101448,A000000,00900,0000,00900NURSING ADMINISTRATION 101448,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101448,A000000,01100,0000,01100PHARMACY 101448,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101448,A000000,01300,0000,01300SOCIAL SERVICE 101448,A000000,01301,0000,01301ACTIVITIES 101448,A000000,01600,0000,01600SKILLED NURSING FACILITY 101448,A000000,01800,0000,01800NURSING FACILITY 101448,A000000,02100,0000,02100RADIOLOGY 101448,A000000,02200,0000,02200LABORATORY 101448,A000000,02300,0000,02300INTRAVENOUS THERAPY 101448,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101448,A000000,02500,0000,02500PHYSICAL THERAPY 101448,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101448,A000000,02700,0000,02700SPEECH PATHOLOGY 101448,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101448,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101448,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101448,A000000,03051,0000,03301MEDICAL EQUIPMENT 101448,A000000,04800,0000,04800AMBULANCE 101448,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101448,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101448,A81000A,00100,0100,Y 101448,A81000B,00100,0300,HOME OFFICE CAPITAL 101448,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101448,A81000B,00300,0300,WAREHOUSE 101448,A81000C,00100,0100,A 101448,A81000C,00100,0200,PETER C. KERN 101448,A81000C,00100,0400,HEA MANAGEMENT GROUP 101448,A81000C,00100,0600,HOME OFFICE 101448,A81000C,00200,0100,A 101448,A81000C,00200,0200,PETER C. KERN 101448,A81000C,00200,0400,WAREHOUSE STORAGE 101448,A81000C,00200,0600,OLD RECORD STORAGE 101448,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101448,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101448,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101448,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101448,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101448,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101448,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101448,B100000,00000,0800,00000MEALS SERVED :DIETARY 101448,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101448,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101448,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101448,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101448,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101448,B100000,00000,1331,00000PATIENT DAYS :ACTIVITIES 101448,S000000,00100,0200,11/13/2001 101448,S200000,00100,0100,4403 74TH STREET 101448,S200000,00200,0100,LUBBOCK 101448,S200000,00200,0200,TX 101448,S200000,00200,0300,79424-4000 101448,S200000,00300,0100,LUBBOCK 101448,S200000,00300,0200,4600 101448,S200000,00300,0300,U 101448,S200000,00400,0100,LAKERIDGE REHAB. & NURSING 101448,S200000,00400,0200,675693 101448,S200000,00400,0300,07/01/1997 101448,S200000,00400,0500,P 101448,S200000,01004,0500,O 101448,S200000,01600,0100,Y 101448,S200000,02200,0100,Y 101448,S200000,04300,0100,Y 101453,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101453,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101453,A000000,00300,0000,00300EMPLOYEE BENEFITS 101453,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101453,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101453,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101453,A000000,00700,0000,00700HOUSEKEEPING 101453,A000000,00800,0000,00800DIETARY 101453,A000000,00900,0000,00900NURSING ADMINISTRATION 101453,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101453,A000000,01100,0000,01100PHARMACY 101453,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101453,A000000,01300,0000,01300SOCIAL SERVICE 101453,A000000,01600,0000,01600SKILLED NURSING FACILITY 101453,A000000,01800,0000,01800NURSING FACILITY 101453,A000000,02100,0000,02100RADIOLOGY 101453,A000000,02200,0000,02200LABORATORY 101453,A000000,02300,0000,02300INTRAVENOUS THERAPY 101453,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101453,A000000,02500,0000,02500PHYSICAL THERAPY 101453,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101453,A000000,02700,0000,02700SPEECH PATHOLOGY 101453,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101453,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101453,A000000,03200,0000,03200SUPPORT SURFACES 101453,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101453,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101453,A81000A,00100,0100,Y 101453,A81000B,00100,0300,REMOVE LEASE EXP PD TO REL LESSOR 101453,A81000B,00200,0300,ADD BACK RELATED LESSOR DEPRECIATION 101453,A81000B,00300,0300,ADD BACK RELATED LESSOR INTEREST 101453,A81000B,00400,0300,ADD BACK RELATED LESSOR PROP INSUR 101453,A81000B,00500,0300,ADD BACK RELATED LESSOR LOAN COSTS 101453,A81000B,00600,0300,ADD BACK RELATED LESSOR ADMIN COSTS 101453,A81000C,00100,0100,B 101453,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101453,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101453,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101453,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101453,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101453,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101453,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101453,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101453,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101453,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101453,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101453,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101453,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101453,S000000,00100,0200,05/30/2000 101453,S200000,00100,0100,106 DEL NORTE DRIVE 101453,S200000,00200,0100,EL CAMPO 101453,S200000,00200,0200,TX 101453,S200000,00200,0300,77437-2599 101453,S200000,00300,0100,WHARTON 101453,S200000,00400,0100,GARDEN VILLA NURSING HOME 101453,S200000,00400,0200,675694 101453,S200000,00400,0300,06/13/1997 101453,S200000,00400,0500,P 101453,S200000,01600,0100,Y 101461,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101461,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101461,A000000,00300,0000,00300EMPLOYEE BENEFITS 101461,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101461,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101461,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101461,A000000,00700,0000,00700HOUSEKEEPING 101461,A000000,00800,0000,00800DIETARY 101461,A000000,00900,0000,00900NURSING ADMINISTRATION 101461,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101461,A000000,01100,0000,01100PHARMACY 101461,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101461,A000000,01300,0000,01300SOCIAL SERVICE 101461,A000000,01600,0000,01600SKILLED NURSING FACILITY 101461,A000000,01800,0000,01800NURSING FACILITY 101461,A000000,01900,0000,01900OTHER LONG TERM CARE 101461,A000000,02100,0000,02100RADIOLOGY 101461,A000000,02200,0000,02200LABORATORY 101461,A000000,02300,0000,02300INTRAVENOUS THERAPY 101461,A000000,02500,0000,02500PHYSICAL THERAPY 101461,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101461,A000000,02700,0000,02700SPEECH PATHOLOGY 101461,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101461,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101461,A000000,03200,0000,03200SUPPORT SURFACES 101461,A000000,04800,0000,04800AMBULANCE 101461,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101461,A000000,05300,0000,05300INTEREST EXPENSE 101461,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101461,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101461,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101461,A000000,06200,0000,06200PATIENTS LAUNDRY 101461,A81000A,00100,0100,Y 101461,A81000B,00100,0300,HOME OFFICE BLDG & FIXTURES COSTS 101461,A81000B,00200,0300,HOME OFFICE MOVABLE EQUIPMENT COSTS 101461,A81000B,00300,0300,HOME OFFICE EMPLOYEE BENEFITS 101461,A81000B,00400,0300,HOME OFFICE SALARIES & A&G COSTS 101461,A81000B,00500,0300,HOME OFFICE MAINTENANCE COSTS 101461,A81000C,00100,0100,C 101461,A81000C,00100,0400,GRETHER HEALTH 101461,A81000C,00100,0600,HOME OFFICE 101461,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101461,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101461,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 101461,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101461,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101461,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101461,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101461,B100000,00000,0850,00000PAT DAYS :DIETARY 101461,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 101461,B100000,00000,1050,00000DIRECT NURSING HO :CENTRAL SERVICES 101461,B100000,00000,1150,00000DIRECT NURSING HO :PHARMACY 101461,B100000,00000,1250,00000DIRECT NURSING HO :MEDICAL RECORDS 101461,B100000,00000,1330,00000DIRECT NURSING HO :SOCIAL SERVICE 101461,S000000,00100,0200,05/24/2000 101461,S200000,00100,0100,721 W. MULBERRY STREET 101461,S200000,00200,0100,ANGLETON 101461,S200000,00200,0200,TX 101461,S200000,00200,0300,77531- 101461,S200000,00300,0100,BRAZORIA 101461,S200000,00400,0100,COUNTRY VILLAGE CARE INC. 101461,S200000,00400,0200,675696 101461,S200000,00400,0300,07/15/1997 101461,S200000,00400,0500,P 101461,S200000,01600,0100,Y 101461,S200000,04300,0100,Y 101466,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101466,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101466,A000000,00300,0000,00300EMPLOYEE BENEFITS 101466,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101466,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101466,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101466,A000000,00700,0000,00700HOUSEKEEPING 101466,A000000,00800,0000,00800DIETARY 101466,A000000,00900,0000,00900NURSING ADMINISTRATION 101466,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101466,A000000,01100,0000,01100PHARMACY 101466,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101466,A000000,01300,0000,01300SOCIAL SERVICE 101466,A000000,01350,0000,01500OTHER GENERAL SERVICES 101466,A000000,01351,0000,01501ACTIVITIES 101466,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101466,A000000,01600,0000,01600SKILLED NURSING FACILITY 101466,A000000,01800,0000,01800NURSING FACILITY 101466,A000000,01810,0000,01810ICF/MR 101466,A000000,01900,0000,01900OTHER LONG TERM CARE 101466,A000000,02100,0000,02100RADIOLOGY 101466,A000000,02200,0000,02200LABORATORY 101466,A000000,02300,0000,02300INTRAVENOUS THERAPY 101466,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101466,A000000,02500,0000,02500PHYSICAL THERAPY 101466,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101466,A000000,02700,0000,02700SPEECH PATHOLOGY 101466,A000000,02800,0000,02800ELECTROCARDIOLOGY 101466,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101466,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101466,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101466,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101466,A000000,03200,0000,03200SUPPORT SURFACES 101466,A000000,03201,0000,03201THERAPUETIC BEDS 101466,A000000,03400,0000,03400CLINIC 101466,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101466,A000000,03500,0000,03500RURAL HEALTH CLINIC 101466,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101466,A000000,04800,0000,04800AMBULANCE 101466,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101466,A000000,05000,0000,05000CORF 101466,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101466,A000000,05300,0000,05300INTEREST EXPENSE 101466,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101466,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101466,A000000,05500,0000,05500HOSPICE 101466,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101466,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101466,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101466,A000000,06100,0000,06100NONPAID WORKERS 101466,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101466,A000000,06200,0000,06200PATIENTS LAUNDRY 101466,A81000A,00100,0100,Y 101466,A81000B,00100,0300,CAP REL-BLDG/FIXTURES 101466,A81000B,00200,0300,A & G 101466,A81000C,00100,0100,B 101466,A81000C,00100,0400,ADVANCED LIVING TECH INC 101466,A81000C,00100,0600,NURSING HOME OPERATORS 101466,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101466,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101466,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101466,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101466,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101466,B100000,00000,0800,00000MEALS SERVED :DIETARY 101466,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101466,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101466,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101466,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101466,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101466,S000000,00100,0200,05/30/2000 101466,S200000,00100,0100,710 HIGHWAY 359 SOUTH 101466,S200000,00200,0100,BROOKSHIRE 101466,S200000,00200,0200,TX 101466,S200000,00200,0300,77423- 101466,S200000,00300,0100,WALLER 101466,S200000,00300,0200,3360 101466,S200000,00300,0300,U 101466,S200000,00400,0100,BROOKSHIRE NURSING CENTER 101466,S200000,00400,0200,675700 101466,S200000,00400,0300,04/10/1997 101466,S200000,00400,0500,P 101466,S200000,01600,0100,Y 101471,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101471,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101471,A000000,00300,0000,00300EMPLOYEE BENEFITS 101471,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101471,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101471,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101471,A000000,00700,0000,00700HOUSEKEEPING 101471,A000000,00800,0000,00800DIETARY 101471,A000000,00900,0000,00900NURSING ADMINISTRATION 101471,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101471,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101471,A000000,01300,0000,01300SOCIAL SERVICE 101471,A000000,01350,0000,01500RECREATION 101471,A000000,01600,0000,01600SKILLED NURSING FACILITY 101471,A000000,01800,0000,01800NURSING FACILITY 101471,A000000,02100,0000,02100RADIOLOGY 101471,A000000,02200,0000,02200LABORATORY 101471,A000000,02300,0000,02300INTRAVENOUS THERAPY 101471,A000000,02500,0000,02500PHYSICAL THERAPY 101471,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101471,A000000,02700,0000,02700SPEECH PATHOLOGY 101471,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101471,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101471,A000000,03050,0000,03300PEN THERAPY 101471,A000000,03200,0000,03200SUPPORT SURFACES 101471,A000000,05300,0000,05300INTEREST EXPENSE 101471,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101471,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101471,A81000A,00100,0100,Y 101471,A81000B,00100,0300,HOME OFFICE - AIRCRAFT 101471,A81000B,00200,0300,HOME OFFICE - MANAGEMENT 101471,A81000C,00100,0100,B 101471,A81000C,00100,0200,STEBBINS FIVE COMPANIES 101471,A81000C,00100,0400,BRENTWOOD PLACE II 101471,A81000C,00100,0600,LONGTERM CARE MANAGEMENT 101471,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101471,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101471,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101471,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101471,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101471,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101471,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101471,B100000,00000,0800,00000MEALS SERVED :DIETARY 101471,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101471,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101471,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101471,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101471,B100000,00000,1350,00000PATIENT DAYS :RECREATION 101471,S000000,00100,0200,06/01/2000 101471,S200000,00100,0100,8059 SCYENE CIRCLE 101471,S200000,00200,0100,DALLAS 101471,S200000,00200,0200,TX 101471,S200000,00200,0300,75227- 101471,S200000,00300,0100,DALLAS 101471,S200000,00400,0100,BRENTWOOD PLACE II 101471,S200000,00400,0200,675702 101471,S200000,00400,0300,08/05/1997 101471,S200000,00400,0500,P 101471,S200000,01600,0100,Y 101476,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101476,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101476,A000000,00300,0000,00300EMPLOYEE BENEFITS 101476,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101476,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101476,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101476,A000000,00700,0000,00700HOUSEKEEPING 101476,A000000,00800,0000,00800DIETARY 101476,A000000,00900,0000,00900NURSING ADMINISTRATION 101476,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101476,A000000,01100,0000,01100PHARMACY 101476,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101476,A000000,01300,0000,01300SOCIAL SERVICE 101476,A000000,01350,0000,01500ACTIVITIES 101476,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101476,A000000,01600,0000,01600SKILLED NURSING FACILITY 101476,A000000,01800,0000,01800NURSING FACILITY 101476,A000000,01900,0000,01900OTHER LONG TERM CARE 101476,A000000,02100,0000,02100RADIOLOGY 101476,A000000,02200,0000,02200LABORATORY 101476,A000000,02300,0000,02300INTRAVENOUS THERAPY 101476,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101476,A000000,02500,0000,02500PHYSICAL THERAPY 101476,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101476,A000000,02700,0000,02700SPEECH PATHOLOGY 101476,A000000,02800,0000,02800ELECTROCARDIOLOGY 101476,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101476,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101476,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101476,A000000,03200,0000,03200SUPPORT SURFACES 101476,A000000,03400,0000,03400CLINIC 101476,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101476,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101476,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101476,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101476,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101476,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101476,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101476,A000000,04400,0000,04400DME RENTED - HHA 101476,A000000,04500,0000,04500DME SOLD - HHA 101476,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101476,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101476,A000000,04800,0000,04800AMBULANCE 101476,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101476,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101476,A000000,05300,0000,05300INTEREST EXPENSE 101476,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101476,A000000,05500,0000,05500HOSPICE 101476,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101476,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101476,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101476,A000000,06100,0000,06100NONPAID WORKERS 101476,A000000,06200,0000,06200PATIENTS LAUNDRY 101476,A81000A,00100,0100,Y 101476,A81000B,00100,0300,MANAGEMENT FEES 101476,A81000C,00100,0100,A 101476,A81000C,00100,0200,DOLORES GREIVE 101476,A81000C,00100,0600,MANAGEMENT CO. 101476,A81000C,00200,0100,A 101476,A81000C,00200,0200,CHARLES GREIVE 101476,A81000C,00200,0600,MANAGEMENT CO. 101476,A81000C,00300,0100,A 101476,A81000C,00300,0200,LESLIE GREIVE 101476,A81000C,00300,0600,MANAGEMENT CO. 101476,B100000,00000,0100,00000SQ FEET :CAP REL COSTS - BLDGS & F 101476,B100000,00000,0250,00000SQ FEET :CAP REL COSTS - MOVABLE E 101476,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 101476,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101476,B100000,00000,0500,00000SQ FEET :PLANT OPERATION MAINT. & 101476,B100000,00000,0650,00000LBS OF LAUNDRY :LAUNDRY & LINEN SER 101476,B100000,00000,0750,00000SQ FEET :HOUSEKEEPING 101476,B100000,00000,0800,00000MEALS SERVED :DIETARY 101476,B100000,00000,0900,00000DIRECT NRSG HOURS :NURSING ADMINIST 101476,B100000,00000,1200,00000MED REC TIME SPENT:MEDICAL RECORDS 101476,B100000,00000,1300,00000SOC SERV TIME SPENT:SOCIAL SERVICE 101476,B100000,00000,1350,00000ACTIV TIME SPENT :ACTIVITIES 101476,E10A180,00301,0100,07/06/1999 101476,S000000,00100,0200,02/02/2000 101476,S200000,00100,0100,121 FM 971 101476,S200000,00200,0100,GEORGETOWN 101476,S200000,00200,0200,TX 101476,S200000,00200,0300,78626- 101476,S200000,00300,0100,WILLIAMSON 101476,S200000,00300,0200,0640 101476,S200000,00300,0300,U 101476,S200000,00400,0100,PARK PLACE CARE CENTER 101476,S200000,00400,0200,675707 101476,S200000,00400,0300,07/22/1997 101476,S200000,00400,0500,P 101476,S200000,00600,0200,675707 101476,S200000,00600,0300,07/22/1997 101476,S200000,00600,0600,P 101476,S200000,01600,0100,Y 101476,S200000,03100,0100,Y 101476,S200000,04300,0100,Y 101481,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101481,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101481,A000000,00300,0000,00300EMPLOYEE BENEFITS 101481,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101481,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101481,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101481,A000000,00700,0000,00700HOUSEKEEPING 101481,A000000,00800,0000,00800DIETARY 101481,A000000,00900,0000,00900NURSING ADMINISTRATION 101481,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101481,A000000,01100,0000,01100PHARMACY 101481,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101481,A000000,01300,0000,01300SOCIAL SERVICE 101481,A000000,01350,0000,01500OTHER GENERAL SERVICES 101481,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101481,A000000,01600,0000,01600SKILLED NURSING FACILITY 101481,A000000,01800,0000,01800NURSING FACILITY 101481,A000000,01810,0000,01801ICF/MR 101481,A000000,01900,0000,01900OTHER LONG TERM CARE 101481,A000000,02100,0000,02100RADIOLOGY 101481,A000000,02200,0000,02200LABORATORY 101481,A000000,02300,0000,02300INTRAVENOUS THERAPY 101481,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101481,A000000,02500,0000,02500PHYSICAL THERAPY 101481,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101481,A000000,02700,0000,02700SPEECH PATHOLOGY 101481,A000000,02800,0000,02800ELECTROCARDIOLOGY 101481,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101481,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101481,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101481,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101481,A000000,03200,0000,03200SUPPORT SURFACES 101481,A000000,03400,0000,03400CLINIC 101481,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101481,A000000,03500,0000,03500RURAL HEALTH CLINIC 101481,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101481,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101481,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101481,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101481,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101481,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101481,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101481,A000000,04400,0000,04400DME RENTED - HHA 101481,A000000,04500,0000,04500DME SOLD - HHA 101481,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101481,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101481,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101481,A000000,04800,0000,04800AMBULANCE 101481,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101481,A000000,05000,0000,05000CORF 101481,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101481,A000000,05300,0000,05300INTEREST EXPENSE 101481,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101481,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101481,A000000,05500,0000,05500HOSPICE 101481,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101481,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101481,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101481,A000000,06100,0000,06100NONPAID WORKERS 101481,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101481,A000000,06200,0000,06200PATIENTS LAUNDRY 101481,A81000A,00100,0100,Y 101481,A81000B,00100,0300,HOME OFFICE ADMINISTRATION 101481,A81000C,00100,0100,B 101481,A81000C,00100,0400,HARVEST SENIOR SERVICES 101481,A81000C,00100,0600,LTC OPERATIONS 101481,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101481,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101481,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101481,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101481,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101481,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101481,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101481,B100000,00000,0800,00000MEALS SERVED :DIETARY 101481,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101481,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101481,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101481,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101481,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101481,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101481,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101481,S000000,00100,0200,05/31/2000 101481,S200000,00100,0100,700 S BOWIE ST 101481,S200000,00200,0100,WEATHERFORD 101481,S200000,00200,0200,TX 101481,S200000,00200,0300,76086- 101481,S200000,00300,0100,PARKER 101481,S200000,00400,0100,KEENELAND HEALTH & REHAB CENBER 101481,S200000,00400,0200,675708 101481,S200000,00400,0300,07/30/1997 101481,S200000,00400,0500,P 101481,S200000,01004,0500,O 101481,S200000,01600,0100,Y 101481,S200000,04300,0100,Y 101481,S700003,00000,0100,1 101487,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101487,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101487,A000000,00300,0000,00300EMPLOYEE BENEFITS 101487,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101487,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101487,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101487,A000000,00700,0000,00700HOUSEKEEPING 101487,A000000,00800,0000,00800DIETARY 101487,A000000,00900,0000,00900NURSING ADMINISTRATION 101487,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101487,A000000,01100,0000,01100PHARMACY 101487,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101487,A000000,01300,0000,01300SOCIAL SERVICE 101487,A000000,01600,0000,01600SKILLED NURSING FACILITY 101487,A000000,01800,0000,01800NURSING FACILITY 101487,A000000,02100,0000,02100RADIOLOGY 101487,A000000,02200,0000,02200LABORATORY 101487,A000000,02300,0000,02300INTRAVENOUS THERAPY 101487,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101487,A000000,02500,0000,02500PHYSICAL THERAPY 101487,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101487,A000000,02700,0000,02700SPEECH PATHOLOGY 101487,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101487,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101487,A000000,03200,0000,03200SUPPORT SURFACES 101487,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101487,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101487,A81000A,00100,0100,Y 101487,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COSTS 101487,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE COSTS 101487,A81000B,00300,0300,HOME OFFICE WORKING CAPITAL INTEREST 101487,A81000C,00100,0100,A 101487,A81000C,00100,0200,JAMES PATTERSON 101487,A81000C,00100,0400,PYRAMID HEALTHCARE 101487,A81000C,00100,0600,LTC MANAGEMENT 101487,A81000C,00200,0100,A 101487,A81000C,00200,0200,ROBERT GRIMES 101487,A81000C,00200,0400,PYRAMID HEALTHCARE 101487,A81000C,00200,0600,LTC MANAGEMENT 101487,A81000C,00300,0100,A 101487,A81000C,00300,0200,DIANE WARD 101487,A81000C,00300,0400,PYRAMID HEALTHCARE 101487,A81000C,00300,0600,LTC MANAGEMENT 101487,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101487,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101487,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101487,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101487,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101487,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101487,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101487,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101487,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101487,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101487,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101487,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101487,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101487,S000000,00100,0200,06/28/2000 101487,S200000,00100,0100,409 FILES STREET 101487,S200000,00200,0100,ITASCA 101487,S200000,00200,0200,TX 101487,S200000,00200,0300,76055-2629 101487,S200000,00300,0100,HILL 101487,S200000,00400,0100,ITASCA NURSING HOME 101487,S200000,00400,0200,675712 101487,S200000,00400,0300,08/04/1997 101487,S200000,00400,0500,P 101487,S200000,01600,0100,Y 101487,S200000,04300,0100,Y 101487,S700003,00000,0400,4 101498,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101498,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101498,A000000,00300,0000,00300EMPLOYEE BENEFITS 101498,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101498,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101498,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101498,A000000,00700,0000,00700HOUSEKEEPING 101498,A000000,00800,0000,00800DIETARY 101498,A000000,00900,0000,00900NURSING ADMINISTRATION 101498,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101498,A000000,01100,0000,01100PHARMACY 101498,A000000,01600,0000,01600SKILLED NURSING FACILITY 101498,A000000,01800,0000,01800NURSING FACILITY 101498,A000000,02100,0000,02100RADIOLOGY 101498,A000000,02200,0000,02200LABORATORY 101498,A000000,02500,0000,02500PHYSICAL THERAPY 101498,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101498,A000000,02700,0000,02700SPEECH PATHOLOGY 101498,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101498,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101498,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101498,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101498,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101498,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101498,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101498,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101498,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101498,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101498,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101498,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101498,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101498,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101498,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101498,S000000,00100,0200,05/30/2000 101498,S200000,00100,0100,605 W 7TH ST 101498,S200000,00200,0100,POST 101498,S200000,00200,0200,TX 101498,S200000,00200,0300,79356-3141 101498,S200000,00300,0100,GARZA 101498,S200000,00300,0200,0045 101498,S200000,00300,0300,R 101498,S200000,00400,0100,GOLDEN PLAINS CARE CENTER 101498,S200000,00400,0200,675716 101498,S200000,00400,0300,09/10/1997 101498,S200000,00400,0500,P 101498,S200000,01500,0100,Y 101505,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101505,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 101505,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101505,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 101505,A000000,00300,0000,00300EMPLOYEE BENEFITS 101505,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101505,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101505,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101505,A000000,00700,0000,00700HOUSEKEEPING 101505,A000000,00800,0000,00800DIETARY 101505,A000000,00801,0000,00801CAFETERIA 101505,A000000,00900,0000,00900NURSING ADMINISTRATION 101505,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101505,A000000,01100,0000,01100PHARMACY 101505,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101505,A000000,01300,0000,01300SOCIAL SERVICE 101505,A000000,01350,0000,01500ACTIVITIES 101505,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101505,A000000,01600,0000,01600SKILLED NURSING FACILITY 101505,A000000,01800,0000,01800NURSING FACILITY 101505,A000000,01900,0000,01900OTHER LONG TERM CARE 101505,A000000,02100,0000,02100RADIOLOGY 101505,A000000,02200,0000,02200LABORATORY 101505,A000000,02300,0000,02300INTRAVENOUS THERAPY 101505,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101505,A000000,02500,0000,02500PHYSICAL THERAPY 101505,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101505,A000000,02700,0000,02700SPEECH PATHOLOGY 101505,A000000,02800,0000,02800ELECTROCARDIOLOGY 101505,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101505,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101505,A000000,03050,0000,03300OTHER ANCILLARY 101505,A000000,03051,0000,03301OTHER ANCILLARY II 101505,A000000,03052,0000,03302OTHER ANCILLARY III 101505,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101505,A000000,03200,0000,03200SUPPORT SURFACES 101505,A000000,03400,0000,03400CLINIC 101505,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 101505,A000000,03500,0000,03500RURAL HEALTH CLINIC 101505,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101505,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101505,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101505,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101505,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101505,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101505,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101505,A000000,04400,0000,04400DME RENTED - HHA 101505,A000000,04500,0000,04500DME SOLD - HHA 101505,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101505,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101505,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101505,A000000,04800,0000,04800AMBULANCE 101505,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101505,A000000,05000,0000,05000CORF 101505,A000000,05010,0000,05010CMHC I 101505,A000000,05020,0000,05020OPT I 101505,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101505,A000000,05300,0000,05300INTEREST EXPENSE 101505,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 101505,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 101505,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101505,A000000,05500,0000,05500HOSPICE 101505,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101505,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101505,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101505,A000000,06100,0000,06100NONPAID WORKERS 101505,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101505,A000000,06200,0000,06200PATIENTS LAUNDRY 101505,A81000A,00100,0100,Y 101505,A81000B,00100,0300,CAPITAL 101505,A81000B,00200,0300,A&G 101505,A81000B,00300,0300,A&G 101505,A81000B,00400,0300,A&G 101505,A81000B,00500,0300,DIETARY 101505,A81000B,00600,0300,MEDICAL SUPPLIES 101505,A81000B,00700,0300,MEDICAL SUPPLIES 101505,A81000C,00100,0100,A 101505,A81000C,00100,0200,DOUG MITTLEIDER 101505,A81000C,00100,0600,LONG TERM 101505,A81000C,00200,0100,A 101505,A81000C,00200,0200,MIKE FOXWORTHY 101505,A81000C,00200,0600,CARE MGMT 101505,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101505,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 101505,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101505,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 101505,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101505,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101505,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101505,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101505,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101505,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 101505,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 101505,B100000,00000,0950,00000TIME SPENT :NURSING ADMINISTRATION 101505,B100000,00000,1050,00000(GROSS CHARGES) :CENTRAL SERVICES 101505,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 101505,B100000,00000,1200,00000(TIME SPENT) :MEDICAL RECORDS & LI 101505,B100000,00000,1300,00000(TIME SPENT) :SOCIAL SERVICE 101505,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 101505,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 101505,S000000,00100,0200,06/26/2000 101505,S200000,00100,0100,3050 SUNNYBROOK DRIVE 101505,S200000,00200,0100,CORPUS CHRISTI 101505,S200000,00200,0200,TX 101505,S200000,00200,0300,78415- 101505,S200000,00300,0100,NUECES 101505,S200000,00400,0100,SUNNYBROOK HC CENTER 101505,S200000,00400,0200,675717 101505,S200000,00400,0300,07/31/1997 101505,S200000,00400,0500,P 101505,S200000,01600,0100,Y 101505,S200000,02200,0100,Y 101505,S700003,00000,0400,4 101518,S000000,00100,0200,09/11/2000 101525,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101525,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 101525,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101525,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 101525,A000000,00300,0000,00300EMPLOYEE BENEFITS 101525,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101525,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101525,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101525,A000000,00700,0000,00700HOUSEKEEPING 101525,A000000,00800,0000,00800DIETARY 101525,A000000,00801,0000,00801CAFETERIA 101525,A000000,00900,0000,00900NURSING ADMINISTRATION 101525,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101525,A000000,01100,0000,01100PHARMACY 101525,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101525,A000000,01300,0000,01300SOCIAL SERVICE 101525,A000000,01350,0000,01500ACTIVITIES 101525,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101525,A000000,01600,0000,01600SKILLED NURSING FACILITY 101525,A000000,01800,0000,01800NURSING FACILITY 101525,A000000,01900,0000,01900OTHER LONG TERM CARE 101525,A000000,02100,0000,02100RADIOLOGY 101525,A000000,02200,0000,02200LABORATORY 101525,A000000,02300,0000,02300INTRAVENOUS THERAPY 101525,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101525,A000000,02500,0000,02500PHYSICAL THERAPY 101525,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101525,A000000,02700,0000,02700SPEECH PATHOLOGY 101525,A000000,02800,0000,02800ELECTROCARDIOLOGY 101525,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101525,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101525,A000000,03050,0000,03300OTHER ANCILLARY 101525,A000000,03051,0000,03301OTHER ANCILLARY II 101525,A000000,03052,0000,03302OTHER ANCILLARY III 101525,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101525,A000000,03200,0000,03200SUPPORT SURFACES 101525,A000000,03400,0000,03400CLINIC 101525,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 101525,A000000,03500,0000,03500RURAL HEALTH CLINIC 101525,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101525,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101525,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101525,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101525,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101525,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101525,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101525,A000000,04400,0000,04400DME RENTED - HHA 101525,A000000,04500,0000,04500DME SOLD - HHA 101525,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101525,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101525,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101525,A000000,04800,0000,04800AMBULANCE 101525,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101525,A000000,05000,0000,05000CORF 101525,A000000,05010,0000,05010CMHC I 101525,A000000,05020,0000,05020OPT I 101525,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101525,A000000,05300,0000,05300INTEREST EXPENSE 101525,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 101525,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 101525,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101525,A000000,05500,0000,05500HOSPICE 101525,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101525,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101525,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101525,A000000,06100,0000,06100NONPAID WORKERS 101525,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101525,A000000,06200,0000,06200PATIENTS LAUNDRY 101525,A81000A,00100,0100,Y 101525,A81000B,00100,0300,HO MGMT FEE 101525,A81000B,00200,0300,NURSE CONSULTANT 101525,A81000C,00100,0100,B 101525,A81000C,00100,0400,REGENCY NURSING 101525,A81000C,00200,0400,&REHABILITATION 101525,A81000C,00200,0600,HEALTHCARE 101525,A81000C,00300,0400,CENTERS INC 101525,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101525,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 101525,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101525,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 101525,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101525,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101525,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101525,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101525,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101525,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 101525,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 101525,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 101525,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 101525,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 101525,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 101525,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 101525,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 101525,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 101525,S000000,00100,0200,05/31/2000 101525,S200000,00100,0100,605 HWY 290 NORTH 101525,S200000,00200,0100,ELGIN 101525,S200000,00200,0200,TX 101525,S200000,00200,0300,78621- 101525,S200000,00300,0100,BASTROP 101525,S200000,00400,0100,ELGIN GOLDEN YEARS 101525,S200000,00400,0200,675725 101525,S200000,00400,0300,11/05/1997 101525,S200000,00400,0500,P 101525,S200000,01600,0100,Y 101525,S200000,02200,0100,Y 101525,S200000,04300,0100,Y 101530,S000000,00100,0200,08/29/2000 101536,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101536,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101536,A000000,00300,0000,00300EMPLOYEE BENEFITS 101536,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101536,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101536,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101536,A000000,00700,0000,00700HOUSEKEEPING 101536,A000000,00800,0000,00800DIETARY 101536,A000000,00900,0000,00900NURSING ADMINISTRATION 101536,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101536,A000000,01100,0000,01100PHARMACY 101536,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101536,A000000,01300,0000,01300SOCIAL SERVICE 101536,A000000,01350,0000,01500OTHER GENERAL SERVICES 101536,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101536,A000000,01600,0000,01600SKILLED NURSING FACILITY 101536,A000000,01800,0000,01800NURSING FACILITY 101536,A000000,01810,0000,01801ICF/MR 101536,A000000,01900,0000,01900OTHER LONG TERM CARE 101536,A000000,02100,0000,02100RADIOLOGY 101536,A000000,02200,0000,02200LABORATORY 101536,A000000,02300,0000,02300INTRAVENOUS THERAPY 101536,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101536,A000000,02500,0000,02500PHYSICAL THERAPY 101536,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101536,A000000,02700,0000,02700SPEECH PATHOLOGY 101536,A000000,02800,0000,02800ELECTROCARDIOLOGY 101536,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101536,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101536,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101536,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101536,A000000,03200,0000,03200SUPPORT SURFACES 101536,A000000,03400,0000,03400CLINIC 101536,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101536,A000000,03500,0000,03500RURAL HEALTH CLINIC 101536,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101536,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101536,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101536,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101536,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101536,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101536,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101536,A000000,04400,0000,04400DME RENTED - HHA 101536,A000000,04500,0000,04500DME SOLD - HHA 101536,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101536,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101536,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101536,A000000,04800,0000,04800AMBULANCE 101536,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101536,A000000,05000,0000,05000CORF 101536,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101536,A000000,05300,0000,05300INTEREST EXPENSE 101536,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101536,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101536,A000000,05500,0000,05500HOSPICE 101536,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101536,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101536,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101536,A000000,06100,0000,06100NONPAID WORKERS 101536,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101536,A000000,06200,0000,06200PATIENTS LAUNDRY 101536,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 101536,B100000,00000,0250,00000 :CAP REL COSTS - MOVABLE EQUIPME 101536,B100000,00000,0350,00000 :EMPLOYEE BENEFITS 101536,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101536,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 101536,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 101536,B100000,00000,0750,00000 :HOUSEKEEPING 101536,B100000,00000,0850,00000 :DIETARY 101536,B100000,00000,0950,00000 :NURSING ADMINISTRATION 101536,B100000,00000,1050,00000 :CENTRAL SERVICES & SUPPLY 101536,B100000,00000,1150,00000 :PHARMACY 101536,B100000,00000,1250,00000 :MEDICAL RECORDS & LIBRARY 101536,B100000,00000,1330,00000 :SOCIAL SERVICE 101536,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 101536,B100000,00000,1450,00000 :INTERNS & RESIDENTS (APPRVD PRO 101536,S000000,00100,0200,06/01/2000 101536,S200000,00100,0100,2825 LEWIS LANE 101536,S200000,00200,0100,PARIS 101536,S200000,00200,0200,TX 101536,S200000,00200,0300,75460- 101536,S200000,00300,0100,LAMAR 101536,S200000,00400,0100,PARKVIEW CONVALESCENT CENTER 101536,S200000,00400,0200,675728 101536,S200000,00400,0300,10/14/1997 101536,S200000,00400,0500,P 101536,S200000,01600,0100,Y 101536,S700003,00000,0400,4 101538,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101538,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101538,A000000,00300,0000,00300EMPLOYEE BENEFITS 101538,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101538,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101538,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101538,A000000,00700,0000,00700HOUSEKEEPING 101538,A000000,00800,0000,00800DIETARY 101538,A000000,00900,0000,00900NURSING ADMINISTRATION 101538,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101538,A000000,01100,0000,01100PHARMACY 101538,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101538,A000000,01300,0000,01300SOCIAL SERVICE 101538,A000000,01350,0000,01500OTHER GENERAL SERVICES 101538,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101538,A000000,01600,0000,01600SKILLED NURSING FACILITY 101538,A000000,01800,0000,01800NURSING FACILITY 101538,A000000,01810,0000,01810ICF/MR 101538,A000000,01900,0000,01900OTHER LONG TERM CARE 101538,A000000,02100,0000,02100RADIOLOGY 101538,A000000,02200,0000,02200LABORATORY 101538,A000000,02300,0000,02300INTRAVENOUS THERAPY 101538,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101538,A000000,02500,0000,02500PHYSICAL THERAPY 101538,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101538,A000000,02700,0000,02700SPEECH PATHOLOGY 101538,A000000,02800,0000,02800ELECTROCARDIOLOGY 101538,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101538,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101538,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101538,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101538,A000000,03200,0000,03200SUPPORT SURFACES 101538,A000000,03400,0000,03400CLINIC 101538,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101538,A000000,03500,0000,03500RURAL HEALTH CLINIC 101538,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101538,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101538,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101538,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101538,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101538,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101538,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101538,A000000,04400,0000,04400DME RENTED - HHA 101538,A000000,04500,0000,04500DME SOLD - HHA 101538,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101538,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101538,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101538,A000000,04800,0000,04800AMBULANCE 101538,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101538,A000000,05000,0000,05000CORF 101538,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101538,A000000,05300,0000,05300INTEREST EXPENSE 101538,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101538,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101538,A000000,05500,0000,05500HOSPICE 101538,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101538,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101538,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101538,A000000,06100,0000,06100NONPAID WORKERS 101538,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101538,A000000,06200,0000,06200PATIENTS LAUNDRY 101538,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 101538,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 101538,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 101538,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 101538,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 101538,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 101538,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 101538,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 101538,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 101538,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 101538,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 101538,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 101538,S000000,00100,0200,05/31/2000 101538,S200000,00100,0100,2825 LEWIS LANE 101538,S200000,00200,0100,PARIS 101538,S200000,00200,0200,TX 101538,S200000,00200,0300,75460- 101538,S200000,00300,0100,LAMAR 101538,S200000,00300,0200,45 101538,S200000,00300,0300,R 101538,S200000,00400,0100,PARKVIEW CONVALESCENT CENTER 101538,S200000,00400,0200,675728 101538,S200000,00400,0300,10/14/1997 101538,S200000,00400,0500,P 101538,S200000,01600,0100,Y 101543,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101543,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101543,A000000,00300,0000,00300EMPLOYEE BENEFITS 101543,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101543,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101543,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101543,A000000,00700,0000,00700HOUSEKEEPING 101543,A000000,00800,0000,00800DIETARY 101543,A000000,00801,0000,00801CAFETERIA 101543,A000000,00900,0000,00900NURSING ADMINISTRATION 101543,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101543,A000000,01100,0000,01100PHARMACY 101543,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101543,A000000,01300,0000,01300SOCIAL SERVICE 101543,A000000,01600,0000,01600SKILLED NURSING FACILITY 101543,A000000,01800,0000,01800NURSING FACILITY 101543,A000000,01900,0000,01900OTHER LONG TERM CARE 101543,A000000,02100,0000,02100RADIOLOGY 101543,A000000,02200,0000,02200LABORATORY 101543,A000000,02300,0000,02300INTRAVENOUS THERAPY 101543,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101543,A000000,02500,0000,02500PHYSICAL THERAPY 101543,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101543,A000000,02700,0000,02700SPEECH PATHOLOGY 101543,A000000,02800,0000,02800ELECTROCARDIOLOGY 101543,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101543,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101543,A000000,03200,0000,03200SUPPORT SURFACES 101543,A000000,04800,0000,04800AMBULANCE 101543,A000000,05300,0000,05300INTEREST EXPENSE 101543,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101543,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101543,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101543,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101543,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101543,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101543,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101543,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101543,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101543,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101543,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101543,B100000,00000,0800,00000MEALS SERVED :DIETARY 101543,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101543,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101543,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101543,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101543,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101543,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101543,S000000,00100,0200,06/14/2000 101543,S200000,00100,0100,RT. 1 BOX 725 101543,S200000,00200,0100,SAN AUGUSTINE 101543,S200000,00200,0200,TX 101543,S200000,00200,0300,75972- 101543,S200000,00300,0100,SAN AUGUSTINE 101543,S200000,00400,0100,TWIN LAKES CARE CENTER 101543,S200000,00400,0200,675729 101543,S200000,00400,0300,09/24/1997 101543,S200000,00400,0500,P 101543,S200000,01500,0100,Y 101543,S700003,00000,0400,4 101552,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101552,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101552,A000000,00300,0000,00300EMPLOYEE BENEFITS 101552,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101552,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101552,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101552,A000000,00700,0000,00700HOUSEKEEPING 101552,A000000,00800,0000,00800DIETARY 101552,A000000,00900,0000,00900NURSING ADMINISTRATION 101552,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101552,A000000,01100,0000,01100PHARMACY 101552,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101552,A000000,01300,0000,01300SOCIAL SERVICE 101552,A000000,01600,0000,01600SKILLED NURSING FACILITY 101552,A000000,01800,0000,01800NURSING FACILITY 101552,A000000,02100,0000,02100RADIOLOGY 101552,A000000,02200,0000,02200LABORATORY 101552,A000000,02500,0000,02500PHYSICAL THERAPY 101552,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101552,A000000,02700,0000,02700SPEECH PATHOLOGY 101552,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101552,A000000,03050,0000,03050COMPLEX MEDICAL EQUIPMENT 101552,A000000,03051,0000,03051ENTERAL THERAPY 101552,A000000,03052,0000,03052LAB TEST FEE SCREEN - PART B 101552,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101552,A81000A,00100,0100,Y 101552,A81000B,00100,0300,HOME OFFICE CAPITAL 101552,A81000C,00100,0100,B 101552,A81000C,00100,0200,AUSTIN NURSING 101552,A81000C,00100,0600,HOME OFFICE 101552,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101552,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101552,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101552,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101552,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101552,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101552,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101552,B100000,00000,0800,00000MEALS SERVED :DIETARY 101552,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 101552,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101552,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 101552,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101552,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101552,S000000,00100,0200,02/27/2001 101552,S200000,00100,0100,110 EAST LIVE OAK 101552,S200000,00200,0100,AUSTIN 101552,S200000,00200,0200,TX 101552,S200000,00200,0300,78704- 101552,S200000,00300,0100,TRAVIS 101552,S200000,00400,0100,AUSTIN NURSING CENTER 101552,S200000,00400,0200,675733 101552,S200000,00400,0300,01/07/1997 101552,S200000,00400,0500,P 101552,S200000,00600,0200,004461 101552,S200000,00600,0300,01/01/1995 101552,S200000,00600,0600,P 101552,S200000,01600,0100,Y 101552,S700003,00000,0400,4 101560,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101560,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 101560,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101560,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 101560,A000000,00300,0000,00300EMPLOYEE BENEFITS 101560,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101560,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101560,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101560,A000000,00700,0000,00700HOUSEKEEPING 101560,A000000,00800,0000,00800DIETARY 101560,A000000,00801,0000,00801CAFETERIA 101560,A000000,00900,0000,00900NURSING ADMINISTRATION 101560,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101560,A000000,01100,0000,01100PHARMACY 101560,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101560,A000000,01300,0000,01300SOCIAL SERVICE 101560,A000000,01350,0000,01500ACTIVITIES 101560,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101560,A000000,01600,0000,01600SKILLED NURSING FACILITY 101560,A000000,01800,0000,01800NURSING FACILITY 101560,A000000,01900,0000,01900OTHER LONG TERM CARE 101560,A000000,02100,0000,02100RADIOLOGY 101560,A000000,02200,0000,02200LABORATORY 101560,A000000,02300,0000,02300INTRAVENOUS THERAPY 101560,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101560,A000000,02500,0000,02500PHYSICAL THERAPY 101560,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101560,A000000,02700,0000,02700SPEECH PATHOLOGY 101560,A000000,02800,0000,02800ELECTROCARDIOLOGY 101560,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101560,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101560,A000000,03050,0000,03300OTHER ANCILLARY 101560,A000000,03051,0000,03301OTHER ANCILLARY II 101560,A000000,03052,0000,03302OTHER ANCILLARY III 101560,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101560,A000000,03200,0000,03200SUPPORT SURFACES 101560,A000000,03400,0000,03400CLINIC 101560,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 101560,A000000,03500,0000,03500RURAL HEALTH CLINIC 101560,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101560,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101560,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101560,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101560,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101560,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101560,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101560,A000000,04400,0000,04400DME RENTED - HHA 101560,A000000,04500,0000,04500DME SOLD - HHA 101560,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101560,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101560,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101560,A000000,04800,0000,04800AMBULANCE 101560,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101560,A000000,05000,0000,05000CORF 101560,A000000,05010,0000,05010CMHC I 101560,A000000,05020,0000,05020OPT I 101560,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101560,A000000,05300,0000,05300INTEREST EXPENSE 101560,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 101560,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 101560,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101560,A000000,05500,0000,05500HOSPICE 101560,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101560,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101560,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101560,A000000,06100,0000,06100NONPAID WORKERS 101560,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101560,A000000,06200,0000,06200PATIENTS LAUNDRY 101560,A81000A,00100,0100,Y 101560,A81000B,00100,0300,HO MANAGEMENT FEE 101560,A81000B,00200,0300,NURSE CONSULT 101560,A81000C,00100,0100,B 101560,A81000C,00100,0400,REGENCY NURSING 101560,A81000C,00100,0600,HEALTHCARE 101560,A81000C,00200,0400,&REHABILITATION 101560,A81000C,00300,0400,CENTERS INC. 101560,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101560,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 101560,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101560,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 101560,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101560,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101560,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101560,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101560,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101560,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 101560,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 101560,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 101560,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 101560,B100000,00000,1150,00000(PATIENT DAYS) :PHARMACY 101560,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 101560,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 101560,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 101560,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 101560,S000000,00100,0200,06/01/2000 101560,S200000,00100,0100,1300 FM 3475 101560,S200000,00200,0100,YOAKUM 101560,S200000,00200,0200,TX 101560,S200000,00200,0300,77995- 101560,S200000,00300,0100,LAVACA 101560,S200000,00400,0100,R.N.C.P. YOAKUM LTD. 101560,S200000,00400,0200,675736 101560,S200000,00400,0300,10/23/1997 101560,S200000,00400,0500,P 101560,S200000,01600,0100,Y 101560,S200000,02200,0100,Y 101560,S200000,04200,0100,Y 101560,S200000,04300,0100,Y 101564,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101564,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101564,A000000,00300,0000,00300EMPLOYEE BENEFITS 101564,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101564,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101564,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101564,A000000,00700,0000,00700HOUSEKEEPING 101564,A000000,00800,0000,00800DIETARY 101564,A000000,00900,0000,00900NURSING ADMINISTRATION 101564,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101564,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101564,A000000,01300,0000,01300SOCIAL SERVICE 101564,A000000,01600,0000,01600SKILLED NURSING FACILITY 101564,A000000,01800,0000,01800NURSING FACILITY 101564,A000000,01900,0000,01900OTHER LONG TERM CARE 101564,A000000,02100,0000,02100RADIOLOGY 101564,A000000,02200,0000,02200LABORATORY 101564,A000000,02300,0000,02300INTRAVENOUS THERAPY 101564,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101564,A000000,02500,0000,02500PHYSICAL THERAPY 101564,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101564,A000000,02700,0000,02700SPEECH PATHOLOGY 101564,A000000,02800,0000,02800ELECTROCARDIOLOGY 101564,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101564,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101564,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101564,A000000,03200,0000,03200SUPPORT SURFACES 101564,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE COST 101564,A000000,04800,0000,04800AMBULANCE 101564,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101564,A000000,05300,0000,05300INTEREST EXPENSE 101564,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101564,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101564,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101564,A81000A,00100,0100,Y 101564,A81000B,00100,0300,MANAGEMENT FEE 101564,A81000C,00100,0100,B 101564,A81000C,00100,0200,REGENT CARE CEN 101564,A81000C,00100,0400,REGENT CARE CEN 101564,A81000C,00100,0600,MGMT 101564,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101564,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101564,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101564,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101564,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101564,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101564,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101564,B100000,00000,0800,00000MEALS SERVED :DIETARY 101564,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101564,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101564,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101564,S000000,00100,0200,06/05/2000 101564,S200000,00100,0100,10450 GOSLING ROAD 101564,S200000,00200,0100,WOODLANDS 101564,S200000,00200,0200,TX 101564,S200000,00200,0300,77381- 101564,S200000,00300,0100,MONTGOMERY 101564,S200000,00300,0200,3360 101564,S200000,00300,0300,U 101564,S200000,00400,0100,REGENT CARE CTR OF THE WOODLANDS 101564,S200000,00400,0200,675739 101564,S200000,00400,0300,01/06/1998 101564,S200000,00400,0500,P 101564,S200000,01600,0100,Y 101569,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101569,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101569,A000000,00300,0000,00300EMPLOYEE BENEFITS 101569,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101569,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101569,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101569,A000000,00700,0000,00700HOUSEKEEPING 101569,A000000,00800,0000,00800DIETARY 101569,A000000,00900,0000,00900NURSING ADMINISTRATION 101569,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101569,A000000,01100,0000,01100PHARMACY 101569,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101569,A000000,01300,0000,01300SOCIAL SERVICE 101569,A000000,01600,0000,01600SKILLED NURSING FACILITY 101569,A000000,01800,0000,01800NURSING FACILITY 101569,A000000,02100,0000,02100RADIOLOGY 101569,A000000,02200,0000,02200LABORATORY 101569,A000000,02300,0000,02300INTRAVENOUS THERAPY 101569,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101569,A000000,02500,0000,02500PHYSICAL THERAPY 101569,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101569,A000000,02700,0000,02700SPEECH PATHOLOGY 101569,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101569,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101569,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101569,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101569,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101569,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101569,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101569,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101569,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101569,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101569,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101569,B100000,00000,0800,00000MEALS SERVED :DIETARY 101569,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101569,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101569,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101569,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101569,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101569,S000000,00100,0200,06/30/2000 101569,S200000,00100,0100,202 BILLIE DRIVE 101569,S200000,00200,0100,FREDERICKSBURG 101569,S200000,00200,0200,TX 101569,S200000,00200,0300,78624- 101569,S200000,00300,0100,GILLESPIE 101569,S200000,00400,0100,KNOPP NURSING HOME #2 101569,S200000,00400,0200,675740 101569,S200000,00400,0300,01/01/1999 101569,S200000,00400,0500,P 101569,S200000,01600,0100,Y 101569,S700003,00000,0400,4 101575,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101575,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101575,A000000,00300,0000,00300EMPLOYEE BENEFITS 101575,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101575,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101575,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101575,A000000,00700,0000,00700HOUSEKEEPING 101575,A000000,00800,0000,00800DIETARY 101575,A000000,00900,0000,00900NURSING ADMINISTRATION 101575,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101575,A000000,01100,0000,01100PHARMACY 101575,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101575,A000000,01300,0000,01300SOCIAL SERVICE 101575,A000000,01350,0000,01500OTHER GENERAL SERVICES 101575,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101575,A000000,01600,0000,01600SKILLED NURSING FACILITY 101575,A000000,01800,0000,01800NURSING FACILITY 101575,A000000,01810,0000,01801ICF/MR 101575,A000000,01900,0000,01900OTHER LONG TERM CARE 101575,A000000,02100,0000,02100RADIOLOGY 101575,A000000,02200,0000,02200LABORATORY 101575,A000000,02300,0000,02300INTRAVENOUS THERAPY 101575,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101575,A000000,02500,0000,02500PHYSICAL THERAPY 101575,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101575,A000000,02700,0000,02700SPEECH PATHOLOGY 101575,A000000,02800,0000,02800ELECTROCARDIOLOGY 101575,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101575,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101575,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101575,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101575,A000000,03200,0000,03200SUPPORT SURFACES 101575,A000000,03400,0000,03400CLINIC 101575,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101575,A000000,03500,0000,03500RURAL HEALTH CLINIC 101575,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101575,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101575,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101575,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101575,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101575,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101575,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101575,A000000,04400,0000,04400DME RENTED - HHA 101575,A000000,04500,0000,04500DME SOLD - HHA 101575,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101575,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101575,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101575,A000000,04800,0000,04800AMBULANCE 101575,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101575,A000000,05000,0000,05000CORF 101575,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101575,A000000,05300,0000,05300INTEREST EXPENSE 101575,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101575,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101575,A000000,05500,0000,05500HOSPICE 101575,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101575,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101575,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101575,A000000,06100,0000,06100NONPAID WORKERS 101575,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101575,A000000,06200,0000,06200PATIENTS LAUNDRY 101575,A81000A,00100,0100,Y 101575,A81000B,00100,0300,NURSING HOME ADMINISTRATION 101575,A81000C,00100,0100,B 101575,A81000C,00100,0400,HARVEST SENIOR SERVICES 101575,A81000C,00100,0600,LTC MANAGEMENT 101575,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101575,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101575,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101575,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101575,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101575,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101575,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101575,B100000,00000,0800,00000MEALS SERVED :DIETARY 101575,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101575,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101575,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101575,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101575,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101575,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101575,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101575,S000000,00100,0200,05/31/2000 101575,S200000,00100,0100,716 MIMOSA DRIVE 101575,S200000,00200,0100,MINEOLA 101575,S200000,00200,0200,TX 101575,S200000,00200,0300,75773-2612 101575,S200000,00300,0100,WOOD 101575,S200000,00400,0100,HARVEST CARE CENTER OF MINEOLA 101575,S200000,00400,0200,675742 101575,S200000,00400,0300,12/30/1997 101575,S200000,00400,0500,P 101575,S200000,01004,0500,O 101575,S200000,01600,0100,Y 101575,S200000,04300,0100,Y 101575,S700003,00000,0100,1 101580,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101580,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101580,A000000,00300,0000,00300EMPLOYEE BENEFITS 101580,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101580,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101580,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101580,A000000,00700,0000,00700HOUSEKEEPING 101580,A000000,00800,0000,00800DIETARY 101580,A000000,00900,0000,00900NURSING ADMINISTRATION 101580,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101580,A000000,01100,0000,01100PHARMACY 101580,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101580,A000000,01300,0000,01300SOCIAL SERVICE 101580,A000000,01350,0000,01500PATIENT ACTIVITY 101580,A000000,01600,0000,01600SKILLED NURSING FACILITY 101580,A000000,01800,0000,01800NURSING FACILITY 101580,A000000,01810,0000,01810ICF/MR 101580,A000000,01900,0000,01900OTHER LONG TERM CARE 101580,A000000,02100,0000,02100RADIOLOGY 101580,A000000,02200,0000,02200LABORATORY 101580,A000000,02300,0000,02300INTRAVENOUS THERAPY 101580,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101580,A000000,02500,0000,02500PHYSICAL THERAPY 101580,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101580,A000000,02700,0000,02700SPEECH PATHOLOGY 101580,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101580,A000000,02901,0000,02901AIR FLUIDIZED BEDS 101580,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101580,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101580,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101580,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101580,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101580,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101580,A81000A,00100,0100,Y 101580,A81000B,00100,0300,HOME OFFICE ALLOCATION 101580,A81000C,00100,0100,B 101580,A81000C,00100,0200,HERITAGE HOUSING DEVELOPE 101580,A81000C,00100,0400,HOME OFFICE 101580,A81000C,00100,0600,MANAGEMENT COMPANY 101580,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101580,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101580,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101580,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101580,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101580,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101580,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101580,B100000,00000,0800,00000MEALS SERVED :DIETARY 101580,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101580,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101580,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101580,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101580,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101580,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITY 101580,S000000,00100,0200,09/11/2000 101580,S200000,00100,0100,519 9TH AVENUE NORTH 101580,S200000,00200,0100,TEXAS CITY 101580,S200000,00200,0200,TX 101580,S200000,00200,0300,77591- 101580,S200000,00300,0100,GALVESTON 101580,S200000,00400,0100,HERITAGE DANFORTH GARDENS 101580,S200000,00400,0200,675743 101580,S200000,00400,0300,01/14/1998 101580,S200000,00400,0500,P 101580,S200000,01004,0500,O 101580,S200000,01600,0100,Y 101580,S200000,01900,0100,PROPRIETORSHIP 101580,S200000,04100,0100,Y 101586,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101586,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101586,A000000,00300,0000,00300EMPLOYEE BENEFITS 101586,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101586,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101586,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101586,A000000,00700,0000,00700HOUSEKEEPING 101586,A000000,00800,0000,00800DIETARY 101586,A000000,00900,0000,00900NURSING ADMINISTRATION 101586,A000000,00901,0000,00901NURSING ADMINISTRATION 101586,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101586,A000000,01100,0000,01100PHARMACY 101586,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101586,A000000,01300,0000,01300SOCIAL SERVICE 101586,A000000,01350,0000,01500OTHER GENERAL SERVICES 101586,A000000,01351,0000,01501ACTIVITIES 101586,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101586,A000000,01600,0000,01600SKILLED NURSING FACILITY 101586,A000000,01800,0000,01800NURSING FACILITY 101586,A000000,01810,0000,01810ICF/MR 101586,A000000,01900,0000,01900OTHER LONG TERM CARE 101586,A000000,02100,0000,02100RADIOLOGY 101586,A000000,02200,0000,02200LABORATORY 101586,A000000,02300,0000,02300INTRAVENOUS THERAPY 101586,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101586,A000000,02500,0000,02500PHYSICAL THERAPY 101586,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101586,A000000,02700,0000,02700SPEECH PATHOLOGY 101586,A000000,02800,0000,02800ELECTROCARDIOLOGY 101586,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101586,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101586,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101586,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101586,A000000,03200,0000,03200SUPPORT SURFACES 101586,A000000,03400,0000,03400CLINIC 101586,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101586,A000000,03500,0000,03500RURAL HEALTH CLINIC 101586,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101586,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101586,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101586,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101586,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101586,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101586,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101586,A000000,04400,0000,04400DME RENTED - HHA 101586,A000000,04500,0000,04500DME SOLD - HHA 101586,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101586,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101586,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101586,A000000,04800,0000,04800AMBULANCE 101586,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101586,A000000,05000,0000,05000CORF 101586,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101586,A000000,05300,0000,05300INTEREST EXPENSE 101586,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101586,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101586,A000000,05500,0000,05500HOSPICE 101586,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101586,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101586,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101586,A000000,06100,0000,06100NONPAID WORKERS 101586,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101586,A000000,06200,0000,06200PATIENTS LAUNDRY 101586,A81000A,00100,0100,Y 101586,A81000B,00100,0300,HOME OFFICE COST A & G 101586,A81000B,00200,0300,HOME OFFICE COST CAPITAL REL 101586,A81000C,00100,0100,B 101586,A81000C,00100,0400,HEART OF TEXAS HEALTH CAR 101586,A81000C,00100,0600,NURSING HOME MANAGMENT 101586,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101586,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101586,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101586,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101586,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101586,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 101586,B100000,00000,0800,00000MEALS SERVED :DIETARY 101586,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101586,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101586,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101586,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101586,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101586,S000000,00100,0200,01/31/2001 101586,S200000,00100,0100,902 EAST HACKBERRY 101586,S200000,00100,0300,1125 101586,S200000,00200,0100,LEONARD 101586,S200000,00200,0200,TX 101586,S200000,00200,0300,75452-1125 101586,S200000,00300,0100,FANNIN 101586,S200000,00300,0200,45 101586,S200000,00300,0300,R 101586,S200000,00400,0100,LEONARD NURSING HOME 101586,S200000,00400,0200,675745 101586,S200000,00400,0300,05/23/1995 101586,S200000,00400,0500,P 101586,S200000,01600,0100,Y 101591,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101591,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101591,A000000,00300,0000,00300EMPLOYEE BENEFITS 101591,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101591,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101591,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101591,A000000,00700,0000,00700HOUSEKEEPING 101591,A000000,00800,0000,00800DIETARY 101591,A000000,00900,0000,00900NURSING ADMINISTRATION 101591,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101591,A000000,01100,0000,01100PHARMACY 101591,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101591,A000000,01300,0000,01300SOCIAL SERVICE 101591,A000000,01350,0000,01500OTHER GENERAL SERVICES 101591,A000000,01600,0000,01600SKILLED NURSING FACILITY 101591,A000000,01800,0000,01800NURSING FACILITY 101591,A000000,01900,0000,01900OTHER LONG TERM CARE 101591,A000000,02100,0000,02100RADIOLOGY 101591,A000000,02200,0000,02200LABORATORY 101591,A000000,02300,0000,02300INTRAVENOUS THERAPY 101591,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101591,A000000,02500,0000,02500PHYSICAL THERAPY 101591,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101591,A000000,02700,0000,02700SPEECH PATHOLOGY 101591,A000000,02800,0000,02800ELECTROCARDIOLOGY 101591,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101591,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101591,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101591,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101591,A000000,03200,0000,03200SUPPORT SURFACES 101591,A000000,03400,0000,03400CLINIC 101591,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101591,A000000,03500,0000,03500RURAL HEALTH CLINIC 101591,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101591,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101591,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101591,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101591,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101591,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101591,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101591,A000000,04400,0000,04400DME RENTED - HHA 101591,A000000,04500,0000,04500DME SOLD - HHA 101591,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101591,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101591,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101591,A000000,04800,0000,04800AMBULANCE 101591,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101591,A000000,05000,0000,05000CORF 101591,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101591,A000000,05300,0000,05300INTEREST EXPENSE 101591,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101591,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101591,A000000,05500,0000,05500HOSPICE 101591,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101591,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101591,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101591,A000000,06100,0000,06100NONPAID WORKERS 101591,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101591,A000000,06200,0000,06200PATIENTS LAUNDRY 101591,A81000A,00100,0100,Y 101591,A81000B,00100,0300,MANAGEMENT-HOME OFFICE 101591,A81000C,00100,0100,A 101591,A81000C,00100,0200,ROCKY LEMON 101591,A81000C,00100,0400,CRESCENT HEALTH SERVICES 101591,A81000C,00100,0600,NURSING HOME MANAGEMENT 101591,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101591,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101591,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101591,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101591,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101591,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101591,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101591,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101591,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101591,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101591,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101591,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101591,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101591,S000000,00100,0200,06/01/2000 101591,S200000,00100,0100,2193 E. CHERRY STREET 101591,S200000,00200,0100,PARIS 101591,S200000,00200,0200,TX 101591,S200000,00200,0300,75460- 101591,S200000,00300,0100,LAMAR 101591,S200000,00300,0200,9967 101591,S200000,00300,0300,R 101591,S200000,00400,0100,CHERRY STREET MANOR 101591,S200000,00400,0200,675747 101591,S200000,00400,0300,03/15/1998 101591,S200000,00400,0500,P 101591,S200000,01600,0100,Y 101594,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101594,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101594,A000000,00300,0000,00300EMPLOYEE BENEFITS 101594,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101594,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101594,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101594,A000000,00700,0000,00700HOUSEKEEPING 101594,A000000,00800,0000,00800DIETARY 101594,A000000,00900,0000,00900NURSING ADMINISTRATION 101594,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101594,A000000,01100,0000,01100PHARMACY 101594,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101594,A000000,01300,0000,01300SOCIAL SERVICE 101594,A000000,01600,0000,01600SKILLED NURSING FACILITY 101594,A000000,01800,0000,01800NURSING FACILITY 101594,A000000,02500,0000,02500PHYSICAL THERAPY 101594,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101594,A000000,02700,0000,02700SPEECH PATHOLOGY 101594,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101594,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101594,A000000,03200,0000,03200SUPPORT SURFACES 101594,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101594,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101594,A81000A,00100,0100,Y 101594,A81000B,00100,0300,REMOVE REL LESSOR BLDG RENT 101594,A81000B,00200,0300,REMOVE REL LESSOR EQUIP RENT 101594,A81000B,00300,0300,ADD BACK REL LESSOR BLDG COSTS 101594,A81000B,00400,0300,ADD BACK REL LESSOR EQUIP COSTS 101594,A81000B,00500,0300,ADD BACK REL LESSOR FINANCING COSTS 101594,A81000B,00600,0300,ADD BACK REL LESSOR START-UP COSTS 101594,A81000B,00700,0300,HOME OFFICE CAPITAL RELATED COSTS 101594,A81000B,00800,0300,HOME OFFICE ADMINISTRATIVE COSTS 101594,A81000B,00900,0300,CONTRACTED PHYSICAL THERAPY 101594,A81000B,01000,0300,CONTRACTED OCCUP THERAPY 101594,A81000B,01100,0300,CONTRACTED SPEECH THERAPY 101594,A81000C,00100,0100,B 101594,A81000C,00100,0200,MORNINGSTAR HEALTH GROUP 101594,A81000C,00100,0400,MORNINGSTAR OPERATING #1 101594,A81000C,00100,0600,RP FACILITY OPERATING CO 101594,A81000C,00200,0100,B 101594,A81000C,00200,0200,MORNINGSTAR HEALTH GROUP 101594,A81000C,00200,0400,MORNINGSTAR REALTY #1 101594,A81000C,00200,0600,RP LAND & BLDG LESSOR 101594,A81000C,00300,0100,B 101594,A81000C,00300,0200,MORNINGSTAR MGMT GROUP 101594,A81000C,00300,0400,MORNINGSTAR OPERATING #1 101594,A81000C,00300,0600,RP FACILITY OPERATING CO 101594,A81000C,00400,0100,B 101594,A81000C,00400,0200,MORNINGSTAR MGMT GROUP 101594,A81000C,00400,0400,MORNINGSTAR REALTY #1 101594,A81000C,00400,0600,RP LAND & BLDG LESSOR 101594,A81000C,00500,0100,B 101594,A81000C,00500,0200,MORNINGSTAR MGMT GROUP 101594,A81000C,00500,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,00500,0600,CORPORATE MGMT COMPANY 101594,A81000C,00600,0100,A 101594,A81000C,00600,0200,JOHN WILCOX 101594,A81000C,00600,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,00600,0600,CORPORATE MGMT COMPANY 101594,A81000C,00700,0100,A 101594,A81000C,00700,0200,JOHN WILCOX 101594,A81000C,00700,0400,MORNINGSTAR MGMT GROUP 101594,A81000C,00700,0600,RP CENTRAL OFFICE MANAGER 101594,A81000C,00800,0100,A 101594,A81000C,00800,0200,JOHN WILCOX 101594,A81000C,00800,0400,ORTHO-TEK INC. 101594,A81000C,00800,0600,DME & SUPPLY COMPANY 101594,A81000C,00900,0100,A 101594,A81000C,00900,0200,JOHN WILCOX 101594,A81000C,00900,0400,PROFESSIONAL OP SERVICES 101594,A81000C,00900,0600,CONTRACT THERAPY 101594,A81000C,01000,0100,A 101594,A81000C,01000,0200,JOHN WILCOX 101594,A81000C,01000,0400,PROS HOME HEALTHCARE 101594,A81000C,01000,0600,HOME HEALTH AGENCY 101594,A81000C,01001,0100,A 101594,A81000C,01001,0200,LINDA WILCOX 101594,A81000C,01001,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,01001,0600,CORPORATE MGMT COMPANY 101594,A81000C,01002,0100,A 101594,A81000C,01002,0200,LINDA WILCOX 101594,A81000C,01002,0400,MORNINGSTAR MGMT GROUP 101594,A81000C,01002,0600,RP CENTRAL OFFICE MANAGER 101594,A81000C,01003,0100,A 101594,A81000C,01003,0200,LINDA WILCOX 101594,A81000C,01003,0400,ORTHO-TEK INC. 101594,A81000C,01003,0600,DME & SUPPLY COMPANY 101594,A81000C,01004,0100,A 101594,A81000C,01004,0200,LINDA WILCOX 101594,A81000C,01004,0400,PROFESSIONAL OP SERVICES 101594,A81000C,01004,0600,CONTRACT THERAPY 101594,A81000C,01005,0100,A 101594,A81000C,01005,0200,LINDA WILCOX 101594,A81000C,01005,0400,PROS HOME HEALTHCARE 101594,A81000C,01005,0600,HOME HEALTH AGENCY 101594,A81000C,01006,0100,A 101594,A81000C,01006,0200,BOB PETTY 101594,A81000C,01006,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,01006,0600,CORPORATE MGMT COMPANY 101594,A81000C,01007,0100,A 101594,A81000C,01007,0200,BOB PETTY 101594,A81000C,01007,0400,MORNINGSTAR MGMT GROUP 101594,A81000C,01007,0600,RP CENTRAL OFFICE MANAGER 101594,A81000C,01008,0100,A 101594,A81000C,01008,0200,BOB PETTY 101594,A81000C,01008,0400,ORTHO-TEK INC. 101594,A81000C,01008,0600,DME & SUPPLY COMPANY 101594,A81000C,01009,0100,A 101594,A81000C,01009,0200,BOB PETTY 101594,A81000C,01009,0400,PROFESSIONAL OP SERVICES 101594,A81000C,01009,0600,CONTRACT THERAPY 101594,A81000C,01010,0100,A 101594,A81000C,01010,0200,BOB PETTY 101594,A81000C,01010,0400,PROS HOME HEALTHCARE 101594,A81000C,01010,0600,HOME HEALTH AGENCY 101594,A81000C,01011,0100,A 101594,A81000C,01011,0200,CAROLYN PETTY 101594,A81000C,01011,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,01011,0600,CORPORATE MGMT COMPANY 101594,A81000C,01012,0100,A 101594,A81000C,01012,0200,CAROLYN PETTY 101594,A81000C,01012,0400,MORNINGSTAR MGMT GROUP 101594,A81000C,01012,0600,RP CENTRAL OFFICE MANAGER 101594,A81000C,01013,0100,A 101594,A81000C,01013,0200,CAROLYN PETTY 101594,A81000C,01013,0400,ORTHO-TEK INC. 101594,A81000C,01013,0600,DME & SUPPLY COMPANY 101594,A81000C,01014,0100,A 101594,A81000C,01014,0200,CAROLYN PETTY 101594,A81000C,01014,0400,PROFESSIONAL OP SERVICES 101594,A81000C,01014,0600,CONTRACT THERAPY 101594,A81000C,01015,0100,A 101594,A81000C,01015,0200,CAROLYN PETTY 101594,A81000C,01015,0400,PROS HOME HEALTHCARE 101594,A81000C,01015,0600,HOME HEALTH AGENCY 101594,A81000C,01016,0100,A 101594,A81000C,01016,0200,BARRY REYNOLDS 101594,A81000C,01016,0400,MORNINGSTAR HEALTH GROUP 101594,A81000C,01016,0600,CORPORATE MGMT COMPANY 101594,A81000C,01017,0100,A 101594,A81000C,01017,0200,BARRY REYNOLDS 101594,A81000C,01017,0400,MORNINGSTAR MGMT GROUP 101594,A81000C,01017,0600,RP CENTRAL OFFICE MANAGER 101594,A81000C,01018,0100,A 101594,A81000C,01018,0200,BARRY REYNOLDS 101594,A81000C,01018,0400,ORTHO-TEK INC. 101594,A81000C,01018,0600,DME & SUPPLY COMPANY 101594,A81000C,01019,0100,A 101594,A81000C,01019,0200,BARRY REYNOLDS 101594,A81000C,01019,0400,PROFESSIONAL OP SERVICES 101594,A81000C,01019,0600,CONTRACT THERAPY 101594,A81000C,01020,0100,A 101594,A81000C,01020,0200,BARRY REYNOLDS 101594,A81000C,01020,0400,PROS HOME HEALTHCARE 101594,A81000C,01020,0600,HOME HEALTH AGENCY 101594,A81000C,01021,0100,B 101594,A81000C,01021,0200,MORNINGSTAR HEALTH GROUP 101594,A81000C,01021,0400,MORNINGSTAR RESOURCE #1 101594,A81000C,01021,0600,RP EQUIPMENT LESSOR 101594,A81000C,01022,0100,B 101594,A81000C,01022,0200,MORNINGSTAR MGMT GROUP 101594,A81000C,01022,0400,MORNINGSTAR RESOURCE #1 101594,A81000C,01022,0600,RP EQUIPMENT LESSOR 101594,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101594,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101594,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101594,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101594,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101594,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101594,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101594,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101594,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101594,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101594,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101594,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101594,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101594,S000000,00100,0200,01/27/2000 101594,S200000,00100,0100,301 LINCOLN PARK DRIVE 101594,S200000,00200,0100,CLEBURNE 101594,S200000,00200,0200,TX 101594,S200000,00200,0300,76031- 101594,S200000,00300,0100,JOHNSON 101594,S200000,00400,0100,FIRESIDE LODGE REHABILITATION CTR 101594,S200000,00400,0200,675748 101594,S200000,00400,0300,05/02/1985 101594,S200000,00400,0500,P 101594,S200000,01600,0100,Y 101594,S700003,00000,0400,4 101595,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101595,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101595,A000000,00300,0000,00300EMPLOYEE BENEFITS 101595,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101595,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101595,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101595,A000000,00700,0000,00700HOUSEKEEPING 101595,A000000,00800,0000,00800DIETARY 101595,A000000,00900,0000,00900NURSING ADMINISTRATION 101595,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101595,A000000,01100,0000,01100PHARMACY 101595,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101595,A000000,01300,0000,01300SOCIAL SERVICE 101595,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101595,A000000,01600,0000,01600SKILLED NURSING FACILITY 101595,A000000,01800,0000,01800NURSING FACILITY 101595,A000000,01810,0000,01810ICF/MR 101595,A000000,02100,0000,02100RADIOLOGY 101595,A000000,02200,0000,02200LABORATORY 101595,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101595,A000000,02500,0000,02500PHYSICAL THERAPY 101595,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101595,A000000,02700,0000,02700SPEECH PATHOLOGY 101595,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101595,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101595,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101595,A000000,03550,0000,03550FQHC 101595,A000000,05000,0000,05000CORF 101595,A000000,05010,0000,05010CMHC 101595,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 101595,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 101595,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 101595,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101595,A000000,06150,0000,06300OTHER NON-REIMBURSABLE COSTS 101595,A81000A,00100,0100,Y 101595,A81000B,00100,0300,REMOVE BLDG RENT 101595,A81000B,00200,0300,REMOVE EQUIP RENT 101595,A81000B,00300,0300,ADD BLDG COSTS 101595,A81000B,00400,0300,ADD EQUIP COSTS 101595,A81000B,00500,0300,ADD START UP COSTS 101595,A81000B,00600,0300,ADD ADMIN COSTS 101595,A81000B,00700,0300,REMOVE MGT FEES 101595,A81000B,00800,0300,HOME OFF DIRECT COST 101595,A81000B,00900,0300,HOME OFF POOLED COST 101595,A81000B,01000,0300,CONTRACT PT COSTS 101595,A81000B,01100,0300,CONTRACT OT COSTS 101595,A81000B,01200,0300,CONTRACT ST COSTS 101595,A81000C,00100,0100,B 101595,A81000C,00100,0200,MS HEALTH GROUP 101595,A81000C,00100,0400,MS OPERATING #1 101595,A81000C,00100,0600,RP FACILITY OPE 101595,A81000C,00200,0100,B 101595,A81000C,00200,0200,MS HEALTH GROUP 101595,A81000C,00200,0400,MS REALITY #1 101595,A81000C,00200,0600,RP LAND/BUILD L 101595,A81000C,00300,0100,B 101595,A81000C,00300,0200,MS HEALTH GROUP 101595,A81000C,00300,0400,MS RESOURCE #1 101595,A81000C,00300,0600,RP EQUIP LESSOR 101595,A81000C,00400,0100,B 101595,A81000C,00400,0200,MS MGMT GROUP 101595,A81000C,00400,0400,MS OPERATING #1 101595,A81000C,00400,0600,RP FACILITY OPE 101595,A81000C,00500,0100,B 101595,A81000C,00500,0200,MS MGMT GROUP 101595,A81000C,00500,0400,MS REALTY #1 101595,A81000C,00500,0600,RP LAND/BUILD L 101595,A81000C,00600,0100,B 101595,A81000C,00600,0200,MS MGMT GROUP 101595,A81000C,00600,0400,MS RESOURCE #1 101595,A81000C,00600,0600,RP EQUP LESSOR 101595,A81000C,00700,0100,B 101595,A81000C,00700,0200,MS MGMT GROUP 101595,A81000C,00700,0400,MS HEALTH GROUP 101595,A81000C,00700,0600,CORP MGMT CO 101595,A81000C,00800,0100,A 101595,A81000C,00800,0200,JOHN WILCOX 101595,A81000C,00800,0400,MS HEALTH GROUP 101595,A81000C,00800,0600,CORP MGMT CO 101595,A81000C,00900,0100,A 101595,A81000C,00900,0200,JOHN WILCOX 101595,A81000C,00900,0400,MS MGMT GROUP 101595,A81000C,00900,0600,RP HOME OFFICE 101595,A81000C,01000,0100,A 101595,A81000C,01000,0200,JOHN WILCOX 101595,A81000C,01000,0400,ORTH-TEK INC 101595,A81000C,01000,0600,DME & SUPPLY CO 101595,A81000C,01001,0100,A 101595,A81000C,01001,0200,JOHN WILCOX 101595,A81000C,01001,0400,PROF OP SERVICE 101595,A81000C,01001,0600,CONTRACT THERAP 101595,A81000C,01002,0100,A 101595,A81000C,01002,0200,JOHN WILCOX 101595,A81000C,01002,0400,PROS HOME HEALT 101595,A81000C,01002,0600,HOME HEALTH AGE 101595,A81000C,01003,0100,A 101595,A81000C,01003,0200,LINDA WILCOX 101595,A81000C,01003,0400,MS HEALTH GROUP 101595,A81000C,01003,0600,CORP MGMT CO 101595,A81000C,01004,0100,A 101595,A81000C,01004,0200,LINDA WILCOX 101595,A81000C,01004,0400,MS MGMT GROUP 101595,A81000C,01004,0600,RP HOME OFFICE 101595,A81000C,01005,0100,A 101595,A81000C,01005,0200,LINDA WILCOX 101595,A81000C,01005,0400,ORTHO-TEK INC 101595,A81000C,01005,0600,DME & SUPPLY CO 101595,A81000C,01006,0100,A 101595,A81000C,01006,0200,LINDA WILCOX 101595,A81000C,01006,0400,PROF OP SERVICE 101595,A81000C,01006,0600,CONTRACT THERAP 101595,A81000C,01007,0100,A 101595,A81000C,01007,0200,LINDA WILCOX 101595,A81000C,01007,0400,PROS HOME HEALT 101595,A81000C,01007,0600,HOME HEALTH AGE 101595,A81000C,01008,0100,A 101595,A81000C,01008,0200,BARRY REYNOLDS 101595,A81000C,01008,0400,MS HEALTH GROUP 101595,A81000C,01008,0600,CORP MGMT CO 101595,A81000C,01009,0100,A 101595,A81000C,01009,0200,BARRY REYNOLDS 101595,A81000C,01009,0400,MS MGMT GROUP 101595,A81000C,01009,0600,RP HOME OFFICE 101595,A81000C,01010,0100,A 101595,A81000C,01010,0200,BARRY REYNOLDS 101595,A81000C,01010,0400,ORTHO-TEK INC 101595,A81000C,01010,0600,DME & SUPPLY CO 101595,A81000C,01011,0100,A 101595,A81000C,01011,0200,BARRY REYNOLDS 101595,A81000C,01011,0400,PROF OP SERVICE 101595,A81000C,01011,0600,CONTRACT THERAP 101595,A81000C,01012,0100,A 101595,A81000C,01012,0200,BARRY REYNOLDS 101595,A81000C,01012,0400,PROS HOME HEALT 101595,A81000C,01012,0600,HOME HEALTH AGE 101595,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101595,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101595,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101595,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101595,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101595,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101595,B100000,00000,0750,00000INPATIENT DAYS :HOUSEKEEPING 101595,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101595,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101595,B100000,00000,1150,00000INPATIENT DAYS :PHARMACY 101595,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101595,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101595,S000000,00100,0200,07/13/2000 101595,S200000,00100,0100,301 LINCOLN PARK DRIVE 101595,S200000,00200,0100,CLEBURNE 101595,S200000,00200,0200,TX 101595,S200000,00200,0300,76031- 101595,S200000,00300,0100,JOHNSON 101595,S200000,00300,0200,2800 101595,S200000,00300,0300,U 101595,S200000,00400,0100,FIRESIDE LODGE REHABILITATION CTR 101595,S200000,00400,0200,675748 101595,S200000,00400,0300,05/02/1985 101595,S200000,00400,0500,P 101595,S200000,01600,0100,Y 101600,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101600,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101600,A000000,00300,0000,00300EMPLOYEE BENEFITS 101600,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101600,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101600,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101600,A000000,00700,0000,00700HOUSEKEEPING 101600,A000000,00800,0000,00800DIETARY 101600,A000000,00900,0000,00900NURSING ADMINISTRATION 101600,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101600,A000000,01100,0000,01100PHARMACY 101600,A000000,01300,0000,01300SOCIAL SERVICE 101600,A000000,01600,0000,01600SKILLED NURSING FACILITY 101600,A000000,01800,0000,01800NURSING FACILITY 101600,A000000,02100,0000,02100RADIOLOGY 101600,A000000,02200,0000,02200LABORATORY 101600,A000000,02300,0000,02300INTRAVENOUS THERAPY 101600,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101600,A000000,02500,0000,02500PHYSICAL THERAPY 101600,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101600,A000000,02700,0000,02700SPEECH PATHOLOGY 101600,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101600,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101600,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101600,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101600,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101600,A81000A,00100,0100,Y 101600,A81000B,00100,0300,HOME OFFICE - CAPITAL 101600,A81000B,00200,0300,HOME OFFICE - NON CAPITAL 101600,A81000B,00300,0300,MANAGEMENT FEES 101600,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101600,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101600,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101600,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101600,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101600,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101600,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101600,B100000,00000,0800,00000MEALS SERVED :DIETARY 101600,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101600,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101600,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101600,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101600,S000000,00100,0200,06/20/2000 101600,S200000,00100,0100,1241 WEST MARSHALL HOWARD BLVD 101600,S200000,00200,0100,LITTLEFIELD 101600,S200000,00200,0200,TX 101600,S200000,00200,0300,79339- 101600,S200000,00300,0100,LAMB 101600,S200000,00400,0100,WHITE DOVE REHAB & NURSING CTR 101600,S200000,00400,0200,675750 101600,S200000,00400,0300,06/08/1998 101600,S200000,00400,0500,P 101600,S200000,01600,0100,Y 101600,S700003,00000,0400,4 101607,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101607,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101607,A000000,00300,0000,00300EMPLOYEE BENEFITS 101607,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101607,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101607,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101607,A000000,00700,0000,00700HOUSEKEEPING 101607,A000000,00800,0000,00800DIETARY 101607,A000000,00900,0000,00900NURSING ADMINISTRATION 101607,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101607,A000000,01100,0000,01100PHARMACY 101607,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101607,A000000,01300,0000,01300SOCIAL SERVICE 101607,A000000,01350,0000,01500OTHER GENERAL SERVICES 101607,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101607,A000000,01600,0000,01600SKILLED NURSING FACILITY 101607,A000000,01800,0000,01800NURSING FACILITY 101607,A000000,01810,0000,01810ICF/MR 101607,A000000,01900,0000,01900OTHER LONG TERM CARE 101607,A000000,02100,0000,02100RADIOLOGY 101607,A000000,02200,0000,02200LABORATORY 101607,A000000,02300,0000,02300INTRAVENOUS THERAPY 101607,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101607,A000000,02500,0000,02500PHYSICAL THERAPY 101607,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101607,A000000,02700,0000,02700SPEECH PATHOLOGY 101607,A000000,02800,0000,02800ELECTROCARDIOLOGY 101607,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101607,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101607,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101607,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101607,A000000,03200,0000,03200SUPPORT SURFACES 101607,A000000,03400,0000,03400CLINIC 101607,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101607,A000000,03500,0000,03500RURAL HEALTH CLINIC 101607,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101607,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101607,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101607,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101607,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101607,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101607,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101607,A000000,04400,0000,04400DME RENTED - HHA 101607,A000000,04500,0000,04500DME SOLD - HHA 101607,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101607,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101607,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101607,A000000,04800,0000,04800AMBULANCE 101607,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101607,A000000,05000,0000,05000CORF 101607,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101607,A000000,05300,0000,05300INTEREST EXPENSE 101607,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101607,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101607,A000000,05500,0000,05500HOSPICE 101607,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101607,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101607,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101607,A000000,06100,0000,06100NONPAID WORKERS 101607,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101607,A000000,06200,0000,06200PATIENTS LAUNDRY 101607,A81000A,00100,0100,Y 101607,A81000B,00100,0300,MANAGEMENT FEE 101607,A81000C,00100,0100,A 101607,A81000C,00100,0200,E. DENTON JONES 101607,A81000C,00100,0400,SHELTER CARE MANAGEMENT 101607,A81000C,00100,0600,MANAGEMENT 101607,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101607,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101607,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101607,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101607,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101607,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101607,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101607,B100000,00000,0850,00000HOURS :DIETARY 101607,B100000,00000,0950,00000DIRECT NURSE HRS :NURSING ADMINISTR 101607,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 101607,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101607,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101607,S000000,00100,0200,06/01/2000 101607,S200000,00100,0100,903 LEAHY 101607,S200000,00200,0100,SAN ANTONIO 101607,S200000,00200,0200,TX 101607,S200000,00200,0300,78221- 101607,S200000,00300,0100,BEXAR 101607,S200000,00300,0200,7240 101607,S200000,00300,0300,U 101607,S200000,00400,0100,SOUTHWEST CARE CENTER 101607,S200000,00400,0200,675752 101607,S200000,00400,0300,07/02/1998 101607,S200000,00400,0500,P 101607,S200000,01600,0100,Y 101610,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101610,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101610,A000000,00300,0000,00300EMPLOYEE BENEFITS 101610,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101610,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101610,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101610,A000000,00700,0000,00700HOUSEKEEPING 101610,A000000,00800,0000,00800DIETARY 101610,A000000,00900,0000,00900NURSING ADMINISTRATION 101610,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101610,A000000,01100,0000,01100PHARMACY 101610,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101610,A000000,01300,0000,01300SOCIAL SERVICE 101610,A000000,01600,0000,01600SKILLED NURSING FACILITY 101610,A000000,01800,0000,01800NURSING FACILITY 101610,A000000,02100,0000,02100RADIOLOGY 101610,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101610,A000000,02500,0000,02500PHYSICAL THERAPY 101610,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101610,A000000,02700,0000,02700SPEECH PATHOLOGY 101610,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101610,A000000,03050,0000,03050COMPLEX MEDICAL EQUIPMENT 101610,A000000,03051,0000,03051ENTERAL THERAPY 101610,A000000,03052,0000,03052LAB TEST FEE SCREEN 101610,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101610,A81000A,00100,0100,Y 101610,A81000B,00100,0300,HOME OFFICE COSTS 101610,A81000C,00100,0100,A 101610,A81000C,00100,0200,EASTVIEW NURSIN 101610,A81000C,00100,0400,CENTURY CARE I 101610,A81000C,00100,0600,HOME OFFICE 101610,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101610,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101610,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101610,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101610,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101610,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101610,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101610,B100000,00000,0800,00000MEALS SERVED :DIETARY 101610,B100000,00000,0950,00000DIRECT NRSG HRS :NURSING ADMINISTRA 101610,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101610,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 101610,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101610,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101610,S000000,00100,0200,03/29/2001 101610,S200000,00100,0100,2902 HWY. 31 EAST 101610,S200000,00200,0100,TYLER 101610,S200000,00200,0200,TX 101610,S200000,00200,0300,75702- 101610,S200000,00300,0100,TYLER 101610,S200000,00400,0100,EASTVIEW NURSING CENTER 101610,S200000,00400,0200,675753 101610,S200000,00400,0300,05/04/1998 101610,S200000,00400,0500,P 101610,S200000,00600,0200,675753 101610,S200000,00600,0300,01/01/1995 101610,S200000,00600,0600,P 101610,S200000,01600,0100,Y 101610,S200000,04200,0100,Y 101610,S700003,00000,0400,4 101614,S000000,00100,0200,07/06/2000 101617,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101617,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101617,A000000,00300,0000,00300EMPLOYEE BENEFITS 101617,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101617,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101617,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101617,A000000,00700,0000,00700HOUSEKEEPING 101617,A000000,00800,0000,00800DIETARY 101617,A000000,00900,0000,00900NURSING ADMINISTRATION 101617,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101617,A000000,01300,0000,01300SOCIAL SERVICE 101617,A000000,01600,0000,01600SKILLED NURSING FACILITY 101617,A000000,01800,0000,01800NURSING FACILITY 101617,A000000,01810,0000,01801ICF/MR 101617,A000000,01900,0000,01900OTHER LONG TERM CARE 101617,A000000,02100,0000,02100RADIOLOGY 101617,A000000,02200,0000,02200LABORATORY 101617,A000000,02300,0000,02300INTRAVENOUS THERAPY 101617,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101617,A000000,02500,0000,02500PHYSICAL THERAPY 101617,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101617,A000000,02700,0000,02700SPEECH PATHOLOGY 101617,A000000,02800,0000,02800ELECTROCARDIOLOGY 101617,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101617,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101617,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101617,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101617,A000000,05300,0000,05300INTEREST EXPENSE 101617,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101617,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101617,A000000,06150,0000,06300ASSISTED CARE FACILIT 101617,A000000,06200,0000,06200PATIENTS LAUNDRY 101617,A81000A,00100,0100,Y 101617,A81000B,00100,0300,BUILDING DEPRECIATION 101617,A81000B,00200,0300,MORTGAGE INTEREST 101617,A81000B,00300,0300,FURNITURE AND EQUIP LEASE 101617,A81000B,00400,0300,RENT EXPENSE 101617,A81000B,00500,0300,PROPETTY TAXES 101617,A81000B,00600,0300,MANAGEMENT FEES 101617,A81000B,00700,0300,MANAGEMENT FEES 101617,A81000C,00100,0100,B 101617,A81000C,00100,0200,SCOTLAND REALTY 101617,A81000C,00200,0100,B 101617,A81000C,00200,0200,YORK HEALTHCARE REALTY 101617,A81000C,00300,0100,A 101617,A81000C,00300,0200,DENNIS DEAPEN 101617,A81000C,00400,0100,A 101617,A81000C,00400,0200,GARY SIBLEY 101617,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101617,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101617,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101617,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101617,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101617,B100000,00000,0600,00000POUNDS OF L :LAUNDRY & LINEN SERVIC 101617,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101617,B100000,00000,0800,00000MEALS SERVED :DIETARY 101617,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101617,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101617,B100000,00000,1330,00000TOTAL DAYS :SOCIAL SERVICE 101617,S000000,00100,0200,06/02/2000 101617,S200000,00100,0100,941 SCOTLAND DRIVE 101617,S200000,00200,0100,DESOTO 101617,S200000,00200,0200,TX 101617,S200000,00200,0300,75115- 101617,S200000,00300,0100,DALLAS 101617,S200000,00400,0100,WILLIAMSBURG VILLAGE NURSING CENTER 101617,S200000,00400,0200,675756 101617,S200000,00400,0300,07/27/1998 101617,S200000,00400,0500,P 101617,S200000,01004,0500,O 101617,S200000,01600,0100,Y 101617,S700003,00000,0400,4 101619,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101619,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101619,A000000,00300,0000,00300EMPLOYEE BENEFITS 101619,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101619,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101619,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101619,A000000,00700,0000,00700HOUSEKEEPING 101619,A000000,00800,0000,00800DIETARY 101619,A000000,00900,0000,00900NURSING ADMINISTRATION 101619,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101619,A000000,01100,0000,01100PHARMACY 101619,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101619,A000000,01300,0000,01300SOCIAL SERVICE 101619,A000000,01350,0000,01500PATIENT ACTIVITIES 101619,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101619,A000000,01600,0000,01600SKILLED NURSING FACILITY 101619,A000000,01800,0000,01800NURSING FACILITY 101619,A000000,01810,0000,01801ICF/MR 101619,A000000,01900,0000,01900OTHER LONG TERM CARE 101619,A000000,02100,0000,02100RADIOLOGY 101619,A000000,02200,0000,02200LABORATORY 101619,A000000,02300,0000,02300INTRAVENOUS THERAPY 101619,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101619,A000000,02500,0000,02500PHYSICAL THERAPY 101619,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101619,A000000,02700,0000,02700SPEECH PATHOLOGY 101619,A000000,02800,0000,02800ELECTROCARDIOLOGY 101619,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101619,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101619,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101619,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101619,A000000,03200,0000,03200SUPPORT SURFACES 101619,A000000,03400,0000,03400CLINIC 101619,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101619,A000000,03500,0000,03500RURAL HEALTH CLINIC 101619,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101619,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101619,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101619,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101619,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101619,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101619,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101619,A000000,04400,0000,04400DME RENTED - HHA 101619,A000000,04500,0000,04500DME SOLD - HHA 101619,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101619,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101619,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101619,A000000,04800,0000,04800AMBULANCE 101619,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101619,A000000,05000,0000,05000CORF 101619,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101619,A000000,05300,0000,05300INTEREST EXPENSE 101619,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101619,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101619,A000000,05500,0000,05500HOSPICE 101619,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101619,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101619,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101619,A000000,06100,0000,06100NONPAID WORKERS 101619,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101619,A000000,06200,0000,06200PATIENTS LAUNDRY 101619,A81000A,00100,0100,Y 101619,A81000B,00100,0300,HOME OFFICE COSTS 101619,A81000B,00200,0300,SPEECH THERAPY 101619,A81000B,00300,0300,PHYSICAL THERAPY 101619,A81000B,00400,0300,OCCUPATIONAL THERAPY 101619,A81000C,00100,0100,F 101619,A81000C,00100,0400,CAMELOT HEALTHCARE 101619,A81000C,00100,0600,MANAGEMENT COMPANY 101619,A81000C,00200,0100,A 101619,A81000C,00200,0400,FIRST KNIGHT 101619,A81000C,00200,0600,ANCILLARY SERVICES 101619,A81000C,00300,0100,A 101619,A81000C,00300,0400,FIRST KNIGHT 101619,A81000C,00300,0600,ANCILLARY SERVICES 101619,A81000C,00400,0100,A 101619,A81000C,00400,0400,FIRST KNIGHT 101619,A81000C,00400,0600,ANCILLARY SERVICES 101619,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101619,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101619,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101619,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101619,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101619,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101619,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101619,B100000,00000,0800,00000MEALS SERVED :DIETARY 101619,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101619,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101619,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101619,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101619,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101619,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 101619,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101619,S000000,00100,0200,07/10/2000 101619,S200000,00100,0100,740 EDMONDS LANE 101619,S200000,00200,0100,LEWISVILLE 101619,S200000,00200,0200,TX 101619,S200000,00200,0300,75067- 101619,S200000,00300,0100,DENTON 101619,S200000,00400,0100,CAMELOT CENTER OF LEWISVILLE LLC 101619,S200000,00400,0200,675758 101619,S200000,00400,0300,03/01/1999 101619,S200000,00400,0500,P 101619,S200000,01004,0500,O 101619,S200000,01600,0100,Y 101619,S700003,00000,0400,4 101624,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101624,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101624,A000000,00300,0000,00300EMPLOYEE BENEFITS 101624,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101624,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101624,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101624,A000000,00700,0000,00700HOUSEKEEPING 101624,A000000,00800,0000,00800DIETARY 101624,A000000,00900,0000,00900NURSING ADMINISTRATION 101624,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101624,A000000,01100,0000,01100PHARMACY 101624,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101624,A000000,01300,0000,01300SOCIAL SERVICE 101624,A000000,01350,0000,01500OTHER GENERAL SERVICES 101624,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101624,A000000,01600,0000,01600SKILLED NURSING FACILITY 101624,A000000,01800,0000,01800NURSING FACILITY 101624,A000000,01810,0000,01801ICF/MR 101624,A000000,01900,0000,01900OTHER LONG TERM CARE 101624,A000000,02100,0000,02100RADIOLOGY 101624,A000000,02200,0000,02200LABORATORY 101624,A000000,02300,0000,02300INTRAVENOUS THERAPY 101624,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101624,A000000,02500,0000,02500PHYSICAL THERAPY 101624,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101624,A000000,02700,0000,02700SPEECH PATHOLOGY 101624,A000000,02800,0000,02800ELECTROCARDIOLOGY 101624,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101624,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101624,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101624,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101624,A000000,03200,0000,03200SUPPORT SURFACES 101624,A000000,03400,0000,03400CLINIC 101624,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101624,A000000,03500,0000,03500RURAL HEALTH CLINIC 101624,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101624,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101624,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101624,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101624,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101624,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101624,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101624,A000000,04400,0000,04400DME RENTED - HHA 101624,A000000,04500,0000,04500DME SOLD - HHA 101624,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101624,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101624,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101624,A000000,04800,0000,04800AMBULANCE 101624,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101624,A000000,05000,0000,05000CORF 101624,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101624,A000000,05300,0000,05300INTEREST EXPENSE 101624,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101624,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101624,A000000,05500,0000,05500HOSPICE 101624,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101624,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101624,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101624,A000000,06100,0000,06100NONPAID WORKERS 101624,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101624,A000000,06200,0000,06200PATIENTS LAUNDRY 101624,B100000,00000,0150,00000 :CAP REL COSTS - BLDGS & FIXTURE 101624,B100000,00000,0250,00000 :CAP REL COSTS - MOVABLE EQUIPME 101624,B100000,00000,0350,00000 :EMPLOYEE BENEFITS 101624,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101624,B100000,00000,0550,00000 :PLANT OPERATION MAINT. & REPAI 101624,B100000,00000,0650,00000 :LAUNDRY & LINEN SERVICE 101624,B100000,00000,0750,00000 :HOUSEKEEPING 101624,B100000,00000,0850,00000 :DIETARY 101624,B100000,00000,0950,00000 :NURSING ADMINISTRATION 101624,B100000,00000,1050,00000 :CENTRAL SERVICES & SUPPLY 101624,B100000,00000,1150,00000 :PHARMACY 101624,B100000,00000,1250,00000 :MEDICAL RECORDS & LIBRARY 101624,B100000,00000,1330,00000 :SOCIAL SERVICE 101624,B100000,00000,1350,00000 :OTHER GENERAL SERVICES 101624,B100000,00000,1450,00000 :INTERNS & RESIDENTS (APPRVD PRO 101624,S000000,00100,0200,05/17/2000 101624,S200000,00100,0100,4201 STONEGATE BOULEVARD 101624,S200000,00200,0100,FORT WORTH 101624,S200000,00200,0200,TX 101624,S200000,00200,0300,76109- 101624,S200000,00300,0100,TARRANT 101624,S200000,00400,0100,STONEGATE NURSING CENTER 101624,S200000,00400,0200,675759 101624,S200000,00400,0300,08/06/1998 101624,S200000,00400,0500,P 101624,S700003,00000,0400,4 101626,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101626,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101626,A000000,00300,0000,00300EMPLOYEE BENEFITS 101626,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101626,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101626,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101626,A000000,00700,0000,00700HOUSEKEEPING 101626,A000000,00800,0000,00800DIETARY 101626,A000000,00900,0000,00900NURSING ADMINISTRATION 101626,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101626,A000000,01100,0000,01100PHARMACY 101626,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101626,A000000,01300,0000,01300SOCIAL SERVICE 101626,A000000,01600,0000,01600SKILLED NURSING FACILITY 101626,A000000,01800,0000,01800NURSING FACILITY 101626,A000000,02100,0000,02100RADIOLOGY 101626,A000000,02200,0000,02200LABORATORY 101626,A000000,02500,0000,02500PHYSICAL THERAPY 101626,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101626,A000000,02700,0000,02700SPEECH PATHOLOGY 101626,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101626,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101626,A000000,05300,0000,05300INTEREST EXPENSE 101626,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101626,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101626,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101626,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101626,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101626,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101626,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101626,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101626,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101626,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101626,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101626,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101626,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101626,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101626,S000000,00100,0200,06/01/2000 101626,S200000,00100,0100,4201 STONEGATE BOULEVARD 101626,S200000,00200,0100,FORT WORTH 101626,S200000,00200,0200,OK 101626,S200000,00200,0300,76109- 101626,S200000,00300,0100,TARRANT 101626,S200000,00400,0100,STONEGATE NURSING CENTER 101626,S200000,00400,0200,675759 101626,S200000,00400,0300,08/06/1998 101626,S200000,00400,0500,P 101626,S200000,01600,0100,Y 101626,S700003,00000,0400,4 101629,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101629,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101629,A000000,00300,0000,00300EMPLOYEE BENEFITS 101629,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101629,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101629,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101629,A000000,00700,0000,00700HOUSEKEEPING 101629,A000000,00800,0000,00800DIETARY 101629,A000000,00900,0000,00900NURSING ADMINISTRATION 101629,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101629,A000000,01100,0000,01100PHARMACY 101629,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101629,A000000,01300,0000,01300SOCIAL SERVICE 101629,A000000,01600,0000,01600SKILLED NURSING FACILITY 101629,A000000,01800,0000,01800NURSING FACILITY 101629,A000000,02200,0000,02200LABORATORY 101629,A000000,02500,0000,02500PHYSICAL THERAPY 101629,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101629,A000000,02700,0000,02700SPEECH PATHOLOGY 101629,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101629,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101629,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101629,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101629,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101629,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 101629,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101629,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101629,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101629,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101629,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101629,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101629,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101629,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101629,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101629,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101629,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101629,S000000,00100,0200,05/30/2000 101629,S200000,00100,0100,2009 VIRGINIA 101629,S200000,00200,0100,BIG SPRING 101629,S200000,00200,0200,TX 101629,S200000,00200,0300,79720-5999 101629,S200000,00300,0100,HOWARD 101629,S200000,00400,0100,MOUNTAIN VIEW LODGE 101629,S200000,00400,0200,675761 101629,S200000,00400,0300,08/25/1998 101629,S200000,00400,0500,P 101629,S200000,01600,0100,Y 101629,S700003,00000,0400,4 101632,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101632,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101632,A000000,00300,0000,00300EMPLOYEE BENEFITS 101632,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101632,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101632,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101632,A000000,00700,0000,00700HOUSEKEEPING 101632,A000000,00800,0000,00800DIETARY 101632,A000000,00900,0000,00900NURSING ADMINISTRATION 101632,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101632,A000000,01100,0000,01100PHARMACY 101632,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101632,A000000,01300,0000,01300SOCIAL SERVICE 101632,A000000,01301,0000,01301ACTIVITIES 101632,A000000,01350,0000,01500OTHER GENERAL SERVICES 101632,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101632,A000000,01600,0000,01600SKILLED NURSING FACILITY 101632,A000000,01800,0000,01800NURSING FACILITY 101632,A000000,01810,0000,01810ICF/MR 101632,A000000,01900,0000,01900OTHER LONG TERM CARE 101632,A000000,02100,0000,02100RADIOLOGY 101632,A000000,02200,0000,02200LABORATORY 101632,A000000,02300,0000,02300INTRAVENOUS THERAPY 101632,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101632,A000000,02500,0000,02500PHYSICAL THERAPY 101632,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101632,A000000,02700,0000,02700SPEECH PATHOLOGY 101632,A000000,02800,0000,02800ELECTROCARDIOLOGY 101632,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101632,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101632,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101632,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101632,A000000,03200,0000,03200SUPPORT SURFACES 101632,A000000,03400,0000,03400CLINIC 101632,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101632,A000000,03500,0000,03500RURAL HEALTH CLINIC 101632,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101632,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101632,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101632,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101632,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101632,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101632,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101632,A000000,04400,0000,04400DME RENTED - HHA 101632,A000000,04500,0000,04500DME SOLD - HHA 101632,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101632,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101632,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101632,A000000,04800,0000,04800AMBULANCE 101632,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101632,A000000,05000,0000,05000CORF 101632,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101632,A000000,05300,0000,05300INTEREST EXPENSE 101632,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101632,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101632,A000000,05500,0000,05500HOSPICE 101632,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101632,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101632,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101632,A000000,06100,0000,06100NONPAID WORKERS 101632,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101632,A000000,06200,0000,06200PATIENTS LAUNDRY 101632,A81000A,00100,0100,Y 101632,A81000B,00100,0300,HOME OFFICE CAPITAL 101632,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101632,A81000C,00100,0100,A 101632,A81000C,00100,0200,PETER C. KERN 101632,A81000C,00100,0400,HEA MANAGEMENT GROUP 101632,A81000C,00100,0600,HOME OFFICE 101632,A81000C,00200,0100,A 101632,A81000C,00200,0200,PETER C. KERN 101632,A81000C,00200,0400,WAREHOUSE STORAGE 101632,A81000C,00200,0600,OLD RECORD STORAGE 101632,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 101632,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 101632,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 101632,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 101632,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 101632,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 101632,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 101632,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 101632,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 101632,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 101632,B100000,00000,1331,00000 PATIENT DAYS :ACTIVITIES 101632,S000000,00100,0200,03/09/2001 101632,S200000,00100,0100,2400 SOUTHWEST PARKWAY 101632,S200000,00200,0100,WICHITA FALLS 101632,S200000,00200,0200,TX 101632,S200000,00300,0100,WICHITA 101632,S200000,00300,0200,9080 101632,S200000,00300,0300,U 101632,S200000,00400,0100,SOUTHWEST PARKWAY 101632,S200000,00400,0200,675763 101632,S200000,00400,0300,10/19/1998 101632,S200000,00400,0500,P 101632,S200000,01600,0100,Y 101632,S200000,02200,0100,Y 101632,S200000,04300,0100,Y 101634,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101634,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101634,A000000,00300,0000,00300EMPLOYEE BENEFITS 101634,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101634,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101634,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101634,A000000,00700,0000,00700HOUSEKEEPING 101634,A000000,00800,0000,00800DIETARY 101634,A000000,00900,0000,00900NURSING ADMINISTRATION 101634,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101634,A000000,01100,0000,01100PHARMACY 101634,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101634,A000000,01300,0000,01300SOCIAL SERVICE 101634,A000000,01351,0000,01301ACTIVITIES 101634,A000000,01600,0000,01600SKILLED NURSING FACILITY 101634,A000000,01800,0000,01800NURSING FACILITY 101634,A000000,02100,0000,02100RADIOLOGY 101634,A000000,02200,0000,02200LABORATORY 101634,A000000,02300,0000,02300INTRAVENOUS THERAPY 101634,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101634,A000000,02500,0000,02500PHYSICAL THERAPY 101634,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101634,A000000,02700,0000,02700SPEECH PATHOLOGY 101634,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101634,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101634,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101634,A000000,03051,0000,03301MEDICAL EQUIPMENT 101634,A000000,04800,0000,04800AMBULANCE 101634,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101634,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101634,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101634,A81000A,00100,0100,Y 101634,A81000B,00100,0300,HOME OFFICE CAPITAL 101634,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101634,A81000B,00300,0300,WAREHOUSE 101634,A81000C,00100,0100,A 101634,A81000C,00100,0200,PETER C. KERN 101634,A81000C,00100,0400,HEA MANAGEMENT GROUP 101634,A81000C,00100,0600,HOME OFFICE 101634,A81000C,00200,0100,A 101634,A81000C,00200,0200,PETER C. KERN 101634,A81000C,00200,0400,WAREHOUSE STORAGE 101634,A81000C,00200,0600,OLD RECORD STORAGE 101634,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101634,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101634,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101634,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101634,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101634,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101634,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101634,B100000,00000,0800,00000MEALS SERVED :DIETARY 101634,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101634,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101634,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101634,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101634,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101634,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101634,S000000,00100,0200,04/18/2000 101634,S200000,00100,0100,2400 SOUTHWEST PARKWAY 101634,S200000,00100,0300,4646 101634,S200000,00200,0100,WICHITA FALLS 101634,S200000,00200,0200,TX 101634,S200000,00200,0300,76308- 101634,S200000,00300,0100,WICHITA 101634,S200000,00300,0200,9080 101634,S200000,00300,0300,U 101634,S200000,00400,0100,SOUTHWEST PARKWAY NURSING CENTER 101634,S200000,00400,0200,675763 101634,S200000,00400,0300,10/19/1998 101634,S200000,00400,0500,P 101634,S200000,01600,0100,Y 101634,S200000,02200,0100,Y 101634,S200000,04300,0100,Y 101636,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101636,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101636,A000000,00300,0000,00300EMPLOYEE BENEFITS 101636,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101636,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101636,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101636,A000000,00700,0000,00700HOUSEKEEPING 101636,A000000,00800,0000,00800DIETARY 101636,A000000,00900,0000,00900NURSING ADMINISTRATION 101636,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101636,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101636,A000000,01300,0000,01300SOCIAL SERVICE 101636,A000000,01600,0000,01600SKILLED NURSING FACILITY 101636,A000000,01800,0000,01800NURSING FACILITY 101636,A000000,02200,0000,02200LABORATORY 101636,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101636,A000000,02500,0000,02500PHYSICAL THERAPY 101636,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101636,A000000,02700,0000,02700SPEECH PATHOLOGY 101636,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101636,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101636,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101636,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101636,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101636,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101636,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101636,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101636,B100000,00000,0650,00000SQUARE FEET :LAUNDRY & LINEN SERVI 101636,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101636,B100000,00000,0800,00000MEALS SERVED :DIETARY 101636,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101636,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101636,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101636,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101636,S000000,00100,0200,06/26/2000 101636,S200000,00100,0100,2400 SOUTHWEST PARKWAY 101636,S200000,00100,0300,NONE 101636,S200000,00200,0100,WICHITA FALLS 101636,S200000,00200,0200,CA 101636,S200000,00200,0300,76308- 101636,S200000,00300,0100,WICHITA 101636,S200000,00400,0100,SOUTHWEST PARKWAY NURSING CENTER 101636,S200000,00400,0200,675763 101636,S200000,00400,0300,08/01/1999 101636,S200000,00400,0500,P 101636,S700003,00000,0400,4 101639,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101639,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101639,A000000,00300,0000,00300EMPLOYEE BENEFITS 101639,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101639,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101639,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101639,A000000,00700,0000,00700HOUSEKEEPING 101639,A000000,00800,0000,00800DIETARY 101639,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101639,A000000,01300,0000,01300SOCIAL SERVICE 101639,A000000,01600,0000,01600SKILLED NURSING FACILITY 101639,A000000,01800,0000,01800NURSING FACILITY 101639,A000000,01900,0000,01900OTHER LONG TERM CARE 101639,A000000,02500,0000,02500PHYSICAL THERAPY 101639,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101639,A000000,02700,0000,02700SPEECH PATHOLOGY 101639,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101639,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101639,A000000,05010,0000,05010CMHC 101639,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 101639,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 101639,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 101639,B100000,00000,0100,00040SQUARE FEET :CAP REL COSTS - BLDGS 101639,B100000,00000,0250,00040SQUARE FEET :CAP REL COSTS - MOVAB 101639,B100000,00000,0300,00040GROSS SALARIES :EMPLOYEE BENEFITS 101639,B100000,00000,0400,00040 ACCUM. COST :ADMINISTRATIVE & GENE 101639,B100000,00000,0500,00040SQUARE FEET :PLANT OPERATION MAIN 101639,B100000,00000,0650,00040PATIENT DAYS :LAUNDRY & LINEN SERV 101639,B100000,00000,0750,00040SQUARE FEET :HOUSEKEEPING 101639,B100000,00000,0850,00040PATIENT DAYS :DIETARY 101639,B100000,00000,1050,00040NURSING SALARIES :CENTRAL SERVICES 101639,B100000,00000,1330,00040PATIENT DAYS :SOCIAL SERVICE 101639,S000000,00100,0200,07/03/1999 101639,S200000,00100,0100,1615 HILLENDAHL BLVD. 101639,S200000,00200,0100,HOUSTON 101639,S200000,00200,0200,TX 101639,S200000,00200,0300,77065- 101639,S200000,00300,0100,HOUSTON 101639,S200000,00400,0100,HERITAGE SAM HOUSTON GARDENS 101639,S200000,00400,0200,675764 101639,S200000,00400,0300,10/15/1998 101639,S200000,00400,0500,P 101639,S200000,01600,0100,Y 101639,S200000,01900,0100,PROPRIETORSHIP 101639,S200000,04100,0100,Y 101639,S200000,04200,0100,Y 101639,S200000,04300,0100,Y 101639,S700003,00000,0400,4 101641,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101641,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101641,A000000,00300,0000,00300EMPLOYEE BENEFITS 101641,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101641,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101641,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101641,A000000,00700,0000,00700HOUSEKEEPING 101641,A000000,00800,0000,00800DIETARY 101641,A000000,00900,0000,00900NURSING ADMINISTRATION 101641,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101641,A000000,01100,0000,01100PHARMACY 101641,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101641,A000000,01300,0000,01300SOCIAL SERVICE 101641,A000000,01350,0000,01500PATIENT ACTIVITY 101641,A000000,01600,0000,01600SKILLED NURSING FACILITY 101641,A000000,01800,0000,01800NURSING FACILITY 101641,A000000,01900,0000,01900OTHER LONG TERM CARE 101641,A000000,02100,0000,02100RADIOLOGY 101641,A000000,02200,0000,02200LABORATORY 101641,A000000,02300,0000,02300INTRAVENOUS THERAPY 101641,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101641,A000000,02500,0000,02500PHYSICAL THERAPY 101641,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101641,A000000,02700,0000,02700SPEECH PATHOLOGY 101641,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101641,A000000,02901,0000,02901AIR FLUIDIZED BEDS 101641,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101641,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101641,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101641,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101641,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101641,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101641,A81000A,00100,0100,Y 101641,A81000B,00100,0300,HOME OFFICE ALLOCATION 101641,A81000C,00100,0100,B 101641,A81000C,00100,0200,HERITAGE HOUSING DEVELOPE 101641,A81000C,00100,0400,HOME OFFICE 101641,A81000C,00100,0600,MANAGEMENT COMPANY 101641,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101641,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101641,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101641,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101641,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101641,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101641,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101641,B100000,00000,0800,00000MEALS SERVED :DIETARY 101641,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101641,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101641,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101641,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101641,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101641,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITY 101641,S000000,00100,0200,09/11/2000 101641,S200000,00100,0100,1615 HILLENDAHL BLVD 101641,S200000,00200,0100,HOUSTON 101641,S200000,00200,0200,TX 101641,S200000,00200,0300,67576- 101641,S200000,00300,0100,HARRIS 101641,S200000,00400,0100,HERITAGE SAM HOUSTON GARDENS 101641,S200000,00400,0200,675764 101641,S200000,00400,0300,10/15/1998 101641,S200000,00400,0500,P 101641,S200000,01004,0500,O 101641,S200000,01600,0100,Y 101641,S200000,01900,0100,PROPRIETORSHIP 101641,S200000,04100,0100,Y 101641,S200000,04200,0100,Y 101641,S200000,04300,0100,Y 101644,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101644,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101644,A000000,00300,0000,00300EMPLOYEE BENEFITS 101644,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101644,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101644,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101644,A000000,00700,0000,00700HOUSEKEEPING 101644,A000000,00800,0000,00800DIETARY 101644,A000000,00900,0000,00900NURSING ADMINISTRATION 101644,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101644,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101644,A000000,01300,0000,01300SOCIAL SERVICE 101644,A000000,01301,0000,01301ACTIVITES 101644,A000000,01350,0000,01500REHABILITATION 101644,A000000,01600,0000,01600SKILLED NURSING FACILITY 101644,A000000,01800,0000,01800NURSING FACILITY 101644,A000000,01900,0000,01900OTHER LONG TERM CARE 101644,A000000,02100,0000,02100RADIOLOGY 101644,A000000,02200,0000,02200LABORATORY 101644,A000000,02300,0000,02300INTRAVENOUS THERAPY 101644,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101644,A000000,02500,0000,02500PHYSICAL THERAPY 101644,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101644,A000000,02700,0000,02700SPEECH PATHOLOGY 101644,A000000,02800,0000,02800ELECTROCARDIOLOGY 101644,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101644,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101644,A000000,03050,0000,03300EQUIPMENT RENTAL 101644,A000000,03051,0000,03301PEN THERAPY 101644,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101644,A000000,03200,0000,03200SUPPORT SURFACES 101644,A000000,04800,0000,04800AMBULANCE 101644,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101644,A000000,05300,0000,05300INTEREST EXPENSE 101644,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101644,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101644,A000000,06150,0000,06300VENDING 101644,A000000,06151,0000,06301STAND-BY 101644,A000000,06200,0000,06200PATIENTS LAUNDRY 101644,A81000A,00100,0100,Y 101644,A81000B,00100,0300,HOME OFFICE COST 101644,A81000B,00200,0300,DIETARY SUPPLEMENTS 101644,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 101644,A81000B,00400,0300,PRESCRIPTION DRUGS 101644,A81000B,00500,0300,MEDICAL SUPPLIES 101644,A81000B,00600,0300,CAPITAL 101644,A81000B,00700,0300,HOME OFFICE INTEREST 101644,A81000B,00800,0300,PHYSICAL THERAPY 101644,A81000B,00900,0300,OCCUPATIONAL THERAPY 101644,A81000B,01000,0300,SPEECH THERAPY 101644,A81000C,00100,0100,B 101644,A81000C,00100,0200,LINWOOD PLACE 101644,A81000C,00100,0400,MARINER PAN 101644,A81000C,00100,0600,NURSING HOMES 101644,A81000C,00200,0100,G 101644,A81000C,00200,0200,MARINER PAN 101644,A81000C,00200,0400,AMER PHARM SVCS 101644,A81000C,00200,0600,PHARMACEUTICALS 101644,A81000C,00300,0100,G 101644,A81000C,00300,0200,MARINER PAN 101644,A81000C,00300,0400,PRISM-ATS-ARS-T 101644,A81000C,00300,0600,THERAPIES 101644,A81000C,03100,0000,MARINER PAN 101644,B100000,00000,0100,00001SQUARE FEET :CAP REL COSTS - BLDGS 101644,B100000,00000,0250,00001SQUARE FEET :CAP REL COSTS - MOVAB 101644,B100000,00000,0300,00001GROSS SALARIES :EMPLOYEE BENEFITS 101644,B100000,00000,0400,00001 ACCUM. COST :ADMINISTRATIVE & GENE 101644,B100000,00000,0500,00001SQUARE FEET :PLANT OPERATION MAIN 101644,B100000,00000,0650,00001PATIENT DAYS :LAUNDRY & LINEN SERV 101644,B100000,00000,0750,00001SQUARE FEET :HOUSEKEEPING 101644,B100000,00000,0800,00001MEALS SERVED :DIETARY 101644,B100000,00000,0950,00001DIR NURSIN HRS OF:NURSING ADMINISTR 101644,B100000,00000,1000,00001COSTED REQUISITIO :CENTRAL SERVICE 101644,B100000,00000,1250,00001PATIENT DAYS :MEDICAL RECORDS & LI 101644,B100000,00000,1330,00001PATIENT DAYS :SOCIAL SERVICE 101644,B100000,00000,1331,00001PATIENT DAYS :ACTIVITES 101644,B100000,00000,1350,00001UNITS OF SERVICE :REHABILITATION 101644,S000000,00100,0200,03/07/2000 101644,S200000,00100,0100,3401 AIRLINE DR. 101644,S200000,00200,0100,VICTORIA 101644,S200000,00200,0200,TX 101644,S200000,00200,0300,77901- 101644,S200000,00300,0100,VICTORIA 101644,S200000,00400,0100,LINWOOD PLACE 101644,S200000,00400,0200,675766 101644,S200000,00400,0300,10/09/1998 101644,S200000,00400,0500,P 101644,S200000,01600,0100,Y 101644,S200000,02200,0100,Y 101644,S200000,04300,0100,Y 101644,S700003,00000,0400,4 101647,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101647,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101647,A000000,00300,0000,00300EMPLOYEE BENEFITS 101647,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101647,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101647,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101647,A000000,00700,0000,00700HOUSEKEEPING 101647,A000000,00800,0000,00800DIETARY 101647,A000000,00801,0000,00801CAFETERIA 101647,A000000,00900,0000,00900NURSING ADMINISTRATION 101647,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101647,A000000,01100,0000,01100PHARMACY 101647,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101647,A000000,01300,0000,01300SOCIAL SERVICE 101647,A000000,01600,0000,01600SKILLED NURSING FACILITY 101647,A000000,01800,0000,01800NURSING FACILITY 101647,A000000,01900,0000,01900OTHER LONG TERM CARE 101647,A000000,02100,0000,02100RADIOLOGY 101647,A000000,02200,0000,02200LABORATORY 101647,A000000,02300,0000,02300INTRAVENOUS THERAPY 101647,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101647,A000000,02500,0000,02500PHYSICAL THERAPY 101647,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101647,A000000,02700,0000,02700SPEECH PATHOLOGY 101647,A000000,02800,0000,02800ELECTROCARDIOLOGY 101647,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101647,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101647,A000000,03200,0000,03200SUPPORT SURFACES 101647,A000000,04800,0000,04800AMBULANCE 101647,A000000,05300,0000,05300INTEREST EXPENSE 101647,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101647,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101647,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101647,A000000,06150,0000,06300OTHER NON REIMBURSABLE COST 101647,A81000A,00100,0100,Y 101647,A81000B,00100,0300,OWNERS COMP 101647,A81000C,00100,0100,B 101647,A81000C,00100,0200,D RIVERA 101647,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101647,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101647,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101647,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101647,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101647,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101647,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101647,B100000,00000,0800,00000MEALS SERVED :DIETARY 101647,B100000,00000,0851,00000FTE EMPLOYEES :CAFETERIA 101647,B100000,00000,0950,00000DIR NURSIN HRS OF:NURSING ADMINISTR 101647,B100000,00000,1000,00000COSTED REQUISITIO :CENTRAL SERVICE 101647,B100000,00000,1100,00000COSTED REQUISITIO :PHARMACY 101647,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101647,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101647,S000000,00100,0200,06/13/2000 101647,S200000,00100,0100,2729 PORTER AVENUE 101647,S200000,00200,0100,EL PASO 101647,S200000,00200,0200,TX 101647,S200000,00200,0300,79930- 101647,S200000,00300,0100,EL PASO 101647,S200000,00400,0100,MOUNTAIN VILLA NURSING CENTER 101647,S200000,00400,0200,675768 101647,S200000,00400,0300,09/01/1998 101647,S200000,00400,0500,P 101647,S200000,01500,0100,Y 101649,S000000,00100,0200,11/28/2000 101651,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101651,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101651,A000000,00300,0000,00300EMPLOYEE BENEFITS 101651,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101651,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101651,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101651,A000000,00700,0000,00700HOUSEKEEPING 101651,A000000,00800,0000,00800DIETARY 101651,A000000,00900,0000,00900NURSING ADMINISTRATION 101651,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101651,A000000,01100,0000,01100PHARMACY 101651,A000000,01300,0000,01300SOCIAL SERVICE 101651,A000000,01600,0000,01600SKILLED NURSING FACILITY 101651,A000000,01800,0000,01800NURSING FACILITY 101651,A000000,02100,0000,02100RADIOLOGY 101651,A000000,02200,0000,02200LABORATORY 101651,A000000,02500,0000,02500PHYSICAL THERAPY 101651,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101651,A000000,02700,0000,02700SPEECH PATHOLOGY 101651,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101651,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101651,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101651,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101651,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101651,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101651,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101651,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101651,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101651,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101651,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101651,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101651,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101651,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101651,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101651,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101651,S000000,00100,0200,05/31/2000 101651,S200000,00100,0100,1003 COLUMBIA 101651,S200000,00100,0300,232 101651,S200000,00200,0100,STAMFORD 101651,S200000,00200,0200,TX 101651,S200000,00200,0300,79553-6825 101651,S200000,00300,0100,JONES 101651,S200000,00400,0100,TEAKWOOD MANOR 101651,S200000,00400,0200,675769 101651,S200000,00400,0300,10/19/1998 101651,S200000,00400,0500,P 101651,S200000,01500,0100,Y 101653,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101653,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101653,A000000,00300,0000,00300EMPLOYEE BENEFITS 101653,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101653,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101653,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101653,A000000,00700,0000,00700HOUSEKEEPING 101653,A000000,00800,0000,00800DIETARY 101653,A000000,00900,0000,00900NURSING ADMINISTRATION 101653,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101653,A000000,01100,0000,01100PHARMACY 101653,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101653,A000000,01300,0000,01300SOCIAL SERVICE 101653,A000000,01351,0000,01301ACTIVITIES 101653,A000000,01600,0000,01600SKILLED NURSING FACILITY 101653,A000000,01800,0000,01800NURSING FACILITY 101653,A000000,02100,0000,02100RADIOLOGY 101653,A000000,02200,0000,02200LABORATORY 101653,A000000,02300,0000,02300INTRAVENOUS THERAPY 101653,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101653,A000000,02500,0000,02500PHYSICAL THERAPY 101653,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101653,A000000,02700,0000,02700SPEECH PATHOLOGY 101653,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101653,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101653,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101653,A000000,03051,0000,03301MEDICAL EQUIPMENT 101653,A000000,04800,0000,04800AMBULANCE 101653,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101653,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101653,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101653,A81000A,00100,0100,Y 101653,A81000B,00100,0300,HOME OFFICE CAPITAL 101653,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101653,A81000B,00300,0300,WAREHOUSE 101653,A81000C,00100,0100,A 101653,A81000C,00100,0200,PETER C. KERN 101653,A81000C,00100,0400,HEA MANAGEMENT GROUP 101653,A81000C,00100,0600,HOME OFFICE 101653,A81000C,00200,0100,A 101653,A81000C,00200,0200,PETER C. KERN 101653,A81000C,00200,0400,WAREHOUSE STORAGE 101653,A81000C,00200,0600,OLD RECORD STORAGE 101653,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101653,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101653,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101653,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101653,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101653,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101653,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101653,B100000,00000,0800,00000MEALS SERVED :DIETARY 101653,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101653,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101653,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101653,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101653,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101653,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101653,S000000,00100,0200,05/30/2000 101653,S200000,00100,0100,2510 WEST EIGHTH 101653,S200000,00200,0100,ODESSA 101653,S200000,00200,0200,TX 101653,S200000,00200,0300,79763- 101653,S200000,00300,0100,ECTOR 101653,S200000,00300,0200,5800 101653,S200000,00300,0300,U 101653,S200000,00400,0100,NEW HORIZON NURSING CENTER 101653,S200000,00400,0200,675770 101653,S200000,00400,0300,12/01/1998 101653,S200000,00400,0500,P 101653,S200000,01600,0100,Y 101653,S200000,02200,0100,Y 101653,S200000,04300,0100,Y 101658,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101658,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101658,A000000,00300,0000,00300EMPLOYEE BENEFITS 101658,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101658,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101658,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101658,A000000,00700,0000,00700HOUSEKEEPING 101658,A000000,00800,0000,00800DIETARY 101658,A000000,00900,0000,00900NURSING ADMINISTRATION 101658,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101658,A000000,01100,0000,01100PHARMACY 101658,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101658,A000000,01300,0000,01300SOCIAL SERVICE 101658,A000000,01350,0000,01500ACTIVITIES 101658,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101658,A000000,01600,0000,01600SKILLED NURSING FACILITY 101658,A000000,01800,0000,01800NURSING FACILITY 101658,A000000,01810,0000,01810ICF/MR 101658,A000000,01900,0000,01900OTHER LONG TERM CARE 101658,A000000,02100,0000,02100RADIOLOGY 101658,A000000,02200,0000,02200LABORATORY 101658,A000000,02300,0000,02300INTRAVENOUS THERAPY 101658,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101658,A000000,02500,0000,02500PHYSICAL THERAPY 101658,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101658,A000000,02700,0000,02700SPEECH PATHOLOGY 101658,A000000,02800,0000,02800ELECTROCARDIOLOGY 101658,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101658,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101658,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101658,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101658,A000000,03200,0000,03200SUPPORT SURFACES 101658,A000000,03400,0000,03400CLINIC 101658,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101658,A000000,03500,0000,03500RURAL HEALTH CLINIC 101658,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101658,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101658,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101658,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101658,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101658,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101658,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101658,A000000,04400,0000,04400DME RENTED - HHA 101658,A000000,04500,0000,04500DME SOLD - HHA 101658,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101658,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101658,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101658,A000000,04800,0000,04800AMBULANCE 101658,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101658,A000000,05000,0000,05000CORF 101658,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101658,A000000,05300,0000,05300INTEREST EXPENSE 101658,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101658,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101658,A000000,05500,0000,05500HOSPICE 101658,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101658,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101658,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101658,A000000,06100,0000,06100NONPAID WORKERS 101658,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101658,A000000,06200,0000,06200PATIENTS LAUNDRY 101658,A81000A,00100,0100,Y 101658,A81000B,00100,0300,HOME OFFICE CAPITAL 101658,A81000B,00200,0300,MANAGEMENT FEE 101658,A81000C,00100,0100,B 101658,A81000C,00100,0400,AMERICAN RETIREMENT CORP. 101658,A81000C,00100,0600,HOME OFFICE 101658,A81000C,00200,0100,B 101658,A81000C,00200,0400,AMERICAN RETIREMENT CORP. 101658,A81000C,00200,0600,HOME OFFICE 101658,B100000,00000,0100,00000SQUARE FOOTAGE :CAP REL COSTS - BL 101658,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 101658,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101658,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101658,B100000,00000,0500,00000SQUARE FOOTAGE :PLANT OPERATION M 101658,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101658,B100000,00000,0750,00000SQUARE FOOTAGE :HOUSEKEEPING 101658,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101658,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 101658,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101658,B100000,00000,1150,00000NO STATISTICS :PHARMACY 101658,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101658,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101658,B100000,00000,1350,00000PATIENT DAYS :ACTIVITIES 101658,B100000,00000,1450,00000PATIENT DAYS :INTERNS & RESIDENTS 101658,S000000,00100,0200,06/06/2000 101658,S200000,00100,0100,111 WESTWOOD PLACE STE 402 101658,S200000,00200,0100,BRENTWOOD 101658,S200000,00200,0200,TN 101658,S200000,00200,0300,37027- 101658,S200000,00400,0100,HOLMGREEN CENTER AT TRINITY TOWERS 101658,S200000,00400,0200,675773 101658,S200000,00400,0300,12/01/1998 101658,S200000,00400,0500,P 101658,S200000,01600,0100,Y 101660,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101660,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101660,A000000,00300,0000,00300EMPLOYEE BENEFITS 101660,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101660,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101660,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101660,A000000,00700,0000,00700HOUSEKEEPING 101660,A000000,00800,0000,00800DIETARY 101660,A000000,00900,0000,00900NURSING ADMINISTRATION 101660,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101660,A000000,01100,0000,01100PHARMACY 101660,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101660,A000000,01300,0000,01300SOCIAL SERVICE 101660,A000000,01351,0000,01301ACTIVITIES 101660,A000000,01600,0000,01600SKILLED NURSING FACILITY 101660,A000000,01800,0000,01800NURSING FACILITY 101660,A000000,02100,0000,02100RADIOLOGY 101660,A000000,02200,0000,02200LABORATORY 101660,A000000,02300,0000,02300INTRAVENOUS THERAPY 101660,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101660,A000000,02500,0000,02500PHYSICAL THERAPY 101660,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101660,A000000,02700,0000,02700SPEECH PATHOLOGY 101660,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101660,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101660,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101660,A000000,03051,0000,03301MEDICAL EQUIPMENT 101660,A000000,04800,0000,04800AMBULANCE 101660,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101660,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101660,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101660,A81000A,00100,0100,Y 101660,A81000B,00100,0300,HOME OFFICE CAPITAL 101660,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101660,A81000B,00300,0300,WAREHOUSE 101660,A81000C,00100,0100,A 101660,A81000C,00100,0200,PETER C. KERN 101660,A81000C,00100,0400,HEA MANAGEMENT GROUP 101660,A81000C,00100,0600,HOME OFFICE 101660,A81000C,00200,0100,A 101660,A81000C,00200,0200,PETER C. KERN 101660,A81000C,00200,0400,WAREHOUSE STORAGE 101660,A81000C,00200,0600,OLD RECORD STORAGE 101660,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101660,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101660,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101660,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101660,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101660,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101660,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101660,B100000,00000,0800,00000MEALS SERVED :DIETARY 101660,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101660,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101660,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101660,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101660,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101660,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101660,S000000,00100,0200,05/30/2000 101660,S200000,00100,0100,6613 JACK FINNEY ROAD 101660,S200000,00200,0100,GREENVILLE 101660,S200000,00200,0200,TX 101660,S200000,00200,0300,75402- 101660,S200000,00300,0100,HUNT 101660,S200000,00300,0200,1920 101660,S200000,00300,0300,U 101660,S200000,00400,0100,GREENCREST NURSING FACILITY 101660,S200000,00400,0200,675774 101660,S200000,00400,0300,02/11/1999 101660,S200000,00400,0500,P 101660,S200000,01600,0100,Y 101660,S200000,02200,0100,Y 101660,S200000,04300,0100,Y 101664,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101664,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101664,A000000,00300,0000,00300EMPLOYEE BENEFITS 101664,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101664,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101664,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101664,A000000,00700,0000,00700HOUSEKEEPING 101664,A000000,00800,0000,00800DIETARY 101664,A000000,00900,0000,00900NURSING ADMINISTRATION 101664,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101664,A000000,01100,0000,01100PHARMACY 101664,A000000,01600,0000,01600SKILLED NURSING FACILITY 101664,A000000,01800,0000,01800NURSING FACILITY 101664,A000000,02200,0000,02200LABORATORY 101664,A000000,02500,0000,02500PHYSICAL THERAPY 101664,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101664,A000000,02700,0000,02700SPEECH PATHOLOGY 101664,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101664,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101664,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101664,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101664,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101664,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101664,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101664,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101664,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101664,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101664,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101664,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101664,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101664,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101664,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101664,S000000,00100,0200,05/30/2000 101664,S200000,00100,0100,700 E 14TH ST 101664,S200000,00200,0100,CROSS PLAINS 101664,S200000,00200,0200,TX 101664,S200000,00200,0300,76443- 101664,S200000,00300,0100,CALLAHAN 101664,S200000,00400,0100,PRESTON INVESTMENTS INC. 101664,S200000,00400,0200,675776 101664,S200000,00400,0300,02/22/1999 101664,S200000,00400,0500,P 101664,S200000,01600,0100,Y 101664,S700003,00000,0400,4 101666,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101666,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101666,A000000,00300,0000,00300EMPLOYEE BENEFITS 101666,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101666,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101666,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101666,A000000,00700,0000,00700HOUSEKEEPING 101666,A000000,00800,0000,00800DIETARY 101666,A000000,00900,0000,00900NURSING ADMINISTRATION 101666,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101666,A000000,01100,0000,01100PHARMACY 101666,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101666,A000000,01300,0000,01300SOCIAL SERVICE 101666,A000000,01600,0000,01600SKILLED NURSING FACILITY 101666,A000000,01800,0000,01800NURSING FACILITY 101666,A000000,01810,0000,01810ICF/MR 101666,A000000,01900,0000,01900OTHER LONG TERM CARE 101666,A000000,02100,0000,02100RADIOLOGY 101666,A000000,02200,0000,02200LABORATORY 101666,A000000,02300,0000,02300INTRAVENOUS THERAPY 101666,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101666,A000000,02500,0000,02500PHYSICAL THERAPY 101666,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101666,A000000,02700,0000,02700SPEECH PATHOLOGY 101666,A000000,02800,0000,02800ELECTROCARDIOLOGY 101666,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101666,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101666,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101666,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101666,A000000,03200,0000,03200SUPPORT SURFACES 101666,A000000,03400,0000,03400CLINIC 101666,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101666,A000000,03500,0000,03500RURAL HEALTH CLINIC 101666,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101666,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101666,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101666,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101666,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101666,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101666,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101666,A000000,04400,0000,04400DME RENTED - HHA 101666,A000000,04500,0000,04500DME SOLD - HHA 101666,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101666,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101666,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101666,A000000,04800,0000,04800AMBULANCE 101666,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101666,A000000,05000,0000,05000CORF 101666,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101666,A000000,05300,0000,05300INTEREST EXPENSE 101666,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101666,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101666,A000000,05500,0000,05500HOSPICE 101666,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101666,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101666,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101666,A000000,06100,0000,06100NONPAID WORKERS 101666,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101666,A000000,06200,0000,06200PATIENTS LAUNDRY 101666,A81000A,00100,0100,Y 101666,A81000B,00100,0300,HOME OFFICE EXPENSE 101666,A81000C,00100,0100,A 101666,A81000C,00100,0200,ROCKY LEMON 101666,A81000C,00100,0400,CRESCENT HEALTH SERVICES 101666,A81000C,00100,0600,NURSING HOME MGMT 101666,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101666,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101666,B100000,00000,0550,00000 ACCUM. COST :PLANT OPERATION MAIN 101666,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101666,B100000,00000,0750,00000PATIENT DAYS :HOUSEKEEPING 101666,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101666,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101666,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101666,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101666,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101666,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101666,S000000,00100,0200,06/01/2000 101666,S200000,00100,0100,101 CAMPUS DRIVE 101666,S200000,00200,0100,CRANE 101666,S200000,00200,0200,TX 101666,S200000,00200,0300,79731- 101666,S200000,00300,0100,CRANE 101666,S200000,00300,0200,9967 101666,S200000,00300,0300,R 101666,S200000,00400,0100,CRANE COUNTY CARE CENTER 101666,S200000,00400,0200,675778 101666,S200000,00400,0300,12/18/1998 101666,S200000,00400,0500,P 101666,S200000,01600,0100,Y 101669,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101669,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101669,A000000,00300,0000,00300EMPLOYEE BENEFITS 101669,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101669,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101669,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101669,A000000,00700,0000,00700HOUSEKEEPING 101669,A000000,00800,0000,00800DIETARY 101669,A000000,00900,0000,00900NURSING ADMINISTRATION 101669,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101669,A000000,01100,0000,01100PHARMACY 101669,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101669,A000000,01300,0000,01300SOCIAL SERVICE 101669,A000000,01351,0000,01301ACTIVITIES 101669,A000000,01600,0000,01600SKILLED NURSING FACILITY 101669,A000000,01800,0000,01800NURSING FACILITY 101669,A000000,02100,0000,02100RADIOLOGY 101669,A000000,02200,0000,02200LABORATORY 101669,A000000,02300,0000,02300INTRAVENOUS THERAPY 101669,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101669,A000000,02500,0000,02500PHYSICAL THERAPY 101669,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101669,A000000,02700,0000,02700SPEECH PATHOLOGY 101669,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101669,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101669,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101669,A000000,03051,0000,03301MEDICAL EQUIPMENT 101669,A000000,04800,0000,04800AMBULANCE 101669,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101669,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101669,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101669,A81000A,00100,0100,Y 101669,A81000B,00100,0300,HOME OFFICE CAPITAL 101669,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101669,A81000B,00300,0300,WAREHOUSE 101669,A81000C,00100,0100,A 101669,A81000C,00100,0200,PETER C. KERN 101669,A81000C,00100,0400,HEA MANAGEMENT GROUP 101669,A81000C,00100,0600,HOME OFFICE 101669,A81000C,00200,0100,A 101669,A81000C,00200,0200,PETER C. KERN 101669,A81000C,00200,0400,WAREHOUSE STORAGE 101669,A81000C,00200,0600,OLD RECORD STORAGE 101669,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101669,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101669,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101669,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101669,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101669,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101669,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101669,B100000,00000,0800,00000MEALS SERVED :DIETARY 101669,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101669,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101669,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101669,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101669,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101669,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101669,S000000,00100,0200,05/17/2001 101669,S200000,00100,0100,102 WEST CATES 101669,S200000,00200,0100,BRIDGEPORT 101669,S200000,00200,0200,TX 101669,S200000,00200,0300,76426- 101669,S200000,00300,0100,WISE 101669,S200000,00300,0200,45 101669,S200000,00300,0300,R 101669,S200000,00400,0100,BRIDGEPORT CARE CENTER 101669,S200000,00400,0200,675780 101669,S200000,00400,0300,01/27/1999 101669,S200000,00400,0500,P 101669,S200000,01600,0100,Y 101669,S200000,02200,0100,Y 101669,S200000,04300,0100,Y 101672,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101672,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101672,A000000,00300,0000,00300EMPLOYEE BENEFITS 101672,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101672,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101672,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101672,A000000,00700,0000,00700HOUSEKEEPING 101672,A000000,00800,0000,00800DIETARY 101672,A000000,00900,0000,00900NURSING ADMINISTRATION 101672,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101672,A000000,01100,0000,01100PHARMACY 101672,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101672,A000000,01300,0000,01300SOCIAL SERVICE 101672,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101672,A000000,01600,0000,01600SKILLED NURSING FACILITY 101672,A000000,01900,0000,01900OTHER LONG TERM CARE 101672,A000000,02100,0000,02100RADIOLOGY 101672,A000000,02200,0000,02200LABORATORY 101672,A000000,02300,0000,02300INTRAVENOUS THERAPY 101672,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101672,A000000,02500,0000,02500PHYSICAL THERAPY 101672,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101672,A000000,02700,0000,02700SPEECH PATHOLOGY 101672,A000000,02800,0000,02800ELECTROCARDIOLOGY 101672,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101672,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101672,A000000,03050,0000,03201ENTERNAL SUPPLIES 101672,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101672,A000000,03200,0000,03200SUPPORT SURFACES 101672,A000000,03400,0000,03400CLINIC 101672,A000000,04800,0000,04800AMBULANCE 101672,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101672,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101672,A000000,05300,0000,05300INTEREST EXPENSE 101672,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101672,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101672,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101672,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101672,A000000,06100,0000,06100NONPAID WORKERS 101672,A000000,06200,0000,06200PATIENTS LAUNDRY 101672,A81000A,00100,0100,Y 101672,A81000B,00100,0300,CENTRAL OFFICE: MGMT SERVICES 101672,A81000B,00200,0300,LAUNDRY SERVICES 101672,A81000B,00300,0300,MENU PLANNING 101672,A81000B,00400,0300,CENTRAL OFFICE: BLDG 101672,A81000B,00500,0300,CENTRAL OFFICE: EQUIPMENT 101672,A81000B,00600,0300,DRUGS 101672,A81000C,00100,0100,B 101672,A81000C,00100,0200,CANTEX HC CTRS 101672,A81000C,00100,0600,LTC MANAGEMENT 101672,A81000C,00200,0100,B 101672,A81000C,00200,0200,HEALTHCARE LNEN 101672,A81000C,00200,0600,LAUNDRY SERVICE 101672,A81000C,00300,0100,A 101672,A81000C,00300,0200,ALBERT J. LONGO 101672,A81000C,00300,0400,NOVA 101672,A81000C,00300,0600,MENU PLANNING 101672,A81000C,00400,0100,B 101672,A81000C,00400,0200,CANTEX HC CTRS 101672,A81000C,00400,0600,LTC MANAGEMENT 101672,A81000C,00500,0100,B 101672,A81000C,00500,0200,CANTEX HC CTRS 101672,A81000C,00500,0600,LTC MANAGEMENT 101672,A81000C,00600,0100,B 101672,A81000C,00600,0200,PHARMACARE 101672,A81000C,00600,0600,LTC MANAGEMENT 101672,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101672,B100000,00000,0200,00000DOLLAR VALUE :CAP REL COSTS - MOVA 101672,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101672,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101672,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101672,B100000,00000,0600,00000POUNDS OF LAUNDRY :LAUNDRY & LINEN 101672,B100000,00000,0700,00000HOURS OF SERVICE :HOUSEKEEPING 101672,B100000,00000,0800,00000MEALS SERVED :DIETARY 101672,B100000,00000,0950,00000DIRECT NRSING HRS :NURSING ADMINIST 101672,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101672,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101672,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101672,B100000,00000,1300,00000TIME SPENT :SOCIAL SERVICE 101672,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101672,E10A180,00350,0100,12/31/1999 101672,S000000,00100,0200,06/02/2000 101672,S200000,00100,0100,2918 DUNCANVILLE ROAD 101672,S200000,00200,0100,DALLAS 101672,S200000,00200,0200,TX 101672,S200000,00200,0300,75211- 101672,S200000,00300,0100,DALLAS 101672,S200000,00400,0100,VILLA AT MOUNTAIN VIEW 101672,S200000,00400,0200,675783 101672,S200000,00400,0300,04/29/1999 101672,S200000,00400,0500,P 101672,S200000,01600,0100,Y 101672,S700003,00000,0400,4 101675,S000000,00100,0200,07/07/2000 101677,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101677,A000000,00101,0000,00101CAP REL COSTS - BLDGS & FIXT. #2 101677,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101677,A000000,00201,0000,00201CAP REL COSTS - MOVABLE EQUIP. #2 101677,A000000,00300,0000,00300EMPLOYEE BENEFITS 101677,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101677,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101677,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101677,A000000,00700,0000,00700HOUSEKEEPING 101677,A000000,00800,0000,00800DIETARY 101677,A000000,00801,0000,00801CAFETERIA 101677,A000000,00900,0000,00900NURSING ADMINISTRATION 101677,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101677,A000000,01100,0000,01100PHARMACY 101677,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101677,A000000,01300,0000,01300SOCIAL SERVICE 101677,A000000,01350,0000,01500ACTIVITIES 101677,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101677,A000000,01600,0000,01600SKILLED NURSING FACILITY 101677,A000000,01800,0000,01800NURSING FACILITY 101677,A000000,01900,0000,01900OTHER LONG TERM CARE 101677,A000000,02100,0000,02100RADIOLOGY 101677,A000000,02200,0000,02200LABORATORY 101677,A000000,02300,0000,02300INTRAVENOUS THERAPY 101677,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101677,A000000,02500,0000,02500PHYSICAL THERAPY 101677,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101677,A000000,02700,0000,02700SPEECH PATHOLOGY 101677,A000000,02800,0000,02800ELECTROCARDIOLOGY 101677,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101677,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101677,A000000,03050,0000,03300OTHER ANCILLARY 101677,A000000,03051,0000,03301OTHER ANCILLARY II 101677,A000000,03052,0000,03302OTHER ANCILLARY III 101677,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101677,A000000,03200,0000,03200SUPPORT SURFACES 101677,A000000,03400,0000,03400CLINIC 101677,A000000,03450,0000,03600OTHER OUTPATIENT SERVICE 101677,A000000,03500,0000,03500RURAL HEALTH CLINIC 101677,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101677,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101677,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101677,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101677,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101677,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101677,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101677,A000000,04400,0000,04400DME RENTED - HHA 101677,A000000,04500,0000,04500DME SOLD - HHA 101677,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101677,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101677,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101677,A000000,04800,0000,04800AMBULANCE 101677,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101677,A000000,05000,0000,05000CORF 101677,A000000,05010,0000,05010CMHC I 101677,A000000,05020,0000,05020OPT I 101677,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101677,A000000,05300,0000,05300INTEREST EXPENSE 101677,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST I 101677,A000000,05351,0000,05601OTHER SPECIAL PURPOSE COST II 101677,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101677,A000000,05500,0000,05500HOSPICE 101677,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101677,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101677,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101677,A000000,06100,0000,06100NONPAID WORKERS 101677,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101677,A000000,06200,0000,06200PATIENTS LAUNDRY 101677,A81000A,00100,0100,Y 101677,A81000B,00100,0300,HO MGT FEE 101677,A81000B,00200,0300,NURSE CONSULTANT 101677,A81000C,00100,0100,B 101677,A81000C,00100,0400,REGENCY NURSING 101677,A81000C,00200,0400,& REHAB INC 101677,A81000C,00200,0600,HEALTHCARE 101677,B100000,00000,0100,00000(SQUARE FEET) :CAP REL COSTS - BLD 101677,B100000,00000,0101,00000(SQUARE FEET) :CAP REL COSTS - BLD 101677,B100000,00000,0250,00000(SQUARE FEET) :CAP REL COSTS - MOV 101677,B100000,00000,0251,00000(SQUARE FEET) :CAP REL COSTS - MOV 101677,B100000,00000,0300,00000(GROSS SALARIES) :EMPLOYEE BENEFIT 101677,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101677,B100000,00000,0500,00000(SQUARE FEET) :PLANT OPERATION MA 101677,B100000,00000,0650,00000(PATIENT DAYS) :LAUNDRY & LINEN SE 101677,B100000,00000,0750,00000(SQUARE FEET) :HOUSEKEEPING 101677,B100000,00000,0800,00000(MEALS SERVED) :DIETARY 101677,B100000,00000,0801,00000(MEALS SERVED) :CAFETERIA 101677,B100000,00000,0950,00000(PATIENT DAYS) :NURSING ADMINISTRA 101677,B100000,00000,1050,00000(PATIENT DAYS) :CENTRAL SERVICES & 101677,B100000,00000,1100,00000(COSTED REQUIS.) :PHARMACY 101677,B100000,00000,1250,00000(PATIENT DAYS) :MEDICAL RECORDS & 101677,B100000,00000,1330,00000(PATIENT DAYS) :SOCIAL SERVICE 101677,B100000,00000,1350,00000(PATIENT DAYS) :ACTIVITIES 101677,B100000,00000,1400,00000(ASSIGNED TIME) :INTERNS & RESIDEN 101677,S000000,00100,0200,06/01/2000 101677,S200000,00100,0100,5215 S. SUGAR RD. 101677,S200000,00200,0100,EDINBURG 101677,S200000,00200,0200,TX 101677,S200000,00200,0300,78539- 101677,S200000,00300,0100,HIDALGO 101677,S200000,00400,0100,R.N.C.P. EDINBURG LTD 101677,S200000,00400,0200,675785 101677,S200000,00400,0300,04/29/1999 101677,S200000,00400,0500,P 101677,S200000,01600,0100,Y 101677,S200000,02200,0100,Y 101677,S200000,04300,0100,Y 101679,S000000,00100,0200,03/10/2000 101681,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101681,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101681,A000000,00300,0000,00300EMPLOYEE BENEFITS 101681,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101681,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101681,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101681,A000000,00700,0000,00700HOUSEKEEPING 101681,A000000,00800,0000,00800DIETARY 101681,A000000,00900,0000,00900NURSING ADMINISTRATION 101681,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101681,A000000,01100,0000,01100PHARMACY 101681,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101681,A000000,01300,0000,01300SOCIAL SERVICE 101681,A000000,01351,0000,01301ACTIVITIES 101681,A000000,01600,0000,01600SKILLED NURSING FACILITY 101681,A000000,01800,0000,01800NURSING FACILITY 101681,A000000,02100,0000,02100RADIOLOGY 101681,A000000,02200,0000,02200LABORATORY 101681,A000000,02300,0000,02300INTRAVENOUS THERAPY 101681,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101681,A000000,02500,0000,02500PHYSICAL THERAPY 101681,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101681,A000000,02700,0000,02700SPEECH PATHOLOGY 101681,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101681,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101681,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101681,A000000,03051,0000,03301MEDICAL EQUIPMENT 101681,A000000,04800,0000,04800AMBULANCE 101681,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101681,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101681,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101681,A81000A,00100,0100,Y 101681,A81000B,00100,0300,HOME OFFICE CAPITAL 101681,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101681,A81000B,00300,0300,WAREHOUSE 101681,A81000C,00100,0100,A 101681,A81000C,00100,0200,PETER C. KERN 101681,A81000C,00100,0400,HEA MANAGEMENT GROUP 101681,A81000C,00100,0600,HOME OFFICE 101681,A81000C,00200,0100,A 101681,A81000C,00200,0200,PETER C. KERN 101681,A81000C,00200,0400,WAREHOUSE STORAGE 101681,A81000C,00200,0600,OLD RECORD STORAGE 101681,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101681,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101681,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101681,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101681,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101681,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101681,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101681,B100000,00000,0800,00000MEALS SERVED :DIETARY 101681,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101681,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101681,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101681,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101681,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101681,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101681,S000000,00100,0200,05/30/2000 101681,S200000,00100,0100,2901 STERLING HART DRIVE 101681,S200000,00200,0100,COMMERCE 101681,S200000,00200,0200,TX 101681,S200000,00200,0300,75428- 101681,S200000,00300,0100,HUNT 101681,S200000,00300,0200,1920 101681,S200000,00300,0300,U 101681,S200000,00400,0100,OAK MANOR NURSING HOME 101681,S200000,00400,0200,675788 101681,S200000,00400,0300,05/24/1999 101681,S200000,00400,0500,P 101681,S200000,01600,0100,Y 101681,S200000,02200,0100,Y 101681,S200000,04300,0100,Y 101685,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101685,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101685,A000000,00300,0000,00300EMPLOYEE BENEFITS 101685,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101685,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101685,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101685,A000000,00700,0000,00700HOUSEKEEPING 101685,A000000,00800,0000,00800DIETARY 101685,A000000,00900,0000,00900NURSING ADMINISTRATION 101685,A000000,00901,0000,00901NURSING ADMINISTRATION 101685,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101685,A000000,01100,0000,01100PHARMACY 101685,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101685,A000000,01300,0000,01300SOCIAL SERVICE 101685,A000000,01301,0000,01301SOCIAL SERVICE 101685,A000000,01350,0000,01500OTHER GENERAL SERVICES 101685,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101685,A000000,01600,0000,01600SKILLED NURSING FACILITY 101685,A000000,01800,0000,01800NURSING FACILITY 101685,A000000,01900,0000,01900OTHER LONG TERM CARE 101685,A000000,02100,0000,02100RADIOLOGY 101685,A000000,02200,0000,02200LABORATORY 101685,A000000,02300,0000,02300INTRAVENOUS THERAPY 101685,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101685,A000000,02500,0000,02500PHYSICAL THERAPY 101685,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101685,A000000,02700,0000,02700SPEECH PATHOLOGY 101685,A000000,02800,0000,02800ELECTROCARDIOLOGY 101685,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101685,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101685,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101685,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101685,A000000,03200,0000,03200SUPPORT SURFACES 101685,A000000,03400,0000,03400CLINIC 101685,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101685,A000000,03500,0000,03500RURAL HEALTH CLINIC 101685,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101685,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101685,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101685,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101685,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101685,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101685,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101685,A000000,04400,0000,04400DME RENTED - HHA 101685,A000000,04500,0000,04500DME SOLD - HHA 101685,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101685,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101685,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101685,A000000,04800,0000,04800AMBULANCE 101685,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101685,A000000,05000,0000,05000CORF 101685,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101685,A000000,05300,0000,05300INTEREST EXPENSE 101685,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101685,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101685,A000000,05500,0000,05500HOSPICE 101685,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101685,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101685,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101685,A000000,06100,0000,06100NONPAID WORKERS 101685,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101685,A000000,06200,0000,06200PATIENTS LAUNDRY 101685,A81000A,00100,0100,Y 101685,A81000B,00100,0300,MANAGEMENT FEE 101685,A81000C,00100,0100,B 101685,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 101685,A81000C,00100,0600,MANAGEMENT SERVICES 101685,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101685,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101685,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101685,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101685,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101685,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101685,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101685,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101685,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101685,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101685,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101685,S000000,00100,0200,07/05/2000 101685,S200000,00100,0100,8810 LONG POINT 101685,S200000,00200,0100,HOUSTON 101685,S200000,00200,0200,TX 101685,S200000,00200,0300,77055- 101685,S200000,00300,0100,HARRIS 101685,S200000,00300,0200,3360 101685,S200000,00300,0300,U 101685,S200000,00400,0100,GOLDEN AGE MANOR 101685,S200000,00400,0200,675789 101685,S200000,00400,0300,05/05/1999 101685,S200000,00400,0500,P 101685,S200000,00400,0600,O 101685,S200000,01004,0500,O 101685,S200000,01600,0100,Y 101688,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101688,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101688,A000000,00300,0000,00300EMPLOYEE BENEFITS 101688,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101688,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101688,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101688,A000000,00700,0000,00700HOUSEKEEPING 101688,A000000,00800,0000,00800DIETARY 101688,A000000,00900,0000,00900NURSING ADMINISTRATION 101688,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101688,A000000,01100,0000,01100PHARMACY 101688,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101688,A000000,01300,0000,01300SOCIAL SERVICE 101688,A000000,01301,0000,01301SOCIAL SERVICE 101688,A000000,01350,0000,01500OTHER GENERAL SERVICES 101688,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101688,A000000,01600,0000,01600SKILLED NURSING FACILITY 101688,A000000,01800,0000,01800NURSING FACILITY 101688,A000000,01810,0000,01810ICF/MR 101688,A000000,01900,0000,01900OTHER LONG TERM CARE 101688,A000000,02100,0000,02100RADIOLOGY 101688,A000000,02200,0000,02200LABORATORY 101688,A000000,02300,0000,02300INTRAVENOUS THERAPY 101688,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101688,A000000,02500,0000,02500PHYSICAL THERAPY 101688,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101688,A000000,02700,0000,02700SPEECH PATHOLOGY 101688,A000000,02800,0000,02800ELECTROCARDIOLOGY 101688,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101688,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101688,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101688,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101688,A000000,03200,0000,03200SUPPORT SURFACES 101688,A000000,03400,0000,03400CLINIC 101688,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101688,A000000,03500,0000,03500RURAL HEALTH CLINIC 101688,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101688,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101688,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101688,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101688,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101688,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101688,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101688,A000000,04400,0000,04400DME RENTED - HHA 101688,A000000,04500,0000,04500DME SOLD - HHA 101688,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101688,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101688,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101688,A000000,04800,0000,04800AMBULANCE 101688,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101688,A000000,05000,0000,05000CORF 101688,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101688,A000000,05300,0000,05300INTEREST EXPENSE 101688,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101688,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101688,A000000,05500,0000,05500HOSPICE 101688,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101688,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101688,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101688,A000000,06100,0000,06100NONPAID WORKERS 101688,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101688,A000000,06200,0000,06200PATIENTS LAUNDRY 101688,A81000A,00100,0100,Y 101688,A81000B,00100,0300,MANAGEMENT FEES 101688,A81000C,00100,0100,B 101688,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 101688,A81000C,00100,0600,MANAGEMENT SERVICES 101688,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101688,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101688,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101688,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101688,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101688,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101688,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101688,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101688,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101688,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101688,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101688,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101688,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101688,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICE 101688,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101688,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101688,S000000,00100,0200,07/07/2000 101688,S200000,00100,0100,7633 BELLFORT 101688,S200000,00200,0100,HOUSTON 101688,S200000,00200,0200,TX 101688,S200000,00200,0300,77061- 101688,S200000,00300,0100,HARRIS 101688,S200000,00400,0100,BRIARWOOD HEALTH CARE CENTER 101688,S200000,00400,0200,675791 101688,S200000,00400,0300,06/16/1999 101688,S200000,00400,0500,P 101688,S200000,00400,0600,O 101688,S200000,01004,0500,O 101688,S200000,01600,0100,Y 101691,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101691,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101691,A000000,00300,0000,00300EMPLOYEE BENEFITS 101691,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101691,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101691,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101691,A000000,00700,0000,00700HOUSEKEEPING 101691,A000000,00800,0000,00800DIETARY 101691,A000000,00900,0000,00900NURSING ADMINISTRATION 101691,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101691,A000000,01100,0000,01100PHARMACY 101691,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101691,A000000,01300,0000,01300SOCIAL SERVICE 101691,A000000,01301,0000,01301SOCIAL SERVICE 101691,A000000,01350,0000,01500OTHER GENERAL SERVICES 101691,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101691,A000000,01600,0000,01600SKILLED NURSING FACILITY 101691,A000000,01800,0000,01800NURSING FACILITY 101691,A000000,01810,0000,01810ICF/MR 101691,A000000,01900,0000,01900OTHER LONG TERM CARE 101691,A000000,02100,0000,02100RADIOLOGY 101691,A000000,02200,0000,02200LABORATORY 101691,A000000,02300,0000,02300INTRAVENOUS THERAPY 101691,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101691,A000000,02500,0000,02500PHYSICAL THERAPY 101691,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101691,A000000,02700,0000,02700SPEECH PATHOLOGY 101691,A000000,02800,0000,02800ELECTROCARDIOLOGY 101691,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101691,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101691,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101691,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101691,A000000,03200,0000,03200SUPPORT SURFACES 101691,A000000,03400,0000,03400CLINIC 101691,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101691,A000000,03500,0000,03500RURAL HEALTH CLINIC 101691,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101691,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101691,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101691,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101691,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101691,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101691,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101691,A000000,04400,0000,04400DME RENTED - HHA 101691,A000000,04500,0000,04500DME SOLD - HHA 101691,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101691,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101691,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101691,A000000,04800,0000,04800AMBULANCE 101691,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101691,A000000,05000,0000,05000CORF 101691,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101691,A000000,05300,0000,05300INTEREST EXPENSE 101691,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101691,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101691,A000000,05500,0000,05500HOSPICE 101691,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101691,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101691,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101691,A000000,06100,0000,06100NONPAID WORKERS 101691,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101691,A000000,06200,0000,06200PATIENTS LAUNDRY 101691,A81000A,00100,0100,Y 101691,A81000B,00100,0300,MANAGEMENT FEE 101691,A81000C,00100,0100,B 101691,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 101691,A81000C,00100,0600,MANAGEMENT SERVICES 101691,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101691,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101691,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101691,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101691,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101691,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101691,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101691,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101691,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101691,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101691,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101691,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101691,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101691,B100000,00000,1331,00000PATIENT DAYS :SOCIAL SERVICE 101691,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101691,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101691,S000000,00100,0200,07/05/2000 101691,S200000,00100,0100,1713 NORTH LOOP WEST 101691,S200000,00200,0100,HOUSTON 101691,S200000,00200,0200,TX 101691,S200000,00200,0300,77008- 101691,S200000,00300,0100,HARRIS 101691,S200000,00400,0100,LEXINGTON PLACE HEALTH CARE CENTER 101691,S200000,00400,0200,675793 101691,S200000,00400,0300,06/16/1999 101691,S200000,00400,0500,P 101691,S200000,00400,0600,O 101691,S200000,01004,0500,O 101691,S200000,01600,0100,Y 101694,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101694,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101694,A000000,00300,0000,00300EMPLOYEE BENEFITS 101694,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101694,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101694,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101694,A000000,00601,0000,00601LAUNDRY & LINEN SERVICE 101694,A000000,00700,0000,00700HOUSEKEEPING 101694,A000000,00800,0000,00800DIETARY 101694,A000000,00900,0000,00900NURSING ADMINISTRATION 101694,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101694,A000000,01100,0000,01100PHARMACY 101694,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101694,A000000,01300,0000,01300SOCIAL SERVICE 101694,A000000,01301,0000,01301SOCIAL SERVICE 101694,A000000,01350,0000,01500OTHER GENERAL SERVICES 101694,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101694,A000000,01600,0000,01600SKILLED NURSING FACILITY 101694,A000000,01800,0000,01800NURSING FACILITY 101694,A000000,01810,0000,01810ICF/MR 101694,A000000,01900,0000,01900OTHER LONG TERM CARE 101694,A000000,02100,0000,02100RADIOLOGY 101694,A000000,02200,0000,02200LABORATORY 101694,A000000,02300,0000,02300INTRAVENOUS THERAPY 101694,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101694,A000000,02500,0000,02500PHYSICAL THERAPY 101694,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101694,A000000,02700,0000,02700SPEECH PATHOLOGY 101694,A000000,02800,0000,02800ELECTROCARDIOLOGY 101694,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101694,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101694,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101694,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101694,A000000,03200,0000,03200SUPPORT SURFACES 101694,A000000,03400,0000,03400CLINIC 101694,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101694,A000000,03500,0000,03500RURAL HEALTH CLINIC 101694,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101694,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101694,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101694,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101694,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101694,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101694,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101694,A000000,04400,0000,04400DME RENTED - HHA 101694,A000000,04500,0000,04500DME SOLD - HHA 101694,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101694,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101694,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101694,A000000,04800,0000,04800AMBULANCE 101694,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101694,A000000,05000,0000,05000CORF 101694,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101694,A000000,05300,0000,05300INTEREST EXPENSE 101694,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101694,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101694,A000000,05500,0000,05500HOSPICE 101694,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101694,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101694,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101694,A000000,06100,0000,06100NONPAID WORKERS 101694,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101694,A000000,06200,0000,06200PATIENTS LAUNDRY 101694,A81000A,00100,0100,Y 101694,A81000B,00100,0300,MANAGEMENT FEES 101694,A81000C,00100,0100,B 101694,A81000C,00100,0400,CENTERS FOR LONG TERM CAR 101694,A81000C,00100,0600,MANAGEMENT FEES 101694,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101694,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101694,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101694,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101694,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101694,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101694,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101694,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101694,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101694,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101694,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101694,S000000,00100,0200,07/05/2000 101694,S200000,00100,0100,6565 SANDSPOINT 101694,S200000,00200,0100,HOUSTON 101694,S200000,00200,0200,TX 101694,S200000,00200,0300,77074- 101694,S200000,00300,0100,HARRIS 101694,S200000,00300,0200,3360 101694,S200000,00300,0300,U 101694,S200000,00400,0100,WINDSOR PLACE HEALTH CARE CENTER 101694,S200000,00400,0200,675794 101694,S200000,00400,0300,06/16/1999 101694,S200000,00400,0500,P 101694,S200000,00400,0600,O 101694,S200000,01004,0500,O 101694,S200000,01600,0100,Y 101697,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101697,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101697,A000000,00300,0000,00300EMPLOYEE BENEFITS 101697,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101697,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101697,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101697,A000000,00700,0000,00700HOUSEKEEPING 101697,A000000,00800,0000,00800DIETARY 101697,A000000,00900,0000,00900NURSING ADMINISTRATION 101697,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101697,A000000,01100,0000,01100PHARMACY 101697,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101697,A000000,01300,0000,01300SOCIAL SERVICE 101697,A000000,01350,0000,01500OTHER GENERAL SERVICES 101697,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101697,A000000,01600,0000,01600SKILLED NURSING FACILITY 101697,A000000,01800,0000,01800NURSING FACILITY 101697,A000000,01810,0000,01801ICF/MR 101697,A000000,01900,0000,01900OTHER LONG TERM CARE 101697,A000000,02100,0000,02100RADIOLOGY 101697,A000000,02200,0000,02200LABORATORY 101697,A000000,02300,0000,02300INTRAVENOUS THERAPY 101697,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101697,A000000,02500,0000,02500PHYSICAL THERAPY 101697,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101697,A000000,02700,0000,02700SPEECH PATHOLOGY 101697,A000000,02800,0000,02800ELECTROCARDIOLOGY 101697,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101697,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101697,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101697,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101697,A000000,03200,0000,03200SUPPORT SURFACES 101697,A000000,03400,0000,03400CLINIC 101697,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101697,A000000,03500,0000,03500RURAL HEALTH CLINIC 101697,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101697,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101697,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101697,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101697,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101697,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101697,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101697,A000000,04400,0000,04400DME RENTED - HHA 101697,A000000,04500,0000,04500DME SOLD - HHA 101697,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101697,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101697,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101697,A000000,04800,0000,04800AMBULANCE 101697,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101697,A000000,05000,0000,05000CORF 101697,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101697,A000000,05300,0000,05300INTEREST EXPENSE 101697,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101697,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101697,A000000,05500,0000,05500HOSPICE 101697,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101697,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101697,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101697,A000000,06100,0000,06100NONPAID WORKERS 101697,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101697,A000000,06200,0000,06200PATIENTS LAUNDRY 101697,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101697,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101697,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101697,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101697,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101697,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101697,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101697,B100000,00000,0800,00000MEALS SERVED :DIETARY 101697,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101697,B100000,00000,1050,00000NO STATISTICS :CENTRAL SERVICES & 101697,B100000,00000,1150,00000NO STATISTICS :PHARMACY 101697,B100000,00000,1250,00000SQUARE FEET :MEDICAL RECORDS & LIB 101697,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101697,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101697,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 101697,S000000,00100,0200,06/01/2000 101697,S200000,00100,0100,1502 HOWARD STREET 101697,S200000,00200,0100,SAN ANTONIO 101697,S200000,00200,0200,TX 101697,S200000,00200,0300,78212- 101697,S200000,00300,0100,BEXAR 101697,S200000,00400,0100,CHANDLER ESTATES 101697,S200000,00400,0200,675795 101697,S200000,00400,0300,06/23/1999 101697,S200000,00400,0500,P 101697,S200000,01600,0100,Y 101697,S700003,00000,0400,4 101703,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101703,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101703,A000000,00300,0000,00300EMPLOYEE BENEFITS 101703,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101703,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101703,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101703,A000000,00700,0000,00700HOUSEKEEPING 101703,A000000,00800,0000,00800DIETARY 101703,A000000,00900,0000,00900NURSING ADMINISTRATION 101703,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101703,A000000,01100,0000,01100PHARMACY 101703,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101703,A000000,01300,0000,01300SOCIAL SERVICE 101703,A000000,01350,0000,01500OTHER GENERAL SERVICES 101703,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101703,A000000,01600,0000,01600SKILLED NURSING FACILITY 101703,A000000,01800,0000,01800NURSING FACILITY 101703,A000000,01900,0000,01900OTHER LONG TERM CARE 101703,A000000,02100,0000,02100RADIOLOGY 101703,A000000,02200,0000,02200LABORATORY 101703,A000000,02300,0000,02300INTRAVENOUS THERAPY 101703,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101703,A000000,02500,0000,02500PHYSICAL THERAPY 101703,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101703,A000000,02700,0000,02700SPEECH PATHOLOGY 101703,A000000,02800,0000,02800ELECTROCARDIOLOGY 101703,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101703,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101703,A000000,03001,0000,03001CONSULTANTS 101703,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101703,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101703,A000000,03200,0000,03200SUPPORT SURFACES 101703,A000000,03400,0000,03400CLINIC 101703,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101703,A000000,03500,0000,03500RURAL HEALTH CLINIC 101703,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101703,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101703,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101703,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101703,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101703,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101703,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101703,A000000,04400,0000,04400DME RENTED - HHA 101703,A000000,04500,0000,04500DME SOLD - HHA 101703,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101703,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101703,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101703,A000000,04800,0000,04800AMBULANCE 101703,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101703,A000000,05000,0000,05000CORF 101703,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101703,A000000,05300,0000,05300INTEREST EXPENSE 101703,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101703,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101703,A000000,05500,0000,05500HOSPICE 101703,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101703,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101703,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101703,A000000,06100,0000,06100NONPAID WORKERS 101703,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101703,A000000,06151,0000,06301ADULT DAY CARE 101703,A000000,06152,0000,06302CHILDRENS DAY CARE 101703,A000000,06200,0000,06200PATIENTS LAUNDRY 101703,B100000,00000,0100,00002SQUARE FEET :CAP REL COSTS - BLDGS 101703,B100000,00000,0200,00002DOLLAR VALUE :CAP REL COSTS - MOVA 101703,B100000,00000,0300,00002GROSS SALARIES :EMPLOYEE BENEFITS 101703,B100000,00000,0400,00002 ACCUM. COST :ADMINISTRATIVE & GENE 101703,B100000,00000,0500,00002SQUARE FEET :PLANT OPERATION MAIN 101703,B100000,00000,0600,00002POUNDS OF LAUNDRY :LAUNDRY & LINEN 101703,B100000,00000,0700,00002HOURS OF SERVICE :HOUSEKEEPING 101703,B100000,00000,0800,00002MEALS SERVED :DIETARY 101703,B100000,00000,0950,00002DIRECT NRSING HRS :NURSING ADMINIST 101703,B100000,00000,1000,00002COSTED REQUIS. :CENTRAL SERVICES & 101703,B100000,00000,1100,00002COSTED REQUIS. :PHARMACY 101703,B100000,00000,1200,00002TIME SPENT :MEDICAL RECORDS & LIBR 101703,B100000,00000,1300,00002TIME SPENT :SOCIAL SERVICE 101703,B100000,00000,1350,00002NO STATISTICS :OTHER GENERAL SERVI 101703,B100000,00000,1400,00002ASSIGNED TIME :INTERNS & RESIDENTS 101703,S000000,00100,0200,05/31/2000 101703,S200000,00100,0100,2505 SOUTH 37TH STREET 101703,S200000,00200,0100,TEMPLE 101703,S200000,00200,0200,TX 101703,S200000,00200,0300,76504-7135 101703,S200000,00300,0100,BELL 101703,S200000,00400,0100,BELL HEALTHCARE MANAGEMENT 101703,S200000,00400,0200,675797 101703,S200000,00400,0300,06/29/1999 101703,S200000,00400,0500,P 101703,S200000,01500,0100,Y 101703,S200000,02200,0100,Y 101703,S200000,04300,0100,Y 101705,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101705,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101705,A000000,00300,0000,00300EMPLOYEE BENEFITS 101705,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101705,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101705,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101705,A000000,00700,0000,00700HOUSEKEEPING 101705,A000000,00800,0000,00800DIETARY 101705,A000000,00900,0000,00900NURSING ADMINISTRATION 101705,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101705,A000000,01100,0000,01100PHARMACY 101705,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101705,A000000,01300,0000,01300SOCIAL SERVICE 101705,A000000,01600,0000,01600SKILLED NURSING FACILITY 101705,A000000,01800,0000,01800NURSING FACILITY 101705,A000000,02100,0000,02100RADIOLOGY 101705,A000000,02200,0000,02200LABORATORY 101705,A000000,02500,0000,02500PHYSICAL THERAPY 101705,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101705,A000000,02700,0000,02700SPEECH PATHOLOGY 101705,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101705,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101705,A000000,03200,0000,03200SUPPORT SURFACES 101705,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101705,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101705,A81000A,00100,0100,Y 101705,A81000B,00100,0300,HOME OFFICE CAPITAL RELATED COST 101705,A81000B,00200,0300,HOME OFFICE ADMIN RELATED COST 101705,A81000C,00100,0100,A 101705,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101705,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101705,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101705,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101705,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101705,B100000,00000,0650,00000INPATIENT DAYS :LAUNDRY & LINEN SE 101705,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101705,B100000,00000,0850,00000INPATIENT DAYS :DIETARY 101705,B100000,00000,0950,00000INPATIENT DAYS :NURSING ADMINISTRA 101705,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101705,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101705,B100000,00000,1250,00000INPATIENT DAYS :MEDICAL RECORDS & 101705,B100000,00000,1330,00000INPATIENT DAYS :SOCIAL SERVICE 101705,S000000,00100,0200,06/19/2000 101705,S200000,00100,0100,1215 HIGHWAY 124 101705,S200000,00200,0100,WINNIE 101705,S200000,00200,0200,TX 101705,S200000,00200,0300,77665- 101705,S200000,00300,0100,CHAMBERS 101705,S200000,00400,0100,THE ARBORETUM OF WINNIE 101705,S200000,00400,0200,675798 101705,S200000,00400,0300,06/24/1999 101705,S200000,00400,0500,P 101705,S200000,01004,0500,O 101705,S200000,01500,0100,Y 101708,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101708,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101708,A000000,00300,0000,00300EMPLOYEE BENEFITS 101708,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101708,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101708,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101708,A000000,00700,0000,00700HOUSEKEEPING 101708,A000000,00800,0000,00800DIETARY 101708,A000000,00900,0000,00900NURSING ADMINISTRATION 101708,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101708,A000000,01100,0000,01100PHARMACY 101708,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101708,A000000,01300,0000,01300SOCIAL SERVICE 101708,A000000,01350,0000,01500OTHER GENERAL SERVICES 101708,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101708,A000000,01600,0000,01600SKILLED NURSING FACILITY 101708,A000000,01800,0000,01800NURSING FACILITY 101708,A000000,01810,0000,01801ICF/MR 101708,A000000,01900,0000,01900OTHER LONG TERM CARE 101708,A000000,02100,0000,02100RADIOLOGY 101708,A000000,02200,0000,02200LABORATORY 101708,A000000,02300,0000,02300INTRAVENOUS THERAPY 101708,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101708,A000000,02500,0000,02500PHYSICAL THERAPY 101708,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101708,A000000,02700,0000,02700SPEECH PATHOLOGY 101708,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101708,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101708,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101708,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101708,A000000,03200,0000,03200SUPPORT SURFACES 101708,A000000,03400,0000,03400CLINIC 101708,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101708,A000000,03500,0000,03500RURAL HEALTH CLINIC 101708,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101708,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101708,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101708,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101708,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101708,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101708,A000000,04500,0000,04500DME SOLD - HHA 101708,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101708,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101708,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101708,A000000,04800,0000,04800AMBULANCE 101708,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101708,A000000,05000,0000,05000CORF 101708,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101708,A000000,05300,0000,05300INTEREST EXPENSE 101708,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101708,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101708,A000000,05500,0000,05500HOSPICE 101708,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101708,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101708,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101708,A000000,06100,0000,06100NONPAID WORKERS 101708,A000000,06150,0000,06300PASTORAL CARE 101708,A000000,06200,0000,06200PATIENTS LAUNDRY 101708,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101708,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101708,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101708,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101708,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101708,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101708,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101708,B100000,00000,0800,00000MEALS SERVED :DIETARY 101708,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101708,B100000,00000,1000,00000COSTED REQUIS. :CENTRAL SERVICES & 101708,B100000,00000,1100,00000COSTED REQUIS. :PHARMACY 101708,B100000,00000,1200,00000TIME SPENT :MEDICAL RECORDS & LIBR 101708,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101708,B100000,00000,1350,00000NO STATISTICS :OTHER GENERAL SERVI 101708,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101708,S000000,00100,0200,06/21/2000 101708,S200000,00100,0100,400 SAYLES STREET 101708,S200000,00200,0100,BRENHAM 101708,S200000,00200,0200,TX 101708,S200000,00200,0300,77833- 101708,S200000,00300,0100,WASHINGTON 101708,S200000,00400,0100,TRINITY CARE CENTER 101708,S200000,00400,0200,675799 101708,S200000,00400,0300,07/22/1999 101708,S200000,00400,0500,P 101708,S200000,01600,0100,Y 101708,S700003,00000,0400,4 101710,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101710,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101710,A000000,00300,0000,00300EMPLOYEE BENEFITS 101710,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101710,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101710,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101710,A000000,00700,0000,00700HOUSEKEEPING 101710,A000000,00800,0000,00800DIETARY 101710,A000000,00900,0000,00900NURSING ADMINISTRATION 101710,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101710,A000000,01100,0000,01100PHARMACY 101710,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101710,A000000,01300,0000,01300SOCIAL SERVICE 101710,A000000,01351,0000,01301ACTIVITIES 101710,A000000,01600,0000,01600SKILLED NURSING FACILITY 101710,A000000,01800,0000,01800NURSING FACILITY 101710,A000000,02100,0000,02100RADIOLOGY 101710,A000000,02200,0000,02200LABORATORY 101710,A000000,02300,0000,02300INTRAVENOUS THERAPY 101710,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101710,A000000,02500,0000,02500PHYSICAL THERAPY 101710,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101710,A000000,02700,0000,02700SPEECH PATHOLOGY 101710,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101710,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101710,A000000,03050,0000,03300OTHER ANCILLARY SERVICE COST CENTER 101710,A000000,03051,0000,03301MEDICAL EQUIPMENT 101710,A000000,04800,0000,04800AMBULANCE 101710,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101710,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101710,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101710,A81000A,00100,0100,Y 101710,A81000B,00100,0300,HOME OFFICE CAPITAL 101710,A81000B,00200,0300,HOME OFFICE NONCAPITAL 101710,A81000B,00300,0300,WAREHOUSE 101710,A81000C,00100,0100,A 101710,A81000C,00100,0200,PETER C. KERN 101710,A81000C,00100,0400,HEA MANAGEMENT GROUP 101710,A81000C,00100,0600,HOME OFFICE 101710,A81000C,00200,0100,A 101710,A81000C,00200,0200,PETER C. KERN 101710,A81000C,00200,0400,WAREHOUSE STORAGE 101710,A81000C,00200,0600,OLD RECORD STORAGE 101710,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101710,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101710,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101710,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101710,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101710,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101710,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101710,B100000,00000,0800,00000MEALS SERVED :DIETARY 101710,B100000,00000,0900,00000HOURS OF SERVICE :NURSING ADMINISTR 101710,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101710,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101710,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101710,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101710,B100000,00000,1351,00000PATIENT DAYS :ACTIVITIES 101710,S000000,00100,0200,05/30/2000 101710,S200000,00100,0100,717 KINGSWAY 101710,S200000,00200,0100,DEL RIO 101710,S200000,00200,0200,TX 101710,S200000,00200,0300,78840- 101710,S200000,00300,0100,VAL VERDE 101710,S200000,00300,0200,45 101710,S200000,00300,0300,R 101710,S200000,00400,0100,LA VIDA SERENA 101710,S200000,00400,0200,675800 101710,S200000,00400,0300,05/01/1999 101710,S200000,00400,0500,P 101710,S200000,01600,0100,Y 101710,S200000,02200,0100,Y 101710,S200000,04300,0100,Y 101714,S000000,00100,0200,01/04/2001 101716,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101716,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101716,A000000,00300,0000,00300EMPLOYEE BENEFITS 101716,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101716,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101716,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101716,A000000,00700,0000,00700HOUSEKEEPING 101716,A000000,00800,0000,00800DIETARY 101716,A000000,00900,0000,00900NURSING ADMINISTRATION 101716,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101716,A000000,01100,0000,01100PHARMACY 101716,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101716,A000000,01300,0000,01300SOCIAL SERVICE 101716,A000000,01350,0000,01500ACTIVITIES 101716,A000000,01600,0000,01600SKILLED NURSING FACILITY 101716,A000000,01900,0000,01900OTHER LONG TERM CARE 101716,A000000,02100,0000,02100RADIOLOGY 101716,A000000,02200,0000,02200LABORATORY 101716,A000000,02300,0000,02300INTRAVENOUS THERAPY 101716,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101716,A000000,02500,0000,02500PHYSICAL THERAPY 101716,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101716,A000000,02700,0000,02700SPEECH PATHOLOGY 101716,A000000,02800,0000,02800ELECTROCARDIOLOGY 101716,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101716,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101716,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101716,A000000,03200,0000,03200SUPPORT SURFACES 101716,A000000,03400,0000,03400CLINIC 101716,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101716,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101716,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101716,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101716,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101716,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101716,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101716,A000000,04400,0000,04400DME RENTED - HHA 101716,A000000,04500,0000,04500DME SOLD - HHA 101716,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101716,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101716,A000000,04800,0000,04800AMBULANCE 101716,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101716,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101716,A000000,05300,0000,05300INTEREST EXPENSE 101716,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101716,A000000,05500,0000,05500HOSPICE 101716,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101716,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101716,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101716,A000000,06100,0000,06100NONPAID WORKERS 101716,A000000,06200,0000,06200PATIENTS LAUNDRY 101716,A81000A,00100,0100,Y 101716,A81000B,00100,0300,RENT EXPENSE 101716,A81000B,00200,0300,PAYROLL TAX EXPENSE 101716,A81000B,00300,0300,WAGES EXPENSE 101716,A81000B,00400,0300,SEMINARS AND TRAINING 101716,A81000B,00500,0300,TRAVEL EXPENSE 101716,A81000B,00600,0300,OUTSIDE SERVICES 101716,A81000B,00700,0300,COST REPORT EXPENSE 101716,A81000B,00800,0300,OFFICE EXPENSES 101716,A81000B,00900,0300,TELEPHONE 101716,A81000B,01000,0300,INTEREST 101716,A81000B,01100,0300,INSURANCE 101716,A81000B,01200,0300,LEGAL AND ACCOUNTING 101716,A81000B,01300,0300,MANAGEMENT FEES 101716,A81000C,00100,0100,B 101716,A81000C,00100,0400,BALLANTRAE 101716,A81000C,00100,0600,HEALTH CARE 101716,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101716,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101716,B100000,00000,0300,00000GROSS SAL :EMPLOYEE BENEFITS 101716,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101716,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101716,B100000,00000,0650,00000PAT DAYS :LAUNDRY & LINEN SERVICE 101716,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101716,B100000,00000,0800,00000MEALS SERVED :DIETARY 101716,B100000,00000,0950,00000DIRECT NURSING HO :NURSING ADMINIST 101716,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 101716,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 101716,B100000,00000,1250,00000PAT DAYS :MEDICAL RECORDS & LIBRAR 101716,B100000,00000,1330,00000PAT DAYS :SOCIAL SERVICE 101716,B100000,00000,1350,00000PAT DAYS :ACTIVITIES 101716,S000000,00100,0200,05/31/2000 101716,S200000,00100,0100,2222 SOUTH FIFTH STREET 101716,S200000,00200,0100,TEMPLE 101716,S200000,00200,0200,TX 101716,S200000,00200,0300,76501- 101716,S200000,00300,0100,BELL 101716,S200000,00400,0100,SOUTHLAND VILLA NURSING CENTER 101716,S200000,00400,0200,675804 101716,S200000,00400,0300,08/20/1999 101716,S200000,00400,0500,P 101716,S200000,00400,0600,O 101716,S200000,01004,0500,O 101716,S200000,01500,0100,Y 101716,S200000,02200,0100,Y 101716,S200000,04300,0100,Y 101720,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101720,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101720,A000000,00300,0000,00300EMPLOYEE BENEFITS 101720,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101720,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101720,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101720,A000000,00700,0000,00700HOUSEKEEPING 101720,A000000,00800,0000,00800DIETARY 101720,A000000,00900,0000,00900NURSING ADMINISTRATION 101720,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101720,A000000,01100,0000,01100PHARMACY 101720,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101720,A000000,01300,0000,01300SOCIAL SERVICE 101720,A000000,01350,0000,01500PATIENT ACTIVITIES 101720,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101720,A000000,01600,0000,01600SKILLED NURSING FACILITY 101720,A000000,01800,0000,01800NURSING FACILITY 101720,A000000,01810,0000,01810ICF/MR 101720,A000000,01900,0000,01900OTHER LONG TERM CARE 101720,A000000,02100,0000,02100RADIOLOGY 101720,A000000,02200,0000,02200LABORATORY 101720,A000000,02300,0000,02300INTRAVENOUS THERAPY 101720,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101720,A000000,02500,0000,02500PHYSICAL THERAPY 101720,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101720,A000000,02700,0000,02700SPEECH PATHOLOGY 101720,A000000,02800,0000,02800ELECTROCARDIOLOGY 101720,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101720,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101720,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101720,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101720,A000000,03200,0000,03200SUPPORT SURFACES 101720,A000000,03400,0000,03400CLINIC 101720,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101720,A000000,03500,0000,03500RURAL HEALTH CLINIC 101720,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101720,A000000,04800,0000,04800AMBULANCE 101720,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101720,A000000,05000,0000,05000CORF 101720,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101720,A000000,05300,0000,05300INTEREST EXPENSE 101720,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101720,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101720,A000000,05500,0000,05500HOSPICE 101720,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101720,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101720,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101720,A000000,06100,0000,06100NONPAID WORKERS 101720,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101720,A000000,06200,0000,06200PATIENTS LAUNDRY 101720,A81000A,00100,0100,Y 101720,A81000B,00100,0300,MANAGEMENT FEE 101720,A81000C,00100,0100,B 101720,A81000C,00100,0400,HEALTHMARK PARTNERS LLC 101720,A81000C,00100,0600,MANAGEMENT COMPANY 101720,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101720,B100000,00000,0250,00000NO STATISTICS :CAP REL COSTS - MOV 101720,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101720,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101720,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101720,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101720,B100000,00000,0750,00000SQ FT EXCL DIET:HOUSEKEEPING 101720,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101720,B100000,00000,0950,00000PATIENT DAYS :NURSING ADMINISTRATI 101720,B100000,00000,1050,00000PATIENT DAYS :CENTRAL SERVICES & S 101720,B100000,00000,1150,00000PATIENT DAYS :PHARMACY 101720,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101720,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101720,B100000,00000,1350,00000PATIENT DAYS :PATIENT ACTIVITIES 101720,B100000,00000,1450,00000NO STATISTICS :INTERNS & RESIDENTS 101720,S000000,00100,0200,05/30/2000 101720,S200000,00100,0100,7804 VIRGIL ANTHONY BOULEVARD 101720,S200000,00200,0100,WATAUGA 101720,S200000,00200,0200,TX 101720,S200000,00200,0300,76418-2456 101720,S200000,00300,0100,TARRANT 101720,S200000,00400,0100,NORTH PARK MANOR 101720,S200000,00400,0200,675805 101720,S200000,00400,0300,08/24/1999 101720,S200000,00400,0500,P 101720,S200000,01004,0500,O 101720,S200000,01500,0100,Y 101722,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101722,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101722,A000000,00300,0000,00300EMPLOYEE BENEFITS 101722,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101722,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101722,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101722,A000000,00700,0000,00700HOUSEKEEPING 101722,A000000,00800,0000,00800DIETARY 101722,A000000,00900,0000,00900NURSING ADMINISTRATION 101722,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101722,A000000,01100,0000,01100PHARMACY 101722,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101722,A000000,01300,0000,01300SOCIAL SERVICE 101722,A000000,01350,0000,01500OTHER GENERAL SERVICES 101722,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101722,A000000,01600,0000,01600SKILLED NURSING FACILITY 101722,A000000,01800,0000,01800NURSING FACILITY 101722,A000000,01810,0000,01810ICF/MR 101722,A000000,01900,0000,01900OTHER LONG TERM CARE 101722,A000000,02100,0000,02100RADIOLOGY 101722,A000000,02200,0000,02200LABORATORY 101722,A000000,02300,0000,02300INTRAVENOUS THERAPY 101722,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101722,A000000,02500,0000,02500PHYSICAL THERAPY 101722,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101722,A000000,02700,0000,02700SPEECH PATHOLOGY 101722,A000000,02800,0000,02800ELECTROCARDIOLOGY 101722,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101722,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101722,A000000,03050,0000,03300OTHER ANCILLARY SERVICES 101722,A000000,03100,0000,03100DENTAL CARE - TITLE XIX ONLY 101722,A000000,03200,0000,03200SUPPORT SURFACES 101722,A000000,03400,0000,03400CLINIC 101722,A000000,03450,0000,03600OTHER OUTPATIENT SERVICES 101722,A000000,03500,0000,03500RURAL HEALTH CLINIC 101722,A000000,03700,0000,03700ADMINISTRATIVE & GENERAL - HHA 101722,A000000,03800,0000,03800SKILLED NURSING CARE - HHA 101722,A000000,03900,0000,03900PHYSICAL THERAPY - HHA 101722,A000000,04000,0000,04000OCCUPATIONAL THERAPY - HHA 101722,A000000,04100,0000,04100SPEECH PATHOLOGY - HHA 101722,A000000,04200,0000,04200MEDICAL SOCIAL SERVICES - HHA 101722,A000000,04300,0000,04300HOME HEALTH AIDE - HHA 101722,A000000,04400,0000,04400DME RENTED - HHA 101722,A000000,04500,0000,04500DME SOLD - HHA 101722,A000000,04600,0000,04600HOME DELIVERED MEALS - HHA 101722,A000000,04700,0000,04700OTHER HOME HEALTH SERVICES - HHA 101722,A000000,04750,0000,05100OTHER REIMBURSABLE COST 101722,A000000,04800,0000,04800AMBULANCE 101722,A000000,04900,0000,04900INTERNS & RESIDENTS (NOT APPRVD) 101722,A000000,05000,0000,05000CORF 101722,A000000,05200,0000,05200MALPRACTICE PREMIUMS & PAID LOSSES 101722,A000000,05300,0000,05300INTEREST EXPENSE 101722,A000000,05350,0000,05600OTHER SPECIAL PURPOSE COST 101722,A000000,05400,0000,05400UTILIZATION REVIEW - SNF 101722,A000000,05500,0000,05500HOSPICE 101722,A000000,05800,0000,05800GIFT FLOWER COFFEE SHOPS & CANTEE 101722,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101722,A000000,06000,0000,06000PHYSICIANS PRIVATE OFFICES 101722,A000000,06100,0000,06100NONPAID WORKERS 101722,A000000,06150,0000,06300OTHER NONREIMBURSABLE COST 101722,A000000,06200,0000,06200PATIENTS LAUNDRY 101722,B100000,00000,0150,00000 PATIENT DAYS :CAP REL COSTS - BLDG 101722,B100000,00000,0250,00000 PATIENT DAYS :CAP REL COSTS - MOVA 101722,B100000,00000,0350,00000 PATIENT DAYS :EMPLOYEE BENEFITS 101722,B100000,00000,0450,00000 PATIENT DAYS :ADMINISTRATIVE & GEN 101722,B100000,00000,0550,00000 PATIENT DAYS :PLANT OPERATION MAI 101722,B100000,00000,0650,00000 PATIENT DAYS :LAUNDRY & LINEN SERV 101722,B100000,00000,0750,00000 PATIENT DAYS :HOUSEKEEPING 101722,B100000,00000,0850,00000 PATIENT DAYS :DIETARY 101722,B100000,00000,0950,00000 PATIENT DAYS :NURSING ADMINISTRATI 101722,B100000,00000,1150,00000 PATIENT DAYS :PHARMACY 101722,B100000,00000,1250,00000 PATIENT DAYS :MEDICAL RECORDS & LI 101722,B100000,00000,1330,00000 PATIENT DAYS :SOCIAL SERVICE 101722,S000000,00100,0200,06/01/2000 101722,S200000,00100,0100,329 EAST COLORADO BLVD 101722,S200000,00200,0100,DALLAS 101722,S200000,00200,0200,TX 101722,S200000,00200,0300,75203- 101722,S200000,00300,0100,DALLAS 101722,S200000,00300,0200,1920 101722,S200000,00300,0300,U 101722,S200000,00400,0100,LAKE PARK NURSING HOME 101722,S200000,00400,0200,675807 101722,S200000,00400,0300,08/02/1999 101722,S200000,00400,0500,P 101722,S200000,01600,0100,Y 101723,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURES 101723,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPMENT 101723,A000000,00300,0000,00300EMPLOYEE BENEFITS 101723,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101723,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAIRS 101723,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101723,A000000,00700,0000,00700HOUSEKEEPING 101723,A000000,00800,0000,00800DIETARY 101723,A000000,00900,0000,00900NURSING ADMINISTRATION 101723,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101723,A000000,01100,0000,01100PHARMACY 101723,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101723,A000000,01300,0000,01300SOCIAL SERVICE 101723,A000000,01350,0000,01500RECREATION 101723,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PROGRAM 101723,A000000,01600,0000,01600SKILLED NURSING FACILITY 101723,A000000,01800,0000,01800NURSING FACILITY 101723,A000000,01810,0000,01810ICF/MR 101723,A000000,02500,0000,02500PHYSICAL THERAPY 101723,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101723,A000000,02700,0000,02700SPEECH PATHOLOGY 101723,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PATIENT 101723,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101723,A000000,03550,0000,03550FQHC 101723,A000000,05000,0000,05000CORF 101723,A000000,05010,0000,05010CMHC 101723,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 101723,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 101723,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 101723,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101723,B100000,00000,0100,00000SQUARE FEET :CAP REL COSTS - BLDGS 101723,B100000,00000,0250,00000SQUARE FEET :CAP REL COSTS - MOVAB 101723,B100000,00000,0300,00000GROSS SALARIES :EMPLOYEE BENEFITS 101723,B100000,00000,0400,00000 ACCUM. COST :ADMINISTRATIVE & GENE 101723,B100000,00000,0500,00000SQUARE FEET :PLANT OPERATION MAIN 101723,B100000,00000,0650,00000PATIENT DAYS :LAUNDRY & LINEN SERV 101723,B100000,00000,0750,00000SQUARE FEET :HOUSEKEEPING 101723,B100000,00000,0850,00000PATIENT DAYS :DIETARY 101723,B100000,00000,0950,00000NURSING SALARIES :NURSING ADMINIST 101723,B100000,00000,1000,00000COSTED REQUIS :CENTRAL SERVICES & 101723,B100000,00000,1100,00000COSTED REQUIS :PHARMACY 101723,B100000,00000,1250,00000PATIENT DAYS :MEDICAL RECORDS & LI 101723,B100000,00000,1330,00000PATIENT DAYS :SOCIAL SERVICE 101723,B100000,00000,1350,00000PATIENT DAYS :RECREATION 101723,B100000,00000,1400,00000ASSIGNED TIME :INTERNS & RESIDENTS 101723,S000000,00100,0200,07/11/2000 101723,S200000,00100,0100,250 NORTH FM 2578 101723,S200000,00100,0300,1447 101723,S200000,00200,0100,TERRELL 101723,S200000,00200,0200,TX 101723,S200000,00200,0300,75160- 101723,S200000,00300,0100,KAUFMAN 101723,S200000,00400,0100,WINDSOR CARE CENTER 101723,S200000,00400,0200,675808 101723,S200000,00400,0300,09/01/1999 101723,S200000,00400,0500,P 101723,S200000,01004,0500,O 101723,S200000,01600,0100,Y 101740,S000000,00100,0200,04/03/2001 101793,A000000,00100,0000,00100CAP REL COSTS - BLDGS & FIXTURE 101793,A000000,00200,0000,00200CAP REL COSTS - MOVABLE EQUIPME 101793,A000000,00300,0000,00300EMPLOYEE BENEFITS 101793,A000000,00400,0000,00400ADMINISTRATIVE & GENERAL 101793,A000000,00500,0000,00500PLANT OPERATION MAINT. & REPAI 101793,A000000,00600,0000,00600LAUNDRY & LINEN SERVICE 101793,A000000,00700,0000,00700HOUSEKEEPING 101793,A000000,00800,0000,00800DIETARY 101793,A000000,00900,0000,00900NURSING ADMINISTRATION 101793,A000000,01000,0000,01000CENTRAL SERVICES & SUPPLY 101793,A000000,01100,0000,01100PHARMACY 101793,A000000,01200,0000,01200MEDICAL RECORDS & LIBRARY 101793,A000000,01300,0000,01300SOCIAL SERVICE 101793,A000000,01400,0000,01400INTERNS & RESIDENTS (APPRVD PRO 101793,A000000,01600,0000,01600SKILLED NURSING FACILITY 101793,A000000,01800,0000,01800NURSING FACILITY 101793,A000000,01810,0000,01810ICF/MR 101793,A000000,02100,0000,02100RADIOLOGY 101793,A000000,02200,0000,02200LABORATORY 101793,A000000,02400,0000,02400OXYGEN (INHALATION) THERAPY 101793,A000000,02500,0000,02500PHYSICAL THERAPY 101793,A000000,02600,0000,02600OCCUPATIONAL THERAPY 101793,A000000,02700,0000,02700SPEECH PATHOLOGY 101793,A000000,02900,0000,02900MEDICAL SUPPLIES CHARGED TO PAT 101793,A000000,03000,0000,03000DRUGS CHARGED TO PATIENTS 101793,A000000,03200,0000,03200SUPPORT SURFACES 101793,A000000,03550,0000,03550FQHC 101793,A000000,05000,0000,05000CORF 101793,A000000,05010,0000,05010CMHC 101793,A000000,05020,0000,05020OUTPATIENT PHYSICAL THERAPY 101793,A000000,05030,0000,05030OUTPATIENT OCCUPATIONAL THERAPY 101793,A000000,05040,0000,05040OUTPATIENT SPEECH THERAPY 101793,A000000,05900,0000,05900BARBER & BEAUTY SHOP 101793,A81000A,00100,0100,Y 101793,A81000B,00100,0300,INTERCO RENT 101793,A81000B,00200,0300,INTERCO INTEREST 101793,A81000B,00300,0300,INTERCO DEPRECIATION 101793,A81000B,00400,0300,INTERCO POOLED CAPITAL COSTS 101793,A81000B,00500,0300,INTERCO POOLED COSTS 101793,A81000B,00600,0300,INTERCO CHILD CARE 101793,A81000B,00700,0300,INTERCO COLLECTION FEES 101793,A81000B,00800,0300,INTERCO A&G 101793,A81000B,00900,0300,INTERCO MAINTENANCE 101793,A81000B,01000,0300,INTERCO FOOD 101793,A81000B,01100,0300,INTERCO NURSING 101793,A81000B,01200,0300,INTERCO RESP. THRPY. 101793,A81000B,01300,0300,INTERCO PHYS. THRPY. 101793,A81000B,01400,0300,INTERCO OCCU. THRPY. 101793,A81000B,01500,0300,INTERCO SPCH. THRPY. 101793,A81000C,00100,0100,B 101793,A81000C,00100,0400,NOVANT HEALTH 101793,A81000C,00100,0600,HOSPITAL 101793,A81000C,00200,0100,B 101793,A81000C,00200,0400,NOVANT HEALTH 101793,A81000C,00200,0600,HOSPITAL 101793,A81000C,00300,0100,B 101793,A81000C,00300,0400,NOVANT HEALTH 101793,A81000C,00300,0600,HOSPITAL 101793,A81000C,00400,0100,B 101793,A81000C,00400,0400,NOVANT HEALTH 101793,A81000C,00400,0600,HOSPITAL 101793,A81000C,00500,0100,B 101793,A81000C,00500,0400,NOVANT HEALTH 101793,A81000C,00500,0600,HOSPITAL 101793,A81000C,00600,0100,B 101793,A81000C,00600,0400,NOVANT HEALTH 101793,A81000C,00600,0600,HOSPITAL 101793,A81000C,00700,0100,B 101793,A81000C,00700,0400,NOVANT HEALTH 101793,A81000C,00700,0600,HOSPITAL 101793,A81000C,00800,0100,B 101793,A81000C,00800,0400,NOVANT HEALTH 101793,A81000C,00800,0600,HOSPITAL 101793,A81000C,00900,0100,B 101793,A81000C,00900,0400,NOVANT HEALTH 101793,A81000C,00900,0600,HOSPITAL 101793,A81000C,01000,0100,B 101793,A81000C,01000,0400,NOVANT HEALTH 101793,A81000C,01000,0600,HOSPITAL 101793,B100000,00000,0100,00000SQUARE FEET 101793,B100000,00000,0200,00000SQUARE FEET 101793,B100000,00000,0300,00000GROSS SALARIES 101793,B100000,00000,0400,00000ACCUM COST 101793,B100000,00000,0500,00000SQUARE FEET 101793,B100000,00000,0600,00000PATIENT DAYS 101793,B100000,00000,0700,00000SQUARE FEET 101793,B100000,00000,0800,00000MEALS SERVED 101793,B100000,00000,0900,00000DIR NURSIN HRS OF SVC 101793,B100000,00000,1000,00000COSTED REQUIS 101793,B100000,00000,1100,00000COSTED REQUISITIO 101793,B100000,00000,1200,00000DIR NURSIN HRS OF SVC 101793,B100000,00000,1300,00000PATIENT DAYS 101793,B100000,00000,1400,00000ASSIGNED TIME 101793,E10A180,00501,0100,08/16/2000 101793,E10A180,00550,0100,09/21/2001 101793,S000000,00100,0200,06/21/2000 101793,S200000,00100,0100,901 BETHESDA ROAD 101793,S200000,00200,0100,WINSTON-SALEM 101793,S200000,00200,0200,NC 101793,S200000,00200,0300,27103 101793,S200000,00300,0100,FORSYTH 101793,S200000,00400,0100,THE OAKS AT FORSYTH 101793,S200000,00400,0200,345284 101793,S200000,00400,0300,06/30/1988 101793,S200000,00400,0500,P 101793,S200000,01600,0100,Y 113407,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113407,A000000,00300,0000,0300EMPLOYEE BENEFITS 113407,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113407,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113407,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113407,A000000,00700,0000,0700HOUSEKEEPING 113407,A000000,00800,0000,0800DIETARY 113407,A000000,01300,0000,1300SOCIAL SERVICE 113407,A000000,01500,0000,1350OTHER GENERAL SERVICES 113407,A000000,01600,0000,1600SKILLED NURSING FACILITY 113407,A000000,02100,0000,2100RADIOLOGY 113407,A000000,02200,0000,2200LABORATORY 113407,A000000,02500,0000,2500PHYSICAL THERAPY 113407,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113407,A000000,02700,0000,2700SPEECH PATHOLOGY 113407,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113407,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113407,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113407,A000000,05300,0000,5300INTEREST EXPENSE 113407,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113407,A81000A,00100,0100,Y 113407,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 113407,A81000B,00200,0300,CAPITAL 113407,A81000B,00300,0300,INTEREST 113407,A81000C,00100,0100,B 113407,A81000C,00100,0400,PRESBYTERIAN MA 113407,B100000,00000,0100,0000SQUARE FEETCAP REL COSTS - BL 113407,E10A180,00501,0100,12/07/00 113407,E10A180,00501,0300,12/07/00 113407,S000000,00100,0200,12/01/00 113407,S200000,00100,0100,4712 SW 6TH STREET 113407,S200000,00200,0100,TOPEKA 113407,S200000,00200,0200,KS 113407,S200000,00200,0300,66606- 113407,S200000,00300,0100,SHAWNEE 113407,S200000,00300,0300,U 113407,S200000,00400,0100,TOPEKA PRESBYTERIAN MANOR 113407,S200000,00400,0200,175297 113407,S200000,00400,0300,07/01/94 113407,S200000,00400,0500,P 113407,S200000,00400,0600,N 113407,S200000,01500,0100,Y 113407,S200000,01600,0100,N 113407,S200000,01700,0100,N 113407,S200000,01800,0100,N 113407,S200000,01900,0100,N 113407,S200000,02200,0100,N 113407,S200000,02800,0100,N 113407,S200000,02900,0100,N 113407,S200000,03000,0100,N 113407,S200000,03100,0100,N 113407,S200000,03200,0100,N 113407,S200000,03300,0100,N 113407,S200000,03300,0200,N 113407,S200000,04100,0100,N 113407,S200000,04200,0100,N 113407,S200000,04300,0100,N 113407,S200000,04600,0100,N 113407,S200000,04700,0100,N 113407,S200000,04700,0200,N 113407,S200000,04900,0100,N 113407,S700003,00000,0200,2 113414,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113414,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 113414,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113414,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 113414,A000000,00300,0000,0300EMPLOYEE BENEFITS 113414,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113414,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113414,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113414,A000000,00700,0000,0700HOUSEKEEPING 113414,A000000,00800,0000,0800DIETARY 113414,A000000,00801,0000,0801CAFETERIA 113414,A000000,00900,0000,0900NURSING ADMINISTRATION 113414,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113414,A000000,01100,0000,1100PHARMACY 113414,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113414,A000000,01300,0000,1300SOCIAL SERVICE 113414,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113414,A000000,01500,0000,1350ACTIVITIES 113414,A000000,01600,0000,1600SKILLED NURSING FACILITY 113414,A000000,01800,0000,1800NURSING FACILITY 113414,A000000,01810,0000,1810ICF/MR 113414,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113414,A000000,02500,0000,2500PHYSICAL THERAPY 113414,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113414,A000000,02700,0000,2700SPEECH PATHOLOGY 113414,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113414,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113414,A000000,03300,0000,3050PENN THERAPY 113414,A000000,03301,0000,3051FEE SCREENING 113414,A000000,03302,0000,3052OTHER ANCILLARY III 113414,A000000,03550,0000,3550FQHC 113414,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 113414,A000000,05000,0000,5000CORF I 113414,A000000,05010,0000,5010CMHC I 113414,A000000,05020,0000,5020OPT I 113414,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113414,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113414,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113414,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 113414,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 113414,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113414,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113414,A81000A,00100,0100,Y 113414,A81000B,00100,0300,MANAGEMENT FEES 113414,A81000C,00100,0100,B 113414,A81000C,00100,0400,AGE INSTITUTE 113414,A81000C,00100,0600,PARENT COMPANY 113414,B100000,00000,0100,0100(SQUARE FEET) 113414,B100000,00000,0101,0101(SQUARE FEET) 113414,B100000,00000,0200,0200(SQUARE FEET) 113414,B100000,00000,0201,0201(SQUARE FEET) 113414,B100000,00000,0300,0300(GROSS SALARIES) 113414,B100000,00000,0400,0400(ACCUM. COST) 113414,B100000,00000,0500,0500(SQUARE FEET) 113414,B100000,00000,0600,0600(PATIENT DAYS) 113414,B100000,00000,0700,0700(SQUARE FEET) 113414,B100000,00000,0800,0800(MEALS SERVED) 113414,B100000,00000,0801,0801(MEALS SERVED) 113414,B100000,00000,0900,0900(NURSING SALARIES) 113414,B100000,00000,1000,1000(COSTED REQUIS.) 113414,B100000,00000,1100,1100(PATIENT DAYS) 113414,B100000,00000,1200,1200(GROSS CHARGES) 113414,B100000,00000,1300,1300(PATIENT DAYS) 113414,B100000,00000,1400,1400(ASSIGNED TIME) 113414,B100000,00000,1500,1350(PATIENT DAYS) 113414,E10A180,00501,0100,12/28/00 113414,E10A180,00501,0300,12/28/00 113414,S000000,00100,0200,05/25/00 113414,S200000,00100,0100,11 ST. ANTHONY STREET 113414,S200000,00200,0100,CHICOPEE 113414,S200000,00200,0200,MA 113414,S200000,00200,0300,01013 113414,S200000,00300,0100,HAMPDEN 113414,S200000,00400,0100,WILLIAMSETT CENTER EAST 113414,S200000,00400,0200,225249 113414,S200000,00400,0300,01/01/67 113414,S200000,00400,0500,P 113414,S200000,01500,0100,N 113414,S200000,01600,0100,Y 113414,S200000,01700,0100,N 113414,S200000,01800,0100,N 113414,S200000,02200,0100,Y 113414,S200000,02800,0100,N 113414,S200000,02900,0100,N 113414,S200000,03000,0100,N 113414,S200000,03100,0100,N 113414,S200000,03200,0100,N 113414,S200000,03300,0100,N 113414,S200000,03300,0200,N 113414,S200000,04100,0100,N 113414,S200000,04200,0100,N 113414,S200000,04300,0100,N 113414,S200000,04600,0100,N 113414,S200000,04700,0100,N 113414,S200000,04900,0100,N 113437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113437,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113437,A000000,00300,0000,0300EMPLOYEE BENEFITS 113437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113437,A000000,00700,0000,0700HOUSEKEEPING 113437,A000000,00800,0000,0800DIETARY 113437,A000000,00900,0000,0900NURSING ADMINISTRATION 113437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113437,A000000,01100,0000,1100PHARMACY 113437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113437,A000000,01300,0000,1300SOCIAL SERVICE 113437,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113437,A000000,01600,0000,1600SKILLED NURSING FACILITY 113437,A000000,01810,0000,1810ICF/MR 113437,A000000,02100,0000,2100RADIOLOGY 113437,A000000,02200,0000,2200LABORATORY 113437,A000000,02500,0000,2500PHYSICAL THERAPY 113437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113437,A000000,02700,0000,2700SPEECH PATHOLOGY 113437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113437,A000000,03550,0000,3550FQHC 113437,A000000,05000,0000,5000CORF 113437,A000000,05010,0000,5010CMHC 113437,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113437,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113437,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113437,A81000A,00100,0100,Y 113437,A81000B,00100,0300,GROUNDS 113437,A81000C,00100,0100,E 113437,A81000C,00100,0400,PROHEALTHCARE 113437,A81000C,00100,0600,HEALTHCARE 113437,A81000C,00200,0100,E 113437,A81000C,00200,0400,COMMUNITY MEMOR 113437,A81000C,00200,0600,HEALTHCARE 113437,B100000,00000,0100,0100SQUARE FEET 113437,B100000,00000,0200,0200SQUARE FEET 113437,B100000,00000,0300,0300GROSS SALARIES 113437,B100000,00000,0400,0400ACCUM COST 113437,B100000,00000,0500,0500SQUARE FEET 113437,B100000,00000,0600,0600POUNDS OF LAUNDRY 113437,B100000,00000,0700,0700HOURS OF SERVICE 113437,B100000,00000,0800,0800MEALS SERVED 113437,B100000,00000,0900,0900DIRECT NRSG HRS 113437,B100000,00000,1000,1000COSTED REQUIS 113437,B100000,00000,1100,1100COSTED REQUIS 113437,B100000,00000,1200,1200TIME SPENT 113437,B100000,00000,1300,1300TIME SPENT 113437,B100000,00000,1400,1400ASSIGNED TIME 113437,S000000,00100,0200,12/29/00 113437,S200000,00100,0100,W180 N8071 TOWN HALL ROAD 113437,S200000,00200,0100,MENOMONEE FALLS 113437,S200000,00200,0200,WI 113437,S200000,00200,0300,53051 113437,S200000,00300,0100,W 113437,S200000,00300,0200,5080 113437,S200000,00300,0300,U 113437,S200000,00400,0100,LINDENGROVE MENOMONEE FALLS 113437,S200000,00400,0200,525421 113437,S200000,00400,0300,02/24/89 113437,S200000,00400,0500,P 113437,S200000,01500,0100,Y 113437,S200000,01600,0100,N 113437,S200000,01700,0100,N 113437,S200000,01800,0100,N 113437,S200000,01900,0100,COMMUNITY 113437,S200000,02200,0100,N 113437,S200000,02800,0100,N 113437,S200000,02900,0100,N 113437,S200000,03000,0100,N 113437,S200000,03100,0100,N 113437,S200000,03200,0100,N 113437,S200000,03300,0100,N 113437,S200000,03300,0200,N 113437,S200000,04100,0100,N 113437,S200000,04200,0100,N 113437,S200000,04300,0100,N 113437,S200000,04600,0100,N 113437,S200000,04700,0100,N 113437,S200000,04900,0100,N 113445,S000000,00100,0200,02/21/01 113446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113446,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113446,A000000,00300,0000,0300EMPLOYEE BENEFITS 113446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113446,A000000,00700,0000,0700HOUSEKEEPING 113446,A000000,00800,0000,0800DIETARY 113446,A000000,00900,0000,0900NURSING ADMINISTRATION 113446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113446,A000000,01100,0000,1100PHARMACY 113446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113446,A000000,01300,0000,1300SOCIAL SERVICE 113446,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113446,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 113446,A000000,01600,0000,1600SKILLED NURSING FACILITY 113446,A000000,01810,0000,1810ICF/MR 113446,A000000,02100,0000,2100RADIOLOGY 113446,A000000,02200,0000,2200LABORATORY 113446,A000000,02500,0000,2500PHYSICAL THERAPY 113446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113446,A000000,02700,0000,2700SPEECH PATHOLOGY 113446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113446,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 113446,A000000,03550,0000,3550FQHC 113446,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 113446,A000000,05000,0000,5000CORF 113446,A000000,05010,0000,5010CMHC 113446,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113446,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113446,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113446,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113446,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 113446,A81000A,00100,0100,Y 113446,A81000B,00100,0300,MANAGEMENT FEES 113446,A81000B,00200,0300,BUILDING & FIXTURES 113446,A81000B,00300,0300,MOVABLE EQUIPMENT 113446,A81000C,00100,0100,B 113446,A81000C,00100,0200,LINCOLN LUTHERA 113446,A81000C,00100,0400,LINCOLN LUTHERA 113446,A81000C,00100,0600,6 113446,B100000,00000,0100,0100SQUARE FEET 113446,B100000,00000,0200,0200SQUARE FEET 113446,B100000,00000,0300,0300GROSS SALARIES 113446,B100000,00000,0400,0400ACCUM COST 113446,B100000,00000,0500,0500SQUARE FEET 113446,B100000,00000,0600,0600POUNDS OF LAUNDRY 113446,B100000,00000,0700,0700HOURS OF SERVICE 113446,B100000,00000,0800,0800MEALS SERVED 113446,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 113446,B100000,00000,1000,1000COSTED REQUISITIO 113446,B100000,00000,1100,1100COSTED REQUISITIO 113446,B100000,00000,1200,1200TIME SPENT 113446,B100000,00000,1300,1300TIME SPENT 113446,B100000,00000,1400,1400ASSIGNED TIME 113446,B100000,00000,1500,1350 113446,S000000,00100,0200,01/04/01 113446,S200000,00100,0100,1600 OHIO STREET 113446,S200000,00200,0100,RACINE 113446,S200000,00200,0200,WI 113446,S200000,00200,0300,53405 113446,S200000,00300,0100,R 113446,S200000,00300,0200,6600 113446,S200000,00300,0300,U 113446,S200000,00400,0100,LINCOLN LUTHERAN COMM CARE CORP. 113446,S200000,00400,0200,525651 113446,S200000,00400,0300,07/01/99 113446,S200000,00400,0500,P 113446,S200000,01500,0100,Y 113446,S200000,01600,0100,N 113446,S200000,01700,0100,N 113446,S200000,01800,0100,N 113446,S200000,02200,0100,N 113446,S200000,02800,0100,N 113446,S200000,02900,0100,N 113446,S200000,03000,0100,N 113446,S200000,03100,0100,N 113446,S200000,03200,0100,N 113446,S200000,03300,0100,N 113446,S200000,03300,0200,N 113446,S200000,04100,0100,N 113446,S200000,04200,0100,N 113446,S200000,04300,0100,N 113446,S200000,04600,0100,N 113446,S200000,04700,0100,N 113446,S200000,04900,0100,N 113467,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113467,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 113467,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113467,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 113467,A000000,00300,0000,0300EMPLOYEE BENEFITS 113467,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113467,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113467,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113467,A000000,00700,0000,0700HOUSEKEEPING 113467,A000000,00800,0000,0800DIETARY 113467,A000000,00801,0000,0801CAFETERIA 113467,A000000,00900,0000,0900NURSING ADMINISTRATION 113467,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113467,A000000,01100,0000,1100PHARMACY 113467,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113467,A000000,01300,0000,1300SOCIAL SERVICE 113467,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113467,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 113467,A000000,01600,0000,1600SKILLED NURSING FACILITY 113467,A000000,01800,0000,1800NURSING FACILITY 113467,A000000,01900,0000,1900OTHER LONG TERM CARE 113467,A000000,02100,0000,2100RADIOLOGY 113467,A000000,02200,0000,2200LABORATORY 113467,A000000,02300,0000,2300INTRAVENOUS THERAPY 113467,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113467,A000000,02500,0000,2500PHYSICAL THERAPY 113467,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113467,A000000,02700,0000,2700SPEECH PATHOLOGY 113467,A000000,02800,0000,2800ELECTROCARDIOLOGY 113467,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113467,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113467,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113467,A000000,03200,0000,3200SUPPORT SURFACES 113467,A000000,03300,0000,3050OTHER ANCILLARY 113467,A000000,03301,0000,3051OTHER ANCILLARY II 113467,A000000,03302,0000,3052OTHER ANCILLARY III 113467,A000000,03400,0000,3400CLINIC 113467,A000000,03500,0000,3500RURAL HEALTH CLINIC 113467,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 113467,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 113467,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 113467,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 113467,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 113467,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 113467,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 113467,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 113467,A000000,04400,0000,4400DME RENTED - HHA 113467,A000000,04500,0000,4500DME SOLD - HHA 113467,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 113467,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 113467,A000000,04800,0000,4800AMBULANCE 113467,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113467,A000000,05000,0000,5000CORF I 113467,A000000,05010,0000,5010CMHC I 113467,A000000,05020,0000,5020OPT I 113467,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113467,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113467,A000000,05300,0000,5300INTEREST EXPENSE 113467,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113467,A000000,05500,0000,5500HOSPICE 113467,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 113467,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 113467,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113467,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113467,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113467,A000000,06100,0000,6100NONPAID WORKERS 113467,A000000,06200,0000,6200PATIENTS LAUNDRY 113467,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113467,A81000A,00100,0100,Y 113467,A81000B,00100,0300,INTEREST 113467,A81000B,00200,0300,RENT 113467,A81000B,00300,0300,WAGES 113467,A81000B,00400,0300,EMPLOYEE BENEFITS 113467,A81000C,00100,0100,F 113467,A81000C,00100,0200,NOEL SHERER 113467,A81000C,00200,0100,F 113467,A81000C,00200,0200,WARD SHERER 113467,A81000C,00300,0100,F 113467,A81000C,00300,0200,WILLIAM SHERER 113467,A81000C,00400,0100,A 113467,A81000C,00400,0200,NOEL SHERER 113467,A81000C,00400,0400,E&I REALTY 113467,A81000C,00400,0600,PROPERTY RENT 113467,A81000C,00500,0100,A 113467,A81000C,00500,0200,WARD SHERER 113467,A81000C,00500,0400,E&I REALTY 113467,A81000C,00500,0600,PROPERTY RENT 113467,A81000C,00600,0100,A 113467,A81000C,00600,0200,WILLIAM SHERER 113467,A81000C,00600,0400,E&I REALTY 113467,A81000C,00600,0600,PROPERTY RENT 113467,A81000C,00700,0100,A 113467,A81000C,00700,0200,JASON SHERER 113467,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 113467,B100000,00000,0101,0101(SQUARE FEET) CAP REL COSTS - 113467,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 113467,B100000,00000,0201,0201(SQUARE FEET) CAP REL COSTS - 113467,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 113467,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 113467,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 113467,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 113467,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 113467,B100000,00000,0800,0800(MEALS SERVED) DIETARY 113467,B100000,00000,0801,0801(MEALS SERVED) CAFETERIA 113467,B100000,00000,0900,0900(NURSING SALARIES) NURSING ADMI 113467,B100000,00000,1000,1000(PATIENT DAYS) CENTRAL SERVICES 113467,B100000,00000,1100,1100(PATIENT DAYS) PHARMACY 113467,B100000,00000,1200,1200(PATIENT DAYS) MEDICAL RECORDS 113467,B100000,00000,1300,1300(PATIENT DAYS) SOCIAL SERVICE 113467,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 113467,B100000,00000,1500,1500BLANK OTHER GENERAL SERVICE COST 113467,S000000,00100,0200,11/15/00 113467,S200000,00100,0100,1109 NORMAL STREET 113467,S200000,00200,0100,WOODBINE 113467,S200000,00200,0200,IA 113467,S200000,00200,0300,51579 113467,S200000,00300,0100,HARRISON 113467,S200000,00400,0100,ROSE VISTA HOME INC 113467,S200000,00400,0200,165357 113467,S200000,00400,0300,10/01/97 113467,S200000,00400,0500,P 113467,S200000,00400,0600,N 113467,S200000,01500,0100,Y 113467,S200000,01600,0100,N 113467,S200000,01700,0100,N 113467,S200000,01800,0100,N 113467,S200000,02200,0100,Y 113467,S200000,02800,0100,Y 113467,S200000,02900,0100,N 113467,S200000,03000,0100,N 113467,S200000,03100,0100,N 113467,S200000,03200,0100,N 113467,S200000,03300,0100,N 113467,S200000,03300,0200,N 113467,S200000,04100,0100,N 113467,S200000,04200,0100,N 113467,S200000,04300,0100,N 113467,S200000,04600,0100,N 113467,S200000,04700,0100,N 113467,S200000,04700,0200,N 113467,S200000,04900,0100,N 113467,S700003,00000,0400,X 113469,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113469,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113469,A000000,00300,0000,0300EMPLOYEE BENEFITS 113469,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113469,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113469,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113469,A000000,00700,0000,0700HOUSEKEEPING 113469,A000000,00800,0000,0800DIETARY 113469,A000000,00900,0000,0900NURSING ADMINISTRATION 113469,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113469,A000000,01100,0000,1100PHARMACY 113469,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113469,A000000,01300,0000,1300SOCIAL SERVICE 113469,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113469,A000000,01500,0000,1350OTHER GENERAL SERVICES 113469,A000000,01600,0000,1600SKILLED NURSING FACILITY 113469,A000000,01800,0000,1800NURSING FACILITY 113469,A000000,01900,0000,1900OTHER LONG TERM CARE 113469,A000000,02100,0000,2100RADIOLOGY 113469,A000000,02200,0000,2200LABORATORY 113469,A000000,02300,0000,2300INTRAVENOUS THERAPY 113469,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113469,A000000,02500,0000,2500PHYSICAL THERAPY 113469,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113469,A000000,02700,0000,2700SPEECH PATHOLOGY 113469,A000000,02800,0000,2800ELECTROCARDIOLOGY 113469,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113469,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113469,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113469,A000000,03200,0000,3200SUPPORT SURFACES 113469,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113469,A000000,03400,0000,3400CLINIC 113469,A000000,03500,0000,3500RURAL HEALTH CLINIC 113469,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113469,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 113469,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 113469,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 113469,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 113469,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 113469,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 113469,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 113469,A000000,04400,0000,4400DME RENTED - HHA 113469,A000000,04500,0000,4500DME SOLD - HHA 113469,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 113469,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 113469,A000000,04800,0000,4800AMBULANCE 113469,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113469,A000000,05000,0000,5000CORF 113469,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113469,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113469,A000000,05300,0000,5300INTEREST EXPENSE 113469,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113469,A000000,05500,0000,5500HOSPICE 113469,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113469,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113469,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113469,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113469,A000000,06100,0000,6100NONPAID WORKERS 113469,A000000,06200,0000,6200PATIENTS LAUNDRY 113469,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113469,A000000,06301,0000,6151MEALS ON WHEELS 113469,A81000A,00100,0100,Y 113469,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 113469,A81000B,00200,0300,UNEMPLOYMENT INS 113469,A81000B,00300,0300,WORKERS COMP 113469,A81000B,00400,0300,PROPERTY/LIABILTIY INS 113469,A81000B,00500,0300,VEHICLE INS 113469,A81000B,00600,0300,MEDICAL SUPPLIES 113469,A81000B,00700,0300,DISPOSABLE BRIEFS 113469,A81000B,00800,0300,DIETARY SUPPLIES 113469,A81000C,00100,0100,B 113469,A81000C,00100,0400,GOOD SAMARITAN 113469,A81000C,00100,0600,HEALTHCARE 113469,A81000C,00200,0100,B 113469,A81000C,00200,0400,OMNICARE PHARMA 113469,A81000C,00200,0600,MEDICAL/DRUGS 113469,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 113469,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 113469,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 113469,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 113469,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 113469,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 113469,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 113469,B100000,00000,0800,0800MEALS SERVED DIETARY 113469,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 113469,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 113469,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 113469,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 113469,B100000,00000,1300,1300ADMISSONS SOCIAL SERVICE 113469,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 113469,B100000,00000,1500,1500NO STATISTICS OTHER GENER 113469,E10A180,00501,0100,12/05/00 113469,E10A180,00550,0300,12/05/00 113469,S000000,00100,0200,11/06/00 113469,S200000,00100,0100,401 MILLIONAIRE AVE 113469,S200000,00200,0100,MOTT 113469,S200000,00200,0200,ND 113469,S200000,00200,0300,58646-0226 113469,S200000,00300,0100,HETTINGER 113469,S200000,00400,0100,MOTT GOOD SAMARITAN NURSING CENTER 113469,S200000,00400,0200,355099 113469,S200000,00400,0300,02/05/91 113469,S200000,00400,0500,P 113469,S200000,00400,0600,N 113469,S200000,00600,0600,N 113469,S200000,00800,0500,N 113469,S200000,00800,0600,N 113469,S200000,01000,0500,N 113469,S200000,01000,0600,N 113469,S200000,01100,0500,N 113469,S200000,01100,0600,N 113469,S200000,01500,0100,Y 113469,S200000,01600,0100,N 113469,S200000,01700,0100,N 113469,S200000,01800,0100,N 113469,S200000,02200,0100,N 113469,S200000,02800,0100,N 113469,S200000,02900,0100,N 113469,S200000,03000,0100,N 113469,S200000,03100,0100,N 113469,S200000,03200,0100,N 113469,S200000,03300,0100,N 113469,S200000,03300,0200,N 113469,S200000,03500,0300,N 113469,S200000,03600,0100,N 113469,S200000,03600,0200,N 113469,S200000,03700,0100,N 113469,S200000,03700,0200,N 113469,S200000,03900,0200,N 113469,S200000,04000,0200,N 113469,S200000,04100,0100,N 113469,S200000,04200,0100,N 113469,S200000,04300,0100,N 113469,S200000,04600,0100,N 113469,S200000,04700,0100,N 113469,S200000,04700,0200,N 113469,S200000,04900,0100,N 113469,S700003,00000,0200,X 113477,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113477,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113477,A000000,00300,0000,0300EMPLOYEE BENEFITS 113477,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113477,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113477,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113477,A000000,00700,0000,0700HOUSEKEEPING 113477,A000000,00800,0000,0800DIETARY 113477,A000000,00900,0000,0900NURSING ADMINISTRATION 113477,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113477,A000000,01100,0000,1100PHARMACY 113477,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113477,A000000,01300,0000,1300SOCIAL SERVICE 113477,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113477,A000000,01500,0000,1350OTHER GENERAL SERVICES 113477,A000000,01600,0000,1600SKILLED NURSING FACILITY 113477,A000000,01800,0000,1800NURSING FACILITY 113477,A000000,01810,0000,1810ICF/MR 113477,A000000,01900,0000,1900OTHER LONG TERM CARE 113477,A000000,02100,0000,2100RADIOLOGY 113477,A000000,02200,0000,2200LABORATORY 113477,A000000,02300,0000,2300INTRAVENOUS THERAPY 113477,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113477,A000000,02500,0000,2500PHYSICAL THERAPY 113477,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113477,A000000,02700,0000,2700SPEECH PATHOLOGY 113477,A000000,02800,0000,2800ELECTROCARDIOLOGY 113477,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113477,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113477,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113477,A000000,03200,0000,3200SUPPORT SURFACES 113477,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113477,A000000,03400,0000,3400CLINIC 113477,A000000,03500,0000,3500RURAL HEALTH CLINIC 113477,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113477,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 113477,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 113477,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 113477,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 113477,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 113477,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 113477,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 113477,A000000,04400,0000,4400DME RENTED - HHA 113477,A000000,04500,0000,4500DME SOLD - HHA 113477,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 113477,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 113477,A000000,04800,0000,4800AMBULANCE 113477,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113477,A000000,05000,0000,5000CORF 113477,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113477,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113477,A000000,05300,0000,5300INTEREST EXPENSE 113477,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113477,A000000,05500,0000,5500HOSPICE 113477,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113477,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113477,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113477,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113477,A000000,06100,0000,6100NONPAID WORKERS 113477,A000000,06200,0000,6200PATIENTS LAUNDRY 113477,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113477,A000000,06301,0000,6151WHEELS ON MEALS 113477,A81000A,00100,0100,Y 113477,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 113477,A81000B,00200,0300,UNEMPLOYMENT INS 113477,A81000B,00300,0300,WORKERS COMP 113477,A81000B,00400,0300,PROPERTY/LIABILITY INS 113477,A81000B,00500,0300,VEHICLE INS 113477,A81000B,00600,0300,MEDICAL SUPPLY 113477,A81000B,00700,0300,INCONTINENTS 113477,A81000B,00800,0300,DIETARY SUPPLIES 113477,A81000C,00100,0100,B 113477,A81000C,00100,0400,GOOD SAMARITAN 113477,A81000C,00100,0600,HEALTHCARE 113477,A81000C,00200,0100,B 113477,A81000C,00200,0400,OMNICARE PHARMA 113477,A81000C,00200,0600,MEDICAL//DRUGS 113477,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 113477,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 113477,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 113477,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 113477,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 113477,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 113477,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 113477,B100000,00000,0800,0800MEALS SERVED DIETARY 113477,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 113477,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 113477,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 113477,B100000,00000,1200,1200GROSS REVENUES MEDICAL RECOR 113477,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 113477,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 113477,B100000,00000,1500,1500NO STATISTICS OTHER GENER 113477,E10A180,00550,0100,11/01/00 113477,E10A180,00550,0300,11/01/00 113477,S000000,00100,0200,09/28/00 113477,S200000,00100,0100,410 MCKINLEY 113477,S200000,00200,0100,WARREN 113477,S200000,00200,0200,MN 113477,S200000,00200,0300,56762-1400 113477,S200000,00300,0100,MARSHALL 113477,S200000,00400,0100,MARSHALL MANOR GOOD SAMARITAN CENTER 113477,S200000,00400,0200,245550 113477,S200000,00400,0300,03/01/91 113477,S200000,00400,0500,P 113477,S200000,00400,0600,N 113477,S200000,00601,0600,N 113477,S200000,00800,0500,N 113477,S200000,00800,0600,N 113477,S200000,01000,0500,N 113477,S200000,01000,0600,N 113477,S200000,01100,0500,N 113477,S200000,01100,0600,N 113477,S200000,01500,0100,Y 113477,S200000,01600,0100,N 113477,S200000,01700,0100,N 113477,S200000,01800,0100,N 113477,S200000,02200,0100,N 113477,S200000,02800,0100,Y 113477,S200000,02900,0100,N 113477,S200000,03000,0100,N 113477,S200000,03100,0100,N 113477,S200000,03200,0100,N 113477,S200000,03300,0100,N 113477,S200000,03300,0200,N 113477,S200000,03500,0300,N 113477,S200000,03501,0300,N 113477,S200000,03600,0100,N 113477,S200000,03600,0200,N 113477,S200000,03700,0100,N 113477,S200000,03700,0200,N 113477,S200000,03900,0200,N 113477,S200000,04000,0200,N 113477,S200000,04100,0100,N 113477,S200000,04200,0100,N 113477,S200000,04300,0100,N 113477,S200000,04600,0100,N 113477,S200000,04700,0100,N 113477,S200000,04700,0200,N 113477,S200000,04900,0100,N 113477,S700003,00000,0100,X 113480,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113480,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113480,A000000,00300,0000,0300EMPLOYEE BENEFITS 113480,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113480,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113480,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113480,A000000,00700,0000,0700HOUSEKEEPING 113480,A000000,00800,0000,0800DIETARY 113480,A000000,00900,0000,0900NURSING ADMINISTRATION 113480,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113480,A000000,01100,0000,1100PHARMACY 113480,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113480,A000000,01300,0000,1300SOCIAL SERVICE 113480,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113480,A000000,01600,0000,1600SKILLED NURSING FACILITY 113480,A000000,01800,0000,1800NURSING FACILITY 113480,A000000,01900,0000,1900OTHER LONG TERM CARE 113480,A000000,02100,0000,2100RADIOLOGY 113480,A000000,02200,0000,2200LABORATORY 113480,A000000,02300,0000,2300INTRAVENOUS THERAPY 113480,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113480,A000000,02500,0000,2500PHYSICAL THERAPY 113480,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113480,A000000,02700,0000,2700SPEECH PATHOLOGY 113480,A000000,02800,0000,2800ELECTROCARDIOLOGY 113480,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113480,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113480,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113480,A000000,03200,0000,3200SUPPORT SURFACES 113480,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 113480,A000000,03400,0000,3400CLINIC 113480,A000000,03500,0000,3500RURAL HEALTH CLINIC 113480,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 113480,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 113480,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 113480,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 113480,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 113480,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 113480,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 113480,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 113480,A000000,04400,0000,4400DME RENTED - HHA 113480,A000000,04500,0000,4500DME SOLD - HHA 113480,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 113480,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 113480,A000000,04800,0000,4800AMBULANCE 113480,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113480,A000000,05000,0000,5000CORF 113480,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113480,A000000,05300,0000,5300INTEREST EXPENSE 113480,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113480,A000000,05500,0000,5500HOSPICE 113480,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113480,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113480,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 113480,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113480,A000000,06100,0000,6100NONPAID WORKERS 113480,A000000,06200,0000,6200PATIENTS LAUNDRY 113480,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 113480,A81000A,00100,0100,N 113480,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 113480,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 113480,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 113480,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 113480,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 113480,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 113480,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 113480,B100000,00000,0800,0800MEALS SERVED DIETARY 113480,B100000,00000,0900,0900DIR NURSINHRS NURSING ADMI 113480,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 113480,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 113480,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 113480,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 113480,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 113480,E10A180,00501,0100,01/03/01 113480,E10A180,00550,0300,01/03/01 113480,S000000,00100,0200,12/04/00 113480,S200000,00100,0100,1901SOUTH HOLLY AVENUE 113480,S200000,00200,0100,SIOUX FALLS 113480,S200000,00200,0200,SD 113480,S200000,00200,0300,57105 113480,S200000,00300,0100,MINNEHAHA 113480,S200000,00400,0100,BETHANY LUTHERAN HOME 113480,S200000,00400,0200,435096 113480,S200000,00400,0300,03/01/96 113480,S200000,00400,0500,P 113480,S200000,00400,0600,N 113480,S200000,00600,0600,N 113480,S200000,00800,0500,N 113480,S200000,00800,0600,N 113480,S200000,01000,0500,N 113480,S200000,01000,0600,N 113480,S200000,01100,0500,N 113480,S200000,01100,0600,N 113480,S200000,01500,0100,Y 113480,S200000,01600,0100,N 113480,S200000,01700,0100,N 113480,S200000,01800,0100,N 113480,S200000,02200,0100,N 113480,S200000,02800,0100,N 113480,S200000,02900,0100,N 113480,S200000,03000,0100,N 113480,S200000,03100,0100,N 113480,S200000,03200,0100,N 113480,S200000,03300,0100,N 113480,S200000,03300,0200,N 113480,S200000,03500,0300,N 113480,S200000,03600,0100,N 113480,S200000,03600,0200,N 113480,S200000,03700,0100,N 113480,S200000,03700,0200,N 113480,S200000,03900,0200,N 113480,S200000,04000,0200,N 113480,S200000,04100,0100,N 113480,S200000,04200,0100,N 113480,S200000,04300,0100,N 113480,S200000,04600,0100,N 113480,S200000,04700,0100,N 113480,S200000,04900,0100,N 113480,S700003,00000,0400,X 113503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113503,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113503,A000000,00300,0000,0300EMPLOYEE BENEFITS 113503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113503,A000000,00700,0000,0700HOUSEKEEPING 113503,A000000,00800,0000,0800DIETARY 113503,A000000,00900,0000,0900NURSING ADMINISTRATION 113503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113503,A000000,01100,0000,1100PHARMACY 113503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113503,A000000,01300,0000,1300SOCIAL SERVICE 113503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113503,A000000,01500,0000,1350RECREATION 113503,A000000,01600,0000,1600SKILLED NURSING FACILITY 113503,A000000,02100,0000,2100RADIOLOGY 113503,A000000,02500,0000,2500PHYSICAL THERAPY 113503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113503,A000000,02700,0000,2700SPEECH PATHOLOGY 113503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113503,A000000,03550,0000,3550FQHC 113503,A000000,05000,0000,5000CORF 113503,A000000,05010,0000,5010CMHC 113503,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113503,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113503,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113503,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113503,A81000A,00100,0100,N 113503,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 113503,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 113503,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 113503,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 113503,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 113503,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 113503,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 113503,B100000,00000,0800,0800PATIENT DAYS DIETARY 113503,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 113503,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 113503,B100000,00000,1100,1100COSTED REQUIS PHARMACY 113503,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 113503,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 113503,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 113503,B100000,00000,1500,1500PATIENT DAYS RECREATION 113503,S000000,00100,0200,12/28/00 113503,S200000,00100,0100,909 SIXTH STREET 113503,S200000,00200,0100,TREAT 113503,S200000,00200,0200,IA 113503,S200000,00200,0300,50675 113503,S200000,00300,0100,TAMA 113503,S200000,00400,0100,SUNRISE HILL CARE CENTER 113503,S200000,00400,0200,165286 113503,S200000,00400,0300,08/15/96 113503,S200000,00400,0500,P 113503,S200000,00400,0600,N 113503,S200000,01500,0100,Y 113503,S200000,01600,0100,N 113503,S200000,01700,0100,N 113503,S200000,01800,0100,N 113503,S200000,02200,0100,N 113503,S200000,02800,0100,N 113503,S200000,02900,0100,N 113503,S200000,03000,0100,N 113503,S200000,03100,0100,N 113503,S200000,03200,0100,N 113503,S200000,03300,0100,N 113503,S200000,03300,0200,N 113503,S200000,04100,0100,N 113503,S200000,04200,0100,N 113503,S200000,04300,0100,N 113503,S200000,04600,0100,N 113503,S200000,04700,0100,N 113503,S200000,04900,0100,N 113503,S700003,00000,0400,X 113505,S000000,00100,0200,12/04/00 113520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113520,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113520,A000000,00300,0000,0300EMPLOYEE BENEFITS 113520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113520,A000000,00700,0000,0700HOUSEKEEPING 113520,A000000,00800,0000,0800DIETARY 113520,A000000,00900,0000,0900NURSING ADMINISTRATION 113520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113520,A000000,01100,0000,1100PHARMACY 113520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113520,A000000,01300,0000,1300SOCIAL SERVICE 113520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113520,A000000,01500,0000,1350PATIENT ACTIVITIES 113520,A000000,01600,0000,1600SKILLED NURSING FACILITY 113520,A000000,01800,0000,1800NURSING FACILITY 113520,A000000,01810,0000,1810ICF/MR 113520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113520,A000000,02500,0000,2500PHYSICAL THERAPY 113520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113520,A000000,02700,0000,2700SPEECH PATHOLOGY 113520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113520,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 113520,A000000,03550,0000,3550FQHC 113520,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 113520,A000000,05000,0000,5000CORF 113520,A000000,05010,0000,5010CMHC 113520,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113520,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113520,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113520,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 113520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113520,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 113520,A81000A,00100,0100,N 113520,B100000,00000,0100,0100SQUARE FEET 113520,B100000,00000,0200,0200SQUARE FEET 113520,B100000,00000,0300,0300GROSS SALARIES 113520,B100000,00000,0400,0400ACCUM COST 113520,B100000,00000,0500,0500SQUARE FEET 113520,B100000,00000,0600,0600PATIENT DA 113520,B100000,00000,0700,0700HOURS OF SQ FT EXCL 113520,B100000,00000,0800,0800PATIENT DA 113520,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 113520,B100000,00000,1000,1000COSTED REQUISITIO 113520,B100000,00000,1100,1100COSTED REQUISITIO 113520,B100000,00000,1200,1200TIME SPENT 113520,B100000,00000,1300,1300PATIENT DA 113520,B100000,00000,1400,1400ASSIGNED TIME 113520,B100000,00000,1500,1350PATIENT DAYS 113520,S000000,00100,0200,01/18/01 113520,S200000,00100,0100,1900 LOVERING AVENUE 113520,S200000,00200,0100,WILMINGTON DE 19806 113520,S200000,00300,0100,N 113520,S200000,00300,0200,9160 113520,S200000,00300,0300,U 113520,S200000,00400,0100,KENTMERE HOME OF THE MERCIFUL REST 113520,S200000,00400,0200,085001 113520,S200000,00400,0300,01/01/67 113520,S200000,00400,0500,P 113520,S200000,00600,0200,085001 113520,S200000,00600,0300,03/27/80 113520,S200000,00600,0600,O 113520,S200000,01500,0100,N 113520,S200000,01600,0100,Y 113520,S200000,01700,0100,N 113520,S200000,01800,0100,N 113520,S200000,01900,0100,OTHER: 501(C)(3) 113520,S200000,02200,0100,N 113520,S200000,02800,0100,N 113520,S200000,02900,0100,N 113520,S200000,03000,0100,N 113520,S200000,03100,0100,N 113520,S200000,03200,0100,N 113520,S200000,03300,0100,N 113520,S200000,03300,0200,N 113520,S200000,04100,0100,N 113520,S200000,04200,0100,N 113520,S200000,04300,0100,Y 113520,S200000,04600,0100,N 113520,S200000,04700,0100,N 113520,S200000,04900,0100,N 113524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113524,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113524,A000000,00300,0000,0300EMPLOYEE BENEFITS 113524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113524,A000000,00700,0000,0700HOUSEKEEPING 113524,A000000,00800,0000,0800DIETARY 113524,A000000,00900,0000,0900NURSING ADMINISTRATION 113524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113524,A000000,01100,0000,1100PHARMACY 113524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113524,A000000,01300,0000,1300SOCIAL SERVICE 113524,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113524,A000000,01500,0000,1350PATIENT ACTIVITIES 113524,A000000,01600,0000,1600SKILLED NURSING FACILITY 113524,A000000,01810,0000,1810ICF/MR 113524,A000000,02100,0000,2100RADIOLOGY 113524,A000000,02200,0000,2200LABORATORY 113524,A000000,02300,0000,2300INTRAVENOUS THERAPY 113524,A000000,02500,0000,2500PHYSICAL THERAPY 113524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113524,A000000,02700,0000,2700SPEECH PATHOLOGY 113524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113524,A000000,02901,0000,2901CLINITRON BEDS 113524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113524,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113524,A000000,03550,0000,3550FQHC 113524,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113524,A000000,05000,0000,5000CORF 113524,A000000,05010,0000,5010CMHC 113524,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113524,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113524,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113524,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113524,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113524,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113524,A81000A,00100,0100,N 113524,B100000,00000,0100,0100SQUARE FEET 113524,B100000,00000,0200,0200SQUARE FEET 113524,B100000,00000,0300,0300GROSS SALARIES 113524,B100000,00000,0400,0400ACCUM. COST 113524,B100000,00000,0500,0500SQUARE FEET 113524,B100000,00000,0600,0600POUNDS OF LAUNDRY 113524,B100000,00000,0700,0700SQUARE FEET EXC 113524,B100000,00000,0800,0800MEALS SERVED 113524,B100000,00000,0900,0900NURSING SALARIES 113524,B100000,00000,1000,1000COSTED REQUIS. 113524,B100000,00000,1100,1100COSTED REQUIS. 113524,B100000,00000,1200,1200TIME SPENT 113524,B100000,00000,1300,1300TIME SPENT 113524,B100000,00000,1400,1400ASSIGNED TIME 113524,B100000,00000,1500,1350PATIENT DAYS 113524,S000000,00100,0200,11/20/00 113524,S200000,00100,0100,704 RIVER ROAD 113524,S200000,00200,0100,WILMINGTON 113524,S200000,00200,0200,DE 113524,S200000,00200,0300,19809 113524,S200000,00300,0100,NEW CASTLE 113524,S200000,00400,0100,THE MILTON & HATTIE KUTZ HOME INC 113524,S200000,00400,0200,085043 113524,S200000,00400,0300,09/01/93 113524,S200000,00400,0500,P 113524,S200000,01500,0100,Y 113524,S200000,01600,0100,N 113524,S200000,01700,0100,N 113524,S200000,01800,0100,N 113524,S200000,01900,0100,501 (C) (3) 113524,S200000,02200,0100,N 113524,S200000,02800,0100,N 113524,S200000,02900,0100,N 113524,S200000,03000,0100,N 113524,S200000,03100,0100,N 113524,S200000,03200,0100,N 113524,S200000,03300,0100,N 113524,S200000,03300,0200,N 113524,S200000,04100,0100,N 113524,S200000,04200,0100,N 113524,S200000,04300,0100,Y 113524,S200000,04600,0100,N 113524,S200000,04700,0100,N 113524,S200000,04700,0200,N 113524,S200000,04900,0100,N 113567,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113567,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113567,A000000,00300,0000,0300EMPLOYEE BENEFITS 113567,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113567,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113567,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113567,A000000,00700,0000,0700HOUSEKEEPING 113567,A000000,00800,0000,0800DIETARY 113567,A000000,00900,0000,0900NURSING ADMINISTRATION 113567,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113567,A000000,01100,0000,1100PHARMACY 113567,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113567,A000000,01300,0000,1300SOCIAL SERVICE 113567,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113567,A000000,01500,0000,1350RECREATION 113567,A000000,01600,0000,1600SKILLED NURSING FACILITY 113567,A000000,01800,0000,1800NURSING FACILITY 113567,A000000,01810,0000,1810ICF/MR 113567,A000000,02100,0000,2100RADIOLOGY 113567,A000000,02200,0000,2200LABORATORY 113567,A000000,02300,0000,2300INTRAVENOUS THERAPY 113567,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113567,A000000,02500,0000,2500PHYSICAL THERAPY 113567,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113567,A000000,02700,0000,2700SPEECH PATHOLOGY 113567,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113567,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113567,A000000,03300,0000,3050OTHER THERAPUTIC 113567,A000000,03550,0000,3550FQHC 113567,A000000,05000,0000,5000CORF 113567,A000000,05010,0000,5010CMHC 113567,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113567,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113567,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113567,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113567,A81000A,00100,0100,Y 113567,A81000B,00100,0300,HOME OFFICE 113567,A81000B,00200,0300,HOME OFFICE 113567,A81000B,00300,0300,HOME OFFICE 113567,A81000B,00400,0300,REALTY 113567,A81000B,00500,0300,REALTY 113567,A81000B,00600,0300,REALTY 113567,A81000C,00100,0100,A 113567,A81000C,00100,0400,OLYMPUS H/C GRO 113567,A81000C,00100,0600,OWN/MNG. FACILI 113567,A81000C,00200,0100,A 113567,A81000C,00200,0400,OLYMPUS H/C GRO 113567,A81000C,00200,0600,OWN/MNG. FACILI 113567,A81000C,00300,0100,A 113567,A81000C,00300,0400,OLYMPUS H/C GRO 113567,A81000C,00300,0600,OWN/MNG. FACILI 113567,A81000C,00400,0100,B 113567,A81000C,00400,0200,DANIEL J. KANE 113567,A81000C,00400,0600,REALTY EXPENSE 113567,A81000C,00500,0100,B 113567,A81000C,00500,0200,DANIEL J. KANE 113567,A81000C,00500,0600,REALTY EXPENSE 113567,A81000C,00600,0100,B 113567,A81000C,00600,0200,DANIEL J. KANE 113567,A81000C,00600,0600,REALTY EXPENSE 113567,A81000C,00800,0200,SEE HCFA FORM 3 113567,A81000C,00900,0200,A-8-5 FOR OTHER 113567,A81000C,01000,0200,RELATED PARTY 113567,A81000C,01100,0200,TRANSACTIONS 113567,B100000,00000,0100,0100SQUARE FEET 113567,B100000,00000,0200,0200SQUARE FEET 113567,B100000,00000,0300,0300GROSS SALARIES 113567,B100000,00000,0400,0400ACCUM COST 113567,B100000,00000,0500,0500SQUARE FEET 113567,B100000,00000,0600,0600RESIDENT DAYS 113567,B100000,00000,0700,0700SQUARE FEET 113567,B100000,00000,0800,0800MEALS SERVED 113567,B100000,00000,0900,0900RESIDENT DAYS 113567,B100000,00000,1000,1000RESIDENT DAYS 113567,B100000,00000,1100,1100RESIDENT DAYS 113567,B100000,00000,1200,1200RESIDENT DAYS 113567,B100000,00000,1300,1300RESIDENT DAYS 113567,B100000,00000,1400,1400ASSIGNED TIME 113567,B100000,00000,1500,1350RESIDENT DAYS 113567,S000000,00100,0200,05/30/00 113567,S200000,00100,0100,1312 WEST MAIN STREET 113567,S200000,00200,0100,WATERBURY 113567,S200000,00200,0200,CT 113567,S200000,00200,0300,06708 113567,S200000,00400,0100,OLYMPUS H/C CTR. - WATERBURY 113567,S200000,00400,0200,075260 113567,S200000,00400,0300,01/06/76 113567,S200000,00400,0500,P 113567,S200000,00400,0600,O 113567,S200000,00600,0200,075260 113567,S200000,00600,0300,11/30/94 113567,S200000,00600,0600,O 113567,S200000,01500,0100,Y 113567,S200000,01600,0100,N 113567,S200000,01700,0100,N 113567,S200000,01800,0100,N 113567,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 113567,S200000,02200,0100,Y 113567,S200000,02800,0100,N 113567,S200000,02900,0100,N 113567,S200000,03000,0100,N 113567,S200000,03100,0100,N 113567,S200000,03200,0100,N 113567,S200000,03300,0100,N 113567,S200000,03300,0200,N 113567,S200000,03500,0300,N 113567,S200000,04100,0100,N 113567,S200000,04200,0100,N 113567,S200000,04300,0100,N 113567,S200000,04600,0100,N 113567,S200000,04700,0100,N 113567,S200000,04900,0100,N 113568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113568,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113568,A000000,00300,0000,0300EMPLOYEE BENEFITS 113568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113568,A000000,00700,0000,0700HOUSEKEEPING 113568,A000000,00800,0000,0800DIETARY 113568,A000000,00900,0000,0900NURSING ADMINISTRATION 113568,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113568,A000000,01100,0000,1100PHARMACY 113568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113568,A000000,01300,0000,1300SOCIAL SERVICE 113568,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113568,A000000,01500,0000,1350RECREATION 113568,A000000,01600,0000,1600SKILLED NURSING FACILITY 113568,A000000,01800,0000,1800NURSING FACILITY 113568,A000000,01810,0000,1810ICF/MR 113568,A000000,02100,0000,2100RADIOLOGY 113568,A000000,02200,0000,2200LABORATORY 113568,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113568,A000000,02500,0000,2500PHYSICAL THERAPY 113568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113568,A000000,02700,0000,2700SPEECH PATHOLOGY 113568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113568,A000000,03300,0000,3050OTHER THERAPEURIC 113568,A000000,03550,0000,3550FQHC 113568,A000000,05000,0000,5000CORF 113568,A000000,05010,0000,5010CMHC 113568,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113568,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113568,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113568,A81000A,00100,0100,Y 113568,A81000B,00100,0300,HOME OFFICE 113568,A81000B,00200,0300,HOME OFFICE 113568,A81000B,00300,0300,HOME OFFICE 113568,A81000B,00400,0300,REALTY 113568,A81000B,00500,0300,REALTY 113568,A81000B,00600,0300,REALTY 113568,A81000C,00100,0100,A 113568,A81000C,00100,0400,OLYMPUS H/C GRO 113568,A81000C,00100,0600,OWN/MNG. FACILI 113568,A81000C,00200,0100,A 113568,A81000C,00200,0400,OLYMPUS H/C GRO 113568,A81000C,00200,0600,OWN/MNG. FACILI 113568,A81000C,00300,0100,A 113568,A81000C,00300,0400,OLYMPUS H/C GRO 113568,A81000C,00300,0600,OWN/MNG. FACILI 113568,A81000C,00400,0100,B 113568,A81000C,00400,0200,DANIEL J. KANE 113568,A81000C,00400,0400,LAHAINA REALTY 113568,A81000C,00400,0600,REALTY EXPENSE 113568,A81000C,00500,0100,B 113568,A81000C,00500,0200,DANIEL J. KANE 113568,A81000C,00500,0400,LAHAINA REALTY 113568,A81000C,00500,0600,REALTY EXPENSE 113568,A81000C,00600,0100,B 113568,A81000C,00600,0200,DANIEL J. KANE 113568,A81000C,00600,0400,LAHAINA REALTY 113568,A81000C,00600,0600,REALTY EXPENSE 113568,A81000C,00800,0200,SEE HCFA FORM 3 113568,A81000C,00900,0200,A-8-5 FOR OTHER 113568,A81000C,01000,0200,RELATED PARTY 113568,A81000C,01100,0200,TRANSACTIONS 113568,B100000,00000,0100,0100SQUARE FEET 113568,B100000,00000,0200,0200SQUARE FEET 113568,B100000,00000,0300,0300GROSS SALARIES 113568,B100000,00000,0400,0400ACCUM COST 113568,B100000,00000,0500,0500SQUARE FEET 113568,B100000,00000,0600,0600RESIDENT DAYS 113568,B100000,00000,0700,0700SQUARE FEET 113568,B100000,00000,0800,0800MEALS SERVED 113568,B100000,00000,0900,0900RESIDENT DAYS 113568,B100000,00000,1000,1000RESIDENT DAYS 113568,B100000,00000,1100,1100RESIDENT DAYS 113568,B100000,00000,1200,1200RESIDENT DAYS 113568,B100000,00000,1300,1300RESIDENT DAYS 113568,B100000,00000,1400,1400ASSIGNED TIME 113568,B100000,00000,1500,1350RESIDENT DAYS 113568,S000000,00100,0200,05/30/00 113568,S200000,00100,0100,333 BIDWELL STREET 113568,S200000,00200,0100,MANCHESTER 113568,S200000,00200,0200,CT 113568,S200000,00200,0300,06040 113568,S200000,00400,0100,OLYMPUS H/C CENTER - BIDWELL 113568,S200000,00400,0200,075314 113568,S200000,00400,0300,01/01/88 113568,S200000,00400,0500,P 113568,S200000,00400,0600,O 113568,S200000,00600,0200,075314 113568,S200000,00600,0300,01/01/88 113568,S200000,00600,0600,O 113568,S200000,01500,0100,Y 113568,S200000,01600,0100,N 113568,S200000,01700,0100,N 113568,S200000,01800,0100,N 113568,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 113568,S200000,02200,0100,N 113568,S200000,02800,0100,N 113568,S200000,02900,0100,N 113568,S200000,03000,0100,N 113568,S200000,03100,0100,N 113568,S200000,03200,0100,N 113568,S200000,03300,0100,N 113568,S200000,03300,0200,N 113568,S200000,03500,0300,N 113568,S200000,04100,0100,N 113568,S200000,04200,0100,N 113568,S200000,04300,0100,N 113568,S200000,04600,0100,N 113568,S200000,04700,0100,N 113568,S200000,04900,0100,N 113569,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113569,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113569,A000000,00300,0000,0300EMPLOYEE BENEFITS 113569,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113569,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113569,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113569,A000000,00700,0000,0700HOUSEKEEPING 113569,A000000,00800,0000,0800DIETARY 113569,A000000,00900,0000,0900NURSING ADMINISTRATION 113569,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113569,A000000,01100,0000,1100PHARMACY 113569,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113569,A000000,01300,0000,1300SOCIAL SERVICE 113569,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113569,A000000,01500,0000,1350RECREATION 113569,A000000,01600,0000,1600SKILLED NURSING FACILITY 113569,A000000,01800,0000,1800NURSING FACILITY 113569,A000000,01810,0000,1810ICF/MR 113569,A000000,02100,0000,2100RADIOLOGY 113569,A000000,02200,0000,2200LABORATORY 113569,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113569,A000000,02500,0000,2500PHYSICAL THERAPY 113569,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113569,A000000,02700,0000,2700SPEECH PATHOLOGY 113569,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113569,A000000,03300,0000,3050OTHER THERAPUTIC 113569,A000000,03550,0000,3550FQHC 113569,A000000,05000,0000,5000CORF 113569,A000000,05010,0000,5010CMHC 113569,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113569,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113569,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113569,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113569,A81000A,00100,0100,Y 113569,A81000B,00100,0300,HOME OFFICE 113569,A81000B,00200,0300,HOME OFFICE 113569,A81000B,00300,0300,HOME OFFICE 113569,A81000B,00400,0300,REALTY 113569,A81000B,00500,0300,REALTY 113569,A81000B,00600,0300,REALTY 113569,A81000C,00100,0100,A 113569,A81000C,00100,0400,OLYMPUS H/C GRO 113569,A81000C,00100,0600,OWN/MNG. FACILI 113569,A81000C,00200,0100,A 113569,A81000C,00200,0400,OLYMPUS H/C GRO 113569,A81000C,00200,0600,OWN/MNG. FACILI 113569,A81000C,00300,0100,A 113569,A81000C,00300,0400,OLYMPUS H/C GRO 113569,A81000C,00300,0600,OWN/MNG. FACILI 113569,A81000C,00400,0100,B 113569,A81000C,00400,0200,DANIEL J. KANE 113569,A81000C,00400,0400,LAHAINA REALTY 113569,A81000C,00400,0600,REALTY EXPENSE 113569,A81000C,00500,0100,B 113569,A81000C,00500,0200,DANIEL J. KANE 113569,A81000C,00500,0400,LAHAINA REALTY 113569,A81000C,00500,0600,REALTY EXPENSE 113569,A81000C,00600,0100,B 113569,A81000C,00600,0200,DANIEL J. KANE 113569,A81000C,00600,0400,LAHAINA REALTY 113569,A81000C,00600,0600,REALTY EXPENSE 113569,A81000C,00800,0200,SEE HCFA FORM 3 113569,A81000C,00900,0200,A-8-5 FOR OTHER 113569,A81000C,01000,0200,RELATED PARTY 113569,A81000C,01100,0200,TRANSACTIONS 113569,B100000,00000,0100,0100SQUARE FEET 113569,B100000,00000,0200,0200SQUARE FEET 113569,B100000,00000,0300,0300GROSS SALARIES 113569,B100000,00000,0400,0400ACCUM COST 113569,B100000,00000,0500,0500SQUARE FEET 113569,B100000,00000,0600,0600RESIDENT DAYS 113569,B100000,00000,0700,0700SQUARE FEET 113569,B100000,00000,0800,0800MEALS SERVED 113569,B100000,00000,0900,0900RESIDENT DAYS 113569,B100000,00000,1000,1000RESIDENT DAYS 113569,B100000,00000,1100,1100RESIDENT DAYS 113569,B100000,00000,1200,1200RESIDENT DAYS 113569,B100000,00000,1300,1300RESIDENT DAYS 113569,B100000,00000,1400,1400ASSIGNED TIME 113569,B100000,00000,1500,1350RESIDENT DAYS 113569,S000000,00100,0200,05/30/00 113569,S200000,00100,0100,341 BIDWELL ST. 113569,S200000,00200,0100,MANCHESTER 113569,S200000,00200,0200,CT 113569,S200000,00200,0300,06040 113569,S200000,00400,0100,OLYMPUS H/C CTR. -VICTORIAN 113569,S200000,00400,0200,075315 113569,S200000,00400,0300,01/01/88 113569,S200000,00400,0500,P 113569,S200000,00400,0600,O 113569,S200000,00600,0200,075315 113569,S200000,00600,0300,01/01/88 113569,S200000,00600,0600,O 113569,S200000,01500,0100,Y 113569,S200000,01600,0100,N 113569,S200000,01700,0100,N 113569,S200000,01800,0100,N 113569,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 113569,S200000,02200,0100,Y 113569,S200000,02800,0100,N 113569,S200000,02900,0100,N 113569,S200000,03000,0100,N 113569,S200000,03100,0100,N 113569,S200000,03200,0100,N 113569,S200000,03300,0100,N 113569,S200000,03300,0200,N 113569,S200000,03500,0300,N 113569,S200000,04100,0100,N 113569,S200000,04200,0100,N 113569,S200000,04300,0100,N 113569,S200000,04600,0100,N 113569,S200000,04700,0100,N 113569,S200000,04900,0100,N 113572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113572,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113572,A000000,00300,0000,0300EMPLOYEE BENEFITS 113572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113572,A000000,00700,0000,0700HOUSEKEEPING 113572,A000000,00800,0000,0800DIETARY 113572,A000000,00900,0000,0900NURSING ADMINISTRATION 113572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113572,A000000,01100,0000,1100PHARMACY 113572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113572,A000000,01300,0000,1300SOCIAL SERVICE 113572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113572,A000000,01500,0000,1350PATIENT ACTIVITIES 113572,A000000,01600,0000,1600SKILLED NURSING FACILITY 113572,A000000,01810,0000,1810ICF/MR 113572,A000000,02100,0000,2100RADIOLOGY 113572,A000000,02200,0000,2200LABORATORY 113572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113572,A000000,02500,0000,2500PHYSICAL THERAPY 113572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113572,A000000,02700,0000,2700SPEECH PATHOLOGY 113572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113572,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 113572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113572,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113572,A000000,03550,0000,3550FQHC 113572,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113572,A000000,05000,0000,5000CORF 113572,A000000,05010,0000,5010CMHC 113572,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113572,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113572,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113572,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113572,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113572,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113572,A81000A,00100,0100,Y 113572,A81000B,00100,0300,CONSULTING 113572,A81000B,00200,0300,RENT - CNA TRAINING 113572,A81000C,00100,0100,D 113572,A81000C,00100,0200,ROBERT ZABADY 113572,A81000C,00100,0400,ZABADY ENTERPRIES INC 113572,A81000C,00100,0600,CONSULTING 113572,A81000C,00200,0100,D 113572,A81000C,00200,0200,ROBERT ZABADY 113572,A81000C,00200,0400,ZABADY ENTERPRIES INC 113572,A81000C,00200,0600,CONSULTING 113572,B100000,00000,0100,0100SQUARE FEET 113572,B100000,00000,0200,0200SQUARE FEET 113572,B100000,00000,0300,0300GROSS SALARIES 113572,B100000,00000,0400,0400ACCUM. COST 113572,B100000,00000,0500,0500SQUARE FEET 113572,B100000,00000,0600,0600POUNDS OF LAUNDRY 113572,B100000,00000,0700,0700SQUARE FEET EXC 113572,B100000,00000,0800,0800MEALS SERVED 113572,B100000,00000,0900,0900DIRECT NRSING HRS 113572,B100000,00000,1000,1000COSTED REQUIS. 113572,B100000,00000,1100,1100COSTED REQUIS. 113572,B100000,00000,1200,1200TIME SPENT 113572,B100000,00000,1300,1300TIME SPENT 113572,B100000,00000,1400,1400ASSIGNED TIME 113572,B100000,00000,1500,1350TIME SPENT 113572,E10A180,00501,0100,11/22/00 113572,E10A180,00550,0300,11/22/00 113572,S000000,00100,0200,10/24/00 113572,S200000,00100,0100,GOLF HILL ROAD 113572,S200000,00100,0300,RR #1 BOX 1735 113572,S200000,00200,0100,HONESDALE 113572,S200000,00200,0200,PA 113572,S200000,00200,0300,18431 113572,S200000,00300,0100,WAYNE 113572,S200000,00400,0100,ELLEN MEMORIAL HEALTH CARE CENTER 113572,S200000,00400,0200,395357 113572,S200000,00400,0300,10/01/76 113572,S200000,00400,0500,P 113572,S200000,01500,0100,Y 113572,S200000,01600,0100,N 113572,S200000,01700,0100,N 113572,S200000,01800,0100,N 113572,S200000,02200,0100,N 113572,S200000,02800,0100,N 113572,S200000,02900,0100,N 113572,S200000,03000,0100,N 113572,S200000,03100,0100,N 113572,S200000,03200,0100,N 113572,S200000,03300,0100,N 113572,S200000,03300,0200,N 113572,S200000,04100,0100,N 113572,S200000,04200,0100,N 113572,S200000,04300,0100,Y 113572,S200000,04600,0100,N 113572,S200000,04700,0100,N 113572,S200000,04700,0200,N 113572,S200000,04900,0100,N 113600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113600,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113600,A000000,00300,0000,0300EMPLOYEE BENEFITS 113600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113600,A000000,00700,0000,0700HOUSEKEEPING 113600,A000000,00800,0000,0800DIETARY 113600,A000000,00900,0000,0900NURSING ADMINISTRATION 113600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113600,A000000,01100,0000,1100PHARMACY 113600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113600,A000000,01300,0000,1300SOCIAL SERVICE 113600,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113600,A000000,01600,0000,1600SKILLED NURSING FACILITY 113600,A000000,01810,0000,1810ICF/MR 113600,A000000,02500,0000,2500PHYSICAL THERAPY 113600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113600,A000000,02700,0000,2700SPEECH PATHOLOGY 113600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113600,A000000,03550,0000,3550FQHC 113600,A000000,05000,0000,5000CORF 113600,A000000,05010,0000,5010CMHC 113600,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113600,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113600,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113600,A81000A,00100,0100,Y 113600,A81000B,00100,0300,MANAGEMENT FEES 113600,A81000B,00200,0300,LEASING FEES 113600,A81000C,00100,0100,A 113600,A81000C,00100,0200,JACK & ELDORA V 113600,A81000C,00100,0400,VETTER HEALTH 113600,A81000C,00100,0600,MANAGEMENT COMP 113600,A81000C,00200,0400,VETTER LEASING 113600,A81000C,00200,0600,LEASING COMPANY 113600,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 113600,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113600,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113600,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 113600,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 113600,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 113600,B100000,00000,0800,0850PATIENT DAYS :DIETARY 113600,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 113600,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 113600,S000000,00100,0200,11/30/00 113600,S200000,00100,0100,427 LEGION STREET 113600,S200000,00200,0100,WAUNETA 113600,S200000,00200,0200,NE 113600,S200000,00200,0300, - 113600,S200000,00300,0100,CHASE 113600,S200000,00300,0200,0028 113600,S200000,00300,0300,R 113600,S200000,00400,0100,HERITAGE OF WAUNETA 113600,S200000,00400,0200,285220 113600,S200000,00400,0300,04/01/98 113600,S200000,00400,0500,P 113600,S200000,01500,0100,Y 113600,S200000,01600,0100,N 113600,S200000,01700,0100,N 113600,S200000,01800,0100,N 113600,S200000,02200,0100,N 113600,S200000,02800,0100,N 113600,S200000,02900,0100,N 113600,S200000,03000,0100,N 113600,S200000,03100,0100,N 113600,S200000,03200,0100,N 113600,S200000,04100,0100,N 113600,S200000,04200,0100,N 113600,S200000,04300,0100,N 113600,S200000,04600,0100,N 113600,S200000,04700,0100,N 113600,S200000,04700,0200,N 113600,S200000,04900,0100,N 113600,S200000,05000,0100,N 113600,S200000,05100,0100,N 113600,S200000,05200,0100,N 113602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113602,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113602,A000000,00300,0000,0300EMPLOYEE BENEFITS 113602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113602,A000000,00700,0000,0700HOUSEKEEPING 113602,A000000,00800,0000,0800DIETARY 113602,A000000,00900,0000,0900NURSING ADMINISTRATION 113602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113602,A000000,01100,0000,1100PHARMACY 113602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113602,A000000,01300,0000,1300SOCIAL SERVICE 113602,A000000,01600,0000,1600SKILLED NURSING FACILITY 113602,A000000,01800,0000,1800NURSING FACILITY 113602,A000000,02100,0000,2100RADIOLOGY 113602,A000000,02200,0000,2200LABORATORY 113602,A000000,02300,0000,2300INTRAVENOUS THERAPY 113602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113602,A000000,02500,0000,2500PHYSICAL THERAPY 113602,A000000,02501,0000,2501PHYSICAL THERAPY - PT B 113602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113602,A000000,02601,0000,2601OCCUPATIONAL THERAPY - PT B 113602,A000000,02700,0000,2700SPEECH PATHOLOGY 113602,A000000,02701,0000,2701SPEECH PATHOLOGY - PT B 113602,A000000,02800,0000,2800ELECTROCARDIOLOGY 113602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113602,A000000,05300,0000,5300INTEREST EXPENSE 113602,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113602,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113602,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113602,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113602,A000000,06100,0000,6100NONPAID WORKERS 113602,A000000,06200,0000,6200PATIENTS LAUNDRY 113602,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113602,A81000A,00100,0100,N 113602,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 113602,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 113602,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113602,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113602,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 113602,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 113602,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 113602,B100000,00000,0800,0800MEALS SERVED :DIETARY 113602,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 113602,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 113602,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 113602,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 113602,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 113602,S000000,00100,0200,11/30/00 113602,S200000,00100,0100,1400 NORTH COLLEGE 113602,S200000,00100,0300,250 113602,S200000,00200,0100,CORDELL 113602,S200000,00200,0200,OK 113602,S200000,00200,0300,73632- 113602,S200000,00300,0100,WASHITA 113602,S200000,00300,0200,0037 113602,S200000,00300,0300,R 113602,S200000,00400,0100,CORDELL CHRISTIAN HOME 113602,S200000,00400,0200,375306 113602,S200000,00400,0300,07/01/97 113602,S200000,00400,0500,P 113602,S200000,01500,0100,N 113602,S200000,01600,0100,Y 113602,S200000,01700,0100,N 113602,S200000,01800,0100,N 113602,S200000,02200,0100,N 113602,S200000,02800,0100,N 113602,S200000,02900,0100,N 113602,S200000,03000,0100,N 113602,S200000,03100,0100,N 113602,S200000,03200,0100,N 113602,S200000,04100,0100,N 113602,S200000,04200,0100,N 113602,S200000,04300,0100,N 113602,S200000,04600,0100,N 113602,S200000,04700,0100,N 113602,S200000,04700,0200,N 113602,S200000,04900,0100,N 113602,S200000,05000,0100,N 113602,S200000,05100,0100,N 113602,S200000,05200,0100,N 113653,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113653,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113653,A000000,00300,0000,0300EMPLOYEE BENEFITS 113653,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113653,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113653,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113653,A000000,00700,0000,0700HOUSEKEEPING 113653,A000000,00800,0000,0800DIETARY 113653,A000000,00900,0000,0900NURSING ADMINISTRATION 113653,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113653,A000000,01100,0000,1100PHARMACY 113653,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113653,A000000,01300,0000,1300SOCIAL SERVICE 113653,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113653,A000000,01500,0000,1350ACTIVITIES 113653,A000000,01501,0000,1351INDIRECT CONSULTANTS 113653,A000000,01600,0000,1600SKILLED NURSING FACILITY 113653,A000000,01800,0000,1800NURSING FACILITY 113653,A000000,01810,0000,1810ICF/MR 113653,A000000,02100,0000,2100RADIOLOGY 113653,A000000,02200,0000,2200LABORATORY 113653,A000000,02300,0000,2300INTRAVENOUS THERAPY 113653,A000000,02500,0000,2500PHYSICAL THERAPY 113653,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113653,A000000,02700,0000,2700SPEECH PATHOLOGY 113653,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113653,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113653,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113653,A000000,03301,0000,3051AMBULANCE 113653,A000000,03550,0000,3550FQHC 113653,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113653,A000000,05000,0000,5000CORF 113653,A000000,05010,0000,5010CMHC 113653,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113653,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113653,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113653,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113653,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113653,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113653,A81000A,00100,0100,Y 113653,A81000B,00100,0300,RENT-CAPITAL RELATED 113653,A81000B,00200,0300,RENT-CAP REL MOVALBE 113653,A81000B,00300,0300,MGMT FEE-CAPITAL RELATED 113653,A81000B,00400,0300,MGMT FEE-NOT CAPITAL RELATED 113653,A81000B,00500,0300,MGMT FEE-CAP REL MOVABLE 113653,A81000B,00600,0300,INTEREST 113653,A81000B,00700,0300,ADMINISTRATIVE 113653,A81000B,00800,0300,CLINICAL CONSULTING 113653,A81000B,00900,0300,REHAB CONSULTING 113653,A81000C,00100,0100,B 113653,A81000C,00100,0400,MERRIMACK ASSOC. 113653,A81000C,00100,0600,REALTY PROP 113653,A81000C,00200,0100,B 113653,A81000C,00200,0400,LANDMARK HEALTH SOLUTIONS 113653,A81000C,00200,0600,MGMT CO 113653,A81000C,00300,0100,D 113653,A81000C,00300,0600,ADMINISTRATOR 113653,B100000,00000,0100,0100SQUARE FEET 113653,B100000,00000,0200,0200SQUARE FEET 113653,B100000,00000,0300,0300GROSS SALARIES 113653,B100000,00000,0400,0400ACCUM. COST 113653,B100000,00000,0500,0500SQUARE FEET 113653,B100000,00000,0600,0600POUNDS OF LAUNDRY 113653,B100000,00000,0700,0700SQUARE FEET 113653,B100000,00000,0800,0800MEALS SERVED 113653,B100000,00000,0900,0900HOURS OF SERVICE 113653,B100000,00000,1000,1000PATIENT DAYS 113653,B100000,00000,1100,1100N/A 113653,B100000,00000,1200,1200PATIENT DAYS 113653,B100000,00000,1300,1300TIME SPENT 113653,B100000,00000,1400,1400N/A 113653,B100000,00000,1500,1350PATIENT DAYS 113653,B100000,00000,1501,1351N/A 113653,E10A180,00501,0100,09/24/01 113653,E10A180,00550,0300,09/24/01 113653,S000000,00100,0200,06/01/00 113653,S200000,00100,0100,689 MAIN STREET 113653,S200000,00200,0100,HAVERHILL 113653,S200000,00200,0200,MA 113653,S200000,00200,0300,01830 113653,S200000,00300,0100,ESSEX 113653,S200000,00300,0200,1123 113653,S200000,00300,0300,U 113653,S200000,00400,0100,OXFORD HEALTH SYSTEMS INC. 113653,S200000,00400,0200,225218 113653,S200000,00400,0300,08/01/74 113653,S200000,00400,0500,P 113653,S200000,00400,0600,P 113653,S200000,01500,0100,N 113653,S200000,01600,0100,Y 113653,S200000,01700,0100,N 113653,S200000,01800,0100,N 113653,S200000,02200,0100,N 113653,S200000,02800,0100,N 113653,S200000,02900,0100,N 113653,S200000,03000,0100,N 113653,S200000,03100,0100,N 113653,S200000,03200,0100,N 113653,S200000,03300,0100,N 113653,S200000,03300,0200,N 113653,S200000,04100,0100,N 113653,S200000,04200,0100,N 113653,S200000,04300,0100,N 113653,S200000,04600,0100,N 113653,S200000,04700,0100,N 113653,S200000,04700,0200,N 113653,S200000,04900,0100,N 113654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113654,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113654,A000000,00300,0000,0300EMPLOYEE BENEFITS 113654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113654,A000000,00700,0000,0700HOUSEKEEPING 113654,A000000,00800,0000,0800DIETARY 113654,A000000,00900,0000,0900NURSING ADMINISTRATION 113654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113654,A000000,01100,0000,1100PHARMACY 113654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113654,A000000,01300,0000,1300SOCIAL SERVICE 113654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113654,A000000,01500,0000,1350ACTIVITIES 113654,A000000,01600,0000,1600SKILLED NURSING FACILITY 113654,A000000,01800,0000,1800NURSING FACILITY 113654,A000000,01900,0000,1900OTHER LONG TERM CARE 113654,A000000,02100,0000,2100RADIOLOGY 113654,A000000,02200,0000,2200LABORATORY 113654,A000000,02300,0000,2300INTRAVENOUS THERAPY 113654,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113654,A000000,02500,0000,2500PHYSICAL THERAPY 113654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113654,A000000,02700,0000,2700SPEECH PATHOLOGY 113654,A000000,02800,0000,2800ELECTROCARDIOLOGY 113654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113654,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113654,A000000,03200,0000,3200SUPPORT SURFACES 113654,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 113654,A000000,04800,0000,4800AMBULANCE 113654,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 113654,A000000,05300,0000,5300INTEREST EXPENSE 113654,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113654,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 113654,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113654,A000000,06100,0000,6100NONPAID WORKERS 113654,A000000,06200,0000,6200PATIENTS LAUNDRY 113654,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113654,A81000A,00100,0100,Y 113654,A81000B,00100,0300,HOME OFFICE COST 113654,A81000B,00200,0300,IV COSTS 113654,A81000B,00300,0300,DRUGS 113654,A81000B,00400,0300,PT ADMINISTRATION FEES 113654,A81000B,00500,0300,OT ADMINISTRATION FEES 113654,A81000B,00600,0300,ADMINISTRATION FEES 113654,A81000C,00100,0100,B 113654,A81000C,00100,0200,HHCC PEWAUKEE 113654,A81000C,00100,0400,HCR MANORCARE INC. 113654,A81000C,00100,0600,LONG TERM CARE FACILITIES 113654,A81000C,00200,0100,B 113654,A81000C,00200,0200,HCR MANORCARE INC 113654,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 113654,A81000C,00200,0600,THERAPY MANAGEMENT 113654,A81000C,00300,0100,B 113654,A81000C,00300,0200,HCR MANORCARE INC 113654,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 113654,A81000C,00300,0600,THERAPY MANAGEMENT 113654,A81000C,00400,0100,B 113654,A81000C,00400,0200,HCR MANORCARE INC 113654,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 113654,A81000C,00400,0600,THERAPY MANAGEMENT 113654,A81000C,00500,0100,B 113654,A81000C,00500,0200,HCR MANORCARE INC 113654,A81000C,00500,0400,HEARTLAND HLTH CARE SERV 113654,A81000C,00500,0600,PHARMACY 113654,A81000C,00600,0100,B 113654,A81000C,00600,0200,HCR MANORCARE INC 113654,A81000C,00600,0400,HEARTLAND HLTH CARE SERV 113654,A81000C,00600,0600,PHARMACY 113654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 113654,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 113654,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 113654,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 113654,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 113654,B100000,00000,0800,0800MEALS SERVED :DIETARY 113654,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 113654,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 113654,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 113654,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 113654,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 113654,S000000,00100,0200,11/29/00 113654,S200000,00100,0100,N26 W23977 WATERTOWN 113654,S200000,00200,0100,PEWAUKEE 113654,S200000,00200,0200,WI 113654,S200000,00200,0300,53072- 113654,S200000,00300,0100,WAUKESHA 113654,S200000,00300,0200,5080 113654,S200000,00300,0300,U 113654,S200000,00400,0100,HEARTLAND OF PEWAUKEE 113654,S200000,00400,0200,525646 113654,S200000,00400,0300,07/28/98 113654,S200000,00400,0500,P 113654,S200000,00400,0600,P 113654,S200000,01004,0500,O 113654,S200000,01500,0100,Y 113654,S200000,01600,0100,N 113654,S200000,01700,0100,N 113654,S200000,01800,0100,N 113654,S200000,02200,0100,Y 113654,S200000,02800,0100,N 113654,S200000,02900,0100,N 113654,S200000,03000,0100,N 113654,S200000,03100,0100,N 113654,S200000,03200,0100,N 113654,S200000,04100,0100,N 113654,S200000,04200,0100,N 113654,S200000,04300,0100,N 113654,S200000,04600,0100,N 113654,S200000,04700,0100,N 113654,S200000,04700,0200,N 113654,S200000,04900,0100,N 113654,S200000,05000,0100,N 113654,S200000,05100,0100,N 113654,S200000,05200,0100,N 113659,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113659,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113659,A000000,00300,0000,0300EMPLOYEE BENEFITS 113659,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113659,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113659,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113659,A000000,00700,0000,0700HOUSEKEEPING 113659,A000000,00800,0000,0800DIETARY 113659,A000000,00900,0000,0900NURSING ADMINISTRATION 113659,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113659,A000000,01100,0000,1100PHARMACY 113659,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113659,A000000,01300,0000,1300SOCIAL SERVICE 113659,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113659,A000000,01500,0000,1350OTHER GENERAL SERVICES 113659,A000000,01600,0000,1600SKILLED NURSING FACILITY 113659,A000000,01800,0000,1800NURSING FACILITY 113659,A000000,01810,0000,1810ICF/MR 113659,A000000,01900,0000,1900OTHER LONG TERM CARE 113659,A000000,02100,0000,2100RADIOLOGY 113659,A000000,02200,0000,2200LABORATORY 113659,A000000,02300,0000,2300INTRAVENOUS THERAPY 113659,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113659,A000000,02500,0000,2500PHYSICAL THERAPY 113659,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113659,A000000,02700,0000,2700SPEECH PATHOLOGY 113659,A000000,02800,0000,2800ELECTROCARDIOLOGY 113659,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113659,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113659,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113659,A000000,03200,0000,3200SUPPORT SURFACES 113659,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113659,A000000,03301,0000,3051ROUTINE MEDICAL EQUIPMENT 113659,A000000,03302,0000,3052CONCENTRATORS 113659,A000000,03400,0000,3400CLINIC 113659,A000000,03500,0000,3500RURAL HEALTH CLINIC 113659,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113659,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 113659,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 113659,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 113659,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 113659,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 113659,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 113659,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 113659,A000000,04400,0000,4400DME RENTED - HHA 113659,A000000,04500,0000,4500DME SOLD - HHA 113659,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 113659,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 113659,A000000,04800,0000,4800AMBULANCE 113659,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113659,A000000,05000,0000,5000CORF 113659,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113659,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113659,A000000,05300,0000,5300INTEREST EXPENSE 113659,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113659,A000000,05500,0000,5500HOSPICE 113659,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113659,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113659,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113659,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113659,A000000,06100,0000,6100NONPAID WORKERS 113659,A000000,06200,0000,6200PATIENTS LAUNDRY 113659,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113659,A81000A,00100,0100,Y 113659,A81000B,00100,0300,ASST. ADMIN. SALARY- JOAN GLASS 113659,A81000B,00200,0300,OFFICER - JIM GLASS 113659,A81000B,00300,0300,OFFICER - MICHELLE SCHNEIDER 113659,A81000B,00400,0300,RENT 113659,A81000C,00100,0100,F 113659,A81000C,00100,0200,MICHELLE SCHNEIDER 113659,A81000C,00100,0400,HILLEBRAND NURSING HOME 113659,A81000C,00100,0600,OFFICER 113659,A81000C,00200,0100,B 113659,A81000C,00200,0200,JOAN R. GLASS BUS. TRUST 113659,A81000C,00200,0400,HILLEBRAND NURSING HOME 113659,A81000C,00200,0600,STOCK OWNER 113659,A81000C,00300,0100,D 113659,A81000C,00300,0200,MICHELLE SCHNEIDER 113659,A81000C,00300,0400,EDA RAE CORPORATION 113659,A81000C,00300,0600,N/H REAL ESTATE OWNER 113659,A81000C,00400,0100,B 113659,A81000C,00400,0200,JOAN R. GLASS BUS. TRUST 113659,A81000C,00400,0400,EDA RAE CORPORATION 113659,A81000C,00400,0600,N/H REAL ESTATE OWNER 113659,A81000C,00500,0100,F 113659,A81000C,00500,0200,JOAN R. GLASS 113659,A81000C,00500,0400,HILLEBRAND NURSING HOME 113659,A81000C,00500,0600,ASSISTANT ADMINISTRATOR 113659,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 113659,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 113659,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113659,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113659,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 113659,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 113659,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 113659,B100000,00000,0800,0800MEALS SERVED :DIETARY 113659,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 113659,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 113659,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 113659,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 113659,S000000,00100,0200,01/31/01 113659,S200000,00100,0100,4320 BRIDGETOWN ROAD 113659,S200000,00200,0100,CINCINNATI 113659,S200000,00200,0200,OH 113659,S200000,00200,0300,45211- 113659,S200000,00300,0100,HAMILTON 113659,S200000,00300,0200,1640 113659,S200000,00300,0300,U 113659,S200000,00400,0100,HILLEBRAND NURSING & REHABILITATION 113659,S200000,00400,0200,365045 113659,S200000,00400,0300,02/28/67 113659,S200000,00400,0500,P 113659,S200000,01500,0100,N 113659,S200000,01600,0100,Y 113659,S200000,01700,0100,N 113659,S200000,01800,0100,N 113659,S200000,02200,0100,N 113659,S200000,02800,0100,N 113659,S200000,02900,0100,N 113659,S200000,03000,0100,N 113659,S200000,03100,0100,N 113659,S200000,03200,0100,N 113659,S200000,04100,0100,N 113659,S200000,04200,0100,N 113659,S200000,04300,0100,N 113659,S200000,04600,0100,N 113659,S200000,04700,0100,N 113659,S200000,04700,0200,N 113659,S200000,04900,0100,N 113659,S200000,05000,0100,N 113659,S200000,05100,0100,N 113659,S200000,05200,0100,N 113660,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113660,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113660,A000000,00300,0000,0300EMPLOYEE BENEFITS 113660,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113660,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113660,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113660,A000000,00700,0000,0700HOUSEKEEPING 113660,A000000,00800,0000,0800DIETARY 113660,A000000,00900,0000,0900NURSING ADMINISTRATION 113660,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113660,A000000,01100,0000,1100PHARMACY 113660,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113660,A000000,01300,0000,1300SOCIAL SERVICE 113660,A000000,01500,0000,1350OTHER GENERAL SERVICES 113660,A000000,01600,0000,1600SKILLED NURSING FACILITY 113660,A000000,01800,0000,1800NURSING FACILITY 113660,A000000,01900,0000,1900OTHER LONG TERM CARE 113660,A000000,02100,0000,2100RADIOLOGY 113660,A000000,02200,0000,2200LABORATORY 113660,A000000,02300,0000,2300INTRAVENOUS THERAPY 113660,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113660,A000000,02500,0000,2500PHYSICAL THERAPY 113660,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113660,A000000,02700,0000,2700SPEECH PATHOLOGY 113660,A000000,02800,0000,2800ELECTROCARDIOLOGY 113660,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113660,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113660,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113660,A000000,03200,0000,3200SUPPORT SURFACES 113660,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 113660,A000000,03400,0000,3400CLINIC 113660,A000000,03500,0000,3500RURAL HEALTH CLINIC 113660,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 113660,A000000,04800,0000,4800AMBULANCE 113660,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 113660,A000000,05000,0000,5000CORF 113660,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113660,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 113660,A000000,05300,0000,5300INTEREST EXPENSE 113660,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113660,A000000,05500,0000,5500HOSPICE 113660,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113660,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113660,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113660,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 113660,A000000,06100,0000,6100NONPAID WORKERS 113660,A000000,06200,0000,6200PATIENTS LAUNDRY 113660,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113660,A81000A,00100,0100,Y 113660,A81000B,00100,0300,OWNERSHIP COSTS 113660,A81000B,00200,0300,MANAGEMENT FEES 113660,A81000B,00300,0300,DATA SERVICES 113660,A81000B,00400,0300,ACCOUNTING FEES 113660,A81000C,00100,0100,A 113660,A81000C,00100,0200,M SCHARFENBERGER 113660,A81000C,00100,0400,NURSING CARE MANAGEMENT 113660,A81000C,00100,0600,MANAGEMENT SERVICES 113660,A81000C,00200,0100,A 113660,A81000C,00200,0200,ESTATE OF ROBERT WYNNE 113660,A81000C,00200,0400,NURSING CARE MANAGEMENT 113660,A81000C,00200,0600,MANAGEMENT SERVICES 113660,A81000C,00300,0100,A 113660,A81000C,00300,0200,M SCHARFENBERGER 113660,A81000C,00300,0400,MT WASHINGTON REALTY CO 113660,A81000C,00300,0600,LESSOR 113660,A81000C,00400,0100,A 113660,A81000C,00400,0200,ESTATE OF ROBERT WYNNE 113660,A81000C,00400,0400,MT WASHINGTON REALTY CO 113660,A81000C,00400,0600,LESSOR 113660,A81000C,00500,0100,A 113660,A81000C,00500,0200,E OLANOFF 113660,A81000C,00500,0400,MT WASHINGTON REALTY CO 113660,A81000C,00500,0600,LESSOR 113660,A81000C,00600,0100,A 113660,A81000C,00600,0200,G RABINER 113660,A81000C,00600,0400,MT WASHINGTON REALTY CO 113660,A81000C,00600,0600,LESSOR 113660,A81000C,00700,0100,A 113660,A81000C,00700,0200,D SPITZBERG 113660,A81000C,00700,0400,MT WASHINGTON REALTY CO 113660,A81000C,00700,0600,LESSOR 113660,A81000C,00800,0100,A 113660,A81000C,00800,0200,M SCHARFENBERGER 113660,A81000C,00800,0400,PHARMCO 113660,A81000C,00800,0600,PHARMACY 113660,A81000C,00900,0100,A 113660,A81000C,00900,0200,ESTATE OF ROBERT WYNNE 113660,A81000C,00900,0400,PHARMCO 113660,A81000C,00900,0600,PHARMACY 113660,A81000C,01000,0100,A 113660,A81000C,01000,0200,G RABINER 113660,A81000C,01000,0400,PHARMCO 113660,A81000C,01000,0600,PHARMACY 113660,A81000C,01001,0100,A 113660,A81000C,01001,0200,D SPITZBERG 113660,A81000C,01001,0400,PHARMCO 113660,A81000C,01001,0600,PHARMACY 113660,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 113660,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 113660,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113660,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113660,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 113660,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 113660,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 113660,B100000,00000,0800,0800MEALS SERVED :DIETARY 113660,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 113660,B100000,00000,1000,1050DAYS SPENT :CENTRAL SERVICES & 113660,B100000,00000,1200,1250DAYS SPENT :MEDICAL RECORDS & L 113660,B100000,00000,1300,1330DAYS SPENT :SOCIAL SERVICE 113660,B100000,00000,1500,1350DAYS SPENT :OTHER GENERAL SERVI 113660,E10A180,00501,0100,11/28/00 113660,S000000,00100,0200,11/22/00 113660,S200000,00100,0100,6900 BEECHMONT AVENUE 113660,S200000,00200,0100,CINCINNATI 113660,S200000,00200,0200,OH 113660,S200000,00200,0300,45230- 113660,S200000,00300,0100,HAMILTON 113660,S200000,00300,0200,1640 113660,S200000,00300,0300,U 113660,S200000,00400,0100,MOUNT WASHINGTON CARE CENTER 113660,S200000,00400,0200,365423 113660,S200000,00400,0300,09/24/79 113660,S200000,00400,0500,P 113660,S200000,00600,0200,365423 113660,S200000,00600,0300,09/24/79 113660,S200000,00600,0600,O 113660,S200000,01500,0100,N 113660,S200000,01600,0100,Y 113660,S200000,01700,0100,N 113660,S200000,01800,0100,N 113660,S200000,02200,0100,N 113660,S200000,02800,0100,N 113660,S200000,02900,0100,N 113660,S200000,03000,0100,N 113660,S200000,03100,0100,N 113660,S200000,03200,0100,N 113660,S200000,04100,0100,N 113660,S200000,04200,0100,N 113660,S200000,04300,0100,N 113660,S200000,04600,0100,N 113660,S200000,04700,0100,N 113660,S200000,04700,0200,N 113660,S200000,04900,0100,N 113660,S200000,05000,0100,N 113660,S200000,05100,0100,N 113660,S200000,05200,0100,N 113668,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 113668,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 113668,A000000,00300,0000,0300EMPLOYEE BENEFITS 113668,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113668,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 113668,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113668,A000000,00700,0000,0700HOUSEKEEPING 113668,A000000,00800,0000,0800DIETARY 113668,A000000,00900,0000,0900NURSING ADMINISTRATION 113668,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113668,A000000,01100,0000,1100PHARMACY 113668,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113668,A000000,01300,0000,1300SOCIAL SERVICE 113668,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 113668,A000000,01500,0000,1350ACTIVITIES 113668,A000000,01600,0000,1600SKILLED NURSING FACILITY 113668,A000000,01800,0000,1800NURSING FACILITY 113668,A000000,01900,0000,1900OTHER LONG TERM CARE 113668,A000000,02100,0000,2100RADIOLOGY 113668,A000000,02200,0000,2200LABORATORY 113668,A000000,02300,0000,2300INTRAVENOUS THERAPY 113668,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113668,A000000,02500,0000,2500PHYSICAL THERAPY 113668,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113668,A000000,02700,0000,2700SPEECH PATHOLOGY 113668,A000000,02800,0000,2800ELECTROCARDIOLOGY 113668,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 113668,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113668,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113668,A000000,03200,0000,3200SUPPORT SURFACES 113668,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 113668,A000000,04800,0000,4800AMBULANCE 113668,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 113668,A000000,05300,0000,5300INTEREST EXPENSE 113668,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113668,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 113668,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 113668,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113668,A000000,06100,0000,6100NONPAID WORKERS 113668,A000000,06200,0000,6200PATIENTS LAUNDRY 113668,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113668,A81000A,00100,0100,Y 113668,A81000B,00100,0300,HOME OFFICE COST 113668,A81000B,00200,0300,IV THERAPY 113668,A81000B,00300,0300,PHARMACY 113668,A81000B,00400,0300,PHYSICAL THERAPY 113668,A81000B,00500,0300,OCCUPATIONAL THERAPY 113668,A81000B,00600,0300,SPEECH THERAPY 113668,A81000C,00100,0100,B 113668,A81000C,00100,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00100,0400,HCR MANORCARE INC. 113668,A81000C,00100,0600,LONG TERM CARE FACILITIES 113668,A81000C,00200,0100,B 113668,A81000C,00200,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 113668,A81000C,00200,0600,PHARMACY 113668,A81000C,00300,0100,B 113668,A81000C,00300,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 113668,A81000C,00300,0600,PHARMACY 113668,A81000C,00400,0100,B 113668,A81000C,00400,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 113668,A81000C,00400,0600,THERAPY MANAGEMENT SERV 113668,A81000C,00500,0100,B 113668,A81000C,00500,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 113668,A81000C,00500,0600,THERAPY MANAGEMENT SERV 113668,A81000C,00600,0100,B 113668,A81000C,00600,0200,SHADYSIDE NURSING & REHAB 113668,A81000C,00600,0400,HEARTLAND MANAGEMENT SERV 113668,A81000C,00600,0600,THERAPY MANAGEMENT SERV 113668,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 113668,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 113668,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 113668,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 113668,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 113668,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 113668,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 113668,B100000,00000,0800,0800MEALS SERVED :DIETARY 113668,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 113668,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 113668,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 113668,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 113668,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 113668,E10A180,00501,0100,11/16/00 113668,S000000,00100,0200,11/06/00 113668,S200000,00100,0100,5609 FIFTH AVENUE 113668,S200000,00200,0100,PITTSBURGH 113668,S200000,00200,0200,PA 113668,S200000,00200,0300,15232- 113668,S200000,00300,0100,ALLEGHENY 113668,S200000,00300,0200,6280 113668,S200000,00300,0300,U 113668,S200000,00400,0100,SHADYSIDE NURSING & REHAB CENTER 113668,S200000,00400,0200,395251 113668,S200000,00400,0300,01/01/69 113668,S200000,00400,0500,P 113668,S200000,00400,0600,P 113668,S200000,01500,0100,N 113668,S200000,01600,0100,Y 113668,S200000,01700,0100,N 113668,S200000,01800,0100,N 113668,S200000,02200,0100,Y 113668,S200000,02800,0100,N 113668,S200000,02900,0100,N 113668,S200000,03000,0100,N 113668,S200000,03100,0100,N 113668,S200000,03200,0100,N 113668,S200000,04100,0100,N 113668,S200000,04200,0100,N 113668,S200000,04300,0100,N 113668,S200000,04600,0100,N 113668,S200000,04700,0100,N 113668,S200000,04700,0200,N 113668,S200000,04900,0100,N 113668,S200000,05000,0100,N 113668,S200000,05100,0100,N 113668,S200000,05200,0100,N 113687,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113687,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 113687,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113687,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 113687,A000000,00300,0000,0300EMPLOYEE BENEFITS 113687,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113687,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113687,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113687,A000000,00700,0000,0700HOUSEKEEPING 113687,A000000,00800,0000,0800DIETARY 113687,A000000,00801,0000,0801CAFETERIA 113687,A000000,00900,0000,0900NURSING ADMINISTRATION 113687,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113687,A000000,01100,0000,1100PHARMACY 113687,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113687,A000000,01300,0000,1300SOCIAL SERVICE 113687,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113687,A000000,01500,0000,1350ACTIVITIES 113687,A000000,01600,0000,1600SKILLED NURSING FACILITY 113687,A000000,01800,0000,1800NURSING FACILITY 113687,A000000,01810,0000,1810ICF/MR 113687,A000000,02100,0000,2100RADIOLOGY 113687,A000000,02200,0000,2200LABORATORY 113687,A000000,02300,0000,2300INTRAVENOUS THERAPY 113687,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113687,A000000,02500,0000,2500PHYSICAL THERAPY 113687,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113687,A000000,02700,0000,2700SPEECH PATHOLOGY 113687,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113687,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113687,A000000,03200,0000,3200SUPPORT SURFACES 113687,A000000,03300,0000,3050OTHER ANCILLARY 113687,A000000,03301,0000,3051OTHER ANCILLARY II 113687,A000000,03302,0000,3052OTHER ANCILLARY III 113687,A000000,03550,0000,3550FQHC 113687,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 113687,A000000,05000,0000,5000CORF I 113687,A000000,05010,0000,5010CMHC I 113687,A000000,05020,0000,5020OPT I 113687,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113687,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113687,A000000,05100,0000,4750OTHER REIMBURSABLE COST 113687,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 113687,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 113687,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113687,A81000A,00100,0100,Y 113687,A81000B,00100,0300,H O ALLOCATION 113687,A81000B,00200,0300,H O CAP ALLOCATION 113687,A81000B,00300,0300,PHYSICAL THERAPY 113687,A81000B,00400,0300,OCCUPATIONAL THERAPY 113687,A81000B,00500,0300,SPEECH THERAPY 113687,A81000B,00600,0300,DRUGS CHARGED 113687,A81000B,00700,0300,MEDICAL SUPPLIES 113687,A81000B,00800,0300,CENTRAL SUPPLY 113687,A81000B,00900,0300,DIETARY OTHER 113687,A81000C,00100,0100,B 113687,A81000C,00100,0200,GENESIS HEALTH 113687,A81000C,00100,0600,MGMT. CO. 113687,A81000C,00200,0100,B 113687,A81000C,00200,0200,NEIGHBORCARE 113687,A81000C,00200,0600,PHARMACY CO. 113687,A81000C,00300,0100,B 113687,A81000C,00300,0200,GENESIS SCVS 113687,A81000C,00300,0600,VARIOUS 113687,A81000C,00400,0100,B 113687,A81000C,00400,0200,GENESIS PHYS 113687,A81000C,00400,0600,CASE MGMT 113687,A81000C,00500,0100,B 113687,A81000C,00500,0200,GENESIS REHAB 113687,A81000C,00500,0600,RT 113687,B100000,00000,0100,0100(SQUARE FEET) 113687,B100000,00000,0101,0101(SQUARE FEET) 113687,B100000,00000,0200,0200(SQUARE FEET) 113687,B100000,00000,0201,0201(SQUARE FEET) 113687,B100000,00000,0300,0300(GROSS SALARIES) 113687,B100000,00000,0400,0400(ACCUM. COST) 113687,B100000,00000,0500,0500(SQUARE FEET) 113687,B100000,00000,0600,0600(PATIENT DAYS) 113687,B100000,00000,0700,0700(SQUARE FEET) 113687,B100000,00000,0800,0800(MEALS SERVED) 113687,B100000,00000,0801,0801(MEALS SERVED) 113687,B100000,00000,0900,0900(NURSING SALARIES) 113687,B100000,00000,1000,1000(COSTED REQUIS.) 113687,B100000,00000,1100,1100(COSTED REQUIS.) 113687,B100000,00000,1200,1200(GROSS CHARGES) 113687,B100000,00000,1300,1300(PATIENT DAYS) 113687,B100000,00000,1400,1400(ASSIGNED TIME) 113687,B100000,00000,1500,1350(PATIENT DAYS) 113687,E10A180,00501,0100,01/25/01 113687,E10A180,00501,0300,01/25/01 113687,E10A180,00502,0100,01/09/02 113687,E10A180,00502,0300,01/09/02 113687,S000000,00100,0200,01/02/01 113687,S200000,00100,0100,3810 RULEME STREET 113687,S200000,00200,0100,EUSTIS 113687,S200000,00200,0200,FL 113687,S200000,00200,0300,32548 113687,S200000,00400,0100,RULEME CENTER 113687,S200000,00400,0200,105855 113687,S200000,00400,0300,10/01/94 113687,S200000,00400,0500,P 113687,S200000,01500,0100,N 113687,S200000,01600,0100,Y 113687,S200000,01700,0100,N 113687,S200000,01800,0100,N 113687,S200000,02200,0100,Y 113687,S200000,02800,0100,N 113687,S200000,02900,0100,N 113687,S200000,03000,0100,N 113687,S200000,03100,0100,N 113687,S200000,03200,0100,N 113687,S200000,03300,0100,N 113687,S200000,03300,0200,N 113687,S200000,04100,0100,N 113687,S200000,04200,0100,N 113687,S200000,04300,0100,N 113687,S200000,04600,0100,N 113687,S200000,04700,0100,N 113687,S200000,04900,0100,N 113714,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113714,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113714,A000000,00300,0000,0300EMPLOYEE BENEFITS 113714,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113714,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113714,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113714,A000000,00700,0000,0700HOUSEKEEPING 113714,A000000,00800,0000,0800DIETARY 113714,A000000,00900,0000,0900NURSING ADMINISTRATION 113714,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113714,A000000,01100,0000,1100PHARMACY 113714,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113714,A000000,01300,0000,1300SOCIAL SERVICE 113714,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113714,A000000,01600,0000,1600SKILLED NURSING FACILITY 113714,A000000,01800,0000,1800NURSING FACILITY 113714,A000000,01810,0000,1810ICF/MR 113714,A000000,02500,0000,2500PHYSICAL THERAPY 113714,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113714,A000000,02700,0000,2700SPEECH PATHOLOGY 113714,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113714,A000000,03550,0000,3550FQHC 113714,A000000,05000,0000,5000CORF 113714,A000000,05010,0000,5010CMHC 113714,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113714,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113714,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113714,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113714,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113714,A81000A,00100,0100,N 113714,B100000,00000,0100,0100SQ FEET 113714,B100000,00000,0200,0200NO STATISTICS 113714,B100000,00000,0300,0300GROSS SALARIES 113714,B100000,00000,0400,0400ACCUM. COST 113714,B100000,00000,0500,0500SQ FEET 113714,B100000,00000,0600,0600LAUNDRY POUNDS 113714,B100000,00000,0700,0700TIME SPENT 113714,B100000,00000,0800,0800MEALS SERVED 113714,B100000,00000,0900,0900TIME SPENT 113714,B100000,00000,1000,1000NO STATISTICS 113714,B100000,00000,1100,1100PATIENT DAYS 113714,B100000,00000,1200,1200TIME SPENT 113714,B100000,00000,1300,1300PATIENT DAYS 113714,B100000,00000,1400,1400NO STATISTICS 113714,S000000,00100,0200,11/02/00 113714,S200000,00100,0300,1208 113714,S200000,00200,0100,MOUNT IDA 113714,S200000,00200,0200,AR 113714,S200000,00200,0300,71957 113714,S200000,00300,0100,MONTGOMERY 113714,S200000,00400,0100,MONTGOMERY CO NURSING HOME 113714,S200000,00400,0200,045266 113714,S200000,00400,0300,02/01/95 113714,S200000,00400,0500,P 113714,S200000,01500,0100,N 113714,S200000,01600,0100,Y 113714,S200000,01700,0100,N 113714,S200000,01800,0100,N 113714,S200000,02200,0100,N 113714,S200000,02800,0100,N 113714,S200000,02900,0100,N 113714,S200000,03000,0100,N 113714,S200000,03100,0100,N 113714,S200000,03200,0100,N 113714,S200000,03300,0100,N 113714,S200000,03300,0200,N 113714,S200000,04100,0100,N 113714,S200000,04200,0100,N 113714,S200000,04300,0100,N 113714,S200000,04600,0100,N 113714,S200000,04700,0100,N 113714,S200000,04700,0200,N 113714,S200000,04900,0100,N 113715,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113715,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113715,A000000,00300,0000,0300EMPLOYEE BENEFITS 113715,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113715,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113715,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113715,A000000,00700,0000,0700HOUSEKEEPING 113715,A000000,00800,0000,0800DIETARY 113715,A000000,00900,0000,0900NURSING ADMINISTRATION 113715,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113715,A000000,01100,0000,1100PHARMACY 113715,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113715,A000000,01300,0000,1300SOCIAL SERVICE 113715,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113715,A000000,01600,0000,1600SKILLED NURSING FACILITY 113715,A000000,01800,0000,1800NURSING FACILITY 113715,A000000,01810,0000,1810ICF/MR 113715,A000000,02100,0000,2100RADIOLOGY 113715,A000000,02200,0000,2200LABORATORY 113715,A000000,02500,0000,2500PHYSICAL THERAPY 113715,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113715,A000000,02700,0000,2700SPEECH PATHOLOGY 113715,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113715,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113715,A000000,03550,0000,3550FQHC 113715,A000000,05000,0000,5000CORF 113715,A000000,05010,0000,5010CMHC 113715,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113715,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113715,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113715,A000000,05300,0000,5300INTEREST EXPENSE 113715,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113715,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113715,A000000,06301,0000,6151RENTAL PROPERTY 113715,A81000A,00100,0100,N 113715,B100000,00000,0100,0100SQUARE FEET 113715,B100000,00000,0200,0200SQUARE FEET 113715,B100000,00000,0300,0300GROSS SALARIES 113715,B100000,00000,0400,0400ACCUM. COST 113715,B100000,00000,0500,0500SQUARE FEET 113715,B100000,00000,0600,0600PATIENT DAYS 113715,B100000,00000,0700,0700SQUARE FEET 113715,B100000,00000,0800,0800MEALS SERVED 113715,B100000,00000,0900,0900DIRECT NRSING HRS 113715,B100000,00000,1000,1000PATIENT DAYS 113715,B100000,00000,1100,1100PATIENT DAYS 113715,B100000,00000,1200,1200GROSS REVENUE 113715,B100000,00000,1300,1300PATIENT DAYS 113715,B100000,00000,1400,1400ASSIGNED TIME 113715,S000000,00100,0200,11/30/00 113715,S200000,00100,0100,814 NORTH DAVIS STREET 113715,S200000,00100,0300,429 113715,S200000,00200,0100,MANILA 113715,S200000,00200,0200,AR 113715,S200000,00200,0300,72442 113715,S200000,00300,0100,MISSISSIPPI 113715,S200000,00400,0100,MANILA NURSING CENTER 113715,S200000,00400,0200,045297 113715,S200000,00400,0300,01/01/96 113715,S200000,00400,0500,P 113715,S200000,01500,0100,N 113715,S200000,01600,0100,Y 113715,S200000,01700,0100,N 113715,S200000,01800,0100,N 113715,S200000,02200,0100,N 113715,S200000,02800,0100,N 113715,S200000,02900,0100,N 113715,S200000,03000,0100,N 113715,S200000,03100,0100,N 113715,S200000,03200,0100,N 113715,S200000,03300,0100,N 113715,S200000,03300,0200,N 113715,S200000,04100,0100,N 113715,S200000,04200,0100,N 113715,S200000,04300,0100,N 113715,S200000,04600,0100,N 113715,S200000,04700,0100,N 113715,S200000,04700,0200,N 113715,S200000,04900,0100,N 113718,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113718,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113718,A000000,00300,0000,0300EMPLOYEE BENEFITS 113718,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113718,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113718,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113718,A000000,00700,0000,0700HOUSEKEEPING 113718,A000000,00800,0000,0800DIETARY 113718,A000000,00801,0000,0801CAFETERIA 113718,A000000,00900,0000,0900NURSING ADMINISTRATION 113718,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113718,A000000,01100,0000,1100PHARMACY 113718,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113718,A000000,01300,0000,1300SOCIAL SERVICE 113718,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113718,A000000,01600,0000,1600SKILLED NURSING FACILITY 113718,A000000,01800,0000,1800NURSING FACILITY 113718,A000000,01810,0000,1810ICF/MR 113718,A000000,02100,0000,2100RADIOLOGY 113718,A000000,02200,0000,2200LABORATORY 113718,A000000,02500,0000,2500PHYSICAL THERAPY 113718,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113718,A000000,02700,0000,2700SPEECH PATHOLOGY 113718,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113718,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113718,A000000,03550,0000,3550FQHC 113718,A000000,05000,0000,5000CORF 113718,A000000,05010,0000,5010CMHC 113718,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113718,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113718,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113718,A000000,05300,0000,5300INTEREST EXPENSE 113718,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113718,A000000,06200,0000,6200PATIENTS LAUNDRY 113718,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113718,A81000A,00100,0100,N 113718,B100000,00000,0100,0100SQUARE FEET 113718,B100000,00000,0200,0200SQUARE FEET 113718,B100000,00000,0300,0300GROSS SALARIES 113718,B100000,00000,0400,0400ACCUM. COST 113718,B100000,00000,0500,0500SQUARE FEET 113718,B100000,00000,0600,0600POUNDS OF LAUNDRY 113718,B100000,00000,0700,0700SQUARE FEET 113718,B100000,00000,0800,0800MEALS SERVED 113718,B100000,00000,0801,0801PAID HOURS 113718,B100000,00000,0900,0900TIME SPENT 113718,B100000,00000,1000,1000COSTED REQUIS. 113718,B100000,00000,1100,1100PATIENT DAYS 113718,B100000,00000,1200,1200TIME SPENT 113718,B100000,00000,1300,1300TIME SPENT 113718,B100000,00000,1400,1400ASSIGNED TIME 113718,E10A180,00301,0100,03/22/01 113718,S000000,00100,0200,12/01/00 113718,S200000,00100,0100,501 HUDSON STREET 113718,S200000,00200,0100,EL DORADO 113718,S200000,00200,0200,AR 113718,S200000,00200,0300,71730 113718,S200000,00300,0100,UNION 113718,S200000,00400,0100,OAK RIDGE NURSING HOME 113718,S200000,00400,0200,045271 113718,S200000,00400,0300,08/01/94 113718,S200000,00400,0500,P 113718,S200000,01500,0100,N 113718,S200000,01600,0100,Y 113718,S200000,01700,0100,N 113718,S200000,01800,0100,N 113718,S200000,02200,0100,N 113718,S200000,02800,0100,N 113718,S200000,02900,0100,N 113718,S200000,03000,0100,N 113718,S200000,03100,0100,N 113718,S200000,03200,0100,N 113718,S200000,03300,0100,N 113718,S200000,03300,0200,N 113718,S200000,04100,0100,N 113718,S200000,04200,0100,N 113718,S200000,04300,0100,N 113718,S200000,04600,0100,N 113718,S200000,04700,0100,N 113718,S200000,04700,0200,N 113718,S200000,04900,0100,N 113725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113725,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113725,A000000,00300,0000,0300EMPLOYEE BENEFITS 113725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113725,A000000,00700,0000,0700HOUSEKEEPING 113725,A000000,00800,0000,0800DIETARY 113725,A000000,00801,0000,0801CAFETERIA 113725,A000000,00900,0000,0900NURSING ADMINISTRATION 113725,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113725,A000000,01100,0000,1100PHARMACY 113725,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113725,A000000,01300,0000,1300SOCIAL SERVICE 113725,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113725,A000000,01600,0000,1600SKILLED NURSING FACILITY 113725,A000000,01800,0000,1800NURSING FACILITY 113725,A000000,01810,0000,1810ICF/MR 113725,A000000,02200,0000,2200LABORATORY 113725,A000000,02500,0000,2500PHYSICAL THERAPY 113725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113725,A000000,02700,0000,2700SPEECH PATHOLOGY 113725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113725,A000000,03550,0000,3550FQHC 113725,A000000,05000,0000,5000CORF 113725,A000000,05010,0000,5010CMHC 113725,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113725,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113725,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113725,A000000,05300,0000,5300INTEREST EXPENSE 113725,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113725,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 113725,A81000A,00100,0100,N 113725,B100000,00000,0100,0100SQUARE FEET 113725,B100000,00000,0200,0200SQUARE FEET 113725,B100000,00000,0300,0300GROSS SALARIES 113725,B100000,00000,0400,0400ACCUM. COST 113725,B100000,00000,0500,0500SQUARE FEET 113725,B100000,00000,0600,0600PATIENT DAYS 113725,B100000,00000,0700,0700SQUARE FEET 113725,B100000,00000,0800,0800MEALS SERVED 113725,B100000,00000,0801,0801PAID HOURS 113725,B100000,00000,0900,0900TIME SPENT 113725,B100000,00000,1000,1000PATIENT DAYS 113725,B100000,00000,1100,1100PATIENT DAYS 113725,B100000,00000,1200,1200GROSS REVENUE 113725,B100000,00000,1300,1300PATIENT DAYS 113725,B100000,00000,1400,1400ASSIGNED TIME 113725,S000000,00100,0200,11/30/00 113725,S200000,00100,0300,230 113725,S200000,00200,0100,WARREN 113725,S200000,00200,0200,AR 113725,S200000,00200,0300,71671 113725,S200000,00400,0100,WAGNON PLACE INC. 113725,S200000,00400,0200,045201 113725,S200000,00400,0300,09/01/92 113725,S200000,00400,0500,P 113725,S200000,01500,0100,N 113725,S200000,01600,0100,Y 113725,S200000,01700,0100,N 113725,S200000,01800,0100,N 113725,S200000,02200,0100,N 113725,S200000,02800,0100,N 113725,S200000,02900,0100,N 113725,S200000,03000,0100,N 113725,S200000,03100,0100,N 113725,S200000,03200,0100,N 113725,S200000,03300,0100,N 113725,S200000,03300,0200,N 113725,S200000,04100,0100,N 113725,S200000,04200,0100,N 113725,S200000,04300,0100,N 113725,S200000,04600,0100,N 113725,S200000,04700,0100,N 113725,S200000,04700,0200,N 113725,S200000,04900,0100,N 113771,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113771,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113771,A000000,00300,0000,0300EMPLOYEE BENEFITS 113771,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113771,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113771,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113771,A000000,00700,0000,0700HOUSEKEEPING 113771,A000000,00800,0000,0800DIETARY 113771,A000000,00900,0000,0900NURSING ADMINISTRATION 113771,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113771,A000000,01100,0000,1100PHARMACY 113771,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113771,A000000,01300,0000,1300SOCIAL SERVICE 113771,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113771,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 113771,A000000,01600,0000,1600SKILLED NURSING FACILITY 113771,A000000,01810,0000,1810ICF/MR 113771,A000000,02500,0000,2500PHYSICAL THERAPY 113771,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113771,A000000,02700,0000,2700SPEECH PATHOLOGY 113771,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113771,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 113771,A000000,03550,0000,3550FQHC 113771,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 113771,A000000,05000,0000,5000CORF 113771,A000000,05010,0000,5010CMHC 113771,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113771,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113771,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113771,A000000,05300,0000,5300INTEREST EXPENSE 113771,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113771,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113771,A000000,06300,0000,6150DENTAL 113771,A000000,06301,0000,6151AUDIOLOGY 113771,A81000A,00100,0100,N 113771,B100000,00000,0100,0100SQUARE FEET 113771,B100000,00000,0200,0200SQUARE FEET 113771,B100000,00000,0300,0300GROSS SALARIES 113771,B100000,00000,0400,0400ACCUM COST 113771,B100000,00000,0500,0500SQUARE FEET 113771,B100000,00000,0600,0600POUNDS OF LAUNDRY 113771,B100000,00000,0700,0700HOURS OF SERVICE 113771,B100000,00000,0800,0800MEALS SERVED 113771,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 113771,B100000,00000,1000,1000COSTED REQUISITIO 113771,B100000,00000,1100,1100COSTED REQUISITIO 113771,B100000,00000,1200,1200TIME SPENT 113771,B100000,00000,1300,1300TIME SPENT 113771,B100000,00000,1400,1400ASSIGNED TIME 113771,B100000,00000,1500,1350ASSIGNED TIME 113771,E10A180,00301,0100,05/10/00 113771,E10A180,00350,0100,09/24/99 113771,E10A180,00550,0100,08/09/01 113771,E10A180,00550,0300,08/09/01 113771,S000000,00100,0200,06/22/00 113771,S200000,00100,0100,3155 GRACE AVENUE 113771,S200000,00200,0100,BRONX 113771,S200000,00200,0200,NEW YORK 113771,S200000,00200,0300,10469 113771,S200000,00300,0100,BRONX 113771,S200000,00300,0200,5600 113771,S200000,00300,0300,U 113771,S200000,00400,0100,WORKMEN S CIRCLE MULTICARE CENTER 113771,S200000,00400,0200,335227 113771,S200000,00400,0300,01/01/67 113771,S200000,00400,0500,P 113771,S200000,01500,0100,Y 113771,S200000,01600,0100,N 113771,S200000,01700,0100,N 113771,S200000,01800,0100,N 113771,S200000,01900,0100,OTHER 113771,S200000,02200,0100,N 113771,S200000,02800,0100,N 113771,S200000,02900,0100,N 113771,S200000,03000,0100,N 113771,S200000,03100,0100,N 113771,S200000,03200,0100,N 113771,S200000,03300,0100,Y 113771,S200000,03300,0200,Y 113771,S200000,04100,0100,N 113771,S200000,04200,0100,N 113771,S200000,04300,0100,N 113771,S200000,04600,0100,N 113771,S200000,04700,0100,N 113771,S200000,04900,0100,N 113919,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113919,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113919,A000000,00300,0000,0300EMPLOYEE BENEFITS 113919,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113919,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113919,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113919,A000000,00700,0000,0700HOUSEKEEPING 113919,A000000,00800,0000,0800DIETARY 113919,A000000,00801,0000,0801CAFETERIA 113919,A000000,00900,0000,0900NURSING ADMINISTRATION 113919,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113919,A000000,01100,0000,1100PHARMACY 113919,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113919,A000000,01300,0000,1300SOCIAL SERVICE 113919,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113919,A000000,01600,0000,1600SKILLED NURSING FACILITY 113919,A000000,01810,0000,1810ICF/MR 113919,A000000,02100,0000,2100RADIOLOGY 113919,A000000,02200,0000,2200LABORATORY 113919,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 113919,A000000,02500,0000,2500PHYSICAL THERAPY 113919,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113919,A000000,02700,0000,2700SPEECH PATHOLOGY 113919,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113919,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113919,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 113919,A000000,03550,0000,3550FQHC 113919,A000000,05000,0000,5000CORF 113919,A000000,05010,0000,5010CMHC 113919,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113919,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113919,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113919,A000000,05300,0000,5300INTEREST EXPENSE 113919,A000000,05900,0000,5900BARBER & BEAUTY SHOP 113919,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 113919,A000000,06301,0000,6151GUEST MEALS 113919,A000000,06302,0000,6152MEALS ON WHEELS 113919,A81000A,00100,0100,Y 113919,A81000B,00100,0300,DRUGS CHG. TO PATIENTS 113919,A81000C,00100,0100,A 113919,A81000C,00100,0200,ROBERT M. CHUR 113919,A81000C,00100,0400,WOODMARK PHARMA 113919,A81000C,00100,0600,FACILITY PHARMA 113919,A81000C,00200,0100,A 113919,A81000C,00200,0200,CAROL L. CHUR 113919,A81000C,00200,0400,WOODMARK PHARMA 113919,A81000C,00200,0600,FACILITY PHARMA 113919,B100000,00000,0100,0100SQUARE FEET 113919,B100000,00000,0200,0200SQUARE FEET 113919,B100000,00000,0300,0300GROSS SALARIES 113919,B100000,00000,0400,0400ACCUM COST 113919,B100000,00000,0500,0500SQUARE FEET 113919,B100000,00000,0600,0600POUNDS OF LAUNDRY 113919,B100000,00000,0700,0700HOURS OF SERVICE 113919,B100000,00000,0800,0800MEALS SERVED 113919,B100000,00000,0801,0801NO. OF EMP 113919,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 113919,B100000,00000,1000,1000COSTED REQUIS 113919,B100000,00000,1100,1100COSTED REQUIS 113919,B100000,00000,1200,1200TIME SPENT 113919,B100000,00000,1300,1300TIME SPENT 113919,B100000,00000,1400,1400ASSIGNED TIME 113919,E10A180,00301,0100,05/09/00 113919,E10A180,00350,0100,08/19/99 113919,E10A180,00501,0100,09/24/01 113919,E10A180,00550,0300,09/24/01 113919,S000000,00100,0200,05/22/00 113919,S200000,00100,0100,1818 COMO PARK BLVD. 113919,S200000,00200,0100,LANCASTER 113919,S200000,00200,0200,NEW YORK 113919,S200000,00200,0300,14086 113919,S200000,00300,0100,ERIE 113919,S200000,00300,0200,1280 113919,S200000,00300,0300,U 113919,S200000,00400,0100,LINWOOD HEALTH CARE CENTER INC. 113919,S200000,00400,0200,335577 113919,S200000,00400,0300,05/01/95 113919,S200000,00400,0500,P 113919,S200000,01500,0100,Y 113919,S200000,01600,0100,N 113919,S200000,01700,0100,N 113919,S200000,01800,0100,N 113919,S200000,02200,0100,N 113919,S200000,02800,0100,N 113919,S200000,02900,0100,N 113919,S200000,03000,0100,N 113919,S200000,03100,0100,N 113919,S200000,03200,0100,N 113919,S200000,03300,0100,Y 113919,S200000,03300,0200,N 113919,S200000,04100,0100,N 113919,S200000,04200,0100,N 113919,S200000,04300,0100,N 113919,S200000,04600,0100,N 113919,S200000,04700,0100,N 113919,S200000,04900,0100,N 113947,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 113947,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 113947,A000000,00300,0000,0300EMPLOYEE BENEFITS 113947,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 113947,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 113947,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 113947,A000000,00700,0000,0700HOUSEKEEPING 113947,A000000,00800,0000,0800DIETARY 113947,A000000,00900,0000,0900NURSING ADMINISTRATION 113947,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 113947,A000000,01100,0000,1100PHARMACY 113947,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 113947,A000000,01300,0000,1300SOCIAL SERVICE 113947,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 113947,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 113947,A000000,01600,0000,1600SKILLED NURSING FACILITY 113947,A000000,01800,0000,1800NURSING FACILITY 113947,A000000,01810,0000,1810ICF/MR 113947,A000000,02100,0000,2100RADIOLOGY 113947,A000000,02200,0000,2200LABORATORY 113947,A000000,02500,0000,2500PHYSICAL THERAPY 113947,A000000,02600,0000,2600OCCUPATIONAL THERAPY 113947,A000000,02700,0000,2700SPEECH PATHOLOGY 113947,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 113947,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 113947,A000000,03200,0000,3200SUPPORT SURFACES 113947,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 113947,A000000,03550,0000,3550FQHC 113947,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 113947,A000000,05000,0000,5000CORF 113947,A000000,05010,0000,5010CMHC 113947,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 113947,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 113947,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 113947,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 113947,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 113947,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 113947,A81000A,00100,0100,Y 113947,A81000B,00100,0300,CAP REL COSTS 113947,A81000B,00200,0300,NON CAP REL COSTS - A&G 113947,A81000C,00100,0100,A 113947,A81000C,00100,0200,KENNON S. SHEA 113947,B100000,00000,0100,0100SQUARE FEET 113947,B100000,00000,0200,0200SQUARE FEET 113947,B100000,00000,0300,0300GROSS SALARIES 113947,B100000,00000,0400,0400ACCUM COST 113947,B100000,00000,0500,0500SQUARE FEET 113947,B100000,00000,0600,0600POUNDS OF LAUNDRY 113947,B100000,00000,0700,0700HOURS OF SERVICE 113947,B100000,00000,0800,0800MEALS SERVED 113947,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 113947,B100000,00000,1000,1000COSTED REQUISITIO 113947,B100000,00000,1100,1100COSTED REQUISITIO 113947,B100000,00000,1200,1200TIME SPENT 113947,B100000,00000,1300,1300TIME SPENT 113947,B100000,00000,1400,1400ASSIGNED TIME 113947,B100000,00000,1500,1350 113947,E10A180,00501,0100,06/20/00 113947,E10A180,00501,0300,06/20/00 113947,E10A180,00550,0100,09/05/01 113947,E10A180,00550,0300,09/05/01 113947,S000000,00100,0200,05/12/00 113947,S200000,00100,0100,8787 CENTER DRIVE 113947,S200000,00200,0100,LA MESA 113947,S200000,00200,0200,CA 113947,S200000,00200,0300,91942 113947,S200000,00300,0100,SAN DIEGO 113947,S200000,00400,0100,CALIFORNIA SPECIAL CARE CENTER 113947,S200000,00400,0200,055632 113947,S200000,00400,0300,01/01/83 113947,S200000,00400,0500,P 113947,S200000,00600,0200,055632 113947,S200000,00600,0300,01/01/83 113947,S200000,00600,0600,O 113947,S200000,01500,0100,N 113947,S200000,01600,0100,Y 113947,S200000,01700,0100,N 113947,S200000,01800,0100,N 113947,S200000,02200,0100,N 113947,S200000,02800,0100,N 113947,S200000,02900,0100,N 113947,S200000,03000,0100,N 113947,S200000,03100,0100,N 113947,S200000,03200,0100,N 113947,S200000,03300,0100,N 113947,S200000,03300,0200,N 113947,S200000,03500,0300,N 113947,S200000,04100,0100,N 113947,S200000,04200,0100,N 113947,S200000,04300,0100,N 113947,S200000,04600,0100,N 113947,S200000,04700,0100,N 113947,S200000,04900,0100,N 114019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114019,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114019,A000000,00300,0000,0300EMPLOYEE BENEFITS 114019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114019,A000000,00700,0000,0700HOUSEKEEPING 114019,A000000,00800,0000,0800DIETARY 114019,A000000,00900,0000,0900NURSING ADMINISTRATION 114019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114019,A000000,01100,0000,1100PHARMACY 114019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114019,A000000,01300,0000,1300SOCIAL SERVICE 114019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114019,A000000,01500,0000,1350ACTIVITIES 114019,A000000,01600,0000,1600SKILLED NURSING FACILITY 114019,A000000,01800,0000,1800NURSING FACILITY 114019,A000000,01810,0000,1810ICF/MR 114019,A000000,02100,0000,2100RADIOLOGY 114019,A000000,02200,0000,2200LABORATORY 114019,A000000,02300,0000,2300INTRAVENOUS THERAPY 114019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114019,A000000,02500,0000,2500PHYSICAL THERAPY 114019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114019,A000000,02700,0000,2700SPEECH PATHOLOGY 114019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114019,A000000,03300,0000,3050OTHER ANCILLARY 114019,A000000,03301,0000,3051OTHER ANCILLARY 114019,A000000,03550,0000,3550FQHC 114019,A000000,05000,0000,5000CORF 114019,A000000,05010,0000,5010CMHC 114019,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114019,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114019,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114019,A81000A,00100,0100,Y 114019,A81000B,00100,0300,HOME OFFICE COSTS 114019,A81000B,00200,0300,H.O. COSTS - CAPITAL 114019,A81000B,00300,0300,RELATED PARTY INT. 114019,A81000B,00400,0300,INTERIOR DESIGN 114019,A81000B,00500,0300,REHAB SERVICES - PT 114019,A81000B,00600,0300,REHAB SERVICES - OT 114019,A81000B,00700,0300,REHAB SERVICES - ST 114019,A81000B,00800,0300,Y2K COMPUTER DEPREC. 114019,A81000C,00100,0100,A 114019,A81000C,00100,0200,FORREST PRESTON 114019,A81000C,00100,0400,LIFE CARE CENTE 114019,A81000C,00100,0600,NRSG HOME MGMT 114019,A81000C,00200,0100,A 114019,A81000C,00200,0200,FORREST PRESTON 114019,A81000C,00200,0400,LIFE CARE CENTE 114019,A81000C,00200,0600,NRSG HOME MGMT 114019,A81000C,00300,0100,A 114019,A81000C,00300,0200,FORREST PRESTON 114019,A81000C,00300,0400,LIFE CARE CENTE 114019,A81000C,00300,0600,NRSG HOME MGMT 114019,A81000C,00400,0100,A 114019,A81000C,00400,0200,FORREST PRESTON 114019,A81000C,00400,0400,LIFE CARE DESIG 114019,A81000C,00400,0600,INTERIOR DESIGN 114019,A81000C,00500,0100,A 114019,A81000C,00500,0200,FORREST PRESTON 114019,A81000C,00500,0400,REHAB SUPPORT S 114019,A81000C,00500,0600,REHAB SERVICES 114019,A81000C,00600,0100,A 114019,A81000C,00600,0200,FORREST PRESTON 114019,A81000C,00600,0400,REHAB SUPPORT S 114019,A81000C,00600,0600,REHAB SERVICES 114019,A81000C,00700,0100,A 114019,A81000C,00700,0200,FORREST PRESTON 114019,A81000C,00700,0400,REHAB SUPPORT S 114019,A81000C,00700,0600,REHAB SERVICES 114019,A81000C,00800,0100,A 114019,A81000C,00800,0200,FORREST PRESTON 114019,A81000C,00800,0400,LIFE CARE CENTE 114019,A81000C,00800,0600,NRSG HOME MGMT 114019,B100000,00000,0100,0100(SQUARE FEET) 114019,B100000,00000,0200,0200(SQUARE FEET) 114019,B100000,00000,0300,0300(GROSS SALARIES) 114019,B100000,00000,0400,0400(ACCUM COST) 114019,B100000,00000,0500,0500(SQUARE FEET) 114019,B100000,00000,0600,0600PATIENT DAYS 114019,B100000,00000,0700,0700(SQUARE FEET) 114019,B100000,00000,0800,0800(MEALS SERVED) 114019,B100000,00000,0900,0900DIR NRSG HOURS 114019,B100000,00000,1000,1000(COSTED REQUIS) 114019,B100000,00000,1100,1100COSTED REQUIS 114019,B100000,00000,1200,1200GROSS REVENUES 114019,B100000,00000,1300,1300PATIENT DAYS 114019,B100000,00000,1400,1400ASSIGNED TIME 114019,B100000,00000,1500,1350PATIENT DAYS 114019,S000000,00100,0200,11/17/00 114019,S200000,00100,0100,4041 SOUTH POPLAR STREET 114019,S200000,00200,0100,CASPER 114019,S200000,00200,0200,WY 114019,S200000,00200,0300,82601 114019,S200000,00300,0100,NATRONE 114019,S200000,00400,0100,LIFE CARE CENTER OF CASPER 114019,S200000,00400,0200,535049 114019,S200000,00400,0300,08/12/93 114019,S200000,00400,0500,P 114019,S200000,00600,0200,535049 114019,S200000,00600,0300,08/12/93 114019,S200000,00600,0600,O 114019,S200000,01500,0100,N 114019,S200000,01600,0100,Y 114019,S200000,01700,0100,N 114019,S200000,01800,0100,N 114019,S200000,02200,0100,Y 114019,S200000,02800,0100,N 114019,S200000,02900,0100,N 114019,S200000,03000,0100,N 114019,S200000,03100,0100,N 114019,S200000,03200,0100,N 114019,S200000,03300,0100,N 114019,S200000,03300,0200,N 114019,S200000,03500,0300,N 114019,S200000,04100,0100,N 114019,S200000,04200,0100,N 114019,S200000,04300,0100,N 114019,S200000,04600,0100,N 114019,S200000,04700,0100,N 114019,S200000,04900,0100,N 114020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114020,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114020,A000000,00300,0000,0300EMPLOYEE BENEFITS 114020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114020,A000000,00700,0000,0700HOUSEKEEPING 114020,A000000,00800,0000,0800DIETARY 114020,A000000,00900,0000,0900NURSING ADMINISTRATION 114020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114020,A000000,01100,0000,1100PHARMACY 114020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114020,A000000,01300,0000,1300SOCIAL SERVICE 114020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114020,A000000,01500,0000,1350ACTIVITIES 114020,A000000,01600,0000,1600SKILLED NURSING FACILITY 114020,A000000,01800,0000,1800NURSING FACILITY 114020,A000000,01810,0000,1810ICF/MR 114020,A000000,01900,0000,1900OTHER LONG TERM CARE 114020,A000000,02100,0000,2100RADIOLOGY 114020,A000000,02200,0000,2200LABORATORY 114020,A000000,02300,0000,2300INTRAVENOUS THERAPY 114020,A000000,02500,0000,2500PHYSICAL THERAPY 114020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114020,A000000,02700,0000,2700SPEECH PATHOLOGY 114020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114020,A000000,02901,0000,2901PEN THERAPY 114020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114020,A000000,03300,0000,3050OTHER ANCILLARY 114020,A000000,03301,0000,3051ROUTINE TRANSPORTATION 114020,A000000,03550,0000,3550FQHC 114020,A000000,05000,0000,5000CORF 114020,A000000,05010,0000,5010CMHC 114020,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114020,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114020,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114020,A000000,05801,0000,5801ICE CREAM PARLOR 114020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114020,A81000A,00100,0100,Y 114020,A81000B,00100,0300,MANAGEMENT FEES 114020,A81000B,00200,0300,ALLOCATED FEES 114020,A81000B,00300,0300,ALLOCATED FEES 114020,A81000B,00400,0300,ALLOCATED FEES 114020,A81000B,00500,0300,LCCA INTEREST 114020,A81000B,00600,0300,LIFE CARE DESIGN 114020,A81000B,00700,0300,LCCA Y2K INSTALL 114020,A81000C,00100,0100,A 114020,A81000C,00100,0200,FORREST PRESTON 114020,A81000C,00100,0400,LIFE CARE CNTRS 114020,A81000C,00100,0600,MANAGEMENT 114020,A81000C,00200,0100,A 114020,A81000C,00200,0200,FORREST PRESTON 114020,A81000C,00200,0400,LIFE CARE DESIG 114020,A81000C,00200,0600,INTERIOR DESIGN 114020,B100000,00000,0100,0100(SQUARE FEET) 114020,B100000,00000,0200,0200(SQUARE FEET) 114020,B100000,00000,0300,0300(GROSS SALARIES) 114020,B100000,00000,0400,0400(ACCUM COST) 114020,B100000,00000,0500,0500(SQUARE FEET) 114020,B100000,00000,0600,0600PATIENT DAYS 114020,B100000,00000,0700,0700(SQUARE FEET) 114020,B100000,00000,0800,0800(MEALS SERVED) 114020,B100000,00000,0900,0900DIRECT NRSG HOURS 114020,B100000,00000,1000,1000(COSTED REQUIS) 114020,B100000,00000,1100,1100(COSTED REQUIS) 114020,B100000,00000,1200,1200GROSS REVENUES 114020,B100000,00000,1300,1300PATIENT DAYS 114020,B100000,00000,1400,1400(ASSIGNED TIME) 114020,B100000,00000,1500,1350PATIENT DAYS 114020,E10A180,00301,0100,02/09/00 114020,E10A180,00302,0100,04/12/00 114020,E10A180,00550,0100,11/28/00 114020,E10A180,00550,0300,11/28/00 114020,S000000,00100,0200,11/20/00 114020,S200000,00100,0100,2600 SOUTH MAIN STREET 114020,S200000,00200,0100,CORONA 114020,S200000,00200,0200,CA 114020,S200000,00200,0300,91720 114020,S200000,00300,0100,RIVERSIDE 114020,S200000,00400,0100,LCC OF CORONA 114020,S200000,00400,0200,555566 114020,S200000,00400,0300,07/21/93 114020,S200000,00400,0500,P 114020,S200000,01500,0100,N 114020,S200000,01600,0100,Y 114020,S200000,01700,0100,N 114020,S200000,01800,0100,N 114020,S200000,02200,0100,N 114020,S200000,02800,0100,N 114020,S200000,02900,0100,N 114020,S200000,03000,0100,N 114020,S200000,03100,0100,N 114020,S200000,03200,0100,N 114020,S200000,03300,0100,N 114020,S200000,03300,0200,N 114020,S200000,04100,0100,N 114020,S200000,04200,0100,N 114020,S200000,04300,0100,N 114020,S200000,04600,0100,N 114020,S200000,04700,0100,N 114020,S200000,04900,0100,N 114047,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114047,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114047,A000000,00300,0000,0300EMPLOYEE BENEFITS 114047,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114047,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114047,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114047,A000000,00700,0000,0700HOUSEKEEPING 114047,A000000,00800,0000,0800DIETARY 114047,A000000,00900,0000,0900NURSING ADMINISTRATION 114047,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114047,A000000,01100,0000,1100PHARMACY 114047,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114047,A000000,01300,0000,1300SOCIAL SERVICE 114047,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114047,A000000,01600,0000,1600SKILLED NURSING FACILITY 114047,A000000,01810,0000,1810ICF/MR 114047,A000000,01900,0000,1900OTHER LONG TERM CARE 114047,A000000,02100,0000,2100RADIOLOGY 114047,A000000,02200,0000,2200LABORATORY 114047,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114047,A000000,02500,0000,2500PHYSICAL THERAPY 114047,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114047,A000000,02700,0000,2700SPEECH PATHOLOGY 114047,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114047,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114047,A000000,03550,0000,3550FQHC 114047,A000000,05000,0000,5000CORF 114047,A000000,05010,0000,5010CMHC 114047,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114047,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114047,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114047,A000000,05300,0000,5300INTEREST EXPENSE 114047,A000000,05500,0000,5500HOSPICE 114047,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114047,A000000,06200,0000,6200PATIENTS LAUNDRY 114047,A81000A,00100,0100,Y 114047,A81000B,00100,0300,HOME OFFICE 114047,A81000B,00200,0300,NURSING SERVICE 114047,A81000B,00300,0300,NURSING SERVICE 114047,A81000B,00400,0300,MEDICAL SUPPLIES 114047,A81000B,00500,0300,MEDICAL SUPPLIES 114047,A81000B,00600,0300,MEDICAL SUPPLIES 114047,A81000B,00700,0300,MEDICAL SUPPLIES 114047,A81000C,00100,0100,B 114047,A81000C,00100,0200,MCLAREN HLTH CA 114047,A81000C,00100,0400,MCLAREN MED CTR 114047,A81000C,00100,0600,ACUTE CARE HOSP 114047,B100000,00000,0100,0100SQUARE FEET 114047,B100000,00000,0200,0200SQUARE FEET 114047,B100000,00000,0300,0300GROSS SALARIES 114047,B100000,00000,0400,0400ACCUM COST 114047,B100000,00000,0500,0500SQUARE FEET 114047,B100000,00000,0600,0600POUNDS OF LAUNDRY 114047,B100000,00000,0700,0700HOURS OF SERVICE 114047,B100000,00000,0800,0800MEALS SERVED 114047,B100000,00000,0900,0900DIRECT NRSG HRS 114047,B100000,00000,1000,1000COSTED REQUIS 114047,B100000,00000,1100,1100COSTED REQUIS 114047,B100000,00000,1200,1200TIME SPENT 114047,B100000,00000,1300,1300TIME SPENT 114047,B100000,00000,1400,1400ASSIGNED TIME 114047,E10A180,00501,0300,02/28/01 114047,S000000,00100,0200,05/26/00 114047,S200000,00100,0100,G - 1069 NORTH BALLENGER HIGHWAY 114047,S200000,00200,0100,FLINT 114047,S200000,00200,0200,MI 114047,S200000,00200,0300,48504 114047,S200000,00300,0100,GENESSEE 114047,S200000,00300,0200,2640 114047,S200000,00300,0300,U 114047,S200000,00400,0100,MCLAREN EXT.CARE/KITH HAVEN 114047,S200000,00400,0200,235343 114047,S200000,00400,0300,12/17/86 114047,S200000,00400,0500,P 114047,S200000,01500,0100,N 114047,S200000,01600,0100,Y 114047,S200000,01700,0100,N 114047,S200000,01800,0100,N 114047,S200000,02200,0100,N 114047,S200000,02800,0100,N 114047,S200000,02900,0100,N 114047,S200000,03000,0100,N 114047,S200000,03100,0100,N 114047,S200000,03200,0100,N 114047,S200000,03300,0100,N 114047,S200000,03300,0200,N 114047,S200000,04100,0100,N 114047,S200000,04200,0100,N 114047,S200000,04300,0100,N 114047,S200000,04600,0100,N 114047,S200000,04700,0100,N 114047,S200000,04900,0100,N 114049,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114049,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 114049,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114049,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 114049,A000000,00300,0000,0300EMPLOYEE BENEFITS 114049,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114049,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114049,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114049,A000000,00700,0000,0700HOUSEKEEPING 114049,A000000,00800,0000,0800DIETARY 114049,A000000,00801,0000,0801CAFETERIA 114049,A000000,00900,0000,0900NURSING ADMINISTRATION 114049,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114049,A000000,01100,0000,1100PHARMACY 114049,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114049,A000000,01300,0000,1300SOCIAL SERVICE 114049,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114049,A000000,01500,0000,1350ACTIVITIES 114049,A000000,01600,0000,1600SKILLED NURSING FACILITY 114049,A000000,01800,0000,1800NURSING FACILITY 114049,A000000,01810,0000,1810ICF/MR 114049,A000000,02100,0000,2100RADIOLOGY 114049,A000000,02500,0000,2500PHYSICAL THERAPY 114049,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114049,A000000,02700,0000,2700SPEECH PATHOLOGY 114049,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114049,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114049,A000000,03300,0000,3050OTHER ANCILLARY 114049,A000000,03301,0000,3051OTHER ANCILLARY II 114049,A000000,03302,0000,3052OTHER ANCILLARY III 114049,A000000,03550,0000,3550FQHC 114049,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 114049,A000000,05000,0000,5000CORF I 114049,A000000,05010,0000,5010CMHC I 114049,A000000,05020,0000,5020OPT I 114049,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114049,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114049,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114049,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 114049,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 114049,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114049,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114049,A81000A,00100,0100,Y 114049,A81000B,00100,0300,A&G 114049,A81000C,00100,0100,B 114049,A81000C,00100,0200,TROUSDALE FOUND 114049,A81000C,00100,0600,LTC 114049,B100000,00000,0100,0100(SQUARE FEET) 114049,B100000,00000,0101,0101(SQUARE FEET) 114049,B100000,00000,0200,0200(SQUARE FEET) 114049,B100000,00000,0201,0201(SQUARE FEET) 114049,B100000,00000,0300,0300(GROSS SALARIES) 114049,B100000,00000,0400,0400(ACCUM. COST) 114049,B100000,00000,0500,0500(SQUARE FEET) 114049,B100000,00000,0600,0600(PATIENT DAYS) 114049,B100000,00000,0700,0700(SQUARE FEET) 114049,B100000,00000,0800,0800(MEALS SERVED) 114049,B100000,00000,0801,0801(MEALS SERVED) 114049,B100000,00000,0900,0900(PATIENT DAYS) 114049,B100000,00000,1000,1000(PATIENT DAYS) 114049,B100000,00000,1100,1100(PATIENT DAYS) 114049,B100000,00000,1200,1200(PATIENT DAYS) 114049,B100000,00000,1300,1300(PATIENT DAYS) 114049,B100000,00000,1400,1400(ASSIGNED TIME) 114049,B100000,00000,1500,1350(PATIENT DAYS) 114049,S000000,00100,0200,06/27/00 114049,S200000,00100,0100,3254 E MIDLAND RD 114049,S200000,00200,0100,BAY CITY 114049,S200000,00200,0200,MI 114049,S200000,00200,0300,48076 114049,S200000,00300,0100,B 114049,S200000,00400,0100,BAYSHORES NURSING CENTER 114049,S200000,00400,0200,235388 114049,S200000,00400,0300,07/01/66 114049,S200000,00400,0500,P 114049,S200000,01500,0100,N 114049,S200000,01600,0100,Y 114049,S200000,01700,0100,N 114049,S200000,01800,0100,N 114049,S200000,01900,0100,501 (C) (3) 114049,S200000,02200,0100,Y 114049,S200000,02800,0100,N 114049,S200000,02900,0100,N 114049,S200000,03000,0100,N 114049,S200000,03100,0100,N 114049,S200000,03200,0100,N 114049,S200000,03300,0100,N 114049,S200000,03300,0200,N 114049,S200000,04200,0100,N 114049,S200000,04300,0100,Y 114049,S200000,04600,0100,N 114049,S200000,04700,0100,N 114049,S200000,04900,0100,N 114077,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114077,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 114077,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114077,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 114077,A000000,00300,0000,0300EMPLOYEE BENEFITS 114077,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114077,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114077,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114077,A000000,00700,0000,0700HOUSEKEEPING 114077,A000000,00800,0000,0800DIETARY 114077,A000000,00801,0000,0801CAFETERIA 114077,A000000,00900,0000,0900NURSING ADMINISTRATION 114077,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114077,A000000,01100,0000,1100PHARMACY 114077,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114077,A000000,01300,0000,1300SOCIAL SERVICE 114077,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114077,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 114077,A000000,01600,0000,1600SKILLED NURSING FACILITY 114077,A000000,01800,0000,1800NURSING FACILITY 114077,A000000,01900,0000,1900OTHER LONG TERM CARE 114077,A000000,02100,0000,2100RADIOLOGY 114077,A000000,02200,0000,2200LABORATORY 114077,A000000,02300,0000,2300INTRAVENOUS THERAPY 114077,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114077,A000000,02500,0000,2500PHYSICAL THERAPY 114077,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114077,A000000,02700,0000,2700SPEECH PATHOLOGY 114077,A000000,02800,0000,2800ELECTROCARDIOLOGY 114077,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114077,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114077,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114077,A000000,03200,0000,3200SUPPORT SURFACES 114077,A000000,03300,0000,3050AMBULANCE 114077,A000000,03301,0000,3051OTHER ANCILLARY II 114077,A000000,03302,0000,3052OTHER ANCILLARY III 114077,A000000,03400,0000,3400CLINIC 114077,A000000,03500,0000,3500RURAL HEALTH CLINIC 114077,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 114077,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114077,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114077,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114077,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114077,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114077,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114077,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114077,A000000,04400,0000,4400DME RENTED - HHA 114077,A000000,04500,0000,4500DME SOLD - HHA 114077,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114077,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114077,A000000,04800,0000,4800AMBULANCE 114077,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114077,A000000,05000,0000,5000CORF I 114077,A000000,05010,0000,5010CMHC I 114077,A000000,05020,0000,5020OPT I 114077,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114077,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114077,A000000,05300,0000,5300INTEREST EXPENSE 114077,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114077,A000000,05500,0000,5500HOSPICE 114077,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 114077,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 114077,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114077,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114077,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114077,A000000,06100,0000,6100NONPAID WORKERS 114077,A000000,06200,0000,6200PATIENTS LAUNDRY 114077,A000000,06300,0000,6150RETIREMENT CTR 114077,A81000A,00100,0100,N 114077,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 114077,B100000,00000,0101,0101(SQUARE FEET) CAP REL COSTS - 114077,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 114077,B100000,00000,0201,0201(SQUARE FEET) CAP REL COSTS - 114077,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 114077,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114077,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 114077,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 114077,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 114077,B100000,00000,0800,0800(MEALS SERVED) DIETARY 114077,B100000,00000,0801,0801(MEALS SERVED) CAFETERIA 114077,B100000,00000,0900,0900(PATIENT DAYS) NURSING ADMINIST 114077,B100000,00000,1000,1000(PATIENT DAYS) CENTRAL SERVICES 114077,B100000,00000,1100,1100(PATIENT DAYS) PHARMACY 114077,B100000,00000,1200,1200(PATIENT DAYS) MEDICAL RECORDS 114077,B100000,00000,1300,1300(PATIENT DAYS) SOCIAL SERVICE 114077,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 114077,B100000,00000,1500,1500BLANK OTHER GENERAL SERVICE COST 114077,S000000,00100,0200,11/30/00 114077,S200000,00100,0100,500 SPANISH FORT ROAD 114077,S200000,00200,0100,SPANISH FORT 114077,S200000,00200,0200,AL 114077,S200000,00200,0300,36527 114077,S200000,00300,0100,BALDWIN 114077,S200000,00400,0100,WESTMINSTER VILLAGE 114077,S200000,00400,0200,015381 114077,S200000,00400,0300,07/01/83 114077,S200000,00400,0500,P 114077,S200000,00400,0600,O 114077,S200000,01500,0100,N 114077,S200000,01600,0100,Y 114077,S200000,01700,0100,Y 114077,S200000,01800,0100,N 114077,S200000,02200,0100,N 114077,S200000,02800,0100,N 114077,S200000,02900,0100,N 114077,S200000,03000,0100,N 114077,S200000,03100,0100,N 114077,S200000,03200,0100,N 114077,S200000,03300,0100,N 114077,S200000,03300,0200,N 114077,S200000,03500,0300,N 114077,S200000,03600,0200,N 114077,S200000,03700,0200,N 114077,S200000,03900,0200,N 114077,S200000,03910,0200,N 114077,S200000,04000,0200,N 114077,S200000,04100,0100,N 114077,S200000,04200,0100,N 114077,S200000,04300,0100,N 114077,S200000,04600,0100,N 114077,S200000,04700,0100,N 114077,S200000,04700,0200,N 114077,S200000,04900,0100,N 114077,S700003,00000,0200,X 114078,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114078,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114078,A000000,00300,0000,0300EMPLOYEE BENEFITS 114078,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114078,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114078,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114078,A000000,00700,0000,0700HOUSEKEEPING 114078,A000000,00800,0000,0800DIETARY 114078,A000000,00900,0000,0900NURSING ADMINISTRATION 114078,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114078,A000000,01300,0000,1300SOCIAL SERVICE 114078,A000000,01500,0000,1350ACTIVITIES 114078,A000000,01600,0000,1600SKILLED NURSING FACILITY 114078,A000000,02500,0000,2500PHYSICAL THERAPY 114078,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114078,A000000,02700,0000,2700SPEECH PATHOLOGY 114078,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114078,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114078,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114078,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114078,A81000A,00100,0100,Y 114078,A81000B,00100,0300,INSURANCE 114078,A81000B,00200,0300,HOME OFFICE 114078,A81000B,00300,0300,GROUP INSURANCE 114078,A81000B,00400,0300,HOME OFFICE 114078,A81000C,00100,0100,A 114078,A81000C,00100,0200,ABCM CORPORATIO 114078,A81000C,00100,0600,HOME OFFICE 114078,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114078,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114078,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114078,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114078,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114078,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114078,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 114078,B100000,00000,0800,0800MEALS SERVED DIETARY 114078,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 114078,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114078,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 114078,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 114078,E10A180,00501,0300,12/29/00 114078,S000000,00100,0200,11/28/00 114078,S200000,00100,0100,HIGHWAY 18 WEST 114078,S200000,00200,0100,NORA SPRINGS 114078,S200000,00200,0200,IA 114078,S200000,00200,0300,50458 114078,S200000,00300,0100,FLOYD 114078,S200000,00400,0100,NORA SPRINGS CARE CENTER 114078,S200000,00400,0200,165347 114078,S200000,00400,0300,08/20/97 114078,S200000,00400,0500,P 114078,S200000,00400,0600,N 114078,S200000,01500,0100,Y 114078,S200000,01600,0100,N 114078,S200000,01700,0100,N 114078,S200000,01800,0100,N 114078,S200000,02200,0100,N 114078,S200000,02800,0100,N 114078,S200000,02900,0100,N 114078,S200000,03000,0100,N 114078,S200000,03100,0100,N 114078,S200000,03200,0100,N 114078,S200000,03300,0100,N 114078,S200000,03300,0200,N 114078,S200000,04100,0100,N 114078,S200000,04200,0100,N 114078,S200000,04300,0100,N 114078,S200000,04600,0100,N 114078,S200000,04700,0100,N 114078,S200000,04900,0100,N 114078,S700003,00000,0400,X 114079,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114079,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114079,A000000,00300,0000,0300EMPLOYEE BENEFITS 114079,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114079,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114079,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114079,A000000,00700,0000,0700HOUSEKEEPING 114079,A000000,00800,0000,0800DIETARY 114079,A000000,00900,0000,0900NURSING ADMINISTRATION 114079,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114079,A000000,01100,0000,1100PHARMACY 114079,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114079,A000000,01300,0000,1300SOCIAL SERVICE 114079,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114079,A000000,01500,0000,1350RECREATION 114079,A000000,01600,0000,1600SKILLED NURSING FACILITY 114079,A000000,01810,0000,1810ICF/MR 114079,A000000,02100,0000,2100RADIOLOGY 114079,A000000,02200,0000,2200LABORATORY 114079,A000000,02500,0000,2500PHYSICAL THERAPY 114079,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114079,A000000,02700,0000,2700SPEECH PATHOLOGY 114079,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114079,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114079,A000000,03550,0000,3550FQHC 114079,A000000,05000,0000,5000CORF 114079,A000000,05010,0000,5010CMHC 114079,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114079,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114079,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114079,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114079,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114079,A81000A,00100,0100,N 114079,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114079,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114079,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114079,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114079,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114079,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114079,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 114079,B100000,00000,0800,0800MEALS SERVED DIETARY 114079,B100000,00000,0900,0900DIRECT NRSG HRS NURSING ADMIN 114079,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 114079,B100000,00000,1100,1100COSTED REQUIS PHARMACY 114079,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 114079,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 114079,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114079,B100000,00000,1500,1500PATIENT DAYS RECREATION 114079,E10A180,00550,0300,01/04/01 114079,S000000,00100,0200,11/30/00 114079,S200000,00100,0100,707 ELM STREET 114079,S200000,00200,0100,ROCKWELL 114079,S200000,00200,0200,IA 114079,S200000,00200,0300,50469 114079,S200000,00300,0100,CERRO GORDO 114079,S200000,00400,0100,ROCKWELL COMMUNITY NURSING HOME INC 114079,S200000,00400,0200,165406 114079,S200000,00400,0300,01/01/99 114079,S200000,00400,0500,P 114079,S200000,00400,0600,N 114079,S200000,01500,0100,Y 114079,S200000,01600,0100,N 114079,S200000,01700,0100,N 114079,S200000,01800,0100,N 114079,S200000,02200,0100,N 114079,S200000,02800,0100,N 114079,S200000,02900,0100,N 114079,S200000,03000,0100,N 114079,S200000,03100,0100,N 114079,S200000,03200,0100,N 114079,S200000,03300,0100,N 114079,S200000,03300,0200,N 114079,S200000,04100,0100,N 114079,S200000,04200,0100,N 114079,S200000,04300,0100,N 114079,S200000,04600,0100,N 114079,S200000,04700,0100,N 114079,S200000,04700,0200,N 114079,S200000,04900,0100,N 114079,S700003,00000,0400,X 114081,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114081,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114081,A000000,00300,0000,0300EMPLOYEE BENEFITS 114081,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114081,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114081,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114081,A000000,00700,0000,0700HOUSEKEEPING 114081,A000000,00800,0000,0800DIETARY 114081,A000000,00900,0000,0900NURSING ADMINISTRATION 114081,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114081,A000000,01100,0000,1100PHARMACY 114081,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114081,A000000,01300,0000,1300SOCIAL SERVICE 114081,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114081,A000000,01600,0000,1600SKILLED NURSING FACILITY 114081,A000000,01810,0000,1810ICF/MR 114081,A000000,02500,0000,2500PHYSICAL THERAPY 114081,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114081,A000000,02700,0000,2700SPEECH PATHOLOGY 114081,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114081,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114081,A000000,03550,0000,3550FQHC 114081,A000000,05000,0000,5000CORF 114081,A000000,05010,0000,5010CMHC 114081,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114081,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114081,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114081,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114081,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114081,A81000A,00100,0100,Y 114081,A81000B,00100,0300,MANAGEMENT FEES 114081,A81000B,00200,0300,LEASE FEES 114081,A81000C,00100,0100,A 114081,A81000C,00100,0200,JACK & ELDORA V 114081,A81000C,00100,0400,VETTER HEALTH S 114081,A81000C,00100,0600,MANAGEMENT COMP 114081,A81000C,00200,0400,VETTER LEASING 114081,A81000C,00200,0600,LEASING CO. 114081,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 114081,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 114081,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 114081,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114081,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 114081,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 114081,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 114081,B100000,00000,0800,0800(PATIENT DAYS) DIETARY 114081,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 114081,B100000,00000,1000,1000(COSTED REQUIS) CENTRAL SERVIC 114081,B100000,00000,1100,1100(COSTED REQUIS) PHARMACY 114081,B100000,00000,1200,1200(HOURS) MEDICAL RECORDS & LIBRAR 114081,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 114081,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 114081,E10A180,00350,0100,04/03/00 114081,S000000,00100,0200,11/30/00 114081,S200000,00100,0100,301 NORTH 13TH STREET 114081,S200000,00200,0100,ST. EDWARD 114081,S200000,00200,0200,NE 114081,S200000,00200,0300,68660 114081,S200000,00300,0100,BOONE 114081,S200000,00400,0100,CLOVERLODGE CARE CENTER 114081,S200000,00400,0200,285201 114081,S200000,00400,0300,10/01/96 114081,S200000,00400,0500,P 114081,S200000,00400,0600,N 114081,S200000,01500,0100,Y 114081,S200000,01600,0100,N 114081,S200000,01700,0100,N 114081,S200000,01800,0100,N 114081,S200000,02200,0100,N 114081,S200000,02800,0100,N 114081,S200000,02900,0100,N 114081,S200000,03000,0100,N 114081,S200000,03100,0100,N 114081,S200000,03200,0100,N 114081,S200000,03300,0100,N 114081,S200000,03300,0200,N 114081,S200000,04100,0100,N 114081,S200000,04200,0100,N 114081,S200000,04300,0100,N 114081,S200000,04600,0100,N 114081,S200000,04700,0100,N 114081,S200000,04900,0100,N 114081,S700003,00000,0400,X 114083,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114083,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114083,A000000,00300,0000,0300EMPLOYEE BENEFITS 114083,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114083,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114083,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114083,A000000,00700,0000,0700HOUSEKEEPING 114083,A000000,00800,0000,0800DIETARY 114083,A000000,00900,0000,0900NURSING ADMINISTRATION 114083,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114083,A000000,01100,0000,1100PHARMACY 114083,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114083,A000000,01300,0000,1300SOCIAL SERVICE 114083,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114083,A000000,01500,0000,1350OTHER GENERAL SERVICES 114083,A000000,01600,0000,1600SKILLED NURSING FACILITY 114083,A000000,01800,0000,1800NURSING FACILITY 114083,A000000,01810,0000,1810ICF/MR 114083,A000000,01900,0000,1900OTHER LONG TERM CARE 114083,A000000,02100,0000,2100RADIOLOGY 114083,A000000,02200,0000,2200LABORATORY 114083,A000000,02300,0000,2300INTRAVENOUS THERAPY 114083,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114083,A000000,02500,0000,2500PHYSICAL THERAPY 114083,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114083,A000000,02700,0000,2700SPEECH PATHOLOGY 114083,A000000,02800,0000,2800ELECTROCARDIOLOGY 114083,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114083,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114083,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114083,A000000,03200,0000,3200SUPPORT SURFACES 114083,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114083,A000000,03400,0000,3400CLINIC 114083,A000000,03500,0000,3500RURAL HEALTH CLINIC 114083,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114083,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114083,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114083,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114083,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114083,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114083,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114083,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114083,A000000,04400,0000,4400DME RENTED - HHA 114083,A000000,04500,0000,4500DME SOLD - HHA 114083,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114083,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114083,A000000,04800,0000,4800AMBULANCE 114083,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114083,A000000,05000,0000,5000CORF 114083,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114083,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114083,A000000,05300,0000,5300INTEREST EXPENSE 114083,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114083,A000000,05500,0000,5500HOSPICE 114083,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114083,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114083,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114083,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114083,A000000,06100,0000,6100NONPAID WORKERS 114083,A000000,06200,0000,6200PATIENTS LAUNDRY 114083,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114083,A000000,06301,0000,6151MEALS ON WHEELS 114083,A000000,06302,0000,6152CATERED MEALS 114083,A81000A,00100,0100,Y 114083,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 114083,A81000B,00200,0300,UNEMPLOYMENT INS 114083,A81000B,00300,0300,WORKERS COMP 114083,A81000B,00400,0300,PROPERTY/LIABILITY INS 114083,A81000B,00500,0300,VEHICLE INS 114083,A81000B,00600,0300,MEDICAL SUPPLIES 114083,A81000B,00700,0300,DISPOSABLE BRIEFS 114083,A81000B,00800,0300,DIETARY SUPPLIES 114083,A81000C,00100,0100,B 114083,A81000C,00100,0400,GOOD SAMARITAN 114083,A81000C,00100,0600,HEALTHCARE 114083,A81000C,00200,0100,B 114083,A81000C,00200,0400,OMNICARE PHARMA 114083,A81000C,00200,0600,MEDICAL/DRUGS 114083,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114083,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114083,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114083,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114083,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114083,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114083,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114083,B100000,00000,0800,0800MEALS SERVED DIETARY 114083,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114083,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114083,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114083,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114083,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114083,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114083,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114083,E10A180,00501,0100,12/06/00 114083,E10A180,00501,0300,12/06/00 114083,S000000,00100,0200,11/06/00 114083,S200000,00100,0100,602 MAIN ST E 114083,S200000,00200,0100,MOHALL 114083,S200000,00200,0200,ND 114083,S200000,00200,0300,58761-4100 114083,S200000,00300,0100,RENVILLE 114083,S200000,00400,0100,NORTH CENTRAL GOOD SAMARITAN CENTER 114083,S200000,00400,0200,355094 114083,S200000,00400,0300,02/01/91 114083,S200000,00400,0500,P 114083,S200000,00400,0600,N 114083,S200000,00600,0600,N 114083,S200000,00601,0600,N 114083,S200000,00800,0500,N 114083,S200000,00800,0600,N 114083,S200000,01000,0500,N 114083,S200000,01000,0600,N 114083,S200000,01100,0500,N 114083,S200000,01100,0600,N 114083,S200000,01500,0100,Y 114083,S200000,01600,0100,N 114083,S200000,01700,0100,N 114083,S200000,01800,0100,N 114083,S200000,02200,0100,N 114083,S200000,02800,0100,N 114083,S200000,02900,0100,N 114083,S200000,03000,0100,N 114083,S200000,03100,0100,N 114083,S200000,03200,0100,N 114083,S200000,03300,0100,N 114083,S200000,03300,0200,N 114083,S200000,03500,0300,N 114083,S200000,03501,0300,N 114083,S200000,03600,0100,N 114083,S200000,03600,0200,N 114083,S200000,03700,0100,N 114083,S200000,03700,0200,N 114083,S200000,03900,0200,N 114083,S200000,04000,0200,N 114083,S200000,04100,0100,N 114083,S200000,04200,0100,N 114083,S200000,04300,0100,N 114083,S200000,04600,0100,N 114083,S200000,04700,0100,N 114083,S200000,04700,0200,N 114083,S200000,04900,0100,N 114083,S700003,00000,0200,X 114084,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114084,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114084,A000000,00300,0000,0300EMPLOYEE BENEFITS 114084,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114084,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114084,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114084,A000000,00700,0000,0700HOUSEKEEPING 114084,A000000,00800,0000,0800DIETARY 114084,A000000,00900,0000,0900NURSING ADMINISTRATION 114084,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114084,A000000,01100,0000,1100PHARMACY 114084,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114084,A000000,01300,0000,1300SOCIAL SERVICE 114084,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114084,A000000,01500,0000,1350OTHER GENERAL SERVICES 114084,A000000,01600,0000,1600SKILLED NURSING FACILITY 114084,A000000,01800,0000,1800NURSING FACILITY 114084,A000000,01810,0000,1810ICF/MR 114084,A000000,01900,0000,1900OTHER LONG TERM CARE 114084,A000000,02100,0000,2100RADIOLOGY 114084,A000000,02200,0000,2200LABORATORY 114084,A000000,02300,0000,2300INTRAVENOUS THERAPY 114084,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114084,A000000,02500,0000,2500PHYSICAL THERAPY 114084,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114084,A000000,02700,0000,2700SPEECH PATHOLOGY 114084,A000000,02800,0000,2800ELECTROCARDIOLOGY 114084,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114084,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114084,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114084,A000000,03200,0000,3200SUPPORT SURFACES 114084,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114084,A000000,03400,0000,3400CLINIC 114084,A000000,03500,0000,3500RURAL HEALTH CLINIC 114084,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114084,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114084,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114084,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114084,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114084,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114084,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114084,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114084,A000000,04400,0000,4400DME RENTED - HHA 114084,A000000,04500,0000,4500DME SOLD - HHA 114084,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114084,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114084,A000000,04800,0000,4800AMBULANCE 114084,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114084,A000000,05000,0000,5000CORF 114084,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114084,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114084,A000000,05300,0000,5300INTEREST EXPENSE 114084,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114084,A000000,05500,0000,5500HOSPICE 114084,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114084,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114084,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114084,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114084,A000000,06100,0000,6100NONPAID WORKERS 114084,A000000,06200,0000,6200PATIENTS LAUNDRY 114084,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114084,A81000A,00100,0100,N 114084,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114084,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114084,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114084,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114084,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114084,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114084,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114084,B100000,00000,0800,0800MEALS SERVED DIETARY 114084,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114084,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114084,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114084,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114084,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114084,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114084,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114084,E10A180,00501,0100,12/07/00 114084,E10A180,00501,0300,12/07/00 114084,S000000,00100,0200,11/06/00 114084,S200000,00100,0100,RR 2 BOX 66E 114084,S200000,00200,0100,VELVA 114084,S200000,00200,0200,ND 114084,S200000,00200,0300,58790- 114084,S200000,00300,0100,MCHENRY 114084,S200000,00400,0100,SOURIS VALLEY CARE CENTER 114084,S200000,00400,0200,355109 114084,S200000,00400,0300,10/01/91 114084,S200000,00400,0500,P 114084,S200000,00400,0600,N 114084,S200000,01000,0500,N 114084,S200000,01000,0600,N 114084,S200000,01100,0500,N 114084,S200000,01100,0600,N 114084,S200000,01500,0100,Y 114084,S200000,01600,0100,N 114084,S200000,01700,0100,N 114084,S200000,01800,0100,N 114084,S200000,02200,0100,N 114084,S200000,02800,0100,N 114084,S200000,02900,0100,N 114084,S200000,03000,0100,N 114084,S200000,03100,0100,N 114084,S200000,03200,0100,N 114084,S200000,03300,0100,N 114084,S200000,03300,0200,N 114084,S200000,03500,0300,N 114084,S200000,03501,0300,N 114084,S200000,03600,0100,N 114084,S200000,03600,0200,N 114084,S200000,03700,0100,N 114084,S200000,03700,0200,N 114084,S200000,03900,0200,N 114084,S200000,04000,0200,N 114084,S200000,04100,0100,N 114084,S200000,04200,0100,N 114084,S200000,04300,0100,N 114084,S200000,04600,0100,N 114084,S200000,04700,0100,N 114084,S200000,04700,0200,N 114084,S200000,04900,0100,N 114084,S700003,00000,0200,X 114086,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114086,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114086,A000000,00300,0000,0300EMPLOYEE BENEFITS 114086,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114086,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114086,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114086,A000000,00700,0000,0700HOUSEKEEPING 114086,A000000,00800,0000,0800DIETARY 114086,A000000,00900,0000,0900NURSING ADMINISTRATION 114086,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114086,A000000,01100,0000,1100PHARMACY 114086,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114086,A000000,01300,0000,1300SOCIAL SERVICE 114086,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114086,A000000,01500,0000,1350OTHER GENERAL SERVICES 114086,A000000,01600,0000,1600SKILLED NURSING FACILITY 114086,A000000,01800,0000,1800NURSING FACILITY 114086,A000000,01810,0000,1810ICF/MR 114086,A000000,01900,0000,1900OTHER LONG TERM CARE 114086,A000000,02100,0000,2100RADIOLOGY 114086,A000000,02200,0000,2200LABORATORY 114086,A000000,02300,0000,2300INTRAVENOUS THERAPY 114086,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114086,A000000,02500,0000,2500PHYSICAL THERAPY 114086,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114086,A000000,02700,0000,2700SPEECH PATHOLOGY 114086,A000000,02800,0000,2800ELECTROCARDIOLOGY 114086,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114086,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114086,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114086,A000000,03200,0000,3200SUPPORT SURFACES 114086,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114086,A000000,03400,0000,3400CLINIC 114086,A000000,03500,0000,3500RURAL HEALTH CLINIC 114086,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114086,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114086,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114086,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114086,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114086,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114086,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114086,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114086,A000000,04400,0000,4400DME RENTED - HHA 114086,A000000,04500,0000,4500DME SOLD - HHA 114086,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114086,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114086,A000000,04800,0000,4800AMBULANCE 114086,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114086,A000000,05000,0000,5000CORF 114086,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114086,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114086,A000000,05300,0000,5300INTEREST EXPENSE 114086,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114086,A000000,05500,0000,5500HOSPICE 114086,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114086,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114086,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114086,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114086,A000000,06100,0000,6100NONPAID WORKERS 114086,A000000,06200,0000,6200PATIENTS LAUNDRY 114086,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114086,A81000A,00100,0100,Y 114086,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 114086,A81000B,00200,0300,UNEMPLOYMENT INS 114086,A81000B,00300,0300,WORKERS COMP 114086,A81000B,00400,0300,PROPERTY/LIABILITY INS 114086,A81000B,00500,0300,VEHICLE INSURANCE 114086,A81000B,00600,0300,MEDICAL SUPPLY 114086,A81000B,00700,0300,INCONTINENTS 114086,A81000C,00100,0100,B 114086,A81000C,00100,0400,GOOD SAMARITAN 114086,A81000C,00100,0600,HEALTHCARE 114086,A81000C,00200,0100,B 114086,A81000C,00200,0400,OMNICARE PHARMA 114086,A81000C,00200,0600,MEDICAL/DRUGS 114086,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114086,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114086,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114086,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114086,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114086,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114086,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 114086,B100000,00000,0800,0800MEALS SERVED DIETARY 114086,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114086,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114086,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114086,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114086,B100000,00000,1300,1300ADMISSION SOCIAL SERVICE 114086,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114086,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114086,S000000,00100,0200,09/28/00 114086,S200000,00100,0100,251 7TH ST 114086,S200000,00200,0100,LAFAYETTE 114086,S200000,00200,0200,MN 114086,S200000,00200,0300,56054-9782 114086,S200000,00300,0100,NICOLLET 114086,S200000,00400,0100,LAFAYETTE GOOD SAMARITAN CENTER 114086,S200000,00400,0200,245577 114086,S200000,00400,0300,11/01/91 114086,S200000,00400,0500,P 114086,S200000,00400,0600,N 114086,S200000,01500,0100,Y 114086,S200000,01600,0100,N 114086,S200000,01700,0100,N 114086,S200000,01800,0100,N 114086,S200000,02200,0100,N 114086,S200000,02800,0100,Y 114086,S200000,02900,0100,N 114086,S200000,03000,0100,N 114086,S200000,03100,0100,N 114086,S200000,03200,0100,N 114086,S200000,03300,0100,N 114086,S200000,03300,0200,N 114086,S200000,04100,0100,N 114086,S200000,04200,0100,N 114086,S200000,04300,0100,N 114086,S200000,04600,0100,N 114086,S200000,04700,0100,N 114086,S200000,04700,0200,N 114086,S200000,04900,0100,N 114086,S700003,00000,0100,X 114087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114087,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114087,A000000,00300,0000,0300EMPLOYEE BENEFITS 114087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114087,A000000,00700,0000,0700HOUSEKEEPING 114087,A000000,00800,0000,0800DIETARY 114087,A000000,00900,0000,0900NURSING ADMINISTRATION 114087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114087,A000000,01100,0000,1100PHARMACY 114087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114087,A000000,01300,0000,1300SOCIAL SERVICE 114087,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114087,A000000,01500,0000,1350OTHER GENERAL SERVICES 114087,A000000,01600,0000,1600SKILLED NURSING FACILITY 114087,A000000,01800,0000,1800NURSING FACILITY 114087,A000000,01810,0000,1810ICF/MR 114087,A000000,01900,0000,1900OTHER LONG TERM CARE 114087,A000000,02100,0000,2100RADIOLOGY 114087,A000000,02200,0000,2200LABORATORY 114087,A000000,02300,0000,2300INTRAVENOUS THERAPY 114087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114087,A000000,02500,0000,2500PHYSICAL THERAPY 114087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114087,A000000,02700,0000,2700SPEECH PATHOLOGY 114087,A000000,02800,0000,2800ELECTROCARDIOLOGY 114087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114087,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114087,A000000,03200,0000,3200SUPPORT SURFACES 114087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114087,A000000,03400,0000,3400CLINIC 114087,A000000,03500,0000,3500RURAL HEALTH CLINIC 114087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114087,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114087,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114087,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114087,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114087,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114087,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114087,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114087,A000000,04400,0000,4400DME RENTED - HHA 114087,A000000,04500,0000,4500DME SOLD - HHA 114087,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114087,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114087,A000000,04800,0000,4800AMBULANCE 114087,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114087,A000000,05000,0000,5000CORF 114087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114087,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114087,A000000,05300,0000,5300INTEREST EXPENSE 114087,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114087,A000000,05500,0000,5500HOSPICE 114087,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114087,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114087,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114087,A000000,06100,0000,6100NONPAID WORKERS 114087,A000000,06200,0000,6200PATIENTS LAUNDRY 114087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114087,A81000A,00100,0100,Y 114087,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 114087,A81000B,00200,0300,UNEMPLOYMENT INS 114087,A81000B,00300,0300,WORKERS COMP 114087,A81000B,00400,0300,PROPERTY/LIABILITY INS 114087,A81000B,00500,0300,VEHICLE INS 114087,A81000B,00600,0300,MEDICAL SUPPLY 114087,A81000B,00700,0300,DIETARY SUPPLIES 114087,A81000C,00100,0100,B 114087,A81000C,00100,0400,GOOD SAMARITAN 114087,A81000C,00100,0600,HEALTHCARE 114087,A81000C,00200,0100,B 114087,A81000C,00200,0400,OMNICARE PHARMA 114087,A81000C,00200,0600,MEDICAL/DRUGS 114087,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 114087,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 114087,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114087,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114087,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 114087,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114087,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114087,B100000,00000,0800,0800MEALS SERVED DIETARY 114087,B100000,00000,0900,0900PRODUCTIVEHO NURSING ADMINISTRAT 114087,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 114087,B100000,00000,1100,1100COSTED REQUIS PHARMACY 114087,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114087,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114087,B100000,00000,1400,1400NO STATISTICS INTERNS & R 114087,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114087,E10A180,00550,0100,10/23/00 114087,E10A180,00550,0300,10/23/00 114087,S000000,00100,0200,09/28/00 114087,S200000,00100,0100,119 N. BROADWAY 114087,S200000,00200,0100,PELICAN RAPIDS 114087,S200000,00200,0200,MN 114087,S200000,00200,0300,56572-0646 114087,S200000,00300,0100,OTTERTAIL 114087,S200000,00400,0100,PELICAN RAPIDS GOOD SAMARITAN CENTER 114087,S200000,00400,0200,245584 114087,S200000,00400,0300,11/01/91 114087,S200000,00400,0500,P 114087,S200000,00400,0600,N 114087,S200000,01500,0100,Y 114087,S200000,01600,0100,N 114087,S200000,01700,0100,N 114087,S200000,01800,0100,N 114087,S200000,02200,0100,N 114087,S200000,02800,0100,Y 114087,S200000,02900,0100,N 114087,S200000,03000,0100,N 114087,S200000,03100,0100,N 114087,S200000,03200,0100,N 114087,S200000,03300,0100,N 114087,S200000,03300,0200,N 114087,S200000,04100,0100,N 114087,S200000,04200,0100,N 114087,S200000,04300,0100,N 114087,S200000,04600,0100,N 114087,S200000,04700,0100,N 114087,S200000,04700,0200,N 114087,S200000,04900,0100,N 114087,S700003,00000,0100,X 114089,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114089,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114089,A000000,00300,0000,0300EMPLOYEE BENEFITS 114089,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114089,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114089,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114089,A000000,00700,0000,0700HOUSEKEEPING 114089,A000000,00800,0000,0800DIETARY 114089,A000000,00900,0000,0900NURSING ADMINISTRATION 114089,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114089,A000000,01100,0000,1100PHARMACY 114089,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114089,A000000,01300,0000,1300SOCIAL SERVICE 114089,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114089,A000000,01500,0000,1350ACTIVITIES AL SERVICES 114089,A000000,01600,0000,1600SKILLED NURSING FACILITY 114089,A000000,01800,0000,1800NURSING FACILITY 114089,A000000,01900,0000,1900OTHER LONG TERM CARE 114089,A000000,02100,0000,2100RADIOLOGY 114089,A000000,02200,0000,2200LABORATORY 114089,A000000,02300,0000,2300INTRAVENOUS THERAPY 114089,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114089,A000000,02500,0000,2500PHYSICAL THERAPY 114089,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114089,A000000,02700,0000,2700SPEECH PATHOLOGY 114089,A000000,02800,0000,2800ELECTROCARDIOLOGY 114089,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114089,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114089,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114089,A000000,03200,0000,3200SUPPORT SURFACES 114089,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114089,A000000,03400,0000,3400CLINIC 114089,A000000,03500,0000,3500RURAL HEALTH CLINIC 114089,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114089,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114089,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114089,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114089,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114089,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114089,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114089,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114089,A000000,04400,0000,4400DME RENTED - HHA 114089,A000000,04500,0000,4500DME SOLD - HHA 114089,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114089,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114089,A000000,04800,0000,4800AMBULANCE 114089,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114089,A000000,05000,0000,5000CORF 114089,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114089,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114089,A000000,05300,0000,5300INTEREST EXPENSE 114089,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114089,A000000,05500,0000,5500HOSPICE 114089,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114089,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114089,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114089,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114089,A000000,06100,0000,6100NONPAID WORKERS 114089,A000000,06200,0000,6200PATIENTS LAUNDRY 114089,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114089,A81000A,00100,0100,Y 114089,A81000B,00100,0300,MANAGEMENT FEES 114089,A81000C,00100,0100,B 114089,A81000C,00100,0400,AMERICAN BAPTIS 114089,A81000C,00100,0600,MANAGEMENT COMP 114089,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114089,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114089,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114089,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114089,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114089,B100000,00000,0600,0600RESIDENT DAYS LAUNDRY & LINEN S 114089,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 114089,B100000,00000,0800,0800MEALS SERVED DIETARY 114089,B100000,00000,0900,0900PRODUCTIVENSG DO NURSING ADMINIS 114089,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114089,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114089,B100000,00000,1200,1200RESIDENT DAYS MEDICAL RECORDS & 114089,B100000,00000,1300,1300RESIDENT DAYS SOCIAL SERVICE 114089,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114089,B100000,00000,1500,1500RESIDENT DAYS ACTIVITIES AL SER 114089,E10A180,00501,0300,03/14/01 114089,S000000,00100,0200,02/05/01 114089,S200000,00100,0100,2104 12TH STREET 114089,S200000,00200,0100,HARLAN 114089,S200000,00200,0200,IA 114089,S200000,00200,0300,51537- 114089,S200000,00300,0100,SHELBY 114089,S200000,00400,0100,ELM CREST RETIREMENT COMMUNITY 114089,S200000,00400,0200,165372 114089,S200000,00400,0300,10/01/97 114089,S200000,00400,0500,P 114089,S200000,00400,0600,N 114089,S200000,01500,0100,N 114089,S200000,01600,0100,Y 114089,S200000,01700,0100,N 114089,S200000,01800,0100,N 114089,S200000,02200,0100,N 114089,S200000,02800,0100,N 114089,S200000,02900,0100,N 114089,S200000,03000,0100,N 114089,S200000,03100,0100,N 114089,S200000,03200,0100,N 114089,S200000,03300,0100,N 114089,S200000,03300,0200,N 114089,S200000,03500,0300,N 114089,S200000,03600,0100,N 114089,S200000,03600,0200,N 114089,S200000,03700,0100,N 114089,S200000,03700,0200,N 114089,S200000,03900,0200,N 114089,S200000,04000,0200,N 114089,S200000,04100,0100,N 114089,S200000,04200,0100,N 114089,S200000,04300,0100,N 114089,S200000,04600,0100,N 114089,S200000,04700,0100,N 114089,S200000,04700,0200,N 114089,S200000,04900,0100,N 114089,S700003,00000,0400,X 114090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114090,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 114090,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114090,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 114090,A000000,00300,0000,0300EMPLOYEE BENEFITS 114090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114090,A000000,00700,0000,0700HOUSEKEEPING 114090,A000000,00800,0000,0800DIETARY 114090,A000000,00801,0000,0801CAFETERIA 114090,A000000,00900,0000,0900NURSING ADMINISTRATION 114090,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114090,A000000,01100,0000,1100PHARMACY 114090,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114090,A000000,01300,0000,1300SOCIAL SERVICE 114090,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114090,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 114090,A000000,01600,0000,1600SKILLED NURSING FACILITY 114090,A000000,01800,0000,1800NURSING FACILITY 114090,A000000,01900,0000,1900OTHER LONG TERM CARE 114090,A000000,02100,0000,2100RADIOLOGY 114090,A000000,02200,0000,2200LABORATORY 114090,A000000,02300,0000,2300INTRAVENOUS THERAPY 114090,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114090,A000000,02500,0000,2500PHYSICAL THERAPY 114090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114090,A000000,02700,0000,2700SPEECH PATHOLOGY 114090,A000000,02800,0000,2800ELECTROCARDIOLOGY 114090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114090,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114090,A000000,03200,0000,3200SUPPORT SURFACES 114090,A000000,03300,0000,3050OTHER ANCILLARY 114090,A000000,03301,0000,3051OTHER ANCILLARY II 114090,A000000,03302,0000,3052OTHER ANCILLARY III 114090,A000000,03400,0000,3400CLINIC 114090,A000000,03500,0000,3500RURAL HEALTH CLINIC 114090,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 114090,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114090,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114090,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114090,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114090,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114090,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114090,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114090,A000000,04400,0000,4400DME RENTED - HHA 114090,A000000,04500,0000,4500DME SOLD - HHA 114090,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114090,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114090,A000000,04800,0000,4800AMBULANCE 114090,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114090,A000000,05000,0000,5000CORF I 114090,A000000,05010,0000,5010CMHC I 114090,A000000,05020,0000,5020OPT I 114090,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114090,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114090,A000000,05300,0000,5300INTEREST EXPENSE 114090,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114090,A000000,05500,0000,5500HOSPICE 114090,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 114090,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 114090,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114090,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114090,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114090,A000000,06100,0000,6100NONPAID WORKERS 114090,A000000,06200,0000,6200PATIENTS LAUNDRY 114090,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114090,A81000A,00100,0100,Y 114090,A81000B,00100,0300,CAP RELATED COSTS 114090,A81000B,00200,0300,ADMIN HO COSTS 114090,A81000C,00100,0100,G 114090,A81000C,00100,0200,ON WITH LIFE 114090,A81000C,00100,0600,HEALTHCARE 114090,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 114090,B100000,00000,0101,0101(SQUARE FEET) CAP REL COSTS - 114090,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 114090,B100000,00000,0201,0201(SQUARE FEET) CAP REL COSTS - 114090,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 114090,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114090,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 114090,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 114090,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 114090,B100000,00000,0800,0800(MEALS SERVED) DIETARY 114090,B100000,00000,0801,0801(MEALS SERVED) CAFETERIA 114090,B100000,00000,0900,0900(NURSING SALARIES) NURSING ADMI 114090,B100000,00000,1000,1000(PATIENT DAYS) CENTRAL SERVICES 114090,B100000,00000,1100,1100(PATIENT DAYS) PHARMACY 114090,B100000,00000,1200,1200(PATIENT DAYS) MEDICAL RECORDS 114090,B100000,00000,1300,1300(PATIENT DAYS) SOCIAL SERVICE 114090,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 114090,B100000,00000,1500,1500BLANK OTHER GENERAL SERVICE COST 114090,S000000,00100,0200,12/01/00 114090,S200000,00100,0100,712 SOUTH LACEY 114090,S200000,00200,0100,GLENWOOD 114090,S200000,00200,0200,IA 114090,S200000,00200,0300,51534 114090,S200000,00400,0100,ON WITH LIFE - GLENWOOD 114090,S200000,00400,0200,165281 114090,S200000,00400,0300,07/03/96 114090,S200000,00400,0500,P 114090,S200000,00400,0600,N 114090,S200000,01500,0100,Y 114090,S200000,01600,0100,N 114090,S200000,01700,0100,N 114090,S200000,01800,0100,N 114090,S200000,01900,0100,OTHER 114090,S200000,02200,0100,Y 114090,S200000,02800,0100,Y 114090,S200000,02900,0100,N 114090,S200000,03000,0100,N 114090,S200000,03100,0100,N 114090,S200000,03200,0100,N 114090,S200000,03300,0100,N 114090,S200000,03300,0200,N 114090,S200000,04100,0100,N 114090,S200000,04200,0100,N 114090,S200000,04300,0100,N 114090,S200000,04600,0100,N 114090,S200000,04700,0100,N 114090,S200000,04900,0100,N 114090,S700003,00000,0400,X 114092,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114092,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114092,A000000,00300,0000,0300EMPLOYEE BENEFITS 114092,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114092,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114092,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114092,A000000,00700,0000,0700HOUSEKEEPING 114092,A000000,00800,0000,0800DIETARY 114092,A000000,00900,0000,0900NURSING ADMINISTRATION 114092,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114092,A000000,01100,0000,1100PHARMACY 114092,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114092,A000000,01300,0000,1300SOCIAL SERVICE 114092,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114092,A000000,01500,0000,1350OTHER GENERAL SERVICES 114092,A000000,01600,0000,1600SKILLED NURSING FACILITY 114092,A000000,01800,0000,1800NURSING FACILITY 114092,A000000,01900,0000,1900OTHER LONG TERM CARE 114092,A000000,02100,0000,2100RADIOLOGY 114092,A000000,02200,0000,2200LABORATORY 114092,A000000,02300,0000,2300INTRAVENOUS THERAPY 114092,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114092,A000000,02500,0000,2500PHYSICAL THERAPY 114092,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114092,A000000,02700,0000,2700SPEECH PATHOLOGY 114092,A000000,02800,0000,2800ELECTROCARDIOLOGY 114092,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114092,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114092,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114092,A000000,03200,0000,3200SUPPORT SURFACES 114092,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114092,A000000,03400,0000,3400CLINIC 114092,A000000,03500,0000,3500RURAL HEALTH CLINIC 114092,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114092,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114092,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114092,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114092,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114092,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114092,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114092,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114092,A000000,04400,0000,4400DME RENTED - HHA 114092,A000000,04500,0000,4500DME SOLD - HHA 114092,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114092,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114092,A000000,04800,0000,4800AMBULANCE 114092,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114092,A000000,05000,0000,5000CORF 114092,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114092,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114092,A000000,05300,0000,5300INTEREST EXPENSE 114092,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114092,A000000,05500,0000,5500HOSPICE 114092,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114092,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114092,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114092,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114092,A000000,06100,0000,6100NONPAID WORKERS 114092,A000000,06200,0000,6200PATIENTS LAUNDRY 114092,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114092,A000000,06301,0000,6151MEALS ON WHEELS 114092,A81000A,00100,0100,Y 114092,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 114092,A81000B,00200,0300,UNEMPLOYMENT INS 114092,A81000B,00300,0300,WORKERS COMP 114092,A81000B,00400,0300,PROPERTY/LIABILITY INS 114092,A81000B,00500,0300,VEHICLE INS 114092,A81000B,00600,0300,MEDICAL SUPPLY 114092,A81000B,00700,0300,INCONTINENTS 114092,A81000B,00800,0300,DIETARY SUPPLIES 114092,A81000C,00100,0100,B 114092,A81000C,00100,0400,GOOD SAMARITAN 114092,A81000C,00100,0600,HEALTHCARE 114092,A81000C,00200,0100,B 114092,A81000C,00200,0400,OMNICARE PHARMA 114092,A81000C,00200,0600,MEDICAL/DRUGS 114092,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114092,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114092,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114092,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114092,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114092,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114092,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114092,B100000,00000,0800,0800MEALS SERVED DIETARY 114092,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114092,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114092,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114092,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114092,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114092,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114092,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114092,E10A180,00550,0100,10/23/00 114092,E10A180,00550,0300,10/23/00 114092,S000000,00100,0200,09/28/00 114092,S200000,00100,0100,745 BASINGER MEMORIAL DRIVE 114092,S200000,00200,0100,MT LAKE 114092,S200000,00200,0200,MN 114092,S200000,00200,0300,56159- 114092,S200000,00300,0100,COTTONWOOD 114092,S200000,00400,0100,MT LAKE GOOD SAMARITAN CENTER 114092,S200000,00400,0200,245549 114092,S200000,00400,0300,02/01/91 114092,S200000,00400,0500,P 114092,S200000,00400,0600,N 114092,S200000,01500,0100,Y 114092,S200000,01600,0100,N 114092,S200000,01700,0100,N 114092,S200000,01800,0100,N 114092,S200000,02200,0100,N 114092,S200000,02800,0100,Y 114092,S200000,02900,0100,N 114092,S200000,03000,0100,N 114092,S200000,03100,0100,N 114092,S200000,03200,0100,N 114092,S200000,03300,0100,N 114092,S200000,03300,0200,N 114092,S200000,04100,0100,N 114092,S200000,04200,0100,N 114092,S200000,04300,0100,N 114092,S200000,04600,0100,N 114092,S200000,04700,0100,N 114092,S200000,04700,0200,N 114092,S200000,04900,0100,N 114092,S700003,00000,0100,X 114093,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114093,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114093,A000000,00300,0000,0300EMPLOYEE BENEFITS 114093,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114093,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114093,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114093,A000000,00700,0000,0700HOUSEKEEPING 114093,A000000,00800,0000,0800DIETARY 114093,A000000,00900,0000,0900NURSING ADMINISTRATION 114093,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114093,A000000,01100,0000,1100PHARMACY 114093,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114093,A000000,01300,0000,1300SOCIAL SERVICE 114093,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114093,A000000,01500,0000,1350OTHER GENERAL SERVICES 114093,A000000,01600,0000,1600SKILLED NURSING FACILITY 114093,A000000,01800,0000,1800NURSING FACILITY 114093,A000000,01810,0000,1810ICF/MR 114093,A000000,01900,0000,1900OTHER LONG TERM CARE 114093,A000000,02100,0000,2100RADIOLOGY 114093,A000000,02200,0000,2200LABORATORY 114093,A000000,02300,0000,2300INTRAVENOUS THERAPY 114093,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114093,A000000,02500,0000,2500PHYSICAL THERAPY 114093,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114093,A000000,02700,0000,2700SPEECH PATHOLOGY 114093,A000000,02800,0000,2800ELECTROCARDIOLOGY 114093,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114093,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114093,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114093,A000000,03200,0000,3200SUPPORT SURFACES 114093,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114093,A000000,03400,0000,3400CLINIC 114093,A000000,03500,0000,3500RURAL HEALTH CLINIC 114093,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114093,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114093,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114093,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114093,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114093,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114093,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114093,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114093,A000000,04400,0000,4400DME RENTED - HHA 114093,A000000,04500,0000,4500DME SOLD - HHA 114093,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114093,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114093,A000000,04800,0000,4800AMBULANCE 114093,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114093,A000000,05000,0000,5000CORF 114093,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114093,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114093,A000000,05300,0000,5300INTEREST EXPENSE 114093,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114093,A000000,05500,0000,5500HOSPICE 114093,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114093,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114093,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114093,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114093,A000000,06100,0000,6100NONPAID WORKERS 114093,A000000,06200,0000,6200PATIENTS LAUNDRY 114093,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114093,A000000,06301,0000,6151CLINIC 114093,A81000A,00100,0100,Y 114093,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 114093,A81000B,00200,0300,UNEMPLOYMENT INS 114093,A81000B,00300,0300,WORKERS COMP 114093,A81000B,00400,0300,PROPERTY/LIABILITY INS 114093,A81000B,00500,0300,VEHICLE INS 114093,A81000B,00600,0300,MEDICAL SUPPLY 114093,A81000B,00700,0300,INCONTINENTS 114093,A81000C,00100,0100,B 114093,A81000C,00100,0400,GOOD SAMARITAN 114093,A81000C,00100,0600,HEALTHCARE 114093,A81000C,00200,0100,B 114093,A81000C,00200,0400,OMNICARE PHARMA 114093,A81000C,00200,0600,MEDICAL/DRUGS 114093,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114093,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114093,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114093,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114093,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114093,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114093,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114093,B100000,00000,0800,0800MEALS SERVED DIETARY 114093,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114093,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114093,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114093,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114093,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114093,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114093,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114093,E10A180,00501,0100,10/23/00 114093,S000000,00100,0200,09/28/00 114093,S200000,00100,0100,110 SOUTH WALNUT 114093,S200000,00200,0100,LUVERNE 114093,S200000,00200,0200,MN 114093,S200000,00200,0300,56156-1799 114093,S200000,00300,0100,ROCK 114093,S200000,00400,0100,MARY JANE BROWN GSC 114093,S200000,00400,0200,245568 114093,S200000,00400,0300,07/01/91 114093,S200000,00400,0500,P 114093,S200000,00400,0600,N 114093,S200000,00600,0600,O 114093,S200000,01500,0100,Y 114093,S200000,01600,0100,N 114093,S200000,01700,0100,N 114093,S200000,01800,0100,N 114093,S200000,02200,0100,N 114093,S200000,02800,0100,N 114093,S200000,02900,0100,N 114093,S200000,03000,0100,N 114093,S200000,03100,0100,N 114093,S200000,03200,0100,N 114093,S200000,03300,0100,N 114093,S200000,03300,0200,N 114093,S200000,04100,0100,N 114093,S200000,04200,0100,N 114093,S200000,04300,0100,N 114093,S200000,04600,0100,N 114093,S200000,04700,0100,N 114093,S200000,04700,0200,N 114093,S200000,04900,0100,N 114093,S700003,00000,0100,X 114094,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114094,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114094,A000000,00300,0000,0300EMPLOYEE BENEFITS 114094,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114094,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114094,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114094,A000000,00700,0000,0700HOUSEKEEPING 114094,A000000,00800,0000,0800DIETARY 114094,A000000,00900,0000,0900NURSING ADMINISTRATION 114094,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114094,A000000,01100,0000,1100PHARMACY 114094,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114094,A000000,01300,0000,1300SOCIAL SERVICE 114094,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114094,A000000,01500,0000,1350OTHER GENERAL SERVICES 114094,A000000,01600,0000,1600SKILLED NURSING FACILITY 114094,A000000,01800,0000,1800NURSING FACILITY 114094,A000000,01810,0000,1810ICF/MR 114094,A000000,01900,0000,1900OTHER LONG TERM CARE 114094,A000000,02100,0000,2100RADIOLOGY 114094,A000000,02200,0000,2200LABORATORY 114094,A000000,02300,0000,2300INTRAVENOUS THERAPY 114094,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114094,A000000,02500,0000,2500PHYSICAL THERAPY 114094,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114094,A000000,02700,0000,2700SPEECH PATHOLOGY 114094,A000000,02800,0000,2800ELECTROCARDIOLOGY 114094,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114094,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114094,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114094,A000000,03200,0000,3200SUPPORT SURFACES 114094,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114094,A000000,03400,0000,3400CLINIC 114094,A000000,03500,0000,3500RURAL HEALTH CLINIC 114094,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114094,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114094,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114094,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114094,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114094,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114094,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114094,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114094,A000000,04400,0000,4400DME RENTED - HHA 114094,A000000,04500,0000,4500DME SOLD - HHA 114094,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114094,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114094,A000000,04800,0000,4800AMBULANCE 114094,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114094,A000000,05000,0000,5000CORF 114094,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114094,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114094,A000000,05300,0000,5300INTEREST EXPENSE 114094,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114094,A000000,05500,0000,5500HOSPICE 114094,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114094,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114094,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114094,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114094,A000000,06100,0000,6100NONPAID WORKERS 114094,A000000,06200,0000,6200PATIENTS LAUNDRY 114094,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114094,A81000A,00100,0100,Y 114094,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 114094,A81000B,00200,0300,UNEMPLOYMENT INS 114094,A81000B,00300,0300,WORKERS COMP 114094,A81000B,00400,0300,PROPERTY/LIABILITY INS 114094,A81000B,00500,0300,VEHICLE INS 114094,A81000B,00600,0300,MEDICAL SUPPLIES 114094,A81000B,00700,0300,INCONTINENTS 114094,A81000C,00100,0100,B 114094,A81000C,00100,0400,GOOD SAMARITAN 114094,A81000C,00100,0600,HEALTHCARE 114094,A81000C,00200,0100,B 114094,A81000C,00200,0400,OMNICARE PHARMA 114094,A81000C,00200,0600,MEDICAL/DRUGS 114094,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 114094,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 114094,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114094,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114094,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 114094,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 114094,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114094,B100000,00000,0800,0800MEALS SERVED DIETARY 114094,B100000,00000,0900,0900PRODUCTIVEHO NURSING ADMINISTRAT 114094,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 114094,B100000,00000,1100,1100COSTED REQUIS PHARMACY 114094,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 114094,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 114094,B100000,00000,1400,1400NO STATISTICS INTERNS & R 114094,B100000,00000,1500,1500NO STATISTICS OTHER GENER 114094,E10A180,00550,0100,10/23/00 114094,E10A180,00550,0300,10/23/00 114094,S000000,00100,0200,09/28/00 114094,S200000,00100,0100,1000 SOUTH SECOND STREET 114094,S200000,00200,0100,ST JAMES 114094,S200000,00200,0200,MN 114094,S200000,00200,0300,56081-1899 114094,S200000,00300,0100,WATONWAN 114094,S200000,00400,0100,PLEASANT VIEW GOOD SAMARITAN CENTER 114094,S200000,00400,0200,245593 114094,S200000,00400,0300,01/01/92 114094,S200000,00400,0500,P 114094,S200000,00400,0600,N 114094,S200000,01500,0100,Y 114094,S200000,01600,0100,N 114094,S200000,01700,0100,N 114094,S200000,01800,0100,N 114094,S200000,01900,0100,OTHER 114094,S200000,02200,0100,N 114094,S200000,02800,0100,N 114094,S200000,02900,0100,N 114094,S200000,03000,0100,N 114094,S200000,03100,0100,N 114094,S200000,03200,0100,N 114094,S200000,03300,0100,N 114094,S200000,03300,0200,N 114094,S200000,04100,0100,N 114094,S200000,04200,0100,N 114094,S200000,04300,0100,N 114094,S200000,04600,0100,N 114094,S200000,04700,0100,N 114094,S200000,04700,0200,N 114094,S200000,04900,0100,N 114094,S700003,00000,0100,X 114123,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114123,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114123,A000000,00300,0000,0300EMPLOYEE BENEFITS 114123,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114123,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114123,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114123,A000000,00700,0000,0700HOUSEKEEPING 114123,A000000,00800,0000,0800DIETARY 114123,A000000,01300,0000,1300SOCIAL SERVICE 114123,A000000,01600,0000,1600SKILLED NURSING FACILITY 114123,A000000,01800,0000,1800NURSING FACILITY 114123,A000000,02500,0000,2500PHYSICAL THERAPY 114123,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114123,A000000,02700,0000,2700SPEECH PATHOLOGY 114123,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114123,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114123,A000000,04800,0000,4800AMBULANCE 114123,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114123,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114123,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114123,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114123,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114123,A000000,06100,0000,6100NONPAID WORKERS 114123,A000000,06200,0000,6200PATIENTS LAUNDRY 114123,A000000,06300,0000,6150DAY CARE 114123,A000000,06301,0000,6151RESIDENTIAL APARTMENTS 114123,A81000A,00100,0100,N 114123,B100000,00000,0100,0100SQUARE FEETCAP REL COSTS - BL 114123,B100000,00000,0200,0200SQUARE FEETCAP REL COSTS - MO 114123,B100000,00000,0300,0300GROSS SALARIESEMPLOYEE BENEF 114123,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 114123,B100000,00000,0500,0500SQUARE FEETPLANT OPERATION M 114123,B100000,00000,0600,0600POUNDS OF LAUNDRYLAUNDRY & LINEN 114123,B100000,00000,0700,0700HOURS OF SERVICEHOUSEKEEPING 114123,B100000,00000,0800,0800MEALS SERVEDDIETARY 114123,B100000,00000,1300,1300TIME SPENTSOCIAL SERVICE 114123,S000000,00100,0200,12/01/00 114123,S200000,00100,0100,900 POLK BLVD 114123,S200000,00200,0100,DES MOINES 114123,S200000,00200,0200,IA 114123,S200000,00200,0300,50312- 114123,S200000,00300,0100,POLK 114123,S200000,00300,0300,U 114123,S200000,00400,0100,IOWA JEWISH SENIOR LIFE CENTER 114123,S200000,00400,0200,165006 114123,S200000,00400,0300,07/04/67 114123,S200000,00400,0500,P 114123,S200000,00400,0600,N 114123,S200000,00600,0600,N 114123,S200000,01500,0100,Y 114123,S200000,01600,0100,N 114123,S200000,01700,0100,N 114123,S200000,01800,0100,N 114123,S200000,01900,0100,N 114123,S200000,02200,0100,N 114123,S200000,02800,0100,Y 114123,S200000,02900,0100,N 114123,S200000,03000,0100,N 114123,S200000,03100,0100,N 114123,S200000,03200,0100,N 114123,S200000,03300,0100,N 114123,S200000,03300,0200,N 114123,S200000,03500,0300,N 114123,S200000,04100,0100,N 114123,S200000,04200,0100,N 114123,S200000,04300,0100,N 114123,S200000,04600,0100,N 114123,S200000,04700,0100,N 114123,S200000,04700,0200,N 114123,S200000,04900,0100,N 114123,S700003,00000,0200,2 114222,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114222,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114222,A000000,00300,0000,0300EMPLOYEE BENEFITS 114222,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114222,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114222,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114222,A000000,00700,0000,0700HOUSEKEEPING 114222,A000000,00800,0000,0800DIETARY 114222,A000000,00900,0000,0900NURSING ADMINISTRATION 114222,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114222,A000000,01100,0000,1100PHARMACY 114222,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114222,A000000,01300,0000,1300SOCIAL SERVICE 114222,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114222,A000000,01500,0000,1350OTHER GENERAL SERVICES 114222,A000000,01600,0000,1600SKILLED NURSING FACILITY 114222,A000000,01800,0000,1800NURSING FACILITY 114222,A000000,01810,0000,1810ICF/MR 114222,A000000,01900,0000,1900OTHER LONG TERM CARE 114222,A000000,02100,0000,2100RADIOLOGY 114222,A000000,02200,0000,2200LABORATORY 114222,A000000,02300,0000,2300INTRAVENOUS THERAPY 114222,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114222,A000000,02500,0000,2500PHYSICAL THERAPY 114222,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114222,A000000,02700,0000,2700SPEECH PATHOLOGY 114222,A000000,02800,0000,2800ELECTROCARDIOLOGY 114222,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114222,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114222,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114222,A000000,03200,0000,3200SUPPORT SURFACES 114222,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114222,A000000,03400,0000,3400CLINIC 114222,A000000,03500,0000,3500RURAL HEALTH CLINIC 114222,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114222,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114222,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114222,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114222,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114222,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114222,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114222,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114222,A000000,04400,0000,4400DME RENTED - HHA 114222,A000000,04500,0000,4500DME SOLD - HHA 114222,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114222,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114222,A000000,04800,0000,4800AMBULANCE 114222,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114222,A000000,05000,0000,5000CORF 114222,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114222,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114222,A000000,05300,0000,5300INTEREST EXPENSE 114222,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114222,A000000,05500,0000,5500HOSPICE 114222,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114222,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114222,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114222,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114222,A000000,06100,0000,6100NONPAID WORKERS 114222,A000000,06200,0000,6200PATIENTS LAUNDRY 114222,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114222,A000000,06301,0000,6151MANOR 114222,A81000A,00100,0100,N 114222,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114222,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114222,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114222,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114222,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114222,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 114222,B100000,00000,0800,0800MEALS SERVED :DIETARY 114222,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 114222,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114222,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114222,H510100,00000,0000,8884 114222,S000000,00100,0200,12/11/00 114222,S200000,00100,0100,530 SOUTH 26TH STREET 114222,S200000,00200,0100,OMAHA 114222,S200000,00200,0200,NE 114222,S200000,00200,0300,68105- 114222,S200000,00300,0100,DOUGLAS 114222,S200000,00300,0200,5920 114222,S200000,00300,0300,U 114222,S200000,00400,0100,THE LUTHERAN HOME 114222,S200000,00400,0200,285171 114222,S200000,00400,0300,10/01/95 114222,S200000,00400,0500,P 114222,S200000,00400,0600,O 114222,S200000,00800,0200,287113 114222,S200000,00800,0300,10/01/98 114222,S200000,00800,0500,O 114222,S200000,01500,0100,N 114222,S200000,01600,0100,Y 114222,S200000,01700,0100,N 114222,S200000,01800,0100,N 114222,S200000,02200,0100,N 114222,S200000,02800,0100,N 114222,S200000,02900,0100,N 114222,S200000,03000,0100,N 114222,S200000,03100,0100,N 114222,S200000,03200,0100,N 114222,S200000,04100,0100,N 114222,S200000,04200,0100,N 114222,S200000,04300,0100,N 114222,S200000,04600,0100,N 114222,S200000,04700,0100,N 114222,S200000,04700,0200,N 114222,S200000,04900,0100,N 114222,S200000,05000,0100,N 114222,S200000,05100,0100,N 114222,S200000,05200,0100,N 114222,S410002,01700,0100,4885531105048884 114261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114261,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114261,A000000,00300,0000,0300EMPLOYEE BENEFITS 114261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114261,A000000,00700,0000,0700HOUSEKEEPING 114261,A000000,00800,0000,0800DIETARY 114261,A000000,00900,0000,0900NURSING ADMINISTRATION 114261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114261,A000000,01100,0000,1100PHARMACY 114261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114261,A000000,01300,0000,1300SOCIAL SERVICE 114261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114261,A000000,01600,0000,1600SKILLED NURSING FACILITY 114261,A000000,01800,0000,1800NURSING FACILITY 114261,A000000,01900,0000,1900OTHER LONG TERM CARE 114261,A000000,02100,0000,2100RADIOLOGY 114261,A000000,02200,0000,2200LABORATORY 114261,A000000,02300,0000,2300INTRAVENOUS THERAPY 114261,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114261,A000000,02500,0000,2500PHYSICAL THERAPY 114261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114261,A000000,02700,0000,2700SPEECH PATHOLOGY 114261,A000000,02800,0000,2800ELECTROCARDIOLOGY 114261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114261,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114261,A000000,03200,0000,3200SUPPORT SURFACES 114261,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 114261,A000000,03400,0000,3400CLINIC 114261,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 114261,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114261,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114261,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114261,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114261,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114261,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114261,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114261,A000000,04400,0000,4400DME RENTED - HHA 114261,A000000,04500,0000,4500DME SOLD - HHA 114261,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114261,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114261,A000000,04800,0000,4800AMBULANCE 114261,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114261,A000000,05000,0000,5000CORF 114261,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114261,A000000,05300,0000,5300INTEREST EXPENSE 114261,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114261,A000000,05500,0000,5500HOSPICE 114261,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114261,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114261,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114261,A000000,06100,0000,6100NONPAID WORKERS 114261,A000000,06200,0000,6200PATIENTS LAUNDRY 114261,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114261,A81000A,00100,0100,N 114261,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114261,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114261,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114261,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114261,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114261,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114261,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114261,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 114261,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114261,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 114261,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114261,S000000,00100,0200,09/05/00 114261,S200000,00100,0100,690 SOUTH STATE STREET 114261,S200000,00200,0100,FRANKLIN IN 46131 114261,S200000,00200,0200,CA 114261,S200000,00200,0300, - 114261,S200000,00300,0100,JOHNSON 114261,S200000,00300,0200,3480 114261,S200000,00300,0300,U 114261,S200000,00400,0100,INDIANA MASONIC HOME 114261,S200000,00400,0200,155593 114261,S200000,00400,0300,01/17/96 114261,S200000,00400,0500,P 114261,S200000,01004,0500,O 114261,S200000,01500,0100,N 114261,S200000,01600,0100,Y 114261,S200000,01700,0100,N 114261,S200000,01800,0100,N 114261,S200000,02200,0100,N 114261,S200000,02800,0100,N 114261,S200000,02900,0100,N 114261,S200000,03000,0100,N 114261,S200000,03100,0100,N 114261,S200000,03200,0100,N 114261,S200000,04100,0100,N 114261,S200000,04200,0100,N 114261,S200000,04300,0100,N 114261,S200000,04600,0100,N 114261,S200000,04700,0100,N 114261,S200000,04700,0200,N 114261,S200000,04900,0100,N 114261,S200000,05000,0100,N 114261,S200000,05100,0100,N 114261,S200000,05200,0100,N 114331,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114331,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114331,A000000,00300,0000,0300EMPLOYEE BENEFITS 114331,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114331,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114331,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114331,A000000,00700,0000,0700HOUSEKEEPING 114331,A000000,00800,0000,0800DIETARY 114331,A000000,00900,0000,0900NURSING ADMINISTRATION 114331,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114331,A000000,01100,0000,1100PHARMACY 114331,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114331,A000000,01300,0000,1300SOCIAL SERVICE 114331,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114331,A000000,01500,0000,1350OTHER GENERAL SERVICES 114331,A000000,01600,0000,1600SKILLED NURSING FACILITY 114331,A000000,01800,0000,1800NURSING FACILITY 114331,A000000,01900,0000,1900OTHER LONG TERM CARE 114331,A000000,02100,0000,2100RADIOLOGY 114331,A000000,02200,0000,2200LABORATORY 114331,A000000,02300,0000,2300INTRAVENOUS THERAPY 114331,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114331,A000000,02500,0000,2500PHYSICAL THERAPY 114331,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114331,A000000,02700,0000,2700SPEECH PATHOLOGY 114331,A000000,02800,0000,2800ELECTROCARDIOLOGY 114331,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114331,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114331,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114331,A000000,03200,0000,3200SUPPORT SURFACES 114331,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114331,A000000,03400,0000,3400CLINIC 114331,A000000,03500,0000,3500RURAL HEALTH CLINIC 114331,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114331,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114331,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114331,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114331,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114331,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114331,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114331,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114331,A000000,04400,0000,4400DME RENTED - HHA 114331,A000000,04500,0000,4500DME SOLD - HHA 114331,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114331,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114331,A000000,04800,0000,4800AMBULANCE 114331,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114331,A000000,05000,0000,5000CORF 114331,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114331,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114331,A000000,05300,0000,5300INTEREST EXPENSE 114331,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114331,A000000,05500,0000,5500HOSPICE 114331,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114331,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114331,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114331,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114331,A000000,06100,0000,6100NONPAID WORKERS 114331,A000000,06200,0000,6200PATIENTS LAUNDRY 114331,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114331,A81000A,00100,0100,Y 114331,A81000B,00100,0300,HOME OFFICE COSTS 114331,A81000B,00200,0300,CAPITAL RELATED 114331,A81000C,00100,0100,B 114331,A81000C,00100,0200,PROGRESSIVE HEALTHCARE FA 114331,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114331,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114331,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114331,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114331,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114331,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 114331,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114331,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 114331,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 114331,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 114331,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114331,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114331,E10A180,00501,0300,08/31/00 114331,E10A180,00550,0100,02/27/00 114331,E10A180,00550,0300,02/27/00 114331,E10A180,00551,0100,08/31/00 114331,E10A180,00601,0100,03/27/02 114331,S000000,00100,0200,07/25/00 114331,S200000,00100,0100,3510 ALEXANDRIA PIKE 114331,S200000,00200,0100,HIGHLANDS HEIGHTS 114331,S200000,00200,0200,KY 114331,S200000,00200,0300,41076- 114331,S200000,00300,0100,CAMPBELL 114331,S200000,00300,0200,1640 114331,S200000,00300,0300,U 114331,S200000,00400,0100,LAKESIDE PLACE 114331,S200000,00400,0200,185017 114331,S200000,00400,0300,01/01/67 114331,S200000,00400,0500,P 114331,S200000,00600,0200,185017 114331,S200000,00600,0300,01/01/67 114331,S200000,00600,0600,O 114331,S200000,01500,0100,N 114331,S200000,01600,0100,Y 114331,S200000,01700,0100,N 114331,S200000,01800,0100,N 114331,S200000,02200,0100,Y 114331,S200000,02800,0100,N 114331,S200000,02900,0100,N 114331,S200000,03000,0100,N 114331,S200000,03100,0100,Y 114331,S200000,03200,0100,N 114331,S200000,04100,0100,N 114331,S200000,04200,0100,N 114331,S200000,04300,0100,N 114331,S200000,04600,0100,N 114331,S200000,04700,0100,N 114331,S200000,04700,0200,N 114331,S200000,04900,0100,N 114331,S200000,05000,0100,N 114331,S200000,05100,0100,N 114331,S200000,05200,0100,N 114332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114332,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114332,A000000,00300,0000,0300EMPLOYEE BENEFITS 114332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114332,A000000,00700,0000,0700HOUSEKEEPING 114332,A000000,00800,0000,0800DIETARY 114332,A000000,00900,0000,0900NURSING ADMINISTRATION 114332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114332,A000000,01100,0000,1100PHARMACY 114332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114332,A000000,01300,0000,1300SOCIAL SERVICE 114332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114332,A000000,01500,0000,1350OTHER GENERAL SERVICES 114332,A000000,01600,0000,1600SKILLED NURSING FACILITY 114332,A000000,01800,0000,1800NURSING FACILITY 114332,A000000,01810,0000,1810ICF/MR 114332,A000000,01900,0000,1900OTHER LONG TERM CARE 114332,A000000,02100,0000,2100RADIOLOGY 114332,A000000,02200,0000,2200LABORATORY 114332,A000000,02300,0000,2300INTRAVENOUS THERAPY 114332,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114332,A000000,02500,0000,2500PHYSICAL THERAPY 114332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114332,A000000,02700,0000,2700SPEECH PATHOLOGY 114332,A000000,02800,0000,2800ELECTROCARDIOLOGY 114332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114332,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114332,A000000,03200,0000,3200SUPPORT SURFACES 114332,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114332,A000000,03400,0000,3400CLINIC 114332,A000000,03500,0000,3500RURAL HEALTH CLINIC 114332,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114332,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114332,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114332,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114332,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114332,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114332,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114332,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114332,A000000,04400,0000,4400DME RENTED - HHA 114332,A000000,04500,0000,4500DME SOLD - HHA 114332,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114332,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114332,A000000,04800,0000,4800AMBULANCE 114332,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114332,A000000,05000,0000,5000CORF 114332,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114332,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114332,A000000,05300,0000,5300INTEREST EXPENSE 114332,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114332,A000000,05500,0000,5500HOSPICE 114332,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114332,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114332,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114332,A000000,06100,0000,6100NONPAID WORKERS 114332,A000000,06200,0000,6200PATIENTS LAUNDRY 114332,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114332,A81000A,00100,0100,Y 114332,A81000B,00100,0300,MAINTENANCE SUPPLIES 114332,A81000B,00200,0300,INSURANCE 114332,A81000B,00300,0300,LEGAL FEES 114332,A81000B,00400,0300,LEGAL FEES 114332,A81000B,00500,0300,CARPET CLEANING 114332,A81000C,00100,0100,D 114332,A81000C,00100,0200,VANCE FRITTON 114332,A81000C,00100,0400,VANCE TRUE VALUE 114332,A81000C,00100,0600,RETAIL 114332,A81000C,00200,0100,D 114332,A81000C,00200,0200,JOHN ENGLISH 114332,A81000C,00200,0400,REAGER HARRIS 114332,A81000C,00200,0600,INSURANCE 114332,A81000C,00300,0100,D 114332,A81000C,00300,0200,ALEX CAMPBELLL 114332,A81000C,00300,0400,WYATT TARRANT & COMBS 114332,A81000C,00300,0600,ATTORNEY 114332,A81000C,00400,0100,D 114332,A81000C,00400,0200,ROBERT GRITTITH 114332,A81000C,00400,0400,STITES & HARBINSON 114332,A81000C,00400,0600,ATTORNEY 114332,A81000C,00500,0100,D 114332,A81000C,00500,0200,NORMA LAUFER 114332,A81000C,00500,0400,CARRELL ROGERS & CO 114332,A81000C,00500,0600,SERVICE 114332,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114332,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114332,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114332,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114332,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114332,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114332,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114332,B100000,00000,0800,0800MEALS SERVED :DIETARY 114332,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114332,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114332,E10A180,00601,0300,03/12/02 114332,E10A180,00650,0100,03/12/02 114332,S000000,00100,0200,12/05/00 114332,S200000,00100,0100,1201 LYNDON LANE 114332,S200000,00200,0100,LOUISVILLE 114332,S200000,00200,0200,KY 114332,S200000,00200,0300,40222- 114332,S200000,00300,0100,JEFFERSON 114332,S200000,00300,0200,4520 114332,S200000,00300,0300,U 114332,S200000,00400,0100,EPISCOPAL CHURCH HOME 114332,S200000,00400,0200,185310 114332,S200000,00400,0300,10/01/91 114332,S200000,00400,0500,P 114332,S200000,01500,0100,N 114332,S200000,01600,0100,Y 114332,S200000,01700,0100,N 114332,S200000,01800,0100,N 114332,S200000,02200,0100,N 114332,S200000,02800,0100,Y 114332,S200000,02900,0100,N 114332,S200000,03000,0100,N 114332,S200000,03100,0100,N 114332,S200000,03200,0100,N 114332,S200000,04100,0100,N 114332,S200000,04200,0100,N 114332,S200000,04300,0100,N 114332,S200000,04600,0100,N 114332,S200000,04700,0100,N 114332,S200000,04700,0200,N 114332,S200000,04900,0100,N 114332,S200000,05000,0100,N 114332,S200000,05100,0100,N 114332,S200000,05200,0100,N 114348,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114348,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114348,A000000,00300,0000,0300EMPLOYEE BENEFITS 114348,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114348,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114348,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114348,A000000,00700,0000,0700HOUSEKEEPING 114348,A000000,00800,0000,0800DIETARY 114348,A000000,00900,0000,0900NURSING ADMINISTRATION 114348,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114348,A000000,01100,0000,1100PHARMACY 114348,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114348,A000000,01300,0000,1300SOCIAL SERVICE 114348,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114348,A000000,01500,0000,1350OTHER GENERAL SERVICES 114348,A000000,01600,0000,1600SKILLED NURSING FACILITY 114348,A000000,01800,0000,1800NURSING FACILITY 114348,A000000,01810,0000,1810ICF/MR 114348,A000000,01900,0000,1900OTHER LONG TERM CARE 114348,A000000,02100,0000,2100RADIOLOGY 114348,A000000,02200,0000,2200LABORATORY 114348,A000000,02300,0000,2300INTRAVENOUS THERAPY 114348,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114348,A000000,02500,0000,2500PHYSICAL THERAPY 114348,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114348,A000000,02700,0000,2700SPEECH PATHOLOGY 114348,A000000,02800,0000,2800ELECTROCARDIOLOGY 114348,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114348,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114348,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114348,A000000,03200,0000,3200SUPPORT SURFACES 114348,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114348,A000000,03400,0000,3400CLINIC 114348,A000000,03500,0000,3500RURAL HEALTH CLINIC 114348,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114348,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114348,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114348,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114348,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114348,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114348,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114348,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114348,A000000,04400,0000,4400DME RENTED - HHA 114348,A000000,04500,0000,4500DME SOLD - HHA 114348,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114348,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114348,A000000,04800,0000,4800AMBULANCE 114348,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114348,A000000,05000,0000,5000CORF 114348,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114348,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114348,A000000,05300,0000,5300INTEREST EXPENSE 114348,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114348,A000000,05500,0000,5500HOSPICE 114348,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114348,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114348,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114348,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114348,A000000,06001,0000,6001OUTSIDE THERAPY SERVICES 114348,A000000,06100,0000,6100NONPAID WORKERS 114348,A000000,06200,0000,6200PATIENTS LAUNDRY 114348,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114348,A81000A,00100,0100,Y 114348,A81000B,00100,0300,PROPERTY INSURANCE 114348,A81000B,00200,0300,INTEREST 114348,A81000B,00300,0300,LIABILITY INSURANCE 114348,A81000B,00400,0300,PENSION 114348,A81000B,00500,0300,WOKERS COMPENSATION 114348,A81000B,00600,0300,MGMT FEES & CEO COMPENSATION 114348,A81000B,00700,0300,LIABILITY INSURANCE 114348,A81000B,00800,0300,SISTERS SERVICES 114348,A81000B,00900,0300,SISTERS SERVICES 114348,A81000B,01000,0300,SISTERS SERVICES 114348,A81000B,01100,0300,NURSING REGISTRY 114348,A81000B,01200,0300,NURSING REGISTRY 114348,A81000B,01300,0300,SISTERS SERVICES 114348,A81000B,01400,0300,HO CAPITAL BLDG 114348,A81000B,01500,0300,HO CAPITAL EQUIP 114348,A81000B,01600,0300,HO PAYROLL TAXES & BENEFITS 114348,A81000C,00100,0100,B 114348,A81000C,00100,0200,CATHOLIC HEALTH INITIATIV 114348,A81000C,00100,0600,MANAGMENT 114348,A81000C,00200,0100,B 114348,A81000C,00200,0200,SISTERS OF MERCY 114348,A81000C,00200,0600,ADMIN LAUNDRY 114348,A81000C,00300,0100,C 114348,A81000C,00300,0200,HEALTH CARE SERVICES 114348,A81000C,00300,0600,NURSING REGISTRY 114348,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114348,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114348,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114348,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114348,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114348,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114348,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114348,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114348,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 114348,B100000,00000,1000,1000COSTEDREQU UISITIONS :CENTRAL S 114348,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 114348,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114348,E10A180,00501,0100,01/25/01 114348,S000000,00100,0200,11/27/00 114348,S200000,00100,0100,MT. ST JOSEPH INC. 114348,S200000,00200,0100,3060 SE STARK STREET 114348,S200000,00200,0200,OR 114348,S200000,00200,0300,97214- 114348,S200000,00300,0100,MULTNOMAH 114348,S200000,00300,0200,6440 114348,S200000,00300,0300,U 114348,S200000,00400,0100,MT. ST. JOSEPH INC. 114348,S200000,00400,0200,385010 114348,S200000,00400,0300,01/01/67 114348,S200000,00400,0500,P 114348,S200000,01500,0100,N 114348,S200000,01600,0100,Y 114348,S200000,01700,0100,N 114348,S200000,01800,0100,N 114348,S200000,02200,0100,N 114348,S200000,02800,0100,N 114348,S200000,02900,0100,N 114348,S200000,03000,0100,N 114348,S200000,03100,0100,N 114348,S200000,03200,0100,N 114348,S200000,04100,0100,N 114348,S200000,04200,0100,N 114348,S200000,04300,0100,N 114348,S200000,04600,0100,N 114348,S200000,04700,0100,N 114348,S200000,04700,0200,N 114348,S200000,04900,0100,N 114348,S200000,05000,0100,N 114348,S200000,05100,0100,N 114348,S200000,05200,0100,N 114353,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114353,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114353,A000000,00300,0000,0300EMPLOYEE BENEFITS 114353,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114353,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114353,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114353,A000000,00700,0000,0700HOUSEKEEPING 114353,A000000,00800,0000,0800DIETARY 114353,A000000,00900,0000,0900NURSING ADMINISTRATION 114353,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114353,A000000,01100,0000,1100PHARMACY 114353,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114353,A000000,01300,0000,1300SOCIAL SERVICE 114353,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114353,A000000,01500,0000,1350OTHER GENERAL SERVICES 114353,A000000,01600,0000,1600SKILLED NURSING FACILITY 114353,A000000,01800,0000,1800NURSING FACILITY 114353,A000000,01810,0000,1810ICF/MR 114353,A000000,01900,0000,1900OTHER LONG TERM CARE 114353,A000000,02100,0000,2100RADIOLOGY 114353,A000000,02200,0000,2200LABORATORY 114353,A000000,02300,0000,2300INTRAVENOUS THERAPY 114353,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114353,A000000,02500,0000,2500PHYSICAL THERAPY 114353,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114353,A000000,02700,0000,2700SPEECH PATHOLOGY 114353,A000000,02800,0000,2800ELECTROCARDIOLOGY 114353,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114353,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114353,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114353,A000000,03200,0000,3200SUPPORT SURFACES 114353,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114353,A000000,03400,0000,3400CLINIC 114353,A000000,03500,0000,3500RURAL HEALTH CLINIC 114353,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114353,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114353,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114353,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114353,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114353,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114353,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114353,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114353,A000000,04400,0000,4400DME RENTED - HHA 114353,A000000,04500,0000,4500DME SOLD - HHA 114353,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114353,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114353,A000000,04800,0000,4800AMBULANCE 114353,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114353,A000000,05000,0000,5000CORF 114353,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114353,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114353,A000000,05300,0000,5300INTEREST EXPENSE 114353,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114353,A000000,05500,0000,5500HOSPICE 114353,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114353,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114353,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114353,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114353,A000000,06100,0000,6100NONPAID WORKERS 114353,A000000,06200,0000,6200PATIENTS LAUNDRY 114353,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114353,A81000A,00100,0100,N 114353,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114353,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114353,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114353,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114353,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114353,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114353,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114353,B100000,00000,0800,0800MEALS SERVED :DIETARY 114353,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 114353,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 114353,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114353,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114353,E10A180,00501,0100,01/25/01 114353,S000000,00100,0200,11/30/00 114353,S200000,00100,0100,1015 WEBER ROAD 114353,S200000,00200,0100,THE DALLES 114353,S200000,00200,0200,OR 114353,S200000,00200,0300,97058-3586 114353,S200000,00300,0100,WASCO 114353,S200000,00300,0200,0038 114353,S200000,00300,0300,R 114353,S200000,00400,0100,COLUMBIA BASIN NURSING HOME 114353,S200000,00400,0200,385049 114353,S200000,00400,0300,07/01/66 114353,S200000,00400,0500,P 114353,S200000,01500,0100,N 114353,S200000,01600,0100,Y 114353,S200000,01700,0100,N 114353,S200000,01800,0100,N 114353,S200000,02200,0100,N 114353,S200000,02800,0100,N 114353,S200000,02900,0100,N 114353,S200000,03000,0100,N 114353,S200000,03100,0100,N 114353,S200000,03200,0100,N 114353,S200000,04100,0100,N 114353,S200000,04200,0100,N 114353,S200000,04300,0100,N 114353,S200000,04600,0100,N 114353,S200000,04700,0100,N 114353,S200000,04700,0200,N 114353,S200000,04900,0100,N 114353,S200000,05000,0100,N 114353,S200000,05100,0100,N 114353,S200000,05200,0100,N 114360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114360,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114360,A000000,00300,0000,0300EMPLOYEE BENEFITS 114360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114360,A000000,00700,0000,0700HOUSEKEEPING 114360,A000000,00800,0000,0800DIETARY 114360,A000000,00900,0000,0900NURSING ADMINISTRATION 114360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114360,A000000,01100,0000,1100PHARMACY 114360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114360,A000000,01300,0000,1300SOCIAL SERVICE 114360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114360,A000000,01500,0000,1350OTHER GENERAL SERVICES 114360,A000000,01600,0000,1600SKILLED NURSING FACILITY 114360,A000000,01800,0000,1800NURSING FACILITY 114360,A000000,01810,0000,1810ICF/MR 114360,A000000,01900,0000,1900OTHER LONG TERM CARE 114360,A000000,02100,0000,2100RADIOLOGY 114360,A000000,02200,0000,2200LABORATORY 114360,A000000,02300,0000,2300INTRAVENOUS THERAPY 114360,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114360,A000000,02500,0000,2500PHYSICAL THERAPY 114360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114360,A000000,02700,0000,2700SPEECH PATHOLOGY 114360,A000000,02800,0000,2800ELECTROCARDIOLOGY 114360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114360,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114360,A000000,03200,0000,3200SUPPORT SURFACES 114360,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114360,A000000,03400,0000,3400CLINIC 114360,A000000,03500,0000,3500RURAL HEALTH CLINIC 114360,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114360,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114360,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114360,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114360,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114360,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114360,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114360,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114360,A000000,04400,0000,4400DME RENTED - HHA 114360,A000000,04500,0000,4500DME SOLD - HHA 114360,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114360,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114360,A000000,04800,0000,4800AMBULANCE 114360,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114360,A000000,05000,0000,5000CORF 114360,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114360,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114360,A000000,05300,0000,5300INTEREST EXPENSE 114360,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114360,A000000,05500,0000,5500HOSPICE 114360,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114360,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114360,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114360,A000000,06100,0000,6100NONPAID WORKERS 114360,A000000,06200,0000,6200PATIENTS LAUNDRY 114360,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114360,A81000A,00100,0100,N 114360,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114360,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114360,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114360,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114360,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114360,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 114360,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114360,B100000,00000,0800,0800MEALS SERVED :DIETARY 114360,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 114360,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114360,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114360,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114360,S000000,00100,0200,11/06/00 114360,S200000,00100,0100,1085 N. OREGON STREET 114360,S200000,00200,0100,ONTARIO 114360,S200000,00200,0200,OR 114360,S200000,00200,0300,97914- 114360,S200000,00300,0100,MALHEUR 114360,S200000,00300,0200,0038 114360,S200000,00300,0300,R 114360,S200000,00400,0100,PRESBYTERIAN COMMUNITY CARE CENTER 114360,S200000,00400,0200,385008 114360,S200000,00400,0300,09/14/66 114360,S200000,00400,0500,P 114360,S200000,01500,0100,N 114360,S200000,01600,0100,Y 114360,S200000,01700,0100,N 114360,S200000,01800,0100,N 114360,S200000,02200,0100,N 114360,S200000,02800,0100,N 114360,S200000,02900,0100,N 114360,S200000,03000,0100,N 114360,S200000,03100,0100,N 114360,S200000,03200,0100,N 114360,S200000,04100,0100,N 114360,S200000,04200,0100,N 114360,S200000,04300,0100,N 114360,S200000,04600,0100,N 114360,S200000,04700,0100,N 114360,S200000,04700,0200,N 114360,S200000,04900,0100,N 114360,S200000,05000,0100,N 114360,S200000,05100,0100,N 114360,S200000,05200,0100,N 114420,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114420,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114420,A000000,00300,0000,0300EMPLOYEE BENEFITS 114420,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114420,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114420,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114420,A000000,00700,0000,0700HOUSEKEEPING 114420,A000000,00800,0000,0800DIETARY 114420,A000000,00900,0000,0900NURSING ADMINISTRATION 114420,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114420,A000000,01300,0000,1300SOCIAL SERVICE 114420,A000000,01301,0000,1301ACTIVITIES 114420,A000000,01500,0000,1350OTHER GENERAL SERVICES 114420,A000000,01600,0000,1600SKILLED NURSING FACILITY 114420,A000000,01800,0000,1800NURSING FACILITY 114420,A000000,01900,0000,1900OTHER LONG TERM CARE 114420,A000000,02100,0000,2100RADIOLOGY 114420,A000000,02200,0000,2200LABORATORY 114420,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114420,A000000,02500,0000,2500PHYSICAL THERAPY 114420,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114420,A000000,02700,0000,2700SPEECH PATHOLOGY 114420,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114420,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114420,A000000,03001,0000,3001AIR FLUIDIZED THERAPY 114420,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114420,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114420,A81000A,00100,0100,Y 114420,A81000B,00100,0300,HOME OFFICE COST 114420,A81000C,00100,0100,B 114420,A81000C,00100,0200,LANCASTER HEALTH ALLIANCE 114420,A81000C,00100,0400,LANCASTER HEALTH ALLIANCE 114420,A81000C,00100,0600,HEALTHCARE PROVIDER 114420,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114420,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114420,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114420,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114420,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114420,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114420,B100000,00000,0800,0800MEALS SERVED :DIETARY 114420,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 114420,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114420,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114420,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 114420,S000000,00100,0200,11/30/00 114420,S200000,00100,0100,204 OAK STREET 114420,S200000,00100,0300,136 114420,S200000,00200,0100,AKRON 114420,S200000,00200,0200,PA 114420,S200000,00200,0300,17501- 114420,S200000,00300,0100,LANCASTER 114420,S200000,00300,0200,4000 114420,S200000,00300,0300,U 114420,S200000,00400,0100,MAPLE FARM NURSING CENTER 114420,S200000,00400,0200,395124 114420,S200000,00400,0300,07/01/76 114420,S200000,00400,0500,P 114420,S200000,01004,0500,O 114420,S200000,01500,0100,N 114420,S200000,01600,0100,Y 114420,S200000,01700,0100,N 114420,S200000,01800,0100,N 114420,S200000,02200,0100,N 114420,S200000,02800,0100,N 114420,S200000,02900,0100,N 114420,S200000,03000,0100,N 114420,S200000,03100,0100,N 114420,S200000,03200,0100,N 114420,S200000,04100,0100,N 114420,S200000,04200,0100,N 114420,S200000,04300,0100,N 114420,S200000,04600,0100,N 114420,S200000,04700,0100,N 114420,S200000,04700,0200,N 114420,S200000,04900,0100,N 114420,S200000,05000,0100,N 114420,S200000,05100,0100,N 114420,S200000,05200,0100,N 114526,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114526,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114526,A000000,00300,0000,0300EMPLOYEE BENEFITS 114526,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114526,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114526,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114526,A000000,00700,0000,0700HOUSEKEEPING 114526,A000000,00800,0000,0800DIETARY 114526,A000000,00900,0000,0900NURSING ADMINISTRATION 114526,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114526,A000000,01100,0000,1100PHARMACY 114526,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114526,A000000,01300,0000,1300SOCIAL SERVICE 114526,A000000,01301,0000,1301ACTIVITIES 114526,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114526,A000000,01600,0000,1600SKILLED NURSING FACILITY 114526,A000000,01800,0000,1800NURSING FACILITY 114526,A000000,01810,0000,1810ICF/MR 114526,A000000,01900,0000,1900OTHER LONG TERM CARE 114526,A000000,02100,0000,2100RADIOLOGY 114526,A000000,02200,0000,2200LABORATORY 114526,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114526,A000000,02500,0000,2500PHYSICAL THERAPY 114526,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114526,A000000,02700,0000,2700SPEECH PATHOLOGY 114526,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114526,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114526,A000000,03300,0000,3050OTHER ANCILLARY-CONSOLIDATED BI 114526,A000000,03550,0000,3550FQHC 114526,A000000,05000,0000,5000CORF 114526,A000000,05010,0000,5010CMHC 114526,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114526,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114526,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114526,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114526,A000000,06300,0000,6150OTHER NON-REIMBURSABLE COST 114526,A81000A,00100,0100,Y 114526,A81000B,00100,0300,HOME OFFICE COST 114526,A81000B,00400,0300,HOME OFFICE COST 114526,A81000B,00500,0300,HOME OFFICE COST 114526,A81000B,00600,0300,HOME OFFICE COST 114526,A81000B,00800,0300,HOME OFFICE COST 114526,A81000C,00100,0100,B 114526,A81000C,00100,0200,BEVERLY ENTERPR 114526,B100000,00000,0100,0100(SQUARE FEET) 114526,B100000,00000,0200,0200(SQUARE FEET) 114526,B100000,00000,0300,0300(ADJUSTED SALARIES) 114526,B100000,00000,0400,0400(ACCUM. COST) 114526,B100000,00000,0500,0500(SQUARE FEET) 114526,B100000,00000,0600,0600(PATIENT DAYS) 114526,B100000,00000,0700,0700(SQUARE FEET) 114526,B100000,00000,0800,0800(MEALS SERVED) 114526,B100000,00000,0900,0900(ADJUSTED SALARIES) 114526,B100000,00000,1000,1000(PATIENT DAYS) 114526,B100000,00000,1100,1100(COSTED REQUIS) 114526,B100000,00000,1200,1200(TOTAL CHARGES) 114526,B100000,00000,1300,1300(PATIENT DAYS) 114526,B100000,00000,1301,1301(PATIENT DAYS) 114526,B100000,00000,1400,1400(ASSIGNED TIME) 114526,E10A180,00302,0100,06/14/99 114526,E10A180,00303,0100,10/08/99 114526,E10A180,00305,0100,02/14/00 114526,E10A180,00350,0100,01/27/99 114526,E10A180,00353,0100,12/09/99 114526,S000000,00100,0200,03/04/02 114526,S200000,00100,0100,302 MANATEE AVENUE E 114526,S200000,00200,0100,BRADENTON 114526,S200000,00200,0200,FL 114526,S200000,00200,0300,33505 114526,S200000,00300,0100,MANATEE 114526,S200000,00300,0200,7510 114526,S200000,00300,0300,U 114526,S200000,00400,0100,MANATEE AVENUE EAST (790) A 114526,S200000,00400,0200,105240 114526,S200000,00400,0300,11/01/81 114526,S200000,00400,0500,P 114526,S200000,00600,0200,105240 114526,S200000,00600,0300,11/01/81 114526,S200000,00600,0600,O 114526,S200000,01500,0100,N 114526,S200000,01600,0100,Y 114526,S200000,01700,0100,N 114526,S200000,01800,0100,N 114526,S200000,02200,0100,N 114526,S200000,02800,0100,N 114526,S200000,02900,0100,N 114526,S200000,03000,0100,N 114526,S200000,03100,0100,N 114526,S200000,03200,0100,N 114526,S200000,03300,0100,N 114526,S200000,03300,0200,N 114526,S200000,04100,0100,N 114526,S200000,04200,0100,Y 114526,S200000,04300,0100,Y 114526,S200000,04600,0100,N 114526,S200000,04700,0100,N 114526,S200000,04900,0100,N 114566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114566,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114566,A000000,00300,0000,0300EMPLOYEE BENEFITS 114566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114566,A000000,00700,0000,0700HOUSEKEEPING 114566,A000000,00800,0000,0800DIETARY 114566,A000000,00900,0000,0900NURSING ADMINISTRATION 114566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114566,A000000,01100,0000,1100PHARMACY 114566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114566,A000000,01300,0000,1300SOCIAL SERVICE 114566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114566,A000000,01500,0000,1350PATIENT ACTIVITIES 114566,A000000,01600,0000,1600SKILLED NURSING FACILITY 114566,A000000,01800,0000,1800NURSING FACILITY 114566,A000000,01810,0000,1810ICF/MR 114566,A000000,01900,0000,1900OTHER LONG TERM CARE 114566,A000000,02200,0000,2200LABORATORY 114566,A000000,02500,0000,2500PHYSICAL THERAPY 114566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114566,A000000,02700,0000,2700SPEECH PATHOLOGY 114566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114566,A000000,03550,0000,3550FQHC 114566,A000000,05000,0000,5000CORF 114566,A000000,05010,0000,5010CMHC 114566,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114566,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114566,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114566,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114566,A81000A,00100,0100,Y 114566,A81000B,00100,0300,RENT 114566,A81000B,00200,0300,DEPR LEASEHOLD IMPR 114566,A81000B,00300,0300,DEPR BLDG 114566,A81000B,00400,0300,DEPR EQUIP 114566,A81000B,00500,0300,MORTGAGE INTEREST 114566,A81000B,00600,0300,RENT 114566,A81000B,00700,0300,DEPR LEASEHOLD IMPR 114566,A81000B,00800,0300,DEPR BLDG 114566,A81000B,00900,0300,DEPR EQUIP 114566,A81000B,01000,0300,MORTGAGE INTEREST 114566,A81000B,01100,0300,OPERATING INTEREST 114566,A81000C,00100,0100,A 114566,A81000C,00100,0200,RILEY EVANS SR 114566,A81000C,00100,0400,RILEY EVANS SR 114566,A81000C,00100,0600,INDIVIDUAL 114566,A81000C,00200,0100,A 114566,A81000C,00200,0200,MARGARET EVANS 114566,A81000C,00200,0400,MARGARET EVANS 114566,A81000C,00200,0600,INDIVIDUAL 114566,A81000C,00300,0100,A 114566,A81000C,00300,0200,MAX LENNON 114566,A81000C,00300,0400,MAX LENNON 114566,A81000C,00300,0600,INDIVIDUAL 114566,A81000C,00400,0100,A 114566,A81000C,00400,0200,MARY LENNON 114566,A81000C,00400,0400,MARY LENNON 114566,A81000C,00400,0600,INDIVIDUAL 114566,A81000C,00600,0100,A 114566,A81000C,00600,0200,RILEY EVANS SR 114566,A81000C,00600,0400,HILLSIDE LLC 114566,A81000C,00600,0600,LLC 114566,A81000C,00700,0100,A 114566,A81000C,00700,0200,MARGARET EVANS 114566,A81000C,00700,0400,HILLSIDE LLC 114566,A81000C,00700,0600,LLC 114566,A81000C,00800,0100,A 114566,A81000C,00800,0200,MAX LENNON 114566,A81000C,00800,0400,HILLSIDE LLC 114566,A81000C,00800,0600,LLC 114566,A81000C,00900,0100,A 114566,A81000C,00900,0200,MARY LENNON 114566,A81000C,00900,0400,HILLSIDE LLC 114566,A81000C,00900,0600,LLC 114566,A81000C,01100,0100,A 114566,A81000C,01100,0200,FLORENCE JOHNSO 114566,A81000C,01100,0400,FLORENCE JOHNSO 114566,A81000C,01100,0600,INDIVIDUAL 114566,A81000C,01200,0100,A 114566,A81000C,01200,0200,ROBERT EVANS 114566,A81000C,01200,0400,ROBERT EVANS 114566,A81000C,01200,0600,INDIVIDUAL 114566,B100000,00000,0100,0100SQUARE FEET 114566,B100000,00000,0200,0200SQUARE FEET 114566,B100000,00000,0300,0300GROSS SALARIES 114566,B100000,00000,0400,0400ACCUM COST 114566,B100000,00000,0500,0500SQUARE FEET 114566,B100000,00000,0600,0600POUNDS OF LAUNDRY 114566,B100000,00000,0700,0700SQUARE FEET 114566,B100000,00000,0800,0800MEALS SERVED 114566,B100000,00000,0900,0900DIRECT NRSG HRS 114566,B100000,00000,1000,1000COSTED REQUIS 114566,B100000,00000,1100,1100COSTED REQUIS 114566,B100000,00000,1200,1200PATIENT DAYS 114566,B100000,00000,1300,1300PATIENT DAYS 114566,B100000,00000,1400,1400ASSIGNED TIME 114566,B100000,00000,1500,1350PATIENT DAYS 114566,E10A180,00501,0100,07/12/00 114566,E10A180,00501,0300,07/12/00 114566,E10A180,00550,0100,09/20/01 114566,E10A180,00550,0300,09/20/01 114566,S000000,00100,0200,06/20/00 114566,S200000,00100,0100,HILLSIDE NURSING CENTER 114566,S200000,00100,0300,1826 114566,S200000,00200,0100,WAKE FOREST 114566,S200000,00200,0200,NC 114566,S200000,00200,0300,27587 114566,S200000,00300,0100,WAKE 114566,S200000,00400,0100,HILLSIDE NURSING CENTER 114566,S200000,00400,0200,345417 114566,S200000,00400,0300,04/02/92 114566,S200000,00400,0500,P 114566,S200000,00600,0200,34601H 114566,S200000,00600,0300,04/02/92 114566,S200000,00600,0600,O 114566,S200000,01500,0100,N 114566,S200000,01600,0100,Y 114566,S200000,01700,0100,N 114566,S200000,01800,0100,N 114566,S200000,01900,0100,LIMITED LIABILITY COMPANY 114566,S200000,02200,0100,N 114566,S200000,02800,0100,N 114566,S200000,02900,0100,N 114566,S200000,03000,0100,N 114566,S200000,03100,0100,N 114566,S200000,03200,0100,N 114566,S200000,03300,0100,N 114566,S200000,03300,0200,N 114566,S200000,03500,0300,N 114566,S200000,04100,0100,N 114566,S200000,04200,0100,N 114566,S200000,04300,0100,N 114566,S200000,04600,0100,N 114566,S200000,04700,0100,N 114566,S200000,04900,0100,N 114579,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114579,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 114579,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114579,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPMEN 114579,A000000,00300,0000,0300EMPLOYEE BENEFITS 114579,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114579,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114579,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114579,A000000,00700,0000,0700HOUSEKEEPING 114579,A000000,00800,0000,0800DIETARY 114579,A000000,00900,0000,0900NURSING ADMINISTRATION 114579,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114579,A000000,01100,0000,1100PHARMACY 114579,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114579,A000000,01300,0000,1300SOCIAL SERVICE 114579,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114579,A000000,01500,0000,1350OTHER GENERAL SERVICES 114579,A000000,01600,0000,1600SKILLED NURSING FACILITY 114579,A000000,01800,0000,1800NURSING FACILITY 114579,A000000,01900,0000,1900OTHER LONG TERM CARE 114579,A000000,02100,0000,2100RADIOLOGY 114579,A000000,02200,0000,2200LABORATORY 114579,A000000,02300,0000,2300INTRAVENOUS THERAPY 114579,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114579,A000000,02500,0000,2500PHYSICAL THERAPY 114579,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114579,A000000,02700,0000,2700SPEECH PATHOLOGY 114579,A000000,02800,0000,2800ELECTROCARDIOLOGY 114579,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114579,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114579,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114579,A000000,03200,0000,3200SUPPORT SURFACES 114579,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114579,A000000,03400,0000,3400CLINIC 114579,A000000,03500,0000,3500RURAL HEALTH CLINIC 114579,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114579,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114579,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114579,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114579,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114579,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114579,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114579,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114579,A000000,04400,0000,4400DME RENTED - HHA 114579,A000000,04500,0000,4500DME SOLD - HHA 114579,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114579,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114579,A000000,04800,0000,4800AMBULANCE 114579,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114579,A000000,05000,0000,5000CORF 114579,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114579,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114579,A000000,05300,0000,5300INTEREST EXPENSE 114579,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114579,A000000,05500,0000,5500HOSPICE 114579,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114579,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114579,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114579,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114579,A000000,06100,0000,6100NONPAID WORKERS 114579,A000000,06200,0000,6200PATIENTS LAUNDRY 114579,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114579,A81000A,00100,0100,N 114579,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114579,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 114579,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114579,B100000,00000,0201,0251SQUARE FEET :CAP REL COSTS - MO 114579,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114579,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114579,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114579,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114579,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114579,B100000,00000,0800,0800MEALS SERVED :DIETARY 114579,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 114579,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114579,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114579,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114579,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 114579,S000000,00100,0200,11/13/00 114579,S200000,00100,0100,5280 US ROUTE 62 & 68 114579,S200000,00200,0100,RIPLEY 114579,S200000,00200,0200,OH 114579,S200000,00200,0300,45167- 114579,S200000,00300,0100,BROWN 114579,S200000,00300,0200,1640 114579,S200000,00300,0300,U 114579,S200000,00400,0100,OHIO VALLEY MANOR 114579,S200000,00400,0200,365376 114579,S200000,00400,0300,06/09/78 114579,S200000,00400,0500,P 114579,S200000,00600,0200,365376 114579,S200000,00600,0300,06/09/78 114579,S200000,00600,0600,O 114579,S200000,01500,0100,N 114579,S200000,01600,0100,Y 114579,S200000,01700,0100,N 114579,S200000,01800,0100,N 114579,S200000,02200,0100,Y 114579,S200000,02800,0100,Y 114579,S200000,02900,0100,N 114579,S200000,03000,0100,N 114579,S200000,03100,0100,N 114579,S200000,03200,0100,N 114579,S200000,04100,0100,N 114579,S200000,04200,0100,N 114579,S200000,04300,0100,Y 114579,S200000,04600,0100,N 114579,S200000,04700,0100,N 114579,S200000,04700,0200,N 114579,S200000,04900,0100,N 114579,S200000,05000,0100,N 114579,S200000,05100,0100,N 114579,S200000,05200,0100,N 114644,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114644,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114644,A000000,00300,0000,0300EMPLOYEE BENEFITS 114644,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114644,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114644,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114644,A000000,00700,0000,0700HOUSEKEEPING 114644,A000000,00800,0000,0800DIETARY 114644,A000000,00900,0000,0900NURSING ADMINISTRATION 114644,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114644,A000000,01100,0000,1100PHARMACY 114644,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114644,A000000,01300,0000,1300SOCIAL SERVICE 114644,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114644,A000000,01500,0000,1350RECREATION 114644,A000000,01600,0000,1600SKILLED NURSING FACILITY 114644,A000000,01800,0000,1800NURSING FACILITY 114644,A000000,01810,0000,1810ICF/MR 114644,A000000,02200,0000,2200LABORATORY 114644,A000000,02500,0000,2500PHYSICAL THERAPY 114644,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114644,A000000,02700,0000,2700SPEECH PATHOLOGY 114644,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114644,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114644,A000000,03300,0000,3050PEN 114644,A000000,03310,0000,3051AFT 114644,A000000,03550,0000,3550FQHC 114644,A000000,05000,0000,5000CORF 114644,A000000,05010,0000,5010CMHC 114644,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114644,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114644,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114644,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114644,A81000A,00100,0100,N 114644,B100000,00000,0100,0100SQUARE FEET 114644,B100000,00000,0200,0200SQUARE FEET 114644,B100000,00000,0300,0300GROSS SALARIES 114644,B100000,00000,0400,0400ACCUM COST 114644,B100000,00000,0500,0500SQUARE FEET 114644,B100000,00000,0600,0600PATIENT DAYS 114644,B100000,00000,0700,0700SQUARE FEET 114644,B100000,00000,0800,0800PATIENT DAYS 114644,B100000,00000,0900,0900NURSING SALARIES 114644,B100000,00000,1000,1000COSTED REQUIS 114644,B100000,00000,1100,1100COSTED REQUIS 114644,B100000,00000,1200,1200PATIENT DAYS 114644,B100000,00000,1300,1300PATIENT DAYS 114644,B100000,00000,1400,1400ASSIGNED TIME 114644,B100000,00000,1500,1350PATIENT DAYS 114644,E10A180,00501,0300,08/16/00 114644,S000000,00100,0200,06/01/00 114644,S200000,00100,0100,3201 WALL BOULEVARD 114644,S200000,00200,0100,GRETNA 114644,S200000,00200,0200,LA 114644,S200000,00200,0300,70056 114644,S200000,00300,0100,ORLEANS 114644,S200000,00300,0200,5560 114644,S200000,00300,0300,U 114644,S200000,00400,0100,STONEBRIDGE CONVALESCENT CENTER 114644,S200000,00400,0200,195309 114644,S200000,00400,0300,01/01/95 114644,S200000,00400,0500,P 114644,S200000,01500,0100,N 114644,S200000,01600,0100,Y 114644,S200000,01700,0100,N 114644,S200000,01800,0100,N 114644,S200000,02200,0100,N 114644,S200000,02800,0100,N 114644,S200000,02900,0100,N 114644,S200000,03000,0100,N 114644,S200000,03100,0100,N 114644,S200000,03200,0100,N 114644,S200000,03300,0100,N 114644,S200000,03300,0200,N 114644,S200000,04100,0100,N 114644,S200000,04200,0100,N 114644,S200000,04300,0100,N 114644,S200000,04600,0100,N 114644,S200000,04700,0100,N 114644,S200000,04900,0100,N 114645,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114645,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114645,A000000,00300,0000,0300EMPLOYEE BENEFITS 114645,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114645,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114645,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114645,A000000,00700,0000,0700HOUSEKEEPING 114645,A000000,00800,0000,0800DIETARY 114645,A000000,00900,0000,0900NURSING ADMINISTRATION 114645,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114645,A000000,01100,0000,1100PHARMACY 114645,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114645,A000000,01300,0000,1300SOCIAL SERVICE 114645,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114645,A000000,01500,0000,1350ACTIVITIES 114645,A000000,01600,0000,1600SKILLED NURSING FACILITY 114645,A000000,01800,0000,1800NURSING FACILITY 114645,A000000,01810,0000,1810ICF/MR 114645,A000000,02100,0000,2100RADIOLOGY 114645,A000000,02200,0000,2200LABORATORY 114645,A000000,02500,0000,2500PHYSICAL THERAPY 114645,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114645,A000000,02700,0000,2700SPEECH PATHOLOGY 114645,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114645,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114645,A000000,03550,0000,3550FQHC 114645,A000000,05000,0000,5000CORF 114645,A000000,05010,0000,5010CMHC 114645,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114645,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114645,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114645,A000000,05300,0000,5300INTEREST EXPENSE 114645,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114645,A81000A,00100,0100,Y 114645,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 114645,A81000B,00200,0300,HOME OFFICE A&G COSTS 114645,A81000C,00100,0100,B 114645,A81000C,00100,0400,VANGUARD HEALTHCARE 114645,A81000C,00100,0600,HOME OFFICE 114645,A81000C,00200,0100,B 114645,A81000C,00200,0400,VANGUARD HEALTHCARE 114645,A81000C,00200,0600,HOME OFFICE 114645,B100000,00000,0100,0100SQUARE FEET 114645,B100000,00000,0200,0200NO STATISTICS 114645,B100000,00000,0300,0300GROSS SALARIES 114645,B100000,00000,0400,0400ACCUM. COST 114645,B100000,00000,0500,0500SQUARE FEET 114645,B100000,00000,0600,0600PATIENT DAYS 114645,B100000,00000,0700,0700SQ FEET MODIFIED 114645,B100000,00000,0800,0800MEALS SERVED 114645,B100000,00000,0900,0900DIRECT NRSING HRS 114645,B100000,00000,1000,1000COSTED REQUIS. 114645,B100000,00000,1100,1100NO STATISTICS 114645,B100000,00000,1200,1200PATIENT DAYS 114645,B100000,00000,1300,1300PATIENT DAYS 114645,B100000,00000,1400,1400NO STATISTICS 114645,B100000,00000,1500,1350PATIENT DAYS 114645,E10A180,00501,0100,06/29/00 114645,S000000,00100,0200,06/01/00 114645,S200000,00100,0100,310 EMERALD DRIVE 114645,S200000,00200,0100,COLUMBUS 114645,S200000,00200,0200,MS 114645,S200000,00200,0300,39702 114645,S200000,00300,0100,LOWNDES 114645,S200000,00300,0200,0025 114645,S200000,00300,0300,R 114645,S200000,00400,0100,AURORA AUSTRALIS LODGE 114645,S200000,00400,0200,255206 114645,S200000,00400,0300,10/01/98 114645,S200000,00400,0500,P 114645,S200000,01500,0100,N 114645,S200000,01600,0100,Y 114645,S200000,01700,0100,N 114645,S200000,01800,0100,N 114645,S200000,02200,0100,N 114645,S200000,02800,0100,N 114645,S200000,02900,0100,N 114645,S200000,03000,0100,N 114645,S200000,03100,0100,N 114645,S200000,03200,0100,N 114645,S200000,03300,0100,N 114645,S200000,03300,0200,N 114645,S200000,04100,0100,N 114645,S200000,04200,0100,N 114645,S200000,04300,0100,N 114645,S200000,04600,0100,N 114645,S200000,04700,0100,N 114645,S200000,04700,0200,N 114645,S200000,04900,0100,N 114694,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114694,A000000,00101,0000,0101CAP.REL.COSTS- BLDG & FIXT II 114694,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114694,A000000,00201,0000,0201CAP.REL.COSTS - MOV. EQUIP. II 114694,A000000,00300,0000,0300EMPLOYEE BENEFITS 114694,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114694,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114694,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114694,A000000,00700,0000,0700HOUSEKEEPING 114694,A000000,00800,0000,0800DIETARY 114694,A000000,00900,0000,0900NURSING ADMINISTRATION 114694,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114694,A000000,01100,0000,1100PHARMACY 114694,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114694,A000000,01300,0000,1300SOCIAL SERVICE 114694,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114694,A000000,01500,0000,1350ACTIVITIES 114694,A000000,01600,0000,1600SKILLED NURSING FACILITY 114694,A000000,01810,0000,1810ICF/MR 114694,A000000,02100,0000,2100RADIOLOGY 114694,A000000,02200,0000,2200LABORATORY 114694,A000000,02500,0000,2500PHYSICAL THERAPY 114694,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114694,A000000,02700,0000,2700SPEECH PATHOLOGY 114694,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114694,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114694,A000000,03300,0000,3050CLINITRON BED RENTAL 114694,A000000,03550,0000,3550FQHC 114694,A000000,05000,0000,5000CORF 114694,A000000,05010,0000,5010CMHC 114694,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114694,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114694,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114694,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114694,A81000A,00100,0100,Y 114694,A81000B,00100,0300,FACILITY RENT 114694,A81000B,00200,0300,FACILITY RENT 114694,A81000B,00300,0300,FACILITY RENT 114694,A81000B,00400,0300,MGMT FEES 114694,A81000B,00500,0300,MGMT FEES 114694,A81000B,00600,0300,MGMT FEES 114694,A81000B,00700,0300,MGMT FEES 114694,A81000B,00800,0300,MGMT FEES 114694,A81000C,00100,0100,A 114694,A81000C,00100,0200,N. MANGIONE 114694,A81000C,00100,0400,N. MANGIONE 114694,A81000C,00100,0600,RENTAL 114694,A81000C,00200,0100,A 114694,A81000C,00200,0200,N. MANGIONE 114694,A81000C,00200,0400,N. MANGIONE 114694,A81000C,00200,0600,RENTAL 114694,A81000C,00300,0100,A 114694,A81000C,00300,0200,N. MANGIONE 114694,A81000C,00300,0400,N. MANGIONE 114694,A81000C,00300,0600,RENTAL 114694,A81000C,00400,0100,A 114694,A81000C,00400,0200,N. MANGIONE 114694,A81000C,00400,0400,MHE 114694,A81000C,00400,0600,MGMT 114694,A81000C,00500,0100,A 114694,A81000C,00500,0200,N. MANGIONE 114694,A81000C,00500,0400,MHE 114694,A81000C,00500,0600,MGMT 114694,A81000C,00600,0100,A 114694,A81000C,00600,0200,N. MANGIONE 114694,A81000C,00600,0400,MHE 114694,A81000C,00600,0600,MGMT 114694,A81000C,00700,0100,A 114694,A81000C,00700,0200,N. MANGIONE 114694,A81000C,00700,0400,MHE 114694,A81000C,00700,0600,MGMT 114694,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114694,B100000,00000,0101,0101SQUARE FEET :CAP.REL.COSTS- BLD 114694,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114694,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114694,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114694,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114694,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114694,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 114694,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114694,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 114694,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114694,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114694,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114694,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 114694,S000000,00100,0200,11/30/00 114694,S200000,00100,0100,6334 CEDAR LANE 114694,S200000,00200,0100,COLUMBIA 114694,S200000,00200,0200,MD 114694,S200000,00200,0300,21044- 114694,S200000,00300,0100,HOWARD 114694,S200000,00300,0200,0720 114694,S200000,00300,0300,U 114694,S200000,00400,0100,LORIEN NRSG & REHAB. INC.-COLUMBIA 114694,S200000,00400,0200,215112 114694,S200000,00400,0300,02/01/78 114694,S200000,00400,0500,P 114694,S200000,01004,0500,O 114694,S200000,01500,0100,Y 114694,S200000,01600,0100,N 114694,S200000,01700,0100,N 114694,S200000,01800,0100,N 114694,S200000,02200,0100,N 114694,S200000,02800,0100,N 114694,S200000,02900,0100,N 114694,S200000,03000,0100,N 114694,S200000,03100,0100,N 114694,S200000,03200,0100,N 114694,S200000,04100,0100,N 114694,S200000,04200,0100,N 114694,S200000,04300,0100,N 114694,S200000,04600,0100,N 114694,S200000,04700,0100,N 114694,S200000,04700,0200,N 114694,S200000,04900,0100,N 114694,S200000,05000,0100,N 114694,S200000,05100,0100,N 114694,S200000,05200,0100,N 114702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114702,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 114702,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114702,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 114702,A000000,00300,0000,0300EMPLOYEE BENEFITS 114702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114702,A000000,00700,0000,0700HOUSEKEEPING 114702,A000000,00800,0000,0800DIETARY 114702,A000000,00801,0000,0801CAFETERIA 114702,A000000,00900,0000,0900NURSING ADMINISTRATION 114702,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114702,A000000,01100,0000,1100PHARMACY 114702,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114702,A000000,01300,0000,1300SOCIAL SERVICE 114702,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114702,A000000,01500,0000,1350ACTIVITIES 114702,A000000,01600,0000,1600SKILLED NURSING FACILITY 114702,A000000,01800,0000,1800NURSING FACILITY 114702,A000000,01900,0000,1900OTHER LONG TERM CARE 114702,A000000,02100,0000,2100RADIOLOGY 114702,A000000,02200,0000,2200LABORATORY 114702,A000000,02300,0000,2300INTRAVENOUS THERAPY 114702,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114702,A000000,02500,0000,2500PHYSICAL THERAPY 114702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114702,A000000,02700,0000,2700SPEECH PATHOLOGY 114702,A000000,02800,0000,2800ELECTROCARDIOLOGY 114702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114702,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114702,A000000,03200,0000,3200SUPPORT SURFACES 114702,A000000,03300,0000,3050OTHER ANCILLARY 114702,A000000,03301,0000,3051OTHER ANCILLARY II 114702,A000000,03302,0000,3052OTHER ANCILLARY III 114702,A000000,03400,0000,3400CLINIC 114702,A000000,03500,0000,3500RURAL HEALTH CLINIC 114702,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 114702,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114702,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114702,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114702,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114702,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114702,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114702,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114702,A000000,04400,0000,4400DME RENTED - HHA 114702,A000000,04500,0000,4500DME SOLD - HHA 114702,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114702,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114702,A000000,04800,0000,4800AMBULANCE 114702,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114702,A000000,05000,0000,5000CORF 114702,A000000,05010,0000,5010CMHC I 114702,A000000,05020,0000,5020OPT I 114702,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114702,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114702,A000000,05300,0000,5300INTEREST EXPENSE 114702,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114702,A000000,05500,0000,5500HOSPICE 114702,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 114702,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 114702,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114702,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114702,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114702,A000000,06100,0000,6100NONPAID WORKERS 114702,A000000,06200,0000,6200PATIENTS LAUNDRY 114702,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114702,A81000A,00100,0100,Y 114702,A81000B,00100,0300,MANAGEMENT FEES 114702,A81000B,00200,0300,INTEREST INCOME 114702,A81000B,00300,0300,PHYSICAL THERAPY 114702,A81000B,00400,0300,OCCUPATIONAL THERAPY 114702,A81000B,00500,0300,SPEECH THERAPY 114702,A81000C,00100,0100,A 114702,A81000C,00100,0200,AMERICAN HEALTH 114702,A81000C,00100,0400,TENNESSEE HEALT 114702,A81000C,00100,0600,MANAGEMENT CO 114702,A81000C,00200,0100,B 114702,A81000C,00200,0200,AMERICAN HEALTH 114702,A81000C,00200,0400,AHC 114702,A81000C,00200,0600,HOME OFFICE 114702,A81000C,00300,0100,C 114702,A81000C,00300,0200,AMERICAN HEALTH 114702,A81000C,00300,0400,REHAB AMERICA 114702,A81000C,00300,0600,THERAPY COMPANY 114702,A81000C,00400,0100,D 114702,A81000C,00400,0200,AMERICAN HEALTH 114702,A81000C,00400,0400,REHAB AMERICA 114702,A81000C,00400,0600,THERAPY COMPANY 114702,A81000C,00500,0100,E 114702,A81000C,00500,0200,AMERICAN HEALTH 114702,A81000C,00500,0400,REHAB AMERICA 114702,A81000C,00500,0600,THERAPY COMPANY 114702,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 114702,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 114702,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 114702,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114702,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 114702,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 114702,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 114702,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 114702,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 114702,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 114702,B100000,00000,1200,1200(TIME SPENT) :MEDICAL RECORDS & 114702,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 114702,B100000,00000,1500,1350(TIME SPENT) :ACTIVITIES 114702,E10A180,00301,0100,08/10/99 114702,S000000,00100,0200,05/30/00 114702,S200000,00100,0100,765 BERT JOHNSON 114702,S200000,00100,0300,544 114702,S200000,00200,0100,COVINGTON 114702,S200000,00200,0200,TN 114702,S200000,00200,0300,38019- 114702,S200000,00300,0100,TIPTON 114702,S200000,00300,0200,4920 114702,S200000,00300,0300,U 114702,S200000,00400,0100,COVINGTON CARE CENTER 114702,S200000,00400,0200,445330 114702,S200000,00400,0300,06/09/94 114702,S200000,00400,0500,P 114702,S200000,01500,0100,N 114702,S200000,01600,0100,Y 114702,S200000,01700,0100,N 114702,S200000,01800,0100,N 114702,S200000,02200,0100,Y 114702,S200000,02800,0100,N 114702,S200000,02900,0100,N 114702,S200000,03000,0100,N 114702,S200000,03100,0100,N 114702,S200000,03200,0100,N 114702,S200000,04100,0100,N 114702,S200000,04200,0100,N 114702,S200000,04300,0100,N 114702,S200000,04600,0100,N 114702,S200000,04700,0100,Y 114702,S200000,04700,0200,Y 114702,S200000,04900,0100,N 114702,S200000,05000,0100,N 114702,S200000,05100,0100,N 114702,S200000,05200,0100,N 114714,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114714,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114714,A000000,00300,0000,0300EMPLOYEE BENEFITS 114714,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114714,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114714,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114714,A000000,00700,0000,0700HOUSEKEEPING 114714,A000000,00800,0000,0800DIETARY 114714,A000000,00900,0000,0900NURSING ADMINISTRATION 114714,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114714,A000000,01100,0000,1100PHARMACY 114714,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114714,A000000,01300,0000,1300SOCIAL SERVICE 114714,A000000,01301,0000,1301ACTIVITIES 114714,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114714,A000000,01600,0000,1600SKILLED NURSING FACILITY 114714,A000000,01810,0000,1810ICF/MR 114714,A000000,01900,0000,1900OTHER LONG TERM CARE 114714,A000000,02100,0000,2100RADIOLOGY 114714,A000000,02200,0000,2200LABORATORY 114714,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114714,A000000,02500,0000,2500PHYSICAL THERAPY 114714,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114714,A000000,02700,0000,2700SPEECH PATHOLOGY 114714,A000000,02800,0000,2800ELECTROCARDIOLOGY 114714,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114714,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114714,A000000,03400,0000,3400CLINIC 114714,A000000,03550,0000,3550FQHC 114714,A000000,05000,0000,5000CORF 114714,A000000,05010,0000,5010CMHC 114714,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114714,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114714,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114714,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114714,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114714,A81000A,00100,0100,Y 114714,A81000B,00200,0300,HUMAN RESOURCES H.O. 114714,A81000B,00300,0300,ADMIN & GENERAL H.O. 114714,A81000B,00400,0300,MAINT & REPAIRS H.O. 114714,A81000B,00700,0300,ANCILLARY SERVICES 114714,A81000B,00800,0300,ANCILLARY SERVICES 114714,A81000B,00900,0300,ANCILLARY SERVICES 114714,A81000B,01000,0300,ANCILLARY SERVICES 114714,A81000B,01300,0300,ADMIN/PFS 114714,A81000B,01400,0300,DIETARY 114714,A81000C,00100,0100,B 114714,A81000C,00100,0400,BANNER HEALTH 114714,A81000C,00100,0600,HEALTHCARE 114714,B100000,00000,0100,0100SQUARE FEET 114714,B100000,00000,0200,0200SQUARE FEET 114714,B100000,00000,0300,0300GROSS SALARIES 114714,B100000,00000,0400,0400ACCUM COST 114714,B100000,00000,0500,0500SQUARE FEET 114714,B100000,00000,0600,0600PATIENT DAYS 114714,B100000,00000,0700,0700SQUARE FEET 114714,B100000,00000,0800,0800PATIENT DAYS 114714,B100000,00000,0900,0900DIRECT NRSG HRS 114714,B100000,00000,1000,1000COSTED REQUIS 114714,B100000,00000,1100,1100COSTED REQUIS 114714,B100000,00000,1200,1200PATIENT DAYS 114714,B100000,00000,1300,1300PATIENT DAYS 114714,B100000,00000,1301,1301 114714,B100000,00000,1400,1400ASSIGNED TIME 114714,E10A180,00550,0100,07/28/00 114714,S000000,00100,0200,05/31/00 114714,S200000,00100,0100,901 EAST WILLETA 114714,S200000,00200,0100,PHOENIX 114714,S200000,00200,0200,AZ 114714,S200000,00200,0300,85006 114714,S200000,00300,0100,MARICOPA 114714,S200000,00300,0200,6200 114714,S200000,00300,0300,U 114714,S200000,00400,0100,GOOD SAMARITAN CARE CENTER 114714,S200000,00400,0200,035170 114714,S200000,00400,0300,11/03/88 114714,S200000,00400,0500,P 114714,S200000,01500,0100,N 114714,S200000,01600,0100,Y 114714,S200000,01700,0100,N 114714,S200000,01800,0100,N 114714,S200000,01900,0100,HEALTH SYSTEM CHAIN 114714,S200000,02200,0100,N 114714,S200000,02800,0100,N 114714,S200000,02900,0100,N 114714,S200000,03000,0100,N 114714,S200000,03100,0100,N 114714,S200000,03200,0100,N 114714,S200000,03300,0100,N 114714,S200000,03300,0200,N 114714,S200000,04100,0100,N 114714,S200000,04200,0100,N 114714,S200000,04300,0100,Y 114714,S200000,04600,0100,N 114714,S200000,04700,0100,N 114714,S200000,04900,0100,N 114716,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114716,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114716,A000000,00300,0000,0300EMPLOYEE BENEFITS 114716,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114716,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114716,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114716,A000000,00700,0000,0700HOUSEKEEPING 114716,A000000,00800,0000,0800DIETARY 114716,A000000,00900,0000,0900NURSING ADMINISTRATION 114716,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114716,A000000,01100,0000,1100PHARMACY 114716,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114716,A000000,01300,0000,1300SOCIAL SERVICE 114716,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114716,A000000,01600,0000,1600SKILLED NURSING FACILITY 114716,A000000,01800,0000,1800NURSING FACILITY 114716,A000000,01810,0000,1810ICF/MR 114716,A000000,02100,0000,2100RADIOLOGY 114716,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114716,A000000,02500,0000,2500PHYSICAL THERAPY 114716,A000000,02501,0000,2501PHYSICAL THERAPY PART B 114716,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114716,A000000,02601,0000,2601OCCUPATIONAL THERAPY PART B 114716,A000000,02700,0000,2700SPEECH PATHOLOGY 114716,A000000,02701,0000,2701SPEECH PATHOLOGY PART B 114716,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114716,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114716,A000000,03550,0000,3550FQHC 114716,A000000,05000,0000,5000CORF 114716,A000000,05010,0000,5010CMHC 114716,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114716,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114716,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114716,A000000,05300,0000,5300INTEREST EXPENSE 114716,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114716,A81000A,00100,0100,N 114716,B100000,00000,0100,0100SQUARE FEET 114716,B100000,00000,0200,0200SQUARE FEET 114716,B100000,00000,0300,0300GROSS SALARIES 114716,B100000,00000,0400,0400ACCUM. COST 114716,B100000,00000,0500,0500SQUARE FEET 114716,B100000,00000,0600,0600PATIENT DAYS 114716,B100000,00000,0700,0700SQUARE FEET 114716,B100000,00000,0800,0800PATIENT DAYS 114716,B100000,00000,0900,0900PATIENT DAYS 114716,B100000,00000,1000,1000COSTED REQUIS. 114716,B100000,00000,1100,1100COSTED REQUIS. 114716,B100000,00000,1200,1200PATIENT DAYS 114716,B100000,00000,1300,1300PATIENT DAYS 114716,B100000,00000,1400,1400ASSIGNED TIME 114716,S000000,00100,0200,11/29/00 114716,S200000,00100,0100,826 WEST DESMOND STREET 114716,S200000,00200,0100,WINSLOW 114716,S200000,00200,0200,AZ 114716,S200000,00200,0300,84047 114716,S200000,00300,0200,03 114716,S200000,00300,0300,R 114716,S200000,00400,0100,WINSLOW CAMPUS OF CARE 114716,S200000,00400,0200,035254 114716,S200000,00400,0300,06/09/99 114716,S200000,00400,0500,P 114716,S200000,01500,0100,N 114716,S200000,01600,0100,Y 114716,S200000,01700,0100,N 114716,S200000,01800,0100,N 114716,S200000,02200,0100,N 114716,S200000,02800,0100,N 114716,S200000,02900,0100,N 114716,S200000,03000,0100,N 114716,S200000,03100,0100,N 114716,S200000,03200,0100,N 114716,S200000,03300,0100,N 114716,S200000,03300,0200,N 114716,S200000,04100,0100,N 114716,S200000,04200,0100,N 114716,S200000,04300,0100,N 114716,S200000,04600,0100,N 114716,S200000,04700,0100,N 114716,S200000,04700,0200,N 114716,S200000,04900,0100,N 114719,S000000,00100,0200,08/30/00 114720,S000000,00100,0200,08/30/00 114721,S000000,00100,0200,08/30/00 114722,S000000,00100,0200,08/30/00 114723,S000000,00100,0200,08/30/00 114724,S000000,00100,0200,08/30/00 114725,S000000,00100,0200,08/30/00 114726,S000000,00100,0200,08/30/00 114727,S000000,00100,0200,08/30/00 114728,S000000,00100,0200,08/30/00 114729,S000000,00100,0200,08/30/00 114730,S000000,00100,0200,08/30/00 114731,S000000,00100,0200,12/29/00 114732,S000000,00100,0200,08/30/00 114733,S000000,00100,0200,08/30/00 114734,S000000,00100,0200,08/30/00 114762,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114762,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114762,A000000,00300,0000,0300EMPLOYEE BENEFITS 114762,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114762,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114762,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114762,A000000,00700,0000,0700HOUSEKEEPING 114762,A000000,00800,0000,0800DIETARY 114762,A000000,00900,0000,0900NURSING ADMINISTRATION 114762,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114762,A000000,01100,0000,1100PHARMACY 114762,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114762,A000000,01300,0000,1300SOCIAL SERVICE 114762,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114762,A000000,01500,0000,1350OTHER GENERAL SERVICES 114762,A000000,01600,0000,1600SKILLED NURSING FACILITY 114762,A000000,01810,0000,1810ICF/MR 114762,A000000,02100,0000,2100RADIOLOGY 114762,A000000,02200,0000,2200LABORATORY 114762,A000000,02300,0000,2300INTRAVENOUS THERAPY 114762,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114762,A000000,02500,0000,2500PHYSICAL THERAPY 114762,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114762,A000000,02700,0000,2700SPEECH PATHOLOGY 114762,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114762,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114762,A000000,03201,0000,3201COMPLEX MEDICAL EQUIPMENT 114762,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114762,A000000,03550,0000,3550FQHC 114762,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114762,A000000,05000,0000,5000CORF 114762,A000000,05010,0000,5010CMHC 114762,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114762,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114762,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114762,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114762,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114762,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114762,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114762,A81000A,00100,0100,Y 114762,A81000B,00100,0300,RENT 114762,A81000B,00200,0300,DEPRECIATION 114762,A81000B,00300,0300,MORTGAGE 114762,A81000B,00400,0300,RENT 114762,A81000C,00100,0100,A 114762,A81000C,00100,0200,A.SCHLAFRIG 114762,A81000C,00100,0400,MEADOW PARK REALTY LLC 114762,A81000C,00100,0600,REAL ESTATE 114762,B100000,00000,0100,0100SQUARE FEET 114762,B100000,00000,0200,0200DOLLAR VALUE 114762,B100000,00000,0300,0300GROSS SALARIES 114762,B100000,00000,0400,0400ACCUM. COST 114762,B100000,00000,0500,0500SQUARE FEET 114762,B100000,00000,0600,0600POUNDS OF LAUNDRY 114762,B100000,00000,0700,0700HOURS OF SERVICE 114762,B100000,00000,0800,0800MEALS SERVED 114762,B100000,00000,0900,0900HOURS OF SERVICE 114762,B100000,00000,1000,1000COSTED REQUIS. 114762,B100000,00000,1100,1100COSTED REQUIS. 114762,B100000,00000,1200,1200TIME SPENT 114762,B100000,00000,1300,1300TIME SPENT 114762,B100000,00000,1400,1400TIME SPENT 114762,B100000,00000,1500,1350NO STATISTICS 114762,E10A180,00301,0100,05/10/00 114762,S000000,00100,0200,07/27/00 114762,S200000,00100,0100,78-10 164TH STREET 114762,S200000,00200,0100,FLUSHING 114762,S200000,00200,0200,NY 114762,S200000,00200,0300,11366 114762,S200000,00300,0100,QUEENS 114762,S200000,00300,0200,5600 114762,S200000,00300,0300,U 114762,S200000,00400,0100,MEADOW PARK NURSING HOME INC. 114762,S200000,00400,0200,335143 114762,S200000,00400,0300,06/04/70 114762,S200000,00400,0500,P 114762,S200000,01500,0100,Y 114762,S200000,01600,0100,N 114762,S200000,01700,0100,N 114762,S200000,01800,0100,N 114762,S200000,02200,0100,N 114762,S200000,02800,0100,N 114762,S200000,02900,0100,N 114762,S200000,03000,0100,N 114762,S200000,03100,0100,N 114762,S200000,03200,0100,N 114762,S200000,03300,0100,N 114762,S200000,03300,0200,N 114762,S200000,04100,0100,N 114762,S200000,04200,0100,N 114762,S200000,04300,0100,N 114762,S200000,04600,0100,N 114762,S200000,04700,0100,N 114762,S200000,04700,0200,N 114762,S200000,04900,0100,N 114778,S000000,00100,0200,01/12/01 114790,S000000,00100,0200,08/30/00 114791,S000000,00100,0200,08/30/00 114798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114798,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114798,A000000,00300,0000,0300EMPLOYEE BENEFITS 114798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114798,A000000,00700,0000,0700HOUSEKEEPING 114798,A000000,00800,0000,0800DIETARY 114798,A000000,00801,0000,0801CAFETERIA 114798,A000000,00900,0000,0900NURSING ADMINISTRATION 114798,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114798,A000000,01100,0000,1100PHARMACY 114798,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114798,A000000,01300,0000,1300SOCIAL SERVICE 114798,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114798,A000000,01600,0000,1600SKILLED NURSING FACILITY 114798,A000000,01810,0000,1810ICF/MR 114798,A000000,02100,0000,2100RADIOLOGY 114798,A000000,02300,0000,2300INTRAVENOUS THERAPY 114798,A000000,02500,0000,2500PHYSICAL THERAPY 114798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114798,A000000,02700,0000,2700SPEECH PATHOLOGY 114798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114798,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST 114798,A000000,03550,0000,3550FQHC 114798,A000000,05000,0000,5000CORF 114798,A000000,05010,0000,5010CMHC 114798,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114798,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114798,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114798,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114798,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114798,A000000,06301,0000,6151GUEST MEALS 114798,A81000A,00100,0100,Y 114798,A81000B,00100,0300,MANAGEMENT FEES 114798,A81000C,00100,0100,A 114798,A81000C,00100,0200,MIKE JENKINS 114798,A81000C,00100,0400,JENKINS FINANCI 114798,A81000C,00100,0600,FINANCIAL 114798,B100000,00000,0100,0100SQUARE FEET 114798,B100000,00000,0200,0200SQUARE FEET 114798,B100000,00000,0300,0300GROSS SALARIES 114798,B100000,00000,0400,0400ACCUM COST 114798,B100000,00000,0500,0500SQUARE FEET 114798,B100000,00000,0600,0600PATIENT DAYS 114798,B100000,00000,0700,0700SQUARE FOOTAGE 114798,B100000,00000,0800,0800MEALS SERVED 114798,B100000,00000,0801,0801 114798,B100000,00000,0900,0900DIRECT NRSG HRS 114798,B100000,00000,1000,1000COSTED REQUIS 114798,B100000,00000,1100,1100COSTED REQUIS 114798,B100000,00000,1200,1200PATIENT DAYS 114798,B100000,00000,1300,1300PATIENT DAYS 114798,B100000,00000,1400,1400ASSIGNED TIME 114798,E10A180,00501,0100,06/21/00 114798,E10A180,00550,0300,06/21/00 114798,S000000,00100,0200,05/31/00 114798,S200000,00100,0100,2810 HIGHWAY 71 NORTH 114798,S200000,00100,0300,1226 114798,S200000,00200,0100,LECOMPTE 114798,S200000,00200,0200,LA 114798,S200000,00200,0300,71346 114798,S200000,00300,0100,RAPIDES 114798,S200000,00300,0200,0220 114798,S200000,00300,0300,U 114798,S200000,00400,0100,SOUTHFIELD CARE CENTER 114798,S200000,00400,0200,195360 114798,S200000,00400,0300,03/01/96 114798,S200000,00400,0500,P 114798,S200000,01500,0100,Y 114798,S200000,01600,0100,N 114798,S200000,01700,0100,N 114798,S200000,01800,0100,N 114798,S200000,02200,0100,N 114798,S200000,02800,0100,N 114798,S200000,02900,0100,N 114798,S200000,03000,0100,N 114798,S200000,03100,0100,N 114798,S200000,03200,0100,N 114798,S200000,03300,0100,N 114798,S200000,03300,0200,N 114798,S200000,04100,0100,N 114798,S200000,04200,0100,N 114798,S200000,04300,0100,N 114798,S200000,04600,0100,N 114798,S200000,04700,0100,N 114798,S200000,04900,0100,N 114799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114799,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114799,A000000,00300,0000,0300EMPLOYEE BENEFITS 114799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114799,A000000,00700,0000,0700HOUSEKEEPING 114799,A000000,00800,0000,0800DIETARY 114799,A000000,00900,0000,0900NURSING ADMINISTRATION 114799,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114799,A000000,01100,0000,1100PHARMACY 114799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114799,A000000,01300,0000,1300SOCIAL SERVICE 114799,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114799,A000000,01500,0000,1350ACTIVITIES 114799,A000000,01600,0000,1600SKILLED NURSING FACILITY 114799,A000000,01800,0000,1800NURSING FACILITY 114799,A000000,01810,0000,1810ICF/MR 114799,A000000,02100,0000,2100RADIOLOGY 114799,A000000,02200,0000,2200LABORATORY 114799,A000000,02500,0000,2500PHYSICAL THERAPY 114799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114799,A000000,02700,0000,2700SPEECH PATHOLOGY 114799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114799,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 114799,A000000,03550,0000,3550FQHC 114799,A000000,05000,0000,5000CORF 114799,A000000,05010,0000,5010CMHC 114799,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114799,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114799,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114799,A000000,05300,0000,5300INTEREST EXPENSE 114799,A000000,06300,0000,6150RESIDENTIAL 114799,A81000A,00100,0100,N 114799,B100000,00000,0100,0100PATIENT DAYS 114799,B100000,00000,0200,0200PATIENT DAYS 114799,B100000,00000,0300,0300GROSS SALARIES 114799,B100000,00000,0400,0400ACCUM. COST 114799,B100000,00000,0500,0500PATIENT DAYS 114799,B100000,00000,0600,0600POUNDS OF LAUNDRY 114799,B100000,00000,0700,0700PATIENT DAYS 114799,B100000,00000,0800,0800MEALS SERVED 114799,B100000,00000,0900,0900DIRECT NRSING HRS 114799,B100000,00000,1000,1000PATIENT DAYS 114799,B100000,00000,1100,1100PATIENT DAYS 114799,B100000,00000,1200,1200PATIENT DAYS 114799,B100000,00000,1300,1300TIME SPENT 114799,B100000,00000,1400,1400ASSIGNED TIME 114799,B100000,00000,1500,1350TIME SPENT 114799,E10A180,00501,0100,12/29/00 114799,S000000,00100,0200,11/14/00 114799,S200000,00100,0100,FRANKLIN AND MULBERRY STREETS 114799,S200000,00200,0100,SCRANTON 114799,S200000,00200,0200,PA 114799,S200000,00200,0300,18503 114799,S200000,00300,0100,LACKAWANNA 114799,S200000,00400,0100,HOLIDAY MANOR NURSING HOME 114799,S200000,00400,0200,395958 114799,S200000,00400,0300,03/01/83 114799,S200000,00400,0500,P 114799,S200000,00600,0200,395958 114799,S200000,00600,0300,03/01/83 114799,S200000,00600,0600,O 114799,S200000,01500,0100,N 114799,S200000,01600,0100,Y 114799,S200000,01700,0100,N 114799,S200000,01800,0100,N 114799,S200000,02200,0100,Y 114799,S200000,02800,0100,N 114799,S200000,02900,0100,N 114799,S200000,03000,0100,N 114799,S200000,03100,0100,N 114799,S200000,03200,0100,N 114799,S200000,03300,0100,N 114799,S200000,03300,0200,N 114799,S200000,03500,0300,N 114799,S200000,04100,0100,N 114799,S200000,04200,0100,N 114799,S200000,04300,0100,N 114799,S200000,04600,0100,N 114799,S200000,04700,0100,Y 114799,S200000,04700,0200,Y 114799,S200000,04900,0100,N 114802,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114802,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114802,A000000,00300,0000,0300EMPLOYEE BENEFITS 114802,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114802,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114802,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114802,A000000,00700,0000,0700HOUSEKEEPING 114802,A000000,00800,0000,0800DIETARY 114802,A000000,00900,0000,0900NURSING ADMINISTRATION 114802,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114802,A000000,01100,0000,1100PHARMACY 114802,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114802,A000000,01300,0000,1300SOCIAL SERVICE 114802,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114802,A000000,01500,0000,1350ACTIVITIES 114802,A000000,01600,0000,1600SKILLED NURSING FACILITY 114802,A000000,01800,0000,1800NURSING FACILITY 114802,A000000,01810,0000,1810ICF/MR 114802,A000000,02100,0000,2100RADIOLOGY 114802,A000000,02500,0000,2500PHYSICAL THERAPY 114802,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114802,A000000,02700,0000,2700SPEECH PATHOLOGY 114802,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114802,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114802,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114802,A000000,03550,0000,3550FQHC 114802,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114802,A000000,05000,0000,5000CORF 114802,A000000,05010,0000,5010CMHC 114802,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114802,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114802,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114802,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114802,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114802,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114802,A81000A,00100,0100,Y 114802,A81000B,00100,0300,MANAGEMENT FEE 114802,A81000B,00200,0300,CAPITAL EXPENSE 114802,A81000C,00100,0100,B 114802,A81000C,00100,0200,COURTLAND HEALTHCARE INC 114802,A81000C,00100,0400,COURTLAND HEALTHCARE INC 114802,A81000C,00100,0600,HOME OFFICE 114802,B100000,00000,0100,0100SQUARE FEET 114802,B100000,00000,0200,0200SQUARE FEET 114802,B100000,00000,0300,0300GROSS SALARIES 114802,B100000,00000,0400,0400ACCUM. COST 114802,B100000,00000,0500,0500SQUARE FEET 114802,B100000,00000,0600,0600PATIENT DAYS 114802,B100000,00000,0700,0700SQUARE FEET 114802,B100000,00000,0800,0800MEALS SERVED 114802,B100000,00000,0900,0900NURSING SALARIES 114802,B100000,00000,1000,1000PATIENT DAYS 114802,B100000,00000,1100,1100PATIENT DAYS 114802,B100000,00000,1200,1200GROSS CHARGES 114802,B100000,00000,1300,1300PATIENT DAYS 114802,B100000,00000,1400,1400ASSIGNED TIME 114802,B100000,00000,1500,1350PATIENT DAYS 114802,E10A180,00501,0100,02/22/02 114802,S000000,00100,0200,11/30/00 114802,S200000,00100,0100,7107 OLD YORK ROAD 114802,S200000,00200,0100,PHILADELPHIA 114802,S200000,00200,0200,PA 114802,S200000,00200,0300,19126 114802,S200000,00400,0100,CHELTENHAM YORK/RHA REHAB 114802,S200000,00400,0200,395687 114802,S200000,00400,0300,07/01/80 114802,S200000,00400,0500,P 114802,S200000,01500,0100,N 114802,S200000,01600,0100,Y 114802,S200000,01700,0100,N 114802,S200000,01800,0100,N 114802,S200000,02200,0100,N 114802,S200000,02800,0100,N 114802,S200000,02900,0100,N 114802,S200000,03000,0100,N 114802,S200000,03100,0100,N 114802,S200000,03200,0100,N 114802,S200000,03300,0100,N 114802,S200000,03300,0200,N 114802,S200000,04100,0100,N 114802,S200000,04200,0100,N 114802,S200000,04300,0100,N 114802,S200000,04600,0100,N 114802,S200000,04700,0100,N 114802,S200000,04700,0200,N 114802,S200000,04900,0100,N 114809,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114809,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114809,A000000,00300,0000,0300EMPLOYEE BENEFITS 114809,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114809,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114809,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114809,A000000,00700,0000,0700HOUSEKEEPING 114809,A000000,00800,0000,0800DIETARY 114809,A000000,00900,0000,0900NURSING ADMINISTRATION 114809,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114809,A000000,01100,0000,1100PHARMACY 114809,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114809,A000000,01300,0000,1300SOCIAL SERVICE 114809,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114809,A000000,01500,0000,1350DIVERSIONAL THERAPY 114809,A000000,01600,0000,1600SKILLED NURSING FACILITY 114809,A000000,01800,0000,1800NURSING FACILITY 114809,A000000,01810,0000,1810ICF/MR 114809,A000000,02100,0000,2100RADIOLOGY 114809,A000000,02200,0000,2200LABORATORY 114809,A000000,02300,0000,2300INTRAVENOUS THERAPY 114809,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114809,A000000,02500,0000,2500PHYSICAL THERAPY 114809,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114809,A000000,02700,0000,2700SPEECH PATHOLOGY 114809,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114809,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114809,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 114809,A000000,03550,0000,3550FQHC 114809,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 114809,A000000,05000,0000,5000CORF 114809,A000000,05010,0000,5010CMHC 114809,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114809,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114809,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114809,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114809,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114809,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114809,A81000A,00100,0100,Y 114809,A81000B,00100,0300,CENTRAL OFFICE COSTS 114809,A81000B,00200,0300,CENTRAL OFFICE COSTS 114809,A81000C,00100,0100,A 114809,A81000C,00100,0200,RAYMOND E. TUTW 114809,A81000C,00100,0400,RET & ASSOCIATE 114809,A81000C,00100,0600,CENTRAL OFFICE 114809,B100000,00000,0100,0100SQUARE FEET 114809,B100000,00000,0200,0200SQUARE FEET 114809,B100000,00000,0300,0300GROSS SALARIES 114809,B100000,00000,0400,0400ACCUM COST 114809,B100000,00000,0500,0500SQUARE FEET 114809,B100000,00000,0600,0600POUNDS OF LAUNDRY 114809,B100000,00000,0700,0700HOURS OF SERVICE 114809,B100000,00000,0800,0800MEALS SERVED 114809,B100000,00000,0900,0900DIRECT NRSG HRS 114809,B100000,00000,1000,1000COSTED REQUIS 114809,B100000,00000,1100,1100COSTED REQUIS 114809,B100000,00000,1200,1200TIME SPENT 114809,B100000,00000,1300,1300TIME SPENT 114809,B100000,00000,1400,1400ASSIGNED TIME 114809,B100000,00000,1500,1350(TIME SPENT) 114809,E10A180,00551,0300,01/30/02 114809,S000000,00100,0200,09/05/01 114809,S200000,00100,0100,1385 EAST EMPIRE AVENUE 114809,S200000,00200,0100,BENTON HARBOR 114809,S200000,00200,0200,MI 114809,S200000,00300,0100,BERRIEN 114809,S200000,00300,0200,0870 114809,S200000,00300,0300,U 114809,S200000,00400,0100,ORCHARD GROVE EXTENDED CARE 114809,S200000,00400,0200,235544 114809,S200000,00400,0300,01/01/80 114809,S200000,00400,0500,P 114809,S200000,00400,0600,O 114809,S200000,00600,0200,235544 114809,S200000,00600,0300,01/01/80 114809,S200000,00600,0600,O 114809,S200000,01500,0100,N 114809,S200000,01600,0100,Y 114809,S200000,01700,0100,N 114809,S200000,01800,0100,N 114809,S200000,02200,0100,N 114809,S200000,02800,0100,N 114809,S200000,02900,0100,N 114809,S200000,03000,0100,N 114809,S200000,03100,0100,N 114809,S200000,03200,0100,N 114809,S200000,03300,0100,N 114809,S200000,03300,0200,N 114809,S200000,04100,0100,N 114809,S200000,04200,0100,N 114809,S200000,04300,0100,N 114809,S200000,04600,0100,N 114809,S200000,04700,0100,N 114809,S200000,04900,0100,N 114828,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114828,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 114828,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114828,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 114828,A000000,00300,0000,0300EMPLOYEE BENEFITS 114828,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114828,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114828,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114828,A000000,00700,0000,0700HOUSEKEEPING 114828,A000000,00800,0000,0800DIETARY 114828,A000000,00801,0000,0801CAFETERIA 114828,A000000,00900,0000,0900NURSING ADMINISTRATION 114828,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114828,A000000,01100,0000,1100PHARMACY 114828,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114828,A000000,01300,0000,1300SOCIAL SERVICE 114828,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114828,A000000,01500,0000,1350ACTIVITIES 114828,A000000,01600,0000,1600SKILLED NURSING FACILITY 114828,A000000,01800,0000,1800NURSING FACILITY 114828,A000000,01900,0000,1900OTHER LONG TERM CARE 114828,A000000,02100,0000,2100RADIOLOGY 114828,A000000,02200,0000,2200LABORATORY 114828,A000000,02300,0000,2300INTRAVENOUS THERAPY 114828,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114828,A000000,02500,0000,2500PHYSICAL THERAPY 114828,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114828,A000000,02700,0000,2700SPEECH PATHOLOGY 114828,A000000,02800,0000,2800ELECTROCARDIOLOGY 114828,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114828,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114828,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114828,A000000,03200,0000,3200SUPPORT SURFACES 114828,A000000,03300,0000,3050OTHER ANCILLARY 114828,A000000,03301,0000,3051OTHER ANCILLARY II 114828,A000000,03302,0000,3052OTHER ANCILLARY III 114828,A000000,03400,0000,3400CLINIC 114828,A000000,03500,0000,3500RURAL HEALTH CLINIC 114828,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 114828,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114828,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114828,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114828,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114828,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114828,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114828,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114828,A000000,04400,0000,4400DME RENTED - HHA 114828,A000000,04500,0000,4500DME SOLD - HHA 114828,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114828,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114828,A000000,04800,0000,4800AMBULANCE 114828,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114828,A000000,05000,0000,5000CORF 114828,A000000,05010,0000,5010CMHC I 114828,A000000,05020,0000,5020OPT I 114828,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114828,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114828,A000000,05300,0000,5300INTEREST EXPENSE 114828,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114828,A000000,05500,0000,5500HOSPICE 114828,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 114828,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 114828,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114828,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114828,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114828,A000000,06100,0000,6100NONPAID WORKERS 114828,A000000,06200,0000,6200PATIENTS LAUNDRY 114828,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114828,A81000A,00100,0100,Y 114828,A81000B,00100,0300,DIETARY 114828,A81000B,00200,0300,LAUNDRY 114828,A81000B,00300,0300,HOUSEKEEPING 114828,A81000B,00400,0300,MAINTENANCE 114828,A81000B,00500,0300,MANAGEMENT 114828,A81000C,00100,0100,B 114828,A81000C,00100,0200,ST. JOSEPH S PH 114828,A81000C,00100,0400,CATHOLIC CHAR 114828,A81000C,00100,0600,PROV HSE 114828,A81000C,00200,0100,B 114828,A81000C,00200,0200,DCNHS 114828,A81000C,00200,0400,CATHOLIC CHAR 114828,A81000C,00200,0600,HOME OFFICE 114828,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 114828,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 114828,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114828,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 114828,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 114828,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 114828,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 114828,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 114828,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 114828,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 114828,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 114828,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 114828,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 114828,S000000,00100,0200,11/28/00 114828,S200000,00100,0100,331 SOUTH SETON 114828,S200000,00200,0100,EMMITSBURG 114828,S200000,00200,0200,MD 114828,S200000,00200,0300,21727- 114828,S200000,00300,0100,FREDERICK 114828,S200000,00300,0300,U 114828,S200000,00400,0100,ST. CATHERINES NURSING CENTER INC. 114828,S200000,00400,0200,215267 114828,S200000,00400,0300,10/24/94 114828,S200000,00400,0500,P 114828,S200000,01500,0100,Y 114828,S200000,01600,0100,N 114828,S200000,01700,0100,N 114828,S200000,01800,0100,N 114828,S200000,02200,0100,Y 114828,S200000,02800,0100,N 114828,S200000,02900,0100,N 114828,S200000,03000,0100,N 114828,S200000,03100,0100,N 114828,S200000,03200,0100,N 114828,S200000,04100,0100,N 114828,S200000,04200,0100,N 114828,S200000,04300,0100,N 114828,S200000,04600,0100,N 114828,S200000,04700,0100,N 114828,S200000,04700,0200,N 114828,S200000,04900,0100,N 114828,S200000,05000,0100,N 114828,S200000,05100,0100,N 114828,S200000,05200,0100,N 114831,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114831,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114831,A000000,00300,0000,0300EMPLOYEE BENEFITS 114831,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114831,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114831,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114831,A000000,00700,0000,0700HOUSEKEEPING 114831,A000000,00800,0000,0800DIETARY 114831,A000000,00900,0000,0900NURSING ADMINISTRATION 114831,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114831,A000000,01100,0000,1100PHARMACY 114831,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114831,A000000,01300,0000,1300SOCIAL SERVICE 114831,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114831,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 114831,A000000,01600,0000,1600SKILLED NURSING FACILITY 114831,A000000,01800,0000,1800NURSING FACILITY 114831,A000000,01900,0000,1900OTHER LONG TERM CARE 114831,A000000,02100,0000,2100RADIOLOGY 114831,A000000,02200,0000,2200LABORATORY 114831,A000000,02300,0000,2300INTRAVENOUS THERAPY 114831,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114831,A000000,02500,0000,2500PHYSICAL THERAPY 114831,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114831,A000000,02700,0000,2700SPEECH PATHOLOGY 114831,A000000,02800,0000,2800ELECTROCARDIOLOGY 114831,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 114831,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114831,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114831,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114831,A000000,03200,0000,3200SUPPORT SURFACES 114831,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 114831,A000000,03400,0000,3400CLINIC 114831,A000000,03500,0000,3500RURAL HEALTH CLINIC 114831,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 114831,A000000,04800,0000,4800AMBULANCE 114831,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114831,A000000,05000,0000,5000CORF 114831,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114831,A000000,05300,0000,5300INTEREST EXPENSE 114831,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114831,A000000,05500,0000,5500HOSPICE 114831,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114831,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114831,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114831,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114831,A000000,06100,0000,6100NONPAID WORKERS 114831,A000000,06200,0000,6200PATIENTS LAUNDRY 114831,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114831,A81000A,00100,0100,Y 114831,A81000B,00100,0300,CORPORATE OFFICE 114831,A81000B,00200,0300,CORPORATE OFFICE 114831,A81000C,00100,0100,C 114831,A81000C,00100,0200,NHS INC. 114831,A81000C,00100,0400,NHS INC. 114831,A81000C,00100,0600,HOME OFFICE 114831,A81000C,00200,0100,C 114831,A81000C,00200,0200,NHS INC. STOCK 114831,A81000C,00200,0400,NORTHGATE SERVI 114831,A81000C,00200,0600,PHARMACY 114831,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114831,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114831,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114831,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114831,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114831,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 114831,B100000,00000,0800,0800MEALS SERVED :DIETARY 114831,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 114831,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 114831,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114831,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114831,S000000,00100,0200,12/01/00 114831,S200000,00100,0100,2201 MCFARLAND BLVD. 114831,S200000,00200,0100,NORTHPORT 114831,S200000,00200,0200,AL 114831,S200000,00200,0300,35476- 114831,S200000,00300,0100,TUSCALOOSA 114831,S200000,00300,0200,8600 114831,S200000,00300,0300,U 114831,S200000,00400,0100,ESTES HEALTH CARE CTR - PARK MANOR 114831,S200000,00400,0200,015326 114831,S200000,00400,0300,10/15/71 114831,S200000,00400,0500,P 114831,S200000,01500,0100,N 114831,S200000,01600,0100,N 114831,S200000,01700,0100,N 114831,S200000,01800,0100,N 114831,S200000,02200,0100,N 114831,S200000,02800,0100,N 114831,S200000,02900,0100,N 114831,S200000,03000,0100,N 114831,S200000,03100,0100,N 114831,S200000,03200,0100,N 114831,S200000,04100,0100,N 114831,S200000,04200,0100,N 114831,S200000,04300,0100,N 114831,S200000,04600,0100,N 114831,S200000,04700,0100,N 114831,S200000,04700,0200,N 114831,S200000,04900,0100,N 114831,S200000,05000,0100,N 114831,S200000,05100,0100,N 114831,S200000,05200,0100,N 114835,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114835,A000000,00300,0000,0300EMPLOYEE BENEFITS 114835,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114835,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114835,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114835,A000000,00700,0000,0700HOUSEKEEPING 114835,A000000,00800,0000,0800DIETARY 114835,A000000,00900,0000,0900NURSING ADMINISTRATION 114835,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114835,A000000,01100,0000,1100PHARMACY 114835,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114835,A000000,01300,0000,1300SOCIAL SERVICE 114835,A000000,01500,0000,1350PATIENT ACTIVITIES 114835,A000000,01600,0000,1600SKILLED NURSING FACILITY 114835,A000000,01800,0000,1800NURSING FACILITY 114835,A000000,01900,0000,1900OTHER LONG TERM CARE 114835,A000000,02100,0000,2100RADIOLOGY 114835,A000000,02200,0000,2200LABORATORY 114835,A000000,02300,0000,2300INTRAVENOUS THERAPY 114835,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114835,A000000,02500,0000,2500PHYSICAL THERAPY 114835,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114835,A000000,02700,0000,2700SPEECH PATHOLOGY 114835,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114835,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114835,A000000,03200,0000,3200SUPPORT SURFACES 114835,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114835,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114835,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114835,A000000,06100,0000,6100NONPAID WORKERS 114835,A000000,06200,0000,6200PATIENTS LAUNDRY 114835,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114835,A81000A,00100,0100,Y 114835,A81000B,00100,0300,MANAGEMENT FEES/HOME OFFICE 114835,A81000B,00200,0300,HOME OFFICE/CAP. ALL. 114835,A81000B,00300,0300,PT 114835,A81000B,00400,0300,OT 114835,A81000B,00500,0300,ST 114835,A81000C,00100,0100,B 114835,A81000C,00100,0200,TANDEM HEALTH CARE INC 114835,A81000C,00100,0600,HOME OFFICE 114835,A81000C,00200,0100,B 114835,A81000C,00200,0200,TANDEM REHAB 114835,A81000C,00200,0600,THERAPY SERVICES 114835,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114835,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114835,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114835,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114835,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114835,B100000,00000,0700,0750SQ FT EXCL :HOUSEKEEPING 114835,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114835,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 114835,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114835,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 114835,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114835,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114835,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 114835,S000000,00100,0200,11/30/00 114835,S200000,00100,0100,112 FRANKLIN CORNER ROAD 114835,S200000,00200,0100,LAWRENCEVILLE 114835,S200000,00200,0200,NJ 114835,S200000,00200,0300,08648- 114835,S200000,00300,0100,MERCER 114835,S200000,00300,0200,8480 114835,S200000,00300,0300,U 114835,S200000,00400,0100,TANDEM HEALTH CARE OF LAWRENCEVILLE 114835,S200000,00400,0200,315113 114835,S200000,00400,0300,11/10/80 114835,S200000,00400,0500,P 114835,S200000,01500,0100,Y 114835,S200000,01600,0100,N 114835,S200000,01700,0100,N 114835,S200000,01800,0100,N 114835,S200000,02200,0100,N 114835,S200000,02800,0100,N 114835,S200000,02900,0100,N 114835,S200000,03000,0100,N 114835,S200000,03100,0100,N 114835,S200000,03200,0100,N 114835,S200000,04100,0100,N 114835,S200000,04200,0100,N 114835,S200000,04300,0100,N 114835,S200000,04600,0100,N 114835,S200000,04700,0100,N 114835,S200000,04700,0200,N 114835,S200000,04900,0100,N 114835,S200000,05000,0100,N 114835,S200000,05100,0100,N 114835,S200000,05200,0100,N 114837,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114837,A000000,00300,0000,0300EMPLOYEE BENEFITS 114837,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114837,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114837,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114837,A000000,00700,0000,0700HOUSEKEEPING 114837,A000000,00800,0000,0800DIETARY 114837,A000000,00801,0000,0801CAFETERIA 114837,A000000,00900,0000,0900NURSING ADMINISTRATION 114837,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114837,A000000,01300,0000,1300SOCIAL SERVICE 114837,A000000,01600,0000,1600SKILLED NURSING FACILITY 114837,A000000,01800,0000,1800NURSING FACILITY 114837,A000000,02200,0000,2200LABORATORY 114837,A000000,02500,0000,2500PHYSICAL THERAPY 114837,A000000,02501,0000,2501PHYSICAL THERAPY PART B 114837,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114837,A000000,02601,0000,2601OCCUPATIONAL THERAPY PART B 114837,A000000,02700,0000,2700SPEECH PATHOLOGY 114837,A000000,02701,0000,2701SPEECH PATHOLOGY PART B 114837,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114837,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114837,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114837,A000000,05801,0000,5801GUEST MEALS 114837,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114837,A000000,06300,0000,6150METHODIST APARTMENTS COST 114837,A81000A,00100,0100,N 114837,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114837,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114837,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114837,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114837,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114837,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114837,B100000,00000,0800,0800MEALS SERVED :DIETARY 114837,B100000,00000,0801,0801MEALS BY DEPARTMENT :CAFETERIA 114837,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 114837,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114837,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114837,S000000,00100,0200,11/30/00 114837,S200000,00100,0100,2316 MODELLE AVENUE 114837,S200000,00100,0300,578 114837,S200000,00200,0100,CLINTON 114837,S200000,00200,0200,OK 114837,S200000,00200,0300,73601- 114837,S200000,00300,0100,CUSTER 114837,S200000,00300,0200,0037 114837,S200000,00300,0300,R 114837,S200000,00400,0100,UNITED METHODIST HEALTH CARE CENTER 114837,S200000,00400,0200,375253 114837,S200000,00400,0300,07/01/96 114837,S200000,00400,0500,P 114837,S200000,01500,0100,N 114837,S200000,01600,0100,Y 114837,S200000,01700,0100,N 114837,S200000,01800,0100,N 114837,S200000,02200,0100,N 114837,S200000,02800,0100,N 114837,S200000,02900,0100,N 114837,S200000,03000,0100,N 114837,S200000,03100,0100,N 114837,S200000,03200,0100,N 114837,S200000,04100,0100,N 114837,S200000,04200,0100,N 114837,S200000,04300,0100,N 114837,S200000,04600,0100,N 114837,S200000,04700,0100,N 114837,S200000,04700,0200,N 114837,S200000,04900,0100,N 114837,S200000,05000,0100,N 114837,S200000,05100,0100,N 114837,S200000,05200,0100,N 114848,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114848,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114848,A000000,00300,0000,0300EMPLOYEE BENEFITS 114848,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114848,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114848,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114848,A000000,00700,0000,0700HOUSEKEEPING 114848,A000000,00800,0000,0800DIETARY 114848,A000000,00900,0000,0900NURSING ADMINISTRATION 114848,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114848,A000000,01100,0000,1100PHARMACY 114848,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114848,A000000,01300,0000,1300SOCIAL SERVICE 114848,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114848,A000000,01500,0000,1350OTHER GENERAL SERVICES 114848,A000000,01600,0000,1600SKILLED NURSING FACILITY 114848,A000000,01800,0000,1800NURSING FACILITY 114848,A000000,01810,0000,1810ICF/MR 114848,A000000,01900,0000,1900OTHER LONG TERM CARE 114848,A000000,02100,0000,2100RADIOLOGY 114848,A000000,02200,0000,2200LABORATORY 114848,A000000,02300,0000,2300INTRAVENOUS THERAPY 114848,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114848,A000000,02500,0000,2500PHYSICAL THERAPY 114848,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114848,A000000,02700,0000,2700SPEECH PATHOLOGY 114848,A000000,02800,0000,2800ELECTROCARDIOLOGY 114848,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114848,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114848,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114848,A000000,03200,0000,3200SUPPORT SURFACES 114848,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114848,A000000,03400,0000,3400CLINIC 114848,A000000,03500,0000,3500RURAL HEALTH CLINIC 114848,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114848,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114848,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114848,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114848,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114848,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114848,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114848,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114848,A000000,04400,0000,4400DME RENTED - HHA 114848,A000000,04500,0000,4500DME SOLD - HHA 114848,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114848,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114848,A000000,04800,0000,4800AMBULANCE 114848,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114848,A000000,05000,0000,5000CORF 114848,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114848,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114848,A000000,05300,0000,5300INTEREST EXPENSE 114848,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114848,A000000,05500,0000,5500HOSPICE 114848,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114848,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114848,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114848,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114848,A000000,06100,0000,6100NONPAID WORKERS 114848,A000000,06200,0000,6200PATIENTS LAUNDRY 114848,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114848,A81000A,00100,0100,N 114848,B100000,00000,0100,0100SQUARE FOOT :CAP REL COSTS - BL 114848,B100000,00000,0300,0300GROSS SALARY :EMPLOYEE BENEFITS 114848,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114848,B100000,00000,0500,0500SQUARE FOOT :PLANT OPERATION M 114848,B100000,00000,0600,0650SQUARE FOOT :LAUNDRY & LINEN SE 114848,B100000,00000,0700,0750SQUARE FOOT :HOUSEKEEPING 114848,B100000,00000,0800,0850SQUARE FOOT :DIETARY 114848,B100000,00000,1200,1250SQUARE FOOT :MEDICAL RECORDS & 114848,B100000,00000,1500,1350SQUARE FOOT :OTHER GENERAL SERV 114848,S000000,00100,0200,12/22/00 114848,S200000,00100,0100,2443 WEST 16TH STREET 114848,S200000,00100,0300,3707 114848,S200000,00200,0100,ODESSA 114848,S200000,00200,0200,TX 114848,S200000,00200,0300,79760-3707 114848,S200000,00300,0100,ECTOR 114848,S200000,00300,0200,5800 114848,S200000,00300,0300,U 114848,S200000,00400,0100,ST JOHNS/ SEABURY CENTER 114848,S200000,00400,0200,675751 114848,S200000,00400,0300,05/28/98 114848,S200000,00400,0500,P 114848,S200000,01500,0100,Y 114848,S200000,01600,0100,N 114848,S200000,01700,0100,N 114848,S200000,01800,0100,N 114848,S200000,02100,0100,A 114848,S200000,02200,0100,N 114848,S200000,02800,0100,N 114848,S200000,02900,0100,N 114848,S200000,03000,0100,N 114848,S200000,03100,0100,N 114848,S200000,03200,0100,N 114848,S200000,04100,0100,N 114848,S200000,04200,0100,N 114848,S200000,04300,0100,N 114848,S200000,04600,0100,N 114848,S200000,04700,0100,N 114848,S200000,04700,0200,N 114848,S200000,04900,0100,N 114848,S200000,05000,0100,N 114848,S200000,05100,0100,N 114848,S200000,05200,0100,N 114884,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114884,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114884,A000000,00300,0000,0300EMPLOYEE BENEFITS 114884,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114884,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114884,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114884,A000000,00700,0000,0700HOUSEKEEPING 114884,A000000,00800,0000,0800DIETARY 114884,A000000,00900,0000,0900NURSING ADMINISTRATION 114884,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114884,A000000,01100,0000,1100PHARMACY 114884,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114884,A000000,01300,0000,1300SOCIAL SERVICE 114884,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114884,A000000,01600,0000,1600SKILLED NURSING FACILITY 114884,A000000,01900,0000,1900OTHER LONG TERM CARE 114884,A000000,02100,0000,2100RADIOLOGY 114884,A000000,02200,0000,2200LABORATORY 114884,A000000,02300,0000,2300INTRAVENOUS THERAPY 114884,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114884,A000000,02500,0000,2500PHYSICAL THERAPY 114884,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114884,A000000,02700,0000,2700SPEECH PATHOLOGY 114884,A000000,02800,0000,2800ELECTROCARDIOLOGY 114884,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114884,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114884,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114884,A000000,03200,0000,3200SUPPORT SURFACES 114884,A000000,03400,0000,3400CLINIC 114884,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114884,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114884,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114884,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114884,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114884,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114884,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114884,A000000,04400,0000,4400DME RENTED - HHA 114884,A000000,04500,0000,4500DME SOLD - HHA 114884,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114884,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114884,A000000,04800,0000,4800AMBULANCE 114884,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 114884,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114884,A000000,05300,0000,5300INTEREST EXPENSE 114884,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114884,A000000,05500,0000,5500HOSPICE 114884,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114884,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114884,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114884,A000000,06100,0000,6100NONPAID WORKERS 114884,A000000,06200,0000,6200PATIENTS LAUNDRY 114884,A81000A,00100,0100,Y 114884,A81000B,00100,0300,MANAGEMENT FEES 114884,A81000B,00200,0300,CAPITAL - BUILDING 114884,A81000B,00300,0300,CAPITAL - EQUIPMENT 114884,A81000C,00100,0100,A 114884,A81000C,00100,0200,T.B. STROUD 114884,A81000C,00100,0400,COASTAL HEALTH 114884,A81000C,00100,0600,MANAGEMENT 114884,A81000C,00200,0100,A 114884,A81000C,00200,0200,J.B. STROUD 114884,A81000C,00200,0400,MANAGEMENT 114884,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 114884,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 114884,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 114884,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114884,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 114884,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 114884,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114884,B100000,00000,0800,0800PAT DAYS DIETARY 114884,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 114884,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 114884,B100000,00000,1100,1100PAT DAYS PHARMACY 114884,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 114884,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 114884,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 114884,S000000,00100,0200,11/10/00 114884,S200000,00100,0100,BEALL SPRINGS ROAD 114884,S200000,00200,0100,GIBSON 114884,S200000,00200,0200,GA 114884,S200000,00200,0300,30810 114884,S200000,00300,0100,GLASCOCK 114884,S200000,00300,0200,0011 114884,S200000,00300,0300,R 114884,S200000,00400,0100,GIBSON HEALTH & REHABILITATION 114884,S200000,00400,0200,115613 114884,S200000,00400,0300,10/01/96 114884,S200000,00400,0500,P 114884,S200000,00400,0600,O 114884,S200000,01500,0100,Y 114884,S200000,01600,0100,N 114884,S200000,01700,0100,N 114884,S200000,01800,0100,N 114884,S200000,02200,0100,Y 114884,S200000,02800,0100,N 114884,S200000,02900,0100,N 114884,S200000,03000,0100,N 114884,S200000,03100,0100,N 114884,S200000,03200,0100,N 114884,S200000,03300,0100,N 114884,S200000,03300,0200,N 114884,S200000,03600,0100,N 114884,S200000,03600,0200,N 114884,S200000,03700,0100,N 114884,S200000,03700,0200,N 114884,S200000,04100,0100,N 114884,S200000,04200,0100,N 114884,S200000,04300,0100,N 114884,S200000,04600,0100,N 114884,S200000,04700,0100,N 114884,S200000,04900,0100,N 114884,S200000,05200,0100,N 114884,S700003,00000,0400,X 114885,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114885,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114885,A000000,00300,0000,0300EMPLOYEE BENEFITS 114885,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114885,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114885,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114885,A000000,00700,0000,0700HOUSEKEEPING 114885,A000000,00800,0000,0800DIETARY 114885,A000000,00900,0000,0900NURSING ADMINISTRATION 114885,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114885,A000000,01100,0000,1100PHARMACY 114885,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114885,A000000,01300,0000,1300SOCIAL SERVICE 114885,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114885,A000000,01600,0000,1600SKILLED NURSING FACILITY 114885,A000000,01800,0000,1800NURSING FACILITY 114885,A000000,02100,0000,2100RADIOLOGY 114885,A000000,02200,0000,2200LABORATORY 114885,A000000,02300,0000,2300INTRAVENOUS THERAPY 114885,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114885,A000000,02500,0000,2500PHYSICAL THERAPY 114885,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114885,A000000,02700,0000,2700SPEECH PATHOLOGY 114885,A000000,02800,0000,2800ELECTROCARDIOLOGY 114885,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114885,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114885,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114885,A000000,03200,0000,3200SUPPORT SURFACES 114885,A000000,03400,0000,3400CLINIC 114885,A000000,04800,0000,4800AMBULANCE 114885,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 114885,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114885,A000000,05300,0000,5300INTEREST EXPENSE 114885,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114885,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114885,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114885,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114885,A000000,06100,0000,6100NONPAID WORKERS 114885,A000000,06200,0000,6200PATIENTS LAUNDRY 114885,A81000A,00100,0100,Y 114885,A81000B,00100,0300,ADMINISTRATION FEES 114885,A81000B,00200,0300,ADMINISTRATION FEES 114885,A81000B,00300,0300,ADMINISTRATION FEES 114885,A81000B,00400,0300,MGMT. COSTS - LTC 114885,A81000B,00500,0300,MGMT. COSTS - LTC 114885,A81000B,00600,0300,MGMT. COSTS - LTC 114885,A81000C,00100,0100,B 114885,A81000C,00100,0400,CRHS 114885,A81000C,00100,0600,HOME OFFICE 114885,A81000C,00200,0100,B 114885,A81000C,00200,0400,LONG TERM CARE 114885,A81000C,00200,0600,MANAGEMENT SVC. 114885,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114885,B100000,00000,0200,0200DOLLAR VALUE CAP REL COSTS - 114885,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114885,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114885,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114885,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 114885,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 114885,B100000,00000,0800,0800MEALS SERVED DIETARY 114885,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 114885,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 114885,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 114885,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 114885,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 114885,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 114885,S000000,00100,0200,01/25/01 114885,S200000,00100,0100,HIGHWAY 41 NORTH 114885,S200000,00200,0100,BUENA VISTA 114885,S200000,00200,0200,GA 114885,S200000,00200,0300,31803 114885,S200000,00300,0100,MARION 114885,S200000,00300,0200,0011 114885,S200000,00300,0300,R 114885,S200000,00400,0100,MARION MEMORIAL NURSING HOME 114885,S200000,00400,0200,115599 114885,S200000,00400,0300,01/01/96 114885,S200000,00400,0500,P 114885,S200000,00400,0600,N 114885,S200000,01500,0100,N 114885,S200000,01600,0100,Y 114885,S200000,01700,0100,N 114885,S200000,01800,0100,N 114885,S200000,02200,0100,N 114885,S200000,02800,0100,N 114885,S200000,02900,0100,N 114885,S200000,03000,0100,N 114885,S200000,03100,0100,N 114885,S200000,03200,0100,N 114885,S200000,03300,0100,N 114885,S200000,03300,0200,N 114885,S200000,04100,0100,N 114885,S200000,04200,0100,N 114885,S200000,04300,0100,N 114885,S200000,04600,0100,N 114885,S200000,04700,0100,N 114885,S200000,04700,0200,N 114885,S200000,04900,0100,N 114885,S200000,05200,0100,N 114885,S700003,00000,0400,X 114886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114886,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114886,A000000,00300,0000,0300EMPLOYEE BENEFITS 114886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114886,A000000,00700,0000,0700HOUSEKEEPING 114886,A000000,00800,0000,0800DIETARY 114886,A000000,00900,0000,0900NURSING ADMINISTRATION 114886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114886,A000000,01100,0000,1100PHARMACY 114886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114886,A000000,01300,0000,1300SOCIAL SERVICE 114886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114886,A000000,01600,0000,1600SKILLED NURSING FACILITY 114886,A000000,01900,0000,1900OTHER LONG TERM CARE 114886,A000000,02100,0000,2100RADIOLOGY 114886,A000000,02200,0000,2200LABORATORY 114886,A000000,02300,0000,2300INTRAVENOUS THERAPY 114886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114886,A000000,02500,0000,2500PHYSICAL THERAPY 114886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114886,A000000,02700,0000,2700SPEECH PATHOLOGY 114886,A000000,02800,0000,2800ELECTROCARDIOLOGY 114886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114886,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114886,A000000,03200,0000,3200SUPPORT SURFACES 114886,A000000,03400,0000,3400CLINIC 114886,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114886,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114886,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114886,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114886,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114886,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114886,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114886,A000000,04400,0000,4400DME RENTED - HHA 114886,A000000,04500,0000,4500DME SOLD - HHA 114886,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114886,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114886,A000000,04800,0000,4800AMBULANCE 114886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 114886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114886,A000000,05300,0000,5300INTEREST EXPENSE 114886,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114886,A000000,05500,0000,5500HOSPICE 114886,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114886,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114886,A000000,06100,0000,6100NONPAID WORKERS 114886,A000000,06200,0000,6200PATIENTS LAUNDRY 114886,A81000A,00100,0100,Y 114886,A81000B,00100,0300,MANAGEMENT FEES 114886,A81000B,00200,0300,CAPITAL - BUILDING 114886,A81000B,00300,0300,CAPITAL - EQUIPMENT 114886,A81000C,00100,0100,A 114886,A81000C,00100,0200,T.B. STROUD 114886,A81000C,00100,0400,COASTAL HEALTH 114886,A81000C,00100,0600,MANAGEMENT 114886,A81000C,00200,0100,A 114886,A81000C,00200,0200,J.B. STROUD 114886,A81000C,00200,0400,MANAGEMENT 114886,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 114886,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 114886,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 114886,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 114886,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 114886,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 114886,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 114886,B100000,00000,0800,0800PAT DAYS DIETARY 114886,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 114886,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 114886,B100000,00000,1100,1100PAT DAYS PHARMACY 114886,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 114886,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 114886,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 114886,S000000,00100,0200,11/10/00 114886,S200000,00100,0100,2210 DOROTHY STREET 114886,S200000,00200,0100,WAYCROSS 114886,S200000,00200,0200,GA 114886,S200000,00200,0300,31501 114886,S200000,00300,0100,WARE 114886,S200000,00300,0200,0011 114886,S200000,00300,0300,R 114886,S200000,00400,0100,WAYCROSS HEALTH & REHABILITATION 114886,S200000,00400,0200,115605 114886,S200000,00400,0300,10/01/96 114886,S200000,00400,0500,P 114886,S200000,00400,0600,O 114886,S200000,01500,0100,Y 114886,S200000,01600,0100,N 114886,S200000,01700,0100,N 114886,S200000,01800,0100,N 114886,S200000,02200,0100,Y 114886,S200000,02800,0100,N 114886,S200000,02900,0100,N 114886,S200000,03000,0100,N 114886,S200000,03100,0100,N 114886,S200000,03200,0100,N 114886,S200000,03300,0100,N 114886,S200000,03300,0200,N 114886,S200000,03600,0100,N 114886,S200000,03600,0200,N 114886,S200000,03700,0100,N 114886,S200000,03700,0200,N 114886,S200000,04100,0100,N 114886,S200000,04200,0100,N 114886,S200000,04300,0100,N 114886,S200000,04600,0100,N 114886,S200000,04700,0100,N 114886,S200000,04900,0100,N 114886,S200000,05200,0100,N 114886,S700003,00000,0400,X 114895,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114895,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114895,A000000,00300,0000,0300EMPLOYEE BENEFITS 114895,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114895,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114895,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114895,A000000,00700,0000,0700HOUSEKEEPING 114895,A000000,00800,0000,0800DIETARY 114895,A000000,00900,0000,0900NURSING ADMINISTRATION 114895,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114895,A000000,01100,0000,1100PHARMACY 114895,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114895,A000000,01300,0000,1300SOCIAL SERVICE 114895,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114895,A000000,01500,0000,1350PATIENT ACTIVITIES 114895,A000000,01600,0000,1600SKILLED NURSING FACILITY 114895,A000000,01800,0000,1800NURSING FACILITY 114895,A000000,01810,0000,1810ICF/MR 114895,A000000,02100,0000,2100RADIOLOGY 114895,A000000,02200,0000,2200LABORATORY 114895,A000000,02300,0000,2300INTRAVENOUS THERAPY 114895,A000000,02310,0000,2301RESPIRATORY 114895,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114895,A000000,02500,0000,2500PHYSICAL THERAPY 114895,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114895,A000000,02700,0000,2700SPEECH PATHOLOGY 114895,A000000,02800,0000,2800ELECTROCARDIOLOGY 114895,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114895,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114895,A000000,03550,0000,3550FQHC 114895,A000000,03600,0000,3450ADMIN & GENERAL-HHA 114895,A000000,05000,0000,5000MALPRACTICE PREM & PAID LOSSES 114895,A000000,05010,0000,5010CMHC 114895,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114895,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114895,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114895,A000000,05100,0000,4750INTEREST EXP 114895,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114895,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114895,A81000A,00100,0100,N 114895,B100000,00000,0100,0100(SQUARE FEET) 114895,B100000,00000,0200,0200(SQUARE FEET) 114895,B100000,00000,0300,0300(GROSS SALARIES) 114895,B100000,00000,0400,0400(ACCUM COST) 114895,B100000,00000,0500,0500(SQUARE FEET) 114895,B100000,00000,0600,0600PATIENT DAYS 114895,B100000,00000,0700,0700SQUARE FEET 114895,B100000,00000,0800,0800PATIENT DAYS 114895,B100000,00000,0900,0900PATIENT DAYS 114895,B100000,00000,1000,1000(COSTED REQUIS) 114895,B100000,00000,1100,1100PATIENT DAYS 114895,B100000,00000,1200,1200PATIENT DAYS 114895,B100000,00000,1300,1300PATIENT DAYS 114895,B100000,00000,1400,1400(ASSIGNED TIME) 114895,B100000,00000,1500,1350PATIENT DAYS 114895,S000000,00100,0200,03/23/00 114895,S200000,00100,0100,10 CARE MATRIX DRIVE 114895,S200000,00200,0100,DEDHAM 114895,S200000,00200,0200,MA 114895,S200000,00200,0300,02026 114895,S200000,00300,0100,NORFOLK 114895,S200000,00300,0200,1123 114895,S200000,00300,0300,U 114895,S200000,00400,0100,ENDICOTT MANOR 114895,S200000,00400,0200,225719 114895,S200000,00400,0300,11/04/96 114895,S200000,00400,0500,P 114895,S200000,00400,0600,O 114895,S200000,00600,0200,225719 114895,S200000,00600,0300,11/04/96 114895,S200000,00600,0600,O 114895,S200000,00800,0200,225719 114895,S200000,00800,0300,11/04/96 114895,S200000,00800,0500,P 114895,S200000,00800,0600,O 114895,S200000,01500,0100,N 114895,S200000,01600,0100,Y 114895,S200000,01700,0100,N 114895,S200000,01800,0100,N 114895,S200000,02200,0100,N 114895,S200000,02800,0100,N 114895,S200000,02900,0100,N 114895,S200000,03000,0100,N 114895,S200000,03100,0100,N 114895,S200000,03200,0100,N 114895,S200000,03300,0100,N 114895,S200000,03300,0200,N 114895,S200000,03700,0100,N 114895,S200000,03700,0200,N 114895,S200000,04100,0100,N 114895,S200000,04200,0100,N 114895,S200000,04300,0100,N 114895,S200000,04600,0100,N 114895,S200000,04700,0100,N 114895,S200000,04900,0100,N 114902,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114902,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114902,A000000,00300,0000,0300EMPLOYEE BENEFITS 114902,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114902,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114902,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114902,A000000,00700,0000,0700HOUSEKEEPING 114902,A000000,00800,0000,0800DIETARY 114902,A000000,00900,0000,0900NURSING ADMINISTRATION 114902,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114902,A000000,01100,0000,1100PHARMACY 114902,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114902,A000000,01300,0000,1300SOCIAL SERVICE 114902,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114902,A000000,01600,0000,1600SKILLED NURSING FACILITY 114902,A000000,01810,0000,1810ICF/MR 114902,A000000,02100,0000,2100RADIOLOGY 114902,A000000,02200,0000,2200LABORATORY 114902,A000000,02300,0000,2300INTRAVENOUS THERAPY 114902,A000000,02500,0000,2500PHYSICAL THERAPY 114902,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114902,A000000,02700,0000,2700SPEECH PATHOLOGY 114902,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114902,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114902,A000000,03550,0000,3550FQHC 114902,A000000,05000,0000,5000CORF 114902,A000000,05010,0000,5010CMHC 114902,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114902,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114902,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114902,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114902,A81000A,00100,0100,Y 114902,A81000B,00100,0300,H.O. CAP REL ADMIN & FIELD SUP 114902,A81000B,00200,0300,H.O. ADMIN & FIELD SUPERVISION 114902,A81000C,00100,0100,F 114902,A81000C,00100,0200,ELTON G. BEEBE 114902,A81000C,00100,0400,MAGNOLIA MANAGEMENT 114902,A81000C,00100,0600,MANAGEMENT COMPANY 114902,B100000,00000,0100,0100SQUARE FEET 114902,B100000,00000,0200,0200SQUARE FEET 114902,B100000,00000,0300,0300GROSS SALARIES 114902,B100000,00000,0400,0400ACCUM. COST 114902,B100000,00000,0500,0500SQUARE FEET 114902,B100000,00000,0600,0600POUNDS OF LAUNDRY 114902,B100000,00000,0700,0700SQUARE FEET 114902,B100000,00000,0800,0800MEALS SERVED 114902,B100000,00000,0900,0900DIRECT NRSING HRS 114902,B100000,00000,1000,1000COSTED REQUIS 114902,B100000,00000,1100,1100COSTED REQUIS 114902,B100000,00000,1200,1200TIME SPENT 114902,B100000,00000,1300,1300TIME SPENT 114902,B100000,00000,1400,1400ASSIGNED TIME 114902,S000000,00100,0200,05/25/00 114902,S200000,00100,0100,9105 BAIRD ROAD 114902,S200000,00200,0100,SHREVEPORT 114902,S200000,00200,0200,LA 114902,S200000,00200,0300,71118 114902,S200000,00300,0100,CADDO 114902,S200000,00300,0200,7680 114902,S200000,00300,0300,U 114902,S200000,00400,0100,LANDMARK OF SHREVEPORT 114902,S200000,00400,0200,195447 114902,S200000,00400,0300,11/01/97 114902,S200000,00400,0500,P 114902,S200000,01500,0100,Y 114902,S200000,01600,0100,N 114902,S200000,01700,0100,N 114902,S200000,01800,0100,N 114902,S200000,02200,0100,Y 114902,S200000,02800,0100,N 114902,S200000,02900,0100,N 114902,S200000,03000,0100,N 114902,S200000,03100,0100,N 114902,S200000,03200,0100,N 114902,S200000,03300,0100,N 114902,S200000,03300,0200,N 114902,S200000,04100,0100,N 114902,S200000,04200,0100,N 114902,S200000,04300,0100,N 114902,S200000,04600,0100,N 114902,S200000,04700,0100,N 114902,S200000,04700,0200,N 114902,S200000,04900,0100,N 114912,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114912,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114912,A000000,00300,0000,0300EMPLOYEE BENEFITS 114912,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114912,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114912,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114912,A000000,00700,0000,0700HOUSEKEEPING 114912,A000000,00800,0000,0800DIETARY 114912,A000000,00900,0000,0900NURSING ADMINISTRATION 114912,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114912,A000000,01100,0000,1100PHARMACY 114912,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114912,A000000,01300,0000,1300SOCIAL SERVICE 114912,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114912,A000000,01500,0000,1350ACTIVITIES 114912,A000000,01600,0000,1600SKILLED NURSING FACILITY 114912,A000000,01800,0000,1800NURSING FACILITY 114912,A000000,01810,0000,1810ICF/MR 114912,A000000,01900,0000,1900OTHER LONG TERM CARE 114912,A000000,02500,0000,2500PHYSICAL THERAPY 114912,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114912,A000000,02700,0000,2700SPEECH PATHOLOGY 114912,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114912,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114912,A000000,03550,0000,3550FQHC 114912,A000000,05000,0000,5000CORF 114912,A000000,05010,0000,5010CMHC 114912,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114912,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114912,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114912,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114912,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114912,A81000A,00100,0100,N 114912,B100000,00000,0100,0100SQUARE FOOTAGE 114912,B100000,00000,0200,0200SQUARE FEET 114912,B100000,00000,0300,0300GROSS SALARIES 114912,B100000,00000,0400,0400ACCUM. COST 114912,B100000,00000,0500,0500SQUARE FOOTAGE 114912,B100000,00000,0600,0600POUNDS OF LAUNDRY 114912,B100000,00000,0700,0700SQUARE FOOTAGE 114912,B100000,00000,0800,0800MEALS SERVED 114912,B100000,00000,0900,0900HOURS OF SERVICE 114912,B100000,00000,1000,1000COSTED REQUIS 114912,B100000,00000,1100,1100COSTED REQUIS 114912,B100000,00000,1200,1200TIME SPENT 114912,B100000,00000,1300,1300HOURS OF SERVICE 114912,B100000,00000,1400,1400ASSIGNED TIME 114912,B100000,00000,1500,1350HOURS OF SERVICE 114912,E10A180,00501,0100,01/11/01 114912,E10A180,00501,0300,01/11/01 114912,S000000,00100,0200,11/29/00 114912,S200000,00100,0100,13700 NORTH GAYTON ROAD 114912,S200000,00200,0100,RICHMOND 114912,S200000,00200,0200,VA 114912,S200000,00200,0300,23233 114912,S200000,00300,0100,HENRICO 114912,S200000,00300,0200,6760 114912,S200000,00300,0300,U 114912,S200000,00400,0100,OUR LADY OF HOPE HEALTH CENTER 114912,S200000,00400,0200,495311 114912,S200000,00400,0300,08/01/96 114912,S200000,00400,0500,P 114912,S200000,00600,0200,495311 114912,S200000,00600,0300,02/01/96 114912,S200000,00600,0600,O 114912,S200000,01500,0100,Y 114912,S200000,01600,0100,N 114912,S200000,01700,0100,N 114912,S200000,01800,0100,N 114912,S200000,02200,0100,N 114912,S200000,02800,0100,N 114912,S200000,02900,0100,N 114912,S200000,03000,0100,N 114912,S200000,03100,0100,N 114912,S200000,03200,0100,N 114912,S200000,03300,0100,N 114912,S200000,03300,0200,N 114912,S200000,04100,0100,N 114912,S200000,04200,0100,N 114912,S200000,04300,0100,N 114912,S200000,04600,0100,N 114912,S200000,04700,0100,N 114912,S200000,04900,0100,N 114912,S200000,05000,0100,N 114912,S200000,05100,0100,N 114912,S200000,05200,0100,N 114924,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114924,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114924,A000000,00300,0000,0300EMPLOYEE BENEFITS 114924,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114924,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114924,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114924,A000000,00700,0000,0700HOUSEKEEPING 114924,A000000,00800,0000,0800DIETARY 114924,A000000,00900,0000,0900NURSING ADMINISTRATION 114924,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114924,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114924,A000000,01300,0000,1300SOCIAL SERVICE 114924,A000000,01600,0000,1600SKILLED NURSING FACILITY 114924,A000000,01800,0000,1800NURSING FACILITY 114924,A000000,02100,0000,2100RADIOLOGY 114924,A000000,02200,0000,2200LABORATORY 114924,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114924,A000000,02500,0000,2500PHYSICAL THERAPY 114924,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114924,A000000,02700,0000,2700SPEECH PATHOLOGY 114924,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114924,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114924,A000000,05500,0000,5500HOSPICE 114924,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114924,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114924,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114924,A81000A,00100,0100,Y 114924,A81000B,00100,0300,PHYSICAL THERAPY 114924,A81000B,00200,0300,SPEECH THERAPY 114924,A81000B,00300,0300,OCCUPATIONAL THERAPY 114924,A81000B,00400,0300,CQI 114924,A81000B,00500,0300,GENERAL 114924,A81000C,00100,0100,A 114924,A81000C,00100,0200,DAVID MCCLINTON 114924,A81000C,00100,0600,CPA FIRM 114924,A81000C,00200,0100,B 114924,A81000C,00200,0200,DANIEL R HUMPHREY 114924,A81000C,00200,0600,CPA FIRM 114924,A81000C,00300,0100,B 114924,A81000C,00300,0200,JIM MOCK 114924,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114924,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 114924,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114924,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114924,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114924,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114924,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114924,B100000,00000,0800,0800MEALS SERVED :DIETARY 114924,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 114924,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114924,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 114924,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114924,E10A180,00301,0100,06/15/00 114924,S000000,00100,0200,06/27/00 114924,S200000,00100,0100,2821 SOUTH WALDEN 114924,S200000,00200,0100,SEATTLE 114924,S200000,00200,0200,WA 114924,S200000,00200,0300,98144- 114924,S200000,00300,0100,KING 114924,S200000,00300,0200,7600 114924,S200000,00300,0300,U 114924,S200000,00400,0100,WASHINGTON CTR FOR COMP REHAB 114924,S200000,00400,0200,505017 114924,S200000,00400,0300,01/01/67 114924,S200000,00400,0500,P 114924,S200000,01500,0100,N 114924,S200000,01600,0100,Y 114924,S200000,01700,0100,N 114924,S200000,01800,0100,N 114924,S200000,02200,0100,N 114924,S200000,02800,0100,Y 114924,S200000,02900,0100,N 114924,S200000,03000,0100,N 114924,S200000,03100,0100,N 114924,S200000,03200,0100,N 114924,S200000,04100,0100,N 114924,S200000,04200,0100,N 114924,S200000,04300,0100,N 114924,S200000,04600,0100,N 114924,S200000,04700,0100,N 114924,S200000,04700,0200,N 114924,S200000,04900,0100,N 114924,S200000,05000,0100,N 114924,S200000,05100,0100,N 114924,S200000,05200,0100,N 114926,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114926,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114926,A000000,00300,0000,0300EMPLOYEE BENEFITS 114926,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114926,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114926,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114926,A000000,00700,0000,0700HOUSEKEEPING 114926,A000000,00800,0000,0800DIETARY 114926,A000000,00900,0000,0900NURSING ADMINISTRATION 114926,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114926,A000000,01100,0000,1100PHARMACY 114926,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114926,A000000,01300,0000,1300SOCIAL SERVICE 114926,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114926,A000000,01500,0000,1350ACTIVITIES 114926,A000000,01600,0000,1600SKILLED NURSING FACILITY 114926,A000000,01800,0000,1800NURSING FACILITY 114926,A000000,01900,0000,1900OTHER LONG TERM CARE 114926,A000000,02100,0000,2100RADIOLOGY 114926,A000000,02200,0000,2200LABORATORY 114926,A000000,02300,0000,2300INTRAVENOUS THERAPY 114926,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114926,A000000,02500,0000,2500PHYSICAL THERAPY 114926,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114926,A000000,02700,0000,2700SPEECH PATHOLOGY 114926,A000000,02800,0000,2800ELECTROCARDIOLOGY 114926,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114926,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114926,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114926,A000000,03200,0000,3200SUPPORT SURFACES 114926,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 114926,A000000,03400,0000,3400CLINIC 114926,A000000,03500,0000,3500RURAL HEALTH CLINIC 114926,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 114926,A000000,04800,0000,4800AMBULANCE 114926,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114926,A000000,05000,0000,5000CORF 114926,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114926,A000000,05300,0000,5300INTEREST EXPENSE 114926,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114926,A000000,05500,0000,5500HOSPICE 114926,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114926,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114926,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114926,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114926,A000000,06100,0000,6100NONPAID WORKERS 114926,A000000,06200,0000,6200PATIENTS LAUNDRY 114926,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114926,A81000A,00100,0100,Y 114926,A81000B,00100,0300,NURSING SUPPLIES 114926,A81000B,00200,0300,MEDICAL RECORDS SUPPLIES 114926,A81000B,00300,0300,FLU VACCINE 114926,A81000B,00400,0300,DRUGS RELATED 114926,A81000B,00500,0300,CONTRACTED SERVICE 114926,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 114926,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 114926,A81000B,00800,0300,HEPATITIS B VACCINE 114926,A81000B,00900,0300,DIETARY SUPPLIES 114926,A81000B,01000,0300,LAUNDRY SUPPLIES 114926,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 114926,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 114926,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 114926,A81000B,01400,0300,FACILITY LEASE 114926,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 114926,A81000B,01600,0300,FACILITY ADMINISTRATOR 114926,A81000B,01700,0300,DIETARY CONSULTANT 114926,A81000B,01800,0300,NURSE CONSULTANT 114926,A81000B,01900,0300,REGIONAL PERSONNEL 114926,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 114926,A81000B,02100,0300,THERAPY CONSULTANT 114926,A81000B,02200,0300,MAINTENANCE CONSULTANT 114926,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 114926,A81000B,02400,0300,AIDE TRAINING 114926,A81000B,02500,0300,PHYSICAL THERAPY 114926,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 114926,A81000B,02700,0300,ACTIVITIES SUPPLIES 114926,A81000C,00100,0100,B 114926,A81000C,00100,0200,NEIL PRUITT 114926,A81000C,00100,0400,UNITED REHAB 114926,A81000C,00100,0600,THERAPY 114926,A81000C,00200,0100,B 114926,A81000C,00200,0200,NEIL PRUITT 114926,A81000C,00200,0400,UNITED PHARMACY 114926,A81000C,00200,0600,PHARMACY 114926,A81000C,00300,0100,B 114926,A81000C,00300,0200,NEIL PRUITT 114926,A81000C,00300,0400,PRUITT PROPERTI 114926,A81000C,00300,0600,RENTAL 114926,A81000C,00400,0100,B 114926,A81000C,00400,0200,NEIL PRUITT 114926,A81000C,00400,0400,PRUITT CORPORAT 114926,A81000C,00400,0600,MANAGEMENT 114926,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114926,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114926,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114926,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114926,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114926,B100000,00000,0800,0800MEALS SERVED :DIETARY 114926,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 114926,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 114926,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114926,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114926,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 114926,E10A180,00301,0100,01/27/00 114926,S000000,00100,0200,12/01/00 114926,S200000,00100,0100,960 HAWTHORNE AVE. 114926,S200000,00200,0100,ATHENS 114926,S200000,00200,0200,GA 114926,S200000,00200,0300,30606- 114926,S200000,00300,0100,CLARK 114926,S200000,00300,0300,U 114926,S200000,00400,0100,ATHENS HERITAGE HOME INC. 114926,S200000,00400,0200,115509 114926,S200000,00400,0300,07/01/94 114926,S200000,00400,0500,P 114926,S200000,01500,0100,N 114926,S200000,01600,0100,Y 114926,S200000,01700,0100,N 114926,S200000,01800,0100,N 114926,S200000,02200,0100,N 114926,S200000,02800,0100,N 114926,S200000,02900,0100,N 114926,S200000,03000,0100,N 114926,S200000,03100,0100,N 114926,S200000,03200,0100,N 114926,S200000,04100,0100,N 114926,S200000,04200,0100,N 114926,S200000,04300,0100,N 114926,S200000,04600,0100,N 114926,S200000,04700,0100,N 114926,S200000,04700,0200,N 114926,S200000,04900,0100,N 114926,S200000,05000,0100,N 114926,S200000,05100,0100,N 114926,S200000,05200,0100,N 114928,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114928,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114928,A000000,00300,0000,0300EMPLOYEE BENEFITS 114928,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114928,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114928,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114928,A000000,00700,0000,0700HOUSEKEEPING 114928,A000000,00800,0000,0800DIETARY 114928,A000000,00900,0000,0900NURSING ADMINISTRATION 114928,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114928,A000000,01100,0000,1100PHARMACY 114928,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114928,A000000,01300,0000,1300SOCIAL SERVICE 114928,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114928,A000000,01500,0000,1350OTHER GENERAL SERVICES 114928,A000000,01600,0000,1600SKILLED NURSING FACILITY 114928,A000000,01800,0000,1800NURSING FACILITY 114928,A000000,01810,0000,1810ICF/MR 114928,A000000,01900,0000,1900OTHER LONG TERM CARE 114928,A000000,02100,0000,2100RADIOLOGY 114928,A000000,02200,0000,2200LABORATORY 114928,A000000,02300,0000,2300INTRAVENOUS THERAPY 114928,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114928,A000000,02500,0000,2500PHYSICAL THERAPY 114928,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114928,A000000,02700,0000,2700SPEECH PATHOLOGY 114928,A000000,02800,0000,2800ELECTROCARDIOLOGY 114928,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114928,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114928,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114928,A000000,03200,0000,3200SUPPORT SURFACES 114928,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114928,A000000,03400,0000,3400CLINIC 114928,A000000,03500,0000,3500RURAL HEALTH CLINIC 114928,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114928,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114928,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114928,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114928,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114928,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114928,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114928,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114928,A000000,04400,0000,4400DME RENTED - HHA 114928,A000000,04500,0000,4500DME SOLD - HHA 114928,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114928,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 114928,A000000,04800,0000,4800AMBULANCE 114928,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 114928,A000000,05000,0000,5000CORF 114928,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114928,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114928,A000000,05300,0000,5300INTEREST EXPENSE 114928,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114928,A000000,05500,0000,5500HOSPICE 114928,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114928,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114928,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114928,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114928,A000000,06100,0000,6100NONPAID WORKERS 114928,A000000,06200,0000,6200PATIENTS LAUNDRY 114928,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114928,A81000A,00100,0100,Y 114928,A81000B,00100,0300,MANAGEMENT FEE 114928,A81000B,00200,0300,ACCOUNTING 114928,A81000B,00300,0300,HOME OFFICE CAPITAL 114928,A81000C,00100,0100,D 114928,A81000C,00100,0200,WILLIAM C. DAVIS 114928,A81000C,00100,0400,CROSSROADS MED. MGT 114928,A81000C,00100,0600,MANAGEMENT CO 114928,A81000C,00200,0100,D 114928,A81000C,00200,0200,FRANK J. DAVIS 114928,A81000C,00200,0400,FRANK J. DAVIS CPA 114928,A81000C,00200,0600,ACCOUNTING FIRM 114928,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114928,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114928,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114928,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114928,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114928,B100000,00000,0800,0800MEALS SERVED :DIETARY 114928,B100000,00000,0900,0950DIRECT NURS :NURSING ADMINISTRA 114928,B100000,00000,1000,1000COSTED REQ :CENTRAL SERVICES & 114928,E10A180,00301,0100,01/15/00 114928,S000000,00100,0200,12/04/00 114928,S200000,00100,0100,2708 LEE STREET 114928,S200000,00200,0100,BRUNSWICK 114928,S200000,00200,0200,GA 114928,S200000,00200,0300,31520- 114928,S200000,00300,0100,GLYNN 114928,S200000,00300,0300,R 114928,S200000,00400,0100, GRACEMORE NURSING & REHAB.INC 114928,S200000,00400,0200,115554 114928,S200000,00400,0300,10/01/93 114928,S200000,00400,0500,P 114928,S200000,01500,0100,Y 114928,S200000,01600,0100,N 114928,S200000,01700,0100,N 114928,S200000,01800,0100,N 114928,S200000,02200,0100,N 114928,S200000,02800,0100,Y 114928,S200000,02900,0100,Y 114928,S200000,03000,0100,Y 114928,S200000,03100,0100,N 114928,S200000,03200,0100,N 114928,S200000,04100,0100,N 114928,S200000,04200,0100,N 114928,S200000,04300,0100,N 114928,S200000,04600,0100,N 114928,S200000,04700,0100,N 114928,S200000,04700,0200,N 114928,S200000,04900,0100,N 114928,S200000,05000,0100,N 114928,S200000,05100,0100,N 114928,S200000,05200,0100,N 114939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114939,A000000,00300,0000,0300EMPLOYEE BENEFITS 114939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114939,A000000,00700,0000,0700HOUSEKEEPING 114939,A000000,00800,0000,0800DIETARY 114939,A000000,00900,0000,0900NURSING ADMINISTRATION 114939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114939,A000000,01100,0000,1100PHARMACY 114939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114939,A000000,01300,0000,1300SOCIAL SERVICE 114939,A000000,01500,0000,1350PATIENT ACTIVITIES 114939,A000000,01600,0000,1600SKILLED NURSING FACILITY 114939,A000000,01800,0000,1800NURSING FACILITY 114939,A000000,01900,0000,1900OTHER LONG TERM CARE 114939,A000000,02100,0000,2100RADIOLOGY 114939,A000000,02200,0000,2200LABORATORY 114939,A000000,02300,0000,2300INTRAVENOUS THERAPY 114939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114939,A000000,02500,0000,2500PHYSICAL THERAPY 114939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114939,A000000,02700,0000,2700SPEECH PATHOLOGY 114939,A000000,02800,0000,2800ELECTROCARDIOLOGY 114939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114939,A000000,03200,0000,3200SUPPORT SURFACES 114939,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114939,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114939,A000000,04800,0000,4800AMBULANCE 114939,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114939,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114939,A000000,05300,0000,5300INTEREST EXPENSE 114939,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114939,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114939,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114939,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114939,A000000,06100,0000,6100NONPAID WORKERS 114939,A000000,06200,0000,6200PATIENTS LAUNDRY 114939,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114939,A81000A,00100,0100,N 114939,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114939,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114939,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114939,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 114939,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 114939,B100000,00000,0800,0850PATIENT DAYS :DIETARY 114939,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 114939,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 114939,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 114939,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 114939,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 114939,E10A180,00301,0100,08/16/99 114939,S000000,00100,0200,06/01/00 114939,S200000,00100,0100,ONE UNIVERSITY PLAZA SUITE 206 114939,S200000,00200,0100,HACKENSACK 114939,S200000,00200,0200,NJ 114939,S200000,00200,0300,07601- 114939,S200000,00300,0100,OCEAN 114939,S200000,00300,0200,5190 114939,S200000,00300,0300,U 114939,S200000,00400,0100,MANAHAWKIN CONVALESCENT CTR 114939,S200000,00400,0200,315206 114939,S200000,00400,0300,06/07/84 114939,S200000,00400,0500,P 114939,S200000,01500,0100,Y 114939,S200000,01600,0100,N 114939,S200000,01700,0100,N 114939,S200000,01800,0100,N 114939,S200000,02200,0100,N 114939,S200000,02800,0100,N 114939,S200000,02900,0100,N 114939,S200000,03000,0100,N 114939,S200000,03100,0100,N 114939,S200000,03200,0100,N 114939,S200000,04100,0100,N 114939,S200000,04200,0100,N 114939,S200000,04300,0100,N 114939,S200000,04600,0100,N 114939,S200000,04700,0100,N 114939,S200000,04700,0200,N 114939,S200000,04900,0100,N 114939,S200000,05000,0100,N 114939,S200000,05100,0100,N 114939,S200000,05200,0100,N 114943,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114943,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114943,A000000,00300,0000,0300EMPLOYEE BENEFITS 114943,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114943,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114943,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114943,A000000,00700,0000,0700HOUSEKEEPING 114943,A000000,00800,0000,0800DIETARY 114943,A000000,00900,0000,0900NURSING ADMINISTRATION 114943,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114943,A000000,01100,0000,1100PHARMACY 114943,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114943,A000000,01300,0000,1300SOCIAL SERVICE 114943,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 114943,A000000,01600,0000,1600SKILLED NURSING FACILITY 114943,A000000,01800,0000,1800NURSING FACILITY 114943,A000000,02100,0000,2100RADIOLOGY 114943,A000000,02200,0000,2200LABORATORY 114943,A000000,02300,0000,2300INTRAVENOUS THERAPY 114943,A000000,02500,0000,2500PHYSICAL THERAPY 114943,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114943,A000000,02700,0000,2700SPEECH PATHOLOGY 114943,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114943,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114943,A000000,03200,0000,3200SUPPORT SURFACES 114943,A000000,06100,0000,6100NONPAID WORKERS 114943,A81000A,00100,0100,N 114943,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 114943,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 114943,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 114943,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 114943,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 114943,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 114943,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 114943,B100000,00000,0800,0800MEALS SERVED :DIETARY 114943,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 114943,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 114943,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 114943,S000000,00100,0200,02/13/01 114943,S200000,00100,0100,6120 N.VINELAND AVE. 114943,S200000,00200,0100,NORTH HOLLYWOOD 114943,S200000,00200,0200,CA 114943,S200000,00200,0300,90606- 114943,S200000,00300,0100,LOS ANGELES 114943,S200000,00300,0200,4480 114943,S200000,00300,0300,U 114943,S200000,00400,0100,VALLEY MANOR CONVALESCENT HOSPL 114943,S200000,00400,0200,555132 114943,S200000,00400,0300,01/01/85 114943,S200000,00400,0500,P 114943,S200000,01500,0100,Y 114943,S200000,01600,0100,N 114943,S200000,01700,0100,N 114943,S200000,01800,0100,N 114943,S200000,02200,0100,N 114943,S200000,02800,0100,N 114943,S200000,02900,0100,N 114943,S200000,03000,0100,N 114943,S200000,03100,0100,N 114943,S200000,03200,0100,N 114943,S200000,04100,0100,N 114943,S200000,04200,0100,N 114943,S200000,04300,0100,N 114943,S200000,04600,0100,N 114943,S200000,04700,0100,N 114943,S200000,04700,0200,N 114943,S200000,04900,0100,N 114943,S200000,05000,0100,N 114943,S200000,05100,0100,N 114943,S200000,05200,0100,N 114954,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114954,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114954,A000000,00300,0000,0300EMPLOYEE BENEFITS 114954,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114954,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114954,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114954,A000000,00700,0000,0700HOUSEKEEPING 114954,A000000,00800,0000,0800DIETARY 114954,A000000,00900,0000,0900NURSING ADMINISTRATION 114954,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114954,A000000,01100,0000,1100PHARMACY 114954,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114954,A000000,01300,0000,1300SOCIAL SERVICE 114954,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114954,A000000,01500,0000,1350ACTIVITIES 114954,A000000,01600,0000,1600SKILLED NURSING FACILITY 114954,A000000,01810,0000,1810ICF/MR 114954,A000000,01900,0000,1900OTHER LONG TERM CARE 114954,A000000,02100,0000,2100RADIOLOGY 114954,A000000,02200,0000,2200LABORATORY 114954,A000000,02500,0000,2500PHYSICAL THERAPY 114954,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114954,A000000,02700,0000,2700SPEECH PATHOLOGY 114954,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114954,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114954,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 114954,A000000,03550,0000,3550FQHC 114954,A000000,05000,0000,5000CORF 114954,A000000,05010,0000,5010CMHC 114954,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114954,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114954,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114954,A000000,05300,0000,5300INTEREST EXPENSE 114954,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114954,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114954,A000000,06300,0000,6150RESIDENTIAL 114954,A000000,06301,0000,6151CLINIC - NON-REIMBURSABLE 114954,A81000A,00100,0100,N 114954,B100000,00000,0100,0100SQUARE FEET 114954,B100000,00000,0200,0200SQUARE FEET 114954,B100000,00000,0300,0300GROSS SALARIES 114954,B100000,00000,0400,0400ACCUM. COST 114954,B100000,00000,0500,0500SQUARE FEET 114954,B100000,00000,0600,0600POUNDS OF LAUNDRY 114954,B100000,00000,0700,0700SQUARE FEET 114954,B100000,00000,0800,0800MEALS SERVED 114954,B100000,00000,0900,0900DIRECT NRSING HRS 114954,B100000,00000,1000,1000COSTED REQUIS. 114954,B100000,00000,1100,1100COSTED REQUIS. 114954,B100000,00000,1200,1200TIME SPENT 114954,B100000,00000,1300,1300PATIENT DAYS 114954,B100000,00000,1400,1400ASSIGNED TIME 114954,B100000,00000,1500,1350PATIENT DAYS 114954,E10A180,00501,0100,12/15/00 114954,E10A180,00501,0300,12/15/00 114954,S000000,00100,0200,11/27/00 114954,S200000,00100,0100,502 ELIZABETH DRIVE 114954,S200000,00200,0100,LANCASTER 114954,S200000,00200,0200,PA 114954,S200000,00200,0300,17601 114954,S200000,00300,0100,LANCASTER 114954,S200000,00400,0100,CALVARY FELLOWSHIP HOME INC. 114954,S200000,00400,0200,395349 114954,S200000,00400,0300,07/01/76 114954,S200000,00400,0500,P 114954,S200000,01500,0100,Y 114954,S200000,01600,0100,N 114954,S200000,01700,0100,N 114954,S200000,01800,0100,N 114954,S200000,02200,0100,Y 114954,S200000,02800,0100,N 114954,S200000,02900,0100,N 114954,S200000,03000,0100,N 114954,S200000,03100,0100,N 114954,S200000,03200,0100,N 114954,S200000,03300,0100,N 114954,S200000,03300,0200,N 114954,S200000,03600,0200,N 114954,S200000,04100,0100,N 114954,S200000,04200,0100,N 114954,S200000,04300,0100,N 114954,S200000,04600,0100,N 114954,S200000,04700,0100,N 114954,S200000,04700,0200,N 114954,S200000,04900,0100,N 114955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114955,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114955,A000000,00300,0000,0300EMPLOYEE BENEFITS 114955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114955,A000000,00700,0000,0700HOUSEKEEPING 114955,A000000,00800,0000,0800DIETARY 114955,A000000,00900,0000,0900NURSING ADMINISTRATION 114955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114955,A000000,01100,0000,1100PHARMACY 114955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114955,A000000,01300,0000,1300SOCIAL SERVICE 114955,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114955,A000000,01500,0000,1350RESIDENT ACTIVITES 114955,A000000,01600,0000,1600SKILLED NURSING FACILITY 114955,A000000,01800,0000,1800NURSING FACILITY 114955,A000000,01810,0000,1810ICF/MR 114955,A000000,02100,0000,2100RADIOLOGY 114955,A000000,02200,0000,2200LABORATORY 114955,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114955,A000000,02500,0000,2500PHYSICAL THERAPY 114955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114955,A000000,02700,0000,2700SPEECH PATHOLOGY 114955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114955,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 114955,A000000,03550,0000,3550FQHC 114955,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 114955,A000000,05000,0000,5000CORF 114955,A000000,05010,0000,5010CMHC 114955,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114955,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114955,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114955,A000000,05100,0000,4750OTHER REIMBURSABLE COST 114955,A000000,05300,0000,5300INTEREST EXPENSE 114955,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 114955,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114955,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 114955,A81000A,00100,0100,N 114955,B100000,00000,0100,0100SQUARE FEET 114955,B100000,00000,0200,0200SQUARE FEET 114955,B100000,00000,0300,0300NO STATISTICS 114955,B100000,00000,0400,0400ACCUM. COST 114955,B100000,00000,0500,0500SQUARE FEET 114955,B100000,00000,0600,0600POUNDS OF LAUNDRY 114955,B100000,00000,0700,0700HOURS WORKED 114955,B100000,00000,0800,0800MEALS SERVED 114955,B100000,00000,0900,0900HOURS WORKED 114955,B100000,00000,1000,1000NO STATISTICS 114955,B100000,00000,1100,1100NO STATISTICS 114955,B100000,00000,1200,1200TIME SPENT 114955,B100000,00000,1300,1300TIME SPENT 114955,B100000,00000,1400,1400NO STATISTICS 114955,B100000,00000,1500,1350TIME SPENT 114955,E10A180,00301,0100,01/27/00 114955,E10A180,00301,0300,01/27/02 114955,E10A180,00501,0100,12/13/00 114955,E10A180,00501,0300,12/13/00 114955,S000000,00100,0200,11/28/00 114955,S200000,00100,0100,BROOKMONT DRIVE 114955,S200000,00100,0300,50 114955,S200000,00200,0100,EFFORT 114955,S200000,00200,0200,PA 114955,S200000,00400,0100,BROOKMONT HEALTH CARE CENTER INC. 114955,S200000,00400,0200,395462 114955,S200000,00400,0300,01/01/82 114955,S200000,00400,0500,P 114955,S200000,01500,0100,N 114955,S200000,01600,0100,Y 114955,S200000,01700,0100,N 114955,S200000,01800,0100,N 114955,S200000,02200,0100,N 114955,S200000,02800,0100,N 114955,S200000,02900,0100,N 114955,S200000,03000,0100,N 114955,S200000,03100,0100,N 114955,S200000,03200,0100,N 114955,S200000,03300,0100,N 114955,S200000,03300,0200,N 114955,S200000,04100,0100,N 114955,S200000,04200,0100,N 114955,S200000,04300,0100,N 114955,S200000,04600,0100,N 114955,S200000,04700,0100,N 114955,S200000,04700,0200,N 114955,S200000,04900,0100,N 114960,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 114960,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 114960,A000000,00300,0000,0300EMPLOYEE BENEFITS 114960,A000000,00401,0000,0401ADMINISTRATIVE AND GENERAL 114960,A000000,00402,0000,0402PROVIDER TAX ASSESSMENT 114960,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 114960,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114960,A000000,00700,0000,0700HOUSEKEEPING 114960,A000000,00800,0000,0800DIETARY 114960,A000000,00900,0000,0900NURSING ADMINISTRATION 114960,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114960,A000000,01300,0000,1300SOCIAL SERVICE 114960,A000000,01600,0000,1600SKILLED NURSING FACILITY 114960,A000000,01800,0000,1800NURSING FACILITY 114960,A000000,02100,0000,2100RADIOLOGY 114960,A000000,02200,0000,2200LABORATORY 114960,A000000,02500,0000,2500PHYSICAL THERAPY 114960,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114960,A000000,02700,0000,2700SPEECH PATHOLOGY 114960,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 114960,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114960,A000000,04800,0000,4800AMBULANCE 114960,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 114960,A000000,05300,0000,5300INTEREST EXPENSE 114960,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 114960,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114960,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 114960,A000000,06301,0000,6151ASSISTED LIVING 114960,A000000,06302,0000,6152ADULT DAY CARE 114960,A000000,06303,0000,6153ACTIVE ADULT LIVING 114960,A81000A,00100,0100,Y 114960,A81000B,00100,0300,MY PLACE CONSULTING 114960,A81000B,00200,0300,GENERAL PARTNER FEES 114960,A81000B,00300,0300,STERLING MGMT FEES 114960,A81000B,00400,0300,GREGORY BUILDING FEES 114960,A81000B,00500,0300,CAPITAL COSTS - P SHIP 114960,A81000B,00600,0300,BUILDING RENT 114960,A81000B,00700,0300,CAPITAL COSTS - P SHIP 114960,A81000B,00800,0300,STERLING ALLOCATION 114960,A81000B,00900,0300,OWNER AND REL PARTY INT 114960,A81000B,00901,0300,STERLING 114960,A81000B,00902,0300,STERLING 114960,A81000C,00100,0100,D 114960,A81000C,00100,0200,M. GENTILI 114960,A81000C,00100,0400,MY PLACE INC 114960,A81000C,00100,0600,CONSULT 114960,A81000C,00200,0100,A 114960,A81000C,00200,0200,A. GIORDANO 114960,A81000C,00200,0400,A. GIORDANO 114960,A81000C,00200,0600,INVESTOR 114960,A81000C,00300,0100,F 114960,A81000C,00300,0200,GIORDANO FAMILY 114960,A81000C,00300,0400,STERLING HEALTH 114960,A81000C,00300,0600,NH MGMT 114960,A81000C,00400,0100,F 114960,A81000C,00400,0200,GIORDANO FAMILY 114960,A81000C,00400,0400,GREGORY BUILDIN 114960,A81000C,00400,0600,CONSTRUCT 114960,A81000C,00500,0100,B 114960,A81000C,00500,0200,CONSULTANTS INC 114960,A81000C,00500,0400,HHC ASSOCIATES 114960,A81000C,00500,0600,REAL ESTATE 114960,A81000C,00600,0100,A 114960,A81000C,00600,0200,A. GIORDANO 114960,A81000C,00600,0400,HHC ASSOCIATES 114960,A81000C,00600,0600,REAL ESTATE 114960,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 114960,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 114960,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 114960,B100000,00000,0401,0401ACCUM. COST ADMINISTRATIVE AN 114960,B100000,00000,0402,0402ACCUM. COST PROVIDER TAX ASSE 114960,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 114960,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 114960,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 114960,B100000,00000,0800,0800MEALS SERVED DIETARY 114960,B100000,00000,0900,0900DIR NURSINHRS NURSING ADMI 114960,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 114960,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 114960,S000000,00100,0200,06/22/00 114960,S200000,00100,0100,99 HILLSIDE AVENUE 114960,S200000,00200,0100,PROVIDENCE 114960,S200000,00200,0200,RI 114960,S200000,00200,0300,02906 114960,S200000,00300,0100,PROVIDENCE 114960,S200000,00300,0200,6483 114960,S200000,00300,0300,U 114960,S200000,00400,0100,HILLSIDE HEALTH CENTER 114960,S200000,00400,0200,415127 114960,S200000,00400,0300,05/17/99 114960,S200000,00400,0500,P 114960,S200000,00400,0600,N 114960,S200000,01500,0100,Y 114960,S200000,01600,0100,N 114960,S200000,01700,0100,N 114960,S200000,01800,0100,N 114960,S200000,02200,0100,Y 114960,S200000,02800,0100,N 114960,S200000,02900,0100,N 114960,S200000,03000,0100,N 114960,S200000,03100,0100,N 114960,S200000,03200,0100,N 114960,S200000,03300,0100,N 114960,S200000,03300,0200,N 114960,S200000,04100,0100,N 114960,S200000,04200,0100,N 114960,S200000,04300,0100,Y 114960,S200000,04600,0100,N 114960,S200000,04700,0100,N 114960,S200000,04900,0100,N 114960,S200000,05000,0100,N 114960,S200000,05100,0100,N 114960,S200000,05200,0100,N 114960,S700003,00000,0400,X 114967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114967,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114967,A000000,00300,0000,0300EMPLOYEE BENEFITS 114967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114967,A000000,00700,0000,0700HOUSEKEEPING 114967,A000000,00800,0000,0800DIETARY 114967,A000000,00900,0000,0900NURSING ADMINISTRATION 114967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114967,A000000,01100,0000,1100PHARMACY 114967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114967,A000000,01300,0000,1300SOCIAL SERVICE 114967,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114967,A000000,01600,0000,1600SKILLED NURSING FACILITY 114967,A000000,01800,0000,1800NURSING FACILITY 114967,A000000,01900,0000,1900OTHER LONG TERM CARE 114967,A000000,02100,0000,2100RADIOLOGY 114967,A000000,02200,0000,2200LABORATORY 114967,A000000,02300,0000,2300INTRAVENOUS THERAPY 114967,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114967,A000000,02500,0000,2500PHYSICAL THERAPY 114967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114967,A000000,02700,0000,2700SPEECH PATHOLOGY 114967,A000000,02800,0000,2800ELECTROCARDIOLOGY 114967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114967,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 114967,A000000,03200,0000,3200SUPPORT SURFACES 114967,A000000,03400,0000,3400CLINIC 114967,A000000,03500,0000,3500RURAL HEALTH CLINIC 114967,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 114967,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 114967,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 114967,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 114967,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 114967,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 114967,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 114967,A000000,04400,0000,4400DME RENTED - HHA 114967,A000000,04500,0000,4500DME SOLD - HHA 114967,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 114967,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 114967,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD 114967,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 114967,A000000,05300,0000,5300INTEREST EXPENSE 114967,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 114967,A000000,05500,0000,5500HOSPICE 114967,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 114967,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114967,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 114967,A000000,06100,0000,6100NONPAID WORKERS 114967,A000000,06200,0000,6200PATIENTS LAUNDRY 114967,A81000A,00100,0100,Y 114967,A81000B,00100,0300,WORKERS COMP & HEALTH INS 114967,A81000B,00200,0300,MANAGEMENT FEES 114967,A81000B,00300,0300,EQUIPMENT LEASE 114967,A81000C,00100,0100,A 114967,A81000C,00100,0200,JERRY STOUT 114967,A81000C,00100,0400,HEALTHVEST 114967,A81000C,00100,0600,INSURANCE 114967,A81000C,00200,0100,A 114967,A81000C,00200,0200,MARK WEST 114967,A81000C,00200,0400,HEALTHVEST 114967,A81000C,00200,0600,INSURANCE 114967,A81000C,00300,0100,A 114967,A81000C,00300,0200,JERRY STOUT 114967,A81000C,00300,0400,WELLINGTON GRP 114967,A81000C,00300,0600,MANAGEMENT CO. 114967,A81000C,00400,0100,A 114967,A81000C,00400,0200,MARK WEST 114967,A81000C,00400,0400,WELLINGTON GRP 114967,A81000C,00400,0600,MANAGEMENT CO. 114967,A81000C,00500,0100,A 114967,A81000C,00500,0200,JERRY STOUT 114967,A81000C,00500,0400,QUANTUM LEASING 114967,A81000C,00500,0600,EQUIPMENT RENT 114967,A81000C,00600,0100,A 114967,A81000C,00600,0200,MARK WEST 114967,A81000C,00600,0400,QUANTUM LEASING 114967,A81000C,00600,0600,EQUIPMENT RENT 114967,B100000,00000,0100,0100SQUARE FEET 114967,B100000,00000,0200,0200SQUARE FEET 114967,B100000,00000,0300,0300GROSS SAL 114967,B100000,00000,0400,0400ACCUM. COST 114967,B100000,00000,0500,0500SQUARE FEET 114967,B100000,00000,0600,0600PAT DAYS 114967,B100000,00000,0700,0700SQUARE FEET 114967,B100000,00000,0800,0800PAT DAYS 114967,B100000,00000,0900,0900NURSING SALARIES 114967,B100000,00000,1000,1000PAT DAYS 114967,B100000,00000,1100,1100PAT DAYS 114967,B100000,00000,1200,1200GROSS REVENUE 114967,B100000,00000,1300,1300PAT DAYS 114967,B100000,00000,1400,1400PAT DAYS 114967,E10A180,00301,0100,05/08/00 114967,E10A180,00501,0100,12/18/00 114967,E10A180,00501,0300,12/18/00 114967,S000000,00100,0200,10/31/00 114967,S200000,00100,0100,1281 STRATFORD ROAD 114967,S200000,00200,0100,AVON PARK 114967,S200000,00200,0200,FL 114967,S200000,00200,0300,33825 114967,S200000,00300,0100,HIGHLANDS 114967,S200000,00300,0200,0003 114967,S200000,00300,0300,R 114967,S200000,00400,0100,ROYAL CARE OF AVON PARK 114967,S200000,00400,0200,105812 114967,S200000,00400,0300,06/01/97 114967,S200000,00400,0500,P 114967,S200000,01500,0100,Y 114967,S200000,01600,0100,N 114967,S200000,01700,0100,N 114967,S200000,01800,0100,N 114967,S200000,02200,0100,N 114967,S200000,02800,0100,N 114967,S200000,02900,0100,N 114967,S200000,03000,0100,N 114967,S200000,03100,0100,N 114967,S200000,03200,0100,N 114967,S200000,03300,0100,N 114967,S200000,03300,0200,N 114967,S200000,04100,0100,N 114967,S200000,04200,0100,N 114967,S200000,04300,0100,Y 114967,S200000,04600,0100,N 114967,S200000,04700,0100,N 114967,S200000,04900,0100,N 114976,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 114976,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 114976,A000000,00300,0000,0300EMPLOYEE BENEFITS 114976,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 114976,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 114976,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 114976,A000000,00700,0000,0700HOUSEKEEPING 114976,A000000,00800,0000,0800DIETARY 114976,A000000,00900,0000,0900NURSING ADMINISTRATION 114976,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 114976,A000000,01100,0000,1100PHARMACY 114976,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 114976,A000000,01300,0000,1300SOCIAL SERVICE 114976,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 114976,A000000,01500,0000,1350ACTIVITIES 114976,A000000,01600,0000,1600SKILLED NURSING FACILITY 114976,A000000,01800,0000,1800NURSING FACILITY 114976,A000000,01810,0000,1810ICF/MR 114976,A000000,02100,0000,2100RADIOLOGY 114976,A000000,02200,0000,2200LABORATORY 114976,A000000,02300,0000,2300INTRAVENOUS THERAPY 114976,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 114976,A000000,02500,0000,2500PHYSICAL THERAPY 114976,A000000,02600,0000,2600OCCUPATIONAL THERAPY 114976,A000000,02700,0000,2700SPEECH PATHOLOGY 114976,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 114976,A000000,02901,0000,2901PEN THERAPY 114976,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 114976,A000000,03300,0000,3050OTHER ANCILLARY 114976,A000000,03301,0000,3051AMBULANCE 114976,A000000,03550,0000,3550FQHC 114976,A000000,05000,0000,5000CORF 114976,A000000,05010,0000,5010CMHC 114976,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 114976,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 114976,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 114976,A000000,05900,0000,5900BARBER & BEAUTY SHOP 114976,A000000,06300,0000,6150COMMUNICATION SALARIES 114976,A81000A,00100,0100,Y 114976,A81000B,00100,0300,HOME OFFICE COSTS 114976,A81000B,00200,0300,ALLOCATED COSTS - PT 114976,A81000B,00300,0300,ALLOCATED COSTS - OT 114976,A81000B,00400,0300,ALLOCATED COSTS - ST 114976,A81000B,00500,0300,REL. PARTY INTEREST 114976,A81000B,00600,0300,LIFE CARE DESIGNS 114976,A81000B,00700,0300,COMPUTER INSTALL. 114976,A81000B,00800,0300,LIFE CARE DESIGNS 114976,A81000C,00100,0100,A 114976,A81000C,00100,0200,FORREST PRESTON 114976,A81000C,00100,0400,LIFE CARE CENTE 114976,A81000C,00100,0600,MANAGEMENT COMP 114976,A81000C,00200,0100,A 114976,A81000C,00200,0200,FORREST PRESTON 114976,A81000C,00200,0400,LIFE CARE DESIG 114976,A81000C,00200,0600,INTERIOR DESIGN 114976,B100000,00000,0100,0100(SQUARE FEET) 114976,B100000,00000,0200,0200(SQUARE FEET) 114976,B100000,00000,0300,0300(GROSS SALARIES) 114976,B100000,00000,0400,0400(ACCUM COST) 114976,B100000,00000,0500,0500(SQUARE FEET) 114976,B100000,00000,0600,0600PATIENT DAYS 114976,B100000,00000,0700,0700(SQUARE FEET) 114976,B100000,00000,0800,0800(MEALS SERVED) 114976,B100000,00000,0900,0900DIR. HOURS SUPERVISED 114976,B100000,00000,1000,1000(COSTED REQUIS) 114976,B100000,00000,1100,1100(COSTED REQUIS) 114976,B100000,00000,1200,1200GROSS REVENUES 114976,B100000,00000,1300,1300TIME SPENT 114976,B100000,00000,1400,1400(ASSIGNED TIME) 114976,B100000,00000,1500,1350PATIENT DAYS 114976,S000000,00100,0200,12/27/00 114976,S200000,00100,0100,1500 FINCHER AVENUE 114976,S200000,00200,0100,EAST RIDGE 114976,S200000,00200,0200,TN 114976,S200000,00200,0300,37412 114976,S200000,00300,0100,H 114976,S200000,00300,0200,1560 114976,S200000,00300,0300,U 114976,S200000,00400,0100,LIFE CARE CENTER OF EAST RIDGE 114976,S200000,00400,0200,445296 114976,S200000,00400,0300,08/01/92 114976,S200000,00400,0400,O 114976,S200000,00400,0500,P 114976,S200000,00400,0600,O 114976,S200000,00600,0200,445296 114976,S200000,00600,0300,08/01/92 114976,S200000,00600,0400,O 114976,S200000,00600,0600,O 114976,S200000,01500,0100,N 114976,S200000,01600,0100,Y 114976,S200000,01700,0100,N 114976,S200000,01800,0100,N 114976,S200000,02200,0100,Y 114976,S200000,02800,0100,N 114976,S200000,02900,0100,N 114976,S200000,03000,0100,N 114976,S200000,03100,0100,N 114976,S200000,03200,0100,N 114976,S200000,03300,0100,N 114976,S200000,03300,0200,N 114976,S200000,04100,0100,N 114976,S200000,04200,0100,N 114976,S200000,04300,0100,N 114976,S200000,04600,0100,N 114976,S200000,04700,0100,N 114976,S200000,04900,0100,N 115000,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115000,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115000,A000000,00300,0000,0300EMPLOYEE BENEFITS 115000,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115000,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115000,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115000,A000000,00700,0000,0700HOUSEKEEPING 115000,A000000,00800,0000,0800DIETARY 115000,A000000,00900,0000,0900NURSING ADMINISTRATION 115000,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115000,A000000,01100,0000,1100PHARMACY 115000,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115000,A000000,01300,0000,1300SOCIAL SERVICE 115000,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115000,A000000,01500,0000,1350OTHER GENERAL SERVICES 115000,A000000,01600,0000,1600SKILLED NURSING FACILITY 115000,A000000,01800,0000,1800NURSING FACILITY 115000,A000000,01810,0000,1810ICF/MR 115000,A000000,02500,0000,2500PHYSICAL THERAPY 115000,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115000,A000000,02700,0000,2700SPEECH PATHOLOGY 115000,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115000,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115000,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115000,A000000,03550,0000,3550FQHC 115000,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115000,A000000,05000,0000,5000CORF 115000,A000000,05010,0000,5010CMHC 115000,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115000,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115000,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115000,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115000,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115000,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115000,A81000A,00100,0100,N 115000,B100000,00000,0100,0100SQUARE FEET 115000,B100000,00000,0200,0200SQUARE FEET 115000,B100000,00000,0300,0300GROSS SALARIES 115000,B100000,00000,0400,0400ACCUM. COST 115000,B100000,00000,0500,0500SQUARE FEET 115000,B100000,00000,0600,0600POUNDS OF LAUNDRY 115000,B100000,00000,0700,0700SQUARE FEET 115000,B100000,00000,0800,0800MEALS SERVED 115000,B100000,00000,0900,0900DIRECT NRSING HRS 115000,B100000,00000,1000,1000COSTED REQUIS. 115000,B100000,00000,1100,1100COSTED REQUIS. 115000,B100000,00000,1200,1200TIME SPENT 115000,B100000,00000,1300,1300TIME SPENT 115000,B100000,00000,1400,1400ASSIGNED TIME 115000,B100000,00000,1500,1350NO STATISTICS 115000,E10A180,00501,0100,05/03/00 115000,E10A180,00501,0300,05/03/00 115000,S000000,00100,0200,03/23/00 115000,S200000,00100,0100,309 SOUTH LA HWY 3 115000,S200000,00200,0100,PLAIN DEALING 115000,S200000,00200,0200,LA 115000,S200000,00300,0100,BOSSIER 115000,S200000,00400,0100,WHISPERING PINES NURSING HOME 115000,S200000,00400,0200,195363 115000,S200000,00400,0300,04/01/96 115000,S200000,00400,0500,P 115000,S200000,01500,0100,N 115000,S200000,01600,0100,Y 115000,S200000,01700,0100,N 115000,S200000,01800,0100,N 115000,S200000,02200,0100,N 115000,S200000,02800,0100,N 115000,S200000,02900,0100,N 115000,S200000,03000,0100,N 115000,S200000,03100,0100,N 115000,S200000,03200,0100,N 115000,S200000,03300,0100,N 115000,S200000,03300,0200,N 115000,S200000,04100,0100,N 115000,S200000,04200,0100,N 115000,S200000,04300,0100,Y 115000,S200000,04600,0100,N 115000,S200000,04700,0100,N 115001,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115001,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115001,A000000,00300,0000,0300EMPLOYEE BENEFITS 115001,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115001,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115001,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115001,A000000,00700,0000,0700HOUSEKEEPING 115001,A000000,00800,0000,0800DIETARY 115001,A000000,00900,0000,0900NURSING ADMINISTRATION 115001,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115001,A000000,01100,0000,1100PHARMACY 115001,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115001,A000000,01300,0000,1300SOCIAL SERVICE 115001,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115001,A000000,01500,0000,1350ACTIVITIES 115001,A000000,01600,0000,1600SKILLED NURSING FACILITY 115001,A000000,01800,0000,1800NURSING FACILITY 115001,A000000,01810,0000,1810ICF/MR 115001,A000000,02300,0000,2300INTRAVENOUS THERAPY 115001,A000000,02500,0000,2500PHYSICAL THERAPY 115001,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115001,A000000,02700,0000,2700SPEECH PATHOLOGY 115001,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115001,A000000,03550,0000,3550FQHC 115001,A000000,05000,0000,5000CORF 115001,A000000,05010,0000,5010CMHC 115001,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115001,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115001,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115001,A81000A,00100,0100,Y 115001,A81000B,00100,0300,FACILITY LEASE 115001,A81000B,00200,0300,DIETARY SUPPLEMENT 115001,A81000C,00100,0100,G 115001,A81000C,00100,0200,GUY SARVER 115001,A81000C,00100,0400,MIMS SARVER 115001,A81000C,00100,0600,TRUST 115001,A81000C,00200,0100,G 115001,A81000C,00200,0200,LONNIE SARVER 115001,A81000C,00200,0400,MIMS SARVER 115001,A81000C,00200,0600,TRUST 115001,A81000C,00300,0100,A 115001,A81000C,00300,0200,GUY SARVER 115001,A81000C,00300,0400,ACADIANA MEDICA 115001,A81000C,00300,0600,MEDICAL SUPPLY 115001,B100000,00000,0100,0100SQ FT 115001,B100000,00000,0200,0200SQ FT 115001,B100000,00000,0300,0300GROSS SAL 115001,B100000,00000,0400,0400ACCUM. COST 115001,B100000,00000,0500,0500SQ FT 115001,B100000,00000,0600,0600POUNDS OF LAUNDRY 115001,B100000,00000,0700,0700SQ FT 115001,B100000,00000,0800,0800MEALS SERVED 115001,B100000,00000,0900,0900DIRECT NURSING HO 115001,B100000,00000,1000,1000C. S. COSTED REQ 115001,B100000,00000,1100,1100BLANK 115001,B100000,00000,1200,1200MED REC TIME SPENT 115001,B100000,00000,1300,1300SOC SERV TIME SPENT 115001,B100000,00000,1400,1400BLANK 115001,B100000,00000,1500,1350ACTIV TIME SPENT 115001,S000000,00100,0200,06/05/00 115001,S200000,00100,0100,408 SOUTHEAST EVANGILINE THWY 115001,S200000,00200,0100,LAFAYETTE 115001,S200000,00200,0200,LA 115001,S200000,00200,0300,70501 115001,S200000,00300,0100,LAFAYETTE 115001,S200000,00400,0100,ACADIANA NURSING HOME 115001,S200000,00400,0200,195468 115001,S200000,00400,0300,04/01/98 115001,S200000,00400,0500,P 115001,S200000,00600,0200,151757 115001,S200000,00600,0300,04/01/98 115001,S200000,00600,0600,O 115001,S200000,01500,0100,N 115001,S200000,01600,0100,Y 115001,S200000,01700,0100,N 115001,S200000,01800,0100,N 115001,S200000,02200,0100,N 115001,S200000,02800,0100,N 115001,S200000,02900,0100,N 115001,S200000,03000,0100,N 115001,S200000,03100,0100,N 115001,S200000,03200,0100,N 115001,S200000,03300,0100,N 115001,S200000,03300,0200,N 115001,S200000,03500,0300,N 115001,S200000,04100,0100,N 115001,S200000,04200,0100,N 115001,S200000,04300,0100,N 115001,S200000,04600,0100,N 115001,S200000,04700,0100,N 115001,S200000,04900,0100,N 115006,S000000,00100,0200,03/02/00 115007,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115007,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115007,A000000,00300,0000,0300EMPLOYEE BENEFITS 115007,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115007,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115007,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115007,A000000,00700,0000,0700HOUSEKEEPING 115007,A000000,00800,0000,0800DIETARY 115007,A000000,00900,0000,0900NURSING ADMINISTRATION 115007,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115007,A000000,01100,0000,1100PHARMACY 115007,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115007,A000000,01300,0000,1300SOCIAL SERVICE 115007,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115007,A000000,01500,0000,1350RECREATION 115007,A000000,01600,0000,1600SKILLED NURSING FACILITY 115007,A000000,01800,0000,1800NURSING FACILITY 115007,A000000,01810,0000,1810ICF/MR 115007,A000000,02100,0000,2100RADIOLOGY 115007,A000000,02200,0000,2200LABORATORY 115007,A000000,02300,0000,2300INTRAVENOUS THERAPY 115007,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115007,A000000,02500,0000,2500PHYSICAL THERAPY 115007,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115007,A000000,02700,0000,2700SPEECH PATHOLOGY 115007,A000000,02800,0000,2800ELECTROCARDIOLOGY 115007,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115007,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115007,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115007,A000000,03550,0000,3550FQHC 115007,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115007,A000000,04800,0000,4800AMBULANCE 115007,A000000,05000,0000,5000CORF 115007,A000000,05010,0000,5010CMHC 115007,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115007,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115007,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115007,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115007,A000000,05300,0000,5300INTEREST EXPENSE 115007,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115007,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115007,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115007,A81000A,00100,0100,Y 115007,A81000B,00100,0300,MANAGEMENT FEES 115007,A81000C,00100,0100,A 115007,A81000C,00100,0200,HEWITT MGT CORP 115007,A81000C,00100,0400,SHELTON LAKES 115007,B100000,00000,0100,0100SQUARE FEET 115007,B100000,00000,0200,0200SQUARE FEET 115007,B100000,00000,0300,0300GROSS SALARIES 115007,B100000,00000,0400,0400ACCUM COST 115007,B100000,00000,0500,0500SQUARE FEET 115007,B100000,00000,0600,0600PATIENT DAYS 115007,B100000,00000,0700,0700SQUARE FEET 115007,B100000,00000,0800,0800PATIENT DAYS 115007,B100000,00000,0900,0900PATIENT DAYS 115007,B100000,00000,1000,1000COSTED REQUIS 115007,B100000,00000,1100,1100PATIENT DAYS 115007,B100000,00000,1200,1200PATIENT DAYS 115007,B100000,00000,1300,1300PATIENT DAYS 115007,B100000,00000,1400,1400ASSIGNED TIME 115007,B100000,00000,1500,1350PATIENT DAYS 115007,E10A180,00550,0100,03/03/00 115007,E10A180,00550,0300,03/03/00 115007,S000000,00100,0200,03/01/00 115007,S200000,00100,0100,172 ROCKY REST ROAD 115007,S200000,00200,0100,SHELTON 115007,S200000,00200,0200,CT 115007,S200000,00200,0300,06484 115007,S200000,00300,0100,FAIRFIELD 115007,S200000,00400,0100,GARDNER HEIGHTS 115007,S200000,00400,0200,075368 115007,S200000,00400,0300,01/01/92 115007,S200000,00400,0500,P 115007,S200000,01500,0100,N 115007,S200000,01600,0100,Y 115007,S200000,01700,0100,N 115007,S200000,01800,0100,N 115007,S200000,01900,0100,501 (C) 3 115007,S200000,02200,0100,N 115007,S200000,02800,0100,N 115007,S200000,02900,0100,N 115007,S200000,03000,0100,N 115007,S200000,03100,0100,N 115007,S200000,03200,0100,N 115007,S200000,03300,0100,N 115007,S200000,03300,0200,N 115007,S200000,04100,0100,N 115007,S200000,04200,0100,Y 115007,S200000,04300,0100,N 115007,S200000,04600,0100,N 115007,S200000,04700,0100,N 115007,S200000,04900,0100,N 115027,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115027,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115027,A000000,00300,0000,0300EMPLOYEE BENEFITS 115027,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115027,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115027,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115027,A000000,00700,0000,0700HOUSEKEEPING 115027,A000000,00800,0000,0800DIETARY 115027,A000000,00900,0000,0900NURSING ADMINISTRATION 115027,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115027,A000000,01100,0000,1100PHARMACY 115027,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115027,A000000,01300,0000,1300SOCIAL SERVICE 115027,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115027,A000000,01600,0000,1600SKILLED NURSING FACILITY 115027,A000000,01800,0000,1800NURSING FACILITY 115027,A000000,01900,0000,1900OTHER LONG TERM CARE 115027,A000000,02100,0000,2100RADIOLOGY 115027,A000000,02200,0000,2200LABORATORY 115027,A000000,02300,0000,2300INTRAVENOUS THERAPY 115027,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115027,A000000,02500,0000,2500PHYSICAL THERAPY 115027,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115027,A000000,02700,0000,2700SPEECH PATHOLOGY 115027,A000000,02800,0000,2800ELECTROCARDIOLOGY 115027,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115027,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115027,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115027,A000000,03200,0000,3200SUPPORT SURFACES 115027,A000000,03400,0000,3400CLINIC 115027,A000000,04800,0000,4800AMBULANCE 115027,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115027,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115027,A000000,05300,0000,5300INTEREST EXPENSE 115027,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115027,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115027,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115027,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115027,A000000,06100,0000,6100NONPAID WORKERS 115027,A000000,06200,0000,6200PATIENTS LAUNDRY 115027,A000000,06300,0000,6150OTHER NONREIMBURSABLE 0 115027,A81000A,00100,0100,Y 115027,A81000B,00100,0300,CAPITAL 115027,A81000B,00200,0300,ADMIN 115027,A81000B,00300,0300,NURSING 115027,A81000C,00100,0100,B 115027,A81000C,00100,0200,MARRIOTT SLS 115027,A81000C,00100,0600,HEALTHCARE 115027,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115027,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115027,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115027,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115027,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115027,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115027,B100000,00000,0800,0800MEALS SERVED :DIETARY 115027,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115027,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115027,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115027,S000000,00100,0200,12/14/00 115027,S200000,00100,0100,23500 CRISTO REY DRIVE 115027,S200000,00200,0100,CUPERTINO 115027,S200000,00200,0200,CA 115027,S200000,00200,0300,95014- 115027,S200000,00300,0100,SANTA CLARA 115027,S200000,00300,0200,7400 115027,S200000,00300,0300,U 115027,S200000,00400,0100,THE FORUM AT RANCHO SAN ANTONIO 115027,S200000,00400,0200,555524 115027,S200000,00400,0300,09/01/98 115027,S200000,00400,0500,P 115027,S200000,01500,0100,Y 115027,S200000,01600,0100,N 115027,S200000,01700,0100,N 115027,S200000,01800,0100,N 115027,S200000,02200,0100,N 115027,S200000,02800,0100,N 115027,S200000,02900,0100,N 115027,S200000,03000,0100,N 115027,S200000,03100,0100,N 115027,S200000,03200,0100,N 115027,S200000,04100,0100,N 115027,S200000,04200,0100,N 115027,S200000,04300,0100,N 115027,S200000,04600,0100,N 115027,S200000,04700,0100,N 115027,S200000,04700,0200,N 115027,S200000,04900,0100,N 115027,S200000,05000,0100,N 115027,S200000,05100,0100,N 115027,S200000,05200,0100,N 115039,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115039,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115039,A000000,00300,0000,0300EMPLOYEE BENEFITS 115039,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115039,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115039,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115039,A000000,00700,0000,0700HOUSEKEEPING 115039,A000000,00800,0000,0800DIETARY 115039,A000000,00900,0000,0900NURSING ADMINISTRATION 115039,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115039,A000000,01100,0000,1100PHARMACY 115039,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115039,A000000,01300,0000,1300SOCIAL SERVICE 115039,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115039,A000000,01600,0000,1600SKILLED NURSING FACILITY 115039,A000000,01800,0000,1800NURSING FACILITY 115039,A000000,01900,0000,1900OTHER LONG TERM CARE 115039,A000000,02100,0000,2100RADIOLOGY 115039,A000000,02200,0000,2200LABORATORY 115039,A000000,02300,0000,2300INTRAVENOUS THERAPY 115039,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115039,A000000,02500,0000,2500PHYSICAL THERAPY 115039,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115039,A000000,02700,0000,2700SPEECH PATHOLOGY 115039,A000000,02800,0000,2800ELECTROCARDIOLOGY 115039,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115039,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115039,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115039,A000000,03200,0000,3200SUPPORT SURFACES 115039,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 115039,A000000,03400,0000,3400CLINIC 115039,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115039,A000000,04800,0000,4800AMBULANCE 115039,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115039,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115039,A000000,05300,0000,5300INTEREST EXPENSE 115039,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115039,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115039,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115039,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115039,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115039,A000000,06100,0000,6100NONPAID WORKERS 115039,A000000,06200,0000,6200PATIENTS LAUNDRY 115039,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115039,A81000A,00100,0100,N 115039,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115039,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115039,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115039,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115039,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115039,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115039,B100000,00000,0800,0800MEALS SERVED :DIETARY 115039,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 115039,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 115039,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115039,E10A180,00550,0100,12/27/00 115039,E10A180,00601,0100,04/25/02 115039,S000000,00100,0200,12/27/00 115039,S200000,00100,0100,450 EAST FULTON STREET 115039,S200000,00200,0100,PAXTON 115039,S200000,00200,0200,IL 115039,S200000,00200,0300,60957- 115039,S200000,00300,0100,FORD 115039,S200000,00300,0200,14 115039,S200000,00300,0300,R 115039,S200000,00400,0100,ILLINOIS KNIGHTS TEMPLAR HOME 115039,S200000,00400,0200,145449 115039,S200000,00400,0300,01/01/80 115039,S200000,00400,0500,P 115039,S200000,01500,0100,N 115039,S200000,01600,0100,Y 115039,S200000,01700,0100,N 115039,S200000,01800,0100,N 115039,S200000,02200,0100,N 115039,S200000,02800,0100,N 115039,S200000,02900,0100,N 115039,S200000,03000,0100,N 115039,S200000,03100,0100,N 115039,S200000,03200,0100,N 115039,S200000,04100,0100,N 115039,S200000,04200,0100,N 115039,S200000,04300,0100,N 115039,S200000,04600,0100,N 115039,S200000,04700,0100,N 115039,S200000,04700,0200,N 115039,S200000,04900,0100,N 115039,S200000,05000,0100,N 115039,S200000,05100,0100,N 115039,S200000,05200,0100,N 115040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115040,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115040,A000000,00300,0000,0300EMPLOYEE BENEFITS 115040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115040,A000000,00700,0000,0700HOUSEKEEPING 115040,A000000,00800,0000,0800DIETARY 115040,A000000,00900,0000,0900NURSING ADMINISTRATION 115040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115040,A000000,01100,0000,1100PHARMACY 115040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115040,A000000,01300,0000,1300SOCIAL SERVICE 115040,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115040,A000000,01500,0000,1350OTHER GENERAL SERVICES 115040,A000000,01600,0000,1600SKILLED NURSING FACILITY 115040,A000000,01800,0000,1800NURSING FACILITY 115040,A000000,01810,0000,1810ICF/MR 115040,A000000,01900,0000,1900OTHER LONG TERM CARE 115040,A000000,02100,0000,2100RADIOLOGY 115040,A000000,02200,0000,2200LABORATORY 115040,A000000,02300,0000,2300INTRAVENOUS THERAPY 115040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115040,A000000,02500,0000,2500PHYSICAL THERAPY 115040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115040,A000000,02700,0000,2700SPEECH PATHOLOGY 115040,A000000,02800,0000,2800ELECTROCARDIOLOGY 115040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115040,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115040,A000000,03200,0000,3200SUPPORT SURFACES 115040,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115040,A000000,03400,0000,3400CLINIC 115040,A000000,03500,0000,3500RURAL HEALTH CLINIC 115040,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115040,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115040,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115040,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115040,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115040,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115040,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115040,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115040,A000000,04400,0000,4400DME RENTED - HHA 115040,A000000,04500,0000,4500DME SOLD - HHA 115040,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115040,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115040,A000000,04800,0000,4800AMBULANCE 115040,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115040,A000000,05000,0000,5000CORF 115040,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115040,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115040,A000000,05300,0000,5300INTEREST EXPENSE 115040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115040,A000000,05500,0000,5500HOSPICE 115040,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115040,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115040,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115040,A000000,06100,0000,6100NONPAID WORKERS 115040,A000000,06200,0000,6200PATIENTS LAUNDRY 115040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115040,A81000A,00100,0100,Y 115040,A81000B,00100,0300,HOME OFFICE COST 115040,A81000B,00200,0300,MANAGEMENT FEES 115040,A81000C,00100,0100,B 115040,A81000C,00100,0200,AMERICAN HEALTH FOUNDATIO 115040,A81000C,00100,0400,AHF HOME OFFICE 115040,A81000C,00100,0600,HOME OFFICE 115040,A81000C,00200,0100,B 115040,A81000C,00200,0200,AMERICAN HEATLH FOUNDA. 115040,A81000C,00200,0400,AHR MANAGEMENT 115040,A81000C,00200,0600,MANAGEMENT SERVICES 115040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115040,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115040,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115040,B100000,00000,0800,0800MEALS SERVED :DIETARY 115040,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 115040,B100000,00000,1000,1050PATINET DAYS :CENTRAL SERVICES 115040,B100000,00000,1200,1250PATINET DAYS :MEDICAL RECORDS & 115040,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 115040,E10A180,00601,0100,04/25/02 115040,E10A180,00601,0300,04/25/02 115040,S000000,00100,0200,12/05/00 115040,S200000,00100,0100,455 31ST STREET 115040,S200000,00200,0100,MARION 115040,S200000,00200,0200,IA 115040,S200000,00200,0300,52302- 115040,S200000,00300,0100,LINN 115040,S200000,00300,0200,1360 115040,S200000,00300,0300,U 115040,S200000,00400,0100,AHF KY/IA DBA WILLOW GARGENS 115040,S200000,00400,0200,165171 115040,S200000,00400,0300,07/01/92 115040,S200000,00400,0500,P 115040,S200000,01500,0100,N 115040,S200000,01600,0100,Y 115040,S200000,01700,0100,N 115040,S200000,01800,0100,N 115040,S200000,02200,0100,N 115040,S200000,02800,0100,N 115040,S200000,02900,0100,N 115040,S200000,03000,0100,N 115040,S200000,03100,0100,N 115040,S200000,03200,0100,N 115040,S200000,04100,0100,N 115040,S200000,04200,0100,N 115040,S200000,04300,0100,N 115040,S200000,04600,0100,N 115040,S200000,04700,0100,N 115040,S200000,04700,0200,N 115040,S200000,04900,0100,N 115040,S200000,05000,0100,N 115040,S200000,05100,0100,N 115040,S200000,05200,0100,N 115043,S000000,00100,0200,09/20/00 115081,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115081,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115081,A000000,00300,0000,0300EMPLOYEE BENEFITS 115081,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115081,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115081,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115081,A000000,00700,0000,0700HOUSEKEEPING 115081,A000000,00800,0000,0800DIETARY 115081,A000000,00900,0000,0900NURSING ADMINISTRATION 115081,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115081,A000000,01100,0000,1100PHARMACY 115081,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115081,A000000,01300,0000,1300SOCIAL SERVICE 115081,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115081,A000000,01500,0000,1350OTHER GENERAL SERVICES 115081,A000000,01600,0000,1600SKILLED NURSING FACILITY 115081,A000000,01800,0000,1800NURSING FACILITY 115081,A000000,01810,0000,1810ICF/MR 115081,A000000,01900,0000,1900OTHER LONG TERM CARE 115081,A000000,02100,0000,2100RADIOLOGY 115081,A000000,02200,0000,2200LABORATORY 115081,A000000,02300,0000,2300INTRAVENOUS THERAPY 115081,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115081,A000000,02500,0000,2500PHYSICAL THERAPY 115081,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115081,A000000,02700,0000,2700SPEECH PATHOLOGY 115081,A000000,02800,0000,2800ELECTROCARDIOLOGY 115081,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115081,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115081,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115081,A000000,03200,0000,3200SUPPORT SURFACES 115081,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115081,A000000,03400,0000,3400CLINIC 115081,A000000,03500,0000,3500RURAL HEALTH CLINIC 115081,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115081,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115081,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115081,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115081,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115081,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115081,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115081,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115081,A000000,04400,0000,4400DME RENTED - HHA 115081,A000000,04500,0000,4500DME SOLD - HHA 115081,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115081,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115081,A000000,04800,0000,4800AMBULANCE 115081,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115081,A000000,05000,0000,5000CORF 115081,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115081,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115081,A000000,05300,0000,5300INTEREST EXPENSE 115081,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115081,A000000,05500,0000,5500HOSPICE 115081,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115081,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115081,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115081,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115081,A000000,06100,0000,6100NONPAID WORKERS 115081,A000000,06200,0000,6200PATIENTS LAUNDRY 115081,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115081,A81000A,00100,0100,Y 115081,A81000B,00100,0300,COMPUTER USER FEES 115081,A81000B,00200,0300,MANAGEMENT FEES 115081,A81000C,00100,0100,B 115081,A81000C,00100,0200,ST CATHERINES LIVING CENT 115081,A81000C,00100,0400,BENEDICTINE LIVING COMMUN 115081,A81000C,00100,0600,MANAGEMENT CONSULTING 115081,A81000C,00200,0100,B 115081,A81000C,00200,0200,ST CATHERINES LIVING CENT 115081,A81000C,00200,0400,BHS - DULUTH 115081,A81000C,00200,0600,MANAGEMENT CONSULTING 115081,A81000C,00300,0100,B 115081,A81000C,00300,0200,ST CATHERINES LIVING CENT 115081,A81000C,00300,0400,BHS - CAMBRIDGE 115081,A81000C,00300,0600,MANAGEMENT CONSULTING 115081,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115081,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115081,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115081,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115081,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115081,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 115081,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115081,B100000,00000,0800,0800MEALS SERVED :DIETARY 115081,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 115081,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 115081,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 115081,H510100,00000,0000,7553 115081,H710000,00501,0100,03/01/01 115081,H710000,00501,0300,03/01/01 115081,S000000,00100,0200,01/15/01 115081,S200000,00100,0100,1307 NORTH SEVENTH STREET 115081,S200000,00200,0100,WAHPETON 115081,S200000,00200,0200,ND 115081,S200000,00200,0300,58075- 115081,S200000,00300,0100,RICHLAND 115081,S200000,00300,0200,0035 115081,S200000,00300,0300,R 115081,S200000,00400,0100,ST CATHERINE S LIVING CENTER 115081,S200000,00400,0200,355033 115081,S200000,00400,0300,12/01/81 115081,S200000,00400,0500,P 115081,S200000,00400,0600,O 115081,S200000,00800,0200,357059 115081,S200000,00800,0300,04/17/97 115081,S200000,00800,0500,O 115081,S200000,01500,0100,N 115081,S200000,01600,0100,Y 115081,S200000,01700,0100,N 115081,S200000,01800,0100,N 115081,S200000,02200,0100,N 115081,S200000,02800,0100,N 115081,S200000,02900,0100,N 115081,S200000,03000,0100,N 115081,S200000,03100,0100,N 115081,S200000,03200,0100,N 115081,S200000,04100,0100,N 115081,S200000,04200,0100,N 115081,S200000,04300,0100,N 115081,S200000,04600,0100,N 115081,S200000,04700,0100,N 115081,S200000,04700,0200,N 115081,S200000,04900,0100,N 115081,S200000,05000,0100,N 115081,S200000,05100,0100,N 115081,S200000,05200,0100,N 115081,S410002,01700,0100,4885531104917553 115084,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115084,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115084,A000000,00300,0000,0300EMPLOYEE BENEFITS 115084,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115084,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115084,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115084,A000000,00700,0000,0700HOUSEKEEPING 115084,A000000,00800,0000,0800DIETARY 115084,A000000,00900,0000,0900NURSING ADMINISTRATION 115084,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115084,A000000,01100,0000,1100PHARMACY 115084,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115084,A000000,01300,0000,1300SOCIAL SERVICE 115084,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115084,A000000,01401,0000,1401INTERNS & RESIDENTS (APPRVD PROG 115084,A000000,01500,0000,1350OTHER GENERAL SERVICES 115084,A000000,01600,0000,1600SKILLED NURSING FACILITY 115084,A000000,01800,0000,1800NURSING FACILITY 115084,A000000,01810,0000,1810ICF/MR 115084,A000000,01900,0000,1900OTHER LONG TERM CARE 115084,A000000,02100,0000,2100RADIOLOGY 115084,A000000,02200,0000,2200LABORATORY 115084,A000000,02300,0000,2300INTRAVENOUS THERAPY 115084,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115084,A000000,02500,0000,2500PHYSICAL THERAPY 115084,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115084,A000000,02700,0000,2700SPEECH PATHOLOGY 115084,A000000,02800,0000,2800ELECTROCARDIOLOGY 115084,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115084,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115084,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115084,A000000,03200,0000,3200SUPPORT SURFACES 115084,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115084,A000000,03400,0000,3400CLINIC 115084,A000000,03500,0000,3500RURAL HEALTH CLINIC 115084,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115084,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115084,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115084,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115084,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115084,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115084,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115084,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115084,A000000,04400,0000,4400DME RENTED - HHA 115084,A000000,04500,0000,4500DME SOLD - HHA 115084,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115084,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115084,A000000,04800,0000,4800AMBULANCE 115084,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115084,A000000,05000,0000,5000CORF 115084,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115084,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115084,A000000,05300,0000,5300INTEREST EXPENSE 115084,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115084,A000000,05500,0000,5500HOSPICE 115084,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115084,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115084,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115084,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115084,A000000,06100,0000,6100NONPAID WORKERS 115084,A000000,06200,0000,6200PATIENTS LAUNDRY 115084,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115084,A81000A,00100,0100,Y 115084,A81000B,00100,0300,CENTRAL OFFICE-BHS-CAMBRIDG-MGMT FEE 115084,A81000B,00200,0300,CENTRAL OFFICE-BHS-CAMBRIDG-MGMT FEE 115084,A81000B,00300,0300,CENTRAL OFFICE-BHS-CAMBRIDG-MGMT FEE 115084,A81000B,00400,0300,NURSE CONSULTING 115084,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 115084,A81000B,00600,0300,COMPUTER USER FEES 115084,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 115084,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 115084,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 115084,A81000C,00100,0100,G 115084,A81000C,00100,0200,BHS - CAMBRIDGE 115084,A81000C,00100,0400,BHS - DULUTH 115084,A81000C,00100,0600,MANAGEMENT SERVICES 115084,A81000C,00200,0100,G 115084,A81000C,00200,0200,BHS - DULUTH 115084,A81000C,00200,0400,BHS - DULUTH 115084,A81000C,00200,0600,MANAGEMENT SERVICES 115084,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115084,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115084,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115084,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115084,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115084,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 115084,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115084,B100000,00000,0800,0800MEALS SERVED :DIETARY 115084,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 115084,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 115084,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 115084,E10A180,00501,0100,02/19/01 115084,S000000,00100,0200,01/23/01 115084,S200000,00100,0100,7700 GRAND AVENUE 115084,S200000,00200,0100,DULUTH 115084,S200000,00200,0200,MN 115084,S200000,00200,0300,55807- 115084,S200000,00300,0100,ST. LOUIS 115084,S200000,00300,0200,2240 115084,S200000,00300,0300,U 115084,S200000,00400,0100,BCC DBA: LAKE HAVEN MANOR 115084,S200000,00400,0200,245483 115084,S200000,00400,0300,05/01/87 115084,S200000,00400,0500,P 115084,S200000,01500,0100,Y 115084,S200000,01600,0100,N 115084,S200000,01700,0100,N 115084,S200000,01800,0100,N 115084,S200000,02200,0100,N 115084,S200000,02800,0100,N 115084,S200000,02900,0100,N 115084,S200000,03000,0100,N 115084,S200000,03100,0100,N 115084,S200000,03200,0100,N 115084,S200000,04100,0100,N 115084,S200000,04200,0100,N 115084,S200000,04300,0100,N 115084,S200000,04600,0100,N 115084,S200000,04700,0100,N 115084,S200000,04700,0200,N 115084,S200000,04900,0100,N 115084,S200000,05000,0100,N 115084,S200000,05100,0100,N 115084,S200000,05200,0100,N 115086,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115086,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115086,A000000,00300,0000,0300EMPLOYEE BENEFITS 115086,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115086,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115086,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115086,A000000,00700,0000,0700HOUSEKEEPING 115086,A000000,00800,0000,0800DIETARY 115086,A000000,00900,0000,0900NURSING ADMINISTRATION 115086,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115086,A000000,01100,0000,1100PHARMACY 115086,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115086,A000000,01300,0000,1300SOCIAL SERVICE 115086,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115086,A000000,01500,0000,1350OTHER GENERAL SERVICES 115086,A000000,01600,0000,1600SKILLED NURSING FACILITY 115086,A000000,01800,0000,1800NURSING FACILITY 115086,A000000,01810,0000,1810ICF/MR 115086,A000000,01900,0000,1900OTHER LONG TERM CARE 115086,A000000,02100,0000,2100RADIOLOGY 115086,A000000,02200,0000,2200LABORATORY 115086,A000000,02300,0000,2300INTRAVENOUS THERAPY 115086,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115086,A000000,02500,0000,2500PHYSICAL THERAPY 115086,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115086,A000000,02700,0000,2700SPEECH PATHOLOGY 115086,A000000,02800,0000,2800ELECTROCARDIOLOGY 115086,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115086,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115086,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115086,A000000,03200,0000,3200SUPPORT SURFACES 115086,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115086,A000000,03400,0000,3400CLINIC 115086,A000000,03500,0000,3500RURAL HEALTH CLINIC 115086,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115086,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115086,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115086,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115086,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115086,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115086,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115086,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115086,A000000,04400,0000,4400DME RENTED - HHA 115086,A000000,04500,0000,4500DME SOLD - HHA 115086,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115086,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115086,A000000,04800,0000,4800AMBULANCE 115086,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115086,A000000,05000,0000,5000CORF 115086,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115086,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115086,A000000,05300,0000,5300INTEREST EXPENSE 115086,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115086,A000000,05500,0000,5500HOSPICE 115086,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115086,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115086,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115086,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115086,A000000,06100,0000,6100NONPAID WORKERS 115086,A000000,06200,0000,6200PATIENTS LAUNDRY 115086,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115086,A81000A,00100,0100,Y 115086,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 115086,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 115086,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 115086,A81000B,00400,0300,NURSE CONSULTING 115086,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 115086,A81000B,00600,0300,COMPUTER USER FEES 115086,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 115086,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 115086,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 115086,A81000C,00100,0100,G 115086,A81000C,00100,0200,BENEDICTINE HEALTH-CAMBRI 115086,A81000C,00100,0400,BHS - DULUTH 115086,A81000C,00100,0600,MANAGEMENT SERVICES 115086,A81000C,00200,0100,G 115086,A81000C,00200,0200,BENEDICTINE HEALTH-DULUTH 115086,A81000C,00200,0400,BHS - DULUTH 115086,A81000C,00200,0600,MANAGEMENT SERVICES 115086,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115086,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115086,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115086,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115086,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115086,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 115086,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115086,B100000,00000,0800,0800MEALS SERVED :DIETARY 115086,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 115086,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 115086,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 115086,S000000,00100,0200,01/08/01 115086,S200000,00100,0100,551 FOURTH STREET NORTH 115086,S200000,00200,0100,WINSTED 115086,S200000,00200,0200,MN 115086,S200000,00200,0300,55395- 115086,S200000,00300,0100,MCLEOD 115086,S200000,00300,0200,0024 115086,S200000,00300,0300,R 115086,S200000,00400,0100,ST. MARY S SENIOR LIVING CENTER OF W 115086,S200000,00400,0200,245459 115086,S200000,00400,0300,07/01/76 115086,S200000,00400,0500,P 115086,S200000,01004,0500,O 115086,S200000,01500,0100,Y 115086,S200000,01600,0100,N 115086,S200000,01700,0100,N 115086,S200000,01800,0100,N 115086,S200000,02200,0100,N 115086,S200000,02800,0100,N 115086,S200000,02900,0100,N 115086,S200000,03000,0100,N 115086,S200000,03100,0100,N 115086,S200000,03200,0100,N 115086,S200000,04100,0100,N 115086,S200000,04200,0100,N 115086,S200000,04300,0100,N 115086,S200000,04600,0100,N 115086,S200000,04700,0100,N 115086,S200000,04700,0200,N 115086,S200000,04900,0100,N 115086,S200000,05000,0100,N 115086,S200000,05100,0100,N 115086,S200000,05200,0100,N 115096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115096,A000000,00700,0000,0700HOUSEKEEPING 115096,A000000,00800,0000,0800DIETARY 115096,A000000,01300,0000,1300SOCIAL SERVICE 115096,A000000,01600,0000,1600SKILLED NURSING FACILITY 115096,A000000,02200,0000,2200LABORATORY 115096,A000000,02501,0000,3051THERAPIES 115096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115096,A000000,04800,0000,4800AMBULANCE 115096,A81000A,00100,0100,N 115096,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115096,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115096,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115096,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115096,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115096,B100000,00000,0800,0800MEALS SERVED :DIETARY 115096,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 115096,E10A180,00501,0100,01/11/01 115096,E10A180,00550,0300,01/11/01 115096,S000000,00100,0200,11/28/00 115096,S200000,00100,0100,1021 N. 26TH STREET 115096,S200000,00200,0100,BISMARCK 115096,S200000,00200,0200,ND 115096,S200000,00200,0300,58501- 115096,S200000,00300,0100,BURLEIGH 115096,S200000,00300,0300,U 115096,S200000,00400,0100,ST VINCENT S CARE CENTER 115096,S200000,00400,0200,355060 115096,S200000,00400,0300,07/01/78 115096,S200000,00400,0500,P 115096,S200000,01500,0100,Y 115096,S200000,01600,0100,N 115096,S200000,01700,0100,N 115096,S200000,01800,0100,N 115096,S200000,02200,0100,N 115096,S200000,02800,0100,Y 115096,S200000,02900,0100,N 115096,S200000,03000,0100,N 115096,S200000,03100,0100,N 115096,S200000,03200,0100,N 115096,S200000,04100,0100,N 115096,S200000,04200,0100,N 115096,S200000,04300,0100,N 115096,S200000,04600,0100,N 115096,S200000,04700,0100,N 115096,S200000,04700,0200,N 115096,S200000,04900,0100,N 115096,S200000,05000,0100,N 115096,S200000,05100,0100,N 115096,S200000,05200,0100,N 115118,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115118,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115118,A000000,00300,0000,0300EMPLOYEE BENEFITS 115118,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115118,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115118,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115118,A000000,00700,0000,0700HOUSEKEEPING 115118,A000000,00800,0000,0800DIETARY 115118,A000000,00900,0000,0900NURSING ADMINISTRATION 115118,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115118,A000000,01100,0000,1100PHARMACY 115118,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115118,A000000,01300,0000,1300SOCIAL SERVICE 115118,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115118,A000000,01500,0000,1350RECREATIONAL ACTIVITY 115118,A000000,01600,0000,1600SKILLED NURSING FACILITY 115118,A000000,01800,0000,1800NURSING FACILITY 115118,A000000,01810,0000,1810ICF/MR 115118,A000000,01900,0000,1900OTHER LONG TERM CARE 115118,A000000,02100,0000,2100RADIOLOGY 115118,A000000,02200,0000,2200LABORATORY 115118,A000000,02300,0000,2300INTRAVENOUS THERAPY 115118,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115118,A000000,02500,0000,2500PHYSICAL THERAPY 115118,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115118,A000000,02700,0000,2700SPEECH PATHOLOGY 115118,A000000,02800,0000,2800ELECTROCARDIOLOGY 115118,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115118,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115118,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115118,A000000,03200,0000,3200SUPPORT SURFACES 115118,A000000,03300,0000,3050AMBULANCE 115118,A000000,03400,0000,3400CLINIC 115118,A000000,03500,0000,3500RURAL HEALTH CLINIC 115118,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115118,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115118,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115118,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115118,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115118,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115118,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115118,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115118,A000000,04400,0000,4400DME RENTED - HHA 115118,A000000,04500,0000,4500DME SOLD - HHA 115118,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115118,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115118,A000000,04800,0000,4800AMBULANCE 115118,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115118,A000000,05000,0000,5000CORF 115118,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115118,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115118,A000000,05300,0000,5300INTEREST EXPENSE 115118,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115118,A000000,05500,0000,5500HOSPICE 115118,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115118,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115118,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115118,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115118,A000000,06100,0000,6100NONPAID WORKERS 115118,A000000,06200,0000,6200PATIENTS LAUNDRY 115118,A000000,06300,0000,6150MANOR 115118,A000000,06301,0000,6151MARKETING 115118,A81000A,00100,0100,N 115118,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115118,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115118,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115118,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115118,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115118,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115118,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115118,B100000,00000,0800,0800MEALS SERVED :DIETARY 115118,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 115118,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 115118,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115118,B100000,00000,1500,1350PATIENT DAYS :RECREATIONAL ACTI 115118,S000000,00100,0200,11/30/00 115118,S200000,00100,0100,141 SOUTH MAIN ST 115118,S200000,00200,0100,BOONSBORO 115118,S200000,00200,0200,MD 115118,S200000,00200,0300,21713- 115118,S200000,00300,0100,WASHINGTON 115118,S200000,00300,0200,3180 115118,S200000,00300,0300,U 115118,S200000,00400,0100,REEDERS MEMORIAL 115118,S200000,00400,0200,215144 115118,S200000,00400,0300,04/01/83 115118,S200000,00400,0500,P 115118,S200000,01004,0500,O 115118,S200000,01500,0100,Y 115118,S200000,01600,0100,N 115118,S200000,01700,0100,N 115118,S200000,01800,0100,N 115118,S200000,02200,0100,N 115118,S200000,02800,0100,N 115118,S200000,02900,0100,N 115118,S200000,03000,0100,N 115118,S200000,03100,0100,N 115118,S200000,03200,0100,N 115118,S200000,04100,0100,N 115118,S200000,04200,0100,N 115118,S200000,04300,0100,N 115118,S200000,04600,0100,N 115118,S200000,04700,0100,N 115118,S200000,04700,0200,N 115118,S200000,04900,0100,N 115118,S200000,05000,0100,N 115118,S200000,05100,0100,N 115118,S200000,05200,0100,N 115142,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115142,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115142,A000000,00300,0000,0300EMPLOYEE BENEFITS 115142,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115142,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115142,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115142,A000000,00700,0000,0700HOUSEKEEPING 115142,A000000,00800,0000,0800DIETARY 115142,A000000,00900,0000,0900NURSING ADMINISTRATION 115142,A000000,01600,0000,1600SKILLED NURSING FACILITY 115142,A000000,02500,0000,2500PHYSICAL THERAPY 115142,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115142,A000000,02700,0000,2700SPEECH PATHOLOGY 115142,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115142,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115142,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115142,A000000,06300,0000,6150MEALS ON WHEELS 115142,A81000A,00100,0100,Y 115142,A81000B,00100,0300,ADMIN COST FROM FRANCISCAN 115142,A81000C,00100,0100,A 115142,A81000C,00100,0200,FRANCISCAN 115142,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115142,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115142,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115142,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115142,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115142,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115142,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 115142,B100000,00000,0800,0800MEALS SERVED :DIETARY 115142,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 115142,S000000,00100,0200,01/08/01 115142,S200000,00100,0100,300 NORTH DOW STREET 115142,S200000,00200,0100,CANNON FALLS 115142,S200000,00200,0200,MN 115142,S200000,00200,0300,55009-1899 115142,S200000,00300,0100,GOODHUE 115142,S200000,00300,0200,0024 115142,S200000,00300,0300,R 115142,S200000,00400,0100,OUR LADY OF THE ANGELS CARE CENTER 115142,S200000,00400,0200,245304 115142,S200000,00400,0300,07/12/96 115142,S200000,00400,0500,P 115142,S200000,01500,0100,Y 115142,S200000,01600,0100,N 115142,S200000,01700,0100,N 115142,S200000,01800,0100,N 115142,S200000,02200,0100,N 115142,S200000,02800,0100,N 115142,S200000,02900,0100,N 115142,S200000,03000,0100,N 115142,S200000,03100,0100,N 115142,S200000,03200,0100,N 115142,S200000,04100,0100,N 115142,S200000,04200,0100,N 115142,S200000,04300,0100,N 115142,S200000,04600,0100,N 115142,S200000,04700,0100,N 115142,S200000,04700,0200,N 115142,S200000,04900,0100,N 115142,S200000,05000,0100,N 115142,S200000,05100,0100,N 115142,S200000,05200,0100,N 115187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115187,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115187,A000000,00300,0000,0300EMPLOYEE BENEFITS 115187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115187,A000000,00700,0000,0700HOUSEKEEPING 115187,A000000,00800,0000,0800DIETARY 115187,A000000,00900,0000,0900NURSING ADMINISTRATION 115187,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115187,A000000,01100,0000,1100PHARMACY 115187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115187,A000000,01300,0000,1300SOCIAL SERVICE 115187,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115187,A000000,01500,0000,1350ACTIVITIES 115187,A000000,01600,0000,1600SKILLED NURSING FACILITY 115187,A000000,01800,0000,1800NURSING FACILITY 115187,A000000,01810,0000,1810ICF/MR 115187,A000000,02100,0000,2100RADIOLOGY 115187,A000000,02200,0000,2200LABORATORY 115187,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115187,A000000,02500,0000,2500PHYSICAL THERAPY 115187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115187,A000000,02700,0000,2700SPEECH PATHOLOGY 115187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115187,A000000,03200,0000,3200SUPPORT SURFACES 115187,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115187,A000000,03550,0000,3550FQHC 115187,A000000,05000,0000,5000CORF 115187,A000000,05010,0000,5010CMHC 115187,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115187,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115187,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115187,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115187,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115187,A000000,06200,0000,6200PATIENTS LAUNDRY 115187,A81000A,00100,0100,Y 115187,A81000B,00100,0300,HOME OFFICE EXPENSES 115187,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 115187,A81000B,00300,0300,RENT EXPENSE 115187,A81000B,00400,0300,DEPRECIATION EXPENSE 115187,A81000C,00100,0100,A 115187,A81000C,00100,0200,SAM KLURMAN 115187,A81000C,00100,0400,GANOT CORPORATION 115187,A81000C,00100,0600,REAL ESTATE DEVELOPM 115187,A81000C,00200,0100,B 115187,A81000C,00200,0200,GANOT CORPORATION 115187,A81000C,00200,0400,AVANTE GROUP INC. 115187,A81000C,00200,0600,NURSING HOME MGMT 115187,A81000C,00300,0100,B 115187,A81000C,00300,0200,AVANTE GROUP INC. 115187,A81000C,00300,0400,PROGRESSIVE THERAPY 115187,A81000C,00300,0600,THERAPY MGMT 115187,A81000C,00400,0100,B 115187,A81000C,00400,0200,AVANTE GROUP INC. 115187,A81000C,00400,0400,AVANTE ANCILLARY SRV 115187,A81000C,00400,0600,MEDICARE PT.B SRVCS 115187,A81000C,00500,0100,B 115187,A81000C,00500,0200,AVANTE GROUP INC. 115187,A81000C,00500,0400,HELATHQUEST 115187,A81000C,00500,0600,TEMPORARY STAFFING 115187,A81000C,00600,0100,B 115187,A81000C,00600,0200,AVANTE GROUP INC. 115187,A81000C,00600,0400,AVANTE CHILD CARE & 115187,A81000C,00600,0600,DAY CARE 115187,B100000,00000,0100,0100SQUARE FEET 115187,B100000,00000,0200,0200SQUARE FEET 115187,B100000,00000,0300,0300GROSS SALARIES 115187,B100000,00000,0400,0400ACCUM. COST 115187,B100000,00000,0500,0500SQUARE FEET 115187,B100000,00000,0600,0600PATIENT DAYS 115187,B100000,00000,0700,0700SQUARE FEET 115187,B100000,00000,0800,0800PATIENT DAYS 115187,B100000,00000,0900,0900PATIENT ADMISSIONS 115187,B100000,00000,1000,1000PATIENT DAYS 115187,B100000,00000,1100,1100COSTED REQUIS 115187,B100000,00000,1200,1200PATIENT ADMISSIONS 115187,B100000,00000,1300,1300PATIENT ADMISSIONS 115187,B100000,00000,1400,1400ASSIGNED TIME 115187,B100000,00000,1500,1350PATIENT DAYS 115187,E10A180,00501,0100,12/21/00 115187,S000000,00100,0200,11/01/00 115187,S200000,00100,0100,2000 EDGEWOOD AVENUE 115187,S200000,00200,0100,LEESBURG 115187,S200000,00200,0200,FL 115187,S200000,00300,0200,5960 115187,S200000,00300,0300,U 115187,S200000,00400,0100,AVANTE AT LEESBURG INC. 115187,S200000,00400,0200,105304 115187,S200000,00400,0300,10/01/80 115187,S200000,00400,0500,P 115187,S200000,01500,0100,Y 115187,S200000,01600,0100,N 115187,S200000,01700,0100,N 115187,S200000,01800,0100,N 115187,S200000,02200,0100,N 115187,S200000,02800,0100,N 115187,S200000,02900,0100,N 115187,S200000,03000,0100,N 115187,S200000,03100,0100,N 115187,S200000,03200,0100,N 115187,S200000,03300,0100,N 115187,S200000,03300,0200,N 115187,S200000,04100,0100,N 115187,S200000,04200,0100,N 115187,S200000,04300,0100,N 115187,S200000,04600,0100,N 115187,S200000,04700,0100,N 115187,S200000,04900,0100,N 115187,S200000,05000,0100,N 115187,S200000,05100,0100,N 115187,S200000,05200,0100,N 115188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115188,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115188,A000000,00300,0000,0300EMPLOYEE BENEFITS 115188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115188,A000000,00700,0000,0700HOUSEKEEPING 115188,A000000,00800,0000,0800DIETARY 115188,A000000,00900,0000,0900NURSING ADMINISTRATION 115188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115188,A000000,01100,0000,1100PHARMACY 115188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115188,A000000,01300,0000,1300SOCIAL SERVICE 115188,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115188,A000000,01500,0000,1350ACTIVITIES 115188,A000000,01600,0000,1600SKILLED NURSING FACILITY 115188,A000000,01800,0000,1800NURSING FACILITY 115188,A000000,01810,0000,1810ICF/MR 115188,A000000,02100,0000,2100RADIOLOGY 115188,A000000,02200,0000,2200LABORATORY 115188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115188,A000000,02500,0000,2500PHYSICAL THERAPY 115188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115188,A000000,02700,0000,2700SPEECH PATHOLOGY 115188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115188,A000000,03200,0000,3200SUPPORT SURFACES 115188,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115188,A000000,03550,0000,3550FQHC 115188,A000000,04800,0000,4800AMBULANCE 115188,A000000,05000,0000,5000CORF 115188,A000000,05010,0000,5010CMHC 115188,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115188,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115188,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115188,A81000A,00100,0100,Y 115188,A81000B,00100,0300,HOME OFFICE EXPENSES 115188,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115188,A81000B,00300,0300,RENT EXPENSE 115188,A81000B,00400,0300,DEPRECIATION EXPENSE 115188,A81000C,00100,0100,A 115188,A81000C,00100,0200,SAM KLURMAN 115188,A81000C,00100,0400,GANOT CORPORATION 115188,A81000C,00100,0600,REAL ESTATE DEVELOPM 115188,A81000C,00200,0100,B 115188,A81000C,00200,0200,GANOT CORPORATION 115188,A81000C,00200,0400,AVANTE GROUP INC. 115188,A81000C,00200,0600,NURSING HOME MGMT 115188,A81000C,00300,0100,B 115188,A81000C,00300,0200,AVANTE GROUP INC. 115188,A81000C,00300,0400,PROGRESSIVE THERAPY 115188,A81000C,00300,0600,THERAPY MGMT 115188,A81000C,00400,0100,B 115188,A81000C,00400,0200,AVANTE GROUP INC. 115188,A81000C,00400,0400,AVANTE ANCILLARY SRV 115188,A81000C,00400,0600,MEDICARE PT.B BILLIN 115188,A81000C,00500,0100,B 115188,A81000C,00500,0200,AVANTE GROUP INC. 115188,A81000C,00500,0400,HEALTHQUEST 115188,A81000C,00500,0600,TEMPORARY STAFFING 115188,A81000C,00600,0100,B 115188,A81000C,00600,0200,AVANTE GROUP INC. 115188,A81000C,00600,0400,AVANTE CHILD CARE & 115188,A81000C,00600,0600,DAY CARE 115188,B100000,00000,0100,0100SQUARE FEET 115188,B100000,00000,0200,0200SQUARE FEET 115188,B100000,00000,0300,0300GROSS SALARIES 115188,B100000,00000,0400,0400ACCUM. COST 115188,B100000,00000,0500,0500SQUARE FEET 115188,B100000,00000,0600,0600POUNDS OF LAUNDRY 115188,B100000,00000,0700,0700SQUARE FEET 115188,B100000,00000,0800,0800PATIENT DAYS 115188,B100000,00000,0900,0900PATIENT ADMISSIONS 115188,B100000,00000,1000,1000PATIENT DAYS 115188,B100000,00000,1100,1100COSTED REQUIS 115188,B100000,00000,1200,1200PATIENT ADMISSIONS 115188,B100000,00000,1300,1300PATIENT ADMISSIONS 115188,B100000,00000,1400,1400ASSIGNED TIME 115188,B100000,00000,1500,1350PATIENT ADMISSIONS 115188,E10A180,00501,0100,12/21/00 115188,S000000,00100,0200,11/01/00 115188,S200000,00100,0100,304 SOUTH CITRUS AVENUE 115188,S200000,00200,0100,INVERNESS 115188,S200000,00200,0200,FL 115188,S200000,00300,0200,0038 115188,S200000,00300,0300,R 115188,S200000,00400,0100,AVANTE AT INVERNESS INC. 115188,S200000,00400,0200,105308 115188,S200000,00400,0300,01/01/91 115188,S200000,00400,0500,P 115188,S200000,01500,0100,Y 115188,S200000,01600,0100,N 115188,S200000,01700,0100,N 115188,S200000,01800,0100,N 115188,S200000,02200,0100,N 115188,S200000,02800,0100,N 115188,S200000,02900,0100,N 115188,S200000,03000,0100,N 115188,S200000,03100,0100,N 115188,S200000,03200,0100,N 115188,S200000,03300,0100,N 115188,S200000,03300,0200,N 115188,S200000,04100,0100,N 115188,S200000,04200,0100,N 115188,S200000,04300,0100,N 115188,S200000,04600,0100,N 115188,S200000,04700,0100,N 115188,S200000,04900,0100,N 115188,S200000,05000,0100,N 115188,S200000,05100,0100,N 115188,S200000,05200,0100,N 115189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115189,A000000,00300,0000,0300EMPLOYEE BENEFITS 115189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115189,A000000,00700,0000,0700HOUSEKEEPING 115189,A000000,00800,0000,0800DIETARY 115189,A000000,00900,0000,0900NURSING ADMINISTRATION 115189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115189,A000000,01100,0000,1100PHARMACY 115189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115189,A000000,01300,0000,1300SOCIAL SERVICE 115189,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115189,A000000,01500,0000,1350ACTIVITIES 115189,A000000,01600,0000,1600SKILLED NURSING FACILITY 115189,A000000,01800,0000,1800NURSING FACILITY 115189,A000000,01810,0000,1810ICF/MR 115189,A000000,02100,0000,2100RADIOLOGY 115189,A000000,02200,0000,2200LABORATORY 115189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115189,A000000,02500,0000,2500PHYSICAL THERAPY 115189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115189,A000000,02700,0000,2700SPEECH PATHOLOGY 115189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115189,A000000,03200,0000,3200SUPPORT SURFACES 115189,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115189,A000000,03550,0000,3550FQHC 115189,A000000,04800,0000,4800AMBULANCE 115189,A000000,05000,0000,5000CORF 115189,A000000,05010,0000,5010CMHC 115189,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115189,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115189,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115189,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115189,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115189,A81000A,00100,0100,Y 115189,A81000B,00100,0300,HOME OFFICE EXPENSES 115189,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115189,A81000B,00300,0300,RENT EXPENSE 115189,A81000B,00400,0300,DEPRECIATION EXPENSE 115189,A81000C,00100,0100,A 115189,A81000C,00100,0200,SAM KLURMAN 115189,A81000C,00100,0400,GANOT CORPORATION 115189,A81000C,00100,0600,REAL ESTATE DEVELOPM 115189,A81000C,00200,0100,B 115189,A81000C,00200,0200,GANOT CORPORATION 115189,A81000C,00200,0400,AVANTE GROUP INC. 115189,A81000C,00200,0600,NURSING HOME MGMT 115189,A81000C,00300,0100,B 115189,A81000C,00300,0200,AVANTE GROUP INC. 115189,A81000C,00300,0400,PROGRESSIVE THERAPY 115189,A81000C,00300,0600,THERAPY MGMT 115189,A81000C,00400,0100,B 115189,A81000C,00400,0200,AVANTE GROUP INC. 115189,A81000C,00400,0400,AVANTE ANCILLARY SRV 115189,A81000C,00400,0600,MEDICARE PT.B BILLIN 115189,A81000C,00500,0100,B 115189,A81000C,00500,0200,AVANTE GROUP INC. 115189,A81000C,00500,0400,HEALTHQUEST 115189,A81000C,00500,0600,TEMPORARY STAFFING 115189,A81000C,00600,0100,B 115189,A81000C,00600,0200,AVANTE GROUP INC. 115189,A81000C,00600,0400,AVANTE CHILD CARE & 115189,A81000C,00600,0600,DAY CARE 115189,B100000,00000,0100,0100SQUARE FEET 115189,B100000,00000,0200,0200SQUARE FEET 115189,B100000,00000,0300,0300GROSS SALARIES 115189,B100000,00000,0400,0400ACCUM. COST 115189,B100000,00000,0500,0500SQUARE FEET 115189,B100000,00000,0600,0600POUNDS OF LAUNDRY 115189,B100000,00000,0700,0700SQUARE FEET 115189,B100000,00000,0800,0800PATIENT DAYS 115189,B100000,00000,0900,0900PATIENT ADMISSIONS 115189,B100000,00000,1000,1000PATIENT DAYS 115189,B100000,00000,1100,1100COSTED REQUIS 115189,B100000,00000,1200,1200PATIENT ADMISSIONS 115189,B100000,00000,1300,1300PATIENT ADMISSIONS 115189,B100000,00000,1400,1400ASSIGNED TIME 115189,B100000,00000,1500,1350PATIENT DAYS 115189,E10A180,00501,0100,12/21/00 115189,S000000,00100,0200,11/01/00 115189,S200000,00100,0100,2501 NORTH A STREET 115189,S200000,00200,0100,LAKE WORTH 115189,S200000,00200,0200,FL 115189,S200000,00300,0200,8960 115189,S200000,00300,0300,U 115189,S200000,00400,0100,AVANTE AT LAKE WORTH INC. 115189,S200000,00400,0200,105372 115189,S200000,00400,0300,07/01/89 115189,S200000,00400,0500,P 115189,S200000,01500,0100,Y 115189,S200000,01600,0100,N 115189,S200000,01700,0100,N 115189,S200000,01800,0100,N 115189,S200000,02200,0100,N 115189,S200000,02800,0100,N 115189,S200000,02900,0100,N 115189,S200000,03000,0100,N 115189,S200000,03100,0100,N 115189,S200000,03200,0100,N 115189,S200000,03300,0100,N 115189,S200000,03300,0200,N 115189,S200000,04100,0100,N 115189,S200000,04200,0100,N 115189,S200000,04300,0100,N 115189,S200000,04600,0100,N 115189,S200000,04700,0100,N 115189,S200000,04900,0100,N 115189,S200000,05000,0100,N 115189,S200000,05100,0100,N 115189,S200000,05200,0100,N 115190,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115190,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115190,A000000,00300,0000,0300EMPLOYEE BENEFITS 115190,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115190,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115190,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115190,A000000,00700,0000,0700HOUSEKEEPING 115190,A000000,00800,0000,0800DIETARY 115190,A000000,00900,0000,0900NURSING ADMINISTRATION 115190,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115190,A000000,01100,0000,1100PHARMACY 115190,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115190,A000000,01300,0000,1300SOCIAL SERVICE 115190,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115190,A000000,01500,0000,1350ACTIVITIES 115190,A000000,01600,0000,1600SKILLED NURSING FACILITY 115190,A000000,01800,0000,1800NURSING FACILITY 115190,A000000,01810,0000,1810ICF/MR 115190,A000000,02100,0000,2100RADIOLOGY 115190,A000000,02200,0000,2200LABORATORY 115190,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115190,A000000,02500,0000,2500PHYSICAL THERAPY 115190,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115190,A000000,02700,0000,2700SPEECH PATHOLOGY 115190,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115190,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115190,A000000,03200,0000,3200SUPPORT SURFACES 115190,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115190,A000000,03550,0000,3550FQHC 115190,A000000,05000,0000,5000CORF 115190,A000000,05010,0000,5010CMHC 115190,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115190,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115190,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115190,A81000A,00100,0100,Y 115190,A81000B,00100,0300,HOME OFFICE EXPENSES 115190,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115190,A81000B,00300,0300,RENT 115190,A81000B,00400,0300,DEPRECIATION EXPENSE 115190,A81000C,00100,0100,A 115190,A81000C,00100,0200,SAM KLURMAN 115190,A81000C,00100,0400,GANOT CORPORATION 115190,A81000C,00100,0600,REAL ESTATE DEVELOPMENT 115190,A81000C,00200,0100,B 115190,A81000C,00200,0200,GANOT CORPORATION 115190,A81000C,00200,0400,AVANTE GROUP INC. 115190,A81000C,00200,0600,NURSING HOME MANAGEMENT 115190,A81000C,00300,0100,B 115190,A81000C,00300,0200,AVANTE GROUP INC. 115190,A81000C,00300,0400,PROGRESSIVE THERAPY 115190,A81000C,00300,0600,THERAPY MANAGEMENT 115190,A81000C,00400,0100,B 115190,A81000C,00400,0200,AVANTE GROUP INC. 115190,A81000C,00400,0400,AVANTE ANCILLARY SERVICES 115190,A81000C,00400,0600,MEDICARE PART B BILLING 115190,A81000C,00500,0100,B 115190,A81000C,00500,0200,AVANTE GROUP INC. 115190,A81000C,00500,0400,HEALTHQUEST 115190,A81000C,00500,0600,TEMPORARY STAFFING 115190,A81000C,00600,0100,B 115190,A81000C,00600,0200,AVANTE GROUP INC. 115190,A81000C,00600,0400,AVANTE CHILD CARE & LEARN 115190,A81000C,00600,0600,DAY CARE 115190,B100000,00000,0100,0100SQUARE FEET 115190,B100000,00000,0200,0200SQUARE FEET 115190,B100000,00000,0300,0300GROSS SALARIES 115190,B100000,00000,0400,0400ACCUM. COST 115190,B100000,00000,0500,0500SQUARE FEET 115190,B100000,00000,0600,0600PATIENT DAYS 115190,B100000,00000,0700,0700SQUARE FEET 115190,B100000,00000,0800,0800PATIENT DAYS 115190,B100000,00000,0900,0900PATIENT ADMISSIONS 115190,B100000,00000,1000,1000PATIENT DAYS 115190,B100000,00000,1100,1100COSTED REQUIS 115190,B100000,00000,1200,1200PATIENT ADMISSIONS 115190,B100000,00000,1300,1300PATIENT ADMISSIONS 115190,B100000,00000,1400,1400ASSIGNED TIME 115190,B100000,00000,1500,1350PATIENT DAYS 115190,E10A180,00501,0100,01/04/01 115190,S000000,00100,0200,11/01/00 115190,S200000,00100,0100,1130 NORTHWEST 15TH AVENUE 115190,S200000,00200,0100,BOCA RATON 115190,S200000,00200,0200,FL 115190,S200000,00300,0100,P 115190,S200000,00300,0200,8960 115190,S200000,00300,0300,U 115190,S200000,00400,0100,AVANTE AT BOCA RATON INC. 115190,S200000,00400,0200,105521 115190,S200000,00400,0300,04/01/93 115190,S200000,00400,0500,P 115190,S200000,01500,0100,Y 115190,S200000,01600,0100,N 115190,S200000,01700,0100,N 115190,S200000,01800,0100,N 115190,S200000,02200,0100,N 115190,S200000,02800,0100,N 115190,S200000,02900,0100,N 115190,S200000,03000,0100,N 115190,S200000,03100,0100,N 115190,S200000,03200,0100,N 115190,S200000,03300,0100,N 115190,S200000,03300,0200,N 115190,S200000,04100,0100,N 115190,S200000,04200,0100,N 115190,S200000,04300,0100,N 115190,S200000,04600,0100,N 115190,S200000,04700,0100,N 115190,S200000,04900,0100,N 115190,S200000,05000,0100,N 115190,S200000,05100,0100,N 115190,S200000,05200,0100,N 115191,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115191,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115191,A000000,00300,0000,0300EMPLOYEE BENEFITS 115191,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115191,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115191,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115191,A000000,00700,0000,0700HOUSEKEEPING 115191,A000000,00800,0000,0800DIETARY 115191,A000000,00900,0000,0900NURSING ADMINISTRATION 115191,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115191,A000000,01100,0000,1100PHARMACY 115191,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115191,A000000,01300,0000,1300SOCIAL SERVICE 115191,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115191,A000000,01500,0000,1350ACTIVITIES 115191,A000000,01600,0000,1600SKILLED NURSING FACILITY 115191,A000000,01800,0000,1800NURSING FACILITY 115191,A000000,01810,0000,1810ICF/MR 115191,A000000,02100,0000,2100RADIOLOGY 115191,A000000,02200,0000,2200LABORATORY 115191,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115191,A000000,02500,0000,2500PHYSICAL THERAPY 115191,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115191,A000000,02700,0000,2700SPEECH PATHOLOGY 115191,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115191,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115191,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115191,A000000,03550,0000,3550FQHC 115191,A000000,05000,0000,5000CORF 115191,A000000,05010,0000,5010CMHC 115191,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115191,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115191,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115191,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115191,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115191,A81000A,00100,0100,Y 115191,A81000B,00100,0300,HOME OFFICE EXPENSES 115191,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115191,A81000B,00300,0300,RENT EXPENSE 115191,A81000B,00400,0300,DEPRECIATION EXPENSE 115191,A81000C,00100,0100,A 115191,A81000C,00100,0200,SAM KLURMAN 115191,A81000C,00100,0400,GANOT CORPORATION 115191,A81000C,00100,0600,REAL ESTATE DEVELOPM 115191,A81000C,00200,0100,B 115191,A81000C,00200,0200,GANOT CORPORATION 115191,A81000C,00200,0400,AVANTE GROUP INC. 115191,A81000C,00200,0600,NURSING HOME MGMT 115191,A81000C,00300,0100,B 115191,A81000C,00300,0200,AVANTE GROUP INC. 115191,A81000C,00300,0400,PROGRESSIVE THERAPY 115191,A81000C,00300,0600,THERAPY MGMT 115191,A81000C,00400,0100,B 115191,A81000C,00400,0200,AVANTE GROUP INC. 115191,A81000C,00400,0400,AVANTE ANCILLARY SRV 115191,A81000C,00400,0600,MEDICARE PT.B BILLIN 115191,A81000C,00500,0100,B 115191,A81000C,00500,0200,AVANTE GROUP INC. 115191,A81000C,00500,0400,HEALTHQUEST 115191,A81000C,00500,0600,TEMPORARY STAFFING 115191,A81000C,00600,0100,B 115191,A81000C,00600,0200,AVANTE GROUP INC. 115191,A81000C,00600,0400,AVANTE CHILD CARE & 115191,A81000C,00600,0600,DAY CARE 115191,B100000,00000,0100,0100SQUARE FEET 115191,B100000,00000,0200,0200SQUARE FEET 115191,B100000,00000,0300,0300GROSS SALARIES 115191,B100000,00000,0400,0400ACCUM. COST 115191,B100000,00000,0500,0500SQUARE FEET 115191,B100000,00000,0600,0600POUNDS OF LAUNDRY 115191,B100000,00000,0700,0700PATIENT DAYS 115191,B100000,00000,0800,0800PATIENT DAYS 115191,B100000,00000,0900,0900PATIENT ADMISSIONS 115191,B100000,00000,1000,1000PATIENT DAYS 115191,B100000,00000,1100,1100COSTED REQUIS 115191,B100000,00000,1200,1200PATIENT ADMISSIONS 115191,B100000,00000,1300,1300PATIENT ADMISSIONS 115191,B100000,00000,1400,1400ASSIGNED TIME 115191,B100000,00000,1500,1350PATIENT DAYS 115191,E10A180,00501,0100,01/04/01 115191,S000000,00100,0200,11/01/00 115191,S200000,00100,0100,1504 SEABREEZE AVENUE 115191,S200000,00200,0100,JACKSONVILLE BEACH 115191,S200000,00200,0200,FL 115191,S200000,00300,0200,3600 115191,S200000,00300,0300,U 115191,S200000,00400,0100,AVANTE VILLA AT JACKSONVILLE BEACH 115191,S200000,00400,0200,105617 115191,S200000,00400,0300,07/01/89 115191,S200000,00400,0500,P 115191,S200000,01500,0100,Y 115191,S200000,01600,0100,N 115191,S200000,01700,0100,N 115191,S200000,01800,0100,N 115191,S200000,02200,0100,N 115191,S200000,02800,0100,N 115191,S200000,02900,0100,N 115191,S200000,03000,0100,N 115191,S200000,03100,0100,N 115191,S200000,03200,0100,N 115191,S200000,03300,0100,N 115191,S200000,03300,0200,N 115191,S200000,04100,0100,N 115191,S200000,04200,0100,N 115191,S200000,04300,0100,N 115191,S200000,04600,0100,N 115191,S200000,04700,0100,N 115191,S200000,04900,0100,N 115191,S200000,05000,0100,N 115191,S200000,05100,0100,N 115191,S200000,05200,0100,N 115192,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115192,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115192,A000000,00300,0000,0300EMPLOYEE BENEFITS 115192,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115192,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115192,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115192,A000000,00700,0000,0700HOUSEKEEPING 115192,A000000,00800,0000,0800DIETARY 115192,A000000,00900,0000,0900NURSING ADMINISTRATION 115192,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115192,A000000,01100,0000,1100PHARMACY 115192,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115192,A000000,01300,0000,1300SOCIAL SERVICE 115192,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115192,A000000,01500,0000,1350ACTIVITIES 115192,A000000,01600,0000,1600SKILLED NURSING FACILITY 115192,A000000,01800,0000,1800NURSING FACILITY 115192,A000000,01810,0000,1810ICF/MR 115192,A000000,02100,0000,2100RADIOLOGY 115192,A000000,02200,0000,2200LABORATORY 115192,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115192,A000000,02500,0000,2500PHYSICAL THERAPY 115192,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115192,A000000,02700,0000,2700SPEECH PATHOLOGY 115192,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115192,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115192,A000000,03200,0000,3200SUPPORT SURFACES 115192,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115192,A000000,03550,0000,3550FQHC 115192,A000000,05000,0000,5000CORF 115192,A000000,05010,0000,5010CMHC 115192,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115192,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115192,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115192,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115192,A81000A,00100,0100,Y 115192,A81000B,00100,0300,HOME OFFICE EXPENSES 115192,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSE 115192,A81000B,00300,0300,RENT EXPENSE 115192,A81000C,00100,0100,A 115192,A81000C,00100,0200,SAM KLURMAN 115192,A81000C,00100,0400,GANOT CORPORATION 115192,A81000C,00100,0600,REAL ESTATE DEVELOPM 115192,A81000C,00200,0100,B 115192,A81000C,00200,0200,GANOT CORPORATION 115192,A81000C,00200,0400,AVANTE GROUP INC. 115192,A81000C,00200,0600,NURSING HOME MGMT 115192,A81000C,00300,0100,B 115192,A81000C,00300,0200,AVANTE GROUP INC. 115192,A81000C,00300,0400,PROGRESSIVE THERPAY 115192,A81000C,00300,0600,THERAPY MGMT 115192,A81000C,00400,0100,B 115192,A81000C,00400,0200,AVANTE GROUP INC. 115192,A81000C,00400,0400,AVANTE ANCILLARY SRV 115192,A81000C,00400,0600,MEDICARE PT.B BILLIN 115192,A81000C,00500,0100,B 115192,A81000C,00500,0200,AVANTE GROUP INC. 115192,A81000C,00500,0400,HEALTHQUEST 115192,A81000C,00500,0600,TEMPORARY STAFFING 115192,A81000C,00600,0100,B 115192,A81000C,00600,0200,AVANTE GROUP INC. 115192,A81000C,00600,0400,AVANTE CHILD CARE & 115192,A81000C,00600,0600,DAY CARE 115192,B100000,00000,0100,0100SQUARE FEET 115192,B100000,00000,0200,0200SQUARE FEET 115192,B100000,00000,0300,0300GROSS SALARIES 115192,B100000,00000,0400,0400ACCUM. COST 115192,B100000,00000,0500,0500SQUARE FEET 115192,B100000,00000,0600,0600PATIENT DAYS 115192,B100000,00000,0700,0700SQUARE FEET 115192,B100000,00000,0800,0800PATIENT DAYS 115192,B100000,00000,0900,0900PATIENT ADMISSIONS 115192,B100000,00000,1000,1000PATIENT DAYS 115192,B100000,00000,1100,1100COSTED REQUIS 115192,B100000,00000,1200,1200PATIENT ADMISSIONS 115192,B100000,00000,1300,1300PATIENT DAYS 115192,B100000,00000,1400,1400ASSIGNED TIME 115192,B100000,00000,1500,1350PATIENT DAYS 115192,E10A180,00501,0100,12/21/00 115192,S000000,00100,0200,11/01/00 115192,S200000,00100,0100,100 CHAPIN AVENUE 115192,S200000,00200,0100,RED BANK 115192,S200000,00200,0200,NJ 115192,S200000,00300,0200,5190 115192,S200000,00300,0300,U 115192,S200000,00400,0100,AVANTE AT RED BANK INC. 115192,S200000,00400,0200,315286 115192,S200000,00400,0300,03/01/90 115192,S200000,00400,0500,P 115192,S200000,01500,0100,Y 115192,S200000,01600,0100,N 115192,S200000,01700,0100,N 115192,S200000,01800,0100,N 115192,S200000,02200,0100,N 115192,S200000,02800,0100,N 115192,S200000,02900,0100,N 115192,S200000,03000,0100,N 115192,S200000,03100,0100,N 115192,S200000,03200,0100,N 115192,S200000,03300,0100,N 115192,S200000,03300,0200,N 115192,S200000,04100,0100,N 115192,S200000,04200,0100,N 115192,S200000,04300,0100,N 115192,S200000,04600,0100,N 115192,S200000,04700,0100,N 115192,S200000,04900,0100,N 115192,S200000,05000,0100,N 115192,S200000,05100,0100,N 115192,S200000,05200,0100,N 115193,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115193,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115193,A000000,00300,0000,0300EMPLOYEE BENEFITS 115193,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115193,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115193,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115193,A000000,00700,0000,0700HOUSEKEEPING 115193,A000000,00800,0000,0800DIETARY 115193,A000000,00900,0000,0900NURSING ADMINISTRATION 115193,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115193,A000000,01100,0000,1100PHARMACY 115193,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115193,A000000,01300,0000,1300SOCIAL SERVICE 115193,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115193,A000000,01500,0000,1350ACTIVITIES 115193,A000000,01600,0000,1600SKILLED NURSING FACILITY 115193,A000000,01800,0000,1800NURSING FACILITY 115193,A000000,01810,0000,1810ICF/MR 115193,A000000,02100,0000,2100RADIOLOGY 115193,A000000,02200,0000,2200LABORATORY 115193,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115193,A000000,02500,0000,2500PHYSICAL THERAPY 115193,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115193,A000000,02700,0000,2700SPEECH PATHOLOGY 115193,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115193,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115193,A000000,03200,0000,3200SUPPORT SURFACES 115193,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115193,A000000,03550,0000,3550FQHC 115193,A000000,05000,0000,5000CORF 115193,A000000,05010,0000,5010CMHC 115193,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115193,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115193,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115193,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115193,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115193,A000000,06200,0000,6200PATIENTS LAUNDRY 115193,A81000A,00100,0100,Y 115193,A81000B,00100,0300,HOME OFFICE EXPENSES 115193,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSE 115193,A81000B,00300,0300,RENT EXPENSE 115193,A81000B,00400,0300,DEPRECIATION EXPENSE 115193,A81000C,00100,0100,A 115193,A81000C,00100,0200,SAM KLURMAN 115193,A81000C,00100,0400,GANOT CORPORATION 115193,A81000C,00100,0600,REAL ESTATE DEVELOPM 115193,A81000C,00200,0100,B 115193,A81000C,00200,0200,GANOT CORPORATION 115193,A81000C,00200,0400,AVANTE GROUP INC. 115193,A81000C,00200,0600,NURSING HOME MGMT 115193,A81000C,00300,0100,B 115193,A81000C,00300,0200,AVANTE GROUP INC. 115193,A81000C,00300,0400,PROGRESSIVE THERAPY 115193,A81000C,00300,0600,THERAPY MGMT 115193,A81000C,00400,0100,B 115193,A81000C,00400,0200,AVANTE GROUP INC. 115193,A81000C,00400,0400,AVANTE ANCILLARY SRV 115193,A81000C,00400,0600,MEDICARE PT.B BILLIN 115193,A81000C,00500,0100,B 115193,A81000C,00500,0200,AVANTE GROUP INC. 115193,A81000C,00500,0400,HEALTHQUEST 115193,A81000C,00500,0600,TEMPORARY STAFFING 115193,A81000C,00600,0100,B 115193,A81000C,00600,0200,AVANTE GROUP INC. 115193,A81000C,00600,0400,AVANTE CHILD CARE & 115193,A81000C,00600,0600,DAY CARE 115193,B100000,00000,0100,0100SQUARE FEET 115193,B100000,00000,0200,0200SQUARE FEET 115193,B100000,00000,0300,0300GROSS SALARIES 115193,B100000,00000,0400,0400ACCUM. COST 115193,B100000,00000,0500,0500SQUARE FEET 115193,B100000,00000,0600,0600POUNDS OF LAUNDRY 115193,B100000,00000,0700,0700SQUARE FEET 115193,B100000,00000,0800,0800PATIENT DAYS 115193,B100000,00000,0900,0900PATIENT ADMISSIONS 115193,B100000,00000,1000,1000PATIENT DAYS 115193,B100000,00000,1100,1100COSTED REQUIS 115193,B100000,00000,1200,1200PATIENT ADMISSIONS 115193,B100000,00000,1300,1300PATIENT ADMISSIONS 115193,B100000,00000,1400,1400ASSIGNED TIME 115193,B100000,00000,1500,1350PATIENT DAYS 115193,E10A180,00501,0100,01/04/01 115193,S000000,00100,0200,11/01/00 115193,S200000,00100,0100,1804 FOREST HILLS RAOD 115193,S200000,00200,0100,WILSON 115193,S200000,00200,0200,NC 115193,S200000,00300,0200,0034 115193,S200000,00300,0300,R 115193,S200000,00400,0100,AVANTE AT WILSON INC. 115193,S200000,00400,0200,345063 115193,S200000,00400,0300,06/01/94 115193,S200000,00400,0500,P 115193,S200000,01500,0100,Y 115193,S200000,01600,0100,N 115193,S200000,01700,0100,N 115193,S200000,01800,0100,N 115193,S200000,02200,0100,N 115193,S200000,02800,0100,N 115193,S200000,02900,0100,N 115193,S200000,03000,0100,N 115193,S200000,03100,0100,N 115193,S200000,03200,0100,N 115193,S200000,03300,0100,N 115193,S200000,03300,0200,N 115193,S200000,04100,0100,N 115193,S200000,04200,0100,N 115193,S200000,04300,0100,N 115193,S200000,04600,0100,N 115193,S200000,04700,0100,N 115193,S200000,04900,0100,N 115193,S200000,05000,0100,N 115193,S200000,05100,0100,N 115193,S200000,05200,0100,N 115194,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115194,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115194,A000000,00300,0000,0300EMPLOYEE BENEFITS 115194,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115194,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115194,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115194,A000000,00700,0000,0700HOUSEKEEPING 115194,A000000,00800,0000,0800DIETARY 115194,A000000,00900,0000,0900NURSING ADMINISTRATION 115194,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115194,A000000,01100,0000,1100PHARMACY 115194,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115194,A000000,01300,0000,1300SOCIAL SERVICE 115194,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115194,A000000,01500,0000,1350ACTIVITITES 115194,A000000,01600,0000,1600SKILLED NURSING FACILITY 115194,A000000,01800,0000,1800NURSING FACILITY 115194,A000000,01810,0000,1810ICF/MR 115194,A000000,02100,0000,2100RADIOLOGY 115194,A000000,02200,0000,2200LABORATORY 115194,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115194,A000000,02500,0000,2500PHYSICAL THERAPY 115194,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115194,A000000,02700,0000,2700SPEECH PATHOLOGY 115194,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115194,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115194,A000000,03200,0000,3200SUPPORT SURFACES 115194,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115194,A000000,03550,0000,3550FQHC 115194,A000000,05000,0000,5000CORF 115194,A000000,05010,0000,5010CMHC 115194,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115194,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115194,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115194,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115194,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115194,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115194,A000000,06200,0000,6200PATIENTS LAUNDRY 115194,A81000A,00100,0100,Y 115194,A81000B,00100,0300,HOME OFFICE COSTS 115194,A81000B,00200,0300,HOME OFFICE CAPTIAL COSTS 115194,A81000B,00300,0300,RENT EXPENSE 115194,A81000B,00400,0300,DEPRECIATION EXPENSE 115194,A81000C,00100,0100,A 115194,A81000C,00100,0200,SAM KLURMAN 115194,A81000C,00100,0400,GANOT CORPORATION 115194,A81000C,00100,0600,REAL ESTATE DEVELOPM 115194,A81000C,00200,0100,B 115194,A81000C,00200,0200,GANOT CORPORATION 115194,A81000C,00200,0400,AVANTE GROUP INC. 115194,A81000C,00200,0600,NURSING HOME MGMT 115194,A81000C,00300,0100,B 115194,A81000C,00300,0200,AVANTE GROUP INC. 115194,A81000C,00300,0400,PROGRESSIVE THERAPY 115194,A81000C,00300,0600,THERAPY MGMT 115194,A81000C,00400,0100,B 115194,A81000C,00400,0200,AVANTE GROUP INC. 115194,A81000C,00400,0400,AVANTE ANCILLARY SRV 115194,A81000C,00400,0600,MEDICARE PT.B BILLIN 115194,A81000C,00500,0100,B 115194,A81000C,00500,0200,AVANTE GROUP INC. 115194,A81000C,00500,0400,HEALTHQUEST 115194,A81000C,00500,0600,TEMPORARY STAFFING 115194,A81000C,00600,0100,B 115194,A81000C,00600,0200,AVANTE GROUP INC. 115194,A81000C,00600,0400,AVANTE CHILD CARE & 115194,A81000C,00600,0600,DAY CARE 115194,B100000,00000,0100,0100SQUARE FEET 115194,B100000,00000,0200,0200SQUARE FEET 115194,B100000,00000,0300,0300GROSS SALARIES 115194,B100000,00000,0400,0400ACCUM. COST 115194,B100000,00000,0500,0500SQUARE FEET 115194,B100000,00000,0600,0600POUNDS OF LAUNDRY 115194,B100000,00000,0700,0700SQUARE FEET 115194,B100000,00000,0800,0800PATIENT DAYS 115194,B100000,00000,0900,0900PATIENT ADMISSIONS 115194,B100000,00000,1000,1000PATIENT DAYS 115194,B100000,00000,1100,1100COSTED REQUIS 115194,B100000,00000,1200,1200PATIENT ADMISSIONS 115194,B100000,00000,1300,1300PATIENT ADMISSIONS 115194,B100000,00000,1400,1400ASSIGNED TIME 115194,B100000,00000,1500,1350PATIENT DAYS 115194,E10A180,00501,0100,01/04/01 115194,S000000,00100,0200,11/01/00 115194,S200000,00100,0100,515 LAKE CONCORD ROAD 115194,S200000,00200,0100,CONCORD 115194,S200000,00200,0200,NC 115194,S200000,00300,0200,1520 115194,S200000,00300,0300,U 115194,S200000,00400,0100,AVANTE AT CONCORD INC. 115194,S200000,00400,0200,345130 115194,S200000,00400,0300,12/01/94 115194,S200000,00400,0500,P 115194,S200000,01500,0100,Y 115194,S200000,01600,0100,N 115194,S200000,01700,0100,N 115194,S200000,01800,0100,N 115194,S200000,02200,0100,N 115194,S200000,02800,0100,N 115194,S200000,02900,0100,N 115194,S200000,03000,0100,N 115194,S200000,03100,0100,N 115194,S200000,03200,0100,N 115194,S200000,03300,0100,N 115194,S200000,03300,0200,N 115194,S200000,04100,0100,N 115194,S200000,04200,0100,N 115194,S200000,04300,0100,N 115194,S200000,04600,0100,N 115194,S200000,04700,0100,N 115194,S200000,04900,0100,N 115194,S200000,05000,0100,N 115194,S200000,05100,0100,N 115194,S200000,05200,0100,N 115195,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115195,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115195,A000000,00300,0000,0300EMPLOYEE BENEFITS 115195,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115195,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115195,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115195,A000000,00700,0000,0700HOUSEKEEPING 115195,A000000,00800,0000,0800DIETARY 115195,A000000,00900,0000,0900NURSING ADMINISTRATION 115195,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115195,A000000,01100,0000,1100PHARMACY 115195,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115195,A000000,01300,0000,1300SOCIAL SERVICE 115195,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115195,A000000,01500,0000,1350ACTIVITIES 115195,A000000,01600,0000,1600SKILLED NURSING FACILITY 115195,A000000,01800,0000,1800NURSING FACILITY 115195,A000000,01810,0000,1810ICF/MR 115195,A000000,02100,0000,2100RADIOLOGY 115195,A000000,02200,0000,2200LABORATORY 115195,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115195,A000000,02500,0000,2500PHYSICAL THERAPY 115195,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115195,A000000,02700,0000,2700SPEECH PATHOLOGY 115195,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115195,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115195,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115195,A000000,03550,0000,3550FQHC 115195,A000000,05000,0000,5000CORF 115195,A000000,05010,0000,5010CMHC 115195,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115195,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115195,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115195,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115195,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115195,A81000A,00100,0100,Y 115195,A81000B,00100,0300,HOME OFFICE EXPENSES 115195,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 115195,A81000B,00300,0300,RENT EXPENSE 115195,A81000B,00400,0300,DEPRECIATION EXPENSE 115195,A81000C,00100,0100,A 115195,A81000C,00100,0200,SAM KLURMAN 115195,A81000C,00100,0400,GANOT CORPORATION 115195,A81000C,00100,0600,REAL ESTATE DEVELOPM 115195,A81000C,00200,0100,B 115195,A81000C,00200,0200,GANOT CORPORATION 115195,A81000C,00200,0400,AVANTE GROUP INC. 115195,A81000C,00200,0600,NURSING HOME MGMT 115195,A81000C,00300,0100,B 115195,A81000C,00300,0200,AVANTE GROUP INC. 115195,A81000C,00300,0400,PROGRESSIVE THERAPY 115195,A81000C,00300,0600,THERAPY MGMT 115195,A81000C,00400,0100,B 115195,A81000C,00400,0200,AVANTE GROUP INC. 115195,A81000C,00400,0400,AVANTE ANCILLARY SRV 115195,A81000C,00400,0600,MEDICARE PT.B BILLIN 115195,A81000C,00500,0100,B 115195,A81000C,00500,0200,AVANTE GROUP INC. 115195,A81000C,00500,0400,HEALTHQUEST 115195,A81000C,00500,0600,TEMPORARY STAFFING 115195,A81000C,00600,0100,B 115195,A81000C,00600,0200,AVANTE GROUP INC. 115195,A81000C,00600,0400,AVANTE CHILD CARE & 115195,A81000C,00600,0600,DAY CARE 115195,B100000,00000,0100,0100SQUARE FEET 115195,B100000,00000,0200,0200SQUARE FEET 115195,B100000,00000,0300,0300GROSS SALARIES 115195,B100000,00000,0400,0400ACCUM. COST 115195,B100000,00000,0500,0500SQUARE FEET 115195,B100000,00000,0600,0600POUNDS OF LAUNDRY 115195,B100000,00000,0700,0700SQUARE FEET 115195,B100000,00000,0800,0800PATIENT DAYS 115195,B100000,00000,0900,0900PATIENT ADMISSIONS 115195,B100000,00000,1000,1000PATIENT DAYS 115195,B100000,00000,1100,1100COSTED REQUIS 115195,B100000,00000,1200,1200PATIENT ADMISSIONS 115195,B100000,00000,1300,1300PATIENT ADMISSIONS 115195,B100000,00000,1400,1400ASSIGNED TIME 115195,B100000,00000,1500,1350PATIENT DAYS 115195,E10A180,00501,0100,12/21/00 115195,S000000,00100,0200,11/01/00 115195,S200000,00100,0100,1000 COLLEGE STREET 115195,S200000,00200,0100,WILKESBORO 115195,S200000,00200,0200,NC 115195,S200000,00300,0200,0034 115195,S200000,00300,0300,R 115195,S200000,00400,0100,AVANTE AT WILKESBORO INC. 115195,S200000,00400,0200,345133 115195,S200000,00400,0300,12/01/94 115195,S200000,00400,0500,P 115195,S200000,01500,0100,Y 115195,S200000,01600,0100,N 115195,S200000,01700,0100,N 115195,S200000,01800,0100,N 115195,S200000,02200,0100,N 115195,S200000,02800,0100,N 115195,S200000,02900,0100,N 115195,S200000,03000,0100,N 115195,S200000,03100,0100,N 115195,S200000,03200,0100,N 115195,S200000,03300,0100,N 115195,S200000,03300,0200,N 115195,S200000,04100,0100,N 115195,S200000,04200,0100,N 115195,S200000,04300,0100,N 115195,S200000,04600,0100,N 115195,S200000,04700,0100,N 115195,S200000,04900,0100,N 115195,S200000,05000,0100,N 115195,S200000,05100,0100,N 115195,S200000,05200,0100,N 115196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115196,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115196,A000000,00300,0000,0300EMPLOYEE BENEFITS 115196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115196,A000000,00700,0000,0700HOUSEKEEPING 115196,A000000,00800,0000,0800DIETARY 115196,A000000,00900,0000,0900NURSING ADMINISTRATION 115196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115196,A000000,01100,0000,1100PHARMACY 115196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115196,A000000,01300,0000,1300SOCIAL SERVICE 115196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115196,A000000,01500,0000,1350ACTIVITIES 115196,A000000,01600,0000,1600SKILLED NURSING FACILITY 115196,A000000,01800,0000,1800NURSING FACILITY 115196,A000000,01810,0000,1810ICF/MR 115196,A000000,02100,0000,2100RADIOLOGY 115196,A000000,02200,0000,2200LABORATORY 115196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115196,A000000,02500,0000,2500PHYSICAL THERAPY 115196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115196,A000000,02700,0000,2700SPEECH PATHOLOGY 115196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115196,A000000,03200,0000,3200SUPPORT SURFACES 115196,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115196,A000000,03550,0000,3550FQHC 115196,A000000,05000,0000,5000CORF 115196,A000000,05010,0000,5010CMHC 115196,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115196,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115196,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115196,A81000A,00100,0100,Y 115196,A81000B,00100,0300,HOME OFFICE COSTS 115196,A81000B,00200,0300,HOME OFFICE CAPITAL COSTS 115196,A81000B,00300,0300,RENT EXPENSE 115196,A81000B,00400,0300,DEPRECIATION EXPENSE 115196,A81000C,00100,0100,A 115196,A81000C,00100,0200,SAM KLURMAN 115196,A81000C,00100,0400,GANOT CORPORATION 115196,A81000C,00100,0600,REAL ESTATE DEVELOPMENT 115196,A81000C,00200,0100,B 115196,A81000C,00200,0200,GANOT CORPORATION 115196,A81000C,00200,0400,AVANTE GROUP INC. 115196,A81000C,00200,0600,NURSING HOME MANAGEMENT 115196,A81000C,00300,0100,B 115196,A81000C,00300,0200,AVANTE GROUP INC. 115196,A81000C,00300,0400,PROGRESSIVE THERAPY 115196,A81000C,00300,0600,THERAPY MANAGEMENT 115196,A81000C,00400,0100,B 115196,A81000C,00400,0200,AVANTE GROUP INC. 115196,A81000C,00400,0400,AVANTE ANCILLARY SERVICES 115196,A81000C,00400,0600,MEDICARE PART B BILLING 115196,A81000C,00500,0100,B 115196,A81000C,00500,0200,AVANTE GROUP INC. 115196,A81000C,00500,0400,HEALTHQUEST 115196,A81000C,00500,0600,TEMPORARY STAFFING 115196,A81000C,00600,0100,B 115196,A81000C,00600,0200,AVANTE GROUP INC 115196,A81000C,00600,0400,AVANTE CHILD CARE & LEARN 115196,A81000C,00600,0600,DAY CARE 115196,B100000,00000,0100,0100SQUARE FEET 115196,B100000,00000,0200,0200SQUARE FEET 115196,B100000,00000,0300,0300GROSS SALARIES 115196,B100000,00000,0400,0400ACCUM. COST 115196,B100000,00000,0500,0500SQUARE FEET 115196,B100000,00000,0600,0600POUNDS OF LAUNDRY 115196,B100000,00000,0700,0700PATIENT DAYS 115196,B100000,00000,0800,0800PATIENT DAYS 115196,B100000,00000,0900,0900PATIENT ADMISSIONS 115196,B100000,00000,1000,1000PATIENT DAYS 115196,B100000,00000,1100,1100COSTED REQUIS 115196,B100000,00000,1200,1200PATIENT DAYS 115196,B100000,00000,1300,1300PATIENT ADMISSIONS 115196,B100000,00000,1400,1400ASSIGNED TIME 115196,B100000,00000,1500,1350PATIENT DAYS 115196,E10A180,00501,0100,01/04/01 115196,S000000,00100,0200,11/01/00 115196,S200000,00100,0100,4801 RANDOLPH ROAD 115196,S200000,00200,0100,CHARLOTTE 115196,S200000,00200,0200,NC 115196,S200000,00300,0100,M 115196,S200000,00300,0200,1520 115196,S200000,00300,0300,U 115196,S200000,00400,0100,AVANTE AT CHARLOTTE INC. 115196,S200000,00400,0200,345134 115196,S200000,00400,0300,05/01/91 115196,S200000,00400,0500,P 115196,S200000,01500,0100,Y 115196,S200000,01600,0100,N 115196,S200000,01700,0100,N 115196,S200000,01800,0100,N 115196,S200000,02200,0100,N 115196,S200000,02800,0100,N 115196,S200000,02900,0100,N 115196,S200000,03000,0100,N 115196,S200000,03100,0100,N 115196,S200000,03200,0100,N 115196,S200000,03300,0100,N 115196,S200000,03300,0200,N 115196,S200000,04100,0100,N 115196,S200000,04200,0100,N 115196,S200000,04300,0100,N 115196,S200000,04600,0100,N 115196,S200000,04700,0100,N 115196,S200000,04900,0100,N 115196,S200000,05000,0100,N 115196,S200000,05100,0100,N 115196,S200000,05200,0100,N 115198,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115198,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115198,A000000,00300,0000,0300EMPLOYEE BENEFITS 115198,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115198,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115198,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115198,A000000,00700,0000,0700HOUSEKEEPING 115198,A000000,00800,0000,0800DIETARY 115198,A000000,00900,0000,0900NURSING ADMINISTRATION 115198,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115198,A000000,01100,0000,1100PHARMACY 115198,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115198,A000000,01300,0000,1300SOCIAL SERVICE 115198,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115198,A000000,01500,0000,1350ACTIVITIES 115198,A000000,01600,0000,1600SKILLED NURSING FACILITY 115198,A000000,01800,0000,1800NURSING FACILITY 115198,A000000,01810,0000,1810ICF/MR 115198,A000000,02200,0000,2200LABORATORY 115198,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115198,A000000,02500,0000,2500PHYSICAL THERAPY 115198,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115198,A000000,02700,0000,2700SPEECH PATHOLOGY 115198,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115198,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115198,A000000,03200,0000,3200SUPPORT SURFACES 115198,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115198,A000000,03550,0000,3550FQHC 115198,A000000,05000,0000,5000CORF 115198,A000000,05010,0000,5010CMHC 115198,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115198,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115198,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115198,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115198,A000000,06200,0000,6200PATIENTS LAUNDRY 115198,A81000A,00100,0100,Y 115198,A81000B,00100,0300,HOME OFFICE EXPENSES 115198,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115198,A81000B,00300,0300,RENT EXPENSE 115198,A81000B,00400,0300,DEPRECIATION EXPENSE 115198,A81000C,00100,0100,A 115198,A81000C,00100,0200,SAM KLURMAN 115198,A81000C,00100,0400,GANOT CORPORATION 115198,A81000C,00100,0600,REAL ESTATE DEVELOPM 115198,A81000C,00200,0100,B 115198,A81000C,00200,0200,GANOT CORPORATION 115198,A81000C,00200,0400,AVANTE GROUP INC. 115198,A81000C,00200,0600,NURSING HOME MGMT 115198,A81000C,00300,0100,B 115198,A81000C,00300,0200,AVANTE GROUP INC. 115198,A81000C,00300,0400,PROGRESSIVE THERAPY 115198,A81000C,00300,0600,THERAPY MGMT 115198,A81000C,00400,0100,B 115198,A81000C,00400,0200,AVANTE GROUP INC. 115198,A81000C,00400,0400,AVANTE ANCILLARY SRV 115198,A81000C,00400,0600,MEDICARE PT.B BILLIN 115198,A81000C,00500,0100,B 115198,A81000C,00500,0200,AVANTE GROUP INC. 115198,A81000C,00500,0400,HEALTHQUEST 115198,A81000C,00500,0600,TEMPORARY STAFFING 115198,A81000C,00600,0100,B 115198,A81000C,00600,0200,AVANTE GROUP INC. 115198,A81000C,00600,0400,AVANTE CHILD CARE & 115198,A81000C,00600,0600,DAY CARE 115198,B100000,00000,0100,0100SQUARE FEET 115198,B100000,00000,0200,0200SQUARE FEET 115198,B100000,00000,0300,0300GROSS SALARIES 115198,B100000,00000,0400,0400ACCUM. COST 115198,B100000,00000,0500,0500SQUARE FEET 115198,B100000,00000,0600,0600POUNDS OF LAUNDRY 115198,B100000,00000,0700,0700SQUARE FEET 115198,B100000,00000,0800,0800PATIENT DAYS 115198,B100000,00000,0900,0900PATIENT ADMISSIONS 115198,B100000,00000,1000,1000PATIENT DAYS 115198,B100000,00000,1100,1100COSTED REQUIS 115198,B100000,00000,1200,1200PATIENT ADMISSIONS 115198,B100000,00000,1300,1300PATIENT ADMISSIONS 115198,B100000,00000,1400,1400ASSIGNED TIME 115198,B100000,00000,1500,1350PATIENT DAYS 115198,E10A180,00501,0100,01/04/01 115198,S000000,00100,0200,11/01/00 115198,S200000,00100,0100,94 SOUTH AVENUE 115198,S200000,00200,0100,HARRISONBURG 115198,S200000,00200,0200,VA 115198,S200000,00300,0200,0049 115198,S200000,00300,0300,R 115198,S200000,00400,0100,AVANTE AT HARRISONBURG INC. 115198,S200000,00400,0200,495146 115198,S200000,00400,0300,11/01/84 115198,S200000,00400,0500,P 115198,S200000,01500,0100,Y 115198,S200000,01600,0100,N 115198,S200000,01700,0100,N 115198,S200000,01800,0100,N 115198,S200000,02200,0100,N 115198,S200000,02800,0100,N 115198,S200000,02900,0100,N 115198,S200000,03000,0100,N 115198,S200000,03100,0100,N 115198,S200000,03200,0100,N 115198,S200000,03300,0100,N 115198,S200000,03300,0200,N 115198,S200000,04100,0100,N 115198,S200000,04200,0100,N 115198,S200000,04300,0100,N 115198,S200000,04600,0100,N 115198,S200000,04700,0100,N 115198,S200000,04900,0100,N 115198,S200000,05000,0100,N 115198,S200000,05100,0100,N 115198,S200000,05200,0100,N 115199,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115199,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115199,A000000,00300,0000,0300EMPLOYEE BENEFITS 115199,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115199,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115199,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115199,A000000,00700,0000,0700HOUSEKEEPING 115199,A000000,00800,0000,0800DIETARY 115199,A000000,00900,0000,0900NURSING ADMINISTRATION 115199,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115199,A000000,01100,0000,1100PHARMACY 115199,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115199,A000000,01300,0000,1300SOCIAL SERVICE 115199,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115199,A000000,01500,0000,1350ACTIVITIES 115199,A000000,01600,0000,1600SKILLED NURSING FACILITY 115199,A000000,01800,0000,1800NURSING FACILITY 115199,A000000,01810,0000,1810ICF/MR 115199,A000000,02100,0000,2100RADIOLOGY 115199,A000000,02200,0000,2200LABORATORY 115199,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115199,A000000,02500,0000,2500PHYSICAL THERAPY 115199,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115199,A000000,02700,0000,2700SPEECH PATHOLOGY 115199,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115199,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115199,A000000,03200,0000,3200SUPPORT SURFACES 115199,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115199,A000000,03550,0000,3550FQHC 115199,A000000,05000,0000,5000CORF 115199,A000000,05010,0000,5010CMHC 115199,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115199,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115199,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115199,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115199,A81000A,00100,0100,Y 115199,A81000B,00100,0300,HOME OFFICE EXPENSE 115199,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSE 115199,A81000B,00300,0300,RENT EXPENSE 115199,A81000B,00400,0300,DEPRECIATION EXPENSE 115199,A81000C,00100,0100,A 115199,A81000C,00100,0200,SAM KLURMAN 115199,A81000C,00100,0400,GANOT CORPORATION 115199,A81000C,00100,0600,REAL ESTATE DEVELOPM 115199,A81000C,00200,0100,B 115199,A81000C,00200,0200,GANOT CORPORATION 115199,A81000C,00200,0400,AVANTE GROUP INC. 115199,A81000C,00200,0600,NURSING HOME MGMT 115199,A81000C,00300,0100,B 115199,A81000C,00300,0200,AVANTE GROUP INC. 115199,A81000C,00300,0400,PROGRESSIVE THERAPY 115199,A81000C,00300,0600,THERAPY MGMT 115199,A81000C,00400,0100,B 115199,A81000C,00400,0200,AVANTE GROUP INC. 115199,A81000C,00400,0400,AVANTE ANCILLARY SRV 115199,A81000C,00400,0600,MEDICARE PT.B BILLIN 115199,A81000C,00500,0100,B 115199,A81000C,00500,0200,AVANTE GROUP INC. 115199,A81000C,00500,0400,HEALTHQUEST 115199,A81000C,00500,0600,TEMPORARY STAFFING 115199,A81000C,00600,0100,B 115199,A81000C,00600,0200,AVANTE GROUP INC. 115199,A81000C,00600,0400,AVANTE CHILD CARE & 115199,A81000C,00600,0600,DAY CARE 115199,B100000,00000,0100,0100SQUARE FEET 115199,B100000,00000,0200,0200SQUARE FEET 115199,B100000,00000,0300,0300GROSS SALARIES 115199,B100000,00000,0400,0400ACCUM. COST 115199,B100000,00000,0500,0500SQUARE FEET 115199,B100000,00000,0600,0600PATIENT DAYS 115199,B100000,00000,0700,0700SQUARE FEET 115199,B100000,00000,0800,0800PATIENT DAYS 115199,B100000,00000,0900,0900PATIENT ADMISSIONS 115199,B100000,00000,1000,1000PATIENT DAYS 115199,B100000,00000,1100,1100COSTED REQUIS 115199,B100000,00000,1200,1200PATIENT ADMISSIONS 115199,B100000,00000,1300,1300PATIENT ADMISSIONS 115199,B100000,00000,1400,1400ASSIGNED TIME 115199,B100000,00000,1500,1350PATIENT DAYS 115199,E10A180,00501,0100,01/04/01 115199,S000000,00100,0200,11/01/00 115199,S200000,00100,0100,1221 ROSSER 115199,S200000,00200,0100,WAYNESBORO 115199,S200000,00200,0200,VA 115199,S200000,00300,0200,0049 115199,S200000,00300,0300,R 115199,S200000,00400,0100,AVANTE AT WAYNESBORO INC. 115199,S200000,00400,0200,495147 115199,S200000,00400,0300,08/08/94 115199,S200000,00400,0500,P 115199,S200000,01500,0100,Y 115199,S200000,01600,0100,N 115199,S200000,01700,0100,N 115199,S200000,01800,0100,N 115199,S200000,02200,0100,N 115199,S200000,02800,0100,N 115199,S200000,02900,0100,N 115199,S200000,03000,0100,N 115199,S200000,03100,0100,N 115199,S200000,03200,0100,N 115199,S200000,03300,0100,N 115199,S200000,03300,0200,N 115199,S200000,04100,0100,N 115199,S200000,04200,0100,N 115199,S200000,04300,0100,N 115199,S200000,04600,0100,N 115199,S200000,04700,0100,N 115199,S200000,04900,0100,N 115199,S200000,05000,0100,N 115199,S200000,05100,0100,N 115199,S200000,05200,0100,N 115200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115200,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115200,A000000,00300,0000,0300EMPLOYEE BENEFITS 115200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115200,A000000,00700,0000,0700HOUSEKEEPING 115200,A000000,00800,0000,0800DIETARY 115200,A000000,00900,0000,0900NURSING ADMINISTRATION 115200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115200,A000000,01100,0000,1100PHARMACY 115200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115200,A000000,01300,0000,1300SOCIAL SERVICE 115200,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115200,A000000,01500,0000,1350ACTIVITIES 115200,A000000,01600,0000,1600SKILLED NURSING FACILITY 115200,A000000,01800,0000,1800NURSING FACILITY 115200,A000000,01810,0000,1810ICF/MR 115200,A000000,02100,0000,2100RADIOLOGY 115200,A000000,02200,0000,2200LABORATORY 115200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115200,A000000,02500,0000,2500PHYSICAL THERAPY 115200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115200,A000000,02700,0000,2700SPEECH PATHOLOGY 115200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115200,A000000,03200,0000,3200SUPPORT SURFACES 115200,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115200,A000000,03550,0000,3550FQHC 115200,A000000,05000,0000,5000CORF 115200,A000000,05010,0000,5010CMHC 115200,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115200,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115200,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115200,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115200,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115200,A81000A,00100,0100,Y 115200,A81000B,00100,0300,HOME OFFICE EXPENSES 115200,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSES 115200,A81000B,00300,0300,RENT EXPENSE 115200,A81000B,00400,0300,DEPRECIATION EXPENSE 115200,A81000C,00100,0100,A 115200,A81000C,00100,0200,SAM KLURMAN 115200,A81000C,00100,0400,GANOT CORPORATION 115200,A81000C,00100,0600,REAL ESTATE DEVELOPM 115200,A81000C,00200,0100,B 115200,A81000C,00200,0200,GANOT CORPORATION 115200,A81000C,00200,0400,AVANTE GROUP INC. 115200,A81000C,00200,0600,NURSING HOME MGMT 115200,A81000C,00300,0100,B 115200,A81000C,00300,0200,AVANTE GROUP INC. 115200,A81000C,00300,0400,PROGRESSIVE THERAPY 115200,A81000C,00300,0600,THERAPY MGMT 115200,A81000C,00400,0100,B 115200,A81000C,00400,0200,AVANTE GROUP INC. 115200,A81000C,00400,0400,AVANTE ANCILLARY SRV 115200,A81000C,00400,0600,MEDICARE PT.B BILLIN 115200,A81000C,00500,0100,B 115200,A81000C,00500,0200,AVANTE GROUP INC. 115200,A81000C,00500,0400,HEALTHQUEST 115200,A81000C,00500,0600,TEMPORARY STAFFING 115200,A81000C,00600,0100,B 115200,A81000C,00600,0200,AVANTE GROUP INC. 115200,A81000C,00600,0400,AVANTE CHILD CARE & 115200,A81000C,00600,0600,DAY CARE 115200,B100000,00000,0100,0100SQUARE FEET 115200,B100000,00000,0200,0200SQUARE FEET 115200,B100000,00000,0300,0300GROSS SALARIES 115200,B100000,00000,0400,0400ACCUM. COST 115200,B100000,00000,0500,0500SQUARE FEET 115200,B100000,00000,0600,0600PATIENT DAYS 115200,B100000,00000,0700,0700SQUARE FEET 115200,B100000,00000,0800,0800PATIENT DAYS 115200,B100000,00000,0900,0900PATIENT ADMISSIONS 115200,B100000,00000,1000,1000PATIENT DAYS 115200,B100000,00000,1100,1100COSTED REQUIS 115200,B100000,00000,1200,1200PATIENT ADMISSIONS 115200,B100000,00000,1300,1300PATIENT ADMISSIONS 115200,B100000,00000,1400,1400ASSIGNED TIME 115200,B100000,00000,1500,1350PATIENT DAYS 115200,E10A180,00501,0100,12/21/00 115200,S000000,00100,0200,11/01/00 115200,S200000,00100,0100,2081 LONGHORN ROAD 115200,S200000,00200,0100,LYNCHBURG 115200,S200000,00200,0200,VA 115200,S200000,00300,0200,4640 115200,S200000,00300,0300,U 115200,S200000,00400,0100,AVANTE AT LYNCHBURG INC. 115200,S200000,00400,0200,495151 115200,S200000,00400,0300,04/01/92 115200,S200000,00400,0500,P 115200,S200000,01500,0100,Y 115200,S200000,01600,0100,N 115200,S200000,01700,0100,N 115200,S200000,01800,0100,N 115200,S200000,02200,0100,N 115200,S200000,02800,0100,N 115200,S200000,02900,0100,N 115200,S200000,03000,0100,N 115200,S200000,03100,0100,N 115200,S200000,03200,0100,N 115200,S200000,03300,0100,N 115200,S200000,03300,0200,N 115200,S200000,04100,0100,N 115200,S200000,04200,0100,N 115200,S200000,04300,0100,N 115200,S200000,04600,0100,N 115200,S200000,04700,0100,N 115200,S200000,04900,0100,N 115200,S200000,05000,0100,N 115200,S200000,05100,0100,N 115200,S200000,05200,0100,N 115201,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115201,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115201,A000000,00300,0000,0300EMPLOYEE BENEFITS 115201,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115201,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115201,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115201,A000000,00700,0000,0700HOUSEKEEPING 115201,A000000,00800,0000,0800DIETARY 115201,A000000,00900,0000,0900NURSING ADMINISTRATION 115201,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115201,A000000,01100,0000,1100PHARMACY 115201,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115201,A000000,01300,0000,1300SOCIAL SERVICE 115201,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115201,A000000,01500,0000,1350ACTIVITIES 115201,A000000,01600,0000,1600SKILLED NURSING FACILITY 115201,A000000,01800,0000,1800NURSING FACILITY 115201,A000000,01810,0000,1810ICF/MR 115201,A000000,02100,0000,2100RADIOLOGY 115201,A000000,02200,0000,2200LABORATORY 115201,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115201,A000000,02500,0000,2500PHYSICAL THERAPY 115201,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115201,A000000,02700,0000,2700SPEECH PATHOLOGY 115201,A000000,02800,0000,2800ELECTROCARDIOLOGY 115201,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115201,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115201,A000000,03200,0000,3200SUPPORT SURFACES 115201,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115201,A000000,03550,0000,3550FQHC 115201,A000000,05000,0000,5000CORF 115201,A000000,05010,0000,5010CMHC 115201,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115201,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115201,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115201,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115201,A81000A,00100,0100,Y 115201,A81000B,00100,0300,HOME OFFICE EXPENSES 115201,A81000B,00200,0300,HOME OFFICE CAPITAL EXPENSE 115201,A81000B,00300,0300,RENT EXPENSE 115201,A81000B,00400,0300,DEPRECIATION EXPENSE 115201,A81000C,00100,0100,A 115201,A81000C,00100,0200,SAM KLURMAN 115201,A81000C,00100,0400,GANOT CORPORATION 115201,A81000C,00100,0600,REAL ESTATE DEVELOPM 115201,A81000C,00200,0100,B 115201,A81000C,00200,0200,GANOT CORPORATION 115201,A81000C,00200,0400,AVANTE GROUP INC. 115201,A81000C,00200,0600,NURSING HOME MGMT 115201,A81000C,00300,0100,B 115201,A81000C,00300,0200,AVANTE GROUP INC. 115201,A81000C,00300,0400,PROGRESSIVE THERAPY 115201,A81000C,00300,0600,THERAPY MGMT 115201,A81000C,00400,0100,B 115201,A81000C,00400,0200,AVANTE GROUP INC. 115201,A81000C,00400,0400,AVANTE ANCILLARY SRV 115201,A81000C,00400,0600,MEDICARE PT.B BILLIN 115201,A81000C,00500,0100,B 115201,A81000C,00500,0200,AVANTE GROUP INC. 115201,A81000C,00500,0400,HEALTHQUEST 115201,A81000C,00500,0600,TEMPORARY STAFFING 115201,A81000C,00600,0100,B 115201,A81000C,00600,0200,AVANTE GROUP INC. 115201,A81000C,00600,0400,AVANTE CHILD CARE & 115201,A81000C,00600,0600,DAY CARE 115201,B100000,00000,0100,0100SQUARE FEET 115201,B100000,00000,0200,0200SQUARE FEET 115201,B100000,00000,0300,0300GROSS SALARIES 115201,B100000,00000,0400,0400ACCUM. COST 115201,B100000,00000,0500,0500SQUARE FEET 115201,B100000,00000,0600,0600PATIENT DAYS 115201,B100000,00000,0700,0700SQUARE FEET 115201,B100000,00000,0800,0800PATIENT DAYS 115201,B100000,00000,0900,0900PATIENT ADMISSIONS 115201,B100000,00000,1000,1000PATIENT DAYS 115201,B100000,00000,1100,1100COSTED REQUIS 115201,B100000,00000,1200,1200PATIENT ADMISSIONS 115201,B100000,00000,1300,1300PATIENT ADMISSIONS 115201,B100000,00000,1400,1400ASSIGNED TIME 115201,B100000,00000,1500,1350PATIENT DAYS 115201,E10A180,00501,0100,01/04/01 115201,S000000,00100,0200,11/01/00 115201,S200000,00100,0100,324 KING GEORGE AVENUE 115201,S200000,00200,0100,ROANOKE 115201,S200000,00200,0200,VA 115201,S200000,00300,0200,6800 115201,S200000,00300,0300,U 115201,S200000,00400,0100,AVANTE AT ROANOKE INC. 115201,S200000,00400,0200,495156 115201,S200000,00400,0300,04/01/91 115201,S200000,00400,0500,P 115201,S200000,01500,0100,Y 115201,S200000,01600,0100,N 115201,S200000,01700,0100,N 115201,S200000,01800,0100,N 115201,S200000,02200,0100,N 115201,S200000,02800,0100,N 115201,S200000,02900,0100,N 115201,S200000,03000,0100,N 115201,S200000,03100,0100,N 115201,S200000,03200,0100,N 115201,S200000,03300,0100,N 115201,S200000,03300,0200,N 115201,S200000,04100,0100,N 115201,S200000,04200,0100,N 115201,S200000,04300,0100,N 115201,S200000,04600,0100,N 115201,S200000,04700,0100,N 115201,S200000,04900,0100,N 115201,S200000,05000,0100,N 115201,S200000,05100,0100,N 115201,S200000,05200,0100,N 115209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115209,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115209,A000000,00300,0000,0300EMPLOYEE BENEFITS 115209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115209,A000000,00700,0000,0700HOUSEKEEPING 115209,A000000,00800,0000,0800DIETARY 115209,A000000,00900,0000,0900NURSING ADMINISTRATION 115209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115209,A000000,01100,0000,1100PHARMACY 115209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115209,A000000,01300,0000,1300SOCIAL SERVICE 115209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115209,A000000,01500,0000,1350PATIENT ACTIVITIES 115209,A000000,01600,0000,1600SKILLED NURSING FACILITY 115209,A000000,01800,0000,1800NURSING FACILITY 115209,A000000,01810,0000,1810ICF/MR 115209,A000000,01900,0000,1900OTHER LONG TERM CARE 115209,A000000,02100,0000,2100RADIOLOGY 115209,A000000,02200,0000,2200LABORATORY 115209,A000000,02300,0000,2300INTRAVENOUS THERAPY 115209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115209,A000000,02500,0000,2500PHYSICAL THERAPY 115209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115209,A000000,02700,0000,2700SPEECH PATHOLOGY 115209,A000000,02800,0000,2800ELECTROCARDIOLOGY 115209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115209,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115209,A000000,03200,0000,3200SUPPORT SURFACES 115209,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115209,A000000,03400,0000,3400CLINIC 115209,A000000,03500,0000,3500RURAL HEALTH CLINIC 115209,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115209,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115209,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115209,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115209,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115209,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115209,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115209,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115209,A000000,04400,0000,4400DME RENTED - HHA 115209,A000000,04500,0000,4500DME SOLD - HHA 115209,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115209,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115209,A000000,04800,0000,4800AMBULANCE 115209,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115209,A000000,05000,0000,5000CORF 115209,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115209,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115209,A000000,05300,0000,5300INTEREST EXPENSE 115209,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115209,A000000,05500,0000,5500HOSPICE 115209,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115209,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115209,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115209,A000000,06100,0000,6100NONPAID WORKERS 115209,A000000,06200,0000,6200PATIENTS LAUNDRY 115209,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115209,A81000A,00100,0100,Y 115209,A81000B,00100,0300,RENT EXPENSE 115209,A81000B,00200,0300,LEASE EXPENSE 115209,A81000B,00300,0300,RENT EXPENSE 115209,A81000B,00400,0300,INTEREST EXPENSE 115209,A81000B,00500,0300,DEPRECIATION EXPENSE 115209,A81000B,00600,0300,PHYSICAL THERAPY 115209,A81000B,00700,0300,OCCUPATIONAL THERAPY 115209,A81000B,00800,0300,DIETARY DIRECTOR 115209,A81000B,00900,0300,SPEECH THERAPY 115209,A81000C,00100,0100,E 115209,A81000C,00100,0200,BOARD OF DIRECTORS 115209,A81000C,00100,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00100,0600,HOSPITAL 115209,A81000C,00200,0100,E 115209,A81000C,00200,0200,BOARD OF DIRECTORS 115209,A81000C,00200,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00200,0600,HOSPITAL 115209,A81000C,00300,0100,E 115209,A81000C,00300,0200,BOARD OF DIRECTORS 115209,A81000C,00300,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00300,0600,HOSPITAL 115209,A81000C,00400,0100,E 115209,A81000C,00400,0200,BOARD OF DIRECTORS 115209,A81000C,00400,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00400,0600,HOSPITAL 115209,A81000C,00500,0100,E 115209,A81000C,00500,0200,BOARD OF DIRECTORS 115209,A81000C,00500,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00500,0600,HOSPITAL 115209,A81000C,00600,0100,E 115209,A81000C,00600,0200,BOARD OF DIRECTORS 115209,A81000C,00600,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00600,0600,HOSPITAL 115209,A81000C,00700,0100,E 115209,A81000C,00700,0200,BOARD OF DIRECTORS 115209,A81000C,00700,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00700,0600,HOSPITAL 115209,A81000C,00800,0100,E 115209,A81000C,00800,0200,BOARD OF DIRECTORS 115209,A81000C,00800,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00800,0600,HOSPITAL 115209,A81000C,00900,0100,E 115209,A81000C,00900,0200,BOARD OF DIRECTORS 115209,A81000C,00900,0400,RUMFORD COMMUNITY HOSPITA 115209,A81000C,00900,0600,HOSPITAL 115209,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115209,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115209,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115209,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115209,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115209,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115209,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115209,B100000,00000,0800,0800MEALS SERVED :DIETARY 115209,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 115209,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 115209,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 115209,S000000,00100,0200,12/01/00 115209,S200000,00100,0100, 11 JOHN F KENNEDY LANE 115209,S200000,00200,0100,RUMFORD 115209,S200000,00200,0200,ME 115209,S200000,00200,0300,04276- 115209,S200000,00300,0100,OXFORD 115209,S200000,00300,0200,20 115209,S200000,00300,0300,R 115209,S200000,00400,0100,RUMFORD COMMUNITY HOME 115209,S200000,00400,0200,205099 115209,S200000,00400,0300,01/01/93 115209,S200000,00400,0500,P 115209,S200000,00400,0600,O 115209,S200000,00600,0200,205099 115209,S200000,00600,0300,01/01/93 115209,S200000,00600,0600,O 115209,S200000,01500,0100,N 115209,S200000,01600,0100,Y 115209,S200000,01700,0100,N 115209,S200000,01800,0100,N 115209,S200000,02200,0100,Y 115209,S200000,02800,0100,Y 115209,S200000,02900,0100,N 115209,S200000,03000,0100,N 115209,S200000,03100,0100,N 115209,S200000,03200,0100,N 115209,S200000,04100,0100,N 115209,S200000,04200,0100,N 115209,S200000,04300,0100,N 115209,S200000,04600,0100,N 115209,S200000,04700,0100,N 115209,S200000,04700,0200,N 115209,S200000,04900,0100,N 115209,S200000,05000,0100,N 115209,S200000,05100,0100,N 115209,S200000,05200,0100,N 115213,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115213,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115213,A000000,00300,0000,0300EMPLOYEE BENEFITS 115213,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115213,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115213,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115213,A000000,00700,0000,0700HOUSEKEEPING 115213,A000000,00800,0000,0800DIETARY 115213,A000000,00900,0000,0900NURSING ADMINISTRATION 115213,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115213,A000000,01100,0000,1100PHARMACY 115213,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115213,A000000,01300,0000,1300SOCIAL SERVICE 115213,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115213,A000000,01500,0000,1350ACTIVITIES 115213,A000000,01600,0000,1600SKILLED NURSING FACILITY 115213,A000000,01800,0000,1800NURSING FACILITY 115213,A000000,01810,0000,1810ICF/MR 115213,A000000,02500,0000,2500PHYSICAL THERAPY 115213,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115213,A000000,02700,0000,2700SPEECH PATHOLOGY 115213,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115213,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115213,A000000,03550,0000,3550FQHC 115213,A000000,05000,0000,5000CORF 115213,A000000,05010,0000,5010CMHC 115213,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115213,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115213,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115213,A000000,05300,0000,5300INTEREST EXPENSE 115213,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115213,A81000A,00100,0100,Y 115213,A81000B,00100,0300,MANAGEMENT FEES 115213,A81000C,00100,0100,B 115213,A81000C,00100,0200,HOME OFFICE 115213,A81000C,00100,0400,VANGUARD HEALTHCARE 115213,B100000,00000,0100,0100SQUARE FEET 115213,B100000,00000,0200,0200SQUARE FEET 115213,B100000,00000,0300,0300GROSS SALARIES 115213,B100000,00000,0400,0400ACCUM COST 115213,B100000,00000,0500,0500SQUARE FEET 115213,B100000,00000,0600,0600POUNDS OF LAUNDRY 115213,B100000,00000,0700,0700HOURS OF SERVICE 115213,B100000,00000,0800,0800MEALS SERVED 115213,B100000,00000,0900,0900DIRECT NRSG HRS 115213,B100000,00000,1000,1000COSTED REQUIS 115213,B100000,00000,1100,1100COSTED REQUIS 115213,B100000,00000,1200,1200TIME SPENT 115213,B100000,00000,1300,1300TIME SPENT 115213,B100000,00000,1400,1400ASSIGNED TIME 115213,B100000,00000,1500,1350PATIENT DAYS 115213,E10A180,00501,0300,06/07/00 115213,S000000,00100,0200,07/01/99 115213,S200000,00100,0100,310 EMERALD DRIVE 115213,S200000,00200,0100,COLUMBUS 115213,S200000,00200,0200,MS 115213,S200000,00200,0300,39702 115213,S200000,00300,0100,LOWNDES 115213,S200000,00300,0200,0025 115213,S200000,00300,0300,R 115213,S200000,00400,0100,AURORA AUSTRALIS LODGE 115213,S200000,00400,0200,255206 115213,S200000,00400,0300,10/01/98 115213,S200000,00400,0500,P 115213,S200000,01500,0100,N 115213,S200000,01600,0100,Y 115213,S200000,01700,0100,N 115213,S200000,01800,0100,N 115213,S200000,02200,0100,N 115213,S200000,02800,0100,N 115213,S200000,02900,0100,N 115213,S200000,03000,0100,N 115213,S200000,03100,0100,N 115213,S200000,03200,0100,N 115213,S200000,03300,0100,N 115213,S200000,03300,0200,N 115213,S200000,04100,0100,N 115213,S200000,04200,0100,N 115213,S200000,04300,0100,N 115213,S200000,04600,0100,N 115213,S200000,04700,0100,N 115233,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115233,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115233,A000000,00300,0000,0300EMPLOYEE BENEFITS 115233,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115233,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115233,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115233,A000000,00700,0000,0700HOUSEKEEPING 115233,A000000,00800,0000,0800DIETARY 115233,A000000,00900,0000,0900NURSING ADMINISTRATION 115233,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115233,A000000,01100,0000,1100PHARMACY 115233,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115233,A000000,01300,0000,1300SOCIAL SERVICE 115233,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115233,A000000,01500,0000,1350ACTIVITIES 115233,A000000,01600,0000,1600SKILLED NURSING FACILITY 115233,A000000,01810,0000,1810ICF/MR 115233,A000000,01900,0000,1900OTHER LONG TERM CARE 115233,A000000,02100,0000,2100RADIOLOGY 115233,A000000,02200,0000,2200LABORATORY 115233,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115233,A000000,02500,0000,2500PHYSICAL THERAPY 115233,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115233,A000000,02700,0000,2700SPEECH PATHOLOGY 115233,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115233,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115233,A000000,03550,0000,3550FQHC 115233,A000000,05000,0000,5000CORF 115233,A000000,05010,0000,5010CMHC 115233,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115233,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115233,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115233,A000000,05300,0000,5300INTEREST EXPENSE 115233,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115233,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115233,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115233,A000000,06300,0000,6150OTHER NON-REIMBURSABLE 115233,A81000A,00100,0100,N 115233,B100000,00000,0100,0100SQUARE FEET 115233,B100000,00000,0200,0200SQUARE FEET 115233,B100000,00000,0300,0300GROSS SALARIES 115233,B100000,00000,0400,0400ACCUM COST 115233,B100000,00000,0500,0500SQUARE FEET 115233,B100000,00000,0600,0600POUNDS OF LAUNDRY 115233,B100000,00000,0700,0700SQUARE FEET 115233,B100000,00000,0800,0800MEALS SERVED 115233,B100000,00000,0900,0900DIRECT NRSG HRS 115233,B100000,00000,1000,1000COSTED REQUIS 115233,B100000,00000,1100,1100COSTED REQUIS 115233,B100000,00000,1200,1200TIME SPENT 115233,B100000,00000,1300,1300PATIENT DAYS 115233,B100000,00000,1400,1400ASSIGNED TIME 115233,B100000,00000,1500,1350PATIENT DAYS 115233,E10A180,00501,0100,12/04/00 115233,E10A180,00501,0300,12/04/00 115233,S000000,00100,0200,11/24/00 115233,S200000,00100,0100,1901 NORTH FIFTH STREET 115233,S200000,00200,0100,HARRISBURG 115233,S200000,00200,0200,PA 115233,S200000,00200,0300,17102 115233,S200000,00300,0100,DAUPHIN 115233,S200000,00400,0100,HOMELAND CENTER 115233,S200000,00400,0200,395475 115233,S200000,00400,0300,07/17/80 115233,S200000,00400,0500,P 115233,S200000,01500,0100,Y 115233,S200000,01600,0100,N 115233,S200000,01700,0100,N 115233,S200000,01800,0100,N 115233,S200000,02200,0100,N 115233,S200000,02800,0100,Y 115233,S200000,02900,0100,N 115233,S200000,03000,0100,N 115233,S200000,03100,0100,N 115233,S200000,03200,0100,N 115233,S200000,03300,0100,N 115233,S200000,03300,0200,N 115233,S200000,04100,0100,N 115233,S200000,04200,0100,N 115233,S200000,04300,0100,N 115233,S200000,04600,0100,N 115233,S200000,04700,0100,N 115233,S200000,04900,0100,N 115254,S000000,00100,0200,09/01/00 115262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115262,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115262,A000000,00300,0000,0300EMPLOYEE BENEFITS 115262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115262,A000000,00700,0000,0700HOUSEKEEPING 115262,A000000,00800,0000,0800DIETARY 115262,A000000,00900,0000,0900NURSING ADMINISTRATION 115262,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115262,A000000,01100,0000,1100PHARMACY 115262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115262,A000000,01300,0000,1300SOCIAL SERVICE 115262,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115262,A000000,01500,0000,1350OTHER GENERAL SERVICES 115262,A000000,01600,0000,1600SKILLED NURSING FACILITY 115262,A000000,01800,0000,1800NURSING FACILITY 115262,A000000,01810,0000,1810ICF/MR 115262,A000000,01900,0000,1900OTHER LONG TERM CARE 115262,A000000,02100,0000,2100RADIOLOGY 115262,A000000,02200,0000,2200LABORATORY 115262,A000000,02300,0000,2300INTRAVENOUS THERAPY 115262,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115262,A000000,02500,0000,2500PHYSICAL THERAPY 115262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115262,A000000,02700,0000,2700SPEECH PATHOLOGY 115262,A000000,02800,0000,2800ELECTROCARDIOLOGY 115262,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115262,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115262,A000000,03200,0000,3200SUPPORT SURFACES 115262,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115262,A000000,03400,0000,3400CLINIC 115262,A000000,03500,0000,3500RURAL HEALTH CLINIC 115262,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115262,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115262,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115262,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115262,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115262,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115262,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115262,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115262,A000000,04400,0000,4400DME RENTED - HHA 115262,A000000,04500,0000,4500DME SOLD - HHA 115262,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115262,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115262,A000000,04800,0000,4800AMBULANCE 115262,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115262,A000000,05000,0000,5000CORF 115262,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115262,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115262,A000000,05300,0000,5300INTEREST EXPENSE 115262,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115262,A000000,05500,0000,5500HOSPICE 115262,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115262,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115262,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115262,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115262,A000000,06100,0000,6100NONPAID WORKERS 115262,A000000,06200,0000,6200PATIENTS LAUNDRY 115262,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115262,A81000A,00100,0100,Y 115262,A81000B,00100,0300,ADMIN & GENERAL HOME OFFICE COST 115262,A81000B,00200,0300,CAP REL COSTS - BLDG & F-HOME OFFICE 115262,A81000B,00300,0300,CAP REL COSTS-MOVABLE E-HOME OFFICE 115262,A81000C,00100,0100,B 115262,A81000C,00100,0200,ELIZA JENNINGS GROUP 115262,A81000C,00100,0400,ELIZA JENNINGS GROUP 115262,A81000C,00100,0600,MANAGEMENT COMPANY 115262,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115262,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115262,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115262,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115262,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115262,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 115262,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115262,B100000,00000,0800,0800MEALS SERVED :DIETARY 115262,B100000,00000,0900,0950DIRECT NSG :NURSING ADMINISTRAT 115262,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 115262,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 115262,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 115262,S000000,00100,0200,12/01/00 115262,S200000,00100,0100,10603 DETROIT AVENUE 115262,S200000,00200,0100,CLEVELAND 115262,S200000,00200,0200,OH 115262,S200000,00200,0300,44102- 115262,S200000,00300,0100,CUYAHOGA 115262,S200000,00300,0200,1680 115262,S200000,00300,0300,U 115262,S200000,00400,0100,THE ELIZA JENNINGS HOME 115262,S200000,00400,0200,366079 115262,S200000,00400,0300,06/10/96 115262,S200000,00400,0500,P 115262,S200000,01004,0500,O 115262,S200000,01500,0100,N 115262,S200000,01600,0100,Y 115262,S200000,01700,0100,N 115262,S200000,01800,0100,N 115262,S200000,02200,0100,N 115262,S200000,02800,0100,N 115262,S200000,02900,0100,N 115262,S200000,03000,0100,N 115262,S200000,03100,0100,N 115262,S200000,03200,0100,N 115262,S200000,04100,0100,N 115262,S200000,04200,0100,N 115262,S200000,04300,0100,Y 115262,S200000,04600,0100,N 115262,S200000,04700,0100,N 115262,S200000,04700,0200,N 115262,S200000,04900,0100,N 115262,S200000,05000,0100,N 115262,S200000,05100,0100,N 115262,S200000,05200,0100,N 115388,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115388,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115388,A000000,00300,0000,0300EMPLOYEE BENEFITS 115388,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115388,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115388,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115388,A000000,00700,0000,0700HOUSEKEEPING 115388,A000000,00800,0000,0800DIETARY 115388,A000000,00900,0000,0900NURSING ADMINISTRATION 115388,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115388,A000000,01100,0000,1100PHARMACY 115388,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115388,A000000,01300,0000,1300SOCIAL SERVICE 115388,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115388,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 115388,A000000,01600,0000,1600SKILLED NURSING FACILITY 115388,A000000,01800,0000,1800NURSING FACILITY 115388,A000000,01810,0000,1810ICF/MR 115388,A000000,01900,0000,1900OTHER LONG TERM CARE 115388,A000000,02100,0000,2100RADIOLOGY 115388,A000000,02200,0000,2200LABORATORY 115388,A000000,02500,0000,2500PHYSICAL THERAPY 115388,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115388,A000000,02700,0000,2700SPEECH PATHOLOGY 115388,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115388,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115388,A000000,03300,0000,3050OTHER-AMBULANCE 115388,A000000,03550,0000,3550FQHC 115388,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115388,A000000,05000,0000,5000CORF 115388,A000000,05010,0000,5010CMHC 115388,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115388,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115388,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115388,A000000,05300,0000,5300INTEREST EXPENSE 115388,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115388,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115388,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115388,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115388,A81000A,00100,0100,Y 115388,A81000B,00100,0300,CONSULTING 115388,A81000B,00200,0300,CONSULTING 115388,A81000B,00300,0300,CONSULTING 115388,A81000B,00400,0300,CONSULTING 115388,A81000B,00500,0300,HOME OFFICE 115388,A81000B,00600,0300,CONSULTING 115388,A81000B,00700,0300,INSURANCE 115388,A81000B,00800,0300,EQUIPMENT RENTAL 115388,A81000B,00900,0300,GAS 115388,A81000C,00100,0100,B 115388,A81000C,00100,0400,BRITTHAVEN INC 115388,A81000C,00100,0600,MGMT SVS 115388,A81000C,00200,0100,B 115388,A81000C,00200,0400,BRITTHAVEN INC 115388,A81000C,00200,0600,MGMT SVS 115388,A81000C,00300,0100,B 115388,A81000C,00300,0400,BRITTHAVEN INC 115388,A81000C,00300,0600,MGMT SVS 115388,A81000C,00400,0100,B 115388,A81000C,00400,0400,BRITTHAVEN INC 115388,A81000C,00400,0600,MGMT SVS 115388,A81000C,00500,0100,B 115388,A81000C,00500,0400,BRITTHAVEN INC 115388,A81000C,00500,0600,MGMT SVS 115388,A81000C,00600,0100,B 115388,A81000C,00600,0400,BRITTHAVEN INC 115388,A81000C,00600,0600,MGMT SVS 115388,A81000C,00700,0100,B 115388,A81000C,00700,0400,BRITTHAVEN INC 115388,A81000C,00700,0600,MGMT SVS 115388,A81000C,00800,0100,B 115388,A81000C,00800,0400,BRITTHAVEN INC 115388,A81000C,00800,0600,MGMT SVS 115388,A81000C,00900,0100,B 115388,A81000C,00900,0400,BRITTHAVEN INC 115388,A81000C,00900,0600,MGMT SVS 115388,A81000C,01000,0100,B 115388,A81000C,01000,0400,R. HILL CONS. C 115388,A81000C,01000,0600,CONSTRUCTION 115388,B100000,00000,0100,0100SQUARE FEET 115388,B100000,00000,0200,0200SQUARE FEET 115388,B100000,00000,0300,0300GROSS SALARIES 115388,B100000,00000,0400,0400ACCUM COST 115388,B100000,00000,0500,0500SQUARE FEET 115388,B100000,00000,0600,0600POUNDS OF LAUNDRY 115388,B100000,00000,0700,0700SQUARE FEET 115388,B100000,00000,0800,0800MEALS SERVED 115388,B100000,00000,0900,0900PATIENT DAYS 115388,B100000,00000,1000,1000COSTED REQUISITIO 115388,B100000,00000,1100,1100COSTED REQUISITIO 115388,B100000,00000,1200,1200TIME SPENT 115388,B100000,00000,1300,1300TIME SPENT 115388,B100000,00000,1400,1400ASSIGNED TIME 115388,B100000,00000,1500,1350SQUARE FEET 115388,E10A180,00301,0100,03/29/99 115388,E10A180,00501,0300,03/21/00 115388,E10A180,00502,0300,08/24/01 115388,E10A180,00550,0100,03/21/00 115388,E10A180,00551,0100,08/24/01 115388,S000000,00100,0200,03/21/00 115388,S200000,00100,0100,1721 BOLD HILL LOOP 115388,S200000,00200,0100,MADISON 115388,S200000,00200,0200,NC 115388,S200000,00200,0300,27025 115388,S200000,00300,0100,ROCKINGHAM 115388,S200000,00300,0300,R 115388,S200000,00400,0100,BRITTHAVEN OF MADISON 115388,S200000,00400,0200,345050 115388,S200000,00400,0300,05/08/68 115388,S200000,00400,0500,P 115388,S200000,01500,0100,N 115388,S200000,01600,0100,Y 115388,S200000,01700,0100,N 115388,S200000,01800,0100,N 115388,S200000,01900,0100,HOSPITAL AUTHORITY 115388,S200000,02200,0100,N 115388,S200000,02800,0100,N 115388,S200000,02900,0100,N 115388,S200000,03000,0100,N 115388,S200000,03100,0100,N 115388,S200000,03200,0100,N 115388,S200000,03300,0100,N 115388,S200000,03300,0200,N 115388,S200000,04100,0100,N 115388,S200000,04200,0100,N 115388,S200000,04300,0100,N 115388,S200000,04600,0100,N 115388,S200000,04700,0100,N 115388,S200000,04900,0100,N 115389,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115389,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115389,A000000,00300,0000,0300EMPLOYEE BENEFITS 115389,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115389,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115389,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115389,A000000,00700,0000,0700HOUSEKEEPING 115389,A000000,00800,0000,0800DIETARY 115389,A000000,00900,0000,0900NURSING ADMINISTRATION 115389,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115389,A000000,01100,0000,1100PHARMACY 115389,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115389,A000000,01300,0000,1300SOCIAL SERVICE 115389,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115389,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 115389,A000000,01600,0000,1600SKILLED NURSING FACILITY 115389,A000000,01800,0000,1800NURSING FACILITY 115389,A000000,01810,0000,1810ICF/MR 115389,A000000,02100,0000,2100RADIOLOGY 115389,A000000,02200,0000,2200LABORATORY 115389,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115389,A000000,02500,0000,2500PHYSICAL THERAPY 115389,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115389,A000000,02700,0000,2700SPEECH PATHOLOGY 115389,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115389,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115389,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 115389,A000000,03550,0000,3550FQHC 115389,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115389,A000000,05000,0000,5000CORF 115389,A000000,05010,0000,5010CMHC 115389,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115389,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115389,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115389,A000000,05300,0000,5300INTEREST EXPENSE 115389,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115389,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115389,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115389,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115389,A81000A,00100,0100,Y 115389,A81000B,00100,0300,CONSULTING 115389,A81000B,00200,0300,CONSULTING 115389,A81000B,00300,0300,CONSULTING 115389,A81000B,00400,0300,CONSULTING 115389,A81000B,00500,0300,HOME OFFICE 115389,A81000B,00600,0300,CONSULTING 115389,A81000B,00700,0300,INSURANCE 115389,A81000B,00800,0300,GAS 115389,A81000B,01400,0300,INTEREST 115389,A81000C,00100,0100,B 115389,A81000C,00100,0400,BRITTHAVEN INC 115389,A81000C,00100,0600,MGMT SVS 115389,A81000C,00200,0100,B 115389,A81000C,00200,0400,BRITTHAVEN INC 115389,A81000C,00200,0600,MGMT SVS 115389,A81000C,00300,0100,B 115389,A81000C,00300,0400,BRITTHAVEN INC 115389,A81000C,00300,0600,MGMT SVS 115389,A81000C,00400,0100,B 115389,A81000C,00400,0400,BRITTHAVEN INC 115389,A81000C,00400,0600,MGMT SVS 115389,A81000C,00500,0100,B 115389,A81000C,00500,0400,BRITTHAVEN INC 115389,A81000C,00500,0600,MGMT SVS 115389,A81000C,00600,0100,B 115389,A81000C,00600,0400,BRITTHAVEN INC 115389,A81000C,00600,0600,MGMT SVS 115389,A81000C,00700,0100,B 115389,A81000C,00700,0400,BRITTHAVEN INC 115389,A81000C,00700,0600,MGMT SVS 115389,A81000C,00800,0100,B 115389,A81000C,00800,0400,BRITTHAVEN INC 115389,A81000C,00800,0600,MGMT SVS 115389,A81000C,00900,0100,B 115389,A81000C,00900,0400,BRITTHAVEN INC 115389,A81000C,00900,0600,MGMT SVS 115389,A81000C,01000,0100,B 115389,A81000C,01000,0400,R. HILL CONS. C 115389,A81000C,01000,0600,CONSTRUCTION 115389,B100000,00000,0100,0100SQUARE FEET 115389,B100000,00000,0200,0200SQUARE FEET 115389,B100000,00000,0300,0300GROSS SALARIES 115389,B100000,00000,0400,0400ACCUM COST 115389,B100000,00000,0500,0500SQUARE FEET 115389,B100000,00000,0600,0600POUNDS OF LAUNDRY 115389,B100000,00000,0700,0700HOURS OF SERVICE 115389,B100000,00000,0800,0800MEALS SERVED 115389,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 115389,B100000,00000,1000,1000COSTED REQUISITIO 115389,B100000,00000,1100,1100COSTED REQUISITIO 115389,B100000,00000,1200,1200TIME SPENT 115389,B100000,00000,1300,1300TIME SPENT 115389,B100000,00000,1400,1400ASSIGNED TIME 115389,B100000,00000,1500,1350SQUARE FEET 115389,E10A180,00301,0100,04/12/99 115389,E10A180,00501,0300,08/29/01 115389,E10A180,00550,0100,03/21/00 115389,E10A180,00550,0300,03/21/00 115389,E10A180,00551,0100,08/29/01 115389,S000000,00100,0200,03/21/00 115389,S200000,00100,0100,1839 ONSLOW DRIVE 115389,S200000,00100,0300,5021 115389,S200000,00200,0100,JACKSONVILLE 115389,S200000,00200,0200,NC 115389,S200000,00200,0300,28540 115389,S200000,00300,0100,ONSLOW 115389,S200000,00300,0200,3605 115389,S200000,00300,0300,U 115389,S200000,00400,0100,BRITTHAVEN OF ONSLOW 115389,S200000,00400,0200,345072 115389,S200000,00400,0300,10/01/84 115389,S200000,00400,0500,P 115389,S200000,01500,0100,N 115389,S200000,01600,0100,Y 115389,S200000,01700,0100,N 115389,S200000,01800,0100,N 115389,S200000,01900,0100,HOSPITAL AUTHORITY 115389,S200000,02200,0100,N 115389,S200000,02800,0100,N 115389,S200000,02900,0100,N 115389,S200000,03000,0100,N 115389,S200000,03100,0100,N 115389,S200000,03200,0100,N 115389,S200000,03300,0100,N 115389,S200000,03300,0200,N 115389,S200000,04100,0100,N 115389,S200000,04200,0100,N 115389,S200000,04300,0100,N 115389,S200000,04600,0100,N 115389,S200000,04700,0100,N 115389,S200000,04900,0100,N 115390,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115390,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115390,A000000,00300,0000,0300EMPLOYEE BENEFITS 115390,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115390,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115390,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115390,A000000,00700,0000,0700HOUSEKEEPING 115390,A000000,00800,0000,0800DIETARY 115390,A000000,00900,0000,0900NURSING ADMINISTRATION 115390,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115390,A000000,01100,0000,1100PHARMACY 115390,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115390,A000000,01300,0000,1300SOCIAL SERVICE 115390,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115390,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 115390,A000000,01600,0000,1600SKILLED NURSING FACILITY 115390,A000000,01800,0000,1800NURSING FACILITY 115390,A000000,01810,0000,1810ICF/MR 115390,A000000,01900,0000,1900OTHER LONG TERM CARE 115390,A000000,02100,0000,2100RADIOLOGY 115390,A000000,02200,0000,2200LABORATORY 115390,A000000,02300,0000,2300INTRAVENOUS THERAPY 115390,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115390,A000000,02500,0000,2500PHYSICAL THERAPY 115390,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115390,A000000,02700,0000,2700SPEECH PATHOLOGY 115390,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115390,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115390,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 115390,A000000,03550,0000,3550FQHC 115390,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115390,A000000,05000,0000,5000CORF 115390,A000000,05010,0000,5010CMHC 115390,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115390,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115390,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115390,A000000,05300,0000,5300INTEREST EXPENSE 115390,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115390,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115390,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115390,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115390,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115390,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115390,A81000A,00100,0100,Y 115390,A81000B,00100,0300,CONSULTANTS 115390,A81000B,00200,0300,CONSULTANTS 115390,A81000B,00300,0300,CONSULTANTS 115390,A81000B,00400,0300,CONSULTANTS 115390,A81000B,00500,0300,CONSULTANTS 115390,A81000B,00600,0300,HOME OFFICE 115390,A81000C,00100,0100,B 115390,A81000C,00100,0400,BRITTHAVEN INC 115390,A81000C,00100,0600,MGMT SERV 115390,A81000C,00200,0100,B 115390,A81000C,00200,0400,BRITTHAVEN INC 115390,A81000C,00200,0600,MGMT SERV 115390,A81000C,00300,0100,B 115390,A81000C,00300,0400,BRITTHAVEN INC 115390,A81000C,00300,0600,MGMT SERV 115390,A81000C,00400,0100,B 115390,A81000C,00400,0400,BRITTHAVEN INC 115390,A81000C,00400,0600,MGMT SERV 115390,A81000C,00500,0100,B 115390,A81000C,00500,0400,BRITTHAVEN INC 115390,A81000C,00500,0600,MGMT SERV 115390,A81000C,00600,0100,B 115390,A81000C,00600,0400,BRITTHAVEN INC 115390,A81000C,00600,0600,MGMT SERV 115390,A81000C,00700,0100,B 115390,A81000C,00700,0400,BRITTHAVEN INC 115390,A81000C,00700,0600,MGMT SERV 115390,A81000C,00800,0100,B 115390,A81000C,00800,0400,BRITTHAVEN INC 115390,A81000C,00800,0600,MGMT SERV 115390,A81000C,00900,0100,B 115390,A81000C,00900,0400,KARE MEDICAL 115390,A81000C,00900,0600,WHOLESALE SUPPL 115390,A81000C,01000,0100,B 115390,A81000C,01000,0400,PHARMSAVE 115390,A81000C,01000,0600,RX SUPPLY 115390,B100000,00000,0100,0100SQUARE FEET 115390,B100000,00000,0200,0200SQUARE FEET 115390,B100000,00000,0300,0300GROSS SALARIES 115390,B100000,00000,0400,0400ACCUM COST 115390,B100000,00000,0500,0500SQUARE FEET 115390,B100000,00000,0600,0600POUNDS OF LAUNDRY 115390,B100000,00000,0700,0700SQUARE FEET 115390,B100000,00000,0800,0800MEALS SERVED 115390,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 115390,B100000,00000,1000,1000COSTED REQUISITIO 115390,B100000,00000,1100,1100COSTED REQUISITIO 115390,B100000,00000,1200,1200TIME SPENT 115390,B100000,00000,1300,1300TIME SPENT 115390,B100000,00000,1400,1400ASSIGNED TIME 115390,B100000,00000,1500,1350SQUARE FEET 115390,E10A180,00301,0100,03/29/99 115390,E10A180,00501,0100,05/17/00 115390,E10A180,00501,0300,08/23/01 115390,E10A180,00550,0100,08/23/01 115390,E10A180,00550,0300,05/17/00 115390,S000000,00100,0200,03/21/00 115390,S200000,00100,0100,3015 ENTERPRISE DRIVE 115390,S200000,00200,0100,WILMINGTON 115390,S200000,00200,0200,NC 115390,S200000,00200,0300,28405 115390,S200000,00300,0100,NEW HANOVER 115390,S200000,00300,0200,9200 115390,S200000,00300,0300,U 115390,S200000,00400,0100,BRITTHAVEN OF NORTH CHASE 115390,S200000,00400,0200,345119 115390,S200000,00400,0300,04/01/78 115390,S200000,00400,0500,P 115390,S200000,01500,0100,N 115390,S200000,01600,0100,Y 115390,S200000,01700,0100,N 115390,S200000,01800,0100,N 115390,S200000,02200,0100,N 115390,S200000,02800,0100,N 115390,S200000,02900,0100,N 115390,S200000,03000,0100,N 115390,S200000,03100,0100,N 115390,S200000,03200,0100,N 115390,S200000,03300,0100,N 115390,S200000,03300,0200,N 115390,S200000,04100,0100,N 115390,S200000,04200,0100,N 115390,S200000,04300,0100,N 115390,S200000,04600,0100,N 115390,S200000,04700,0100,N 115390,S200000,04900,0100,N 115391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115391,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115391,A000000,00300,0000,0300EMPLOYEE BENEFITS 115391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115391,A000000,00700,0000,0700HOUSEKEEPING 115391,A000000,00800,0000,0800DIETARY 115391,A000000,00900,0000,0900NURSING ADMINISTRATION 115391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115391,A000000,01100,0000,1100PHARMACY 115391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115391,A000000,01300,0000,1300SOCIAL SERVICE 115391,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115391,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 115391,A000000,01600,0000,1600SKILLED NURSING FACILITY 115391,A000000,01800,0000,1800NURSING FACILITY 115391,A000000,01810,0000,1810ICF/MR 115391,A000000,02100,0000,2100RADIOLOGY 115391,A000000,02200,0000,2200LABORATORY 115391,A000000,02300,0000,2300INTRAVENOUS THERAPY 115391,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115391,A000000,02500,0000,2500PHYSICAL THERAPY 115391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115391,A000000,02700,0000,2700SPEECH PATHOLOGY 115391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115391,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 115391,A000000,03550,0000,3550FQHC 115391,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115391,A000000,05000,0000,5000CORF 115391,A000000,05010,0000,5010CMHC 115391,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115391,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115391,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115391,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115391,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115391,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115391,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115391,A81000A,00100,0100,Y 115391,A81000B,00100,0300,CONSULTANTS 115391,A81000B,00200,0300,CONSULTANTS 115391,A81000B,00300,0300,CONSULTANTS 115391,A81000B,00400,0300,CONSULTANTS 115391,A81000B,00500,0300,CONSULTANTS 115391,A81000B,00600,0300,HOME OFFICE 115391,A81000C,00100,0100,B 115391,A81000C,00100,0400,BRITTHAVEN INC 115391,A81000C,00100,0600,MGMT SVS 115391,A81000C,00200,0100,B 115391,A81000C,00200,0400,BRITTHAVEN INC 115391,A81000C,00200,0600,MGMT SVS 115391,A81000C,00300,0100,B 115391,A81000C,00300,0400,BRITTHAVEN INC 115391,A81000C,00300,0600,MGMT SVS 115391,A81000C,00400,0100,B 115391,A81000C,00400,0400,BRITTHAVEN INC 115391,A81000C,00400,0600,MGMT SVS 115391,A81000C,00500,0100,B 115391,A81000C,00500,0400,BRITTHAVEN INC 115391,A81000C,00500,0600,MGMT SVS 115391,A81000C,00600,0100,B 115391,A81000C,00600,0400,BRITTHAVEN INC 115391,A81000C,00600,0600,MGMT SVS 115391,A81000C,00700,0100,B 115391,A81000C,00700,0400,BRITTHAVEN INC 115391,A81000C,00700,0600,MGMT SVS 115391,A81000C,00800,0100,B 115391,A81000C,00800,0400,BRITTHAVEN INC 115391,A81000C,00800,0600,MGMT SVS 115391,A81000C,00900,0100,B 115391,A81000C,00900,0400,KARE MEDICAL 115391,A81000C,00900,0600,WHOLESALE SUPPL 115391,A81000C,01000,0100,B 115391,A81000C,01000,0400,PHARMSAVE 115391,A81000C,01000,0600,RX SUPPLY 115391,B100000,00000,0100,0100SQUARE FEET 115391,B100000,00000,0200,0200SQUARE FEET 115391,B100000,00000,0300,0300GROSS SALARIES 115391,B100000,00000,0400,0400ACCUM COST 115391,B100000,00000,0500,0500SQUARE FEET 115391,B100000,00000,0600,0600POUNDS OF LAUNDRY 115391,B100000,00000,0700,0700SQUARE FEET 115391,B100000,00000,0800,0800MEALS SERVED 115391,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 115391,B100000,00000,1000,1000COSTED REQUISITIO 115391,B100000,00000,1100,1100COSTED REQUISITIO 115391,B100000,00000,1200,1200TIME SPENT 115391,B100000,00000,1300,1300TIME SPENT 115391,B100000,00000,1400,1400ASSIGNED TIME 115391,B100000,00000,1500,1350SQUARE FEET 115391,E10A180,00301,0100,03/29/99 115391,E10A180,00501,0300,08/24/01 115391,E10A180,00550,0100,03/21/00 115391,E10A180,00550,0300,03/21/00 115391,E10A180,00551,0100,08/24/01 115391,E10A180,00551,0300,05/16/00 115391,S000000,00100,0200,03/21/00 115391,S200000,00100,0100,317 RHODES AVENUE 115391,S200000,00100,0300,3527 115391,S200000,00200,0100,KINSTON 115391,S200000,00200,0200,NC 115391,S200000,00200,0300,28501 115391,S200000,00300,0100,LENOIR 115391,S200000,00300,0300,R 115391,S200000,00400,0100,BRITTHAVEN OF KINSTON 115391,S200000,00400,0200,345156 115391,S200000,00400,0300,10/01/83 115391,S200000,00400,0500,P 115391,S200000,01500,0100,N 115391,S200000,01600,0100,Y 115391,S200000,01700,0100,N 115391,S200000,01800,0100,N 115391,S200000,02200,0100,N 115391,S200000,02800,0100,N 115391,S200000,02900,0100,N 115391,S200000,03000,0100,N 115391,S200000,03100,0100,N 115391,S200000,03200,0100,N 115391,S200000,03300,0100,N 115391,S200000,03300,0200,N 115391,S200000,04100,0100,N 115391,S200000,04200,0100,N 115391,S200000,04300,0100,N 115391,S200000,04600,0100,N 115391,S200000,04700,0100,N 115391,S200000,04900,0100,N 115417,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115417,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115417,A000000,00300,0000,0300EMPLOYEE BENEFITS 115417,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115417,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115417,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115417,A000000,00700,0000,0700HOUSEKEEPING 115417,A000000,00800,0000,0800DIETARY 115417,A000000,00900,0000,0900NURSING ADMINISTRATION 115417,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115417,A000000,01100,0000,1100PHARMACY 115417,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115417,A000000,01300,0000,1300SOCIAL SERVICE 115417,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115417,A000000,01600,0000,1600SKILLED NURSING FACILITY 115417,A000000,01800,0000,1800NURSING FACILITY 115417,A000000,01810,0000,1810ICF/MR 115417,A000000,02100,0000,2100RADIOLOGY 115417,A000000,02200,0000,2200LABORATORY 115417,A000000,02300,0000,2300INTRAVENOUS THERAPY 115417,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115417,A000000,02500,0000,2500PHYSICAL THERAPY 115417,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115417,A000000,02700,0000,2700SPEECH PATHOLOGY 115417,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115417,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115417,A000000,03550,0000,3550FQHC 115417,A000000,05000,0000,5000CORF 115417,A000000,05010,0000,5010CMHC 115417,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115417,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115417,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115417,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115417,A81000A,00100,0100,N 115417,B100000,00000,0100,0100SQUARE FEET 115417,B100000,00000,0200,0200SQUARE FEET 115417,B100000,00000,0300,0300GROSS SALARIES 115417,B100000,00000,0400,0400ACCUM COST 115417,B100000,00000,0500,0500SQUARE FEET 115417,B100000,00000,0600,0600POUNDS OF LAUNDRY 115417,B100000,00000,0700,0700HOURS OF SERVICE 115417,B100000,00000,0800,0800MEALS SERVED 115417,B100000,00000,0900,0900DIRECT NRSG HRS 115417,B100000,00000,1000,1000COSTED REQUIS 115417,B100000,00000,1100,1100COSTED REQUIS 115417,B100000,00000,1200,1200TIME SPENT 115417,B100000,00000,1300,1300TIME SPENT 115417,B100000,00000,1400,1400ASSIGNED TIME 115417,S000000,00100,0200,11/30/00 115417,S200000,00100,0100,4141 NORTH 3RD STREET 115417,S200000,00200,0100,PHOENIX 115417,S200000,00200,0200,AZ 115417,S200000,00200,0300,85012 115417,S200000,00300,0100,MARICOPA 115417,S200000,00300,0200,6200 115417,S200000,00300,0300,U 115417,S200000,00400,0100,ARIZONA VETERANS HOME 115417,S200000,00400,0200,035234 115417,S200000,00400,0300,01/01/96 115417,S200000,00400,0500,P 115417,S200000,00600,0200,035234 115417,S200000,00600,0300,01/01/96 115417,S200000,00600,0600,O 115417,S200000,01500,0100,N 115417,S200000,01600,0100,Y 115417,S200000,01700,0100,N 115417,S200000,01800,0100,N 115417,S200000,02200,0100,N 115417,S200000,02800,0100,N 115417,S200000,02900,0100,N 115417,S200000,03000,0100,N 115417,S200000,03100,0100,N 115417,S200000,03200,0100,N 115417,S200000,03300,0100,N 115417,S200000,03300,0200,N 115417,S200000,04100,0100,N 115417,S200000,04200,0100,N 115417,S200000,04300,0100,N 115417,S200000,04600,0100,N 115417,S200000,04700,0100,N 115417,S200000,04900,0100,N 115454,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115454,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115454,A000000,00300,0000,0300EMPLOYEE BENEFITS 115454,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115454,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115454,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115454,A000000,00700,0000,0700HOUSEKEEPING 115454,A000000,00800,0000,0800DIETARY 115454,A000000,00900,0000,0900NURSING ADMINISTRATION 115454,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115454,A000000,01100,0000,1100PHARMACY 115454,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115454,A000000,01300,0000,1300SOCIAL SERVICE 115454,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115454,A000000,01500,0000,1350PATIENT ACTIVITIES 115454,A000000,01600,0000,1600SKILLED NURSING FACILITY 115454,A000000,01800,0000,1800NURSING FACILITY 115454,A000000,01810,0000,1810ICF/MR 115454,A000000,01900,0000,1900OTHER LONG TERM CARE 115454,A000000,02100,0000,2100RADIOLOGY 115454,A000000,02200,0000,2200LABORATORY 115454,A000000,02300,0000,2300INTRAVENOUS THERAPY 115454,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115454,A000000,02500,0000,2500PHYSICAL THERAPY 115454,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115454,A000000,02700,0000,2700SPEECH PATHOLOGY 115454,A000000,02800,0000,2800ELECTROCARDIOLOGY 115454,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115454,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115454,A000000,03550,0000,3550FQHC 115454,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115454,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115454,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115454,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115454,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115454,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 115454,A000000,05000,0000,5000CORF 115454,A000000,05010,0000,5010CMHC 115454,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115454,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115454,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115454,A000000,05300,0000,5300INTEREST EXPENSE 115454,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115454,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115454,A000000,06300,0000,6150OTHER NON REIMBURSABLE 115454,A81000A,00100,0100,Y 115454,A81000B,00100,0300,MANAGEMENT SERVICES 115454,A81000B,00200,0300,DAIRY PRODUCTS 115454,A81000C,00100,0100,C 115454,A81000C,00100,0200,THE BRETHREN HO 115454,A81000C,00100,0400,BRETHREN MGMT S 115454,A81000C,00100,0600,MANAGEMENT SERV 115454,A81000C,00200,0100,C 115454,A81000C,00200,0200,THE BRETHREN HO 115454,A81000C,00200,0400,RUTTERS DAIRY P 115454,A81000C,00200,0600,FOOD SERVICES 115454,B100000,00000,0100,0100SQUARE FEET 115454,B100000,00000,0200,0200SQUARE FEET 115454,B100000,00000,0300,0300GROSS SALARIES 115454,B100000,00000,0400,0400ACCUM COST 115454,B100000,00000,0500,0500SQUARE FEET 115454,B100000,00000,0600,0600POUNDS OF LAUNDRY 115454,B100000,00000,0700,0700SQ FEET EXCL KITCH 115454,B100000,00000,0800,0800MEALS SERVED 115454,B100000,00000,0900,0900DIRECT NURS SAL 115454,B100000,00000,1000,1000DIRECT NURS SAL 115454,B100000,00000,1100,1100COSTED REQUIS 115454,B100000,00000,1200,1200TIME SPENT 115454,B100000,00000,1300,1300PATIENT DAYS 115454,B100000,00000,1400,1400ASSIGNED TIME 115454,B100000,00000,1500,1350ACTIVITY COUNT 115454,E10A180,00501,0100, 1/18/01 115454,E10A180,00550,0300, 1/18/01 115454,H510100,00000,0000,9280 115454,H510100,02400,0000,9280 115454,H510100,02401,0000,39 115454,H510200,00000,0000,39 115454,S000000,00100,0200,11/29/00 115454,S200000,00100,0100,2990 CARLISLE PIKE 115454,S200000,00200,0100,NEW OXFORD 115454,S200000,00200,0200,PA 115454,S200000,00300,0100,ADAMS 115454,S200000,00400,0100,THE BRETHREN HOME COMMUNITY 115454,S200000,00400,0200,395108 115454,S200000,00400,0300,04/01/83 115454,S200000,00400,0500,P 115454,S200000,00800,0200,397695 115454,S200000,00800,0300,10/18/96 115454,S200000,00800,0500,O 115454,S200000,01500,0100,N 115454,S200000,01600,0100,Y 115454,S200000,01700,0100,N 115454,S200000,01800,0100,N 115454,S200000,02200,0100,Y 115454,S200000,02800,0100,Y 115454,S200000,02900,0100,N 115454,S200000,03000,0100,N 115454,S200000,03100,0100,N 115454,S200000,03200,0100,N 115454,S200000,03300,0100,N 115454,S200000,03300,0200,N 115454,S200000,03700,0100,N 115454,S200000,03700,0200,N 115454,S200000,04100,0100,N 115454,S200000,04200,0100,N 115454,S200000,04300,0100,N 115454,S200000,04600,0100,N 115454,S200000,04700,0100,N 115454,S200000,04900,0100,N 115458,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115458,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115458,A000000,00300,0000,0300EMPLOYEE BENEFITS 115458,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115458,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115458,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115458,A000000,00700,0000,0700HOUSEKEEPING 115458,A000000,00800,0000,0800DIETARY 115458,A000000,00900,0000,0900NURSING ADMINISTRATION 115458,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115458,A000000,01100,0000,1100PHARMACY 115458,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115458,A000000,01300,0000,1300SOCIAL SERVICE 115458,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115458,A000000,01600,0000,1600SKILLED NURSING FACILITY 115458,A000000,01810,0000,1810ICF/MR 115458,A000000,02100,0000,2100RADIOLOGY 115458,A000000,02200,0000,2200LABORATORY 115458,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115458,A000000,02500,0000,2500PHYSICAL THERAPY 115458,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115458,A000000,02700,0000,2700SPEECH PATHOLOGY 115458,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115458,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115458,A000000,03200,0000,3200SUPPORT SURFACES 115458,A000000,03550,0000,3550FQHC 115458,A000000,05000,0000,5000CORF 115458,A000000,05010,0000,5010CMHC 115458,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115458,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115458,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115458,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115458,A81000A,00100,0100,Y 115458,A81000B,00100,0300,MANAGEMENT FEES 115458,A81000B,00200,0300,PHYSICAL THERAPY 115458,A81000B,00300,0300,OCCUPATIONAL THERAPY 115458,A81000B,00400,0300,RESPIRATORY THERAPY 115458,A81000B,00500,0300,SPEECH THERAPY 115458,A81000B,00600,0300,PATIENT SUPPLIES 115458,A81000B,00700,0300,PATIENT SUPPLIES 115458,A81000B,00800,0300,PHARMACY 115458,A81000C,00100,0100,B 115458,A81000C,00100,0200,FOUNTAIN VIEW INC 115458,A81000C,00100,0400,ROYALWOOD CARE CENTER 115458,A81000C,00100,0600,SNF 115458,A81000C,00200,0100,B 115458,A81000C,00200,0200,FOUNTAIN VIEW INC 115458,A81000C,00200,0400,LOCOMOTION 115458,A81000C,00200,0600,THERAPY COMPANY 115458,A81000C,00300,0100,B 115458,A81000C,00300,0200,FOUNTAIN VIEW INC. 115458,A81000C,00300,0400,I N O 115458,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 115458,A81000C,00400,0100,B 115458,A81000C,00400,0200,FOUNTAIN VIEW INC. 115458,A81000C,00400,0400,SKILLED CARE PHARMACY 115458,A81000C,00400,0600,PHARMACY 115458,B100000,00000,0100,0100SQUARE FEET 115458,B100000,00000,0200,0200SQUARE FEET 115458,B100000,00000,0300,0300GROSS SALARIES 115458,B100000,00000,0400,0400ACCUM. COST 115458,B100000,00000,0500,0500SQUARE FEET 115458,B100000,00000,0600,0600POUNDS OF LAUNDRY 115458,B100000,00000,0700,0700SQUARE FEET 115458,B100000,00000,0800,0800MEALS SERVED 115458,B100000,00000,0900,0900DIRECT NRSING HRS 115458,B100000,00000,1000,1000COSTED REQUIS 115458,B100000,00000,1100,1100COSTED REQUIS 115458,B100000,00000,1200,1200GROSS REVENUE 115458,B100000,00000,1300,1300PATIENT DAYS 115458,B100000,00000,1400,1400ASSIGNED TIME 115458,E10A180,00501,0100,01/26/01 115458,E10A180,00550,0300,01/26/01 115458,S000000,00100,0200,01/18/01 115458,S200000,00100,0100,22520 MAPLE AVENUE 115458,S200000,00200,0100,TORRANCE 115458,S200000,00200,0200,CA 115458,S200000,00200,0300,90505 115458,S200000,00300,0100,L 115458,S200000,00300,0200,4480 115458,S200000,00300,0300,U 115458,S200000,00400,0100,ROYALWOOD CARE CENTER 115458,S200000,00400,0200,055531 115458,S200000,00400,0300,01/14/67 115458,S200000,00400,0500,P 115458,S200000,00400,0600,O 115458,S200000,01500,0100,N 115458,S200000,01600,0100,Y 115458,S200000,01700,0100,N 115458,S200000,01800,0100,N 115458,S200000,02200,0100,N 115458,S200000,02800,0100,N 115458,S200000,02900,0100,N 115458,S200000,03000,0100,N 115458,S200000,03100,0100,N 115458,S200000,03200,0100,N 115458,S200000,03300,0100,N 115458,S200000,03300,0200,N 115458,S200000,04100,0100,N 115458,S200000,04200,0100,N 115458,S200000,04300,0100,N 115458,S200000,04600,0100,N 115458,S200000,04700,0100,N 115458,S200000,04700,0200,N 115458,S200000,04900,0100,N 115464,S000000,00100,0200,12/01/00 115503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115503,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115503,A000000,00300,0000,0300EMPLOYEE BENEFITS 115503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115503,A000000,00700,0000,0700HOUSEKEEPING 115503,A000000,00800,0000,0800DIETARY 115503,A000000,00900,0000,0900NURSING ADMINISTRATION 115503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115503,A000000,01100,0000,1100PHARMACY 115503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115503,A000000,01300,0000,1300SOCIAL SERVICE 115503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115503,A000000,01600,0000,1600SKILLED NURSING FACILITY 115503,A000000,01810,0000,1810ICF/MR 115503,A000000,02500,0000,2500PHYSICAL THERAPY 115503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115503,A000000,02700,0000,2700SPEECH PATHOLOGY 115503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115503,A000000,03550,0000,3550FQHC 115503,A000000,05000,0000,5000CORF 115503,A000000,05010,0000,5010CMHC 115503,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115503,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115503,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115503,A81000A,00100,0100,Y 115503,A81000B,00100,0300,MANAGEMENT FEES 115503,A81000B,00200,0300,VEHICLE LEASE EXP 115503,A81000C,00100,0100,A 115503,A81000C,00100,0200,JACK D. VETTER 115503,A81000C,00100,0400,VETTER HEALTH S 115503,A81000C,00100,0600,MANAGEMENT CO. 115503,A81000C,00200,0200,ELDORA D. VETTE 115503,A81000C,00200,0400,VETTER LEASING 115503,A81000C,00200,0600,LEASING CO. 115503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115503,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115503,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115503,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115503,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115503,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115503,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115503,S000000,00100,0200,11/30/00 115503,S200000,00100,0100,1145 N. LAUREL ST. 115503,S200000,00200,0100,WAHOO 115503,S200000,00200,0200,NE 115503,S200000,00200,0300,68066- 115503,S200000,00300,0100,SAUNDERS 115503,S200000,00300,0200,0028 115503,S200000,00300,0300,R 115503,S200000,00400,0100,HAVEN HOUSE 115503,S200000,00400,0200,285231 115503,S200000,00400,0300,03/01/98 115503,S200000,00400,0500,P 115503,S200000,01004,0500,O 115503,S200000,01500,0100,Y 115503,S200000,01600,0100,N 115503,S200000,01700,0100,N 115503,S200000,01800,0100,N 115503,S200000,02200,0100,N 115503,S200000,02800,0100,N 115503,S200000,02900,0100,N 115503,S200000,03000,0100,N 115503,S200000,03100,0100,N 115503,S200000,03200,0100,N 115503,S200000,04100,0100,N 115503,S200000,04200,0100,N 115503,S200000,04300,0100,N 115503,S200000,04600,0100,N 115503,S200000,04700,0100,N 115503,S200000,04700,0200,N 115503,S200000,04900,0100,N 115503,S200000,05000,0100,N 115503,S200000,05100,0100,N 115503,S200000,05200,0100,N 115505,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115505,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115505,A000000,00300,0000,0300EMPLOYEE BENEFITS 115505,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115505,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115505,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115505,A000000,00700,0000,0700HOUSEKEEPING 115505,A000000,00800,0000,0800DIETARY 115505,A000000,00900,0000,0900NURSING ADMINISTRATION 115505,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115505,A000000,01100,0000,1100PHARMACY 115505,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115505,A000000,01300,0000,1300SOCIAL SERVICE 115505,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115505,A000000,01500,0000,1350RECREATION 115505,A000000,01600,0000,1600SKILLED NURSING FACILITY 115505,A000000,01800,0000,1800NURSING FACILITY 115505,A000000,01810,0000,1810ICF/MR 115505,A000000,02100,0000,2100RADIOLOGY 115505,A000000,02200,0000,2200LABORATORY 115505,A000000,02300,0000,2300INTRAVENOUS THERAPY 115505,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115505,A000000,02500,0000,2500PHYSICAL THERAPY 115505,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115505,A000000,02700,0000,2700SPEECH PATHOLOGY 115505,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115505,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115505,A000000,03300,0000,3050PEN 115505,A000000,03310,0000,3051EQUIPMENT RENTAL 115505,A000000,03500,0000,3500RURAL HEALTH CLINIC 115505,A000000,03550,0000,3550FQHC 115505,A000000,05000,0000,5000CORF 115505,A000000,05010,0000,5010CMHC 115505,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115505,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115505,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115505,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115505,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115505,A81000A,00100,0100,Y 115505,A81000B,00100,0300,RENT EXPENSE 115505,A81000B,00200,0300,INTEREST EXPENSE 115505,A81000B,00300,0300,DEPRECIATION EXPENSE 115505,A81000B,00400,0300,REAL ESTATE TAXES 115505,A81000C,00100,0100,A 115505,A81000C,00100,0200,JOHN GALBRAITH 115505,A81000C,00100,0400,RIVERWOODS ASSO 115505,A81000C,00100,0600,LESSOR 115505,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115505,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115505,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115505,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115505,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115505,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115505,B100000,00000,0800,0800MEALS SERVED :DIETARY 115505,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 115505,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 115505,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115505,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115505,B100000,00000,1500,1350PATIENT DAYS :RECREATION 115505,S000000,00100,0200,04/13/01 115505,S200000,00100,0100,3705 DEERFIELD ROAD 115505,S200000,00200,0100,RIVERWOODS 115505,S200000,00200,0200,IL 115505,S200000,00200,0300,60015- 115505,S200000,00300,0100,LAKE 115505,S200000,00300,0200,1600 115505,S200000,00300,0300,U 115505,S200000,00400,0100,BRENTWOOD NORTH NURSING & REHAB CTR 115505,S200000,00400,0200,145304 115505,S200000,00400,0300,09/17/75 115505,S200000,00400,0500,P 115505,S200000,01004,0500,O 115505,S200000,01500,0100,N 115505,S200000,01600,0100,Y 115505,S200000,01700,0100,N 115505,S200000,01800,0100,N 115505,S200000,02200,0100,N 115505,S200000,02800,0100,N 115505,S200000,02900,0100,N 115505,S200000,03000,0100,N 115505,S200000,03100,0100,N 115505,S200000,03200,0100,N 115505,S200000,04100,0100,N 115505,S200000,04200,0100,N 115505,S200000,04300,0100,N 115505,S200000,04600,0100,N 115505,S200000,04700,0100,N 115505,S200000,04700,0200,N 115505,S200000,04900,0100,N 115505,S200000,05000,0100,N 115505,S200000,05100,0100,N 115505,S200000,05200,0100,N 115509,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115509,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115509,A000000,00300,0000,0300EMPLOYEE BENEFITS 115509,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115509,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115509,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115509,A000000,00700,0000,0700HOUSEKEEPING 115509,A000000,00800,0000,0800DIETARY 115509,A000000,00900,0000,0900NURSING ADMINISTRATION 115509,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115509,A000000,01100,0000,1100PHARMACY 115509,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115509,A000000,01300,0000,1300SOCIAL SERVICE 115509,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115509,A000000,01600,0000,1600SKILLED NURSING FACILITY 115509,A000000,01800,0000,1800NURSING FACILITY 115509,A000000,01810,0000,1810ICF/MR 115509,A000000,02500,0000,2500PHYSICAL THERAPY 115509,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115509,A000000,02700,0000,2700SPEECH PATHOLOGY 115509,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115509,A000000,03550,0000,3550FQHC 115509,A000000,05000,0000,5000CORF 115509,A000000,05010,0000,5010CMHC 115509,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115509,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115509,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115509,A81000A,00100,0100,Y 115509,A81000B,00100,0300,MANAGEMENT FEES 115509,A81000B,00200,0300,LEASEING EXPENSE 115509,A81000C,00100,0100,A 115509,A81000C,00100,0200,JACK & ELDORA V 115509,A81000C,00100,0400,VETTER HEALTH 115509,A81000C,00100,0600,MANAGEMENT COMP 115509,A81000C,00200,0400,VETTER LEASING 115509,A81000C,00200,0600,LEASING COMPANY 115509,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115509,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115509,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115509,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115509,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115509,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115509,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115509,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115509,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115509,S000000,00100,0200,11/30/00 115509,S200000,00100,0100,2320 WASHINGTON AVENUE 115509,S200000,00200,0100,IOWA FALLS 115509,S200000,00200,0200,IA 115509,S200000,00200,0300,50126- 115509,S200000,00300,0100,HARDIN 115509,S200000,00300,0200,16 115509,S200000,00300,0300,R 115509,S200000,00400,0100,HERITAGE CARE CENTER 115509,S200000,00400,0200,165394 115509,S200000,00400,0300,05/01/98 115509,S200000,00400,0500,P 115509,S200000,01004,0500,O 115509,S200000,01500,0100,Y 115509,S200000,01600,0100,N 115509,S200000,01700,0100,N 115509,S200000,01800,0100,N 115509,S200000,02200,0100,N 115509,S200000,02800,0100,N 115509,S200000,02900,0100,N 115509,S200000,03000,0100,N 115509,S200000,03100,0100,N 115509,S200000,03200,0100,N 115509,S200000,04100,0100,N 115509,S200000,04200,0100,N 115509,S200000,04300,0100,N 115509,S200000,04600,0100,N 115509,S200000,04700,0100,N 115509,S200000,04700,0200,N 115509,S200000,04900,0100,N 115509,S200000,05000,0100,N 115509,S200000,05100,0100,N 115509,S200000,05200,0100,N 115510,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115510,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115510,A000000,00300,0000,0300EMPLOYEE BENEFITS 115510,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115510,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115510,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115510,A000000,00700,0000,0700HOUSEKEEPING 115510,A000000,00800,0000,0800DIETARY 115510,A000000,00900,0000,0900NURSING ADMINISTRATION 115510,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115510,A000000,01100,0000,1100PHARMACY 115510,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115510,A000000,01300,0000,1300SOCIAL SERVICE 115510,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115510,A000000,01600,0000,1600SKILLED NURSING FACILITY 115510,A000000,01800,0000,1800NURSING FACILITY 115510,A000000,02100,0000,2100RADIOLOGY 115510,A000000,02200,0000,2200LABORATORY 115510,A000000,02300,0000,2300INTRAVENOUS THERAPY 115510,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115510,A000000,02500,0000,2500PHYSICAL THERAPY 115510,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115510,A000000,02700,0000,2700SPEECH PATHOLOGY 115510,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115510,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115510,A000000,03550,0000,3550FQHC 115510,A000000,05000,0000,5000CORF 115510,A000000,05010,0000,5010CMHC 115510,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115510,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115510,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115510,A81000A,00100,0100,Y 115510,A81000B,00100,0300,RENT & INT. & DEPR. 115510,A81000B,00200,0300,DEPRECIATION 115510,A81000C,00100,0100,G 115510,A81000C,00100,0200,COOPERATIVE AGR 115510,A81000C,00100,0400,MERRY. HOSP. SV 115510,A81000C,00100,0600,SERVICE DISTRIC 115510,A81000C,00200,0100,G 115510,A81000C,00200,0200,COOPERATIVE AGR 115510,A81000C,00200,0400,MERRY. HOSP. SV 115510,A81000C,00200,0600,SERVICE DISTRIC 115510,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115510,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115510,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115510,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115510,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115510,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115510,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115510,B100000,00000,0800,0800MEALS SERVED :DIETARY 115510,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 115510,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 115510,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 115510,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 115510,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 115510,S000000,00100,0200,12/01/00 115510,S200000,00100,0100,900 BRYAN STREET 115510,S200000,00200,0100,MERRYVILLE 115510,S200000,00200,0200,LA 115510,S200000,00200,0300,70653- 115510,S200000,00300,0100,BEAUREGARD PARISH 115510,S200000,00300,0200,19 115510,S200000,00300,0300,R 115510,S200000,00400,0100,MERRYVILLE NURSING CENTER 115510,S200000,00400,0200,195451 115510,S200000,00400,0300,12/01/97 115510,S200000,00400,0500,P 115510,S200000,01500,0100,N 115510,S200000,01600,0100,Y 115510,S200000,01700,0100,N 115510,S200000,01800,0100,N 115510,S200000,02200,0100,Y 115510,S200000,02800,0100,N 115510,S200000,02900,0100,N 115510,S200000,03000,0100,N 115510,S200000,03100,0100,N 115510,S200000,03200,0100,N 115510,S200000,04100,0100,N 115510,S200000,04200,0100,N 115510,S200000,04300,0100,N 115510,S200000,04600,0100,N 115510,S200000,04700,0100,N 115510,S200000,04700,0200,N 115510,S200000,04900,0100,N 115510,S200000,05000,0100,N 115510,S200000,05100,0100,N 115510,S200000,05200,0100,N 115520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115520,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115520,A000000,00300,0000,0300EMPLOYEE BENEFITS 115520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115520,A000000,00700,0000,0700HOUSEKEEPING 115520,A000000,00800,0000,0800DIETARY 115520,A000000,00900,0000,0900NURSING ADMINISTRATION 115520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115520,A000000,01100,0000,1100PHARMACY 115520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115520,A000000,01300,0000,1300SOCIAL SERVICE 115520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115520,A000000,01600,0000,1600SKILLED NURSING FACILITY 115520,A000000,01810,0000,1810ICF/MR 115520,A000000,02500,0000,2500PHYSICAL THERAPY 115520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115520,A000000,02700,0000,2700SPEECH PATHOLOGY 115520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115520,A000000,03550,0000,3550FQHC 115520,A000000,05000,0000,5000CORF 115520,A000000,05010,0000,5010CMHC 115520,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115520,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115520,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115520,A81000A,00100,0100,Y 115520,A81000B,00100,0300,MANAGEMENT FEES 115520,A81000B,00200,0300,LEASING 115520,A81000C,00100,0100,A 115520,A81000C,00100,0200,JACK & ELDORA V 115520,A81000C,00100,0400,VETTER HEALTH S 115520,A81000C,00100,0600,MANAGEMENT CO. 115520,A81000C,00200,0400,VETTER LEASING 115520,A81000C,00200,0600,LEASING CO. 115520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115520,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115520,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115520,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115520,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115520,S000000,00100,0200,11/30/00 115520,S200000,00100,0100,920 JACKSON STREET 115520,S200000,00200,0100,ST. PAUL 115520,S200000,00200,0200,NE 115520,S200000,00200,0300,68873- 115520,S200000,00300,0100,HOWARD 115520,S200000,00300,0200,0028 115520,S200000,00300,0300,R 115520,S200000,00400,0100,HERITAGE LIVING CENTER 115520,S200000,00400,0200,285226 115520,S200000,00400,0300,03/01/98 115520,S200000,00400,0500,P 115520,S200000,01004,0500,O 115520,S200000,01500,0100,Y 115520,S200000,01600,0100,N 115520,S200000,01700,0100,N 115520,S200000,01800,0100,N 115520,S200000,02200,0100,Y 115520,S200000,02800,0100,N 115520,S200000,02900,0100,N 115520,S200000,03000,0100,N 115520,S200000,03100,0100,N 115520,S200000,03200,0100,N 115520,S200000,04100,0100,N 115520,S200000,04200,0100,N 115520,S200000,04300,0100,N 115520,S200000,04600,0100,N 115520,S200000,04700,0100,N 115520,S200000,04700,0200,N 115520,S200000,04900,0100,N 115520,S200000,05000,0100,N 115520,S200000,05100,0100,N 115520,S200000,05200,0100,N 115521,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115521,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115521,A000000,00300,0000,0300EMPLOYEE BENEFITS 115521,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115521,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115521,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115521,A000000,00700,0000,0700HOUSEKEEPING 115521,A000000,00800,0000,0800DIETARY 115521,A000000,00900,0000,0900NURSING ADMINISTRATION 115521,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115521,A000000,01100,0000,1100PHARMACY 115521,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115521,A000000,01300,0000,1300SOCIAL SERVICE 115521,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115521,A000000,01600,0000,1600SKILLED NURSING FACILITY 115521,A000000,01800,0000,1800NURSING FACILITY 115521,A000000,01810,0000,1810ICF/MR 115521,A000000,02500,0000,2500PHYSICAL THERAPY 115521,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115521,A000000,02700,0000,2700SPEECH PATHOLOGY 115521,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115521,A000000,03550,0000,3550FQHC 115521,A000000,05000,0000,5000CORF 115521,A000000,05010,0000,5010CMHC 115521,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115521,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115521,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115521,A81000A,00100,0100,Y 115521,A81000B,00100,0300,MANAGEMENT FEES 115521,A81000B,00200,0300,LEASING FEES 115521,A81000C,00100,0100,A 115521,A81000C,00100,0200,JACK & ELDORA V 115521,A81000C,00100,0400,VETTER HEALTH 115521,A81000C,00100,0600,MANAGEMENT COMP 115521,A81000C,00200,0400,VETTER LEASING 115521,A81000C,00200,0600,LEASING COMPANY 115521,B100000,00000,0100,0150PATIENT DAYS :CAP REL COSTS - B 115521,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115521,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115521,B100000,00000,0500,0550PATIENT DAYS :PLANT OPERATION 115521,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115521,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 115521,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115521,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115521,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115521,S000000,00100,0200,11/30/00 115521,S200000,00100,0100,241 N. CHESTNUT 115521,S200000,00200,0100,SPALDING 115521,S200000,00200,0200,NE 115521,S200000,00200,0300,68665- 115521,S200000,00300,0100,GREELEY 115521,S200000,00300,0200,0028 115521,S200000,00300,0300,R 115521,S200000,00400,0100,FRIENDSHIP VILLA 115521,S200000,00400,0200,285227 115521,S200000,00400,0300,02/01/98 115521,S200000,00400,0500,P 115521,S200000,01004,0500,O 115521,S200000,01500,0100,Y 115521,S200000,01600,0100,N 115521,S200000,01700,0100,N 115521,S200000,01800,0100,N 115521,S200000,02200,0100,Y 115521,S200000,02800,0100,N 115521,S200000,02900,0100,N 115521,S200000,03000,0100,N 115521,S200000,03100,0100,N 115521,S200000,03200,0100,N 115521,S200000,04100,0100,N 115521,S200000,04200,0100,N 115521,S200000,04300,0100,N 115521,S200000,04600,0100,N 115521,S200000,04700,0100,N 115521,S200000,04700,0200,N 115521,S200000,04900,0100,N 115521,S200000,05000,0100,N 115521,S200000,05100,0100,N 115521,S200000,05200,0100,N 115522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115522,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115522,A000000,00300,0000,0300EMPLOYEE BENEFITS 115522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115522,A000000,00700,0000,0700HOUSEKEEPING 115522,A000000,00800,0000,0800DIETARY 115522,A000000,00900,0000,0900NURSING ADMINISTRATION 115522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115522,A000000,01100,0000,1100PHARMACY 115522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115522,A000000,01300,0000,1300SOCIAL SERVICE 115522,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115522,A000000,01600,0000,1600SKILLED NURSING FACILITY 115522,A000000,01800,0000,1800NURSING FACILITY 115522,A000000,01810,0000,1810ICF/MR 115522,A000000,02500,0000,2500PHYSICAL THERAPY 115522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115522,A000000,02700,0000,2700SPEECH PATHOLOGY 115522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115522,A000000,03550,0000,3550FQHC 115522,A000000,05000,0000,5000CORF 115522,A000000,05010,0000,5010CMHC 115522,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115522,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115522,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115522,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115522,A81000A,00100,0100,Y 115522,A81000B,00100,0300,MANAGEMENT FEES 115522,A81000C,00100,0100,A 115522,A81000C,00100,0200,JACK & ELDORA V 115522,A81000C,00100,0400,VETTER HEALTH S 115522,A81000C,00100,0600,MANAGEMENT CO. 115522,A81000C,00200,0400,VETTER LEASING 115522,A81000C,00200,0600,LEASING CO. 115522,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115522,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115522,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115522,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115522,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115522,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115522,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115522,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115522,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115522,S000000,00100,0200,11/30/00 115522,S200000,00100,0100,501 NORTH 13TH STREET 115522,S200000,00200,0100,GENEVA 115522,S200000,00200,0200,NE 115522,S200000,00200,0300,68361- 115522,S200000,00300,0100,FILLMORE 115522,S200000,00300,0200,0028 115522,S200000,00300,0300,R 115522,S200000,00400,0100,HERITAGE OF GENEVA 115522,S200000,00400,0200,285230 115522,S200000,00400,0300,06/01/98 115522,S200000,00400,0500,P 115522,S200000,01004,0500,O 115522,S200000,01500,0100,Y 115522,S200000,01600,0100,N 115522,S200000,01700,0100,N 115522,S200000,01800,0100,N 115522,S200000,02200,0100,N 115522,S200000,02800,0100,N 115522,S200000,02900,0100,N 115522,S200000,03000,0100,N 115522,S200000,03100,0100,N 115522,S200000,03200,0100,N 115522,S200000,04100,0100,N 115522,S200000,04200,0100,N 115522,S200000,04300,0100,N 115522,S200000,04600,0100,N 115522,S200000,04700,0100,N 115522,S200000,04700,0200,N 115522,S200000,04900,0100,N 115522,S200000,05000,0100,N 115522,S200000,05100,0100,N 115522,S200000,05200,0100,N 115524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115524,A000000,00300,0000,0300EMPLOYEE BENEFITS 115524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115524,A000000,00700,0000,0700HOUSEKEEPING 115524,A000000,00800,0000,0800DIETARY 115524,A000000,00900,0000,0900NURSING ADMINISTRATION 115524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115524,A000000,01100,0000,1100PHARMACY 115524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115524,A000000,01300,0000,1300SOCIAL SERVICE 115524,A000000,01500,0000,1350PATIENT ACTIVITIES 115524,A000000,01600,0000,1600SKILLED NURSING FACILITY 115524,A000000,01800,0000,1800NURSING FACILITY 115524,A000000,01810,0000,1810ICF/MR 115524,A000000,01900,0000,1900OTHER LONG TERM CARE 115524,A000000,02100,0000,2100RADIOLOGY 115524,A000000,02200,0000,2200LABORATORY 115524,A000000,02300,0000,2300INTRAVENOUS THERAPY 115524,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115524,A000000,02500,0000,2500PHYSICAL THERAPY 115524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115524,A000000,02700,0000,2700SPEECH PATHOLOGY 115524,A000000,02800,0000,2800ELECTROCARDIOLOGY 115524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115524,A000000,03200,0000,3200SUPPORT SURFACES 115524,A000000,03300,0000,3050AMBULANCE 115524,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115524,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115524,A000000,05300,0000,5300INTEREST EXPENSE 115524,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115524,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115524,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115524,A000000,06200,0000,6200PATIENTS LAUNDRY 115524,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115524,A81000A,00100,0100,Y 115524,A81000B,00100,0300,ADMINISTRATOR 115524,A81000B,00200,0300,MANAGEMENT 115524,A81000B,00300,0300,INTEREST 115524,A81000B,00400,0300,LINEN SERVICE 115524,A81000C,00100,0100,A 115524,A81000C,00100,0200,MICHAEL GREENBERG 115524,A81000C,00100,0400,EXCEL CARE CRANFORD 115524,A81000C,00100,0600,NURSING FACILITY 115524,A81000C,00200,0100,A 115524,A81000C,00200,0200,SEYMOUR GREENBERG 115524,A81000C,00200,0400,EXCEL CARE CRANFORD 115524,A81000C,00200,0600,NURSING FACILITY 115524,A81000C,00300,0100,A 115524,A81000C,00300,0200,DORIS GREENBERG 115524,A81000C,00300,0400,EXCEL CARE CRANFORD 115524,A81000C,00300,0600,NURSING FACILITY 115524,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115524,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115524,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115524,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115524,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115524,B100000,00000,0700,0750SQ FT EXC KITCHEN:HOUSEKEEPING 115524,B100000,00000,0800,0850PATIENT DAYS :DIETARY 115524,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115524,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 115524,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 115524,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115524,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115524,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 115524,S000000,00100,0200,11/30/00 115524,S200000,00100,0100,633 ROUTE 28 115524,S200000,00200,0100,RARITAN 115524,S200000,00200,0200,NJ 115524,S200000,00200,0300,08869- 115524,S200000,00300,0100,SOMERSET 115524,S200000,00300,0200,5015 115524,S200000,00300,0300,U 115524,S200000,00400,0100,RARITAN HEALTH & ECC 115524,S200000,00400,0200,315140 115524,S200000,00400,0300,10/15/72 115524,S200000,00400,0500,P 115524,S200000,01500,0100,N 115524,S200000,01600,0100,Y 115524,S200000,01700,0100,N 115524,S200000,01800,0100,N 115524,S200000,02200,0100,N 115524,S200000,02800,0100,N 115524,S200000,02900,0100,N 115524,S200000,03000,0100,N 115524,S200000,03100,0100,N 115524,S200000,03200,0100,N 115524,S200000,04100,0100,N 115524,S200000,04200,0100,N 115524,S200000,04300,0100,N 115524,S200000,04600,0100,N 115524,S200000,04700,0100,N 115524,S200000,04700,0200,N 115524,S200000,04900,0100,N 115524,S200000,05000,0100,N 115524,S200000,05100,0100,N 115524,S200000,05200,0100,N 115544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115544,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115544,A000000,00300,0000,0300EMPLOYEE BENEFITS 115544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115544,A000000,00700,0000,0700HOUSEKEEPING 115544,A000000,00800,0000,0800DIETARY 115544,A000000,00900,0000,0900NURSING ADMINISTRATION 115544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115544,A000000,01100,0000,1100PHARMACY 115544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115544,A000000,01300,0000,1300SOCIAL SERVICE 115544,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115544,A000000,01600,0000,1600SKILLED NURSING FACILITY 115544,A000000,01900,0000,1900OTHER LONG TERM CARE 115544,A000000,02100,0000,2100RADIOLOGY 115544,A000000,02200,0000,2200LABORATORY 115544,A000000,02300,0000,2300INTRAVENOUS THERAPY 115544,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115544,A000000,02500,0000,2500PHYSICAL THERAPY 115544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115544,A000000,02700,0000,2700SPEECH PATHOLOGY 115544,A000000,02800,0000,2800ELECTROCARDIOLOGY 115544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115544,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115544,A000000,03200,0000,3200SUPPORT SURFACES 115544,A000000,03400,0000,3400CLINIC 115544,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115544,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115544,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115544,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115544,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115544,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115544,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115544,A000000,04400,0000,4400DME RENTED - HHA 115544,A000000,04500,0000,4500DME SOLD - HHA 115544,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115544,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115544,A000000,04800,0000,4800AMBULANCE 115544,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 115544,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115544,A000000,05300,0000,5300INTEREST EXPENSE 115544,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115544,A000000,05500,0000,5500HOSPICE 115544,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115544,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115544,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115544,A000000,06100,0000,6100NONPAID WORKERS 115544,A000000,06200,0000,6200PATIENTS LAUNDRY 115544,A81000A,00100,0100,Y 115544,A81000B,00100,0300,MANAGEMENT FEES 115544,A81000B,00200,0300,CAPITAL - BUILDING 115544,A81000B,00300,0300,CAPITAL - EQUIPMENT 115544,A81000C,00100,0100,A 115544,A81000C,00100,0200,T.B. STROUD 115544,A81000C,00100,0400,COATAL HEALTH 115544,A81000C,00100,0600,MANAGEMENT 115544,A81000C,00200,0100,A 115544,A81000C,00200,0200,J.B. STROUD 115544,A81000C,00200,0400,MANAGEMENT 115544,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 115544,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 115544,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 115544,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 115544,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 115544,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 115544,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 115544,B100000,00000,0800,0800PAT DAYS DIETARY 115544,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 115544,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 115544,B100000,00000,1100,1100PAT DAYS PHARMACY 115544,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 115544,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 115544,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 115544,S000000,00100,0200,11/10/00 115544,S200000,00200,0100,STATESBORO 115544,S200000,00200,0200,GA 115544,S200000,00200,0300,30459 115544,S200000,00300,0100,BULLOCH 115544,S200000,00300,0200,0011 115544,S200000,00300,0300,R 115544,S200000,00400,0100,HERITGAE INN HEALTH & REHABILITATION 115544,S200000,00400,0200,115597 115544,S200000,00400,0300,02/01/96 115544,S200000,00400,0500,P 115544,S200000,00400,0600,O 115544,S200000,01500,0100,Y 115544,S200000,01600,0100,N 115544,S200000,01700,0100,N 115544,S200000,01800,0100,N 115544,S200000,02200,0100,Y 115544,S200000,02800,0100,N 115544,S200000,02900,0100,N 115544,S200000,03000,0100,N 115544,S200000,03100,0100,N 115544,S200000,03200,0100,N 115544,S200000,03300,0100,N 115544,S200000,03300,0200,N 115544,S200000,03600,0100,N 115544,S200000,03600,0200,N 115544,S200000,03700,0100,N 115544,S200000,03700,0200,N 115544,S200000,04100,0100,N 115544,S200000,04200,0100,N 115544,S200000,04300,0100,N 115544,S200000,04600,0100,N 115544,S200000,04700,0100,N 115544,S200000,04900,0100,N 115544,S200000,05200,0100,N 115544,S700003,00000,0400,X 115545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115545,A000000,00300,0000,0300EMPLOYEE BENEFITS 115545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115545,A000000,00700,0000,0700HOUSEKEEPING 115545,A000000,00800,0000,0800DIETARY 115545,A000000,00900,0000,0900NURSING ADMINISTRATION 115545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115545,A000000,01100,0000,1100PHARMACY 115545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115545,A000000,01300,0000,1300SOCIAL SERVICE 115545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115545,A000000,01600,0000,1600SKILLED NURSING FACILITY 115545,A000000,01900,0000,1900OTHER LONG TERM CARE 115545,A000000,02100,0000,2100RADIOLOGY 115545,A000000,02200,0000,2200LABORATORY 115545,A000000,02300,0000,2300INTRAVENOUS THERAPY 115545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115545,A000000,02500,0000,2500PHYSICAL THERAPY 115545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115545,A000000,02700,0000,2700SPEECH PATHOLOGY 115545,A000000,02800,0000,2800ELECTROCARDIOLOGY 115545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115545,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115545,A000000,03200,0000,3200SUPPORT SURFACES 115545,A000000,03400,0000,3400CLINIC 115545,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115545,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115545,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115545,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115545,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115545,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115545,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115545,A000000,04400,0000,4400DME RENTED - HHA 115545,A000000,04500,0000,4500DME SOLD - HHA 115545,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115545,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115545,A000000,04800,0000,4800AMBULANCE 115545,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 115545,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115545,A000000,05300,0000,5300INTEREST EXPENSE 115545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115545,A000000,05500,0000,5500HOSPICE 115545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115545,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115545,A000000,06100,0000,6100NONPAID WORKERS 115545,A000000,06200,0000,6200PATIENTS LAUNDRY 115545,A81000A,00100,0100,N 115545,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 115545,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 115545,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 115545,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 115545,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 115545,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 115545,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 115545,B100000,00000,0800,0800PAT DAYS DIETARY 115545,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 115545,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 115545,B100000,00000,1100,1100PAT DAYS PHARMACY 115545,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 115545,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 115545,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 115545,S000000,00100,0200,12/01/00 115545,S200000,00100,0100,EIGHT AND ADLER STREETS 115545,S200000,00200,0100,OCILLA 115545,S200000,00200,0200,GA 115545,S200000,00200,0300,31774 115545,S200000,00300,0100,IRWIN 115545,S200000,00300,0200,0011 115545,S200000,00300,0300,R 115545,S200000,00400,0100,OSCEOLA NURSING HOME INC. 115545,S200000,00400,0200,115608 115545,S200000,00400,0300,09/16/96 115545,S200000,00400,0500,P 115545,S200000,00400,0600,O 115545,S200000,01500,0100,Y 115545,S200000,01600,0100,N 115545,S200000,01700,0100,N 115545,S200000,01800,0100,N 115545,S200000,02200,0100,Y 115545,S200000,02800,0100,N 115545,S200000,02900,0100,N 115545,S200000,03000,0100,N 115545,S200000,03100,0100,N 115545,S200000,03200,0100,N 115545,S200000,03300,0100,N 115545,S200000,03300,0200,N 115545,S200000,03600,0100,N 115545,S200000,03600,0200,N 115545,S200000,03700,0100,N 115545,S200000,03700,0200,N 115545,S200000,04100,0100,N 115545,S200000,04200,0100,N 115545,S200000,04300,0100,N 115545,S200000,04600,0100,N 115545,S200000,04700,0100,N 115545,S200000,04900,0100,N 115545,S200000,05200,0100,N 115545,S700003,00000,0400,X 115547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115547,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115547,A000000,00300,0000,0300EMPLOYEE BENEFITS 115547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115547,A000000,00700,0000,0700HOUSEKEEPING 115547,A000000,00800,0000,0800DIETARY 115547,A000000,00900,0000,0900NURSING ADMINISTRATION 115547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115547,A000000,01100,0000,1100PHARMACY 115547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115547,A000000,01300,0000,1300SOCIAL SERVICE 115547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115547,A000000,01600,0000,1600SKILLED NURSING FACILITY 115547,A000000,01900,0000,1900OTHER LONG TERM CARE 115547,A000000,02100,0000,2100RADIOLOGY 115547,A000000,02200,0000,2200LABORATORY 115547,A000000,02300,0000,2300INTRAVENOUS THERAPY 115547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115547,A000000,02500,0000,2500PHYSICAL THERAPY 115547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115547,A000000,02700,0000,2700SPEECH PATHOLOGY 115547,A000000,02800,0000,2800ELECTROCARDIOLOGY 115547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115547,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115547,A000000,03200,0000,3200SUPPORT SURFACES 115547,A000000,03400,0000,3400CLINIC 115547,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115547,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115547,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115547,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115547,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115547,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115547,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115547,A000000,04400,0000,4400DME RENTED - HHA 115547,A000000,04500,0000,4500DME SOLD - HHA 115547,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115547,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115547,A000000,04800,0000,4800AMBULANCE 115547,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 115547,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115547,A000000,05300,0000,5300INTEREST EXPENSE 115547,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115547,A000000,05500,0000,5500HOSPICE 115547,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115547,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115547,A000000,06100,0000,6100NONPAID WORKERS 115547,A000000,06200,0000,6200PATIENTS LAUNDRY 115547,A81000A,00100,0100,Y 115547,A81000B,00100,0300,MANAGEMENT FEES 115547,A81000B,00200,0300,CAPITAL - BUILDING 115547,A81000B,00300,0300,CAPITAL - EQUIPMENT 115547,A81000C,00100,0100,A 115547,A81000C,00100,0200,T.B. STROUD 115547,A81000C,00100,0400,COASTAL HEALTH 115547,A81000C,00100,0600,MANAGEMENT 115547,A81000C,00200,0100,A 115547,A81000C,00200,0200,J.B. STROUD 115547,A81000C,00200,0400,MANAGEMENT 115547,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 115547,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 115547,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 115547,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 115547,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 115547,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 115547,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 115547,B100000,00000,0800,0800PAT DAYS DIETARY 115547,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 115547,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 115547,B100000,00000,1100,1100PAT DAYS PHARMACY 115547,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 115547,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 115547,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 115547,S000000,00100,0200,11/10/00 115547,S200000,00100,0100,HIGHWAY 16 EAST 115547,S200000,00200,0100,EATONTON 115547,S200000,00200,0200,GA 115547,S200000,00200,0300,31024 115547,S200000,00300,0100,PUTNAM 115547,S200000,00300,0200,0011 115547,S200000,00300,0300,R 115547,S200000,00400,0100,EATONTON HEALTH & REHABILITATION 115547,S200000,00400,0200,115595 115547,S200000,00400,0300,02/01/96 115547,S200000,00400,0500,P 115547,S200000,00400,0600,O 115547,S200000,01500,0100,Y 115547,S200000,01600,0100,N 115547,S200000,01700,0100,N 115547,S200000,01800,0100,N 115547,S200000,02200,0100,Y 115547,S200000,02800,0100,N 115547,S200000,02900,0100,N 115547,S200000,03000,0100,N 115547,S200000,03100,0100,N 115547,S200000,03200,0100,N 115547,S200000,03300,0100,N 115547,S200000,03300,0200,N 115547,S200000,03600,0100,N 115547,S200000,03600,0200,N 115547,S200000,03700,0100,N 115547,S200000,03700,0200,N 115547,S200000,04100,0100,N 115547,S200000,04200,0100,N 115547,S200000,04300,0100,N 115547,S200000,04600,0100,N 115547,S200000,04700,0100,N 115547,S200000,04900,0100,N 115547,S200000,05000,0100,N 115547,S200000,05200,0100,N 115547,S700003,00000,0400,X 115550,S000000,00100,0200,12/01/00 115551,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115551,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115551,A000000,00300,0000,0300EMPLOYEE BENEFITS 115551,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115551,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115551,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115551,A000000,00700,0000,0700HOUSEKEEPING 115551,A000000,00800,0000,0800DIETARY 115551,A000000,00900,0000,0900NURSING ADMINISTRATION 115551,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115551,A000000,01100,0000,1100PHARMACY 115551,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115551,A000000,01300,0000,1300SOCIAL SERVICE 115551,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115551,A000000,01600,0000,1600SKILLED NURSING FACILITY 115551,A000000,01800,0000,1800NURSING FACILITY 115551,A000000,01900,0000,1900OTHER LONG TERM CARE 115551,A000000,02100,0000,2100RADIOLOGY 115551,A000000,02200,0000,2200LABORATORY 115551,A000000,02300,0000,2300INTRAVENOUS THERAPY 115551,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115551,A000000,02500,0000,2500PHYSICAL THERAPY 115551,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115551,A000000,02700,0000,2700SPEECH PATHOLOGY 115551,A000000,02800,0000,2800ELECTROCARDIOLOGY 115551,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115551,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115551,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115551,A000000,03200,0000,3200SUPPORT SURFACES 115551,A000000,03400,0000,3400CLINIC 115551,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115551,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115551,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115551,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115551,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115551,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115551,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115551,A000000,04400,0000,4400DME RENTED - HHA 115551,A000000,04500,0000,4500DME SOLD - HHA 115551,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115551,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115551,A000000,04800,0000,4800AMBULANCE 115551,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 115551,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115551,A000000,05300,0000,5300INTEREST EXPENSE 115551,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115551,A000000,05500,0000,5500HOSPICE 115551,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115551,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115551,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115551,A000000,06100,0000,6100NONPAID WORKERS 115551,A000000,06200,0000,6200PATIENTS LAUNDRY 115551,A81000A,00100,0100,N 115551,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 115551,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 115551,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 115551,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 115551,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 115551,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 115551,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 115551,B100000,00000,0800,0800PAT DAYS DIETARY 115551,B100000,00000,0900,0900DIRECT NSG HOURS NURSING ADMI 115551,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 115551,B100000,00000,1100,1100PAT DAYS PHARMACY 115551,B100000,00000,1200,1200GROSS CHARGES MEDICAL RECORD 115551,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 115551,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 115551,H510100,00000,0000,1800 115551,H510100,02400,0000,1800 115551,H710000,00501,0100,03/27/01 115551,S000000,00100,0200,02/23/01 115551,S200000,00100,0100,3800 SCHATULGA ROAD 115551,S200000,00200,0100,COLUMBUS 115551,S200000,00200,0200,GA 115551,S200000,00200,0300,31907 115551,S200000,00300,0100,MUSCOGEE 115551,S200000,00300,0200,1800 115551,S200000,00300,0300,U 115551,S200000,00400,0100,MUSCOGEE MANOR & REHAB FACILITY 115551,S200000,00400,0200,115146 115551,S200000,00400,0300,01/01/76 115551,S200000,00400,0500,P 115551,S200000,00600,0200,115146 115551,S200000,00600,0300,01/01/76 115551,S200000,00600,0600,N 115551,S200000,00800,0200,117121 115551,S200000,00800,0300,07/22/98 115551,S200000,00800,0500,O 115551,S200000,00800,0600,N 115551,S200000,01500,0100,N 115551,S200000,01600,0100,Y 115551,S200000,01700,0100,N 115551,S200000,01800,0100,N 115551,S200000,02200,0100,Y 115551,S200000,02800,0100,N 115551,S200000,02900,0100,N 115551,S200000,03000,0100,N 115551,S200000,03100,0100,N 115551,S200000,03200,0100,N 115551,S200000,03300,0100,N 115551,S200000,03300,0200,N 115551,S200000,03500,0300,N 115551,S200000,03600,0100,N 115551,S200000,03600,0200,N 115551,S200000,03700,0100,N 115551,S200000,03700,0200,N 115551,S200000,04100,0100,N 115551,S200000,04200,0100,N 115551,S200000,04300,0100,N 115551,S200000,04600,0100,N 115551,S200000,04700,0100,N 115551,S200000,04900,0100,N 115551,S200000,05200,0100,N 115551,S410002,01700,0100,1800 115551,S700003,00000,0200,X 115552,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115552,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115552,A000000,00300,0000,0300EMPLOYEE BENEFITS 115552,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115552,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115552,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115552,A000000,00700,0000,0700HOUSEKEEPING 115552,A000000,00800,0000,0800DIETARY 115552,A000000,00900,0000,0900NURSING ADMINISTRATION 115552,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115552,A000000,01100,0000,1100PHARMACY 115552,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115552,A000000,01300,0000,1300SOCIAL SERVICE 115552,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115552,A000000,01600,0000,1600SKILLED NURSING FACILITY 115552,A000000,01800,0000,1800NURSING FACILITY 115552,A000000,01900,0000,1900OTHER LONG TERM CARE 115552,A000000,02100,0000,2100RADIOLOGY 115552,A000000,02200,0000,2200LABORATORY 115552,A000000,02300,0000,2300INTRAVENOUS THERAPY 115552,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115552,A000000,02500,0000,2500PHYSICAL THERAPY 115552,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115552,A000000,02700,0000,2700SPEECH PATHOLOGY 115552,A000000,02800,0000,2800ELECTROCARDIOLOGY 115552,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115552,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115552,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115552,A000000,03200,0000,3200SUPPORT SURFACES 115552,A000000,03400,0000,3400CLINIC 115552,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115552,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115552,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115552,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115552,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115552,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115552,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115552,A000000,04400,0000,4400DME RENTED - HHA 115552,A000000,04500,0000,4500DME SOLD - HHA 115552,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115552,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115552,A000000,04800,0000,4800AMBULANCE 115552,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 115552,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115552,A000000,05300,0000,5300INTEREST EXPENSE 115552,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115552,A000000,05500,0000,5500HOSPICE 115552,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115552,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115552,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115552,A000000,06100,0000,6100NONPAID WORKERS 115552,A000000,06200,0000,6200PATIENTS LAUNDRY 115552,A81000A,00100,0100,Y 115552,A81000B,00100,0300,RELATED PARTY COST 115552,A81000B,00200,0300,HOME OFFICE ALLOCATION 115552,A81000B,00300,0300,CAPITAL - BUILDING 115552,A81000B,00400,0300,CAPITAL - EQUIPMENT 115552,A81000B,00500,0300,INTEREST 115552,A81000C,00100,0100,G 115552,A81000C,00100,0200,MAGNOLIA MANOR 115552,A81000C,00200,0100,G 115552,A81000C,00200,0200,S. GA METHODIST 115552,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 115552,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 115552,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 115552,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 115552,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 115552,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 115552,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 115552,B100000,00000,0800,0800PAT DAYS DIETARY 115552,B100000,00000,0900,0900DIRECT NURSING HO NURSING ADM 115552,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 115552,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 115552,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 115552,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 115552,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 115552,S000000,00100,0200,11/29/00 115552,S200000,00100,0100,2001 SOUTH LEE STREET 115552,S200000,00200,0100,AMERICUS 115552,S200000,00200,0200,GA 115552,S200000,00200,0300,31709 115552,S200000,00300,0100,SUMTER 115552,S200000,00300,0200,0011 115552,S200000,00300,0300,R 115552,S200000,00400,0100,MAGNOLIA MANOR NURSING CENTER 115552,S200000,00400,0200,115004 115552,S200000,00400,0300,07/01/67 115552,S200000,00400,0500,P 115552,S200000,00600,0200,115004 115552,S200000,00600,0300,07/01/67 115552,S200000,00600,0600,O 115552,S200000,01500,0100,N 115552,S200000,01600,0100,Y 115552,S200000,01700,0100,N 115552,S200000,01800,0100,N 115552,S200000,02200,0100,Y 115552,S200000,02800,0100,N 115552,S200000,02900,0100,N 115552,S200000,03000,0100,N 115552,S200000,03100,0100,N 115552,S200000,03200,0100,N 115552,S200000,03300,0100,N 115552,S200000,03300,0200,N 115552,S200000,03500,0300,N 115552,S200000,03600,0100,N 115552,S200000,03600,0200,N 115552,S200000,03700,0100,N 115552,S200000,03700,0200,N 115552,S200000,04100,0100,N 115552,S200000,04200,0100,N 115552,S200000,04300,0100,N 115552,S200000,04600,0100,N 115552,S200000,04700,0100,N 115552,S200000,04900,0100,N 115552,S200000,05200,0100,N 115552,S700003,00000,0200,X 115564,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115564,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115564,A000000,00300,0000,0300EMPLOYEE BENEFITS 115564,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115564,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115564,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115564,A000000,00700,0000,0700HOUSEKEEPING 115564,A000000,00800,0000,0800DIETARY 115564,A000000,00900,0000,0900NURSING ADMINISTRATION 115564,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115564,A000000,01100,0000,1100PHARMACY 115564,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115564,A000000,01300,0000,1300SOCIAL SERVICE 115564,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115564,A000000,01500,0000,1350OTHER GENERAL SERVICES 115564,A000000,01600,0000,1600SKILLED NURSING FACILITY 115564,A000000,01800,0000,1800NURSING FACILITY 115564,A000000,01810,0000,1810ICF/MR 115564,A000000,01900,0000,1900OTHER LONG TERM CARE 115564,A000000,02100,0000,2100RADIOLOGY 115564,A000000,02200,0000,2200LABORATORY 115564,A000000,02300,0000,2300INTRAVENOUS THERAPY 115564,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115564,A000000,02500,0000,2500PHYSICAL THERAPY 115564,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115564,A000000,02700,0000,2700SPEECH PATHOLOGY 115564,A000000,02800,0000,2800ELECTROCARDIOLOGY 115564,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115564,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115564,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115564,A000000,03200,0000,3200SUPPORT SURFACES 115564,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115564,A000000,03400,0000,3400CLINIC 115564,A000000,03500,0000,3500RURAL HEALTH CLINIC 115564,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115564,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115564,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115564,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115564,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115564,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115564,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115564,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115564,A000000,04400,0000,4400DME RENTED - HHA 115564,A000000,04500,0000,4500DME SOLD - HHA 115564,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115564,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115564,A000000,04800,0000,4800AMBULANCE 115564,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115564,A000000,05000,0000,5000CORF 115564,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115564,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115564,A000000,05300,0000,5300INTEREST EXPENSE 115564,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115564,A000000,05500,0000,5500HOSPICE 115564,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115564,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115564,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115564,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115564,A000000,06100,0000,6100NONPAID WORKERS 115564,A000000,06200,0000,6200PATIENTS LAUNDRY 115564,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115564,A81000A,00100,0100,N 115564,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115564,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115564,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115564,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115564,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115564,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 115564,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115564,B100000,00000,0800,0800MEALS SERVED :DIETARY 115564,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 115564,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115564,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115564,E10A180,00550,0300,01/29/00 115564,E10A180,00601,0300,05/02/02 115564,E10A180,00650,0100,05/02/02 115564,S000000,00100,0200,01/30/01 115564,S200000,00100,0100,1025 EUCLID 115564,S200000,00200,0100,PAINTSVILLE 115564,S200000,00200,0200,KY 115564,S200000,00200,0300,41240- 115564,S200000,00300,0100,JOHNSON 115564,S200000,00300,0200,0018 115564,S200000,00300,0300,R 115564,S200000,00400,0100,MT. MANOR OF PAINTSVILLE 115564,S200000,00400,0200,185414 115564,S200000,00400,0300,09/19/95 115564,S200000,00400,0500,P 115564,S200000,01500,0100,N 115564,S200000,01600,0100,Y 115564,S200000,01700,0100,N 115564,S200000,01800,0100,N 115564,S200000,02200,0100,N 115564,S200000,02800,0100,N 115564,S200000,02900,0100,N 115564,S200000,03000,0100,N 115564,S200000,03100,0100,N 115564,S200000,03200,0100,N 115564,S200000,04100,0100,N 115564,S200000,04200,0100,N 115564,S200000,04300,0100,N 115564,S200000,04600,0100,N 115564,S200000,04700,0100,N 115564,S200000,04700,0200,N 115564,S200000,04900,0100,N 115564,S200000,05000,0100,N 115564,S200000,05100,0100,N 115564,S200000,05200,0100,N 115578,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115578,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115578,A000000,00300,0000,0300EMPLOYEE BENEFITS 115578,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115578,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115578,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115578,A000000,00700,0000,0700HOUSEKEEPING 115578,A000000,00800,0000,0800DIETARY 115578,A000000,00900,0000,0900NURSING ADMINISTRATION 115578,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115578,A000000,01100,0000,1100PHARMACY 115578,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115578,A000000,01300,0000,1300SOCIAL SERVICE 115578,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115578,A000000,01500,0000,1350RESIDENT ACTIVITIES 115578,A000000,01600,0000,1600SKILLED NURSING FACILITY 115578,A000000,01800,0000,1800NURSING FACILITY 115578,A000000,01810,0000,1810ICF/MR 115578,A000000,02100,0000,2100RADIOLOGY 115578,A000000,02200,0000,2200LABORATORY 115578,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115578,A000000,02500,0000,2500PHYSICAL THERAPY 115578,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115578,A000000,02700,0000,2700SPEECH PATHOLOGY 115578,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115578,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115578,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115578,A000000,03550,0000,3550FQHC 115578,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115578,A000000,05000,0000,5000CORF 115578,A000000,05010,0000,5010CMHC 115578,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115578,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115578,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115578,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115578,A000000,05300,0000,5300INTEREST EXPENSE 115578,A000000,05600,0000,5350AMORTIZATION EXPENSE 115578,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115578,A000000,06300,0000,6150PERSONAL CARE UNIT 115578,A81000A,00100,0100,N 115578,B100000,00000,0100,0100SQUARE FEET 115578,B100000,00000,0200,0200SQUARE FEET 115578,B100000,00000,0300,0300GROSS SALARIES 115578,B100000,00000,0400,0400ACCUM. COST 115578,B100000,00000,0500,0500SQUARE FEET 115578,B100000,00000,0600,0600POUNDS OF LAUNDRY 115578,B100000,00000,0700,0700HOURS OF SERVICE 115578,B100000,00000,0800,0800MEALS SERVED 115578,B100000,00000,0900,0900HOURS OF SERVICE 115578,B100000,00000,1000,1000COSTED REQUIS. 115578,B100000,00000,1100,1100COSTED REQUIS. 115578,B100000,00000,1200,1200TIME SPENT 115578,B100000,00000,1300,1300TIME SPENT 115578,B100000,00000,1400,1400ASSIGNED TIME 115578,B100000,00000,1500,1350TIME SPENT 115578,E10A180,00501,0100,12/13/00 115578,E10A180,00501,0300,12/13/00 115578,S000000,00100,0200,11/28/00 115578,S200000,00100,0100,316 EAST MARKET STREET 115578,S200000,00200,0100,BETHLEHEM 115578,S200000,00200,0200,PA 115578,S200000,00300,0200,0240 115578,S200000,00300,0300,U 115578,S200000,00400,0100,BLOUGH HEALTH CARE CENTER INC. 115578,S200000,00400,0200,395599 115578,S200000,00400,0300,01/01/84 115578,S200000,00400,0500,P 115578,S200000,01500,0100,N 115578,S200000,01600,0100,Y 115578,S200000,01700,0100,N 115578,S200000,01800,0100,N 115578,S200000,02200,0100,N 115578,S200000,02800,0100,N 115578,S200000,02900,0100,N 115578,S200000,03000,0100,N 115578,S200000,03100,0100,N 115578,S200000,03200,0100,N 115578,S200000,03300,0100,N 115578,S200000,03300,0200,N 115578,S200000,04100,0100,N 115578,S200000,04200,0100,N 115578,S200000,04300,0100,N 115578,S200000,04600,0100,N 115578,S200000,04700,0100,N 115578,S200000,04700,0200,N 115578,S200000,04900,0100,N 115582,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115582,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115582,A000000,00300,0000,0300EMPLOYEE BENEFITS 115582,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115582,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115582,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115582,A000000,00700,0000,0700HOUSEKEEPING 115582,A000000,00800,0000,0800DIETARY 115582,A000000,00900,0000,0900NURSING ADMINISTRATION 115582,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115582,A000000,01100,0000,1100PHARMACY 115582,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115582,A000000,01300,0000,1300SOCIAL SERVICE 115582,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115582,A000000,01500,0000,1350OTHER GENERAL SERVICES 115582,A000000,01510,0000,1351ICF/MR 115582,A000000,01600,0000,1600SKILLED NURSING FACILITY 115582,A000000,01800,0000,1800NURSING FACILITY 115582,A000000,01810,0000,1810ICF/MR 115582,A000000,02100,0000,2100RADIOLOGY 115582,A000000,02200,0000,2200LABORATORY 115582,A000000,02500,0000,2500PHYSICAL THERAPY 115582,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115582,A000000,02700,0000,2700SPEECH PATHOLOGY 115582,A000000,02800,0000,2800ELECTROCARDIOLOGY 115582,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115582,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115582,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115582,A000000,03550,0000,3550FQHC 115582,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115582,A000000,05000,0000,5000CORF 115582,A000000,05010,0000,5010CMHC 115582,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115582,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115582,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115582,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115582,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115582,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115582,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115582,A81000A,00100,0100,N 115582,B100000,00000,0100,0100SQUARE FEET 115582,B100000,00000,0200,0200SQUARE FEET 115582,B100000,00000,0300,0300GROSS SALARIES 115582,B100000,00000,0400,0400ACCUM. COST 115582,B100000,00000,0500,0500SQUARE FEET 115582,B100000,00000,0600,0600PATIENT DAYS 115582,B100000,00000,0700,0700SQUARE FEET 115582,B100000,00000,0800,0800PATIENT DAYS 115582,B100000,00000,0900,0900PATIENT DAYS 115582,B100000,00000,1000,1000COSTED REQUIS. 115582,B100000,00000,1100,1100COSTED REQUIS. 115582,B100000,00000,1200,1200PATIENT DAYS 115582,B100000,00000,1300,1300PATIENT DAYS 115582,B100000,00000,1400,1400ASSIGNED TIME 115582,B100000,00000,1500,1350PATIENT DAYS 115582,B100000,00000,1510,1360 115582,E10A180,00501,0100,12/07/00 115582,E10A180,00501,0300,12/07/00 115582,S000000,00100,0200,11/16/00 115582,S200000,00100,0100,10058 SOUTH MOUNTAIN ROAD 115582,S200000,00200,0100,SOUTH MOUNTAIN 115582,S200000,00200,0200,PA 115582,S200000,00300,0200,0039 115582,S200000,00300,0300,R 115582,S200000,00400,0100,SOUTH MOUNTAIN RESTORATION CENTER 115582,S200000,00400,0200,395583 115582,S200000,00400,0300,07/01/66 115582,S200000,00400,0500,P 115582,S200000,00400,0600,P 115582,S200000,01500,0100,Y 115582,S200000,01600,0100,N 115582,S200000,01700,0100,N 115582,S200000,01800,0100,N 115582,S200000,02100,0100,E 115582,S200000,02200,0100,N 115582,S200000,02800,0100,N 115582,S200000,02900,0100,N 115582,S200000,03000,0100,N 115582,S200000,03100,0100,N 115582,S200000,03200,0100,N 115582,S200000,03300,0100,N 115582,S200000,03300,0200,N 115582,S200000,04100,0100,Y 115582,S200000,04200,0100,Y 115582,S200000,04300,0100,Y 115582,S200000,04600,0100,N 115582,S200000,04700,0100,N 115582,S200000,04700,0200,N 115582,S200000,04900,0100,N 115782,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115782,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115782,A000000,00300,0000,0300EMPLOYEE BENEFITS 115782,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115782,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115782,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115782,A000000,00700,0000,0700HOUSEKEEPING 115782,A000000,00800,0000,0800DIETARY 115782,A000000,00900,0000,0900NURSING ADMINISTRATION 115782,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115782,A000000,01100,0000,1100PHARMACY 115782,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115782,A000000,01300,0000,1300SOCIAL SERVICE 115782,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115782,A000000,01600,0000,1600SKILLED NURSING FACILITY 115782,A000000,01800,0000,1800NURSING FACILITY 115782,A000000,01810,0000,1810ICF/MR 115782,A000000,01900,0000,1900OTHER LONG TERM CARE 115782,A000000,02100,0000,2100RADIOLOGY 115782,A000000,02500,0000,2500PHYSICAL THERAPY 115782,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115782,A000000,02700,0000,2700SPEECH PATHOLOGY 115782,A000000,02800,0000,2800ELECTROCARDIOLOGY 115782,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115782,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115782,A000000,03550,0000,3550FQHC 115782,A000000,05000,0000,5000CORF 115782,A000000,05010,0000,5010CMHC 115782,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115782,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115782,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115782,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 115782,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115782,A81000A,00100,0100,Y 115782,A81000B,00100,0300,MGMT FEES 115782,A81000C,00100,0100,B 115782,A81000C,00100,0200,ADDOLORATA VILLA 115782,A81000C,00100,0400,FRANCISCAN SISTERS 115782,A81000C,00100,0600,CORPORATION 115782,B100000,00000,0100,0100SQUARE FEET 115782,B100000,00000,0200,0200SQUARE FEET 115782,B100000,00000,0300,0300GROSS SALARIES 115782,B100000,00000,0400,0400ACCUM COST 115782,B100000,00000,0500,0500SQUARE FEET 115782,B100000,00000,0600,0600PATIENT DAYS 115782,B100000,00000,0700,0700SQUARE FEET 115782,B100000,00000,0800,0800MEALS SERVED 115782,B100000,00000,0900,0900GROSS SALARIES 115782,B100000,00000,1000,1000PATIENT DAYS 115782,B100000,00000,1100,1100COSTED REQUIS 115782,B100000,00000,1200,1200TIME SPENT 115782,B100000,00000,1300,1300PATIENT DAYS 115782,B100000,00000,1400,1400ASSIGNED TIME 115782,S000000,00100,0200,01/02/01 115782,S200000,00100,0100,555 MCHENRY ROAD 115782,S200000,00200,0100,WHEELING 115782,S200000,00200,0200,IL 115782,S200000,00200,0300,60090 115782,S200000,00300,0100,COOK 115782,S200000,00300,0200,1600 115782,S200000,00300,0300,U 115782,S200000,00400,0100,ADDOLORATA VILLA 115782,S200000,00400,0200,145724 115782,S200000,00400,0300,06/01/92 115782,S200000,00400,0500,P 115782,S200000,00400,0600,O 115782,S200000,01500,0100,N 115782,S200000,01600,0100,Y 115782,S200000,01700,0100,N 115782,S200000,01800,0100,N 115782,S200000,02200,0100,N 115782,S200000,02800,0100,N 115782,S200000,02900,0100,N 115782,S200000,03000,0100,N 115782,S200000,03100,0100,N 115782,S200000,03200,0100,N 115782,S200000,03300,0100,N 115782,S200000,03300,0200,N 115782,S200000,04100,0100,N 115782,S200000,04200,0100,N 115782,S200000,04300,0100,N 115782,S200000,04600,0100,N 115782,S200000,04700,0100,N 115782,S200000,04900,0100,N 115792,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115792,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115792,A000000,00300,0000,0300EMPLOYEE BENEFITS 115792,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115792,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115792,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115792,A000000,00700,0000,0700HOUSEKEEPING 115792,A000000,00800,0000,0800DIETARY 115792,A000000,00900,0000,0900NURSING ADMINISTRATION 115792,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115792,A000000,01100,0000,1100PHARMACY 115792,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115792,A000000,01300,0000,1300SOCIAL SERVICE 115792,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115792,A000000,01500,0000,1350OTHER GENERAL SERVICES 115792,A000000,01600,0000,1600SKILLED NURSING FACILITY 115792,A000000,01800,0000,1800NURSING FACILITY 115792,A000000,01810,0000,1810ICF/MR 115792,A000000,02200,0000,2200LABORATORY 115792,A000000,02300,0000,2300INTRAVENOUS THERAPY 115792,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115792,A000000,02500,0000,2500PHYSICAL THERAPY 115792,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115792,A000000,02700,0000,2700SPEECH PATHOLOGY 115792,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115792,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115792,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115792,A000000,03550,0000,3550FQHC 115792,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115792,A000000,05000,0000,5000CORF 115792,A000000,05010,0000,5010CMHC 115792,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115792,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115792,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115792,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115792,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115792,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115792,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115792,A81000A,00100,0100,Y 115792,A81000B,00100,0300,MANAGEMENT FEES 115792,A81000C,00100,0100,B 115792,A81000C,00100,0400,THE MANAGEMENT COMPANY 115792,A81000C,00100,0600,MANAGEMENT COMPANY 115792,B100000,00000,0100,0100SQUARE FEET 115792,B100000,00000,0200,0200SQUARE FEET 115792,B100000,00000,0300,0300GROSS SALARIES 115792,B100000,00000,0400,0400ACCUM. COST 115792,B100000,00000,0500,0500SQUARE FEET 115792,B100000,00000,0600,0600POUNDS OF LAUNDRY 115792,B100000,00000,0700,0700SQUARE FEET 115792,B100000,00000,0800,0800MEALS SERVED 115792,B100000,00000,0900,0900DIRECT NRSING HRS 115792,B100000,00000,1000,1000COSTED REQUIS. 115792,B100000,00000,1100,1100COSTED REQUIS. 115792,B100000,00000,1200,1200TIME SPENT 115792,B100000,00000,1300,1300TIME SPENT 115792,B100000,00000,1400,1400ASSIGNED TIME 115792,B100000,00000,1500,1350NO STATISTICS 115792,E10A180,00501,0100,06/21/00 115792,E10A180,00501,0300,06/21/00 115792,S000000,00100,0200,05/31/00 115792,S200000,00100,0100,4201 SOUTH GRAND STREET 115792,S200000,00200,0100,MONROE 115792,S200000,00200,0200,LA 115792,S200000,00200,0300,71202 115792,S200000,00300,0100,OUCHITA 115792,S200000,00400,0100,MONROE MANOR NURSING HOME 115792,S200000,00400,0200,195395 115792,S200000,00400,0300,01/01/97 115792,S200000,00400,0500,P 115792,S200000,01500,0100,N 115792,S200000,01600,0100,Y 115792,S200000,01700,0100,N 115792,S200000,01800,0100,N 115792,S200000,02200,0100,N 115792,S200000,02800,0100,N 115792,S200000,02900,0100,N 115792,S200000,03000,0100,N 115792,S200000,03100,0100,N 115792,S200000,03200,0100,N 115792,S200000,03300,0100,N 115792,S200000,03300,0200,N 115792,S200000,04100,0100,N 115792,S200000,04200,0100,N 115792,S200000,04300,0100,Y 115792,S200000,04600,0100,N 115792,S200000,04700,0100,N 115792,S200000,04700,0200,N 115792,S200000,04900,0100,N 115795,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115795,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115795,A000000,00300,0000,0300EMPLOYEE BENEFITS 115795,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115795,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115795,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115795,A000000,00700,0000,0700HOUSEKEEPING 115795,A000000,00800,0000,0800DIETARY 115795,A000000,00900,0000,0900NURSING ADMINISTRATION 115795,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115795,A000000,01100,0000,1100PHARMACY 115795,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115795,A000000,01300,0000,1300SOCIAL SERVICE 115795,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115795,A000000,01500,0000,1350OTHER GENERAL SERVICES 115795,A000000,01600,0000,1600SKILLED NURSING FACILITY 115795,A000000,01800,0000,1800NURSING FACILITY 115795,A000000,01810,0000,1810ICF/MR 115795,A000000,02100,0000,2100RADIOLOGY 115795,A000000,02200,0000,2200LABORATORY 115795,A000000,02500,0000,2500PHYSICAL THERAPY 115795,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115795,A000000,02700,0000,2700SPEECH PATHOLOGY 115795,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115795,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115795,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115795,A000000,03500,0000,3500RURAL HEALTH CLINIC 115795,A000000,03550,0000,3550FQHC 115795,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115795,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115795,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115795,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115795,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115795,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115795,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115795,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 115795,A000000,05000,0000,5000CORF 115795,A000000,05010,0000,5010CMHC 115795,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115795,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115795,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115795,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115795,A000000,05300,0000,5300INTEREST EXPENSE 115795,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115795,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115795,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115795,A000000,06300,0000,6150OTHER NONREIMB-FEE SCREEN 115795,A000000,06301,0000,6151OTHER NONREIMB-H.O. 115795,A000000,06302,0000,6152OTHER NONREIMB-REHAB 115795,A81000A,00100,0100,Y 115795,A81000B,00100,0300,HOME OFFICE COSTS 115795,A81000B,00200,0300,HOME OFFICE COSTS 115795,A81000B,00300,0300,HOME OFFICE COSTS 115795,A81000B,00400,0300,HOME OFFICE COSTS 115795,A81000B,00500,0300,HOME OFFICE COSTS 115795,A81000B,00600,0300,ADMINISTRATIVE SALARIES 115795,A81000B,00700,0300,DIETARY SALARIES 115795,A81000B,00800,0300,PLANT SALARIES 115795,A81000B,00900,0300,EMPLOYEE BENEFITS 115795,A81000B,01000,0300,CNA TRAINING EXPENSE 115795,A81000B,01100,0300,HOME OFFICE COSTS 115795,A81000B,01200,0300,INTERCOMP. RHC VISITS 115795,A81000B,01300,0300,HOME OFFICE COSTS 115795,A81000C,00100,0100,B 115795,A81000C,00100,0200,WILLOW HEALTH CARE INC. 115795,A81000C,00100,0400,WILLOW HEALTH CARE INC. 115795,A81000C,00100,0600,HOME OFFICE 115795,A81000C,00200,0100,B 115795,A81000C,00200,0200,WILLOW HEALTH CARE INC. 115795,A81000C,00200,0400,WILLOW WEST APARTMENTS 115795,A81000C,00200,0600,RESIDENTIAL CARE FACILITY 115795,A81000C,00300,0100,B 115795,A81000C,00300,0200,WILLOW HEALTH CARE INC. 115795,A81000C,00300,0400,MOUNTAIN VIEW HEALTH CARE 115795,A81000C,00300,0600,SKILLED NURSING FACILITY 115795,A81000C,00400,0100,B 115795,A81000C,00400,0200,WILLOW HEALTH CARE INC. 115795,A81000C,00400,0400,WESTWOOD REHABILITATION 115795,A81000C,00400,0600,REHABILITATION AGENCY 115795,A81000C,00500,0100,B 115795,A81000C,00500,0200,WILLOW HEALTH CARE INC. 115795,A81000C,00500,0400,WESTWOOD RURAL HLTH CLNC 115795,A81000C,00500,0600,RURAL HEALTH CLINIC 115795,B100000,00000,0100,0100SQUARE FEET 115795,B100000,00000,0200,0200SQUARE FEET 115795,B100000,00000,0300,0300GROSS SALARIES 115795,B100000,00000,0400,0400ACCUM. COST 115795,B100000,00000,0500,0500SQUARE FEET 115795,B100000,00000,0600,0600POUNDS OF LAUNDRY 115795,B100000,00000,0700,0700SQUARE FEET C 115795,B100000,00000,0800,0800MEALS SERVED 115795,B100000,00000,0900,0900DIRECT NRSING HRS 115795,B100000,00000,1000,1000COSTED REQUIS. 115795,B100000,00000,1100,1100COSTED REQUIS. 115795,B100000,00000,1200,1200TIME SPENT 115795,B100000,00000,1300,1300TIME SPENT 115795,B100000,00000,1400,1400ASSIGNED TIME 115795,B100000,00000,1500,1350NO STATISTICS 115795,E10A180,00501,0100,01/09/01 115795,E10A180,00550,0300,01/09/01 115795,H510100,00000,0000,9926 115795,H510100,02400,0000,9926 115795,H710000,00501,0100,01/10/01 115795,H710000,00550,0300,01/10/01 115795,S000000,00100,0200,11/30/00 115795,S200000,00100,0100,S HWY 76 115795,S200000,00100,0300,309 115795,S200000,00200,0100,WILLOW SPRINGS 115795,S200000,00200,0200,MO 115795,S200000,00200,0300,65793 115795,S200000,00400,0100,WILLOW CARE NURSING HOME 115795,S200000,00400,0200,265335 115795,S200000,00400,0300,10/21/88 115795,S200000,00400,0500,P 115795,S200000,00800,0200,267505 115795,S200000,00800,0300,03/12/96 115795,S200000,00800,0500,O 115795,S200000,01100,0200,263414 115795,S200000,01100,0300,03/03/94 115795,S200000,01100,0500,O 115795,S200000,01500,0100,N 115795,S200000,01600,0100,Y 115795,S200000,01700,0100,N 115795,S200000,01800,0100,N 115795,S200000,02200,0100,Y 115795,S200000,02800,0100,N 115795,S200000,02900,0100,N 115795,S200000,03000,0100,N 115795,S200000,03100,0100,N 115795,S200000,03200,0100,N 115795,S200000,03300,0100,N 115795,S200000,03300,0200,N 115795,S200000,03700,0100,N 115795,S200000,03700,0200,N 115795,S200000,04000,0200,N 115795,S200000,04100,0100,N 115795,S200000,04200,0100,N 115795,S200000,04300,0100,N 115795,S200000,04600,0100,N 115795,S200000,04700,0100,N 115795,S200000,04700,0200,N 115795,S200000,04900,0100,N 115795,S51R000,00100,0100,S HWY 76 115795,S51R000,00100,0200,HOWELL 115795,S51R000,00200,0100,WILLOW SPRINGS 115795,S51R000,00200,0200,MO 115795,S51R000,00200,0300,65793 115795,S51R000,01000,0100,DR. ROBERT SHAW 115795,S51R000,01000,0200,A13273 115795,S51R000,01001,0100,DR. C.F. SMITH 115795,S51R000,01001,0200,A13274 115795,S51R000,01002,0100,DR. STEVE HAWKINS 115795,S51R000,01002,0200,A13272 115795,S51R000,01100,0100,DR. ROBERT SHAW 115795,S51R000,01200,0100,N 115795,S51R000,01300,0300,0800 115795,S51R000,01300,0400,1700 115795,S51R000,01300,0500,0800 115795,S51R000,01300,0600,1700 115795,S51R000,01300,0700,0800 115795,S51R000,01300,0800,1700 115795,S51R000,01300,0900,0800 115795,S51R000,01300,1000,1700 115795,S51R000,01300,1100,0800 115795,S51R000,01300,1200,1700 115795,S51R000,01500,0100,N 115795,S51R000,01600,0100,N 115798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 115798,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 115798,A000000,00300,0000,0300EMPLOYEE BENEFITS 115798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 115798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115798,A000000,00700,0000,0700HOUSEKEEPING 115798,A000000,00800,0000,0800DIETARY 115798,A000000,00900,0000,0900NURSING ADMINISTRATION 115798,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115798,A000000,01100,0000,1100PHARMACY 115798,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115798,A000000,01300,0000,1300SOCIAL SERVICE 115798,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 115798,A000000,01600,0000,1600SKILLED NURSING FACILITY 115798,A000000,01800,0000,1800NURSING FACILITY 115798,A000000,01810,0000,1810ICF/MR 115798,A000000,02100,0000,2100RADIOLOGY 115798,A000000,02200,0000,2200LABORATORY 115798,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115798,A000000,02500,0000,2500PHYSICAL THERAPY 115798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115798,A000000,02700,0000,2700SPEECH PATHOLOGY 115798,A000000,02800,0000,2800ELECTROCARDIOLOGY 115798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 115798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115798,A000000,03200,0000,3200SUPPORT SURFACES 115798,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 115798,A000000,03550,0000,3550FQHC 115798,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115798,A000000,05000,0000,5000CORF 115798,A000000,05010,0000,5010CMHC 115798,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 115798,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 115798,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 115798,A000000,05300,0000,5300INTEREST EXPENSE 115798,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115798,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115798,A81000A,00100,0100,Y 115798,A81000B,00100,0300,BUILDING RENT 115798,A81000B,00200,0300,HOME OFFICE 115798,A81000B,00300,0300,HOME OFFICE 115798,A81000B,00400,0300,HOME OFFICE 115798,A81000B,00500,0300,COMMUNITY RELATIONS 115798,A81000B,00600,0300,MISCELLANEOUS EXPENSE 115798,A81000B,00700,0300,THERAPY SERVICES 115798,A81000B,00800,0300,THERAPY SERVICES 115798,A81000B,00900,0300,THERAPY SERVICES 115798,A81000B,01000,0300,DRUGS CHARGED 115798,A81000B,01100,0300,CERTIFIED 115798,A81000B,01200,0300,NON-CERTIFIED 115798,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 115798,A81000B,01400,0300,MEDICAL SUPPLIES 115798,A81000C,00100,0100,B 115798,A81000C,00100,0200,WESTWINDS PARK 115798,A81000C,00100,0400,REAL ESTATE 115798,A81000C,00100,0600,REAL ESTATE 115798,A81000C,00200,0100,B 115798,A81000C,00200,0200,RELIANT CARE MA 115798,A81000C,00200,0400,MANAGEMENT 115798,A81000C,00200,0600,MANAGEMENT 115798,A81000C,00300,0100,B 115798,A81000C,00300,0200,RC MEDICAL SERV 115798,A81000C,00300,0400,MEDICAL SUPPLIE 115798,A81000C,00300,0600,MEDICAL SUPPLIE 115798,A81000C,00400,0100,B 115798,A81000C,00400,0200,PHARMCO MISSOUR 115798,A81000C,00400,0400,PHARMACY 115798,A81000C,00400,0600,PHARMACY 115798,B100000,00000,0100,0100SQUARE FEET 115798,B100000,00000,0200,0200SQUARE FEET 115798,B100000,00000,0300,0300GROSS SALARIES 115798,B100000,00000,0400,0400ACCUM COST 115798,B100000,00000,0500,0500SQUARE FEET 115798,B100000,00000,0600,0600PATIENT DAYS 115798,B100000,00000,0700,0700SQUARE FEET 115798,B100000,00000,0800,0800MEALS SERVED 115798,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 115798,B100000,00000,1000,1000COSTED REQUISITIO 115798,B100000,00000,1100,1100COSTED REQUISITIO 115798,B100000,00000,1200,1200PATIENT DAYS 115798,B100000,00000,1300,1300PATIENT DAYS 115798,B100000,00000,1400,1400ASSIGNED TIME 115798,E10A180,00350,0100,08/30/99 115798,E10A180,00351,0100,12/14/99 115798,E10A180,00550,0100,07/13/00 115798,S000000,00100,0200,06/06/00 115798,S200000,00100,0100,16062 MANCHESTER ROAD 115798,S200000,00200,0100,ELLISVILLE 115798,S200000,00200,0200,MO 115798,S200000,00200,0300,63011 115798,S200000,00300,0100,ST LOUIS 115798,S200000,00300,0200,7040 115798,S200000,00300,0300,U 115798,S200000,00400,0100,ELLISVILLE HEALTH CARE CENTER 115798,S200000,00400,0200,265515 115798,S200000,00400,0300,11/20/92 115798,S200000,00400,0500,P 115798,S200000,01500,0100,N 115798,S200000,01600,0100,Y 115798,S200000,01700,0100,N 115798,S200000,01800,0100,N 115798,S200000,02200,0100,N 115798,S200000,02800,0100,N 115798,S200000,02900,0100,N 115798,S200000,03000,0100,N 115798,S200000,03100,0100,N 115798,S200000,03200,0100,N 115798,S200000,03300,0100,N 115798,S200000,03300,0200,N 115798,S200000,04100,0100,N 115798,S200000,04200,0100,N 115798,S200000,04300,0100,N 115798,S200000,04600,0100,N 115798,S200000,04700,0100,N 115798,S200000,04900,0100,N 115924,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115924,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115924,A000000,00300,0000,0300EMPLOYEE BENEFITS 115924,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115924,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115924,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115924,A000000,00700,0000,0700HOUSEKEEPING 115924,A000000,00800,0000,0800DIETARY 115924,A000000,00900,0000,0900NURSING ADMINISTRATION 115924,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115924,A000000,01100,0000,1100PHARMACY 115924,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115924,A000000,01300,0000,1300SOCIAL SERVICE 115924,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 115924,A000000,01500,0000,1350ACTIVITIES 115924,A000000,01600,0000,1600SKILLED NURSING FACILITY 115924,A000000,01800,0000,1800NURSING FACILITY 115924,A000000,01900,0000,1900OTHER LONG TERM CARE 115924,A000000,02100,0000,2100RADIOLOGY 115924,A000000,02200,0000,2200LABORATORY 115924,A000000,02300,0000,2300INTRAVENOUS THERAPY 115924,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115924,A000000,02500,0000,2500PHYSICAL THERAPY 115924,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115924,A000000,02700,0000,2700SPEECH PATHOLOGY 115924,A000000,02800,0000,2800ELECTROCARDIOLOGY 115924,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115924,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115924,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115924,A000000,03200,0000,3200SUPPORT SURFACES 115924,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 115924,A000000,03400,0000,3400CLINIC 115924,A000000,03500,0000,3500RURAL HEALTH CLINIC 115924,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 115924,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115924,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115924,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115924,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115924,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115924,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115924,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115924,A000000,04400,0000,4400DME RENTED - HHA 115924,A000000,04500,0000,4500DME SOLD - HHA 115924,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115924,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115924,A000000,04800,0000,4800AMBULANCE 115924,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115924,A000000,05000,0000,5000CORF 115924,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115924,A000000,05300,0000,5300INTEREST EXPENSE 115924,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115924,A000000,05500,0000,5500HOSPICE 115924,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115924,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115924,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115924,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115924,A000000,06100,0000,6100NONPAID WORKERS 115924,A000000,06200,0000,6200PATIENTS LAUNDRY 115924,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 115924,A81000A,00100,0100,Y 115924,A81000B,00100,0300,HOME OFFICE ALLOCATION 115924,A81000C,00100,0100,B 115924,A81000C,00100,0200,RHA INC. 115924,A81000C,00100,0600,OWNER 115924,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115924,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115924,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115924,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115924,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115924,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115924,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115924,B100000,00000,0800,0800MEALS SERVED :DIETARY 115924,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 115924,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 115924,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 115924,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115924,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115924,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 115924,S000000,00100,0200,11/20/00 115924,S200000,00100,0100,353 TYLER STREET 115924,S200000,00200,0100,GARY 115924,S200000,00200,0200,IN 115924,S200000,00200,0300,46402- 115924,S200000,00300,0100,LAKE 115924,S200000,00300,0200,2960 115924,S200000,00300,0300,U 115924,S200000,00400,0100,WESTSIDE HCC 115924,S200000,00400,0200,155530 115924,S200000,00400,0300,07/29/94 115924,S200000,00400,0500,P 115924,S200000,01500,0100,N 115924,S200000,01600,0100,Y 115924,S200000,01700,0100,N 115924,S200000,01800,0100,N 115924,S200000,02200,0100,N 115924,S200000,02800,0100,N 115924,S200000,02900,0100,N 115924,S200000,03000,0100,N 115924,S200000,03100,0100,N 115924,S200000,03200,0100,N 115924,S200000,04100,0100,N 115924,S200000,04200,0100,N 115924,S200000,04300,0100,N 115924,S200000,04600,0100,N 115924,S200000,04700,0100,N 115924,S200000,04700,0200,N 115924,S200000,04900,0100,N 115924,S200000,05000,0100,N 115924,S200000,05100,0100,N 115924,S200000,05200,0100,N 115971,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115971,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115971,A000000,00300,0000,0300EMPLOYEE BENEFITS 115971,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115971,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115971,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115971,A000000,00700,0000,0700HOUSEKEEPING 115971,A000000,00800,0000,0800DIETARY 115971,A000000,00900,0000,0900NURSING ADMINISTRATION 115971,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115971,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115971,A000000,01300,0000,1300SOCIAL SERVICE 115971,A000000,01600,0000,1600SKILLED NURSING FACILITY 115971,A000000,01800,0000,1800NURSING FACILITY 115971,A000000,02300,0000,2300INTRAVENOUS THERAPY 115971,A000000,02500,0000,2500PHYSICAL THERAPY 115971,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115971,A000000,02700,0000,2700SPEECH PATHOLOGY 115971,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115971,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115971,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115971,A81000A,00100,0100,Y 115971,A81000B,00100,0300,CONTRIBUTIONS 115971,A81000B,00200,0300,DEVELOPMENT ASSESSMENT 115971,A81000B,00300,0300,D & O INSURANCE 115971,A81000B,00400,0300,CHAPLAIN RENT 115971,A81000B,00500,0300,GIFT SHOP PURCHASES 115971,A81000B,00600,0300,SISTERS SALARIES ADMIN 115971,A81000B,00700,0300,SISTERS SALARIES NURSING 115971,A81000B,00800,0300,SISTERS SALARIES SOCIAL SERVICE 115971,A81000B,00900,0300,SISTERS SALARIES LAUNDRY 115971,A81000B,01000,0300,NURSING SUPPLIES 115971,A81000B,01100,0300,INTEREST TO MOTHERHOUSE 115971,A81000C,00100,0100,B 115971,A81000C,00100,0200,SISTERS OF SAINT MARY 115971,A81000C,00100,0600,MOTHER HOUSE 115971,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115971,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115971,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115971,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115971,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115971,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115971,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115971,B100000,00000,0800,0800MEALS SERVED :DIETARY 115971,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 115971,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 115971,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115971,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115971,E10A180,00550,0300,11/22/00 115971,S000000,00100,0200,11/22/00 115971,S200000,00100,0100,MARYVILLE NURSING HOME 115971,S200000,00200,0100,14645 SW FARMINGTON ROAD 115971,S200000,00200,0200,OR 115971,S200000,00200,0300,97007-2797 115971,S200000,00300,0100,WASHINGTON 115971,S200000,00300,0200,6440 115971,S200000,00300,0300,U 115971,S200000,00400,0100,MARYVILLE NURSING HOME 115971,S200000,00400,0200,385166 115971,S200000,00400,0300,02/22/85 115971,S200000,00400,0500,P 115971,S200000,01500,0100,N 115971,S200000,01600,0100,Y 115971,S200000,01700,0100,N 115971,S200000,01800,0100,N 115971,S200000,02200,0100,N 115971,S200000,02800,0100,N 115971,S200000,02900,0100,N 115971,S200000,03000,0100,N 115971,S200000,03100,0100,N 115971,S200000,03200,0100,N 115971,S200000,04100,0100,N 115971,S200000,04200,0100,N 115971,S200000,04300,0100,N 115971,S200000,04600,0100,N 115971,S200000,04700,0100,N 115971,S200000,04700,0200,N 115971,S200000,04900,0100,N 115971,S200000,05000,0100,N 115971,S200000,05100,0100,N 115971,S200000,05200,0100,N 115973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115973,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115973,A000000,00300,0000,0300EMPLOYEE BENEFITS 115973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115973,A000000,00700,0000,0700HOUSEKEEPING 115973,A000000,00800,0000,0800DIETARY 115973,A000000,00900,0000,0900NURSING ADMINISTRATION 115973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115973,A000000,01300,0000,1300SOCIAL SERVICE 115973,A000000,01500,0000,1350OTHER GENERAL SERVICES 115973,A000000,01600,0000,1600SKILLED NURSING FACILITY 115973,A000000,01800,0000,1800NURSING FACILITY 115973,A000000,01810,0000,1810ICF/MR 115973,A000000,01900,0000,1900OTHER LONG TERM CARE 115973,A000000,02100,0000,2100RADIOLOGY 115973,A000000,02200,0000,2200LABORATORY 115973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 115973,A000000,02500,0000,2500PHYSICAL THERAPY 115973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115973,A000000,02700,0000,2700SPEECH PATHOLOGY 115973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115973,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 115973,A000000,03200,0000,3200SUPPORT SURFACES 115973,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 115973,A000000,03400,0000,3400CLINIC 115973,A000000,03500,0000,3500RURAL HEALTH CLINIC 115973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 115973,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 115973,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 115973,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 115973,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 115973,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 115973,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 115973,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 115973,A000000,04400,0000,4400DME RENTED - HHA 115973,A000000,04500,0000,4500DME SOLD - HHA 115973,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 115973,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 115973,A000000,04800,0000,4800AMBULANCE 115973,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 115973,A000000,05000,0000,5000CORF 115973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 115973,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 115973,A000000,05300,0000,5300INTEREST EXPENSE 115973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115973,A000000,05500,0000,5500HOSPICE 115973,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 115973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115973,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 115973,A000000,06100,0000,6100NONPAID WORKERS 115973,A000000,06200,0000,6200PATIENTS LAUNDRY 115973,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 115973,A81000A,00100,0100,N 115973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115973,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115973,B100000,00000,0800,0800MEALS SERVED :DIETARY 115973,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 115973,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 115973,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 115973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115973,E10A180,00501,0100,04/24/01 115973,S000000,00100,0200,03/21/01 115973,S200000,00100,0100,3540 S. E. FRANCIS STREET 115973,S200000,00200,0100,PORTLAND 115973,S200000,00200,0200,OR 115973,S200000,00200,0300,97202- 115973,S200000,00300,0100,MULTNOMAH 115973,S200000,00300,0200,6440 115973,S200000,00300,0300,U 115973,S200000,00400,0100,REEDWOOD EXTENDED CARE CENTER 115973,S200000,00400,0200,385055 115973,S200000,00400,0300,01/03/67 115973,S200000,00400,0500,P 115973,S200000,01500,0100,N 115973,S200000,01600,0100,Y 115973,S200000,01700,0100,N 115973,S200000,01800,0100,N 115973,S200000,02200,0100,N 115973,S200000,02800,0100,N 115973,S200000,02900,0100,N 115973,S200000,03000,0100,N 115973,S200000,03100,0100,N 115973,S200000,03200,0100,N 115973,S200000,04100,0100,N 115973,S200000,04200,0100,N 115973,S200000,04300,0100,N 115973,S200000,04600,0100,N 115973,S200000,04700,0100,N 115973,S200000,04700,0200,N 115973,S200000,04900,0100,N 115973,S200000,05000,0100,N 115973,S200000,05100,0100,N 115973,S200000,05200,0100,N 115974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115974,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115974,A000000,00300,0000,0300EMPLOYEE BENEFITS 115974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115974,A000000,00700,0000,0700HOUSEKEEPING 115974,A000000,00800,0000,0800DIETARY 115974,A000000,00900,0000,0900NURSING ADMINISTRATION 115974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115974,A000000,01300,0000,1300SOCIAL SERVICE 115974,A000000,01600,0000,1600SKILLED NURSING FACILITY 115974,A000000,01800,0000,1800NURSING FACILITY 115974,A000000,02200,0000,2200LABORATORY 115974,A000000,02500,0000,2500PHYSICAL THERAPY 115974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115974,A000000,02700,0000,2700SPEECH PATHOLOGY 115974,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115974,A000000,04800,0000,4800AMBULANCE 115974,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115974,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 115974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115974,A000000,06300,0000,6150DAY CARE 115974,A81000A,00100,0100,N 115974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115974,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115974,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115974,B100000,00000,0800,0800MEALS SERVED :DIETARY 115974,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 115974,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 115974,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 115974,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115974,E10A180,00550,0100,02/05/01 115974,S000000,00100,0200,02/02/01 115974,S200000,00100,0100,2201 NW HIGHLAND 115974,S200000,00200,0100,GRANTS PASS 115974,S200000,00200,0200,OR 115974,S200000,00200,0300,97526- 115974,S200000,00300,0100,JOSEPHINE 115974,S200000,00300,0200,0038 115974,S200000,00300,0300,R 115974,S200000,00400,0100,HIGHLAND HOUSE NURSING CENTER 115974,S200000,00400,0200,385149 115974,S200000,00400,0300,11/01/83 115974,S200000,00400,0500,P 115974,S200000,01500,0100,N 115974,S200000,01600,0100,Y 115974,S200000,01700,0100,N 115974,S200000,01800,0100,N 115974,S200000,02200,0100,N 115974,S200000,02800,0100,N 115974,S200000,02900,0100,N 115974,S200000,03000,0100,N 115974,S200000,03100,0100,N 115974,S200000,03200,0100,N 115974,S200000,04100,0100,N 115974,S200000,04200,0100,N 115974,S200000,04300,0100,N 115974,S200000,04600,0100,N 115974,S200000,04700,0100,N 115974,S200000,04700,0200,N 115974,S200000,04900,0100,N 115974,S200000,05000,0100,N 115974,S200000,05100,0100,N 115974,S200000,05200,0100,N 115986,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 115986,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 115986,A000000,00300,0000,0300EMPLOYEE BENEFITS 115986,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 115986,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 115986,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 115986,A000000,00700,0000,0700HOUSEKEEPING 115986,A000000,00800,0000,0800DIETARY 115986,A000000,00900,0000,0900NURSING ADMINISTRATION 115986,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 115986,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 115986,A000000,01300,0000,1300SOCIAL SERVICE 115986,A000000,01600,0000,1600SKILLED NURSING FACILITY 115986,A000000,02500,0000,2500PHYSICAL THERAPY 115986,A000000,02600,0000,2600OCCUPATIONAL THERAPY 115986,A000000,02700,0000,2700SPEECH PATHOLOGY 115986,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 115986,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 115986,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 115986,A000000,05900,0000,5900BARBER & BEAUTY SHOP 115986,A81000A,00100,0100,Y 115986,A81000B,00100,0300,RENT EXPENSE 115986,A81000B,00200,0300,INTEREST EXPENSE 115986,A81000B,00300,0300,DEPRECIATION EXPENSE 115986,A81000C,00100,0100,D 115986,A81000C,00100,0200,HOPE FREDRICKSO 115986,A81000C,00100,0400,REAL ESTATE 115986,A81000C,00100,0600,LESSOR 115986,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 115986,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 115986,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 115986,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 115986,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 115986,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 115986,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 115986,B100000,00000,0800,0800MEALS SERVED :DIETARY 115986,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 115986,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 115986,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 115986,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 115986,E10A180,00550,0100,12/20/00 115986,S000000,00100,0200,11/30/00 115986,S200000,00100,0100,4062 ARLETA AVENUE 115986,S200000,00200,0100,SALEM 115986,S200000,00200,0200,OR 115986,S200000,00200,0300,97303- 115986,S200000,00300,0100,MARION 115986,S200000,00300,0200,7080 115986,S200000,00300,0300,U 115986,S200000,00400,0100,SHERWOOD PARK CARE CENTER 115986,S200000,00400,0200,385241 115986,S200000,00400,0300,04/01/94 115986,S200000,00400,0500,P 115986,S200000,01500,0100,Y 115986,S200000,01600,0100,N 115986,S200000,01700,0100,N 115986,S200000,01800,0100,N 115986,S200000,02200,0100,N 115986,S200000,02800,0100,N 115986,S200000,02900,0100,N 115986,S200000,03000,0100,N 115986,S200000,03100,0100,N 115986,S200000,03200,0100,N 115986,S200000,04100,0100,N 115986,S200000,04200,0100,N 115986,S200000,04300,0100,N 115986,S200000,04600,0100,N 115986,S200000,04700,0100,N 115986,S200000,04700,0200,N 115986,S200000,04900,0100,N 115986,S200000,05000,0100,N 115986,S200000,05100,0100,N 115986,S200000,05200,0100,N 116001,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116001,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116001,A000000,00300,0000,0300EMPLOYEE BENEFITS 116001,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116001,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116001,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116001,A000000,00700,0000,0700HOUSEKEEPING 116001,A000000,00800,0000,0800DIETARY 116001,A000000,00900,0000,0900NURSING ADMINISTRATION 116001,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116001,A000000,01100,0000,1100PHARMACY 116001,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116001,A000000,01300,0000,1300SOCIAL SERVICE 116001,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116001,A000000,01500,0000,1350ACTIVITIES 116001,A000000,01600,0000,1600SKILLED NURSING FACILITY 116001,A000000,01800,0000,1800NURSING FACILITY 116001,A000000,01810,0000,1810ICF/MR 116001,A000000,01900,0000,1900OTHER LONG TERM CARE 116001,A000000,02100,0000,2100RADIOLOGY 116001,A000000,02200,0000,2200LABORATORY 116001,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116001,A000000,02500,0000,2500PHYSICAL THERAPY 116001,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116001,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116001,A000000,03300,0000,3050INCONTINENCE 116001,A000000,03301,0000,3051OTHER ANCILLARIES 116001,A000000,03302,0000,3052ENTERAL/PARENTAL 116001,A000000,03303,0000,3053AMBULANCE 116001,A000000,03550,0000,3550FQHC 116001,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116001,A000000,05000,0000,5000CORF 116001,A000000,05010,0000,5010CMHC 116001,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116001,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116001,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116001,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116001,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116001,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116001,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116001,A81000A,00100,0100,Y 116001,A81000B,00100,0300,RENT/LEASE 116001,A81000B,00200,0300,COST OF OWNERSHIP 116001,A81000B,00300,0300,COST OF OWNERSHIP 116001,A81000B,00400,0300,MANAGEMENT SERVICES 116001,A81000B,00500,0300,CAP REL. BLDG & FIXTURES 116001,A81000B,00600,0300,CAP REL. MOV. EQUIPMENT 116001,A81000B,00700,0300,ADMIN AND GENERAL 116001,A81000B,00800,0300,RELATED PARTY THERAPY 116001,A81000C,00100,0100,A 116001,A81000C,00100,0200,JAMES R. SMITH 116001,A81000C,00100,0400,NEWPORT NEWS HEALTH INVST 116001,A81000C,00100,0600,BUILDING RENTAL 116001,A81000C,00200,0100,A 116001,A81000C,00200,0200,JAMES R. SMITH 116001,A81000C,00200,0400,NEWPORT NEWS HEALTH INVST 116001,A81000C,00200,0600,BUILDING RENTAL 116001,A81000C,00300,0100,A 116001,A81000C,00300,0200,JAMES R. SMITH 116001,A81000C,00300,0400,NEWPORT NEWS HEALTH INVST 116001,A81000C,00300,0600,BUILDING RENTAL 116001,A81000C,00400,0100,B 116001,A81000C,00400,0200,TANDEM HEALTHCARE OF VA 116001,A81000C,00400,0400,COLONIAL CARE 116001,A81000C,00400,0600,HOME OFFICE 116001,A81000C,00500,0100,B 116001,A81000C,00500,0200,TANDEM HEALTHCARE OF VA 116001,A81000C,00500,0400,COLONIAL CARE 116001,A81000C,00500,0600,HOME OFFICE 116001,A81000C,00600,0100,B 116001,A81000C,00600,0200,TANDEM HEALTHCARE OF VA 116001,A81000C,00600,0400,COLONIAL CARE 116001,A81000C,00600,0600,HOME OFFICE 116001,A81000C,00700,0100,B 116001,A81000C,00700,0200,TANDEM HEALTHCARE OF VA 116001,A81000C,00700,0400,COLONIAL CARE 116001,A81000C,00700,0600,HOME OFFICE 116001,A81000C,00800,0100,B 116001,A81000C,00800,0200,TANDEM HEALTHCARE INC 116001,A81000C,00800,0400,TANDEM REHABILITATION 116001,A81000C,00800,0600,THERAPY COMPANY 116001,B100000,00000,0100,0100SQUARE FEET 116001,B100000,00000,0200,0200SQUARE FEET 116001,B100000,00000,0300,0300GROSS SALARIES 116001,B100000,00000,0400,0400ACCUM. COST 116001,B100000,00000,0500,0500SQUARE FEET 116001,B100000,00000,0600,0600PATIENT DAYS 116001,B100000,00000,0700,0700SQUARE FEET 116001,B100000,00000,0800,0800PATIENT DAYS 116001,B100000,00000,0900,0900PATIENT DAYS 116001,B100000,00000,1000,1000NO STATISTICS 116001,B100000,00000,1100,1100NO STATISTICS 116001,B100000,00000,1200,1200PATIENT DAYS 116001,B100000,00000,1300,1300PATIENT DAYS 116001,B100000,00000,1400,1400NO STATISTICS 116001,B100000,00000,1500,1350PATIENT DAYS 116001,E10A180,00301,0100,05/06/02 116001,E10A180,00501,0100,02/15/01 116001,E10A180,00501,0300,02/15/01 116001,S000000,00100,0200,01/16/01 116001,S200000,00100,0100,12997 NETTLES ROAD 116001,S200000,00200,0100,NEWPORT NEWS 116001,S200000,00200,0200,VA 116001,S200000,00200,0300,23602 116001,S200000,00300,0100,Y 116001,S200000,00300,0200,5720 116001,S200000,00300,0300,U 116001,S200000,00400,0100,NEWPORT NEWS NURSING & REHAB CENTER 116001,S200000,00400,0200,495340 116001,S200000,00400,0300,09/24/99 116001,S200000,00400,0500,P 116001,S200000,00600,0200,495340 116001,S200000,00600,0300,02/01/99 116001,S200000,00600,0600,O 116001,S200000,01500,0100,N 116001,S200000,01600,0100,Y 116001,S200000,01700,0100,N 116001,S200000,01800,0100,N 116001,S200000,02200,0100,N 116001,S200000,02800,0100,N 116001,S200000,02900,0100,N 116001,S200000,03000,0100,N 116001,S200000,03100,0100,N 116001,S200000,03200,0100,N 116001,S200000,03300,0100,N 116001,S200000,03300,0200,N 116001,S200000,03500,0300,N 116001,S200000,04100,0100,N 116001,S200000,04200,0100,N 116001,S200000,04300,0100,N 116001,S200000,04600,0100,N 116001,S200000,04700,0100,Y 116001,S200000,04700,0200,Y 116001,S200000,04900,0100,N 116001,S200000,05000,0100,N 116001,S200000,05100,0100,N 116001,S200000,05200,0100,N 116040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116040,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116040,A000000,00300,0000,0300EMPLOYEE BENEFITS 116040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116040,A000000,00700,0000,0700HOUSEKEEPING 116040,A000000,00800,0000,0800DIETARY 116040,A000000,00900,0000,0900NURSING ADMINISTRATION 116040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116040,A000000,01100,0000,1100PHARMACY 116040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116040,A000000,01300,0000,1300SOCIAL SERVICE 116040,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116040,A000000,01500,0000,1350RECREATIONAL THERAPY 116040,A000000,01600,0000,1600SKILLED NURSING FACILITY 116040,A000000,01800,0000,1800NURSING FACILITY 116040,A000000,01810,0000,1810ICF/MR 116040,A000000,02100,0000,2100RADIOLOGY 116040,A000000,02200,0000,2200LABORATORY 116040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116040,A000000,02500,0000,2500PHYSICAL THERAPY 116040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116040,A000000,02700,0000,2700SPEECH PATHOLOGY 116040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116040,A000000,03550,0000,3550FQHC 116040,A000000,05000,0000,5000CORF 116040,A000000,05010,0000,5010CMHC 116040,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116040,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116040,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116040,A000000,06300,0000,6150OTHER NONREIMBURSABLE 116040,A81000A,00100,0100,Y 116040,A81000B,00100,0300,ENGINEERING 116040,A81000C,00100,0100,B 116040,A81000C,00100,0200,G.SWENDSEN 116040,A81000C,00100,0400,SWENDSEN ENG. 116040,A81000C,00100,0600,ENGINEER.SERV. 116040,B100000,00000,0100,0100(SQUARE FEET) 116040,B100000,00000,0200,0200(DOLLAR VA OR SQ FT) 116040,B100000,00000,0300,0300(GROSS SALARIES) 116040,B100000,00000,0400,0400(ACCUM COST) 116040,B100000,00000,0500,0500(SQUARE FEET) 116040,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 116040,B100000,00000,0700,0700(HOURS OF SERVICE) 116040,B100000,00000,0800,0800(MEALS SERVED) 116040,B100000,00000,0900,0900(DIRECT HR OF SERV) 116040,B100000,00000,1000,1000(COSTED REQUIS) 116040,B100000,00000,1100,1100(COSTED REQUIS) 116040,B100000,00000,1200,1200(TIME SPENT) 116040,B100000,00000,1300,1300(TIME SPENT) 116040,B100000,00000,1400,1400(ASSIGNED TIME) 116040,B100000,00000,1500,1350(OTHER) 116040,E10A180,00501,0100,12/13/00 116040,E10A180,00550,0300,12/13/00 116040,S000000,00100,0200,11/24/00 116040,S200000,00100,0100,915 DELAWARE STREET 116040,S200000,00200,0100,FOREST CITY 116040,S200000,00200,0200,PA 116040,S200000,00200,0300,18421 116040,S200000,00300,0100,SUSQUEHANNA 116040,S200000,00300,0200,0039 116040,S200000,00300,0300,R 116040,S200000,00400,0100,FOREST CITY NURSING CENTER 116040,S200000,00400,0200,395554 116040,S200000,00400,0300,12/01/82 116040,S200000,00400,0500,P 116040,S200000,01500,0100,N 116040,S200000,01600,0100,Y 116040,S200000,01700,0100,N 116040,S200000,01800,0100,N 116040,S200000,02200,0100,Y 116040,S200000,02800,0100,N 116040,S200000,02900,0100,N 116040,S200000,03000,0100,N 116040,S200000,03100,0100,N 116040,S200000,03200,0100,N 116040,S200000,03300,0100,N 116040,S200000,03300,0200,N 116040,S200000,04100,0100,N 116040,S200000,04200,0100,N 116040,S200000,04300,0100,N 116040,S200000,04600,0100,N 116040,S200000,04700,0100,Y 116040,S200000,04700,0200,N 116040,S200000,04900,0100,N 116041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116041,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116041,A000000,00300,0000,0300EMPLOYEE BENEFITS 116041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116041,A000000,00700,0000,0700HOUSEKEEPING 116041,A000000,00800,0000,0800DIETARY 116041,A000000,00900,0000,0900NURSING ADMINISTRATION 116041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116041,A000000,01100,0000,1100PHARMACY 116041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116041,A000000,01300,0000,1300SOCIAL SERVICE 116041,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116041,A000000,01500,0000,1350ACTIVITIES 116041,A000000,01600,0000,1600SKILLED NURSING FACILITY 116041,A000000,01800,0000,1800NURSING FACILITY 116041,A000000,01810,0000,1810ICF/MR 116041,A000000,02100,0000,2100RADIOLOGY 116041,A000000,02200,0000,2200LABORATORY 116041,A000000,02500,0000,2500PHYSICAL THERAPY 116041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116041,A000000,02700,0000,2700SPEECH PATHOLOGY 116041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116041,A000000,03550,0000,3550FQHC 116041,A000000,05000,0000,5000CORF 116041,A000000,05010,0000,5010CMHC 116041,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116041,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116041,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116041,A000000,05300,0000,5300INTEREST EXPENSE 116041,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116041,A81000A,00100,0100,N 116041,B100000,00000,0100,0100SQUARE FEET 116041,B100000,00000,0200,0200DOLLAR VALUE 116041,B100000,00000,0300,0300GROSS SALARIES 116041,B100000,00000,0400,0400ACCUM. COST 116041,B100000,00000,0500,0500SQUARE FEET 116041,B100000,00000,0600,0600POUNDS OF LAUNDRY 116041,B100000,00000,0700,0700HOURS OF SERVICE 116041,B100000,00000,0800,0800MEALS SERVED 116041,B100000,00000,0900,0900DIRECT NRSING HRS 116041,B100000,00000,1000,1000COSTED REQUIS. 116041,B100000,00000,1100,1100COSTED REQUIS. 116041,B100000,00000,1200,1200TIME SPENT 116041,B100000,00000,1300,1300TIME SPENT 116041,B100000,00000,1400,1400ASSIGNED TIME 116041,B100000,00000,1500,1350PATIENT ACTIVITIES 116041,E10A180,00501,0100,12/22/00 116041,E10A180,00501,0300,12/22/00 116041,S000000,00100,0200,11/28/00 116041,S200000,00100,0100,55 WEST CENTER HILL ROAD 116041,S200000,00200,0100,DALLAS 116041,S200000,00200,0200,PA 116041,S200000,00200,0300,18612 116041,S200000,00300,0100,LUZERNE 116041,S200000,00300,0200,7560 116041,S200000,00300,0300,U 116041,S200000,00400,0100,MEADOWS NURSING CENTER 116041,S200000,00400,0200,395587 116041,S200000,00400,0300,08/01/83 116041,S200000,00400,0500,P 116041,S200000,01500,0100,N 116041,S200000,01600,0100,Y 116041,S200000,01700,0100,N 116041,S200000,01800,0100,N 116041,S200000,01900,0100,NON PROFIT CORPORATION 116041,S200000,02200,0100,N 116041,S200000,02800,0100,N 116041,S200000,02900,0100,N 116041,S200000,03000,0100,N 116041,S200000,03100,0100,N 116041,S200000,03200,0100,N 116041,S200000,03300,0100,N 116041,S200000,03300,0200,N 116041,S200000,04100,0100,N 116041,S200000,04200,0100,N 116041,S200000,04300,0100,N 116041,S200000,04600,0100,N 116041,S200000,04700,0100,N 116041,S200000,04700,0200,N 116041,S200000,04900,0100,N 116042,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116042,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116042,A000000,00300,0000,0300EMPLOYEE BENEFITS 116042,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116042,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116042,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116042,A000000,00700,0000,0700HOUSEKEEPING 116042,A000000,00800,0000,0800DIETARY 116042,A000000,00900,0000,0900NURSING ADMINISTRATION 116042,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116042,A000000,01100,0000,1100PHARMACY 116042,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116042,A000000,01300,0000,1300SOCIAL SERVICE 116042,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116042,A000000,01500,0000,1350ACTIVITIES 116042,A000000,01600,0000,1600SKILLED NURSING FACILITY 116042,A000000,01810,0000,1810ICF/MR 116042,A000000,02100,0000,2100RADIOLOGY 116042,A000000,02200,0000,2200LABORATORY 116042,A000000,02300,0000,2300INTRAVENOUS THERAPY 116042,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116042,A000000,02500,0000,2500PHYSICAL THERAPY 116042,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116042,A000000,02700,0000,2700SPEECH PATHOLOGY 116042,A000000,02800,0000,2800ELECTROCARDIOLOGY 116042,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116042,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116042,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 116042,A000000,03550,0000,3550FQHC 116042,A000000,05000,0000,5000CORF 116042,A000000,05010,0000,5010CMHC 116042,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116042,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116042,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116042,A000000,05300,0000,5300INTEREST EXPENSE 116042,A000000,06300,0000,6150RESIDENTIAL 116042,A81000A,00100,0100,Y 116042,A81000B,00100,0300,ADMIN. FEES 116042,A81000C,00100,0100,B 116042,A81000C,00100,0200,B.F.CHURCH 116042,A81000C,00100,0400,FELLOWSHIP 116042,A81000C,00100,0600,NURSING HOME 116042,A81000C,00200,0400,MANOR 116042,B100000,00000,0100,0100SQUARE FEET 116042,B100000,00000,0200,0200SQUARE FEET 116042,B100000,00000,0300,0300GROSS SALARIES 116042,B100000,00000,0400,0400ACCUM. COST 116042,B100000,00000,0500,0500SQUARE FEET 116042,B100000,00000,0600,0600POUNDS OF LAUNDRY 116042,B100000,00000,0700,0700SQUARE FEET 116042,B100000,00000,0800,0800MEALS SERVED 116042,B100000,00000,0900,0900DIRECT NRSING HRS 116042,B100000,00000,1000,1000COSTED REQUIS. 116042,B100000,00000,1100,1100COSTED REQUIS. 116042,B100000,00000,1200,1200TIME SPENT 116042,B100000,00000,1300,1300PATIENT DAYS 116042,B100000,00000,1400,1400ASSIGNED TIME 116042,B100000,00000,1500,1350PATIENT DAYS 116042,E10A180,00501,0100,12/07/00 116042,E10A180,00501,0300,12/07/00 116042,S000000,00100,0200,11/27/00 116042,S200000,00100,0100,3000 FELLOWSHIP DRIVE 116042,S200000,00200,0100,WHITEHALL 116042,S200000,00200,0200,PA 116042,S200000,00200,0300,18052 116042,S200000,00300,0100,LEHIGH 116042,S200000,00300,0200,0240 116042,S200000,00300,0300,U 116042,S200000,00400,0100,FELLOWSHIP MANOR 116042,S200000,00400,0200,395763 116042,S200000,00400,0300,08/26/88 116042,S200000,00400,0500,P 116042,S200000,01500,0100,Y 116042,S200000,01600,0100,N 116042,S200000,01700,0100,N 116042,S200000,01800,0100,N 116042,S200000,02200,0100,Y 116042,S200000,02800,0100,N 116042,S200000,02900,0100,N 116042,S200000,03000,0100,N 116042,S200000,03100,0100,N 116042,S200000,03200,0100,N 116042,S200000,03300,0100,N 116042,S200000,03300,0200,N 116042,S200000,04100,0100,N 116042,S200000,04200,0100,N 116042,S200000,04300,0100,N 116042,S200000,04600,0100,N 116042,S200000,04700,0100,N 116042,S200000,04700,0200,N 116042,S200000,04900,0100,N 116125,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116125,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116125,A000000,00300,0000,0300EMPLOYEE BENEFITS 116125,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116125,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116125,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116125,A000000,00700,0000,0700HOUSEKEEPING 116125,A000000,00800,0000,0800DIETARY 116125,A000000,00900,0000,0900NURSING ADMINISTRATION 116125,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116125,A000000,01100,0000,1100PHARMACY 116125,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116125,A000000,01300,0000,1300SOCIAL SERVICE 116125,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116125,A000000,01500,0000,1350PATIENT ACTIVITIES 116125,A000000,01600,0000,1600SKILLED NURSING FACILITY 116125,A000000,01810,0000,1810ICF/MR 116125,A000000,01900,0000,1900OTHER LONG TERM CARE 116125,A000000,02100,0000,2100RADIOLOGY 116125,A000000,02200,0000,2200LABORATORY 116125,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116125,A000000,02500,0000,2500PHYSICAL THERAPY 116125,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116125,A000000,02700,0000,2700SPEECH PATHOLOGY 116125,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116125,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116125,A000000,03550,0000,3550FQHC 116125,A000000,05000,0000,5000CORF 116125,A000000,05010,0000,5010CMHC 116125,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116125,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116125,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116125,A000000,05300,0000,5300INTEREST EXPENSE 116125,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116125,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116125,A000000,06200,0000,6200PATIENTS LAUNDRY 116125,A000000,06300,0000,6150APARTMENTS 116125,A81000A,00100,0100,N 116125,B100000,00000,0100,0100SQUARE FEET 116125,B100000,00000,0200,0200SQUARE FEET 116125,B100000,00000,0300,0300GROSS SALARIES 116125,B100000,00000,0400,0400ACCUM COST 116125,B100000,00000,0500,0500SQUARE FEET 116125,B100000,00000,0600,0600POUNDS OF LAUNDRY 116125,B100000,00000,0700,0700HOURS OF SERVICE 116125,B100000,00000,0800,0800MEALS SERVED 116125,B100000,00000,0900,0900DIRECT NRSG HRS 116125,B100000,00000,1000,1000PATIENT DAYS 116125,B100000,00000,1100,1100PATIENT DAYS 116125,B100000,00000,1200,1200PATIENT DAYS 116125,B100000,00000,1300,1300PATIENT DAYS 116125,B100000,00000,1400,1400ASSIGNED TIME 116125,B100000,00000,1500,1350PATIENT DAYS 116125,E10A180,00501,0100,11/22/00 116125,E10A180,00501,0300,11/22/02 116125,S000000,00100,0200,10/27/00 116125,S200000,00100,0100,175 W. NORTH STREET 116125,S200000,00200,0100,NAZARETH 116125,S200000,00200,0200,PA 116125,S200000,00200,0300,18064 116125,S200000,00300,0100,NORTHAMPTON 116125,S200000,00300,0200,0240 116125,S200000,00300,0300,U 116125,S200000,00400,0100,THAELER HEALTH CARE CENTER 116125,S200000,00400,0200,395752 116125,S200000,00400,0300,04/11/88 116125,S200000,00400,0500,P 116125,S200000,01500,0100,Y 116125,S200000,01600,0100,N 116125,S200000,01700,0100,N 116125,S200000,01800,0100,N 116125,S200000,02200,0100,N 116125,S200000,02800,0100,Y 116125,S200000,02900,0100,N 116125,S200000,03000,0100,N 116125,S200000,03100,0100,N 116125,S200000,03200,0100,N 116125,S200000,03300,0100,N 116125,S200000,03300,0200,N 116125,S200000,04100,0100,N 116125,S200000,04200,0100,N 116125,S200000,04300,0100,Y 116125,S200000,04600,0100,N 116125,S200000,04700,0100,N 116125,S200000,04900,0100,N 116128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116128,A000000,00300,0000,0300EMPLOYEE BENEFITS 116128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116128,A000000,00700,0000,0700HOUSEKEEPING 116128,A000000,00800,0000,0800DIETARY 116128,A000000,00900,0000,0900NURSING ADMINISTRATION 116128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116128,A000000,01300,0000,1300SOCIAL SERVICE 116128,A000000,01600,0000,1600SKILLED NURSING FACILITY 116128,A000000,01800,0000,1800NURSING FACILITY 116128,A000000,02100,0000,2100RADIOLOGY 116128,A000000,02200,0000,2200LABORATORY 116128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116128,A000000,02500,0000,2500PHYSICAL THERAPY 116128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116128,A000000,02700,0000,2700SPEECH PATHOLOGY 116128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116128,A000000,05300,0000,5300INTEREST EXPENSE 116128,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116128,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 116128,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116128,A81000A,00100,0100,Y 116128,A81000B,00100,0300,MANAGEMENT FEES 116128,A81000C,00100,0100,A 116128,A81000C,00100,0200,K. DISTEFANO 116128,A81000C,00100,0400,T. DISTEFANO 116128,A81000C,00100,0600,MNGMNT 116128,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116128,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116128,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116128,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 116128,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116128,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 116128,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116128,B100000,00000,0800,0800MEALS SERVED DIETARY 116128,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 116128,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 116128,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 116128,S000000,00100,0200,05/31/00 116128,S200000,00100,0100,70 GILL AVENUE 116128,S200000,00200,0100,PAWTUCKET/RI/02861 116128,S200000,00300,0100,PROVIDENCE 116128,S200000,00400,0100,SLATER HEALTH CENTER 116128,S200000,00400,0200,415064 116128,S200000,00400,0300,05/01/78 116128,S200000,00400,0500,P 116128,S200000,00400,0600,N 116128,S200000,01500,0100,N 116128,S200000,01600,0100,Y 116128,S200000,01700,0100,N 116128,S200000,01800,0100,N 116128,S200000,02200,0100,N 116128,S200000,02800,0100,N 116128,S200000,02900,0100,N 116128,S200000,03000,0100,N 116128,S200000,03100,0100,N 116128,S200000,03200,0100,N 116128,S200000,03300,0100,N 116128,S200000,03300,0200,N 116128,S200000,04100,0100,N 116128,S200000,04200,0100,N 116128,S200000,04300,0100,Y 116128,S200000,04600,0100,N 116128,S200000,04700,0100,N 116128,S200000,04900,0100,N 116128,S200000,05000,0100,N 116128,S200000,05100,0100,N 116128,S200000,05200,0100,N 116128,S700003,00000,0100,X 116129,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116129,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116129,A000000,00300,0000,0300EMPLOYEE BENEFITS 116129,A000000,00401,0000,0401OTHER ADMINISTRATIVE & GENERAL 116129,A000000,00402,0000,0402PROVIDER TAX ASSESSMENT 116129,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116129,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116129,A000000,00700,0000,0700HOUSEKEEPING 116129,A000000,00800,0000,0800DIETARY 116129,A000000,00900,0000,0900NURSING ADMINISTRATION 116129,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116129,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116129,A000000,01300,0000,1300SOCIAL SERVICE 116129,A000000,01600,0000,1600SKILLED NURSING FACILITY 116129,A000000,01800,0000,1800NURSING FACILITY 116129,A000000,02100,0000,2100RADIOLOGY 116129,A000000,02200,0000,2200LABORATORY 116129,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116129,A000000,02500,0000,2500PHYSICAL THERAPY 116129,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116129,A000000,02700,0000,2700SPEECH PATHOLOGY 116129,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116129,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116129,A000000,04800,0000,4800AMBULANCE 116129,A000000,05300,0000,5300INTEREST EXPENSE 116129,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116129,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 116129,A000000,06300,0000,6150VENDING MACHINES 116129,A000000,06301,0000,6151HOME CARE OFFICE 116129,A000000,06302,0000,6152ASSISTED LIVING 116129,A81000A,00100,0100,Y 116129,A81000B,00100,0300,BUILDING RENT 116129,A81000B,00200,0300,SHARED VEHICLE 116129,A81000B,00300,0300,INTEREST EXPENSE 116129,A81000B,00400,0300,MORTGAGE INTEREST 116129,A81000B,00500,0300,BUILDING DEPRECIATION 116129,A81000B,00600,0300,NURSING POOL LABOR 116129,A81000B,00700,0300,NURSING POOL LABOR 116129,A81000B,00800,0300,NURSING POOL LABOR 116129,A81000B,00900,0300,REAL ESTATE TAXES 116129,A81000C,00100,0100,A 116129,A81000C,00100,0200,M & T KERZNER 116129,A81000C,00100,0400,T & M REALTY 116129,A81000C,00100,0600,REALTY 116129,A81000C,00200,0100,A 116129,A81000C,00200,0200,M & T KERZNER 116129,A81000C,00200,0400,HIGHLAND COURT 116129,A81000C,00200,0600,HOUSING 116129,A81000C,00300,0100,A 116129,A81000C,00300,0200,M & T KERZNER 116129,A81000C,00300,0400,M & T KERZNER 116129,A81000C,00300,0600,OWNERS 116129,A81000C,00400,0100,A 116129,A81000C,00400,0200,M & T KERZNER 116129,A81000C,00400,0400,HIGHLAND CT SER 116129,A81000C,00400,0600,NURSING POOL 116129,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116129,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116129,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116129,B100000,00000,0401,0401ACCUM COST OTHER ADMINISTRAT 116129,B100000,00000,0402,0402ACCUM COST PROVIDER TAX ASSE 116129,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116129,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 116129,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 116129,B100000,00000,0800,0800MEALS SERVED DIETARY 116129,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 116129,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 116129,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 116129,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 116129,S000000,00100,0200,05/31/00 116129,S200000,00100,0100,1085 NORTH MAIN STREET 116129,S200000,00200,0100,PROVIDENCE 116129,S200000,00200,0200,RI 116129,S200000,00200,0300,02904 116129,S200000,00300,0100,PROVIDENCE 116129,S200000,00300,0200,6483 116129,S200000,00300,0300,U 116129,S200000,00400,0100,SUMMIT MEDICAL CENTER 116129,S200000,00400,0200,415046 116129,S200000,00400,0300,11/03/76 116129,S200000,00400,0500,P 116129,S200000,00400,0600,N 116129,S200000,01500,0100,N 116129,S200000,01600,0100,Y 116129,S200000,01700,0100,N 116129,S200000,01800,0100,N 116129,S200000,02200,0100,Y 116129,S200000,02800,0100,N 116129,S200000,02900,0100,N 116129,S200000,03000,0100,N 116129,S200000,03100,0100,N 116129,S200000,03200,0100,N 116129,S200000,03300,0100,N 116129,S200000,03300,0200,N 116129,S200000,04100,0100,N 116129,S200000,04200,0100,N 116129,S200000,04300,0100,Y 116129,S200000,04600,0100,N 116129,S200000,04700,0100,N 116129,S200000,04900,0100,N 116129,S200000,05000,0100,N 116129,S200000,05100,0100,N 116129,S200000,05200,0100,N 116129,S700003,00000,0100,X 116153,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116153,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116153,A000000,00300,0000,0300EMPLOYEE BENEFITS 116153,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116153,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116153,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116153,A000000,00700,0000,0700HOUSEKEEPING 116153,A000000,00800,0000,0800DIETARY 116153,A000000,00900,0000,0900NURSING ADMINISTRATION 116153,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116153,A000000,01100,0000,1100PHARMACY 116153,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116153,A000000,01300,0000,1300SOCIAL SERVICE 116153,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116153,A000000,01600,0000,1600SKILLED NURSING FACILITY 116153,A000000,01810,0000,1810ICF/MR 116153,A000000,02100,0000,2100RADIOLOGY 116153,A000000,02200,0000,2200LABORATORY 116153,A000000,02500,0000,2500PHYSICAL THERAPY 116153,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116153,A000000,02700,0000,2700SPEECH PATHOLOGY 116153,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116153,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116153,A000000,03550,0000,3550FQHC 116153,A000000,05000,0000,5000CORF 116153,A000000,05010,0000,5010CMHC 116153,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116153,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116153,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116153,A000000,05300,0000,5300INTEREST EXPENSE 116153,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116153,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116153,A000000,06300,0000,6150ADULT DAY CARE 116153,A000000,06301,0000,6151CHILD DAY CARE 116153,A000000,06302,0000,6152CBRF 116153,A81000A,00100,0100,Y 116153,A81000B,00100,0300,HOME OFFICE COST REPORT ALLOCA 116153,A81000B,00200,0300,HOME OFFICE ASSESSMENT 116153,A81000B,00300,0300,INTEREST EXPENSE 116153,A81000B,00400,0300,WORKERS COMP INSURANCE 116153,A81000B,00500,0300,LIABILITY INSURANCE 116153,A81000B,00600,0300,AUDIT FEES 116153,A81000B,00700,0300,CONSULTING - SATISFACTION SURV 116153,A81000C,00100,0100,B 116153,A81000C,00100,0200,CATHOLIC HEALTH 116153,A81000C,00100,0400,CATHOLIC HEALTH 116153,A81000C,00100,0600,HEALTHCARE 116153,B100000,00000,0100,0100SQUARE FEET 116153,B100000,00000,0200,0200SQUARE FEET 116153,B100000,00000,0300,0300GROSS SALARIES 116153,B100000,00000,0400,0400ACCUM COST 116153,B100000,00000,0500,0500SQUARE FEET 116153,B100000,00000,0600,0600POUNDS OF LAUNDRY 116153,B100000,00000,0700,0700SQUARE FEET 116153,B100000,00000,0800,0800MEALS SERVED 116153,B100000,00000,0900,0900HOURS OF SERVICE 116153,B100000,00000,1000,1000COSTED REQUIS 116153,B100000,00000,1100,1100COSTED REQUIS 116153,B100000,00000,1200,1200TIME SPENT 116153,B100000,00000,1300,1300TIME SPENT 116153,B100000,00000,1400,1400ASSIGNED TIME 116153,S000000,00100,0200,12/11/00 116153,S200000,00100,0100,3601 S. CHICAGO AVENUE 116153,S200000,00200,0100,SOUTH MILWAUKEE 116153,S200000,00200,0200,WI 116153,S200000,00200,0300,53172 116153,S200000,00300,0100,MILWAUKEE 116153,S200000,00400,0100,FRANCISCAN VILLA NURSING HOME 116153,S200000,00400,0200,525526 116153,S200000,00400,0300,11/19/93 116153,S200000,00400,0500,P 116153,S200000,01500,0100,Y 116153,S200000,01600,0100,N 116153,S200000,01700,0100,N 116153,S200000,01800,0100,N 116153,S200000,01900,0100,501C3 116153,S200000,02200,0100,N 116153,S200000,02800,0100,Y 116153,S200000,02900,0100,N 116153,S200000,03000,0100,N 116153,S200000,03100,0100,N 116153,S200000,03200,0100,N 116153,S200000,03300,0100,N 116153,S200000,03300,0200,N 116153,S200000,04100,0100,N 116153,S200000,04200,0100,N 116153,S200000,04300,0100,N 116153,S200000,04600,0100,N 116153,S200000,04700,0100,N 116153,S200000,04900,0100,N 116185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116185,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116185,A000000,00300,0000,0300EMPLOYEE BENEFITS 116185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116185,A000000,00700,0000,0700HOUSEKEEPING 116185,A000000,00800,0000,0800DIETARY 116185,A000000,00900,0000,0900NURSING ADMINISTRATION 116185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116185,A000000,01100,0000,1100PHARMACY 116185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116185,A000000,01300,0000,1300SOCIAL SERVICE 116185,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116185,A000000,01500,0000,1350ACTIVITIES 116185,A000000,01600,0000,1600SKILLED NURSING FACILITY 116185,A000000,01800,0000,1800NURSING FACILITY 116185,A000000,01810,0000,1810ICF/MR 116185,A000000,01900,0000,1900OTHER LONG TERM CARE 116185,A000000,02100,0000,2100RADIOLOGY 116185,A000000,02200,0000,2200LABORATORY 116185,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116185,A000000,02500,0000,2500PHYSICAL THERAPY 116185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116185,A000000,02700,0000,2700SPEECH PATHOLOGY 116185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116185,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116185,A000000,03550,0000,3550FQHC 116185,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116185,A000000,05000,0000,5000CORF 116185,A000000,05010,0000,5010CMHC 116185,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116185,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116185,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116185,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116185,A000000,05300,0000,5300INTEREST EXPENSE 116185,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116185,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116185,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116185,A81000A,00100,0100,Y 116185,A81000B,00100,0300,DENTAL INSURANCE 116185,A81000B,00200,0300,LEGAL EXPENSE 116185,A81000B,00300,0300,FISCAL SERVICES 116185,A81000C,00100,0100,B 116185,A81000C,00100,0200,ST. MARY HOSPITAL 116185,A81000C,00100,0600,HOSPITAL 116185,B100000,00000,0100,0100SQUARE FEET 116185,B100000,00000,0200,0200SQUARE FEET 116185,B100000,00000,0300,0300GROSS SALARIES 116185,B100000,00000,0400,0400ACCUM. COST 116185,B100000,00000,0500,0500SQUARE FEET 116185,B100000,00000,0600,0600PATIENT DAYS 116185,B100000,00000,0700,0700SQUARE FEET 116185,B100000,00000,0800,0800MEALS SERVED 116185,B100000,00000,0900,0900PATIENT DAYS 116185,B100000,00000,1000,1000COSTED REQUIS. 116185,B100000,00000,1100,1100COSTED REQUIS. 116185,B100000,00000,1200,1200PATIENT DAYS 116185,B100000,00000,1300,1300PATIENT DAYS 116185,B100000,00000,1400,1400ASSIGNED TIME 116185,B100000,00000,1500,1350PATIENT DAYS 116185,S000000,00100,0200,01/11/01 116185,S200000,00100,0100,36975 W. FIVE MILE ROAD 116185,S200000,00200,0100,LIVONIA 116185,S200000,00200,0200,MI 116185,S200000,00200,0300,48154 116185,S200000,00300,0100,W 116185,S200000,00300,0200,2160 116185,S200000,00300,0300,U 116185,S200000,00400,0100,MARYWOOD NURSING CARE CENTER 116185,S200000,00400,0200,235530 116185,S200000,00400,0300,12/09/92 116185,S200000,00400,0500,P 116185,S200000,00400,0600,O 116185,S200000,00600,0200,235530 116185,S200000,00600,0300,12/02/92 116185,S200000,00600,0600,O 116185,S200000,01500,0100,N 116185,S200000,01600,0100,Y 116185,S200000,01700,0100,N 116185,S200000,01800,0100,N 116185,S200000,02200,0100,N 116185,S200000,02800,0100,N 116185,S200000,02900,0100,N 116185,S200000,03000,0100,N 116185,S200000,03100,0100,N 116185,S200000,03200,0100,N 116185,S200000,03300,0100,N 116185,S200000,03300,0200,N 116185,S200000,03600,0200,N 116185,S200000,04100,0100,N 116185,S200000,04200,0100,N 116185,S200000,04300,0100,N 116185,S200000,04600,0100,N 116185,S200000,04700,0100,N 116185,S200000,04700,0200,N 116185,S200000,04900,0100,N 116209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116209,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116209,A000000,00300,0000,0300EMPLOYEE BENEFITS 116209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116209,A000000,00700,0000,0700HOUSEKEEPING 116209,A000000,00800,0000,0800DIETARY 116209,A000000,00900,0000,0900NURSING ADMINISTRATION 116209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116209,A000000,01100,0000,1100PHARMACY 116209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116209,A000000,01300,0000,1300SOCIAL SERVICE 116209,A000000,01350,0000,1301ACTIVITIES 116209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116209,A000000,01600,0000,1600SKILLED NURSING FACILITY 116209,A000000,01800,0000,1800NURSING FACILITY 116209,A000000,01810,0000,1810ICF/MR 116209,A000000,02100,0000,2100RADIOLOGY 116209,A000000,02200,0000,2200LABORATORY 116209,A000000,02500,0000,2500PHYSICAL THERAPY 116209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116209,A000000,02700,0000,2700SPEECH PATHOLOGY 116209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116209,A000000,03200,0000,3200SUPPORT SURFACES 116209,A000000,03550,0000,3550FQHC 116209,A000000,05000,0000,5000CORF 116209,A000000,05010,0000,5010CMHC 116209,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116209,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116209,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116209,A81000A,00100,0100,Y 116209,A81000B,00100,0300,HOME OFFICE CAPITAL 116209,A81000B,00200,0300,HOME OFFICE ADMIN 116209,A81000B,00300,0300,LAB SERVICES 116209,A81000B,00400,0300,INSURANCE - UMBRELLA 116209,A81000B,00500,0300,INTEREST EXPENSE 116209,A81000B,00600,0300,PHYSICAL THERAPY 116209,A81000B,00700,0300,OCCUPATIONAL THERAPY 116209,A81000B,00800,0300,SPEECH PATHOLOGY 116209,A81000B,00900,0300,THERAPY MEETINGS 116209,A81000B,01000,0300,DIETARY SALARY 116209,A81000B,01100,0300,DIETARY PAYROLL TAX 116209,A81000B,01200,0300,PLANT SALARY 116209,A81000B,01300,0300,PLANT PAYROLL TAX 116209,A81000B,01400,0300,ACCOUNTING SALARY 116209,A81000B,01500,0300,ACCOUNTING PAYROLL T 116209,A81000C,00100,0100,B 116209,A81000C,00100,0200,FATHER MURRAY 116209,A81000C,00100,0400,ST. JOHN HEALTH 116209,A81000C,00100,0600,MANAGEMENT 116209,A81000C,00200,0100,B 116209,A81000C,00200,0200,FATHER MURRAY 116209,A81000C,00200,0400,ST. JOHN HEALTH 116209,A81000C,00200,0600,MANAGEMENT 116209,A81000C,00300,0100,B 116209,A81000C,00300,0200,FATHER MURRAY 116209,A81000C,00300,0400,ST. JOHN HEALTH 116209,A81000C,00300,0600,LAB SERVICES 116209,A81000C,00400,0100,B 116209,A81000C,00400,0200,FATHER MURRAY 116209,A81000C,00400,0400,ST. JOHN HEALTH 116209,A81000C,00400,0600,MANAGEMENT 116209,A81000C,00500,0100,B 116209,A81000C,00500,0200,FATHER MURRAY 116209,A81000C,00500,0400,ST. JOHN HEALTH 116209,A81000C,00500,0600,MANAGEMENT 116209,A81000C,00600,0100,B 116209,A81000C,00600,0200,FATHER MURRAY 116209,A81000C,00600,0400,ST. JOHN HEALTH 116209,A81000C,00600,0600,THERAPY SERVICE 116209,A81000C,00700,0100,B 116209,A81000C,00700,0200,FATHER MURRAY 116209,A81000C,00700,0400,ST. JOHN HEALTH 116209,A81000C,00700,0600,THERAPY SERVICE 116209,A81000C,00800,0100,B 116209,A81000C,00800,0200,FATHER MURRAY 116209,A81000C,00800,0400,ST. JOHN HEALTH 116209,A81000C,00800,0600,THERAPY SERVICE 116209,A81000C,00900,0100,B 116209,A81000C,00900,0200,FATHER MURRAY 116209,A81000C,00900,0400,ST. JOHN HEALTH 116209,A81000C,00900,0600,THERAPY SERVICE 116209,A81000C,01000,0100,G 116209,A81000C,01000,0200,FATHER MURRAY 116209,A81000C,01000,0400,ST. JOHN SENIOR 116209,A81000C,01000,0600,NURSING FACILIT 116209,A81000C,01100,0100,G 116209,A81000C,01100,0200,FATHER MURRAY 116209,A81000C,01100,0400,ST. JOHN SENIOR 116209,A81000C,01100,0600,NURSING FACILIT 116209,A81000C,01200,0100,G 116209,A81000C,01200,0200,FATHER MURRAY 116209,A81000C,01200,0400,ST. JOHN SENIOR 116209,A81000C,01200,0600,NURSING FACILIT 116209,A81000C,01300,0100,G 116209,A81000C,01300,0200,FATHER MURRAY 116209,A81000C,01300,0400,ST. JOHN SENIOR 116209,A81000C,01300,0600,NURSING FACILIT 116209,A81000C,01400,0100,G 116209,A81000C,01400,0200,FATHER MURRAY 116209,A81000C,01400,0400,ST. JOHN SENIOR 116209,A81000C,01400,0600,NURSING FACILIT 116209,A81000C,01500,0100,G 116209,A81000C,01500,0200,FATHER MURRAY 116209,A81000C,01500,0400,ST. JOHN SENIOR 116209,A81000C,01500,0600,NURSING FACILIT 116209,B100000,00000,0100,0100SQUARE FEET 116209,B100000,00000,0200,0200SQUARE FEET 116209,B100000,00000,0300,0300GROSS SALARIES 116209,B100000,00000,0400,0400ACCUM COST 116209,B100000,00000,0500,0500SQUARE FEET 116209,B100000,00000,0600,0600POUNDS OF LAUNDRY 116209,B100000,00000,0700,0700HOURS OF SERVICE 116209,B100000,00000,0800,0800MEALS SERVED 116209,B100000,00000,0900,0900DIRECT NRSG HRS 116209,B100000,00000,1000,1000COSTED REQUIS 116209,B100000,00000,1100,1100COSTED REQUIS 116209,B100000,00000,1200,1200TIME SPENT 116209,B100000,00000,1300,1300TIME SPENT 116209,B100000,00000,1350,1350PATIENT DAYS 116209,B100000,00000,1400,1400ASSIGNED TIME 116209,S000000,00100,0200,01/04/01 116209,S200000,00100,0100,8444 ENGLEMAN 116209,S200000,00200,0100,CENTERLINE 116209,S200000,00200,0200,MI 116209,S200000,00200,0300,48015 116209,S200000,00300,0100,M 116209,S200000,00300,0200,2160 116209,S200000,00300,0300,U 116209,S200000,00400,0100,FATHER MURRAY NURSING CENTER 116209,S200000,00400,0200,235298 116209,S200000,00400,0300,08/01/76 116209,S200000,00400,0500,P 116209,S200000,00600,0200,235298 116209,S200000,00600,0300,08/01/76 116209,S200000,00600,0600,O 116209,S200000,01500,0100,N 116209,S200000,01600,0100,Y 116209,S200000,01700,0100,N 116209,S200000,01800,0100,N 116209,S200000,02200,0100,N 116209,S200000,02800,0100,N 116209,S200000,02900,0100,N 116209,S200000,03000,0100,N 116209,S200000,03100,0100,N 116209,S200000,03200,0100,N 116209,S200000,03300,0100,N 116209,S200000,03300,0200,N 116209,S200000,04100,0100,N 116209,S200000,04200,0100,N 116209,S200000,04300,0100,N 116209,S200000,04600,0100,N 116209,S200000,04700,0100,N 116209,S200000,04900,0100,N 116210,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116210,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116210,A000000,00300,0000,0300EMPLOYEE BENEFITS 116210,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116210,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116210,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116210,A000000,00700,0000,0700HOUSEKEEPING 116210,A000000,00800,0000,0800DIETARY 116210,A000000,00900,0000,0900NURSING ADMINISTRATION 116210,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116210,A000000,01100,0000,1100PHARMACY 116210,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116210,A000000,01300,0000,1300SOCIAL SERVICE 116210,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116210,A000000,01600,0000,1600SKILLED NURSING FACILITY 116210,A000000,01800,0000,1800NURSING FACILITY 116210,A000000,01810,0000,1810ICF/MR 116210,A000000,02100,0000,2100RADIOLOGY 116210,A000000,02200,0000,2200LABORATORY 116210,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116210,A000000,02500,0000,2500PHYSICAL THERAPY 116210,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116210,A000000,02700,0000,2700SPEECH PATHOLOGY 116210,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116210,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116210,A000000,03200,0000,3200SUPPORT SURFACES 116210,A000000,03550,0000,3550FQHC 116210,A000000,04800,0000,4800AMBULANCE 116210,A000000,05000,0000,5000CORF 116210,A000000,05010,0000,5010CMHC 116210,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116210,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116210,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116210,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116210,A81000A,00100,0100,Y 116210,A81000B,00100,0300,CONTRACT THERAPY 116210,A81000B,00200,0300,CONTRACT THERAPY 116210,A81000B,00300,0300,CONTRACT THERAPY 116210,A81000B,00400,0300,HOME OFFICE 116210,A81000B,00500,0300,HOME OFFICE 116210,A81000C,00100,0100,B 116210,A81000C,00100,0400,GARY NEDERVELD 116210,A81000C,00100,0600,CONTRACT THERAP 116210,A81000C,00200,0100,B 116210,A81000C,00200,0400,GARY NEDERVELD 116210,A81000C,00200,0600,CONTRACT THERAP 116210,A81000C,00300,0100,B 116210,A81000C,00300,0400,GARY NEDERVELD 116210,A81000C,00300,0600,CONTRACT THERAP 116210,A81000C,00400,0100,B 116210,A81000C,00400,0400,MERCY CONTINUIN 116210,A81000C,00400,0600,LONG TERM CARE 116210,A81000C,00500,0100,B 116210,A81000C,00500,0400,MERCY CONTINUIN 116210,A81000C,00500,0600,LONG TERM CARE 116210,B100000,00000,0100,0100SQUARE FEET 116210,B100000,00000,0200,0200SQUARE FEET 116210,B100000,00000,0300,0300GROSS SALARIES 116210,B100000,00000,0400,0400ACCUM COST 116210,B100000,00000,0500,0500SQUARE FEET 116210,B100000,00000,0600,0600PATIENT DAYS 116210,B100000,00000,0700,0700SQUARE FEET 116210,B100000,00000,0800,0800MEALS SERVED 116210,B100000,00000,0900,0900PATIENT DAYS 116210,B100000,00000,1000,1000COSTED REQUIS 116210,B100000,00000,1100,1100COSTED REQUIS 116210,B100000,00000,1200,1200TIME SPENT 116210,B100000,00000,1300,1300PATIENT DAYS 116210,B100000,00000,1400,1400ASSIGNED TIME 116210,E10A180,00501,0100,11/14/01 116210,E10A180,00501,0300,11/14/01 116210,S000000,00100,0200,12/28/00 116210,S200000,00100,0100,1380 E. SHERMAN BLVD 116210,S200000,00200,0100,MUSKEGON 116210,S200000,00200,0200,MI 116210,S200000,00200,0300,49444 116210,S200000,00300,0100,M 116210,S200000,00300,0200,3000 116210,S200000,00300,0300,U 116210,S200000,00400,0100,MCAULEY PLACE 116210,S200000,00400,0200,235301 116210,S200000,00400,0300,01/01/90 116210,S200000,00400,0500,P 116210,S200000,00400,0600,O 116210,S200000,00600,0200,623670 116210,S200000,00600,0300,01/01/90 116210,S200000,00600,0600,O 116210,S200000,01500,0100,N 116210,S200000,01600,0100,Y 116210,S200000,01700,0100,N 116210,S200000,01800,0100,N 116210,S200000,02200,0100,Y 116210,S200000,02800,0100,N 116210,S200000,02900,0100,N 116210,S200000,03000,0100,N 116210,S200000,03100,0100,N 116210,S200000,03200,0100,N 116210,S200000,03300,0100,N 116210,S200000,03300,0200,N 116210,S200000,04100,0100,N 116210,S200000,04200,0100,N 116210,S200000,04300,0100,Y 116210,S200000,04600,0100,N 116210,S200000,04700,0100,N 116210,S200000,04900,0100,N 116212,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116212,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116212,A000000,00300,0000,0300EMPLOYEE BENEFITS 116212,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116212,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116212,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116212,A000000,00700,0000,0700HOUSEKEEPING 116212,A000000,00800,0000,0800DIETARY 116212,A000000,00900,0000,0900NURSING ADMINISTRATION 116212,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116212,A000000,01100,0000,1100PHARMACY 116212,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116212,A000000,01300,0000,1300SOCIAL SERVICE 116212,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116212,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 116212,A000000,01600,0000,1600SKILLED NURSING FACILITY 116212,A000000,01810,0000,1810ICF/MR 116212,A000000,02100,0000,2100RADIOLOGY 116212,A000000,02200,0000,2200LABORATORY 116212,A000000,02500,0000,2500PHYSICAL THERAPY 116212,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116212,A000000,02700,0000,2700SPEECH PATHOLOGY 116212,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116212,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116212,A000000,03550,0000,3550FQHC 116212,A000000,05000,0000,5000CORF 116212,A000000,05010,0000,5010CMHC 116212,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116212,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116212,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116212,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116212,A000000,06300,0000,6150NRCC (PRISON) 116212,A81000A,00100,0100,N 116212,B100000,00000,0100,0100SQUARE FEET 116212,B100000,00000,0200,0200SQUARE FEET 116212,B100000,00000,0300,0300GROSS SALARIES 116212,B100000,00000,0400,0400ACCUM COST 116212,B100000,00000,0500,0500SQUARE FEET 116212,B100000,00000,0600,0600PATIENT DAYS 116212,B100000,00000,0700,0700SQUARE FEET 116212,B100000,00000,0800,0800MEALS SERVED 116212,B100000,00000,0900,0900PATIENT DAYS 116212,B100000,00000,1000,1000COSTED REQUIS 116212,B100000,00000,1100,1100COSTED REQUIS 116212,B100000,00000,1200,1200PATIENT DAYS 116212,B100000,00000,1300,1300PATIENT DAYS 116212,B100000,00000,1400,1400ASSIGNED TIME 116212,B100000,00000,1500,1350PATIENT DAYS 116212,S000000,00100,0200,02/06/01 116212,S200000,00100,0100,4153 S. M-37 RTE 2 116212,S200000,00100,0300,2258 116212,S200000,00200,0100,BALDWIN 116212,S200000,00200,0200,MI 116212,S200000,00200,0300,49304 116212,S200000,00300,0100,L 116212,S200000,00300,0200,23 116212,S200000,00300,0300,R 116212,S200000,00400,0100,LAKE COUNTY CARE CENTER INC. 116212,S200000,00400,0200,235499 116212,S200000,00400,0300,12/11/90 116212,S200000,00400,0500,P 116212,S200000,01500,0100,Y 116212,S200000,01600,0100,N 116212,S200000,01700,0100,N 116212,S200000,01800,0100,N 116212,S200000,01900,0100,CORPORATION 116212,S200000,02200,0100,N 116212,S200000,02800,0100,N 116212,S200000,02900,0100,N 116212,S200000,03000,0100,N 116212,S200000,03100,0100,N 116212,S200000,03200,0100,N 116212,S200000,03300,0100,N 116212,S200000,03300,0200,N 116212,S200000,04100,0100,N 116212,S200000,04200,0100,N 116212,S200000,04300,0100,N 116212,S200000,04600,0100,N 116212,S200000,04700,0100,N 116212,S200000,04900,0100,N 116231,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116231,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116231,A000000,00300,0000,0300EMPLOYEE BENEFITS 116231,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116231,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116231,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116231,A000000,00700,0000,0700HOUSEKEEPING 116231,A000000,00800,0000,0800DIETARY 116231,A000000,00900,0000,0900NURSING ADMINISTRATION 116231,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116231,A000000,01100,0000,1100PHARMACY 116231,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116231,A000000,01300,0000,1300SOCIAL SERVICE 116231,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116231,A000000,01500,0000,1350DIVERSIONAL THERPAY 116231,A000000,01600,0000,1600SKILLED NURSING FACILITY 116231,A000000,01800,0000,1800NURSING FACILITY 116231,A000000,01810,0000,1810ICF/MR 116231,A000000,02100,0000,2100RADIOLOGY 116231,A000000,02200,0000,2200LABORATORY 116231,A000000,02500,0000,2500PHYSICAL THERAPY 116231,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116231,A000000,02700,0000,2700SPEECH PATHOLOGY 116231,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116231,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116231,A000000,03200,0000,3200SUPPORT SURFACES 116231,A000000,03550,0000,3550FQHC 116231,A000000,05000,0000,5000CORF 116231,A000000,05010,0000,5010CMHC 116231,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116231,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116231,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116231,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116231,A81000A,00100,0100,Y 116231,A81000B,00100,0300,MGMT PAYROLL 116231,A81000B,00200,0300,MGMT PAYROLL 116231,A81000B,00300,0300,BCBS 116231,A81000B,00400,0300,HAP 116231,A81000B,00500,0300,OPTICAL INSURANCE 116231,A81000B,00600,0300,CORPORATE ALLOCATION 116231,A81000B,00700,0300,PHYSICAL THERAPISTS 116231,A81000B,00800,0300,OCC THERAPISTS 116231,A81000B,00900,0300,SPEECH THERAPISTS 116231,A81000B,01000,0300,SOCIAL WORKERS 116231,A81000C,00100,0100,B 116231,A81000C,00100,0200,DMC NHI 116231,A81000C,00100,0400,DMC CORP 116231,A81000C,00100,0600,HOLDING CO 116231,B100000,00000,0100,0100SQUARE FEET 116231,B100000,00000,0200,0200SQUARE FEET 116231,B100000,00000,0300,0300GROSS SALARIES 116231,B100000,00000,0400,0400ACCUM COST 116231,B100000,00000,0500,0500SQUARE FEET 116231,B100000,00000,0600,0600PATIENT DAYS 116231,B100000,00000,0700,0700SQUARE FEET 116231,B100000,00000,0800,0800MEALS SERVED 116231,B100000,00000,0900,0900PATIENT DAYS 116231,B100000,00000,1000,1000COSTED REQUIS 116231,B100000,00000,1100,1100COSTED REQUIS 116231,B100000,00000,1200,1200PATIENT DAYS 116231,B100000,00000,1300,1300PATIENT DAYS 116231,B100000,00000,1400,1400ASSIGNED TIME 116231,B100000,00000,1500,1350PATIENT DAYS 116231,S000000,00100,0200,10/11/00 116231,S200000,00100,0100,26505 POWERS AVENUE 116231,S200000,00200,0100,DETROIT 116231,S200000,00200,0200,MI 116231,S200000,00200,0300,48235 116231,S200000,00300,0100,WAYNE 116231,S200000,00400,0100,DMC NURSING CENTERS-NORTHWEST 116231,S200000,00400,0200,235177 116231,S200000,00400,0300,05/01/96 116231,S200000,00400,0500,P 116231,S200000,00400,0600,O 116231,S200000,01500,0100,N 116231,S200000,01600,0100,Y 116231,S200000,01700,0100,N 116231,S200000,01800,0100,N 116231,S200000,01900,0100,501C3 116231,S200000,02200,0100,N 116231,S200000,02800,0100,N 116231,S200000,02900,0100,N 116231,S200000,03000,0100,N 116231,S200000,03100,0100,N 116231,S200000,03200,0100,N 116231,S200000,03300,0100,N 116231,S200000,03300,0200,N 116231,S200000,04100,0100,N 116231,S200000,04200,0100,N 116231,S200000,04300,0100,N 116231,S200000,04600,0100,N 116231,S200000,04700,0100,N 116231,S200000,04900,0100,N 116232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116232,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116232,A000000,00300,0000,0300EMPLOYEE BENEFITS 116232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116232,A000000,00700,0000,0700HOUSEKEEPING 116232,A000000,00800,0000,0800DIETARY 116232,A000000,00900,0000,0900NURSING ADMINISTRATION 116232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116232,A000000,01100,0000,1100PHARMACY 116232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116232,A000000,01300,0000,1300SOCIAL SERVICE 116232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116232,A000000,01600,0000,1600SKILLED NURSING FACILITY 116232,A000000,01800,0000,1800NURSING FACILITY 116232,A000000,01810,0000,1810ICF/MR 116232,A000000,01900,0000,1900OTHER LONG TERM CARE 116232,A000000,02500,0000,2500PHYSICAL THERAPY 116232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116232,A000000,02700,0000,2700SPEECH PATHOLOGY 116232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116232,A000000,03200,0000,3200SUPPORT SURFACES 116232,A000000,03550,0000,3550FQHC 116232,A000000,05000,0000,5000CORF 116232,A000000,05010,0000,5010CMHC 116232,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116232,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116232,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116232,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116232,A81000A,00100,0100,Y 116232,A81000B,00100,0300,HOME OFFICE COST 116232,A81000B,00200,0300,HOME OFFICE COST 116232,A81000C,00100,0100,B 116232,A81000C,00100,0200,EVANGELICAL HOM 116232,B100000,00000,0100,0100SQUARE FEET 116232,B100000,00000,0200,0200SQUARE FEET 116232,B100000,00000,0300,0300GROSS SALARIES 116232,B100000,00000,0400,0400ACCUM COST 116232,B100000,00000,0500,0500SQUARE FEET 116232,B100000,00000,0600,0600POUNDS OF LAUNDRY 116232,B100000,00000,0700,0700HOURS OF SERVICE 116232,B100000,00000,0800,0800MEALS SERVED 116232,B100000,00000,0900,0900DIRECT NRSG HRS 116232,B100000,00000,1000,1000COSTED REQUIS 116232,B100000,00000,1100,1100COSTED REQUIS 116232,B100000,00000,1200,1200TIME SPENT 116232,B100000,00000,1300,1300TIME SPENT 116232,B100000,00000,1400,1400ASSIGNED TIME 116232,E10A180,00550,0300,10/12/00 116232,S000000,00100,0200,10/20/00 116232,S200000,00100,0100,14900 SHORELINE DRIVE 116232,S200000,00200,0100,STERLING HEIGHTS 116232,S200000,00200,0200,MI 116232,S200000,00200,0300,48313 116232,S200000,00300,0100,MACOMB 116232,S200000,00400,0100,EVANGELICAL HOME - STERLING HEIGHTS 116232,S200000,00400,0200,235473 116232,S200000,00400,0300,06/24/88 116232,S200000,00400,0500,P 116232,S200000,01500,0100,N 116232,S200000,01600,0100,Y 116232,S200000,01700,0100,N 116232,S200000,01800,0100,N 116232,S200000,01900,0100,501C3 116232,S200000,02200,0100,N 116232,S200000,02800,0100,N 116232,S200000,02900,0100,N 116232,S200000,03000,0100,N 116232,S200000,03100,0100,N 116232,S200000,03200,0100,N 116232,S200000,03300,0100,N 116232,S200000,03300,0200,N 116232,S200000,04100,0100,Y 116232,S200000,04200,0100,N 116232,S200000,04300,0100,N 116232,S200000,04600,0100,N 116232,S200000,04700,0100,N 116232,S200000,04900,0100,N 116259,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116259,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116259,A000000,00300,0000,0300EMPLOYEE BENEFITS 116259,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116259,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116259,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116259,A000000,00700,0000,0700HOUSEKEEPING 116259,A000000,00800,0000,0800DIETARY 116259,A000000,00900,0000,0900NURSING ADMINISTRATION 116259,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116259,A000000,01100,0000,1100PHARMACY 116259,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116259,A000000,01300,0000,1300SOCIAL SERVICE 116259,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116259,A000000,01500,0000,1350ACTIVITIES 116259,A000000,01600,0000,1600SKILLED NURSING FACILITY 116259,A000000,01800,0000,1800NURSING FACILITY 116259,A000000,01810,0000,1810ICF/MR 116259,A000000,01900,0000,1900OTHER LONG TERM CARE 116259,A000000,02100,0000,2100RADIOLOGY 116259,A000000,02200,0000,2200LABORATORY 116259,A000000,02300,0000,2300INTRAVENOUS THERAPY 116259,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116259,A000000,02500,0000,2500PHYSICAL THERAPY 116259,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116259,A000000,02700,0000,2700SPEECH PATHOLOGY 116259,A000000,02800,0000,2800ELECTROCARDIOLOGY 116259,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116259,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116259,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116259,A000000,03200,0000,3200SUPPORT SURFACES 116259,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116259,A000000,03400,0000,3400CLINIC 116259,A000000,03500,0000,3500RURAL HEALTH CLINIC 116259,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116259,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116259,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116259,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116259,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116259,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116259,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116259,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116259,A000000,04400,0000,4400DME RENTED - HHA 116259,A000000,04500,0000,4500DME SOLD - HHA 116259,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116259,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116259,A000000,04800,0000,4800AMBULANCE 116259,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116259,A000000,05000,0000,5000CORF 116259,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116259,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116259,A000000,05300,0000,5300INTEREST EXPENSE 116259,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116259,A000000,05500,0000,5500HOSPICE 116259,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116259,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116259,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116259,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116259,A000000,06100,0000,6100NONPAID WORKERS 116259,A000000,06200,0000,6200PATIENTS LAUNDRY 116259,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116259,A81000A,00100,0100,Y 116259,A81000B,00100,0300,HOME OFFICE EXPENSE 116259,A81000B,00200,0300,BUILDING & FIXTURES 116259,A81000C,00100,0100,B 116259,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116259,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116259,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116259,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116259,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116259,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 116259,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116259,B100000,00000,0800,0800MEALS SERVED DIETARY 116259,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116259,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116259,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116259,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 116259,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 116259,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116259,B100000,00000,1500,1500DAYS ACTIVITIES 116259,S000000,00100,0200,11/27/00 116259,S200000,00100,0100,604 EAST FENTON 116259,S200000,00200,0100,MARCUS 116259,S200000,00200,0200,IA 116259,S200000,00200,0300,51035-0608 116259,S200000,00300,0100,CHEROKEE 116259,S200000,00400,0100,HEARTLAND CARE CENTER 116259,S200000,00400,0200,165397 116259,S200000,00400,0300,08/01/98 116259,S200000,00400,0500,P 116259,S200000,00400,0600,N 116259,S200000,01500,0100,N 116259,S200000,01600,0100,Y 116259,S200000,01700,0100,N 116259,S200000,01800,0100,N 116259,S200000,02200,0100,N 116259,S200000,02800,0100,N 116259,S200000,02900,0100,N 116259,S200000,03000,0100,N 116259,S200000,03100,0100,N 116259,S200000,03200,0100,N 116259,S200000,03300,0100,N 116259,S200000,03300,0200,N 116259,S200000,04100,0100,N 116259,S200000,04200,0100,N 116259,S200000,04300,0100,N 116259,S200000,04600,0100,N 116259,S200000,04700,0100,N 116259,S200000,04700,0200,N 116259,S200000,04900,0100,N 116259,S700003,00000,0400,X 116264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116264,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116264,A000000,00300,0000,0300EMPLOYEE BENEFITS 116264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116264,A000000,00700,0000,0700HOUSEKEEPING 116264,A000000,00800,0000,0800DIETARY 116264,A000000,00900,0000,0900NURSING ADMINISTRATION 116264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116264,A000000,01100,0000,1100PHARMACY 116264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116264,A000000,01300,0000,1300SOCIAL SERVICE 116264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116264,A000000,01500,0000,1350OTHER GENERAL SERVICES 116264,A000000,01600,0000,1600SKILLED NURSING FACILITY 116264,A000000,01800,0000,1800NURSING FACILITY 116264,A000000,01900,0000,1900OTHER LONG TERM CARE 116264,A000000,02100,0000,2100RADIOLOGY 116264,A000000,02200,0000,2200LABORATORY 116264,A000000,02300,0000,2300INTRAVENOUS THERAPY 116264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116264,A000000,02500,0000,2500PHYSICAL THERAPY 116264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116264,A000000,02700,0000,2700SPEECH PATHOLOGY 116264,A000000,02800,0000,2800ELECTROCARDIOLOGY 116264,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116264,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116264,A000000,03200,0000,3200SUPPORT SURFACES 116264,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116264,A000000,03400,0000,3400CLINIC 116264,A000000,03500,0000,3500RURAL HEALTH CLINIC 116264,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116264,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116264,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116264,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116264,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116264,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116264,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116264,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116264,A000000,04400,0000,4400DME RENTED - HHA 116264,A000000,04500,0000,4500DME SOLD - HHA 116264,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116264,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116264,A000000,04800,0000,4800AMBULANCE 116264,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116264,A000000,05000,0000,5000CORF 116264,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116264,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116264,A000000,05300,0000,5300INTEREST EXPENSE 116264,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116264,A000000,05500,0000,5500HOSPICE 116264,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116264,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116264,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116264,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116264,A000000,06100,0000,6100NONPAID WORKERS 116264,A000000,06200,0000,6200PATIENTS LAUNDRY 116264,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116264,A81000A,00100,0100,Y 116264,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 116264,A81000B,00200,0300,UNEMPLOYMENT INS 116264,A81000B,00300,0300,WORKERS COMP 116264,A81000B,00400,0300,PROPERTY/LIABILITY 116264,A81000B,00500,0300,VEHICLE INS 116264,A81000B,00600,0300,MEDICAL SUPPLIES 116264,A81000B,00700,0300,DISPOSABLE BRIEFS 116264,A81000B,00800,0300,LINENS 116264,A81000C,00100,0100,B 116264,A81000C,00100,0400,GOOD SAMARITAN 116264,A81000C,00100,0600,HEALTHCARE 116264,A81000C,00200,0100,B 116264,A81000C,00200,0400,OMNICARE PHARMA 116264,A81000C,00200,0600,MEDICAL/DRUGS 116264,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116264,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116264,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116264,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116264,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116264,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116264,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116264,B100000,00000,0800,0800MEALS SERVED DIETARY 116264,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116264,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116264,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116264,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116264,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116264,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116264,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116264,E10A180,00501,0100,12/04/00 116264,E10A180,00550,0300,12/04/00 116264,S000000,00100,0200,11/06/00 116264,S200000,00100,0100,608 4TH AVE SW 116264,S200000,00200,0100,LAKOTA 116264,S200000,00200,0200,ND 116264,S200000,00200,0300,58344-7500 116264,S200000,00300,0100,NELSON 116264,S200000,00400,0100,LAKOTA GOOD SAMARITAN CENTER 116264,S200000,00400,0200,355104 116264,S200000,00400,0300,04/01/91 116264,S200000,00400,0500,P 116264,S200000,00400,0600,N 116264,S200000,00600,0600,N 116264,S200000,00800,0500,N 116264,S200000,00800,0600,N 116264,S200000,01000,0500,N 116264,S200000,01000,0600,N 116264,S200000,01100,0500,N 116264,S200000,01100,0600,N 116264,S200000,01500,0100,Y 116264,S200000,01600,0100,N 116264,S200000,01700,0100,N 116264,S200000,01800,0100,N 116264,S200000,02200,0100,N 116264,S200000,02800,0100,N 116264,S200000,02900,0100,N 116264,S200000,03000,0100,N 116264,S200000,03100,0100,N 116264,S200000,03200,0100,N 116264,S200000,03300,0100,N 116264,S200000,03300,0200,N 116264,S200000,03500,0300,N 116264,S200000,03600,0100,N 116264,S200000,03600,0200,N 116264,S200000,03700,0100,N 116264,S200000,03700,0200,N 116264,S200000,03900,0200,N 116264,S200000,04000,0200,N 116264,S200000,04100,0100,N 116264,S200000,04200,0100,N 116264,S200000,04300,0100,N 116264,S200000,04600,0100,N 116264,S200000,04700,0100,N 116264,S200000,04700,0200,N 116264,S200000,04900,0100,N 116264,S700003,00000,0200,X 116265,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116265,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116265,A000000,00300,0000,0300EMPLOYEE BENEFITS 116265,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116265,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116265,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116265,A000000,00700,0000,0700HOUSEKEEPING 116265,A000000,00800,0000,0800DIETARY 116265,A000000,00801,0000,0801CAFETERIA 116265,A000000,00900,0000,0900NURSING ADMINISTRATION 116265,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116265,A000000,01100,0000,1100PHARMACY 116265,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116265,A000000,01300,0000,1300SOCIAL SERVICE 116265,A000000,01600,0000,1600SKILLED NURSING FACILITY 116265,A000000,02500,0000,2500PHYSICAL THERAPY 116265,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116265,A000000,02700,0000,2700SPEECH PATHOLOGY 116265,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116265,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116265,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116265,A000000,03500,0000,3500RURAL HEALTH CLINIC 116265,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116265,A000000,05300,0000,5300INTEREST EXPENSE 116265,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116265,A000000,06300,0000,6150NEWELL CLINIC 116265,A000000,06301,0000,6151PERSONAL CARE 116265,A000000,06302,0000,6152PATIENT LAUNDRY 116265,A81000A,00100,0100,Y 116265,A81000B,00100,0300,A&G ADMIN FEES 116265,A81000B,00200,0300,MGMT FEES - CRC 116265,A81000C,00100,0100,B 116265,A81000C,00100,0400,?? 116265,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116265,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116265,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116265,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116265,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116265,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 116265,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 116265,B100000,00000,0800,0800MEALS SERVED DIETARY 116265,B100000,00000,0801,0801FTES CAFETERIA 116265,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116265,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116265,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116265,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 116265,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 116265,S000000,00100,0200,05/04/00 116265,S200000,00100,0100,7200 13TH AVE 116265,S200000,00200,0100,BELLE FOURCHE 116265,S200000,00200,0200,SD 116265,S200000,00200,0300,57717- 116265,S200000,00300,0100,LAWIENA 116265,S200000,00400,0100,BELLE FOURCHE HEALTH CARE CENTER 116265,S200000,00400,0200,435035 116265,S200000,00400,0300,02/01/96 116265,S200000,00400,0500,P 116265,S200000,00400,0600,N 116265,S200000,01100,0200,433992 116265,S200000,01100,0300,07/18/95 116265,S200000,01100,0500,O 116265,S200000,01100,0600,N 116265,S200000,01500,0100,Y 116265,S200000,01600,0100,N 116265,S200000,01700,0100,N 116265,S200000,01800,0100,N 116265,S200000,01900,0100,OTHER 116265,S200000,02200,0100,N 116265,S200000,02800,0100,N 116265,S200000,02900,0100,N 116265,S200000,03000,0100,N 116265,S200000,03100,0100,N 116265,S200000,03200,0100,N 116265,S200000,03300,0100,N 116265,S200000,03300,0200,N 116265,S200000,04000,0200,N 116265,S200000,04100,0100,N 116265,S200000,04200,0100,N 116265,S200000,04300,0100,N 116265,S200000,04600,0100,N 116265,S200000,04700,0100,N 116265,S200000,04700,0200,N 116265,S200000,04900,0100,N 116265,S51R000,00100,0100,7200 13TH AVE 116265,S51R000,00100,0200,LAWIENA 116265,S51R000,00200,0100,BELLE FOURCHE 116265,S51R000,00200,0200,SD 116265,S51R000,00200,0300,57717 116265,S51R000,01000,0100,JEFFERY ANDERSON 116265,S51R000,01000,0200,3890 116265,S51R000,01001,0100,NANCY BABBITT 116265,S51R000,01001,0200,6276 116265,S700003,00000,0400,X 116271,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116271,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116271,A000000,00300,0000,0300EMPLOYEE BENEFITS 116271,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116271,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116271,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116271,A000000,00700,0000,0700HOUSEKEEPING 116271,A000000,00800,0000,0800DIETARY 116271,A000000,00900,0000,0900NURSING ADMINISTRATION 116271,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116271,A000000,01100,0000,1100PHARMACY 116271,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116271,A000000,01300,0000,1300SOCIAL SERVICE 116271,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116271,A000000,01500,0000,1350OTHER GENERAL SERVICES 116271,A000000,01600,0000,1600SKILLED NURSING FACILITY 116271,A000000,01800,0000,1800NURSING FACILITY 116271,A000000,01900,0000,1900OTHER LONG TERM CARE 116271,A000000,02100,0000,2100RADIOLOGY 116271,A000000,02200,0000,2200LABORATORY 116271,A000000,02300,0000,2300INTRAVENOUS THERAPY 116271,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116271,A000000,02500,0000,2500PHYSICAL THERAPY 116271,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116271,A000000,02700,0000,2700SPEECH PATHOLOGY 116271,A000000,02800,0000,2800ELECTROCARDIOLOGY 116271,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116271,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116271,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116271,A000000,03200,0000,3200SUPPORT SURFACES 116271,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116271,A000000,03400,0000,3400CLINIC 116271,A000000,03500,0000,3500RURAL HEALTH CLINIC 116271,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116271,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116271,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116271,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116271,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116271,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116271,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116271,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116271,A000000,04400,0000,4400DME RENTED - HHA 116271,A000000,04500,0000,4500DME SOLD - HHA 116271,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116271,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116271,A000000,04800,0000,4800AMBULANCE 116271,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116271,A000000,05000,0000,5000CORF 116271,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116271,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116271,A000000,05300,0000,5300INTEREST EXPENSE 116271,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116271,A000000,05500,0000,5500HOSPICE 116271,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116271,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116271,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116271,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116271,A000000,06100,0000,6100NONPAID WORKERS 116271,A000000,06200,0000,6200PATIENTS LAUNDRY 116271,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116271,A81000A,00100,0100,Y 116271,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 116271,A81000B,00200,0300,UNEMPLOYMENT INS 116271,A81000B,00300,0300,WORKERS COMP INS 116271,A81000B,00400,0300,PROPERTY/LIABILITY INS 116271,A81000B,00500,0300,VEHICLE INS 116271,A81000B,00600,0300,MEDICAL SUPPLIES 116271,A81000B,00700,0300,DISPOSABLE BRIEFS 116271,A81000B,00800,0300,DIETARY SUPPLIES 116271,A81000C,00100,0100,B 116271,A81000C,00100,0400,GOOD SAMARITAN 116271,A81000C,00100,0600,HEALTHCARE 116271,A81000C,00200,0100,B 116271,A81000C,00200,0400,OMNICARE PHARMA 116271,A81000C,00200,0600,MEDICAL/DRUGS 116271,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116271,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116271,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116271,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116271,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116271,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116271,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116271,B100000,00000,0800,0800MEALS SERVED DIETARY 116271,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116271,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116271,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116271,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116271,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116271,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116271,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116271,E10A180,00501,0100,12/06/00 116271,E10A180,00501,0300,12/06/00 116271,S000000,00100,0200,11/06/00 116271,S200000,00100,0100,213 N 9TH ST 116271,S200000,00200,0100,OAKES 116271,S200000,00200,0200,ND 116271,S200000,00200,0300,58474-1305 116271,S200000,00300,0100,DICKEY 116271,S200000,00400,0100,OAKES MANOR GOOD SAMARITAN CENTER 116271,S200000,00400,0200,355095 116271,S200000,00400,0300,01/14/91 116271,S200000,00400,0500,P 116271,S200000,00400,0600,N 116271,S200000,00600,0600,N 116271,S200000,00800,0500,N 116271,S200000,00800,0600,N 116271,S200000,01000,0500,N 116271,S200000,01000,0600,N 116271,S200000,01100,0500,N 116271,S200000,01100,0600,N 116271,S200000,01500,0100,Y 116271,S200000,01600,0100,N 116271,S200000,01700,0100,N 116271,S200000,01800,0100,N 116271,S200000,02200,0100,N 116271,S200000,02800,0100,N 116271,S200000,02900,0100,N 116271,S200000,03000,0100,N 116271,S200000,03100,0100,N 116271,S200000,03200,0100,N 116271,S200000,03300,0100,N 116271,S200000,03300,0200,N 116271,S200000,03500,0300,N 116271,S200000,03600,0100,N 116271,S200000,03600,0200,N 116271,S200000,03700,0100,N 116271,S200000,03700,0200,N 116271,S200000,03900,0200,N 116271,S200000,04000,0200,N 116271,S200000,04100,0100,N 116271,S200000,04200,0100,N 116271,S200000,04300,0100,N 116271,S200000,04600,0100,N 116271,S200000,04700,0100,N 116271,S200000,04700,0200,N 116271,S200000,04900,0100,N 116271,S700003,00000,0200,X 116272,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116272,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116272,A000000,00300,0000,0300EMPLOYEE BENEFITS 116272,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116272,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116272,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116272,A000000,00700,0000,0700HOUSEKEEPING 116272,A000000,00800,0000,0800DIETARY 116272,A000000,00900,0000,0900NURSING ADMINISTRATION 116272,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116272,A000000,01100,0000,1100PHARMACY 116272,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116272,A000000,01300,0000,1300SOCIAL SERVICE 116272,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116272,A000000,01500,0000,1350OTHER GENERAL SERVICES 116272,A000000,01600,0000,1600SKILLED NURSING FACILITY 116272,A000000,01800,0000,1800NURSING FACILITY 116272,A000000,01900,0000,1900OTHER LONG TERM CARE 116272,A000000,02100,0000,2100RADIOLOGY 116272,A000000,02200,0000,2200LABORATORY 116272,A000000,02300,0000,2300INTRAVENOUS THERAPY 116272,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116272,A000000,02500,0000,2500PHYSICAL THERAPY 116272,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116272,A000000,02700,0000,2700SPEECH PATHOLOGY 116272,A000000,02800,0000,2800ELECTROCARDIOLOGY 116272,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116272,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116272,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116272,A000000,03200,0000,3200SUPPORT SURFACES 116272,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116272,A000000,03400,0000,3400CLINIC 116272,A000000,03500,0000,3500RURAL HEALTH CLINIC 116272,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116272,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116272,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116272,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116272,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116272,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116272,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116272,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116272,A000000,04400,0000,4400DME RENTED - HHA 116272,A000000,04500,0000,4500DME SOLD - HHA 116272,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116272,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116272,A000000,04800,0000,4800AMBULANCE 116272,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116272,A000000,05000,0000,5000CORF 116272,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116272,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116272,A000000,05300,0000,5300INTEREST EXPENSE 116272,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116272,A000000,05500,0000,5500HOSPICE 116272,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116272,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116272,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116272,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116272,A000000,06100,0000,6100NONPAID WORKERS 116272,A000000,06200,0000,6200PATIENTS LAUNDRY 116272,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116272,A81000A,00100,0100,Y 116272,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 116272,A81000B,00200,0300,UNEMPLOYMENT INS 116272,A81000B,00300,0300,WORKERS COMP INS 116272,A81000B,00400,0300,PROPERTY/LIABILITY INS 116272,A81000B,00500,0300,VEHICLE INS 116272,A81000B,00600,0300,MEDICAL SUPPLIES 116272,A81000B,00700,0300,DISPOSABLE BRIEFS 116272,A81000B,00800,0300,DIETARY SUPPLIES 116272,A81000C,00100,0100,B 116272,A81000C,00100,0400,GOOD SAMARITAN 116272,A81000C,00100,0600,HEALTHCARE 116272,A81000C,00200,0100,B 116272,A81000C,00200,0400,OMNICARE PHARMA 116272,A81000C,00200,0600,MEDICAL/DRUGS 116272,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116272,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116272,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116272,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116272,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116272,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116272,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116272,B100000,00000,0800,0800MEALS SERVED DIETARY 116272,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116272,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116272,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116272,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116272,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116272,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116272,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116272,E10A180,00501,0100,12/07/00 116272,E10A180,00501,0300,12/07/00 116272,S000000,00100,0200,11/06/00 116272,S200000,00100,0100,HC1 116272,S200000,00200,0100,OSNABROCK 116272,S200000,00200,0200,ND 116272,S200000,00200,0300,68269-9701 116272,S200000,00300,0100,CALIVIER 116272,S200000,00400,0100,OSNABROCK GOOD SAMARITAN CENTER 116272,S200000,00400,0200,355098 116272,S200000,00400,0300,03/01/91 116272,S200000,00400,0500,P 116272,S200000,00400,0600,N 116272,S200000,00600,0600,N 116272,S200000,00800,0500,N 116272,S200000,00800,0600,N 116272,S200000,01000,0500,N 116272,S200000,01000,0600,N 116272,S200000,01100,0500,N 116272,S200000,01100,0600,N 116272,S200000,01500,0100,Y 116272,S200000,01600,0100,N 116272,S200000,01700,0100,N 116272,S200000,01800,0100,N 116272,S200000,02200,0100,N 116272,S200000,02800,0100,N 116272,S200000,02900,0100,N 116272,S200000,03000,0100,N 116272,S200000,03100,0100,N 116272,S200000,03200,0100,N 116272,S200000,03300,0100,N 116272,S200000,03300,0200,N 116272,S200000,03500,0300,N 116272,S200000,03600,0100,N 116272,S200000,03600,0200,N 116272,S200000,03700,0100,N 116272,S200000,03700,0200,N 116272,S200000,03900,0200,N 116272,S200000,04000,0200,N 116272,S200000,04100,0100,N 116272,S200000,04200,0100,N 116272,S200000,04300,0100,N 116272,S200000,04600,0100,N 116272,S200000,04700,0100,N 116272,S200000,04700,0200,N 116272,S200000,04900,0100,N 116272,S700003,00000,0200,X 116299,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116299,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 116299,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116299,A000000,00300,0000,0300EMPLOYEE BENEFITS 116299,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116299,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116299,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116299,A000000,00700,0000,0700HOUSEKEEPING 116299,A000000,00800,0000,0800DIETARY 116299,A000000,00900,0000,0900NURSING ADMINISTRATION 116299,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116299,A000000,01100,0000,1100PHARMACY 116299,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116299,A000000,01300,0000,1300SOCIAL SERVICE 116299,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116299,A000000,01500,0000,1350OTHER GENERAL SERVICES 116299,A000000,01600,0000,1600SKILLED NURSING FACILITY 116299,A000000,01800,0000,1800NURSING FACILITY 116299,A000000,01810,0000,1810ICF/MR 116299,A000000,01900,0000,1900OTHER LONG TERM CARE 116299,A000000,02100,0000,2100RADIOLOGY 116299,A000000,02200,0000,2200LABORATORY 116299,A000000,02300,0000,2300INTRAVENOUS THERAPY 116299,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116299,A000000,02500,0000,2500PHYSICAL THERAPY 116299,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116299,A000000,02700,0000,2700SPEECH PATHOLOGY 116299,A000000,02800,0000,2800ELECTROCARDIOLOGY 116299,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116299,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116299,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116299,A000000,03200,0000,3200SUPPORT SURFACES 116299,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116299,A000000,03400,0000,3400CLINIC 116299,A000000,03500,0000,3500RURAL HEALTH CLINIC 116299,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116299,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116299,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116299,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116299,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116299,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116299,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116299,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116299,A000000,04400,0000,4400DME RENTED - HHA 116299,A000000,04500,0000,4500DME SOLD - HHA 116299,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116299,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116299,A000000,04800,0000,4800AMBULANCE 116299,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116299,A000000,05000,0000,5000CORF 116299,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116299,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116299,A000000,05300,0000,5300INTEREST EXPENSE 116299,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116299,A000000,05500,0000,5500HOSPICE 116299,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116299,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116299,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116299,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116299,A000000,06100,0000,6100NONPAID WORKERS 116299,A000000,06200,0000,6200PATIENTS LAUNDRY 116299,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116299,A000000,06301,0000,6151LIFELINE 116299,A000000,06302,0000,6152APARTMENTS 116299,A81000A,00100,0100,Y 116299,A81000B,00100,0300,ADMIN/ACCOUNTING SERV 116299,A81000B,00200,0300,UNEMPLOYMENT INS 116299,A81000B,00300,0300,WORKERS COMP 116299,A81000B,00400,0300,PROPERTY/LIABILITY INS 116299,A81000B,00500,0300,VEHICLE INS 116299,A81000B,00600,0300,MEDICAL SUPPLIES 116299,A81000B,00700,0300,INCONTINENTS 116299,A81000B,00800,0300,DIETARY SUPPLIES 116299,A81000C,00100,0100,B 116299,A81000C,00100,0400,GOOD SAMARITAN 116299,A81000C,00100,0600,HEALTHCARE 116299,A81000C,00200,0100,B 116299,A81000C,00200,0400,OMNICARE PHARMA 116299,A81000C,00200,0600,MEDICAL/DRUGS 116299,B100000,00000,0100,0100SQUARE FEETCAP REL COSTS - BLDGS 116299,B100000,00000,0101,0101SQUARE FEETCAP REL COSTS - BLDGS 116299,B100000,00000,0200,0200SQUARE FEETCAP REL COSTS - MOVAB 116299,B100000,00000,0300,0300GROSS SALARIESEMPLOYEE BENEFITS 116299,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 116299,B100000,00000,0500,0500SQUARE FEETPLANT OPERATION MAIN 116299,B100000,00000,0600,0600PATIENT DAYSLAUNDRY & LINEN SERV 116299,B100000,00000,0700,0700SQUARE FOOTAGEHOUSEKEEPING 116299,B100000,00000,0800,0800MEALS SERVEDDIETARY 116299,B100000,00000,0900,0900DIRECT NRSING HRSNURSING ADMINIS 116299,B100000,00000,1000,1000COSTED REQUIS.CENTRAL SERVICES & 116299,B100000,00000,1100,1100COSTED REQUIS.PHARMACY 116299,B100000,00000,1200,1200GROSS REVENUEMEDICAL RECORDS & L 116299,B100000,00000,1300,1300ADMISSIONSSOCIAL SERVICE 116299,B100000,00000,1400,1400ASSIGNED TIMEINTERNS & RESIDENTS 116299,B100000,00000,1500,1350NO STATISTICSOTHER GENERAL SERVI 116299,E10A180,00501,0100,10/19/00 116299,E10A180,00501,0300,10/19/00 116299,S000000,00100,0200,09/28/00 116299,S200000,00100,0100,801 WRIGHT STREET 116299,S200000,00200,0100,BRAINERD 116299,S200000,00200,0200,MN 116299,S200000,00200,0300,56401-4498 116299,S200000,00300,0100,BRAINERD 116299,S200000,00300,0300,R 116299,S200000,00400,0100,BETHANY GOOD SAMARITAN VILLAGE 116299,S200000,00400,0200,245500 116299,S200000,00400,0300,01/07/88 116299,S200000,00400,0500,P 116299,S200000,00400,0600,N 116299,S200000,01500,0100,Y 116299,S200000,01600,0100,N 116299,S200000,01700,0100,N 116299,S200000,01800,0100,N 116299,S200000,01900,0100,N 116299,S200000,02200,0100,N 116299,S200000,02800,0100,N 116299,S200000,02900,0100,N 116299,S200000,03000,0100,N 116299,S200000,03100,0100,N 116299,S200000,03200,0100,N 116299,S200000,03300,0100,N 116299,S200000,03300,0200,N 116299,S200000,04100,0100,N 116299,S200000,04200,0100,N 116299,S200000,04300,0100,N 116299,S200000,04600,0100,N 116299,S200000,04700,0100,N 116299,S200000,04700,0200,N 116299,S200000,04900,0100,N 116299,S700003,00000,0100,1 116313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116313,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116313,A000000,00300,0000,0300EMPLOYEE BENEFITS 116313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116313,A000000,00700,0000,0700HOUSEKEEPING 116313,A000000,00800,0000,0800DIETARY 116313,A000000,00900,0000,0900NURSING ADMINISTRATION 116313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116313,A000000,01100,0000,1100PHARMACY 116313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116313,A000000,01300,0000,1300SOCIAL SERVICE 116313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116313,A000000,01500,0000,1350OTHER GENERAL SERVICES 116313,A000000,01600,0000,1600SKILLED NURSING FACILITY 116313,A000000,01800,0000,1800NURSING FACILITY 116313,A000000,01810,0000,1810ICF/MR 116313,A000000,01900,0000,1900OTHER LONG TERM CARE 116313,A000000,02100,0000,2100RADIOLOGY 116313,A000000,02200,0000,2200LABORATORY 116313,A000000,02300,0000,2300INTRAVENOUS THERAPY 116313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116313,A000000,02500,0000,2500PHYSICAL THERAPY 116313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116313,A000000,02700,0000,2700SPEECH PATHOLOGY 116313,A000000,02800,0000,2800ELECTROCARDIOLOGY 116313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116313,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116313,A000000,03200,0000,3200SUPPORT SURFACES 116313,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116313,A000000,03400,0000,3400CLINIC 116313,A000000,03500,0000,3500RURAL HEALTH CLINIC 116313,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116313,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116313,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116313,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116313,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116313,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116313,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116313,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116313,A000000,04400,0000,4400DME RENTED - HHA 116313,A000000,04500,0000,4500DME SOLD - HHA 116313,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116313,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116313,A000000,04800,0000,4800AMBULANCE 116313,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116313,A000000,05000,0000,5000CORF 116313,A000000,05100,0000,4750OSP 116313,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116313,A000000,05300,0000,5300INTEREST EXPENSE 116313,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116313,A000000,05500,0000,5500HOSPICE 116313,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116313,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116313,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116313,A000000,06100,0000,6100NONPAID WORKERS 116313,A000000,06200,0000,6200PATIENTS LAUNDRY 116313,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116313,A000000,06302,0000,6152MEALS ON WHEELS 116313,A81000A,00100,0100,Y 116313,A81000B,00100,0300,ADMIN/ACCOUNTING SERV 116313,A81000B,00200,0300,UNEMPLOYMENT INS 116313,A81000B,00300,0300,WORKERS COMP 116313,A81000B,00400,0300,PROPERTY/LIABILITY INS 116313,A81000B,00500,0300,VEHICLE INS 116313,A81000B,00600,0300,MEDICAL SUPPLIES 116313,A81000B,00700,0300,INCONTINETS 116313,A81000B,00800,0300,DIETARY SUPPLIES 116313,A81000C,00100,0100,B 116313,A81000C,00100,0400,GOOD SAMARITAN 116313,A81000C,00100,0600,HEALTHCARE 116313,A81000C,00200,0100,B 116313,A81000C,00200,0400,OMNICARE PHARMA 116313,A81000C,00200,0600,MEDICAL/DRUGS 116313,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116313,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116313,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116313,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116313,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116313,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116313,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116313,B100000,00000,0800,0800MEALS SERVED DIETARY 116313,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116313,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116313,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116313,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116313,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116313,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116313,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116313,E10A180,00501,0100,10/23/00 116313,E10A180,00550,0300,10/23/00 116313,S000000,00100,0200,09/28/00 116313,S200000,00100,0100,601 WEST STREET 116313,S200000,00200,0100,JACKSONS 116313,S200000,00200,0200,MN 116313,S200000,00200,0300,56143-1298 116313,S200000,00300,0100,JACKSON 116313,S200000,00400,0100,JACKSON GOOD SAMARITAN CENTER 116313,S200000,00400,0200,245455 116313,S200000,00400,0300,04/01/87 116313,S200000,00400,0500,P 116313,S200000,00400,0600,N 116313,S200000,01500,0100,Y 116313,S200000,01600,0100,N 116313,S200000,01700,0100,N 116313,S200000,01800,0100,N 116313,S200000,02200,0100,N 116313,S200000,02800,0100,Y 116313,S200000,02900,0100,N 116313,S200000,03000,0100,N 116313,S200000,03100,0100,N 116313,S200000,03200,0100,N 116313,S200000,03300,0100,N 116313,S200000,03300,0200,N 116313,S200000,04100,0100,N 116313,S200000,04200,0100,N 116313,S200000,04300,0100,N 116313,S200000,04600,0100,N 116313,S200000,04700,0100,N 116313,S200000,04700,0200,N 116313,S200000,04900,0100,N 116313,S700003,00000,0100,X 116314,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116314,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116314,A000000,00300,0000,0300EMPLOYEE BENEFITS 116314,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116314,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116314,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116314,A000000,00700,0000,0700HOUSEKEEPING 116314,A000000,00800,0000,0800DIETARY 116314,A000000,00900,0000,0900NURSING ADMINISTRATION 116314,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116314,A000000,01100,0000,1100PHARMACY 116314,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116314,A000000,01300,0000,1300SOCIAL SERVICE 116314,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116314,A000000,01500,0000,1350OTHER GENERAL SERVICES 116314,A000000,01600,0000,1600SKILLED NURSING FACILITY 116314,A000000,01800,0000,1800NURSING FACILITY 116314,A000000,01900,0000,1900OTHER LONG TERM CARE 116314,A000000,02100,0000,2100RADIOLOGY 116314,A000000,02200,0000,2200LABORATORY 116314,A000000,02300,0000,2300INTRAVENOUS THERAPY 116314,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116314,A000000,02500,0000,2500PHYSICAL THERAPY 116314,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116314,A000000,02700,0000,2700SPEECH PATHOLOGY 116314,A000000,02800,0000,2800ELECTROCARDIOLOGY 116314,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116314,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116314,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116314,A000000,03200,0000,3200SUPPORT SURFACES 116314,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116314,A000000,03400,0000,3400CLINIC 116314,A000000,03500,0000,3500RURAL HEALTH CLINIC 116314,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116314,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116314,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116314,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116314,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116314,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116314,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116314,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116314,A000000,04400,0000,4400DME RENTED - HHA 116314,A000000,04500,0000,4500DME SOLD - HHA 116314,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116314,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116314,A000000,04800,0000,4800AMBULANCE 116314,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116314,A000000,05000,0000,5000CORF 116314,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116314,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116314,A000000,05300,0000,5300INTEREST EXPENSE 116314,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116314,A000000,05500,0000,5500HOSPICE 116314,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116314,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116314,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116314,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116314,A000000,06100,0000,6100NONPAID WORKERS 116314,A000000,06200,0000,6200PATIENTS LAUNDRY 116314,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116314,A000000,06301,0000,6151MEALS ON WHEELS 116314,A81000A,00100,0100,Y 116314,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 116314,A81000B,00200,0300,UNEMPLOYMENT INS 116314,A81000B,00300,0300,WORKERS COMP INS 116314,A81000B,00400,0300,PROPERTY/LIABILITY INS 116314,A81000B,00500,0300,VEHICLE INS 116314,A81000B,00600,0300,MEDICAL SUPPLIES 116314,A81000B,00700,0300,DISPOSABLE BRIEFS 116314,A81000B,00800,0300,DIETARY SUPPLIES 116314,A81000C,00100,0100,B 116314,A81000C,00100,0400,GOOD SAMARITAN 116314,A81000C,00100,0600,HEALTHCARE 116314,A81000C,00200,0100,B 116314,A81000C,00200,0400,OMNICARE PHARMA 116314,A81000C,00200,0600,MEDICAL/DRUGS 116314,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116314,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116314,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116314,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116314,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116314,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116314,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116314,B100000,00000,0800,0800MEALS SERVED DIETARY 116314,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 116314,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 116314,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 116314,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116314,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116314,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116314,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116314,E10A180,00501,0100,12/06/00 116314,E10A180,00501,0300,12/06/00 116314,S000000,00100,0200,11/06/00 116314,S200000,00100,0100,501 E FRONT ST 116314,S200000,00200,0100,LARIMORE 116314,S200000,00200,0200,ND 116314,S200000,00200,0300,58251-0637 116314,S200000,00300,0100,GRAND FORKS 116314,S200000,00400,0100,LARIMORE GOOD SMARITAN CENTER 116314,S200000,00400,0200,355097 116314,S200000,00400,0300,01/02/91 116314,S200000,00400,0500,P 116314,S200000,00400,0600,N 116314,S200000,00600,0600,N 116314,S200000,00800,0500,N 116314,S200000,00800,0600,N 116314,S200000,01000,0500,N 116314,S200000,01000,0600,N 116314,S200000,01100,0500,N 116314,S200000,01100,0600,N 116314,S200000,01500,0100,Y 116314,S200000,01600,0100,N 116314,S200000,01700,0100,N 116314,S200000,01800,0100,N 116314,S200000,02200,0100,N 116314,S200000,02800,0100,N 116314,S200000,02900,0100,N 116314,S200000,03000,0100,N 116314,S200000,03100,0100,N 116314,S200000,03200,0100,N 116314,S200000,03300,0100,N 116314,S200000,03300,0200,N 116314,S200000,03500,0300,N 116314,S200000,03600,0100,N 116314,S200000,03600,0200,N 116314,S200000,03700,0100,N 116314,S200000,03700,0200,N 116314,S200000,03900,0200,N 116314,S200000,04000,0200,N 116314,S200000,04100,0100,N 116314,S200000,04200,0100,N 116314,S200000,04300,0100,N 116314,S200000,04600,0100,N 116314,S200000,04700,0100,N 116314,S200000,04700,0200,N 116314,S200000,04900,0100,N 116314,S700003,00000,0200,X 116318,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116318,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116318,A000000,00300,0000,0300EMPLOYEE BENEFITS 116318,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116318,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116318,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116318,A000000,00700,0000,0700HOUSEKEEPING 116318,A000000,00800,0000,0800DIETARY 116318,A000000,00900,0000,0900NURSING ADMINISTRATION 116318,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116318,A000000,01300,0000,1300SOCIAL SERVICE 116318,A000000,01500,0000,1350ACTIVITIES 116318,A000000,01600,0000,1600SKILLED NURSING FACILITY 116318,A000000,02100,0000,2100RADIOLOGY 116318,A000000,02200,0000,2200LABORATORY 116318,A000000,02500,0000,2500PHYSICAL THERAPY 116318,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116318,A000000,02700,0000,2700SPEECH PATHOLOGY 116318,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116318,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116318,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116318,A000000,05300,0000,5300INTEREST EXPENSE 116318,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116318,A81000A,00100,0100,Y 116318,A81000B,00100,0300,INSURANCE 116318,A81000B,00200,0300,HOME OFFICE 116318,A81000B,00300,0300,GROUP INSURANCE 116318,A81000B,00400,0300,HOME OFFICE 116318,A81000C,00100,0100,A 116318,A81000C,00100,0200,ABCM CORPORATIO 116318,A81000C,00100,0600,HOME OFFICE 116318,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116318,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116318,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116318,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116318,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116318,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116318,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116318,B100000,00000,0800,0800MEALS SERVED DIETARY 116318,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 116318,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116318,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 116318,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 116318,E10A180,00301,0300,07/13/00 116318,E10A180,00550,0300,01/11/01 116318,S000000,00100,0200,11/28/00 116318,S200000,00100,0100,700 SECOND STREET S.E. 116318,S200000,00200,0100,HAMPTON 116318,S200000,00200,0200,IA 116318,S200000,00200,0300,50441 116318,S200000,00300,0100,FRANKLIN 116318,S200000,00400,0100,HAMPTON HEALTH CARE CENTER 116318,S200000,00400,0200,165354 116318,S200000,00400,0300,10/01/97 116318,S200000,00400,0500,P 116318,S200000,00400,0600,N 116318,S200000,01500,0100,Y 116318,S200000,01600,0100,N 116318,S200000,01700,0100,N 116318,S200000,01800,0100,N 116318,S200000,02200,0100,N 116318,S200000,02800,0100,N 116318,S200000,02900,0100,N 116318,S200000,03000,0100,N 116318,S200000,03100,0100,N 116318,S200000,03200,0100,N 116318,S200000,03300,0100,N 116318,S200000,03300,0200,N 116318,S200000,04100,0100,N 116318,S200000,04200,0100,N 116318,S200000,04300,0100,N 116318,S200000,04600,0100,N 116318,S200000,04700,0100,N 116318,S200000,04900,0100,N 116318,S700003,00000,0400,X 116319,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116319,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116319,A000000,00300,0000,0300EMPLOYEE BENEFITS 116319,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116319,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116319,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116319,A000000,00700,0000,0700HOUSEKEEPING 116319,A000000,00800,0000,0800DIETARY 116319,A000000,00900,0000,0900NURSING ADMINISTRATION 116319,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116319,A000000,01300,0000,1300SOCIAL SERVICE 116319,A000000,01500,0000,1350ACTIVITIES 116319,A000000,01600,0000,1600SKILLED NURSING FACILITY 116319,A000000,02100,0000,2100RADIOLOGY 116319,A000000,02200,0000,2200LABORATORY 116319,A000000,02300,0000,2300INTRAVENOUS THERAPY 116319,A000000,02500,0000,2500PHYSICAL THERAPY 116319,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116319,A000000,02700,0000,2700SPEECH PATHOLOGY 116319,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116319,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116319,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116319,A000000,05300,0000,5300INTEREST EXPENSE 116319,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116319,A81000A,00100,0100,Y 116319,A81000B,00100,0300,INSURANCE 116319,A81000B,00200,0300,HOME OFFICE 116319,A81000B,00300,0300,GROUP INSURANCE 116319,A81000B,00400,0300,HOME OFFICE 116319,A81000C,00100,0100,A 116319,A81000C,00100,0200,ABCM CORPORATIO 116319,A81000C,00100,0600,HOME OFFICE 116319,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116319,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116319,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116319,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116319,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116319,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116319,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116319,B100000,00000,0800,0800MEALS SERVED DIETARY 116319,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 116319,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116319,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 116319,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 116319,E10A180,00301,0300,07/13/00 116319,E10A180,00501,0300,01/12/01 116319,S000000,00100,0200,11/28/00 116319,S200000,00100,0100,1900 WEST THIRD PLACE 116319,S200000,00200,0100,INDIANOLA 116319,S200000,00200,0200,IA 116319,S200000,00200,0300,50125 116319,S200000,00300,0100,WARREN 116319,S200000,00400,0100,WESTVIEW OF INDIANOLA CARE CENTER 116319,S200000,00400,0200,165369 116319,S200000,00400,0300,10/01/97 116319,S200000,00400,0500,P 116319,S200000,00400,0600,N 116319,S200000,01500,0100,Y 116319,S200000,01600,0100,N 116319,S200000,01700,0100,N 116319,S200000,01800,0100,N 116319,S200000,02200,0100,N 116319,S200000,02800,0100,N 116319,S200000,02900,0100,N 116319,S200000,03000,0100,N 116319,S200000,03100,0100,N 116319,S200000,03200,0100,N 116319,S200000,03300,0100,N 116319,S200000,03300,0200,N 116319,S200000,04100,0100,N 116319,S200000,04200,0100,N 116319,S200000,04300,0100,N 116319,S200000,04600,0100,N 116319,S200000,04700,0100,N 116319,S200000,04900,0100,N 116319,S700003,00000,0400,X 116322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116322,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116322,A000000,00300,0000,0300EMPLOYEE BENEFITS 116322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116322,A000000,00700,0000,0700HOUSEKEEPING 116322,A000000,00800,0000,0800DIETARY 116322,A000000,00900,0000,0900NURSING ADMINISTRATION 116322,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116322,A000000,01100,0000,1100PHARMACY 116322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116322,A000000,01300,0000,1300SOCIAL SERVICE 116322,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116322,A000000,01600,0000,1600SKILLED NURSING FACILITY 116322,A000000,02500,0000,2500PHYSICAL THERAPY 116322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116322,A000000,02700,0000,2700SPEECH PATHOLOGY 116322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116322,A000000,03550,0000,3550FQHC 116322,A000000,05000,0000,5000CORF 116322,A000000,05010,0000,5010CMHC 116322,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116322,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116322,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116322,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116322,A81000A,00100,0100,Y 116322,A81000B,00100,0300,ADM AND GENERAL 116322,A81000B,00200,0300,LEASE FEES 116322,A81000C,00100,0100,A 116322,A81000C,00100,0200,JACK & ELDORA V 116322,A81000C,00100,0400,VETTER HEALTH 116322,A81000C,00100,0600,MANAGEMENT COMP 116322,A81000C,00200,0400,VETTER LEASING 116322,A81000C,00200,0600,LEASING COMPANY 116322,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 116322,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 116322,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 116322,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116322,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 116322,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 116322,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 116322,B100000,00000,0800,0800(PATIENT DAYS) DIETARY 116322,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 116322,B100000,00000,1000,1000(COSTED REQUIS) CENTRAL SERVIC 116322,B100000,00000,1100,1100(COSTED REQUIS) PHARMACY 116322,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 116322,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 116322,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 116322,S000000,00100,0200,11/30/00 116322,S200000,00100,0100,1212 WEST EIGHTH STREET 116322,S200000,00200,0100,YANKTON 116322,S200000,00200,0200,SD 116322,S200000,00200,0300,57078 116322,S200000,00300,0100,YANKTON 116322,S200000,00400,0100,YANKTON CARE CENTER 116322,S200000,00400,0200,435081 116322,S200000,00400,0300,02/01/95 116322,S200000,00400,0500,P 116322,S200000,00400,0600,N 116322,S200000,01500,0100,Y 116322,S200000,01600,0100,N 116322,S200000,01700,0100,N 116322,S200000,01800,0100,N 116322,S200000,01900,0100,OTHER 116322,S200000,02200,0100,N 116322,S200000,02800,0100,Y 116322,S200000,02900,0100,N 116322,S200000,03000,0100,N 116322,S200000,03100,0100,N 116322,S200000,03200,0100,N 116322,S200000,03300,0100,N 116322,S200000,03300,0200,N 116322,S200000,04100,0100,N 116322,S200000,04200,0100,N 116322,S200000,04300,0100,N 116322,S200000,04600,0100,N 116322,S200000,04700,0100,N 116322,S200000,04900,0100,N 116322,S700003,00000,0200,X 116354,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116354,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116354,A000000,00300,0000,0300EMPLOYEE BENEFITS 116354,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116354,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116354,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116354,A000000,00700,0000,0700HOUSEKEEPING 116354,A000000,00800,0000,0800DIETARY 116354,A000000,00900,0000,0900NURSING ADMINISTRATION 116354,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116354,A000000,01100,0000,1100PHARMACY 116354,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116354,A000000,01300,0000,1300SOCIAL SERVICE 116354,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116354,A000000,01500,0000,1350OTHER GENERAL SERVICES 116354,A000000,01600,0000,1600SKILLED NURSING FACILITY 116354,A000000,01800,0000,1800NURSING FACILITY 116354,A000000,01900,0000,1900OTHER LONG TERM CARE 116354,A000000,02100,0000,2100RADIOLOGY 116354,A000000,02200,0000,2200LABORATORY 116354,A000000,02300,0000,2300INTRAVENOUS THERAPY 116354,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116354,A000000,02500,0000,2500PHYSICAL THERAPY 116354,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116354,A000000,02700,0000,2700SPEECH PATHOLOGY 116354,A000000,02800,0000,2800ELECTROCARDIOLOGY 116354,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116354,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116354,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116354,A000000,03200,0000,3200SUPPORT SURFACES 116354,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116354,A000000,03400,0000,3400CLINIC 116354,A000000,03500,0000,3500RURAL HEALTH CLINIC 116354,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116354,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116354,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116354,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116354,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116354,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116354,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116354,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116354,A000000,04400,0000,4400DME RENTED - HHA 116354,A000000,04500,0000,4500DME SOLD - HHA 116354,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116354,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116354,A000000,04800,0000,4800AMBULANCE 116354,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116354,A000000,05000,0000,5000CORF 116354,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116354,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116354,A000000,05300,0000,5300INTEREST EXPENSE 116354,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116354,A000000,05500,0000,5500HOSPICE 116354,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116354,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116354,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116354,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116354,A000000,06100,0000,6100NONPAID WORKERS 116354,A000000,06200,0000,6200PATIENTS LAUNDRY 116354,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116354,A81000A,00100,0100,Y 116354,A81000B,00100,0300,MANAGEMENT FEES 116354,A81000B,00200,0300,RENT BUILDING 116354,A81000C,00100,0100,B 116354,A81000C,00100,0200,TRIPLE C CONVALESCENT CTR 116354,A81000C,00100,0400,HEALTHCARE MANAGEMENT 116354,A81000C,00200,0100,B 116354,A81000C,00200,0200,CARL CAMPBELL 116354,A81000C,00200,0400,OWNER/LANDLORD 116354,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116354,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116354,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116354,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116354,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116354,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 116354,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116354,B100000,00000,0800,0850PATIENT DAYS :DIETARY 116354,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 116354,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116354,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116354,S000000,00100,0200,05/18/00 116354,S200000,00100,0100,625 OKANOGAN 116354,S200000,00100,0300,P. O. BOX 2569 116354,S200000,00200,0100,WENATCHEE 116354,S200000,00200,0200,WA 116354,S200000,00200,0300,98801- 116354,S200000,00300,0100,CHELAN 116354,S200000,00300,0200,0050 116354,S200000,00300,0300,R 116354,S200000,00400,0100,COLONIAL VISTA VILLAGE CARE & REHAB 116354,S200000,00400,0200,505413 116354,S200000,00400,0300,01/01/92 116354,S200000,00400,0500,P 116354,S200000,01500,0100,N 116354,S200000,01600,0100,Y 116354,S200000,01700,0100,N 116354,S200000,01800,0100,N 116354,S200000,02200,0100,N 116354,S200000,02800,0100,Y 116354,S200000,02900,0100,N 116354,S200000,03000,0100,N 116354,S200000,03100,0100,N 116354,S200000,03200,0100,N 116354,S200000,04100,0100,N 116354,S200000,04200,0100,N 116354,S200000,04300,0100,N 116354,S200000,04600,0100,N 116354,S200000,04700,0100,N 116354,S200000,04700,0200,N 116354,S200000,04900,0100,N 116354,S200000,05000,0100,N 116354,S200000,05100,0100,N 116354,S200000,05200,0100,N 116375,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116375,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116375,A000000,00300,0000,0300EMPLOYEE BENEFITS 116375,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116375,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116375,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116375,A000000,00700,0000,0700HOUSEKEEPING 116375,A000000,00800,0000,0800DIETARY 116375,A000000,00900,0000,0900NURSING ADMINISTRATION 116375,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116375,A000000,01100,0000,1100PHARMACY 116375,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116375,A000000,01300,0000,1300SOCIAL SERVICE 116375,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116375,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116375,A000000,01600,0000,1600SKILLED NURSING FACILITY 116375,A000000,01800,0000,1800NURSING FACILITY 116375,A000000,01810,0000,1810ICF/MR 116375,A000000,01900,0000,1900OTHER LONG TERM CARE 116375,A000000,02100,0000,2100RADIOLOGY 116375,A000000,02200,0000,2200LABORATORY 116375,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116375,A000000,02500,0000,2500PHYSICAL THERAPY 116375,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116375,A000000,02700,0000,2700SPEECH PATHOLOGY 116375,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116375,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116375,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116375,A000000,03301,0000,3051AIR-FLUIDIZED THERAPY 116375,A000000,03550,0000,3550FQHC 116375,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116375,A000000,05000,0000,5000CORF 116375,A000000,05010,0000,5010CMHC 116375,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116375,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116375,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116375,A000000,05300,0000,5300INTEREST EXPENSE 116375,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116375,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116375,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116375,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116375,A81000A,00100,0100,Y 116375,A81000B,00100,0300,CONSULTING 116375,A81000B,00200,0300,CONSULTING 116375,A81000B,00300,0300,CONSULTING 116375,A81000B,00400,0300,CONSULTING 116375,A81000B,00500,0300,HOME OFFICE 116375,A81000B,00600,0300,CONSULTING 116375,A81000C,00100,0100,B 116375,A81000C,00100,0400,BRITTHAVEN INC 116375,A81000C,00100,0600,MGMT SERV 116375,A81000C,00200,0100,B 116375,A81000C,00200,0400,BRITTHAVEN INC 116375,A81000C,00200,0600,MGMT SERV 116375,A81000C,00300,0100,B 116375,A81000C,00300,0400,BRITTHAVEN INC 116375,A81000C,00300,0600,MGMT SERV 116375,A81000C,00400,0100,B 116375,A81000C,00400,0400,BRITTHAVEN INC 116375,A81000C,00400,0600,MGMT SERV 116375,A81000C,00500,0100,B 116375,A81000C,00500,0400,BRITTHAVEN INC 116375,A81000C,00500,0600,MGMT SERV 116375,A81000C,00600,0100,B 116375,A81000C,00600,0400,BRITTHAVEN INC 116375,A81000C,00600,0600,MGMT SERV 116375,A81000C,00700,0100,B 116375,A81000C,00700,0400,BRITTHAVEN INC 116375,A81000C,00700,0600,MGMT SERV 116375,A81000C,00800,0100,B 116375,A81000C,00800,0400,BRITTHAVEN INC 116375,A81000C,00800,0600,MGMT SERV 116375,A81000C,00900,0100,B 116375,A81000C,00900,0400,BRITTHAVEN INC 116375,A81000C,00900,0600,MGMT SERV 116375,A81000C,01000,0100,B 116375,A81000C,01000,0400,R. HILL CONSTR. 116375,A81000C,01000,0600,CONSTRUCTION 116375,B100000,00000,0100,0100SQUARE FEET 116375,B100000,00000,0200,0200SQUARE FEET 116375,B100000,00000,0300,0300GROSS SALARIES 116375,B100000,00000,0400,0400ACCUM COST 116375,B100000,00000,0500,0500SQUARE FEET 116375,B100000,00000,0600,0600POUNDS OF LAUNDRY 116375,B100000,00000,0700,0700HOURS OF SERVICE 116375,B100000,00000,0800,0800MEALS SERVED 116375,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116375,B100000,00000,1000,1000COSTED REQUISITIO 116375,B100000,00000,1100,1100COSTED REQUISITIO 116375,B100000,00000,1200,1200TIME SPENT 116375,B100000,00000,1300,1300TIME SPENT 116375,B100000,00000,1400,1400ASSIGNED TIME 116375,B100000,00000,1500,1350SQUARE FEET 116375,E10A180,00301,0100,03/29/99 116375,E10A180,00501,0100,05/18/00 116375,E10A180,00501,0300,05/18/00 116375,E10A180,00502,0300,08/23/01 116375,E10A180,00550,0100,08/23/01 116375,S000000,00100,0200,03/21/00 116375,S200000,00100,0100,2401 WAYNE MEMORIAL DRIVE 116375,S200000,00100,0300,11419 116375,S200000,00200,0100,GOLDSBORO 116375,S200000,00200,0200,NC 116375,S200000,00200,0300,27532 116375,S200000,00300,0100,WAYNE 116375,S200000,00300,0200,2980 116375,S200000,00300,0300,U 116375,S200000,00400,0100,BRITTHAVEN OF GOLDSBORO 116375,S200000,00400,0200,345113 116375,S200000,00400,0300,10/01/85 116375,S200000,00400,0500,P 116375,S200000,01500,0100,N 116375,S200000,01600,0100,Y 116375,S200000,01700,0100,N 116375,S200000,01800,0100,N 116375,S200000,02200,0100,N 116375,S200000,02800,0100,N 116375,S200000,02900,0100,N 116375,S200000,03000,0100,N 116375,S200000,03100,0100,N 116375,S200000,03200,0100,N 116375,S200000,03300,0100,N 116375,S200000,03300,0200,N 116375,S200000,04100,0100,N 116375,S200000,04200,0100,N 116375,S200000,04300,0100,N 116375,S200000,04600,0100,N 116375,S200000,04700,0100,N 116375,S200000,04900,0100,N 116376,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116376,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116376,A000000,00300,0000,0300EMPLOYEE BENEFITS 116376,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116376,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116376,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116376,A000000,00700,0000,0700HOUSEKEEPING 116376,A000000,00800,0000,0800DIETARY 116376,A000000,00900,0000,0900NURSING ADMINISTRATION 116376,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116376,A000000,01100,0000,1100PHARMACY 116376,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116376,A000000,01300,0000,1300SOCIAL SERVICE 116376,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116376,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116376,A000000,01600,0000,1600SKILLED NURSING FACILITY 116376,A000000,01800,0000,1800NURSING FACILITY 116376,A000000,01810,0000,1810ICF/MR 116376,A000000,01900,0000,1900OTHER LONG TERM CARE 116376,A000000,02100,0000,2100RADIOLOGY 116376,A000000,02200,0000,2200LABORATORY 116376,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116376,A000000,02500,0000,2500PHYSICAL THERAPY 116376,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116376,A000000,02700,0000,2700SPEECH PATHOLOGY 116376,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116376,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116376,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116376,A000000,03550,0000,3550FQHC 116376,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116376,A000000,05000,0000,5000CORF 116376,A000000,05010,0000,5010CMHC 116376,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116376,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116376,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116376,A000000,05300,0000,5300INTEREST EXPENSE 116376,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116376,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116376,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116376,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116376,A81000A,00100,0100,Y 116376,A81000B,00100,0300,CONSULTING 116376,A81000B,00200,0300,CONSULTING 116376,A81000B,00300,0300,CONSULTING 116376,A81000B,00400,0300,CONSULTING 116376,A81000B,00500,0300,HOME OFFICE 116376,A81000B,00600,0300,CONSULTING 116376,A81000B,00700,0300,INSURANCE 116376,A81000B,00800,0300,GAS 116376,A81000B,00900,0300,EQUIPMENT RENTAL 116376,A81000C,00100,0100,B 116376,A81000C,00100,0400,BRITTHAVEN INC 116376,A81000C,00100,0600,MGMT SVS 116376,A81000C,00200,0100,B 116376,A81000C,00200,0400,BRITTHAVEN INC 116376,A81000C,00200,0600,MGMT SVS 116376,A81000C,00300,0100,B 116376,A81000C,00300,0400,BRITTHAVEN INC 116376,A81000C,00300,0600,MGMT SVS 116376,A81000C,00400,0100,B 116376,A81000C,00400,0400,BRITTHAVEN INC 116376,A81000C,00400,0600,MGMT SVS 116376,A81000C,00500,0100,B 116376,A81000C,00500,0400,BRITTHAVEN INC 116376,A81000C,00500,0600,MGMT SVS 116376,A81000C,00600,0100,B 116376,A81000C,00600,0400,BRITTHAVEN INC 116376,A81000C,00600,0600,MGMT SVS 116376,A81000C,00700,0100,B 116376,A81000C,00700,0400,BRITTHAVEN INC 116376,A81000C,00700,0600,MGMT SVS 116376,A81000C,00800,0100,B 116376,A81000C,00800,0400,BRITTHAVEN INC 116376,A81000C,00800,0600,MGMT SVS 116376,A81000C,00900,0100,B 116376,A81000C,00900,0400,BRITTHAVEN INC 116376,A81000C,00900,0600,MGMT SVS 116376,A81000C,01000,0100,B 116376,A81000C,01000,0400,R. HILL CONS. C 116376,A81000C,01000,0600,CONSTRUCTION 116376,B100000,00000,0100,0100SQUARE FEET 116376,B100000,00000,0200,0200SQUARE FEET 116376,B100000,00000,0300,0300GROSS SALARIES 116376,B100000,00000,0400,0400ACCUM COST 116376,B100000,00000,0500,0500SQUARE FEET 116376,B100000,00000,0600,0600POUNDS OF LAUNDRY 116376,B100000,00000,0700,0700SQUARE FEET 116376,B100000,00000,0800,0800MEALS SERVED 116376,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116376,B100000,00000,1000,1000COSTED REQUISITIO 116376,B100000,00000,1100,1100COSTED REQUISITIO 116376,B100000,00000,1200,1200TIME SPENT 116376,B100000,00000,1300,1300TIME SPENT 116376,B100000,00000,1400,1400ASSIGNED TIME 116376,B100000,00000,1500,1350SQUARE FEET 116376,E10A180,00301,0100,03/29/99 116376,E10A180,00501,0300,09/12/01 116376,E10A180,00550,0100,03/21/00 116376,E10A180,00550,0300,03/21/00 116376,E10A180,00551,0100,09/12/01 116376,E10A180,00551,0300,05/16/00 116376,S000000,00100,0200,03/21/00 116376,S200000,00100,0100,225 WHITE STREET 116376,S200000,00200,0100,JACKSONVILLE 116376,S200000,00200,0200,NC 116376,S200000,00200,0300,28540 116376,S200000,00300,0100,ONSLOW 116376,S200000,00300,0300,R 116376,S200000,00400,0100,BRITTHAVEN OF JACKSONVILLE 116376,S200000,00400,0200,345217 116376,S200000,00400,0300,11/25/81 116376,S200000,00400,0500,P 116376,S200000,00600,0200,345217 116376,S200000,00600,0300,11/25/81 116376,S200000,00600,0600,O 116376,S200000,01500,0100,N 116376,S200000,01600,0100,Y 116376,S200000,01700,0100,N 116376,S200000,01800,0100,N 116376,S200000,02200,0100,N 116376,S200000,02800,0100,N 116376,S200000,02900,0100,N 116376,S200000,03000,0100,N 116376,S200000,03100,0100,N 116376,S200000,03200,0100,N 116376,S200000,03300,0100,N 116376,S200000,03300,0200,N 116376,S200000,04100,0100,N 116376,S200000,04200,0100,N 116376,S200000,04300,0100,N 116376,S200000,04600,0100,N 116376,S200000,04700,0100,N 116376,S200000,04900,0100,N 116377,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116377,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116377,A000000,00300,0000,0300EMPLOYEE BENEFITS 116377,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116377,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116377,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116377,A000000,00700,0000,0700HOUSEKEEPING 116377,A000000,00800,0000,0800DIETARY 116377,A000000,00900,0000,0900NURSING ADMINISTRATION 116377,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116377,A000000,01100,0000,1100PHARMACY 116377,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116377,A000000,01300,0000,1300SOCIAL SERVICE 116377,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116377,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116377,A000000,01600,0000,1600SKILLED NURSING FACILITY 116377,A000000,01800,0000,1800NURSING FACILITY 116377,A000000,01810,0000,1810ICF/MR 116377,A000000,02100,0000,2100RADIOLOGY 116377,A000000,02200,0000,2200LABORATORY 116377,A000000,02500,0000,2500PHYSICAL THERAPY 116377,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116377,A000000,02700,0000,2700SPEECH PATHOLOGY 116377,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116377,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116377,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116377,A000000,03550,0000,3550FQHC 116377,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116377,A000000,05000,0000,5000CORF 116377,A000000,05010,0000,5010CMHC 116377,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116377,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116377,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116377,A000000,05300,0000,5300INTEREST EXPENSE 116377,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116377,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116377,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116377,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116377,A81000A,00100,0100,Y 116377,A81000B,00100,0300,CONSULTING 116377,A81000B,00200,0300,CONSULTING 116377,A81000B,00300,0300,CONSULTING 116377,A81000B,00400,0300,CONSULTING 116377,A81000B,00500,0300,HOME OFFICE 116377,A81000B,00600,0300,CONSULTING 116377,A81000B,00700,0300,INSURANCE 116377,A81000B,00800,0300,EQUIPMENT RENTAL 116377,A81000B,00900,0300,GAS 116377,A81000C,00100,0100,B 116377,A81000C,00100,0400,BRITTHAVEN INC 116377,A81000C,00100,0600,MGMT SVS 116377,A81000C,00200,0100,B 116377,A81000C,00200,0400,BRITTHAVEN INC 116377,A81000C,00200,0600,MGMT SVS 116377,A81000C,00300,0100,B 116377,A81000C,00300,0400,BRITTHAVEN INC 116377,A81000C,00300,0600,MGMT SVS 116377,A81000C,00400,0100,B 116377,A81000C,00400,0400,BRITTHAVEN INC 116377,A81000C,00400,0600,MGMT SVS 116377,A81000C,00500,0100,B 116377,A81000C,00500,0400,BRITTHAVEN INC 116377,A81000C,00500,0600,MGMT SVS 116377,A81000C,00600,0100,B 116377,A81000C,00600,0400,BRITTHAVEN INC 116377,A81000C,00600,0600,MGMT SVS 116377,A81000C,00700,0100,B 116377,A81000C,00700,0400,BRITTHAVEN INC 116377,A81000C,00700,0600,MGMT SVS 116377,A81000C,00800,0100,B 116377,A81000C,00800,0400,BRITTHAVEN INC 116377,A81000C,00800,0600,MGMT SVS 116377,A81000C,00900,0100,B 116377,A81000C,00900,0400,BRITTHAVEN INC 116377,A81000C,00900,0600,MGMT SVS 116377,A81000C,01000,0100,B 116377,A81000C,01000,0400,R. HILL CONS. C 116377,A81000C,01000,0600,CONSTRUCTION 116377,B100000,00000,0100,0100SQUARE FEET 116377,B100000,00000,0200,0200SQUARE FEET 116377,B100000,00000,0300,0300GROSS SALARIES 116377,B100000,00000,0400,0400ACCUM COST 116377,B100000,00000,0500,0500SQUARE FEET 116377,B100000,00000,0600,0600POUNDS OF LAUNDRY 116377,B100000,00000,0700,0700HOURS OF SERVICE 116377,B100000,00000,0800,0800MEALS SERVED 116377,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116377,B100000,00000,1000,1000COSTED REQUISITIO 116377,B100000,00000,1100,1100COSTED REQUISITIO 116377,B100000,00000,1200,1200TIME SPENT 116377,B100000,00000,1300,1300TIME SPENT 116377,B100000,00000,1400,1400ASSIGNED TIME 116377,B100000,00000,1500,1350SQUARE FEET 116377,E10A180,00301,0100,03/29/99 116377,E10A180,00501,0300,08/16/01 116377,E10A180,00550,0100,03/21/00 116377,E10A180,00550,0300,03/21/00 116377,E10A180,00551,0100,05/16/00 116377,E10A180,00551,0300,05/16/00 116377,E10A180,00552,0100,08/16/01 116377,S000000,00100,0200,03/21/00 116377,S200000,00100,0100,107 MAGNOLIA DRIVE 116377,S200000,00200,0100,MORGANTON 116377,S200000,00200,0200,NC 116377,S200000,00200,0300,28655 116377,S200000,00300,0100,BURKE 116377,S200000,00300,0200,3290 116377,S200000,00300,0300,U 116377,S200000,00400,0100,BRITTHAVEN OF MORGANTON 116377,S200000,00400,0200,345219 116377,S200000,00400,0300,04/01/83 116377,S200000,00400,0500,P 116377,S200000,01500,0100,N 116377,S200000,01600,0100,Y 116377,S200000,01700,0100,N 116377,S200000,01800,0100,N 116377,S200000,02200,0100,N 116377,S200000,02800,0100,N 116377,S200000,02900,0100,N 116377,S200000,03000,0100,N 116377,S200000,03100,0100,N 116377,S200000,03200,0100,N 116377,S200000,03300,0100,N 116377,S200000,03300,0200,N 116377,S200000,04100,0100,N 116377,S200000,04200,0100,N 116377,S200000,04300,0100,N 116377,S200000,04600,0100,N 116377,S200000,04700,0100,N 116377,S200000,04900,0100,N 116378,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116378,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116378,A000000,00300,0000,0300EMPLOYEE BENEFITS 116378,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116378,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116378,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116378,A000000,00700,0000,0700HOUSEKEEPING 116378,A000000,00800,0000,0800DIETARY 116378,A000000,00900,0000,0900NURSING ADMINISTRATION 116378,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116378,A000000,01100,0000,1100PHARMACY 116378,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116378,A000000,01300,0000,1300SOCIAL SERVICE 116378,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116378,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116378,A000000,01600,0000,1600SKILLED NURSING FACILITY 116378,A000000,01800,0000,1800NURSING FACILITY 116378,A000000,01810,0000,1810ICF/MR 116378,A000000,02100,0000,2100RADIOLOGY 116378,A000000,02200,0000,2200LABORATORY 116378,A000000,02300,0000,2300INTRAVENOUS THERAPY 116378,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116378,A000000,02500,0000,2500PHYSICAL THERAPY 116378,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116378,A000000,02700,0000,2700SPEECH PATHOLOGY 116378,A000000,02800,0000,2800ELECTROCARDIOLOGY 116378,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116378,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116378,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116378,A000000,03550,0000,3550FQHC 116378,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116378,A000000,05000,0000,5000CORF 116378,A000000,05010,0000,5010CMHC 116378,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116378,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116378,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116378,A000000,05300,0000,5300INTEREST EXPENSE 116378,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116378,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116378,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116378,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116378,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116378,A81000A,00100,0100,Y 116378,A81000B,00100,0300,DIETARY 116378,A81000B,00200,0300,CONSULTING 116378,A81000B,00300,0300,CONSULTING 116378,A81000B,00400,0300,CONSULTING 116378,A81000B,00500,0300,HOME OFFICE 116378,A81000B,00600,0300,CONSULTING 116378,A81000B,00700,0300,INSURANCE 116378,A81000B,00800,0300,EQUIPMENT RENTAL 116378,A81000B,00900,0300,GAS 116378,A81000C,00100,0100,B 116378,A81000C,00100,0400,BRITTHAVEN INC 116378,A81000C,00100,0600,MGMT SVS 116378,A81000C,00200,0100,B 116378,A81000C,00200,0400,BRITTHAVEN INC 116378,A81000C,00200,0600,MGMT SVS 116378,A81000C,00300,0100,B 116378,A81000C,00300,0400,BRITTHAVEN INC 116378,A81000C,00300,0600,MGMT SVS 116378,A81000C,00400,0100,B 116378,A81000C,00400,0400,BRITTHAVEN INC 116378,A81000C,00400,0600,MGMT SVS 116378,A81000C,00500,0100,B 116378,A81000C,00500,0400,BRITTHAVEN INC 116378,A81000C,00500,0600,MGMT SVS 116378,A81000C,00600,0100,B 116378,A81000C,00600,0400,BRITTHAVEN INC 116378,A81000C,00600,0600,MGMT SVS 116378,A81000C,00700,0100,B 116378,A81000C,00700,0400,BRITTHAVEN INC 116378,A81000C,00700,0600,MGMT SVS 116378,A81000C,00800,0100,B 116378,A81000C,00800,0400,BRITTHAVEN INC 116378,A81000C,00800,0600,MGMT SVS 116378,A81000C,00900,0100,B 116378,A81000C,00900,0400,BRITTHAVEN INC 116378,A81000C,00900,0600,MGMT SVS 116378,A81000C,01000,0100,B 116378,A81000C,01000,0400,R.HILL CONS. CO 116378,A81000C,01000,0600,CONSTRUCTION 116378,B100000,00000,0100,0100SQUARE FEET 116378,B100000,00000,0200,0200SQUARE FEET 116378,B100000,00000,0300,0300GROSS SALARIES 116378,B100000,00000,0400,0400ACCUM COST 116378,B100000,00000,0500,0500SQUARE FEET 116378,B100000,00000,0600,0600POUNDS OF LAUNDRY 116378,B100000,00000,0700,0700SQUARE FEET 116378,B100000,00000,0800,0800MEALS SERVED 116378,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116378,B100000,00000,1000,1000COSTED REQUISITIO 116378,B100000,00000,1100,1100COSTED REQUISITIO 116378,B100000,00000,1200,1200TIME SPENT 116378,B100000,00000,1300,1300TIME SPENT 116378,B100000,00000,1400,1400ASSIGNED TIME 116378,B100000,00000,1500,1350SQUARE FEET 116378,E10A180,00301,0100,03/29/99 116378,E10A180,00501,0100,05/18/00 116378,E10A180,00501,0300,08/16/01 116378,E10A180,00550,0100,08/16/01 116378,E10A180,00550,0300,05/18/00 116378,S000000,00100,0200,03/21/00 116378,S200000,00100,0100,515 BARBOUR ROAD 116378,S200000,00100,0300,2390 116378,S200000,00200,0100,SMITHFIELD 116378,S200000,00200,0200,NC 116378,S200000,00200,0300,27577 116378,S200000,00300,0100,JOHNSTON 116378,S200000,00300,0200,6640 116378,S200000,00300,0300,U 116378,S200000,00400,0100,BRITTHAVEN OF SMITHFIELD 116378,S200000,00400,0200,345237 116378,S200000,00400,0300,10/01/84 116378,S200000,00400,0500,P 116378,S200000,01500,0100,N 116378,S200000,01600,0100,Y 116378,S200000,01700,0100,N 116378,S200000,01800,0100,N 116378,S200000,02200,0100,N 116378,S200000,02800,0100,N 116378,S200000,02900,0100,N 116378,S200000,03000,0100,N 116378,S200000,03100,0100,N 116378,S200000,03200,0100,N 116378,S200000,03300,0100,N 116378,S200000,03300,0200,N 116378,S200000,04100,0100,N 116378,S200000,04200,0100,N 116378,S200000,04300,0100,N 116378,S200000,04600,0100,N 116378,S200000,04700,0100,N 116378,S200000,04900,0100,N 116379,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116379,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116379,A000000,00300,0000,0300EMPLOYEE BENEFITS 116379,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116379,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116379,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116379,A000000,00700,0000,0700HOUSEKEEPING 116379,A000000,00800,0000,0800DIETARY 116379,A000000,00900,0000,0900NURSING ADMINISTRATION 116379,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116379,A000000,01100,0000,1100PHARMACY 116379,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116379,A000000,01300,0000,1300SOCIAL SERVICE 116379,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116379,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116379,A000000,01600,0000,1600SKILLED NURSING FACILITY 116379,A000000,01800,0000,1800NURSING FACILITY 116379,A000000,01810,0000,1810ICF/MR 116379,A000000,01900,0000,1900OTHER LONG TERM CARE 116379,A000000,02100,0000,2100RADIOLOGY 116379,A000000,02200,0000,2200LABORATORY 116379,A000000,02500,0000,2500PHYSICAL THERAPY 116379,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116379,A000000,02700,0000,2700SPEECH PATHOLOGY 116379,A000000,02800,0000,2800ELECTROCARDIOLOGY 116379,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116379,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116379,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116379,A000000,03550,0000,3550FQHC 116379,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116379,A000000,05000,0000,5000CORF 116379,A000000,05010,0000,5010CMHC 116379,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116379,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116379,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116379,A000000,05300,0000,5300INTEREST EXPENSE 116379,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116379,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116379,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116379,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116379,A81000A,00100,0100,Y 116379,A81000B,00100,0300,CONSULTING 116379,A81000B,00200,0300,CONSULTING 116379,A81000B,00300,0300,CONSULTING 116379,A81000B,00400,0300,CONSULTING 116379,A81000B,00500,0300,HOME OFFICE 116379,A81000B,00600,0300,CONSULTING 116379,A81000B,00700,0300,INSURANCE 116379,A81000B,00800,0300,EQUIPMENT RENTAL 116379,A81000B,00900,0300,GAS 116379,A81000C,00100,0100,B 116379,A81000C,00100,0400,BRITTHAVEN INC 116379,A81000C,00100,0600,MGMT SVS 116379,A81000C,00200,0100,B 116379,A81000C,00200,0400,BRITTHAVEN INC 116379,A81000C,00200,0600,MGMT SVS 116379,A81000C,00300,0100,B 116379,A81000C,00300,0400,BRITTHAVEN INC 116379,A81000C,00300,0600,MGMT SVS 116379,A81000C,00400,0100,B 116379,A81000C,00400,0400,BRITTHAVEN INC 116379,A81000C,00400,0600,MGMT SVS 116379,A81000C,00500,0100,B 116379,A81000C,00500,0400,BRITTHAVEN INC 116379,A81000C,00500,0600,MGMT SVS 116379,A81000C,00600,0100,B 116379,A81000C,00600,0400,BRITTHAVEN INC 116379,A81000C,00600,0600,MGMT SVS 116379,A81000C,00700,0100,B 116379,A81000C,00700,0400,BRITTHAVEN INC 116379,A81000C,00700,0600,MGMT SVS 116379,A81000C,00800,0100,B 116379,A81000C,00800,0400,BRITTHAVEN INC 116379,A81000C,00800,0600,MGMT SVS 116379,A81000C,00900,0100,B 116379,A81000C,00900,0400,BRITTHAVEN INC 116379,A81000C,00900,0600,MGMT SVS 116379,A81000C,01000,0100,B 116379,A81000C,01000,0400,R. HILL CONS. C 116379,A81000C,01000,0600,CONSTRUCTION 116379,B100000,00000,0100,0100SQUARE FEET 116379,B100000,00000,0200,0200SQUARE FEET 116379,B100000,00000,0300,0300GROSS SALARIES 116379,B100000,00000,0400,0400ACCUM COST 116379,B100000,00000,0500,0500SQUARE FEET 116379,B100000,00000,0600,0600POUNDS OF LAUNDRY 116379,B100000,00000,0700,0700SQUARE FEET 116379,B100000,00000,0800,0800MEALS SERVED 116379,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116379,B100000,00000,1000,1000COSTED REQUISITIO 116379,B100000,00000,1100,1100COSTED REQUISITIO 116379,B100000,00000,1200,1200TIME SPENT 116379,B100000,00000,1300,1300TIME SPENT 116379,B100000,00000,1400,1400ASSIGNED TIME 116379,B100000,00000,1500,1350SQUARE FEET 116379,E10A180,00301,0100,03/29/99 116379,E10A180,00501,0100,03/21/00 116379,E10A180,00501,0300,09/24/01 116379,E10A180,00502,0100,05/15/00 116379,E10A180,00550,0100,09/24/01 116379,E10A180,00550,0300,03/21/00 116379,E10A180,00551,0300,05/15/00 116379,S000000,00100,0200,03/21/00 116379,S200000,00100,0100,245 OLD MURPHY RD 116379,S200000,00200,0100,FRANKLIN 116379,S200000,00200,0200,NC 116379,S200000,00200,0300,28734 116379,S200000,00300,0100,MACON 116379,S200000,00300,0300,R 116379,S200000,00400,0100,BRITTHAVEN OF FRANKLIN 116379,S200000,00400,0200,345263 116379,S200000,00400,0300,07/14/87 116379,S200000,00400,0500,P 116379,S200000,01500,0100,N 116379,S200000,01600,0100,Y 116379,S200000,01700,0100,N 116379,S200000,01800,0100,N 116379,S200000,02200,0100,N 116379,S200000,02800,0100,N 116379,S200000,02900,0100,N 116379,S200000,03000,0100,N 116379,S200000,03100,0100,N 116379,S200000,03200,0100,N 116379,S200000,03300,0100,N 116379,S200000,03300,0200,N 116379,S200000,04100,0100,N 116379,S200000,04200,0100,N 116379,S200000,04300,0100,N 116379,S200000,04600,0100,N 116379,S200000,04700,0100,N 116379,S200000,04900,0100,N 116380,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116380,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116380,A000000,00300,0000,0300EMPLOYEE BENEFITS 116380,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116380,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116380,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116380,A000000,00700,0000,0700HOUSEKEEPING 116380,A000000,00800,0000,0800DIETARY 116380,A000000,00900,0000,0900NURSING ADMINISTRATION 116380,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116380,A000000,01100,0000,1100PHARMACY 116380,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116380,A000000,01300,0000,1300SOCIAL SERVICE 116380,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116380,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116380,A000000,01600,0000,1600SKILLED NURSING FACILITY 116380,A000000,01800,0000,1800NURSING FACILITY 116380,A000000,01810,0000,1810ICF/MR 116380,A000000,01900,0000,1900OTHER LONG TERM CARE 116380,A000000,02200,0000,2200LABORATORY 116380,A000000,02500,0000,2500PHYSICAL THERAPY 116380,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116380,A000000,02700,0000,2700SPEECH PATHOLOGY 116380,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116380,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116380,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116380,A000000,03550,0000,3550FQHC 116380,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116380,A000000,05000,0000,5000CORF 116380,A000000,05010,0000,5010CMHC 116380,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116380,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116380,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116380,A000000,05300,0000,5300INTEREST EXPENSE 116380,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116380,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116380,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116380,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116380,A81000A,00100,0100,Y 116380,A81000B,00100,0300,CONSULTING 116380,A81000B,00200,0300,CONSULTING 116380,A81000B,00300,0300,CONSULTING 116380,A81000B,00400,0300,CONSULTING 116380,A81000B,00500,0300,HOME OFFICE 116380,A81000B,00600,0300,CONSULTING 116380,A81000C,00100,0100,B 116380,A81000C,00100,0400,BRITTHAVEN INC 116380,A81000C,00100,0600,MGMT SVS 116380,A81000C,00200,0100,B 116380,A81000C,00200,0400,BRITTHAVEN INC 116380,A81000C,00200,0600,MGMT SVS 116380,A81000C,00300,0100,B 116380,A81000C,00300,0400,BRITTHAVEN INC 116380,A81000C,00300,0600,MGMT SVS 116380,A81000C,00400,0100,B 116380,A81000C,00400,0400,BRITTHAVEN INC 116380,A81000C,00400,0600,MGMT SVS 116380,A81000C,00500,0100,B 116380,A81000C,00500,0400,BRITTHAVEN INC 116380,A81000C,00500,0600,MGMT SVS 116380,A81000C,00600,0100,B 116380,A81000C,00600,0400,BRITTHAVEN INC 116380,A81000C,00600,0600,MGMT SVS 116380,A81000C,00700,0100,B 116380,A81000C,00700,0400,BRITTHAVEN INC 116380,A81000C,00700,0600,MGMT SVS 116380,A81000C,00800,0100,B 116380,A81000C,00800,0400,BRITTHAVEN INC 116380,A81000C,00800,0600,MGMT SVS 116380,A81000C,00900,0100,B 116380,A81000C,00900,0400,BRITTHAVEN INC 116380,A81000C,00900,0600,MGMT SVS 116380,A81000C,01000,0100,B 116380,A81000C,01000,0400,R. HILL CONS. C 116380,A81000C,01000,0600,CONSTRUCTION 116380,B100000,00000,0100,0100SQUARE FEET 116380,B100000,00000,0200,0200SQUARE FEET 116380,B100000,00000,0300,0300GROSS SALARIES 116380,B100000,00000,0400,0400ACCUM COST 116380,B100000,00000,0500,0500SQUARE FEET 116380,B100000,00000,0600,0600POUNDS OF LAUNDRY 116380,B100000,00000,0700,0700SQUARE FEET 116380,B100000,00000,0800,0800MEALS SERVED 116380,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116380,B100000,00000,1000,1000COSTED REQUISITIO 116380,B100000,00000,1100,1100COSTED REQUISITIO 116380,B100000,00000,1200,1200TIME SPENT 116380,B100000,00000,1300,1300TIME SPENT 116380,B100000,00000,1400,1400ASSIGNED TIME 116380,B100000,00000,1500,1350SQUARE FEET 116380,E10A180,00301,0100,03/29/99 116380,E10A180,00501,0300,03/21/00 116380,E10A180,00502,0300,08/24/01 116380,E10A180,00550,0100,03/21/00 116380,E10A180,00550,0300,05/18/00 116380,E10A180,00551,0100,08/24/01 116380,S000000,00100,0200,03/21/00 116380,S200000,00100,0100,HIGHWAY 177 SOUTH 116380,S200000,00100,0300,1489 116380,S200000,00200,0100,HAMLET 116380,S200000,00200,0200,NC 116380,S200000,00200,0300,28345 116380,S200000,00300,0100,ROCKINGHAM 116380,S200000,00300,0300,R 116380,S200000,00400,0100,BRITTHAVEN OF HAMLET 116380,S200000,00400,0200,345293 116380,S200000,00400,0300,01/18/89 116380,S200000,00400,0500,P 116380,S200000,01500,0100,N 116380,S200000,01600,0100,Y 116380,S200000,01700,0100,N 116380,S200000,01800,0100,N 116380,S200000,02200,0100,N 116380,S200000,02800,0100,N 116380,S200000,02900,0100,N 116380,S200000,03000,0100,N 116380,S200000,03100,0100,N 116380,S200000,03200,0100,N 116380,S200000,03300,0100,N 116380,S200000,03300,0200,N 116380,S200000,04100,0100,N 116380,S200000,04200,0100,N 116380,S200000,04300,0100,N 116380,S200000,04600,0100,N 116380,S200000,04700,0100,N 116380,S200000,04900,0100,N 116422,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116422,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116422,A000000,00300,0000,0300EMPLOYEE BENEFITS 116422,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116422,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116422,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116422,A000000,00700,0000,0700HOUSEKEEPING 116422,A000000,00800,0000,0800DIETARY 116422,A000000,00900,0000,0900NURSING ADMINISTRATION 116422,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116422,A000000,01100,0000,1100PHARMACY 116422,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116422,A000000,01300,0000,1300SOCIAL SERVICE 116422,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116422,A000000,01600,0000,1600SKILLED NURSING FACILITY 116422,A000000,01800,0000,1800NURSING FACILITY 116422,A000000,01810,0000,1810ICF/MR 116422,A000000,02100,0000,2100RADIOLOGY 116422,A000000,02200,0000,2200LABORATORY 116422,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116422,A000000,02500,0000,2500PHYSICAL THERAPY 116422,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116422,A000000,02700,0000,2700SPEECH PATHOLOGY 116422,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116422,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116422,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116422,A000000,03550,0000,3550FQHC 116422,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116422,A000000,05000,0000,5000CORF 116422,A000000,05010,0000,5010CMHC 116422,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116422,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116422,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116422,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116422,A000000,05300,0000,5300INTEREST EXPENSE 116422,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116422,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116422,A000000,05801,0000,5801HAVEN REHAB 116422,A000000,05802,0000,5802HAVEN MANAGEMENT 116422,A000000,05803,0000,5803HAVEN HOME HEALTH 116422,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116422,A81000A,00100,0100,Y 116422,A81000B,00100,0300,HOME OFFICE COST 116422,A81000B,00200,0300,NURSING ADM SUPPLIES 116422,A81000B,00300,0300,NON CHARGEABLE SUPPLIES 116422,A81000B,00400,0300,LAUNDRY SUPPLIES 116422,A81000B,00500,0300,DIETARY SUPPLIES 116422,A81000B,00600,0300,HOUSEKEEPING SUPPLIES 116422,A81000B,00700,0300,MEDICAL RECORDS SUPPLIES 116422,A81000B,00800,0300,SOCIAL SERVICE AND ACTIVITIES 116422,A81000B,00900,0300,DAY CARE COST 116422,A81000B,01000,0300,PT COST 116422,A81000B,01100,0300,OT COST 116422,A81000B,01200,0300,ST COST 116422,A81000C,00100,0100,A 116422,A81000C,00100,0200,ROBERT CAUSEY 116422,A81000C,00100,0400,HAVEN MANAGEMENT CO. 116422,A81000C,00100,0600,HOME OFFICE 116422,A81000C,00200,0100,A 116422,A81000C,00200,0200,ROEBRT CAUSEY 116422,A81000C,00200,0400,HAVEN MEDICAL SUPPLY 116422,A81000C,00200,0600,MEDICAL SUPPLY 116422,A81000C,00300,0100,A 116422,A81000C,00300,0200,ROBERT CAUSEY 116422,A81000C,00300,0400,OUR KIDS DAYCARE 116422,A81000C,00300,0600,DAY CARE SERVICES 116422,A81000C,00400,0100,A 116422,A81000C,00400,0200,ROBERT CAUSEY 116422,A81000C,00400,0400,HAVEN REHAB 116422,A81000C,00400,0600,THERPY SERVICES 116422,B100000,00000,0100,0100SQUARE FEET 116422,B100000,00000,0200,0200SQUARE FEET 116422,B100000,00000,0300,0300GROSS SALARIES 116422,B100000,00000,0400,0400ACCUM. COST 116422,B100000,00000,0500,0500SQUARE FEET 116422,B100000,00000,0600,0600POUNDS OF LAUNDRY 116422,B100000,00000,0700,0700HOURS OF SERVICE 116422,B100000,00000,0800,0800MEALS SERVED 116422,B100000,00000,0900,0900DIRECT NRSING HRS 116422,B100000,00000,1000,1000COSTED REQUIS. 116422,B100000,00000,1100,1100COSTED REQUIS. 116422,B100000,00000,1200,1200TIME SPENT 116422,B100000,00000,1300,1300TIME SPENT 116422,B100000,00000,1400,1400ASSIGNED TIME 116422,E10A180,00302,0100,11/03/99 116422,E10A180,00501,0100,06/30/00 116422,E10A180,00550,0300,06/30/00 116422,S000000,00100,0200,05/30/00 116422,S200000,00100,0100,7726 HWY 165 SOUTH 116422,S200000,00200,0100,COLUMBIA 116422,S200000,00200,0200,LA 116422,S200000,00300,0100,CALDWELL 116422,S200000,00300,0200,0019 116422,S200000,00300,0300,R 116422,S200000,00400,0100,HAVEN NURSING CENTER 116422,S200000,00400,0200,195265 116422,S200000,00400,0300,04/01/91 116422,S200000,00400,0500,P 116422,S200000,01500,0100,N 116422,S200000,01600,0100,Y 116422,S200000,01700,0100,N 116422,S200000,01800,0100,N 116422,S200000,02200,0100,N 116422,S200000,02800,0100,N 116422,S200000,02900,0100,N 116422,S200000,03000,0100,N 116422,S200000,03100,0100,N 116422,S200000,03200,0100,N 116422,S200000,03300,0100,N 116422,S200000,03300,0200,N 116422,S200000,04100,0100,N 116422,S200000,04200,0100,N 116422,S200000,04300,0100,N 116422,S200000,04600,0100,N 116422,S200000,04700,0100,N 116422,S200000,04700,0200,N 116422,S200000,04900,0100,N 116448,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116448,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116448,A000000,00300,0000,0300EMPLOYEE BENEFITS 116448,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116448,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116448,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116448,A000000,00700,0000,0700HOUSEKEEPING 116448,A000000,00800,0000,0800DIETARY 116448,A000000,00900,0000,0900NURSING ADMINISTRATION 116448,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116448,A000000,01100,0000,1100PHARMACY 116448,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116448,A000000,01300,0000,1300SOCIAL SERVICE 116448,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116448,A000000,01500,0000,1350OTHER GENERAL SERVICES 116448,A000000,01600,0000,1600SKILLED NURSING FACILITY 116448,A000000,01810,0000,1810ICF/MR 116448,A000000,02100,0000,2100RADIOLOGY 116448,A000000,02200,0000,2200LABORATORY 116448,A000000,02500,0000,2500PHYSICAL THERAPY 116448,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116448,A000000,02700,0000,2700SPEECH PATHOLOGY 116448,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116448,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116448,A000000,03101,0000,3101CLINITRON THERAPY 116448,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116448,A000000,03550,0000,3550FQHC 116448,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116448,A000000,05000,0000,5000CORF 116448,A000000,05010,0000,5010CMHC 116448,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116448,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116448,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116448,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116448,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116448,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116448,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116448,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116448,A81000A,00100,0100,N 116448,B100000,00000,0100,0100SQUARE FEET 116448,B100000,00000,0200,0200DOLLAR VALUE 116448,B100000,00000,0300,0300GROSS SALARIES 116448,B100000,00000,0400,0400ACCUM. COST 116448,B100000,00000,0500,0500SQUARE FEET 116448,B100000,00000,0600,0600POUNDS OF LAUNDRY 116448,B100000,00000,0700,0700HOURS OF SERVICE 116448,B100000,00000,0800,0800MEALS SERVED 116448,B100000,00000,0900,0900HOURS OF SERVICE 116448,B100000,00000,1000,1000COSTED REQUIS. 116448,B100000,00000,1100,1100COSTED REQUIS. 116448,B100000,00000,1200,1200TIME SPENT 116448,B100000,00000,1300,1300TIME SPENT 116448,B100000,00000,1400,1400TIME SPENT 116448,B100000,00000,1500,1350NO STATISTICS 116448,E10A180,00301,0100,05/10/00 116448,E10A180,00501,0300,06/27/01 116448,E10A180,00550,0100,06/27/01 116448,S000000,00100,0200,07/12/00 116448,S200000,00100,0100,100 LAFAYETTE AVENUE 116448,S200000,00200,0100,STATEN ISLAND 116448,S200000,00200,0200,NY 116448,S200000,00200,0300,10301 116448,S200000,00300,0100,RICHMOND 116448,S200000,00300,0200,5600 116448,S200000,00300,0300,U 116448,S200000,00400,0100,NEW BRIGHTON CARE CENTER 116448,S200000,00400,0200,335561 116448,S200000,00400,0300,11/01/76 116448,S200000,00400,0500,P 116448,S200000,01500,0100,Y 116448,S200000,01600,0100,N 116448,S200000,01700,0100,N 116448,S200000,01800,0100,N 116448,S200000,02200,0100,N 116448,S200000,02800,0100,N 116448,S200000,02900,0100,N 116448,S200000,03000,0100,N 116448,S200000,03100,0100,N 116448,S200000,03200,0100,N 116448,S200000,03300,0100,N 116448,S200000,03300,0200,N 116448,S200000,04100,0100,N 116448,S200000,04200,0100,N 116448,S200000,04300,0100,N 116448,S200000,04600,0100,N 116448,S200000,04700,0100,N 116448,S200000,04700,0200,N 116448,S200000,04900,0100,N 116475,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116475,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116475,A000000,00300,0000,0300EMPLOYEE BENEFITS 116475,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116475,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116475,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116475,A000000,00700,0000,0700HOUSEKEEPING 116475,A000000,00800,0000,0800DIETARY 116475,A000000,00900,0000,0900NURSING ADMINISTRATION 116475,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116475,A000000,01100,0000,1100PHARMACY 116475,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116475,A000000,01300,0000,1300SOCIAL SERVICE 116475,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116475,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116475,A000000,01600,0000,1600SKILLED NURSING FACILITY 116475,A000000,01800,0000,1800NURSING FACILITY 116475,A000000,01810,0000,1810ICF/MR 116475,A000000,01900,0000,1900OTHER LONG TERM CARE 116475,A000000,02100,0000,2100RADIOLOGY 116475,A000000,02200,0000,2200LABORATORY 116475,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116475,A000000,02500,0000,2500PHYSICAL THERAPY 116475,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116475,A000000,02700,0000,2700SPEECH PATHOLOGY 116475,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116475,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116475,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116475,A000000,03550,0000,3550FQHC 116475,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116475,A000000,05000,0000,5000CORF 116475,A000000,05010,0000,5010CMHC 116475,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116475,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116475,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116475,A000000,05300,0000,5300INTEREST EXPENSE 116475,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116475,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116475,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116475,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116475,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116475,A81000A,00100,0100,Y 116475,A81000B,00100,0300,CONSULTING 116475,A81000B,00200,0300,CONSULTING 116475,A81000B,00300,0300,CONSULTING 116475,A81000B,00400,0300,CONSULTING 116475,A81000B,00500,0300,HOME OFFICE 116475,A81000B,00600,0300,CONSULTING 116475,A81000B,00700,0300,INSURANCE 116475,A81000B,00800,0300,GAS 116475,A81000B,00900,0300,EQUIPMENT RENTAL 116475,A81000C,00100,0100,B 116475,A81000C,00100,0400,BRITTHAVEN INC 116475,A81000C,00100,0600,MGMT SERV 116475,A81000C,00200,0100,B 116475,A81000C,00200,0400,BRITTHAVEN INC 116475,A81000C,00200,0600,MGMT SERV 116475,A81000C,00300,0100,B 116475,A81000C,00300,0400,BRITTHAVEN INC 116475,A81000C,00300,0600,MGMT SERV 116475,A81000C,00400,0100,B 116475,A81000C,00400,0400,BRITTHAVEN INC 116475,A81000C,00400,0600,MGMT SERV 116475,A81000C,00500,0100,B 116475,A81000C,00500,0400,BRITTHAVEN INC 116475,A81000C,00500,0600,MGMT SERV 116475,A81000C,00600,0100,B 116475,A81000C,00600,0400,BRITTHAVEN INC 116475,A81000C,00600,0600,MGMT SERV 116475,A81000C,00700,0100,B 116475,A81000C,00700,0400,BRITTHAVEN INC 116475,A81000C,00700,0600,MGMT SERV 116475,A81000C,00800,0100,B 116475,A81000C,00800,0400,BRITTHAVEN INC 116475,A81000C,00800,0600,MGMT SERV 116475,A81000C,00900,0100,B 116475,A81000C,00900,0400,BRITTHAVEN INC 116475,A81000C,00900,0600,MGMT SERV 116475,A81000C,01000,0100,B 116475,A81000C,01000,0400,R. HILL CONS. C 116475,A81000C,01000,0600,CONSTRUCTION 116475,B100000,00000,0100,0100SQUARE FEET 116475,B100000,00000,0200,0200SQUARE FEET 116475,B100000,00000,0300,0300GROSS SALARIES 116475,B100000,00000,0400,0400ACCUM COST 116475,B100000,00000,0500,0500SQUARE FEET 116475,B100000,00000,0600,0600POUNDS OF LAUNDRY 116475,B100000,00000,0700,0700SQUARE FEET 116475,B100000,00000,0800,0800MEALS SERVED 116475,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116475,B100000,00000,1000,1000COSTED REQUISITIO 116475,B100000,00000,1100,1100COSTED REQUISITIO 116475,B100000,00000,1200,1200TIME SPENT 116475,B100000,00000,1300,1300TIME SPENT 116475,B100000,00000,1400,1400ASSIGNED TIME 116475,B100000,00000,1500,1350SQUARE FEET 116475,E10A180,00301,0100,03/29/99 116475,E10A180,00501,0300,08/24/01 116475,E10A180,00550,0100,03/21/00 116475,E10A180,00550,0300,03/21/00 116475,E10A180,00551,0100,08/24/01 116475,E10A180,00551,0300,05/17/00 116475,S000000,00100,0200,03/21/00 116475,S200000,00100,0100,33426 OLD SALISBURY RD 116475,S200000,00100,0300,1250 116475,S200000,00200,0100,ALBEMARLE 116475,S200000,00200,0200,NC 116475,S200000,00200,0300,28002 116475,S200000,00300,0100,STANLY 116475,S200000,00300,0200,1520 116475,S200000,00300,0300,U 116475,S200000,00400,0100,BRITTHAVEN OF PIEDMONT 116475,S200000,00400,0200,345146 116475,S200000,00400,0300,03/19/75 116475,S200000,00400,0500,P 116475,S200000,01500,0100,N 116475,S200000,01600,0100,Y 116475,S200000,01700,0100,N 116475,S200000,01800,0100,N 116475,S200000,02200,0100,N 116475,S200000,02800,0100,N 116475,S200000,02900,0100,N 116475,S200000,03000,0100,N 116475,S200000,03100,0100,N 116475,S200000,03200,0100,N 116475,S200000,03300,0100,N 116475,S200000,03300,0200,N 116475,S200000,04100,0100,N 116475,S200000,04200,0100,N 116475,S200000,04300,0100,N 116475,S200000,04600,0100,N 116475,S200000,04700,0100,N 116475,S200000,04900,0100,N 116476,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116476,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116476,A000000,00300,0000,0300EMPLOYEE BENEFITS 116476,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116476,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116476,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116476,A000000,00700,0000,0700HOUSEKEEPING 116476,A000000,00800,0000,0800DIETARY 116476,A000000,00900,0000,0900NURSING ADMINISTRATION 116476,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116476,A000000,01100,0000,1100PHARMACY 116476,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116476,A000000,01300,0000,1300SOCIAL SERVICE 116476,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116476,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116476,A000000,01600,0000,1600SKILLED NURSING FACILITY 116476,A000000,01800,0000,1800NURSING FACILITY 116476,A000000,01810,0000,1810ICF/MR 116476,A000000,01900,0000,1900OTHER LONG TERM CARE 116476,A000000,02100,0000,2100RADIOLOGY 116476,A000000,02200,0000,2200LABORATORY 116476,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116476,A000000,02500,0000,2500PHYSICAL THERAPY 116476,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116476,A000000,02700,0000,2700SPEECH PATHOLOGY 116476,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116476,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116476,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116476,A000000,03550,0000,3550FQHC 116476,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116476,A000000,05000,0000,5000CORF 116476,A000000,05010,0000,5010CMHC 116476,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116476,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116476,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116476,A000000,05300,0000,5300INTEREST EXPENSE 116476,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116476,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116476,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116476,A81000A,00100,0100,Y 116476,A81000B,00100,0300,CONSULTANTS 116476,A81000B,00200,0300,CONSULTANTS 116476,A81000B,00300,0300,CONSULTANTS 116476,A81000B,00400,0300,CONSULTANTS 116476,A81000B,00500,0300,CONSULTANTS 116476,A81000B,00600,0300,HOME OFFICE 116476,A81000C,00100,0100,B 116476,A81000C,00100,0400,BRITTHAVEN INC 116476,A81000C,00100,0600,MGMT SVS 116476,A81000C,00200,0100,B 116476,A81000C,00200,0400,BRITTHAVEN INC 116476,A81000C,00200,0600,MGMT SVS 116476,A81000C,00300,0100,B 116476,A81000C,00300,0400,BRITTHAVEN INC 116476,A81000C,00300,0600,MGMT SVS 116476,A81000C,00400,0100,B 116476,A81000C,00400,0400,BRITTHAVEN INC 116476,A81000C,00400,0600,MGMT SVS 116476,A81000C,00500,0100,B 116476,A81000C,00500,0400,BRITTHAVEN INC 116476,A81000C,00500,0600,MGMT SVS 116476,A81000C,00600,0100,B 116476,A81000C,00600,0400,BRITTHAVEN INC 116476,A81000C,00600,0600,MGMT SVS 116476,A81000C,00700,0100,B 116476,A81000C,00700,0400,BRITTHAVEN INC 116476,A81000C,00700,0600,MGMT SVS 116476,A81000C,00800,0100,B 116476,A81000C,00800,0400,BRITTHAVEN INC 116476,A81000C,00800,0600,MGMT SVS 116476,A81000C,00900,0100,B 116476,A81000C,00900,0400,KARE MEDICAL 116476,A81000C,00900,0600,WHOLESALE SUPPL 116476,A81000C,01000,0100,B 116476,A81000C,01000,0400,PHARMSAVE 116476,A81000C,01000,0600,RX SUPPLY 116476,B100000,00000,0100,0100SQUARE FEET 116476,B100000,00000,0200,0200SQUARE FEET 116476,B100000,00000,0300,0300GROSS SALARIES 116476,B100000,00000,0400,0400ACCUM COST 116476,B100000,00000,0500,0500SQUARE FEET 116476,B100000,00000,0600,0600POUNDS OF LAUNDRY 116476,B100000,00000,0700,0700SQUARE FEET 116476,B100000,00000,0800,0800MEALS SERVED 116476,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116476,B100000,00000,1000,1000COSTED REQUISITIO 116476,B100000,00000,1100,1100COSTED REQUISITIO 116476,B100000,00000,1200,1200TIME SPENT 116476,B100000,00000,1300,1300TIME SPENT 116476,B100000,00000,1400,1400ASSIGNED TIME 116476,B100000,00000,1500,1350SQUARE FEET 116476,E10A180,00301,0100,03/29/99 116476,E10A180,00501,0100,05/17/00 116476,E10A180,00501,0300,08/24/01 116476,E10A180,00550,0100,08/24/01 116476,E10A180,00550,0300,05/17/00 116476,S000000,00100,0200,03/21/00 116476,S200000,00100,0100,1716 LEGION ROAD 116476,S200000,00200,0100,CHAPEL HILL 116476,S200000,00200,0200,NC 116476,S200000,00200,0300,27514 116476,S200000,00300,0100,ORANGE 116476,S200000,00300,0200,6640 116476,S200000,00300,0300,U 116476,S200000,00400,0100,BRITTHAVEN OF CHAPEL HILL 116476,S200000,00400,0200,345334 116476,S200000,00400,0300,11/20/90 116476,S200000,00400,0500,P 116476,S200000,01500,0100,N 116476,S200000,01600,0100,Y 116476,S200000,01700,0100,N 116476,S200000,01800,0100,N 116476,S200000,02200,0100,N 116476,S200000,02800,0100,N 116476,S200000,02900,0100,N 116476,S200000,03000,0100,N 116476,S200000,03100,0100,N 116476,S200000,03200,0100,N 116476,S200000,03300,0100,N 116476,S200000,03300,0200,N 116476,S200000,04100,0100,N 116476,S200000,04200,0100,N 116476,S200000,04300,0100,N 116476,S200000,04600,0100,N 116476,S200000,04700,0100,Y 116476,S200000,04900,0100,N 116477,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116477,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116477,A000000,00300,0000,0300EMPLOYEE BENEFITS 116477,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116477,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116477,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116477,A000000,00700,0000,0700HOUSEKEEPING 116477,A000000,00800,0000,0800DIETARY 116477,A000000,00900,0000,0900NURSING ADMINISTRATION 116477,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116477,A000000,01100,0000,1100PHARMACY 116477,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116477,A000000,01300,0000,1300SOCIAL SERVICE 116477,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116477,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116477,A000000,01600,0000,1600SKILLED NURSING FACILITY 116477,A000000,01800,0000,1800NURSING FACILITY 116477,A000000,01810,0000,1810ICF/MR 116477,A000000,02100,0000,2100RADIOLOGY 116477,A000000,02200,0000,2200LABORATORY 116477,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116477,A000000,02500,0000,2500PHYSICAL THERAPY 116477,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116477,A000000,02700,0000,2700SPEECH PATHOLOGY 116477,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116477,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116477,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116477,A000000,03550,0000,3550FQHC 116477,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116477,A000000,05000,0000,5000CORF 116477,A000000,05010,0000,5010CMHC 116477,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116477,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116477,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116477,A000000,05300,0000,5300INTEREST EXPENSE 116477,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116477,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116477,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116477,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116477,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116477,A81000A,00100,0100,Y 116477,A81000B,00100,0300,CONSULTING 116477,A81000B,00200,0300,CONSULTING 116477,A81000B,00300,0300,CONSULTING 116477,A81000B,00400,0300,CONSULTING 116477,A81000B,00500,0300,CONSULTING 116477,A81000B,00600,0300,HOME OFFICE 116477,A81000C,00100,0100,B 116477,A81000C,00100,0400,BRITTHAVEN INC 116477,A81000C,00100,0600,MGMT SERV 116477,A81000C,00200,0100,B 116477,A81000C,00200,0400,BRITTHAVEN INC 116477,A81000C,00200,0600,MGMT SERV 116477,A81000C,00300,0100,B 116477,A81000C,00300,0400,BRITTHAVEN INC 116477,A81000C,00300,0600,MGMT SERV 116477,A81000C,00400,0100,B 116477,A81000C,00400,0400,BRITTHAVEN INC 116477,A81000C,00400,0600,MGMT SERV 116477,A81000C,00500,0100,B 116477,A81000C,00500,0400,BRITTHAVEN INC 116477,A81000C,00500,0600,MGMT SERV 116477,A81000C,00600,0100,B 116477,A81000C,00600,0400,BRITTHAVEN INC 116477,A81000C,00600,0600,MGMT SEV 116477,A81000C,00700,0100,B 116477,A81000C,00700,0400,BRITTHAVEN INC 116477,A81000C,00700,0600,MGMT SERV 116477,A81000C,00800,0100,B 116477,A81000C,00800,0400,BRITTHAVEN INC 116477,A81000C,00800,0600,MGMT SERV 116477,A81000C,00900,0100,B 116477,A81000C,00900,0400,BRITTHAVEN INC 116477,A81000C,00900,0600,MGMT SERV 116477,A81000C,01000,0100,B 116477,A81000C,01000,0400,R.HILL CONS. CO 116477,A81000C,01000,0600,CONSTRUCTION 116477,B100000,00000,0100,0100SQUARE FEET 116477,B100000,00000,0200,0200SQUARE FEET 116477,B100000,00000,0300,0300GROSS SALARIES 116477,B100000,00000,0400,0400ACCUM COST 116477,B100000,00000,0500,0500SQUARE FEET 116477,B100000,00000,0600,0600POUNDS OF LAUNDRY 116477,B100000,00000,0700,0700HOURS OF SERVICE 116477,B100000,00000,0800,0800MEALS SERVED 116477,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116477,B100000,00000,1000,1000COSTED REQUISITIO 116477,B100000,00000,1100,1100COSTED REQUISITIO 116477,B100000,00000,1200,1200TIME SPENT 116477,B100000,00000,1300,1300TIME SPENT 116477,B100000,00000,1400,1400ASSIGNED TIME 116477,B100000,00000,1500,1350SQUARE FEET 116477,E10A180,00301,0100,03/29/99 116477,E10A180,00501,0300,09/10/01 116477,E10A180,00550,0100,03/27/00 116477,E10A180,00550,0300,03/27/00 116477,E10A180,00551,0100,09/10/01 116477,S000000,00100,0200,03/21/00 116477,S200000,00100,0100,728 PINEY GROVE ROAD 116477,S200000,00200,0100,KERNERSVILLE 116477,S200000,00200,0200,NC 116477,S200000,00200,0300,27284 116477,S200000,00300,0100,FORSYTH 116477,S200000,00300,0200,3120 116477,S200000,00300,0300,U 116477,S200000,00400,0100,BRITTHAVEN OF KERNERSVILLE 116477,S200000,00400,0200,345354 116477,S200000,00400,0300,03/07/91 116477,S200000,00400,0500,P 116477,S200000,00600,0200,345354 116477,S200000,00600,0300,07/07/91 116477,S200000,00600,0600,O 116477,S200000,01500,0100,N 116477,S200000,01600,0100,Y 116477,S200000,01700,0100,N 116477,S200000,01800,0100,N 116477,S200000,02200,0100,N 116477,S200000,02800,0100,N 116477,S200000,02900,0100,N 116477,S200000,03000,0100,N 116477,S200000,03100,0100,N 116477,S200000,03200,0100,N 116477,S200000,03300,0100,N 116477,S200000,03300,0200,N 116477,S200000,04100,0100,N 116477,S200000,04200,0100,N 116477,S200000,04300,0100,N 116477,S200000,04600,0100,N 116477,S200000,04700,0100,N 116477,S200000,04900,0100,N 116478,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116478,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116478,A000000,00300,0000,0300EMPLOYEE BENEFITS 116478,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116478,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116478,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116478,A000000,00700,0000,0700HOUSEKEEPING 116478,A000000,00800,0000,0800DIETARY 116478,A000000,00900,0000,0900NURSING ADMINISTRATION 116478,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116478,A000000,01100,0000,1100PHARMACY 116478,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116478,A000000,01300,0000,1300SOCIAL SERVICE 116478,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116478,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116478,A000000,01600,0000,1600SKILLED NURSING FACILITY 116478,A000000,01800,0000,1800NURSING FACILITY 116478,A000000,01810,0000,1810ICF/MR 116478,A000000,01900,0000,1900OTHER LONG TERM CARE 116478,A000000,02100,0000,2100RADIOLOGY 116478,A000000,02200,0000,2200LABORATORY 116478,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116478,A000000,02500,0000,2500PHYSICAL THERAPY 116478,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116478,A000000,02700,0000,2700SPEECH PATHOLOGY 116478,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116478,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116478,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116478,A000000,03550,0000,3550FQHC 116478,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116478,A000000,05000,0000,5000CORF 116478,A000000,05010,0000,5010CMHC 116478,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116478,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116478,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116478,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116478,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116478,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116478,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116478,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116478,A81000A,00100,0100,Y 116478,A81000B,00100,0300,CONSULTANTS 116478,A81000B,00200,0300,CONSULTANTS 116478,A81000B,00300,0300,CONSULTANTS 116478,A81000B,00400,0300,CONSULTANTS 116478,A81000B,00500,0300,CONSULTANTS 116478,A81000B,00600,0300,HOME OFFICE 116478,A81000C,00100,0100,B 116478,A81000C,00100,0400,BRITTHAVEN INC 116478,A81000C,00100,0600,MGMT SVS 116478,A81000C,00200,0100,B 116478,A81000C,00200,0400,BRITTHAVEN INC 116478,A81000C,00200,0600,MGMT SVS 116478,A81000C,00300,0100,B 116478,A81000C,00300,0400,BRITTHAVEN INC 116478,A81000C,00300,0600,MGMT SVS 116478,A81000C,00400,0100,B 116478,A81000C,00400,0400,BRITTHAVEN INC 116478,A81000C,00400,0600,MGMT SVS 116478,A81000C,00500,0100,B 116478,A81000C,00500,0400,BRITTHAVEN INC 116478,A81000C,00500,0600,MGMT SVS 116478,A81000C,00600,0100,B 116478,A81000C,00600,0400,BRITTHAVEN INC 116478,A81000C,00600,0600,MGMT SVS 116478,A81000C,00700,0100,B 116478,A81000C,00700,0400,BRITTHAVEN INC 116478,A81000C,00700,0600,MGMT SVS 116478,A81000C,00800,0100,B 116478,A81000C,00800,0400,BRITTHAVEN INC 116478,A81000C,00800,0600,MGMT SVS 116478,A81000C,00900,0100,B 116478,A81000C,00900,0400,KARE MEDICAL 116478,A81000C,00900,0600,WHOLESALE SUPPL 116478,A81000C,01000,0100,B 116478,A81000C,01000,0400,PHARMSAVE 116478,A81000C,01000,0600,RX SUPPLY 116478,B100000,00000,0100,0100SQUARE FEET 116478,B100000,00000,0200,0200SQUARE FEET 116478,B100000,00000,0300,0300GROSS SALARIES 116478,B100000,00000,0400,0400ACCUM COST 116478,B100000,00000,0500,0500SQUARE FEET 116478,B100000,00000,0600,0600POUNDS OF LAUNDRY 116478,B100000,00000,0700,0700SQUARE FEET 116478,B100000,00000,0800,0800MEALS SERVED 116478,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116478,B100000,00000,1000,1000COSTED REQUISITIO 116478,B100000,00000,1100,1100COSTED REQUISITIO 116478,B100000,00000,1200,1200TIME SPENT 116478,B100000,00000,1300,1300TIME SPENT 116478,B100000,00000,1400,1400ASSIGNED TIME 116478,B100000,00000,1500,1350SQUARE FEET 116478,E10A180,00301,0100,03/29/99 116478,E10A180,00304,0100,03/29/99 116478,E10A180,00501,0100,05/18/00 116478,E10A180,00501,0300,08/20/01 116478,E10A180,00550,0100,08/20/01 116478,E10A180,00550,0300,05/18/00 116478,S000000,00100,0200,03/21/00 116478,S200000,00100,0100,308 MEADOWVIEW ROAD 116478,S200000,00200,0100,GREENSBORO 116478,S200000,00200,0200,NC 116478,S200000,00200,0300,27406 116478,S200000,00300,0100,GUILFORD 116478,S200000,00300,0200,3120 116478,S200000,00300,0300,U 116478,S200000,00400,0100,BRITTHAVEN OF GREENSBORO 116478,S200000,00400,0200,345448 116478,S200000,00400,0300,02/09/95 116478,S200000,00400,0500,P 116478,S200000,00600,0200,345448 116478,S200000,00600,0300,02/09/95 116478,S200000,00600,0600,O 116478,S200000,01500,0100,N 116478,S200000,01600,0100,Y 116478,S200000,01700,0100,N 116478,S200000,01800,0100,N 116478,S200000,02200,0100,N 116478,S200000,02800,0100,N 116478,S200000,02900,0100,N 116478,S200000,03000,0100,N 116478,S200000,03100,0100,N 116478,S200000,03200,0100,N 116478,S200000,03300,0100,N 116478,S200000,03300,0200,N 116478,S200000,04100,0100,N 116478,S200000,04200,0100,N 116478,S200000,04300,0100,N 116478,S200000,04600,0100,N 116478,S200000,04700,0100,N 116478,S200000,04900,0100,N 116479,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116479,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116479,A000000,00300,0000,0300EMPLOYEE BENEFITS 116479,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116479,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116479,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116479,A000000,00700,0000,0700HOUSEKEEPING 116479,A000000,00800,0000,0800DIETARY 116479,A000000,00900,0000,0900NURSING ADMINISTRATION 116479,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116479,A000000,01100,0000,1100PHARMACY 116479,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116479,A000000,01300,0000,1300SOCIAL SERVICE 116479,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116479,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116479,A000000,01600,0000,1600SKILLED NURSING FACILITY 116479,A000000,01800,0000,1800NURSING FACILITY 116479,A000000,01810,0000,1810ICF/MR 116479,A000000,02200,0000,2200LABORATORY 116479,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116479,A000000,02500,0000,2500PHYSICAL THERAPY 116479,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116479,A000000,02700,0000,2700SPEECH PATHOLOGY 116479,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116479,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116479,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116479,A000000,03550,0000,3550FQHC 116479,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116479,A000000,05000,0000,5000CORF 116479,A000000,05010,0000,5010CMHC 116479,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116479,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116479,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116479,A000000,05300,0000,5300INTEREST EXPENSE 116479,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116479,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116479,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116479,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116479,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116479,A81000A,00100,0100,Y 116479,A81000B,00100,0300,CONSULTANTS 116479,A81000B,00200,0300,CONSULTANTS 116479,A81000B,00300,0300,CONSULTANTS 116479,A81000B,00400,0300,CONSULTANTS 116479,A81000B,00500,0300,CONSULTANTS 116479,A81000B,00600,0300,HOME OFFICE 116479,A81000B,00700,0300,INSURANCE 116479,A81000B,00800,0300,GAS 116479,A81000C,00100,0100,B 116479,A81000C,00100,0400,BRITTHAVEN INC 116479,A81000C,00100,0600,MGMT SVS 116479,A81000C,00200,0100,B 116479,A81000C,00200,0400,BRITTHAVEN INC 116479,A81000C,00200,0600,MGMT SVS 116479,A81000C,00300,0100,B 116479,A81000C,00300,0400,BRITTHAVEN INC 116479,A81000C,00300,0600,MGMT SVS 116479,A81000C,00400,0100,B 116479,A81000C,00400,0400,BRITTHAVEN INC 116479,A81000C,00400,0600,MGMT SVS 116479,A81000C,00500,0100,B 116479,A81000C,00500,0400,BRITTHAVEN INC 116479,A81000C,00500,0600,MGMT SVS 116479,A81000C,00600,0100,B 116479,A81000C,00600,0400,BRITTHAVEN INC 116479,A81000C,00600,0600,MGMT SVS 116479,A81000C,00700,0100,B 116479,A81000C,00700,0400,BRITTHAVEN INC 116479,A81000C,00700,0600,MGMT SVS 116479,A81000C,00800,0100,B 116479,A81000C,00800,0400,BRITTHAVEN INC 116479,A81000C,00800,0600,MGMT SVS 116479,A81000C,00900,0100,B 116479,A81000C,00900,0400,KARE MEDICAL 116479,A81000C,00900,0600,WHOLESALE SUPPL 116479,A81000C,01000,0100,B 116479,A81000C,01000,0400,PHARMSAVE 116479,A81000C,01000,0600,RX SUPPLY 116479,B100000,00000,0100,0100SQUARE FEET 116479,B100000,00000,0200,0200SQUARE FEET 116479,B100000,00000,0300,0300GROSS SALARIES 116479,B100000,00000,0400,0400ACCUM COST 116479,B100000,00000,0500,0500SQUARE FEET 116479,B100000,00000,0600,0600POUNDS OF LAUNDRY 116479,B100000,00000,0700,0700HOURS OF SERVICE 116479,B100000,00000,0800,0800MEALS SERVED 116479,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116479,B100000,00000,1000,1000COSTED REQUISITIO 116479,B100000,00000,1100,1100COSTED REQUISITIO 116479,B100000,00000,1200,1200TIME SPENT 116479,B100000,00000,1300,1300TIME SPENT 116479,B100000,00000,1400,1400ASSIGNED TIME 116479,B100000,00000,1500,1350SQUARE FEET 116479,E10A180,00501,0100,05/18/00 116479,E10A180,00501,0300,09/17/01 116479,E10A180,00550,0100,09/17/01 116479,E10A180,00550,0300,05/18/00 116479,S000000,00100,0200,03/21/00 116479,S200000,00100,0100,110 MCCOTTER BLVD. 116479,S200000,00200,0100,HAVELOCK 116479,S200000,00200,0200,NC 116479,S200000,00200,0300,28532 116479,S200000,00300,0100,CRAVEN 116479,S200000,00300,0300,R 116479,S200000,00400,0100,BRITTHAVEN OF HAVELOCK 116479,S200000,00400,0200,345487 116479,S200000,00400,0300,03/13/98 116479,S200000,00400,0500,P 116479,S200000,01500,0100,N 116479,S200000,01600,0100,Y 116479,S200000,01700,0100,N 116479,S200000,01800,0100,N 116479,S200000,02200,0100,N 116479,S200000,02800,0100,N 116479,S200000,02900,0100,N 116479,S200000,03000,0100,N 116479,S200000,03100,0100,N 116479,S200000,03200,0100,N 116479,S200000,03300,0100,N 116479,S200000,03300,0200,N 116479,S200000,04100,0100,N 116479,S200000,04200,0100,N 116479,S200000,04300,0100,N 116479,S200000,04600,0100,N 116479,S200000,04700,0100,N 116479,S200000,04900,0100,N 116482,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116482,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116482,A000000,00300,0000,0300EMPLOYEE BENEFITS 116482,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116482,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116482,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116482,A000000,00700,0000,0700HOUSEKEEPING 116482,A000000,00800,0000,0800DIETARY 116482,A000000,00900,0000,0900NURSING ADMINISTRATION 116482,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116482,A000000,01100,0000,1100PHARMACY 116482,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116482,A000000,01300,0000,1300SOCIAL SERVICE 116482,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116482,A000000,01500,0000,1350RECREATION ACTIVITIES 116482,A000000,01600,0000,1600SKILLED NURSING FACILITY 116482,A000000,01800,0000,1800NURSING FACILITY 116482,A000000,01810,0000,1810ICF/MR 116482,A000000,02100,0000,2100RADIOLOGY 116482,A000000,02200,0000,2200LABORATORY 116482,A000000,02500,0000,2500PHYSICAL THERAPY 116482,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116482,A000000,02700,0000,2700SPEECH PATHOLOGY 116482,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116482,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116482,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 116482,A000000,03301,0000,3051ENTERAL FEEDING 116482,A000000,03550,0000,3550FQHC 116482,A000000,05000,0000,5000CORF 116482,A000000,05010,0000,5010CMHC 116482,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116482,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116482,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116482,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116482,A000000,06300,0000,6150ENTERSTOMAL THERAPY 116482,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 116482,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 116482,A000000,06312,0000,6153DIALYSIS 116482,A000000,06320,0000,6154APARTMENTS 116482,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 116482,A000000,06340,0000,6156CLOSED PATIENT AREAS 116482,A000000,06350,0000,6157O/P ADULT DAYCARE 116482,A81000A,00100,0100,Y 116482,A81000B,00100,0300,HOME OFFICE CAPITAL COST 116482,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 116482,A81000B,00400,0300,REHAB ALLOCATION 116482,A81000B,00500,0300,REHAB ALLOCATION 116482,A81000B,00600,0300,REHAB ALLOCATION 116482,A81000B,00700,0300,CLINICAL ALLOCATION 116482,A81000B,00800,0300,SYMPHONY MOBILEX 116482,A81000C,00100,0100,B 116482,A81000C,00100,0400,IHS INC. 116482,A81000C,00100,0600,NURSING HOMES 116482,A81000C,00200,0100,G 116482,A81000C,00200,0400,SYMPHONY REHAB 116482,A81000C,00200,0600,REHAB SERVICES 116482,A81000C,00300,0100,G 116482,A81000C,00300,0400,LTC MED LAB 116482,A81000C,00300,0600,LABORATORY 116482,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 116482,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 116482,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116482,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 116482,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 116482,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 116482,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 116482,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 116482,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 116482,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 116482,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 116482,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 116482,E10A180,00301,0100,03/18/99 116482,E10A180,00303,0100,05/18/00 116482,E10A180,00350,0100,12/03/99 116482,S000000,00100,0200,07/27/00 116482,S200000,00100,0100,13650 N.E. THIRD COURT 116482,S200000,00200,0100,NORTH MIAMI 116482,S200000,00200,0200,FL 116482,S200000,00200,0300,33161- 116482,S200000,00300,0100,MIAMI-DADE 116482,S200000,00300,0200,5000 116482,S200000,00300,0300,U 116482,S200000,00400,0100,PINECREST CONVALESCENT HOME 116482,S200000,00400,0200,105153 116482,S200000,00400,0300,10/01/87 116482,S200000,00400,0500,P 116482,S200000,00600,0200,105153 116482,S200000,00600,0300,10/01/87 116482,S200000,00600,0600,O 116482,S200000,01500,0100,N 116482,S200000,01600,0100,Y 116482,S200000,01700,0100,N 116482,S200000,01800,0100,N 116482,S200000,02200,0100,Y 116482,S200000,02800,0100,N 116482,S200000,02900,0100,N 116482,S200000,03000,0100,N 116482,S200000,03100,0100,N 116482,S200000,03200,0100,N 116482,S200000,04100,0100,N 116482,S200000,04200,0100,N 116482,S200000,04300,0100,N 116482,S200000,04600,0100,N 116482,S200000,04700,0100,N 116482,S200000,04700,0200,N 116482,S200000,04900,0100,N 116482,S200000,05000,0100,N 116482,S200000,05100,0100,N 116482,S200000,05200,0100,N 116536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116536,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116536,A000000,00300,0000,0300EMPLOYEE BENEFITS 116536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116536,A000000,00700,0000,0700HOUSEKEEPING 116536,A000000,00800,0000,0800DIETARY 116536,A000000,00900,0000,0900NURSING ADMINISTRATION 116536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116536,A000000,01100,0000,1100PHARMACY 116536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116536,A000000,01300,0000,1300SOCIAL SERVICE 116536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116536,A000000,01500,0000,1350PATIENT ACTIVITIES 116536,A000000,01600,0000,1600SKILLED NURSING FACILITY 116536,A000000,01800,0000,1800NURSING FACILITY 116536,A000000,01810,0000,1810ICF/MR 116536,A000000,01900,0000,1900OTHER LONG TERM CARE 116536,A000000,02100,0000,2100RADIOLOGY 116536,A000000,02200,0000,2200LABORATORY 116536,A000000,02300,0000,2300INTRAVENOUS THERAPY 116536,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116536,A000000,02500,0000,2500PHYSICAL THERAPY 116536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116536,A000000,02700,0000,2700SPEECH PATHOLOGY 116536,A000000,02800,0000,2800ELECTROCARDIOLOGY 116536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116536,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116536,A000000,03200,0000,3200SUPPORT SURFACES 116536,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116536,A000000,03400,0000,3400CLINIC 116536,A000000,03500,0000,3500RURAL HEALTH CLINIC 116536,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116536,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116536,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116536,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116536,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116536,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116536,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116536,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116536,A000000,04400,0000,4400DME RENTED - HHA 116536,A000000,04500,0000,4500DME SOLD - HHA 116536,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116536,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116536,A000000,04800,0000,4800AMBULANCE 116536,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116536,A000000,05000,0000,5000CORF 116536,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116536,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116536,A000000,05300,0000,5300INTEREST EXPENSE 116536,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116536,A000000,05500,0000,5500HOSPICE 116536,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116536,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116536,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116536,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116536,A000000,06100,0000,6100NONPAID WORKERS 116536,A000000,06200,0000,6200PATIENTS LAUNDRY 116536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116536,A81000A,00100,0100,Y 116536,A81000B,00100,0300,RENTAL EXPENSE 116536,A81000B,00200,0300,COST OF OWN-REAL ESTATE TAXES 116536,A81000B,00300,0300,COST OF OWN-PROP. INSURANCE 116536,A81000B,00400,0300,COST OF OWN - INTEREST 116536,A81000B,00500,0300,COST OF OWN - DEPRECIATION 116536,A81000B,00600,0300,COST OF OWN - UTILITIES 116536,A81000C,00100,0100,B 116536,A81000C,00100,0200,MAURICE LABBE 116536,A81000C,00100,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00100,0600,REAL ESTATE LESSOR 116536,A81000C,00200,0100,B 116536,A81000C,00200,0200,MAURICE LABBE 116536,A81000C,00200,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00200,0600,REAL ESTATE LESSOR 116536,A81000C,00300,0100,B 116536,A81000C,00300,0200,MAURICE LABBE 116536,A81000C,00300,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00300,0600,REAL ESTATE LESSOR 116536,A81000C,00400,0100,B 116536,A81000C,00400,0200,MAURICE LABBE 116536,A81000C,00400,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00400,0600,REAL ESTATE LESSOR 116536,A81000C,00500,0100,B 116536,A81000C,00500,0200,MAURICE LABBE 116536,A81000C,00500,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00500,0600,REAL ESTATE LESSOR 116536,A81000C,00600,0100,B 116536,A81000C,00600,0200,MAURICE LABBE 116536,A81000C,00600,0400,RUSSELL PARK ASSOCIATES 116536,A81000C,00600,0600,REAL ESTATE LESSOR 116536,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116536,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116536,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116536,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116536,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116536,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116536,B100000,00000,0800,0800MEALS SERVED :DIETARY 116536,B100000,00000,0900,0900HOURS WORKED :NURSING ADMINISTR 116536,S000000,00100,0200,02/28/01 116536,S200000,00100,0100,158-178 RUSSELL STREET 116536,S200000,00200,0100,LEWISTON 116536,S200000,00200,0200,ME 116536,S200000,00200,0300,04240- 116536,S200000,00300,0100,ANDROSCOGGIN 116536,S200000,00300,0200,4243 116536,S200000,00300,0300,U 116536,S200000,00400,0100,RUSSELL PARK MANOR 116536,S200000,00400,0200,205052 116536,S200000,00400,0300,09/08/81 116536,S200000,00400,0500,P 116536,S200000,00400,0600,O 116536,S200000,01004,0500,O 116536,S200000,01500,0100,Y 116536,S200000,01600,0100,N 116536,S200000,01700,0100,N 116536,S200000,01800,0100,N 116536,S200000,02200,0100,Y 116536,S200000,02800,0100,N 116536,S200000,02900,0100,N 116536,S200000,03000,0100,N 116536,S200000,03100,0100,N 116536,S200000,03200,0100,N 116536,S200000,04100,0100,N 116536,S200000,04200,0100,N 116536,S200000,04300,0100,N 116536,S200000,04600,0100,N 116536,S200000,04700,0100,N 116536,S200000,04700,0200,N 116536,S200000,04900,0100,N 116536,S200000,05000,0100,N 116536,S200000,05100,0100,N 116536,S200000,05200,0100,N 116538,S000000,00100,0200,11/30/00 116538,S200000,00100,0100,587 N. DEER ISLE ROAD 116538,S200000,00200,0100,DEER ISLE 116538,S200000,00200,0200,ME 116538,S200000,00200,0300,04627 116538,S200000,00300,0100,HANCOCK 116538,S200000,00400,0100,ISLAND NURSING HOME 116538,S200000,00400,0300,11/07/91 116539,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116539,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116539,A000000,00300,0000,0300EMPLOYEE BENEFITS 116539,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116539,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116539,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116539,A000000,00700,0000,0700HOUSEKEEPING 116539,A000000,00800,0000,0800DIETARY 116539,A000000,00900,0000,0900NURSING ADMINISTRATION 116539,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116539,A000000,01100,0000,1100PHARMACY 116539,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116539,A000000,01300,0000,1300SOCIAL SERVICE 116539,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116539,A000000,01500,0000,1350PATIENT ACTIVITIES 116539,A000000,01600,0000,1600SKILLED NURSING FACILITY 116539,A000000,01800,0000,1800NURSING FACILITY 116539,A000000,01810,0000,1810ICF/MR 116539,A000000,01900,0000,1900OTHER LONG TERM CARE 116539,A000000,02100,0000,2100RADIOLOGY 116539,A000000,02200,0000,2200LABORATORY 116539,A000000,02300,0000,2300INTRAVENOUS THERAPY 116539,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116539,A000000,02500,0000,2500PHYSICAL THERAPY 116539,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116539,A000000,02700,0000,2700SPEECH PATHOLOGY 116539,A000000,02800,0000,2800ELECTROCARDIOLOGY 116539,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116539,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116539,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116539,A000000,03200,0000,3200SUPPORT SURFACES 116539,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116539,A000000,03400,0000,3400CLINIC 116539,A000000,03500,0000,3500RURAL HEALTH CLINIC 116539,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116539,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116539,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116539,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116539,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116539,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116539,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116539,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116539,A000000,04400,0000,4400DME RENTED - HHA 116539,A000000,04500,0000,4500DME SOLD - HHA 116539,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116539,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116539,A000000,04800,0000,4800AMBULANCE 116539,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116539,A000000,05000,0000,5000CORF 116539,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116539,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116539,A000000,05300,0000,5300INTEREST EXPENSE 116539,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116539,A000000,05500,0000,5500HOSPICE 116539,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116539,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116539,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116539,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116539,A000000,06100,0000,6100NONPAID WORKERS 116539,A000000,06200,0000,6200PATIENTS LAUNDRY 116539,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116539,A81000A,00100,0100,N 116539,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116539,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116539,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116539,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116539,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116539,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116539,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116539,B100000,00000,0800,0800MEALS SERVED :DIETARY 116539,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116539,B100000,00000,1300,1300ASSIGNED TIME :SOCIAL SERVICE 116539,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 116539,S000000,00100,0200,11/29/00 116539,S200000,00100,0100,1142 MAIN STREET 116539,S200000,00200,0100,SANFORD 116539,S200000,00200,0200,ME 116539,S200000,00200,0300,04073- 116539,S200000,00300,0100,YORK 116539,S200000,00300,0200,6403 116539,S200000,00300,0300,U 116539,S200000,00400,0100,GREENWWOOD NURSING CARE CENTER 116539,S200000,00400,0200,205082 116539,S200000,00400,0300,01/01/93 116539,S200000,00400,0500,P 116539,S200000,00400,0600,O 116539,S200000,00600,0200,205082 116539,S200000,00600,0300,07/01/75 116539,S200000,00600,0600,O 116539,S200000,01500,0100,N 116539,S200000,01600,0100,Y 116539,S200000,01700,0100,N 116539,S200000,01800,0100,N 116539,S200000,02200,0100,Y 116539,S200000,02800,0100,N 116539,S200000,02900,0100,N 116539,S200000,03000,0100,N 116539,S200000,03100,0100,N 116539,S200000,03200,0100,N 116539,S200000,04100,0100,N 116539,S200000,04200,0100,N 116539,S200000,04300,0100,N 116539,S200000,04600,0100,N 116539,S200000,04700,0100,N 116539,S200000,04700,0200,N 116539,S200000,04900,0100,N 116539,S200000,05000,0100,N 116539,S200000,05100,0100,N 116539,S200000,05200,0100,N 116540,S000000,00100,0200,11/29/00 116540,S200000,00100,0100,47 ELM STREET 116540,S200000,00200,0100,NORTH BERWICK 116540,S200000,00200,0200,ME 116540,S200000,00200,0300,03906 116540,S200000,00300,0100,YORK 116540,S200000,00400,0100,VARNEY CROSSING NRSG CARE 116540,S200000,00400,0300,01/01/93 116543,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116543,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116543,A000000,00300,0000,0300EMPLOYEE BENEFITS 116543,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116543,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116543,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116543,A000000,00700,0000,0700HOUSEKEEPING 116543,A000000,00800,0000,0800DIETARY 116543,A000000,00900,0000,0900NURSING ADMINISTRATION 116543,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116543,A000000,01100,0000,1100PHARMACY 116543,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116543,A000000,01300,0000,1300SOCIAL SERVICE 116543,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116543,A000000,01500,0000,1350PATIENT ACTIVITIES 116543,A000000,01600,0000,1600SKILLED NURSING FACILITY 116543,A000000,01800,0000,1800NURSING FACILITY 116543,A000000,01810,0000,1810ICF/MR 116543,A000000,01900,0000,1900OTHER LONG TERM CARE 116543,A000000,02100,0000,2100RADIOLOGY 116543,A000000,02200,0000,2200LABORATORY 116543,A000000,02300,0000,2300INTRAVENOUS THERAPY 116543,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116543,A000000,02500,0000,2500PHYSICAL THERAPY 116543,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116543,A000000,02700,0000,2700SPEECH PATHOLOGY 116543,A000000,02800,0000,2800ELECTROCARDIOLOGY 116543,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116543,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116543,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116543,A000000,03200,0000,3200SUPPORT SURFACES 116543,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116543,A000000,03400,0000,3400CLINIC 116543,A000000,03500,0000,3500RURAL HEALTH CLINIC 116543,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116543,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116543,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116543,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116543,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116543,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116543,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116543,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116543,A000000,04400,0000,4400DME RENTED - HHA 116543,A000000,04500,0000,4500DME SOLD - HHA 116543,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116543,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116543,A000000,04800,0000,4800AMBULANCE 116543,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116543,A000000,05000,0000,5000CORF 116543,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116543,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116543,A000000,05300,0000,5300INTEREST EXPENSE 116543,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116543,A000000,05500,0000,5500HOSPICE 116543,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116543,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116543,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116543,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116543,A000000,06100,0000,6100NONPAID WORKERS 116543,A000000,06200,0000,6200PATIENTS LAUNDRY 116543,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116543,A81000A,00100,0100,N 116543,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116543,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116543,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116543,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116543,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116543,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116543,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116543,B100000,00000,0800,0800MEALS SERVED :DIETARY 116543,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116543,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116543,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116543,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 116543,S000000,00100,0200,11/30/00 116543,S200000,00100,0100,CONY ROAD RR#7 BOX 901 116543,S200000,00200,0100,AUGUSTA 116543,S200000,00200,0200,ME 116543,S200000,00200,0300,04330- 116543,S200000,00300,0100,KENNEBEC 116543,S200000,00300,0200,20 116543,S200000,00300,0300,R 116543,S200000,00400,0100,MAINE VETERANS HOME AUGUSTA 116543,S200000,00400,0200,205126 116543,S200000,00400,0300,01/01/93 116543,S200000,00400,0500,P 116543,S200000,00600,0200,205126 116543,S200000,00600,0300,01/01/93 116543,S200000,00600,0600,O 116543,S200000,01500,0100,N 116543,S200000,01600,0100,Y 116543,S200000,01700,0100,N 116543,S200000,01800,0100,N 116543,S200000,02200,0100,N 116543,S200000,02800,0100,N 116543,S200000,02900,0100,N 116543,S200000,03000,0100,N 116543,S200000,03100,0100,N 116543,S200000,03200,0100,N 116543,S200000,04100,0100,N 116543,S200000,04200,0100,N 116543,S200000,04300,0100,N 116543,S200000,04600,0100,N 116543,S200000,04700,0100,N 116543,S200000,04700,0200,N 116543,S200000,04900,0100,N 116543,S200000,05000,0100,N 116543,S200000,05100,0100,N 116543,S200000,05200,0100,N 116544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116544,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116544,A000000,00300,0000,0300EMPLOYEE BENEFITS 116544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116544,A000000,00700,0000,0700HOUSEKEEPING 116544,A000000,00800,0000,0800DIETARY 116544,A000000,00900,0000,0900NURSING ADMINISTRATION 116544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116544,A000000,01100,0000,1100PHARMACY 116544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116544,A000000,01300,0000,1300SOCIAL SERVICE 116544,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116544,A000000,01500,0000,1350PATIENT ACTIVITIES 116544,A000000,01600,0000,1600SKILLED NURSING FACILITY 116544,A000000,01800,0000,1800NURSING FACILITY 116544,A000000,01810,0000,1810ICF/MR 116544,A000000,01900,0000,1900OTHER LONG TERM CARE 116544,A000000,02100,0000,2100RADIOLOGY 116544,A000000,02200,0000,2200LABORATORY 116544,A000000,02300,0000,2300INTRAVENOUS THERAPY 116544,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116544,A000000,02500,0000,2500PHYSICAL THERAPY 116544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116544,A000000,02700,0000,2700SPEECH PATHOLOGY 116544,A000000,02800,0000,2800ELECTROCARDIOLOGY 116544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116544,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116544,A000000,03200,0000,3200SUPPORT SURFACES 116544,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116544,A000000,03400,0000,3400CLINIC 116544,A000000,03500,0000,3500RURAL HEALTH CLINIC 116544,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116544,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116544,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116544,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116544,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116544,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116544,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116544,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116544,A000000,04400,0000,4400DME RENTED - HHA 116544,A000000,04500,0000,4500DME SOLD - HHA 116544,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116544,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116544,A000000,04800,0000,4800AMBULANCE 116544,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116544,A000000,05000,0000,5000CORF 116544,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116544,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116544,A000000,05300,0000,5300INTEREST EXPENSE 116544,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116544,A000000,05500,0000,5500HOSPICE 116544,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116544,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116544,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116544,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116544,A000000,06100,0000,6100NONPAID WORKERS 116544,A000000,06200,0000,6200PATIENTS LAUNDRY 116544,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116544,A81000A,00100,0100,N 116544,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116544,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116544,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116544,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116544,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116544,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 116544,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116544,B100000,00000,0800,0850PATIENT DAYS :DIETARY 116544,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116544,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 116544,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 116544,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 116544,S000000,00100,0200,11/30/00 116544,S200000,00100,0100,290 U.S. ROUTE #1 116544,S200000,00200,0100,SCARBOROUGH 116544,S200000,00200,0200,ME 116544,S200000,00200,0300,04074- 116544,S200000,00300,0100,CUMBERLAND 116544,S200000,00300,0200,6403 116544,S200000,00300,0300,U 116544,S200000,00400,0100,MAINE VETERANS HOME SCARBOROUGH 116544,S200000,00400,0200,205127 116544,S200000,00400,0300,01/01/93 116544,S200000,00400,0500,P 116544,S200000,00400,0600,O 116544,S200000,01500,0100,Y 116544,S200000,01600,0100,N 116544,S200000,01700,0100,N 116544,S200000,01800,0100,N 116544,S200000,02200,0100,N 116544,S200000,02800,0100,N 116544,S200000,02900,0100,N 116544,S200000,03000,0100,N 116544,S200000,03100,0100,N 116544,S200000,03200,0100,N 116544,S200000,04100,0100,N 116544,S200000,04200,0100,N 116544,S200000,04300,0100,N 116544,S200000,04600,0100,N 116544,S200000,04700,0100,N 116544,S200000,04700,0200,N 116544,S200000,04900,0100,N 116544,S200000,05000,0100,N 116544,S200000,05100,0100,N 116544,S200000,05200,0100,N 116545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116545,A000000,00201,0000,0201CAP REL COSTS - INTEREST 116545,A000000,00300,0000,0300EMPLOYEE BENEFITS 116545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116545,A000000,00700,0000,0700HOUSEKEEPING 116545,A000000,00800,0000,0800DIETARY 116545,A000000,00900,0000,0900NURSING ADMINISTRATION 116545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116545,A000000,01100,0000,1100PHARMACY 116545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116545,A000000,01300,0000,1300SOCIAL SERVICE 116545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116545,A000000,01600,0000,1600SKILLED NURSING FACILITY 116545,A000000,01800,0000,1800NURSING FACILITY 116545,A000000,01810,0000,1810ICF/MR 116545,A000000,01900,0000,1900OTHER LONG TERM CARE 116545,A000000,02100,0000,2100RADIOLOGY 116545,A000000,02200,0000,2200LABORATORY 116545,A000000,02300,0000,2300INTRAVENOUS THERAPY 116545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116545,A000000,02500,0000,2500PHYSICAL THERAPY 116545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116545,A000000,02700,0000,2700SPEECH PATHOLOGY 116545,A000000,02800,0000,2800ELECTROCARDIOLOGY 116545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116545,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116545,A000000,03200,0000,3200SUPPORT SURFACES 116545,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 116545,A000000,03400,0000,3400CLINIC 116545,A000000,03500,0000,3500RURAL HEALTH CLINIC 116545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116545,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116545,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116545,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116545,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116545,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116545,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116545,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116545,A000000,04400,0000,4400DME RENTED - HHA 116545,A000000,04500,0000,4500DME SOLD - HHA 116545,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116545,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116545,A000000,04800,0000,4800AMBULANCE 116545,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116545,A000000,05000,0000,5000CORF 116545,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116545,A000000,05300,0000,5300INTEREST EXPENSE 116545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116545,A000000,05500,0000,5500HOSPICE 116545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116545,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116545,A000000,06100,0000,6100NONPAID WORKERS 116545,A000000,06200,0000,6200PATIENTS LAUNDRY 116545,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116545,A81000A,00100,0100,Y 116545,A81000B,00100,0300,MANAGEMENT FEES 116545,A81000B,00200,0300,PHYSICAL THERAPY 116545,A81000B,00300,0300,OCCUPATIONAL THERAPY 116545,A81000B,00400,0300,SPEECH THERAPY 116545,A81000B,00500,0300,LAUNDRY SERVICES 116545,A81000C,00100,0100,B 116545,A81000C,00100,0200,MAINEGENERAL HE 116545,A81000C,00100,0400,MAINEGENERAL HE 116545,A81000C,00100,0600,PARENT 116545,A81000C,00200,0100,B 116545,A81000C,00200,0200,MAINEGENERAL ME 116545,A81000C,00200,0400,MAINEGENERAL ME 116545,A81000C,00200,0600,HOSPITAL 116545,A81000C,00300,0100,B 116545,A81000C,00300,0200,MAINEGENERAL ME 116545,A81000C,00300,0400,MAINEGENERAL ME 116545,A81000C,00300,0600,HOSPITAL 116545,A81000C,00400,0100,B 116545,A81000C,00400,0200,MAINEGENERAL ME 116545,A81000C,00400,0400,MAINEGENERAL ME 116545,A81000C,00400,0600,HOSPITAL 116545,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116545,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116545,B100000,00000,0201,0251SQUARE FEET :CAP REL COSTS - IN 116545,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116545,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116545,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116545,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116545,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 116545,B100000,00000,0800,0800MEALS SERVED :DIETARY 116545,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116545,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116545,S000000,00100,0200,02/27/01 116545,S200000,00100,0100,GLENRIDGE DRIVE 116545,S200000,00200,0100,AUGUSTA 116545,S200000,00200,0200,ME 116545,S200000,00200,0300,04330- 116545,S200000,00300,0100,KENNEBEC 116545,S200000,00300,0200,20 116545,S200000,00300,0300,R 116545,S200000,00400,0100,MAINGNL REHAB & NSG GLENRIDGE 116545,S200000,00400,0200,205139 116545,S200000,00400,0300,01/01/93 116545,S200000,00400,0500,P 116545,S200000,01500,0100,Y 116545,S200000,01600,0100,N 116545,S200000,01700,0100,N 116545,S200000,01800,0100,N 116545,S200000,01900,0100,OTHER (SPECIFY) 116545,S200000,02200,0100,N 116545,S200000,02800,0100,N 116545,S200000,02900,0100,N 116545,S200000,03000,0100,N 116545,S200000,03100,0100,N 116545,S200000,03200,0100,N 116545,S200000,04100,0100,N 116545,S200000,04200,0100,N 116545,S200000,04300,0100,N 116545,S200000,04600,0100,N 116545,S200000,04700,0100,N 116545,S200000,04700,0200,N 116545,S200000,04900,0100,N 116545,S200000,05000,0100,N 116545,S200000,05100,0100,N 116545,S200000,05200,0100,N 116547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116547,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116547,A000000,00300,0000,0300EMPLOYEE BENEFITS 116547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116547,A000000,00700,0000,0700HOUSEKEEPING 116547,A000000,00800,0000,0800DIETARY 116547,A000000,00900,0000,0900NURSING ADMINISTRATION 116547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116547,A000000,01100,0000,1100PHARMACY 116547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116547,A000000,01300,0000,1300SOCIAL SERVICE 116547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116547,A000000,01500,0000,1350PATIENT ACTIVITIES 116547,A000000,01600,0000,1600SKILLED NURSING FACILITY 116547,A000000,01800,0000,1800NURSING FACILITY 116547,A000000,01810,0000,1810ICF/MR 116547,A000000,01900,0000,1900OTHER LONG TERM CARE 116547,A000000,02100,0000,2100RADIOLOGY 116547,A000000,02200,0000,2200LABORATORY 116547,A000000,02300,0000,2300INTRAVENOUS THERAPY 116547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116547,A000000,02500,0000,2500PHYSICAL THERAPY 116547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116547,A000000,02700,0000,2700SPEECH PATHOLOGY 116547,A000000,02800,0000,2800ELECTROCARDIOLOGY 116547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116547,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116547,A000000,03200,0000,3200SUPPORT SURFACES 116547,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116547,A000000,03400,0000,3400CLINIC 116547,A000000,03500,0000,3500RURAL HEALTH CLINIC 116547,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116547,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116547,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116547,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116547,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116547,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116547,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116547,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116547,A000000,04400,0000,4400DME RENTED - HHA 116547,A000000,04500,0000,4500DME SOLD - HHA 116547,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116547,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116547,A000000,04800,0000,4800AMBULANCE 116547,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116547,A000000,05000,0000,5000CORF 116547,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116547,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116547,A000000,05300,0000,5300INTEREST EXPENSE 116547,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116547,A000000,05500,0000,5500HOSPICE 116547,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116547,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116547,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116547,A000000,06100,0000,6100NONPAID WORKERS 116547,A000000,06200,0000,6200PATIENTS LAUNDRY 116547,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116547,A81000A,00100,0100,N 116547,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116547,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116547,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116547,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116547,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116547,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 116547,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116547,B100000,00000,0800,0850PATIENT DAYS :DIETARY 116547,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116547,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 116547,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 116547,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 116547,S000000,00100,0200,11/30/00 116547,S200000,00100,0100,163 VAN BUREN ROAD SUITE #2 116547,S200000,00200,0100,CARIBOU 116547,S200000,00200,0200,ME 116547,S200000,00200,0300,04736- 116547,S200000,00300,0100,AROOSTOCK 116547,S200000,00300,0200,20 116547,S200000,00300,0300,R 116547,S200000,00400,0100,MAINE VETERANS HOME CARIBOU 116547,S200000,00400,0200,205151 116547,S200000,00400,0300,07/01/94 116547,S200000,00400,0500,P 116547,S200000,00400,0600,O 116547,S200000,01500,0100,Y 116547,S200000,01600,0100,N 116547,S200000,01700,0100,N 116547,S200000,01800,0100,N 116547,S200000,02200,0100,N 116547,S200000,02800,0100,N 116547,S200000,02900,0100,N 116547,S200000,03000,0100,N 116547,S200000,03100,0100,N 116547,S200000,03200,0100,N 116547,S200000,04100,0100,N 116547,S200000,04200,0100,N 116547,S200000,04300,0100,N 116547,S200000,04600,0100,N 116547,S200000,04700,0100,N 116547,S200000,04700,0200,N 116547,S200000,04900,0100,N 116547,S200000,05000,0100,N 116547,S200000,05100,0100,N 116547,S200000,05200,0100,N 116548,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116548,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116548,A000000,00300,0000,0300EMPLOYEE BENEFITS 116548,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116548,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116548,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116548,A000000,00700,0000,0700HOUSEKEEPING 116548,A000000,00800,0000,0800DIETARY 116548,A000000,00900,0000,0900NURSING ADMINISTRATION 116548,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116548,A000000,01100,0000,1100PHARMACY 116548,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116548,A000000,01300,0000,1300SOCIAL SERVICE 116548,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116548,A000000,01500,0000,1350PATIENT ACTIVITIES 116548,A000000,01600,0000,1600SKILLED NURSING FACILITY 116548,A000000,01800,0000,1800NURSING FACILITY 116548,A000000,01810,0000,1810ICF/MR 116548,A000000,01900,0000,1900OTHER LONG TERM CARE 116548,A000000,02100,0000,2100RADIOLOGY 116548,A000000,02200,0000,2200LABORATORY 116548,A000000,02300,0000,2300INTRAVENOUS THERAPY 116548,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116548,A000000,02500,0000,2500PHYSICAL THERAPY 116548,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116548,A000000,02700,0000,2700SPEECH PATHOLOGY 116548,A000000,02800,0000,2800ELECTROCARDIOLOGY 116548,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116548,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116548,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116548,A000000,03200,0000,3200SUPPORT SURFACES 116548,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116548,A000000,03400,0000,3400CLINIC 116548,A000000,03500,0000,3500RURAL HEALTH CLINIC 116548,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116548,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116548,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116548,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116548,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116548,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116548,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116548,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116548,A000000,04400,0000,4400DME RENTED - HHA 116548,A000000,04500,0000,4500DME SOLD - HHA 116548,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116548,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116548,A000000,04800,0000,4800AMBULANCE 116548,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116548,A000000,05000,0000,5000CORF 116548,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116548,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116548,A000000,05300,0000,5300INTEREST EXPENSE 116548,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116548,A000000,05500,0000,5500HOSPICE 116548,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116548,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116548,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116548,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116548,A000000,06100,0000,6100NONPAID WORKERS 116548,A000000,06200,0000,6200PATIENTS LAUNDRY 116548,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116548,A81000A,00100,0100,N 116548,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116548,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116548,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116548,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116548,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116548,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116548,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116548,B100000,00000,0800,0800MEALS SERVED :DIETARY 116548,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116548,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116548,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116548,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 116548,S000000,00100,0200,11/30/00 116548,S200000,00100,0100,477 HIGH STREET 116548,S200000,00200,0100,SO. PARIS 116548,S200000,00200,0200,ME 116548,S200000,00200,0300,04281- 116548,S200000,00300,0100,OXFORD 116548,S200000,00300,0200,20 116548,S200000,00300,0300,R 116548,S200000,00400,0100,MAINE VETERANS HOME SO. PARIS 116548,S200000,00400,0200,205184 116548,S200000,00400,0300,07/26/95 116548,S200000,00400,0500,P 116548,S200000,00600,0200,205184 116548,S200000,00600,0300,07/26/95 116548,S200000,00600,0600,O 116548,S200000,01500,0100,N 116548,S200000,01600,0100,Y 116548,S200000,01700,0100,N 116548,S200000,01800,0100,N 116548,S200000,02200,0100,N 116548,S200000,02800,0100,N 116548,S200000,02900,0100,N 116548,S200000,03000,0100,N 116548,S200000,03100,0100,N 116548,S200000,03200,0100,N 116548,S200000,04100,0100,N 116548,S200000,04200,0100,N 116548,S200000,04300,0100,N 116548,S200000,04600,0100,N 116548,S200000,04700,0100,N 116548,S200000,04700,0200,N 116548,S200000,04900,0100,N 116548,S200000,05000,0100,N 116548,S200000,05100,0100,N 116548,S200000,05200,0100,N 116549,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116549,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116549,A000000,00300,0000,0300EMPLOYEE BENEFITS 116549,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116549,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116549,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116549,A000000,00700,0000,0700HOUSEKEEPING 116549,A000000,00800,0000,0800DIETARY 116549,A000000,00900,0000,0900NURSING ADMINISTRATION 116549,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116549,A000000,01100,0000,1100PHARMACY 116549,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116549,A000000,01300,0000,1300SOCIAL SERVICE 116549,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116549,A000000,01500,0000,1350PATIENT ACTIVITIES 116549,A000000,01600,0000,1600SKILLED NURSING FACILITY 116549,A000000,01800,0000,1800NURSING FACILITY 116549,A000000,01810,0000,1810ICF/MR 116549,A000000,01900,0000,1900OTHER LONG TERM CARE 116549,A000000,02100,0000,2100RADIOLOGY 116549,A000000,02200,0000,2200LABORATORY 116549,A000000,02300,0000,2300INTRAVENOUS THERAPY 116549,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116549,A000000,02500,0000,2500PHYSICAL THERAPY 116549,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116549,A000000,02700,0000,2700SPEECH PATHOLOGY 116549,A000000,02800,0000,2800ELECTROCARDIOLOGY 116549,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116549,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116549,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116549,A000000,03200,0000,3200SUPPORT SURFACES 116549,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116549,A000000,03400,0000,3400CLINIC 116549,A000000,03500,0000,3500RURAL HEALTH CLINIC 116549,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116549,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116549,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116549,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116549,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116549,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116549,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116549,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116549,A000000,04400,0000,4400DME RENTED - HHA 116549,A000000,04500,0000,4500DME SOLD - HHA 116549,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116549,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116549,A000000,04800,0000,4800AMBULANCE 116549,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116549,A000000,05000,0000,5000CORF 116549,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116549,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116549,A000000,05300,0000,5300INTEREST EXPENSE 116549,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116549,A000000,05500,0000,5500HOSPICE 116549,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116549,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116549,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116549,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116549,A000000,06100,0000,6100NONPAID WORKERS 116549,A000000,06200,0000,6200PATIENTS LAUNDRY 116549,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116549,A81000A,00100,0100,N 116549,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116549,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116549,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 116549,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116549,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116549,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116549,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 116549,B100000,00000,0800,0800MEALS SERVED :DIETARY 116549,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 116549,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116549,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116549,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 116549,S000000,00100,0200,11/30/00 116549,S200000,00100,0100,44 HOGAN ROAD 116549,S200000,00200,0100,BANGOR 116549,S200000,00200,0200,ME 116549,S200000,00200,0300,04401- 116549,S200000,00300,0100,PENOBSCOT 116549,S200000,00300,0200,0733 116549,S200000,00300,0300,U 116549,S200000,00400,0100,MAINE VETERANS HOME BANGOR 116549,S200000,00400,0200,205185 116549,S200000,00400,0300,10/02/95 116549,S200000,00400,0500,P 116549,S200000,00600,0200,205185 116549,S200000,00600,0300,10/02/95 116549,S200000,00600,0600,O 116549,S200000,01500,0100,N 116549,S200000,01600,0100,Y 116549,S200000,01700,0100,N 116549,S200000,01800,0100,N 116549,S200000,02200,0100,N 116549,S200000,02800,0100,N 116549,S200000,02900,0100,N 116549,S200000,03000,0100,N 116549,S200000,03100,0100,N 116549,S200000,03200,0100,N 116549,S200000,04100,0100,N 116549,S200000,04200,0100,N 116549,S200000,04300,0100,N 116549,S200000,04600,0100,N 116549,S200000,04700,0100,N 116549,S200000,04700,0200,N 116549,S200000,04900,0100,N 116549,S200000,05000,0100,N 116549,S200000,05100,0100,N 116549,S200000,05200,0100,N 116558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116558,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 116558,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116558,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 116558,A000000,00300,0000,0300EMPLOYEE BENEFITS 116558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116558,A000000,00700,0000,0700HOUSEKEEPING 116558,A000000,00800,0000,0800DIETARY 116558,A000000,00801,0000,0801CAFETERIA 116558,A000000,00900,0000,0900NURSING ADMINISTRATION 116558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116558,A000000,01100,0000,1100PHARMACY 116558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116558,A000000,01300,0000,1300SOCIAL SERVICE 116558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116558,A000000,01500,0000,1350ACTIVITIES 116558,A000000,01600,0000,1600SKILLED NURSING FACILITY 116558,A000000,01810,0000,1810ICF/MR 116558,A000000,02100,0000,2100RADIOLOGY 116558,A000000,02200,0000,2200LABORATORY 116558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116558,A000000,02500,0000,2500PHYSICAL THERAPY 116558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116558,A000000,02700,0000,2700SPEECH PATHOLOGY 116558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116558,A000000,03300,0000,3050OTHER ANCILLARY 116558,A000000,03301,0000,3051OTHER ANCILLARY II 116558,A000000,03302,0000,3052OTHER ANCILLARY III 116558,A000000,03550,0000,3550FQHC 116558,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 116558,A000000,05000,0000,5000CORF I 116558,A000000,05010,0000,5010CMHC I 116558,A000000,05020,0000,5020OPT I 116558,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116558,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116558,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116558,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116558,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 116558,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 116558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116558,A81000A,00100,0100,N 116558,B100000,00000,0100,0100(SQUARE FEET) 116558,B100000,00000,0101,0101(SQUARE FEET) 116558,B100000,00000,0200,0200(SQUARE FEET) 116558,B100000,00000,0201,0201(SQUARE FEET) 116558,B100000,00000,0300,0300(GROSS SALARIES) 116558,B100000,00000,0400,0400(ACCUM. COST) 116558,B100000,00000,0500,0500(SQUARE FEET) 116558,B100000,00000,0600,0600(PATIENT DAYS) 116558,B100000,00000,0700,0700(SQUARE FEET) 116558,B100000,00000,0800,0800(MEALS SERVED) 116558,B100000,00000,0801,0801(MEALS SERVED) 116558,B100000,00000,0900,0900(PATIENT DAYS) 116558,B100000,00000,1000,1000(PATIENT DAYS) 116558,B100000,00000,1100,1100(PATIENT DAYS) 116558,B100000,00000,1200,1200(PATIENT DAYS) 116558,B100000,00000,1300,1300(PATIENT DAYS) 116558,B100000,00000,1400,1400(ASSIGNED TIME) 116558,B100000,00000,1500,1350(PATIENT DAYS) 116558,S000000,00100,0200,10/02/00 116558,S200000,00100,0100,2612 CUCHARRAS 116558,S200000,00200,0100,COLORADO SPRINGS 116558,S200000,00200,0200,CO 116558,S200000,00200,0300,80904 116558,S200000,00300,0100,EL PASO 116558,S200000,00400,0100,MOUNTAIN VIEW CARE CENTER 116558,S200000,00400,0200,065152 116558,S200000,00400,0300,08/01/79 116558,S200000,00400,0500,P 116558,S200000,01500,0100,Y 116558,S200000,01600,0100,N 116558,S200000,01700,0100,N 116558,S200000,01800,0100,N 116558,S200000,02200,0100,N 116558,S200000,02800,0100,N 116558,S200000,02900,0100,N 116558,S200000,03000,0100,N 116558,S200000,03100,0100,N 116558,S200000,03200,0100,N 116558,S200000,03300,0100,N 116558,S200000,03300,0200,N 116558,S200000,04100,0100,N 116558,S200000,04200,0100,N 116558,S200000,04300,0100,Y 116558,S200000,04600,0100,N 116558,S200000,04700,0100,N 116558,S200000,04900,0100,N 116563,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116563,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 116563,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116563,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 116563,A000000,00300,0000,0300EMPLOYEE BENEFITS 116563,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116563,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116563,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116563,A000000,00700,0000,0700HOUSEKEEPING 116563,A000000,00800,0000,0800DIETARY 116563,A000000,00801,0000,0801CAFETERIA 116563,A000000,00900,0000,0900NURSING ADMINISTRATION 116563,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116563,A000000,01100,0000,1100PHARMACY 116563,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116563,A000000,01300,0000,1300SOCIAL SERVICE 116563,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116563,A000000,01500,0000,1350ACTIVITIES 116563,A000000,01600,0000,1600SKILLED NURSING FACILITY 116563,A000000,01800,0000,1800NURSING FACILITY 116563,A000000,01810,0000,1810ICF/MR 116563,A000000,02100,0000,2100RADIOLOGY 116563,A000000,02200,0000,2200LABORATORY 116563,A000000,02500,0000,2500PHYSICAL THERAPY 116563,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116563,A000000,02700,0000,2700SPEECH PATHOLOGY 116563,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116563,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116563,A000000,03300,0000,3050OXYGEN 116563,A000000,03301,0000,3051OTHER ANCILLARY II 116563,A000000,03302,0000,3052OTHER ANCILLARY III 116563,A000000,03550,0000,3550FQHC 116563,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 116563,A000000,05000,0000,5000CORF I 116563,A000000,05010,0000,5010CMHC I 116563,A000000,05020,0000,5020OPT I 116563,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116563,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116563,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116563,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116563,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 116563,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 116563,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116563,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116563,A81000A,00100,0100,Y 116563,A81000B,00100,0300,RENT EXPENSE 116563,A81000B,00200,0300,NEW DEPREC. EXP 116563,A81000B,00300,0300,DEPRECIATION EXP 116563,A81000B,00400,0300,NEW INTEREST EXP 116563,A81000B,00500,0300,INTEREST EXPENSE 116563,A81000B,00600,0300,PROFESS ACCTG FEES 116563,A81000B,00700,0300,DEPREC. - EQUIPMENT 116563,A81000C,00100,0100,A 116563,A81000C,00100,0200,CHALINA BENET 116563,A81000C,00100,0400,HOLLY HTS ASSC. 116563,A81000C,00100,0600,BUILDING OWNER 116563,A81000C,00200,0100,A 116563,A81000C,00200,0200,LEIZOR ROSEN 116563,A81000C,00200,0400,HOLLY HTS ASSC. 116563,A81000C,00200,0600,BUILDING OWNER 116563,A81000C,00300,0100,A 116563,A81000C,00300,0200,ESTER POLLACK 116563,A81000C,00300,0400,HOLLY HTS ASSC. 116563,A81000C,00300,0600,BUILDING OWNER 116563,A81000C,00400,0100,A 116563,A81000C,00400,0200,SAM CARSON 116563,A81000C,00400,0400,HOLLY HTS ASSC. 116563,A81000C,00400,0600,BUILDING OWNER 116563,B100000,00000,0100,0100(SQUARE FEET) 116563,B100000,00000,0101,0101(SQUARE FEET) 116563,B100000,00000,0200,0200(SQUARE FEET) 116563,B100000,00000,0201,0201(SQUARE FEET) 116563,B100000,00000,0300,0300(GROSS SALARIES) 116563,B100000,00000,0400,0400(ACCUM. COST) 116563,B100000,00000,0500,0500(SQUARE FEET) 116563,B100000,00000,0600,0600(PATIENT DAYS) 116563,B100000,00000,0700,0700(SQUARE FEET) 116563,B100000,00000,0800,0800(MEALS SERVED) 116563,B100000,00000,0801,0801(MEALS SERVED) 116563,B100000,00000,0900,0900(NURSING SALARIES) 116563,B100000,00000,1000,1000(PATIENT DAYS) 116563,B100000,00000,1100,1100(PATIENT DAYS) 116563,B100000,00000,1200,1200(GROSS CHARGES) 116563,B100000,00000,1300,1300(PATIENT DAYS) 116563,B100000,00000,1400,1400(ASSIGNED TIME) 116563,B100000,00000,1500,1350(PATIENT DAYS) 116563,S000000,00100,0200,05/22/00 116563,S200000,00100,0100,6000 E. ILIFF 116563,S200000,00200,0100,DENVER 116563,S200000,00200,0200,CO 116563,S200000,00200,0300,80222 116563,S200000,00300,0100,DENVER 116563,S200000,00400,0100,HOLLY HEIGHTS NURSING HOME INC. 116563,S200000,00400,0200,065124 116563,S200000,00400,0300,10/01/74 116563,S200000,00400,0500,P 116563,S200000,01500,0100,N 116563,S200000,01600,0100,Y 116563,S200000,01700,0100,N 116563,S200000,01800,0100,N 116563,S200000,02200,0100,N 116563,S200000,02800,0100,N 116563,S200000,02900,0100,N 116563,S200000,03000,0100,N 116563,S200000,03100,0100,N 116563,S200000,03200,0100,N 116563,S200000,03300,0100,N 116563,S200000,03300,0200,N 116563,S200000,04100,0100,N 116563,S200000,04200,0100,N 116563,S200000,04300,0100,Y 116563,S200000,04600,0100,N 116563,S200000,04700,0100,N 116563,S200000,04900,0100,N 116591,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116591,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116591,A000000,00300,0000,0300EMPLOYEE BENEFITS 116591,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116591,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116591,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116591,A000000,00700,0000,0700HOUSEKEEPING 116591,A000000,00800,0000,0800DIETARY 116591,A000000,00900,0000,0900NURSING ADMINISTRATION 116591,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116591,A000000,01100,0000,1100PHARMACY 116591,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116591,A000000,01300,0000,1300SOCIAL SERVICE 116591,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116591,A000000,01500,0000,1350OTHER GENERAL SERVICES 116591,A000000,01600,0000,1600SKILLED NURSING FACILITY 116591,A000000,01800,0000,1800NURSING FACILITY 116591,A000000,01810,0000,1810ICF/MR 116591,A000000,01900,0000,1900OTHER LONG TERM CARE 116591,A000000,02100,0000,2100RADIOLOGY 116591,A000000,02200,0000,2200LABORATORY 116591,A000000,02300,0000,2300INTRAVENOUS THERAPY 116591,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116591,A000000,02500,0000,2500PHYSICAL THERAPY 116591,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116591,A000000,02700,0000,2700SPEECH PATHOLOGY 116591,A000000,02800,0000,2800ELECTROCARDIOLOGY 116591,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116591,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116591,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116591,A000000,03200,0000,3200SUPPORT SURFACES 116591,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116591,A000000,03400,0000,3400CLINIC 116591,A000000,03500,0000,3500RURAL HEALTH CLINIC 116591,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116591,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116591,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116591,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116591,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116591,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116591,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116591,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116591,A000000,04400,0000,4400DME RENTED - HHA 116591,A000000,04500,0000,4500DME SOLD - HHA 116591,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116591,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116591,A000000,04800,0000,4800AMBULANCE 116591,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116591,A000000,05000,0000,5000CORF 116591,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116591,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116591,A000000,05300,0000,5300INTEREST EXPENSE 116591,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116591,A000000,05500,0000,5500HOSPICE 116591,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116591,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116591,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116591,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116591,A000000,06100,0000,6100NONPAID WORKERS 116591,A000000,06200,0000,6200PATIENTS LAUNDRY 116591,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116591,A81000A,00100,0100,Y 116591,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 116591,A81000B,00200,0300,UNEMPLOYMENT INS 116591,A81000B,00300,0300,WORKERS COMP 116591,A81000B,00400,0300,PROPERTY/LIABILITY INS 116591,A81000B,00500,0300,VEHICLE INS 116591,A81000B,00600,0300,MEDICAL SUPPLIES 116591,A81000B,00700,0300,DISPOSABLE BRIEFS 116591,A81000B,00800,0300,DIETARY SUPPLIES 116591,A81000C,00100,0100,B 116591,A81000C,00100,0400,GOOD SAMARITAN 116591,A81000C,00100,0600,HEALTHCARE 116591,A81000C,00200,0100,B 116591,A81000C,00200,0400,OMNICARE PHARMA 116591,A81000C,00200,0600,MEDICAL/DRUGS 116591,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 116591,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 116591,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116591,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116591,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 116591,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116591,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 116591,B100000,00000,0800,0800MEALS SERVED DIETARY 116591,B100000,00000,0900,0900PRODUCTIVEHO NURSING ADMINISTRAT 116591,B100000,00000,1000,1000COSTED ACQUITIONS CENTRAL SER 116591,B100000,00000,1100,1100COSTED ACQUITIONS PHARMACY 116591,B100000,00000,1200,1200GROSS REVENUES MEDICAL RECOR 116591,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116591,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116591,B100000,00000,1500,1500NO STATISTICS OTHER GENER 116591,E10A180,00501,0100,12/05/00 116591,E10A180,00550,0300,12/05/00 116591,S000000,00100,0200,11/06/00 116591,S200000,00100,0100,603 1ST N 116591,S200000,00200,0100,NEW TOWN 116591,S200000,00200,0200,ND 116591,S200000,00200,0300,58763-0818 116591,S200000,00300,0100,MOUNTRAIL 116591,S200000,00400,0100,NEW TOWN GOOD SAMARITAN CENTER 116591,S200000,00400,0200,355055 116591,S200000,00400,0300,06/01/78 116591,S200000,00400,0500,P 116591,S200000,00400,0600,N 116591,S200000,00600,0600,N 116591,S200000,00601,0600,N 116591,S200000,00800,0500,N 116591,S200000,00800,0600,N 116591,S200000,01000,0500,N 116591,S200000,01000,0600,N 116591,S200000,01100,0500,N 116591,S200000,01100,0600,N 116591,S200000,01500,0100,Y 116591,S200000,01600,0100,N 116591,S200000,01700,0100,N 116591,S200000,01800,0100,N 116591,S200000,02200,0100,N 116591,S200000,02800,0100,N 116591,S200000,02900,0100,N 116591,S200000,03000,0100,N 116591,S200000,03100,0100,N 116591,S200000,03200,0100,N 116591,S200000,03300,0100,N 116591,S200000,03300,0200,N 116591,S200000,03500,0300,N 116591,S200000,03501,0300,N 116591,S200000,03600,0100,N 116591,S200000,03600,0200,N 116591,S200000,03700,0100,N 116591,S200000,03700,0200,N 116591,S200000,03900,0200,N 116591,S200000,04000,0200,N 116591,S200000,04100,0100,N 116591,S200000,04200,0100,N 116591,S200000,04300,0100,N 116591,S200000,04600,0100,N 116591,S200000,04700,0100,N 116591,S200000,04700,0200,N 116591,S200000,04900,0100,N 116591,S700003,00000,0200,X 116607,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116607,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116607,A000000,00300,0000,0300EMPLOYEE BENEFITS 116607,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116607,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116607,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116607,A000000,00700,0000,0700HOUSEKEEPING 116607,A000000,00800,0000,0800DIETARY 116607,A000000,00900,0000,0900NURSING ADMINISTRATION 116607,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116607,A000000,01100,0000,1100PHARMACY 116607,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116607,A000000,01300,0000,1300SOCIAL SERVICE 116607,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116607,A000000,01600,0000,1600SKILLED NURSING FACILITY 116607,A000000,01800,0000,1800NURSING FACILITY 116607,A000000,01810,0000,1810ICF/MR 116607,A000000,02100,0000,2100RADIOLOGY 116607,A000000,02200,0000,2200LABORATORY 116607,A000000,02500,0000,2500PHYSICAL THERAPY 116607,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116607,A000000,02700,0000,2700SPEECH PATHOLOGY 116607,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116607,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116607,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116607,A000000,03550,0000,3550FQHC 116607,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 116607,A000000,05000,0000,5000CORF 116607,A000000,05010,0000,5010CMHC 116607,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116607,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116607,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116607,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116607,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116607,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116607,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116607,A81000A,00100,0100,Y 116607,A81000B,00100,0300,DEPRECIATION EXPENSE 116607,A81000B,00200,0300,BUILDING RENT 116607,A81000B,00300,0300,BUILDING RENT 116607,A81000C,00100,0100,B 116607,A81000C,00100,0400,BRETHREN HOME 116607,A81000C,00100,0600,INVEST FUND 116607,B100000,00000,0100,0100SQUARE FEET 116607,B100000,00000,0200,0200SQUARE FEET 116607,B100000,00000,0300,0300GROSS SALARIES 116607,B100000,00000,0400,0400ACCUM COST 116607,B100000,00000,0500,0500SQUARE FEET 116607,B100000,00000,0600,0600PATIENT DAYS 116607,B100000,00000,0700,0700SQUARE FEET 116607,B100000,00000,0800,0800MEALS SERVED 116607,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116607,B100000,00000,1000,1000PATIENT DAYS 116607,B100000,00000,1100,1100COSTED REQUISITIO 116607,B100000,00000,1200,1200PATIENT DAYS 116607,B100000,00000,1300,1300PATIENT DAYS 116607,B100000,00000,1400,1400ASSIGNED TIME 116607,E10A180,00501,0100,10/23/01 116607,E10A180,00550,0300,12/01/00 116607,S000000,00100,0200,12/01/00 116607,S200000,00100,0100,414 SOUTH WESLEY 116607,S200000,00200,0100,MOUNT MORRIS 116607,S200000,00200,0200,ILLINOIS 116607,S200000,00200,0300,61054 116607,S200000,00300,0100,O 116607,S200000,00300,0200,6880 116607,S200000,00300,0300,U 116607,S200000,00400,0100,PINECREST MANOR 116607,S200000,00400,0200,145024 116607,S200000,00400,0300,01/01/67 116607,S200000,00400,0500,P 116607,S200000,01500,0100,N 116607,S200000,01600,0100,Y 116607,S200000,01700,0100,N 116607,S200000,01800,0100,N 116607,S200000,02200,0100,N 116607,S200000,02800,0100,N 116607,S200000,02900,0100,N 116607,S200000,03000,0100,N 116607,S200000,03100,0100,N 116607,S200000,03200,0100,N 116607,S200000,03300,0100,N 116607,S200000,03300,0200,N 116607,S200000,04100,0100,N 116607,S200000,04200,0100,N 116607,S200000,04300,0100,N 116607,S200000,04600,0100,N 116607,S200000,04700,0100,N 116607,S200000,04900,0100,N 116656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116656,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116656,A000000,00300,0000,0300EMPLOYEE BENEFITS 116656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116656,A000000,00700,0000,0700HOUSEKEEPING 116656,A000000,00800,0000,0800DIETARY 116656,A000000,00900,0000,0900NURSING ADMINISTRATION 116656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116656,A000000,01100,0000,1100PHARMACY 116656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116656,A000000,01300,0000,1300SOCIAL SERVICE 116656,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116656,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 116656,A000000,01600,0000,1600SKILLED NURSING FACILITY 116656,A000000,01810,0000,1810ICF/MR 116656,A000000,02100,0000,2100RADIOLOGY 116656,A000000,02200,0000,2200LABORATORY 116656,A000000,02500,0000,2500PHYSICAL THERAPY 116656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116656,A000000,02700,0000,2700SPEECH PATHOLOGY 116656,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116656,A000000,03200,0000,3200SUPPORT SURFACES 116656,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 116656,A000000,03550,0000,3550FQHC 116656,A000000,05000,0000,5000CORF 116656,A000000,05010,0000,5010CMHC 116656,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116656,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116656,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116656,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116656,A81000A,00100,0100,Y 116656,A81000B,00100,0300,MGT FEE/HOME OFFICE 116656,A81000B,00200,0300,PHYSICAL THERAPY 116656,A81000B,00300,0300,OCCUPATIONAL THERAPY 116656,A81000B,00400,0300,SPEECH THERAPY 116656,A81000B,00500,0300,MEDICAL SUPPLIES 116656,A81000B,00600,0300,MEDICAL SUPPLIES 116656,A81000C,00100,0100,B 116656,A81000C,00100,0200,FOUNTAIN VIEW INC. 116656,A81000C,00100,0400,LUBBOCK HOSPITALITY HOUSE 116656,A81000C,00100,0600,MANAGEMENT 116656,A81000C,00200,0100,B 116656,A81000C,00200,0200,FOUNTAIN VIEW INC 116656,A81000C,00200,0400,LOCOMOTION THERAPY INC 116656,A81000C,00200,0600,THERAPY COMPANY 116656,A81000C,00300,0100,B 116656,A81000C,00300,0200,FOUNTAIN VIEW INC 116656,A81000C,00300,0400,SKILLED CARE PHARMACY 116656,A81000C,00300,0600,INST. PHARM. 116656,A81000C,00400,0100,B 116656,A81000C,00400,0200,FOUNTAIN VIEW INC 116656,A81000C,00400,0400,I N O 116656,A81000C,00400,0600,SUPPLIER 116656,B100000,00000,0100,0100SQUARE FEET 116656,B100000,00000,0200,0200SQUARE FEET 116656,B100000,00000,0300,0300GROSS SALARY 116656,B100000,00000,0400,0400ACCUM. COST 116656,B100000,00000,0500,0500SQUARE FEET 116656,B100000,00000,0600,0600PATIENT DAYS 116656,B100000,00000,0700,0700SQUARE FEET 116656,B100000,00000,0800,0800MEALS SERVED 116656,B100000,00000,0900,0900NURSING HOURS 116656,B100000,00000,1000,1000COSTED REQUIS 116656,B100000,00000,1100,1100COSTED REQUIS 116656,B100000,00000,1200,1200GROSS REVENUE 116656,B100000,00000,1300,1300PATIENT DAYS 116656,B100000,00000,1400,1400ASSIGNED TIME 116656,B100000,00000,1500,1350PATIENT DAYS 116656,E10A180,00501,0100,02/08/01 116656,E10A180,00550,0300,02/08/01 116656,S000000,00100,0200,01/22/01 116656,S200000,00100,0100,4710 SLIDE ROAD 116656,S200000,00200,0100,LUBBOCK 116656,S200000,00200,0200,TX 116656,S200000,00200,0300,79414 116656,S200000,00300,0100,L 116656,S200000,00300,0200,4600 116656,S200000,00300,0300,U 116656,S200000,00400,0100,LUBBOCK HOSPITALITY HOUSE 116656,S200000,00400,0200,455940 116656,S200000,00400,0300,07/01/91 116656,S200000,00400,0500,P 116656,S200000,01500,0100,N 116656,S200000,01600,0100,N 116656,S200000,01700,0100,N 116656,S200000,01800,0100,N 116656,S200000,02200,0100,N 116656,S200000,02800,0100,N 116656,S200000,02900,0100,N 116656,S200000,03000,0100,N 116656,S200000,03100,0100,N 116656,S200000,03200,0100,N 116656,S200000,03300,0100,N 116656,S200000,03300,0200,N 116656,S200000,04100,0100,N 116656,S200000,04200,0100,N 116656,S200000,04300,0100,N 116656,S200000,04600,0100,N 116656,S200000,04700,0100,N 116656,S200000,04700,0200,N 116656,S200000,04900,0100,N 116657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116657,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116657,A000000,00300,0000,0300EMPLOYEE BENEFITS 116657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116657,A000000,00700,0000,0700HOUSEKEEPING 116657,A000000,00800,0000,0800DIETARY 116657,A000000,00900,0000,0900NURSING ADMINISTRATION 116657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116657,A000000,01100,0000,1100PHARMACY 116657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116657,A000000,01300,0000,1300SOCIAL SERVICE 116657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116657,A000000,01600,0000,1600SKILLED NURSING FACILITY 116657,A000000,01810,0000,1810ICF/MR 116657,A000000,02100,0000,2100RADIOLOGY 116657,A000000,02200,0000,2200LABORATORY 116657,A000000,02300,0000,2300INTRAVENOUS THERAPY 116657,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116657,A000000,02500,0000,2500PHYSICAL THERAPY 116657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116657,A000000,02700,0000,2700SPEECH PATHOLOGY 116657,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116657,A000000,03200,0000,3200SUPPORT SURFACES 116657,A000000,03550,0000,3550FQHC 116657,A000000,05000,0000,5000CORF 116657,A000000,05010,0000,5010CMHC 116657,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116657,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116657,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116657,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116657,A81000A,00100,0100,Y 116657,A81000B,00100,0300,A&G 116657,A81000B,00200,0300,PHYSICAL THERAPY 116657,A81000B,00300,0300,OCCUPATIONAL THERAPY 116657,A81000B,00400,0300,SPEECH THERAPY 116657,A81000B,00500,0300,MEDICAL SUPPLIES 116657,A81000B,00600,0300,PHARMACY 116657,A81000B,00700,0300,MEDICAL SUPPLIES 116657,A81000C,00100,0100,B 116657,A81000C,00100,0200,FOUNTAIN VIEW INC. 116657,A81000C,00100,0400,ANAHEIM TERRACE 116657,A81000C,00100,0600,SNF 116657,A81000C,00200,0100,B 116657,A81000C,00200,0200,FOUNTAIN VIEW INC. 116657,A81000C,00200,0400,LOCOMOTION 116657,A81000C,00200,0600,THERAPY COMPANY 116657,A81000C,00300,0100,B 116657,A81000C,00300,0200,FOUNTAIN VIEW INC. 116657,A81000C,00300,0400,I N O 116657,A81000C,00300,0600,MEDICAL SUPPLY 116657,A81000C,00400,0100,B 116657,A81000C,00400,0200,FOUNTAIN VIEW INC. 116657,A81000C,00400,0400,SKILLED CARE PHARMACY 116657,A81000C,00400,0600,PHARMACY 116657,B100000,00000,0100,0100SQUARE FEET 116657,B100000,00000,0200,0200SQUARE FEET 116657,B100000,00000,0300,0300GROSS SALARIES 116657,B100000,00000,0400,0400ACCUM. COST 116657,B100000,00000,0500,0500SQUARE FEET 116657,B100000,00000,0600,0600POUNDS OF LAUNDRY 116657,B100000,00000,0700,0700SQUARE FEET 116657,B100000,00000,0800,0800MEALS SERVED 116657,B100000,00000,0900,0900DIRECT NRSING HRS 116657,B100000,00000,1000,1000COSTED REQUIS 116657,B100000,00000,1100,1100COSTED REQUIS 116657,B100000,00000,1200,1200GROSS REVENUE 116657,B100000,00000,1300,1300PATIENT DAYS 116657,B100000,00000,1400,1400ASSIGNED TIME 116657,E10A180,00301,0300,02/16/00 116657,E10A180,00501,0100,02/05/01 116657,S000000,00100,0200,01/18/01 116657,S200000,00100,0100,141 S. KNOTT 116657,S200000,00200,0100,ANAHEIM 116657,S200000,00200,0200,CA 116657,S200000,00200,0300,92804 116657,S200000,00300,0100,O 116657,S200000,00300,0200,5945 116657,S200000,00300,0300,U 116657,S200000,00400,0100,ANAHEIM TERRACE CARE CENTER 116657,S200000,00400,0200,056076 116657,S200000,00400,0300,05/05/69 116657,S200000,00400,0500,P 116657,S200000,00400,0600,O 116657,S200000,01500,0100,N 116657,S200000,01600,0100,Y 116657,S200000,01700,0100,N 116657,S200000,01800,0100,N 116657,S200000,02200,0100,N 116657,S200000,02800,0100,N 116657,S200000,02900,0100,N 116657,S200000,03000,0100,N 116657,S200000,03100,0100,N 116657,S200000,03200,0100,N 116657,S200000,03300,0100,N 116657,S200000,03300,0200,N 116657,S200000,04100,0100,N 116657,S200000,04200,0100,N 116657,S200000,04300,0100,N 116657,S200000,04600,0100,N 116657,S200000,04700,0100,N 116657,S200000,04700,0200,N 116657,S200000,04900,0100,N 116658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116658,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116658,A000000,00300,0000,0300EMPLOYEE BENEFITS 116658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116658,A000000,00700,0000,0700HOUSEKEEPING 116658,A000000,00800,0000,0800DIETARY 116658,A000000,00900,0000,0900NURSING ADMINISTRATION 116658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116658,A000000,01100,0000,1100PHARMACY 116658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116658,A000000,01300,0000,1300SOCIAL SERVICE 116658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116658,A000000,01600,0000,1600SKILLED NURSING FACILITY 116658,A000000,01810,0000,1810ICF/MR 116658,A000000,02100,0000,2100RADIOLOGY 116658,A000000,02200,0000,2200LABORATORY 116658,A000000,02500,0000,2500PHYSICAL THERAPY 116658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116658,A000000,02700,0000,2700SPEECH PATHOLOGY 116658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116658,A000000,03200,0000,3200SUPPORT SURFACES 116658,A000000,03550,0000,3550FQHC 116658,A000000,05000,0000,5000CORF 116658,A000000,05010,0000,5010CMHC 116658,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116658,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116658,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116658,A81000A,00100,0100,Y 116658,A81000B,00100,0300,A&G 116658,A81000B,00200,0300,PHYSICAL THERAPY 116658,A81000B,00300,0300,OCCUPATIONAL THERAPY 116658,A81000B,00400,0300,SPEECH THERAPY 116658,A81000B,00500,0300,MEDICAL SUPPLIES 116658,A81000B,00600,0300,MEDICAL SUPPLIES 116658,A81000C,00100,0100,B 116658,A81000C,00100,0200,FOUNTAIN VIEW INC. 116658,A81000C,00100,0400,COLONIAL MANOR-TYLER 116658,A81000C,00100,0600,SNF 116658,A81000C,00200,0100,B 116658,A81000C,00200,0200,FOUNTAIN VIEW INC. 116658,A81000C,00200,0400,SKILLED CARE PHARMACY 116658,A81000C,00200,0600,INSTITUTIONAL PHARMACY 116658,A81000C,00300,0100,B 116658,A81000C,00300,0200,FOUNTAIN VIEW INC. 116658,A81000C,00300,0400,LOCOMOTION 116658,A81000C,00300,0600,THERAPY COMPANY 116658,A81000C,00400,0100,B 116658,A81000C,00400,0200,FOUNTAIN VIEW INC. 116658,A81000C,00400,0400,I N O 116658,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 116658,B100000,00000,0100,0100SQUARE FEET 116658,B100000,00000,0200,0200SQUARE FEET 116658,B100000,00000,0300,0300GROSS SALARY 116658,B100000,00000,0400,0400ACCUM. COST 116658,B100000,00000,0500,0500SQUARE FEET 116658,B100000,00000,0600,0600PATIENT DAYS 116658,B100000,00000,0700,0700SQUARE FEET 116658,B100000,00000,0800,0800MEALS SERVED 116658,B100000,00000,0900,0900NURSING HOURS 116658,B100000,00000,1000,1000COSTED REQUIS 116658,B100000,00000,1100,1100COSTED REQUIS 116658,B100000,00000,1200,1200GROSS REVENUE 116658,B100000,00000,1300,1300PATIENT DAYS 116658,B100000,00000,1400,1400ASSIGNED TIME 116658,E10A180,00350,0300,03/10/00 116658,E10A180,00501,0100,03/07/01 116658,E10A180,00501,0300,03/07/01 116658,S000000,00100,0200,01/22/01 116658,S200000,00100,0100,930 SOUTH BAXTER 116658,S200000,00200,0100,TYLER 116658,S200000,00200,0200,TX 116658,S200000,00200,0300,75701 116658,S200000,00300,0100,S 116658,S200000,00300,0200,8640 116658,S200000,00300,0300,U 116658,S200000,00400,0100,COLONIAL MANOR - TYLER 116658,S200000,00400,0200,455429 116658,S200000,00400,0300,01/01/75 116658,S200000,00400,0500,P 116658,S200000,01500,0100,N 116658,S200000,01600,0100,Y 116658,S200000,01700,0100,N 116658,S200000,01800,0100,N 116658,S200000,02200,0100,Y 116658,S200000,02800,0100,N 116658,S200000,02900,0100,N 116658,S200000,03000,0100,N 116658,S200000,03100,0100,N 116658,S200000,03200,0100,N 116658,S200000,03300,0100,N 116658,S200000,03300,0200,N 116658,S200000,04100,0100,N 116658,S200000,04200,0100,N 116658,S200000,04300,0100,N 116658,S200000,04600,0100,N 116658,S200000,04700,0100,N 116658,S200000,04700,0200,N 116658,S200000,04900,0100,N 116659,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116659,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116659,A000000,00300,0000,0300EMPLOYEE BENEFITS 116659,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116659,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116659,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116659,A000000,00700,0000,0700HOUSEKEEPING 116659,A000000,00800,0000,0800DIETARY 116659,A000000,00900,0000,0900NURSING ADMINISTRATION 116659,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116659,A000000,01100,0000,1100PHARMACY 116659,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116659,A000000,01300,0000,1300SOCIAL SERVICE 116659,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116659,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 116659,A000000,01600,0000,1600SKILLED NURSING FACILITY 116659,A000000,01810,0000,1810ICF/MR 116659,A000000,02100,0000,2100RADIOLOGY 116659,A000000,02200,0000,2200LABORATORY 116659,A000000,02500,0000,2500PHYSICAL THERAPY 116659,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116659,A000000,02700,0000,2700SPEECH PATHOLOGY 116659,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116659,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116659,A000000,03550,0000,3550FQHC 116659,A000000,05000,0000,5000CORF 116659,A000000,05010,0000,5010CMHC 116659,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116659,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116659,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116659,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116659,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116659,A81000A,00100,0100,Y 116659,A81000B,00100,0300,A&G 116659,A81000B,00200,0300,MEDICAL SUPPLIES 116659,A81000B,00300,0300,MEDICAL SUPPLIES 116659,A81000B,00400,0300,PHYSICAL THERAPY 116659,A81000B,00500,0300,OCCUPATIONAL THERAPY 116659,A81000B,00600,0300,SPEECH THERAPY 116659,A81000C,00100,0100,B 116659,A81000C,00100,0200,FOUNTAIN VIEW INC. 116659,A81000C,00100,0400,MONUMENT HILL 116659,A81000C,00100,0600,SNF 116659,A81000C,00200,0100,B 116659,A81000C,00200,0200,FOUNTAIN VIEW INC. 116659,A81000C,00200,0400,LOCOMOTION 116659,A81000C,00200,0600,THERAPY COMPANY 116659,A81000C,00300,0100,B 116659,A81000C,00300,0200,FOUNTAIN VIEW INC. 116659,A81000C,00300,0400,SKILLED CARE PHARMACY 116659,A81000C,00300,0600,PHARMACY 116659,A81000C,00400,0100,B 116659,A81000C,00400,0200,FOUNTAIN VIEW INC. 116659,A81000C,00400,0400,I N O 116659,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 116659,B100000,00000,0100,0100SQUARE FEET 116659,B100000,00000,0200,0200SQUARE FEET 116659,B100000,00000,0300,0300GROSS SALARIES 116659,B100000,00000,0400,0400ACCUM. COST 116659,B100000,00000,0500,0500SQUARE FEET 116659,B100000,00000,0600,0600PATIENT DAYS 116659,B100000,00000,0700,0700SQUARE FEET 116659,B100000,00000,0800,0800MEALS SERVED 116659,B100000,00000,0900,0900NURSING HOURS 116659,B100000,00000,1000,1000COSTED REQUIS 116659,B100000,00000,1100,1100COSTED REQUIS 116659,B100000,00000,1200,1200GROSS REVENUE 116659,B100000,00000,1300,1300PATIENT DAYS 116659,B100000,00000,1400,1400ASSIGNED TIME 116659,B100000,00000,1500,1350PATIENT DAYS 116659,E10A180,00350,0300,02/22/00 116659,E10A180,00501,0100,01/19/01 116659,E10A180,00550,0300,01/19/01 116659,S000000,00100,0200,01/22/01 116659,S200000,00100,0100,120 STATE LOOP 92 116659,S200000,00200,0100,LA GRANGE 116659,S200000,00200,0200,TX 116659,S200000,00200,0300,78945 116659,S200000,00300,0100,F 116659,S200000,00300,0200,45 116659,S200000,00300,0300,R 116659,S200000,00400,0100,MONUMENT HILL NURSING CENTER 116659,S200000,00400,0200,455715 116659,S200000,00400,0300,09/11/87 116659,S200000,00400,0500,P 116659,S200000,01500,0100,N 116659,S200000,01600,0100,Y 116659,S200000,01700,0100,N 116659,S200000,01800,0100,N 116659,S200000,02200,0100,N 116659,S200000,02800,0100,N 116659,S200000,02900,0100,N 116659,S200000,03000,0100,N 116659,S200000,03100,0100,N 116659,S200000,03200,0100,N 116659,S200000,03300,0100,N 116659,S200000,03300,0200,N 116659,S200000,04100,0100,N 116659,S200000,04200,0100,N 116659,S200000,04300,0100,N 116659,S200000,04600,0100,N 116659,S200000,04700,0100,N 116659,S200000,04700,0200,N 116659,S200000,04900,0100,N 116660,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116660,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116660,A000000,00300,0000,0300EMPLOYEE BENEFITS 116660,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116660,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116660,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116660,A000000,00700,0000,0700HOUSEKEEPING 116660,A000000,00800,0000,0800DIETARY 116660,A000000,00900,0000,0900NURSING ADMINISTRATION 116660,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116660,A000000,01100,0000,1100PHARMACY 116660,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116660,A000000,01300,0000,1300SOCIAL SERVICE 116660,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116660,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 116660,A000000,01600,0000,1600SKILLED NURSING FACILITY 116660,A000000,01810,0000,1810ICF/MR 116660,A000000,02100,0000,2100RADIOLOGY 116660,A000000,02200,0000,2200LABORATORY 116660,A000000,02500,0000,2500PHYSICAL THERAPY 116660,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116660,A000000,02700,0000,2700SPEECH PATHOLOGY 116660,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116660,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116660,A000000,03550,0000,3550FQHC 116660,A000000,05000,0000,5000CORF 116660,A000000,05010,0000,5010CMHC 116660,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116660,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116660,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116660,A81000A,00100,0100,Y 116660,A81000B,00100,0300,HOME OFFICE MGMT FEE 116660,A81000B,00200,0300,MEDICAL SUPPLIES 116660,A81000B,00300,0300,MEDCIAL SUPPLIES 116660,A81000B,00400,0300,SPEECH THERAPY 116660,A81000B,00500,0300,PHYSICAL THERAPY 116660,A81000B,00600,0300,OCCUPATIONAL THERAPY 116660,A81000C,00100,0100,B 116660,A81000C,00100,0200,FOUNTAIN VIEW INC. 116660,A81000C,00100,0400,CORONADO CARE CENTER 116660,A81000C,00100,0600,MANAGEMENT 116660,A81000C,00200,0100,B 116660,A81000C,00200,0200,FOUNTAIN VIEW INC. 116660,A81000C,00200,0400,SKILLED CARE PHARMACY 116660,A81000C,00200,0600,INSTITUTIONAL PHARMACY 116660,A81000C,00300,0100,B 116660,A81000C,00300,0200,FOUNTAIN VIEW INC. 116660,A81000C,00300,0400,LOCOMOTION 116660,A81000C,00300,0600,THERAPY COMPANY 116660,A81000C,00400,0100,B 116660,A81000C,00400,0200,FOUNTAIN VIEW INC. 116660,A81000C,00400,0400,I N O 116660,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 116660,B100000,00000,0100,0100SQUARE FEET 116660,B100000,00000,0200,0200SQUARE FEET 116660,B100000,00000,0300,0300GROSS SALARY 116660,B100000,00000,0400,0400ACCUM. COST 116660,B100000,00000,0500,0500SQUARE FEET 116660,B100000,00000,0600,0600PATIENT DAYS 116660,B100000,00000,0700,0700SQUARE FEET 116660,B100000,00000,0800,0800MEALS SERVED 116660,B100000,00000,0900,0900NURSING HOURS 116660,B100000,00000,1000,1000COSTED REQUIS 116660,B100000,00000,1100,1100COSTED REQUIS 116660,B100000,00000,1200,1200GROSS REVENUE 116660,B100000,00000,1300,1300PATIENT DAYS 116660,B100000,00000,1400,1400ASSIGNED TIME 116660,B100000,00000,1500,1350PATIENT DAYS 116660,E10A180,00350,0300,02/18/00 116660,E10A180,00501,0300,02/07/01 116660,S000000,00100,0200,01/22/01 116660,S200000,00100,0100,1751 N 15TH STREET 116660,S200000,00200,0100,ABILENE 116660,S200000,00200,0200,TX 116660,S200000,00200,0300,79603 116660,S200000,00300,0100,T 116660,S200000,00300,0200,0040 116660,S200000,00300,0300,U 116660,S200000,00400,0100,CORONADO NURSING CENTER 116660,S200000,00400,0200,675746 116660,S200000,00400,0300,11/25/86 116660,S200000,00400,0500,P 116660,S200000,01500,0100,N 116660,S200000,01600,0100,Y 116660,S200000,01700,0100,N 116660,S200000,01800,0100,N 116660,S200000,02200,0100,N 116660,S200000,02800,0100,N 116660,S200000,02900,0100,N 116660,S200000,03000,0100,N 116660,S200000,03100,0100,N 116660,S200000,03200,0100,N 116660,S200000,03300,0100,N 116660,S200000,03300,0200,N 116660,S200000,04100,0100,N 116660,S200000,04200,0100,N 116660,S200000,04300,0100,N 116660,S200000,04600,0100,N 116660,S200000,04700,0100,N 116660,S200000,04700,0200,N 116660,S200000,04900,0100,N 116661,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116661,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116661,A000000,00300,0000,0300EMPLOYEE BENEFITS 116661,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116661,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116661,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116661,A000000,00700,0000,0700HOUSEKEEPING 116661,A000000,00800,0000,0800DIETARY 116661,A000000,00900,0000,0900NURSING ADMINISTRATION 116661,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116661,A000000,01100,0000,1100PHARMACY 116661,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116661,A000000,01300,0000,1300SOCIAL SERVICE 116661,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116661,A000000,01600,0000,1600SKILLED NURSING FACILITY 116661,A000000,01810,0000,1810ICF/MR 116661,A000000,02100,0000,2100RADIOLOGY 116661,A000000,02200,0000,2200LABORATORY 116661,A000000,02500,0000,2500PHYSICAL THERAPY 116661,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116661,A000000,02700,0000,2700SPEECH PATHOLOGY 116661,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116661,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116661,A000000,03200,0000,3200SUPPORT SURFACES 116661,A000000,03550,0000,3550FQHC 116661,A000000,05000,0000,5000CORF 116661,A000000,05010,0000,5010CMHC 116661,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116661,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116661,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116661,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116661,A81000A,00100,0100,Y 116661,A81000B,00100,0300,MGT FEE/HOME OFFICE 116661,A81000B,00200,0300,PHYSICAL THERAPY 116661,A81000B,00300,0300,OCCUPATIONAL THERAPY 116661,A81000B,00400,0300,SPEECH THERAPY 116661,A81000B,00500,0300,MEDICAL SUPPLIES 116661,A81000B,00600,0300,MEDICAL SUPPLIES 116661,A81000C,00100,0100,B 116661,A81000C,00100,0200,FOUNTAIN VIEW INC. 116661,A81000C,00100,0400,FOUNTAIN VIEW INC. 116661,A81000C,00100,0600,MANAGEMENT FEES 116661,A81000C,00200,0100,B 116661,A81000C,00200,0200,FOUNTAIN VIEW INC. 116661,A81000C,00200,0400,LOCOMOTION 116661,A81000C,00200,0600,THERAPY COMPANY 116661,A81000C,00300,0100,B 116661,A81000C,00300,0200,FOUNTAIN VIEW INC. 116661,A81000C,00300,0400,I N O 116661,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 116661,A81000C,00400,0100,B 116661,A81000C,00400,0200,FOUNTAIN VIEW INC. 116661,A81000C,00400,0400,SKILLED CARE PHARMACY 116661,A81000C,00400,0600,PHARMACY 116661,B100000,00000,0100,0100SQUARE FEET 116661,B100000,00000,0200,0200SQUARE FEET 116661,B100000,00000,0300,0300GROSS SALARY 116661,B100000,00000,0400,0400ACCUM. COST 116661,B100000,00000,0500,0500SQUARE FEET 116661,B100000,00000,0600,0600PATIENT DAYS 116661,B100000,00000,0700,0700SQUARE FEET 116661,B100000,00000,0800,0800MEALS SERVED 116661,B100000,00000,0900,0900NURSING HOURS 116661,B100000,00000,1000,1000COSTED REQUIS 116661,B100000,00000,1100,1100COSTED REQUIS 116661,B100000,00000,1200,1200GROSS REVENUE 116661,B100000,00000,1300,1300TIME SPENT 116661,B100000,00000,1400,1400ASSIGNED TIME 116661,E10A180,00350,0300,03/10/00 116661,S000000,00100,0200,01/19/01 116661,S200000,00100,0100,HWY 90 A WEST 116661,S200000,00200,0100,HALLETTSVILLE 116661,S200000,00200,0200,TX 116661,S200000,00200,0300,77964 116661,S200000,00300,0100,L 116661,S200000,00300,0300,R 116661,S200000,00400,0100,HALLETTSVILLE NURSING & REHAB CENTER 116661,S200000,00400,0200,675095 116661,S200000,00400,0300,10/26/92 116661,S200000,00400,0500,P 116661,S200000,01500,0100,N 116661,S200000,01600,0100,Y 116661,S200000,01700,0100,N 116661,S200000,01800,0100,N 116661,S200000,02200,0100,N 116661,S200000,02800,0100,N 116661,S200000,02900,0100,N 116661,S200000,03000,0100,N 116661,S200000,03100,0100,N 116661,S200000,03200,0100,N 116661,S200000,03300,0100,N 116661,S200000,03300,0200,N 116661,S200000,04100,0100,N 116661,S200000,04200,0100,N 116661,S200000,04300,0100,N 116661,S200000,04600,0100,N 116661,S200000,04700,0100,N 116661,S200000,04700,0200,N 116661,S200000,04900,0100,N 116711,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116711,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116711,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116711,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116711,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116711,A000000,00700,0000,0700HOUSEKEEPING 116711,A000000,00800,0000,0800DIETARY 116711,A000000,00900,0000,0900NURSING ADMINISTRATION 116711,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116711,A000000,01300,0000,1300SOCIAL SERVICE 116711,A000000,01600,0000,1600SKILLED NURSING FACILITY 116711,A000000,01900,0000,1900OTHER LONG TERM CARE 116711,A000000,02100,0000,2100RADIOLOGY 116711,A000000,02200,0000,2200LABORATORY 116711,A000000,02300,0000,2300INTRAVENOUS THERAPY 116711,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116711,A000000,02500,0000,2500PHYSICAL THERAPY 116711,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116711,A000000,02700,0000,2700SPEECH PATHOLOGY 116711,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116711,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116711,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116711,A81000A,00100,0100,N 116711,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 116711,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 116711,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 116711,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 116711,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 116711,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 116711,B100000,00000,0800,0800MEALS SERVED :DIETARY 116711,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 116711,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 116711,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 116711,S000000,00100,0200,12/01/00 116711,S200000,00100,0100,1201 FIFTH AVENUE 116711,S200000,00100,0300,7 116711,S200000,00200,0100,CALVERT CITY 116711,S200000,00200,0200,KY 116711,S200000,00200,0300,42029- 116711,S200000,00300,0100,USA 116711,S200000,00300,0200,18 116711,S200000,00300,0300,R 116711,S200000,00400,0100,CALVERT CITY CONVALESCENT CENTER IN 116711,S200000,00400,0200,185234 116711,S200000,00400,0300,01/03/91 116711,S200000,00400,0500,P 116711,S200000,01500,0100,Y 116711,S200000,01600,0100,N 116711,S200000,01700,0100,N 116711,S200000,01800,0100,N 116711,S200000,01900,0100,LOCAL BOARD 116711,S200000,02200,0100,N 116711,S200000,02800,0100,Y 116711,S200000,02900,0100,N 116711,S200000,03000,0100,N 116711,S200000,03100,0100,N 116711,S200000,03200,0100,N 116711,S200000,04100,0100,N 116711,S200000,04200,0100,N 116711,S200000,04300,0100,N 116711,S200000,04600,0100,N 116711,S200000,04700,0100,N 116711,S200000,04700,0200,N 116711,S200000,04900,0100,N 116711,S200000,05000,0100,N 116711,S200000,05100,0100,N 116711,S200000,05200,0100,N 116784,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116784,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116784,A000000,00300,0000,0300EMPLOYEE BENEFITS 116784,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116784,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116784,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116784,A000000,00700,0000,0700HOUSEKEEPING 116784,A000000,00800,0000,0800DIETARY 116784,A000000,00900,0000,0900NURSING ADMINISTRATION 116784,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116784,A000000,01100,0000,1100PHARMACY 116784,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116784,A000000,01300,0000,1300SOCIAL SERVICE 116784,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116784,A000000,01600,0000,1600SKILLED NURSING FACILITY 116784,A000000,01800,0000,1800NURSING FACILITY 116784,A000000,01810,0000,1810ICF/MR 116784,A000000,01900,0000,1900OTHER LONG TERM CARE 116784,A000000,02100,0000,2100RADIOLOGY 116784,A000000,02200,0000,2200LABORATORY 116784,A000000,02300,0000,2300INTRAVENOUS THERAPY 116784,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116784,A000000,02500,0000,2500PHYSICAL THERAPY 116784,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116784,A000000,02700,0000,2700SPEECH PATHOLOGY 116784,A000000,02800,0000,2800ELECTROCARDIOLOGY 116784,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116784,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116784,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116784,A000000,03200,0000,3200SUPPORT SURFACES 116784,A000000,03400,0000,3400CLINIC 116784,A000000,03500,0000,3500RURAL HEALTH CLINIC 116784,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENTE 116784,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116784,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116784,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116784,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116784,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116784,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116784,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116784,A000000,04400,0000,4400DME RENTED - HHA 116784,A000000,04500,0000,4500DME SOLD - HHA 116784,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116784,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116784,A000000,04800,0000,4800AMBULANCE 116784,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116784,A000000,05000,0000,5000CORF 116784,A000000,05010,0000,5010CMHC 116784,A000000,05020,0000,5020OPT 116784,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116784,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116784,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116784,A000000,05300,0000,5300INTEREST EXPENSE 116784,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116784,A000000,05500,0000,5500HOSPICE 116784,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116784,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116784,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116784,A000000,06100,0000,6100NONPAID WORKERS 116784,A000000,06200,0000,6200PATIENTS LAUNDRY 116784,A81000A,00100,0100,N 116784,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 116784,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 116784,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 116784,B100000,00000,0400,0400(ACCUM COST) ADMINISTRATIVE & 116784,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 116784,B100000,00000,0600,0600(POUNDS OFLAUNDRY) LAUNDRY & LIN 116784,B100000,00000,0700,0700(HOURS OF SERVICE) HOUSEKEEPING 116784,B100000,00000,0800,0800(MEALS SERVED) DIETARY 116784,B100000,00000,0900,0900(DIR NRSG HOURS) NURSING ADMIN 116784,B100000,00000,1000,1000(COSTED REQUIS) CENTRAL SERVIC 116784,B100000,00000,1100,1100(COSTED REQUIS) PHARMACY 116784,B100000,00000,1200,1200(TIME SPENT) MEDICAL RECORDS 116784,B100000,00000,1300,1300(TIME SPENT) SOCIAL SERVICE 116784,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 116784,S000000,00100,0200,12/30/00 116784,S200000,00100,0100,217 MAIN ST. 116784,S200000,00200,0100,COON RAPIDS 116784,S200000,00200,0200,IA 116784,S200000,00200,0300,50058 116784,S200000,00300,0100,CARROLL 116784,S200000,00400,0100,THOMAS REST HAVEN 116784,S200000,00400,0200,165358 116784,S200000,00400,0300,10/01/97 116784,S200000,00400,0500,P 116784,S200000,00400,0600,N 116784,S200000,01500,0100,Y 116784,S200000,01600,0100,N 116784,S200000,01700,0100,N 116784,S200000,01800,0100,N 116784,S200000,02100,0100,A 116784,S200000,02200,0100,N 116784,S200000,02800,0100,N 116784,S200000,02900,0100,N 116784,S200000,03000,0100,N 116784,S200000,03100,0100,N 116784,S200000,03200,0100,N 116784,S200000,03300,0100,N 116784,S200000,03300,0200,N 116784,S200000,04100,0100,Y 116784,S200000,04200,0100,N 116784,S200000,04300,0100,N 116784,S200000,04600,0100,N 116784,S200000,04700,0100,N 116784,S200000,04700,0200,N 116784,S200000,04900,0100,N 116784,S700003,00000,0400,X 116786,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116786,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116786,A000000,00300,0000,0300EMPLOYEE BENEFITS 116786,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116786,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116786,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116786,A000000,00700,0000,0700HOUSEKEEPING 116786,A000000,00800,0000,0800DIETARY 116786,A000000,00900,0000,0900NURSING ADMINISTRATION 116786,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116786,A000000,01300,0000,1300SOCIAL SERVICE 116786,A000000,01500,0000,1350ACTIVITIES 116786,A000000,01600,0000,1600SKILLED NURSING FACILITY 116786,A000000,02200,0000,2200LABORATORY 116786,A000000,02300,0000,2300INTRAVENOUS THERAPY 116786,A000000,02500,0000,2500PHYSICAL THERAPY 116786,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116786,A000000,02700,0000,2700SPEECH PATHOLOGY 116786,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116786,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116786,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116786,A000000,05300,0000,5300INTEREST EXPENSE 116786,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116786,A81000A,00100,0100,Y 116786,A81000B,00100,0300,INSURANCE 116786,A81000B,00200,0300,HOME OFFICE 116786,A81000B,00300,0300,GROUP INSURANCE 116786,A81000B,00400,0300,HOME OFFICE 116786,A81000C,00100,0100,A 116786,A81000C,00100,0200,NURSING CARE MG 116786,A81000C,00100,0600,HOME OFFICE 116786,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116786,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116786,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116786,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116786,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116786,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116786,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116786,B100000,00000,0800,0800MEALS SERVED DIETARY 116786,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 116786,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116786,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 116786,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 116786,S000000,00100,0200,11/28/00 116786,S200000,00100,0100,600 SEVENTH STREET SE 116786,S200000,00200,0100,OELWEIN 116786,S200000,00200,0200,IA 116786,S200000,00200,0300,50662 116786,S200000,00300,0100,FAYETTE 116786,S200000,00300,0200,9916 116786,S200000,00300,0300,R 116786,S200000,00400,0100,OELWEIN HEALTHCARE 116786,S200000,00400,0200,165341 116786,S200000,00400,0300,08/01/97 116786,S200000,00400,0500,P 116786,S200000,00400,0600,N 116786,S200000,01500,0100,Y 116786,S200000,01600,0100,N 116786,S200000,01700,0100,N 116786,S200000,01800,0100,N 116786,S200000,01900,0100,OTHER 116786,S200000,02200,0100,N 116786,S200000,02800,0100,N 116786,S200000,02900,0100,N 116786,S200000,03000,0100,N 116786,S200000,03100,0100,N 116786,S200000,03200,0100,N 116786,S200000,03300,0100,N 116786,S200000,03300,0200,N 116786,S200000,04100,0100,N 116786,S200000,04200,0100,N 116786,S200000,04300,0100,N 116786,S200000,04600,0100,N 116786,S200000,04700,0100,N 116786,S200000,04900,0100,N 116786,S200000,05000,0100,N 116786,S200000,05100,0100,N 116786,S200000,05200,0100,N 116786,S700003,00000,0400,X 116788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116788,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116788,A000000,00300,0000,0300EMPLOYEE BENEFITS 116788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116788,A000000,00700,0000,0700HOUSEKEEPING 116788,A000000,00800,0000,0800DIETARY 116788,A000000,00900,0000,0900NURSING ADMINISTRATION 116788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116788,A000000,01300,0000,1300SOCIAL SERVICE 116788,A000000,01500,0000,1350ACTIVITIES 116788,A000000,01600,0000,1600SKILLED NURSING FACILITY 116788,A000000,02100,0000,2100RADIOLOGY 116788,A000000,02200,0000,2200LABORATORY 116788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116788,A000000,02500,0000,2500PHYSICAL THERAPY 116788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116788,A000000,02700,0000,2700SPEECH PATHOLOGY 116788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116788,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116788,A000000,05300,0000,5300INTEREST EXPENSE 116788,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116788,A81000A,00100,0100,Y 116788,A81000B,00100,0300,INSURANCE 116788,A81000B,00200,0300,HOME OFFICE 116788,A81000B,00300,0300,GROUP INSURANCE 116788,A81000B,00400,0300,HOME OFFICE 116788,A81000C,00100,0100,A 116788,A81000C,00100,0200,NURSING CARE MG 116788,A81000C,00100,0400,NURSING CARE MG 116788,A81000C,00100,0600,HOME OFFICE 116788,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116788,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116788,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116788,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 116788,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116788,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116788,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116788,B100000,00000,0800,0800MEALS SERVED DIETARY 116788,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 116788,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 116788,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 116788,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 116788,S000000,00100,0200,11/28/00 116788,S200000,00100,0100,1700 THIRD STREET NE 116788,S200000,00200,0100,INDEPENDENCE 116788,S200000,00200,0200,IA 116788,S200000,00200,0300,50644 116788,S200000,00300,0100,BUCHANAN 116788,S200000,00300,0200,9916 116788,S200000,00300,0300,R 116788,S200000,00400,0100,EAST-TOWNE CARE CENTER 116788,S200000,00400,0200,165337 116788,S200000,00400,0300,08/01/97 116788,S200000,00400,0500,P 116788,S200000,00400,0600,N 116788,S200000,01500,0100,Y 116788,S200000,01600,0100,N 116788,S200000,01700,0100,N 116788,S200000,01800,0100,N 116788,S200000,01900,0100,OTHER 116788,S200000,02200,0100,N 116788,S200000,02800,0100,N 116788,S200000,02900,0100,N 116788,S200000,03000,0100,N 116788,S200000,03100,0100,N 116788,S200000,03200,0100,N 116788,S200000,03300,0100,N 116788,S200000,03300,0200,N 116788,S200000,04100,0100,N 116788,S200000,04200,0100,N 116788,S200000,04300,0100,N 116788,S200000,04600,0100,N 116788,S200000,04700,0100,N 116788,S200000,04900,0100,N 116788,S200000,05000,0100,N 116788,S200000,05200,0100,N 116788,S700003,00000,0400,X 116797,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116797,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116797,A000000,00300,0000,0300EMPLOYEE BENEFITS 116797,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116797,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116797,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116797,A000000,00700,0000,0700HOUSEKEEPING 116797,A000000,00800,0000,0800DIETARY 116797,A000000,00900,0000,0900NURSING ADMINISTRATION 116797,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116797,A000000,01100,0000,1100PHARMACY 116797,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116797,A000000,01300,0000,1300SOCIAL SERVICE 116797,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116797,A000000,01500,0000,1350OTHER GENERAL SERVICES 116797,A000000,01600,0000,1600SKILLED NURSING FACILITY 116797,A000000,01800,0000,1800NURSING FACILITY 116797,A000000,01810,0000,1810ICF/MR 116797,A000000,01900,0000,1900OTHER LONG TERM CARE 116797,A000000,02100,0000,2100RADIOLOGY 116797,A000000,02200,0000,2200LABORATORY 116797,A000000,02300,0000,2300INTRAVENOUS THERAPY 116797,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116797,A000000,02500,0000,2500PHYSICAL THERAPY 116797,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116797,A000000,02700,0000,2700SPEECH PATHOLOGY 116797,A000000,02800,0000,2800ELECTROCARDIOLOGY 116797,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116797,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116797,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 116797,A000000,03200,0000,3200SUPPORT SURFACES 116797,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116797,A000000,03400,0000,3400CLINIC 116797,A000000,03500,0000,3500RURAL HEALTH CLINIC 116797,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116797,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116797,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116797,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116797,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116797,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116797,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116797,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116797,A000000,04400,0000,4400DME RENTED - HHA 116797,A000000,04500,0000,4500DME SOLD - HHA 116797,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 116797,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 116797,A000000,04800,0000,4800AMBULANCE 116797,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 116797,A000000,05000,0000,5000CORF 116797,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116797,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 116797,A000000,05300,0000,5300INTEREST EXPENSE 116797,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116797,A000000,05500,0000,5500HOSPICE 116797,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116797,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 116797,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116797,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116797,A000000,06100,0000,6100NONPAID WORKERS 116797,A000000,06200,0000,6200PATIENTS LAUNDRY 116797,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116797,A81000A,00100,0100,Y 116797,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 116797,A81000B,00200,0300,UNEMPLOYMENT INS 116797,A81000B,00300,0300,WORKERS COMP 116797,A81000B,00400,0300,PROPERTY/LIABILITY INS 116797,A81000B,00500,0300,VEHICLE INS 116797,A81000B,00600,0300,MEDICAL SUPPLY 116797,A81000B,00700,0300,INCONTIENTS 116797,A81000B,00800,0300,DIETARY SUPPLY 116797,A81000C,00100,0100,B 116797,A81000C,00100,0400,GOOD SAMARITAN 116797,A81000C,00100,0600,HEALTHCARE 116797,A81000C,00200,0100,B 116797,A81000C,00200,0400,OMNICARE PHARMA 116797,A81000C,00200,0600,MEDICAL/DRUGS 116797,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - BLDG 116797,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - MOVA 116797,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENEFITS 116797,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & GEN 116797,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION MAI 116797,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN SER 116797,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116797,B100000,00000,0800,0800MEALS SERVED DIETARY 116797,B100000,00000,0900,0900DIRECT NURSING HOURS NURSING ADM 116797,B100000,00000,1000,1000COST REQUIS. CENTRAL SERVICES & 116797,B100000,00000,1100,1100COST REQUIS. PHARMACY 116797,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORDS & 116797,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 116797,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDENT 116797,B100000,00000,1500,1350NO STATISTICS OTHER GENERAL SERV 116797,E10A180,00350,0100,08/27/99 116797,E10A180,00501,0100,12/21/01 116797,E10A180,00550,0100,10/23/00 116797,E10A180,00550,0300,10/23/00 116797,S000000,00100,0200,09/28/00 116797,S200000,00100,0100,700 COUNTY RD 14 116797,S200000,00200,0100,ALBERT LEA 116797,S200000,00200,0200,MN 116797,S200000,00200,0300,56007-9549 116797,S200000,00300,0100,FREEBORN 116797,S200000,00400,0100,ALBERT LEA GOOD SAMARITAN CENTER 116797,S200000,00400,0200,245441 116797,S200000,00400,0300,02/18/87 116797,S200000,00400,0500,P 116797,S200000,00400,0600,N 116797,S200000,00601,0600,N 116797,S200000,00800,0500,N 116797,S200000,00800,0600,N 116797,S200000,01000,0500,N 116797,S200000,01000,0600,N 116797,S200000,01100,0500,N 116797,S200000,01100,0600,N 116797,S200000,01500,0100,Y 116797,S200000,01600,0100,N 116797,S200000,01700,0100,N 116797,S200000,01800,0100,N 116797,S200000,02200,0100,N 116797,S200000,02800,0100,Y 116797,S200000,02900,0100,N 116797,S200000,03000,0100,N 116797,S200000,03100,0100,N 116797,S200000,03200,0100,N 116797,S200000,03300,0100,N 116797,S200000,03300,0200,N 116797,S200000,03500,0300,N 116797,S200000,03501,0300,N 116797,S200000,03600,0100,N 116797,S200000,03600,0200,N 116797,S200000,03700,0100,N 116797,S200000,03700,0200,N 116797,S200000,03900,0200,N 116797,S200000,04000,0200,N 116797,S200000,04100,0100,N 116797,S200000,04200,0100,N 116797,S200000,04300,0100,N 116797,S200000,04600,0100,N 116797,S200000,04700,0100,N 116797,S200000,04700,0200,N 116797,S200000,04900,0100,N 116797,S700003,00000,0100,X 116801,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116801,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116801,A000000,00300,0000,0300EMPLOYEE BENEFITS 116801,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116801,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116801,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116801,A000000,00700,0000,0700HOUSEKEEPING 116801,A000000,00800,0000,0800DIETARY 116801,A000000,00900,0000,0900NURSING ADMINISTRATION 116801,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116801,A000000,01100,0000,1100PHARMACY 116801,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116801,A000000,01300,0000,1300SOCIAL SERVICE 116801,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116801,A000000,01500,0000,1350OTHER GENERAL SERVICES 116801,A000000,01600,0000,1600SKILLED NURSING FACILITY 116801,A000000,01800,0000,1800NURSING FACILITY 116801,A000000,01810,0000,1810ICF/MR 116801,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116801,A000000,02500,0000,2500PHYSICAL THERAPY 116801,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116801,A000000,02700,0000,2700SPEECH PATHOLOGY 116801,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116801,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116801,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116801,A000000,03550,0000,3550FQHC 116801,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116801,A000000,05000,0000,5000CORF 116801,A000000,05010,0000,5010CMHC 116801,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116801,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116801,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116801,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116801,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116801,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116801,A81000A,00100,0100,N 116801,B100000,00000,0100,0100SQUARE FEET 116801,B100000,00000,0200,0200SQUARE FEET 116801,B100000,00000,0300,0300GROSS SALARIES 116801,B100000,00000,0400,0400ACCUM. COST 116801,B100000,00000,0500,0500SQUARE FEET 116801,B100000,00000,0600,0600POUNDS OF LAUNDRY 116801,B100000,00000,0700,0700SQUARE FEET 116801,B100000,00000,0800,0800MEALS SERVED 116801,B100000,00000,0900,0900DIRECT NRSING HRS 116801,B100000,00000,1000,1000COSTED REQUIS. 116801,B100000,00000,1100,1100COSTED REQUIS. 116801,B100000,00000,1200,1200TIME SPENT 116801,B100000,00000,1300,1300TIME SPENT 116801,B100000,00000,1400,1400ASSIGNED TIME 116801,B100000,00000,1500,1350NO STATISTICS 116801,E10A180,00501,0100,05/10/00 116801,E10A180,00501,0300,05/10/00 116801,S000000,00100,0200,04/10/00 116801,S200000,00100,0100,6161 MAIN STREET 116801,S200000,00200,0100,ZACHARY 116801,S200000,00200,0200,LA 116801,S200000,00200,0300,70791 116801,S200000,00300,0100,EAST BATON ROUGE 116801,S200000,00400,0100,ZACHARY MANOR NURSING HOME 116801,S200000,00400,0200,195362 116801,S200000,00400,0300,02/23/96 116801,S200000,00400,0500,P 116801,S200000,01500,0100,N 116801,S200000,01600,0100,Y 116801,S200000,01700,0100,N 116801,S200000,01800,0100,N 116801,S200000,02200,0100,N 116801,S200000,02800,0100,N 116801,S200000,02900,0100,N 116801,S200000,03000,0100,N 116801,S200000,03100,0100,N 116801,S200000,03200,0100,N 116801,S200000,03300,0100,N 116801,S200000,03300,0200,N 116801,S200000,04100,0100,N 116801,S200000,04200,0100,N 116801,S200000,04300,0100,Y 116801,S200000,04600,0100,N 116801,S200000,04700,0100,N 116801,S200000,04700,0200,N 116801,S200000,04900,0100,N 116804,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 116804,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 116804,A000000,00300,0000,0300EMPLOYEE BENEFITS 116804,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116804,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 116804,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116804,A000000,00700,0000,0700HOUSEKEEPING 116804,A000000,00800,0000,0800DIETARY 116804,A000000,00900,0000,0900NURSING ADMINISTRATION 116804,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116804,A000000,01100,0000,1100PHARMACY 116804,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116804,A000000,01300,0000,1300SOCIAL SERVICE 116804,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 116804,A000000,01600,0000,1600SKILLED NURSING FACILITY 116804,A000000,01800,0000,1800NURSING FACILITY 116804,A000000,01810,0000,1810ICF/MR 116804,A000000,01900,0000,1900OTHER LONG TERM CARE 116804,A000000,02200,0000,2200LABORATORY 116804,A000000,02500,0000,2500PHYSICAL THERAPY 116804,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116804,A000000,02700,0000,2700SPEECH PATHOLOGY 116804,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 116804,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116804,A000000,03550,0000,3550FQHC 116804,A000000,05000,0000,5000CORF 116804,A000000,05010,0000,5010CMHC 116804,A000000,05020,0000,5020OPT 116804,A000000,05030,0000,5030OOT 116804,A000000,05040,0000,5040OSP 116804,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116804,A000000,06300,0000,6150DAY CARE 116804,A81000A,00100,0100,N 116804,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 116804,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 116804,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 116804,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 116804,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 116804,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 116804,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 116804,B100000,00000,0800,0800MEALS SERVED DIETARY 116804,B100000,00000,0900,0900DIRECT NRSG HRS NURSING ADMIN 116804,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 116804,B100000,00000,1100,1100COSTED REQUIS PHARMACY 116804,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 116804,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 116804,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 116804,S000000,00100,0200,11/30/00 116804,S200000,00100,0100,245 S. 22ND ST. 116804,S200000,00200,0100,BLAIR 116804,S200000,00200,0200,NE 116804,S200000,00200,0300,68008 116804,S200000,00300,0100,WASHINGTON 116804,S200000,00300,0200,5920 116804,S200000,00300,0300,U 116804,S200000,00400,0100,CROWELL MEMORIAL HOME 116804,S200000,00400,0200,285210 116804,S200000,00400,0300,07/01/97 116804,S200000,00400,0500,P 116804,S200000,00400,0600,N 116804,S200000,00600,0200,285210 116804,S200000,00600,0300,07/01/97 116804,S200000,00600,0600,O 116804,S200000,01500,0100,N 116804,S200000,01600,0100,Y 116804,S200000,01700,0100,N 116804,S200000,01800,0100,N 116804,S200000,01900,0100,CORPORATE 116804,S200000,02200,0100,N 116804,S200000,02800,0100,N 116804,S200000,02900,0100,N 116804,S200000,03000,0100,N 116804,S200000,03100,0100,N 116804,S200000,03200,0100,N 116804,S200000,03300,0100,N 116804,S200000,03300,0200,N 116804,S200000,03500,0300,N 116804,S200000,04100,0100,N 116804,S200000,04200,0100,N 116804,S200000,04300,0100,N 116804,S200000,04600,0100,N 116804,S200000,04700,0100,N 116804,S200000,04900,0100,N 116804,S200000,05200,0100,N 116804,S700003,00000,0400,X 116812,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116812,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116812,A000000,00300,0000,0300EMPLOYEE BENEFITS 116812,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116812,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116812,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116812,A000000,00700,0000,0700HOUSEKEEPING 116812,A000000,00800,0000,0800DIETARY 116812,A000000,00810,0000,0801CAFETERIA 116812,A000000,00900,0000,0900NURSING ADMINISTRATION 116812,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116812,A000000,01100,0000,1100PHARMACY 116812,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116812,A000000,01300,0000,1300SOCIAL SERVICE 116812,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116812,A000000,01600,0000,1600SKILLED NURSING FACILITY 116812,A000000,01810,0000,1810ICF/MR 116812,A000000,02100,0000,2100RADIOLOGY 116812,A000000,02200,0000,2200LABORATORY 116812,A000000,02500,0000,2500PHYSICAL THERAPY 116812,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116812,A000000,02700,0000,2700SPEECH PATHOLOGY 116812,A000000,02800,0000,2800ELECTROCARDIOLOGY 116812,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116812,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116812,A000000,03400,0000,3400CLINIC 116812,A000000,03410,0000,3401MICA 116812,A000000,03420,0000,3402CDT 116812,A000000,03430,0000,3403CSS 116812,A000000,03440,0000,3404O/P MENTAL HEALTH 116812,A000000,03550,0000,3550FQHC 116812,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 116812,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 116812,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 116812,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 116812,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 116812,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 116812,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 116812,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 116812,A000000,05000,0000,5000CORF 116812,A000000,05010,0000,5010CMHC 116812,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116812,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116812,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116812,A000000,05300,0000,5300INTEREST EXPENSE 116812,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116812,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116812,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 116812,A000000,06110,0000,6101RENAL 116812,A000000,06120,0000,6102REN CAPD 116812,A000000,06130,0000,6103ALZHEIMERS 116812,A000000,06140,0000,6104HEALTH EDUCATION 116812,A000000,06150,0000,6105UNUTILIZED 116812,A81000A,00100,0100,N 116812,B100000,00000,0100,0100SQUARE FEET 116812,B100000,00000,0200,0200SQUARE FEET 116812,B100000,00000,0300,0300GROSS SALARIES 116812,B100000,00000,0400,0400ACCUM COST 116812,B100000,00000,0500,0500SQUARE FEET 116812,B100000,00000,0600,0600POUNDS OF LAUNDRY 116812,B100000,00000,0700,0700HOURS OF SERVICE 116812,B100000,00000,0800,0800MEALS SERVED 116812,B100000,00000,0810,0810FTES 116812,B100000,00000,0900,0900DIRECT NRSG HRS 116812,B100000,00000,1000,1000COSTED REQUIS 116812,B100000,00000,1100,1100COSTED REQUIS 116812,B100000,00000,1200,1200TIME SPENT 116812,B100000,00000,1300,1300TIME SPENT 116812,B100000,00000,1400,1400ASSIGNED TIME 116812,E10A180,00301,0100,05/09/00 116812,E10A180,00351,0100,09/17/99 116812,E10A180,00502,0300,05/22/01 116812,E10A180,00550,0100,05/22/01 116812,H510100,00000,0000,33 116812,H510100,02400,0000,33 116812,H710000,00501,0100,07/20/00 116812,H710000,00502,0100,05/22/01 116812,S000000,00100,0200,08/22/00 116812,S200000,00100,0100,218 STONE STREET 116812,S200000,00200,0100,WATERTOWN 116812,S200000,00200,0200,NY 116812,S200000,00200,0300,13601 116812,S200000,00300,0100,JEFFERSON 116812,S200000,00300,0200,0033 116812,S200000,00300,0300,R 116812,S200000,00400,0100,GENESIS HEALTHCARE OF NEW YORK 116812,S200000,00400,0200,335001 116812,S200000,00400,0300,01/01/67 116812,S200000,00400,0500,P 116812,S200000,00800,0200,337254 116812,S200000,00800,0300,04/15/88 116812,S200000,00800,0500,O 116812,S200000,01500,0100,Y 116812,S200000,01600,0100,N 116812,S200000,01700,0100,N 116812,S200000,01800,0100,N 116812,S200000,02200,0100,Y 116812,S200000,02800,0100,Y 116812,S200000,02900,0100,N 116812,S200000,03000,0100,N 116812,S200000,03100,0100,N 116812,S200000,03200,0100,N 116812,S200000,03300,0100,N 116812,S200000,03300,0200,N 116812,S200000,03700,0100,N 116812,S200000,03700,0200,N 116812,S200000,04100,0100,N 116812,S200000,04200,0100,N 116812,S200000,04300,0100,N 116812,S200000,04600,0100,Y 116812,S200000,04700,0100,N 116812,S200000,04900,0100,N 116812,S410002,01700,0100,33 116846,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116846,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 116846,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116846,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 116846,A000000,00300,0000,0300EMPLOYEE BENEFITS 116846,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116846,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116846,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116846,A000000,00700,0000,0700HOUSEKEEPING 116846,A000000,00800,0000,0800DIETARY 116846,A000000,00801,0000,0801CAFETERIA 116846,A000000,00900,0000,0900NURSING ADMINISTRATION 116846,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116846,A000000,01100,0000,1100PHARMACY 116846,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116846,A000000,01300,0000,1300SOCIAL SERVICE 116846,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116846,A000000,01500,0000,1350ACTIVITIES 116846,A000000,01600,0000,1600SKILLED NURSING FACILITY 116846,A000000,01810,0000,1810ICF/MR 116846,A000000,02100,0000,2100RADIOLOGY 116846,A000000,02200,0000,2200LABORATORY 116846,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116846,A000000,02500,0000,2500PHYSICAL THERAPY 116846,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116846,A000000,02700,0000,2700SPEECH PATHOLOGY 116846,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116846,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116846,A000000,03300,0000,3050OXYGEN 116846,A000000,03301,0000,3051PEN THERAPY 116846,A000000,03302,0000,3052OTHER ANCILLARY III 116846,A000000,03550,0000,3550FQHC 116846,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 116846,A000000,04800,0000,4800AMBULANCE 116846,A000000,05000,0000,5000CORF I 116846,A000000,05010,0000,5010CMHC I 116846,A000000,05020,0000,5020OPT I 116846,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116846,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116846,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116846,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116846,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 116846,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 116846,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116846,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116846,A81000A,00100,0100,Y 116846,A81000B,00100,0300,BUILDING LEASE 116846,A81000B,00200,0300,MANAGEMENT FEES 116846,A81000B,00300,0300,THERAPY SERVICES 116846,A81000B,00400,0300,THERAPY SERVICES 116846,A81000B,00500,0300,THERAPY SERVICES 116846,A81000B,00600,0300,HEALTH CARE CONSULT 116846,A81000B,00700,0300,THERAPY CONSULTING 116846,A81000C,00100,0100,A 116846,A81000C,00100,0200,KRAUSZ ET AL 116846,A81000C,00100,0400,HARTFD/WINDSR 116846,A81000C,00100,0600,REAL ESTATE 116846,A81000C,00200,0100,A 116846,A81000C,00200,0200,KRAUSZ ET AL 116846,A81000C,00200,0400,SOLOMON HLT SVC 116846,A81000C,00200,0600,HC MGMT CO 116846,A81000C,00300,0100,A 116846,A81000C,00300,0200,KRAUSZ ET AL 116846,A81000C,00300,0400,PROG PROV SVC 116846,A81000C,00300,0600,THERAPY SVC 116846,A81000C,00400,0100,A 116846,A81000C,00400,0200,KRAUSZ ET AL 116846,A81000C,00400,0400,PROG PROV SVC 116846,A81000C,00400,0600,THERAPY SVC 116846,A81000C,00500,0100,A 116846,A81000C,00500,0200,KRAUSZ ET AL 116846,A81000C,00500,0400,PROG PROV SVC 116846,A81000C,00500,0600,THERAPY SVC 116846,A81000C,00600,0100,A 116846,A81000C,00600,0200,KRAUSZ ET AL 116846,A81000C,00600,0400,SOLOMON HC CONS 116846,A81000C,00600,0600,HC CONSULTING 116846,A81000C,00700,0100,A 116846,A81000C,00700,0200,KRAUSZ ET AL 116846,A81000C,00700,0400,SOLOMON HC CONS 116846,A81000C,00700,0600,THERAPY CONSULT 116846,B100000,00000,0100,0100(SQUARE FEET) 116846,B100000,00000,0101,0101(SQUARE FEET) 116846,B100000,00000,0200,0200(SQUARE FEET) 116846,B100000,00000,0201,0201(SQUARE FEET) 116846,B100000,00000,0300,0300(GROSS SALARIES) 116846,B100000,00000,0400,0400(ACCUM. COST) 116846,B100000,00000,0500,0500(SQUARE FEET) 116846,B100000,00000,0600,0600(PATIENT DAYS) 116846,B100000,00000,0700,0700(SQUARE FEET) 116846,B100000,00000,0800,0800(MEALS SERVED) 116846,B100000,00000,0801,0801(MEALS SERVED) 116846,B100000,00000,0900,0900(PATIENT DAYS) 116846,B100000,00000,1000,1000(PATIENT DAYS) 116846,B100000,00000,1100,1100(PATIENT DAYS) 116846,B100000,00000,1200,1200(PATIENT DAYS) 116846,B100000,00000,1300,1300(PATIENT DAYS) 116846,B100000,00000,1400,1400(ASSIGNED TIME) 116846,B100000,00000,1500,1350(PATIENT DAYS) 116846,S000000,00100,0200,05/26/00 116846,S200000,00100,0100,96 PROSPECT HILL ROAD 116846,S200000,00200,0100,EAST WINDSOR 116846,S200000,00200,0200,CT 116846,S200000,00200,0300,06088 116846,S200000,00300,0100,HARTFORD 116846,S200000,00300,0200,3283 116846,S200000,00300,0300,U 116846,S200000,00400,0100,KETTLE BROOK 116846,S200000,00400,0200,075359 116846,S200000,00400,0300,10/01/91 116846,S200000,00400,0500,P 116846,S200000,01500,0100,Y 116846,S200000,01600,0100,N 116846,S200000,01700,0100,N 116846,S200000,01800,0100,N 116846,S200000,01900,0100,NON PROFIT CORP 116846,S200000,02200,0100,Y 116846,S200000,02800,0100,N 116846,S200000,02900,0100,N 116846,S200000,03000,0100,N 116846,S200000,03100,0100,N 116846,S200000,03200,0100,N 116846,S200000,03300,0100,N 116846,S200000,03300,0200,N 116846,S200000,04100,0100,N 116846,S200000,04200,0100,N 116846,S200000,04300,0100,Y 116846,S200000,04600,0100,N 116846,S200000,04700,0100,Y 116846,S200000,04900,0100,N 116847,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116847,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116847,A000000,00300,0000,0300EMPLOYEE BENEFITS 116847,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116847,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116847,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116847,A000000,00700,0000,0700HOUSEKEEPING 116847,A000000,00800,0000,0800DIETARY 116847,A000000,00900,0000,0900NURSING ADMINISTRATION 116847,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116847,A000000,01100,0000,1100PHARMACY 116847,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116847,A000000,01300,0000,1300SOCIAL SERVICE 116847,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116847,A000000,01500,0000,1350RECREATIONAL SERVICES 116847,A000000,01600,0000,1600SKILLED NURSING FACILITY 116847,A000000,01800,0000,1800NURSING FACILITY 116847,A000000,01810,0000,1810ICF/MR 116847,A000000,02100,0000,2100RADIOLOGY 116847,A000000,02200,0000,2200LABORATORY 116847,A000000,02300,0000,2300INTRAVENOUS THERAPY 116847,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116847,A000000,02500,0000,2500PHYSICAL THERAPY 116847,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116847,A000000,02700,0000,2700SPEECH PATHOLOGY 116847,A000000,02800,0000,2800ELECTROCARDIOLOGY 116847,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116847,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116847,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 116847,A000000,03550,0000,3550FQHC 116847,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 116847,A000000,04800,0000,4800AMBULANCE 116847,A000000,05000,0000,5000CORF 116847,A000000,05010,0000,5010CMHC 116847,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116847,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116847,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116847,A000000,05100,0000,4750OTHER REIMBURSABLE COST 116847,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 116847,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116847,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116847,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 116847,A81000A,00100,0100,Y 116847,A81000B,00100,0300,RENT 116847,A81000B,00200,0300,MORTGAGE 116847,A81000B,00300,0300,TAXES 116847,A81000B,00400,0300,MORTGAGE INSURANCE 116847,A81000B,00500,0300,SEWER USAGE 116847,A81000B,00600,0300,DEPRE 116847,A81000B,00700,0300,DEPRE 116847,A81000B,00800,0300,AMORTIZATION 116847,A81000B,00900,0300,ANTHONY SANTINO 116847,A81000C,00100,0100,B 116847,A81000C,00100,0200,EASTSHORE DEVELOPEMENT 116847,A81000C,00100,0400,P. SANTINO/H DOSTIE 116847,A81000C,00100,0600,REAL ESTATE COMPANY 116847,A81000C,00200,0100,F 116847,A81000C,00200,0200,PETER SANTINO 116847,A81000C,00200,0400,ANTONY SANTINO 116847,A81000C,00200,0600,SYSTEMS 116847,B100000,00000,0100,0100SQUARE FEET 116847,B100000,00000,0200,0200SQUARE FEET 116847,B100000,00000,0300,0300GROSS SALARIES 116847,B100000,00000,0400,0400ACCUM. COST 116847,B100000,00000,0500,0500SQUARE FEET 116847,B100000,00000,0600,0600PATIENT DAYS 116847,B100000,00000,0700,0700SQUARE FEET 116847,B100000,00000,0800,0800PATIENT DAYS 116847,B100000,00000,0900,0900PATIENT DAYS 116847,B100000,00000,1000,1000PATIENT DAYS 116847,B100000,00000,1100,1100PATIENT DAYS 116847,B100000,00000,1200,1200PATIENT DAYS 116847,B100000,00000,1300,1300NUMBER OF ADMISSIONS 116847,B100000,00000,1400,1400ASSIGNED TIME 116847,B100000,00000,1500,1350PATIENT DAYS 116847,E10A180,00501,0300,01/22/02 116847,E10A180,00550,0100,01/22/02 116847,E10A180,00550,0300,07/05/00 116847,S000000,00100,0200,05/31/00 116847,S200000,00100,0100,451 NORTH HIGH STREET 116847,S200000,00200,0100,EAST HAVEN 116847,S200000,00200,0200,CT 116847,S200000,00300,0100,NEW HAVEN 116847,S200000,00400,0100,LAUREL WOODS INC 116847,S200000,00400,0200,075389 116847,S200000,00400,0300,10/28/93 116847,S200000,00400,0500,P 116847,S200000,00600,0200,075389 116847,S200000,00600,0300,10/28/93 116847,S200000,00600,0600,O 116847,S200000,01500,0100,N 116847,S200000,01600,0100,Y 116847,S200000,01700,0100,N 116847,S200000,01800,0100,N 116847,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 116847,S200000,02200,0100,N 116847,S200000,02800,0100,N 116847,S200000,02900,0100,N 116847,S200000,03000,0100,N 116847,S200000,03100,0100,N 116847,S200000,03200,0100,N 116847,S200000,03300,0100,N 116847,S200000,03300,0200,N 116847,S200000,03500,0300,N 116847,S200000,04100,0100,N 116847,S200000,04200,0100,N 116847,S200000,04300,0100,N 116847,S200000,04600,0100,N 116847,S200000,04700,0100,N 116847,S200000,04900,0100,N 116848,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116848,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116848,A000000,00300,0000,0300EMPLOYEE BENEFITS 116848,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116848,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116848,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116848,A000000,00700,0000,0700HOUSEKEEPING 116848,A000000,00800,0000,0800DIETARY 116848,A000000,00900,0000,0900NURSING ADMINISTRATION 116848,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116848,A000000,01100,0000,1100PHARMACY 116848,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116848,A000000,01300,0000,1300SOCIAL SERVICE 116848,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116848,A000000,01600,0000,1600SKILLED NURSING FACILITY 116848,A000000,01810,0000,1810ICF/MR 116848,A000000,02100,0000,2100RADIOLOGY 116848,A000000,02200,0000,2200LABORATORY 116848,A000000,02300,0000,2300INTRAVENOUS THERAPY 116848,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116848,A000000,02500,0000,2500PHYSICAL THERAPY 116848,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116848,A000000,02700,0000,2700SPEECH PATHOLOGY 116848,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116848,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116848,A000000,03550,0000,3550FQHC 116848,A000000,05000,0000,5000CORF 116848,A000000,05010,0000,5010CMHC 116848,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116848,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116848,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116848,A000000,05300,0000,5300INTEREST EXPENSE 116848,A81000A,00100,0100,Y 116848,A81000B,00100,0300,MANAGEMENT FEES 116848,A81000B,00200,0300,HOME OFFC COST REPT-BLDG 116848,A81000B,00300,0300,HOME OFFC COST REPT-MOVEABLE 116848,A81000B,00400,0300,HOME OFFC COST REPT-NONCAPITAL 116848,A81000C,00100,0100,B 116848,A81000C,00100,0400,MEDWAY HC TRUST 116848,A81000C,00100,0600,LLC\PARENT CO 116848,B100000,00000,0100,0100SQ FT 116848,B100000,00000,0200,0200SQ FT 116848,B100000,00000,0300,0300GROSS SAL 116848,B100000,00000,0400,0400ACCUM. COST 116848,B100000,00000,0500,0500SQ FT 116848,B100000,00000,0600,0600PAT DAYS 116848,B100000,00000,0700,0700SQ FT 116848,B100000,00000,0800,0800MEALS SERVED 116848,B100000,00000,0900,0900HRS NURSING SV 116848,B100000,00000,1000,1000PAT DAYS 116848,B100000,00000,1100,1100PAT DAYS 116848,B100000,00000,1200,1200HRS SVC MR 116848,B100000,00000,1300,1300TIME SPENT SS 116848,B100000,00000,1400,1400BLANK 116848,S000000,00100,0200,03/03/00 116848,S200000,00100,0100,2817 NORTH MAIN STREET 116848,S200000,00100,0300,4820 116848,S200000,00200,0100,WATERBURY 116848,S200000,00200,0200,CT 116848,S200000,00200,0300,06704 116848,S200000,00300,0100,NEW HAVEN 116848,S200000,00300,0200,5483 116848,S200000,00300,0300,U 116848,S200000,00400,0100,SAINT ANDREWS HEALTH CENTER 116848,S200000,00400,0200,075418 116848,S200000,00400,0300,02/04/99 116848,S200000,00400,0500,P 116848,S200000,01500,0100,Y 116848,S200000,01600,0100,N 116848,S200000,01700,0100,N 116848,S200000,01800,0100,N 116848,S200000,01900,0100,LIMITED LIABABILTY COMPANY (LLC) 116848,S200000,02200,0100,Y 116848,S200000,02800,0100,Y 116848,S200000,02900,0100,N 116848,S200000,03000,0100,N 116848,S200000,03100,0100,N 116848,S200000,03200,0100,N 116848,S200000,03300,0100,N 116848,S200000,03300,0200,N 116848,S200000,04100,0100,N 116848,S200000,04200,0100,N 116848,S200000,04300,0100,N 116848,S200000,04600,0100,N 116848,S200000,04700,0100,N 116848,S200000,04900,0100,N 116849,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116849,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116849,A000000,00300,0000,0300EMPLOYEE BENEFITS 116849,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116849,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116849,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116849,A000000,00700,0000,0700HOUSEKEEPING 116849,A000000,00800,0000,0800DIETARY 116849,A000000,00900,0000,0900NURSING ADMINISTRATION 116849,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116849,A000000,01100,0000,1100PHARMACY 116849,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116849,A000000,01300,0000,1300SOCIAL SERVICE 116849,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116849,A000000,01600,0000,1600SKILLED NURSING FACILITY 116849,A000000,01810,0000,1810ICF/MR 116849,A000000,02100,0000,2100RADIOLOGY 116849,A000000,02200,0000,2200LABORATORY 116849,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116849,A000000,02500,0000,2500PHYSICAL THERAPY 116849,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116849,A000000,02700,0000,2700SPEECH PATHOLOGY 116849,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116849,A000000,03550,0000,3550FQHC 116849,A000000,05000,0000,5000CORF 116849,A000000,05010,0000,5010CMHC 116849,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116849,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116849,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116849,A000000,05300,0000,5300INTEREST EXPENSE 116849,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116849,A81000A,00100,0100,Y 116849,A81000B,00100,0300,MANAGEMENT FEE 116849,A81000B,00200,0300,NON-CAPITAL-HOME OFFC COSTREPT 116849,A81000B,00300,0300,MOVABLE-HOME OFFC COST REPT 116849,A81000B,00400,0300,BLDG-HOME OFFC COST REPT 116849,A81000C,00100,0100,F 116849,A81000C,00100,0200,MEDWAY EQUITIES 116849,A81000C,00100,0400,MEDWAY HC MGMT 116849,A81000C,00100,0600,MGMT CO 116849,A81000C,00200,0100,F 116849,A81000C,00200,0200,E.C.DOHERTY 116849,A81000C,00200,0400,MEDWAY EQUITIES 116849,A81000C,00200,0600,HOLDING CO 116849,A81000C,00300,0100,F 116849,A81000C,00300,0200,E.C.DOHERTY 116849,A81000C,00300,0400,FARM. HLTH CTR 116849,A81000C,00300,0600,SNF 116849,B100000,00000,0100,0100SQUARE FEET 116849,B100000,00000,0200,0200SQUARE FEET 116849,B100000,00000,0300,0300GROSS SAL 116849,B100000,00000,0400,0400ACCUM. COST 116849,B100000,00000,0500,0500SQUARE FEET 116849,B100000,00000,0600,0600PAT DAYS 116849,B100000,00000,0700,0700SQUARE FEET 116849,B100000,00000,0800,0800MEALS SERVED 116849,B100000,00000,0900,0900TIMEDSPENT NURSING 116849,B100000,00000,1000,1000PAT DAYS 116849,B100000,00000,1100,1100PAT DAYS 116849,B100000,00000,1200,1200TIME SPENT- M. 116849,B100000,00000,1300,1300TIME SPENT- SOC 116849,B100000,00000,1400,1400BLANK 116849,S000000,00100,0200,03/20/00 116849,S200000,00100,0100,416 COLT HIGHWAY 116849,S200000,00200,0100,FARMINGTON 116849,S200000,00200,0200,CT 116849,S200000,00200,0300,06032 116849,S200000,00300,0200,3283 116849,S200000,00300,0300,U 116849,S200000,00400,0100,FARMINGTON HEALTH CENTER 116849,S200000,00400,0200,075419 116849,S200000,00400,0300,08/13/99 116849,S200000,00400,0500,P 116849,S200000,00400,0600,O 116849,S200000,01500,0100,Y 116849,S200000,01600,0100,N 116849,S200000,01700,0100,N 116849,S200000,01800,0100,N 116849,S200000,01900,0100,LIMITED LIABILITY COMPANY (LLC) 116849,S200000,02200,0100,Y 116849,S200000,02800,0100,N 116849,S200000,02900,0100,N 116849,S200000,03000,0100,N 116849,S200000,03100,0100,N 116849,S200000,03200,0100,N 116849,S200000,03300,0100,N 116849,S200000,03300,0200,N 116849,S200000,04100,0100,N 116849,S200000,04200,0100,N 116849,S200000,04300,0100,N 116849,S200000,04600,0100,N 116849,S200000,04700,0100,N 116849,S200000,04900,0100,N 116850,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116850,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116850,A000000,00300,0000,0300EMPLOYEE BENEFITS 116850,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116850,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116850,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116850,A000000,00700,0000,0700HOUSEKEEPING 116850,A000000,00800,0000,0800DIETARY 116850,A000000,00801,0000,0801CAFETERIA 116850,A000000,00900,0000,0900NURSING ADMINISTRATION 116850,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116850,A000000,01100,0000,1100PHARMACY 116850,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116850,A000000,01300,0000,1300SOCIAL SERVICE 116850,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116850,A000000,01500,0000,1350ACTIVITIES 116850,A000000,01600,0000,1600SKILLED NURSING FACILITY 116850,A000000,01810,0000,1810ICF/MR 116850,A000000,02100,0000,2100RADIOLOGY 116850,A000000,02200,0000,2200LABORATORY 116850,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116850,A000000,02500,0000,2500PHYSICAL THERAPY 116850,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116850,A000000,02700,0000,2700SPEECH PATHOLOGY 116850,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116850,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116850,A000000,03550,0000,3550FQHC 116850,A000000,04800,0000,4800AMBULANCE 116850,A000000,05000,0000,5000CORF 116850,A000000,05010,0000,5010CMHC 116850,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116850,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116850,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116850,A000000,05300,0000,5300INTEREST EXPENSE 116850,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116850,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116850,A000000,06300,0000,6150DENTAL 116850,A000000,06301,0000,6151GUEST MEALS 116850,A81000A,00100,0100,Y 116850,A81000B,00100,0300,RECEIVER FEES 116850,A81000B,00200,0300,ADMIN & CONSULTING 116850,A81000B,00300,0300,DEPREC / STORAGE 116850,A81000B,00400,0300,EQUIP RENT / DEPREC 116850,A81000B,00500,0300,REPAIRS / MAINT 116850,A81000B,00600,0300,CAFE / EMPLOYEE MEAL 116850,A81000C,00100,0100,G 116850,A81000C,00100,0400,LORETTO PROPERT 116850,A81000C,00100,0600,RECEIVER 116850,A81000C,00200,0100,B 116850,A81000C,00200,0400,HILLTOP MANOR 116850,A81000C,00200,0600,SNF 116850,A81000C,00300,0100,B 116850,A81000C,00300,0400,HILLTOP MANOR 116850,A81000C,00300,0600,SNF 116850,A81000C,00400,0100,B 116850,A81000C,00400,0400,HILLTOP MANOR 116850,A81000C,00400,0600,SNF 116850,A81000C,00500,0100,B 116850,A81000C,00500,0400,HILLTOP MANOR 116850,A81000C,00500,0600,SNF 116850,A81000C,00600,0100,B 116850,A81000C,00600,0400,HILLTOP MANOR 116850,A81000C,00600,0600,SNF 116850,B100000,00000,0100,0100SQUARE FEET 116850,B100000,00000,0200,0200SQUARE FEET 116850,B100000,00000,0300,0300GROSS SALARIES 116850,B100000,00000,0400,0400ACCUM COST 116850,B100000,00000,0500,0500SQUARE FEET 116850,B100000,00000,0600,0600POUNDS OF LAUNDRY 116850,B100000,00000,0700,0700HOURS OF SERVICE 116850,B100000,00000,0800,0800MEALS SERVED 116850,B100000,00000,0801,0801MEALS SERVED 116850,B100000,00000,0900,0900DIRECT NRSG HRS 116850,B100000,00000,1000,1000COSTED REQUIS 116850,B100000,00000,1100,1100COSTED REQUIS 116850,B100000,00000,1200,1200TIME SPENT 116850,B100000,00000,1300,1300TIME SPENT 116850,B100000,00000,1400,1400ASSIGNED TIME 116850,B100000,00000,1500,1350NO. OF PARTICIPAN 116850,E10A180,00501,0100,04/20/01 116850,E10A180,00550,0300,04/20/01 116850,S000000,00100,0200,03/27/01 116850,S200000,00100,0100,100 NEW TURNPIKE RD. 116850,S200000,00200,0100,TROY 116850,S200000,00200,0200,NY 116850,S200000,00200,0300,12182 116850,S200000,00300,0100,R 116850,S200000,00300,0200,0160 116850,S200000,00300,0300,U 116850,S200000,00400,0100,HIGHGATE MANOR OF RENSSELAER 116850,S200000,00400,0200,335377 116850,S200000,00400,0300,02/01/73 116850,S200000,00400,0500,P 116850,S200000,01500,0100,Y 116850,S200000,01600,0100,N 116850,S200000,01700,0100,N 116850,S200000,01800,0100,N 116850,S200000,02200,0100,N 116850,S200000,02800,0100,N 116850,S200000,02900,0100,N 116850,S200000,03000,0100,N 116850,S200000,03100,0100,N 116850,S200000,03200,0100,N 116850,S200000,03300,0100,N 116850,S200000,03300,0200,N 116850,S200000,04100,0100,N 116850,S200000,04200,0100,N 116850,S200000,04300,0100,N 116850,S200000,04600,0100,N 116850,S200000,04700,0100,N 116850,S200000,04900,0100,N 116851,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116851,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116851,A000000,00300,0000,0300EMPLOYEE BENEFITS 116851,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116851,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116851,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116851,A000000,00700,0000,0700HOUSEKEEPING 116851,A000000,00800,0000,0800DIETARY 116851,A000000,00900,0000,0900NURSING ADMINISTRATION 116851,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116851,A000000,01100,0000,1100PHARMACY 116851,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116851,A000000,01300,0000,1300SOCIAL SERVICE 116851,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116851,A000000,01600,0000,1600SKILLED NURSING FACILITY 116851,A000000,01810,0000,1810ICF/MR 116851,A000000,02100,0000,2100RADIOLOGY 116851,A000000,02200,0000,2200LABORATORY 116851,A000000,02500,0000,2500PHYSICAL THERAPY 116851,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116851,A000000,02700,0000,2700SPEECH PATHOLOGY 116851,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116851,A000000,03550,0000,3550FQHC 116851,A000000,05000,0000,5000CORF 116851,A000000,05010,0000,5010CMHC 116851,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116851,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116851,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116851,A000000,05300,0000,5300INTEREST EXPENSE 116851,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116851,A000000,06300,0000,6150DENTAL 116851,A81000A,00100,0100,N 116851,B100000,00000,0100,0100SQUARE FEET 116851,B100000,00000,0200,0200SQUARE FEET 116851,B100000,00000,0300,0300GROSS SALARIES 116851,B100000,00000,0400,0400ACCUM COST 116851,B100000,00000,0500,0500SQUARE FEET 116851,B100000,00000,0600,0600POUNDS OF LAUNDRY 116851,B100000,00000,0700,0700HOURS OF SERVICE 116851,B100000,00000,0800,0800MEALS SERVED 116851,B100000,00000,0900,0900DIRECT NRSG HRS 116851,B100000,00000,1000,1000COSTED REQUIS 116851,B100000,00000,1100,1100COSTED REQUIS 116851,B100000,00000,1200,1200TIME SPENT 116851,B100000,00000,1300,1300TIME SPENT 116851,B100000,00000,1400,1400ASSIGNED TIME 116851,S000000,00100,0200,06/13/01 116851,S200000,00100,0100,200 7TH SREET 116851,S200000,00200,0100,BUFFALO 116851,S200000,00200,0200,NY 116851,S200000,00200,0300,14201 116851,S200000,00300,0100,E 116851,S200000,00300,0200,1280 116851,S200000,00300,0300,U 116851,S200000,00400,0100,WATERFRONT HEALTH CARE CENTER 116851,S200000,00400,0200,335437 116851,S200000,00400,0300,04/01/75 116851,S200000,00400,0500,P 116851,S200000,01500,0100,Y 116851,S200000,01600,0100,N 116851,S200000,01700,0100,N 116851,S200000,01800,0100,N 116851,S200000,01900,0100,NON-PROFIT PUBLIC SERVICES 116851,S200000,02200,0100,Y 116851,S200000,02800,0100,N 116851,S200000,02900,0100,N 116851,S200000,03000,0100,N 116851,S200000,03100,0100,N 116851,S200000,03200,0100,N 116851,S200000,03300,0100,N 116851,S200000,03300,0200,N 116851,S200000,04100,0100,N 116851,S200000,04200,0100,N 116851,S200000,04300,0100,N 116851,S200000,04600,0100,N 116851,S200000,04700,0100,N 116851,S200000,04900,0100,N 116852,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116852,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116852,A000000,00300,0000,0300EMPLOYEE BENEFITS 116852,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116852,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116852,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116852,A000000,00700,0000,0700HOUSEKEEPING 116852,A000000,00800,0000,0800DIETARY 116852,A000000,00900,0000,0900NURSING ADMINISTRATION 116852,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116852,A000000,01100,0000,1100PHARMACY 116852,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116852,A000000,01300,0000,1300SOCIAL SERVICE 116852,A000000,01301,0000,1301LEISURE TIME ACTIVITIES 116852,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116852,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 116852,A000000,01600,0000,1600SKILLED NURSING FACILITY 116852,A000000,01810,0000,1810ICF/MR 116852,A000000,02500,0000,2500PHYSICAL THERAPY 116852,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116852,A000000,02700,0000,2700SPEECH PATHOLOGY 116852,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116852,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116852,A000000,03550,0000,3550FQHC 116852,A000000,05000,0000,5000CORF 116852,A000000,05010,0000,5010CMHC 116852,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116852,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116852,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116852,A000000,06201,0000,6201DENTAL 116852,A000000,06202,0000,6202PSYCHIATRIC 116852,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 116852,A81000A,00100,0100,Y 116852,A81000B,00100,0300,RENT 116852,A81000B,00200,0300,INTEREST 116852,A81000B,00300,0300,DEPRECIATION 116852,A81000B,00400,0300,AMORTIZATION MORTGAGE COSTS 116852,A81000B,00500,0300,AMORTIZATION ORGANIZATION COST 116852,A81000C,00100,0100,A 116852,A81000C,00100,0200,BLOSSOM HEALTH 116852,A81000C,00100,0400,BLOSSOM REALTY 116852,A81000C,00100,0600,REAL ESTATE 116852,B100000,00000,0100,0100SQUARE FEET 116852,B100000,00000,0200,0200SQUARE FEET 116852,B100000,00000,0300,0300GROSS SALARIES 116852,B100000,00000,0400,0400ACCUM COST 116852,B100000,00000,0500,0500SQUARE FEET 116852,B100000,00000,0600,0600POUNDS OF LAUNDRY 116852,B100000,00000,0700,0700HOURS OF SERVICE 116852,B100000,00000,0800,0800MEALS SERVED 116852,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116852,B100000,00000,1000,1000COSTED REQUISITIO 116852,B100000,00000,1100,1100COSTED REQUISITIO 116852,B100000,00000,1200,1200TIME SPENT 116852,B100000,00000,1300,1300TIME SPENT 116852,B100000,00000,1301,1301SQUARE FEET 116852,B100000,00000,1400,1400ASSIGNED TIME 116852,B100000,00000,1500,1350# OF PARTICIPAN 116852,E10A180,00301,0100,05/10/00 116852,S000000,00100,0200,07/24/00 116852,S200000,00100,0100,989 BLOSSOM ROAD 116852,S200000,00200,0100,ROCHESTER 116852,S200000,00200,0200,NEW YORK 116852,S200000,00200,0300,14610 116852,S200000,00300,0100,MONROE 116852,S200000,00300,0200,6840 116852,S200000,00300,0300,U 116852,S200000,00400,0100,BLOSSOM HEALTH CARE CENTER 116852,S200000,00400,0200,335473 116852,S200000,00400,0300,11/01/77 116852,S200000,00400,0500,P 116852,S200000,01500,0100,Y 116852,S200000,01600,0100,N 116852,S200000,01700,0100,N 116852,S200000,01800,0100,N 116852,S200000,02200,0100,N 116852,S200000,02800,0100,N 116852,S200000,02900,0100,N 116852,S200000,03000,0100,N 116852,S200000,03100,0100,N 116852,S200000,03200,0100,N 116852,S200000,03300,0100,N 116852,S200000,03300,0200,N 116852,S200000,04100,0100,N 116852,S200000,04200,0100,N 116852,S200000,04300,0100,N 116852,S200000,04600,0100,N 116852,S200000,04700,0100,N 116852,S200000,04900,0100,N 116853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116853,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116853,A000000,00300,0000,0300EMPLOYEE BENEFITS 116853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116853,A000000,00700,0000,0700HOUSEKEEPING 116853,A000000,00800,0000,0800DIETARY 116853,A000000,00900,0000,0900NURSING ADMINISTRATION 116853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116853,A000000,01100,0000,1100PHARMACY 116853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116853,A000000,01300,0000,1300SOCIAL SERVICE 116853,A000000,01301,0000,1301ACTIVITIES 116853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116853,A000000,01600,0000,1600SKILLED NURSING FACILITY 116853,A000000,01810,0000,1810ICF/MR 116853,A000000,02100,0000,2100RADIOLOGY 116853,A000000,02200,0000,2200LABORATORY 116853,A000000,02500,0000,2500PHYSICAL THERAPY 116853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116853,A000000,02700,0000,2700SPEECH PATHOLOGY 116853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116853,A000000,03550,0000,3550FQHC 116853,A000000,05000,0000,5000CORF 116853,A000000,05010,0000,5010CMHC 116853,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116853,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116853,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116853,A000000,06200,0000,6200PATIENTS LAUNDRY 116853,A000000,06300,0000,6150ADULT HOME 116853,A000000,06301,0000,6151CONGREGATE APARTMENTS 116853,A000000,06302,0000,6152ADULT MEDICAL DAYCARE 116853,A000000,06303,0000,6153DENTAL 116853,A81000A,00100,0100,Y 116853,A81000B,00100,0300,LTC (EDDY) MMGT. FEE 116853,A81000B,00200,0300,SAMARITAN HOSPITAL 116853,A81000C,00100,0100,G 116853,A81000C,00100,0400,LTC (EDDY) INC 116853,A81000C,00100,0600,SOLE MEMBER 116853,A81000C,00200,0100,G 116853,A81000C,00200,0400,SAMARITAN HOSPI 116853,A81000C,00200,0600,AFFILIATE 116853,B100000,00000,0100,0100SQUARE FEET 116853,B100000,00000,0200,0200SQUARE FEET 116853,B100000,00000,0300,0300GROSS SALARIES 116853,B100000,00000,0400,0400ACCUM COST 116853,B100000,00000,0500,0500SQUARE FEET 116853,B100000,00000,0600,0600POUNDS OF LAUNDRY 116853,B100000,00000,0700,0700HOURS OF SERVICE 116853,B100000,00000,0800,0800MEALS SERVED 116853,B100000,00000,0900,0900DIRECT NRSG HRS 116853,B100000,00000,1000,1000COSTED REQUIS 116853,B100000,00000,1100,1100COSTED REQUIS 116853,B100000,00000,1200,1200TIME SPENT 116853,B100000,00000,1300,1300TIME SPENT 116853,B100000,00000,1301,1301TIME STUDY 116853,B100000,00000,1400,1400ASSIGNED TIME 116853,E10A180,00301,0100,05/10/00 116853,E10A180,00350,0100,01/20/00 116853,S000000,00100,0200,06/01/00 116853,S200000,00100,0100,2256 BURDETT AVENUE 116853,S200000,00200,0100,TROY 116853,S200000,00200,0200,NY 116853,S200000,00200,0300,12180 116853,S200000,00300,0100,RENSSELAER 116853,S200000,00300,0200,0160 116853,S200000,00300,0300,U 116853,S200000,00400,0100,EDDY MEMORIAL GERIATRIC CTR. 116853,S200000,00400,0200,335680 116853,S200000,00400,0300,02/04/85 116853,S200000,00400,0500,P 116853,S200000,01500,0100,Y 116853,S200000,01600,0100,N 116853,S200000,01700,0100,N 116853,S200000,01800,0100,N 116853,S200000,01900,0100,NYS MEMBERSHIP CORPORATION 116853,S200000,02200,0100,Y 116853,S200000,02800,0100,Y 116853,S200000,02900,0100,N 116853,S200000,03000,0100,N 116853,S200000,03100,0100,N 116853,S200000,03200,0100,N 116853,S200000,03300,0100,N 116853,S200000,03300,0200,N 116853,S200000,04100,0100,N 116853,S200000,04200,0100,N 116853,S200000,04300,0100,Y 116853,S200000,04600,0100,N 116853,S200000,04700,0100,N 116853,S200000,04900,0100,N 116854,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116854,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116854,A000000,00300,0000,0300EMPLOYEE BENEFITS 116854,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116854,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116854,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116854,A000000,00700,0000,0700HOUSEKEEPING 116854,A000000,00800,0000,0800DIETARY 116854,A000000,00801,0000,0801CAFETERIA 116854,A000000,00900,0000,0900NURSING ADMINISTRATION 116854,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116854,A000000,01100,0000,1100PHARMACY 116854,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116854,A000000,01300,0000,1300SOCIAL SERVICE 116854,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116854,A000000,01500,0000,1350ACTIVITIES 116854,A000000,01600,0000,1600SKILLED NURSING FACILITY 116854,A000000,01810,0000,1810ICF/MR 116854,A000000,02100,0000,2100RADIOLOGY 116854,A000000,02200,0000,2200LABORATORY 116854,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116854,A000000,02500,0000,2500PHYSICAL THERAPY 116854,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116854,A000000,02700,0000,2700SPEECH PATHOLOGY 116854,A000000,02800,0000,2800ELECTROCARDIOLOGY 116854,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116854,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116854,A000000,03550,0000,3550FQHC 116854,A000000,05000,0000,5000CORF 116854,A000000,05010,0000,5010CMHC 116854,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116854,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116854,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116854,A000000,05300,0000,5300INTEREST EXPENSE 116854,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116854,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 116854,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116854,A000000,06300,0000,6150DENTAL 116854,A000000,06301,0000,6151GUEST MEALS 116854,A81000A,00100,0100,Y 116854,A81000B,00100,0300,RECEIVER FEES 116854,A81000C,00100,0100,C 116854,A81000C,00100,0200,LORETTO PROPERT 116854,A81000C,00100,0400,LORETTO PROPERT 116854,A81000C,00100,0600,RECEIVER 116854,B100000,00000,0100,0100SQUARE FEET 116854,B100000,00000,0200,0200SQUARE FEET 116854,B100000,00000,0300,0300GROSS SALARIES 116854,B100000,00000,0400,0400ACCUM COST 116854,B100000,00000,0500,0500SQUARE FEET 116854,B100000,00000,0600,0600POUNDS OF LAUNDRY 116854,B100000,00000,0700,0700HOURS OF SERVICE 116854,B100000,00000,0800,0800MEALS SERVED 116854,B100000,00000,0801,0801MEALS SERVED 116854,B100000,00000,0900,0900DIRECT NRSG HRS 116854,B100000,00000,1000,1000COSTED REQUIS 116854,B100000,00000,1100,1100COSTED REQUIS 116854,B100000,00000,1200,1200TIME SPENT 116854,B100000,00000,1300,1300TIME SPENT 116854,B100000,00000,1400,1400ASSIGNED TIME 116854,B100000,00000,1500,1350NO. OF PARTICIPAN 116854,S000000,00100,0200,03/02/01 116854,S200000,00100,0100,1805 PROVIDENCE AVE. 116854,S200000,00200,0100,NISKAYUNA 116854,S200000,00200,0200,NY 116854,S200000,00200,0300,12309 116854,S200000,00300,0100,S 116854,S200000,00300,0200,0160 116854,S200000,00300,0300,U 116854,S200000,00400,0100,HILLTOP MANOR OF NISKAYUNA PROVIDER 116854,S200000,00400,0200,335701 116854,S200000,00400,0300,04/05/89 116854,S200000,00400,0500,P 116854,S200000,01500,0100,Y 116854,S200000,01600,0100,N 116854,S200000,01700,0100,N 116854,S200000,01800,0100,N 116854,S200000,02200,0100,N 116854,S200000,02800,0100,N 116854,S200000,02900,0100,N 116854,S200000,03000,0100,N 116854,S200000,03100,0100,N 116854,S200000,03200,0100,N 116854,S200000,03300,0100,N 116854,S200000,03300,0200,N 116854,S200000,04100,0100,N 116854,S200000,04200,0100,N 116854,S200000,04300,0100,N 116854,S200000,04600,0100,N 116854,S200000,04700,0100,N 116854,S200000,04900,0100,N 116913,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 116913,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 116913,A000000,00300,0000,0300EMPLOYEE BENEFITS 116913,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 116913,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 116913,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 116913,A000000,00700,0000,0700HOUSEKEEPING 116913,A000000,00800,0000,0800DIETARY 116913,A000000,00900,0000,0900NURSING ADMINISTRATION 116913,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 116913,A000000,01100,0000,1100PHARMACY 116913,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 116913,A000000,01300,0000,1300SOCIAL SERVICE 116913,A000000,01301,0000,1301ACTIVITES 116913,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 116913,A000000,01500,0000,1350REHABILITATION 116913,A000000,01600,0000,1600SKILLED NURSING FACILITY 116913,A000000,01800,0000,1800NURSING FACILITY 116913,A000000,01810,0000,1810ICF/MR 116913,A000000,01900,0000,1900OTHER LONG TERM CARE 116913,A000000,02100,0000,2100RADIOLOGY 116913,A000000,02200,0000,2200LABORATORY 116913,A000000,02300,0000,2300INTRAVENOUS THERAPY 116913,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 116913,A000000,02500,0000,2500PHYSICAL THERAPY 116913,A000000,02600,0000,2600OCCUPATIONAL THERAPY 116913,A000000,02700,0000,2700SPEECH PATHOLOGY 116913,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 116913,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 116913,A000000,03300,0000,3050EQUIPMENT RENTAL 116913,A000000,03301,0000,3051PEN THERAPY 116913,A000000,03550,0000,3550FQHC 116913,A000000,05000,0000,5000CORF 116913,A000000,05010,0000,5010CMHC 116913,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 116913,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 116913,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 116913,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 116913,A000000,05900,0000,5900BARBER & BEAUTY SHOP 116913,A000000,06300,0000,6150VENDING 116913,A000000,06301,0000,6151STAND-BY 116913,A81000A,00100,0100,Y 116913,A81000B,00100,0300,HOME OFFICE COST 116913,A81000B,00200,0300,DIETARY SUPPLEMENTS 116913,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 116913,A81000B,00400,0300,PRESCRIPTION DRUGS 116913,A81000B,00500,0300,MEDICAL SUPPLIES 116913,A81000B,00600,0300,HOME OFFICE INTEREST 116913,A81000B,00700,0300,EQUIPMENT REPLACEMENT 116913,A81000B,00800,0300,IV THERAPY 116913,A81000B,00900,0300,PHYSICAL THERAPY 116913,A81000B,01000,0300,OCCUPATIONAL THERAPY 116913,A81000B,01100,0300,SPEECH THERAPY 116913,A81000C,00100,0100,B 116913,A81000C,00100,0200,BC-WEAVERVILLE 116913,A81000C,00100,0400,MARINER PAN 116913,A81000C,00100,0600,NURSING HOMES 116913,A81000C,00200,0100,G 116913,A81000C,00200,0200,MARINER PAN 116913,A81000C,00200,0400,AMER PHARM SVCS 116913,A81000C,00200,0600,PHARMACEUTICALS 116913,A81000C,00300,0100,G 116913,A81000C,00300,0200,MARINER PAN 116913,A81000C,00300,0400,PRISM-ATS-ARS-T 116913,A81000C,00300,0600,THERAPIES 116913,B100000,00000,0100,0100SQUARE FEET 116913,B100000,00000,0200,0200SQUARE FEET 116913,B100000,00000,0300,0300GROSS SALARIES 116913,B100000,00000,0400,0400ACCUM COST 116913,B100000,00000,0500,0500SQUARE FEET 116913,B100000,00000,0600,0600PATIENT DAYS 116913,B100000,00000,0700,0700SQUARE FEET 116913,B100000,00000,0800,0800MEALS SERVED 116913,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 116913,B100000,00000,1000,1000PATIENT DAYS 116913,B100000,00000,1100,1100COSTED REQUIS 116913,B100000,00000,1200,1200PATIENT DAYS 116913,B100000,00000,1300,1300PATIENT DAYS 116913,B100000,00000,1301,1301PATIENT DAYS 116913,B100000,00000,1400,1400ASSIGNED TIME 116913,B100000,00000,1500,1350UNITS OF SERVICE 116913,E10A180,00301,0100,07/19/99 116913,E10A180,00302,0100,07/19/99 116913,E10A180,00550,0100,08/30/00 116913,E10A180,00551,0100,10/25/00 116913,S000000,00100,0200,08/30/00 116913,S200000,00100,0100,78 WEAVER BLVD 116913,S200000,00200,0100,WEAVERVILLE 116913,S200000,00200,0200,NC 116913,S200000,00200,0300,28787 116913,S200000,00300,0100,BUNCOMBE 116913,S200000,00400,0100,BRAIN CTR HLTH & REHAB/WEAVERVILLE 116913,S200000,00400,0200,345221 116913,S200000,00400,0300,02/12/82 116913,S200000,00400,0500,P 116913,S200000,00600,0200,345221 116913,S200000,00600,0300,02/12/82 116913,S200000,00600,0600,O 116913,S200000,01500,0100,N 116913,S200000,01600,0100,Y 116913,S200000,01700,0100,N 116913,S200000,01800,0100,N 116913,S200000,01900,0100,HOSPITAL AUTHORITY 116913,S200000,02200,0100,Y 116913,S200000,02800,0100,N 116913,S200000,02900,0100,N 116913,S200000,03000,0100,N 116913,S200000,03100,0100,N 116913,S200000,03200,0100,N 116913,S200000,03300,0100,N 116913,S200000,03300,0200,N 116913,S200000,03500,0300,N 116913,S200000,04100,0100,N 116913,S200000,04200,0100,N 116913,S200000,04300,0100,N 116913,S200000,04600,0100,N 116913,S200000,04700,0100,N 116913,S200000,04900,0100,N 117064,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117064,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117064,A000000,00300,0000,0300EMPLOYEE BENEFITS 117064,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117064,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117064,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117064,A000000,00700,0000,0700HOUSEKEEPING 117064,A000000,00800,0000,0800DIETARY 117064,A000000,00900,0000,0900NURSING ADMINISTRATION 117064,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117064,A000000,01100,0000,1100PHARMACY 117064,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117064,A000000,01300,0000,1300SOCIAL SERVICE 117064,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117064,A000000,01500,0000,1350OTHER GENERAL SERVICES 117064,A000000,01600,0000,1600SKILLED NURSING FACILITY 117064,A000000,01800,0000,1800NURSING FACILITY 117064,A000000,02100,0000,2100RADIOLOGY 117064,A000000,02200,0000,2200LABORATORY 117064,A000000,02500,0000,2500PHYSICAL THERAPY 117064,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117064,A000000,02700,0000,2700SPEECH PATHOLOGY 117064,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117064,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117064,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117064,A000000,03400,0000,3400CLINIC 117064,A000000,03500,0000,3500RURAL HEALTH CLINIC 117064,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117064,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117064,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117064,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117064,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117064,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117064,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117064,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117064,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117064,A81000A,00100,0100,Y 117064,A81000B,00100,0300,HEALTH AND DENTAL 117064,A81000B,00200,0300,PATIENT ACCOUNTING 117064,A81000B,00300,0300,MGMT FEES 117064,A81000B,00400,0300,GL/PL 117064,A81000B,00500,0300,MEDICAL SUPPLIES 117064,A81000B,00600,0300,TRANSPORTATION 117064,A81000B,00700,0300,MISC 117064,A81000B,00800,0300,MISC 117064,A81000C,00100,0100,B 117064,A81000C,00100,0200,HEALTHEAST 117064,A81000C,00100,0400,HEALTHEAST 117064,A81000C,00100,0600,CORPORATE OFFICES 117064,A81000C,00200,0100,B 117064,A81000C,00200,0200,HE MEDICAL LAB (HML) 117064,A81000C,00200,0400,HEALTHEAST 117064,A81000C,00200,0600,LAB 117064,A81000C,00300,0100,B 117064,A81000C,00300,0200,HE TRANSPORTATION 117064,A81000C,00300,0400,HEALTHEAST 117064,A81000C,00300,0600,TRANSPORTATION 117064,A81000C,00400,0100,B 117064,A81000C,00400,0200,ST JOSEPHS HOSPITAL 117064,A81000C,00400,0400,HEALTHEAST 117064,A81000C,00400,0600,HOSPITAL 117064,A81000C,00500,0100,B 117064,A81000C,00500,0200,HEALTHEAST HOME CARE 117064,A81000C,00500,0400,HEALTHEAST 117064,A81000C,00500,0600,HOME CARE 117064,A81000C,00600,0100,B 117064,A81000C,00600,0200,MED HOME 117064,A81000C,00600,0400,HEALTHEAST 117064,A81000C,00600,0600,MEDICAL EQUIPMENT 117064,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117064,B100000,00000,0300,0350SALARIES :EMPLOYEE BENEFITS 117064,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117064,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117064,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 117064,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117064,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 117064,B100000,00000,0900,0950STANDARDIZ ZED :NURSING ADMINIS 117064,B100000,00000,1200,1250STANDARDIZ ZED :MEDICAL RECORDS 117064,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 117064,S000000,00100,0200,01/26/01 117064,S200000,00100,0100,1891 FLORENCE STREET 117064,S200000,00200,0100,WHITE BEAR LAKE 117064,S200000,00200,0200,MN 117064,S200000,00200,0300,55110- 117064,S200000,00300,0100,RAMSEY 117064,S200000,00300,0200,5120 117064,S200000,00300,0300,U 117064,S200000,00400,0100,HEALTHEAST WHITE BEAR CARE CTR 117064,S200000,00400,0200,245300 117064,S200000,00400,0300,12/01/85 117064,S200000,00400,0500,P 117064,S200000,01500,0100,Y 117064,S200000,01600,0100,N 117064,S200000,01700,0100,N 117064,S200000,01800,0100,N 117064,S200000,02200,0100,N 117064,S200000,02800,0100,N 117064,S200000,02900,0100,N 117064,S200000,03000,0100,N 117064,S200000,03100,0100,N 117064,S200000,03200,0100,N 117064,S200000,04100,0100,N 117064,S200000,04200,0100,N 117064,S200000,04300,0100,N 117064,S200000,04600,0100,N 117064,S200000,04700,0100,N 117064,S200000,04700,0200,N 117064,S200000,04900,0100,N 117064,S200000,05000,0100,N 117064,S200000,05100,0100,N 117064,S200000,05200,0100,N 117067,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117067,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 117067,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117067,A000000,00300,0000,0300EMPLOYEE BENEFITS 117067,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117067,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117067,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117067,A000000,00700,0000,0700HOUSEKEEPING 117067,A000000,00800,0000,0800DIETARY 117067,A000000,00900,0000,0900NURSING ADMINISTRATION 117067,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117067,A000000,01100,0000,1100PHARMACY 117067,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117067,A000000,01300,0000,1300SOCIAL SERVICE 117067,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117067,A000000,01500,0000,1350OTHER GENERAL SERVICES 117067,A000000,01600,0000,1600SKILLED NURSING FACILITY 117067,A000000,01800,0000,1800NURSING FACILITY 117067,A000000,01810,0000,1810ICF/MR 117067,A000000,01900,0000,1900OTHER LONG TERM CARE 117067,A000000,02100,0000,2100RADIOLOGY 117067,A000000,02200,0000,2200LABORATORY 117067,A000000,02300,0000,2300INTRAVENOUS THERAPY 117067,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117067,A000000,02500,0000,2500PHYSICAL THERAPY 117067,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117067,A000000,02700,0000,2700SPEECH PATHOLOGY 117067,A000000,02800,0000,2800ELECTROCARDIOLOGY 117067,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117067,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117067,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117067,A000000,03200,0000,3200SUPPORT SURFACES 117067,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117067,A000000,03400,0000,3400CLINIC 117067,A000000,03500,0000,3500RURAL HEALTH CLINIC 117067,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117067,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117067,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117067,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117067,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117067,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117067,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117067,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117067,A000000,04400,0000,4400DME RENTED - HHA 117067,A000000,04500,0000,4500DME SOLD - HHA 117067,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117067,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 117067,A000000,04800,0000,4800AMBULANCE 117067,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117067,A000000,05000,0000,5000CORF 117067,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117067,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 117067,A000000,05300,0000,5300INTEREST EXPENSE 117067,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117067,A000000,05500,0000,5500HOSPICE 117067,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117067,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117067,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117067,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117067,A000000,06100,0000,6100NONPAID WORKERS 117067,A000000,06200,0000,6200PATIENTS LAUNDRY 117067,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117067,A000000,06301,0000,6151BOARD AND CARE 117067,A000000,06302,0000,6152ASSISTED LIVING 117067,A000000,06303,0000,6153FOUNDATION IMBURSABLE 117067,A000000,06304,0000,6154SKILLED LAB 117067,A000000,06305,0000,6155IDLE SPACE 117067,A000000,06306,0000,6156DAY AWAY 117067,A000000,06307,0000,6157OTHER NONREIMBURSABLE COST 117067,A81000A,00100,0100,Y 117067,A81000B,00100,0300,HEALTH AND DENTAL 117067,A81000B,00200,0300,PATIENT ACCOUNTING 117067,A81000B,00300,0300,MGMT FEE 117067,A81000B,00400,0300,GL/PL 117067,A81000B,00500,0300,MED SUPPLIES 117067,A81000B,00600,0300,TRANSPORTATION 117067,A81000B,00700,0300,MISC 117067,A81000B,00800,0300,MISC 117067,A81000C,00100,0100,B 117067,A81000C,00100,0200,HEALTHEAST 117067,A81000C,00100,0400,HEALTHEAST 117067,A81000C,00100,0600,CORPORATE OFFICES 117067,A81000C,00200,0100,B 117067,A81000C,00200,0200,HE MEDICAL LAB (HML) 117067,A81000C,00200,0400,HEALTHEAST 117067,A81000C,00200,0600,LAB 117067,A81000C,00300,0100,B 117067,A81000C,00300,0200,HE TRANSPORTATION 117067,A81000C,00300,0400,HEALTHEAST 117067,A81000C,00300,0600,TRANSPORTATION 117067,A81000C,00400,0100,B 117067,A81000C,00400,0200,ST JOSEPHS HOSPITAL 117067,A81000C,00400,0400,HEALTHEAST 117067,A81000C,00400,0600,HOSPITAL 117067,A81000C,00500,0100,B 117067,A81000C,00500,0200,HEALTHEAST HOME CARE 117067,A81000C,00500,0400,HEALTHEAST 117067,A81000C,00500,0600,HOME CARE 117067,A81000C,00600,0100,B 117067,A81000C,00600,0200,MED HOME 117067,A81000C,00600,0400,HEALTHEAST 117067,A81000C,00600,0600,MEDICAL EQUIPMENT 117067,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117067,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 117067,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117067,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117067,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 117067,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117067,B100000,00000,0800,0800MEALS SERVED :DIETARY 117067,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 117067,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 117067,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 117067,S000000,00100,0200,01/26/01 117067,S200000,00100,0100,200 EARL STREET 117067,S200000,00200,0100,ST. PAUL 117067,S200000,00200,0200,MN 117067,S200000,00200,0300,55106- 117067,S200000,00300,0100,RAMSEY 117067,S200000,00300,0200,5120 117067,S200000,00300,0300,U 117067,S200000,00400,0100,HEALTHEAST MARIAN OF ST. PAUL 117067,S200000,00400,0200,245365 117067,S200000,00400,0300,11/01/86 117067,S200000,00400,0500,P 117067,S200000,00400,0600,O 117067,S200000,01500,0100,Y 117067,S200000,01600,0100,N 117067,S200000,01700,0100,N 117067,S200000,01800,0100,N 117067,S200000,02200,0100,N 117067,S200000,02800,0100,N 117067,S200000,02900,0100,N 117067,S200000,03000,0100,N 117067,S200000,03100,0100,N 117067,S200000,03200,0100,N 117067,S200000,04100,0100,N 117067,S200000,04200,0100,N 117067,S200000,04300,0100,N 117067,S200000,04600,0100,N 117067,S200000,04700,0100,N 117067,S200000,04700,0200,N 117067,S200000,04900,0100,N 117067,S200000,05000,0100,N 117067,S200000,05100,0100,N 117067,S200000,05200,0100,N 117090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117090,A000000,00101,0000,0101CAP REL COSTS - (RES & PC) 117090,A000000,00102,0000,0102CAP REL COSTS - (COMMUNITY) 117090,A000000,00103,0000,0103CAP REL COSTS - (NURSING) 117090,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117090,A000000,00300,0000,0300EMPLOYEE BENEFITS 117090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117090,A000000,00501,0000,0501POM&R - (RES & PC) 117090,A000000,00502,0000,0502POM&R - (COMMUNITY) 117090,A000000,00503,0000,0503POM&R - (NURSING) 117090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117090,A000000,00700,0000,0700HOUSEKEEPING 117090,A000000,00701,0000,0701HOUSEKEEPING - (RES & PC) 117090,A000000,00702,0000,0702HOUSEKEEPING - (COMMUNITY) 117090,A000000,00703,0000,0703HOUSEKEEPING - (NURSING) 117090,A000000,00704,0000,0704HOUSEKEEPING - (COMBINED) 117090,A000000,00800,0000,0800DIETARY 117090,A000000,00900,0000,0900NURSING ADMINISTRATION 117090,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117090,A000000,01100,0000,1100PHARMACY 117090,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117090,A000000,01300,0000,1300SOCIAL SERVICE 117090,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117090,A000000,01500,0000,1350PATIENT ACTIVITIES 117090,A000000,01600,0000,1600SKILLED NURSING FACILITY 117090,A000000,01800,0000,1800NURSING FACILITY 117090,A000000,01810,0000,1810ICF/MR 117090,A000000,02100,0000,2100RADIOLOGY 117090,A000000,02200,0000,2200LABORATORY 117090,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117090,A000000,02500,0000,2500PHYSICAL THERAPY 117090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117090,A000000,02700,0000,2700SPEECH PATHOLOGY 117090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117090,A000000,02901,0000,2901CLINITRON BEDS 117090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117090,A000000,03550,0000,3550FQHC 117090,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117090,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117090,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117090,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117090,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117090,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117090,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117090,A000000,05000,0000,5000CORF 117090,A000000,05010,0000,5010CMHC 117090,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117090,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117090,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117090,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 117090,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117090,A000000,06300,0000,6150PRIVATE DUTY NURSING 117090,A000000,06301,0000,6151RESIDENTIAL/PERSONAL CARE 117090,A000000,06302,0000,6152DAY CARE 117090,A81000A,00100,0100,Y 117090,A81000B,00100,0300,ELECTRIC 117090,A81000B,00200,0300,CONSTRUCTION 117090,A81000B,00300,0300,STONE & BLACKTOP 117090,A81000B,00400,0300,INSURANCE 117090,A81000B,00500,0300,AUTOMOBILE 117090,A81000C,00100,0100,E 117090,A81000C,00100,0200,DAVID L. HAWTHORNE 117090,A81000C,00100,0400,HAWTHORNE ELECTRIC 117090,A81000C,00100,0600,ELECTRIC CONTRACTOR 117090,A81000C,00200,0100,E 117090,A81000C,00200,0200,DAVID M. GRAYBILL 117090,A81000C,00200,0400,PENWAY CONSTRUCTION 117090,A81000C,00200,0600,CONSTRUCTION 117090,A81000C,00300,0100,E 117090,A81000C,00300,0200,WILBUR G. ROHRER 117090,A81000C,00300,0400,ROHRER S QUARRY 117090,A81000C,00300,0600,QUARRY 117090,A81000C,00400,0100,E 117090,A81000C,00400,0200,JANICE E. RUHL 117090,A81000C,00400,0400,RUHL INSURANCE 117090,A81000C,00400,0600,INSURANCE BROKER 117090,A81000C,00500,0100,E 117090,A81000C,00500,0200,LARRY D. SAUDER 117090,A81000C,00500,0400,SAUDER CHEVROLET 117090,A81000C,00500,0600,AUTO DEALERSHIP 117090,B100000,00000,0100,0100SQ FT COMBINED 117090,B100000,00000,0101,0101SQ FT RES & PC 117090,B100000,00000,0102,0102SQ FT COMMUNITY 117090,B100000,00000,0103,0103SQ FT NURSING 117090,B100000,00000,0200,0200SQ FT COMBINED 117090,B100000,00000,0300,0300GROSS SALARIES 117090,B100000,00000,0400,0400ACCUM. COST 117090,B100000,00000,0500,0500SQ FT COMBINED 117090,B100000,00000,0501,0501SQ FT RES & PC 117090,B100000,00000,0502,0502SQ FT COMMUNITY 117090,B100000,00000,0503,0503SQ FT NURSING 117090,B100000,00000,0600,0600POUNDS OF LAUNDRY 117090,B100000,00000,0700,0700HOURS OF SERVICE 117090,B100000,00000,0701,0701SQ FT RES&PCEXCL 117090,B100000,00000,0702,0702SQ FT COMMUNEXCL 117090,B100000,00000,0703,0703SQ FT NURS EXCL 117090,B100000,00000,0704,0704SQ FT COMBINEXCL 117090,B100000,00000,0800,0800MEALS SERVED 117090,B100000,00000,0900,0900TIME SPENT 117090,B100000,00000,1000,1000COSTED REQUIS. 117090,B100000,00000,1100,1100COSTED REQUIS. 117090,B100000,00000,1200,1200TIME SPENT 117090,B100000,00000,1300,1300TIME SPENT 117090,B100000,00000,1400,1400ASSIGNED TIME 117090,B100000,00000,1500,1350PATIENT DAYS 117090,E10A180,00501,0300,11/22/00 117090,H510100,00000,0000,4000 117090,H510100,02400,0000,4000 117090,H710000,00501,0100,11/13/00 117090,H710000,00501,0300,11/13/00 117090,S000000,00100,0200,11/09/00 117090,S200000,00100,0100,3001 LITITZ PIKE 117090,S200000,00100,0300,5093 117090,S200000,00200,0100,LANCASTER 117090,S200000,00200,0200,PA 117090,S200000,00200,0300,17606 117090,S200000,00300,0100,LANCASTER 117090,S200000,00300,0200,4000 117090,S200000,00300,0300,U 117090,S200000,00400,0100,BRETHREN VILLAGE 117090,S200000,00400,0200,395328 117090,S200000,00400,0300,05/14/75 117090,S200000,00400,0500,P 117090,S200000,00800,0200,397298 117090,S200000,00800,0300,06/06/85 117090,S200000,00800,0500,O 117090,S200000,01500,0100,N 117090,S200000,01600,0100,Y 117090,S200000,01700,0100,N 117090,S200000,01800,0100,N 117090,S200000,02200,0100,N 117090,S200000,02800,0100,N 117090,S200000,02900,0100,N 117090,S200000,03000,0100,N 117090,S200000,03100,0100,N 117090,S200000,03200,0100,N 117090,S200000,03300,0100,N 117090,S200000,03300,0200,N 117090,S200000,03700,0100,N 117090,S200000,03700,0200,N 117090,S200000,04100,0100,N 117090,S200000,04200,0100,N 117090,S200000,04300,0100,Y 117090,S200000,04600,0100,N 117090,S200000,04700,0100,N 117090,S200000,04700,0200,N 117090,S200000,04900,0100,N 117090,S410002,01700,0100,4000 117104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117104,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117104,A000000,00300,0000,0300EMPLOYEE BENEFITS 117104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117104,A000000,00700,0000,0700HOUSEKEEPING 117104,A000000,00800,0000,0800DIETARY 117104,A000000,00900,0000,0900NURSING ADMINISTRATION 117104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117104,A000000,01300,0000,1300SOCIAL SERVICE 117104,A000000,01600,0000,1600SKILLED NURSING FACILITY 117104,A000000,01800,0000,1800NURSING FACILITY 117104,A000000,02100,0000,2100RADIOLOGY 117104,A000000,02200,0000,2200LABORATORY 117104,A000000,02500,0000,2500PHYSICAL THERAPY 117104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117104,A000000,02700,0000,2700SPEECH PATHOLOGY 117104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117104,A000000,04800,0000,4800AMBULANCE 117104,A000000,05300,0000,5300INTEREST EXPENSE 117104,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117104,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 117104,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENTE 117104,A000000,06301,0000,6151DAY CARE PROGRAM 117104,A81000A,00100,0100,Y 117104,A81000B,00100,0300,INTEREST 117104,A81000B,00200,0300,ASST ADMIN SALARY 117104,A81000B,00300,0300,OTHER SALARIES 117104,A81000C,00100,0100,A 117104,A81000C,00100,0200,PEZZELLI CHILDR 117104,A81000C,00100,0400,PEZZELLI CHILDR 117104,A81000C,00100,0600,NOTE HOLD 117104,A81000C,00200,0100,A 117104,A81000C,00200,0200,NORMA PEZZELLI 117104,A81000C,00200,0400,PETER PEZZELLI 117104,A81000C,00200,0600,NURS FAC 117104,A81000C,00300,0100,A 117104,A81000C,00300,0200,NORMA PEZZELLI 117104,A81000C,00300,0400,SUSAN WHIPPLE 117104,A81000C,00300,0600,NURS FAC 117104,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 117104,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 117104,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 117104,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 117104,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 117104,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 117104,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 117104,B100000,00000,0800,0800MEALS SERVED DIETARY 117104,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 117104,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 117104,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 117104,S000000,00100,0200,05/31/00 117104,S200000,00100,0100,262 POPLAR STREET 117104,S200000,00200,0100,WOONSOCKET 117104,S200000,00200,0200,RI 117104,S200000,00200,0300,02895 117104,S200000,00300,0100,WOONSOCKET 117104,S200000,00400,0100,WOONSOCKET HEALTH CENTRE 117104,S200000,00400,0200,415041 117104,S200000,00400,0300,07/09/75 117104,S200000,00400,0500,P 117104,S200000,00400,0600,N 117104,S200000,01500,0100,N 117104,S200000,01600,0100,Y 117104,S200000,01700,0100,N 117104,S200000,01800,0100,N 117104,S200000,02200,0100,N 117104,S200000,02800,0100,N 117104,S200000,02900,0100,N 117104,S200000,03000,0100,N 117104,S200000,03100,0100,N 117104,S200000,03200,0100,N 117104,S200000,03300,0100,N 117104,S200000,03300,0200,N 117104,S200000,04100,0100,N 117104,S200000,04200,0100,N 117104,S200000,04300,0100,Y 117104,S200000,04600,0100,N 117104,S200000,04700,0100,N 117104,S200000,04900,0100,N 117104,S200000,05000,0100,N 117104,S200000,05100,0100,N 117104,S200000,05200,0100,N 117104,S700003,00000,0100,X 117107,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117107,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117107,A000000,00300,0000,0300EMPLOYEE BENEFITS 117107,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117107,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117107,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117107,A000000,00700,0000,0700HOUSEKEEPING 117107,A000000,00800,0000,0800DIETARY 117107,A000000,00900,0000,0900NURSING ADMINISTRATION 117107,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117107,A000000,01100,0000,1100PHARMACY 117107,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117107,A000000,01300,0000,1300SOCIAL SERVICE 117107,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117107,A000000,01600,0000,1600SKILLED NURSING FACILITY 117107,A000000,01800,0000,1800NURSING FACILITY 117107,A000000,01810,0000,1810ICF/MR 117107,A000000,02100,0000,2100RADIOLOGY 117107,A000000,02200,0000,2200LABORATORY 117107,A000000,02300,0000,2300INTRAVENOUS THERAPY 117107,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117107,A000000,02500,0000,2500PHYSICAL THERAPY 117107,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117107,A000000,02700,0000,2700SPEECH PATHOLOGY 117107,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117107,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117107,A000000,03200,0000,3200SUPPORT SURFACES 117107,A000000,03550,0000,3550FQHC 117107,A000000,05000,0000,5000CORF 117107,A000000,05010,0000,5010CMHC 117107,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117107,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117107,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117107,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117107,A81000A,00100,0100,Y 117107,A81000B,00100,0300,A&G 117107,A81000C,00100,0100,A 117107,A81000C,00100,0200,FRANK JOHNSON 117107,A81000C,00100,0400,SUN MAR MANAGEMENT 117107,A81000C,00100,0600,MANAGEMENT COMPANY 117107,B100000,00000,0100,0100SQUARE FEET 117107,B100000,00000,0200,0200SQUARE FEET 117107,B100000,00000,0300,0300GROSS SALARIES 117107,B100000,00000,0400,0400ACCUM. COST 117107,B100000,00000,0500,0500SQUARE FEET 117107,B100000,00000,0600,0600POUNDS OF LAUNDRY 117107,B100000,00000,0700,0700SQUARE FEET 117107,B100000,00000,0800,0800MEALS SERVED 117107,B100000,00000,0900,0900DIRECT NRSING HRS 117107,B100000,00000,1000,1000COSTED REQUIS. 117107,B100000,00000,1100,1100COSTED REQUIS 117107,B100000,00000,1200,1200GROSS REVENUE 117107,B100000,00000,1300,1300PATIENT DAYS 117107,B100000,00000,1400,1400ASSIGNED TIME 117107,E10A180,00501,0100,12/27/00 117107,E10A180,00550,0300,12/27/00 117107,S000000,00100,0200,09/28/00 117107,S200000,00100,0100,3551 W. OLYMPIC BLVD. 117107,S200000,00200,0100,LOS ANGELES 117107,S200000,00200,0200,CA 117107,S200000,00200,0300,90019 117107,S200000,00300,0100,LOS ANGELES 117107,S200000,00300,0200,4480 117107,S200000,00300,0300,U 117107,S200000,00400,0100,ALCOTT REHABILITATION HOSPITAL 117107,S200000,00400,0200,056293 117107,S200000,00400,0300,05/01/88 117107,S200000,00400,0500,P 117107,S200000,00600,0200,056293 117107,S200000,00600,0300,05/01/88 117107,S200000,00600,0600,O 117107,S200000,01500,0100,N 117107,S200000,01600,0100,Y 117107,S200000,01700,0100,N 117107,S200000,01800,0100,N 117107,S200000,02200,0100,N 117107,S200000,02800,0100,N 117107,S200000,02900,0100,N 117107,S200000,03000,0100,N 117107,S200000,03100,0100,N 117107,S200000,03200,0100,N 117107,S200000,03300,0100,N 117107,S200000,03300,0200,N 117107,S200000,03500,0300,N 117107,S200000,04100,0100,N 117107,S200000,04200,0100,N 117107,S200000,04300,0100,N 117107,S200000,04600,0100,N 117107,S200000,04700,0100,N 117107,S200000,04700,0200,N 117107,S200000,04900,0100,N 117108,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117108,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117108,A000000,00300,0000,0300EMPLOYEE BENEFITS 117108,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117108,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117108,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117108,A000000,00700,0000,0700HOUSEKEEPING 117108,A000000,00800,0000,0800DIETARY 117108,A000000,00900,0000,0900NURSING ADMINISTRATION 117108,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117108,A000000,01100,0000,1100PHARMACY 117108,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117108,A000000,01300,0000,1300SOCIAL SERVICE 117108,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117108,A000000,01600,0000,1600SKILLED NURSING FACILITY 117108,A000000,01810,0000,1810ICF/MR 117108,A000000,02100,0000,2100RADIOLOGY 117108,A000000,02200,0000,2200LABORATORY 117108,A000000,02500,0000,2500PHYSICAL THERAPY 117108,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117108,A000000,02700,0000,2700SPEECH PATHOLOGY 117108,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117108,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117108,A000000,03200,0000,3200SUPPORT SURFACES 117108,A000000,03550,0000,3550FQHC 117108,A000000,05000,0000,5000CORF 117108,A000000,05010,0000,5010CMHC 117108,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117108,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117108,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117108,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117108,A81000A,00100,0100,Y 117108,A81000B,00100,0300,A&G 117108,A81000B,00200,0300,MEDICAL SUPPLIES 117108,A81000B,00300,0300,MEDICAL SUPPLIES 117108,A81000B,00400,0300,PHYSICAL THERAPY 117108,A81000B,00500,0300,OCCUPATIONAL THERAPY 117108,A81000B,00600,0300,SPEECH THERAPY 117108,A81000C,00100,0100,B 117108,A81000C,00100,0200,FOUNTAIN VIEW INC. 117108,A81000C,00100,0400,HERITAGE OAKS NURSING 117108,A81000C,00100,0600,MANAGEMENT 117108,A81000C,00200,0100,B 117108,A81000C,00200,0200,FOUNTAIN VIEW INC. 117108,A81000C,00200,0400,SKILLED CARE PHARMACY 117108,A81000C,00200,0600,INSTITUTIONAL PHARMACY 117108,A81000C,00300,0100,B 117108,A81000C,00300,0200,FOUNTAIN VIEW INC. 117108,A81000C,00300,0400,LOCOMOTION 117108,A81000C,00300,0600,THERAPY COMPANY 117108,A81000C,00400,0100,B 117108,A81000C,00400,0200,FOUNTAIN VIEW INC. 117108,A81000C,00400,0400,I N O 117108,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 117108,B100000,00000,0100,0100SQUARE FEET 117108,B100000,00000,0200,0200SQUARE FEET 117108,B100000,00000,0300,0300GROSS SALARY 117108,B100000,00000,0400,0400ACCUM. COST 117108,B100000,00000,0500,0500SQUARE FEET 117108,B100000,00000,0600,0600PATIENT DAYS 117108,B100000,00000,0700,0700SQUARE FEET 117108,B100000,00000,0800,0800MEALS SERVED 117108,B100000,00000,0900,0900NURSING HOURS 117108,B100000,00000,1000,1000COSTED REQUIS 117108,B100000,00000,1100,1100COSTED REQUIS 117108,B100000,00000,1200,1200GROSS REVENUE 117108,B100000,00000,1300,1300PATIENT DAYS 117108,B100000,00000,1400,1400ASSIGNED TIME 117108,E10A180,00350,0300,02/22/00 117108,E10A180,00501,0300,02/26/01 117108,S000000,00100,0200,01/19/01 117108,S200000,00100,0100,5301 UNIVERSITY 117108,S200000,00200,0100,LUBBOCK 117108,S200000,00200,0200,TX 117108,S200000,00200,0300,79413 117108,S200000,00300,0100,L 117108,S200000,00300,0200,4600 117108,S200000,00300,0300,U 117108,S200000,00400,0100,HERITAGE OAKS NURSING & REHAB CENTER 117108,S200000,00400,0200,675346 117108,S200000,00400,0300,07/01/94 117108,S200000,00400,0500,P 117108,S200000,01500,0100,N 117108,S200000,01600,0100,Y 117108,S200000,01700,0100,N 117108,S200000,01800,0100,N 117108,S200000,02200,0100,N 117108,S200000,02800,0100,N 117108,S200000,02900,0100,N 117108,S200000,03000,0100,N 117108,S200000,03100,0100,N 117108,S200000,03200,0100,N 117108,S200000,03300,0100,N 117108,S200000,03300,0200,N 117108,S200000,04100,0100,N 117108,S200000,04200,0100,N 117108,S200000,04300,0100,N 117108,S200000,04600,0100,N 117108,S200000,04700,0100,N 117108,S200000,04900,0100,N 117109,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117109,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117109,A000000,00300,0000,0300EMPLOYEE BENEFITS 117109,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117109,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117109,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117109,A000000,00700,0000,0700HOUSEKEEPING 117109,A000000,00800,0000,0800DIETARY 117109,A000000,00900,0000,0900NURSING ADMINISTRATION 117109,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117109,A000000,01100,0000,1100PHARMACY 117109,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117109,A000000,01300,0000,1300SOCIAL SERVICE 117109,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117109,A000000,01600,0000,1600SKILLED NURSING FACILITY 117109,A000000,01810,0000,1810ICF/MR 117109,A000000,02100,0000,2100RADIOLOGY 117109,A000000,02200,0000,2200LABORATORY 117109,A000000,02500,0000,2500PHYSICAL THERAPY 117109,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117109,A000000,02700,0000,2700SPEECH PATHOLOGY 117109,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117109,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117109,A000000,03550,0000,3550FQHC 117109,A000000,05000,0000,5000CORF 117109,A000000,05010,0000,5010CMHC 117109,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117109,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117109,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117109,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117109,A81000A,00100,0100,Y 117109,A81000B,00100,0300,MANAGEMENT FEES 117109,A81000B,00200,0300,PHYSICAL THERAPY 117109,A81000B,00300,0300,OCCUPATIONAL THERAPY 117109,A81000B,00400,0300,SPEECH THERAPY 117109,A81000B,00500,0300,RESPIRATORY THERAPY 117109,A81000B,00600,0300,PATIENT SUPPLIES 117109,A81000B,00700,0300,PHARMACY 117109,A81000B,00800,0300,MEDICAL SUPPLIES 117109,A81000C,00100,0100,B 117109,A81000C,00100,0200,FOUNTAIN VIEW INC. 117109,A81000C,00100,0400,EARLWOOD CARE CENTER 117109,A81000C,00100,0600,SNF 117109,A81000C,00200,0100,B 117109,A81000C,00200,0200,FOUNTAIN VIEW INC. 117109,A81000C,00200,0400,LOCOMOTION 117109,A81000C,00200,0600,THERAPY COMPANY 117109,A81000C,00300,0100,B 117109,A81000C,00300,0200,FOUNTAIN VIEW INC. 117109,A81000C,00300,0400,I N O 117109,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 117109,A81000C,00400,0100,B 117109,A81000C,00400,0200,FOUNTAIN VIEW INC. 117109,A81000C,00400,0400,SKILLED CARE PHARMACY 117109,A81000C,00400,0600,PHARMACY 117109,B100000,00000,0100,0100SQUARE FEET 117109,B100000,00000,0200,0200SQUARE FEET 117109,B100000,00000,0300,0300GROSS SALARIES 117109,B100000,00000,0400,0400ACCUM. COST 117109,B100000,00000,0500,0500SQUARE FEET 117109,B100000,00000,0600,0600POUNDS OF LAUNDRY 117109,B100000,00000,0700,0700SQUARE FEET 117109,B100000,00000,0800,0800MEALS SERVED 117109,B100000,00000,0900,0900DIRECT NRSING HRS 117109,B100000,00000,1000,1000COSTED REQUIS 117109,B100000,00000,1100,1100COSTED REQUIS 117109,B100000,00000,1200,1200GROSS REVENUE 117109,B100000,00000,1300,1300PATIENT DAYS 117109,B100000,00000,1400,1400ASSIGNED TIME 117109,E10A180,00501,0100,02/02/01 117109,E10A180,00501,0300,02/05/01 117109,S000000,00100,0200,01/18/01 117109,S200000,00100,0100,2820 EARL STREET 117109,S200000,00200,0100,TORRANCE 117109,S200000,00200,0200,CA 117109,S200000,00200,0300,90503 117109,S200000,00300,0100,L 117109,S200000,00300,0200,4480 117109,S200000,00300,0300,U 117109,S200000,00400,0100,EARLWOOD CARE CENTER 117109,S200000,00400,0200,055032 117109,S200000,00400,0300,01/01/67 117109,S200000,00400,0500,P 117109,S200000,00400,0600,O 117109,S200000,01500,0100,N 117109,S200000,01600,0100,Y 117109,S200000,01700,0100,N 117109,S200000,01800,0100,N 117109,S200000,02200,0100,N 117109,S200000,02800,0100,N 117109,S200000,02900,0100,N 117109,S200000,03000,0100,N 117109,S200000,03100,0100,N 117109,S200000,03200,0100,N 117109,S200000,03300,0100,N 117109,S200000,03300,0200,N 117109,S200000,04100,0100,N 117109,S200000,04200,0100,N 117109,S200000,04300,0100,N 117109,S200000,04600,0100,N 117109,S200000,04700,0100,N 117109,S200000,04700,0200,N 117109,S200000,04900,0100,N 117114,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117114,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117114,A000000,00300,0000,0300EMPLOYEE BENEFITS 117114,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117114,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117114,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117114,A000000,00700,0000,0700HOUSEKEEPING 117114,A000000,00800,0000,0800DIETARY 117114,A000000,00900,0000,0900NURSING ADMINISTRATION 117114,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117114,A000000,01100,0000,1100PHARMACY 117114,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117114,A000000,01300,0000,1300SOCIAL SERVICE 117114,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117114,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 117114,A000000,01600,0000,1600SKILLED NURSING FACILITY 117114,A000000,01810,0000,1810ICF/MR 117114,A000000,02100,0000,2100RADIOLOGY 117114,A000000,02200,0000,2200LABORATORY 117114,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117114,A000000,02500,0000,2500PHYSICAL THERAPY 117114,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117114,A000000,02700,0000,2700SPEECH PATHOLOGY 117114,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117114,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117114,A000000,03200,0000,3200SUPPORT SURFACES 117114,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 117114,A000000,03550,0000,3550FQHC 117114,A000000,05000,0000,5000CORF 117114,A000000,05010,0000,5010CMHC 117114,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117114,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117114,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117114,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117114,A81000A,00100,0100,Y 117114,A81000B,00100,0300,MGT FEE/HOME OFFICE 117114,A81000B,00200,0300,PHYSICAL THERAPY 117114,A81000B,00300,0300,OCCUPATIONAL THERAPY 117114,A81000B,00400,0300,SPEECH THERAPY 117114,A81000B,00500,0300,MEDICAL SUPPLIES 117114,A81000C,00100,0100,B 117114,A81000C,00100,0200,FOUNTAIN VIEW INC 117114,A81000C,00100,0400,COLONIAL MANOR 117114,A81000C,00100,0600,MANAGEMENT 117114,A81000C,00200,0100,B 117114,A81000C,00200,0400,LOCOMOTION THERAPY INC 117114,A81000C,00200,0600,THERAPY COMPANY 117114,A81000C,00300,0100,B 117114,A81000C,00300,0400,SKILLED CARE PHARMACY 117114,A81000C,00300,0600,INST. PHARM. 117114,B100000,00000,0100,0100SQUARE FEET 117114,B100000,00000,0200,0200SQUARE FEET 117114,B100000,00000,0300,0300GROSS SALARY 117114,B100000,00000,0400,0400ACCUM. COST 117114,B100000,00000,0500,0500SQUARE FEET 117114,B100000,00000,0600,0600PATIENT DAYS 117114,B100000,00000,0700,0700SQUARE FEET 117114,B100000,00000,0800,0800MEALS SERVED 117114,B100000,00000,0900,0900NURSING HOURS 117114,B100000,00000,1000,1000COSTED REQUIS 117114,B100000,00000,1100,1100COSTED REQUIS 117114,B100000,00000,1200,1200GROSS REVENUE 117114,B100000,00000,1300,1300PATIENT DAYS 117114,B100000,00000,1400,1400ASSIGNED TIME 117114,B100000,00000,1500,1350PATIENT DAYS 117114,E10A180,00501,0100,03/05/01 117114,E10A180,00501,0300,03/05/01 117114,S000000,00100,0200,01/22/01 117114,S200000,00100,0100,821 US HIGHWAY 81 WEST 117114,S200000,00200,0100,NEW BRAUNFELS 117114,S200000,00200,0200,TX 117114,S200000,00200,0300,78130 117114,S200000,00300,0100,C 117114,S200000,00300,0200,7240 117114,S200000,00300,0300,U 117114,S200000,00400,0100,COLONIAL MANOR CARE CENTER 117114,S200000,00400,0200,455020 117114,S200000,00400,0300,07/01/84 117114,S200000,00400,0500,P 117114,S200000,01500,0100,Y 117114,S200000,01600,0100,N 117114,S200000,01700,0100,N 117114,S200000,01800,0100,N 117114,S200000,02200,0100,N 117114,S200000,02800,0100,N 117114,S200000,02900,0100,N 117114,S200000,03000,0100,N 117114,S200000,03100,0100,N 117114,S200000,03200,0100,N 117114,S200000,03300,0100,N 117114,S200000,03300,0200,N 117114,S200000,04100,0100,N 117114,S200000,04200,0100,N 117114,S200000,04300,0100,N 117114,S200000,04600,0100,N 117114,S200000,04700,0100,N 117114,S200000,04900,0100,N 117142,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117142,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117142,A000000,00300,0000,0300EMPLOYEE BENEFITS 117142,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117142,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117142,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117142,A000000,00700,0000,0700HOUSEKEEPING 117142,A000000,00800,0000,0800DIETARY 117142,A000000,00900,0000,0900NURSING ADMINISTRATION 117142,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117142,A000000,01100,0000,1100PHARMACY 117142,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117142,A000000,01300,0000,1300SOCIAL SERVICE 117142,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117142,A000000,01600,0000,1600SKILLED NURSING FACILITY 117142,A000000,01800,0000,1800NURSING FACILITY 117142,A000000,01810,0000,1810ICF/MR 117142,A000000,01900,0000,1900OTHER LONG TERM CARE 117142,A000000,02100,0000,2100RADIOLOGY 117142,A000000,02200,0000,2200LABORATORY 117142,A000000,02500,0000,2500PHYSICAL THERAPY 117142,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117142,A000000,02700,0000,2700SPEECH PATHOLOGY 117142,A000000,02800,0000,2800ELECTROCARDIOLOGY 117142,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117142,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117142,A000000,03101,0000,3101PSYCHIATRY 117142,A000000,03400,0000,3400CLINIC 117142,A000000,03550,0000,3550FQHC 117142,A000000,05000,0000,5000CORF 117142,A000000,05010,0000,5010CMHC 117142,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117142,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117142,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117142,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117142,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 117142,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117142,A000000,06101,0000,6101DENTAL & PODIATRY CLINICS 117142,A000000,06102,0000,6102ADULT DAY CARE 117142,A000000,06103,0000,6103SISTERS MAINTENANCE 117142,A000000,06104,0000,6104PUBLIC REL./FUND RAISING 117142,A000000,06105,0000,6105INDEPENDENT LIVING 117142,A000000,06200,0000,6200PATIENTS LAUNDRY 117142,A81000A,00100,0100,Y 117142,A81000B,00100,0300,RENT 117142,A81000C,00100,0100,A 117142,A81000C,00100,0200,DIOCESE OF BPT. 117142,A81000C,00100,0400,S J HOUSING COR 117142,A81000C,00100,0600,ELDERLY HOUSING 117142,B100000,00000,0100,0100SQUARE FEET 117142,B100000,00000,0200,0200SQUARE FEET 117142,B100000,00000,0300,0300GROSS SALARIES 117142,B100000,00000,0400,0400ACCUM COST 117142,B100000,00000,0500,0500SQUARE FEET 117142,B100000,00000,0600,0600POUNDS OF LAUNDRY 117142,B100000,00000,0700,0700HOURS OF SERVICE 117142,B100000,00000,0800,0800MEALS SERVED 117142,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 117142,B100000,00000,1000,1000COSTED REQUIS 117142,B100000,00000,1100,1100COSTED REQUIS 117142,B100000,00000,1200,1200TIME SPENT 117142,B100000,00000,1300,1300TIME SPENT 117142,B100000,00000,1400,1400ASSIGNED TIME 117142,S000000,00100,0200,03/09/00 117142,S200000,00100,0100,6448 MAIN STREET 117142,S200000,00200,0100,TRUMBULL 117142,S200000,00200,0200,CT 117142,S200000,00200,0300,06611 117142,S200000,00300,0100,FAIRFIELD 117142,S200000,00300,0200,5483 117142,S200000,00300,0300,U 117142,S200000,00400,0100,ST. JOSEPH S MANOR 117142,S200000,00400,0200,075001 117142,S200000,00400,0300,01/01/67 117142,S200000,00400,0500,P 117142,S200000,00600,0200,075001 117142,S200000,00600,0300,01/01/67 117142,S200000,00600,0600,O 117142,S200000,01500,0100,N 117142,S200000,01600,0100,N 117142,S200000,01700,0100,N 117142,S200000,01800,0100,N 117142,S200000,02200,0100,Y 117142,S200000,02800,0100,Y 117142,S200000,02900,0100,Y 117142,S200000,03000,0100,N 117142,S200000,03100,0100,N 117142,S200000,03200,0100,N 117142,S200000,03300,0100,N 117142,S200000,03300,0200,N 117142,S200000,03500,0300,N 117142,S200000,04100,0100,N 117142,S200000,04200,0100,N 117142,S200000,04300,0100,N 117142,S200000,04600,0100,N 117142,S200000,04700,0100,N 117142,S200000,04900,0100,N 117143,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117143,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117143,A000000,00300,0000,0300EMPLOYEE BENEFITS 117143,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117143,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117143,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117143,A000000,00700,0000,0700HOUSEKEEPING 117143,A000000,00800,0000,0800DIETARY 117143,A000000,00900,0000,0900NURSING ADMINISTRATION 117143,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117143,A000000,01100,0000,1100PHARMACY 117143,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117143,A000000,01300,0000,1300SOCIAL SERVICE 117143,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117143,A000000,01500,0000,1350RECREATION 117143,A000000,01600,0000,1600SKILLED NURSING FACILITY 117143,A000000,01810,0000,1810ICF/MR 117143,A000000,02100,0000,2100RADIOLOGY 117143,A000000,02200,0000,2200LABORATORY 117143,A000000,02300,0000,2300INTRAVENOUS THERAPY 117143,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117143,A000000,02500,0000,2500PHYSICAL THERAPY 117143,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117143,A000000,02700,0000,2700SPEECH PATHOLOGY 117143,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117143,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117143,A000000,03550,0000,3550FQHC 117143,A000000,04800,0000,4800AMBULANCE 117143,A000000,05000,0000,5000CORF 117143,A000000,05010,0000,5010CMHC 117143,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117143,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117143,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117143,A000000,05300,0000,5300INTEREST EXPENSE 117143,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117143,A000000,06300,0000,6150DENTAL 117143,A81000A,00100,0100,Y 117143,A81000B,00100,0300,BLDGS AND RENT 117143,A81000B,00200,0300,PROPERTY TAXES 117143,A81000B,00300,0300,PROPERTY INSURANCE 117143,A81000B,00400,0300,INTEREST 117143,A81000B,00500,0300,DEPRECIATION 117143,A81000C,00100,0100,B 117143,A81000C,00100,0200,L. AMKRAUT 117143,A81000C,00100,0400,AMKRAUT VUOLO 117143,A81000C,00100,0600,REAL ESTATE 117143,A81000C,00200,0100,B 117143,A81000C,00200,0200,J. VUOLO 117143,A81000C,00200,0400,AMKRAUT VUOLO 117143,A81000C,00200,0600,REAL ESTATE 117143,B100000,00000,0100,0100SQUARE FEET 117143,B100000,00000,0200,0200SQUARE FEET 117143,B100000,00000,0300,0300GROSS SALARIES 117143,B100000,00000,0400,0400ACCUM COST 117143,B100000,00000,0500,0500SQUARE FEET 117143,B100000,00000,0600,0600PATIENT DAYS 117143,B100000,00000,0700,0700SQUARE FOOTAGE 117143,B100000,00000,0800,0800PATIENT DAYS 117143,B100000,00000,0900,0900PATIENT DAYS 117143,B100000,00000,1000,1000PATIENT DAYS 117143,B100000,00000,1100,1100PATIENT DAYS 117143,B100000,00000,1200,1200PATIENT DAYS 117143,B100000,00000,1300,1300PATIENT DAYS 117143,B100000,00000,1400,1400ASSIGNED TIME 117143,B100000,00000,1500,1350PATIENT DAYS 117143,S000000,00100,0200,05/26/00 117143,S200000,00100,0100,2798 WHITNEY AVENUE 117143,S200000,00200,0100,HAMDEN 117143,S200000,00200,0200,CT 117143,S200000,00200,0300,06518 117143,S200000,00300,0100,NEW HAVEN 117143,S200000,00300,0200,5483 117143,S200000,00300,0300,U 117143,S200000,00400,0100,WHITNEY MANOR CONVALESCENT CENTER 117143,S200000,00400,0200,075246 117143,S200000,00400,0300,02/25/75 117143,S200000,00400,0500,P 117143,S200000,01500,0100,Y 117143,S200000,01600,0100,N 117143,S200000,01700,0100,N 117143,S200000,01800,0100,N 117143,S200000,01900,0100,NON PROFIT CORP 117143,S200000,02200,0100,N 117143,S200000,02800,0100,N 117143,S200000,02900,0100,N 117143,S200000,03000,0100,N 117143,S200000,03100,0100,N 117143,S200000,03200,0100,N 117143,S200000,03300,0100,N 117143,S200000,03300,0200,N 117143,S200000,04100,0100,N 117143,S200000,04200,0100,N 117143,S200000,04300,0100,N 117143,S200000,04600,0100,N 117143,S200000,04700,0100,Y 117143,S200000,04900,0100,N 117144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117144,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117144,A000000,00300,0000,0300EMPLOYEE BENEFITS 117144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117144,A000000,00700,0000,0700HOUSEKEEPING 117144,A000000,00800,0000,0800DIETARY 117144,A000000,00900,0000,0900NURSING ADMINISTRATION 117144,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117144,A000000,01100,0000,1100PHARMACY 117144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117144,A000000,01300,0000,1300SOCIAL SERVICE 117144,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117144,A000000,01600,0000,1600SKILLED NURSING FACILITY 117144,A000000,01800,0000,1800NURSING FACILITY 117144,A000000,01810,0000,1810ICF/MR 117144,A000000,02100,0000,2100RADIOLOGY 117144,A000000,02200,0000,2200LABORATORY 117144,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117144,A000000,02500,0000,2500PHYSICAL THERAPY 117144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117144,A000000,02700,0000,2700SPEECH PATHOLOGY 117144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117144,A000000,03550,0000,3550FQHC 117144,A000000,05000,0000,5000CORF 117144,A000000,05010,0000,5010CMHC 117144,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117144,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117144,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117144,A000000,05300,0000,5300INTEREST EXPENSE 117144,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 117144,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117144,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117144,A81000A,00100,0100,Y 117144,A81000B,00100,0300,GUARANTEE FEES 117144,A81000B,00200,0300,DEVELOPMENT LOAN 117144,A81000C,00100,0100,B 117144,A81000C,00100,0200,NEW SAMARITAN CORP 117144,A81000C,00100,0400,ELDERLY HOUSING 117144,B100000,00000,0100,0100SQUARE FEET 117144,B100000,00000,0200,0200SQUARE FEET 117144,B100000,00000,0300,0300GROSS SALARIES 117144,B100000,00000,0400,0400ACCUM. COST 117144,B100000,00000,0500,0500SQUARE FEET 117144,B100000,00000,0600,0600PATIENT DAYS 117144,B100000,00000,0700,0700SQUARE FEET 117144,B100000,00000,0800,0800MEALS SERVED 117144,B100000,00000,0900,0900PATIENT DAYS 117144,B100000,00000,1000,1000PATIENT DAYS 117144,B100000,00000,1100,1100PATIENT DAYS 117144,B100000,00000,1200,1200PATIENT DAYS 117144,B100000,00000,1300,1300PATIENT DAYS 117144,B100000,00000,1400,1400ASSIGNED TIME 117144,E10A180,00501,0100,03/03/00 117144,E10A180,00550,0300,03/03/00 117144,S000000,00100,0200,03/02/00 117144,S200000,00100,0100,100 WARREN CIRCLE 117144,S200000,00200,0100,STORRS 117144,S200000,00200,0200,CT 117144,S200000,00300,0100,TOLLAND 117144,S200000,00300,0200,3283 117144,S200000,00300,0300,U 117144,S200000,00400,0100,MANSFIELD CENTER FOR NURSING 117144,S200000,00400,0200,075402 117144,S200000,00400,0300,02/16/94 117144,S200000,00400,0500,P 117144,S200000,00400,0600,O 117144,S200000,00600,0200,075402 117144,S200000,00600,0300,02/16/94 117144,S200000,00600,0600,O 117144,S200000,01500,0100,N 117144,S200000,01600,0100,Y 117144,S200000,01700,0100,N 117144,S200000,01800,0100,N 117144,S200000,02200,0100,Y 117144,S200000,02800,0100,N 117144,S200000,02900,0100,N 117144,S200000,03000,0100,N 117144,S200000,03100,0100,N 117144,S200000,03200,0100,N 117144,S200000,03300,0100,N 117144,S200000,03300,0200,N 117144,S200000,03500,0300,N 117144,S200000,04100,0100,N 117144,S200000,04200,0100,N 117144,S200000,04300,0100,N 117144,S200000,04600,0100,N 117144,S200000,04700,0100,N 117144,S200000,04900,0100,N 117145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117145,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117145,A000000,00300,0000,0300EMPLOYEE BENEFITS 117145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117145,A000000,00700,0000,0700HOUSEKEEPING 117145,A000000,00800,0000,0800DIETARY 117145,A000000,00900,0000,0900NURSING ADMINISTRATION 117145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117145,A000000,01100,0000,1100PHARMACY 117145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117145,A000000,01300,0000,1300SOCIAL SERVICE 117145,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117145,A000000,01600,0000,1600SKILLED NURSING FACILITY 117145,A000000,01810,0000,1810ICF/MR 117145,A000000,02100,0000,2100RADIOLOGY 117145,A000000,02200,0000,2200LABORATORY 117145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117145,A000000,02500,0000,2500PHYSICAL THERAPY 117145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117145,A000000,02700,0000,2700SPEECH PATHOLOGY 117145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117145,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 117145,A000000,03550,0000,3550FQHC 117145,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 117145,A000000,05000,0000,5000CORF 117145,A000000,05010,0000,5010CMHC 117145,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117145,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117145,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117145,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117145,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 117145,A81000A,00100,0100,Y 117145,A81000B,00100,0300,HOME OFFICE COSTS 117145,A81000B,00200,0300,MANAGEMENT FEES 117145,A81000B,00300,0300,HOME OFFICE COSTS 117145,A81000B,00400,0300,HOME OFFICE COSTS 117145,A81000C,00100,0100,B 117145,A81000C,00100,0200,SERVICEMAASTER 117145,A81000C,00100,0600,MANAGEMENT COMP 117145,B100000,00000,0100,0100SQUARE FEET 117145,B100000,00000,0200,0200SQUARE FEET 117145,B100000,00000,0300,0300GROSS SALARIES 117145,B100000,00000,0400,0400ACCUM COST 117145,B100000,00000,0500,0500SQUARE FEET 117145,B100000,00000,0600,0600PATIENT DAYS 117145,B100000,00000,0700,0700SQUARE FEET 117145,B100000,00000,0800,0800PATIENT DAYS 117145,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 117145,B100000,00000,1000,1000HOURS OF SERVICE 117145,B100000,00000,1100,1100COSTED REQUISITIO 117145,B100000,00000,1200,1200PATIENT DAYS 117145,B100000,00000,1300,1300PATIENT DAYS 117145,B100000,00000,1400,1400ASSIGNED TIME 117145,S000000,00100,0200,05/30/00 117145,S200000,00100,0100,1660 STAFFORD AVE 117145,S200000,00200,0100,BRISTOL 117145,S200000,00200,0200,CT 117145,S200000,00200,0300,06010 117145,S200000,00300,0100,HARTFORD 117145,S200000,00300,0200,3283 117145,S200000,00300,0300,U 117145,S200000,00400,0100,COUNTRYSIDE MANOR 117145,S200000,00400,0200,075415 117145,S200000,00400,0300,04/06/98 117145,S200000,00400,0500,P 117145,S200000,01500,0100,N 117145,S200000,01600,0100,Y 117145,S200000,01700,0100,N 117145,S200000,01800,0100,N 117145,S200000,01900,0100,CCRC 117145,S200000,02200,0100,N 117145,S200000,02800,0100,N 117145,S200000,02900,0100,N 117145,S200000,03000,0100,N 117145,S200000,03100,0100,N 117145,S200000,03200,0100,N 117145,S200000,03300,0100,N 117145,S200000,03300,0200,N 117145,S200000,04100,0100,N 117145,S200000,04200,0100,N 117145,S200000,04300,0100,N 117145,S200000,04600,0100,N 117145,S200000,04700,0100,N 117145,S200000,04900,0100,N 117236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117236,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117236,A000000,00300,0000,0300EMPLOYEE BENEFITS 117236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117236,A000000,00700,0000,0700HOUSEKEEPING 117236,A000000,00800,0000,0800DIETARY 117236,A000000,00900,0000,0900NURSING ADMINISTRATION 117236,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117236,A000000,01100,0000,1100PHARMACY 117236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117236,A000000,01300,0000,1300SOCIAL SERVICE 117236,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117236,A000000,01500,0000,1350RECREATION 117236,A000000,01600,0000,1600SKILLED NURSING FACILITY 117236,A000000,01810,0000,1810ICF/MR 117236,A000000,01900,0000,1900OTHER LONG TERM CARE 117236,A000000,02100,0000,2100RADIOLOGY 117236,A000000,02200,0000,2200LABORATORY 117236,A000000,02500,0000,2500PHYSICAL THERAPY 117236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117236,A000000,02700,0000,2700SPEECH PATHOLOGY 117236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117236,A000000,03550,0000,3550FQHC 117236,A000000,05000,0000,5000CORF 117236,A000000,05010,0000,5010CMHC 117236,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117236,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117236,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117236,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117236,A81000A,00100,0100,N 117236,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 117236,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 117236,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 117236,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 117236,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 117236,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 117236,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 117236,B100000,00000,0800,0800PATIENT DAYS DIETARY 117236,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 117236,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 117236,B100000,00000,1100,1100COSTED REQUIS PHARMACY 117236,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 117236,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 117236,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 117236,B100000,00000,1500,1500PATIENT DAYS RECREATION 117236,S000000,00100,0200,01/02/01 117236,S200000,00100,0100,516 13TH STREET 117236,S200000,00200,0100,WELLMAN 117236,S200000,00200,0200,IA 117236,S200000,00200,0300,52356 117236,S200000,00300,0100,WASHINGTON 117236,S200000,00400,0100,PARKVIEW MANOR 117236,S200000,00400,0200,165234 117236,S200000,00400,0300,11/01/94 117236,S200000,00400,0500,P 117236,S200000,00400,0600,N 117236,S200000,01500,0100,Y 117236,S200000,01600,0100,N 117236,S200000,01700,0100,N 117236,S200000,01800,0100,N 117236,S200000,02200,0100,N 117236,S200000,02800,0100,N 117236,S200000,02900,0100,N 117236,S200000,03000,0100,N 117236,S200000,03100,0100,N 117236,S200000,03200,0100,N 117236,S200000,03300,0100,N 117236,S200000,03300,0200,N 117236,S200000,04100,0100,N 117236,S200000,04200,0100,N 117236,S200000,04300,0100,N 117236,S200000,04600,0100,N 117236,S200000,04700,0100,N 117236,S200000,04900,0100,N 117236,S700003,00000,0200,X 117312,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117312,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117312,A000000,00300,0000,0300EMPLOYEE BENEFITS 117312,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117312,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117312,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117312,A000000,00700,0000,0700HOUSEKEEPING 117312,A000000,00800,0000,0800DIETARY 117312,A000000,00900,0000,0900NURSING ADMINISTRATION 117312,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117312,A000000,01100,0000,1100PHARMACY 117312,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117312,A000000,01300,0000,1300SOCIAL SERVICE 117312,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117312,A000000,01600,0000,1600SKILLED NURSING FACILITY 117312,A000000,01810,0000,1810ICF/MR 117312,A000000,02100,0000,2100RADIOLOGY 117312,A000000,02200,0000,2200LABORATORY 117312,A000000,02300,0000,2300INTRAVENOUS THERAPY 117312,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117312,A000000,02500,0000,2500PHYSICAL THERAPY 117312,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117312,A000000,02700,0000,2700SPEECH PATHOLOGY 117312,A000000,02800,0000,2800ELECTROCARDIOLOGY 117312,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117312,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117312,A000000,03400,0000,3400CLINIC 117312,A000000,03550,0000,3550FQHC 117312,A000000,05000,0000,5000CORF 117312,A000000,05010,0000,5010CMHC 117312,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117312,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117312,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117312,A81000A,00100,0100,Y 117312,A81000B,00100,0300,PINNACLE CRC - BLD & FIX 117312,A81000B,00200,0300,PINNACLE CRC - MOV EQUIP 117312,A81000B,00300,0300,PINNACLE ADMIN & GENERAL 117312,A81000B,00400,0300,PINNACLE PLANT OP MAINT & REP 117312,A81000B,00500,0300,LAUNDRY & LINEN 117312,A81000B,00600,0300,PINNACLE HOUSEKEEPING 117312,A81000B,00700,0300,PINNACLE DIETARY 117312,A81000B,00800,0300,PINNACLE NURSING ADMIN 117312,A81000B,00900,0300,PINNACLE PHARMACY 117312,A81000B,01000,0300,PINNACLE MEDICAL RECORDS 117312,A81000B,01100,0300,PINNACLE SOCIAL SERVICE 117312,A81000B,01200,0300,PINNACLE I&R (APPRVD PROG) 117312,A81000B,01300,0300,PINNACLE RADIOLOGY 117312,A81000B,01400,0300,PINNACLE LABORATORY 117312,A81000B,01500,0300,PINNACLE OXYGEN THERAPY 117312,A81000B,01600,0300,PINNACLE PHYSICAL THERAPY 117312,A81000B,01700,0300,PINNACLE EKG 117312,A81000B,01800,0300,PINNACLE DRUGS 117312,A81000B,01900,0300,PINNACLE IV THERAPY 117312,A81000C,00100,0100,G 117312,A81000C,00100,0200,PINNACLE HEALTH 117312,A81000C,00100,0400,PINNACLE HEALTH 117312,A81000C,00100,0600,MANAGEMENT SVC 117312,B100000,00000,0100,0100SQUARE FEET 117312,B100000,00000,0200,0200DOLLAR VALUE 117312,B100000,00000,0300,0300GROSS SALARIES 117312,B100000,00000,0400,0400ACCUM. COST 117312,B100000,00000,0500,0500SQUARE FEET 117312,B100000,00000,0600,0600POUNDS OF LAUNDRY 117312,B100000,00000,0700,0700HOURS OF SERVICE 117312,B100000,00000,0800,0800MEALS SERVED 117312,B100000,00000,0900,0900DIRECT NRSING HRS 117312,B100000,00000,1000,1000COSTED REQUIS. 117312,B100000,00000,1100,1100COSTED REQUIS. 117312,B100000,00000,1200,1200TIME SPENT 117312,B100000,00000,1300,1300TIME SPENT 117312,B100000,00000,1400,1400ASSIGNED TIME 117312,E10A180,00501,0100,12/22/00 117312,E10A180,00501,0300,12/22/00 117312,S000000,00100,0200,11/30/00 117312,S200000,00100,0100,120 SOUTH FILBERT STREET 117312,S200000,00200,0100,MECHANICSBURG 117312,S200000,00200,0200,PA 117312,S200000,00200,0300,17055 117312,S200000,00300,0100,C 117312,S200000,00300,0200,3240 117312,S200000,00300,0300,U 117312,S200000,00400,0100,PINNACLEHEALTH SNU AT SMH 117312,S200000,00400,0200,395322 117312,S200000,00400,0300,06/30/70 117312,S200000,00400,0500,P 117312,S200000,01500,0100,N 117312,S200000,01600,0100,N 117312,S200000,01700,0100,N 117312,S200000,01800,0100,N 117312,S200000,02200,0100,N 117312,S200000,02800,0100,N 117312,S200000,02900,0100,N 117312,S200000,03000,0100,N 117312,S200000,03100,0100,N 117312,S200000,03200,0100,N 117312,S200000,03300,0100,N 117312,S200000,03300,0200,N 117312,S200000,04100,0100,N 117312,S200000,04200,0100,N 117312,S200000,04300,0100,N 117312,S200000,04600,0100,N 117312,S200000,04700,0100,N 117312,S200000,04700,0200,N 117312,S200000,04900,0100,N 117332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117332,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117332,A000000,00300,0000,0300EMPLOYEE BENEFITS 117332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117332,A000000,00700,0000,0700HOUSEKEEPING 117332,A000000,00800,0000,0800DIETARY 117332,A000000,00900,0000,0900NURSING ADMINISTRATION 117332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117332,A000000,01100,0000,1100PHARMACY 117332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117332,A000000,01300,0000,1300SOCIAL SERVICE 117332,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117332,A000000,01500,0000,1350OTHER GENERAL SERVICES 117332,A000000,01600,0000,1600SKILLED NURSING FACILITY 117332,A000000,01800,0000,1800NURSING FACILITY 117332,A000000,01810,0000,1810ICF/MR 117332,A000000,02200,0000,2200LABORATORY 117332,A000000,02300,0000,2300INTRAVENOUS THERAPY 117332,A000000,02500,0000,2500PHYSICAL THERAPY 117332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117332,A000000,02700,0000,2700SPEECH PATHOLOGY 117332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117332,A000000,03300,0000,3050AIR FLUID BED THERAPY 117332,A000000,03550,0000,3550FQHC 117332,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117332,A000000,05000,0000,5000CORF 117332,A000000,05010,0000,5010CMHC 117332,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117332,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117332,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117332,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117332,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117332,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117332,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117332,A81000A,00100,0100,N 117332,B100000,00000,0100,0100SQUARE FEET 117332,B100000,00000,0200,0200SQUARE FEET 117332,B100000,00000,0300,0300GROSS SALARIES 117332,B100000,00000,0400,0400ACCUM. COST 117332,B100000,00000,0500,0500SQUARE FEET 117332,B100000,00000,0600,0600PATIENT DAYS 117332,B100000,00000,0700,0700SQUARE FEET 117332,B100000,00000,0800,0800MEALS SERVED 117332,B100000,00000,0900,0900DIRECT NRSING HRS 117332,B100000,00000,1000,1000PATIENT DAYS 117332,B100000,00000,1100,1100COSTED REQUIS. 117332,B100000,00000,1200,1200PATIENT DAYS 117332,B100000,00000,1300,1300PATIENT DAYS 117332,B100000,00000,1400,1400ASSIGNED TIME 117332,B100000,00000,1500,1350NO STATISTICS 117332,E10A180,00301,0100,09/18/00 117332,E10A180,00501,0100,03/15/01 117332,E10A180,00501,0300,03/15/01 117332,S000000,00100,0200,01/15/01 117332,S200000,00100,0100,7246 FOREST HILL AVENUE 117332,S200000,00200,0100,RICHMOND 117332,S200000,00200,0200,VA 117332,S200000,00200,0300,23225 117332,S200000,00300,0100,C 117332,S200000,00300,0200,6760 117332,S200000,00300,0300,U 117332,S200000,00400,0100,CHIPPENHAM MANOR 117332,S200000,00400,0200,495223 117332,S200000,00400,0300,11/01/90 117332,S200000,00400,0500,P 117332,S200000,01500,0100,N 117332,S200000,01600,0100,Y 117332,S200000,01700,0100,N 117332,S200000,01800,0100,N 117332,S200000,02200,0100,N 117332,S200000,02800,0100,N 117332,S200000,02900,0100,N 117332,S200000,03000,0100,N 117332,S200000,03100,0100,N 117332,S200000,03200,0100,N 117332,S200000,03300,0100,N 117332,S200000,03300,0200,N 117332,S200000,04100,0100,N 117332,S200000,04200,0100,N 117332,S200000,04300,0100,N 117332,S200000,04600,0100,N 117332,S200000,04700,0100,N 117332,S200000,04900,0100,N 117332,S200000,05000,0100,N 117332,S200000,05100,0100,N 117332,S200000,05200,0100,N 117340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117340,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 117340,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117340,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 117340,A000000,00300,0000,0300EMPLOYEE BENEFITS 117340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117340,A000000,00700,0000,0700HOUSEKEEPING 117340,A000000,00800,0000,0800DIETARY 117340,A000000,00801,0000,0801CAFETERIA 117340,A000000,00900,0000,0900NURSING ADMINISTRATION 117340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117340,A000000,01100,0000,1100PHARMACY 117340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117340,A000000,01300,0000,1300SOCIAL SERVICE 117340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117340,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 117340,A000000,01600,0000,1600SKILLED NURSING FACILITY 117340,A000000,01800,0000,1800NURSING FACILITY 117340,A000000,01900,0000,1900OTHER LONG TERM CARE 117340,A000000,02100,0000,2100RADIOLOGY 117340,A000000,02200,0000,2200LABORATORY 117340,A000000,02300,0000,2300INTRAVENOUS THERAPY 117340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117340,A000000,02500,0000,2500PHYSICAL THERAPY 117340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117340,A000000,02700,0000,2700SPEECH PATHOLOGY 117340,A000000,02800,0000,2800ELECTROCARDIOLOGY 117340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117340,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117340,A000000,03200,0000,3200SUPPORT SURFACES 117340,A000000,03300,0000,3050OTHER ANCILLARY 117340,A000000,03301,0000,3051OTHER ANCILLARY II 117340,A000000,03302,0000,3052OTHER ANCILLARY III 117340,A000000,03400,0000,3400CLINIC 117340,A000000,03500,0000,3500RURAL HEALTH CLINIC 117340,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 117340,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117340,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117340,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117340,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117340,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117340,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117340,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117340,A000000,04400,0000,4400DME RENTED - HHA 117340,A000000,04500,0000,4500DME SOLD - HHA 117340,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117340,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 117340,A000000,04800,0000,4800AMBULANCE 117340,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117340,A000000,05000,0000,5000CORF 117340,A000000,05010,0000,5010CMHC I 117340,A000000,05020,0000,5020OPT I 117340,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117340,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 117340,A000000,05300,0000,5300INTEREST EXPENSE 117340,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117340,A000000,05500,0000,5500HOSPICE 117340,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 117340,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 117340,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117340,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117340,A000000,06100,0000,6100NONPAID WORKERS 117340,A000000,06200,0000,6200PATIENTS LAUNDRY 117340,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117340,A81000A,00100,0100,Y 117340,A81000B,00100,0300,MANAGMENT FEE 117340,A81000B,00200,0300,MANAGEMENT FEE 117340,A81000B,00300,0300,RENTAL EXPENSE 117340,A81000C,00100,0100,D 117340,A81000C,00100,0200,BRISTOL MYERS C 117340,A81000C,00100,0400,BRISTOL/MYERS 117340,A81000C,00100,0600,HEALTH CARE CO 117340,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 117340,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 117340,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 117340,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117340,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 117340,B100000,00000,0600,0600(POUNDS OF LAUNDRY) :LAUNDRY & L 117340,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 117340,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 117340,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 117340,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 117340,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 117340,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 117340,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 117340,B100000,00000,1500,1350(PATIENT DAYS) :OTHER GENERAL S 117340,S000000,00100,0200,05/19/00 117340,S200000,00100,0100,7420 MARLBORO PIKE 117340,S200000,00200,0100,FORESTVILLE 117340,S200000,00200,0200,MD 117340,S200000,00200,0300,20747- 117340,S200000,00300,0200,8840 117340,S200000,00300,0300,U 117340,S200000,00400,0100,REGENCY HEALTH SERVICES 117340,S200000,00400,0200,215020 117340,S200000,00400,0300,06/05/87 117340,S200000,00400,0500,P 117340,S200000,01500,0100,Y 117340,S200000,01600,0100,N 117340,S200000,01700,0100,N 117340,S200000,01800,0100,N 117340,S200000,02200,0100,Y 117340,S200000,02800,0100,N 117340,S200000,02900,0100,N 117340,S200000,03000,0100,N 117340,S200000,03100,0100,N 117340,S200000,03200,0100,N 117340,S200000,04100,0100,N 117340,S200000,04200,0100,N 117340,S200000,04300,0100,Y 117340,S200000,04600,0100,N 117340,S200000,04700,0100,N 117340,S200000,04700,0200,N 117340,S200000,04900,0100,N 117340,S200000,05000,0100,N 117340,S200000,05100,0100,N 117340,S200000,05200,0100,N 117426,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117426,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117426,A000000,00300,0000,0300EMPLOYEE BENEFITS 117426,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117426,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117426,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117426,A000000,00700,0000,0700HOUSEKEEPING 117426,A000000,00800,0000,0800DIETARY 117426,A000000,00900,0000,0900NURSING ADMINISTRATION 117426,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117426,A000000,01100,0000,1100PHARMACY 117426,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117426,A000000,01300,0000,1300SOCIAL SERVICE 117426,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117426,A000000,01500,0000,1350PATIENT SERVICES 117426,A000000,01600,0000,1600SKILLED NURSING FACILITY 117426,A000000,01800,0000,1800NURSING FACILITY 117426,A000000,01810,0000,1810ICF/MR 117426,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117426,A000000,02500,0000,2500PHYSICAL THERAPY 117426,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117426,A000000,02700,0000,2700SPEECH PATHOLOGY 117426,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117426,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117426,A000000,03550,0000,3550FQHC 117426,A000000,05000,0000,5000CORF 117426,A000000,05010,0000,5010CMHC 117426,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117426,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117426,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117426,A000000,05300,0000,5300INTEREST EXPENSE 117426,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117426,A81000A,00100,0100,Y 117426,A81000B,00100,0300,UTILITIES 117426,A81000B,00200,0300,HOME OFFICE COSTS 117426,A81000B,00300,0300,SHARED SERVICE COST 117426,A81000C,00100,0100,G 117426,A81000C,00100,0400,ALLIED SERVICES 117426,A81000C,00100,0600,NOT FOR PROFIT 117426,B100000,00000,0100,0100SQUARE FEET 117426,B100000,00000,0200,0200SQUARE FEET 117426,B100000,00000,0300,0300DIRECT EXP 117426,B100000,00000,0400,0400ACCUMULAT ED COST 117426,B100000,00000,0500,0500SQUARE FEET 117426,B100000,00000,0600,0600DIRECT EXP 117426,B100000,00000,0700,0700SQUARE FEET 117426,B100000,00000,0800,0800PATIENT DAYS 117426,B100000,00000,0900,0900NURSES SALARIES 117426,B100000,00000,1000,1000DIRECT EXP 117426,B100000,00000,1100,1100ALLOCATED 117426,B100000,00000,1200,1200GROSS CHAR 117426,B100000,00000,1300,1300PATIENT DAYS 117426,B100000,00000,1400,1400ASSIGNED TIME 117426,B100000,00000,1500,1350PATIENT DAYS 117426,E10A180,00501,0100,01/08/00 117426,E10A180,00501,0300,01/08/00 117426,S000000,00100,0200,11/30/00 117426,S200000,00100,0100,303 SMALLACOMBE DRIVE 117426,S200000,00200,0100,SCRANTON 117426,S200000,00200,0200,PA 117426,S200000,00200,0300,18518 117426,S200000,00300,0200,7560 117426,S200000,00300,0300,U 117426,S200000,00400,0100,ALLIED SERVICES SKILLED NURSING CENT 117426,S200000,00400,0200,395320 117426,S200000,00400,0300,09/01/80 117426,S200000,00400,0500,P 117426,S200000,00400,0600,P 117426,S200000,00600,0200,395320 117426,S200000,00600,0300,09/01/80 117426,S200000,00600,0400,O 117426,S200000,01500,0100,N 117426,S200000,01600,0100,Y 117426,S200000,01700,0100,N 117426,S200000,01800,0100,N 117426,S200000,01900,0100,FREESTANDING SKILLED NURSING FAC. 117426,S200000,02200,0100,N 117426,S200000,02800,0100,N 117426,S200000,02900,0100,N 117426,S200000,03000,0100,N 117426,S200000,03100,0100,N 117426,S200000,03200,0100,N 117426,S200000,03300,0100,N 117426,S200000,03300,0200,N 117426,S200000,03500,0300,N 117426,S200000,04100,0100,N 117426,S200000,04200,0100,N 117426,S200000,04300,0100,N 117426,S200000,04600,0100,N 117426,S200000,04700,0100,N 117426,S200000,04700,0200,N 117426,S200000,04900,0100,N 117430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117430,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117430,A000000,00300,0000,0300EMPLOYEE BENEFITS 117430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117430,A000000,00700,0000,0700HOUSEKEEPING 117430,A000000,00800,0000,0800DIETARY 117430,A000000,00900,0000,0900NURSING ADMINISTRATION 117430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117430,A000000,01100,0000,1100PHARMACY 117430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117430,A000000,01300,0000,1300SOCIAL SERVICE 117430,A000000,01301,0000,1301RESIDENT SERVICES 117430,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117430,A000000,01500,0000,1350OTHER GENERAL SERVICES 117430,A000000,01600,0000,1600SKILLED NURSING FACILITY 117430,A000000,01800,0000,1800NURSING FACILITY 117430,A000000,01810,0000,1810ICF/MR 117430,A000000,02100,0000,2100RADIOLOGY 117430,A000000,02200,0000,2200LABORATORY 117430,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117430,A000000,02500,0000,2500PHYSICAL THERAPY 117430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117430,A000000,02700,0000,2700SPEECH PATHOLOGY 117430,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117430,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117430,A000000,03550,0000,3550FQHC 117430,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117430,A000000,05000,0000,5000CORF 117430,A000000,05010,0000,5010CMHC 117430,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117430,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117430,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117430,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117430,A000000,05300,0000,5300INTEREST EXPENSE 117430,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117430,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117430,A81000A,00100,0100,Y 117430,A81000B,00100,0300,MANAGEMENT FEES 117430,A81000B,00200,0300,HOME OFFICE OPERATING 117430,A81000B,00300,0300,HOME OFFICE CAPITAL 117430,A81000C,00100,0100,B 117430,A81000C,00100,0400,BALANCED CARE CORPORATION 117430,A81000C,00100,0600,HEALTHCARE 117430,B100000,00000,0100,0100SQUARE FEET 117430,B100000,00000,0200,0200SQUARE FEET 117430,B100000,00000,0300,0300GROSS SALARIES 117430,B100000,00000,0400,0400ACCUM. COST 117430,B100000,00000,0500,0500SQUARE FEET 117430,B100000,00000,0600,0600PATIENT DAYS 117430,B100000,00000,0700,0700SQUARE FEET 117430,B100000,00000,0800,0800MEALS SERVED 117430,B100000,00000,0900,0900DIRECT NRSING HRS 117430,B100000,00000,1000,1000COSTED REQUIS. 117430,B100000,00000,1100,1100PATIENT DAYS 117430,B100000,00000,1200,1200PATIENT DAYS 117430,B100000,00000,1300,1300PATIENT DAYS 117430,B100000,00000,1301,1301PATIENT DAYS 117430,B100000,00000,1400,1400ASSIGNED TIME 117430,B100000,00000,1500,1350TIME SPENT 117430,E10A180,00501,0100,01/08/01 117430,E10A180,00501,0300,01/08/01 117430,S000000,00100,0200,11/30/00 117430,S200000,00100,0100,792 THIRD AVENUE 117430,S200000,00200,0100,KINGSTON 117430,S200000,00200,0200,PA 117430,S200000,00200,0300,18704 117430,S200000,00300,0100,L 117430,S200000,00300,0200,7560 117430,S200000,00300,0300,U 117430,S200000,00400,0100,BALANCED CARE KINGSTON 117430,S200000,00400,0200,395905 117430,S200000,00400,0300,04/11/95 117430,S200000,00400,0500,P 117430,S200000,01500,0100,N 117430,S200000,01600,0100,Y 117430,S200000,01700,0100,N 117430,S200000,01800,0100,N 117430,S200000,02200,0100,N 117430,S200000,02800,0100,N 117430,S200000,02900,0100,N 117430,S200000,03000,0100,N 117430,S200000,03100,0100,N 117430,S200000,03200,0100,N 117430,S200000,03300,0100,N 117430,S200000,03300,0200,N 117430,S200000,04100,0100,N 117430,S200000,04200,0100,N 117430,S200000,04300,0100,N 117430,S200000,04600,0100,N 117430,S200000,04700,0100,N 117430,S200000,04700,0200,N 117430,S200000,04900,0100,N 117724,S000000,00100,0200,12/05/00 117724,S200000,00100,0100,5012 MANSLICK ROAD 117724,S200000,00200,0100,LOUISVILLE 117724,S200000,00200,0200,KY 117724,S200000,00200,0300,40219 117724,S200000,00300,0100,JEFFERSON 117724,S200000,00400,0100,WESLEY MANOR 117724,S200000,00400,0300,04/19/76 117725,S000000,00100,0200,12/01/00 117725,S200000,00100,0100,HIGHWAY 150 EAST BARDSTOWN 117725,S200000,00200,0100,ST CATHERINE 117725,S200000,00200,0200,KY 117725,S200000,00200,0300,40061 117725,S200000,00300,0100,WASHINGTON 117725,S200000,00400,0100,SANSBURY CARE CENTER 117725,S200000,00400,0300,08/19/91 117726,S000000,00100,0200,12/06/00 117726,S200000,00100,0100,366 SOUTH WASHINGTON 117726,S200000,00200,0100,CLINTON 117726,S200000,00200,0200,KY 117726,S200000,00200,0300,42031 117726,S200000,00300,0100,HICKMAN 117726,S200000,00400,0100,CLINTON-HICKMAN 117726,S200000,00400,0300,03/01/92 117847,S000000,00100,0200,11/30/00 117852,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117852,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117852,A000000,00300,0000,0300EMPLOYEE BENEFITS 117852,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117852,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117852,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117852,A000000,00700,0000,0700HOUSEKEEPING 117852,A000000,00800,0000,0800DIETARY 117852,A000000,00900,0000,0900NURSING ADMINISTRATION 117852,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117852,A000000,01100,0000,1100PHARMACY 117852,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117852,A000000,01300,0000,1300SOCIAL SERVICE 117852,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117852,A000000,01500,0000,1350OTHER GENERAL SERVICES 117852,A000000,01600,0000,1600SKILLED NURSING FACILITY 117852,A000000,01800,0000,1800NURSING FACILITY 117852,A000000,01810,0000,1810ICF/MR 117852,A000000,01900,0000,1900OTHER LONG TERM CARE 117852,A000000,02100,0000,2100RADIOLOGY 117852,A000000,02200,0000,2200LABORATORY 117852,A000000,02300,0000,2300INTRAVENOUS THERAPY 117852,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117852,A000000,02500,0000,2500PHYSICAL THERAPY 117852,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117852,A000000,02700,0000,2700SPEECH PATHOLOGY 117852,A000000,02800,0000,2800ELECTROCARDIOLOGY 117852,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117852,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117852,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117852,A000000,03200,0000,3200SUPPORT SURFACES 117852,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117852,A000000,03400,0000,3400CLINIC 117852,A000000,03500,0000,3500RURAL HEALTH CLINIC 117852,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117852,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117852,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117852,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117852,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117852,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117852,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117852,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117852,A000000,04400,0000,4400DME RENTED - HHA 117852,A000000,04500,0000,4500DME SOLD - HHA 117852,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117852,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 117852,A000000,04800,0000,4800AMBULANCE 117852,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117852,A000000,05000,0000,5000CORF 117852,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117852,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 117852,A000000,05300,0000,5300INTEREST EXPENSE 117852,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117852,A000000,05500,0000,5500HOSPICE 117852,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117852,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117852,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117852,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117852,A000000,06100,0000,6100NONPAID WORKERS 117852,A000000,06200,0000,6200PATIENTS LAUNDRY 117852,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117852,A81000A,00100,0100,Y 117852,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117852,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117852,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117852,A81000B,00400,0300,NURSE CONSULTING 117852,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 117852,A81000B,00600,0300,COMPUTER USER FEES 117852,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117852,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117852,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117852,A81000C,00100,0100,G 117852,A81000C,00100,0200,BHS - CAMBRIDGE 117852,A81000C,00100,0400,BHS - DULUTH 117852,A81000C,00100,0600,MANAGEMENT SERVICES 117852,A81000C,00200,0100,G 117852,A81000C,00200,0200,BHS - DULUTH 117852,A81000C,00200,0400,BHS - DULUTH 117852,A81000C,00200,0600,MANAGEMENT SERVICES 117852,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117852,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 117852,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 117852,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117852,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117852,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 117852,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117852,B100000,00000,0800,0800MEALS SERVED :DIETARY 117852,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 117852,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 117852,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 117852,S000000,00100,0200,01/05/01 117852,S200000,00100,0100,400 TENTH AVENUE NW 117852,S200000,00200,0100,AUSTIN 117852,S200000,00200,0200,MN 117852,S200000,00200,0300,55912-2664 117852,S200000,00300,0100,MOWER 117852,S200000,00300,0300,R 117852,S200000,00400,0100,ST GERTRUDE S HC DBA BURR OAK MANOR 117852,S200000,00400,0200,245456 117852,S200000,00400,0300,04/01/87 117852,S200000,00400,0500,P 117852,S200000,01004,0500,O 117852,S200000,01500,0100,Y 117852,S200000,01600,0100,N 117852,S200000,01700,0100,N 117852,S200000,01800,0100,N 117852,S200000,02200,0100,N 117852,S200000,02800,0100,N 117852,S200000,02900,0100,N 117852,S200000,03000,0100,N 117852,S200000,03100,0100,N 117852,S200000,03200,0100,N 117852,S200000,04100,0100,N 117852,S200000,04200,0100,N 117852,S200000,04300,0100,N 117852,S200000,04600,0100,N 117852,S200000,04700,0100,N 117852,S200000,04700,0200,N 117852,S200000,04900,0100,N 117852,S200000,05000,0100,N 117852,S200000,05100,0100,N 117852,S200000,05200,0100,N 117854,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117854,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117854,A000000,00300,0000,0300EMPLOYEE BENEFITS 117854,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117854,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117854,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117854,A000000,00700,0000,0700HOUSEKEEPING 117854,A000000,00800,0000,0800DIETARY 117854,A000000,01600,0000,1600SKILLED NURSING FACILITY 117854,A000000,02100,0000,2100RADIOLOGY 117854,A000000,02200,0000,2200LABORATORY 117854,A000000,02500,0000,2500PHYSICAL THERAPY 117854,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117854,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117854,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117854,A000000,04800,0000,4800AMBULANCE 117854,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117854,A81000A,00100,0100,Y 117854,A81000B,00100,0300,ACCTG MGMT DATA PROCESS 117854,A81000B,00200,0300,PHYSICAL THERAPY 117854,A81000B,00300,0300,OCCUPATIONAL THERAPY 117854,A81000B,00400,0300,SPEECH 117854,A81000B,00500,0300,INT INC OFFSET 117854,A81000C,00100,0100,G 117854,A81000C,00100,0200,ST FRANCIS HEALTH SERVICE 117854,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117854,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 117854,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 117854,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117854,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117854,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117854,B100000,00000,0800,0800MEALS SERVED :DIETARY 117854,S000000,00100,0200,11/06/00 117854,S200000,00100,0100,311 CHURCH STREET 117854,S200000,00200,0100,DULUTH 117854,S200000,00200,0200,MN 117854,S200000,00200,0300,55811-2991 117854,S200000,00300,0100,ST LOUIS 117854,S200000,00300,0200,2240 117854,S200000,00300,0300,U 117854,S200000,00400,0100,VIEWCREST NURSING HOME 117854,S200000,00400,0200,245414 117854,S200000,00400,0300,01/01/87 117854,S200000,00400,0500,P 117854,S200000,01500,0100,Y 117854,S200000,01600,0100,N 117854,S200000,01700,0100,N 117854,S200000,01800,0100,N 117854,S200000,02200,0100,N 117854,S200000,02800,0100,N 117854,S200000,02900,0100,N 117854,S200000,03000,0100,N 117854,S200000,03100,0100,N 117854,S200000,03200,0100,N 117854,S200000,04100,0100,N 117854,S200000,04200,0100,N 117854,S200000,04300,0100,N 117854,S200000,04600,0100,N 117854,S200000,04700,0100,N 117854,S200000,04700,0200,N 117854,S200000,04900,0100,N 117854,S200000,05000,0100,N 117854,S200000,05100,0100,N 117854,S200000,05200,0100,N 117857,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117857,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117857,A000000,00300,0000,0300EMPLOYEE BENEFITS 117857,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117857,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117857,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117857,A000000,00700,0000,0700HOUSEKEEPING 117857,A000000,00800,0000,0800DIETARY 117857,A000000,00900,0000,0900NURSING ADMINISTRATION 117857,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117857,A000000,01100,0000,1100PHARMACY 117857,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117857,A000000,01300,0000,1300SOCIAL SERVICE 117857,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117857,A000000,01500,0000,1350OTHER GENERAL SERVICES 117857,A000000,01600,0000,1600SKILLED NURSING FACILITY 117857,A000000,01800,0000,1800NURSING FACILITY 117857,A000000,01810,0000,1810ICF/MR 117857,A000000,01900,0000,1900OTHER LONG TERM CARE 117857,A000000,02100,0000,2100RADIOLOGY 117857,A000000,02200,0000,2200LABORATORY 117857,A000000,02300,0000,2300INTRAVENOUS THERAPY 117857,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117857,A000000,02500,0000,2500PHYSICAL THERAPY 117857,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117857,A000000,02700,0000,2700SPEECH PATHOLOGY 117857,A000000,02800,0000,2800ELECTROCARDIOLOGY 117857,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117857,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117857,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117857,A000000,03200,0000,3200SUPPORT SURFACES 117857,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117857,A000000,03400,0000,3400CLINIC 117857,A000000,03500,0000,3500RURAL HEALTH CLINIC 117857,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117857,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117857,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117857,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117857,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117857,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117857,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117857,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117857,A000000,04400,0000,4400DME RENTED - HHA 117857,A000000,04500,0000,4500DME SOLD - HHA 117857,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117857,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 117857,A000000,04800,0000,4800AMBULANCE 117857,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117857,A000000,05000,0000,5000CORF 117857,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117857,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 117857,A000000,05300,0000,5300INTEREST EXPENSE 117857,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117857,A000000,05500,0000,5500HOSPICE 117857,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117857,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117857,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117857,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117857,A000000,06100,0000,6100NONPAID WORKERS 117857,A000000,06200,0000,6200PATIENTS LAUNDRY 117857,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117857,A81000A,00100,0100,Y 117857,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117857,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117857,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 117857,A81000B,00400,0300,NURSE CONSULTING 117857,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 117857,A81000B,00600,0300,COMPUTER USER FEES 117857,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117857,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117857,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117857,A81000C,00100,0100,G 117857,A81000C,00100,0200,BHS - CAMBRIDGE 117857,A81000C,00100,0400,BHS - DULUTH 117857,A81000C,00100,0600,MANAGEMENT SERVICES 117857,A81000C,00200,0100,G 117857,A81000C,00200,0200,BHS - DULUTH 117857,A81000C,00200,0400,BHS - DULUTH 117857,A81000C,00200,0600,MANAGEMENT SERVICES 117857,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117857,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 117857,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 117857,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117857,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117857,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 117857,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117857,B100000,00000,0800,0800MEALS SERVED :DIETARY 117857,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 117857,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 117857,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 117857,E10A180,00501,0100,02/12/01 117857,S000000,00100,0200,01/05/01 117857,S200000,00100,0100,800 2ND AVENUE NW 117857,S200000,00200,0100,PLAINVIEW 117857,S200000,00200,0200,MN 117857,S200000,00200,0300,55964-1097 117857,S200000,00300,0100,WABASHA 117857,S200000,00300,0200,0024 117857,S200000,00300,0300,R 117857,S200000,00400,0100,BCC DBA: HILLCREST COMM. CARE CENTER 117857,S200000,00400,0200,245345 117857,S200000,00400,0300,09/01/86 117857,S200000,00400,0500,P 117857,S200000,01500,0100,Y 117857,S200000,01600,0100,N 117857,S200000,01700,0100,N 117857,S200000,01800,0100,N 117857,S200000,02200,0100,N 117857,S200000,02800,0100,N 117857,S200000,02900,0100,N 117857,S200000,03000,0100,N 117857,S200000,03100,0100,N 117857,S200000,03200,0100,N 117857,S200000,04100,0100,N 117857,S200000,04200,0100,N 117857,S200000,04300,0100,N 117857,S200000,04600,0100,N 117857,S200000,04700,0100,N 117857,S200000,04700,0200,N 117857,S200000,04900,0100,N 117857,S200000,05000,0100,N 117857,S200000,05100,0100,N 117857,S200000,05200,0100,N 117860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117860,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117860,A000000,00300,0000,0300EMPLOYEE BENEFITS 117860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117860,A000000,00700,0000,0700HOUSEKEEPING 117860,A000000,00800,0000,0800DIETARY 117860,A000000,00900,0000,0900NURSING ADMINISTRATION 117860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117860,A000000,01300,0000,1300SOCIAL SERVICE 117860,A000000,01600,0000,1600SKILLED NURSING FACILITY 117860,A000000,02100,0000,2100RADIOLOGY 117860,A000000,02200,0000,2200LABORATORY 117860,A000000,02500,0000,2500PHYSICAL THERAPY 117860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117860,A000000,02700,0000,2700SPEECH PATHOLOGY 117860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117860,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 117860,A000000,05801,0000,5801APARTMENTS 117860,A000000,06300,0000,6150BUCHANAN NURSING HOME 117860,A81000A,00100,0100,Y 117860,A81000B,00100,0300,MANAGEMENT FEE 117860,A81000B,00200,0300,THERAPY SERVICES 117860,A81000B,00300,0300,OCCUP THER 117860,A81000B,00400,0300,SPEECH THER 117860,A81000B,00500,0300,INT INC 117860,A81000B,00600,0300,MANAGEMENT FEE 117860,A81000C,00100,0100,B 117860,A81000C,00100,0200,ST FRANCIS HEALTH CENTER 117860,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117860,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 117860,B100000,00000,0300,0300GROSS SALARY :EMPLOYEE BENEFITS 117860,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117860,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117860,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 117860,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117860,B100000,00000,0800,0850PATIENT DAYS :DIETARY 117860,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 117860,S000000,00100,0200,10/30/00 117860,S200000,00100,0100,321 N E SIXTH STREET 117860,S200000,00200,0100,CHISHOLM 117860,S200000,00200,0200,MN 117860,S200000,00200,0300,55719-1275 117860,S200000,00300,0100,ST LOUIS 117860,S200000,00300,0200,2240 117860,S200000,00300,0300,U 117860,S200000,00400,0100,CHISHOLM HEALTH CENTER 117860,S200000,00400,0200,245245 117860,S200000,00400,0300,09/03/81 117860,S200000,00400,0500,P 117860,S200000,01500,0100,Y 117860,S200000,01600,0100,N 117860,S200000,01700,0100,N 117860,S200000,01800,0100,N 117860,S200000,02200,0100,N 117860,S200000,02800,0100,N 117860,S200000,02900,0100,N 117860,S200000,03000,0100,N 117860,S200000,03100,0100,N 117860,S200000,03200,0100,N 117860,S200000,04100,0100,N 117860,S200000,04200,0100,N 117860,S200000,04300,0100,N 117860,S200000,04600,0100,N 117860,S200000,04700,0100,N 117860,S200000,04700,0200,N 117860,S200000,04900,0100,N 117860,S200000,05000,0100,N 117860,S200000,05100,0100,N 117860,S200000,05200,0100,N 117862,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 117862,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 117862,A000000,00300,0000,0300EMPLOYEE BENEFITS 117862,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117862,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 117862,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117862,A000000,00700,0000,0700HOUSEKEEPING 117862,A000000,00800,0000,0800DIETARY 117862,A000000,00900,0000,0900NURSING ADMINISTRATION 117862,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117862,A000000,01100,0000,1100PHARMACY 117862,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117862,A000000,01300,0000,1300SOCIAL SERVICE 117862,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 117862,A000000,01500,0000,1350OTHER GENERAL SERVICES 117862,A000000,01600,0000,1600SKILLED NURSING FACILITY 117862,A000000,01800,0000,1800NURSING FACILITY 117862,A000000,01810,0000,1810ICF/MR 117862,A000000,01900,0000,1900OTHER LONG TERM CARE 117862,A000000,02100,0000,2100RADIOLOGY 117862,A000000,02200,0000,2200LABORATORY 117862,A000000,02300,0000,2300INTRAVENOUS THERAPY 117862,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117862,A000000,02500,0000,2500PHYSICAL THERAPY 117862,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117862,A000000,02700,0000,2700SPEECH PATHOLOGY 117862,A000000,02800,0000,2800ELECTROCARDIOLOGY 117862,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 117862,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117862,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117862,A000000,03200,0000,3200SUPPORT SURFACES 117862,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117862,A000000,03400,0000,3400CLINIC 117862,A000000,03500,0000,3500RURAL HEALTH CLINIC 117862,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117862,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117862,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117862,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117862,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117862,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117862,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117862,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117862,A000000,04400,0000,4400DME RENTED - HHA 117862,A000000,04500,0000,4500DME SOLD - HHA 117862,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117862,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 117862,A000000,04800,0000,4800AMBULANCE 117862,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 117862,A000000,05000,0000,5000CORF 117862,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117862,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 117862,A000000,05300,0000,5300INTEREST EXPENSE 117862,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117862,A000000,05500,0000,5500HOSPICE 117862,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117862,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 117862,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117862,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117862,A000000,06100,0000,6100NONPAID WORKERS 117862,A000000,06200,0000,6200PATIENTS LAUNDRY 117862,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117862,A81000A,00100,0100,Y 117862,A81000B,00100,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117862,A81000B,00200,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117862,A81000B,00300,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 117862,A81000B,00400,0300,ADMINISTRATOR FEE 117862,A81000C,00100,0100,G 117862,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 117862,A81000C,00100,0400,BHS-DULUTH 117862,A81000C,00100,0600,MANAGEMENT SERVICES 117862,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 117862,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 117862,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 117862,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 117862,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 117862,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 117862,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 117862,B100000,00000,0800,0800MEALS SERVED :DIETARY 117862,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 117862,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 117862,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 117862,S000000,00100,0200,01/08/01 117862,S200000,00100,0100,4001 19TH AVENUE NW 117862,S200000,00200,0100,ROCHESTER 117862,S200000,00200,0200,MN 117862,S200000,00200,0300,55901- 117862,S200000,00300,0100,OLMSTED 117862,S200000,00300,0200,6820 117862,S200000,00300,0300,U 117862,S200000,00400,0100,MADONNA TOWERS OF ROCHESTER 117862,S200000,00400,0200,245153 117862,S200000,00400,0300,03/14/68 117862,S200000,00400,0500,P 117862,S200000,01500,0100,Y 117862,S200000,01600,0100,N 117862,S200000,01700,0100,N 117862,S200000,01800,0100,N 117862,S200000,02200,0100,N 117862,S200000,02800,0100,N 117862,S200000,02900,0100,N 117862,S200000,03000,0100,N 117862,S200000,03100,0100,N 117862,S200000,03200,0100,N 117862,S200000,04100,0100,N 117862,S200000,04200,0100,N 117862,S200000,04300,0100,N 117862,S200000,04600,0100,N 117862,S200000,04700,0100,N 117862,S200000,04700,0200,N 117862,S200000,04900,0100,N 117862,S200000,05000,0100,N 117862,S200000,05100,0100,N 117862,S200000,05200,0100,N 117965,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117965,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117965,A000000,00300,0000,0300EMPLOYEE BENEFITS 117965,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117965,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117965,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117965,A000000,00700,0000,0700HOUSEKEEPING 117965,A000000,00800,0000,0800DIETARY 117965,A000000,00900,0000,0900NURSING ADMINISTRATION 117965,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117965,A000000,01100,0000,1100PHARMACY 117965,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117965,A000000,01300,0000,1300SOCIAL SERVICE 117965,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117965,A000000,01500,0000,1350PATIENT ACTIVITIES 117965,A000000,01600,0000,1600SKILLED NURSING FACILITY 117965,A000000,01800,0000,1800NURSING FACILITY 117965,A000000,01810,0000,1810ICF/MR 117965,A000000,02100,0000,2100RADIOLOGY 117965,A000000,02200,0000,2200LABORATORY 117965,A000000,02300,0000,2300INTRAVENOUS THERAPY 117965,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117965,A000000,02500,0000,2500PHYSICAL THERAPY 117965,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117965,A000000,02700,0000,2700SPEECH PATHOLOGY 117965,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117965,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117965,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117965,A000000,03550,0000,3550FQHC 117965,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117965,A000000,05000,0000,5000CORF 117965,A000000,05010,0000,5010CMHC 117965,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117965,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117965,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117965,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117965,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117965,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117965,A81000A,00100,0100,Y 117965,A81000B,00100,0300,HOME OFFICE FEES 117965,A81000C,00100,0100,B 117965,A81000C,00100,0200,GUARDIAN FOUNDATION 117965,A81000C,00100,0400,GUARDIAN FOUNDATION 117965,A81000C,00100,0600,HOME OFFICE 117965,B100000,00000,0100,0100SQUARE FEET 117965,B100000,00000,0200,0200SQUARE FEET 117965,B100000,00000,0300,0300GROSS SALARIES 117965,B100000,00000,0400,0400ACCUM. COST 117965,B100000,00000,0500,0500SQUARE FEET 117965,B100000,00000,0600,0600PATIENT DAYS 117965,B100000,00000,0700,0700SQUARE FEET 117965,B100000,00000,0800,0800MEALS SERVED 117965,B100000,00000,0900,0900NURSING SALARIES 117965,B100000,00000,1000,1000COSTED REQUIS. 117965,B100000,00000,1100,1100COSTED REQUIS. 117965,B100000,00000,1200,1200GROSS CHARGES 117965,B100000,00000,1300,1300PATIENT DAYS 117965,B100000,00000,1400,1400ASSIGNED TIME 117965,B100000,00000,1500,1350PATIENT DAYS 117965,E10A180,00501,0100,12/22/00 117965,E10A180,00501,0300,12/22/00 117965,S000000,00100,0200,11/30/00 117965,S200000,00100,0100,RD #1 117965,S200000,00200,0100,MILLMONT 117965,S200000,00200,0200,PA 117965,S200000,00200,0300,17845 117965,S200000,00300,0100,U 117965,S200000,00300,0200,0039 117965,S200000,00300,0300,R 117965,S200000,00400,0100,ROLLING HILLS MANOR 117965,S200000,00400,0200,395614 117965,S200000,00400,0300,11/01/88 117965,S200000,00400,0500,P 117965,S200000,01500,0100,N 117965,S200000,01600,0100,Y 117965,S200000,01700,0100,N 117965,S200000,01800,0100,N 117965,S200000,02200,0100,N 117965,S200000,02800,0100,N 117965,S200000,02900,0100,N 117965,S200000,03000,0100,N 117965,S200000,03100,0100,N 117965,S200000,03200,0100,N 117965,S200000,03300,0100,N 117965,S200000,03300,0200,N 117965,S200000,04100,0100,N 117965,S200000,04200,0100,N 117965,S200000,04300,0100,N 117965,S200000,04600,0100,N 117965,S200000,04700,0100,N 117965,S200000,04700,0200,N 117965,S200000,04900,0100,N 117983,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117983,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117983,A000000,00300,0000,0300EMPLOYEE BENEFITS 117983,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117983,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117983,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117983,A000000,00700,0000,0700HOUSEKEEPING 117983,A000000,00800,0000,0800DIETARY 117983,A000000,00900,0000,0900NURSING ADMINISTRATION 117983,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117983,A000000,01100,0000,1100PHARMACY 117983,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117983,A000000,01300,0000,1300SOCIAL SERVICE 117983,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117983,A000000,01600,0000,1600SKILLED NURSING FACILITY 117983,A000000,01800,0000,1800NURSING FACILITY 117983,A000000,01810,0000,1810ICF/MR 117983,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117983,A000000,02500,0000,2500PHYSICAL THERAPY 117983,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117983,A000000,02700,0000,2700SPEECH PATHOLOGY 117983,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117983,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117983,A000000,03550,0000,3550FQHC 117983,A000000,05000,0000,5000CORF 117983,A000000,05010,0000,5010CMHC 117983,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117983,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117983,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117983,A000000,05300,0000,5300INTEREST EXPENSE 117983,A81000A,00100,0100,N 117983,B100000,00000,0100,0100SQUARE FEET 117983,B100000,00000,0200,0200SQUARE FEET 117983,B100000,00000,0300,0300GROSS SALARIES 117983,B100000,00000,0400,0400ACCUM COST 117983,B100000,00000,0500,0500SQUARE FEET 117983,B100000,00000,0600,0600POUNDS OF LAUNDRY 117983,B100000,00000,0700,0700HOURS OF SERVICE 117983,B100000,00000,0800,0800MEALS SERVED 117983,B100000,00000,0900,0900DIRECT NRSG HRS 117983,B100000,00000,1000,1000COSTED REQUIS 117983,B100000,00000,1100,1100COSTED REQUIS 117983,B100000,00000,1200,1200TIME SPENT 117983,B100000,00000,1300,1300TIME SPENT 117983,B100000,00000,1400,1400ASSIGNED TIME 117983,E10A180,00501,0100,11/20/00 117983,S000000,00100,0200,09/29/00 117983,S200000,00300,0200,1560 117983,S200000,00300,0300,U 117983,S200000,00400,0100,ST. BARNABAS NURSING HOME 117983,S200000,00400,0200,445008 117983,S200000,00400,0300,01/01/67 117983,S200000,00400,0500,P 117983,S200000,00600,0200,440184 117983,S200000,00600,0300,01/01/67 117983,S200000,00600,0600,O 117983,S200000,01500,0100,N 117983,S200000,01600,0100,Y 117983,S200000,01700,0100,N 117983,S200000,01800,0100,N 117983,S200000,01900,0100,501?C?3 117983,S200000,02200,0100,Y 117983,S200000,02800,0100,Y 117983,S200000,02900,0100,N 117983,S200000,03000,0100,N 117983,S200000,03100,0100,N 117983,S200000,03200,0100,N 117983,S200000,03300,0100,N 117983,S200000,03300,0200,N 117983,S200000,03500,0300,N 117983,S200000,04100,0100,N 117983,S200000,04200,0100,N 117983,S200000,04300,0100,N 117983,S200000,04600,0100,N 117983,S200000,04700,0100,N 117983,S200000,04900,0100,N 117984,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117984,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 117984,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117984,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 117984,A000000,00300,0000,0300EMPLOYEE BENEFITS 117984,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117984,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117984,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117984,A000000,00700,0000,0700HOUSEKEEPING 117984,A000000,00800,0000,0800DIETARY 117984,A000000,00801,0000,0801CAFETERIA 117984,A000000,00900,0000,0900NURSING ADMINISTRATION 117984,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117984,A000000,01100,0000,1100PHARMACY 117984,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117984,A000000,01300,0000,1300SOCIAL SERVICE 117984,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117984,A000000,01500,0000,1350ACTIVITES 117984,A000000,01600,0000,1600SKILLED NURSING FACILITY 117984,A000000,01800,0000,1800NURSING FACILITY 117984,A000000,01900,0000,1900OTHER LONG TERM CARE 117984,A000000,02100,0000,2100RADIOLOGY 117984,A000000,02200,0000,2200LABORATORY 117984,A000000,02300,0000,2300INTRAVENOUS THERAPY 117984,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117984,A000000,02500,0000,2500PHYSICAL THERAPY 117984,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117984,A000000,02700,0000,2700SPEECH PATHOLOGY 117984,A000000,02800,0000,2800ELECTROCARDIOLOGY 117984,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117984,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117984,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117984,A000000,03200,0000,3200SUPPORT SURFACES 117984,A000000,03300,0000,3050ENTERAL FEEDING 117984,A000000,03301,0000,3051ULTRASOUND 117984,A000000,03302,0000,3052OTHER ANCILLARY III 117984,A000000,03400,0000,3400CLINIC 117984,A000000,03500,0000,3500RURAL HEALTH CLINIC 117984,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 117984,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117984,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117984,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117984,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117984,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117984,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117984,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117984,A000000,04400,0000,4400DME RENTED - HHA 117984,A000000,04500,0000,4500DME SOLD - HHA 117984,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117984,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 117984,A000000,04800,0000,4800AMBULANCE 117984,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD 117984,A000000,05000,0000,5000CORF I 117984,A000000,05010,0000,5010CMHC I 117984,A000000,05020,0000,5020OPT I 117984,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117984,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 117984,A000000,05300,0000,5300INTEREST EXPENSE 117984,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117984,A000000,05500,0000,5500HOSPICE 117984,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 117984,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 117984,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 117984,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117984,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117984,A000000,06100,0000,6100NONPAID WORKERS 117984,A000000,06200,0000,6200PATIENTS LAUNDRY 117984,A000000,06300,0000,6150MANAGEMENT GROUP 117984,A81000A,00100,0100,Y 117984,A81000B,00100,0300,MCKENDREE CONSULTING 117984,A81000B,00200,0300,MCKENDREE HEALTHCARE 117984,A81000B,00300,0300,MCKENDREE MANOR 117984,A81000B,00400,0300,MGT.GROUPOVERHEAD 117984,A81000B,00500,0300,MGTGRPOH ALLOCATION 117984,A81000B,00600,0300,FOUNDATION OH 117984,A81000B,00700,0300,FOUNDATION OH ALLOC 117984,A81000B,00800,0300,FOUNDATION EXPENSE 117984,A81000C,00100,0100,B 117984,A81000C,00100,0200,MCKENDREE MGMT 117984,A81000C,00100,0400,MCKENDREE VILLG 117984,A81000C,00100,0600,MGMT CO 117984,A81000C,00200,0100,B 117984,A81000C,00200,0200,MCKENDREE MGMT 117984,A81000C,00200,0400,MCKENDREE VILLG 117984,A81000C,00200,0600,MGMT CO 117984,B100000,00000,0100,0100(SQUARE FEET) 117984,B100000,00000,0101,0101(SQUARE FEET) 117984,B100000,00000,0200,0200(SQUARE FEET) 117984,B100000,00000,0201,0201(SQUARE FEET) 117984,B100000,00000,0300,0300(GROSS SALARIES) 117984,B100000,00000,0400,0400(ACCUM. COST) 117984,B100000,00000,0500,0500(SQUARE FEET) 117984,B100000,00000,0600,0600(PATIENT DAYS) 117984,B100000,00000,0700,0700(SQUARE FEET) 117984,B100000,00000,0800,0800(MEALS SERVED) 117984,B100000,00000,0801,0801(MEALS SERVED) 117984,B100000,00000,0900,0900(NURSING SALARIES) 117984,B100000,00000,1000,1000(PATIENT DAYS) 117984,B100000,00000,1100,1100(COSTED REQUIS.) 117984,B100000,00000,1200,1200(PATIENT DAYS) 117984,B100000,00000,1300,1300(PATIENT DAYS) 117984,B100000,00000,1400,1400(ASSIGNED TIME) 117984,B100000,00000,1500,1350(PATIENT DAYS) 117984,E10A180,00501,0100,02/02/01 117984,E10A180,00550,0300,02/02/01 117984,S000000,00100,0200,12/06/00 117984,S200000,00100,0100,4545 LEBANON RD 117984,S200000,00200,0100,HERMITAGE TN 117984,S200000,00200,0300,37076 117984,S200000,00300,0100,DAVIDSON 117984,S200000,00300,0300,U 117984,S200000,00400,0100,MCKENDREE VILLAGE INC 117984,S200000,00400,0200,445021 117984,S200000,00400,0300,07/01/66 117984,S200000,00400,0500,P 117984,S200000,00400,0600,P 117984,S200000,00600,0200,445021 117984,S200000,00600,0300,07/01/66 117984,S200000,00600,0600,O 117984,S200000,01500,0100,N 117984,S200000,01600,0100,Y 117984,S200000,01700,0100,N 117984,S200000,01800,0100,N 117984,S200000,02200,0100,Y 117984,S200000,02800,0100,N 117984,S200000,02900,0100,N 117984,S200000,03000,0100,N 117984,S200000,03100,0100,N 117984,S200000,03200,0100,N 117984,S200000,03300,0100,N 117984,S200000,03300,0200,N 117984,S200000,03500,0300,N 117984,S200000,04100,0100,N 117984,S200000,04200,0100,N 117984,S200000,04300,0100,N 117984,S200000,04600,0100,N 117984,S200000,04700,0100,N 117984,S200000,04900,0100,N 117985,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117985,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117985,A000000,00300,0000,0300EMPLOYEE BENEFITS 117985,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117985,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117985,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117985,A000000,00700,0000,0700HOUSEKEEPING 117985,A000000,00800,0000,0800DIETARY 117985,A000000,00900,0000,0900NURSING ADMINISTRATION 117985,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117985,A000000,01100,0000,1100PHARMACY 117985,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117985,A000000,01300,0000,1300SOCIAL SERVICE 117985,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117985,A000000,01500,0000,1350OTHER GENERAL SERVICES 117985,A000000,01600,0000,1600SKILLED NURSING FACILITY 117985,A000000,01800,0000,1800NURSING FACILITY 117985,A000000,01900,0000,1900OTHER LONG TERM CARE 117985,A000000,02100,0000,2100RADIOLOGY 117985,A000000,02200,0000,2200LABORATORY 117985,A000000,02300,0000,2300INTRAVENOUS THERAPY 117985,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117985,A000000,02500,0000,2500PHYSICAL THERAPY 117985,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117985,A000000,02700,0000,2700SPEECH PATHOLOGY 117985,A000000,02800,0000,2800ELECTROCARDIOLOGY 117985,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117985,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117985,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 117985,A000000,03200,0000,3200SUPPORT SURFACES 117985,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 117985,A000000,03400,0000,3400CLINIC 117985,A000000,03500,0000,3500RURAL HEALTH CLINIC 117985,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 117985,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 117985,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 117985,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 117985,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 117985,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 117985,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 117985,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 117985,A000000,04400,0000,4400DME RENTED - HHA 117985,A000000,04500,0000,4500DME SOLD - HHA 117985,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 117985,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 117985,A000000,04800,0000,4800AMBULANCE 117985,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD 117985,A000000,05000,0000,5000CORF 117985,A000000,05100,0000,4750OTHER REIMBURSABLE COST 117985,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 117985,A000000,05300,0000,5300INTEREST EXPENSE 117985,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117985,A000000,05500,0000,5500HOSPICE 117985,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 117985,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 117985,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117985,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 117985,A000000,06100,0000,6100NONPAID WORKERS 117985,A000000,06200,0000,6200PATIENTS LAUNDRY 117985,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 117985,A81000A,00100,0100,N 117985,B100000,00000,0100,0100SQUARE FEET 117985,B100000,00000,0200,0200SQUARE FEET 117985,B100000,00000,0300,0300GROSS SALARIES 117985,B100000,00000,0400,0400ACCUM. COST 117985,B100000,00000,0500,0500SQUARE FEET 117985,B100000,00000,0600,0600RESIDENT DAYS 117985,B100000,00000,0700,0700SQUARE FEET 117985,B100000,00000,0800,0800MEALS SERVED 117985,B100000,00000,0900,0900SQUARE FEET 117985,B100000,00000,1000,1000RESIDENT DAYS 117985,B100000,00000,1100,1100COSTEDREQU UISITIONS 117985,B100000,00000,1200,1200TIME SPENT 117985,B100000,00000,1300,1300RESIDENT DAYS 117985,B100000,00000,1400,1400SQUARE FEET 117985,B100000,00000,1500,1350SQUARE FEET 117985,E10A180,00550,0300,12/08/00 117985,S000000,00100,0200,11/30/00 117985,S200000,00100,0100,801 VANOSDALE RD 117985,S200000,00200,0100,KNOXVILLE 117985,S200000,00200,0200,TN 117985,S200000,00200,0300,37909 117985,S200000,00300,0100,K 117985,S200000,00300,0300,U 117985,S200000,00400,0100,PRESBYTERIAN HOMES OF TN 117985,S200000,00400,0200,445105 117985,S200000,00400,0300,03/26/73 117985,S200000,00400,0500,P 117985,S200000,00400,0600,P 117985,S200000,01500,0100,Y 117985,S200000,01600,0100,N 117985,S200000,01700,0100,N 117985,S200000,01800,0100,N 117985,S200000,02200,0100,Y 117985,S200000,02800,0100,N 117985,S200000,02900,0100,N 117985,S200000,03000,0100,N 117985,S200000,03100,0100,N 117985,S200000,03200,0100,N 117985,S200000,03300,0100,N 117985,S200000,03300,0200,N 117985,S200000,04100,0100,N 117985,S200000,04200,0100,N 117985,S200000,04300,0100,N 117985,S200000,04600,0100,N 117985,S200000,04700,0100,N 117985,S200000,04700,0200,N 117985,S200000,04900,0100,N 117997,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 117997,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 117997,A000000,00300,0000,0300EMPLOYEE BENEFITS 117997,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 117997,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 117997,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 117997,A000000,00700,0000,0700HOUSEKEEPING 117997,A000000,00800,0000,0800DIETARY 117997,A000000,00900,0000,0900NURSING ADMINISTRATION 117997,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 117997,A000000,01100,0000,1100PHARMACY 117997,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 117997,A000000,01300,0000,1300SOCIAL SERVICE 117997,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 117997,A000000,01500,0000,1350ACTIVITIES 117997,A000000,01600,0000,1600SKILLED NURSING FACILITY 117997,A000000,01800,0000,1800NURSING FACILITY 117997,A000000,01810,0000,1810ICF/MR 117997,A000000,02100,0000,2100RADIOLOGY 117997,A000000,02200,0000,2200LABORATORY 117997,A000000,02300,0000,2300INTRAVENOUS THERAPY 117997,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 117997,A000000,02500,0000,2500PHYSICAL THERAPY 117997,A000000,02600,0000,2600OCCUPATIONAL THERAPY 117997,A000000,02700,0000,2700SPEECH PATHOLOGY 117997,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 117997,A000000,02901,0000,2901PEN THERAPY 117997,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 117997,A000000,03300,0000,3050OTHER ANCILLARY 117997,A000000,03301,0000,3051AMBULANCE 117997,A000000,03550,0000,3550FQHC 117997,A000000,05000,0000,5000CORF 117997,A000000,05010,0000,5010CMHC 117997,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 117997,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 117997,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 117997,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 117997,A000000,05900,0000,5900BARBER & BEAUTY SHOP 117997,A81000A,00100,0100,Y 117997,A81000B,00100,0300,HOME OFFICE COSTS 117997,A81000B,00200,0300,ALLOCATED COSTS - PT 117997,A81000B,00300,0300,ALLOCATED COSTS - OT 117997,A81000B,00400,0300,ALLOCATED COSTS - ST 117997,A81000B,00500,0300,REL. PARTY INTEREST 117997,A81000B,00600,0300,LIFE CARE DESIGNS 117997,A81000B,00700,0300,COMPUTER INSTALL. 117997,A81000B,00800,0300,REL. PARTY INTEREST 117997,A81000B,00900,0300,LEASE FROM REL PARTY 117997,A81000C,00100,0100,A 117997,A81000C,00100,0200,FORREST PRESTON 117997,A81000C,00100,0400,LIFE CARE CENTE 117997,A81000C,00100,0600,MANAGEMENT COMP 117997,A81000C,00200,0100,A 117997,A81000C,00200,0200,FORREST PRESTON 117997,A81000C,00200,0400,LIFE CARE DESIG 117997,A81000C,00200,0600,INTERIOR DESIGN 117997,A81000C,00300,0100,D 117997,A81000C,00300,0200,DAVID J. GOOCH 117997,A81000C,00300,0400,LIFE CARE ASSOC 117997,A81000C,00300,0600,RELATED PARTY L 117997,A81000C,00400,0100,D 117997,A81000C,00400,0200,A.J. GOOCH TRUS 117997,A81000C,00400,0400,LIFE CARE ASSOC 117997,A81000C,00400,0600,RELATED PARTY L 117997,A81000C,00500,0100,D 117997,A81000C,00500,0200,JM GOOD TRUST 117997,A81000C,00500,0400,LIFE CARE ASSOC 117997,A81000C,00500,0600,RELATED PARTY L 117997,A81000C,00600,0100,D 117997,A81000C,00600,0200,ANGELENA CLAYTO 117997,A81000C,00600,0400,LIFE CARE ASSOC 117997,A81000C,00600,0600,RELATED PARTY L 117997,A81000C,00700,0100,D 117997,A81000C,00700,0200,JOHN P OBRIEN 117997,A81000C,00700,0400,LIFE CARE ASSOC 117997,A81000C,00700,0600,RELATED PARTY L 117997,B100000,00000,0100,0100(SQUARE FEET) 117997,B100000,00000,0200,0200(SQUARE FEET) 117997,B100000,00000,0300,0300(GROSS SALARIES) 117997,B100000,00000,0400,0400(ACCUM COST) 117997,B100000,00000,0500,0500(SQUARE FEET) 117997,B100000,00000,0600,0600PATIENT DAYS 117997,B100000,00000,0700,0700(SQUARE FEET) 117997,B100000,00000,0800,0800(MEALS SERVED) 117997,B100000,00000,0900,0900DIR. HOURS SUPERVISED 117997,B100000,00000,1000,1000(COSTED REQUIS) 117997,B100000,00000,1100,1100(COSTED REQUIS) 117997,B100000,00000,1200,1200GROSS REVENUES 117997,B100000,00000,1300,1300TIME SPENT 117997,B100000,00000,1400,1400(ASSIGNED TIME) 117997,B100000,00000,1500,1350PATIENT DAYS 117997,E10A180,00301,0100,02/07/00 117997,E10A180,00302,0100,04/12/00 117997,E10A180,00303,0100,08/11/00 117997,S000000,00100,0200,10/26/00 117997,S200000,00100,0100,COPPER BASIN INDUSTRIAL PARK 117997,S200000,00100,0300,518 117997,S200000,00200,0100,DUCKTOWN 117997,S200000,00200,0200,TN 117997,S200000,00200,0300,37326 117997,S200000,00300,0100,POLK 117997,S200000,00300,0200,9944 117997,S200000,00300,0300,R 117997,S200000,00400,0100,LCC OF COPPER BASIN 117997,S200000,00400,0200,445310 117997,S200000,00400,0300,04/01/93 117997,S200000,00400,0400,O 117997,S200000,00400,0500,P 117997,S200000,00400,0600,O 117997,S200000,00600,0200,445310 117997,S200000,00600,0300,04/01/93 117997,S200000,00600,0400,O 117997,S200000,00600,0600,O 117997,S200000,01500,0100,N 117997,S200000,01600,0100,Y 117997,S200000,01700,0100,N 117997,S200000,01800,0100,N 117997,S200000,02200,0100,Y 117997,S200000,02800,0100,N 117997,S200000,02900,0100,N 117997,S200000,03000,0100,N 117997,S200000,03100,0100,N 117997,S200000,03200,0100,N 117997,S200000,03300,0100,N 117997,S200000,03300,0200,N 117997,S200000,03500,0300,N 117997,S200000,04100,0100,N 117997,S200000,04200,0100,N 117997,S200000,04300,0100,N 117997,S200000,04600,0100,N 117997,S200000,04700,0100,N 117997,S200000,04900,0100,N 118000,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118000,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118000,A000000,00300,0000,0300EMPLOYEE BENEFITS 118000,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118000,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118000,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118000,A000000,00700,0000,0700HOUSEKEEPING 118000,A000000,00800,0000,0800DIETARY 118000,A000000,00900,0000,0900NURSING ADMINISTRATION 118000,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118000,A000000,01100,0000,1100PHARMACY 118000,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118000,A000000,01300,0000,1300SOCIAL SERVICE 118000,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118000,A000000,01600,0000,1600SKILLED NURSING FACILITY 118000,A000000,01810,0000,1810ICF/MR 118000,A000000,02100,0000,2100RADIOLOGY 118000,A000000,02200,0000,2200LABORATORY 118000,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118000,A000000,02500,0000,2500PHYSICAL THERAPY 118000,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118000,A000000,02700,0000,2700SPEECH PATHOLOGY 118000,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118000,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118000,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 118000,A000000,03550,0000,3550FQHC 118000,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 118000,A000000,05000,0000,5000CORF 118000,A000000,05010,0000,5010CMHC 118000,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118000,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118000,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118000,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 118000,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118000,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 118000,A81000A,00100,0100,Y 118000,A81000B,00100,0300,HOME OFFICE COST 118000,A81000C,00100,0100,A 118000,A81000C,00100,0200,DOUG WRIGHT SR 118000,A81000C,00100,0400,RIGHT CARE INC 118000,A81000C,00100,0600,MANAGEMENT 118000,B100000,00000,0100,0100SQUARE FEET 118000,B100000,00000,0200,0200SQUARE FEET 118000,B100000,00000,0300,0300GROSS SALARIES 118000,B100000,00000,0400,0400ACCUM COST 118000,B100000,00000,0500,0500SQUARE FEET 118000,B100000,00000,0600,0600PATIENT DAYS 118000,B100000,00000,0700,0700SQUARE FEET 118000,B100000,00000,0800,0800MEALS SERVED 118000,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 118000,B100000,00000,1000,1000COSTED REQUISITIO 118000,B100000,00000,1100,1100COSTED REQUIS 118000,B100000,00000,1200,1200HOURS OF SERVICE 118000,B100000,00000,1300,1300HOURS OF SERVICE 118000,B100000,00000,1400,1400ASSIGNED TIME 118000,E10A180,00501,0100,05/04/01 118000,E10A180,00501,0300,05/04/01 118000,S000000,00100,0200,03/21/01 118000,S200000,00100,0100,1636 WOODLAWN 118000,S200000,00200,0100,DYERSBURG 118000,S200000,00200,0200,TN 118000,S200000,00300,0100,D 118000,S200000,00300,0200,9944 118000,S200000,00300,0300,R 118000,S200000,00400,0100,OAKWOOD MANOR 118000,S200000,00400,0200,445335 118000,S200000,00400,0300,09/01/94 118000,S200000,00400,0500,P 118000,S200000,01500,0100,Y 118000,S200000,01600,0100,N 118000,S200000,01700,0100,N 118000,S200000,01800,0100,N 118000,S200000,02200,0100,N 118000,S200000,02800,0100,N 118000,S200000,02900,0100,N 118000,S200000,03000,0100,N 118000,S200000,03100,0100,N 118000,S200000,03200,0100,N 118000,S200000,03300,0100,N 118000,S200000,03300,0200,N 118000,S200000,04100,0100,N 118000,S200000,04200,0100,N 118000,S200000,04300,0100,Y 118000,S200000,04600,0100,N 118000,S200000,04700,0100,N 118000,S200000,04900,0100,N 118004,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118004,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118004,A000000,00300,0000,0300EMPLOYEE BENEFITS 118004,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118004,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118004,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118004,A000000,00700,0000,0700HOUSEKEEPING 118004,A000000,00800,0000,0800DIETARY 118004,A000000,00900,0000,0900NURSING ADMINISTRATION 118004,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118004,A000000,01100,0000,1100PHARMACY 118004,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118004,A000000,01300,0000,1300SOCIAL SERVICE 118004,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118004,A000000,01500,0000,1350ACTIVITIES 118004,A000000,01600,0000,1600SKILLED NURSING FACILITY 118004,A000000,01800,0000,1800NURSING FACILITY 118004,A000000,01810,0000,1810ICF/MR 118004,A000000,02100,0000,2100RADIOLOGY 118004,A000000,02200,0000,2200LABORATORY 118004,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118004,A000000,02500,0000,2500PHYSICAL THERAPY 118004,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118004,A000000,02700,0000,2700SPEECH PATHOLOGY 118004,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118004,A000000,02901,0000,2901PEN THERAPY 118004,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118004,A000000,03300,0000,3050OTHER ANCILLARY 118004,A000000,03301,0000,3051AMBULANCE 118004,A000000,03550,0000,3550FQHC 118004,A000000,05000,0000,5000CORF 118004,A000000,05010,0000,5010CMHC 118004,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118004,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118004,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118004,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118004,A81000A,00100,0100,Y 118004,A81000B,00100,0300,HOME OFFICE COSTS 118004,A81000B,00200,0300,ALLOCATED COSTS - PT 118004,A81000B,00300,0300,ALLOCATED COSTS - OT 118004,A81000B,00400,0300,ALLOCATED COSTS - ST 118004,A81000B,00500,0300,RELATED PARTY INT 118004,A81000B,00600,0300,LIFE CARE DESIGNS 118004,A81000B,00700,0300,COMPUTER INSTALL 118004,A81000B,00800,0300,CONSTRUCTION COST 118004,A81000B,00900,0300,INTEREST 118004,A81000B,01000,0300,DEPRECIATION 118004,A81000C,00100,0100,A 118004,A81000C,00100,0200,FORREST PRESTON 118004,A81000C,00100,0400,LCCA 118004,A81000C,00100,0600,NRSG HOME MGMT 118004,A81000C,00200,0100,A 118004,A81000C,00200,0200,FORREST PRESTON 118004,A81000C,00200,0400,LIFE CARE DESIG 118004,A81000C,00200,0600,INTERIOR DESIGN 118004,A81000C,00300,0100,A 118004,A81000C,00300,0200,FORREST PRESTON 118004,A81000C,00300,0400,CONSTRUCTION EN 118004,A81000C,00300,0600,CONSTRUCTION 118004,A81000C,00400,0100,A 118004,A81000C,00400,0200,FORREST PRESTON 118004,A81000C,00400,0400,HCE LEASING 118004,A81000C,00400,0600,EQUIP LEASING 118004,B100000,00000,0100,0100(SQUARE FEET) 118004,B100000,00000,0200,0200(SQUARE FEET) 118004,B100000,00000,0300,0300(GROSS SALARIES) 118004,B100000,00000,0400,0400(ACCUM COST) 118004,B100000,00000,0500,0500(SQUARE FEET) 118004,B100000,00000,0600,0600PATIENT DAYS 118004,B100000,00000,0700,0700(SQUARE FEET) 118004,B100000,00000,0800,0800(MEALS SERVED) 118004,B100000,00000,0900,0900DIRECT HRS SUPERVISED 118004,B100000,00000,1000,1000(COSTED REQUIS) 118004,B100000,00000,1100,1100(COSTED REQUIS) 118004,B100000,00000,1200,1200GROSS REVENUES 118004,B100000,00000,1300,1300PATIENT DAYS 118004,B100000,00000,1400,1400(ASSIGNED TIME) 118004,B100000,00000,1500,1350PATIENT DAYS 118004,E10A180,00301,0100,02/04/00 118004,E10A180,00302,0100,04/12/00 118004,E10A180,00303,0100,08/11/00 118004,S000000,00100,0200,01/31/01 118004,S200000,00100,0100,708 DWIGHT AVENUE 118004,S200000,00200,0100,CHATTANOOGA 118004,S200000,00200,0200,TN 118004,S200000,00200,0300,37406 118004,S200000,00300,0100,H 118004,S200000,00300,0200,1560 118004,S200000,00300,0300,U 118004,S200000,00400,0100,HERITAGE MANOR 118004,S200000,00400,0200,445380 118004,S200000,00400,0300,10/01/96 118004,S200000,00400,0400,O 118004,S200000,00400,0500,P 118004,S200000,00400,0600,O 118004,S200000,00600,0200,445380 118004,S200000,00600,0300,10/01/96 118004,S200000,00600,0400,O 118004,S200000,00600,0600,O 118004,S200000,01500,0100,Y 118004,S200000,01600,0100,N 118004,S200000,01700,0100,N 118004,S200000,01800,0100,N 118004,S200000,02200,0100,Y 118004,S200000,02800,0100,N 118004,S200000,02900,0100,N 118004,S200000,03000,0100,N 118004,S200000,03100,0100,N 118004,S200000,03200,0100,N 118004,S200000,03300,0100,N 118004,S200000,03300,0200,N 118004,S200000,03500,0300,N 118004,S200000,04100,0100,N 118004,S200000,04200,0100,N 118004,S200000,04300,0100,N 118004,S200000,04600,0100,N 118004,S200000,04700,0100,N 118004,S200000,04900,0100,Y 118007,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118007,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118007,A000000,00300,0000,0300EMPLOYEE BENEFITS 118007,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118007,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118007,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118007,A000000,00700,0000,0700HOUSEKEEPING 118007,A000000,00800,0000,0800DIETARY 118007,A000000,00900,0000,0900NURSING ADMINISTRATION 118007,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118007,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118007,A000000,01300,0000,1300SOCIAL SERVICE 118007,A000000,01500,0000,1350ACTIVITIES 118007,A000000,01600,0000,1600SKILLED NURSING FACILITY 118007,A000000,01800,0000,1800NURSING FACILITY 118007,A000000,02100,0000,2100RADIOLOGY 118007,A000000,02200,0000,2200LABORATORY 118007,A000000,02300,0000,2300INTRAVENOUS THERAPY 118007,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118007,A000000,02500,0000,2500PHYSICAL THERAPY 118007,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118007,A000000,02700,0000,2700SPEECH PATHOLOGY 118007,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118007,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118007,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 118007,A000000,03301,0000,3051AMBULANCE 118007,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 118007,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118007,A000000,06300,0000,6150ADULT DAY CARE 118007,A81000A,00100,0100,Y 118007,A81000B,00100,0300,HOME OFFICE COSTS 118007,A81000B,00200,0300,H.O. COSTS - CAPITAL 118007,A81000B,00300,0300,RELATED PARTY INT. 118007,A81000B,00400,0300,RELATED PARTY INT. 118007,A81000B,00500,0300,REHAB ADJUST - PT 118007,A81000B,00600,0300,REHAB ADJUST - OT 118007,A81000B,00700,0300,REHAB ADJUST - ST 118007,A81000B,00800,0300,MEDIA RESOURCES 118007,A81000B,00900,0300,Y2K COMP. DEPREC. 118007,A81000C,00100,0100,A 118007,A81000C,00100,0200,FORREST PRESTON 118007,A81000C,00100,0400,LIFE CARE CENTE 118007,A81000C,00100,0600,NRSG. HOME MGMT 118007,A81000C,00200,0100,A 118007,A81000C,00200,0200,FORREST PRESTON 118007,A81000C,00200,0400,LIFE CARE CENTE 118007,A81000C,00200,0600,NRSG. HOME MGMT 118007,A81000C,00300,0100,A 118007,A81000C,00300,0200,FORREST PRESTON 118007,A81000C,00300,0400,METLIFE 118007,A81000C,00300,0600,COMPUTER LEASE 118007,A81000C,00400,0100,A 118007,A81000C,00400,0200,FORREST PRESTON 118007,A81000C,00400,0400,LIFE CARE CENTE 118007,A81000C,00400,0600,NRSG. HOME. MGM 118007,A81000C,00500,0100,A 118007,A81000C,00500,0200,FORREST PRESTON 118007,A81000C,00500,0400,REHAB SUPPORT S 118007,A81000C,00500,0600,REHAB SERVICES 118007,A81000C,00600,0100,A 118007,A81000C,00600,0200,FORREST PRESTON 118007,A81000C,00600,0400,REHAB SUPPORT S 118007,A81000C,00600,0600,REHAB SERVICES 118007,A81000C,00700,0100,A 118007,A81000C,00700,0200,FORREST PRESTON 118007,A81000C,00700,0400,REHAB SUPPORT S 118007,A81000C,00700,0600,REHAB SERVICES 118007,A81000C,00800,0100,A 118007,A81000C,00800,0200,FORREST PRESTON 118007,A81000C,00800,0400,MEDIA RESOURCES 118007,A81000C,00800,0600,MEDIA COMPANY 118007,A81000C,00900,0100,A 118007,A81000C,00900,0200,FORREST PRESTON 118007,A81000C,00900,0400,LIFE CARE CENTE 118007,A81000C,00900,0600,NRSG. HOME MGMT 118007,B100000,00000,0100,0100(SQUARE FEET) 118007,B100000,00000,0200,0200(SQUARE FEET) 118007,B100000,00000,0300,0300(GROSS SALARIES) 118007,B100000,00000,0400,0400(ACCUM COST) 118007,B100000,00000,0500,0500(SQUARE FEET) 118007,B100000,00000,0600,0600PATIENT DAYS 118007,B100000,00000,0700,0700(SQUARE FEET) 118007,B100000,00000,0800,0800(MEALS SERVED) 118007,B100000,00000,0900,0900DIR NRSG HOURS 118007,B100000,00000,1000,1000(COSTED REQUIS) 118007,B100000,00000,1200,1200GROSS REVENUES 118007,B100000,00000,1300,1300PATIENT DAYS 118007,B100000,00000,1500,1350PATIENT DAYS 118007,S000000,00100,0200,11/17/00 118007,S200000,00100,0100,4252 BRYANT IRVIN ROAD 118007,S200000,00200,0100,FORT WORTH 118007,S200000,00200,0200,TX 118007,S200000,00200,0300,76109 118007,S200000,00300,0100,TARRANT 118007,S200000,00300,0200,2800 118007,S200000,00300,0300,U 118007,S200000,00400,0100,RENAISSANCE PARK MULTI-CARE CENTER 118007,S200000,00400,0200,455891 118007,S200000,00400,0300,08/13/90 118007,S200000,00400,0500,P 118007,S200000,00600,0200,455891 118007,S200000,00600,0300,08/13/90 118007,S200000,00600,0600,O 118007,S200000,01500,0100,N 118007,S200000,01600,0100,Y 118007,S200000,01700,0100,N 118007,S200000,01800,0100,N 118007,S200000,02200,0100,Y 118007,S200000,02800,0100,N 118007,S200000,02900,0100,N 118007,S200000,03000,0100,N 118007,S200000,03100,0100,N 118007,S200000,03200,0100,N 118007,S200000,03300,0100,N 118007,S200000,03300,0200,N 118007,S200000,03500,0300,N 118007,S200000,04100,0100,N 118007,S200000,04200,0100,N 118007,S200000,04300,0100,Y 118007,S200000,04600,0100,N 118007,S200000,04700,0100,N 118007,S200000,04900,0100,N 118046,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118046,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118046,A000000,00300,0000,0300EMPLOYEE BENEFITS 118046,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118046,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118046,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118046,A000000,00700,0000,0700HOUSEKEEPING 118046,A000000,00800,0000,0800DIETARY 118046,A000000,00900,0000,0900NURSING ADMINISTRATION 118046,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118046,A000000,01100,0000,1100PHARMACY 118046,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118046,A000000,01300,0000,1300SOCIAL SERVICE 118046,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118046,A000000,01600,0000,1600SKILLED NURSING FACILITY 118046,A000000,01800,0000,1800NURSING FACILITY 118046,A000000,01810,0000,1810ICF/MR 118046,A000000,02100,0000,2100RADIOLOGY 118046,A000000,02200,0000,2200LABORATORY 118046,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118046,A000000,02500,0000,2500PHYSICAL THERAPY 118046,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118046,A000000,02700,0000,2700SPEECH PATHOLOGY 118046,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118046,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118046,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 118046,A000000,03550,0000,3550FQHC 118046,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 118046,A000000,05000,0000,5000CORF 118046,A000000,05010,0000,5010CMHC 118046,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118046,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118046,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118046,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 118046,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 118046,A81000A,00100,0100,Y 118046,A81000B,00100,0300,HOME OFFICE COSTS 118046,A81000C,00100,0100,A 118046,A81000C,00100,0200,DOUG WRIGHT SR 118046,A81000C,00100,0400,RIGHT CARE INC 118046,A81000C,00100,0600,MANAGEMENT 118046,B100000,00000,0100,0100SQUARE FEET 118046,B100000,00000,0200,0200SQUARE FEET 118046,B100000,00000,0300,0300GROSS SALARIES 118046,B100000,00000,0400,0400ACCUM COST 118046,B100000,00000,0500,0500SQUARE FEET 118046,B100000,00000,0600,0600PATIENT DAYS 118046,B100000,00000,0700,0700SQUARE FEET 118046,B100000,00000,0800,0800MEALS SERVED 118046,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 118046,B100000,00000,1000,1000COSTED REQUISITIO 118046,B100000,00000,1100,1100COSTED REQUISITIO 118046,B100000,00000,1200,1200TIME SPENT 118046,B100000,00000,1300,1300TIME SPENT 118046,B100000,00000,1400,1400ASSIGNED TIME 118046,E10A180,00501,0100,09/20/01 118046,E10A180,00501,0300,09/20/01 118046,S000000,00100,0200,07/24/01 118046,S200000,00100,0100,2400 MITCHELL AVENUE 118046,S200000,00100,0300,620 118046,S200000,00200,0100,HUMBOLT 118046,S200000,00200,0200,TN 118046,S200000,00200,0300,38343 118046,S200000,00300,0100,GIBSON 118046,S200000,00300,0200,4499 118046,S200000,00300,0300,R 118046,S200000,00400,0100,PARKVIEW MANOR 118046,S200000,00400,0200,445339 118046,S200000,00400,0300,11/02/94 118046,S200000,00400,0500,P 118046,S200000,01500,0100,N 118046,S200000,01600,0100,Y 118046,S200000,01700,0100,N 118046,S200000,01800,0100,N 118046,S200000,02200,0100,N 118046,S200000,02800,0100,N 118046,S200000,02900,0100,N 118046,S200000,03000,0100,N 118046,S200000,03100,0100,N 118046,S200000,03200,0100,N 118046,S200000,03300,0100,N 118046,S200000,03300,0200,N 118046,S200000,04100,0100,N 118046,S200000,04200,0100,N 118046,S200000,04300,0100,N 118046,S200000,04600,0100,N 118046,S200000,04700,0100,N 118046,S200000,04900,0100,N 118128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118128,A000000,00300,0000,0300EMPLOYEE BENEFITS 118128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118128,A000000,00700,0000,0700HOUSEKEEPING 118128,A000000,00800,0000,0800DIETARY 118128,A000000,00900,0000,0900NURSING ADMINISTRATION 118128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118128,A000000,01100,0000,1100PHARMACY 118128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118128,A000000,01300,0000,1300SOCIAL SERVICE 118128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118128,A000000,01600,0000,1600SKILLED NURSING FACILITY 118128,A000000,01810,0000,1810ICF/MR 118128,A000000,02100,0000,2100RADIOLOGY 118128,A000000,02200,0000,2200LABORATORY 118128,A000000,02300,0000,2300INTRAVENOUS THERAPY 118128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118128,A000000,02500,0000,2500PHYSICAL THERAPY 118128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118128,A000000,02700,0000,2700SPEECH PATHOLOGY 118128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118128,A000000,03200,0000,3200SUPPORT SURFACES 118128,A000000,03550,0000,3550FQHC 118128,A000000,05000,0000,5000CORF 118128,A000000,05010,0000,5010CMHC 118128,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118128,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118128,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118128,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 118128,A81000A,00100,0100,Y 118128,A81000B,00100,0300,MANAGEMENT FEES 118128,A81000B,00200,0300,CAP REL-BLDG 118128,A81000B,00300,0300,CAP REL-EQUIP 118128,A81000B,00400,0300,FACILITY RENT 118128,A81000C,00400,0100,B 118128,A81000C,00400,0200,J & L FRIEDMAN 118128,A81000C,00400,0400,LONGWOOD MGT 118128,A81000C,00400,0600,MANAGEMENT 118128,B100000,00000,0100,0100SQUARE FEET 118128,B100000,00000,0200,0200DOLLAR VALUE 118128,B100000,00000,0300,0300GROSS SALARIES 118128,B100000,00000,0400,0400ACCUM. COST 118128,B100000,00000,0500,0500SQUARE FEET 118128,B100000,00000,0600,0600POUNDS OF LAUNDRY 118128,B100000,00000,0700,0700HOURS OF SERVICE 118128,B100000,00000,0800,0800MEALS SERVED 118128,B100000,00000,0900,0900DIRECT NRSING HRS 118128,B100000,00000,1000,1000COSTED REQUIS. 118128,B100000,00000,1100,1100COSTED REQUIS. 118128,B100000,00000,1200,1200TIME SPENT 118128,B100000,00000,1300,1300TIME SPENT 118128,B100000,00000,1400,1400ASSIGNED TIME 118128,E10A180,00301,0300,03/10/00 118128,E10A180,00501,0100,02/28/01 118128,E10A180,00550,0300,02/28/01 118128,S000000,00100,0200,02/14/01 118128,S200000,00100,0100,3737 DON FELIPE ROAD 118128,S200000,00200,0100,LOS ANGELES 118128,S200000,00200,0200,CA 118128,S200000,00200,0300,90008 118128,S200000,00300,0100,L 118128,S200000,00300,0200,4480 118128,S200000,00300,0300,U 0 118128,S200000,00400,0100,VIEWPARK CONVALESCENT HOSPITAL 118128,S200000,00400,0200,555065 118128,S200000,00400,0300,07/01/88 118128,S200000,00400,0500,P 118128,S200000,01500,0100,N 118128,S200000,01600,0100,Y 118128,S200000,01700,0100,N 118128,S200000,01800,0100,N 118128,S200000,02200,0100,N 118128,S200000,02800,0100,N 118128,S200000,02900,0100,N 118128,S200000,03000,0100,N 118128,S200000,03100,0100,N 118128,S200000,03200,0100,N 118128,S200000,03300,0100,N 118128,S200000,03300,0200,N 118128,S200000,04100,0100,N 118128,S200000,04200,0100,N 118128,S200000,04300,0100,Y 118128,S200000,04600,0100,N 118128,S200000,04700,0100,N 118128,S200000,04900,0100,N 118202,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118202,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118202,A000000,00300,0000,0300EMPLOYEE BENEFITS 118202,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118202,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118202,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118202,A000000,00700,0000,0700HOUSEKEEPING 118202,A000000,00800,0000,0800DIETARY 118202,A000000,00900,0000,0900NURSING ADMINISTRATION 118202,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118202,A000000,01100,0000,1100PHARMACY 118202,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118202,A000000,01300,0000,1300SOCIAL SERVICE 118202,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118202,A000000,01600,0000,1600SKILLED NURSING FACILITY 118202,A000000,01800,0000,1800NURSING FACILITY 118202,A000000,01810,0000,1810ICF/MR 118202,A000000,02100,0000,2100RADIOLOGY 118202,A000000,02200,0000,2200LABORATORY 118202,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118202,A000000,02500,0000,2500PHYSICAL THERAPY 118202,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118202,A000000,02700,0000,2700SPEECH PATHOLOGY 118202,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118202,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118202,A000000,03200,0000,3200SUPPORT SURFACES 118202,A000000,03550,0000,3550FQHC 118202,A000000,05000,0000,5000CORF 118202,A000000,05010,0000,5010CMHC 118202,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118202,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118202,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118202,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118202,A81000A,00100,0100,Y 118202,A81000B,00100,0300,HOME OFFICE COSTS 118202,A81000C,00100,0100,B 118202,A81000C,00100,0200,ADVOCAT INC. 118202,A81000C,00100,0400,DVCR LEASING CO 118202,A81000C,00100,0600,L/T CARE MGT CO 118202,B100000,00000,0100,0100SQUARE FEET 118202,B100000,00000,0200,0200SQUARE FEET 118202,B100000,00000,0300,0300GROSS SALARIES 118202,B100000,00000,0400,0400ACCUM COST 118202,B100000,00000,0500,0500SQUARE FEET 118202,B100000,00000,0600,0600PATIENT DAYS 118202,B100000,00000,0700,0700SQUARE FEET 118202,B100000,00000,0800,0800PATIENT DAYS 118202,B100000,00000,0900,0900TOTAL HRS SUPRVSD 118202,B100000,00000,1000,1000COSTED REQUIS 118202,B100000,00000,1100,1100COSTED REQUIS 118202,B100000,00000,1200,1200PATIENT REVENUES 118202,B100000,00000,1300,1300PATIENT DAYS 118202,B100000,00000,1400,1400ASSIGNED TIME 118202,E10A180,00351,0300,01/17/01 118202,S000000,00100,0200,12/28/00 118202,S200000,00100,0100,1411 COUNTRY CLUB ROAD 118202,S200000,00200,0100,CAMDEN 118202,S200000,00200,0200,AR 118202,S200000,00200,0300,71701 118202,S200000,00300,0100,O 118202,S200000,00300,0200,9904 118202,S200000,00300,0300,R 118202,S200000,00400,0100,OUACHITA CONVALESCENT CENTER 118202,S200000,00400,0200,045207 118202,S200000,00400,0300,03/01/93 118202,S200000,00400,0500,P 118202,S200000,01500,0100,N 118202,S200000,01600,0100,Y 118202,S200000,01700,0100,N 118202,S200000,01800,0100,N 118202,S200000,02200,0100,Y 118202,S200000,02800,0100,Y 118202,S200000,02900,0100,N 118202,S200000,03000,0100,N 118202,S200000,03100,0100,N 118202,S200000,03200,0100,N 118202,S200000,03300,0100,N 118202,S200000,03300,0200,N 118202,S200000,04100,0100,N 118202,S200000,04200,0100,N 118202,S200000,04300,0100,N 118202,S200000,04600,0100,N 118202,S200000,04700,0100,N 118202,S200000,04900,0100,N 118222,S000000,00100,0200,11/30/00 118222,S200000,00100,0100,10190 FAIRMOUNT ROAD 118222,S200000,00200,0100,NEWBURY 118222,S200000,00200,0200,OH 118222,S200000,00200,0300,44065 118222,S200000,00300,0100,GEAUGA 118222,S200000,00400,0100,HOLLY HILL NURSING HOME 118222,S200000,00400,0300,01/01/94 118223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 118223,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 118223,A000000,00300,0000,0300EMPLOYEE BENEFITS 118223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 118223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118223,A000000,00700,0000,0700HOUSEKEEPING 118223,A000000,00800,0000,0800DIETARY 118223,A000000,00900,0000,0900NURSING ADMINISTRATION 118223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118223,A000000,01100,0000,1100PHARMACY 118223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118223,A000000,01300,0000,1300SOCIAL SERVICE 118223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 118223,A000000,01500,0000,1350ACTIVITIES 118223,A000000,01600,0000,1600SKILLED NURSING FACILITY 118223,A000000,01800,0000,1800NURSING FACILITY 118223,A000000,01900,0000,1900OTHER LONG TERM CARE 118223,A000000,02100,0000,2100RADIOLOGY 118223,A000000,02200,0000,2200LABORATORY 118223,A000000,02300,0000,2300INTRAVENOUS THERAPY 118223,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118223,A000000,02500,0000,2500PHYSICAL THERAPY 118223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118223,A000000,02700,0000,2700SPEECH PATHOLOGY 118223,A000000,02800,0000,2800ELECTROCARDIOLOGY 118223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 118223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118223,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 118223,A000000,03200,0000,3200SUPPORT SURFACES 118223,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 118223,A000000,04800,0000,4800AMBULANCE 118223,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 118223,A000000,05300,0000,5300INTEREST EXPENSE 118223,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 118223,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 118223,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 118223,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118223,A000000,06100,0000,6100NONPAID WORKERS 118223,A000000,06200,0000,6200PATIENTS LAUNDRY 118223,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 118223,A81000A,00100,0100,Y 118223,A81000B,00100,0300,HOME OFFICE COST 118223,A81000B,00200,0300,PT ADMINSTRATIVE FEES 118223,A81000B,00300,0300,OT ADMINISTRATIVE FEES 118223,A81000B,00400,0300,ST ADMINISTRATIVE FEES 118223,A81000B,00500,0300,IV COSTS 118223,A81000B,00600,0300,DRUGS 118223,A81000C,00100,0100,B 118223,A81000C,00100,0200,DONAHOE MANOR 118223,A81000C,00100,0400,HCR MANORCARE INC. 118223,A81000C,00100,0600,LONG TERM CARE FACILITIES 118223,A81000C,00200,0100,B 118223,A81000C,00200,0200,DONAHOE MANOR 118223,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 118223,A81000C,00200,0600,THERAPY MANAGEMENT 118223,A81000C,00300,0100,B 118223,A81000C,00300,0200,DONAHOE MANOR 118223,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 118223,A81000C,00300,0600,THERAPY MANAGEMENT 118223,A81000C,00400,0100,B 118223,A81000C,00400,0200,DONAHOE MANOR 118223,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 118223,A81000C,00400,0600,THERAPY MANAGEMENT 118223,A81000C,00500,0100,B 118223,A81000C,00500,0200,DONAHOE MANOR 118223,A81000C,00500,0400,HTLD HEALTH CARE SVS 118223,A81000C,00500,0600,PHARMACY 118223,A81000C,00600,0100,B 118223,A81000C,00600,0200,DONAHOE MANOR 118223,A81000C,00600,0400,HTLD HEALTH CARE SVS 118223,A81000C,00600,0600,PHARMACY 118223,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 118223,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 118223,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 118223,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 118223,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 118223,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 118223,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 118223,B100000,00000,0800,0800MEALS SERVED :DIETARY 118223,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 118223,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 118223,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 118223,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 118223,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 118223,E10A180,00501,0100,11/09/00 118223,S000000,00100,0200,11/02/00 118223,S200000,00100,0100,WILSON AVENUE RR #5 118223,S200000,00200,0100,BEDFORD 118223,S200000,00200,0200,PA 118223,S200000,00200,0300,15522- 118223,S200000,00300,0100,BEDFORD 118223,S200000,00300,0200,39 118223,S200000,00300,0300,R 118223,S200000,00400,0100,DONAHOE MANOR 118223,S200000,00400,0200,395221 118223,S200000,00400,0300,08/01/78 118223,S200000,00400,0500,P 118223,S200000,01500,0100,N 118223,S200000,01600,0100,Y 118223,S200000,01700,0100,N 118223,S200000,01800,0100,N 118223,S200000,02200,0100,N 118223,S200000,02800,0100,N 118223,S200000,02900,0100,N 118223,S200000,03000,0100,N 118223,S200000,03100,0100,N 118223,S200000,03200,0100,N 118223,S200000,04100,0100,N 118223,S200000,04200,0100,N 118223,S200000,04300,0100,N 118223,S200000,04600,0100,N 118223,S200000,04700,0100,N 118223,S200000,04700,0200,N 118223,S200000,04900,0100,N 118223,S200000,05000,0100,N 118223,S200000,05100,0100,N 118223,S200000,05200,0100,N 118247,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118247,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 118247,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118247,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 118247,A000000,00300,0000,0300EMPLOYEE BENEFITS 118247,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118247,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118247,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118247,A000000,00700,0000,0700HOUSEKEEPING 118247,A000000,00800,0000,0800DIETARY 118247,A000000,00801,0000,0801CAFETERIA 118247,A000000,00900,0000,0900NURSING ADMINISTRATION 118247,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118247,A000000,01100,0000,1100PHARMACY 118247,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118247,A000000,01300,0000,1300SOCIAL SERVICE 118247,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118247,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 118247,A000000,01600,0000,1600SKILLED NURSING FACILITY 118247,A000000,01800,0000,1800NURSING FACILITY 118247,A000000,01810,0000,1810ICF/MR 118247,A000000,02100,0000,2100RADIOLOGY 118247,A000000,02200,0000,2200LABORATORY 118247,A000000,02300,0000,2300INTRAVENOUS THERAPY 118247,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118247,A000000,02500,0000,2500PHYSICAL THERAPY 118247,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118247,A000000,02700,0000,2700SPEECH PATHOLOGY 118247,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118247,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118247,A000000,03300,0000,3050PEN THERAPY 118247,A000000,03301,0000,3051FEE SCREENING 118247,A000000,03302,0000,3052OTHER ANCILLARY III 118247,A000000,03550,0000,3550FQHC 118247,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 118247,A000000,05000,0000,5000CORF I 118247,A000000,05010,0000,5010CMHC I 118247,A000000,05020,0000,5020OPT I 118247,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118247,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118247,A000000,05100,0000,4750OTHER REIMBURSABLE COST 118247,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 118247,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 118247,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118247,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 118247,A81000A,00100,0100,Y 118247,A81000B,00100,0300,AS ATTACHED 118247,A81000B,00200,0300,HOME OFFICE 118247,A81000B,00300,0300,CAPITAL 118247,A81000B,00400,0300,CAPITAL INTEREST 118247,A81000C,00100,0100,B 118247,A81000C,00100,0400,AS ATTACHED 118247,A81000C,00100,0600,VARIOUS 118247,A81000C,00200,0100,B 118247,A81000C,00200,0400,GEN HLTH VEN. 118247,A81000C,00200,0600,LONG TERM CARE 118247,A81000C,00300,0100,B 118247,A81000C,00300,0400,GEN HLTH VEN. 118247,A81000C,00300,0600,LONG TERM CARE 118247,A81000C,00400,0100,B 118247,A81000C,00400,0400,GEN HLTH VEN. 118247,A81000C,00400,0600,LONG TERM CARE 118247,B100000,00000,0100,0100(SQUARE FEET) 118247,B100000,00000,0101,0101(SQUARE FEET) 118247,B100000,00000,0200,0200(SQUARE FEET) 118247,B100000,00000,0201,0201(SQUARE FEET) 118247,B100000,00000,0300,0300(GROSS SALARIES) 118247,B100000,00000,0400,0400(ACCUM. COST) 118247,B100000,00000,0500,0500(SQUARE FEET) 118247,B100000,00000,0600,0600(PATIENT DAYS) 118247,B100000,00000,0700,0700(SQUARE FEET) 118247,B100000,00000,0800,0800(MEALS SERVED) 118247,B100000,00000,0801,0801(MEALS SERVED) 118247,B100000,00000,0900,0900(NURSING SALARIES) 118247,B100000,00000,1000,1000COST REQ 118247,B100000,00000,1100,1100(PATIENT DAYS) 118247,B100000,00000,1200,1200(PATIENT DAYS) 118247,B100000,00000,1300,1300(PATIENT DAYS) 118247,B100000,00000,1400,1400(ASSIGNED TIME) 118247,B100000,00000,1500,1350(PATIENT DAYS) 118247,E10A180,00301,0100,06/30/00 118247,E10A180,00501,0300,12/13/00 118247,E10A180,00550,0100,12/13/00 118247,S000000,00100,0200,12/01/00 118247,S200000,00100,0100,1000 ORWIGSBURG RD 118247,S200000,00200,0100,ORWIGSBURG 118247,S200000,00200,0200,PA 118247,S200000,00200,0300,17961 118247,S200000,00300,0100,SCHUYLKILL 118247,S200000,00300,0200,39 118247,S200000,00300,0300,R 118247,S200000,00400,0100,ORWIGSBURG 118247,S200000,00400,0200,395878 118247,S200000,00400,0300,11/14/94 118247,S200000,00400,0500,P 118247,S200000,01500,0100,N 118247,S200000,01600,0100,Y 118247,S200000,01700,0100,N 118247,S200000,01800,0100,N 118247,S200000,02200,0100,Y 118247,S200000,02800,0100,N 118247,S200000,02900,0100,N 118247,S200000,03000,0100,N 118247,S200000,03100,0100,N 118247,S200000,03200,0100,N 118247,S200000,03300,0100,N 118247,S200000,03300,0200,N 118247,S200000,04100,0100,N 118247,S200000,04200,0100,N 118247,S200000,04300,0100,N 118247,S200000,04600,0100,N 118247,S200000,04700,0100,N 118247,S200000,04900,0100,N 118258,S000000,00100,0200,06/23/00 118259,S000000,00100,0200,06/07/01 118277,S000000,00100,0200,08/30/00 118277,S200000,00100,0100,337 W. LINCOLN ST. 118277,S200000,00200,0100,DANVILLE 118277,S200000,00200,0200,IN 118277,S200000,00200,0300,46122 118277,S200000,00300,0100,HENDRICKS 118277,S200000,00400,0100,PRIMROSE MANOR 118277,S200000,00400,0300,11/01/91 118278,S000000,00100,0200,08/30/00 118278,S200000,00100,0100,5435 WEST 38TH ST. 118278,S200000,00200,0100,INDIANAPOLIS 118278,S200000,00200,0200,IN 118278,S200000,00200,0300,46254 118278,S200000,00300,0100,MARION 118278,S200000,00400,0100,WALNUT CREEK AT 38TH 118278,S200000,00400,0300,11/01/91 118279,S000000,00100,0200,08/30/00 118279,S200000,00100,0100,1720 EAST EIGHT 118279,S200000,00200,0100,JEFFERSONVILLE 118279,S200000,00200,0200,IN 118279,S200000,00200,0300,47130 118279,S200000,00300,0100,CLARK 118279,S200000,00400,0100,WALNUT CREEK AT JEFFERSONVILLE 118279,S200000,00400,0300,11/01/91 118280,S000000,00100,0200,10/05/00 118280,S200000,00100,0100,1555 N. MAIN ST. 118280,S200000,00200,0100,FRANKFORT 118280,S200000,00200,0200,IN 118280,S200000,00200,0300,46041-1199 118280,S200000,00300,0100,CLINTON 118280,S200000,00400,0100,WESLEY MANOR 118280,S200000,00400,0300,12/01/98 118301,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 118301,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 118301,A000000,00300,0000,0300EMPLOYEE BENEFITS 118301,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118301,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 118301,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118301,A000000,00700,0000,0700HOUSEKEEPING 118301,A000000,00800,0000,0800DIETARY 118301,A000000,00900,0000,0900NURSING ADMINISTRATION 118301,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118301,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118301,A000000,01300,0000,1300SOCIAL SERVICE 118301,A000000,01600,0000,1600SKILLED NURSING FACILITY 118301,A000000,01800,0000,1800NURSING FACILITY 118301,A000000,01900,0000,1900OTHER LONG TERM CARE 118301,A000000,02100,0000,2100RADIOLOGY 118301,A000000,02200,0000,2200LABORATORY 118301,A000000,02300,0000,2300INTRAVENOUS THERAPY 118301,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118301,A000000,02500,0000,2500PHYSICAL THERAPY 118301,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118301,A000000,02700,0000,2700SPEECH PATHOLOGY 118301,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 118301,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118301,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 118301,A000000,05300,0000,5300INTEREST EXPENSE 118301,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 118301,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 118301,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118301,A000000,06300,0000,6150MARKETING 118301,A81000A,00100,0100,N 118301,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 118301,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 118301,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 118301,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 118301,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 118301,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 118301,B100000,00000,0800,0800MEALS SERVED :DIETARY 118301,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 118301,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 118301,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 118301,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 118301,S000000,00100,0200,12/01/00 118301,S200000,00100,0100,6125 SW BOUNDARY RD 118301,S200000,00200,0100,PORTLAND 118301,S200000,00200,0200,OR 118301,S200000,00200,0300,97221- 118301,S200000,00300,0100,MULTNOMAH 118301,S200000,00300,0200,6440 118301,S200000,00300,0300,U 118301,S200000,00400,0100,ROBISON JEWISH HEALTH CENTER 118301,S200000,00400,0200,385145 118301,S200000,00400,0300,01/01/77 118301,S200000,00400,0500,P 118301,S200000,01500,0100,N 118301,S200000,01600,0100,Y 118301,S200000,01700,0100,N 118301,S200000,01800,0100,N 118301,S200000,02200,0100,N 118301,S200000,02800,0100,Y 118301,S200000,02900,0100,N 118301,S200000,03000,0100,N 118301,S200000,03100,0100,N 118301,S200000,03200,0100,N 118301,S200000,04100,0100,N 118301,S200000,04200,0100,N 118301,S200000,04300,0100,N 118301,S200000,04600,0100,Y 118301,S200000,04700,0100,N 118301,S200000,04700,0200,N 118301,S200000,04900,0100,N 118301,S200000,05000,0100,N 118301,S200000,05100,0100,N 118301,S200000,05200,0100,N 118323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118323,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118323,A000000,00300,0000,0300EMPLOYEE BENEFITS 118323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118323,A000000,00700,0000,0700HOUSEKEEPING 118323,A000000,00800,0000,0800DIETARY 118323,A000000,00900,0000,0900NURSING ADMINISTRATION 118323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118323,A000000,01100,0000,1100PHARMACY 118323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118323,A000000,01300,0000,1300SOCIAL SERVICE 118323,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118323,A000000,01500,0000,1350RECREATION THERAPY 118323,A000000,01600,0000,1600SKILLED NURSING FACILITY 118323,A000000,01810,0000,1810ICF/MR 118323,A000000,02100,0000,2100RADIOLOGY 118323,A000000,02200,0000,2200LABORATORY 118323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118323,A000000,02500,0000,2500PHYSICAL THERAPY 118323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118323,A000000,02700,0000,2700SPEECH PATHOLOGY 118323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118323,A000000,03550,0000,3550FQHC 118323,A000000,05000,0000,5000CORF 118323,A000000,05010,0000,5010CMHC 118323,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118323,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118323,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118323,A000000,05300,0000,5300INTEREST EXPENSE 118323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118323,A81000A,00100,0100,Y 118323,A81000B,00100,0300,ACCOUNTING SERVICES 118323,A81000B,00200,0300,MANAGEMENT SERVICES 118323,A81000B,00300,0300,PHARMACY CONSULTING 118323,A81000B,00400,0300,PRESCRIPTION DRUGS 118323,A81000B,00500,0300,OVER THE COUNTER DRUGS 118323,A81000C,00100,0100,F 118323,A81000C,00100,0200,R.L.KRAMM 118323,A81000C,00100,0400,BUSINESS OFFICE 118323,A81000C,00100,0600,ACCT. SERVICES 118323,A81000C,00200,0100,F 118323,A81000C,00200,0200,R & J KRAMM 118323,A81000C,00200,0400,N/A 118323,A81000C,00200,0600,MGMT. SERVICES 118323,A81000C,00300,0100,F 118323,A81000C,00300,0200,JEFFREY KRAMM 118323,A81000C,00300,0400,KRAMM SERV. INC 118323,A81000C,00300,0600,RX SERVICES 118323,A81000C,00400,0100,F 118323,A81000C,00400,0200,RANDALL KRAMM 118323,A81000C,00400,0400,KRAMM SERV. INC 118323,A81000C,00400,0600,RX SERVICES 118323,A81000C,00500,0100,F 118323,A81000C,00500,0200,JUSTIN KRAMM 118323,A81000C,00500,0400,KRAMM SERV. INC 118323,A81000C,00500,0600,RX SERVICES 118323,A81000C,00600,0100,F 118323,A81000C,00600,0200,BRANDON KRAMM 118323,A81000C,00600,0400,KRAMM SERV. INC 118323,A81000C,00600,0600,RX SERVICES 118323,A81000C,00700,0100,F 118323,A81000C,00700,0200,COURTNEY KRAMM 118323,A81000C,00700,0400,KRAMM SERV. INC 118323,A81000C,00700,0600,RX SERVICES 118323,A81000C,00800,0100,F 118323,A81000C,00800,0200,KIMBERLY KRAMM 118323,A81000C,00800,0400,KRAMM SERV. INC 118323,A81000C,00800,0600,RX SERVICES 118323,A81000C,00900,0100,F 118323,A81000C,00900,0200,R.L. KRAMM JR. 118323,A81000C,00900,0400,KRAMM SERV. INC 118323,A81000C,00900,0600,RX SERVICES 118323,B100000,00000,0100,0100SQUARE FEET 118323,B100000,00000,0200,0200DOLLAR VALUE 118323,B100000,00000,0300,0300GROSS SALARIES 118323,B100000,00000,0400,0400ACCUM. COST 118323,B100000,00000,0500,0500SQUARE FEET 118323,B100000,00000,0600,0600POUNDS OF LAUNDRY 118323,B100000,00000,0700,0700SQUARE FEET 118323,B100000,00000,0800,0800MEALS SERVED 118323,B100000,00000,0900,0900DIRECT NRSING HRS 118323,B100000,00000,1000,1000COSTED REQUIS. 118323,B100000,00000,1100,1100COSTED REQUIS. 118323,B100000,00000,1200,1200TIME SPENT 118323,B100000,00000,1300,1300TIME SPENT 118323,B100000,00000,1400,1400ASSIGNED TIME 118323,B100000,00000,1500,1350TIME SPENT 118323,E10A180,00501,0100,01/08/01 118323,E10A180,00501,0300,01/08/01 118323,S000000,00100,0200,11/30/00 118323,S200000,00100,0100,743 MAHONING STREET 118323,S200000,00200,0100,MILTON 118323,S200000,00200,0200,PA 118323,S200000,00200,0300,17847 118323,S200000,00300,0200,0039 118323,S200000,00300,0300,R 118323,S200000,00400,0100,KRAMM HEALTHCARE CENTER INC. 118323,S200000,00400,0200,395570 118323,S200000,00400,0300,03/01/83 118323,S200000,00400,0500,P 118323,S200000,01500,0100,Y 118323,S200000,01600,0100,N 118323,S200000,01700,0100,N 118323,S200000,01800,0100,N 118323,S200000,02200,0100,N 118323,S200000,02800,0100,Y 118323,S200000,02900,0100,N 118323,S200000,03000,0100,N 118323,S200000,03100,0100,N 118323,S200000,03200,0100,N 118323,S200000,03300,0100,N 118323,S200000,03300,0200,N 118323,S200000,04100,0100,N 118323,S200000,04200,0100,N 118323,S200000,04300,0100,N 118323,S200000,04600,0100,N 118323,S200000,04700,0100,N 118323,S200000,04700,0200,N 118323,S200000,04900,0100,N 118370,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118370,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118370,A000000,00300,0000,0300EMPLOYEE BENEFITS 118370,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118370,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118370,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118370,A000000,00700,0000,0700HOUSEKEEPING 118370,A000000,00800,0000,0800DIETARY 118370,A000000,00900,0000,0900NURSING ADMINISTRATION 118370,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118370,A000000,01100,0000,1100PHARMACY 118370,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118370,A000000,01300,0000,1300SOCIAL SERVICE 118370,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118370,A000000,01500,0000,1350RECREATIONAL THERAPY 118370,A000000,01600,0000,1600SKILLED NURSING FACILITY 118370,A000000,01810,0000,1810ICF/MR 118370,A000000,02100,0000,2100RADIOLOGY 118370,A000000,02200,0000,2200LABORATORY 118370,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118370,A000000,02500,0000,2500PHYSICAL THERAPY 118370,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118370,A000000,02700,0000,2700SPEECH PATHOLOGY 118370,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118370,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118370,A000000,03550,0000,3550FQHC 118370,A000000,05000,0000,5000CORF 118370,A000000,05010,0000,5010CMHC 118370,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118370,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118370,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118370,A000000,05300,0000,5300INTEREST EXPENSE 118370,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118370,A000000,06300,0000,6150OTHER NONREIMBURSABLE 118370,A81000A,00100,0100,Y 118370,A81000B,00100,0300,ACCOUNTING FEES 118370,A81000B,00600,0300,DRUGS 118370,A81000B,00700,0300,OVER-THE-COUNTER DRUGS 118370,A81000C,00100,0100,F 118370,A81000C,00100,0200,R.L. KRAMM 118370,A81000C,00100,0400,THE BUS. OFFICE 118370,A81000C,00100,0600,BUSINESS OFFICE 118370,A81000C,00500,0100,A 118370,A81000C,00500,0200,RANDY L. KRAMM 118370,A81000C,00500,0400,KRAMM SUPPORT 118370,A81000C,00500,0600,PHARMACY 118370,A81000C,00600,0100,A 118370,A81000C,00600,0200,JEFF KRAMM 118370,A81000C,00600,0400,SERVICES INC. 118370,A81000C,00700,0100,A 118370,A81000C,00700,0200,KRAMM GRAND- 118370,A81000C,00800,0200,CHILDREN(5) 118370,B100000,00000,0100,0100SQUARE FEET 118370,B100000,00000,0200,0200DOLLAR VAL OR SQ.FEET 118370,B100000,00000,0300,0300GROSS SALARIES 118370,B100000,00000,0400,0400ACCUMULA- TED COST 118370,B100000,00000,0500,0500SQUARE FEET 118370,B100000,00000,0600,0600POUNDS OF LAUNDRY 118370,B100000,00000,0700,0700SQUARE FEET 118370,B100000,00000,0800,0800MEALS SERVED 118370,B100000,00000,0900,0900DIRECT HOU OF SERVICE 118370,B100000,00000,1000,1000COSTED REQUIS 118370,B100000,00000,1100,1100COSTED REQUIS 118370,B100000,00000,1200,1200TIME SPENT 118370,B100000,00000,1300,1300TIME SPENT 118370,B100000,00000,1400,1400ASSIGNED TIME 118370,B100000,00000,1500,1350OTHER 118370,E10A180,00501,0100,12/22/00 118370,S000000,00100,0200,11/30/00 118370,S200000,00100,0100,245 EAST EIGHTH STREET 118370,S200000,00200,0100,WATSONTOWN 118370,S200000,00200,0200,PA 118370,S200000,00200,0300,17777 118370,S200000,00300,0200,0039 118370,S200000,00300,0300,R 118370,S200000,00400,0100,KRAMM NURSING HOME INC. 118370,S200000,00400,0200,395825 118370,S200000,00400,0300,03/07/90 118370,S200000,00400,0500,P 118370,S200000,01500,0100,Y 118370,S200000,01600,0100,N 118370,S200000,01700,0100,N 118370,S200000,01800,0100,N 118370,S200000,02200,0100,N 118370,S200000,02800,0100,N 118370,S200000,02900,0100,N 118370,S200000,03000,0100,N 118370,S200000,03100,0100,N 118370,S200000,03200,0100,N 118370,S200000,03300,0100,N 118370,S200000,03300,0200,N 118370,S200000,04100,0100,N 118370,S200000,04200,0100,N 118370,S200000,04300,0100,N 118370,S200000,04600,0100,N 118370,S200000,04700,0100,N 118370,S200000,04700,0200,N 118370,S200000,04900,0100,N 118612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118612,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118612,A000000,00300,0000,0300EMPLOYEE BENEFITS 118612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118612,A000000,00700,0000,0700HOUSEKEEPING 118612,A000000,00800,0000,0800DIETARY 118612,A000000,00900,0000,0900NURSING ADMINISTRATION 118612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118612,A000000,01100,0000,1100PHARMACY 118612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118612,A000000,01300,0000,1300SOCIAL SERVICE 118612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118612,A000000,01500,0000,1350OTHER GENERAL SERVICES 118612,A000000,01600,0000,1600SKILLED NURSING FACILITY 118612,A000000,01800,0000,1800NURSING FACILITY 118612,A000000,01810,0000,1810ICF/MR 118612,A000000,02200,0000,2200LABORATORY 118612,A000000,02300,0000,2300INTRAVENOUS THERAPY 118612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118612,A000000,02500,0000,2500PHYSICAL THERAPY 118612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118612,A000000,02700,0000,2700SPEECH PATHOLOGY 118612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118612,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 118612,A000000,03550,0000,3550FQHC 118612,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 118612,A000000,05000,0000,5000CORF 118612,A000000,05010,0000,5010CMHC 118612,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118612,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118612,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118612,A000000,05100,0000,4750OTHER REIMBURSABLE COST 118612,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 118612,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 118612,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 118612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 118612,A81000A,00100,0100,Y 118612,A81000B,00100,0300,OTC DRUGS 118612,A81000B,00200,0300,MANAGEMENT FEES 118612,A81000B,00300,0300,DIRECTOR FEES 118612,A81000B,00400,0300,DIRECTOR FEES 118612,A81000B,00500,0300,DIRECTOR FEES 118612,A81000B,00600,0300,DIRECTOR FEES 118612,A81000B,00700,0300,PHARMACY CONSULTANT 118612,A81000C,00100,0100,A 118612,A81000C,00100,0200,JOHN REYNOLDS 118612,A81000C,00100,0400,HALL DRUGS 118612,A81000C,00100,0600,PHARMACY 118612,A81000C,00200,0100,A 118612,A81000C,00200,0200,JOHN REYNOLDS 118612,A81000C,00200,0400,REYNOLDS HEALTH 118612,A81000C,00200,0600,LTC MANAGEMENT 118612,A81000C,00300,0100,A 118612,A81000C,00300,0200,F C SHEPPARD 118612,A81000C,00400,0100,A 118612,A81000C,00400,0200,L A SHEPPARD 118612,A81000C,00500,0100,A 118612,A81000C,00500,0200,EUGENE BILO 118612,A81000C,00600,0100,A 118612,A81000C,00600,0200,DR JAMES SHEPPARD 118612,A81000C,00700,0100,F 118612,A81000C,00700,0200,ROBIN REYNOLDS 118612,B100000,00000,0100,0100SQUARE FEET 118612,B100000,00000,0200,0200SQUARE FEET 118612,B100000,00000,0300,0300GROSS SALARIES 118612,B100000,00000,0400,0400ACCUM. COST 118612,B100000,00000,0500,0500SQUARE FEET 118612,B100000,00000,0600,0600POUNDS OF LAUNDRY 118612,B100000,00000,0700,0700SQUARE FEET 118612,B100000,00000,0800,0800MEALS SERVED 118612,B100000,00000,0900,0900DIRECT NRSING HRS 118612,B100000,00000,1000,1000COSTED REQUIS. 118612,B100000,00000,1100,1100COSTED REQUIS. 118612,B100000,00000,1200,1200TIME SPENT 118612,B100000,00000,1300,1300TIME SPENT 118612,B100000,00000,1400,1400ASSIGNED TIME 118612,B100000,00000,1500,1350NO STATISTICS 118612,S000000,00100,0200,12/04/00 118612,S200000,00100,0100,1700 SHORT EAST HILLSBORO 118612,S200000,00200,0100,EL DORADO 118612,S200000,00200,0200,AR 118612,S200000,00200,0300,71730 118612,S200000,00300,0100,U 118612,S200000,00300,0200,04 118612,S200000,00300,0300,R 118612,S200000,00400,0100,HILLSBORO MANOR NURSING HOME 118612,S200000,00400,0200,045275 118612,S200000,00400,0300,08/01/94 118612,S200000,00400,0500,P 118612,S200000,01500,0100,N 118612,S200000,01600,0100,Y 118612,S200000,01700,0100,N 118612,S200000,01800,0100,N 118612,S200000,02200,0100,N 118612,S200000,02800,0100,Y 118612,S200000,02900,0100,N 118612,S200000,03000,0100,N 118612,S200000,03100,0100,N 118612,S200000,03200,0100,N 118612,S200000,03300,0100,N 118612,S200000,03300,0200,N 118612,S200000,04100,0100,N 118612,S200000,04200,0100,N 118612,S200000,04300,0100,Y 118612,S200000,04600,0100,N 118612,S200000,04700,0100,N 118612,S200000,04700,0200,N 118612,S200000,04900,0100,N 118709,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118709,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118709,A000000,00300,0000,0300EMPLOYEE BENEFITS 118709,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118709,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118709,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118709,A000000,00700,0000,0700HOUSEKEEPING 118709,A000000,00800,0000,0800DIETARY 118709,A000000,00900,0000,0900NURSING ADMINISTRATION 118709,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118709,A000000,01100,0000,1100PHARMACY 118709,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118709,A000000,01300,0000,1300SOCIAL SERVICE 118709,A000000,01301,0000,1301ACTIVITIES 118709,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118709,A000000,01600,0000,1600SKILLED NURSING FACILITY 118709,A000000,01800,0000,1800NURSING FACILITY 118709,A000000,01810,0000,1810ICF/MR 118709,A000000,02100,0000,2100RADIOLOGY 118709,A000000,02200,0000,2200LABORATORY 118709,A000000,02300,0000,2300INTRAVENOUS THERAPY 118709,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118709,A000000,02500,0000,2500PHYSICAL THERAPY 118709,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118709,A000000,02700,0000,2700SPEECH PATHOLOGY 118709,A000000,02800,0000,2800ELECTROCARDIOLOGY 118709,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118709,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118709,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 118709,A000000,03550,0000,3550FQHC 118709,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 118709,A000000,04800,0000,4800AMBULANCE 118709,A000000,05000,0000,5000CORF 118709,A000000,05010,0000,5010CMHC 118709,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118709,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118709,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118709,A000000,05300,0000,5300INTEREST EXPENSE 118709,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 118709,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118709,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 118709,A81000A,00100,0100,N 118709,B100000,00000,0100,0100SQUARE FEET 118709,B100000,00000,0200,0200SQUARE FEET 118709,B100000,00000,0300,0300GROSS SALARIES 118709,B100000,00000,0400,0400ACCUM COST 118709,B100000,00000,0500,0500SQUARE FEET 118709,B100000,00000,0600,0600PATIENT DAYS 118709,B100000,00000,0700,0700SQUARE FEET 118709,B100000,00000,0800,0800MEALS SERVED 118709,B100000,00000,0900,0900PATIENT DAYS 118709,B100000,00000,1000,1000COSTED REQUISITIO 118709,B100000,00000,1100,1100PATIENT DAYS 118709,B100000,00000,1200,1200TIME SPENT 118709,B100000,00000,1300,1300PATIENT DAYS 118709,B100000,00000,1301,1301PATIENT DAYS 118709,B100000,00000,1400,1400ASSIGNED TIME 118709,E10A180,00501,0100,12/15/00 118709,E10A180,00501,0300,12/15/00 118709,S000000,00100,0200,11/30/00 118709,S200000,00100,0100,4712 CHESTER AVENUE 118709,S200000,00200,0100,PHILADELPHIA 118709,S200000,00200,0200,PA 118709,S200000,00200,0300,19143 118709,S200000,00300,0100,PHILADELPHIA 118709,S200000,00300,0200,6160 118709,S200000,00300,0300,U 118709,S200000,00400,0100,PARK PLEASANT INC. 118709,S200000,00400,0200,395628 118709,S200000,00400,0300,07/01/84 118709,S200000,00400,0500,P 118709,S200000,01500,0100,N 118709,S200000,01600,0100,Y 118709,S200000,01700,0100,N 118709,S200000,01800,0100,N 118709,S200000,02200,0100,N 118709,S200000,02800,0100,N 118709,S200000,02900,0100,N 118709,S200000,03000,0100,N 118709,S200000,03100,0100,N 118709,S200000,03200,0100,N 118709,S200000,03300,0100,N 118709,S200000,03300,0200,N 118709,S200000,04100,0100,N 118709,S200000,04200,0100,N 118709,S200000,04300,0100,N 118709,S200000,04600,0100,N 118709,S200000,04700,0100,N 118709,S200000,04900,0100,N 118721,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118721,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118721,A000000,00300,0000,0300EMPLOYEE BENEFITS 118721,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118721,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118721,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118721,A000000,00700,0000,0700HOUSEKEEPING 118721,A000000,00800,0000,0800DIETARY 118721,A000000,00900,0000,0900NURSING ADMINISTRATION 118721,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118721,A000000,01100,0000,1100PHARMACY 118721,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118721,A000000,01300,0000,1300SOCIAL SERVICE 118721,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118721,A000000,01600,0000,1600SKILLED NURSING FACILITY 118721,A000000,01800,0000,1800NURSING FACILITY 118721,A000000,01810,0000,1810ICF/MR 118721,A000000,01900,0000,1900OTHER LONG TERM CARE 118721,A000000,02500,0000,2500PHYSICAL THERAPY 118721,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118721,A000000,02700,0000,2700SPEECH PATHOLOGY 118721,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118721,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118721,A000000,03550,0000,3550FQHC 118721,A000000,05000,0000,5000CORF 118721,A000000,05010,0000,5010CMHC 118721,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118721,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118721,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118721,A000000,05300,0000,5300INTEREST EXPENSE 118721,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 118721,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118721,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 118721,A000000,06301,0000,6152MARKETING 118721,A000000,06302,0000,6151CLINIC 118721,A000000,06303,0000,6153DEFERRED AMORTIZATION 118721,A000000,06304,0000,6154INDEPENDENT LIVING UNITS 118721,A81000A,00100,0100,N 118721,B100000,00000,0100,0100SQUARE FEET 118721,B100000,00000,0200,0200SQUARE FEET 118721,B100000,00000,0300,0300GROSS SALARIES 118721,B100000,00000,0400,0400ACCUM. COST 118721,B100000,00000,0500,0500SQUARE FEET 118721,B100000,00000,0600,0600POUNDS OF LAUNDRY 118721,B100000,00000,0700,0700HOURS OF SERVICE 118721,B100000,00000,0800,0800MEALS SERVED 118721,B100000,00000,0900,0900HOURS OF SERVICE 118721,B100000,00000,1000,1000COSTED REQUIS 118721,B100000,00000,1100,1100COSTED REQUIS 118721,B100000,00000,1200,1200TIME SPENT 118721,B100000,00000,1300,1300TIME SPENT 118721,B100000,00000,1400,1400ASSIGNED TIME 118721,E10A180,00501,0100,03/22/01 118721,E10A180,00501,0300,03/22/01 118721,S000000,00100,0200,01/11/01 118721,S200000,00100,0100,250 PANTOPS MOUNTAIN ROAD 118721,S200000,00200,0100,CHARLOTTESVILLE 118721,S200000,00200,0200,VA 118721,S200000,00200,0300,22911 118721,S200000,00300,0100,A 118721,S200000,00300,0200,1540 118721,S200000,00300,0300,U 118721,S200000,00400,0100,WESTMINSTER CANTERBURY-BLUE RIDGE 118721,S200000,00400,0200,495225 118721,S200000,00400,0300,11/21/90 118721,S200000,00400,0500,P 118721,S200000,01500,0100,N 118721,S200000,01600,0100,Y 118721,S200000,01700,0100,N 118721,S200000,01800,0100,N 118721,S200000,02200,0100,N 118721,S200000,02800,0100,N 118721,S200000,02900,0100,N 118721,S200000,03000,0100,N 118721,S200000,03100,0100,N 118721,S200000,03200,0100,N 118721,S200000,03300,0100,N 118721,S200000,03300,0200,N 118721,S200000,04100,0100,N 118721,S200000,04200,0100,N 118721,S200000,04300,0100,N 118721,S200000,04600,0100,N 118721,S200000,04700,0100,N 118721,S200000,04900,0100,N 118721,S200000,05000,0100,N 118721,S200000,05100,0100,N 118721,S200000,05200,0100,N 118768,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118768,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118768,A000000,00300,0000,0300EMPLOYEE BENEFITS 118768,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118768,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118768,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118768,A000000,00700,0000,0700HOUSEKEEPING 118768,A000000,00800,0000,0800DIETARY 118768,A000000,00900,0000,0900NURSING ADMINISTRATION 118768,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118768,A000000,01100,0000,1100PHARMACY 118768,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118768,A000000,01300,0000,1300SOCIAL SERVICE 118768,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118768,A000000,01600,0000,1600SKILLED NURSING FACILITY 118768,A000000,01810,0000,1810ICF/MR 118768,A000000,02200,0000,2200LABORATORY 118768,A000000,02500,0000,2500PHYSICAL THERAPY 118768,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118768,A000000,02700,0000,2700SPEECH PATHOLOGY 118768,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118768,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118768,A000000,03200,0000,3200SUPPORT SURFACES 118768,A000000,03550,0000,3550FQHC 118768,A000000,04800,0000,4800AMBULANCE 118768,A000000,05000,0000,5000CORF 118768,A000000,05010,0000,5010CMHC 118768,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118768,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118768,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118768,A81000A,00100,0100,Y 118768,A81000B,00100,0300,HOME OFFICE 118768,A81000B,00200,0300,MEDICAL SUPPLIES 118768,A81000B,00300,0300,MEDICAL SUPPLIES 118768,A81000B,00400,0300,PHYSICAL THERAPY 118768,A81000B,00500,0300,OCCUPATIONAL THERAPY 118768,A81000B,00600,0300,SPEECH THERAPY 118768,A81000C,00100,0100,B 118768,A81000C,00100,0200,FOUNTAIN VIEW INC. 118768,A81000C,00100,0400,COMANCHE TRAIL 118768,A81000C,00100,0600,MANAGEMENT 118768,A81000C,00200,0100,B 118768,A81000C,00200,0200,FOUNTAIN VIEW INC. 118768,A81000C,00200,0400,SKILLED CARE PHARMACY 118768,A81000C,00200,0600,INSTITUTIONAL PHARMACY 118768,A81000C,00300,0100,B 118768,A81000C,00300,0200,FOUNTAIN VIEW INC. 118768,A81000C,00300,0400,LOCOMOTION 118768,A81000C,00300,0600,THERAPY COMPANY 118768,A81000C,00400,0100,B 118768,A81000C,00400,0200,FOUNTAIN VIEW INC. 118768,A81000C,00400,0400,I N O 118768,A81000C,00400,0600,MEDCIAL SUPPLY COMPANY 118768,B100000,00000,0100,0100SQUARE FEET 118768,B100000,00000,0200,0200SQUARE FEET 118768,B100000,00000,0300,0300GROSS SALARY 118768,B100000,00000,0400,0400ACCUM. COST 118768,B100000,00000,0500,0500SQUARE FEET 118768,B100000,00000,0600,0600PATIENT DAYS 118768,B100000,00000,0700,0700SQUARE FEET 118768,B100000,00000,0800,0800MEALS SERVED 118768,B100000,00000,0900,0900NURSING HOURS 118768,B100000,00000,1000,1000COSTED REQUIS 118768,B100000,00000,1100,1100COSTED REQUIS 118768,B100000,00000,1200,1200GROSS REVENUE 118768,B100000,00000,1300,1300PATIENT DAYS 118768,B100000,00000,1400,1400ASSIGNED TIME 118768,E10A180,00350,0300,02/18/00 118768,E10A180,00501,0100,02/12/01 118768,E10A180,00501,0300,02/12/01 118768,S000000,00100,0200,01/19/01 118768,S200000,00100,0100,3200 PARKWAY 118768,S200000,00200,0100,BIG SPRING 118768,S200000,00200,0200,TX 118768,S200000,00200,0300,79720 118768,S200000,00300,0100,H 118768,S200000,00300,0200,45 118768,S200000,00300,0300,R 118768,S200000,00400,0100,COMANCHE TRAIL NURSING CENTER 118768,S200000,00400,0200,675462 118768,S200000,00400,0300,03/06/95 118768,S200000,00400,0500,P 118768,S200000,01500,0100,N 118768,S200000,01600,0100,Y 118768,S200000,01700,0100,N 118768,S200000,01800,0100,N 118768,S200000,02200,0100,N 118768,S200000,02800,0100,N 118768,S200000,02900,0100,N 118768,S200000,03000,0100,N 118768,S200000,03100,0100,N 118768,S200000,03200,0100,N 118768,S200000,03300,0100,N 118768,S200000,03300,0200,N 118768,S200000,04100,0100,N 118768,S200000,04200,0100,N 118768,S200000,04300,0100,N 118768,S200000,04600,0100,N 118768,S200000,04700,0100,N 118768,S200000,04700,0200,N 118768,S200000,04900,0100,N 118769,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 118769,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 118769,A000000,00300,0000,0300EMPLOYEE BENEFITS 118769,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 118769,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 118769,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 118769,A000000,00700,0000,0700HOUSEKEEPING 118769,A000000,00800,0000,0800DIETARY 118769,A000000,00900,0000,0900NURSING ADMINISTRATION 118769,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 118769,A000000,01100,0000,1100PHARMACY 118769,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 118769,A000000,01300,0000,1300SOCIAL SERVICE 118769,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 118769,A000000,01500,0000,1350OTHER GENERAL SERVICES 118769,A000000,01600,0000,1600SKILLED NURSING FACILITY 118769,A000000,01800,0000,1800NURSING FACILITY 118769,A000000,01810,0000,1810ICF/MR 118769,A000000,02100,0000,2100RADIOLOGY 118769,A000000,02200,0000,2200LABORATORY 118769,A000000,02300,0000,2300INTRAVENOUS THERAPY 118769,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 118769,A000000,02500,0000,2500PHYSICAL THERAPY 118769,A000000,02600,0000,2600OCCUPATIONAL THERAPY 118769,A000000,02700,0000,2700SPEECH PATHOLOGY 118769,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 118769,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 118769,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 118769,A000000,03550,0000,3550FQHC 118769,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 118769,A000000,05000,0000,5000CORF 118769,A000000,05010,0000,5010CMHC 118769,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 118769,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 118769,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 118769,A000000,05100,0000,4750OTHER REIMBURSABLE COST 118769,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 118769,A000000,05900,0000,5900BARBER & BEAUTY SHOP 118769,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 118769,A81000A,00100,0100,Y 118769,A81000B,00100,0300,HOME OFFICE COSTS 118769,A81000B,00200,0300,CRC-BUILDING AND FIXTURES 118769,A81000B,00300,0300,CRC-EQUIPMENT 118769,A81000B,00400,0300,A&G 118769,A81000B,00500,0300,HOME OFFICE INTEREST-EQPT 118769,A81000C,00100,0100,A 118769,A81000C,00100,0200,ROBERT ROY 118769,A81000C,00100,0400,REHAB SPECIALTIES INN 118769,A81000C,00100,0600,SNF 118769,A81000C,00200,0100,B 118769,A81000C,00200,0200,WESTERN CARE MGNT. CORP. 118769,A81000C,00200,0600,HOME OFFICE 118769,B100000,00000,0100,0100SQUARE FEET 118769,B100000,00000,0200,0200SQUARE FEET 118769,B100000,00000,0300,0300GROSS SALARIES 118769,B100000,00000,0400,0400ACCUM. COST 118769,B100000,00000,0500,0500SQUARE FEET 118769,B100000,00000,0600,0600POUNDS OF LAUNDRY 118769,B100000,00000,0700,0700HOURS OF SERVICE 118769,B100000,00000,0800,0800MEALS SERVED 118769,B100000,00000,0900,0900DIR NRSG LABOR COST 118769,B100000,00000,1000,1000COSTED REQUIS. 118769,B100000,00000,1100,1100COSTED REQUIS. 118769,B100000,00000,1200,1200TIME SPENT 118769,B100000,00000,1300,1300TIME SPENT 118769,B100000,00000,1400,1400ASSIGNED TIME 118769,B100000,00000,1500,1350NO STATISTICS 118769,E10A180,00301,0300,02/29/00 118769,E10A180,00550,0300,03/01/01 118769,S000000,00100,0200,12/18/00 118769,S200000,00100,0100,201 HARTNELL AVENUE 118769,S200000,00200,0100,REDDING 118769,S200000,00200,0200,CA 118769,S200000,00200,0300,96002 118769,S200000,00300,0100,S 118769,S200000,00300,0200,6690 118769,S200000,00300,0300,U 118769,S200000,00400,0100,APPLEWOOD INN 118769,S200000,00400,0200,555316 118769,S200000,00400,0300,09/06/88 118769,S200000,00400,0500,P 118769,S200000,00600,0200,555316 118769,S200000,00600,0300,09/06/88 118769,S200000,00600,0600,O 118769,S200000,01500,0100,N 118769,S200000,01600,0100,Y 118769,S200000,01700,0100,N 118769,S200000,01800,0100,N 118769,S200000,02200,0100,N 118769,S200000,02800,0100,Y 118769,S200000,02900,0100,N 118769,S200000,03000,0100,N 118769,S200000,03100,0100,N 118769,S200000,03200,0100,N 118769,S200000,03300,0100,N 118769,S200000,03300,0200,N 118769,S200000,03500,0300,N 118769,S200000,04100,0100,N 118769,S200000,04200,0100,N 118769,S200000,04300,0100,N 118769,S200000,04600,0100,N 118769,S200000,04700,0100,N 118769,S200000,04700,0200,N 118769,S200000,04900,0100,N 119128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 119128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 119128,A000000,00300,0000,0300EMPLOYEE BENEFITS 119128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 119128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 119128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 119128,A000000,00700,0000,0700HOUSEKEEPING 119128,A000000,00800,0000,0800DIETARY 119128,A000000,00900,0000,0900NURSING ADMINISTRATION 119128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 119128,A000000,01100,0000,1100PHARMACY 119128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 119128,A000000,01300,0000,1300SOCIAL SERVICE 119128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 119128,A000000,01500,0000,1350OTHER GENERAL SERVICES 119128,A000000,01600,0000,1600SKILLED NURSING FACILITY 119128,A000000,01800,0000,1800NURSING FACILITY 119128,A000000,01810,0000,1810ICF/MR 119128,A000000,01900,0000,1900OTHER LONG TERM CARE 119128,A000000,02100,0000,2100RADIOLOGY 119128,A000000,02200,0000,2200LABORATORY 119128,A000000,02300,0000,2300INTRAVENOUS THERAPY 119128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 119128,A000000,02500,0000,2500PHYSICAL THERAPY 119128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 119128,A000000,02700,0000,2700SPEECH PATHOLOGY 119128,A000000,02800,0000,2800ELECTROCARDIOLOGY 119128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 119128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 119128,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 119128,A000000,03200,0000,3200SUPPORT SURFACES 119128,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 119128,A000000,03400,0000,3400CLINIC 119128,A000000,03500,0000,3500RURAL HEALTH CLINIC 119128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 119128,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 119128,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 119128,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 119128,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 119128,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 119128,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 119128,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 119128,A000000,04400,0000,4400DME RENTED - HHA 119128,A000000,04500,0000,4500DME SOLD - HHA 119128,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 119128,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 119128,A000000,04800,0000,4800AMBULANCE 119128,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 119128,A000000,05000,0000,5000CORF 119128,A000000,05100,0000,4750OTHER REIMBURSABLE COST 119128,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 119128,A000000,05300,0000,5300INTEREST EXPENSE 119128,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 119128,A000000,05500,0000,5500HOSPICE 119128,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 119128,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 119128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 119128,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 119128,A000000,06100,0000,6100NONPAID WORKERS 119128,A000000,06200,0000,6200PATIENTS LAUNDRY 119128,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 119128,A81000A,00100,0100,Y 119128,A81000B,00100,0300,0 119128,A81000B,00200,0300,CENTERAL OFFICE COSTS 119128,A81000B,00300,0300,COMPUTER USER FEES 119128,A81000C,00100,0100,B 119128,A81000C,00100,0200,PRINCE OF PEACE CARE CTR 119128,A81000C,00100,0400,BENEDICTINE LIVING COMMUN 119128,A81000C,00100,0600,MANAGEMENT 119128,A81000C,00200,0100,B 119128,A81000C,00200,0200,PRINCE OF PEACE CARE CTR 119128,A81000C,00200,0400,BHS-DULUTH 119128,A81000C,00200,0600,MANAGEMENT 119128,A81000C,00300,0100,B 119128,A81000C,00300,0200,PRINCE OF PEACE CARE CTR 119128,A81000C,00300,0400,BHS-CAMBRIDGE 119128,A81000C,00300,0600,MANAGEMENT 119128,B100000,00000,0100,0100 SQUARE FEET :CAP REL COSTS - BL 119128,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 119128,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 119128,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 119128,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 119128,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 119128,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 119128,B100000,00000,0800,0800MEALS SERVED :DIETARY 119128,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 119128,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 119128,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 119128,S000000,00100,0200,11/30/00 119128,S200000,00100,0100,201 8TH STREET NORTH 119128,S200000,00200,0100,ELLENDALE 119128,S200000,00200,0200,ND 119128,S200000,00200,0300,58436- 119128,S200000,00300,0100,DICKEY 119128,S200000,00300,0200,0035 119128,S200000,00300,0300,R 119128,S200000,00400,0100,PRINCE OF PEACE CARE CENTER 119128,S200000,00400,0200,355048 119128,S200000,00400,0300,07/11/90 119128,S200000,00400,0500,P 119128,S200000,00400,0600,O 119128,S200000,01004,0500,O 119128,S200000,01500,0100,Y 119128,S200000,01600,0100,N 119128,S200000,01700,0100,N 119128,S200000,01800,0100,N 119128,S200000,02200,0100,N 119128,S200000,02800,0100,N 119128,S200000,02900,0100,N 119128,S200000,03000,0100,N 119128,S200000,03100,0100,N 119128,S200000,03200,0100,N 119128,S200000,04100,0100,N 119128,S200000,04200,0100,N 119128,S200000,04300,0100,N 119128,S200000,04600,0100,N 119128,S200000,04700,0100,N 119128,S200000,04700,0200,N 119128,S200000,04900,0100,N 119128,S200000,05000,0100,N 119128,S200000,05100,0100,N 119128,S200000,05200,0100,N 119159,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 119159,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 119159,A000000,00300,0000,0300EMPLOYEE BENEFITS 119159,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 119159,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 119159,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 119159,A000000,00700,0000,0700HOUSEKEEPING 119159,A000000,00800,0000,0800DIETARY 119159,A000000,00900,0000,0900NURSING ADMINISTRATION 119159,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 119159,A000000,01100,0000,1100PHARMACY 119159,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 119159,A000000,01300,0000,1300SOCIAL SERVICE 119159,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 119159,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 119159,A000000,01600,0000,1600SKILLED NURSING FACILITY 119159,A000000,01800,0000,1800NURSING FACILITY 119159,A000000,01810,0000,1810ICF/MR 119159,A000000,01900,0000,1900OTHER LONG TERM CARE 119159,A000000,02200,0000,2200LABORATORY 119159,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 119159,A000000,02500,0000,2500PHYSICAL THERAPY 119159,A000000,02600,0000,2600OCCUPATIONAL THERAPY 119159,A000000,02700,0000,2700SPEECH PATHOLOGY 119159,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 119159,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 119159,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 119159,A000000,03301,0000,3051AIR-FLUIDIZED THERAPY 119159,A000000,03550,0000,3550FQHC 119159,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 119159,A000000,05000,0000,5000CORF 119159,A000000,05010,0000,5010CMHC 119159,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 119159,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 119159,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 119159,A000000,05300,0000,5300INTEREST EXPENSE 119159,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 119159,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 119159,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 119159,A81000A,00100,0100,Y 119159,A81000B,00100,0300,CONSULTING 119159,A81000B,00200,0300,CONSULTING 119159,A81000B,00300,0300,CONSULTING 119159,A81000B,00400,0300,CONSULTING 119159,A81000B,00500,0300,HOME OFFICE 119159,A81000B,00600,0300,CONSULTING 119159,A81000B,00700,0300,INSURANCE 119159,A81000B,00800,0300,EQUIPMENT RENTAL 119159,A81000B,00900,0300,GAS 119159,A81000C,00100,0100,B 119159,A81000C,00100,0400,BRITTHAVEN INC 119159,A81000C,00100,0600,MGMT SVS 119159,A81000C,00200,0100,B 119159,A81000C,00200,0400,BRITTHAVEN INC 119159,A81000C,00200,0600,MGMT SVS 119159,A81000C,00300,0100,B 119159,A81000C,00300,0400,BRITTHAVEN INC 119159,A81000C,00300,0600,MGMT SVS 119159,A81000C,00400,0100,B 119159,A81000C,00400,0400,BRITTHAVEN INC 119159,A81000C,00400,0600,MGMT SVS 119159,A81000C,00500,0100,B 119159,A81000C,00500,0400,BRITTHAVEN INC 119159,A81000C,00500,0600,MGMT SVS 119159,A81000C,00600,0100,B 119159,A81000C,00600,0400,BRITTHAVEN INC 119159,A81000C,00600,0600,MGMT SVS 119159,A81000C,00700,0100,B 119159,A81000C,00700,0400,BRITTHAVEN INC 119159,A81000C,00700,0600,MGMT SVS 119159,A81000C,00800,0100,B 119159,A81000C,00800,0400,BRITTHAVEN INC 119159,A81000C,00800,0600,MGMT SVS 119159,A81000C,00900,0100,B 119159,A81000C,00900,0400,BRITTHAVEN INC 119159,A81000C,00900,0600,MGMT SVS 119159,A81000C,01000,0100,B 119159,A81000C,01000,0400,R.HILL CONS. CO 119159,A81000C,01000,0600,CONSTRUCTION 119159,B100000,00000,0100,0100SQUARE FEET 119159,B100000,00000,0200,0200SQUARE FEET 119159,B100000,00000,0300,0300GROSS SALARIES 119159,B100000,00000,0400,0400ACCUM COST 119159,B100000,00000,0500,0500SQUARE FEET 119159,B100000,00000,0600,0600POUNDS OF LAUNDRY 119159,B100000,00000,0700,0700SQUARE FEET 119159,B100000,00000,0800,0800MEALS SERVED 119159,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 119159,B100000,00000,1000,1000COSTED REQUISITIO 119159,B100000,00000,1100,1100COSTED REQUISITIO 119159,B100000,00000,1200,1200TIME SPENT 119159,B100000,00000,1300,1300TIME SPENT 119159,B100000,00000,1400,1400ASSIGNED TIME 119159,B100000,00000,1500,1350SQUARE FEET 119159,E10A180,00301,0100,04/12/99 119159,E10A180,00501,0100,05/15/00 119159,E10A180,00501,0300,09/10/01 119159,E10A180,00550,0100,03/21/00 119159,E10A180,00550,0300,03/21/00 119159,E10A180,00551,0100,09/10/01 119159,E10A180,00551,0300,05/15/00 119159,S000000,00100,0200,03/21/00 119159,S200000,00100,0100,2600 OLD CHERRY POINT ROAD 119159,S200000,00100,0300,3397 119159,S200000,00200,0100,NEW BERN 119159,S200000,00200,0200,NC 119159,S200000,00200,0300,28564 119159,S200000,00300,0100,CRAVEN 119159,S200000,00300,0300,R 119159,S200000,00400,0100,BRITTHAVEN OF NEW BERN 119159,S200000,00400,0200,345211 119159,S200000,00400,0300,04/01/83 119159,S200000,00400,0500,P 119159,S200000,01500,0100,N 119159,S200000,01600,0100,Y 119159,S200000,01700,0100,N 119159,S200000,01800,0100,N 119159,S200000,01900,0100,OWNED BY WMH HOLDING 119159,S200000,02200,0100,N 119159,S200000,02800,0100,N 119159,S200000,02900,0100,N 119159,S200000,03000,0100,N 119159,S200000,03100,0100,N 119159,S200000,03200,0100,N 119159,S200000,03300,0100,N 119159,S200000,03300,0200,N 119159,S200000,04100,0100,N 119159,S200000,04200,0100,N 119159,S200000,04300,0100,N 119159,S200000,04600,0100,N 119159,S200000,04700,0100,N 119159,S200000,04900,0100,N 119410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 119410,A000000,00101,0000,0101ILU/HHA CAPITAL 119410,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 119410,A000000,00300,0000,0300EMPLOYEE BENEFITS 119410,A000000,00401,0000,0401COMMUNITY ADMINISTRATION & GENER 119410,A000000,00402,0000,0402DIRECTOR OF HEALTH SERVICES 119410,A000000,00403,0000,0403SNF ADMINISTRATION & GENERAL 119410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 119410,A000000,00501,0000,1350SNF MAINTENANCE 119410,A000000,00502,0000,1351ILU/HHA MAINTENANCE 119410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 119410,A000000,00700,0000,0700HOUSEKEEPING 119410,A000000,00701,0000,1353ILU/HHA HOUSEKEEPING 119410,A000000,00800,0000,0800DIETARY 119410,A000000,00801,0000,0802DIRECTOR OF DINING SERVICES 119410,A000000,00802,0000,0801SNF DIETARY 119410,A000000,00900,0000,0900NURSING ADMINISTRATION 119410,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 119410,A000000,01100,0000,1100PHARMACY 119410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 119410,A000000,01300,0000,1300SOCIAL SERVICE 119410,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 119410,A000000,01500,0000,1352RECREATIONAL ACTIVTIES 119410,A000000,01600,0000,1600SKILLED NURSING FACILITY 119410,A000000,01800,0000,1800NURSING FACILITY 119410,A000000,01810,0000,1810ICF/MR 119410,A000000,02100,0000,2100RADIOLOGY 119410,A000000,02200,0000,2200LABORATORY 119410,A000000,02500,0000,2500PHYSICAL THERAPY 119410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 119410,A000000,02700,0000,2700SPEECH PATHOLOGY 119410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 119410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 119410,A000000,03550,0000,3550FQHC 119410,A000000,05000,0000,5000CORF 119410,A000000,05010,0000,5010CMHC 119410,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 119410,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 119410,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 119410,A000000,05900,0000,5900BARBER & BEAUTY SHOP 119410,A000000,06300,0000,6150INDEPENDENT ADMIN & GENERAL 119410,A000000,06301,0000,6151INDEPENDENT PLANT & MAINTENANCE 119410,A000000,06302,0000,6152INDEPENDENT DIETARY 119410,A000000,06303,0000,6153ASSISTED LIVING ADMIN & GENERAL 119410,A000000,06304,0000,6154ASSISTED LIVING PLANT & MAINTENA 119410,A000000,06305,0000,6155ASSITED LIVING DIETARY 119410,A000000,06306,0000,6156ASSISTED LIVING NURSING 119410,A000000,06307,0000,6157EMERGENCY MEDICAL SERVICES 119410,A000000,06308,0000,6158OUT PATIENT REHABILITATION 119410,A000000,06309,0000,6159MEDICAL CENTER PHYSICIANS PRACTI 119410,A000000,06310,0000,6160HOME HEALTH CAPITAL RLTD-BLDG&FI 119410,A000000,06311,0000,6161HOME HEALTH CAPITAL RLTD-MOVBLE 119410,A000000,06312,0000,6162HOME HEALTH PLANT OPERATN & MAIN 119410,A000000,06313,0000,6163HOME HEALTH TRANSPORTATION 119410,A000000,06314,0000,6164HOME HEALTH SHARED ADMIN & GENER 119410,A000000,06315,0000,6165HOME HEALTH REIMBURS ADMIN & GEN 119410,A000000,06316,0000,6166HOME HEALTH NONREIMB ADMIN & GEN 119410,A000000,06317,0000,6167HOME HEALTH SKILLED NURSING CARE 119410,A000000,06318,0000,6168HOME HEALTH PHYSICAL THERAPY 119410,A000000,06319,0000,6169HOME HEALTH OCCUPATIONAL THERAPY 119410,A000000,06320,0000,6170HOME HEALTH SPEECH PATHOLOGY 119410,A000000,06321,0000,6171HOME HEALTH MEDICAL SOCIAL SERVI 119410,A000000,06322,0000,6172HOME HEALTH HOME HEALTH AIDE 119410,A000000,06323,0000,6173HOME HEALTH MEDICAL SUPPLIES 119410,A000000,06324,0000,6174HOME HEALTH PRIVATE DUTY NURSING 119410,A000000,06325,0000,6175SNF ADMISSIONS 119410,A81000A,00100,0100,N 119410,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 119410,B100000,00000,0101,0101ILU/HHA SQ FOOTAGE :ILU/HHA CAPI 119410,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 119410,B100000,00000,0401,0401 ACCUM. COST :COMMUNITY ADMINIST 119410,B100000,00000,0402,0402 ACCUM. COST :DIRECTOR OF HEALTH 119410,B100000,00000,0403,0403 ACCUM. COST :SNF ADMINISTRATION 119410,B100000,00000,0500,0500COMMUNITY SQ FOOTAGE :PLANT OPER 119410,B100000,00000,0501,1350SQ FOOTAGE SNF :SNF MAINTENANCE 119410,B100000,00000,0502,1351ULU/HHA SQ FEET :ILU/HHA MAINTEN 119410,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 119410,B100000,00000,0700,0750SQFT EXCL KITCHENS :HOUSEKEEPING 119410,B100000,00000,0701,1353ILU/HHA SQ FOOTAGE :ILU/HHA HOUS 119410,B100000,00000,0801,0852 ACCUM. COST :DIRECTOR OF DINING 119410,B100000,00000,0802,0851PATIENT DAYS :SNF DIETARY 119410,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 119410,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 119410,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 119410,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 119410,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 119410,B100000,00000,1500,1352PATIENT DAYS :RECREATIONAL ACTI 119410,S000000,00100,0200,07/01/00 119410,S200000,00100,0100,8800 WALTHER BOULEVARD 119410,S200000,00200,0100,PARKVILLE 119410,S200000,00200,0200,MD 119410,S200000,00200,0300,21234- 119410,S200000,00300,0100,BALTIMORE 119410,S200000,00300,0200,720 119410,S200000,00300,0300,U 119410,S200000,00400,0100,OAK CREST VILLAGE INC. 119410,S200000,00400,0200,215308 119410,S200000,00400,0300,06/05/97 119410,S200000,00400,0500,P 119410,S200000,00600,0200,215308 119410,S200000,00600,0300,06/05/97 119410,S200000,00600,0600,O 119410,S200000,01004,0500,O 119410,S200000,01500,0100,Y 119410,S200000,01600,0100,N 119410,S200000,01700,0100,N 119410,S200000,01800,0100,N 119410,S200000,01900,0100,COMMUNITY TRUST/503C 119410,S200000,02200,0100,N 119410,S200000,02800,0100,N 119410,S200000,02900,0100,N 119410,S200000,03000,0100,N 119410,S200000,03100,0100,N 119410,S200000,03200,0100,N 119410,S200000,04100,0100,N 119410,S200000,04200,0100,N 119410,S200000,04300,0100,N 119410,S200000,04600,0100,N 119410,S200000,04700,0100,N 119410,S200000,04700,0200,N 119410,S200000,04900,0100,N 119410,S200000,05000,0100,N 119410,S200000,05100,0100,N 119410,S200000,05200,0100,N 119875,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 119875,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 119875,A000000,00300,0000,0300EMPLOYEE BENEFITS 119875,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 119875,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 119875,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 119875,A000000,00700,0000,0700HOUSEKEEPING 119875,A000000,00800,0000,0800DIETARY 119875,A000000,00900,0000,0900NURSING ADMINISTRATION 119875,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 119875,A000000,01100,0000,1100PHARMACY 119875,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 119875,A000000,01300,0000,1300SOCIAL SERVICE 119875,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 119875,A000000,01600,0000,1600SKILLED NURSING FACILITY 119875,A000000,01810,0000,1810ICF/MR 119875,A000000,02100,0000,2100RADIOLOGY 119875,A000000,02200,0000,2200LABORATORY 119875,A000000,02500,0000,2500PHYSICAL THERAPY 119875,A000000,02600,0000,2600OCCUPATIONAL THERAPY 119875,A000000,02700,0000,2700SPEECH PATHOLOGY 119875,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 119875,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 119875,A000000,03550,0000,3550FQHC 119875,A000000,05000,0000,5000CORF 119875,A000000,05010,0000,5010CMHC 119875,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 119875,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 119875,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 119875,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 119875,A000000,06300,0000,6150NON-REIMBURSABLE 119875,A81000A,00100,0100,N 119875,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - BLDG 119875,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - MOVA 119875,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENEFITS 119875,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & GEN 119875,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION MAI 119875,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 119875,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 119875,B100000,00000,0800,0800MEALS SERVED DIETARY 119875,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADMINI 119875,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVICES 119875,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 119875,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS & LIB 119875,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 119875,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDENT 119875,S000000,00100,0200,12/04/00 119875,S200000,00100,0100,3207 220TH TRAIL 119875,S200000,00200,0100,AMANA 119875,S200000,00200,0200,IA 119875,S200000,00200,0300,52203 119875,S200000,00300,0100,IOWA 119875,S200000,00400,0100,COLONIAL MANOR OF AMANA 119875,S200000,00400,0200,165318 119875,S200000,00400,0300,02/01/97 119875,S200000,00400,0500,P 119875,S200000,00400,0600,N 119875,S200000,01500,0100,Y 119875,S200000,01600,0100,N 119875,S200000,01700,0100,N 119875,S200000,01800,0100,N 119875,S200000,02200,0100,N 119875,S200000,02800,0100,N 119875,S200000,02900,0100,N 119875,S200000,03000,0100,N 119875,S200000,03100,0100,N 119875,S200000,03200,0100,N 119875,S200000,03300,0100,N 119875,S200000,03300,0200,N 119875,S200000,03510,0300,N 119875,S200000,03900,0200,N 119875,S200000,03910,0200,N 119875,S200000,04050,0200,N 119875,S200000,04100,0100,N 119875,S200000,04200,0100,N 119875,S200000,04300,0100,N 119875,S200000,04600,0100,N 119875,S200000,04700,0100,N 119875,S200000,04900,0100,N 119875,S700003,00000,0400,X 119883,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 119883,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 119883,A000000,00300,0000,0300EMPLOYEE BENEFITS 119883,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 119883,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 119883,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 119883,A000000,00700,0000,0700HOUSEKEEPING 119883,A000000,00800,0000,0800DIETARY 119883,A000000,00900,0000,0900NURSING ADMINISTRATION 119883,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 119883,A000000,01100,0000,1100PHARMACY 119883,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 119883,A000000,01300,0000,1300SOCIAL SERVICE 119883,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 119883,A000000,01500,0000,1350OTHER GENERAL SERVICES 119883,A000000,01600,0000,1600SKILLED NURSING FACILITY 119883,A000000,01800,0000,1800NURSING FACILITY 119883,A000000,01810,0000,1810ICF/MR 119883,A000000,01900,0000,1900OTHER LONG TERM CARE 119883,A000000,02100,0000,2100RADIOLOGY 119883,A000000,02200,0000,2200LABORATORY 119883,A000000,02300,0000,2300INTRAVENOUS THERAPY 119883,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 119883,A000000,02500,0000,2500PHYSICAL THERAPY 119883,A000000,02600,0000,2600OCCUPATIONAL THERAPY 119883,A000000,02700,0000,2700SPEECH PATHOLOGY 119883,A000000,02800,0000,2800ELECTROCARDIOLOGY 119883,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 119883,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 119883,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 119883,A000000,03200,0000,3200SUPPORT SURFACES 119883,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 119883,A000000,03400,0000,3400CLINIC 119883,A000000,03500,0000,3500RURAL HEALTH CLINIC 119883,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 119883,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 119883,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 119883,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 119883,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 119883,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 119883,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 119883,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 119883,A000000,04400,0000,4400DME RENTED - HHA 119883,A000000,04500,0000,4500DME SOLD - HHA 119883,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 119883,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 119883,A000000,04800,0000,4800AMBULANCE 119883,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 119883,A000000,05000,0000,5000CORF 119883,A000000,05100,0000,4750OTHER REIMBURSABLE COST 119883,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 119883,A000000,05300,0000,5300INTEREST EXPENSE 119883,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 119883,A000000,05500,0000,5500HOSPICE 119883,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 119883,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 119883,A000000,05900,0000,5900BARBER & BEAUTY SHOP 119883,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 119883,A000000,06100,0000,6100NONPAID WORKERS 119883,A000000,06200,0000,6200PATIENTS LAUNDRY 119883,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 119883,A81000A,00100,0100,Y 119883,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 119883,A81000B,00200,0300,UNEMPLOYMENT INS 119883,A81000B,00300,0300,WORKERS COMP 119883,A81000B,00400,0300,PROPERTY/LIABILITY INS 119883,A81000B,00500,0300,VEHICLE INS 119883,A81000B,00600,0300,MEDICAL SUPPLY 119883,A81000B,00700,0300,INCONTINENTS 119883,A81000B,00800,0300,DIETARY SUPPLIES 119883,A81000C,00100,0100,B 119883,A81000C,00100,0400,GOOD SAMARITAN 119883,A81000C,00100,0600,HEALTHCARE 119883,A81000C,00200,0100,B 119883,A81000C,00200,0400,OMNICARE PHARMA 119883,A81000C,00200,0600,MEDICAL/DRUGS 119883,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 119883,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 119883,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 119883,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 119883,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 119883,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 119883,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 119883,B100000,00000,0800,0800MEALS SERVED DIETARY 119883,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 119883,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 119883,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 119883,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 119883,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 119883,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 119883,B100000,00000,1500,1350NO STATISTICS OTHER GENER 119883,E10A180,00550,0100,10/23/00 119883,E10A180,00550,0300,10/23/00 119883,S000000,00100,0200,09/28/00 119883,S200000,00100,0100,100 BUFFALO HILLS LANE 119883,S200000,00200,0100,BRAINERD 119883,S200000,00200,0200,MN 119883,S200000,00200,0300,56401-4591 119883,S200000,00300,0100,BRAINERD 119883,S200000,00400,0100,WOODLAND GOOD SAMARITAN VILLAGE 119883,S200000,00400,0200,245488 119883,S200000,00400,0300,07/01/87 119883,S200000,00400,0500,P 119883,S200000,00400,0600,N 119883,S200000,00600,0600,N 119883,S200000,00601,0600,N 119883,S200000,00800,0500,N 119883,S200000,00800,0600,N 119883,S200000,01000,0500,N 119883,S200000,01000,0600,N 119883,S200000,01100,0500,N 119883,S200000,01100,0600,N 119883,S200000,01500,0100,Y 119883,S200000,01600,0100,N 119883,S200000,01700,0100,N 119883,S200000,01800,0100,N 119883,S200000,02200,0100,N 119883,S200000,02800,0100,N 119883,S200000,02900,0100,N 119883,S200000,03000,0100,N 119883,S200000,03100,0100,N 119883,S200000,03200,0100,N 119883,S200000,03300,0100,N 119883,S200000,03300,0200,N 119883,S200000,03500,0300,N 119883,S200000,03501,0300,N 119883,S200000,03600,0100,N 119883,S200000,03600,0200,N 119883,S200000,03700,0100,N 119883,S200000,03700,0200,N 119883,S200000,03900,0200,N 119883,S200000,04000,0200,N 119883,S200000,04100,0100,N 119883,S200000,04200,0100,N 119883,S200000,04300,0100,N 119883,S200000,04600,0100,N 119883,S200000,04700,0100,N 119883,S200000,04700,0200,N 119883,S200000,04900,0100,N 119883,S700003,00000,0100,X 121013,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121013,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121013,A000000,00300,0000,0300EMPLOYEE BENEFITS 121013,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121013,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121013,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121013,A000000,00700,0000,0700HOUSEKEEPING 121013,A000000,00800,0000,0800DIETARY 121013,A000000,00900,0000,0900NURSING ADMINISTRATION 121013,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121013,A000000,01100,0000,1100PHARMACY 121013,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121013,A000000,01300,0000,1300SOCIAL SERVICE 121013,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121013,A000000,01600,0000,1600SKILLED NURSING FACILITY 121013,A000000,01810,0000,1810ICF/MR 121013,A000000,02100,0000,2100RADIOLOGY 121013,A000000,02200,0000,2200LABORATORY 121013,A000000,02500,0000,2500PHYSICAL THERAPY 121013,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121013,A000000,02700,0000,2700SPEECH PATHOLOGY 121013,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121013,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121013,A000000,03200,0000,3200SUPPORT SURFACES 121013,A000000,03550,0000,3550FQHC 121013,A000000,04800,0000,4800AMBULANCE 121013,A000000,05000,0000,5000CORF 121013,A000000,05010,0000,5010CMHC 121013,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121013,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121013,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121013,A81000A,00100,0100,Y 121013,A81000B,00100,0300,HOME OFFICE MGMT FEE 121013,A81000B,00200,0300,PHYSICAL THERAPY 121013,A81000B,00300,0300,OCCUPATIONAL THERAPY 121013,A81000B,00400,0300,SPEECH THERAPY 121013,A81000B,00500,0300,MEDICAL SUPPLIES 121013,A81000B,00600,0300,MEDICAL SUPPLIES 121013,A81000C,00100,0100,B 121013,A81000C,00100,0200,FOUNTAIN VIEW INC 121013,A81000C,00100,0400,FOUNTAIN VIEW INC. 121013,A81000C,00100,0600,THE CLAIRMONT-LONGVIEW 121013,A81000C,00200,0100,B 121013,A81000C,00200,0200,FOUNTAIN VIEW INC. 121013,A81000C,00200,0400,SKILLED CARE PHARMACY 121013,A81000C,00200,0600,INSTITUTIONAL PHARAMCY 121013,A81000C,00300,0100,B 121013,A81000C,00300,0200,FOUNTAIN VIEW INC. 121013,A81000C,00300,0400,LOCOMOTION 121013,A81000C,00300,0600,THERAPY COMPANY 121013,A81000C,00400,0100,B 121013,A81000C,00400,0200,FOUNTAIN VIEW INC. 121013,A81000C,00400,0400,I N O 121013,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 121013,B100000,00000,0100,0100SQUARE FEET 121013,B100000,00000,0200,0200SQUARE FEET 121013,B100000,00000,0300,0300GROSS SALARY 121013,B100000,00000,0400,0400ACCUM. COST 121013,B100000,00000,0500,0500SQUARE FEET 121013,B100000,00000,0600,0600PATIENT DAYS 121013,B100000,00000,0700,0700SQUARE FEET 121013,B100000,00000,0800,0800MEALS SERVED 121013,B100000,00000,0900,0900NURSING HOURS 121013,B100000,00000,1000,1000COSTED REQUIS 121013,B100000,00000,1100,1100COSTED REQUIS 121013,B100000,00000,1200,1200GROSS REVENUE 121013,B100000,00000,1300,1300PATIENT DAYS 121013,B100000,00000,1400,1400ASSIGNED TIME 121013,E10A180,00350,0300,02/22/00 121013,E10A180,00501,0100,02/07/01 121013,E10A180,00502,0100,01/19/01 121013,E10A180,00550,0300,01/19/01 121013,E10A180,00551,0300,02/07/01 121013,S000000,00100,0200,01/22/01 121013,S200000,00100,0100,3201 NORTH FOURTH 121013,S200000,00200,0100,LONGVIEW 121013,S200000,00200,0200,TX 121013,S200000,00200,0300,75605 121013,S200000,00300,0100,G 121013,S200000,00300,0200,4420 121013,S200000,00300,0300,U 121013,S200000,00400,0100,THE CLAIRMONT - LONGVIEW 121013,S200000,00400,0200,455684 121013,S200000,00400,0300,11/30/94 121013,S200000,00400,0500,P 121013,S200000,01500,0100,N 121013,S200000,01600,0100,Y 121013,S200000,01700,0100,N 121013,S200000,01800,0100,N 121013,S200000,02200,0100,Y 121013,S200000,02800,0100,N 121013,S200000,02900,0100,N 121013,S200000,03000,0100,N 121013,S200000,03100,0100,N 121013,S200000,03200,0100,N 121013,S200000,03300,0100,N 121013,S200000,03300,0200,N 121013,S200000,04100,0100,N 121013,S200000,04200,0100,N 121013,S200000,04300,0100,N 121013,S200000,04600,0100,N 121013,S200000,04700,0100,N 121013,S200000,04700,0200,N 121013,S200000,04900,0100,N 121021,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121021,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121021,A000000,00300,0000,0300EMPLOYEE BENEFITS 121021,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121021,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121021,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121021,A000000,00700,0000,0700HOUSEKEEPING 121021,A000000,00800,0000,0800DIETARY 121021,A000000,00900,0000,0900NURSING ADMINISTRATION 121021,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121021,A000000,01100,0000,1100PHARMACY 121021,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121021,A000000,01300,0000,1300SOCIAL SERVICE 121021,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121021,A000000,01600,0000,1600SKILLED NURSING FACILITY 121021,A000000,01810,0000,1810ICF/MR 121021,A000000,02100,0000,2100RADIOLOGY 121021,A000000,02200,0000,2200LABORATORY 121021,A000000,02500,0000,2500PHYSICAL THERAPY 121021,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121021,A000000,02700,0000,2700SPEECH PATHOLOGY 121021,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121021,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121021,A000000,03200,0000,3200SUPPORT SURFACES 121021,A000000,03550,0000,3550FQHC 121021,A000000,05000,0000,5000CORF 121021,A000000,05010,0000,5010CMHC 121021,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121021,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121021,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121021,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121021,A81000A,00100,0100,Y 121021,A81000B,00100,0300,MANAGEMENT FEES 121021,A81000B,00200,0300,PHYSICAL THERAPY 121021,A81000B,00300,0300,OCCUPATIONAL THERAPY 121021,A81000B,00400,0300,SPEECH THERAPY 121021,A81000B,00500,0300,MEDICAL SUPPLIES 121021,A81000B,00600,0300,PATIENT SUPPLIES 121021,A81000B,00700,0300,PHARMACY 121021,A81000C,00100,0100,B 121021,A81000C,00100,0200,FOUNTAIN VIEW INC. 121021,A81000C,00100,0400,VILLA MARIA CARE CENTER 121021,A81000C,00100,0600,SNF 121021,A81000C,00200,0100,B 121021,A81000C,00200,0200,FOUNTAIN VIEW INC. 121021,A81000C,00200,0400,LOCOMOTION 121021,A81000C,00200,0600,THERAPY COMPANY 121021,A81000C,00300,0100,B 121021,A81000C,00300,0200,FOUNTAIN VIEW INC. 121021,A81000C,00300,0400,I N O 121021,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 121021,A81000C,00400,0100,B 121021,A81000C,00400,0200,FOUNTAIN VIEW INC. 121021,A81000C,00400,0400,SKILLED CARE PHARMACY 121021,A81000C,00400,0600,PHARMACY 121021,B100000,00000,0100,0100SQUARE FEET 121021,B100000,00000,0200,0200SQUARE FEET 121021,B100000,00000,0300,0300GROSS SALARIES 121021,B100000,00000,0400,0400ACCUM. COST 121021,B100000,00000,0500,0500SQUARE FEET 121021,B100000,00000,0600,0600POUNDS OF LAUNDRY 121021,B100000,00000,0700,0700SQUARE FEET 121021,B100000,00000,0800,0800MEALS SERVED 121021,B100000,00000,0900,0900DIRECT NRSING HRS 121021,B100000,00000,1000,1000COSTED REQUIS 121021,B100000,00000,1100,1100COSTED REQUIS 121021,B100000,00000,1200,1200GROSS REVENUE 121021,B100000,00000,1300,1300PATIENT DAYS 121021,B100000,00000,1400,1400ASSIGNED TIME 121021,E10A180,00350,0300,02/18/00 121021,E10A180,00501,0300,02/12/01 121021,E10A180,00502,0300,03/15/01 121021,E10A180,00550,0100,02/12/01 121021,E10A180,00551,0100,03/15/01 121021,S000000,00100,0200,01/18/01 121021,S200000,00100,0100,425 E. BARCELLUS AVENUE 121021,S200000,00200,0100,SANTA MARIA 121021,S200000,00200,0200,CA 121021,S200000,00300,0100,S 121021,S200000,00300,0200,7480 121021,S200000,00300,0300,U 121021,S200000,00400,0100,VILLA MARIA CARE CENTER 121021,S200000,00400,0200,055830 121021,S200000,00400,0300,10/31/67 121021,S200000,00400,0500,P 121021,S200000,00400,0600,O 121021,S200000,01500,0100,N 121021,S200000,01600,0100,Y 121021,S200000,01700,0100,N 121021,S200000,01800,0100,N 121021,S200000,02200,0100,N 121021,S200000,02800,0100,N 121021,S200000,02900,0100,N 121021,S200000,03000,0100,N 121021,S200000,03100,0100,N 121021,S200000,03200,0100,N 121021,S200000,03300,0100,N 121021,S200000,03300,0200,N 121021,S200000,04100,0100,N 121021,S200000,04200,0100,N 121021,S200000,04300,0100,N 121021,S200000,04600,0100,N 121021,S200000,04700,0100,N 121021,S200000,04700,0200,N 121021,S200000,04900,0100,N 121097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121097,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 121097,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121097,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 121097,A000000,00300,0000,0300EMPLOYEE BENEFITS 121097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121097,A000000,00700,0000,0700HOUSEKEEPING 121097,A000000,00800,0000,0800DIETARY 121097,A000000,00801,0000,0801CAFETERIA 121097,A000000,00900,0000,0900NURSING ADMINISTRATION 121097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121097,A000000,01100,0000,1100PHARMACY 121097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121097,A000000,01300,0000,1300SOCIAL SERVICE 121097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121097,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 121097,A000000,01600,0000,1600SKILLED NURSING FACILITY 121097,A000000,01800,0000,1800NURSING FACILITY 121097,A000000,01900,0000,1900OTHER LONG TERM CARE 121097,A000000,02100,0000,2100RADIOLOGY 121097,A000000,02200,0000,2200LABORATORY 121097,A000000,02300,0000,2300INTRAVENOUS THERAPY 121097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121097,A000000,02500,0000,2500PHYSICAL THERAPY 121097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121097,A000000,02700,0000,2700SPEECH PATHOLOGY 121097,A000000,02800,0000,2800ELECTROCARDIOLOGY 121097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121097,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121097,A000000,03200,0000,3200SUPPORT SURFACES 121097,A000000,03300,0000,3050OTHER ANCILLARY 121097,A000000,03301,0000,3051OTHER ANCILLARY II 121097,A000000,03302,0000,3052OTHER ANCILLARY III 121097,A000000,03400,0000,3400CLINIC 121097,A000000,03500,0000,3500RURAL HEALTH CLINIC 121097,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121097,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121097,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121097,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121097,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121097,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121097,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121097,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121097,A000000,04400,0000,4400DME RENTED - HHA 121097,A000000,04500,0000,4500DME SOLD - HHA 121097,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121097,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121097,A000000,04800,0000,4800AMBULANCE 121097,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 121097,A000000,05000,0000,5000CORF I 121097,A000000,05010,0000,5010CMHC I 121097,A000000,05020,0000,5020OPT I 121097,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121097,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121097,A000000,05300,0000,5300INTEREST EXPENSE 121097,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121097,A000000,05500,0000,5500HOSPICE 121097,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121097,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121097,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121097,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121097,A000000,06100,0000,6100NONPAID WORKERS 121097,A000000,06200,0000,6200PATIENTS LAUNDRY 121097,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121097,A81000A,00100,0100,N 121097,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 121097,B100000,00000,0101,0101(SQUARE FEET) CAP REL COSTS - 121097,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 121097,B100000,00000,0201,0201(SQUARE FEET) CAP REL COSTS - 121097,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 121097,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121097,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 121097,B100000,00000,0600,0600(PATIENT DAYS) LAUNDRY & LINEN 121097,B100000,00000,0700,0700(SQUARE FEET) HOUSEKEEPING 121097,B100000,00000,0800,0800(MEALS SERVED) DIETARY 121097,B100000,00000,0801,0801(MEALS SERVED) CAFETERIA 121097,B100000,00000,0900,0900(NURSING SALARIES) NURSING ADMI 121097,B100000,00000,1000,1000(PATIENT DAYS) CENTRAL SERVICES 121097,B100000,00000,1100,1100(PATIENT DAYS) PHARMACY 121097,B100000,00000,1200,1200(PATIENT DAYS) MEDICAL RECORDS 121097,B100000,00000,1300,1300(PATIENT DAYS) SOCIAL SERVICE 121097,B100000,00000,1400,1400(ASSIGNED TIME) INTERNS & RESIDE 121097,B100000,00000,1500,1500BLANK OTHER GENERAL SERVICE COST 121097,S000000,00100,0200,12/28/00 121097,S200000,00100,0100,3000 EAST WILLIS 121097,S200000,00200,0100,PERRY 121097,S200000,00200,0200,IA 121097,S200000,00200,0300,50220 121097,S200000,00300,0100,DALLAS 121097,S200000,00400,0100,ROWLEY MASONIC HOME 121097,S200000,00400,0200,165149 121097,S200000,00400,0300,02/22/89 121097,S200000,00400,0500,P 121097,S200000,00400,0600,N 121097,S200000,01500,0100,Y 121097,S200000,01600,0100,N 121097,S200000,01700,0100,N 121097,S200000,01800,0100,N 121097,S200000,02200,0100,Y 121097,S200000,02800,0100,N 121097,S200000,02900,0100,N 121097,S200000,03000,0100,N 121097,S200000,03100,0100,N 121097,S200000,03200,0100,N 121097,S200000,03300,0100,N 121097,S200000,03300,0200,N 121097,S200000,04100,0100,N 121097,S200000,04200,0100,N 121097,S200000,04300,0100,N 121097,S200000,04600,0100,N 121097,S200000,04700,0100,N 121097,S200000,04900,0100,N 121097,S700003,00000,0400,X 121101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121101,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121101,A000000,00300,0000,0300EMPLOYEE BENEFITS 121101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121101,A000000,00700,0000,0700HOUSEKEEPING 121101,A000000,00800,0000,0800DIETARY 121101,A000000,00900,0000,0900NURSING ADMINISTRATION 121101,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121101,A000000,01100,0000,1100PHARMACY 121101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121101,A000000,01300,0000,1300SOCIAL SERVICE 121101,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121101,A000000,01500,0000,1350OTHER GENERAL SERVICES 121101,A000000,01600,0000,1600SKILLED NURSING FACILITY 121101,A000000,01800,0000,1800NURSING FACILITY 121101,A000000,01810,0000,1810ICF/MR 121101,A000000,01900,0000,1900OTHER LONG TERM CARE 121101,A000000,02100,0000,2100RADIOLOGY 121101,A000000,02200,0000,2200LABORATORY 121101,A000000,02300,0000,2300INTRAVENOUS THERAPY 121101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121101,A000000,02500,0000,2500PHYSICAL THERAPY 121101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121101,A000000,02700,0000,2700SPEECH PATHOLOGY 121101,A000000,02800,0000,2800ELECTROCARDIOLOGY 121101,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121101,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121101,A000000,03200,0000,3200SUPPORT SURFACES 121101,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121101,A000000,03400,0000,3400CLINIC 121101,A000000,03500,0000,3500RURAL HEALTH CLINIC 121101,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121101,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121101,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121101,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121101,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121101,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121101,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121101,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121101,A000000,04400,0000,4400DME RENTED - HHA 121101,A000000,04500,0000,4500DME SOLD - HHA 121101,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121101,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121101,A000000,04800,0000,4800AMBULANCE 121101,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 121101,A000000,05000,0000,5000CORF 121101,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121101,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121101,A000000,05300,0000,5300INTEREST EXPENSE 121101,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121101,A000000,05500,0000,5500HOSPICE 121101,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121101,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121101,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121101,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121101,A000000,06100,0000,6100NONPAID WORKERS 121101,A000000,06200,0000,6200PATIENTS LAUNDRY 121101,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121101,A81000A,00100,0100,Y 121101,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 121101,A81000B,00200,0300,UNEMPLOYMENT INS 121101,A81000B,00300,0300,WORKERS COMP 121101,A81000B,00400,0300,PROPERTY/LIABILITY INS 121101,A81000B,00500,0300,VEHICLE INS 121101,A81000B,00600,0300,MEDICAL SUPPLY 121101,A81000B,00700,0300,INCONTINENTS 121101,A81000B,00800,0300,DIETARY SUPPLIES 121101,A81000C,00100,0100,B 121101,A81000C,00100,0400,GOOD SAMARITAN 121101,A81000C,00100,0600,HEALTHCARE 121101,A81000C,00200,0100,B 121101,A81000C,00200,0400,OMNICARE PHARMA 121101,A81000C,00200,0600,MEDICAL/DRUGS 121101,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 121101,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 121101,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 121101,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121101,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 121101,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 121101,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 121101,B100000,00000,0800,0800MEALS SERVED DIETARY 121101,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 121101,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 121101,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 121101,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 121101,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 121101,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 121101,B100000,00000,1500,1500NO STATISTICS OTHER GENER 121101,E10A180,00550,0100,10/23/00 121101,E10A180,00550,0300,10/23/00 121101,S000000,00100,0200,09/28/00 121101,S200000,00100,0100,HIGHWAY 92 AND 3RD AVENUE 121101,S200000,00200,0100,CLEARBROOK 121101,S200000,00200,0200,MN 121101,S200000,00200,0300,56634-0047 121101,S200000,00300,0100,CLEARWATER 121101,S200000,00400,0100,CLEARBROOK GOOD SAMARITAN CENTER 121101,S200000,00400,0200,245523 121101,S200000,00400,0300,02/01/88 121101,S200000,00400,0500,P 121101,S200000,00400,0600,N 121101,S200000,01500,0100,Y 121101,S200000,01600,0100,N 121101,S200000,01700,0100,N 121101,S200000,01800,0100,N 121101,S200000,02200,0100,N 121101,S200000,02800,0100,Y 121101,S200000,02900,0100,N 121101,S200000,03000,0100,N 121101,S200000,03100,0100,N 121101,S200000,03200,0100,N 121101,S200000,03300,0100,N 121101,S200000,03300,0200,N 121101,S200000,04100,0100,N 121101,S200000,04200,0100,N 121101,S200000,04300,0100,N 121101,S200000,04600,0100,N 121101,S200000,04700,0100,N 121101,S200000,04700,0200,N 121101,S200000,04900,0100,N 121101,S700003,00000,0100,X 121128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121128,A000000,00300,0000,0300EMPLOYEE BENEFITS 121128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121128,A000000,00700,0000,0700HOUSEKEEPING 121128,A000000,00800,0000,0800DIETARY 121128,A000000,00900,0000,0900NURSING ADMINISTRATION 121128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121128,A000000,01100,0000,1100PHARMACY 121128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121128,A000000,01300,0000,1300SOCIAL SERVICE 121128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121128,A000000,01500,0000,1350OTHER GENERAL SERVICES 121128,A000000,01600,0000,1600SKILLED NURSING FACILITY 121128,A000000,01800,0000,1800NURSING FACILITY 121128,A000000,01810,0000,1810ICF/MR 121128,A000000,02100,0000,2100RADIOLOGY 121128,A000000,02200,0000,2200LABORATORY 121128,A000000,02500,0000,2500PHYSICAL THERAPY 121128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121128,A000000,02700,0000,2700SPEECH PATHOLOGY 121128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121128,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121128,A000000,03550,0000,3550FQHC 121128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121128,A000000,05000,0000,5000CORF 121128,A000000,05010,0000,5010CMHC 121128,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121128,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121128,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121128,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121128,A000000,05300,0000,5300INTEREST EXPENSE 121128,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121128,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121128,A81000A,00100,0100,Y 121128,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 121128,A81000C,00100,0100,A 121128,A81000C,00100,0200,LAVERSA HOLDER 121128,A81000C,00100,0400,MCAFEE HOLDING 121128,A81000C,00100,0600,REAL ESTATE RENTAL 121128,B100000,00000,0100,0100SQUARE FEET 121128,B100000,00000,0200,0200SQUARE FEET 121128,B100000,00000,0300,0300GROSS SALARIES 121128,B100000,00000,0400,0400ACCUM. COST 121128,B100000,00000,0500,0500SQUARE FEET 121128,B100000,00000,0600,0600PATIENT DAYS 121128,B100000,00000,0700,0700SQUARE FEET 121128,B100000,00000,0800,0800PATIENT DAYS 121128,B100000,00000,0900,0900PATIENT DAYS 121128,B100000,00000,1000,1000COSTED REQUIS. 121128,B100000,00000,1100,1100COSTED REQUIS. 121128,B100000,00000,1200,1200PATIENT DAYS 121128,B100000,00000,1300,1300PATIENT DAYS 121128,B100000,00000,1400,1400ASSIGNED TIME 121128,B100000,00000,1500,1350NO STATISTICS 121128,S000000,00100,0200,11/28/00 121128,S200000,00100,0100,1110 S SIXTH 121128,S200000,00100,0300,949 121128,S200000,00200,0100,BLACKWELL 121128,S200000,00200,0200,OK 121128,S200000,00200,0300,74631 121128,S200000,00300,0100,KAY 121128,S200000,00400,0100,HILLCREST MANOR 121128,S200000,00400,0200,375149 121128,S200000,00400,0300,01/01/94 121128,S200000,00400,0500,P 121128,S200000,01500,0100,N 121128,S200000,01600,0100,Y 121128,S200000,01700,0100,N 121128,S200000,01800,0100,N 121128,S200000,02200,0100,N 121128,S200000,02800,0100,N 121128,S200000,02900,0100,N 121128,S200000,03000,0100,N 121128,S200000,03100,0100,N 121128,S200000,03200,0100,N 121128,S200000,03300,0100,N 121128,S200000,03300,0200,N 121128,S200000,04100,0100,N 121128,S200000,04200,0100,N 121128,S200000,04300,0100,N 121128,S200000,04600,0100,N 121128,S200000,04700,0100,N 121128,S200000,04700,0200,N 121128,S200000,04900,0100,N 121159,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121159,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121159,A000000,00300,0000,0300EMPLOYEE BENEFITS 121159,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121159,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121159,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121159,A000000,00700,0000,0700HOUSEKEEPING 121159,A000000,00800,0000,0800DIETARY 121159,A000000,00900,0000,0900NURSING ADMINISTRATION 121159,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121159,A000000,01100,0000,1100PHARMACY 121159,A000000,01600,0000,1600SKILLED NURSING FACILITY 121159,A000000,01800,0000,1800NURSING FACILITY 121159,A000000,02100,0000,2100RADIOLOGY 121159,A000000,02200,0000,2200LABORATORY 121159,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121159,A000000,02500,0000,2500PHYSICAL THERAPY 121159,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121159,A000000,02700,0000,2700SPEECH PATHOLOGY 121159,A000000,02800,0000,2800ELECTROCARDIOLOGY 121159,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121159,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121159,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 121159,A000000,05300,0000,5300INTEREST EXPENSE 121159,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 121159,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121159,A000000,06200,0000,6200PATIENTS LAUNDRY 121159,A000000,06300,0000,6150LIFECARE 121159,A000000,06301,0000,6151FOUNDATION 121159,A81000A,00100,0100,Y 121159,A81000B,00100,0300,INSURANCE 121159,A81000C,00100,0100,D 121159,A81000C,00100,0200,HENRY MORGAN 121159,A81000C,00200,0100,D 121159,A81000C,00200,0200,JOHN PEYTON 121159,B100000,00000,0100,0100SQUARE FOOTAGE 121159,B100000,00000,0200,0200SQUARE FOOTAGE 121159,B100000,00000,0300,0300GROSS SAL 121159,B100000,00000,0400,0400ACCUM. COST 121159,B100000,00000,0500,0500SQUARE FOOTAGE 121159,B100000,00000,0600,0600ACCUM. COST 121159,B100000,00000,0700,0700ACCUM. COST 121159,B100000,00000,0800,0800MEALS SERVED 121159,B100000,00000,0900,0900ACCUM. COST 121159,B100000,00000,1000,1000ACCUM. COST 121159,B100000,00000,1100,1100ACCUM. COST 121159,E10A180,00501,0300,02/21/01 121159,S000000,00100,0200,12/29/00 121159,S200000,00100,0100,177 NORTH HIGHLAND 121159,S200000,00200,0100,MEMPHIS 121159,S200000,00200,0200,TN 121159,S200000,00200,0300,38111 121159,S200000,00300,0100,S 121159,S200000,00300,0200,4920 121159,S200000,00300,0300,U 121159,S200000,00400,0100,ALLEN MORGAN NURSING CENTER 121159,S200000,00400,0200,445133 121159,S200000,00400,0300,08/28/80 121159,S200000,00400,0500,P 121159,S200000,01500,0100,N 121159,S200000,01600,0100,Y 121159,S200000,01700,0100,Y 121159,S200000,01800,0100,N 121159,S200000,02200,0100,N 121159,S200000,02800,0100,Y 121159,S200000,02900,0100,N 121159,S200000,03000,0100,N 121159,S200000,03100,0100,N 121159,S200000,03200,0100,N 121159,S200000,03300,0100,N 121159,S200000,03300,0200,N 121159,S200000,04100,0100,N 121159,S200000,04200,0100,N 121159,S200000,04300,0100,N 121159,S200000,04600,0100,N 121159,S200000,04700,0100,N 121159,S200000,04900,0100,N 121167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121167,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121167,A000000,00300,0000,0300EMPLOYEE BENEFITS 121167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121167,A000000,00700,0000,0700HOUSEKEEPING 121167,A000000,00800,0000,0800DIETARY 121167,A000000,00900,0000,0900NURSING ADMINISTRATION 121167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121167,A000000,01100,0000,1100PHARMACY 121167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121167,A000000,01300,0000,1300SOCIAL SERVICE 121167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121167,A000000,01600,0000,1600SKILLED NURSING FACILITY 121167,A000000,01810,0000,1810ICF/MR 121167,A000000,02200,0000,2200LABORATORY 121167,A000000,02500,0000,2500PHYSICAL THERAPY 121167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121167,A000000,02700,0000,2700SPEECH PATHOLOGY 121167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121167,A000000,03300,0000,3050CLINITRON 121167,A000000,03550,0000,3550FQHC 121167,A000000,05000,0000,5000CORF 121167,A000000,05010,0000,5010CMHC 121167,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121167,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121167,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121167,A000000,05300,0000,5300INTEREST EXPENSE 121167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121167,A000000,06002,0000,6002PATIENT PURCHASE 121167,A81000A,00100,0100,N 121167,B100000,00000,0100,0100SQUARE FEET 121167,B100000,00000,0200,0200SQUARE FEET 121167,B100000,00000,0300,0300GROSS SALARIES 121167,B100000,00000,0400,0400ACCUM. COST 121167,B100000,00000,0500,0500SQUARE FEET 121167,B100000,00000,0600,0600POUNDS OF LAUNDRY 121167,B100000,00000,0700,0700HOURS OF SERVICE 121167,B100000,00000,0800,0800MEALS SERVED 121167,B100000,00000,0900,0900DIRECT NRSG HRS 121167,B100000,00000,1000,1000COSTED REQUIS 121167,B100000,00000,1100,1100COSTED REQUIS 121167,B100000,00000,1200,1200TIME SPENT 121167,B100000,00000,1300,1300TIME SPENT 121167,B100000,00000,1400,1400ASSIGNED TIME 121167,E10A180,00501,0100,02/01/01 121167,S000000,00100,0200,12/20/00 121167,S200000,00100,0100,3823 FRANKLIN RD SW 121167,S200000,00200,0100,ROANOKE 121167,S200000,00200,0200,VA 121167,S200000,00200,0300,24014 121167,S200000,00300,0100,R 121167,S200000,00300,0200,6800 121167,S200000,00300,0300,U 121167,S200000,00400,0100,SOUTH ROANOKE NURSING HOME 121167,S200000,00400,0200,495002 121167,S200000,00400,0300,07/01/66 121167,S200000,00400,0500,P 121167,S200000,00600,0200,495002 121167,S200000,00600,0300,07/01/66 121167,S200000,00600,0600,O 121167,S200000,01500,0100,Y 121167,S200000,01600,0100,N 121167,S200000,01700,0100,N 121167,S200000,01800,0100,N 121167,S200000,02200,0100,N 121167,S200000,02800,0100,N 121167,S200000,02900,0100,N 121167,S200000,03000,0100,N 121167,S200000,03100,0100,N 121167,S200000,03200,0100,N 121167,S200000,03300,0100,N 121167,S200000,03300,0200,N 121167,S200000,03500,0300,N 121167,S200000,04100,0100,N 121167,S200000,04200,0100,N 121167,S200000,04300,0100,N 121167,S200000,04600,0100,N 121167,S200000,04700,0100,N 121167,S200000,04900,0100,N 121167,S200000,05000,0100,N 121167,S200000,05100,0100,N 121167,S200000,05200,0100,N 121168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121168,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121168,A000000,00300,0000,0300EMPLOYEE BENEFITS 121168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121168,A000000,00700,0000,0700HOUSEKEEPING 121168,A000000,00800,0000,0800DIETARY 121168,A000000,00900,0000,0900NURSING ADMINISTRATION 121168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121168,A000000,01100,0000,1100PHARMACY 121168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121168,A000000,01300,0000,1300SOCIAL SERVICE 121168,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121168,A000000,01500,0000,1350OTHER GENERAL SERVICES 121168,A000000,01600,0000,1600SKILLED NURSING FACILITY 121168,A000000,01800,0000,1800NURSING FACILITY 121168,A000000,01810,0000,1810ICF/MR 121168,A000000,02100,0000,2100RADIOLOGY 121168,A000000,02300,0000,2300INTRAVENOUS THERAPY 121168,A000000,02500,0000,2500PHYSICAL THERAPY 121168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121168,A000000,02700,0000,2700SPEECH PATHOLOGY 121168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121168,A000000,03300,0000,3050AIR FLUID BED THERAPY 121168,A000000,03550,0000,3550FQHC 121168,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121168,A000000,05000,0000,5000CORF 121168,A000000,05010,0000,5010CMHC 121168,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121168,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121168,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121168,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121168,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121168,A81000A,00100,0100,N 121168,B100000,00000,0100,0100SQUARE FEET 121168,B100000,00000,0200,0200SQUARE FEET 121168,B100000,00000,0300,0300GROSS SALARIES 121168,B100000,00000,0400,0400ACCUM. COST 121168,B100000,00000,0500,0500SQUARE FEET 121168,B100000,00000,0600,0600POUNDS OF LAUNDRY 121168,B100000,00000,0700,0700SQUARE FEET 121168,B100000,00000,0800,0800MEALS SERVED 121168,B100000,00000,0900,0900DIRECT NRSING HRS 121168,B100000,00000,1000,1000PATIENT DAYS 121168,B100000,00000,1100,1100COSTED REQUIS 121168,B100000,00000,1200,1200TIME SPENT 121168,B100000,00000,1300,1300TIME SPENT 121168,B100000,00000,1400,1400ASSIGNED TIME 121168,B100000,00000,1500,1350NO STATISTICS 121168,E10A180,00301,0100,06/08/01 121168,E10A180,00501,0100,03/16/01 121168,S000000,00100,0200,01/15/01 121168,S200000,00100,0100,1900 COOL LANE 121168,S200000,00200,0100,RICHMOND 121168,S200000,00200,0200,VA 121168,S200000,00200,0300,23223 121168,S200000,00300,0100,C 121168,S200000,00300,0200,6760 121168,S200000,00300,0300,U 121168,S200000,00400,0100,SEVEN HILLS HEALTH CARE CENTER 121168,S200000,00400,0200,495016 121168,S200000,00400,0300,01/31/78 121168,S200000,00400,0500,P 121168,S200000,01500,0100,N 121168,S200000,01600,0100,Y 121168,S200000,01700,0100,N 121168,S200000,01800,0100,N 121168,S200000,02200,0100,N 121168,S200000,02800,0100,N 121168,S200000,02900,0100,N 121168,S200000,03000,0100,N 121168,S200000,03100,0100,N 121168,S200000,03200,0100,N 121168,S200000,03300,0100,N 121168,S200000,03300,0200,N 121168,S200000,04100,0100,N 121168,S200000,04200,0100,N 121168,S200000,04300,0100,N 121168,S200000,04600,0100,N 121168,S200000,04700,0100,N 121168,S200000,04900,0100,N 121168,S200000,05000,0100,N 121168,S200000,05200,0100,N 121169,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121169,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121169,A000000,00300,0000,0300EMPLOYEE BENEFITS 121169,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121169,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121169,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121169,A000000,00700,0000,0700HOUSEKEEPING 121169,A000000,00800,0000,0800DIETARY 121169,A000000,00900,0000,0900NURSING ADMINISTRATION 121169,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121169,A000000,01100,0000,1100PHARMACY 121169,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121169,A000000,01300,0000,1300SOCIAL SERVICE 121169,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121169,A000000,01600,0000,1600SKILLED NURSING FACILITY 121169,A000000,01800,0000,1800NURSING FACILITY 121169,A000000,01810,0000,1810ICF/MR 121169,A000000,01900,0000,1900OTHER LONG TERM CARE 121169,A000000,02100,0000,2100RADIOLOGY 121169,A000000,02200,0000,2200LABORATORY 121169,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121169,A000000,02500,0000,2500PHYSICAL THERAPY 121169,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121169,A000000,02700,0000,2700SPEECH PATHOLOGY 121169,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121169,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121169,A000000,03200,0000,3200SUPPORT SURFACES 121169,A000000,03300,0000,3050ENTERAL FEEDING 121169,A000000,03400,0000,3400CLINIC 121169,A000000,03550,0000,3550FQHC 121169,A000000,05000,0000,5000CORF 121169,A000000,05010,0000,5010CMHC 121169,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121169,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121169,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121169,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 121169,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121169,A000000,06100,0000,6100NONPAID WORKERS 121169,A000000,06300,0000,6150ADULT DAY CARE 121169,A000000,06350,0000,6151CHAPEL 121169,A000000,06360,0000,6152OTHER NON-REIMBURSABLE COST 121169,A81000A,00100,0100,N 121169,B100000,00000,0100,0100SQUARE FEET 121169,B100000,00000,0200,0200SQUARE FEET 121169,B100000,00000,0300,0300GROSS SALARIES 121169,B100000,00000,0400,0400ACCUM COST 121169,B100000,00000,0500,0500SQUARE FEET 121169,B100000,00000,0600,0600POUNDS OF LAUNDRY 121169,B100000,00000,0700,0700HOURS OF SERVICE 121169,B100000,00000,0800,0800MEALS SERVED 121169,B100000,00000,0900,0900DIRECT NRSG HRS 121169,B100000,00000,1000,1000COSTED REQUIS 121169,B100000,00000,1100,1100COSTED REQUIS 121169,B100000,00000,1200,1200TIME SPENT 121169,B100000,00000,1300,1300TIME SPENT 121169,B100000,00000,1400,1400ASSIGNED TIME 121169,E10A180,00501,0100,02/15/01 121169,E10A180,00501,0300,02/15/01 121169,S000000,00100,0200,01/19/01 121169,S200000,00100,0100,6800 LUCY CORR BLVD 121169,S200000,00100,0300,170 121169,S200000,00200,0100,CHESTERFIELD 121169,S200000,00200,0200,VA 121169,S200000,00200,0300,23832 121169,S200000,00300,0200,6760 121169,S200000,00300,0300,U 121169,S200000,00400,0100,LUCY CORR VILLAGE 121169,S200000,00400,0200,495079 121169,S200000,00400,0300,07/01/66 121169,S200000,00400,0500,P 121169,S200000,00600,0200,495079 121169,S200000,00600,0300,07/01/66 121169,S200000,01500,0100,N 121169,S200000,01600,0100,Y 121169,S200000,01700,0100,N 121169,S200000,01800,0100,N 121169,S200000,02200,0100,Y 121169,S200000,02800,0100,N 121169,S200000,02900,0100,N 121169,S200000,03000,0100,N 121169,S200000,03100,0100,N 121169,S200000,03200,0100,N 121169,S200000,03300,0100,N 121169,S200000,03300,0200,N 121169,S200000,03500,0300,N 121169,S200000,04100,0100,N 121169,S200000,04200,0100,N 121169,S200000,04300,0100,N 121169,S200000,04600,0100,N 121169,S200000,04700,0100,N 121169,S200000,04900,0100,N 121169,S200000,05000,0100,N 121169,S200000,05100,0100,N 121169,S200000,05200,0100,N 121173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121173,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121173,A000000,00300,0000,0300EMPLOYEE BENEFITS 121173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121173,A000000,00700,0000,0700HOUSEKEEPING 121173,A000000,00800,0000,0800DIETARY 121173,A000000,00900,0000,0900NURSING ADMINISTRATION 121173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121173,A000000,01100,0000,1100PHARMACY 121173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121173,A000000,01300,0000,1300SOCIAL SERVICE 121173,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121173,A000000,01600,0000,1600SKILLED NURSING FACILITY 121173,A000000,01800,0000,1800NURSING FACILITY 121173,A000000,01810,0000,1810ICF/MR 121173,A000000,02100,0000,2100RADIOLOGY 121173,A000000,02200,0000,2200LABORATORY 121173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121173,A000000,02500,0000,2500PHYSICAL THERAPY 121173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121173,A000000,02700,0000,2700SPEECH PATHOLOGY 121173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121173,A000000,03550,0000,3550FQHC 121173,A000000,05000,0000,5000CORF 121173,A000000,05010,0000,5010CMHC 121173,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121173,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121173,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121173,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121173,A000000,06300,0000,6150PATIENT PERSONAL 121173,A81000A,00100,0100,Y 121173,A81000B,00100,0300,SUPPLIES 121173,A81000B,01300,0300,HOME OFFICE COSTS 121173,A81000C,00100,0100,A 121173,A81000C,00100,0200,SEE HCFA 339 121173,A81000C,00100,0400,DELTA HEALTH GR 121173,A81000C,00100,0600,NURSING HOMES 121173,A81000C,00200,0100,A 121173,A81000C,00200,0200,SEE HCFA 339 121173,A81000C,00200,0400,DELTA DURABLES 121173,A81000C,00200,0600,SUPPLIES 121173,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121173,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121173,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121173,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121173,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 121173,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121173,B100000,00000,0800,0800MEALS SERVED :DIETARY 121173,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 121173,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 121173,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 121173,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 121173,S000000,00100,0200,01/03/01 121173,S200000,00100,0100,411 W. WOODWARD AVE. 121173,S200000,00200,0100,LAKE EUSTIS 121173,S200000,00200,0200,FL 121173,S200000,00200,0300,32726- 121173,S200000,00300,0100,LAKE 121173,S200000,00300,0200,5960 121173,S200000,00300,0300,U 121173,S200000,00400,0100,LAKE EUSTIS CARE CENTER 121173,S200000,00400,0200,105001 121173,S200000,00400,0300,06/30/94 121173,S200000,00400,0500,P 121173,S200000,00400,0600,O 121173,S200000,00600,0200,105001 121173,S200000,00600,0300,06/30/94 121173,S200000,00600,0600,O 121173,S200000,01500,0100,N 121173,S200000,01600,0100,Y 121173,S200000,01700,0100,N 121173,S200000,01800,0100,N 121173,S200000,02200,0100,N 121173,S200000,02800,0100,N 121173,S200000,02900,0100,N 121173,S200000,03000,0100,N 121173,S200000,03100,0100,N 121173,S200000,03200,0100,N 121173,S200000,04100,0100,N 121173,S200000,04200,0100,N 121173,S200000,04300,0100,N 121173,S200000,04600,0100,N 121173,S200000,04700,0100,N 121173,S200000,04700,0200,N 121173,S200000,04900,0100,N 121173,S200000,05000,0100,N 121173,S200000,05100,0100,N 121173,S200000,05200,0100,N 121181,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121181,A000000,00300,0000,0300EMPLOYEE BENEFITS 121181,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121181,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121181,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121181,A000000,00700,0000,0700HOUSEKEEPING 121181,A000000,00800,0000,0800DIETARY 121181,A000000,00900,0000,0900NURSING ADMINISTRATION 121181,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121181,A000000,01300,0000,1300SOCIAL SERVICE 121181,A000000,01600,0000,1600SKILLED NURSING FACILITY 121181,A000000,01800,0000,1800NURSING FACILITY 121181,A000000,02100,0000,2100RADIOLOGY 121181,A000000,02200,0000,2200LABORATORY 121181,A000000,02500,0000,2500PHYSICAL THERAPY 121181,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121181,A000000,02700,0000,2700SPEECH PATHOLOGY 121181,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121181,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121181,A000000,05300,0000,5300INTEREST EXPENSE 121181,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121181,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121181,A81000A,00100,0100,N 121181,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121181,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121181,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121181,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121181,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 121181,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121181,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 121181,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 121181,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 121181,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 121181,S000000,00100,0200,12/11/00 121181,S200000,00100,0100,5377 MONCRIEF ROAD 121181,S200000,00200,0100,JACKSONVILLE 121181,S200000,00200,0200,FL 121181,S200000,00200,0300,32209- 121181,S200000,00300,0100,DUVAL 121181,S200000,00300,0200,3600 121181,S200000,00300,0300,U 121181,S200000,00400,0100,EARTHA M.M. WHITE HEALTH CARE 121181,S200000,00400,0200,105138 121181,S200000,00400,0300,05/09/67 121181,S200000,00400,0500,P 121181,S200000,01500,0100,N 121181,S200000,01600,0100,Y 121181,S200000,01700,0100,N 121181,S200000,01800,0100,N 121181,S200000,02200,0100,N 121181,S200000,02800,0100,N 121181,S200000,02900,0100,N 121181,S200000,03000,0100,N 121181,S200000,03100,0100,N 121181,S200000,03200,0100,N 121181,S200000,04100,0100,N 121181,S200000,04200,0100,N 121181,S200000,04300,0100,N 121181,S200000,04600,0100,N 121181,S200000,04700,0100,N 121181,S200000,04700,0200,N 121181,S200000,04900,0100,N 121181,S200000,05000,0100,N 121181,S200000,05100,0100,N 121181,S200000,05200,0100,N 121182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121182,A000000,00300,0000,0300EMPLOYEE BENEFITS 121182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121182,A000000,00700,0000,0700HOUSEKEEPING 121182,A000000,00800,0000,0800DIETARY 121182,A000000,00900,0000,0900NURSING ADMINISTRATION 121182,A000000,01100,0000,1100PHARMACY 121182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121182,A000000,01300,0000,1300SOCIAL SERVICE 121182,A000000,01600,0000,1600SKILLED NURSING FACILITY 121182,A000000,01800,0000,1800NURSING FACILITY 121182,A000000,02100,0000,2100RADIOLOGY 121182,A000000,02200,0000,2200LABORATORY 121182,A000000,02300,0000,2300INTRAVENOUS THERAPY 121182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121182,A000000,02500,0000,2500PHYSICAL THERAPY 121182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121182,A000000,02700,0000,2700SPEECH PATHOLOGY 121182,A000000,02800,0000,2800ELECTROCARDIOLOGY 121182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121182,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121182,A000000,05300,0000,5300INTEREST EXPENSE 121182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121182,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121182,A81000A,00100,0100,N 121182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121182,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 121182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121182,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 121182,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 121182,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 121182,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 121182,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 121182,S000000,00100,0200,03/14/01 121182,S200000,00100,0100,1501 NORTH ORANGE AVENUE 121182,S200000,00200,0100,SARASOTA 121182,S200000,00200,0200,FL 121182,S200000,00200,0300,34236- 121182,S200000,00300,0100,SARASOTA 121182,S200000,00300,0200,7510 121182,S200000,00300,0300,U 121182,S200000,00400,0100,PINES OF SARASOTA 121182,S200000,00400,0200,105147 121182,S200000,00400,0300,07/27/67 121182,S200000,00400,0500,P 121182,S200000,01500,0100,N 121182,S200000,01600,0100,Y 121182,S200000,01700,0100,N 121182,S200000,01800,0100,N 121182,S200000,02200,0100,N 121182,S200000,02800,0100,N 121182,S200000,02900,0100,N 121182,S200000,03000,0100,N 121182,S200000,03100,0100,N 121182,S200000,03200,0100,N 121182,S200000,04100,0100,N 121182,S200000,04200,0100,N 121182,S200000,04300,0100,N 121182,S200000,04600,0100,N 121182,S200000,04700,0100,N 121182,S200000,04700,0200,N 121182,S200000,04900,0100,N 121182,S200000,05000,0100,N 121182,S200000,05100,0100,N 121182,S200000,05200,0100,N 121185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121185,A000000,00300,0000,0300EMPLOYEE BENEFITS 121185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121185,A000000,00700,0000,0700HOUSEKEEPING 121185,A000000,00800,0000,0800DIETARY 121185,A000000,00900,0000,0900NURSING ADMINISTRATION 121185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121185,A000000,01300,0000,1300SOCIAL SERVICE 121185,A000000,01600,0000,1600SKILLED NURSING FACILITY 121185,A000000,01800,0000,1800NURSING FACILITY 121185,A000000,02100,0000,2100RADIOLOGY 121185,A000000,02200,0000,2200LABORATORY 121185,A000000,02500,0000,2500PHYSICAL THERAPY 121185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121185,A000000,02700,0000,2700SPEECH PATHOLOGY 121185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121185,A000000,03200,0000,3200SUPPORT SURFACES 121185,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121185,A000000,05300,0000,5300INTEREST EXPENSE 121185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121185,A81000A,00100,0100,Y 121185,A81000B,00100,0300,HOME OFFICE PROPERTY COST 121185,A81000B,00200,0300,MANAGEMENT FEES 121185,A81000B,00300,0300,EMPLOYEE BENEFITS - GROUP INS 121185,A81000B,00400,0300,WORKERS COMPENSATION 121185,A81000B,00500,0300,RENT EXPENSE (REPLACED W/INT & DEPR) 121185,A81000B,00600,0300,ALLOWABLE INTEREST (REPLACES RENT) 121185,A81000B,00700,0300,ALLOWABLE DEPREC (REPLACES RENT) 121185,A81000C,00100,0100,A 121185,A81000C,00100,0200,R BRENT MAGGIO 121185,A81000C,00100,0400,EMERALD HEALTHCARE INC 121185,A81000C,00100,0600,MANAGEMENT COMPANY 121185,A81000C,00200,0100,A 121185,A81000C,00200,0200,R BRENT MAGGIO 121185,A81000C,00200,0400,EMERALD HEALTHCARE INC 121185,A81000C,00200,0600,MANAGEMENT COMPANY 121185,A81000C,00300,0100,A 121185,A81000C,00300,0200,R BRENT MAGGIO 121185,A81000C,00300,0400,NAT L BENEFIT RESOURCE AD 121185,A81000C,00300,0600,EMPLOYEE BENEFIT INS CO 121185,A81000C,00400,0100,A 121185,A81000C,00400,0200,R BRENT MAGGIO 121185,A81000C,00400,0400,NAT L BENEFIT RESOURCE AD 121185,A81000C,00400,0600,EMPLOYEE BENEFIT INS CO 121185,A81000C,00500,0100,A 121185,A81000C,00500,0200,R BRENT MAGGIO 121185,A81000C,00500,0400,CRESTVIEW INVESTMENTS INC 121185,A81000C,00500,0600,PROPERTY MGMT COMPANY 121185,A81000C,00600,0100,A 121185,A81000C,00600,0200,R BRENT MAGGIO 121185,A81000C,00600,0400,CRESTVIEW INVESTMENTS INC 121185,A81000C,00600,0600,PROPERTY MGMT COMPANY 121185,A81000C,00700,0100,A 121185,A81000C,00700,0200,R BRENT MAGGIO 121185,A81000C,00700,0400,CRESTVIEW INVESTMENTS INC 121185,A81000C,00700,0600,PROPERTY MGMT COMPANY 121185,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121185,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121185,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121185,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 121185,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121185,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 121185,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 121185,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 121185,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 121185,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 121185,S000000,00100,0200,12/28/00 121185,S200000,00100,0100,1849 EAST FIRST STREET 121185,S200000,00200,0100,CRESTVIEW 121185,S200000,00200,0200,FL 121185,S200000,00200,0300,32539- 121185,S200000,00300,0100,OKALOOSA 121185,S200000,00300,0200,2750 121185,S200000,00300,0300,U 121185,S200000,00400,0100,CRESTVIEW NURSING & CONV CENTER 121185,S200000,00400,0200,105190 121185,S200000,00400,0300,02/01/81 121185,S200000,00400,0500,P 121185,S200000,01004,0500,O 121185,S200000,01500,0100,N 121185,S200000,01600,0100,Y 121185,S200000,01700,0100,N 121185,S200000,01800,0100,N 121185,S200000,02200,0100,N 121185,S200000,02800,0100,N 121185,S200000,02900,0100,N 121185,S200000,03000,0100,N 121185,S200000,03100,0100,N 121185,S200000,03200,0100,N 121185,S200000,04100,0100,N 121185,S200000,04200,0100,N 121185,S200000,04300,0100,N 121185,S200000,04600,0100,N 121185,S200000,04700,0100,N 121185,S200000,04700,0200,N 121185,S200000,04900,0100,N 121185,S200000,05000,0100,N 121185,S200000,05100,0100,N 121185,S200000,05200,0100,N 121186,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121186,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121186,A000000,00300,0000,0300EMPLOYEE BENEFITS 121186,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121186,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121186,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121186,A000000,00700,0000,0700HOUSEKEEPING 121186,A000000,00800,0000,0800DIETARY 121186,A000000,00900,0000,0900NURSING ADMINISTRATION 121186,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121186,A000000,01100,0000,1100PHARMACY 121186,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121186,A000000,01300,0000,1300SOCIAL SERVICE 121186,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121186,A000000,01500,0000,1350OTHER GENERAL SERVICES 121186,A000000,01600,0000,1600SKILLED NURSING FACILITY 121186,A000000,01800,0000,1800NURSING FACILITY 121186,A000000,01900,0000,1900OTHER LONG TERM CARE 121186,A000000,02100,0000,2100RADIOLOGY 121186,A000000,02200,0000,2200LABORATORY 121186,A000000,02300,0000,2300INTRAVENOUS THERAPY 121186,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121186,A000000,02500,0000,2500PHYSICAL THERAPY 121186,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121186,A000000,02700,0000,2700SPEECH PATHOLOGY 121186,A000000,02800,0000,2800ELECTROCARDIOLOGY 121186,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121186,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121186,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121186,A000000,03101,0000,3101DENTAL CARE - TITLE XIX ONLY 121186,A000000,03200,0000,3200SUPPORT SURFACES 121186,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121186,A000000,03302,0000,3052AIR FLUID BEDS 121186,A000000,03400,0000,3400CLINIC 121186,A000000,03500,0000,3500RURAL HEALTH CLINIC 121186,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121186,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121186,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121186,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121186,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121186,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121186,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121186,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121186,A000000,04400,0000,4400DME RENTED - HHA 121186,A000000,04500,0000,4500DME SOLD - HHA 121186,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121186,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121186,A000000,04800,0000,4800AMBULANCE 121186,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 121186,A000000,05000,0000,5000CORF 121186,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121186,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121186,A000000,05300,0000,5300INTEREST EXPENSE 121186,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121186,A000000,05500,0000,5500HOSPICE 121186,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121186,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121186,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121186,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121186,A000000,06100,0000,6100NONPAID WORKERS 121186,A000000,06200,0000,6200PATIENTS LAUNDRY 121186,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121186,A81000A,00100,0100,Y 121186,A81000B,00100,0300,INTEREST EXPENSE 121186,A81000B,00200,0300,ADMIN/OWNER COST 121186,A81000C,00100,0100,A 121186,A81000C,00100,0200,RALPH & JEANINE MARRINSON 121186,A81000C,00100,0400,MANOR PINES CONVALESCENT 121186,A81000C,00100,0600,SNF 121186,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121186,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 121186,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121186,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121186,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121186,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121186,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 121186,S000000,00100,0200,01/31/01 121186,S200000,00100,0100,2121 E. COMMERCIAL BLVD 121186,S200000,00200,0100,FT LAUDERDALE 121186,S200000,00200,0200,FL 121186,S200000,00200,0300,33308- 121186,S200000,00300,0100,BROWARD 121186,S200000,00300,0200,2680 121186,S200000,00300,0300,U 121186,S200000,00400,0100,MANOR OAKS INC. 121186,S200000,00400,0200,105205 121186,S200000,00400,0300,09/03/74 121186,S200000,00400,0500,P 121186,S200000,01500,0100,Y 121186,S200000,01600,0100,N 121186,S200000,01700,0100,N 121186,S200000,01800,0100,N 121186,S200000,02200,0100,Y 121186,S200000,02800,0100,N 121186,S200000,02900,0100,N 121186,S200000,03000,0100,N 121186,S200000,03100,0100,N 121186,S200000,03200,0100,N 121186,S200000,04100,0100,N 121186,S200000,04200,0100,N 121186,S200000,04300,0100,N 121186,S200000,04600,0100,N 121186,S200000,04700,0100,N 121186,S200000,04700,0200,N 121186,S200000,04900,0100,N 121186,S200000,05000,0100,N 121186,S200000,05100,0100,N 121186,S200000,05200,0100,N 121190,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121190,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121190,A000000,00300,0000,0300EMPLOYEE BENEFITS 121190,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121190,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121190,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121190,A000000,00700,0000,0700HOUSEKEEPING 121190,A000000,00800,0000,0800DIETARY 121190,A000000,00900,0000,0900NURSING ADMINISTRATION 121190,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121190,A000000,01100,0000,1100PHARMACY 121190,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121190,A000000,01300,0000,1300SOCIAL SERVICE 121190,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121190,A000000,01600,0000,1600SKILLED NURSING FACILITY 121190,A000000,01800,0000,1800NURSING FACILITY 121190,A000000,02100,0000,2100RADIOLOGY 121190,A000000,02200,0000,2200LABORATORY 121190,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121190,A000000,02500,0000,2500PHYSICAL THERAPY 121190,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121190,A000000,02700,0000,2700SPEECH PATHOLOGY 121190,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121190,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121190,A000000,05000,0000,5000CORF 121190,A000000,05010,0000,5010CMHC 121190,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121190,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121190,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121190,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121190,A000000,06200,0000,6200PATIENTS LAUNDRY 121190,A000000,06300,0000,6150PATIENT PERSONAL NEEDS 121190,A81000A,00100,0100,Y 121190,A81000B,00100,0300,UNIFORMS 121190,A81000B,00200,0300,NRSG SUPPLIES 121190,A81000B,00300,0300,NRSG FORMS 121190,A81000B,00400,0300,NON-PRESCRIPTION DRU 121190,A81000B,00500,0300,PT PERSONAL NEEDS 121190,A81000B,00600,0300,CHARGEABLE MED SUPP 121190,A81000B,00700,0300,THERAPY SUPP 121190,A81000B,00800,0300,UNIFORMS 121190,A81000B,00900,0300,SUPPLIES 121190,A81000B,01000,0300,UNIFORMS 121190,A81000B,01100,0300,SUPPLIES 121190,A81000B,01200,0300,UNIFORMS 121190,A81000B,01300,0300,SUPPLIES 121190,A81000B,01400,0300,SUPPLIES 121190,A81000B,01500,0300,SUPPLIES 121190,A81000B,01600,0300,FORMS 121190,A81000B,01700,0300,MAINTENANCE 121190,A81000B,01800,0300,SUPPLIES 121190,A81000B,01900,0300,THERAPY EXPENSE 121190,A81000B,02000,0300,HOME OFFICE COSTS 121190,A81000C,00100,0100,A 121190,A81000C,00100,0200,SEE HCFA 339 121190,A81000C,00100,0400,DELTA HEALTH GR 121190,A81000C,00100,0600,OPERATES NRSG H 121190,A81000C,00200,0100,A 121190,A81000C,00200,0200,SEE HCFA 339 121190,A81000C,00200,0400,DELTA DURABLES 121190,A81000C,00200,0600,HEALTH CARE SUP 121190,A81000C,00300,0100,A 121190,A81000C,00300,0200,SEE HCFA 339 121190,A81000C,00300,0400,DELTA REHAB 121190,A81000C,00300,0600,THERAPY PROVIDE 121190,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121190,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121190,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121190,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121190,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 121190,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121190,B100000,00000,0800,0800MEALS SERVED :DIETARY 121190,B100000,00000,0900,0950SQUARE FEET :NURSING ADMINISTRA 121190,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 121190,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 121190,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 121190,S000000,00100,0200,01/03/01 121190,S200000,00100,0100,4343 LANGLEY AVE 121190,S200000,00200,0100,PENSACOLA 121190,S200000,00200,0200,FL 121190,S200000,00200,0300,32504- 121190,S200000,00300,0100,ESCAMBIA 121190,S200000,00300,0200,6080 121190,S200000,00300,0300,U 121190,S200000,00400,0100,BAYSIDE MANOR 121190,S200000,00400,0200,105267 121190,S200000,00400,0300,06/30/94 121190,S200000,00400,0500,P 121190,S200000,00400,0600,O 121190,S200000,00600,0200,105267 121190,S200000,00600,0300,06/30/94 121190,S200000,00600,0600,O 121190,S200000,01500,0100,N 121190,S200000,01600,0100,Y 121190,S200000,01700,0100,N 121190,S200000,01800,0100,N 121190,S200000,02200,0100,N 121190,S200000,02800,0100,N 121190,S200000,02900,0100,N 121190,S200000,03000,0100,N 121190,S200000,03100,0100,N 121190,S200000,03200,0100,N 121190,S200000,04100,0100,N 121190,S200000,04200,0100,N 121190,S200000,04300,0100,N 121190,S200000,04600,0100,N 121190,S200000,04700,0100,N 121190,S200000,04700,0200,N 121190,S200000,04900,0100,N 121190,S200000,05000,0100,N 121190,S200000,05100,0100,N 121190,S200000,05200,0100,N 121191,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121191,A000000,00300,0000,0300EMPLOYEE BENEFITS 121191,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121191,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121191,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121191,A000000,00700,0000,0700HOUSEKEEPING 121191,A000000,00800,0000,0800DIETARY 121191,A000000,00900,0000,0900NURSING ADMINISTRATION 121191,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121191,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121191,A000000,01300,0000,1300SOCIAL SERVICE 121191,A000000,01600,0000,1600SKILLED NURSING FACILITY 121191,A000000,01800,0000,1800NURSING FACILITY 121191,A000000,02100,0000,2100RADIOLOGY 121191,A000000,02200,0000,2200LABORATORY 121191,A000000,02500,0000,2500PHYSICAL THERAPY 121191,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121191,A000000,02700,0000,2700SPEECH PATHOLOGY 121191,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121191,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121191,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121191,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121191,A81000A,00100,0100,Y 121191,A81000B,00100,0300,RENT EXP (REPLACED W/ALLOW INTEREST) 121191,A81000B,00200,0300,ALLOWABLE INTEREST (REPLACES RENT) 121191,A81000B,00300,0300,ALLOWABLE DEPREC (REPLACES RENT) 121191,A81000B,00400,0300,GROUP HEALTH INSURANCE 121191,A81000B,00500,0300,MANAGEMENT FEES 121191,A81000B,00600,0300,HOME OFFICE PROPERTY COSTS 121191,A81000B,00700,0300,WORKERS COMPENSATION 121191,A81000C,00100,0100,A 121191,A81000C,00100,0200,R. BRENT MAGGIO 121191,A81000C,00100,0400,PANHANDLE NURSING 121191,A81000C,00100,0600,PROPERTY MGMT CO 121191,A81000C,00200,0100,A 121191,A81000C,00200,0200,R. BRENT MAGGIO 121191,A81000C,00200,0400,PANHANDLE NURSING 121191,A81000C,00200,0600,PROPERTY MGMT CO 121191,A81000C,00300,0100,A 121191,A81000C,00300,0200,R. BRENT MAGGIO 121191,A81000C,00300,0400,PANHANDLE NURSING 121191,A81000C,00300,0600,PROPERTY MGMT CO 121191,A81000C,00400,0100,A 121191,A81000C,00400,0200,R. BRENT MAGGIO 121191,A81000C,00400,0400,NAT L BENEFIT RESOURCE AD 121191,A81000C,00400,0600,EMPLOYEE BENEFIT INS CO 121191,A81000C,00500,0100,A 121191,A81000C,00500,0200,R. BRENT MAGGIO 121191,A81000C,00500,0400,EMERALD HEALTHCARE INC 121191,A81000C,00500,0600,MANAGEMENT CO 121191,A81000C,00600,0100,A 121191,A81000C,00600,0200,R. BRENT MAGGIO 121191,A81000C,00600,0400,EMERALD HEALTHCARE INC 121191,A81000C,00600,0600,MANAGEMENT CO 121191,A81000C,00700,0100,A 121191,A81000C,00700,0200,R. BRENT MAGGIO 121191,A81000C,00700,0400,NAT L BENEFIT RESOURCE AD 121191,A81000C,00700,0600,EMPLOYEE BENEFIT INS CO 121191,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121191,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121191,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121191,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121191,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 121191,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121191,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 121191,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 121191,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 121191,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 121191,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 121191,S000000,00100,0200,12/28/00 121191,S200000,00100,0100,1 LBJ SR. DRIVE 121191,S200000,00200,0100,FT. WALTON BEACH 121191,S200000,00200,0200,FL 121191,S200000,00200,0300,32547- 121191,S200000,00300,0100,OKALOOSA 121191,S200000,00300,0200,2750 121191,S200000,00300,0300,U 121191,S200000,00400,0100,FT. WALTON BEACH CARE CENTER 121191,S200000,00400,0200,105295 121191,S200000,00400,0300,03/01/92 121191,S200000,00400,0500,P 121191,S200000,01004,0500,O 121191,S200000,01500,0100,N 121191,S200000,01600,0100,Y 121191,S200000,01700,0100,N 121191,S200000,01800,0100,N 121191,S200000,02200,0100,N 121191,S200000,02800,0100,N 121191,S200000,02900,0100,N 121191,S200000,03000,0100,N 121191,S200000,03100,0100,N 121191,S200000,03200,0100,N 121191,S200000,04100,0100,N 121191,S200000,04200,0100,N 121191,S200000,04300,0100,N 121191,S200000,04600,0100,N 121191,S200000,04700,0100,N 121191,S200000,04700,0200,N 121191,S200000,04900,0100,N 121191,S200000,05000,0100,N 121191,S200000,05100,0100,N 121191,S200000,05200,0100,N 121194,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121194,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121194,A000000,00300,0000,0300EMPLOYEE BENEFITS 121194,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121194,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121194,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121194,A000000,00700,0000,0700HOUSEKEEPING 121194,A000000,00800,0000,0800DIETARY 121194,A000000,00900,0000,0900NURSING ADMINISTRATION 121194,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121194,A000000,01100,0000,1100PHARMACY 121194,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121194,A000000,01300,0000,1300SOCIAL SERVICE 121194,A000000,01600,0000,1600SKILLED NURSING FACILITY 121194,A000000,01800,0000,1800NURSING FACILITY 121194,A000000,02100,0000,2100RADIOLOGY 121194,A000000,02200,0000,2200LABORATORY 121194,A000000,02300,0000,2300INTRAVENOUS THERAPY 121194,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121194,A000000,02500,0000,2500PHYSICAL THERAPY 121194,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121194,A000000,02700,0000,2700SPEECH PATHOLOGY 121194,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121194,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121194,A000000,03200,0000,3200SUPPORT SURFACES 121194,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121194,A81000A,00100,0100,Y 121194,A81000B,00100,0300,MANAGEMENT FEES 121194,A81000B,00200,0300,NURSING SUPPLIES 121194,A81000B,00300,0300,MEDICAL SUPPLIES 121194,A81000C,00100,0100,B 121194,A81000C,00100,0200,DIVERSICARE MGM 121194,A81000C,00100,0400,ADVOCAT INC. 121194,A81000C,00100,0600,HOME OFFICE/ MG 121194,A81000C,00200,0100,B 121194,A81000C,00200,0200,ADVOCAT DISTR S 121194,A81000C,00200,0400,ADVOCAT INC. 121194,A81000C,00200,0600,MEDICAL SUPPLIE 121194,A81000C,00300,0100,B 121194,A81000C,00300,0200,ADVOCAT DISTR S 121194,A81000C,00300,0400,ADVOCAT INC. 121194,A81000C,00300,0600,MEDICAL SUPPLIE 121194,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121194,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 121194,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121194,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121194,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121194,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 121194,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121194,B100000,00000,0800,0850PATIENT DAYS :DIETARY 121194,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 121194,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 121194,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 121194,S000000,00100,0200,06/02/00 121194,S200000,00100,0100,715 EASTY DIXIE AVENUE 121194,S200000,00200,0100,LEESBURG 121194,S200000,00200,0200,FL 121194,S200000,00200,0300,34748- 121194,S200000,00300,0100,MARION 121194,S200000,00300,0200,5960 121194,S200000,00300,0300,U 121194,S200000,00400,0100,LEESBURG NURSING CENTER 121194,S200000,00400,0200,105375 121194,S200000,00400,0300,05/10/94 121194,S200000,00400,0500,P 121194,S200000,01500,0100,N 121194,S200000,01600,0100,Y 121194,S200000,01700,0100,N 121194,S200000,01800,0100,N 121194,S200000,02200,0100,Y 121194,S200000,02800,0100,N 121194,S200000,02900,0100,N 121194,S200000,03000,0100,N 121194,S200000,03100,0100,N 121194,S200000,03200,0100,N 121194,S200000,04100,0100,N 121194,S200000,04200,0100,N 121194,S200000,04300,0100,N 121194,S200000,04600,0100,N 121194,S200000,04700,0100,N 121194,S200000,04700,0200,N 121194,S200000,04900,0100,N 121194,S200000,05000,0100,N 121194,S200000,05100,0100,N 121194,S200000,05200,0100,N 121196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121196,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121196,A000000,00300,0000,0300EMPLOYEE BENEFITS 121196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121196,A000000,00700,0000,0700HOUSEKEEPING 121196,A000000,00800,0000,0800DIETARY 121196,A000000,00900,0000,0900NURSING ADMINISTRATION 121196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121196,A000000,01100,0000,1100PHARMACY 121196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121196,A000000,01300,0000,1300SOCIAL SERVICE 121196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121196,A000000,01500,0000,1350OTHER GENERAL SERVICES 121196,A000000,01600,0000,1600SKILLED NURSING FACILITY 121196,A000000,01800,0000,1800NURSING FACILITY 121196,A000000,01810,0000,1810ICF/MR 121196,A000000,01900,0000,1900OTHER LONG TERM CARE 121196,A000000,02100,0000,2100RADIOLOGY 121196,A000000,02200,0000,2200LABORATORY 121196,A000000,02300,0000,2300INTRAVENOUS THERAPY 121196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121196,A000000,02500,0000,2500PHYSICAL THERAPY 121196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121196,A000000,02700,0000,2700SPEECH PATHOLOGY 121196,A000000,02800,0000,2800ELECTROCARDIOLOGY 121196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121196,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121196,A000000,03200,0000,3200SUPPORT SURFACES 121196,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121196,A000000,03400,0000,3400CLINIC 121196,A000000,03500,0000,3500RURAL HEALTH CLINIC 121196,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121196,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121196,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121196,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121196,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121196,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121196,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121196,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121196,A000000,04400,0000,4400DME RENTED - HHA 121196,A000000,04500,0000,4500DME SOLD - HHA 121196,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121196,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121196,A000000,04800,0000,4800AMBULANCE 121196,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 121196,A000000,05000,0000,5000CORF 121196,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121196,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121196,A000000,05300,0000,5300INTEREST EXPENSE 121196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121196,A000000,05500,0000,5500HOSPICE 121196,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121196,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121196,A000000,06100,0000,6100NONPAID WORKERS 121196,A000000,06200,0000,6200PATIENTS LAUNDRY 121196,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121196,A81000A,00100,0100,Y 121196,A81000B,00100,0300,HOME OFFICE CAPITAL 121196,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 121196,A81000B,00300,0300,THERAPY EXPENSE 121196,A81000C,00100,0100,B 121196,A81000C,00100,0200,TANDEM HEALTH CARE INC. 121196,A81000C,00100,0600,HOME OFFICE 121196,A81000C,00200,0100,B 121196,A81000C,00200,0200,TANDEM HEALTH CARE INC. 121196,A81000C,00200,0600,HOME OFFICE 121196,A81000C,00300,0100,A 121196,A81000C,00300,0400,TANDEM REHABILITATION IN 121196,A81000C,00300,0600,THERAPY PROVIDER 121196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 121196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121196,B100000,00000,0800,0850PATIENT DAYS :DIETARY 121196,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 121196,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 121196,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 121196,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 121196,S000000,00100,0200,11/01/00 121196,S200000,00100,0100,1626 DAVIS ROAD 121196,S200000,00200,0100,WEST PALM BEACH 121196,S200000,00200,0200,FL 121196,S200000,00200,0300,33406- 121196,S200000,00300,0100,PALM BEACH 121196,S200000,00300,0200,8960 121196,S200000,00300,0300,U 121196,S200000,00400,0100,THC OF WEST PALM BEACH INC. 121196,S200000,00400,0200,105492 121196,S200000,00400,0300,02/28/94 121196,S200000,00400,0500,P 121196,S200000,01004,0500,O 121196,S200000,01500,0100,N 121196,S200000,01600,0100,Y 121196,S200000,01700,0100,N 121196,S200000,01800,0100,N 121196,S200000,02200,0100,N 121196,S200000,02800,0100,N 121196,S200000,02900,0100,N 121196,S200000,03000,0100,N 121196,S200000,03100,0100,N 121196,S200000,03200,0100,N 121196,S200000,04100,0100,N 121196,S200000,04200,0100,N 121196,S200000,04300,0100,N 121196,S200000,04600,0100,N 121196,S200000,04700,0100,N 121196,S200000,04700,0200,N 121196,S200000,04900,0100,N 121196,S200000,05000,0100,N 121196,S200000,05100,0100,N 121196,S200000,05200,0100,N 121198,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121198,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121198,A000000,00300,0000,0300EMPLOYEE BENEFITS 121198,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121198,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121198,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121198,A000000,00700,0000,0700HOUSEKEEPING 121198,A000000,00800,0000,0800DIETARY 121198,A000000,00900,0000,0900NURSING ADMINISTRATION 121198,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121198,A000000,01100,0000,1100PHARMACY 121198,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121198,A000000,01300,0000,1300SOCIAL SERVICE 121198,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121198,A000000,01500,0000,1350OTHER GENERAL SERVICES 121198,A000000,01600,0000,1600SKILLED NURSING FACILITY 121198,A000000,01800,0000,1800NURSING FACILITY 121198,A000000,01900,0000,1900OTHER LONG TERM CARE 121198,A000000,02100,0000,2100RADIOLOGY 121198,A000000,02200,0000,2200LABORATORY 121198,A000000,02300,0000,2300INTRAVENOUS THERAPY 121198,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121198,A000000,02500,0000,2500PHYSICAL THERAPY 121198,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121198,A000000,02700,0000,2700SPEECH PATHOLOGY 121198,A000000,02800,0000,2800ELECTROCARDIOLOGY 121198,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121198,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121198,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121198,A000000,03200,0000,3200SUPPORT SURFACES 121198,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 121198,A000000,03400,0000,3400CLINIC 121198,A000000,03500,0000,3500RURAL HEALTH CLINIC 121198,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121198,A000000,04800,0000,4800AMBULANCE 121198,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 121198,A000000,05000,0000,5000CORF 121198,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121198,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121198,A000000,05300,0000,5300INTEREST EXPENSE 121198,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121198,A000000,05500,0000,5500HOSPICE 121198,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121198,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121198,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121198,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121198,A000000,06100,0000,6100NONPAID WORKERS 121198,A000000,06200,0000,6200PATIENTS LAUNDRY 121198,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121198,A81000A,00100,0100,Y 121198,A81000B,00100,0300,PHYSICAL THERAPY SERVICES 121198,A81000B,00200,0300,OCCUPATIONAL THERAPY SERVICES 121198,A81000B,00300,0300,SPEECH THERAPY SERVICES 121198,A81000B,00400,0300,ADMIN SALARIES 121198,A81000B,00500,0300,DIRECTORS FEES 121198,A81000C,00100,0100,A 121198,A81000C,00100,0200,DAVIS W. KING 121198,A81000C,00100,0400,SOUTH GEORGIA REHAB INC. 121198,A81000C,00100,0600,THERAPY SERVICES PROVIDER 121198,A81000C,00200,0100,G 121198,A81000C,00200,0200,DAVIS W. KING 121198,A81000C,00300,0100,G 121198,A81000C,00300,0200,DOUGLAS L. MOODY 121198,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 121198,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 121198,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 121198,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121198,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 121198,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 121198,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 121198,B100000,00000,0800,0800PATIENT DAYS DIETARY 121198,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 121198,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 121198,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 121198,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 121198,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 121198,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 121198,B100000,00000,1500,1500NO STATISTICS OTHER GENER 121198,S000000,00100,0200,03/02/01 121198,S200000,00100,0100,223 3RD AVENUE 121198,S200000,00200,0100,ALBANY 121198,S200000,00200,0200,GA 121198,S200000,00200,0300,31707- 121198,S200000,00300,0100,DOUGHERTY 121198,S200000,00300,0200,0120 121198,S200000,00300,0300,U 121198,S200000,00400,0100,ALBANY HEALTH CARE INC. 121198,S200000,00400,0200,115625 121198,S200000,00400,0300,01/01/97 121198,S200000,00400,0500,P 121198,S200000,00400,0600,N 121198,S200000,01500,0100,Y 121198,S200000,01600,0100,N 121198,S200000,01700,0100,N 121198,S200000,01800,0100,N 121198,S200000,02200,0100,N 121198,S200000,02800,0100,N 121198,S200000,02900,0100,N 121198,S200000,03000,0100,N 121198,S200000,03100,0100,N 121198,S200000,03200,0100,N 121198,S200000,03300,0100,N 121198,S200000,03300,0200,N 121198,S200000,04100,0100,N 121198,S200000,04200,0100,N 121198,S200000,04300,0100,N 121198,S200000,04600,0100,N 121198,S200000,04700,0100,N 121198,S200000,04700,0200,N 121198,S200000,04900,0100,N 121198,S200000,05200,0100,N 121198,S700003,00000,0400,X 121199,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121199,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121199,A000000,00300,0000,0300EMPLOYEE BENEFITS 121199,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121199,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121199,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121199,A000000,00700,0000,0700HOUSEKEEPING 121199,A000000,00800,0000,0800DIETARY 121199,A000000,00900,0000,0900NURSING ADMINISTRATION 121199,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121199,A000000,01100,0000,1100PHARMACY 121199,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121199,A000000,01300,0000,1300SOCIAL SERVICE 121199,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121199,A000000,01600,0000,1600SKILLED NURSING FACILITY 121199,A000000,01800,0000,1800NURSING FACILITY 121199,A000000,01900,0000,1900OTHER LONG TERM CARE 121199,A000000,02100,0000,2100RADIOLOGY 121199,A000000,02200,0000,2200LABORATORY 121199,A000000,02300,0000,2300INTRAVENOUS THERAPY 121199,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121199,A000000,02500,0000,2500PHYSICAL THERAPY 121199,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121199,A000000,02700,0000,2700SPEECH PATHOLOGY 121199,A000000,02800,0000,2800ELECTROCARDIOLOGY 121199,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121199,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121199,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121199,A000000,03200,0000,3200SUPPORT SURFACES 121199,A000000,03400,0000,3400CLINIC 121199,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121199,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121199,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121199,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121199,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121199,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121199,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121199,A000000,04400,0000,4400DME RENTED - HHA 121199,A000000,04500,0000,4500DME SOLD - HHA 121199,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121199,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121199,A000000,04800,0000,4800AMBULANCE 121199,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 121199,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121199,A000000,05300,0000,5300INTEREST EXPENSE 121199,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121199,A000000,05500,0000,5500HOSPICE 121199,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121199,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121199,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121199,A000000,06100,0000,6100NONPAID WORKERS 121199,A000000,06200,0000,6200PATIENTS LAUNDRY 121199,A81000A,00100,0100,N 121199,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 121199,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 121199,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 121199,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121199,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 121199,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 121199,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 121199,B100000,00000,0800,0800PAT DAYS DIETARY 121199,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 121199,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 121199,B100000,00000,1100,1100PAT DAYS PHARMACY 121199,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 121199,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 121199,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 121199,S000000,00100,0200,11/22/00 121199,S200000,00100,0100,6711 LAROCHE AVENUE 121199,S200000,00200,0100,SAVANNAH 121199,S200000,00200,0200,GA 121199,S200000,00200,0300,31406 121199,S200000,00300,0100,CHATHAM 121199,S200000,00300,0200,7520 121199,S200000,00300,0300,U 121199,S200000,00400,0100,CHATHAM NURSING HOME 121199,S200000,00400,0200,115641 121199,S200000,00400,0300,07/01/97 121199,S200000,00400,0500,P 121199,S200000,00600,0200,115641 121199,S200000,00600,0300,07/01/97 121199,S200000,00600,0600,O 121199,S200000,01500,0100,N 121199,S200000,01600,0100,Y 121199,S200000,01700,0100,N 121199,S200000,01800,0100,N 121199,S200000,01900,0100,NONPROFIT CORP 121199,S200000,02200,0100,Y 121199,S200000,02800,0100,N 121199,S200000,02900,0100,N 121199,S200000,03000,0100,N 121199,S200000,03100,0100,N 121199,S200000,03200,0100,N 121199,S200000,03300,0100,N 121199,S200000,03300,0200,N 121199,S200000,03500,0300,N 121199,S200000,03600,0100,N 121199,S200000,03600,0200,N 121199,S200000,03700,0100,N 121199,S200000,03700,0200,N 121199,S200000,04100,0100,N 121199,S200000,04200,0100,N 121199,S200000,04300,0100,N 121199,S200000,04600,0100,N 121199,S200000,04700,0100,N 121199,S200000,04900,0100,N 121199,S200000,05200,0100,N 121199,S700003,00000,0400,X 121200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121200,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121200,A000000,00300,0000,0300EMPLOYEE BENEFITS 121200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121200,A000000,00700,0000,0700HOUSEKEEPING 121200,A000000,00800,0000,0800DIETARY 121200,A000000,00900,0000,0900NURSING ADMINISTRATION 121200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121200,A000000,01100,0000,1100PHARMACY 121200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121200,A000000,01300,0000,1300SOCIAL SERVICE 121200,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121200,A000000,01600,0000,1600SKILLED NURSING FACILITY 121200,A000000,01900,0000,1900OTHER LONG TERM CARE 121200,A000000,02100,0000,2100RADIOLOGY 121200,A000000,02200,0000,2200LABORATORY 121200,A000000,02300,0000,2300INTRAVENOUS THERAPY 121200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121200,A000000,02500,0000,2500PHYSICAL THERAPY 121200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121200,A000000,02700,0000,2700SPEECH PATHOLOGY 121200,A000000,02800,0000,2800ELECTROCARDIOLOGY 121200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121200,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121200,A000000,03200,0000,3200SUPPORT SURFACES 121200,A000000,03400,0000,3400CLINIC 121200,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121200,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121200,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121200,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121200,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121200,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121200,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121200,A000000,04400,0000,4400DME RENTED - HHA 121200,A000000,04500,0000,4500DME SOLD - HHA 121200,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121200,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121200,A000000,04800,0000,4800AMBULANCE 121200,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 121200,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121200,A000000,05300,0000,5300INTEREST EXPENSE 121200,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121200,A000000,05500,0000,5500HOSPICE 121200,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121200,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121200,A000000,06100,0000,6100NONPAID WORKERS 121200,A000000,06200,0000,6200PATIENTS LAUNDRY 121200,A81000A,00100,0100,Y 121200,A81000B,00100,0300,MANAGEMENT FEES 121200,A81000B,00200,0300,CAPITAL - BUILDING 121200,A81000B,00300,0300,CAPITAL - EQUIPMENT 121200,A81000C,00100,0100,A 121200,A81000C,00100,0200,T.B. STROUD 121200,A81000C,00100,0400,COASTAL HEALTH 121200,A81000C,00100,0600,MANAGEMENT 121200,A81000C,00200,0100,A 121200,A81000C,00200,0200,J.B. STROUD 121200,A81000C,00200,0400,MANAGEMENT 121200,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 121200,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 121200,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 121200,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121200,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 121200,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 121200,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 121200,B100000,00000,0800,0800PAT DAYS DIETARY 121200,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 121200,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 121200,B100000,00000,1100,1100PAT DAYS PHARMACY 121200,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 121200,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 121200,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 121200,S000000,00100,0200,11/10/00 121200,S200000,00200,0100,RICHMOND HILL 121200,S200000,00200,0200,GA 121200,S200000,00200,0300,31324 121200,S200000,00300,0100,BRYAN 121200,S200000,00300,0200,7520 121200,S200000,00300,0300,U 121200,S200000,00400,0100,BRYAN COUNTY HEALTH & REHABILITATION 121200,S200000,00400,0200,115621 121200,S200000,00400,0300,11/01/96 121200,S200000,00400,0500,P 121200,S200000,00400,0600,O 121200,S200000,01500,0100,Y 121200,S200000,01600,0100,N 121200,S200000,01700,0100,N 121200,S200000,01800,0100,N 121200,S200000,02200,0100,Y 121200,S200000,02800,0100,N 121200,S200000,02900,0100,N 121200,S200000,03000,0100,N 121200,S200000,03100,0100,N 121200,S200000,03200,0100,N 121200,S200000,03300,0100,N 121200,S200000,03300,0200,N 121200,S200000,03600,0100,N 121200,S200000,03600,0200,N 121200,S200000,03700,0100,N 121200,S200000,03700,0200,N 121200,S200000,04100,0100,N 121200,S200000,04200,0100,N 121200,S200000,04300,0100,N 121200,S200000,04600,0100,N 121200,S200000,04700,0100,N 121200,S200000,04900,0100,N 121200,S200000,05200,0100,N 121200,S700003,00000,0400,X 121202,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121202,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121202,A000000,00300,0000,0300EMPLOYEE BENEFITS 121202,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121202,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121202,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121202,A000000,00700,0000,0700HOUSEKEEPING 121202,A000000,00800,0000,0800DIETARY 121202,A000000,00900,0000,0900NURSING ADMINISTRATION 121202,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121202,A000000,01100,0000,1100PHARMACY 121202,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121202,A000000,01300,0000,1300SOCIAL SERVICE 121202,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121202,A000000,01600,0000,1600SKILLED NURSING FACILITY 121202,A000000,01800,0000,1800NURSING FACILITY 121202,A000000,01900,0000,1900OTHER LONG TERM CARE 121202,A000000,02100,0000,2100RADIOLOGY 121202,A000000,02200,0000,2200LABORATORY 121202,A000000,02300,0000,2300INTRAVENOUS THERAPY 121202,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121202,A000000,02500,0000,2500PHYSICAL THERAPY 121202,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121202,A000000,02700,0000,2700SPEECH PATHOLOGY 121202,A000000,02800,0000,2800ELECTROCARDIOLOGY 121202,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121202,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121202,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121202,A000000,03200,0000,3200SUPPORT SURFACES 121202,A000000,03400,0000,3400CLINIC 121202,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121202,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121202,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121202,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121202,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121202,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121202,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121202,A000000,04400,0000,4400DME RENTED - HHA 121202,A000000,04500,0000,4500DME SOLD - HHA 121202,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121202,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121202,A000000,04800,0000,4800AMBULANCE 121202,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 121202,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121202,A000000,05300,0000,5300INTEREST EXPENSE 121202,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121202,A000000,05500,0000,5500HOSPICE 121202,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121202,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121202,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121202,A000000,06100,0000,6100NONPAID WORKERS 121202,A000000,06200,0000,6200PATIENTS LAUNDRY 121202,A81000A,00100,0100,N 121202,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 121202,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 121202,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 121202,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121202,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 121202,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 121202,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 121202,B100000,00000,0800,0800PAT DAYS DIETARY 121202,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 121202,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 121202,B100000,00000,1100,1100PAT DAYS PHARMACY 121202,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 121202,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 121202,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 121202,S000000,00100,0200,11/22/00 121202,S200000,00100,0100,ROUTE 1 121202,S200000,00200,0100,MARSHALLVILLE 121202,S200000,00200,0200,GA 121202,S200000,00200,0300,31057 121202,S200000,00300,0100,MACON 121202,S200000,00300,0200,0011 121202,S200000,00300,0300,R 121202,S200000,00400,0100,THE OAKS NURSING HOME INC. 121202,S200000,00400,0200,115627 121202,S200000,00400,0300,01/14/97 121202,S200000,00400,0500,P 121202,S200000,00400,0600,O 121202,S200000,01500,0100,Y 121202,S200000,01600,0100,N 121202,S200000,01700,0100,N 121202,S200000,01800,0100,N 121202,S200000,02200,0100,N 121202,S200000,02800,0100,N 121202,S200000,02900,0100,N 121202,S200000,03000,0100,N 121202,S200000,03100,0100,N 121202,S200000,03200,0100,N 121202,S200000,03300,0100,N 121202,S200000,03300,0200,N 121202,S200000,03500,0300,N 121202,S200000,03600,0100,N 121202,S200000,03600,0200,N 121202,S200000,03700,0100,N 121202,S200000,03700,0200,N 121202,S200000,04100,0100,N 121202,S200000,04200,0100,N 121202,S200000,04300,0100,N 121202,S200000,04600,0100,N 121202,S200000,04700,0100,N 121202,S200000,04900,0100,N 121202,S200000,05200,0100,N 121202,S700003,00000,0400,X 121203,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121203,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121203,A000000,00300,0000,0300EMPLOYEE BENEFITS 121203,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121203,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121203,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121203,A000000,00700,0000,0700HOUSEKEEPING 121203,A000000,00800,0000,0800DIETARY 121203,A000000,00900,0000,0900NURSING ADMINISTRATION 121203,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121203,A000000,01100,0000,1100PHARMACY 121203,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121203,A000000,01300,0000,1300SOCIAL SERVICE 121203,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121203,A000000,01600,0000,1600SKILLED NURSING FACILITY 121203,A000000,01900,0000,1900OTHER LONG TERM CARE 121203,A000000,02100,0000,2100RADIOLOGY 121203,A000000,02200,0000,2200LABORATORY 121203,A000000,02300,0000,2300INTRAVENOUS THERAPY 121203,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121203,A000000,02500,0000,2500PHYSICAL THERAPY 121203,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121203,A000000,02700,0000,2700SPEECH PATHOLOGY 121203,A000000,02800,0000,2800ELECTROCARDIOLOGY 121203,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121203,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121203,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121203,A000000,03200,0000,3200SUPPORT SURFACES 121203,A000000,03400,0000,3400CLINIC 121203,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 121203,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 121203,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 121203,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 121203,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 121203,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 121203,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 121203,A000000,04400,0000,4400DME RENTED - HHA 121203,A000000,04500,0000,4500DME SOLD - HHA 121203,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 121203,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 121203,A000000,04800,0000,4800AMBULANCE 121203,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 121203,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121203,A000000,05300,0000,5300INTEREST EXPENSE 121203,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121203,A000000,05500,0000,5500HOSPICE 121203,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121203,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121203,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 121203,A000000,06100,0000,6100NONPAID WORKERS 121203,A000000,06200,0000,6200PATIENTS LAUNDRY 121203,A81000A,00100,0100,Y 121203,A81000B,00100,0300,MANAGEMENT FEES 121203,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOCATION 121203,A81000B,00300,0300,ADMINISTRATOR SALARY 121203,A81000B,00400,0300,ADMINISTRATOR BENEFITS 121203,A81000B,00500,0300,DIRECT ALLOCATION - INTEREST 121203,A81000B,00600,0300,CAPITAL 121203,A81000C,00100,0100,E 121203,A81000C,00100,0200,GIL HARRINGTON 121203,A81000C,00100,0400,PINE CARE MGMT 121203,A81000C,00100,0600,MANAGEMENT 121203,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 121203,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 121203,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 121203,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121203,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 121203,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 121203,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 121203,B100000,00000,0800,0800PAT DAYS DIETARY 121203,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 121203,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 121203,B100000,00000,1100,1100PAT DAYS PHARMACY 121203,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 121203,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 121203,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 121203,S000000,00100,0200,01/02/01 121203,S200000,00200,0100,ABBEVILLE 121203,S200000,00200,0200,GA 121203,S200000,00200,0300,31001 121203,S200000,00300,0100,WILCOX 121203,S200000,00300,0200,0011 121203,S200000,00300,0300,R 121203,S200000,00400,0100,RIVER WILLOWS NURSING CENTER 121203,S200000,00400,0200,115623 121203,S200000,00400,0300,01/01/97 121203,S200000,00400,0500,P 121203,S200000,00400,0600,O 121203,S200000,01500,0100,Y 121203,S200000,01600,0100,N 121203,S200000,01700,0100,N 121203,S200000,01800,0100,N 121203,S200000,02200,0100,Y 121203,S200000,02800,0100,N 121203,S200000,02900,0100,N 121203,S200000,03000,0100,N 121203,S200000,03100,0100,N 121203,S200000,03200,0100,N 121203,S200000,03300,0100,N 121203,S200000,03300,0200,N 121203,S200000,03600,0100,N 121203,S200000,03600,0200,N 121203,S200000,03700,0100,N 121203,S200000,03700,0200,N 121203,S200000,04100,0100,N 121203,S200000,04200,0100,N 121203,S200000,04300,0100,N 121203,S200000,04600,0100,N 121203,S200000,04700,0100,N 121203,S200000,04900,0100,N 121203,S200000,05200,0100,N 121203,S700003,00000,0400,X 121223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121223,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121223,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121223,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121223,A000000,00300,0000,0300EMPLOYEE BENEFITS 121223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121223,A000000,00700,0000,0700HOUSEKEEPING 121223,A000000,00800,0000,0800DIETARY 121223,A000000,00801,0000,0801CAFETERIA 121223,A000000,00900,0000,0900NURSING ADMINISTRATION 121223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121223,A000000,01100,0000,1100PHARMACY 121223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121223,A000000,01300,0000,1300SOCIAL SERVICE 121223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121223,A000000,01500,0000,1350ACTIVITIES 121223,A000000,01600,0000,1600SKILLED NURSING FACILITY 121223,A000000,01800,0000,1800NURSING FACILITY 121223,A000000,01810,0000,1810ICF/MR 121223,A000000,02100,0000,2100RADIOLOGY 121223,A000000,02200,0000,2200LABORATORY 121223,A000000,02300,0000,2300INTRAVENOUS THERAPY 121223,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121223,A000000,02500,0000,2500PHYSICAL THERAPY 121223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121223,A000000,02700,0000,2700SPEECH PATHOLOGY 121223,A000000,02800,0000,2800ELECTROCARDIOLOGY 121223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121223,A000000,03300,0000,3050PEN THERAPY 121223,A000000,03301,0000,3051FEE SCREENINGS 121223,A000000,03302,0000,3052OTHER ANCILLARY III 121223,A000000,03550,0000,3550FQHC 121223,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121223,A000000,05000,0000,5000CORF I 121223,A000000,05010,0000,5010CMHC I 121223,A000000,05020,0000,5020OPT I 121223,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121223,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121223,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121223,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121223,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121223,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121223,A81000A,00100,0100,Y 121223,A81000B,00100,0300,HOME OFFICE ALLOCATION 121223,A81000B,00200,0300,HOME OFFICE ALLOCATION 121223,A81000B,00300,0300,CAPITAL INTEREST 121223,A81000B,00400,0300,SEE ATTACHED 121223,A81000C,00100,0100,B 121223,A81000C,00100,0400,GHV 121223,A81000C,00100,0600,HOME OFFICE 121223,A81000C,00200,0100,B 121223,A81000C,00200,0400,GHV 121223,A81000C,00200,0600,HOME OFFICE 121223,A81000C,00300,0100,B 121223,A81000C,00300,0400,GHV 121223,A81000C,00300,0600,HOME OFFICE 121223,A81000C,00400,0100,B 121223,A81000C,00400,0400,SEE ATTACHED 121223,A81000C,00400,0600,VARIOUS 121223,B100000,00000,0100,0100(SQUARE FEET) 121223,B100000,00000,0101,0101(SQUARE FEET) 121223,B100000,00000,0200,0200(SQUARE FEET) 121223,B100000,00000,0201,0201(SQUARE FEET) 121223,B100000,00000,0300,0300(GROSS SALARIES) 121223,B100000,00000,0400,0400(ACCUM. COST) 121223,B100000,00000,0500,0500(SQUARE FEET) 121223,B100000,00000,0600,0600(PATIENT DAYS) 121223,B100000,00000,0700,0700(SQUARE FEET) 121223,B100000,00000,0800,0800(MEALS SERVED) 121223,B100000,00000,0801,0801(MEALS SERVED) 121223,B100000,00000,0900,0900(NURSING SALARIES) 121223,B100000,00000,1000,1000(COSTED REQUIS.) 121223,B100000,00000,1100,1100(COSTED REQUIS.) 121223,B100000,00000,1200,1200(GROSS CHARGES) 121223,B100000,00000,1300,1300(PATIENT DAYS) 121223,B100000,00000,1400,1400(ASSIGNED TIME) 121223,B100000,00000,1500,1350(PATIENT DAYS) 121223,S000000,00100,0200,05/26/00 121223,S200000,00100,0100,841 MERRIMACK ST 121223,S200000,00200,0100,LOWELL 121223,S200000,00200,0200,MA 121223,S200000,00200,0300,01854 121223,S200000,00300,0100,MIDDLESEX 121223,S200000,00300,0200,1123 121223,S200000,00300,0300,U 121223,S200000,00400,0100,HERITAGE NURSING HOME 121223,S200000,00400,0200,225287 121223,S200000,00400,0300,11/13/86 121223,S200000,00400,0500,P 121223,S200000,01500,0100,N 121223,S200000,01600,0100,Y 121223,S200000,01700,0100,N 121223,S200000,01800,0100,N 121223,S200000,02200,0100,N 121223,S200000,02800,0100,N 121223,S200000,02900,0100,N 121223,S200000,03000,0100,N 121223,S200000,03100,0100,N 121223,S200000,03200,0100,N 121223,S200000,03300,0100,N 121223,S200000,03300,0200,N 121223,S200000,04100,0100,N 121223,S200000,04200,0100,N 121223,S200000,04300,0100,N 121223,S200000,04600,0100,N 121223,S200000,04700,0100,N 121223,S200000,04900,0100,N 121224,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121224,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121224,A000000,00300,0000,0300EMPLOYEE BENEFITS 121224,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121224,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121224,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121224,A000000,00700,0000,0700HOUSEKEEPING 121224,A000000,00800,0000,0800DIETARY 121224,A000000,00900,0000,0900NURSING ADMINISTRATION 121224,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121224,A000000,01100,0000,1100PHARMACY 121224,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121224,A000000,01300,0000,1300SOCIAL SERVICE 121224,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121224,A000000,01600,0000,1600SKILLED NURSING FACILITY 121224,A000000,01810,0000,1810ICF/MR 121224,A000000,02300,0000,2300INTRAVENOUS THERAPY 121224,A000000,02500,0000,2500PHYSICAL THERAPY 121224,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121224,A000000,02700,0000,2700SPEECH PATHOLOGY 121224,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121224,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121224,A000000,03550,0000,3550FQHC 121224,A000000,05000,0000,5000CORF 121224,A000000,05010,0000,5010CMHC 121224,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121224,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121224,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121224,A000000,05300,0000,5300INTEREST EXPENSE 121224,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 121224,A81000A,00100,0100,Y 121224,A81000B,00100,0300,PENSIONS AND OTHER BENEFITS 121224,A81000B,00200,0300,PAYROLL TAXES 121224,A81000B,00300,0300,WORKER S COMP 121224,A81000B,00400,0300,GROUP LIFE AND HEALTH 121224,A81000C,00100,0100,B 121224,A81000C,00100,0200,CITH OF CAMBRID 121224,A81000C,00100,0400,MUNICIPALITY 121224,A81000C,00100,0600,MINICIPALITY 121224,A81000C,00200,0100,B 121224,A81000C,00200,0200,CITY OF CAMBRID 121224,A81000C,00200,0400,MUNICIPALITY 121224,A81000C,00200,0600,MUNCIPALITY 121224,A81000C,00300,0100,B 121224,A81000C,00300,0200,CITY OF CAMBRID 121224,A81000C,00300,0400,MUNCIPALITY 121224,A81000C,00400,0100,B 121224,A81000C,00400,0200,CITY OF CAMBRID 121224,A81000C,00400,0400,MUNCIPALITY 121224,A81000C,00400,0600,MUNCIPALITY 121224,B100000,00000,0100,0100SQUARE FEET 121224,B100000,00000,0200,0200DOLLAR VALUE 121224,B100000,00000,0300,0300GROSS SALARIES 121224,B100000,00000,0400,0400ACCUM. COST 121224,B100000,00000,0500,0500SQUARE FEET 121224,B100000,00000,0600,0600POUNDS OF LAUNDRY 121224,B100000,00000,0700,0700HOURS OF SERVICE 121224,B100000,00000,0800,0800MEALS SERVED 121224,B100000,00000,0900,0900DIRECT NRSING HRS 121224,B100000,00000,1000,1000COSTED REQUIS. 121224,B100000,00000,1100,1100COSTED REQUIS. 121224,B100000,00000,1200,1200TIME SPENT 121224,B100000,00000,1300,1300TIME SPENT 121224,B100000,00000,1400,1400ASSIGNED TIME 121224,S000000,00100,0200,05/31/00 121224,S200000,00100,0100,650 CONCORD AVE 121224,S200000,00200,0100,CAMBRIDGE 121224,S200000,00200,0200,MA 121224,S200000,00200,0300,02139 121224,S200000,00300,0100,MIDDLESEX 121224,S200000,00300,0200,1123 121224,S200000,00300,0300,U 121224,S200000,00400,0100,NEVILLE MANOR 121224,S200000,00400,0200,225378 121224,S200000,00400,0300,07/01/90 121224,S200000,00400,0500,P 121224,S200000,01500,0100,Y 121224,S200000,01600,0100,N 121224,S200000,01700,0100,N 121224,S200000,01800,0100,N 121224,S200000,02200,0100,N 121224,S200000,02800,0100,N 121224,S200000,02900,0100,N 121224,S200000,03000,0100,N 121224,S200000,03100,0100,N 121224,S200000,03200,0100,N 121224,S200000,03300,0100,N 121224,S200000,03300,0200,N 121224,S200000,04100,0100,N 121224,S200000,04200,0100,N 121224,S200000,04300,0100,N 121224,S200000,04600,0100,N 121224,S200000,04700,0100,N 121224,S200000,04700,0200,N 121224,S200000,04900,0100,N 121225,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121225,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121225,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121225,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121225,A000000,00300,0000,0300EMPLOYEE BENEFITS 121225,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121225,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121225,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121225,A000000,00700,0000,0700HOUSEKEEPING 121225,A000000,00800,0000,0800DIETARY 121225,A000000,00801,0000,0801CAFETERIA 121225,A000000,00900,0000,0900NURSING ADMINISTRATION 121225,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121225,A000000,01100,0000,1100PHARMACY 121225,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121225,A000000,01300,0000,1300SOCIAL SERVICE 121225,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121225,A000000,01500,0000,1350ACTIVITIES 121225,A000000,01600,0000,1600SKILLED NURSING FACILITY 121225,A000000,01800,0000,1800NURSING FACILITY 121225,A000000,01810,0000,1810ICF/MR 121225,A000000,01900,0000,1900OTHER LONG TERM CARE 121225,A000000,02100,0000,2100RADIOLOGY 121225,A000000,02200,0000,2200LABORATORY 121225,A000000,02300,0000,2300INTRAVENOUS THERAPY 121225,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121225,A000000,02500,0000,2500PHYSICAL THERAPY 121225,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121225,A000000,02700,0000,2700SPEECH PATHOLOGY 121225,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121225,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121225,A000000,03300,0000,3050PEN THERAPY 121225,A000000,03301,0000,3051FEE SCREENING 121225,A000000,03302,0000,3052OTHER ANCILLARY III 121225,A000000,03550,0000,3550FQHC 121225,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121225,A000000,04800,0000,4800AMBULANCE 121225,A000000,05000,0000,5000CORF I 121225,A000000,05010,0000,5010CMHC I 121225,A000000,05020,0000,5020OPT I 121225,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121225,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121225,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121225,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121225,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121225,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121225,A81000A,00100,0100,Y 121225,A81000B,00100,0300,MANAGEMENT FEE 121225,A81000B,00300,0300,SEE ATTACHED 121225,A81000C,00100,0100,B 121225,A81000C,00100,0400,GENESIS 121225,A81000C,00100,0600,MANAGEMENT FEE 121225,A81000C,00200,0100,B 121225,A81000C,00200,0400,GENESIS REHAB 121225,A81000C,00200,0600,THERAPY SERVICS 121225,A81000C,00300,0100,B 121225,A81000C,00300,0400,GENESIS REHAB 121225,A81000C,00300,0600,THERAPY SERVICS 121225,A81000C,00400,0100,B 121225,A81000C,00400,0400,GENESIS REHAB 121225,A81000C,00400,0600,THERAPY SERVICS 121225,A81000C,00500,0100,B 121225,A81000C,00500,0400,NEIGHBORCARE 121225,A81000C,00500,0600,RX MS ETC. 121225,B100000,00000,0100,0100(SQUARE FEET) 121225,B100000,00000,0101,0101(SQUARE FEET) 121225,B100000,00000,0200,0200(SQUARE FEET) 121225,B100000,00000,0201,0201(SQUARE FEET) 121225,B100000,00000,0300,0300(GROSS SALARIES) 121225,B100000,00000,0400,0400(ACCUM. COST) 121225,B100000,00000,0500,0500(SQUARE FEET) 121225,B100000,00000,0600,0600(PATIENT DAYS) 121225,B100000,00000,0700,0700(SQUARE FEET) 121225,B100000,00000,0800,0800(MEALS SERVED) 121225,B100000,00000,0801,0801(MEALS SERVED) 121225,B100000,00000,0900,0900(NURSING SALARIES) 121225,B100000,00000,1000,1000(COSTED REQUIS.) 121225,B100000,00000,1100,1100(COSTED REQUIS.) 121225,B100000,00000,1200,1200(GROSS CHARGES) 121225,B100000,00000,1300,1300(PATIENT DAYS) 121225,B100000,00000,1400,1400(ASSIGNED TIME) 121225,B100000,00000,1500,1350(PATIENT DAYS) 121225,S000000,00100,0200,05/26/00 121225,S200000,00100,0100,4901 NORTH MAIN STREET 121225,S200000,00200,0100,FALL RIVER 121225,S200000,00200,0200,MA 121225,S200000,00200,0300,02720 121225,S200000,00300,0100,BRISTOL 121225,S200000,00300,0200,1123 121225,S200000,00300,0300,U 121225,S200000,00400,0100,SARAH BRAYTON 121225,S200000,00400,0200,225589 121225,S200000,00400,0300,08/11/93 121225,S200000,00400,0500,P 121225,S200000,01500,0100,N 121225,S200000,01600,0100,Y 121225,S200000,01700,0100,N 121225,S200000,01800,0100,N 121225,S200000,02200,0100,Y 121225,S200000,02800,0100,N 121225,S200000,02900,0100,N 121225,S200000,03000,0100,N 121225,S200000,03100,0100,N 121225,S200000,03200,0100,N 121225,S200000,03300,0100,N 121225,S200000,03300,0200,N 121225,S200000,04100,0100,N 121225,S200000,04200,0100,N 121225,S200000,04300,0100,N 121225,S200000,04600,0100,N 121225,S200000,04700,0100,N 121225,S200000,04900,0100,N 121226,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121226,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121226,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121226,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121226,A000000,00300,0000,0300EMPLOYEE BENEFITS 121226,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121226,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121226,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121226,A000000,00700,0000,0700HOUSEKEEPING 121226,A000000,00800,0000,0800DIETARY 121226,A000000,00801,0000,0801CAFETERIA 121226,A000000,00900,0000,0900NURSING ADMINISTRATION 121226,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121226,A000000,01100,0000,1100PHARMACY 121226,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121226,A000000,01300,0000,1300SOCIAL SERVICE 121226,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121226,A000000,01500,0000,1350ACTIVITIES 121226,A000000,01600,0000,1600SKILLED NURSING FACILITY 121226,A000000,01800,0000,1800NURSING FACILITY 121226,A000000,01810,0000,1810ICF/MR 121226,A000000,02100,0000,2100RADIOLOGY 121226,A000000,02300,0000,2300INTRAVENOUS THERAPY 121226,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121226,A000000,02500,0000,2500PHYSICAL THERAPY 121226,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121226,A000000,02700,0000,2700SPEECH PATHOLOGY 121226,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121226,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121226,A000000,03300,0000,3050OTHER ANCILLARY 121226,A000000,03301,0000,3051OTHER ANCILLARY II 121226,A000000,03302,0000,3052OTHER ANCILLARY III 121226,A000000,03550,0000,3550FQHC 121226,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121226,A000000,04800,0000,4800AMBULANCE 121226,A000000,05000,0000,5000CORF I 121226,A000000,05010,0000,5010CMHC I 121226,A000000,05020,0000,5020OPT I 121226,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121226,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121226,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121226,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121226,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121226,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121226,A81000A,00100,0100,Y 121226,A81000B,00100,0300,INTEREST PAYMENTS 121226,A81000C,00100,0100,B 121226,A81000C,00100,0400,OMEGA 121226,A81000C,00100,0600,OWNERSHIP 121226,B100000,00000,0100,0100(SQUARE FEET) 121226,B100000,00000,0101,0101(SQUARE FEET) 121226,B100000,00000,0200,0200(SQUARE FEET) 121226,B100000,00000,0201,0201(SQUARE FEET) 121226,B100000,00000,0300,0300(GROSS SALARIES) 121226,B100000,00000,0400,0400(ACCUM. COST) 121226,B100000,00000,0500,0500(SQUARE FEET) 121226,B100000,00000,0600,0600(PATIENT DAYS) 121226,B100000,00000,0700,0700(SQUARE FEET) 121226,B100000,00000,0800,0800(MEALS SERVED) 121226,B100000,00000,0801,0801(MEALS SERVED) 121226,B100000,00000,0900,0900(NURSING SALARIES) 121226,B100000,00000,1000,1000(COSTED REQUIS.) 121226,B100000,00000,1100,1100(PATIENT DAYS) 121226,B100000,00000,1200,1200(GROSS CHARGES) 121226,B100000,00000,1300,1300(PATIENT DAYS) 121226,B100000,00000,1400,1400(ASSIGNED TIME) 121226,B100000,00000,1500,1350(PATIENT DAYS) 121226,S000000,00100,0200,05/26/00 121226,S200000,00100,0100,60 EAST STREET 121226,S200000,00200,0100,WESTFIELD 121226,S200000,00200,0200,MA 121226,S200000,00200,0300,01086 121226,S200000,00300,0100,HAMPDEN 121226,S200000,00300,0200,8003 121226,S200000,00300,0300,U 121226,S200000,00400,0100,COC - WESTFIELD 121226,S200000,00400,0200,225380 121226,S200000,00400,0300,04/15/96 121226,S200000,00400,0500,P 121226,S200000,01500,0100,N 121226,S200000,01600,0100,Y 121226,S200000,01700,0100,N 121226,S200000,01800,0100,N 121226,S200000,02200,0100,Y 121226,S200000,02800,0100,N 121226,S200000,02900,0100,N 121226,S200000,03000,0100,N 121226,S200000,03100,0100,N 121226,S200000,03200,0100,N 121226,S200000,03300,0100,N 121226,S200000,03300,0200,N 121226,S200000,04100,0100,N 121226,S200000,04200,0100,N 121226,S200000,04300,0100,N 121226,S200000,04600,0100,N 121226,S200000,04700,0100,N 121226,S200000,04900,0100,N 121227,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121227,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121227,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121227,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121227,A000000,00300,0000,0300EMPLOYEE BENEFITS 121227,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121227,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121227,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121227,A000000,00700,0000,0700HOUSEKEEPING 121227,A000000,00800,0000,0800DIETARY 121227,A000000,00801,0000,0801CAFETERIA 121227,A000000,00900,0000,0900NURSING ADMINISTRATION 121227,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121227,A000000,01100,0000,1100PHARMACY 121227,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121227,A000000,01300,0000,1300SOCIAL SERVICE 121227,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121227,A000000,01500,0000,1350ACTIVITES 121227,A000000,01600,0000,1600SKILLED NURSING FACILITY 121227,A000000,01800,0000,1800NURSING FACILITY 121227,A000000,01810,0000,1810ICF/MR 121227,A000000,02100,0000,2100RADIOLOGY 121227,A000000,02200,0000,2200LABORATORY 121227,A000000,02300,0000,2300INTRAVENOUS THERAPY 121227,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121227,A000000,02500,0000,2500PHYSICAL THERAPY 121227,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121227,A000000,02700,0000,2700SPEECH PATHOLOGY 121227,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121227,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121227,A000000,03300,0000,3050OTHER ANCILLARY 121227,A000000,03301,0000,3051OTHER ANCILLARY II 121227,A000000,03302,0000,3052OTHER ANCILLARY III 121227,A000000,03550,0000,3550FQHC 121227,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121227,A000000,05000,0000,5000CORF I 121227,A000000,05010,0000,5010CMHC I 121227,A000000,05020,0000,5020OPT I 121227,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121227,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121227,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121227,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121227,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121227,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121227,A81000A,00100,0100,Y 121227,A81000B,00100,0300,INTEREST PAYMENTS 121227,A81000C,00100,0100,B 121227,A81000C,00100,0400,OMEGA 121227,A81000C,00100,0600,PARENT COMPANY 121227,B100000,00000,0100,0100(SQUARE FEET) 121227,B100000,00000,0101,0101(SQUARE FEET) 121227,B100000,00000,0200,0200(SQUARE FEET) 121227,B100000,00000,0201,0201(SQUARE FEET) 121227,B100000,00000,0300,0300(GROSS SALARIES) 121227,B100000,00000,0400,0400(ACCUM. COST) 121227,B100000,00000,0500,0500(SQUARE FEET) 121227,B100000,00000,0600,0600(PATIENT DAYS) 121227,B100000,00000,0700,0700(SQUARE FEET) 121227,B100000,00000,0800,0800(MEALS SERVED) 121227,B100000,00000,0801,0801(MEALS SERVED) 121227,B100000,00000,0900,0900(NURSING SALARIES) 121227,B100000,00000,1000,1000(COSTED REQUIS.) 121227,B100000,00000,1100,1100(COSTED REQUIS.) 121227,B100000,00000,1200,1200(GROSS CHARGES) 121227,B100000,00000,1300,1300(PATIENT DAYS) 121227,B100000,00000,1400,1400(ASSIGNED TIME) 121227,B100000,00000,1500,1350(PATIENT DAYS) 121227,S000000,00100,0200,05/26/00 121227,S200000,00100,0100,170 CLIFF AVENUE 121227,S200000,00200,0100,WINTHROP 121227,S200000,00200,0200,MA 121227,S200000,00200,0300,02152 121227,S200000,00300,0100,SUFFOLK 121227,S200000,00300,0200,1123 121227,S200000,00300,0300,U 121227,S200000,00400,0100,WINTHROP CENTER 121227,S200000,00400,0200,225397 121227,S200000,00400,0300,01/01/91 121227,S200000,00400,0500,P 121227,S200000,01500,0100,N 121227,S200000,01600,0100,Y 121227,S200000,01700,0100,N 121227,S200000,01800,0100,N 121227,S200000,02200,0100,N 121227,S200000,02800,0100,N 121227,S200000,02900,0100,N 121227,S200000,03000,0100,N 121227,S200000,03100,0100,N 121227,S200000,03200,0100,N 121227,S200000,03300,0100,N 121227,S200000,03300,0200,N 121227,S200000,04100,0100,N 121227,S200000,04200,0100,N 121227,S200000,04300,0100,N 121227,S200000,04600,0100,N 121227,S200000,04700,0100,N 121227,S200000,04900,0100,N 121228,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121228,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121228,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121228,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121228,A000000,00300,0000,0300EMPLOYEE BENEFITS 121228,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121228,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121228,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121228,A000000,00700,0000,0700HOUSEKEEPING 121228,A000000,00800,0000,0800DIETARY 121228,A000000,00801,0000,0801CAFETERIA 121228,A000000,00900,0000,0900NURSING ADMINISTRATION 121228,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121228,A000000,01100,0000,1100PHARMACY 121228,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121228,A000000,01300,0000,1300SOCIAL SERVICE 121228,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121228,A000000,01500,0000,1350ACTIVITIES 121228,A000000,01600,0000,1600SKILLED NURSING FACILITY 121228,A000000,01800,0000,1800NURSING FACILITY 121228,A000000,01810,0000,1810ICF/MR 121228,A000000,02100,0000,2100RADIOLOGY 121228,A000000,02200,0000,2200LABORATORY 121228,A000000,02300,0000,2300INTRAVENOUS THERAPY 121228,A000000,02500,0000,2500PHYSICAL THERAPY 121228,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121228,A000000,02700,0000,2700SPEECH PATHOLOGY 121228,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121228,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121228,A000000,03300,0000,3050PEN THERAPY 121228,A000000,03301,0000,3051FEE SCREENING 121228,A000000,03302,0000,3052OTHER ANCILLARY III 121228,A000000,03550,0000,3550FQHC 121228,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121228,A000000,05000,0000,5000CORF I 121228,A000000,05010,0000,5010CMHC I 121228,A000000,05020,0000,5020OPT I 121228,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121228,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121228,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121228,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121228,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121228,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121228,A81000A,00100,0100,Y 121228,A81000B,00100,0300,INTEREST PAYMENTS 121228,A81000C,00100,0100,B 121228,A81000C,00100,0400,OMEGA 121228,A81000C,00100,0600,PARENT COMPANY 121228,B100000,00000,0100,0100(SQUARE FEET) 121228,B100000,00000,0101,0101(SQUARE FEET) 121228,B100000,00000,0200,0200(SQUARE FEET) 121228,B100000,00000,0201,0201(SQUARE FEET) 121228,B100000,00000,0300,0300(GROSS SALARIES) 121228,B100000,00000,0400,0400(ACCUM. COST) 121228,B100000,00000,0500,0500(SQUARE FEET) 121228,B100000,00000,0600,0600(PATIENT DAYS) 121228,B100000,00000,0700,0700(SQUARE FEET) 121228,B100000,00000,0800,0800(MEALS SERVED) 121228,B100000,00000,0801,0801(MEALS SERVED) 121228,B100000,00000,0900,0900(NURSING SALARIES) 121228,B100000,00000,1000,1000(COSTED REQUIS.) 121228,B100000,00000,1100,1100(PATIENT DAYS) 121228,B100000,00000,1200,1200(GROSS CHARGES) 121228,B100000,00000,1300,1300(PATIENT DAYS) 121228,B100000,00000,1400,1400(ASSIGNED TIME) 121228,B100000,00000,1500,1350(PATIENT DAYS) 121228,S000000,00100,0200,05/26/00 121228,S200000,00100,0100,26 STURGIS STREET 121228,S200000,00200,0100,WINTHROP 121228,S200000,00200,0200,MA 121228,S200000,00200,0300,02152 121228,S200000,00300,0100,SUFFOLK 121228,S200000,00300,0200,1123 121228,S200000,00300,0300,U 121228,S200000,00400,0100,BAYVIEW 121228,S200000,00400,0200,225572 121228,S200000,00400,0300,01/09/95 121228,S200000,00400,0500,P 121228,S200000,01500,0100,N 121228,S200000,01600,0100,Y 121228,S200000,01700,0100,N 121228,S200000,01800,0100,N 121228,S200000,02200,0100,Y 121228,S200000,02800,0100,Y 121228,S200000,02900,0100,N 121228,S200000,03000,0100,N 121228,S200000,03100,0100,N 121228,S200000,03200,0100,N 121228,S200000,03300,0100,N 121228,S200000,03300,0200,N 121228,S200000,04100,0100,N 121228,S200000,04200,0100,N 121228,S200000,04300,0100,N 121228,S200000,04600,0100,N 121228,S200000,04700,0100,N 121228,S200000,04900,0100,N 121229,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121229,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121229,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121229,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121229,A000000,00300,0000,0300EMPLOYEE BENEFITS 121229,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121229,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121229,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121229,A000000,00700,0000,0700HOUSEKEEPING 121229,A000000,00800,0000,0800DIETARY 121229,A000000,00801,0000,0801CAFETERIA 121229,A000000,00900,0000,0900NURSING ADMINISTRATION 121229,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121229,A000000,01100,0000,1100PHARMACY 121229,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121229,A000000,01300,0000,1300SOCIAL SERVICE 121229,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121229,A000000,01500,0000,1350ACTIVITIES 121229,A000000,01600,0000,1600SKILLED NURSING FACILITY 121229,A000000,01800,0000,1800NURSING FACILITY 121229,A000000,01810,0000,1810ICF/MR 121229,A000000,02100,0000,2100RADIOLOGY 121229,A000000,02200,0000,2200LABORATORY 121229,A000000,02300,0000,2300INTRAVENOUS THERAPY 121229,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121229,A000000,02500,0000,2500PHYSICAL THERAPY 121229,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121229,A000000,02700,0000,2700SPEECH PATHOLOGY 121229,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121229,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121229,A000000,03300,0000,3050PEN THERAPY 121229,A000000,03301,0000,3051FEE SCREENING 121229,A000000,03302,0000,3052OTHER ANCILLARY III 121229,A000000,03550,0000,3550FQHC 121229,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121229,A000000,04800,0000,4800AMBULANCE 121229,A000000,05000,0000,5000CORF I 121229,A000000,05010,0000,5010CMHC I 121229,A000000,05020,0000,5020OPT I 121229,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121229,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121229,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121229,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121229,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121229,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121229,A81000A,00100,0100,Y 121229,A81000B,00100,0300,INTEREST PAYMENTS 121229,A81000C,00100,0100,B 121229,A81000C,00100,0400,OMEGA 121229,A81000C,00100,0600,PARENT COMPANY 121229,B100000,00000,0100,0100(SQUARE FEET) 121229,B100000,00000,0101,0101(SQUARE FEET) 121229,B100000,00000,0200,0200(SQUARE FEET) 121229,B100000,00000,0201,0201(SQUARE FEET) 121229,B100000,00000,0300,0300(GROSS SALARIES) 121229,B100000,00000,0400,0400(ACCUM. COST) 121229,B100000,00000,0500,0500(SQUARE FEET) 121229,B100000,00000,0600,0600(PATIENT DAYS) 121229,B100000,00000,0700,0700(SQUARE FEET) 121229,B100000,00000,0800,0800(MEALS SERVED) 121229,B100000,00000,0801,0801(MEALS SERVED) 121229,B100000,00000,0900,0900(NURSING SALARIES) 121229,B100000,00000,1000,1000(COSTED REQUIS.) 121229,B100000,00000,1100,1100(COSTED REQUIS.) 121229,B100000,00000,1200,1200(GROSS CHARGES) 121229,B100000,00000,1300,1300(PATIENT DAYS) 121229,B100000,00000,1400,1400(ASSIGNED TIME) 121229,B100000,00000,1500,1350(PATIENT DAYS) 121229,S000000,00100,0200,05/26/00 121229,S200000,00100,0100,BATHOL STREET 121229,S200000,00200,0100,WAKEFIELD 121229,S200000,00200,0200,MA 121229,S200000,00200,0300,01880 121229,S200000,00300,0100,MIDDLESEX 121229,S200000,00300,0200,1123 121229,S200000,00300,0300,U 121229,S200000,00400,0100,WAKEFIELD 121229,S200000,00400,0200,225400 121229,S200000,00400,0300,07/01/90 121229,S200000,00400,0500,P 121229,S200000,01500,0100,N 121229,S200000,01600,0100,Y 121229,S200000,01700,0100,N 121229,S200000,01800,0100,N 121229,S200000,02200,0100,Y 121229,S200000,02800,0100,N 121229,S200000,02900,0100,N 121229,S200000,03000,0100,N 121229,S200000,03100,0100,N 121229,S200000,03200,0100,N 121229,S200000,03300,0100,N 121229,S200000,03300,0200,N 121229,S200000,04100,0100,N 121229,S200000,04200,0100,N 121229,S200000,04300,0100,N 121229,S200000,04600,0100,N 121229,S200000,04700,0100,N 121229,S200000,04900,0100,N 121232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121232,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121232,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121232,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121232,A000000,00300,0000,0300EMPLOYEE BENEFITS 121232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121232,A000000,00700,0000,0700HOUSEKEEPING 121232,A000000,00800,0000,0800DIETARY 121232,A000000,00801,0000,0801CAFETERIA 121232,A000000,00900,0000,0900NURSING ADMINISTRATION 121232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121232,A000000,01100,0000,1100PHARMACY 121232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121232,A000000,01300,0000,1300SOCIAL SERVICE 121232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121232,A000000,01500,0000,1350ACTIVITIES 121232,A000000,01600,0000,1600SKILLED NURSING FACILITY 121232,A000000,01800,0000,1800NURSING FACILITY 121232,A000000,01810,0000,1810ICF/MR 121232,A000000,02100,0000,2100RADIOLOGY 121232,A000000,02200,0000,2200LABORATORY 121232,A000000,02300,0000,2300INTRAVENOUS THERAPY 121232,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121232,A000000,02500,0000,2500PHYSICAL THERAPY 121232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121232,A000000,02700,0000,2700SPEECH PATHOLOGY 121232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121232,A000000,03300,0000,3050OTHER ANCILLARY 121232,A000000,03301,0000,3051OTHER ANCILLARY II 121232,A000000,03302,0000,3052OTHER ANCILLARY III 121232,A000000,03550,0000,3550FQHC 121232,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121232,A000000,05000,0000,5000CORF I 121232,A000000,05010,0000,5010CMHC I 121232,A000000,05020,0000,5020OPT I 121232,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121232,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121232,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121232,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121232,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121232,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121232,A81000A,00100,0100,Y 121232,A81000B,00100,0300,INTEREST PAYMENTS 121232,A81000C,00100,0100,B 121232,A81000C,00100,0400,OMEGA 121232,A81000C,00100,0600,PARENT COMPANY 121232,B100000,00000,0100,0100(SQUARE FEET) 121232,B100000,00000,0101,0101(SQUARE FEET) 121232,B100000,00000,0200,0200(SQUARE FEET) 121232,B100000,00000,0201,0201(SQUARE FEET) 121232,B100000,00000,0300,0300(GROSS SALARIES) 121232,B100000,00000,0400,0400(ACCUM. COST) 121232,B100000,00000,0500,0500(SQUARE FEET) 121232,B100000,00000,0600,0600(PATIENT DAYS) 121232,B100000,00000,0700,0700(SQUARE FEET) 121232,B100000,00000,0800,0800(MEALS SERVED) 121232,B100000,00000,0801,0801(MEALS SERVED) 121232,B100000,00000,0900,0900(NURSING SALARIES) 121232,B100000,00000,1000,1000(COSTED REQUIS.) 121232,B100000,00000,1100,1100(COSTED REQUIS.) 121232,B100000,00000,1200,1200(GROSS CHARGES) 121232,B100000,00000,1300,1300(PATIENT DAYS) 121232,B100000,00000,1400,1400(ASSIGNED TIME) 121232,B100000,00000,1500,1350(PATIENT DAYS) 121232,S000000,00100,0200,05/26/00 121232,S200000,00100,0100,359 JONES RD. 121232,S200000,00200,0100,FALMOUTH 121232,S200000,00200,0200,MA 121232,S200000,00200,0300,02540 121232,S200000,00300,0100,BARNSTABLE 121232,S200000,00300,0200,0743 121232,S200000,00300,0300,U 121232,S200000,00400,0100,FALMOUTH CENTER 121232,S200000,00400,0200,225372 121232,S200000,00400,0300,05/18/89 121232,S200000,00400,0500,P 121232,S200000,01500,0100,N 121232,S200000,01600,0100,Y 121232,S200000,01700,0100,N 121232,S200000,01800,0100,N 121232,S200000,02200,0100,N 121232,S200000,02800,0100,N 121232,S200000,02900,0100,N 121232,S200000,03000,0100,N 121232,S200000,03100,0100,N 121232,S200000,03200,0100,N 121232,S200000,03300,0100,N 121232,S200000,03300,0200,N 121232,S200000,04100,0100,N 121232,S200000,04200,0100,N 121232,S200000,04300,0100,N 121232,S200000,04600,0100,N 121232,S200000,04700,0100,N 121232,S200000,04900,0100,N 121233,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121233,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 121233,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121233,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 121233,A000000,00300,0000,0300EMPLOYEE BENEFITS 121233,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121233,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121233,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121233,A000000,00700,0000,0700HOUSEKEEPING 121233,A000000,00800,0000,0800DIETARY 121233,A000000,00801,0000,0801CAFETERIA 121233,A000000,00900,0000,0900NURSING ADMINISTRATION 121233,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121233,A000000,01100,0000,1100PHARMACY 121233,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121233,A000000,01300,0000,1300SOCIAL SERVICE 121233,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121233,A000000,01500,0000,1350ACTIVITIES 121233,A000000,01600,0000,1600SKILLED NURSING FACILITY 121233,A000000,01800,0000,1800NURSING FACILITY 121233,A000000,01810,0000,1810ICF/MR 121233,A000000,02100,0000,2100RADIOLOGY 121233,A000000,02300,0000,2300INTRAVENOUS THERAPY 121233,A000000,02500,0000,2500PHYSICAL THERAPY 121233,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121233,A000000,02700,0000,2700SPEECH PATHOLOGY 121233,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121233,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121233,A000000,03300,0000,3050OTHER ANCILLARY 121233,A000000,03301,0000,3051OTHER ANCILLARY II 121233,A000000,03302,0000,3052OTHER ANCILLARY III 121233,A000000,03550,0000,3550FQHC 121233,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 121233,A000000,05000,0000,5000CORF I 121233,A000000,05010,0000,5010CMHC I 121233,A000000,05020,0000,5020OPT I 121233,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121233,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121233,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121233,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 121233,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 121233,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121233,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121233,A81000A,00100,0100,Y 121233,A81000B,00100,0300,INTEREST PAYMENTS 121233,A81000C,00100,0100,B 121233,A81000C,00100,0400,OMEGA 121233,A81000C,00100,0600,OWNERSHIP 121233,B100000,00000,0100,0100(SQUARE FEET) 121233,B100000,00000,0101,0101(SQUARE FEET) 121233,B100000,00000,0200,0200(SQUARE FEET) 121233,B100000,00000,0201,0201(SQUARE FEET) 121233,B100000,00000,0300,0300(GROSS SALARIES) 121233,B100000,00000,0400,0400(ACCUM. COST) 121233,B100000,00000,0500,0500(SQUARE FEET) 121233,B100000,00000,0600,0600(PATIENT DAYS) 121233,B100000,00000,0700,0700(SQUARE FEET) 121233,B100000,00000,0800,0800(MEALS SERVED) 121233,B100000,00000,0801,0801(MEALS SERVED) 121233,B100000,00000,0900,0900(NURSING SALARIES) 121233,B100000,00000,1000,1000(COSTED REQUIS.) 121233,B100000,00000,1100,1100(PATIENT DAYS) 121233,B100000,00000,1200,1200(GROSS CHARGES) 121233,B100000,00000,1300,1300(PATIENT DAYS) 121233,B100000,00000,1400,1400(ASSIGNED TIME) 121233,B100000,00000,1500,1350(PATIENT DAYS) 121233,S000000,00100,0200,05/26/00 121233,S200000,00100,0100,360 WEST HOUSATONIC STREET 121233,S200000,00200,0100,PITTSFIELD 121233,S200000,00200,0200,MA 121233,S200000,00200,0300,01201 121233,S200000,00300,0100,BERKSHIRE 121233,S200000,00300,0200,6323 121233,S200000,00300,0300,U 121233,S200000,00400,0100,COC - BERKSHIRE 121233,S200000,00400,0200,225396 121233,S200000,00400,0300,07/01/90 121233,S200000,00400,0500,P 121233,S200000,01500,0100,N 121233,S200000,01600,0100,Y 121233,S200000,01700,0100,N 121233,S200000,01800,0100,N 121233,S200000,02200,0100,Y 121233,S200000,02800,0100,N 121233,S200000,02900,0100,N 121233,S200000,03000,0100,N 121233,S200000,03100,0100,N 121233,S200000,03200,0100,N 121233,S200000,03300,0100,N 121233,S200000,03300,0200,N 121233,S200000,04100,0100,N 121233,S200000,04200,0100,N 121233,S200000,04300,0100,N 121233,S200000,04600,0100,N 121233,S200000,04700,0100,N 121233,S200000,04900,0100,N 121237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121237,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121237,A000000,00300,0000,0300EMPLOYEE BENEFITS 121237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121237,A000000,00700,0000,0700HOUSEKEEPING 121237,A000000,00800,0000,0800DIETARY 121237,A000000,00900,0000,0900NURSING ADMINISTRATION 121237,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121237,A000000,01300,0000,1300SOCIAL SERVICE 121237,A000000,01500,0000,1350ACTIVITIES 121237,A000000,01600,0000,1600SKILLED NURSING FACILITY 121237,A000000,01800,0000,1800NURSING FACILITY 121237,A000000,02100,0000,2100RADIOLOGY 121237,A000000,02200,0000,2200LABORATORY 121237,A000000,02300,0000,2300INTRAVENOUS THERAPY 121237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121237,A000000,02500,0000,2500PHYSICAL THERAPY 121237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121237,A000000,02700,0000,2700SPEECH PATHOLOGY 121237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121237,A000000,03300,0000,3050OTHER ANCILLARY SERVICE 121237,A000000,03301,0000,3051AMBULANCE 121237,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121237,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121237,A81000A,00100,0100,Y 121237,A81000B,00100,0300,HOME OFFICE COSTS 121237,A81000B,00200,0300,H.O. COSTS - CAPITAL 121237,A81000B,00300,0300,RELATED PARTY INT. 121237,A81000B,00400,0300,RELATED PARTY INT 121237,A81000B,00500,0300,RELATED PARTY INT 121237,A81000B,00600,0300,INTERIOR DESIGN - 98 121237,A81000B,00700,0300,INTERIOR DESIGN - 99 121237,A81000B,00800,0300,REHAB ADJUST - PT 121237,A81000B,00900,0300,REHAB ADJUST - OT 121237,A81000B,01000,0300,REHAB ADJUST - ST 121237,A81000B,01100,0300,HCE INTEREST 121237,A81000B,01200,0300,HCE DEPRECIATION 121237,A81000B,01300,0300,Y2K COMPUTER DEPREC. 121237,A81000C,00100,0100,B 121237,A81000C,00100,0200,FORREST PRESTON 121237,A81000C,00100,0400,LIFE CARE CENTE 121237,A81000C,00100,0600,NRSG HOME MGMT 121237,A81000C,00200,0100,B 121237,A81000C,00200,0200,FORREST PRESTON 121237,A81000C,00200,0400,LIFE CARE CENTE 121237,A81000C,00200,0600,NRSG HOME MGMT 121237,A81000C,00300,0100,B 121237,A81000C,00300,0200,FORREST PRESTON 121237,A81000C,00300,0400,LIFE CARE CENTE 121237,A81000C,00300,0600,NRSG HOME MGMT 121237,A81000C,00400,0100,B 121237,A81000C,00400,0200,FORREST PRESTON 121237,A81000C,00400,0400,LIFE CARE CENTE 121237,A81000C,00400,0600,NRSG HOME MGMT 121237,A81000C,00500,0100,B 121237,A81000C,00500,0200,FORREST PRESTON 121237,A81000C,00500,0400,LIFE CARE CENTE 121237,A81000C,00500,0600,NRSG HOME MGMT 121237,A81000C,00600,0100,B 121237,A81000C,00600,0200,FORREST PRESTON 121237,A81000C,00600,0400,LIFE CARE DESIG 121237,A81000C,00600,0600,INTERIOR DESIGN 121237,A81000C,00700,0100,B 121237,A81000C,00700,0200,FORREST PRESTON 121237,A81000C,00700,0400,LIFE CARE DESIG 121237,A81000C,00700,0600,INTERIOR DESIGN 121237,A81000C,00800,0100,B 121237,A81000C,00800,0200,FORREST PRESTON 121237,A81000C,00800,0400,REHAB SUPPORT S 121237,A81000C,00800,0600,REHAB SERVICES 121237,A81000C,00900,0100,B 121237,A81000C,00900,0200,FORREST PRESTON 121237,A81000C,00900,0400,REHAB SUPPORT S 121237,A81000C,00900,0600,REHAB SERVICES 121237,A81000C,01000,0100,B 121237,A81000C,01000,0200,FORREST PRESTON 121237,A81000C,01000,0400,REHAB SUPPORT S 121237,A81000C,01000,0600,REHAB SERVICES 121237,A81000C,01100,0100,B 121237,A81000C,01100,0200,FORREST PRESTON 121237,A81000C,01100,0400,HCE LEASING 121237,A81000C,01100,0600,LEASING CO. 121237,A81000C,01200,0100,B 121237,A81000C,01200,0200,FORREST PRESTON 121237,A81000C,01200,0400,HCE LEASING 121237,A81000C,01200,0600,LEASING CO. 121237,A81000C,01300,0100,B 121237,A81000C,01300,0200,FORREST PRESTON 121237,A81000C,01300,0400,LIFE CARE CENTE 121237,A81000C,01300,0600,NRSG. HOME MGMT 121237,B100000,00000,0100,0100(SQUARE FEET) 121237,B100000,00000,0200,0200(SQUARE FEET) 121237,B100000,00000,0300,0300(GROSS SALARIES) 121237,B100000,00000,0400,0400(ACCUM COST) 121237,B100000,00000,0500,0500(SQUARE FEET) 121237,B100000,00000,0600,0600PATIENT DAYS 121237,B100000,00000,0700,0700(SQUARE FEET) 121237,B100000,00000,0800,0800(MEALS SERVED) 121237,B100000,00000,0900,0900DIR NRSG HOURS 121237,B100000,00000,1000,1000(COSTED REQUIS) 121237,B100000,00000,1200,1200GROSS REVENUES 121237,B100000,00000,1300,1300PATIENT DAYS 121237,B100000,00000,1500,1350PATIENT DAYS 121237,E10A180,00301,0100,07/11/00 121237,S000000,00100,0200,10/26/00 121237,S200000,00100,0100,4800 25TH STREET 121237,S200000,00200,0100,GREELEY 121237,S200000,00200,0200,CO 121237,S200000,00200,0300,80632 121237,S200000,00300,0100,WELD 121237,S200000,00300,0200,3060 121237,S200000,00300,0300,U 121237,S200000,00400,0100,LIFE CARE CENTER OF GREELEY 121237,S200000,00400,0200,065368 121237,S200000,00400,0300,04/29/98 121237,S200000,00400,0500,P 121237,S200000,00600,0200,065368 121237,S200000,00600,0300,04/29/98 121237,S200000,00600,0600,O 121237,S200000,01500,0100,N 121237,S200000,01600,0100,Y 121237,S200000,01700,0100,N 121237,S200000,01800,0100,N 121237,S200000,02200,0100,Y 121237,S200000,02800,0100,N 121237,S200000,02900,0100,N 121237,S200000,03000,0100,N 121237,S200000,03100,0100,N 121237,S200000,03200,0100,N 121237,S200000,03300,0100,N 121237,S200000,03300,0200,N 121237,S200000,03500,0300,N 121237,S200000,04100,0100,Y 121237,S200000,04200,0100,N 121237,S200000,04300,0100,N 121237,S200000,04600,0100,N 121237,S200000,04700,0100,N 121237,S200000,04900,0100,N 121245,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121245,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121245,A000000,00300,0000,0300EMPLOYEE BENEFITS 121245,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121245,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121245,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121245,A000000,00700,0000,0700HOUSEKEEPING 121245,A000000,00800,0000,0800DIETARY 121245,A000000,00900,0000,0900NURSING ADMINISTRATION 121245,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121245,A000000,01100,0000,1100PHARMACY 121245,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121245,A000000,01300,0000,1300SOCIAL SERVICE 121245,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121245,A000000,01500,0000,1350ACTIVITIES 121245,A000000,01600,0000,1600SKILLED NURSING FACILITY 121245,A000000,01800,0000,1800NURSING FACILITY 121245,A000000,01810,0000,1810ICF/MR 121245,A000000,02100,0000,2100RADIOLOGY 121245,A000000,02200,0000,2200LABORATORY 121245,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121245,A000000,02500,0000,2500PHYSICAL THERAPY 121245,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121245,A000000,02700,0000,2700SPEECH PATHOLOGY 121245,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121245,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121245,A000000,03300,0000,3050SPECIALTY BEDS 121245,A000000,03550,0000,3550FQHC 121245,A000000,05000,0000,5000CORF 121245,A000000,05010,0000,5010CMHC 121245,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121245,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121245,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121245,A81000A,00100,0100,N 121245,B100000,00000,0100,0100SQUARE FEET 121245,B100000,00000,0200,0200SQUARE FEET 121245,B100000,00000,0300,0300GROSS SALARIES 121245,B100000,00000,0400,0400ACCUM COST 121245,B100000,00000,0500,0500SQUARE FEET 121245,B100000,00000,0600,0600POUNDS OF LAUNDRY 121245,B100000,00000,0700,0700HOURS OF SERVICE 121245,B100000,00000,0800,0800MEALS SERVED 121245,B100000,00000,0900,0900DIRECT NRSG HRS 121245,B100000,00000,1000,1000COSTED REQUIS 121245,B100000,00000,1100,1100COSTED REQUIS 121245,B100000,00000,1200,1200PATIENT DAYS 121245,B100000,00000,1300,1300TIME SPENT 121245,B100000,00000,1400,1400ASSIGNED TIME 121245,B100000,00000,1500,1350PATIENT DAYS 121245,E10A180,00501,0100,02/02/01 121245,S000000,00100,0200,12/06/00 121245,S200000,00100,0100,2910 PEERLESS ROAD 121245,S200000,00200,0100,CLEVELAND 121245,S200000,00200,0200,TN 121245,S200000,00200,0300,37312 121245,S200000,00300,0100,BRADLEY 121245,S200000,00300,0200,9944 121245,S200000,00300,0300,R 121245,S200000,00400,0100,BRADLEY HEALTHCARE & REHAB. 121245,S200000,00400,0200,445141 121245,S200000,00400,0300,07/01/81 121245,S200000,00400,0500,P 121245,S200000,00600,0200,740017 121245,S200000,00600,0300,10/20/75 121245,S200000,00600,0400,O 121245,S200000,00600,0600,O 121245,S200000,01500,0100,N 121245,S200000,01600,0100,Y 121245,S200000,01700,0100,N 121245,S200000,01800,0100,N 121245,S200000,02200,0100,Y 121245,S200000,02800,0100,N 121245,S200000,02900,0100,N 121245,S200000,03000,0100,N 121245,S200000,03100,0100,N 121245,S200000,03200,0100,N 121245,S200000,03300,0100,N 121245,S200000,03300,0200,N 121245,S200000,03500,0300,N 121245,S200000,04100,0100,N 121245,S200000,04200,0100,N 121245,S200000,04300,0100,N 121245,S200000,04600,0100,N 121245,S200000,04700,0100,N 121245,S200000,04900,0100,N 121248,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121248,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121248,A000000,00300,0000,0300EMPLOYEE BENEFITS 121248,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121248,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121248,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121248,A000000,00700,0000,0700HOUSEKEEPING 121248,A000000,00800,0000,0800DIETARY 121248,A000000,00900,0000,0900NURSING ADMINISTRATION 121248,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121248,A000000,01100,0000,1100PHARMACY 121248,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121248,A000000,01300,0000,1300SOCIAL SERVICE 121248,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121248,A000000,01600,0000,1600SKILLED NURSING FACILITY 121248,A000000,01800,0000,1800NURSING FACILITY 121248,A000000,01810,0000,1810ICF/MR 121248,A000000,01900,0000,1900OTHER LONG TERM CARE 121248,A000000,02100,0000,2100RADIOLOGY 121248,A000000,02200,0000,2200LABORATORY 121248,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121248,A000000,02500,0000,2500PHYSICAL THERAPY 121248,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121248,A000000,02700,0000,2700SPEECH PATHOLOGY 121248,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121248,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121248,A000000,03550,0000,3550FQHC 121248,A000000,04800,0000,4800AMBULANCE 121248,A000000,05000,0000,5000CORF 121248,A000000,05010,0000,5010CMHC 121248,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121248,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121248,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121248,A000000,05300,0000,5300INTEREST EXPENSE 121248,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121248,A81000A,00100,0100,Y 121248,A81000B,00100,0300,MANAGEMENT SVCS 121248,A81000B,00200,0300,LAUNDRY & LINEN 121248,A81000B,00300,0300,MEDICAL RECORDS 121248,A81000B,00400,0300,PHYSICAL THERAPY 121248,A81000B,00500,0300,OCCUPATIONAL THERAPY 121248,A81000B,00600,0300,SPEECH THERAPY 121248,A81000C,00100,0100,G 121248,A81000C,00100,0400,LINCOLN HLTH FA 121248,A81000C,00100,0600,HOSPITAL 121248,B100000,00000,0100,0100SQUARE FEET 121248,B100000,00000,0200,0200SQUARE FEET 121248,B100000,00000,0300,0300GROSS SALARIES 121248,B100000,00000,0400,0400ACCUM COST 121248,B100000,00000,0500,0500SQUARE FEET 121248,B100000,00000,0600,0600POUNDS OF LAUNDRY 121248,B100000,00000,0700,0700HOURS OF SERVICE 121248,B100000,00000,0800,0800MEALS SERVED 121248,B100000,00000,0900,0900DIRECT NRSG HRS 121248,B100000,00000,1000,1000COSTED REQUIS 121248,B100000,00000,1100,1100COSTED REQUIS 121248,B100000,00000,1200,1200TIME SPENT 121248,B100000,00000,1300,1300TIME SPENT 121248,B100000,00000,1400,1400ASSIGNED TIME 121248,E10A180,00501,0100,01/22/01 121248,E10A180,00550,0300,01/22/01 121248,S000000,00100,0200,11/29/00 121248,S200000,00300,0200,9944 121248,S200000,00300,0300,R 121248,S200000,00400,0100,LINCOLN AND DONALSON CARE CENTERS 121248,S200000,00400,0200,445173 121248,S200000,00400,0300,01/01/67 121248,S200000,00400,0500,P 121248,S200000,00600,0200,440054 121248,S200000,00600,0300,01/01/67 121248,S200000,00600,0400,O 121248,S200000,01500,0100,N 121248,S200000,01600,0100,Y 121248,S200000,01700,0100,N 121248,S200000,01800,0100,N 121248,S200000,02200,0100,Y 121248,S200000,02800,0100,Y 121248,S200000,02900,0100,N 121248,S200000,03000,0100,N 121248,S200000,03100,0100,N 121248,S200000,03200,0100,N 121248,S200000,03300,0100,N 121248,S200000,03300,0200,N 121248,S200000,03500,0300,N 121248,S200000,04100,0100,N 121248,S200000,04200,0100,Y 121248,S200000,04300,0100,Y 121248,S200000,04600,0100,N 121248,S200000,04700,0100,Y 121248,S200000,04700,0200,N 121248,S200000,04900,0100,N 121251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121251,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121251,A000000,00300,0000,0300EMPLOYEE BENEFITS 121251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121251,A000000,00700,0000,0700HOUSEKEEPING 121251,A000000,00800,0000,0800DIETARY 121251,A000000,00900,0000,0900NURSING ADMINISTRATION 121251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121251,A000000,01100,0000,1100PHARMACY 121251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121251,A000000,01300,0000,1300SOCIAL SERVICE 121251,A000000,01600,0000,1600SKILLED NURSING FACILITY 121251,A000000,01800,0000,1800NURSING FACILITY 121251,A000000,01810,0000,1810ICF/MR 121251,A000000,02100,0000,2100RADIOLOGY 121251,A000000,02200,0000,2200LABORATORY 121251,A000000,02500,0000,2500PHYSICAL THERAPY 121251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121251,A000000,02700,0000,2700SPEECH PATHOLOGY 121251,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121251,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121251,A000000,04800,0000,4800AMBULANCE 121251,A000000,05300,0000,5300INTEREST EXPENSE 121251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121251,A81000A,00100,0100,Y 121251,A81000B,00100,0300,HOME OFFICE COSTS 121251,A81000B,00200,0300,HOME OFF - CAP BLDG 121251,A81000B,00300,0300,HOME OFF - CAP EQUIP 121251,A81000B,00400,0300,LAUNDRY SERVICES 121251,A81000B,00500,0300,MEDICAL SUPPLIES 121251,A81000B,00600,0300,PHARMACY DRUGS 121251,A81000B,00700,0300,ROUTINE DRUGS 121251,A81000B,00800,0300,ROUTINE DRUGS 121251,A81000B,00900,0300,ROUTINE SUPPLIES 121251,A81000B,01000,0300,ROUTINE SUPPLIES 121251,A81000B,01100,0300,PHYSICAL THERAPY 121251,A81000B,01200,0300,OCCUPATIONAL THERAPY 121251,A81000B,01300,0300,SPEECH THERAPY 121251,A81000C,00100,0100,A 121251,A81000C,00100,0200,RONALD E LAWREN 121251,A81000C,00100,0400,LAWRENCE HEALTH 121251,A81000C,00100,0600,MGMT LAUNDRY 121251,A81000C,00200,0100,A 121251,A81000C,00200,0200,RONALD E LAWREN 121251,A81000C,00200,0400,PHARMACY SERVIC 121251,A81000C,00200,0600,PHARMACY SERVIC 121251,A81000C,00300,0100,A 121251,A81000C,00300,0200,RONALD E LWAREN 121251,A81000C,00300,0400,HALLMARK HEALTH 121251,A81000C,00300,0600,THERAPY SERVICE 121251,B100000,00000,0100,0100SQUARE FEET 121251,B100000,00000,0200,0200SQUARE FEET 121251,B100000,00000,0300,0300GROSS SALARIES 121251,B100000,00000,0400,0400ACCUM COST 121251,B100000,00000,0500,0500SQUARE FEET 121251,B100000,00000,0600,0600POUNDS OF LAUNDRY 121251,B100000,00000,0700,0700HOURS OF SERVICE 121251,B100000,00000,0800,0800MEALS SERVED 121251,B100000,00000,0900,0900DIRECT NRSG HRS 121251,B100000,00000,1000,1000COSTED REQUIS 121251,B100000,00000,1100,1100COSTED REQUIS 121251,B100000,00000,1200,1200TIME SPENT 121251,B100000,00000,1300,1300TIME SPENT 121251,E10A180,00501,0100,01/26/01 121251,E10A180,00501,0300,01/26/01 121251,S000000,00100,0200,11/30/00 121251,S200000,00100,0100,INDUSTRIAL PARK DRIVE 121251,S200000,00100,0300,659 121251,S200000,00200,0100,LAKE CITY 121251,S200000,00200,0200,TN 121251,S200000,00200,0300,37769 121251,S200000,00300,0100,ANDERSON 121251,S200000,00300,0200,3840 121251,S200000,00300,0300,U 121251,S200000,00400,0100,LAKE CITY HEALTH CARE CENTER 121251,S200000,00400,0200,445259 121251,S200000,00400,0300,08/02/90 121251,S200000,00400,0500,P 121251,S200000,00600,0200,445259 121251,S200000,00600,0300,08/02/90 121251,S200000,00600,0400,O 121251,S200000,01500,0100,N 121251,S200000,01600,0100,Y 121251,S200000,01700,0100,N 121251,S200000,01800,0100,N 121251,S200000,01900,0100,LLC 121251,S200000,02200,0100,N 121251,S200000,02800,0100,N 121251,S200000,02900,0100,N 121251,S200000,03000,0100,N 121251,S200000,03100,0100,N 121251,S200000,03200,0100,N 121251,S200000,03300,0100,N 121251,S200000,03300,0200,N 121251,S200000,03500,0300,N 121251,S200000,04100,0100,N 121251,S200000,04200,0100,N 121251,S200000,04300,0100,N 121251,S200000,04600,0100,N 121251,S200000,04700,0100,Y 121251,S200000,04700,0200,Y 121251,S200000,04900,0100,N 121253,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121253,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121253,A000000,00300,0000,0300EMPLOYEE BENEFITS 121253,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121253,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121253,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121253,A000000,00700,0000,0700HOUSEKEEPING 121253,A000000,00800,0000,0800DIETARY 121253,A000000,00900,0000,0900NURSING ADMINISTRATION 121253,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121253,A000000,01100,0000,1100PHARMACY 121253,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121253,A000000,01300,0000,1300SOCIAL SERVICE 121253,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121253,A000000,01500,0000,1350ACTIVITIES 121253,A000000,01600,0000,1600SKILLED NURSING FACILITY 121253,A000000,01800,0000,1800NURSING FACILITY 121253,A000000,01810,0000,1810ICF/MR 121253,A000000,02100,0000,2100RADIOLOGY 121253,A000000,02200,0000,2200LABORATORY 121253,A000000,02300,0000,2300INTRAVENOUS THERAPY 121253,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121253,A000000,02500,0000,2500PHYSICAL THERAPY 121253,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121253,A000000,02700,0000,2700SPEECH PATHOLOGY 121253,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121253,A000000,02901,0000,2901PEN THERAPY 121253,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121253,A000000,03300,0000,3050AMBULANCE 121253,A000000,03301,0000,3051OTHER ANCILLARY 121253,A000000,03550,0000,3550FQHC 121253,A000000,05000,0000,5000CORF 121253,A000000,05010,0000,5010CMHC 121253,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121253,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121253,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121253,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121253,A000000,06300,0000,6150COMMUNICATIONS SALARY 121253,A81000A,00100,0100,Y 121253,A81000B,00100,0300,HOME OFFICE COSTS 121253,A81000B,00200,0300,ALLOCATED COSTS - PT 121253,A81000B,00300,0300,ALLOCATED COSTS - OT 121253,A81000B,00400,0300,ALLOCATED COSTS - ST 121253,A81000B,00500,0300,ALLOCATED COSTS - RT 121253,A81000B,00600,0300,REL. PARTY INTEREST 121253,A81000B,00700,0300,LIFE CARE DESIGNS 121253,A81000B,00800,0300,COMPUTER INSTALL. 121253,A81000C,00100,0100,A 121253,A81000C,00100,0200,FORREST PRESTON 121253,A81000C,00100,0400,LIFE CARE CENTE 121253,A81000C,00100,0600,MANAGEMENT COMP 121253,A81000C,00200,0100,A 121253,A81000C,00200,0200,FORREST PRESTON 121253,A81000C,00200,0400,LIFE CARE DESIG 121253,A81000C,00200,0600,INTERIOR DESIGN 121253,B100000,00000,0100,0100(SQUARE FEET) 121253,B100000,00000,0200,0200(SQUARE FEET) 121253,B100000,00000,0300,0300(GROSS SALARIES) 121253,B100000,00000,0400,0400(ACCUM COST) 121253,B100000,00000,0500,0500(SQUARE FEET) 121253,B100000,00000,0600,0600PATIENT DAYS 121253,B100000,00000,0700,0700(SQUARE FEET) 121253,B100000,00000,0800,0800(MEALS SERVED) 121253,B100000,00000,0900,0900DIR. HOURS SUPERVISED 121253,B100000,00000,1000,1000(COSTED REQUIS) 121253,B100000,00000,1100,1100(COSTED REQUIS) 121253,B100000,00000,1200,1200GROSS REVENUES 121253,B100000,00000,1300,1300TIME SPENT 121253,B100000,00000,1400,1400(ASSIGNED TIME) 121253,B100000,00000,1500,1350PATIENT DAYS 121253,E10A180,00301,0100,02/07/00 121253,E10A180,00302,0100,04/12/00 121253,E10A180,00303,0100,08/11/00 121253,S000000,00100,0200,11/30/00 121253,S200000,00100,0100,9210 APISON PIKE 121253,S200000,00100,0300,658 121253,S200000,00200,0100,COLLEGEDALE 121253,S200000,00200,0200,TN 121253,S200000,00200,0300,37315 121253,S200000,00300,0100,HAMILTON 121253,S200000,00300,0200,1560 121253,S200000,00300,0300,U 121253,S200000,00400,0100,LIFE CARE OF COLLEGEDALE 121253,S200000,00400,0200,445294 121253,S200000,00400,0300,07/01/92 121253,S200000,00400,0400,O 121253,S200000,00400,0500,P 121253,S200000,00400,0600,O 121253,S200000,00600,0200,445294 121253,S200000,00600,0300,07/01/92 121253,S200000,00600,0400,O 121253,S200000,00600,0600,O 121253,S200000,01500,0100,N 121253,S200000,01600,0100,Y 121253,S200000,01700,0100,N 121253,S200000,01800,0100,N 121253,S200000,02200,0100,Y 121253,S200000,02800,0100,N 121253,S200000,02900,0100,N 121253,S200000,03000,0100,N 121253,S200000,03100,0100,N 121253,S200000,03200,0100,N 121253,S200000,03300,0100,N 121253,S200000,03300,0200,N 121253,S200000,03500,0300,N 121253,S200000,04100,0100,N 121253,S200000,04200,0100,N 121253,S200000,04300,0100,N 121253,S200000,04600,0100,N 121253,S200000,04700,0100,N 121253,S200000,04900,0100,N 121334,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121334,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121334,A000000,00300,0000,0300EMPLOYEE BENEFITS 121334,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121334,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121334,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121334,A000000,00700,0000,0700HOUSEKEEPING 121334,A000000,00800,0000,0800DIETARY 121334,A000000,00900,0000,0900NURSING ADMINISTRATION 121334,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121334,A000000,01100,0000,1100PHARMACY 121334,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121334,A000000,01300,0000,1300SOCIAL SERVICE 121334,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121334,A000000,01600,0000,1600SKILLED NURSING FACILITY 121334,A000000,01810,0000,1810ICF/MR 121334,A000000,02100,0000,2100RADIOLOGY 121334,A000000,02200,0000,2200LABORATORY 121334,A000000,02300,0000,2300INTRAVENOUS THERAPY 121334,A000000,02500,0000,2500PHYSICAL THERAPY 121334,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121334,A000000,02700,0000,2700SPEECH PATHOLOGY 121334,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121334,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121334,A000000,03200,0000,3200SUPPORT SURFACES 121334,A000000,03550,0000,3550FQHC 121334,A000000,05000,0000,5000CORF 121334,A000000,05010,0000,5010CMHC 121334,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121334,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121334,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121334,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121334,A81000A,00100,0100,Y 121334,A81000B,00100,0300,A&G 121334,A81000C,00100,0100,B 121334,A81000C,00100,0200,FRANK JOHNSON 121334,A81000C,00100,0400,SUN MAR MANAGEMENT 121334,A81000C,00100,0600,MANAGEMENT COMPANY 121334,B100000,00000,0100,0100SQUARE FEET 121334,B100000,00000,0200,0200SQUARE FEET 121334,B100000,00000,0300,0300GROSS SALARIES 121334,B100000,00000,0400,0400ACCUM. COST 121334,B100000,00000,0500,0500SQUARE FEET 121334,B100000,00000,0600,0600POUNDS OF LAUNDRY 121334,B100000,00000,0700,0700SQUARE FEET 121334,B100000,00000,0800,0800MEALS SERVED 121334,B100000,00000,0900,0900DIRECT NRSING HRS 121334,B100000,00000,1000,1000COSTED REQUIS 121334,B100000,00000,1100,1100COSTED REQUIS 121334,B100000,00000,1200,1200GROSS REVENUE 121334,B100000,00000,1300,1300PATIENT DAYS 121334,B100000,00000,1400,1400ASSIGNED TIME 121334,E10A180,00501,0100,01/19/01 121334,S000000,00100,0200,01/02/01 121334,S200000,00100,0100,7509 N. LAUREL AVENUE 121334,S200000,00200,0100,FONTANA 121334,S200000,00200,0200,CA 121334,S200000,00200,0300,92336 121334,S200000,00300,0100,S 121334,S200000,00300,0200,6780 121334,S200000,00300,0300,U 121334,S200000,00400,0100,LAUREL CONVALESCENT HOSPITAL 121334,S200000,00400,0200,056429 121334,S200000,00400,0300,08/01/89 121334,S200000,00400,0500,P 121334,S200000,00400,0600,O 121334,S200000,00600,0200,056429 121334,S200000,00600,0300,08/01/89 121334,S200000,00600,0600,O 121334,S200000,01500,0100,N 121334,S200000,01600,0100,Y 121334,S200000,01700,0100,N 121334,S200000,01800,0100,N 121334,S200000,02200,0100,N 121334,S200000,02800,0100,N 121334,S200000,02900,0100,N 121334,S200000,03000,0100,N 121334,S200000,03100,0100,N 121334,S200000,03200,0100,N 121334,S200000,03300,0100,N 121334,S200000,03300,0200,N 121334,S200000,03500,0300,N 121334,S200000,04100,0100,N 121334,S200000,04200,0100,N 121334,S200000,04300,0100,N 121334,S200000,04600,0100,N 121334,S200000,04700,0100,N 121334,S200000,04700,0200,N 121334,S200000,04900,0100,N 121396,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121396,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121396,A000000,00300,0000,0300EMPLOYEE BENEFITS 121396,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121396,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121396,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121396,A000000,00700,0000,0700HOUSEKEEPING 121396,A000000,00800,0000,0800DIETARY 121396,A000000,00900,0000,0900NURSING ADMINISTRATION 121396,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121396,A000000,01100,0000,1100PHARMACY 121396,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121396,A000000,01300,0000,1300SOCIAL SERVICE 121396,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121396,A000000,01500,0000,1350OTHER GENERAL SERVICES 121396,A000000,01600,0000,1600SKILLED NURSING FACILITY 121396,A000000,01800,0000,1800NURSING FACILITY 121396,A000000,01810,0000,1810ICF/MR 121396,A000000,02100,0000,2100RADIOLOGY 121396,A000000,02200,0000,2200LABORATORY 121396,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121396,A000000,02500,0000,2500PHYSICAL THERAPY 121396,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121396,A000000,02700,0000,2700SPEECH PATHOLOGY 121396,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121396,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 121396,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121396,A000000,03550,0000,3550FQHC 121396,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121396,A000000,05000,0000,5000CORF 121396,A000000,05010,0000,5010CMHC 121396,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121396,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121396,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121396,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121396,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121396,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121396,A81000A,00100,0100,N 121396,B100000,00000,0100,0100SQUARE FEET 121396,B100000,00000,0200,0200SQUARE FEET 121396,B100000,00000,0300,0300GROSS SALARIES 121396,B100000,00000,0400,0400ACCUM. COST 121396,B100000,00000,0500,0500SQUARE FEET 121396,B100000,00000,0600,0600PATIENT DAYS 121396,B100000,00000,0700,0700SQUARE FEET 121396,B100000,00000,0800,0800PATIENT DAYS 121396,B100000,00000,0900,0900PATIENT DAYS 121396,B100000,00000,1000,1000COSTED REQUIS. 121396,B100000,00000,1100,1100COSTED REQUIS. 121396,B100000,00000,1200,1200GROSS REVENUE 121396,B100000,00000,1300,1300TIME SPENT 121396,B100000,00000,1400,1400ASSIGNED TIME 121396,B100000,00000,1500,1350NO STATISTICS 121396,E10A180,00350,0300,11/12/99 121396,E10A180,00501,0100,06/27/00 121396,E10A180,00501,0300,09/24/01 121396,E10A180,00502,0100,09/24/01 121396,E10A180,00550,0300,06/27/00 121396,S000000,00100,0200,05/31/00 121396,S200000,00100,0100,1400 WEST GONZALES ROAD 121396,S200000,00200,0100,OXNARD 121396,S200000,00200,0200,CA 121396,S200000,00200,0300,93030 121396,S200000,00300,0100,VENTURA 121396,S200000,00300,0200,8735 121396,S200000,00300,0300,U 121396,S200000,00400,0100,COUNTRY VILLA OXNARD MANOR HC 121396,S200000,00400,0200,056379 121396,S200000,00400,0300,01/01/85 121396,S200000,00400,0500,P 121396,S200000,00400,0600,O 121396,S200000,00600,0200,056379 121396,S200000,00600,0300,01/01/85 121396,S200000,00600,0600,O 121396,S200000,01500,0100,N 121396,S200000,01600,0100,Y 121396,S200000,01700,0100,N 121396,S200000,01800,0100,N 121396,S200000,02200,0100,N 121396,S200000,02800,0100,N 121396,S200000,02900,0100,N 121396,S200000,03000,0100,N 121396,S200000,03100,0100,N 121396,S200000,03200,0100,N 121396,S200000,03300,0100,N 121396,S200000,03300,0200,N 121396,S200000,03500,0300,N 121396,S200000,04100,0100,N 121396,S200000,04200,0100,N 121396,S200000,04300,0100,N 121396,S200000,04600,0100,N 121396,S200000,04700,0100,N 121396,S200000,04700,0200,N 121396,S200000,04900,0100,N 121526,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121526,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121526,A000000,00300,0000,0300EMPLOYEE BENEFITS 121526,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121526,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121526,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121526,A000000,00700,0000,0700HOUSEKEEPING 121526,A000000,00800,0000,0800DIETARY 121526,A000000,00900,0000,0900NURSING ADMINISTRATION 121526,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121526,A000000,01100,0000,1100PHARMACY 121526,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121526,A000000,01300,0000,1300SOCIAL SERVICE 121526,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121526,A000000,01500,0000,1350ACTIVITIES 121526,A000000,01600,0000,1600SKILLED NURSING FACILITY 121526,A000000,01800,0000,1800NURSING FACILITY 121526,A000000,01900,0000,1900OTHER LONG TERM CARE 121526,A000000,02100,0000,2100RADIOLOGY 121526,A000000,02200,0000,2200LABORATORY 121526,A000000,02300,0000,2300INTRAVENOUS THERAPY 121526,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121526,A000000,02500,0000,2500PHYSICAL THERAPY 121526,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121526,A000000,02700,0000,2700SPEECH PATHOLOGY 121526,A000000,02800,0000,2800ELECTROCARDIOLOGY 121526,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121526,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121526,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121526,A000000,03200,0000,3200SUPPORT SURFACES 121526,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 121526,A000000,04800,0000,4800AMBULANCE 121526,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 121526,A000000,05300,0000,5300INTEREST EXPENSE 121526,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121526,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 121526,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121526,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121526,A000000,06100,0000,6100NONPAID WORKERS 121526,A000000,06200,0000,6200PATIENTS LAUNDRY 121526,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121526,A81000A,00100,0100,Y 121526,A81000B,00100,0300,HOME OFFICE COST 121526,A81000B,00200,0300,IIV THERAPY 121526,A81000B,00300,0300,DRUGS 121526,A81000B,00400,0300,P/S PHARMACY 121526,A81000B,00500,0300,PHYSICAL THERAPY 121526,A81000B,00600,0300,OCCUPATIONAL THERAPY 121526,A81000B,00700,0300,SPEECH THERAPY 121526,A81000B,00800,0300,THERAPY MANAGEMENT SVCS 121526,A81000B,00900,0300,THERAPY MANAGEMENT SVCS 121526,A81000B,01000,0300,THERAPY MANAGEMENT SVCS 121526,A81000C,00100,0100,B 121526,A81000C,00100,0200,HHCC ANN ARBOR 121526,A81000C,00100,0400,HCR MANORCARE INC. 121526,A81000C,00100,0600,LONG TERM CARE FACILITIES 121526,A81000C,00200,0100,B 121526,A81000C,00200,0200,HHCC ANN ARBOR 121526,A81000C,00200,0400,HEARTLAND HEALTHCARE SVCS 121526,A81000C,00200,0600,PHARMACY 121526,A81000C,00300,0100,B 121526,A81000C,00300,0200,HHCC ANN ARBOR 121526,A81000C,00300,0400,HEARTLAND HEALTHCARE SVCS 121526,A81000C,00300,0600,PHARMACY 121526,A81000C,00400,0100,B 121526,A81000C,00400,0200,HHCC ANN ARBOR 121526,A81000C,00400,0400,HEARTLAND HEALTHCARE SVCS 121526,A81000C,00400,0600,PHARMACY 121526,A81000C,00500,0100,B 121526,A81000C,00500,0200,HHCC ANN ARBOR 121526,A81000C,00500,0400,HEARTLAND REHAB SVCS 121526,A81000C,00500,0600,REHAB SERVICES 121526,A81000C,00600,0100,B 121526,A81000C,00600,0200,HHCC ANN ARBOR 121526,A81000C,00600,0400,HEARTLAND REHAB SVCS 121526,A81000C,00600,0600,REHAB SERVICES 121526,A81000C,00700,0100,B 121526,A81000C,00700,0200,HHCC ANN ARBOR 121526,A81000C,00700,0400,HEARTLAND REHAB SVCS 121526,A81000C,00700,0600,REHAB SERVICES 121526,A81000C,00800,0100,B 121526,A81000C,00800,0200,HHCC ANN ARBOR 121526,A81000C,00800,0400,HEARTLAND MANAGEMENT SVCS 121526,A81000C,00800,0600,THERAPY MANAGEMENT SVCS 121526,A81000C,00900,0100,B 121526,A81000C,00900,0200,HHCC ANN ARBOR 121526,A81000C,00900,0400,HEARTLAND MANAGEMENT SVCS 121526,A81000C,00900,0600,THERAPY MANAGEMENT SVCS 121526,A81000C,01000,0100,B 121526,A81000C,01000,0200,HHCC ANN ARBOR 121526,A81000C,01000,0400,HEARTLAND MANAGEMENT SVCS 121526,A81000C,01000,0600,THERAPY MANAGEMENT SVCS 121526,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121526,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 121526,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121526,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121526,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121526,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 121526,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121526,B100000,00000,0800,0800MEALS SERVED :DIETARY 121526,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 121526,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 121526,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 121526,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 121526,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 121526,S000000,00100,0200,10/31/00 121526,S200000,00100,0100,4701 E. HURON RIVER DRIVE 121526,S200000,00200,0100,ANN ARBOR 121526,S200000,00200,0200,MI 121526,S200000,00200,0300,48105- 121526,S200000,00300,0100,WASHTENAW 121526,S200000,00300,0200,0440 121526,S200000,00300,0300,U 121526,S200000,00400,0100,HHCC ANN ARBOR 121526,S200000,00400,0200,235580 121526,S200000,00400,0300,08/13/97 121526,S200000,00400,0500,P 121526,S200000,00400,0600,P 121526,S200000,01004,0500,O 121526,S200000,01500,0100,Y 121526,S200000,01600,0100,N 121526,S200000,01700,0100,N 121526,S200000,01800,0100,N 121526,S200000,02200,0100,Y 121526,S200000,02800,0100,N 121526,S200000,02900,0100,N 121526,S200000,03000,0100,N 121526,S200000,03100,0100,N 121526,S200000,03200,0100,N 121526,S200000,04100,0100,Y 121526,S200000,04200,0100,N 121526,S200000,04300,0100,N 121526,S200000,04600,0100,N 121526,S200000,04700,0100,N 121526,S200000,04700,0200,N 121526,S200000,04900,0100,N 121526,S200000,05000,0100,N 121526,S200000,05100,0100,N 121526,S200000,05200,0100,N 121624,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121624,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121624,A000000,00300,0000,0300EMPLOYEE BENEFITS 121624,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121624,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121624,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121624,A000000,00700,0000,0700HOUSEKEEPING 121624,A000000,00800,0000,0800DIETARY 121624,A000000,00900,0000,0900NURSING ADMINISTRATION 121624,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121624,A000000,01300,0000,1300SOCIAL SERVICE 121624,A000000,01500,0000,1350ACTIVITIES 121624,A000000,01600,0000,1600SKILLED NURSING FACILITY 121624,A000000,01800,0000,1800NURSING FACILITY 121624,A000000,02100,0000,2100RADIOLOGY 121624,A000000,02200,0000,2200LABORATORY 121624,A000000,02300,0000,2300INTRAVENOUS THERAPY 121624,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121624,A000000,02500,0000,2500PHYSICAL THERAPY 121624,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121624,A000000,02700,0000,2700SPEECH PATHOLOGY 121624,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121624,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121624,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121624,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121624,A81000A,00100,0100,Y 121624,A81000B,00100,0300,INSURANCE 121624,A81000B,00200,0300,HOME OFFICE 121624,A81000B,00300,0300,GROUP INSURANCE 121624,A81000B,00400,0300,HOME OFFICE 121624,A81000C,00100,0100,A 121624,A81000C,00100,0200,ABCM CORPORATIO 121624,A81000C,00100,0400,ABCM CORPORATIO 121624,A81000C,00100,0600,HOME OFFICE 121624,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 121624,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 121624,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 121624,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121624,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 121624,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 121624,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 121624,B100000,00000,0800,0800MEALS SERVED DIETARY 121624,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 121624,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 121624,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 121624,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 121624,S000000,00100,0200,11/28/00 121624,S200000,00100,0100,501 SOUTH KENTUCKY 121624,S200000,00200,0100,MASON CITY 121624,S200000,00200,0200,IA 121624,S200000,00200,0300,50401 121624,S200000,00300,0100,CERRO GORDO 121624,S200000,00300,0200,9916 121624,S200000,00300,0300,R 121624,S200000,00400,0100,HERITAGE CARE CENTER 121624,S200000,00400,0200,165367 121624,S200000,00400,0300,10/01/97 121624,S200000,00400,0500,P 121624,S200000,00400,0600,N 121624,S200000,01500,0100,N 121624,S200000,01600,0100,Y 121624,S200000,01700,0100,N 121624,S200000,01800,0100,N 121624,S200000,02200,0100,N 121624,S200000,02800,0100,N 121624,S200000,02900,0100,N 121624,S200000,03000,0100,N 121624,S200000,03100,0100,N 121624,S200000,03200,0100,N 121624,S200000,03300,0100,N 121624,S200000,03300,0200,N 121624,S200000,04100,0100,N 121624,S200000,04200,0100,N 121624,S200000,04300,0100,N 121624,S200000,04600,0100,N 121624,S200000,04700,0100,N 121624,S200000,04900,0100,N 121624,S200000,05000,0100,N 121624,S200000,05100,0100,N 121624,S200000,05200,0100,N 121624,S700003,00000,0400,X 121625,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121625,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121625,A000000,00300,0000,0300EMPLOYEE BENEFITS 121625,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121625,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121625,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121625,A000000,00700,0000,0700HOUSEKEEPING 121625,A000000,00800,0000,0800DIETARY 121625,A000000,00900,0000,0900NURSING ADMINISTRATION 121625,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121625,A000000,01300,0000,1300SOCIAL SERVICE 121625,A000000,01500,0000,1350ACTIVITIES 121625,A000000,01600,0000,1600SKILLED NURSING FACILITY 121625,A000000,02200,0000,2200LABORATORY 121625,A000000,02500,0000,2500PHYSICAL THERAPY 121625,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121625,A000000,02700,0000,2700SPEECH PATHOLOGY 121625,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121625,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121625,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121625,A000000,05300,0000,5300INTEREST EXPENSE 121625,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121625,A81000A,00100,0100,Y 121625,A81000B,00100,0300,INSURANCE 121625,A81000B,00200,0300,HOME OFFICE 121625,A81000B,00300,0300,GROUP INSURANCE 121625,A81000B,00400,0300,HOME OFFICE 121625,A81000C,00100,0100,A 121625,A81000C,00100,0200,ABCM CORPORATIO 121625,A81000C,00100,0600,HOME OFFICE 121625,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 121625,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 121625,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 121625,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 121625,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 121625,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 121625,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 121625,B100000,00000,0800,0800MEALS SERVED DIETARY 121625,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 121625,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 121625,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 121625,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 121625,S000000,00100,0200,11/28/00 121625,S200000,00100,0100,960 4TH STREET NW 121625,S200000,00200,0100,WAUKON 121625,S200000,00200,0200,IA 121625,S200000,00200,0300,52172 121625,S200000,00300,0100,ALLAMAKEE 121625,S200000,00300,0200,9916 121625,S200000,00300,0300,R 121625,S200000,00400,0100,NORTHGATE CARE CENTER 121625,S200000,00400,0200,165338 121625,S200000,00400,0300,08/01/97 121625,S200000,00400,0500,P 121625,S200000,00400,0600,N 121625,S200000,01500,0100,Y 121625,S200000,01600,0100,N 121625,S200000,01700,0100,N 121625,S200000,01800,0100,N 121625,S200000,02200,0100,N 121625,S200000,02800,0100,N 121625,S200000,02900,0100,N 121625,S200000,03000,0100,N 121625,S200000,03100,0100,N 121625,S200000,03200,0100,N 121625,S200000,03300,0100,N 121625,S200000,03300,0200,N 121625,S200000,04100,0100,N 121625,S200000,04200,0100,N 121625,S200000,04300,0100,N 121625,S200000,04600,0100,N 121625,S200000,04700,0100,N 121625,S200000,04900,0100,N 121625,S200000,05000,0100,N 121625,S200000,05100,0100,N 121625,S200000,05200,0100,N 121625,S700003,00000,0400,X 121682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121682,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121682,A000000,00300,0000,0300EMPLOYEE BENEFITS 121682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121682,A000000,00700,0000,0700HOUSEKEEPING 121682,A000000,00800,0000,0800DIETARY 121682,A000000,00900,0000,0900NURSING ADMINISTRATION 121682,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121682,A000000,01100,0000,1100PHARMACY 121682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121682,A000000,01300,0000,1300SOCIAL SERVICE 121682,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121682,A000000,01500,0000,1350PATIENT ACTIVITIES 121682,A000000,01600,0000,1600SKILLED NURSING FACILITY 121682,A000000,01800,0000,1800NURSING FACILITY 121682,A000000,01810,0000,1810ICF/MR 121682,A000000,02100,0000,2100RADIOLOGY 121682,A000000,02200,0000,2200LABORATORY 121682,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121682,A000000,02500,0000,2500PHYSICAL THERAPY 121682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121682,A000000,02700,0000,2700SPEECH PATHOLOGY 121682,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121682,A000000,03300,0000,3050PSYCHOLOGICAL THERAPY 121682,A000000,03550,0000,3550FQHC 121682,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 121682,A000000,05000,0000,5000CORF 121682,A000000,05010,0000,5010CMHC 121682,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121682,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121682,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121682,A000000,05100,0000,4750OTHER REIMBURSABLE COST 121682,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 121682,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121682,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121682,A81000A,00100,0100,Y 121682,A81000B,00100,0300,CLINICAL ADMIISTRATION 121682,A81000B,00200,0300,ADMINISTRATIVE 121682,A81000B,00300,0300,DATA PROCESSING 121682,A81000B,00400,0300,EMPLOYEE BENEFITS 121682,A81000B,00500,0300,HUMAN RESOURCES 121682,A81000B,00600,0300,MATERIALS MANAGEMENT 121682,A81000B,00700,0300,DEPRECIATION - BLDG 121682,A81000B,00800,0300,DEPRECIATION - EQUIP 121682,A81000B,00900,0300,INTEREST 121682,A81000B,01000,0300,PHARMACY 121682,A81000C,00100,0100,G 121682,A81000C,00100,0200,GOOD SHEPHERD MUHLENBERG 121682,A81000C,00100,0400,GOOD SHEPHERD REHAB 121682,A81000C,00100,0600,REHAB HOSPITAL 121682,B100000,00000,0100,0100SQUARE FEET 121682,B100000,00000,0200,0200SQUARE FEET 121682,B100000,00000,0300,0300GROSS SALARIES 121682,B100000,00000,0400,0400ACCUM. COST 121682,B100000,00000,0500,0500SQUARE FEET 121682,B100000,00000,0600,0600POUNDS OF LAUNDRY 121682,B100000,00000,0700,0700SQUARE FEET 121682,B100000,00000,0800,0800NUMBER OF MEALS SERV 121682,B100000,00000,0900,0900NURSING HOURS 121682,B100000,00000,1000,1000COST OF REQUISITIO 121682,B100000,00000,1100,1100PATIENT DAYS 121682,B100000,00000,1200,1200NUMBER OF ADMISSIONS 121682,B100000,00000,1300,1300PATIENT DAYS 121682,B100000,00000,1400,1400PATIENT DAYS 121682,B100000,00000,1500,1350PATIENT DAYS 121682,E10A180,00550,0100,11/30/00 121682,E10A180,00550,0300,11/30/00 121682,S000000,00100,0200,11/30/00 121682,S200000,00100,0100,2855 SCHOENERSVILLE RD 121682,S200000,00200,0100,BETHLEHEM 121682,S200000,00200,0200,PA 121682,S200000,00200,0300,18017 121682,S200000,00300,0200,0240 121682,S200000,00300,0300,U 121682,S200000,00400,0100,GOOD SHEPHERD MUHLENBERG REHABILITAT 121682,S200000,00400,0200,395854 121682,S200000,00400,0300,06/26/91 121682,S200000,00400,0500,P 121682,S200000,00600,0200,395854 121682,S200000,00600,0300,06/26/91 121682,S200000,00600,0600,O 121682,S200000,01500,0100,N 121682,S200000,01600,0100,Y 121682,S200000,01700,0100,N 121682,S200000,01800,0100,N 121682,S200000,01900,0100,CORPORATION 121682,S200000,02200,0100,N 121682,S200000,02800,0100,N 121682,S200000,02900,0100,N 121682,S200000,03000,0100,N 121682,S200000,03100,0100,N 121682,S200000,03200,0100,N 121682,S200000,03300,0100,N 121682,S200000,03300,0200,N 121682,S200000,03500,0300,N 121682,S200000,04100,0100,N 121682,S200000,04200,0100,N 121682,S200000,04300,0100,N 121682,S200000,04600,0100,N 121682,S200000,04700,0100,N 121682,S200000,04700,0200,N 121682,S200000,04900,0100,N 121740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121740,A000000,00300,0000,0300EMPLOYEE BENEFITS 121740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121740,A000000,00700,0000,0700HOUSEKEEPING 121740,A000000,00800,0000,0800DIETARY 121740,A000000,01300,0000,1300SOCIAL SERVICE 121740,A000000,01500,0000,1350OTHER GENERAL SERVICES 121740,A000000,01600,0000,1600SKILLED NURSING FACILITY 121740,A000000,02100,0000,2100RADIOLOGY 121740,A000000,02200,0000,2200LABORATORY 121740,A000000,02500,0000,2500PHYSICAL THERAPY 121740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121740,A000000,02700,0000,2700SPEECH PATHOLOGY 121740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121740,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 121740,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121740,A81000A,00100,0100,Y 121740,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 121740,A81000B,00200,0300,CAPITAL 121740,A81000B,00300,0300,INTEREST 121740,A81000C,00100,0100,B 121740,A81000C,00100,0400,PRESBYTERIAN MA 121740,B100000,00000,0100,0000SQUARE FEETCAP REL COSTS - BL 121740,E10A180,00501,0100,12/15/00 121740,E10A180,00501,0300,12/15/00 121740,S000000,00100,0200,12/01/00 121740,S200000,00100,0100,7850 FREEMAN 121740,S200000,00200,0100,KANSAS CITY 121740,S200000,00200,0200,KS 121740,S200000,00200,0300,66112- 121740,S200000,00300,0100,WYANDOTTE 121740,S200000,00300,0300,U 121740,S200000,00400,0100,KANSAS CITY PRESBYTERIAN MANOR 121740,S200000,00400,0200,175298 121740,S200000,00400,0300,07/01/94 121740,S200000,00400,0500,P 121740,S200000,00400,0600,N 121740,S200000,01500,0100,Y 121740,S200000,01600,0100,N 121740,S200000,01700,0100,N 121740,S200000,01800,0100,N 121740,S200000,01900,0100,N 121740,S200000,02200,0100,N 121740,S200000,02800,0100,N 121740,S200000,02900,0100,N 121740,S200000,03000,0100,N 121740,S200000,03100,0100,N 121740,S200000,03200,0100,N 121740,S200000,03300,0100,N 121740,S200000,03300,0200,N 121740,S200000,04100,0100,N 121740,S200000,04200,0100,N 121740,S200000,04300,0100,N 121740,S200000,04600,0100,N 121740,S200000,04700,0100,N 121740,S200000,04700,0200,N 121740,S200000,04900,0100,N 121740,S700003,00000,0200,2 121837,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 121837,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 121837,A000000,00300,0000,0300EMPLOYEE BENEFITS 121837,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121837,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 121837,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121837,A000000,00700,0000,0700HOUSEKEEPING 121837,A000000,00800,0000,0800DIETARY 121837,A000000,00900,0000,0900NURSING ADMINISTRATION 121837,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121837,A000000,01100,0000,1100PHARMACY 121837,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121837,A000000,01300,0000,1300SOCIAL SERVICE 121837,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 121837,A000000,01500,0000,1350ACTIVITIES 121837,A000000,01600,0000,1600SKILLED NURSING FACILITY 121837,A000000,01800,0000,1800NURSING FACILITY 121837,A000000,01900,0000,1900OTHER LONG TERM CARE 121837,A000000,02100,0000,2100RADIOLOGY 121837,A000000,02200,0000,2200LABORATORY 121837,A000000,02300,0000,2300INTRAVENOUS THERAPY 121837,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121837,A000000,02500,0000,2500PHYSICAL THERAPY 121837,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121837,A000000,02700,0000,2700SPEECH PATHOLOGY 121837,A000000,02800,0000,2800ELECTROCARDIOLOGY 121837,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 121837,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121837,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 121837,A000000,03200,0000,3200SUPPORT SURFACES 121837,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 121837,A000000,04800,0000,4800AMBULANCE 121837,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 121837,A000000,05300,0000,5300INTEREST EXPENSE 121837,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 121837,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 121837,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 121837,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121837,A000000,06100,0000,6100NONPAID WORKERS 121837,A000000,06200,0000,6200PATIENTS LAUNDRY 121837,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 121837,A81000A,00100,0100,Y 121837,A81000B,00100,0300,HOME OFFICE COST 121837,A81000B,00200,0300,PURCH SERVICES 121837,A81000B,00300,0300,IV COST 121837,A81000B,00400,0300,DRUGS 121837,A81000B,00500,0300,PT ADMIN FEE 121837,A81000B,00600,0300,OT ADMIN FEE 121837,A81000B,00700,0300,SPEECH ADMIN FEE 121837,A81000C,00100,0100,B 121837,A81000C,00100,0200,KENSINGTON MANOR 121837,A81000C,00100,0400,HCR MANORCARE INC. 121837,A81000C,00100,0600,LONG TERM CARE FACILITIES 121837,A81000C,00200,0100,B 121837,A81000C,00200,0200,KENSINGTON MANOR 121837,A81000C,00200,0400,HEARTLAND HEALTHCARE SVC. 121837,A81000C,00200,0600,PHARMACY 121837,A81000C,00300,0100,B 121837,A81000C,00300,0200,KENSINGTON MANOR 121837,A81000C,00300,0400,HEARTLAND HEALTHCARE SVC. 121837,A81000C,00300,0600,PHARMACY 121837,A81000C,00400,0100,B 121837,A81000C,00400,0200,KENSINGTON MANOR 121837,A81000C,00400,0400,HEARTLAND HEALTHCARE SVC. 121837,A81000C,00400,0600,PHARMACY 121837,A81000C,00500,0100,B 121837,A81000C,00500,0200,KENSINGTON MANOR 121837,A81000C,00500,0400,HEARTLAND MGT. SVC. 121837,A81000C,00500,0600,THERAPY MANAGEMENT 121837,A81000C,00600,0100,B 121837,A81000C,00600,0200,KENSINGTON MANOR 121837,A81000C,00600,0400,HEARTLAND MGT. SVC. 121837,A81000C,00600,0600,THERAPY MANAGEMENT 121837,A81000C,00700,0100,B 121837,A81000C,00700,0200,KENSINGTON MANOR 121837,A81000C,00700,0400,HEARTLAND MGT. SVC. 121837,A81000C,00700,0600,THERAPY MANAGEMENT 121837,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 121837,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 121837,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 121837,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 121837,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 121837,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 121837,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 121837,B100000,00000,0800,0800MEALS SERVED :DIETARY 121837,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 121837,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 121837,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 121837,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 121837,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 121837,S000000,00100,0200,01/24/01 121837,S200000,00100,0100,3250 12TH STREET 121837,S200000,00200,0100,SARASOTA 121837,S200000,00200,0200,FL 121837,S200000,00200,0300,34237- 121837,S200000,00300,0100,SARASOTA 121837,S200000,00300,0200,7510 121837,S200000,00300,0300,U 121837,S200000,00400,0100,KENSINGTON MANOR 121837,S200000,00400,0200,105389 121837,S200000,00400,0300,10/01/86 121837,S200000,00400,0500,P 121837,S200000,01500,0100,N 121837,S200000,01600,0100,Y 121837,S200000,01700,0100,N 121837,S200000,01800,0100,N 121837,S200000,02200,0100,Y 121837,S200000,02800,0100,N 121837,S200000,02900,0100,N 121837,S200000,03000,0100,N 121837,S200000,03100,0100,N 121837,S200000,03200,0100,N 121837,S200000,04100,0100,N 121837,S200000,04200,0100,N 121837,S200000,04300,0100,N 121837,S200000,04600,0100,N 121837,S200000,04700,0100,N 121837,S200000,04700,0200,N 121837,S200000,04900,0100,N 121837,S200000,05000,0100,N 121837,S200000,05100,0100,N 121837,S200000,05200,0100,N 121894,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121894,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121894,A000000,00300,0000,0300EMPLOYEE BENEFITS 121894,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121894,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121894,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121894,A000000,00700,0000,0700HOUSEKEEPING 121894,A000000,00800,0000,0800DIETARY 121894,A000000,00900,0000,0900NURSING ADMINISTRATION 121894,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121894,A000000,01100,0000,1100PHARMACY 121894,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121894,A000000,01300,0000,1300SOCIAL SERVICE 121894,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121894,A000000,01500,0000,1350ACTIVITIES 121894,A000000,01600,0000,1600SKILLED NURSING FACILITY 121894,A000000,01800,0000,1800NURSING FACILITY 121894,A000000,01810,0000,1810ICF/MR 121894,A000000,02200,0000,2200LABORATORY 121894,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121894,A000000,02500,0000,2500PHYSICAL THERAPY 121894,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121894,A000000,02700,0000,2700SPEECH PATHOLOGY 121894,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121894,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121894,A000000,03300,0000,3050EQUIPMENT RENTAL 121894,A000000,03301,0000,3051ENTERAL FEEDINGS 121894,A000000,03302,0000,3052OTHER ANCILLARY SERVICE COST CE 121894,A000000,03303,0000,3053AMBULANCE SERVICES 121894,A000000,03304,0000,3054AIR BEDS 121894,A000000,03550,0000,3550FQHC 121894,A000000,05000,0000,5000CORF 121894,A000000,05010,0000,5010CMHC 121894,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121894,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121894,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121894,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121894,A81000A,00100,0100,Y 121894,A81000B,00100,0300,RENT/LEASE 121894,A81000B,00200,0300,BLDG COST OF OWNERSHIP 121894,A81000B,00300,0300,BLDG COST OF OWNERSHIP 121894,A81000B,00400,0300,MANAGEMENT SERVICES 121894,A81000B,00500,0300,HOME OFFICE CAPITAL EQUIP 121894,A81000B,00600,0300,HOME OFFICE ADMIN AND GENERAL 121894,A81000B,00700,0300,PHARMACY 121894,A81000B,00800,0300,PHYSICAL THERAPY 121894,A81000B,00900,0300,OCCUPATIONAL THERAPY 121894,A81000B,01000,0300,SPEECH THERAPY 121894,A81000C,00100,0100,A 121894,A81000C,00100,0200,JAMES R SMITH 121894,A81000C,00100,0400,GRAYSON HEALTH INVESTORS 121894,A81000C,00100,0600,PROPERTY MANAGEMENT 121894,A81000C,00200,0100,A 121894,A81000C,00200,0200,JAMES R SMITH 121894,A81000C,00200,0400,GRAYSON HEALTH INVESTORS 121894,A81000C,00200,0600,PROPERTY MANAGEMENT 121894,A81000C,00300,0100,A 121894,A81000C,00300,0200,JAMES R SMITH 121894,A81000C,00300,0400,GRAYSON HEALTH INVESTORS 121894,A81000C,00300,0600,PROPERTY MANAGEMENT 121894,A81000C,00400,0100,A 121894,A81000C,00400,0200,JAMES R SMITH 121894,A81000C,00400,0400,COLONIAL CARE LLC 121894,A81000C,00400,0600,HOME OFFICE 121894,A81000C,00500,0100,A 121894,A81000C,00500,0200,JAMES R SMITH 121894,A81000C,00500,0400,COLONIAL CARE LLC 121894,A81000C,00500,0600,HOME OFFICE 121894,A81000C,00600,0100,A 121894,A81000C,00600,0200,JAMES R SMITH 121894,A81000C,00600,0400,COLONIAL CARE LLC 121894,A81000C,00600,0600,HOME OFFICE 121894,A81000C,00700,0100,A 121894,A81000C,00700,0200,JAMES R. SMITH 121894,A81000C,00700,0400,RX CARE 121894,A81000C,00700,0600,DRUG COMPANY 121894,A81000C,00800,0100,A 121894,A81000C,00800,0200,TANDEM HEALTHCARE 121894,A81000C,00800,0400,TANDEM REHABILITATION 121894,A81000C,00800,0600,REHAB COMPANY 121894,A81000C,00900,0100,A 121894,A81000C,00900,0200,TANDEM HEALTHCARE 121894,A81000C,00900,0400,TANDEM REHABILITATION 121894,A81000C,00900,0600,REHAB COMPANY 121894,B100000,00000,0100,0100SQ FT 121894,B100000,00000,0200,0200SQ FT 121894,B100000,00000,0300,0300GROSS SALARIES 121894,B100000,00000,0400,0400ACCUM. COST 121894,B100000,00000,0500,0500SQ FT 121894,B100000,00000,0600,0600PATIENT DAYS 121894,B100000,00000,0700,0700SQ FT 121894,B100000,00000,0800,0800PATIENT DAYS 121894,B100000,00000,0900,0900PATIENT DAYS 121894,B100000,00000,1000,1000PATIENT DAYS 121894,B100000,00000,1100,1100PATIENT DAYS 121894,B100000,00000,1200,1200PATIENT DAYS 121894,B100000,00000,1300,1300ADMISSIONS S 121894,B100000,00000,1400,1400ASSIGNED TIME 121894,B100000,00000,1500,1350PATIENT DAYS 121894,E10A180,00301,0100,07/02/02 121894,S000000,00100,0200,10/31/00 121894,S200000,00100,0100,400 SOUTH INDEPENDENCE AVE 121894,S200000,00200,0100,INDEPENDENCE 121894,S200000,00200,0200,VA 121894,S200000,00300,0100,GRAYSON 121894,S200000,00300,0200,0049 121894,S200000,00300,0300,R 121894,S200000,00400,0100,S.P. GRAYSON L.L.C. 121894,S200000,00400,0200,495331 121894,S200000,00400,0300,06/25/98 121894,S200000,00400,0500,P 121894,S200000,00600,0200,495331 121894,S200000,00600,0300,06/25/98 121894,S200000,00600,0600,O 121894,S200000,01500,0100,N 121894,S200000,01600,0100,Y 121894,S200000,01700,0100,N 121894,S200000,01800,0100,N 121894,S200000,02200,0100,Y 121894,S200000,02800,0100,N 121894,S200000,02900,0100,N 121894,S200000,03000,0100,N 121894,S200000,03100,0100,N 121894,S200000,03200,0100,N 121894,S200000,03300,0100,N 121894,S200000,03300,0200,N 121894,S200000,03500,0300,N 121894,S200000,04100,0100,N 121894,S200000,04200,0100,N 121894,S200000,04300,0100,N 121894,S200000,04600,0100,N 121894,S200000,04700,0100,N 121894,S200000,04900,0100,N 121894,S200000,05000,0100,N 121894,S200000,05200,0100,N 121922,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 121922,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 121922,A000000,00300,0000,0300EMPLOYEE BENEFITS 121922,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 121922,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 121922,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 121922,A000000,00700,0000,0700HOUSEKEEPING 121922,A000000,00800,0000,0800DIETARY 121922,A000000,00900,0000,0900NURSING ADMINISTRATION 121922,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 121922,A000000,01100,0000,1100PHARMACY 121922,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 121922,A000000,01300,0000,1300SOCIAL SERVICE 121922,A000000,01301,0000,1301PATIENT ACTIVITIES 121922,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 121922,A000000,01600,0000,1600SKILLED NURSING FACILITY 121922,A000000,01810,0000,1810ICF/MR 121922,A000000,02100,0000,2100RADIOLOGY 121922,A000000,02200,0000,2200LABORATORY 121922,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 121922,A000000,02500,0000,2500PHYSICAL THERAPY 121922,A000000,02600,0000,2600OCCUPATIONAL THERAPY 121922,A000000,02700,0000,2700SPEECH PATHOLOGY 121922,A000000,02800,0000,2800ELECTROCARDIOLOGY 121922,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 121922,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 121922,A000000,03550,0000,3550FQHC 121922,A000000,05000,0000,5000CORF 121922,A000000,05010,0000,5010CMHC 121922,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 121922,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 121922,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 121922,A000000,05900,0000,5900BARBER & BEAUTY SHOP 121922,A000000,06201,0000,6201ASSISTED LIVING 121922,A000000,06202,0000,6202WALNUT ST. WHITE 121922,A81000A,00100,0100,Y 121922,A81000B,00100,0300,LMS MANAGEMENT FEES 121922,A81000B,00200,0300,LAB 121922,A81000B,00300,0300,XRAY 121922,A81000B,00400,0300,RESPIRATORY 121922,A81000B,00500,0300,INFECTIOUS WASTE 121922,A81000B,00600,0300,PERSCRIPTION DRUGS 121922,A81000B,00700,0300,OVER THE COUNTER DRUGS 121922,A81000B,00800,0300,LAUNDRY 121922,A81000B,00900,0300,ANSWERING SERVICE 121922,A81000B,01000,0300,COMPUTER FEES 121922,A81000B,01100,0300,MEDICAL SUPPLIES 121922,A81000B,01200,0300,ASSISTANT ADMINISTRATOR 121922,A81000B,01300,0300,BENEFITS - ASSISTANT ADMINISTR 121922,A81000C,00100,0100,B 121922,A81000C,00100,0200,LAUREL MANAGEME 121922,A81000C,00100,0400,GREEN HOME 121922,A81000C,00100,0600,HEALTH CARE SNF 121922,A81000C,00200,0100,G 121922,A81000C,00200,0200,SOLDIERS HOSPIT 121922,A81000C,00200,0400,THE GREEN HOME 121922,A81000C,00200,0600,LAB 121922,A81000C,00300,0100,G 121922,A81000C,00300,0200,SOLDIERS HOSPIT 121922,A81000C,00300,0400,THE GREEN HOME 121922,A81000C,00300,0600,RADIOLOGY 121922,A81000C,00400,0100,G 121922,A81000C,00400,0200,SOLDIERS HOSPIT 121922,A81000C,00400,0400,THE GREEN HOME 121922,A81000C,00400,0600,OXYGEN THERAPY 121922,A81000C,00500,0100,G 121922,A81000C,00500,0200,SOLDIERS HOSPIT 121922,A81000C,00500,0400,THE GREEN HOME 121922,A81000C,00500,0600,WASTE MANG 121922,A81000C,00600,0100,G 121922,A81000C,00600,0200,SOLDIERS HOSPIT 121922,A81000C,00600,0400,THE GREEN HOME 121922,A81000C,00600,0600,PHARMACY 121922,A81000C,00700,0100,G 121922,A81000C,00700,0200,SOLDIERS HOSPIT 121922,A81000C,00700,0400,THE GREEN HOME 121922,A81000C,00700,0600,PHARMACY 121922,A81000C,00800,0100,G 121922,A81000C,00800,0200,SOLDIERS HOSPIT 121922,A81000C,00800,0400,THE GREEN HOME 121922,A81000C,00800,0600,LAUNDRY 121922,A81000C,00900,0100,G 121922,A81000C,00900,0200,NORTH PENN 121922,A81000C,00900,0400,THE GREEN HOME 121922,A81000C,00900,0600,ANSWERING SERVI 121922,A81000C,01000,0100,G 121922,A81000C,01000,0200,LAUREL MANAGEME 121922,A81000C,01000,0400,THE GREEN HOME 121922,A81000C,01000,0600,COMPUTER FEES 121922,A81000C,01100,0100,G 121922,A81000C,01100,0200,SOLDIERS HOSPIT 121922,A81000C,01100,0400,THE GREEN HOME 121922,A81000C,01100,0600,MEDICAL SUPPLIE 121922,B100000,00000,0100,0100SQUARE FEET 121922,B100000,00000,0200,0200DOLLAR VALUE 121922,B100000,00000,0300,0300GROSS SALARIES 121922,B100000,00000,0400,0400ACCUM. COST 121922,B100000,00000,0500,0500SQUARE FEET 121922,B100000,00000,0600,0600POUNDS OF LAUNDRY 121922,B100000,00000,0700,0700HOURS OF SERVICE 121922,B100000,00000,0800,0800MEALS SERVED 121922,B100000,00000,0900,0900DIRECT NRSING HRS 121922,B100000,00000,1000,1000COSTED REQUIS. 121922,B100000,00000,1100,1100COSTED REQUIS. 121922,B100000,00000,1200,1200TIME SPENT 121922,B100000,00000,1300,1300TIME SPENT 121922,B100000,00000,1301,1301TIME SPENT 121922,B100000,00000,1400,1400ASSIGNED TIME 121922,E10A180,00501,0100,01/08/01 121922,E10A180,00550,0300,01/08/01 121922,S000000,00100,0200,12/07/00 121922,S200000,00100,0100,37 CENTRAL AVE 121922,S200000,00200,0100,WELLSBORO 121922,S200000,00200,0200,PA 121922,S200000,00200,0300,16901 121922,S200000,00300,0200,0039 121922,S200000,00300,0300,R 121922,S200000,00400,0100,THE GREEN HOME INC. 121922,S200000,00400,0200,395318 121922,S200000,00400,0300,01/01/74 121922,S200000,00400,0500,P 121922,S200000,01500,0100,Y 121922,S200000,01600,0100,N 121922,S200000,01700,0100,N 121922,S200000,01800,0100,N 121922,S200000,01900,0100,NON PROFIT 121922,S200000,02200,0100,Y 121922,S200000,02800,0100,Y 121922,S200000,02900,0100,N 121922,S200000,03000,0100,N 121922,S200000,03100,0100,N 121922,S200000,03200,0100,N 121922,S200000,03300,0100,N 121922,S200000,03300,0200,N 121922,S200000,04100,0100,N 121922,S200000,04200,0100,N 121922,S200000,04300,0100,N 121922,S200000,04600,0100,N 121922,S200000,04700,0100,Y 121922,S200000,04700,0200,Y 121922,S200000,04900,0100,N 122040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122040,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122040,A000000,00300,0000,0300EMPLOYEE BENEFITS 122040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122040,A000000,00700,0000,0700HOUSEKEEPING 122040,A000000,00800,0000,0800DIETARY 122040,A000000,00900,0000,0900NURSING ADMINISTRATION 122040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122040,A000000,01100,0000,1100PHARMACY 122040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122040,A000000,01300,0000,1300SOCIAL SERVICE 122040,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122040,A000000,01500,0000,1350ACTIVITIES 122040,A000000,01600,0000,1600SKILLED NURSING FACILITY 122040,A000000,01800,0000,1800NURSING FACILITY 122040,A000000,01900,0000,1900OTHER LONG TERM CARE 122040,A000000,02100,0000,2100RADIOLOGY 122040,A000000,02200,0000,2200LABORATORY 122040,A000000,02300,0000,2300INTRAVENOUS THERAPY 122040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122040,A000000,02500,0000,2500PHYSICAL THERAPY 122040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122040,A000000,02700,0000,2700SPEECH PATHOLOGY 122040,A000000,02800,0000,2800ELECTROCARDIOLOGY 122040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122040,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122040,A000000,03200,0000,3200SUPPORT SURFACES 122040,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 122040,A000000,04800,0000,4800AMBULANCE 122040,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 122040,A000000,05300,0000,5300INTEREST EXPENSE 122040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122040,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 122040,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122040,A000000,06100,0000,6100NONPAID WORKERS 122040,A000000,06200,0000,6200PATIENTS LAUNDRY 122040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122040,A81000A,00100,0100,Y 122040,A81000B,00100,0300,HOME OFFICE COST 122040,A81000B,00200,0300,PHYSICAL THERAPY 122040,A81000B,00300,0300,OCCUPATIONAL THERAPY 122040,A81000B,00400,0300,SPEECH THERAPY 122040,A81000B,00500,0300,INTEREST EXPENSE 122040,A81000C,00100,0100,B 122040,A81000C,00100,0200,MANOR CARE - DECATUR 122040,A81000C,00100,0400,HCR MANORCARE INC. 122040,A81000C,00100,0600,LONG TERM CARE FACILITIES 122040,A81000C,00200,0100,B 122040,A81000C,00200,0200,MANOR CARE - DECATUR 122040,A81000C,00200,0400,HEARTLAND MANAGEMENT 122040,A81000C,00200,0600,THERAPY MANAGEMENT 122040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122040,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 122040,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122040,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122040,B100000,00000,0800,0800MEALS SERVED :DIETARY 122040,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 122040,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122040,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 122040,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122040,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 122040,S000000,00100,0200,10/10/00 122040,S200000,00100,0100,2722 N. DECATUR 122040,S200000,00200,0100,DECATUR 122040,S200000,00200,0200,GA 122040,S200000,00200,0300,30033- 122040,S200000,00300,0100,DEKALB 122040,S200000,00300,0200,0520 122040,S200000,00300,0300,U 122040,S200000,00400,0100,MANOR CARE - DECATUR 122040,S200000,00400,0200,115246 122040,S200000,00400,0300,11/01/77 122040,S200000,00400,0500,P 122040,S200000,00400,0600,P 122040,S200000,01004,0500,O 122040,S200000,01500,0100,N 122040,S200000,01600,0100,Y 122040,S200000,01700,0100,N 122040,S200000,01800,0100,N 122040,S200000,02200,0100,N 122040,S200000,02800,0100,N 122040,S200000,02900,0100,N 122040,S200000,03000,0100,N 122040,S200000,03100,0100,N 122040,S200000,03200,0100,N 122040,S200000,04100,0100,N 122040,S200000,04200,0100,N 122040,S200000,04300,0100,N 122040,S200000,04600,0100,N 122040,S200000,04700,0100,N 122040,S200000,04700,0200,N 122040,S200000,04900,0100,N 122040,S200000,05000,0100,N 122040,S200000,05100,0100,N 122040,S200000,05200,0100,N 122053,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122053,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122053,A000000,00300,0000,0300EMPLOYEE BENEFITS 122053,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122053,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122053,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122053,A000000,00700,0000,0700HOUSEKEEPING 122053,A000000,00800,0000,0800DIETARY 122053,A000000,00900,0000,0900NURSING ADMINISTRATION 122053,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122053,A000000,01100,0000,1100PHARMACY 122053,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122053,A000000,01300,0000,1300SOCIAL SERVICE 122053,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122053,A000000,01600,0000,1600SKILLED NURSING FACILITY 122053,A000000,01810,0000,1810ICF/MR 122053,A000000,01900,0000,1900OTHER LONG TERM CARE 122053,A000000,02100,0000,2100RADIOLOGY 122053,A000000,02200,0000,2200LABORATORY 122053,A000000,02500,0000,2500PHYSICAL THERAPY 122053,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122053,A000000,02700,0000,2700SPEECH PATHOLOGY 122053,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122053,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122053,A000000,03550,0000,3550FQHC 122053,A000000,05000,0000,5000CORF 122053,A000000,05010,0000,5010CMHC 122053,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122053,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122053,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122053,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122053,A81000A,00100,0100,N 122053,B100000,00000,0100,0100SQUARE FEET 122053,B100000,00000,0200,0200SQUARE FEET 122053,B100000,00000,0300,0300GROSS SALARIES 122053,B100000,00000,0400,0400ACCUM COST 122053,B100000,00000,0500,0500SQUARE FEET 122053,B100000,00000,0600,0600POUNDS OF LAUNDRY 122053,B100000,00000,0700,0700HOURS OF SERVICE 122053,B100000,00000,0800,0800MEALS SERVED 122053,B100000,00000,0900,0900DIRECT NRSG HRS 122053,B100000,00000,1000,1000COSTED REQUIS 122053,B100000,00000,1100,1100COSTED REQUIS 122053,B100000,00000,1200,1200TIME SPENT 122053,B100000,00000,1300,1300TIME SPENT 122053,B100000,00000,1400,1400ASSIGNED TIME 122053,E10A180,00501,0100,10/19/01 122053,E10A180,00501,0300,10/19/01 122053,S000000,00100,0200,09/19/01 122053,S200000,00100,0100,453 S MAIN ROAD 122053,S200000,00200,0100,MOUNTAINTOP 122053,S200000,00200,0200,PA 122053,S200000,00200,0300,18707 122053,S200000,00300,0100,LUZERNE 122053,S200000,00300,0200,7560 122053,S200000,00300,0300,R 122053,S200000,00400,0100,SMITH NRSG. & CONVALESCENT HM. INC. 122053,S200000,00400,0200,395716 122053,S200000,00400,0300,07/01/86 122053,S200000,00400,0500,P 122053,S200000,01500,0100,N 122053,S200000,01600,0100,Y 122053,S200000,01700,0100,N 122053,S200000,01800,0100,N 122053,S200000,02200,0100,Y 122053,S200000,02800,0100,N 122053,S200000,02900,0100,N 122053,S200000,03000,0100,N 122053,S200000,03100,0100,N 122053,S200000,03200,0100,N 122053,S200000,03300,0100,N 122053,S200000,03300,0200,N 122053,S200000,04100,0100,N 122053,S200000,04200,0100,N 122053,S200000,04300,0100,N 122053,S200000,04600,0100,N 122053,S200000,04700,0100,N 122053,S200000,04900,0100,N 122053,S200000,05200,0100,N 122070,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122070,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122070,A000000,00300,0000,0300EMPLOYEE BENEFITS 122070,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122070,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122070,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122070,A000000,00700,0000,0700HOUSEKEEPING 122070,A000000,00800,0000,0800DIETARY 122070,A000000,00900,0000,0900NURSING ADMINISTRATION 122070,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122070,A000000,01100,0000,1100PHARMACY 122070,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122070,A000000,01300,0000,1300SOCIAL SERVICE 122070,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122070,A000000,01600,0000,1600SKILLED NURSING FACILITY 122070,A000000,01800,0000,1800NURSING FACILITY 122070,A000000,01810,0000,1810ICF/MR 122070,A000000,02500,0000,2500PHYSICAL THERAPY 122070,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122070,A000000,02700,0000,2700SPEECH PATHOLOGY 122070,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122070,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122070,A000000,03550,0000,3550FQHC 122070,A000000,05000,0000,5000CORF 122070,A000000,05010,0000,5010CMHC 122070,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122070,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122070,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122070,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122070,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122070,A81000A,00100,0100,N 122070,B100000,00000,0100,0100SQUARE FEET 122070,B100000,00000,0200,0200SQUARE FEET 122070,B100000,00000,0300,0300GROSS SALARIES 122070,B100000,00000,0400,0400ACCUM COST 122070,B100000,00000,0500,0500SQUARE FEET 122070,B100000,00000,0600,0600POUNDS OF LAUNDRY 122070,B100000,00000,0700,0700SQUARE FEET 122070,B100000,00000,0800,0800MEALS SERVED 122070,B100000,00000,0900,0900DIRECT NRSG HRS 122070,B100000,00000,1000,1000COSTED REQUIS 122070,B100000,00000,1100,1100COSTED REQUIS 122070,B100000,00000,1200,1200TIME SPENT 122070,B100000,00000,1300,1300TIME SPENT 122070,B100000,00000,1400,1400ASSIGNED TIME 122070,E10A180,00501,0100,06/21/00 122070,E10A180,00501,0300,06/21/00 122070,S000000,00100,0200,05/31/00 122070,S200000,00100,0100,605 HILLTOP DRIVE 122070,S200000,00100,0300,662 122070,S200000,00200,0100,FRANKLINTON 122070,S200000,00200,0200,LA 122070,S200000,00200,0300,70438 122070,S200000,00300,0100,WASHINGTON 122070,S200000,00300,0200,0019 122070,S200000,00300,0300,R 122070,S200000,00400,0100,GOOD SAMARITANS NURSING HOME 122070,S200000,00400,0200,195474 122070,S200000,00400,0300,06/30/98 122070,S200000,00400,0500,P 122070,S200000,00600,0200,517402 122070,S200000,00600,0300,04/13/87 122070,S200000,00600,0600,O 122070,S200000,01500,0100,N 122070,S200000,01600,0100,Y 122070,S200000,01700,0100,N 122070,S200000,01800,0100,N 122070,S200000,02200,0100,Y 122070,S200000,02800,0100,N 122070,S200000,02900,0100,N 122070,S200000,03000,0100,N 122070,S200000,03100,0100,N 122070,S200000,03200,0100,N 122070,S200000,03300,0100,N 122070,S200000,03300,0200,N 122070,S200000,04100,0100,N 122070,S200000,04200,0100,N 122070,S200000,04300,0100,Y 122070,S200000,04600,0100,N 122070,S200000,04700,0100,N 122070,S200000,04900,0100,Y 122117,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122117,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122117,A000000,00300,0000,0300EMPLOYEE BENEFITS 122117,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122117,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122117,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122117,A000000,00700,0000,0700HOUSEKEEPING 122117,A000000,00800,0000,0800DIETARY 122117,A000000,00900,0000,0900NURSING ADMINISTRATION 122117,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122117,A000000,01100,0000,1100PHARMACY 122117,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122117,A000000,01300,0000,1300SOCIAL SERVICE 122117,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122117,A000000,01600,0000,1600SKILLED NURSING FACILITY 122117,A000000,01800,0000,1800NURSING FACILITY 122117,A000000,01810,0000,1810ICF/MR 122117,A000000,02100,0000,2100RADIOLOGY 122117,A000000,02200,0000,2200LABORATORY 122117,A000000,02500,0000,2500PHYSICAL THERAPY 122117,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122117,A000000,02700,0000,2700SPEECH PATHOLOGY 122117,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122117,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122117,A000000,03550,0000,3550FQHC 122117,A000000,05000,0000,5000CORF 122117,A000000,05010,0000,5010CMHC 122117,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122117,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122117,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122117,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122117,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122117,A000000,06300,0000,6150DENTAL CONSULTANT 122117,A81000A,00100,0100,Y 122117,A81000B,00100,0300,PAYOUT TO TREASURER - SUPPLIES 122117,A81000B,00200,0300,BOARD SECRETARY 122117,A81000C,00100,0100,D 122117,A81000C,00100,0200,BOYD CRISTOFORI 122117,A81000C,00100,0400,BUSINESS 122117,A81000C,00200,0100,D 122117,A81000C,00200,0200,DEAN ANDERSON 122117,A81000C,00200,0400,BUSINESS 122117,B100000,00000,0100,0100SQUARE FEET 122117,B100000,00000,0200,0200SQUARE FEET 122117,B100000,00000,0300,0300GROSS SALARIES 122117,B100000,00000,0400,0400ACCUM COST 122117,B100000,00000,0500,0500SQUARE FEET 122117,B100000,00000,0600,0600POUNDS OF LAUNDRY 122117,B100000,00000,0700,0700SQUARE FEET 122117,B100000,00000,0800,0800MEALS SERVED 122117,B100000,00000,0900,0900PATIENT DAYS 122117,B100000,00000,1000,1000PATIENT DAYS 122117,B100000,00000,1100,1100PATIENT DAYS 122117,B100000,00000,1200,1200PATIENT DAYS 122117,B100000,00000,1300,1300PATIENT DAYS 122117,B100000,00000,1400,1400ASSIGNED TIME 122117,S000000,00100,0200,03/01/01 122117,S200000,00100,0100,STARR HILL ROAD 122117,S200000,00100,0300,P.O. BOX 7218 122117,S200000,00200,0100,GROTON 122117,S200000,00200,0200,CT 122117,S200000,00200,0300,06340 122117,S200000,00300,0100,N 122117,S200000,00300,0200,5523 122117,S200000,00300,0300,U 122117,S200000,00400,0100,FAIRVIEW CONVALESCENT HOME 122117,S200000,00400,0200,075288 122117,S200000,00400,0300,10/01/78 122117,S200000,00400,0500,P 122117,S200000,00600,0200,075288 122117,S200000,00600,0300,10/01/78 122117,S200000,00600,0600,O 122117,S200000,01500,0100,N 122117,S200000,01600,0100,Y 122117,S200000,01700,0100,N 122117,S200000,01800,0100,N 122117,S200000,02200,0100,N 122117,S200000,02800,0100,N 122117,S200000,02900,0100,N 122117,S200000,03000,0100,N 122117,S200000,03100,0100,N 122117,S200000,03200,0100,N 122117,S200000,03300,0100,N 122117,S200000,03300,0200,N 122117,S200000,03500,0300,N 122117,S200000,04100,0100,N 122117,S200000,04200,0100,N 122117,S200000,04300,0100,N 122117,S200000,04600,0100,N 122117,S200000,04700,0100,N 122117,S200000,04900,0100,N 122119,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122119,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122119,A000000,00300,0000,0300EMPLOYEE BENEFITS 122119,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122119,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122119,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122119,A000000,00700,0000,0700HOUSEKEEPING 122119,A000000,00800,0000,0800DIETARY 122119,A000000,00900,0000,0900NURSING ADMINISTRATION 122119,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122119,A000000,01100,0000,1100PHARMACY 122119,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122119,A000000,01300,0000,1300SOCIAL SERVICE 122119,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122119,A000000,01500,0000,1350RECREATION 122119,A000000,01600,0000,1600SKILLED NURSING FACILITY 122119,A000000,01810,0000,1810ICF/MR 122119,A000000,01900,0000,1900OTHER LONG TERM CARE 122119,A000000,02100,0000,2100RADIOLOGY 122119,A000000,02200,0000,2200LABORATORY 122119,A000000,02500,0000,2500PHYSICAL THERAPY 122119,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122119,A000000,02700,0000,2700SPEECH PATHOLOGY 122119,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122119,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122119,A000000,03550,0000,3550FQHC 122119,A000000,05000,0000,5000CORF 122119,A000000,05010,0000,5010CMHC 122119,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122119,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122119,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122119,A000000,05300,0000,5300INTEREST EXPENSE 122119,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122119,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122119,A81000A,00100,0100,Y 122119,A81000B,00100,0300,RENT 122119,A81000B,00200,0300,INTEREST 122119,A81000B,00300,0300,DEPREC @ 40 YR LIFE 122119,A81000B,00400,0300,CORP FEES 122119,A81000B,00500,0300,CORP ACCOUNTING FEES 122119,A81000B,00600,0300,CORP MANAGEMENT 122119,A81000B,00700,0300,PHYSCIATRIC CONSULT 122119,A81000C,00100,0100,A 122119,A81000C,00100,0200,BRIAN J. FOLEY 122119,A81000C,00100,0400,HARBOR VIEW REA 122119,A81000C,00100,0600,REAL ESTATE REN 122119,A81000C,00200,0100,A 122119,A81000C,00200,0200,BRIAN J. FOLEY 122119,A81000C,00200,0400,APPLE HEALTH CA 122119,A81000C,00200,0600,ACCTING & MANAG 122119,A81000C,00300,0100,D 122119,A81000C,00300,0200,LISA WILSON FOL 122119,A81000C,00300,0400,MED OPTIONS 122119,A81000C,00300,0600,PYSCHIATRIC CON 122119,B100000,00000,0100,0100SQUARE FEET 122119,B100000,00000,0200,0200SQUARE FEET 122119,B100000,00000,0300,0300GROSS SALARIES 122119,B100000,00000,0400,0400ACCUM COST 122119,B100000,00000,0500,0500SQUARE FEET 122119,B100000,00000,0600,0600POUNDS OF LAUNDRY 122119,B100000,00000,0700,0700HOURS OF SERVICE 122119,B100000,00000,0800,0800MEALS SERVED 122119,B100000,00000,0900,0900DIRECT NRSG HRS 122119,B100000,00000,1000,1000PATIENT DAYS 122119,B100000,00000,1100,1100COSTED REQUIS 122119,B100000,00000,1200,1200TIME SPENT 122119,B100000,00000,1300,1300PATIENT DAYS 122119,B100000,00000,1400,1400ASSIGNED TIME 122119,B100000,00000,1500,1350PATIENT DAYS 122119,S000000,00100,0200,06/12/00 122119,S200000,00100,0100,308 SAVIN AVENUE 122119,S200000,00200,0100,WEST HAVEN 122119,S200000,00200,0200,CT 122119,S200000,00200,0300,06516 122119,S200000,00300,0100,NEW HAVEN 122119,S200000,00300,0200,5483 122119,S200000,00300,0300,U 122119,S200000,00400,0100,HARBOR VIEW MANOR INC. 122119,S200000,00400,0200,075403 122119,S200000,00400,0300,02/15/94 122119,S200000,00400,0500,P 122119,S200000,01500,0100,N 122119,S200000,01600,0100,Y 122119,S200000,01700,0100,N 122119,S200000,01800,0100,N 122119,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 122119,S200000,02200,0100,N 122119,S200000,02800,0100,Y 122119,S200000,02900,0100,N 122119,S200000,03000,0100,N 122119,S200000,03100,0100,N 122119,S200000,03200,0100,N 122119,S200000,03300,0100,N 122119,S200000,03300,0200,N 122119,S200000,04100,0100,N 122119,S200000,04200,0100,N 122119,S200000,04300,0100,N 122119,S200000,04600,0100,N 122119,S200000,04700,0100,N 122119,S200000,04900,0100,N 122120,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122120,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122120,A000000,00300,0000,0300EMPLOYEE BENEFITS 122120,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122120,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122120,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122120,A000000,00700,0000,0700HOUSEKEEPING 122120,A000000,00800,0000,0800DIETARY 122120,A000000,00801,0000,0801CAFETERIA 122120,A000000,00900,0000,0900NURSING ADMINISTRATION 122120,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122120,A000000,01100,0000,1100PHARMACY 122120,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122120,A000000,01300,0000,1300SOCIAL SERVICE 122120,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122120,A000000,01500,0000,1350THERAPEUTIC RECREATION 122120,A000000,01600,0000,1600SKILLED NURSING FACILITY 122120,A000000,01800,0000,1800NURSING FACILITY 122120,A000000,01810,0000,1810ICF/MR 122120,A000000,02100,0000,2100RADIOLOGY 122120,A000000,02200,0000,2200LABORATORY 122120,A000000,02401,0000,2401FLEXICARE BEDS 122120,A000000,02500,0000,2500PHYSICAL THERAPY 122120,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122120,A000000,02700,0000,2700SPEECH PATHOLOGY 122120,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122120,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122120,A000000,03300,0000,3050DIAGNOSTIC & TREATMENT CENTER 122120,A000000,03301,0000,3051ADULT DAY CARE 122120,A000000,03550,0000,3550FQHC 122120,A000000,03600,0000,3450ALZHEIMER CENTER 122120,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122120,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122120,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122120,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122120,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122120,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122120,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122120,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 122120,A000000,05000,0000,5000CORF 122120,A000000,05010,0000,5010CMHC 122120,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122120,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122120,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122120,A000000,05300,0000,5300INTEREST EXPENSE 122120,A000000,05500,0000,5500HOSPICE 122120,A000000,05600,0000,5350PHYSICIANS 122120,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122120,A000000,06005,0000,6001ESCORT 122120,A000000,06100,0000,6100NONPAID WORKERS 122120,A000000,06140,0000,6101DENTAL 122120,A000000,06141,0000,6102ADVERTISING EXPENSE 122120,A81000A,00100,0100,N 122120,B100000,00000,0100,0100SQUARE FEET 122120,B100000,00000,0200,0200SQUARE FEET 122120,B100000,00000,0300,0300GROSS SALARIES 122120,B100000,00000,0400,0400ACCUM COST 122120,B100000,00000,0500,0500SQUARE FEET 122120,B100000,00000,0600,0600POUNDS OF LAUNDRY 122120,B100000,00000,0700,0700HOURS OF SERVICE 122120,B100000,00000,0800,0800MEALS SERVED 122120,B100000,00000,0801,0801(DEPT FTE) 122120,B100000,00000,0900,0900DIRECT NRSG HRS 122120,B100000,00000,1000,1000COSTED REQUIS 122120,B100000,00000,1100,1100COSTED REQUIS 122120,B100000,00000,1200,1200TIME SPENT 122120,B100000,00000,1300,1300TIME SPENT 122120,B100000,00000,1400,1400ASSIGNED TIME 122120,B100000,00000,1500,1350(TIME SPENT) 122120,E10A180,00301,0100,05/09/00 122120,E10A180,00501,0300,06/07/00 122120,E10A180,00550,0100,06/07/00 122120,E10A180,00550,0300,09/21/01 122120,E10A180,00551,0100,09/21/01 122120,H510100,00000,0000,5600 122120,H510100,02400,0000,5600 122120,H510100,02401,0000,5380 122120,H510200,00000,0000,5380 122120,H710000,00350,0100,08/11/99 122120,H710000,00501,0100,06/07/00 122120,H710000,00502,0100,07/24/00 122120,H710000,00550,0100,09/21/01 122120,J41D000,00301,0100,08/11/99 122120,J41D000,00501,0100,06/07/00 122120,J41D000,00550,0100,09/21/01 122120,S000000,00100,0200,06/02/00 122120,S200000,00100,0100,271-11 76TH AVENUE 122120,S200000,00200,0100,NEW HYDE PARK 122120,S200000,00200,0200,NY 122120,S200000,00200,0300,11040 122120,S200000,00300,0100,QUEENS 122120,S200000,00300,0200,5600 122120,S200000,00300,0300,U 122120,S200000,00400,0100,PARKER JEWISH 122120,S200000,00400,0200,335132 122120,S200000,00400,0300,01/01/67 122120,S200000,00400,0500,P 122120,S200000,00800,0200,337213 122120,S200000,00800,0300,07/08/85 122120,S200000,00800,0500,O 122120,S200000,01000,0200,334510 122120,S200000,01000,0300,07/27/89 122120,S200000,01000,0500,O 122120,S200000,01500,0100,Y 122120,S200000,01600,0100,N 122120,S200000,01700,0100,N 122120,S200000,01800,0100,N 122120,S200000,02200,0100,N 122120,S200000,02800,0100,N 122120,S200000,02900,0100,N 122120,S200000,03000,0100,N 122120,S200000,03100,0100,N 122120,S200000,03200,0100,N 122120,S200000,03300,0100,N 122120,S200000,03300,0200,N 122120,S200000,03700,0100,N 122120,S200000,03700,0200,N 122120,S200000,03900,0200,N 122120,S200000,04100,0100,N 122120,S200000,04200,0100,N 122120,S200000,04300,0100,N 122120,S200000,04600,0100,N 122120,S200000,04700,0100,N 122120,S200000,04900,0100,N 122120,S410002,01300,0000,OTHER (NUTRIT) 122120,S410002,01700,0100,5600 122120,S410002,01701,0100,5380 122166,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122166,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122166,A000000,00300,0000,0300EMPLOYEE BENEFITS 122166,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122166,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122166,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122166,A000000,00700,0000,0700HOUSEKEEPING 122166,A000000,00800,0000,0800DIETARY 122166,A000000,00900,0000,0900NURSING ADMINISTRATION 122166,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122166,A000000,01100,0000,1100PHARMACY 122166,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122166,A000000,01300,0000,1300SOCIAL SERVICE 122166,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122166,A000000,01500,0000,1350OTHER GENERAL SERVICES 122166,A000000,01600,0000,1600SKILLED NURSING FACILITY 122166,A000000,01810,0000,1810ICF/MR 122166,A000000,02100,0000,2100RADIOLOGY 122166,A000000,02200,0000,2200LABORATORY 122166,A000000,02300,0000,2300INTRAVENOUS THERAPY 122166,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122166,A000000,02500,0000,2500PHYSICAL THERAPY 122166,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122166,A000000,02700,0000,2700SPEECH PATHOLOGY 122166,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122166,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122166,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122166,A000000,03550,0000,3550FQHC 122166,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122166,A000000,05000,0000,5000CORF 122166,A000000,05010,0000,5010CMHC 122166,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122166,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122166,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122166,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122166,A000000,05300,0000,5300INTEREST EXPENSE 122166,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122166,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122166,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122166,A81000A,00100,0100,N 122166,B100000,00000,0100,0100SQUARE FEET 122166,B100000,00000,0200,0200SQUARE FEET 122166,B100000,00000,0300,0300GROSS SALARIES 122166,B100000,00000,0400,0400ACCUM. COST 122166,B100000,00000,0500,0500SQUARE FEET 122166,B100000,00000,0600,0600PATIENT DAYS 122166,B100000,00000,0700,0700SQUARE FEET 122166,B100000,00000,0800,0800MEALS SERVED 122166,B100000,00000,0900,0900NO STATISTICS 122166,B100000,00000,1000,1000NO STATISTICS 122166,B100000,00000,1100,1100NO STATISTICS 122166,B100000,00000,1200,1200NO STATISTICS 122166,B100000,00000,1300,1300PATIENT DAYS 122166,B100000,00000,1400,1400NO STATISTICS 122166,B100000,00000,1500,1350NO STATISTICS 122166,S000000,00100,0200,01/03/01 122166,S200000,00100,0100,1001 EAST 11TH STREET 122166,S200000,00200,0100,LADYSMITH 122166,S200000,00200,0200,WI 122166,S200000,00200,0300,54848 122166,S200000,00300,0100,R 122166,S200000,00400,0100,LADYSMITH NURSING HOME 122166,S200000,00400,0200,525592 122166,S200000,00400,0300,06/15/96 122166,S200000,00400,0500,P 122166,S200000,01500,0100,Y 122166,S200000,01600,0100,N 122166,S200000,01700,0100,N 122166,S200000,01800,0100,N 122166,S200000,02200,0100,Y 122166,S200000,02800,0100,Y 122166,S200000,02900,0100,N 122166,S200000,03000,0100,N 122166,S200000,03100,0100,N 122166,S200000,03200,0100,N 122166,S200000,03300,0100,N 122166,S200000,03300,0200,N 122166,S200000,04100,0100,N 122166,S200000,04200,0100,N 122166,S200000,04300,0100,N 122166,S200000,04600,0100,N 122166,S200000,04700,0100,N 122166,S200000,04700,0200,N 122166,S200000,04900,0100,N 122167,S000000,00100,0200,01/04/01 122182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122182,A000000,00300,0000,0300EMPLOYEE BENEFITS 122182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122182,A000000,00700,0000,0700HOUSEKEEPING 122182,A000000,00800,0000,0800DIETARY 122182,A000000,00900,0000,0900NURSING ADMINISTRATION 122182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122182,A000000,01300,0000,1300SOCIAL SERVICE 122182,A000000,01600,0000,1600SKILLED NURSING FACILITY 122182,A000000,01800,0000,1800NURSING FACILITY 122182,A000000,02100,0000,2100RADIOLOGY 122182,A000000,02200,0000,2200LABORATORY 122182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122182,A000000,02500,0000,2500PHYSICAL THERAPY 122182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122182,A000000,02700,0000,2700SPEECH PATHOLOGY 122182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122182,A000000,03200,0000,3200SUPPORT SURFACES 122182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122182,A81000A,00100,0100,Y 122182,A81000B,00100,0300,CONTRACT THERAPY 122182,A81000B,00200,0300,CONTRACT THERAPY 122182,A81000B,00300,0300,CONTRACT THERAPY 122182,A81000B,00400,0300,HOME OFFICE COSTS 122182,A81000B,00500,0300,HOME OFFICE COSTS 122182,A81000C,00100,0100,B 122182,A81000C,00100,0400,GARY NEDERVELD 122182,A81000C,00100,0600,CONTRACT THERAP 122182,A81000C,00200,0100,B 122182,A81000C,00200,0400,GARY NEDERVELD 122182,A81000C,00200,0600,CONTRACT THERAP 122182,A81000C,00300,0100,B 122182,A81000C,00300,0400,GARY NEDERVELD 122182,A81000C,00300,0600,CONTRACT THERAP 122182,A81000C,00400,0100,B 122182,A81000C,00400,0400,MERCY CONTINUIN 122182,A81000C,00400,0600,LONG TERM CARE 122182,A81000C,00500,0100,B 122182,A81000C,00500,0400,MERCY CONTINUIN 122182,A81000C,00500,0600,LONG TERM CARE 122182,B100000,00000,0100,0100SQUARE FEET 122182,B100000,00000,0300,0300GROSS SALARIES 122182,B100000,00000,0400,0400ACCUM COST 122182,B100000,00000,0500,0500SQUARE FEET 122182,B100000,00000,0600,0600PATIENT DAYS 122182,B100000,00000,0700,0700SQUARE FEET 122182,B100000,00000,0800,0800MEALS SERVED 122182,B100000,00000,0900,0900PATIENT DAYS 122182,B100000,00000,1000,1000COSTED REQUIS 122182,B100000,00000,1300,1300PATIENT DAYS 122182,E10A180,00501,0100,02/14/02 122182,E10A180,00501,0300,02/14/02 122182,S000000,00100,0200,12/29/00 122182,S200000,00100,0100,570 S. HARVEY STREET 122182,S200000,00200,0100,MUSKEGON 122182,S200000,00200,0200,MI 122182,S200000,00200,0300,49442 122182,S200000,00300,0100,M 122182,S200000,00300,0200,3000 122182,S200000,00300,0300,U 122182,S200000,00400,0100,UNIVERSITY PARK 122182,S200000,00400,0200,235431 122182,S200000,00400,0300,01/01/90 122182,S200000,00400,0500,P 122182,S200000,00400,0600,O 122182,S200000,00600,0200,623876 122182,S200000,00600,0300,01/01/90 122182,S200000,00600,0600,O 122182,S200000,01500,0100,N 122182,S200000,01600,0100,Y 122182,S200000,01700,0100,N 122182,S200000,01800,0100,N 122182,S200000,01900,0100,501C3 122182,S200000,02200,0100,Y 122182,S200000,02800,0100,N 122182,S200000,02900,0100,N 122182,S200000,03000,0100,N 122182,S200000,03100,0100,N 122182,S200000,03200,0100,N 122182,S200000,03300,0100,N 122182,S200000,03300,0200,N 122182,S200000,03500,0300,N 122182,S200000,04100,0100,N 122182,S200000,04200,0100,N 122182,S200000,04300,0100,Y 122182,S200000,04600,0100,N 122182,S200000,04700,0100,N 122182,S200000,04900,0100,N 122182,S200000,05200,0100,N 122183,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122183,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122183,A000000,00300,0000,0300EMPLOYEE BENEFITS 122183,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122183,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122183,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122183,A000000,00700,0000,0700HOUSEKEEPING 122183,A000000,00800,0000,0800DIETARY 122183,A000000,00900,0000,0900NURSING ADMINISTRATION 122183,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122183,A000000,01100,0000,1100PHARMACY 122183,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122183,A000000,01300,0000,1300SOCIAL SERVICE 122183,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122183,A000000,01600,0000,1600SKILLED NURSING FACILITY 122183,A000000,01800,0000,1800NURSING FACILITY 122183,A000000,01810,0000,1810ICF/MR 122183,A000000,01900,0000,1900OTHER LONG TERM CARE 122183,A000000,02100,0000,2100RADIOLOGY 122183,A000000,02200,0000,2200LABORATORY 122183,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122183,A000000,02500,0000,2500PHYSICAL THERAPY 122183,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122183,A000000,02700,0000,2700SPEECH PATHOLOGY 122183,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122183,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122183,A000000,03550,0000,3550FQHC 122183,A000000,05000,0000,5000CORF 122183,A000000,05010,0000,5010CMHC 122183,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122183,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122183,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122183,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122183,A81000A,00100,0100,Y 122183,A81000B,00100,0300,HOME OFFICE COSTS 122183,A81000B,00200,0300,HOME OFFICE COSTS 122183,A81000B,00300,0300,CONTRACT THERAPY 122183,A81000B,00400,0300,CONTRACT THERAPY 122183,A81000B,00500,0300,CONTRACT THERAPY 122183,A81000C,00100,0100,B 122183,A81000C,00100,0400,MERCY CONTINUIN 122183,A81000C,00100,0600,LONG TERM CARE 122183,A81000C,00200,0100,B 122183,A81000C,00200,0400,MERCY CONTINUIN 122183,A81000C,00200,0600,LONG TERM CARE 122183,A81000C,00300,0100,B 122183,A81000C,00300,0400,GARY NEDERVELD 122183,A81000C,00300,0600,CONTRACT THERAP 122183,A81000C,00400,0100,B 122183,A81000C,00400,0400,GARY NEDERVELD 122183,A81000C,00400,0600,CONTRACT THERAP 122183,A81000C,00500,0100,B 122183,A81000C,00500,0400,GARY NEDERVELD 122183,A81000C,00500,0600,CONTRACT THERAP 122183,B100000,00000,0100,0100SQUARE FEET 122183,B100000,00000,0200,0200SQUARE FEET 122183,B100000,00000,0300,0300GROSS SALARIES 122183,B100000,00000,0400,0400ACCUM COST 122183,B100000,00000,0500,0500SQUARE FEET 122183,B100000,00000,0600,0600POUNDS OF LAUNDRY 122183,B100000,00000,0700,0700SQUARE FEET 122183,B100000,00000,0800,0800MEALS SERVED 122183,B100000,00000,0900,0900DIRECT NRSG HRS 122183,B100000,00000,1000,1000COSTED REQUIS 122183,B100000,00000,1100,1100COSTED REQUIS 122183,B100000,00000,1200,1200TIME SPENT 122183,B100000,00000,1300,1300TIME SPENT 122183,B100000,00000,1400,1400ASSIGNED TIME 122183,S000000,00100,0200,12/29/00 122183,S200000,00100,0100,33300 UTICA ROAD 122183,S200000,00200,0100,FRASER 122183,S200000,00200,0200,MI 122183,S200000,00200,0300,48026 122183,S200000,00300,0100,M 122183,S200000,00300,0200,2160 122183,S200000,00300,0300,U 122183,S200000,00400,0100,FRASER VILLA 122183,S200000,00400,0200,235453 122183,S200000,00400,0300,07/01/90 122183,S200000,00400,0500,P 122183,S200000,00400,0600,O 122183,S200000,00600,0200,627365 122183,S200000,00600,0300,01/01/90 122183,S200000,00600,0600,O 122183,S200000,01500,0100,N 122183,S200000,01600,0100,Y 122183,S200000,01700,0100,N 122183,S200000,01800,0100,N 122183,S200000,01900,0100,501C3 122183,S200000,02200,0100,Y 122183,S200000,02800,0100,N 122183,S200000,02900,0100,N 122183,S200000,03000,0100,N 122183,S200000,03100,0100,N 122183,S200000,03200,0100,N 122183,S200000,03300,0100,N 122183,S200000,03300,0200,N 122183,S200000,03500,0300,N 122183,S200000,03600,0200,N 122183,S200000,04100,0100,N 122183,S200000,04200,0100,N 122183,S200000,04300,0100,Y 122183,S200000,04600,0100,N 122183,S200000,04700,0100,N 122183,S200000,04900,0100,N 122183,S200000,05200,0100,N 122186,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122186,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122186,A000000,00300,0000,0300EMPLOYEE BENEFITS 122186,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122186,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122186,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122186,A000000,00700,0000,0700HOUSEKEEPING 122186,A000000,00800,0000,0800DIETARY 122186,A000000,00900,0000,0900NURSING ADMINISTRATION 122186,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122186,A000000,01100,0000,1100PHARMACY 122186,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122186,A000000,01300,0000,1300SOCIAL SERVICE 122186,A000000,01350,0000,1301ACTIVITIES 122186,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122186,A000000,01600,0000,1600SKILLED NURSING FACILITY 122186,A000000,01800,0000,1800NURSING FACILITY 122186,A000000,01810,0000,1810ICF/MR 122186,A000000,01900,0000,1900OTHER LONG TERM CARE 122186,A000000,02100,0000,2100RADIOLOGY 122186,A000000,02200,0000,2200LABORATORY 122186,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122186,A000000,02500,0000,2500PHYSICAL THERAPY 122186,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122186,A000000,02700,0000,2700SPEECH PATHOLOGY 122186,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122186,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122186,A000000,03200,0000,3200SUPPORT SURFACES 122186,A000000,03550,0000,3550FQHC 122186,A000000,05000,0000,5000CORF 122186,A000000,05010,0000,5010CMHC 122186,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122186,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122186,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122186,A000000,05300,0000,5300INTEREST EXPENSE 122186,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122186,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122186,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122186,A81000A,00100,0100,Y 122186,A81000B,00100,0300,THERAPY 122186,A81000B,00200,0300,THERAPY 122186,A81000B,00300,0300,THERAPY 122186,A81000B,00400,0300,LAB SERVICES 122186,A81000B,00500,0300,INTEREST 122186,A81000B,00600,0300,UMBRELLA INSURANCE 122186,A81000B,00700,0300,H.O. ADMINISTRATIVE 122186,A81000B,00800,0300,H.O. CAPITAL RELATED 122186,A81000C,00100,0100,B 122186,A81000C,00100,0400,ST. JOHN HEALTH 122186,A81000C,00100,0600,MEDICAL 122186,A81000C,00200,0100,B 122186,A81000C,00200,0400,ST. JOHN HEALTH 122186,A81000C,00200,0600,MEDICAL 122186,A81000C,00300,0100,B 122186,A81000C,00300,0400,ST. JOHN HEALTH 122186,A81000C,00300,0600,MEDICAL 122186,A81000C,00400,0100,B 122186,A81000C,00400,0400,ST. JOHN HEALTH 122186,A81000C,00400,0600,MEDICAL 122186,A81000C,00500,0100,B 122186,A81000C,00500,0400,ST. JOHN HEALTH 122186,A81000C,00500,0600,MEDICAL 122186,A81000C,00600,0100,B 122186,A81000C,00600,0400,ST. JOHN HEALTH 122186,A81000C,00600,0600,MEDICAL 122186,A81000C,00700,0100,B 122186,A81000C,00700,0400,ST. JOHN HEALTH 122186,A81000C,00700,0600,MEDICAL 122186,A81000C,00800,0100,B 122186,A81000C,00800,0400,ST. JOHN HEALTH 122186,A81000C,00800,0600,MEDICAL 122186,B100000,00000,0100,0100SQUARE FEET 122186,B100000,00000,0200,0200SQUARE FEET 122186,B100000,00000,0300,0300GROSS SALARIES 122186,B100000,00000,0400,0400ACCUM COST 122186,B100000,00000,0500,0500SQUARE FEET 122186,B100000,00000,0600,0600POUNDS OF LAUNDRY 122186,B100000,00000,0700,0700HOURS OF SERVICE 122186,B100000,00000,0800,0800MEALS SERVED 122186,B100000,00000,0900,0900DIRECT NRSG HRS 122186,B100000,00000,1000,1000COSTED REQUIS 122186,B100000,00000,1100,1100COSTED REQUIS 122186,B100000,00000,1200,1200TIME SPENT 122186,B100000,00000,1300,1300TIME SPENT 122186,B100000,00000,1350,1350PATIENT DAYS 122186,B100000,00000,1400,1400ASSIGNED TIME 122186,E10A180,00550,0100,01/12/01 122186,S000000,00100,0200,01/11/01 122186,S200000,00100,0100,18300 EAST WARREN AVENUE 122186,S200000,00200,0100,DETROIT 122186,S200000,00200,0200,MI 122186,S200000,00300,0100,W 122186,S200000,00300,0200,2160 122186,S200000,00300,0300,U 122186,S200000,00400,0100,ST. JOHN SENIOR COMMUNITY 122186,S200000,00400,0200,235476 122186,S200000,00400,0300,11/07/88 122186,S200000,00400,0500,P 122186,S200000,00600,0200,235476 122186,S200000,00600,0300,11/07/88 122186,S200000,00600,0600,O 122186,S200000,01500,0100,N 122186,S200000,01600,0100,Y 122186,S200000,01700,0100,N 122186,S200000,01800,0100,N 122186,S200000,02200,0100,N 122186,S200000,02800,0100,N 122186,S200000,02900,0100,N 122186,S200000,03000,0100,N 122186,S200000,03100,0100,N 122186,S200000,03200,0100,N 122186,S200000,03300,0100,N 122186,S200000,03300,0200,N 122186,S200000,03500,0300,N 122186,S200000,04100,0100,N 122186,S200000,04200,0100,N 122186,S200000,04300,0100,N 122186,S200000,04600,0100,N 122186,S200000,04700,0100,N 122186,S200000,04900,0100,N 122186,S200000,05200,0100,N 122189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122189,A000000,00300,0000,0300EMPLOYEE BENEFITS 122189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122189,A000000,00700,0000,0700HOUSEKEEPING 122189,A000000,00800,0000,0800DIETARY 122189,A000000,00900,0000,0900NURSING ADMINISTRATION 122189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122189,A000000,01100,0000,1100PHARMACY 122189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122189,A000000,01300,0000,1300SOCIAL SERVICE 122189,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122189,A000000,01600,0000,1600SKILLED NURSING FACILITY 122189,A000000,01800,0000,1800NURSING FACILITY 122189,A000000,01810,0000,1810ICF/MR 122189,A000000,02100,0000,2100RADIOLOGY 122189,A000000,02200,0000,2200LABORATORY 122189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122189,A000000,02500,0000,2500PHYSICAL THERAPY 122189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122189,A000000,02700,0000,2700SPEECH PATHOLOGY 122189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122189,A000000,03200,0000,3200SUPPORT SURFACES 122189,A000000,03550,0000,3550FQHC 122189,A000000,05000,0000,5000CORF 122189,A000000,05010,0000,5010CMHC 122189,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122189,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122189,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122189,A81000A,00100,0100,Y 122189,A81000B,00100,0300,HOME OFFICE COSTS 122189,A81000B,00200,0300,HOME OFFICE COSTS 122189,A81000B,00300,0300,CONTRACT THERAPY 122189,A81000B,00400,0300,CONTRACT THERAPY 122189,A81000B,00500,0300,CONTRACT THERAPY 122189,A81000C,00100,0100,B 122189,A81000C,00100,0400,MERCY CONTINUIN 122189,A81000C,00100,0600,LONG TERM CARE 122189,A81000C,00200,0100,B 122189,A81000C,00200,0400,MERCY CONTINUIN 122189,A81000C,00200,0600,LONG TERM CARE 122189,A81000C,00300,0100,B 122189,A81000C,00300,0400,GARY NEDERVELD 122189,A81000C,00300,0600,CONTRACT THERAP 122189,A81000C,00400,0100,B 122189,A81000C,00400,0400,GARY NEDERVELD 122189,A81000C,00400,0600,CONTRACT THERAP 122189,A81000C,00500,0100,B 122189,A81000C,00500,0400,GARY NEDERVELD 122189,A81000C,00500,0600,CONTRACT THERAP 122189,B100000,00000,0100,0100SQUARE FEET 122189,B100000,00000,0200,0200SQUARE FEET 122189,B100000,00000,0300,0300GROSS SALARIES 122189,B100000,00000,0400,0400ACCUM COST 122189,B100000,00000,0500,0500SQUARE FEET 122189,B100000,00000,0600,0600PATIENT DAYS 122189,B100000,00000,0700,0700SQUARE FEET 122189,B100000,00000,0800,0800MEALS SERVED 122189,B100000,00000,0900,0900PATIENT DAYS 122189,B100000,00000,1000,1000COSTED REQUIS 122189,B100000,00000,1100,1100COSTED REQUIS 122189,B100000,00000,1200,1200TIME SPENT 122189,B100000,00000,1300,1300PATIENT DAYS 122189,B100000,00000,1400,1400ASSIGNED TIME 122189,S000000,00100,0200,12/29/00 122189,S200000,00100,0100,12250 E. TWELVE MILE ROAD 122189,S200000,00200,0100,WARREN 122189,S200000,00200,0200,MI 122189,S200000,00200,0300,48093 122189,S200000,00300,0100,M 122189,S200000,00300,0200,2160 122189,S200000,00300,0300,U 122189,S200000,00400,0100,ABBEY 122189,S200000,00400,0200,235509 122189,S200000,00400,0300,07/01/91 122189,S200000,00400,0500,P 122189,S200000,00400,0600,O 122189,S200000,00600,0200,627347 122189,S200000,00600,0300,01/01/90 122189,S200000,00600,0600,O 122189,S200000,01500,0100,N 122189,S200000,01600,0100,Y 122189,S200000,01700,0100,N 122189,S200000,01800,0100,N 122189,S200000,01900,0100,OTHER 122189,S200000,02200,0100,Y 122189,S200000,02800,0100,N 122189,S200000,02900,0100,N 122189,S200000,03000,0100,N 122189,S200000,03100,0100,N 122189,S200000,03200,0100,N 122189,S200000,03300,0100,N 122189,S200000,03300,0200,N 122189,S200000,03500,0300,N 122189,S200000,04100,0100,N 122189,S200000,04200,0100,N 122189,S200000,04300,0100,Y 122189,S200000,04600,0100,N 122189,S200000,04700,0100,N 122189,S200000,04900,0100,N 122189,S200000,05200,0100,N 122212,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122212,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122212,A000000,00300,0000,0300EMPLOYEE BENEFITS 122212,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122212,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122212,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122212,A000000,00700,0000,0700HOUSEKEEPING 122212,A000000,00800,0000,0800DIETARY 122212,A000000,00900,0000,0900NURSING ADMINISTRATION 122212,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122212,A000000,01100,0000,1100PHARMACY 122212,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122212,A000000,01300,0000,1300SOCIAL SERVICE 122212,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122212,A000000,01600,0000,1600SKILLED NURSING FACILITY 122212,A000000,01810,0000,1810ICF/MR 122212,A000000,02100,0000,2100RADIOLOGY 122212,A000000,02200,0000,2200LABORATORY 122212,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122212,A000000,02500,0000,2500PHYSICAL THERAPY 122212,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122212,A000000,02700,0000,2700SPEECH PATHOLOGY 122212,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122212,A000000,03550,0000,3550FQHC 122212,A000000,05000,0000,5000CORF 122212,A000000,05010,0000,5010CMHC 122212,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122212,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122212,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122212,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122212,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122212,A000000,06300,0000,6150NONREIMBURSABLE EXPENSE 122212,A81000A,00100,0100,Y 122212,A81000B,00100,0300,PROGRAM COORDINATOR 122212,A81000B,00200,0300,PHYSICAL THERAPY 122212,A81000B,00300,0300,SPEECH THERAPY 122212,A81000B,00400,0300,OCCUPATIONAL THERAPY 122212,A81000B,00500,0300,RESPIRATORY THERAPY 122212,A81000B,00600,0300,LAB SERVICES 122212,A81000B,00700,0300,PHYSICIAN 122212,A81000B,00800,0300,PHYSICIAN 122212,A81000C,00100,0100,G 122212,A81000C,00100,0200,SPECTRUM HEALTH 122212,A81000C,00100,0400,SPECTRUM HEALTH 122212,A81000C,00100,0600,HEALTH CARE 122212,A81000C,00200,0100,G 122212,A81000C,00200,0200,SPECT. HEALTH - 122212,A81000C,00200,0400,DOWTOWN CAMPUS 122212,A81000C,00200,0600,HOSPITAL 122212,A81000C,00300,0100,G 122212,A81000C,00300,0200,SPECT. HEALTH - 122212,A81000C,00300,0400,EAST CAMPUS 122212,A81000C,00300,0600,HOSPITAL 122212,A81000C,00400,0100,G 122212,A81000C,00400,0200,SPEC HEALTH CCG 122212,A81000C,00400,0400,CONTINUING CARE 122212,A81000C,00400,0600,HEALTH CARE 122212,A81000C,00500,0100,G 122212,A81000C,00500,0200,WORTH HOME CARE 122212,A81000C,00500,0400,WORTH HOME CARE 122212,A81000C,00500,0600,HOME CARE 122212,A81000C,00600,0100,G 122212,A81000C,00600,0200,VISITING NURSES 122212,A81000C,00600,0400,VNA 122212,A81000C,00600,0600,HOME CARE 122212,A81000C,00700,0100,G 122212,A81000C,00700,0200,VILLA ELIZABETH 122212,A81000C,00700,0400,VILLA ELIZABETH 122212,A81000C,00700,0600,SNF 122212,B100000,00000,0100,0100SQUARE FEET 122212,B100000,00000,0200,0200SQUARE FEET 122212,B100000,00000,0300,0300GROSS SALARIES 122212,B100000,00000,0400,0400ACCUM COST 122212,B100000,00000,0500,0500SQUARE FEET 122212,B100000,00000,0600,0600POUNDS OF LAUNDRY 122212,B100000,00000,0700,0700HOURS OF SERVICE 122212,B100000,00000,0800,0800MEALS SERVED 122212,B100000,00000,0900,0900DIRECT NRSG HRS 122212,B100000,00000,1000,1000COSTED REQUIS 122212,B100000,00000,1100,1100COSTED REQUIS 122212,B100000,00000,1200,1200TIME SPENT 122212,B100000,00000,1300,1300TIME SPENT 122212,B100000,00000,1400,1400ASSIGNED TIME 122212,S000000,00100,0200,01/10/01 122212,S200000,00100,0100,4118 KALAMAZOO SE 122212,S200000,00200,0100,GRAND RAPIDS 122212,S200000,00200,0200,MI 122212,S200000,00200,0300,49508 122212,S200000,00300,0100,K 122212,S200000,00400,0100,GRAND VALLEY HEALTH CENTER 122212,S200000,00400,0200,235035 122212,S200000,00400,0300,07/01/82 122212,S200000,00400,0400,O 122212,S200000,00400,0500,P 122212,S200000,00400,0600,O 122212,S200000,01500,0100,Y 122212,S200000,01600,0100,N 122212,S200000,01700,0100,N 122212,S200000,01800,0100,N 122212,S200000,01900,0100,501 C 3 122212,S200000,02200,0100,Y 122212,S200000,02800,0100,N 122212,S200000,02900,0100,N 122212,S200000,03000,0100,N 122212,S200000,03100,0100,N 122212,S200000,03200,0100,N 122212,S200000,03300,0100,N 122212,S200000,03300,0200,N 122212,S200000,04100,0100,N 122212,S200000,04200,0100,N 122212,S200000,04300,0100,N 122212,S200000,04600,0100,N 122212,S200000,04700,0100,N 122212,S200000,04900,0100,N 122233,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122233,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122233,A000000,00300,0000,0300EMPLOYEE BENEFITS 122233,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122233,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122233,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122233,A000000,00700,0000,0700HOUSEKEEPING 122233,A000000,00800,0000,0800DIETARY 122233,A000000,00900,0000,0900NURSING ADMINISTRATION 122233,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122233,A000000,01100,0000,1100PHARMACY 122233,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122233,A000000,01300,0000,1300SOCIAL SERVICE 122233,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122233,A000000,01500,0000,1350OTHER GENERAL SERVICES 122233,A000000,01600,0000,1600SKILLED NURSING FACILITY 122233,A000000,01810,0000,1810ICF/MR 122233,A000000,02100,0000,2100RADIOLOGY 122233,A000000,02200,0000,2200LABORATORY 122233,A000000,02500,0000,2500PHYSICAL THERAPY 122233,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122233,A000000,02700,0000,2700SPEECH PATHOLOGY 122233,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122233,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122233,A000000,03550,0000,3550FQHC 122233,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122233,A000000,05000,0000,5000CORF 122233,A000000,05010,0000,5010CMHC 122233,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122233,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122233,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122233,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122233,A000000,05300,0000,5300INTEREST EXPENSE 122233,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122233,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122233,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122233,A81000A,00100,0100,N 122233,B100000,00000,0100,0100SQ FEET 122233,B100000,00000,0200,0200SQ FEET 122233,B100000,00000,0300,0300GROSS SALARIES 122233,B100000,00000,0400,0400ACCUM. COST 122233,B100000,00000,0500,0500SQ FEET 122233,B100000,00000,0600,0600PATIENT DAYS 122233,B100000,00000,0700,0700SQ FEET 122233,B100000,00000,0800,0800MEALS 122233,B100000,00000,0900,0900NO STATISTICS 122233,B100000,00000,1000,1000NO STATISTICS 122233,B100000,00000,1100,1100NO STATISTICS 122233,B100000,00000,1200,1200PATIENT DAYS 122233,B100000,00000,1300,1300PATIENT DAYS 122233,B100000,00000,1400,1400NO STATISTICS 122233,B100000,00000,1500,1350NO STATISTICS 122233,S000000,00100,0200,12/27/00 122233,S200000,00100,0100,530 RIVER AVENUE SOUTH 122233,S200000,00200,0100,PRAIRIE FARM 122233,S200000,00200,0200,WI 122233,S200000,00200,0300,54762 122233,S200000,00300,0100,B 122233,S200000,00300,0300,R 122233,S200000,00400,0100,PIONEER NURSING HOME 122233,S200000,00400,0200,525652 122233,S200000,00400,0300,07/23/99 122233,S200000,00400,0500,P 122233,S200000,01500,0100,Y 122233,S200000,01600,0100,N 122233,S200000,01700,0100,N 122233,S200000,01800,0100,N 122233,S200000,01900,0100,501C3 122233,S200000,02200,0100,N 122233,S200000,02800,0100,N 122233,S200000,02900,0100,N 122233,S200000,03000,0100,N 122233,S200000,03100,0100,N 122233,S200000,03200,0100,N 122233,S200000,03300,0100,N 122233,S200000,03300,0200,N 122233,S200000,04100,0100,N 122233,S200000,04200,0100,N 122233,S200000,04300,0100,N 122233,S200000,04600,0100,N 122233,S200000,04700,0100,N 122233,S200000,04900,0100,N 122233,S200000,05200,0100,N 122234,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122234,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122234,A000000,00300,0000,0300EMPLOYEE BENEFITS 122234,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122234,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122234,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122234,A000000,00700,0000,0700HOUSEKEEPING 122234,A000000,00800,0000,0800DIETARY 122234,A000000,00900,0000,0900NURSING ADMINISTRATION 122234,A000000,01300,0000,1300SOCIAL SERVICE 122234,A000000,01600,0000,1600SKILLED NURSING FACILITY 122234,A000000,01800,0000,1800NURSING FACILITY 122234,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122234,A000000,02500,0000,2500PHYSICAL THERAPY 122234,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122234,A000000,02700,0000,2700SPEECH PATHOLOGY 122234,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122234,A000000,03200,0000,3200SUPPORT SURFACES 122234,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122234,A81000A,00100,0100,Y 122234,A81000B,00100,0300,HOME OFFICE COST 122234,A81000B,00200,0300,INSURANCE 122234,A81000C,00100,0100,B 122234,A81000C,00100,0200,EVAN HOMES OF M 122234,B100000,00000,0100,0100SQUARE FEET 122234,B100000,00000,0200,0200SQUARE FEET 122234,B100000,00000,0300,0300GROSS SALARIES 122234,B100000,00000,0400,0400ACCUM COST 122234,B100000,00000,0500,0500SQUARE FEET 122234,B100000,00000,0600,0600POUNDS OF LAUNDRY 122234,B100000,00000,0700,0700HOURS OF SERVICE 122234,B100000,00000,0800,0800MEALS SERVED 122234,B100000,00000,0900,0900DIRECT NRSG HRS 122234,B100000,00000,1300,1300TIME SPENT 122234,S000000,00100,0200,10/20/00 122234,S200000,00100,0100,5635 LAKESHORE RD. 122234,S200000,00200,0100,FORT GRATIOT 122234,S200000,00200,0200,MI 122234,S200000,00200,0300,48059 122234,S200000,00300,0100,ST. CLAIR 122234,S200000,00300,0200,2160 122234,S200000,00300,0300,U 122234,S200000,00400,0100,EVANGELICAL HOME - PORT HURON 122234,S200000,00400,0200,235421 122234,S200000,00400,0300,05/01/99 122234,S200000,00400,0500,P 122234,S200000,01500,0100,N 122234,S200000,01600,0100,Y 122234,S200000,01700,0100,N 122234,S200000,01800,0100,N 122234,S200000,02200,0100,Y 122234,S200000,02800,0100,N 122234,S200000,02900,0100,N 122234,S200000,03000,0100,N 122234,S200000,03100,0100,N 122234,S200000,03200,0100,N 122234,S200000,03300,0100,N 122234,S200000,03300,0200,N 122234,S200000,04100,0100,N 122234,S200000,04200,0100,N 122234,S200000,04300,0100,N 122234,S200000,04600,0100,N 122234,S200000,04700,0100,N 122234,S200000,04900,0100,N 122234,S200000,05200,0100,N 122271,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122271,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122271,A000000,00300,0000,0300EMPLOYEE BENEFITS 122271,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122271,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122271,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122271,A000000,00700,0000,0700HOUSEKEEPING 122271,A000000,00800,0000,0800DIETARY 122271,A000000,00900,0000,0900NURSING ADMINISTRATION 122271,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122271,A000000,01100,0000,1100PHARMACY 122271,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122271,A000000,01300,0000,1300SOCIAL SERVICE 122271,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122271,A000000,01600,0000,1600SKILLED NURSING FACILITY 122271,A000000,01810,0000,1810ICF/MR 122271,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122271,A000000,02500,0000,2500PHYSICAL THERAPY 122271,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122271,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122271,A000000,03550,0000,3550FQHC 122271,A000000,05000,0000,5000CORF 122271,A000000,05010,0000,5010CMHC 122271,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122271,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122271,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122271,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122271,A81000A,00100,0100,N 122271,B100000,00000,0100,0100SQUARE FEET 122271,B100000,00000,0200,0200SQUARE FEET 122271,B100000,00000,0300,0300GROSS SALARIES 122271,B100000,00000,0400,0400ACCUM. COST 122271,B100000,00000,0500,0500SQUARE FEET 122271,B100000,00000,0600,0600PATIENT DAYS 122271,B100000,00000,0700,0700SQUARE FEET 122271,B100000,00000,0800,0800MEALS SERVED 122271,B100000,00000,0900,0900DIRECT NRSG HRS 122271,B100000,00000,1000,1000COSTED REQUIS 122271,B100000,00000,1100,1100COSTED REQUIS 122271,B100000,00000,1200,1200GROSS CHARGES 122271,B100000,00000,1300,1300PATIENT DAYS 122271,B100000,00000,1400,1400ASSIGNED TIME 122271,S000000,00100,0200,01/11/01 122271,S200000,00100,0100,1700 SOUTH RIVER ROAD 122271,S200000,00200,0100,JANESVILLE 122271,S200000,00200,0200,WI 122271,S200000,00200,0300,53546 122271,S200000,00300,0100,R 122271,S200000,00300,0200,3620 122271,S200000,00300,0300,U 122271,S200000,00400,0100,CEDAR CREST HEALTH CENTER 122271,S200000,00400,0200,525649 122271,S200000,00400,0300,07/01/99 122271,S200000,00400,0500,P 122271,S200000,01500,0100,Y 122271,S200000,01600,0100,N 122271,S200000,01700,0100,N 122271,S200000,01800,0100,N 122271,S200000,02200,0100,N 122271,S200000,02800,0100,N 122271,S200000,02900,0100,N 122271,S200000,03000,0100,N 122271,S200000,03100,0100,N 122271,S200000,03200,0100,N 122271,S200000,03300,0100,N 122271,S200000,03300,0200,N 122271,S200000,04100,0100,N 122271,S200000,04200,0100,N 122271,S200000,04300,0100,N 122271,S200000,04600,0100,N 122271,S200000,04700,0100,N 122271,S200000,04900,0100,N 122271,S200000,05200,0100,N 122288,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122288,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122288,A000000,00300,0000,0300EMPLOYEE BENEFITS 122288,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122288,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122288,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122288,A000000,00700,0000,0700HOUSEKEEPING 122288,A000000,00800,0000,0800DIETARY 122288,A000000,00900,0000,0900NURSING ADMINISTRATION 122288,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122288,A000000,01100,0000,1100PHARMACY 122288,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122288,A000000,01300,0000,1300SOCIAL SERVICE 122288,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122288,A000000,01600,0000,1600SKILLED NURSING FACILITY 122288,A000000,01810,0000,1810ICF/MR 122288,A000000,01900,0000,1900OTHER LONG TERM CARE 122288,A000000,02500,0000,2500PHYSICAL THERAPY 122288,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122288,A000000,02700,0000,2700SPEECH PATHOLOGY 122288,A000000,02800,0000,2800ELECTROCARDIOLOGY 122288,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122288,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122288,A000000,03550,0000,3550FQHC 122288,A000000,05000,0000,5000CORF 122288,A000000,05010,0000,5010CMHC 122288,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122288,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122288,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122288,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122288,A000000,06300,0000,6150RESIDENTIAL 122288,A81000A,00100,0100,Y 122288,A81000B,00100,0300,CORPORATE OFFICE 122288,A81000B,00200,0300,CORPORATE OFFICE 122288,A81000C,00100,0100,B 122288,A81000C,00100,0200,UMRC 122288,A81000C,00200,0100,B 122288,A81000C,00200,0200,UMRC 122288,A81000C,00200,0400,BOULEVARD TEMPL 122288,A81000C,00200,0600,RETIRE. COMM. 122288,B100000,00000,0100,0100(SQUARE FEET) 122288,B100000,00000,0200,0200(SQUARE FEET) 122288,B100000,00000,0300,0300(GROSS SALARIES) 122288,B100000,00000,0400,0400(ACCUM COST) 122288,B100000,00000,0500,0500(SQUARE FEET) 122288,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 122288,B100000,00000,0700,0700(HOURS OF SERVICE) 122288,B100000,00000,0800,0800(MEALS SERVED) 122288,B100000,00000,0900,0900(DIRECT NRSG HRS) 122288,B100000,00000,1000,1000COSTED REQUIS 122288,B100000,00000,1100,1100COSTED REQUIS 122288,B100000,00000,1200,1200TIME SPENT 122288,B100000,00000,1300,1300(TIME SPENT) 122288,B100000,00000,1400,1400ASSIGNED TIME 122288,S000000,00100,0200,06/02/00 122288,S200000,00100,0100,805 W. MIDDLE ST. 122288,S200000,00200,0100,CHELSEA 122288,S200000,00200,0200,MI 122288,S200000,00200,0300,48118 122288,S200000,00300,0100,WASHTENAW 122288,S200000,00400,0100,CHELSEA RETIREMENT COMMUNITY 122288,S200000,00400,0200,235021 122288,S200000,00400,0300,01/01/67 122288,S200000,00400,0500,P 122288,S200000,01500,0100,N 122288,S200000,01600,0100,N 122288,S200000,01700,0100,Y 122288,S200000,01800,0100,N 122288,S200000,01900,0100,NON PROFIT NON STOCK 122288,S200000,02200,0100,N 122288,S200000,02800,0100,N 122288,S200000,02900,0100,N 122288,S200000,03000,0100,N 122288,S200000,03100,0100,N 122288,S200000,03200,0100,N 122288,S200000,03300,0100,N 122288,S200000,03300,0200,N 122288,S200000,04100,0100,N 122288,S200000,04200,0100,N 122288,S200000,04300,0100,N 122288,S200000,04600,0100,N 122288,S200000,04700,0100,N 122288,S200000,04900,0100,N 122289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122289,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122289,A000000,00300,0000,0300EMPLOYEE BENEFITS 122289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122289,A000000,00700,0000,0700HOUSEKEEPING 122289,A000000,00800,0000,0800DIETARY 122289,A000000,00900,0000,0900NURSING ADMINISTRATION 122289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122289,A000000,01100,0000,1100PHARMACY 122289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122289,A000000,01300,0000,1300SOCIAL SERVICE 122289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122289,A000000,01500,0000,1350ACTIVITIES 122289,A000000,01600,0000,1600SKILLED NURSING FACILITY 122289,A000000,01800,0000,1800NURSING FACILITY 122289,A000000,01810,0000,1810ICF/MR 122289,A000000,02500,0000,2500PHYSICAL THERAPY 122289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122289,A000000,02700,0000,2700SPEECH PATHOLOGY 122289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122289,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122289,A000000,03550,0000,3550FQHC 122289,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122289,A000000,05000,0000,5000CORF 122289,A000000,05010,0000,5010CMHC 122289,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122289,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122289,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122289,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122289,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122289,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122289,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122289,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122289,A81000A,00100,0100,Y 122289,A81000B,00100,0300,RENT 122289,A81000B,00200,0300,DEPRECIATION 122289,A81000B,00300,0300,PROPERTY TAX 122289,A81000B,00400,0300,PROPERTY INSURANCE 122289,A81000B,00500,0300,SINGLE BUSINESS TAX 122289,A81000B,00600,0300,PROFESSIONAL FEES 122289,A81000B,00700,0300,CITY INCOME TAX 122289,A81000C,00100,0100,A 122289,A81000C,00100,0200,ADELE B. MOROUN 122289,A81000C,00100,0400,ADELE B. MOROUN 122289,A81000C,00100,0600,REAL ESTATE 122289,A81000C,00200,0100,D 122289,A81000C,00200,0200,JOHN MOROUN 122289,A81000C,00200,0400,MOROUN FLP 122289,A81000C,00200,0600,REAL ESTATE 122289,A81000C,00300,0100,F 122289,A81000C,00300,0200,BARBARA CLEEK 122289,A81000C,00400,0100,F 122289,A81000C,00400,0200,SUSAN AZAR 122289,A81000C,00500,0100,F 122289,A81000C,00500,0200,SARAH CLEEK 122289,B100000,00000,0100,0100SQUARE FEET 122289,B100000,00000,0200,0200SQUARE FEET 122289,B100000,00000,0300,0300GROSS SALARIES 122289,B100000,00000,0400,0400ACCUM. COST 122289,B100000,00000,0500,0500SQUARE FEET 122289,B100000,00000,0600,0600POUNDS OF LAUNDRY 122289,B100000,00000,0700,0700SQUARE FEET 122289,B100000,00000,0800,0800MEALS SERVED 122289,B100000,00000,0900,0900DIRECT NRSING HRS 122289,B100000,00000,1000,1000NO STATISTICS 122289,B100000,00000,1100,1100NO STATISTICS 122289,B100000,00000,1200,1200PATIENT DAYS 122289,B100000,00000,1300,1300PATIENT DAYS 122289,B100000,00000,1400,1400NO STATISTICS 122289,B100000,00000,1500,1350PATIENT DAYS 122289,E10A180,00550,0300,12/06/00 122289,S000000,00100,0200,03/01/00 122289,S200000,00100,0100,8045 E JEFFERSON 122289,S200000,00200,0100,DETROIT 122289,S200000,00200,0200,MI 122289,S200000,00300,0100,WAYNE 122289,S200000,00400,0100,MOROUN NURSING HOME 122289,S200000,00400,0200,235102 122289,S200000,00400,0300,01/06/67 122289,S200000,00400,0500,P 122289,S200000,00600,0200,235102 122289,S200000,00600,0300,01/06/67 122289,S200000,01500,0100,N 122289,S200000,01600,0100,Y 122289,S200000,01700,0100,N 122289,S200000,01800,0100,N 122289,S200000,02200,0100,Y 122289,S200000,02800,0100,N 122289,S200000,02900,0100,N 122289,S200000,03000,0100,N 122289,S200000,03100,0100,N 122289,S200000,03200,0100,N 122289,S200000,03300,0100,N 122289,S200000,03300,0200,N 122289,S200000,03500,0300,N 122289,S200000,04100,0100,N 122289,S200000,04200,0100,N 122289,S200000,04300,0100,N 122289,S200000,04600,0100,N 122289,S200000,04700,0100,N 122289,S200000,04900,0100,N 122290,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122290,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122290,A000000,00300,0000,0300EMPLOYEE BENEFITS 122290,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122290,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122290,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122290,A000000,00700,0000,0700HOUSEKEEPING 122290,A000000,00800,0000,0800DIETARY 122290,A000000,00900,0000,0900NURSING ADMINISTRATION 122290,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122290,A000000,01100,0000,1100PHARMACY 122290,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122290,A000000,01300,0000,1300SOCIAL SERVICE 122290,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122290,A000000,01500,0000,1350OTHER GENERAL SERVICES 122290,A000000,01600,0000,1600SKILLED NURSING FACILITY 122290,A000000,01800,0000,1800NURSING FACILITY 122290,A000000,01810,0000,1810ICF/MR 122290,A000000,02500,0000,2500PHYSICAL THERAPY 122290,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122290,A000000,02700,0000,2700SPEECH PATHOLOGY 122290,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122290,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122290,A000000,03550,0000,3550FQHC 122290,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122290,A000000,05000,0000,5000CORF 122290,A000000,05010,0000,5010CMHC 122290,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122290,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122290,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122290,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122290,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122290,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122290,A81000A,00100,0100,N 122290,B100000,00000,0100,0100SQUARE FEET 122290,B100000,00000,0200,0200SQUARE FEET 122290,B100000,00000,0300,0300GROSS SALARIES 122290,B100000,00000,0400,0400ACCUM. COST 122290,B100000,00000,0500,0500SQUARE FEET 122290,B100000,00000,0600,0600PATIENT DAYS 122290,B100000,00000,0700,0700SQUARE FEET 122290,B100000,00000,0800,0800MEALS SERVED 122290,B100000,00000,0900,0900PATIENT DAYS 122290,B100000,00000,1000,1000NO STATISTICS 122290,B100000,00000,1100,1100NO STATISTICS 122290,B100000,00000,1200,1200PATIENT DAYS 122290,B100000,00000,1300,1300PATIENT DAYS 122290,B100000,00000,1400,1400NO STATISTICS 122290,B100000,00000,1500,1350NO STATISTICS 122290,S000000,00100,0200,03/28/00 122290,S200000,00100,0100,9500 GRAND RIVER 122290,S200000,00200,0100,DETROIT 122290,S200000,00200,0200,MI 122290,S200000,00300,0100,WAYNE 122290,S200000,00400,0100,NEW LIGHT NURSING HOME 122290,S200000,00400,0200,235234 122290,S200000,00400,0300,01/01/76 122290,S200000,00400,0400,O 122290,S200000,00400,0500,P 122290,S200000,00600,0200,235234 122290,S200000,00600,0300,01/01/76 122290,S200000,00600,0600,O 122290,S200000,01500,0100,N 122290,S200000,01600,0100,Y 122290,S200000,01700,0100,N 122290,S200000,01800,0100,N 122290,S200000,01900,0100,501-C-3 122290,S200000,02200,0100,N 122290,S200000,02800,0100,N 122290,S200000,02900,0100,N 122290,S200000,03000,0100,N 122290,S200000,03100,0100,N 122290,S200000,03200,0100,N 122290,S200000,03300,0100,N 122290,S200000,03300,0200,N 122290,S200000,03500,0300,N 122290,S200000,04100,0100,N 122290,S200000,04200,0100,N 122290,S200000,04300,0100,N 122290,S200000,04600,0100,N 122290,S200000,04700,0100,N 122290,S200000,04900,0100,N 122292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122292,A000000,00300,0000,0300EMPLOYEE BENEFITS 122292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122292,A000000,00700,0000,0700HOUSEKEEPING 122292,A000000,00800,0000,0800DIETARY 122292,A000000,00900,0000,0900NURSING ADMINISTRATION 122292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122292,A000000,01100,0000,1100PHARMACY 122292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122292,A000000,01300,0000,1300SOCIAL SERVICE 122292,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122292,A000000,01500,0000,1350DIVERSIONAL THERAPY 122292,A000000,01600,0000,1600SKILLED NURSING FACILITY 122292,A000000,01810,0000,1810ICF/MR 122292,A000000,01900,0000,1900OTHER LONG TERM CARE 122292,A000000,02100,0000,2100RADIOLOGY 122292,A000000,02200,0000,2200LABORATORY 122292,A000000,02500,0000,2500PHYSICAL THERAPY 122292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122292,A000000,02700,0000,2700SPEECH PATHOLOGY 122292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122292,A000000,03550,0000,3550FQHC 122292,A000000,05000,0000,5000CORF 122292,A000000,05010,0000,5010CMHC 122292,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122292,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122292,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122292,A000000,05300,0000,5300INTEREST EXPENSE 122292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122292,A81000A,00100,0100,Y 122292,A81000B,00100,0300,LEASE INCOME/EXPENSE 122292,A81000B,00200,0300,GENERAL INSURANCE 122292,A81000B,00300,0300,LICENSE FEES 122292,A81000B,00400,0300,BANK CHARGES 122292,A81000B,00500,0300,PROFESSIONAL FEES 122292,A81000B,00600,0300,PROPERTY TAXES 122292,A81000B,00700,0300,LONG TERM INTEREST 122292,A81000B,00800,0300,AMORTIZATION 122292,A81000B,00900,0300,DEPRECIATION 122292,A81000B,01000,0300,MANAGEMENT FEES 122292,A81000C,00100,0100,A 122292,A81000C,00100,0200,STEVEN BANDSTRA 122292,A81000C,00100,0400,CCG PROP - FV L 122292,A81000C,00100,0600,REAL ESTATE COM 122292,A81000C,00200,0100,A 122292,A81000C,00200,0200,STEVEN BANDSTRA 122292,A81000C,00200,0400,CCG PROP - FV 122292,A81000C,00200,0600,REAL ESTATE COM 122292,A81000C,00300,0100,A 122292,A81000C,00300,0200,STEVEN BANDSTRA 122292,A81000C,00300,0400,CCG PROP - FV 122292,A81000C,00300,0600,REAL ESTATE COM 122292,A81000C,00400,0100,A 122292,A81000C,00400,0200,STEVEN BANDSTRA 122292,A81000C,00400,0400,CCG PROP - FV 122292,A81000C,00400,0600,REAL ESTATE COM 122292,A81000C,00500,0100,A 122292,A81000C,00500,0200,STEVEN BANDSTRA 122292,A81000C,00500,0400,CCG PROP - FV 122292,A81000C,00500,0600,REAL ESTATE COM 122292,A81000C,00600,0100,A 122292,A81000C,00600,0200,STEVEN BANDSTRA 122292,A81000C,00600,0400,CCG PROP - FV 122292,A81000C,00600,0600,REAL ESTATE COM 122292,A81000C,00700,0100,A 122292,A81000C,00700,0200,STEVEN BANDSTRA 122292,A81000C,00700,0400,CCG PROP - FV 122292,A81000C,00700,0600,REAL ESTATE COM 122292,A81000C,00800,0100,A 122292,A81000C,00800,0200,STEVEN BANDSTRA 122292,A81000C,00800,0400,CCG PROP - FV 122292,A81000C,00800,0600,REAL ESTATE COM 122292,A81000C,00900,0100,A 122292,A81000C,00900,0200,STEVEN BANDSTRA 122292,A81000C,00900,0400,CCG PROP - FV 122292,A81000C,00900,0600,REAL ESTATE COM 122292,A81000C,01000,0100,A 122292,A81000C,01000,0200,STEVEN BANDSTRA 122292,A81000C,01000,0400,COMMUNITY CENTR 122292,A81000C,01000,0600,MANAGEMENT COMP 122292,B100000,00000,0100,0100SQUARE FEET 122292,B100000,00000,0200,0200SQUARE FEET 122292,B100000,00000,0300,0300GROSS SALARIES 122292,B100000,00000,0400,0400ACCUM COST 122292,B100000,00000,0500,0500SQUARE FEET 122292,B100000,00000,0600,0600POUNDS OF LAUNDRY 122292,B100000,00000,0700,0700HOURS OF SERVICE 122292,B100000,00000,0800,0800MEALS SERVED 122292,B100000,00000,0900,0900DIRECT NRSG HRS 122292,B100000,00000,1000,1000COSTED REQUIS 122292,B100000,00000,1100,1100COSTED REQUIS 122292,B100000,00000,1200,1200TIME SPENT 122292,B100000,00000,1300,1300TIME SPENT 122292,B100000,00000,1400,1400ASSIGNED TIME 122292,B100000,00000,1500,1350CENSUS 122292,S000000,00100,0200,05/22/00 122292,S200000,00100,0100,441 EAST MAIN STREET 122292,S200000,00200,0100,CENTREVILLE 122292,S200000,00200,0200,MI 122292,S200000,00300,0100,ST JOSEPH 122292,S200000,00400,0100,FAIRVIEW LIVING CENTRE 122292,S200000,00400,0200,235013 122292,S200000,00400,0300,09/01/94 122292,S200000,00400,0500,P 122292,S200000,01500,0100,Y 122292,S200000,01600,0100,N 122292,S200000,01700,0100,N 122292,S200000,01800,0100,N 122292,S200000,01900,0100,501 C 3 122292,S200000,02200,0100,Y 122292,S200000,02800,0100,N 122292,S200000,02900,0100,N 122292,S200000,03000,0100,N 122292,S200000,03100,0100,N 122292,S200000,03200,0100,N 122292,S200000,03300,0100,N 122292,S200000,03300,0200,N 122292,S200000,03600,0200,N 122292,S200000,04100,0100,N 122292,S200000,04200,0100,N 122292,S200000,04300,0100,N 122292,S200000,04600,0100,N 122292,S200000,04700,0100,N 122292,S200000,04900,0100,N 122294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122294,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122294,A000000,00300,0000,0300EMPLOYEE BENEFITS 122294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122294,A000000,00700,0000,0700HOUSEKEEPING 122294,A000000,00800,0000,0800DIETARY 122294,A000000,00900,0000,0900NURSING ADMINISTRATION 122294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122294,A000000,01100,0000,1100PHARMACY 122294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122294,A000000,01300,0000,1300SOCIAL SERVICE 122294,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122294,A000000,01500,0000,1350DIVERSIONAL SERVICES 122294,A000000,01600,0000,1600SKILLED NURSING FACILITY 122294,A000000,01800,0000,1800NURSING FACILITY 122294,A000000,01810,0000,1810ICF/MR 122294,A000000,02100,0000,2100RADIOLOGY 122294,A000000,02200,0000,2200LABORATORY 122294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122294,A000000,02500,0000,2500PHYSICAL THERAPY 122294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122294,A000000,02700,0000,2700SPEECH PATHOLOGY 122294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122294,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122294,A000000,03550,0000,3550FQHC 122294,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122294,A000000,05000,0000,5000CORF 122294,A000000,05010,0000,5010CMHC 122294,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122294,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122294,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122294,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122294,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122294,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122294,A81000A,00100,0100,Y 122294,A81000B,00100,0300,MANAGEMENT SERVICES 122294,A81000B,00200,0300,NURSE AIDE TRAINING 122294,A81000C,00100,0100,B 122294,A81000C,00100,0200,SUNSET MANOR 122294,A81000C,00100,0400,SUNSET MANOR 122294,A81000C,00100,0600,HEALTH CARE 122294,B100000,00000,0100,0100SQUARE FEET 122294,B100000,00000,0200,0200SQUARE FEET 122294,B100000,00000,0300,0300SALARIES 122294,B100000,00000,0400,0400ACCUM. COST 122294,B100000,00000,0500,0500SQUARE FEET 122294,B100000,00000,0600,0600POUNDS 122294,B100000,00000,0700,0700HOURS 122294,B100000,00000,0800,0800MEALS SERVED 122294,B100000,00000,0900,0900TIME SPENT 122294,B100000,00000,1000,1000HOURS 122294,B100000,00000,1100,1100TIME 122294,B100000,00000,1200,1200HOURS 122294,B100000,00000,1300,1300HOURS 122294,B100000,00000,1400,1400NO STATISTICS 122294,B100000,00000,1500,1350TIME SPENT 122294,S000000,00100,0200,05/30/00 122294,S200000,00100,0100,3400 WILSON S.W. 122294,S200000,00200,0100,GRANDVILLE 122294,S200000,00200,0200,MI 122294,S200000,00300,0100,KENT 122294,S200000,00400,0100,BROOKCREST CHRISTIAN NURSING HOME 122294,S200000,00400,0200,235039 122294,S200000,00400,0300,01/01/75 122294,S200000,00400,0500,P 122294,S200000,00600,0200,235039 122294,S200000,00600,0300,01/01/75 122294,S200000,01500,0100,N 122294,S200000,01600,0100,Y 122294,S200000,01700,0100,N 122294,S200000,01800,0100,N 122294,S200000,01900,0100,OTHER 122294,S200000,02200,0100,N 122294,S200000,02800,0100,N 122294,S200000,02900,0100,N 122294,S200000,03000,0100,N 122294,S200000,03100,0100,N 122294,S200000,03200,0100,N 122294,S200000,03300,0100,N 122294,S200000,03300,0200,N 122294,S200000,03500,0300,N 122294,S200000,04100,0100,N 122294,S200000,04200,0100,N 122294,S200000,04300,0100,N 122294,S200000,04600,0100,N 122294,S200000,04700,0100,N 122294,S200000,04900,0100,N 122295,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122295,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122295,A000000,00300,0000,0300EMPLOYEE BENEFITS 122295,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122295,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122295,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122295,A000000,00700,0000,0700HOUSEKEEPING 122295,A000000,00800,0000,0800DIETARY 122295,A000000,00900,0000,0900NURSING ADMINISTRATION 122295,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122295,A000000,01100,0000,1100PHARMACY 122295,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122295,A000000,01300,0000,1300SOCIAL SERVICE 122295,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122295,A000000,01500,0000,1350OTHER GENERAL SERVICES 122295,A000000,01600,0000,1600SKILLED NURSING FACILITY 122295,A000000,01810,0000,1810ICF/MR 122295,A000000,02100,0000,2100RADIOLOGY 122295,A000000,02200,0000,2200LABORATORY 122295,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122295,A000000,02500,0000,2500PHYSICAL THERAPY 122295,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122295,A000000,02700,0000,2700SPEECH PATHOLOGY 122295,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122295,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122295,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122295,A000000,03550,0000,3550FQHC 122295,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122295,A000000,05000,0000,5000CORF 122295,A000000,05010,0000,5010CMHC 122295,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122295,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122295,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122295,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122295,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122295,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122295,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122295,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122295,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122295,A81000A,00100,0100,Y 122295,A81000B,00100,0300,ADMIN 122295,A81000C,00100,0100,B 122295,A81000C,00100,0200,BAY COUNTY 122295,A81000C,00100,0400,BAY COUNTY 122295,A81000C,00100,0600,COUNTY GOVT. 122295,B100000,00000,0100,0100SQUARE FEET 122295,B100000,00000,0200,0200SQUARE FEET 122295,B100000,00000,0300,0300GROSS SALARIES 122295,B100000,00000,0400,0400ACCUM. COST 122295,B100000,00000,0500,0500SQUARE FEET 122295,B100000,00000,0600,0600POUNDS OF LAUNDRY 122295,B100000,00000,0700,0700SQUARE FEET 122295,B100000,00000,0800,0800MEALS SERVED 122295,B100000,00000,0900,0900PATIENT DAYS 122295,B100000,00000,1000,1000PATIENT DAYS 122295,B100000,00000,1100,1100COSTED REQUIS. 122295,B100000,00000,1200,1200PATIENT DAYS 122295,B100000,00000,1300,1300PATIENT DAYS 122295,B100000,00000,1400,1400ASSIGNED TIME 122295,B100000,00000,1500,1350NO STATISTICS 122295,S000000,00100,0200,05/26/00 122295,S200000,00100,0100,S. 64 W. HAMPTON ROAD 122295,S200000,00200,0100,ESSEXVILLE 122295,S200000,00200,0200,MI 122295,S200000,00300,0100,BAY 122295,S200000,00400,0100,BAY COUNTY MCF 122295,S200000,00400,0200,235044 122295,S200000,00400,0300,01/01/67 122295,S200000,00400,0500,P 122295,S200000,01500,0100,Y 122295,S200000,01600,0100,N 122295,S200000,01700,0100,N 122295,S200000,01800,0100,N 122295,S200000,02200,0100,N 122295,S200000,02800,0100,Y 122295,S200000,02900,0100,N 122295,S200000,03000,0100,N 122295,S200000,03100,0100,N 122295,S200000,03200,0100,N 122295,S200000,03300,0100,N 122295,S200000,03300,0200,N 122295,S200000,04100,0100,N 122295,S200000,04200,0100,N 122295,S200000,04300,0100,N 122295,S200000,04600,0100,N 122295,S200000,04700,0100,N 122295,S200000,04900,0100,N 122297,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122297,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122297,A000000,00300,0000,0300EMPLOYEE BENEFITS 122297,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122297,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122297,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122297,A000000,00700,0000,0700HOUSEKEEPING 122297,A000000,00800,0000,0800DIETARY 122297,A000000,00900,0000,0900NURSING ADMINISTRATION 122297,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122297,A000000,01100,0000,1100PHARMACY 122297,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122297,A000000,01300,0000,1300SOCIAL SERVICE 122297,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122297,A000000,01500,0000,1350DIVERSIONAL SERVICES 122297,A000000,01600,0000,1600SKILLED NURSING FACILITY 122297,A000000,01810,0000,1810ICF/MR 122297,A000000,02100,0000,2100RADIOLOGY 122297,A000000,02200,0000,2200LABORATORY 122297,A000000,02500,0000,2500PHYSICAL THERAPY 122297,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122297,A000000,02700,0000,2700SPEECH PATHOLOGY 122297,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122297,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122297,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122297,A000000,03550,0000,3550FQHC 122297,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122297,A000000,05000,0000,5000CORF 122297,A000000,05010,0000,5010CMHC 122297,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122297,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122297,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122297,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122297,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122297,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122297,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122297,A81000A,00100,0100,N 122297,B100000,00000,0100,0100SQUARE FEET 122297,B100000,00000,0200,0200NO STATISTICS 122297,B100000,00000,0300,0300GROSS SALARIES 122297,B100000,00000,0400,0400ACCUM. COST 122297,B100000,00000,0500,0500SQUARE FEET 122297,B100000,00000,0600,0600POUNDS 122297,B100000,00000,0700,0700SQUARE FEET 122297,B100000,00000,0800,0800MEALS 122297,B100000,00000,0900,0900HOURS 122297,B100000,00000,1000,1000TIME SPENT 122297,B100000,00000,1100,1100TIME SPENT 122297,B100000,00000,1200,1200NO STATISTICS 122297,B100000,00000,1300,1300TIME SPENT 122297,B100000,00000,1400,1400NO STATISTICS 122297,B100000,00000,1500,1350TIME SPENT 122297,E10A180,00501,0100,06/27/01 122297,E10A180,00501,0300,06/27/01 122297,S000000,00100,0200,05/30/00 122297,S200000,00100,0100,4465 W.48TH STREET 122297,S200000,00200,0100,FREMONT 122297,S200000,00200,0200,MI 122297,S200000,00300,0100,NEWAYGO 122297,S200000,00400,0100,NEWAYGO COUNTY MEDICARE FACILITY 122297,S200000,00400,0200,235076 122297,S200000,00400,0300,07/01/66 122297,S200000,00400,0500,P 122297,S200000,01500,0100,Y 122297,S200000,01600,0100,N 122297,S200000,01700,0100,N 122297,S200000,01800,0100,N 122297,S200000,01900,0100,HEALTH CARE 122297,S200000,02200,0100,N 122297,S200000,02800,0100,N 122297,S200000,02900,0100,N 122297,S200000,03000,0100,N 122297,S200000,03100,0100,N 122297,S200000,03200,0100,N 122297,S200000,03300,0100,N 122297,S200000,03300,0200,N 122297,S200000,04100,0100,N 122297,S200000,04200,0100,N 122297,S200000,04300,0100,N 122297,S200000,04600,0100,N 122297,S200000,04700,0100,N 122297,S200000,04900,0100,N 122298,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122298,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122298,A000000,00300,0000,0300EMPLOYEE BENEFITS 122298,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122298,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122298,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122298,A000000,00700,0000,0700HOUSEKEEPING 122298,A000000,00800,0000,0800DIETARY 122298,A000000,00900,0000,0900NURSING ADMINISTRATION 122298,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122298,A000000,01100,0000,1100PHARMACY 122298,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122298,A000000,01300,0000,1300SOCIAL SERVICE 122298,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122298,A000000,01500,0000,1350DIVERSIONAL THERAPY 122298,A000000,01600,0000,1600SKILLED NURSING FACILITY 122298,A000000,01810,0000,1810ICF/MR 122298,A000000,01900,0000,1900OTHER LONG TERM CARE 122298,A000000,02100,0000,2100RADIOLOGY 122298,A000000,02200,0000,2200LABORATORY 122298,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122298,A000000,02500,0000,2500PHYSICAL THERAPY 122298,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122298,A000000,02700,0000,2700SPEECH PATHOLOGY 122298,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122298,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122298,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122298,A000000,03550,0000,3550FQHC 122298,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122298,A000000,05000,0000,5000CORF 122298,A000000,05010,0000,5010CMHC 122298,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122298,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122298,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122298,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122298,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122298,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122298,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122298,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122298,A81000A,00100,0100,N 122298,B100000,00000,0100,0100SQUARE FEET 122298,B100000,00000,0200,0200SQUARE FEET 122298,B100000,00000,0300,0300GROSS SALARIES 122298,B100000,00000,0400,0400ACCUM. COST 122298,B100000,00000,0500,0500SQUARE FEET 122298,B100000,00000,0600,0600POUNDS OF LAUNDRY 122298,B100000,00000,0700,0700SQUARE FEET 122298,B100000,00000,0800,0800MEALS SERVED 122298,B100000,00000,0900,0900DIRECT NRSING HRS 122298,B100000,00000,1000,1000COSTED REQUIS. 122298,B100000,00000,1100,1100COSTED REQUIS. 122298,B100000,00000,1200,1200TIME SPENT 122298,B100000,00000,1300,1300PATIENT DAYS 122298,B100000,00000,1400,1400ASSIGNED TIME 122298,B100000,00000,1500,1350PATIENT DAYS 122298,S000000,00100,0200,06/15/00 122298,S200000,00100,0100,410 E. ELMWOOD 122298,S200000,00200,0100,TRAVERSE CITY 122298,S200000,00200,0200,MI 122298,S200000,00300,0100,GRAND TRAVERSE 122298,S200000,00400,0100,GRAND TRAVERSE MCF 122298,S200000,00400,0200,235088 122298,S200000,00400,0300,07/01/66 122298,S200000,00400,0500,P 122298,S200000,01500,0100,Y 122298,S200000,01600,0100,N 122298,S200000,01700,0100,N 122298,S200000,01800,0100,N 122298,S200000,01900,0100,HEALTH CARE 122298,S200000,02200,0100,N 122298,S200000,02800,0100,Y 122298,S200000,02900,0100,N 122298,S200000,03000,0100,N 122298,S200000,03100,0100,N 122298,S200000,03200,0100,N 122298,S200000,03300,0100,N 122298,S200000,03300,0200,N 122298,S200000,04100,0100,N 122298,S200000,04200,0100,N 122298,S200000,04300,0100,Y 122298,S200000,04600,0100,N 122298,S200000,04700,0100,N 122298,S200000,04900,0100,N 122314,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122314,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122314,A000000,00300,0000,0300EMPLOYEE BENEFITS 122314,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122314,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122314,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122314,A000000,00700,0000,0700HOUSEKEEPING 122314,A000000,00800,0000,0800DIETARY 122314,A000000,00900,0000,0900NURSING ADMINISTRATION 122314,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122314,A000000,01100,0000,1100PHARMACY 122314,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122314,A000000,01300,0000,1300SOCIAL SERVICE 122314,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122314,A000000,01500,0000,1350ACTIVITIES 122314,A000000,01600,0000,1600SKILLED NURSING FACILITY 122314,A000000,01810,0000,1810ICF/MR 122314,A000000,02100,0000,2100RADIOLOGY 122314,A000000,02200,0000,2200LABORATORY 122314,A000000,02300,0000,2300INTRAVENOUS THERAPY 122314,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122314,A000000,02500,0000,2500PHYSICAL THERAPY 122314,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122314,A000000,02700,0000,2700SPEECH PATHOLOGY 122314,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122314,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122314,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122314,A000000,03550,0000,3550FQHC 122314,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122314,A000000,05000,0000,5000CORF 122314,A000000,05010,0000,5010CMHC 122314,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122314,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122314,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122314,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122314,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122314,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122314,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122314,A81000A,00100,0100,N 122314,B100000,00000,0100,0100SQUARE FEET 122314,B100000,00000,0200,0200SQUARE FEET 122314,B100000,00000,0300,0300GROSS SALARIES 122314,B100000,00000,0400,0400ACCUM. COST 122314,B100000,00000,0500,0500SQUARE FEET 122314,B100000,00000,0600,0600POUNDS OF LAUNDRY 122314,B100000,00000,0700,0700SQUARE FEET 122314,B100000,00000,0800,0800MEALS SERVED 122314,B100000,00000,0900,0900PATIENT DAYS 122314,B100000,00000,1000,1000PATIENT DAYS 122314,B100000,00000,1100,1100COSTED REQUIS 122314,B100000,00000,1200,1200GROSS CHARGES 122314,B100000,00000,1300,1300PATIENT DAYS 122314,B100000,00000,1400,1400ASSIGNED TIME 122314,B100000,00000,1500,1350PATIENT DAYS 122314,S000000,00100,0200,01/04/01 122314,S200000,00100,0100,3800 NORTH 92ND STREET 122314,S200000,00200,0100,MILWAUKEE 122314,S200000,00200,0200,WI 122314,S200000,00300,0100,M 122314,S200000,00300,0200,5080 122314,S200000,00300,0300,U 122314,S200000,00400,0100,ST. ANNE S HOME FOR THE ELDERLY 122314,S200000,00400,0200,525524 122314,S200000,00400,0300,02/01/94 122314,S200000,00400,0500,P 122314,S200000,01500,0100,Y 122314,S200000,01600,0100,N 122314,S200000,01700,0100,N 122314,S200000,01800,0100,N 122314,S200000,01900,0100,501(C)(3) 122314,S200000,02200,0100,N 122314,S200000,02800,0100,N 122314,S200000,02900,0100,N 122314,S200000,03000,0100,N 122314,S200000,03100,0100,N 122314,S200000,03200,0100,N 122314,S200000,03300,0100,N 122314,S200000,03300,0200,N 122314,S200000,04100,0100,N 122314,S200000,04200,0100,N 122314,S200000,04300,0100,N 122314,S200000,04600,0100,N 122314,S200000,04700,0100,N 122314,S200000,04900,0100,N 122314,S200000,05200,0100,N 122318,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122318,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122318,A000000,00300,0000,0300EMPLOYEE BENEFITS 122318,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122318,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122318,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122318,A000000,00700,0000,0700HOUSEKEEPING 122318,A000000,00800,0000,0800DIETARY 122318,A000000,00900,0000,0900NURSING ADMINISTRATION 122318,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122318,A000000,01100,0000,1100PHARMACY 122318,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122318,A000000,01300,0000,1300SOCIAL SERVICE 122318,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122318,A000000,01500,0000,1350DIVERSIONAL THERAPY 122318,A000000,01600,0000,1600SKILLED NURSING FACILITY 122318,A000000,01800,0000,1800NURSING FACILITY 122318,A000000,01810,0000,1810ICF/MR 122318,A000000,02100,0000,2100RADIOLOGY 122318,A000000,02200,0000,2200LABORATORY 122318,A000000,02300,0000,2300INTRAVENOUS THERAPY 122318,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122318,A000000,02500,0000,2500PHYSICAL THERAPY 122318,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122318,A000000,02700,0000,2700SPEECH PATHOLOGY 122318,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122318,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122318,A000000,03110,0000,3101AMBULANCE 122318,A000000,03300,0000,3050AIR FLUIDIZED THERAPY BEDS 122318,A000000,03550,0000,3550FQHC 122318,A000000,05000,0000,5000CORF 122318,A000000,05010,0000,5010CMHC 122318,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122318,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122318,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122318,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122318,A81000A,00100,0100,Y 122318,A81000B,00100,0300,LEASE LAND/BLDG/EQU 122318,A81000B,00200,0300,CENTRAL OFFICE 122318,A81000B,00300,0300,CENTRAL OFFICE 122318,A81000B,00400,0300,SUPPLIES/RENTALS 122318,A81000B,00500,0300,CONTR. PHYS. THERAPY 122318,A81000B,00600,0300,CONTR. OCCUP. THERAP 122318,A81000B,00700,0300,CONTR. SPEECH THERAP 122318,A81000B,00800,0300,CONTRACTED NURSING 122318,A81000B,00900,0300,SHARED THERAPY 122318,A81000B,01000,0300,SHARED THERAPY 122318,A81000B,01100,0300,SHARED THERAPY 122318,A81000B,01200,0300,SHARED THERAPY 122318,A81000B,01300,0300,SHARED THERAPY 122318,A81000B,01400,0300,SHARED THERAPY 122318,A81000B,01500,0300,SHARED THERAPY 122318,A81000B,01600,0300,SHARED THERAPY 122318,A81000B,01700,0300,SHARED THERAPY 122318,A81000B,01800,0300,MAINTENANCE SUPPORT 122318,A81000B,01900,0300,SHARED THERAPY 122318,A81000B,02000,0300,SHARED THERAPY 122318,A81000C,00100,0100,A 122318,A81000C,00100,0200,MARVIN L. PIERS 122318,A81000C,00100,0400,CEDAR REAL ESTA 122318,A81000C,00100,0600,LESSOR 122318,A81000C,00200,0100,A 122318,A81000C,00200,0200,MARVIN L. PIERS 122318,A81000C,00200,0400,METRON INTEGRAT 122318,A81000C,00200,0600,CENTRAL OFFICE 122318,A81000C,00300,0100,A 122318,A81000C,00300,0200,MARVIN L. PIERS 122318,A81000C,00300,0400,CARE SOURCE IN 122318,A81000C,00300,0600,SUPPLIES/RENTAL 122318,A81000C,00400,0100,A 122318,A81000C,00400,0200,MARVIN L. PIERS 122318,A81000C,00400,0400,PEOPLECARE 122318,A81000C,00400,0600,CONTRACTED SVCS 122318,A81000C,00500,0100,A 122318,A81000C,00500,0200,MARVIN L. PIERS 122318,A81000C,00500,0400,METRON OF BELDI 122318,A81000C,00500,0600,SNF 122318,A81000C,00600,0100,A 122318,A81000C,00600,0200,MARVIN L. PIERS 122318,A81000C,00600,0400,METRON OF BIG R 122318,A81000C,00600,0600,SNF 122318,A81000C,00700,0100,A 122318,A81000C,00700,0200,MARVIN L. PIERS 122318,A81000C,00700,0400,METRON OF FORES 122318,A81000C,00700,0600,SNF 122318,A81000C,00800,0100,A 122318,A81000C,00800,0200,MARVIN L. PIERS 122318,A81000C,00800,0400,METRON OF GREEN 122318,A81000C,00800,0600,SNF 122318,A81000C,00900,0100,A 122318,A81000C,00900,0200,MARVIN L. PIERS 122318,A81000C,00900,0400,METRON OF LAMON 122318,A81000C,00900,0600,SNF 122318,B100000,00000,0100,0100SQUARE FEET 122318,B100000,00000,0200,0200SQUARE FEET 122318,B100000,00000,0300,0300GROSS SALARIES 122318,B100000,00000,0400,0400ACCUM COST 122318,B100000,00000,0500,0500SQUARE FEET 122318,B100000,00000,0600,0600POUNDS OF LAUNDRY 122318,B100000,00000,0700,0700HOURS OF SERVICE 122318,B100000,00000,0800,0800MEALS SERVED 122318,B100000,00000,0900,0900DIRECT NRSG HRS 122318,B100000,00000,1000,1000COSTED REQUIS 122318,B100000,00000,1100,1100COSTED REQUIS 122318,B100000,00000,1200,1200TIME SPENT 122318,B100000,00000,1300,1300TIME SPENT 122318,B100000,00000,1400,1400ASSIGNED TIME 122318,B100000,00000,1500,1350(TIME SPENT) 122318,S000000,00100,0200,08/04/00 122318,S200000,00100,0100,400 JEFFREY STREET 122318,S200000,00200,0100,CEDAR SPRINGS 122318,S200000,00200,0200,MI 122318,S200000,00200,0300,49319 122318,S200000,00300,0100,KENT 122318,S200000,00300,0200,3000 122318,S200000,00300,0300,U 122318,S200000,00400,0100,METRON OF CEDAR SPRINGS 122318,S200000,00400,0200,235294 122318,S200000,00400,0300,01/01/80 122318,S200000,00400,0500,P 122318,S200000,00600,0200,235294 122318,S200000,00600,0300,01/01/80 122318,S200000,00600,0600,O 122318,S200000,01500,0100,N 122318,S200000,01600,0100,Y 122318,S200000,01700,0100,N 122318,S200000,01800,0100,N 122318,S200000,01900,0100,501 C 3 122318,S200000,02200,0100,N 122318,S200000,02800,0100,N 122318,S200000,02900,0100,N 122318,S200000,03000,0100,N 122318,S200000,03100,0100,N 122318,S200000,03200,0100,N 122318,S200000,03300,0100,N 122318,S200000,03300,0200,N 122318,S200000,03500,0300,N 122318,S200000,04100,0100,N 122318,S200000,04200,0100,N 122318,S200000,04300,0100,N 122318,S200000,04600,0100,N 122318,S200000,04700,0100,Y 122318,S200000,04700,0200,Y 122318,S200000,04900,0100,N 122318,S200000,05000,0100,N 122318,S200000,05100,0100,N 122318,S200000,05200,0100,N 122324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122324,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122324,A000000,00300,0000,0300EMPLOYEE BENEFITS 122324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122324,A000000,00700,0000,0700HOUSEKEEPING 122324,A000000,00800,0000,0800DIETARY 122324,A000000,00900,0000,0900NURSING ADMINISTRATION 122324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122324,A000000,01100,0000,1100PHARMACY 122324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122324,A000000,01300,0000,1300SOCIAL SERVICE 122324,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122324,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 122324,A000000,01600,0000,1600SKILLED NURSING FACILITY 122324,A000000,01810,0000,1810ICF/MR 122324,A000000,02100,0000,2100RADIOLOGY 122324,A000000,02200,0000,2200LABORATORY 122324,A000000,02500,0000,2500PHYSICAL THERAPY 122324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122324,A000000,02700,0000,2700SPEECH PATHOLOGY 122324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122324,A000000,03550,0000,3550FQHC 122324,A000000,05000,0000,5000CORF 122324,A000000,05010,0000,5010CMHC 122324,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122324,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122324,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122324,A000000,05300,0000,5300INTEREST EXPENSE 122324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122324,A81000A,00100,0100,Y 122324,A81000B,00100,0300,RENT (DEPRECIATION) 122324,A81000B,00200,0300,RENT (INTEREST) 122324,A81000B,00300,0300,MANAGEMENT FEES 122324,A81000B,00400,0300,HOME OFFICE CAP REL 122324,A81000C,00100,0100,A 122324,A81000C,00100,0200,D.J. BORTZ JR. 122324,A81000C,00100,0400,D.J. BORTZ JR. 122324,A81000C,00100,0600,REAL ESTATE 122324,A81000C,00200,0100,A 122324,A81000C,00200,0200,D.J. BORTZ JR. 122324,A81000C,00200,0400,BORTZ FACILITIE 122324,A81000C,00200,0600,MANAGEMENT 122324,A81000C,00300,0100,A 122324,A81000C,00300,0200,D.J. BORTZ JR. 122324,A81000C,00300,0400,JBS INC. 122324,A81000C,00300,0600,NURSING SUPPLIE 122324,B100000,00000,0100,0100SQUARE FEET 122324,B100000,00000,0200,0200SQUARE FEET 122324,B100000,00000,0300,0300GROSS SALARIES 122324,B100000,00000,0400,0400ACCUM COST 122324,B100000,00000,0500,0500SQUARE FEET 122324,B100000,00000,0600,0600PATIENT DAYS 122324,B100000,00000,0700,0700SQUARE FEET 122324,B100000,00000,0800,0800MEALS SERVED 122324,B100000,00000,0900,0900PATIENT DAYS 122324,B100000,00000,1000,1000COSTED REQUIS 122324,B100000,00000,1100,1100COSTED REQUIS 122324,B100000,00000,1200,1200PATIENT DAYS 122324,B100000,00000,1300,1300PATIENT DAYS 122324,B100000,00000,1400,1400ASSIGNED TIME 122324,B100000,00000,1500,1350PATIENT DAYS 122324,S000000,00100,0200,04/26/00 122324,S200000,00100,0100,517 W. PAGE ST. 122324,S200000,00200,0100,ROSE CITY 122324,S200000,00200,0200,MI 122324,S200000,00200,0300,48654 122324,S200000,00300,0100,OGEMAW 122324,S200000,00300,0200,23 122324,S200000,00300,0300,R 122324,S200000,00400,0100,ROSE CITY GERIATRIC VILLAGE INC. 122324,S200000,00400,0200,235380 122324,S200000,00400,0300,09/28/84 122324,S200000,00400,0500,P 122324,S200000,01500,0100,Y 122324,S200000,01600,0100,N 122324,S200000,01700,0100,N 122324,S200000,01800,0100,N 122324,S200000,01900,0100,501(C)(3) 122324,S200000,02200,0100,N 122324,S200000,02800,0100,Y 122324,S200000,02900,0100,N 122324,S200000,03000,0100,N 122324,S200000,03100,0100,N 122324,S200000,03200,0100,N 122324,S200000,03300,0100,N 122324,S200000,03300,0200,N 122324,S200000,04100,0100,N 122324,S200000,04200,0100,N 122324,S200000,04300,0100,N 122324,S200000,04600,0100,N 122324,S200000,04700,0100,N 122324,S200000,04900,0100,N 122324,S200000,05200,0100,N 122326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122326,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122326,A000000,00300,0000,0300EMPLOYEE BENEFITS 122326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122326,A000000,00700,0000,0700HOUSEKEEPING 122326,A000000,00800,0000,0800DIETARY 122326,A000000,00900,0000,0900NURSING ADMINISTRATION 122326,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122326,A000000,01100,0000,1100PHARMACY 122326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122326,A000000,01300,0000,1300SOCIAL SERVICE 122326,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122326,A000000,01500,0000,1350ACTIVITIES 122326,A000000,01600,0000,1600SKILLED NURSING FACILITY 122326,A000000,01810,0000,1810ICF/MR 122326,A000000,02100,0000,2100RADIOLOGY 122326,A000000,02200,0000,2200LABORATORY 122326,A000000,02500,0000,2500PHYSICAL THERAPY 122326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122326,A000000,02700,0000,2700SPEECH PATHOLOGY 122326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122326,A000000,03550,0000,3550FQHC 122326,A000000,05000,0000,5000CORF 122326,A000000,05010,0000,5010CMHC 122326,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122326,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122326,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122326,A81000A,00100,0100,Y 122326,A81000B,00100,0300,RENT (DEPRECIATION) 122326,A81000C,00100,0100,A 122326,A81000C,00100,0200,CLARAFIN CORPOR 122326,A81000C,00100,0400,WANDA BAAD 122326,A81000C,00100,0600,REAL ESTATE REN 122326,B100000,00000,0100,0100SQUARE FEET 122326,B100000,00000,0200,0200SQUARE FEET 122326,B100000,00000,0300,0300GROSS SALARIES 122326,B100000,00000,0400,0400ACCUM COST 122326,B100000,00000,0500,0500SQUARE FEET 122326,B100000,00000,0600,0600POUNDS OF LAUNDRY 122326,B100000,00000,0700,0700HOURS OF SERVICE 122326,B100000,00000,0800,0800MEALS SERVED 122326,B100000,00000,0900,0900DIRECT NRSG HRS 122326,B100000,00000,1000,1000COSTED REQUIS 122326,B100000,00000,1100,1100COSTED REQUIS 122326,B100000,00000,1200,1200TIME SPENT 122326,B100000,00000,1300,1300TIME SPENT 122326,B100000,00000,1400,1400ASSIGNED TIME 122326,B100000,00000,1500,1350PATIENT DAYS 122326,S000000,00100,0200,06/14/00 122326,S200000,00100,0100,3310 W. COMMERCE ROAD. 122326,S200000,00200,0100,MILFORD 122326,S200000,00200,0200,MI 122326,S200000,00200,0300,48380 122326,S200000,00300,0100,OAKLAND 122326,S200000,00300,0200,2160 122326,S200000,00300,0300,U 122326,S200000,00400,0100,WEST HICKORY HAVEN 122326,S200000,00400,0200,235262 122326,S200000,00400,0300,07/01/99 122326,S200000,00400,0500,P 122326,S200000,01500,0100,Y 122326,S200000,01600,0100,N 122326,S200000,01700,0100,N 122326,S200000,01800,0100,N 122326,S200000,01900,0100,501 C 3 122326,S200000,02200,0100,N 122326,S200000,02800,0100,N 122326,S200000,02900,0100,N 122326,S200000,03000,0100,N 122326,S200000,03100,0100,N 122326,S200000,03200,0100,N 122326,S200000,03300,0100,N 122326,S200000,03300,0200,N 122326,S200000,04100,0100,N 122326,S200000,04200,0100,N 122326,S200000,04300,0100,N 122326,S200000,04600,0100,N 122326,S200000,04700,0100,N 122326,S200000,04900,0100,N 122326,S200000,05000,0100,N 122326,S200000,05100,0100,N 122326,S200000,05200,0100,N 122428,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122428,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122428,A000000,00300,0000,0300EMPLOYEE BENEFITS 122428,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122428,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122428,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122428,A000000,00700,0000,0700HOUSEKEEPING 122428,A000000,00800,0000,0800DIETARY 122428,A000000,00900,0000,0900NURSING ADMINISTRATION 122428,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122428,A000000,01100,0000,1100PHARMACY 122428,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122428,A000000,01300,0000,1300SOCIAL SERVICE 122428,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122428,A000000,01500,0000,1350OTHER GENERAL SERVICES 122428,A000000,01600,0000,1600SKILLED NURSING FACILITY 122428,A000000,01800,0000,1800NURSING FACILITY 122428,A000000,01900,0000,1900OTHER LONG TERM CARE 122428,A000000,02100,0000,2100RADIOLOGY 122428,A000000,02200,0000,2200LABORATORY 122428,A000000,02300,0000,2300INTRAVENOUS THERAPY 122428,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122428,A000000,02500,0000,2500PHYSICAL THERAPY 122428,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122428,A000000,02700,0000,2700SPEECH PATHOLOGY 122428,A000000,02800,0000,2800ELECTROCARDIOLOGY 122428,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122428,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122428,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122428,A000000,03200,0000,3200SUPPORT SURFACES 122428,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122428,A000000,03302,0000,3052AIR FLUID BEDS 122428,A000000,03400,0000,3400CLINIC 122428,A000000,03500,0000,3500RURAL HEALTH CLINIC 122428,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122428,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122428,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122428,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122428,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122428,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122428,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122428,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122428,A000000,04400,0000,4400DME RENTED - HHA 122428,A000000,04500,0000,4500DME SOLD - HHA 122428,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122428,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122428,A000000,04800,0000,4800AMBULANCE 122428,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122428,A000000,05000,0000,5000CORF 122428,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122428,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122428,A000000,05300,0000,5300INTEREST EXPENSE 122428,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122428,A000000,05500,0000,5500HOSPICE 122428,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122428,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122428,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122428,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122428,A000000,06100,0000,6100NONPAID WORKERS 122428,A000000,06200,0000,6200PATIENTS LAUNDRY 122428,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122428,A81000A,00100,0100,Y 122428,A81000B,00100,0300,ADMIN/OWNER SALARY 122428,A81000C,00100,0100,A 122428,A81000C,00100,0200,RALPH & JEANINE MARRINSON 122428,A81000C,00100,0400,MANOR OAKS INC. 122428,A81000C,00100,0600,SNF 122428,A81000C,00200,0100,A 122428,A81000C,00200,0200,RALPH & JEANINE MARRINSON 122428,A81000C,00200,0400,MARGATE MANOR INC. 122428,A81000C,00200,0600,ALF 122428,A81000C,00300,0100,A 122428,A81000C,00300,0200,RALPH & JEANINE MARRINSON 122428,A81000C,00300,0400,WILLIAMSBURG LANDING 122428,A81000C,00300,0600,ALF 122428,A81000C,00400,0100,A 122428,A81000C,00400,0200,RALPH & JEANINE MARRINSON 122428,A81000C,00400,0400,INDEPENDENCE HALL 122428,A81000C,00400,0600,ALF 122428,A81000C,00500,0100,A 122428,A81000C,00500,0200,RALPH & JEANINE MARRINSON 122428,A81000C,00500,0400,CUMBERLAND VILLAGE 122428,A81000C,00500,0600,ALF 122428,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122428,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 122428,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122428,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122428,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122428,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122428,S000000,00100,0200,11/29/00 122428,S200000,00100,0100,1701 NE 26 ST 122428,S200000,00200,0100,FT LAUDERDALE 122428,S200000,00200,0200,FL 122428,S200000,00200,0300,33305-0000 122428,S200000,00300,0100,BROWARD 122428,S200000,00300,0200,2680 122428,S200000,00300,0300,U 122428,S200000,00400,0100,MANOR PINES CONVALESCENT CENTER 122428,S200000,00400,0200,105089 122428,S200000,00400,0300,01/15/67 122428,S200000,00400,0500,P 122428,S200000,01500,0100,Y 122428,S200000,01600,0100,N 122428,S200000,01700,0100,N 122428,S200000,01800,0100,N 122428,S200000,02200,0100,Y 122428,S200000,02800,0100,N 122428,S200000,02900,0100,N 122428,S200000,03000,0100,N 122428,S200000,03100,0100,N 122428,S200000,03200,0100,N 122428,S200000,04100,0100,N 122428,S200000,04200,0100,N 122428,S200000,04300,0100,N 122428,S200000,04600,0100,N 122428,S200000,04700,0100,N 122428,S200000,04700,0200,N 122428,S200000,04900,0100,N 122428,S200000,05000,0100,N 122428,S200000,05100,0100,N 122428,S200000,05200,0100,N 122441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122441,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122441,A000000,00300,0000,0300EMPLOYEE BENEFITS 122441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122441,A000000,00700,0000,0700HOUSEKEEPING 122441,A000000,00800,0000,0800DIETARY 122441,A000000,00900,0000,0900NURSING ADMINISTRATION 122441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122441,A000000,01100,0000,1100PHARMACY 122441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122441,A000000,01300,0000,1300SOCIAL SERVICE 122441,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122441,A000000,01500,0000,1350OTHER GENERAL SERVICES 122441,A000000,01600,0000,1600SKILLED NURSING FACILITY 122441,A000000,01800,0000,1800NURSING FACILITY 122441,A000000,01810,0000,1810ICF/MR 122441,A000000,01900,0000,1900OTHER LONG TERM CARE 122441,A000000,02100,0000,2100RADIOLOGY 122441,A000000,02200,0000,2200LABORATORY 122441,A000000,02300,0000,2300INTRAVENOUS THERAPY 122441,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122441,A000000,02500,0000,2500PHYSICAL THERAPY 122441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122441,A000000,02700,0000,2700SPEECH PATHOLOGY 122441,A000000,02800,0000,2800ELECTROCARDIOLOGY 122441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122441,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122441,A000000,03200,0000,3200SUPPORT SURFACES 122441,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122441,A000000,03400,0000,3400CLINIC 122441,A000000,03500,0000,3500RURAL HEALTH CLINIC 122441,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122441,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122441,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122441,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122441,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122441,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122441,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122441,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122441,A000000,04400,0000,4400DME RENTED - HHA 122441,A000000,04500,0000,4500DME SOLD - HHA 122441,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122441,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122441,A000000,04800,0000,4800AMBULANCE 122441,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122441,A000000,05000,0000,5000CORF 122441,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122441,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122441,A000000,05300,0000,5300INTEREST EXPENSE 122441,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122441,A000000,05500,0000,5500HOSPICE 122441,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122441,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122441,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122441,A000000,06100,0000,6100NONPAID WORKERS 122441,A000000,06200,0000,6200PATIENTS LAUNDRY 122441,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122441,A81000A,00100,0100,N 122441,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122441,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122441,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122441,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122441,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 122441,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122441,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122441,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 122441,B100000,00000,1000,1050NURSING HOME :CENTRAL SERVICES 122441,B100000,00000,1200,1250NURSING HOME :MEDICAL RECORDS & 122441,B100000,00000,1300,1330NURSING HOME :SOCIAL SERVICE 122441,S000000,00100,0200,12/01/00 122441,S200000,00100,0100,1550 MADRUGA AVENUE SUITE 332 122441,S200000,00200,0100,CORAL GABLES 122441,S200000,00200,0200,FL 122441,S200000,00200,0300,33146- 122441,S200000,00300,0100,MIAMI-DADE 122441,S200000,00300,0200,5000 122441,S200000,00300,0300,U 122441,S200000,00400,0100,LUTHERAN SERVICES FOR THE ELDERLY 122441,S200000,00400,0200,105356 122441,S200000,00400,0300,01/01/80 122441,S200000,00400,0500,P 122441,S200000,01500,0100,N 122441,S200000,01600,0100,Y 122441,S200000,01700,0100,N 122441,S200000,01800,0100,N 122441,S200000,02200,0100,N 122441,S200000,02800,0100,N 122441,S200000,02900,0100,N 122441,S200000,03000,0100,N 122441,S200000,03100,0100,N 122441,S200000,03200,0100,N 122441,S200000,04100,0100,N 122441,S200000,04200,0100,N 122441,S200000,04300,0100,N 122441,S200000,04600,0100,N 122441,S200000,04700,0100,N 122441,S200000,04700,0200,N 122441,S200000,04900,0100,N 122441,S200000,05000,0100,N 122441,S200000,05100,0100,N 122441,S200000,05200,0100,N 122451,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122451,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122451,A000000,00300,0000,0300EMPLOYEE BENEFITS 122451,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122451,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122451,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122451,A000000,00700,0000,0700HOUSEKEEPING 122451,A000000,00800,0000,0800DIETARY 122451,A000000,00900,0000,0900NURSING ADMINISTRATION 122451,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122451,A000000,01100,0000,1100PHARMACY 122451,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122451,A000000,01300,0000,1300SOCIAL SERVICE 122451,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122451,A000000,01500,0000,1350OTHER GENERAL SERVICES 122451,A000000,01600,0000,1600SKILLED NURSING FACILITY 122451,A000000,01800,0000,1800NURSING FACILITY 122451,A000000,01810,0000,1810ICF/MR 122451,A000000,01900,0000,1900OTHER LONG TERM CARE 122451,A000000,02100,0000,2100RADIOLOGY 122451,A000000,02200,0000,2200LABORATORY 122451,A000000,02300,0000,2300INTRAVENOUS THERAPY 122451,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122451,A000000,02500,0000,2500PHYSICAL THERAPY 122451,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122451,A000000,02700,0000,2700SPEECH PATHOLOGY 122451,A000000,02800,0000,2800ELECTROCARDIOLOGY 122451,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122451,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122451,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122451,A000000,03200,0000,3200SUPPORT SURFACES 122451,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122451,A000000,03400,0000,3400CLINIC 122451,A000000,03500,0000,3500RURAL HEALTH CLINIC 122451,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122451,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122451,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122451,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122451,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122451,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122451,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122451,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122451,A000000,04400,0000,4400DME RENTED - HHA 122451,A000000,04500,0000,4500DME SOLD - HHA 122451,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122451,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122451,A000000,04800,0000,4800AMBULANCE 122451,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122451,A000000,05000,0000,5000CORF 122451,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122451,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122451,A000000,05300,0000,5300INTEREST EXPENSE 122451,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122451,A000000,05500,0000,5500HOSPICE 122451,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122451,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122451,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122451,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122451,A000000,06100,0000,6100NONPAID WORKERS 122451,A000000,06200,0000,6200PATIENTS LAUNDRY 122451,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122451,A81000A,00100,0100,Y 122451,A81000B,00100,0300,HOME OFFICE PROPERTY 122451,A81000B,00200,0300,HOME OFFICE ADMIN 122451,A81000B,00300,0300,PHYSICAL THERAPY 122451,A81000B,00400,0300,OCCUPATIONAL THERAPY 122451,A81000B,00500,0300,SPEECH THERAPY 122451,A81000B,00600,0300,HOME OFFICE NURSING 122451,A81000C,00100,0100,A 122451,A81000C,00100,0200,JORGE HERNANDO 122451,A81000C,00100,0400,DOS HEALTH CARE 122451,A81000C,00100,0600,MANAGEMENT CO. 122451,A81000C,00200,0100,A 122451,A81000C,00200,0200,JORGE HERNANDO 122451,A81000C,00200,0400,DOS HEALTH CARE 122451,A81000C,00200,0600,MANAGEMENT CO. 122451,A81000C,00300,0100,A 122451,A81000C,00300,0200,JORGE HERNANDO 122451,A81000C,00300,0400,REHAB CONCEPTS 122451,A81000C,00300,0600,THERAPY COMPANY 122451,A81000C,00400,0100,A 122451,A81000C,00400,0200,JORGE HERNANDO 122451,A81000C,00400,0400,REHAB CONCEPTS 122451,A81000C,00400,0600,THERAPY COMPANY 122451,A81000C,00500,0100,A 122451,A81000C,00500,0200,JORGE HERNANDO 122451,A81000C,00500,0400,REHAB CONCEPTS 122451,A81000C,00500,0600,THERAPY COMPANY 122451,A81000C,00600,0100,A 122451,A81000C,00600,0200,JORGE HERNANDO 122451,A81000C,00600,0400,DOS HEALTH CARE 122451,A81000C,00600,0600,MANAGEMENT COMPANY 122451,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122451,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122451,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122451,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122451,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122451,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122451,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122451,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 122451,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122451,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 122451,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122451,S000000,00100,0200,05/01/01 122451,S200000,00100,0100,9380 NW 7TH AVENUE 122451,S200000,00200,0100,MIAMI 122451,S200000,00200,0200,FL 122451,S200000,00200,0300,33150- 122451,S200000,00300,0100,DADE 122451,S200000,00300,0200,5000 122451,S200000,00300,0300,U 122451,S200000,00400,0100,DOS OF NORTH SHORE INC. 122451,S200000,00400,0200,105449 122451,S200000,00400,0300,02/15/99 122451,S200000,00400,0500,P 122451,S200000,01004,0500,O 122451,S200000,01500,0100,N 122451,S200000,01600,0100,Y 122451,S200000,01700,0100,N 122451,S200000,01800,0100,N 122451,S200000,02200,0100,N 122451,S200000,02800,0100,N 122451,S200000,02900,0100,N 122451,S200000,03000,0100,N 122451,S200000,03100,0100,N 122451,S200000,03200,0100,N 122451,S200000,04100,0100,N 122451,S200000,04200,0100,N 122451,S200000,04300,0100,N 122451,S200000,04600,0100,N 122451,S200000,04700,0100,N 122451,S200000,04700,0200,N 122451,S200000,04900,0100,N 122451,S200000,05000,0100,N 122451,S200000,05100,0100,N 122451,S200000,05200,0100,N 122453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122453,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122453,A000000,00300,0000,0300EMPLOYEE BENEFITS 122453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122453,A000000,00700,0000,0700HOUSEKEEPING 122453,A000000,00800,0000,0800DIETARY 122453,A000000,00900,0000,0900NURSING ADMINISTRATION 122453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122453,A000000,01100,0000,1100PHARMACY 122453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122453,A000000,01300,0000,1300SOCIAL SERVICE 122453,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122453,A000000,01500,0000,1350OTHER GENERAL SERVICES 122453,A000000,01600,0000,1600SKILLED NURSING FACILITY 122453,A000000,01800,0000,1800NURSING FACILITY 122453,A000000,01810,0000,1810ICF/MR 122453,A000000,01900,0000,1900OTHER LONG TERM CARE 122453,A000000,02100,0000,2100RADIOLOGY 122453,A000000,02200,0000,2200LABORATORY 122453,A000000,02300,0000,2300INTRAVENOUS THERAPY 122453,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122453,A000000,02500,0000,2500PHYSICAL THERAPY 122453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122453,A000000,02700,0000,2700SPEECH PATHOLOGY 122453,A000000,02800,0000,2800ELECTROCARDIOLOGY 122453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122453,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122453,A000000,03200,0000,3200SUPPORT SURFACES 122453,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122453,A000000,03400,0000,3400CLINIC 122453,A000000,03500,0000,3500RURAL HEALTH CLINIC 122453,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122453,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122453,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122453,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122453,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122453,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122453,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122453,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122453,A000000,04400,0000,4400DME RENTED - HHA 122453,A000000,04500,0000,4500DME SOLD - HHA 122453,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122453,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122453,A000000,04800,0000,4800AMBULANCE 122453,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122453,A000000,05000,0000,5000CORF 122453,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122453,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122453,A000000,05300,0000,5300INTEREST EXPENSE 122453,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122453,A000000,05500,0000,5500HOSPICE 122453,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122453,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122453,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122453,A000000,06100,0000,6100NONPAID WORKERS 122453,A000000,06200,0000,6200PATIENTS LAUNDRY 122453,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122453,A81000A,00100,0100,Y 122453,A81000B,00100,0300,HOME OFFICE CAPITAL 122453,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 122453,A81000B,00300,0300,THERAPY EXPENSE 122453,A81000C,00100,0100,B 122453,A81000C,00100,0200,TANDEM HEALTH CARE INC. 122453,A81000C,00100,0600,HOME OFFICE 122453,A81000C,00200,0100,B 122453,A81000C,00200,0200,TANDEM HEALTH CARE INC. 122453,A81000C,00200,0600,HOME OFFICE 122453,A81000C,00300,0100,A 122453,A81000C,00300,0400,TANDEM REHABILITATION IN 122453,A81000C,00300,0600,THERAPY PROVIDER 122453,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122453,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122453,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122453,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122453,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122453,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122453,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122453,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 122453,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122453,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 122453,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122453,S000000,00100,0200,11/01/00 122453,S200000,00100,0100,5245 NORTH SOCRUM LOOP ROAD 122453,S200000,00200,0100,LAKELAND 122453,S200000,00200,0200,FL 122453,S200000,00200,0300,33805- 122453,S200000,00300,0100,POLK 122453,S200000,00300,0200,3980 122453,S200000,00300,0300,U 122453,S200000,00400,0100,THC OF LAKELAND INC. 122453,S200000,00400,0200,105482 122453,S200000,00400,0300,10/06/84 122453,S200000,00400,0500,P 122453,S200000,01004,0500,O 122453,S200000,01500,0100,N 122453,S200000,01600,0100,Y 122453,S200000,01700,0100,N 122453,S200000,01800,0100,N 122453,S200000,02200,0100,N 122453,S200000,02800,0100,N 122453,S200000,02900,0100,N 122453,S200000,03000,0100,N 122453,S200000,03100,0100,N 122453,S200000,03200,0100,N 122453,S200000,04100,0100,N 122453,S200000,04200,0100,N 122453,S200000,04300,0100,N 122453,S200000,04600,0100,N 122453,S200000,04700,0100,N 122453,S200000,04700,0200,N 122453,S200000,04900,0100,N 122453,S200000,05000,0100,N 122453,S200000,05100,0100,N 122453,S200000,05200,0100,N 122459,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122459,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122459,A000000,00300,0000,0300EMPLOYEE BENEFITS 122459,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122459,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122459,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122459,A000000,00700,0000,0700HOUSEKEEPING 122459,A000000,00800,0000,0800DIETARY 122459,A000000,00900,0000,0900NURSING ADMINISTRATION 122459,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122459,A000000,01100,0000,1100PHARMACY 122459,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122459,A000000,01300,0000,1300SOCIAL SERVICE 122459,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122459,A000000,01500,0000,1350ACTIVITIES 122459,A000000,01600,0000,1600SKILLED NURSING FACILITY 122459,A000000,01800,0000,1800NURSING FACILITY 122459,A000000,01810,0000,1810ICF/MR 122459,A000000,01900,0000,1900OTHER LONG TERM CARE 122459,A000000,02100,0000,2100RADIOLOGY 122459,A000000,02200,0000,2200LABORATORY 122459,A000000,02300,0000,2300INTRAVENOUS THERAPY 122459,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122459,A000000,02500,0000,2500PHYSICAL THERAPY 122459,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122459,A000000,02700,0000,2700SPEECH PATHOLOGY 122459,A000000,02800,0000,2800ELECTROCARDIOLOGY 122459,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122459,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122459,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122459,A000000,03200,0000,3200SUPPORT SURFACES 122459,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122459,A000000,03400,0000,3400CLINIC 122459,A000000,03500,0000,3500RURAL HEALTH CLINIC 122459,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122459,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122459,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122459,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122459,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122459,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122459,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122459,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122459,A000000,04400,0000,4400DME RENTED - HHA 122459,A000000,04500,0000,4500DME SOLD - HHA 122459,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122459,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122459,A000000,04800,0000,4800AMBULANCE 122459,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122459,A000000,05000,0000,5000CORF 122459,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122459,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122459,A000000,05300,0000,5300INTEREST EXPENSE 122459,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122459,A000000,05500,0000,5500HOSPICE 122459,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122459,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122459,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122459,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122459,A000000,06100,0000,6100NONPAID WORKERS 122459,A000000,06200,0000,6200PATIENTS LAUNDRY 122459,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122459,A81000A,00100,0100,N 122459,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122459,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122459,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122459,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122459,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122459,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122459,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 122459,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122459,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 122459,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122459,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 122459,S000000,00100,0200,01/17/01 122459,S200000,00100,0100,7280 SW SR 26 122459,S200000,00200,0100,TRENTON 122459,S200000,00200,0200,FL 122459,S200000,00200,0300,32693- 122459,S200000,00300,0100,GILCHRIST 122459,S200000,00300,0200,10 122459,S200000,00300,0300,R 122459,S200000,00400,0100,TRI COUNTY NURSING HOME 122459,S200000,00400,0200,105770 122459,S200000,00400,0300,05/18/92 122459,S200000,00400,0500,P 122459,S200000,01004,0500,O 122459,S200000,01500,0100,N 122459,S200000,01600,0100,Y 122459,S200000,01700,0100,N 122459,S200000,01800,0100,N 122459,S200000,02200,0100,N 122459,S200000,02800,0100,N 122459,S200000,02900,0100,N 122459,S200000,03000,0100,N 122459,S200000,03100,0100,N 122459,S200000,03200,0100,N 122459,S200000,04100,0100,N 122459,S200000,04200,0100,N 122459,S200000,04300,0100,N 122459,S200000,04600,0100,N 122459,S200000,04700,0100,N 122459,S200000,04700,0200,N 122459,S200000,04900,0100,N 122459,S200000,05000,0100,N 122459,S200000,05100,0100,N 122459,S200000,05200,0100,N 122462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122462,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122462,A000000,00300,0000,0300EMPLOYEE BENEFITS 122462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122462,A000000,00700,0000,0700HOUSEKEEPING 122462,A000000,00800,0000,0800DIETARY 122462,A000000,00900,0000,0900NURSING ADMINISTRATION 122462,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122462,A000000,01100,0000,1100PHARMACY 122462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122462,A000000,01300,0000,1300SOCIAL SERVICE 122462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122462,A000000,01500,0000,1350OTHER GENERAL SERVICES 122462,A000000,01600,0000,1600SKILLED NURSING FACILITY 122462,A000000,01800,0000,1800NURSING FACILITY 122462,A000000,01810,0000,1810ICF/MR 122462,A000000,01900,0000,1900OTHER LONG TERM CARE 122462,A000000,02100,0000,2100RADIOLOGY 122462,A000000,02200,0000,2200LABORATORY 122462,A000000,02300,0000,2300INTRAVENOUS THERAPY 122462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122462,A000000,02500,0000,2500PHYSICAL THERAPY 122462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122462,A000000,02700,0000,2700SPEECH PATHOLOGY 122462,A000000,02800,0000,2800ELECTROCARDIOLOGY 122462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122462,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122462,A000000,03200,0000,3200SUPPORT SURFACES 122462,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122462,A000000,03400,0000,3400CLINIC 122462,A000000,03500,0000,3500RURAL HEALTH CLINIC 122462,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122462,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122462,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122462,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122462,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122462,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122462,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122462,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122462,A000000,04400,0000,4400DME RENTED - HHA 122462,A000000,04500,0000,4500DME SOLD - HHA 122462,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122462,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122462,A000000,04800,0000,4800AMBULANCE 122462,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122462,A000000,05000,0000,5000CORF 122462,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122462,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122462,A000000,05300,0000,5300INTEREST EXPENSE 122462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122462,A000000,05500,0000,5500HOSPICE 122462,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122462,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122462,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122462,A000000,06100,0000,6100NONPAID WORKERS 122462,A000000,06200,0000,6200PATIENTS LAUNDRY 122462,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122462,A81000A,00100,0100,N 122462,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 122462,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122462,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122462,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 122462,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 122462,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 122462,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 122462,B100000,00000,0900,0950NURSING DAYS :NURSING ADMINISTR 122462,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 122462,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 122462,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 122462,S000000,00100,0200,12/28/00 122462,S200000,00100,0100,1704 HUNTINGTON VILLAGE CIRCLE 122462,S200000,00200,0100,DAYTONA BEACH 122462,S200000,00200,0200,FL 122462,S200000,00200,0300,32114- 122462,S200000,00300,0100,VOLUSIA 122462,S200000,00300,0200,2020 122462,S200000,00300,0300,U 122462,S200000,00400,0100,THE HUNTINGTON L.L.P. 122462,S200000,00400,0200,105822 122462,S200000,00400,0300,07/01/98 122462,S200000,00400,0500,P 122462,S200000,01004,0500,O 122462,S200000,01500,0100,N 122462,S200000,01600,0100,Y 122462,S200000,01700,0100,N 122462,S200000,01800,0100,N 122462,S200000,02200,0100,N 122462,S200000,02800,0100,N 122462,S200000,02900,0100,N 122462,S200000,03000,0100,N 122462,S200000,03100,0100,N 122462,S200000,03200,0100,N 122462,S200000,04100,0100,N 122462,S200000,04200,0100,N 122462,S200000,04300,0100,N 122462,S200000,04600,0100,N 122462,S200000,04700,0100,N 122462,S200000,04700,0200,N 122462,S200000,04900,0100,N 122462,S200000,05000,0100,N 122462,S200000,05100,0100,N 122462,S200000,05200,0100,N 122550,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122550,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122550,A000000,00300,0000,0300EMPLOYEE BENEFITS 122550,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122550,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122550,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122550,A000000,00700,0000,0700HOUSEKEEPING 122550,A000000,00800,0000,0800DIETARY 122550,A000000,00900,0000,0900NURSING ADMINISTRATION 122550,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122550,A000000,01100,0000,1100PHARMACY 122550,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122550,A000000,01300,0000,1300SOCIAL SERVICE 122550,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122550,A000000,01500,0000,1350OTHER GENERAL SERVICES 122550,A000000,01600,0000,1600SKILLED NURSING FACILITY 122550,A000000,01810,0000,1810ICF/MR 122550,A000000,02100,0000,2100RADIOLOGY 122550,A000000,02200,0000,2200LABORATORY 122550,A000000,02500,0000,2500PHYSICAL THERAPY 122550,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122550,A000000,02700,0000,2700SPEECH PATHOLOGY 122550,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122550,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122550,A000000,03200,0000,3200SUPPORT SURFACES 122550,A000000,03550,0000,3550FQHC 122550,A000000,05000,0000,5000CORF 122550,A000000,05010,0000,5010CMHC 122550,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122550,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122550,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122550,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122550,A81000A,00100,0100,Y 122550,A81000B,00100,0300,HOME OFFICE MGMNT FEE 122550,A81000B,00200,0300,PHYSICAL THERAPY 122550,A81000B,00300,0300,OCCOPATIONAL THERAPY 122550,A81000B,00400,0300,SPEECH THERAPY 122550,A81000B,00500,0300,MEDICAL SUPPLIES 122550,A81000B,00600,0300,MEDICAL SUPPLIES 122550,A81000C,00100,0100,B 122550,A81000C,00100,0200,FOUNTAIN VIEW INC. 122550,A81000C,00100,0400,BRAIRCLIFF NURSING CENTER 122550,A81000C,00100,0600,MANAGEMENT 122550,A81000C,00200,0100,B 122550,A81000C,00200,0400,LOCOMOTION THERAPY INC 122550,A81000C,00200,0600,THERAPY COMPANY 122550,A81000C,00300,0100,B 122550,A81000C,00300,0400,SKILLED CARE PHARMACY 122550,A81000C,00300,0600,INST. PHARM. 122550,A81000C,00400,0100,B 122550,A81000C,00400,0400,I N O 122550,A81000C,00400,0600,SUPPLIER 122550,B100000,00000,0100,0100SQUARE FEET 122550,B100000,00000,0200,0200SQUARE FEET 122550,B100000,00000,0300,0300GROSS SALARIES 122550,B100000,00000,0400,0400ACCUM. COST 122550,B100000,00000,0500,0500SQUARE FEET 122550,B100000,00000,0600,0600PATIENT DAYS 122550,B100000,00000,0700,0700SQUARE FEET 122550,B100000,00000,0800,0800PATIENT DAYS 122550,B100000,00000,0900,0900DIRECT NRSING HRS 122550,B100000,00000,1000,1000COSTED REQUIS 122550,B100000,00000,1100,1100COSTED REQUIS 122550,B100000,00000,1200,1200GROSS REVENUE 122550,B100000,00000,1300,1300PATIENT DAYS 122550,B100000,00000,1400,1400ASSIGNED TIME 122550,B100000,00000,1500,1350PATIENT DAYS 122550,E10A180,00501,0100,03/13/01 122550,E10A180,00501,0300,03/13/01 122550,S000000,00100,0200,03/01/01 122550,S200000,00100,0100,3201 NORTH WARE ROAD 122550,S200000,00200,0100,MC ALLEN 122550,S200000,00200,0200,TX 122550,S200000,00200,0300,78501 122550,S200000,00300,0100,H 122550,S200000,00300,0200,4880 122550,S200000,00300,0300,U 122550,S200000,00400,0100,BRIARCLIFF NURSING & REHAB CENTER 122550,S200000,00400,0200,675162 122550,S200000,00400,0300,07/21/93 122550,S200000,00400,0500,P 122550,S200000,01500,0100,Y 122550,S200000,01600,0100,N 122550,S200000,01700,0100,N 122550,S200000,01800,0100,N 122550,S200000,02200,0100,N 122550,S200000,02800,0100,N 122550,S200000,02900,0100,N 122550,S200000,03000,0100,N 122550,S200000,03100,0100,N 122550,S200000,03200,0100,N 122550,S200000,03300,0100,N 122550,S200000,03300,0200,N 122550,S200000,04100,0100,N 122550,S200000,04200,0100,N 122550,S200000,04300,0100,N 122550,S200000,04600,0100,N 122550,S200000,04700,0100,N 122550,S200000,04700,0200,N 122550,S200000,04900,0100,N 122552,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122552,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122552,A000000,00300,0000,0300EMPLOYEE BENEFITS 122552,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122552,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122552,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122552,A000000,00700,0000,0700HOUSEKEEPING 122552,A000000,00800,0000,0800DIETARY 122552,A000000,00801,0000,0801CAFETERIA 122552,A000000,00900,0000,0900NURSING ADMINISTRATION 122552,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122552,A000000,01100,0000,1100PHARMACY 122552,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122552,A000000,01300,0000,1300SOCIAL SERVICE 122552,A000000,01301,0000,1301ACTIVITIES 122552,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122552,A000000,01600,0000,1600SKILLED NURSING FACILITY 122552,A000000,01800,0000,1800NURSING FACILITY 122552,A000000,01810,0000,1810ICF/MR 122552,A000000,02100,0000,2100RADIOLOGY 122552,A000000,02200,0000,2200LABORATORY 122552,A000000,02500,0000,2500PHYSICAL THERAPY 122552,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122552,A000000,02700,0000,2700SPEECH PATHOLOGY 122552,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122552,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122552,A000000,03550,0000,3550FQHC 122552,A000000,05000,0000,5000CORF 122552,A000000,05010,0000,5010CMHC 122552,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122552,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122552,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122552,A81000A,00100,0100,Y 122552,A81000B,00100,0300,RENT 122552,A81000C,00100,0100,A 122552,A81000C,00100,0400,MAUNALANI FOUNDATION 122552,A81000C,00100,0600,FOUNDATION 122552,B100000,00000,0100,0100SQUARE FEET 122552,B100000,00000,0200,0200SQUARE FEET 122552,B100000,00000,0300,0300GROSS SALARIES 122552,B100000,00000,0400,0400ACCUM. COST 122552,B100000,00000,0500,0500SQUARE FEET 122552,B100000,00000,0600,0600POUNDS OF LAUNDRY 122552,B100000,00000,0700,0700HOURS OF SERVICE 122552,B100000,00000,0800,0800MEALS SERVED 122552,B100000,00000,0801,0801CAFE MEALS 122552,B100000,00000,0900,0900DIRECT NRSING HRS 122552,B100000,00000,1000,1000COSTED REQUIS 122552,B100000,00000,1100,1100COSTED REQUIS 122552,B100000,00000,1200,1200TIME SPENT 122552,B100000,00000,1300,1300TIME SPENT 122552,B100000,00000,1301,1301TIME SPENT 122552,B100000,00000,1400,1400ASSIGNED TIME 122552,E10A180,00501,0100,03/15/01 122552,E10A180,00550,0100,03/01/01 122552,E10A180,00550,0300,01/18/01 122552,E10A180,00551,0300,03/01/01 122552,S000000,00100,0200,01/22/01 122552,S200000,00100,0100,5113 MAUNALANI CIRCLE 122552,S200000,00200,0100,HONOLULU 122552,S200000,00200,0200,HI 122552,S200000,00300,0100,H 122552,S200000,00300,0200,3320 122552,S200000,00300,0300,U 122552,S200000,00400,0100,MAUNALANI NURSING & REHAB CNTR 122552,S200000,00400,0200,125013 122552,S200000,00400,0300,08/08/90 122552,S200000,00400,0500,P 122552,S200000,00600,0200,125013 122552,S200000,00600,0300,08/08/90 122552,S200000,00600,0600,O 122552,S200000,01500,0100,N 122552,S200000,01600,0100,Y 122552,S200000,01700,0100,N 122552,S200000,01800,0100,N 122552,S200000,02200,0100,N 122552,S200000,02800,0100,N 122552,S200000,02900,0100,N 122552,S200000,03000,0100,N 122552,S200000,03100,0100,N 122552,S200000,03200,0100,N 122552,S200000,03300,0100,N 122552,S200000,03300,0200,N 122552,S200000,03500,0300,N 122552,S200000,04100,0100,N 122552,S200000,04200,0100,N 122552,S200000,04300,0100,Y 122552,S200000,04600,0100,N 122552,S200000,04700,0100,N 122552,S200000,04700,0200,N 122552,S200000,04900,0100,N 122566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122566,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122566,A000000,00300,0000,0300EMPLOYEE BENEFITS 122566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122566,A000000,00700,0000,0700HOUSEKEEPING 122566,A000000,00800,0000,0800DIETARY 122566,A000000,00900,0000,0900NURSING ADMINISTRATION 122566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122566,A000000,01100,0000,1100PHARMACY 122566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122566,A000000,01300,0000,1300SOCIAL SERVICE 122566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122566,A000000,01600,0000,1600SKILLED NURSING FACILITY 122566,A000000,01800,0000,1800NURSING FACILITY 122566,A000000,01810,0000,1810ICF/MR 122566,A000000,02100,0000,2100RADIOLOGY 122566,A000000,02500,0000,2500PHYSICAL THERAPY 122566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122566,A000000,02700,0000,2700SPEECH PATHOLOGY 122566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122566,A000000,03550,0000,3550FQHC 122566,A000000,05000,0000,5000CORF 122566,A000000,05010,0000,5010CMHC 122566,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122566,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122566,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122566,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 122566,A000000,06300,0000,6150RESIDENTIAL CARE 122566,A81000A,00100,0100,Y 122566,A81000B,00100,0300,CRC-BUILDING & FIXTURES 122566,A81000B,00200,0300,CRC-EQUIPMENT 122566,A81000B,00300,0300,A&G 122566,A81000B,00400,0300,MEDICAL DIRECTOR 122566,A81000C,00100,0100,G 122566,A81000C,00100,0200,JEWISH HOME AGI 122566,A81000C,00100,0600,HEALTHCARE 122566,A81000C,00200,0100,G 122566,A81000C,00200,0400,JHA CLINICS 122566,A81000C,00200,0600,HEALTHCARE 122566,B100000,00000,0100,0100SQUARE FEET 122566,B100000,00000,0200,0200SQUARE FEET 122566,B100000,00000,0300,0300GROSS SALARIES 122566,B100000,00000,0400,0400ACCUM COST 122566,B100000,00000,0500,0500SQUARE FEET 122566,B100000,00000,0600,0600POUNDS OF LAUNDRY 122566,B100000,00000,0700,0700SQUARE FEET 122566,B100000,00000,0800,0800MEALS SERVED 122566,B100000,00000,0900,0900DIRECT NRSG HRS 122566,B100000,00000,1000,1000COSTED REQUIS 122566,B100000,00000,1100,1100COSTED REQUIS 122566,B100000,00000,1200,1200GROSS CHARGES 122566,B100000,00000,1300,1300PATIENT DAYS 122566,B100000,00000,1400,1400ASSIGNED TIME 122566,E10A180,00350,0300,04/07/00 122566,E10A180,00501,0100,03/16/01 122566,E10A180,00501,0300,03/16/01 122566,S000000,00100,0200,02/21/01 122566,S200000,00100,0100,18855 VICTORY BLVD 122566,S200000,00200,0100,RESEDA 122566,S200000,00200,0200,CA 122566,S200000,00200,0300,93355 122566,S200000,00300,0100,L 122566,S200000,00300,0200,4480 122566,S200000,00300,0300,U 122566,S200000,00400,0100,EISENBERG VILLAGE 122566,S200000,00400,0200,055013 122566,S200000,00400,0300,01/01/67 122566,S200000,00400,0500,P 122566,S200000,00400,0600,O 122566,S200000,00600,0200,055013 122566,S200000,00600,0300,01/01/67 122566,S200000,00600,0600,O 122566,S200000,01500,0100,N 122566,S200000,01600,0100,Y 122566,S200000,01700,0100,N 122566,S200000,01800,0100,N 122566,S200000,02200,0100,N 122566,S200000,02800,0100,N 122566,S200000,02900,0100,N 122566,S200000,03000,0100,N 122566,S200000,03100,0100,N 122566,S200000,03200,0100,N 122566,S200000,03300,0100,N 122566,S200000,03300,0200,N 122566,S200000,03500,0300,N 122566,S200000,04100,0100,N 122566,S200000,04200,0100,N 122566,S200000,04300,0100,N 122566,S200000,04600,0100,N 122566,S200000,04700,0100,N 122566,S200000,04900,0100,N 122567,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122567,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122567,A000000,00300,0000,0300EMPLOYEE BENEFITS 122567,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122567,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122567,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122567,A000000,00700,0000,0700HOUSEKEEPING 122567,A000000,00800,0000,0800DIETARY 122567,A000000,00900,0000,0900NURSING ADMINISTRATION 122567,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122567,A000000,01100,0000,1100PHARMACY 122567,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122567,A000000,01300,0000,1300SOCIAL SERVICE 122567,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122567,A000000,01600,0000,1600SKILLED NURSING FACILITY 122567,A000000,01810,0000,1810ICF/MR 122567,A000000,02200,0000,2200LABORATORY 122567,A000000,02500,0000,2500PHYSICAL THERAPY 122567,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122567,A000000,02700,0000,2700SPEECH PATHOLOGY 122567,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122567,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122567,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 122567,A000000,03550,0000,3550FQHC 122567,A000000,05000,0000,5000CORF 122567,A000000,05010,0000,5010CMHC 122567,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122567,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122567,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122567,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122567,A81000A,00100,0100,Y 122567,A81000B,00100,0300,MGT FEE/HOME OFFICE 122567,A81000B,00200,0300,PHYSICAL THERAPY 122567,A81000B,00300,0300,OCCUPATIONAL THERAPY 122567,A81000B,00400,0300,SPEECH THERAPY 122567,A81000B,00500,0300,MEDICAL SUPPLIES 122567,A81000B,00600,0300,MEDICAL SUPPLIES 122567,A81000C,00100,0100,B 122567,A81000C,00100,0400,FOUNTAIN VIEW INC. 122567,A81000C,00100,0600,MANAGEMENT 122567,A81000C,00200,0100,B 122567,A81000C,00200,0400,LOCOMOTION 122567,A81000C,00200,0600,THERAPY COMPANY 122567,A81000C,00300,0100,B 122567,A81000C,00300,0400,SKILLED CARE PHARMACY 122567,A81000C,00300,0600,PHARMACY 122567,A81000C,00400,0100,B 122567,A81000C,00400,0400,I N O 122567,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 122567,B100000,00000,0100,0100SQUARE FEET 122567,B100000,00000,0200,0200SQUARE FEET 122567,B100000,00000,0300,0300GROSS SALARY 122567,B100000,00000,0400,0400ACCUM. COST 122567,B100000,00000,0500,0500SQUARE FEET 122567,B100000,00000,0600,0600PATIENT DAYS 122567,B100000,00000,0700,0700SQUARE FEET 122567,B100000,00000,0800,0800MEALS SERVED 122567,B100000,00000,0900,0900NURSING HOURS 122567,B100000,00000,1000,1000COSTED REQUIS 122567,B100000,00000,1100,1100COSTED REQUIS 122567,B100000,00000,1200,1200GROSS REVENUE 122567,B100000,00000,1300,1300PATIENT DAYS 122567,B100000,00000,1400,1400ASSIGNED TIME 122567,E10A180,00501,0300,02/13/01 122567,S000000,00100,0200,01/19/01 122567,S200000,00100,0100,1400 N. MAIN STREET 122567,S200000,00200,0100,GIDDINGS 122567,S200000,00200,0200,TX 122567,S200000,00200,0300,78942 122567,S200000,00300,0100,L 122567,S200000,00300,0200,45 122567,S200000,00300,0300,R 122567,S200000,00400,0100,OAKLAND MANOR NURSING CENTER 122567,S200000,00400,0200,675101 122567,S200000,00400,0300,10/15/92 122567,S200000,00400,0500,P 122567,S200000,01500,0100,N 122567,S200000,01600,0100,Y 122567,S200000,01700,0100,N 122567,S200000,01800,0100,N 122567,S200000,02200,0100,N 122567,S200000,02800,0100,N 122567,S200000,02900,0100,N 122567,S200000,03000,0100,N 122567,S200000,03100,0100,N 122567,S200000,03200,0100,N 122567,S200000,03300,0100,N 122567,S200000,03300,0200,N 122567,S200000,04100,0100,N 122567,S200000,04200,0100,N 122567,S200000,04300,0100,N 122567,S200000,04600,0100,N 122567,S200000,04700,0100,N 122567,S200000,04700,0200,N 122567,S200000,04900,0100,N 122573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122573,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122573,A000000,00300,0000,0300EMPLOYEE BENEFITS 122573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122573,A000000,00700,0000,0700HOUSEKEEPING 122573,A000000,00800,0000,0800DIETARY 122573,A000000,00900,0000,0900NURSING ADMINISTRATION 122573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122573,A000000,01100,0000,1100PHARMACY 122573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122573,A000000,01300,0000,1300SOCIAL SERVICE 122573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122573,A000000,01600,0000,1600SKILLED NURSING FACILITY 122573,A000000,01810,0000,1810ICF/MR 122573,A000000,02100,0000,2100RADIOLOGY 122573,A000000,02200,0000,2200LABORATORY 122573,A000000,02500,0000,2500PHYSICAL THERAPY 122573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122573,A000000,02700,0000,2700SPEECH PATHOLOGY 122573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122573,A000000,03550,0000,3550FQHC 122573,A000000,04800,0000,4800AMBULANCE 122573,A000000,05000,0000,5000CORF 122573,A000000,05010,0000,5010CMHC 122573,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122573,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122573,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122573,A81000A,00100,0100,Y 122573,A81000B,00100,0300,HOME OFFICE MGMT FEE 122573,A81000B,00200,0300,PHYSICAL THERAPY 122573,A81000B,00300,0300,OCCUPATIONAL THERAPY 122573,A81000B,00400,0300,SPEECH THERAPY 122573,A81000B,00500,0300,MEDICAL SUPPLIES 122573,A81000B,00600,0300,MEDICAL SUPPLIES 122573,A81000C,00100,0100,B 122573,A81000C,00100,0200,FOUNTAIN VIEW INC.. 122573,A81000C,00100,0400,THE CLAIRMONT-BEAUMONT 122573,A81000C,00100,0600,SNF 122573,A81000C,00200,0100,B 122573,A81000C,00200,0200,FOUNTAIN VIEW INC. 122573,A81000C,00200,0400,SKILLED CARE PHARMACY 122573,A81000C,00200,0600,INSTITUTIONAL PHARMACY 122573,A81000C,00300,0100,B 122573,A81000C,00300,0200,FOUNTAIN VIEW INC. 122573,A81000C,00300,0400,LOCOMOTION 122573,A81000C,00300,0600,THERAPY COMPANY 122573,A81000C,00400,0100,B 122573,A81000C,00400,0200,FOUNTAIN VIEW INC. 122573,A81000C,00400,0400,I N O 122573,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 122573,B100000,00000,0100,0100SQUARE FEET 122573,B100000,00000,0200,0200SQUARE FEET 122573,B100000,00000,0300,0300GROSS SALARY 122573,B100000,00000,0400,0400ACCUM. COST 122573,B100000,00000,0500,0500SQUARE FEET 122573,B100000,00000,0600,0600PATIENT DAYS 122573,B100000,00000,0700,0700SQUARE FEET 122573,B100000,00000,0800,0800MEALS SERVED 122573,B100000,00000,0900,0900NURSING HOURS 122573,B100000,00000,1000,1000COSTED REQUIS 122573,B100000,00000,1100,1100COSTED REQUIS 122573,B100000,00000,1200,1200GROSS REVENUE 122573,B100000,00000,1300,1300PATIENT DAYS 122573,B100000,00000,1400,1400ASSIGNED TIME 122573,E10A180,00350,0300,02/22/00 122573,E10A180,00501,0100,01/19/01 122573,E10A180,00550,0300,01/19/01 122573,E10A180,00551,0100,02/13/01 122573,E10A180,00551,0300,02/13/01 122573,S000000,00100,0200,01/22/01 122573,S200000,00100,0100,1020 SOUTH 23RD 122573,S200000,00200,0100,BEAUMONT 122573,S200000,00200,0200,TX 122573,S200000,00200,0300,77707 122573,S200000,00300,0100,J 122573,S200000,00300,0200,0840 122573,S200000,00300,0300,U 122573,S200000,00400,0100,THE CLAIRMONT - BEAUMONT 122573,S200000,00400,0200,455757 122573,S200000,00400,0300,11/30/94 122573,S200000,00400,0500,P 122573,S200000,01500,0100,N 122573,S200000,01600,0100,Y 122573,S200000,01700,0100,N 122573,S200000,01800,0100,N 122573,S200000,02200,0100,Y 122573,S200000,02800,0100,N 122573,S200000,02900,0100,N 122573,S200000,03000,0100,N 122573,S200000,03100,0100,N 122573,S200000,03200,0100,N 122573,S200000,03300,0100,N 122573,S200000,03300,0200,N 122573,S200000,04100,0100,N 122573,S200000,04200,0100,N 122573,S200000,04300,0100,N 122573,S200000,04600,0100,N 122573,S200000,04700,0100,N 122573,S200000,04700,0200,N 122573,S200000,04900,0100,N 122633,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 122633,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 122633,A000000,00300,0000,0300EMPLOYEE BENEFITS 122633,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122633,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 122633,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122633,A000000,00700,0000,0700HOUSEKEEPING 122633,A000000,00800,0000,0800DIETARY 122633,A000000,00900,0000,0900NURSING ADMINISTRATION 122633,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122633,A000000,01100,0000,1100PHARMACY 122633,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122633,A000000,01300,0000,1300SOCIAL SERVICE 122633,A000000,01301,0000,1301ACTIVITIES 122633,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 122633,A000000,01500,0000,1350OTHER GENERAL SERVICES 122633,A000000,01600,0000,1600SKILLED NURSING FACILITY 122633,A000000,01810,0000,1810ICF/MR 122633,A000000,02100,0000,2100RADIOLOGY 122633,A000000,02200,0000,2200LABORATORY 122633,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122633,A000000,02500,0000,2500PHYSICAL THERAPY 122633,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122633,A000000,02700,0000,2700SPEECH PATHOLOGY 122633,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 122633,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122633,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122633,A000000,03550,0000,3550FQHC 122633,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122633,A000000,05000,0000,5000CORF 122633,A000000,05010,0000,5010CMHC 122633,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122633,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122633,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122633,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122633,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122633,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122633,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122633,A81000A,00100,0100,Y 122633,A81000B,00100,0300,SUPPLIES 122633,A81000B,00200,0300,SUPPLIES 122633,A81000B,00400,0300,SUPPLIES 122633,A81000B,00500,0300,SUPPLIES 122633,A81000B,00600,0300,SUPPLIES 122633,A81000B,00700,0300,SUPPLIES 122633,A81000B,00800,0300,SUPPLIES 122633,A81000B,00900,0300,SUPPLIES 122633,A81000B,01000,0300,HOME OFFICE COSTS 122633,A81000B,01100,0300,HOME OFFICE COSTS 122633,A81000C,00100,0100,B 122633,A81000C,00100,0400,MON HEALTHCARE EQ/SUPPLY 122633,A81000C,00100,0600,DME COMPANY 122633,A81000C,00200,0100,B 122633,A81000C,00200,0400,MONONGALIA HEALTH SYSTEM 122633,A81000C,00200,0600,HOME OFFICE 122633,B100000,00000,0100,0100SQUARE FEET 122633,B100000,00000,0200,0200SQUARE FEET 122633,B100000,00000,0300,0300GROSS SALARIES 122633,B100000,00000,0400,0400ACCUM. COST 122633,B100000,00000,0500,0500SQUARE FEET 122633,B100000,00000,0600,0600PATIENT DAYS 122633,B100000,00000,0700,0700SQUARE FEET 122633,B100000,00000,0800,0800PATIENT DAYS 122633,B100000,00000,0900,0900DIRECT NRSING HRS 122633,B100000,00000,1000,1000COSTED REQUIS. 122633,B100000,00000,1100,1100COSTED REQUIS. 122633,B100000,00000,1200,1200TIME SPENT 122633,B100000,00000,1300,1300TIME SPENT 122633,B100000,00000,1301,1301PATIENT DAYS 122633,B100000,00000,1400,1400ASSIGNED TIME 122633,B100000,00000,1500,1350TIME SPENT 122633,E10A180,00501,0300,02/16/01 122633,S000000,00100,0200,01/16/01 122633,S200000,00100,0100,995 MAPLE DRIVE 122633,S200000,00200,0100,MORGANTOWN 122633,S200000,00200,0200,WV 122633,S200000,00200,0300,26505 122633,S200000,00300,0100,M 122633,S200000,00300,0200,9951 122633,S200000,00300,0300,R 122633,S200000,00400,0100,MONPOINTE CONTINUING CARE CENTER 122633,S200000,00400,0200,515058 122633,S200000,00400,0300,02/01/78 122633,S200000,00400,0500,P 122633,S200000,00600,0200,515058 122633,S200000,00600,0300,02/01/78 122633,S200000,00600,0600,O 122633,S200000,01500,0100,N 122633,S200000,01600,0100,Y 122633,S200000,01700,0100,N 122633,S200000,01800,0100,N 122633,S200000,02200,0100,Y 122633,S200000,02800,0100,N 122633,S200000,02900,0100,N 122633,S200000,03000,0100,N 122633,S200000,03100,0100,N 122633,S200000,03200,0100,N 122633,S200000,03300,0100,N 122633,S200000,03300,0200,N 122633,S200000,03500,0300,N 122633,S200000,04100,0100,N 122633,S200000,04200,0100,N 122633,S200000,04300,0100,N 122633,S200000,04600,0100,N 122633,S200000,04700,0100,N 122633,S200000,04900,0100,N 122633,S200000,05200,0100,N 122635,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122635,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122635,A000000,00300,0000,0300EMPLOYEE BENEFITS 122635,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122635,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122635,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122635,A000000,00700,0000,0700HOUSEKEEPING 122635,A000000,00800,0000,0800DIETARY 122635,A000000,00900,0000,0900NURSING ADMINISTRATION 122635,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122635,A000000,01100,0000,1100PHARMACY 122635,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122635,A000000,01300,0000,1300SOCIAL SERVICE 122635,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122635,A000000,01600,0000,1600SKILLED NURSING FACILITY 122635,A000000,01810,0000,1810ICF/MR 122635,A000000,02500,0000,2500PHYSICAL THERAPY 122635,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122635,A000000,02700,0000,2700SPEECH PATHOLOGY 122635,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122635,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122635,A000000,03550,0000,3550FQHC 122635,A000000,05000,0000,5000CORF 122635,A000000,05010,0000,5010CMHC 122635,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122635,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122635,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122635,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122635,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122635,A81000A,00100,0100,Y 122635,A81000B,00100,0300,MANAGEMENT FEES 122635,A81000B,00200,0300,VEHICLE LEASE FEES 122635,A81000C,00100,0100,A 122635,A81000C,00100,0200,JACK D. VETTER 122635,A81000C,00100,0400,VETTER HEALTH S 122635,A81000C,00100,0600,MANAGEMENT COMP 122635,A81000C,00200,0200,ELDORA D. VETTE 122635,A81000C,00200,0400,VETTER LEASING 122635,A81000C,00200,0600,LEASING COMPANY 122635,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 122635,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 122635,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 122635,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 122635,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 122635,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 122635,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 122635,B100000,00000,0800,0800PATIENT DAYS DIETARY 122635,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 122635,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 122635,B100000,00000,1100,1100COSTED REQUIS PHARMACY 122635,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 122635,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 122635,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 122635,S000000,00100,0200,11/03/00 122635,S200000,00100,0100,213 HALLAND AVENUE 122635,S200000,00200,0100,STANTON 122635,S200000,00200,0200,IA 122635,S200000,00200,0300,51573 122635,S200000,00300,0100,MONTGOMERY 122635,S200000,00400,0100,STANTON CARE CENTER 122635,S200000,00400,0200,165332 122635,S200000,00400,0300,07/01/97 122635,S200000,00400,0500,P 122635,S200000,00400,0600,N 122635,S200000,01500,0100,Y 122635,S200000,01600,0100,N 122635,S200000,01700,0100,N 122635,S200000,01800,0100,N 122635,S200000,02200,0100,N 122635,S200000,02800,0100,N 122635,S200000,02900,0100,N 122635,S200000,03000,0100,N 122635,S200000,03100,0100,N 122635,S200000,03200,0100,N 122635,S200000,03300,0100,N 122635,S200000,03300,0200,N 122635,S200000,04100,0100,N 122635,S200000,04200,0100,N 122635,S200000,04300,0100,N 122635,S200000,04600,0100,N 122635,S200000,04700,0100,N 122635,S200000,04900,0100,N 122635,S700003,00000,0400,X 122644,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122644,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122644,A000000,00300,0000,0300EMPLOYEE BENEFITS 122644,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122644,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122644,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122644,A000000,00700,0000,0700HOUSEKEEPING 122644,A000000,00800,0000,0800DIETARY 122644,A000000,00900,0000,0900NURSING ADMINISTRATION 122644,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122644,A000000,01100,0000,1100PHARMACY 122644,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122644,A000000,01300,0000,1300SOCIAL SERVICE 122644,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122644,A000000,01500,0000,1350OTHER GENERAL SERVICES 122644,A000000,01600,0000,1600SKILLED NURSING FACILITY 122644,A000000,01800,0000,1800NURSING FACILITY 122644,A000000,01810,0000,1810ICF/MR 122644,A000000,01900,0000,1900OTHER LONG TERM CARE 122644,A000000,02100,0000,2100RADIOLOGY 122644,A000000,02200,0000,2200LABORATORY 122644,A000000,02300,0000,2300INTRAVENOUS THERAPY 122644,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122644,A000000,02500,0000,2500PHYSICAL THERAPY 122644,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122644,A000000,02700,0000,2700SPEECH PATHOLOGY 122644,A000000,02800,0000,2800ELECTROCARDIOLOGY 122644,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122644,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122644,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122644,A000000,03200,0000,3200SUPPORT SURFACES 122644,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122644,A000000,03400,0000,3400CLINIC 122644,A000000,03500,0000,3500RURAL HEALTH CLINIC 122644,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122644,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122644,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122644,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122644,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122644,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122644,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122644,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122644,A000000,04400,0000,4400DME RENTED - HHA 122644,A000000,04500,0000,4500DME SOLD - HHA 122644,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122644,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122644,A000000,04800,0000,4800AMBULANCE 122644,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122644,A000000,05000,0000,5000CORF 122644,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122644,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122644,A000000,05300,0000,5300INTEREST EXPENSE 122644,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122644,A000000,05500,0000,5500HOSPICE 122644,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122644,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122644,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122644,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122644,A000000,06100,0000,6100NONPAID WORKERS 122644,A000000,06200,0000,6200PATIENTS LAUNDRY 122644,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122644,A81000A,00100,0100,Y 122644,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 122644,A81000B,00200,0300,UNEMPLOYMENT INS 122644,A81000B,00300,0300,WORKERS COMP 122644,A81000B,00400,0300,PROPERTY/LIABILITY INS 122644,A81000B,00500,0300,VEHICLE INS 122644,A81000B,00600,0300,MEDICAL SUPPLIES 122644,A81000B,00700,0300,DISPOSABLE BRIEFS 122644,A81000B,00800,0300,DIETARY SUPPLIES 122644,A81000C,00100,0100,B 122644,A81000C,00100,0400,GOOD SAMARITAN 122644,A81000C,00100,0600,HEALTHCARE 122644,A81000C,00200,0100,B 122644,A81000C,00200,0400,OMNICARE PHARMA 122644,A81000C,00200,0600,MEDICAL/DRUGS 122644,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 122644,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 122644,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 122644,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 122644,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 122644,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 122644,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 122644,B100000,00000,0800,0800MEALS SERVED DIETARY 122644,B100000,00000,0900,0900COSTED ACQUITIONS NURSING ADM 122644,B100000,00000,1000,1000COSTED ACQUITIONS CENTRAL SER 122644,B100000,00000,1100,1100COSTED ACQUITIONS PHARMACY 122644,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 122644,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 122644,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 122644,B100000,00000,1500,1500NO STATISTICS OTHER GENER 122644,E10A180,00501,0100,12/04/00 122644,E10A180,00550,0300,12/04/00 122644,S000000,00100,0200,11/06/00 122644,S200000,00100,0100,302 SEVENTH AVE 122644,S200000,00200,0100,DEVILS LAKE 122644,S200000,00200,0200,ND 122644,S200000,00200,0300,58301-2598 122644,S200000,00300,0100,RAMSEY 122644,S200000,00400,0100,DEVILS LAKE GOOD SAMARITAN CENTER 122644,S200000,00400,0200,355100 122644,S200000,00400,0300,03/01/91 122644,S200000,00400,0500,P 122644,S200000,00400,0600,N 122644,S200000,00600,0600,N 122644,S200000,00601,0600,N 122644,S200000,00800,0500,N 122644,S200000,00800,0600,N 122644,S200000,01000,0500,N 122644,S200000,01000,0600,N 122644,S200000,01100,0500,N 122644,S200000,01100,0600,N 122644,S200000,01500,0100,Y 122644,S200000,01600,0100,N 122644,S200000,01700,0100,N 122644,S200000,01800,0100,N 122644,S200000,02200,0100,N 122644,S200000,02800,0100,N 122644,S200000,02900,0100,N 122644,S200000,03000,0100,N 122644,S200000,03100,0100,N 122644,S200000,03200,0100,N 122644,S200000,03300,0100,N 122644,S200000,03300,0200,N 122644,S200000,03500,0300,N 122644,S200000,03501,0300,N 122644,S200000,03600,0100,N 122644,S200000,03600,0200,N 122644,S200000,03700,0100,N 122644,S200000,03700,0200,N 122644,S200000,03900,0200,N 122644,S200000,04000,0200,N 122644,S200000,04100,0100,N 122644,S200000,04200,0100,N 122644,S200000,04300,0100,N 122644,S200000,04600,0100,N 122644,S200000,04700,0100,N 122644,S200000,04700,0200,N 122644,S200000,04900,0100,N 122644,S700003,00000,0200,X 122645,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122645,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122645,A000000,00300,0000,0300EMPLOYEE BENEFITS 122645,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122645,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122645,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122645,A000000,00700,0000,0700HOUSEKEEPING 122645,A000000,00800,0000,0800DIETARY 122645,A000000,00900,0000,0900NURSING ADMINISTRATION 122645,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122645,A000000,01100,0000,1100PHARMACY 122645,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122645,A000000,01300,0000,1300SOCIAL SERVICE 122645,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122645,A000000,01500,0000,1350OTHER GENERAL SERVICES 122645,A000000,01600,0000,1600SKILLED NURSING FACILITY 122645,A000000,01800,0000,1800NURSING FACILITY 122645,A000000,01810,0000,1810ICF/MR 122645,A000000,01900,0000,1900OTHER LONG TERM CARE 122645,A000000,02100,0000,2100RADIOLOGY 122645,A000000,02200,0000,2200LABORATORY 122645,A000000,02300,0000,2300INTRAVENOUS THERAPY 122645,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122645,A000000,02500,0000,2500PHYSICAL THERAPY 122645,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122645,A000000,02700,0000,2700SPEECH PATHOLOGY 122645,A000000,02800,0000,2800ELECTROCARDIOLOGY 122645,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122645,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122645,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122645,A000000,03200,0000,3200SUPPORT SURFACES 122645,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122645,A000000,03400,0000,3400CLINIC 122645,A000000,03500,0000,3500RURAL HEALTH CLINIC 122645,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122645,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122645,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122645,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122645,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122645,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122645,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122645,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122645,A000000,04400,0000,4400DME RENTED - HHA 122645,A000000,04500,0000,4500DME SOLD - HHA 122645,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122645,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122645,A000000,04800,0000,4800AMBULANCE 122645,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122645,A000000,05000,0000,5000CORF 122645,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122645,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122645,A000000,05300,0000,5300INTEREST EXPENSE 122645,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122645,A000000,05500,0000,5500HOSPICE 122645,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122645,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122645,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122645,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122645,A000000,06100,0000,6100NONPAID WORKERS 122645,A000000,06200,0000,6200PATIENTS LAUNDRY 122645,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122645,A000000,06301,0000,6151MEALS ON WHEELS 122645,A81000A,00100,0100,Y 122645,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 122645,A81000B,00200,0300,UNEMPLOYMENT INS 122645,A81000B,00300,0300,WORKERS COMP 122645,A81000B,00400,0300,PROPERTY/LIABILITY INS 122645,A81000B,00500,0300,VEHICLE INS 122645,A81000B,00600,0300,MEDICAL SUPPLIES 122645,A81000B,00700,0300,DISPOSABLE BRIEFS 122645,A81000B,00800,0300,DIETARY SUPPLIES 122645,A81000C,00100,0100,B 122645,A81000C,00100,0400,GOOD SAMARITAN 122645,A81000C,00100,0600,HEALTHCARE 122645,A81000C,00200,0100,B 122645,A81000C,00200,0400,ONMICARE PHARMA 122645,A81000C,00200,0600,MEDICAL/DRUGS 122645,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 122645,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 122645,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 122645,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 122645,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 122645,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 122645,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 122645,B100000,00000,0800,0800MEALS SERVED DIETARY 122645,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 122645,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 122645,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 122645,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 122645,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 122645,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 122645,B100000,00000,1500,1500NO STATISTICS OTHER GENER 122645,E10A180,00501,0100,12/06/00 122645,E10A180,00550,0300,12/06/00 122645,S000000,00100,0200,11/06/00 122645,S200000,00100,0100,HWY 37 122645,S200000,00200,0100,PARSHALL 122645,S200000,00200,0200,ND 122645,S200000,00200,0300,58770-0037 122645,S200000,00300,0100,MOUNTRAIL 122645,S200000,00400,0100,ROCK VIEW GOOD SAMARITAN CENTER 122645,S200000,00400,0200,355105 122645,S200000,00400,0300,05/01/91 122645,S200000,00400,0500,P 122645,S200000,00400,0600,N 122645,S200000,00600,0600,N 122645,S200000,00601,0600,N 122645,S200000,00800,0500,N 122645,S200000,00800,0600,N 122645,S200000,01000,0500,N 122645,S200000,01000,0600,N 122645,S200000,01100,0500,N 122645,S200000,01100,0600,N 122645,S200000,01500,0100,Y 122645,S200000,01600,0100,N 122645,S200000,01700,0100,N 122645,S200000,01800,0100,N 122645,S200000,02200,0100,N 122645,S200000,02800,0100,N 122645,S200000,02900,0100,N 122645,S200000,03000,0100,N 122645,S200000,03100,0100,N 122645,S200000,03200,0100,N 122645,S200000,03300,0100,N 122645,S200000,03300,0200,N 122645,S200000,03500,0300,N 122645,S200000,03501,0300,N 122645,S200000,03600,0100,N 122645,S200000,03600,0200,N 122645,S200000,03700,0100,N 122645,S200000,03700,0200,N 122645,S200000,03900,0200,N 122645,S200000,04000,0200,N 122645,S200000,04100,0100,N 122645,S200000,04200,0100,N 122645,S200000,04300,0100,N 122645,S200000,04600,0100,N 122645,S200000,04700,0100,N 122645,S200000,04700,0200,N 122645,S200000,04900,0100,N 122645,S700003,00000,0200,X 122648,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122648,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122648,A000000,00300,0000,0300EMPLOYEE BENEFITS 122648,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122648,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122648,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122648,A000000,00700,0000,0700HOUSEKEEPING 122648,A000000,00800,0000,0800DIETARY 122648,A000000,00900,0000,0900NURSING ADMINISTRATION 122648,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122648,A000000,01100,0000,1100PHARMACY 122648,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122648,A000000,01300,0000,1300SOCIAL SERVICE 122648,A000000,01500,0000,1350ACTIVITIES 122648,A000000,01600,0000,1600SKILLED NURSING FACILITY 122648,A000000,01800,0000,1800NURSING FACILITY 122648,A000000,01900,0000,1900OTHER LONG TERM CARE 122648,A000000,02100,0000,2100RADIOLOGY 122648,A000000,02200,0000,2200LABORATORY 122648,A000000,02300,0000,2300INTRAVENOUS THERAPY 122648,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122648,A000000,02500,0000,2500PHYSICAL THERAPY 122648,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122648,A000000,02700,0000,2700SPEECH PATHOLOGY 122648,A000000,02800,0000,2800ELECTROCARDIOLOGY 122648,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122648,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122648,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122648,A000000,03400,0000,3400CLINIC 122648,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122648,A000000,04800,0000,4800AMBULANCE 122648,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122648,A000000,05000,0000,5000CORF 122648,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122648,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122648,A000000,05300,0000,5300INTEREST EXPENSE 122648,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122648,A000000,05500,0000,5500HOSPICE 122648,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122648,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122648,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122648,A000000,06300,0000,6150MARKETING 122648,A000000,06301,0000,6151ASSISTED LIVING 122648,A000000,06302,0000,6152CORF 122648,A81000A,00100,0100,N 122648,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 122648,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 122648,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 122648,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 122648,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 122648,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 122648,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 122648,B100000,00000,0800,0800MEALS SERVED DIETARY 122648,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 122648,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 122648,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 122648,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 122648,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 122648,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 122648,E10A180,00501,0300,01/04/01 122648,E10A180,00550,0100,01/04/01 122648,E10A180,00550,0300,04/12/02 122648,E10A180,00551,0100,04/12/02 122648,S000000,00100,0200,12/04/00 122648,S200000,00100,0100,295 VILLAGE LANE 122648,S200000,00200,0100,GREENWOOD 122648,S200000,00200,0200,IN 122648,S200000,00200,0300,46143- 122648,S200000,00300,0100,JOHNSON 122648,S200000,00400,0100,GREENWOOD VILLAGE SOUTH 122648,S200000,00400,0200,155026 122648,S200000,00400,0300,01/01/67 122648,S200000,00400,0500,P 122648,S200000,00400,0600,N 122648,S200000,00600,0600,O 122648,S200000,01500,0100,N 122648,S200000,01600,0100,Y 122648,S200000,01700,0100,N 122648,S200000,01800,0100,N 122648,S200000,01900,0100,OTHER 122648,S200000,02200,0100,N 122648,S200000,02800,0100,Y 122648,S200000,02900,0100,N 122648,S200000,03000,0100,N 122648,S200000,03100,0100,N 122648,S200000,03200,0100,N 122648,S200000,03300,0100,N 122648,S200000,03300,0200,N 122648,S200000,04100,0100,N 122648,S200000,04200,0100,N 122648,S200000,04300,0100,N 122648,S200000,04600,0100,N 122648,S200000,04700,0100,N 122648,S200000,04700,0200,N 122648,S200000,04900,0100,N 122648,S700003,00000,0200,X 122679,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122679,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122679,A000000,00300,0000,0300EMPLOYEE BENEFITS 122679,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122679,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122679,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122679,A000000,00700,0000,0700HOUSEKEEPING 122679,A000000,00800,0000,0800DIETARY 122679,A000000,00900,0000,0900NURSING ADMINISTRATION 122679,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122679,A000000,01100,0000,1100PHARMACY 122679,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122679,A000000,01300,0000,1300SOCIAL SERVICE 122679,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122679,A000000,01600,0000,1600SKILLED NURSING FACILITY 122679,A000000,01800,0000,1800NURSING FACILITY 122679,A000000,01810,0000,1810ICF/MR 122679,A000000,01900,0000,1900OTHER LONG TERM CARE 122679,A000000,02100,0000,2100RADIOLOGY 122679,A000000,02200,0000,2200LABORATORY 122679,A000000,02500,0000,2500PHYSICAL THERAPY 122679,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122679,A000000,02700,0000,2700SPEECH PATHOLOGY 122679,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122679,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122679,A000000,03550,0000,3550FQHC 122679,A000000,05000,0000,5000CORF 122679,A000000,05010,0000,5010CMHC 122679,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 122679,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 122679,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 122679,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122679,A000000,06200,0000,6200PATIENTS LAUNDRY 122679,A81000A,00100,0100,Y 122679,A81000B,00100,0300,SUPPLIES 122679,A81000B,00200,0300,SUPPLIES 122679,A81000B,00300,0300,SUPPLIES 122679,A81000B,00400,0300,SUPPLIES 122679,A81000B,00500,0300,SUPPLIES 122679,A81000B,00600,0300,SUPPLIES 122679,A81000B,00700,0300,SUPPLIES 122679,A81000B,00800,0300,SUPPLIES 122679,A81000B,00900,0300,HOME OFFICE COSTS 122679,A81000C,00100,0100,A 122679,A81000C,00100,0200,SEE HCFA 339 122679,A81000C,00100,0400,DELTA HEALTH GR 122679,A81000C,00100,0600,NURSING HOMES 122679,A81000C,00200,0100,A 122679,A81000C,00200,0200,SEE HCFA 339 122679,A81000C,00200,0400,DELTA DURABLES 122679,A81000C,00200,0600,SUPPLIES 122679,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122679,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122679,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122679,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122679,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 122679,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122679,B100000,00000,0800,0800MEALS SERVED :DIETARY 122679,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 122679,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122679,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 122679,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 122679,S000000,00100,0200,01/03/01 122679,S200000,00100,0100,3387 GULF BREEZE NRSNG & RTRMNT CTR 122679,S200000,00200,0100,GULF BREEZE 122679,S200000,00200,0200,FL 122679,S200000,00200,0300,32561- 122679,S200000,00300,0100,SANTA ROSA 122679,S200000,00300,0200,6080 122679,S200000,00300,0300,U 122679,S200000,00400,0100,BAY BREEZE NSG. & RET. CTR. 122679,S200000,00400,0200,105487 122679,S200000,00400,0300,06/30/94 122679,S200000,00400,0500,P 122679,S200000,00400,0600,O 122679,S200000,00600,0200,105487 122679,S200000,00600,0300,06/30/94 122679,S200000,00600,0600,O 122679,S200000,01500,0100,N 122679,S200000,01600,0100,Y 122679,S200000,01700,0100,N 122679,S200000,01800,0100,N 122679,S200000,02200,0100,N 122679,S200000,02800,0100,N 122679,S200000,02900,0100,N 122679,S200000,03000,0100,N 122679,S200000,03100,0100,N 122679,S200000,03200,0100,N 122679,S200000,04100,0100,N 122679,S200000,04200,0100,N 122679,S200000,04300,0100,N 122679,S200000,04600,0100,N 122679,S200000,04700,0100,N 122679,S200000,04700,0200,N 122679,S200000,04900,0100,N 122679,S200000,05000,0100,N 122679,S200000,05100,0100,N 122679,S200000,05200,0100,N 122685,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122685,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122685,A000000,00300,0000,0300EMPLOYEE BENEFITS 122685,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122685,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122685,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122685,A000000,00700,0000,0700HOUSEKEEPING 122685,A000000,00800,0000,0800DIETARY 122685,A000000,00900,0000,0900NURSING ADMINISTRATION 122685,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122685,A000000,01100,0000,1100PHARMACY 122685,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122685,A000000,01300,0000,1300SOCIAL SERVICE 122685,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122685,A000000,01500,0000,1350ACTIVITIES 122685,A000000,01600,0000,1600SKILLED NURSING FACILITY 122685,A000000,01800,0000,1800NURSING FACILITY 122685,A000000,01810,0000,1810ICF/MR 122685,A000000,01900,0000,1900OTHER LONG TERM CARE 122685,A000000,02100,0000,2100RADIOLOGY 122685,A000000,02200,0000,2200LABORATORY 122685,A000000,02300,0000,2300INTRAVENOUS THERAPY 122685,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122685,A000000,02500,0000,2500PHYSICAL THERAPY 122685,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122685,A000000,02700,0000,2700SPEECH PATHOLOGY 122685,A000000,02800,0000,2800ELECTROCARDIOLOGY 122685,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122685,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122685,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122685,A000000,03200,0000,3200SUPPORT SURFACES 122685,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122685,A000000,03400,0000,3400CLINIC 122685,A000000,03500,0000,3500RURAL HEALTH CLINIC 122685,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122685,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122685,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122685,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122685,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122685,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122685,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122685,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122685,A000000,04400,0000,4400DME RENTED - HHA 122685,A000000,04500,0000,4500DME SOLD - HHA 122685,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122685,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122685,A000000,04800,0000,4800AMBULANCE 122685,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122685,A000000,05000,0000,5000CORF 122685,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122685,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122685,A000000,05300,0000,5300INTEREST EXPENSE 122685,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122685,A000000,05500,0000,5500HOSPICE 122685,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122685,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122685,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122685,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122685,A000000,06100,0000,6100NONPAID WORKERS 122685,A000000,06200,0000,6200PATIENTS LAUNDRY 122685,A000000,06300,0000,6150REHAB NONREIMBURSABLE COST 122685,A000000,06301,0000,6151OFFICES 122685,A81000A,00100,0100,N 122685,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 122685,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122685,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122685,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 122685,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122685,B100000,00000,0700,0750MOD SQ FT :HOUSEKEEPING 122685,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122685,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 122685,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 122685,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122685,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 122685,S000000,00100,0200,12/04/00 122685,S200000,00100,0100,1755 18TH STREET 122685,S200000,00200,0100,SARASOTA 122685,S200000,00200,0200,FL 122685,S200000,00200,0300,34324-0443 122685,S200000,00300,0100,SARASOTA 122685,S200000,00300,0200,7510 122685,S200000,00300,0300,U 122685,S200000,00400,0100,JH FLOYD SUNSHINE MANOR INC. 122685,S200000,00400,0200,105774 122685,S200000,00400,0300,06/01/92 122685,S200000,00400,0500,P 122685,S200000,01500,0100,N 122685,S200000,01600,0100,Y 122685,S200000,01700,0100,N 122685,S200000,01800,0100,N 122685,S200000,02200,0100,N 122685,S200000,02800,0100,N 122685,S200000,02900,0100,N 122685,S200000,03000,0100,N 122685,S200000,03100,0100,N 122685,S200000,03200,0100,N 122685,S200000,04100,0100,N 122685,S200000,04200,0100,N 122685,S200000,04300,0100,N 122685,S200000,04600,0100,N 122685,S200000,04700,0100,N 122685,S200000,04700,0200,N 122685,S200000,04900,0100,N 122685,S200000,05000,0100,N 122685,S200000,05100,0100,N 122685,S200000,05200,0100,N 122886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122886,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 122886,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122886,A000000,00300,0000,0300EMPLOYEE BENEFITS 122886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122886,A000000,00700,0000,0700HOUSEKEEPING 122886,A000000,00800,0000,0800DIETARY 122886,A000000,00900,0000,0900NURSING ADMINISTRATION 122886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122886,A000000,01100,0000,1100PHARMACY 122886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122886,A000000,01300,0000,1300SOCIAL SERVICE 122886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122886,A000000,01500,0000,1350OTHER GENERAL SERVICES 122886,A000000,01600,0000,1600SKILLED NURSING FACILITY 122886,A000000,01800,0000,1800NURSING FACILITY 122886,A000000,01810,0000,1810ICF/MR 122886,A000000,01900,0000,1900OTHER LONG TERM CARE 122886,A000000,02100,0000,2100RADIOLOGY 122886,A000000,02200,0000,2200LABORATORY 122886,A000000,02300,0000,2300INTRAVENOUS THERAPY 122886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122886,A000000,02500,0000,2500PHYSICAL THERAPY 122886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122886,A000000,02700,0000,2700SPEECH PATHOLOGY 122886,A000000,02800,0000,2800ELECTROCARDIOLOGY 122886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122886,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122886,A000000,03200,0000,3200SUPPORT SURFACES 122886,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122886,A000000,03400,0000,3400CLINIC 122886,A000000,03500,0000,3500RURAL HEALTH CLINIC 122886,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122886,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122886,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122886,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122886,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122886,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122886,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122886,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122886,A000000,04400,0000,4400DME RENTED - HHA 122886,A000000,04500,0000,4500DME SOLD - HHA 122886,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122886,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122886,A000000,04800,0000,4800AMBULANCE 122886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122886,A000000,05000,0000,5000CORF 122886,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122886,A000000,05300,0000,5300INTEREST EXPENSE 122886,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122886,A000000,05500,0000,5500HOSPICE 122886,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122886,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122886,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122886,A000000,06100,0000,6100NONPAID WORKERS 122886,A000000,06200,0000,6200PATIENTS LAUNDRY 122886,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122886,A81000A,00100,0100,N 122886,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - BL 122886,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 122886,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122886,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122886,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122886,S000000,00100,0200,11/30/00 122886,S200000,00100,0100,620 E 14TH AVENUE 122886,S200000,00200,0100,DEVILS LAKE 122886,S200000,00200,0200,ND 122886,S200000,00200,0300,58301- 122886,S200000,00300,0100,RAMSEY 122886,S200000,00300,0200,35 122886,S200000,00300,0300,R 122886,S200000,00400,0100,LAKE REGION LUTHERAN HOME 122886,S200000,00400,0200,355069 122886,S200000,00400,0300,07/01/79 122886,S200000,00400,0500,P 122886,S200000,01500,0100,Y 122886,S200000,01600,0100,N 122886,S200000,01700,0100,N 122886,S200000,01800,0100,N 122886,S200000,02200,0100,N 122886,S200000,02800,0100,N 122886,S200000,02900,0100,N 122886,S200000,03000,0100,N 122886,S200000,03100,0100,N 122886,S200000,03200,0100,N 122886,S200000,04100,0100,N 122886,S200000,04200,0100,N 122886,S200000,04300,0100,N 122886,S200000,04600,0100,N 122886,S200000,04700,0100,N 122886,S200000,04700,0200,N 122886,S200000,04900,0100,N 122886,S200000,05000,0100,N 122886,S200000,05100,0100,N 122886,S200000,05200,0100,N 122890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122890,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122890,A000000,00300,0000,0300EMPLOYEE BENEFITS 122890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122890,A000000,00700,0000,0700HOUSEKEEPING 122890,A000000,00800,0000,0800DIETARY 122890,A000000,00900,0000,0900NURSING ADMINISTRATION 122890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122890,A000000,01100,0000,1100PHARMACY 122890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122890,A000000,01300,0000,1300SOCIAL SERVICE 122890,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122890,A000000,01500,0000,1350OTHER GENERAL SERVICES 122890,A000000,01600,0000,1600SKILLED NURSING FACILITY 122890,A000000,01800,0000,1800NURSING FACILITY 122890,A000000,01810,0000,1810ICF/MR 122890,A000000,01900,0000,1900OTHER LONG TERM CARE 122890,A000000,02100,0000,2100RADIOLOGY 122890,A000000,02200,0000,2200LABORATORY 122890,A000000,02300,0000,2300INTRAVENOUS THERAPY 122890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122890,A000000,02500,0000,2500PHYSICAL THERAPY 122890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122890,A000000,02700,0000,2700SPEECH PATHOLOGY 122890,A000000,02800,0000,2800ELECTROCARDIOLOGY 122890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122890,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122890,A000000,03200,0000,3200SUPPORT SURFACES 122890,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122890,A000000,03400,0000,3400CLINIC 122890,A000000,03500,0000,3500RURAL HEALTH CLINIC 122890,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122890,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122890,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122890,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122890,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122890,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122890,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122890,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122890,A000000,04400,0000,4400DME RENTED - HHA 122890,A000000,04500,0000,4500DME SOLD - HHA 122890,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122890,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122890,A000000,04800,0000,4800AMBULANCE 122890,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122890,A000000,05000,0000,5000CORF 122890,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122890,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122890,A000000,05300,0000,5300INTEREST EXPENSE 122890,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122890,A000000,05500,0000,5500HOSPICE 122890,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122890,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122890,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122890,A000000,06100,0000,6100NONPAID WORKERS 122890,A000000,06200,0000,6200PATIENTS LAUNDRY 122890,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122890,A81000A,00100,0100,Y 122890,A81000B,00100,0300,CENTRAL OFFICE -BHD MGMT FEES 122890,A81000B,00200,0300,CENTRAL OFFICE-BHD MGMT FEES 122890,A81000B,00300,0300,CENTRAL OFFICE-BHD MGMT FEES 122890,A81000B,00400,0300,COMPUTER USER FEES 122890,A81000B,00500,0300,INTEREST 122890,A81000B,00600,0300,ST FRANCIS HOSPITAL 122890,A81000B,00700,0300,ST FRANCIS HOSPITAL 122890,A81000B,00800,0300,NURSING COSULTANT 122890,A81000B,00900,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 122890,A81000B,01000,0300,CENTRAL OFFICE BHS-MGMT FEE 122890,A81000B,01100,0300,CENTRAL OFFICE BHS - MGMT FEE 122890,A81000B,01200,0300,CENTRAL OFFICE BHS - MGMT FEE 122890,A81000B,01300,0300,ST FRANCIS HOSPITAL 122890,A81000B,01400,0300,ST FRANCIS HOSPITAL 122890,A81000B,01500,0300,ST FRANCIS HOSPITAL 122890,A81000C,00100,0100,G 122890,A81000C,00100,0200,BENEDICTINE HEALTH SYSTEM 122890,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 122890,A81000C,00100,0600,MANAGEMENT SERVICES 122890,A81000C,00200,0100,G 122890,A81000C,00200,0200,BENEDICTINE HEALTH SYSTEM 122890,A81000C,00200,0400,BENEDICTINE HEALTH SYSTEM 122890,A81000C,00200,0600,MANAGEMENT SERVICES 122890,A81000C,00300,0100,G 122890,A81000C,00300,0200,BENEDICTINE HEALTH SYSTEM 122890,A81000C,00300,0400,ST FRANCIS REGIONAL MC 122890,A81000C,00300,0600,HOSPITAL 122890,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122890,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 122890,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122890,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122890,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122890,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 122890,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122890,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 122890,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 122890,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 122890,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 122890,S000000,00100,0200,01/08/01 122890,S200000,00100,0100,1850 SARAZIN STREET 122890,S200000,00200,0100,SHAKOPEE 122890,S200000,00200,0200,MN 122890,S200000,00200,0300,55379- 122890,S200000,00300,0100,SCOTT 122890,S200000,00300,0200,5120 122890,S200000,00300,0300,U 122890,S200000,00400,0100,ST. GERTRUDE S HEALTH CENTER 122890,S200000,00400,0200,245610 122890,S200000,00400,0300,11/08/96 122890,S200000,00400,0500,P 122890,S200000,01004,0500,O 122890,S200000,01500,0100,Y 122890,S200000,01600,0100,N 122890,S200000,01700,0100,N 122890,S200000,01800,0100,N 122890,S200000,02200,0100,N 122890,S200000,02800,0100,N 122890,S200000,02900,0100,N 122890,S200000,03000,0100,N 122890,S200000,03100,0100,N 122890,S200000,03200,0100,N 122890,S200000,04100,0100,N 122890,S200000,04200,0100,N 122890,S200000,04300,0100,N 122890,S200000,04600,0100,N 122890,S200000,04700,0100,N 122890,S200000,04700,0200,N 122890,S200000,04900,0100,N 122890,S200000,05000,0100,N 122890,S200000,05100,0100,N 122890,S200000,05200,0100,N 122941,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 122941,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 122941,A000000,00300,0000,0300EMPLOYEE BENEFITS 122941,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 122941,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 122941,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 122941,A000000,00700,0000,0700HOUSEKEEPING 122941,A000000,00800,0000,0800DIETARY 122941,A000000,00900,0000,0900NURSING ADMINISTRATION 122941,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 122941,A000000,01100,0000,1100PHARMACY 122941,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 122941,A000000,01300,0000,1300SOCIAL SERVICE 122941,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 122941,A000000,01500,0000,1350OTHER GENERAL SERVICES 122941,A000000,01600,0000,1600SKILLED NURSING FACILITY 122941,A000000,01800,0000,1800NURSING FACILITY 122941,A000000,01810,0000,1810ICF/MR 122941,A000000,01900,0000,1900OTHER LONG TERM CARE 122941,A000000,02100,0000,2100RADIOLOGY 122941,A000000,02200,0000,2200LABORATORY 122941,A000000,02300,0000,2300INTRAVENOUS THERAPY 122941,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 122941,A000000,02500,0000,2500PHYSICAL THERAPY 122941,A000000,02600,0000,2600OCCUPATIONAL THERAPY 122941,A000000,02700,0000,2700SPEECH PATHOLOGY 122941,A000000,02800,0000,2800ELECTROCARDIOLOGY 122941,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 122941,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 122941,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 122941,A000000,03200,0000,3200SUPPORT SURFACES 122941,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 122941,A000000,03400,0000,3400CLINIC 122941,A000000,03500,0000,3500RURAL HEALTH CLINIC 122941,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 122941,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 122941,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 122941,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 122941,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 122941,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 122941,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 122941,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 122941,A000000,04400,0000,4400DME RENTED - HHA 122941,A000000,04500,0000,4500DME SOLD - HHA 122941,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 122941,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 122941,A000000,04800,0000,4800AMBULANCE 122941,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 122941,A000000,05000,0000,5000CORF 122941,A000000,05100,0000,4750OTHER REIMBURSABLE COST 122941,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 122941,A000000,05300,0000,5300INTEREST EXPENSE 122941,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 122941,A000000,05500,0000,5500HOSPICE 122941,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 122941,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 122941,A000000,05900,0000,5900BARBER & BEAUTY SHOP 122941,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 122941,A000000,06100,0000,6100NONPAID WORKERS 122941,A000000,06200,0000,6200PATIENTS LAUNDRY 122941,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 122941,A81000A,00100,0100,N 122941,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 122941,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 122941,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 122941,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 122941,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 122941,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 122941,B100000,00000,0800,0850PATIENT DAYS :DIETARY 122941,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 122941,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 122941,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 122941,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 122941,S000000,00100,0200,12/01/00 122941,S200000,00100,0100,1800 SOUTH DRIVE 122941,S200000,00200,0100,LAKE WORTH 122941,S200000,00200,0200,FL 122941,S200000,00200,0300,33461-6199 122941,S200000,00300,0100,PALM BEACH 122941,S200000,00300,0200,8960 122941,S200000,00300,0300,U 122941,S200000,00400,0100,AMERICAN-FINNISH NURSING HOME 122941,S200000,00400,0200,105827 122941,S200000,00400,0300,04/02/93 122941,S200000,00400,0500,P 122941,S200000,01004,0500,O 122941,S200000,01500,0100,Y 122941,S200000,01600,0100,N 122941,S200000,01700,0100,N 122941,S200000,01800,0100,N 122941,S200000,02200,0100,N 122941,S200000,02800,0100,N 122941,S200000,02900,0100,N 122941,S200000,03000,0100,N 122941,S200000,03100,0100,N 122941,S200000,03200,0100,N 122941,S200000,04100,0100,N 122941,S200000,04200,0100,N 122941,S200000,04300,0100,N 122941,S200000,04600,0100,N 122941,S200000,04700,0100,N 122941,S200000,04700,0200,N 122941,S200000,04900,0100,N 122941,S200000,05000,0100,N 122941,S200000,05100,0100,N 122941,S200000,05200,0100,N 122998,S000000,00100,0200,12/31/01 122998,S200000,00100,0100,1015 MAGAZINE STREET 122998,S200000,00200,0100,LOUISVILLE 122998,S200000,00200,0200,KY 122998,S200000,00200,0300,40203 122998,S200000,00300,0100,JEFFERSON 122998,S200000,00400,0100,JAMES S TAYLOR 122998,S200000,00400,0300,10/01/91 123010,S000000,00100,0200,09/17/01 123010,S200000,00100,0100,199 STATE AVENUE 123010,S200000,00100,0300,189 123010,S200000,00200,0100,GLASGOW 123010,S200000,00200,0200,KY 123010,S200000,00200,0300,42141 123010,S200000,00300,0100,BARREN 123010,S200000,00400,0100,GLASGOW STATE NURSING 123010,S200000,00400,0300,11/27/92 123019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123019,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123019,A000000,00300,0000,0300EMPLOYEE BENEFITS 123019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123019,A000000,00700,0000,0700HOUSEKEEPING 123019,A000000,00800,0000,0800DIETARY 123019,A000000,00900,0000,0900NURSING ADMINISTRATION 123019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123019,A000000,01100,0000,1100PHARMACY 123019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123019,A000000,01300,0000,1300SOCIAL SERVICE 123019,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123019,A000000,01600,0000,1600SKILLED NURSING FACILITY 123019,A000000,01800,0000,1800NURSING FACILITY 123019,A000000,01900,0000,1900OTHER LONG TERM CARE 123019,A000000,02100,0000,2100RADIOLOGY 123019,A000000,02200,0000,2200LABORATORY 123019,A000000,02300,0000,2300INTRAVENOUS THERAPY 123019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123019,A000000,02500,0000,2500PHYSICAL THERAPY 123019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123019,A000000,02700,0000,2700SPEECH PATHOLOGY 123019,A000000,02800,0000,2800ELECTROCARDIOLOGY 123019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123019,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123019,A000000,03200,0000,3200SUPPORT SURFACES 123019,A000000,03400,0000,3400CLINIC 123019,A000000,03500,0000,3500RURAL HEALTH CLINIC 123019,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123019,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123019,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123019,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123019,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123019,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123019,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123019,A000000,04400,0000,4400DME RENTED - HHA 123019,A000000,04500,0000,4500DME SOLD - HHA 123019,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123019,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123019,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123019,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123019,A000000,05300,0000,5300INTEREST EXPENSE 123019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123019,A000000,05500,0000,5500HOSPICE 123019,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123019,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123019,A000000,06100,0000,6100NONPAID WORKERS 123019,A000000,06200,0000,6200PATIENTS LAUNDRY 123019,A81000A,00100,0100,Y 123019,A81000B,00100,0300,RENT 123019,A81000B,00200,0300,DEPRECIATION 123019,A81000B,00300,0300,TRUST FEES 123019,A81000B,00400,0300,OFFICE EXPENSE 123019,A81000B,00500,0300,MANAGEMENT FEES 123019,A81000B,00600,0300,ACCOUNTING - DIRECT ALLOCATION 123019,A81000C,00100,0100,A 123019,A81000C,00100,0200,SAM & HR KLEIN 123019,A81000C,00100,0400,NRSG HOME MNGRS 123019,A81000C,00100,0600,MANAGEMENT 123019,A81000C,00200,0100,A 123019,A81000C,00200,0200,STOCKHOLDERS 123019,A81000C,00200,0400,PARTNERS/L.T. 123019,A81000C,00200,0600,LEASE 123019,B100000,00000,0100,0100SQ. FT. :CAP REL COSTS - BLDGS 123019,B100000,00000,0200,0250SQ. FT. :CAP REL COSTS - MOVABL 123019,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 123019,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123019,B100000,00000,0500,0500SQ. FT. :PLANT OPERATION MAINT 123019,B100000,00000,0600,0650LBS. LNDRY :LAUNDRY & LINEN SER 123019,B100000,00000,0700,0750HSKP HRS :HOUSEKEEPING 123019,B100000,00000,0800,0800MEALS SERVED :DIETARY 123019,B100000,00000,0900,0900NURSES HOURS :NURSING ADMINISTR 123019,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 123019,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 123019,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 123019,E10A180,00601,0300,07/19/02 123019,S000000,00100,0200,12/05/00 123019,S200000,00100,0100,1517 WEST WALNUT 123019,S200000,00200,0100,JACKSONVILLE 123019,S200000,00200,0200,IL 123019,S200000,00200,0300,62650- 123019,S200000,00300,0100,MORGAN 123019,S200000,00300,0200,14 123019,S200000,00300,0300,R 123019,S200000,00400,0100,JACKSONVILLE CONVALESCENT CENTER 123019,S200000,00400,0200,145273 123019,S200000,00400,0300,08/25/74 123019,S200000,00400,0500,P 123019,S200000,01500,0100,N 123019,S200000,01600,0100,Y 123019,S200000,01700,0100,N 123019,S200000,01800,0100,N 123019,S200000,02200,0100,N 123019,S200000,02800,0100,N 123019,S200000,02900,0100,N 123019,S200000,03000,0100,N 123019,S200000,03100,0100,N 123019,S200000,03200,0100,N 123019,S200000,04100,0100,N 123019,S200000,04200,0100,N 123019,S200000,04300,0100,N 123019,S200000,04600,0100,N 123019,S200000,04700,0100,N 123019,S200000,04700,0200,N 123019,S200000,04900,0100,N 123019,S200000,05000,0100,N 123019,S200000,05100,0100,N 123019,S200000,05200,0100,N 123020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123020,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123020,A000000,00300,0000,0300EMPLOYEE BENEFITS 123020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123020,A000000,00700,0000,0700HOUSEKEEPING 123020,A000000,00800,0000,0800DIETARY 123020,A000000,00900,0000,0900NURSING ADMINISTRATION 123020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123020,A000000,01100,0000,1100PHARMACY 123020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123020,A000000,01300,0000,1300SOCIAL SERVICE 123020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123020,A000000,01500,0000,1350RECREATION 123020,A000000,01600,0000,1600SKILLED NURSING FACILITY 123020,A000000,01800,0000,1800NURSING FACILITY 123020,A000000,01810,0000,1810ICF/MR 123020,A000000,02500,0000,2500PHYSICAL THERAPY 123020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123020,A000000,03550,0000,3550FQHC 123020,A000000,05000,0000,5000CORF 123020,A000000,05010,0000,5010CMHC 123020,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123020,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123020,A81000A,00100,0100,Y 123020,A81000B,00100,0300,BUILDING RENT 123020,A81000B,00200,0300,INTEREST INCOME 123020,A81000B,00300,0300,OFFICE EXPENSES 123020,A81000C,00100,0100,B 123020,A81000C,00100,0200,WESTSHIRE PROPE 123020,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123020,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123020,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123020,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123020,B100000,00000,0600,0650SQUARE FEET :LAUNDRY & LINEN SE 123020,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123020,B100000,00000,0800,0850SQUARE FEET :DIETARY 123020,B100000,00000,0900,0950SQUARE FEET :NURSING ADMINISTRA 123020,B100000,00000,1000,1050SQUARE FEET :CENTRAL SERVICES & 123020,B100000,00000,1200,1250SQUARE FEET :MEDICAL RECORDS & 123020,B100000,00000,1300,1330SQUARE FEET :SOCIAL SERVICE 123020,B100000,00000,1500,1350SQUARE FEET :RECREATION 123020,S000000,00100,0200,02/16/01 123020,S200000,00100,0100,5825 WEST CERMAK ROAD 123020,S200000,00200,0100,CICERO 123020,S200000,00200,0200,IL 123020,S200000,00200,0300,60804- 123020,S200000,00300,0100,COOK 123020,S200000,00300,0200,1600 123020,S200000,00300,0300,U 123020,S200000,00400,0100,WESTSHIRE NURSING AND REHAB CENTER 123020,S200000,00400,0200,145850 123020,S200000,00400,0300,12/01/95 123020,S200000,00400,0500,P 123020,S200000,01004,0500,O 123020,S200000,01500,0100,N 123020,S200000,01600,0100,Y 123020,S200000,01700,0100,N 123020,S200000,01800,0100,N 123020,S200000,02200,0100,N 123020,S200000,02800,0100,N 123020,S200000,02900,0100,N 123020,S200000,03000,0100,N 123020,S200000,03100,0100,N 123020,S200000,03200,0100,N 123020,S200000,04100,0100,N 123020,S200000,04200,0100,N 123020,S200000,04300,0100,N 123020,S200000,04600,0100,N 123020,S200000,04700,0100,N 123020,S200000,04700,0200,N 123020,S200000,04900,0100,N 123020,S200000,05000,0100,N 123020,S200000,05100,0100,N 123020,S200000,05200,0100,N 123100,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 123100,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 123100,A000000,00300,0000,0300EMPLOYEE BENEFITS 123100,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123100,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 123100,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123100,A000000,00700,0000,0700HOUSEKEEPING 123100,A000000,00800,0000,0800DIETARY 123100,A000000,00900,0000,0900NURSING ADMINISTRATION 123100,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123100,A000000,01100,0000,1100PHARMACY 123100,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123100,A000000,01300,0000,1300SOCIAL SERVICE 123100,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 123100,A000000,01600,0000,1600SKILLED NURSING FACILITY 123100,A000000,01800,0000,1800NURSING FACILITY 123100,A000000,01810,0000,1810ICF/MR 123100,A000000,02100,0000,2100RADIOLOGY 123100,A000000,02500,0000,2500PHYSICAL THERAPY 123100,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123100,A000000,02700,0000,2700SPEECH PATHOLOGY 123100,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 123100,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123100,A000000,03550,0000,3550FQHC 123100,A000000,05000,0000,5000CORF 123100,A000000,05010,0000,5010CMHC 123100,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123100,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123100,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123100,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 123100,A000000,06300,0000,6150RESIDENTIAL CARE 123100,A000000,06301,0000,6151SYNAGOGUE 123100,A81000A,00100,0100,Y 123100,A81000B,00100,0300,HOME OFFICE COSTS 123100,A81000B,00200,0300,HOME OFFICE COSTS 123100,A81000B,00300,0300,HOME OFFICE COSTS 123100,A81000B,00400,0300,EISENBERG LAUNDRY SV 123100,A81000B,00500,0300,MEDICAL DIRECTOR 123100,A81000C,00100,0100,G 123100,A81000C,00100,0200,JEWISH HOME AGI 123100,A81000C,00100,0600,HEALTHCARE 123100,A81000C,00200,0100,G 123100,A81000C,00200,0400,EISENBERG VILLA 123100,A81000C,00200,0600,HEALTHCARE 123100,A81000C,00300,0100,G 123100,A81000C,00300,0400,JHA CLINICS 123100,A81000C,00300,0600,HEALTHCARE 123100,B100000,00000,0100,0100SQUARE FEET 123100,B100000,00000,0200,0200SQUARE FEET 123100,B100000,00000,0300,0300GROSS SALARIES 123100,B100000,00000,0400,0400ACCUM COST 123100,B100000,00000,0500,0500SQUARE FEET 123100,B100000,00000,0600,0600POUNDS OF LAUNDRY 123100,B100000,00000,0700,0700SQUARE FEET 123100,B100000,00000,0800,0800MEALS SERVED 123100,B100000,00000,0900,0900DIRECT NRSG HRS 123100,B100000,00000,1000,1000COSTED REQUIS 123100,B100000,00000,1100,1100COSTED REQUIS 123100,B100000,00000,1200,1200GROSS CHARGES 123100,B100000,00000,1300,1300PATIENT DAYS 123100,B100000,00000,1400,1400ASSIGNED TIME 123100,E10A180,00350,0300,05/01/00 123100,E10A180,00501,0100,03/08/01 123100,E10A180,00501,0300,03/08/01 123100,S000000,00100,0200,02/20/01 123100,S200000,00100,0100,7150 TAMPA AVENUE 123100,S200000,00200,0100,RESEDA 123100,S200000,00200,0200,CA 123100,S200000,00200,0300,91335 123100,S200000,00300,0100,L 123100,S200000,00300,0200,4480 123100,S200000,00300,0300,U 123100,S200000,00400,0100,GRANCELL VILLAGE 123100,S200000,00400,0200,555137 123100,S200000,00400,0300,01/01/67 123100,S200000,00400,0500,P 123100,S200000,00600,0200,555137 123100,S200000,00600,0300,01/01/67 123100,S200000,00600,0600,O 123100,S200000,00800,0200,557553 123100,S200000,00800,0300,07/01/95 123100,S200000,00800,0500,O 123100,S200000,01500,0100,N 123100,S200000,01600,0100,Y 123100,S200000,01700,0100,N 123100,S200000,01800,0100,N 123100,S200000,02200,0100,N 123100,S200000,02800,0100,N 123100,S200000,02900,0100,N 123100,S200000,03000,0100,N 123100,S200000,03100,0100,N 123100,S200000,03200,0100,N 123100,S200000,03300,0100,N 123100,S200000,03300,0200,N 123100,S200000,03500,0300,N 123100,S200000,03700,0100,N 123100,S200000,03700,0200,N 123100,S200000,04100,0100,N 123100,S200000,04200,0100,N 123100,S200000,04300,0100,N 123100,S200000,04600,0100,N 123100,S200000,04700,0100,N 123100,S200000,04900,0100,N 123102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 123102,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 123102,A000000,00300,0000,0300EMPLOYEE BENEFITS 123102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 123102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123102,A000000,00700,0000,0700HOUSEKEEPING 123102,A000000,00800,0000,0800DIETARY 123102,A000000,00900,0000,0900NURSING ADMINISTRATION 123102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123102,A000000,01100,0000,1100PHARMACY 123102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123102,A000000,01300,0000,1300SOCIAL SERVICE 123102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 123102,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 123102,A000000,01600,0000,1600SKILLED NURSING FACILITY 123102,A000000,01810,0000,1810ICF/MR 123102,A000000,02100,0000,2100RADIOLOGY 123102,A000000,02200,0000,2200LABORATORY 123102,A000000,02500,0000,2500PHYSICAL THERAPY 123102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123102,A000000,02700,0000,2700SPEECH PATHOLOGY 123102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 123102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123102,A000000,03200,0000,3200SUPPORT SURFACES 123102,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 123102,A000000,03550,0000,3550FQHC 123102,A000000,05000,0000,5000CORF 123102,A000000,05010,0000,5010CMHC 123102,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123102,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123102,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123102,A81000A,00100,0100,Y 123102,A81000B,00100,0300,A&G 123102,A81000B,00200,0300,PHYSICAL THERAPY 123102,A81000B,00300,0300,OCCUPATIONAL THERAPY 123102,A81000B,00400,0300,SPEECH THERAPY 123102,A81000B,00500,0300,MEDICAL SUPPLIES 123102,A81000B,00600,0300,MEDICAL SUPPLIES 123102,A81000C,00100,0100,B 123102,A81000C,00100,0200,FOUNTAIN VIEW INC 123102,A81000C,00100,0400,THE CLAIRMONT - TYLER 123102,A81000C,00100,0600,MANAGEMENT 123102,A81000C,00200,0100,B 123102,A81000C,00200,0400,LOCOMOTION THERAPY INC 123102,A81000C,00200,0600,THERAPY COMPANY 123102,A81000C,00300,0100,B 123102,A81000C,00300,0400,SKILLED CARE PHARMACY 123102,A81000C,00300,0600,INST. PHARM. 123102,A81000C,00400,0100,B 123102,A81000C,00400,0400,I N O 123102,A81000C,00400,0600,SUPPLIER 123102,B100000,00000,0100,0100SQUARE FEET 123102,B100000,00000,0200,0200SQUARE FEET 123102,B100000,00000,0300,0300GROSS SALARY 123102,B100000,00000,0400,0400ACCUM. COST 123102,B100000,00000,0500,0500SQUARE FEET 123102,B100000,00000,0600,0600PATIENT DAYS 123102,B100000,00000,0700,0700SQUARE FEET 123102,B100000,00000,0800,0800PATIENT DAYS 123102,B100000,00000,0900,0900NURSING HOURS 123102,B100000,00000,1000,1000COSTED REQUIS 123102,B100000,00000,1100,1100COSTED REQUIS 123102,B100000,00000,1200,1200GROSS REVENUE 123102,B100000,00000,1300,1300PATIENT DAYS 123102,B100000,00000,1400,1400ASSIGNED TIME 123102,B100000,00000,1500,1350PATIENT DAYS 123102,E10A180,00351,0300,03/24/00 123102,S000000,00100,0200,01/22/01 123102,S200000,00100,0100,900 SOUTH BAXTER 123102,S200000,00200,0100,TYLER 123102,S200000,00200,0200,TX 123102,S200000,00200,0300,75701 123102,S200000,00300,0100,S 123102,S200000,00300,0200,8640 123102,S200000,00300,0300,U 123102,S200000,00400,0100,THE CLAIRMONT - TYLER 123102,S200000,00400,0200,455485 123102,S200000,00400,0300,12/01/94 123102,S200000,00400,0500,P 123102,S200000,01500,0100,Y 123102,S200000,01600,0100,N 123102,S200000,01700,0100,N 123102,S200000,01800,0100,N 123102,S200000,02200,0100,Y 123102,S200000,02800,0100,N 123102,S200000,02900,0100,N 123102,S200000,03000,0100,N 123102,S200000,03100,0100,N 123102,S200000,03200,0100,N 123102,S200000,03300,0100,N 123102,S200000,03300,0200,N 123102,S200000,04100,0100,N 123102,S200000,04200,0100,N 123102,S200000,04300,0100,N 123102,S200000,04600,0100,N 123102,S200000,04700,0100,N 123102,S200000,04700,0200,N 123102,S200000,04900,0100,N 123103,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 123103,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 123103,A000000,00300,0000,0300EMPLOYEE BENEFITS 123103,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123103,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 123103,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123103,A000000,00700,0000,0700HOUSEKEEPING 123103,A000000,00800,0000,0800DIETARY 123103,A000000,00900,0000,0900NURSING ADMINISTRATION 123103,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123103,A000000,01100,0000,1100PHARMACY 123103,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123103,A000000,01300,0000,1300SOCIAL SERVICE 123103,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 123103,A000000,01600,0000,1600SKILLED NURSING FACILITY 123103,A000000,01810,0000,1810ICF/MR 123103,A000000,02100,0000,2100RADIOLOGY 123103,A000000,02200,0000,2200LABORATORY 123103,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123103,A000000,02500,0000,2500PHYSICAL THERAPY 123103,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123103,A000000,02700,0000,2700SPEECH PATHOLOGY 123103,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 123103,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123103,A000000,03200,0000,3200SUPPORT SURFACES 123103,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123103,A000000,03550,0000,3550FQHC 123103,A000000,05000,0000,5000CORF 123103,A000000,05010,0000,5010CMHC 123103,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123103,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123103,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123103,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123103,A81000A,00100,0100,Y 123103,A81000B,00100,0300,A&G 123103,A81000B,00200,0300,PHYSICAL THERAPY 123103,A81000B,00300,0300,OCCUPATIONAL THERAPY 123103,A81000B,00400,0300,SPEECH THERAPY 123103,A81000B,00500,0300,RESPIRATORY THERAPY 123103,A81000B,00600,0300,PATIENT SUPPLIES 123103,A81000B,00700,0300,PATIENT SUPPLIES 123103,A81000B,00800,0300,PHARMACY 123103,A81000C,00100,0100,B 123103,A81000C,00100,0200,FOUNTAIN VIEW INC. 123103,A81000C,00100,0400,SHARON CARE CENTER 123103,A81000C,00100,0600,SNF 123103,A81000C,00200,0100,B 123103,A81000C,00200,0200,FOUNTAIN VIEW INC. 123103,A81000C,00200,0400,LOCOMOTION 123103,A81000C,00200,0600,THERAPY COMPANY 123103,A81000C,00300,0100,B 123103,A81000C,00300,0200,FOUNTAIN VIEW INC. 123103,A81000C,00300,0400,I N O 123103,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 123103,A81000C,00400,0100,B 123103,A81000C,00400,0200,FOUNTAIN VIEW INC. 123103,A81000C,00400,0400,SKILLED CARE PHARMACY 123103,A81000C,00400,0600,PHARMACY 123103,B100000,00000,0100,0100SQUARE FEET 123103,B100000,00000,0200,0200SQUARE FEET 123103,B100000,00000,0300,0300GROSS SALARIES 123103,B100000,00000,0400,0400ACCUM. COST 123103,B100000,00000,0500,0500SQUARE FEET 123103,B100000,00000,0600,0600POUNDS OF LAUNDRY 123103,B100000,00000,0700,0700SQUARE FEET 123103,B100000,00000,0800,0800MEALS SERVED 123103,B100000,00000,0900,0900DIRECT NRSING HRS 123103,B100000,00000,1000,1000COSTED REQUIS 123103,B100000,00000,1100,1100COSTED REQUIS 123103,B100000,00000,1200,1200GROSS REVENUE 123103,B100000,00000,1300,1300PATIENT DAYS 123103,B100000,00000,1400,1400ASSIGNED TIME 123103,E10A180,00350,0300,02/22/00 123103,E10A180,00501,0100,01/25/01 123103,E10A180,00501,0300,01/25/01 123103,S000000,00100,0200,01/18/01 123103,S200000,00100,0100,8167 WEST THIRD STRET 123103,S200000,00200,0100,LOSANGELES 123103,S200000,00200,0200,CA 123103,S200000,00200,0300,90048 123103,S200000,00300,0100,L 123103,S200000,00300,0200,4480 123103,S200000,00300,0300,U 123103,S200000,00400,0100,SHARON CARE CENTER 123103,S200000,00400,0200,055755 123103,S200000,00400,0300,01/01/82 123103,S200000,00400,0500,P 123103,S200000,00400,0600,O 123103,S200000,01500,0100,N 123103,S200000,01600,0100,Y 123103,S200000,01700,0100,N 123103,S200000,01800,0100,N 123103,S200000,02200,0100,N 123103,S200000,02800,0100,N 123103,S200000,02900,0100,N 123103,S200000,03000,0100,N 123103,S200000,03100,0100,N 123103,S200000,03200,0100,N 123103,S200000,03300,0100,N 123103,S200000,03300,0200,N 123103,S200000,04100,0100,N 123103,S200000,04200,0100,N 123103,S200000,04300,0100,N 123103,S200000,04600,0100,N 123103,S200000,04700,0100,N 123103,S200000,04700,0200,N 123103,S200000,04900,0100,N 123336,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 123336,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 123336,A000000,00300,0000,0300EMPLOYEE BENEFITS 123336,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123336,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 123336,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123336,A000000,00700,0000,0700HOUSEKEEPING 123336,A000000,00800,0000,0800DIETARY 123336,A000000,00900,0000,0900NURSING ADMINISTRATION 123336,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123336,A000000,01100,0000,1100PHARMACY 123336,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123336,A000000,01300,0000,1300SOCIAL SERVICE 123336,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 123336,A000000,01600,0000,1600SKILLED NURSING FACILITY 123336,A000000,01800,0000,1800NURSING FACILITY 123336,A000000,01810,0000,1810ICF/MR 123336,A000000,02200,0000,2200LABORATORY 123336,A000000,02500,0000,2500PHYSICAL THERAPY 123336,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123336,A000000,02700,0000,2700SPEECH PATHOLOGY 123336,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 123336,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123336,A000000,03550,0000,3550FQHC 123336,A000000,05000,0000,5000CORF 123336,A000000,05010,0000,5010CMHC 123336,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123336,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123336,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123336,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 123336,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123336,A000000,05901,0000,5901ASSISTED LIVING FACILITY 123336,A000000,05902,0000,5902NON REIMBURSABLE COSTS 123336,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123336,A81000A,00100,0100,Y 123336,A81000B,00100,0300,TO ADUST TO 6/98 FINALIZATION 123336,A81000C,00100,0100,B 123336,A81000C,00100,0200,FREMONT-RIDEOUT 123336,A81000C,00100,0400,FREMONT-RIDEOUT 123336,A81000C,00100,0600,HEALTH CARE 123336,B100000,00000,0100,0100SQUARE FEET 123336,B100000,00000,0200,0200SQUARE FEET 123336,B100000,00000,0300,0300GROSS SALARIES 123336,B100000,00000,0400,0400ACCUM COST 123336,B100000,00000,0500,0500SQUARE FEET 123336,B100000,00000,0600,0600POUNDS OF LAUNDRY 123336,B100000,00000,0700,0700SQUARE FEET 123336,B100000,00000,0800,0800MEALS SERVED 123336,B100000,00000,0900,0900DIRECT NRSG HRS 123336,B100000,00000,1000,1000COSTED REQUIS 123336,B100000,00000,1100,1100COSTED REQUIS 123336,B100000,00000,1200,1200TIME SPENT 123336,B100000,00000,1300,1300TIME SPENT 123336,B100000,00000,1400,1400ASSIGNED TIME 123336,E10A180,00501,0100, 3/15/01 123336,E10A180,00550,0300, 3/15/01 123336,S000000,00100,0200,01/22/01 123336,S200000,00100,0100,1260 WILLIAMS WAY 123336,S200000,00200,0100,YUBA CITY 123336,S200000,00200,0200,CA 123336,S200000,00200,0300,95991 123336,S200000,00300,0200,9340 123336,S200000,00300,0300,U 123336,S200000,00400,0100,THE FOUNTAINS 123336,S200000,00400,0200,555430 123336,S200000,00400,0300,08/20/90 123336,S200000,00400,0500,P 123336,S200000,00600,0200,555430 123336,S200000,00600,0300,08/20/90 123336,S200000,00600,0600,O 123336,S200000,01500,0100,N 123336,S200000,01600,0100,Y 123336,S200000,01700,0100,N 123336,S200000,01800,0100,N 123336,S200000,01900,0100,CORPORATION 123336,S200000,02200,0100,Y 123336,S200000,02800,0100,N 123336,S200000,02900,0100,N 123336,S200000,03000,0100,N 123336,S200000,03100,0100,N 123336,S200000,03200,0100,N 123336,S200000,03300,0100,N 123336,S200000,03300,0200,N 123336,S200000,03500,0300,N 123336,S200000,04100,0100,N 123336,S200000,04200,0100,N 123336,S200000,04300,0100,N 123336,S200000,04600,0100,N 123336,S200000,04700,0100,N 123336,S200000,04900,0100,N 123336,S200000,05200,0100,N 123386,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123386,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123386,A000000,00300,0000,0300EMPLOYEE BENEFITS 123386,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123386,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123386,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123386,A000000,00700,0000,0700HOUSEKEEPING 123386,A000000,00800,0000,0800DIETARY 123386,A000000,00900,0000,0900NURSING ADMINISTRATION 123386,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123386,A000000,01100,0000,1100PHARMACY 123386,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123386,A000000,01300,0000,1300SOCIAL SERVICE 123386,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123386,A000000,01500,0000,1350OTHER GENERAL SERVICES 123386,A000000,01600,0000,1600SKILLED NURSING FACILITY 123386,A000000,01800,0000,1800NURSING FACILITY 123386,A000000,01810,0000,1810ICF/MR 123386,A000000,01900,0000,1900OTHER LONG TERM CARE 123386,A000000,02100,0000,2100RADIOLOGY 123386,A000000,02200,0000,2200LABORATORY 123386,A000000,02300,0000,2300INTRAVENOUS THERAPY 123386,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123386,A000000,02500,0000,2500PHYSICAL THERAPY 123386,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123386,A000000,02700,0000,2700SPEECH PATHOLOGY 123386,A000000,02800,0000,2800ELECTROCARDIOLOGY 123386,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123386,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123386,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123386,A000000,03200,0000,3200SUPPORT SURFACES 123386,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123386,A000000,03400,0000,3400CLINIC 123386,A000000,03500,0000,3500RURAL HEALTH CLINIC 123386,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 123386,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123386,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123386,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123386,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123386,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123386,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123386,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123386,A000000,04400,0000,4400DME RENTED - HHA 123386,A000000,04500,0000,4500DME SOLD - HHA 123386,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123386,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123386,A000000,04800,0000,4800AMBULANCE 123386,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123386,A000000,05000,0000,5000CORF 123386,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123386,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123386,A000000,05300,0000,5300INTEREST EXPENSE 123386,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123386,A000000,05500,0000,5500HOSPICE 123386,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123386,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123386,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123386,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123386,A000000,06100,0000,6100NONPAID WORKERS 123386,A000000,06200,0000,6200PATIENTS LAUNDRY 123386,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123386,A81000A,00100,0100,Y 123386,A81000B,00100,0300,HOME OFFICE CAPITAL 123386,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 123386,A81000B,00300,0300,THERAPY EXPENSES 123386,A81000C,00100,0100,B 123386,A81000C,00100,0200,TANDEM HEALTH CARE INC. 123386,A81000C,00100,0600,HOME OFFICE 123386,A81000C,00200,0100,B 123386,A81000C,00200,0200,TANDEM HEALTH CARE INC. 123386,A81000C,00200,0600,HOME OFFICE 123386,A81000C,00300,0100,A 123386,A81000C,00300,0400,TANDEM REHABILITATION IN 123386,A81000C,00300,0600,THERAPY PROVIDER 123386,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123386,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123386,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123386,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123386,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123386,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123386,B100000,00000,0800,0850PATIENT DAYS :DIETARY 123386,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 123386,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123386,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123386,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123386,S000000,00100,0200,11/01/00 123386,S200000,00100,0100,8417 STATE ROAD 54 123386,S200000,00200,0100,NEW PORT RICHEY 123386,S200000,00200,0200,FL 123386,S200000,00200,0300,10545- 123386,S200000,00300,0100,PASCO 123386,S200000,00300,0200,8280 123386,S200000,00300,0300,U 123386,S200000,00400,0100,THC OF NEW PORT RICHEY 123386,S200000,00400,0200,105459 123386,S200000,00400,0300,10/19/84 123386,S200000,00400,0500,P 123386,S200000,01500,0100,N 123386,S200000,01600,0100,Y 123386,S200000,01700,0100,N 123386,S200000,01800,0100,N 123386,S200000,02200,0100,N 123386,S200000,02800,0100,N 123386,S200000,02900,0100,N 123386,S200000,03000,0100,N 123386,S200000,03100,0100,N 123386,S200000,03200,0100,N 123386,S200000,04100,0100,N 123386,S200000,04200,0100,N 123386,S200000,04300,0100,N 123386,S200000,04600,0100,N 123386,S200000,04700,0100,N 123386,S200000,04700,0200,N 123386,S200000,04900,0100,N 123386,S200000,05000,0100,N 123386,S200000,05100,0100,N 123386,S200000,05200,0100,N 123399,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123399,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123399,A000000,00300,0000,0300EMPLOYEE BENEFITS 123399,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123399,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123399,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123399,A000000,00700,0000,0700HOUSEKEEPING 123399,A000000,00800,0000,0800DIETARY 123399,A000000,00900,0000,0900NURSING ADMINISTRATION 123399,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123399,A000000,01100,0000,1100PHARMACY 123399,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123399,A000000,01300,0000,1300SOCIAL SERVICE 123399,A000000,01301,0000,1301ADMISSIONS 123399,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123399,A000000,01500,0000,1350ACTIVITIES 123399,A000000,01600,0000,1600SKILLED NURSING FACILITY 123399,A000000,01800,0000,1800NURSING FACILITY 123399,A000000,01900,0000,1900OTHER LONG TERM CARE 123399,A000000,02100,0000,2100RADIOLOGY 123399,A000000,02200,0000,2200LABORATORY 123399,A000000,02300,0000,2300INTRAVENOUS THERAPY 123399,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123399,A000000,02500,0000,2500PHYSICAL THERAPY 123399,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123399,A000000,02700,0000,2700SPEECH PATHOLOGY 123399,A000000,02800,0000,2800ELECTROCARDIOLOGY 123399,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123399,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123399,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123399,A000000,03200,0000,3200SUPPORT SURFACES 123399,A000000,03201,0000,3201AIR FLUIDIZED BEDS 123399,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123399,A000000,03400,0000,3400CLINIC 123399,A000000,03500,0000,3500RURAL HEALTH CLINIC 123399,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 123399,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123399,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123399,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123399,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123399,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123399,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123399,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123399,A000000,04400,0000,4400DME RENTED - HHA 123399,A000000,04500,0000,4500DME SOLD - HHA 123399,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123399,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123399,A000000,04800,0000,4800AMBULANCE 123399,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123399,A000000,05000,0000,5000CORF 123399,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123399,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123399,A000000,05300,0000,5300INTEREST EXPENSE 123399,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123399,A000000,05500,0000,5500HOSPICE 123399,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123399,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123399,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123399,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123399,A000000,06100,0000,6100NONPAID WORKERS 123399,A000000,06200,0000,6200PATIENTS LAUNDRY 123399,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123399,A81000A,00100,0100,Y 123399,A81000B,00100,0300,MANAGEMENT FEES 123399,A81000C,00100,0100,A 123399,A81000C,00100,0200,WESTPORT PROPERTIES 123399,A81000C,00100,0400,GREYSTONE MSC LLC 123399,A81000C,00100,0600,MANAGEMENT SERVICES 123399,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123399,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123399,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123399,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123399,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123399,B100000,00000,0700,0750MODIFIED SQUARE FEE :HOUSEKEEPIN 123399,B100000,00000,0800,0850PATIENT DAYS :DIETARY 123399,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 123399,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123399,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123399,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123399,B100000,00000,1301,1331NO OF ADMISSIONS :ADMISSIONS 123399,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 123399,S000000,00100,0200,01/04/01 123399,S200000,00100,0100,6410 61ST AVENUE WEST 123399,S200000,00200,0100,BRADENTON 123399,S200000,00200,0200,FL 123399,S200000,00200,0300,34209- 123399,S200000,00300,0100,MANATEE 123399,S200000,00300,0200,7510 123399,S200000,00300,0300,U 123399,S200000,00400,0100,FREEDOM VILLAGE NURSING CENTER 123399,S200000,00400,0200,105655 123399,S200000,00400,0300,06/23/89 123399,S200000,00400,0500,P 123399,S200000,01004,0500,O 123399,S200000,01500,0100,N 123399,S200000,01600,0100,Y 123399,S200000,01700,0100,N 123399,S200000,01800,0100,N 123399,S200000,02200,0100,N 123399,S200000,02800,0100,N 123399,S200000,02900,0100,N 123399,S200000,03000,0100,N 123399,S200000,03100,0100,N 123399,S200000,03200,0100,N 123399,S200000,04100,0100,N 123399,S200000,04200,0100,N 123399,S200000,04300,0100,N 123399,S200000,04600,0100,N 123399,S200000,04700,0100,N 123399,S200000,04700,0200,N 123399,S200000,04900,0100,N 123399,S200000,05000,0100,N 123399,S200000,05100,0100,N 123399,S200000,05200,0100,N 123404,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123404,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123404,A000000,00300,0000,0300EMPLOYEE BENEFITS 123404,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123404,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123404,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123404,A000000,00700,0000,0700HOUSEKEEPING 123404,A000000,00800,0000,0800DIETARY 123404,A000000,00900,0000,0900NURSING ADMINISTRATION 123404,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123404,A000000,01100,0000,1100PHARMACY 123404,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123404,A000000,01300,0000,1300SOCIAL SERVICE 123404,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123404,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 123404,A000000,01600,0000,1600SKILLED NURSING FACILITY 123404,A000000,01800,0000,1800NURSING FACILITY 123404,A000000,01900,0000,1900OTHER LONG TERM CARE 123404,A000000,02100,0000,2100RADIOLOGY 123404,A000000,02200,0000,2200LABORATORY 123404,A000000,02201,0000,3051EQUIPMENT RENTAL 123404,A000000,02300,0000,2300INTRAVENOUS THERAPY 123404,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123404,A000000,02500,0000,2500PHYSICAL THERAPY 123404,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123404,A000000,02700,0000,2700SPEECH PATHOLOGY 123404,A000000,02800,0000,2800ELECTROCARDIOLOGY 123404,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123404,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123404,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123404,A000000,03200,0000,3200SUPPORT SURFACES 123404,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 123404,A000000,03400,0000,3400CLINIC 123404,A000000,03500,0000,3500RURAL HEALTH CLINIC 123404,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 123404,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123404,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123404,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123404,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123404,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123404,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123404,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123404,A000000,04400,0000,4400DME RENTED - HHA 123404,A000000,04500,0000,4500DME SOLD - HHA 123404,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123404,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123404,A000000,04800,0000,4800AMBULANCE 123404,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123404,A000000,05000,0000,5000CORF 123404,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 123404,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123404,A000000,05300,0000,5300INTEREST EXPENSE 123404,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123404,A000000,05500,0000,5500HOSPICE 123404,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 123404,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123404,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123404,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123404,A000000,06100,0000,6100NONPAID WORKERS 123404,A000000,06200,0000,6200PATIENTS LAUNDRY 123404,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123404,A000000,06301,0000,6151ENTERALS 123404,A81000A,00100,0100,Y 123404,A81000B,00100,0300,HOME OFFICE - PROPERTY 123404,A81000B,00200,0300,HOME OFFICE - OPERATING 123404,A81000C,00100,0100,B 123404,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 123404,A81000C,00100,0400,HOME OFFICE 123404,A81000C,00200,0200,COMMUNITIES 123404,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123404,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 123404,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123404,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123404,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123404,B100000,00000,0700,0700HOURS :HOUSEKEEPING 123404,B100000,00000,0800,0800MEALS SERVED :DIETARY 123404,B100000,00000,0900,0950NURSING $ :NURSING ADMINISTRATI 123404,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123404,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123404,S000000,00100,0200,04/17/01 123404,S200000,00100,0100,25 STATE ROAD 13 123404,S200000,00200,0100,JACKSONVILLE 123404,S200000,00200,0200,FL 123404,S200000,00200,0300,32259- 123404,S200000,00300,0100,DUVAL 123404,S200000,00300,0200,3600 123404,S200000,00300,0300,U 123404,S200000,00400,0100,WESTMINSTER WOODS ON JULINGTON CREEK 123404,S200000,00400,0200,105901 123404,S200000,00400,0300,03/05/96 123404,S200000,00400,0500,P 123404,S200000,00600,0200,105901 123404,S200000,00600,0300,03/05/96 123404,S200000,00600,0600,O 123404,S200000,01004,0500,O 123404,S200000,01500,0100,N 123404,S200000,01600,0100,Y 123404,S200000,01700,0100,N 123404,S200000,01800,0100,N 123404,S200000,02200,0100,N 123404,S200000,02800,0100,N 123404,S200000,02900,0100,N 123404,S200000,03000,0100,N 123404,S200000,03100,0100,N 123404,S200000,03200,0100,N 123404,S200000,04100,0100,N 123404,S200000,04200,0100,N 123404,S200000,04300,0100,N 123404,S200000,04600,0100,N 123404,S200000,04700,0100,N 123404,S200000,04700,0200,N 123404,S200000,04900,0100,N 123404,S200000,05000,0100,N 123404,S200000,05100,0100,N 123404,S200000,05200,0100,N 123405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123405,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123405,A000000,00300,0000,0300EMPLOYEE BENEFITS 123405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123405,A000000,00700,0000,0700HOUSEKEEPING 123405,A000000,00800,0000,0800DIETARY 123405,A000000,00900,0000,0900NURSING ADMINISTRATION 123405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123405,A000000,01100,0000,1100PHARMACY 123405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123405,A000000,01300,0000,1300SOCIAL SERVICE 123405,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123405,A000000,01500,0000,1350ACTIVITIES 123405,A000000,01600,0000,1600SKILLED NURSING FACILITY 123405,A000000,01800,0000,1800NURSING FACILITY 123405,A000000,01810,0000,1810ICF/MR 123405,A000000,01900,0000,1900OTHER LONG TERM CARE 123405,A000000,02100,0000,2100RADIOLOGY 123405,A000000,02200,0000,2200LABORATORY 123405,A000000,02300,0000,2300INTRAVENOUS THERAPY 123405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123405,A000000,02500,0000,2500PHYSICAL THERAPY 123405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123405,A000000,02700,0000,2700SPEECH PATHOLOGY 123405,A000000,02800,0000,2800ELECTROCARDIOLOGY 123405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123405,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123405,A000000,03200,0000,3200SUPPORT SURFACES 123405,A000000,03300,0000,3050AIR FLUIDIZED BEDS 123405,A000000,03400,0000,3400CLINIC 123405,A000000,03500,0000,3500RURAL HEALTH CLINIC 123405,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 123405,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123405,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123405,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123405,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123405,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123405,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123405,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123405,A000000,04400,0000,4400DME RENTED - HHA 123405,A000000,04500,0000,4500DME SOLD - HHA 123405,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123405,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123405,A000000,04800,0000,4800AMBULANCE 123405,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123405,A000000,05000,0000,5000CORF 123405,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123405,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123405,A000000,05300,0000,5300INTEREST EXPENSE 123405,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123405,A000000,05500,0000,5500HOSPICE 123405,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123405,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123405,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123405,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123405,A000000,06100,0000,6100NONPAID WORKERS 123405,A000000,06200,0000,6200PATIENTS LAUNDRY 123405,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123405,A81000A,00100,0100,Y 123405,A81000B,00100,0300,MANAGEMENT FEE 123405,A81000B,00200,0300,HOME OFFICE CAPITAL 123405,A81000B,00300,0300,INTEREST EXPENSE 123405,A81000C,00100,0100,B 123405,A81000C,00100,0400,AMERICAN MEDICAL ASSOC. 123405,A81000C,00100,0600,HOME OFFICE 123405,A81000C,00200,0100,B 123405,A81000C,00200,0400,AMERICAN MEDICAL ASSOC. 123405,A81000C,00200,0600,HOME OFFICE 123405,A81000C,00300,0100,B 123405,A81000C,00300,0200,AMERICAN MEDICAL ASSOC. 123405,A81000C,00300,0400,DAVID MORRELL 123405,A81000C,00300,0600,PERSONAL LOAN 123405,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123405,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123405,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123405,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123405,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123405,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123405,B100000,00000,0800,0850PATIENT DAYS :DIETARY 123405,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 123405,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123405,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123405,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123405,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 123405,S000000,00100,0200,11/01/00 123405,S200000,00100,0100,1091 KELTON AVENUE 123405,S200000,00200,0100,OCOEE 123405,S200000,00200,0200,FL 123405,S200000,00200,0300,34761- 123405,S200000,00300,0100,ORANGE 123405,S200000,00300,0200,5960 123405,S200000,00300,0300,U 123405,S200000,00400,0100,PLANTATION GARDENS REHAB & NURSING 123405,S200000,00400,0200,105967 123405,S200000,00400,0300,09/12/97 123405,S200000,00400,0500,P 123405,S200000,01500,0100,N 123405,S200000,01600,0100,Y 123405,S200000,01700,0100,N 123405,S200000,01800,0100,N 123405,S200000,02200,0100,N 123405,S200000,02800,0100,N 123405,S200000,02900,0100,N 123405,S200000,03000,0100,N 123405,S200000,03100,0100,N 123405,S200000,03200,0100,N 123405,S200000,04100,0100,N 123405,S200000,04200,0100,N 123405,S200000,04300,0100,N 123405,S200000,04600,0100,N 123405,S200000,04700,0100,N 123405,S200000,04700,0200,N 123405,S200000,04900,0100,N 123405,S200000,05000,0100,N 123405,S200000,05100,0100,N 123405,S200000,05200,0100,N 123658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123658,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 123658,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123658,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 123658,A000000,00300,0000,0300EMPLOYEE BENEFITS 123658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123658,A000000,00700,0000,0700HOUSEKEEPING 123658,A000000,00800,0000,0800DIETARY 123658,A000000,00801,0000,0801CAFETERIA 123658,A000000,00900,0000,0900NURSING ADMINISTRATION 123658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123658,A000000,01100,0000,1100PHARMACY 123658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123658,A000000,01300,0000,1300SOCIAL SERVICE 123658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123658,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 123658,A000000,01600,0000,1600SKILLED NURSING FACILITY 123658,A000000,01800,0000,1800NURSING FACILITY 123658,A000000,01900,0000,1900OTHER LONG TERM CARE 123658,A000000,02100,0000,2100RADIOLOGY 123658,A000000,02200,0000,2200LABORATORY 123658,A000000,02300,0000,2300INTRAVENOUS THERAPY 123658,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123658,A000000,02500,0000,2500PHYSICAL THERAPY 123658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123658,A000000,02700,0000,2700SPEECH PATHOLOGY 123658,A000000,02800,0000,2800ELECTROCARDIOLOGY 123658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123658,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123658,A000000,03200,0000,3200SUPPORT SURFACES 123658,A000000,03300,0000,3050OTHER ANCILLARY 123658,A000000,03301,0000,3051PPS ANCILLARY 123658,A000000,03302,0000,3052OTHER ANCILLARY III 123658,A000000,03400,0000,3400CLINIC 123658,A000000,03500,0000,3500RURAL HEALTH CLINIC 123658,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 123658,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123658,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123658,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123658,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123658,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123658,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123658,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123658,A000000,04400,0000,4400DME RENTED - HHA 123658,A000000,04500,0000,4500DME SOLD - HHA 123658,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123658,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123658,A000000,04800,0000,4800AMBULANCE 123658,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123658,A000000,05000,0000,5000CORF 123658,A000000,05010,0000,5010CMHC I 123658,A000000,05020,0000,5020OPT I 123658,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123658,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123658,A000000,05300,0000,5300INTEREST EXPENSE 123658,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123658,A000000,05500,0000,5500HOSPICE 123658,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 123658,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 123658,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123658,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123658,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123658,A000000,06100,0000,6100NONPAID WORKERS 123658,A000000,06200,0000,6200PATIENTS LAUNDRY 123658,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123658,A81000A,00100,0100,Y 123658,A81000B,00100,0300,INSURANCE 123658,A81000B,00200,0300,PENSION 123658,A81000C,00100,0100,G 123658,A81000C,00100,0200,PATRICK DEERING 123658,A81000C,00100,0400,TRUSTEE 123658,A81000C,00100,0600,INSURANCE 123658,A81000C,00200,0100,G 123658,A81000C,00200,0200,WILLIAM BOYD 123658,A81000C,00200,0400,TRUSTEE 123658,A81000C,00200,0600,PENSION 123658,A81000C,03100,0000,BD MEMBER 123658,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 123658,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 123658,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 123658,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123658,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 123658,B100000,00000,0600,0650PAT. DAYS :LAUNDRY & LINEN SERV 123658,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 123658,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 123658,B100000,00000,0801,0801(MEALS SERVED) :CAFETERIA 123658,B100000,00000,0900,0950NURSE SAL :NURSING ADMINISTRATI 123658,B100000,00000,1100,1150PAT. DAYS :PHARMACY 123658,B100000,00000,1200,1250(SQUARE FEET) :MEDICAL RECORDS 123658,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 123658,B100000,00000,1500,1350PAT. DAYS :OTHER GENERAL SERVIC 123658,S000000,00100,0200,10/11/00 123658,S200000,00100,0100,700 WEST 40TH STREET 123658,S200000,00200,0100,BALTIMORE 123658,S200000,00200,0200,MD 123658,S200000,00200,0300,21211- 123658,S200000,00300,0100,BALTIMORE CITY 123658,S200000,00300,0200,0720 123658,S200000,00300,0300,U 123658,S200000,00400,0100,KESWICK MULTICARE CENTER 123658,S200000,00400,0200,215037 123658,S200000,00400,0300,01/01/67 123658,S200000,00400,0500,P 123658,S200000,01500,0100,N 123658,S200000,01600,0100,Y 123658,S200000,01700,0100,N 123658,S200000,01800,0100,N 123658,S200000,02200,0100,N 123658,S200000,02800,0100,Y 123658,S200000,02900,0100,N 123658,S200000,03000,0100,N 123658,S200000,03100,0100,N 123658,S200000,03200,0100,N 123658,S200000,04100,0100,N 123658,S200000,04200,0100,N 123658,S200000,04300,0100,N 123658,S200000,04600,0100,N 123658,S200000,04700,0100,N 123658,S200000,04700,0200,N 123658,S200000,04900,0100,N 123658,S200000,05000,0100,N 123658,S200000,05100,0100,N 123658,S200000,05200,0100,N 123665,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123665,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123665,A000000,00300,0000,0300EMPLOYEE BENEFITS 123665,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123665,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123665,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123665,A000000,00700,0000,0700HOUSEKEEPING 123665,A000000,00800,0000,0800DIETARY 123665,A000000,00900,0000,0900NURSING ADMINISTRATION 123665,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123665,A000000,01100,0000,1100PHARMACY 123665,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123665,A000000,01300,0000,1300SOCIAL SERVICE 123665,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123665,A000000,01500,0000,1350ACTIVITIES 123665,A000000,01600,0000,1600SKILLED NURSING FACILITY 123665,A000000,01800,0000,1800NURSING FACILITY 123665,A000000,01900,0000,1900OTHER LONG TERM CARE 123665,A000000,02100,0000,2100RADIOLOGY 123665,A000000,02200,0000,2200LABORATORY 123665,A000000,02300,0000,2300INTRAVENOUS THERAPY 123665,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123665,A000000,02500,0000,2500PHYSICAL THERAPY 123665,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123665,A000000,02700,0000,2700SPEECH PATHOLOGY 123665,A000000,02800,0000,2800ELECTROCARDIOLOGY 123665,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123665,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123665,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123665,A000000,03200,0000,3200SUPPORT SURFACES 123665,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 123665,A000000,04800,0000,4800AMBULANCE 123665,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 123665,A000000,05300,0000,5300INTEREST EXPENSE 123665,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123665,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 123665,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123665,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123665,A000000,06100,0000,6100NONPAID WORKERS 123665,A000000,06200,0000,6200PATIENTS LAUNDRY 123665,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123665,A81000A,00100,0100,Y 123665,A81000B,00100,0300,HOME OFFICE COST 123665,A81000B,00200,0300,PT ADMIN FEE 123665,A81000B,00300,0300,OT ADMIN FEE 123665,A81000B,00400,0300,ST ADMIN FEE 123665,A81000C,00100,0100,B 123665,A81000C,00100,0200,MCHS - GIG HARBOR 123665,A81000C,00100,0400,HCR MANORCARE INC. 123665,A81000C,00100,0600,LONG TERM CARE FACILITIES 123665,A81000C,00200,0100,B 123665,A81000C,00200,0200,MCHS - GIG HARBOR 123665,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 123665,A81000C,00200,0600,THERAPY MANAGEMENT 123665,A81000C,00300,0100,B 123665,A81000C,00300,0200,MCHS - GIG HARBOR 123665,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 123665,A81000C,00300,0600,THERAPY MANAGEMENT 123665,A81000C,00400,0100,B 123665,A81000C,00400,0200,MCHS - GIG HARBOR 123665,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 123665,A81000C,00400,0600,THERAPY MANAGEMENT 123665,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123665,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 123665,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123665,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123665,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123665,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123665,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123665,B100000,00000,0800,0800MEALS SERVED :DIETARY 123665,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 123665,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123665,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123665,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123665,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 123665,S000000,00100,0200,10/30/00 123665,S200000,00100,0100,3309 45TH ST. CT. N.W. 123665,S200000,00200,0100,GIG HARBOR 123665,S200000,00200,0200,WA 123665,S200000,00200,0300, - 123665,S200000,00300,0100,PIERCE 123665,S200000,00300,0200,8200 123665,S200000,00300,0300,U 123665,S200000,00400,0100,MCHS - GIG HARBOR 123665,S200000,00400,0200,505436 123665,S200000,00400,0300,01/01/92 123665,S200000,00400,0500,P 123665,S200000,00400,0600,P 123665,S200000,01004,0500,O 123665,S200000,01500,0100,N 123665,S200000,01600,0100,Y 123665,S200000,01700,0100,N 123665,S200000,01800,0100,N 123665,S200000,02200,0100,Y 123665,S200000,02800,0100,N 123665,S200000,02900,0100,N 123665,S200000,03000,0100,N 123665,S200000,03100,0100,N 123665,S200000,03200,0100,N 123665,S200000,04100,0100,N 123665,S200000,04200,0100,N 123665,S200000,04300,0100,N 123665,S200000,04600,0100,N 123665,S200000,04700,0100,N 123665,S200000,04700,0200,N 123665,S200000,04900,0100,N 123665,S200000,05000,0100,N 123665,S200000,05100,0100,N 123665,S200000,05200,0100,N 123803,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123803,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123803,A000000,00300,0000,0300EMPLOYEE BENEFITS 123803,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123803,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123803,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123803,A000000,00700,0000,0700HOUSEKEEPING 123803,A000000,00800,0000,0800DIETARY 123803,A000000,00900,0000,0900NURSING ADMINISTRATION 123803,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123803,A000000,01100,0000,1100PHARMACY 123803,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123803,A000000,01300,0000,1300SOCIAL SERVICE 123803,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123803,A000000,01500,0000,1350OTHER GENERAL SERVICES 123803,A000000,01600,0000,1600SKILLED NURSING FACILITY 123803,A000000,01800,0000,1800NURSING FACILITY 123803,A000000,01810,0000,1810ICF/MR 123803,A000000,01900,0000,1900OTHER LONG TERM CARE 123803,A000000,02100,0000,2100RADIOLOGY 123803,A000000,02200,0000,2200LABORATORY 123803,A000000,02300,0000,2300INTRAVENOUS THERAPY 123803,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123803,A000000,02500,0000,2500PHYSICAL THERAPY 123803,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123803,A000000,02700,0000,2700SPEECH PATHOLOGY 123803,A000000,02800,0000,2800ELECTROCARDIOLOGY 123803,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123803,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123803,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123803,A000000,03200,0000,3200SUPPORT SURFACES 123803,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123803,A000000,03400,0000,3400CLINIC 123803,A000000,03500,0000,3500RURAL HEALTH CLINIC 123803,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 123803,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123803,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123803,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123803,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123803,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123803,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123803,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123803,A000000,04400,0000,4400DME RENTED - HHA 123803,A000000,04500,0000,4500DME SOLD - HHA 123803,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123803,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123803,A000000,04800,0000,4800AMBULANCE 123803,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123803,A000000,05000,0000,5000CORF 123803,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123803,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123803,A000000,05300,0000,5300INTEREST EXPENSE 123803,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123803,A000000,05500,0000,5500HOSPICE 123803,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123803,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123803,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123803,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123803,A000000,06100,0000,6100NONPAID WORKERS 123803,A000000,06200,0000,6200PATIENTS LAUNDRY 123803,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123803,A81000A,00100,0100,Y 123803,A81000B,00100,0300,HOME OFFICE COSTS 123803,A81000B,00200,0300,HOME OFFICE COSTS 123803,A81000B,00300,0300,RELATED PARTY DEPRECIATION 123803,A81000B,00400,0300,RELATED PARTY ADMORTIZATION 123803,A81000B,00500,0300,REALTED PARTY GENERAL 123803,A81000B,00600,0300,REALTED PARTY INTEREST 123803,A81000B,00700,0300,RELATED PARTY RENT 123803,A81000C,00100,0100,B 123803,A81000C,00100,0200,PRESBYTERIAN HOMES 123803,A81000C,00100,0400,PRESBYTERIAN HOMES 123803,A81000C,00100,0600,MANAGEMENT 123803,A81000C,00200,0100,B 123803,A81000C,00200,0200,PHELPS REGIONAL HLTH SVCS 123803,A81000C,00200,0400,PHELPS REGIONAL HLTH SVCS 123803,A81000C,00200,0600,BUILDING LESSOR 123803,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123803,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123803,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123803,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123803,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 123803,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123803,B100000,00000,0800,0800MEALS SERVED :DIETARY 123803,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 123803,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123803,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123803,E10A180,00601,0100,07/29/02 123803,E10A180,00650,0300,07/29/02 123803,S000000,00100,0200,01/25/01 123803,S200000,00100,0300,18067 123803,S200000,00200,0100,LOUISVILLE 123803,S200000,00200,0200,KY 123803,S200000,00200,0300,40261-0067 123803,S200000,00300,0100,PIKE 123803,S200000,00300,0200,18 123803,S200000,00300,0300,R 123803,S200000,00400,0100,GOOD SHEPHERD COMMUNITY NURSING CENT 123803,S200000,00400,0200,185222 123803,S200000,00400,0300,05/01/99 123803,S200000,00400,0500,P 123803,S200000,01500,0100,N 123803,S200000,01600,0100,Y 123803,S200000,01700,0100,N 123803,S200000,01800,0100,N 123803,S200000,02200,0100,N 123803,S200000,02800,0100,N 123803,S200000,02900,0100,N 123803,S200000,03000,0100,N 123803,S200000,03100,0100,N 123803,S200000,03200,0100,N 123803,S200000,04100,0100,N 123803,S200000,04200,0100,N 123803,S200000,04300,0100,N 123803,S200000,04600,0100,N 123803,S200000,04700,0100,N 123803,S200000,04700,0200,N 123803,S200000,04900,0100,N 123803,S200000,05000,0100,N 123803,S200000,05100,0100,N 123803,S200000,05200,0100,N 123849,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123849,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123849,A000000,00300,0000,0300EMPLOYEE BENEFITS 123849,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123849,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123849,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123849,A000000,00700,0000,0700HOUSEKEEPING 123849,A000000,00800,0000,0800DIETARY 123849,A000000,00900,0000,0900NURSING ADMINISTRATION 123849,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123849,A000000,01100,0000,1100PHARMACY 123849,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123849,A000000,01300,0000,1300SOCIAL SERVICE 123849,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123849,A000000,01500,0000,1350ACTIVITIES 123849,A000000,01600,0000,1600SKILLED NURSING FACILITY 123849,A000000,01800,0000,1800NURSING FACILITY 123849,A000000,01810,0000,1810ICF/MR 123849,A000000,01900,0000,1900OTHER LONG TERM CARE 123849,A000000,02100,0000,2100RADIOLOGY 123849,A000000,02200,0000,2200LABORATORY 123849,A000000,02300,0000,2300INTRAVENOUS THERAPY 123849,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123849,A000000,02500,0000,2500PHYSICAL THERAPY 123849,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123849,A000000,02700,0000,2700SPEECH PATHOLOGY 123849,A000000,02800,0000,2800ELECTROCARDIOLOGY 123849,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123849,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123849,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 123849,A000000,03200,0000,3200SUPPORT SURFACES 123849,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123849,A000000,03400,0000,3400CLINIC 123849,A000000,03500,0000,3500RURAL HEALTH CLINIC 123849,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 123849,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 123849,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 123849,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 123849,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 123849,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 123849,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 123849,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 123849,A000000,04400,0000,4400DME RENTED - HHA 123849,A000000,04500,0000,4500DME SOLD - HHA 123849,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 123849,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 123849,A000000,04800,0000,4800AMBULANCE 123849,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 123849,A000000,05000,0000,5000CORF 123849,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123849,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 123849,A000000,05300,0000,5300INTEREST EXPENSE 123849,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 123849,A000000,05500,0000,5500HOSPICE 123849,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123849,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123849,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123849,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 123849,A000000,06100,0000,6100NONPAID WORKERS 123849,A000000,06200,0000,6200PATIENTS LAUNDRY 123849,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 123849,A81000A,00100,0100,N 123849,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123849,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123849,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123849,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123849,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 123849,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123849,B100000,00000,0800,0850PATIENT DAYS :DIETARY 123849,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 123849,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123849,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123849,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123849,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 123849,S000000,00100,0200,12/29/00 123849,S200000,00100,0100,4100 SOUTHWEST 33RD AVENUE 123849,S200000,00200,0100,OCALA 123849,S200000,00200,0200,FL 123849,S200000,00200,0300,32674- 123849,S200000,00300,0100,MARION 123849,S200000,00300,0200,5790 123849,S200000,00300,0300,U 123849,S200000,00400,0100,SURREY PLACE CONVALESCENT CENTER 123849,S200000,00400,0200,105602 123849,S200000,00400,0300,03/04/88 123849,S200000,00400,0500,P 123849,S200000,01500,0100,N 123849,S200000,01600,0100,Y 123849,S200000,01700,0100,N 123849,S200000,01800,0100,N 123849,S200000,02200,0100,N 123849,S200000,02800,0100,N 123849,S200000,02900,0100,N 123849,S200000,03000,0100,N 123849,S200000,03100,0100,N 123849,S200000,03200,0100,N 123849,S200000,04100,0100,N 123849,S200000,04200,0100,N 123849,S200000,04300,0100,N 123849,S200000,04600,0100,N 123849,S200000,04700,0100,N 123849,S200000,04700,0200,N 123849,S200000,04900,0100,N 123849,S200000,05000,0100,N 123849,S200000,05100,0100,N 123849,S200000,05200,0100,N 123852,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123852,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123852,A000000,00300,0000,0300EMPLOYEE BENEFITS 123852,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123852,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123852,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123852,A000000,00700,0000,0700HOUSEKEEPING 123852,A000000,00800,0000,0800DIETARY 123852,A000000,00900,0000,0900NURSING ADMINISTRATION 123852,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123852,A000000,01100,0000,1100PHARMACY 123852,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123852,A000000,01300,0000,1300SOCIAL SERVICE 123852,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 123852,A000000,01600,0000,1600SKILLED NURSING FACILITY 123852,A000000,01800,0000,1800NURSING FACILITY 123852,A000000,02100,0000,2100RADIOLOGY 123852,A000000,02200,0000,2200LABORATORY 123852,A000000,02500,0000,2500PHYSICAL THERAPY 123852,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123852,A000000,02700,0000,2700SPEECH PATHOLOGY 123852,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123852,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123852,A000000,05000,0000,5000CORF 123852,A000000,05010,0000,5010CMHC 123852,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123852,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123852,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123852,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123852,A000000,06200,0000,6200PATIENTS LAUNDRY 123852,A000000,06300,0000,6150PATIENT PERSONAL NEEDS 123852,A81000A,00100,0100,Y 123852,A81000B,00100,0300,UNIFORMS 123852,A81000B,00200,0300,REPAIRS 123852,A81000B,00300,0300,NURSING SUPPLIES 123852,A81000B,00400,0300,NURSING FORMS 123852,A81000B,00500,0300,NON-PRESCRIPTN DRUGS 123852,A81000B,00600,0300,PATIENT PERS. NEEDS 123852,A81000B,00700,0300,MEDICAL SUPPLIES 123852,A81000B,00800,0300,RAW FOOD 123852,A81000B,00900,0300,SUPPLEMENTAL 123852,A81000B,01000,0300,DIETARY SUPPLIES 123852,A81000B,01100,0300,LINENS 123852,A81000B,01200,0300,LAUNDRY SUPPLIES 123852,A81000B,01300,0300,HSKPG SUPPLIES 123852,A81000B,01400,0300,UNIFORMS 123852,A81000B,01500,0300,SUPPLIES 123852,A81000B,01600,0300,FORMS 123852,A81000B,01700,0300,MANAGEMENT FEE 123852,A81000C,00100,0100,A 123852,A81000C,00100,0200,SEE HCFA 339 123852,A81000C,00100,0400,DELTA HEALTH GR 123852,A81000C,00100,0600,NURSING HOMES 123852,A81000C,00200,0100,A 123852,A81000C,00200,0200,SEE HCFA 339 123852,A81000C,00200,0400,DELTA DURABLES 123852,A81000C,00200,0600,SUPPLIES 123852,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123852,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123852,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123852,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123852,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 123852,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123852,B100000,00000,0800,0800MEALS SERVED :DIETARY 123852,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 123852,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123852,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 123852,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 123852,S000000,00100,0200,01/03/01 123852,S200000,00100,0100,602 E. LAURA STREET 123852,S200000,00200,0100,STARKE 123852,S200000,00200,0200,FL 123852,S200000,00200,0300,34997- 123852,S200000,00300,0100,BRADFORD 123852,S200000,00300,0200,0010 123852,S200000,00300,0300,R 123852,S200000,00400,0100,WINDSOR MANOR 123852,S200000,00400,0200,105696 123852,S200000,00400,0300,06/30/94 123852,S200000,00400,0500,P 123852,S200000,00400,0600,O 123852,S200000,00600,0200,105696 123852,S200000,00600,0300,06/30/94 123852,S200000,00600,0600,O 123852,S200000,01500,0100,N 123852,S200000,01600,0100,Y 123852,S200000,01700,0100,N 123852,S200000,01800,0100,N 123852,S200000,02200,0100,N 123852,S200000,02800,0100,N 123852,S200000,02900,0100,N 123852,S200000,03000,0100,N 123852,S200000,03100,0100,N 123852,S200000,03200,0100,N 123852,S200000,04100,0100,N 123852,S200000,04200,0100,N 123852,S200000,04300,0100,N 123852,S200000,04600,0100,N 123852,S200000,04700,0100,N 123852,S200000,04700,0200,N 123852,S200000,04900,0100,N 123852,S200000,05000,0100,N 123852,S200000,05100,0100,N 123852,S200000,05200,0100,N 123928,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 123928,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 123928,A000000,00300,0000,0300EMPLOYEE BENEFITS 123928,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123928,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 123928,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123928,A000000,00700,0000,0700HOUSEKEEPING 123928,A000000,00800,0000,0800DIETARY 123928,A000000,00900,0000,0900NURSING ADMINISTRATION 123928,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123928,A000000,01100,0000,1100PHARMACY 123928,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123928,A000000,01300,0000,1300SOCIAL SERVICE 123928,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 123928,A000000,01500,0000,1350ACTIVITIES 123928,A000000,01600,0000,1600SKILLED NURSING FACILITY 123928,A000000,01800,0000,1800NURSING FACILITY 123928,A000000,01810,0000,1810ICF/MR 123928,A000000,02100,0000,2100RADIOLOGY 123928,A000000,02200,0000,2200LABORATORY 123928,A000000,02500,0000,2500PHYSICAL THERAPY 123928,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123928,A000000,02700,0000,2700SPEECH PATHOLOGY 123928,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 123928,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123928,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 123928,A000000,03550,0000,3550FQHC 123928,A000000,05000,0000,5000CORF 123928,A000000,05010,0000,5010CMHC 123928,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 123928,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 123928,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 123928,A000000,05100,0000,4750OTHER REIMBURSABLE COST 123928,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 123928,A000000,06300,0000,6150APARTMENTS 123928,A81000A,00100,0100,Y 123928,A81000B,00100,0300,DATA PROCESSING INTEREST ETC 123928,A81000B,00200,0300,HOME OFFICE OPERATING 123928,A81000B,00300,0300,HOME OFFICE CAPITAL-BLDG. 123928,A81000B,00400,0300,HOME OFFICE CAPITAL-EQUIP. 123928,A81000B,00500,0300,HOME OFFICE NURSING 123928,A81000B,00600,0300,HOME OFFICE ACTIVITIES 123928,A81000B,00700,0300,VEHICLE RENTAL SERVICES 123928,A81000B,00901,0300,PRINTING 123928,A81000B,00902,0300,PRINTING 123928,A81000B,00903,0300,PRINTING 123928,A81000B,00905,0300,PRINTING 123928,A81000B,00906,0300,PRINTING 123928,A81000B,00907,0300,SPACE RENTAL 123928,A81000B,01000,0300,MAINTENANCE & REPAIRS 123928,A81000B,01100,0300,MAINTENANCE & REPAIRS 123928,A81000B,01500,0300,LAUNDRY SUPPLIES & LINEN 123928,A81000B,01600,0300,HSKPING SUPPLIES 123928,A81000B,01700,0300,FOOD SUPPLIES 123928,A81000B,01800,0300,NURSING SUPPLIES 123928,A81000B,02200,0300,MEDICAL SUPPLIES 123928,A81000B,02300,0300,NONBILLABLE SUPPLIES 123928,A81000B,02400,0300,NONBILLABLE SUPPLIES 123928,A81000B,02700,0300,NONBILLABLE SUPPLIES 123928,A81000B,02800,0300,DRUGS SOLD 123928,A81000B,02900,0300,PRINTING 123928,A81000C,00100,0100,A 123928,A81000C,00100,0200,TRIAD MEDICAL SERVICES 123928,A81000C,00100,0400,NOLAN G. BROWN 123928,A81000C,00100,0600,MGMT SERVICES 123928,A81000C,00200,0100,A 123928,A81000C,00200,0200,TRIAD PROPERTIES- 123928,A81000C,00200,0400,NOLAN G. BROWN 123928,A81000C,00200,0600,REAL ESTATE 123928,A81000C,00300,0100,A 123928,A81000C,00300,0200,TRIAD DATA PROCESSING 123928,A81000C,00300,0400,NOLAN G. BROWN 123928,A81000C,00300,0600,DATA PROCESSING SERVICE 123928,A81000C,00400,0100,A 123928,A81000C,00400,0200,TRIAD MEDICAL GRAPHICS 123928,A81000C,00400,0400,NOLAN G. BROWN 123928,A81000C,00400,0600,PRINTING 123928,A81000C,00500,0100,A 123928,A81000C,00500,0200,HOLLADAY HEALTHCARE PHAR. 123928,A81000C,00500,0400,NOLAN G. BROWN 123928,A81000C,00500,0600,PHARMACY 123928,A81000C,00600,0100,A 123928,A81000C,00600,0200,HOLLADAY SURGICAL SUPPLY 123928,A81000C,00600,0400,NOLAN G. BROWN 123928,A81000C,00600,0600,MEDICAL SUPPLIES 123928,A81000C,00700,0100,A 123928,A81000C,00700,0200,TMS CONSTRUCTION INC 123928,A81000C,00700,0400,NOLAN G. BROWN 123928,A81000C,00700,0600,CONSTRUCTION 123928,A81000C,00800,0100,A 123928,A81000C,00800,0200,NGB ENTERPRISES 123928,A81000C,00800,0400,NOLAN G. BROWN 123928,A81000C,00800,0600,LESSOR 123928,A81000C,00900,0100,A 123928,A81000C,00900,0200,CRYSTAL STORAGE 123928,A81000C,00900,0400,NOLAN G. BROWN 123928,A81000C,00900,0600,STORAGE UNITS 123928,B100000,00000,0100,0100SQUARE FEET 123928,B100000,00000,0200,0200SQUARE FEET 123928,B100000,00000,0300,0300GROSS SALARIES 123928,B100000,00000,0400,0400ACCUM. COST 123928,B100000,00000,0500,0500SQUARE FEET 123928,B100000,00000,0600,0600PATIENT DAYS 123928,B100000,00000,0700,0700SQUARE FEET 123928,B100000,00000,0800,0800MEALS 123928,B100000,00000,0900,0900HOURS OF SERVICE 123928,B100000,00000,1000,1000COSTED REQUIS 123928,B100000,00000,1100,1100COSTED REQUIS 123928,B100000,00000,1200,1200NO STATISTICS 123928,B100000,00000,1300,1300TIME SPENT 123928,B100000,00000,1400,1400ASSIGNED TIME 123928,B100000,00000,1500,1350TIME SPENT 123928,E10A180,00301,0100,10/11/99 123928,E10A180,00501,0100,02/12/01 123928,S000000,00100,0200,01/26/01 123928,S200000,00100,0100,OLD US HWY 421 WEST 123928,S200000,00100,0300,879 123928,S200000,00200,0100,YADKINVILLE 123928,S200000,00200,0200,NC 123928,S200000,00200,0300,27055 123928,S200000,00300,0100,YADKIN 123928,S200000,00300,0200,3120 123928,S200000,00300,0300,U 123928,S200000,00400,0100,YADKIN NURSING CARE CENTER INC 123928,S200000,00400,0200,345167 123928,S200000,00400,0300,07/01/77 123928,S200000,00400,0500,P 123928,S200000,00400,0600,O 123928,S200000,00600,0200,346146 123928,S200000,00600,0300,07/01/77 123928,S200000,00600,0600,O 123928,S200000,01500,0100,N 123928,S200000,01600,0100,Y 123928,S200000,01700,0100,N 123928,S200000,01800,0100,N 123928,S200000,02200,0100,N 123928,S200000,02800,0100,N 123928,S200000,02900,0100,N 123928,S200000,03000,0100,N 123928,S200000,03100,0100,N 123928,S200000,03200,0100,N 123928,S200000,03300,0100,N 123928,S200000,03300,0200,N 123928,S200000,03500,0300,N 123928,S200000,04100,0100,N 123928,S200000,04200,0100,N 123928,S200000,04300,0100,N 123928,S200000,04600,0100,N 123928,S200000,04700,0100,N 123928,S200000,04900,0100,N 123928,S200000,05200,0100,N 123977,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 123977,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 123977,A000000,00300,0000,0300EMPLOYEE BENEFITS 123977,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 123977,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 123977,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 123977,A000000,00700,0000,0700HOUSEKEEPING 123977,A000000,00800,0000,0800DIETARY 123977,A000000,00900,0000,0900NURSING ADMINISTRATION 123977,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 123977,A000000,01100,0000,1100PHARMACY 123977,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 123977,A000000,01300,0000,1300SOCIAL SERVICE 123977,A000000,01500,0000,1350ACTIVITIES 123977,A000000,01600,0000,1600SKILLED NURSING FACILITY 123977,A000000,01800,0000,1800NURSING FACILITY 123977,A000000,01810,0000,1810ICF/MR 123977,A000000,02100,0000,2100RADIOLOGY 123977,A000000,02200,0000,2200LABORATORY 123977,A000000,02300,0000,2300INTRAVENOUS THERAPY 123977,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 123977,A000000,02500,0000,2500PHYSICAL THERAPY 123977,A000000,02600,0000,2600OCCUPATIONAL THERAPY 123977,A000000,02700,0000,2700SPEECH PATHOLOGY 123977,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 123977,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 123977,A000000,03200,0000,3200SUPPORT SURFACES 123977,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 123977,A000000,05900,0000,5900BARBER & BEAUTY SHOP 123977,A81000A,00100,0100,N 123977,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 123977,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 123977,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 123977,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 123977,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 123977,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 123977,B100000,00000,0800,0850PATIENT DAYS :DIETARY 123977,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 123977,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 123977,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 123977,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 123977,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 123977,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 123977,S000000,00100,0200,11/07/00 123977,S200000,00100,0100,6919 PARKWAY BOULEVARD 123977,S200000,00200,0100,LAND O LAKES 123977,S200000,00200,0200,FL 123977,S200000,00200,0300,34639- 123977,S200000,00300,0100,PASCO 123977,S200000,00300,0200,8280 123977,S200000,00300,0300,U 123977,S200000,00400,0100,BALDOMERO LOPEZ STATE VETERANS NURSI 123977,S200000,00400,0200,106006 123977,S200000,00400,0300,04/26/99 123977,S200000,00400,0500,P 123977,S200000,01004,0500,O 123977,S200000,01500,0100,Y 123977,S200000,01600,0100,N 123977,S200000,01700,0100,N 123977,S200000,01800,0100,N 123977,S200000,02200,0100,N 123977,S200000,02800,0100,N 123977,S200000,02900,0100,N 123977,S200000,03000,0100,N 123977,S200000,03100,0100,N 123977,S200000,03200,0100,N 123977,S200000,04100,0100,N 123977,S200000,04200,0100,N 123977,S200000,04300,0100,N 123977,S200000,04600,0100,N 123977,S200000,04700,0100,N 123977,S200000,04700,0200,N 123977,S200000,04900,0100,N 123977,S200000,05000,0100,N 123977,S200000,05100,0100,N 123977,S200000,05200,0100,N 124005,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124005,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124005,A000000,00300,0000,0300EMPLOYEE BENEFITS 124005,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124005,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124005,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124005,A000000,00700,0000,0700HOUSEKEEPING 124005,A000000,00800,0000,0800DIETARY 124005,A000000,00900,0000,0900NURSING ADMINISTRATION 124005,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124005,A000000,01100,0000,1100PHARMACY 124005,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124005,A000000,01300,0000,1300SOCIAL SERVICE 124005,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124005,A000000,01500,0000,1350OTHER GENERAL SERVICES 124005,A000000,01600,0000,1600SKILLED NURSING FACILITY 124005,A000000,01800,0000,1800NURSING FACILITY 124005,A000000,01810,0000,1810ICF/MR 124005,A000000,02100,0000,2100RADIOLOGY 124005,A000000,02200,0000,2200LABORATORY 124005,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124005,A000000,02500,0000,2500PHYSICAL THERAPY 124005,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124005,A000000,02700,0000,2700SPEECH PATHOLOGY 124005,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124005,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 124005,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124005,A000000,03550,0000,3550FQHC 124005,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124005,A000000,05000,0000,5000CORF 124005,A000000,05010,0000,5010CMHC 124005,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124005,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124005,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124005,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124005,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124005,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124005,A81000A,00100,0100,N 124005,B100000,00000,0100,0100SQUARE FEET 124005,B100000,00000,0200,0200SQUARE FEET 124005,B100000,00000,0300,0300GROSS SALARIES 124005,B100000,00000,0400,0400ACCUM. COST 124005,B100000,00000,0500,0500SQUARE FEET 124005,B100000,00000,0600,0600PATIENT DAYS 124005,B100000,00000,0700,0700SQUARE FEET 124005,B100000,00000,0800,0800PATIENT DAYS 124005,B100000,00000,0900,0900PATIENT DAYS 124005,B100000,00000,1000,1000COSTED REQUIS. 124005,B100000,00000,1100,1100COSTED REQUIS. 124005,B100000,00000,1200,1200GROSS REVENUE 124005,B100000,00000,1300,1300TIME SPENT 124005,B100000,00000,1400,1400ASSIGNED TIME 124005,B100000,00000,1500,1350NO STATISTICS 124005,E10A180,00350,0300,11/11/99 124005,E10A180,00501,0100,06/20/00 124005,E10A180,00501,0300,06/20/00 124005,E10A180,00502,0100,09/20/01 124005,E10A180,00550,0300,09/20/01 124005,S000000,00100,0200,05/31/00 124005,S200000,00100,0100,230 EAST ADAMS BOULEVARD 124005,S200000,00200,0100,LOS ANGELES 124005,S200000,00200,0200,CA 124005,S200000,00200,0300,90011 124005,S200000,00300,0100,LOS ANGELES 124005,S200000,00300,0200,4480 124005,S200000,00300,0300,U 124005,S200000,00400,0100,COUNTRY VILLA UNIVERSITY PARK HC 124005,S200000,00400,0200,056206 124005,S200000,00400,0300,11/11/91 124005,S200000,00400,0500,P 124005,S200000,00400,0600,O 124005,S200000,00600,0200,056206 124005,S200000,00600,0300,11/11/91 124005,S200000,00600,0600,O 124005,S200000,01500,0100,N 124005,S200000,01600,0100,Y 124005,S200000,01700,0100,N 124005,S200000,01800,0100,N 124005,S200000,02200,0100,N 124005,S200000,02800,0100,N 124005,S200000,02900,0100,N 124005,S200000,03000,0100,N 124005,S200000,03100,0100,N 124005,S200000,03200,0100,N 124005,S200000,03300,0100,N 124005,S200000,03300,0200,N 124005,S200000,03500,0300,N 124005,S200000,04100,0100,N 124005,S200000,04200,0100,N 124005,S200000,04300,0100,N 124005,S200000,04600,0100,N 124005,S200000,04700,0100,N 124005,S200000,04700,0200,N 124005,S200000,04900,0100,N 124081,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124081,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124081,A000000,00300,0000,0300EMPLOYEE BENEFITS 124081,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124081,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124081,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124081,A000000,00700,0000,0700HOUSEKEEPING 124081,A000000,00800,0000,0800DIETARY 124081,A000000,00900,0000,0900NURSING ADMINISTRATION 124081,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124081,A000000,01100,0000,1100PHARMACY 124081,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124081,A000000,01300,0000,1300SOCIAL SERVICE 124081,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124081,A000000,01500,0000,1350ACTIVITIES 124081,A000000,01600,0000,1600SKILLED NURSING FACILITY 124081,A000000,01800,0000,1800NURSING FACILITY 124081,A000000,01900,0000,1900OTHER LONG TERM CARE 124081,A000000,02100,0000,2100RADIOLOGY 124081,A000000,02200,0000,2200LABORATORY 124081,A000000,02300,0000,2300INTRAVENOUS THERAPY 124081,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124081,A000000,02500,0000,2500PHYSICAL THERAPY 124081,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124081,A000000,02700,0000,2700SPEECH PATHOLOGY 124081,A000000,02800,0000,2800ELECTROCARDIOLOGY 124081,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124081,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124081,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124081,A000000,03200,0000,3200SUPPORT SURFACES 124081,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 124081,A000000,03400,0000,3400CLINIC 124081,A000000,03500,0000,3500RURAL HEALTH CLINIC 124081,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 124081,A000000,04800,0000,4800AMBULANCE 124081,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124081,A000000,05000,0000,5000CORF 124081,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124081,A000000,05300,0000,5300INTEREST EXPENSE 124081,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124081,A000000,05500,0000,5500HOSPICE 124081,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124081,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124081,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 124081,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124081,A000000,06100,0000,6100NONPAID WORKERS 124081,A000000,06200,0000,6200PATIENTS LAUNDRY 124081,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 124081,A81000A,00100,0100,Y 124081,A81000B,00100,0300,AUTO 124081,A81000B,00200,0300,MEDICAL SUPPLIES 124081,A81000B,00300,0300,MINOR EQUIPMENT 124081,A81000B,00400,0300,STOCK DRUGS 124081,A81000B,00500,0300,PRESCRIPTION DRUGS 124081,A81000B,00600,0300,PHARMACY CONSULTANT 124081,A81000B,00700,0300,MEDICAL SUPPLIES 124081,A81000B,00800,0300,RAW FOOD 124081,A81000B,00900,0300,LINEN 124081,A81000B,00901,0300,MINOR EQUIPMENT 124081,A81000B,00902,0300,DIETARY SUPPLIES 124081,A81000B,00903,0300,HOUSEKEEPING SUPPLIES 124081,A81000B,00904,0300,HOME OFFICE 124081,A81000C,00100,0100,A 124081,A81000C,00100,0200,JOHN R. CHAPMAN 124081,A81000C,00100,0400,HORSESHOE FOODS 124081,A81000C,00100,0600,FOOD STORE 124081,A81000C,00200,0100,A 124081,A81000C,00200,0200,JOHN R. CHAPMAN 124081,A81000C,00200,0400,PHARMACY CARE A 124081,A81000C,00200,0600,PHARMACY 124081,A81000C,00300,0100,A 124081,A81000C,00300,0200,JOHN R. CHAPMAN 124081,A81000C,00300,0400,PRIME HEALTHCAR 124081,A81000C,00300,0600,MANAGEMENT 124081,A81000C,00400,0100,A 124081,A81000C,00400,0200,ARCHIE CHAPMAN 124081,A81000C,00400,0400,MEDCO 124081,A81000C,00400,0600,SUPPLIES 124081,A81000C,00500,0100,A 124081,A81000C,00500,0200,ARCHIE CHAPMAN 124081,A81000C,00500,0400,PHARMACY CARE A 124081,A81000C,00500,0600,PHARMACY 124081,A81000C,00600,0100,A 124081,A81000C,00600,0200,ARCHIE CHAPMAN 124081,A81000C,00600,0400,PRIME HEALTHCAR 124081,A81000C,00600,0600,MANAGEMENT 124081,B100000,00000,0100,0100PATIENT DAYS CAP REL COSTS - B 124081,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 124081,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 124081,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 124081,B100000,00000,0500,0500PATIENT DAYS PLANT OPERATION 124081,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 124081,B100000,00000,0700,0700PATIENT DAYS HOUSEKEEPING 124081,B100000,00000,0800,0800MEALS SERVED DIETARY 124081,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 124081,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 124081,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 124081,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 124081,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 124081,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 124081,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 124081,S000000,00100,0200,11/30/00 124081,S200000,00100,0100,300 COLUMBUS STREET 124081,S200000,00200,0100,DADEVILLE 124081,S200000,00200,0200,MA 124081,S200000,00300,0100,TALLAPOOSA 124081,S200000,00300,0300,R 124081,S200000,00400,0100,DADEVILLE HEALTH CARE 124081,S200000,00400,0200,015218 124081,S200000,00400,0300,01/01/87 124081,S200000,00400,0500,P 124081,S200000,00400,0600,N 124081,S200000,01500,0100,Y 124081,S200000,01600,0100,N 124081,S200000,01700,0100,N 124081,S200000,01800,0100,N 124081,S200000,02200,0100,N 124081,S200000,02800,0100,N 124081,S200000,02900,0100,N 124081,S200000,03000,0100,N 124081,S200000,03100,0100,N 124081,S200000,03200,0100,N 124081,S200000,03300,0100,N 124081,S200000,03300,0200,N 124081,S200000,04100,0100,N 124081,S200000,04200,0100,N 124081,S200000,04300,0100,N 124081,S200000,04600,0100,N 124081,S200000,04700,0100,N 124081,S200000,04900,0100,N 124081,S700003,00000,0400,X 124085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124085,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124085,A000000,00300,0000,0300EMPLOYEE BENEFITS 124085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124085,A000000,00700,0000,0700HOUSEKEEPING 124085,A000000,00800,0000,0800DIETARY 124085,A000000,00900,0000,0900NURSING ADMINISTRATION 124085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124085,A000000,01100,0000,1100PHARMACY 124085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124085,A000000,01300,0000,1300SOCIAL SERVICE 124085,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124085,A000000,01600,0000,1600SKILLED NURSING FACILITY 124085,A000000,01800,0000,1800NURSING FACILITY 124085,A000000,01810,0000,1810ICF/MR 124085,A000000,02100,0000,2100RADIOLOGY 124085,A000000,02200,0000,2200LABORATORY 124085,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124085,A000000,02500,0000,2500PHYSICAL THERAPY 124085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124085,A000000,02700,0000,2700SPEECH PATHOLOGY 124085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124085,A000000,03550,0000,3550FQHC 124085,A000000,05000,0000,5000CORF 124085,A000000,05010,0000,5010CMHC 124085,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124085,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124085,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124085,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124085,A81000A,00100,0100,N 124085,B100000,00000,0100,0100SQUARE FEET 124085,B100000,00000,0200,0200SQUARE FEET 124085,B100000,00000,0300,0300GROSS SALARIES 124085,B100000,00000,0400,0400ACCUM. COST 124085,B100000,00000,0500,0500SQUARE FEET 124085,B100000,00000,0600,0600POUNDS OF LAUNDRY 124085,B100000,00000,0700,0700SQUARE FEET 124085,B100000,00000,0800,0800MEALS SERVED 124085,B100000,00000,0900,0900DIRECT NRSING HRS 124085,B100000,00000,1000,1000COSTED REQUIS. 124085,B100000,00000,1100,1100COSTED REQUIS. 124085,B100000,00000,1200,1200TIME SPENT 124085,B100000,00000,1300,1300PATIENT DAYS 124085,B100000,00000,1400,1400ASSIGNED TIME 124085,S000000,00100,0200,12/05/00 124085,S200000,00100,0100,1001 EAST PARK STREET 124085,S200000,00100,0300,1126 124085,S200000,00200,0100,CARLISLE 124085,S200000,00200,0200,AR 124085,S200000,00200,0300,72024 124085,S200000,00300,0100,L 124085,S200000,00300,0200,4400 124085,S200000,00300,0300,U 124085,S200000,00400,0100,CHAMBERS NURSING HOME 124085,S200000,00400,0200,045318 124085,S200000,00400,0300,12/31/96 124085,S200000,00400,0500,P 124085,S200000,01500,0100,N 124085,S200000,01600,0100,Y 124085,S200000,01700,0100,N 124085,S200000,01800,0100,N 124085,S200000,02200,0100,N 124085,S200000,02800,0100,N 124085,S200000,02900,0100,N 124085,S200000,03000,0100,N 124085,S200000,03100,0100,N 124085,S200000,03200,0100,N 124085,S200000,03300,0100,N 124085,S200000,03300,0200,N 124085,S200000,04100,0100,N 124085,S200000,04200,0100,N 124085,S200000,04300,0100,N 124085,S200000,04600,0100,N 124085,S200000,04700,0100,N 124085,S200000,04700,0200,N 124085,S200000,04900,0100,N 124217,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124217,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124217,A000000,00300,0000,0300EMPLOYEE BENEFITS 124217,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124217,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124217,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124217,A000000,00700,0000,0700HOUSEKEEPING 124217,A000000,00800,0000,0800DIETARY 124217,A000000,00900,0000,0900NURSING ADMINISTRATION 124217,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124217,A000000,01100,0000,1100PHARMACY 124217,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124217,A000000,01300,0000,1300SOCIAL SERVICE 124217,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124217,A000000,01600,0000,1600SKILLED NURSING FACILITY 124217,A000000,01810,0000,1810ICF/MR 124217,A000000,02100,0000,2100RADIOLOGY 124217,A000000,02200,0000,2200LABORATORY 124217,A000000,02500,0000,2500PHYSICAL THERAPY 124217,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124217,A000000,02700,0000,2700SPEECH PATHOLOGY 124217,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124217,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124217,A000000,03550,0000,3550FQHC 124217,A000000,05000,0000,5000CORF 124217,A000000,05010,0000,5010CMHC 124217,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124217,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124217,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124217,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124217,A81000A,00100,0100,N 124217,B100000,00000,0100,0100SQUARE FEET 124217,B100000,00000,0200,0200SQUARE FEET 124217,B100000,00000,0300,0300GROSS SALARIES 124217,B100000,00000,0400,0400ACCUM COST 124217,B100000,00000,0500,0500SQUARE FEET 124217,B100000,00000,0600,0600PATIENT DAYS 124217,B100000,00000,0700,0700SQUARE FEET 124217,B100000,00000,0800,0800PATIENT DAYS 124217,B100000,00000,0900,0900PATIENT DAYS 124217,B100000,00000,1000,1000PATIENT DAYS 124217,B100000,00000,1100,1100COSTED REQUIS 124217,B100000,00000,1200,1200PATIENT DAYS 124217,B100000,00000,1300,1300PATIENT DAYS 124217,B100000,00000,1400,1400ASSIGNED TIME 124217,S000000,00100,0200,11/08/00 124217,S200000,00300,0200,6200 124217,S200000,00300,0300,U 124217,S200000,00400,0100,KIVEL CARE CENTER 124217,S200000,00400,0200,035161 124217,S200000,00400,0300,07/01/85 124217,S200000,00400,0500,P 124217,S200000,01500,0100,Y 124217,S200000,01600,0100,N 124217,S200000,01700,0100,N 124217,S200000,01800,0100,N 124217,S200000,02200,0100,N 124217,S200000,02800,0100,N 124217,S200000,02900,0100,N 124217,S200000,03000,0100,N 124217,S200000,03100,0100,N 124217,S200000,03200,0100,N 124217,S200000,03300,0100,N 124217,S200000,03300,0200,N 124217,S200000,04100,0100,N 124217,S200000,04200,0100,N 124217,S200000,04300,0100,N 124217,S200000,04600,0100,N 124217,S200000,04700,0100,N 124217,S200000,04900,0100,N 124223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124223,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124223,A000000,00300,0000,0300EMPLOYEE BENEFITS 124223,A000000,00301,0000,0301COMMUNICATIONS 124223,A000000,00302,0000,0302DATA PROCESSING 124223,A000000,00303,0000,0303PURCHASING 124223,A000000,00304,0000,0304ADMITTING 124223,A000000,00305,0000,0305BUSINESS OFFICE 124223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124223,A000000,00700,0000,0700HOUSEKEEPING 124223,A000000,00800,0000,0800DIETARY 124223,A000000,00801,0000,0801CAFETERIA 124223,A000000,00900,0000,0900NURSING ADMINISTRATION 124223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124223,A000000,01100,0000,1100PHARMACY 124223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124223,A000000,01300,0000,1300SOCIAL SERVICE 124223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124223,A000000,01600,0000,1600SKILLED NURSING FACILITY 124223,A000000,01800,0000,1800NURSING FACILITY 124223,A000000,01810,0000,1810ICF/MR 124223,A000000,02100,0000,2100RADIOLOGY 124223,A000000,02200,0000,2200LABORATORY 124223,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124223,A000000,02500,0000,2500PHYSICAL THERAPY 124223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124223,A000000,02700,0000,2700SPEECH PATHOLOGY 124223,A000000,02800,0000,2800ELECTROCARDIOLOGY 124223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124223,A000000,03550,0000,3550FQHC 124223,A000000,05000,0000,5000CORF 124223,A000000,05010,0000,5010CMHC 124223,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124223,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124223,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124223,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124223,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124223,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124223,A000000,06001,0000,6001CRV ADULT DAYCARE 124223,A000000,06002,0000,6002APTS CLF 124223,A81000A,00100,0100,Y 124223,A81000B,00100,0300,HUMAN RESOURCES 124223,A81000B,00200,0300,DATA PROCESSING 124223,A81000B,00300,0300,PBH ADMIN 124223,A81000B,00400,0300,CRV ADMIN 124223,A81000C,00100,0100,B 124223,A81000C,00100,0400,BAPTIST HOSP & HEALT 124223,A81000C,00100,0600,HEALTHCARE 124223,A81000C,00200,0100,G 124223,A81000C,00200,0400,BAPTITST HOSPITAL 124223,A81000C,00200,0600,HOSPITAL 124223,B100000,00000,0100,0100SQUARE FEET 124223,B100000,00000,0200,0200SQUARE FEET 124223,B100000,00000,0300,0300GROSS SALARIES 124223,B100000,00000,0301,0301PHONES 124223,B100000,00000,0302,0302D.P. TIME 124223,B100000,00000,0303,0303SUPPLY COSTS 124223,B100000,00000,0304,0304GROSS REVENUE 124223,B100000,00000,0305,0305GROSS REVENUE 124223,B100000,00000,0400,0400ACCUM. COST 124223,B100000,00000,0500,0500SQUARE FEET 124223,B100000,00000,0600,0600POUNDS OF LAUNDRY 124223,B100000,00000,0700,0700SQUARE FEET 124223,B100000,00000,0800,0800MEALS SERVED 124223,B100000,00000,0801,0801# OF F.T.E.S 124223,B100000,00000,0900,0900DIRECT NRSING HRS 124223,B100000,00000,1000,1000COSTED REQUIS. 124223,B100000,00000,1100,1100COSTED REQUIS. 124223,B100000,00000,1200,1200TIME SPENT 124223,B100000,00000,1300,1300PATIENT DAYS 124223,B100000,00000,1400,1400ASSIGNED TIME 124223,E10A180,00301,0100,03/28/00 124223,E10A180,00302,0100,10/09/00 124223,S000000,00100,0200,01/12/01 124223,S200000,00100,0100,6246 NORTH 19TH AVENUE 124223,S200000,00200,0100,PHOENIX 124223,S200000,00200,0200,AZ 124223,S200000,00200,0300,85015 124223,S200000,00300,0100,MARICOPA 124223,S200000,00300,0200,6200 124223,S200000,00300,0300,U 124223,S200000,00400,0100,CHRIS RIDGE VILLAGE 124223,S200000,00400,0200,035116 124223,S200000,00400,0300,09/19/85 124223,S200000,00400,0500,P 124223,S200000,01500,0100,N 124223,S200000,01600,0100,Y 124223,S200000,01700,0100,N 124223,S200000,01800,0100,N 124223,S200000,01900,0100,HEALTH SYSTEM CHAIN 124223,S200000,02200,0100,N 124223,S200000,02800,0100,N 124223,S200000,02900,0100,N 124223,S200000,03000,0100,N 124223,S200000,03100,0100,N 124223,S200000,03200,0100,N 124223,S200000,03300,0100,N 124223,S200000,03300,0200,N 124223,S200000,04100,0100,N 124223,S200000,04200,0100,N 124223,S200000,04300,0100,N 124223,S200000,04600,0100,N 124223,S200000,04700,0100,N 124223,S200000,04700,0200,N 124223,S200000,04900,0100,N 124244,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124244,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124244,A000000,00300,0000,0300EMPLOYEE BENEFITS 124244,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124244,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124244,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124244,A000000,00700,0000,0700HOUSEKEEPING 124244,A000000,00800,0000,0800DIETARY 124244,A000000,00900,0000,0900NURSING ADMINISTRATION 124244,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124244,A000000,01100,0000,1100PHARMACY 124244,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124244,A000000,01300,0000,1300SOCIAL SERVICE 124244,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124244,A000000,01500,0000,1350RECREATION 124244,A000000,01600,0000,1600SKILLED NURSING FACILITY 124244,A000000,01810,0000,1810ICF/MR 124244,A000000,02100,0000,2100RADIOLOGY 124244,A000000,02200,0000,2200LABORATORY 124244,A000000,02500,0000,2500PHYSICAL THERAPY 124244,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124244,A000000,02700,0000,2700SPEECH PATHOLOGY 124244,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124244,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124244,A000000,03550,0000,3550FQHC 124244,A000000,04800,0000,4800AMBULANCE 124244,A000000,05000,0000,5000CORF 124244,A000000,05010,0000,5010CMHC 124244,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124244,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124244,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124244,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124244,A81000A,00100,0100,Y 124244,A81000B,00100,0300,REMOVE H/O COSTS 124244,A81000B,00200,0300,REMOVE H/O COSTS 124244,A81000B,00300,0300,REMOVE H/O COSTS 124244,A81000B,00400,0300,REMOVE H/O COSTS 124244,A81000B,00500,0300,REMOVE H/O COSTS 124244,A81000C,00100,0100,A 124244,A81000C,00200,0100,A 124244,A81000C,00200,0200,HERBERT KALLEN 124244,A81000C,00200,0400,FINANCIAL CONSU 124244,A81000C,00200,0600,FINANCIAL CONSU 124244,A81000C,00300,0100,A 124244,A81000C,00400,0100,A 124244,A81000C,00500,0100,A 124244,A81000C,00500,0200,LENORE KALLEN 124244,A81000C,00500,0400,HERLEE INC. 124244,A81000C,00500,0600,HOME OFFICE 124244,B100000,00000,0100,0100SQUARE FEET 124244,B100000,00000,0200,0200SQUARE FEET 124244,B100000,00000,0300,0300GROSS SALARIES 124244,B100000,00000,0400,0400ACCUM COST 124244,B100000,00000,0500,0500SQUARE FEET 124244,B100000,00000,0600,0600PATIENT DAYS 124244,B100000,00000,0700,0700SQUARE FEET 124244,B100000,00000,0800,0800MEALS SERVED 124244,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 124244,B100000,00000,1000,1000COSTED REQUIS 124244,B100000,00000,1100,1100COSTED REQUISITIO 124244,B100000,00000,1200,1200TIME SPENT 124244,B100000,00000,1300,1300TIME SPENT 124244,B100000,00000,1400,1400ASSIGNED TIME 124244,B100000,00000,1500,1350PATIENT DAYS 124244,E10A180,00501,0300,11/27/01 124244,E10A180,00550,0300,04/26/00 124244,E10A180,00551,0100,11/27/01 124244,S000000,00100,0200,04/17/00 124244,S200000,00100,0100,93 WEST TOWN STREET 124244,S200000,00200,0100,NORWICHTOWN 124244,S200000,00200,0200,CT 124244,S200000,00200,0300,06360 124244,S200000,00300,0100,NEW LONDON 124244,S200000,00300,0200,5523 124244,S200000,00300,0300,U 124244,S200000,00400,0100,NORWICHTOWN CONV. HOME INC. 124244,S200000,00400,0200,075079 124244,S200000,00400,0300,01/01/67 124244,S200000,00400,0500,P 124244,S200000,01500,0100,Y 124244,S200000,01600,0100,N 124244,S200000,01700,0100,N 124244,S200000,01800,0100,N 124244,S200000,02200,0100,N 124244,S200000,02800,0100,N 124244,S200000,02900,0100,N 124244,S200000,03000,0100,N 124244,S200000,03100,0100,N 124244,S200000,03200,0100,N 124244,S200000,03300,0100,N 124244,S200000,03300,0200,N 124244,S200000,04100,0100,N 124244,S200000,04200,0100,N 124244,S200000,04300,0100,N 124244,S200000,04600,0100,N 124244,S200000,04700,0100,N 124244,S200000,04900,0100,N 124244,S200000,05200,0100,N 124245,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124245,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124245,A000000,00300,0000,0300EMPLOYEE BENEFITS 124245,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124245,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124245,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124245,A000000,00700,0000,0700HOUSEKEEPING 124245,A000000,00800,0000,0800DIETARY 124245,A000000,00900,0000,0900NURSING ADMINISTRATION 124245,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124245,A000000,01100,0000,1100PHARMACY 124245,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124245,A000000,01300,0000,1300SOCIAL SERVICE 124245,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124245,A000000,01500,0000,1350RECREATION 124245,A000000,01600,0000,1600SKILLED NURSING FACILITY 124245,A000000,01810,0000,1810ICF/MR 124245,A000000,01900,0000,1900OTHER LONG TERM CARE 124245,A000000,02500,0000,2500PHYSICAL THERAPY 124245,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124245,A000000,02700,0000,2700SPEECH PATHOLOGY 124245,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124245,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124245,A000000,03550,0000,3550FQHC 124245,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124245,A000000,05000,0000,5000CORF 124245,A000000,05010,0000,5010CMHC 124245,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124245,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124245,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124245,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124245,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124245,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124245,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124245,A81000A,00100,0100,Y 124245,A81000B,00100,0300,RENT 124245,A81000B,00200,0300,INTEREST EXPENSE 124245,A81000B,00300,0300,DEPRECIATION 124245,A81000B,00400,0300,REAL ESTATE 124245,A81000C,00100,0100,B 124245,A81000C,00100,0400,CRUESS REALTY INC 124245,A81000C,00100,0600,REALTY 124245,B100000,00000,0100,0100SQUARE FEET 124245,B100000,00000,0200,0200SQUARE FEET 124245,B100000,00000,0300,0300GROSS SALARIES 124245,B100000,00000,0400,0400ACCUM. COST 124245,B100000,00000,0500,0500SQUARE FEET 124245,B100000,00000,0600,0600PATIENT DAYS 124245,B100000,00000,0700,0700SQUARE FEET 124245,B100000,00000,0800,0800PATIENT DAYS 124245,B100000,00000,0900,0900PATIENT DAYS 124245,B100000,00000,1000,1000COSTED REQUIS 124245,B100000,00000,1100,1100COSTED REQUIS 124245,B100000,00000,1200,1200TIME SPENT 124245,B100000,00000,1300,1300PATIENT DAYS 124245,B100000,00000,1400,1400ASSIGNED TIME 124245,B100000,00000,1500,1350PATIENT DAYS 124245,S000000,00100,0200,06/09/00 124245,S200000,00100,0100,71 PLAZA AVENUE 124245,S200000,00200,0100,WATERBURY 124245,S200000,00200,0200,CT 124245,S200000,00300,0100,NEW HAVEN 124245,S200000,00300,0200,5483 124245,S200000,00300,0300,U 124245,S200000,00400,0100,OAKCLIFF CONVALESCENT HOME 124245,S200000,00400,0200,075097 124245,S200000,00400,0300,01/01/67 124245,S200000,00400,0500,P 124245,S200000,01500,0100,Y 124245,S200000,01600,0100,N 124245,S200000,01700,0100,N 124245,S200000,01800,0100,N 124245,S200000,02200,0100,N 124245,S200000,02800,0100,N 124245,S200000,02900,0100,N 124245,S200000,03000,0100,N 124245,S200000,03100,0100,N 124245,S200000,03200,0100,N 124245,S200000,03300,0100,N 124245,S200000,03300,0200,N 124245,S200000,03600,0200,N 124245,S200000,04100,0100,N 124245,S200000,04200,0100,N 124245,S200000,04300,0100,N 124245,S200000,04600,0100,N 124245,S200000,04700,0100,N 124245,S200000,04900,0100,N 124245,S200000,05200,0100,N 124246,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124246,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124246,A000000,00300,0000,0300EMPLOYEE BENEFITS 124246,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124246,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124246,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124246,A000000,00700,0000,0700HOUSEKEEPING 124246,A000000,00800,0000,0800DIETARY 124246,A000000,00900,0000,0900NURSING ADMINISTRATION 124246,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124246,A000000,01100,0000,1100PHARMACY 124246,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124246,A000000,01300,0000,1300SOCIAL SERVICE 124246,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124246,A000000,01500,0000,1350OTHER GENERAL SERVICES 124246,A000000,01501,0000,1351RECREATION 124246,A000000,01600,0000,1600SKILLED NURSING FACILITY 124246,A000000,01800,0000,1800NURSING FACILITY 124246,A000000,01810,0000,1810ICF/MR 124246,A000000,02100,0000,2100RADIOLOGY 124246,A000000,02200,0000,2200LABORATORY 124246,A000000,02300,0000,2300INTRAVENOUS THERAPY 124246,A000000,02500,0000,2500PHYSICAL THERAPY 124246,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124246,A000000,02700,0000,2700SPEECH PATHOLOGY 124246,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124246,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124246,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124246,A000000,03301,0000,3051CLINITRON THERAPY 124246,A000000,03550,0000,3550FQHC 124246,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124246,A000000,05000,0000,5000CORF 124246,A000000,05010,0000,5010CMHC 124246,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124246,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124246,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124246,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124246,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124246,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124246,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124246,A81000A,00100,0100,Y 124246,A81000B,00100,0300,OFFICE 124246,A81000C,00100,0100,A 124246,A81000C,00100,0200,M.OSTREICHER 124246,A81000C,00100,0400,NATIONAL HEALTH CARE 124246,A81000C,00100,0600,BOOKKEEPING 124246,B100000,00000,0100,0100SQUARE FEET 124246,B100000,00000,0200,0200DOLLAR VALUE 124246,B100000,00000,0300,0300GROSS SALARIES 124246,B100000,00000,0400,0400ACCUM. COST 124246,B100000,00000,0500,0500SQUARE FEET 124246,B100000,00000,0600,0600POUNDS OF LAUNDRY 124246,B100000,00000,0700,0700HOURS OF SERVICE 124246,B100000,00000,0800,0800MEALS SERVED 124246,B100000,00000,0900,0900HOURS OF SERVICE 124246,B100000,00000,1000,1000CENSUS 124246,B100000,00000,1100,1100COSTED REQUIS. 124246,B100000,00000,1200,1200TIME SPENT 124246,B100000,00000,1300,1300TIME SPENT 124246,B100000,00000,1400,1400TIME SPENT 124246,B100000,00000,1500,1350NO STATISTICS 124246,B100000,00000,1501,1351PARTICIPAN N 124246,S000000,00100,0200,05/30/00 124246,S200000,00100,0100,870 BURNSIDE AVENUE 124246,S200000,00200,0100,EAST HARTFORD 124246,S200000,00200,0200,CT 124246,S200000,00300,0100,HARTFORD 124246,S200000,00300,0200,3283 124246,S200000,00300,0300,U 124246,S200000,00400,0100,STERLING MANOR INC. 124246,S200000,00400,0200,075229 124246,S200000,00400,0300,10/01/74 124246,S200000,00400,0500,P 124246,S200000,01500,0100,Y 124246,S200000,01600,0100,N 124246,S200000,01700,0100,N 124246,S200000,01800,0100,N 124246,S200000,02200,0100,N 124246,S200000,02800,0100,N 124246,S200000,02900,0100,N 124246,S200000,03000,0100,N 124246,S200000,03100,0100,N 124246,S200000,03200,0100,N 124246,S200000,03300,0100,N 124246,S200000,03300,0200,N 124246,S200000,04100,0100,N 124246,S200000,04200,0100,N 124246,S200000,04300,0100,N 124246,S200000,04600,0100,N 124246,S200000,04700,0100,N 124246,S200000,04900,0100,N 124247,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124247,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124247,A000000,00300,0000,0300EMPLOYEE BENEFITS 124247,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124247,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124247,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124247,A000000,00700,0000,0700HOUSEKEEPING 124247,A000000,00800,0000,0800DIETARY 124247,A000000,00900,0000,0900NURSING ADMINISTRATION 124247,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124247,A000000,01100,0000,1100PHARMACY 124247,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124247,A000000,01300,0000,1300SOCIAL SERVICE 124247,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124247,A000000,01500,0000,1350ACTIVITIES PROGRAM 124247,A000000,01600,0000,1600SKILLED NURSING FACILITY 124247,A000000,01810,0000,1810ICF/MR 124247,A000000,02100,0000,2100RADIOLOGY 124247,A000000,02200,0000,2200LABORATORY 124247,A000000,02500,0000,2500PHYSICAL THERAPY 124247,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124247,A000000,02700,0000,2700SPEECH PATHOLOGY 124247,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124247,A000000,03550,0000,3550FQHC 124247,A000000,05000,0000,5000CORF 124247,A000000,05010,0000,5010CMHC 124247,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124247,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124247,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124247,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124247,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124247,A000000,06300,0000,6150DENTAL 124247,A81000A,00100,0100,Y 124247,A81000B,00100,0300,RENT 124247,A81000B,00200,0300,DEPRECIATION 124247,A81000B,00300,0300,REAL ESTATE TAXES 124247,A81000B,00400,0300,LEGAL FEES 124247,A81000B,00500,0300,ACCOUNTING FEES 124247,A81000C,00100,0100,A 124247,A81000C,00100,0200,ANTHONY SALERNO 124247,A81000C,00100,0400,NORTONIAN PROPE 124247,A81000C,00100,0600,REALTY 124247,A81000C,00200,0100,A 124247,A81000C,00200,0200,HARRY SATIN 124247,A81000C,00200,0400,NORTONIAN PROPE 124247,A81000C,00200,0600,REALTY 124247,A81000C,00300,0100,A 124247,A81000C,00300,0200,JEFFREY SUNSHIN 124247,A81000C,00300,0400,NORTONIAN PROPE 124247,A81000C,00300,0600,REALTY 124247,A81000C,00400,0100,A 124247,A81000C,00400,0200,PATRICK DONNELL 124247,A81000C,00400,0400,NORTONIAN PROPE 124247,A81000C,00400,0600,REALTY 124247,A81000C,00500,0100,A 124247,A81000C,00500,0200,LOWELL FELDMAN 124247,A81000C,00500,0400,NORTONIAN PROPE 124247,A81000C,00500,0600,REALTY 124247,A81000C,00600,0100,A 124247,A81000C,00600,0200,JOEL MORRIS 124247,A81000C,00600,0400,NORTONIAN PROPE 124247,A81000C,00600,0600,REALTY 124247,A81000C,00700,0100,A 124247,A81000C,00700,0200,LORRAINE SALMON 124247,A81000C,00700,0400,NORTONIAN PROPE 124247,A81000C,00700,0600,REALTY 124247,A81000C,00800,0100,A 124247,A81000C,00800,0200,MARY JANE BLANE 124247,A81000C,00800,0400,NORTONIAN PROPE 124247,A81000C,00800,0600,REALTY 124247,B100000,00000,0100,0100SQUARE FEET 124247,B100000,00000,0200,0200SQUARE FEET 124247,B100000,00000,0300,0300GROSS SALARIES 124247,B100000,00000,0400,0400ACCUM COST 124247,B100000,00000,0500,0500SQUARE FEET 124247,B100000,00000,0600,0600POUNDS OF LAUNDRY 124247,B100000,00000,0700,0700HOURS OF SERVICE 124247,B100000,00000,0800,0800MEALS SERVED 124247,B100000,00000,0900,0900DIRECT NRSG HRS 124247,B100000,00000,1000,1000COSTED REQUIS 124247,B100000,00000,1100,1100COSTED REQUIS 124247,B100000,00000,1200,1200TIME SPENT 124247,B100000,00000,1300,1300TIME SPENT 124247,B100000,00000,1400,1400ASSIGNED TIME 124247,B100000,00000,1500,1350NUMBER OF PARTCPANTS 124247,S000000,00100,0200,06/09/00 124247,S200000,00100,0100,1335 PORTLAND AVENUE 124247,S200000,00200,0100,ROCHESTER 124247,S200000,00200,0200,NY 124247,S200000,00200,0300,14621 124247,S200000,00300,0100,MONROE 124247,S200000,00300,0200,6840 124247,S200000,00300,0300,U 124247,S200000,00400,0100,JENNIFER MATTHEW NURSING & REHAB CTR 124247,S200000,00400,0200,335439 124247,S200000,00400,0300,03/25/99 124247,S200000,00400,0500,P 124247,S200000,00400,0600,O 124247,S200000,01500,0100,Y 124247,S200000,01600,0100,N 124247,S200000,01700,0100,N 124247,S200000,01800,0100,N 124247,S200000,02200,0100,N 124247,S200000,02800,0100,N 124247,S200000,02900,0100,N 124247,S200000,03000,0100,N 124247,S200000,03100,0100,N 124247,S200000,03200,0100,N 124247,S200000,03300,0100,N 124247,S200000,03300,0200,N 124247,S200000,04100,0100,N 124247,S200000,04200,0100,N 124247,S200000,04300,0100,Y 124247,S200000,04600,0100,N 124247,S200000,04700,0100,N 124247,S200000,04900,0100,N 124247,S200000,05200,0100,N 124252,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124252,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124252,A000000,00300,0000,0300EMPLOYEE BENEFITS 124252,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124252,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124252,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124252,A000000,00700,0000,0700HOUSEKEEPING 124252,A000000,00800,0000,0800DIETARY 124252,A000000,00900,0000,0900NURSING ADMINISTRATION 124252,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124252,A000000,01100,0000,1100PHARMACY 124252,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124252,A000000,01300,0000,1300SOCIAL SERVICE 124252,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124252,A000000,01600,0000,1600SKILLED NURSING FACILITY 124252,A000000,01810,0000,1810ICF/MR 124252,A000000,02100,0000,2100RADIOLOGY 124252,A000000,02200,0000,2200LABORATORY 124252,A000000,02500,0000,2500PHYSICAL THERAPY 124252,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124252,A000000,02700,0000,2700SPEECH PATHOLOGY 124252,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124252,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124252,A000000,03550,0000,3550FQHC 124252,A000000,05000,0000,5000CORF 124252,A000000,05010,0000,5010CMHC 124252,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124252,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124252,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124252,A000000,05300,0000,5300INTEREST EXPENSE 124252,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124252,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124252,A81000A,00100,0100,Y 124252,A81000B,00100,0300,BLDG LEASE 124252,A81000B,00200,0300,LAND LEASE 124252,A81000B,00300,0300,DEPRECIATION - BLDG 124252,A81000B,00400,0300,DEPRECIATION - MOVE 124252,A81000B,00500,0300,PROFESSIONAL FEES 124252,A81000B,00600,0300,MISCELLANEOUS 124252,A81000B,00700,0300,MANAGEMENT FEES 124252,A81000C,00100,0100,A 124252,A81000C,00100,0200,ALL PARTNERS 124252,A81000C,00100,0400,NORTONIAN LAND 124252,A81000C,00100,0600,LAND RENTAL 124252,A81000C,00200,0100,A 124252,A81000C,00200,0200,ALL PARTNERS 124252,A81000C,00200,0400,NORTONIAN PROPE 124252,A81000C,00200,0600,BUILDING RENTAL 124252,B100000,00000,0100,0100SQUARE FEET 124252,B100000,00000,0200,0200SQUARE FEET 124252,B100000,00000,0300,0300GROSS SALARIES 124252,B100000,00000,0400,0400ACCUM COST 124252,B100000,00000,0500,0500SQUARE FEET 124252,B100000,00000,0600,0600POUNDS OF LAUNDRY 124252,B100000,00000,0700,0700HOURS OF SERVICE 124252,B100000,00000,0800,0800MEALS SERVED 124252,B100000,00000,0900,0900DIRECT NRSG HRS 124252,B100000,00000,1000,1000COSTED REQUIS 124252,B100000,00000,1100,1100COSTED REQUIS 124252,B100000,00000,1200,1200TIME SPENT 124252,B100000,00000,1300,1300TIME SPENT 124252,B100000,00000,1400,1400ASSIGNED TIME 124252,E10A180,00350,0100,01/18/00 124252,S000000,00100,0200,09/18/00 124252,S200000,00100,0100,1335 PORTLAND AVENUE 124252,S200000,00200,0100,ROCHESTER 124252,S200000,00200,0200,NY 124252,S200000,00200,0300,14621 124252,S200000,00300,0100,MONROE 124252,S200000,00300,0200,6840 124252,S200000,00300,0300,U 124252,S200000,00400,0100,NORTONIAN NURSING HOME 124252,S200000,00400,0200,335439 124252,S200000,00400,0300,01/01/75 124252,S200000,00400,0500,P 124252,S200000,01500,0100,Y 124252,S200000,01600,0100,N 124252,S200000,01700,0100,N 124252,S200000,01800,0100,N 124252,S200000,02200,0100,N 124252,S200000,02800,0100,N 124252,S200000,02900,0100,N 124252,S200000,03000,0100,N 124252,S200000,03100,0100,N 124252,S200000,03200,0100,N 124252,S200000,03300,0100,N 124252,S200000,03300,0200,N 124252,S200000,04100,0100,N 124252,S200000,04200,0100,N 124252,S200000,04300,0100,N 124252,S200000,04600,0100,N 124252,S200000,04700,0100,N 124252,S200000,04900,0100,N 124252,S200000,05200,0100,N 124256,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124256,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 124256,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124256,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 124256,A000000,00300,0000,0300EMPLOYEE BENEFITS 124256,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124256,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124256,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124256,A000000,00700,0000,0700HOUSEKEEPING 124256,A000000,00800,0000,0800DIETARY 124256,A000000,00801,0000,0801CAFETERIA 124256,A000000,00900,0000,0900NURSING ADMINISTRATION 124256,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124256,A000000,01100,0000,1100PHARMACY 124256,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124256,A000000,01300,0000,1300SOCIAL SERVICE 124256,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124256,A000000,01500,0000,1350ACTIVITIES 124256,A000000,01600,0000,1600SKILLED NURSING FACILITY 124256,A000000,01810,0000,1810ICF/MR 124256,A000000,02100,0000,2100RADIOLOGY 124256,A000000,02200,0000,2200LABORATORY 124256,A000000,02500,0000,2500PHYSICAL THERAPY 124256,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124256,A000000,02700,0000,2700SPEECH PATHOLOGY 124256,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124256,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124256,A000000,03300,0000,3050PHYSICIANS 124256,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 124256,A000000,03302,0000,3052OTHER ANCILLARY III 124256,A000000,03550,0000,3550FQHC 124256,A000000,03600,0000,3450OUTPATIENT P.T. 124256,A000000,03601,0000,3451OUTPATIENT O.T. 124256,A000000,03602,0000,3452OUTPATIENT S.T. 124256,A000000,04800,0000,4800AMBULANCE 124256,A000000,05000,0000,5000CORF I 124256,A000000,05010,0000,5010CMHC I 124256,A000000,05020,0000,5020OPT I 124256,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124256,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124256,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124256,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 124256,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 124256,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124256,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124256,A81000A,00100,0100,Y 124256,A81000B,00100,0300,DEPREC/INTEREST/INS 124256,A81000B,00300,0300,ADMIN/FISCAL SERV 124256,A81000B,00400,0300,UTILITIES/MAINT EXP 124256,A81000C,00100,0100,F 124256,A81000C,00100,0200,NEIL M. CHUR 124256,A81000C,00100,0400,THE PARK ASSOC. 124256,A81000C,00100,0600,ADMIN FIN QA 124256,A81000C,00200,0100,A 124256,A81000C,00200,0200,BARBARA B. CHUR 124256,A81000C,00200,0400,PARK COLLECTION 124256,A81000C,00200,0600,WHOLESALE PURCH 124256,A81000C,00300,0100,F 124256,A81000C,00300,0200,NEIL M. CHUR 124256,A81000C,00300,0400,MAPLE ST PROP 124256,A81000C,00300,0600,REAL PROPERTY 124256,A81000C,00400,0100,A 124256,A81000C,00400,0200,BARBARA B. CHUR 124256,A81000C,00400,0400,MAPLE ST PROP 124256,A81000C,00400,0600,REAL PROPERTY 124256,A81000C,00500,0100,F 124256,A81000C,00500,0200,ELISABETH TEHAN 124256,A81000C,00500,0400,MAPLE ST PROP 124256,A81000C,00500,0600,REAL PROPERTY 124256,A81000C,00600,0100,F 124256,A81000C,00600,0200,NEIL M CHUR JR 124256,A81000C,00600,0400,MAPLE ST PROP 124256,A81000C,00600,0600,REAL PROPERTY 124256,B100000,00000,0100,0100(SQUARE FEET) 124256,B100000,00000,0101,0101(SQUARE FEET) 124256,B100000,00000,0200,0200(SQUARE FEET) 124256,B100000,00000,0201,0201(SQUARE FEET) 124256,B100000,00000,0300,0300(GROSS SALARIES) 124256,B100000,00000,0400,0400(ACCUM. COST) 124256,B100000,00000,0500,0500(SQUARE FEET) 124256,B100000,00000,0600,0600(PATIENT DAYS) 124256,B100000,00000,0700,0700(SQUARE FEET) 124256,B100000,00000,0800,0800(MEALS SERVED) 124256,B100000,00000,0801,0801(MEALS SERVED) 124256,B100000,00000,0900,0900(GROSS CHARGES) 124256,B100000,00000,1000,1000(COSTED REQUIS.) 124256,B100000,00000,1100,1100(COSTED REQUIS.) 124256,B100000,00000,1200,1200(TIME SPENT) 124256,B100000,00000,1300,1300(PATIENT DAYS) 124256,B100000,00000,1400,1400(ASSIGNED TIME) 124256,B100000,00000,1500,1350(PATIENT DAYS) 124256,E10A180,00301,0100,05/09/00 124256,E10A180,00350,0100,01/18/00 124256,S000000,00100,0200,06/05/00 124256,S200000,00100,0100,FIFTH AND MAPLE STREET 124256,S200000,00200,0100,ALLEHANY 124256,S200000,00200,0200,NY 124256,S200000,00200,0300,14706 124256,S200000,00300,0100,CATTARAUGUS 124256,S200000,00300,0200,0033 124256,S200000,00300,0300,R 124256,S200000,00400,0100,RIVER PARK HEALTH CARE CENTER 124256,S200000,00400,0200,335610 124256,S200000,00400,0300,08/28/93 124256,S200000,00400,0500,P 124256,S200000,01500,0100,Y 124256,S200000,01600,0100,N 124256,S200000,01700,0100,N 124256,S200000,01800,0100,N 124256,S200000,02200,0100,N 124256,S200000,02800,0100,N 124256,S200000,02900,0100,N 124256,S200000,03000,0100,N 124256,S200000,03100,0100,N 124256,S200000,03200,0100,N 124256,S200000,03300,0100,N 124256,S200000,03300,0200,N 124256,S200000,04200,0100,N 124256,S200000,04300,0100,Y 124256,S200000,04600,0100,N 124256,S200000,04700,0100,N 124256,S200000,05200,0100,N 124289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124289,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124289,A000000,00700,0000,0700HOUSEKEEPING 124289,A000000,00800,0000,0800DIETARY 124289,A000000,00900,0000,0900NURSING ADMINISTRATION 124289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124289,A000000,01001,0000,1001CENTRAL SERVICES & SUPPLY 124289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124289,A000000,01300,0000,1300SOCIAL SERVICE 124289,A000000,01600,0000,1600SKILLED NURSING FACILITY 124289,A000000,01800,0000,1800NURSING FACILITY 124289,A000000,02100,0000,2100RADIOLOGY 124289,A000000,02200,0000,2200LABORATORY 124289,A000000,02300,0000,2300INTRAVENOUS THERAPY 124289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124289,A000000,02500,0000,2500PHYSICAL THERAPY 124289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124289,A000000,02700,0000,2700SPEECH PATHOLOGY 124289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124289,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124289,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 124289,A000000,03302,0000,3052MEDICAL EQUIPMENT 124289,A000000,04800,0000,4800AMBULANCE 124289,A000000,05300,0000,5300INTEREST EXPENSE 124289,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124289,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124289,A000000,06200,0000,6200PATIENTS LAUNDRY 124289,A81000A,00100,0100,Y 124289,A81000B,00100,0300,HOME OFFICE A&G 124289,A81000B,00200,0300,HOME OFFICE CAPITAL 124289,A81000B,00300,0300,DIVISION OFFICE A&G 124289,A81000B,00400,0300,DIVISION OFFICE CAPITAL 124289,A81000B,00500,0300,INSURANCE 124289,A81000B,00600,0300,PHYSICAL THERAPY 124289,A81000B,00700,0300,OCCUPATIONAL THERAPY 124289,A81000B,00800,0300,SPEECH THERAPY 124289,A81000B,00900,0300,AIR FLUIDIZED THERAPY 124289,A81000C,00100,0100,B 124289,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 124289,A81000C,00200,0100,G 124289,A81000C,00200,0200,LAURIER INC. 124289,A81000C,00200,0400,EXTENDICARE INC. 124289,A81000C,00200,0600,INSURANCE 124289,A81000C,00300,0100,G 124289,A81000C,00300,0200,UNITED REHABILITATION SVS 124289,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 124289,A81000C,00300,0600,THERAPY SERVICE 124289,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124289,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124289,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124289,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124289,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124289,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 124289,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124289,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 124289,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124289,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 124289,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124289,E10A180,00301,0100,06/22/98 124289,E10A180,00301,0300,06/22/98 124289,E10A180,00350,0100,06/22/98 124289,E10A180,00350,0300,06/22/98 124289,S000000,00100,0200,06/02/00 124289,S200000,00100,0100,9393 PARK BOULEVARD 124289,S200000,00200,0100,SEMINOLE 124289,S200000,00200,0200,FL 124289,S200000,00200,0300,34647- 124289,S200000,00300,0100,PINELLAS 124289,S200000,00300,0200,8280 124289,S200000,00300,0300,U 124289,S200000,00400,0100,ARBORS AT ST. PETERSBURG 124289,S200000,00400,0200,105895 124289,S200000,00400,0300,11/03/95 124289,S200000,00400,0500,P 124289,S200000,01500,0100,N 124289,S200000,01600,0100,Y 124289,S200000,01700,0100,N 124289,S200000,01800,0100,N 124289,S200000,02200,0100,N 124289,S200000,02800,0100,N 124289,S200000,02900,0100,N 124289,S200000,03000,0100,N 124289,S200000,03100,0100,N 124289,S200000,03200,0100,N 124289,S200000,04100,0100,N 124289,S200000,04200,0100,N 124289,S200000,04300,0100,N 124289,S200000,04600,0100,N 124289,S200000,04700,0100,N 124289,S200000,04700,0200,N 124289,S200000,04900,0100,N 124289,S200000,05000,0100,N 124289,S200000,05100,0100,N 124289,S200000,05200,0100,N 124298,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124298,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124298,A000000,00300,0000,0300EMPLOYEE BENEFITS 124298,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124298,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124298,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124298,A000000,00700,0000,0700HOUSEKEEPING 124298,A000000,00800,0000,0800DIETARY 124298,A000000,00900,0000,0900NURSING ADMINISTRATION 124298,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124298,A000000,01100,0000,1100PHARMACY 124298,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124298,A000000,01300,0000,1300SOCIAL SERVICE 124298,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 124298,A000000,01600,0000,1600SKILLED NURSING FACILITY 124298,A000000,01800,0000,1800NURSING FACILITY 124298,A000000,01900,0000,1900OTHER LONG TERM CARE 124298,A000000,02100,0000,2100RADIOLOGY 124298,A000000,02200,0000,2200LABORATORY 124298,A000000,02300,0000,2300INTRAVENOUS THERAPY 124298,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124298,A000000,02500,0000,2500PHYSICAL THERAPY 124298,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124298,A000000,02700,0000,2700SPEECH PATHOLOGY 124298,A000000,02800,0000,2800ELECTROCARDIOLOGY 124298,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124298,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124298,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 124298,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 124298,A000000,04800,0000,4800AMBULANCE 124298,A000000,05000,0000,5000CORF 124298,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 124298,A000000,05300,0000,5300INTEREST EXPENSE 124298,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124298,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124298,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124298,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 124298,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124298,A000000,06100,0000,6100NONPAID WORKERS 124298,A000000,06200,0000,6200PATIENTS LAUNDRY 124298,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 124298,A81000A,00100,0100,N 124298,B100000,00000,0100,0100SQUARE FEET 124298,B100000,00000,0200,0200SQUARE FEET 124298,B100000,00000,0300,0300GROSS SALARIES 124298,B100000,00000,0400,0400ACCUM COST 124298,B100000,00000,0500,0500SQUARE FEET 124298,B100000,00000,0600,0600POUNDS OF LAUNDRY 124298,B100000,00000,0700,0700SQUARE FEET 124298,B100000,00000,0800,0800MEALS SERVED 124298,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 124298,B100000,00000,1000,1000HOURS OF SERVICE 124298,B100000,00000,1100,1100COSTED REQUISITIO 124298,B100000,00000,1200,1200TIME SPENT 124298,B100000,00000,1300,1300TIME SPENT 124298,B100000,00000,1500,1350 124298,E10A180,00501,0100,12/18/00 124298,S000000,00100,0200,10/31/00 124298,S200000,00100,0100,1250 FARROW RD 124298,S200000,00200,0100,MEMPHIS 124298,S200000,00200,0200,TN 124298,S200000,00200,0300,31116 124298,S200000,00300,0100,SHELBY 124298,S200000,00300,0300,U 124298,S200000,00400,0100,GRACELAND NURSING CENTER 124298,S200000,00400,0200,445331 124298,S200000,00400,0300,07/01/94 124298,S200000,00400,0500,P 124298,S200000,01500,0100,N 124298,S200000,01600,0100,Y 124298,S200000,01700,0100,N 124298,S200000,01800,0100,N 124298,S200000,02200,0100,N 124298,S200000,02800,0100,N 124298,S200000,02900,0100,N 124298,S200000,03000,0100,N 124298,S200000,03100,0100,N 124298,S200000,03200,0100,N 124298,S200000,03300,0100,N 124298,S200000,03300,0200,N 124298,S200000,04100,0100,N 124298,S200000,04200,0100,N 124298,S200000,04300,0100,N 124298,S200000,04600,0100,N 124298,S200000,04700,0100,N 124298,S200000,04900,0100,N 124377,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124377,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124377,A000000,00300,0000,0300EMPLOYEE BENEFITS 124377,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124377,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124377,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124377,A000000,00700,0000,0700HOUSEKEEPING 124377,A000000,00800,0000,0800DIETARY 124377,A000000,00900,0000,0900NURSING ADMINISTRATION 124377,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124377,A000000,01100,0000,1100PHARMACY 124377,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124377,A000000,01300,0000,1300SOCIAL SERVICE 124377,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124377,A000000,01500,0000,1350OTHER GENERAL SERVICES 124377,A000000,01600,0000,1600SKILLED NURSING FACILITY 124377,A000000,01800,0000,1800NURSING FACILITY 124377,A000000,01900,0000,1900OTHER LONG TERM CARE 124377,A000000,02100,0000,2100RADIOLOGY 124377,A000000,02200,0000,2200LABORATORY 124377,A000000,02300,0000,2300INTRAVENOUS THERAPY 124377,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124377,A000000,02500,0000,2500PHYSICAL THERAPY 124377,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124377,A000000,02700,0000,2700SPEECH PATHOLOGY 124377,A000000,02800,0000,2800ELECTROCARDIOLOGY 124377,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124377,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124377,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124377,A000000,03200,0000,3200SUPPORT SURFACES 124377,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124377,A000000,03400,0000,3400CLINIC 124377,A000000,03500,0000,3500RURAL HEALTH CLINIC 124377,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124377,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124377,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124377,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124377,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124377,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124377,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124377,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124377,A000000,04400,0000,4400DME RENTED - HHA 124377,A000000,04500,0000,4500DME SOLD - HHA 124377,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124377,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124377,A000000,04800,0000,4800AMBULANCE 124377,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 124377,A000000,05000,0000,5000CORF 124377,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124377,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124377,A000000,05300,0000,5300INTEREST EXPENSE 124377,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124377,A000000,05500,0000,5500HOSPICE 124377,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124377,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124377,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124377,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124377,A000000,06100,0000,6100NONPAID WORKERS 124377,A000000,06200,0000,6200PATIENTS LAUNDRY 124377,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124377,A81000A,00100,0100,Y 124377,A81000B,00100,0300,CONTRACTED PHYSICAL THERAPY 124377,A81000B,00200,0300,CONTRACTED OCCUPATIONAL THERAPY 124377,A81000B,00300,0300,CONTRACTED SPEECH THERAPY 124377,A81000B,00400,0300,NHA SALARIES 124377,A81000B,00500,0300,ASST. NHA SALARIES 124377,A81000B,00600,0300,DIRECTORS FEES 124377,A81000C,00100,0100,A 124377,A81000C,00100,0200,DAVIS W. KING 124377,A81000C,00100,0400,SOUTH GEORGIA REHAB 124377,A81000C,00100,0600,THERAPY PROVIDER 124377,A81000C,00200,0100,G 124377,A81000C,00200,0200,DONNA M. KING 124377,A81000C,00300,0100,G 124377,A81000C,00300,0200,JOHNNY DYKES 124377,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 124377,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 124377,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 124377,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 124377,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 124377,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 124377,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 124377,B100000,00000,0800,0800PATIENT DAYS DIETARY 124377,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 124377,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 124377,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 124377,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 124377,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 124377,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 124377,B100000,00000,1500,1500NO STATISTICS OTHER GENER 124377,S000000,00100,0200,03/02/01 124377,S200000,00100,0100,1904 PALMYRA ROAD 124377,S200000,00200,0100,ALBANY 124377,S200000,00200,0200,GA 124377,S200000,00200,0300,31701- 124377,S200000,00300,0100,DOUGHERTY 124377,S200000,00300,0200,0120 124377,S200000,00300,0300,U 124377,S200000,00400,0100,PALMYRA NURSING HOME INC. 124377,S200000,00400,0200,115628 124377,S200000,00400,0300,01/01/97 124377,S200000,00400,0500,P 124377,S200000,00400,0600,N 124377,S200000,01500,0100,Y 124377,S200000,01600,0100,N 124377,S200000,01700,0100,N 124377,S200000,01800,0100,N 124377,S200000,02200,0100,N 124377,S200000,02800,0100,N 124377,S200000,02900,0100,N 124377,S200000,03000,0100,N 124377,S200000,03100,0100,N 124377,S200000,03200,0100,N 124377,S200000,03300,0100,N 124377,S200000,03300,0200,N 124377,S200000,04100,0100,N 124377,S200000,04200,0100,N 124377,S200000,04300,0100,N 124377,S200000,04600,0100,N 124377,S200000,04700,0100,N 124377,S200000,04700,0200,N 124377,S200000,04900,0100,N 124377,S200000,05200,0100,N 124377,S700003,00000,0400,X 124389,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124389,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124389,A000000,00300,0000,0300EMPLOYEE BENEFITS 124389,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124389,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124389,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124389,A000000,00700,0000,0700HOUSEKEEPING 124389,A000000,00800,0000,0800DIETARY 124389,A000000,00900,0000,0900NURSING ADMINISTRATION 124389,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124389,A000000,01100,0000,1100PHARMACY 124389,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124389,A000000,01300,0000,1300SOCIAL SERVICE 124389,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124389,A000000,01500,0000,1350PATIENT ACTIVITIES 124389,A000000,01600,0000,1600SKILLED NURSING FACILITY 124389,A000000,01810,0000,1810ICF/MR 124389,A000000,01900,0000,1900OTHER LONG TERM CARE 124389,A000000,02200,0000,2200LABORATORY 124389,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124389,A000000,02500,0000,2500PHYSICAL THERAPY 124389,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124389,A000000,02700,0000,2700SPEECH PATHOLOGY 124389,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124389,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124389,A000000,03550,0000,3550FQHC 124389,A000000,05000,0000,5000CORF 124389,A000000,05010,0000,5010CMHC 124389,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124389,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124389,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124389,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124389,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124389,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124389,A81000A,00100,0100,Y 124389,A81000B,00100,0300,SECURITY 124389,A81000B,00200,0300,MEALS 124389,A81000B,00300,0300,DRUGS 124389,A81000B,00400,0300,LAUNDRY 124389,A81000B,00500,0300,MGMT&PHONE 124389,A81000C,00100,0100,B 124389,A81000C,00100,0400,MORIAL HOSPITAL 124389,A81000C,00100,0600,HOSPITAL 124389,A81000C,00200,0100,B 124389,A81000C,00200,0400,CAROMONT HEALTH 124389,A81000C,00200,0600,PARENT 124389,B100000,00000,0100,0100SQUARE FEET 124389,B100000,00000,0200,0200SQUARE FEE T 124389,B100000,00000,0300,0300GROSS SALA RIES 124389,B100000,00000,0400,0400ACCUM. COS T 124389,B100000,00000,0500,0500SQUARE FEE T 124389,B100000,00000,0600,0600POUNDS OF LAUNDRY 124389,B100000,00000,0700,0700SQUARE FEE T 124389,B100000,00000,0800,0800MEALS SERV ED 124389,B100000,00000,0900,0900DIRECT NRS ING HRS 124389,B100000,00000,1000,1000COSTED REQ UIS. 124389,B100000,00000,1100,1100COSTED REQ UIS. 124389,B100000,00000,1200,1200TIME SPENT 124389,B100000,00000,1300,1300TIME SPENT 124389,B100000,00000,1400,1400TIME SPENT 124389,B100000,00000,1500,1350ACCUM. COS T 124389,E10A180,00301,0100,05/22/00 124389,E10A180,00501,0100,06/06/01 124389,S000000,00100,0200,04/02/01 124389,S200000,00100,0100,2300 ABERDEEN BLVD. 124389,S200000,00200,0100,GASTONIA 124389,S200000,00200,0200,NC 124389,S200000,00200,0300,28054 124389,S200000,00300,0100,GASTON 124389,S200000,00300,0200,1520 124389,S200000,00300,0300,U 124389,S200000,00400,0100,COURTLAND TERRACE 124389,S200000,00400,0200,345350 124389,S200000,00400,0300,01/31/91 124389,S200000,00400,0500,P 124389,S200000,00400,0600,O 124389,S200000,01500,0100,N 124389,S200000,01600,0100,Y 124389,S200000,01700,0100,N 124389,S200000,01800,0100,N 124389,S200000,01900,0100,NONE 124389,S200000,02200,0100,Y 124389,S200000,02800,0100,N 124389,S200000,02900,0100,N 124389,S200000,03000,0100,N 124389,S200000,03100,0100,N 124389,S200000,03200,0100,N 124389,S200000,03300,0100,N 124389,S200000,03300,0200,N 124389,S200000,04100,0100,N 124389,S200000,04200,0100,N 124389,S200000,04300,0100,N 124389,S200000,04600,0100,N 124389,S200000,04700,0100,N 124389,S200000,04900,0100,N 124389,S200000,05200,0100,N 124400,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124400,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 124400,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124400,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 124400,A000000,00300,0000,0300EMPLOYEE BENEFITS 124400,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124400,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124400,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124400,A000000,00700,0000,0700HOUSEKEEPING 124400,A000000,00800,0000,0800DIETARY 124400,A000000,00801,0000,0801CAFETERIA 124400,A000000,00900,0000,0900NURSING ADMINISTRATION 124400,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124400,A000000,01100,0000,1100PHARMACY 124400,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124400,A000000,01300,0000,1300SOCIAL SERVICE 124400,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124400,A000000,01500,0000,1350ACTIVITIES 124400,A000000,01600,0000,1600SKILLED NURSING FACILITY 124400,A000000,01800,0000,1800NURSING FACILITY 124400,A000000,01810,0000,1810ICF/MR 124400,A000000,02100,0000,2100RADIOLOGY 124400,A000000,02200,0000,2200LABORATORY 124400,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124400,A000000,02500,0000,2500PHYSICAL THERAPY 124400,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124400,A000000,02700,0000,2700SPEECH PATHOLOGY 124400,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124400,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124400,A000000,03200,0000,3200SUPPORT SURFACES 124400,A000000,03300,0000,3050PEN THERAPY 124400,A000000,03301,0000,3051PROSTHETICS 124400,A000000,03302,0000,3052WOUND CARE 124400,A000000,03550,0000,3550FQHC 124400,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 124400,A000000,05000,0000,5000CORF I 124400,A000000,05010,0000,5010CMHC I 124400,A000000,05020,0000,5020OPT I 124400,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124400,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124400,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124400,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124400,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 124400,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 124400,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124400,A81000A,00100,0100,Y 124400,A81000B,00100,0300,MANAGEMENT FEES 124400,A81000B,00200,0300,NURSING SUPPLIES 124400,A81000B,00300,0300,LAGEND DRUGS 124400,A81000B,00400,0300,OTC 124400,A81000B,00500,0300,MED SUPPLIES 124400,A81000B,00600,0300,PHAR CONSULTANT 124400,A81000C,00100,0100,B 124400,A81000C,00100,0400,WHITE OAK MANOR 124400,A81000C,00100,0600,NSG HOME 124400,A81000C,00200,0100,B 124400,A81000C,00200,0400,WHITE OAK MANOR 124400,A81000C,00200,0600,PHARMACY 124400,B100000,00000,0100,0100(SQUARE FEET) 124400,B100000,00000,0101,0101(SQUARE FEET) 124400,B100000,00000,0200,0200(SQUARE FEET) 124400,B100000,00000,0201,0201(SQUARE FEET) 124400,B100000,00000,0300,0300(GROSS SALARIES) 124400,B100000,00000,0400,0400(ACCUM. COST) 124400,B100000,00000,0500,0500(SQUARE FEET) 124400,B100000,00000,0600,0600(PATIENT DAYS) 124400,B100000,00000,0700,0700(SQUARE FEET) 124400,B100000,00000,0800,0800(MEALS SERVED) 124400,B100000,00000,0801,0801(MEALS SERVED) 124400,B100000,00000,0900,0900(NURSING SALARIES) 124400,B100000,00000,1000,1000(PATIENT DAYS) 124400,B100000,00000,1100,1100(PATIENT DAYS) 124400,B100000,00000,1200,1200(PATIENT DAYS) 124400,B100000,00000,1300,1300(PATIENT DAYS) 124400,B100000,00000,1400,1400(ASSIGNED TIME) 124400,B100000,00000,1500,1350(PATIENT DAYS) 124400,E10A180,00501,0100,04/10/01 124400,E10A180,00501,0300,04/10/01 124400,S000000,00100,0200,03/09/01 124400,S200000,00100,0100,4009 CRAIG AVE 124400,S200000,00100,0300,220130 124400,S200000,00200,0100,CHARLOTTE 124400,S200000,00200,0200,NC 124400,S200000,00200,0300,28222-0130 124400,S200000,00300,0100,MECKLENBURG 124400,S200000,00300,0200,1520 124400,S200000,00300,0300,U 124400,S200000,00400,0100,WHITE OAK MANOR-CHARLOTTE 124400,S200000,00400,0200,345238 124400,S200000,00400,0300,11/15/83 124400,S200000,00400,0500,P 124400,S200000,01500,0100,N 124400,S200000,01600,0100,Y 124400,S200000,01700,0100,N 124400,S200000,01800,0100,N 124400,S200000,01900,0100,LIMITED LIABILITY CO 124400,S200000,02200,0100,Y 124400,S200000,02800,0100,N 124400,S200000,02900,0100,N 124400,S200000,03000,0100,N 124400,S200000,03100,0100,N 124400,S200000,03200,0100,N 124400,S200000,03300,0100,N 124400,S200000,03300,0200,N 124400,S200000,04100,0100,N 124400,S200000,04200,0100,N 124400,S200000,04300,0100,N 124400,S200000,04600,0100,N 124400,S200000,04700,0100,N 124400,S200000,04900,0100,N 124400,S200000,05200,0100,N 124430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124430,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124430,A000000,00300,0000,0300EMPLOYEE BENEFITS 124430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124430,A000000,00700,0000,0700HOUSEKEEPING 124430,A000000,00800,0000,0800DIETARY 124430,A000000,00900,0000,0900NURSING ADMINISTRATION 124430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124430,A000000,01100,0000,1100PHARMACY 124430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124430,A000000,01300,0000,1300SOCIAL SERVICE 124430,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124430,A000000,01600,0000,1600SKILLED NURSING FACILITY 124430,A000000,01800,0000,1800NURSING FACILITY 124430,A000000,01810,0000,1810ICF/MR 124430,A000000,02100,0000,2100RADIOLOGY 124430,A000000,02200,0000,2200LABORATORY 124430,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124430,A000000,02500,0000,2500PHYSICAL THERAPY 124430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124430,A000000,02700,0000,2700SPEECH PATHOLOGY 124430,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124430,A000000,03550,0000,3550FQHC 124430,A000000,05000,0000,5000CORF 124430,A000000,05010,0000,5010CMHC 124430,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124430,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124430,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124430,A000000,06200,0000,6200PATIENTS LAUNDRY 124430,A000000,06300,0000,6150PATIENT PERSONAL NEEDS 124430,A81000A,00100,0100,Y 124430,A81000B,00100,0300,SUPPLIES 124430,A81000B,00200,0300,SUPPLIES 124430,A81000B,00300,0300,SUPPLIES 124430,A81000B,00400,0300,SUPPLIES 124430,A81000B,00500,0300,SUPPLIES 124430,A81000B,00600,0300,SUPPLIES 124430,A81000B,00700,0300,SUPPLIES 124430,A81000B,00800,0300,SUPPLIES 124430,A81000B,00900,0300,SUPPLIES 124430,A81000B,01000,0300,SUPPLIES 124430,A81000B,01100,0300,HOME OFFICE COSTS 124430,A81000C,00100,0100,A 124430,A81000C,00100,0200,SEE HCFA 339 124430,A81000C,00100,0400,DELTA HLTH GROU 124430,A81000C,00100,0600,NRSG. HOME OPER 124430,A81000C,00200,0100,A 124430,A81000C,00200,0200,SEE HCFA 339 124430,A81000C,00200,0400,DELTA DURABLES 124430,A81000C,00200,0600,SUPPLIES 124430,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124430,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124430,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124430,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124430,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124430,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124430,B100000,00000,0800,0800MEALS SERVED :DIETARY 124430,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 124430,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124430,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 124430,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 124430,S000000,00100,0200,01/03/01 124430,S200000,00100,0100,103 RUBY LANE 124430,S200000,00200,0100,CRESTVIEW 124430,S200000,00200,0200,FL 124430,S200000,00200,0300,32539- 124430,S200000,00300,0100,OKALOOSA 124430,S200000,00300,0200,2750 124430,S200000,00300,0300,U 124430,S200000,00400,0100,SILVERCREST MANOR 124430,S200000,00400,0200,105612 124430,S200000,00400,0300,06/30/94 124430,S200000,00400,0500,P 124430,S200000,00400,0600,O 124430,S200000,00600,0200,105612 124430,S200000,00600,0300,06/30/94 124430,S200000,00600,0600,O 124430,S200000,01500,0100,N 124430,S200000,01600,0100,Y 124430,S200000,01700,0100,N 124430,S200000,01800,0100,N 124430,S200000,02200,0100,N 124430,S200000,02800,0100,N 124430,S200000,02900,0100,N 124430,S200000,03000,0100,N 124430,S200000,03100,0100,N 124430,S200000,03200,0100,N 124430,S200000,04100,0100,N 124430,S200000,04200,0100,N 124430,S200000,04300,0100,N 124430,S200000,04600,0100,N 124430,S200000,04700,0100,N 124430,S200000,04700,0200,N 124430,S200000,04900,0100,N 124430,S200000,05000,0100,N 124430,S200000,05100,0100,N 124430,S200000,05200,0100,N 124435,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124435,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124435,A000000,00300,0000,0300EMPLOYEE BENEFITS 124435,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124435,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124435,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124435,A000000,00700,0000,0700HOUSEKEEPING 124435,A000000,00800,0000,0800DIETARY 124435,A000000,00900,0000,0900NURSING ADMINISTRATION 124435,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124435,A000000,01100,0000,1100PHARMACY 124435,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124435,A000000,01300,0000,1300SOCIAL SERVICE 124435,A000000,01301,0000,1301ADMISSIONS 124435,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124435,A000000,01500,0000,1350ACTIVITIES 124435,A000000,01600,0000,1600SKILLED NURSING FACILITY 124435,A000000,01800,0000,1800NURSING FACILITY 124435,A000000,01810,0000,1810ICF/MR 124435,A000000,01900,0000,1900OTHER LONG TERM CARE 124435,A000000,02100,0000,2100RADIOLOGY 124435,A000000,02200,0000,2200LABORATORY 124435,A000000,02300,0000,2300INTRAVENOUS THERAPY 124435,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124435,A000000,02500,0000,2500PHYSICAL THERAPY 124435,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124435,A000000,02700,0000,2700SPEECH PATHOLOGY 124435,A000000,02800,0000,2800ELECTROCARDIOLOGY 124435,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124435,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124435,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124435,A000000,03200,0000,3200SUPPORT SURFACES 124435,A000000,03300,0000,3050AIR FLUIDIZED BEDS 124435,A000000,03400,0000,3400CLINIC 124435,A000000,03500,0000,3500RURAL HEALTH CLINIC 124435,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124435,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124435,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124435,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124435,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124435,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124435,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124435,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124435,A000000,04400,0000,4400DME RENTED - HHA 124435,A000000,04500,0000,4500DME SOLD - HHA 124435,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124435,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124435,A000000,04800,0000,4800AMBULANCE 124435,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124435,A000000,05000,0000,5000CORF 124435,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124435,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124435,A000000,05300,0000,5300INTEREST EXPENSE 124435,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124435,A000000,05500,0000,5500HOSPICE 124435,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124435,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124435,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124435,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124435,A000000,06100,0000,6100NONPAID WORKERS 124435,A000000,06200,0000,6200PATIENTS LAUNDRY 124435,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124435,A81000A,00100,0100,Y 124435,A81000B,00100,0300,MANAGEMENT FEES 124435,A81000C,00100,0100,A 124435,A81000C,00100,0200,WESTPORT PROPERTIES 124435,A81000C,00100,0400,GREYSTONE MSC LLC 124435,A81000C,00100,0600,MANAGEMENT SERVICES 124435,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124435,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124435,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124435,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124435,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124435,B100000,00000,0700,0750SQ FEET ADJUST :HOUSEKEEPING 124435,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124435,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 124435,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124435,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 124435,B100000,00000,1300,1300TIME STUDIES :SOCIAL SERVICE 124435,B100000,00000,1301,1331NUMBER OF ADMITS :ADMISSIONS 124435,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 124435,E10A180,00350,0100,11/22/00 124435,E10A180,00351,0100,12/15/00 124435,E10A180,00352,0100,12/20/00 124435,E10A180,00353,0100,12/22/00 124435,S000000,00100,0200,01/04/01 124435,S200000,00100,0100,11250 N. 22ND STREET 124435,S200000,00200,0100,TAMPA 124435,S200000,00200,0200,FL 124435,S200000,00200,0300,33612- 124435,S200000,00300,0100,HILLSBOROUGH 124435,S200000,00300,0200,8280 124435,S200000,00300,0300,U 124435,S200000,00400,0100,UNIVERSITY VILLAGE NURSING CENTER 124435,S200000,00400,0200,105677 124435,S200000,00400,0300,11/09/89 124435,S200000,00400,0500,P 124435,S200000,01500,0100,N 124435,S200000,01600,0100,Y 124435,S200000,01700,0100,N 124435,S200000,01800,0100,N 124435,S200000,02200,0100,N 124435,S200000,02800,0100,N 124435,S200000,02900,0100,N 124435,S200000,03000,0100,N 124435,S200000,03100,0100,N 124435,S200000,03200,0100,N 124435,S200000,04100,0100,N 124435,S200000,04200,0100,N 124435,S200000,04300,0100,N 124435,S200000,04600,0100,N 124435,S200000,04700,0100,N 124435,S200000,04700,0200,N 124435,S200000,04900,0100,N 124435,S200000,05000,0100,N 124435,S200000,05100,0100,N 124435,S200000,05200,0100,N 124437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124437,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124437,A000000,00300,0000,0300EMPLOYEE BENEFITS 124437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124437,A000000,00700,0000,0700HOUSEKEEPING 124437,A000000,00800,0000,0800DIETARY 124437,A000000,00900,0000,0900NURSING ADMINISTRATION 124437,A000000,01100,0000,1100PHARMACY 124437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124437,A000000,01300,0000,1300SOCIAL SERVICE 124437,A000000,01500,0000,1350CAFETERIA 124437,A000000,01600,0000,1600SKILLED NURSING FACILITY 124437,A000000,02100,0000,2100RADIOLOGY 124437,A000000,02200,0000,2200LABORATORY 124437,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124437,A000000,02500,0000,2500PHYSICAL THERAPY 124437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124437,A000000,02700,0000,2700SPEECH PATHOLOGY 124437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124437,A000000,03300,0000,3050CLINTRON BEDS 124437,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124437,A000000,05300,0000,5300INTEREST EXPENSE 124437,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124437,A81000A,00100,0100,Y 124437,A81000B,00100,0300,ADMIN CORPORATE DUES 124437,A81000B,00200,0300,CAPITAL 124437,A81000B,00300,0300,CAPITAL 124437,A81000C,00100,0100,B 124437,A81000C,00100,0400,BSHSI 124437,A81000C,00100,0600,HOME OFFICE MGT 124437,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124437,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124437,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 124437,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124437,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124437,B100000,00000,0600,0650PT. DAYS :LAUNDRY & LINEN SERVI 124437,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124437,B100000,00000,0800,0850PT. DAYS :DIETARY 124437,B100000,00000,0900,0950GROSS SAL :NURSING ADMINISTRATI 124437,B100000,00000,1200,1250PT. DAYS :MEDICAL RECORDS & LIB 124437,B100000,00000,1300,1330PT. DAYS :SOCIAL SERVICE 124437,B100000,00000,1500,1350FTES :CAFETERIA 124437,E10A180,00301,0100,08/18/00 124437,S000000,00100,0200,05/24/01 124437,S200000,00100,0100,10400 4TH STREET NORTH 124437,S200000,00200,0100,ST. PETERSBURG 124437,S200000,00200,0200,FL 124437,S200000,00200,0300,33716- 124437,S200000,00300,0100,PINELLAS 124437,S200000,00300,0200,8280 124437,S200000,00300,0300,U 124437,S200000,00400,0100,MARIA MANOR 124437,S200000,00400,0200,105688 124437,S200000,00400,0300,02/01/90 124437,S200000,00400,0500,P 124437,S200000,01500,0100,Y 124437,S200000,01600,0100,N 124437,S200000,01700,0100,N 124437,S200000,01800,0100,N 124437,S200000,02200,0100,N 124437,S200000,02800,0100,N 124437,S200000,02900,0100,N 124437,S200000,03000,0100,N 124437,S200000,03100,0100,N 124437,S200000,03200,0100,N 124437,S200000,04100,0100,N 124437,S200000,04200,0100,N 124437,S200000,04300,0100,N 124437,S200000,04600,0100,N 124437,S200000,04700,0100,N 124437,S200000,04700,0200,N 124437,S200000,04900,0100,N 124437,S200000,05000,0100,N 124437,S200000,05100,0100,N 124437,S200000,05200,0100,N 124445,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124445,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124445,A000000,00300,0000,0300EMPLOYEE BENEFITS 124445,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124445,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124445,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124445,A000000,00700,0000,0700HOUSEKEEPING 124445,A000000,00800,0000,0800DIETARY 124445,A000000,00900,0000,0900NURSING ADMINISTRATION 124445,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124445,A000000,01100,0000,1100PHARMACY 124445,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124445,A000000,01300,0000,1300SOCIAL SERVICE 124445,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124445,A000000,01600,0000,1600SKILLED NURSING FACILITY 124445,A000000,01800,0000,1800NURSING FACILITY 124445,A000000,01810,0000,1810ICF/MR 124445,A000000,02100,0000,2100RADIOLOGY 124445,A000000,02200,0000,2200LABORATORY 124445,A000000,02500,0000,2500PHYSICAL THERAPY 124445,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124445,A000000,02700,0000,2700SPEECH PATHOLOGY 124445,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124445,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124445,A000000,03550,0000,3550FQHC 124445,A000000,05000,0000,5000CORF 124445,A000000,05010,0000,5010CMHC 124445,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124445,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124445,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124445,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124445,A000000,06200,0000,6200PATIENTS LAUNDRY 124445,A000000,06300,0000,6150PATIENT PERSONAL NEEDS 124445,A81000A,00100,0100,Y 124445,A81000B,00100,0300,SUPPLIES 124445,A81000B,00200,0300,SUPPLIES 124445,A81000B,00300,0300,SUPPLIES 124445,A81000B,00400,0300,SUPPLIES 124445,A81000B,00500,0300,SUPPLIES 124445,A81000B,00600,0300,SUPPLIES 124445,A81000B,00700,0300,SUPPLIES 124445,A81000B,00800,0300,SUPPLIES 124445,A81000B,00900,0300,SUPPLIES 124445,A81000B,01000,0300,SUPPLIES 124445,A81000B,01100,0300,SUPPLIES 124445,A81000B,01200,0300,HOME OFFICE COSTS 124445,A81000C,00100,0100,A 124445,A81000C,00100,0200,SEE HCFA 339 124445,A81000C,00100,0400,DELTA HEALTH GR 124445,A81000C,00100,0600,NURSING HOMES 124445,A81000C,00200,0100,A 124445,A81000C,00200,0200,SEE HCFA 339 124445,A81000C,00200,0400,DELTA DURABLES 124445,A81000C,00200,0600,SUPPLIES 124445,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124445,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124445,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124445,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124445,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124445,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124445,B100000,00000,0800,0800MEALS SERVED :DIETARY 124445,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 124445,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124445,B100000,00000,1200,1250NURSING SALARIES :MEDICAL RECOR 124445,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 124445,S000000,00100,0200,01/03/01 124445,S200000,00100,0100,6984 PINE FOREST ROAD 124445,S200000,00200,0100,PENSACOLA 124445,S200000,00200,0200,FL 124445,S200000,00200,0300,32526- 124445,S200000,00300,0100,ESCAMBIA 124445,S200000,00300,0200,6080 124445,S200000,00300,0300,U 124445,S200000,00400,0100,SPECIALTY CTR. OF PENSACOLA 124445,S200000,00400,0200,105751 124445,S200000,00400,0300,06/30/94 124445,S200000,00400,0500,P 124445,S200000,00400,0600,O 124445,S200000,00600,0200,105751 124445,S200000,00600,0300,06/30/94 124445,S200000,00600,0600,O 124445,S200000,01500,0100,N 124445,S200000,01600,0100,Y 124445,S200000,01700,0100,N 124445,S200000,01800,0100,N 124445,S200000,02200,0100,N 124445,S200000,02800,0100,N 124445,S200000,02900,0100,N 124445,S200000,03000,0100,N 124445,S200000,03100,0100,N 124445,S200000,03200,0100,N 124445,S200000,04100,0100,N 124445,S200000,04200,0100,N 124445,S200000,04300,0100,N 124445,S200000,04600,0100,N 124445,S200000,04700,0100,N 124445,S200000,04700,0200,N 124445,S200000,04900,0100,N 124445,S200000,05000,0100,N 124445,S200000,05100,0100,N 124445,S200000,05200,0100,N 124446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124446,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124446,A000000,00700,0000,0700HOUSEKEEPING 124446,A000000,00800,0000,0800DIETARY 124446,A000000,00900,0000,0900NURSING ADMINISTRATION 124446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124446,A000000,01100,0000,1100PHARMACY 124446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124446,A000000,01300,0000,1300SOCIAL SERVICE 124446,A000000,01600,0000,1600SKILLED NURSING FACILITY 124446,A000000,01800,0000,1800NURSING FACILITY 124446,A000000,02100,0000,2100RADIOLOGY 124446,A000000,02200,0000,2200LABORATORY 124446,A000000,02300,0000,2300INTRAVENOUS THERAPY 124446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124446,A000000,02500,0000,2500PHYSICAL THERAPY 124446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124446,A000000,02700,0000,2700SPEECH PATHOLOGY 124446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124446,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124446,A000000,03200,0000,3200SUPPORT SURFACES 124446,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124446,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENTE 124446,A81000A,00100,0100,Y 124446,A81000B,00100,0300,B.S. VENICE HOSPIT CAPITAL ALLOCAT. 124446,A81000B,00200,0300,B.S. VENICE HOSP NON CAP. ALLOCAT. 124446,A81000B,00300,0300,BSHI H.O. CAPITAL 124446,A81000B,00400,0300,BSHI H.O. CAPITAL 124446,A81000B,00500,0300,BSHI H.O. NON-CAPITAL 124446,A81000C,00100,0100,B 124446,A81000C,00100,0400,BSVHSI 124446,A81000C,00100,0600,HEALTHCARE 124446,A81000C,00200,0100,B 124446,A81000C,00200,0400,BSVHSI 124446,A81000C,00200,0600,HEALTHCARE 124446,A81000C,00300,0100,B 124446,A81000C,00300,0400,BSHSI 124446,A81000C,00300,0600,HOME OFFICE 124446,A81000C,00400,0100,B 124446,A81000C,00400,0400,BSHSI 124446,A81000C,00400,0600,HOME OFFICE 124446,A81000C,00500,0100,B 124446,A81000C,00500,0400,BSHSI 124446,A81000C,00500,0600,HOME OFFICE 124446,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124446,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124446,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124446,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124446,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124446,B100000,00000,0800,0800PATIENT MEALS :DIETARY 124446,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 124446,B100000,00000,1000,1050HOURS OF SERVICE :CENTRAL SERVIC 124446,B100000,00000,1100,1150HOURS OF SERVICE :PHARMACY 124446,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 124446,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 124446,E10A180,00301,0100,10/13/00 124446,S000000,00100,0200,05/02/01 124446,S200000,00100,0100,1131 JACARANDA BLVD 124446,S200000,00200,0100,VENICE 124446,S200000,00200,0200,FL 124446,S200000,00200,0300,34293- 124446,S200000,00300,0100,SARASOTA 124446,S200000,00300,0200,7510 124446,S200000,00300,0300,U 124446,S200000,00400,0100,BON SECOURS VENICE NURSING CENTER 124446,S200000,00400,0200,105761 124446,S200000,00400,0300,03/16/92 124446,S200000,00400,0500,P 124446,S200000,01500,0100,N 124446,S200000,01600,0100,Y 124446,S200000,01700,0100,N 124446,S200000,01800,0100,N 124446,S200000,02200,0100,Y 124446,S200000,02800,0100,N 124446,S200000,02900,0100,N 124446,S200000,03000,0100,N 124446,S200000,03100,0100,N 124446,S200000,03200,0100,N 124446,S200000,04100,0100,N 124446,S200000,04200,0100,N 124446,S200000,04300,0100,N 124446,S200000,04600,0100,N 124446,S200000,04700,0100,N 124446,S200000,04700,0200,N 124446,S200000,04900,0100,N 124446,S200000,05000,0100,N 124446,S200000,05100,0100,N 124446,S200000,05200,0100,N 124449,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124449,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124449,A000000,00300,0000,0300EMPLOYEE BENEFITS 124449,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124449,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124449,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124449,A000000,00700,0000,0700HOUSEKEEPING 124449,A000000,00800,0000,0800DIETARY 124449,A000000,00900,0000,0900NURSING ADMINISTRATION 124449,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124449,A000000,01100,0000,1100PHARMACY 124449,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124449,A000000,01300,0000,1300SOCIAL SERVICE 124449,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124449,A000000,01500,0000,1350OTHER GENERAL SERVICES 124449,A000000,01600,0000,1600SKILLED NURSING FACILITY 124449,A000000,01800,0000,1800NURSING FACILITY 124449,A000000,01900,0000,1900OTHER LONG TERM CARE 124449,A000000,02100,0000,2100RADIOLOGY 124449,A000000,02200,0000,2200LABORATORY 124449,A000000,02300,0000,2300INTRAVENOUS THERAPY 124449,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124449,A000000,02500,0000,2500PHYSICAL THERAPY 124449,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124449,A000000,02700,0000,2700SPEECH PATHOLOGY 124449,A000000,02800,0000,2800ELECTROCARDIOLOGY 124449,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124449,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124449,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124449,A000000,03200,0000,3200SUPPORT SURFACES 124449,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124449,A000000,03400,0000,3400CLINIC 124449,A000000,03500,0000,3500RURAL HEALTH CLINIC 124449,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124449,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124449,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124449,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124449,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124449,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124449,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124449,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124449,A000000,04400,0000,4400DME RENTED - HHA 124449,A000000,04500,0000,4500DME SOLD - HHA 124449,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124449,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124449,A000000,04800,0000,4800AMBULANCE 124449,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124449,A000000,05000,0000,5000CORF 124449,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124449,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124449,A000000,05300,0000,5300INTEREST EXPENSE 124449,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124449,A000000,05500,0000,5500HOSPICE 124449,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124449,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124449,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124449,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124449,A000000,06100,0000,6100NONPAID WORKERS 124449,A000000,06200,0000,6200PATIENTS LAUNDRY 124449,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124449,A81000A,00100,0100,Y 124449,A81000B,00100,0300,HOME OFFICE - PROPERTY 124449,A81000B,00200,0300,HOME OFFICE - PATIENT CARE 124449,A81000B,00300,0300,HOME OFFICE - OPERATING 124449,A81000B,00400,0300,ACCOUNTING FEES 124449,A81000B,00500,0300,DATA PROCESSING 124449,A81000C,00100,0100,A 124449,A81000C,00100,0200,JOSEPH D. MOTCHELL 124449,A81000C,00100,0400,SUMMIT CARE INC. 124449,A81000C,00100,0600,MANAGEMENT 124449,A81000C,00200,0100,A 124449,A81000C,00200,0200,C. GUY FARMER 124449,A81000C,00200,0400,SUMMIT CARE INC. 124449,A81000C,00200,0600,MANAGEMENT 124449,A81000C,00300,0100,A 124449,A81000C,00300,0200,JOSEPH D. MITCHELL 124449,A81000C,00300,0400,REMINGTON FINANCIAL SOLUT 124449,A81000C,00300,0600,BILLING COMPANY 124449,A81000C,00400,0100,A 124449,A81000C,00400,0200,C. GUY FARMER 124449,A81000C,00400,0400,REMINGTON FINANCIAL SOLUT 124449,A81000C,00400,0600,BILLING COMPANY 124449,A81000C,00500,0100,A 124449,A81000C,00500,0200,JOSEPH D. MITCHELL 124449,A81000C,00500,0400,MITCHELL & COMPANY CPA S 124449,A81000C,00500,0600,ACCOUNTING FIRM 124449,A81000C,00600,0100,A 124449,A81000C,00600,0200,C. GUY FARMER 124449,A81000C,00600,0400,MITCHELL & COMPANY CPA S 124449,A81000C,00600,0600,ACCOUNTING FIRM 124449,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124449,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124449,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124449,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124449,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124449,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124449,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124449,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 124449,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124449,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124449,E10A180,00301,0100,06/30/00 124449,S000000,00100,0200,12/07/00 124449,S200000,00100,0100,U.S. HIGHWAY 19 N 124449,S200000,00200,0100,MONTICELLO 124449,S200000,00200,0200,FL 124449,S200000,00200,0300,32344- 124449,S200000,00300,0100,JEFFERSON 124449,S200000,00300,0200,10 124449,S200000,00300,0300,R 124449,S200000,00400,0100,JEFFERSON NURSING CENTER 124449,S200000,00400,0200,105802 124449,S200000,00400,0300,07/01/92 124449,S200000,00400,0500,P 124449,S200000,01004,0500,O 124449,S200000,01500,0100,Y 124449,S200000,01600,0100,N 124449,S200000,01700,0100,N 124449,S200000,01800,0100,N 124449,S200000,02200,0100,N 124449,S200000,02800,0100,N 124449,S200000,02900,0100,N 124449,S200000,03000,0100,N 124449,S200000,03100,0100,N 124449,S200000,03200,0100,N 124449,S200000,04100,0100,N 124449,S200000,04200,0100,N 124449,S200000,04300,0100,N 124449,S200000,04600,0100,N 124449,S200000,04700,0100,N 124449,S200000,04700,0200,N 124449,S200000,04900,0100,N 124449,S200000,05000,0100,N 124449,S200000,05100,0100,N 124449,S200000,05200,0100,N 124450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124450,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124450,A000000,00300,0000,0300EMPLOYEE BENEFITS 124450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124450,A000000,00700,0000,0700HOUSEKEEPING 124450,A000000,00800,0000,0800DIETARY 124450,A000000,00900,0000,0900NURSING ADMINISTRATION 124450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124450,A000000,01100,0000,1100PHARMACY 124450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124450,A000000,01300,0000,1300SOCIAL SERVICE 124450,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124450,A000000,01500,0000,1350OTHER GENERAL SERVICES 124450,A000000,01600,0000,1600SKILLED NURSING FACILITY 124450,A000000,01800,0000,1800NURSING FACILITY 124450,A000000,01900,0000,1900OTHER LONG TERM CARE 124450,A000000,02100,0000,2100RADIOLOGY 124450,A000000,02200,0000,2200LABORATORY 124450,A000000,02300,0000,2300INTRAVENOUS THERAPY 124450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124450,A000000,02500,0000,2500PHYSICAL THERAPY 124450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124450,A000000,02700,0000,2700SPEECH PATHOLOGY 124450,A000000,02800,0000,2800ELECTROCARDIOLOGY 124450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124450,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124450,A000000,03200,0000,3200SUPPORT SURFACES 124450,A000000,03300,0000,3050EQUIPMENT RENTAL 124450,A000000,03400,0000,3400CLINIC 124450,A000000,03500,0000,3500RURAL HEALTH CLINIC 124450,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124450,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124450,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124450,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124450,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124450,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124450,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124450,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124450,A000000,04400,0000,4400DME RENTED - HHA 124450,A000000,04500,0000,4500DME SOLD - HHA 124450,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124450,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124450,A000000,04800,0000,4800AMBULANCE 124450,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124450,A000000,05000,0000,5000CORF 124450,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124450,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124450,A000000,05300,0000,5300INTEREST EXPENSE 124450,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124450,A000000,05500,0000,5500HOSPICE 124450,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124450,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124450,A000000,05801,0000,5801ACLF AND RESIDENTIAL LIVING 124450,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124450,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124450,A000000,06100,0000,6100NONPAID WORKERS 124450,A000000,06200,0000,6200PATIENTS LAUNDRY 124450,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124450,A81000A,00100,0100,N 124450,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124450,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124450,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124450,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124450,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124450,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124450,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 124450,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124450,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124450,S000000,00100,0200,12/04/00 124450,S200000,00100,0100,COUNTY ROAD 136 124450,S200000,00100,0300,4327 124450,S200000,00200,0100,DOWLING PARK 124450,S200000,00200,0200,FL 124450,S200000,00200,0300,32060- 124450,S200000,00300,0100,SUWANNEE 124450,S200000,00300,0200,10 124450,S200000,00300,0300,R 124450,S200000,00400,0100,GOOD SAMARITAN CENTER 124450,S200000,00400,0200,105809 124450,S200000,00400,0300,07/01/93 124450,S200000,00400,0500,P 124450,S200000,01500,0100,Y 124450,S200000,01600,0100,N 124450,S200000,01700,0100,N 124450,S200000,01800,0100,N 124450,S200000,02200,0100,N 124450,S200000,02800,0100,N 124450,S200000,02900,0100,N 124450,S200000,03000,0100,N 124450,S200000,03100,0100,N 124450,S200000,03200,0100,N 124450,S200000,04100,0100,N 124450,S200000,04200,0100,N 124450,S200000,04300,0100,N 124450,S200000,04600,0100,N 124450,S200000,04700,0100,N 124450,S200000,04700,0200,N 124450,S200000,04900,0100,N 124450,S200000,05000,0100,N 124450,S200000,05100,0100,N 124450,S200000,05200,0100,N 124451,S000000,00100,0200,11/20/00 124451,S200000,00100,0100,U S HIGHWAY 90 EAST 124451,S200000,00200,0100,GREENVILLE 124451,S200000,00200,0200,FL 124451,S200000,00200,0300,32331 124451,S200000,00300,0100,MADISON 124451,S200000,00400,0100,PINE LAKE NURSING HOME 124451,S200000,00400,0300,07/01/93 124452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124452,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124452,A000000,00300,0000,0300EMPLOYEE BENEFITS 124452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124452,A000000,00700,0000,0700HOUSEKEEPING 124452,A000000,00800,0000,0800DIETARY 124452,A000000,00900,0000,0900NURSING ADMINISTRATION 124452,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124452,A000000,01100,0000,1100PHARMACY 124452,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124452,A000000,01300,0000,1300SOCIAL SERVICE 124452,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124452,A000000,01500,0000,1350OTHER GENERAL SERVICES 124452,A000000,01600,0000,1600SKILLED NURSING FACILITY 124452,A000000,01800,0000,1800NURSING FACILITY 124452,A000000,01810,0000,1810ICF/MR 124452,A000000,01900,0000,1900OTHER LONG TERM CARE 124452,A000000,02100,0000,2100RADIOLOGY 124452,A000000,02200,0000,2200LABORATORY 124452,A000000,02300,0000,2300INTRAVENOUS THERAPY 124452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124452,A000000,02500,0000,2500PHYSICAL THERAPY 124452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124452,A000000,02700,0000,2700SPEECH PATHOLOGY 124452,A000000,02800,0000,2800ELECTROCARDIOLOGY 124452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124452,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124452,A000000,03200,0000,3200SUPPORT SURFACES 124452,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124452,A000000,03400,0000,3400CLINIC 124452,A000000,03500,0000,3500RURAL HEALTH CLINIC 124452,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124452,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124452,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124452,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124452,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124452,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124452,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124452,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124452,A000000,04400,0000,4400DME RENTED - HHA 124452,A000000,04500,0000,4500DME SOLD - HHA 124452,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124452,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124452,A000000,04800,0000,4800AMBULANCE 124452,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124452,A000000,05000,0000,5000CORF 124452,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124452,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124452,A000000,05300,0000,5300INTEREST EXPENSE 124452,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124452,A000000,05500,0000,5500HOSPICE 124452,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124452,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124452,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124452,A000000,06100,0000,6100NONPAID WORKERS 124452,A000000,06200,0000,6200PATIENTS LAUNDRY 124452,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124452,A81000A,00100,0100,Y 124452,A81000B,00100,0300,CONTRACT THERAPY FEES 124452,A81000B,00200,0300,MANAGEMENT FEES 124452,A81000B,00300,0300,HOME OFFICE PROPERTY 124452,A81000C,00100,0100,A 124452,A81000C,00100,0200,TANDEM HEALTHCARE 124452,A81000C,00100,0400,TANDEM REHABILITATION IN 124452,A81000C,00100,0600,THERAPY SERVICES 124452,A81000C,00200,0100,A 124452,A81000C,00200,0200,TANDEM HEALTHCARE 124452,A81000C,00200,0400,TANDEM HEALTHCARE INC. 124452,A81000C,00200,0600,HEALTHCARE MANAGEMENT 124452,A81000C,00300,0100,A 124452,A81000C,00300,0200,TANDEM HEALTHCARE 124452,A81000C,00300,0400,TANDEM HEALTHCARE INC. 124452,A81000C,00300,0600,HEALTHCARE MANAGEMENT 124452,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124452,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124452,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124452,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124452,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124452,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124452,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124452,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 124452,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124452,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124452,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124452,S000000,00100,0200,12/01/00 124452,S200000,00100,0100,800 N.W. 1ST AVENUE 124452,S200000,00200,0100,MIAMI 124452,S200000,00200,0200,FL 124452,S200000,00200,0300,33150- 124452,S200000,00300,0100,DADE 124452,S200000,00300,0200,5000 124452,S200000,00300,0300,U 124452,S200000,00400,0100,TANDEM HEALTH CARE OF MIAMI INC. 124452,S200000,00400,0200,105903 124452,S200000,00400,0300,01/04/96 124452,S200000,00400,0500,P 124452,S200000,01500,0100,Y 124452,S200000,01600,0100,N 124452,S200000,01700,0100,N 124452,S200000,01800,0100,N 124452,S200000,02200,0100,N 124452,S200000,02800,0100,N 124452,S200000,02900,0100,N 124452,S200000,03000,0100,N 124452,S200000,03100,0100,N 124452,S200000,03200,0100,N 124452,S200000,04100,0100,N 124452,S200000,04200,0100,N 124452,S200000,04300,0100,N 124452,S200000,04600,0100,N 124452,S200000,04700,0100,N 124452,S200000,04700,0200,N 124452,S200000,04900,0100,N 124452,S200000,05000,0100,N 124452,S200000,05100,0100,N 124452,S200000,05200,0100,N 124473,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124473,A000000,00101,0000,0101ILU/HHA CAPITAL 124473,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124473,A000000,00300,0000,0300EMPLOYEE BENEFITS 124473,A000000,00401,0000,0401COMMUNITY ADMINISTRATION & GENER 124473,A000000,00402,0000,0402DIRECTOR OF HEALTH SERVICES 124473,A000000,00403,0000,0403SNF ADMINISTRATION & GENERAL 124473,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124473,A000000,00501,0000,1350SNF MAINTENANCE 124473,A000000,00502,0000,1351ILU/HHA MAINTENANCE 124473,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124473,A000000,00700,0000,0700HOUSEKEEPING 124473,A000000,00701,0000,1353ILU/HHA HOUSEKEEPING 124473,A000000,00800,0000,0800DIETARY 124473,A000000,00801,0000,0802DIRECTOR OF DINING SERVICES 124473,A000000,00802,0000,0801SNF DIETARY 124473,A000000,00900,0000,0900NURSING ADMINISTRATION 124473,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124473,A000000,01100,0000,1100PHARMACY 124473,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124473,A000000,01300,0000,1300SOCIAL SERVICE 124473,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124473,A000000,01500,0000,1352RECREATIONAL ACTIVTIES 124473,A000000,01600,0000,1600SKILLED NURSING FACILITY 124473,A000000,01800,0000,1800NURSING FACILITY 124473,A000000,01810,0000,1810ICF/MR 124473,A000000,02100,0000,2100RADIOLOGY 124473,A000000,02200,0000,2200LABORATORY 124473,A000000,02500,0000,2500PHYSICAL THERAPY 124473,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124473,A000000,02700,0000,2700SPEECH PATHOLOGY 124473,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124473,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124473,A000000,03550,0000,3550FQHC 124473,A000000,05000,0000,5000CORF 124473,A000000,05010,0000,5010CMHC 124473,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124473,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124473,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124473,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124473,A000000,06300,0000,6150INDEPENDENT ADMIN & GENERAL 124473,A000000,06301,0000,6151INDEPENDENT PLANT & MAINTENANCE 124473,A000000,06302,0000,6152INDEPENDENT DIETARY 124473,A000000,06303,0000,6153ASSISTED LIVING ADMIN & GENERAL 124473,A000000,06304,0000,6154ASSISTED LIVING PLANT & MAINTENA 124473,A000000,06305,0000,6155ASSITED LIVING DIETARY 124473,A000000,06306,0000,6156ASSISTED LIVING NURSING 124473,A000000,06307,0000,6157EMERGENCY MEDICAL SERVICES 124473,A000000,06308,0000,6158OUT PATIENT REHABILITATION 124473,A000000,06309,0000,6159MEDICAL CENTER PHYSICIANS PRACTI 124473,A000000,06310,0000,6160HOME HEALTH CAPITAL RLTD-BLDG&FI 124473,A000000,06311,0000,6161HOME HEALTH CAPITAL RLTD-MOVBLE 124473,A000000,06312,0000,6162HOME HEALTH PLANT OPERATN & MAIN 124473,A000000,06313,0000,6163HOME HEALTH TRANSPORTATION 124473,A000000,06314,0000,6164HOME HEALTH SHARED ADMIN & GENER 124473,A000000,06315,0000,6165HOME HEALTH REIMBURS ADMIN & GEN 124473,A000000,06316,0000,6166HOME HEALTH NONREIMB ADMIN & GEN 124473,A000000,06317,0000,6167HOME HEALTH SKILLED NURSING CARE 124473,A000000,06318,0000,6168HOME HEALTH PHYSICAL THERAPY 124473,A000000,06319,0000,6169HOME HEALTH OCCUPATIONAL THERAPY 124473,A000000,06320,0000,6170HOME HEALTH SPEECH PATHOLOGY 124473,A000000,06321,0000,6171HOME HEALTH MEDICAL SOCIAL SERVI 124473,A000000,06322,0000,6172HOME HEALTH HOME HEALTH AIDE 124473,A000000,06323,0000,6173HOME HEALTH MEDICAL SUPPLIES 124473,A000000,06324,0000,6174HOME HEALTH PRIVATE DUTY NURSING 124473,A000000,06325,0000,6175SNF ADMISSIONS 124473,A81000A,00100,0100,N 124473,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124473,B100000,00000,0101,0101ILU/HHA SQ FOOTAGE :ILU/HHA CAPI 124473,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124473,B100000,00000,0401,0401 ACCUM. COST :COMMUNITY ADMINIST 124473,B100000,00000,0402,0402 ACCUM. COST :DIRECTOR OF HEALTH 124473,B100000,00000,0403,0403 ACCUM. COST :SNF ADMINISTRATION 124473,B100000,00000,0500,0500COMMUNITY SQ FOOTAGE :PLANT OPER 124473,B100000,00000,0501,1350SQ FOOTAGE SNF :SNF MAINTENANCE 124473,B100000,00000,0502,1351ULU/HHA SQ FEET :ILU/HHA MAINTEN 124473,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124473,B100000,00000,0700,0750SQFT EXCL KITCHENS :HOUSEKEEPING 124473,B100000,00000,0701,1353ILU/HHA SQ FOOTAGE :ILU/HHA HOUS 124473,B100000,00000,0801,0852 ACCUM. COST :DIRECTOR OF DINING 124473,B100000,00000,0802,0851PATIENT DAYS :SNF DIETARY 124473,B100000,00000,0900,0900HOURS WORKED :NURSING ADMINISTR 124473,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124473,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 124473,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 124473,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 124473,B100000,00000,1500,1352PATIENT DAYS :RECREATIONAL ACTI 124473,E10A180,00301,0100,08/10/99 124473,E10A180,00351,0300,08/10/99 124473,E10A180,00501,0100,12/23/99 124473,E10A180,00550,0300,12/23/99 124473,S000000,00100,0200,10/27/00 124473,S200000,00100,0100,8800 WALTHER BOULEVARD 124473,S200000,00200,0100,PARKVILLE 124473,S200000,00200,0200,MD 124473,S200000,00200,0300,21234- 124473,S200000,00300,0100,BALTIMORE 124473,S200000,00300,0300,U 124473,S200000,00400,0100,OAK CREST VILLAGE INC. 124473,S200000,00400,0200,215308 124473,S200000,00400,0300,06/05/97 124473,S200000,00400,0500,O 124473,S200000,01500,0100,Y 124473,S200000,01600,0100,N 124473,S200000,01700,0100,N 124473,S200000,01800,0100,N 124473,S200000,01900,0100,COMMUNITY TRUST/503C 124473,S200000,02200,0100,N 124473,S200000,02800,0100,N 124473,S200000,02900,0100,N 124473,S200000,03000,0100,N 124473,S200000,03100,0100,N 124473,S200000,03200,0100,N 124473,S200000,04100,0100,N 124473,S200000,04200,0100,N 124473,S200000,04300,0100,N 124473,S200000,04600,0100,N 124473,S200000,04700,0100,N 124473,S200000,04700,0200,N 124473,S200000,04900,0100,N 124473,S200000,05000,0100,N 124473,S200000,05100,0100,N 124473,S200000,05200,0100,N 124477,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124477,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124477,A000000,00300,0000,0300EMPLOYEE BENEFITS 124477,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124477,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124477,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124477,A000000,00700,0000,0700HOUSEKEEPING 124477,A000000,00800,0000,0800DIETARY 124477,A000000,00801,0000,0801CAFETERIA 124477,A000000,00900,0000,0900NURSING ADMINISTRATION 124477,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124477,A000000,01100,0000,1100PHARMACY 124477,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124477,A000000,01300,0000,1300SOCIAL SERVICE 124477,A000000,01600,0000,1600SKILLED NURSING FACILITY 124477,A000000,02100,0000,2100RADIOLOGY 124477,A000000,02101,0000,2101ULTRASOUND 124477,A000000,02200,0000,2200LABORATORY 124477,A000000,02300,0000,2300INTRAVENOUS THERAPY 124477,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124477,A000000,02500,0000,2500PHYSICAL THERAPY 124477,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124477,A000000,02700,0000,2700SPEECH PATHOLOGY 124477,A000000,02800,0000,2800ELECTROCARDIOLOGY 124477,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124477,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124477,A000000,03300,0000,3050EEG 124477,A000000,04800,0000,4800AMBULANCE 124477,A000000,05300,0000,5300INTEREST EXPENSE 124477,A000000,05500,0000,5500HOSPICE 124477,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124477,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124477,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124477,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124477,A81000A,00100,0100,Y 124477,A81000B,00100,0300,ALLOCATION COUNTY EXPENSES 124477,A81000C,00100,0100,B 124477,A81000C,00100,0200,HILLSBOROUGH CTY NURS HOM 124477,A81000C,00100,0400,HILLSBOROUGH COUNTY 124477,A81000C,00100,0600,COUNTY GOVERNMENT 124477,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124477,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124477,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124477,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124477,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124477,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124477,B100000,00000,0800,0800MEALS SERVED :DIETARY 124477,B100000,00000,0801,0851FTES :CAFETERIA 124477,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124477,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 124477,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124477,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124477,S000000,00100,0200,02/05/01 124477,S200000,00100,0100,400 MAST ROAD 124477,S200000,00200,0100,GOFFSTOWN 124477,S200000,00200,0200,NH 124477,S200000,00200,0300,03045- 124477,S200000,00300,0100,HILLSBOROUGH 124477,S200000,00300,0200,1123 124477,S200000,00300,0300,U 124477,S200000,00400,0100,HILLSBOROUGH COUNTY NURSING HOME 124477,S200000,00400,0200,305048 124477,S200000,00400,0300,07/01/95 124477,S200000,00400,0500,P 124477,S200000,01200,0200,301522 124477,S200000,01200,0300,06/12/96 124477,S200000,01500,0100,Y 124477,S200000,01600,0100,N 124477,S200000,01700,0100,N 124477,S200000,01800,0100,N 124477,S200000,02200,0100,N 124477,S200000,02800,0100,N 124477,S200000,02900,0100,N 124477,S200000,03000,0100,N 124477,S200000,03100,0100,N 124477,S200000,03200,0100,N 124477,S200000,04100,0100,N 124477,S200000,04200,0100,N 124477,S200000,04300,0100,N 124477,S200000,04600,0100,N 124477,S200000,04700,0100,N 124477,S200000,04700,0200,N 124477,S200000,04900,0100,N 124477,S200000,05000,0100,N 124477,S200000,05100,0100,N 124477,S200000,05200,0100,N 124502,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124502,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124502,A000000,00300,0000,0300EMPLOYEE BENEFITS 124502,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124502,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124502,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124502,A000000,00700,0000,0700HOUSEKEEPING 124502,A000000,00800,0000,0800DIETARY 124502,A000000,00900,0000,0900NURSING ADMINISTRATION 124502,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124502,A000000,01100,0000,1100PHARMACY 124502,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124502,A000000,01300,0000,1300SOCIAL SERVICE 124502,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124502,A000000,01500,0000,1350ACTIVITIES 124502,A000000,01600,0000,1600SKILLED NURSING FACILITY 124502,A000000,01800,0000,1800NURSING FACILITY 124502,A000000,01810,0000,1810ICF/MR 124502,A000000,01900,0000,1900OTHER LONG TERM CARE 124502,A000000,02100,0000,2100RADIOLOGY 124502,A000000,02200,0000,2200LABORATORY 124502,A000000,02500,0000,2500PHYSICAL THERAPY 124502,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124502,A000000,02700,0000,2700SPEECH PATHOLOGY 124502,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124502,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124502,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124502,A000000,03550,0000,3550FQHC 124502,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124502,A000000,05000,0000,5000CORF 124502,A000000,05010,0000,5010CMHC 124502,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124502,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124502,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124502,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124502,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124502,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124502,A000000,05901,0000,5901DAYCARE 124502,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124502,A81000A,00100,0100,N 124502,B100000,00000,0100,0100SQUARE FEET 124502,B100000,00000,0200,0200SQUARE FEET 124502,B100000,00000,0300,0300GROSS SALARIES 124502,B100000,00000,0400,0400ACCUM. COST 124502,B100000,00000,0500,0500SQUARE FEET 124502,B100000,00000,0600,0600PATIENT DAYS 124502,B100000,00000,0700,0700SQUARE FEET 124502,B100000,00000,0800,0800MEALS SERVED 124502,B100000,00000,0900,0900DIRECT NRSING HRS 124502,B100000,00000,1000,1000COSTED REQUIS 124502,B100000,00000,1100,1100COSTED REQUIS 124502,B100000,00000,1200,1200PATIENT DAYS 124502,B100000,00000,1300,1300PATIENT DAYS 124502,B100000,00000,1400,1400ASSIGNED TIME 124502,B100000,00000,1500,1350PATIENT DAYS 124502,E10A180,00501,0100,10/26/00 124502,S000000,00100,0200,10/04/00 124502,S200000,00100,0100,7120 BRADDOCK ROAD 124502,S200000,00200,0100,ANNANDALE 124502,S200000,00200,0200,VA 124502,S200000,00300,0100,FAIRFAX 124502,S200000,00300,0200,8840 124502,S200000,00300,0300,U 124502,S200000,00400,0100,LEEWOOD HEALTHCARE CENTER 124502,S200000,00400,0200,495337 124502,S200000,00400,0300,04/01/99 124502,S200000,00400,0500,P 124502,S200000,00400,0600,O 124502,S200000,00600,0200,495337 124502,S200000,00600,0300,01/01/70 124502,S200000,00600,0600,O 124502,S200000,01500,0100,N 124502,S200000,01600,0100,Y 124502,S200000,01700,0100,N 124502,S200000,01800,0100,N 124502,S200000,02200,0100,N 124502,S200000,02800,0100,N 124502,S200000,02900,0100,N 124502,S200000,03000,0100,N 124502,S200000,03100,0100,N 124502,S200000,03200,0100,N 124502,S200000,03300,0100,N 124502,S200000,03300,0200,N 124502,S200000,03500,0300,N 124502,S200000,04100,0100,N 124502,S200000,04200,0100,N 124502,S200000,04300,0100,N 124502,S200000,04600,0100,N 124502,S200000,04700,0100,N 124502,S200000,04900,0100,N 124502,S200000,05000,0100,N 124502,S200000,05100,0100,N 124502,S200000,05200,0100,N 124507,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124507,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124507,A000000,00300,0000,0300EMPLOYEE BENEFITS 124507,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124507,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124507,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124507,A000000,00700,0000,0700HOUSEKEEPING 124507,A000000,00800,0000,0800DIETARY 124507,A000000,00900,0000,0900NURSING ADMINISTRATION 124507,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124507,A000000,01100,0000,1100PHARMACY 124507,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124507,A000000,01300,0000,1300SOCIAL SERVICE 124507,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124507,A000000,01500,0000,1350OTHER GENERAL SERVICES 124507,A000000,01600,0000,1600SKILLED NURSING FACILITY 124507,A000000,01800,0000,1800NURSING FACILITY 124507,A000000,01810,0000,1810ICF/MR 124507,A000000,02100,0000,2100RADIOLOGY 124507,A000000,02200,0000,2200LABORATORY 124507,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124507,A000000,02500,0000,2500PHYSICAL THERAPY 124507,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124507,A000000,02700,0000,2700SPEECH PATHOLOGY 124507,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124507,A000000,02901,0000,2901MEDICAL EQUIPMENT 124507,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124507,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124507,A000000,03550,0000,3550FQHC 124507,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124507,A000000,05000,0000,5000CORF 124507,A000000,05010,0000,5010CMHC 124507,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124507,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124507,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124507,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124507,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124507,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124507,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124507,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124507,A81000A,00100,0100,Y 124507,A81000B,00100,0300,INTERCO INTEREST 124507,A81000B,00200,0300,DEPRE.-BLDG. 124507,A81000B,00300,0300,COI DEPRECIATION EQUIP. 124507,A81000B,00400,0300,COI PLANT OPER. MAINT. 124507,A81000C,00100,0100,A 124507,A81000C,00100,0200,CITY OF INDUSTRY 124507,B100000,00000,0100,0100SQUARE FEET 124507,B100000,00000,0200,0200SQUARE FEET 124507,B100000,00000,0300,0300GROSS SALARIES 124507,B100000,00000,0400,0400ACCUM. COST 124507,B100000,00000,0500,0500SQUARE FEET 124507,B100000,00000,0600,0600PATIENT DAYS 124507,B100000,00000,0700,0700SQUARE FEET 124507,B100000,00000,0800,0800PATIENT DAYS 124507,B100000,00000,0900,0900DIRECT NRSING HRS 124507,B100000,00000,1000,1000COSTED REQUIS. 124507,B100000,00000,1100,1100COSTED REQUIS. 124507,B100000,00000,1200,1200GROSS REVENUE 124507,B100000,00000,1300,1300PATIENT DAYS 124507,B100000,00000,1400,1400ASSIGNED TIME 124507,B100000,00000,1500,1350NO STATISTICS 124507,E10A180,00350,0300,01/04/00 124507,E10A180,00501,0100, 1/15/01 124507,E10A180,00502,0100, 3/15/01 124507,E10A180,00550,0300, 1/15/01 124507,E10A180,00551,0300, 3/15/01 124507,S000000,00100,0200,01/23/01 124507,S200000,00100,0100,555 S. EL ENCANTO ROAD 124507,S200000,00200,0100,INDUSTRY 124507,S200000,00200,0200,CA 124507,S200000,00200,0300,91744 124507,S200000,00300,0100,L 124507,S200000,00300,0200,4480 124507,S200000,00300,0300,U 124507,S200000,00400,0100,EL ENCANTO CONVALESCENT HOSP. 124507,S200000,00400,0200,555395 124507,S200000,00400,0300,11/01/89 124507,S200000,00400,0500,P 124507,S200000,00600,0200,555395 124507,S200000,00600,0300,11/01/89 124507,S200000,00600,0600,O 124507,S200000,00610,0200,555395 124507,S200000,00610,0300,11/01/89 124507,S200000,00610,0600,O 124507,S200000,01500,0100,N 124507,S200000,01600,0100,Y 124507,S200000,01700,0100,N 124507,S200000,01800,0100,N 124507,S200000,02200,0100,N 124507,S200000,02800,0100,Y 124507,S200000,02900,0100,N 124507,S200000,03000,0100,N 124507,S200000,03100,0100,N 124507,S200000,03200,0100,N 124507,S200000,03300,0100,N 124507,S200000,03300,0200,N 124507,S200000,03500,0300,N 124507,S200000,03510,0300,N 124507,S200000,04100,0100,N 124507,S200000,04200,0100,N 124507,S200000,04300,0100,N 124507,S200000,04600,0100,N 124507,S200000,04700,0100,N 124507,S200000,04900,0100,Y 124507,S200000,05200,0100,N 124510,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124510,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124510,A000000,00300,0000,0300EMPLOYEE BENEFITS 124510,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124510,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124510,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124510,A000000,00700,0000,0700HOUSEKEEPING 124510,A000000,00800,0000,0800DIETARY 124510,A000000,00900,0000,0900NURSING ADMINISTRATION 124510,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124510,A000000,01100,0000,1100PHARMACY 124510,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124510,A000000,01300,0000,1300SOCIAL SERVICE 124510,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124510,A000000,01600,0000,1600SKILLED NURSING FACILITY 124510,A000000,01810,0000,1810ICF/MR 124510,A000000,02100,0000,2100RADIOLOGY 124510,A000000,02200,0000,2200LABORATORY 124510,A000000,02500,0000,2500PHYSICAL THERAPY 124510,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124510,A000000,02700,0000,2700SPEECH PATHOLOGY 124510,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124510,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124510,A000000,03200,0000,3200SUPPORT SURFACES 124510,A000000,03550,0000,3550FQHC 124510,A000000,05000,0000,5000CORF 124510,A000000,05010,0000,5010CMHC 124510,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124510,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124510,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124510,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124510,A81000A,00100,0100,Y 124510,A81000B,00100,0300,HOME OFFICE MANAGEMENT FEE 124510,A81000B,00200,0300,PHYSICAL THERAPY 124510,A81000B,00300,0300,OCCUPATIONAL THERAPY 124510,A81000B,00400,0300,SPEECH THERAPY 124510,A81000B,00500,0300,MEDICAL SUPPLIES 124510,A81000B,00600,0300,MEDICAL SUPPLIES 124510,A81000C,00100,0100,B 124510,A81000C,00100,0200,FOUNTAIN VIEW INC. 124510,A81000C,00100,0400,OAK CREST NURSING 124510,A81000C,00100,0600,SNF 124510,A81000C,00200,0100,B 124510,A81000C,00200,0200,FOUNTAIN VIEW INC. 124510,A81000C,00200,0400,SKILLED CARE PHARMACY 124510,A81000C,00200,0600,INSTITUTIONAL PHARMACY 124510,A81000C,00300,0100,B 124510,A81000C,00300,0200,FOUNTAIN VIEW INC. 124510,A81000C,00300,0400,LOCOMOTION 124510,A81000C,00300,0600,THERAPY COMPANY 124510,A81000C,00400,0100,B 124510,A81000C,00400,0200,FOUNATIN VIEW INC. 124510,A81000C,00400,0400,I N O 124510,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 124510,B100000,00000,0100,0100SQUARE FEET 124510,B100000,00000,0200,0200SQUARE FEET 124510,B100000,00000,0300,0300GROSS SALARY 124510,B100000,00000,0400,0400ACCUM. COST 124510,B100000,00000,0500,0500SQUARE FEET 124510,B100000,00000,0600,0600PATIENT DAYS 124510,B100000,00000,0700,0700SQUARE FEET 124510,B100000,00000,0800,0800MEALS SERVED 124510,B100000,00000,0900,0900NURSING HOURS 124510,B100000,00000,1000,1000COSTED REQUIS 124510,B100000,00000,1100,1100COSTED REQUIS 124510,B100000,00000,1200,1200GROSS REVENUE 124510,B100000,00000,1300,1300PATIENT DAYS 124510,B100000,00000,1400,1400ASSIGNED TIME 124510,E10A180,00501,0100,02/07/01 124510,E10A180,00550,0300,02/07/01 124510,S000000,00100,0200,01/22/01 124510,S200000,00100,0100,1902 F M 3036 124510,S200000,00200,0100,ROCKPORT 124510,S200000,00200,0200,TX 124510,S200000,00200,0300,78382 124510,S200000,00300,0100,A 124510,S200000,00300,0200,45 124510,S200000,00300,0300,R 124510,S200000,00400,0100,OAK CREST NURSING CENTER 124510,S200000,00400,0200,455974 124510,S200000,00400,0300,12/01/91 124510,S200000,00400,0500,P 124510,S200000,01500,0100,N 124510,S200000,01600,0100,Y 124510,S200000,01700,0100,N 124510,S200000,01800,0100,N 124510,S200000,02200,0100,N 124510,S200000,02800,0100,N 124510,S200000,02900,0100,N 124510,S200000,03000,0100,N 124510,S200000,03100,0100,N 124510,S200000,03200,0100,N 124510,S200000,03300,0100,N 124510,S200000,03300,0200,N 124510,S200000,04100,0100,N 124510,S200000,04200,0100,N 124510,S200000,04300,0100,N 124510,S200000,04600,0100,N 124510,S200000,04700,0100,N 124510,S200000,04900,0100,N 124510,S200000,05200,0100,N 124512,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124512,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124512,A000000,00300,0000,0300EMPLOYEE BENEFITS 124512,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124512,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124512,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124512,A000000,00700,0000,0700HOUSEKEEPING 124512,A000000,00800,0000,0800DIETARY 124512,A000000,00900,0000,0900NURSING ADMINISTRATION 124512,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124512,A000000,01100,0000,1100PHARMACY 124512,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124512,A000000,01300,0000,1300SOCIAL SERVICE 124512,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124512,A000000,01600,0000,1600SKILLED NURSING FACILITY 124512,A000000,01800,0000,1800NURSING FACILITY 124512,A000000,01810,0000,1810ICF/MR 124512,A000000,01900,0000,1900OTHER LONG TERM CARE 124512,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124512,A000000,02500,0000,2500PHYSICAL THERAPY 124512,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124512,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124512,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124512,A000000,03400,0000,3400CLINIC 124512,A000000,03550,0000,3550FQHC 124512,A000000,05000,0000,5000CORF 124512,A000000,05010,0000,5010CMHC 124512,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124512,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124512,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124512,A000000,05300,0000,5300INTEREST EXPENSE 124512,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124512,A81000A,00100,0100,Y 124512,A81000B,00100,0300,E & W SWCAP COSTS 124512,A81000B,00200,0300,OTHER SWCAP COSTS 124512,A81000C,00100,0100,B 124512,A81000C,00100,0400,STATE OF CALIFO 124512,A81000C,00100,0600,GOVERNMENT 124512,B100000,00000,0100,0100SQUARE FEET 124512,B100000,00000,0200,0200SQUARE FEET 124512,B100000,00000,0300,0300GROSS SALARIES 124512,B100000,00000,0400,0400ACCUM COST 124512,B100000,00000,0500,0500SQUARE FEET 124512,B100000,00000,0600,0600POUNDS OF LAUNDRY 124512,B100000,00000,0700,0700HOURS OF SERVICE 124512,B100000,00000,0800,0800MEALS SERVED 124512,B100000,00000,0900,0900DIRECT NRSG HRS 124512,B100000,00000,1000,1000COSTED REQUIS 124512,B100000,00000,1100,1100COSTED REQUIS 124512,B100000,00000,1200,1200TIME SPENT 124512,B100000,00000,1300,1300TIME SPENT 124512,B100000,00000,1400,1400ASSIGNED TIME 124512,S000000,00100,0200,12/14/00 124512,S200000,00100,0100,100 EAST VETERANS PARKWAY 124512,S200000,00200,0100,BARSTOW 124512,S200000,00200,0200,CA 124512,S200000,00200,0300,92311 124512,S200000,00300,0100,S 124512,S200000,00300,0200,6780 124512,S200000,00300,0300,U 124512,S200000,00400,0100,VETERANS HOME OF CALIFORNIA-BARSTOW 124512,S200000,00400,0200,555678 124512,S200000,00400,0300,10/18/96 124512,S200000,00400,0500,P 124512,S200000,00600,0200,555678 124512,S200000,00600,0300,10/18/96 124512,S200000,00600,0600,O 124512,S200000,01500,0100,Y 124512,S200000,01600,0100,N 124512,S200000,01700,0100,Y 124512,S200000,01800,0100,N 124512,S200000,02200,0100,N 124512,S200000,02800,0100,N 124512,S200000,02900,0100,N 124512,S200000,03000,0100,N 124512,S200000,03100,0100,N 124512,S200000,03200,0100,N 124512,S200000,03300,0100,N 124512,S200000,03300,0200,N 124512,S200000,03500,0300,N 124512,S200000,04100,0100,N 124512,S200000,04200,0100,N 124512,S200000,04300,0100,N 124512,S200000,04600,0100,N 124512,S200000,04700,0100,N 124512,S200000,04900,0100,N 124517,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124517,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124517,A000000,00300,0000,0300EMPLOYEE BENEFITS 124517,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124517,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124517,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124517,A000000,00700,0000,0700HOUSEKEEPING 124517,A000000,00800,0000,0800DIETARY 124517,A000000,00900,0000,0900NURSING ADMINISTRATION 124517,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124517,A000000,01100,0000,1100PHARMACY 124517,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124517,A000000,01300,0000,1300SOCIAL SERVICE 124517,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124517,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 124517,A000000,01600,0000,1600SKILLED NURSING FACILITY 124517,A000000,01810,0000,1810ICF/MR 124517,A000000,02100,0000,2100RADIOLOGY 124517,A000000,02200,0000,2200LABORATORY 124517,A000000,02500,0000,2500PHYSICAL THERAPY 124517,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124517,A000000,02700,0000,2700SPEECH PATHOLOGY 124517,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124517,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124517,A000000,03200,0000,3200SUPPORT SURFACES 124517,A000000,03550,0000,3550FQHC 124517,A000000,05000,0000,5000CORF 124517,A000000,05010,0000,5010CMHC 124517,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124517,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124517,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124517,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124517,A81000A,00100,0100,Y 124517,A81000B,00100,0300,MGT FEE/HOME OFFICE 124517,A81000B,00200,0300,PHYSICAL THERAPY 124517,A81000B,00300,0300,OCCUPATIONAL THERAPY 124517,A81000B,00400,0300,SPEECH THERAPY 124517,A81000B,00500,0300,MEDICAL SUPPLIES 124517,A81000B,00600,0300,MEDICAL SUPPLIES 124517,A81000C,00100,0100,B 124517,A81000C,00100,0200,FOUNTAIN VIEW INV. 124517,A81000C,00100,0400,GUADALUPE VALLEY 124517,A81000C,00100,0600,SNF 124517,A81000C,00200,0100,B 124517,A81000C,00200,0200,FOUNTAIN VIEW INC. 124517,A81000C,00200,0400,SKILLED CARE PHARMACY 124517,A81000C,00200,0600,INSTITUTIONAL PHARMACY 124517,A81000C,00300,0100,B 124517,A81000C,00300,0200,FOUNTAIN VIEW INC 124517,A81000C,00300,0400,LOCOMOTION 124517,A81000C,00300,0600,THERAPY COMPANY 124517,A81000C,00400,0100,B 124517,A81000C,00400,0200,FOUNTAIN VIEW INC. 124517,A81000C,00400,0400,I N O 124517,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 124517,B100000,00000,0100,0100SQUARE FEET 124517,B100000,00000,0200,0200SQUARE FEET 124517,B100000,00000,0300,0300GROSS SALARY 124517,B100000,00000,0400,0400ACCUM. COST 124517,B100000,00000,0500,0500SQUARE FEET 124517,B100000,00000,0600,0600PATIENT DAYS 124517,B100000,00000,0700,0700SQUARE FEET 124517,B100000,00000,0800,0800MEALS SERVED 124517,B100000,00000,0900,0900NURSING HOURS 124517,B100000,00000,1000,1000COSTED REQUIS 124517,B100000,00000,1100,1100COSTED REQUIS 124517,B100000,00000,1200,1200GROSS REVENUE 124517,B100000,00000,1300,1300PATIENT DAYS 124517,B100000,00000,1400,1400ASSIGNED TIME 124517,B100000,00000,1500,1350 124517,E10A180,00351,0300, 3/24/00 124517,E10A180,00501,0300,02/07/01 124517,E10A180,00550,0100,02/07/01 124517,S000000,00100,0200,01/19/01 124517,S200000,00100,0100,1210 EASTWOOD DRIVE 124517,S200000,00200,0100,SEGUIN 124517,S200000,00200,0200,TX 124517,S200000,00200,0300,78155 124517,S200000,00300,0100,G 124517,S200000,00300,0200,7240 124517,S200000,00300,0300,U 124517,S200000,00400,0100,GUADALUPE VALLEY NURSING CENTER 124517,S200000,00400,0200,455869 124517,S200000,00400,0300,03/30/90 124517,S200000,00400,0500,P 124517,S200000,01500,0100,N 124517,S200000,01600,0100,Y 124517,S200000,01700,0100,N 124517,S200000,01800,0100,N 124517,S200000,02200,0100,N 124517,S200000,02800,0100,N 124517,S200000,02900,0100,N 124517,S200000,03000,0100,N 124517,S200000,03100,0100,N 124517,S200000,03200,0100,N 124517,S200000,03300,0100,N 124517,S200000,03300,0200,N 124517,S200000,04100,0100,N 124517,S200000,04200,0100,N 124517,S200000,04300,0100,N 124517,S200000,04600,0100,N 124517,S200000,04700,0100,N 124517,S200000,04700,0200,N 124517,S200000,04900,0100,N 124518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124518,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124518,A000000,00300,0000,0300EMPLOYEE BENEFITS 124518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124518,A000000,00700,0000,0700HOUSEKEEPING 124518,A000000,00800,0000,0800DIETARY 124518,A000000,00900,0000,0900NURSING ADMINISTRATION 124518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124518,A000000,01100,0000,1100PHARMACY 124518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124518,A000000,01300,0000,1300SOCIAL SERVICE 124518,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124518,A000000,01600,0000,1600SKILLED NURSING FACILITY 124518,A000000,01800,0000,1800NURSING FACILITY 124518,A000000,01810,0000,1810ICF/MR 124518,A000000,02100,0000,2100RADIOLOGY 124518,A000000,02200,0000,2200LABORATORY 124518,A000000,02300,0000,2300INTRAVENOUS THERAPY 124518,A000000,02500,0000,2500PHYSICAL THERAPY 124518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124518,A000000,02700,0000,2700SPEECH PATHOLOGY 124518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124518,A000000,03200,0000,3200SUPPORT SURFACES 124518,A000000,03550,0000,3550FQHC 124518,A000000,05000,0000,5000CORF 124518,A000000,05010,0000,5010CMHC 124518,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124518,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124518,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124518,A81000A,00100,0100,Y 124518,A81000B,00100,0300,MANAGEMENT FEES 124518,A81000C,00100,0100,A 124518,A81000C,00100,0200,FRANK JOHNSON 124518,A81000C,00100,0400,SUN MAR MANAGEMENT 124518,A81000C,00100,0600,MANAGEMENT COMPANY 124518,B100000,00000,0100,0100SQUARE FEET 124518,B100000,00000,0200,0200SQUARE FEET 124518,B100000,00000,0300,0300GROSS SALARIES 124518,B100000,00000,0400,0400ACCUM. COST 124518,B100000,00000,0500,0500SQUARE FEET 124518,B100000,00000,0600,0600POUNDS OF LAUNDRY 124518,B100000,00000,0700,0700SQUARE FEET 124518,B100000,00000,0800,0800MEALS SERVED 124518,B100000,00000,0900,0900DIRECT NRSING HRS 124518,B100000,00000,1000,1000COSTED REQUIS 124518,B100000,00000,1100,1100COSTED REQUIS 124518,B100000,00000,1200,1200MEDICAL RECORDS 124518,B100000,00000,1300,1300PATIENT DAYS 124518,B100000,00000,1400,1400ASSIGNED TIME 124518,E10A180,00501,0100, 1/19/01 124518,S000000,00100,0200,01/10/01 124518,S200000,00100,0100,416 N. GARFIELD 124518,S200000,00200,0100,MONTEREY PARK 124518,S200000,00200,0200,CA 124518,S200000,00200,0300,91754 124518,S200000,00300,0100,L 124518,S200000,00300,0200,4480 124518,S200000,00300,0300,U 124518,S200000,00400,0100,MONTEREY PARK CONVALESCENT HOSPITAL 124518,S200000,00400,0200,055162 124518,S200000,00400,0300,07/01/87 124518,S200000,00400,0500,P 124518,S200000,00400,0600,O 124518,S200000,00600,0200,055162 124518,S200000,00600,0300,07/01/87 124518,S200000,00600,0600,O 124518,S200000,01500,0100,N 124518,S200000,01600,0100,Y 124518,S200000,01700,0100,N 124518,S200000,01800,0100,N 124518,S200000,02200,0100,N 124518,S200000,02800,0100,N 124518,S200000,02900,0100,N 124518,S200000,03000,0100,N 124518,S200000,03100,0100,N 124518,S200000,03200,0100,N 124518,S200000,03300,0100,N 124518,S200000,03300,0200,N 124518,S200000,03500,0300,N 124518,S200000,04100,0100,N 124518,S200000,04200,0100,N 124518,S200000,04300,0100,N 124518,S200000,04600,0100,N 124518,S200000,04700,0100,N 124518,S200000,04700,0200,N 124518,S200000,04900,0100,N 124519,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124519,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124519,A000000,00300,0000,0300EMPLOYEE BENEFITS 124519,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124519,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124519,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124519,A000000,00700,0000,0700HOUSEKEEPING 124519,A000000,00800,0000,0800DIETARY 124519,A000000,00900,0000,0900NURSING ADMINISTRATION 124519,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124519,A000000,01100,0000,1100PHARMACY 124519,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124519,A000000,01300,0000,1300SOCIAL SERVICE 124519,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124519,A000000,01500,0000,1350OTHER GENERAL SERVICES 124519,A000000,01600,0000,1600SKILLED NURSING FACILITY 124519,A000000,01810,0000,1810ICF/MR 124519,A000000,02100,0000,2100RADIOLOGY 124519,A000000,02200,0000,2200LABORATORY 124519,A000000,02500,0000,2500PHYSICAL THERAPY 124519,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124519,A000000,02700,0000,2700SPEECH PATHOLOGY 124519,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124519,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124519,A000000,03200,0000,3200SUPPORT SURFACES 124519,A000000,03550,0000,3550FQHC 124519,A000000,05000,0000,5000CORF 124519,A000000,05010,0000,5010CMHC 124519,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124519,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124519,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124519,A81000A,00100,0100,Y 124519,A81000B,00100,0300,MANAGEMENT FEE 124519,A81000B,00200,0300,PHYSICAL THERAPY 124519,A81000B,00300,0300,OCCUPATIONAL THERAPY 124519,A81000B,00400,0300,SPEECH THERAPY 124519,A81000B,00500,0300,MEDICAL SUPPLIES 124519,A81000B,00600,0300,MEDICAL SUPPLIES 124519,A81000C,00100,0100,B 124519,A81000C,00100,0200,FOUNTAIN VIEW INC. 124519,A81000C,00100,0400,CITY VIEW CARE CENTER 124519,A81000C,00100,0600,SNF 124519,A81000C,00200,0100,B 124519,A81000C,00200,0200,FOUNTAIN VIEW INC. 124519,A81000C,00200,0400,SKILLED CARE PHARMACY 124519,A81000C,00200,0600,PHARMACY 124519,A81000C,00300,0100,B 124519,A81000C,00300,0200,FOUNTAIN VIEW INC. 124519,A81000C,00300,0400,LOCOMOTION 124519,A81000C,00300,0600,THERAPY COMPANY 124519,A81000C,00400,0100,B 124519,A81000C,00400,0200,FOUNTAIN VIEW INC. 124519,A81000C,00400,0400,I N O 124519,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 124519,B100000,00000,0100,0100SQUARE FEET 124519,B100000,00000,0200,0200SQUARE FEET 124519,B100000,00000,0300,0300GROSS SALARIES 124519,B100000,00000,0400,0400ACCUM. COST 124519,B100000,00000,0500,0500SQUARE FEET 124519,B100000,00000,0600,0600PATIENT DAYS 124519,B100000,00000,0700,0700SQUARE FEET 124519,B100000,00000,0800,0800MEALS SERVED 124519,B100000,00000,0900,0900DIRECT NRSING HRS 124519,B100000,00000,1000,1000COSTED REQUIS 124519,B100000,00000,1100,1100COSTED REQUIS 124519,B100000,00000,1200,1200GROSS REVENUE 124519,B100000,00000,1300,1300PATIENT DAYS 124519,B100000,00000,1400,1400ASSIGNED TIME 124519,B100000,00000,1500,1350PATIENT DAYS 124519,E10A180,00350,0300,02/22/00 124519,E10A180,00501,0300,02/06/01 124519,E10A180,00550,0100,02/06/01 124519,S000000,00100,0200,01/22/01 124519,S200000,00100,0100,5801 BRYANT IRVIN ROAD 124519,S200000,00200,0100,FORT WORTH 124519,S200000,00200,0200,TX 124519,S200000,00200,0300,76132 124519,S200000,00300,0100,T 124519,S200000,00300,0200,2800 124519,S200000,00300,0300,U 124519,S200000,00400,0100,CITYVIEW CARE CENTER 124519,S200000,00400,0200,675622 124519,S200000,00400,0300,07/30/96 124519,S200000,00400,0500,P 124519,S200000,01500,0100,N 124519,S200000,01600,0100,Y 124519,S200000,01700,0100,N 124519,S200000,01800,0100,N 124519,S200000,02200,0100,N 124519,S200000,02800,0100,N 124519,S200000,02900,0100,N 124519,S200000,03000,0100,N 124519,S200000,03100,0100,N 124519,S200000,03200,0100,N 124519,S200000,03300,0100,N 124519,S200000,03300,0200,N 124519,S200000,04100,0100,N 124519,S200000,04200,0100,N 124519,S200000,04300,0100,N 124519,S200000,04600,0100,N 124519,S200000,04700,0100,N 124519,S200000,04900,0100,N 124520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124520,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124520,A000000,00300,0000,0300EMPLOYEE BENEFITS 124520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124520,A000000,00700,0000,0700HOUSEKEEPING 124520,A000000,00800,0000,0800DIETARY 124520,A000000,00900,0000,0900NURSING ADMINISTRATION 124520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124520,A000000,01100,0000,1100PHARMACY 124520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124520,A000000,01300,0000,1300SOCIAL SERVICE 124520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124520,A000000,01600,0000,1600SKILLED NURSING FACILITY 124520,A000000,01810,0000,1810ICF/MR 124520,A000000,02100,0000,2100RADIOLOGY 124520,A000000,02200,0000,2200LABORATORY 124520,A000000,02500,0000,2500PHYSICAL THERAPY 124520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124520,A000000,02700,0000,2700SPEECH PATHOLOGY 124520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124520,A000000,03550,0000,3550FQHC 124520,A000000,05000,0000,5000CORF 124520,A000000,05010,0000,5010CMHC 124520,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124520,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124520,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124520,A81000A,00100,0100,N 124520,B100000,00000,0100,0100SQUARE FEET 124520,B100000,00000,0200,0200SQUARE FEET 124520,B100000,00000,0300,0300GROSS SALARIES 124520,B100000,00000,0400,0400ACCUM. COST 124520,B100000,00000,0500,0500SQUARE FEET 124520,B100000,00000,0600,0600POUNDS OF LAUNDRY 124520,B100000,00000,0700,0700SQUARE FEET 124520,B100000,00000,0800,0800MEALS SERVED 124520,B100000,00000,0900,0900DIRECT NRSING HRS 124520,B100000,00000,1000,1000COSTED REQUIS 124520,B100000,00000,1100,1100COSTED REQUIS 124520,B100000,00000,1200,1200GROSS REVENUE 124520,B100000,00000,1300,1300PATIENT DAYS 124520,B100000,00000,1400,1400ASSIGNED TIME 124520,S000000,00100,0200,02/05/01 124520,S200000,00100,0100,235 NUTMEG 124520,S200000,00200,0100,SAN DIEGO 124520,S200000,00200,0200,CA 124520,S200000,00200,0300,92103 124520,S200000,00300,0100,S 124520,S200000,00300,0200,7320 124520,S200000,00300,0300,U 124520,S200000,00400,0100,ST. PAUL S HEALTH CARE CENTER 124520,S200000,00400,0200,555144 124520,S200000,00400,0300,09/01/86 124520,S200000,00400,0500,P 124520,S200000,00400,0600,O 124520,S200000,01500,0100,Y 124520,S200000,01600,0100,N 124520,S200000,01700,0100,N 124520,S200000,01800,0100,N 124520,S200000,02200,0100,N 124520,S200000,02800,0100,N 124520,S200000,02900,0100,N 124520,S200000,03000,0100,N 124520,S200000,03100,0100,N 124520,S200000,03200,0100,N 124520,S200000,03300,0100,N 124520,S200000,03300,0200,N 124520,S200000,04100,0100,N 124520,S200000,04200,0100,N 124520,S200000,04300,0100,N 124520,S200000,04600,0100,N 124520,S200000,04700,0100,N 124520,S200000,04700,0200,N 124520,S200000,04900,0100,N 124521,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124521,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124521,A000000,00300,0000,0300EMPLOYEE BENEFITS 124521,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124521,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124521,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124521,A000000,00700,0000,0700HOUSEKEEPING 124521,A000000,00800,0000,0800DIETARY 124521,A000000,00900,0000,0900NURSING ADMINISTRATION 124521,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124521,A000000,01100,0000,1100PHARMACY 124521,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124521,A000000,01300,0000,1300SOCIAL SERVICE 124521,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124521,A000000,01600,0000,1600SKILLED NURSING FACILITY 124521,A000000,01810,0000,1810ICF/MR 124521,A000000,02100,0000,2100RADIOLOGY 124521,A000000,02200,0000,2200LABORATORY 124521,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124521,A000000,02500,0000,2500PHYSICAL THERAPY 124521,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124521,A000000,02700,0000,2700SPEECH PATHOLOGY 124521,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124521,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124521,A000000,03200,0000,3200SUPPORT SURFACES 124521,A000000,03550,0000,3550FQHC 124521,A000000,05000,0000,5000CORF 124521,A000000,05010,0000,5010CMHC 124521,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124521,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124521,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124521,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124521,A81000A,00100,0100,Y 124521,A81000B,00100,0300,MANAGEMENT FEES 124521,A81000B,00200,0300,PHYSICAL THERAPY 124521,A81000B,00300,0300,OCCUPATIONAL THERAPY 124521,A81000B,00400,0300,SPEECH THERAPY 124521,A81000B,00500,0300,RESPIRATORY THERAPY 124521,A81000B,00600,0300,MEDICAL SUPPLIES 124521,A81000B,00700,0300,MEDICAL SUPPLIES 124521,A81000B,00800,0300,PHARMACY 124521,A81000C,00100,0100,B 124521,A81000C,00100,0200,FOUNTAIN VIEW INC. 124521,A81000C,00100,0400,BAYCREST 124521,A81000C,00100,0600,SNF 124521,A81000C,00200,0100,B 124521,A81000C,00200,0200,FOUNTAIN VIEW INC 124521,A81000C,00200,0400,LOCOMOTION 124521,A81000C,00200,0600,THERAPY COMPANY 124521,A81000C,00300,0100,B 124521,A81000C,00300,0200,FOUNTAIN VIEW INC 124521,A81000C,00300,0400,I N O 124521,A81000C,00300,0600,MEDICAL SUPPLY 124521,A81000C,00400,0100,B 124521,A81000C,00400,0200,FOUNTAIN VIEW INC. 124521,A81000C,00400,0400,SKILLED CARE PHARMACY 124521,A81000C,00400,0600,PHARMACY 124521,B100000,00000,0100,0100SQUARE FEET 124521,B100000,00000,0200,0200SQUARE FEET 124521,B100000,00000,0300,0300GROSS SALARIES 124521,B100000,00000,0400,0400ACCUM. COST 124521,B100000,00000,0500,0500SQUARE FEET 124521,B100000,00000,0600,0600POUNDS OF LAUNDRY 124521,B100000,00000,0700,0700SQUARE FEET 124521,B100000,00000,0800,0800MEALS SERVED 124521,B100000,00000,0900,0900DIRECT NRSING HRS 124521,B100000,00000,1000,1000COSTED REQUIS 124521,B100000,00000,1100,1100COSTED REQUIS 124521,B100000,00000,1200,1200GROSS REVENUE 124521,B100000,00000,1300,1300PATIENT DAYS 124521,B100000,00000,1400,1400ASSIGNED TIME 124521,E10A180,00501,0100,01/25/01 124521,E10A180,00501,0300,01/25/01 124521,S000000,00100,0200,01/18/01 124521,S200000,00100,0100,3750 GARNET ST. 124521,S200000,00200,0100,TORRANCE 124521,S200000,00200,0200,CA 124521,S200000,00200,0300,90503 124521,S200000,00300,0100,L 124521,S200000,00300,0200,4480 124521,S200000,00300,0300,U 124521,S200000,00400,0100,BAYCREST CARE CENTER 124521,S200000,00400,0200,055559 124521,S200000,00400,0300,01/01/67 124521,S200000,00400,0500,P 124521,S200000,00400,0600,O 124521,S200000,01500,0100,N 124521,S200000,01600,0100,Y 124521,S200000,01700,0100,N 124521,S200000,01800,0100,N 124521,S200000,02200,0100,N 124521,S200000,02800,0100,N 124521,S200000,02900,0100,N 124521,S200000,03000,0100,N 124521,S200000,03100,0100,N 124521,S200000,03200,0100,N 124521,S200000,03300,0100,N 124521,S200000,03300,0200,N 124521,S200000,04100,0100,N 124521,S200000,04200,0100,N 124521,S200000,04300,0100,N 124521,S200000,04600,0100,N 124521,S200000,04700,0100,N 124521,S200000,04700,0200,N 124521,S200000,04900,0100,N 124530,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124530,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124530,A000000,00300,0000,0300EMPLOYEE BENEFITS 124530,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124530,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124530,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124530,A000000,00700,0000,0700HOUSEKEEPING 124530,A000000,00800,0000,0800DIETARY 124530,A000000,00900,0000,0900NURSING ADMINISTRATION 124530,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124530,A000000,01100,0000,1100PHARMACY 124530,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124530,A000000,01300,0000,1300SOCIAL SERVICE 124530,A000000,01500,0000,1350PATIENT ACTIVITIES 124530,A000000,01600,0000,1600SKILLED NURSING FACILITY 124530,A000000,01800,0000,1800NURSING FACILITY 124530,A000000,01900,0000,1900OTHER LONG TERM CARE 124530,A000000,02100,0000,2100RADIOLOGY 124530,A000000,02200,0000,2200LABORATORY 124530,A000000,02300,0000,2300INTRAVENOUS THERAPY 124530,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124530,A000000,02500,0000,2500PHYSICAL THERAPY 124530,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124530,A000000,02700,0000,2700SPEECH PATHOLOGY 124530,A000000,02800,0000,2800ELECTROCARDIOLOGY 124530,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124530,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124530,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124530,A000000,03200,0000,3200SUPPORT SURFACES 124530,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124530,A000000,03400,0000,3400CLINIC 124530,A000000,03500,0000,3500RURAL HEALTH CLINIC 124530,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124530,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124530,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124530,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124530,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124530,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124530,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124530,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124530,A000000,04400,0000,4400DME RENTED - HHA 124530,A000000,04500,0000,4500DME SOLD - HHA 124530,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124530,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124530,A000000,04800,0000,4800AMBULANCE 124530,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 124530,A000000,05000,0000,5000CORF 124530,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124530,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124530,A000000,05300,0000,5300INTEREST EXPENSE 124530,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124530,A000000,05500,0000,5500HOSPICE 124530,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124530,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124530,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124530,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124530,A000000,06100,0000,6100NONPAID WORKERS 124530,A000000,06200,0000,6200PATIENTS LAUNDRY 124530,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124530,A81000A,00100,0100,Y 124530,A81000B,00100,0300,MANAGEMENT FEES 124530,A81000B,00200,0300,MANAGEMENT FEES 124530,A81000B,00300,0300,MANAGEMENT FEES 124530,A81000B,00400,0300,MANAGEMENT FEES 124530,A81000B,00500,0300,MANAGEMENT FEES 124530,A81000B,00600,0300,THERAPY SERVICES 124530,A81000B,00700,0300,THERAPY SERVICES 124530,A81000B,00800,0300,HISTORICAL COSTS 124530,A81000B,00900,0300,HISTORICAL COSTS 124530,A81000B,00901,0300,THERAPY SERVICES 124530,A81000C,00100,0100,A 124530,A81000C,00100,0200,MICHAEL H MCBRIDE 124530,A81000C,00100,0400,HEALTH MGMT. RESOURCES 124530,A81000C,00100,0600,HOME OFFICE 124530,A81000C,00200,0100,A 124530,A81000C,00200,0200,T. EDWARD CHILDRESS 124530,A81000C,00200,0400,HEALTH MGMT. RESOURCES 124530,A81000C,00200,0600,HOME OFFICE 124530,A81000C,00300,0100,A 124530,A81000C,00300,0200,JOHN P. O BRIEN 124530,A81000C,00300,0400,HEALTH MGMT. RESOURCES 124530,A81000C,00300,0600,HOME OFFICE 124530,A81000C,00400,0100,A 124530,A81000C,00400,0200,HMR PROPERTIES LLC 124530,A81000C,00400,0400,MICHAEL H. MCBRIDE 124530,A81000C,00400,0600,RENTAL LEASING 124530,A81000C,00500,0100,A 124530,A81000C,00500,0200,HMR PROPERTIES LLC 124530,A81000C,00500,0400,T.EDWARD CHILDRESS 124530,A81000C,00500,0600,RENTAL LEASING 124530,A81000C,00600,0100,A 124530,A81000C,00600,0200,HMR PROPERTIES LLC 124530,A81000C,00600,0400,JOHN P. O BRIEN 124530,A81000C,00600,0600,RENTAL LEASING 124530,A81000C,00700,0100,A 124530,A81000C,00700,0200,ADVANTAGE REHAB 124530,A81000C,00700,0400,MICHAEL H. MCBRIDE 124530,A81000C,00700,0600,THERAPY 124530,A81000C,00800,0100,A 124530,A81000C,00800,0200,ADVANTAGE REHAB 124530,A81000C,00800,0400,T. EDWARD CHILDRESS 124530,A81000C,00800,0600,THERAPY 124530,A81000C,00900,0100,A 124530,A81000C,00900,0200,ADVANTAGE REHAB 124530,A81000C,00900,0400,JOHN P. O BRIEN 124530,A81000C,00900,0600,THERAPY 124530,A81000C,01000,0100,A 124530,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 124530,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 124530,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 124530,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 124530,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 124530,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 124530,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 124530,B100000,00000,0800,0800MEALS SERVED DIETARY 124530,B100000,00000,0900,0900NSG LABOR HOURS NURSING ADMINIST 124530,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 124530,B100000,00000,1100,1100PHARMACY CHARGES PHARMACY 124530,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 124530,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 124530,B100000,00000,1500,1500PATIENT DAYS PATIENT ACTIVITIE 124530,S000000,00100,0200,02/26/01 124530,S200000,00100,0100,3000 LENORA CHURCH ROAD 124530,S200000,00200,0100,SNELLVILLE 124530,S200000,00200,0200,GA 124530,S200000,00200,0300,30078- 124530,S200000,00300,0100,GWINNET 124530,S200000,00300,0200,0520 124530,S200000,00300,0300,U 124530,S200000,00400,0100,PARKWOOD NURSING AND REHAB CENTER 124530,S200000,00400,0200,115643 124530,S200000,00400,0300,08/01/97 124530,S200000,00400,0500,P 124530,S200000,00400,0600,N 124530,S200000,01500,0100,Y 124530,S200000,01600,0100,N 124530,S200000,01700,0100,N 124530,S200000,01800,0100,N 124530,S200000,02200,0100,N 124530,S200000,02800,0100,N 124530,S200000,02900,0100,N 124530,S200000,03000,0100,N 124530,S200000,03100,0100,N 124530,S200000,03200,0100,N 124530,S200000,03300,0100,N 124530,S200000,03300,0200,N 124530,S200000,04100,0100,N 124530,S200000,04200,0100,N 124530,S200000,04300,0100,N 124530,S200000,04600,0100,N 124530,S200000,04700,0100,N 124530,S200000,04700,0200,N 124530,S200000,04900,0100,N 124530,S200000,05200,0100,N 124530,S700003,00000,0400,X 124576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124576,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124576,A000000,00300,0000,0300EMPLOYEE BENEFITS 124576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124576,A000000,00700,0000,0700HOUSEKEEPING 124576,A000000,00800,0000,0800DIETARY 124576,A000000,00900,0000,0900NURSING ADMINISTRATION 124576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124576,A000000,01100,0000,1100PHARMACY 124576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124576,A000000,01300,0000,1300SOCIAL SERVICE 124576,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124576,A000000,01500,0000,1350OTHER GENERAL SERVICES 124576,A000000,01600,0000,1600SKILLED NURSING FACILITY 124576,A000000,01800,0000,1800NURSING FACILITY 124576,A000000,01810,0000,1810ICF/MR 124576,A000000,01900,0000,1900OTHER LONG TERM CARE 124576,A000000,02100,0000,2100RADIOLOGY 124576,A000000,02200,0000,2200LABORATORY 124576,A000000,02300,0000,2300INTRAVENOUS THERAPY 124576,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124576,A000000,02500,0000,2500PHYSICAL THERAPY 124576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124576,A000000,02700,0000,2700SPEECH PATHOLOGY 124576,A000000,02800,0000,2800ELECTROCARDIOLOGY 124576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124576,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124576,A000000,03200,0000,3200SUPPORT SURFACES 124576,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124576,A000000,03400,0000,3400CLINIC 124576,A000000,03500,0000,3500RURAL HEALTH CLINIC 124576,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124576,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124576,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124576,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124576,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124576,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124576,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124576,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124576,A000000,04400,0000,4400DME RENTED - HHA 124576,A000000,04500,0000,4500DME SOLD - HHA 124576,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124576,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124576,A000000,04800,0000,4800AMBULANCE 124576,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124576,A000000,05000,0000,5000CORF 124576,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124576,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124576,A000000,05300,0000,5300INTEREST EXPENSE 124576,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124576,A000000,05500,0000,5500HOSPICE 124576,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124576,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124576,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124576,A000000,06100,0000,6100NONPAID WORKERS 124576,A000000,06200,0000,6200PATIENTS LAUNDRY 124576,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124576,A81000A,00100,0100,Y 124576,A81000B,00100,0300,HOME OFFICE CAPITAL 124576,A81000B,00200,0300,HOME OFICE ADMINISTRATIVE 124576,A81000B,00300,0300,PHYSICAL THERAPY 124576,A81000C,00100,0100,B 124576,A81000C,00100,0200,TANDEM HEALTH CARE INC. 124576,A81000C,00100,0600,HOME OFFICE 124576,A81000C,00200,0100,B 124576,A81000C,00200,0200,TANDEM HEALTH CARE INC. 124576,A81000C,00200,0600,HOME OFFICE 124576,A81000C,00300,0100,A 124576,A81000C,00300,0400,TANDEM REHABILITATION IN 124576,A81000C,00300,0600,THERAPY PROVIDER 124576,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124576,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124576,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124576,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124576,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124576,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124576,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 124576,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124576,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124576,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124576,E10A180,00301,0100,06/28/00 124576,S000000,00100,0200,11/01/00 124576,S200000,00100,0100,1310 37TH STREET 124576,S200000,00200,0100,VERO BEACH 124576,S200000,00200,0200,FL 124576,S200000,00200,0300,32960- 124576,S200000,00300,0100,INDIAN RIVER 124576,S200000,00300,0200,10 124576,S200000,00300,0300,R 124576,S200000,00400,0100,THC OF VERO BEACH INC. 124576,S200000,00400,0200,105474 124576,S200000,00400,0300,10/16/85 124576,S200000,00400,0500,P 124576,S200000,01004,0500,O 124576,S200000,01500,0100,N 124576,S200000,01600,0100,Y 124576,S200000,01700,0100,N 124576,S200000,01800,0100,N 124576,S200000,02200,0100,N 124576,S200000,02800,0100,N 124576,S200000,02900,0100,N 124576,S200000,03000,0100,N 124576,S200000,03100,0100,N 124576,S200000,03200,0100,N 124576,S200000,04100,0100,N 124576,S200000,04200,0100,N 124576,S200000,04300,0100,N 124576,S200000,04600,0100,N 124576,S200000,04700,0100,N 124576,S200000,04700,0200,N 124576,S200000,04900,0100,N 124576,S200000,05000,0100,N 124576,S200000,05100,0100,N 124576,S200000,05200,0100,N 124579,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124579,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124579,A000000,00300,0000,0300EMPLOYEE BENEFITS 124579,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124579,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124579,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124579,A000000,00700,0000,0700HOUSEKEEPING 124579,A000000,00800,0000,0800DIETARY 124579,A000000,00900,0000,0900NURSING ADMINISTRATION 124579,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124579,A000000,01100,0000,1100PHARMACY 124579,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124579,A000000,01300,0000,1300SOCIAL SERVICE 124579,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124579,A000000,01500,0000,1350OTHER GENERAL SERVICES 124579,A000000,01600,0000,1600SKILLED NURSING FACILITY 124579,A000000,01800,0000,1800NURSING FACILITY 124579,A000000,01810,0000,1810ICF/MR 124579,A000000,01900,0000,1900OTHER LONG TERM CARE 124579,A000000,02100,0000,2100RADIOLOGY 124579,A000000,02200,0000,2200LABORATORY 124579,A000000,02300,0000,2300INTRAVENOUS THERAPY 124579,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124579,A000000,02500,0000,2500PHYSICAL THERAPY 124579,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124579,A000000,02700,0000,2700SPEECH PATHOLOGY 124579,A000000,02800,0000,2800ELECTROCARDIOLOGY 124579,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124579,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124579,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124579,A000000,03200,0000,3200SUPPORT SURFACES 124579,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124579,A000000,03400,0000,3400CLINIC 124579,A000000,03500,0000,3500RURAL HEALTH CLINIC 124579,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124579,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124579,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124579,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124579,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124579,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124579,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124579,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124579,A000000,04400,0000,4400DME RENTED - HHA 124579,A000000,04500,0000,4500DME SOLD - HHA 124579,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124579,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124579,A000000,04800,0000,4800AMBULANCE 124579,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124579,A000000,05000,0000,5000CORF 124579,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124579,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124579,A000000,05300,0000,5300INTEREST EXPENSE 124579,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124579,A000000,05500,0000,5500HOSPICE 124579,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124579,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124579,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124579,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124579,A000000,06100,0000,6100NONPAID WORKERS 124579,A000000,06200,0000,6200PATIENTS LAUNDRY 124579,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124579,A81000A,00100,0100,N 124579,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124579,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124579,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124579,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124579,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124579,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124579,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124579,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 124579,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124579,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124579,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124579,S000000,00100,0200,12/01/00 124579,S200000,00100,0100,5300 WEST 16TH STREET 124579,S200000,00200,0100,HIALEAH 124579,S200000,00200,0200,FL 124579,S200000,00200,0300,33012- 124579,S200000,00300,0100,DADE 124579,S200000,00300,0200,5000 124579,S200000,00300,0300,U 124579,S200000,00400,0100,SUSANNA WESLEY HEALTH CENTER 124579,S200000,00400,0200,105498 124579,S200000,00400,0300,04/02/85 124579,S200000,00400,0500,P 124579,S200000,01004,0500,O 124579,S200000,01500,0100,N 124579,S200000,01600,0100,Y 124579,S200000,01700,0100,N 124579,S200000,01800,0100,N 124579,S200000,02200,0100,N 124579,S200000,02800,0100,N 124579,S200000,02900,0100,N 124579,S200000,03000,0100,N 124579,S200000,03100,0100,N 124579,S200000,03200,0100,N 124579,S200000,04100,0100,N 124579,S200000,04200,0100,N 124579,S200000,04300,0100,N 124579,S200000,04600,0100,N 124579,S200000,04700,0100,N 124579,S200000,04700,0200,N 124579,S200000,04900,0100,N 124579,S200000,05000,0100,N 124579,S200000,05100,0100,N 124579,S200000,05200,0100,N 124586,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124586,A000000,00300,0000,0300EMPLOYEE BENEFITS 124586,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124586,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124586,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124586,A000000,00700,0000,0700HOUSEKEEPING 124586,A000000,00800,0000,0800DIETARY 124586,A000000,00900,0000,0900NURSING ADMINISTRATION 124586,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124586,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124586,A000000,01300,0000,1300SOCIAL SERVICE 124586,A000000,01600,0000,1600SKILLED NURSING FACILITY 124586,A000000,01800,0000,1800NURSING FACILITY 124586,A000000,02100,0000,2100RADIOLOGY 124586,A000000,02300,0000,2300INTRAVENOUS THERAPY 124586,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124586,A000000,02500,0000,2500PHYSICAL THERAPY 124586,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124586,A000000,02700,0000,2700SPEECH PATHOLOGY 124586,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124586,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124586,A000000,05300,0000,5300INTEREST EXPENSE 124586,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124586,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124586,A81000A,00100,0100,Y 124586,A81000B,00100,0300,PROPERTY COSTS 124586,A81000B,00200,0300,ADMINISTRATIVE/GENERAL 124586,A81000B,00300,0300,WORKING CAPITAL INTEREST 124586,A81000B,00400,0300,OVERSIGHT MANAGEMENT 124586,A81000C,00100,0100,B 124586,A81000C,00100,0200,ALLIANCE FOUNDATION 124586,A81000C,00100,0400,ALLIANCE FOUNDATION 124586,A81000C,00100,0600,PARENT/MANAGEMENT 124586,A81000C,00200,0100,A 124586,A81000C,00200,0200,UNITED METHODIST HOMES 124586,A81000C,00200,0400,BOARD MEMBER 124586,A81000C,00200,0600,HEALTH CARE MANAGEMENT 124586,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124586,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124586,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124586,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124586,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 124586,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124586,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 124586,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 124586,B100000,00000,1000,1050RESIDENT DAYS :CENTRAL SERVICES 124586,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 124586,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 124586,E10A180,00301,0100,10/13/00 124586,S000000,00100,0200,01/08/01 124586,S200000,00100,0100,490 S. OLD WIRE ROAD 124586,S200000,00200,0100,WILDWOOD 124586,S200000,00200,0200,FL 124586,S200000,00200,0300,32785- 124586,S200000,00300,0100,SUMTER 124586,S200000,00300,0200,10 124586,S200000,00300,0300,R 124586,S200000,00400,0100,ALLIANCE - WECARE 124586,S200000,00400,0200,105649 124586,S200000,00400,0300,05/01/89 124586,S200000,00400,0500,P 124586,S200000,01004,0500,O 124586,S200000,01500,0100,N 124586,S200000,01600,0100,Y 124586,S200000,01700,0100,N 124586,S200000,01800,0100,N 124586,S200000,02200,0100,N 124586,S200000,02800,0100,N 124586,S200000,02900,0100,N 124586,S200000,03000,0100,N 124586,S200000,03100,0100,N 124586,S200000,03200,0100,N 124586,S200000,04100,0100,N 124586,S200000,04200,0100,N 124586,S200000,04300,0100,N 124586,S200000,04600,0100,N 124586,S200000,04700,0100,N 124586,S200000,04700,0200,N 124586,S200000,04900,0100,N 124586,S200000,05000,0100,N 124586,S200000,05100,0100,N 124586,S200000,05200,0100,N 124595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124595,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124595,A000000,00300,0000,0300EMPLOYEE BENEFITS 124595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124595,A000000,00700,0000,0700HOUSEKEEPING 124595,A000000,00800,0000,0800DIETARY 124595,A000000,00900,0000,0900NURSING ADMINISTRATION 124595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124595,A000000,01100,0000,1100PHARMACY 124595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124595,A000000,01300,0000,1300SOCIAL SERVICE 124595,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124595,A000000,01600,0000,1600SKILLED NURSING FACILITY 124595,A000000,01800,0000,1800NURSING FACILITY 124595,A000000,01810,0000,1810ICF/MR 124595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124595,A000000,02500,0000,2500PHYSICAL THERAPY 124595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124595,A000000,02700,0000,2700SPEECH PATHOLOGY 124595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124595,A000000,03300,0000,3050PEN THERAPY 124595,A000000,03550,0000,3550FQHC 124595,A000000,05000,0000,5000CORF 124595,A000000,05010,0000,5010CMHC 124595,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124595,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124595,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124595,A000000,05810,0000,5801NON-REIMBURSABLE 124595,A81000A,00100,0100,N 124595,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124595,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124595,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124595,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124595,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124595,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 124595,B100000,00000,0800,0800MEALS SERVED :DIETARY 124595,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 124595,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 124595,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 124595,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 124595,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 124595,S000000,00100,0200,11/27/00 124595,S200000,00100,0100,2500 WEST CHURCH ST. 124595,S200000,00200,0100,ORLANDO 124595,S200000,00200,0200,FL 124595,S200000,00200,0300,32855-5877 124595,S200000,00300,0100,ORANGE 124595,S200000,00300,0200,5960 124595,S200000,00300,0300,U 124595,S200000,00400,0100,GUARDIAN CARE NURSING & REHAB CENTE 124595,S200000,00400,0200,105797 124595,S200000,00400,0300,07/01/93 124595,S200000,00400,0500,P 124595,S200000,00400,0600,O 124595,S200000,00600,0200,201651 124595,S200000,00600,0300,01/01/70 124595,S200000,00600,0600,O 124595,S200000,01004,0500,O 124595,S200000,01500,0100,Y 124595,S200000,01600,0100,N 124595,S200000,01700,0100,N 124595,S200000,01800,0100,N 124595,S200000,01900,0100,COMMUNITY BASED NON- 124595,S200000,02200,0100,N 124595,S200000,02800,0100,Y 124595,S200000,02900,0100,N 124595,S200000,03000,0100,N 124595,S200000,03100,0100,N 124595,S200000,03200,0100,N 124595,S200000,04100,0100,N 124595,S200000,04200,0100,N 124595,S200000,04300,0100,N 124595,S200000,04600,0100,N 124595,S200000,04700,0100,N 124595,S200000,04700,0200,N 124595,S200000,04900,0100,N 124595,S200000,05000,0100,N 124595,S200000,05100,0100,N 124595,S200000,05200,0100,N 124598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124598,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124598,A000000,00300,0000,0300EMPLOYEE BENEFITS 124598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124598,A000000,00700,0000,0700HOUSEKEEPING 124598,A000000,00800,0000,0800DIETARY 124598,A000000,00900,0000,0900NURSING ADMINISTRATION 124598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124598,A000000,01100,0000,1100PHARMACY 124598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124598,A000000,01300,0000,1300SOCIAL SERVICE 124598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124598,A000000,01600,0000,1600SKILLED NURSING FACILITY 124598,A000000,01800,0000,1800NURSING FACILITY 124598,A000000,01900,0000,1900OTHER LONG TERM CARE 124598,A000000,02100,0000,2100RADIOLOGY 124598,A000000,02200,0000,2200LABORATORY 124598,A000000,02300,0000,2300INTRAVENOUS THERAPY 124598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124598,A000000,02500,0000,2500PHYSICAL THERAPY 124598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124598,A000000,02700,0000,2700SPEECH PATHOLOGY 124598,A000000,02800,0000,2800ELECTROCARDIOLOGY 124598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124598,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124598,A000000,03200,0000,3200SUPPORT SURFACES 124598,A000000,03400,0000,3400CLINIC 124598,A000000,03500,0000,3500RURAL HEALTH CLINIC 124598,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124598,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124598,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124598,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124598,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124598,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124598,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124598,A000000,04400,0000,4400DME RENTED - HHA 124598,A000000,04500,0000,4500DME SOLD - HHA 124598,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124598,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124598,A000000,04800,0000,4800AMBULANCE 124598,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124598,A000000,05000,0000,5000CORF 124598,A000000,05010,0000,5010CMHC 124598,A000000,05020,0000,5020OPT 124598,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124598,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124598,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124598,A000000,05300,0000,5300INTEREST EXPENSE 124598,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124598,A000000,05500,0000,5500HOSPICE 124598,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124598,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124598,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124598,A000000,06100,0000,6100NONPAID WORKERS 124598,A000000,06200,0000,6200PATIENTS LAUNDRY 124598,A81000A,00100,0100,N 124598,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 124598,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124598,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 124598,B100000,00000,0600,0650 PATIENT DAYS :LAUNDRY & LINEN S 124598,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124598,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 124598,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 124598,B100000,00000,1300,1330 PATIENT DAYS :SOCIAL SERVICE 124598,S000000,00100,0200,01/29/01 124598,S200000,00100,0100,427 N.W. 15TH AVENUE 124598,S200000,00200,0100,JASPER 124598,S200000,00200,0200,FL 124598,S200000,00200,0300,32052- 124598,S200000,00300,0100,HAMILTON 124598,S200000,00300,0200,0010 124598,S200000,00300,0300,R 124598,S200000,00400,0100,SUWANNEE VALLEY NURSING CENTER 124598,S200000,00400,0200,105825 124598,S200000,00400,0300,08/25/93 124598,S200000,00400,0500,P 124598,S200000,01500,0100,Y 124598,S200000,01600,0100,N 124598,S200000,01700,0100,N 124598,S200000,01800,0100,N 124598,S200000,02200,0100,N 124598,S200000,02800,0100,N 124598,S200000,02900,0100,N 124598,S200000,03000,0100,N 124598,S200000,03100,0100,N 124598,S200000,03200,0100,N 124598,S200000,04100,0100,N 124598,S200000,04200,0100,N 124598,S200000,04300,0100,N 124598,S200000,04600,0100,N 124598,S200000,04700,0100,N 124598,S200000,04700,0200,N 124598,S200000,04900,0100,N 124598,S200000,05000,0100,N 124598,S200000,05100,0100,N 124598,S200000,05200,0100,N 124610,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124610,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124610,A000000,00300,0000,0300EMPLOYEE BENEFITS 124610,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124610,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124610,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124610,A000000,00700,0000,0700HOUSEKEEPING 124610,A000000,00800,0000,0800DIETARY 124610,A000000,00900,0000,0900NURSING ADMINISTRATION 124610,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124610,A000000,01100,0000,1100PHARMACY 124610,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124610,A000000,01300,0000,1300SOCIAL SERVICE 124610,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124610,A000000,01500,0000,1350OTHER GENERAL SERVICES 124610,A000000,01600,0000,1600SKILLED NURSING FACILITY 124610,A000000,01800,0000,1800NURSING FACILITY 124610,A000000,01810,0000,1810ICF/MR 124610,A000000,01900,0000,1900OTHER LONG TERM CARE 124610,A000000,02100,0000,2100RADIOLOGY 124610,A000000,02200,0000,2200LABORATORY 124610,A000000,02300,0000,2300INTRAVENOUS THERAPY 124610,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124610,A000000,02500,0000,2500PHYSICAL THERAPY 124610,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124610,A000000,02700,0000,2700SPEECH PATHOLOGY 124610,A000000,02800,0000,2800ELECTROCARDIOLOGY 124610,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124610,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124610,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124610,A000000,03200,0000,3200SUPPORT SURFACES 124610,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124610,A000000,03400,0000,3400CLINIC 124610,A000000,03500,0000,3500RURAL HEALTH CLINIC 124610,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124610,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124610,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124610,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124610,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124610,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124610,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124610,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124610,A000000,04400,0000,4400DME RENTED - HHA 124610,A000000,04500,0000,4500DME SOLD - HHA 124610,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124610,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124610,A000000,04800,0000,4800AMBULANCE 124610,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124610,A000000,05000,0000,5000CORF 124610,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124610,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124610,A000000,05300,0000,5300INTEREST EXPENSE 124610,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124610,A000000,05500,0000,5500HOSPICE 124610,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124610,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124610,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124610,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124610,A000000,06100,0000,6100NONPAID WORKERS 124610,A000000,06200,0000,6200PATIENTS LAUNDRY 124610,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124610,A81000A,00100,0100,Y 124610,A81000B,00100,0300,MANAGEMENT FEES 124610,A81000B,00200,0300,HOME OFFICE PROPERTY 124610,A81000C,00100,0100,A 124610,A81000C,00100,0200,MARILYN GUMMELS 124610,A81000C,00100,0400,BROOKWOOD INVESTMENTS 124610,A81000C,00100,0600,MANAGEMENT COMPANY 124610,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 124610,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124610,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124610,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 124610,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124610,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 124610,B100000,00000,0800,0850PATIENT DAYS :DIETARY 124610,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 124610,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 124610,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124610,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124610,S000000,00100,0200,11/01/00 124610,S200000,00100,0100,2600 FOREST GLEN TRAIL 124610,S200000,00200,0100,MARIANNA 124610,S200000,00200,0200,FL 124610,S200000,00200,0300,32446- 124610,S200000,00300,0100,JACKSON 124610,S200000,00300,0200,10 124610,S200000,00300,0300,R 124610,S200000,00400,0100,COURTYARD AT THE MILLPOND 124610,S200000,00400,0200,105970 124610,S200000,00400,0300,08/27/97 124610,S200000,00400,0500,P 124610,S200000,01500,0100,N 124610,S200000,01600,0100,Y 124610,S200000,01700,0100,N 124610,S200000,01800,0100,N 124610,S200000,02200,0100,N 124610,S200000,02800,0100,N 124610,S200000,02900,0100,N 124610,S200000,03000,0100,N 124610,S200000,03100,0100,N 124610,S200000,03200,0100,N 124610,S200000,04100,0100,N 124610,S200000,04200,0100,N 124610,S200000,04300,0100,N 124610,S200000,04600,0100,N 124610,S200000,04700,0100,N 124610,S200000,04700,0200,N 124610,S200000,04900,0100,N 124610,S200000,05000,0100,N 124610,S200000,05100,0100,N 124610,S200000,05200,0100,N 124649,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124649,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124649,A000000,00300,0000,0300EMPLOYEE BENEFITS 124649,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124649,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124649,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124649,A000000,00700,0000,0700HOUSEKEEPING 124649,A000000,00800,0000,0800DIETARY 124649,A000000,00900,0000,0900NURSING ADMINISTRATION 124649,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124649,A000000,01100,0000,1100PHARMACY 124649,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124649,A000000,01300,0000,1300SOCIAL SERVICE 124649,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124649,A000000,01500,0000,1350OTHER GENERAL SERVICES 124649,A000000,01600,0000,1600SKILLED NURSING FACILITY 124649,A000000,01800,0000,1800NURSING FACILITY 124649,A000000,01810,0000,1810ICF/MR 124649,A000000,01900,0000,1900OTHER LONG TERM CARE 124649,A000000,02100,0000,2100RADIOLOGY 124649,A000000,02200,0000,2200LABORATORY 124649,A000000,02300,0000,2300INTRAVENOUS THERAPY 124649,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124649,A000000,02500,0000,2500PHYSICAL THERAPY 124649,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124649,A000000,02700,0000,2700SPEECH PATHOLOGY 124649,A000000,02800,0000,2800ELECTROCARDIOLOGY 124649,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124649,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124649,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124649,A000000,03200,0000,3200SUPPORT SURFACES 124649,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124649,A000000,03400,0000,3400CLINIC 124649,A000000,03500,0000,3500RURAL HEALTH CLINIC 124649,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124649,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124649,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124649,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124649,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124649,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124649,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124649,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124649,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124649,A000000,04701,0000,4701PRIVATE DUTY NURSING 124649,A000000,04800,0000,4800AMBULANCE 124649,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124649,A000000,05000,0000,5000CORF 124649,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124649,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124649,A000000,05300,0000,5300INTEREST EXPENSE 124649,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124649,A000000,05500,0000,5500HOSPICE 124649,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124649,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124649,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124649,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124649,A000000,06100,0000,6100NONPAID WORKERS 124649,A000000,06200,0000,6200PATIENTS LAUNDRY 124649,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124649,A000000,06301,0000,6151HOLY FAMILY CHILD CARE CENTER 124649,A000000,06302,0000,6152CONVENT 124649,A000000,06303,0000,6153ASSISTED LIVING 124649,A000000,06304,0000,6154CARITAS/MUNSTER ADULT DAY CARE 124649,A81000A,00100,0100,Y 124649,A81000B,00100,0300,ADMIN LAFAYETTE HOMES 124649,A81000B,00200,0300,MAINTENANCE LAFAYETTE HOMES 124649,A81000B,00300,0300,ADMIN LAFAYETTE SALARIES 124649,A81000B,00400,0300,BENEFITS LAFAYETTE HOMES 124649,A81000B,00500,0300,SHARED ADMIN SALARIES 124649,A81000B,00600,0300,SHARED ADMIN OTHER 124649,A81000B,00700,0300,SHARED MAINTENANCE SUPPLIES 124649,A81000B,00800,0300,SHARED FOOD COST 124649,A81000C,00100,0100,B 124649,A81000C,00100,0200,ST. ANTHONY HOME 124649,A81000C,00100,0400,ST. MARY HEALTHCARE CTR 124649,A81000C,00100,0600,NURSING HOME 124649,A81000C,00200,0100,B 124649,A81000C,00200,0200,ST. ANTHONY HOME 124649,A81000C,00200,0400,ST. ELIZABETH HEALTHCARE 124649,A81000C,00200,0600,NURSING HOME 124649,A81000C,00300,0100,B 124649,A81000C,00300,0200,ST. ANTHONY HOME 124649,A81000C,00300,0400,GEORGE DAVIS 124649,A81000C,00300,0600,NURSING HOME 124649,A81000C,00400,0100,B 124649,A81000C,00400,0200,ST. ANTHONY HOME 124649,A81000C,00400,0400,ST. CLARE 124649,A81000C,00400,0600,NURSING HOME 124649,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 124649,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 124649,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124649,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124649,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 124649,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124649,B100000,00000,0800,0800MEALS SERVED :DIETARY 124649,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 124649,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 124649,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 124649,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124649,S000000,00100,0200,12/28/00 124649,S200000,00100,0100,203 FRANCISCAN DRIVE 124649,S200000,00200,0100,CROWN POINT 124649,S200000,00200,0200,IN 124649,S200000,00200,0300,46307-4824 124649,S200000,00300,0100,LAKE 124649,S200000,00300,0200,2960 124649,S200000,00300,0300,U 124649,S200000,00400,0100,ST. ANTHONY HOME 124649,S200000,00400,0200,155214 124649,S200000,00400,0300,02/28/83 124649,S200000,00400,0500,P 124649,S200000,00800,0200,157287 124649,S200000,00800,0300,03/01/94 124649,S200000,00800,0500,O 124649,S200000,01200,0200,151532 124649,S200000,01200,0300,03/02/95 124649,S200000,01500,0100,N 124649,S200000,01600,0100,Y 124649,S200000,01700,0100,N 124649,S200000,01800,0100,N 124649,S200000,02200,0100,N 124649,S200000,02800,0100,N 124649,S200000,02900,0100,N 124649,S200000,03000,0100,N 124649,S200000,03100,0100,N 124649,S200000,03200,0100,N 124649,S200000,04100,0100,N 124649,S200000,04200,0100,N 124649,S200000,04300,0100,N 124649,S200000,04600,0100,N 124649,S200000,04700,0100,N 124649,S200000,04700,0200,N 124649,S200000,04900,0100,N 124649,S200000,05000,0100,N 124649,S200000,05100,0100,N 124649,S200000,05200,0100,N 124696,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124696,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124696,A000000,00300,0000,0300EMPLOYEE BENEFITS 124696,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124696,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124696,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124696,A000000,00700,0000,0700HOUSEKEEPING 124696,A000000,00800,0000,0800DIETARY 124696,A000000,00900,0000,0900NURSING ADMINISTRATION 124696,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124696,A000000,01100,0000,1100PHARMACY 124696,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124696,A000000,01300,0000,1300SOCIAL SERVICE 124696,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124696,A000000,01500,0000,1350OTHER GENERAL SERVICES 124696,A000000,01600,0000,1600SKILLED NURSING FACILITY 124696,A000000,01800,0000,1800NURSING FACILITY 124696,A000000,01810,0000,1810ICF/MR 124696,A000000,01900,0000,1900OTHER LONG TERM CARE 124696,A000000,02100,0000,2100RADIOLOGY 124696,A000000,02200,0000,2200LABORATORY 124696,A000000,02300,0000,2300INTRAVENOUS THERAPY 124696,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124696,A000000,02500,0000,2500PHYSICAL THERAPY 124696,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124696,A000000,02700,0000,2700SPEECH PATHOLOGY 124696,A000000,02800,0000,2800ELECTROCARDIOLOGY 124696,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124696,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124696,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124696,A000000,03200,0000,3200SUPPORT SURFACES 124696,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124696,A000000,03400,0000,3400CLINIC 124696,A000000,03500,0000,3500RURAL HEALTH CLINIC 124696,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124696,A000000,04800,0000,4800AMBULANCE 124696,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 124696,A000000,05000,0000,5000CORF 124696,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124696,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124696,A000000,05300,0000,5300INTEREST EXPENSE 124696,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124696,A000000,05500,0000,5500HOSPICE 124696,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124696,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124696,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124696,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124696,A000000,06100,0000,6100NONPAID WORKERS 124696,A000000,06200,0000,6200PATIENTS LAUNDRY 124696,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124696,A81000A,00100,0100,Y 124696,A81000B,00100,0300,ALLOCATED MAINTENANCE SERVICES 124696,A81000B,00200,0300,PHYSICAL THERAPY SERVICES 124696,A81000B,00300,0300,OCCUPATIONAL THERAPY SERVICES 124696,A81000B,00400,0300,SPEECH THERAPY SERVICES 124696,A81000B,00500,0300,NHA SALARIES 124696,A81000B,00600,0300,ASST. NHA SALARIES 124696,A81000B,00700,0300,DIRECTOR S FEES 124696,A81000C,00100,0100,A 124696,A81000C,00100,0200,DAVIS W. KING 124696,A81000C,00100,0400,PALMYRA NURSING HOME INC 124696,A81000C,00100,0600,SNF 124696,A81000C,00200,0100,A 124696,A81000C,00200,0200,DONNA M. KING 124696,A81000C,00200,0400,PALMYRA NURSING HOME INC 124696,A81000C,00200,0600,SNF 124696,A81000C,00300,0100,A 124696,A81000C,00300,0200,DAVIS W. KING 124696,A81000C,00300,0400,SOUTH GEORGIA REHAB INC. 124696,A81000C,00300,0600,THERAPY PROVIDER 124696,A81000C,00400,0100,G 124696,A81000C,00400,0200,DONNA M. KING 124696,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 124696,B100000,00000,0200,0200NO STATISTICS CAP REL COS 124696,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 124696,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 124696,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 124696,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 124696,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 124696,B100000,00000,0800,0800PATIENT DAYS DIETARY 124696,B100000,00000,0900,0900NO STATISTICS NURSING ADM 124696,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 124696,B100000,00000,1100,1100NO STATISTICS PHARMACY 124696,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 124696,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 124696,B100000,00000,1400,1400NO STATISTICS INTERNS & R 124696,B100000,00000,1500,1500NO STATISTICS OTHER GENER 124696,S000000,00100,0200,03/02/01 124696,S200000,00100,0100,104 MONK STREET 124696,S200000,00200,0100,SYLVESTER 124696,S200000,00200,0200,GA 124696,S200000,00200,0300,31791- 124696,S200000,00300,0100,WORTH 124696,S200000,00300,0200,0000 124696,S200000,00300,0300,R 124696,S200000,00400,0100,SYLVESTER HEALTH CARE INC. 124696,S200000,00400,0200,115629 124696,S200000,00400,0300,01/01/97 124696,S200000,00400,0500,P 124696,S200000,00400,0600,N 124696,S200000,01500,0100,Y 124696,S200000,01600,0100,N 124696,S200000,01700,0100,N 124696,S200000,01800,0100,N 124696,S200000,02200,0100,N 124696,S200000,02800,0100,N 124696,S200000,02900,0100,N 124696,S200000,03000,0100,N 124696,S200000,03100,0100,N 124696,S200000,03200,0100,N 124696,S200000,03300,0100,N 124696,S200000,03300,0200,N 124696,S200000,04100,0100,N 124696,S200000,04200,0100,N 124696,S200000,04300,0100,N 124696,S200000,04600,0100,N 124696,S200000,04700,0100,N 124696,S200000,04700,0200,N 124696,S200000,04900,0100,N 124696,S200000,05200,0100,N 124696,S700003,00000,0400,X 124718,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124718,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124718,A000000,00300,0000,0300EMPLOYEE BENEFITS 124718,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124718,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124718,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124718,A000000,00700,0000,0700HOUSEKEEPING 124718,A000000,00800,0000,0800DIETARY 124718,A000000,00900,0000,0900NURSING ADMINISTRATION 124718,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124718,A000000,01100,0000,1100PHARMACY 124718,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124718,A000000,01300,0000,1300SOCIAL SERVICE 124718,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124718,A000000,01600,0000,1600SKILLED NURSING FACILITY 124718,A000000,01810,0000,1810ICF/MR 124718,A000000,02200,0000,2200LABORATORY 124718,A000000,02500,0000,2500PHYSICAL THERAPY 124718,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124718,A000000,02700,0000,2700SPEECH PATHOLOGY 124718,A000000,03300,0000,3050HEARING 124718,A000000,03550,0000,3550FQHC 124718,A000000,03600,0000,3450A.D.C. 124718,A000000,05000,0000,5000CORF 124718,A000000,05010,0000,5010CMHC 124718,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124718,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124718,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124718,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124718,A000000,06300,0000,6150DENTAL 124718,A81000A,00100,0100,N 124718,B100000,00000,0100,0100SQUARE FEET 124718,B100000,00000,0200,0200SQUARE FEET 124718,B100000,00000,0300,0300GROSS SALARIES 124718,B100000,00000,0400,0400ACCUM COST 124718,B100000,00000,0500,0500SQUARE FEET 124718,B100000,00000,0600,0600POUNDS OF LAUNDRY 124718,B100000,00000,0700,0700HOURS OF SERVICE 124718,B100000,00000,0800,0800MEALS SERVED 124718,B100000,00000,0900,0900DIRECT NRSG HRS 124718,B100000,00000,1000,1000COSTED REQUIS 124718,B100000,00000,1100,1100COSTED REQUIS 124718,B100000,00000,1200,1200TIME SPENT 124718,B100000,00000,1300,1300TIME SPENT 124718,B100000,00000,1400,1400ASSIGNED TIME 124718,E10A180,00301,0100,05/09/00 124718,E10A180,00550,0100,02/06/01 124718,E10A180,00550,0300,02/06/01 124718,S000000,00100,0200,06/12/00 124718,S200000,00100,0100,1500 PORTLAND AVENUE 124718,S200000,00200,0100,ROCHESTER 124718,S200000,00200,0200,NY 124718,S200000,00200,0300,14621 124718,S200000,00300,0100,MONROE U 124718,S200000,00300,0200,6840 124718,S200000,00300,0300,U 124718,S200000,00400,0100,ST. ANN S HOME FOR THE AGED 124718,S200000,00400,0200,335081 124718,S200000,00400,0300,01/01/67 124718,S200000,00400,0500,P 124718,S200000,01500,0100,Y 124718,S200000,01600,0100,N 124718,S200000,01700,0100,N 124718,S200000,01800,0100,N 124718,S200000,02200,0100,N 124718,S200000,02800,0100,N 124718,S200000,02900,0100,N 124718,S200000,03000,0100,N 124718,S200000,03100,0100,N 124718,S200000,03200,0100,N 124718,S200000,03300,0100,N 124718,S200000,03300,0200,N 124718,S200000,04100,0100,N 124718,S200000,04200,0100,N 124718,S200000,04300,0100,N 124718,S200000,04600,0100,Y 124718,S200000,04700,0100,N 124718,S200000,04900,0100,N 124718,S200000,05200,0100,N 124730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124730,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124730,A000000,00300,0000,0300EMPLOYEE BENEFITS 124730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124730,A000000,00700,0000,0700HOUSEKEEPING 124730,A000000,00800,0000,0800DIETARY 124730,A000000,00900,0000,0900NURSING ADMINISTRATION 124730,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124730,A000000,01100,0000,1100PHARMACY 124730,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124730,A000000,01300,0000,1300SOCIAL SERVICE 124730,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124730,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 124730,A000000,01600,0000,1600SKILLED NURSING FACILITY 124730,A000000,01800,0000,1800NURSING FACILITY 124730,A000000,01900,0000,1900OTHER LONG TERM CARE 124730,A000000,02100,0000,2100RADIOLOGY 124730,A000000,02200,0000,2200LABORATORY 124730,A000000,02300,0000,2300INTRAVENOUS THERAPY 124730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124730,A000000,02500,0000,2500PHYSICAL THERAPY 124730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124730,A000000,02700,0000,2700SPEECH PATHOLOGY 124730,A000000,02800,0000,2800ELECTROCARDIOLOGY 124730,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124730,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124730,A000000,03200,0000,3200SUPPORT SURFACES 124730,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 124730,A000000,03301,0000,3051CLINITRON BEDS 124730,A000000,03400,0000,3400CLINIC 124730,A000000,03500,0000,3500RURAL HEALTH CLINIC 124730,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 124730,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124730,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124730,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124730,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124730,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124730,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124730,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124730,A000000,04400,0000,4400DME RENTED - HHA 124730,A000000,04500,0000,4500DME SOLD - HHA 124730,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124730,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124730,A000000,04800,0000,4800AMBULANCE 124730,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124730,A000000,05000,0000,5000CORF 124730,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 124730,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124730,A000000,05300,0000,5300INTEREST EXPENSE 124730,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124730,A000000,05500,0000,5500HOSPICE 124730,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 124730,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124730,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124730,A000000,05901,0000,5901VENDING 124730,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124730,A000000,06100,0000,6100NONPAID WORKERS 124730,A000000,06200,0000,6200PATIENTS LAUNDRY 124730,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124730,A81000A,00100,0100,N 124730,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 124730,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124730,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 124730,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 124730,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 124730,B100000,00000,0800,0800MEALS SERVED :DIETARY 124730,B100000,00000,0900,0950NURSING $ :NURSING ADMINISTRATI 124730,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 124730,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 124730,S000000,00100,0200,12/01/00 124730,S200000,00100,0100,1329 ABRAHAM STREET 124730,S200000,00200,0100,TALLAHASSEE 124730,S200000,00200,0200,FL 124730,S200000,00200,0300,32304- 124730,S200000,00300,0100,LEON 124730,S200000,00300,0200,8240 124730,S200000,00300,0300,U 124730,S200000,00400,0100,MIRACLE HILL NURSING & CONV. CENTER 124730,S200000,00400,0200,105810 124730,S200000,00400,0300,07/01/93 124730,S200000,00400,0500,P 124730,S200000,00600,0200,105810 124730,S200000,00600,0300,07/01/93 124730,S200000,00600,0600,O 124730,S200000,01004,0500,O 124730,S200000,01500,0100,Y 124730,S200000,01600,0100,N 124730,S200000,01700,0100,N 124730,S200000,01800,0100,N 124730,S200000,02200,0100,N 124730,S200000,02800,0100,N 124730,S200000,02900,0100,N 124730,S200000,03000,0100,N 124730,S200000,03100,0100,N 124730,S200000,03200,0100,N 124730,S200000,04100,0100,N 124730,S200000,04200,0100,N 124730,S200000,04300,0100,N 124730,S200000,04600,0100,N 124730,S200000,04700,0100,N 124730,S200000,04700,0200,N 124730,S200000,04900,0100,N 124730,S200000,05000,0100,N 124730,S200000,05100,0100,N 124730,S200000,05200,0100,N 124768,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124768,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124768,A000000,00300,0000,0300EMPLOYEE BENEFITS 124768,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124768,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124768,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124768,A000000,00700,0000,0700HOUSEKEEPING 124768,A000000,00800,0000,0800DIETARY 124768,A000000,00900,0000,0900NURSING ADMINISTRATION 124768,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124768,A000000,01100,0000,1100PHARMACY 124768,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124768,A000000,01300,0000,1300SOCIAL SERVICE 124768,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124768,A000000,01500,0000,1350RECREATION 124768,A000000,01600,0000,1600SKILLED NURSING FACILITY 124768,A000000,01800,0000,1800NURSING FACILITY 124768,A000000,01810,0000,1810ICF/MR 124768,A000000,02100,0000,2100RADIOLOGY 124768,A000000,02200,0000,2200LABORATORY 124768,A000000,02300,0000,2300INTRAVENOUS THERAPY 124768,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124768,A000000,02500,0000,2500PHYSICAL THERAPY 124768,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124768,A000000,02700,0000,2700SPEECH PATHOLOGY 124768,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124768,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124768,A000000,03300,0000,3050AIR-FLUIDIZED BEDS 124768,A000000,03550,0000,3550FQHC 124768,A000000,05000,0000,5000CORF 124768,A000000,05010,0000,5010CMHC 124768,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124768,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124768,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124768,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124768,A000000,06300,0000,6150PENN 124768,A000000,06301,0000,6151DENTAL 124768,A81000A,00100,0100,Y 124768,A81000B,00100,0300,MANAGEMENT FEES 124768,A81000B,00200,0300,RENT 124768,A81000B,00300,0300,ACCOUNTING FEES 124768,A81000B,00400,0300,LICENCES 124768,A81000B,00500,0300,MAINTENANCE SUPPLIES 124768,A81000B,00600,0300,INTEREST INCOME 124768,A81000B,00700,0300,DEPRECIATION 124768,A81000B,00800,0300,INTEREST EXPENSE 124768,A81000B,00900,0300,AMORTIZATION 124768,A81000C,00100,0100,A 124768,A81000C,00100,0200,ROBERT SHEPARD 124768,A81000C,00100,0400,MIDDLESEX LAND 124768,A81000C,00100,0600,RENTAL OF PROPE 124768,A81000C,00200,0100,A 124768,A81000C,00200,0200,V. SHEPARD 124768,A81000C,00200,0400,MIDDLESEX LAND 124768,A81000C,00200,0600,RENTAL OF PROPE 124768,A81000C,00300,0100,A 124768,A81000C,00300,0200,ROBERT SHEPARD 124768,A81000C,00300,0400,SHEPARD MGMT. 124768,A81000C,00300,0600,MGMT SERVICES 124768,A81000C,00400,0100,A 124768,A81000C,00400,0200,V. SHEPARD 124768,A81000C,00400,0400,SHEPARD MGMT. 124768,A81000C,00400,0600,MGMT SERVICES 124768,B100000,00000,0100,0100SQUARE FEET 124768,B100000,00000,0200,0200SQUARE FEET 124768,B100000,00000,0300,0300GROSS SALARIES 124768,B100000,00000,0400,0400ACCUM COST 124768,B100000,00000,0500,0500SQUARE FEET 124768,B100000,00000,0600,0600PATIENT DAYS 124768,B100000,00000,0700,0700SQUARE FEET 124768,B100000,00000,0800,0800MEALS SERVED 124768,B100000,00000,0900,0900PATIENT DAYS 124768,B100000,00000,1000,1000PATIENT DAYS 124768,B100000,00000,1100,1100PATIENT DAYS 124768,B100000,00000,1200,1200PATIENT DAYS 124768,B100000,00000,1300,1300PATIENT DAYS 124768,B100000,00000,1400,1400ASSIGNED TIME 124768,B100000,00000,1500,1350PATIENT DAYS 124768,E10A180,00550,0300,05/05/00 124768,E10A180,00551,0100,04/30/01 124768,E10A180,00551,0300,04/30/01 124768,S000000,00100,0200,05/03/00 124768,S200000,00100,0100,100 RANDOLPH ROAD 124768,S200000,00200,0100,MIDDLETOWN 124768,S200000,00200,0200,CT 124768,S200000,00200,0300,06457 124768,S200000,00300,0100,MIDDLESEX 124768,S200000,00300,0200,3283 124768,S200000,00300,0300,U 124768,S200000,00400,0100,MIDDLESEX CONVALESCENT CENTER INC. 124768,S200000,00400,0200,075106 124768,S200000,00400,0300,10/01/96 124768,S200000,00400,0500,P 124768,S200000,00600,0200,075106 124768,S200000,00600,0300,10/01/96 124768,S200000,00600,0600,O 124768,S200000,01500,0100,N 124768,S200000,01600,0100,Y 124768,S200000,01700,0100,N 124768,S200000,01800,0100,N 124768,S200000,01900,0100,NON PROFIT CORP 124768,S200000,02200,0100,N 124768,S200000,02800,0100,N 124768,S200000,02900,0100,N 124768,S200000,03000,0100,N 124768,S200000,03100,0100,N 124768,S200000,03200,0100,N 124768,S200000,03300,0100,N 124768,S200000,03300,0200,N 124768,S200000,03500,0300,N 124768,S200000,04100,0100,N 124768,S200000,04200,0100,N 124768,S200000,04300,0100,N 124768,S200000,04600,0100,N 124768,S200000,04700,0100,N 124768,S200000,04900,0100,N 124768,S200000,05200,0100,N 124769,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124769,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124769,A000000,00300,0000,0300EMPLOYEE BENEFITS 124769,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124769,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124769,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124769,A000000,00700,0000,0700HOUSEKEEPING 124769,A000000,00800,0000,0800DIETARY 124769,A000000,00900,0000,0900NURSING ADMINISTRATION 124769,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124769,A000000,01100,0000,1100PHARMACY 124769,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124769,A000000,01300,0000,1300SOCIAL SERVICE 124769,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124769,A000000,01500,0000,1350OTHER GENERAL SERVICES 124769,A000000,01501,0000,1351RECREATION 124769,A000000,01600,0000,1600SKILLED NURSING FACILITY 124769,A000000,01810,0000,1810ICF/MR 124769,A000000,02100,0000,2100RADIOLOGY 124769,A000000,02200,0000,2200LABORATORY 124769,A000000,02300,0000,2300INTRAVENOUS THERAPY 124769,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124769,A000000,02500,0000,2500PHYSICAL THERAPY 124769,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124769,A000000,02700,0000,2700SPEECH PATHOLOGY 124769,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124769,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124769,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 124769,A000000,03301,0000,3051CLINITRON THERAPY 124769,A000000,03550,0000,3550FQHC 124769,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 124769,A000000,04800,0000,4800AMBULANCE 124769,A000000,05000,0000,5000CORF 124769,A000000,05010,0000,5010CMHC 124769,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124769,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124769,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124769,A000000,05100,0000,4750OTHER REIMBURSABLE COST 124769,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124769,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124769,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 124769,A81000A,00100,0100,Y 124769,A81000B,00100,0300,RENT 124769,A81000B,00200,0300,DEPRECIATION 124769,A81000B,00300,0300,MORTGAGE INTEREST 124769,A81000B,00400,0300,O/S OFFICE 124769,A81000C,00100,0100,A 124769,A81000C,00100,0200,M.J. OSTREICHER 124769,A81000C,00100,0400,RIVERSIDE REALTY 124769,A81000C,00100,0600,REAL ESTATE 124769,A81000C,00200,0100,A 124769,A81000C,00200,0200,M.J. OSTREICHER 124769,A81000C,00200,0400,NATIONAL HEALTH CARE 124769,A81000C,00200,0600,BOOKEEPING 124769,B100000,00000,0100,0100SQUARE FEET 124769,B100000,00000,0200,0200DOLLAR VALUE 124769,B100000,00000,0300,0300GROSS SALARIES 124769,B100000,00000,0400,0400ACCUM. COST 124769,B100000,00000,0500,0500SQUARE FEET 124769,B100000,00000,0600,0600POUNDS OF LAUNDRY 124769,B100000,00000,0700,0700HOURS OF SERVICE 124769,B100000,00000,0800,0800MEALS SERVED 124769,B100000,00000,0900,0900HOURS OF SERVICE 124769,B100000,00000,1000,1000CENSUS 124769,B100000,00000,1100,1100COSTED REQUIS. 124769,B100000,00000,1200,1200CENSUS 124769,B100000,00000,1300,1300CENSUS 124769,B100000,00000,1400,1400TIME SPENT 124769,B100000,00000,1500,1350NO STATISTICS 124769,B100000,00000,1501,1351CENSUS 124769,E10A180,00301,0100,07/30/98 124769,E10A180,00302,0100,09/30/98 124769,E10A180,00550,0100,11/16/01 124769,E10A180,00550,0300,11/16/01 124769,S000000,00100,0200,05/26/00 124769,S200000,00100,0100,745 MAIN STREET 124769,S200000,00200,0100,EAST HARTFORD 124769,S200000,00200,0200,CT 124769,S200000,00300,0100,HARTFORD 124769,S200000,00300,0200,3283 124769,S200000,00300,0300,U 124769,S200000,00400,0100,RIVERSIDE HEALTH CARE CENTER INC. 124769,S200000,00400,0200,075257 124769,S200000,00400,0300,09/05/80 124769,S200000,00400,0500,P 124769,S200000,01500,0100,Y 124769,S200000,01600,0100,N 124769,S200000,01700,0100,N 124769,S200000,01800,0100,N 124769,S200000,01900,0100,NON PROFIT CORP 124769,S200000,02200,0100,N 124769,S200000,02800,0100,N 124769,S200000,02900,0100,N 124769,S200000,03000,0100,N 124769,S200000,03100,0100,N 124769,S200000,03200,0100,N 124769,S200000,03300,0100,N 124769,S200000,03300,0200,N 124769,S200000,04100,0100,N 124769,S200000,04200,0100,N 124769,S200000,04300,0100,N 124769,S200000,04600,0100,N 124769,S200000,04700,0100,N 124769,S200000,04900,0100,N 124769,S200000,05200,0100,N 124770,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124770,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124770,A000000,00300,0000,0300EMPLOYEE BENEFITS 124770,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124770,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124770,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124770,A000000,00700,0000,0700HOUSEKEEPING 124770,A000000,00800,0000,0800DIETARY 124770,A000000,00900,0000,0900NURSING ADMINISTRATION 124770,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124770,A000000,01100,0000,1100PHARMACY 124770,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124770,A000000,01300,0000,1300SOCIAL SERVICE 124770,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124770,A000000,01500,0000,1350PATIENT ACTIVITIES 124770,A000000,01600,0000,1600SKILLED NURSING FACILITY 124770,A000000,01800,0000,1800NURSING FACILITY 124770,A000000,01810,0000,1810ICF/MR 124770,A000000,02200,0000,2200LABORATORY 124770,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124770,A000000,02500,0000,2500PHYSICAL THERAPY 124770,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124770,A000000,02700,0000,2700SPEECH PATHOLOGY 124770,A000000,02800,0000,2800ELECTROCARDIOLOGY 124770,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124770,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124770,A000000,03550,0000,3550FQHC 124770,A000000,04800,0000,4800AMBULANCE 124770,A000000,05000,0000,5000MALPRACTICE PREM & PAID LOSSES 124770,A000000,05010,0000,5010CMHC 124770,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124770,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124770,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124770,A000000,05300,0000,5300INTEREST EXPENSE 124770,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124770,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124770,A81000A,00100,0100,Y 124770,A81000B,00100,0300,RENT EXPENSE 124770,A81000B,00200,0300,DEPRECIATION-BLDG 124770,A81000B,00300,0300,DEPRECIATION-MOVABLE 124770,A81000B,00400,0300,INTEREST-BLDG 124770,A81000C,00100,0100,F 124770,A81000C,00100,0200,DAVE SCHUPP 124770,A81000C,00100,0400,BAYGRAPE 124770,A81000C,00100,0600,LAND BLDG EQUIP 124770,A81000C,00200,0100,F 124770,A81000C,00200,0200,SAM PAUL 124770,A81000C,00200,0400,BAYGRAPE 124770,A81000C,00200,0600,LAND BLDG EQUIP 124770,A81000C,00300,0100,F 124770,A81000C,00300,0200,JOHN PASSALACQU 124770,A81000C,00300,0400,BAYGRAPE 124770,A81000C,00300,0600,LAND BLDG EQUIP 124770,B100000,00000,0100,0100(SQUARE FEET) 124770,B100000,00000,0200,0200(SQUARE FEET) 124770,B100000,00000,0300,0300(GROSS SALARIES) 124770,B100000,00000,0400,0400(ACCUM COST) 124770,B100000,00000,0500,0500(SQUARE FEET) 124770,B100000,00000,0600,0600PATIENT DAYS 124770,B100000,00000,0700,0700SQUARE FEET 124770,B100000,00000,0800,0800PATIENT DAYS 124770,B100000,00000,0900,0900PATIENT DAYS 124770,B100000,00000,1000,1000(COSTED REQUIS) 124770,B100000,00000,1100,1100PATIENT DAYS 124770,B100000,00000,1200,1200PATIENT DAYS 124770,B100000,00000,1300,1300PATIENT DAYS 124770,B100000,00000,1400,1400(ASSIGNED TIME) 124770,B100000,00000,1500,1350PATIENT DAYS 124770,S000000,00100,0200,05/31/00 124770,S200000,00100,0100,350 SALMON BROOK STREET 124770,S200000,00200,0100,GRANBY 124770,S200000,00200,0200,CT 124770,S200000,00200,0300,06035 124770,S200000,00300,0100,HARTFORD 124770,S200000,00300,0200,3283 124770,S200000,00300,0300,U 124770,S200000,00400,0100,MEADOWBROOK OF GRANBY 124770,S200000,00400,0200,075367 124770,S200000,00400,0300,11/20/91 124770,S200000,00400,0500,P 124770,S200000,00400,0600,O 124770,S200000,00600,0200,075367 124770,S200000,00600,0300,11/20/91 124770,S200000,00600,0600,O 124770,S200000,01500,0100,N 124770,S200000,01600,0100,Y 124770,S200000,01700,0100,N 124770,S200000,01800,0100,N 124770,S200000,02200,0100,N 124770,S200000,02800,0100,N 124770,S200000,02900,0100,N 124770,S200000,03000,0100,N 124770,S200000,03100,0100,N 124770,S200000,03200,0100,N 124770,S200000,03300,0100,N 124770,S200000,03300,0200,N 124770,S200000,03500,0300,N 124770,S200000,04100,0100,N 124770,S200000,04200,0100,N 124770,S200000,04300,0100,N 124770,S200000,04600,0100,N 124770,S200000,04700,0100,Y 124770,S200000,04900,0100,Y 124770,S200000,05200,0100,N 124798,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124798,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124798,A000000,00300,0000,0300EMPLOYEE BENEFITS 124798,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124798,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124798,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124798,A000000,00700,0000,0700HOUSEKEEPING 124798,A000000,00800,0000,0800DIETARY 124798,A000000,01600,0000,1600SKILLED NURSING FACILITY 124798,A000000,01800,0000,1800NURSING FACILITY 124798,A000000,01810,0000,1810ICF/MR 124798,A000000,01900,0000,1900OTHER LONG TERM CARE 124798,A000000,02100,0000,2100RADIOLOGY 124798,A000000,02200,0000,2200LABORATORY 124798,A000000,02300,0000,2300INTRAVENOUS THERAPY 124798,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124798,A000000,02500,0000,2500PHYSICAL THERAPY 124798,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124798,A000000,02700,0000,2700SPEECH PATHOLOGY 124798,A000000,02800,0000,2800ELECTROCARDIOLOGY 124798,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124798,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124798,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124798,A000000,03200,0000,3200SUPPORT SURFACES 124798,A000000,03400,0000,3400CLINIC 124798,A000000,03500,0000,3500RURAL HEALTH CLINIC 124798,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENTE 124798,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124798,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124798,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124798,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124798,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124798,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124798,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124798,A000000,04400,0000,4400DME RENTED - HHA 124798,A000000,04500,0000,4500DME SOLD - HHA 124798,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124798,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124798,A000000,04800,0000,4800AMBULANCE 124798,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124798,A000000,05000,0000,5000CORF 124798,A000000,05010,0000,5010CMHC 124798,A000000,05020,0000,5020OPT 124798,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124798,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124798,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124798,A000000,05300,0000,5300INTEREST EXPENSE 124798,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124798,A000000,05500,0000,5500HOSPICE 124798,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124798,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124798,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124798,A000000,06100,0000,6100NONPAID WORKERS 124798,A000000,06200,0000,6200PATIENTS LAUNDRY 124798,A000000,06300,0000,6150RENTAL PROPERTY / ROSEWOOD 124798,A81000A,00100,0100,N 124798,B100000,00000,0100,0100(SQUARE FEET) CAP REL COSTS - 124798,B100000,00000,0200,0200(SQUARE FEET) CAP REL COSTS - 124798,B100000,00000,0300,0300(GROSS SALARIES) EMPLOYEE BEN 124798,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 124798,B100000,00000,0500,0500(SQUARE FEET) PLANT OPERATION 124798,B100000,00000,0600,0600(POUNDS OFLAUNDRY) LAUNDRY & L 124798,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 124798,B100000,00000,0800,0800(MEALS SERVED) DIETARY 124798,S000000,00100,0200,08/29/00 124798,S200000,00100,0100,600 PARK LANE 124798,S200000,00200,0100,WATERLOO 124798,S200000,00200,0200,IA 124798,S200000,00200,0300,50702 124798,S200000,00300,0100,BLACK HAWK 124798,S200000,00300,0200,0000 124798,S200000,00300,0300,U 124798,S200000,00400,0100,FRIENDSHIP VILLAGE 124798,S200000,00400,0200,165081 124798,S200000,00400,0300,05/01/68 124798,S200000,00400,0500,P 124798,S200000,00400,0600,N 124798,S200000,00600,0600,N 124798,S200000,00610,0600,N 124798,S200000,00800,0500,N 124798,S200000,00800,0600,N 124798,S200000,01000,0500,N 124798,S200000,01000,0600,N 124798,S200000,01010,0500,N 124798,S200000,01010,0600,N 124798,S200000,01020,0500,N 124798,S200000,01020,0600,N 124798,S200000,01030,0500,N 124798,S200000,01030,0600,N 124798,S200000,01040,0500,N 124798,S200000,01040,0600,N 124798,S200000,01100,0500,N 124798,S200000,01100,0600,N 124798,S200000,01150,0500,N 124798,S200000,01150,0600,N 124798,S200000,01500,0100,N 124798,S200000,01600,0100,Y 124798,S200000,01700,0100,Y 124798,S200000,01800,0100,N 124798,S200000,02200,0100,N 124798,S200000,02800,0100,N 124798,S200000,02900,0100,N 124798,S200000,03000,0100,N 124798,S200000,03100,0100,N 124798,S200000,03200,0100,N 124798,S200000,03300,0100,N 124798,S200000,03300,0200,N 124798,S200000,03500,0300,N 124798,S200000,03510,0300,N 124798,S200000,03600,0100,N 124798,S200000,03600,0200,N 124798,S200000,03700,0100,N 124798,S200000,03700,0200,N 124798,S200000,03900,0200,N 124798,S200000,03910,0200,N 124798,S200000,03930,0200,N 124798,S200000,03940,0200,N 124798,S200000,04000,0200,N 124798,S200000,04050,0200,N 124798,S200000,04100,0100,N 124798,S200000,04200,0100,N 124798,S200000,04300,0100,N 124798,S200000,04600,0100,N 124798,S200000,04700,0100,N 124798,S200000,04700,0200,N 124798,S200000,04900,0100,N 124798,S200000,05000,0100,Y 124798,S200000,05100,0100,N 124798,S200000,05200,0100,N 124798,S700003,00000,0400,X 124869,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124869,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124869,A000000,00300,0000,0300EMPLOYEE BENEFITS 124869,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124869,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124869,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124869,A000000,00700,0000,0700HOUSEKEEPING 124869,A000000,00800,0000,0800DIETARY 124869,A000000,00900,0000,0900NURSING ADMINISTRATION 124869,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124869,A000000,01100,0000,1100PHARMACY 124869,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124869,A000000,01300,0000,1300SOCIAL SERVICE 124869,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124869,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 124869,A000000,01600,0000,1600SKILLED NURSING FACILITY 124869,A000000,01810,0000,1810ICF/MR 124869,A000000,02100,0000,2100RADIOLOGY 124869,A000000,02200,0000,2200LABORATORY 124869,A000000,02500,0000,2500PHYSICAL THERAPY 124869,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124869,A000000,02700,0000,2700SPEECH PATHOLOGY 124869,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124869,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124869,A000000,03200,0000,3200SUPPORT SURFACES 124869,A000000,03550,0000,3550FQHC 124869,A000000,04800,0000,4800AMBULANCE 124869,A000000,05000,0000,5000CORF 124869,A000000,05010,0000,5010CMHC 124869,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124869,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124869,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124869,A81000A,00100,0100,Y 124869,A81000B,00100,0300,MGT FEE/HOME OFFICE 124869,A81000B,00200,0300,PHYSICAL THERAPY 124869,A81000B,00300,0300,OCCUPATIONAL THERAPY 124869,A81000B,00400,0300,SPEECH THERAPY 124869,A81000B,00500,0300,MEDICAL SUPPLIES 124869,A81000B,00600,0300,MEDICAL SUPPLIES 124869,A81000C,00100,0100,B 124869,A81000C,00100,0200,FOUNTAIN VIEW INC. 124869,A81000C,00100,0400,FOUNTAIN VIEW INC. 124869,A81000C,00100,0600,THE WOODLANDS 124869,A81000C,00200,0100,B 124869,A81000C,00200,0200,FOUNTAIN VIEW INC. 124869,A81000C,00200,0400,SKILLED CARE PHARMACY 124869,A81000C,00200,0600,INSTITUTIONAL PHARMACY 124869,A81000C,00300,0100,B 124869,A81000C,00300,0200,FOUNTAIN VIEW INC. 124869,A81000C,00300,0400,LOCOMOTION 124869,A81000C,00300,0600,THERAPY COMPANY 124869,A81000C,00400,0100,B 124869,A81000C,00400,0200,FOUNTAIN VIEW INC. 124869,A81000C,00400,0400,I N O 124869,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 124869,B100000,00000,0100,0100SQUARE FEET 124869,B100000,00000,0200,0200SQUARE FEET 124869,B100000,00000,0300,0300GROSS SALARY 124869,B100000,00000,0400,0400ACCUM. COST 124869,B100000,00000,0500,0500SQUARE FEET 124869,B100000,00000,0600,0600PATIENT DAYS 124869,B100000,00000,0700,0700SQUARE FEET 124869,B100000,00000,0800,0800MEALS SERVED 124869,B100000,00000,0900,0900NURSING HOURS 124869,B100000,00000,1000,1000COSTED REQUIS 124869,B100000,00000,1100,1100COSTED REQUIS 124869,B100000,00000,1200,1200GROSS REVENUE 124869,B100000,00000,1300,1300PATIENT DAYS 124869,B100000,00000,1400,1400ASSIGNED TIME 124869,B100000,00000,1500,1350PATIENT DAYS 124869,E10A180,00350,0300,02/22/00 124869,E10A180,00501,0100,02/12/01 124869,E10A180,00501,0300,02/12/01 124869,S000000,00100,0200,01/22/01 124869,S200000,00100,0100,4650 S PANTHER CREEK DRIVE 124869,S200000,00200,0100,THE WOODLANDS 124869,S200000,00200,0200,TX 124869,S200000,00200,0300,77381 124869,S200000,00300,0100,M 124869,S200000,00300,0200,3360 124869,S200000,00300,0300,U 124869,S200000,00400,0100,THE WOODLANDS HEALTH CARE CENTER 124869,S200000,00400,0200,455876 124869,S200000,00400,0300,04/22/90 124869,S200000,00400,0500,P 124869,S200000,01500,0100,N 124869,S200000,01600,0100,Y 124869,S200000,01700,0100,N 124869,S200000,01800,0100,N 124869,S200000,02200,0100,N 124869,S200000,02800,0100,N 124869,S200000,02900,0100,N 124869,S200000,03000,0100,N 124869,S200000,03100,0100,N 124869,S200000,03200,0100,N 124869,S200000,03300,0100,N 124869,S200000,03300,0200,N 124869,S200000,04100,0100,N 124869,S200000,04200,0100,N 124869,S200000,04300,0100,N 124869,S200000,04600,0100,N 124869,S200000,04700,0100,N 124869,S200000,04900,0100,N 124869,S200000,05200,0100,N 124873,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124873,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124873,A000000,00300,0000,0300EMPLOYEE BENEFITS 124873,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124873,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124873,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124873,A000000,00700,0000,0700HOUSEKEEPING 124873,A000000,00800,0000,0800DIETARY 124873,A000000,00900,0000,0900NURSING ADMINISTRATION 124873,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124873,A000000,01100,0000,1100PHARMACY 124873,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124873,A000000,01300,0000,1300SOCIAL SERVICE 124873,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124873,A000000,01600,0000,1600SKILLED NURSING FACILITY 124873,A000000,01810,0000,1810ICF/MR 124873,A000000,02100,0000,2100RADIOLOGY 124873,A000000,02200,0000,2200LABORATORY 124873,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124873,A000000,02500,0000,2500PHYSICAL THERAPY 124873,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124873,A000000,02700,0000,2700SPEECH PATHOLOGY 124873,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124873,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124873,A000000,03550,0000,3550FQHC 124873,A000000,05000,0000,5000CORF 124873,A000000,05010,0000,5010CMHC 124873,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124873,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124873,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124873,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124873,A81000A,00100,0100,Y 124873,A81000B,00100,0300,MANAGEMENT FEES 124873,A81000B,00200,0300,PHYSICAL THERAPY 124873,A81000B,00300,0300,OCCUPATIONAL THERAPY 124873,A81000B,00400,0300,SPEECH THERAPY 124873,A81000B,00500,0300,RESPIRATORY THERAPY 124873,A81000B,00600,0300,PATIENT SUPPLIES 124873,A81000B,00700,0300,PATIENT SUPPLIES 124873,A81000B,00800,0300,PHARMACY 124873,A81000C,00100,0100,B 124873,A81000C,00100,0200,FOUNTAIN VIEW INC. 124873,A81000C,00100,0400,PALM GROVE CONV. HOSPITAL 124873,A81000C,00100,0600,SNF 124873,A81000C,00200,0100,B 124873,A81000C,00200,0200,FOUNTAIN VIEW INC. 124873,A81000C,00200,0400,LOCOMOTION 124873,A81000C,00200,0600,THERAPY COMPANY 124873,A81000C,00300,0100,B 124873,A81000C,00300,0200,FOUNTAIN VIEW INC. 124873,A81000C,00300,0400,I N O 124873,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 124873,A81000C,00400,0100,B 124873,A81000C,00400,0200,FOUNTAIN VIEW INC. 124873,A81000C,00400,0400,SKILLED CARE PHARMACY 124873,A81000C,00400,0600,PHARMACY 124873,B100000,00000,0100,0100SQUARE FEET 124873,B100000,00000,0200,0200SQUARE FEET 124873,B100000,00000,0300,0300GROSS SALARIES 124873,B100000,00000,0400,0400ACCUM. COST 124873,B100000,00000,0500,0500SQUARE FEET 124873,B100000,00000,0600,0600POUNDS OF LAUNDRY 124873,B100000,00000,0700,0700SQUARE FEET 124873,B100000,00000,0800,0800MEALS SERVED 124873,B100000,00000,0900,0900DIRECT NRSING HRS 124873,B100000,00000,1000,1000COSTED REQUIS 124873,B100000,00000,1100,1100COSTED REQUIS 124873,B100000,00000,1200,1200TIME SPENT 124873,B100000,00000,1300,1300TIME SPENT 124873,B100000,00000,1400,1400ASSIGNED TIME 124873,E10A180,00501,0100,03/07/01 124873,E10A180,00550,0300,03/07/01 124873,S000000,00100,0200,01/18/01 124873,S200000,00100,0100,13075 BLACKBIRD 124873,S200000,00200,0100,GARDEN GROVE 124873,S200000,00200,0200,CA 124873,S200000,00200,0300,92643 124873,S200000,00300,0100,O 124873,S200000,00300,0200,5945 124873,S200000,00300,0300,U 124873,S200000,00400,0100,PALM GROVE CONVALESCENT HOSPITAL 124873,S200000,00400,0200,555473 124873,S200000,00400,0300,07/30/98 124873,S200000,00400,0500,P 124873,S200000,00400,0600,O 124873,S200000,01500,0100,N 124873,S200000,01600,0100,Y 124873,S200000,01700,0100,N 124873,S200000,01800,0100,N 124873,S200000,02200,0100,N 124873,S200000,02800,0100,N 124873,S200000,02900,0100,N 124873,S200000,03000,0100,N 124873,S200000,03100,0100,N 124873,S200000,03200,0100,N 124873,S200000,03300,0100,N 124873,S200000,03300,0200,N 124873,S200000,04100,0100,N 124873,S200000,04200,0100,N 124873,S200000,04300,0100,N 124873,S200000,04600,0100,N 124873,S200000,04700,0100,N 124873,S200000,04700,0200,N 124873,S200000,04900,0100,N 124873,S200000,05200,0100,N 124874,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124874,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124874,A000000,00300,0000,0300EMPLOYEE BENEFITS 124874,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124874,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124874,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124874,A000000,00700,0000,0700HOUSEKEEPING 124874,A000000,00800,0000,0800DIETARY 124874,A000000,00900,0000,0900NURSING ADMINISTRATION 124874,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124874,A000000,01100,0000,1100PHARMACY 124874,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124874,A000000,01300,0000,1300SOCIAL SERVICE 124874,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124874,A000000,01600,0000,1600SKILLED NURSING FACILITY 124874,A000000,01810,0000,1810ICF/MR 124874,A000000,02100,0000,2100RADIOLOGY 124874,A000000,02200,0000,2200LABORATORY 124874,A000000,02300,0000,2300INTRAVENOUS THERAPY 124874,A000000,02500,0000,2500PHYSICAL THERAPY 124874,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124874,A000000,02700,0000,2700SPEECH PATHOLOGY 124874,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124874,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124874,A000000,03200,0000,3200SUPPORT SURFACES 124874,A000000,03550,0000,3550FQHC 124874,A000000,05000,0000,5000CORF 124874,A000000,05010,0000,5010CMHC 124874,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124874,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124874,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124874,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124874,A81000A,00100,0100,Y 124874,A81000B,00100,0300,MANAGEMENT FEES 124874,A81000B,00200,0300,CAP REL-BLDG 124874,A81000B,00300,0300,CAP REL-EQUIP 124874,A81000B,00400,0300,FACILITY RENT 124874,A81000C,00400,0100,B 124874,A81000C,00400,0200,J & L FRIEDMAN 124874,A81000C,00400,0400,LONGWOOD MGT 124874,A81000C,00400,0600,MANAGEMENT 124874,B100000,00000,0100,0100SQUARE FEET 124874,B100000,00000,0200,0200DOLLAR VALUE 124874,B100000,00000,0300,0300GROSS SALARIES 124874,B100000,00000,0400,0400ACCUM. COST 124874,B100000,00000,0500,0500SQUARE FEET 124874,B100000,00000,0600,0600POUNDS OF LAUNDRY 124874,B100000,00000,0700,0700HOURS OF SERVICE 124874,B100000,00000,0800,0800MEALS SERVED 124874,B100000,00000,0900,0900DIRECT NRSING HRS 124874,B100000,00000,1000,1000COSTED REQUIS. 124874,B100000,00000,1100,1100COSTED REQUIS. 124874,B100000,00000,1200,1200TIME SPENT 124874,B100000,00000,1300,1300TIME SPENT 124874,B100000,00000,1400,1400ASSIGNED TIME 124874,E10A180,00501,0100,03/16/01 124874,E10A180,00550,0300,03/16/01 124874,S000000,00100,0200,02/21/01 124874,S200000,00100,0100,17922 SAN FERNANDO MISSION BLVD. 124874,S200000,00200,0100,GRANADA HILLS 124874,S200000,00200,0200,CA 124874,S200000,00200,0300,91344 124874,S200000,00300,0100,LOS ANGELES 124874,S200000,00300,0200,4480 124874,S200000,00300,0300,U 124874,S200000,00400,0100,MAGNOLIA GARDENS 124874,S200000,00400,0200,055142 124874,S200000,00400,0300,03/01/89 124874,S200000,00400,0500,P 124874,S200000,01500,0100,N 124874,S200000,01600,0100,Y 124874,S200000,01700,0100,N 124874,S200000,01800,0100,N 124874,S200000,02200,0100,N 124874,S200000,02800,0100,N 124874,S200000,02900,0100,N 124874,S200000,03000,0100,N 124874,S200000,03100,0100,N 124874,S200000,03200,0100,N 124874,S200000,03300,0100,N 124874,S200000,03300,0200,N 124874,S200000,04100,0100,N 124874,S200000,04200,0100,N 124874,S200000,04300,0100,Y 124874,S200000,04600,0100,N 124874,S200000,04700,0100,N 124874,S200000,04900,0100,N 124874,S200000,05200,0100,N 124902,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 124902,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 124902,A000000,00300,0000,0300EMPLOYEE BENEFITS 124902,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124902,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 124902,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124902,A000000,00700,0000,0700HOUSEKEEPING 124902,A000000,00800,0000,0800DIETARY 124902,A000000,00900,0000,0900NURSING ADMINISTRATION 124902,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124902,A000000,01100,0000,1100PHARMACY 124902,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124902,A000000,01300,0000,1300SOCIAL SERVICE 124902,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 124902,A000000,01600,0000,1600SKILLED NURSING FACILITY 124902,A000000,01800,0000,1800NURSING FACILITY 124902,A000000,01900,0000,1900OTHER LONG TERM CARE 124902,A000000,02100,0000,2100RADIOLOGY 124902,A000000,02200,0000,2200LABORATORY 124902,A000000,02300,0000,2300INTRAVENOUS THERAPY 124902,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124902,A000000,02500,0000,2500PHYSICAL THERAPY 124902,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124902,A000000,02700,0000,2700SPEECH PATHOLOGY 124902,A000000,02800,0000,2800ELECTROCARDIOLOGY 124902,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 124902,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124902,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 124902,A000000,03200,0000,3200SUPPORT SURFACES 124902,A000000,03400,0000,3400CLINIC 124902,A000000,03500,0000,3500RURAL HEALTH CLINIC 124902,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 124902,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 124902,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 124902,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 124902,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 124902,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 124902,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 124902,A000000,04400,0000,4400DME RENTED - HHA 124902,A000000,04500,0000,4500DME SOLD - HHA 124902,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 124902,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 124902,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 124902,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 124902,A000000,05300,0000,5300INTEREST EXPENSE 124902,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 124902,A000000,05500,0000,5500HOSPICE 124902,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 124902,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124902,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 124902,A000000,06100,0000,6100NONPAID WORKERS 124902,A000000,06200,0000,6200PATIENTS LAUNDRY 124902,A81000A,00100,0100,Y 124902,A81000B,00100,0300,MANAGEMENT FEE 124902,A81000B,00200,0300,ACCOUNTING-DIRECT ALLOCATION 124902,A81000B,00300,0300,RENT 124902,A81000B,00400,0300,DEPRECIATION 124902,A81000B,00500,0300,INTEREST 124902,A81000C,00100,0100,A 124902,A81000C,00100,0200,S.KLEIN & HR KL 124902,A81000C,00100,0400,NURS HOME MNGRS 124902,A81000C,00100,0600,MANAGEMENT 124902,A81000C,00200,0100,A 124902,A81000C,00200,0200,STOCKHOLDERS 124902,A81000C,00200,0400,SUNRISE PROPERT 124902,A81000C,00200,0600,LEASE 124902,B100000,00000,0100,0100SQ. FT. :CAP REL COSTS - BLDGS 124902,B100000,00000,0200,0250SQ. FT. :CAP REL COSTS - MOVABL 124902,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 124902,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 124902,B100000,00000,0500,0500SQ. FT. :PLANT OPERATION MAINT 124902,B100000,00000,0600,0650LBS. LNDRY :LAUNDRY & LINEN SER 124902,B100000,00000,0700,0700HSKP HOURS :HOUSEKEEPING 124902,B100000,00000,0800,0800MEALS SERVED :DIETARY 124902,B100000,00000,0900,0900NURSES HOURS :NURSING ADMINISTR 124902,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 124902,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 124902,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 124902,E10A180,00601,0300,08/23/02 124902,E10A180,00650,0100,08/23/02 124902,S000000,00100,0200,01/03/01 124902,S200000,00100,0100,333 SOUTH WRIGHTSMAN 124902,S200000,00200,0100,VIRDEN 124902,S200000,00200,0200,IL 124902,S200000,00200,0300,62690- 124902,S200000,00300,0100,MACOUPIN 124902,S200000,00300,0200,14 124902,S200000,00300,0300,R 124902,S200000,00400,0100,SUNRISE MANOR OF VIRDEN INC. 124902,S200000,00400,0200,145783 124902,S200000,00400,0300,02/01/94 124902,S200000,00400,0500,P 124902,S200000,01500,0100,N 124902,S200000,01600,0100,Y 124902,S200000,01700,0100,N 124902,S200000,01800,0100,N 124902,S200000,02200,0100,N 124902,S200000,02800,0100,N 124902,S200000,02900,0100,N 124902,S200000,03000,0100,N 124902,S200000,03100,0100,N 124902,S200000,03200,0100,N 124902,S200000,04100,0100,N 124902,S200000,04200,0100,N 124902,S200000,04300,0100,N 124902,S200000,04600,0100,N 124902,S200000,04700,0100,N 124902,S200000,04700,0200,N 124902,S200000,04900,0100,N 124902,S200000,05000,0100,N 124902,S200000,05100,0100,N 124902,S200000,05200,0100,N 124939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124939,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124939,A000000,00300,0000,0300EMPLOYEE BENEFITS 124939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124939,A000000,00700,0000,0700HOUSEKEEPING 124939,A000000,00800,0000,0800DIETARY 124939,A000000,00900,0000,0900NURSING ADMINISTRATION 124939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124939,A000000,01100,0000,1100PHARMACY 124939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124939,A000000,01300,0000,1300SOCIAL SERVICE 124939,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124939,A000000,01500,0000,1350ACTIVITIES 124939,A000000,01600,0000,1600SKILLED NURSING FACILITY 124939,A000000,01800,0000,1800NURSING FACILITY 124939,A000000,01810,0000,1810ICF/MR 124939,A000000,02100,0000,2100RADIOLOGY 124939,A000000,02200,0000,2200LABORATORY 124939,A000000,02500,0000,2500PHYSICAL THERAPY 124939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124939,A000000,02700,0000,2700SPEECH PATHOLOGY 124939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124939,A000000,03200,0000,3200SUPPORT SURFACES 124939,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 124939,A000000,03550,0000,3550FQHC 124939,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 124939,A000000,05000,0000,5000CORF 124939,A000000,05010,0000,5010CMHC 124939,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124939,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124939,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124939,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 124939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124939,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 124939,A81000A,00100,0100,Y 124939,A81000B,00100,0300,HOME OFFICE 124939,A81000B,00200,0300,HOME OFFICE-CAPITAL 124939,A81000B,00300,0300,RENT 124939,A81000B,00400,0300,INTEREST 124939,A81000B,00500,0300,A&G 124939,A81000B,00600,0300,DEPRECIATION 124939,A81000C,00100,0100,A 124939,A81000C,00100,0200,FRANK WRONSKI 124939,A81000C,00100,0400,MATILDA DEVELOP 124939,A81000C,00100,0600,LEASE 124939,A81000C,00200,0100,A 124939,A81000C,00200,0200,LEO EISENBER 124939,A81000C,00200,0400,MATILDA DEVELOP 124939,A81000C,00200,0600,LEASE 124939,A81000C,00300,0100,A 124939,A81000C,00300,0200,FRANK WRONSKI 124939,A81000C,00300,0400,THE MEDILODGE G 124939,A81000C,00300,0600,HOME OFFICE 124939,A81000C,00400,0100,A 124939,A81000C,00400,0200,FRANK WRONSKI 124939,A81000C,00400,0400,ALL-MED MEDICAL 124939,A81000C,00400,0600,MEDICAL SUPPLY 124939,B100000,00000,0100,0100SQUARE FEET 124939,B100000,00000,0200,0200SQUARE FEET 124939,B100000,00000,0300,0300GROSS SALARIES 124939,B100000,00000,0400,0400ACCUM COST 124939,B100000,00000,0500,0500SQUARE FEET 124939,B100000,00000,0600,0600PATIENT DAYS 124939,B100000,00000,0700,0700SQUARE FEET 124939,B100000,00000,0800,0800MEALS SERVED 124939,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 124939,B100000,00000,1000,1000PATIENT DAYS 124939,B100000,00000,1100,1100COSTED REQUIS 124939,B100000,00000,1200,1200TIME SPENT 124939,B100000,00000,1300,1300PATIENT DAYS 124939,B100000,00000,1400,1400ASSIGNED TIME 124939,B100000,00000,1500,1350PATIENT DAYS 124939,E10A180,00501,0100,11/14/01 124939,E10A180,00501,0300,11/14/01 124939,S000000,00100,0200,11/27/00 124939,S200000,00100,0100,1480 WALTON RD. 124939,S200000,00200,0100,ROCHESTER HILLS 124939,S200000,00200,0200,MI 124939,S200000,00300,0100,O 124939,S200000,00300,0200,2160 124939,S200000,00300,0300,U 124939,S200000,00400,0100,MEADOWBROOK NURSING CENTER 124939,S200000,00400,0200,235036 124939,S200000,00400,0300,03/06/90 124939,S200000,00400,0500,P 124939,S200000,01500,0100,N 124939,S200000,01600,0100,Y 124939,S200000,01700,0100,N 124939,S200000,01800,0100,N 124939,S200000,01900,0100,501C3 124939,S200000,02200,0100,N 124939,S200000,02800,0100,N 124939,S200000,02900,0100,N 124939,S200000,03000,0100,N 124939,S200000,03100,0100,N 124939,S200000,03200,0100,N 124939,S200000,03300,0100,N 124939,S200000,03300,0200,N 124939,S200000,04100,0100,N 124939,S200000,04200,0100,N 124939,S200000,04300,0100,N 124939,S200000,04600,0100,N 124939,S200000,04700,0100,N 124939,S200000,04900,0100,N 124939,S200000,05200,0100,N 124948,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124948,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124948,A000000,00300,0000,0300EMPLOYEE BENEFITS 124948,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124948,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124948,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124948,A000000,00700,0000,0700HOUSEKEEPING 124948,A000000,00800,0000,0800DIETARY 124948,A000000,00900,0000,0900NURSING ADMINISTRATION 124948,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124948,A000000,01100,0000,1100PHARMACY 124948,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124948,A000000,01300,0000,1300SOCIAL SERVICE 124948,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124948,A000000,01600,0000,1600SKILLED NURSING FACILITY 124948,A000000,01800,0000,1800NURSING FACILITY 124948,A000000,01810,0000,1810ICF/MR 124948,A000000,01900,0000,1900OTHER LONG TERM CARE 124948,A000000,02100,0000,2100RADIOLOGY 124948,A000000,02200,0000,2200LABORATORY 124948,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124948,A000000,02500,0000,2500PHYSICAL THERAPY 124948,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124948,A000000,02700,0000,2700SPEECH PATHOLOGY 124948,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124948,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124948,A000000,03200,0000,3200SUPPORT SURFACES 124948,A000000,03550,0000,3550FQHC 124948,A000000,05000,0000,5000CORF 124948,A000000,05010,0000,5010CMHC 124948,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124948,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124948,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124948,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 124948,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124948,A000000,06200,0000,6200PATIENTS LAUNDRY 124948,A000000,06300,0000,6150BUILDING COSTS 124948,A81000A,00100,0100,Y 124948,A81000B,00100,0300,MAINTENANCE COSTS 124948,A81000B,00200,0300,EMPLOYEE BENEFITS 124948,A81000B,00300,0300,ADMIN & GENERAL 124948,A81000B,00400,0300,MEDICAL SUPPLIES 124948,A81000B,00500,0300,ROUTINE SUPPLIES 124948,A81000B,00600,0300,CLEANING SUPPLIES 124948,A81000B,00700,0300,CONTRACT THERAPY 124948,A81000B,00800,0300,CONTRACT THERAPY 124948,A81000B,00900,0300,CONTRACT THERAPY 124948,A81000C,00100,0100,B 124948,A81000C,00100,0400,BATTLE CREEK SY 124948,A81000C,00100,0600,HEALTH CARE 124948,A81000C,00700,0100,B 124948,A81000C,00700,0400,NEDERVELD & ASS 124948,A81000C,00700,0600,REHAB SERVICES 124948,B100000,00000,0100,0100SQUARE FEET 124948,B100000,00000,0200,0200SQUARE FEET 124948,B100000,00000,0300,0300GROSS SALARIES 124948,B100000,00000,0400,0400ACCUM COST 124948,B100000,00000,0500,0500SQUARE FEET 124948,B100000,00000,0600,0600POUNDS OF LAUNDRY 124948,B100000,00000,0700,0700HOURS OF SERVICE 124948,B100000,00000,0800,0800MEALS SERVED 124948,B100000,00000,0900,0900DIRECT NRSG HRS 124948,B100000,00000,1000,1000COSTED REQUIS 124948,B100000,00000,1100,1100COSTED REQUIS 124948,B100000,00000,1200,1200TIME SPENT 124948,B100000,00000,1300,1300TIME SPENT 124948,B100000,00000,1400,1400ASSIGNED TIME 124948,S000000,00100,0200,01/03/01 124948,S200000,00100,0100,80 NORTH 20TH STREET 124948,S200000,00200,0100,BATTLE CREEK 124948,S200000,00200,0200,MI 124948,S200000,00200,0300,49015 124948,S200000,00300,0100,C 124948,S200000,00300,0200,3720 124948,S200000,00300,0300,U 124948,S200000,00400,0100,MERCY PAVILI0N 124948,S200000,00400,0200,235451 124948,S200000,00400,0300,07/01/88 124948,S200000,00400,0500,P 124948,S200000,00400,0600,O 124948,S200000,00600,0200,024300 124948,S200000,00600,0300,07/01/88 124948,S200000,00600,0600,O 124948,S200000,01500,0100,N 124948,S200000,01600,0100,Y 124948,S200000,01700,0100,N 124948,S200000,01800,0100,N 124948,S200000,01900,0100,HEALTH CARE 124948,S200000,02200,0100,Y 124948,S200000,02800,0100,N 124948,S200000,02900,0100,N 124948,S200000,03000,0100,N 124948,S200000,03100,0100,N 124948,S200000,03200,0100,N 124948,S200000,03300,0100,N 124948,S200000,03300,0200,N 124948,S200000,03500,0300,N 124948,S200000,03600,0200,N 124948,S200000,04100,0100,N 124948,S200000,04200,0100,N 124948,S200000,04300,0100,Y 124948,S200000,04600,0100,N 124948,S200000,04700,0100,N 124948,S200000,04900,0100,N 124948,S200000,05200,0100,N 124949,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124949,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124949,A000000,00300,0000,0300EMPLOYEE BENEFITS 124949,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124949,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124949,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124949,A000000,00700,0000,0700HOUSEKEEPING 124949,A000000,00800,0000,0800DIETARY 124949,A000000,00900,0000,0900NURSING ADMINISTRATION 124949,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124949,A000000,01100,0000,1100PHARMACY 124949,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124949,A000000,01300,0000,1300SOCIAL SERVICE 124949,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124949,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 124949,A000000,01600,0000,1600SKILLED NURSING FACILITY 124949,A000000,01810,0000,1810ICF/MR 124949,A000000,02100,0000,2100RADIOLOGY 124949,A000000,02200,0000,2200LABORATORY 124949,A000000,02500,0000,2500PHYSICAL THERAPY 124949,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124949,A000000,02700,0000,2700SPEECH PATHOLOGY 124949,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124949,A000000,03200,0000,3200SUPPORT SURFACES 124949,A000000,03550,0000,3550FQHC 124949,A000000,05000,0000,5000CORF 124949,A000000,05010,0000,5010CMHC 124949,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124949,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124949,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124949,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124949,A81000A,00100,0100,Y 124949,A81000B,00100,0300,MANAGEMENT FEES 124949,A81000C,00100,0100,A 124949,A81000C,00100,0200,MOHAMMAD A. QAZ 124949,A81000C,00100,0400,CIENA HEALTHCAR 124949,A81000C,00100,0600,MANAGEMENT 124949,B100000,00000,0100,0100SQUARE FEET 124949,B100000,00000,0200,0200SQUARE FEET 124949,B100000,00000,0300,0300GROSS SALARIES 124949,B100000,00000,0400,0400ACCUM COST 124949,B100000,00000,0500,0500SQUARE FEET 124949,B100000,00000,0600,0600PATIENT DAYS 124949,B100000,00000,0700,0700SQUARE FEET 124949,B100000,00000,0800,0800MEALS SERVED 124949,B100000,00000,0900,0900PATIENT DAYS 124949,B100000,00000,1000,1000COSTED REQUIS 124949,B100000,00000,1100,1100COSTED REQUIS 124949,B100000,00000,1200,1200PATIENT DAYS 124949,B100000,00000,1300,1300PATIENT DAYS 124949,B100000,00000,1400,1400ASSIGNED TIME 124949,B100000,00000,1500,1350PATIENT DAYS 124949,E10A180,00501,0100,12/19/01 124949,S000000,00100,0200,05/09/01 124949,S200000,00100,0100,19211 ANGLIN 124949,S200000,00200,0100,DETROIT 124949,S200000,00200,0200,MI 124949,S200000,00200,0300,48234 124949,S200000,00300,0100,WAYNE 124949,S200000,00300,0200,2160 124949,S200000,00300,0300,U 124949,S200000,00400,0100,AMERICARE CONVALESCENT CENTER 124949,S200000,00400,0200,235455 124949,S200000,00400,0300,06/13/86 124949,S200000,00400,0500,P 124949,S200000,01500,0100,Y 124949,S200000,01600,0100,N 124949,S200000,01700,0100,N 124949,S200000,01800,0100,N 124949,S200000,02200,0100,N 124949,S200000,02800,0100,N 124949,S200000,02900,0100,N 124949,S200000,03000,0100,N 124949,S200000,03100,0100,N 124949,S200000,03200,0100,N 124949,S200000,03300,0100,N 124949,S200000,03300,0200,N 124949,S200000,04100,0100,N 124949,S200000,04200,0100,N 124949,S200000,04300,0100,N 124949,S200000,04600,0100,N 124949,S200000,04700,0100,N 124949,S200000,04900,0100,N 124949,S200000,05200,0100,N 124986,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124986,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124986,A000000,00300,0000,0300EMPLOYEE BENEFITS 124986,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124986,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124986,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124986,A000000,00700,0000,0700HOUSEKEEPING 124986,A000000,00800,0000,0800DIETARY 124986,A000000,00900,0000,0900NURSING ADMINISTRATION 124986,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124986,A000000,01100,0000,1100PHARMACY 124986,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124986,A000000,01300,0000,1300SOCIAL SERVICE 124986,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124986,A000000,01500,0000,1350ACTIVITIES 124986,A000000,01600,0000,1600SKILLED NURSING FACILITY 124986,A000000,01800,0000,1800NURSING FACILITY 124986,A000000,01810,0000,1810ICF/MR 124986,A000000,02100,0000,2100RADIOLOGY 124986,A000000,02200,0000,2200LABORATORY 124986,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124986,A000000,02500,0000,2500PHYSICAL THERAPY 124986,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124986,A000000,02700,0000,2700SPEECH PATHOLOGY 124986,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124986,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124986,A000000,03200,0000,3200SUPPORT SURFACES 124986,A000000,03550,0000,3550FQHC 124986,A000000,05000,0000,5000CORF 124986,A000000,05010,0000,5010CMHC 124986,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124986,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124986,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124986,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124986,A81000A,00100,0100,Y 124986,A81000B,00100,0300,MANAGEMENT FEES 124986,A81000B,00200,0300,QUALITY ASSURANCE - HOME OFFIC 124986,A81000B,00300,0300,HOME OFFICE - CAPITAL 124986,A81000B,00400,0300,HOME OFFICE - OTHER 124986,A81000C,00100,0100,B 124986,A81000C,00100,0400,LAUREL HEALTH 124986,A81000C,00100,0600,MANAGEMENT CO. 124986,B100000,00000,0100,0100SQ. FEET 124986,B100000,00000,0200,0200SQ. FEET 124986,B100000,00000,0300,0300GROSS SAL 124986,B100000,00000,0400,0400ACCUM. COST 124986,B100000,00000,0500,0500SQ. FEET 124986,B100000,00000,0600,0600PAT DAYS 124986,B100000,00000,0700,0700SQ. FT. EXCL DIETA 124986,B100000,00000,0800,0800PAT DAYS 124986,B100000,00000,0900,0900DIRECT NURSING HO 124986,B100000,00000,1000,1000PAT DAYS 124986,B100000,00000,1100,1100BLANK 124986,B100000,00000,1200,1200PAT DAYS 124986,B100000,00000,1300,1300DISCHARGES 124986,B100000,00000,1400,1400BLANK 124986,B100000,00000,1500,1350PAT DAYS 124986,S000000,00100,0200,05/30/00 124986,S200000,00100,0100,350 N. CENTER STREET 124986,S200000,00200,0100,LOWELL 124986,S200000,00200,0200,MI 124986,S200000,00200,0300,49331 124986,S200000,00300,0100,KENT 124986,S200000,00300,0200,3000 124986,S200000,00300,0300,U 124986,S200000,00400,0100,THE LAURELS OF KENT 124986,S200000,00400,0200,235253 124986,S200000,00400,0300,10/01/95 124986,S200000,00400,0500,P 124986,S200000,01500,0100,N 124986,S200000,01600,0100,Y 124986,S200000,01700,0100,N 124986,S200000,01800,0100,N 124986,S200000,01900,0100,SUBSIDIARY 124986,S200000,02200,0100,Y 124986,S200000,02800,0100,N 124986,S200000,02900,0100,N 124986,S200000,03000,0100,N 124986,S200000,03100,0100,N 124986,S200000,03200,0100,N 124986,S200000,03300,0100,N 124986,S200000,03300,0200,N 124986,S200000,04100,0100,N 124986,S200000,04200,0100,N 124986,S200000,04300,0100,N 124986,S200000,04600,0100,N 124986,S200000,04700,0100,N 124986,S200000,04900,0100,N 124986,S200000,05000,0100,N 124986,S200000,05200,0100,N 124987,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124987,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124987,A000000,00300,0000,0300EMPLOYEE BENEFITS 124987,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124987,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124987,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124987,A000000,00700,0000,0700HOUSEKEEPING 124987,A000000,00800,0000,0800DIETARY 124987,A000000,00900,0000,0900NURSING ADMINISTRATION 124987,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124987,A000000,01100,0000,1100PHARMACY 124987,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124987,A000000,01300,0000,1300SOCIAL SERVICE 124987,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124987,A000000,01500,0000,1350ACTIVITIES 124987,A000000,01600,0000,1600SKILLED NURSING FACILITY 124987,A000000,01800,0000,1800NURSING FACILITY 124987,A000000,01810,0000,1810ICF/MR 124987,A000000,02100,0000,2100RADIOLOGY 124987,A000000,02200,0000,2200LABORATORY 124987,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124987,A000000,02500,0000,2500PHYSICAL THERAPY 124987,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124987,A000000,02700,0000,2700SPEECH PATHOLOGY 124987,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124987,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124987,A000000,03550,0000,3550FQHC 124987,A000000,05000,0000,5000CORF 124987,A000000,05010,0000,5010CMHC 124987,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124987,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124987,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124987,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124987,A81000A,00100,0100,Y 124987,A81000B,00100,0300,MANAGEMENT FEE 124987,A81000B,00200,0300,QUALITY ASSURANCE - HOME OFFIC 124987,A81000B,00300,0300,HOME OFFICE - CAPITAL 124987,A81000B,00400,0300,HOME OFFICE - OTHER 124987,A81000C,00100,0100,B 124987,A81000C,00100,0400,LAUREL HEALTH 124987,A81000C,00100,0600,MANAGEMENT CO. 124987,B100000,00000,0100,0100SQUARE FEET 124987,B100000,00000,0200,0200SQUARE FEET 124987,B100000,00000,0300,0300GROSS SAL 124987,B100000,00000,0400,0400ACCUM. COST 124987,B100000,00000,0500,0500SQUARE FEET 124987,B100000,00000,0600,0600PAT DAYS 124987,B100000,00000,0700,0700SQ. FT EXCL DIET 124987,B100000,00000,0800,0800PAT DAYS 124987,B100000,00000,0900,0900HOURS OF SVC 124987,B100000,00000,1000,1000PAT DAYS 124987,B100000,00000,1100,1100PAT DAYS 124987,B100000,00000,1200,1200PAT DAYS 124987,B100000,00000,1300,1300DISCHARGES 124987,B100000,00000,1400,1400BLANK 124987,B100000,00000,1500,1350PAT DAYS 124987,S000000,00100,0200,05/30/00 124987,S200000,00100,0100,270 N. BEDFORD ROAD 124987,S200000,00200,0100,BATTLE CREEK 124987,S200000,00200,0200,MI 124987,S200000,00200,0300,49017 124987,S200000,00300,0100,CALHOUN 124987,S200000,00300,0200,3720 124987,S200000,00300,0300,U 124987,S200000,00400,0100,THE LAURELS OF BEDFORD 124987,S200000,00400,0200,235299 124987,S200000,00400,0300,09/01/95 124987,S200000,00400,0500,P 124987,S200000,01500,0100,N 124987,S200000,01600,0100,Y 124987,S200000,01700,0100,N 124987,S200000,01800,0100,N 124987,S200000,01900,0100,501(C)(3) 124987,S200000,02200,0100,Y 124987,S200000,02800,0100,N 124987,S200000,02900,0100,N 124987,S200000,03000,0100,N 124987,S200000,03100,0100,N 124987,S200000,03200,0100,N 124987,S200000,03300,0100,N 124987,S200000,03300,0200,N 124987,S200000,04100,0100,N 124987,S200000,04200,0100,N 124987,S200000,04300,0100,N 124987,S200000,04600,0100,N 124987,S200000,04700,0100,N 124987,S200000,04900,0100,N 124987,S200000,05200,0100,N 124988,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124988,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124988,A000000,00300,0000,0300EMPLOYEE BENEFITS 124988,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124988,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124988,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124988,A000000,00700,0000,0700HOUSEKEEPING 124988,A000000,00800,0000,0800DIETARY 124988,A000000,00900,0000,0900NURSING ADMINISTRATION 124988,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124988,A000000,01100,0000,1100PHARMACY 124988,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124988,A000000,01300,0000,1300SOCIAL SERVICE 124988,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124988,A000000,01500,0000,1350PATIENT ACTIVITY 124988,A000000,01600,0000,1600SKILLED NURSING FACILITY 124988,A000000,01800,0000,1800NURSING FACILITY 124988,A000000,01810,0000,1810ICF/MR 124988,A000000,02100,0000,2100RADIOLOGY 124988,A000000,02200,0000,2200LABORATORY 124988,A000000,02401,0000,2401RESPIRATORY THERAPY 124988,A000000,02500,0000,2500PHYSICAL THERAPY 124988,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124988,A000000,02700,0000,2700SPEECH PATHOLOGY 124988,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124988,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124988,A000000,03550,0000,3550FQHC 124988,A000000,05000,0000,5000CORF 124988,A000000,05010,0000,5010CMHC 124988,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124988,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124988,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124988,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124988,A81000A,00100,0100,Y 124988,A81000B,00100,0300,MANAGEMENT FEES 124988,A81000B,00200,0300,QUALITY ASSURANCE HO 124988,A81000B,00300,0300,HOME OFFICE-CAPITAL 124988,A81000B,00400,0300,HOME OFFICE-OTHER 124988,A81000C,00100,0100,B 124988,A81000C,00100,0400,LAUREL HEALTH 124988,B100000,00000,0100,0100SQUARE FEET 124988,B100000,00000,0200,0200SQUARE FEET 124988,B100000,00000,0300,0300GROSS SALARIES 124988,B100000,00000,0400,0400ACCUM COST 124988,B100000,00000,0500,0500SQUARE FEET 124988,B100000,00000,0600,0600PAT 124988,B100000,00000,0700,0700SQ 124988,B100000,00000,0800,0800PAT 124988,B100000,00000,0900,0900DIRECT NRSG HRS 124988,B100000,00000,1000,1000COSTED REQUIS 124988,B100000,00000,1100,1100PAT 124988,B100000,00000,1200,1200PAT 124988,B100000,00000,1300,1300DISCHARGE 124988,B100000,00000,1400,1400ASSIGNED TIME 124988,B100000,00000,1500,1350PAT 124988,S000000,00100,0200,05/30/00 124988,S200000,00100,0100,90 N. MICHIGAN AVENUE 124988,S200000,00200,0100,COLDWATER 124988,S200000,00200,0200,MI 124988,S200000,00200,0300,49036 124988,S200000,00300,0100,BRANCH 124988,S200000,00300,0200,9923 124988,S200000,00300,0300,R 124988,S200000,00400,0100,THE LAURELS OF COLDWATER 124988,S200000,00400,0200,235302 124988,S200000,00400,0300,05/01/94 124988,S200000,00400,0500,P 124988,S200000,01500,0100,N 124988,S200000,01600,0100,Y 124988,S200000,01700,0100,N 124988,S200000,01800,0100,N 124988,S200000,01900,0100,501(C)(3) 124988,S200000,02200,0100,Y 124988,S200000,02800,0100,N 124988,S200000,02900,0100,N 124988,S200000,03000,0100,N 124988,S200000,03100,0100,N 124988,S200000,03200,0100,N 124988,S200000,03300,0100,N 124988,S200000,03300,0200,N 124988,S200000,04100,0100,N 124988,S200000,04200,0100,N 124988,S200000,04300,0100,N 124988,S200000,04600,0100,N 124988,S200000,04700,0100,N 124988,S200000,04900,0100,N 124988,S200000,05000,0100,N 124988,S200000,05200,0100,N 124989,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124989,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124989,A000000,00300,0000,0300EMPLOYEE BENEFITS 124989,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124989,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124989,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124989,A000000,00700,0000,0700HOUSEKEEPING 124989,A000000,00800,0000,0800DIETARY 124989,A000000,00900,0000,0900NURSING ADMINISTRATION 124989,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124989,A000000,01100,0000,1100PHARMACY 124989,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124989,A000000,01300,0000,1300SOCIAL SERVICE 124989,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124989,A000000,01500,0000,1350ACTIVITIES 124989,A000000,01600,0000,1600SKILLED NURSING FACILITY 124989,A000000,01800,0000,1800NURSING FACILITY 124989,A000000,01810,0000,1810ICF/MR 124989,A000000,02100,0000,2100RADIOLOGY 124989,A000000,02200,0000,2200LABORATORY 124989,A000000,02500,0000,2500PHYSICAL THERAPY 124989,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124989,A000000,02700,0000,2700SPEECH PATHOLOGY 124989,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124989,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124989,A000000,03550,0000,3550FQHC 124989,A000000,05000,0000,5000CORF 124989,A000000,05010,0000,5010CMHC 124989,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124989,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124989,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124989,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124989,A81000A,00100,0100,Y 124989,A81000B,00100,0300,MANAGEMENT FEES 124989,A81000B,00200,0300,QUALITY ASSURANC-HO 124989,A81000B,00300,0300,CAPITAL 124989,A81000B,00400,0300,HOME OFFICE-OTHER 124989,A81000C,00100,0100,B 124989,A81000C,00100,0400,LAUREL HEALTH 124989,A81000C,00100,0600,MANAGEMENT CO. 124989,B100000,00000,0100,0100SQUARE FEET 124989,B100000,00000,0200,0200SQUARE FEET 124989,B100000,00000,0300,0300GROSS SALARIES 124989,B100000,00000,0400,0400ACCUM COST 124989,B100000,00000,0500,0500SQUARE FEET 124989,B100000,00000,0600,0600PAT 124989,B100000,00000,0700,0700SQUARE FEET 124989,B100000,00000,0800,0800PAT 124989,B100000,00000,0900,0900NURSING HOURS 124989,B100000,00000,1000,1000PAT 124989,B100000,00000,1100,1100COSTED REQUIS 124989,B100000,00000,1200,1200PAT 124989,B100000,00000,1300,1300DISCHARGE 124989,B100000,00000,1400,1400ASSIGNED TIME 124989,B100000,00000,1500,1350PAT 124989,S000000,00100,0200,05/30/00 124989,S200000,00100,0100,425 E ELM STREET 124989,S200000,00200,0100,WAYLAND 124989,S200000,00200,0200,MI 124989,S200000,00200,0300,49348 124989,S200000,00300,0100,ALLEGAN 124989,S200000,00300,0200,3000 124989,S200000,00300,0300,U 124989,S200000,00400,0100,THE LAURELS OF SANDY CREEK 124989,S200000,00400,0200,235313 124989,S200000,00400,0300,10/01/95 124989,S200000,00400,0500,P 124989,S200000,01500,0100,N 124989,S200000,01600,0100,Y 124989,S200000,01700,0100,N 124989,S200000,01800,0100,N 124989,S200000,01900,0100,501(C)(3) 124989,S200000,02200,0100,Y 124989,S200000,02800,0100,N 124989,S200000,02900,0100,N 124989,S200000,03000,0100,N 124989,S200000,03100,0100,N 124989,S200000,03200,0100,N 124989,S200000,03300,0100,N 124989,S200000,03300,0200,N 124989,S200000,04100,0100,N 124989,S200000,04200,0100,N 124989,S200000,04300,0100,N 124989,S200000,04600,0100,N 124989,S200000,04700,0100,N 124989,S200000,04900,0100,N 124989,S200000,05200,0100,N 124992,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124992,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124992,A000000,00300,0000,0300EMPLOYEE BENEFITS 124992,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124992,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124992,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124992,A000000,00700,0000,0700HOUSEKEEPING 124992,A000000,00800,0000,0800DIETARY 124992,A000000,00900,0000,0900NURSING ADMINISTRATION 124992,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124992,A000000,01100,0000,1100PHARMACY 124992,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124992,A000000,01300,0000,1300SOCIAL SERVICE 124992,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124992,A000000,01500,0000,1350ACTIVITIES 124992,A000000,01600,0000,1600SKILLED NURSING FACILITY 124992,A000000,01800,0000,1800NURSING FACILITY 124992,A000000,01810,0000,1810ICF/MR 124992,A000000,02100,0000,2100RADIOLOGY 124992,A000000,02200,0000,2200LABORATORY 124992,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124992,A000000,02500,0000,2500PHYSICAL THERAPY 124992,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124992,A000000,02700,0000,2700SPEECH PATHOLOGY 124992,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124992,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124992,A000000,03550,0000,3550FQHC 124992,A000000,05000,0000,5000CORF 124992,A000000,05010,0000,5010CMHC 124992,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124992,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124992,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124992,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124992,A81000A,00100,0100,Y 124992,A81000B,00100,0300,MANAGEMENT FEES 124992,A81000B,00200,0300,QUALITY ASSURANCE 124992,A81000B,00300,0300,CAPITAL 124992,A81000B,00400,0300,HOME OFFICE - OTHER 124992,A81000C,00100,0100,B 124992,A81000C,00100,0400,LAUREL HEALTH 124992,A81000C,00100,0600,MANAGEMENT CO. 124992,B100000,00000,0100,0100SQUARE FEET 124992,B100000,00000,0200,0200SQUARE FEET 124992,B100000,00000,0300,0300GROSS SAL 124992,B100000,00000,0400,0400ACCUM. COST 124992,B100000,00000,0500,0500SQUARE FEET 124992,B100000,00000,0600,0600PAT DAYS 124992,B100000,00000,0700,0700SQUARE FEET 124992,B100000,00000,0800,0800PAT DAYS 124992,B100000,00000,0900,0900NURSING HOURS 124992,B100000,00000,1000,1000PAT DAYS 124992,B100000,00000,1100,1100BLANK 124992,B100000,00000,1200,1200PAT DAYS 124992,B100000,00000,1300,1300DISCHARGES 124992,B100000,00000,1400,1400BLANK 124992,B100000,00000,1500,1350PAT DAYS 124992,S000000,00100,0200,05/30/00 124992,S200000,00100,0100,1080 NORTH 35TH STREET 124992,S200000,00200,0100,GALESBURG 124992,S200000,00200,0200,MI 124992,S200000,00200,0300,49053 124992,S200000,00300,0100,KALAMAZOO 124992,S200000,00300,0200,3720 124992,S200000,00300,0300,U 124992,S200000,00400,0100,THE LAURELS OF GALESBURG 124992,S200000,00400,0200,235483 124992,S200000,00400,0300,01/01/97 124992,S200000,00400,0500,P 124992,S200000,01500,0100,N 124992,S200000,01600,0100,Y 124992,S200000,01700,0100,N 124992,S200000,01800,0100,N 124992,S200000,01900,0100,SUBSIDIARY 124992,S200000,02200,0100,Y 124992,S200000,02800,0100,N 124992,S200000,02900,0100,N 124992,S200000,03000,0100,N 124992,S200000,03100,0100,N 124992,S200000,03200,0100,N 124992,S200000,03300,0100,N 124992,S200000,03300,0200,N 124992,S200000,04100,0100,N 124992,S200000,04200,0100,N 124992,S200000,04300,0100,N 124992,S200000,04600,0100,N 124992,S200000,04700,0100,N 124992,S200000,04900,0100,N 124992,S200000,05200,0100,N 124993,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 124993,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 124993,A000000,00300,0000,0300EMPLOYEE BENEFITS 124993,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 124993,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 124993,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 124993,A000000,00700,0000,0700HOUSEKEEPING 124993,A000000,00800,0000,0800DIETARY 124993,A000000,00900,0000,0900NURSING ADMINISTRATION 124993,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 124993,A000000,01100,0000,1100PHARMACY 124993,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 124993,A000000,01300,0000,1300SOCIAL SERVICE 124993,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 124993,A000000,01500,0000,1350ACTIVITIES 124993,A000000,01600,0000,1600SKILLED NURSING FACILITY 124993,A000000,01800,0000,1800NURSING FACILITY 124993,A000000,01810,0000,1810ICF/MR 124993,A000000,02100,0000,2100RADIOLOGY 124993,A000000,02200,0000,2200LABORATORY 124993,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 124993,A000000,02500,0000,2500PHYSICAL THERAPY 124993,A000000,02600,0000,2600OCCUPATIONAL THERAPY 124993,A000000,02700,0000,2700SPEECH PATHOLOGY 124993,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 124993,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 124993,A000000,03550,0000,3550FQHC 124993,A000000,05000,0000,5000CORF 124993,A000000,05010,0000,5010CMHC 124993,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 124993,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 124993,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 124993,A000000,05900,0000,5900BARBER & BEAUTY SHOP 124993,A81000A,00100,0100,Y 124993,A81000B,00100,0300,MANAGEMENT FEES 124993,A81000B,00200,0300,QUALITY ASSURANCE HO 124993,A81000B,00300,0300,HOME OFFICE - CAPITA 124993,A81000B,00400,0300,HOME OFFICE- OTHER 124993,A81000C,00100,0100,B 124993,A81000C,00100,0400,LAUREL HEALTH 124993,A81000C,00100,0600,MANAGEMENT CO. 124993,B100000,00000,0100,0100SQUARE FEET 124993,B100000,00000,0200,0200SQUARE FEET 124993,B100000,00000,0300,0300GROSS SALARIES 124993,B100000,00000,0400,0400ACCUM COST 124993,B100000,00000,0500,0500SQUARE FEET 124993,B100000,00000,0600,0600PAT 124993,B100000,00000,0700,0700SQ 124993,B100000,00000,0800,0800PAT 124993,B100000,00000,0900,0900DIRECT NRSG HRS 124993,B100000,00000,1000,1000PAT 124993,B100000,00000,1100,1100COSTED REQUIS 124993,B100000,00000,1200,1200PAT 124993,B100000,00000,1300,1300DISCHARGE 124993,B100000,00000,1400,1400ASSIGNED TIME 124993,B100000,00000,1500,1350PAT 124993,S000000,00100,0200,05/30/00 124993,S200000,00100,0100,RFD #1 4735 RANGER ROAD 124993,S200000,00200,0100,PERRINGTON 124993,S200000,00200,0200,MI 124993,S200000,00200,0300,48871 124993,S200000,00300,0100,GRATIOT 124993,S200000,00300,0200,9923 124993,S200000,00300,0300,R 124993,S200000,00400,0100,THE LAURELS OF FULTON 124993,S200000,00400,0200,235513 124993,S200000,00400,0300,10/01/95 124993,S200000,00400,0500,P 124993,S200000,00600,0200,235513 124993,S200000,00600,0300,10/01/95 124993,S200000,00600,0400,O 124993,S200000,00600,0600,O 124993,S200000,01500,0100,N 124993,S200000,01600,0100,Y 124993,S200000,01700,0100,N 124993,S200000,01800,0100,N 124993,S200000,01900,0100,SUBSIDIARY 124993,S200000,02200,0100,Y 124993,S200000,02800,0100,N 124993,S200000,02900,0100,N 124993,S200000,03000,0100,N 124993,S200000,03100,0100,N 124993,S200000,03200,0100,N 124993,S200000,03300,0100,N 124993,S200000,03300,0200,N 124993,S200000,03500,0300,N 124993,S200000,04100,0100,N 124993,S200000,04200,0100,N 124993,S200000,04300,0100,N 124993,S200000,04600,0100,N 124993,S200000,04700,0100,N 124993,S200000,04900,0100,N 124993,S200000,05000,0100,N 124993,S200000,05200,0100,N 125015,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125015,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125015,A000000,00300,0000,0300EMPLOYEE BENEFITS 125015,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125015,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125015,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125015,A000000,00700,0000,0700HOUSEKEEPING 125015,A000000,00800,0000,0800DIETARY 125015,A000000,00900,0000,0900NURSING ADMINISTRATION 125015,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125015,A000000,01100,0000,1100PHARMACY 125015,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125015,A000000,01300,0000,1300SOCIAL SERVICE 125015,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125015,A000000,01500,0000,1350DIVERSIONAL THERAPY 125015,A000000,01600,0000,1600SKILLED NURSING FACILITY 125015,A000000,01810,0000,1810ICF/MR 125015,A000000,02100,0000,2100RADIOLOGY 125015,A000000,02200,0000,2200LABORATORY 125015,A000000,02500,0000,2500PHYSICAL THERAPY 125015,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125015,A000000,02700,0000,2700SPEECH PATHOLOGY 125015,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125015,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125015,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125015,A000000,03550,0000,3550FQHC 125015,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125015,A000000,05000,0000,5000CORF 125015,A000000,05010,0000,5010CMHC 125015,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125015,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125015,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125015,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125015,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125015,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 125015,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125015,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125015,A81000A,00100,0100,Y 125015,A81000B,00100,0300,MOE EXPENSE 125015,A81000B,00200,0300,COUNTY ADMIN COSTS 125015,A81000B,00300,0300,BOARD EXPENSES 125015,A81000C,00100,0100,B 125015,A81000C,00100,0200,CASS COUNTY 125015,A81000C,00100,0400,CASS COUNTY 125015,A81000C,00100,0600,COUNTY 125015,B100000,00000,0100,0100SQUARE FEET 125015,B100000,00000,0200,0200SQUARE FEET 125015,B100000,00000,0300,0300GROSS SALARIES 125015,B100000,00000,0400,0400ACCUM. COST 125015,B100000,00000,0500,0500SQUARE FEET 125015,B100000,00000,0600,0600LBS OF LAUNDRY 125015,B100000,00000,0700,0700HOURS OF SERVICE 125015,B100000,00000,0800,0800MEALS SERVED 125015,B100000,00000,0900,0900HOURS OF SERVICE 125015,B100000,00000,1000,1000COST REQUISITIO 125015,B100000,00000,1100,1100COST REQUISITIO 125015,B100000,00000,1200,1200TIME SPENT 125015,B100000,00000,1300,1300TIME SPENT 125015,B100000,00000,1400,1400TIME SPENT 125015,B100000,00000,1500,1350TIME SPENT 125015,S000000,00100,0200,06/01/00 125015,S200000,00100,0100,22770 HOSPITAL STREET 125015,S200000,00200,0100,CASSOPOLIS 125015,S200000,00200,0200,MI 125015,S200000,00300,0100,CASSOPOLIS 125015,S200000,00300,0200,9923 125015,S200000,00300,0300,R 125015,S200000,00400,0100,CASS COUNTY MEDICAL CARE FACILITY 125015,S200000,00400,0200,235352 125015,S200000,00400,0300,07/11/96 125015,S200000,00400,0500,P 125015,S200000,01500,0100,Y 125015,S200000,01600,0100,N 125015,S200000,01700,0100,N 125015,S200000,01800,0100,N 125015,S200000,02200,0100,N 125015,S200000,02800,0100,Y 125015,S200000,02900,0100,N 125015,S200000,03000,0100,N 125015,S200000,03100,0100,N 125015,S200000,03200,0100,N 125015,S200000,03300,0100,N 125015,S200000,03300,0200,N 125015,S200000,04100,0100,N 125015,S200000,04200,0100,N 125015,S200000,04300,0100,Y 125015,S200000,04600,0100,N 125015,S200000,04700,0100,N 125015,S200000,04900,0100,N 125015,S200000,05200,0100,N 125017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125017,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125017,A000000,00300,0000,0300EMPLOYEE BENEFITS 125017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125017,A000000,00700,0000,0700HOUSEKEEPING 125017,A000000,00800,0000,0800DIETARY 125017,A000000,00900,0000,0900NURSING ADMINISTRATION 125017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125017,A000000,01100,0000,1100PHARMACY 125017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125017,A000000,01300,0000,1300SOCIAL SERVICE 125017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125017,A000000,01500,0000,1350ACTIVITIES 125017,A000000,01600,0000,1600SKILLED NURSING FACILITY 125017,A000000,01800,0000,1800NURSING FACILITY 125017,A000000,01810,0000,1810ICF/MR 125017,A000000,02100,0000,2100RADIOLOGY 125017,A000000,02200,0000,2200LABORATORY 125017,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125017,A000000,02500,0000,2500PHYSICAL THERAPY 125017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125017,A000000,02700,0000,2700SPEECH PATHOLOGY 125017,A000000,02800,0000,2800ELECTROCARDIOLOGY 125017,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125017,A000000,03200,0000,3200SUPPORT SURFACES 125017,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125017,A000000,03550,0000,3550FQHC 125017,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 125017,A000000,04800,0000,4800AMBULANCE 125017,A000000,05000,0000,5000CORF 125017,A000000,05010,0000,5010CMHC 125017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125017,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125017,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125017,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 125017,A81000A,00100,0100,Y 125017,A81000B,00100,0300,HOME OFFICE 125017,A81000B,00200,0300,HOME OFFICE CAPITAL 125017,A81000B,00300,0300,RENT 125017,A81000B,00400,0300,INTEREST 125017,A81000B,00500,0300,DEPRECIATION 125017,A81000B,00600,0300,OTHER COSTS 125017,A81000B,00700,0300,HOME OFFICE INTEREST 125017,A81000C,00100,0100,A 125017,A81000C,00100,0200,FRANK WRONSKI 125017,A81000C,00100,0400,THE MEDILODGE G 125017,A81000C,00100,0600,HOME OFFICE 125017,A81000C,00200,0100,A 125017,A81000C,00200,0200,FRANK WRONSKI 125017,A81000C,00200,0400,WMF INVESTMENT 125017,A81000C,00200,0600,RENTAL 125017,A81000C,00300,0100,A 125017,A81000C,00300,0200,LEO EISENBERG 125017,A81000C,00300,0400,WMF INVESTMENT 125017,A81000C,00300,0600,RENTAL 125017,A81000C,00400,0100,A 125017,A81000C,00400,0200,FRANK WRONSKI 125017,A81000C,00400,0400,ALL MED MEDICAL 125017,A81000C,00400,0600,MED NRS SUPPLY 125017,A81000C,00500,0100,A 125017,A81000C,00500,0200,LEO EISENBERG 125017,A81000C,00500,0400,NURSING HOME GR 125017,A81000C,00500,0600,ANCILLARY SERVI 125017,B100000,00000,0100,0100SQUARE FEET 125017,B100000,00000,0200,0200SQUARE FEET 125017,B100000,00000,0300,0300GROSS SALARIES 125017,B100000,00000,0400,0400ACCUM COST 125017,B100000,00000,0500,0500SQUARE FEET 125017,B100000,00000,0600,0600PATIENT DAYS 125017,B100000,00000,0700,0700SQUARE FEET 125017,B100000,00000,0800,0800MEALS SERVED 125017,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 125017,B100000,00000,1000,1000PATIENT DAYS 125017,B100000,00000,1100,1100COSTED REQUIS 125017,B100000,00000,1200,1200TIME SPENT 125017,B100000,00000,1300,1300PATIENT DAYS 125017,B100000,00000,1400,1400ASSIGNED TIME 125017,B100000,00000,1500,1350PATIENT DAYS 125017,E10A180,00301,0100,05/05/99 125017,E10A180,00350,0300,05/05/99 125017,E10A180,00501,0300,05/16/01 125017,E10A180,00550,0300,05/17/00 125017,E10A180,00551,0300,04/25/01 125017,S000000,00100,0200,05/12/00 125017,S200000,00100,0100,3030 GREENFIELD RD. 125017,S200000,00200,0100,ROYAL OAK 125017,S200000,00200,0200,MI 125017,S200000,00300,0100,OAKLAND 125017,S200000,00300,0200,2160 125017,S200000,00300,0300,U 125017,S200000,00400,0100,BEVERLY HILLS NURSING CENTER INC. 125017,S200000,00400,0200,235433 125017,S200000,00400,0300,11/19/90 125017,S200000,00400,0500,P 125017,S200000,01500,0100,N 125017,S200000,01600,0100,Y 125017,S200000,01700,0100,N 125017,S200000,01800,0100,N 125017,S200000,01900,0100,501 C 3 125017,S200000,02200,0100,N 125017,S200000,02800,0100,N 125017,S200000,02900,0100,N 125017,S200000,03000,0100,N 125017,S200000,03100,0100,N 125017,S200000,03200,0100,N 125017,S200000,03300,0100,N 125017,S200000,03300,0200,N 125017,S200000,04100,0100,N 125017,S200000,04200,0100,N 125017,S200000,04300,0100,N 125017,S200000,04600,0100,N 125017,S200000,04700,0100,N 125017,S200000,04900,0100,N 125017,S200000,05200,0100,N 125024,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125024,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125024,A000000,00300,0000,0300EMPLOYEE BENEFITS 125024,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125024,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125024,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125024,A000000,00700,0000,0700HOUSEKEEPING 125024,A000000,00800,0000,0800DIETARY 125024,A000000,00900,0000,0900NURSING ADMINISTRATION 125024,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125024,A000000,01100,0000,1100PHARMACY 125024,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125024,A000000,01300,0000,1300SOCIAL SERVICE 125024,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125024,A000000,01500,0000,1350ACTIVITIES 125024,A000000,01600,0000,1600SKILLED NURSING FACILITY 125024,A000000,01800,0000,1800NURSING FACILITY 125024,A000000,01810,0000,1810ICF/MR 125024,A000000,02100,0000,2100RADIOLOGY 125024,A000000,02200,0000,2200LABORATORY 125024,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125024,A000000,02500,0000,2500PHYSICAL THERAPY 125024,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125024,A000000,02700,0000,2700SPEECH PATHOLOGY 125024,A000000,02800,0000,2800ELECTROCARDIOLOGY 125024,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125024,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125024,A000000,03200,0000,3200SUPPORT SURFACES 125024,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125024,A000000,03550,0000,3550FQHC 125024,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 125024,A000000,05000,0000,5000CORF 125024,A000000,05010,0000,5010CMHC 125024,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125024,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125024,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125024,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125024,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125024,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 125024,A81000A,00100,0100,Y 125024,A81000B,00100,0300,HOME OFFICE 125024,A81000B,00200,0300,CAPITAL HOME OFFICE 125024,A81000B,00300,0300,RENT 125024,A81000B,00400,0300,INTEREST 125024,A81000B,00500,0300,DEPRECIATION 125024,A81000B,00600,0300,ADMIN & GENERAL-BLDG RENTAL 125024,A81000B,00700,0300,EMPLOYEE BENEFITS-BLDG RENTAL 125024,A81000C,00100,0100,A 125024,A81000C,00100,0200,FRANK WRONSKI 125024,A81000C,00100,0400,THE MEDILODGE G 125024,A81000C,00100,0600,HOME OFFICE 125024,A81000C,00200,0100,A 125024,A81000C,00200,0200,FRANK WRONSKI 125024,A81000C,00200,0400,FMW INVESTMENT 125024,A81000C,00200,0600,RENTAL 125024,A81000C,00300,0100,A 125024,A81000C,00300,0200,LEO EISENBERG 125024,A81000C,00300,0400,FMW INVESTMENT 125024,A81000C,00300,0600,RENTAL 125024,A81000C,00400,0100,A 125024,A81000C,00400,0200,FRANK WRONSKI 125024,A81000C,00400,0400,ALL MED MEDICAL 125024,A81000C,00400,0600,MED NRS. SUPPLY 125024,A81000C,00500,0100,A 125024,A81000C,00500,0200,LEO EISENBERG 125024,A81000C,00500,0400,NURSING HOME GR 125024,A81000C,00500,0600,ANCILLARY SERVI 125024,B100000,00000,0100,0100SQUARE FEET 125024,B100000,00000,0200,0200SQUARE FEET 125024,B100000,00000,0300,0300GROSS SALARIES 125024,B100000,00000,0400,0400ACCUM COST 125024,B100000,00000,0500,0500SQUARE FEET 125024,B100000,00000,0600,0600PATIENT DAYS 125024,B100000,00000,0700,0700SQUARE FEET 125024,B100000,00000,0800,0800MEALS SERVED 125024,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 125024,B100000,00000,1000,1000PATIENT DAYS 125024,B100000,00000,1100,1100COSTED REQUIS 125024,B100000,00000,1200,1200TIME SPENT 125024,B100000,00000,1300,1300PATIENT DAYS 125024,B100000,00000,1400,1400ASSIGNED TIME 125024,B100000,00000,1500,1350PATIENT DAYS 125024,E10A180,00301,0100,05/05/99 125024,E10A180,00301,0300,05/05/99 125024,E10A180,00350,0100,06/17/99 125024,E10A180,00350,0300,06/17/99 125024,E10A180,00550,0300,06/20/01 125024,S000000,00100,0200,05/10/00 125024,S200000,00100,0100,1333 W. GRAND RIVER AVE. 125024,S200000,00200,0100,HOWELL 125024,S200000,00200,0200,MI 125024,S200000,00200,0300,48843 125024,S200000,00300,0100,LIVINGSTON 125024,S200000,00300,0200,0440 125024,S200000,00300,0300,U 125024,S200000,00400,0100,MEDILODGE OF HOWELL 125024,S200000,00400,0200,235331 125024,S200000,00400,0300,10/01/91 125024,S200000,00400,0500,P 125024,S200000,01500,0100,N 125024,S200000,01600,0100,Y 125024,S200000,01700,0100,N 125024,S200000,01800,0100,N 125024,S200000,01900,0100,CHARITABLE 501(C) (3) 125024,S200000,02200,0100,N 125024,S200000,02800,0100,N 125024,S200000,02900,0100,N 125024,S200000,03000,0100,N 125024,S200000,03100,0100,N 125024,S200000,03200,0100,N 125024,S200000,03300,0100,N 125024,S200000,03300,0200,N 125024,S200000,04100,0100,N 125024,S200000,04200,0100,N 125024,S200000,04300,0100,N 125024,S200000,04600,0100,N 125024,S200000,04700,0100,N 125024,S200000,04900,0100,N 125024,S200000,05200,0100,N 125025,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125025,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125025,A000000,00300,0000,0300EMPLOYEE BENEFITS 125025,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125025,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125025,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125025,A000000,00700,0000,0700HOUSEKEEPING 125025,A000000,00800,0000,0800DIETARY 125025,A000000,00900,0000,0900NURSING ADMINISTRATION 125025,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125025,A000000,01100,0000,1100PHARMACY 125025,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125025,A000000,01300,0000,1300SOCIAL SERVICE 125025,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125025,A000000,01500,0000,1350ACTIVITIES 125025,A000000,01600,0000,1600SKILLED NURSING FACILITY 125025,A000000,01800,0000,1800NURSING FACILITY 125025,A000000,01810,0000,1810ICF/MR 125025,A000000,02100,0000,2100RADIOLOGY 125025,A000000,02200,0000,2200LABORATORY 125025,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125025,A000000,02500,0000,2500PHYSICAL THERAPY 125025,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125025,A000000,02700,0000,2700SPEECH PATHOLOGY 125025,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125025,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125025,A000000,03550,0000,3550FQHC 125025,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 125025,A000000,04800,0000,4800AMBULANCE 125025,A000000,05000,0000,5000CORF 125025,A000000,05010,0000,5010CMHC 125025,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125025,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125025,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125025,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125025,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125025,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 125025,A81000A,00100,0100,Y 125025,A81000B,00100,0300,RENT 125025,A81000B,00200,0300,DEPR. & PROPERTY TAXES 125025,A81000B,00300,0300,OTHER EXPENSES 125025,A81000B,00400,0300,HOME OFFICE COST 125025,A81000C,00100,0100,A 125025,A81000C,00100,0200,Z.KARKOMI REVOC 125025,A81000C,00100,0400,BENTON HARBOR 125025,A81000C,00100,0600,RENTAL 125025,A81000C,00200,0100,B 125025,A81000C,00200,0200,ZEVCO ENTREPRIS 125025,A81000C,00200,0400,BENTON HARBOR 125025,A81000C,00200,0600,RENTAL 125025,A81000C,00300,0100,A 125025,A81000C,00300,0200,ALBERT MILSTEIN 125025,A81000C,00300,0400,BENTON HARBOR 125025,A81000C,00300,0600,RENTAL 125025,B100000,00000,0100,0100SQUARE FEET 125025,B100000,00000,0200,0200SQUARE FEET 125025,B100000,00000,0300,0300GROSS SALARIES 125025,B100000,00000,0400,0400ACCUM COST 125025,B100000,00000,0500,0500SQUARE FEET 125025,B100000,00000,0600,0600PATIENT DAYS 125025,B100000,00000,0700,0700SQUARE FEET 125025,B100000,00000,0800,0800MEALS SERVED 125025,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 125025,B100000,00000,1000,1000PATIENT DAYS 125025,B100000,00000,1100,1100COSTED REQUIS 125025,B100000,00000,1200,1200TIME SPENT 125025,B100000,00000,1300,1300PATIENT DAYS 125025,B100000,00000,1400,1400ASSIGNED TIME 125025,B100000,00000,1500,1350PATIENT DAYS 125025,E10A180,00501,0300,04/25/01 125025,S000000,00100,0200,09/18/00 125025,S200000,00100,0100,1385 EAST EMPIRE AVENUE 125025,S200000,00200,0100,BENTON HARBOR 125025,S200000,00200,0200,MI 125025,S200000,00300,0100,BERRIEN 125025,S200000,00300,0200,0870 125025,S200000,00300,0300,U 125025,S200000,00400,0100,ORCHARD GROVE EXTENDED CARE CENTRE 125025,S200000,00400,0200,235544 125025,S200000,00400,0300,01/01/80 125025,S200000,00400,0500,P 125025,S200000,01500,0100,N 125025,S200000,01600,0100,Y 125025,S200000,01700,0100,N 125025,S200000,01800,0100,N 125025,S200000,01900,0100,OTHER 125025,S200000,02200,0100,N 125025,S200000,02800,0100,N 125025,S200000,02900,0100,N 125025,S200000,03000,0100,N 125025,S200000,03100,0100,N 125025,S200000,03200,0100,N 125025,S200000,03300,0100,N 125025,S200000,03300,0200,N 125025,S200000,04100,0100,N 125025,S200000,04200,0100,N 125025,S200000,04300,0100,N 125025,S200000,04600,0100,N 125025,S200000,04700,0100,N 125025,S200000,04900,0100,N 125025,S200000,05200,0100,N 125027,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125027,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125027,A000000,00300,0000,0300EMPLOYEE BENEFITS 125027,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125027,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125027,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125027,A000000,00700,0000,0700HOUSEKEEPING 125027,A000000,00800,0000,0800DIETARY 125027,A000000,00900,0000,0900NURSING ADMINISTRATION 125027,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125027,A000000,01100,0000,1100PHARMACY 125027,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125027,A000000,01300,0000,1300SOCIAL SERVICE 125027,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125027,A000000,01500,0000,1350ACTIVITIES 125027,A000000,01600,0000,1600SKILLED NURSING FACILITY 125027,A000000,01800,0000,1800NURSING FACILITY 125027,A000000,01810,0000,1810ICF/MR 125027,A000000,02500,0000,2500PHYSICAL THERAPY 125027,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125027,A000000,02700,0000,2700SPEECH PATHOLOGY 125027,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125027,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125027,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125027,A000000,03550,0000,3550FQHC 125027,A000000,05000,0000,5000CORF 125027,A000000,05010,0000,5010CMHC 125027,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125027,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125027,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125027,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125027,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125027,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125027,A81000A,00100,0100,Y 125027,A81000B,00100,0300,BUILDING RENT 125027,A81000C,00100,0100,A 125027,A81000C,00100,0200,RON DESOTELL 125027,A81000C,00100,0600,PARTNERSHIP 125027,A81000C,00200,0100,A 125027,A81000C,00200,0200,HELEN DESOTELL 125027,A81000C,00200,0600,PARTNERSHIP 125027,B100000,00000,0100,0100SQUARE FEET 125027,B100000,00000,0200,0200SQUARE FEET 125027,B100000,00000,0300,0300GROSS SALARIES 125027,B100000,00000,0400,0400ACCUM. COST 125027,B100000,00000,0500,0500SQUARE FEET 125027,B100000,00000,0600,0600PATIENT DAYS 125027,B100000,00000,0700,0700SQUARE FEET 125027,B100000,00000,0800,0800MEALS SERVED 125027,B100000,00000,0900,0900DIRECT NRSG HRS 125027,B100000,00000,1000,1000COSTED REQUIS 125027,B100000,00000,1100,1100COSTED REQUIS 125027,B100000,00000,1200,1200TIME SPENT 125027,B100000,00000,1300,1300TIME SPENT 125027,B100000,00000,1400,1400ASSIGNED TIME 125027,B100000,00000,1500,1350PATIENT DAYS 125027,S000000,00100,0200,01/03/01 125027,S200000,00100,0100,430 S. CLAY STREET 125027,S200000,00200,0100,GREEN BAY 125027,S200000,00200,0200,WI 125027,S200000,00200,0300,54301 125027,S200000,00300,0100,B 125027,S200000,00400,0100,SANTA MARIA NURSING HOME 125027,S200000,00400,0200,525590 125027,S200000,00400,0300,04/01/96 125027,S200000,00400,0500,P 125027,S200000,01500,0100,N 125027,S200000,01600,0100,Y 125027,S200000,01700,0100,N 125027,S200000,01800,0100,N 125027,S200000,02200,0100,N 125027,S200000,02800,0100,N 125027,S200000,02900,0100,N 125027,S200000,03000,0100,N 125027,S200000,03100,0100,N 125027,S200000,03200,0100,N 125027,S200000,03300,0100,N 125027,S200000,03300,0200,N 125027,S200000,04100,0100,N 125027,S200000,04200,0100,N 125027,S200000,04300,0100,N 125027,S200000,04600,0100,N 125027,S200000,04700,0100,N 125027,S200000,04900,0100,N 125054,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125054,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125054,A000000,00300,0000,0300EMPLOYEE BENEFITS 125054,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125054,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125054,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125054,A000000,00700,0000,0700HOUSEKEEPING 125054,A000000,00800,0000,0800DIETARY 125054,A000000,00900,0000,0900NURSING ADMINISTRATION 125054,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125054,A000000,01100,0000,1100PHARMACY 125054,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125054,A000000,01300,0000,1300SOCIAL SERVICE 125054,A000000,01301,0000,1301ACTIVITIES 125054,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125054,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 125054,A000000,01600,0000,1600SKILLED NURSING FACILITY 125054,A000000,01800,0000,1800NURSING FACILITY 125054,A000000,01810,0000,1810ICF/MR 125054,A000000,02100,0000,2100RADIOLOGY 125054,A000000,02200,0000,2200LABORATORY 125054,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125054,A000000,02500,0000,2500PHYSICAL THERAPY 125054,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125054,A000000,02700,0000,2700SPEECH PATHOLOGY 125054,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125054,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125054,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125054,A000000,03550,0000,3550FQHC 125054,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 125054,A000000,05000,0000,5000CORF 125054,A000000,05010,0000,5010CMHC 125054,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125054,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125054,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125054,A000000,05300,0000,5300INTEREST EXPENSE 125054,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125054,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125054,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 125054,A81000A,00100,0100,Y 125054,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 125054,A81000B,00200,0300,NON CERT 125054,A81000B,00300,0300,MEDICAL SUPPLIES 125054,A81000B,00400,0300,CAPITAL 125054,A81000B,00500,0300,DRUGS 125054,A81000B,00600,0300,OT 125054,A81000B,00700,0300,PT 125054,A81000B,00800,0300,ST 125054,A81000C,00100,0100,B 125054,A81000C,00100,0200,CLINTON-AIRE 12 125054,A81000C,00100,0400,MARINER POST AC 125054,A81000C,00100,0600,NURSING HOMES 125054,A81000C,00200,0100,G 125054,A81000C,00200,0200,MARINER POST AC 125054,A81000C,00200,0400,AMERICAN PHARMA 125054,A81000C,00200,0600,PHARMACEUTICALS 125054,A81000C,00300,0100,G 125054,A81000C,00300,0200,MARINER POST AC 125054,A81000C,00300,0400,PRISM (ATS ARS 125054,A81000C,00300,0600,THERAPIES 125054,B100000,00000,0100,0100SQUARE FEET 125054,B100000,00000,0200,0200SQUARE FEET 125054,B100000,00000,0300,0300GROSS SALARIES 125054,B100000,00000,0400,0400ACCUM COST 125054,B100000,00000,0500,0500SQUARE FEET 125054,B100000,00000,0600,0600PATIENT DAYS 125054,B100000,00000,0700,0700SQUARE FEET 125054,B100000,00000,0800,0800MEALS SERVED 125054,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 125054,B100000,00000,1000,1000PATIENT DAYS 125054,B100000,00000,1100,1100COSTED REQUIS 125054,B100000,00000,1200,1200PATIENT DAYS 125054,B100000,00000,1300,1300PATIENT DAYS 125054,B100000,00000,1301,1301PATIENT DAYS 125054,B100000,00000,1400,1400ASSIGNED TIME 125054,B100000,00000,1500,1350UNITS OF S UNITS OF S 125054,S000000,00100,0200,06/06/00 125054,S200000,00100,0100,17001 17 MILE RD 125054,S200000,00200,0100,CLINTON TOWNSHIP 125054,S200000,00200,0200,MI 125054,S200000,00200,0300,48038 125054,S200000,00300,0100,MACOMB 125054,S200000,00300,0200,2160 125054,S200000,00300,0300,U 125054,S200000,00400,0100,CLINTON-AIRE HEALTHCARE CENTER 125054,S200000,00400,0200,235405 125054,S200000,00400,0300,01/01/87 125054,S200000,00400,0500,P 125054,S200000,01500,0100,N 125054,S200000,01600,0100,N 125054,S200000,01700,0100,N 125054,S200000,01800,0100,N 125054,S200000,01900,0100,OTHER 125054,S200000,02200,0100,N 125054,S200000,02800,0100,N 125054,S200000,02900,0100,N 125054,S200000,03000,0100,N 125054,S200000,03100,0100,N 125054,S200000,03200,0100,N 125054,S200000,03300,0100,N 125054,S200000,03300,0200,N 125054,S200000,04100,0100,N 125054,S200000,04200,0100,N 125054,S200000,04300,0100,N 125054,S200000,04600,0100,N 125054,S200000,04700,0100,N 125054,S200000,04900,0100,N 125054,S200000,05200,0100,N 125055,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125055,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125055,A000000,00300,0000,0300EMPLOYEE BENEFITS 125055,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125055,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125055,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125055,A000000,00700,0000,0700HOUSEKEEPING 125055,A000000,00800,0000,0800DIETARY 125055,A000000,00900,0000,0900NURSING ADMINISTRATION 125055,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125055,A000000,01100,0000,1100PHARMACY 125055,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125055,A000000,01300,0000,1300SOCIAL SERVICE 125055,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125055,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 125055,A000000,01600,0000,1600SKILLED NURSING FACILITY 125055,A000000,01810,0000,1810ICF/MR 125055,A000000,02100,0000,2100RADIOLOGY 125055,A000000,02200,0000,2200LABORATORY 125055,A000000,02500,0000,2500PHYSICAL THERAPY 125055,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125055,A000000,02700,0000,2700SPEECH PATHOLOGY 125055,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125055,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125055,A000000,03550,0000,3550FQHC 125055,A000000,05000,0000,5000CORF 125055,A000000,05010,0000,5010CMHC 125055,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125055,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125055,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125055,A000000,06300,0000,6150NRCC 125055,A81000A,00100,0100,Y 125055,A81000B,00100,0300,RENT (DEPRECIATION) 125055,A81000B,00200,0300,RENT (INTEREST) 125055,A81000B,00300,0300,MANAGEMENT FEE 125055,A81000C,00100,0100,A 125055,A81000C,00100,0200,ROYAL NURSING C 125055,A81000C,00100,0400,MOHAMMAD A. QAZ 125055,A81000C,00100,0600,REAL ESTATE 125055,A81000C,00200,0100,A 125055,A81000C,00200,0200,ROYAL NURSING C 125055,A81000C,00200,0400,CIENA HEALTHCAR 125055,A81000C,00200,0600,MANAGEMENT 125055,B100000,00000,0100,0100SQUARE FEET 125055,B100000,00000,0200,0200SQUARE FEET 125055,B100000,00000,0300,0300GROSS SALARIES 125055,B100000,00000,0400,0400ACCUM COST 125055,B100000,00000,0500,0500SQUARE FEET 125055,B100000,00000,0600,0600PATIENT DAYS 125055,B100000,00000,0700,0700SQUARE FEET 125055,B100000,00000,0800,0800MEALS SERVED 125055,B100000,00000,0900,0900PATIENT DAYS 125055,B100000,00000,1000,1000COSTED REQUIS 125055,B100000,00000,1100,1100COSTED REQUIS 125055,B100000,00000,1200,1200PATIENT DAYS 125055,B100000,00000,1300,1300PATIENT DAYS 125055,B100000,00000,1400,1400ASSIGNED TIME 125055,B100000,00000,1500,1350PATIENT DAYS 125055,S000000,00100,0200,01/05/01 125055,S200000,00100,0100,91 GLENDALE 125055,S200000,00200,0100,HIGHLAND PARK 125055,S200000,00200,0200,MI 125055,S200000,00200,0300,48302 125055,S200000,00300,0100,W 125055,S200000,00300,0200,2160 125055,S200000,00300,0300,U 125055,S200000,00400,0100,ROYAL NURSING CENTER 125055,S200000,00400,0200,235452 125055,S200000,00400,0300,06/01/96 125055,S200000,00400,0500,P 125055,S200000,01500,0100,Y 125055,S200000,01600,0100,N 125055,S200000,01700,0100,N 125055,S200000,01800,0100,N 125055,S200000,01900,0100,2 125055,S200000,02200,0100,N 125055,S200000,02800,0100,N 125055,S200000,02900,0100,N 125055,S200000,03000,0100,N 125055,S200000,03100,0100,N 125055,S200000,03200,0100,N 125055,S200000,03300,0100,N 125055,S200000,03300,0200,N 125055,S200000,04100,0100,N 125055,S200000,04200,0100,N 125055,S200000,04300,0100,N 125055,S200000,04600,0100,N 125055,S200000,04700,0100,N 125055,S200000,04900,0100,N 125062,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125062,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125062,A000000,00300,0000,0300EMPLOYEE BENEFITS 125062,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125062,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125062,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125062,A000000,00700,0000,0700HOUSEKEEPING 125062,A000000,00800,0000,0800DIETARY 125062,A000000,00900,0000,0900NURSING ADMINISTRATION 125062,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125062,A000000,01100,0000,1100PHARMACY 125062,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125062,A000000,01300,0000,1300SOCIAL SERVICE 125062,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125062,A000000,01600,0000,1600SKILLED NURSING FACILITY 125062,A000000,01810,0000,1810ICF/MR 125062,A000000,02200,0000,2200LABORATORY 125062,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125062,A000000,02500,0000,2500PHYSICAL THERAPY 125062,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125062,A000000,02700,0000,2700SPEECH PATHOLOGY 125062,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125062,A000000,03550,0000,3550FQHC 125062,A000000,05000,0000,5000CORF 125062,A000000,05010,0000,5010CMHC 125062,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125062,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125062,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125062,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125062,A81000A,00100,0100,Y 125062,A81000B,00100,0300,CONTRCAT SERVICES 125062,A81000B,00200,0300,CONTRACT SERVICES 125062,A81000B,00300,0300,CONTRACT SERVICES 125062,A81000B,00400,0300,CONTRACT SERVICES 125062,A81000B,00500,0300,CONTRACT SERVICES 125062,A81000C,00100,0100,G 125062,A81000C,00100,0200,PARENT CORP 125062,A81000C,00100,0400,SPECTRUM HEALTH 125062,A81000C,00100,0600,HEALTH CARE 125062,A81000C,00200,0100,G 125062,A81000C,00200,0200,SISTER CORP 125062,A81000C,00200,0400,SPECTRUM DOWNTO 125062,A81000C,00200,0600,HOSPITAL 125062,A81000C,00300,0100,G 125062,A81000C,00300,0200,SISTER CORP 125062,A81000C,00300,0400,SPECTRUM EAST 125062,A81000C,00300,0600,HOSPITAL 125062,A81000C,00400,0100,G 125062,A81000C,00400,0200,SISTER CORP 125062,A81000C,00400,0400,SPECTRUM CCG 125062,A81000C,00400,0600,HEALTH CARE 125062,A81000C,00500,0100,G 125062,A81000C,00500,0200,SISTER CORP 125062,A81000C,00500,0400,GRAND VALLEY 125062,A81000C,00500,0600,SNF 125062,A81000C,00600,0100,G 125062,A81000C,00600,0200,SISTER CORP 125062,A81000C,00600,0400,VNA 125062,A81000C,00600,0600,HOME HEALTH 125062,B100000,00000,0100,0100SQUARE FEET 125062,B100000,00000,0200,0200SQUARE FEET 125062,B100000,00000,0300,0300GROSS SALARIES 125062,B100000,00000,0400,0400ACCUM COST 125062,B100000,00000,0500,0500SQUARE FEET 125062,B100000,00000,0600,0600POUNDS OF LAUNDRY 125062,B100000,00000,0700,0700HOURS OF SERVICE 125062,B100000,00000,0800,0800MEALS SERVED 125062,B100000,00000,0900,0900DIRECT NRSG HRS 125062,B100000,00000,1000,1000COSTED REQUIS 125062,B100000,00000,1100,1100COSTED REQUIS 125062,B100000,00000,1200,1200TIME SPENT 125062,B100000,00000,1300,1300TIME SPENT 125062,B100000,00000,1400,1400ASSIGNED TIME 125062,S000000,00100,0200,07/06/01 125062,S200000,00100,0100,2100 LEONARD STREET NE 125062,S200000,00200,0100,GRAND RAPIDS 125062,S200000,00200,0200,MI 125062,S200000,00200,0300,49505 125062,S200000,00300,0100,KENT 125062,S200000,00300,0200,3000 125062,S200000,00300,0300,U 125062,S200000,00400,0100,VILLA ELIZABETH INC. 125062,S200000,00400,0200,235271 125062,S200000,00400,0300,01/01/96 125062,S200000,00400,0500,P 125062,S200000,01500,0100,Y 125062,S200000,01600,0100,N 125062,S200000,01700,0100,N 125062,S200000,01800,0100,N 125062,S200000,01900,0100,501 C 3 125062,S200000,02200,0100,N 125062,S200000,02800,0100,N 125062,S200000,02900,0100,N 125062,S200000,03000,0100,N 125062,S200000,03100,0100,Y 125062,S200000,03200,0100,N 125062,S200000,03300,0100,N 125062,S200000,03300,0200,N 125062,S200000,04100,0100,N 125062,S200000,04200,0100,N 125062,S200000,04300,0100,N 125062,S200000,04600,0100,N 125062,S200000,04700,0100,N 125062,S200000,04900,0100,N 125062,S200000,05200,0100,N 125063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125063,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125063,A000000,00300,0000,0300EMPLOYEE BENEFITS 125063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125063,A000000,00700,0000,0700HOUSEKEEPING 125063,A000000,00800,0000,0800DIETARY 125063,A000000,00900,0000,0900NURSING ADMINISTRATION 125063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125063,A000000,01100,0000,1100PHARMACY 125063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125063,A000000,01300,0000,1300SOCIAL SERVICE 125063,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125063,A000000,01500,0000,1350ACTIVITIES 125063,A000000,01600,0000,1600SKILLED NURSING FACILITY 125063,A000000,01800,0000,1800NURSING FACILITY 125063,A000000,01810,0000,1810ICF/MR 125063,A000000,02100,0000,2100RADIOLOGY 125063,A000000,02200,0000,2200LABORATORY 125063,A000000,02500,0000,2500PHYSICAL THERAPY 125063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125063,A000000,02700,0000,2700SPEECH PATHOLOGY 125063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125063,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125063,A000000,03550,0000,3550FQHC 125063,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125063,A000000,05000,0000,5000CORF 125063,A000000,05010,0000,5010CMHC 125063,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125063,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125063,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125063,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125063,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125063,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125063,A81000A,00100,0100,Y 125063,A81000B,00100,0300,PURCHASED SERVICES 125063,A81000B,00200,0300,PURCHASED SERVICES 125063,A81000B,00300,0300,PURCHASED SERVICES 125063,A81000B,00400,0300,PURCHASED SERVICES 125063,A81000B,00500,0300,PURCHASED SERVICES 125063,A81000B,00600,0300,PURCHASED SERVICES 125063,A81000B,00700,0300,PURCHASED SERVICES 125063,A81000B,00800,0300,PURCHASED SERVICES 125063,A81000B,00900,0300,PURCHASED SERVICES 125063,A81000B,01000,0300,PURCHASED SERVICES 125063,A81000B,01100,0300,PURCHASED SERVICES 125063,A81000B,01200,0300,HOME OFFICE COSTS 125063,A81000C,00100,0100,B 125063,A81000C,00100,0200,LENAWEE HEALTH ALLIANCE 125063,A81000C,00100,0400,BIXBY MEDICAL 125063,A81000C,00100,0600,HOSPITAL 125063,A81000C,00200,0100,B 125063,B100000,00000,0100,0100SQUARE FEET 125063,B100000,00000,0200,0200SQUARE FEET 125063,B100000,00000,0300,0300GROSS SALARIES 125063,B100000,00000,0400,0400ACCUM. COST 125063,B100000,00000,0500,0500SQUARE FEET 125063,B100000,00000,0600,0600PATIENT DAYS 125063,B100000,00000,0700,0700SQUARE FEET 125063,B100000,00000,0800,0800MEALS SERVED 125063,B100000,00000,0900,0900PATIENT DAYS 125063,B100000,00000,1000,1000PATIENT DAYS 125063,B100000,00000,1100,1100PATIENT DAYS 125063,B100000,00000,1200,1200PATIENT DAYS 125063,B100000,00000,1300,1300PATIENT DAYS 125063,B100000,00000,1400,1400PATIENT DAYS 125063,B100000,00000,1500,1350PATIENT DAYS 125063,S000000,00100,0200,01/26/01 125063,S200000,00100,0100,700 LAKESHIRE TRAIL 125063,S200000,00200,0100,ADRAIN 125063,S200000,00200,0200,MI 125063,S200000,00200,0300,49221 125063,S200000,00300,0100,L 125063,S200000,00300,0200,0440 125063,S200000,00300,0300,U 125063,S200000,00400,0100,PROVINCIAL HOUSE OF ADRIAN 125063,S200000,00400,0200,235287 125063,S200000,00400,0300,01/01/82 125063,S200000,00400,0500,P 125063,S200000,00600,0200,235287 125063,S200000,00600,0300,01/01/82 125063,S200000,00600,0600,O 125063,S200000,01500,0100,N 125063,S200000,01600,0100,Y 125063,S200000,01700,0100,N 125063,S200000,01800,0100,N 125063,S200000,01900,0100,COMMUNITY MANAGES 125063,S200000,02200,0100,N 125063,S200000,02800,0100,Y 125063,S200000,02900,0100,N 125063,S200000,03000,0100,N 125063,S200000,03100,0100,N 125063,S200000,03200,0100,N 125063,S200000,03300,0100,N 125063,S200000,03300,0200,N 125063,S200000,03500,0300,N 125063,S200000,04100,0100,N 125063,S200000,04200,0100,N 125063,S200000,04300,0100,N 125063,S200000,04600,0100,N 125063,S200000,04700,0100,N 125063,S200000,04900,0100,N 125063,S200000,05200,0100,N 125071,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125071,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125071,A000000,00300,0000,0300EMPLOYEE BENEFITS 125071,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125071,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125071,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125071,A000000,00700,0000,0700HOUSEKEEPING 125071,A000000,00800,0000,0800DIETARY 125071,A000000,00900,0000,0900NURSING ADMINISTRATION 125071,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125071,A000000,01100,0000,1100PHARMACY 125071,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125071,A000000,01300,0000,1300SOCIAL SERVICE 125071,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125071,A000000,01500,0000,1350OTHER GENERAL SERVICES 125071,A000000,01600,0000,1600SKILLED NURSING FACILITY 125071,A000000,01810,0000,1810ICF/MR 125071,A000000,02100,0000,2100RADIOLOGY 125071,A000000,02200,0000,2200LABORATORY 125071,A000000,02500,0000,2500PHYSICAL THERAPY 125071,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125071,A000000,02700,0000,2700SPEECH PATHOLOGY 125071,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125071,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125071,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125071,A000000,03550,0000,3550FQHC 125071,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125071,A000000,05000,0000,5000CORF 125071,A000000,05010,0000,5010CMHC 125071,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125071,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125071,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125071,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125071,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125071,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125071,A81000A,00100,0100,Y 125071,A81000B,00100,0300,MANAGEMENT FEES 125071,A81000B,00200,0300,MANAGEMENT FEES 125071,A81000C,00100,0100,B 125071,A81000C,00100,0200,TUDOR OAKS 125071,A81000C,00100,0400,AMERICAN BAPTIST HOMES 125071,A81000C,00100,0600,MANAGEMENT CO. 125071,B100000,00000,0100,0100SQUARE FEET 125071,B100000,00000,0200,0200SQUARE FEET 125071,B100000,00000,0300,0300GROSS SALARIES 125071,B100000,00000,0400,0400ACCUM. COST 125071,B100000,00000,0500,0500SQUARE FEET 125071,B100000,00000,0600,0600RESIDENT DAYS 125071,B100000,00000,0700,0700SQUARE FEET 125071,B100000,00000,0800,0800MEALS SERVED 125071,B100000,00000,0900,0900RESIDENT DAYS 125071,B100000,00000,1000,1000COSTED REQUIS. 125071,B100000,00000,1100,1100COSTED REQUIS. 125071,B100000,00000,1200,1200TIME SPENT 125071,B100000,00000,1300,1300RESIDENT DAYS 125071,B100000,00000,1400,1400ASSIGNED TIME 125071,B100000,00000,1500,1350NO STATISTICS 125071,E10A180,00301,0100,01/10/00 125071,S000000,00100,0200,01/31/01 125071,S200000,00100,0100,577 WEST 12929 MCSHANE 125071,S200000,00200,0100,HALES CORNER 125071,S200000,00200,0200,WI 125071,S200000,00200,0300,55130 125071,S200000,00300,0100,M 125071,S200000,00300,0200,5080 125071,S200000,00300,0300,U 125071,S200000,00400,0100,TUDOR OAKS RETIREMENT CENTER 125071,S200000,00400,0200,525279 125071,S200000,00400,0300,01/01/77 125071,S200000,00400,0500,P 125071,S200000,00400,0600,O 125071,S200000,01500,0100,Y 125071,S200000,01600,0100,N 125071,S200000,01700,0100,N 125071,S200000,01800,0100,N 125071,S200000,02200,0100,N 125071,S200000,02800,0100,N 125071,S200000,02900,0100,N 125071,S200000,03000,0100,N 125071,S200000,03100,0100,N 125071,S200000,03200,0100,N 125071,S200000,03300,0100,N 125071,S200000,03300,0200,N 125071,S200000,04100,0100,N 125071,S200000,04200,0100,N 125071,S200000,04300,0100,N 125071,S200000,04600,0100,N 125071,S200000,04700,0100,N 125071,S200000,04900,0100,N 125071,S200000,05200,0100,N 125073,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125073,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125073,A000000,00300,0000,0300EMPLOYEE BENEFITS 125073,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125073,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125073,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125073,A000000,00700,0000,0700HOUSEKEEPING 125073,A000000,00800,0000,0800DIETARY 125073,A000000,00900,0000,0900NURSING ADMINISTRATION 125073,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125073,A000000,01100,0000,1100PHARMACY 125073,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125073,A000000,01300,0000,1300SOCIAL SERVICE 125073,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125073,A000000,01600,0000,1600SKILLED NURSING FACILITY 125073,A000000,01810,0000,1810ICF/MR 125073,A000000,02100,0000,2100RADIOLOGY 125073,A000000,02200,0000,2200LABORATORY 125073,A000000,02500,0000,2500PHYSICAL THERAPY 125073,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125073,A000000,02700,0000,2700SPEECH PATHOLOGY 125073,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125073,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125073,A000000,03550,0000,3550FQHC 125073,A000000,05000,0000,5000CORF 125073,A000000,05010,0000,5010CMHC 125073,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125073,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125073,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125073,A000000,05300,0000,5300INTEREST EXPENSE 125073,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 125073,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125073,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125073,A000000,06300,0000,6150APARTMENT COMPLEX 125073,A81000A,00100,0100,Y 125073,A81000B,00100,0300,MANAGEMENT FEES 125073,A81000C,00100,0100,G 125073,A81000C,00100,0200,SCHOOL SISTERS 125073,A81000C,00100,0400,SPONSORSHIP 125073,B100000,00000,0100,0100SQUARE FEET 125073,B100000,00000,0200,0200SQUARE FEET 125073,B100000,00000,0300,0300GROSS SALARIES 125073,B100000,00000,0400,0400ACCUM COST 125073,B100000,00000,0500,0500SQUARE FEET 125073,B100000,00000,0600,0600PATIENT DAYS 125073,B100000,00000,0700,0700SQUARE FEET 125073,B100000,00000,0800,0800MEALS SERVED 125073,B100000,00000,0900,0900DIRECT NRSG HRS 125073,B100000,00000,1000,1000COSTED REQUIS 125073,B100000,00000,1100,1100COSTED REQUIS 125073,B100000,00000,1200,1200PATIENT DAYS 125073,B100000,00000,1300,1300PATIENT DAYS 125073,B100000,00000,1400,1400ASSIGNED TIME 125073,S000000,00100,0200,11/22/00 125073,S200000,00100,0100,3939 S. 92ND STREET 125073,S200000,00200,0100,GREENFIELD 125073,S200000,00200,0200,WI 125073,S200000,00200,0300,53228 125073,S200000,00300,0100,MILWAUKEE 125073,S200000,00300,0200,5080 125073,S200000,00300,0300,U 125073,S200000,00400,0100,CLEMENT MANOR 125073,S200000,00400,0200,525327 125073,S200000,00400,0300,11/03/82 125073,S200000,00400,0500,P 125073,S200000,01500,0100,Y 125073,S200000,01600,0100,N 125073,S200000,01700,0100,N 125073,S200000,01800,0100,N 125073,S200000,02200,0100,N 125073,S200000,02800,0100,N 125073,S200000,02900,0100,N 125073,S200000,03000,0100,N 125073,S200000,03100,0100,N 125073,S200000,03200,0100,N 125073,S200000,03300,0100,N 125073,S200000,03300,0200,N 125073,S200000,04100,0100,N 125073,S200000,04200,0100,N 125073,S200000,04300,0100,Y 125073,S200000,04600,0100,N 125073,S200000,04700,0100,N 125073,S200000,04900,0100,N 125073,S200000,05200,0100,N 125101,S000000,00100,0200,11/29/00 125105,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125105,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125105,A000000,00300,0000,0300EMPLOYEE BENEFITS 125105,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125105,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125105,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125105,A000000,00700,0000,0700HOUSEKEEPING 125105,A000000,00800,0000,0800DIETARY 125105,A000000,00900,0000,0900NURSING ADMINISTRATION 125105,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125105,A000000,01100,0000,1100PHARMACY 125105,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125105,A000000,01300,0000,1300SOCIAL SERVICE 125105,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125105,A000000,01500,0000,1350DIVERSIONAL THERAPY 125105,A000000,01600,0000,1600SKILLED NURSING FACILITY 125105,A000000,01810,0000,1810ICF/MR 125105,A000000,02100,0000,2100RADIOLOGY 125105,A000000,02200,0000,2200LABORATORY 125105,A000000,02300,0000,2300INTRAVENOUS THERAPY 125105,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125105,A000000,02500,0000,2500PHYSICAL THERAPY 125105,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125105,A000000,02700,0000,2700SPEECH PATHOLOGY 125105,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125105,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125105,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125105,A000000,03550,0000,3550FQHC 125105,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125105,A000000,05000,0000,5000CORF 125105,A000000,05010,0000,5010CMHC 125105,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125105,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125105,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125105,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125105,A000000,05300,0000,5300INTEREST EXPENSE 125105,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125105,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125105,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125105,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125105,A81000A,00100,0100,Y 125105,A81000B,00100,0300,LAUNDRY & LINEN SERVICE 125105,A81000B,00200,0300,ADMIN SAL & BENEFITS 125105,A81000B,00300,0300,HOME OFFICE 125105,A81000B,00400,0300,OUTSIDE LABOR NURSING 125105,A81000B,00500,0300,ADMINISTRATOR WAGES & BENEFITS 125105,A81000B,00600,0300,ADMIN CONSULTING SERVICES 125105,A81000C,00100,0100,G 125105,A81000C,00100,0200,TEXTILE SYSTEMS 125105,A81000C,00100,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00100,0600,LAUNDRY SERVICE 125105,A81000C,00200,0100,G 125105,A81000C,00200,0200,BORGESS MEDICAL CENTER 125105,A81000C,00200,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00200,0600,ACUTE CARE HOSPITAL 125105,A81000C,00300,0100,B 125105,A81000C,00300,0200,BORGESS HEALTH ALLIANCE 125105,A81000C,00300,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00300,0600,HOME OFFICE COST REPORT 125105,A81000C,00400,0100,E 125105,A81000C,00400,0200,VNA & HOSPICES SERVICES 125105,A81000C,00400,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00400,0600,HOME HEALTH ORGANIZATION 125105,A81000C,00500,0100,E 125105,A81000C,00500,0200,VNA & HOSPICE SERVICES 125105,A81000C,00500,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00500,0600,HOME HEALTH ORGANIZATION 125105,A81000C,00600,0100,E 125105,A81000C,00600,0200,VNA & HOSPICE SERVICES 125105,A81000C,00600,0400,BORGESS HEALTH ALLIANCE 125105,A81000C,00600,0600,HOME HEALTH ORGANIZATION 125105,B100000,00000,0100,0100SQUARE FEET 125105,B100000,00000,0200,0200SQUARE FEET 125105,B100000,00000,0300,0300GROSS SALARIES 125105,B100000,00000,0400,0400ACCUM. COST 125105,B100000,00000,0500,0500SQUARE FEET 125105,B100000,00000,0600,0600POUNDS OF LAUNDRY 125105,B100000,00000,0700,0700SQUARE FEET 125105,B100000,00000,0800,0800MEALS SERVED 125105,B100000,00000,0900,0900DIRECT NRSING HRS 125105,B100000,00000,1000,1000COSTED REQUIS. 125105,B100000,00000,1100,1100COSTED REQUIS. 125105,B100000,00000,1200,1200TIME SPENT 125105,B100000,00000,1300,1300TIME SPENT 125105,B100000,00000,1400,1400ASSIGNED TIME 125105,B100000,00000,1500,1350TIME SPENT 125105,S000000,00100,0200,12/05/00 125105,S200000,00100,0100,537 CHICAGO AVENUE 125105,S200000,00200,0100,KALAMAZOO MI 125105,S200000,00200,0200,MI 125105,S200000,00200,0300,49001 125105,S200000,00300,0100,KALAMAZOO 125105,S200000,00300,0200,3720 125105,S200000,00300,0300,U 125105,S200000,00400,0100,BORGESS NURSING HOME INC. 125105,S200000,00400,0200,235289 125105,S200000,00400,0300,03/01/85 125105,S200000,00400,0500,P 125105,S200000,01500,0100,Y 125105,S200000,01600,0100,N 125105,S200000,01700,0100,N 125105,S200000,01800,0100,N 125105,S200000,02200,0100,Y 125105,S200000,02800,0100,N 125105,S200000,02900,0100,N 125105,S200000,03000,0100,N 125105,S200000,03100,0100,N 125105,S200000,03200,0100,N 125105,S200000,03300,0100,N 125105,S200000,03300,0200,N 125105,S200000,04100,0100,N 125105,S200000,04200,0100,N 125105,S200000,04300,0100,N 125105,S200000,04600,0100,N 125105,S200000,04700,0100,N 125105,S200000,04900,0100,N 125105,S200000,05200,0100,N 125109,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125109,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125109,A000000,00300,0000,0300EMPLOYEE BENEFITS 125109,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125109,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125109,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125109,A000000,00700,0000,0700HOUSEKEEPING 125109,A000000,00800,0000,0800DIETARY 125109,A000000,00900,0000,0900NURSING ADMINISTRATION 125109,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125109,A000000,01100,0000,1100PHARMACY 125109,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125109,A000000,01300,0000,1300SOCIAL SERVICE 125109,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125109,A000000,01500,0000,1350ACTIVITIES 125109,A000000,01600,0000,1600SKILLED NURSING FACILITY 125109,A000000,01800,0000,1800NURSING FACILITY 125109,A000000,01810,0000,1810ICF/MR 125109,A000000,02100,0000,2100RADIOLOGY 125109,A000000,02200,0000,2200LABORATORY 125109,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125109,A000000,02500,0000,2500PHYSICAL THERAPY 125109,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125109,A000000,02700,0000,2700SPEECH PATHOLOGY 125109,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125109,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125109,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125109,A000000,03550,0000,3550FQHC 125109,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125109,A000000,05000,0000,5000CORF 125109,A000000,05010,0000,5010CMHC 125109,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125109,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125109,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125109,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125109,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125109,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 125109,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125109,A000000,05901,0000,5901AL/IL 125109,A000000,05902,0000,5902MARKETING & DEVELOPMENT 125109,A000000,05903,0000,5903CLINIC 125109,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125109,A81000A,00100,0100,N 125109,B100000,00000,0100,0100SQUARE FEET 125109,B100000,00000,0200,0200SQUARE FEET 125109,B100000,00000,0300,0300GROSS SALARIES 125109,B100000,00000,0400,0400ACCUM. COST 125109,B100000,00000,0500,0500SQUARE FEET 125109,B100000,00000,0600,0600POUNDS OF LAUNDRY 125109,B100000,00000,0700,0700HOURS OF SERVICE 125109,B100000,00000,0800,0800MEALS SERVED 125109,B100000,00000,0900,0900DIRECT NRSING HRS 125109,B100000,00000,1000,1000COSTED REQUIS. 125109,B100000,00000,1100,1100COSTED REQUIS. 125109,B100000,00000,1200,1200TIME SPENT 125109,B100000,00000,1300,1300TIME SPENT 125109,B100000,00000,1400,1400ASSIGNED TIME 125109,B100000,00000,1500,1350TIME SPENT 125109,E10A180,00501,0300,12/21/01 125109,S000000,00100,0200,12/07/00 125109,S200000,00100,0100,5601 HATCHERY ROAD 125109,S200000,00200,0100,WATERFORD 125109,S200000,00200,0200,MI 125109,S200000,00200,0300,48329 125109,S200000,00300,0100,OAKLAND 125109,S200000,00300,0200,2160 125109,S200000,00300,0300,U 125109,S200000,00400,0100,CANTERBURY ON THE LAKE 125109,S200000,00400,0200,235555 125109,S200000,00400,0300,02/14/94 125109,S200000,00400,0500,P 125109,S200000,01500,0100,N 125109,S200000,01600,0100,Y 125109,S200000,01700,0100,N 125109,S200000,01800,0100,N 125109,S200000,02200,0100,N 125109,S200000,02800,0100,Y 125109,S200000,02900,0100,N 125109,S200000,03000,0100,N 125109,S200000,03100,0100,N 125109,S200000,03200,0100,N 125109,S200000,03300,0100,N 125109,S200000,03300,0200,N 125109,S200000,03600,0200,N 125109,S200000,04100,0100,N 125109,S200000,04200,0100,N 125109,S200000,04300,0100,N 125109,S200000,04600,0100,N 125109,S200000,04700,0100,N 125109,S200000,04900,0100,N 125109,S200000,05200,0100,N 125111,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125111,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125111,A000000,00300,0000,0300EMPLOYEE BENEFITS 125111,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125111,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125111,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125111,A000000,00700,0000,0700HOUSEKEEPING 125111,A000000,00800,0000,0800DIETARY 125111,A000000,00900,0000,0900NURSING ADMINISTRATION 125111,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125111,A000000,01100,0000,1100PHARMACY 125111,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125111,A000000,01300,0000,1300SOCIAL SERVICE 125111,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125111,A000000,01600,0000,1600SKILLED NURSING FACILITY 125111,A000000,01800,0000,1800NURSING FACILITY 125111,A000000,01810,0000,1810ICF/MR 125111,A000000,02100,0000,2100RADIOLOGY 125111,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125111,A000000,02500,0000,2500PHYSICAL THERAPY 125111,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125111,A000000,02700,0000,2700SPEECH PATHOLOGY 125111,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125111,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125111,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125111,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 125111,A000000,03302,0000,3052MEDICAL EQUIPMENT 125111,A000000,03550,0000,3550FQHC 125111,A000000,05000,0000,5000CORF 125111,A000000,05010,0000,5010CMHC 125111,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125111,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125111,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125111,A81000A,00100,0100,N 125111,B100000,00000,0100,0100SQUARE FEET 125111,B100000,00000,0200,0200SQUARE FEET 125111,B100000,00000,0300,0300GROSS SALARIES 125111,B100000,00000,0400,0400ACCUM. COST 125111,B100000,00000,0500,0500SQUARE FEET 125111,B100000,00000,0600,0600PATIENT DAYS 125111,B100000,00000,0700,0700ALTERNATE SQUARE FEE 125111,B100000,00000,0800,0800PATIENT DAYS 125111,B100000,00000,0900,0900PATIENT DAYS 125111,B100000,00000,1000,1000COSTED REQUIS 125111,B100000,00000,1100,1100COSTED REQUIS 125111,B100000,00000,1200,1200GROSS REVENUE 125111,B100000,00000,1300,1300PATIENT DAYS 125111,B100000,00000,1400,1400ASSIGNED TIME 125111,E10A180,00301,0100,01/24/00 125111,E10A180,00301,0300,06/22/98 125111,E10A180,00302,0100,06/30/00 125111,E10A180,00303,0100,08/21/00 125111,E10A180,00350,0100,06/22/98 125111,E10A180,00350,0300,06/22/98 125111,E10A180,00501,0100,01/28/02 125111,E10A180,00550,0300,01/28/02 125111,S000000,00100,0200,01/03/01 125111,S200000,00100,0100,435 BROAD STREET 125111,S200000,00200,0100,GROVE CITY 125111,S200000,00200,0200,PA 125111,S200000,00300,0100,M 125111,S200000,00300,0200,7610 125111,S200000,00300,0300,U 125111,S200000,00400,0100,GROVE MANOR NURSING CENTER 125111,S200000,00400,0200,395510 125111,S200000,00400,0300,07/01/82 125111,S200000,00400,0500,P 125111,S200000,01500,0100,N 125111,S200000,01600,0100,Y 125111,S200000,01700,0100,N 125111,S200000,01800,0100,N 125111,S200000,02200,0100,N 125111,S200000,02800,0100,N 125111,S200000,02900,0100,N 125111,S200000,03000,0100,N 125111,S200000,03100,0100,N 125111,S200000,03200,0100,N 125111,S200000,03300,0100,N 125111,S200000,03300,0200,N 125111,S200000,04100,0100,N 125111,S200000,04200,0100,N 125111,S200000,04300,0100,N 125111,S200000,04600,0100,N 125111,S200000,04700,0100,N 125111,S200000,04900,0100,N 125111,S200000,05200,0100,N 125209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125209,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125209,A000000,00300,0000,0300EMPLOYEE BENEFITS 125209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125209,A000000,00700,0000,0700HOUSEKEEPING 125209,A000000,00800,0000,0800DIETARY 125209,A000000,00900,0000,0900NURSING ADMINISTRATION 125209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125209,A000000,01100,0000,1100PHARMACY 125209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125209,A000000,01300,0000,1300SOCIAL SERVICE 125209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125209,A000000,01500,0000,1350ACTIVITIES 125209,A000000,01600,0000,1600SKILLED NURSING FACILITY 125209,A000000,01800,0000,1800NURSING FACILITY 125209,A000000,01810,0000,1810ICF/MR 125209,A000000,02100,0000,2100RADIOLOGY 125209,A000000,02200,0000,2200LABORATORY 125209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125209,A000000,02500,0000,2500PHYSICAL THERAPY 125209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125209,A000000,02700,0000,2700SPEECH PATHOLOGY 125209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125209,A000000,02901,0000,2901PEN THERAPY 125209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125209,A000000,03300,0000,3050OTHER ANCILLARY 125209,A000000,03301,0000,3051AMBULANCE EXPENSE 125209,A000000,03550,0000,3550FQHC 125209,A000000,05000,0000,5000CORF 125209,A000000,05010,0000,5010CMHC 125209,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125209,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125209,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125209,A81000A,00100,0100,Y 125209,A81000B,00100,0300,HOME OFFICE COSTS 125209,A81000B,00200,0300,INTERIOR DESIGN 125209,A81000B,00300,0300,REL PARTY INTEREST 125209,A81000B,00400,0300,REHAB ALLOCATION 125209,A81000B,00500,0300,REHAB ALLOCATION 125209,A81000B,00600,0300,REHAB ALLOCATION 125209,A81000B,00700,0300,COMPUTER INSTALLATIO 125209,A81000B,00800,0300,HCE LEASING 125209,A81000C,00100,0100,A 125209,A81000C,00100,0200,FORREST PRESTON 125209,A81000C,00100,0400,LCCA 125209,A81000C,00100,0600,NSG HOME MANAG 125209,A81000C,00200,0100,A 125209,A81000C,00200,0200,FORREST PRESTON 125209,A81000C,00200,0400,LIFE CARE DESIG 125209,A81000C,00200,0600,INTERIOR DESIGN 125209,A81000C,00300,0100,A 125209,A81000C,00300,0200,FORREST PRESTON 125209,A81000C,00300,0400,LCCA 125209,A81000C,00300,0600,NSG HOME MANAG 125209,A81000C,00400,0100,A 125209,A81000C,00400,0200,FORREST PRESTON 125209,A81000C,00400,0400,LCCA 125209,A81000C,00400,0600,NSG HOME MANAG 125209,A81000C,00500,0100,A 125209,A81000C,00500,0200,FORREST PRESTON 125209,A81000C,00500,0400,LCCA 125209,A81000C,00500,0600,NSG HOME MANAG 125209,A81000C,00600,0100,A 125209,A81000C,00600,0200,FORREST PRESTON 125209,A81000C,00600,0400,LCCA 125209,A81000C,00600,0600,NSG HOME MANAG 125209,A81000C,00700,0100,A 125209,A81000C,00700,0200,FORREST PRESTON 125209,A81000C,00700,0400,LCCA 125209,A81000C,00700,0600,NSG HOME MANAG 125209,A81000C,00800,0100,A 125209,A81000C,00800,0200,FORREST PRESTON 125209,A81000C,00800,0400,HCE LEASING 125209,A81000C,00800,0600,EQUIPMENT LEASI 125209,B100000,00000,0100,0100(SQUARE FEET) 125209,B100000,00000,0200,0200(SQUARE FEET) 125209,B100000,00000,0300,0300(GROSS SALARIES) 125209,B100000,00000,0400,0400(ACCUM COST) 125209,B100000,00000,0500,0500(SQUARE FEET) 125209,B100000,00000,0600,0600PATIENT DAYS 125209,B100000,00000,0700,0700(SQUARE FEET) 125209,B100000,00000,0800,0800(MEALS SERVED) 125209,B100000,00000,0900,0900HOURS OF SERVICE 125209,B100000,00000,1000,1000(COSTED REQUIS) 125209,B100000,00000,1100,1100(COSTED REQUIS) 125209,B100000,00000,1200,1200GROSS REVENUES 125209,B100000,00000,1300,1300PATIENT DAYS 125209,B100000,00000,1400,1400(ASSIGNED TIME) 125209,B100000,00000,1500,1350PATIENT DAYS 125209,E10A180,00301,0100,02/08/00 125209,E10A180,00302,0100,04/12/00 125209,E10A180,00303,0100,08/01/00 125209,S000000,00100,0200,10/26/00 125209,S200000,00100,0100,804 SOUTH BROAD STREET 125209,S200000,00200,0100,THOMASVILLE 125209,S200000,00200,0200,GA 125209,S200000,00200,0300,31792 125209,S200000,00300,0100,THOMAS 125209,S200000,00300,0200,9911 125209,S200000,00300,0300,R 125209,S200000,00400,0100,CAMELLIA GARDENS OF LIFE CARE 125209,S200000,00400,0200,115570 125209,S200000,00400,0300,05/24/94 125209,S200000,00400,0500,P 125209,S200000,00600,0200,115570 125209,S200000,00600,0300,05/24/94 125209,S200000,00600,0600,O 125209,S200000,01500,0100,N 125209,S200000,01600,0100,Y 125209,S200000,01700,0100,N 125209,S200000,01800,0100,N 125209,S200000,02200,0100,Y 125209,S200000,02800,0100,N 125209,S200000,02900,0100,N 125209,S200000,03000,0100,N 125209,S200000,03100,0100,N 125209,S200000,03200,0100,N 125209,S200000,03300,0100,N 125209,S200000,03300,0200,N 125209,S200000,03500,0300,N 125209,S200000,04100,0100,N 125209,S200000,04200,0100,N 125209,S200000,04300,0100,N 125209,S200000,04600,0100,N 125209,S200000,04700,0100,N 125209,S200000,04900,0100,N 125209,S200000,05200,0100,N 125226,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125226,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125226,A000000,00300,0000,0300EMPLOYEE BENEFITS 125226,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125226,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125226,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125226,A000000,00700,0000,0700HOUSEKEEPING 125226,A000000,00800,0000,0800DIETARY 125226,A000000,00900,0000,0900NURSING ADMINISTRATION 125226,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125226,A000000,01100,0000,1100PHARMACY 125226,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125226,A000000,01300,0000,1300SOCIAL SERVICE 125226,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125226,A000000,01500,0000,1350ACTIVITIES 125226,A000000,01600,0000,1600SKILLED NURSING FACILITY 125226,A000000,01800,0000,1800NURSING FACILITY 125226,A000000,01810,0000,1810ICF/MR 125226,A000000,02100,0000,2100RADIOLOGY 125226,A000000,02300,0000,2300INTRAVENOUS THERAPY 125226,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125226,A000000,02500,0000,2500PHYSICAL THERAPY 125226,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125226,A000000,02700,0000,2700SPEECH PATHOLOGY 125226,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125226,A000000,02901,0000,2901PEN THERAPY 125226,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125226,A000000,03300,0000,3050OTHER ANCILLARY 125226,A000000,03301,0000,3051AMBULANCE 125226,A000000,03550,0000,3550FQHC 125226,A000000,05000,0000,5000CORF 125226,A000000,05010,0000,5010CMHC 125226,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125226,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125226,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125226,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125226,A81000A,00100,0100,Y 125226,A81000B,00100,0300,HOME OFFICE COSTS 125226,A81000B,00200,0300,REL PARTY INTEREST 125226,A81000B,00300,0300,REL PARTY INTEREST 125226,A81000B,00400,0300,REHAB ALLOCATION 125226,A81000B,00500,0300,REHAB ALLOCATION 125226,A81000B,00600,0300,REHAB ALLOCATION 125226,A81000B,00700,0300,COMPUTER INSTALLATIO 125226,A81000C,00100,0100,A 125226,A81000C,00100,0200,FORREST PRESTON 125226,A81000C,00100,0400,LIFE CARE CENTE 125226,A81000C,00100,0600,NSG HOME MANAG 125226,A81000C,00200,0100,A 125226,A81000C,00200,0200,FORREST PRESTON 125226,A81000C,00200,0400,LIFE CARE CENTE 125226,A81000C,00200,0600,NSG HOME MANAG 125226,A81000C,00300,0100,A 125226,A81000C,00300,0200,FORREST PRESTON 125226,A81000C,00300,0400,LIFE CARE CENTE 125226,A81000C,00300,0600,NSG HOME MANAG 125226,A81000C,00400,0100,A 125226,A81000C,00400,0200,FORREST PRESTON 125226,A81000C,00400,0400,LIFE CARE CENTE 125226,A81000C,00400,0600,NSG HOME MANAG 125226,A81000C,00500,0100,A 125226,A81000C,00500,0200,FORREST PRESTON 125226,A81000C,00500,0400,LIFE CARE CENTE 125226,A81000C,00500,0600,NSG HOME MANAG 125226,A81000C,00600,0100,A 125226,A81000C,00600,0200,FORREST PRESTON 125226,A81000C,00600,0400,LIFE CARE CENTE 125226,A81000C,00600,0600,NSG HOME MANAG 125226,A81000C,00700,0100,A 125226,A81000C,00700,0200,FORREST PRESTON 125226,A81000C,00700,0400,LIFE CARE CENTE 125226,A81000C,00700,0600,NSG HOME MANAG 125226,B100000,00000,0100,0100(SQUARE FEET) 125226,B100000,00000,0200,0200(SQUARE FEET) 125226,B100000,00000,0300,0300(GROSS SALARIES) 125226,B100000,00000,0400,0400(ACCUM COST) 125226,B100000,00000,0500,0500(SQUARE FEET) 125226,B100000,00000,0600,0600PATIENT DAYS 125226,B100000,00000,0700,0700(SQUARE FEET) 125226,B100000,00000,0800,0800(MEALS SERVED) 125226,B100000,00000,0900,0900HOURS OF SERVICE 125226,B100000,00000,1000,1000(COSTED REQUIS) 125226,B100000,00000,1100,1100(COSTED REQUIS) 125226,B100000,00000,1200,1200GROSS REVENUES 125226,B100000,00000,1300,1300PATIENT DAYS 125226,B100000,00000,1400,1400(ASSIGNED TIME) 125226,B100000,00000,1500,1350PATIENT DAYS 125226,E10A180,00301,0100,04/12/00 125226,E10A180,00302,0100,02/08/00 125226,S000000,00100,0200,11/21/00 125226,S200000,00100,0100,400 THOMPSON STREET 125226,S200000,00200,0100,HENDERSONVILLE 125226,S200000,00200,0200,NC 125226,S200000,00200,0300,28792 125226,S200000,00300,0100,HENDERSON 125226,S200000,00300,0200,9934 125226,S200000,00300,0300,R 125226,S200000,00400,0100,LCC OF HENDERSONVILLE 125226,S200000,00400,0200,345463 125226,S200000,00400,0300,07/19/94 125226,S200000,00400,0500,P 125226,S200000,00600,0200,345463 125226,S200000,00600,0300,07/19/94 125226,S200000,00600,0600,O 125226,S200000,01500,0100,N 125226,S200000,01600,0100,Y 125226,S200000,01700,0100,N 125226,S200000,01800,0100,N 125226,S200000,02200,0100,Y 125226,S200000,02800,0100,N 125226,S200000,02900,0100,N 125226,S200000,03000,0100,N 125226,S200000,03100,0100,N 125226,S200000,03200,0100,N 125226,S200000,03300,0100,N 125226,S200000,03300,0200,N 125226,S200000,03500,0300,N 125226,S200000,04100,0100,N 125226,S200000,04200,0100,N 125226,S200000,04300,0100,N 125226,S200000,04600,0100,N 125226,S200000,04700,0100,N 125226,S200000,04900,0100,N 125226,S200000,05200,0100,N 125242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125242,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125242,A000000,00300,0000,0300EMPLOYEE BENEFITS 125242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125242,A000000,00700,0000,0700HOUSEKEEPING 125242,A000000,00800,0000,0800DIETARY 125242,A000000,00900,0000,0900NURSING ADMINISTRATION 125242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125242,A000000,01100,0000,1100PHARMACY 125242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125242,A000000,01300,0000,1300SOCIAL SERVICE 125242,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125242,A000000,01500,0000,1350ACTIVITIES 125242,A000000,01600,0000,1600SKILLED NURSING FACILITY 125242,A000000,01800,0000,1800NURSING FACILITY 125242,A000000,01810,0000,1810ICF/MR 125242,A000000,02100,0000,2100RADIOLOGY 125242,A000000,02200,0000,2200LABORATORY 125242,A000000,02300,0000,2300INTRAVENOUS THERAPY 125242,A000000,02500,0000,2500PHYSICAL THERAPY 125242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125242,A000000,02700,0000,2700SPEECH PATHOLOGY 125242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125242,A000000,03300,0000,3050AMBULANCE 125242,A000000,03550,0000,3550FQHC 125242,A000000,04800,0000,4800AMBULANCE 125242,A000000,05000,0000,5000CORF 125242,A000000,05010,0000,5010CMHC 125242,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125242,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125242,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125242,A000000,06200,0000,6200PATIENTS LAUNDRY 125242,A81000A,00100,0100,N 125242,B100000,00000,0100,0100SQUARE FEET 125242,B100000,00000,0200,0200SQUARE FEET 125242,B100000,00000,0300,0300GROSS SALARIES 125242,B100000,00000,0400,0400ACCUM COST 125242,B100000,00000,0500,0500SQUARE FEET 125242,B100000,00000,0600,0600POUNDS OF LAUNDRY 125242,B100000,00000,0700,0700HOURS OF SERVICE 125242,B100000,00000,0800,0800MEALS SERVED 125242,B100000,00000,0900,0900DIRECT NRSG HRS 125242,B100000,00000,1000,1000COSTED REQUIS 125242,B100000,00000,1100,1100COSTED REQUIS 125242,B100000,00000,1200,1200TIME SPENT 125242,B100000,00000,1300,1300TIME SPENT 125242,B100000,00000,1400,1400ASSIGNED TIME 125242,B100000,00000,1500,1350TIME SPENT 125242,E10A180,00501,0100,02/05/01 125242,S000000,00100,0200,12/08/00 125242,S200000,00100,0100,901 COUNTY FARM ROAD 125242,S200000,00200,0100,MURFREESBORO 125242,S200000,00200,0200,TN 125242,S200000,00300,0100,RUTHERFORD 125242,S200000,00300,0200,5360 125242,S200000,00300,0300,U 125242,S200000,00400,0100,COMMUNITY CARE OF RUTHERFORD COUNTY 125242,S200000,00400,0200,445406 125242,S200000,00400,0300,07/01/97 125242,S200000,00400,0500,P 125242,S200000,00400,0600,O 125242,S200000,00600,0200,440175 125242,S200000,00600,0300,07/01/88 125242,S200000,00600,0600,P 125242,S200000,01500,0100,N 125242,S200000,01600,0100,Y 125242,S200000,01700,0100,N 125242,S200000,01800,0100,N 125242,S200000,01900,0100,CORPORATION 125242,S200000,02200,0100,N 125242,S200000,02800,0100,N 125242,S200000,02900,0100,N 125242,S200000,03000,0100,N 125242,S200000,03100,0100,N 125242,S200000,03200,0100,N 125242,S200000,03300,0100,N 125242,S200000,03300,0200,N 125242,S200000,03500,0300,N 125242,S200000,04100,0100,N 125242,S200000,04200,0100,N 125242,S200000,04300,0100,N 125242,S200000,04600,0100,N 125242,S200000,04700,0100,Y 125242,S200000,04700,0200,Y 125242,S200000,04900,0100,N 125242,S200000,05200,0100,N 125294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125294,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125294,A000000,00300,0000,0300EMPLOYEE BENEFITS 125294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125294,A000000,00700,0000,0700HOUSEKEEPING 125294,A000000,00800,0000,0800DIETARY 125294,A000000,00900,0000,0900NURSING ADMINISTRATION 125294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125294,A000000,01100,0000,1100PHARMACY 125294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125294,A000000,01300,0000,1300SOCIAL SERVICE 125294,A000000,01600,0000,1600SKILLED NURSING FACILITY 125294,A000000,01800,0000,1800NURSING FACILITY 125294,A000000,02100,0000,2100RADIOLOGY 125294,A000000,02200,0000,2200LABORATORY 125294,A000000,02300,0000,2300INTRAVENOUS THERAPY 125294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125294,A000000,02500,0000,2500PHYSICAL THERAPY 125294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125294,A000000,02700,0000,2700SPEECH PATHOLOGY 125294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125294,A81000A,00100,0100,Y 125294,A81000B,00100,0300,MANAGEMENT FEES 125294,A81000B,00200,0300,NURSING SUPPLIES 125294,A81000B,00300,0300,NOURISHMENTS 125294,A81000B,00400,0300,MEDICAL SUPPLIES 125294,A81000C,00100,0100,B 125294,A81000C,00100,0200,DIVERSICARE MGM 125294,A81000C,00100,0400,ADVOCAT INC. 125294,A81000C,00100,0600,HOME OFFICE/ MG 125294,A81000C,00200,0100,B 125294,A81000C,00200,0200,ADVOCAT DISTR S 125294,A81000C,00200,0400,ADVOCAT INC. 125294,A81000C,00200,0600,MEDICAL SUPPLIE 125294,A81000C,00300,0100,B 125294,A81000C,00300,0200,ADVOCAT DISTR S 125294,A81000C,00300,0400,ADVOCAT INC 125294,A81000C,00300,0600,MEDICAL SUPPLIE 125294,A81000C,00400,0100,B 125294,A81000C,00400,0200,ADVOCAT DISTR S 125294,A81000C,00400,0400,ADVOCAT INC. 125294,A81000C,00400,0600,MEDICAL SUPPLIE 125294,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 125294,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 125294,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 125294,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125294,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 125294,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125294,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 125294,B100000,00000,0800,0850PATIENT DAYS :DIETARY 125294,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 125294,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125294,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125294,S000000,00100,0200,06/02/00 125294,S200000,00100,0100,1002 NORTH BREVARD AVENUE 125294,S200000,00200,0100,ARCADIA 125294,S200000,00200,0200,FL 125294,S200000,00200,0300,34266- 125294,S200000,00300,0100,DESOTO 125294,S200000,00300,0200,10 125294,S200000,00300,0300,R 125294,S200000,00400,0100,DESOTO MANOR NURSING HOME 125294,S200000,00400,0200,105367 125294,S200000,00400,0300,05/10/94 125294,S200000,00400,0500,P 125294,S200000,01500,0100,N 125294,S200000,01600,0100,Y 125294,S200000,01700,0100,N 125294,S200000,01800,0100,N 125294,S200000,02200,0100,Y 125294,S200000,02800,0100,N 125294,S200000,02900,0100,N 125294,S200000,03000,0100,N 125294,S200000,03100,0100,N 125294,S200000,03200,0100,N 125294,S200000,04100,0100,N 125294,S200000,04200,0100,N 125294,S200000,04300,0100,N 125294,S200000,04600,0100,N 125294,S200000,04700,0100,N 125294,S200000,04700,0200,N 125294,S200000,04900,0100,N 125294,S200000,05000,0100,N 125294,S200000,05100,0100,N 125294,S200000,05200,0100,N 125302,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125302,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125302,A000000,00300,0000,0300EMPLOYEE BENEFITS 125302,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125302,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125302,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125302,A000000,00700,0000,0700HOUSEKEEPING 125302,A000000,00800,0000,0800DIETARY 125302,A000000,00900,0000,0900NURSING ADMINISTRATION 125302,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125302,A000000,01100,0000,1100PHARMACY 125302,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125302,A000000,01300,0000,1300SOCIAL SERVICE 125302,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125302,A000000,01500,0000,1350OTHER GENERAL SERVICES 125302,A000000,01600,0000,1600SKILLED NURSING FACILITY 125302,A000000,01800,0000,1800NURSING FACILITY 125302,A000000,01810,0000,1810ICF/MR 125302,A000000,01900,0000,1900OTHER LONG TERM CARE 125302,A000000,02100,0000,2100RADIOLOGY 125302,A000000,02200,0000,2200LABORATORY 125302,A000000,02300,0000,2300INTRAVENOUS THERAPY 125302,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125302,A000000,02500,0000,2500PHYSICAL THERAPY 125302,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125302,A000000,02700,0000,2700SPEECH PATHOLOGY 125302,A000000,02800,0000,2800ELECTROCARDIOLOGY 125302,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125302,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125302,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125302,A000000,03200,0000,3200SUPPORT SURFACES 125302,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125302,A000000,03400,0000,3400CLINIC 125302,A000000,03500,0000,3500RURAL HEALTH CLINIC 125302,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125302,A000000,04800,0000,4800AMBULANCE 125302,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 125302,A000000,05000,0000,5000CORF 125302,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125302,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125302,A000000,05300,0000,5300INTEREST EXPENSE 125302,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125302,A000000,05500,0000,5500HOSPICE 125302,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125302,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125302,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125302,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125302,A000000,06100,0000,6100NONPAID WORKERS 125302,A000000,06200,0000,6200PATIENTS LAUNDRY 125302,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125302,A81000A,00100,0100,Y 125302,A81000B,00100,0300,HOME OFFICE PROPERTY 125302,A81000B,00200,0300,HOME OFFICE ADMINISTRATIVE 125302,A81000B,00300,0300,RELATED THERAPY 125302,A81000C,00100,0100,B 125302,A81000C,00100,0200,TANDEM HEALTH CARE INC. 125302,A81000C,00100,0600,HOME OFFICE 125302,A81000C,00200,0100,B 125302,A81000C,00200,0200,TANDEM HEALTH CARE INC. 125302,A81000C,00200,0600,HOME OFFICE 125302,A81000C,00300,0100,A 125302,A81000C,00300,0400,TANDEM REHABILITATION IN 125302,A81000C,00300,0600,THERAPY PROVIDER 125302,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 125302,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 125302,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125302,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 125302,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125302,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 125302,B100000,00000,0800,0850PATIENT DAYS :DIETARY 125302,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 125302,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 125302,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125302,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125302,S000000,00100,0200,11/01/00 125302,S200000,00100,0100,991 PONDERELLA ROAD 125302,S200000,00200,0100,FT. MYERS 125302,S200000,00200,0200,FL 125302,S200000,00200,0300,33903- 125302,S200000,00300,0100,LEE 125302,S200000,00300,0200,2700 125302,S200000,00300,0300,U 125302,S200000,00400,0100,THC OF NORTH FT. MYERS INC. 125302,S200000,00400,0200,105507 125302,S200000,00400,0300,06/13/85 125302,S200000,00400,0500,P 125302,S200000,01004,0500,O 125302,S200000,01500,0100,N 125302,S200000,01600,0100,Y 125302,S200000,01700,0100,N 125302,S200000,01800,0100,N 125302,S200000,02200,0100,N 125302,S200000,02800,0100,N 125302,S200000,02900,0100,N 125302,S200000,03000,0100,N 125302,S200000,03100,0100,N 125302,S200000,03200,0100,N 125302,S200000,04100,0100,N 125302,S200000,04200,0100,N 125302,S200000,04300,0100,N 125302,S200000,04600,0100,N 125302,S200000,04700,0100,N 125302,S200000,04700,0200,N 125302,S200000,04900,0100,N 125302,S200000,05000,0100,N 125302,S200000,05100,0100,N 125302,S200000,05200,0100,N 125304,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125304,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125304,A000000,00300,0000,0300EMPLOYEE BENEFITS 125304,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125304,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125304,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125304,A000000,00700,0000,0700HOUSEKEEPING 125304,A000000,00800,0000,0800DIETARY 125304,A000000,00900,0000,0900NURSING ADMINISTRATION 125304,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125304,A000000,01100,0000,1100PHARMACY 125304,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125304,A000000,01300,0000,1300SOCIAL SERVICE 125304,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125304,A000000,01600,0000,1600SKILLED NURSING FACILITY 125304,A000000,01800,0000,1800NURSING FACILITY 125304,A000000,01900,0000,1900OTHER LONG TERM CARE 125304,A000000,02100,0000,2100RADIOLOGY 125304,A000000,02200,0000,2200LABORATORY 125304,A000000,02204,0000,2204AIR FLUIDIZATION 125304,A000000,02300,0000,2300INTRAVENOUS THERAPY 125304,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125304,A000000,02500,0000,2500PHYSICAL THERAPY 125304,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125304,A000000,02700,0000,2700SPEECH PATHOLOGY 125304,A000000,02800,0000,2800ELECTROCARDIOLOGY 125304,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125304,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125304,A000000,03200,0000,3200SUPPORT SURFACES 125304,A000000,03201,0000,3201LABORATORY 125304,A000000,03300,0000,3050CLINITRON 125304,A000000,03301,0000,3051AMBULANCE EKG PULMONARY 125304,A000000,03400,0000,3400CLINIC 125304,A000000,03500,0000,3500RURAL HEALTH CLINIC 125304,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST CE 125304,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 125304,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 125304,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 125304,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 125304,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 125304,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 125304,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 125304,A000000,04400,0000,4400DME RENTED - HHA 125304,A000000,04500,0000,4500DME SOLD - HHA 125304,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 125304,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 125304,A000000,04800,0000,4800AMBULANCE 125304,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 125304,A000000,05000,0000,5000CORF 125304,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 125304,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125304,A000000,05300,0000,5300INTEREST EXPENSE 125304,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125304,A000000,05500,0000,5500HOSPICE 125304,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 125304,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125304,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125304,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125304,A000000,06001,0000,6001ACLF & RESIDENTIAL LIVING 125304,A000000,06100,0000,6100NONPAID WORKERS 125304,A000000,06200,0000,6200PATIENTS LAUNDRY 125304,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125304,A81000A,00100,0100,Y 125304,A81000B,00100,0300,INSURANCE - PROPERTY 125304,A81000B,00200,0300,MANAGEMENT FEES 125304,A81000C,00100,0100,B 125304,A81000C,00100,0200,PRESBYTERIAN RETIREMENT 125304,A81000C,00100,0400,HOME OFFICE 125304,A81000C,00200,0100,B 125304,A81000C,00200,0200,COMMUNITIES INC 125304,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 125304,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125304,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 125304,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125304,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 125304,B100000,00000,0800,0800MEALS SERVED :DIETARY 125304,B100000,00000,0900,0950NURSING DOLLARS :NURSING ADMINI 125304,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125304,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125304,S000000,00100,0200,03/21/01 125304,S200000,00100,0100,830 WEST 29TH STREET 125304,S200000,00200,0100,ORLANDO 125304,S200000,00200,0200,FL 125304,S200000,00200,0300,32801- 125304,S200000,00300,0100,ORANGE 125304,S200000,00300,0200,5960 125304,S200000,00300,0300,U 125304,S200000,00400,0100,WESTMINSTER CARE OF ORLANDO 125304,S200000,00400,0200,105728 125304,S200000,00400,0300,09/06/90 125304,S200000,00400,0500,P 125304,S200000,01004,0500,O 125304,S200000,01500,0100,Y 125304,S200000,01600,0100,N 125304,S200000,01700,0100,N 125304,S200000,01800,0100,N 125304,S200000,02200,0100,N 125304,S200000,02800,0100,N 125304,S200000,02900,0100,N 125304,S200000,03000,0100,N 125304,S200000,03100,0100,N 125304,S200000,03200,0100,N 125304,S200000,04100,0100,N 125304,S200000,04200,0100,N 125304,S200000,04300,0100,N 125304,S200000,04600,0100,N 125304,S200000,04700,0100,N 125304,S200000,04700,0200,N 125304,S200000,04900,0100,N 125304,S200000,05000,0100,N 125304,S200000,05100,0100,N 125304,S200000,05200,0100,N 125308,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125308,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125308,A000000,00300,0000,0300EMPLOYEE BENEFITS 125308,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125308,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125308,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125308,A000000,00700,0000,0700HOUSEKEEPING 125308,A000000,00800,0000,0800DIETARY 125308,A000000,00900,0000,0900NURSING ADMINISTRATION 125308,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125308,A000000,01100,0000,1100PHARMACY 125308,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125308,A000000,01300,0000,1300SOCIAL SERVICE 125308,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125308,A000000,01500,0000,1350ACTIVITIES 125308,A000000,01600,0000,1600SKILLED NURSING FACILITY 125308,A000000,01800,0000,1800NURSING FACILITY 125308,A000000,01810,0000,1810ICF/MR 125308,A000000,01900,0000,1900OTHER LONG TERM CARE 125308,A000000,02100,0000,2100RADIOLOGY 125308,A000000,02200,0000,2200LABORATORY 125308,A000000,02300,0000,2300INTRAVENOUS THERAPY 125308,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125308,A000000,02500,0000,2500PHYSICAL THERAPY 125308,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125308,A000000,02700,0000,2700SPEECH PATHOLOGY 125308,A000000,02800,0000,2800ELECTROCARDIOLOGY 125308,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125308,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125308,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125308,A000000,03200,0000,3200SUPPORT SURFACES 125308,A000000,03300,0000,3050AIR FLUIDIZED BEDS 125308,A000000,03400,0000,3400CLINIC 125308,A000000,03500,0000,3500RURAL HEALTH CLINIC 125308,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125308,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 125308,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 125308,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 125308,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 125308,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 125308,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 125308,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 125308,A000000,04400,0000,4400DME RENTED - HHA 125308,A000000,04500,0000,4500DME SOLD - HHA 125308,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 125308,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 125308,A000000,04800,0000,4800AMBULANCE 125308,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 125308,A000000,05000,0000,5000CORF 125308,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125308,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125308,A000000,05300,0000,5300INTEREST EXPENSE 125308,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125308,A000000,05500,0000,5500HOSPICE 125308,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125308,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125308,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125308,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125308,A000000,06100,0000,6100NONPAID WORKERS 125308,A000000,06200,0000,6200PATIENTS LAUNDRY 125308,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125308,A81000A,00100,0100,N 125308,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 125308,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 125308,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125308,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 125308,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125308,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 125308,B100000,00000,0800,0850PATIENT DAYS :DIETARY 125308,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 125308,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 125308,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125308,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125308,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 125308,S000000,00100,0200,01/02/01 125308,S200000,00100,0100,851 WEST LUMSDEN ROAD 125308,S200000,00200,0100,BRANDON 125308,S200000,00200,0200,FL 125308,S200000,00200,0300,33511- 125308,S200000,00300,0100,HILLSBOROUGH 125308,S200000,00300,0200,8280 125308,S200000,00300,0300,U 125308,S200000,00400,0100,HAWTHORNE CARE CENTER 125308,S200000,00400,0200,105881 125308,S200000,00400,0300,03/27/95 125308,S200000,00400,0500,P 125308,S200000,01004,0500,O 125308,S200000,01500,0100,N 125308,S200000,01600,0100,Y 125308,S200000,01700,0100,N 125308,S200000,01800,0100,N 125308,S200000,02200,0100,N 125308,S200000,02800,0100,N 125308,S200000,02900,0100,N 125308,S200000,03000,0100,N 125308,S200000,03100,0100,N 125308,S200000,03200,0100,N 125308,S200000,04100,0100,N 125308,S200000,04200,0100,N 125308,S200000,04300,0100,N 125308,S200000,04600,0100,N 125308,S200000,04700,0100,N 125308,S200000,04700,0200,N 125308,S200000,04900,0100,N 125308,S200000,05000,0100,N 125308,S200000,05100,0100,N 125308,S200000,05200,0100,N 125312,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125312,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125312,A000000,00300,0000,0300EMPLOYEE BENEFITS 125312,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125312,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125312,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125312,A000000,00700,0000,0700HOUSEKEEPING 125312,A000000,00800,0000,0800DIETARY 125312,A000000,00900,0000,0900NURSING ADMINISTRATION 125312,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125312,A000000,01100,0000,1100PHARMACY 125312,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125312,A000000,01300,0000,1300SOCIAL SERVICE 125312,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125312,A000000,01600,0000,1600SKILLED NURSING FACILITY 125312,A000000,01800,0000,1800NURSING FACILITY 125312,A000000,01900,0000,1900OTHER LONG TERM CARE 125312,A000000,02100,0000,2100RADIOLOGY 125312,A000000,02200,0000,2200LABORATORY 125312,A000000,02300,0000,2300INTRAVENOUS THERAPY 125312,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125312,A000000,02500,0000,2500PHYSICAL THERAPY 125312,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125312,A000000,02700,0000,2700SPEECH PATHOLOGY 125312,A000000,02800,0000,2800ELECTROCARDIOLOGY 125312,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125312,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125312,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125312,A000000,03200,0000,3200SUPPORT SURFACES 125312,A000000,03400,0000,3400CLINIC 125312,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 125312,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 125312,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 125312,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 125312,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 125312,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 125312,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 125312,A000000,04400,0000,4400DME RENTED - HHA 125312,A000000,04500,0000,4500DME SOLD - HHA 125312,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 125312,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 125312,A000000,04800,0000,4800AMBULANCE 125312,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 125312,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125312,A000000,05300,0000,5300INTEREST EXPENSE 125312,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125312,A000000,05500,0000,5500HOSPICE 125312,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125312,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125312,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125312,A000000,06100,0000,6100NONPAID WORKERS 125312,A000000,06200,0000,6200PATIENTS LAUNDRY 125312,A81000A,00100,0100,Y 125312,A81000B,00100,0300,MANAGEMENT FEE 125312,A81000B,00200,0300,HOME OFFICE CAPITAL ALLOCATION 125312,A81000B,00300,0300,HOME OFFICE CAPITAL ALLOCATION 125312,A81000B,00400,0300,DRUGS CHARGED 125312,A81000B,00500,0300,MEDICAL SUPPLIES 125312,A81000B,00600,0300,TRANSPORTATION 125312,A81000B,00700,0300,BOOKKEEPER SALARY AND BENEFITS 125312,A81000B,00800,0300,NATT ALLOCATION 125312,A81000C,00100,0100,B 125312,A81000C,00100,0400,COLUMBUS PROF 125312,A81000C,00100,0600,MANAGEMENT 125312,A81000C,00200,0100,B 125312,A81000C,00200,0400,MANOR PHARM 125312,A81000C,00200,0600,PHARMACY 125312,A81000C,00300,0100,B 125312,A81000C,00300,0400,MANOR SUPPLY 125312,A81000C,00300,0600,MEDICAL SUPPLY 125312,A81000C,00400,0100,B 125312,A81000C,00400,0400,MANOR TRANS 125312,A81000C,00400,0600,NET 125312,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 125312,B100000,00000,0200,0200BLANK CAP REL COSTS - MOVABLE EQ 125312,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 125312,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 125312,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 125312,B100000,00000,0600,0600LBS OF LAUNDRY LAUNDRY & LINE 125312,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 125312,B100000,00000,0800,0800PAT DAYS DIETARY 125312,B100000,00000,0900,0900DIRECT HRS NURSIN NURSING ADM 125312,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 125312,B100000,00000,1100,1100BLANK PHARMACY 125312,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 125312,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 125312,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 125312,S000000,00100,0200,11/29/00 125312,S200000,00100,0100,2010 WARM SPRINGS ROAD 125312,S200000,00200,0100,COLUMBUS 125312,S200000,00200,0200,GA 125312,S200000,00200,0300,31908 125312,S200000,00300,0100,MUSCOGEE 125312,S200000,00300,0200,1800 125312,S200000,00300,0300,U 125312,S200000,00400,0100,PINE MANOR NURSING HOME 125312,S200000,00400,0200,115045 125312,S200000,00400,0300,09/01/87 125312,S200000,00400,0500,P 125312,S200000,00600,0200,115045 125312,S200000,00600,0300,09/01/87 125312,S200000,00600,0600,O 125312,S200000,01500,0100,N 125312,S200000,01600,0100,Y 125312,S200000,01700,0100,N 125312,S200000,01800,0100,N 125312,S200000,02200,0100,Y 125312,S200000,02800,0100,N 125312,S200000,02900,0100,N 125312,S200000,03000,0100,N 125312,S200000,03100,0100,N 125312,S200000,03200,0100,N 125312,S200000,03300,0100,N 125312,S200000,03300,0200,N 125312,S200000,03500,0300,N 125312,S200000,03600,0100,N 125312,S200000,03600,0200,N 125312,S200000,03700,0100,N 125312,S200000,03700,0200,N 125312,S200000,04100,0100,N 125312,S200000,04200,0100,N 125312,S200000,04300,0100,N 125312,S200000,04600,0100,N 125312,S200000,04700,0100,N 125312,S200000,04900,0100,N 125312,S200000,05200,0100,N 125312,S700003,00000,0200,X 125313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125313,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125313,A000000,00300,0000,0300EMPLOYEE BENEFITS 125313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125313,A000000,00700,0000,0700HOUSEKEEPING 125313,A000000,00800,0000,0800DIETARY 125313,A000000,00900,0000,0900NURSING ADMINISTRATION 125313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125313,A000000,01100,0000,1100PHARMACY 125313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125313,A000000,01300,0000,1300SOCIAL SERVICE 125313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125313,A000000,01600,0000,1600SKILLED NURSING FACILITY 125313,A000000,01800,0000,1800NURSING FACILITY 125313,A000000,01900,0000,1900OTHER LONG TERM CARE 125313,A000000,02100,0000,2100RADIOLOGY 125313,A000000,02200,0000,2200LABORATORY 125313,A000000,02300,0000,2300INTRAVENOUS THERAPY 125313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125313,A000000,02500,0000,2500PHYSICAL THERAPY 125313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125313,A000000,02700,0000,2700SPEECH PATHOLOGY 125313,A000000,02800,0000,2800ELECTROCARDIOLOGY 125313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125313,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125313,A000000,03200,0000,3200SUPPORT SURFACES 125313,A000000,03400,0000,3400CLINIC 125313,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 125313,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 125313,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 125313,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 125313,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 125313,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 125313,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 125313,A000000,04400,0000,4400DME RENTED - HHA 125313,A000000,04500,0000,4500DME SOLD - HHA 125313,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 125313,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 125313,A000000,04800,0000,4800AMBULANCE 125313,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 125313,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125313,A000000,05300,0000,5300INTEREST EXPENSE 125313,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125313,A000000,05500,0000,5500HOSPICE 125313,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125313,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125313,A000000,06100,0000,6100NONPAID WORKERS 125313,A000000,06200,0000,6200PATIENTS LAUNDRY 125313,A81000A,00100,0100,Y 125313,A81000B,00100,0300,DRUGS 125313,A81000B,00200,0300,MEDICAL SUPPLIES 125313,A81000B,00300,0300,TRANSPORTSATION 125313,A81000B,00400,0300,CONTRACTED SERVICES 125313,A81000B,00500,0300,MANAGEMENT FEES 125313,A81000B,00600,0300,HOME OFFICE ALLOCATION 125313,A81000B,00700,0300,HOME OFFICE ALLOCATION 125313,A81000B,00800,0300,BOOKKEEPER SALARY 125313,A81000B,00900,0300,NATT ALLOCATION 125313,A81000C,00100,0100,B 125313,A81000C,00100,0400,MANOR PHARMACY 125313,A81000C,00200,0100,B 125313,A81000C,00200,0400,MANOR SUPPLY 125313,A81000C,00300,0100,B 125313,A81000C,00300,0400,MANOR TRANSPORT 125313,A81000C,00400,0100,B 125313,A81000C,00400,0400,COLUMBUS PROF 125313,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 125313,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 125313,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 125313,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 125313,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 125313,B100000,00000,0600,0600LBS OF LAUNDRY LAUNDRY & LINE 125313,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 125313,B100000,00000,0800,0800PAT DAYS DIETARY 125313,B100000,00000,0900,0900DIRECT HRS NURSIN NURSING ADM 125313,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 125313,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 125313,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 125313,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 125313,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 125313,S000000,00100,0200,12/14/00 125313,S200000,00100,0100,2010 WARM SPRINGS ROAD 125313,S200000,00200,0100,COLUMBUS 125313,S200000,00200,0200,GA 125313,S200000,00200,0300,31904 125313,S200000,00300,0100,MUSCOGEE 125313,S200000,00300,0200,1800 125313,S200000,00300,0300,U 125313,S200000,00400,0100,OAK MANOR NURSING HOME INC. 125313,S200000,00400,0200,115124 125313,S200000,00400,0300,09/01/87 125313,S200000,00400,0500,P 125313,S200000,00600,0200,115124 125313,S200000,00600,0300,09/01/87 125313,S200000,00600,0600,O 125313,S200000,01500,0100,N 125313,S200000,01600,0100,Y 125313,S200000,01700,0100,N 125313,S200000,01800,0100,N 125313,S200000,02200,0100,Y 125313,S200000,02800,0100,N 125313,S200000,02900,0100,N 125313,S200000,03000,0100,N 125313,S200000,03100,0100,N 125313,S200000,03200,0100,N 125313,S200000,03300,0100,N 125313,S200000,03300,0200,N 125313,S200000,03500,0300,N 125313,S200000,03600,0100,N 125313,S200000,03600,0200,N 125313,S200000,03700,0100,N 125313,S200000,03700,0200,N 125313,S200000,04100,0100,N 125313,S200000,04200,0100,N 125313,S200000,04300,0100,N 125313,S200000,04600,0100,N 125313,S200000,04700,0100,N 125313,S200000,04900,0100,N 125313,S200000,05200,0100,N 125313,S700003,00000,0200,X 125315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125315,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125315,A000000,00300,0000,0300EMPLOYEE BENEFITS 125315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125315,A000000,00700,0000,0700HOUSEKEEPING 125315,A000000,00800,0000,0800DIETARY 125315,A000000,00900,0000,0900NURSING ADMINISTRATION 125315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125315,A000000,01100,0000,1100PHARMACY 125315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125315,A000000,01300,0000,1300SOCIAL SERVICE 125315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125315,A000000,01500,0000,1350ACTIVITIES 125315,A000000,01600,0000,1600SKILLED NURSING FACILITY 125315,A000000,01800,0000,1800NURSING FACILITY 125315,A000000,01810,0000,1810ICF/MR 125315,A000000,01900,0000,1900OTHER LONG TERM CARE 125315,A000000,02100,0000,2100RADIOLOGY 125315,A000000,02200,0000,2200LABORATORY 125315,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125315,A000000,02500,0000,2500PHYSICAL THERAPY 125315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125315,A000000,02700,0000,2700SPEECH PATHOLOGY 125315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125315,A000000,04800,0000,4800AMBULANCE 125315,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 125315,A000000,05300,0000,5300INTEREST EXPENSE 125315,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125315,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125315,A81000A,00100,0100,Y 125315,A81000B,00100,0300,N.A. TRAINING RENTAL 125315,A81000C,00100,0100,B 125315,A81000C,00100,0400,PORTICO PLACE 125315,A81000C,00100,0600,ASSISTED LIVING 125315,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 125315,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 125315,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 125315,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 125315,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 125315,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 125315,B100000,00000,0700,0700MODIFIED SQ. FEET HOUSEKEEPING 125315,B100000,00000,0800,0800MEALS SERVED DIETARY 125315,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 125315,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 125315,B100000,00000,1100,1100PATIENT DAYS PHARMACY 125315,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 125315,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 125315,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 125315,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 125315,S000000,00100,0200,12/04/00 125315,S200000,00100,0100,3450 NEW HIGH SHOALS ROAD 125315,S200000,00200,0100,HIGH SHOALS 125315,S200000,00200,0200,GA 125315,S200000,00200,0300,30645- 125315,S200000,00300,0100,OCONEE 125315,S200000,00300,0200,0500 125315,S200000,00300,0300,U 125315,S200000,00400,0100,FAMILY LIFE ENRICHMENT CENTERS INC. 125315,S200000,00400,0200,115279 125315,S200000,00400,0300,06/23/81 125315,S200000,00400,0500,P 125315,S200000,00400,0600,N 125315,S200000,01500,0100,N 125315,S200000,01600,0100,Y 125315,S200000,01700,0100,N 125315,S200000,01800,0100,N 125315,S200000,02200,0100,N 125315,S200000,02800,0100,N 125315,S200000,02900,0100,N 125315,S200000,03000,0100,N 125315,S200000,03100,0100,N 125315,S200000,03200,0100,N 125315,S200000,03300,0100,N 125315,S200000,03300,0200,N 125315,S200000,04100,0100,N 125315,S200000,04200,0100,N 125315,S200000,04300,0100,N 125315,S200000,04600,0100,N 125315,S200000,04700,0100,N 125315,S200000,04700,0200,N 125315,S200000,04900,0100,N 125315,S200000,05200,0100,N 125315,S700003,00000,0200,X 125323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125323,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125323,A000000,00300,0000,0300EMPLOYEE BENEFITS 125323,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL 125323,A000000,00402,0000,0402ADMIN - H.C. 125323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125323,A000000,00501,0000,0501PLANT OPERATION - H.C. 125323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125323,A000000,00700,0000,0700HOUSEKEEPING 125323,A000000,00701,0000,0701HSKPING-H.C. 125323,A000000,00800,0000,0800DIETARY 125323,A000000,00801,0000,0801DIETARY - H.C. 125323,A000000,00900,0000,0900NURSING ADMINISTRATION 125323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125323,A000000,01100,0000,1100PHARMACY 125323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125323,A000000,01300,0000,1300SOCIAL SERVICE 125323,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125323,A000000,01500,0000,1350OTHER GENERAL SERVICES 125323,A000000,01600,0000,1600SKILLED NURSING FACILITY 125323,A000000,01810,0000,1810ICF/MR 125323,A000000,02100,0000,2100RADIOLOGY 125323,A000000,02200,0000,2200LABORATORY 125323,A000000,02500,0000,2500PHYSICAL THERAPY 125323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125323,A000000,02700,0000,2700SPEECH PATHOLOGY 125323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125323,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125323,A000000,03550,0000,3550FQHC 125323,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125323,A000000,05000,0000,5000CORF 125323,A000000,05010,0000,5010CMHC 125323,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125323,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125323,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125323,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125323,A000000,05300,0000,5300INTEREST EXPENSE 125323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125323,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125323,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125323,A000000,06301,0000,6151OTHER NONREIM-APTS 125323,A000000,06302,0000,6152OTHER NONREIM-ESTATES 125323,A000000,06303,0000,6153OTHER NONREIMB-A/L 125323,A81000A,00100,0100,N 125323,B100000,00000,0100,0100SQUARE FEET 125323,B100000,00000,0200,0200DOLLAR VALUE 125323,B100000,00000,0300,0300GROSS SALARIES 125323,B100000,00000,0401,0401ACCUM. COST 125323,B100000,00000,0402,0402ACCUM. COST 125323,B100000,00000,0500,0500SQUARE FEET 125323,B100000,00000,0501,0501SQUARE FEET-HC 125323,B100000,00000,0600,0600POUNDS OF LAUNDRY 125323,B100000,00000,0700,0700SQUARE FEET 125323,B100000,00000,0701,0701SQUARE FEET-HC 125323,B100000,00000,0800,0800MEALS SERVED 125323,B100000,00000,0801,0801MEALS SERVED-HC 125323,B100000,00000,0900,0900DIRECT NRSING SAL 125323,B100000,00000,1000,1000COSTED REQUIS. 125323,B100000,00000,1100,1100COSTED REQUIS. 125323,B100000,00000,1200,1200TIME SPENT 125323,B100000,00000,1300,1300TIME SPENT 125323,B100000,00000,1400,1400ASSIGNED TIME 125323,B100000,00000,1500,1350NO STATISTICS 125323,E10A180,00501,0100,05/04/01 125323,S000000,00100,0200,04/16/01 125323,S200000,00100,0100,3120 INDEPENDENCE STREET 125323,S200000,00200,0100,CAPE GIRARDEAU 125323,S200000,00200,0200,MO 125323,S200000,00200,0300,63701 125323,S200000,00300,0100,C 125323,S200000,00300,0200,9926 125323,S200000,00300,0300,R 125323,S200000,00400,0100,CHATEAU GIRARDEAU 125323,S200000,00400,0200,265142 125323,S200000,00400,0300,11/19/79 125323,S200000,00400,0500,P 125323,S200000,01500,0100,Y 125323,S200000,01600,0100,N 125323,S200000,01700,0100,N 125323,S200000,01800,0100,N 125323,S200000,02200,0100,N 125323,S200000,02800,0100,N 125323,S200000,02900,0100,N 125323,S200000,03000,0100,N 125323,S200000,03100,0100,N 125323,S200000,03200,0100,N 125323,S200000,03300,0100,N 125323,S200000,03300,0200,N 125323,S200000,04100,0100,N 125323,S200000,04200,0100,N 125323,S200000,04300,0100,N 125323,S200000,04600,0100,N 125323,S200000,04700,0100,N 125323,S200000,04900,0100,N 125323,S200000,05200,0100,N 125336,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125336,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125336,A000000,00300,0000,0300EMPLOYEE BENEFITS 125336,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125336,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125336,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125336,A000000,00700,0000,0700HOUSEKEEPING 125336,A000000,00800,0000,0800DIETARY 125336,A000000,00900,0000,0900NURSING ADMINISTRATION 125336,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125336,A000000,01100,0000,1100PHARMACY 125336,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125336,A000000,01300,0000,1300SOCIAL SERVICE 125336,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125336,A000000,01500,0000,1350RECREATION 125336,A000000,01600,0000,1600SKILLED NURSING FACILITY 125336,A000000,01810,0000,1810ICF/MR 125336,A000000,02200,0000,2200LABORATORY 125336,A000000,02300,0000,2300INTRAVENOUS THERAPY 125336,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125336,A000000,02500,0000,2500PHYSICAL THERAPY 125336,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125336,A000000,02700,0000,2700SPEECH PATHOLOGY 125336,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125336,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125336,A000000,03300,0000,3050RESPIRATION THERAPY 125336,A000000,03550,0000,3550FQHC 125336,A000000,05000,0000,5000CORF 125336,A000000,05010,0000,5010CMHC 125336,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125336,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125336,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125336,A000000,05300,0000,5300INTEREST EXPENSE 125336,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125336,A81000A,00100,0100,N 125336,B100000,00000,0100,0100SQUARE FEET 125336,B100000,00000,0200,0200SQUARE FEET 125336,B100000,00000,0300,0300GROSS SALARIES 125336,B100000,00000,0400,0400ACCUM COST 125336,B100000,00000,0500,0500SQUARE FEET 125336,B100000,00000,0600,0600POUNDS OF LAUNDRY 125336,B100000,00000,0700,0700HOURS OF SERVICE 125336,B100000,00000,0800,0800MEALS SERVED 125336,B100000,00000,0900,0900DIRECT NRSG HRS 125336,B100000,00000,1000,1000COSTED REQUIS 125336,B100000,00000,1100,1100COSTED REQUIS 125336,B100000,00000,1200,1200TIME SPENT 125336,B100000,00000,1300,1300TIME SPENT 125336,B100000,00000,1400,1400ASSIGNED TIME 125336,B100000,00000,1500,1350 125336,E10A180,00550,0300,03/09/00 125336,S000000,00100,0200,03/24/00 125336,S200000,00100,0100,180 REGAN ROAD 125336,S200000,00200,0100,VERNON 125336,S200000,00200,0200,CT 125336,S200000,00200,0300,06066 125336,S200000,00300,0200,3283 125336,S200000,00300,0300,U 125336,S200000,00400,0100,VERNON MANOR 125336,S200000,00400,0200,075334 125336,S200000,00400,0300,01/17/90 125336,S200000,00400,0500,P 125336,S200000,01500,0100,Y 125336,S200000,01600,0100,N 125336,S200000,01700,0100,N 125336,S200000,01800,0100,N 125336,S200000,02200,0100,N 125336,S200000,02800,0100,N 125336,S200000,02900,0100,N 125336,S200000,03000,0100,N 125336,S200000,03100,0100,N 125336,S200000,03200,0100,N 125336,S200000,03300,0100,N 125336,S200000,03300,0200,N 125336,S200000,04100,0100,N 125336,S200000,04200,0100,N 125336,S200000,04300,0100,N 125336,S200000,04600,0100,N 125336,S200000,04700,0100,N 125336,S200000,04900,0100,N 125337,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125337,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125337,A000000,00300,0000,0300EMPLOYEE BENEFITS 125337,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125337,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125337,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125337,A000000,00700,0000,0700HOUSEKEEPING 125337,A000000,00800,0000,0800DIETARY 125337,A000000,00900,0000,0900NURSING ADMINISTRATION 125337,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125337,A000000,01100,0000,1100PHARMACY 125337,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125337,A000000,01300,0000,1300SOCIAL SERVICE 125337,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125337,A000000,01500,0000,1350RECREATION 125337,A000000,01600,0000,1600SKILLED NURSING FACILITY 125337,A000000,01810,0000,1810ICF/MR 125337,A000000,02100,0000,2100RADIOLOGY 125337,A000000,02200,0000,2200LABORATORY 125337,A000000,02300,0000,2300INTRAVENOUS THERAPY 125337,A000000,02500,0000,2500PHYSICAL THERAPY 125337,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125337,A000000,02700,0000,2700SPEECH PATHOLOGY 125337,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125337,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125337,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125337,A000000,03550,0000,3550FQHC 125337,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125337,A000000,05000,0000,5000CORF 125337,A000000,05010,0000,5010CMHC 125337,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125337,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125337,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125337,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125337,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125337,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125337,A000000,06300,0000,6150APRN EXPENSES 125337,A81000A,00100,0100,Y 125337,A81000B,00100,0300,MANAGEMENT FEES 125337,A81000B,00200,0300,MANAGEMENT FEES - LEN FOX 125337,A81000C,00100,0100,A 125337,A81000C,00100,0200,ROLAND BUTLER 125337,A81000C,00100,0400,R. BUTLER ASSOCIATES 125337,A81000C,00100,0600,MANAGEMENT 125337,B100000,00000,0100,0100SQUARE FEET 125337,B100000,00000,0200,0200SQUARE FEET 125337,B100000,00000,0300,0300GROSS SALARIES 125337,B100000,00000,0400,0400ACCUM. COST 125337,B100000,00000,0500,0500SQUARE FEET 125337,B100000,00000,0600,0600POUNDS OF LAUNDRY 125337,B100000,00000,0700,0700SQUARE FEET 125337,B100000,00000,0800,0800MEALS SERVED 125337,B100000,00000,0900,0900DIRECT NURSING HR 125337,B100000,00000,1000,1000COSTED REQUIS 125337,B100000,00000,1100,1100COSTED REQUIS 125337,B100000,00000,1200,1200TIME SPENT 125337,B100000,00000,1300,1300TIME SPENT 125337,B100000,00000,1400,1400ASSIGNED TIME 125337,B100000,00000,1500,1350PATIENT DAYS 125337,S000000,00100,0200,05/30/00 125337,S200000,00100,0100,13 PARKLAWN DRIVE 125337,S200000,00200,0100,BETHEL 125337,S200000,00200,0200,CT 125337,S200000,00300,0100,FAIRFIELD 125337,S200000,00300,0200,5483 125337,S200000,00300,0300,U 125337,S200000,00400,0100,BETHEL HEALTH CARE CENTER 125337,S200000,00400,0200,075400 125337,S200000,00400,0300,03/16/94 125337,S200000,00400,0500,P 125337,S200000,01500,0100,Y 125337,S200000,01600,0100,N 125337,S200000,01700,0100,N 125337,S200000,01800,0100,N 125337,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 125337,S200000,02200,0100,N 125337,S200000,02800,0100,N 125337,S200000,02900,0100,N 125337,S200000,03000,0100,N 125337,S200000,03100,0100,N 125337,S200000,03200,0100,N 125337,S200000,03300,0100,N 125337,S200000,03300,0200,N 125337,S200000,04100,0100,N 125337,S200000,04200,0100,N 125337,S200000,04300,0100,N 125337,S200000,04600,0100,N 125337,S200000,04700,0100,N 125337,S200000,04900,0100,N 125337,S200000,05200,0100,N 125438,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125438,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125438,A000000,00300,0000,0300EMPLOYEE BENEFITS 125438,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125438,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125438,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125438,A000000,00700,0000,0700HOUSEKEEPING 125438,A000000,00800,0000,0800DIETARY 125438,A000000,00900,0000,0900NURSING ADMINISTRATION 125438,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125438,A000000,01100,0000,1100PHARMACY 125438,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125438,A000000,01300,0000,1300SOCIAL SERVICE 125438,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125438,A000000,01500,0000,1350ACTIVITIES 125438,A000000,01600,0000,1600SKILLED NURSING FACILITY 125438,A000000,01800,0000,1800NURSING FACILITY 125438,A000000,01900,0000,1900OTHER LONG TERM CARE 125438,A000000,02100,0000,2100RADIOLOGY 125438,A000000,02200,0000,2200LABORATORY 125438,A000000,02300,0000,2300INTRAVENOUS THERAPY 125438,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125438,A000000,02500,0000,2500PHYSICAL THERAPY 125438,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125438,A000000,02700,0000,2700SPEECH PATHOLOGY 125438,A000000,02800,0000,2800ELECTROCARDIOLOGY 125438,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125438,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125438,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125438,A000000,03200,0000,3200SUPPORT SURFACES 125438,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 125438,A000000,04800,0000,4800AMBULANCE 125438,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 125438,A000000,05300,0000,5300INTEREST EXPENSE 125438,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125438,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 125438,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125438,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125438,A000000,06100,0000,6100NONPAID WORKERS 125438,A000000,06200,0000,6200PATIENTS LAUNDRY 125438,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125438,A81000A,00100,0100,Y 125438,A81000B,00100,0300,HOME OFFICE COST 125438,A81000B,00200,0300,PT ADMINISTRATION 125438,A81000B,00300,0300,OT ADMINISTRATION 125438,A81000B,00400,0300,ST ADMINISTRATION 125438,A81000C,00100,0100,B 125438,A81000C,00100,0200,MCHS - WINDSOR HILLS 125438,A81000C,00100,0400,HCR MANORCARE INC. 125438,A81000C,00100,0600,LONG TERM CARE FACILITIES 125438,A81000C,00200,0100,B 125438,A81000C,00200,0200,MCHS - WINDSOR HILLS 125438,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 125438,A81000C,00200,0600,THERAPY MANAGEMENT 125438,A81000C,00300,0100,B 125438,A81000C,00300,0200,MCHS - WINDSOR HILLS 125438,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 125438,A81000C,00300,0600,THERAPY MANAGEMENT 125438,A81000C,00400,0100,B 125438,A81000C,00400,0200,MCHS - WINDSOR HILLS 125438,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 125438,A81000C,00400,0600,THERAPY MANAGEMENT 125438,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 125438,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 125438,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 125438,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125438,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 125438,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125438,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 125438,B100000,00000,0800,0800MEALS SERVED :DIETARY 125438,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 125438,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 125438,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125438,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125438,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 125438,S000000,00100,0200,11/01/00 125438,S200000,00100,0100,2416 N. ANN ARBOR AVENUE 125438,S200000,00200,0100,OKLAHOMA CITY 125438,S200000,00200,0200,OK 125438,S200000,00200,0300,73127- 125438,S200000,00300,0100,OKLAHOMA 125438,S200000,00300,0200,5880 125438,S200000,00300,0300,U 125438,S200000,00400,0100,FOUR SEASONS WINDSOR HILLS 125438,S200000,00400,0200,375131 125438,S200000,00400,0300,02/01/93 125438,S200000,00400,0500,P 125438,S200000,00400,0600,P 125438,S200000,01004,0500,O 125438,S200000,01500,0100,N 125438,S200000,01600,0100,Y 125438,S200000,01700,0100,N 125438,S200000,01800,0100,N 125438,S200000,02200,0100,Y 125438,S200000,02800,0100,N 125438,S200000,02900,0100,N 125438,S200000,03000,0100,N 125438,S200000,03100,0100,N 125438,S200000,03200,0100,N 125438,S200000,04100,0100,N 125438,S200000,04200,0100,N 125438,S200000,04300,0100,N 125438,S200000,04600,0100,N 125438,S200000,04700,0100,N 125438,S200000,04700,0200,N 125438,S200000,04900,0100,N 125438,S200000,05000,0100,N 125438,S200000,05100,0100,N 125438,S200000,05200,0100,N 125466,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125466,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125466,A000000,00300,0000,0300EMPLOYEE BENEFITS 125466,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125466,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125466,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125466,A000000,00700,0000,0700HOUSEKEEPING 125466,A000000,00800,0000,0800DIETARY 125466,A000000,00900,0000,0900NURSING ADMINISTRATION 125466,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125466,A000000,01100,0000,1100PHARMACY 125466,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125466,A000000,01300,0000,1300SOCIAL SERVICE 125466,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125466,A000000,01600,0000,1600SKILLED NURSING FACILITY 125466,A000000,01810,0000,1810ICF/MR 125466,A000000,02100,0000,2100RADIOLOGY 125466,A000000,02200,0000,2200LABORATORY 125466,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125466,A000000,02500,0000,2500PHYSICAL THERAPY 125466,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125466,A000000,02700,0000,2700SPEECH PATHOLOGY 125466,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125466,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125466,A000000,03200,0000,3200SUPPORT SURFACES 125466,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125466,A000000,03550,0000,3550FQHC 125466,A000000,05000,0000,5000CORF 125466,A000000,05010,0000,5010CMHC 125466,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125466,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125466,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125466,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125466,A81000A,00100,0100,Y 125466,A81000B,00100,0300,MANAGEMENT FEES 125466,A81000B,00200,0300,PHYSICAL THERAPY 125466,A81000B,00300,0300,OCCUPATIONAL THERAPY 125466,A81000B,00400,0300,SPEECH THERAPY 125466,A81000B,00500,0300,RESPIRATORY THERAPY 125466,A81000B,00600,0300,MEDICAL SUPPLIES 125466,A81000B,00700,0300,PATIENT SUPPLIES 125466,A81000B,00800,0300,PHARMACY 125466,A81000C,00100,0100,B 125466,A81000C,00100,0200,FOUNTAIN VIEW INC. 125466,A81000C,00100,0400,WOODLAND CARE CENTER 125466,A81000C,00100,0600,SNF 125466,A81000C,00200,0100,B 125466,A81000C,00200,0200,FOUNTAIN VIEW INC. 125466,A81000C,00200,0400,LOCOMOTION 125466,A81000C,00200,0600,THERAPY COMPANY 125466,A81000C,00300,0100,B 125466,A81000C,00300,0200,FOUNTAIN VIEW INC. 125466,A81000C,00300,0400,I N O 125466,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 125466,A81000C,00400,0100,B 125466,A81000C,00400,0200,FOUNTAIN VIEW INC. 125466,A81000C,00400,0400,SKILLED CARE PHARMACY 125466,A81000C,00400,0600,PHARMACY 125466,B100000,00000,0100,0100SQUARE FEET 125466,B100000,00000,0200,0200SQUARE FEET 125466,B100000,00000,0300,0300GROSS SALARIES 125466,B100000,00000,0400,0400ACCUM. COST 125466,B100000,00000,0500,0500SQUARE FEET 125466,B100000,00000,0600,0600POUNDS OF LAUNDRY 125466,B100000,00000,0700,0700SQUARE FEET 125466,B100000,00000,0800,0800MEALS SERVED 125466,B100000,00000,0900,0900DIRECT NRSING HRS 125466,B100000,00000,1000,1000COSTED REQUIS 125466,B100000,00000,1100,1100COSTED REQUIS 125466,B100000,00000,1200,1200GROSS REVENUE 125466,B100000,00000,1300,1300PATIENT DAYS 125466,B100000,00000,1400,1400ASSIGNED TIME 125466,E10A180,00501,0100,02/05/01 125466,E10A180,00551,0300,02/05/01 125466,S000000,00100,0200,01/18/01 125466,S200000,00100,0100,7120 CORBIN AVENUE 125466,S200000,00200,0100,RESEDA 125466,S200000,00200,0200,CA 125466,S200000,00300,0100,L 125466,S200000,00300,0200,4480 125466,S200000,00300,0300,U 125466,S200000,00400,0100,WOODLAND CARE CENTER 125466,S200000,00400,0200,056066 125466,S200000,00400,0300,04/28/69 125466,S200000,00400,0500,P 125466,S200000,00400,0600,O 125466,S200000,01500,0100,N 125466,S200000,01600,0100,Y 125466,S200000,01700,0100,N 125466,S200000,01800,0100,N 125466,S200000,02200,0100,N 125466,S200000,02800,0100,N 125466,S200000,02900,0100,N 125466,S200000,03000,0100,N 125466,S200000,03100,0100,N 125466,S200000,03200,0100,N 125466,S200000,03300,0100,N 125466,S200000,03300,0200,N 125466,S200000,04100,0100,N 125466,S200000,04200,0100,N 125466,S200000,04300,0100,N 125466,S200000,04600,0100,N 125466,S200000,04700,0100,N 125466,S200000,04700,0200,N 125466,S200000,04900,0100,N 125467,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125467,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125467,A000000,00300,0000,0300EMPLOYEE BENEFITS 125467,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125467,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125467,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125467,A000000,00700,0000,0700HOUSEKEEPING 125467,A000000,00800,0000,0800DIETARY 125467,A000000,00900,0000,0900NURSING ADMINISTRATION 125467,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125467,A000000,01100,0000,1100PHARMACY 125467,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125467,A000000,01300,0000,1300SOCIAL SERVICE 125467,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125467,A000000,01600,0000,1600SKILLED NURSING FACILITY 125467,A000000,01800,0000,1800NURSING FACILITY 125467,A000000,01810,0000,1810ICF/MR 125467,A000000,02100,0000,2100RADIOLOGY 125467,A000000,02200,0000,2200LABORATORY 125467,A000000,02500,0000,2500PHYSICAL THERAPY 125467,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125467,A000000,02700,0000,2700SPEECH PATHOLOGY 125467,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125467,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125467,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125467,A000000,03550,0000,3550FQHC 125467,A000000,05000,0000,5000CORF 125467,A000000,05010,0000,5010CMHC 125467,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125467,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125467,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125467,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125467,A000000,06300,0000,6150BAD DEBTS 125467,A81000A,00100,0100,Y 125467,A81000B,00100,0300,A AND G MGMT FEES 125467,A81000C,00100,0100,A 125467,A81000C,00100,0200,WAYNE EVANS 125467,A81000C,00100,0400,CARE CENTER CONSULTANTS 125467,A81000C,00100,0600,MANAGEMENT COMPANY 125467,A81000C,00200,0100,A 125467,A81000C,00200,0200,PAUL MCLEAN 125467,A81000C,00200,0400,CARE CENTER CONSULTANTS 125467,A81000C,00200,0600,MANAGEMENT COMPANY 125467,B100000,00000,0100,0100SQUARE FEET 125467,B100000,00000,0200,0200SQUARE FEET 125467,B100000,00000,0300,0300GROSS SALARIES 125467,B100000,00000,0400,0400ACCUM. COST 125467,B100000,00000,0500,0500SQUARE FEET 125467,B100000,00000,0600,0600POUNDS OF LAUNDRY 125467,B100000,00000,0700,0700SQUARE FEET 125467,B100000,00000,0800,0800MEALS SERVED 125467,B100000,00000,0900,0900DIRECT NRSING HRS 125467,B100000,00000,1000,1000COSTED REQUIS 125467,B100000,00000,1100,1100COSTED REQUIS 125467,B100000,00000,1200,1200GROSS REVENUE 125467,B100000,00000,1300,1300PATIENT DAY 125467,B100000,00000,1400,1400ASSIGNED TIME 125467,E10A180,00350,0300,03/03/00 125467,E10A180,00501,0300,02/22/01 125467,E10A180,00550,0100,02/22/01 125467,S000000,00100,0200,01/22/01 125467,S200000,00200,0100,SAN LUIS OBISPO 125467,S200000,00200,0200,CA 125467,S200000,00200,0300,93401 125467,S200000,00300,0100,SAN LUIS OBISPO 125467,S200000,00300,0200,7460 125467,S200000,00300,0300,U 125467,S200000,00400,0100,CABRILLO CARE CENTER 125467,S200000,00400,0200,056189 125467,S200000,00400,0300,07/01/81 125467,S200000,00400,0500,P 125467,S200000,00400,0600,O 125467,S200000,00600,0200,056189 125467,S200000,00600,0300,07/01/81 125467,S200000,00600,0600,O 125467,S200000,01500,0100,N 125467,S200000,01600,0100,Y 125467,S200000,01700,0100,N 125467,S200000,01800,0100,N 125467,S200000,02200,0100,N 125467,S200000,02800,0100,N 125467,S200000,02900,0100,N 125467,S200000,03000,0100,N 125467,S200000,03100,0100,N 125467,S200000,03200,0100,N 125467,S200000,03300,0100,N 125467,S200000,03300,0200,N 125467,S200000,03500,0300,N 125467,S200000,04100,0100,N 125467,S200000,04200,0100,N 125467,S200000,04300,0100,N 125467,S200000,04600,0100,N 125467,S200000,04700,0100,N 125467,S200000,04700,0200,N 125467,S200000,04900,0100,N 125530,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125530,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125530,A000000,00300,0000,0300EMPLOYEE BENEFITS 125530,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125530,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125530,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125530,A000000,00700,0000,0700HOUSEKEEPING 125530,A000000,00800,0000,0800DIETARY 125530,A000000,00900,0000,0900NURSING ADMINISTRATION 125530,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125530,A000000,01100,0000,1100PHARMACY 125530,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125530,A000000,01300,0000,1300SOCIAL SERVICE 125530,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125530,A000000,01500,0000,1350ACTIVITIES 125530,A000000,01600,0000,1600SKILLED NURSING FACILITY 125530,A000000,01800,0000,1800NURSING FACILITY 125530,A000000,01810,0000,1810ICF/MR 125530,A000000,02100,0000,2100RADIOLOGY 125530,A000000,02200,0000,2200LABORATORY 125530,A000000,02500,0000,2500PHYSICAL THERAPY 125530,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125530,A000000,02700,0000,2700SPEECH PATHOLOGY 125530,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125530,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125530,A000000,03300,0000,3050OTHER ANCILLARY 125530,A000000,03301,0000,3051OTHER ANCILLARY II 125530,A000000,03302,0000,3052OTHER ANCILLARY III 125530,A000000,03550,0000,3550FQHC 125530,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 125530,A000000,05000,0000,5000CORF I 125530,A000000,05010,0000,5010CMHC I 125530,A000000,05020,0000,5020OPT I 125530,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125530,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125530,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125530,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 125530,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 125530,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125530,A81000A,00100,0100,N 125530,B100000,00000,0100,0100(SQUARE FEET) 125530,B100000,00000,0200,0200(SQUARE FEET) 125530,B100000,00000,0300,0300(GROSS SALARIES) 125530,B100000,00000,0400,0400(ACCUM. COST) 125530,B100000,00000,0500,0500(SQUARE FEET) 125530,B100000,00000,0600,0600(PATIENT DAYS) 125530,B100000,00000,0700,0700(SQUARE FEET) 125530,B100000,00000,0800,0800(MEALS SERVED) 125530,B100000,00000,0900,0900(PATIENT DAYS) 125530,B100000,00000,1000,1000(COSTED REQUIS.) 125530,B100000,00000,1100,1100(COSTED REQUIS.) 125530,B100000,00000,1200,1200(PATIENT DAYS) 125530,B100000,00000,1300,1300(PATIENT DAYS) 125530,B100000,00000,1400,1400(ASSIGNED TIME) 125530,B100000,00000,1500,1350(PATIENT DAYS) 125530,S000000,00100,0200,05/19/00 125530,S200000,00100,0100,1533 CADILLAC 125530,S200000,00200,0100,DETROIT 125530,S200000,00200,0200,MI 125530,S200000,00300,0200,2160 125530,S200000,00300,0300,U 125530,S200000,00400,0100,CADILLAC NURSING HOME 125530,S200000,00400,0200,235398 125530,S200000,00400,0300,01/01/99 125530,S200000,00400,0500,P 125530,S200000,01500,0100,N 125530,S200000,01600,0100,Y 125530,S200000,01700,0100,N 125530,S200000,01800,0100,N 125530,S200000,01900,0100,AFFL. W/MERCY HOSPIT 125530,S200000,02200,0100,N 125530,S200000,02800,0100,Y 125530,S200000,02900,0100,N 125530,S200000,03000,0100,N 125530,S200000,03100,0100,N 125530,S200000,03200,0100,N 125530,S200000,03300,0100,N 125530,S200000,03300,0200,N 125530,S200000,04100,0100,N 125530,S200000,04200,0100,N 125530,S200000,04300,0100,N 125530,S200000,04600,0100,N 125530,S200000,04700,0100,N 125530,S200000,04900,0100,N 125530,S200000,05200,0100,N 125531,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125531,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125531,A000000,00300,0000,0300EMPLOYEE BENEFITS 125531,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125531,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125531,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125531,A000000,00700,0000,0700HOUSEKEEPING 125531,A000000,00800,0000,0800DIETARY 125531,A000000,00900,0000,0900NURSING ADMINISTRATION 125531,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125531,A000000,01100,0000,1100PHARMACY 125531,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125531,A000000,01300,0000,1300SOCIAL SERVICE 125531,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125531,A000000,01500,0000,1350OTHER GENERAL SERVICES 125531,A000000,01600,0000,1600SKILLED NURSING FACILITY 125531,A000000,01800,0000,1800NURSING FACILITY 125531,A000000,01810,0000,1810ICF/MR 125531,A000000,02100,0000,2100RADIOLOGY 125531,A000000,02200,0000,2200LABORATORY 125531,A000000,02500,0000,2500PHYSICAL THERAPY 125531,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125531,A000000,02700,0000,2700SPEECH PATHOLOGY 125531,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125531,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125531,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125531,A000000,03550,0000,3550FQHC 125531,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125531,A000000,05000,0000,5000CORF 125531,A000000,05010,0000,5010CMHC 125531,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125531,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125531,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125531,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125531,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125531,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125531,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125531,A81000A,00100,0100,N 125531,B100000,00000,0100,0100SQUARE FEET 125531,B100000,00000,0200,0200SQUARE FEET 125531,B100000,00000,0300,0300GROSS SALARIES 125531,B100000,00000,0400,0400ACCUM. COST 125531,B100000,00000,0500,0500SQUARE FEET 125531,B100000,00000,0600,0600POUNDS OF LAUNDRY 125531,B100000,00000,0700,0700SQUARE FEET 125531,B100000,00000,0800,0800MEALS SERVED 125531,B100000,00000,0900,0900NURSING SALARIES 125531,B100000,00000,1000,1000COSTED REQUIS. 125531,B100000,00000,1100,1100COSTED REQUIS. 125531,B100000,00000,1200,1200TIME SPENT 125531,B100000,00000,1300,1300PATIENT DAYST 125531,B100000,00000,1400,1400TIME SPENT 125531,B100000,00000,1500,1350NO STATISTICS 125531,S000000,00100,0200,12/04/00 125531,S200000,00100,0100,1040 PILGRAM WAY 125531,S200000,00200,0100,GREEN BAY 125531,S200000,00200,0200,WI 125531,S200000,00200,0300,54304 125531,S200000,00300,0100,BROWN 125531,S200000,00400,0100,WOODSIDE LUTHERAN HOME 125531,S200000,00400,0200,525557 125531,S200000,00400,0300,01/01/95 125531,S200000,00400,0500,P 125531,S200000,01500,0100,N 125531,S200000,01600,0100,Y 125531,S200000,01700,0100,N 125531,S200000,01800,0100,N 125531,S200000,02200,0100,Y 125531,S200000,02800,0100,Y 125531,S200000,02900,0100,N 125531,S200000,03000,0100,N 125531,S200000,03100,0100,N 125531,S200000,03200,0100,N 125531,S200000,03300,0100,N 125531,S200000,03300,0200,N 125531,S200000,04100,0100,N 125531,S200000,04200,0100,N 125531,S200000,04300,0100,N 125531,S200000,04600,0100,N 125531,S200000,04700,0100,N 125531,S200000,04700,0200,N 125531,S200000,04900,0100,N 125545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125545,A000000,00300,0000,0300EMPLOYEE BENEFITS 125545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125545,A000000,00700,0000,0700HOUSEKEEPING 125545,A000000,00800,0000,0800DIETARY 125545,A000000,00900,0000,0900NURSING ADMINISTRATION 125545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125545,A000000,01100,0000,1100PHARMACY 125545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125545,A000000,01300,0000,1300SOCIAL SERVICE 125545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125545,A000000,01600,0000,1600SKILLED NURSING FACILITY 125545,A000000,01810,0000,1810ICF/MR 125545,A000000,02200,0000,2200LABORATORY 125545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125545,A000000,02500,0000,2500PHYSICAL THERAPY 125545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125545,A000000,02700,0000,2700SPEECH PATHOLOGY 125545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125545,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 125545,A000000,03550,0000,3550FQHC 125545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 125545,A000000,05000,0000,5000CORF 125545,A000000,05010,0000,5010CMHC 125545,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125545,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125545,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125545,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 125545,A81000A,00100,0100,Y 125545,A81000B,00100,0300,HOME OFFICE COSTS 125545,A81000C,00100,0100,A 125545,A81000C,00100,0200,DOUG WRIGHT SR 125545,A81000C,00100,0400,RIGHT CARE INC 125545,A81000C,00100,0600,MANAGEMENT 125545,B100000,00000,0100,0100SQUARE FEET 125545,B100000,00000,0200,0200SQUARE FEET 125545,B100000,00000,0300,0300GROSS SALARIES 125545,B100000,00000,0400,0400ACCUM COST 125545,B100000,00000,0500,0500SQUARE FEET 125545,B100000,00000,0600,0600POUNDS OF LAUNDRY 125545,B100000,00000,0700,0700SQUARE FEET 125545,B100000,00000,0800,0800MEALS SERVED 125545,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 125545,B100000,00000,1000,1000COSTED REQUISITIO 125545,B100000,00000,1100,1100COSTED REQUISITIO 125545,B100000,00000,1200,1200TIME SPENT 125545,B100000,00000,1300,1300TIME SPENT 125545,B100000,00000,1400,1400ASSIGNED TIME 125545,E10A180,00501,0100,05/01/01 125545,S000000,00100,0200,03/02/01 125545,S200000,00100,0100,1076 CHAMBLISS ROAD 125545,S200000,00200,0100,MEMPHIS 125545,S200000,00200,0200,TN 125545,S200000,00200,0300,38116 125545,S200000,00300,0100,S 125545,S200000,00300,0200,4920 125545,S200000,00300,0300,U 125545,S200000,00400,0100,WHITEHAVEN MANOR 125545,S200000,00400,0200,445233 125545,S200000,00400,0300,09/13/89 125545,S200000,00400,0500,P 125545,S200000,01500,0100,Y 125545,S200000,01600,0100,N 125545,S200000,01700,0100,N 125545,S200000,01800,0100,N 125545,S200000,02200,0100,N 125545,S200000,02800,0100,N 125545,S200000,02900,0100,N 125545,S200000,03000,0100,N 125545,S200000,03100,0100,N 125545,S200000,03200,0100,N 125545,S200000,03300,0100,N 125545,S200000,03300,0200,N 125545,S200000,04100,0100,N 125545,S200000,04200,0100,N 125545,S200000,04300,0100,N 125545,S200000,04600,0100,N 125545,S200000,04700,0100,N 125545,S200000,04900,0100,N 125546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125546,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125546,A000000,00300,0000,0300EMPLOYEE BENEFITS 125546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125546,A000000,00700,0000,0700HOUSEKEEPING 125546,A000000,00800,0000,0800DIETARY 125546,A000000,00900,0000,0900NURSING ADMINISTRATION 125546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125546,A000000,01100,0000,1100PHARMACY 125546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125546,A000000,01300,0000,1300SOCIAL SERVICE 125546,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125546,A000000,01500,0000,1350ACTIVITIES 125546,A000000,01600,0000,1600SKILLED NURSING FACILITY 125546,A000000,01800,0000,1800NURSING FACILITY 125546,A000000,01810,0000,1810ICF/MR 125546,A000000,02200,0000,2200LABORATORY 125546,A000000,02300,0000,2300INTRAVENOUS THERAPY 125546,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125546,A000000,02500,0000,2500PHYSICAL THERAPY 125546,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125546,A000000,02700,0000,2700SPEECH PATHOLOGY 125546,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125546,A000000,02901,0000,2901PEN THERAPY 125546,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125546,A000000,03300,0000,3050OTHER ANCILLARY 125546,A000000,03301,0000,3051AMBULANCE 125546,A000000,03550,0000,3550FQHC 125546,A000000,05000,0000,5000CORF 125546,A000000,05010,0000,5010CMHC 125546,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125546,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125546,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125546,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125546,A81000A,00100,0100,Y 125546,A81000B,00100,0300,HOME OFFICE COSTS 125546,A81000B,00200,0300,ALLOCATED COSTS - PT 125546,A81000B,00300,0300,ALLOCATED COSTS - OT 125546,A81000B,00400,0300,ALLOCATED COSTS - ST 125546,A81000B,00500,0300,REL. PARTY INTEREST 125546,A81000B,00600,0300,LIFE CARE DESIGNS 125546,A81000B,00700,0300,COMPUTER INSTALL. 125546,A81000B,00800,0300,HCE - DEPRECIATION 125546,A81000B,00900,0300,HCE - INTEREST 125546,A81000C,00100,0100,A 125546,A81000C,00100,0200,FORREST PRESTON 125546,A81000C,00100,0400,LIFE CARE CENTE 125546,A81000C,00100,0600,MANAGEMENT COMP 125546,A81000C,00200,0100,A 125546,A81000C,00200,0200,FORREST PRESTON 125546,A81000C,00200,0400,LIFE CARE DESIG 125546,A81000C,00200,0600,INTERIOR DESIGN 125546,A81000C,00300,0100,A 125546,A81000C,00300,0200,FORREST PRESTON 125546,A81000C,00300,0400,HCE LEASING 125546,A81000C,00300,0600,VEHICLE LEASING 125546,B100000,00000,0100,0100(SQUARE FEET) 125546,B100000,00000,0200,0200(SQUARE FEET) 125546,B100000,00000,0300,0300(GROSS SALARIES) 125546,B100000,00000,0400,0400(ACCUM COST) 125546,B100000,00000,0500,0500(SQUARE FEET) 125546,B100000,00000,0600,0600PATIENT DAYS 125546,B100000,00000,0700,0700(SQUARE FEET) 125546,B100000,00000,0800,0800(MEALS SERVED) 125546,B100000,00000,0900,0900DIR HOURS SUPERVISED 125546,B100000,00000,1000,1000(COSTED REQUIS) 125546,B100000,00000,1100,1100(COSTED REQUIS) 125546,B100000,00000,1200,1200GROSS REVENUES 125546,B100000,00000,1300,1300TIME SPENT 125546,B100000,00000,1400,1400(ASSIGNED TIME) 125546,B100000,00000,1500,1350PATIENT DAYS 125546,E10A180,00301,0100,02/04/00 125546,E10A180,00302,0100,04/12/00 125546,E10A180,00303,0100,08/11/00 125546,S000000,00100,0200,11/22/00 125546,S200000,00100,0100,501 WEST ECONOMY ROAD 125546,S200000,00100,0300,1899 125546,S200000,00200,0100,MORRISTOWN 125546,S200000,00200,0200,TN 125546,S200000,00200,0300,37814 125546,S200000,00300,0100,HAMBLEN 125546,S200000,00300,0200,4499 125546,S200000,00300,0300,R 125546,S200000,00400,0100,LCC OF MORRISTOWN 125546,S200000,00400,0200,445314 125546,S200000,00400,0300,07/01/93 125546,S200000,00400,0400,O 125546,S200000,00400,0500,P 125546,S200000,00400,0600,O 125546,S200000,00600,0200,445314 125546,S200000,00600,0300,07/01/93 125546,S200000,00600,0400,O 125546,S200000,00600,0600,O 125546,S200000,01500,0100,N 125546,S200000,01600,0100,Y 125546,S200000,01700,0100,N 125546,S200000,01800,0100,N 125546,S200000,02200,0100,Y 125546,S200000,02800,0100,N 125546,S200000,02900,0100,N 125546,S200000,03000,0100,N 125546,S200000,03100,0100,N 125546,S200000,03200,0100,N 125546,S200000,03300,0100,N 125546,S200000,03300,0200,N 125546,S200000,03500,0300,N 125546,S200000,04100,0100,N 125546,S200000,04200,0100,N 125546,S200000,04300,0100,N 125546,S200000,04600,0100,N 125546,S200000,04700,0100,N 125546,S200000,04900,0100,N 125548,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125548,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 125548,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125548,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 125548,A000000,00300,0000,0300EMPLOYEE BENEFITS 125548,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125548,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125548,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125548,A000000,00700,0000,0700HOUSEKEEPING 125548,A000000,00800,0000,0800DIETARY 125548,A000000,00801,0000,0801CAFETERIA 125548,A000000,00900,0000,0900NURSING ADMINISTRATION 125548,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125548,A000000,01100,0000,1100PHARMACY 125548,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125548,A000000,01300,0000,1300SOCIAL SERVICE 125548,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125548,A000000,01500,0000,1350ACTIVITIES 125548,A000000,01600,0000,1600SKILLED NURSING FACILITY 125548,A000000,01800,0000,1800NURSING FACILITY 125548,A000000,01810,0000,1810ICF/MR 125548,A000000,02100,0000,2100RADIOLOGY 125548,A000000,02200,0000,2200LABORATORY 125548,A000000,02300,0000,2300INTRAVENOUS THERAPY 125548,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125548,A000000,02500,0000,2500PHYSICAL THERAPY 125548,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125548,A000000,02700,0000,2700SPEECH PATHOLOGY 125548,A000000,02800,0000,2800ELECTROCARDIOLOGY 125548,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125548,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125548,A000000,03300,0000,3050OTHER ANCILLARY 125548,A000000,03301,0000,3051OTHER ANCILLARY II 125548,A000000,03302,0000,3052OTHER ANCILLARY III 125548,A000000,03550,0000,3550FQHC 125548,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 125548,A000000,04800,0000,4800AMBULANCE 125548,A000000,05000,0000,5000CORF I 125548,A000000,05010,0000,5010CMHC I 125548,A000000,05020,0000,5020OPT I 125548,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125548,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125548,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125548,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 125548,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 125548,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125548,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125548,A81000A,00100,0100,N 125548,B100000,00000,0100,0100(SQUARE FEET) 125548,B100000,00000,0101,0101(SQUARE FEET) 125548,B100000,00000,0200,0200(SQUARE FEET) 125548,B100000,00000,0201,0201(SQUARE FEET) 125548,B100000,00000,0300,0300(GROSS SALARIES) 125548,B100000,00000,0400,0400(ACCUM. COST) 125548,B100000,00000,0500,0500(SQUARE FEET) 125548,B100000,00000,0600,0600(PATIENT DAYS) 125548,B100000,00000,0700,0700(SQUARE FEET) 125548,B100000,00000,0800,0800(MEALS SERVED) 125548,B100000,00000,0801,0801(MEALS SERVED) 125548,B100000,00000,0900,0900(NURSING SALARIES) 125548,B100000,00000,1000,1000(PATIENT DAYS) 125548,B100000,00000,1100,1100(COSTED REQUIS.) 125548,B100000,00000,1200,1200(PATIENT DAYS) 125548,B100000,00000,1300,1300(PATIENT DAYS) 125548,B100000,00000,1400,1400(ASSIGNED TIME) 125548,B100000,00000,1500,1350(PATIENT DAYS) 125548,E10A180,00301,0100,11/04/99 125548,E10A180,00302,0100,03/20/00 125548,E10A180,00501,0100,02/02/01 125548,E10A180,00550,0300,02/02/01 125548,S000000,00100,0200,12/06/00 125548,S200000,00100,0100,2501 RIVER ROAD 125548,S200000,00200,0100,ASHLAND CITY 125548,S200000,00200,0200,TN 125548,S200000,00200,0300,37015 125548,S200000,00300,0100,CHEATHAM 125548,S200000,00300,0300,U 125548,S200000,00400,0100,CHEATHAM COUNTY HEALTH CARE 125548,S200000,00400,0200,445318 125548,S200000,00400,0300,11/01/93 125548,S200000,00400,0500,P 125548,S200000,01500,0100,N 125548,S200000,01600,0100,Y 125548,S200000,01700,0100,N 125548,S200000,01800,0100,N 125548,S200000,02200,0100,N 125548,S200000,02800,0100,N 125548,S200000,02900,0100,N 125548,S200000,03000,0100,N 125548,S200000,03100,0100,N 125548,S200000,03200,0100,N 125548,S200000,03300,0100,N 125548,S200000,03300,0200,N 125548,S200000,04100,0100,N 125548,S200000,04200,0100,N 125548,S200000,04300,0100,N 125548,S200000,04600,0100,N 125548,S200000,04700,0100,N 125548,S200000,04700,0200,N 125548,S200000,04900,0100,N 125548,S200000,05200,0100,N 125632,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125632,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125632,A000000,00300,0000,0300EMPLOYEE BENEFITS 125632,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125632,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125632,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125632,A000000,00700,0000,0700HOUSEKEEPING 125632,A000000,00800,0000,0800DIETARY 125632,A000000,00900,0000,0900NURSING ADMINISTRATION 125632,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125632,A000000,01100,0000,1100PHARMACY 125632,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125632,A000000,01300,0000,1300SOCIAL SERVICE 125632,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125632,A000000,01500,0000,1350ACTIVITIES 125632,A000000,01501,0000,1351INDIRECT CONSULTING 125632,A000000,01600,0000,1600SKILLED NURSING FACILITY 125632,A000000,01810,0000,1810ICF/MR 125632,A000000,02200,0000,2200LABORATORY 125632,A000000,02300,0000,2300INTRAVENOUS THERAPY 125632,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125632,A000000,02500,0000,2500PHYSICAL THERAPY 125632,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125632,A000000,02700,0000,2700SPEECH PATHOLOGY 125632,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125632,A000000,03550,0000,3550FQHC 125632,A000000,05000,0000,5000CORF 125632,A000000,05010,0000,5010CMHC 125632,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125632,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125632,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125632,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125632,A81000A,00100,0100,Y 125632,A81000B,00100,0300,MANAGEMENT FEES 125632,A81000B,00200,0300,CAPITAL-BLDG & FIXTURES 125632,A81000B,00300,0300,CAPITAL - MOVABLE EQUIPMENT 125632,A81000B,00400,0300,EMPLOYEE BENEFITS 125632,A81000B,00500,0300,CAPITAL - BLDG & FIXTURES 125632,A81000B,00600,0300,CAPITAL - MOVABLE EQUIPMENT 125632,A81000B,00700,0300,MEDICAL RECORDS & LIBRARY 125632,A81000B,00800,0300,ENT L SUPPLY-NURSING SERVICE 125632,A81000B,00900,0300,PHARMACY CONSULTANT 125632,A81000B,01000,0300,PHARMACY - VA 125632,A81000B,01100,0300,IV INSTALL/PREP - OTHERS 125632,A81000B,01200,0300,INTERCOMPANY LOAN 125632,A81000C,00100,0100,A 125632,A81000C,00100,0200,ALFRED ARCIDI 125632,A81000C,00100,0400,MASCONOMET 125632,A81000C,00100,0600,RENTAL PROPERTY 125632,A81000C,00200,0100,A 125632,A81000C,00200,0200,ALFRED ARCIDI 125632,A81000C,00200,0400,ARBRO CORP 125632,A81000C,00200,0600,HOME OFFICE 125632,A81000C,00300,0100,A 125632,A81000C,00300,0200,ALFRED ARCIDI 125632,A81000C,00300,0400,WHITTIER PHARMA 125632,A81000C,00300,0600,PHARMACY 125632,A81000C,00400,0100,A 125632,A81000C,00400,0200,ALFRED ARCIDI 125632,A81000C,00400,0400,AAPEM 125632,A81000C,00400,0600,LOAN 125632,B100000,00000,0100,0100SQUARE FEET 125632,B100000,00000,0200,0200DOLLAR VALUE 125632,B100000,00000,0300,0300GROSS SALARIES 125632,B100000,00000,0400,0400ACCUM. COST 125632,B100000,00000,0500,0500SQUARE FEET 125632,B100000,00000,0600,0600POUNDS OF LAUNDRY 125632,B100000,00000,0700,0700HOURS OF SERVICE 125632,B100000,00000,0800,0800MEALS SERVED 125632,B100000,00000,0900,0900DIRECT NRSING HRS 125632,B100000,00000,1000,1000COSTED REQUIS. 125632,B100000,00000,1100,1100COSTED REQUIS. 125632,B100000,00000,1200,1200TIME SPENT 125632,B100000,00000,1300,1300TIME SPENT 125632,B100000,00000,1400,1400ASSIGNED TIME 125632,B100000,00000,1500,1350OTHER 125632,B100000,00000,1501,1351OTHER 125632,S000000,00100,0200,09/21/00 125632,S200000,00100,0100,123 HIGH STREET 125632,S200000,00200,0100,TOPSFIELD 125632,S200000,00200,0200,MA 125632,S200000,00300,0100,ESSEX 125632,S200000,00300,0200,1123 125632,S200000,00300,0300,U 125632,S200000,00400,0100,LNF D/B/A MASCONOMET 125632,S200000,00400,0200,225750 125632,S200000,00400,0300,07/06/99 125632,S200000,00400,0500,P 125632,S200000,00400,0600,O 125632,S200000,01500,0100,N 125632,S200000,01600,0100,Y 125632,S200000,01700,0100,N 125632,S200000,01800,0100,N 125632,S200000,02200,0100,N 125632,S200000,02800,0100,N 125632,S200000,02900,0100,N 125632,S200000,03000,0100,N 125632,S200000,03100,0100,N 125632,S200000,03200,0100,N 125632,S200000,03300,0100,N 125632,S200000,03300,0200,N 125632,S200000,04100,0100,N 125632,S200000,04200,0100,N 125632,S200000,04300,0100,N 125632,S200000,04600,0100,N 125632,S200000,04700,0100,N 125632,S200000,04900,0100,N 125632,S200000,05200,0100,N 125638,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 125638,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 125638,A000000,00300,0000,0300EMPLOYEE BENEFITS 125638,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125638,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 125638,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125638,A000000,00700,0000,0700HOUSEKEEPING 125638,A000000,00800,0000,0800DIETARY 125638,A000000,00900,0000,0900NURSING ADMINISTRATION 125638,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125638,A000000,01100,0000,1100PHARMACY 125638,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125638,A000000,01300,0000,1300SOCIAL SERVICE 125638,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 125638,A000000,01500,0000,1350OTHER GENERAL SERVICES 125638,A000000,01600,0000,1600SKILLED NURSING FACILITY 125638,A000000,01800,0000,1800NURSING FACILITY 125638,A000000,01810,0000,1810ICF/MR 125638,A000000,01900,0000,1900OTHER LONG TERM CARE 125638,A000000,02100,0000,2100RADIOLOGY 125638,A000000,02200,0000,2200LABORATORY 125638,A000000,02300,0000,2300INTRAVENOUS THERAPY 125638,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125638,A000000,02500,0000,2500PHYSICAL THERAPY 125638,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125638,A000000,02700,0000,2700SPEECH PATHOLOGY 125638,A000000,02800,0000,2800ELECTROCARDIOLOGY 125638,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 125638,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125638,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 125638,A000000,03200,0000,3200SUPPORT SURFACES 125638,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125638,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CEN 125638,A000000,03302,0000,3052ROUTINE MEDICAL EQUIPMENT 125638,A000000,03400,0000,3400CLINIC 125638,A000000,03500,0000,3500RURAL HEALTH CLINIC 125638,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125638,A000000,04800,0000,4800AMBULANCE 125638,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 125638,A000000,05000,0000,5000CORF 125638,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125638,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 125638,A000000,05300,0000,5300INTEREST EXPENSE 125638,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 125638,A000000,05500,0000,5500HOSPICE 125638,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125638,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 125638,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125638,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 125638,A000000,06100,0000,6100NONPAID WORKERS 125638,A000000,06200,0000,6200PATIENTS LAUNDRY 125638,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125638,A81000A,00100,0100,Y 125638,A81000B,00100,0300,ADMINISTRATOR-W.E.ULLUM 125638,A81000B,00200,0300,OFFICER-K. WATSON 125638,A81000C,00100,0100,A 125638,A81000C,00100,0200,W.E.ULLUM 125638,A81000C,00100,0400,LEBANON HEALTH CARE 125638,A81000C,00100,0600,ADMINISTRATOR 125638,A81000C,00200,0100,F 125638,A81000C,00200,0200,KELLY WATSON 125638,A81000C,00200,0400,LEBANON HEALTH CARE 125638,A81000C,00200,0600,OFFICER 125638,A81000C,00300,0100,A 125638,A81000C,00300,0200,W.E. ULLUM 125638,A81000C,00300,0400,WILMINGTON HEALTH CARE 125638,A81000C,00300,0600,ASST. ADMINISTRATOR 125638,A81000C,00400,0100,F 125638,A81000C,00400,0200,KELLY WATSON 125638,A81000C,00400,0400,WILMINGTON HEALTH CARE 125638,A81000C,00400,0600,OFFICER 125638,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 125638,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 125638,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 125638,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 125638,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 125638,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 125638,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 125638,B100000,00000,0800,0850PATIENT DAYS :DIETARY 125638,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 125638,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 125638,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 125638,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 125638,S000000,00100,0200,04/17/00 125638,S200000,00100,0100,115 OREGONIA ROAD 125638,S200000,00200,0100,LEBANON 125638,S200000,00200,0200,OH 125638,S200000,00200,0300,45036- 125638,S200000,00300,0100,WARREN 125638,S200000,00300,0200,1640 125638,S200000,00300,0300,U 125638,S200000,00400,0100,LEBANON HEALTH CARE 125638,S200000,00400,0200,365690 125638,S200000,00400,0300,12/26/86 125638,S200000,00400,0500,P 125638,S200000,01500,0100,N 125638,S200000,01600,0100,Y 125638,S200000,01700,0100,N 125638,S200000,01800,0100,N 125638,S200000,02200,0100,N 125638,S200000,02800,0100,N 125638,S200000,02900,0100,N 125638,S200000,03000,0100,N 125638,S200000,03100,0100,N 125638,S200000,03200,0100,N 125638,S200000,04100,0100,N 125638,S200000,04200,0100,N 125638,S200000,04300,0100,N 125638,S200000,04600,0100,N 125638,S200000,04700,0100,N 125638,S200000,04700,0200,N 125638,S200000,04900,0100,N 125638,S200000,05000,0100,N 125638,S200000,05100,0100,N 125638,S200000,05200,0100,N 125651,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125651,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125651,A000000,00300,0000,0300EMPLOYEE BENEFITS 125651,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125651,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125651,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125651,A000000,00700,0000,0700HOUSEKEEPING 125651,A000000,00800,0000,0800DIETARY 125651,A000000,00900,0000,0900NURSING ADMINISTRATION 125651,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125651,A000000,01100,0000,1100PHARMACY 125651,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125651,A000000,01300,0000,1300SOCIAL SERVICE 125651,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125651,A000000,01500,0000,1350ACTIVITIES 125651,A000000,01600,0000,1600SKILLED NURSING FACILITY 125651,A000000,01800,0000,1800NURSING FACILITY 125651,A000000,01810,0000,1810ICF/MR 125651,A000000,02100,0000,2100RADIOLOGY 125651,A000000,02200,0000,2200LABORATORY 125651,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125651,A000000,02500,0000,2500PHYSICAL THERAPY 125651,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125651,A000000,02700,0000,2700SPEECH PATHOLOGY 125651,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125651,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125651,A000000,03550,0000,3550FQHC 125651,A000000,05000,0000,5000CORF 125651,A000000,05010,0000,5010CMHC 125651,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125651,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125651,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125651,A000000,05300,0000,5300INTEREST EXPENSE 125651,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125651,A000000,06300,0000,6150OTHER NONREIMBURSABLE 0 125651,A81000A,00100,0100,Y 125651,A81000B,00100,0300,DIETARY 125651,A81000B,00200,0300,ACCOUNTING SERVICES 125651,A81000B,00300,0300,PURCHASING & STOCKING 125651,A81000B,00400,0300,INFORMATION RESOURCES 125651,A81000B,00500,0300,MAINTENANCE 125651,A81000B,00600,0300,CORPORATE OVERHEAD 125651,A81000B,00700,0300,PHYSICAL THERAPY 125651,A81000B,00800,0300,OCCUPATIONAL THERAPY 125651,A81000B,00900,0300,SPEECH THERAPY 125651,A81000B,01100,0300,HEALTH INSURANCE ADMIN 125651,A81000B,01200,0300,HEALTH INSURANCE 125651,A81000C,00100,0100,B 125651,A81000C,00100,0200,MMC-GLADWIN 125651,A81000C,00100,0400,MMC-GLADWIN 125651,A81000C,00100,0600,HEALTHCARE 125651,A81000C,00200,0100,B 125651,A81000C,00200,0200,MMC-GLADWIN 125651,A81000C,00200,0400,MMC-GLADWIN 125651,A81000C,00200,0600,HEALTHCARE 125651,A81000C,00300,0100,B 125651,A81000C,00300,0200,MMC-GLADWIN 125651,A81000C,00300,0400,MMC-GLADWIN 125651,A81000C,00300,0600,HEALTHCARE 125651,A81000C,00400,0100,B 125651,A81000C,00400,0200,MMC-MIDLAND 125651,A81000C,00400,0400,MMC-MIDLAND 125651,A81000C,00400,0600,HEALTHCARE 125651,A81000C,00500,0100,B 125651,A81000C,00500,0200,MMC-GLADWIN 125651,A81000C,00500,0400,MMC-GLADWIN 125651,A81000C,00500,0600,HEALTHCARE 125651,A81000C,00600,0100,B 125651,A81000C,00600,0200,MIDMICH HEALTH 125651,A81000C,00600,0400,MIDMICH HEALTH 125651,A81000C,00600,0600,HEALTHCARE 125651,A81000C,00700,0100,B 125651,A81000C,00700,0200,MMC-MIDLAND 125651,A81000C,00700,0400,MMC-MIDLAND 125651,A81000C,00700,0600,HEALTHCARE 125651,A81000C,00800,0100,B 125651,A81000C,00800,0200,MMC-MIDLAND 125651,A81000C,00800,0400,MMC-MIDLAND 125651,A81000C,00800,0600,HEALTHCARE 125651,A81000C,00900,0100,B 125651,A81000C,00900,0200,MMC-MIDLAND 125651,A81000C,00900,0400,MMC-MIDLAND 125651,A81000C,00900,0600,HEALTHCARE 125651,A81000C,01100,0100,B 125651,A81000C,01100,0200,MHN 125651,A81000C,01100,0400,MHN 125651,A81000C,01100,0600,HEALTHCARE 125651,A81000C,01200,0100,B 125651,A81000C,01200,0200,MMC-MIDLAND 125651,A81000C,01200,0400,MMC-MIDLAND 125651,A81000C,01200,0600,HEALTHCARE 125651,B100000,00000,0100,0100SQUARE FEET 125651,B100000,00000,0200,0200DOLLAR VALUE 125651,B100000,00000,0300,0300GROSS SALARIES 125651,B100000,00000,0400,0400ACCUM. COST 125651,B100000,00000,0500,0500SQUARE FEET 125651,B100000,00000,0600,0600POUNDS OF LAUNDRY 125651,B100000,00000,0700,0700HOURS OF SERVICE 125651,B100000,00000,0800,0800MEALS SERVED 125651,B100000,00000,0900,0900DIRECT NRSING HRS 125651,B100000,00000,1000,1000COSTED REQUIS. 125651,B100000,00000,1100,1100COSTED REQUIS. 125651,B100000,00000,1200,1200TIME SPENT 125651,B100000,00000,1300,1300TIME SPENT 125651,B100000,00000,1400,1400ASSIGNED TIME 125651,B100000,00000,1500,1350OTHER 125651,S000000,00100,0200,12/22/00 125651,S200000,00100,0100,449 QUARTER 125651,S200000,00200,0100,GLADWIN 125651,S200000,00200,0200,MI 125651,S200000,00200,0300,48624 125651,S200000,00300,0100, GLADWIN 0 125651,S200000,00300,0200,23 125651,S200000,00300,0300,R 125651,S200000,00400,0100,MIDMICHIGAN GLADWIN PINES 125651,S200000,00400,0200,235485 125651,S200000,00400,0300,06/14/89 125651,S200000,00400,0500,P 125651,S200000,00600,0200,235485 125651,S200000,00600,0300,06/14/89 125651,S200000,00600,0600,O 125651,S200000,01500,0100,N 125651,S200000,01600,0100,Y 125651,S200000,01700,0100,N 125651,S200000,01800,0100,N 125651,S200000,01900,0100,NON PROFIT CORPORATION 125651,S200000,02200,0100,Y 125651,S200000,02800,0100,Y 125651,S200000,02900,0100,N 125651,S200000,03000,0100,N 125651,S200000,03100,0100,N 125651,S200000,03200,0100,N 125651,S200000,03300,0100,N 125651,S200000,03300,0200,N 125651,S200000,03500,0300,N 125651,S200000,04100,0100,N 125651,S200000,04200,0100,N 125651,S200000,04300,0100,N 125651,S200000,04600,0100,N 125651,S200000,04700,0100,N 125651,S200000,04900,0100,N 125651,S200000,05200,0100,N 125655,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125655,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125655,A000000,00300,0000,0300EMPLOYEE BENEFITS 125655,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125655,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125655,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125655,A000000,00700,0000,0700HOUSEKEEPING 125655,A000000,00800,0000,0800DIETARY 125655,A000000,00900,0000,0900NURSING ADMINISTRATION 125655,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125655,A000000,01100,0000,1100PHARMACY 125655,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125655,A000000,01300,0000,1300SOCIAL SERVICE 125655,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125655,A000000,01600,0000,1600SKILLED NURSING FACILITY 125655,A000000,01800,0000,1800NURSING FACILITY 125655,A000000,01810,0000,1810ICF/MR 125655,A000000,01900,0000,1900OTHER LONG TERM CARE 125655,A000000,02100,0000,2100RADIOLOGY 125655,A000000,02200,0000,2200LABORATORY 125655,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 125655,A000000,02500,0000,2500PHYSICAL THERAPY 125655,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125655,A000000,02700,0000,2700SPEECH PATHOLOGY 125655,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125655,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125655,A000000,03550,0000,3550FQHC 125655,A000000,05000,0000,5000CORF 125655,A000000,05010,0000,5010CMHC 125655,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125655,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125655,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125655,A000000,05900,0000,5900BARBER & BEAUTY SHOP 125655,A000000,06200,0000,6200PATIENTS LAUNDRY 125655,A000000,06300,0000,6150APARTMENTS/ALZHEIMERS UNIT 125655,A81000A,00100,0100,Y 125655,A81000B,00100,0300,HOME OFFICE COSTS 125655,A81000B,00200,0300,HOME OFFICE COSTS 125655,A81000B,00300,0300,CONTRACT THERAPY 125655,A81000B,00400,0300,CONTRACT THERAPY 125655,A81000B,00500,0300,CONTRACT THERAPY 125655,A81000C,00100,0100,B 125655,A81000C,00100,0400,MERCY CONTINUIN 125655,A81000C,00100,0600,LONG TERM CARE 125655,A81000C,00200,0100,B 125655,A81000C,00200,0400,MERCY CONTINUIN 125655,A81000C,00200,0600,LONG TERM CARE 125655,A81000C,00300,0100,B 125655,A81000C,00300,0400,GARY NEDERVELD 125655,A81000C,00300,0600,CONTRACT THERAP 125655,A81000C,00400,0100,B 125655,A81000C,00400,0400,GARY NEDERVELD 125655,A81000C,00400,0600,CONTRACT THERAP 125655,A81000C,00500,0100,B 125655,A81000C,00500,0400,GART NEDERVELD 125655,A81000C,00500,0600,CONTRACT THERAP 125655,B100000,00000,0100,0100SQUARE FEET 125655,B100000,00000,0200,0200SQUARE FEET 125655,B100000,00000,0300,0300SQUARE FEET 125655,B100000,00000,0400,0400ACCUM COST 125655,B100000,00000,0500,0500SQUARE FEET 125655,B100000,00000,0600,0600LAUNDRY POUNDS 125655,B100000,00000,0700,0700SQUARE FEET 125655,B100000,00000,0800,0800MEALS SERVED 125655,B100000,00000,0900,0900PATIENT DAYS 125655,B100000,00000,1000,1000COSTED REQUIS 125655,B100000,00000,1100,1100COSTED REQUIS 125655,B100000,00000,1200,1200TIME SPENT 125655,B100000,00000,1300,1300PATIENT DAYS 125655,B100000,00000,1400,1400ASSIGNED TIME 125655,E10A180,00501,0100,12/12/01 125655,E10A180,00550,0300,12/12/01 125655,S000000,00100,0200,12/28/00 125655,S200000,00100,0100,873 WEST AVON ROAD 125655,S200000,00200,0100,ROCHESTER HILLS 125655,S200000,00200,0200,MI 125655,S200000,00200,0300,48307 125655,S200000,00300,0100,O 125655,S200000,00300,0200,2160 125655,S200000,00300,0300,U 125655,S200000,00400,0100,MERCY BELLBROOK 125655,S200000,00400,0200,235470 125655,S200000,00400,0300,07/18/88 125655,S200000,00400,0500,P 125655,S200000,00400,0600,O 125655,S200000,00600,0200,950516 125655,S200000,00600,0300,07/18/88 125655,S200000,00600,0600,O 125655,S200000,01500,0100,N 125655,S200000,01600,0100,Y 125655,S200000,01700,0100,N 125655,S200000,01800,0100,N 125655,S200000,01900,0100,501C3 125655,S200000,02200,0100,Y 125655,S200000,02800,0100,N 125655,S200000,02900,0100,N 125655,S200000,03000,0100,N 125655,S200000,03100,0100,N 125655,S200000,03200,0100,N 125655,S200000,03300,0100,N 125655,S200000,03300,0200,N 125655,S200000,03500,0300,N 125655,S200000,04100,0100,N 125655,S200000,04200,0100,N 125655,S200000,04300,0100,Y 125655,S200000,04600,0100,N 125655,S200000,04700,0100,N 125655,S200000,04900,0100,N 125655,S200000,05200,0100,N 125658,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125658,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125658,A000000,00300,0000,0300EMPLOYEE BENEFITS 125658,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125658,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125658,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125658,A000000,00700,0000,0700HOUSEKEEPING 125658,A000000,00800,0000,0800DIETARY 125658,A000000,00900,0000,0900NURSING ADMINISTRATION 125658,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125658,A000000,01100,0000,1100PHARMACY 125658,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125658,A000000,01300,0000,1300SOCIAL SERVICE 125658,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125658,A000000,01500,0000,1350ACTIVITIES 125658,A000000,01600,0000,1600SKILLED NURSING FACILITY 125658,A000000,01800,0000,1800NURSING FACILITY 125658,A000000,01810,0000,1810ICF/MR 125658,A000000,02100,0000,2100RADIOLOGY 125658,A000000,02200,0000,2200LABORATORY 125658,A000000,02500,0000,2500PHYSICAL THERAPY 125658,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125658,A000000,02700,0000,2700SPEECH PATHOLOGY 125658,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125658,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125658,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125658,A000000,03550,0000,3550FQHC 125658,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 125658,A000000,04800,0000,4800AMBULANCE 125658,A000000,05000,0000,5000CORF 125658,A000000,05010,0000,5010CMHC 125658,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125658,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125658,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125658,A000000,05100,0000,4750OTHER REIMBURSABLE COST 125658,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 125658,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 125658,A81000A,00100,0100,Y 125658,A81000B,00100,0300,MANAGEMENT FEE - HOME OFFICE 125658,A81000C,00100,0100,B 125658,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 125658,B100000,00000,0100,0100SQUARE FEET 125658,B100000,00000,0200,0200SQUARE FEET 125658,B100000,00000,0300,0300GROSS SALARIES 125658,B100000,00000,0400,0400ACCUM. COST 125658,B100000,00000,0500,0500SQUARE FEET 125658,B100000,00000,0600,0600PATIENT DAYS 125658,B100000,00000,0700,0700PATIENT DAYS 125658,B100000,00000,0800,0800MEALS SERVED 125658,B100000,00000,0900,0900DIRECT NRSING $$$ 125658,B100000,00000,1000,1000COSTED REQUIS. 125658,B100000,00000,1100,1100COSTED REQUIS. 125658,B100000,00000,1200,1200PATIENT DAYS 125658,B100000,00000,1300,1300PATIENT DAYS 125658,B100000,00000,1400,1400ASSIGNED TIME 125658,B100000,00000,1500,1350PATIENT DAYS 125658,S000000,00100,0200,12/06/00 125658,S200000,00100,0100,1451 BRONSON WAY 125658,S200000,00200,0100,KALAMAZOO 125658,S200000,00200,0200,MI 125658,S200000,00200,0300,49009 125658,S200000,00300,0100,KALAMAZOO 125658,S200000,00300,0200,3720 125658,S200000,00300,0300,U 125658,S200000,00400,0100,THE SPRINGS AT THE FOUNTAINS 125658,S200000,00400,0200,235524 125658,S200000,00400,0300,04/28/92 125658,S200000,00400,0500,P 125658,S200000,01500,0100,N 125658,S200000,01600,0100,Y 125658,S200000,01700,0100,N 125658,S200000,01800,0100,N 125658,S200000,02200,0100,N 125658,S200000,02800,0100,N 125658,S200000,02900,0100,N 125658,S200000,03000,0100,N 125658,S200000,03100,0100,N 125658,S200000,03200,0100,N 125658,S200000,03300,0100,N 125658,S200000,03300,0200,N 125658,S200000,04100,0100,N 125658,S200000,04200,0100,N 125658,S200000,04300,0100,N 125658,S200000,04600,0100,N 125658,S200000,04700,0100,N 125658,S200000,04900,0100,N 125658,S200000,05200,0100,N 125661,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125661,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125661,A000000,00300,0000,0300EMPLOYEE BENEFITS 125661,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125661,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125661,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125661,A000000,00700,0000,0700HOUSEKEEPING 125661,A000000,00800,0000,0800DIETARY 125661,A000000,00900,0000,0900NURSING ADMINISTRATION 125661,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125661,A000000,01100,0000,1100PHARMACY 125661,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125661,A000000,01300,0000,1300SOCIAL SERVICE 125661,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125661,A000000,01600,0000,1600SKILLED NURSING FACILITY 125661,A000000,01800,0000,1800NURSING FACILITY 125661,A000000,01810,0000,1810ICF/MR 125661,A000000,02100,0000,2100RADIOLOGY 125661,A000000,02200,0000,2200LABORATORY 125661,A000000,02300,0000,2300INTRAVENOUS THERAPY 125661,A000000,02500,0000,2500PHYSICAL THERAPY 125661,A000000,02600,0000,2600OCCUPATIONAL THERAPY 125661,A000000,02700,0000,2700SPEECH PATHOLOGY 125661,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125661,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125661,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 125661,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 125661,A000000,03302,0000,3052MEDICAL EQUIPMENT 125661,A000000,03550,0000,3550FQHC 125661,A000000,05000,0000,5000CORF 125661,A000000,05010,0000,5010CMHC 125661,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125661,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125661,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125661,A81000A,00100,0100,N 125661,B100000,00000,0100,0100SQUARE FEET 125661,B100000,00000,0200,0200SQUARE FEET 125661,B100000,00000,0300,0300GROSS SALARIES 125661,B100000,00000,0400,0400ACCUM. COST 125661,B100000,00000,0500,0500SQUARE FEET 125661,B100000,00000,0600,0600PATIENT DAYS 125661,B100000,00000,0700,0700ALTERNATE SQUARE FEE 125661,B100000,00000,0800,0800PATIENT DAYS 125661,B100000,00000,0900,0900PATIENT DAYS 125661,B100000,00000,1000,1000COSTED REQUIS 125661,B100000,00000,1100,1100COSTED REQUIS 125661,B100000,00000,1200,1200GROSS REVENUE 125661,B100000,00000,1300,1300PATIENT DAYS 125661,B100000,00000,1400,1400ASSIGNED TIME 125661,E10A180,00301,0100,01/24/00 125661,E10A180,00301,0300,01/24/00 125661,E10A180,00302,0100,06/12/00 125661,E10A180,00302,0300,01/28/02 125661,E10A180,00303,0100,08/21/00 125661,E10A180,00304,0100,06/30/00 125661,E10A180,00305,0100,07/03/00 125661,E10A180,00350,0100,06/22/98 125661,E10A180,00350,0300,06/22/98 125661,E10A180,00550,0100,01/18/01 125661,E10A180,00550,0300,01/18/01 125661,E10A180,00551,0100,01/28/02 125661,S000000,00100,0200,01/03/01 125661,S200000,00100,0100,103 N. 13TH STREET 125661,S200000,00200,0100,FRANKLIN 125661,S200000,00200,0200,PA 125661,S200000,00200,0300,16323 125661,S200000,00300,0100,V 125661,S200000,00300,0200,9939 125661,S200000,00300,0300,R 125661,S200000,00400,0100,THE CARING PLACE 125661,S200000,00400,0200,395959 125661,S200000,00400,0300,09/28/95 125661,S200000,00400,0500,P 125661,S200000,01500,0100,N 125661,S200000,01600,0100,Y 125661,S200000,01700,0100,N 125661,S200000,01800,0100,N 125661,S200000,02200,0100,N 125661,S200000,02800,0100,N 125661,S200000,02900,0100,N 125661,S200000,03000,0100,N 125661,S200000,03100,0100,N 125661,S200000,03200,0100,N 125661,S200000,03300,0100,N 125661,S200000,03300,0200,N 125661,S200000,04100,0100,N 125661,S200000,04200,0100,N 125661,S200000,04300,0100,N 125661,S200000,04600,0100,N 125661,S200000,04700,0100,N 125661,S200000,04900,0100,N 125661,S200000,05200,0100,N 125960,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 125960,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 125960,A000000,00300,0000,0300EMPLOYEE BENEFITS 125960,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 125960,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 125960,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 125960,A000000,00700,0000,0700HOUSEKEEPING 125960,A000000,00800,0000,0800DIETARY 125960,A000000,00900,0000,0900NURSING ADMINISTRATION 125960,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 125960,A000000,01100,0000,1100PHARMACY 125960,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 125960,A000000,01300,0000,1300SOCIAL SERVICE 125960,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 125960,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 125960,A000000,01600,0000,1600SKILLED NURSING FACILITY 125960,A000000,01810,0000,1810ICF/MR 125960,A000000,02100,0000,2100RADIOLOGY 125960,A000000,02200,0000,2200LABORATORY 125960,A000000,02500,0000,2500PHYSICAL THERAPY 125960,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 125960,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 125960,A000000,03550,0000,3550FQHC 125960,A000000,04800,0000,4800AMBULANCE 125960,A000000,05000,0000,5000CORF 125960,A000000,05010,0000,5010CMHC 125960,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 125960,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 125960,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 125960,A81000A,00100,0100,N 125960,B100000,00000,0100,0100SQUARE FEET 125960,B100000,00000,0200,0200SQUARE FEET 125960,B100000,00000,0300,0300GROSS SALARIES 125960,B100000,00000,0400,0400ACCUM COST 125960,B100000,00000,0500,0500SQUARE FEET 125960,B100000,00000,0600,0600PATIENT DAYS 125960,B100000,00000,0700,0700SQUARE FEET 125960,B100000,00000,0800,0800MEALS SERVED 125960,B100000,00000,0900,0900PATIENT DAYS 125960,B100000,00000,1000,1000COSTED REQUIS 125960,B100000,00000,1100,1100COSTED REQUIS 125960,B100000,00000,1200,1200PATIENT DAYS 125960,B100000,00000,1300,1300PATIENT DAYS 125960,B100000,00000,1400,1400ASSIGNED TIME 125960,B100000,00000,1500,1350PATIENT DAYS 125960,S000000,00100,0200,02/21/01 125960,S200000,00100,0100,211 W. WALLACE 125960,S200000,00200,0100,ASHLEY 125960,S200000,00200,0200,MI 125960,S200000,00200,0300,48806 125960,S200000,00300,0200,9923 125960,S200000,00300,0300,R 125960,S200000,00400,0100,ASHLEY HEALTHCARE CENTER 125960,S200000,00400,0200,235532 125960,S200000,00400,0300,06/01/92 125960,S200000,00400,0500,P 125960,S200000,01500,0100,Y 125960,S200000,01600,0100,N 125960,S200000,01700,0100,N 125960,S200000,01800,0100,N 125960,S200000,01900,0100,COMMUNITY TRUST/503C 125960,S200000,02200,0100,N 125960,S200000,02800,0100,Y 125960,S200000,02900,0100,N 125960,S200000,03000,0100,N 125960,S200000,03100,0100,N 125960,S200000,03200,0100,N 125960,S200000,03300,0100,N 125960,S200000,03300,0200,N 125960,S200000,04100,0100,N 125960,S200000,04200,0100,N 125960,S200000,04300,0100,N 125960,S200000,04600,0100,N 125960,S200000,04700,0100,N 125960,S200000,04900,0100,N 125960,S200000,05200,0100,N 126004,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126004,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126004,A000000,00300,0000,0300EMPLOYEE BENEFITS 126004,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126004,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126004,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126004,A000000,00700,0000,0700HOUSEKEEPING 126004,A000000,00800,0000,0800DIETARY 126004,A000000,00900,0000,0900NURSING ADMINISTRATION 126004,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126004,A000000,01100,0000,1100PHARMACY 126004,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126004,A000000,01300,0000,1300SOCIAL SERVICE 126004,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126004,A000000,01500,0000,1350ACTIVITIES 126004,A000000,01800,0000,1800NURSING FACILITY 126004,A000000,01810,0000,1810ICF/MR 126004,A000000,02100,0000,2100RADIOLOGY 126004,A000000,02200,0000,2200LABORATORY 126004,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126004,A000000,02500,0000,2500PHYSICAL THERAPY 126004,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126004,A000000,02700,0000,2700SPEECH PATHOLOGY 126004,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126004,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126004,A000000,03201,0000,3201DME RENTED 126004,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126004,A000000,03550,0000,3550FQHC 126004,A000000,05000,0000,5000CORF 126004,A000000,05010,0000,5010CMHC 126004,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126004,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126004,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126004,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126004,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126004,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126004,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126004,A81000A,00100,0100,Y 126004,A81000B,00100,0300,PHYSICAL THERAPY 126004,A81000B,00200,0300,OCCUPATIONAL THERAPY 126004,A81000B,00300,0300,SPEECH THERAPY 126004,A81000C,00100,0100,A 126004,A81000C,00100,0200,LTHC 126004,A81000C,00100,0400,PINON HN 126004,A81000C,00100,0600,THERAPY SERVICE 126004,A81000C,00200,0100,A 126004,A81000C,00200,0200,LTHC 126004,A81000C,00200,0400,PINON HN 126004,A81000C,00200,0600,THERAPY SERVICE 126004,A81000C,00300,0100,A 126004,A81000C,00300,0200,LTHC 126004,A81000C,00300,0400,PINON HN 126004,A81000C,00300,0600,THERAPY SERVICE 126004,B100000,00000,0100,0100SQUARE FEET 126004,B100000,00000,0200,0200SQUARE FEET 126004,B100000,00000,0300,0300GROSS SALARIES 126004,B100000,00000,0400,0400ACCUM. COST 126004,B100000,00000,0500,0500SQUARE FEET 126004,B100000,00000,0600,0600PATIENT DAYS 126004,B100000,00000,0700,0700SQUARE FEET 126004,B100000,00000,0800,0800MEALS SERVED 126004,B100000,00000,0900,0900PATIENT DAYS 126004,B100000,00000,1000,1000PATIENT DAYS 126004,B100000,00000,1100,1100NO STATISTICS 126004,B100000,00000,1200,1200PATIENT DAYS 126004,B100000,00000,1300,1300PATIENT DAYS 126004,B100000,00000,1400,1400ASSIGNED TIME 126004,B100000,00000,1500,1350PATIENT DAYS 126004,S000000,00100,0200,06/05/00 126004,S200000,00100,0100,1610 SCRANTON AVE 126004,S200000,00200,0100,PUEBLO 126004,S200000,00200,0200,CO 126004,S200000,00200,0300,81004 126004,S200000,00300,0100,PUEBLO 126004,S200000,00400,0100,WESTWIND SPECIAL CARE CENTER 126004,S200000,00400,0200,065236 126004,S200000,00400,0300,04/01/97 126004,S200000,00400,0500,P 126004,S200000,01500,0100,N 126004,S200000,01600,0100,Y 126004,S200000,01700,0100,N 126004,S200000,01800,0100,N 126004,S200000,02200,0100,N 126004,S200000,02800,0100,Y 126004,S200000,02900,0100,N 126004,S200000,03000,0100,N 126004,S200000,03100,0100,Y 126004,S200000,03200,0100,N 126004,S200000,03300,0100,N 126004,S200000,03300,0200,N 126004,S200000,04100,0100,N 126004,S200000,04200,0100,N 126004,S200000,04300,0100,N 126004,S200000,04600,0100,N 126004,S200000,04700,0100,N 126004,S200000,04700,0200,N 126004,S200000,04900,0100,N 126128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126128,A000000,00300,0000,0300EMPLOYEE BENEFITS 126128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126128,A000000,00700,0000,0700HOUSEKEEPING 126128,A000000,00800,0000,0800DIETARY 126128,A000000,00900,0000,0900NURSING ADMINISTRATION 126128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126128,A000000,01300,0000,1300SOCIAL SERVICE 126128,A000000,01600,0000,1600SKILLED NURSING FACILITY 126128,A000000,01800,0000,1800NURSING FACILITY 126128,A000000,01900,0000,1900OTHER LONG TERM CARE 126128,A000000,02100,0000,2100RADIOLOGY 126128,A000000,02200,0000,2200LABORATORY 126128,A000000,02300,0000,2300INTRAVENOUS THERAPY 126128,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126128,A000000,02500,0000,2500PHYSICAL THERAPY 126128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126128,A000000,02700,0000,2700SPEECH PATHOLOGY 126128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126128,A000000,03200,0000,3200SUPPORT SURFACES 126128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126128,A000000,04800,0000,4800AMBULANCE 126128,A000000,05300,0000,5300INTEREST EXPENSE 126128,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126128,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126128,A000000,06200,0000,6200PATIENTS LAUNDRY 126128,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126128,A81000A,00100,0100,Y 126128,A81000B,00100,0300,A & G 126128,A81000B,00200,0300,PT 126128,A81000B,00300,0300,OT 126128,A81000B,00400,0300,ST 126128,A81000C,00100,0100,D 126128,A81000C,00100,0200,ANDY MARTINI 126128,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 126128,A81000C,00100,0600,MANAGEMENT SERVICE 126128,A81000C,00200,0100,B 126128,A81000C,00200,0200,EVERGREEN HEALTHCARE 126128,A81000C,00200,0400,EVERGREEN ANCILLARY 126128,A81000C,00200,0600,THERAPY SERVICE 126128,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126128,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 126128,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126128,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126128,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126128,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 126128,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126128,B100000,00000,0800,0800MEALS SERVED :DIETARY 126128,B100000,00000,0900,0950DIRECT NRSG :NURSING ADMINISTRA 126128,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 126128,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 126128,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 126128,S000000,00100,0200,06/05/00 126128,S200000,00100,0100,1015 LONG ROAD 126128,S200000,00200,0100,CENTALIA 126128,S200000,00200,0200,WA 126128,S200000,00200,0300,98531- 126128,S200000,00300,0100,LEWIS 126128,S200000,00300,0200,50 126128,S200000,00300,0300,R 126128,S200000,00400,0100,EVERGREEN CENTRALIA HEALTH & REHAB 126128,S200000,00400,0200,505281 126128,S200000,00400,0300,03/01/85 126128,S200000,00400,0500,P 126128,S200000,01500,0100,N 126128,S200000,01600,0100,Y 126128,S200000,01700,0100,N 126128,S200000,01800,0100,N 126128,S200000,02200,0100,N 126128,S200000,02800,0100,N 126128,S200000,02900,0100,N 126128,S200000,03000,0100,N 126128,S200000,03100,0100,N 126128,S200000,03200,0100,N 126128,S200000,04100,0100,N 126128,S200000,04200,0100,N 126128,S200000,04300,0100,N 126128,S200000,04600,0100,N 126128,S200000,04700,0100,N 126128,S200000,04700,0200,N 126128,S200000,04900,0100,N 126128,S200000,05000,0100,N 126128,S200000,05100,0100,N 126128,S200000,05200,0100,N 126129,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126129,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126129,A000000,00300,0000,0300EMPLOYEE BENEFITS 126129,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126129,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126129,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126129,A000000,00700,0000,0700HOUSEKEEPING 126129,A000000,00800,0000,0800DIETARY 126129,A000000,00900,0000,0900NURSING ADMINISTRATION 126129,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126129,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126129,A000000,01300,0000,1300SOCIAL SERVICE 126129,A000000,01600,0000,1600SKILLED NURSING FACILITY 126129,A000000,01800,0000,1800NURSING FACILITY 126129,A000000,01900,0000,1900OTHER LONG TERM CARE 126129,A000000,02100,0000,2100RADIOLOGY 126129,A000000,02200,0000,2200LABORATORY 126129,A000000,02300,0000,2300INTRAVENOUS THERAPY 126129,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126129,A000000,02500,0000,2500PHYSICAL THERAPY 126129,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126129,A000000,02700,0000,2700SPEECH PATHOLOGY 126129,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126129,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126129,A000000,03200,0000,3200SUPPORT SURFACES 126129,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126129,A000000,04800,0000,4800AMBULANCE 126129,A000000,05300,0000,5300INTEREST EXPENSE 126129,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126129,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126129,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126129,A000000,06200,0000,6200PATIENTS LAUNDRY 126129,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126129,A81000A,00100,0100,Y 126129,A81000B,00100,0300,A & G 126129,A81000B,00200,0300,PT 126129,A81000B,00300,0300,OT 126129,A81000B,00400,0300,ST 126129,A81000C,00100,0100,D 126129,A81000C,00100,0200,ANDY MARTINI 126129,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 126129,A81000C,00100,0600,MANAGEMENT SERVICES 126129,A81000C,00200,0100,B 126129,A81000C,00200,0200,EVERGREEN HEALTHCARE 126129,A81000C,00200,0400,EVERGREEN ANCILLARY 126129,A81000C,00200,0600,THERAPY SERVICES 126129,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126129,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 126129,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126129,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126129,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126129,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 126129,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126129,B100000,00000,0800,0800MEALS SERVED :DIETARY 126129,B100000,00000,0900,0950DIRECT NRSG :NURSING ADMINISTRA 126129,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 126129,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 126129,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 126129,S000000,00100,0200,06/05/00 126129,S200000,00100,0100,1330 11TH AVE 126129,S200000,00200,0100,LONGVIEW 126129,S200000,00200,0200,WA 126129,S200000,00200,0300,98632- 126129,S200000,00300,0100,COWLITZ 126129,S200000,00300,0200,50 126129,S200000,00300,0300,R 126129,S200000,00400,0100,EVERGREEN MANOR HLTH & REHAB CTR 126129,S200000,00400,0200,505253 126129,S200000,00400,0300,01/01/79 126129,S200000,00400,0500,P 126129,S200000,01500,0100,N 126129,S200000,01600,0100,Y 126129,S200000,01700,0100,N 126129,S200000,01800,0100,N 126129,S200000,02200,0100,N 126129,S200000,02800,0100,N 126129,S200000,02900,0100,N 126129,S200000,03000,0100,N 126129,S200000,03100,0100,N 126129,S200000,03200,0100,N 126129,S200000,04100,0100,N 126129,S200000,04200,0100,N 126129,S200000,04300,0100,N 126129,S200000,04600,0100,N 126129,S200000,04700,0100,N 126129,S200000,04700,0200,N 126129,S200000,04900,0100,N 126129,S200000,05000,0100,N 126129,S200000,05100,0100,N 126129,S200000,05200,0100,N 126130,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126130,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126130,A000000,00300,0000,0300EMPLOYEE BENEFITS 126130,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126130,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126130,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126130,A000000,00700,0000,0700HOUSEKEEPING 126130,A000000,00800,0000,0800DIETARY 126130,A000000,00900,0000,0900NURSING ADMINISTRATION 126130,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126130,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126130,A000000,01300,0000,1300SOCIAL SERVICE 126130,A000000,01600,0000,1600SKILLED NURSING FACILITY 126130,A000000,01800,0000,1800NURSING FACILITY 126130,A000000,01900,0000,1900OTHER LONG TERM CARE 126130,A000000,02100,0000,2100RADIOLOGY 126130,A000000,02200,0000,2200LABORATORY 126130,A000000,02300,0000,2300INTRAVENOUS THERAPY 126130,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126130,A000000,02500,0000,2500PHYSICAL THERAPY 126130,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126130,A000000,02700,0000,2700SPEECH PATHOLOGY 126130,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126130,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126130,A000000,03200,0000,3200SUPPORT SURFACES 126130,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126130,A000000,05300,0000,5300INTEREST EXPENSE 126130,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126130,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126130,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126130,A000000,06200,0000,6200PATIENTS LAUNDRY 126130,A81000A,00100,0100,Y 126130,A81000B,00100,0300,A&G 126130,A81000B,00200,0300,PT 126130,A81000B,00300,0300,OT 126130,A81000B,00400,0300,ST 126130,A81000C,00100,0100,D 126130,A81000C,00100,0200,ANDY MARTINI 126130,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 126130,A81000C,00100,0600,MANAGEMENT SERVICE 126130,A81000C,00200,0100,B 126130,A81000C,00200,0200,EVERGREEN HEALTHCARE 126130,A81000C,00200,0400,EVERGREEN ANCILLARY 126130,A81000C,00200,0600,THERAPY SERVICE 126130,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126130,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 126130,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126130,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126130,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126130,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 126130,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126130,B100000,00000,0800,0800MEALS SERVED :DIETARY 126130,B100000,00000,0900,0950DIRECT NRSG :NURSING ADMINISTRA 126130,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 126130,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 126130,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 126130,S000000,00100,0200,06/05/00 126130,S200000,00100,0100, 1500 THIRD AVENUE 126130,S200000,00200,0100,LONGVIEW 126130,S200000,00200,0200,WA 126130,S200000,00200,0300,98632- 126130,S200000,00300,0100,COWLITZ 126130,S200000,00300,0200,50 126130,S200000,00300,0300,R 126130,S200000,00400,0100,FRONTIER REHAB & EXTENDED CARE FACIL 126130,S200000,00400,0200,505276 126130,S200000,00400,0300,01/01/85 126130,S200000,00400,0500,P 126130,S200000,01500,0100,N 126130,S200000,01600,0100,Y 126130,S200000,01700,0100,N 126130,S200000,01800,0100,N 126130,S200000,02200,0100,N 126130,S200000,02800,0100,N 126130,S200000,02900,0100,N 126130,S200000,03000,0100,N 126130,S200000,03100,0100,N 126130,S200000,03200,0100,N 126130,S200000,04100,0100,N 126130,S200000,04200,0100,N 126130,S200000,04300,0100,N 126130,S200000,04600,0100,N 126130,S200000,04700,0100,N 126130,S200000,04700,0200,N 126130,S200000,04900,0100,N 126130,S200000,05000,0100,N 126130,S200000,05100,0100,N 126130,S200000,05200,0100,N 126131,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126131,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126131,A000000,00300,0000,0300EMPLOYEE BENEFITS 126131,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126131,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126131,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126131,A000000,00700,0000,0700HOUSEKEEPING 126131,A000000,00800,0000,0800DIETARY 126131,A000000,00900,0000,0900NURSING ADMINISTRATION 126131,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126131,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126131,A000000,01300,0000,1300SOCIAL SERVICE 126131,A000000,01600,0000,1600SKILLED NURSING FACILITY 126131,A000000,01800,0000,1800NURSING FACILITY 126131,A000000,01900,0000,1900OTHER LONG TERM CARE 126131,A000000,02100,0000,2100RADIOLOGY 126131,A000000,02200,0000,2200LABORATORY 126131,A000000,02300,0000,2300INTRAVENOUS THERAPY 126131,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126131,A000000,02500,0000,2500PHYSICAL THERAPY 126131,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126131,A000000,02700,0000,2700SPEECH PATHOLOGY 126131,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126131,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126131,A000000,03200,0000,3200SUPPORT SURFACES 126131,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126131,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 126131,A000000,05300,0000,5300INTEREST EXPENSE 126131,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126131,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126131,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126131,A000000,06200,0000,6200PATIENTS LAUNDRY 126131,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126131,A81000A,00100,0100,Y 126131,A81000B,00100,0300,A & G 126131,A81000B,00200,0300,PT 126131,A81000B,00300,0300,OT 126131,A81000B,00400,0300,ST 126131,A81000C,00100,0100,D 126131,A81000C,00100,0200,ANDY MARTINI 126131,A81000C,00100,0400,EVERGREEN HEALTHCARE MGMT 126131,A81000C,00100,0600,MANAGEMENT SERVICE 126131,A81000C,00200,0100,B 126131,A81000C,00200,0200,EVERGREEN HEALTHCARE 126131,A81000C,00200,0400,EVERGREEN ANCILLARY 126131,A81000C,00200,0600,THERAPY SERVICE 126131,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126131,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 126131,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126131,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126131,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126131,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 126131,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126131,B100000,00000,0800,0800MEALS SERVED :DIETARY 126131,B100000,00000,0900,0950DIRECT NRSG :NURSING ADMINISTRA 126131,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 126131,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 126131,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 126131,S000000,00100,0200,06/05/00 126131,S200000,00100,0100,917 7TH AVENUE 126131,S200000,00200,0100,LONGVIEW 126131,S200000,00200,0200,WA 126131,S200000,00200,0300,98632- 126131,S200000,00300,0100,COWLITZ 126131,S200000,00300,0200,50 126131,S200000,00300,0300,R 126131,S200000,00400,0100,EVERGREEN AMERICANA HEALTH & REHAB 126131,S200000,00400,0200,505361 126131,S200000,00400,0300,01/01/90 126131,S200000,00400,0500,P 126131,S200000,01500,0100,N 126131,S200000,01600,0100,Y 126131,S200000,01700,0100,N 126131,S200000,01800,0100,N 126131,S200000,02200,0100,N 126131,S200000,02800,0100,N 126131,S200000,02900,0100,N 126131,S200000,03000,0100,N 126131,S200000,03100,0100,N 126131,S200000,03200,0100,N 126131,S200000,04100,0100,N 126131,S200000,04200,0100,N 126131,S200000,04300,0100,N 126131,S200000,04600,0100,N 126131,S200000,04700,0100,N 126131,S200000,04700,0200,N 126131,S200000,04900,0100,N 126131,S200000,05000,0100,N 126131,S200000,05100,0100,N 126131,S200000,05200,0100,N 126135,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126135,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126135,A000000,00300,0000,0300EMPLOYEE BENEFITS 126135,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126135,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126135,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126135,A000000,00700,0000,0700HOUSEKEEPING 126135,A000000,00800,0000,0800DIETARY 126135,A000000,00900,0000,0900NURSING ADMINISTRATION 126135,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126135,A000000,01100,0000,1100PHARMACY 126135,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126135,A000000,01300,0000,1300SOCIAL SERVICE 126135,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126135,A000000,01500,0000,1350OTHER GENERAL SERVICES 126135,A000000,01600,0000,1600SKILLED NURSING FACILITY 126135,A000000,01800,0000,1800NURSING FACILITY 126135,A000000,02100,0000,2100RADIOLOGY 126135,A000000,02200,0000,2200LABORATORY 126135,A000000,02500,0000,2500PHYSICAL THERAPY 126135,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126135,A000000,02700,0000,2700SPEECH PATHOLOGY 126135,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126135,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126135,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126135,A000000,03550,0000,3550FQHC 126135,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126135,A000000,05000,0000,5000CORF 126135,A000000,05010,0000,5010CMHC 126135,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126135,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126135,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126135,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126135,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126135,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126135,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126135,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126135,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126135,A81000A,00100,0100,N 126135,B100000,00000,0100,0100SQ FT 126135,B100000,00000,0200,0200SQ FT 126135,B100000,00000,0300,0300GROSS SALARI 126135,B100000,00000,0400,0400ACCUM. COST 126135,B100000,00000,0500,0500SQ FT 126135,B100000,00000,0600,0600POUNDS 126135,B100000,00000,0700,0700SQ FT 126135,B100000,00000,0800,0800MEALS 126135,B100000,00000,0900,0900NR ADMIN HRS 126135,B100000,00000,1000,1000NO STATISTICS 126135,B100000,00000,1100,1100NO STATISTICS 126135,B100000,00000,1200,1200PT DAYS 126135,B100000,00000,1300,1300PT DAYS 126135,B100000,00000,1400,1400NO STATISTICS 126135,B100000,00000,1500,1350PT DAYS 126135,S000000,00100,0200,09/27/00 126135,S200000,00100,0100,2420 PEMBERTON ROAD 126135,S200000,00200,0100,RICHMOND 126135,S200000,00200,0200,VA 126135,S200000,00200,0300,23233 126135,S200000,00300,0100,HENRICO 126135,S200000,00300,0200,6760 126135,S200000,00300,0300,U 126135,S200000,00400,0100,UNIVERSITY PARK 126135,S200000,00400,0200,495109 126135,S200000,00400,0300,07/01/78 126135,S200000,00400,0500,P 126135,S200000,00600,0200,495109 126135,S200000,00600,0300,07/01/78 126135,S200000,00600,0600,O 126135,S200000,01500,0100,N 126135,S200000,01600,0100,Y 126135,S200000,01700,0100,N 126135,S200000,01800,0100,N 126135,S200000,02200,0100,Y 126135,S200000,02800,0100,N 126135,S200000,02900,0100,N 126135,S200000,03000,0100,N 126135,S200000,03100,0100,N 126135,S200000,03200,0100,N 126135,S200000,03300,0100,N 126135,S200000,03300,0200,N 126135,S200000,03500,0300,N 126135,S200000,04100,0100,N 126135,S200000,04200,0100,N 126135,S200000,04300,0100,N 126135,S200000,04600,0100,N 126135,S200000,04700,0100,N 126135,S200000,04900,0100,N 126135,S200000,05000,0100,N 126135,S200000,05200,0100,N 126142,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126142,A000000,00300,0000,0300EMPLOYEE BENEFITS 126142,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126142,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126142,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126142,A000000,00700,0000,0700HOUSEKEEPING 126142,A000000,00800,0000,0800DIETARY 126142,A000000,00900,0000,0900NURSING ADMINISTRATION 126142,A000000,01300,0000,1300SOCIAL SERVICE 126142,A000000,01600,0000,1600SKILLED NURSING FACILITY 126142,A000000,01800,0000,1800NURSING FACILITY 126142,A000000,02100,0000,2100RADIOLOGY 126142,A000000,02200,0000,2200LABORATORY 126142,A000000,02500,0000,2500PHYSICAL THERAPY 126142,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126142,A000000,02700,0000,2700SPEECH PATHOLOGY 126142,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126142,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126142,A000000,05300,0000,5300INTEREST EXPENSE 126142,A81000A,00100,0100,N 126142,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126142,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126142,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126142,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126142,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 126142,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126142,B100000,00000,0800,0800MEALS SERVED DIETARY 126142,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 126142,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 126142,S000000,00100,0200,11/15/00 126142,S200000,00100,0100,1600 WEST HOBBS STREET 126142,S200000,00200,0100,ATHENS 126142,S200000,00200,0200,AL 126142,S200000,00200,0300,35611 126142,S200000,00300,0100,LIMESTONE 126142,S200000,00300,0200,0001 126142,S200000,00300,0300,U 126142,S200000,00400,0100,LIMESTONE HEALTH FACILITY 126142,S200000,00400,0200,015024 126142,S200000,00400,0300,01/01/67 126142,S200000,00400,0500,P 126142,S200000,00400,0600,N 126142,S200000,01500,0100,N 126142,S200000,01600,0100,Y 126142,S200000,01700,0100,N 126142,S200000,01800,0100,N 126142,S200000,02200,0100,N 126142,S200000,02800,0100,N 126142,S200000,02900,0100,N 126142,S200000,03000,0100,N 126142,S200000,03100,0100,N 126142,S200000,03200,0100,N 126142,S200000,03300,0100,N 126142,S200000,03300,0200,N 126142,S200000,04100,0100,N 126142,S200000,04200,0100,N 126142,S200000,04300,0100,N 126142,S200000,04600,0100,N 126142,S200000,04700,0100,N 126142,S200000,04900,0100,N 126142,S200000,05200,0100,N 126142,S700003,00000,0200,X 126143,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126143,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126143,A000000,00300,0000,0300EMPLOYEE BENEFITS 126143,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126143,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126143,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126143,A000000,00700,0000,0700HOUSEKEEPING 126143,A000000,00800,0000,0800DIETARY 126143,A000000,00900,0000,0900NURSING ADMINISTRATION 126143,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126143,A000000,01100,0000,1100PHARMACY 126143,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126143,A000000,01300,0000,1300SOCIAL SERVICE 126143,A000000,01600,0000,1600SKILLED NURSING FACILITY 126143,A000000,01800,0000,1800NURSING FACILITY 126143,A000000,01900,0000,1900OTHER LONG TERM CARE 126143,A000000,02100,0000,2100RADIOLOGY 126143,A000000,02200,0000,2200LABORATORY 126143,A000000,02300,0000,2300INTRAVENOUS THERAPY 126143,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126143,A000000,02500,0000,2500PHYSICAL THERAPY 126143,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126143,A000000,02700,0000,2700SPEECH PATHOLOGY 126143,A000000,02800,0000,2800ELECTROCARDIOLOGY 126143,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126143,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126143,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126143,A000000,03200,0000,3200SUPPORT SURFACES 126143,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 126143,A000000,04800,0000,4800AMBULANCE 126143,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126143,A000000,05300,0000,5300INTEREST EXPENSE 126143,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126143,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126143,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 126143,A000000,06200,0000,6200PATIENTS LAUNDRY 126143,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126143,A81000A,00100,0100,Y 126143,A81000B,00100,0300,MED SUPPLIES 126143,A81000B,00200,0300,BEDS 126143,A81000B,00300,0300,THERAPY 126143,A81000C,00100,0100,A 126143,A81000C,00100,0200,STOCKHOLDERS 126143,A81000C,00100,0400,GERICARE 126143,A81000C,00100,0600,MED SUPPLIES 126143,A81000C,00200,0100,A 126143,A81000C,00200,0200,STOCKHOLDERS 126143,A81000C,00200,0400,PTI 126143,A81000C,00200,0600,BEDS 126143,A81000C,00300,0100,A 126143,A81000C,00300,0200,STOCKHOLDERS 126143,A81000C,00300,0400,RESTORE 126143,A81000C,00300,0600,THERAPY 126143,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126143,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126143,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126143,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126143,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126143,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126143,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 126143,B100000,00000,0800,0800MEALS SERVED DIETARY 126143,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 126143,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 126143,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 126143,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126143,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126143,S000000,00100,0200,11/20/00 126143,S200000,00100,0100,PINEVIEW AND 3RD AVE. 126143,S200000,00200,0100,BREWTON 126143,S200000,00200,0200,AL 126143,S200000,00200,0300,36427 126143,S200000,00300,0100,ESCAMBIA 126143,S200000,00300,0200,0000 126143,S200000,00400,0100,WESTGATE VILLAGE 126143,S200000,00400,0200,015035 126143,S200000,00400,0300,07/01/98 126143,S200000,00400,0500,P 126143,S200000,00400,0600,N 126143,S200000,01500,0100,N 126143,S200000,01600,0100,N 126143,S200000,01700,0100,N 126143,S200000,01800,0100,N 126143,S200000,02200,0100,N 126143,S200000,02800,0100,N 126143,S200000,02900,0100,N 126143,S200000,03000,0100,N 126143,S200000,03100,0100,N 126143,S200000,03200,0100,N 126143,S200000,03300,0100,N 126143,S200000,03300,0200,N 126143,S200000,04100,0100,N 126143,S200000,04200,0100,N 126143,S200000,04300,0100,N 126143,S200000,04600,0100,N 126143,S200000,04700,0100,N 126143,S200000,04900,0100,N 126143,S200000,05200,0100,N 126143,S700003,00000,0200,X 126144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126144,A000000,00300,0000,0300EMPLOYEE BENEFITS 126144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126144,A000000,00700,0000,0700HOUSEKEEPING 126144,A000000,00800,0000,0800DIETARY 126144,A000000,00900,0000,0900NURSING ADMINISTRATION 126144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126144,A000000,01300,0000,1300SOCIAL SERVICE 126144,A000000,01600,0000,1600SKILLED NURSING FACILITY 126144,A000000,01800,0000,1800NURSING FACILITY 126144,A000000,02200,0000,2200LABORATORY 126144,A000000,02500,0000,2500PHYSICAL THERAPY 126144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126144,A000000,02700,0000,2700SPEECH PATHOLOGY 126144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126144,A81000A,00100,0100,Y 126144,A81000B,00100,0300,MANAGEMENT FEES 126144,A81000C,00100,0100,A 126144,A81000C,00100,0200,CHURCH FAMILY 126144,A81000C,00100,0400,CONSULTAMERICA 126144,A81000C,00100,0600,HOME OFFICE 126144,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126144,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126144,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126144,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126144,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 126144,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126144,B100000,00000,0800,0800MEALS SERVED DIETARY 126144,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 126144,B100000,00000,1200,1200ASSIGNED TIME MEDICAL RECORDS & 126144,B100000,00000,1300,1300ASSIGNED TIME SOCIAL SERVICE 126144,S000000,00100,0200,12/04/00 126144,S200000,00100,0100,700 1ST AVENUE 126144,S200000,00200,0100,PLEASANT GROVE 126144,S200000,00200,0200,AL 126144,S200000,00200,0300,35127-1915 126144,S200000,00300,0100,JEFFERSON 126144,S200000,00300,0200,1000 126144,S200000,00300,0300,U 126144,S200000,00400,0100,CONSULTAMERICA COTTAGE HILLS INC. 126144,S200000,00400,0200,015044 126144,S200000,00400,0300,01/01/67 126144,S200000,00400,0500,P 126144,S200000,00400,0600,N 126144,S200000,01500,0100,N 126144,S200000,01600,0100,Y 126144,S200000,01700,0100,N 126144,S200000,01800,0100,N 126144,S200000,02200,0100,N 126144,S200000,02800,0100,N 126144,S200000,02900,0100,N 126144,S200000,03000,0100,N 126144,S200000,03100,0100,N 126144,S200000,03200,0100,N 126144,S200000,03300,0100,N 126144,S200000,03300,0200,N 126144,S200000,04100,0100,N 126144,S200000,04200,0100,N 126144,S200000,04300,0100,N 126144,S200000,04600,0100,N 126144,S200000,04700,0100,N 126144,S200000,04900,0100,N 126144,S200000,05200,0100,N 126144,S700003,00000,0200,X 126145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126145,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126145,A000000,00300,0000,0300EMPLOYEE BENEFITS 126145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126145,A000000,00700,0000,0700HOUSEKEEPING 126145,A000000,00800,0000,0800DIETARY 126145,A000000,00900,0000,0900NURSING ADMINISTRATION 126145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126145,A000000,01100,0000,1100PHARMACY 126145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126145,A000000,01300,0000,1300SOCIAL SERVICE 126145,A000000,01600,0000,1600SKILLED NURSING FACILITY 126145,A000000,01800,0000,1800NURSING FACILITY 126145,A000000,02100,0000,2100RADIOLOGY 126145,A000000,02200,0000,2200LABORATORY 126145,A000000,02300,0000,2300INTRAVENOUS THERAPY 126145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126145,A000000,02500,0000,2500PHYSICAL THERAPY 126145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126145,A000000,02700,0000,2700SPEECH PATHOLOGY 126145,A000000,02800,0000,2800ELECTROCARDIOLOGY 126145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126145,A000000,03200,0000,3200SUPPORT SURFACES 126145,A000000,04800,0000,4800AMBULANCE 126145,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126145,A000000,05300,0000,5300INTEREST EXPENSE 126145,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126145,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126145,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 126145,A000000,06200,0000,6200PATIENTS LAUNDRY 126145,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126145,A81000A,00100,0100,Y 126145,A81000B,00100,0300,MED SUPPLIES 126145,A81000B,00200,0300,BEDS 126145,A81000B,00300,0300,THERAPY 126145,A81000C,00100,0100,A 126145,A81000C,00100,0200,STOCKHOLDERS 126145,A81000C,00100,0400,GERICARE 126145,A81000C,00100,0600,MED SUPPLIES 126145,A81000C,00200,0100,A 126145,A81000C,00200,0200,STOCKHOLDERS 126145,A81000C,00200,0400,PTI 126145,A81000C,00200,0600,BEDS 126145,A81000C,00300,0100,A 126145,A81000C,00300,0200,STOCKHOLDERS 126145,A81000C,00300,0400,RESTORE 126145,A81000C,00300,0600,THERAPY 126145,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126145,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126145,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126145,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126145,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126145,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126145,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 126145,B100000,00000,0800,0800MEALS SERVED DIETARY 126145,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 126145,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 126145,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 126145,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126145,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126145,S000000,00100,0200,11/20/00 126145,S200000,00100,0100,954 NAVCO RD 126145,S200000,00200,0100,MOBILE 126145,S200000,00200,0200,AL 126145,S200000,00200,0300,36690 126145,S200000,00300,0100,MOBILE 126145,S200000,00300,0200,0000 126145,S200000,00300,0300,U 126145,S200000,00400,0100,CROWNE HEALTH CARE OF MOBILE 126145,S200000,00400,0200,015100 126145,S200000,00400,0300,07/01/98 126145,S200000,00400,0500,P 126145,S200000,00400,0600,N 126145,S200000,01500,0100,N 126145,S200000,01600,0100,N 126145,S200000,01700,0100,N 126145,S200000,01800,0100,N 126145,S200000,02200,0100,N 126145,S200000,02800,0100,N 126145,S200000,02900,0100,N 126145,S200000,03000,0100,N 126145,S200000,03100,0100,N 126145,S200000,03200,0100,N 126145,S200000,03300,0100,N 126145,S200000,03300,0200,N 126145,S200000,04100,0100,N 126145,S200000,04200,0100,N 126145,S200000,04300,0100,N 126145,S200000,04600,0100,N 126145,S200000,04700,0100,N 126145,S200000,04900,0100,N 126145,S200000,05200,0100,N 126145,S700003,00000,0200,X 126146,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126146,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126146,A000000,00300,0000,0300EMPLOYEE BENEFITS 126146,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126146,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126146,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126146,A000000,00700,0000,0700HOUSEKEEPING 126146,A000000,00800,0000,0800DIETARY 126146,A000000,00900,0000,0900NURSING ADMINISTRATION 126146,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126146,A000000,01100,0000,1100PHARMACY 126146,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126146,A000000,01300,0000,1300SOCIAL SERVICE 126146,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126146,A000000,01500,0000,1350ACTIVITIES 126146,A000000,01600,0000,1600SKILLED NURSING FACILITY 126146,A000000,01800,0000,1800NURSING FACILITY 126146,A000000,01900,0000,1900OTHER LONG TERM CARE 126146,A000000,02100,0000,2100RADIOLOGY 126146,A000000,02200,0000,2200LABORATORY 126146,A000000,02300,0000,2300INTRAVENOUS THERAPY 126146,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126146,A000000,02500,0000,2500PHYSICAL THERAPY 126146,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126146,A000000,02700,0000,2700SPEECH PATHOLOGY 126146,A000000,02800,0000,2800ELECTROCARDIOLOGY 126146,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126146,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126146,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126146,A000000,03200,0000,3200SUPPORT SURFACES 126146,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 126146,A000000,03400,0000,3400CLINIC 126146,A000000,03500,0000,3500RURAL HEALTH CLINIC 126146,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 126146,A000000,04800,0000,4800AMBULANCE 126146,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 126146,A000000,05000,0000,5000CORF 126146,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126146,A000000,05300,0000,5300INTEREST EXPENSE 126146,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126146,A000000,05500,0000,5500HOSPICE 126146,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126146,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126146,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 126146,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126146,A000000,06100,0000,6100NONPAID WORKERS 126146,A000000,06200,0000,6200PATIENTS LAUNDRY 126146,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126146,A81000A,00100,0100,Y 126146,A81000B,00100,0300,HOME OFFICE 126146,A81000B,00200,0300,HOME OFFICE 126146,A81000B,00300,0300,HOME OFFICE 126146,A81000B,00400,0300,HOME OFFICE 126146,A81000C,00100,0100,A 126146,A81000C,00100,0200,CLARENCE BALL 126146,A81000C,00100,0400,BALL HEALTH SER 126146,A81000C,00100,0600,MANAGEMENT 126146,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126146,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126146,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126146,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126146,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126146,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126146,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126146,B100000,00000,0800,0800MEALS SERVED DIETARY 126146,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 126146,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 126146,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 126146,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126146,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126146,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 126146,B100000,00000,1500,1500TIME SPENT ACTIVITIES 126146,S000000,00100,0200,12/27/00 126146,S200000,00100,0100,603 WRIGHT STREET 126146,S200000,00200,0100,TUSKEGEE 126146,S200000,00200,0200,AL 126146,S200000,00200,0300,36083 126146,S200000,00300,0100,MACON 126146,S200000,00300,0200,0000 126146,S200000,00300,0300,R 126146,S200000,00400,0100,MAGNOLIA HAVEN NURSING HOME 126146,S200000,00400,0200,015112 126146,S200000,00400,0300,07/01/96 126146,S200000,00400,0500,P 126146,S200000,00400,0600,N 126146,S200000,01500,0100,N 126146,S200000,01600,0100,Y 126146,S200000,01700,0100,N 126146,S200000,01800,0100,N 126146,S200000,02200,0100,N 126146,S200000,02800,0100,N 126146,S200000,02900,0100,N 126146,S200000,03000,0100,N 126146,S200000,03100,0100,N 126146,S200000,03200,0100,N 126146,S200000,03300,0100,N 126146,S200000,03300,0200,N 126146,S200000,04100,0100,N 126146,S200000,04200,0100,N 126146,S200000,04300,0100,N 126146,S200000,04600,0100,N 126146,S200000,04700,0100,N 126146,S200000,04900,0100,N 126146,S200000,05200,0100,N 126146,S700003,00000,0200,X 126147,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126147,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126147,A000000,00300,0000,0300EMPLOYEE BENEFITS 126147,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126147,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126147,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126147,A000000,00700,0000,0700HOUSEKEEPING 126147,A000000,00800,0000,0800DIETARY 126147,A000000,00900,0000,0900NURSING ADMINISTRATION 126147,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126147,A000000,01100,0000,1100PHARMACY 126147,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126147,A000000,01300,0000,1300SOCIAL SERVICE 126147,A000000,01600,0000,1600SKILLED NURSING FACILITY 126147,A000000,01800,0000,1800NURSING FACILITY 126147,A000000,02100,0000,2100RADIOLOGY 126147,A000000,02200,0000,2200LABORATORY 126147,A000000,02300,0000,2300INTRAVENOUS THERAPY 126147,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126147,A000000,02500,0000,2500PHYSICAL THERAPY 126147,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126147,A000000,02700,0000,2700SPEECH PATHOLOGY 126147,A000000,02800,0000,2800ELECTROCARDIOLOGY 126147,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126147,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126147,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126147,A000000,03200,0000,3200SUPPORT SURFACES 126147,A000000,04800,0000,4800AMBULANCE 126147,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126147,A000000,05300,0000,5300INTEREST EXPENSE 126147,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126147,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126147,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 126147,A000000,06200,0000,6200PATIENTS LAUNDRY 126147,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126147,A81000A,00100,0100,Y 126147,A81000B,00100,0300,MED SUPPLIES 126147,A81000B,00200,0300,BEDS 126147,A81000B,00300,0300,THERAPY 126147,A81000C,00100,0100,A 126147,A81000C,00100,0200,STOCKHOLDERS 126147,A81000C,00100,0400,GERICARE 126147,A81000C,00100,0600,MED SUPPLIES 126147,A81000C,00200,0100,A 126147,A81000C,00200,0200,STOCKHOLDERS 126147,A81000C,00200,0400,PTI 126147,A81000C,00200,0600,BEDS 126147,A81000C,00300,0100,A 126147,A81000C,00300,0200,STOCKHOLDERS 126147,A81000C,00300,0400,RESTORE 126147,A81000C,00300,0600,THERAPY 126147,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126147,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126147,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126147,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126147,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126147,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126147,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 126147,B100000,00000,0800,0800MEALS SERVED DIETARY 126147,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 126147,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 126147,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 126147,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126147,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126147,S000000,00100,0200,11/20/00 126147,S200000,00100,0100,403 13TH ST. N.W. 126147,S200000,00200,0100,FORT PAYNE 126147,S200000,00200,0200,AL 126147,S200000,00200,0300,35967 126147,S200000,00300,0100,DEKALB 126147,S200000,00300,0200,0000 126147,S200000,00300,0300,R 126147,S200000,00400,0100,CROWNE HEALTH CARE OF FORT PAYNE 126147,S200000,00400,0200,015156 126147,S200000,00400,0300,07/01/98 126147,S200000,00400,0500,P 126147,S200000,00400,0600,N 126147,S200000,01500,0100,N 126147,S200000,01600,0100,N 126147,S200000,01700,0100,N 126147,S200000,01800,0100,N 126147,S200000,02200,0100,N 126147,S200000,02800,0100,N 126147,S200000,02900,0100,N 126147,S200000,03000,0100,N 126147,S200000,03100,0100,N 126147,S200000,03200,0100,N 126147,S200000,03300,0100,N 126147,S200000,03300,0200,N 126147,S200000,04100,0100,N 126147,S200000,04200,0100,N 126147,S200000,04300,0100,N 126147,S200000,04600,0100,N 126147,S200000,04700,0100,N 126147,S200000,04900,0100,N 126147,S200000,05200,0100,N 126147,S700003,00000,0200,X 126148,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126148,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126148,A000000,00300,0000,0300EMPLOYEE BENEFITS 126148,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126148,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126148,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126148,A000000,00700,0000,0700HOUSEKEEPING 126148,A000000,00800,0000,0800DIETARY 126148,A000000,00900,0000,0900NURSING ADMINISTRATION 126148,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126148,A000000,01100,0000,1100PHARMACY 126148,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126148,A000000,01300,0000,1300SOCIAL SERVICE 126148,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126148,A000000,01500,0000,1350ACTIVITIES 126148,A000000,01600,0000,1600SKILLED NURSING FACILITY 126148,A000000,01800,0000,1800NURSING FACILITY 126148,A000000,01900,0000,1900OTHER LONG TERM CARE 126148,A000000,02100,0000,2100RADIOLOGY 126148,A000000,02200,0000,2200LABORATORY 126148,A000000,02300,0000,2300INTRAVENOUS THERAPY 126148,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126148,A000000,02500,0000,2500PHYSICAL THERAPY 126148,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126148,A000000,02700,0000,2700SPEECH PATHOLOGY 126148,A000000,02800,0000,2800ELECTROCARDIOLOGY 126148,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126148,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126148,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126148,A000000,03200,0000,3200SUPPORT SURFACES 126148,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 126148,A000000,03400,0000,3400CLINIC 126148,A000000,03500,0000,3500RURAL HEALTH CLINIC 126148,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 126148,A000000,04800,0000,4800AMBULANCE 126148,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 126148,A000000,05000,0000,5000CORF 126148,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126148,A000000,05300,0000,5300INTEREST EXPENSE 126148,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126148,A000000,05500,0000,5500HOSPICE 126148,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126148,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126148,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 126148,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126148,A000000,06100,0000,6100NONPAID WORKERS 126148,A000000,06200,0000,6200PATIENTS LAUNDRY 126148,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126148,A81000A,00100,0100,Y 126148,A81000B,00100,0300,HOME OFFICE 126148,A81000B,00200,0300,HOME OFFICE 126148,A81000B,00300,0300,HOME OFFICE 126148,A81000B,00400,0300,HOME OFFICE 126148,A81000C,00100,0100,A 126148,A81000C,00100,0200,CLARENCE BALL 126148,A81000C,00100,0400,BALL HEALTH SER 126148,A81000C,00100,0600,MANAGEMENT 126148,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126148,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126148,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126148,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126148,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126148,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126148,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126148,B100000,00000,0800,0800MEALS SERVED DIETARY 126148,B100000,00000,0900,0900DIR NURSINHRS OF SVC NURSING ADM 126148,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 126148,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 126148,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 126148,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 126148,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 126148,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 126148,S000000,00100,0200,12/27/00 126148,S200000,00100,0100,857 CRAWFORD LAND 126148,S200000,00200,0100,MOBILE 126148,S200000,00200,0200,AL 126148,S200000,00200,0300,36617 126148,S200000,00300,0100,MOBILE 126148,S200000,00300,0200,5160 126148,S200000,00300,0300,U 126148,S200000,00400,0100,TWIN OAKS NURSING HOME 126148,S200000,00400,0200,015211 126148,S200000,00400,0300,01/01/86 126148,S200000,00400,0500,P 126148,S200000,00400,0600,N 126148,S200000,01500,0100,N 126148,S200000,01600,0100,Y 126148,S200000,01700,0100,N 126148,S200000,01800,0100,N 126148,S200000,02200,0100,N 126148,S200000,02800,0100,N 126148,S200000,02900,0100,N 126148,S200000,03000,0100,N 126148,S200000,03100,0100,N 126148,S200000,03200,0100,N 126148,S200000,03300,0100,N 126148,S200000,03300,0200,N 126148,S200000,04100,0100,N 126148,S200000,04200,0100,N 126148,S200000,04300,0100,N 126148,S200000,04600,0100,N 126148,S200000,04700,0100,N 126148,S200000,04900,0100,N 126148,S200000,05200,0100,N 126148,S700003,00000,0200,X 126149,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126149,A000000,00300,0000,0300EMPLOYEE BENEFITS 126149,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126149,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126149,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126149,A000000,00700,0000,0700HOUSEKEEPING 126149,A000000,00800,0000,0800DIETARY 126149,A000000,00900,0000,0900NURSING ADMINISTRATION 126149,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126149,A000000,01300,0000,1300SOCIAL SERVICE 126149,A000000,01600,0000,1600SKILLED NURSING FACILITY 126149,A000000,01800,0000,1800NURSING FACILITY 126149,A000000,02200,0000,2200LABORATORY 126149,A000000,02500,0000,2500PHYSICAL THERAPY 126149,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126149,A000000,02700,0000,2700SPEECH PATHOLOGY 126149,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126149,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126149,A81000A,00100,0100,Y 126149,A81000B,00100,0300,HOME OFFICE EXPENSES 126149,A81000C,00100,0100,A 126149,A81000C,00100,0200,CHURCH FAMILY 126149,A81000C,00100,0400,CONSULTAMERICA 126149,A81000C,00100,0600,HOME OFFICE 126149,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126149,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126149,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 126149,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126149,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 126149,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126149,B100000,00000,0800,0800MEALS SERVED DIETARY 126149,B100000,00000,0900,0900NURSING SALARIES NURSING ADMIN 126149,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 126149,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 126149,S000000,00100,0200,12/04/00 126149,S200000,00100,0100,7710 1ST AVENUE NORTH 126149,S200000,00200,0100,BIRMINGHAM 126149,S200000,00200,0200,AL 126149,S200000,00200,0300,35206-4743 126149,S200000,00300,0100,JEFFERSON 126149,S200000,00300,0200,1000 126149,S200000,00300,0300,U 126149,S200000,00400,0100,CONSULTAMERICA EAST HAVEN INC. 126149,S200000,00400,0200,015377 126149,S200000,00400,0300,08/01/95 126149,S200000,00400,0500,P 126149,S200000,00400,0600,N 126149,S200000,01500,0100,N 126149,S200000,01600,0100,Y 126149,S200000,01700,0100,N 126149,S200000,01800,0100,N 126149,S200000,02200,0100,N 126149,S200000,02800,0100,N 126149,S200000,02900,0100,N 126149,S200000,03000,0100,N 126149,S200000,03100,0100,N 126149,S200000,03200,0100,N 126149,S200000,03300,0100,N 126149,S200000,03300,0200,N 126149,S200000,04100,0100,N 126149,S200000,04200,0100,N 126149,S200000,04300,0100,N 126149,S200000,04600,0100,N 126149,S200000,04700,0100,N 126149,S200000,04900,0100,N 126149,S200000,05200,0100,N 126149,S700003,00000,0200,X 126153,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126153,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126153,A000000,00300,0000,0300EMPLOYEE BENEFITS 126153,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126153,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126153,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126153,A000000,00700,0000,0700HOUSEKEEPING 126153,A000000,00800,0000,0800DIETARY 126153,A000000,00900,0000,0900NURSING ADMINISTRATION 126153,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126153,A000000,01100,0000,1100PHARMACY 126153,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126153,A000000,01300,0000,1300SOCIAL SERVICE 126153,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126153,A000000,01500,0000,1350PATIENT ACTIVITIES 126153,A000000,01600,0000,1600SKILLED NURSING FACILITY 126153,A000000,01810,0000,1810ICF/MR 126153,A000000,02100,0000,2100RADIOLOGY 126153,A000000,02200,0000,2200LABORATORY 126153,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126153,A000000,02500,0000,2500PHYSICAL THERAPY 126153,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126153,A000000,02700,0000,2700SPEECH PATHOLOGY 126153,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126153,A000000,02901,0000,2901CLINITRON BEDS 126153,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126153,A000000,03550,0000,3550FQHC 126153,A000000,04800,0000,4800AMBULANCE 126153,A000000,05000,0000,5000CORF 126153,A000000,05010,0000,5010CMHC 126153,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126153,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126153,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126153,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126153,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126153,A81000A,00100,0100,Y 126153,A81000B,00100,0300,H.O. COSTS - OPERATING 126153,A81000B,00200,0300,H.O. COSTS - CAPITAL 126153,A81000B,00300,0300,MOVEABLE EQUIPMENT 126153,A81000B,00400,0300,EMPLOYEE BENEFITS 126153,A81000B,00500,0300,GENERAL & ADMINISTRATIVE 126153,A81000B,00600,0300,HOUSEKEEPING 126153,A81000B,00700,0300,DIETARY 126153,A81000B,00800,0300,CENTRAL SERVICES 126153,A81000B,00900,0300,PHARMACY 126153,A81000B,01000,0300,MEDICAL RECORDS 126153,A81000B,01100,0300,OXYGEN 126153,A81000B,01200,0300,PHYSICAL THERAPY 126153,A81000B,01300,0300,MEDICAL SUPPLIES 126153,A81000B,01400,0300,COMPLEX MEDICAL EQUIPMENT 126153,A81000B,01500,0300,DRUGS 126153,A81000C,00100,0100,B 126153,A81000C,00100,0400,HCF INC. 126153,A81000C,00100,0600,HOME OFFICE 126153,A81000C,00200,0100,B 126153,A81000C,00200,0400,HCF INC. 126153,A81000C,00200,0600,HOME OFFICE 126153,A81000C,00300,0100,A 126153,A81000C,00300,0200,UNVERFERTH FAMILY 126153,A81000C,00300,0400,ICP INC. 126153,A81000C,00300,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00400,0100,A 126153,A81000C,00400,0200,UNVERFERTH FAMILY 126153,A81000C,00400,0400,ICP INC. 126153,A81000C,00400,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00500,0100,A 126153,A81000C,00500,0200,UNVERFERTH FAMILY 126153,A81000C,00500,0400,ICP INC. 126153,A81000C,00500,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00600,0100,A 126153,A81000C,00600,0200,UNVERFERTH FAMILY 126153,A81000C,00600,0400,ICP INC. 126153,A81000C,00600,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00700,0100,A 126153,A81000C,00700,0200,UNVERFERTH FAMILY 126153,A81000C,00700,0400,ICP INC. 126153,A81000C,00700,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00800,0100,A 126153,A81000C,00800,0200,UNVERFERTH FAMILY 126153,A81000C,00800,0400,ICP INC. 126153,A81000C,00800,0600,INSTITUTIONAL PHARMACY 126153,A81000C,00900,0100,A 126153,A81000C,00900,0200,UNVERFERTH FAMILY 126153,A81000C,00900,0400,ICP INC. 126153,A81000C,00900,0600,INSTITUTIONAL PHARMACY 126153,B100000,00000,0100,0100SQUARE FEET 126153,B100000,00000,0200,0200SQUARE FEET 126153,B100000,00000,0300,0300GROSS SALARIES 126153,B100000,00000,0400,0400ACCUM. COST 126153,B100000,00000,0500,0500SQUARE FEET 126153,B100000,00000,0600,0600POUNDS OF LAUNDRY 126153,B100000,00000,0700,0700SQFT EXCL DIETARY 126153,B100000,00000,0800,0800MEALS SERVED 126153,B100000,00000,0900,0900NURSING SALARIES 126153,B100000,00000,1000,1000PATIENT DAYS 126153,B100000,00000,1100,1100COSTED REQUIS. 126153,B100000,00000,1200,1200TIME SPENT 126153,B100000,00000,1300,1300TIME SPENT 126153,B100000,00000,1400,1400NO STATISTICS 126153,B100000,00000,1500,1350TIME SPENT 126153,E10A180,00501,0100, 6/13/00 126153,E10A180,00501,0300, 6/13/00 126153,E10A180,00502,0100,02/28/01 126153,E10A180,00550,0300,02/28/01 126153,S000000,00100,0200,05/25/00 126153,S200000,00100,0100,WOODWARD DRIVE 126153,S200000,00100,0300,R.D. 6 BOX 499 126153,S200000,00200,0100,GREENSBURG 126153,S200000,00300,0100,WESTMORELAND 126153,S200000,00300,0200,6280 126153,S200000,00300,0300,U 126153,S200000,00400,0100,HEMPFIELD MANOR 126153,S200000,00400,0200,395705 126153,S200000,00400,0300,10/01/85 126153,S200000,00400,0500,P 126153,S200000,01500,0100,Y 126153,S200000,01600,0100,N 126153,S200000,01700,0100,N 126153,S200000,01800,0100,N 126153,S200000,02200,0100,N 126153,S200000,02800,0100,N 126153,S200000,02900,0100,N 126153,S200000,03000,0100,N 126153,S200000,03100,0100,N 126153,S200000,03200,0100,N 126153,S200000,03300,0100,N 126153,S200000,03300,0200,N 126153,S200000,04100,0100,N 126153,S200000,04200,0100,N 126153,S200000,04300,0100,N 126153,S200000,04600,0100,N 126153,S200000,04700,0100,Y 126153,S200000,04900,0100,N 126153,S200000,05200,0100,N 126217,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126217,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126217,A000000,00300,0000,0300EMPLOYEE BENEFITS 126217,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126217,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126217,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126217,A000000,00700,0000,0700HOUSEKEEPING 126217,A000000,00800,0000,0800DIETARY 126217,A000000,00900,0000,0900NURSING ADMINISTRATION 126217,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126217,A000000,01100,0000,1100PHARMACY 126217,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126217,A000000,01300,0000,1300SOCIAL SERVICE 126217,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126217,A000000,01500,0000,1350ACTIVITIES 126217,A000000,01600,0000,1600SKILLED NURSING FACILITY 126217,A000000,01800,0000,1800NURSING FACILITY 126217,A000000,01810,0000,1810ICF/MR 126217,A000000,01900,0000,1900OTHER LONG TERM CARE 126217,A000000,02100,0000,2100RADIOLOGY 126217,A000000,02200,0000,2200LABORATORY 126217,A000000,02300,0000,2300INTRAVENOUS THERAPY 126217,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126217,A000000,02500,0000,2500PHYSICAL THERAPY 126217,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126217,A000000,02700,0000,2700SPEECH PATHOLOGY 126217,A000000,02800,0000,2800ELECTROCARDIOLOGY 126217,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126217,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126217,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126217,A000000,03200,0000,3200SUPPORT SURFACES 126217,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126217,A000000,03400,0000,3400CLINIC 126217,A000000,03500,0000,3500RURAL HEALTH CLINIC 126217,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126217,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 126217,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 126217,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 126217,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 126217,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 126217,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 126217,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 126217,A000000,04400,0000,4400DME RENTED - HHA 126217,A000000,04500,0000,4500DME SOLD - HHA 126217,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 126217,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 126217,A000000,04800,0000,4800AMBULANCE 126217,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 126217,A000000,05000,0000,5000CORF 126217,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126217,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126217,A000000,05300,0000,5300INTEREST EXPENSE 126217,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126217,A000000,05500,0000,5500HOSPICE 126217,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126217,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126217,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126217,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126217,A000000,06100,0000,6100NONPAID WORKERS 126217,A000000,06200,0000,6200PATIENTS LAUNDRY 126217,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126217,A81000A,00100,0100,Y 126217,A81000B,00100,0300,HOME OFFICE EXPENSE 126217,A81000B,00200,0300,HOME OFFICE CAPITAL 126217,A81000C,00100,0100,C 126217,A81000C,00100,0400,AMERICAN HEALTH 126217,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126217,B100000,00000,0200,0200DOLLAR VALUE CAP REL COSTS - 126217,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126217,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 126217,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126217,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126217,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 126217,B100000,00000,0800,0800MEALS SERVED DIETARY 126217,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 126217,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 126217,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 126217,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126217,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126217,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 126217,B100000,00000,1500,1500DAYS ACTIVITIES 126217,E10A180,00501,0100,04/05/02 126217,E10A180,00501,0300,04/05/02 126217,S000000,00100,0200,05/12/00 126217,S200000,00100,0100,407 SOUTH EAST AVENUE 126217,S200000,00200,0100,BAXTER 126217,S200000,00200,0200,IA 126217,S200000,00200,0300,50028- 126217,S200000,00300,0100,JASPER 126217,S200000,00300,0200,9916 126217,S200000,00300,0300,R 126217,S200000,00400,0100,BAXTER HEALTH CARE CENTER 126217,S200000,00400,0200,165398 126217,S200000,00400,0300,06/01/99 126217,S200000,00400,0500,P 126217,S200000,00400,0600,N 126217,S200000,01500,0100,Y 126217,S200000,01600,0100,N 126217,S200000,01700,0100,N 126217,S200000,01800,0100,N 126217,S200000,02200,0100,N 126217,S200000,02800,0100,N 126217,S200000,02900,0100,N 126217,S200000,03000,0100,N 126217,S200000,03100,0100,N 126217,S200000,03200,0100,N 126217,S200000,03300,0100,N 126217,S200000,03300,0200,N 126217,S200000,04100,0100,N 126217,S200000,04200,0100,N 126217,S200000,04300,0100,N 126217,S200000,04600,0100,N 126217,S200000,04700,0100,N 126217,S200000,04700,0200,N 126217,S200000,04900,0100,N 126217,S200000,05200,0100,N 126217,S700003,00000,0400,X 126275,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126275,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126275,A000000,00300,0000,0300EMPLOYEE BENEFITS 126275,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126275,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126275,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126275,A000000,00700,0000,0700HOUSEKEEPING 126275,A000000,00800,0000,0800DIETARY 126275,A000000,00900,0000,0900NURSING ADMINISTRATION 126275,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126275,A000000,01100,0000,1100PHARMACY 126275,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126275,A000000,01300,0000,1300SOCIAL SERVICE 126275,A000000,01600,0000,1600SKILLED NURSING FACILITY 126275,A000000,01800,0000,1800NURSING FACILITY 126275,A000000,02200,0000,2200LABORATORY 126275,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126275,A000000,02500,0000,2500PHYSICAL THERAPY 126275,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126275,A000000,02700,0000,2700SPEECH PATHOLOGY 126275,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126275,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126275,A000000,04800,0000,4800AMBULANCE 126275,A000000,05300,0000,5300INTEREST EXPENSE 126275,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126275,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126275,A81000A,00100,0100,Y 126275,A81000B,00100,0300,DAY CARE BENEFITS 126275,A81000B,00200,0300,MANAGEMENT FEES 126275,A81000B,00300,0300,INSURANCE 126275,A81000C,00100,0100,B 126275,A81000C,00100,0200,AHE INC. 126275,A81000C,00100,0400,WINNING WHEELS INC. 126275,A81000C,00100,0600,SNF 126275,A81000C,00200,0100,B 126275,A81000C,00200,0200,AHE INC 126275,A81000C,00200,0400,LYNDON PLAY & LEARN 126275,A81000C,00200,0600,DAY CARE 126275,A81000C,00300,0100,B 126275,A81000C,00300,0200,AHE INC 126275,A81000C,00300,0400,LYNDON PROGRESS CENTER 126275,A81000C,00300,0600,REHAB 126275,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126275,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126275,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126275,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126275,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 126275,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126275,B100000,00000,0800,0850PATIENT DAYS :DIETARY 126275,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 126275,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 126275,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 126275,E10A180,00601,0100,09/09/02 126275,S000000,00100,0200,02/06/01 126275,S200000,00100,0100,701 EAST THIRD STREET 126275,S200000,00200,0100,PROPHETSTOWN 126275,S200000,00200,0200,IL 126275,S200000,00200,0300,61277- 126275,S200000,00300,0100,CARROLL 126275,S200000,00300,0200,14 126275,S200000,00300,0300,R 126275,S200000,00400,0100,WINNING WHEELS INC CARE CENTER 126275,S200000,00400,0200,145556 126275,S200000,00400,0300,06/07/86 126275,S200000,00400,0500,P 126275,S200000,01500,0100,N 126275,S200000,01600,0100,Y 126275,S200000,01700,0100,N 126275,S200000,01800,0100,N 126275,S200000,02200,0100,N 126275,S200000,02800,0100,N 126275,S200000,02900,0100,N 126275,S200000,03000,0100,N 126275,S200000,03100,0100,N 126275,S200000,03200,0100,N 126275,S200000,04100,0100,N 126275,S200000,04200,0100,N 126275,S200000,04300,0100,N 126275,S200000,04600,0100,N 126275,S200000,04700,0100,N 126275,S200000,04700,0200,N 126275,S200000,04900,0100,N 126275,S200000,05000,0100,N 126275,S200000,05100,0100,N 126275,S200000,05200,0100,N 126278,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126278,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126278,A000000,00300,0000,0300EMPLOYEE BENEFITS 126278,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126278,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126278,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126278,A000000,00700,0000,0700HOUSEKEEPING 126278,A000000,00800,0000,0800DIETARY 126278,A000000,00900,0000,0900NURSING ADMINISTRATION 126278,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126278,A000000,01100,0000,1100PHARMACY 126278,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126278,A000000,01300,0000,1300SOCIAL SERVICE 126278,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126278,A000000,01500,0000,1350OTHER GENERAL SERVICES 126278,A000000,01600,0000,1600SKILLED NURSING FACILITY 126278,A000000,01800,0000,1800NURSING FACILITY 126278,A000000,01900,0000,1900OTHER LONG TERM CARE 126278,A000000,02100,0000,2100RADIOLOGY 126278,A000000,02200,0000,2200LABORATORY 126278,A000000,02300,0000,2300INTRAVENOUS THERAPY 126278,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126278,A000000,02500,0000,2500PHYSICAL THERAPY 126278,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126278,A000000,02700,0000,2700SPEECH PATHOLOGY 126278,A000000,02800,0000,2800ELECTROCARDIOLOGY 126278,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126278,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126278,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126278,A000000,03200,0000,3200SUPPORT SURFACES 126278,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126278,A000000,03301,0000,3051THERAPY - PART A 126278,A000000,03302,0000,3052OTHER - PART A 126278,A000000,03303,0000,3053THERAPY - PART B 126278,A000000,03400,0000,3400CLINIC 126278,A000000,03500,0000,3500RURAL HEALTH CLINIC 126278,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126278,A000000,04800,0000,4800AMBULANCE 126278,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 126278,A000000,05000,0000,5000CORF 126278,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126278,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126278,A000000,05300,0000,5300INTEREST EXPENSE 126278,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126278,A000000,05500,0000,5500HOSPICE 126278,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126278,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126278,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126278,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126278,A000000,06100,0000,6100NONPAID WORKERS 126278,A000000,06200,0000,6200PATIENTS LAUNDRY 126278,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126278,A81000A,00100,0100,N 126278,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126278,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 126278,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126278,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126278,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126278,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 126278,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126278,B100000,00000,0800,0800MEALS SERVED :DIETARY 126278,B100000,00000,0900,0950NURSING TIME SPENT :NURSING ADMI 126278,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 126278,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 126278,E10A180,00601,0100,09/09/02 126278,S000000,00100,0200,12/11/00 126278,S200000,00100,0100,HIGHWAY 11 126278,S200000,00100,0300,250 126278,S200000,00200,0100,BOONEVILLE 126278,S200000,00200,0200,KY 126278,S200000,00200,0300,41314- 126278,S200000,00300,0100,OWSLEY 126278,S200000,00300,0200,18 126278,S200000,00300,0300,R 126278,S200000,00400,0100,OWSLEY COUNTY HEALTH CARE CENTER 126278,S200000,00400,0200,185273 126278,S200000,00400,0300,07/02/91 126278,S200000,00400,0500,P 126278,S200000,01500,0100,N 126278,S200000,01600,0100,Y 126278,S200000,01700,0100,N 126278,S200000,01800,0100,N 126278,S200000,02200,0100,N 126278,S200000,02800,0100,N 126278,S200000,02900,0100,N 126278,S200000,03000,0100,N 126278,S200000,03100,0100,N 126278,S200000,03200,0100,N 126278,S200000,04100,0100,N 126278,S200000,04200,0100,N 126278,S200000,04300,0100,N 126278,S200000,04600,0100,N 126278,S200000,04700,0100,N 126278,S200000,04700,0200,N 126278,S200000,04900,0100,N 126278,S200000,05000,0100,N 126278,S200000,05100,0100,N 126278,S200000,05200,0100,N 126343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126343,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126343,A000000,00300,0000,0300EMPLOYEE BENEFITS 126343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126343,A000000,00700,0000,0700HOUSEKEEPING 126343,A000000,00800,0000,0800DIETARY 126343,A000000,00900,0000,0900NURSING ADMINISTRATION 126343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126343,A000000,01100,0000,1100PHARMACY 126343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126343,A000000,01300,0000,1300SOCIAL SERVICE 126343,A000000,01500,0000,1350ACTIVITIES 126343,A000000,01600,0000,1600SKILLED NURSING FACILITY 126343,A000000,02100,0000,2100RADIOLOGY 126343,A000000,02200,0000,2200LABORATORY 126343,A000000,02300,0000,2300INTRAVENOUS THERAPY 126343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126343,A000000,02500,0000,2500PHYSICAL THERAPY 126343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126343,A000000,02700,0000,2700SPEECH PATHOLOGY 126343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126343,A000000,04800,0000,4800AMBULANCE 126343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126343,A000000,06300,0000,6150DAY CENTER 126343,A000000,06310,0000,6151NON-REIMBURSEABLE COST 126343,A81000A,00100,0100,N 126343,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 126343,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 126343,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 126343,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 126343,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 126343,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 126343,B100000,00000,0800,0800MEALS SERVED :DIETARY 126343,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 126343,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 126343,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 126343,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 126343,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 126343,B100000,00000,1500,1350HOURS OF SERVICE :ACTIVITIES 126343,S000000,00100,0200,11/30/00 126343,S200000,00100,0100,255 59TH STREET N 126343,S200000,00200,0100,ST PETERSBURG 126343,S200000,00200,0200,FL 126343,S200000,00200,0300,33710- 126343,S200000,00300,0100,PINELLAS 126343,S200000,00300,0200,8280 126343,S200000,00300,0300,U 126343,S200000,00400,0100,MENORAH MANOR INC. 126343,S200000,00400,0200,105504 126343,S200000,00400,0300,05/20/85 126343,S200000,00400,0500,P 126343,S200000,01004,0500,O 126343,S200000,01500,0100,Y 126343,S200000,01600,0100,N 126343,S200000,01700,0100,N 126343,S200000,01800,0100,N 126343,S200000,01900,0100,COMMUNITY BASED SNF 126343,S200000,02200,0100,N 126343,S200000,02800,0100,N 126343,S200000,02900,0100,N 126343,S200000,03000,0100,N 126343,S200000,03100,0100,N 126343,S200000,03200,0100,N 126343,S200000,04100,0100,N 126343,S200000,04200,0100,N 126343,S200000,04300,0100,N 126343,S200000,04600,0100,N 126343,S200000,04700,0100,Y 126343,S200000,04700,0200,Y 126343,S200000,04900,0100,N 126343,S200000,05000,0100,N 126343,S200000,05100,0100,N 126343,S200000,05200,0100,N 126418,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126418,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126418,A000000,00300,0000,0300EMPLOYEE BENEFITS 126418,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126418,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126418,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126418,A000000,00700,0000,0700HOUSEKEEPING 126418,A000000,00800,0000,0800DIETARY 126418,A000000,00900,0000,0900NURSING ADMINISTRATION 126418,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126418,A000000,01100,0000,1100PHARMACY 126418,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126418,A000000,01300,0000,1300SOCIAL SERVICE 126418,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126418,A000000,01600,0000,1600SKILLED NURSING FACILITY 126418,A000000,01800,0000,1800NURSING FACILITY 126418,A000000,01810,0000,1810ICF/MR 126418,A000000,02100,0000,2100RADIOLOGY 126418,A000000,02200,0000,2200LABORATORY 126418,A000000,02300,0000,2300INTRAVENOUS THERAPY 126418,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126418,A000000,02500,0000,2500PHYSICAL THERAPY 126418,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126418,A000000,02700,0000,2700SPEECH PATHOLOGY 126418,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126418,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126418,A000000,03200,0000,3200SUPPORT SURFACES 126418,A000000,03550,0000,3550FQHC 126418,A000000,05000,0000,5000CORF 126418,A000000,05010,0000,5010CMHC 126418,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126418,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126418,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126418,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126418,A81000A,00100,0100,Y 126418,A81000B,00100,0300,MANAGEMENT FEES 126418,A81000B,00200,0300,CAP REL-BLDG 126418,A81000B,00300,0300,CAP REL-EQUIP 126418,A81000B,00400,0300,RENT EXPENSE 126418,A81000C,00400,0100,B 126418,A81000C,00400,0200,J & L FREIDMAN 126418,A81000C,00400,0400,LONGWOOD MGT 126418,A81000C,00400,0600,MANAGEMENT 126418,B100000,00000,0100,0100SQUARE FEET 126418,B100000,00000,0200,0200DOLLAR VALUE 126418,B100000,00000,0300,0300GROSS SALARIES 126418,B100000,00000,0400,0400ACCUM. COST 126418,B100000,00000,0500,0500SQUARE FEET 126418,B100000,00000,0600,0600POUNDS OF LAUNDRY 126418,B100000,00000,0700,0700HOURS OF SERVICE 126418,B100000,00000,0800,0800MEALS SERVED 126418,B100000,00000,0900,0900DIRECT NRSING HRS 126418,B100000,00000,1000,1000COSTED REQUIS. 126418,B100000,00000,1100,1100COSTED REQUIS. 126418,B100000,00000,1200,1200TIME SPENT 126418,B100000,00000,1300,1300TIME SPENT 126418,B100000,00000,1400,1400ASSIGNED TIME 126418,E10A180,00350,0300,01/27/00 126418,E10A180,00501,0100,02/28/01 126418,E10A180,00550,0300,02/28/01 126418,S000000,00100,0200,12/27/00 126418,S200000,00100,0100,1240 HOOVER ST. 126418,S200000,00200,0100,LOS ANGELES 126418,S200000,00200,0200,CA 126418,S200000,00200,0300,90006 126418,S200000,00300,0100,L 126418,S200000,00300,0200,4480 126418,S200000,00300,0300,U 0 126418,S200000,00400,0100,ALDEN TERRACE CONVALESCENT HOSP 126418,S200000,00400,0200,056237 126418,S200000,00400,0300,06/01/88 126418,S200000,00400,0500,P 126418,S200000,01500,0100,N 126418,S200000,01600,0100,Y 126418,S200000,01700,0100,N 126418,S200000,01800,0100,N 126418,S200000,02200,0100,N 126418,S200000,02800,0100,N 126418,S200000,02900,0100,N 126418,S200000,03000,0100,N 126418,S200000,03100,0100,N 126418,S200000,03200,0100,N 126418,S200000,03300,0100,N 126418,S200000,03300,0200,N 126418,S200000,04100,0100,N 126418,S200000,04200,0100,N 126418,S200000,04300,0100,Y 126418,S200000,04600,0100,N 126418,S200000,04700,0100,N 126418,S200000,04900,0100,N 126418,S200000,05200,0100,N 126421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126421,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126421,A000000,00300,0000,0300EMPLOYEE BENEFITS 126421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126421,A000000,00700,0000,0700HOUSEKEEPING 126421,A000000,00800,0000,0800DIETARY 126421,A000000,00900,0000,0900NURSING ADMINISTRATION 126421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126421,A000000,01100,0000,1100PHARMACY 126421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126421,A000000,01300,0000,1300SOCIAL SERVICE 126421,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126421,A000000,01500,0000,1350OTHER GENERAL SERVICES 126421,A000000,01600,0000,1600SKILLED NURSING FACILITY 126421,A000000,01800,0000,1800NURSING FACILITY 126421,A000000,01810,0000,1810ICF/MR 126421,A000000,02100,0000,2100RADIOLOGY 126421,A000000,02200,0000,2200LABORATORY 126421,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126421,A000000,02500,0000,2500PHYSICAL THERAPY 126421,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126421,A000000,02700,0000,2700SPEECH PATHOLOGY 126421,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126421,A000000,03200,0000,3200SUPPORT SURFACES 126421,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126421,A000000,03550,0000,3550FQHC 126421,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126421,A000000,05000,0000,5000CORF 126421,A000000,05010,0000,5010CMHC 126421,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126421,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126421,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126421,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126421,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126421,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126421,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126421,A81000A,00100,0100,Y 126421,A81000B,00100,0300,MANAGEMENT FEES 126421,A81000B,00200,0300,HOME OFFICE-BUILDING 126421,A81000B,00300,0300,HOME OFFICE-EQUIPMENT 126421,A81000B,00400,0300,HOME OFFICE COSTS 126421,A81000B,00500,0300,HOME OFFICE-ADM-WAGES 126421,A81000B,00600,0300,HOME OFFICE-ADM-EMP. BENEFITS 126421,A81000B,00700,0300,RESPIRATORY THERAPY EXPENSE 126421,A81000C,00100,0100,B 126421,A81000C,00100,0200,COMM HOSP. OF CENTRAL CAL 126421,A81000C,00100,0400,COMM HOSP. OF CENTRAL CAL 126421,A81000C,00100,0600,HOME OFFICE 126421,A81000C,00200,0100,B 126421,A81000C,00200,0400,COMM ALZHEIMERS LVG CTR 126421,A81000C,00200,0600,SNF 126421,A81000C,00300,0400,COMM LVG CTR-OAKHURST 126421,A81000C,00300,0600,SNF 126421,B100000,00000,0100,0100SQUARE FEET 126421,B100000,00000,0200,0200SQUARE FEET 126421,B100000,00000,0300,0300GROSS SALARIES 126421,B100000,00000,0400,0400ACCUM. COST 126421,B100000,00000,0500,0500SQUARE FEET 126421,B100000,00000,0600,0600POUNDS OF LAUNDRY 126421,B100000,00000,0700,0700HOURS OF SERVICE 126421,B100000,00000,0800,0800MEALS SERVED 126421,B100000,00000,0900,0900DIR NRSG LABOR COST 126421,B100000,00000,1000,1000COSTED REQUIS. 126421,B100000,00000,1100,1100COSTED REQUIS. 126421,B100000,00000,1200,1200TIME SPENT 126421,B100000,00000,1300,1300TIME SPENT 126421,B100000,00000,1400,1400ASSIGNED TIME 126421,B100000,00000,1500,1350NO STATISTICS 126421,E10A180,00501,0100, 4/18/01 126421,E10A180,00501,0300, 4/18/01 126421,E10A180,00550,0300, 2/20/01 126421,S000000,00100,0200,03/12/01 126421,S200000,00100,0100,3003 N. MARIPOSA 126421,S200000,00200,0100,FRESNO 126421,S200000,00200,0200,CA 126421,S200000,00200,0300,93703 126421,S200000,00300,0100,F 126421,S200000,00300,0200,2840 126421,S200000,00300,0300,U 126421,S200000,00400,0100,COMMUNITY LIVING CENTER-FRESNO 126421,S200000,00400,0200,055043 126421,S200000,00400,0300,03/01/67 126421,S200000,00400,0500,P 126421,S200000,00600,0200,055043 126421,S200000,00600,0300,03/01/67 126421,S200000,00600,0600,O 126421,S200000,01500,0100,N 126421,S200000,01600,0100,Y 126421,S200000,01700,0100,N 126421,S200000,01800,0100,N 126421,S200000,02200,0100,N 126421,S200000,02800,0100,Y 126421,S200000,02900,0100,N 126421,S200000,03000,0100,N 126421,S200000,03100,0100,N 126421,S200000,03200,0100,N 126421,S200000,03300,0100,N 126421,S200000,03300,0200,N 126421,S200000,03500,0300,N 126421,S200000,04100,0100,N 126421,S200000,04200,0100,N 126421,S200000,04300,0100,N 126421,S200000,04600,0100,N 126421,S200000,04700,0100,N 126421,S200000,04900,0100,N 126421,S200000,05200,0100,N 126427,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126427,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126427,A000000,00300,0000,0300EMPLOYEE BENEFITS 126427,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126427,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126427,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126427,A000000,00700,0000,0700HOUSEKEEPING 126427,A000000,00800,0000,0800DIETARY 126427,A000000,00900,0000,0900NURSING ADMINISTRATION 126427,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126427,A000000,01100,0000,1100PHARMACY 126427,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126427,A000000,01300,0000,1300SOCIAL SERVICE 126427,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126427,A000000,01600,0000,1600SKILLED NURSING FACILITY 126427,A000000,01800,0000,1800NURSING FACILITY 126427,A000000,01810,0000,1810ICF/MR 126427,A000000,02100,0000,2100RADIOLOGY 126427,A000000,02200,0000,2200LABORATORY 126427,A000000,02300,0000,2300INTRAVENOUS THERAPY 126427,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126427,A000000,02500,0000,2500PHYSICAL THERAPY 126427,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126427,A000000,02700,0000,2700SPEECH PATHOLOGY 126427,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126427,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126427,A000000,03550,0000,3550FQHC 126427,A000000,05000,0000,5000CORF 126427,A000000,05010,0000,5010CMHC 126427,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126427,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126427,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126427,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126427,A81000A,00100,0100,Y 126427,A81000B,00100,0300,MANAGEMENT FEES 126427,A81000B,00200,0300,CAPITAL-RELATED EXPENSES 126427,A81000B,00300,0300,ADMINISTRATIVE AND GENERAL 126427,A81000C,00100,0100,A 126427,A81000C,00100,0200,LEE SAMSON 126427,A81000C,00100,0400,WHM 126427,A81000C,00100,0600,MANAGEMENT CO. 126427,B100000,00000,0100,0100SQ FEET 126427,B100000,00000,0200,0200SQ FEET 126427,B100000,00000,0300,0300GROSS SAL 126427,B100000,00000,0400,0400ACCUM. COST 126427,B100000,00000,0500,0500SQ FEET 126427,B100000,00000,0600,0600LBS OF LAUNDRY 126427,B100000,00000,0700,0700SQ FEET 126427,B100000,00000,0800,0800MEALS SERVED 126427,B100000,00000,0900,0900NURSING HOURS 126427,B100000,00000,1000,1000COSTED REQUISITIO 126427,B100000,00000,1100,1100COSTED REQUIS 126427,B100000,00000,1200,1200GROSS REV 126427,B100000,00000,1300,1300TIME SPENT 126427,B100000,00000,1400,1400ASSIGNED TIME 126427,E10A180,00350,0300,09/23/99 126427,E10A180,00501,0300, 8/22/00 126427,E10A180,00550,0100, 8/22/00 126427,S000000,00100,0200,05/31/00 126427,S200000,00100,0100,13922 CERISE AVE 126427,S200000,00200,0100,HAWTHORNE 126427,S200000,00200,0200,CA 126427,S200000,00200,0300,90250 126427,S200000,00300,0200,4480 126427,S200000,00300,0300,U 126427,S200000,00400,0100,WINDSOR GARDENS OF HAWTHORNE 126427,S200000,00400,0200,056267 126427,S200000,00400,0300,09/01/93 126427,S200000,00400,0500,P 126427,S200000,00600,0200,056267 126427,S200000,00600,0300,09/01/93 126427,S200000,00600,0600,O 126427,S200000,01500,0100,N 126427,S200000,01600,0100,Y 126427,S200000,01700,0100,N 126427,S200000,01800,0100,N 126427,S200000,02200,0100,N 126427,S200000,02800,0100,N 126427,S200000,02900,0100,N 126427,S200000,03000,0100,N 126427,S200000,03100,0100,N 126427,S200000,03200,0100,N 126427,S200000,03300,0100,N 126427,S200000,03300,0200,N 126427,S200000,03500,0300,N 126427,S200000,04100,0100,N 126427,S200000,04200,0100,N 126427,S200000,04300,0100,N 126427,S200000,04600,0100,N 126427,S200000,04700,0100,N 126427,S200000,04900,0100,N 126427,S200000,05200,0100,N 126428,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126428,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126428,A000000,00300,0000,0300EMPLOYEE BENEFITS 126428,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126428,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126428,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126428,A000000,00700,0000,0700HOUSEKEEPING 126428,A000000,00800,0000,0800DIETARY 126428,A000000,00900,0000,0900NURSING ADMINISTRATION 126428,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126428,A000000,01100,0000,1100PHARMACY 126428,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126428,A000000,01300,0000,1300SOCIAL SERVICE 126428,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126428,A000000,01600,0000,1600SKILLED NURSING FACILITY 126428,A000000,01810,0000,1810ICF/MR 126428,A000000,02100,0000,2100RADIOLOGY 126428,A000000,02200,0000,2200LABORATORY 126428,A000000,02500,0000,2500PHYSICAL THERAPY 126428,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126428,A000000,02700,0000,2700SPEECH PATHOLOGY 126428,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126428,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126428,A000000,03200,0000,3200SUPPORT SURFACES 126428,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126428,A000000,03550,0000,3550FQHC 126428,A000000,05000,0000,5000CORF 126428,A000000,05010,0000,5010CMHC 126428,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126428,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126428,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126428,A81000A,00100,0100,Y 126428,A81000B,00100,0300,MANAGEMENT FEES 126428,A81000B,00200,0300,PHYSICAL THERAPY 126428,A81000B,00300,0300,OCCUPATIONAL THERAPY 126428,A81000B,00400,0300,SPEECH THERAPY 126428,A81000B,00500,0300,PATIENT SUPPLIES 126428,A81000B,00600,0300,MEDICAL SUPPLIES 126428,A81000B,00700,0300,PHARMACY 126428,A81000C,00100,0100,B 126428,A81000C,00100,0200,FOUNTAIN VIEW INC. 126428,A81000C,00100,0400,WILLOW CREEK 126428,A81000C,00100,0600,SNF 126428,A81000C,00200,0100,B 126428,A81000C,00200,0200,FOUNTAIN VIEW INC. 126428,A81000C,00200,0400,LOCOMOTION 126428,A81000C,00200,0600,THERAPY COMPANY 126428,A81000C,00300,0100,B 126428,A81000C,00300,0200,FOUNTAIN VIEW INC. 126428,A81000C,00300,0400,I N O 126428,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 126428,A81000C,00400,0100,B 126428,A81000C,00400,0200,FOUNTAIN VIEW INC 126428,A81000C,00400,0400,SKILLED CARE PHARMACY 126428,A81000C,00400,0600,PHARMACY 126428,B100000,00000,0100,0100SQUARE FEET 126428,B100000,00000,0200,0200SQUARE FEET 126428,B100000,00000,0300,0300GROSS SALARIES 126428,B100000,00000,0400,0400ACCUM. COST 126428,B100000,00000,0500,0500SQUARE FEET 126428,B100000,00000,0600,0600POUNDS OF LAUNDRY 126428,B100000,00000,0700,0700SQUARE FEET 126428,B100000,00000,0800,0800MEALS SERVED 126428,B100000,00000,0900,0900DIRECT NRSING HRS 126428,B100000,00000,1000,1000COSTED REQUIS 126428,B100000,00000,1100,1100COSTED REQUIS 126428,B100000,00000,1200,1200GROSS REVENUE 126428,B100000,00000,1300,1300PATIENT DAYS 126428,B100000,00000,1400,1400ASSIGNED TIME 126428,E10A180,00501,0100,02/12/01 126428,E10A180,00501,0300,02/12/01 126428,S000000,00100,0200,01/22/01 126428,S200000,00100,0100,650W. ALLUVIAL 126428,S200000,00200,0100,CLOVIS 126428,S200000,00200,0200,CA 126428,S200000,00200,0300,93611 126428,S200000,00300,0100,F 126428,S200000,00300,0200,2840 126428,S200000,00300,0300,U 126428,S200000,00400,0100,WILLOW CREEK CARE CENTER 126428,S200000,00400,0200,555652 126428,S200000,00400,0300,01/08/96 126428,S200000,00400,0500,P 126428,S200000,00400,0600,O 126428,S200000,01500,0100,N 126428,S200000,01600,0100,Y 126428,S200000,01700,0100,N 126428,S200000,01800,0100,N 126428,S200000,02200,0100,N 126428,S200000,02800,0100,N 126428,S200000,02900,0100,N 126428,S200000,03000,0100,N 126428,S200000,03100,0100,N 126428,S200000,03200,0100,N 126428,S200000,03300,0100,N 126428,S200000,03300,0200,N 126428,S200000,04100,0100,N 126428,S200000,04200,0100,N 126428,S200000,04300,0100,N 126428,S200000,04600,0100,N 126428,S200000,04700,0100,N 126428,S200000,04900,0100,N 126428,S200000,05200,0100,N 126470,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126470,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126470,A000000,00300,0000,0300EMPLOYEE BENEFITS 126470,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126470,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126470,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126470,A000000,00700,0000,0700HOUSEKEEPING 126470,A000000,00800,0000,0800DIETARY 126470,A000000,00900,0000,0900NURSING ADMINISTRATION 126470,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126470,A000000,01100,0000,1100PHARMACY 126470,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126470,A000000,01300,0000,1300SOCIAL SERVICE 126470,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126470,A000000,01500,0000,1350ACTIVITIES 126470,A000000,01600,0000,1600SKILLED NURSING FACILITY 126470,A000000,01800,0000,1800NURSING FACILITY 126470,A000000,01900,0000,1900OTHER LONG TERM CARE 126470,A000000,02100,0000,2100RADIOLOGY 126470,A000000,02200,0000,2200LABORATORY 126470,A000000,02300,0000,2300INTRAVENOUS THERAPY 126470,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126470,A000000,02500,0000,2500PHYSICAL THERAPY 126470,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126470,A000000,02700,0000,2700SPEECH PATHOLOGY 126470,A000000,02800,0000,2800ELECTROCARDIOLOGY 126470,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126470,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126470,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126470,A000000,03200,0000,3200SUPPORT SURFACES 126470,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126470,A000000,03400,0000,3400CLINIC 126470,A000000,03500,0000,3500RURAL HEALTH CLINIC 126470,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126470,A000000,04800,0000,4800AMBULANCE 126470,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 126470,A000000,05000,0000,5000CORF 126470,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126470,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126470,A000000,05300,0000,5300INTEREST EXPENSE 126470,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126470,A000000,05500,0000,5500HOSPICE 126470,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126470,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126470,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126470,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126470,A000000,06100,0000,6100NONPAID WORKERS 126470,A000000,06200,0000,6200PATIENTS LAUNDRY 126470,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126470,A81000A,00100,0100,Y 126470,A81000B,00100,0300,HOME OFFICE EXPENSE 126470,A81000B,00200,0300,HOME OFFICE CAPITAL 126470,A81000C,00100,0100,B 126470,A81000C,00100,0400,CRYSTAL INC. 126470,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 126470,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 126470,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 126470,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 126470,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 126470,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 126470,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 126470,B100000,00000,0800,0800MEALS SERVED DIETARY 126470,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 126470,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 126470,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 126470,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 126470,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 126470,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 126470,B100000,00000,1500,1500DAYS ACTIVITIES 126470,S000000,00100,0200,11/30/00 126470,S200000,00100,0100,1808 MAIN STREET 126470,S200000,00200,0100,GOWRIE 126470,S200000,00200,0200,IA 126470,S200000,00200,0300,50543-9790 126470,S200000,00300,0100,WEBSTER 126470,S200000,00300,0200,9916 126470,S200000,00300,0300,R 126470,S200000,00400,0100,GOWRIE CARE CENTER 126470,S200000,00400,0200,165344 126470,S200000,00400,0300,07/01/97 126470,S200000,00400,0500,P 126470,S200000,00400,0600,N 126470,S200000,01500,0100,Y 126470,S200000,01600,0100,N 126470,S200000,01700,0100,N 126470,S200000,01800,0100,N 126470,S200000,01900,0100,OTHER 126470,S200000,02200,0100,N 126470,S200000,02800,0100,N 126470,S200000,02900,0100,N 126470,S200000,03000,0100,N 126470,S200000,03100,0100,N 126470,S200000,03200,0100,N 126470,S200000,03300,0100,N 126470,S200000,03300,0200,N 126470,S200000,04100,0100,N 126470,S200000,04200,0100,N 126470,S200000,04300,0100,N 126470,S200000,04600,0100,N 126470,S200000,04700,0100,N 126470,S200000,04700,0200,N 126470,S200000,04900,0100,N 126470,S200000,05000,0100,N 126470,S200000,05100,0100,N 126470,S200000,05200,0100,N 126470,S700003,00000,0400,X 126514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126514,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126514,A000000,00300,0000,0300EMPLOYEE BENEFITS 126514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126514,A000000,00700,0000,0700HOUSEKEEPING 126514,A000000,00800,0000,0800DIETARY 126514,A000000,00900,0000,0900NURSING ADMINISTRATION 126514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126514,A000000,01100,0000,1100PHARMACY 126514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126514,A000000,01300,0000,1300SOCIAL SERVICE 126514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126514,A000000,01500,0000,1350OTHER GENERAL SERVICES 126514,A000000,01600,0000,1600SKILLED NURSING FACILITY 126514,A000000,01800,0000,1800NURSING FACILITY 126514,A000000,01810,0000,1810ICF/MR 126514,A000000,02100,0000,2100RADIOLOGY 126514,A000000,02500,0000,2500PHYSICAL THERAPY 126514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126514,A000000,02700,0000,2700SPEECH PATHOLOGY 126514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126514,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126514,A000000,03550,0000,3550FQHC 126514,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126514,A000000,05000,0000,5000CORF 126514,A000000,05010,0000,5010CMHC 126514,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126514,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126514,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126514,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126514,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126514,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126514,A81000A,00100,0100,N 126514,B100000,00000,0100,0100SQUARE FEET 126514,B100000,00000,0200,0200SQUARE FEET 126514,B100000,00000,0300,0300GROSS SALARIES 126514,B100000,00000,0400,0400ACCUM. COST 126514,B100000,00000,0500,0500SQUARE FEET 126514,B100000,00000,0600,0600POUNDS OF LAUNDRY 126514,B100000,00000,0700,0700SQUARE FEET 126514,B100000,00000,0800,0800MEALS SERVED 126514,B100000,00000,0900,0900DIRECT NRSING HRS 126514,B100000,00000,1000,1000COSTED REQUIS. 126514,B100000,00000,1100,1100COSTED REQUIS. 126514,B100000,00000,1200,1200TIME SPENT 126514,B100000,00000,1300,1300TIME SPENT 126514,B100000,00000,1400,1400ASSIGNED TIME 126514,B100000,00000,1500,1350NO STATISTICS 126514,S000000,00100,0200,01/09/01 126514,S200000,00100,0100,702 WEST GAINES 126514,S200000,00200,0100,DERMOTT 126514,S200000,00200,0200,AR 126514,S200000,00200,0300,71638 126514,S200000,00300,0100,C 126514,S200000,00400,0100,DERMOTT CITY NURSING HOME 126514,S200000,00400,0200,045172 126514,S200000,00400,0300,10/01/92 126514,S200000,00400,0500,P 126514,S200000,01500,0100,N 126514,S200000,01600,0100,Y 126514,S200000,01700,0100,N 126514,S200000,01800,0100,N 126514,S200000,02200,0100,N 126514,S200000,02800,0100,N 126514,S200000,02900,0100,N 126514,S200000,03000,0100,N 126514,S200000,03100,0100,N 126514,S200000,03200,0100,N 126514,S200000,03300,0100,N 126514,S200000,03300,0200,N 126514,S200000,04100,0100,N 126514,S200000,04200,0100,N 126514,S200000,04300,0100,N 126514,S200000,04600,0100,N 126514,S200000,04700,0100,N 126514,S200000,04700,0200,N 126514,S200000,04900,0100,N 126518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126518,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126518,A000000,00300,0000,0300EMPLOYEE BENEFITS 126518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126518,A000000,00700,0000,0700HOUSEKEEPING 126518,A000000,00800,0000,0800DIETARY 126518,A000000,00900,0000,0900NURSING ADMINISTRATION 126518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126518,A000000,01100,0000,1100PHARMACY 126518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126518,A000000,01300,0000,1300SOCIAL SERVICE 126518,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126518,A000000,01600,0000,1600SKILLED NURSING FACILITY 126518,A000000,01810,0000,1810ICF/MR 126518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126518,A000000,02500,0000,2500PHYSICAL THERAPY 126518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126518,A000000,02700,0000,2700SPEECH PATHOLOGY 126518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126518,A000000,03550,0000,3550FQHC 126518,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126518,A000000,05000,0000,5000CORF 126518,A000000,05010,0000,5010CMHC 126518,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126518,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126518,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126518,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126518,A000000,06301,0000,6151WILD WOOD 126518,A81000A,00100,0100,N 126518,B100000,00000,0100,0100SQUARE FEET 126518,B100000,00000,0200,0200DOLLAR VALUE 126518,B100000,00000,0300,0300GROSS SALARIES 126518,B100000,00000,0400,0400ACCUM. COST 126518,B100000,00000,0500,0500SQUARE FEET 126518,B100000,00000,0600,0600POUNDS OF LAUNDRY 126518,B100000,00000,0700,0700SQUARE FEET 126518,B100000,00000,0800,0800MEALS SERVED 126518,B100000,00000,0900,0900DIRECT NRSING HRS 126518,B100000,00000,1000,1000COSTED REQUIS. 126518,B100000,00000,1100,1100COSTED REQUIS. 126518,B100000,00000,1200,1200TIME SPENT 126518,B100000,00000,1300,1300PATIENT DAYS 126518,B100000,00000,1400,1400ASSIGNED TIME 126518,S000000,00100,0200,11/10/00 126518,S200000,00100,0100,2901 NEELEY STREET 126518,S200000,00200,0100,BATESVILLE 126518,S200000,00200,0200,AR 126518,S200000,00200,0300,72501 126518,S200000,00300,0100,I 126518,S200000,00300,0200,0004 126518,S200000,00300,0300,R 126518,S200000,00400,0100,WOOD-LAWN INC 126518,S200000,00400,0200,045317 126518,S200000,00400,0300,10/01/96 126518,S200000,00400,0500,P 126518,S200000,01500,0100,N 126518,S200000,01600,0100,Y 126518,S200000,01700,0100,N 126518,S200000,01800,0100,N 126518,S200000,02200,0100,N 126518,S200000,02800,0100,N 126518,S200000,02900,0100,N 126518,S200000,03000,0100,N 126518,S200000,03100,0100,N 126518,S200000,03200,0100,N 126518,S200000,03300,0100,N 126518,S200000,03300,0200,N 126518,S200000,04100,0100,N 126518,S200000,04200,0100,N 126518,S200000,04300,0100,N 126518,S200000,04600,0100,N 126518,S200000,04700,0100,N 126518,S200000,04700,0200,N 126518,S200000,04900,0100,N 126519,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126519,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126519,A000000,00300,0000,0300EMPLOYEE BENEFITS 126519,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126519,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126519,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126519,A000000,00700,0000,0700HOUSEKEEPING 126519,A000000,00800,0000,0800DIETARY 126519,A000000,00900,0000,0900NURSING ADMINISTRATION 126519,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126519,A000000,01100,0000,1100PHARMACY 126519,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126519,A000000,01300,0000,1300SOCIAL SERVICE 126519,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126519,A000000,01600,0000,1600SKILLED NURSING FACILITY 126519,A000000,01800,0000,1800NURSING FACILITY 126519,A000000,01810,0000,1810ICF/MR 126519,A000000,02100,0000,2100RADIOLOGY 126519,A000000,02200,0000,2200LABORATORY 126519,A000000,02300,0000,2300INTRAVENOUS THERAPY 126519,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126519,A000000,02500,0000,2500PHYSICAL THERAPY 126519,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126519,A000000,02700,0000,2700SPEECH PATHOLOGY 126519,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126519,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126519,A000000,03300,0000,3050FEE SCREEN REHAB & OTHER 126519,A000000,03550,0000,3550FQHC 126519,A000000,05000,0000,5000CORF 126519,A000000,05010,0000,5010CMHC 126519,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126519,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126519,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126519,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126519,A81000A,00100,0100,Y 126519,A81000B,00100,0300,HOME OFFICE COSTS 126519,A81000C,00100,0100,B 126519,A81000C,00100,0200,ADVOCAT INC. 126519,A81000C,00100,0400,DVCR LEASING CO 126519,A81000C,00100,0600,L/T CARE MGT CO 126519,B100000,00000,0100,0100SQUARE FEET 126519,B100000,00000,0200,0200SQUARE FEET 126519,B100000,00000,0300,0300GROSS SALARIES 126519,B100000,00000,0400,0400ACCUM COST 126519,B100000,00000,0500,0500SQUARE FEET 126519,B100000,00000,0600,0600PATIENT DAYS 126519,B100000,00000,0700,0700SQUARE FEET 126519,B100000,00000,0800,0800PATIENT DAYS 126519,B100000,00000,0900,0900TOTAL HRS SUPRVSD 126519,B100000,00000,1000,1000COSTED REQUIS 126519,B100000,00000,1100,1100COSTED REQUIS 126519,B100000,00000,1200,1200PATIENT REVENUES 126519,B100000,00000,1300,1300PATIENT DAYS 126519,B100000,00000,1400,1400ASSIGNED TIME 126519,E10A180,00350,0100,01/24/01 126519,S000000,00100,0200,12/28/00 126519,S200000,00100,0100,113 SOUTH BRIARWOOD DRIVE 126519,S200000,00200,0100,SHERIDAN 126519,S200000,00200,0200,AR 126519,S200000,00200,0300,72150 126519,S200000,00300,0100,G 126519,S200000,00300,0200,9904 126519,S200000,00300,0300,R 126519,S200000,00400,0100,SHERIDAN NRSG. AND REHAB. CENTER 126519,S200000,00400,0200,045256 126519,S200000,00400,0300,12/01/94 126519,S200000,00400,0500,P 126519,S200000,01500,0100,N 126519,S200000,01600,0100,Y 126519,S200000,01700,0100,N 126519,S200000,01800,0100,N 126519,S200000,02200,0100,Y 126519,S200000,02800,0100,Y 126519,S200000,02900,0100,N 126519,S200000,03000,0100,N 126519,S200000,03100,0100,N 126519,S200000,03200,0100,N 126519,S200000,03300,0100,N 126519,S200000,03300,0200,N 126519,S200000,04100,0100,N 126519,S200000,04200,0100,N 126519,S200000,04300,0100,N 126519,S200000,04600,0100,N 126519,S200000,04700,0100,N 126519,S200000,04900,0100,N 126520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126520,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126520,A000000,00300,0000,0300EMPLOYEE BENEFITS 126520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126520,A000000,00700,0000,0700HOUSEKEEPING 126520,A000000,00800,0000,0800DIETARY 126520,A000000,00900,0000,0900NURSING ADMINISTRATION 126520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126520,A000000,01100,0000,1100PHARMACY 126520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126520,A000000,01300,0000,1300SOCIAL SERVICE 126520,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126520,A000000,01600,0000,1600SKILLED NURSING FACILITY 126520,A000000,01800,0000,1800NURSING FACILITY 126520,A000000,01810,0000,1810ICF/MR 126520,A000000,02100,0000,2100RADIOLOGY 126520,A000000,02200,0000,2200LABORATORY 126520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126520,A000000,02500,0000,2500PHYSICAL THERAPY 126520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126520,A000000,02700,0000,2700SPEECH PATHOLOGY 126520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126520,A000000,03550,0000,3550FQHC 126520,A000000,05000,0000,5000CORF 126520,A000000,05010,0000,5010CMHC 126520,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126520,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126520,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126520,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126520,A81000A,00100,0100,N 126520,B100000,00000,0100,0100SQUARE FEET 126520,B100000,00000,0200,0200NO STATISTICS 126520,B100000,00000,0300,0300GROSS SALARIES 126520,B100000,00000,0400,0400ACCUM. COST 126520,B100000,00000,0500,0500SQUARE FEET 126520,B100000,00000,0600,0600PATIENT DAYS 126520,B100000,00000,0700,0700SQUARE FEET 126520,B100000,00000,0800,0800PATIENT DAYS 126520,B100000,00000,0900,0900PATIENT DAYS 126520,B100000,00000,1000,1000COSTED REQS 126520,B100000,00000,1100,1100COSTED REQS 126520,B100000,00000,1200,1200GROSS REVENUE 126520,B100000,00000,1300,1300PATIENT DAYS 126520,B100000,00000,1400,1400NO STATISTICS 126520,S000000,00100,0200,12/11/00 126520,S200000,00100,0100,812 N. GASKILL 126520,S200000,00100,0300,1198 126520,S200000,00200,0100,HUNTSVILLE 126520,S200000,00200,0200,AR 126520,S200000,00200,0300,72740 126520,S200000,00300,0100,M 126520,S200000,00300,0200,0004 126520,S200000,00300,0300,R 126520,S200000,00400,0100,MEADOWVIEW HEALTHCARE 126520,S200000,00400,0200,045341 126520,S200000,00400,0300,06/02/98 126520,S200000,00400,0500,P 126520,S200000,01500,0100,N 126520,S200000,01600,0100,Y 126520,S200000,01700,0100,N 126520,S200000,01800,0100,N 126520,S200000,02200,0100,N 126520,S200000,02800,0100,N 126520,S200000,02900,0100,N 126520,S200000,03000,0100,N 126520,S200000,03100,0100,N 126520,S200000,03200,0100,N 126520,S200000,03300,0100,N 126520,S200000,03300,0200,N 126520,S200000,04100,0100,N 126520,S200000,04200,0100,N 126520,S200000,04300,0100,N 126520,S200000,04600,0100,N 126520,S200000,04700,0100,N 126520,S200000,04900,0100,N 126520,S200000,05200,0100,N 126524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126524,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126524,A000000,00300,0000,0300EMPLOYEE BENEFITS 126524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126524,A000000,00700,0000,0700HOUSEKEEPING 126524,A000000,00800,0000,0800DIETARY 126524,A000000,00900,0000,0900NURSING ADMINISTRATION 126524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126524,A000000,01100,0000,1100PHARMACY 126524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126524,A000000,01300,0000,1300SOCIAL SERVICE 126524,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126524,A000000,01500,0000,1350ACTIVITIES 126524,A000000,01600,0000,1600SKILLED NURSING FACILITY 126524,A000000,01800,0000,1800NURSING FACILITY 126524,A000000,01810,0000,1810ICF/MR 126524,A000000,02100,0000,2100RADIOLOGY 126524,A000000,02200,0000,2200LABORATORY 126524,A000000,02500,0000,2500PHYSICAL THERAPY 126524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126524,A000000,02700,0000,2700SPEECH PATHOLOGY 126524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126524,A000000,03550,0000,3550FQHC 126524,A000000,04800,0000,4800AMBULANCE 126524,A000000,05000,0000,5000CORF 126524,A000000,05010,0000,5010CMHC 126524,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126524,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126524,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126524,A81000A,00100,0100,Y 126524,A81000B,00100,0300,RENT 126524,A81000B,00200,0300,HOME OFFICE BLDG COSTS 126524,A81000B,00300,0300,HOME OFFICE EQUIP COSTS 126524,A81000B,00400,0300,HOME OFFICE A&G COSTS 126524,A81000B,00500,0300,NURSING ADMIN 126524,A81000C,00100,0100,A 126524,A81000C,00100,0200,DONALD FIKE 126524,A81000C,00100,0400,RFMS INC 126524,A81000C,00100,0600,MANAGEMENT SERVICES 126524,A81000C,00200,0100,A 126524,A81000C,00200,0200,DONALD FIKE 126524,A81000C,00200,0400,ILLINI MANOR INC 126524,A81000C,00200,0600,FACILITY RENTAL 126524,B100000,00000,0100,0100SQUARE FEET 126524,B100000,00000,0200,0200SQUARE FEET 126524,B100000,00000,0300,0300GROSS SALARIES 126524,B100000,00000,0400,0400ACCUM. COST 126524,B100000,00000,0500,0500SQUARE FEET 126524,B100000,00000,0600,0600PATIENT DAYS 126524,B100000,00000,0700,0700SQUARE FEET 126524,B100000,00000,0800,0800PATIENT DAYS 126524,B100000,00000,0900,0900SALARIES 126524,B100000,00000,1000,1000NO STATISTICS 126524,B100000,00000,1100,1100COSTED REQUIS. 126524,B100000,00000,1200,1200TIME SPENT 126524,B100000,00000,1300,1300PATIENT DAYS 126524,B100000,00000,1400,1400ASSIGNED TIME 126524,B100000,00000,1500,1350PATIENT DAYS 126524,E10A180,00501,0100,12/29/00 126524,S000000,00100,0200,06/01/00 126524,S200000,00100,0100,ROUTE 128 NORTH 126524,S200000,00200,0100,SHELBYVILLE 126524,S200000,00200,0200,IL 126524,S200000,00200,0300,62565 126524,S200000,00300,0100,SHELBY 126524,S200000,00300,0200,14 126524,S200000,00300,0300,R 126524,S200000,00400,0100,SHELBYVILLE MANOR 126524,S200000,00400,0200,145441 126524,S200000,00400,0300,01/01/82 126524,S200000,00400,0500,P 126524,S200000,01500,0100,N 126524,S200000,01600,0100,Y 126524,S200000,01700,0100,N 126524,S200000,01800,0100,N 126524,S200000,02200,0100,N 126524,S200000,02800,0100,N 126524,S200000,02900,0100,N 126524,S200000,03000,0100,N 126524,S200000,03100,0100,N 126524,S200000,03200,0100,N 126524,S200000,03300,0100,N 126524,S200000,03300,0200,N 126524,S200000,04100,0100,N 126524,S200000,04200,0100,N 126524,S200000,04300,0100,N 126524,S200000,04600,0100,N 126524,S200000,04700,0100,N 126524,S200000,04900,0100,N 126524,S200000,05200,0100,N 126531,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126531,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126531,A000000,00300,0000,0300EMPLOYEE BENEFITS 126531,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126531,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126531,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126531,A000000,00700,0000,0700HOUSEKEEPING 126531,A000000,00800,0000,0800DIETARY 126531,A000000,00900,0000,0900NURSING ADMINISTRATION 126531,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126531,A000000,01100,0000,1100PHARMACY 126531,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126531,A000000,01300,0000,1300SOCIAL SERVICE 126531,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126531,A000000,01600,0000,1600SKILLED NURSING FACILITY 126531,A000000,01800,0000,1800NURSING FACILITY 126531,A000000,01810,0000,1810ICF/MR 126531,A000000,02100,0000,2100RADIOLOGY 126531,A000000,02200,0000,2200LABORATORY 126531,A000000,02500,0000,2500PHYSICAL THERAPY 126531,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126531,A000000,02700,0000,2700SPEECH PATHOLOGY 126531,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126531,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126531,A000000,03550,0000,3550FQHC 126531,A000000,05000,0000,5000CORF 126531,A000000,05010,0000,5010CMHC 126531,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126531,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126531,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126531,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126531,A81000A,00100,0100,Y 126531,A81000B,00100,0300,MANAGEMENT FEES 126531,A81000B,00200,0300,HOME OFFICE 126531,A81000B,00300,0300,ANCILLARY ADM FEES 126531,A81000B,00400,0300,DATA PROCESSING 126531,A81000B,00500,0300,ACCOUNTING FEES 126531,A81000B,00600,0300,BOOKKEEPING FEES 126531,A81000B,00700,0300,RENT 126531,A81000B,00800,0300,REAL ESTATE TAXES 126531,A81000B,00900,0300,BLDG. CO. ADMIN. EXP 126531,A81000B,01000,0300,MGMT. ADMIN. FEES 126531,A81000C,00200,0100,B 126531,A81000C,00200,0200,FAIRMOUNT BLDG. 126531,A81000C,00300,0100,B 126531,A81000C,00300,0200,ERIC ROTHNER 126531,A81000C,00400,0100,0 126531,B100000,00000,0100,0100SQUARE FEET 126531,B100000,00000,0200,0200SQUARE FEET 126531,B100000,00000,0300,0300GROSS SALARIES 126531,B100000,00000,0400,0400ACCUM COST 126531,B100000,00000,0500,0500SQUARE FEET 126531,B100000,00000,0600,0600PATIENT DAYS 126531,B100000,00000,0700,0700SQUARE FEET 126531,B100000,00000,0800,0800PATIENT DAYS 126531,B100000,00000,0900,0900PATIENT DAYS 126531,B100000,00000,1000,1000PATIENT DAYS 126531,B100000,00000,1100,1100COSTED REQUIS 126531,B100000,00000,1200,1200PATIENT DAYS 126531,B100000,00000,1300,1300PATIENT DAYS 126531,B100000,00000,1400,1400ASSIGNED TIME 126531,E10A180,00501,0100,03/26/01 126531,E10A180,00550,0300,03/26/01 126531,S000000,00100,0200,03/07/02 126531,S200000,00100,0100,625 N. HARLEM AVENUE 126531,S200000,00200,0100,OAK PARK 126531,S200000,00200,0200,IL 126531,S200000,00200,0300,60302 126531,S200000,00300,0100,COOK 126531,S200000,00300,0200,1600 126531,S200000,00300,0300,U 126531,S200000,00400,0100,FAIRMOUNT OF OAK PARK 126531,S200000,00400,0200,145714 126531,S200000,00400,0300,04/01/93 126531,S200000,00400,0500,P 126531,S200000,01500,0100,N 126531,S200000,01600,0100,Y 126531,S200000,01700,0100,N 126531,S200000,01800,0100,N 126531,S200000,02200,0100,N 126531,S200000,02800,0100,N 126531,S200000,02900,0100,N 126531,S200000,03000,0100,N 126531,S200000,03100,0100,N 126531,S200000,03200,0100,N 126531,S200000,03300,0100,N 126531,S200000,03300,0200,N 126531,S200000,04100,0100,N 126531,S200000,04200,0100,N 126531,S200000,04300,0100,N 126531,S200000,04600,0100,N 126531,S200000,04700,0100,N 126531,S200000,04900,0100,N 126531,S200000,05000,0100,N 126531,S200000,05200,0100,N 126534,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126534,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126534,A000000,00300,0000,0300EMPLOYEE BENEFITS 126534,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126534,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126534,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126534,A000000,00700,0000,0700HOUSEKEEPING 126534,A000000,00800,0000,0800DIETARY 126534,A000000,00900,0000,0900NURSING ADMINISTRATION 126534,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126534,A000000,01100,0000,1100PHARMACY 126534,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126534,A000000,01300,0000,1300SOCIAL SERVICE 126534,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126534,A000000,01600,0000,1600SKILLED NURSING FACILITY 126534,A000000,01800,0000,1800NURSING FACILITY 126534,A000000,01810,0000,1810ICF/MR 126534,A000000,02100,0000,2100RADIOLOGY 126534,A000000,02200,0000,2200LABORATORY 126534,A000000,02500,0000,2500PHYSICAL THERAPY 126534,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126534,A000000,02700,0000,2700SPEECH PATHOLOGY 126534,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126534,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126534,A000000,03550,0000,3550FQHC 126534,A000000,04800,0000,4800AMBULANCE 126534,A000000,05000,0000,5000CORF 126534,A000000,05010,0000,5010CMHC 126534,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126534,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126534,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126534,A000000,05300,0000,5300INTEREST EXPENSE 126534,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126534,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126534,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126534,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126534,A81000A,00100,0100,N 126534,B100000,00000,0100,0100SQUARE FEET 126534,B100000,00000,0200,0200SQUARE FEET 126534,B100000,00000,0300,0300GROSS SALARIES 126534,B100000,00000,0400,0400ACCUM COST 126534,B100000,00000,0500,0500SQUARE FEET 126534,B100000,00000,0600,0600POUNDS OF LAUNDRY 126534,B100000,00000,0700,0700SQUARE FEET 126534,B100000,00000,0800,0800MEALS SERVED 126534,B100000,00000,0900,0900GROSS SAL. NURSING 126534,B100000,00000,1000,1000COSTED REQUISITIO 126534,B100000,00000,1100,1100COSTED REQUISITIO 126534,B100000,00000,1200,1200GROSS REVENUES 126534,B100000,00000,1300,1300PATIENT DAYS 126534,B100000,00000,1400,1400ASSIGNED TIME 126534,E10A180,00501,0100,12/29/00 126534,E10A180,00501,0300,12/29/00 126534,S000000,00100,0200,06/01/00 126534,S200000,00100,0100,101 SOUTH BELT WEST 126534,S200000,00200,0100,BELLEVILLE 126534,S200000,00200,0200,IL 126534,S200000,00200,0300,62220 126534,S200000,00300,0100,ST. CLAIR 126534,S200000,00300,0200,7040 126534,S200000,00300,0300,U 126534,S200000,00400,0100,FOUR FOUNTAINS CONVALESCENT CENTER 126534,S200000,00400,0200,145241 126534,S200000,00400,0300,07/25/82 126534,S200000,00400,0500,P 126534,S200000,01500,0100,N 126534,S200000,01600,0100,Y 126534,S200000,01700,0100,N 126534,S200000,01800,0100,N 126534,S200000,02200,0100,N 126534,S200000,02800,0100,N 126534,S200000,02900,0100,N 126534,S200000,03000,0100,N 126534,S200000,03100,0100,N 126534,S200000,03200,0100,N 126534,S200000,03300,0100,N 126534,S200000,03300,0200,N 126534,S200000,04100,0100,N 126534,S200000,04200,0100,N 126534,S200000,04300,0100,N 126534,S200000,04600,0100,N 126534,S200000,04700,0100,Y 126534,S200000,04700,0200,Y 126534,S200000,04900,0100,N 126534,S200000,05200,0100,N 126568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126568,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126568,A000000,00300,0000,0300EMPLOYEE BENEFITS 126568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126568,A000000,00700,0000,0700HOUSEKEEPING 126568,A000000,00800,0000,0800DIETARY 126568,A000000,00900,0000,0900NURSING ADMINISTRATION 126568,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126568,A000000,01100,0000,1100PHARMACY 126568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126568,A000000,01300,0000,1300SOCIAL SERVICE 126568,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126568,A000000,01500,0000,1350RECREATION 126568,A000000,01600,0000,1600SKILLED NURSING FACILITY 126568,A000000,01800,0000,1800NURSING FACILITY 126568,A000000,01810,0000,1810ICF/MR 126568,A000000,02200,0000,2200LABORATORY 126568,A000000,02300,0000,2300INTRAVENOUS THERAPY 126568,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126568,A000000,02500,0000,2500PHYSICAL THERAPY 126568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126568,A000000,02700,0000,2700SPEECH PATHOLOGY 126568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126568,A000000,03200,0000,3200SUPPORT SURFACES 126568,A000000,03550,0000,3550FQHC 126568,A000000,05000,0000,5000CORF 126568,A000000,05010,0000,5010CMHC 126568,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126568,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126568,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126568,A000000,05300,0000,5300INTEREST EXPENSE 126568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126568,A81000A,00100,0100,Y 126568,A81000B,00100,0300,RENT 126568,A81000B,00200,0300,INTERSET 126568,A81000B,00300,0300,DEPRN 126568,B100000,00000,0100,0100SQUARE FEET 126568,B100000,00000,0200,0200SQUARE FEET 126568,B100000,00000,0300,0300GROSS SALARIES 126568,B100000,00000,0400,0400ACCUM COST 126568,B100000,00000,0500,0500SQUARE FEET 126568,B100000,00000,0600,0600POUNDS OF LAUNDRY 126568,B100000,00000,0700,0700HOURS OF SERVICE 126568,B100000,00000,0800,0800MEALS SERVED 126568,B100000,00000,0900,0900DIRECT NRSG HRS 126568,B100000,00000,1000,1000COSTED REQUIS 126568,B100000,00000,1100,1100COSTED REQUIS 126568,B100000,00000,1200,1200TIME SPENT 126568,B100000,00000,1300,1300TIME SPENT 126568,B100000,00000,1400,1400ASSIGNED TIME 126568,B100000,00000,1500,1350TIME SPENT 126568,S000000,00100,0200,03/24/00 126568,S200000,00100,0100,WEST CENTETR ST 126568,S200000,00200,0100,MANCHESTER 126568,S200000,00200,0200,CT 126568,S200000,00200,0300,06040 126568,S200000,00300,0200,3283 126568,S200000,00300,0300,U 126568,S200000,00400,0100,MANCHESTER MANOR 126568,S200000,00400,0200,075333 126568,S200000,00400,0300,01/15/90 126568,S200000,00400,0500,P 126568,S200000,01500,0100,Y 126568,S200000,01600,0100,N 126568,S200000,01700,0100,N 126568,S200000,01800,0100,N 126568,S200000,02200,0100,N 126568,S200000,02800,0100,N 126568,S200000,02900,0100,N 126568,S200000,03000,0100,N 126568,S200000,03100,0100,N 126568,S200000,03200,0100,N 126568,S200000,03300,0100,N 126568,S200000,03300,0200,N 126568,S200000,04100,0100,N 126568,S200000,04200,0100,N 126568,S200000,04300,0100,N 126568,S200000,04600,0100,N 126568,S200000,04700,0100,N 126568,S200000,04900,0100,N 126584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126584,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126584,A000000,00300,0000,0300EMPLOYEE BENEFITS 126584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126584,A000000,00700,0000,0700HOUSEKEEPING 126584,A000000,00800,0000,0800DIETARY 126584,A000000,00900,0000,0900NURSING ADMINISTRATION 126584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126584,A000000,01100,0000,1100PHARMACY 126584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126584,A000000,01300,0000,1300SOCIAL SERVICE 126584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126584,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 126584,A000000,01600,0000,1600SKILLED NURSING FACILITY 126584,A000000,01810,0000,1810ICF/MR 126584,A000000,02100,0000,2100RADIOLOGY 126584,A000000,02200,0000,2200LABORATORY 126584,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126584,A000000,02500,0000,2500PHYSICAL THERAPY 126584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126584,A000000,02700,0000,2700SPEECH PATHOLOGY 126584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126584,A000000,03550,0000,3550FQHC 126584,A000000,05000,0000,5000CORF 126584,A000000,05010,0000,5010CMHC 126584,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126584,A81000A,00100,0100,Y 126584,A81000B,00100,0300,MGT FEE/HOME OFFICE 126584,A81000B,00200,0300,PHYSICAL THERAPY 126584,A81000B,00300,0300,OCCUPATIONAL THERAPY 126584,A81000B,00400,0300,SPEECH THERAPY 126584,A81000B,00500,0300,MEDICAL SUPPLIES 126584,A81000B,00600,0300,MEDICAL SUPPLIES 126584,A81000C,00100,0100,B 126584,A81000C,00100,0200,FOUNTAIN VIEW INC. 126584,A81000C,00100,0400,LOS OLIVOS REHAB CENTER 126584,A81000C,00100,0600,MANAGEMENT 126584,A81000C,00200,0100,B 126584,A81000C,00200,0400,LOCOMOTION THERAPY INC 126584,A81000C,00200,0600,THERAPY PROVIDER 126584,A81000C,00300,0100,B 126584,A81000C,00300,0400,SKILLED CARE PHARMACY 126584,A81000C,00300,0600,INSTITUTIONAL PHARMACY 126584,A81000C,00400,0100,B 126584,A81000C,00400,0400,I N O 126584,A81000C,00400,0600,SUPPLIER 126584,B100000,00000,0100,0100SQUARE FEET 126584,B100000,00000,0200,0200SQUARE FEET 126584,B100000,00000,0300,0300GROSS SALARY 126584,B100000,00000,0400,0400ACCUM. COST 126584,B100000,00000,0500,0500SQUARE FEET 126584,B100000,00000,0600,0600PATIENT DAYS 126584,B100000,00000,0700,0700SQUARE FEET 126584,B100000,00000,0800,0800PATIENT DAYS 126584,B100000,00000,0900,0900NURSING HOURS 126584,B100000,00000,1000,1000COSTED REQUIS 126584,B100000,00000,1100,1100COSTED REQUIS 126584,B100000,00000,1200,1200GROSS REVENUE 126584,B100000,00000,1300,1300PATIENT DAYS 126584,B100000,00000,1400,1400ASSIGNED TIME 126584,B100000,00000,1500,1350PATIENT DAYS 126584,S000000,00100,0200,01/22/01 126584,S200000,00100,0100,1314 EAST MCDOWELL ROAD 126584,S200000,00200,0100,PHOENIX 126584,S200000,00200,0200,AZ 126584,S200000,00200,0300,85006 126584,S200000,00300,0100,M 126584,S200000,00300,0200,6200 126584,S200000,00300,0300,U 126584,S200000,00400,0100,LOS OLIVOS HEALTHCARE CENTER 126584,S200000,00400,0200,035203 126584,S200000,00400,0300,12/11/90 126584,S200000,00400,0500,P 126584,S200000,01500,0100,Y 126584,S200000,01600,0100,N 126584,S200000,01700,0100,N 126584,S200000,01800,0100,N 126584,S200000,02200,0100,N 126584,S200000,02800,0100,N 126584,S200000,02900,0100,N 126584,S200000,03000,0100,N 126584,S200000,03100,0100,N 126584,S200000,03200,0100,N 126584,S200000,03300,0100,N 126584,S200000,03300,0200,N 126584,S200000,04100,0100,N 126584,S200000,04200,0100,N 126584,S200000,04300,0100,N 126584,S200000,04600,0100,N 126584,S200000,04700,0100,N 126584,S200000,04700,0200,N 126584,S200000,04900,0100,N 126584,S200000,05200,0100,N 126677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126677,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126677,A000000,00300,0000,0300EMPLOYEE BENEFITS 126677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126677,A000000,00700,0000,0700HOUSEKEEPING 126677,A000000,00800,0000,0800DIETARY 126677,A000000,00900,0000,0900NURSING ADMINISTRATION 126677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126677,A000000,01100,0000,1100PHARMACY 126677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126677,A000000,01300,0000,1300SOCIAL SERVICE 126677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126677,A000000,01500,0000,1350OTHER GENERAL SERVICES 126677,A000000,01600,0000,1600SKILLED NURSING FACILITY 126677,A000000,01800,0000,1800NURSING FACILITY 126677,A000000,01900,0000,1900OTHER LONG TERM CARE 126677,A000000,02100,0000,2100RADIOLOGY 126677,A000000,02200,0000,2200LABORATORY 126677,A000000,02300,0000,2300INTRAVENOUS THERAPY 126677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126677,A000000,02500,0000,2500PHYSICAL THERAPY 126677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126677,A000000,02700,0000,2700SPEECH PATHOLOGY 126677,A000000,02800,0000,2800ELECTROCARDIOLOGY 126677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126677,A000000,03001,0000,3001SERVICES UNDER ARRANGEMENTS 126677,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126677,A000000,03200,0000,3200SUPPORT SURFACES 126677,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126677,A000000,03400,0000,3400CLINIC 126677,A000000,03500,0000,3500RURAL HEALTH CLINIC 126677,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126677,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 126677,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 126677,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 126677,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 126677,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 126677,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 126677,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 126677,A000000,04400,0000,4400DME RENTED - HHA 126677,A000000,04500,0000,4500DME SOLD - HHA 126677,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 126677,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 126677,A000000,04800,0000,4800AMBULANCE 126677,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 126677,A000000,05000,0000,5000CORF 126677,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126677,A000000,05300,0000,5300INTEREST EXPENSE 126677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126677,A000000,05500,0000,5500HOSPICE 126677,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126677,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126677,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126677,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126677,A000000,06100,0000,6100NONPAID WORKERS 126677,A000000,06200,0000,6200PATIENTS LAUNDRY 126677,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126677,A81000A,00100,0100,Y 126677,A81000B,00100,0300,HLTH INS FOR TOWERS STAFF 126677,A81000B,00200,0300,MISC TOWERS STAFF 126677,A81000C,00100,0100,G 126677,A81000C,00100,0200,WM.BREMAN JEWISH HOME 126677,A81000C,00100,0400,JEWISH TOWERS 126677,A81000C,00100,0600,ASST LIVING 126677,B100000,00000,0100,0100NO STATISTICS CAP REL COS 126677,B100000,00000,0200,0200NO STATISTICS CAP REL COS 126677,B100000,00000,0300,0300NO STATISTICS EMPLOYEE BE 126677,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 126677,B100000,00000,0500,0500NO STATISTICS PLANT OPERA 126677,B100000,00000,0600,0600NO STATISTICS LAUNDRY & L 126677,B100000,00000,0700,0700NO STATISTICS HOUSEKEEPIN 126677,B100000,00000,0800,0800NO STATISTICS DIETARY 126677,B100000,00000,0900,0900NO STATISTICS NURSING ADM 126677,B100000,00000,1000,1000NO STATISTICS CENTRAL SER 126677,B100000,00000,1100,1100NO STATISTICS PHARMACY 126677,B100000,00000,1200,1200NO STATISTICS MEDICAL REC 126677,B100000,00000,1300,1300NO STATISTICS SOCIAL SERV 126677,B100000,00000,1400,1400NO STATISTICS INTERNS & R 126677,B100000,00000,1500,1500NO STATISTICS OTHER GENER 126677,S000000,00100,0200,12/13/00 126677,S200000,00100,0100,3150 HOWELL MILL RD.NORTHWEST 126677,S200000,00200,0100,ATLANTA 126677,S200000,00200,0200,GA 126677,S200000,00200,0300,30327-2199 126677,S200000,00300,0100,DEKALB 126677,S200000,00300,0200,0000 126677,S200000,00300,0300,U 126677,S200000,00400,0100,WILLIAM BREMAN JEWISH HOME FOR AGED 126677,S200000,00400,0200,115022 126677,S200000,00400,0300,01/01/67 126677,S200000,00400,0500,P 126677,S200000,00400,0600,O 126677,S200000,01500,0100,Y 126677,S200000,01600,0100,N 126677,S200000,01700,0100,N 126677,S200000,01800,0100,N 126677,S200000,02200,0100,Y 126677,S200000,02800,0100,N 126677,S200000,02900,0100,N 126677,S200000,03000,0100,N 126677,S200000,03100,0100,N 126677,S200000,03200,0100,N 126677,S200000,03300,0100,N 126677,S200000,03300,0200,N 126677,S200000,04100,0100,N 126677,S200000,04200,0100,N 126677,S200000,04300,0100,N 126677,S200000,04600,0100,N 126677,S200000,04700,0100,N 126677,S200000,04700,0200,N 126677,S200000,04900,0100,N 126677,S200000,05200,0100,N 126677,S700003,00000,0200,X 126678,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126678,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126678,A000000,00300,0000,0300EMPLOYEE BENEFITS 126678,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126678,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126678,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126678,A000000,00700,0000,0700HOUSEKEEPING 126678,A000000,00800,0000,0800DIETARY 126678,A000000,00900,0000,0900NURSING ADMINISTRATION 126678,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126678,A000000,01100,0000,1100PHARMACY 126678,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126678,A000000,01300,0000,1300SOCIAL SERVICE 126678,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126678,A000000,01600,0000,1600SKILLED NURSING FACILITY 126678,A000000,01800,0000,1800NURSING FACILITY 126678,A000000,01900,0000,1900OTHER LONG TERM CARE 126678,A000000,02100,0000,2100RADIOLOGY 126678,A000000,02200,0000,2200LABORATORY 126678,A000000,02300,0000,2300INTRAVENOUS THERAPY 126678,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126678,A000000,02500,0000,2500PHYSICAL THERAPY 126678,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126678,A000000,02700,0000,2700SPEECH PATHOLOGY 126678,A000000,02800,0000,2800ELECTROCARDIOLOGY 126678,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126678,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126678,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126678,A000000,03200,0000,3200SUPPORT SURFACES 126678,A000000,03400,0000,3400CLINIC 126678,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 126678,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 126678,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 126678,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 126678,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 126678,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 126678,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 126678,A000000,04400,0000,4400DME RENTED - HHA 126678,A000000,04500,0000,4500DME SOLD - HHA 126678,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 126678,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 126678,A000000,04800,0000,4800AMBULANCE 126678,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 126678,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126678,A000000,05300,0000,5300INTEREST EXPENSE 126678,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126678,A000000,05500,0000,5500HOSPICE 126678,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126678,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126678,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126678,A000000,06100,0000,6100NONPAID WORKERS 126678,A000000,06200,0000,6200PATIENTS LAUNDRY 126678,A81000A,00100,0100,Y 126678,A81000B,00100,0300,LEASE EXPENSE 126678,A81000B,00200,0300,HOME OFFICE SALARIES 126678,A81000C,00100,0100,A 126678,A81000C,00100,0200,UNIV EXT CARE 126678,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 126678,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 126678,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 126678,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 126678,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 126678,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 126678,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 126678,B100000,00000,0800,0800PAT DAYS DIETARY 126678,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 126678,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 126678,B100000,00000,1100,1100PAT DAYS PHARMACY 126678,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 126678,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 126678,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 126678,S000000,00100,0200,12/13/00 126678,S200000,00100,0100,1227 WEST WHEELER PARKWAY 126678,S200000,00200,0100,AUGUSTA 126678,S200000,00200,0200,GA 126678,S200000,00200,0300,30909 126678,S200000,00300,0100,RICHMOND 126678,S200000,00300,0200,0000 126678,S200000,00400,0100,KENTWOOD NURSING HOME 126678,S200000,00400,0200,115147 126678,S200000,00400,0300,01/01/85 126678,S200000,00400,0500,P 126678,S200000,00600,0200,115147 126678,S200000,00600,0300,01/01/85 126678,S200000,00600,0600,O 126678,S200000,01500,0100,N 126678,S200000,01600,0100,Y 126678,S200000,01700,0100,N 126678,S200000,01800,0100,N 126678,S200000,01900,0100,PROFIT CORP 126678,S200000,02200,0100,N 126678,S200000,02800,0100,N 126678,S200000,02900,0100,N 126678,S200000,03000,0100,N 126678,S200000,03100,0100,N 126678,S200000,03200,0100,N 126678,S200000,03300,0100,N 126678,S200000,03300,0200,N 126678,S200000,03500,0300,N 126678,S200000,03600,0100,N 126678,S200000,03600,0200,N 126678,S200000,03700,0100,N 126678,S200000,03700,0200,N 126678,S200000,04100,0100,N 126678,S200000,04200,0100,N 126678,S200000,04300,0100,N 126678,S200000,04600,0100,N 126678,S200000,04700,0100,N 126678,S200000,04900,0100,N 126678,S200000,05200,0100,N 126678,S700003,00000,0200,X 126691,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126691,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126691,A000000,00300,0000,0300EMPLOYEE BENEFITS 126691,A000000,00301,0000,0301EMPLOYEE BENEFITS 126691,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126691,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126691,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126691,A000000,00700,0000,0700HOUSEKEEPING 126691,A000000,00800,0000,0800DIETARY 126691,A000000,00900,0000,0900NURSING ADMINISTRATION 126691,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126691,A000000,01100,0000,1100PHARMACY 126691,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126691,A000000,01300,0000,1300SOCIAL SERVICE 126691,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126691,A000000,01500,0000,1350OTHER GENERAL SERVICES 126691,A000000,01600,0000,1600SKILLED NURSING FACILITY 126691,A000000,01800,0000,1800NURSING FACILITY 126691,A000000,01810,0000,1810ICF/MR 126691,A000000,02100,0000,2100RADIOLOGY 126691,A000000,02200,0000,2200LABORATORY 126691,A000000,02500,0000,2500PHYSICAL THERAPY 126691,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126691,A000000,02700,0000,2700SPEECH PATHOLOGY 126691,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126691,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126691,A000000,03200,0000,3200SUPPORT SURFACES 126691,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126691,A000000,03550,0000,3550FQHC 126691,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126691,A000000,05000,0000,5000CORF 126691,A000000,05010,0000,5010CMHC 126691,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126691,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126691,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126691,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126691,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126691,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126691,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126691,A81000A,00100,0100,N 126691,B100000,00000,0100,0100SQUARE FEET 126691,B100000,00000,0200,0200SQUARE FEET 126691,B100000,00000,0300,0300SALARIES 126691,B100000,00000,0301,0301SALARIES 126691,B100000,00000,0400,0400ACCUM. COST 126691,B100000,00000,0500,0500SQUARE FEET 126691,B100000,00000,0600,0600POUNDS 126691,B100000,00000,0700,0700SQUARE FEET 126691,B100000,00000,0800,0800MEALS 126691,B100000,00000,0900,0900CENSUS 126691,B100000,00000,1000,1000NO STATISTICS 126691,B100000,00000,1100,1100NO STATISTICS 126691,B100000,00000,1200,1200NO STATISTICS 126691,B100000,00000,1300,1300CENSUS 126691,B100000,00000,1400,1400NO STATISTICS 126691,B100000,00000,1500,1350NO STATISTICS 126691,E10A180,00301,0300, 4/14/00 126691,E10A180,00550,0100, 2/12/01 126691,E10A180,00550,0300, 2/12/01 126691,S000000,00100,0200,12/19/00 126691,S200000,00100,0100,6720 E. KINGS CANYON HWY 126691,S200000,00100,0300,7877 126691,S200000,00200,0100,FRESNO 126691,S200000,00200,0200,CA 126691,S200000,00200,0300,93727 126691,S200000,00300,0100,F 126691,S200000,00300,0200,2840 126691,S200000,00300,0300,U 0 126691,S200000,00400,0100,CALIFORNIA ARMENIAN HOME 126691,S200000,00400,0200,055955 126691,S200000,00400,0300,10/25/69 126691,S200000,00400,0500,P 126691,S200000,00600,0200,055955 126691,S200000,00600,0300,10/25/69 126691,S200000,00600,0600,O 126691,S200000,00610,0200,055955 126691,S200000,00610,0300,10/25/69 126691,S200000,00610,0600,O 126691,S200000,01500,0100,N 126691,S200000,01600,0100,Y 126691,S200000,01700,0100,N 126691,S200000,01800,0100,N 126691,S200000,02200,0100,N 126691,S200000,02800,0100,N 126691,S200000,02900,0100,N 126691,S200000,03000,0100,N 126691,S200000,03100,0100,N 126691,S200000,03200,0100,N 126691,S200000,03300,0100,N 126691,S200000,03300,0200,N 126691,S200000,03500,0300,N 126691,S200000,03510,0300,N 126691,S200000,04100,0100,N 126691,S200000,04200,0100,N 126691,S200000,04300,0100,N 126691,S200000,04600,0100,N 126691,S200000,04700,0100,N 126691,S200000,04700,0200,N 126691,S200000,04900,0100,N 126694,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126694,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126694,A000000,00300,0000,0300EMPLOYEE BENEFITS 126694,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126694,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126694,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126694,A000000,00700,0000,0700HOUSEKEEPING 126694,A000000,00800,0000,0800DIETARY 126694,A000000,00900,0000,0900NURSING ADMINISTRATION 126694,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126694,A000000,01100,0000,1100PHARMACY 126694,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126694,A000000,01300,0000,1300SOCIAL SERVICE 126694,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126694,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 126694,A000000,01600,0000,1600SKILLED NURSING FACILITY 126694,A000000,01810,0000,1810ICF/MR 126694,A000000,02100,0000,2100RADIOLOGY 126694,A000000,02200,0000,2200LABORATORY 126694,A000000,02500,0000,2500PHYSICAL THERAPY 126694,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126694,A000000,02700,0000,2700SPEECH PATHOLOGY 126694,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126694,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126694,A000000,03200,0000,3200SUPPORT SURFACES 126694,A000000,03550,0000,3550FQHC 126694,A000000,05000,0000,5000CORF 126694,A000000,05010,0000,5010CMHC 126694,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126694,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126694,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126694,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126694,A81000A,00100,0100,Y 126694,A81000B,00100,0300,HOME OFFICE MGMT FEE 126694,A81000B,00200,0300,PHYSICAL THERAPY 126694,A81000B,00300,0300,OCCUPATIONAL THERAPY 126694,A81000B,00400,0300,SPEECH THERAPY 126694,A81000B,00500,0300,MEDICAL SUPPLIES 126694,A81000B,00600,0300,MEDICAL SUPPLIES 126694,A81000C,00100,0100,B 126694,A81000C,00100,0200,FOUNTAIN VIEW INC. 126694,A81000C,00100,0400,OAK MANOR 126694,A81000C,00100,0600,SNG 126694,A81000C,00200,0100,B 126694,A81000C,00200,0200,FOUNTAIN VIEW INC. 126694,A81000C,00200,0400,SKILLED CARE PHARMACY 126694,A81000C,00200,0600,INSTITUTIONAL PHARMCY 126694,A81000C,00300,0100,B 126694,A81000C,00300,0200,FOUNTAIN VIEW INC. 126694,A81000C,00300,0400,LOCOMOTION 126694,A81000C,00300,0600,THERAPY COMPANY 126694,A81000C,00400,0100,B 126694,A81000C,00400,0200,FOUNTAIN VIEW INC. 126694,A81000C,00400,0400,I N O 126694,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 126694,B100000,00000,0100,0100SQUARE FEET 126694,B100000,00000,0200,0200SQUARE FEET 126694,B100000,00000,0300,0300GROSS SALARY 126694,B100000,00000,0400,0400ACCUM. COST 126694,B100000,00000,0500,0500SQUARE FEET 126694,B100000,00000,0600,0600PATIENT DAYS 126694,B100000,00000,0700,0700SQUARE FEET 126694,B100000,00000,0800,0800MEALS SERVED 126694,B100000,00000,0900,0900NURSING HOURS 126694,B100000,00000,1000,1000COSTED REQUIS 126694,B100000,00000,1100,1100COSTED REQUIS 126694,B100000,00000,1200,1200GROSS REVENUE 126694,B100000,00000,1300,1300PATIENT DAYS 126694,B100000,00000,1400,1400ASSIGNED TIME 126694,B100000,00000,1500,1350PATIENT DAYS 126694,E10A180,00550,0100,08/02/02 126694,E10A180,00550,0300,08/02/02 126694,S000000,00100,0200,01/22/01 126694,S200000,00100,0100,624 NORTH CONVERSE STREET 126694,S200000,00200,0100,FLATONIA 126694,S200000,00200,0200,TX 126694,S200000,00200,0300,78941 126694,S200000,00300,0100,FLATONIA 126694,S200000,00300,0200,45 126694,S200000,00300,0300,R 126694,S200000,00400,0100,OAK MANOR NURSING CENTER 126694,S200000,00400,0200,675445 126694,S200000,00400,0300,02/14/95 126694,S200000,00400,0500,P 126694,S200000,01500,0100,N 126694,S200000,01600,0100,Y 126694,S200000,01700,0100,N 126694,S200000,01800,0100,N 126694,S200000,02200,0100,N 126694,S200000,02800,0100,N 126694,S200000,02900,0100,N 126694,S200000,03000,0100,N 126694,S200000,03100,0100,N 126694,S200000,03200,0100,N 126694,S200000,03300,0100,N 126694,S200000,03300,0200,N 126694,S200000,04100,0100,N 126694,S200000,04200,0100,N 126694,S200000,04300,0100,N 126694,S200000,04600,0100,N 126694,S200000,04700,0100,N 126694,S200000,04900,0100,N 126694,S200000,05200,0100,N 126716,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 126716,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 126716,A000000,00300,0000,0300EMPLOYEE BENEFITS 126716,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126716,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 126716,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126716,A000000,00700,0000,0700HOUSEKEEPING 126716,A000000,00800,0000,0800DIETARY 126716,A000000,00900,0000,0900NURSING ADMINISTRATION 126716,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126716,A000000,01100,0000,1100PHARMACY 126716,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126716,A000000,01300,0000,1300SOCIAL SERVICE 126716,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 126716,A000000,01600,0000,1600SKILLED NURSING FACILITY 126716,A000000,01900,0000,1900OTHER LONG TERM CARE 126716,A000000,02100,0000,2100RADIOLOGY 126716,A000000,02200,0000,2200LABORATORY 126716,A000000,02300,0000,2300INTRAVENOUS THERAPY 126716,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126716,A000000,02500,0000,2500PHYSICAL THERAPY 126716,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126716,A000000,02700,0000,2700SPEECH PATHOLOGY 126716,A000000,02800,0000,2800ELECTROCARDIOLOGY 126716,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 126716,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126716,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 126716,A000000,03200,0000,3200SUPPORT SURFACES 126716,A000000,03400,0000,3400CLINIC 126716,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 126716,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 126716,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 126716,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 126716,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 126716,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 126716,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 126716,A000000,04400,0000,4400DME RENTED - HHA 126716,A000000,04500,0000,4500DME SOLD - HHA 126716,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 126716,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 126716,A000000,04800,0000,4800AMBULANCE 126716,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 126716,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 126716,A000000,05300,0000,5300INTEREST EXPENSE 126716,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126716,A000000,05500,0000,5500HOSPICE 126716,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 126716,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126716,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126716,A000000,06100,0000,6100NONPAID WORKERS 126716,A000000,06200,0000,6200PATIENTS LAUNDRY 126716,A81000A,00100,0100,Y 126716,A81000B,00100,0300,MANAGEMENT FEES 126716,A81000B,00200,0300,BUILDING & FIXTURES 126716,A81000B,00300,0300,MOVEABLE EQUIPMENT 126716,A81000B,00400,0300,ADMINISTRATOR S SALARY 126716,A81000B,00500,0300,ADMINISTRATOR S BENEFITS 126716,A81000B,00600,0300,ADMINISTRATOR S PAYROLL TAXES 126716,A81000B,00700,0300,LAND RENT 126716,A81000C,00100,0100,A 126716,A81000C,00100,0200,RONNY CRUMP 126716,A81000C,00100,0400,PROGRESSIVE 126716,A81000C,00100,0600,MANAGEMENT CO 126716,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 126716,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 126716,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 126716,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 126716,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 126716,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 126716,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 126716,B100000,00000,0800,0800PAT DAYS DIETARY 126716,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 126716,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 126716,B100000,00000,1100,1100PAT DAYS PHARMACY 126716,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 126716,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 126716,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 126716,S000000,00100,0200,11/29/00 126716,S200000,00200,0100,HAWKINSVILLE 126716,S200000,00200,0200,GA 126716,S200000,00200,0300,31036 126716,S200000,00300,0100,PULASKI 126716,S200000,00300,0200,0011 126716,S200000,00300,0300,R 126716,S200000,00400,0100,PINEWOOD MANOR NURSING HOME 126716,S200000,00400,0200,115586 126716,S200000,00400,0300,07/27/95 126716,S200000,00400,0500,P 126716,S200000,00400,0600,O 126716,S200000,01500,0100,Y 126716,S200000,01600,0100,N 126716,S200000,01700,0100,N 126716,S200000,01800,0100,N 126716,S200000,02200,0100,Y 126716,S200000,02800,0100,N 126716,S200000,02900,0100,N 126716,S200000,03000,0100,N 126716,S200000,03100,0100,N 126716,S200000,03200,0100,N 126716,S200000,03300,0100,N 126716,S200000,03300,0200,N 126716,S200000,03600,0100,N 126716,S200000,03600,0200,N 126716,S200000,03700,0100,N 126716,S200000,03700,0200,N 126716,S200000,04100,0100,N 126716,S200000,04200,0100,N 126716,S200000,04300,0100,N 126716,S200000,04600,0100,N 126716,S200000,04700,0100,N 126716,S200000,04900,0100,N 126716,S200000,05200,0100,N 126716,S700003,00000,0400,X 126717,S000000,00100,0200,12/01/00 126735,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126735,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126735,A000000,00300,0000,0300EMPLOYEE BENEFITS 126735,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126735,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126735,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126735,A000000,00700,0000,0700HOUSEKEEPING 126735,A000000,00800,0000,0800DIETARY 126735,A000000,00900,0000,0900NURSING ADMINISTRATION 126735,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126735,A000000,01100,0000,1100PHARMACY 126735,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126735,A000000,01300,0000,1300SOCIAL SERVICE 126735,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126735,A000000,01600,0000,1600SKILLED NURSING FACILITY 126735,A000000,01810,0000,1810ICF/MR 126735,A000000,02100,0000,2100RADIOLOGY 126735,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126735,A000000,02500,0000,2500PHYSICAL THERAPY 126735,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126735,A000000,02700,0000,2700SPEECH PATHOLOGY 126735,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126735,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126735,A000000,03550,0000,3550FQHC 126735,A000000,05000,0000,5000CORF 126735,A000000,05010,0000,5010CMHC 126735,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126735,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126735,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126735,A000000,05300,0000,5300INTEREST EXPENSE 126735,A81000A,00100,0100,Y 126735,A81000B,00100,0300,MANAGEMENT FEES 126735,A81000B,00200,0300,H.O-BUILDING 126735,A81000B,00300,0300,H.O-MOVEABLE 126735,A81000B,00400,0300,H.O-NON CAP 126735,A81000C,00100,0100,B 126735,A81000C,00100,0400,MEDWAY HC TRUST 126735,A81000C,00100,0600,LLC/PARENT CO. 126735,B100000,00000,0100,0100SQUARE FEET 126735,B100000,00000,0200,0200SQUARE FEET 126735,B100000,00000,0300,0300GROSS SALARIES 126735,B100000,00000,0400,0400ACCUM COST 126735,B100000,00000,0500,0500SQUARE FEET 126735,B100000,00000,0600,0600POUNDS OF LAUNDRY 126735,B100000,00000,0700,0700HOURS OF SERVICE 126735,B100000,00000,0800,0800MEALS SERVED 126735,B100000,00000,0900,0900DIRECT NRSG HRS 126735,B100000,00000,1000,1000COSTED REQUIS 126735,B100000,00000,1100,1100COSTED REQUIS 126735,B100000,00000,1200,1200TIME SPENT 126735,B100000,00000,1300,1300TIME SPENT 126735,B100000,00000,1400,1400ASSIGNED TIME 126735,S000000,00100,0200,06/30/00 126735,S200000,00100,0100,2817 NORTH MAIN STREET 126735,S200000,00100,0300,4820 126735,S200000,00200,0100,WATERBURY 126735,S200000,00200,0200,CT 126735,S200000,00200,0300,06704 126735,S200000,00300,0100,NEW HAVEN 126735,S200000,00300,0200,5483 126735,S200000,00300,0300,U 126735,S200000,00400,0100,SAINT ANDREWS HEALTH CENTER LLC 126735,S200000,00400,0200,075066 126735,S200000,00400,0300,01/01/67 126735,S200000,00400,0500,P 126735,S200000,01500,0100,Y 126735,S200000,01600,0100,N 126735,S200000,01700,0100,N 126735,S200000,01800,0100,N 126735,S200000,02200,0100,Y 126735,S200000,02800,0100,Y 126735,S200000,02900,0100,N 126735,S200000,03000,0100,N 126735,S200000,03100,0100,N 126735,S200000,03200,0100,N 126735,S200000,03300,0100,N 126735,S200000,03300,0200,N 126735,S200000,04100,0100,N 126735,S200000,04200,0100,N 126735,S200000,04300,0100,N 126735,S200000,04600,0100,N 126735,S200000,04700,0100,N 126735,S200000,05200,0100,N 126738,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126738,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126738,A000000,00300,0000,0300EMPLOYEE BENEFITS 126738,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126738,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126738,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126738,A000000,00700,0000,0700HOUSEKEEPING 126738,A000000,00800,0000,0800DIETARY 126738,A000000,00900,0000,0900NURSING ADMINISTRATION 126738,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126738,A000000,01100,0000,1100PHARMACY 126738,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126738,A000000,01300,0000,1300SOCIAL SERVICE 126738,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126738,A000000,01600,0000,1600SKILLED NURSING FACILITY 126738,A000000,01800,0000,1800NURSING FACILITY 126738,A000000,01810,0000,1810ICF/MR 126738,A000000,02200,0000,2200LABORATORY 126738,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126738,A000000,02500,0000,2500PHYSICAL THERAPY 126738,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126738,A000000,02700,0000,2700SPEECH PATHOLOGY 126738,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126738,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126738,A000000,03550,0000,3550FQHC 126738,A000000,05000,0000,5000CORF 126738,A000000,05010,0000,5010CMHC 126738,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126738,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126738,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126738,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126738,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126738,A81000A,00100,0100,Y 126738,A81000B,00100,0300,MANAGEMENT FEES 126738,A81000C,00100,0100,A 126738,A81000C,00100,0200,ANDERSON NURSIN 126738,A81000C,00100,0400,CAPROCK HEALTH 126738,A81000C,00100,0600,LTC/MGT 126738,B100000,00000,0100,0100SQUARE FEET 126738,B100000,00000,0200,0200SQUARE FEET 126738,B100000,00000,0300,0300GROSS SALARIES 126738,B100000,00000,0400,0400ACCUM COST 126738,B100000,00000,0500,0500SQUARE FEET 126738,B100000,00000,0600,0600PATIENT DAYS 126738,B100000,00000,0700,0700SQUARE FEET 126738,B100000,00000,0800,0800MEALS SERVED 126738,B100000,00000,0900,0900PATIENT DAYS 126738,B100000,00000,1000,1000PATIENT DAYS 126738,B100000,00000,1100,1100PATIENT DAYS 126738,B100000,00000,1200,1200PATIENT DAYS 126738,B100000,00000,1300,1300PATIENT DAYS 126738,B100000,00000,1400,1400ASSIGNED TIME 126738,S000000,00100,0200,06/01/00 126738,S200000,00100,0100,520 BRADBURN ROAD 126738,S200000,00200,0100,GRAND SALINE 126738,S200000,00200,0200,TX 126738,S200000,00200,0300,75140 126738,S200000,00300,0100,VAN ZANDT 126738,S200000,00300,0200,0045 126738,S200000,00300,0300,R 126738,S200000,00400,0100,ANDERSON NURSING HOME 126738,S200000,00400,0200,675320 126738,S200000,00400,0300,11/01/96 126738,S200000,00400,0500,P 126738,S200000,01500,0100,N 126738,S200000,01600,0100,Y 126738,S200000,01700,0100,N 126738,S200000,01800,0100,N 126738,S200000,02200,0100,N 126738,S200000,02800,0100,N 126738,S200000,02900,0100,N 126738,S200000,03000,0100,N 126738,S200000,03100,0100,N 126738,S200000,03200,0100,N 126738,S200000,03300,0100,N 126738,S200000,03300,0200,N 126738,S200000,04100,0100,N 126738,S200000,04200,0100,N 126738,S200000,04300,0100,N 126738,S200000,04600,0100,N 126738,S200000,04700,0100,N 126738,S200000,04900,0100,N 126777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126777,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126777,A000000,00300,0000,0300EMPLOYEE BENEFITS 126777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126777,A000000,00700,0000,0700HOUSEKEEPING 126777,A000000,00800,0000,0800DIETARY 126777,A000000,00900,0000,0900NURSING ADMINISTRATION 126777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126777,A000000,01100,0000,1100PHARMACY 126777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126777,A000000,01300,0000,1300SOCIAL SERVICE 126777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126777,A000000,01500,0000,1350PATIENT ACTIVITIES 126777,A000000,01600,0000,1600SKILLED NURSING FACILITY 126777,A000000,01800,0000,1800NURSING FACILITY 126777,A000000,01810,0000,1810ICF/MR 126777,A000000,02500,0000,2500PHYSICAL THERAPY 126777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126777,A000000,02700,0000,2700SPEECH PATHOLOGY 126777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126777,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126777,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126777,A000000,03550,0000,3550FQHC 126777,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126777,A000000,04800,0000,4800AMBULANCE 126777,A000000,05000,0000,5000CORF 126777,A000000,05010,0000,5010CMHC 126777,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126777,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126777,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126777,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126777,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126777,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126777,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126777,A81000A,00100,0100,Y 126777,A81000B,00100,0300,BENEFITS 126777,A81000B,00200,0300,TRAINING 126777,A81000B,00300,0300,HOSPITAL ADMIN COST 126777,A81000B,00400,0300,HOSPITAL EDUCATION & 126777,A81000B,00500,0300,LEASE EXPENSE 126777,A81000B,00600,0300,DEPRECIATION 126777,A81000B,00700,0300,INTEREST 126777,A81000B,00800,0300,HOSP. NURSING ADMIN. 126777,A81000B,00900,0300,PUBLIC RELATIONS 126777,A81000B,00901,0300,SUPPLIES 126777,A81000B,00902,0300,DRUG TESTING 126777,A81000B,00903,0300,SUPPLIES 126777,A81000B,00904,0300,DRUG TESTING 126777,A81000B,00905,0300,DRUG TESTING 126777,A81000B,00906,0300,WORKERS COMP 126777,A81000B,00907,0300,DRUG TESTING 126777,A81000B,00908,0300,WORKERS COMP 126777,A81000B,00909,0300,DRUG TESTING 126777,A81000B,00910,0300,COMPUTER SERVICES 126777,A81000B,00911,0300,OT 126777,A81000B,00912,0300,PT 126777,A81000B,00913,0300,ST 126777,A81000B,00914,0300,PT 126777,A81000B,00915,0300,ST 126777,A81000B,00916,0300,DRUGS 126777,A81000B,00917,0300,DRUGS 126777,A81000B,00918,0300,NON LEGEND DRUGS 126777,A81000B,00919,0300,DRUGS 126777,A81000B,00920,0300,LAB 126777,A81000B,01000,0300,MAINT. MGT FEE 126777,A81000B,01100,0300,SUPPLIES 126777,A81000B,01200,0300,CONTRACT SERVICES 126777,A81000B,01300,0300,TRAINING 126777,A81000B,01400,0300,CLEANING 126777,A81000B,01500,0300,MANAGEMENT FEE 126777,A81000B,01600,0300,SPECIAL FUNCTIONS 126777,A81000B,01700,0300,FOOD SERVICES 126777,A81000B,01800,0300,SUPPLEMENTS 126777,A81000B,01900,0300,SUPPLIES 126777,A81000B,02000,0300,SUPPLIES 126777,A81000B,02100,0300,SUPPLIES 126777,A81000B,02200,0300,SUPPLIES 126777,A81000B,02300,0300,TRAINING 126777,A81000B,02400,0300,TRAINING 126777,A81000B,02500,0300,SPECIALTY BEDS 126777,A81000B,02600,0300,SUPPLIES 126777,A81000B,02700,0300,SUPPLIES 126777,A81000B,02800,0300,DIAPERS 126777,A81000B,02900,0300,SUPPLIES 126777,A81000B,02901,0300,INTEREST EXPENSE 126777,A81000C,00100,0100,A 126777,A81000C,00100,0200,GRACE HOSPITAL 126777,A81000C,00200,0100,A 126777,A81000C,00200,0200,GRACE PROPERTIES 126777,A81000C,00300,0100,A 126777,A81000C,00300,0200,GRACE RIDGE 126777,B100000,00000,0100,0100SQUARE FEET 126777,B100000,00000,0200,0200SQUARE FEET 126777,B100000,00000,0300,0300GROSS SALARIES 126777,B100000,00000,0400,0400ACCUM. COST 126777,B100000,00000,0500,0500SQUARE FEET 126777,B100000,00000,0600,0600POUNDS OF LAUNDRY 126777,B100000,00000,0700,0700HOURS OF SERVICE 126777,B100000,00000,0800,0800MEALS SERVED 126777,B100000,00000,0900,0900DIRECT NRSING HRS 126777,B100000,00000,1000,1000PATIENT DAYS 126777,B100000,00000,1100,1100PATIENT DAYS 126777,B100000,00000,1200,1200TIME SPENT 126777,B100000,00000,1300,1300TIME SPENT 126777,B100000,00000,1400,1400ASSIGNED TIME 126777,B100000,00000,1500,1350ASSIGNED TIME 126777,E10A180,00301,0100,03/15/99 126777,E10A180,00501,0300,06/02/00 126777,E10A180,00550,0100,06/02/00 126777,E10A180,00550,0300,09/24/01 126777,E10A180,00551,0100,09/24/01 126777,S000000,00100,0200,06/02/00 126777,S200000,00100,0100,109 FOOTHILLS DRIVE 126777,S200000,00200,0100,MORGANTON 126777,S200000,00200,0200,NC 126777,S200000,00200,0300,28655 126777,S200000,00300,0100,BURKE 126777,S200000,00300,0200,3290 126777,S200000,00300,0300,U 126777,S200000,00400,0100,GRACE HEIGHTS 126777,S200000,00400,0200,345187 126777,S200000,00400,0300,11/27/78 126777,S200000,00400,0500,P 126777,S200000,00600,0200,345187 126777,S200000,00600,0300,11/27/78 126777,S200000,00600,0600,O 126777,S200000,01500,0100,N 126777,S200000,01600,0100,Y 126777,S200000,01700,0100,N 126777,S200000,01800,0100,N 126777,S200000,02200,0100,N 126777,S200000,02800,0100,N 126777,S200000,02900,0100,N 126777,S200000,03000,0100,N 126777,S200000,03100,0100,N 126777,S200000,03200,0100,N 126777,S200000,03300,0100,N 126777,S200000,03300,0200,N 126777,S200000,03500,0300,N 126777,S200000,04100,0100,N 126777,S200000,04200,0100,N 126777,S200000,04300,0100,N 126777,S200000,04600,0100,N 126777,S200000,04700,0100,N 126777,S200000,04900,0100,N 126777,S200000,05200,0100,N 126789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126789,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126789,A000000,00300,0000,0300EMPLOYEE BENEFITS 126789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126789,A000000,00700,0000,0700HOUSEKEEPING 126789,A000000,00800,0000,0800DIETARY 126789,A000000,00900,0000,0900NURSING ADMINISTRATION 126789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126789,A000000,01100,0000,1100PHARMACY 126789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126789,A000000,01300,0000,1300SOCIAL SERVICE 126789,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126789,A000000,01500,0000,1350OTHER GENERAL SERVICES 126789,A000000,01600,0000,1600SKILLED NURSING FACILITY 126789,A000000,01800,0000,1800NURSING FACILITY 126789,A000000,01810,0000,1810ICF/MR 126789,A000000,02100,0000,2100RADIOLOGY 126789,A000000,02200,0000,2200LABORATORY 126789,A000000,02500,0000,2500PHYSICAL THERAPY 126789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126789,A000000,02700,0000,2700SPEECH PATHOLOGY 126789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126789,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126789,A000000,03550,0000,3550FQHC 126789,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126789,A000000,05000,0000,5000CORF 126789,A000000,05010,0000,5010CMHC 126789,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126789,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126789,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126789,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126789,A000000,05300,0000,5300INTEREST EXPENSE 126789,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 126789,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126789,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126789,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126789,A81000A,00100,0100,Y 126789,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 126789,A81000B,00200,0300,INTEREST EXPENSE 126789,A81000B,00300,0300,ACCOUNTING FEES 126789,A81000C,00100,0100,D 126789,A81000C,00100,0200,JUCKETTE FAMILY 126789,A81000C,00100,0400,JUCKETTE MGMT SERVICES 126789,A81000C,00100,0600,MANAGEMENT 126789,A81000C,00200,0100,D 126789,A81000C,00200,0200,JUCKETTE FAMILY 126789,A81000C,00200,0400,WITT & JUCKETTE 126789,A81000C,00200,0600,CONSTRUCTION CO. 126789,B100000,00000,0100,0100SQUARE FEET 126789,B100000,00000,0200,0200DOLLAR VALUE 126789,B100000,00000,0300,0300GROSS SALARIES 126789,B100000,00000,0400,0400ACCUM. COST 126789,B100000,00000,0500,0500SQUARE FEET 126789,B100000,00000,0600,0600POUNDS OF LAUNDRY 126789,B100000,00000,0700,0700SQUARE FEET 126789,B100000,00000,0800,0800MEALS SERVED 126789,B100000,00000,0900,0900DIRECT NRSING HRS 126789,B100000,00000,1000,1000COSTED REQUIS. 126789,B100000,00000,1100,1100COSTED REQUIS. 126789,B100000,00000,1200,1200TIME SPENT 126789,B100000,00000,1300,1300TIME SPENT 126789,B100000,00000,1400,1400ASSIGNED TIME 126789,B100000,00000,1500,1350NO STATISTICS 126789,E10A180,00501,0100,08/09/00 126789,S000000,00100,0200,07/07/00 126789,S200000,00100,0100,230 SPENCER ROAD 126789,S200000,00200,0100,ST. PETERS 126789,S200000,00200,0200,MO 126789,S200000,00300,0100,ST. CHARLES 126789,S200000,00300,0200,7040 126789,S200000,00300,0300,U 126789,S200000,00400,0100,ST. PETERS MANOR CARE CENTER 126789,S200000,00400,0200,265589 126789,S200000,00400,0300,09/09/94 126789,S200000,00400,0500,P 126789,S200000,01500,0100,N 126789,S200000,01600,0100,Y 126789,S200000,01700,0100,N 126789,S200000,01800,0100,N 126789,S200000,02200,0100,N 126789,S200000,02800,0100,N 126789,S200000,02900,0100,N 126789,S200000,03000,0100,N 126789,S200000,03100,0100,N 126789,S200000,03200,0100,N 126789,S200000,03300,0100,N 126789,S200000,03300,0200,N 126789,S200000,04100,0100,N 126789,S200000,04200,0100,N 126789,S200000,04300,0100,N 126789,S200000,04600,0100,N 126789,S200000,04700,0100,N 126789,S200000,04900,0100,N 126789,S200000,05200,0100,N 126825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126825,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126825,A000000,00300,0000,0300EMPLOYEE BENEFITS 126825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126825,A000000,00700,0000,0700HOUSEKEEPING 126825,A000000,00800,0000,0800DIETARY 126825,A000000,00900,0000,0900NURSING ADMINISTRATION 126825,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126825,A000000,01100,0000,1100PHARMACY 126825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126825,A000000,01300,0000,1300SOCIAL SERVICE 126825,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126825,A000000,01500,0000,1350ACTIVITIES 126825,A000000,01501,0000,1351INDIRECT CONSULTANTS 126825,A000000,01600,0000,1600SKILLED NURSING FACILITY 126825,A000000,01800,0000,1800NURSING FACILITY 126825,A000000,01810,0000,1810ICF/MR 126825,A000000,02100,0000,2100RADIOLOGY 126825,A000000,02200,0000,2200LABORATORY 126825,A000000,02300,0000,2300INTRAVENOUS THERAPY 126825,A000000,02500,0000,2500PHYSICAL THERAPY 126825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126825,A000000,02700,0000,2700SPEECH PATHOLOGY 126825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126825,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 126825,A000000,03550,0000,3550FQHC 126825,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126825,A000000,05000,0000,5000CORF 126825,A000000,05010,0000,5010CMHC 126825,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126825,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126825,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126825,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126825,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126825,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126825,A81000A,00100,0100,Y 126825,A81000B,00100,0300,MGMT FEE-CAPITAL RELATED 126825,A81000B,00200,0300,MGMT FEE-NOT CAPITAL RELATED 126825,A81000B,00300,0300,MGMT FEE-CAP REL MOVABLE 126825,A81000C,00100,0100,B 126825,A81000C,00100,0200,GUARDIAN FOUNDATION 126825,A81000C,00100,0400,GUARDIAN FOUNDATION 126825,A81000C,00100,0600,HOME OFFICE 126825,B100000,00000,0100,0100SQUARE FEET 126825,B100000,00000,0200,0200SQUARE FEET 126825,B100000,00000,0300,0300GROSS SALARIES 126825,B100000,00000,0400,0400ACCUM. COST 126825,B100000,00000,0500,0500SQUARE FEET 126825,B100000,00000,0600,0600PATIENT DAYS 126825,B100000,00000,0700,0700SQUARE FEET 126825,B100000,00000,0800,0800PATIENT DAYS 126825,B100000,00000,0900,0900PATIENT DAYS 126825,B100000,00000,1000,1000PATIENT DAYS 126825,B100000,00000,1100,1100N/A 126825,B100000,00000,1200,1200PATIENT DAYS 126825,B100000,00000,1300,1300PATIENT DAYS 126825,B100000,00000,1400,1400N/A 126825,B100000,00000,1500,1350PATIENT DAYS 126825,B100000,00000,1501,1351N/A 126825,S000000,00100,0200,02/12/01 126825,S200000,00100,0100,888 NORTH MAIN STREET 126825,S200000,00200,0100,BROCKTON 126825,S200000,00200,0200,MA 126825,S200000,00200,0300,02301 126825,S200000,00300,0100,P 126825,S200000,00300,0200,1123 126825,S200000,00300,0300,U 126825,S200000,00400,0100,THE GUARDIAN CENTER 126825,S200000,00400,0200,225382 126825,S200000,00400,0300,07/01/90 126825,S200000,00400,0500,P 126825,S200000,00400,0600,P 126825,S200000,01500,0100,N 126825,S200000,01600,0100,Y 126825,S200000,01700,0100,N 126825,S200000,01800,0100,N 126825,S200000,02200,0100,N 126825,S200000,02800,0100,N 126825,S200000,02900,0100,N 126825,S200000,03000,0100,N 126825,S200000,03100,0100,N 126825,S200000,03200,0100,N 126825,S200000,03300,0100,N 126825,S200000,03300,0200,N 126825,S200000,04100,0100,N 126825,S200000,04200,0100,N 126825,S200000,04300,0100,N 126825,S200000,04600,0100,N 126825,S200000,04700,0100,N 126825,S200000,04700,0200,N 126825,S200000,04900,0100,N 126879,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126879,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126879,A000000,00300,0000,0300EMPLOYEE BENEFITS 126879,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126879,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126879,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126879,A000000,00700,0000,0700HOUSEKEEPING 126879,A000000,00800,0000,0800DIETARY 126879,A000000,00900,0000,0900NURSING ADMINISTRATION 126879,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126879,A000000,01100,0000,1100PHARMACY 126879,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126879,A000000,01300,0000,1300SOCIAL SERVICE 126879,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126879,A000000,01600,0000,1600SKILLED NURSING FACILITY 126879,A000000,01810,0000,1810ICF/MR 126879,A000000,02200,0000,2200LABORATORY 126879,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126879,A000000,02500,0000,2500PHYSICAL THERAPY 126879,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126879,A000000,02700,0000,2700SPEECH PATHOLOGY 126879,A000000,03550,0000,3550FQHC 126879,A000000,04800,0000,4800AMBULANCE 126879,A000000,05000,0000,5000CORF 126879,A000000,05010,0000,5010CMHC 126879,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126879,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126879,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126879,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 126879,A000000,05300,0000,5300INTEREST EXPENSE 126879,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126879,A81000A,00100,0100,N 126879,B100000,00000,0100,0100SQUARE FEET 126879,B100000,00000,0200,0200SQUARE FEET 126879,B100000,00000,0300,0300GROSS SALARIES 126879,B100000,00000,0400,0400ACCUM COST 126879,B100000,00000,0500,0500SQUARE FEET 126879,B100000,00000,0600,0600POUNDS OF LAUNDRY 126879,B100000,00000,0700,0700HOURS OF SERVICE 126879,B100000,00000,0800,0800MEALS SERVED 126879,B100000,00000,0900,0900DIRECT NRSG HRS 126879,B100000,00000,1000,1000COSTED REQUIS 126879,B100000,00000,1100,1100COSTED REQUIS 126879,B100000,00000,1200,1200TIME SPENT 126879,B100000,00000,1300,1300TIME SPENT 126879,B100000,00000,1400,1400ASSIGNED TIME 126879,S000000,00100,0200,08/17/00 126879,S200000,00100,0100,1775 BOSTON POST ROAD 126879,S200000,00100,0300,834 126879,S200000,00200,0100,OLD SAYBROOK 126879,S200000,00200,0200,CT 126879,S200000,00200,0300,06475 126879,S200000,00300,0100,MIDDLESEX 126879,S200000,00300,0200,3283 126879,S200000,00300,0300,U 126879,S200000,00400,0100,SAYBROOK CONVALESCENT HSP. INC. 126879,S200000,00400,0200,075070 126879,S200000,00400,0300,01/01/67 126879,S200000,00400,0500,P 126879,S200000,01500,0100,Y 126879,S200000,01600,0100,N 126879,S200000,01700,0100,N 126879,S200000,01800,0100,N 126879,S200000,02200,0100,N 126879,S200000,02800,0100,N 126879,S200000,02900,0100,N 126879,S200000,03000,0100,N 126879,S200000,03100,0100,N 126879,S200000,03200,0100,N 126879,S200000,03300,0100,N 126879,S200000,03300,0200,N 126879,S200000,04100,0100,N 126879,S200000,04200,0100,N 126879,S200000,04300,0100,N 126879,S200000,04600,0100,N 126879,S200000,04700,0100,N 126879,S200000,05200,0100,N 126880,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126880,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 126880,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126880,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 126880,A000000,00300,0000,0300EMPLOYEE BENEFITS 126880,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126880,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126880,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126880,A000000,00700,0000,0700HOUSEKEEPING 126880,A000000,00800,0000,0800DIETARY 126880,A000000,00801,0000,0801CAFETERIA 126880,A000000,00900,0000,0900NURSING ADMINISTRATION 126880,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126880,A000000,01100,0000,1100PHARMACY 126880,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126880,A000000,01300,0000,1300SOCIAL SERVICE 126880,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126880,A000000,01500,0000,1350ACTIVITIES 126880,A000000,01600,0000,1600SKILLED NURSING FACILITY 126880,A000000,01800,0000,1800NURSING FACILITY 126880,A000000,01810,0000,1810ICF/MR 126880,A000000,02100,0000,2100RADIOLOGY 126880,A000000,02200,0000,2200LABORATORY 126880,A000000,02500,0000,2500PHYSICAL THERAPY 126880,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126880,A000000,02700,0000,2700SPEECH PATHOLOGY 126880,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126880,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126880,A000000,03300,0000,3050OTHER ANCILLARY 126880,A000000,03301,0000,3051OTHER ANCILLARY II 126880,A000000,03302,0000,3052OTHER ANCILLARY III 126880,A000000,03550,0000,3550FQHC 126880,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 126880,A000000,05000,0000,5000CORF I 126880,A000000,05010,0000,5010CMHC I 126880,A000000,05020,0000,5020OPT I 126880,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126880,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126880,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126880,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 126880,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 126880,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126880,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126880,A81000A,00100,0100,Y 126880,A81000B,00100,0300,BUILDING LEASE 126880,A81000B,00200,0300,MANAGEMENT FEES 126880,A81000B,00300,0300,THERAPY SERVICES 126880,A81000B,00400,0300,THERAPY SERVICES 126880,A81000B,00500,0300,THERAPY SERVICES 126880,A81000B,00600,0300,HEALTH CARE CONSULT 126880,A81000B,00700,0300,THERAPY CONSULTING 126880,A81000C,00100,0100,A 126880,A81000C,00100,0200,KRAUSZ ET AL 126880,A81000C,00100,0400,HARTFD/WINDSR 126880,A81000C,00100,0600,REAL ESTATE 126880,A81000C,00200,0100,A 126880,A81000C,00200,0200,KRAUSZ ET AL 126880,A81000C,00200,0400,SOLOMON HLT SVC 126880,A81000C,00200,0600,HC MGMT CO 126880,A81000C,00300,0100,A 126880,A81000C,00300,0200,KRAUSZ ET AL 126880,A81000C,00300,0400,PROG PROV SVC 126880,A81000C,00300,0600,THERAPY SVCS 126880,A81000C,00400,0100,A 126880,A81000C,00400,0200,KRAUSZ ET AL 126880,A81000C,00400,0400,PROG PROV SVC 126880,A81000C,00400,0600,THERAPY SVCS 126880,A81000C,00500,0100,A 126880,A81000C,00500,0200,KRAUSZ ET AL 126880,A81000C,00500,0400,PROG PROV SVC 126880,A81000C,00500,0600,THERAPY SVCS 126880,A81000C,00600,0100,A 126880,A81000C,00600,0200,KRAUSZ ET AL 126880,A81000C,00600,0400,SOLOMON HC CONS 126880,A81000C,00600,0600,HC CONSULTING 126880,A81000C,00700,0100,A 126880,A81000C,00700,0200,KRAUSZ ET AL 126880,A81000C,00700,0400,SOLOMON HC CONS 126880,A81000C,00700,0600,THERAPY CONS 126880,B100000,00000,0100,0100(SQUARE FEET) 126880,B100000,00000,0101,0101(SQUARE FEET) 126880,B100000,00000,0200,0200(SQUARE FEET) 126880,B100000,00000,0201,0201(SQUARE FEET) 126880,B100000,00000,0300,0300(GROSS SALARIES) 126880,B100000,00000,0400,0400(ACCUM. COST) 126880,B100000,00000,0500,0500(SQUARE FEET) 126880,B100000,00000,0600,0600(PATIENT DAYS) 126880,B100000,00000,0700,0700(SQUARE FEET) 126880,B100000,00000,0800,0800(MEALS SERVED) 126880,B100000,00000,0801,0801(MEALS SERVED) 126880,B100000,00000,0900,0900(PATIENT DAYS) 126880,B100000,00000,1000,1000(PATIENT DAYS) 126880,B100000,00000,1100,1100(PATIENT DAYS) 126880,B100000,00000,1200,1200(PATIENT DAYS) 126880,B100000,00000,1300,1300(PATIENT DAYS) 126880,B100000,00000,1400,1400(ASSIGNED TIME) 126880,B100000,00000,1500,1350(PATIENT DAYS) 126880,S000000,00100,0200,05/26/00 126880,S200000,00100,0100,151 HILLSIDE AVENUE 126880,S200000,00200,0100,HARTFORD 126880,S200000,00200,0200,CT 126880,S200000,00200,0300,06106 126880,S200000,00300,0100,HARTFORD 126880,S200000,00300,0200,3283 126880,S200000,00300,0300,U 126880,S200000,00400,0100,TRINITY HILL CARE CENTER LLC 126880,S200000,00400,0200,075268 126880,S200000,00400,0300,04/09/76 126880,S200000,00400,0500,P 126880,S200000,01500,0100,Y 126880,S200000,01600,0100,N 126880,S200000,01700,0100,N 126880,S200000,01800,0100,N 126880,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 126880,S200000,02200,0100,Y 126880,S200000,02800,0100,N 126880,S200000,02900,0100,N 126880,S200000,03000,0100,N 126880,S200000,03100,0100,N 126880,S200000,03200,0100,N 126880,S200000,03300,0100,N 126880,S200000,03300,0200,N 126880,S200000,04100,0100,N 126880,S200000,04200,0100,N 126880,S200000,04300,0100,Y 126880,S200000,04600,0100,N 126880,S200000,04700,0100,N 126880,S200000,04900,0100,N 126883,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126883,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126883,A000000,00300,0000,0300EMPLOYEE BENEFITS 126883,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126883,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126883,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126883,A000000,00700,0000,0700HOUSEKEEPING 126883,A000000,00800,0000,0800DIETARY 126883,A000000,00900,0000,0900NURSING ADMINISTRATION 126883,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126883,A000000,01100,0000,1100PHARMACY 126883,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126883,A000000,01300,0000,1300SOCIAL SERVICE 126883,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126883,A000000,01500,0000,1350DIVERSIONAL THERAPY 126883,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENT 126883,A000000,01502,0000,1352OTHER GENERAL SERVICE COST CENT 126883,A000000,01600,0000,1600SKILLED NURSING FACILITY 126883,A000000,01810,0000,1810ICF/MR 126883,A000000,01900,0000,1900OTHER LONG TERM CARE 126883,A000000,02100,0000,2100RADIOLOGY 126883,A000000,02200,0000,2200LABORATORY 126883,A000000,02500,0000,2500PHYSICAL THERAPY 126883,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126883,A000000,02700,0000,2700SPEECH PATHOLOGY 126883,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126883,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126883,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126883,A000000,03550,0000,3550FQHC 126883,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126883,A000000,05000,0000,5000CORF 126883,A000000,05010,0000,5010CMHC 126883,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126883,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126883,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126883,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126883,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126883,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126883,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126883,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126883,A81000A,00100,0100,Y 126883,A81000B,00100,0300,DRUGS 126883,A81000C,00100,0100,B 126883,A81000C,00100,0200,CLARK PHARMACY 126883,A81000C,00100,0400,CLARK PHARMACY 126883,A81000C,00100,0600,PHARMACY 126883,B100000,00000,0100,0100SQUARE FEET 126883,B100000,00000,0200,0200SQUARE FEET 126883,B100000,00000,0300,0300GROSS SALARIES 126883,B100000,00000,0400,0400ACCUM. COST 126883,B100000,00000,0500,0500SQUARE FEET 126883,B100000,00000,0600,0600POUNDS OF LAUNDRY 126883,B100000,00000,0700,0700HOURS OF SERVICE 126883,B100000,00000,0800,0800MEALS SERVED 126883,B100000,00000,0900,0900DIRECT NRSING HRS 126883,B100000,00000,1000,1000COSTED REQUIS. 126883,B100000,00000,1100,1100COSTED REQUIS. 126883,B100000,00000,1200,1200TIME SPENT 126883,B100000,00000,1300,1300TIME SPENT 126883,B100000,00000,1400,1400ASSIGNED TIME 126883,B100000,00000,1500,1350TIME SPENT 126883,B100000,00000,1501,1351TIME SPENT 126883,B100000,00000,1502,1352TIME SPENT 126883,E10A180,00501,0300,01/24/01 126883,S000000,00100,0200,10/10/00 126883,S200000,00100,0100,1551 FRANKLIN STREET SE 126883,S200000,00200,0100,GRAND RAPIDS 126883,S200000,00200,0200,MI 126883,S200000,00300,0100,KENT 126883,S200000,00300,0200,3000 126883,S200000,00300,0300,U 126883,S200000,00400,0100,CLARK RETIREMENT COMMUNITY 126883,S200000,00400,0200,235401 126883,S200000,00400,0300,10/01/69 126883,S200000,00400,0500,P 126883,S200000,01500,0100,Y 126883,S200000,01600,0100,N 126883,S200000,01700,0100,N 126883,S200000,01800,0100,N 126883,S200000,02200,0100,N 126883,S200000,02800,0100,N 126883,S200000,02900,0100,N 126883,S200000,03000,0100,N 126883,S200000,03100,0100,N 126883,S200000,03200,0100,N 126883,S200000,03300,0100,N 126883,S200000,03300,0200,N 126883,S200000,03600,0200,N 126883,S200000,04100,0100,N 126883,S200000,04200,0100,N 126883,S200000,04300,0100,Y 126883,S200000,04600,0100,N 126883,S200000,04700,0100,N 126883,S200000,04900,0100,N 126883,S200000,05200,0100,N 126898,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126898,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126898,A000000,00300,0000,0300EMPLOYEE BENEFITS 126898,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126898,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126898,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126898,A000000,00700,0000,0700HOUSEKEEPING 126898,A000000,00800,0000,0800DIETARY 126898,A000000,00900,0000,0900NURSING ADMINISTRATION 126898,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126898,A000000,01100,0000,1100PHARMACY 126898,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126898,A000000,01300,0000,1300SOCIAL SERVICE 126898,A000000,01301,0000,1301CHAPLAINCY 126898,A000000,01302,0000,1302ACTIVITIES 126898,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126898,A000000,01500,0000,1350OTHER GENERAL SERVICES 126898,A000000,01600,0000,1600SKILLED NURSING FACILITY 126898,A000000,01810,0000,1810ICF/MR 126898,A000000,02100,0000,2100RADIOLOGY 126898,A000000,02200,0000,2200LABORATORY 126898,A000000,02500,0000,2500PHYSICAL THERAPY 126898,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126898,A000000,02700,0000,2700SPEECH PATHOLOGY 126898,A000000,02801,0000,2801OXYGEN (INHALATION) THERAPY 126898,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126898,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126898,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126898,A000000,03550,0000,3550FQHC 126898,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126898,A000000,05000,0000,5000CORF 126898,A000000,05010,0000,5010CMHC 126898,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126898,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126898,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126898,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126898,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126898,A000000,05901,0000,5901CBRF 126898,A000000,05902,0000,5902SENIOR CITIZENS 126898,A000000,06201,0000,6201OTHER NON REIMBURSABLE COST 126898,A81000A,00100,0100,N 126898,B100000,00000,0100,0100SQUARE FEET 126898,B100000,00000,0200,0200SQUARE FEET 126898,B100000,00000,0300,0300GROSS SALARIES 126898,B100000,00000,0400,0400ACCUM. COST 126898,B100000,00000,0500,0500SQUARE FEET 126898,B100000,00000,0600,0600POUNDS OF LAUNDRY 126898,B100000,00000,0700,0700SQUARE FEET 126898,B100000,00000,0800,0800MEALS SERVED 126898,B100000,00000,0900,0900PATIENT DAYS 126898,B100000,00000,1000,1000PATIENT DAYS 126898,B100000,00000,1100,1100COSTED REQUIS. 126898,B100000,00000,1200,1200TIME SPENT 126898,B100000,00000,1300,1300TIME SPENT 126898,B100000,00000,1301,1301TIME SPENT 126898,B100000,00000,1302,1302TIME SPENT 126898,B100000,00000,1400,1400TIME SPENT 126898,B100000,00000,1500,1350TIME SPENT 126898,S000000,00100,0200,12/20/00 126898,S200000,00100,0100,604 S. WEBB STREET 126898,S200000,00100,0300,247 126898,S200000,00200,0100,WITTENBERG 126898,S200000,00200,0200,WI 126898,S200000,00200,0300,54499 126898,S200000,00300,0100,S 126898,S200000,00300,0200,9952 126898,S200000,00300,0300,R 126898,S200000,00400,0100,HOMME HOME FOR THE AGING 126898,S200000,00400,0200,525527 126898,S200000,00400,0300,01/01/94 126898,S200000,00400,0500,P 126898,S200000,01500,0100,Y 126898,S200000,01600,0100,N 126898,S200000,01700,0100,N 126898,S200000,01800,0100,N 126898,S200000,02200,0100,Y 126898,S200000,02800,0100,Y 126898,S200000,02900,0100,N 126898,S200000,03000,0100,N 126898,S200000,03100,0100,N 126898,S200000,03200,0100,N 126898,S200000,03300,0100,N 126898,S200000,03300,0200,N 126898,S200000,04100,0100,N 126898,S200000,04200,0100,N 126898,S200000,04300,0100,N 126898,S200000,04600,0100,N 126898,S200000,04700,0100,N 126898,S200000,04900,0100,N 126898,S200000,05200,0100,N 126905,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126905,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126905,A000000,00300,0000,0300EMPLOYEE BENEFITS 126905,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126905,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126905,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126905,A000000,00700,0000,0700HOUSEKEEPING 126905,A000000,00800,0000,0800DIETARY 126905,A000000,00900,0000,0900NURSING ADMINISTRATION 126905,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126905,A000000,01100,0000,1100PHARMACY 126905,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126905,A000000,01300,0000,1300SOCIAL SERVICE 126905,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126905,A000000,01600,0000,1600SKILLED NURSING FACILITY 126905,A000000,01800,0000,1800NURSING FACILITY 126905,A000000,01810,0000,1810ICF/MR 126905,A000000,02100,0000,2100RADIOLOGY 126905,A000000,02200,0000,2200LABORATORY 126905,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126905,A000000,02500,0000,2500PHYSICAL THERAPY 126905,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126905,A000000,02700,0000,2700SPEECH PATHOLOGY 126905,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126905,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126905,A000000,03200,0000,3200SUPPORT SURFACES 126905,A000000,03550,0000,3550FQHC 126905,A000000,05000,0000,5000CORF 126905,A000000,05010,0000,5010CMHC 126905,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126905,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126905,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126905,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126905,A81000A,00100,0100,Y 126905,A81000B,00100,0300,CONTRACT THERAPY 126905,A81000B,00200,0300,CONTRACT THERAPY 126905,A81000B,00300,0300,CONTRACT THERAPY 126905,A81000B,00400,0300,HOME OFFICE COSTS 126905,A81000B,00500,0300,HOME OFFICE COSTS 126905,A81000C,00100,0100,B 126905,A81000C,00100,0400,GARY NEDERVELD 126905,A81000C,00100,0600,CONTRACT THERAP 126905,A81000C,00200,0100,B 126905,A81000C,00200,0400,GARY NEDERVELD 126905,A81000C,00200,0600,CONTRACT THERAP 126905,A81000C,00300,0100,B 126905,A81000C,00300,0400,GARY NEDERVELD 126905,A81000C,00300,0600,CONTRACT THERAP 126905,A81000C,00400,0100,B 126905,A81000C,00400,0400,MERCY CONTINUIN 126905,A81000C,00400,0600,LONG TERM CARE 126905,A81000C,00500,0100,B 126905,A81000C,00500,0400,MERCY CONTINUIN 126905,A81000C,00500,0600,LONG TERM CARE 126905,B100000,00000,0100,0100SQUARE FEET 126905,B100000,00000,0200,0200SQUARE FEET 126905,B100000,00000,0300,0300GROSS SALARIES 126905,B100000,00000,0400,0400ACCUM COST 126905,B100000,00000,0500,0500SQUARE FEET 126905,B100000,00000,0600,0600PATIENT DAYS 126905,B100000,00000,0700,0700SQUARE FEET 126905,B100000,00000,0800,0800MEALS SERVED 126905,B100000,00000,0900,0900PATIENT DAYS 126905,B100000,00000,1000,1000COSTED REQUIS 126905,B100000,00000,1100,1100COSTED REQUIS 126905,B100000,00000,1200,1200TIME SPENT 126905,B100000,00000,1300,1300PATIENT DAYS 126905,B100000,00000,1400,1400ASSIGNED TIME 126905,E10A180,00501,0100,08/22/01 126905,E10A180,00501,0300,08/22/01 126905,S000000,00100,0200,12/28/00 126905,S200000,00100,0100,900 SOUTH BEACON BLVD 126905,S200000,00200,0100,GRAND HAVEN 126905,S200000,00200,0200,MI 126905,S200000,00200,0300,49417 126905,S200000,00300,0100,O 126905,S200000,00300,0200,3000 126905,S200000,00300,0300,U 126905,S200000,00400,0100,SHORE HAVEN 126905,S200000,00400,0200,235356 126905,S200000,00400,0300,01/01/90 126905,S200000,00400,0500,P 126905,S200000,00400,0600,O 126905,S200000,00600,0200,623750 126905,S200000,00600,0300,01/01/90 126905,S200000,00600,0600,O 126905,S200000,01500,0100,N 126905,S200000,01600,0100,Y 126905,S200000,01700,0100,N 126905,S200000,01800,0100,N 126905,S200000,01900,0100,CORPORATION 126905,S200000,02200,0100,Y 126905,S200000,02800,0100,N 126905,S200000,02900,0100,N 126905,S200000,03000,0100,N 126905,S200000,03100,0100,N 126905,S200000,03200,0100,N 126905,S200000,03300,0100,N 126905,S200000,03300,0200,N 126905,S200000,03500,0300,N 126905,S200000,04100,0100,N 126905,S200000,04200,0100,N 126905,S200000,04300,0100,Y 126905,S200000,04600,0100,N 126905,S200000,04700,0100,N 126905,S200000,04900,0100,N 126906,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126906,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126906,A000000,00300,0000,0300EMPLOYEE BENEFITS 126906,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126906,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126906,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126906,A000000,00700,0000,0700HOUSEKEEPING 126906,A000000,00800,0000,0800DIETARY 126906,A000000,00900,0000,0900NURSING ADMINISTRATION 126906,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126906,A000000,01100,0000,1100PHARMACY 126906,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126906,A000000,01300,0000,1300SOCIAL SERVICE 126906,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126906,A000000,01600,0000,1600SKILLED NURSING FACILITY 126906,A000000,01800,0000,1800NURSING FACILITY 126906,A000000,01810,0000,1810ICF/MR 126906,A000000,01900,0000,1900OTHER LONG TERM CARE 126906,A000000,02100,0000,2100RADIOLOGY 126906,A000000,02200,0000,2200LABORATORY 126906,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126906,A000000,02500,0000,2500PHYSICAL THERAPY 126906,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126906,A000000,02700,0000,2700SPEECH PATHOLOGY 126906,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126906,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126906,A000000,03200,0000,3200SUPPORT SURFACES 126906,A000000,03550,0000,3550FQHC 126906,A000000,05000,0000,5000CORF 126906,A000000,05010,0000,5010CMHC 126906,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126906,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126906,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126906,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126906,A81000A,00100,0100,Y 126906,A81000B,00100,0300,CONTRACT THERAPY 126906,A81000B,00200,0300,CONTRACT THERAPY 126906,A81000B,00300,0300,CONTRACT THERAPY 126906,A81000B,00400,0300,HOME OFFICE 126906,A81000B,00500,0300,HOME OFFICE 126906,A81000C,00100,0100,B 126906,A81000C,00100,0400,GARY NEDERVELD 126906,A81000C,00100,0600,CONTRACT THERAP 126906,A81000C,00200,0100,B 126906,A81000C,00200,0400,GARY NEDERVELD 126906,A81000C,00200,0600,CONTRACT THERAP 126906,A81000C,00300,0100,B 126906,A81000C,00300,0400,GARY NEDERVELD 126906,A81000C,00300,0600,CONTRACT THERAP 126906,A81000C,00400,0100,B 126906,A81000C,00400,0400,MERCY CONTINUIN 126906,A81000C,00400,0600,LONG TERM CARE 126906,A81000C,00500,0100,B 126906,A81000C,00500,0400,MERCY CONTINUIN 126906,A81000C,00500,0600,LONG TERM CARE 126906,B100000,00000,0100,0100SQUARE FEET 126906,B100000,00000,0200,0200SQUARE FEET 126906,B100000,00000,0300,0300GROSS SALARIES 126906,B100000,00000,0400,0400ACCUM COST 126906,B100000,00000,0500,0500SQUARE FEET 126906,B100000,00000,0600,0600PATIENT DAYS 126906,B100000,00000,0700,0700SQUARE FEET 126906,B100000,00000,0800,0800MEALS SERVED 126906,B100000,00000,0900,0900PATIENT DAYS 126906,B100000,00000,1000,1000COSTED REQUIS 126906,B100000,00000,1100,1100COSTED REQUIS 126906,B100000,00000,1200,1200TIME SPENT 126906,B100000,00000,1300,1300PATIENT DAYS 126906,B100000,00000,1400,1400ASSIGNED TIME 126906,S000000,00100,0200,12/28/00 126906,S200000,00100,0100,6531 W. MICHIGAN AVE. 126906,S200000,00200,0100,JACKSON 126906,S200000,00200,0200,MI 126906,S200000,00200,0300,49201 126906,S200000,00300,0100,J 126906,S200000,00300,0200,3520 126906,S200000,00300,0300,U 126906,S200000,00400,0100,FAITH HAVEN 126906,S200000,00400,0200,235359 126906,S200000,00400,0300,01/01/90 126906,S200000,00400,0500,P 126906,S200000,00400,0600,O 126906,S200000,00600,0200,623651 126906,S200000,00600,0300,01/01/90 126906,S200000,00600,0600,O 126906,S200000,01500,0100,N 126906,S200000,01600,0100,Y 126906,S200000,01700,0100,N 126906,S200000,01800,0100,N 126906,S200000,01900,0100,CORPORATION 126906,S200000,02200,0100,Y 126906,S200000,02800,0100,N 126906,S200000,02900,0100,N 126906,S200000,03000,0100,N 126906,S200000,03100,0100,N 126906,S200000,03200,0100,N 126906,S200000,03300,0100,N 126906,S200000,03300,0200,N 126906,S200000,03500,0300,N 126906,S200000,03600,0200,N 126906,S200000,04100,0100,N 126906,S200000,04200,0100,N 126906,S200000,04300,0100,Y 126906,S200000,04600,0100,N 126906,S200000,04700,0100,N 126906,S200000,04900,0100,N 126906,S200000,05200,0100,N 126907,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126907,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126907,A000000,00300,0000,0300EMPLOYEE BENEFITS 126907,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126907,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126907,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126907,A000000,00700,0000,0700HOUSEKEEPING 126907,A000000,00800,0000,0800DIETARY 126907,A000000,00900,0000,0900NURSING ADMINISTRATION 126907,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126907,A000000,01100,0000,1100PHARMACY 126907,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126907,A000000,01300,0000,1300SOCIAL SERVICE 126907,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126907,A000000,01600,0000,1600SKILLED NURSING FACILITY 126907,A000000,01800,0000,1800NURSING FACILITY 126907,A000000,01810,0000,1810ICF/MR 126907,A000000,02100,0000,2100RADIOLOGY 126907,A000000,02200,0000,2200LABORATORY 126907,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126907,A000000,02500,0000,2500PHYSICAL THERAPY 126907,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126907,A000000,02700,0000,2700SPEECH PATHOLOGY 126907,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126907,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126907,A000000,03200,0000,3200SUPPORT SURFACES 126907,A000000,03550,0000,3550FQHC 126907,A000000,05000,0000,5000CORF 126907,A000000,05010,0000,5010CMHC 126907,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126907,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126907,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126907,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126907,A81000A,00100,0100,Y 126907,A81000B,00100,0300,HOME OFFICE COSTS 126907,A81000B,00200,0300,HOME OFFICE COSTS 126907,A81000B,00300,0300,CONTRACT THERAPY 126907,A81000B,00400,0300,CONTRACT THERAPY 126907,A81000B,00500,0300,CONTRACT THERAPY 126907,A81000C,00100,0100,B 126907,A81000C,00100,0400,MERCY CONTINUIN 126907,A81000C,00100,0600,LONG TERM CARE 126907,A81000C,00200,0100,B 126907,A81000C,00200,0400,MERCY CONTINUIN 126907,A81000C,00200,0600,LONG TERM CARE 126907,A81000C,00300,0100,B 126907,A81000C,00300,0400,REHAB PROFESSIO 126907,A81000C,00300,0600,CONTRACT THERAP 126907,A81000C,00400,0100,B 126907,A81000C,00400,0400,REHAB PROFESSIO 126907,A81000C,00400,0600,CONTRACT THERAP 126907,A81000C,00500,0100,B 126907,A81000C,00500,0400,REHAB PROFESSIO 126907,A81000C,00500,0600,CONTRACT THERAP 126907,B100000,00000,0100,0100SQUARE FEET 126907,B100000,00000,0200,0200SQUARE FEET 126907,B100000,00000,0300,0300GROSS SALARIES 126907,B100000,00000,0400,0400ACCUM COST 126907,B100000,00000,0500,0500SQUARE FEET 126907,B100000,00000,0600,0600PATIENT DAYS 126907,B100000,00000,0700,0700SQUARE FEET 126907,B100000,00000,0800,0800MEALS SERVED 126907,B100000,00000,0900,0900PATIENT DAYS 126907,B100000,00000,1000,1000COSTED REQUIS 126907,B100000,00000,1100,1100COSTED REQUIS 126907,B100000,00000,1200,1200TIME SPENT 126907,B100000,00000,1300,1300PATIENT DAYS 126907,B100000,00000,1400,1400ASSIGNED TIME 126907,E10A180,00501,0300,11/14/01 126907,S000000,00100,0200,12/28/00 126907,S200000,00100,0100,1050 FOUR MILE ROAD NW 126907,S200000,00200,0100,GRAND RAPIDS 126907,S200000,00200,0200,MI 126907,S200000,00200,0300,49504 126907,S200000,00300,0100,K 126907,S200000,00300,0200,3000 126907,S200000,00300,0300,U 126907,S200000,00400,0100,ST. MARY S 126907,S200000,00400,0200,235377 126907,S200000,00400,0300,01/01/90 126907,S200000,00400,0500,P 126907,S200000,00400,0600,O 126907,S200000,00600,0200,649184 126907,S200000,00600,0300,01/01/90 126907,S200000,00600,0600,O 126907,S200000,01500,0100,N 126907,S200000,01600,0100,Y 126907,S200000,01700,0100,N 126907,S200000,01800,0100,N 126907,S200000,01900,0100,CORPORATION 126907,S200000,02200,0100,Y 126907,S200000,02800,0100,N 126907,S200000,02900,0100,N 126907,S200000,03000,0100,N 126907,S200000,03100,0100,N 126907,S200000,03200,0100,N 126907,S200000,03300,0100,N 126907,S200000,03300,0200,N 126907,S200000,03500,0300,N 126907,S200000,04100,0100,N 126907,S200000,04200,0100,N 126907,S200000,04300,0100,Y 126907,S200000,04600,0100,N 126907,S200000,04700,0100,N 126907,S200000,04900,0100,N 126907,S200000,05200,0100,N 126908,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126908,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126908,A000000,00300,0000,0300EMPLOYEE BENEFITS 126908,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126908,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126908,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126908,A000000,00700,0000,0700HOUSEKEEPING 126908,A000000,00800,0000,0800DIETARY 126908,A000000,00900,0000,0900NURSING ADMINISTRATION 126908,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126908,A000000,01100,0000,1100PHARMACY 126908,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126908,A000000,01300,0000,1300SOCIAL SERVICE 126908,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126908,A000000,01600,0000,1600SKILLED NURSING FACILITY 126908,A000000,01800,0000,1800NURSING FACILITY 126908,A000000,01810,0000,1810ICF/MR 126908,A000000,02100,0000,2100RADIOLOGY 126908,A000000,02200,0000,2200LABORATORY 126908,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126908,A000000,02500,0000,2500PHYSICAL THERAPY 126908,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126908,A000000,02700,0000,2700SPEECH PATHOLOGY 126908,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126908,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126908,A000000,03200,0000,3200SUPPORT SURFACES 126908,A000000,03550,0000,3550FQHC 126908,A000000,05000,0000,5000CORF 126908,A000000,05010,0000,5010CMHC 126908,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126908,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126908,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126908,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126908,A81000A,00100,0100,Y 126908,A81000B,00100,0300,HOME OFFICE COSTS 126908,A81000B,00200,0300,HOME OFFICE COSTS 126908,A81000B,00300,0300,CONTRACT THERAPY 126908,A81000B,00400,0300,CONTRACT THERAPY 126908,A81000B,00500,0300,CONTRACT THERAPY 126908,A81000C,00100,0100,B 126908,A81000C,00100,0400,MERCY CONTINUIN 126908,A81000C,00100,0600,LONG TERM CARE 126908,A81000C,00200,0100,B 126908,A81000C,00200,0400,MERCY CONTINUIN 126908,A81000C,00200,0600,LONG TERM CARE 126908,A81000C,00300,0100,B 126908,A81000C,00300,0400,GARY NEDERVELD 126908,A81000C,00300,0600,CONTRACT THERAP 126908,A81000C,00400,0100,B 126908,A81000C,00400,0400,GARY NEDERVELD 126908,A81000C,00400,0600,CONTRACT THERAP 126908,A81000C,00500,0100,B 126908,A81000C,00500,0400,GARY NEDERVELD 126908,A81000C,00500,0600,CONTRACT THERAP 126908,B100000,00000,0100,0100SQUARE FEET 126908,B100000,00000,0200,0200SQUARE FEET 126908,B100000,00000,0300,0300GROSS SALARIES 126908,B100000,00000,0400,0400ACCUM COST 126908,B100000,00000,0500,0500SQUARE FEET 126908,B100000,00000,0600,0600PATIENT DAYS 126908,B100000,00000,0700,0700SQUARE FEET 126908,B100000,00000,0800,0800MEALS SERVED 126908,B100000,00000,0900,0900PATIENT DAYS 126908,B100000,00000,1000,1000COSTED REQUIS 126908,B100000,00000,1100,1100COSTED REQUIS 126908,B100000,00000,1200,1200TIME SPENT 126908,B100000,00000,1300,1300PATIENT DAYS 126908,B100000,00000,1400,1400ASSIGNED TIME 126908,E10A180,00501,0100,12/12/01 126908,E10A180,00501,0300,12/12/01 126908,S000000,00100,0200,12/28/00 126908,S200000,00100,0100,9400 CONANT 126908,S200000,00200,0100,HAMTRAMCK 126908,S200000,00200,0200,MI 126908,S200000,00200,0300,48212 126908,S200000,00300,0100,W 126908,S200000,00300,0200,2160 126908,S200000,00300,0300,U 126908,S200000,00400,0100,ST. JOSEPH S 126908,S200000,00400,0200,235383 126908,S200000,00400,0300,01/01/90 126908,S200000,00400,0500,P 126908,S200000,00400,0600,O 126908,S200000,00600,0200,623769 126908,S200000,00600,0300,01/01/90 126908,S200000,00600,0600,O 126908,S200000,01500,0100,N 126908,S200000,01600,0100,Y 126908,S200000,01700,0100,N 126908,S200000,01800,0100,N 126908,S200000,01900,0100,CORPORATION 126908,S200000,02200,0100,Y 126908,S200000,02800,0100,N 126908,S200000,02900,0100,N 126908,S200000,03000,0100,N 126908,S200000,03100,0100,N 126908,S200000,03200,0100,N 126908,S200000,03300,0100,N 126908,S200000,03300,0200,N 126908,S200000,03500,0300,N 126908,S200000,04100,0100,N 126908,S200000,04200,0100,N 126908,S200000,04300,0100,Y 126908,S200000,04600,0100,N 126908,S200000,04700,0100,N 126908,S200000,04900,0100,N 126908,S200000,05200,0100,N 126913,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126913,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126913,A000000,00300,0000,0300EMPLOYEE BENEFITS 126913,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126913,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126913,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126913,A000000,00700,0000,0700HOUSEKEEPING 126913,A000000,00800,0000,0800DIETARY 126913,A000000,00900,0000,0900NURSING ADMINISTRATION 126913,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126913,A000000,01100,0000,1100PHARMACY 126913,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126913,A000000,01300,0000,1300SOCIAL SERVICE 126913,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126913,A000000,01500,0000,1350DIVERSIONAL THERAPY 126913,A000000,01600,0000,1600SKILLED NURSING FACILITY 126913,A000000,01800,0000,1800NURSING FACILITY 126913,A000000,01810,0000,1810ICF/MR 126913,A000000,02100,0000,2100RADIOLOGY 126913,A000000,02200,0000,2200LABORATORY 126913,A000000,02300,0000,2300INTRAVENOUS THERAPY 126913,A000000,02500,0000,2500PHYSICAL THERAPY 126913,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126913,A000000,02700,0000,2700SPEECH PATHOLOGY 126913,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126913,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126913,A000000,03300,0000,3050SPECIALTY BED 126913,A000000,03550,0000,3550FQHC 126913,A000000,05000,0000,5000CORF 126913,A000000,05010,0000,5010CMHC 126913,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126913,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126913,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126913,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126913,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126913,A81000A,00100,0100,Y 126913,A81000B,00100,0300,ACCT/MGMT 126913,A81000C,00100,0100,A 126913,A81000C,00100,0200,PONTIAC OSTEOPA 126913,A81000C,00100,0400,PONTIAC OSTEOPA 126913,A81000C,00100,0600,PARENT ORG. 126913,B100000,00000,0100,0100SQUARE FEET 126913,B100000,00000,0200,0200SQUARE FEET 126913,B100000,00000,0300,0300GROSS SALARIES 126913,B100000,00000,0400,0400ACCUM COST 126913,B100000,00000,0500,0500SQUARE FEET 126913,B100000,00000,0600,0600POUNDS OF LAUNDRY 126913,B100000,00000,0700,0700HOURS OF SERVICE 126913,B100000,00000,0800,0800MEALS SERVED 126913,B100000,00000,0900,0900DIRECT NRSG HRS 126913,B100000,00000,1000,1000COSTED REQUIS 126913,B100000,00000,1100,1100COSTED REQUIS 126913,B100000,00000,1200,1200TIME SPENT 126913,B100000,00000,1300,1300TIME SPENT 126913,B100000,00000,1400,1400ASSIGNED TIME 126913,B100000,00000,1500,1350(TIME SPENT) 126913,E10A180,00501,0300,01/09/02 126913,S000000,00100,0200,01/08/01 126913,S200000,00100,0100,585 E. FLINT STREET 126913,S200000,00100,0300,129 126913,S200000,00200,0100,LAKE ORION 126913,S200000,00200,0200,MI 126913,S200000,00200,0300,48035 126913,S200000,00300,0100,OAKLAND 126913,S200000,00300,0200,2160 126913,S200000,00300,0300,U 126913,S200000,00400,0100,LAKE ORION NURSING CENTER 126913,S200000,00400,0200,235481 126913,S200000,00400,0300,01/01/80 126913,S200000,00400,0500,P 126913,S200000,00400,0600,O 126913,S200000,00600,0200,235481 126913,S200000,00600,0300,01/01/80 126913,S200000,01500,0100,N 126913,S200000,01600,0100,Y 126913,S200000,01700,0100,N 126913,S200000,01800,0100,N 126913,S200000,01900,0100,503(C)(3) 126913,S200000,02200,0100,N 126913,S200000,02800,0100,N 126913,S200000,02900,0100,N 126913,S200000,03000,0100,N 126913,S200000,03100,0100,N 126913,S200000,03200,0100,N 126913,S200000,03300,0100,N 126913,S200000,03300,0200,N 126913,S200000,03500,0300,N 126913,S200000,04100,0100,N 126913,S200000,04200,0100,N 126913,S200000,04300,0100,N 126913,S200000,04600,0100,N 126913,S200000,04700,0100,N 126913,S200000,04900,0100,N 126913,S200000,05200,0100,N 126924,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126924,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126924,A000000,00300,0000,0300EMPLOYEE BENEFITS 126924,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126924,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126924,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126924,A000000,00700,0000,0700HOUSEKEEPING 126924,A000000,00800,0000,0800DIETARY 126924,A000000,00900,0000,0900NURSING ADMINISTRATION 126924,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126924,A000000,01100,0000,1100PHARMACY 126924,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126924,A000000,01300,0000,1300SOCIAL SERVICE 126924,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126924,A000000,01500,0000,1350DIVERSIONAL THERAPY 126924,A000000,01600,0000,1600SKILLED NURSING FACILITY 126924,A000000,01810,0000,1810ICF/MR 126924,A000000,02100,0000,2100RADIOLOGY 126924,A000000,02200,0000,2200LABORATORY 126924,A000000,02300,0000,2300INTRAVENOUS THERAPY 126924,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126924,A000000,02500,0000,2500PHYSICAL THERAPY 126924,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126924,A000000,02700,0000,2700SPEECH PATHOLOGY 126924,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126924,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126924,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126924,A000000,03550,0000,3550FQHC 126924,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126924,A000000,04800,0000,4800AMBULANCE 126924,A000000,05000,0000,5000CORF 126924,A000000,05010,0000,5010CMHC 126924,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126924,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126924,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126924,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126924,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126924,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126924,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126924,A81000A,00100,0100,Y 126924,A81000B,00100,0300,COMPUTER FEES 126924,A81000B,00200,0300,ADMIN & ACCTG SERVICES 126924,A81000B,00300,0300,SECURITY SERVICES 126924,A81000B,00400,0300,INTEREST EXPENSE 126924,A81000B,00500,0300,TELEPHONE 126924,A81000B,00600,0300,CARE SERVICES 126924,A81000B,00700,0300,CASE MANAGEMENT 126924,A81000B,00800,0300,HOME OFFICE CAPITAL 126924,A81000C,00100,0100,B 126924,A81000C,00100,0200,HCK 126924,A81000C,00100,0400,HCK 126924,A81000C,00100,0600,HOME OFFICE 126924,A81000C,00200,0100,B 126924,A81000C,00200,0200,HCK 126924,A81000C,00200,0400,WYNDHAM 126924,A81000C,00200,0600,APARTMENTS 126924,A81000C,00300,0100,B 126924,A81000C,00300,0200,HCK 126924,A81000C,00300,0400,SENIOR CITIZENS FUND 126924,A81000C,00300,0600,TRUST FUND 126924,A81000C,00400,0100,B 126924,A81000C,00400,0200,HCK 126924,A81000C,00400,0400,AMBER WAY/WYNDHAM WEST 126924,A81000C,00400,0600,ALC/ALZHEIMER S UNIT 126924,B100000,00000,0100,0100SQUARE FEET 126924,B100000,00000,0200,0200SQUARE FEET 126924,B100000,00000,0300,0300GROSS SALARIES 126924,B100000,00000,0400,0400ACCUM. COST 126924,B100000,00000,0500,0500SQUARE FEET 126924,B100000,00000,0600,0600LAUNDRY LBS 126924,B100000,00000,0700,0700SQUARE FEET 126924,B100000,00000,0800,0800MEALS SERVED 126924,B100000,00000,0900,0900DIRECT HOURS 126924,B100000,00000,1000,1000COSTS 126924,B100000,00000,1100,1100HRS WORKED 126924,B100000,00000,1200,1200TIME SPENT 126924,B100000,00000,1300,1300DIRECT TIME 126924,B100000,00000,1400,1400DIRECT TIME 126924,B100000,00000,1500,1350TIME SPENT 126924,E10A180,00501,0300,08/29/01 126924,S000000,00100,0200,12/27/00 126924,S200000,00100,0100,2400 PORTAGE STREET 126924,S200000,00100,0300,N/A 126924,S200000,00200,0100,KALAMAZOO 126924,S200000,00200,0200,MI 126924,S200000,00200,0300,49001 126924,S200000,00300,0100,K 126924,S200000,00400,0100,UPJOHN COMMUNITY CARE 126924,S200000,00400,0200,235050 126924,S200000,00400,0300,07/01/66 126924,S200000,00400,0500,P 126924,S200000,01500,0100,Y 126924,S200000,01600,0100,N 126924,S200000,01700,0100,N 126924,S200000,01800,0100,N 126924,S200000,02200,0100,N 126924,S200000,02800,0100,Y 126924,S200000,02900,0100,N 126924,S200000,03000,0100,N 126924,S200000,03100,0100,N 126924,S200000,03200,0100,N 126924,S200000,03300,0100,N 126924,S200000,03300,0200,N 126924,S200000,04100,0100,N 126924,S200000,04200,0100,N 126924,S200000,04300,0100,N 126924,S200000,04600,0100,N 126924,S200000,04700,0100,N 126924,S200000,04700,0200,N 126924,S200000,04900,0100,N 126926,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126926,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126926,A000000,00300,0000,0300EMPLOYEE BENEFITS 126926,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126926,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126926,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126926,A000000,00700,0000,0700HOUSEKEEPING 126926,A000000,00800,0000,0800DIETARY 126926,A000000,00900,0000,0900NURSING ADMINISTRATION 126926,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126926,A000000,01100,0000,1100PHARMACY 126926,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126926,A000000,01300,0000,1300SOCIAL SERVICE 126926,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126926,A000000,01600,0000,1600SKILLED NURSING FACILITY 126926,A000000,01800,0000,1800NURSING FACILITY 126926,A000000,01810,0000,1810ICF/MR 126926,A000000,02100,0000,2100RADIOLOGY 126926,A000000,02200,0000,2200LABORATORY 126926,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126926,A000000,02500,0000,2500PHYSICAL THERAPY 126926,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126926,A000000,02700,0000,2700SPEECH PATHOLOGY 126926,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126926,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126926,A000000,03200,0000,3200SUPPORT SURFACES 126926,A000000,03550,0000,3550FQHC 126926,A000000,05000,0000,5000CORF 126926,A000000,05010,0000,5010CMHC 126926,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126926,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126926,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126926,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126926,A000000,06300,0000,6150CLOSED UNIT 126926,A81000A,00100,0100,Y 126926,A81000B,00100,0300,HOME OFFICE COSTS 126926,A81000B,00200,0300,CAP REL COST 126926,A81000B,00300,0300,CONTRACT THERAPY 126926,A81000B,00400,0300,CONTRACT THERAPY 126926,A81000B,00500,0300,CONTRACT THERAPY 126926,A81000C,00100,0100,B 126926,A81000C,00100,0400,MERCY CONTINUIN 126926,A81000C,00100,0600,LONG TERM CARE 126926,A81000C,00200,0100,B 126926,A81000C,00200,0400,MERCY CONTINUIN 126926,A81000C,00200,0600,LONG TERM CARE 126926,A81000C,00300,0100,B 126926,A81000C,00300,0400,GARY NEDERVELD 126926,A81000C,00300,0600,CONTRACT THERAP 126926,A81000C,00400,0100,B 126926,A81000C,00400,0400,GARY NEDERVELD 126926,A81000C,00400,0600,CONTRACT THERAP 126926,A81000C,00500,0100,B 126926,A81000C,00500,0400,GARY NEDERVELD 126926,A81000C,00500,0600,CONTRACT THERAP 126926,B100000,00000,0100,0100SQUARE FEET 126926,B100000,00000,0200,0200SQUARE FEET 126926,B100000,00000,0300,0300GROSS SALARIES 126926,B100000,00000,0400,0400ACCUM COST 126926,B100000,00000,0500,0500SQUARE FEET 126926,B100000,00000,0600,0600PATIENT DAYS 126926,B100000,00000,0700,0700SQUARE FEET 126926,B100000,00000,0800,0800MEALS SERVED 126926,B100000,00000,0900,0900PATIENT DAYS 126926,B100000,00000,1000,1000COSTED REQUIS 126926,B100000,00000,1100,1100COSTED REQUIS 126926,B100000,00000,1200,1200TIME SPENT 126926,B100000,00000,1300,1300PATIENT DAYS 126926,B100000,00000,1400,1400ASSIGNED TIME 126926,S000000,00100,0200,12/28/00 126926,S200000,00100,0100,532 ORCHARD LAKE ROAD 126926,S200000,00200,0100,PONTIAC 126926,S200000,00200,0200,MI 126926,S200000,00200,0300,48341 126926,S200000,00300,0100,OAKLAND 126926,S200000,00300,0200,2160 126926,S200000,00300,0300,U 126926,S200000,00400,0100,ORCHARD HILLS 126926,S200000,00400,0200,235055 126926,S200000,00400,0300,01/01/90 126926,S200000,00400,0500,P 126926,S200000,00400,0600,O 126926,S200000,00600,0200,627374 126926,S200000,00600,0300,01/01/90 126926,S200000,00600,0600,O 126926,S200000,01500,0100,N 126926,S200000,01600,0100,Y 126926,S200000,01700,0100,N 126926,S200000,01800,0100,N 126926,S200000,02200,0100,Y 126926,S200000,02800,0100,N 126926,S200000,02900,0100,N 126926,S200000,03000,0100,N 126926,S200000,03100,0100,N 126926,S200000,03200,0100,N 126926,S200000,03300,0100,N 126926,S200000,03300,0200,N 126926,S200000,03500,0300,N 126926,S200000,04100,0100,N 126926,S200000,04200,0100,N 126926,S200000,04300,0100,Y 126926,S200000,04600,0100,N 126926,S200000,04700,0100,N 126926,S200000,04900,0100,N 126926,S200000,05200,0100,N 126934,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126934,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126934,A000000,00300,0000,0300EMPLOYEE BENEFITS 126934,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126934,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126934,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126934,A000000,00700,0000,0700HOUSEKEEPING 126934,A000000,00800,0000,0800DIETARY 126934,A000000,00900,0000,0900NURSING ADMINISTRATION 126934,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126934,A000000,01100,0000,1100PHARMACY 126934,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126934,A000000,01300,0000,1300SOCIAL SERVICE 126934,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126934,A000000,01500,0000,1350DIVERSIONAL THERAPY 126934,A000000,01600,0000,1600SKILLED NURSING FACILITY 126934,A000000,01800,0000,1800NURSING FACILITY 126934,A000000,01810,0000,1810ICF/MR 126934,A000000,02100,0000,2100RADIOLOGY 126934,A000000,02200,0000,2200LABORATORY 126934,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126934,A000000,02500,0000,2500PHYSICAL THERAPY 126934,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126934,A000000,02700,0000,2700SPEECH PATHOLOGY 126934,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126934,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126934,A000000,03010,0000,3001AMBULANCE 126934,A000000,03550,0000,3550FQHC 126934,A000000,05000,0000,5000CORF 126934,A000000,05010,0000,5010CMHC 126934,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126934,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126934,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126934,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126934,A81000A,00100,0100,Y 126934,A81000B,00100,0300,ACCOUNTING & MGMT 126934,A81000B,00200,0300,ADMINISTRATORS WAGE/ 126934,A81000B,00300,0300,SHARED SERVICES 126934,A81000B,00400,0300,SHARED SERVICES 126934,A81000B,00500,0300,SHARED SERVICES 126934,A81000B,00600,0300,SHARED SERVICES 126934,A81000B,00700,0300,SHARED SERVICES 126934,A81000B,00800,0300,SHARED SERVICES 126934,A81000B,00900,0300,SHARED SERVICES 126934,A81000B,01000,0300,SHARED SERVICES 126934,A81000B,01100,0300,SHARED SERVICES 126934,A81000B,01200,0300,SHARED SERVICES 126934,A81000B,01300,0300,HOME OFFICE ALLOCATI 126934,A81000C,00100,0100,B 126934,A81000C,00100,0200,GENESYS HEALTH 126934,A81000C,00100,0400,GENESYS HEALTH 126934,A81000C,00100,0600,PARENT-HEALTH S 126934,A81000C,00200,0100,C 126934,A81000C,00200,0200,GENESYS HEALTH 126934,A81000C,00200,0400,ASCENSION HEALT 126934,A81000C,00200,0600,HOME OFFICE TO 126934,B100000,00000,0100,0100SQUARE FEET 126934,B100000,00000,0200,0200SQUARE FEET 126934,B100000,00000,0300,0300GROSS SALARIES 126934,B100000,00000,0400,0400ACCUM COST 126934,B100000,00000,0500,0500SQUARE FEET 126934,B100000,00000,0600,0600POUNDS OF LAUNDRY 126934,B100000,00000,0700,0700HOURS OF SERVICE 126934,B100000,00000,0800,0800MEALS SERVED 126934,B100000,00000,0900,0900DIRECT NRSG HRS 126934,B100000,00000,1000,1000COSTED REQUIS 126934,B100000,00000,1100,1100COSTED REQUIS 126934,B100000,00000,1200,1200TIME SPENT 126934,B100000,00000,1300,1300TIME SPENT 126934,B100000,00000,1400,1400ASSIGNED TIME 126934,B100000,00000,1500,1350(TIME SPENT) 126934,S000000,00100,0200,02/28/01 126934,S200000,00100,0100,8481 HOLLY ROAD 126934,S200000,00200,0100,GRAND BLANC 126934,S200000,00200,0200,MI 126934,S200000,00200,0300,48439 126934,S200000,00300,0100,G 126934,S200000,00300,0200,2640 126934,S200000,00300,0300,U 126934,S200000,00400,0100,GENESYS CONVALESCENT CENTER 126934,S200000,00400,0200,235171 126934,S200000,00400,0300,07/01/80 126934,S200000,00400,0500,P 126934,S200000,00600,0200,235171 126934,S200000,00600,0300,07/01/80 126934,S200000,01500,0100,N 126934,S200000,01600,0100,Y 126934,S200000,01700,0100,N 126934,S200000,01800,0100,N 126934,S200000,01900,0100,501(C)(3) 126934,S200000,02200,0100,N 126934,S200000,02800,0100,N 126934,S200000,02900,0100,N 126934,S200000,03000,0100,N 126934,S200000,03100,0100,N 126934,S200000,03200,0100,N 126934,S200000,03300,0100,N 126934,S200000,03300,0200,N 126934,S200000,03500,0300,N 126934,S200000,04100,0100,N 126934,S200000,04200,0100,N 126934,S200000,04300,0100,N 126934,S200000,04600,0100,N 126934,S200000,04700,0100,Y 126934,S200000,04700,0200,Y 126934,S200000,04900,0100,N 126934,S200000,05200,0100,N 126954,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126954,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126954,A000000,00300,0000,0300EMPLOYEE BENEFITS 126954,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126954,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126954,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126954,A000000,00700,0000,0700HOUSEKEEPING 126954,A000000,00800,0000,0800DIETARY 126954,A000000,00900,0000,0900NURSING ADMINISTRATION 126954,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126954,A000000,01100,0000,1100PHARMACY 126954,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126954,A000000,01300,0000,1300SOCIAL SERVICE 126954,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126954,A000000,01600,0000,1600SKILLED NURSING FACILITY 126954,A000000,01800,0000,1800NURSING FACILITY 126954,A000000,01810,0000,1810ICF/MR 126954,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126954,A000000,02500,0000,2500PHYSICAL THERAPY 126954,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126954,A000000,02700,0000,2700SPEECH PATHOLOGY 126954,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126954,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126954,A000000,03550,0000,3550FQHC 126954,A000000,05000,0000,5000CORF 126954,A000000,05010,0000,5010CMHC 126954,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126954,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126954,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126954,A000000,05300,0000,5300INTEREST EXPENSE 126954,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126954,A81000A,00100,0100,Y 126954,A81000B,00100,0300,HOSPITAL SPACE 126954,A81000B,00200,0300,HOME OFFICE 126954,A81000B,00300,0300,HOME OFFICE 126954,A81000C,00100,0100,B 126954,A81000C,00100,0400,HOSPITAL 126954,A81000C,00200,0100,B 126954,A81000C,00200,0400,HOME OFFICE 126954,A81000C,00300,0100,B 126954,A81000C,00300,0400,HOME OFFICE 126954,B100000,00000,0100,0100SQ FT 126954,B100000,00000,0200,0200SQ FT 126954,B100000,00000,0300,0300GROSS SAL 126954,B100000,00000,0400,0400ACCUM. COST 126954,B100000,00000,0500,0500SQ FT 126954,B100000,00000,0600,0600LBS OF LAUNDRY 126954,B100000,00000,0700,0700HOURS OF SERVICE 126954,B100000,00000,0800,0800MEALS SERVED 126954,B100000,00000,0900,0900DIRECT NURSG HOUR 126954,B100000,00000,1000,1000COSTED REQ 126954,B100000,00000,1100,1100PRESCRIPTI 126954,B100000,00000,1200,1200TIME SPENT 126954,B100000,00000,1300,1300TIME SPENT 126954,B100000,00000,1400,1400TIME SPENT 126954,S000000,00100,0200,02/19/01 126954,S200000,00100,0100,26001 JEFFERSON AVENUE 126954,S200000,00200,0100,ST. CLAIR SHORES 126954,S200000,00200,0200,MI 126954,S200000,00200,0300,48081 126954,S200000,00300,0100,MACOMB 126954,S200000,00300,0200,2160 126954,S200000,00300,0300,U 126954,S200000,00400,0100,BON SECOURS NURSING HOME 126954,S200000,00400,0200,235443 126954,S200000,00400,0300,10/01/85 126954,S200000,00400,0500,P 126954,S200000,00600,0200,235443 126954,S200000,00600,0300,10/01/85 126954,S200000,00600,0400,O 126954,S200000,01500,0100,N 126954,S200000,01600,0100,Y 126954,S200000,01700,0100,N 126954,S200000,01800,0100,N 126954,S200000,02200,0100,Y 126954,S200000,02800,0100,N 126954,S200000,02900,0100,N 126954,S200000,03000,0100,N 126954,S200000,03100,0100,N 126954,S200000,03200,0100,N 126954,S200000,03300,0100,N 126954,S200000,03300,0200,N 126954,S200000,03500,0300,N 126954,S200000,04100,0100,N 126954,S200000,04200,0100,N 126954,S200000,04300,0100,N 126954,S200000,04600,0100,N 126954,S200000,04700,0100,N 126954,S200000,04900,0100,N 126954,S200000,05200,0100,N 126955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126955,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 126955,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126955,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 126955,A000000,00300,0000,0300EMPLOYEE BENEFITS 126955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126955,A000000,00700,0000,0700HOUSEKEEPING 126955,A000000,00800,0000,0800DIETARY 126955,A000000,00801,0000,0801CAFETERIA 126955,A000000,00900,0000,0900NURSING ADMINISTRATION 126955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126955,A000000,01100,0000,1100PHARMACY 126955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126955,A000000,01300,0000,1300SOCIAL SERVICE 126955,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126955,A000000,01500,0000,1350ACTIVITIES 126955,A000000,01600,0000,1600SKILLED NURSING FACILITY 126955,A000000,01800,0000,1800NURSING FACILITY 126955,A000000,01810,0000,1810ICF/MR 126955,A000000,02100,0000,2100RADIOLOGY 126955,A000000,02200,0000,2200LABORATORY 126955,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126955,A000000,02500,0000,2500PHYSICAL THERAPY 126955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126955,A000000,02700,0000,2700SPEECH PATHOLOGY 126955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126955,A000000,03300,0000,3050OTHER ANCILLARY 126955,A000000,03301,0000,3051OTHER ANCILLARY II 126955,A000000,03302,0000,3052OTHER ANCILLARY III 126955,A000000,03550,0000,3550FQHC 126955,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 126955,A000000,05000,0000,5000CORF I 126955,A000000,05010,0000,5010CMHC I 126955,A000000,05020,0000,5020OPT I 126955,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126955,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126955,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126955,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 126955,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 126955,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126955,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126955,A81000A,00100,0100,Y 126955,A81000B,00100,0300,HO ALLOCATION 126955,A81000C,00100,0100,A 126955,A81000C,00100,0200,TROUSDALE FOUND 126955,A81000C,00100,0600,LTC 126955,B100000,00000,0100,0100(SQUARE FEET) 126955,B100000,00000,0101,0101(SQUARE FEET) 126955,B100000,00000,0200,0200(SQUARE FEET) 126955,B100000,00000,0201,0201(SQUARE FEET) 126955,B100000,00000,0300,0300(GROSS SALARIES) 126955,B100000,00000,0400,0400(ACCUM. COST) 126955,B100000,00000,0500,0500(SQUARE FEET) 126955,B100000,00000,0600,0600(PATIENT DAYS) 126955,B100000,00000,0700,0700(SQUARE FEET) 126955,B100000,00000,0800,0800(MEALS SERVED) 126955,B100000,00000,0801,0801(MEALS SERVED) 126955,B100000,00000,0900,0900(PATIENT DAYS) 126955,B100000,00000,1000,1000(PATIENT DAYS) 126955,B100000,00000,1100,1100(PATIENT DAYS) 126955,B100000,00000,1200,1200(PATIENT DAYS) 126955,B100000,00000,1300,1300(PATIENT DAYS) 126955,B100000,00000,1400,1400(ASSIGNED TIME) 126955,B100000,00000,1500,1350(PATIENT DAYS) 126955,S000000,00100,0200,08/07/00 126955,S200000,00100,0100,18633 BEACH DALY RD 126955,S200000,00200,0100,REDFORD 126955,S200000,00200,0200,MI 126955,S200000,00200,0300,48240 126955,S200000,00300,0100,WAYNE 126955,S200000,00300,0200,2160 126955,S200000,00300,0300,U 126955,S200000,00400,0100,CAMBRIDGE WEST NURSING CENTER 126955,S200000,00400,0200,235126 126955,S200000,00400,0300,07/01/66 126955,S200000,00400,0500,P 126955,S200000,01500,0100,N 126955,S200000,01600,0100,Y 126955,S200000,01700,0100,N 126955,S200000,01800,0100,N 126955,S200000,01900,0100,501 (C) (3) 126955,S200000,02200,0100,Y 126955,S200000,02800,0100,N 126955,S200000,02900,0100,N 126955,S200000,03000,0100,N 126955,S200000,03100,0100,N 126955,S200000,03200,0100,N 126955,S200000,03300,0100,N 126955,S200000,03300,0200,N 126955,S200000,04100,0100,N 126955,S200000,04200,0100,N 126955,S200000,04300,0100,Y 126955,S200000,04600,0100,N 126955,S200000,04700,0100,N 126955,S200000,04900,0100,N 126955,S200000,05200,0100,N 126965,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126965,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126965,A000000,00300,0000,0300EMPLOYEE BENEFITS 126965,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126965,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126965,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126965,A000000,00700,0000,0700HOUSEKEEPING 126965,A000000,00800,0000,0800DIETARY 126965,A000000,00900,0000,0900NURSING ADMINISTRATION 126965,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126965,A000000,01100,0000,1100PHARMACY 126965,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126965,A000000,01300,0000,1300SOCIAL SERVICE 126965,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126965,A000000,01500,0000,1350ACTIVITIES 126965,A000000,01600,0000,1600SKILLED NURSING FACILITY 126965,A000000,01800,0000,1800NURSING FACILITY 126965,A000000,01810,0000,1810ICF/MR 126965,A000000,02100,0000,2100RADIOLOGY 126965,A000000,02200,0000,2200LABORATORY 126965,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 126965,A000000,02500,0000,2500PHYSICAL THERAPY 126965,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126965,A000000,02700,0000,2700SPEECH PATHOLOGY 126965,A000000,02800,0000,2800ELECTROCARDIOLOGY 126965,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126965,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126965,A000000,03200,0000,3200SUPPORT SURFACES 126965,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 126965,A000000,03550,0000,3550FQHC 126965,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 126965,A000000,04800,0000,4800AMBULANCE 126965,A000000,05000,0000,5000CORF 126965,A000000,05010,0000,5010CMHC 126965,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126965,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126965,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126965,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126965,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 126965,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126965,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126965,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 126965,A81000A,00100,0100,Y 126965,A81000B,00100,0300,HOME OFFICE 126965,A81000B,00200,0300,HOME OFFICE CAPITAL 126965,A81000B,00300,0300,RENT 126965,A81000B,00400,0300,INTEREST 126965,A81000B,00500,0300,DEPRECITATION 126965,A81000B,00600,0300,LEGAL & ACCOUNTING 126965,A81000C,00100,0100,A 126965,A81000C,00100,0200,FRANK WRONSKI 126965,A81000C,00100,0400,THE MEDILODGE G 126965,A81000C,00100,0600,HOME OFFICE 126965,A81000C,00200,0100,A 126965,A81000C,00200,0200,FRANK WRONSKI 126965,A81000C,00200,0400,NNNH REAL ESTAT 126965,A81000C,00200,0600,RENTAL 126965,A81000C,00300,0100,A 126965,A81000C,00300,0200,LEO EISENBERG 126965,A81000C,00300,0400,NNNH REAL ESTAT 126965,A81000C,00300,0600,RENTAL 126965,A81000C,00400,0100,A 126965,A81000C,00400,0200,FRANK WRONSKI 126965,A81000C,00400,0400,ALL MED MEDICAL 126965,A81000C,00400,0600,MED NRS SUPPLY 126965,A81000C,00500,0100,A 126965,A81000C,00500,0200,LEO EISENBERG 126965,A81000C,00500,0400,NURSING HOME GR 126965,A81000C,00500,0600,ANCILLARY SERVI 126965,B100000,00000,0100,0100SQUARE FEET 126965,B100000,00000,0200,0200SQUARE FEET 126965,B100000,00000,0300,0300GROSS SALARIES 126965,B100000,00000,0400,0400ACCUM COST 126965,B100000,00000,0500,0500SQUARE FEET 126965,B100000,00000,0600,0600PATIENT DAYS 126965,B100000,00000,0700,0700SQUARE FEET 126965,B100000,00000,0800,0800MEALS SERVED 126965,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 126965,B100000,00000,1000,1000PATIENT DAYS 126965,B100000,00000,1100,1100COSTED REQUIS 126965,B100000,00000,1200,1200TIME SPENT 126965,B100000,00000,1300,1300PATIENT DAYS 126965,B100000,00000,1400,1400ASSIGNED TIME 126965,B100000,00000,1500,1350PATIENT DAYS 126965,E10A180,00501,0300,03/08/01 126965,E10A180,00550,0300,06/07/00 126965,E10A180,00551,0300,02/21/01 126965,S000000,00100,0200,05/30/00 126965,S200000,00100,0100,14151 E. FIFTEEN MILE ROAD 126965,S200000,00200,0100,STERLING HEIGHTS 126965,S200000,00200,0200,MI 126965,S200000,00200,0300,48312 126965,S200000,00300,0100,MACOMB 126965,S200000,00300,0200,2161 126965,S200000,00300,0300,U 126965,S200000,00400,0100,MEDILODGE OF STERLING HEIGHTS 126965,S200000,00400,0200,235263 126965,S200000,00400,0300,01/01/94 126965,S200000,00400,0500,P 126965,S200000,01500,0100,N 126965,S200000,01600,0100,Y 126965,S200000,01700,0100,N 126965,S200000,01800,0100,N 126965,S200000,01900,0100,501 C 3 126965,S200000,02200,0100,N 126965,S200000,02800,0100,N 126965,S200000,02900,0100,N 126965,S200000,03000,0100,N 126965,S200000,03100,0100,N 126965,S200000,03200,0100,N 126965,S200000,03300,0100,N 126965,S200000,03300,0200,N 126965,S200000,04100,0100,N 126965,S200000,04200,0100,N 126965,S200000,04300,0100,N 126965,S200000,04600,0100,N 126965,S200000,04700,0100,N 126965,S200000,04900,0100,N 126965,S200000,05200,0100,N 126966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126966,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126966,A000000,00300,0000,0300EMPLOYEE BENEFITS 126966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126966,A000000,00700,0000,0700HOUSEKEEPING 126966,A000000,00800,0000,0800DIETARY 126966,A000000,00900,0000,0900NURSING ADMINISTRATION 126966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126966,A000000,01100,0000,1100PHARMACY 126966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126966,A000000,01300,0000,1300SOCIAL SERVICE 126966,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126966,A000000,01500,0000,1350DIVERSIONAL THERAPY 126966,A000000,01600,0000,1600SKILLED NURSING FACILITY 126966,A000000,01800,0000,1800NURSING FACILITY 126966,A000000,01810,0000,1810ICF/MR 126966,A000000,02100,0000,2100RADIOLOGY 126966,A000000,02200,0000,2200LABORATORY 126966,A000000,02500,0000,2500PHYSICAL THERAPY 126966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126966,A000000,02700,0000,2700SPEECH PATHOLOGY 126966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126966,A000000,03550,0000,3550FQHC 126966,A000000,05000,0000,5000CORF 126966,A000000,05010,0000,5010CMHC 126966,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126966,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126966,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126966,A000000,06300,0000,6150RENTAL PROPERTY 126966,A81000A,00100,0100,N 126966,B100000,00000,0100,0100SQUARE FEET 126966,B100000,00000,0200,0200SQUARE FEET 126966,B100000,00000,0300,0300GROSS SALARIES 126966,B100000,00000,0400,0400ACCUM COST 126966,B100000,00000,0500,0500SQUARE FEET 126966,B100000,00000,0600,0600POUNDS OF LAUNDRY 126966,B100000,00000,0700,0700SQUARE FEET 126966,B100000,00000,0800,0800PATIENT DAYS 126966,B100000,00000,0900,0900DIRECT NRSG HRS 126966,B100000,00000,1000,1000COSTED REQUIS 126966,B100000,00000,1100,1100COSTED REQUIS 126966,B100000,00000,1200,1200TIME SPENT 126966,B100000,00000,1300,1300PATIENT DAYS 126966,B100000,00000,1400,1400ASSIGNED TIME 126966,B100000,00000,1500,1350PATIENT DAYS 126966,S000000,00100,0200,01/05/01 126966,S200000,00100,0100,427 E WASHINGTON AVE 126966,S200000,00200,0100,ST LOUIS 126966,S200000,00200,0200,MI 126966,S200000,00200,0300,48880 126966,S200000,00300,0200,9923 126966,S200000,00300,0300,U 126966,S200000,00400,0100,SCHNEPP HEALTH CARE CENTER 126966,S200000,00400,0200,235384 126966,S200000,00400,0300,07/01/99 126966,S200000,00400,0500,P 126966,S200000,00400,0600,O 126966,S200000,01500,0100,N 126966,S200000,01600,0100,Y 126966,S200000,01700,0100,N 126966,S200000,01800,0100,N 126966,S200000,01900,0100,501C3 126966,S200000,02200,0100,N 126966,S200000,02800,0100,N 126966,S200000,02900,0100,N 126966,S200000,03000,0100,N 126966,S200000,03100,0100,N 126966,S200000,03200,0100,N 126966,S200000,03300,0100,N 126966,S200000,03300,0200,N 126966,S200000,04100,0100,N 126966,S200000,04200,0100,N 126966,S200000,04300,0100,N 126966,S200000,04600,0100,N 126966,S200000,04700,0100,N 126966,S200000,04900,0100,N 126966,S200000,05200,0100,N 126967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126967,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126967,A000000,00300,0000,0300EMPLOYEE BENEFITS 126967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126967,A000000,00700,0000,0700HOUSEKEEPING 126967,A000000,00800,0000,0800DIETARY 126967,A000000,00900,0000,0900NURSING ADMINISTRATION 126967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126967,A000000,01100,0000,1100PHARMACY 126967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126967,A000000,01300,0000,1300SOCIAL SERVICE 126967,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126967,A000000,01500,0000,1350ACTIVITIES 126967,A000000,01600,0000,1600SKILLED NURSING FACILITY 126967,A000000,01800,0000,1800NURSING FACILITY 126967,A000000,01810,0000,1810ICF/MR 126967,A000000,02100,0000,2100RADIOLOGY 126967,A000000,02200,0000,2200LABORATORY 126967,A000000,02500,0000,2500PHYSICAL THERAPY 126967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126967,A000000,02700,0000,2700SPEECH PATHOLOGY 126967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126967,A000000,03200,0000,3200SUPPORT SURFACES 126967,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126967,A000000,03550,0000,3550FQHC 126967,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126967,A000000,05000,0000,5000CORF 126967,A000000,05010,0000,5010CMHC 126967,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126967,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126967,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126967,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126967,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126967,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 126967,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126967,A81000A,00100,0100,Y 126967,A81000B,00100,0300,PHYSICAL THERAPY SERVICES 126967,A81000B,00200,0300,SPEECH THERAPY 126967,A81000B,00300,0300,OCCUPATIONAL THERAPY 126967,A81000B,00400,0300,DIETARY CONSULTING SERVICE 126967,A81000B,00500,0300,MANAGEMENT FEE 126967,A81000B,00600,0300,LAB SERVICES 126967,A81000C,00100,0100,B 126967,A81000C,00100,0200,MONROE CHS 126967,A81000C,00100,0600,HEALTH CARE 126967,B100000,00000,0100,0100SQUARE FEET 126967,B100000,00000,0200,0200SQUARE FEET 126967,B100000,00000,0300,0300GROSS SALARIES 126967,B100000,00000,0400,0400ACCUM. COST 126967,B100000,00000,0500,0500SQUARE FEET 126967,B100000,00000,0600,0600PATIENT DAYS 126967,B100000,00000,0700,0700SQUARE FEET 126967,B100000,00000,0800,0800MEALS SERVED 126967,B100000,00000,0900,0900DIRECT NRSING HRS 126967,B100000,00000,1000,1000COSTED REQUIS. 126967,B100000,00000,1100,1100COSTED REQUIS. 126967,B100000,00000,1200,1200TIME SPENT 126967,B100000,00000,1300,1300TIME SPENT 126967,B100000,00000,1400,1400ASSIGNED TIME 126967,B100000,00000,1500,1350TIME SPENT 126967,S000000,00100,0200,01/23/01 126967,S200000,00100,0100,700 STEWARD ROAD 126967,S200000,00200,0100,MONROE 126967,S200000,00200,0200,MI 126967,S200000,00200,0300,48162 126967,S200000,00300,0100,M 126967,S200000,00300,0200,2160 126967,S200000,00300,0300,U 126967,S200000,00400,0100,MERCY MEMORIAL NURSING CARE FACILITY 126967,S200000,00400,0200,235520 126967,S200000,00400,0300,09/01/92 126967,S200000,00400,0500,P 126967,S200000,00600,0200,231111 126967,S200000,00600,0300,09/01/92 126967,S200000,00600,0600,O 126967,S200000,01500,0100,N 126967,S200000,01600,0100,Y 126967,S200000,01700,0100,N 126967,S200000,01800,0100,N 126967,S200000,01900,0100,AFFL. W/MERCY HOSPIT 126967,S200000,02200,0100,N 126967,S200000,02800,0100,Y 126967,S200000,02900,0100,N 126967,S200000,03000,0100,N 126967,S200000,03100,0100,N 126967,S200000,03200,0100,N 126967,S200000,03300,0100,N 126967,S200000,03300,0200,N 126967,S200000,03500,0300,N 126967,S200000,04100,0100,N 126967,S200000,04200,0100,N 126967,S200000,04300,0100,N 126967,S200000,04600,0100,N 126967,S200000,04700,0100,N 126967,S200000,04900,0100,N 126967,S200000,05200,0100,N 126968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 126968,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 126968,A000000,00300,0000,0300EMPLOYEE BENEFITS 126968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 126968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 126968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 126968,A000000,00700,0000,0700HOUSEKEEPING 126968,A000000,00800,0000,0800DIETARY 126968,A000000,00900,0000,0900NURSING ADMINISTRATION 126968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 126968,A000000,01100,0000,1100PHARMACY 126968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 126968,A000000,01300,0000,1300SOCIAL SERVICE 126968,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 126968,A000000,01500,0000,1350OTHER GENERAL SERVICES 126968,A000000,01600,0000,1600SKILLED NURSING FACILITY 126968,A000000,01800,0000,1800NURSING FACILITY 126968,A000000,01810,0000,1810ICF/MR 126968,A000000,01900,0000,1900OTHER LONG TERM CARE 126968,A000000,02100,0000,2100RADIOLOGY 126968,A000000,02200,0000,2200LABORATORY 126968,A000000,02500,0000,2500PHYSICAL THERAPY 126968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 126968,A000000,02700,0000,2700SPEECH PATHOLOGY 126968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 126968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 126968,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 126968,A000000,03550,0000,3550FQHC 126968,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 126968,A000000,05000,0000,5000CORF 126968,A000000,05010,0000,5010CMHC 126968,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 126968,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 126968,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 126968,A000000,05100,0000,4750OTHER REIMBURSABLE COST 126968,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 126968,A000000,05900,0000,5900BARBER & BEAUTY SHOP 126968,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 126968,A81000A,00100,0100,N 126968,B100000,00000,0100,0100SQUARE FEET 126968,B100000,00000,0200,0200SQUARE FEET 126968,B100000,00000,0300,0300GROSS WAGES 126968,B100000,00000,0400,0400ACCUM. COST 126968,B100000,00000,0500,0500SQUARE FEET 126968,B100000,00000,0600,0600POUNDS OF LAUNDRY 126968,B100000,00000,0700,0700SQUARE FEET 126968,B100000,00000,0800,0800PATIENT DAYS 126968,B100000,00000,0900,0900PATIENT DAYS 126968,B100000,00000,1000,1000NO STATISTICS 126968,B100000,00000,1100,1100NO STATISTICS 126968,B100000,00000,1200,1200PATIENT DAYS 126968,B100000,00000,1300,1300PATIENT DAYS 126968,B100000,00000,1400,1400NO STATISTICS 126968,B100000,00000,1500,1350PATIENT DAYS 126968,S000000,00100,0200,12/27/00 126968,S200000,00100,0100,2388 WEST MICHIGAN AVE 126968,S200000,00200,0100,JACKSON 126968,S200000,00200,0200,MI 126968,S200000,00200,0300,49202 126968,S200000,00300,0100,J 126968,S200000,00300,0200,3520 126968,S200000,00300,0300,U 126968,S200000,00400,0100,ODD FELLOW AND REBEKAH HOME 126968,S200000,00400,0200,235538 126968,S200000,00400,0300,07/01/93 126968,S200000,00400,0500,P 126968,S200000,01500,0100,Y 126968,S200000,01600,0100,N 126968,S200000,01700,0100,N 126968,S200000,01800,0100,N 126968,S200000,01900,0100,COMMUNITY TRUST/503C 126968,S200000,02200,0100,Y 126968,S200000,02800,0100,N 126968,S200000,02900,0100,N 126968,S200000,03000,0100,N 126968,S200000,03100,0100,N 126968,S200000,03200,0100,N 126968,S200000,03300,0100,N 126968,S200000,03300,0200,N 126968,S200000,04100,0100,N 126968,S200000,04200,0100,N 126968,S200000,04300,0100,N 126968,S200000,04600,0100,N 126968,S200000,04700,0100,N 126968,S200000,04900,0100,N 126968,S200000,05200,0100,N 127534,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 127534,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 127534,A000000,00300,0000,0300EMPLOYEE BENEFITS 127534,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127534,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 127534,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127534,A000000,00700,0000,0700HOUSEKEEPING 127534,A000000,00800,0000,0800DIETARY 127534,A000000,00900,0000,0900NURSING ADMINISTRATION 127534,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127534,A000000,01100,0000,1100PHARMACY 127534,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127534,A000000,01300,0000,1300SOCIAL SERVICE 127534,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 127534,A000000,01600,0000,1600SKILLED NURSING FACILITY 127534,A000000,01800,0000,1800NURSING FACILITY 127534,A000000,01900,0000,1900OTHER LONG TERM CARE 127534,A000000,02100,0000,2100RADIOLOGY 127534,A000000,02200,0000,2200LABORATORY 127534,A000000,02300,0000,2300INTRAVENOUS THERAPY 127534,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127534,A000000,02500,0000,2500PHYSICAL THERAPY 127534,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127534,A000000,02700,0000,2700SPEECH PATHOLOGY 127534,A000000,02800,0000,2800ELECTROCARDIOLOGY 127534,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 127534,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127534,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 127534,A000000,03200,0000,3200SUPPORT SURFACES 127534,A000000,03400,0000,3400CLINIC 127534,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 127534,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 127534,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 127534,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 127534,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 127534,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 127534,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 127534,A000000,04400,0000,4400DME RENTED - HHA 127534,A000000,04500,0000,4500DME SOLD - HHA 127534,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 127534,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 127534,A000000,04800,0000,4800AMBULANCE 127534,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 127534,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 127534,A000000,05300,0000,5300INTEREST EXPENSE 127534,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 127534,A000000,05500,0000,5500HOSPICE 127534,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 127534,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127534,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 127534,A000000,06100,0000,6100NONPAID WORKERS 127534,A000000,06200,0000,6200PATIENTS LAUNDRY 127534,A81000A,00100,0100,Y 127534,A81000C,00100,0100,A 127534,A81000C,00100,0200,RONNY CRUMP 127534,A81000C,00100,0400,PROGRESSIVE 127534,A81000C,00100,0600,MANAGEMENT CO 127534,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 127534,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 127534,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 127534,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 127534,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 127534,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 127534,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 127534,B100000,00000,0800,0800PAT DAYS DIETARY 127534,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 127534,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 127534,B100000,00000,1100,1100PAT DAYS PHARMACY 127534,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 127534,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 127534,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 127534,S000000,00100,0200,11/29/00 127534,S200000,00200,0100,COVINGTON 127534,S200000,00200,0200,GA 127534,S200000,00200,0300,30015 127534,S200000,00300,0100,NEWTON 127534,S200000,00300,0200,0520 127534,S200000,00300,0300,U 127534,S200000,00400,0100,COVINGTON MANOR 127534,S200000,00400,0200,115588 127534,S200000,00400,0300,07/01/94 127534,S200000,00400,0500,P 127534,S200000,00400,0600,P 127534,S200000,01500,0100,Y 127534,S200000,01600,0100,N 127534,S200000,01700,0100,N 127534,S200000,01800,0100,N 127534,S200000,02200,0100,Y 127534,S200000,02800,0100,N 127534,S200000,02900,0100,N 127534,S200000,03000,0100,N 127534,S200000,03100,0100,N 127534,S200000,03200,0100,N 127534,S200000,03300,0100,N 127534,S200000,03300,0200,N 127534,S200000,03500,0300,N 127534,S200000,03600,0100,N 127534,S200000,03600,0200,N 127534,S200000,03700,0100,N 127534,S200000,03700,0200,N 127534,S200000,04100,0100,N 127534,S200000,04200,0100,N 127534,S200000,04300,0100,N 127534,S200000,04600,0100,N 127534,S200000,04700,0100,N 127534,S200000,04900,0100,N 127534,S200000,05200,0100,N 127534,S700003,00000,0400,X 127560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127560,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127560,A000000,00300,0000,0300EMPLOYEE BENEFITS 127560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127560,A000000,00700,0000,0700HOUSEKEEPING 127560,A000000,00800,0000,0800DIETARY 127560,A000000,00900,0000,0900NURSING ADMINISTRATION 127560,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127560,A000000,01100,0000,1100PHARMACY 127560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127560,A000000,01300,0000,1300SOCIAL SERVICE 127560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127560,A000000,01500,0000,1350OTHER GENERAL SERVICES 127560,A000000,01600,0000,1600SKILLED NURSING FACILITY 127560,A000000,01800,0000,1800NURSING FACILITY 127560,A000000,02500,0000,2500PHYSICAL THERAPY 127560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127560,A000000,02700,0000,2700SPEECH PATHOLOGY 127560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127560,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127560,A000000,03550,0000,3550FQHC 127560,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127560,A000000,05000,0000,5000CORF 127560,A000000,05010,0000,5010CMHC 127560,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127560,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127560,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127560,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127560,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127560,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127560,A81000A,00100,0100,Y 127560,A81000B,00100,0300,MANAGEMENT FEES 127560,A81000C,00100,0100,A 127560,A81000C,00100,0200,BYRON DEFOOR 127560,A81000C,00100,0400,SUNLAND/GRACE HEALTH 127560,A81000C,00100,0600,MANAGEMENT 127560,B100000,00000,0100,0100SQUARE FEET 127560,B100000,00000,0200,0200SQUARE FEET 127560,B100000,00000,0300,0300GROSS SALARIES 127560,B100000,00000,0400,0400ACCUM. COST 127560,B100000,00000,0500,0500SQUARE FEET 127560,B100000,00000,0600,0600PATIENT DAYS 127560,B100000,00000,0700,0700SQUARE FEET 127560,B100000,00000,0800,0800MEALS SERVED 127560,B100000,00000,0900,0900GROSS REVENUE 127560,B100000,00000,1000,1000COSTEDREQU UISITIONS 127560,B100000,00000,1100,1100COSTEDREQU UISITIONS 127560,B100000,00000,1200,1200TIME SPENT 127560,B100000,00000,1300,1300TIME SPENT 127560,B100000,00000,1400,1400NO STATISTICS 127560,B100000,00000,1500,1350NO STATISTICS 127560,E10A180,00501,0100, 1/10/01 127560,E10A180,00550,0300, 1/10/01 127560,S000000,00100,0200,11/15/00 127560,S200000,00100,0100,18805 ALBERTA AVENUE 127560,S200000,00100,0300,4997 127560,S200000,00200,0100,ONEIDA 127560,S200000,00200,0200,TN 127560,S200000,00200,0300,37841 127560,S200000,00300,0100,SCOTT 127560,S200000,00400,0100,ONEIDA NURSING/REHAB CENTER 127560,S200000,00400,0200,445254 127560,S200000,00400,0300,03/01/90 127560,S200000,00400,0500,P 127560,S200000,00400,0600,O 127560,S200000,00600,0200,445254 127560,S200000,00600,0300,03/01/90 127560,S200000,00600,0600,O 127560,S200000,01500,0100,N 127560,S200000,01600,0100,Y 127560,S200000,01700,0100,N 127560,S200000,01800,0100,N 127560,S200000,02200,0100,N 127560,S200000,02800,0100,N 127560,S200000,02900,0100,N 127560,S200000,03000,0100,N 127560,S200000,03100,0100,N 127560,S200000,03200,0100,N 127560,S200000,03300,0100,N 127560,S200000,03300,0200,N 127560,S200000,03500,0300,N 127560,S200000,04100,0100,N 127560,S200000,04200,0100,N 127560,S200000,04300,0100,N 127560,S200000,04600,0100,N 127560,S200000,04700,0100,N 127560,S200000,04700,0200,N 127560,S200000,04900,0100,N 127584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127584,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127584,A000000,00300,0000,0300EMPLOYEE BENEFITS 127584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127584,A000000,00700,0000,0700HOUSEKEEPING 127584,A000000,00800,0000,0800DIETARY 127584,A000000,00900,0000,0900NURSING ADMINISTRATION 127584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127584,A000000,01100,0000,1100PHARMACY 127584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127584,A000000,01300,0000,1300SOCIAL SERVICE 127584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127584,A000000,01600,0000,1600SKILLED NURSING FACILITY 127584,A000000,01810,0000,1810ICF/MR 127584,A000000,02100,0000,2100RADIOLOGY 127584,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127584,A000000,02500,0000,2500PHYSICAL THERAPY 127584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127584,A000000,02700,0000,2700SPEECH PATHOLOGY 127584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127584,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 127584,A000000,03550,0000,3550FQHC 127584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 127584,A000000,05000,0000,5000CORF 127584,A000000,05010,0000,5010CMHC 127584,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127584,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 127584,A81000A,00100,0100,Y 127584,A81000B,00100,0300,HOME OFFICE COSTS 127584,A81000C,00100,0100,A 127584,A81000C,00100,0200,DOUG WRIGHT SR 127584,A81000C,00100,0400,RIGHT CARE INC 127584,A81000C,00100,0600,MANAGEMENT 127584,B100000,00000,0100,0100SQUARE FEET 127584,B100000,00000,0200,0200SQUARE FEET 127584,B100000,00000,0300,0300GROSS SALARIES 127584,B100000,00000,0400,0400ACCUM COST 127584,B100000,00000,0500,0500SQUARE FEET 127584,B100000,00000,0600,0600PATIENT DAYS 127584,B100000,00000,0700,0700SQUARE FEET 127584,B100000,00000,0800,0800MEALS SERVED 127584,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 127584,B100000,00000,1000,1000COSTED REQUISITIO 127584,B100000,00000,1100,1100COSTED REQUISITIO 127584,B100000,00000,1200,1200HOURS OF SERVICE 127584,B100000,00000,1300,1300HOURS OF SERVICE 127584,B100000,00000,1400,1400ASSIGNED TIME 127584,E10A180,00501,0100,03/01/01 127584,E10A180,00550,0300,03/01/01 127584,S000000,00100,0200,02/15/01 127584,S200000,00100,0100,41 HOSPITAL DRIVE 127584,S200000,00200,0100,LEXINGTON 127584,S200000,00200,0200,TN 127584,S200000,00200,0300,38351 127584,S200000,00300,0100,H 127584,S200000,00300,0300,R 127584,S200000,00400,0100,BRIARWOOD MANOR 127584,S200000,00400,0200,445333 127584,S200000,00400,0300,03/01/94 127584,S200000,00400,0500,P 127584,S200000,01500,0100,Y 127584,S200000,01600,0100,N 127584,S200000,01700,0100,N 127584,S200000,01800,0100,N 127584,S200000,02200,0100,N 127584,S200000,02800,0100,N 127584,S200000,02900,0100,N 127584,S200000,03000,0100,N 127584,S200000,03100,0100,N 127584,S200000,03200,0100,N 127584,S200000,03300,0100,N 127584,S200000,03300,0200,N 127584,S200000,04100,0100,N 127584,S200000,04200,0100,N 127584,S200000,04300,0100,N 127584,S200000,04600,0100,N 127584,S200000,04700,0100,N 127584,S200000,04900,0100,N 127593,S000000,00100,0200,12/06/00 127594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127594,A000000,00300,0000,0300EMPLOYEE BENEFITS 127594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127594,A000000,00700,0000,0700HOUSEKEEPING 127594,A000000,00800,0000,0800DIETARY 127594,A000000,00900,0000,0900NURSING ADMINISTRATION 127594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127594,A000000,01100,0000,1100PHARMACY 127594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127594,A000000,01300,0000,1300SOCIAL SERVICE 127594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127594,A000000,01500,0000,1350RESIDENT ACTIVITIES 127594,A000000,01600,0000,1600SKILLED NURSING FACILITY 127594,A000000,01800,0000,1800NURSING FACILITY 127594,A000000,01810,0000,1810ICF/MR 127594,A000000,02100,0000,2100RADIOLOGY 127594,A000000,02200,0000,2200LABORATORY 127594,A000000,02300,0000,2300INTRAVENOUS THERAPY 127594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127594,A000000,02500,0000,2500PHYSICAL THERAPY 127594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127594,A000000,02700,0000,2700SPEECH PATHOLOGY 127594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127594,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127594,A000000,03550,0000,3550FQHC 127594,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127594,A000000,05000,0000,5000CORF 127594,A000000,05010,0000,5010CMHC 127594,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127594,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127594,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127594,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127594,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127594,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127594,A81000A,00100,0100,Y 127594,A81000B,00100,0300,INTEREST EXPENSE 127594,A81000B,00200,0300,INTEREST EXPENSE HCFP 127594,A81000C,00100,0100,B 127594,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127594,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127594,A81000C,00100,0600,HOME OFFICE 127594,B100000,00000,0100,0100SQ FT. 127594,B100000,00000,0200,0200NO STATISTICS 127594,B100000,00000,0300,0300GROSS SALARY 127594,B100000,00000,0400,0400ACCUM. COST 127594,B100000,00000,0500,0500SQ FT. 127594,B100000,00000,0600,0600PATIENT DAYS 127594,B100000,00000,0700,0700SQ FT EXCL D 127594,B100000,00000,0800,0800PATIENT DAYS 127594,B100000,00000,0900,0900PATIENT DAYS 127594,B100000,00000,1000,1000PATIENT DAYS 127594,B100000,00000,1100,1100PATIENT DAYS 127594,B100000,00000,1200,1200PATIENT DAYS 127594,B100000,00000,1300,1300PATIENT DAYS 127594,B100000,00000,1400,1400NO STATISTICS 127594,B100000,00000,1500,1350PATIENT DAYS 127594,E10A180,00301,0100,10/27/99 127594,E10A180,00301,0300,12/31/99 127594,E10A180,00302,0100,11/29/99 127594,E10A180,00550,0100,06/30/00 127594,S000000,00100,0200,06/01/00 127594,S200000,00100,0100,2308 WEST NEBRASKA AVENUE 127594,S200000,00200,0100,PEORIA 127594,S200000,00200,0200,IL 127594,S200000,00200,0300,61604 127594,S200000,00300,0100,PEORIA 127594,S200000,00400,0100,GOLF VIEW REHAB & LIVING CENTER 127594,S200000,00400,0200,145078 127594,S200000,00400,0300,01/01/67 127594,S200000,00400,0500,P 127594,S200000,01500,0100,N 127594,S200000,01600,0100,Y 127594,S200000,01700,0100,N 127594,S200000,01800,0100,N 127594,S200000,02200,0100,N 127594,S200000,02800,0100,N 127594,S200000,02900,0100,N 127594,S200000,03000,0100,N 127594,S200000,03100,0100,N 127594,S200000,03200,0100,N 127594,S200000,03300,0100,N 127594,S200000,03300,0200,N 127594,S200000,04100,0100,N 127594,S200000,04200,0100,N 127594,S200000,04300,0100,N 127594,S200000,04600,0100,N 127594,S200000,04700,0100,N 127594,S200000,04700,0200,N 127594,S200000,04900,0100,N 127595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127595,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127595,A000000,00300,0000,0300EMPLOYEE BENEFITS 127595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127595,A000000,00700,0000,0700HOUSEKEEPING 127595,A000000,00800,0000,0800DIETARY 127595,A000000,00900,0000,0900NURSING ADMINISTRATION 127595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127595,A000000,01100,0000,1100PHARMACY 127595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127595,A000000,01300,0000,1300SOCIAL SERVICE 127595,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127595,A000000,01500,0000,1350RESIDENT ACTIVITIES 127595,A000000,01600,0000,1600SKILLED NURSING FACILITY 127595,A000000,01800,0000,1800NURSING FACILITY 127595,A000000,01810,0000,1810ICF/MR 127595,A000000,02100,0000,2100RADIOLOGY 127595,A000000,02200,0000,2200LABORATORY 127595,A000000,02300,0000,2300INTRAVENOUS THERAPY 127595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127595,A000000,02500,0000,2500PHYSICAL THERAPY 127595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127595,A000000,02700,0000,2700SPEECH PATHOLOGY 127595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127595,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127595,A000000,03550,0000,3550FQHC 127595,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127595,A000000,05000,0000,5000CORF 127595,A000000,05010,0000,5010CMHC 127595,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127595,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127595,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127595,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127595,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127595,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127595,A81000A,00100,0100,Y 127595,A81000B,00200,0300,HOME OFFICE CAPITAL 127595,A81000B,00300,0300,INTEREST EXP HCFP 127595,A81000C,00100,0100,B 127595,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127595,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127595,A81000C,00100,0600,HOME OFFICE 127595,B100000,00000,0100,0100SQ FEET 127595,B100000,00000,0200,0200NO STATISTICS 127595,B100000,00000,0300,0300GROSS SALARIES 127595,B100000,00000,0400,0400ACCUM. COST 127595,B100000,00000,0500,0500SQ FEET 127595,B100000,00000,0600,0600PATIENT DAYS 127595,B100000,00000,0700,0700SQ FT EXCL D 127595,B100000,00000,0800,0800PATIENT DAYS 127595,B100000,00000,0900,0900PATIENT DAYS 127595,B100000,00000,1000,1000PATIENT DAYS 127595,B100000,00000,1100,1100PATIENT DAYS 127595,B100000,00000,1200,1200PATIENT DAYS 127595,B100000,00000,1300,1300PATIENT DAYS 127595,B100000,00000,1400,1400NO STATISTICS 127595,B100000,00000,1500,1350PATIENT DAYS 127595,E10A180,00301,0100,10/27/99 127595,E10A180,00302,0100,11/29/99 127595,E10A180,00350,0300,12/31/99 127595,S000000,00100,0200,06/01/00 127595,S200000,00100,0100,901 ILLININI DRIVE 127595,S200000,00200,0100,EAST PEORIA 127595,S200000,00200,0200,IL 127595,S200000,00200,0300,61611 127595,S200000,00300,0100,TAZEWELL 127595,S200000,00400,0100,FONDULAC WOODS HEALTH CARE CENTER 127595,S200000,00400,0200,145266 127595,S200000,00400,0300,12/08/88 127595,S200000,00400,0500,P 127595,S200000,01500,0100,N 127595,S200000,01600,0100,Y 127595,S200000,01700,0100,N 127595,S200000,01800,0100,N 127595,S200000,02200,0100,N 127595,S200000,02800,0100,N 127595,S200000,02900,0100,N 127595,S200000,03000,0100,N 127595,S200000,03100,0100,N 127595,S200000,03200,0100,N 127595,S200000,03300,0100,N 127595,S200000,03300,0200,N 127595,S200000,04100,0100,N 127595,S200000,04200,0100,N 127595,S200000,04300,0100,N 127595,S200000,04600,0100,N 127595,S200000,04700,0100,N 127595,S200000,04700,0200,N 127595,S200000,04900,0100,N 127596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127596,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127596,A000000,00300,0000,0300EMPLOYEE BENEFITS 127596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127596,A000000,00700,0000,0700HOUSEKEEPING 127596,A000000,00800,0000,0800DIETARY 127596,A000000,00900,0000,0900NURSING ADMINISTRATION 127596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127596,A000000,01100,0000,1100PHARMACY 127596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127596,A000000,01300,0000,1300SOCIAL SERVICE 127596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127596,A000000,01500,0000,1350RESIDENT ACTIVITIES 127596,A000000,01600,0000,1600SKILLED NURSING FACILITY 127596,A000000,01800,0000,1800NURSING FACILITY 127596,A000000,01810,0000,1810ICF/MR 127596,A000000,02100,0000,2100RADIOLOGY 127596,A000000,02200,0000,2200LABORATORY 127596,A000000,02300,0000,2300INTRAVENOUS THERAPY 127596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127596,A000000,02500,0000,2500PHYSICAL THERAPY 127596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127596,A000000,02700,0000,2700SPEECH PATHOLOGY 127596,A000000,02800,0000,2800ELECTROCARDIOLOGY 127596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127596,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127596,A000000,03550,0000,3550FQHC 127596,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127596,A000000,05000,0000,5000CORF 127596,A000000,05010,0000,5010CMHC 127596,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127596,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127596,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127596,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127596,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127596,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127596,A81000A,00100,0100,Y 127596,A81000B,00100,0300,INTEREST EXPENSE HOME OFFICE 127596,A81000B,00200,0300,INT EXP HCFP 127596,A81000C,00100,0100,B 127596,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127596,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127596,A81000C,00100,0600,HOME OFFICE 127596,B100000,00000,0100,0100SQ FEET 127596,B100000,00000,0200,0200NO STATISTICS 127596,B100000,00000,0300,0300GROSS SALARIES 127596,B100000,00000,0400,0400ACCUM. COST 127596,B100000,00000,0500,0500SQ FEET 127596,B100000,00000,0600,0600PATIENT DAYS 127596,B100000,00000,0700,0700SQ FT EXCL 127596,B100000,00000,0800,0800PATIENT DAYS 127596,B100000,00000,0900,0900PATIENT DAYS 127596,B100000,00000,1000,1000PATIENT DAYS 127596,B100000,00000,1100,1100PATIENT DAYS 127596,B100000,00000,1200,1200PATIENT DAYS 127596,B100000,00000,1300,1300PATIENT DAYS 127596,B100000,00000,1400,1400NO STATISTICS 127596,B100000,00000,1500,1350PATIENT DAYS 127596,E10A180,00301,0100,10/27/99 127596,E10A180,00302,0100,11/29/99 127596,E10A180,00505,0100,09/20/00 127596,E10A180,00505,0300,09/20/00 127596,S000000,00100,0200,05/31/00 127596,S200000,00100,0100,605 EAST CHURCH 127596,S200000,00100,0300,600 127596,S200000,00200,0100,KEWANEE 127596,S200000,00200,0200,IL 127596,S200000,00200,0300,61443 127596,S200000,00300,0100,HENRY 127596,S200000,00400,0100,OAKWOOD HEALTH CARE CENTER 127596,S200000,00400,0200,145418 127596,S200000,00400,0300,02/08/81 127596,S200000,00400,0500,P 127596,S200000,01500,0100,N 127596,S200000,01600,0100,Y 127596,S200000,01700,0100,N 127596,S200000,01800,0100,N 127596,S200000,02200,0100,N 127596,S200000,02800,0100,N 127596,S200000,02900,0100,N 127596,S200000,03000,0100,N 127596,S200000,03100,0100,N 127596,S200000,03200,0100,N 127596,S200000,03300,0100,N 127596,S200000,03300,0200,N 127596,S200000,04100,0100,N 127596,S200000,04200,0100,N 127596,S200000,04300,0100,N 127596,S200000,04600,0100,N 127596,S200000,04700,0100,N 127596,S200000,04700,0200,N 127596,S200000,04900,0100,N 127597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127597,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127597,A000000,00300,0000,0300EMPLOYEE BENEFITS 127597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127597,A000000,00700,0000,0700HOUSEKEEPING 127597,A000000,00800,0000,0800DIETARY 127597,A000000,00900,0000,0900NURSING ADMINISTRATION 127597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127597,A000000,01100,0000,1100PHARMACY 127597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127597,A000000,01300,0000,1300SOCIAL SERVICE 127597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127597,A000000,01500,0000,1350RESIDENT ACTIVITIES 127597,A000000,01600,0000,1600SKILLED NURSING FACILITY 127597,A000000,01800,0000,1800NURSING FACILITY 127597,A000000,01810,0000,1810ICF/MR 127597,A000000,02100,0000,2100RADIOLOGY 127597,A000000,02200,0000,2200LABORATORY 127597,A000000,02300,0000,2300INTRAVENOUS THERAPY 127597,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127597,A000000,02500,0000,2500PHYSICAL THERAPY 127597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127597,A000000,02700,0000,2700SPEECH PATHOLOGY 127597,A000000,02800,0000,2800ELECTROCARDIOLOGY 127597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127597,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127597,A000000,03550,0000,3550FQHC 127597,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127597,A000000,05000,0000,5000CORF 127597,A000000,05010,0000,5010CMHC 127597,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127597,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127597,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127597,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127597,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127597,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127597,A81000A,00100,0100,Y 127597,A81000B,00100,0300,HOME OFFICE INT EXP 127597,A81000B,00200,0300,HCFP INT EXPENSE 127597,A81000C,00100,0100,B 127597,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127597,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127597,A81000C,00100,0600,HOME OFFICE 127597,B100000,00000,0100,0100SQ FEET 127597,B100000,00000,0200,0200NO STATISTICS 127597,B100000,00000,0300,0300GROSS SALARIES 127597,B100000,00000,0400,0400ACCUM. COST 127597,B100000,00000,0500,0500SQ FEET 127597,B100000,00000,0600,0600PATIENT DAYS 127597,B100000,00000,0700,0700SQ FEET EXCL D 127597,B100000,00000,0800,0800PATIENT DAYS 127597,B100000,00000,0900,0900PATIENT DAYS 127597,B100000,00000,1000,1000PATIENT DAYS 127597,B100000,00000,1100,1100PATIENT DAYS 127597,B100000,00000,1200,1200PATIENT DAYS 127597,B100000,00000,1300,1300PATIENT DAYS 127597,B100000,00000,1400,1400NO STATISTICS 127597,B100000,00000,1500,1350PATIENT DAYS 127597,E10A180,00301,0100,10/27/99 127597,E10A180,00301,0300,12/31/99 127597,E10A180,00302,0100,11/29/99 127597,E10A180,00550,0100,09/20/00 127597,E10A180,00550,0300,09/20/00 127597,S000000,00100,0200,06/01/00 127597,S200000,00100,0100,515 EAST EUCLID 127597,S200000,00200,0100,MONMOUTH 127597,S200000,00200,0200,IL 127597,S200000,00200,0300,61462 127597,S200000,00300,0100,WARREN 127597,S200000,00400,0100,PINEWOOD HEALTH CARE CENTER 127597,S200000,00400,0200,145462 127597,S200000,00400,0300,09/01/83 127597,S200000,00400,0500,P 127597,S200000,01500,0100,N 127597,S200000,01600,0100,Y 127597,S200000,01700,0100,N 127597,S200000,01800,0100,N 127597,S200000,02200,0100,N 127597,S200000,02800,0100,N 127597,S200000,02900,0100,N 127597,S200000,03000,0100,N 127597,S200000,03100,0100,N 127597,S200000,03200,0100,N 127597,S200000,03300,0100,N 127597,S200000,03300,0200,N 127597,S200000,04100,0100,N 127597,S200000,04200,0100,N 127597,S200000,04300,0100,N 127597,S200000,04600,0100,N 127597,S200000,04700,0100,N 127597,S200000,04700,0200,N 127597,S200000,04900,0100,N 127598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127598,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127598,A000000,00300,0000,0300EMPLOYEE BENEFITS 127598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127598,A000000,00700,0000,0700HOUSEKEEPING 127598,A000000,00800,0000,0800DIETARY 127598,A000000,00900,0000,0900NURSING ADMINISTRATION 127598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127598,A000000,01100,0000,1100PHARMACY 127598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127598,A000000,01300,0000,1300SOCIAL SERVICE 127598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127598,A000000,01500,0000,1350RESIDENT ACTIVITIES 127598,A000000,01600,0000,1600SKILLED NURSING FACILITY 127598,A000000,01800,0000,1800NURSING FACILITY 127598,A000000,01810,0000,1810ICF/MR 127598,A000000,02200,0000,2200LABORATORY 127598,A000000,02300,0000,2300INTRAVENOUS THERAPY 127598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127598,A000000,02500,0000,2500PHYSICAL THERAPY 127598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127598,A000000,02700,0000,2700SPEECH PATHOLOGY 127598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127598,A000000,03550,0000,3550FQHC 127598,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127598,A000000,05000,0000,5000CORF 127598,A000000,05010,0000,5010CMHC 127598,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127598,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127598,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127598,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127598,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127598,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 127598,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127598,A81000A,00100,0100,Y 127598,A81000B,00100,0300,INTEREST EXP HOME OFFICE 127598,A81000B,00200,0300,INTEREST EXP HCFP 127598,A81000C,00100,0100,B 127598,A81000C,00100,0200,SENIOR LIVING PROERTIES 127598,A81000C,00100,0400,SENIOR LIVING PROERTIES 127598,A81000C,00100,0600,HOME OFFICE 127598,B100000,00000,0100,0100SQUARE FEET 127598,B100000,00000,0200,0200NO STATISTICS 127598,B100000,00000,0300,0300GROSS SALARIES 127598,B100000,00000,0400,0400ACCUM. COST 127598,B100000,00000,0500,0500SQUARE FEET 127598,B100000,00000,0600,0600PATIENT DAYS 127598,B100000,00000,0700,0700SQ FT EXCL D 127598,B100000,00000,0800,0800PATIENT DAYS 127598,B100000,00000,0900,0900PATIENT DAYS 127598,B100000,00000,1000,1000PATIENT DAYS 127598,B100000,00000,1100,1100PATIENT DAYS 127598,B100000,00000,1200,1200PATIENT DAYS 127598,B100000,00000,1300,1300PATIENT DAYS 127598,B100000,00000,1400,1400ASSIGNED TIME 127598,B100000,00000,1500,1350PATIENT DAYS 127598,E10A180,00301,0100,10/27/99 127598,E10A180,00301,0300,12/31/99 127598,E10A180,00302,0100,11/29/99 127598,S000000,00100,0200,06/01/00 127598,S200000,00100,0100,900 NORTH MARKET STREET 127598,S200000,00200,0100,WATSEKA 127598,S200000,00200,0200,IL 127598,S200000,00200,0300,60970 127598,S200000,00300,0100,IROQUOIS 127598,S200000,00400,0100,MAGNOLIA WOOD HEALTH CARE CENTER 127598,S200000,00400,0200,145485 127598,S200000,00400,0300,02/13/84 127598,S200000,00400,0500,P 127598,S200000,01500,0100,N 127598,S200000,01600,0100,Y 127598,S200000,01700,0100,N 127598,S200000,01800,0100,N 127598,S200000,02200,0100,N 127598,S200000,02800,0100,N 127598,S200000,02900,0100,N 127598,S200000,03000,0100,N 127598,S200000,03100,0100,N 127598,S200000,03200,0100,N 127598,S200000,03300,0100,N 127598,S200000,03300,0200,N 127598,S200000,04100,0100,N 127598,S200000,04200,0100,N 127598,S200000,04300,0100,N 127598,S200000,04600,0100,N 127598,S200000,04700,0100,N 127598,S200000,04700,0200,N 127598,S200000,04900,0100,N 127599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127599,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127599,A000000,00300,0000,0300EMPLOYEE BENEFITS 127599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127599,A000000,00700,0000,0700HOUSEKEEPING 127599,A000000,00800,0000,0800DIETARY 127599,A000000,00900,0000,0900NURSING ADMINISTRATION 127599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127599,A000000,01100,0000,1100PHARMACY 127599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127599,A000000,01300,0000,1300SOCIAL SERVICE 127599,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127599,A000000,01500,0000,1350RESIDENT ACTIVITIES 127599,A000000,01600,0000,1600SKILLED NURSING FACILITY 127599,A000000,01800,0000,1800NURSING FACILITY 127599,A000000,01810,0000,1810ICF/MR 127599,A000000,02100,0000,2100RADIOLOGY 127599,A000000,02200,0000,2200LABORATORY 127599,A000000,02300,0000,2300INTRAVENOUS THERAPY 127599,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127599,A000000,02500,0000,2500PHYSICAL THERAPY 127599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127599,A000000,02700,0000,2700SPEECH PATHOLOGY 127599,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127599,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127599,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127599,A000000,03550,0000,3550FQHC 127599,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127599,A000000,05000,0000,5000CORF 127599,A000000,05010,0000,5010CMHC 127599,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127599,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127599,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127599,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127599,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127599,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127599,A81000A,00100,0100,Y 127599,A81000B,00100,0300,INTEREST EXPENSE HOME OFFICE 127599,A81000B,00200,0300,INTEREST EXOENSE HCFP 127599,A81000C,00100,0100,B 127599,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127599,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127599,A81000C,00100,0600,HOME OFFICE 127599,B100000,00000,0100,0100SQ FOOTAGE 127599,B100000,00000,0200,0200NO STATISTICS 127599,B100000,00000,0300,0300GROSS SALARIES 127599,B100000,00000,0400,0400ACCUM. COST 127599,B100000,00000,0500,0500SQ FOOTAGE 127599,B100000,00000,0600,0600PATIENT DAYS 127599,B100000,00000,0700,0700SQ FT EXCL D 127599,B100000,00000,0800,0800PATIENT DAYS 127599,B100000,00000,0900,0900PATIENT DAYS 127599,B100000,00000,1000,1000PATIENT DAYS 127599,B100000,00000,1100,1100PATIENT DAYS 127599,B100000,00000,1200,1200PATIENT DAYS 127599,B100000,00000,1300,1300PATIENT DAYS 127599,B100000,00000,1400,1400NO STATISTICS 127599,B100000,00000,1500,1350PATIENT DAYS 127599,E10A180,00301,0100,10/27/99 127599,E10A180,00301,0300,12/31/99 127599,E10A180,00302,0100,11/29/99 127599,S000000,00100,0200,06/01/00 127599,S200000,00100,0100,600 SOUTH MAPLE 127599,S200000,00200,0100,PIPER CITY 127599,S200000,00200,0200,IL 127599,S200000,00200,0300,60959 127599,S200000,00300,0100,FORD 127599,S200000,00400,0100,PALMWOOD HEALTH CARE CENTER 127599,S200000,00400,0200,145489 127599,S200000,00400,0300,12/08/88 127599,S200000,00400,0500,P 127599,S200000,01500,0100,N 127599,S200000,01600,0100,Y 127599,S200000,01700,0100,N 127599,S200000,01800,0100,N 127599,S200000,02200,0100,N 127599,S200000,02800,0100,N 127599,S200000,02900,0100,N 127599,S200000,03000,0100,N 127599,S200000,03100,0100,N 127599,S200000,03200,0100,N 127599,S200000,03300,0100,N 127599,S200000,03300,0200,N 127599,S200000,04100,0100,N 127599,S200000,04200,0100,N 127599,S200000,04300,0100,N 127599,S200000,04600,0100,N 127599,S200000,04700,0100,N 127599,S200000,04700,0200,N 127599,S200000,04900,0100,N 127600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127600,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127600,A000000,00300,0000,0300EMPLOYEE BENEFITS 127600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127600,A000000,00700,0000,0700HOUSEKEEPING 127600,A000000,00800,0000,0800DIETARY 127600,A000000,00900,0000,0900NURSING ADMINISTRATION 127600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127600,A000000,01100,0000,1100PHARMACY 127600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127600,A000000,01300,0000,1300SOCIAL SERVICE 127600,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127600,A000000,01500,0000,1350PATIENT ACTIVITIES 127600,A000000,01600,0000,1600SKILLED NURSING FACILITY 127600,A000000,01800,0000,1800NURSING FACILITY 127600,A000000,01810,0000,1810ICF/MR 127600,A000000,02100,0000,2100RADIOLOGY 127600,A000000,02200,0000,2200LABORATORY 127600,A000000,02300,0000,2300INTRAVENOUS THERAPY 127600,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127600,A000000,02500,0000,2500PHYSICAL THERAPY 127600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127600,A000000,02700,0000,2700SPEECH PATHOLOGY 127600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127600,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127600,A000000,03550,0000,3550FQHC 127600,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127600,A000000,05000,0000,5000CORF 127600,A000000,05010,0000,5010CMHC 127600,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127600,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127600,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127600,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127600,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127600,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127600,A81000A,00100,0100,Y 127600,A81000B,00100,0300,INTEREST EXPENSE 127600,A81000B,00200,0300,INT EXP HCFP 127600,A81000C,00100,0100,B 127600,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127600,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127600,A81000C,00100,0600,HOME OFFICE 127600,B100000,00000,0100,0100SQUARE FEET 127600,B100000,00000,0200,0200NO STATISTICS 127600,B100000,00000,0300,0300GROSS SALARIES 127600,B100000,00000,0400,0400ACCUM. COST 127600,B100000,00000,0500,0500SQUARE FEET 127600,B100000,00000,0600,0600PATIENT DAYS 127600,B100000,00000,0700,0700SQUARE FT EXCL DIET 127600,B100000,00000,0800,0800PATIENT DAYS 127600,B100000,00000,0900,0900NO STATISTICS 127600,B100000,00000,1000,1000PATIENT DAYS 127600,B100000,00000,1100,1100PATIENT DAYS 127600,B100000,00000,1200,1200NO STATISTICS 127600,B100000,00000,1300,1300NO STATISTICS 127600,B100000,00000,1400,1400NO STATISTICS 127600,B100000,00000,1500,1350PATIENT DAYS 127600,E10A180,00301,0100,10/27/99 127600,E10A180,00302,0100,11/29/99 127600,E10A180,00350,0300,12/31/99 127600,E10A180,00550,0100,07/31/00 127600,S000000,00100,0200,06/01/00 127600,S200000,00100,0100,1925 SOUTH MAIN 127600,S200000,00200,0100,BLOOMINGTON 127600,S200000,00200,0200,IL 127600,S200000,00200,0300,61701 127600,S200000,00300,0100,MCLEAN 127600,S200000,00300,0200,1040 127600,S200000,00300,0300,U 127600,S200000,00400,0100,SCOTCHWOOD HEALTH CARE CENTER 127600,S200000,00400,0200,145610 127600,S200000,00400,0300,03/22/89 127600,S200000,00400,0500,P 127600,S200000,01500,0100,N 127600,S200000,01600,0100,Y 127600,S200000,01700,0100,N 127600,S200000,01800,0100,N 127600,S200000,02200,0100,N 127600,S200000,02800,0100,N 127600,S200000,02900,0100,N 127600,S200000,03000,0100,N 127600,S200000,03100,0100,N 127600,S200000,03200,0100,N 127600,S200000,03300,0100,N 127600,S200000,03300,0200,N 127600,S200000,04100,0100,N 127600,S200000,04200,0100,N 127600,S200000,04300,0100,N 127600,S200000,04600,0100,N 127600,S200000,04700,0100,N 127600,S200000,04700,0200,N 127600,S200000,04900,0100,N 127601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127601,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127601,A000000,00300,0000,0300EMPLOYEE BENEFITS 127601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127601,A000000,00700,0000,0700HOUSEKEEPING 127601,A000000,00800,0000,0800DIETARY 127601,A000000,00900,0000,0900NURSING ADMINISTRATION 127601,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127601,A000000,01100,0000,1100PHARMACY 127601,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127601,A000000,01300,0000,1300SOCIAL SERVICE 127601,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127601,A000000,01500,0000,1350RESIDENT ACTIVITIES 127601,A000000,01600,0000,1600SKILLED NURSING FACILITY 127601,A000000,01800,0000,1800NURSING FACILITY 127601,A000000,01810,0000,1810ICF/MR 127601,A000000,02100,0000,2100RADIOLOGY 127601,A000000,02200,0000,2200LABORATORY 127601,A000000,02300,0000,2300INTRAVENOUS THERAPY 127601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127601,A000000,02500,0000,2500PHYSICAL THERAPY 127601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127601,A000000,02700,0000,2700SPEECH PATHOLOGY 127601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127601,A000000,03550,0000,3550FQHC 127601,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127601,A000000,05000,0000,5000CORF 127601,A000000,05010,0000,5010CMHC 127601,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127601,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127601,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127601,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127601,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127601,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127601,A81000A,00100,0100,Y 127601,A81000B,00100,0300,INTERSET EXP HOME OFFCIE 127601,A81000B,00200,0300,INT EXP HCFP 127601,A81000C,00100,0100,B 127601,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127601,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127601,A81000C,00100,0600,HOME OFFICE 127601,B100000,00000,0100,0100SQ FEET 127601,B100000,00000,0200,0200NO STATISTICS 127601,B100000,00000,0300,0300GROSS SALARIES 127601,B100000,00000,0400,0400ACCUM. COST 127601,B100000,00000,0500,0500SQ FEET 127601,B100000,00000,0600,0600PATIENT DAYS 127601,B100000,00000,0700,0700SQ FT EXCL D 127601,B100000,00000,0800,0800PATIENT DAYS 127601,B100000,00000,0900,0900PATIENT DAYS 127601,B100000,00000,1000,1000PATIENT DAYS 127601,B100000,00000,1100,1100PATIENT DAYS 127601,B100000,00000,1200,1200PATIENT DAYS 127601,B100000,00000,1300,1300PATIENT DAYS 127601,B100000,00000,1400,1400NO STATISTICS 127601,B100000,00000,1500,1350PATIENT DAYS 127601,E10A180,00301,0100,10/27/99 127601,E10A180,00302,0100,11/29/99 127601,E10A180,00350,0300,12/31/99 127601,E10A180,00505,0100,07/18/00 127601,S000000,00100,0200,06/01/00 127601,S200000,00100,0100,ROUTE 1 BOX 55A 127601,S200000,00200,0100,ROSICLARE 127601,S200000,00200,0200,IL 127601,S200000,00200,0300,62982 127601,S200000,00300,0100,HARDIN 127601,S200000,00400,0100,ROSICLARE HEALTHCARE CENTER 127601,S200000,00400,0200,145759 127601,S200000,00400,0300,09/01/93 127601,S200000,00400,0500,P 127601,S200000,01500,0100,N 127601,S200000,01600,0100,Y 127601,S200000,01700,0100,N 127601,S200000,01800,0100,N 127601,S200000,02200,0100,N 127601,S200000,02800,0100,N 127601,S200000,02900,0100,N 127601,S200000,03000,0100,N 127601,S200000,03100,0100,N 127601,S200000,03200,0100,N 127601,S200000,03300,0100,N 127601,S200000,03300,0200,N 127601,S200000,04100,0100,N 127601,S200000,04200,0100,N 127601,S200000,04300,0100,N 127601,S200000,04600,0100,N 127601,S200000,04700,0100,N 127601,S200000,04700,0200,N 127601,S200000,04900,0100,N 127602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127602,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127602,A000000,00300,0000,0300EMPLOYEE BENEFITS 127602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127602,A000000,00700,0000,0700HOUSEKEEPING 127602,A000000,00800,0000,0800DIETARY 127602,A000000,00900,0000,0900NURSING ADMINISTRATION 127602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127602,A000000,01100,0000,1100PHARMACY 127602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127602,A000000,01300,0000,1300SOCIAL SERVICE 127602,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127602,A000000,01500,0000,1350RESIDENT ACTIVITIES 127602,A000000,01600,0000,1600SKILLED NURSING FACILITY 127602,A000000,01800,0000,1800NURSING FACILITY 127602,A000000,01810,0000,1810ICF/MR 127602,A000000,02200,0000,2200LABORATORY 127602,A000000,02300,0000,2300INTRAVENOUS THERAPY 127602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127602,A000000,02500,0000,2500PHYSICAL THERAPY 127602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127602,A000000,02700,0000,2700SPEECH PATHOLOGY 127602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127602,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127602,A000000,03550,0000,3550FQHC 127602,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127602,A000000,05000,0000,5000CORF 127602,A000000,05010,0000,5010CMHC 127602,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127602,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127602,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127602,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127602,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127602,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127602,A81000A,00100,0100,Y 127602,A81000B,00100,0300,HONE OFFICE INT EXP 127602,A81000B,00200,0300,HCFP INT EXPENSE 127602,A81000C,00100,0100,B 127602,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127602,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127602,A81000C,00100,0600,HOME OFFICE 127602,B100000,00000,0100,0100SQUARE FEET 127602,B100000,00000,0200,0200NO STATISTICS 127602,B100000,00000,0300,0300GROSS SALARIES 127602,B100000,00000,0400,0400ACCUM. COST 127602,B100000,00000,0500,0500SQUARE FEET 127602,B100000,00000,0600,0600PATEINT DAYS 127602,B100000,00000,0700,0700SQ FT EXCL D 127602,B100000,00000,0800,0800PATEINT DAYS 127602,B100000,00000,0900,0900PATEINT DAYS 127602,B100000,00000,1000,1000PATEINT DAYS 127602,B100000,00000,1100,1100PATEINT DAYS 127602,B100000,00000,1200,1200PATEINT DAYS 127602,B100000,00000,1300,1300PATEINT DAYS 127602,B100000,00000,1400,1400NO STATISTICS 127602,B100000,00000,1500,1350PATEINT DAYS 127602,E10A180,00301,0100,10/27/99 127602,E10A180,00301,0300,12/31/99 127602,E10A180,00302,0100,11/29/99 127602,S000000,00100,0200,06/01/00 127602,S200000,00100,0100,746 WEST SPRING STREET 127602,S200000,00200,0100,SOUTH ELDGIN 127602,S200000,00200,0200,IL 127602,S200000,00200,0300,60177 127602,S200000,00300,0100,KANE 127602,S200000,00400,0100,ALDERWOOD HEALTH CARE CENTER 127602,S200000,00400,0200,145825 127602,S200000,00400,0300,03/15/95 127602,S200000,00400,0500,P 127602,S200000,01500,0100,N 127602,S200000,01600,0100,Y 127602,S200000,01700,0100,N 127602,S200000,01800,0100,N 127602,S200000,02200,0100,N 127602,S200000,02800,0100,N 127602,S200000,02900,0100,N 127602,S200000,03000,0100,N 127602,S200000,03100,0100,N 127602,S200000,03200,0100,N 127602,S200000,03300,0100,N 127602,S200000,03300,0200,N 127602,S200000,04100,0100,N 127602,S200000,04200,0100,N 127602,S200000,04300,0100,N 127602,S200000,04600,0100,N 127602,S200000,04700,0100,N 127602,S200000,04700,0200,N 127602,S200000,04900,0100,N 127603,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127603,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127603,A000000,00300,0000,0300EMPLOYEE BENEFITS 127603,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127603,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127603,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127603,A000000,00700,0000,0700HOUSEKEEPING 127603,A000000,00800,0000,0800DIETARY 127603,A000000,00900,0000,0900NURSING ADMINISTRATION 127603,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127603,A000000,01100,0000,1100PHARMACY 127603,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127603,A000000,01300,0000,1300SOCIAL SERVICE 127603,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127603,A000000,01500,0000,1350RESIDENT ACTIVITIES 127603,A000000,01600,0000,1600SKILLED NURSING FACILITY 127603,A000000,01800,0000,1800NURSING FACILITY 127603,A000000,01810,0000,1810ICF/MR 127603,A000000,02200,0000,2200LABORATORY 127603,A000000,02300,0000,2300INTRAVENOUS THERAPY 127603,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127603,A000000,02500,0000,2500PHYSICAL THERAPY 127603,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127603,A000000,02700,0000,2700SPEECH PATHOLOGY 127603,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127603,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127603,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127603,A000000,03550,0000,3550FQHC 127603,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127603,A000000,05000,0000,5000CORF 127603,A000000,05010,0000,5010CMHC 127603,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127603,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127603,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127603,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127603,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127603,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127603,A81000A,00100,0100,Y 127603,A81000B,00100,0300,INT EXP HOME OFFICE 127603,A81000B,00200,0300,INT EXP HCFP 127603,A81000C,00100,0100,B 127603,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127603,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127603,A81000C,00100,0600,HOME OFFICE 127603,B100000,00000,0100,0100SQ. FT 127603,B100000,00000,0200,0200NO STATISTICS 127603,B100000,00000,0300,0300GROSS SALARIES 127603,B100000,00000,0400,0400ACCUM. COST 127603,B100000,00000,0500,0500SQ. FT 127603,B100000,00000,0600,0600PATIENT DAYS 127603,B100000,00000,0700,0700SQ FT EXCL D 127603,B100000,00000,0800,0800PATIENT DAYS 127603,B100000,00000,0900,0900PATIENT DAYS 127603,B100000,00000,1000,1000PATIENT DAYS 127603,B100000,00000,1100,1100PATIENT DAYS 127603,B100000,00000,1200,1200PATIENT DAYS 127603,B100000,00000,1300,1300PATIENT DAYS 127603,B100000,00000,1400,1400NO STATISTICS 127603,B100000,00000,1500,1350PATIENT DAYS 127603,E10A180,00301,0100,10/27/99 127603,E10A180,00301,0300,12/31/99 127603,E10A180,00302,0100,11/29/99 127603,S000000,00100,0200,06/01/00 127603,S200000,00100,0100,2116 S. 3RD & DACEY DR 127603,S200000,00200,0100,SHELBYVILLE 127603,S200000,00200,0200,IL 127603,S200000,00200,0300,62565 127603,S200000,00300,0100,SHELBY 127603,S200000,00400,0100,OLIVEWOOD HEALTH CARE CENTER 127603,S200000,00400,0200,145836 127603,S200000,00400,0300,06/01/95 127603,S200000,00400,0500,P 127603,S200000,01500,0100,N 127603,S200000,01600,0100,Y 127603,S200000,01700,0100,N 127603,S200000,01800,0100,N 127603,S200000,02200,0100,N 127603,S200000,02800,0100,N 127603,S200000,02900,0100,N 127603,S200000,03000,0100,N 127603,S200000,03100,0100,N 127603,S200000,03200,0100,N 127603,S200000,03300,0100,N 127603,S200000,03300,0200,N 127603,S200000,04100,0100,N 127603,S200000,04200,0100,N 127603,S200000,04300,0100,N 127603,S200000,04600,0100,N 127603,S200000,04700,0100,N 127603,S200000,04700,0200,N 127603,S200000,04900,0100,N 127604,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127604,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127604,A000000,00300,0000,0300EMPLOYEE BENEFITS 127604,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127604,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127604,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127604,A000000,00700,0000,0700HOUSEKEEPING 127604,A000000,00800,0000,0800DIETARY 127604,A000000,00900,0000,0900NURSING ADMINISTRATION 127604,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127604,A000000,01100,0000,1100PHARMACY 127604,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127604,A000000,01300,0000,1300SOCIAL SERVICE 127604,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127604,A000000,01500,0000,1350RESIDENT ACTIVITIES 127604,A000000,01600,0000,1600SKILLED NURSING FACILITY 127604,A000000,01800,0000,1800NURSING FACILITY 127604,A000000,01810,0000,1810ICF/MR 127604,A000000,02100,0000,2100RADIOLOGY 127604,A000000,02200,0000,2200LABORATORY 127604,A000000,02300,0000,2300INTRAVENOUS THERAPY 127604,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127604,A000000,02500,0000,2500PHYSICAL THERAPY 127604,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127604,A000000,02700,0000,2700SPEECH PATHOLOGY 127604,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127604,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127604,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127604,A000000,03550,0000,3550FQHC 127604,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127604,A000000,05000,0000,5000CORF 127604,A000000,05010,0000,5010CMHC 127604,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127604,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127604,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127604,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127604,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127604,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127604,A81000A,00100,0100,Y 127604,A81000B,00100,0300,INT EXP HOME OFFICE 127604,A81000B,00200,0300,INT EXPENSE HCFP 127604,A81000C,00100,0100,B 127604,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127604,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127604,A81000C,00100,0600,HOME OFFICE 127604,B100000,00000,0100,0100SQ FEET 127604,B100000,00000,0200,0200NO STATISTICS 127604,B100000,00000,0300,0300GROSS SALARIES 127604,B100000,00000,0400,0400ACCUM. COST 127604,B100000,00000,0500,0500SQ FEET 127604,B100000,00000,0600,0600PATEINT DAYS 127604,B100000,00000,0700,0700SQ FT EXCL D 127604,B100000,00000,0800,0800PATEINT DAYS 127604,B100000,00000,0900,0900PATEINT DAYS 127604,B100000,00000,1000,1000PATEINT DAYS 127604,B100000,00000,1100,1100PATEINT DAYS 127604,B100000,00000,1200,1200PATEINT DAYS 127604,B100000,00000,1300,1300PATEINT DAYS 127604,B100000,00000,1400,1400NO STATISTICS 127604,B100000,00000,1500,1350PATEINT DAYS 127604,E10A180,00301,0100,10/27/99 127604,E10A180,00302,0100,11/29/99 127604,E10A180,00505,0100,08/02/00 127604,S000000,00100,0200,06/01/00 127604,S200000,00100,0100,1400 EAST WASHINGTON STREET 127604,S200000,00200,0100,PITTSFIELD 127604,S200000,00200,0200,IL 127604,S200000,00200,0300,62363 127604,S200000,00300,0100,PIKE 127604,S200000,00400,0100,PITTSFIELD HEALTH CARE CENTER 127604,S200000,00400,0200,145851 127604,S200000,00400,0300,01/01/96 127604,S200000,00400,0500,P 127604,S200000,01500,0100,N 127604,S200000,01600,0100,Y 127604,S200000,01700,0100,N 127604,S200000,01800,0100,N 127604,S200000,02200,0100,N 127604,S200000,02800,0100,Y 127604,S200000,02900,0100,N 127604,S200000,03000,0100,N 127604,S200000,03100,0100,N 127604,S200000,03200,0100,N 127604,S200000,03300,0100,N 127604,S200000,03300,0200,N 127604,S200000,04100,0100,N 127604,S200000,04200,0100,N 127604,S200000,04300,0100,N 127604,S200000,04600,0100,N 127604,S200000,04700,0100,N 127604,S200000,04700,0200,N 127604,S200000,04900,0100,N 127605,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127605,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127605,A000000,00300,0000,0300EMPLOYEE BENEFITS 127605,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127605,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127605,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127605,A000000,00700,0000,0700HOUSEKEEPING 127605,A000000,00800,0000,0800DIETARY 127605,A000000,00900,0000,0900NURSING ADMINISTRATION 127605,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127605,A000000,01100,0000,1100PHARMACY 127605,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127605,A000000,01300,0000,1300SOCIAL SERVICE 127605,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127605,A000000,01500,0000,1350PATIENT ACTIVITIES 127605,A000000,01600,0000,1600SKILLED NURSING FACILITY 127605,A000000,01800,0000,1800NURSING FACILITY 127605,A000000,01810,0000,1810ICF/MR 127605,A000000,02100,0000,2100RADIOLOGY 127605,A000000,02200,0000,2200LABORATORY 127605,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127605,A000000,02500,0000,2500PHYSICAL THERAPY 127605,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127605,A000000,02700,0000,2700SPEECH PATHOLOGY 127605,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127605,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127605,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127605,A000000,03550,0000,3550FQHC 127605,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127605,A000000,05000,0000,5000CORF 127605,A000000,05010,0000,5010CMHC 127605,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127605,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127605,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127605,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127605,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127605,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127605,A81000A,00100,0100,Y 127605,A81000B,00100,0300,INTEREST EXPENSE 127605,A81000B,00200,0300,INTEREST EXPENSE HCFP 127605,A81000C,00100,0100,B 127605,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127605,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127605,A81000C,00100,0600,HOME OFFICE 127605,B100000,00000,0100,0100SQUARE FEET 127605,B100000,00000,0200,0200NO STATISTICS 127605,B100000,00000,0300,0300GROSS SALARIES 127605,B100000,00000,0400,0400ACCUM. COST 127605,B100000,00000,0500,0500SQUARE FEET 127605,B100000,00000,0600,0600PATIENT DAYS 127605,B100000,00000,0700,0700SQ FT EXCL DIET 127605,B100000,00000,0800,0800PATIENT DAYS 127605,B100000,00000,0900,0900NO STATISTICS 127605,B100000,00000,1000,1000PATIENT DAYS 127605,B100000,00000,1100,1100NO STATISTICS 127605,B100000,00000,1200,1200NO STATISTICS 127605,B100000,00000,1300,1300NO STATISTICS 127605,B100000,00000,1400,1400NO STATISTICS 127605,B100000,00000,1500,1350PATIENT DAYS 127605,E10A180,00301,0100,10/27/99 127605,E10A180,00302,0100,11/29/99 127605,E10A180,00350,0300,12/31/99 127605,S000000,00100,0200,06/01/00 127605,S200000,00100,0100,2301 WEST MONROE 127605,S200000,00200,0100,SPRINGFIELD 127605,S200000,00200,0200,IL 127605,S200000,00200,0300,62704 127605,S200000,00300,0100,SANGAMON 127605,S200000,00400,0100,WESTABBE HEALTH CARE CENTER 127605,S200000,00400,0200,145861 127605,S200000,00400,0300,02/01/96 127605,S200000,00400,0500,P 127605,S200000,01500,0100,N 127605,S200000,01600,0100,Y 127605,S200000,01700,0100,N 127605,S200000,01800,0100,N 127605,S200000,02200,0100,N 127605,S200000,02800,0100,N 127605,S200000,02900,0100,N 127605,S200000,03000,0100,N 127605,S200000,03100,0100,N 127605,S200000,03200,0100,N 127605,S200000,03300,0100,N 127605,S200000,03300,0200,N 127605,S200000,04100,0100,N 127605,S200000,04200,0100,N 127605,S200000,04300,0100,N 127605,S200000,04600,0100,N 127605,S200000,04700,0100,N 127605,S200000,04700,0200,N 127605,S200000,04900,0100,N 127606,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127606,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127606,A000000,00300,0000,0300EMPLOYEE BENEFITS 127606,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127606,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127606,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127606,A000000,00700,0000,0700HOUSEKEEPING 127606,A000000,00800,0000,0800DIETARY 127606,A000000,00900,0000,0900NURSING ADMINISTRATION 127606,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127606,A000000,01100,0000,1100PHARMACY 127606,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127606,A000000,01300,0000,1300SOCIAL SERVICE 127606,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127606,A000000,01500,0000,1350RESIDENT ACTIVITIES 127606,A000000,01600,0000,1600SKILLED NURSING FACILITY 127606,A000000,01800,0000,1800NURSING FACILITY 127606,A000000,01810,0000,1810ICF/MR 127606,A000000,02200,0000,2200LABORATORY 127606,A000000,02300,0000,2300INTRAVENOUS THERAPY 127606,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127606,A000000,02500,0000,2500PHYSICAL THERAPY 127606,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127606,A000000,02700,0000,2700SPEECH PATHOLOGY 127606,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127606,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127606,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127606,A000000,03550,0000,3550FQHC 127606,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127606,A000000,05000,0000,5000CORF 127606,A000000,05010,0000,5010CMHC 127606,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127606,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127606,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127606,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127606,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127606,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127606,A81000A,00100,0100,Y 127606,A81000B,00100,0300,HOME OFFICE INT EXP 127606,A81000B,00200,0300,HOME OFFICE HCFP 127606,A81000C,00100,0100,B 127606,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127606,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127606,A81000C,00100,0600,HOME OFFICE 127606,B100000,00000,0100,0100SQUARE FEET 127606,B100000,00000,0200,0200NO STATISTICS 127606,B100000,00000,0300,0300GROSS SALARIES 127606,B100000,00000,0400,0400ACCUM. COST 127606,B100000,00000,0500,0500SQUARE FEET 127606,B100000,00000,0600,0600PATIENT DAYS 127606,B100000,00000,0700,0700SQ FT EXCL D 127606,B100000,00000,0800,0800PATIENT DAYS 127606,B100000,00000,0900,0900PATIENT DAYS 127606,B100000,00000,1000,1000PATIENT DAYS 127606,B100000,00000,1100,1100PATIENT DAYS 127606,B100000,00000,1200,1200PATIENT DAYS 127606,B100000,00000,1300,1300PATIENT DAYS 127606,B100000,00000,1400,1400NO STATISTICS 127606,B100000,00000,1500,1350PATIENT DAYS 127606,E10A180,00301,0100,10/27/99 127606,E10A180,00302,0100,11/29/99 127606,E10A180,00350,0300,12/31/99 127606,E10A180,00550,0100,06/27/00 127606,S000000,00100,0200,06/01/00 127606,S200000,00100,0100,1500 W. ST. LOUIS AVENUE 127606,S200000,00200,0100,VANDAILIA 127606,S200000,00200,0200,IL 127606,S200000,00200,0300,62471 127606,S200000,00300,0100,FAYETTE 127606,S200000,00400,0100,CHERRYWOOD HEALTH CARE CENTER 127606,S200000,00400,0200,145903 127606,S200000,00400,0300,10/01/96 127606,S200000,00400,0500,P 127606,S200000,01500,0100,N 127606,S200000,01600,0100,Y 127606,S200000,01700,0100,N 127606,S200000,01800,0100,N 127606,S200000,02200,0100,N 127606,S200000,02800,0100,N 127606,S200000,02900,0100,N 127606,S200000,03000,0100,N 127606,S200000,03100,0100,N 127606,S200000,03200,0100,N 127606,S200000,03300,0100,N 127606,S200000,03300,0200,N 127606,S200000,04100,0100,N 127606,S200000,04200,0100,N 127606,S200000,04300,0100,N 127606,S200000,04600,0100,N 127606,S200000,04700,0100,N 127606,S200000,04700,0200,N 127606,S200000,04900,0100,N 127607,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127607,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127607,A000000,00300,0000,0300EMPLOYEE BENEFITS 127607,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127607,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127607,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127607,A000000,00700,0000,0700HOUSEKEEPING 127607,A000000,00800,0000,0800DIETARY 127607,A000000,00900,0000,0900NURSING ADMINISTRATION 127607,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127607,A000000,01100,0000,1100PHARMACY 127607,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127607,A000000,01300,0000,1300SOCIAL SERVICE 127607,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127607,A000000,01500,0000,1350RESIDENT ACTIVITIES 127607,A000000,01600,0000,1600SKILLED NURSING FACILITY 127607,A000000,01800,0000,1800NURSING FACILITY 127607,A000000,01810,0000,1810ICF/MR 127607,A000000,02100,0000,2100RADIOLOGY 127607,A000000,02200,0000,2200LABORATORY 127607,A000000,02300,0000,2300INTRAVENOUS THERAPY 127607,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127607,A000000,02500,0000,2500PHYSICAL THERAPY 127607,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127607,A000000,02700,0000,2700SPEECH PATHOLOGY 127607,A000000,02800,0000,2800ELECTROCARDIOLOGY 127607,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127607,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127607,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127607,A000000,03550,0000,3550FQHC 127607,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127607,A000000,05000,0000,5000CORF 127607,A000000,05010,0000,5010CMHC 127607,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127607,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127607,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127607,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127607,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127607,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127607,A81000A,00100,0100,Y 127607,A81000B,00100,0300,HOME OFFICE INTEREST EXP 127607,A81000B,00200,0300,HCFP INT EXP 127607,A81000C,00100,0100,B 127607,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127607,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127607,A81000C,00100,0600,HOME OFFICE 127607,B100000,00000,0100,0100SQ FEET 127607,B100000,00000,0200,0200NO STATISTICS 127607,B100000,00000,0300,0300GROSS SALARIES 127607,B100000,00000,0400,0400ACCUM. COST 127607,B100000,00000,0500,0500SQ FEET 127607,B100000,00000,0600,0600PATIENT DAYS 127607,B100000,00000,0700,0700SQ FT EXCL D 127607,B100000,00000,0800,0800PATIENT DAYS 127607,B100000,00000,0900,0900PATIENT DAYS 127607,B100000,00000,1000,1000PATIENT DAYS 127607,B100000,00000,1100,1100PATIENT DAYS 127607,B100000,00000,1200,1200PATIENT DAYS 127607,B100000,00000,1300,1300PATIENT DAYS 127607,B100000,00000,1400,1400NO STATISTICS 127607,B100000,00000,1500,1350PATIENT DAYS 127607,E10A180,00301,0100,10/27/99 127607,E10A180,00302,0100,11/29/99 127607,E10A180,00350,0100,12/31/99 127607,E10A180,00350,0300,12/31/99 127607,S000000,00100,0200,06/01/00 127607,S200000,00100,0100,ROUTE 127 SOUTH 127607,S200000,00200,0100,JONESBORO 127607,S200000,00200,0200,IL 127607,S200000,00200,0300,62952 127607,S200000,00300,0100,UNION 127607,S200000,00400,0100,JONESBORO HEALTH CARE CENTER 127607,S200000,00400,0200,145905 127607,S200000,00400,0300,11/01/96 127607,S200000,00400,0500,P 127607,S200000,01500,0100,N 127607,S200000,01600,0100,Y 127607,S200000,01700,0100,N 127607,S200000,01800,0100,N 127607,S200000,02200,0100,N 127607,S200000,02800,0100,N 127607,S200000,02900,0100,N 127607,S200000,03000,0100,N 127607,S200000,03100,0100,N 127607,S200000,03200,0100,N 127607,S200000,03300,0100,N 127607,S200000,03300,0200,N 127607,S200000,04100,0100,N 127607,S200000,04200,0100,N 127607,S200000,04300,0100,N 127607,S200000,04600,0100,N 127607,S200000,04700,0100,N 127607,S200000,04700,0200,N 127607,S200000,04900,0100,N 127608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127608,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127608,A000000,00300,0000,0300EMPLOYEE BENEFITS 127608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127608,A000000,00700,0000,0700HOUSEKEEPING 127608,A000000,00800,0000,0800DIETARY 127608,A000000,00900,0000,0900NURSING ADMINISTRATION 127608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127608,A000000,01100,0000,1100PHARMACY 127608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127608,A000000,01300,0000,1300SOCIAL SERVICE 127608,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127608,A000000,01500,0000,1350RESIDENT ACTIVITIES 127608,A000000,01600,0000,1600SKILLED NURSING FACILITY 127608,A000000,01800,0000,1800NURSING FACILITY 127608,A000000,01810,0000,1810ICF/MR 127608,A000000,02200,0000,2200LABORATORY 127608,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127608,A000000,02500,0000,2500PHYSICAL THERAPY 127608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127608,A000000,02700,0000,2700SPEECH PATHOLOGY 127608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127608,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127608,A000000,03550,0000,3550FQHC 127608,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127608,A000000,05000,0000,5000CORF 127608,A000000,05010,0000,5010CMHC 127608,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127608,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127608,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127608,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127608,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127608,A81000A,00100,0100,Y 127608,A81000B,00100,0300,INTEREST EXPENSE 127608,A81000B,00200,0300,INTEREST EXPENSE HCFP 127608,A81000C,00100,0100,B 127608,A81000C,00100,0200,SENIOR LIVING PROPERTIES 127608,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127608,A81000C,00100,0600,HOME OFFICE 127608,B100000,00000,0100,0100SQ FOOTAGE 127608,B100000,00000,0200,0200NO STATISTICS 127608,B100000,00000,0300,0300GROSS SALARI 127608,B100000,00000,0400,0400ACCUM. COST 127608,B100000,00000,0500,0500SQ FOOTAGE 127608,B100000,00000,0600,0600RESIDENT DAYS 127608,B100000,00000,0700,0700SQ FT EXCL D 127608,B100000,00000,0800,0800RESIDENT DAYS 127608,B100000,00000,0900,0900RESIDENT DAYS 127608,B100000,00000,1000,1000RESIDENT DAYS 127608,B100000,00000,1100,1100RESIDENT DAYS 127608,B100000,00000,1200,1200RESIDENT DAYS 127608,B100000,00000,1300,1300RESIDENT DAYS 127608,B100000,00000,1400,1400ASSIGNED TIME 127608,B100000,00000,1500,1350RESIDENT DAYS 127608,E10A180,00301,0300,12/31/99 127608,S000000,00100,0200,06/01/00 127608,S200000,00100,0100,405 WEST CARPENTER 127608,S200000,00200,0100,MCCLEANSBORO 127608,S200000,00200,0200,IL 127608,S200000,00200,0300,62859 127608,S200000,00300,0100,HAMILTON 127608,S200000,00400,0100,MCLEANSBORO HEALTH CARE CENTER 127608,S200000,00400,0200,145964 127608,S200000,00400,0300,06/28/98 127608,S200000,00400,0500,P 127608,S200000,01500,0100,N 127608,S200000,01600,0100,Y 127608,S200000,01700,0100,N 127608,S200000,01800,0100,N 127608,S200000,02200,0100,N 127608,S200000,02800,0100,N 127608,S200000,02900,0100,N 127608,S200000,03000,0100,N 127608,S200000,03100,0100,N 127608,S200000,03200,0100,N 127608,S200000,03300,0100,N 127608,S200000,03300,0200,N 127608,S200000,04100,0100,N 127608,S200000,04200,0100,N 127608,S200000,04300,0100,N 127608,S200000,04600,0100,N 127608,S200000,04700,0100,N 127608,S200000,04700,0200,N 127608,S200000,04900,0100,N 127609,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127609,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127609,A000000,00300,0000,0300EMPLOYEE BENEFITS 127609,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127609,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127609,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127609,A000000,00700,0000,0700HOUSEKEEPING 127609,A000000,00800,0000,0800DIETARY 127609,A000000,00900,0000,0900NURSING ADMINISTRATION 127609,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127609,A000000,01100,0000,1100PHARMACY 127609,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127609,A000000,01300,0000,1300SOCIAL SERVICE 127609,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127609,A000000,01500,0000,1350PATIENT ACTIVITIES 127609,A000000,01600,0000,1600SKILLED NURSING FACILITY 127609,A000000,01800,0000,1800NURSING FACILITY 127609,A000000,01810,0000,1810ICF/MR 127609,A000000,02100,0000,2100RADIOLOGY 127609,A000000,02200,0000,2200LABORATORY 127609,A000000,02300,0000,2300INTRAVENOUS THERAPY 127609,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127609,A000000,02500,0000,2500PHYSICAL THERAPY 127609,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127609,A000000,02700,0000,2700SPEECH PATHOLOGY 127609,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127609,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127609,A000000,03200,0000,3200SUPPORT SURFACES 127609,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127609,A000000,03550,0000,3550FQHC 127609,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127609,A000000,05000,0000,5000CORF 127609,A000000,05010,0000,5010CMHC 127609,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127609,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127609,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127609,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127609,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127609,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127609,A81000A,00100,0100,Y 127609,A81000B,00100,0300,INTEREST EXPENSE 127609,A81000B,00200,0300,INTEREST EXPENSE HCFP 127609,A81000C,00100,0100,B 127609,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127609,A81000C,00100,0600,HOME OFFICE 127609,B100000,00000,0100,0100SQUARE FEET 127609,B100000,00000,0200,0200NO STATISTICS 127609,B100000,00000,0300,0300GROSS SALARIES 127609,B100000,00000,0400,0400ACCUM. COST 127609,B100000,00000,0500,0500SQUARE FEET 127609,B100000,00000,0600,0600PATIENT DAYS 127609,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127609,B100000,00000,0800,0800PATIENT DAYS 127609,B100000,00000,0900,0900NO STATISTICS 127609,B100000,00000,1000,1000PATIENT DAYS 127609,B100000,00000,1100,1100PATIENT DAYS 127609,B100000,00000,1200,1200NO STATISTICS 127609,B100000,00000,1300,1300NO STATISTICS 127609,B100000,00000,1400,1400NO STATISTICS 127609,B100000,00000,1500,1350PATIENT DAYS 127609,E10A180,00301,0100,10/27/99 127609,E10A180,00302,0100,11/29/99 127609,S000000,00100,0200,06/01/00 127609,S200000,00100,0100,610 DESHONG DRIVE 127609,S200000,00200,0100,PARIS 127609,S200000,00200,0200,TX 127609,S200000,00200,0300,75460 127609,S200000,00300,0100,LAMAR 127609,S200000,00300,0200,0045 127609,S200000,00300,0300,R 127609,S200000,00400,0100,PARIS HEALTHCARE CENTER 127609,S200000,00400,0200,455831 127609,S200000,00400,0300,07/05/89 127609,S200000,00400,0500,P 127609,S200000,01500,0100,N 127609,S200000,01600,0100,Y 127609,S200000,01700,0100,N 127609,S200000,01800,0100,N 127609,S200000,02200,0100,N 127609,S200000,02800,0100,N 127609,S200000,02900,0100,N 127609,S200000,03000,0100,N 127609,S200000,03100,0100,N 127609,S200000,03200,0100,N 127609,S200000,03300,0100,N 127609,S200000,03300,0200,N 127609,S200000,04100,0100,N 127609,S200000,04200,0100,N 127609,S200000,04300,0100,Y 127609,S200000,04600,0100,N 127609,S200000,04700,0100,N 127609,S200000,04700,0200,N 127609,S200000,04900,0100,N 127610,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127610,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127610,A000000,00300,0000,0300EMPLOYEE BENEFITS 127610,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127610,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127610,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127610,A000000,00700,0000,0700HOUSEKEEPING 127610,A000000,00800,0000,0800DIETARY 127610,A000000,00900,0000,0900NURSING ADMINISTRATION 127610,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127610,A000000,01100,0000,1100PHARMACY 127610,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127610,A000000,01300,0000,1300SOCIAL SERVICE 127610,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127610,A000000,01500,0000,1350PATIENT ACTIVITIES 127610,A000000,01600,0000,1600SKILLED NURSING FACILITY 127610,A000000,01800,0000,1800NURSING FACILITY 127610,A000000,01810,0000,1810ICF/MR 127610,A000000,02100,0000,2100RADIOLOGY 127610,A000000,02200,0000,2200LABORATORY 127610,A000000,02300,0000,2300INTRAVENOUS THERAPY 127610,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127610,A000000,02500,0000,2500PHYSICAL THERAPY 127610,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127610,A000000,02700,0000,2700SPEECH PATHOLOGY 127610,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127610,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127610,A000000,03200,0000,3200SUPPORT SURFACES 127610,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127610,A000000,03550,0000,3550FQHC 127610,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127610,A000000,05000,0000,5000CORF 127610,A000000,05010,0000,5010CMHC 127610,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127610,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127610,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127610,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127610,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127610,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127610,A81000A,00100,0100,Y 127610,A81000B,00100,0300,INTEREST EXPENSE 127610,A81000B,00200,0300,INTEREST EXPENSE HCFP 127610,A81000C,00100,0100,B 127610,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127610,A81000C,00100,0600,HOME OFFICE 127610,B100000,00000,0100,0100SQUARE FEET 127610,B100000,00000,0200,0200NO STATISTICS 127610,B100000,00000,0300,0300GROSS SALARIES 127610,B100000,00000,0400,0400ACCUM. COST 127610,B100000,00000,0500,0500SQUARE FEET 127610,B100000,00000,0600,0600PATIENT DAYS 127610,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127610,B100000,00000,0800,0800PATIENT DAYS 127610,B100000,00000,0900,0900NO STATISTICS 127610,B100000,00000,1000,1000PATIENT DAYS 127610,B100000,00000,1100,1100PATIENT DAYS 127610,B100000,00000,1200,1200NO STATISTICS 127610,B100000,00000,1300,1300NO STATISTICS 127610,B100000,00000,1400,1400NO STATISTICS 127610,B100000,00000,1500,1350PATIENT DAYS 127610,E10A180,00301,0100,10/27/99 127610,E10A180,00302,0100,11/29/99 127610,S000000,00100,0200,06/01/00 127610,S200000,00100,0100,319 PARIS ROAD 127610,S200000,00200,0100,BOGATA 127610,S200000,00200,0200,TX 127610,S200000,00200,0300,75417 127610,S200000,00300,0100,RED RIVER 127610,S200000,00300,0200,0045 127610,S200000,00300,0300,R 127610,S200000,00400,0100,RED RIVER HEALTHCARE CENTER 127610,S200000,00400,0200,455944 127610,S200000,00400,0300,09/12/91 127610,S200000,00400,0500,P 127610,S200000,01500,0100,N 127610,S200000,01600,0100,Y 127610,S200000,01700,0100,N 127610,S200000,01800,0100,N 127610,S200000,02200,0100,N 127610,S200000,02800,0100,N 127610,S200000,02900,0100,N 127610,S200000,03000,0100,N 127610,S200000,03100,0100,N 127610,S200000,03200,0100,N 127610,S200000,03300,0100,N 127610,S200000,03300,0200,N 127610,S200000,04100,0100,N 127610,S200000,04200,0100,N 127610,S200000,04300,0100,Y 127610,S200000,04600,0100,N 127610,S200000,04700,0100,N 127610,S200000,04700,0200,N 127610,S200000,04900,0100,N 127611,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127611,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127611,A000000,00300,0000,0300EMPLOYEE BENEFITS 127611,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127611,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127611,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127611,A000000,00700,0000,0700HOUSEKEEPING 127611,A000000,00800,0000,0800DIETARY 127611,A000000,00900,0000,0900NURSING ADMINISTRATION 127611,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127611,A000000,01100,0000,1100PHARMACY 127611,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127611,A000000,01300,0000,1300SOCIAL SERVICE 127611,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127611,A000000,01500,0000,1350PATIENT ACTIVITIES 127611,A000000,01600,0000,1600SKILLED NURSING FACILITY 127611,A000000,01800,0000,1800NURSING FACILITY 127611,A000000,01810,0000,1810ICF/MR 127611,A000000,02300,0000,2300INTRAVENOUS THERAPY 127611,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127611,A000000,02500,0000,2500PHYSICAL THERAPY 127611,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127611,A000000,02700,0000,2700SPEECH PATHOLOGY 127611,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127611,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127611,A000000,03200,0000,3200SUPPORT SURFACES 127611,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127611,A000000,03550,0000,3550FQHC 127611,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127611,A000000,05000,0000,5000CORF 127611,A000000,05010,0000,5010CMHC 127611,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127611,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127611,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127611,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127611,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127611,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127611,A81000A,00100,0100,Y 127611,A81000B,00100,0300,INTEREST EXPENSE 127611,A81000B,00200,0300,INTEREST EXPENSE HCFP 127611,A81000C,00100,0100,B 127611,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127611,A81000C,00100,0600,HOME OFFICE 127611,B100000,00000,0100,0100SQUARE FEET 127611,B100000,00000,0200,0200NO STATISTICS 127611,B100000,00000,0300,0300GROSS SALARIES 127611,B100000,00000,0400,0400ACCUM. COST 127611,B100000,00000,0500,0500SQUARE FEET 127611,B100000,00000,0600,0600PATIENT DAYS 127611,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127611,B100000,00000,0800,0800PATIENT DAYS 127611,B100000,00000,0900,0900NO STATISTICS 127611,B100000,00000,1000,1000PATIENT DAYS 127611,B100000,00000,1100,1100PATIENT DAYS 127611,B100000,00000,1200,1200NO STATISTICS 127611,B100000,00000,1300,1300NO STATISTICS 127611,B100000,00000,1400,1400NO STATISTICS 127611,B100000,00000,1500,1350PATIENT DAYS 127611,E10A180,00301,0100,10/27/99 127611,E10A180,00302,0100,11/29/99 127611,S000000,00100,0200,06/01/00 127611,S200000,00100,0100,711 EAST FIFTH 127611,S200000,00200,0100,ROTAN 127611,S200000,00200,0200,TX 127611,S200000,00300,0100,FISHER 127611,S200000,00300,0200,0045 127611,S200000,00300,0300,R 127611,S200000,00400,0100,ROTAN HEALTHCARE CENTER 127611,S200000,00400,0200,455948 127611,S200000,00400,0300,09/11/91 127611,S200000,00400,0500,P 127611,S200000,01500,0100,Y 127611,S200000,01600,0100,N 127611,S200000,01700,0100,N 127611,S200000,01800,0100,N 127611,S200000,02200,0100,N 127611,S200000,02800,0100,N 127611,S200000,02900,0100,N 127611,S200000,03000,0100,N 127611,S200000,03100,0100,N 127611,S200000,03200,0100,N 127611,S200000,03300,0100,N 127611,S200000,03300,0200,N 127611,S200000,04100,0100,N 127611,S200000,04200,0100,N 127611,S200000,04300,0100,Y 127611,S200000,04600,0100,N 127611,S200000,04700,0100,N 127611,S200000,04700,0200,N 127611,S200000,04900,0100,N 127612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127612,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127612,A000000,00300,0000,0300EMPLOYEE BENEFITS 127612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127612,A000000,00700,0000,0700HOUSEKEEPING 127612,A000000,00800,0000,0800DIETARY 127612,A000000,00900,0000,0900NURSING ADMINISTRATION 127612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127612,A000000,01100,0000,1100PHARMACY 127612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127612,A000000,01300,0000,1300SOCIAL SERVICE 127612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127612,A000000,01500,0000,1350PATIENT ACTIVITIES 127612,A000000,01600,0000,1600SKILLED NURSING FACILITY 127612,A000000,01800,0000,1800NURSING FACILITY 127612,A000000,01810,0000,1810ICF/MR 127612,A000000,02100,0000,2100RADIOLOGY 127612,A000000,02200,0000,2200LABORATORY 127612,A000000,02300,0000,2300INTRAVENOUS THERAPY 127612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127612,A000000,02500,0000,2500PHYSICAL THERAPY 127612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127612,A000000,02700,0000,2700SPEECH PATHOLOGY 127612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127612,A000000,03200,0000,3200SUPPORT SURFACES 127612,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127612,A000000,03550,0000,3550FQHC 127612,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127612,A000000,05000,0000,5000CORF 127612,A000000,05010,0000,5010CMHC 127612,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127612,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127612,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127612,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127612,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127612,A81000A,00100,0100,Y 127612,A81000B,00100,0300,INTEREST EXPENSE 127612,A81000B,00200,0300,INTEREST EXPENSE HCFP 127612,A81000C,00100,0100,B 127612,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127612,A81000C,00100,0600,HOME OFFICE 127612,B100000,00000,0100,0100SQUARE FEET 127612,B100000,00000,0200,0200NO STATISTICS 127612,B100000,00000,0300,0300GROSS SALARIES 127612,B100000,00000,0400,0400ACCUM. COST 127612,B100000,00000,0500,0500SQUARE FEET 127612,B100000,00000,0600,0600PATIENT DAYS 127612,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127612,B100000,00000,0800,0800PATIENT DAYS 127612,B100000,00000,0900,0900NO STATISTICS 127612,B100000,00000,1000,1000PATIENT DAYS 127612,B100000,00000,1100,1100PATIENT DAYS 127612,B100000,00000,1200,1200NO STATISTICS 127612,B100000,00000,1300,1300NO STATISTICS 127612,B100000,00000,1400,1400NO STATISTICS 127612,B100000,00000,1500,1350PATIENT DAYS 127612,E10A180,00301,0100,10/27/99 127612,E10A180,00302,0100,11/29/99 127612,S000000,00100,0200,06/01/00 127612,S200000,00100,0100,1661 SOUTH BUFFALO STREET 127612,S200000,00200,0100,CANTON 127612,S200000,00200,0200,TX 127612,S200000,00300,0100,VAN ZANDT 127612,S200000,00300,0200,9999 127612,S200000,00300,0300,R 127612,S200000,00400,0100,CANTON HEALTHCARE CENTER 127612,S200000,00400,0200,455987 127612,S200000,00400,0300,01/24/92 127612,S200000,00400,0500,P 127612,S200000,01500,0100,N 127612,S200000,01600,0100,Y 127612,S200000,01700,0100,N 127612,S200000,01800,0100,N 127612,S200000,02200,0100,N 127612,S200000,02800,0100,N 127612,S200000,02900,0100,N 127612,S200000,03000,0100,N 127612,S200000,03100,0100,N 127612,S200000,03200,0100,N 127612,S200000,03300,0100,N 127612,S200000,03300,0200,N 127612,S200000,04100,0100,N 127612,S200000,04200,0100,N 127612,S200000,04300,0100,Y 127612,S200000,04600,0100,N 127612,S200000,04700,0100,N 127612,S200000,04700,0200,N 127612,S200000,04900,0100,N 127613,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127613,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127613,A000000,00300,0000,0300EMPLOYEE BENEFITS 127613,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127613,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127613,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127613,A000000,00700,0000,0700HOUSEKEEPING 127613,A000000,00800,0000,0800DIETARY 127613,A000000,00900,0000,0900NURSING ADMINISTRATION 127613,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127613,A000000,01100,0000,1100PHARMACY 127613,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127613,A000000,01300,0000,1300SOCIAL SERVICE 127613,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127613,A000000,01500,0000,1350PATIENT ACTIVITIES 127613,A000000,01600,0000,1600SKILLED NURSING FACILITY 127613,A000000,01800,0000,1800NURSING FACILITY 127613,A000000,01810,0000,1810ICF/MR 127613,A000000,02200,0000,2200LABORATORY 127613,A000000,02300,0000,2300INTRAVENOUS THERAPY 127613,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127613,A000000,02500,0000,2500PHYSICAL THERAPY 127613,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127613,A000000,02700,0000,2700SPEECH PATHOLOGY 127613,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127613,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127613,A000000,03200,0000,3200SUPPORT SURFACES 127613,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127613,A000000,03550,0000,3550FQHC 127613,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127613,A000000,05000,0000,5000CORF 127613,A000000,05010,0000,5010CMHC 127613,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127613,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127613,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127613,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127613,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127613,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127613,A81000A,00100,0100,Y 127613,A81000B,00100,0300,INTEREST EXPENSE 127613,A81000B,00200,0300,INTEREST EXPENSE HCFP 127613,A81000C,00100,0100,B 127613,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127613,A81000C,00100,0600,HOME OFFICE 127613,B100000,00000,0100,0100SQUARE FEET 127613,B100000,00000,0200,0200NO STATISTICS 127613,B100000,00000,0300,0300GROSS SALARIES 127613,B100000,00000,0400,0400ACCUM. COST 127613,B100000,00000,0500,0500SQUARE FEET 127613,B100000,00000,0600,0600PATIENT DAYS 127613,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127613,B100000,00000,0800,0800PATIENT DAYS 127613,B100000,00000,0900,0900NO STATISTICS 127613,B100000,00000,1000,1000PATIENT DAYS 127613,B100000,00000,1100,1100PATIENT DAYS 127613,B100000,00000,1200,1200NO STATISTICS 127613,B100000,00000,1300,1300NO STATISTICS 127613,B100000,00000,1400,1400NO STATISTICS 127613,B100000,00000,1500,1350PATIENT DAYS 127613,E10A180,00301,0100,10/27/99 127613,E10A180,00302,0100,11/29/99 127613,S000000,00100,0200,06/01/00 127613,S200000,00100,0100,2713 SOUTH COMMERCIAL AVENUE 127613,S200000,00200,0100,COLEMAN 127613,S200000,00200,0200,TX 127613,S200000,00200,0300,76834 127613,S200000,00300,0100,COLEMAN 127613,S200000,00400,0100,COLEMAN HEALTHCARE CENTER 127613,S200000,00400,0200,675009 127613,S200000,00400,0300,03/17/92 127613,S200000,00400,0500,P 127613,S200000,01500,0100,N 127613,S200000,01600,0100,Y 127613,S200000,01700,0100,N 127613,S200000,01800,0100,N 127613,S200000,02200,0100,N 127613,S200000,02800,0100,N 127613,S200000,02900,0100,N 127613,S200000,03000,0100,N 127613,S200000,03100,0100,N 127613,S200000,03200,0100,N 127613,S200000,03300,0100,N 127613,S200000,03300,0200,N 127613,S200000,04100,0100,N 127613,S200000,04200,0100,N 127613,S200000,04300,0100,Y 127613,S200000,04600,0100,N 127613,S200000,04700,0100,N 127613,S200000,04700,0200,N 127613,S200000,04900,0100,N 127614,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127614,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127614,A000000,00300,0000,0300EMPLOYEE BENEFITS 127614,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127614,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127614,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127614,A000000,00700,0000,0700HOUSEKEEPING 127614,A000000,00800,0000,0800DIETARY 127614,A000000,00900,0000,0900NURSING ADMINISTRATION 127614,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127614,A000000,01100,0000,1100PHARMACY 127614,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127614,A000000,01300,0000,1300SOCIAL SERVICE 127614,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127614,A000000,01500,0000,1350PATIENT ACTIVITIES 127614,A000000,01600,0000,1600SKILLED NURSING FACILITY 127614,A000000,01800,0000,1800NURSING FACILITY 127614,A000000,01810,0000,1810ICF/MR 127614,A000000,02300,0000,2300INTRAVENOUS THERAPY 127614,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127614,A000000,02500,0000,2500PHYSICAL THERAPY 127614,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127614,A000000,02700,0000,2700SPEECH PATHOLOGY 127614,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127614,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127614,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127614,A000000,03550,0000,3550FQHC 127614,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127614,A000000,05000,0000,5000CORF 127614,A000000,05010,0000,5010CMHC 127614,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127614,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127614,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127614,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127614,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127614,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127614,A81000A,00100,0100,Y 127614,A81000B,00100,0300,INTEREST EXPENSE 127614,A81000B,00200,0300,INTEREST EXPENSE HCFP 127614,A81000C,00100,0100,B 127614,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127614,A81000C,00100,0600,HOME OFFICE 127614,B100000,00000,0100,0100SQUARE FEET 127614,B100000,00000,0200,0200NO STATISTICS 127614,B100000,00000,0300,0300GROSS SALARIES 127614,B100000,00000,0400,0400ACCUM. COST 127614,B100000,00000,0500,0500SQUARE FEET 127614,B100000,00000,0600,0600PATIENT DAYS 127614,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127614,B100000,00000,0800,0800PATIENT DAYS 127614,B100000,00000,0900,0900NO STATISTICS 127614,B100000,00000,1000,1000PATIENT DAYS 127614,B100000,00000,1100,1100PATIENT DAYS 127614,B100000,00000,1200,1200NO STATISTICS 127614,B100000,00000,1300,1300NO STATISTICS 127614,B100000,00000,1400,1400NO STATISTICS 127614,B100000,00000,1500,1350PATIENT DAYS 127614,E10A180,00301,0100,10/27/99 127614,E10A180,00302,0100,11/29/99 127614,S000000,00100,0200,06/01/00 127614,S200000,00100,0100,407 BONITA STREET 127614,S200000,00200,0100,JACKSONVILLE 127614,S200000,00200,0200,TX 127614,S200000,00200,0300,70023 127614,S200000,00300,0100,CHEROKEE 127614,S200000,00300,0200,9999 127614,S200000,00300,0300,R 127614,S200000,00400,0100,JACKSONVILLE HEALTHCARE CENTER 127614,S200000,00400,0200,675011 127614,S200000,00400,0300,02/20/92 127614,S200000,00400,0500,P 127614,S200000,01500,0100,N 127614,S200000,01600,0100,Y 127614,S200000,01700,0100,N 127614,S200000,01800,0100,N 127614,S200000,02200,0100,N 127614,S200000,02800,0100,N 127614,S200000,02900,0100,N 127614,S200000,03000,0100,N 127614,S200000,03100,0100,N 127614,S200000,03200,0100,N 127614,S200000,03300,0100,N 127614,S200000,03300,0200,N 127614,S200000,04100,0100,N 127614,S200000,04200,0100,N 127614,S200000,04300,0100,Y 127614,S200000,04600,0100,N 127614,S200000,04700,0100,N 127614,S200000,04700,0200,N 127614,S200000,04900,0100,N 127615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127615,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127615,A000000,00300,0000,0300EMPLOYEE BENEFITS 127615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127615,A000000,00700,0000,0700HOUSEKEEPING 127615,A000000,00800,0000,0800DIETARY 127615,A000000,00900,0000,0900NURSING ADMINISTRATION 127615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127615,A000000,01100,0000,1100PHARMACY 127615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127615,A000000,01300,0000,1300SOCIAL SERVICE 127615,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127615,A000000,01500,0000,1350PATIENT ACTIVITIES 127615,A000000,01600,0000,1600SKILLED NURSING FACILITY 127615,A000000,01800,0000,1800NURSING FACILITY 127615,A000000,01810,0000,1810ICF/MR 127615,A000000,02100,0000,2100RADIOLOGY 127615,A000000,02200,0000,2200LABORATORY 127615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127615,A000000,02500,0000,2500PHYSICAL THERAPY 127615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127615,A000000,02700,0000,2700SPEECH PATHOLOGY 127615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127615,A000000,03200,0000,3200SUPPORT SURFACES 127615,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127615,A000000,03550,0000,3550FQHC 127615,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127615,A000000,05000,0000,5000CORF 127615,A000000,05010,0000,5010CMHC 127615,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127615,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127615,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127615,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127615,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127615,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127615,A81000A,00100,0100,Y 127615,A81000B,00100,0300,INTEREST EXPENSE 127615,A81000B,00200,0300,INTEREST EXPENSE HCFP 127615,A81000C,00100,0100,B 127615,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127615,A81000C,00100,0600,HOME OFFICE 127615,B100000,00000,0100,0100SQUARE FEET 127615,B100000,00000,0200,0200NO STATISTICS 127615,B100000,00000,0300,0300GROSS SALARIES 127615,B100000,00000,0400,0400ACCUM. COST 127615,B100000,00000,0500,0500SQUARE FEET 127615,B100000,00000,0600,0600PATIENT DAYS 127615,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127615,B100000,00000,0800,0800PATIENT DAYS 127615,B100000,00000,0900,0900NO STATISTICS 127615,B100000,00000,1000,1000PATIENT DAYS 127615,B100000,00000,1100,1100PATIENT DAYS 127615,B100000,00000,1200,1200NO STATISTICS 127615,B100000,00000,1300,1300NO STATISTICS 127615,B100000,00000,1400,1400NO STATISTICS 127615,B100000,00000,1500,1350PATIENT DAYS 127615,E10A180,00301,0100,10/27/99 127615,E10A180,00302,0100,11/29/99 127615,S000000,00100,0200,06/01/00 127615,S200000,00100,0100,1504 N. 1ST STREET 127615,S200000,00200,0100,HASKELL 127615,S200000,00200,0200,TX 127615,S200000,00200,0300,79521 127615,S200000,00300,0100,HASKELL 127615,S200000,00300,0200,0067 127615,S200000,00300,0300,R 127615,S200000,00400,0100,HASKELL HEALTHCARE CENTER 127615,S200000,00400,0200,675014 127615,S200000,00400,0300,04/06/92 127615,S200000,00400,0500,P 127615,S200000,01500,0100,N 127615,S200000,01600,0100,Y 127615,S200000,01700,0100,N 127615,S200000,01800,0100,N 127615,S200000,02200,0100,N 127615,S200000,02800,0100,N 127615,S200000,02900,0100,N 127615,S200000,03000,0100,N 127615,S200000,03100,0100,N 127615,S200000,03200,0100,N 127615,S200000,03300,0100,N 127615,S200000,03300,0200,N 127615,S200000,04100,0100,N 127615,S200000,04200,0100,N 127615,S200000,04300,0100,Y 127615,S200000,04600,0100,N 127615,S200000,04700,0100,N 127615,S200000,04700,0200,N 127615,S200000,04900,0100,N 127616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127616,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127616,A000000,00300,0000,0300EMPLOYEE BENEFITS 127616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127616,A000000,00700,0000,0700HOUSEKEEPING 127616,A000000,00800,0000,0800DIETARY 127616,A000000,00900,0000,0900NURSING ADMINISTRATION 127616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127616,A000000,01100,0000,1100PHARMACY 127616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127616,A000000,01300,0000,1300SOCIAL SERVICE 127616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127616,A000000,01500,0000,1350PATIENT ACTIVITIES 127616,A000000,01600,0000,1600SKILLED NURSING FACILITY 127616,A000000,01800,0000,1800NURSING FACILITY 127616,A000000,01810,0000,1810ICF/MR 127616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127616,A000000,02500,0000,2500PHYSICAL THERAPY 127616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127616,A000000,02700,0000,2700SPEECH PATHOLOGY 127616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127616,A000000,03200,0000,3200SUPPORT SURFACES 127616,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127616,A000000,03550,0000,3550FQHC 127616,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127616,A000000,05000,0000,5000CORF 127616,A000000,05010,0000,5010CMHC 127616,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127616,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127616,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127616,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127616,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127616,A000000,05601,0000,5351ICF\MR 127616,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127616,A81000A,00100,0100,Y 127616,A81000B,00100,0300,INTEREST EXPENSE 127616,A81000B,00200,0300,INTEREST EXPENSE HCFP 127616,A81000C,00100,0100,B 127616,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127616,A81000C,00100,0600,HOME OFFICE 127616,B100000,00000,0100,0100SQUARE FEET 127616,B100000,00000,0200,0200NO STATISTICS 127616,B100000,00000,0300,0300GROSS SALARIES 127616,B100000,00000,0400,0400ACCUM. COST 127616,B100000,00000,0500,0500SQUARE FEET 127616,B100000,00000,0600,0600PATIENT DAYS 127616,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127616,B100000,00000,0800,0800PATIENT DAYS 127616,B100000,00000,0900,0900NO STATISTICS 127616,B100000,00000,1000,1000PATIENT DAYS 127616,B100000,00000,1100,1100PATIENT DAYS 127616,B100000,00000,1200,1200NO STATISTICS 127616,B100000,00000,1300,1300NO STATISTICS 127616,B100000,00000,1400,1400NO STATISTICS 127616,B100000,00000,1500,1350PATIENT DAYS 127616,E10A180,00301,0100,10/27/99 127616,E10A180,00302,0100,11/29/99 127616,S000000,00100,0200,06/01/00 127616,S200000,00100,0100,1514 INDIAN CREEK ROAD 127616,S200000,00200,0100,BROWNWOOD 127616,S200000,00200,0200,TX 127616,S200000,00300,0100,BROWN 127616,S200000,00300,0200,9999 127616,S200000,00300,0300,R 127616,S200000,00400,0100,CROSS COUNTRY HEALTHCARE CENTER 127616,S200000,00400,0200,675017 127616,S200000,00400,0300,10/23/91 127616,S200000,00400,0500,P 127616,S200000,01500,0100,N 127616,S200000,01600,0100,Y 127616,S200000,01700,0100,N 127616,S200000,01800,0100,N 127616,S200000,02200,0100,N 127616,S200000,02800,0100,N 127616,S200000,02900,0100,N 127616,S200000,03000,0100,N 127616,S200000,03100,0100,N 127616,S200000,03200,0100,N 127616,S200000,03300,0100,N 127616,S200000,03300,0200,N 127616,S200000,04100,0100,N 127616,S200000,04200,0100,N 127616,S200000,04300,0100,Y 127616,S200000,04600,0100,N 127616,S200000,04700,0100,N 127616,S200000,04700,0200,N 127616,S200000,04900,0100,N 127617,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127617,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127617,A000000,00300,0000,0300EMPLOYEE BENEFITS 127617,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127617,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127617,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127617,A000000,00700,0000,0700HOUSEKEEPING 127617,A000000,00800,0000,0800DIETARY 127617,A000000,00900,0000,0900NURSING ADMINISTRATION 127617,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127617,A000000,01100,0000,1100PHARMACY 127617,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127617,A000000,01300,0000,1300SOCIAL SERVICE 127617,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127617,A000000,01500,0000,1350PATIENT ACTIVITIES 127617,A000000,01600,0000,1600SKILLED NURSING FACILITY 127617,A000000,01800,0000,1800NURSING FACILITY 127617,A000000,01810,0000,1810ICF/MR 127617,A000000,02200,0000,2200LABORATORY 127617,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127617,A000000,02500,0000,2500PHYSICAL THERAPY 127617,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127617,A000000,02700,0000,2700SPEECH PATHOLOGY 127617,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127617,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127617,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127617,A000000,03550,0000,3550FQHC 127617,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127617,A000000,05000,0000,5000CORF 127617,A000000,05010,0000,5010CMHC 127617,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127617,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127617,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127617,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127617,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127617,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127617,A81000A,00100,0100,Y 127617,A81000B,00100,0300,INTEREST EXPENSE 127617,A81000B,00200,0300,INTEREST EXPENSE HCFP 127617,A81000C,00100,0100,B 127617,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127617,A81000C,00100,0600,HOME OFFICE 127617,A81000C,00200,0100,B 127617,A81000C,00300,0100,B 127617,B100000,00000,0100,0100SQUARE FEET 127617,B100000,00000,0200,0200NO STATISTICS 127617,B100000,00000,0300,0300GROSS SALARIES 127617,B100000,00000,0400,0400ACCUM. COST 127617,B100000,00000,0500,0500SQUARE FEET 127617,B100000,00000,0600,0600PATIENT DAYS 127617,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127617,B100000,00000,0800,0800PATIENT DAYS 127617,B100000,00000,0900,0900NO STATISTICS 127617,B100000,00000,1000,1000PATIENT DAYS 127617,B100000,00000,1100,1100PATIENT DAYS 127617,B100000,00000,1200,1200NO STATISTICS 127617,B100000,00000,1300,1300NO STATISTICS 127617,B100000,00000,1400,1400NO STATISTICS 127617,B100000,00000,1500,1350PATIENT DAYS 127617,E10A180,00301,0100,10/27/99 127617,E10A180,00302,0100,11/29/99 127617,S000000,00100,0200,06/01/00 127617,S200000,00100,0100,1405 WEST COMMERCE STREET 127617,S200000,00200,0100,EASTLAND 127617,S200000,00200,0200,TX 127617,S200000,00200,0300,76448 127617,S200000,00300,0100,EASTLAND 127617,S200000,00300,0200,0067 127617,S200000,00300,0300,R 127617,S200000,00400,0100,EASTLAND HEALTHCARE CENTER 127617,S200000,00400,0200,675023 127617,S200000,00400,0300,10/18/91 127617,S200000,00400,0500,P 127617,S200000,01500,0100,N 127617,S200000,01600,0100,Y 127617,S200000,01700,0100,N 127617,S200000,01800,0100,N 127617,S200000,02200,0100,N 127617,S200000,02800,0100,N 127617,S200000,02900,0100,N 127617,S200000,03000,0100,N 127617,S200000,03100,0100,N 127617,S200000,03200,0100,N 127617,S200000,03300,0100,N 127617,S200000,03300,0200,N 127617,S200000,04100,0100,N 127617,S200000,04200,0100,N 127617,S200000,04300,0100,Y 127617,S200000,04600,0100,N 127617,S200000,04700,0100,N 127617,S200000,04700,0200,N 127617,S200000,04900,0100,N 127618,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127618,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127618,A000000,00300,0000,0300EMPLOYEE BENEFITS 127618,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127618,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127618,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127618,A000000,00700,0000,0700HOUSEKEEPING 127618,A000000,00800,0000,0800DIETARY 127618,A000000,00900,0000,0900NURSING ADMINISTRATION 127618,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127618,A000000,01100,0000,1100PHARMACY 127618,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127618,A000000,01300,0000,1300SOCIAL SERVICE 127618,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127618,A000000,01500,0000,1350PATIENT ACTIVITIES 127618,A000000,01600,0000,1600SKILLED NURSING FACILITY 127618,A000000,01800,0000,1800NURSING FACILITY 127618,A000000,01810,0000,1810ICF/MR 127618,A000000,02100,0000,2100RADIOLOGY 127618,A000000,02200,0000,2200LABORATORY 127618,A000000,02300,0000,2300INTRAVENOUS THERAPY 127618,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127618,A000000,02500,0000,2500PHYSICAL THERAPY 127618,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127618,A000000,02700,0000,2700SPEECH PATHOLOGY 127618,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127618,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127618,A000000,03200,0000,3200SUPPORT SURFACES 127618,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127618,A000000,03550,0000,3550FQHC 127618,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127618,A000000,05000,0000,5000CORF 127618,A000000,05010,0000,5010CMHC 127618,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127618,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127618,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127618,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127618,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127618,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127618,A81000A,00100,0100,Y 127618,A81000B,00100,0300,INTEREST EXPENSE 127618,A81000B,00200,0300,INTEREST EXPENSE - HCFP 127618,A81000C,00100,0100,B 127618,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127618,A81000C,00100,0600,HOME OFFICE 127618,B100000,00000,0100,0100SQUARE FEET 127618,B100000,00000,0200,0200NO STATISTICS 127618,B100000,00000,0300,0300GROSS SALARIES 127618,B100000,00000,0400,0400ACCUM. COST 127618,B100000,00000,0500,0500SQUARE FEET 127618,B100000,00000,0600,0600PATIENT DAYS 127618,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127618,B100000,00000,0800,0800PATIENT DAYS 127618,B100000,00000,0900,0900NO STATISTICS 127618,B100000,00000,1000,1000PATIENT DAYS 127618,B100000,00000,1100,1100PATIENT DAYS 127618,B100000,00000,1200,1200NO STATISTICS 127618,B100000,00000,1300,1300NO STATISTICS 127618,B100000,00000,1400,1400NO STATISTICS 127618,B100000,00000,1500,1350PATIENT DAYS 127618,E10A180,00301,0100,10/27/99 127618,E10A180,00302,0100,11/29/99 127618,S000000,00100,0200,06/01/00 127618,S200000,00100,0100,406 EAST 7TH STREET 127618,S200000,00200,0100,BURKBURNETT 127618,S200000,00200,0200,TX 127618,S200000,00200,0300,76354 127618,S200000,00300,0100,WICHITA 127618,S200000,00300,0200,9080 127618,S200000,00300,0300,U 127618,S200000,00400,0100,EVERGREEN HEALTHCARE CENTER 127618,S200000,00400,0200,675035 127618,S200000,00400,0300,03/13/92 127618,S200000,00400,0500,P 127618,S200000,01500,0100,N 127618,S200000,01600,0100,Y 127618,S200000,01700,0100,N 127618,S200000,01800,0100,N 127618,S200000,02200,0100,N 127618,S200000,02800,0100,N 127618,S200000,02900,0100,N 127618,S200000,03000,0100,N 127618,S200000,03100,0100,N 127618,S200000,03200,0100,N 127618,S200000,03300,0100,N 127618,S200000,03300,0200,N 127618,S200000,04100,0100,N 127618,S200000,04200,0100,N 127618,S200000,04300,0100,Y 127618,S200000,04600,0100,N 127618,S200000,04700,0100,N 127618,S200000,04700,0200,N 127618,S200000,04900,0100,N 127619,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127619,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127619,A000000,00300,0000,0300EMPLOYEE BENEFITS 127619,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127619,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127619,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127619,A000000,00700,0000,0700HOUSEKEEPING 127619,A000000,00800,0000,0800DIETARY 127619,A000000,00900,0000,0900NURSING ADMINISTRATION 127619,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127619,A000000,01100,0000,1100PHARMACY 127619,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127619,A000000,01300,0000,1300SOCIAL SERVICE 127619,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127619,A000000,01500,0000,1350PATIENT ACTIVITIES 127619,A000000,01600,0000,1600SKILLED NURSING FACILITY 127619,A000000,01800,0000,1800NURSING FACILITY 127619,A000000,01810,0000,1810ICF/MR 127619,A000000,02100,0000,2100RADIOLOGY 127619,A000000,02200,0000,2200LABORATORY 127619,A000000,02300,0000,2300INTRAVENOUS THERAPY 127619,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127619,A000000,02500,0000,2500PHYSICAL THERAPY 127619,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127619,A000000,02700,0000,2700SPEECH PATHOLOGY 127619,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127619,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127619,A000000,03200,0000,3200SUPPORT SURFACES 127619,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127619,A000000,03550,0000,3550FQHC 127619,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127619,A000000,05000,0000,5000CORF 127619,A000000,05010,0000,5010CMHC 127619,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127619,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127619,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127619,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127619,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127619,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127619,A81000A,00100,0100,Y 127619,A81000B,00100,0300,INTEREST EXPENSE 127619,A81000B,00200,0300,INTEREST EXPENSE - HCFP 127619,A81000C,00100,0100,B 127619,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127619,A81000C,00100,0600,HOME OFFICE 127619,B100000,00000,0100,0100SQUARE FEET 127619,B100000,00000,0200,0200NO STATISTICS 127619,B100000,00000,0300,0300GROSS SALARIES 127619,B100000,00000,0400,0400ACCUM. COST 127619,B100000,00000,0500,0500SQUARE FEET 127619,B100000,00000,0600,0600PATIENT DAYS 127619,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127619,B100000,00000,0800,0800PATIENT DAYS 127619,B100000,00000,0900,0900NO STATISTICS 127619,B100000,00000,1000,1000PATIENT DAYS 127619,B100000,00000,1100,1100PATIENT DAYS 127619,B100000,00000,1200,1200NO STATISTICS 127619,B100000,00000,1300,1300NO STATISTICS 127619,B100000,00000,1400,1400NO STATISTICS 127619,B100000,00000,1500,1350PATIENT DAYS 127619,E10A180,00301,0100,10/27/99 127619,E10A180,00302,0100,11/29/99 127619,S000000,00100,0200,06/01/00 127619,S200000,00100,0100,HIGHWAY 155 127619,S200000,00200,0100,FRANKSTON 127619,S200000,00200,0200,TX 127619,S200000,00200,0300,75763 127619,S200000,00300,0100,ANDERSON 127619,S200000,00300,0200,9999 127619,S200000,00300,0300,R 127619,S200000,00400,0100,FRANKSTON HEALTHCARE CENTER 127619,S200000,00400,0200,675040 127619,S200000,00400,0300,04/15/92 127619,S200000,00400,0500,P 127619,S200000,01500,0100,N 127619,S200000,01600,0100,Y 127619,S200000,01700,0100,N 127619,S200000,01800,0100,N 127619,S200000,02200,0100,N 127619,S200000,02800,0100,N 127619,S200000,02900,0100,N 127619,S200000,03000,0100,N 127619,S200000,03100,0100,N 127619,S200000,03200,0100,N 127619,S200000,03300,0100,N 127619,S200000,03300,0200,N 127619,S200000,04100,0100,N 127619,S200000,04200,0100,N 127619,S200000,04300,0100,Y 127619,S200000,04600,0100,N 127619,S200000,04700,0100,N 127619,S200000,04700,0200,N 127619,S200000,04900,0100,N 127620,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127620,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127620,A000000,00300,0000,0300EMPLOYEE BENEFITS 127620,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127620,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127620,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127620,A000000,00700,0000,0700HOUSEKEEPING 127620,A000000,00800,0000,0800DIETARY 127620,A000000,00900,0000,0900NURSING ADMINISTRATION 127620,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127620,A000000,01100,0000,1100PHARMACY 127620,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127620,A000000,01300,0000,1300SOCIAL SERVICE 127620,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127620,A000000,01500,0000,1350PATIENT ACTIVITIES 127620,A000000,01600,0000,1600SKILLED NURSING FACILITY 127620,A000000,01800,0000,1800NURSING FACILITY 127620,A000000,01810,0000,1810ICF/MR 127620,A000000,02100,0000,2100RADIOLOGY 127620,A000000,02200,0000,2200LABORATORY 127620,A000000,02300,0000,2300INTRAVENOUS THERAPY 127620,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127620,A000000,02500,0000,2500PHYSICAL THERAPY 127620,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127620,A000000,02700,0000,2700SPEECH PATHOLOGY 127620,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127620,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127620,A000000,03200,0000,3200SUPPORT SURFACES 127620,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127620,A000000,03550,0000,3550FQHC 127620,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127620,A000000,05000,0000,5000CORF 127620,A000000,05010,0000,5010CMHC 127620,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127620,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127620,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127620,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127620,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127620,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127620,A81000A,00100,0100,Y 127620,A81000B,00100,0300,INTEREST EXPENSE 127620,A81000B,00200,0300,INTEREST EXPENSE HCFP 127620,A81000C,00100,0100,B 127620,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127620,A81000C,00100,0600,HOME OFFICE 127620,B100000,00000,0100,0100SQUARE FEET 127620,B100000,00000,0200,0200NO STATISTICS 127620,B100000,00000,0300,0300GROSS SALARIES 127620,B100000,00000,0400,0400ACCUM. COST 127620,B100000,00000,0500,0500SQUARE FEET 127620,B100000,00000,0600,0600PATIENT DAYS 127620,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127620,B100000,00000,0800,0800PATIENT DAYS 127620,B100000,00000,0900,0900NO STATISTICS 127620,B100000,00000,1000,1000PATIENT DAYS 127620,B100000,00000,1100,1100PATIENT DAYS 127620,B100000,00000,1200,1200NO STATISTICS 127620,B100000,00000,1300,1300NO STATISTICS 127620,B100000,00000,1400,1400NO STATISTICS 127620,B100000,00000,1500,1350PATIENT DAYS 127620,E10A180,00301,0100,10/27/99 127620,E10A180,00302,0100,11/29/99 127620,S000000,00100,0200,06/01/00 127620,S200000,00100,0100,1414 FOURTH STREET 127620,S200000,00200,0100,PALACIOS 127620,S200000,00200,0200,TX 127620,S200000,00300,0100,MANTAGORDA 127620,S200000,00300,0200,9999 127620,S200000,00300,0300,R 127620,S200000,00400,0100,PALACIOS HEALTHCARE CENTER 127620,S200000,00400,0200,675043 127620,S200000,00400,0300,05/27/92 127620,S200000,00400,0500,P 127620,S200000,01500,0100,N 127620,S200000,01600,0100,Y 127620,S200000,01700,0100,N 127620,S200000,01800,0100,N 127620,S200000,02200,0100,N 127620,S200000,02800,0100,N 127620,S200000,02900,0100,N 127620,S200000,03000,0100,N 127620,S200000,03100,0100,N 127620,S200000,03200,0100,N 127620,S200000,03300,0100,N 127620,S200000,03300,0200,N 127620,S200000,04100,0100,N 127620,S200000,04200,0100,N 127620,S200000,04300,0100,Y 127620,S200000,04600,0100,N 127620,S200000,04700,0100,N 127620,S200000,04700,0200,N 127620,S200000,04900,0100,N 127621,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127621,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127621,A000000,00300,0000,0300EMPLOYEE BENEFITS 127621,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127621,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127621,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127621,A000000,00700,0000,0700HOUSEKEEPING 127621,A000000,00800,0000,0800DIETARY 127621,A000000,00900,0000,0900NURSING ADMINISTRATION 127621,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127621,A000000,01100,0000,1100PHARMACY 127621,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127621,A000000,01300,0000,1300SOCIAL SERVICE 127621,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127621,A000000,01500,0000,1350PATIENT ACTIVITIES 127621,A000000,01600,0000,1600SKILLED NURSING FACILITY 127621,A000000,01800,0000,1800NURSING FACILITY 127621,A000000,01810,0000,1810ICF/MR 127621,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127621,A000000,02500,0000,2500PHYSICAL THERAPY 127621,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127621,A000000,02700,0000,2700SPEECH PATHOLOGY 127621,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127621,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127621,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127621,A000000,03550,0000,3550FQHC 127621,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127621,A000000,05000,0000,5000CORF 127621,A000000,05010,0000,5010CMHC 127621,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127621,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127621,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127621,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127621,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127621,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127621,A81000A,00100,0100,Y 127621,A81000B,00100,0300,INTEREST EXPENSE 127621,A81000B,00200,0300,INTEREST EXPENSE HCFP 127621,A81000C,00100,0100,B 127621,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127621,A81000C,00100,0600,HOME OFFICE 127621,A81000C,00200,0100,B 127621,A81000C,00300,0100,B 127621,B100000,00000,0100,0100SQUARE FEET 127621,B100000,00000,0200,0200NO STATISTICS 127621,B100000,00000,0300,0300GROSS SALARIES 127621,B100000,00000,0400,0400ACCUM. COST 127621,B100000,00000,0500,0500SQUARE FEET 127621,B100000,00000,0600,0600PATIENT DAYS 127621,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127621,B100000,00000,0800,0800PATIENT DAYS 127621,B100000,00000,0900,0900NO STATISTICS 127621,B100000,00000,1000,1000PATIENT DAYS 127621,B100000,00000,1100,1100PATIENT DAYS 127621,B100000,00000,1200,1200NO STATISTICS 127621,B100000,00000,1300,1300NO STATISTICS 127621,B100000,00000,1400,1400NO STATISTICS 127621,B100000,00000,1500,1350PATIENT DAYS 127621,E10A180,00301,0100,10/27/99 127621,E10A180,00302,0100,11/29/99 127621,S000000,00100,0200,06/01/00 127621,S200000,00100,0100,5311 BIG SPRING HIGHWAY 127621,S200000,00200,0100,SNYDER 127621,S200000,00200,0200,TX 127621,S200000,00200,0300,79549 127621,S200000,00300,0100,SCURRY 127621,S200000,00300,0200,9999 127621,S200000,00300,0300,R 127621,S200000,00400,0100,SNYDER HEALTHCARE CENTER 127621,S200000,00400,0200,675045 127621,S200000,00400,0300,04/28/92 127621,S200000,00400,0500,P 127621,S200000,01500,0100,N 127621,S200000,01600,0100,Y 127621,S200000,01700,0100,N 127621,S200000,01800,0100,N 127621,S200000,02200,0100,N 127621,S200000,02800,0100,N 127621,S200000,02900,0100,N 127621,S200000,03000,0100,N 127621,S200000,03100,0100,N 127621,S200000,03200,0100,N 127621,S200000,03300,0100,N 127621,S200000,03300,0200,N 127621,S200000,04100,0100,N 127621,S200000,04200,0100,N 127621,S200000,04300,0100,Y 127621,S200000,04600,0100,N 127621,S200000,04700,0100,N 127621,S200000,04700,0200,N 127621,S200000,04900,0100,N 127623,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127623,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127623,A000000,00300,0000,0300EMPLOYEE BENEFITS 127623,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127623,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127623,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127623,A000000,00700,0000,0700HOUSEKEEPING 127623,A000000,00800,0000,0800DIETARY 127623,A000000,00900,0000,0900NURSING ADMINISTRATION 127623,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127623,A000000,01100,0000,1100PHARMACY 127623,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127623,A000000,01300,0000,1300SOCIAL SERVICE 127623,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127623,A000000,01500,0000,1350PATIENT ACTIVITIES 127623,A000000,01600,0000,1600SKILLED NURSING FACILITY 127623,A000000,01800,0000,1800NURSING FACILITY 127623,A000000,01810,0000,1810ICF/MR 127623,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127623,A000000,02500,0000,2500PHYSICAL THERAPY 127623,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127623,A000000,02700,0000,2700SPEECH PATHOLOGY 127623,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127623,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127623,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127623,A000000,03550,0000,3550FQHC 127623,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127623,A000000,05000,0000,5000CORF 127623,A000000,05010,0000,5010CMHC 127623,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127623,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127623,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127623,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127623,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127623,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127623,A81000A,00100,0100,Y 127623,A81000B,00100,0300,INTEREST EXPENSE 127623,A81000B,00200,0300,INTEREST EXPENSE HCFP 127623,A81000C,00100,0100,B 127623,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127623,A81000C,00100,0600,HOME OFFICE 127623,A81000C,00200,0100,B 127623,A81000C,00300,0100,B 127623,B100000,00000,0100,0100SQUARE FEET 127623,B100000,00000,0200,0200NO STATISTICS 127623,B100000,00000,0300,0300GROSS SALARIES 127623,B100000,00000,0400,0400ACCUM. COST 127623,B100000,00000,0500,0500SQUARE FEET 127623,B100000,00000,0600,0600PATIENT DAYS 127623,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127623,B100000,00000,0800,0800PATIENT DAYS 127623,B100000,00000,0900,0900NO STATISTICS 127623,B100000,00000,1000,1000PATIENT DAYS 127623,B100000,00000,1100,1100PATIENT DAYS 127623,B100000,00000,1200,1200NO STATISTICS 127623,B100000,00000,1300,1300NO STATISTICS 127623,B100000,00000,1400,1400NO STATISTICS 127623,B100000,00000,1500,1350PATIENT DAYS 127623,E10A180,00301,0100,10/27/99 127623,E10A180,00302,0100,11/29/99 127623,S000000,00100,0200,06/01/00 127623,S200000,00100,0100,1200 7TH STREET N.W. 127623,S200000,00200,0100,CHILDRESS 127623,S200000,00200,0200,TX 127623,S200000,00200,0300,79201 127623,S200000,00300,0100,CHILDRESS 127623,S200000,00300,0200,9999 127623,S200000,00300,0300,R 127623,S200000,00400,0100,CHILDRESS HEALTHCARE CENTER 127623,S200000,00400,0200,675055 127623,S200000,00400,0300,02/07/98 127623,S200000,00400,0500,P 127623,S200000,01500,0100,N 127623,S200000,01600,0100,Y 127623,S200000,01700,0100,N 127623,S200000,01800,0100,N 127623,S200000,02200,0100,N 127623,S200000,02800,0100,N 127623,S200000,02900,0100,N 127623,S200000,03000,0100,N 127623,S200000,03100,0100,N 127623,S200000,03200,0100,N 127623,S200000,03300,0100,N 127623,S200000,03300,0200,N 127623,S200000,04100,0100,N 127623,S200000,04200,0100,N 127623,S200000,04300,0100,Y 127623,S200000,04600,0100,N 127623,S200000,04700,0100,N 127623,S200000,04700,0200,N 127623,S200000,04900,0100,N 127624,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127624,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127624,A000000,00300,0000,0300EMPLOYEE BENEFITS 127624,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127624,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127624,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127624,A000000,00700,0000,0700HOUSEKEEPING 127624,A000000,00800,0000,0800DIETARY 127624,A000000,00900,0000,0900NURSING ADMINISTRATION 127624,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127624,A000000,01100,0000,1100PHARMACY 127624,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127624,A000000,01300,0000,1300SOCIAL SERVICE 127624,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127624,A000000,01500,0000,1350PATIENT ACTIVITIES 127624,A000000,01600,0000,1600SKILLED NURSING FACILITY 127624,A000000,01800,0000,1800NURSING FACILITY 127624,A000000,01810,0000,1810ICF/MR 127624,A000000,02100,0000,2100RADIOLOGY 127624,A000000,02200,0000,2200LABORATORY 127624,A000000,02300,0000,2300INTRAVENOUS THERAPY 127624,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127624,A000000,02500,0000,2500PHYSICAL THERAPY 127624,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127624,A000000,02700,0000,2700SPEECH PATHOLOGY 127624,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127624,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127624,A000000,03200,0000,3200SUPPORT SURFACES 127624,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127624,A000000,03550,0000,3550FQHC 127624,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127624,A000000,05000,0000,5000CORF 127624,A000000,05010,0000,5010CMHC 127624,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127624,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127624,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127624,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127624,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127624,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127624,A81000A,00100,0100,Y 127624,A81000B,00100,0300,INTEREST EXPENSE 127624,A81000B,00200,0300,INTEREST EXPENSE HCFP 127624,A81000C,00100,0100,B 127624,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127624,A81000C,00100,0600,HOME OFFICE 127624,B100000,00000,0100,0100SQUARE FEET 127624,B100000,00000,0200,0200NO STATISTICS 127624,B100000,00000,0300,0300GROSS SALARIES 127624,B100000,00000,0400,0400ACCUM. COST 127624,B100000,00000,0500,0500SQUARE FEET 127624,B100000,00000,0600,0600PATIENT DAYS 127624,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127624,B100000,00000,0800,0800PATIENT DAYS 127624,B100000,00000,0900,0900NO STATISTICS 127624,B100000,00000,1000,1000PATIENT DAYS 127624,B100000,00000,1100,1100PATIENT DAYS 127624,B100000,00000,1200,1200NO STATISTICS 127624,B100000,00000,1300,1300NO STATISTICS 127624,B100000,00000,1400,1400NO STATISTICS 127624,B100000,00000,1500,1350PATIENT DAYS 127624,E10A180,00301,0100,10/27/99 127624,E10A180,00302,0100,11/29/99 127624,S000000,00100,0200,06/01/00 127624,S200000,00100,0100,425 S.W. AVENUE 127624,S200000,00200,0100,HAMLIN 127624,S200000,00200,0200,TX 127624,S200000,00300,0100,JONES 127624,S200000,00300,0200,9999 127624,S200000,00300,0300,R 127624,S200000,00400,0100,HOLIDAY LODGE HEALTHCARE CENTER 127624,S200000,00400,0200,675058 127624,S200000,00400,0300,06/10/92 127624,S200000,00400,0500,P 127624,S200000,01500,0100,N 127624,S200000,01600,0100,Y 127624,S200000,01700,0100,N 127624,S200000,01800,0100,N 127624,S200000,02200,0100,N 127624,S200000,02800,0100,N 127624,S200000,02900,0100,N 127624,S200000,03000,0100,N 127624,S200000,03100,0100,N 127624,S200000,03200,0100,N 127624,S200000,03300,0100,N 127624,S200000,03300,0200,N 127624,S200000,04100,0100,N 127624,S200000,04200,0100,N 127624,S200000,04300,0100,Y 127624,S200000,04600,0100,N 127624,S200000,04700,0100,N 127624,S200000,04700,0200,N 127624,S200000,04900,0100,N 127625,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127625,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127625,A000000,00300,0000,0300EMPLOYEE BENEFITS 127625,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127625,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127625,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127625,A000000,00700,0000,0700HOUSEKEEPING 127625,A000000,00800,0000,0800DIETARY 127625,A000000,00900,0000,0900NURSING ADMINISTRATION 127625,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127625,A000000,01100,0000,1100PHARMACY 127625,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127625,A000000,01300,0000,1300SOCIAL SERVICE 127625,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127625,A000000,01500,0000,1350PATIENT ACTIVITIES 127625,A000000,01600,0000,1600SKILLED NURSING FACILITY 127625,A000000,01800,0000,1800NURSING FACILITY 127625,A000000,01810,0000,1810ICF/MR 127625,A000000,02200,0000,2200LABORATORY 127625,A000000,02300,0000,2300INTRAVENOUS THERAPY 127625,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127625,A000000,02500,0000,2500PHYSICAL THERAPY 127625,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127625,A000000,02700,0000,2700SPEECH PATHOLOGY 127625,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127625,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127625,A000000,03200,0000,3200SUPPORT SURFACES 127625,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127625,A000000,03550,0000,3550FQHC 127625,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127625,A000000,05000,0000,5000CORF 127625,A000000,05010,0000,5010CMHC 127625,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127625,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127625,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127625,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127625,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127625,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127625,A81000A,00100,0100,Y 127625,A81000B,00100,0300,INTEREST EXPENSE 127625,A81000B,00200,0300,INTEREST EXPENSE HCFP 127625,A81000C,00100,0100,B 127625,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127625,A81000C,00100,0600,HOME OFFICE 127625,B100000,00000,0100,0100SQUARE FEET 127625,B100000,00000,0200,0200NO STATISTICS 127625,B100000,00000,0300,0300GROSS SALARIES 127625,B100000,00000,0400,0400ACCUM. COST 127625,B100000,00000,0500,0500SQUARE FEET 127625,B100000,00000,0600,0600PATIENT DAYS 127625,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127625,B100000,00000,0800,0800PATIENT DAYS 127625,B100000,00000,0900,0900NO STATISTICS 127625,B100000,00000,1000,1000PATIENT DAYS 127625,B100000,00000,1100,1100PATIENT DAYS 127625,B100000,00000,1200,1200NO STATISTICS 127625,B100000,00000,1300,1300NO STATISTICS 127625,B100000,00000,1400,1400NO STATISTICS 127625,B100000,00000,1500,1350PATIENT DAYS 127625,E10A180,00301,0100,10/27/99 127625,E10A180,00302,0100,11/29/99 127625,S000000,00100,0200,06/01/00 127625,S200000,00100,0100,1101 BROWN STREET 127625,S200000,00200,0100,HEARNE 127625,S200000,00200,0200,TX 127625,S200000,00200,0300,77859 127625,S200000,00300,0100,ROBERTSON 127625,S200000,00300,0200,9999 127625,S200000,00300,0300,R 127625,S200000,00400,0100,HEARNE HEALTHCARE CENTER 127625,S200000,00400,0200,675062 127625,S200000,00400,0300,06/15/92 127625,S200000,00400,0500,P 127625,S200000,01500,0100,N 127625,S200000,01600,0100,Y 127625,S200000,01700,0100,N 127625,S200000,01800,0100,N 127625,S200000,02200,0100,N 127625,S200000,02800,0100,N 127625,S200000,02900,0100,N 127625,S200000,03000,0100,N 127625,S200000,03100,0100,N 127625,S200000,03200,0100,N 127625,S200000,03300,0100,N 127625,S200000,03300,0200,N 127625,S200000,04100,0100,N 127625,S200000,04200,0100,N 127625,S200000,04300,0100,Y 127625,S200000,04600,0100,N 127625,S200000,04700,0100,N 127625,S200000,04700,0200,N 127625,S200000,04900,0100,N 127626,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127626,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127626,A000000,00300,0000,0300EMPLOYEE BENEFITS 127626,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127626,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127626,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127626,A000000,00700,0000,0700HOUSEKEEPING 127626,A000000,00800,0000,0800DIETARY 127626,A000000,00900,0000,0900NURSING ADMINISTRATION 127626,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127626,A000000,01100,0000,1100PHARMACY 127626,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127626,A000000,01300,0000,1300SOCIAL SERVICE 127626,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127626,A000000,01500,0000,1350PATIENT ACTIVITIES 127626,A000000,01600,0000,1600SKILLED NURSING FACILITY 127626,A000000,01800,0000,1800NURSING FACILITY 127626,A000000,01810,0000,1810ICF/MR 127626,A000000,02300,0000,2300INTRAVENOUS THERAPY 127626,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127626,A000000,02500,0000,2500PHYSICAL THERAPY 127626,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127626,A000000,02700,0000,2700SPEECH PATHOLOGY 127626,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127626,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127626,A000000,03200,0000,3200SUPPORT SURFACES 127626,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127626,A000000,03550,0000,3550FQHC 127626,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127626,A000000,05000,0000,5000CORF 127626,A000000,05010,0000,5010CMHC 127626,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127626,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127626,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127626,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127626,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127626,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127626,A81000A,00100,0100,Y 127626,A81000B,00100,0300,INTEREST EXPENSE 127626,A81000B,00200,0300,INTEREST EXPENSE HCFP 127626,A81000C,00100,0100,B 127626,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127626,A81000C,00100,0600,HOME OFFICE 127626,B100000,00000,0100,0100SQUARE FEET 127626,B100000,00000,0200,0200NO STATISTICS 127626,B100000,00000,0300,0300GROSS SALARIES 127626,B100000,00000,0400,0400ACCUM. COST 127626,B100000,00000,0500,0500SQUARE FEET 127626,B100000,00000,0600,0600PATIENT DAYS 127626,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127626,B100000,00000,0800,0800PATIENT DAYS 127626,B100000,00000,0900,0900NO STATISTICS 127626,B100000,00000,1000,1000PATIENT DAYS 127626,B100000,00000,1100,1100PATIENT DAYS 127626,B100000,00000,1200,1200NO STATISTICS 127626,B100000,00000,1300,1300NO STATISTICS 127626,B100000,00000,1400,1400NO STATISTICS 127626,B100000,00000,1500,1350PATIENT DAYS 127626,E10A180,00301,0100,10/27/99 127626,E10A180,00302,0100,11/29/99 127626,S000000,00100,0200,06/01/00 127626,S200000,00100,0100,3600 N. TWIN CITY HIGHWAY 127626,S200000,00200,0100,NEDERLAND 127626,S200000,00200,0200,TX 127626,S200000,00300,0100,JEFFERSON 127626,S200000,00300,0200,9999 127626,S200000,00300,0300,R 127626,S200000,00400,0100,NEDERLAND HEALTHCARE CENTER 127626,S200000,00400,0200,675072 127626,S200000,00400,0300,08/20/92 127626,S200000,00400,0500,P 127626,S200000,01500,0100,N 127626,S200000,01600,0100,Y 127626,S200000,01700,0100,N 127626,S200000,01800,0100,N 127626,S200000,02200,0100,N 127626,S200000,02800,0100,N 127626,S200000,02900,0100,N 127626,S200000,03000,0100,N 127626,S200000,03100,0100,N 127626,S200000,03200,0100,N 127626,S200000,03300,0100,N 127626,S200000,03300,0200,N 127626,S200000,04100,0100,N 127626,S200000,04200,0100,N 127626,S200000,04300,0100,Y 127626,S200000,04600,0100,N 127626,S200000,04700,0100,N 127626,S200000,04700,0200,N 127626,S200000,04900,0100,N 127627,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127627,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127627,A000000,00300,0000,0300EMPLOYEE BENEFITS 127627,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127627,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127627,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127627,A000000,00700,0000,0700HOUSEKEEPING 127627,A000000,00800,0000,0800DIETARY 127627,A000000,00900,0000,0900NURSING ADMINISTRATION 127627,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127627,A000000,01100,0000,1100PHARMACY 127627,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127627,A000000,01300,0000,1300SOCIAL SERVICE 127627,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127627,A000000,01500,0000,1350PATIENT ACTIVITIES 127627,A000000,01600,0000,1600SKILLED NURSING FACILITY 127627,A000000,01800,0000,1800NURSING FACILITY 127627,A000000,01810,0000,1810ICF/MR 127627,A000000,02300,0000,2300INTRAVENOUS THERAPY 127627,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127627,A000000,02500,0000,2500PHYSICAL THERAPY 127627,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127627,A000000,02700,0000,2700SPEECH PATHOLOGY 127627,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127627,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127627,A000000,03200,0000,3200SUPPORT SURFACES 127627,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127627,A000000,03550,0000,3550FQHC 127627,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 127627,A000000,05000,0000,5000CORF 127627,A000000,05010,0000,5010CMHC 127627,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127627,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127627,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127627,A000000,05100,0000,4750OTHER REIMBURSABLE COST 127627,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 127627,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127627,A81000A,00100,0100,Y 127627,A81000B,00100,0300,INTEREST EXPENSE 127627,A81000B,00200,0300,INTEREST EXPENSE HCFP 127627,A81000C,00100,0100,B 127627,A81000C,00100,0400,SENIOR LIVING PROPERTIES 127627,A81000C,00100,0600,HOME OFFICE 127627,B100000,00000,0100,0100SQUARE FEET 127627,B100000,00000,0200,0200NO STATISTICS 127627,B100000,00000,0300,0300GROSS SALARIES 127627,B100000,00000,0400,0400ACCUM. COST 127627,B100000,00000,0500,0500SQUARE FEET 127627,B100000,00000,0600,0600PATIENT DAYS 127627,B100000,00000,0700,0700SQ. FT. EXCL. DIET 127627,B100000,00000,0800,0800PATIENT DAYS 127627,B100000,00000,0900,0900NO STATISTICS 127627,B100000,00000,1000,1000PATIENT DAYS 127627,B100000,00000,1100,1100PATIENT DAYS 127627,B100000,00000,1200,1200NO STATISTICS 127627,B100000,00000,1300,1300NO STATISTICS 127627,B100000,00000,1400,1400NO STATISTICS 127627,B100000,00000,1500,1350PATIENT DAYS 127627,E10A180,00301,0100,10/27/99 127627,E10A180,00302,0100,11/29/99 127627,S000000,00100,0200,06/01/00 127627,S200000,00100,0100,1818 N. 7TH STREET 127627,S200000,00200,0100,LAMESA 127627,S200000,00200,0200,TX 127627,S200000,00200,0300,79331 127627,S200000,00300,0100,DAWSON 127627,S200000,00300,0200,9999 127627,S200000,00300,0300,R 127627,S200000,00400,0100,LAMESA HEALTHCARE CENTER 127627,S200000,00400,0200,675082 127627,S200000,00400,0300,10/23/92 127627,S200000,00400,0500,P 127627,S200000,01500,0100,N 127627,S200000,01600,0100,Y 127627,S200000,01700,0100,N 127627,S200000,01800,0100,N 127627,S200000,02200,0100,N 127627,S200000,02800,0100,N 127627,S200000,02900,0100,N 127627,S200000,03000,0100,N 127627,S200000,03100,0100,N 127627,S200000,03200,0100,N 127627,S200000,03300,0100,N 127627,S200000,03300,0200,N 127627,S200000,04100,0100,N 127627,S200000,04200,0100,N 127627,S200000,04300,0100,Y 127627,S200000,04600,0100,N 127627,S200000,04700,0100,N 127627,S200000,04700,0200,N 127627,S200000,04900,0100,N 127628,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127628,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127628,A000000,00300,0000,0300EMPLOYEE BENEFITS 127628,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127628,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127628,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127628,A000000,00700,0000,0700HOUSEKEEPING 127628,A000000,00800,0000,0800DIETARY 127628,A000000,00900,0000,0900NURSING ADMINISTRATION 127628,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127628,A000000,01100,0000,1100PHARMACY 127628,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127628,A000000,01300,0000,1300SOCIAL SERVICE 127628,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127628,A000000,01500,0000,1350PATIENT ACTIVITIES 127628,A000000,01600,0000,1600SKILLED NURSING FACILITY 127628,A000000,01800,0000,1800NURSING FACILITY 127628,A000000,01810,0000,1810ICF/MR 127628,A000000,02100,0000,2100RADIOLOGY 127628,A000000,02500,0000,2500PHYSICAL THERAPY 127628,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127628,A000000,02700,0000,2700SPEECH PATHOLOGY 127628,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127628,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127628,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 127628,A000000,03550,0000,3550FQHC 127628,A000000,05000,0000,5000CORF 127628,A000000,05010,0000,5010CMHC 127628,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127628,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127628,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127628,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 127628,A81000A,00100,0100,Y 127628,A81000B,00100,0300,HOME OFFICE COSTS 127628,A81000C,00100,0100,F 127628,A81000C,00100,0400,CAMELOT HEALTHCARE 127628,A81000C,00100,0600,MANAGEMENT 127628,B100000,00000,0100,0100SQUARE FEET 127628,B100000,00000,0200,0200SQUARE FEET 127628,B100000,00000,0300,0300GROSS SALARIES 127628,B100000,00000,0400,0400ACCUM. COST 127628,B100000,00000,0500,0500SQUARE FEET 127628,B100000,00000,0600,0600PATIENT DAYS 127628,B100000,00000,0700,0700SQUARE FEET 127628,B100000,00000,0800,0800MEALS SERVED 127628,B100000,00000,0900,0900DIRECT NRSING HRS 127628,B100000,00000,1000,1000COSTED REQUIS 127628,B100000,00000,1100,1100COSTED REQUIS 127628,B100000,00000,1200,1200PATIENT DAYS 127628,B100000,00000,1300,1300PATIENT DAYS 127628,B100000,00000,1400,1400ASSIGNED TIME 127628,B100000,00000,1500,1350PATIENT DAYS 127628,S000000,00100,0200,12/08/00 127628,S200000,00100,0100,921 W. CANNON STREET 127628,S200000,00200,0100,FORT WORTH 127628,S200000,00200,0200,TX 127628,S200000,00200,0300,76104 127628,S200000,00300,0100,TARRANT 127628,S200000,00300,0200,2800 127628,S200000,00300,0300,U 127628,S200000,00400,0100,SYCAMORE CARE CENTER 127628,S200000,00400,0200,675470 127628,S200000,00400,0300,11/01/98 127628,S200000,00400,0500,P 127628,S200000,01500,0100,N 127628,S200000,01600,0100,N 127628,S200000,01700,0100,N 127628,S200000,01800,0100,N 127628,S200000,02200,0100,N 127628,S200000,02800,0100,N 127628,S200000,02900,0100,N 127628,S200000,03000,0100,N 127628,S200000,03100,0100,N 127628,S200000,03200,0100,N 127628,S200000,03300,0100,N 127628,S200000,03300,0200,N 127628,S200000,04100,0100,N 127628,S200000,04200,0100,N 127628,S200000,04300,0100,N 127628,S200000,04600,0100,N 127628,S200000,04700,0100,N 127628,S200000,04700,0200,N 127628,S200000,04900,0100,N 127629,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127629,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127629,A000000,00300,0000,0300EMPLOYEE BENEFITS 127629,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127629,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127629,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127629,A000000,00700,0000,0700HOUSEKEEPING 127629,A000000,00800,0000,0800DIETARY 127629,A000000,00900,0000,0900NURSING ADMINISTRATION 127629,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127629,A000000,01100,0000,1100PHARMACY 127629,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127629,A000000,01300,0000,1300SOCIAL SERVICE 127629,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127629,A000000,01500,0000,1350ACTIVITIES 127629,A000000,01600,0000,1600SKILLED NURSING FACILITY 127629,A000000,01800,0000,1800NURSING FACILITY 127629,A000000,01810,0000,1810ICF/MR 127629,A000000,02200,0000,2200LABORATORY 127629,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127629,A000000,02500,0000,2500PHYSICAL THERAPY 127629,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127629,A000000,02700,0000,2700SPEECH PATHOLOGY 127629,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127629,A000000,03550,0000,3550FQHC 127629,A000000,05000,0000,5000CORF 127629,A000000,05010,0000,5010CMHC 127629,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127629,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127629,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127629,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127629,A81000A,00100,0100,Y 127629,A81000B,00100,0300,RENT EXPENSE 127629,A81000B,00200,0300,PAYROLL TAX EXPENSE 127629,A81000B,00300,0300,WAGES EXPENSE 127629,A81000B,00400,0300,SEMINARS AND TRAINING 127629,A81000B,00500,0300,TRAVEL EXPENSE 127629,A81000B,00600,0300,OUTSIDE SERVICES 127629,A81000B,00700,0300,COST REPORT EXPENSE 127629,A81000B,00800,0300,OFFICE EXPENSE 127629,A81000B,00900,0300,TELEPHONE EXPENSE 127629,A81000B,01000,0300,INTEREST EXPENSE 127629,A81000B,01100,0300,INSURANCE EXPENSE 127629,A81000B,01200,0300,LEGAL & ACCOUNTING EXPENSE 127629,A81000C,00100,0100,B 127629,A81000C,00100,0400,BALLANTRAE 127629,A81000C,00100,0600,HEALTHCARE 127629,B100000,00000,0100,0100SQUARE FEET 127629,B100000,00000,0200,0200SQUARE FEET 127629,B100000,00000,0300,0300GROSS SAL 127629,B100000,00000,0400,0400ACCUM. COST 127629,B100000,00000,0500,0500SQUARE FEET 127629,B100000,00000,0600,0600PAT DAYS 127629,B100000,00000,0700,0700SQUARE FEET 127629,B100000,00000,0800,0800MEALS SERVED 127629,B100000,00000,0900,0900NURSING HOURS 127629,B100000,00000,1000,1000COSTED REQUIS 127629,B100000,00000,1100,1100COSTED REQUIS 127629,B100000,00000,1200,1200PAT DAYS 127629,B100000,00000,1300,1300PAT DAYS 127629,B100000,00000,1400,1400ASSIGNED TIME 127629,B100000,00000,1500,1350PAT DAYS 127629,S000000,00100,0200,05/31/00 127629,S200000,00100,0100,1402 EAST BROAD STREET 127629,S200000,00200,0100,MANSFIELD 127629,S200000,00200,0200,TX 127629,S200000,00200,0300,76063 127629,S200000,00300,0100,TARRANT 127629,S200000,00300,0200,2800 127629,S200000,00300,0300,U 127629,S200000,00400,0100,MANSFIELD NURSING HOME 127629,S200000,00400,0200,675792 127629,S200000,00400,0300,06/09/99 127629,S200000,00400,0500,P 127629,S200000,00400,0600,O 127629,S200000,01500,0100,N 127629,S200000,01600,0100,Y 127629,S200000,01700,0100,N 127629,S200000,01800,0100,N 127629,S200000,01900,0100,LIMITED LIABILITY COMPANY 127629,S200000,02200,0100,Y 127629,S200000,02800,0100,N 127629,S200000,02900,0100,N 127629,S200000,03000,0100,N 127629,S200000,03100,0100,N 127629,S200000,03200,0100,N 127629,S200000,03300,0100,N 127629,S200000,03300,0200,N 127629,S200000,04100,0100,N 127629,S200000,04200,0100,N 127629,S200000,04300,0100,N 127629,S200000,04600,0100,N 127629,S200000,04700,0100,N 127629,S200000,04900,0100,N 127630,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 127630,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 127630,A000000,00300,0000,0300EMPLOYEE BENEFITS 127630,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127630,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 127630,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127630,A000000,00700,0000,0700HOUSEKEEPING 127630,A000000,00800,0000,0800DIETARY 127630,A000000,00801,0000,0801CAFETERIA 127630,A000000,00900,0000,0900NURSING ADMINISTRATION 127630,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127630,A000000,01100,0000,1100PHARMACY 127630,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127630,A000000,01300,0000,1300SOCIAL SERVICE 127630,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 127630,A000000,01600,0000,1600SKILLED NURSING FACILITY 127630,A000000,01800,0000,1800NURSING FACILITY 127630,A000000,01810,0000,1810ICF/MR 127630,A000000,02100,0000,2100RADIOLOGY 127630,A000000,02200,0000,2200LABORATORY 127630,A000000,02500,0000,2500PHYSICAL THERAPY 127630,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127630,A000000,02700,0000,2700SPEECH PATHOLOGY 127630,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 127630,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127630,A000000,03550,0000,3550FQHC 127630,A000000,05000,0000,5000CORF 127630,A000000,05010,0000,5010CMHC 127630,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 127630,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 127630,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 127630,A000000,05300,0000,5300INTEREST EXPENSE 127630,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127630,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 127630,A81000A,00100,0100,Y 127630,A81000B,00100,0300,C O CAP RLTD COSTS 127630,A81000B,00200,0300,C O NON-CAP COSTS 127630,A81000C,00100,0100,B 127630,A81000C,00100,0200,D K PRINCE 127630,A81000C,00100,0400,PRINCE & LUFFEY 127630,A81000C,00100,0600,MGMT CO 127630,B100000,00000,0100,0100SQUARE FEET 127630,B100000,00000,0200,0200SQUARE FEET 127630,B100000,00000,0300,0300GROSS SALARIES 127630,B100000,00000,0400,0400ACCUM COST 127630,B100000,00000,0500,0500SQUARE FEET 127630,B100000,00000,0600,0600PATIENT DAYS 127630,B100000,00000,0700,0700SQUARE FEET 127630,B100000,00000,0800,0800MEALS SERVED 127630,B100000,00000,0801,0801 127630,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 127630,B100000,00000,1000,1000COSTED REQUISITIO 127630,B100000,00000,1100,1100COSTED REQUISITIO 127630,B100000,00000,1200,1200PATIENT DAYS 127630,B100000,00000,1300,1300PATIENT DAYS 127630,B100000,00000,1400,1400ASSIGNED TIME 127630,S000000,00100,0200,06/01/00 127630,S200000,00100,0100,330 WEST CAMP WISDOM ROAD 127630,S200000,00200,0100,DUNCANVILLE 127630,S200000,00200,0200,TX 127630,S200000,00300,0100,DALLAS 127630,S200000,00300,0200,1920 127630,S200000,00300,0300,U 127630,S200000,00400,0100,LAURENWOOD NURSING & REHAB 127630,S200000,00400,0200,675806 127630,S200000,00400,0300,08/26/99 127630,S200000,00400,0500,P 127630,S200000,01500,0100,N 127630,S200000,01600,0100,Y 127630,S200000,01700,0100,N 127630,S200000,01800,0100,N 127630,S200000,02200,0100,N 127630,S200000,02800,0100,N 127630,S200000,02900,0100,N 127630,S200000,03000,0100,N 127630,S200000,03100,0100,N 127630,S200000,03200,0100,N 127630,S200000,03300,0100,N 127630,S200000,03300,0200,N 127630,S200000,04100,0100,N 127630,S200000,04200,0100,N 127630,S200000,04300,0100,N 127630,S200000,04600,0100,N 127630,S200000,04700,0100,N 127630,S200000,04900,0100,N 127993,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 127993,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 127993,A000000,00300,0000,0300EMPLOYEE BENEFITS 127993,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127993,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 127993,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127993,A000000,00700,0000,0700HOUSEKEEPING 127993,A000000,00800,0000,0800DIETARY 127993,A000000,00900,0000,0900NURSING ADMINISTRATION 127993,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127993,A000000,01100,0000,1100PHARMACY 127993,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127993,A000000,01300,0000,1300SOCIAL SERVICE 127993,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 127993,A000000,01600,0000,1600SKILLED NURSING FACILITY 127993,A000000,01800,0000,1800NURSING FACILITY 127993,A000000,01900,0000,1900OTHER LONG TERM CARE 127993,A000000,02100,0000,2100RADIOLOGY 127993,A000000,02200,0000,2200LABORATORY 127993,A000000,02300,0000,2300INTRAVENOUS THERAPY 127993,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127993,A000000,02500,0000,2500PHYSICAL THERAPY 127993,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127993,A000000,02700,0000,2700SPEECH PATHOLOGY 127993,A000000,02800,0000,2800ELECTROCARDIOLOGY 127993,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 127993,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127993,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 127993,A000000,03200,0000,3200SUPPORT SURFACES 127993,A000000,03400,0000,3400CLINIC 127993,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 127993,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 127993,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 127993,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 127993,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 127993,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 127993,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 127993,A000000,04400,0000,4400DME RENTED - HHA 127993,A000000,04500,0000,4500DME SOLD - HHA 127993,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 127993,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 127993,A000000,04800,0000,4800AMBULANCE 127993,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 127993,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 127993,A000000,05300,0000,5300INTEREST EXPENSE 127993,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 127993,A000000,05500,0000,5500HOSPICE 127993,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 127993,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127993,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 127993,A000000,06100,0000,6100NONPAID WORKERS 127993,A000000,06200,0000,6200PATIENTS LAUNDRY 127993,A81000A,00100,0100,N 127993,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 127993,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 127993,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 127993,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 127993,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 127993,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 127993,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 127993,B100000,00000,0800,0800PAT DAYS DIETARY 127993,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 127993,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 127993,B100000,00000,1100,1100PAT DAYS PHARMACY 127993,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 127993,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 127993,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 127993,S000000,00100,0200,01/31/01 127993,S200000,00200,0100,BYROMVILLE 127993,S200000,00200,0200,GA 127993,S200000,00200,0300,31007 127993,S200000,00300,0100,DOOLY 127993,S200000,00300,0200,0011 127993,S200000,00300,0300,R 127993,S200000,00400,0100,PINEHILL NURSING HOME 127993,S200000,00400,0200,115564 127993,S200000,00400,0300,04/01/94 127993,S200000,00400,0500,P 127993,S200000,00600,0200,115564 127993,S200000,00600,0300,04/01/94 127993,S200000,00600,0600,O 127993,S200000,01500,0100,N 127993,S200000,01600,0100,Y 127993,S200000,01700,0100,N 127993,S200000,01800,0100,N 127993,S200000,02200,0100,Y 127993,S200000,02800,0100,N 127993,S200000,02900,0100,N 127993,S200000,03000,0100,N 127993,S200000,03100,0100,N 127993,S200000,03200,0100,N 127993,S200000,03300,0100,N 127993,S200000,03300,0200,N 127993,S200000,03500,0300,N 127993,S200000,03600,0100,N 127993,S200000,03600,0200,N 127993,S200000,03700,0100,N 127993,S200000,03700,0200,N 127993,S200000,04100,0100,N 127993,S200000,04200,0100,N 127993,S200000,04300,0100,N 127993,S200000,04600,0100,N 127993,S200000,04700,0100,N 127993,S200000,04900,0100,N 127993,S200000,05200,0100,N 127993,S700003,00000,0200,X 127994,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 127994,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 127994,A000000,00300,0000,0300EMPLOYEE BENEFITS 127994,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 127994,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 127994,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 127994,A000000,00700,0000,0700HOUSEKEEPING 127994,A000000,00800,0000,0800DIETARY 127994,A000000,00900,0000,0900NURSING ADMINISTRATION 127994,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 127994,A000000,01100,0000,1100PHARMACY 127994,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 127994,A000000,01300,0000,1300SOCIAL SERVICE 127994,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 127994,A000000,01500,0000,1350RECREATIONAL ACTIVITIES 127994,A000000,01600,0000,1600SKILLED NURSING FACILITY 127994,A000000,01800,0000,1800NURSING FACILITY 127994,A000000,02100,0000,2100RADIOLOGY 127994,A000000,02200,0000,2200LABORATORY 127994,A000000,02300,0000,2300INTRAVENOUS THERAPY 127994,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 127994,A000000,02500,0000,2500PHYSICAL THERAPY 127994,A000000,02600,0000,2600OCCUPATIONAL THERAPY 127994,A000000,02700,0000,2700SPEECH PATHOLOGY 127994,A000000,02800,0000,2800ELECTROCARDIOLOGY 127994,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 127994,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 127994,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 127994,A000000,03200,0000,3200SUPPORT SURFACES 127994,A000000,03400,0000,3400CLINIC 127994,A000000,04800,0000,4800AMBULANCE 127994,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 127994,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 127994,A000000,05300,0000,5300INTEREST EXPENSE 127994,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 127994,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 127994,A000000,05900,0000,5900BARBER & BEAUTY SHOP 127994,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 127994,A000000,06100,0000,6100NONPAID WORKERS 127994,A000000,06200,0000,6200PATIENTS LAUNDRY 127994,A81000A,00100,0100,Y 127994,A81000B,00100,0300,ADMINISTRATION FEES 127994,A81000B,00200,0300,ADMINISTRATION FEES 127994,A81000B,00300,0300,ADMINISTRATION FEES 127994,A81000B,00400,0300,LAUNDRY COSTS - TMC 127994,A81000B,00500,0300,MGMT. COSTS - LTC 127994,A81000B,00600,0300,MGMT. COSTS - LTC 127994,A81000B,00700,0300,MGMT. COSTS - LTC 127994,A81000C,00100,0100,B 127994,A81000C,00100,0400,CRHS 127994,A81000C,00100,0600,HOME OFFICE 127994,A81000C,00200,0100,B 127994,A81000C,00200,0400,THE MEDICAL CTR 127994,A81000C,00200,0600,ACUTE CARE HOSP 127994,A81000C,00300,0100,B 127994,A81000C,00300,0400,LONG TERM CARE 127994,A81000C,00300,0600,MANAGEMENT SVC 127994,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 127994,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 127994,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 127994,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 127994,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 127994,B100000,00000,0600,0600ACCUMULATECOSTS LAUNDRY & LINEN 127994,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 127994,B100000,00000,0800,0800PATIENT DA DIETARY 127994,B100000,00000,0900,0900NURSING FT NURSING ADMINISTRATIO 127994,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 127994,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 127994,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 127994,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 127994,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 127994,B100000,00000,1500,1500TIME SPENT RECREATIONAL ACTIVITI 127994,S000000,00100,0200,01/25/01 127994,S200000,00100,0100,910 TALBOTTON ROAD 127994,S200000,00200,0100,COLUMBUS 127994,S200000,00200,0200,GA 127994,S200000,00200,0300,31901 127994,S200000,00300,0100,MUSCOGEE 127994,S200000,00300,0200,1800 127994,S200000,00300,0300,U 127994,S200000,00400,0100,AZALEA TRACE NURSING HOME 127994,S200000,00400,0200,115478 127994,S200000,00400,0300,11/01/89 127994,S200000,00400,0500,P 127994,S200000,00400,0600,N 127994,S200000,01500,0100,N 127994,S200000,01600,0100,Y 127994,S200000,01700,0100,N 127994,S200000,01800,0100,N 127994,S200000,02200,0100,N 127994,S200000,02800,0100,N 127994,S200000,02900,0100,N 127994,S200000,03000,0100,N 127994,S200000,03100,0100,N 127994,S200000,03200,0100,N 127994,S200000,03300,0100,N 127994,S200000,03300,0200,N 127994,S200000,04100,0100,N 127994,S200000,04200,0100,N 127994,S200000,04300,0100,N 127994,S200000,04600,0100,N 127994,S200000,04700,0100,N 127994,S200000,04700,0200,N 127994,S200000,04900,0100,N 127994,S200000,05200,0100,N 127994,S700003,00000,0200,X 128005,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128005,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128005,A000000,00300,0000,0300EMPLOYEE BENEFITS 128005,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128005,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128005,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128005,A000000,00700,0000,0700HOUSEKEEPING 128005,A000000,00800,0000,0800DIETARY 128005,A000000,00900,0000,0900NURSING ADMINISTRATION 128005,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128005,A000000,01100,0000,1100PHARMACY 128005,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128005,A000000,01300,0000,1300SOCIAL SERVICE 128005,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128005,A000000,01600,0000,1600SKILLED NURSING FACILITY 128005,A000000,01810,0000,1810ICF/MR 128005,A000000,02100,0000,2100RADIOLOGY 128005,A000000,02200,0000,2200LABORATORY 128005,A000000,02500,0000,2500PHYSICAL THERAPY 128005,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128005,A000000,02700,0000,2700SPEECH PATHOLOGY 128005,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128005,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128005,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 128005,A000000,03550,0000,3550FQHC 128005,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 128005,A000000,05000,0000,5000CORF 128005,A000000,05010,0000,5010CMHC 128005,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128005,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128005,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128005,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128005,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128005,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 128005,A81000A,00100,0100,Y 128005,A81000B,00100,0300,HOME OFFICE COSTS 128005,A81000B,00200,0300,HOME OFFICE COSTS 128005,A81000B,00300,0300,HOME OFFICE COSTS 128005,A81000C,00100,0100,A 128005,A81000C,00100,0200,DOUG WRIGHT SR 128005,A81000C,00100,0400,RIGHT CARE INC 128005,A81000C,00100,0600,MANAGEMENT 128005,B100000,00000,0100,0100SQUARE FEET 128005,B100000,00000,0200,0200SQUARE FEET 128005,B100000,00000,0300,0300GROSS SALARIES 128005,B100000,00000,0400,0400ACCUM COST 128005,B100000,00000,0500,0500SQUARE FEET 128005,B100000,00000,0600,0600HOURS OF SERVICE 128005,B100000,00000,0700,0700HOURS OF SERVICE 128005,B100000,00000,0800,0800MEALS SERVED 128005,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128005,B100000,00000,1000,1000COSTED REQUISITIO 128005,B100000,00000,1100,1100COSTED REQUIS 128005,B100000,00000,1200,1200HOURS OF SERVICE 128005,B100000,00000,1300,1300HOURS OF SERVICE 128005,B100000,00000,1400,1400ASSIGNED TIME 128005,E10A180,00501,0100,08/16/00 128005,E10A180,00501,0300,08/16/00 128005,S000000,00100,0200,07/07/00 128005,S200000,00100,0100,907 EAST WALKER STREET 128005,S200000,00100,0300,69 128005,S200000,00200,0100,FULTON 128005,S200000,00200,0200,MS 128005,S200000,00200,0300,38843 128005,S200000,00300,0100,ITAWAMBA 128005,S200000,00300,0200,0025 128005,S200000,00300,0300,R 128005,S200000,00400,0100,THE COURTYARDS 128005,S200000,00400,0200,255212 128005,S200000,00400,0300,12/14/95 128005,S200000,00400,0500,P 128005,S200000,01500,0100,N 128005,S200000,01600,0100,Y 128005,S200000,01700,0100,N 128005,S200000,01800,0100,N 128005,S200000,02200,0100,N 128005,S200000,02800,0100,N 128005,S200000,02900,0100,N 128005,S200000,03000,0100,N 128005,S200000,03100,0100,N 128005,S200000,03200,0100,N 128005,S200000,03300,0100,N 128005,S200000,03300,0200,N 128005,S200000,04100,0100,N 128005,S200000,04200,0100,N 128005,S200000,04300,0100,N 128005,S200000,04600,0100,N 128005,S200000,04700,0100,N 128005,S200000,04900,0100,N 128005,S200000,05200,0100,N 128006,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128006,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128006,A000000,00300,0000,0300EMPLOYEE BENEFITS 128006,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128006,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128006,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128006,A000000,00700,0000,0700HOUSEKEEPING 128006,A000000,00800,0000,0800DIETARY 128006,A000000,00900,0000,0900NURSING ADMINISTRATION 128006,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128006,A000000,01100,0000,1100PHARMACY 128006,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128006,A000000,01300,0000,1300SOCIAL SERVICE 128006,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128006,A000000,01600,0000,1600SKILLED NURSING FACILITY 128006,A000000,01800,0000,1800NURSING FACILITY 128006,A000000,01810,0000,1810ICF/MR 128006,A000000,02100,0000,2100RADIOLOGY 128006,A000000,02200,0000,2200LABORATORY 128006,A000000,02500,0000,2500PHYSICAL THERAPY 128006,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128006,A000000,02700,0000,2700SPEECH PATHOLOGY 128006,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128006,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128006,A000000,03550,0000,3550FQHC 128006,A000000,05000,0000,5000CORF 128006,A000000,05010,0000,5010CMHC 128006,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128006,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128006,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128006,A000000,05300,0000,5300INTEREST EXPENSE 128006,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128006,A81000A,00100,0100,Y 128006,A81000B,00100,0300,HOME OFFICE A&G 128006,A81000B,00200,0300,HOME OFFICE CRC BLDG 128006,A81000B,00300,0300,HOME OFFICE CRC MME 128006,A81000B,00400,0300,EMPLOYEE BENEFITS 128006,A81000C,00100,0100,B 128006,A81000C,00100,0200,CLINTON CARE AND REHAB CT 128006,A81000C,00100,0400,CENTRAL AR NURSING CTRS 128006,A81000C,00100,0600,HOME OFFICE 128006,B100000,00000,0100,0100SQUARE FEET 128006,B100000,00000,0200,0200SQUARE FEET 128006,B100000,00000,0300,0300GROSS SALARIES 128006,B100000,00000,0400,0400ACCUM. COST 128006,B100000,00000,0500,0500SQUARE FEET 128006,B100000,00000,0600,0600PATIENT DAYS 128006,B100000,00000,0700,0700SQUARE FEET 128006,B100000,00000,0800,0800MEALS SERVED 128006,B100000,00000,0900,0900HOURS SUPERVISED 128006,B100000,00000,1000,1000COSTED REQUIS. 128006,B100000,00000,1100,1100COSTED REQUIS. 128006,B100000,00000,1200,1200GROSS CHARGES 128006,B100000,00000,1300,1300PATIENT DAYS 128006,B100000,00000,1400,1400ASSIGNED TIME 128006,E10A180,00301,0100,01/26/00 128006,E10A180,00501,0100,09/26/01 128006,S000000,00100,0200,05/26/00 128006,S200000,00100,0100,253 EAST HIGHWAY 116 128006,S200000,00200,0100,PLATTSBURG 128006,S200000,00200,0200,MO 128006,S200000,00200,0300,64477 128006,S200000,00300,0100,CLINTON 128006,S200000,00300,0200,100 128006,S200000,00300,0300,U 128006,S200000,00400,0100,CLINTON CARE AND REHAB CENTER INC. 128006,S200000,00400,0200,265698 128006,S200000,00400,0300,02/24/99 128006,S200000,00400,0500,P 128006,S200000,01500,0100,N 128006,S200000,01600,0100,Y 128006,S200000,01700,0100,N 128006,S200000,01800,0100,N 128006,S200000,02200,0100,N 128006,S200000,02800,0100,N 128006,S200000,02900,0100,N 128006,S200000,03000,0100,N 128006,S200000,03100,0100,N 128006,S200000,03200,0100,N 128006,S200000,03300,0100,N 128006,S200000,03300,0200,N 128006,S200000,04100,0100,N 128006,S200000,04200,0100,N 128006,S200000,04300,0100,N 128006,S200000,04600,0100,N 128006,S200000,04700,0100,N 128006,S200000,04900,0100,N 128006,S200000,05000,0100,N 128006,S200000,05100,0100,N 128006,S200000,05200,0100,N 128039,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128039,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128039,A000000,00300,0000,0300EMPLOYEE BENEFITS 128039,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128039,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128039,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128039,A000000,00700,0000,0700HOUSEKEEPING 128039,A000000,00800,0000,0800DIETARY 128039,A000000,00900,0000,0900NURSING ADMINISTRATION 128039,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128039,A000000,01100,0000,1100PHARMACY 128039,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128039,A000000,01300,0000,1300SOCIAL SERVICE 128039,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128039,A000000,01600,0000,1600SKILLED NURSING FACILITY 128039,A000000,01800,0000,1800NURSING FACILITY 128039,A000000,01810,0000,1810ICF/MR 128039,A000000,02100,0000,2100RADIOLOGY 128039,A000000,02200,0000,2200LABORATORY 128039,A000000,02300,0000,2300INTRAVENOUS THERAPY 128039,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128039,A000000,02500,0000,2500PHYSICAL THERAPY 128039,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128039,A000000,02700,0000,2700SPEECH PATHOLOGY 128039,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128039,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128039,A000000,03550,0000,3550FQHC 128039,A000000,05000,0000,5000CORF 128039,A000000,05010,0000,5010CMHC 128039,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128039,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128039,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128039,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128039,A000000,06300,0000,6150ADULT DAY CARE 128039,A000000,06301,0000,6151DENTAL 128039,A81000A,00100,0100,Y 128039,A81000B,00100,0300,MANAGEMENT FEE 128039,A81000B,00200,0300,LEASE 128039,A81000B,00300,0300,STEAM 128039,A81000B,00400,0300,OXYGEN 128039,A81000B,00500,0300,PENSION 128039,A81000B,00600,0300,LIFE INSURANCE 128039,A81000B,00700,0300,DENTAL INSURANCE 128039,A81000B,00800,0300,INFORMATION SYSTEM CONSULTANT 128039,A81000B,00900,0300,HUMAN RESOURCE CONSULTANT 128039,A81000C,00100,0100,B 128039,A81000C,00100,0200,STAMFORD HEALTH 128039,A81000C,00100,0400,STAMFORD HEALTH 128039,A81000C,00100,0600,HOSPITAL SYSTEM 128039,A81000C,00200,0100,B 128039,A81000C,00200,0200,STAMFORD HOSPIT 128039,A81000C,00200,0400,STAMFORD HOSPIT 128039,A81000C,00200,0600,HOSPITAL 128039,A81000C,00300,0100,B 128039,A81000C,00300,0200,STAMFORD HEALTH 128039,A81000C,00300,0400,STAMFORD HEALTH 128039,A81000C,00300,0600,FUNDRAISING 128039,B100000,00000,0100,0100SQUARE FEET 128039,B100000,00000,0200,0200SQUARE FEET 128039,B100000,00000,0300,0300GROSS SALARIES 128039,B100000,00000,0400,0400ACCUM COST 128039,B100000,00000,0500,0500SQUARE FEET 128039,B100000,00000,0600,0600POUNDS OF LAUNDRY 128039,B100000,00000,0700,0700SQUARE FEET 128039,B100000,00000,0800,0800MEALS SERVED 128039,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128039,B100000,00000,1000,1000PATIENT DAYS 128039,B100000,00000,1100,1100PATIENT DAYS 128039,B100000,00000,1200,1200TIME SPENT 128039,B100000,00000,1300,1300TIME SPENT 128039,B100000,00000,1400,1400ASSIGNED TIME 128039,E10A180,00501,0100,06/12/01 128039,E10A180,00501,0300,06/26/02 128039,E10A180,00550,0100,06/26/02 128039,E10A180,00550,0300,04/06/00 128039,S000000,00100,0200,04/05/00 128039,S200000,00100,0100,146 BROAD STREET 128039,S200000,00200,0100,STAMFORD 128039,S200000,00200,0200,CT 128039,S200000,00200,0300,06902 128039,S200000,00300,0100,FAIRFIELD 128039,S200000,00300,0200,5483 128039,S200000,00300,0300,U 128039,S200000,00400,0100,THE WM & SALLY TANDET CENTER 128039,S200000,00400,0200,075360 128039,S200000,00400,0300,10/01/91 128039,S200000,00400,0500,P 128039,S200000,00600,0200,075360 128039,S200000,00600,0300,10/01/91 128039,S200000,00600,0600,O 128039,S200000,01500,0100,N 128039,S200000,01600,0100,Y 128039,S200000,01700,0100,N 128039,S200000,01800,0100,N 128039,S200000,02200,0100,N 128039,S200000,02800,0100,N 128039,S200000,02900,0100,N 128039,S200000,03000,0100,N 128039,S200000,03100,0100,N 128039,S200000,03200,0100,N 128039,S200000,03300,0100,N 128039,S200000,03300,0200,N 128039,S200000,03500,0300,N 128039,S200000,04100,0100,N 128039,S200000,04200,0100,N 128039,S200000,04300,0100,N 128039,S200000,04600,0100,N 128039,S200000,04700,0100,Y 128039,S200000,04900,0100,N 128056,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128056,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128056,A000000,00300,0000,0300EMPLOYEE BENEFITS 128056,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128056,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128056,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128056,A000000,00700,0000,0700HOUSEKEEPING 128056,A000000,00800,0000,0800DIETARY 128056,A000000,00900,0000,0900NURSING ADMINISTRATION 128056,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128056,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128056,A000000,01300,0000,1300SOCIAL SERVICE 128056,A000000,01500,0000,1350ACTIVITIES 128056,A000000,01600,0000,1600SKILLED NURSING FACILITY 128056,A000000,01800,0000,1800NURSING FACILITY 128056,A000000,02100,0000,2100RADIOLOGY 128056,A000000,02200,0000,2200LABORATORY 128056,A000000,02300,0000,2300INTRAVENOUS THERAPY 128056,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128056,A000000,02500,0000,2500PHYSICAL THERAPY 128056,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128056,A000000,02700,0000,2700SPEECH PATHOLOGY 128056,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128056,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128056,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128056,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128056,A81000A,00100,0100,Y 128056,A81000B,00100,0300,HOME OFFICE COSTS 128056,A81000B,00200,0300,H.O. COSTS - CAPITAL 128056,A81000B,00300,0300,COMPUTER LEASE - 96 128056,A81000B,00400,0300,BLDG. DEPRECIATION 128056,A81000B,00500,0300,EQUIP. DEPRECIATION 128056,A81000B,00600,0300,REHAB SERVICES - PT 128056,A81000B,00700,0300,REHAB SERVICES - OT 128056,A81000B,00800,0300,REHAB SERVICES - ST 128056,A81000B,00900,0300,INTERIOR DESIGN 128056,A81000B,01000,0300,Y2K COMPUTER DEPREC. 128056,A81000C,00100,0100,A 128056,A81000C,00100,0200,FORREST PRESTON 128056,A81000C,00100,0400,LIFE CARE CENTE 128056,A81000C,00100,0600,NRSG. HOME MGMT 128056,A81000C,00200,0100,A 128056,A81000C,00200,0200,FORREST PRESTON 128056,A81000C,00200,0400,LIFE CARE CENTE 128056,A81000C,00200,0600,NRSG. HOME MGMT 128056,A81000C,00300,0100,A 128056,A81000C,00300,0200,FORREST PRESTON 128056,A81000C,00300,0400,METLIFE 128056,A81000C,00300,0600,COMPUTER LEASIN 128056,A81000C,00400,0100,A 128056,A81000C,00400,0200,FORREST PRESTON 128056,A81000C,00400,0400,L.C. CONSTRUCTI 128056,A81000C,00400,0600,CONSTRUCTION CO 128056,A81000C,00500,0100,A 128056,A81000C,00500,0200,FORREST PRESTON 128056,A81000C,00500,0400,L.C. CONSTRUCTI 128056,A81000C,00500,0600,CONSTRUCTION CO 128056,A81000C,00600,0100,A 128056,A81000C,00600,0200,FORREST PRESTON 128056,A81000C,00600,0400,REHAB SUPPORT S 128056,A81000C,00600,0600,REHAB SERVICES 128056,A81000C,00700,0100,A 128056,A81000C,00700,0200,FORREST PRESTON 128056,A81000C,00700,0400,REHAB SUPPORT S 128056,A81000C,00700,0600,REHAB SERVICES 128056,A81000C,00800,0100,A 128056,A81000C,00800,0200,FORREST PRESTON 128056,A81000C,00800,0400,REHAB SUPPORT S 128056,A81000C,00800,0600,REHAB SERVICES 128056,A81000C,00900,0100,A 128056,A81000C,00900,0200,FORREST PRESTON 128056,A81000C,00900,0400,LIFE CARE DESIG 128056,A81000C,00900,0600,INTERIOR DESIGN 128056,A81000C,01000,0100,A 128056,A81000C,01000,0200,FORREST PRESTON 128056,A81000C,01000,0400,LIFE CARE CENTE 128056,A81000C,01000,0600,NRSG. HOME MGMT 128056,B100000,00000,0100,0100(SQUARE FEET) 128056,B100000,00000,0200,0200(SQUARE FEET) 128056,B100000,00000,0300,0300(GROSS SALARIES) 128056,B100000,00000,0400,0400(ACCUM COST) 128056,B100000,00000,0500,0500(SQUARE FEET) 128056,B100000,00000,0600,0600PATIENT DAYS 128056,B100000,00000,0700,0700(SQUARE FEET) 128056,B100000,00000,0800,0800(MEALS SERVED) 128056,B100000,00000,0900,0900DIR NRSG HOURS 128056,B100000,00000,1000,1000(COSTED REQUIS) 128056,B100000,00000,1200,1200GROSS REVENUES 128056,B100000,00000,1300,1300PATIENT DAYS 128056,B100000,00000,1500,1350PATIENT DAYS 128056,E10A180,00301,0100,08/11/00 128056,S000000,00100,0200,11/17/00 128056,S200000,00100,0100,2451 PRATT STREET 128056,S200000,00200,0100,LONGMONT 128056,S200000,00200,0200,CO 128056,S200000,00200,0300,80501 128056,S200000,00300,0100,BOULDER 128056,S200000,00300,0200,1125 128056,S200000,00300,0300,U 128056,S200000,00400,0100,LIFE CARE CENTER OF LONGMONT 128056,S200000,00400,0200,065282 128056,S200000,00400,0300,08/17/90 128056,S200000,00400,0500,P 128056,S200000,00600,0200,065282 128056,S200000,00600,0300,08/17/90 128056,S200000,00600,0600,O 128056,S200000,01500,0100,N 128056,S200000,01600,0100,Y 128056,S200000,01700,0100,N 128056,S200000,01800,0100,N 128056,S200000,02200,0100,Y 128056,S200000,02800,0100,Y 128056,S200000,02900,0100,N 128056,S200000,03000,0100,N 128056,S200000,03100,0100,N 128056,S200000,03200,0100,N 128056,S200000,03300,0100,N 128056,S200000,03300,0200,N 128056,S200000,03500,0300,N 128056,S200000,04100,0100,N 128056,S200000,04200,0100,N 128056,S200000,04300,0100,N 128056,S200000,04600,0100,N 128056,S200000,04700,0100,N 128056,S200000,04900,0100,N 128056,S200000,05200,0100,N 128060,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128060,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128060,A000000,00300,0000,0300EMPLOYEE BENEFITS 128060,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128060,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128060,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128060,A000000,00700,0000,0700HOUSEKEEPING 128060,A000000,00800,0000,0800DIETARY 128060,A000000,00900,0000,0900NURSING ADMINISTRATION 128060,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128060,A000000,01100,0000,1100PHARMACY 128060,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128060,A000000,01300,0000,1300SOCIAL SERVICE 128060,A000000,01500,0000,1350ACTIVITIES 128060,A000000,01600,0000,1600SKILLED NURSING FACILITY 128060,A000000,01800,0000,1800NURSING FACILITY 128060,A000000,01810,0000,1810ICF/MR 128060,A000000,02100,0000,2100RADIOLOGY 128060,A000000,02200,0000,2200LABORATORY 128060,A000000,02300,0000,2300INTRAVENOUS THERAPY 128060,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128060,A000000,02500,0000,2500PHYSICAL THERAPY 128060,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128060,A000000,02700,0000,2700SPEECH PATHOLOGY 128060,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128060,A000000,02901,0000,2901PEN THERAPY 128060,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128060,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 128060,A000000,03301,0000,3051OTHER ANCILLARY (SPECIFY) 128060,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128060,A81000A,00100,0100,Y 128060,A81000B,00100,0300,MANAGEMENT FEES 128060,A81000B,00200,0300,ALLOCATED PT COSTS 128060,A81000B,00300,0300,ALLOCATED OT COSTS 128060,A81000B,00400,0300,ALLOCATED ST COSTS 128060,A81000B,00500,0300,LIFE CARE DESIGNS 128060,A81000B,00600,0300,HCE LEASING DEPR. 128060,A81000B,00700,0300,HCE LEASING INTREST 128060,A81000B,00800,0300,PROJ 2000 DEPR 128060,A81000C,00100,0100,A 128060,A81000C,00100,0200,FORREST PRESTON 128060,A81000C,00100,0400,LIFE CARE CENTE 128060,A81000C,00100,0600,MANAGEMENT COMP 128060,A81000C,00200,0100,A 128060,A81000C,00200,0200,FORREST PRESTON 128060,A81000C,00200,0400,LIFE CARE CENTE 128060,A81000C,00200,0600,MANAGEMENT COMP 128060,A81000C,00300,0100,A 128060,A81000C,00300,0200,FORREST PRESTON 128060,A81000C,00300,0400,LIFE CARE CENTE 128060,A81000C,00300,0600,MANAGEMENT COMP 128060,A81000C,00400,0100,A 128060,A81000C,00400,0200,FORREST PRESTON 128060,A81000C,00400,0400,LIFE CARE CENTE 128060,A81000C,00400,0600,MANAGEMENT COMP 128060,A81000C,00500,0100,A 128060,A81000C,00500,0200,FORREST PRESTON 128060,A81000C,00500,0400,LIFE CARE DESIG 128060,A81000C,00500,0600,FURNITURE & EQU 128060,A81000C,00600,0100,A 128060,A81000C,00600,0200,FORREST PRESTON 128060,A81000C,00600,0400,HCE LEASING 128060,A81000C,00600,0600,VEHICLE LEASING 128060,A81000C,00700,0100,A 128060,A81000C,00700,0200,FORREST PRESTON 128060,A81000C,00700,0400,HCE LEASING 128060,A81000C,00700,0600,VEHICLE LEASING 128060,A81000C,00800,0100,A 128060,A81000C,00800,0200,FORREST PRESTON 128060,A81000C,00800,0400,LIFE CARE CENTE 128060,A81000C,00800,0600,MANAGEMENT COMP 128060,B100000,00000,0100,0100(SQUARE FEET) 128060,B100000,00000,0200,0200(SQUARE FEET) 128060,B100000,00000,0300,0300(GROSS SALARIES) 128060,B100000,00000,0400,0400(ACCUM COST) 128060,B100000,00000,0500,0500(SQUARE FEET) 128060,B100000,00000,0600,0600PATIENT DAYS 128060,B100000,00000,0700,0700(SQUARE FEET) 128060,B100000,00000,0800,0800(MEALS SERVED) 128060,B100000,00000,0900,0900DIRECT HOURS 128060,B100000,00000,1000,1000(COSTED REQUIS) 128060,B100000,00000,1100,1100(COSTED REQUIS) 128060,B100000,00000,1200,1200GROSS REVENUES 128060,B100000,00000,1300,1300PATIENT DAYS 128060,B100000,00000,1500,1350PATIENT DAYS 128060,E10A180,00501,0100,11/30/00 128060,E10A180,00550,0300,11/30/00 128060,S000000,00100,0200,11/30/00 128060,S200000,00100,0100,315 HOPPER STREET 128060,S200000,00200,0100,ELKHORN 128060,S200000,00200,0200,NE 128060,S200000,00200,0300,68022 128060,S200000,00300,0100,DOUGLAS 128060,S200000,00300,0200,5920 128060,S200000,00300,0300,U 128060,S200000,00400,0100,LIFE CARE CENTER OF ELKHORN 128060,S200000,00400,0200,285134 128060,S200000,00400,0300,12/01/93 128060,S200000,00400,0500,P 128060,S200000,00600,0200,285134 128060,S200000,00600,0300,12/01/93 128060,S200000,00600,0400,O 128060,S200000,00600,0600,O 128060,S200000,01500,0100,N 128060,S200000,01600,0100,Y 128060,S200000,01700,0100,N 128060,S200000,01800,0100,N 128060,S200000,02200,0100,Y 128060,S200000,02800,0100,N 128060,S200000,02900,0100,N 128060,S200000,03000,0100,N 128060,S200000,03100,0100,N 128060,S200000,03200,0100,N 128060,S200000,03300,0100,N 128060,S200000,03300,0200,N 128060,S200000,03500,0300,N 128060,S200000,04100,0100,N 128060,S200000,04200,0100,N 128060,S200000,04300,0100,Y 128060,S200000,04600,0100,N 128060,S200000,04700,0100,N 128060,S200000,04900,0100,N 128076,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128076,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128076,A000000,00300,0000,0300EMPLOYEE BENEFITS 128076,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128076,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128076,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128076,A000000,00700,0000,0700HOUSEKEEPING 128076,A000000,00800,0000,0800DIETARY 128076,A000000,00900,0000,0900NURSING ADMINISTRATION 128076,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128076,A000000,01100,0000,1100PHARMACY 128076,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128076,A000000,01300,0000,1300SOCIAL SERVICE 128076,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128076,A000000,01600,0000,1600SKILLED NURSING FACILITY 128076,A000000,01800,0000,1800NURSING FACILITY 128076,A000000,01810,0000,1810ICF/MR 128076,A000000,02200,0000,2200LABORATORY 128076,A000000,02500,0000,2500PHYSICAL THERAPY 128076,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128076,A000000,02700,0000,2700SPEECH PATHOLOGY 128076,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128076,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128076,A000000,03550,0000,3550FQHC 128076,A000000,04800,0000,4800AMBULANCE 128076,A000000,05000,0000,5000CORF 128076,A000000,05010,0000,5010CMHC 128076,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128076,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128076,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128076,A81000A,00100,0100,N 128076,B100000,00000,0100,0100SQUARE FEET 128076,B100000,00000,0200,0200SQUARE FEET 128076,B100000,00000,0300,0300GROSS SALARIES 128076,B100000,00000,0400,0400ACCUM COST 128076,B100000,00000,0500,0500SQUARE FEET 128076,B100000,00000,0600,0600PATIENT DAYS 128076,B100000,00000,0700,0700SQUARE FEET 128076,B100000,00000,0800,0800MEALS SERVED 128076,B100000,00000,0900,0900PATIENT DAYS 128076,B100000,00000,1000,1000COSTED REQUIS 128076,B100000,00000,1100,1100COSTED REQUIS 128076,B100000,00000,1200,1200PATIENT DAYS 128076,B100000,00000,1300,1300SOCIAL SERVICES 128076,B100000,00000,1400,1400ASSIGNED TIME 128076,E10A180,00501,0300,02/13/01 128076,S000000,00100,0200,01/22/01 128076,S200000,00100,0100,5321 TAZEWELL PIKE 128076,S200000,00100,0300,59040 128076,S200000,00200,0100,KNOXVILLE 128076,S200000,00200,0200,TN 128076,S200000,00300,0100,K 128076,S200000,00300,0300,U 128076,S200000,00400,0100,HILLCREST MEDICAL NURSING INST. INC 128076,S200000,00400,0200,445131 128076,S200000,00400,0300,07/29/76 128076,S200000,00400,0500,P 128076,S200000,00600,0200,445131 128076,S200000,00600,0300,07/29/76 128076,S200000,01500,0100,N 128076,S200000,01600,0100,Y 128076,S200000,01700,0100,N 128076,S200000,01800,0100,N 128076,S200000,02200,0100,N 128076,S200000,02800,0100,N 128076,S200000,02900,0100,N 128076,S200000,03000,0100,N 128076,S200000,03100,0100,N 128076,S200000,03200,0100,N 128076,S200000,03300,0100,N 128076,S200000,03300,0200,N 128076,S200000,03500,0300,N 128076,S200000,04100,0100,N 128076,S200000,04200,0100,N 128076,S200000,04300,0100,N 128076,S200000,04600,0100,N 128076,S200000,04700,0100,N 128076,S200000,04900,0100,N 128076,S200000,05200,0100,N 128078,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128078,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 128078,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128078,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 128078,A000000,00300,0000,0300EMPLOYEE BENEFITS 128078,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128078,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128078,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128078,A000000,00700,0000,0700HOUSEKEEPING 128078,A000000,00800,0000,0800DIETARY 128078,A000000,00801,0000,0801CAFETERIA 128078,A000000,00900,0000,0900NURSING ADMINISTRATION 128078,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128078,A000000,01100,0000,1100PHARMACY 128078,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128078,A000000,01300,0000,1300SOCIAL SERVICE 128078,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128078,A000000,01500,0000,1350ACTIVITIES 128078,A000000,01600,0000,1600SKILLED NURSING FACILITY 128078,A000000,01800,0000,1800NURSING FACILITY 128078,A000000,01810,0000,1810ICF/MR 128078,A000000,02100,0000,2100RADIOLOGY 128078,A000000,02200,0000,2200LABORATORY 128078,A000000,02300,0000,2300INTRAVENOUS THERAPY 128078,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128078,A000000,02500,0000,2500PHYSICAL THERAPY 128078,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128078,A000000,02700,0000,2700SPEECH PATHOLOGY 128078,A000000,02800,0000,2800ELECTROCARDIOLOGY 128078,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128078,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128078,A000000,03200,0000,3200SUPPORT SURFACES 128078,A000000,03300,0000,3050BLOOD 128078,A000000,03301,0000,3051PERIPHERAL VACULAR 128078,A000000,03302,0000,3052OTHER ANCILLARY III 128078,A000000,03550,0000,3550FQHC 128078,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 128078,A000000,04800,0000,4800AMBULANCE 128078,A000000,05000,0000,5000CORF I 128078,A000000,05010,0000,5010CMHC I 128078,A000000,05020,0000,5020OPT I 128078,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128078,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128078,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128078,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 128078,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 128078,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128078,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128078,A81000A,00100,0100,Y 128078,A81000B,00100,0300,NSG ADM.FROM HCMC 128078,A81000B,00200,0300,CSS EXP. FROM HCMC 128078,A81000B,00300,0300,HR EXP FROM HCMC 128078,A81000B,00400,0300,ADM.EXP.FROM HCMC 128078,A81000B,00500,0300,PT FROM HCMC TO EXP 128078,A81000B,00600,0300,ST FROM HCMC TO EXP 128078,A81000B,00700,0300,OT FROM HCMC TO EXP 128078,A81000B,00800,0300,HUMANRESOURFROMHCMC 128078,A81000C,00100,0100,B 128078,A81000C,00100,0400,HENRY COUNTY 128078,A81000C,00100,0600,HOSPITAL 128078,A81000C,00200,0400,MEDICAL CENTER 128078,B100000,00000,0100,0100(SQUARE FEET) 128078,B100000,00000,0101,0101 128078,B100000,00000,0200,0200(SQUARE FEET) 128078,B100000,00000,0201,0201 128078,B100000,00000,0300,0300(GROSS SALARIES) 128078,B100000,00000,0400,0400(ACCUM. COST) 128078,B100000,00000,0500,0500(SQUARE FEET) 128078,B100000,00000,0600,0600(PATIENT DAYS) 128078,B100000,00000,0700,0700(SQUARE FEET) 128078,B100000,00000,0800,0800(MEALS SERVED) 128078,B100000,00000,0801,0801 128078,B100000,00000,0900,0900(PATIENT DAYS) 128078,B100000,00000,1000,1000(COSTED REQUIS.) 128078,B100000,00000,1100,1100(COSTED REQUIS.) 128078,B100000,00000,1200,1200(PATIENT DAYS) 128078,B100000,00000,1300,1300(PATIENT DAYS) 128078,B100000,00000,1400,1400(ASSIGNED TIME) 128078,B100000,00000,1500,1350 128078,E10A180,00501,0100,02/05/01 128078,E10A180,00501,0300,02/05/01 128078,E10A180,00502,0300,09/06/02 128078,E10A180,00550,0100,09/06/02 128078,S000000,00100,0200,12/07/00 128078,S200000,00100,0100,1 HOSPITALCIRCLE 128078,S200000,00200,0100,PARIS 128078,S200000,00200,0200,TN 128078,S200000,00200,0300,38242 128078,S200000,00300,0100,HENRY 128078,S200000,00300,0300,R 128078,S200000,00400,0100,HENRY COUNTY HEALTHCARE 128078,S200000,00400,0200,445224 128078,S200000,00400,0300,05/09/89 128078,S200000,00400,0500,P 128078,S200000,00400,0600,P 128078,S200000,01500,0100,N 128078,S200000,01600,0100,Y 128078,S200000,01700,0100,N 128078,S200000,01800,0100,N 128078,S200000,02200,0100,N 128078,S200000,02800,0100,Y 128078,S200000,02900,0100,N 128078,S200000,03000,0100,N 128078,S200000,03100,0100,N 128078,S200000,03200,0100,N 128078,S200000,03300,0100,N 128078,S200000,03300,0200,N 128078,S200000,04100,0100,N 128078,S200000,04200,0100,N 128078,S200000,04300,0100,N 128078,S200000,04600,0100,N 128078,S200000,04700,0100,N 128078,S200000,04700,0200,N 128078,S200000,04900,0100,N 128080,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128080,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128080,A000000,00300,0000,0300EMPLOYEE BENEFITS 128080,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128080,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128080,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128080,A000000,00700,0000,0700HOUSEKEEPING 128080,A000000,00800,0000,0800DIETARY 128080,A000000,00900,0000,0900NURSING ADMINISTRATION 128080,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128080,A000000,01100,0000,1100PHARMACY 128080,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128080,A000000,01300,0000,1300SOCIAL SERVICE 128080,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128080,A000000,01500,0000,1350ACTIVITIES 128080,A000000,01600,0000,1600SKILLED NURSING FACILITY 128080,A000000,01810,0000,1810ICF/MR 128080,A000000,01900,0000,1900OTHER LONG TERM CARE 128080,A000000,02100,0000,2100RADIOLOGY 128080,A000000,02200,0000,2200LABORATORY 128080,A000000,02300,0000,2300INTRAVENOUS THERAPY 128080,A000000,02500,0000,2500PHYSICAL THERAPY 128080,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128080,A000000,02700,0000,2700SPEECH PATHOLOGY 128080,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128080,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128080,A000000,03300,0000,3050AMBULANCE 128080,A000000,03550,0000,3550FQHC 128080,A000000,05000,0000,5000CORF 128080,A000000,05010,0000,5010CMHC 128080,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128080,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128080,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128080,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128080,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128080,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128080,A81000A,00100,0100,Y 128080,A81000B,00100,0300,HOME OFFICE COSTS 128080,A81000B,00200,0300,INTEREST 128080,A81000B,00300,0300,Y2K CONVERSION 128080,A81000B,00400,0300,PT ALLOCATION 128080,A81000B,00500,0300,OT ALLOCATION 128080,A81000B,00600,0300,ST ALLOCATION 128080,A81000B,00700,0300,HOME OFFICE P&D 128080,A81000B,00800,0300,HOME OFFICE P&D 128080,A81000C,00100,0100,A 128080,A81000C,00100,0200,FORREST PRESTON 128080,A81000C,00100,0400,LIFE CARE CENTE 128080,A81000C,00100,0600,NURSING HOME MG 128080,B100000,00000,0100,0100SQUARE FEET 128080,B100000,00000,0200,0200SQUARE FEET 128080,B100000,00000,0300,0300GROSS SALARIES 128080,B100000,00000,0400,0400ACCUM COST 128080,B100000,00000,0500,0500SQUARE FEET 128080,B100000,00000,0600,0600PATIENT DASY 128080,B100000,00000,0700,0700SQUARE FEET 128080,B100000,00000,0800,0800MEALS SERVED 128080,B100000,00000,0900,0900DIRECT NRSG HRS 128080,B100000,00000,1000,1000COSTED REQUIS 128080,B100000,00000,1100,1100COSTED REQUIS 128080,B100000,00000,1200,1200GROSS REVENUE 128080,B100000,00000,1300,1300PATIENT DAYS 128080,B100000,00000,1400,1400ASSIGNED TIME 128080,B100000,00000,1500,1350PATIENT DAYS 128080,S000000,00100,0200,10/31/00 128080,S200000,00100,0100,1201 EAST 4500 SOUTH 128080,S200000,00200,0100,SALT LAKE CITY 128080,S200000,00200,0200,UT 128080,S200000,00200,0300,84117 128080,S200000,00300,0100,SALT LAKE 128080,S200000,00300,0200,7160 128080,S200000,00300,0300,U 128080,S200000,00400,0100,GARDEN TERRACE OF UTAH 128080,S200000,00400,0200,465139 128080,S200000,00400,0300,06/15/94 128080,S200000,00400,0500,P 128080,S200000,01500,0100,Y 128080,S200000,01600,0100,N 128080,S200000,01700,0100,N 128080,S200000,01800,0100,N 128080,S200000,02200,0100,N 128080,S200000,02800,0100,N 128080,S200000,02900,0100,N 128080,S200000,03000,0100,N 128080,S200000,03100,0100,N 128080,S200000,03200,0100,N 128080,S200000,03300,0100,N 128080,S200000,03300,0200,N 128080,S200000,04100,0100,N 128080,S200000,04200,0100,N 128080,S200000,04300,0100,Y 128080,S200000,04600,0100,N 128080,S200000,04700,0100,N 128080,S200000,04900,0100,N 128080,S200000,05200,0100,N 128126,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128126,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128126,A000000,00300,0000,0300EMPLOYEE BENEFITS 128126,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128126,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128126,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128126,A000000,00700,0000,0700HOUSEKEEPING 128126,A000000,00800,0000,0800DIETARY 128126,A000000,00900,0000,0900NURSING ADMINISTRATION 128126,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128126,A000000,01100,0000,1100PHARMACY 128126,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128126,A000000,01300,0000,1300SOCIAL SERVICE 128126,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128126,A000000,01500,0000,1350PATIENT ACTIVITIES 128126,A000000,01600,0000,1600SKILLED NURSING FACILITY 128126,A000000,01800,0000,1800NURSING FACILITY 128126,A000000,01810,0000,1810ICF/MR 128126,A000000,02100,0000,2100RADIOLOGY 128126,A000000,02200,0000,2200LABORATORY 128126,A000000,02300,0000,2300INTRAVENOUS THERAPY 128126,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128126,A000000,02500,0000,2500PHYSICAL THERAPY 128126,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128126,A000000,02700,0000,2700SPEECH PATHOLOGY 128126,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128126,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128126,A000000,03200,0000,3200SUPPORT SURFACES 128126,A000000,03300,0000,3050AMBULANCE 128126,A000000,03550,0000,3550FQHC 128126,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128126,A000000,05000,0000,5000CORF 128126,A000000,05010,0000,5010CMHC 128126,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128126,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128126,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128126,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128126,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128126,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128126,A81000A,00100,0100,Y 128126,A81000B,00100,0300,HOME OFFICE 128126,A81000B,00200,0300,HO ADMINISTRATIVE 128126,A81000B,00300,0300,HO MAINTENANCE 128126,A81000B,00400,0300,DEP AMORT 128126,A81000C,00100,0100,B 128126,A81000C,00100,0200,BRANDYWINE SENIOR CARE 128126,A81000C,00100,0400,BRANDYWINE SENIOR CARE 128126,A81000C,00100,0600,HOME OFFICE 128126,B100000,00000,0100,0100SQUARE FEET 128126,B100000,00000,0200,0200SQUARE FEET 128126,B100000,00000,0300,0300GROSS SALARIES 128126,B100000,00000,0400,0400ACCUM. COST 128126,B100000,00000,0500,0500SQUARE FEET 128126,B100000,00000,0600,0600PATIENT DAYS 128126,B100000,00000,0700,0700SQUARE FEET 128126,B100000,00000,0800,0800PATIENT DAYS 128126,B100000,00000,0900,0900NURSING SALARIES 128126,B100000,00000,1000,1000PATIENT DAYS 128126,B100000,00000,1100,1100PATIENT DAYS 128126,B100000,00000,1200,1200PATIENT DAYS 128126,B100000,00000,1300,1300PATIENT DAYS 128126,B100000,00000,1400,1400ASSIGNED TIME 128126,B100000,00000,1500,1350PATIENT DAYS 128126,E10A180,00301,0100,08/18/00 128126,S000000,00100,0200,02/27/01 128126,S200000,00100,0100,1165 EASTON AVE 128126,S200000,00200,0100,SOMERSET 128126,S200000,00200,0200,NJ 128126,S200000,00200,0300,08873 128126,S200000,00300,0100,S 128126,S200000,00300,0200,5015 128126,S200000,00300,0300,U 128126,S200000,00400,0100,WILLOW CREEK REHAB & CC 128126,S200000,00400,0200,315131 128126,S200000,00400,0300,01/01/71 128126,S200000,00400,0500,P 128126,S200000,01500,0100,N 128126,S200000,01600,0100,Y 128126,S200000,01700,0100,N 128126,S200000,01800,0100,N 128126,S200000,02200,0100,N 128126,S200000,02800,0100,N 128126,S200000,02900,0100,N 128126,S200000,03000,0100,N 128126,S200000,03100,0100,N 128126,S200000,03200,0100,N 128126,S200000,03300,0100,N 128126,S200000,03300,0200,N 128126,S200000,04100,0100,N 128126,S200000,04200,0100,N 128126,S200000,04300,0100,N 128126,S200000,04600,0100,N 128126,S200000,04700,0100,N 128126,S200000,04900,0100,N 128126,S200000,05200,0100,N 128294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128294,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128294,A000000,00300,0000,0300EMPLOYEE BENEFITS 128294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128294,A000000,00700,0000,0700HOUSEKEEPING 128294,A000000,00800,0000,0800DIETARY 128294,A000000,00802,0000,1201CAFETERIA 128294,A000000,00900,0000,0900NURSING ADMINISTRATION 128294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128294,A000000,01100,0000,1100PHARMACY 128294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128294,A000000,01300,0000,1300SOCIAL SERVICE 128294,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128294,A000000,01500,0000,1350ACTIVITIES 128294,A000000,01600,0000,1600SKILLED NURSING FACILITY 128294,A000000,01810,0000,1810ICF/MR 128294,A000000,02100,0000,2100RADIOLOGY 128294,A000000,02200,0000,2200LABORATORY 128294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128294,A000000,02500,0000,2500PHYSICAL THERAPY 128294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128294,A000000,02700,0000,2700SPEECH PATHOLOGY 128294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128294,A000000,03300,0000,3050BEHAVIORAL MEDICINE 128294,A000000,03301,0000,3051AUDIOLOGY 128294,A000000,03302,0000,3052WHEELCHAIR CABS 128294,A000000,03303,0000,3053REHABILITATION COUNSELING 128294,A000000,03304,0000,3054RESPIRATORY 128294,A000000,03400,0000,3400CLINIC 128294,A000000,03550,0000,3550FQHC 128294,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 128294,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 128294,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 128294,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 128294,A000000,05000,0000,5000CORF 128294,A000000,05010,0000,5010CMHC 128294,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128294,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128294,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128294,A000000,05100,0000,4750ADULT DAY CARE 128294,A000000,05300,0000,5300INTEREST EXPENSE 128294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128294,A000000,06300,0000,6150DENTAL 128294,A000000,06301,0000,6151ADULT DAY CARE 128294,A000000,06302,0000,6152NYS ASSESSMENT 128294,A81000A,00100,0100,N 128294,B100000,00000,0100,0100SQUARE FEET 128294,B100000,00000,0200,0200SQUARE FEET 128294,B100000,00000,0300,0300GROSS SALARIES 128294,B100000,00000,0400,0400ACCUM COST 128294,B100000,00000,0500,0500SQUARE FEET 128294,B100000,00000,0600,0600POUNDS OF LAUNDRY 128294,B100000,00000,0700,0700HOURS OF SERVICE 128294,B100000,00000,0800,0800MEALS SERVED 128294,B100000,00000,0802,0802FTE 128294,B100000,00000,0900,0900DIRECT NRSG HRS 128294,B100000,00000,1000,1000COSTED REQUIS 128294,B100000,00000,1100,1100COSTED REQUIS 128294,B100000,00000,1200,1200TIME SPENT 128294,B100000,00000,1300,1300TIME SPENT 128294,B100000,00000,1400,1400ASSIGNED TIME 128294,B100000,00000,1500,1350TIME SPENT 128294,E10A180,00301,0100,09/08/99 128294,E10A180,00302,0100,11/16/99 128294,E10A180,00303,0100,05/10/00 128294,H510100,00000,0000,8160 128294,H510100,02400,0000,8160 128294,H710000,00301,0100,11/16/99 128294,H710000,00501,0100,07/24/00 128294,J41D000,00301,0100,11/16/99 128294,S000000,00100,0200,05/31/00 128294,S200000,00100,0100,813 FAY ROAD 128294,S200000,00200,0100,SYRACUSE 128294,S200000,00200,0200,NY 128294,S200000,00200,0300,13219 128294,S200000,00300,0100,ONONDAGA 128294,S200000,00300,0200,8160 128294,S200000,00300,0300,U 128294,S200000,00400,0100,ST. CAMILLUS 128294,S200000,00400,0200,335283 128294,S200000,00400,0300,03/03/69 128294,S200000,00400,0500,P 128294,S200000,00800,0200,337199 128294,S200000,00800,0300,11/01/83 128294,S200000,00800,0500,O 128294,S200000,01000,0200,334501 128294,S200000,01000,0300,08/27/84 128294,S200000,01000,0500,O 128294,S200000,01500,0100,Y 128294,S200000,01600,0100,N 128294,S200000,01700,0100,N 128294,S200000,01800,0100,N 128294,S200000,01900,0100,BOARD OF DIRECTORS 128294,S200000,02200,0100,N 128294,S200000,02800,0100,N 128294,S200000,02900,0100,N 128294,S200000,03000,0100,N 128294,S200000,03100,0100,N 128294,S200000,03200,0100,N 128294,S200000,03300,0100,N 128294,S200000,03300,0200,N 128294,S200000,03700,0100,N 128294,S200000,03700,0200,N 128294,S200000,03900,0200,N 128294,S200000,04100,0100,N 128294,S200000,04200,0100,N 128294,S200000,04300,0100,N 128294,S200000,04600,0100,N 128294,S200000,04700,0100,N 128294,S200000,04900,0100,N 128294,S200000,05200,0100,N 128294,S410002,01700,0100,8160 128431,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128431,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128431,A000000,00300,0000,0300EMPLOYEE BENEFITS 128431,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128431,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128431,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128431,A000000,00700,0000,0700HOUSEKEEPING 128431,A000000,00800,0000,0800DIETARY 128431,A000000,00900,0000,0900NURSING ADMINISTRATION 128431,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128431,A000000,01100,0000,1100PHARMACY 128431,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128431,A000000,01300,0000,1300SOCIAL SERVICE 128431,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128431,A000000,01500,0000,1350OTHER GENERAL SERVICES 128431,A000000,01600,0000,1600SKILLED NURSING FACILITY 128431,A000000,01810,0000,1810ICF/MR 128431,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128431,A000000,02500,0000,2500PHYSICAL THERAPY 128431,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128431,A000000,02700,0000,2700SPEECH PATHOLOGY 128431,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128431,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128431,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128431,A000000,03550,0000,3550FQHC 128431,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128431,A000000,05000,0000,5000CORF 128431,A000000,05010,0000,5010CMHC 128431,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128431,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128431,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128431,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128431,A000000,05300,0000,5300INTEREST EXPENSE 128431,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128431,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128431,A81000A,00100,0100,Y 128431,A81000B,00100,0300,GRAND LODGE SALARIES 128431,A81000C,00100,0100,B 128431,A81000C,00100,0200,GRAND LODGE IOOF 128431,A81000C,00100,0400,INDEPENDENT ORDER OF ODDF 128431,A81000C,00100,0600,NON-PROFIT VOLUNTARY 128431,B100000,00000,0100,0100SQUARE FEET 128431,B100000,00000,0200,0200SQUARE FEET 128431,B100000,00000,0300,0300GROSS SALARIES 128431,B100000,00000,0400,0400ACCUM. COST 128431,B100000,00000,0500,0500SQUARE FEET 128431,B100000,00000,0600,0600PATIENT DAYS 128431,B100000,00000,0700,0700SQUARE FEET 128431,B100000,00000,0800,0800PATIENT DAYS 128431,B100000,00000,0900,0900PATIENT DAYS 128431,B100000,00000,1000,1000SQUARE FEET 128431,B100000,00000,1100,1100COSTED REQUIS. 128431,B100000,00000,1200,1200TIME SPENT 128431,B100000,00000,1300,1300SQUARE FEET 128431,B100000,00000,1400,1400ASSIGNED TIME 128431,B100000,00000,1500,1350PATIENT DAYS 128431,S000000,00100,0200,09/12/00 128431,S200000,00100,0100,2300 OAK GROVE ROAD 128431,S200000,00200,0100,ENNIS 128431,S200000,00200,0200,TX 128431,S200000,00200,0300,75119 128431,S200000,00300,0100,ELLIS 128431,S200000,00300,0300,R 128431,S200000,00400,0100,ODDFELLOWS & REBEKAH NURSING HOME 128431,S200000,00400,0200,675150 128431,S200000,00400,0300,05/06/93 128431,S200000,00400,0500,P 128431,S200000,01500,0100,N 128431,S200000,01600,0100,Y 128431,S200000,01700,0100,N 128431,S200000,01800,0100,N 128431,S200000,02200,0100,N 128431,S200000,02800,0100,N 128431,S200000,02900,0100,N 128431,S200000,03000,0100,N 128431,S200000,03100,0100,N 128431,S200000,03200,0100,N 128431,S200000,03300,0100,N 128431,S200000,03300,0200,N 128431,S200000,04100,0100,N 128431,S200000,04200,0100,N 128431,S200000,04300,0100,N 128431,S200000,04600,0100,N 128431,S200000,04700,0100,N 128431,S200000,04700,0200,N 128431,S200000,04900,0100,N 128433,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128433,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128433,A000000,00300,0000,0300EMPLOYEE BENEFITS 128433,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128433,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128433,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128433,A000000,00700,0000,0700HOUSEKEEPING 128433,A000000,00800,0000,0800DIETARY 128433,A000000,00900,0000,0900NURSING ADMINISTRATION 128433,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128433,A000000,01100,0000,1100PHARMACY 128433,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128433,A000000,01300,0000,1300SOCIAL SERVICE 128433,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128433,A000000,01600,0000,1600SKILLED NURSING FACILITY 128433,A000000,01800,0000,1800NURSING FACILITY 128433,A000000,01810,0000,1810ICF/MR 128433,A000000,02200,0000,2200LABORATORY 128433,A000000,02300,0000,2300INTRAVENOUS THERAPY 128433,A000000,02500,0000,2500PHYSICAL THERAPY 128433,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128433,A000000,02700,0000,2700SPEECH PATHOLOGY 128433,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128433,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128433,A000000,03550,0000,3550FQHC 128433,A000000,05000,0000,5000CORF 128433,A000000,05010,0000,5010CMHC 128433,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128433,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128433,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128433,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128433,A81000A,00100,0100,Y 128433,A81000B,00100,0300,CENTRAL OFFICE COSTS 128433,A81000C,00100,0100,A 128433,A81000C,00100,0200,CLARENCE STRH 128433,A81000C,00100,0400,CENTRAL OFFICE 128433,A81000C,00100,0600,HOME OFFICE 128433,B100000,00000,0100,0100SQUARE FEET 128433,B100000,00000,0200,0200SQUARE FEET 128433,B100000,00000,0300,0300GROSS SALARIES 128433,B100000,00000,0400,0400ACCUM COST 128433,B100000,00000,0500,0500SQUARE FEET 128433,B100000,00000,0600,0600PATIENT DAYS 128433,B100000,00000,0700,0700SQUARE FEET 128433,B100000,00000,0800,0800PATIENT DAYS 128433,B100000,00000,0900,0900GROSS SALARIES 128433,B100000,00000,1000,1000PATIENT DAYS 128433,B100000,00000,1100,1100COSTED REQUIS 128433,B100000,00000,1200,1200PATIENT DAYS 128433,B100000,00000,1300,1300PATIENT DAYS 128433,B100000,00000,1400,1400ASSIGNED TIME 128433,S000000,00100,0200,05/19/00 128433,S200000,00100,0100,460 W. MAIN 128433,S200000,00200,0100,RANGER 128433,S200000,00200,0200,TX 128433,S200000,00200,0300,76470 128433,S200000,00300,0100,EASTLAND 128433,S200000,00300,0200,9999 128433,S200000,00300,0300,R 128433,S200000,00400,0100,WESTERN MANOR 128433,S200000,00400,0200,675609 128433,S200000,00400,0300,06/20/96 128433,S200000,00400,0500,P 128433,S200000,01500,0100,N 128433,S200000,01600,0100,Y 128433,S200000,01700,0100,N 128433,S200000,01800,0100,N 128433,S200000,02200,0100,N 128433,S200000,02800,0100,N 128433,S200000,02900,0100,N 128433,S200000,03000,0100,N 128433,S200000,03100,0100,Y 128433,S200000,03200,0100,N 128433,S200000,03300,0100,N 128433,S200000,03300,0200,N 128433,S200000,04100,0100,N 128433,S200000,04200,0100,N 128433,S200000,04300,0100,N 128433,S200000,04600,0100,N 128433,S200000,04700,0100,N 128433,S200000,04900,0100,N 128449,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128449,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128449,A000000,00300,0000,0300EMPLOYEE BENEFITS 128449,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128449,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128449,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128449,A000000,00700,0000,0700HOUSEKEEPING 128449,A000000,00800,0000,0800DIETARY 128449,A000000,00900,0000,0900NURSING ADMINISTRATION 128449,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128449,A000000,01100,0000,1100PHARMACY 128449,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128449,A000000,01300,0000,1300SOCIAL SERVICE 128449,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128449,A000000,01500,0000,1350RESIDENT ACTIVITIES 128449,A000000,01600,0000,1600SKILLED NURSING FACILITY 128449,A000000,01800,0000,1800NURSING FACILITY 128449,A000000,01810,0000,1810ICF/MR 128449,A000000,02100,0000,2100RADIOLOGY 128449,A000000,02200,0000,2200LABORATORY 128449,A000000,02300,0000,2300INTRAVENOUS THERAPY 128449,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128449,A000000,02500,0000,2500PHYSICAL THERAPY 128449,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128449,A000000,02700,0000,2700SPEECH PATHOLOGY 128449,A000000,02800,0000,2800ELECTROCARDIOLOGY 128449,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128449,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128449,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128449,A000000,03550,0000,3550FQHC 128449,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128449,A000000,05000,0000,5000CORF 128449,A000000,05010,0000,5010CMHC 128449,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128449,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128449,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128449,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128449,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128449,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128449,A81000A,00100,0100,Y 128449,A81000B,00100,0300,INT EXP HOME OFFICE 128449,A81000B,00200,0300,INT EXP HCFP 128449,A81000C,00100,0100,B 128449,A81000C,00100,0200,SENIOR LIVING PROPERTIES 128449,A81000C,00100,0400,SENIOR LIVING PROPERTIES 128449,A81000C,00100,0600,HOME OFFICE 128449,B100000,00000,0100,0100SQUARE FEET 128449,B100000,00000,0200,0200NO STATISTICS 128449,B100000,00000,0300,0300GROSS SALARIES 128449,B100000,00000,0400,0400ACCUM. COST 128449,B100000,00000,0500,0500SQUARE FEET 128449,B100000,00000,0600,0600PATIENT DAYS 128449,B100000,00000,0700,0700SQ FT EXCL D 128449,B100000,00000,0800,0800PATIENT DAYS 128449,B100000,00000,0900,0900PATIENT DAYS 128449,B100000,00000,1000,1000PATIENT DAYS 128449,B100000,00000,1100,1100PATIENT DAYS 128449,B100000,00000,1200,1200PATIENT DAYS 128449,B100000,00000,1300,1300PATIENT DAYS 128449,B100000,00000,1400,1400ASSIGNED TIME 128449,B100000,00000,1500,1350PATIENT DAYS 128449,E10A180,00301,0100,10/27/99 128449,E10A180,00302,0100,11/29/99 128449,E10A180,00550,0100,06/27/00 128449,S000000,00100,0200,06/01/00 128449,S200000,00100,0100,2220 STATE STREET 128449,S200000,00200,0100,PEKIN 128449,S200000,00200,0300,61554 128449,S200000,00300,0100,TAZEWELL 128449,S200000,00300,0200,6120 128449,S200000,00300,0300,U 128449,S200000,00400,0100,PEKIN LIVING AND REHAB CENTER 128449,S200000,00400,0200,145275 128449,S200000,00400,0300,12/08/88 128449,S200000,00400,0500,P 128449,S200000,01500,0100,N 128449,S200000,01600,0100,Y 128449,S200000,01700,0100,N 128449,S200000,01800,0100,N 128449,S200000,02200,0100,N 128449,S200000,02800,0100,N 128449,S200000,02900,0100,N 128449,S200000,03000,0100,N 128449,S200000,03100,0100,N 128449,S200000,03200,0100,N 128449,S200000,03300,0100,N 128449,S200000,03300,0200,N 128449,S200000,04100,0100,N 128449,S200000,04200,0100,N 128449,S200000,04300,0100,N 128450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128450,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128450,A000000,00300,0000,0300EMPLOYEE BENEFITS 128450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128450,A000000,00700,0000,0700HOUSEKEEPING 128450,A000000,00800,0000,0800DIETARY 128450,A000000,00900,0000,0900NURSING ADMINISTRATION 128450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128450,A000000,01100,0000,1100PHARMACY 128450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128450,A000000,01300,0000,1300SOCIAL SERVICE 128450,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128450,A000000,01500,0000,1350PATIENT ACTIVITIES 128450,A000000,01600,0000,1600SKILLED NURSING FACILITY 128450,A000000,01800,0000,1800NURSING FACILITY 128450,A000000,01810,0000,1810ICF/MR 128450,A000000,02100,0000,2100RADIOLOGY 128450,A000000,02200,0000,2200LABORATORY 128450,A000000,02300,0000,2300INTRAVENOUS THERAPY 128450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128450,A000000,02500,0000,2500PHYSICAL THERAPY 128450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128450,A000000,02700,0000,2700SPEECH PATHOLOGY 128450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128450,A000000,03200,0000,3200SUPPORT SURFACES 128450,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128450,A000000,03550,0000,3550FQHC 128450,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128450,A000000,05000,0000,5000CORF 128450,A000000,05010,0000,5010CMHC 128450,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128450,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128450,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128450,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128450,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128450,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128450,A81000A,00100,0100,Y 128450,A81000B,00100,0300,INTEREST EXPENSE 128450,A81000B,00200,0300,INTEREST EXPENSE HCFP 128450,A81000C,00100,0100,B 128450,A81000C,00100,0400,SENIOR LIVING PROPERTIES 128450,A81000C,00100,0600,HOME OFFICE 128450,A81000C,00200,0100,B 128450,A81000C,00300,0100,B 128450,B100000,00000,0100,0100SQUARE FEET 128450,B100000,00000,0200,0200NO STATISTICS 128450,B100000,00000,0300,0300GROSS SALARIES 128450,B100000,00000,0400,0400ACCUM. COST 128450,B100000,00000,0500,0500SQUARE FEET 128450,B100000,00000,0600,0600PATIENT DAYS 128450,B100000,00000,0700,0700SQ. FT. EXCL. DIET 128450,B100000,00000,0800,0800PATIENT DAYS 128450,B100000,00000,0900,0900NO STATISTICS 128450,B100000,00000,1000,1000PATIENT DAYS 128450,B100000,00000,1100,1100PATIENT DAYS 128450,B100000,00000,1200,1200NO STATISTICS 128450,B100000,00000,1300,1300NO STATISTICS 128450,B100000,00000,1400,1400NO STATISTICS 128450,B100000,00000,1500,1350PATIENT DAYS 128450,E10A180,00301,0100,10/27/99 128450,E10A180,00302,0100,11/29/99 128450,E10A180,00501,0300,07/26/00 128450,E10A180,00550,0100,07/26/00 128450,S000000,00100,0200,06/01/00 128450,S200000,00100,0100,201 S. OAK 128450,S200000,00200,0100,VAN 128450,S200000,00200,0300,75790 128450,S200000,00300,0100,VAN ZANDT 128450,S200000,00300,0200,9999 128450,S200000,00300,0300,R 128450,S200000,00400,0100,VAN HEALTHCARE CENTER 128450,S200000,00400,0200,455856 128450,S200000,00400,0300,12/07/89 128450,S200000,00400,0500,P 128450,S200000,01500,0100,N 128450,S200000,01600,0100,Y 128450,S200000,01700,0100,N 128450,S200000,01800,0100,N 128450,S200000,02200,0100,N 128450,S200000,02800,0100,N 128450,S200000,02900,0100,N 128450,S200000,03000,0100,N 128450,S200000,03100,0100,N 128450,S200000,03200,0100,N 128450,S200000,03300,0100,N 128450,S200000,03300,0200,N 128450,S200000,04100,0100,N 128450,S200000,04200,0100,N 128450,S200000,04300,0100,Y 128450,S200000,04600,0100,N 128450,S200000,04700,0100,N 128450,S200000,04700,0200,N 128450,S200000,04900,0100,N 128451,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128451,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128451,A000000,00300,0000,0300EMPLOYEE BENEFITS 128451,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128451,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128451,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128451,A000000,00700,0000,0700HOUSEKEEPING 128451,A000000,00800,0000,0800DIETARY 128451,A000000,00900,0000,0900NURSING ADMINISTRATION 128451,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128451,A000000,01100,0000,1100PHARMACY 128451,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128451,A000000,01300,0000,1300SOCIAL SERVICE 128451,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128451,A000000,01500,0000,1350PATIENT ACTIVITIES 128451,A000000,01600,0000,1600SKILLED NURSING FACILITY 128451,A000000,01800,0000,1800NURSING FACILITY 128451,A000000,01810,0000,1810ICF/MR 128451,A000000,02100,0000,2100RADIOLOGY 128451,A000000,02200,0000,2200LABORATORY 128451,A000000,02300,0000,2300INTRAVENOUS THERAPY 128451,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128451,A000000,02500,0000,2500PHYSICAL THERAPY 128451,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128451,A000000,02700,0000,2700SPEECH PATHOLOGY 128451,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128451,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128451,A000000,03200,0000,3200SUPPORT SURFACES 128451,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128451,A000000,03550,0000,3550FQHC 128451,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128451,A000000,05000,0000,5000CORF 128451,A000000,05010,0000,5010CMHC 128451,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128451,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128451,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128451,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128451,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128451,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128451,A81000A,00100,0100,Y 128451,A81000B,00100,0300,INTEREST EXPENSE 128451,A81000B,00200,0300,INTEREST EXPENSE - HCFP 128451,A81000C,00100,0100,B 128451,A81000C,00100,0400,SENIOR LIVING PROPERTIES 128451,A81000C,00100,0600,HOME OFFICE 128451,B100000,00000,0100,0100SQUARE FEET 128451,B100000,00000,0200,0200NO STATISTICS 128451,B100000,00000,0300,0300GROSS SALARIES 128451,B100000,00000,0400,0400ACCUM. COST 128451,B100000,00000,0500,0500SQUARE FEET 128451,B100000,00000,0600,0600PATIENT DAYS 128451,B100000,00000,0700,0700SQ. FT. EXCL. DIET 128451,B100000,00000,0800,0800PATIENT DAYS 128451,B100000,00000,0900,0900NO STATISTICS 128451,B100000,00000,1000,1000PATIENT DAYS 128451,B100000,00000,1100,1100PATIENT DAYS 128451,B100000,00000,1200,1200NO STATISTICS 128451,B100000,00000,1300,1300NO STATISTICS 128451,B100000,00000,1400,1400NO STATISTICS 128451,B100000,00000,1500,1350PATIENT DAYS 128451,E10A180,00301,0100,10/27/99 128451,E10A180,00302,0100,11/29/99 128451,S000000,00100,0200,06/01/00 128451,S200000,00100,0100,1101 EAST LAKE 128451,S200000,00200,0100,BROWNFIELD 128451,S200000,00200,0200,TX 128451,S200000,00300,0100,TERRY 128451,S200000,00300,0200,9999 128451,S200000,00300,0300,R 128451,S200000,00400,0100,SOUTH PLAINS HEALTHCARE CENTER 128451,S200000,00400,0200,675019 128451,S200000,00400,0300,01/22/92 128451,S200000,00400,0500,P 128451,S200000,01500,0100,N 128451,S200000,01600,0100,Y 128451,S200000,01700,0100,N 128451,S200000,01800,0100,N 128451,S200000,02200,0100,N 128451,S200000,02800,0100,N 128451,S200000,02900,0100,N 128451,S200000,03000,0100,N 128451,S200000,03100,0100,N 128451,S200000,03200,0100,N 128451,S200000,03300,0100,N 128451,S200000,03300,0200,N 128451,S200000,04100,0100,N 128451,S200000,04200,0100,N 128451,S200000,04300,0100,Y 128451,S200000,04600,0100,N 128451,S200000,04700,0100,N 128451,S200000,04700,0200,N 128451,S200000,04900,0100,N 128452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128452,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128452,A000000,00300,0000,0300EMPLOYEE BENEFITS 128452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128452,A000000,00700,0000,0700HOUSEKEEPING 128452,A000000,00800,0000,0800DIETARY 128452,A000000,00900,0000,0900NURSING ADMINISTRATION 128452,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128452,A000000,01100,0000,1100PHARMACY 128452,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128452,A000000,01300,0000,1300SOCIAL SERVICE 128452,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128452,A000000,01500,0000,1350RECREATION 128452,A000000,01600,0000,1600SKILLED NURSING FACILITY 128452,A000000,01800,0000,1800NURSING FACILITY 128452,A000000,01810,0000,1810ICF/MR 128452,A000000,02200,0000,2200LABORATORY 128452,A000000,02300,0000,2300INTRAVENOUS THERAPY 128452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128452,A000000,02500,0000,2500PHYSICAL THERAPY 128452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128452,A000000,02700,0000,2700SPEECH PATHOLOGY 128452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128452,A000000,03200,0000,3200SUPPORT SURFACES 128452,A000000,03550,0000,3550FQHC 128452,A000000,05000,0000,5000CORF 128452,A000000,05010,0000,5010CMHC 128452,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128452,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128452,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128452,A81000A,00100,0100,N 128452,B100000,00000,0100,0100SQUARE FEET 128452,B100000,00000,0200,0200SQUARE FEET 128452,B100000,00000,0300,0300GROSS SALARIES 128452,B100000,00000,0400,0400ACCUM COST 128452,B100000,00000,0500,0500SQUARE FEET 128452,B100000,00000,0600,0600PATIENT DAYS 128452,B100000,00000,0700,0700SQUARE FOOTAGE 128452,B100000,00000,0800,0800PATIENT DAYS 128452,B100000,00000,0900,0900DIRECT NRSG HRS 128452,B100000,00000,1000,1000COSTED REQUIS 128452,B100000,00000,1100,1100COSTED REQUIS 128452,B100000,00000,1200,1200PATIENT DAYS 128452,B100000,00000,1300,1300PATIENT DAYS 128452,B100000,00000,1400,1400ASSIGNED TIME 128452,B100000,00000,1500,1350PATIENT DAYS 128452,S000000,00100,0200,07/13/00 128452,S200000,00100,0100,3315 CROSS TIMBERS ROAD 128452,S200000,00200,0100,FLOWER MOUND 128452,S200000,00200,0200,TX 128452,S200000,00200,0300,75028 128452,S200000,00300,0100,DENTON 128452,S200000,00300,0200,1260 128452,S200000,00300,0300,U 128452,S200000,00400,0100,CROSS TIMBERS CARE CENTER 128452,S200000,00400,0200,675703 128452,S200000,00400,0300,11/01/98 128452,S200000,00400,0500,P 128452,S200000,01500,0100,N 128452,S200000,01600,0100,Y 128452,S200000,01700,0100,N 128452,S200000,01800,0100,N 128452,S200000,01900,0100,LIMITED LIABILITY COMPANY 128452,S200000,02200,0100,N 128452,S200000,02800,0100,N 128452,S200000,02900,0100,N 128452,S200000,03000,0100,N 128452,S200000,03100,0100,N 128452,S200000,03200,0100,N 128452,S200000,03300,0100,N 128452,S200000,03300,0200,N 128452,S200000,04100,0100,N 128452,S200000,04200,0100,N 128452,S200000,04300,0100,N 128452,S200000,04600,0100,N 128452,S200000,04700,0100,N 128452,S200000,04900,0100,N 128453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128453,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128453,A000000,00300,0000,0300EMPLOYEE BENEFITS 128453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128453,A000000,00700,0000,0700HOUSEKEEPING 128453,A000000,00800,0000,0800DIETARY 128453,A000000,00900,0000,0900NURSING ADMINISTRATION 128453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128453,A000000,01100,0000,1100PHARMACY 128453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128453,A000000,01300,0000,1300SOCIAL SERVICE 128453,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128453,A000000,01500,0000,1350OTHER GENERAL SERVICES 128453,A000000,01600,0000,1600SKILLED NURSING FACILITY 128453,A000000,01810,0000,1810ICF/MR 128453,A000000,02100,0000,2100RADIOLOGY 128453,A000000,02500,0000,2500PHYSICAL THERAPY 128453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128453,A000000,02700,0000,2700SPEECH PATHOLOGY 128453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128453,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128453,A000000,03550,0000,3550FQHC 128453,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128453,A000000,05000,0000,5000CORF 128453,A000000,05010,0000,5010CMHC 128453,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128453,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128453,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128453,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128453,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128453,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128453,A81000A,00100,0100,Y 128453,A81000B,00100,0300,PURCH SVC-MEDICAL 128453,A81000B,00200,0300,PURCH SVC-ADMIN SVCS 128453,A81000C,00100,0100,B 128453,A81000C,00100,0200,BUCKNER BAPTIST BENEVOLEN 128453,B100000,00000,0100,0100SQUARE FEET 128453,B100000,00000,0200,0200SQUARE FEET 128453,B100000,00000,0300,0300SALARIES SALARIES 128453,B100000,00000,0400,0400ACCUM. COST 128453,B100000,00000,0500,0500SQUARE FEET 128453,B100000,00000,0600,0600PATIENT DAYS 128453,B100000,00000,0700,0700SQUARE FEET 128453,B100000,00000,0800,0800PATIENT DAYS 128453,B100000,00000,0900,0900PATIENT DAYS 128453,B100000,00000,1000,1000PATIENT DAYS 128453,B100000,00000,1100,1100PATIENT DAYS 128453,B100000,00000,1200,1200PATIENT DAYS 128453,B100000,00000,1300,1300PATIENT DAYS 128453,B100000,00000,1400,1400PATIENT DAYS 128453,B100000,00000,1500,1350NO STATISTICS 128453,S000000,00100,0200,06/22/00 128453,S200000,00100,0100,4810 SAMUELL BLVD 128453,S200000,00200,0100,DALLAS 128453,S200000,00200,0200,TX 128453,S200000,00200,0300,75228 128453,S200000,00300,0100,DALLAS 128453,S200000,00300,0200,1920 128453,S200000,00300,0300,U 128453,S200000,00400,0100,BUCKNER RYBURN NURSING HOME 128453,S200000,00400,0200,675772 128453,S200000,00400,0300,12/01/98 128453,S200000,00400,0500,P 128453,S200000,01500,0100,N 128453,S200000,01600,0100,N 128453,S200000,01700,0100,N 128453,S200000,01800,0100,N 128453,S200000,02200,0100,N 128453,S200000,02800,0100,N 128453,S200000,02900,0100,N 128453,S200000,03000,0100,N 128453,S200000,03100,0100,N 128453,S200000,03200,0100,N 128453,S200000,03300,0100,N 128453,S200000,03300,0200,N 128453,S200000,04100,0100,N 128453,S200000,04200,0100,N 128453,S200000,04300,0100,N 128453,S200000,04600,0100,N 128453,S200000,04700,0100,N 128453,S200000,04700,0200,N 128453,S200000,04900,0100,N 128494,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128494,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128494,A000000,00300,0000,0300EMPLOYEE BENEFITS 128494,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128494,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128494,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128494,A000000,00700,0000,0700HOUSEKEEPING 128494,A000000,00800,0000,0800DIETARY 128494,A000000,00900,0000,0900NURSING ADMINISTRATION 128494,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128494,A000000,01100,0000,1100PHARMACY 128494,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128494,A000000,01300,0000,1300SOCIAL SERVICE 128494,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128494,A000000,01500,0000,1350OTHER GENERAL SERVICES 128494,A000000,01600,0000,1600SKILLED NURSING FACILITY 128494,A000000,01810,0000,1810ICF/MR 128494,A000000,02200,0000,2200LABORATORY 128494,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128494,A000000,02500,0000,2500PHYSICAL THERAPY 128494,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128494,A000000,02700,0000,2700SPEECH PATHOLOGY 128494,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128494,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128494,A000000,03550,0000,3550FQHC 128494,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128494,A000000,05000,0000,5000CORF 128494,A000000,05010,0000,5010CMHC 128494,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128494,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128494,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128494,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128494,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128494,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128494,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128494,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128494,A81000A,00100,0100,Y 128494,A81000B,00100,0300,MANAGEMENT FEES 128494,A81000B,00200,0300,RENT 128494,A81000C,00100,0100,B 128494,A81000C,00100,0400,NATIONAL HEALTH CARE INC 128494,A81000C,00100,0600,MANAGEMENT COMPANY 128494,A81000C,00200,0100,B 128494,A81000C,00200,0400,NATIONAL HEALTH CARE 128494,A81000C,00200,0600,FACILITY LEASE 128494,B100000,00000,0100,0100SQUARE FEET 128494,B100000,00000,0200,0200SQUARE FEET 128494,B100000,00000,0300,0300GROSS WAGES 128494,B100000,00000,0400,0400ACCUM. COST 128494,B100000,00000,0500,0500SQUARE FEET 128494,B100000,00000,0600,0600POUNDS OF LAUNDRY 128494,B100000,00000,0700,0700LABOR HOURS 128494,B100000,00000,0800,0800MEALS SERVED 128494,B100000,00000,0900,0900PAID HOURS 128494,B100000,00000,1000,1000REQUISITIO ONS 128494,B100000,00000,1100,1100NO STATISTICS 128494,B100000,00000,1200,1200PATIENT DAYS 128494,B100000,00000,1300,1300HOURS WORKED 128494,B100000,00000,1400,1400NO STATISTICS 128494,B100000,00000,1500,1350NO STATISTICS 128494,E10A180,00301,0100,10/05/00 128494,E10A180,00301,0300,10/05/00 128494,E10A180,00302,0100,03/08/00 128494,E10A180,00501,0300,01/16/01 128494,E10A180,00550,0100,01/16/01 128494,E10A180,00550,0300,02/14/01 128494,S000000,00100,0200,01/11/01 128494,S200000,00100,0100,RT 2 128494,S200000,00200,0100,WELLSBURG 128494,S200000,00200,0200,WV 128494,S200000,00200,0300,26070 128494,S200000,00300,0100,B 128494,S200000,00300,0200,8080 128494,S200000,00300,0300,U 128494,S200000,00400,0100,VALLEY HAVEN GERIATRIC CENTER 128494,S200000,00400,0200,515123 128494,S200000,00400,0300,08/17/93 128494,S200000,00400,0500,P 128494,S200000,01500,0100,Y 128494,S200000,01600,0100,N 128494,S200000,01700,0100,N 128494,S200000,01800,0100,N 128494,S200000,02200,0100,N 128494,S200000,02800,0100,N 128494,S200000,02900,0100,N 128494,S200000,03000,0100,N 128494,S200000,03100,0100,N 128494,S200000,03200,0100,N 128494,S200000,03300,0100,N 128494,S200000,03300,0200,N 128494,S200000,04100,0100,N 128494,S200000,04200,0100,N 128494,S200000,04300,0100,N 128494,S200000,04600,0100,N 128494,S200000,04700,0100,N 128494,S200000,04900,0100,N 128494,S200000,05200,0100,N 128495,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128495,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128495,A000000,00300,0000,0300EMPLOYEE BENEFITS 128495,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128495,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128495,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128495,A000000,00700,0000,0700HOUSEKEEPING 128495,A000000,00800,0000,0800DIETARY 128495,A000000,00900,0000,0900NURSING ADMINISTRATION 128495,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128495,A000000,01100,0000,1100PHARMACY 128495,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128495,A000000,01300,0000,1300SOCIAL SERVICE 128495,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128495,A000000,01500,0000,1350OTHER GENERAL SERVICES 128495,A000000,01600,0000,1600SKILLED NURSING FACILITY 128495,A000000,01810,0000,1810ICF/MR 128495,A000000,01900,0000,1900OTHER LONG TERM CARE 128495,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128495,A000000,02500,0000,2500PHYSICAL THERAPY 128495,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128495,A000000,02700,0000,2700SPEECH PATHOLOGY 128495,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128495,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128495,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128495,A000000,03550,0000,3550FQHC 128495,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128495,A000000,05000,0000,5000CORF 128495,A000000,05010,0000,5010CMHC 128495,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128495,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128495,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128495,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128495,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128495,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128495,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128495,A81000A,00100,0100,Y 128495,A81000B,00100,0300,MANAGEMENT FEES 128495,A81000B,00200,0300,RENT 128495,A81000B,00300,0300,CONTRACT LABOR 128495,A81000C,00100,0100,B 128495,A81000C,00100,0400,NATIONAL HEALTH CARE INC 128495,A81000C,00100,0600,MANAGEMENT CONTRACT 128495,A81000C,00200,0100,B 128495,A81000C,00200,0400,NATIONAL HEALTH CARE INC 128495,A81000C,00200,0600,LEASE FACILITIES 128495,A81000C,00300,0100,B 128495,A81000C,00300,0400,NATIONAL HEALTH CARE INC 128495,A81000C,00300,0600,CONTRACTED LABOR 128495,B100000,00000,0100,0100SQUARE FEET 128495,B100000,00000,0200,0200SQUARE FEET 128495,B100000,00000,0300,0300GROSS WAGES 128495,B100000,00000,0400,0400ACCUM. COST 128495,B100000,00000,0500,0500SQUARE FEET 128495,B100000,00000,0600,0600POUNDS OF LAUNDRY 128495,B100000,00000,0700,0700SQUARE FEET 128495,B100000,00000,0800,0800MEALS SERVED 128495,B100000,00000,0900,0900NURSING HOURS 128495,B100000,00000,1000,1000REQUISTION NS 128495,B100000,00000,1100,1100REQUISTION NS 128495,B100000,00000,1200,1200PATIENT DAYS 128495,B100000,00000,1300,1300HOURS WORKED 128495,B100000,00000,1400,1400NO STATISTICS 128495,B100000,00000,1500,1350NO STATISTICS 128495,E10A180,00301,0100,10/04/00 128495,E10A180,00550,0100,01/16/01 128495,S000000,00100,0200,01/12/01 128495,S200000,00100,0100,608 GREENBRIER AVENUE 128495,S200000,00200,0100,RONCEVERTE 128495,S200000,00200,0200,WV 128495,S200000,00200,0300,24770 128495,S200000,00300,0100,G 128495,S200000,00300,0200,9951 128495,S200000,00300,0300,R 128495,S200000,00400,0100,SHENANDOAH MANOR NURSING HOME 128495,S200000,00400,0200,515144 128495,S200000,00400,0300,10/20/96 128495,S200000,00400,0500,P 128495,S200000,01500,0100,N 128495,S200000,01600,0100,Y 128495,S200000,01700,0100,N 128495,S200000,01800,0100,N 128495,S200000,02200,0100,N 128495,S200000,02800,0100,N 128495,S200000,02900,0100,N 128495,S200000,03000,0100,N 128495,S200000,03100,0100,N 128495,S200000,03200,0100,N 128495,S200000,03300,0100,N 128495,S200000,03300,0200,N 128495,S200000,04100,0100,N 128495,S200000,04200,0100,N 128495,S200000,04300,0100,N 128495,S200000,04600,0100,N 128495,S200000,04700,0100,N 128495,S200000,04900,0100,N 128495,S200000,05200,0100,N 128545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128545,A000000,00300,0000,0300EMPLOYEE BENEFITS 128545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128545,A000000,00700,0000,0700HOUSEKEEPING 128545,A000000,00800,0000,0800DIETARY 128545,A000000,00900,0000,0900NURSING ADMINISTRATION 128545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128545,A000000,01100,0000,1100PHARMACY 128545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128545,A000000,01300,0000,1300SOCIAL SERVICE 128545,A000000,01301,0000,1301ACTIVITES 128545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128545,A000000,01500,0000,1350REHABILITATION 128545,A000000,01600,0000,1600SKILLED NURSING FACILITY 128545,A000000,01800,0000,1800NURSING FACILITY 128545,A000000,01810,0000,1810ICF/MR 128545,A000000,02100,0000,2100RADIOLOGY 128545,A000000,02200,0000,2200LABORATORY 128545,A000000,02300,0000,2300INTRAVENOUS THERAPY 128545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128545,A000000,02500,0000,2500PHYSICAL THERAPY 128545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128545,A000000,02700,0000,2700SPEECH PATHOLOGY 128545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128545,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 128545,A000000,03300,0000,3050EQUIPMENT RENTAL 128545,A000000,03301,0000,3051PEN THERAPY 128545,A000000,03550,0000,3550FQHC 128545,A000000,05000,0000,5000CORF 128545,A000000,05010,0000,5010CMHC 128545,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128545,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128545,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128545,A000000,06300,0000,6150VENDING 128545,A000000,06301,0000,6151STAND-BY 128545,A81000A,00100,0100,Y 128545,A81000B,00100,0300,HOME OFFICE COST 128545,A81000B,00200,0300,DIETARY SUPPLEMENTS 128545,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128545,A81000B,00400,0300,PRESCRIPTION DRUGS 128545,A81000B,00500,0300,MEDICAL SUPPLIES 128545,A81000B,00600,0300,ADMIN COSTS 128545,A81000B,00900,0300,IV THERAPY 128545,A81000B,01100,0300,PHYSICAL THERAPY 128545,A81000B,01200,0300,OCCUPATIONAL THERAPY 128545,A81000B,01300,0300,SPEECH THERAPY 128545,A81000B,01400,0300,ANC EQUIP RENTAL 128545,A81000B,01500,0300,CAPITAL 128545,A81000B,01600,0300,PEN 128545,A81000C,00100,0100,B 128545,A81000C,00100,0200,CHERRY PARK 107 128545,A81000C,00100,0400,MARINER PAN 128545,A81000C,00100,0600,NURSING HOMES 128545,A81000C,00200,0100,G 128545,A81000C,00200,0200,MARINER PAN 128545,A81000C,00200,0400,AMER PHARM SVCS 128545,A81000C,00200,0600,PHARMACEUTICALS 128545,A81000C,00300,0100,G 128545,A81000C,00300,0200,MARINER PAN 128545,A81000C,00300,0400,PRISM-ATS-ARS-T 128545,A81000C,00300,0600,THERAPIES 128545,B100000,00000,0100,0100SQUARE FEET 128545,B100000,00000,0200,0200SQUARE FEET 128545,B100000,00000,0300,0300GROSS SALARIES 128545,B100000,00000,0400,0400ACCUM COST 128545,B100000,00000,0500,0500SQUARE FEET 128545,B100000,00000,0600,0600PATIENT DAYS 128545,B100000,00000,0700,0700SQUARE FEET 128545,B100000,00000,0800,0800MEALS SERVED 128545,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128545,B100000,00000,1000,1000COSTED REQUISITIO 128545,B100000,00000,1100,1100COSTED REQUIS 128545,B100000,00000,1200,1200PATIENT DAYS 128545,B100000,00000,1300,1300PATIENT DAYS 128545,B100000,00000,1301,1301PATIENT DAYS 128545,B100000,00000,1400,1400ASSIGNED TIME 128545,B100000,00000,1500,1350UNITS OF SERVICE 128545,S000000,00100,0200,02/29/00 128545,S200000,00100,0100,3636 S PEARL STREET 128545,S200000,00200,0100,ENGLEWOOD 128545,S200000,00200,0200,CO 128545,S200000,00200,0300,80110 128545,S200000,00300,0100,ARAPAHO 128545,S200000,00400,0100,CHERRY PARK PROGRESSIVE CARE CENTER 128545,S200000,00400,0200,065208 128545,S200000,00400,0300,05/01/85 128545,S200000,00400,0500,P 128545,S200000,01500,0100,N 128545,S200000,01600,0100,Y 128545,S200000,01700,0100,N 128545,S200000,01800,0100,N 128545,S200000,02200,0100,Y 128545,S200000,02800,0100,N 128545,S200000,02900,0100,N 128545,S200000,03000,0100,N 128545,S200000,03100,0100,N 128545,S200000,03200,0100,N 128545,S200000,03300,0100,N 128545,S200000,03300,0200,N 128545,S200000,04100,0100,N 128545,S200000,04200,0100,N 128545,S200000,04300,0100,Y 128545,S200000,04600,0100,N 128545,S200000,04700,0100,N 128545,S200000,04900,0100,N 128592,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128592,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128592,A000000,00300,0000,0300EMPLOYEE BENEFITS 128592,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128592,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128592,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128592,A000000,00700,0000,0700HOUSEKEEPING 128592,A000000,00800,0000,0800DIETARY 128592,A000000,00900,0000,0900NURSING ADMINISTRATION 128592,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128592,A000000,01100,0000,1100PHARMACY 128592,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128592,A000000,01300,0000,1300SOCIAL SERVICE 128592,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128592,A000000,01600,0000,1600SKILLED NURSING FACILITY 128592,A000000,01800,0000,1800NURSING FACILITY 128592,A000000,01810,0000,1810ICF/MR 128592,A000000,02100,0000,2100RADIOLOGY 128592,A000000,02200,0000,2200LABORATORY 128592,A000000,02500,0000,2500PHYSICAL THERAPY 128592,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128592,A000000,02700,0000,2700SPEECH PATHOLOGY 128592,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128592,A000000,03550,0000,3550FQHC 128592,A000000,05000,0000,5000CORF 128592,A000000,05010,0000,5010CMHC 128592,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128592,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128592,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128592,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128592,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128592,A81000A,00100,0100,N 128592,B100000,00000,0100,0100SQUARE FEET 128592,B100000,00000,0200,0200DOLLAR VALUE 128592,B100000,00000,0300,0300GROSS SALARIES 128592,B100000,00000,0400,0400ACCUM. COST 128592,B100000,00000,0500,0500SQUARE FEET 128592,B100000,00000,0600,0600INPATIENT DAYS 128592,B100000,00000,0700,0700SQUARE FEET 128592,B100000,00000,0800,0800INPATIENT DAYS 128592,B100000,00000,0900,0900INPATIENT DAYS 128592,B100000,00000,1000,1000INPATIENT DAYS 128592,B100000,00000,1100,1100COSTED REQUIS. 128592,B100000,00000,1200,1200INPATIENT DAYS 128592,B100000,00000,1300,1300INPATIENT DAYS 128592,B100000,00000,1400,1400ASSIGNED TIME 128592,S000000,00100,0200,08/23/00 128592,S200000,00100,0100,169 LAKE PARK ROAD 128592,S200000,00200,0100,LEWISVILLE 128592,S200000,00200,0200,TX 128592,S200000,00200,0300,75057 128592,S200000,00300,0100,DALLAS 128592,S200000,00300,0200,1920 128592,S200000,00300,0300,U 128592,S200000,00400,0100,LAKE VILLAGE NURSING & REHABILITATIO 128592,S200000,00400,0200,675560 128592,S200000,00400,0300,01/01/99 128592,S200000,00400,0500,P 128592,S200000,01500,0100,N 128592,S200000,01600,0100,Y 128592,S200000,01700,0100,N 128592,S200000,01800,0100,N 128592,S200000,02200,0100,N 128592,S200000,02800,0100,N 128592,S200000,02900,0100,N 128592,S200000,03000,0100,N 128592,S200000,03100,0100,N 128592,S200000,03200,0100,N 128592,S200000,03300,0100,N 128592,S200000,03300,0200,N 128592,S200000,04100,0100,N 128592,S200000,04200,0100,N 128592,S200000,04300,0100,N 128592,S200000,04600,0100,N 128592,S200000,04700,0100,N 128592,S200000,04700,0200,N 128592,S200000,04900,0100,N 128651,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128651,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 128651,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128651,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 128651,A000000,00300,0000,0300EMPLOYEE BENEFITS 128651,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128651,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128651,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128651,A000000,00700,0000,0700HOUSEKEEPING 128651,A000000,00800,0000,0800DIETARY 128651,A000000,00801,0000,0801CAFETERIA 128651,A000000,00900,0000,0900NURSING ADMINISTRATION 128651,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128651,A000000,01100,0000,1100PHARMACY 128651,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128651,A000000,01300,0000,1300SOCIAL SERVICE 128651,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128651,A000000,01500,0000,1350ACTIVITIES 128651,A000000,01600,0000,1600SKILLED NURSING FACILITY 128651,A000000,01810,0000,1810ICF/MR 128651,A000000,02100,0000,2100RADIOLOGY 128651,A000000,02200,0000,2200LABORATORY 128651,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128651,A000000,02500,0000,2500PHYSICAL THERAPY 128651,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128651,A000000,02700,0000,2700SPEECH PATHOLOGY 128651,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128651,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128651,A000000,03200,0000,3200SUPPORT SURFACES 128651,A000000,03300,0000,3050OTHER ANCILLARY 128651,A000000,03301,0000,3051OTHER ANCILLARY II 128651,A000000,03302,0000,3052OTHER ANCILLARY III 128651,A000000,03550,0000,3550FQHC 128651,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 128651,A000000,05000,0000,5000CORF I 128651,A000000,05010,0000,5010CMHC I 128651,A000000,05020,0000,5020OPT I 128651,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128651,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128651,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128651,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128651,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 128651,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 128651,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128651,A81000A,00100,0100,N 128651,B100000,00000,0100,0100(SQUARE FEET) 128651,B100000,00000,0101,0101(SQUARE FEET) 128651,B100000,00000,0200,0200(SQUARE FEET) 128651,B100000,00000,0201,0201(SQUARE FEET) 128651,B100000,00000,0300,0300(GROSS SALARIES) 128651,B100000,00000,0400,0400(ACCUM. COST) 128651,B100000,00000,0500,0500(SQUARE FEET) 128651,B100000,00000,0600,0600(PATIENT DAYS) 128651,B100000,00000,0700,0700(SQUARE FEET) 128651,B100000,00000,0800,0800(MEALS SERVED) 128651,B100000,00000,0801,0801(MEALS SERVED) 128651,B100000,00000,0900,0900(NURSING SALARIES) 128651,B100000,00000,1000,1000(PATIENT DAYS) 128651,B100000,00000,1100,1100(PATIENT DAYS) 128651,B100000,00000,1200,1200(PATIENT DAYS) 128651,B100000,00000,1300,1300(PATIENT DAYS) 128651,B100000,00000,1400,1400(ASSIGNED TIME) 128651,B100000,00000,1500,1350(PATIENT DAYS) 128651,S000000,00100,0200,10/02/00 128651,S200000,00100,0100,465 5TH STREET 128651,S200000,00200,0100,BURLINGTON 128651,S200000,00200,0200,CO 128651,S200000,00200,0300,80807 128651,S200000,00300,0100,KIT CARSON 128651,S200000,00300,0300,R 128651,S200000,00400,0100,GRACE MANOR CARE CENTER 128651,S200000,00400,0200,065284 128651,S200000,00400,0300,12/01/90 128651,S200000,00400,0500,P 128651,S200000,01500,0100,Y 128651,S200000,01600,0100,N 128651,S200000,01700,0100,N 128651,S200000,01800,0100,N 128651,S200000,02200,0100,N 128651,S200000,02800,0100,N 128651,S200000,02900,0100,N 128651,S200000,03000,0100,N 128651,S200000,03100,0100,N 128651,S200000,03200,0100,N 128651,S200000,03300,0100,N 128651,S200000,03300,0200,N 128651,S200000,04200,0100,N 128651,S200000,04300,0100,N 128651,S200000,04600,0100,N 128651,S200000,04700,0100,N 128651,S200000,04900,0100,N 128652,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128652,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128652,A000000,00300,0000,0300EMPLOYEE BENEFITS 128652,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128652,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128652,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128652,A000000,00700,0000,0700HOUSEKEEPING 128652,A000000,00800,0000,0800DIETARY 128652,A000000,00900,0000,0900NURSING ADMINISTRATION 128652,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128652,A000000,01100,0000,1100PHARMACY 128652,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128652,A000000,01300,0000,1300SOCIAL SERVICE 128652,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128652,A000000,01500,0000,1350ACTIVITIES 128652,A000000,01600,0000,1600SKILLED NURSING FACILITY 128652,A000000,01810,0000,1810ICF/MR 128652,A000000,02100,0000,2100RADIOLOGY 128652,A000000,02200,0000,2200LABORATORY 128652,A000000,02500,0000,2500PHYSICAL THERAPY 128652,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128652,A000000,02700,0000,2700SPEECH PATHOLOGY 128652,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128652,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128652,A000000,03300,0000,3050AIR FLUID BEDS 128652,A000000,03550,0000,3550FQHC 128652,A000000,05000,0000,5000CORF 128652,A000000,05010,0000,5010CMHC 128652,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128652,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128652,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128652,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128652,A81000A,00100,0100,Y 128652,A81000B,00100,0300,MANAGEMENT FEES 128652,A81000C,00100,0100,A 128652,A81000C,00100,0200,DOUG SPIES 128652,A81000C,00100,0400,ROCKY MTN CARE 128652,A81000C,00100,0600,NURSING HOME MG 128652,A81000C,00200,0100,A 128652,A81000C,00200,0200,JODY ROBINSON 128652,A81000C,00200,0400,ROCKY MTN CARE 128652,A81000C,00200,0600,NURSING HOME MG 128652,B100000,00000,0100,0100SQUARE FEET 128652,B100000,00000,0200,0200SQUARE FEET 128652,B100000,00000,0300,0300GROSS SALARIES 128652,B100000,00000,0400,0400ACCUM COST 128652,B100000,00000,0500,0500SQUARE FEET 128652,B100000,00000,0600,0600PATIENT DAYS 128652,B100000,00000,0700,0700SQUARE FEET 128652,B100000,00000,0800,0800MEALS SERVED 128652,B100000,00000,0900,0900PATIENT DAYS 128652,B100000,00000,1000,1000COSTED REQUIS 128652,B100000,00000,1100,1100COSTED REQUIS 128652,B100000,00000,1200,1200PATIENT DAYS 128652,B100000,00000,1300,1300PATIEN DAYS 128652,B100000,00000,1400,1400ASSIGNED TIME 128652,B100000,00000,1500,1350(PATIENT DAYS) 128652,S000000,00100,0200,08/31/00 128652,S200000,00100,0100,3105 WEST ARKANSAS AVENUE 128652,S200000,00200,0100,DENVER 128652,S200000,00200,0200,CO 128652,S200000,00200,0300,80219 128652,S200000,00300,0100,DENVER 128652,S200000,00300,0300,U 128652,S200000,00400,0100,PARK VIEW CARE CENTER 128652,S200000,00400,0200,065299 128652,S200000,00400,0300,02/17/92 128652,S200000,00400,0500,P 128652,S200000,01500,0100,Y 128652,S200000,01600,0100,N 128652,S200000,01700,0100,N 128652,S200000,01800,0100,N 128652,S200000,01900,0100,S-CORP 128652,S200000,02200,0100,Y 128652,S200000,02800,0100,N 128652,S200000,02900,0100,N 128652,S200000,03000,0100,N 128652,S200000,03100,0100,N 128652,S200000,03200,0100,N 128652,S200000,03300,0100,N 128652,S200000,03300,0200,N 128652,S200000,04100,0100,N 128652,S200000,04200,0100,N 128652,S200000,04300,0100,Y 128652,S200000,04600,0100,N 128652,S200000,04700,0100,N 128652,S200000,04900,0100,N 128653,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128653,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128653,A000000,00300,0000,0300EMPLOYEE BENEFITS 128653,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128653,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128653,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128653,A000000,00700,0000,0700HOUSEKEEPING 128653,A000000,00800,0000,0800DIETARY 128653,A000000,00900,0000,0900NURSING ADMINISTRATION 128653,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128653,A000000,01100,0000,1100PHARMACY 128653,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128653,A000000,01300,0000,1300SOCIAL SERVICE 128653,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128653,A000000,01500,0000,1350OTHER GENERAL SERVICES 128653,A000000,01600,0000,1600SKILLED NURSING FACILITY 128653,A000000,01810,0000,1810ICF/MR 128653,A000000,02100,0000,2100RADIOLOGY 128653,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128653,A000000,02500,0000,2500PHYSICAL THERAPY 128653,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128653,A000000,02700,0000,2700SPEECH PATHOLOGY 128653,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128653,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128653,A000000,03200,0000,3200SUPPORT SURFACES 128653,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128653,A000000,03550,0000,3550FQHC 128653,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128653,A000000,05000,0000,5000CORF 128653,A000000,05010,0000,5010CMHC 128653,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128653,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128653,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128653,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128653,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128653,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128653,A81000A,00100,0100,Y 128653,A81000B,00100,0300,HOME OFFICE - LEASE 128653,A81000B,00200,0300,HOME OFFICE - NON CAPITAL 128653,A81000B,00300,0300,HOME OFFICE - MANAGEMENT FEES 128653,A81000C,00100,0100,A 128653,A81000C,00100,0200,ANN WALSHE 128653,A81000C,00100,0400,CARE CENTER CONSULTANTS 128653,A81000C,00100,0600,MANAGEMENT COMPANY 128653,B100000,00000,0100,0100SQUARE FEET 128653,B100000,00000,0200,0200SQUARE FEET 128653,B100000,00000,0300,0300GROSS SALARIES 128653,B100000,00000,0400,0400ACCUM. COST 128653,B100000,00000,0500,0500SQUARE FEET 128653,B100000,00000,0600,0600POUNDS OF LAUNDRY 128653,B100000,00000,0700,0700SQUARE FEET 128653,B100000,00000,0800,0800MEALS SERVED 128653,B100000,00000,0900,0900DIRECT NRSING HRS 128653,B100000,00000,1000,1000COSTED REQUIS. 128653,B100000,00000,1100,1100COSTED REQUIS. 128653,B100000,00000,1200,1200PATIENT DAYS 128653,B100000,00000,1300,1300PATIENT DAYS 128653,B100000,00000,1400,1400ASSIGNED TIME 128653,B100000,00000,1500,1350NO STATISTICS 128653,S000000,00100,0200,11/01/00 128653,S200000,00100,0100,3315 SHERIDAN BLVD 128653,S200000,00200,0100,WHEAT RIDGE 128653,S200000,00200,0200,CO 128653,S200000,00200,0300,80212 128653,S200000,00300,0100,J 128653,S200000,00300,0200,2080 128653,S200000,00300,0300,U 128653,S200000,00400,0100,SHERIDAN CARE & REHABILITATION CNTR 128653,S200000,00400,0200,065261 128653,S200000,00400,0300,08/01/97 128653,S200000,00400,0500,P 128653,S200000,01500,0100,Y 128653,S200000,01600,0100,N 128653,S200000,01700,0100,N 128653,S200000,01800,0100,N 128653,S200000,02200,0100,N 128653,S200000,02800,0100,N 128653,S200000,02900,0100,N 128653,S200000,03000,0100,N 128653,S200000,03100,0100,N 128653,S200000,03200,0100,N 128653,S200000,03300,0100,N 128653,S200000,03300,0200,N 128653,S200000,04100,0100,N 128653,S200000,04200,0100,N 128653,S200000,04300,0100,N 128653,S200000,04600,0100,N 128653,S200000,04700,0100,N 128653,S200000,04700,0200,N 128653,S200000,04900,0100,N 128656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128656,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128656,A000000,00300,0000,0300EMPLOYEE BENEFITS 128656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128656,A000000,00700,0000,0700HOUSEKEEPING 128656,A000000,00800,0000,0800DIETARY 128656,A000000,00900,0000,0900NURSING ADMINISTRATION 128656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128656,A000000,01100,0000,1100PHARMACY 128656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128656,A000000,01300,0000,1300SOCIAL SERVICE 128656,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128656,A000000,01500,0000,1350ACTIVITIES 128656,A000000,01600,0000,1600SKILLED NURSING FACILITY 128656,A000000,01810,0000,1810ICF/MR 128656,A000000,02100,0000,2100RADIOLOGY 128656,A000000,02200,0000,2200LABORATORY 128656,A000000,02300,0000,2300INTRAVENOUS THERAPY 128656,A000000,02500,0000,2500PHYSICAL THERAPY 128656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128656,A000000,02700,0000,2700SPEECH PATHOLOGY 128656,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128656,A000000,03550,0000,3550FQHC 128656,A000000,05000,0000,5000CORF 128656,A000000,05010,0000,5010CMHC 128656,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128656,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128656,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128656,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128656,A81000A,00100,0100,Y 128656,A81000B,00100,0300,HOME OFFICE COST 128656,A81000C,00100,0100,E 128656,A81000C,00100,0200,JOHN SIMMONS 128656,A81000C,00100,0400,EDEN FOUNDATION 128656,A81000C,00100,0600,MANAGEMENT CO 128656,B100000,00000,0100,0100SQUARE FEET 128656,B100000,00000,0200,0200SQUARE FEET 128656,B100000,00000,0300,0300GROSS SALARIES 128656,B100000,00000,0400,0400ACCUM COST 128656,B100000,00000,0500,0500SQUARE FEET 128656,B100000,00000,0600,0600PATIENT DAYS 128656,B100000,00000,0700,0700SQUARE FEET 128656,B100000,00000,0800,0800MEALS SERVED 128656,B100000,00000,0900,0900NURSING SALARIES 128656,B100000,00000,1000,1000GROSS CHARGES 128656,B100000,00000,1100,1100GROSS CHARGES 128656,B100000,00000,1200,1200GROSS CHARGES 128656,B100000,00000,1300,1300PATIENT DAYS 128656,B100000,00000,1400,1400ASSIGNED TIME 128656,B100000,00000,1500,1350(PATIENT DAYS) 128656,S000000,00100,0200,12/01/00 128656,S200000,00100,0100,5230 E 66TH WAY 128656,S200000,00200,0100,COMMERCE CITY 128656,S200000,00200,0200,CO 128656,S200000,00200,0300,80022 128656,S200000,00300,0100,ADAMS 128656,S200000,00300,0200,2080 128656,S200000,00300,0300,U 128656,S200000,00400,0100,ROSE TERRACE CARE CENTER 128656,S200000,00400,0200,065283 128656,S200000,00400,0300,10/01/90 128656,S200000,00400,0500,P 128656,S200000,01500,0100,Y 128656,S200000,01600,0100,N 128656,S200000,01700,0100,N 128656,S200000,01800,0100,N 128656,S200000,01900,0100,PRIVATE NONPROFIT 128656,S200000,02200,0100,Y 128656,S200000,02800,0100,N 128656,S200000,02900,0100,N 128656,S200000,03000,0100,N 128656,S200000,03100,0100,N 128656,S200000,03200,0100,N 128656,S200000,03300,0100,N 128656,S200000,03300,0200,N 128656,S200000,04100,0100,N 128656,S200000,04200,0100,N 128656,S200000,04300,0100,N 128656,S200000,04600,0100,N 128656,S200000,04700,0100,N 128656,S200000,04900,0100,N 128657,S000000,00100,0200,11/21/00 128669,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128669,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128669,A000000,00300,0000,0300EMPLOYEE BENEFITS 128669,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128669,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128669,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128669,A000000,00700,0000,0700HOUSEKEEPING 128669,A000000,00800,0000,0800DIETARY 128669,A000000,00900,0000,0900NURSING ADMINISTRATION 128669,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128669,A000000,01100,0000,1100PHARMACY 128669,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128669,A000000,01300,0000,1300SOCIAL SERVICE 128669,A000000,01301,0000,1301ACTIVITES 128669,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128669,A000000,01500,0000,1350REHABILITATION 128669,A000000,01600,0000,1600SKILLED NURSING FACILITY 128669,A000000,01800,0000,1800NURSING FACILITY 128669,A000000,01810,0000,1810ICF/MR 128669,A000000,02100,0000,2100RADIOLOGY 128669,A000000,02200,0000,2200LABORATORY 128669,A000000,02300,0000,2300INTRAVENOUS THERAPY 128669,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128669,A000000,02500,0000,2500PHYSICAL THERAPY 128669,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128669,A000000,02700,0000,2700SPEECH PATHOLOGY 128669,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128669,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128669,A000000,03300,0000,3050EQUIPMENT RENTAL 128669,A000000,03301,0000,3051PEN THERAPY 128669,A000000,03550,0000,3550FQHC 128669,A000000,05000,0000,5000CORF 128669,A000000,05010,0000,5010CMHC 128669,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128669,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128669,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128669,A000000,05300,0000,5300INTEREST EXPENSE 128669,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128669,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128669,A000000,06300,0000,6150VENDING 128669,A000000,06301,0000,6151STAND-BY 128669,A81000A,00100,0100,Y 128669,A81000B,00100,0300,HOME OFFICE COST 128669,A81000B,00200,0300,DIETARY SUPPLEMENTS 128669,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128669,A81000B,00400,0300,PRESCRIPTION DRUGS 128669,A81000B,00500,0300,MEDICAL SUPPLIES 128669,A81000B,00600,0300,ADMIN COSTS 128669,A81000B,00900,0300,IV THERAPY 128669,A81000B,01000,0300,THERAPY CONSULTING 128669,A81000B,01100,0300,PHYSICAL THERAPY 128669,A81000B,01200,0300,OCCUPATIONAL THERAPY 128669,A81000B,01300,0300,SPEECH THERAPY 128669,A81000B,01400,0300,ANC EQUIP RENTAL 128669,A81000B,01500,0300,CAPITAL 128669,A81000C,00100,0100,B 128669,A81000C,00100,0200,SIERRA VISTA 10 128669,A81000C,00100,0400,MARINER PAN 128669,A81000C,00100,0600,NURSING HOMES 128669,A81000C,00200,0100,G 128669,A81000C,00200,0200,MARINER PAN 128669,A81000C,00200,0400,AMER PHARM SVCS 128669,A81000C,00200,0600,PHARMACEUTICALS 128669,A81000C,00300,0100,G 128669,A81000C,00300,0200,MARINER PAN 128669,A81000C,00300,0400,PRISM-ATS-ARS-T 128669,A81000C,00300,0600,THERAPIES 128669,B100000,00000,0100,0100SQUARE FEET 128669,B100000,00000,0200,0200SQUARE FEET 128669,B100000,00000,0300,0300GROSS SALARIES 128669,B100000,00000,0400,0400ACCUM COST 128669,B100000,00000,0500,0500SQUARE FEET 128669,B100000,00000,0600,0600PATIENT DAYS 128669,B100000,00000,0700,0700SQUARE FEET 128669,B100000,00000,0800,0800MEALS SERVED 128669,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128669,B100000,00000,1000,1000COSTED REQUISITIO 128669,B100000,00000,1100,1100COSTED REQUIS 128669,B100000,00000,1200,1200PATIENT DAYS 128669,B100000,00000,1300,1300PATIENT DAYS 128669,B100000,00000,1301,1301PATIENT DAYS 128669,B100000,00000,1400,1400ASSIGNED TIME 128669,B100000,00000,1500,1350UNITS OF SERVICE 128669,S000000,00100,0200,02/29/00 128669,S200000,00100,0100,821 DUFFIELD CT 128669,S200000,00200,0100,LOVELAND 128669,S200000,00200,0200,CO 128669,S200000,00200,0300,80537 128669,S200000,00300,0100,LARIMER 128669,S200000,00300,0200,2670 128669,S200000,00300,0300,U 128669,S200000,00400,0100,SIERRA VISTA NURSING HOME 128669,S200000,00400,0200,065165 128669,S200000,00400,0300,07/01/82 128669,S200000,00400,0500,P 128669,S200000,01500,0100,N 128669,S200000,01600,0100,Y 128669,S200000,01700,0100,N 128669,S200000,01800,0100,N 128669,S200000,02200,0100,Y 128669,S200000,02800,0100,N 128669,S200000,02900,0100,N 128669,S200000,03000,0100,N 128669,S200000,03100,0100,N 128669,S200000,03200,0100,N 128669,S200000,03300,0100,N 128669,S200000,03300,0200,N 128669,S200000,04100,0100,N 128669,S200000,04200,0100,N 128669,S200000,04300,0100,Y 128669,S200000,04600,0100,N 128669,S200000,04700,0100,N 128669,S200000,04900,0100,N 128670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128670,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128670,A000000,00300,0000,0300EMPLOYEE BENEFITS 128670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128670,A000000,00700,0000,0700HOUSEKEEPING 128670,A000000,00800,0000,0800DIETARY 128670,A000000,00900,0000,0900NURSING ADMINISTRATION 128670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128670,A000000,01100,0000,1100PHARMACY 128670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128670,A000000,01300,0000,1300SOCIAL SERVICE 128670,A000000,01301,0000,1301ACTIVITES 128670,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128670,A000000,01500,0000,1350REHABILITATION 128670,A000000,01600,0000,1600SKILLED NURSING FACILITY 128670,A000000,01800,0000,1800NURSING FACILITY 128670,A000000,01810,0000,1810ICF/MR 128670,A000000,02100,0000,2100RADIOLOGY 128670,A000000,02200,0000,2200LABORATORY 128670,A000000,02300,0000,2300INTRAVENOUS THERAPY 128670,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128670,A000000,02500,0000,2500PHYSICAL THERAPY 128670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128670,A000000,02700,0000,2700SPEECH PATHOLOGY 128670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128670,A000000,03300,0000,3050EQUIPMENT RENTAL 128670,A000000,03301,0000,3051PEN THERAPY 128670,A000000,03550,0000,3550FQHC 128670,A000000,04800,0000,4800AMBULANCE 128670,A000000,05000,0000,5000CORF 128670,A000000,05010,0000,5010CMHC 128670,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128670,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128670,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128670,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128670,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128670,A000000,06300,0000,6150VENDING 128670,A000000,06301,0000,6151STAND-BY 128670,A81000A,00100,0100,Y 128670,A81000B,00100,0300,HOME OFFICE COST 128670,A81000B,00200,0300,DIETARY SUPPLEMENTS 128670,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128670,A81000B,00400,0300,PRESCRIPTION DRUGS 128670,A81000B,00500,0300,MEDICAL SUPPLIES 128670,A81000B,00600,0300,ADMIN COSTS 128670,A81000B,00700,0300,HOME OFFICE INTEREST 128670,A81000B,00800,0300,EQUIPMENT REPLACEMENT 128670,A81000B,00900,0300,IV THERAPY 128670,A81000B,01000,0300,THERAPY CONSULTING 128670,A81000B,01100,0300,PHYSICAL THERAPY 128670,A81000B,01200,0300,OCCUPATIONAL THERAPY 128670,A81000B,01300,0300,SPEECH THERAPY 128670,A81000B,01400,0300,ANC EQUIP RENTAL 128670,A81000B,01500,0300,CAPITAL 128670,A81000C,00100,0100,B 128670,A81000C,00100,0200,KENTON MANOR 128670,A81000C,00100,0400,MARINER PAN 128670,A81000C,00100,0600,NURSING HOMES 128670,A81000C,00200,0100,G 128670,A81000C,00200,0200,MARINER PAN 128670,A81000C,00200,0400,AMER PHARM SVCS 128670,A81000C,00200,0600,PHARMACEUTICALS 128670,A81000C,00300,0100,G 128670,A81000C,00300,0200,MARINER PAN 128670,A81000C,00300,0400,PRISM-ATS-ARS-T 128670,A81000C,00300,0600,THERAPIES 128670,B100000,00000,0100,0100SQUARE FEET 128670,B100000,00000,0200,0200SQUARE FEET 128670,B100000,00000,0300,0300GROSS SALARIES 128670,B100000,00000,0400,0400ACCUM COST 128670,B100000,00000,0500,0500SQUARE FEET 128670,B100000,00000,0600,0600PATIENT DAYS 128670,B100000,00000,0700,0700SQUARE FEET 128670,B100000,00000,0800,0800MEALS SERVED 128670,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128670,B100000,00000,1000,1000COSTED REQUISITIO 128670,B100000,00000,1100,1100COSTED REQUIS 128670,B100000,00000,1200,1200PATIENT DAYS 128670,B100000,00000,1300,1300PATIENT DAYS 128670,B100000,00000,1301,1301PATIENT DAYS 128670,B100000,00000,1400,1400ASSIGNED TIME 128670,B100000,00000,1500,1350UNITS OF SERVICE 128670,S000000,00100,0200,02/29/00 128670,S200000,00100,0100,850 27TH AVE 128670,S200000,00200,0100,GREELEY 128670,S200000,00200,0200,CO 128670,S200000,00200,0300,80631 128670,S200000,00300,0100,WELD 128670,S200000,00300,0200,3060 128670,S200000,00300,0300,U 128670,S200000,00400,0100,KENTON MANOR 128670,S200000,00400,0200,065219 128670,S200000,00400,0300,07/01/85 128670,S200000,00400,0500,P 128670,S200000,01500,0100,N 128670,S200000,01600,0100,Y 128670,S200000,01700,0100,N 128670,S200000,01800,0100,N 128670,S200000,02200,0100,Y 128670,S200000,02800,0100,N 128670,S200000,02900,0100,N 128670,S200000,03000,0100,N 128670,S200000,03100,0100,N 128670,S200000,03200,0100,N 128670,S200000,03300,0100,N 128670,S200000,03300,0200,N 128670,S200000,04100,0100,N 128670,S200000,04200,0100,N 128670,S200000,04300,0100,Y 128670,S200000,04600,0100,N 128670,S200000,04700,0100,N 128670,S200000,04900,0100,N 128671,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128671,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128671,A000000,00300,0000,0300EMPLOYEE BENEFITS 128671,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128671,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128671,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128671,A000000,00700,0000,0700HOUSEKEEPING 128671,A000000,00800,0000,0800DIETARY 128671,A000000,00900,0000,0900NURSING ADMINISTRATION 128671,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128671,A000000,01100,0000,1100PHARMACY 128671,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128671,A000000,01300,0000,1300SOCIAL SERVICE 128671,A000000,01301,0000,1301ACTIVITES 128671,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128671,A000000,01500,0000,1350REHABILITATION 128671,A000000,01600,0000,1600SKILLED NURSING FACILITY 128671,A000000,01800,0000,1800NURSING FACILITY 128671,A000000,01810,0000,1810ICF/MR 128671,A000000,01900,0000,1900OTHER LONG TERM CARE 128671,A000000,02100,0000,2100RADIOLOGY 128671,A000000,02200,0000,2200LABORATORY 128671,A000000,02300,0000,2300INTRAVENOUS THERAPY 128671,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128671,A000000,02500,0000,2500PHYSICAL THERAPY 128671,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128671,A000000,02700,0000,2700SPEECH PATHOLOGY 128671,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128671,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128671,A000000,03300,0000,3050EQUIPMENT RENTAL 128671,A000000,03301,0000,3051PEN THERAPY 128671,A000000,03550,0000,3550FQHC 128671,A000000,05000,0000,5000CORF 128671,A000000,05010,0000,5010CMHC 128671,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128671,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128671,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128671,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128671,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128671,A000000,06300,0000,6150VENDING 128671,A000000,06301,0000,6151STAND-BY 128671,A81000A,00100,0100,Y 128671,A81000B,00100,0300,HOME OFFICE COST 128671,A81000B,00200,0300,DIETARY SUPPLEMENTS 128671,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128671,A81000B,00400,0300,PRESCRIPTION DRUGS 128671,A81000B,00500,0300,MEDICAL SUPPLIES 128671,A81000B,00600,0300,ADMIN COSTS 128671,A81000B,00900,0300,IV THERAPY 128671,A81000B,01100,0300,PHYSICAL THERAPY 128671,A81000B,01200,0300,OCCUPATIONAL THERAPY 128671,A81000B,01300,0300,SPEECH THERAPY 128671,A81000B,01400,0300,ANC EQUIP RENTAL 128671,A81000B,01500,0300,CAPITAL 128671,A81000B,01600,0300,NURSING ADMIN 128671,A81000C,00100,0100,B 128671,A81000C,00100,0200,APPLEWOOD 10702 128671,A81000C,00100,0400,MARINER PAN 128671,A81000C,00100,0600,NURSING HOMES 128671,A81000C,00200,0100,G 128671,A81000C,00200,0200,MARINER PAN 128671,A81000C,00200,0400,AMER PHARM SVCS 128671,A81000C,00200,0600,PHARMACEUTICALS 128671,A81000C,00300,0100,G 128671,A81000C,00300,0200,MARINER PAN 128671,A81000C,00300,0400,PRISM-ATS-ARS-T 128671,A81000C,00300,0600,THERAPIES 128671,B100000,00000,0100,0100SQUARE FEET 128671,B100000,00000,0200,0200SQUARE FEET 128671,B100000,00000,0300,0300GROSS SALARIES 128671,B100000,00000,0400,0400ACCUM COST 128671,B100000,00000,0500,0500SQUARE FEET 128671,B100000,00000,0600,0600PATIENT DAYS 128671,B100000,00000,0700,0700SQUARE FEET 128671,B100000,00000,0800,0800MEALS SERVED 128671,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128671,B100000,00000,1000,1000COSTED REQUISITIO 128671,B100000,00000,1100,1100COSTED REQUIS 128671,B100000,00000,1200,1200PATIENT DAYS 128671,B100000,00000,1300,1300PATIENT DAYS 128671,B100000,00000,1301,1301PATIENT DAYS 128671,B100000,00000,1400,1400ASSIGNED TIME 128671,B100000,00000,1500,1350UNITS OF SERVICE 128671,S000000,00100,0200,02/29/00 128671,S200000,00100,0100,1800 STROH PLACE 128671,S200000,00200,0100,LONGMONT 128671,S200000,00200,0200,CO 128671,S200000,00200,0300,80501 128671,S200000,00300,0100,BOULDER 128671,S200000,00300,0200,1125 128671,S200000,00300,0300,U 128671,S200000,00400,0100,APPLEWOOD LIVING CENTER 128671,S200000,00400,0200,065226 128671,S200000,00400,0300,04/01/86 128671,S200000,00400,0500,P 128671,S200000,01500,0100,N 128671,S200000,01600,0100,Y 128671,S200000,01700,0100,N 128671,S200000,01800,0100,N 128671,S200000,02200,0100,Y 128671,S200000,02800,0100,N 128671,S200000,02900,0100,N 128671,S200000,03000,0100,N 128671,S200000,03100,0100,N 128671,S200000,03200,0100,N 128671,S200000,03300,0100,N 128671,S200000,03300,0200,N 128671,S200000,04100,0100,N 128671,S200000,04200,0100,N 128671,S200000,04300,0100,Y 128671,S200000,04600,0100,N 128671,S200000,04700,0100,N 128671,S200000,04900,0100,N 128672,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128672,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128672,A000000,00300,0000,0300EMPLOYEE BENEFITS 128672,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128672,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128672,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128672,A000000,00700,0000,0700HOUSEKEEPING 128672,A000000,00800,0000,0800DIETARY 128672,A000000,00900,0000,0900NURSING ADMINISTRATION 128672,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128672,A000000,01100,0000,1100PHARMACY 128672,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128672,A000000,01300,0000,1300SOCIAL SERVICE 128672,A000000,01301,0000,1301ACTIVITES 128672,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128672,A000000,01500,0000,1350REHABILITATION 128672,A000000,01600,0000,1600SKILLED NURSING FACILITY 128672,A000000,01800,0000,1800NURSING FACILITY 128672,A000000,01810,0000,1810ICF/MR 128672,A000000,02100,0000,2100RADIOLOGY 128672,A000000,02200,0000,2200LABORATORY 128672,A000000,02300,0000,2300INTRAVENOUS THERAPY 128672,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128672,A000000,02500,0000,2500PHYSICAL THERAPY 128672,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128672,A000000,02700,0000,2700SPEECH PATHOLOGY 128672,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128672,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128672,A000000,03300,0000,3050EQUIPMENT RENTAL 128672,A000000,03301,0000,3051PEN THERAPY 128672,A000000,03550,0000,3550FQHC 128672,A000000,04800,0000,4800AMBULANCE 128672,A000000,05000,0000,5000CORF 128672,A000000,05010,0000,5010CMHC 128672,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128672,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128672,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128672,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128672,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128672,A000000,06200,0000,6200PATIENTS LAUNDRY 128672,A000000,06300,0000,6150VENDING 128672,A000000,06301,0000,6151STAND-BY 128672,A81000A,00100,0100,Y 128672,A81000B,00100,0300,HOME OFFICE COST 128672,A81000B,00200,0300,DIETARY SUPPLEMENTS 128672,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128672,A81000B,00400,0300,PRESCRIPTION DRUGS 128672,A81000B,00500,0300,MEDICAL SUPPLIES 128672,A81000B,00600,0300,ADMIN COSTS 128672,A81000B,00700,0300,HOME OFFICE INTEREST 128672,A81000B,00800,0300,EQUIPMENT REPLACEMENT 128672,A81000B,00900,0300,IV THERAPY 128672,A81000B,01000,0300,THERAPY CONSULTING 128672,A81000B,01100,0300,PHYSICAL THERAPY 128672,A81000B,01200,0300,OCCUPATIONAL THERAPY 128672,A81000B,01300,0300,SPEECH THERAPY 128672,A81000B,01400,0300,ANC EQUIP RENTAL 128672,A81000B,01500,0300,PEN 128672,A81000C,00100,0100,B 128672,A81000C,00100,0200,PALISADES 1071 128672,A81000C,00100,0400,MARINER PAN 128672,A81000C,00100,0600,NURSING HOMES 128672,A81000C,00200,0100,G 128672,A81000C,00200,0200,MARINER PAN 128672,A81000C,00200,0400,AMER PHARM SVCS 128672,A81000C,00200,0600,PHARMACEUTICALS 128672,A81000C,00300,0100,G 128672,A81000C,00300,0200,MARINER PAN 128672,A81000C,00300,0400,PRISM-ATS-ARS-T 128672,A81000C,00300,0600,THERAPIES 128672,B100000,00000,0100,0100SQUARE FEET 128672,B100000,00000,0200,0200SQUARE FEET 128672,B100000,00000,0300,0300GROSS SALARIES 128672,B100000,00000,0400,0400ACCUM COST 128672,B100000,00000,0500,0500SQUARE FEET 128672,B100000,00000,0600,0600PATIENT DAYS 128672,B100000,00000,0700,0700SQUARE FEET 128672,B100000,00000,0800,0800MEALS SERVED 128672,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128672,B100000,00000,1000,1000COSTED REQUISITIO 128672,B100000,00000,1100,1100COSTED REQUIS 128672,B100000,00000,1200,1200PATIENT DAYS 128672,B100000,00000,1300,1300PATIENT DAYS 128672,B100000,00000,1301,1301PATIENT DAYS 128672,B100000,00000,1400,1400ASSIGNED TIME 128672,B100000,00000,1500,1350UNITS OF SERVICE 128672,S000000,00100,0200,02/29/00 128672,S200000,00100,0100,151 E. 3RD STREET 128672,S200000,00200,0100,PALISADE 128672,S200000,00200,0200,CO 128672,S200000,00200,0300,81526 128672,S200000,00300,0100,MESA 128672,S200000,00300,0200,2995 128672,S200000,00300,0300,U 128672,S200000,00400,0100,PALISADES LIVING CENTER 128672,S200000,00400,0200,065228 128672,S200000,00400,0300,04/01/86 128672,S200000,00400,0500,P 128672,S200000,01500,0100,N 128672,S200000,01600,0100,Y 128672,S200000,01700,0100,N 128672,S200000,01800,0100,N 128672,S200000,02200,0100,Y 128672,S200000,02800,0100,N 128672,S200000,02900,0100,N 128672,S200000,03000,0100,N 128672,S200000,03100,0100,N 128672,S200000,03200,0100,N 128672,S200000,03300,0100,N 128672,S200000,03300,0200,N 128672,S200000,04100,0100,N 128672,S200000,04200,0100,N 128672,S200000,04300,0100,Y 128672,S200000,04600,0100,N 128672,S200000,04700,0100,N 128672,S200000,04900,0100,N 128673,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128673,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128673,A000000,00300,0000,0300EMPLOYEE BENEFITS 128673,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128673,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128673,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128673,A000000,00700,0000,0700HOUSEKEEPING 128673,A000000,00800,0000,0800DIETARY 128673,A000000,00900,0000,0900NURSING ADMINISTRATION 128673,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128673,A000000,01100,0000,1100PHARMACY 128673,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128673,A000000,01300,0000,1300SOCIAL SERVICE 128673,A000000,01301,0000,1301ACTIVITES 128673,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128673,A000000,01500,0000,1350REHABILITATION 128673,A000000,01600,0000,1600SKILLED NURSING FACILITY 128673,A000000,01800,0000,1800NURSING FACILITY 128673,A000000,01810,0000,1810ICF/MR 128673,A000000,02100,0000,2100RADIOLOGY 128673,A000000,02200,0000,2200LABORATORY 128673,A000000,02300,0000,2300INTRAVENOUS THERAPY 128673,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128673,A000000,02500,0000,2500PHYSICAL THERAPY 128673,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128673,A000000,02700,0000,2700SPEECH PATHOLOGY 128673,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128673,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128673,A000000,03300,0000,3050EQUIPMENT RENTAL 128673,A000000,03301,0000,3051PEN THERAPY 128673,A000000,03550,0000,3550FQHC 128673,A000000,05000,0000,5000CORF 128673,A000000,05010,0000,5010CMHC 128673,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128673,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128673,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128673,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128673,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128673,A000000,06300,0000,6150VENDING 128673,A000000,06301,0000,6151STAND-BY 128673,A81000A,00100,0100,Y 128673,A81000B,00100,0300,HOME OFFICE COST 128673,A81000B,00200,0300,DIETARY SUPPLEMENTS 128673,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128673,A81000B,00400,0300,PRESCRIPTION DRUGS 128673,A81000B,00500,0300,MEDICAL SUPPLIES 128673,A81000B,00600,0300,ADMIN COSTS 128673,A81000B,00700,0300,HOME OFFICE INTEREST 128673,A81000B,00800,0300,EQUIPMENT REPLACEMENT 128673,A81000B,00900,0300,IV THERAPY 128673,A81000B,01000,0300,THERAPY CONSULTING 128673,A81000B,01100,0300,PHYSICAL THERAPY 128673,A81000B,01200,0300,OCCUPATIONAL THERAPY 128673,A81000B,01300,0300,SPEECH THERAPY 128673,A81000B,01400,0300,ANC EQUIP RENTAL 128673,A81000B,01500,0300,CAPITAL 128673,A81000B,01600,0300,PEN 128673,A81000C,00100,0100,B 128673,A81000C,00100,0200,MINNEQUA 10715 128673,A81000C,00100,0400,MARINER PAN 128673,A81000C,00100,0600,NURSING HOMES 128673,A81000C,00200,0100,G 128673,A81000C,00200,0200,MARINER PAN 128673,A81000C,00200,0400,AMER PHARM SVCS 128673,A81000C,00200,0600,PHARMACEUTICALS 128673,A81000C,00300,0100,G 128673,A81000C,00300,0200,MARINER PAN 128673,A81000C,00300,0400,PRISM-ATS-ARS-T 128673,A81000C,00300,0600,THERAPIES 128673,B100000,00000,0100,0100SQUARE FEET 128673,B100000,00000,0200,0200SQUARE FEET 128673,B100000,00000,0300,0300GROSS SALARIES 128673,B100000,00000,0400,0400ACCUM COST 128673,B100000,00000,0500,0500SQUARE FEET 128673,B100000,00000,0600,0600PATIENT DAYS 128673,B100000,00000,0700,0700SQUARE FEET 128673,B100000,00000,0800,0800MEALS SERVED 128673,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128673,B100000,00000,1000,1000COSTED REQUISITIO 128673,B100000,00000,1100,1100COSTED REQUIS 128673,B100000,00000,1200,1200PATIENT DAYS 128673,B100000,00000,1300,1300PATIENT DAYS 128673,B100000,00000,1301,1301PATIENT DAYS 128673,B100000,00000,1400,1400ASSIGNED TIME 128673,B100000,00000,1500,1350UNITS OF SERVICE 128673,S000000,00100,0200,02/29/00 128673,S200000,00100,0100,2701 CALIFORNIA 128673,S200000,00200,0100,PUEBLO 128673,S200000,00200,0200,CO 128673,S200000,00200,0300,81004 128673,S200000,00300,0100,PUEBLO 128673,S200000,00300,0200,6560 128673,S200000,00300,0300,U 128673,S200000,00400,0100,MINNEQUA MEDICENTER 128673,S200000,00400,0200,065229 128673,S200000,00400,0300,04/01/86 128673,S200000,00400,0500,P 128673,S200000,01500,0100,N 128673,S200000,01600,0100,Y 128673,S200000,01700,0100,N 128673,S200000,01800,0100,N 128673,S200000,02200,0100,Y 128673,S200000,02800,0100,N 128673,S200000,02900,0100,N 128673,S200000,03000,0100,N 128673,S200000,03100,0100,N 128673,S200000,03200,0100,N 128673,S200000,03300,0100,N 128673,S200000,03300,0200,N 128673,S200000,04100,0100,N 128673,S200000,04200,0100,N 128673,S200000,04300,0100,Y 128673,S200000,04600,0100,N 128673,S200000,04700,0100,N 128673,S200000,04900,0100,N 128674,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128674,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128674,A000000,00300,0000,0300EMPLOYEE BENEFITS 128674,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128674,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128674,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128674,A000000,00700,0000,0700HOUSEKEEPING 128674,A000000,00800,0000,0800DIETARY 128674,A000000,00900,0000,0900NURSING ADMINISTRATION 128674,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128674,A000000,01100,0000,1100PHARMACY 128674,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128674,A000000,01300,0000,1300SOCIAL SERVICE 128674,A000000,01301,0000,1301ACTIVITES 128674,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128674,A000000,01500,0000,1350REHABILITATION 128674,A000000,01600,0000,1600SKILLED NURSING FACILITY 128674,A000000,01800,0000,1800NURSING FACILITY 128674,A000000,01810,0000,1810ICF/MR 128674,A000000,02200,0000,2200LABORATORY 128674,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128674,A000000,02500,0000,2500PHYSICAL THERAPY 128674,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128674,A000000,02700,0000,2700SPEECH PATHOLOGY 128674,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128674,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128674,A000000,03300,0000,3050EQUIPMENT RENTAL 128674,A000000,03301,0000,3051PEN THERAPY 128674,A000000,03550,0000,3550FQHC 128674,A000000,05000,0000,5000CORF 128674,A000000,05010,0000,5010CMHC 128674,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128674,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128674,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128674,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128674,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128674,A000000,06300,0000,6150VENDING 128674,A000000,06301,0000,6151STAND-BY 128674,A81000A,00100,0100,Y 128674,A81000B,00100,0300,HOME OFFICE COST 128674,A81000B,00200,0300,DIETARY SUPPLEMENTS 128674,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 128674,A81000B,00400,0300,PRESCRIPTION DRUGS 128674,A81000B,00500,0300,MEDICAL SUPPLIES 128674,A81000B,00600,0300,ADMIN COSTS 128674,A81000B,00800,0300,EQUIPMENT REPLACEMENT 128674,A81000B,01100,0300,PHYSICAL THERAPY 128674,A81000B,01200,0300,OCCUPATIONAL THERAPY 128674,A81000B,01300,0300,SPEECH THERAPY 128674,A81000B,01400,0300,ANC EQUIP RENTAL 128674,A81000B,01500,0300,BENEFITS 128674,A81000B,01600,0300,CAPITAL 128674,A81000C,00100,0100,B 128674,A81000C,00100,0200,FOUR CORNERS 128674,A81000C,00100,0400,MARINER PAN 128674,A81000C,00100,0600,NURSING HOMES 128674,A81000C,00200,0100,G 128674,A81000C,00200,0200,MARINER PAN 128674,A81000C,00200,0400,AMER PHARM SVCS 128674,A81000C,00200,0600,PHARMACEUTICALS 128674,A81000C,00300,0100,G 128674,A81000C,00300,0200,MARINER PAN 128674,A81000C,00300,0400,PRISM-ATS-ARS-T 128674,A81000C,00300,0600,THERAPIES 128674,B100000,00000,0100,0100SQUARE FEET 128674,B100000,00000,0200,0200SQUARE FEET 128674,B100000,00000,0300,0300GROSS SALARIES 128674,B100000,00000,0400,0400ACCUM COST 128674,B100000,00000,0500,0500SQUARE FEET 128674,B100000,00000,0600,0600PATIENT DAYS 128674,B100000,00000,0700,0700SQUARE FEET 128674,B100000,00000,0800,0800MEALS SERVED 128674,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128674,B100000,00000,1000,1000COSTED REQUISITIO 128674,B100000,00000,1100,1100COSTED REQUIS 128674,B100000,00000,1200,1200PATIENT DAYS 128674,B100000,00000,1300,1300PATIENT DAYS 128674,B100000,00000,1301,1301PATIENT DAYS 128674,B100000,00000,1400,1400ASSIGNED TIME 128674,B100000,00000,1500,1350UNITS OF SERVICE 128674,S000000,00100,0200,02/29/00 128674,S200000,00100,0100,2911 JUNCTION 128674,S200000,00200,0100,DURANGO 128674,S200000,00200,0200,CO 128674,S200000,00200,0300,81301 128674,S200000,00300,0100,LA PLATA 128674,S200000,00300,0200,9999 128674,S200000,00300,0300,R 128674,S200000,00400,0100,FOUR CORNERS HEALTH CARE CENTER 128674,S200000,00400,0200,065243 128674,S200000,00400,0300,05/17/88 128674,S200000,00400,0500,P 128674,S200000,01500,0100,N 128674,S200000,01600,0100,Y 128674,S200000,01700,0100,N 128674,S200000,01800,0100,N 128674,S200000,02200,0100,Y 128674,S200000,02800,0100,N 128674,S200000,02900,0100,N 128674,S200000,03000,0100,N 128674,S200000,03100,0100,N 128674,S200000,03200,0100,N 128674,S200000,03300,0100,N 128674,S200000,03300,0200,N 128674,S200000,04100,0100,N 128674,S200000,04200,0100,N 128674,S200000,04300,0100,Y 128674,S200000,04600,0100,N 128674,S200000,04700,0100,N 128674,S200000,04900,0100,N 128677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128677,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128677,A000000,00300,0000,0300EMPLOYEE BENEFITS 128677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128677,A000000,00700,0000,0700HOUSEKEEPING 128677,A000000,00800,0000,0800DIETARY 128677,A000000,00900,0000,0900NURSING ADMINISTRATION 128677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128677,A000000,01100,0000,1100PHARMACY 128677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128677,A000000,01300,0000,1300SOCIAL SERVICE 128677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128677,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 128677,A000000,01600,0000,1600SKILLED NURSING FACILITY 128677,A000000,01810,0000,1810ICF/MR 128677,A000000,02200,0000,2200LABORATORY 128677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128677,A000000,02500,0000,2500PHYSICAL THERAPY 128677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128677,A000000,02700,0000,2700SPEECH PATHOLOGY 128677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128677,A000000,03550,0000,3550FQHC 128677,A000000,05000,0000,5000CORF 128677,A000000,05010,0000,5010CMHC 128677,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128677,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128677,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 128677,A81000A,00100,0100,Y 128677,A81000B,00100,0300,ADMINISTRATOR 128677,A81000C,00100,0100,A 128677,A81000C,00100,0200,BETSY REDMOND 128677,B100000,00000,0100,0100SQUARE FEET 128677,B100000,00000,0200,0200SQUARE FEET 128677,B100000,00000,0300,0300GROSS SALARIES 128677,B100000,00000,0400,0400ACCUM COST 128677,B100000,00000,0500,0500SQUARE FEET 128677,B100000,00000,0600,0600TIME SPENT 128677,B100000,00000,0700,0700HOURS OF SERVICE 128677,B100000,00000,0800,0800TIME SPENT 128677,B100000,00000,0900,0900DIRECT NRSG HRS 128677,B100000,00000,1000,1000COSTED REQUIS 128677,B100000,00000,1100,1100COSTED REQUIS 128677,B100000,00000,1200,1200TIME SPENT 128677,B100000,00000,1300,1300TIME SPENT 128677,B100000,00000,1400,1400ASSIGNED TIME 128677,B100000,00000,1500,1350TIME SPENT 128677,S000000,00100,0200,06/05/00 128677,S200000,00100,0100,7150 POPLAR 128677,S200000,00200,0100,COMMERCE CITY 128677,S200000,00200,0200,CO 128677,S200000,00200,0300,80022 128677,S200000,00300,0100,ADAMS 128677,S200000,00300,0200,2080 128677,S200000,00300,0300,U 128677,S200000,00400,0100,POPLAR GROVE CARE CENTER 128677,S200000,00400,0200,065318 128677,S200000,00400,0300,08/01/95 128677,S200000,00400,0500,P 128677,S200000,01500,0100,Y 128677,S200000,01600,0100,N 128677,S200000,01700,0100,N 128677,S200000,01800,0100,N 128677,S200000,02200,0100,N 128677,S200000,02800,0100,N 128677,S200000,02900,0100,N 128677,S200000,03000,0100,N 128677,S200000,03100,0100,N 128677,S200000,03200,0100,N 128677,S200000,03300,0100,N 128677,S200000,03300,0200,N 128677,S200000,04100,0100,N 128677,S200000,04200,0100,N 128677,S200000,04300,0100,N 128677,S200000,04600,0100,N 128677,S200000,04700,0100,N 128677,S200000,04900,0100,N 128682,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128682,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128682,A000000,00300,0000,0300EMPLOYEE BENEFITS 128682,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128682,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128682,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128682,A000000,00700,0000,0700HOUSEKEEPING 128682,A000000,00800,0000,0800DIETARY 128682,A000000,00900,0000,0900NURSING ADMINISTRATION 128682,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128682,A000000,01100,0000,1100PHARMACY 128682,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128682,A000000,01300,0000,1300SOCIAL SERVICE 128682,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128682,A000000,01500,0000,1350OTHER GENERAL SERVICES 128682,A000000,01600,0000,1600SKILLED NURSING FACILITY 128682,A000000,01810,0000,1810ICF/MR 128682,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128682,A000000,02500,0000,2500PHYSICAL THERAPY 128682,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128682,A000000,02700,0000,2700SPEECH PATHOLOGY 128682,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128682,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128682,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128682,A000000,03550,0000,3550FQHC 128682,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 128682,A000000,05000,0000,5000CORF 128682,A000000,05010,0000,5010CMHC 128682,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128682,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128682,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128682,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128682,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128682,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128682,A81000A,00100,0100,N 128682,B100000,00000,0100,0100SQUARE FEET 128682,B100000,00000,0200,0200SQUARE FEET 128682,B100000,00000,0300,0300GROSS SALARIES 128682,B100000,00000,0400,0400ACCUM. COST 128682,B100000,00000,0500,0500SQUARE FEET 128682,B100000,00000,0600,0600PATIENT DAYS 128682,B100000,00000,0700,0700PATIENT DAYS 128682,B100000,00000,0800,0800MEALS SERVED 128682,B100000,00000,0900,0900PATIENT DAYS 128682,B100000,00000,1000,1000COSTED REQUIS. 128682,B100000,00000,1100,1100PATIENT DAYS 128682,B100000,00000,1200,1200PATIENT DAYS 128682,B100000,00000,1300,1300PATIENT DAYS 128682,B100000,00000,1400,1400ASSIGNED TIME 128682,B100000,00000,1500,1350PATIENT DAYS 128682,S000000,00100,0200,06/02/00 128682,S200000,00100,0100,720 CLAY STREET 128682,S200000,00200,0100,WRAY 128682,S200000,00200,0200,CO 128682,S200000,00200,0300,80758 128682,S200000,00300,0100,YUMA 128682,S200000,00300,0200,9999 128682,S200000,00300,0300,R 128682,S200000,00400,0100,CEDARDALE HEALTH CARE CENTRE 128682,S200000,00400,0200,065336 128682,S200000,00400,0300,03/01/95 128682,S200000,00400,0500,P 128682,S200000,01500,0100,Y 128682,S200000,01600,0100,N 128682,S200000,01700,0100,N 128682,S200000,01800,0100,N 128682,S200000,02200,0100,N 128682,S200000,02800,0100,N 128682,S200000,02900,0100,N 128682,S200000,03000,0100,N 128682,S200000,03100,0100,N 128682,S200000,03200,0100,N 128682,S200000,03300,0100,N 128682,S200000,03300,0200,N 128682,S200000,04100,0100,N 128682,S200000,04200,0100,N 128682,S200000,04300,0100,N 128682,S200000,04600,0100,N 128682,S200000,04700,0100,N 128682,S200000,04700,0200,N 128682,S200000,04900,0100,N 128683,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128683,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128683,A000000,00300,0000,0300EMPLOYEE BENEFITS 128683,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128683,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128683,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128683,A000000,00700,0000,0700HOUSEKEEPING 128683,A000000,00800,0000,0800DIETARY 128683,A000000,00900,0000,0900NURSING ADMINISTRATION 128683,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128683,A000000,01100,0000,1100PHARMACY 128683,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128683,A000000,01300,0000,1300SOCIAL SERVICE 128683,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128683,A000000,01500,0000,1350ACTIVITIES 128683,A000000,01600,0000,1600SKILLED NURSING FACILITY 128683,A000000,01810,0000,1810ICF/MR 128683,A000000,02100,0000,2100RADIOLOGY 128683,A000000,02200,0000,2200LABORATORY 128683,A000000,02500,0000,2500PHYSICAL THERAPY 128683,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128683,A000000,02700,0000,2700SPEECH PATHOLOGY 128683,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128683,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128683,A000000,03550,0000,3550FQHC 128683,A000000,05000,0000,5000CORF 128683,A000000,05010,0000,5010CMHC 128683,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128683,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128683,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128683,A000000,05300,0000,5300INTEREST EXPENSE 128683,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128683,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 128683,A000000,06301,0000,6151ASSITED LIVING 128683,A000000,06302,0000,6152HOME HEALTH CARE 128683,A81000A,00100,0100,N 128683,B100000,00000,0100,0100SQUARE FEET 128683,B100000,00000,0200,0200DOLLAR VALUE 128683,B100000,00000,0300,0300GROSS SALARIES 128683,B100000,00000,0400,0400ACCUM. COST 128683,B100000,00000,0500,0500SQUARE FEET 128683,B100000,00000,0600,0600PATIENT DAYS 128683,B100000,00000,0700,0700SQUARE FEET 128683,B100000,00000,0800,0800MEALS SERVED 128683,B100000,00000,0900,0900PATIENT DAYS 128683,B100000,00000,1000,1000PATIENT DAYS 128683,B100000,00000,1100,1100PATIENT DAYS 128683,B100000,00000,1200,1200PATIENT DAYS 128683,B100000,00000,1300,1300PATIENT DAYS 128683,B100000,00000,1400,1400ASSIGNED TIME 128683,B100000,00000,1500,1350PATIENT DAYS 128683,S000000,00100,0200,06/02/00 128683,S200000,00100,0100,2480 SOUTH CLERMONT ST. 128683,S200000,00200,0100,DENVER 128683,S200000,00200,0200,CO 128683,S200000,00200,0300,80222 128683,S200000,00300,0100,DENVER 128683,S200000,00300,0200,2080 128683,S200000,00300,0300,U 128683,S200000,00400,0100,CHRISTIAN LIVING CAMPUS-UNIVERSITY 128683,S200000,00400,0200,065344 128683,S200000,00400,0300,03/01/96 128683,S200000,00400,0500,P 128683,S200000,01500,0100,Y 128683,S200000,01600,0100,N 128683,S200000,01700,0100,N 128683,S200000,01800,0100,N 128683,S200000,02200,0100,N 128683,S200000,02800,0100,N 128683,S200000,02900,0100,N 128683,S200000,03000,0100,N 128683,S200000,03100,0100,N 128683,S200000,03200,0100,N 128683,S200000,03300,0100,N 128683,S200000,03300,0200,N 128683,S200000,04100,0100,N 128683,S200000,04200,0100,N 128683,S200000,04300,0100,N 128683,S200000,04600,0100,N 128683,S200000,04700,0100,N 128683,S200000,04700,0200,N 128683,S200000,04900,0100,N 128684,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128684,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128684,A000000,00300,0000,0300EMPLOYEE BENEFITS 128684,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128684,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128684,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128684,A000000,00700,0000,0700HOUSEKEEPING 128684,A000000,00800,0000,0800DIETARY 128684,A000000,00900,0000,0900NURSING ADMINISTRATION 128684,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128684,A000000,01100,0000,1100PHARMACY 128684,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128684,A000000,01300,0000,1300SOCIAL SERVICE 128684,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128684,A000000,01500,0000,1350ACTIVITIES 128684,A000000,01600,0000,1600SKILLED NURSING FACILITY 128684,A000000,01810,0000,1810ICF/MR 128684,A000000,02100,0000,2100RADIOLOGY 128684,A000000,02200,0000,2200LABORATORY 128684,A000000,02300,0000,2300INTRAVENOUS THERAPY 128684,A000000,02500,0000,2500PHYSICAL THERAPY 128684,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128684,A000000,02700,0000,2700SPEECH PATHOLOGY 128684,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128684,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128684,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 128684,A000000,03550,0000,3550FQHC 128684,A000000,05000,0000,5000CORF 128684,A000000,05010,0000,5010CMHC 128684,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128684,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128684,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128684,A000000,05100,0000,4750OTHER REIMBURSABLE COST 128684,A000000,05300,0000,5300INTEREST EXPENSE 128684,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128684,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128684,A000000,06300,0000,6150ASSISTED LIVING 128684,A81000A,00100,0100,N 128684,B100000,00000,0100,0100SQUARE FEET 128684,B100000,00000,0200,0200DOLLAR VALUE 128684,B100000,00000,0300,0300GROSS SALARIES 128684,B100000,00000,0400,0400ACCUM. COST 128684,B100000,00000,0500,0500SQUARE FEET 128684,B100000,00000,0600,0600PATIENT DAYS 128684,B100000,00000,0700,0700SQUARE FEET 128684,B100000,00000,0800,0800MEALS SERVED 128684,B100000,00000,0900,0900PATIENT DAYS 128684,B100000,00000,1000,1000PATIENT DAYS 128684,B100000,00000,1100,1100PATIENT DAYS 128684,B100000,00000,1200,1200PATIENT DAYS 128684,B100000,00000,1300,1300PATIENT DAYS 128684,B100000,00000,1400,1400ASSIGNED TIME 128684,B100000,00000,1500,1350PATIENT DAYS 128684,S000000,00100,0200,06/02/00 128684,S200000,00100,0100,5000 E. ARAPAHOE 128684,S200000,00200,0100,LITTLETON 128684,S200000,00200,0200,CO 128684,S200000,00200,0300,80122 128684,S200000,00300,0100,ARAPAHOE 128684,S200000,00300,0200,2080 128684,S200000,00300,0300,U 128684,S200000,00400,0100,JOHNSON CENTER-CHRISTIAN LIVING 128684,S200000,00400,0200,065345 128684,S200000,00400,0300,03/01/96 128684,S200000,00400,0500,P 128684,S200000,01500,0100,Y 128684,S200000,01600,0100,N 128684,S200000,01700,0100,N 128684,S200000,01800,0100,N 128684,S200000,02200,0100,N 128684,S200000,02800,0100,Y 128684,S200000,02900,0100,N 128684,S200000,03000,0100,N 128684,S200000,03100,0100,N 128684,S200000,03200,0100,N 128684,S200000,03300,0100,N 128684,S200000,03300,0200,N 128684,S200000,04100,0100,N 128684,S200000,04200,0100,N 128684,S200000,04300,0100,N 128684,S200000,04600,0100,N 128684,S200000,04700,0100,N 128684,S200000,04700,0200,N 128684,S200000,04900,0100,N 128685,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128685,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128685,A000000,00300,0000,0300EMPLOYEE BENEFITS 128685,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128685,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128685,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128685,A000000,00700,0000,0700HOUSEKEEPING 128685,A000000,00800,0000,0800DIETARY 128685,A000000,00900,0000,0900NURSING ADMINISTRATION 128685,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128685,A000000,01100,0000,1100PHARMACY 128685,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128685,A000000,01300,0000,1300SOCIAL SERVICE 128685,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128685,A000000,01600,0000,1600SKILLED NURSING FACILITY 128685,A000000,01810,0000,1810ICF/MR 128685,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128685,A000000,02500,0000,2500PHYSICAL THERAPY 128685,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128685,A000000,02700,0000,2700SPEECH PATHOLOGY 128685,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128685,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128685,A000000,03550,0000,3550FQHC 128685,A000000,05000,0000,5000CORF 128685,A000000,05010,0000,5010CMHC 128685,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128685,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128685,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128685,A81000A,00100,0100,Y 128685,A81000B,00100,0300,MANAGEMENT FEE 128685,A81000C,00100,0100,A 128685,A81000C,00100,0200,DOUGLAS KELLER 128685,A81000C,00100,0400,SELF 128685,B100000,00000,0100,0100(SQUARE FEET) 128685,B100000,00000,0200,0200(SQUARE FEET) 128685,B100000,00000,0300,0300(GROSS SALARIES) 128685,B100000,00000,0400,0400(ACCUM COST) 128685,B100000,00000,0500,0500(SQUARE FEET) 128685,B100000,00000,0600,0600PATIENT DAYS 128685,B100000,00000,0700,0700PATINET DAYS 128685,B100000,00000,0800,0800(MEALS SERVED) 128685,B100000,00000,0900,0900DIRECT NRSG HRS 128685,B100000,00000,1000,1000COSTED REQUIS 128685,B100000,00000,1100,1100COSTED REQUIS 128685,B100000,00000,1200,1200PATIENT DAYS 128685,B100000,00000,1300,1300PATIENT DAYS 128685,B100000,00000,1400,1400ASSIGNED TIME 128685,S000000,00100,0200,03/14/00 128685,S200000,00100,0100,1102 GRAND AVENUE 128685,S200000,00200,0100,DELTA 128685,S200000,00200,0200,CO 128685,S200000,00200,0300,81410 128685,S200000,00300,0100,DELTA 128685,S200000,00300,0200,9999 128685,S200000,00300,0300,R 128685,S200000,00400,0100,DELTA CARE CENTER 128685,S200000,00400,0200,065346 128685,S200000,00400,0300,03/01/96 128685,S200000,00400,0500,P 128685,S200000,01500,0100,Y 128685,S200000,01600,0100,N 128685,S200000,01700,0100,N 128685,S200000,01800,0100,N 128685,S200000,01900,0100,LIMITED LIABILITY COMPANY 128685,S200000,02200,0100,N 128685,S200000,02800,0100,N 128685,S200000,02900,0100,N 128685,S200000,03000,0100,N 128685,S200000,03100,0100,N 128685,S200000,03200,0100,N 128685,S200000,03300,0100,N 128685,S200000,03300,0200,N 128685,S200000,04100,0100,N 128685,S200000,04200,0100,N 128685,S200000,04300,0100,N 128685,S200000,04600,0100,N 128685,S200000,04700,0100,N 128810,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 128810,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 128810,A000000,00300,0000,0300EMPLOYEE BENEFITS 128810,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128810,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 128810,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128810,A000000,00700,0000,0700HOUSEKEEPING 128810,A000000,00800,0000,0800DIETARY 128810,A000000,00900,0000,0900NURSING ADMINISTRATION 128810,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128810,A000000,01100,0000,1100PHARMACY 128810,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128810,A000000,01300,0000,1300SOCIAL SERVICE 128810,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 128810,A000000,01500,0000,1350ACTIVITIES 128810,A000000,01600,0000,1600SKILLED NURSING FACILITY 128810,A000000,01800,0000,1800NURSING FACILITY 128810,A000000,01900,0000,1900OTHER LONG TERM CARE 128810,A000000,02100,0000,2100RADIOLOGY 128810,A000000,02200,0000,2200LABORATORY 128810,A000000,02300,0000,2300INTRAVENOUS THERAPY 128810,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128810,A000000,02500,0000,2500PHYSICAL THERAPY 128810,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128810,A000000,02700,0000,2700SPEECH PATHOLOGY 128810,A000000,02800,0000,2800ELECTROCARDIOLOGY 128810,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 128810,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128810,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 128810,A000000,03200,0000,3200SUPPORT SURFACES 128810,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 128810,A000000,03400,0000,3400CLINIC 128810,A000000,03500,0000,3500RURAL HEALTH CLINIC 128810,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 128810,A000000,04800,0000,4800AMBULANCE 128810,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 128810,A000000,05000,0000,5000CORF 128810,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 128810,A000000,05300,0000,5300INTEREST EXPENSE 128810,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 128810,A000000,05500,0000,5500HOSPICE 128810,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128810,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 128810,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 128810,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 128810,A000000,06100,0000,6100NONPAID WORKERS 128810,A000000,06200,0000,6200PATIENTS LAUNDRY 128810,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 128810,A81000A,00100,0100,Y 128810,A81000B,00100,0300,BUILDING COST 128810,A81000B,00200,0300,EQUIPMENT COST 128810,A81000B,00300,0300,A & G 128810,A81000C,00100,0100,B 128810,A81000C,00100,0400,BAPTIST HEALTH 128810,A81000C,00100,0600,MGT 128810,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 128810,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 128810,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 128810,B100000,00000,0400,0400ACCUM COST ADMINISTRATIVE & 128810,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 128810,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 128810,B100000,00000,0700,0700PATIENT DAYS HOUSEKEEPING 128810,B100000,00000,0800,0800PATIENT DAYS DIETARY 128810,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 128810,B100000,00000,1000,1000COSTED REQUISITIO CENTRAL SER 128810,B100000,00000,1100,1100COSTED REQUISITIO PHARMACY 128810,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 128810,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 128810,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 128810,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 128810,S000000,00100,0200,11/22/00 128810,S200000,00100,0100,100 PERRY HILL ROAD 128810,S200000,00200,0100,MONTGOMERY 128810,S200000,00200,0200,MA 128810,S200000,00200,0300,36109 128810,S200000,00300,0100,MONTGOMERY 128810,S200000,00400,0100,HILLVIEW TERRACE 128810,S200000,00400,0200,015436 128810,S200000,00400,0300,03/21/98 128810,S200000,00400,0500,P 128810,S200000,00400,0600,N 128810,S200000,01500,0100,N 128810,S200000,01600,0100,Y 128810,S200000,01700,0100,N 128810,S200000,01800,0100,N 128810,S200000,02200,0100,N 128810,S200000,02800,0100,N 128810,S200000,02900,0100,N 128810,S200000,03000,0100,N 128810,S200000,03100,0100,N 128810,S200000,03200,0100,N 128810,S200000,03300,0100,N 128810,S200000,03300,0200,N 128810,S200000,04100,0100,N 128810,S200000,04200,0100,N 128810,S200000,04300,0100,N 128810,S200000,04600,0100,N 128810,S200000,04700,0100,N 128810,S200000,04900,0100,N 128810,S700003,00000,0400,X 128849,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128849,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128849,A000000,00300,0000,0300EMPLOYEE BENEFITS 128849,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128849,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128849,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128849,A000000,00700,0000,0700HOUSEKEEPING 128849,A000000,00800,0000,0800DIETARY 128849,A000000,00900,0000,0900NURSING ADMINISTRATION 128849,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128849,A000000,01100,0000,1100PHARMACY 128849,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128849,A000000,01300,0000,1300SOCIAL SERVICE 128849,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128849,A000000,01600,0000,1600SKILLED NURSING FACILITY 128849,A000000,01800,0000,1800NURSING FACILITY 128849,A000000,01810,0000,1810ICF/MR 128849,A000000,01900,0000,1900OTHER LONG TERM CARE 128849,A000000,02500,0000,2500PHYSICAL THERAPY 128849,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128849,A000000,02700,0000,2700SPEECH PATHOLOGY 128849,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128849,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128849,A000000,03200,0000,3200SUPPORT SURFACES 128849,A000000,03550,0000,3550FQHC 128849,A000000,05000,0000,5000CORF 128849,A000000,05010,0000,5010CMHC 128849,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128849,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128849,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128849,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128849,A81000A,00100,0100,Y 128849,A81000B,00100,0300,HOME OFFICE COST 128849,A81000B,00200,0300,HOME OFFICE COST 128849,A81000C,00100,0100,B 128849,A81000C,00100,0200,EVAN HOMES OF M 128849,B100000,00000,0100,0100SQUARE FEET 128849,B100000,00000,0200,0200SQUARE FEET 128849,B100000,00000,0300,0300GROSS SALARIES 128849,B100000,00000,0400,0400ACCUM COST 128849,B100000,00000,0500,0500SQUARE FEET 128849,B100000,00000,0600,0600POUNDS OF LAUNDRY 128849,B100000,00000,0700,0700HOURS OF SERVICE 128849,B100000,00000,0800,0800MEALS SERVED 128849,B100000,00000,0900,0900DIRECT NRSG HRS 128849,B100000,00000,1000,1000COSTED REQUIS 128849,B100000,00000,1100,1100COSTED REQUIS 128849,B100000,00000,1200,1200TIME SPENT 128849,B100000,00000,1300,1300TIME SPENT 128849,B100000,00000,1400,1400ASSIGNED TIME 128849,S000000,00100,0200,10/05/00 128849,S200000,00100,0100,440 W. RUSSELL STREET 128849,S200000,00200,0100,SALINE 128849,S200000,00200,0200,MI 128849,S200000,00200,0300,48176 128849,S200000,00300,0100,WASHTENAW 128849,S200000,00300,0200,0440 128849,S200000,00300,0300,U 128849,S200000,00400,0100,EVANGELICAL HOME - SALINE 128849,S200000,00400,0200,235238 128849,S200000,00400,0300,01/01/99 128849,S200000,00400,0500,P 128849,S200000,01500,0100,N 128849,S200000,01600,0100,Y 128849,S200000,01700,0100,N 128849,S200000,01800,0100,N 128849,S200000,02200,0100,Y 128849,S200000,02800,0100,N 128849,S200000,02900,0100,N 128849,S200000,03000,0100,N 128849,S200000,03100,0100,N 128849,S200000,03200,0100,N 128849,S200000,03300,0100,N 128849,S200000,03300,0200,N 128849,S200000,04100,0100,N 128849,S200000,04200,0100,N 128849,S200000,04300,0100,N 128849,S200000,04600,0100,N 128849,S200000,04700,0100,N 128849,S200000,04900,0100,N 128849,S200000,05200,0100,N 128853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128853,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128853,A000000,00300,0000,0300EMPLOYEE BENEFITS 128853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128853,A000000,00700,0000,0700HOUSEKEEPING 128853,A000000,00800,0000,0800DIETARY 128853,A000000,00900,0000,0900NURSING ADMINISTRATION 128853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128853,A000000,01100,0000,1100PHARMACY 128853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128853,A000000,01300,0000,1300SOCIAL SERVICE 128853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128853,A000000,01500,0000,1350OTHER GENERAL SERVICES 128853,A000000,01600,0000,1600SKILLED NURSING FACILITY 128853,A000000,01800,0000,1800NURSING FACILITY 128853,A000000,01810,0000,1810ICF/MR 128853,A000000,02100,0000,2100RADIOLOGY 128853,A000000,02200,0000,2200LABORATORY 128853,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128853,A000000,02500,0000,2500PHYSICAL THERAPY 128853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128853,A000000,02700,0000,2700SPEECH PATHOLOGY 128853,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128853,A000000,03550,0000,3550FQHC 128853,A000000,05000,0000,5000CORF 128853,A000000,05010,0000,5010CMHC 128853,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128853,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128853,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128853,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128853,A000000,06300,0000,6150MEDICAL CENTER 128853,A000000,06301,0000,6151CBRF 128853,A81000A,00100,0100,N 128853,B100000,00000,0100,0100SQUARE FEET 128853,B100000,00000,0200,0200SQUARE FEET 128853,B100000,00000,0300,0300GROSS SALARIES 128853,B100000,00000,0400,0400ACCUM. COST 128853,B100000,00000,0500,0500SQUARE FEET 128853,B100000,00000,0600,0600POUNDS OF LAUNDRY 128853,B100000,00000,0700,0700DOLLARS OF SER 128853,B100000,00000,0800,0800MEALS SERVED 128853,B100000,00000,0900,0900PATIENT DAYS 128853,B100000,00000,1000,1000PATIENT DAYS 128853,B100000,00000,1100,1100PATIENT DAYS 128853,B100000,00000,1200,1200PATIENT DAYS 128853,B100000,00000,1300,1300TIME SPENT 128853,B100000,00000,1400,1400ASSIGNED TIME 128853,B100000,00000,1500,1350PATIENT DAYS 128853,E10A180,00550,0300,11/01/00 128853,S000000,00100,0200,10/31/00 128853,S200000,00100,0100,1510 FREMONT STREET 128853,S200000,00200,0100,ALGOMA 128853,S200000,00200,0200,WI 128853,S200000,00200,0300,54201 128853,S200000,00300,0100,KEWAUNEE 128853,S200000,00300,0200,9952 128853,S200000,00300,0300,R 128853,S200000,00400,0100,ALGOMA LTCU 128853,S200000,00400,0200,525533 128853,S200000,00400,0300,06/01/94 128853,S200000,00400,0500,P 128853,S200000,01500,0100,N 128853,S200000,01600,0100,Y 128853,S200000,01700,0100,N 128853,S200000,01800,0100,N 128853,S200000,02200,0100,N 128853,S200000,02800,0100,N 128853,S200000,02900,0100,N 128853,S200000,03000,0100,N 128853,S200000,03100,0100,N 128853,S200000,03200,0100,N 128853,S200000,03300,0100,N 128853,S200000,03300,0200,N 128853,S200000,04100,0100,N 128853,S200000,04200,0100,N 128853,S200000,04300,0100,N 128853,S200000,04600,0100,N 128853,S200000,04700,0100,N 128853,S200000,04700,0200,N 128853,S200000,04900,0100,N 128853,S200000,05200,0100,N 128871,S000000,00100,0200,07/11/02 128874,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 128874,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 128874,A000000,00300,0000,0300EMPLOYEE BENEFITS 128874,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 128874,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 128874,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 128874,A000000,00700,0000,0700HOUSEKEEPING 128874,A000000,00800,0000,0800DIETARY 128874,A000000,00900,0000,0900NURSING ADMINISTRATION 128874,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 128874,A000000,01100,0000,1100PHARMACY 128874,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 128874,A000000,01300,0000,1300SOCIAL SERVICE 128874,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 128874,A000000,01500,0000,1350ACTIVITIES 128874,A000000,01600,0000,1600SKILLED NURSING FACILITY 128874,A000000,01800,0000,1800NURSING FACILITY 128874,A000000,01810,0000,1810ICF/MR 128874,A000000,02100,0000,2100RADIOLOGY 128874,A000000,02200,0000,2200LABORATORY 128874,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 128874,A000000,02500,0000,2500PHYSICAL THERAPY 128874,A000000,02600,0000,2600OCCUPATIONAL THERAPY 128874,A000000,02700,0000,2700SPEECH PATHOLOGY 128874,A000000,02800,0000,2800ELECTROCARDIOLOGY 128874,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 128874,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 128874,A000000,03200,0000,3200SUPPORT SURFACES 128874,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 128874,A000000,03550,0000,3550FQHC 128874,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 128874,A000000,04800,0000,4800AMBULANCE 128874,A000000,05000,0000,5000CORF 128874,A000000,05010,0000,5010CMHC 128874,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 128874,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 128874,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 128874,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 128874,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 128874,A000000,05900,0000,5900BARBER & BEAUTY SHOP 128874,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 128874,A81000A,00100,0100,Y 128874,A81000B,00100,0300,HOME OFFICE EXPENSE 128874,A81000B,00200,0300,CAPITAL 128874,A81000B,00300,0300,RENT 128874,A81000B,00400,0300,DEPRECIATION-RIDGEMONT 128874,A81000B,00500,0300,INTEREST-RIDGEMONT 128874,A81000B,00600,0300,A&G-RIDGEMONT 128874,A81000C,00100,0100,A 128874,A81000C,00100,0200,FRANK WRONSKI 128874,A81000C,00100,0400,THE MEDILODGE G 128874,A81000C,00100,0600,HOME OFFICE 128874,A81000C,00200,0100,A 128874,A81000C,00200,0200,FRANK WRONSKI 128874,A81000C,00200,0400,RIDGEMONT ASSOC 128874,A81000C,00200,0600,RENTAL 128874,A81000C,00300,0100,A 128874,A81000C,00300,0200,FRANK WRONSKI 128874,A81000C,00300,0400,ALL MED MEDICAL 128874,A81000C,00300,0600,MED NRS SUPPLY 128874,B100000,00000,0100,0100SQUARE FEET 128874,B100000,00000,0200,0200SQUARE FEET 128874,B100000,00000,0300,0300GROSS SALARIES 128874,B100000,00000,0400,0400ACCUM COST 128874,B100000,00000,0500,0500SQUARE FEET 128874,B100000,00000,0600,0600PATIENT DAYS 128874,B100000,00000,0700,0700SQUARE FEET 128874,B100000,00000,0800,0800MEALS SERVED 128874,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 128874,B100000,00000,1000,1000PATIENT DAYS 128874,B100000,00000,1100,1100COSTED REQUIS 128874,B100000,00000,1200,1200TIME SPENT 128874,B100000,00000,1300,1300PATIENT DAYS 128874,B100000,00000,1400,1400ASSIGNED TIME 128874,B100000,00000,1500,1350PATIENT DAYS 128874,E10A180,00550,0300,09/11/00 128874,E10A180,00551,0300,09/07/01 128874,S000000,00100,0200,09/20/00 128874,S200000,00100,0100,26715 GREENFIELD RD. 128874,S200000,00200,0100,SOUTHFIELD 128874,S200000,00200,0200,MI 128874,S200000,00200,0300,48076 128874,S200000,00300,0100,OAKLAND 128874,S200000,00300,0200,2160 128874,S200000,00300,0300,U 128874,S200000,00400,0100,MENORAH HOUSE 128874,S200000,00400,0200,235296 128874,S200000,00400,0300,03/06/90 128874,S200000,00400,0500,P 128874,S200000,01500,0100,N 128874,S200000,01600,0100,Y 128874,S200000,01700,0100,N 128874,S200000,01800,0100,N 128874,S200000,01900,0100,501 (C) (3) 128874,S200000,02200,0100,N 128874,S200000,02800,0100,N 128874,S200000,02900,0100,N 128874,S200000,03000,0100,N 128874,S200000,03100,0100,N 128874,S200000,03200,0100,N 128874,S200000,03300,0100,N 128874,S200000,03300,0200,N 128874,S200000,04100,0100,N 128874,S200000,04200,0100,N 128874,S200000,04300,0100,N 128874,S200000,04600,0100,N 128874,S200000,04700,0100,Y 128874,S200000,04700,0200,Y 128874,S200000,04900,0100,N 128874,S200000,05200,0100,N 129024,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129024,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129024,A000000,00300,0000,0300EMPLOYEE BENEFITS 129024,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129024,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129024,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129024,A000000,00700,0000,0700HOUSEKEEPING 129024,A000000,00800,0000,0800DIETARY 129024,A000000,00900,0000,0900NURSING ADMINISTRATION 129024,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129024,A000000,01100,0000,1100PHARMACY 129024,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129024,A000000,01300,0000,1300SOCIAL SERVICE 129024,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129024,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 129024,A000000,01600,0000,1600SKILLED NURSING FACILITY 129024,A000000,01810,0000,1810ICF/MR 129024,A000000,02100,0000,2100RADIOLOGY 129024,A000000,02200,0000,2200LABORATORY 129024,A000000,02500,0000,2500PHYSICAL THERAPY 129024,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129024,A000000,02700,0000,2700SPEECH PATHOLOGY 129024,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129024,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129024,A000000,03550,0000,3550FQHC 129024,A000000,05000,0000,5000CORF 129024,A000000,05010,0000,5010CMHC 129024,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129024,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129024,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129024,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 129024,A81000A,00100,0100,Y 129024,A81000B,00100,0300,HOME OFFICE 129024,A81000B,00200,0300,MEDICAL SUPPLIES 129024,A81000B,00300,0300,MEDICAL SUPPLIES 129024,A81000B,00400,0300,PHYSICAL THERAPY 129024,A81000B,00500,0300,OCCUPATIONAL THERAPY 129024,A81000B,00600,0300,SPEECH THERAPY 129024,A81000C,00100,0100,B 129024,A81000C,00100,0200,FOUNTAIN VIEW INC. 129024,A81000C,00100,0400,LIVE OAK NURSING 129024,A81000C,00100,0600,MANAGEMENT 129024,A81000C,00200,0100,B 129024,A81000C,00200,0200,FOUNTAIN VIEW INC. 129024,A81000C,00200,0400,SKILLED CARE PHARMACY 129024,A81000C,00200,0600,INSTITUTIONAL PHARMACY 129024,A81000C,00300,0100,B 129024,A81000C,00300,0200,FOUNTAIN VIEW INC. 129024,A81000C,00300,0400,LOCOMOTION 129024,A81000C,00300,0600,THERAPY COMPANY 129024,A81000C,00400,0100,B 129024,A81000C,00400,0200,FOUNTAIN VIEW INC. 129024,A81000C,00400,0400,I N O 129024,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 129024,B100000,00000,0100,0100SQUARE FEET 129024,B100000,00000,0200,0200SQUARE FEET 129024,B100000,00000,0300,0300GROSS SALARY 129024,B100000,00000,0400,0400ACCUM. COST 129024,B100000,00000,0500,0500SQUARE FEET 129024,B100000,00000,0600,0600PATIENT DAYS 129024,B100000,00000,0700,0700SQUARE FEET 129024,B100000,00000,0800,0800MEALS SERVED 129024,B100000,00000,0900,0900NURSING HOURS 129024,B100000,00000,1000,1000COSTED REQUIS 129024,B100000,00000,1100,1100COSTED REQUIS 129024,B100000,00000,1200,1200GROSS REVENUE 129024,B100000,00000,1300,1300PATIENT DAYS 129024,B100000,00000,1400,1400ASSIGNED TIME 129024,B100000,00000,1500,1350 129024,E10A180,00350,0300,02/18/00 129024,E10A180,00501,0100,02/12/01 129024,E10A180,00501,0300,02/12/01 129024,S000000,00100,0200,01/22/01 129024,S200000,00100,0100,HIGHWAY 281 NORTH 129024,S200000,00200,0100,GEORGE WEST 129024,S200000,00200,0200,TX 129024,S200000,00200,0300,48022 129024,S200000,00300,0100,L 129024,S200000,00300,0200,45 129024,S200000,00300,0300,R 129024,S200000,00400,0100,LIVE OAK NURSING CENTER 129024,S200000,00400,0200,675104 129024,S200000,00400,0300,01/21/93 129024,S200000,00400,0500,P 129024,S200000,01500,0100,N 129024,S200000,01600,0100,Y 129024,S200000,01700,0100,N 129024,S200000,01800,0100,N 129024,S200000,02200,0100,N 129024,S200000,02800,0100,N 129024,S200000,02900,0100,N 129024,S200000,03000,0100,N 129024,S200000,03100,0100,N 129024,S200000,03200,0100,N 129024,S200000,03300,0100,N 129024,S200000,03300,0200,N 129024,S200000,04100,0100,N 129024,S200000,04200,0100,N 129024,S200000,04300,0100,N 129024,S200000,04600,0100,N 129024,S200000,04700,0100,N 129024,S200000,04900,0100,N 129024,S200000,05200,0100,N 129025,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129025,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129025,A000000,00300,0000,0300EMPLOYEE BENEFITS 129025,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129025,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129025,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129025,A000000,00700,0000,0700HOUSEKEEPING 129025,A000000,00800,0000,0800DIETARY 129025,A000000,00900,0000,0900NURSING ADMINISTRATION 129025,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129025,A000000,01100,0000,1100PHARMACY 129025,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129025,A000000,01300,0000,1300SOCIAL SERVICE 129025,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129025,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 129025,A000000,01600,0000,1600SKILLED NURSING FACILITY 129025,A000000,01810,0000,1810ICF/MR 129025,A000000,02100,0000,2100RADIOLOGY 129025,A000000,02200,0000,2200LABORATORY 129025,A000000,02500,0000,2500PHYSICAL THERAPY 129025,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129025,A000000,02700,0000,2700SPEECH PATHOLOGY 129025,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129025,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129025,A000000,03200,0000,3200SUPPORT SURFACES 129025,A000000,03550,0000,3550FQHC 129025,A000000,04800,0000,4800AMBULANCE 129025,A000000,05000,0000,5000CORF 129025,A000000,05010,0000,5010CMHC 129025,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129025,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129025,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129025,A81000A,00100,0100,Y 129025,A81000B,00100,0300,MGT FEE/HOME OFFICE 129025,A81000B,00200,0300,MEDICAL SUPPLIES 129025,A81000B,00300,0300,MEDICAL SUPPLIES 129025,A81000B,00400,0300,PHYSICAL THERAPY 129025,A81000B,00500,0300,OCCUPATIONAL THERAPY 129025,A81000B,00600,0300,SPEECH THERAPY 129025,A81000C,00100,0100,B 129025,A81000C,00100,0200,FOUNTAIN VIEW INC. 129025,A81000C,00100,0400,WESTSIDE CAMPUS OF CARE 129025,A81000C,00100,0600,SNF 129025,A81000C,00200,0100,B 129025,A81000C,00200,0200,FOUNTAIN VIEW INC. 129025,A81000C,00200,0400,SKILLED CARE PHARMACY 129025,A81000C,00200,0600,INSTITUTIONAL PHARMACY 129025,A81000C,00300,0100,B 129025,A81000C,00300,0200,FOUNTAIN VIEW INC. 129025,A81000C,00300,0400,LOCOMOTION 129025,A81000C,00300,0600,THERAPY COMPANY 129025,A81000C,00400,0100,B 129025,A81000C,00400,0200,FOUNATIN VIEW INC 129025,A81000C,00400,0400,I N O 129025,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 129025,B100000,00000,0100,0100SQUARE FEET 129025,B100000,00000,0200,0200SQUARE FEET 129025,B100000,00000,0300,0300GROSS SALARY 129025,B100000,00000,0400,0400ACCUM. COST 129025,B100000,00000,0500,0500SQUARE FEET 129025,B100000,00000,0600,0600PATIENT DAYS 129025,B100000,00000,0700,0700SQUARE FEET 129025,B100000,00000,0800,0800MEALS SERVED 129025,B100000,00000,0900,0900NURSING HOURS 129025,B100000,00000,1000,1000COSTED REQUIS 129025,B100000,00000,1100,1100COSTED REQUIS 129025,B100000,00000,1200,1200GROSS REVENUE 129025,B100000,00000,1300,1300PATIENT DAYS 129025,B100000,00000,1400,1400ASSIGNED TIME 129025,B100000,00000,1500,1350 129025,E10A180,00350,0300,02/22/00 129025,E10A180,00550,0300,01/19/01 129025,S000000,00100,0200,01/22/01 129025,S200000,00100,0100,1950 LAS VEGAS TRAIL SOUTH 129025,S200000,00200,0100,WHITE SETTLEMENT 129025,S200000,00200,0200,TX 129025,S200000,00200,0300,76108 129025,S200000,00300,0100,T 129025,S200000,00300,0200,2800 129025,S200000,00300,0300,U 129025,S200000,00400,0100,WESTSIDE CARE CENTER 129025,S200000,00400,0200,455592 129025,S200000,00400,0300,01/15/86 129025,S200000,00400,0500,P 129025,S200000,01500,0100,N 129025,S200000,01600,0100,Y 129025,S200000,01700,0100,N 129025,S200000,01800,0100,N 129025,S200000,02200,0100,N 129025,S200000,02800,0100,N 129025,S200000,02900,0100,N 129025,S200000,03000,0100,N 129025,S200000,03100,0100,N 129025,S200000,03200,0100,N 129025,S200000,03300,0100,N 129025,S200000,03300,0200,N 129025,S200000,04100,0100,N 129025,S200000,04200,0100,N 129025,S200000,04300,0100,N 129025,S200000,04600,0100,N 129025,S200000,04700,0100,N 129025,S200000,04900,0100,N 129025,S200000,05200,0100,N 129208,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129208,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129208,A000000,00300,0000,0300EMPLOYEE BENEFITS 129208,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129208,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129208,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129208,A000000,00700,0000,0700HOUSEKEEPING 129208,A000000,00800,0000,0800DIETARY 129208,A000000,00900,0000,0900NURSING ADMINISTRATION 129208,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129208,A000000,01100,0000,1100PHARMACY 129208,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129208,A000000,01300,0000,1300SOCIAL SERVICE 129208,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129208,A000000,01500,0000,1350ACTIVIES 129208,A000000,01600,0000,1600SKILLED NURSING FACILITY 129208,A000000,01810,0000,1810ICF/MR 129208,A000000,02100,0000,2100RADIOLOGY 129208,A000000,02200,0000,2200LABORATORY 129208,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129208,A000000,02500,0000,2500PHYSICAL THERAPY 129208,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129208,A000000,02700,0000,2700SPEECH PATHOLOGY 129208,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129208,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129208,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129208,A000000,03550,0000,3550FQHC 129208,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129208,A000000,05000,0000,5000CORF 129208,A000000,05010,0000,5010CMHC 129208,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129208,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129208,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129208,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129208,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 129208,A000000,05300,0000,5300INTEREST EXPENSE 129208,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129208,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129208,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129208,A000000,06301,0000,6151DENTAL 129208,A000000,06302,0000,6152PERSONNEL OFFICE 129208,A81000A,00100,0100,N 129208,B100000,00000,0100,0100SQUARE FEET 129208,B100000,00000,0200,0200SQUARE FEET 129208,B100000,00000,0300,0300GROSS SALARIES 129208,B100000,00000,0400,0400ACCUM. COST 129208,B100000,00000,0500,0500SQUARE FEET 129208,B100000,00000,0600,0600POUNDS OF LAUNDRY 129208,B100000,00000,0700,0700HOURS OF SERVICE 129208,B100000,00000,0800,0800MEALS SERVED 129208,B100000,00000,0900,0900DIRECT NRSING HRS 129208,B100000,00000,1000,1000COSTED REQUIS. 129208,B100000,00000,1100,1100COSTED REQUIS. 129208,B100000,00000,1200,1200TIME SPENT 129208,B100000,00000,1300,1300TIME SPENT 129208,B100000,00000,1400,1400ASSIGNED TIME 129208,B100000,00000,1500,1350# ACTIVIES 129208,E10A180,00301,0100,05/10/00 129208,E10A180,00501,0100,06/07/00 129208,E10A180,00501,0300,08/31/01 129208,E10A180,00550,0100,08/31/01 129208,E10A180,00550,0300,06/07/00 129208,S000000,00100,0200,05/30/00 129208,S200000,00100,0100,159-163 FRONT STREET 129208,S200000,00100,0300,765 129208,S200000,00200,0100,BINGHAMTON 129208,S200000,00200,0200,NY 129208,S200000,00300,0100,BROOME 129208,S200000,00300,0200,0960 129208,S200000,00300,0300,U 129208,S200000,00400,0100,RIVER MEDE HEALTH CARE 129208,S200000,00400,0200,335228 129208,S200000,00400,0300,07/05/67 129208,S200000,00400,0500,P 129208,S200000,01500,0100,Y 129208,S200000,01600,0100,N 129208,S200000,01700,0100,N 129208,S200000,01800,0100,N 129208,S200000,02200,0100,Y 129208,S200000,02800,0100,Y 129208,S200000,02900,0100,N 129208,S200000,03000,0100,N 129208,S200000,03100,0100,N 129208,S200000,03200,0100,N 129208,S200000,03300,0100,N 129208,S200000,03300,0200,N 129208,S200000,04100,0100,N 129208,S200000,04200,0100,N 129208,S200000,04300,0100,N 129208,S200000,04600,0100,N 129208,S200000,04700,0100,N 129208,S200000,04900,0100,N 129208,S200000,05200,0100,N 129223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129223,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129223,A000000,00300,0000,0300EMPLOYEE BENEFITS 129223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129223,A000000,00700,0000,0700HOUSEKEEPING 129223,A000000,00800,0000,0800DIETARY 129223,A000000,00900,0000,0900NURSING ADMINISTRATION 129223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129223,A000000,01100,0000,1100PHARMACY 129223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129223,A000000,01300,0000,1300SOCIAL SERVICE 129223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129223,A000000,01500,0000,1350RESIDENT ACTIVITIES 129223,A000000,01600,0000,1600SKILLED NURSING FACILITY 129223,A000000,01800,0000,1800NURSING FACILITY 129223,A000000,01810,0000,1810ICF/MR 129223,A000000,02100,0000,2100RADIOLOGY 129223,A000000,02200,0000,2200LABORATORY 129223,A000000,02300,0000,2300INTRAVENOUS THERAPY 129223,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129223,A000000,02500,0000,2500PHYSICAL THERAPY 129223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129223,A000000,02700,0000,2700SPEECH PATHOLOGY 129223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129223,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129223,A000000,03550,0000,3550FQHC 129223,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129223,A000000,05000,0000,5000CORF 129223,A000000,05010,0000,5010CMHC 129223,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129223,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129223,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129223,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129223,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129223,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129223,A81000A,00100,0100,Y 129223,A81000B,00100,0300,HOME OFFICE INTEREST EXP 129223,A81000B,00200,0300,INT EXP HCFP 129223,A81000C,00100,0100,B 129223,A81000C,00100,0200,SENIOR LIVING PROPERTIES 129223,A81000C,00100,0400,SENIOR LIVING PROPERTIES 129223,A81000C,00100,0600,HOME OFFICE 129223,B100000,00000,0100,0100SQUARE FEET 129223,B100000,00000,0200,0200NO STATISTICS 129223,B100000,00000,0300,0300GROSS SALARIES 129223,B100000,00000,0400,0400ACCUM. COST 129223,B100000,00000,0500,0500SQUARE FEET 129223,B100000,00000,0600,0600PATIENT DAYS 129223,B100000,00000,0700,0700SQ FEET EXCL D 129223,B100000,00000,0800,0800PATIENT DAYS 129223,B100000,00000,0900,0900PATIENT DAYS 129223,B100000,00000,1000,1000PATIENT DAYS 129223,B100000,00000,1100,1100PATIENT DAYS 129223,B100000,00000,1200,1200PATIENT DAYS 129223,B100000,00000,1300,1300PATIENT DAYS 129223,B100000,00000,1400,1400NO STATISTICS 129223,B100000,00000,1500,1350PATIENT DAYS 129223,E10A180,00301,0100,10/27/99 129223,E10A180,00302,0100,11/29/99 129223,E10A180,00350,0300,12/31/99 129223,S000000,00100,0200,06/01/00 129223,S200000,00100,0100,418 S. MEMORIAL PARK DRIVE 129223,S200000,00200,0100,NEWMAN 129223,S200000,00200,0200,IL 129223,S200000,00200,0300,61942 129223,S200000,00300,0100,DOUGLAS 129223,S200000,00300,0300,R 129223,S200000,00400,0100,BOXWOOD HEALTH CARE CENTER 129223,S200000,00400,0200,145631 129223,S200000,00400,0300,03/13/89 129223,S200000,00400,0500,P 129223,S200000,01500,0100,N 129223,S200000,01600,0100,Y 129223,S200000,01700,0100,N 129223,S200000,01800,0100,N 129223,S200000,02200,0100,N 129223,S200000,02800,0100,N 129223,S200000,02900,0100,N 129223,S200000,03000,0100,N 129223,S200000,03100,0100,N 129223,S200000,03200,0100,N 129223,S200000,03300,0100,N 129223,S200000,03300,0200,N 129223,S200000,04100,0100,N 129223,S200000,04200,0100,N 129223,S200000,04300,0100,N 129223,S200000,04600,0100,N 129223,S200000,04700,0100,N 129223,S200000,04700,0200,N 129223,S200000,04900,0100,N 129235,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 129235,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 129235,A000000,00300,0000,0300EMPLOYEE BENEFITS 129235,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129235,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 129235,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129235,A000000,00700,0000,0700HOUSEKEEPING 129235,A000000,00800,0000,0800DIETARY 129235,A000000,00900,0000,0900NURSING ADMINISTRATION 129235,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129235,A000000,01100,0000,1100PHARMACY 129235,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129235,A000000,01300,0000,1300SOCIAL SERVICE 129235,A000000,01600,0000,1600SKILLED NURSING FACILITY 129235,A000000,01800,0000,1800NURSING FACILITY 129235,A000000,02100,0000,2100RADIOLOGY 129235,A000000,02200,0000,2200LABORATORY 129235,A000000,02300,0000,2300INTRAVENOUS THERAPY 129235,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129235,A000000,02500,0000,2500PHYSICAL THERAPY 129235,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129235,A000000,02700,0000,2700SPEECH PATHOLOGY 129235,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 129235,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129235,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129235,A81000A,00100,0100,Y 129235,A81000B,00100,0300,MANAGEMENT FEES 129235,A81000B,00200,0300,NURSING SUPPLIES 129235,A81000B,00300,0300,MEDICAL SUPPLIES 129235,A81000B,00400,0300,DIETARY SUPPLEMENTS 129235,A81000B,00500,0300,PUBLIC RELATIONS 129235,A81000B,00600,0300,(ADJ IN W/S A-8) 129235,A81000C,00100,0100,B 129235,A81000C,00100,0200,DIVERSICARE MGM 129235,A81000C,00100,0400,ADVOCAT INC. 129235,A81000C,00100,0600,HOME OFFICE/ MG 129235,A81000C,00200,0100,B 129235,A81000C,00200,0200,ADVOCAT DISTR S 129235,A81000C,00200,0400,ADVOCAT INC. 129235,A81000C,00200,0600,MEDICAL SUPPLIE 129235,A81000C,00300,0100,B 129235,A81000C,00300,0200,ADVOCAT DISTR S 129235,A81000C,00300,0400,ADVOCAT INC. 129235,A81000C,00300,0600,MEDICAL SUPPLIE 129235,A81000C,00400,0100,B 129235,A81000C,00400,0200,ADVOCAT DISTR S 129235,A81000C,00400,0400,ADVOCAT INC. 129235,A81000C,00400,0600,MEDICAL SUPPLIE 129235,A81000C,00500,0100,B 129235,A81000C,00500,0200,ADVOCAT DISTR S 129235,A81000C,00500,0400,ADVOCAT INC. 129235,A81000C,00500,0600,MEDICAL SUPPLIE 129235,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 129235,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 129235,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 129235,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 129235,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 129235,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 129235,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 129235,B100000,00000,0800,0850PATIENT DAYS :DIETARY 129235,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 129235,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 129235,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 129235,S000000,00100,0200,07/03/00 129235,S200000,00100,0100,3127 57 AVENUE NORTH 129235,S200000,00200,0100,ST. PETERSBURG 129235,S200000,00200,0200,FL 129235,S200000,00200,0300,33714- 129235,S200000,00300,0100,PINELLAS 129235,S200000,00300,0200,8280 129235,S200000,00300,0300,U 129235,S200000,00400,0100,GOOD SAMARITAN NURSING HOME 129235,S200000,00400,0200,105228 129235,S200000,00400,0300,08/01/96 129235,S200000,00400,0500,P 129235,S200000,01500,0100,N 129235,S200000,01600,0100,Y 129235,S200000,01700,0100,N 129235,S200000,01800,0100,N 129235,S200000,02200,0100,Y 129235,S200000,02800,0100,N 129235,S200000,02900,0100,N 129235,S200000,03000,0100,N 129235,S200000,03100,0100,N 129235,S200000,03200,0100,N 129235,S200000,04100,0100,N 129235,S200000,04200,0100,N 129235,S200000,04300,0100,N 129235,S200000,04600,0100,N 129235,S200000,04700,0100,N 129235,S200000,04700,0200,N 129235,S200000,04900,0100,N 129235,S200000,05000,0100,N 129235,S200000,05100,0100,N 129235,S200000,05200,0100,N 129236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 129236,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 129236,A000000,00300,0000,0300EMPLOYEE BENEFITS 129236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 129236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129236,A000000,00700,0000,0700HOUSEKEEPING 129236,A000000,00800,0000,0800DIETARY 129236,A000000,00900,0000,0900NURSING ADMINISTRATION 129236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129236,A000000,01300,0000,1300SOCIAL SERVICE 129236,A000000,01600,0000,1600SKILLED NURSING FACILITY 129236,A000000,01800,0000,1800NURSING FACILITY 129236,A000000,02100,0000,2100RADIOLOGY 129236,A000000,02200,0000,2200LABORATORY 129236,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129236,A000000,02500,0000,2500PHYSICAL THERAPY 129236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129236,A000000,02700,0000,2700SPEECH PATHOLOGY 129236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 129236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129236,A000000,03200,0000,3200SUPPORT SURFACES 129236,A000000,05300,0000,5300INTEREST EXPENSE 129236,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129236,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 129236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129236,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129236,A81000A,00100,0100,Y 129236,A81000B,00100,0300,GROUP INSURANCE 129236,A81000B,00200,0300,WORKERS COMPENSATION 129236,A81000C,00100,0100,B 129236,A81000C,00100,0200,R. BRENT MAGGIO 129236,A81000C,00100,0400,NAT L BENEFIT RESOURCE AD 129236,A81000C,00100,0600,EMPLOYEE GROUP INS CO 129236,A81000C,00200,0100,B 129236,A81000C,00200,0200,R. BRENT MAGGIO 129236,A81000C,00200,0400,NAT L BENEFIT RESOURCE AD 129236,A81000C,00200,0600,EMPLOYEE GROUP INS CO 129236,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 129236,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 129236,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 129236,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 129236,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 129236,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 129236,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 129236,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 129236,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 129236,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 129236,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 129236,S000000,00100,0200,08/11/00 129236,S200000,00100,0100,312 CONGRESS STREET 129236,S200000,00200,0100,NEW PORT RICHEY 129236,S200000,00200,0200,FL 129236,S200000,00200,0300,34653- 129236,S200000,00300,0100,PASCO 129236,S200000,00300,0200,8280 129236,S200000,00300,0300,U 129236,S200000,00400,0100,SOUTHERN PINES NURSING FACILITY 129236,S200000,00400,0200,105275 129236,S200000,00400,0300,03/01/80 129236,S200000,00400,0500,P 129236,S200000,00400,0600,O 129236,S200000,01500,0100,N 129236,S200000,01600,0100,Y 129236,S200000,01700,0100,N 129236,S200000,01800,0100,N 129236,S200000,02200,0100,N 129236,S200000,02800,0100,N 129236,S200000,02900,0100,N 129236,S200000,03000,0100,N 129236,S200000,03100,0100,N 129236,S200000,03200,0100,N 129236,S200000,04100,0100,N 129236,S200000,04200,0100,N 129236,S200000,04300,0100,N 129236,S200000,04600,0100,N 129236,S200000,04700,0100,N 129236,S200000,04700,0200,N 129236,S200000,04900,0100,N 129236,S200000,05000,0100,N 129236,S200000,05100,0100,N 129236,S200000,05200,0100,N 129237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 129237,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 129237,A000000,00300,0000,0300EMPLOYEE BENEFITS 129237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 129237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129237,A000000,00700,0000,0700HOUSEKEEPING 129237,A000000,00800,0000,0800DIETARY 129237,A000000,00900,0000,0900NURSING ADMINISTRATION 129237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129237,A000000,01300,0000,1300SOCIAL SERVICE 129237,A000000,01600,0000,1600SKILLED NURSING FACILITY 129237,A000000,01800,0000,1800NURSING FACILITY 129237,A000000,02100,0000,2100RADIOLOGY 129237,A000000,02200,0000,2200LABORATORY 129237,A000000,02300,0000,2300INTRAVENOUS THERAPY 129237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129237,A000000,02500,0000,2500PHYSICAL THERAPY 129237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129237,A000000,02700,0000,2700SPEECH PATHOLOGY 129237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 129237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129237,A000000,03200,0000,3200SUPPORT SURFACES 129237,A000000,05300,0000,5300INTEREST EXPENSE 129237,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 129237,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129237,A81000A,00100,0100,Y 129237,A81000B,00100,0300,GROUP INSURANCE 129237,A81000B,00200,0300,WORKERS COMPENSATION 129237,A81000C,00100,0100,B 129237,A81000C,00100,0200,R. BRENT MAGGIO 129237,A81000C,00100,0400,NAT L BENEFIT RESOURCE AD 129237,A81000C,00100,0600,EMPLOYEE BENEFIT INS CO 129237,A81000C,00200,0100,B 129237,A81000C,00200,0200,R. BRENT MAGGIO 129237,A81000C,00200,0400,NAT L BENEFIT RESOURCE AD 129237,A81000C,00200,0600,EMPLOYEE BENEFIT INS CO 129237,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 129237,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 129237,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 129237,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 129237,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 129237,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 129237,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 129237,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 129237,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 129237,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 129237,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 129237,S000000,00100,0200,08/11/00 129237,S200000,00100,0100,3636 TENTH AVENUE NORTH 129237,S200000,00200,0100,ST. PETERSBURG 129237,S200000,00200,0200,FL 129237,S200000,00200,0300,33713- 129237,S200000,00300,0100,PINELLAS 129237,S200000,00300,0200,8280 129237,S200000,00300,0300,U 129237,S200000,00400,0100,GOLFVIEW NURSING HOME 129237,S200000,00400,0200,105409 129237,S200000,00400,0300,03/01/80 129237,S200000,00400,0500,P 129237,S200000,00400,0600,P 129237,S200000,01004,0500,O 129237,S200000,01500,0100,N 129237,S200000,01600,0100,Y 129237,S200000,01700,0100,N 129237,S200000,01800,0100,N 129237,S200000,02200,0100,N 129237,S200000,02800,0100,N 129237,S200000,02900,0100,N 129237,S200000,03000,0100,N 129237,S200000,03100,0100,N 129237,S200000,03200,0100,N 129237,S200000,04100,0100,N 129237,S200000,04200,0100,N 129237,S200000,04300,0100,N 129237,S200000,04600,0100,N 129237,S200000,04700,0100,N 129237,S200000,04700,0200,N 129237,S200000,04900,0100,N 129237,S200000,05000,0100,N 129237,S200000,05100,0100,N 129237,S200000,05200,0100,N 129334,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129334,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129334,A000000,00300,0000,0300EMPLOYEE BENEFITS 129334,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129334,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129334,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129334,A000000,00700,0000,0700HOUSEKEEPING 129334,A000000,00800,0000,0800DIETARY 129334,A000000,00900,0000,0900NURSING ADMINISTRATION 129334,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129334,A000000,01100,0000,1100PHARMACY 129334,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129334,A000000,01300,0000,1300SOCIAL SERVICE 129334,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129334,A000000,01600,0000,1600SKILLED NURSING FACILITY 129334,A000000,01800,0000,1800NURSING FACILITY 129334,A000000,01810,0000,1810ICF/MR 129334,A000000,02100,0000,2100RADIOLOGY 129334,A000000,02200,0000,2200LABORATORY 129334,A000000,02300,0000,2300INTRAVENOUS THERAPY 129334,A000000,02500,0000,2500PHYSICAL THERAPY 129334,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129334,A000000,02700,0000,2700SPEECH PATHOLOGY 129334,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129334,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129334,A000000,03550,0000,3550FQHC 129334,A000000,05000,0000,5000CORF 129334,A000000,05010,0000,5010CMHC 129334,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129334,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129334,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129334,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129334,A81000A,00100,0100,Y 129334,A81000B,00100,0300,ADMIN & GENERAL-GSL ENT 129334,A81000B,00200,0300,PHYSICAL THERAPY-CH 129334,A81000B,00300,0300,OCCUPATION THRPY-CH 129334,A81000B,00400,0300,SPEECH THERAPY-CH 129334,A81000B,00500,0300,EMPLOYEE BENEFITS-GL 129334,A81000B,00600,0300,EMPLOYEE BENEFITS-CH 129334,A81000B,00700,0300,BEAUTY & BARBER INCO 129334,A81000C,00100,0100,A 129334,A81000C,00100,0200,GLEN S. LARSON 129334,A81000C,00100,0400,GSL ENTERPRISES INC. 129334,A81000C,00100,0600,MANAGEMENT COMPANY 129334,A81000C,00200,0100,A 129334,A81000C,00200,0200,GLEN S. LARSON 129334,A81000C,00200,0400,C.H. REHAB INC. 129334,A81000C,00200,0600,THERAPY SERVICES 129334,B100000,00000,0100,0100SQUARE FEET 129334,B100000,00000,0200,0200SQUARE FEET 129334,B100000,00000,0300,0300GROSS SALARIES 129334,B100000,00000,0400,0400ACCUM. COST 129334,B100000,00000,0500,0500SQUARE FEET 129334,B100000,00000,0600,0600POUNDS OF LAUNDRY 129334,B100000,00000,0700,0700SQUARE FEET 129334,B100000,00000,0800,0800MEALS SERVED 129334,B100000,00000,0900,0900HOURS OF SERVICE 129334,B100000,00000,1000,1000PATIENT CHARGES 129334,B100000,00000,1100,1100PATIENT CHARGES 129334,B100000,00000,1200,1200PATIENT CHARGES 129334,B100000,00000,1300,1300PATIENT CHARGES 129334,B100000,00000,1400,1400ASSIGNED TIME 129334,E10A180,00301,0300, 2/29/00 129334,E10A180,00501,0100, 3/20/01 129334,E10A180,00550,0100, 1/26/01 129334,E10A180,00550,0300, 1/26/01 129334,E10A180,00551,0300, 3/20/01 129334,E10A180,00552,0100,07/15/02 129334,E10A180,00552,0300,07/15/02 129334,S000000,00100,0200,01/22/01 129334,S200000,00100,0100,1580 BROADWAY 129334,S200000,00100,0300,PO BOX U 129334,S200000,00200,0100,EL CAJON 129334,S200000,00200,0200,CA 129334,S200000,00200,0300,92022 129334,S200000,00300,0200,7320 129334,S200000,00300,0300,U 129334,S200000,00400,0100,COUNTRY HILLS HEALTH CARE INC. 129334,S200000,00400,0200,555431 129334,S200000,00400,0300,11/01/91 129334,S200000,00400,0500,P 129334,S200000,00600,0200,555431 129334,S200000,00600,0300,11/01/91 129334,S200000,00600,0600,O 129334,S200000,01500,0100,N 129334,S200000,01600,0100,Y 129334,S200000,01700,0100,N 129334,S200000,01800,0100,N 129334,S200000,02200,0100,N 129334,S200000,02800,0100,N 129334,S200000,02900,0100,N 129334,S200000,03000,0100,N 129334,S200000,03100,0100,N 129334,S200000,03200,0100,N 129334,S200000,03300,0100,N 129334,S200000,03300,0200,N 129334,S200000,03500,0300,N 129334,S200000,04100,0100,N 129334,S200000,04200,0100,N 129334,S200000,04300,0100,N 129334,S200000,04600,0100,N 129334,S200000,04700,0100,N 129334,S200000,04700,0200,N 129334,S200000,04900,0100,N 129335,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129335,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129335,A000000,00300,0000,0300EMPLOYEE BENEFITS 129335,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129335,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129335,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129335,A000000,00700,0000,0700HOUSEKEEPING 129335,A000000,00800,0000,0800DIETARY 129335,A000000,00900,0000,0900NURSING ADMINISTRATION 129335,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129335,A000000,01100,0000,1100PHARMACY 129335,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129335,A000000,01300,0000,1300SOCIAL SERVICE 129335,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129335,A000000,01500,0000,1350OTHER GENERAL SERVICES 129335,A000000,01600,0000,1600SKILLED NURSING FACILITY 129335,A000000,01800,0000,1800NURSING FACILITY 129335,A000000,01810,0000,1810ICF/MR 129335,A000000,02100,0000,2100RADIOLOGY 129335,A000000,02200,0000,2200LABORATORY 129335,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129335,A000000,02500,0000,2500PHYSICAL THERAPY 129335,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129335,A000000,02700,0000,2700SPEECH PATHOLOGY 129335,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129335,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 129335,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129335,A000000,03550,0000,3550FQHC 129335,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129335,A000000,04800,0000,4800AMBULANCE 129335,A000000,05000,0000,5000CORF 129335,A000000,05010,0000,5010CMHC 129335,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129335,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129335,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129335,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 129335,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129335,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129335,A81000A,00100,0100,N 129335,B100000,00000,0100,0100SQUARE FEET 129335,B100000,00000,0200,0200SQUARE FEET 129335,B100000,00000,0300,0300GROSS SALARIES 129335,B100000,00000,0400,0400ACCUM. COST 129335,B100000,00000,0500,0500SQUARE FEET 129335,B100000,00000,0600,0600PATIENT DAYS 129335,B100000,00000,0700,0700SQUARE FEET 129335,B100000,00000,0800,0800PATIENT DAYS 129335,B100000,00000,0900,0900PATIENT DAYS 129335,B100000,00000,1000,1000COSTED REQUIS. 129335,B100000,00000,1100,1100COSTED REQUIS. 129335,B100000,00000,1200,1200GROSS REVENUE 129335,B100000,00000,1300,1300TIME SPENT 129335,B100000,00000,1400,1400ASSIGNED TIME 129335,B100000,00000,1500,1350NO STATISTICS 129335,E10A180,00350,0300,09/17/99 129335,E10A180,00501,0100,06/27/00 129335,E10A180,00501,0300,09/24/01 129335,E10A180,00502,0300,06/14/02 129335,E10A180,00550,0100,09/24/01 129335,E10A180,00550,0300,06/27/00 129335,E10A180,00551,0100,06/14/02 129335,S000000,00100,0200,05/31/00 129335,S200000,00100,0100,3533 MOTOR AVENUE 129335,S200000,00200,0100,LOS ANGELES 129335,S200000,00200,0200,CA 129335,S200000,00200,0300,90035 129335,S200000,00300,0100,LOS ANGELES 129335,S200000,00300,0200,4480 129335,S200000,00300,0300,U 129335,S200000,00400,0100,COUNTRY VILLA CHEVIOT GARDEN HCC 129335,S200000,00400,0200,056451 129335,S200000,00400,0300,01/01/85 129335,S200000,00400,0500,P 129335,S200000,00400,0600,O 129335,S200000,00600,0200,056451 129335,S200000,00600,0300,01/01/85 129335,S200000,00600,0600,O 129335,S200000,01500,0100,N 129335,S200000,01600,0100,Y 129335,S200000,01700,0100,N 129335,S200000,01800,0100,N 129335,S200000,02200,0100,N 129335,S200000,02800,0100,N 129335,S200000,02900,0100,N 129335,S200000,03000,0100,N 129335,S200000,03100,0100,N 129335,S200000,03200,0100,N 129335,S200000,03300,0100,N 129335,S200000,03300,0200,N 129335,S200000,03500,0300,N 129335,S200000,04100,0100,N 129335,S200000,04200,0100,N 129335,S200000,04300,0100,N 129335,S200000,04600,0100,N 129335,S200000,04700,0100,N 129335,S200000,04700,0200,N 129335,S200000,04900,0100,N 129335,S200000,05200,0100,N 129443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129443,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129443,A000000,00300,0000,0300EMPLOYEE BENEFITS 129443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129443,A000000,00700,0000,0700HOUSEKEEPING 129443,A000000,00800,0000,0800DIETARY 129443,A000000,00900,0000,0900NURSING ADMINISTRATION 129443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129443,A000000,01100,0000,1100PHARMACY 129443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129443,A000000,01300,0000,1300SOCIAL SERVICE 129443,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129443,A000000,01600,0000,1600SKILLED NURSING FACILITY 129443,A000000,01800,0000,1800NURSING FACILITY 129443,A000000,01810,0000,1810ICF/MR 129443,A000000,02200,0000,2200LABORATORY 129443,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129443,A000000,02500,0000,2500PHYSICAL THERAPY 129443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129443,A000000,02700,0000,2700SPEECH PATHOLOGY 129443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129443,A000000,03550,0000,3550FQHC 129443,A000000,05000,0000,5000CORF 129443,A000000,05010,0000,5010CMHC 129443,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129443,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129443,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129443,A000000,06150,0000,6149PATIENT PERSONAL NEEDS 129443,A000000,06200,0000,6200PATIENTS LAUNDRY 129443,A81000A,00100,0100,Y 129443,A81000B,00100,0300,SUPPLIES 129443,A81000B,00200,0300,SUPPLIES 129443,A81000B,00300,0300,SUPPLIES 129443,A81000B,00400,0300,SUPPLIES 129443,A81000B,00500,0300,SUPPLIES 129443,A81000B,00600,0300,SUPPLIES 129443,A81000B,00700,0300,SUPPLIES 129443,A81000B,00800,0300,SUPPLIES 129443,A81000B,00900,0300,SUPPLIES 129443,A81000B,01000,0300,SUPPLIES 129443,A81000B,01100,0300,SUPPLIES 129443,A81000B,01200,0300,SUPPLIES 129443,A81000B,01300,0300,SUPPLIES 129443,A81000B,01400,0300,FACILITY LEASE 129443,A81000B,01500,0300,HOME OFFICE COSTS 129443,A81000B,01600,0300,HOME OFFICE COSTS 129443,A81000B,01700,0300,THERAPY 129443,A81000B,01800,0300,THERAPY 129443,A81000B,01900,0300,THERAPY 129443,A81000C,00100,0100,A 129443,A81000C,00100,0200,SEE HCFA 339 129443,A81000C,00100,0400,DELTA DURABLES 129443,A81000C,00100,0600,SUPPLIES 129443,A81000C,00200,0100,A 129443,A81000C,00200,0200,SEE HCFA 339 129443,A81000C,00200,0400,DELTA HEALTH GR 129443,A81000C,00200,0600,NURSING HOMES 129443,A81000C,00300,0100,A 129443,A81000C,00300,0200,SEE HCFA 339 129443,A81000C,00300,0400,DELTA REHAB GRO 129443,A81000C,00300,0600,THERAPY COMPANY 129443,A81000C,00400,0100,A 129443,A81000C,00400,0200,SEE HCFA 339 129443,A81000C,00400,0400,SKYLER JACKSON 129443,A81000C,00400,0600,LESSOR 129443,B100000,00000,0100,0100SQUARE FEET 129443,B100000,00000,0200,0200SQUARE FEET 129443,B100000,00000,0300,0300GROSS SALARIES 129443,B100000,00000,0400,0400ACCUM COST 129443,B100000,00000,0500,0500SQUARE FEET 129443,B100000,00000,0600,0600POUNDS OF LAUNDRY 129443,B100000,00000,0700,0700SQUARE FEET 129443,B100000,00000,0800,0800MEALS SERVED 129443,B100000,00000,0900,0900DIRECT NRSG HRS 129443,B100000,00000,1000,1000PATIENT DAYS 129443,B100000,00000,1100,1100COSTED REQUIS 129443,B100000,00000,1200,1200TIME SPENT 129443,B100000,00000,1300,1300TIME SPENT 129443,B100000,00000,1400,1400ASSIGNED TIME 129443,E10A180,00301,0100,04/28/99 129443,E10A180,00501,0100,07/13/00 129443,S000000,00100,0200,06/01/00 129443,S200000,00100,0100,1199 OCEAN SPRINGS ROAD 129443,S200000,00200,0100,OCEAN SPRINGS 129443,S200000,00200,0200,MS 129443,S200000,00200,0300,39564 129443,S200000,00300,0100,JACKSON 129443,S200000,00400,0100,OCEAN SPRINGS NURSING HOME 129443,S200000,00400,0200,255142 129443,S200000,00400,0300,11/01/91 129443,S200000,00400,0500,P 129443,S200000,00400,0600,O 129443,S200000,00600,0200,255142 129443,S200000,00600,0300,11/01/91 129443,S200000,00600,0600,O 129443,S200000,01500,0100,N 129443,S200000,01600,0100,Y 129443,S200000,01700,0100,N 129443,S200000,01800,0100,N 129443,S200000,02200,0100,N 129443,S200000,02800,0100,N 129443,S200000,02900,0100,N 129443,S200000,03000,0100,N 129443,S200000,03100,0100,N 129443,S200000,03200,0100,N 129443,S200000,03300,0100,N 129443,S200000,03300,0200,N 129443,S200000,03500,0300,N 129443,S200000,04100,0100,N 129443,S200000,04200,0100,N 129443,S200000,04300,0100,N 129443,S200000,04600,0100,N 129443,S200000,04700,0100,N 129443,S200000,04900,0100,N 129465,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129465,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129465,A000000,00300,0000,0300EMPLOYEE BENEFITS 129465,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129465,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129465,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129465,A000000,00700,0000,0700HOUSEKEEPING 129465,A000000,00800,0000,0800DIETARY 129465,A000000,00900,0000,0900NURSING ADMINISTRATION 129465,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129465,A000000,01100,0000,1100PHARMACY 129465,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129465,A000000,01300,0000,1300SOCIAL SERVICE 129465,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129465,A000000,01600,0000,1600SKILLED NURSING FACILITY 129465,A000000,01810,0000,1810ICF/MR 129465,A000000,02100,0000,2100RADIOLOGY 129465,A000000,02200,0000,2200LABORATORY 129465,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129465,A000000,02500,0000,2500PHYSICAL THERAPY 129465,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129465,A000000,02700,0000,2700SPEECH PATHOLOGY 129465,A000000,03300,0000,3050PODIATRY 129465,A000000,03310,0000,3051OPTHOLMOLOGY 129465,A000000,03320,0000,3052AUDIOLOGY 129465,A000000,03550,0000,3550FQHC 129465,A000000,05000,0000,5000CORF 129465,A000000,05010,0000,5010CMHC 129465,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129465,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129465,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129465,A000000,05300,0000,5300INTEREST EXPENSE 129465,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129465,A000000,06150,0000,6101DENTAL 129465,A000000,06151,0000,6102OPTOMETRY 129465,A000000,06300,0000,6150DENTAL 129465,A000000,06310,0000,6160OPTOMETRY 129465,A81000A,00100,0100,Y 129465,A81000B,00100,0300,EQUIPMENT USE CHARGE 129465,A81000B,00200,0300,PROPERTY USE CHARGE 129465,A81000B,00300,0300,INTRA-COUNTY CHARGES 129465,A81000B,00400,0300,INFORMATION SERVICES 129465,A81000B,00500,0300,SOFTWARE AMORTIZATIO 129465,A81000C,00100,0100,G 129465,A81000C,00100,0200,ALBANY COUNTY 129465,A81000C,00200,0100,G 129465,A81000C,00200,0200,ALBANY COUNTY 129465,A81000C,00300,0100,G 129465,A81000C,00300,0200,ALBANY COUNTY 129465,A81000C,00400,0100,G 129465,A81000C,00400,0200,ALBANY COUNTY 129465,A81000C,00500,0100,G 129465,A81000C,00500,0200,ALBANY COUNTY 129465,B100000,00000,0100,0100SQUARE FEET 129465,B100000,00000,0200,0200SQUARE FEET 129465,B100000,00000,0300,0300GROSS SALARIES 129465,B100000,00000,0400,0400ACCUM COST 129465,B100000,00000,0500,0500SQUARE FEET 129465,B100000,00000,0600,0600POUNDS OF LAUNDRY 129465,B100000,00000,0700,0700HOURS OF SERVICE 129465,B100000,00000,0800,0800MEALS SERVED 129465,B100000,00000,0900,0900DIRECT NRSG HRS 129465,B100000,00000,1000,1000COSTED REQUIS 129465,B100000,00000,1100,1100COSTED REQUIS 129465,B100000,00000,1200,1200TIME SPENT 129465,B100000,00000,1300,1300TIME SPENT 129465,B100000,00000,1400,1400ASSIGNED TIME 129465,E10A180,00301,0100,05/10/00 129465,E10A180,00350,0100,01/18/00 129465,E10A180,00501,0100,05/16/01 129465,E10A180,00550,0300,05/16/01 129465,S000000,00100,0200,06/05/00 129465,S200000,00100,0100,780 ALBANY SHAKER ROAD 129465,S200000,00200,0100,ALBANY 129465,S200000,00200,0200,NY 129465,S200000,00300,0100,ALBANY 129465,S200000,00300,0200,0160 129465,S200000,00300,0300,U 129465,S200000,00400,0100,ALBANY COUNTY NURSING HOME 129465,S200000,00400,0200,335425 129465,S200000,00400,0300,11/01/74 129465,S200000,00400,0500,P 129465,S200000,01500,0100,Y 129465,S200000,01600,0100,N 129465,S200000,01700,0100,N 129465,S200000,01800,0100,N 129465,S200000,02100,0100,A 129465,S200000,02200,0100,N 129465,S200000,02800,0100,N 129465,S200000,02900,0100,N 129465,S200000,03000,0100,N 129465,S200000,03100,0100,N 129465,S200000,03200,0100,N 129465,S200000,03300,0100,Y 129465,S200000,03300,0200,Y 129465,S200000,04100,0100,N 129465,S200000,04200,0100,N 129465,S200000,04300,0100,Y 129465,S200000,04600,0100,N 129465,S200000,04700,0100,N 129465,S200000,04900,0100,N 129465,S200000,05200,0100,N 129482,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129482,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129482,A000000,00300,0000,0300EMPLOYEE BENEFITS 129482,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129482,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129482,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129482,A000000,00700,0000,0700HOUSEKEEPING 129482,A000000,00800,0000,0800DIETARY 129482,A000000,00900,0000,0900NURSING ADMINISTRATION 129482,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129482,A000000,01100,0000,1100PHARMACY 129482,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129482,A000000,01300,0000,1300SOCIAL SERVICE 129482,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129482,A000000,01600,0000,1600SKILLED NURSING FACILITY 129482,A000000,01810,0000,1810ICF/MR 129482,A000000,02100,0000,2100RADIOLOGY 129482,A000000,02200,0000,2200LABORATORY 129482,A000000,02300,0000,2300INTRAVENOUS THERAPY 129482,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129482,A000000,02500,0000,2500PHYSICAL THERAPY 129482,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129482,A000000,02700,0000,2700SPEECH PATHOLOGY 129482,A000000,02800,0000,2800ELECTROCARDIOLOGY 129482,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129482,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129482,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129482,A000000,03550,0000,3550FQHC 129482,A000000,04800,0000,4800AMBULANCE 129482,A000000,05000,0000,5000CORF 129482,A000000,05010,0000,5010CMHC 129482,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129482,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129482,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129482,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129482,A81000A,00100,0100,N 129482,B100000,00000,0100,0100SQUARE FEET 129482,B100000,00000,0200,0200SQUARE FEET 129482,B100000,00000,0300,0300GROSS SALARIES 129482,B100000,00000,0400,0400ACCUM COST 129482,B100000,00000,0500,0500SQUARE FEET 129482,B100000,00000,0600,0600POUNDS OF LAUNDRY 129482,B100000,00000,0700,0700SQUARE FEET 129482,B100000,00000,0800,0800MEALS SERVED 129482,B100000,00000,0900,0900DIRECT NRSING HRS 129482,B100000,00000,1000,1000COSTED REQUIS 129482,B100000,00000,1100,1100COSTED REQUIS 129482,B100000,00000,1200,1200TIME SPENT 129482,B100000,00000,1300,1300TIME SPENT 129482,B100000,00000,1400,1400ASSIGNED TIME 129482,E10A180,00501,0100,06/15/00 129482,S000000,00100,0200,05/16/00 129482,S200000,00100,0100,230 KHAKI MANOR 129482,S200000,00200,0100,IUKA 129482,S200000,00200,0200,MS 129482,S200000,00300,0100,TISHOMINGO 129482,S200000,00300,0200,0025 129482,S200000,00300,0300,R 129482,S200000,00400,0100,TISHOMINGO MANOR NURSING HOME 129482,S200000,00400,0200,255218 129482,S200000,00400,0300,05/01/96 129482,S200000,00400,0500,P 129482,S200000,01500,0100,Y 129482,S200000,01600,0100,N 129482,S200000,01700,0100,N 129482,S200000,01800,0100,N 129482,S200000,02200,0100,N 129482,S200000,02800,0100,N 129482,S200000,02900,0100,N 129482,S200000,03000,0100,N 129482,S200000,03100,0100,N 129482,S200000,03200,0100,N 129482,S200000,03300,0100,N 129482,S200000,03300,0200,N 129482,S200000,04100,0100,N 129482,S200000,04200,0100,N 129482,S200000,04300,0100,N 129482,S200000,04600,0100,N 129482,S200000,04700,0100,N 129482,S200000,04900,0100,N 129482,S200000,05200,0100,N 129485,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129485,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129485,A000000,00300,0000,0300EMPLOYEE BENEFITS 129485,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129485,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129485,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129485,A000000,00700,0000,0700HOUSEKEEPING 129485,A000000,00800,0000,0800DIETARY 129485,A000000,00900,0000,0900NURSING ADMINISTRATION 129485,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129485,A000000,01100,0000,1100PHARMACY 129485,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129485,A000000,01300,0000,1300SOCIAL SERVICE 129485,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129485,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 129485,A000000,01600,0000,1600SKILLED NURSING FACILITY 129485,A000000,01800,0000,1800NURSING FACILITY 129485,A000000,01810,0000,1810ICF/MR 129485,A000000,02500,0000,2500PHYSICAL THERAPY 129485,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129485,A000000,02700,0000,2700SPEECH PATHOLOGY 129485,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129485,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129485,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 129485,A000000,03550,0000,3550FQHC 129485,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 129485,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 129485,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 129485,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 129485,A000000,05000,0000,5000CORF 129485,A000000,05010,0000,5010CMHC 129485,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129485,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129485,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129485,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129485,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129485,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 129485,A81000A,00100,0100,Y 129485,A81000B,00100,0300,HOME OFFICE COSTS 129485,A81000C,00100,0100,A 129485,A81000C,00100,0200,DOUG WRIGHT 129485,A81000C,00100,0400,RIGHT CARE INC 129485,A81000C,00100,0600,MANAGEMENT 129485,B100000,00000,0100,0100SQUARE FEET 129485,B100000,00000,0200,0200SQUARE FEET 129485,B100000,00000,0300,0300GROSS SALARIES 129485,B100000,00000,0400,0400ACCUM COST 129485,B100000,00000,0500,0500SQUARE FEET 129485,B100000,00000,0600,0600PATIENT DAYS 129485,B100000,00000,0700,0700SQUARE FEET 129485,B100000,00000,0800,0800MEALS SERVED 129485,B100000,00000,0900,0900PATIENT DAYS 129485,B100000,00000,1000,1000PATIENT DAYS 129485,B100000,00000,1100,1100PATIENT DAYS 129485,B100000,00000,1200,1200PATIENT DAYS 129485,B100000,00000,1300,1300PATIENT DAYS 129485,B100000,00000,1400,1400ASSIGNED TIME 129485,B100000,00000,1500,1350 129485,E10A180,00550,0100,08/15/00 129485,E10A180,00550,0300,08/15/00 129485,S000000,00100,0200,06/30/00 129485,S200000,00100,0300,817 129485,S200000,00200,0100,WEST POINT 129485,S200000,00200,0200,MS 129485,S200000,00200,0300,39773 129485,S200000,00300,0200,0025 129485,S200000,00300,0300,R 129485,S200000,00400,0100,WEST POINT NURSING HOME 129485,S200000,00400,0200,255111 129485,S200000,00400,0300,01/01/95 129485,S200000,00400,0500,P 129485,S200000,01500,0100,N 129485,S200000,01600,0100,N 129485,S200000,01700,0100,N 129485,S200000,01800,0100,N 129485,S200000,02200,0100,N 129485,S200000,02800,0100,N 129485,S200000,02900,0100,N 129485,S200000,03000,0100,N 129485,S200000,03100,0100,N 129485,S200000,03200,0100,N 129485,S200000,03300,0100,N 129485,S200000,03300,0200,N 129485,S200000,04100,0100,N 129485,S200000,04200,0100,N 129485,S200000,04300,0100,N 129485,S200000,04600,0100,N 129485,S200000,04700,0100,N 129485,S200000,04900,0100,N 129485,S200000,05200,0100,N 129486,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129486,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129486,A000000,00300,0000,0300EMPLOYEE BENEFITS 129486,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129486,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129486,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129486,A000000,00700,0000,0700HOUSEKEEPING 129486,A000000,00800,0000,0800DIETARY 129486,A000000,00900,0000,0900NURSING ADMINISTRATION 129486,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129486,A000000,01100,0000,1100PHARMACY 129486,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129486,A000000,01300,0000,1300SOCIAL SERVICE 129486,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129486,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 129486,A000000,01600,0000,1600SKILLED NURSING FACILITY 129486,A000000,01810,0000,1810ICF/MR 129486,A000000,02100,0000,2100RADIOLOGY 129486,A000000,02200,0000,2200LABORATORY 129486,A000000,02500,0000,2500PHYSICAL THERAPY 129486,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129486,A000000,02700,0000,2700SPEECH PATHOLOGY 129486,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129486,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129486,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 129486,A000000,03550,0000,3550FQHC 129486,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 129486,A000000,05000,0000,5000CORF 129486,A000000,05010,0000,5010CMHC 129486,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129486,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129486,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129486,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129486,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 129486,A81000A,00100,0100,Y 129486,A81000B,00100,0300,ADMIN AND GENERAL 129486,A81000C,00100,0100,A 129486,A81000C,00100,0200,DOUG WRIGHT SR 129486,A81000C,00100,0400,RIGHT CARE INC 129486,A81000C,00100,0600,MANAGEMENT 129486,B100000,00000,0100,0100SQUARE FEET 129486,B100000,00000,0200,0200SQUARE FEET 129486,B100000,00000,0300,0300GROSS SALARIES 129486,B100000,00000,0400,0400ACCUM COST 129486,B100000,00000,0500,0500SQUARE FEET 129486,B100000,00000,0600,0600PATIENT DAYS 129486,B100000,00000,0700,0700SQUARE FEET 129486,B100000,00000,0800,0800MEALS SERVED 129486,B100000,00000,0900,0900PATIENT DAYS 129486,B100000,00000,1000,1000PATIENT DAYS 129486,B100000,00000,1100,1100COSTED REQUISITIO 129486,B100000,00000,1200,1200PATIENT DAYS 129486,B100000,00000,1300,1300PATIENT DAYS 129486,B100000,00000,1400,1400ASSIGNED TIME 129486,B100000,00000,1500,1350 129486,E10A180,00501,0100,07/31/00 129486,E10A180,00501,0300,07/31/00 129486,S000000,00100,0200,06/26/00 129486,S200000,00100,0100,1600 RAYMOND ROAD 129486,S200000,00200,0100,JACKSON 129486,S200000,00200,0200,MS 129486,S200000,00200,0300,39204 129486,S200000,00400,0100,PLEASANT HILLS 129486,S200000,00400,0200,255112 129486,S200000,00400,0300,01/01/98 129486,S200000,00400,0500,P 129486,S200000,01500,0100,Y 129486,S200000,01600,0100,N 129486,S200000,01700,0100,N 129486,S200000,01800,0100,N 129486,S200000,02200,0100,N 129486,S200000,02800,0100,N 129486,S200000,02900,0100,N 129486,S200000,03000,0100,N 129486,S200000,03100,0100,N 129486,S200000,03200,0100,N 129486,S200000,03300,0100,N 129486,S200000,03300,0200,N 129486,S200000,04100,0100,N 129486,S200000,04200,0100,N 129486,S200000,04300,0100,N 129486,S200000,04600,0100,N 129486,S200000,04700,0100,N 129486,S200000,04900,0100,N 129488,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129488,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129488,A000000,00300,0000,0300EMPLOYEE BENEFITS 129488,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129488,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129488,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129488,A000000,00700,0000,0700HOUSEKEEPING 129488,A000000,00800,0000,0800DIETARY 129488,A000000,00900,0000,0900NURSING ADMINISTRATION 129488,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129488,A000000,01100,0000,1100PHARMACY 129488,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129488,A000000,01300,0000,1300SOCIAL SERVICE 129488,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129488,A000000,01600,0000,1600SKILLED NURSING FACILITY 129488,A000000,01800,0000,1800NURSING FACILITY 129488,A000000,01810,0000,1810ICF/MR 129488,A000000,02200,0000,2200LABORATORY 129488,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129488,A000000,02500,0000,2500PHYSICAL THERAPY 129488,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129488,A000000,02700,0000,2700SPEECH PATHOLOGY 129488,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129488,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129488,A000000,03550,0000,3550FQHC 129488,A000000,05000,0000,5000CORF 129488,A000000,05010,0000,5010CMHC 129488,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129488,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129488,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129488,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129488,A000000,06200,0000,6200PATIENTS LAUNDRY 129488,A81000A,00100,0100,Y 129488,A81000B,00100,0300,DELTA DURABLES 129488,A81000B,00200,0300,DELTA DURABLES 129488,A81000B,00300,0300,DELTA DURABLES 129488,A81000B,00400,0300,DELTA DURABLES 129488,A81000B,00500,0300,DELTA DURABLES 129488,A81000B,00600,0300,DELTA DURABLES 129488,A81000B,00700,0300,DELTA DURABLES 129488,A81000B,00800,0300,DELTA DURABLES 129488,A81000B,00900,0300,DELTA DURABLES 129488,A81000B,01000,0300,DELTA DURABLES 129488,A81000B,01100,0300,DELTA REHAB 129488,A81000B,01200,0300,CAPITAL RELATED 129488,A81000B,01300,0300,MANAGEMENT FEE 129488,A81000C,00100,0100,B 129488,A81000C,00100,0200,SEE HCFA 339 129488,A81000C,00100,0400,DELTA HEALTH GR 129488,A81000C,00100,0600,OPERATE NURSING 129488,A81000C,00200,0100,A 129488,A81000C,00200,0200,SEE HCFA 339 129488,A81000C,00200,0400,DELTA REHAB GRO 129488,A81000C,00200,0600,THERAPY 129488,A81000C,00300,0100,A 129488,A81000C,00300,0200,SEE HCFA 339 129488,A81000C,00300,0400,DELTA DURABLES 129488,A81000C,00300,0600,SUPPLIES 129488,B100000,00000,0100,0100SQUARE FEET 129488,B100000,00000,0200,0200SQUARE FEET 129488,B100000,00000,0300,0300GROSS SALARIES 129488,B100000,00000,0400,0400ACCUM COST 129488,B100000,00000,0500,0500SQUARE FEET 129488,B100000,00000,0600,0600POUNDS OF LAUNDRY 129488,B100000,00000,0700,0700SQUARE FEET 129488,B100000,00000,0800,0800MEALS SERVED 129488,B100000,00000,0900,0900DIRECT NRSG HRS 129488,B100000,00000,1000,1000PATIENT DAYS 129488,B100000,00000,1100,1100COSTED REQUIS 129488,B100000,00000,1200,1200TIME SPENT 129488,B100000,00000,1300,1300TIME SPENT 129488,B100000,00000,1400,1400ASSIGNED TIME 129488,E10A180,00550,0100,07/13/00 129488,E10A180,00550,0300,07/13/00 129488,S000000,00100,0200,06/01/00 129488,S200000,00100,0100,216 WEST BEACH BLVD 129488,S200000,00200,0100,PASS CHRISTIAN 129488,S200000,00200,0200,MS 129488,S200000,00200,0300,39571 129488,S200000,00300,0100,HARRISON 129488,S200000,00300,0200,0920 129488,S200000,00300,0300,U 129488,S200000,00400,0100,MIRAMAR LODGE 129488,S200000,00400,0200,255201 129488,S200000,00400,0300,08/01/95 129488,S200000,00400,0500,P 129488,S200000,00400,0600,O 129488,S200000,00600,0200,255201 129488,S200000,00600,0300,08/01/95 129488,S200000,00600,0600,O 129488,S200000,01500,0100,N 129488,S200000,01600,0100,Y 129488,S200000,01700,0100,N 129488,S200000,01800,0100,N 129488,S200000,02200,0100,N 129488,S200000,02800,0100,N 129488,S200000,02900,0100,N 129488,S200000,03000,0100,N 129488,S200000,03100,0100,N 129488,S200000,03200,0100,N 129488,S200000,03300,0100,N 129488,S200000,03300,0200,N 129488,S200000,03500,0300,N 129488,S200000,04100,0100,N 129488,S200000,04200,0100,N 129488,S200000,04300,0100,N 129488,S200000,04600,0100,N 129488,S200000,04700,0100,N 129488,S200000,04900,0100,N 129488,S200000,05200,0100,N 129489,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129489,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129489,A000000,00300,0000,0300EMPLOYEE BENEFITS 129489,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129489,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129489,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129489,A000000,00700,0000,0700HOUSEKEEPING 129489,A000000,00800,0000,0800DIETARY 129489,A000000,00900,0000,0900NURSING ADMINISTRATION 129489,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129489,A000000,01100,0000,1100PHARMACY 129489,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129489,A000000,01300,0000,1300SOCIAL SERVICE 129489,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129489,A000000,01500,0000,1350OTHER GENERAL SERVICES 129489,A000000,01600,0000,1600SKILLED NURSING FACILITY 129489,A000000,01800,0000,1800NURSING FACILITY 129489,A000000,01810,0000,1810ICF/MR 129489,A000000,02200,0000,2200LABORATORY 129489,A000000,02500,0000,2500PHYSICAL THERAPY 129489,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129489,A000000,02700,0000,2700SPEECH PATHOLOGY 129489,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129489,A000000,02901,0000,2901AIR FLOTATION BEDS 129489,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129489,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129489,A000000,03550,0000,3550FQHC 129489,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129489,A000000,05000,0000,5000CORF 129489,A000000,05010,0000,5010CMHC 129489,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129489,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129489,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129489,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129489,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129489,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129489,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129489,A81000A,00100,0100,N 129489,B100000,00000,0100,0100SQUARE FEET 129489,B100000,00000,0200,0200SQUARE FEET 129489,B100000,00000,0300,0300GROSS SALARIES 129489,B100000,00000,0400,0400ACCUM. COST 129489,B100000,00000,0500,0500SQUARE FEET 129489,B100000,00000,0600,0600POUNDS OF LAUNDRY 129489,B100000,00000,0700,0700SQUARE FEET 129489,B100000,00000,0800,0800MEALS SERVED 129489,B100000,00000,0900,0900DIRECT NRSING HRS 129489,B100000,00000,1000,1000COSTED REQUIS. 129489,B100000,00000,1100,1100PATIENT DAYS 129489,B100000,00000,1200,1200PATIENT DAYS 129489,B100000,00000,1300,1300TIME SPENT 129489,B100000,00000,1400,1400ASSIGNED TIME 129489,B100000,00000,1500,1350NO STATISTICS 129489,S000000,00100,0200,05/31/00 129489,S200000,00100,0100,133 PINE STREET 129489,S200000,00200,0100,HAZLEHURST 129489,S200000,00200,0200,MS 129489,S200000,00200,0300,39083 129489,S200000,00300,0100,COPIAH 129489,S200000,00300,0200,0025 129489,S200000,00300,0300,R 129489,S200000,00400,0100,PINECREST GUEST HOME 129489,S200000,00400,0200,255210 129489,S200000,00400,0300,08/01/95 129489,S200000,00400,0500,P 129489,S200000,01500,0100,N 129489,S200000,01600,0100,Y 129489,S200000,01700,0100,N 129489,S200000,01800,0100,N 129489,S200000,02200,0100,N 129489,S200000,02800,0100,N 129489,S200000,02900,0100,N 129489,S200000,03000,0100,N 129489,S200000,03100,0100,N 129489,S200000,03200,0100,N 129489,S200000,03300,0100,N 129489,S200000,03300,0200,N 129489,S200000,04100,0100,N 129489,S200000,04200,0100,N 129489,S200000,04300,0100,N 129489,S200000,04600,0100,N 129489,S200000,04700,0100,N 129489,S200000,04900,0100,N 129489,S200000,05200,0100,N 129490,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129490,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129490,A000000,00300,0000,0300EMPLOYEE BENEFITS 129490,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129490,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129490,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129490,A000000,00700,0000,0700HOUSEKEEPING 129490,A000000,00800,0000,0800DIETARY 129490,A000000,00900,0000,0900NURSING ADMINISTRATION 129490,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129490,A000000,01100,0000,1100PHARMACY 129490,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129490,A000000,01300,0000,1300SOCIAL SERVICE 129490,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129490,A000000,01500,0000,1350OTHER GENERAL SERVICES 129490,A000000,01600,0000,1600SKILLED NURSING FACILITY 129490,A000000,01800,0000,1800NURSING FACILITY 129490,A000000,01810,0000,1810ICF/MR 129490,A000000,02100,0000,2100RADIOLOGY 129490,A000000,02200,0000,2200LABORATORY 129490,A000000,02500,0000,2500PHYSICAL THERAPY 129490,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129490,A000000,02700,0000,2700SPEECH PATHOLOGY 129490,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129490,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129490,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129490,A000000,03550,0000,3550FQHC 129490,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129490,A000000,05000,0000,5000CORF 129490,A000000,05010,0000,5010CMHC 129490,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129490,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129490,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129490,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129490,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129490,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129490,A81000A,00100,0100,N 129490,B100000,00000,0100,0100SQUARE FEET 129490,B100000,00000,0200,0200SQUARE FEET 129490,B100000,00000,0300,0300GROSS SALARIES 129490,B100000,00000,0400,0400ACCUM. COST 129490,B100000,00000,0500,0500SQUARE FEET 129490,B100000,00000,0600,0600POUNDS OF LAUNDRY 129490,B100000,00000,0700,0700SQUARE FEET 129490,B100000,00000,0800,0800MEALS SERVED 129490,B100000,00000,0900,0900DIRECT HOURS 129490,B100000,00000,1000,1000COSTED REQUIS. 129490,B100000,00000,1100,1100PATIENT DAYS 129490,B100000,00000,1200,1200TIME SPENT 129490,B100000,00000,1300,1300TIME SPENT 129490,B100000,00000,1400,1400ASSIGNED TIME 129490,B100000,00000,1500,1350NO STATISTICS 129490,E10A180,00501,0100,06/27/00 129490,S000000,00100,0200,05/31/00 129490,S200000,00100,0300,ROUTE 2 BOX66 129490,S200000,00200,0100,MEADVILLE 129490,S200000,00200,0200,MS 129490,S200000,00200,0300,39643 129490,S200000,00300,0100,FRANKLIN 129490,S200000,00300,0200,0025 129490,S200000,00300,0300,R 129490,S200000,00400,0100,MEADVILLE CONVALESCENT HOME 129490,S200000,00400,0200,255213 129490,S200000,00400,0300,08/01/95 129490,S200000,00400,0500,P 129490,S200000,01500,0100,N 129490,S200000,01600,0100,Y 129490,S200000,01700,0100,N 129490,S200000,01800,0100,N 129490,S200000,02200,0100,N 129490,S200000,02800,0100,N 129490,S200000,02900,0100,N 129490,S200000,03000,0100,N 129490,S200000,03100,0100,N 129490,S200000,03200,0100,N 129490,S200000,03300,0100,N 129490,S200000,03300,0200,N 129490,S200000,04100,0100,N 129490,S200000,04200,0100,N 129490,S200000,04300,0100,N 129490,S200000,04600,0100,N 129490,S200000,04700,0100,N 129490,S200000,04900,0100,N 129490,S200000,05200,0100,N 129503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129503,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129503,A000000,00300,0000,0300EMPLOYEE BENEFITS 129503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129503,A000000,00700,0000,0700HOUSEKEEPING 129503,A000000,00800,0000,0800DIETARY 129503,A000000,00900,0000,0900NURSING ADMINISTRATION 129503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129503,A000000,01100,0000,1100PHARMACY 129503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129503,A000000,01300,0000,1300SOCIAL SERVICE 129503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129503,A000000,01500,0000,1350ACTIVITIES 129503,A000000,01600,0000,1600SKILLED NURSING FACILITY 129503,A000000,01800,0000,1800NURSING FACILITY 129503,A000000,01810,0000,1810ICF/MR 129503,A000000,02100,0000,2100RADIOLOGY 129503,A000000,02200,0000,2200LABORATORY 129503,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129503,A000000,02500,0000,2500PHYSICAL THERAPY 129503,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129503,A000000,02700,0000,2700SPEECH PATHOLOGY 129503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129503,A000000,03550,0000,3550FQHC 129503,A000000,05000,0000,5000CORF 129503,A000000,05010,0000,5010CMHC 129503,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129503,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129503,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129503,A81000A,00100,0100,Y 129503,A81000B,00100,0300,MANAGEMENT FEES 129503,A81000B,00200,0300,QUALITY ASSURANCE 129503,A81000B,00300,0300,CAPITAL 129503,A81000B,00400,0300,HOME OFFICE - OTHER 129503,A81000C,00100,0100,B 129503,A81000C,00100,0400,LAUREL HEALTH 129503,A81000C,00100,0600,MANAGEMENT CO 129503,B100000,00000,0100,0100SQUARE FEET 129503,B100000,00000,0200,0200SQUARE FEET 129503,B100000,00000,0300,0300GROSS SAL 129503,B100000,00000,0400,0400ACCUM. COST 129503,B100000,00000,0500,0500SQUARE FEET 129503,B100000,00000,0600,0600PAT DAYS 129503,B100000,00000,0700,0700SQUARE FEET 129503,B100000,00000,0800,0800PAT DAYS 129503,B100000,00000,0900,0900NURSING HOURS 129503,B100000,00000,1000,1000PAT DAYS 129503,B100000,00000,1100,1100BLANK 129503,B100000,00000,1200,1200PAT DAYS 129503,B100000,00000,1300,1300DISCHARGES 129503,B100000,00000,1400,1400BLANK 129503,B100000,00000,1500,1350PATIENT DAYS 129503,E10A180,00501,0100,02/15/02 129503,E10A180,00501,0300,07/31/01 129503,E10A180,00551,0100,07/31/01 129503,S000000,00100,0200,05/30/00 129503,S200000,00100,0100,400 SOUTH CRAPO STREET 129503,S200000,00200,0100,MT PLEASANT 129503,S200000,00200,0200,MI 129503,S200000,00200,0300,48858 129503,S200000,00300,0100,ISABELLA 129503,S200000,00300,0200,2300 129503,S200000,00300,0300,R 129503,S200000,00400,0100,THE LAURELS OF MT PLEASANT 129503,S200000,00400,0200,235385 129503,S200000,00400,0300,10/01/95 129503,S200000,00400,0500,P 129503,S200000,01500,0100,N 129503,S200000,01600,0100,Y 129503,S200000,01700,0100,N 129503,S200000,01800,0100,N 129503,S200000,02200,0100,Y 129503,S200000,02800,0100,N 129503,S200000,02900,0100,N 129503,S200000,03000,0100,N 129503,S200000,03100,0100,N 129503,S200000,03200,0100,N 129503,S200000,03300,0100,N 129503,S200000,03300,0200,N 129503,S200000,04100,0100,N 129503,S200000,04200,0100,N 129503,S200000,04300,0100,N 129503,S200000,04600,0100,N 129503,S200000,04700,0100,N 129503,S200000,04900,0100,N 129503,S200000,05200,0100,N 129545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129545,A000000,00300,0000,0300EMPLOYEE BENEFITS 129545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129545,A000000,00700,0000,0700HOUSEKEEPING 129545,A000000,00800,0000,0800DIETARY 129545,A000000,00900,0000,0900NURSING ADMINISTRATION 129545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129545,A000000,01100,0000,1100PHARMACY 129545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129545,A000000,01300,0000,1300SOCIAL SERVICE 129545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129545,A000000,01500,0000,1350OTHER GENERAL SERVICES 129545,A000000,01600,0000,1600SKILLED NURSING FACILITY 129545,A000000,01800,0000,1800NURSING FACILITY 129545,A000000,01810,0000,1810ICF/MR 129545,A000000,02100,0000,2100RADIOLOGY 129545,A000000,02200,0000,2200LABORATORY 129545,A000000,02500,0000,2500PHYSICAL THERAPY 129545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129545,A000000,02700,0000,2700SPEECH PATHOLOGY 129545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129545,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129545,A000000,03550,0000,3550FQHC 129545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129545,A000000,05000,0000,5000CORF 129545,A000000,05010,0000,5010CMHC 129545,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129545,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129545,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129545,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129545,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129545,A81000A,00100,0100,Y 129545,A81000B,00100,0300,BUILDING LEASE 129545,A81000B,00200,0300,EQUIPMENT LEASE 129545,A81000B,00300,0300,DEPR-BUILDING 129545,A81000B,00400,0300,DEPR-EQUIPMENT 129545,A81000B,00500,0300,MORTGAGE INTEREST EXP 129545,A81000C,00100,0100,B 129545,A81000C,00100,0200,KENNETH HEFFEL 129545,A81000C,00100,0400,KENNETH HEFFEL 129545,A81000C,00100,0600,LESSOR 129545,A81000C,00200,0100,B 129545,A81000C,00200,0200,DIANE HEFFEL 129545,A81000C,00200,0400,DIANE HEFFEL 129545,A81000C,00200,0600,LESSOR 129545,B100000,00000,0100,0100SQUARE FEET 129545,B100000,00000,0200,0200SQUARE FEET 129545,B100000,00000,0300,0300GROSS SALARIES 129545,B100000,00000,0400,0400ACCUM. COST 129545,B100000,00000,0500,0500SQUARE FEET 129545,B100000,00000,0600,0600POUNDS OF LAUNDRY 129545,B100000,00000,0700,0700HOURS OF SERVICE 129545,B100000,00000,0800,0800MEALS SERVED 129545,B100000,00000,0900,0900DIR. NRSG LABOR COST 129545,B100000,00000,1000,1000COSTED REQUIS. 129545,B100000,00000,1100,1100COSTED REQUIS. 129545,B100000,00000,1200,1200TIME SPENT 129545,B100000,00000,1300,1300TIME SPENT 129545,B100000,00000,1400,1400ASSIGNED TIME 129545,B100000,00000,1500,1350NO STATISTICS 129545,S000000,00100,0200,12/04/00 129545,S200000,00100,0100,800 SOUTH HAM LANE 129545,S200000,00200,0100,LODI 129545,S200000,00200,0200,CA 129545,S200000,00200,0300,95240 129545,S200000,00300,0100,S 129545,S200000,00300,0200,8120 129545,S200000,00300,0300,U 129545,S200000,00400,0100,VIENNA CONVALESCENT HOSPITAL 129545,S200000,00400,0200,055481 129545,S200000,00400,0300,01/01/67 129545,S200000,00400,0500,P 129545,S200000,00600,0200,055481 129545,S200000,00600,0300,01/01/67 129545,S200000,00600,0600,O 129545,S200000,01500,0100,N 129545,S200000,01600,0100,Y 129545,S200000,01700,0100,N 129545,S200000,01800,0100,N 129545,S200000,02200,0100,N 129545,S200000,02800,0100,N 129545,S200000,02900,0100,N 129545,S200000,03000,0100,N 129545,S200000,03100,0100,N 129545,S200000,03200,0100,N 129545,S200000,03300,0100,N 129545,S200000,03300,0200,N 129545,S200000,03500,0300,N 129545,S200000,04100,0100,N 129545,S200000,04200,0100,N 129545,S200000,04300,0100,N 129545,S200000,04600,0100,N 129545,S200000,04700,0100,N 129545,S200000,04700,0200,N 129545,S200000,04900,0100,N 129545,S200000,05200,0100,N 129550,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129550,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129550,A000000,00300,0000,0300EMPLOYEE BENEFITS 129550,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129550,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129550,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129550,A000000,00700,0000,0700HOUSEKEEPING 129550,A000000,00800,0000,0800DIETARY 129550,A000000,00900,0000,0900NURSING ADMINISTRATION 129550,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129550,A000000,01100,0000,1100PHARMACY 129550,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129550,A000000,01300,0000,1300SOCIAL SERVICE 129550,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129550,A000000,01600,0000,1600SKILLED NURSING FACILITY 129550,A000000,01810,0000,1810ICF/MR 129550,A000000,02100,0000,2100RADIOLOGY 129550,A000000,02200,0000,2200LABORATORY 129550,A000000,02500,0000,2500PHYSICAL THERAPY 129550,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129550,A000000,02700,0000,2700SPEECH PATHOLOGY 129550,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129550,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129550,A000000,03550,0000,3550FQHC 129550,A000000,04800,0000,4800AMBULANCE 129550,A000000,05000,0000,5000CORF 129550,A000000,05010,0000,5010CMHC 129550,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129550,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129550,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129550,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 129550,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129550,A81000A,00100,0100,Y 129550,A81000B,00100,0300,MGT FEE/HOME OFFICE 129550,A81000B,00200,0300,PHYSICAL THERAPY 129550,A81000B,00300,0300,OCCUPATIONAL THERAPY 129550,A81000B,00400,0300,SPEECH THERAPY 129550,A81000B,00500,0300,MEDICAL SUPPLIES 129550,A81000B,00600,0300,MEDICAL SUPPLIES 129550,A81000C,00100,0100,B 129550,A81000C,00100,0200,FOUNTAIN VIEW INC 129550,A81000C,00100,0400,SOUTHWOOD CARE CENTER 129550,A81000C,00100,0600,MANAGEMENT 129550,A81000C,00200,0100,B 129550,A81000C,00200,0200,FOUNTAIN VIEW INC. 129550,A81000C,00200,0400,SKILLED CARE PHARMACY 129550,A81000C,00200,0600,INSTITUTIONAL PHARMACY 129550,A81000C,00300,0100,B 129550,A81000C,00300,0200,FOUNTAIN VIEW INC. 129550,A81000C,00300,0400,LOCOMOTION 129550,A81000C,00300,0600,THERAPY COMPANY 129550,A81000C,00400,0100,B 129550,A81000C,00400,0200,FOUNTAIN VIEW INC. 129550,A81000C,00400,0400,I N O 129550,A81000C,00400,0600,MEDICAL SUPPLY COMPANY 129550,B100000,00000,0100,0100SQUARE FEET 129550,B100000,00000,0200,0200SQUARE FEET 129550,B100000,00000,0300,0300GROSS SALARY 129550,B100000,00000,0400,0400ACCUM. COST 129550,B100000,00000,0500,0500SQUARE FEET 129550,B100000,00000,0600,0600PATIENT DAYS 129550,B100000,00000,0700,0700SQUARE FEET 129550,B100000,00000,0800,0800MEALS SERVED 129550,B100000,00000,0900,0900NURSING HOURS 129550,B100000,00000,1000,1000COSTED REQUIS 129550,B100000,00000,1100,1100COSTED REQUIS 129550,B100000,00000,1200,1200GROSS REVENUE 129550,B100000,00000,1300,1300PATIENT DAYS 129550,B100000,00000,1400,1400ASSIGNED TIME 129550,E10A180,00350,0300,02/22/00 129550,E10A180,00501,0100,03/15/01 129550,E10A180,00550,0300,03/15/01 129550,S000000,00100,0200,01/19/01 129550,S200000,00100,0100,3759 VALLEY VIEW ROAD 129550,S200000,00200,0100,AUSTIN 129550,S200000,00200,0200,TX 129550,S200000,00200,0300,78704 129550,S200000,00300,0100,T 129550,S200000,00300,0200,0640 129550,S200000,00300,0300,U 129550,S200000,00400,0100,SOUTHWOOD CARE CENTER 129550,S200000,00400,0200,455887 129550,S200000,00400,0300,07/18/90 129550,S200000,00400,0500,P 129550,S200000,01500,0100,N 129550,S200000,01600,0100,Y 129550,S200000,01700,0100,N 129550,S200000,01800,0100,N 129550,S200000,02200,0100,N 129550,S200000,02800,0100,N 129550,S200000,02900,0100,N 129550,S200000,03000,0100,N 129550,S200000,03100,0100,N 129550,S200000,03200,0100,N 129550,S200000,03300,0100,N 129550,S200000,03300,0200,N 129550,S200000,04100,0100,N 129550,S200000,04200,0100,N 129550,S200000,04300,0100,N 129550,S200000,04600,0100,N 129550,S200000,04700,0100,N 129550,S200000,04700,0200,N 129550,S200000,04900,0100,N 129550,S200000,05200,0100,N 129638,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129638,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129638,A000000,00300,0000,0300EMPLOYEE BENEFITS 129638,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129638,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129638,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129638,A000000,00700,0000,0700HOUSEKEEPING 129638,A000000,00800,0000,0800DIETARY 129638,A000000,00900,0000,0900NURSING ADMINISTRATION 129638,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129638,A000000,01100,0000,1100PHARMACY 129638,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129638,A000000,01300,0000,1300SOCIAL SERVICE 129638,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129638,A000000,01500,0000,1350PATIENT ACTIVITIES 129638,A000000,01600,0000,1600SKILLED NURSING FACILITY 129638,A000000,01810,0000,1810ICF/MR 129638,A000000,01900,0000,1900OTHER LONG TERM CARE 129638,A000000,02500,0000,2500PHYSICAL THERAPY 129638,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129638,A000000,02700,0000,2700SPEECH PATHOLOGY 129638,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129638,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129638,A000000,03200,0000,3200SUPPORT SURFACES 129638,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129638,A000000,03550,0000,3550FQHC 129638,A000000,05000,0000,5000CORF 129638,A000000,05010,0000,5010CMHC 129638,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129638,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129638,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129638,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129638,A81000A,00100,0100,Y 129638,A81000B,00100,0300,RELATED PARTY LEASE 129638,A81000B,00200,0300,DEPRECIATION 129638,A81000B,00300,0300,DEPRECIATION 129638,A81000B,00400,0300,INTEREST 129638,A81000B,00500,0300,AMORTIZATION 129638,A81000C,00100,0100,A 129638,A81000C,00100,0200,M.J. HAMPTON 129638,A81000C,00100,0400,TANDEM PROPERTY 129638,A81000C,00100,0600,REAL ESTATE 129638,A81000C,00200,0100,A 129638,A81000C,00200,0200,M.J. HAMPTON 129638,A81000C,00200,0400,TANDEM PROPERTY 129638,A81000C,00200,0600,REAL ESTAT 129638,A81000C,00300,0100,A 129638,A81000C,00300,0200,M.J. HAMPTON 129638,A81000C,00300,0400,TANDEM PROPERTY 129638,A81000C,00300,0600,REAL ESTATE 129638,A81000C,00400,0100,A 129638,A81000C,00400,0200,M.J. HAMPTON 129638,A81000C,00400,0400,TANDEM PROPERTY 129638,A81000C,00400,0600,REAL ESTATE 129638,A81000C,00500,0100,A 129638,A81000C,00500,0200,M.J. HAMPTON 129638,A81000C,00500,0400,TANDEM PROPERTY 129638,A81000C,00500,0600,REAL ESTATE 129638,B100000,00000,0100,0100SQUARE FEET 129638,B100000,00000,0200,0200SQUARE FEET 129638,B100000,00000,0300,0300GROSS SALARIES 129638,B100000,00000,0400,0400ACCUM. COST 129638,B100000,00000,0500,0500SQUARE FEET 129638,B100000,00000,0600,0600POUNDS OF LAUNDRY 129638,B100000,00000,0700,0700SQR FTG EXC DI 129638,B100000,00000,0800,0800PATIENT DAYS 129638,B100000,00000,0900,0900DIRECT NRSING HRS 129638,B100000,00000,1000,1000PATIENT DAYS 129638,B100000,00000,1100,1100PATIENT DAYS 129638,B100000,00000,1200,1200TIME SPENT 129638,B100000,00000,1300,1300PATIENT DAYS 129638,B100000,00000,1400,1400ASSIGNED TIME 129638,B100000,00000,1500,1350PATIENT DAYS 129638,E10A180,00301,0100,04/12/99 129638,S000000,00100,0200,09/25/00 129638,S200000,00100,0100,830 BETHANY CHURCH ROAD 129638,S200000,00200,0100,FOREST CITY 129638,S200000,00200,0200,NC 129638,S200000,00200,0300,28043 129638,S200000,00300,0100,RUTHERFORD 129638,S200000,00300,0200,9934 129638,S200000,00300,0300,R 129638,S200000,00400,0100,EDGEWOOD NURSING CENTER 129638,S200000,00400,0200,345314 129638,S200000,00400,0300,04/06/90 129638,S200000,00400,0500,P 129638,S200000,01500,0100,N 129638,S200000,01600,0100,Y 129638,S200000,01700,0100,N 129638,S200000,01800,0100,N 129638,S200000,02200,0100,N 129638,S200000,02800,0100,N 129638,S200000,02900,0100,N 129638,S200000,03000,0100,N 129638,S200000,03100,0100,N 129638,S200000,03200,0100,N 129638,S200000,03300,0100,N 129638,S200000,03300,0200,N 129638,S200000,04100,0100,N 129638,S200000,04200,0100,N 129638,S200000,04300,0100,N 129638,S200000,04600,0100,N 129638,S200000,04700,0100,N 129638,S200000,04900,0100,N 129638,S200000,05200,0100,N 129639,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129639,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129639,A000000,00300,0000,0300EMPLOYEE BENEFITS 129639,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129639,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129639,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129639,A000000,00700,0000,0700HOUSEKEEPING 129639,A000000,00800,0000,0800DIETARY 129639,A000000,00900,0000,0900NURSING ADMINISTRATION 129639,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129639,A000000,01100,0000,1100PHARMACY 129639,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129639,A000000,01300,0000,1300SOCIAL SERVICE 129639,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129639,A000000,01500,0000,1350PATIENT ACTIVITIES 129639,A000000,01600,0000,1600SKILLED NURSING FACILITY 129639,A000000,01810,0000,1810ICF/MR 129639,A000000,01900,0000,1900OTHER LONG TERM CARE 129639,A000000,02100,0000,2100RADIOLOGY 129639,A000000,02200,0000,2200LABORATORY 129639,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129639,A000000,02500,0000,2500PHYSICAL THERAPY 129639,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129639,A000000,02700,0000,2700SPEECH PATHOLOGY 129639,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129639,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129639,A000000,03200,0000,3200SUPPORT SURFACES 129639,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129639,A000000,03550,0000,3550FQHC 129639,A000000,05000,0000,5000CORF 129639,A000000,05010,0000,5010CMHC 129639,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129639,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129639,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129639,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129639,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129639,A000000,05900,0000,5900BARBER & BEAUTY SHOP 129639,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129639,A81000A,00100,0100,Y 129639,A81000B,00100,0300,CENTRAL OFFICE OVHD 129639,A81000B,00200,0300,CENTRAL OFFICE CAPITAL 129639,A81000C,00100,0100,A 129639,A81000C,00100,0200,AUTUMN CORPORATION 129639,A81000C,00100,0400,AUTUMN CORPORATION 129639,A81000C,00100,0600,HOME OFFICE 129639,A81000C,00200,0100,A 129639,A81000C,00200,0200,AUTUMN CORPORATION 129639,A81000C,00200,0400,AUTUMN CORPORATION 129639,A81000C,00200,0600,HOME OFFICE 129639,B100000,00000,0100,0100SQUARE FEET 129639,B100000,00000,0200,0200SQUARE FEET 129639,B100000,00000,0300,0300GROSS SALARIES 129639,B100000,00000,0400,0400ACCUM. COST 129639,B100000,00000,0500,0500SQUARE FEET 129639,B100000,00000,0600,0600POUNDS OF LAUNDRY 129639,B100000,00000,0700,0700SQ FT W/O DIETARY 129639,B100000,00000,0800,0800PATIENT DAYS 129639,B100000,00000,0900,0900HOURS OF SERVICE 129639,B100000,00000,1000,1000PATIENT DAYS 129639,B100000,00000,1100,1100PATIENT DAYS 129639,B100000,00000,1200,1200PATIENT DAYS 129639,B100000,00000,1300,1300PATIENT DAYS 129639,B100000,00000,1400,1400ASSIGNED TIME 129639,B100000,00000,1500,1350PATIENT DAYS 129639,E10A180,00501,0100,07/30/01 129639,S000000,00100,0200,06/06/01 129639,S200000,00100,0100,830 BETHANY CHURCH ROAD 129639,S200000,00200,0100,FOREST CITY 129639,S200000,00200,0200,NC 129639,S200000,00200,0300,28043 129639,S200000,00300,0100,RUTHERFORD 129639,S200000,00300,0300,R 129639,S200000,00400,0100,AUTUMN CARE OF FOREST CITY 129639,S200000,00400,0200,345314 129639,S200000,00400,0300,04/06/90 129639,S200000,00400,0500,P 129639,S200000,01500,0100,Y 129639,S200000,01600,0100,N 129639,S200000,01700,0100,N 129639,S200000,01800,0100,N 129639,S200000,02200,0100,N 129639,S200000,02800,0100,N 129639,S200000,02900,0100,N 129639,S200000,03000,0100,N 129639,S200000,03100,0100,N 129639,S200000,03200,0100,N 129639,S200000,03300,0100,N 129639,S200000,03300,0200,N 129639,S200000,04100,0100,N 129639,S200000,04200,0100,N 129639,S200000,04300,0100,N 129639,S200000,04600,0100,N 129639,S200000,04700,0100,N 129639,S200000,04900,0100,N 129639,S200000,05200,0100,N 129904,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129904,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129904,A000000,00300,0000,0300EMPLOYEE BENEFITS 129904,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129904,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129904,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129904,A000000,00700,0000,0700HOUSEKEEPING 129904,A000000,00800,0000,0800DIETARY 129904,A000000,00900,0000,0900NURSING ADMINISTRATION 129904,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129904,A000000,01100,0000,1100PHARMACY 129904,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129904,A000000,01300,0000,1300SOCIAL SERVICE 129904,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129904,A000000,01500,0000,1350PATIENT ACTIVITIES 129904,A000000,01600,0000,1600SKILLED NURSING FACILITY 129904,A000000,01800,0000,1800NURSING FACILITY 129904,A000000,01810,0000,1810ICF/MR 129904,A000000,02200,0000,2200LABORATORY 129904,A000000,02500,0000,2500PHYSICAL THERAPY 129904,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129904,A000000,02700,0000,2700SPEECH PATHOLOGY 129904,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129904,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129904,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 129904,A000000,03550,0000,3550FQHC 129904,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 129904,A000000,05000,0000,5000CORF 129904,A000000,05010,0000,5010CMHC 129904,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129904,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129904,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129904,A000000,05100,0000,4750OTHER REIMBURSABLE COST 129904,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 129904,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 129904,A81000A,00100,0100,Y 129904,A81000B,00100,0300,HOME OFFICE FEES 129904,A81000B,00200,0300,HOME OFFICE CAPITAL 129904,A81000B,00300,0300,HOME OFFICE NON CAPITAL 129904,A81000B,00400,0300,ANCILLARY MGMT FEE 129904,A81000B,00500,0300,ANCILLARY MGMT FEE 129904,A81000B,00600,0300,ANCILLARY MGMT FEE 129904,A81000C,00100,0100,B 129904,A81000C,00100,0200,FHS INC 129904,A81000C,00100,0400,FHS INC 129904,A81000C,00100,0600,HOME OFFICE 129904,A81000C,00200,0100,B 129904,A81000C,00200,0200,FAS INC 129904,A81000C,00200,0400,FAS INC 129904,A81000C,00200,0600,ANCILLARY MGMT 129904,B100000,00000,0100,0100SQUARE FEET 129904,B100000,00000,0200,0200NO STATISTICS 129904,B100000,00000,0300,0300GROSS SALARIES 129904,B100000,00000,0400,0400ACCUM. COST 129904,B100000,00000,0500,0500SQUARE FEET 129904,B100000,00000,0600,0600PATIENT DAYS 129904,B100000,00000,0700,0700SQ FT EXCL DIET 129904,B100000,00000,0800,0800MEALS SERVED 129904,B100000,00000,0900,0900NO STATISTICS 129904,B100000,00000,1000,1000NO STATISTICS 129904,B100000,00000,1100,1100PATIENT DAYS 129904,B100000,00000,1200,1200NO STATISTICS 129904,B100000,00000,1300,1300NO STATISTICS 129904,B100000,00000,1400,1400NO STATISTICS 129904,B100000,00000,1500,1350PATIENT DAYS 129904,S000000,00100,0200,06/01/00 129904,S200000,00100,0100,1600 WEST CLAIRBORNE EXT 129904,S200000,00200,0100,GREENWOOD 129904,S200000,00200,0200,MS 129904,S200000,00200,0300,38930 129904,S200000,00300,0100,LEFLORE 129904,S200000,00300,0200,0025 129904,S200000,00300,0300,R 129904,S200000,00400,0100,PEMBERTON MANOR 129904,S200000,00400,0200,255216 129904,S200000,00400,0300,12/01/95 129904,S200000,00400,0500,P 129904,S200000,01500,0100,N 129904,S200000,01600,0100,Y 129904,S200000,01700,0100,N 129904,S200000,01800,0100,N 129904,S200000,02200,0100,N 129904,S200000,02800,0100,Y 129904,S200000,02900,0100,N 129904,S200000,03000,0100,N 129904,S200000,03100,0100,N 129904,S200000,03200,0100,N 129904,S200000,03300,0100,N 129904,S200000,03300,0200,N 129904,S200000,04100,0100,N 129904,S200000,04200,0100,N 129904,S200000,04300,0100,N 129904,S200000,04600,0100,N 129904,S200000,04700,0100,N 129904,S200000,04900,0100,N 129904,S200000,05200,0100,N 129935,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 129935,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 129935,A000000,00300,0000,0300EMPLOYEE BENEFITS 129935,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 129935,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 129935,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 129935,A000000,00700,0000,0700HOUSEKEEPING 129935,A000000,00800,0000,0800DIETARY 129935,A000000,00900,0000,0900NURSING ADMINISTRATION 129935,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 129935,A000000,01100,0000,1100PHARMACY 129935,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 129935,A000000,01300,0000,1300SOCIAL SERVICE 129935,A000000,01350,0000,1301RECREATIONAL THERAPY 129935,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 129935,A000000,01600,0000,1600SKILLED NURSING FACILITY 129935,A000000,01810,0000,1810ICF/MR 129935,A000000,02100,0000,2100RADIOLOGY 129935,A000000,02200,0000,2200LABORATORY 129935,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 129935,A000000,02500,0000,2500PHYSICAL THERAPY 129935,A000000,02600,0000,2600OCCUPATIONAL THERAPY 129935,A000000,02700,0000,2700SPEECH PATHOLOGY 129935,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 129935,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 129935,A000000,03550,0000,3550FQHC 129935,A000000,03600,0000,3450OTHER - DIALYSIS CENTER 129935,A000000,05000,0000,5000CORF 129935,A000000,05010,0000,5010CMHC 129935,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 129935,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 129935,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 129935,A000000,05300,0000,5300INTEREST EXPENSE 129935,A000000,06300,0000,6150NONALLOWABLE INTEREST 129935,A81000A,00100,0100,Y 129935,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 129935,A81000B,00200,0300,ADMINISTRATIVE AND 129935,A81000C,00100,0100,G 129935,A81000C,00100,0200,MARC SILVER 129935,A81000C,00100,0400,OWNER 129935,A81000C,00200,0100,G 129935,A81000C,00200,0200,DALE SILVER 129935,A81000C,00200,0400,OWNER 129935,B100000,00000,0100,0100(SQUARE FEET) 129935,B100000,00000,0200,0200(SQUARE FEET) 129935,B100000,00000,0300,0300(GROSS SALARIES) 129935,B100000,00000,0400,0400ACCUM COST 129935,B100000,00000,0500,0500(SQUARE FEET) 129935,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 129935,B100000,00000,0700,0700(SQUARE FEET) 129935,B100000,00000,0800,0800(MEALS SERVED) 129935,B100000,00000,0900,0900(DIRECT NRSG HRS) 129935,B100000,00000,1000,1000(COST TO DIRECT) 129935,B100000,00000,1100,1100(PATIENT DAYS) 129935,B100000,00000,1200,1200(TIME SPENT) 129935,B100000,00000,1300,1300(TIME SPENT) 129935,B100000,00000,1350,1350PATIENT DAYS 129935,B100000,00000,1400,1400(ASSIGNED TIME) 129935,E10A180,00501,0100,07/19/00 129935,E10A180,00501,0300,07/19/00 129935,E10A180,00550,0300,09/06/01 129935,S000000,00100,0200,06/06/00 129935,S200000,00100,0100,1417 BRACE ROAD 129935,S200000,00200,0100,CHERRY HILL 129935,S200000,00200,0200,NJ 129935,S200000,00200,0300,08034 129935,S200000,00300,0100,CAMDEN 129935,S200000,00300,0200,6160 129935,S200000,00300,0300,U 129935,S200000,00400,0100,SILVER COURT NURSING CENTER 129935,S200000,00400,0200,315280 129935,S200000,00400,0300,06/01/89 129935,S200000,00400,0500,P 129935,S200000,01500,0100,N 129935,S200000,01600,0100,Y 129935,S200000,01700,0100,N 129935,S200000,01800,0100,N 129935,S200000,01900,0100,501 C(3) 129935,S200000,02200,0100,N 129935,S200000,02800,0100,N 129935,S200000,02900,0100,N 129935,S200000,03000,0100,N 129935,S200000,03100,0100,N 129935,S200000,03200,0100,N 129935,S200000,03300,0100,N 129935,S200000,03300,0200,N 129935,S200000,04100,0100,N 129935,S200000,04200,0100,N 129935,S200000,04300,0100,N 129935,S200000,04600,0100,N 129935,S200000,04700,0100,N 129935,S200000,04900,0100,N 129935,S200000,05200,0100,N 130029,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130029,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130029,A000000,00300,0000,0300EMPLOYEE BENEFITS 130029,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130029,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130029,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130029,A000000,00700,0000,0700HOUSEKEEPING 130029,A000000,00800,0000,0800DIETARY 130029,A000000,00900,0000,0900NURSING ADMINISTRATION 130029,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130029,A000000,01100,0000,1100PHARMACY 130029,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130029,A000000,01300,0000,1300SOCIAL SERVICE 130029,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130029,A000000,01600,0000,1600SKILLED NURSING FACILITY 130029,A000000,01810,0000,1810ICF/MR 130029,A000000,02200,0000,2200LABORATORY 130029,A000000,02300,0000,2300INTRAVENOUS THERAPY 130029,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130029,A000000,02500,0000,2500PHYSICAL THERAPY 130029,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130029,A000000,02700,0000,2700SPEECH PATHOLOGY 130029,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130029,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130029,A000000,03301,0000,3051AIR FLUIDIZED BEDS 130029,A000000,03550,0000,3550FQHC 130029,A000000,04800,0000,4800AMBULANCE 130029,A000000,05000,0000,5000CORF 130029,A000000,05010,0000,5010CMHC 130029,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130029,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130029,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130029,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130029,A81000A,00100,0100,Y 130029,A81000B,00100,0300,H.O. CAPITAL REL BLDG 130029,A81000B,00200,0300,H.O. CAPITAL REL MME 130029,A81000B,00300,0300,H.O. FIELD SUPERVISIONN 130029,A81000C,00100,0100,B 130029,A81000C,00100,0200,LA EXTENDED CARE CENTERS 130029,B100000,00000,0100,0100SQUARE FEET 130029,B100000,00000,0200,0200SQUARE FEET 130029,B100000,00000,0300,0300GROSS SALARIES 130029,B100000,00000,0400,0400ACCUM. COST 130029,B100000,00000,0500,0500SQUARE FEET 130029,B100000,00000,0600,0600POUNDS OF LAUNDRY 130029,B100000,00000,0700,0700SQAURE FEET 130029,B100000,00000,0800,0800MEALS SERVED 130029,B100000,00000,0900,0900DIRECT NRSING HRS 130029,B100000,00000,1000,1000COSTED REQUIS 130029,B100000,00000,1100,1100COSTED REQUIS 130029,B100000,00000,1200,1200TIME SPENT 130029,B100000,00000,1300,1300TIME SPENT 130029,B100000,00000,1400,1400ASSIGNED TIME 130029,S000000,00100,0200,05/16/00 130029,S200000,00100,0100,326 HIGHWAY 12 WEST 130029,S200000,00200,0100,KOSCIUSKO 130029,S200000,00200,0200,MS 130029,S200000,00200,0300,39090 130029,S200000,00300,0100,ATTALA 130029,S200000,00300,0200,0025 130029,S200000,00300,0300,R 130029,S200000,00400,0100,ATTALA COUNTY NURSING HOME 130029,S200000,00400,0200,255191 130029,S200000,00400,0300,01/01/95 130029,S200000,00400,0500,P 130029,S200000,01500,0100,Y 130029,S200000,01600,0100,N 130029,S200000,01700,0100,N 130029,S200000,01800,0100,N 130029,S200000,02200,0100,Y 130029,S200000,02800,0100,N 130029,S200000,02900,0100,N 130029,S200000,03000,0100,N 130029,S200000,03100,0100,N 130029,S200000,03200,0100,N 130029,S200000,03300,0100,N 130029,S200000,03300,0200,N 130029,S200000,04100,0100,N 130029,S200000,04200,0100,N 130029,S200000,04300,0100,N 130029,S200000,04600,0100,N 130029,S200000,04700,0100,N 130029,S200000,05200,0100,N 130094,S000000,00100,0200,12/26/00 130094,S200000,00100,0100,11 WESTERN AVENUE 130094,S200000,00200,0100,WINTHROP 130094,S200000,00200,0200,ME 130094,S200000,00200,0300,04364 130094,S200000,00300,0100,KENNEBEC 130094,S200000,00400,0100,NICHOLSON S NURSING HOME 130094,S200000,00400,0300,03/31/94 130181,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130181,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130181,A000000,00300,0000,0300EMPLOYEE BENEFITS 130181,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130181,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130181,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130181,A000000,00700,0000,0700HOUSEKEEPING 130181,A000000,00800,0000,0800DIETARY 130181,A000000,00900,0000,0900NURSING ADMINISTRATION 130181,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130181,A000000,01100,0000,1100PHARMACY 130181,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130181,A000000,01300,0000,1300SOCIAL SERVICE 130181,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130181,A000000,01500,0000,1350OTHER GENERAL SERVICES 130181,A000000,01600,0000,1600SKILLED NURSING FACILITY 130181,A000000,01800,0000,1800NURSING FACILITY 130181,A000000,01810,0000,1810ICF/MR 130181,A000000,01900,0000,1900OTHER LONG TERM CARE 130181,A000000,02100,0000,2100RADIOLOGY 130181,A000000,02200,0000,2200LABORATORY 130181,A000000,02300,0000,2300INTRAVENOUS THERAPY 130181,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130181,A000000,02500,0000,2500PHYSICAL THERAPY 130181,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130181,A000000,02700,0000,2700SPEECH PATHOLOGY 130181,A000000,02800,0000,2800ELECTROCARDIOLOGY 130181,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130181,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130181,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130181,A000000,03200,0000,3200SUPPORT SURFACES 130181,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130181,A000000,03400,0000,3400CLINIC 130181,A000000,03500,0000,3500RURAL HEALTH CLINIC 130181,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130181,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130181,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130181,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130181,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130181,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130181,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130181,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130181,A000000,04400,0000,4400DME RENTED - HHA 130181,A000000,04500,0000,4500DME SOLD - HHA 130181,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130181,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130181,A000000,04800,0000,4800AMBULANCE 130181,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130181,A000000,05000,0000,5000CORF 130181,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130181,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130181,A000000,05300,0000,5300INTEREST EXPENSE 130181,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130181,A000000,05500,0000,5500HOSPICE 130181,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130181,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130181,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130181,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130181,A000000,06100,0000,6100NONPAID WORKERS 130181,A000000,06200,0000,6200PATIENTS LAUNDRY 130181,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130181,A81000A,00100,0100,Y 130181,A81000B,00100,0300,ACCOUNTING 130181,A81000B,00200,0300,OFFICE SUPPLIES 130181,A81000B,00300,0300,PRINTING 130181,A81000B,00400,0300,POSTAGE 130181,A81000B,00500,0300,MOTOR POOL 130181,A81000C,00100,0100,B 130181,A81000C,00100,0400,CITY OF BANGOR 130181,A81000C,00100,0600,MUNICIPALITY 130181,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130181,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130181,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 130181,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130181,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130181,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 130181,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 130181,B100000,00000,0800,0800MEALS SERVED :DIETARY 130181,S000000,00100,0200,11/29/00 130181,S200000,00100,0100,103 TEXAS AVENUE 130181,S200000,00200,0100,BANGOR 130181,S200000,00200,0200,ME 130181,S200000,00200,0300,04401-4324 130181,S200000,00300,0100,PENOBSCOT 130181,S200000,00300,0200,0733 130181,S200000,00300,0300,U 130181,S200000,00400,0100,BANGOR CITY NURSING HOME 130181,S200000,00400,0200,205020 130181,S200000,00400,0300,06/30/89 130181,S200000,00400,0500,P 130181,S200000,01500,0100,Y 130181,S200000,01600,0100,N 130181,S200000,01700,0100,N 130181,S200000,01800,0100,N 130181,S200000,02200,0100,N 130181,S200000,02800,0100,N 130181,S200000,02900,0100,N 130181,S200000,03000,0100,N 130181,S200000,03100,0100,N 130181,S200000,03200,0100,N 130181,S200000,04100,0100,N 130181,S200000,04200,0100,N 130181,S200000,04300,0100,N 130181,S200000,04600,0100,N 130181,S200000,04700,0100,N 130181,S200000,04700,0200,N 130181,S200000,04900,0100,N 130181,S200000,05000,0100,N 130181,S200000,05100,0100,N 130181,S200000,05200,0100,N 130182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130182,A000000,00101,0000,0101CAP REL COSTS - B&F BRIDGES 130182,A000000,00102,0000,0102CAP REL COSTS - B&F BROWN 130182,A000000,00103,0000,0103CAP REL COSTS - B&F DAY CARE 130182,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130182,A000000,00300,0000,0300EMPLOYEE BENEFITS 130182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130182,A000000,00700,0000,0700HOUSEKEEPING 130182,A000000,00800,0000,0800DIETARY 130182,A000000,00900,0000,0900NURSING ADMINISTRATION 130182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130182,A000000,01100,0000,1100PHARMACY 130182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130182,A000000,01300,0000,1300SOCIAL SERVICE 130182,A000000,01500,0000,1350PATIENT ACTIVITIES 130182,A000000,01600,0000,1600SKILLED NURSING FACILITY 130182,A000000,01800,0000,1800NURSING FACILITY 130182,A000000,01900,0000,1900OTHER LONG TERM CARE 130182,A000000,02100,0000,2100RADIOLOGY 130182,A000000,02200,0000,2200LABORATORY 130182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130182,A000000,02500,0000,2500PHYSICAL THERAPY 130182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130182,A000000,02700,0000,2700SPEECH PATHOLOGY 130182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130182,A000000,02901,0000,2901AIR BEDS 130182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130182,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130182,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130182,A000000,05300,0000,5300INTEREST EXPENSE 130182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130182,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130182,A000000,06100,0000,6100NONPAID WORKERS 130182,A000000,06200,0000,6200PATIENTS LAUNDRY 130182,A000000,06300,0000,6150ADULT DAY CARE 130182,A000000,06301,0000,6151CHILD DAY CARE 130182,A000000,06302,0000,6152PROMOTIONAL ADVERTISING 130182,A000000,06303,0000,6153RENTAL PROPERTY 130182,A000000,06304,0000,6154CNA TRAINING 130182,A81000A,00100,0100,Y 130182,A81000B,00100,0300,WORKER S COMP 130182,A81000B,00200,0300,RELIGIOUS SERVICES 130182,A81000B,00300,0300,INSURANCE 130182,A81000B,00400,0300,INSURANCE 130182,A81000B,00500,0300,INSURANCE ADC 130182,A81000B,00600,0300,INSURANCE CDC 130182,A81000C,00100,0100,B 130182,A81000C,00100,0400,RMN CTHLC DIOCS 130182,A81000C,00100,0600,CATH DIOCESE 130182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130182,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130182,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 130182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130182,B100000,00000,0600,0600POUNDS :LAUNDRY & LINEN SERVIC 130182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 130182,B100000,00000,0800,0800MEALS :DIETARY 130182,B100000,00000,0900,0950NURSING HRS :NURSING ADMINISTRA 130182,B100000,00000,1000,1000COSTED REQS :CENTRAL SERVICES & 130182,B100000,00000,1200,1200MR TIME :MEDICAL RECORDS & LIBR 130182,B100000,00000,1300,1300SS TIME :SOCIAL SERVICE 130182,B100000,00000,1500,1350PAT TIME :PATIENT ACTIVITIES 130182,E10A180,00301,0100,08/24/00 130182,S000000,00100,0200,12/01/00 130182,S200000,00100,0100,1133 WASHINGTON AVENUE 130182,S200000,00200,0100,PORTLAND 130182,S200000,00200,0200,ME 130182,S200000,00200,0300,04103- 130182,S200000,00300,0100,CUMBERLAND 130182,S200000,00300,0200,6403 130182,S200000,00300,0300,U 130182,S200000,00400,0100,ST. JOSEPH S MANOR 130182,S200000,00400,0200,205134 130182,S200000,00400,0300,01/01/93 130182,S200000,00400,0500,P 130182,S200000,01500,0100,Y 130182,S200000,01600,0100,N 130182,S200000,01700,0100,N 130182,S200000,01800,0100,N 130182,S200000,02200,0100,N 130182,S200000,02800,0100,N 130182,S200000,02900,0100,N 130182,S200000,03000,0100,N 130182,S200000,03100,0100,N 130182,S200000,03200,0100,N 130182,S200000,04100,0100,N 130182,S200000,04200,0100,N 130182,S200000,04300,0100,N 130182,S200000,04600,0100,N 130182,S200000,04700,0100,N 130182,S200000,04700,0200,N 130182,S200000,04900,0100,N 130182,S200000,05000,0100,N 130182,S200000,05100,0100,N 130182,S200000,05200,0100,N 130185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130185,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130185,A000000,00300,0000,0300EMPLOYEE BENEFITS 130185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130185,A000000,00700,0000,0700HOUSEKEEPING 130185,A000000,00800,0000,0800DIETARY 130185,A000000,00900,0000,0900NURSING ADMINISTRATION 130185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130185,A000000,01100,0000,1100PHARMACY 130185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130185,A000000,01300,0000,1300SOCIAL SERVICE 130185,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130185,A000000,01500,0000,1350PATIENT ACTIVITIES 130185,A000000,01600,0000,1600SKILLED NURSING FACILITY 130185,A000000,01800,0000,1800NURSING FACILITY 130185,A000000,01810,0000,1810ICF/MR 130185,A000000,01900,0000,1900OTHER LONG TERM CARE 130185,A000000,02100,0000,2100RADIOLOGY 130185,A000000,02200,0000,2200LABORATORY 130185,A000000,02300,0000,2300INTRAVENOUS THERAPY 130185,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130185,A000000,02500,0000,2500PHYSICAL THERAPY 130185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130185,A000000,02700,0000,2700SPEECH PATHOLOGY 130185,A000000,02800,0000,2800ELECTROCARDIOLOGY 130185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130185,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130185,A000000,03200,0000,3200SUPPORT SURFACES 130185,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130185,A000000,03400,0000,3400CLINIC 130185,A000000,03500,0000,3500RURAL HEALTH CLINIC 130185,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130185,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130185,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130185,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130185,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130185,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130185,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130185,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130185,A000000,04400,0000,4400DME RENTED - HHA 130185,A000000,04500,0000,4500DME SOLD - HHA 130185,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130185,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130185,A000000,04800,0000,4800AMBULANCE 130185,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130185,A000000,05000,0000,5000CORF 130185,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130185,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130185,A000000,05300,0000,5300INTEREST EXPENSE 130185,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130185,A000000,05500,0000,5500HOSPICE 130185,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130185,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130185,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130185,A000000,06100,0000,6100NONPAID WORKERS 130185,A000000,06200,0000,6200PATIENTS LAUNDRY 130185,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130185,A81000A,00100,0100,Y 130185,A81000B,00100,0300,PHYSICAL THERAPY 130185,A81000B,00200,0300,OCCUPATIONAL THERAPY 130185,A81000B,00300,0300,SPEECH PATHOLOGY 130185,A81000B,00400,0300,LABORATORY 130185,A81000B,00500,0300,DRUGS 130185,A81000B,00600,0300,CONTROLLER/ACCOUNTANT 130185,A81000B,00700,0300,EMPLOYEE PHYSICALS 130185,A81000B,00800,0300,B&F LAND LEASE 130185,A81000B,00900,0300,DIETARY 130185,A81000C,00100,0100,B 130185,A81000C,00100,0400,INLAND HOSPITAL 130185,A81000C,00100,0600,HEALTHCARE 130185,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130185,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130185,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 130185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130185,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130185,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 130185,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 130185,B100000,00000,0800,0800MEALS SERVED :DIETARY 130185,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 130185,B100000,00000,1300,1330SS HOURS :SOCIAL SERVICE 130185,B100000,00000,1500,1350PAT HOURS :PATIENT ACTIVITIES 130185,S000000,00100,0200,02/27/01 130185,S200000,00100,0100,220 KENNEDY MEMORIAL DRIVE 130185,S200000,00200,0100,WATERVILLE 130185,S200000,00200,0200,ME 130185,S200000,00200,0300,04901- 130185,S200000,00300,0100,KENNEBEC 130185,S200000,00300,0200,20 130185,S200000,00300,0300,R 130185,S200000,00400,0100,LAKEWOOD A CONTINUING CARE CENTER 130185,S200000,00400,0200,205138 130185,S200000,00400,0300,01/01/93 130185,S200000,00400,0500,P 130185,S200000,00400,0600,O 130185,S200000,00600,0200,205138 130185,S200000,00600,0300,01/01/93 130185,S200000,00600,0600,O 130185,S200000,01500,0100,N 130185,S200000,01600,0100,Y 130185,S200000,01700,0100,N 130185,S200000,01800,0100,N 130185,S200000,01900,0100,NOT FOR PROFIT 130185,S200000,02200,0100,Y 130185,S200000,02800,0100,Y 130185,S200000,02900,0100,N 130185,S200000,03000,0100,N 130185,S200000,03100,0100,N 130185,S200000,03200,0100,N 130185,S200000,04100,0100,N 130185,S200000,04200,0100,N 130185,S200000,04300,0100,N 130185,S200000,04600,0100,N 130185,S200000,04700,0100,N 130185,S200000,04700,0200,N 130185,S200000,04900,0100,N 130185,S200000,05000,0100,N 130185,S200000,05100,0100,N 130185,S200000,05200,0100,N 130196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130196,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130196,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPMEN 130196,A000000,00202,0000,0202CAP REL COSTS - MOVABLE EQUIPMEN 130196,A000000,00300,0000,0300EMPLOYEE BENEFITS 130196,A000000,00301,0000,0301EMPLOYEE BENEFITS 130196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130196,A000000,00501,0000,0501PLANT OPERATION MAINT. & REPAIR 130196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130196,A000000,00601,0000,0601LAUNDRY & LINEN SERVICE 130196,A000000,00700,0000,0700HOUSEKEEPING 130196,A000000,00701,0000,0701HOUSEKEEPING 130196,A000000,00800,0000,0800DIETARY 130196,A000000,00801,0000,0801DIETARY 130196,A000000,00802,0000,0802DIETARY 130196,A000000,00900,0000,0900NURSING ADMINISTRATION 130196,A000000,00901,0000,0901NURSING ADMINISTRATION 130196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130196,A000000,01100,0000,1100PHARMACY 130196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130196,A000000,01300,0000,1300SOCIAL SERVICE 130196,A000000,01301,0000,1301SOCIAL SERVICE 130196,A000000,01302,0000,1302SOCIAL SERVICE 130196,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130196,A000000,01500,0000,1350OTHER GENERAL SERVICES 130196,A000000,01501,0000,1351OTHER GENERAL SERVICE COST CENTE 130196,A000000,01600,0000,1600SKILLED NURSING FACILITY 130196,A000000,01800,0000,1800NURSING FACILITY 130196,A000000,01810,0000,1810ICF/MR 130196,A000000,01900,0000,1900OTHER LONG TERM CARE 130196,A000000,02100,0000,2100RADIOLOGY 130196,A000000,02200,0000,2200LABORATORY 130196,A000000,02300,0000,2300INTRAVENOUS THERAPY 130196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130196,A000000,02500,0000,2500PHYSICAL THERAPY 130196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130196,A000000,02700,0000,2700SPEECH PATHOLOGY 130196,A000000,02800,0000,2800ELECTROCARDIOLOGY 130196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130196,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130196,A000000,03200,0000,3200SUPPORT SURFACES 130196,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130196,A000000,03400,0000,3400CLINIC 130196,A000000,03500,0000,3500RURAL HEALTH CLINIC 130196,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130196,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130196,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130196,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130196,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130196,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130196,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130196,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130196,A000000,04400,0000,4400DME RENTED - HHA 130196,A000000,04500,0000,4500DME SOLD - HHA 130196,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130196,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130196,A000000,04800,0000,4800AMBULANCE 130196,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130196,A000000,05000,0000,5000CORF 130196,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130196,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130196,A000000,05300,0000,5300INTEREST EXPENSE 130196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130196,A000000,05500,0000,5500HOSPICE 130196,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130196,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130196,A000000,06100,0000,6100NONPAID WORKERS 130196,A000000,06200,0000,6200PATIENTS LAUNDRY 130196,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130196,A81000A,00100,0100,N 130196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130196,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 130196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 130196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 130196,B100000,00000,0800,0800MEALS SERVED :DIETARY 130196,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 130196,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 130196,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 130196,S000000,00100,0200,11/29/00 130196,S200000,00100,0100,309 FAIRVIEW AVENUE 130196,S200000,00200,0100,AUBURN 130196,S200000,00200,0200,ME 130196,S200000,00200,0300,04210- 130196,S200000,00300,0100,ANDROSCOGGIN 130196,S200000,00300,0200,4243 130196,S200000,00300,0300,U 130196,S200000,00400,0100,ODD FELLOWS HOME OF MAINE 130196,S200000,00400,0200,205170 130196,S200000,00400,0300,04/01/92 130196,S200000,00400,0500,P 130196,S200000,00400,0600,O 130196,S200000,01500,0100,N 130196,S200000,01600,0100,Y 130196,S200000,01700,0100,N 130196,S200000,01800,0100,N 130196,S200000,02200,0100,N 130196,S200000,02800,0100,N 130196,S200000,02900,0100,N 130196,S200000,03000,0100,N 130196,S200000,03100,0100,N 130196,S200000,03200,0100,N 130196,S200000,04100,0100,N 130196,S200000,04200,0100,N 130196,S200000,04300,0100,N 130196,S200000,04600,0100,N 130196,S200000,04700,0100,N 130196,S200000,04700,0200,N 130196,S200000,04900,0100,N 130196,S200000,05000,0100,N 130196,S200000,05100,0100,N 130196,S200000,05200,0100,N 130209,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130209,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130209,A000000,00300,0000,0300EMPLOYEE BENEFITS 130209,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130209,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130209,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130209,A000000,00700,0000,0700HOUSEKEEPING 130209,A000000,00800,0000,0800DIETARY 130209,A000000,00900,0000,0900NURSING ADMINISTRATION 130209,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130209,A000000,01100,0000,1100PHARMACY 130209,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130209,A000000,01300,0000,1300SOCIAL SERVICE 130209,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130209,A000000,01600,0000,1600SKILLED NURSING FACILITY 130209,A000000,01800,0000,1800NURSING FACILITY 130209,A000000,01810,0000,1810ICF/MR 130209,A000000,01900,0000,1900OTHER LONG TERM CARE 130209,A000000,02100,0000,2100RADIOLOGY 130209,A000000,02200,0000,2200LABORATORY 130209,A000000,02300,0000,2300INTRAVENOUS THERAPY 130209,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130209,A000000,02500,0000,2500PHYSICAL THERAPY 130209,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130209,A000000,02700,0000,2700SPEECH PATHOLOGY 130209,A000000,02800,0000,2800ELECTROCARDIOLOGY 130209,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130209,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130209,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130209,A000000,03200,0000,3200SUPPORT SURFACES 130209,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 130209,A000000,03400,0000,3400CLINIC 130209,A000000,03500,0000,3500RURAL HEALTH CLINIC 130209,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 130209,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130209,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130209,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130209,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130209,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130209,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130209,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130209,A000000,04400,0000,4400DME RENTED - HHA 130209,A000000,04500,0000,4500DME SOLD - HHA 130209,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130209,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130209,A000000,04800,0000,4800AMBULANCE 130209,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130209,A000000,05000,0000,5000CORF 130209,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130209,A000000,05300,0000,5300INTEREST EXPENSE 130209,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130209,A000000,05500,0000,5500HOSPICE 130209,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130209,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130209,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130209,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130209,A000000,06100,0000,6100NONPAID WORKERS 130209,A000000,06200,0000,6200PATIENTS LAUNDRY 130209,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 130209,A81000A,00100,0100,Y 130209,A81000B,00100,0300,PHYSICAL THERAPY 130209,A81000C,00100,0100,B 130209,A81000C,00100,0200,MAINEGENERAL ME 130209,A81000C,00100,0400,MAINEGENERAL ME 130209,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130209,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130209,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 130209,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130209,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130209,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 130209,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 130209,B100000,00000,0800,0800MEALS SERVED :DIETARY 130209,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 130209,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 130209,S000000,00100,0200,02/28/01 130209,S200000,00100,0100,6 E. CHESTNUT STREET 130209,S200000,00100,0300,MAINEGEN. HEALTH 130209,S200000,00200,0100,AUGUSTA 130209,S200000,00200,0200,ME 130209,S200000,00200,0300,04330- 130209,S200000,00300,0100,KENNEBEC 130209,S200000,00300,0200,20 130209,S200000,00300,0300,R 130209,S200000,00400,0100,JACKMAN REGION HEALTH CENTER 130209,S200000,00400,0200,205164 130209,S200000,00400,0300,01/01/94 130209,S200000,00400,0500,P 130209,S200000,00400,0600,O 130209,S200000,01100,0200,203976 130209,S200000,01100,0300,05/16/97 130209,S200000,01100,0500,O 130209,S200000,01500,0100,Y 130209,S200000,01600,0100,N 130209,S200000,01700,0100,N 130209,S200000,01800,0100,N 130209,S200000,01900,0100,OTHER (SPECIFY) 130209,S200000,02200,0100,N 130209,S200000,02800,0100,N 130209,S200000,02900,0100,N 130209,S200000,03000,0100,N 130209,S200000,03100,0100,N 130209,S200000,03200,0100,N 130209,S200000,04100,0100,N 130209,S200000,04200,0100,N 130209,S200000,04300,0100,N 130209,S200000,04600,0100,N 130209,S200000,04700,0100,N 130209,S200000,04700,0200,N 130209,S200000,04900,0100,N 130209,S200000,05000,0100,N 130209,S200000,05100,0100,N 130209,S200000,05200,0100,N 130209,S51R000,00100,0100,HCR 64 BOX 155 130209,S51R000,00100,0200,SOMERSET 130209,S51R000,00200,0100,JACKMAN 130209,S51R000,00200,0200,ME 130209,S51R000,00200,0300,04954 130209,S51R000,01000,0100,PATRICIA DOYLE 130209,S51R000,01000,0200,B86400 130209,S51R000,01200,0100,N 130209,S51R000,01300,0300,800 130209,S51R000,01300,0400,1700 130209,S51R000,01300,0500,800 130209,S51R000,01300,0600,1700 130209,S51R000,01300,0700,800 130209,S51R000,01300,0800,1700 130209,S51R000,01300,0900,800 130209,S51R000,01300,1000,1700 130209,S51R000,01300,1100,800 130209,S51R000,01300,1200,1700 130209,S51R000,01400,0100,N 130209,S51R000,01500,0100,N 130209,S51R000,01600,0100,N 130398,S000000,00100,0200,03/14/01 130399,S000000,00100,0200,06/01/00 130413,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130413,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130413,A000000,00300,0000,0300EMPLOYEE BENEFITS 130413,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130413,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130413,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130413,A000000,00700,0000,0700HOUSEKEEPING 130413,A000000,00800,0000,0800DIETARY 130413,A000000,00900,0000,0900NURSING ADMINISTRATION 130413,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130413,A000000,01100,0000,1100PHARMACY 130413,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130413,A000000,01300,0000,1300SOCIAL SERVICE 130413,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130413,A000000,01500,0000,1350PATIENT ACTIVITIES 130413,A000000,01600,0000,1600SKILLED NURSING FACILITY 130413,A000000,01810,0000,1810ICF/MR 130413,A000000,02100,0000,2100RADIOLOGY 130413,A000000,02200,0000,2200LABORATORY 130413,A000000,02500,0000,2500PHYSICAL THERAPY 130413,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130413,A000000,02700,0000,2700SPEECH PATHOLOGY 130413,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130413,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130413,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130413,A000000,03550,0000,3550FQHC 130413,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130413,A000000,05000,0000,5000CORF 130413,A000000,05010,0000,5010CMHC 130413,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130413,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130413,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130413,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130413,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130413,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130413,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130413,A81000A,00100,0100,Y 130413,A81000B,00100,0300,HOME OFFICE OVERHEAD 130413,A81000B,00200,0300,LEASE 130413,A81000C,00100,0100,A 130413,A81000C,00100,0200,PARKSIDE CARE CENTER 130413,A81000C,00100,0400,RICE MANAGEMENT INC 130413,A81000C,00100,0600,HOME OFFICE 130413,A81000C,00200,0100,A 130413,A81000C,00200,0200,PARKSIDE CARE CENTER 130413,A81000C,00200,0400,RICE ENTERPRISES 130413,A81000C,00200,0600,REAL ESTATE 130413,B100000,00000,0100,0100SQUARE FEET 130413,B100000,00000,0200,0200SQUARE FEET 130413,B100000,00000,0300,0300GROSS SALARIES 130413,B100000,00000,0400,0400ACCUM. COST 130413,B100000,00000,0500,0500SQUARE FEET 130413,B100000,00000,0600,0600LAUNDRY POUNDS 130413,B100000,00000,0700,0700SQUARE FEET 130413,B100000,00000,0800,0800MEALS 130413,B100000,00000,0900,0900HOURS WORKED 130413,B100000,00000,1000,1000COSTED REQUIS. 130413,B100000,00000,1100,1100COSTED REQUIS. 130413,B100000,00000,1200,1200TIME SPENT 130413,B100000,00000,1300,1300ADMISSIONS S 130413,B100000,00000,1400,1400TIME SPENT 130413,B100000,00000,1500,1350HOURS WORKED 130413,E10A180,00501,0300,10/23/00 130413,S000000,00100,0200,06/06/00 130413,S200000,00100,0100,1201 GARFIELD AVENUE 130413,S200000,00200,0100,LITTLE CHUTE 130413,S200000,00200,0200,WI 130413,S200000,00300,0100,OUTAGAMIE 130413,S200000,00400,0100,PARKSIDE CARE CENTER 130413,S200000,00400,0200,525579 130413,S200000,00400,0300,11/01/98 130413,S200000,00400,0500,P 130413,S200000,01500,0100,Y 130413,S200000,01600,0100,N 130413,S200000,01700,0100,N 130413,S200000,01800,0100,N 130413,S200000,02200,0100,N 130413,S200000,02800,0100,N 130413,S200000,02900,0100,N 130413,S200000,03000,0100,N 130413,S200000,03100,0100,N 130413,S200000,03200,0100,N 130413,S200000,03300,0100,N 130413,S200000,03300,0200,N 130413,S200000,04100,0100,N 130413,S200000,04200,0100,N 130413,S200000,04300,0100,N 130413,S200000,04600,0100,N 130413,S200000,04700,0100,N 130413,S200000,04700,0200,N 130413,S200000,04900,0100,N 130428,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130428,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130428,A000000,00300,0000,0300EMPLOYEE BENEFITS 130428,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130428,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130428,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130428,A000000,00700,0000,0700HOUSEKEEPING 130428,A000000,00800,0000,0800DIETARY 130428,A000000,00900,0000,0900NURSING ADMINISTRATION 130428,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130428,A000000,01100,0000,1100PHARMACY 130428,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130428,A000000,01300,0000,1300SOCIAL SERVICE 130428,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130428,A000000,01600,0000,1600SKILLED NURSING FACILITY 130428,A000000,01810,0000,1810ICF/MR 130428,A000000,02100,0000,2100RADIOLOGY 130428,A000000,02200,0000,2200LABORATORY 130428,A000000,02300,0000,2300INTRAVENOUS THERAPY 130428,A000000,02500,0000,2500PHYSICAL THERAPY 130428,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130428,A000000,02700,0000,2700SPEECH PATHOLOGY 130428,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130428,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130428,A000000,03200,0000,3200SUPPORT SURFACES 130428,A000000,03550,0000,3550FQHC 130428,A000000,05000,0000,5000CORF 130428,A000000,05010,0000,5010CMHC 130428,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130428,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130428,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130428,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130428,A81000A,00100,0100,Y 130428,A81000B,00100,0300,MANAGEMENT FEES 130428,A81000B,00200,0300,CAP REL-BLDG 130428,A81000B,00300,0300,CAP REL-EQUIP 130428,A81000B,00400,0300,FACILITY RENT 130428,A81000C,00400,0100,B 130428,A81000C,00400,0200,J & L FRIEDMAN 130428,A81000C,00400,0400,LONGWOOD MGT 130428,A81000C,00400,0600,MANAGEMENT 130428,B100000,00000,0100,0100SQUARE FEET 130428,B100000,00000,0200,0200DOLLAR VALUE 130428,B100000,00000,0300,0300GROSS SALARIES 130428,B100000,00000,0400,0400ACCUM. COST 130428,B100000,00000,0500,0500SQUARE FEET 130428,B100000,00000,0600,0600POUNDS OF LAUNDRY 130428,B100000,00000,0700,0700HOURS OF SERVICE 130428,B100000,00000,0800,0800MEALS SERVED 130428,B100000,00000,0900,0900DIRECT NRSING HRS 130428,B100000,00000,1000,1000COSTED REQUIS. 130428,B100000,00000,1100,1100COSTED REQUIS. 130428,B100000,00000,1200,1200TIME SPENT 130428,B100000,00000,1300,1300TIME SPENT 130428,B100000,00000,1400,1400ASSIGNED TIME 130428,E10A180,00301,0300,03/24/00 130428,E10A180,00501,0100,04/18/01 130428,E10A180,00550,0300,04/18/01 130428,S000000,00100,0200,02/14/01 130428,S200000,00100,0100,4853 W. WASHINGTON BLVD. 130428,S200000,00200,0100,LOS ANGELES 130428,S200000,00200,0200,CA 130428,S200000,00200,0300,90016 130428,S200000,00300,0100,L 130428,S200000,00300,0200,4480 130428,S200000,00300,0300,U 0 130428,S200000,00400,0100,LONGWOOD MANOR 130428,S200000,00400,0200,055753 130428,S200000,00400,0300,07/01/68 130428,S200000,00400,0500,P 130428,S200000,01500,0100,N 130428,S200000,01600,0100,Y 130428,S200000,01700,0100,N 130428,S200000,01800,0100,N 130428,S200000,02200,0100,N 130428,S200000,02800,0100,N 130428,S200000,02900,0100,N 130428,S200000,03000,0100,N 130428,S200000,03100,0100,N 130428,S200000,03200,0100,N 130428,S200000,03300,0100,N 130428,S200000,03300,0200,N 130428,S200000,04100,0100,N 130428,S200000,04200,0100,N 130428,S200000,04300,0100,Y 130428,S200000,04600,0100,N 130428,S200000,04700,0100,N 130428,S200000,04900,0100,N 130428,S200000,05200,0100,N 130466,S000000,00100,0200,01/01/02 130466,S200000,00100,0100,701 WEST 6TH STREET 130466,S200000,00200,0100,GRAFTO 130466,S200000,00200,0200,ND 130466,S200000,00200,0300,58237 130466,S200000,00300,0100,WALSH 130466,S200000,00400,0100,TBI STEPS PROGRAM 130466,S200000,00400,0300,07/29/99 130484,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130484,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130484,A000000,00300,0000,0300EMPLOYEE BENEFITS 130484,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130484,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130484,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130484,A000000,00700,0000,0700HOUSEKEEPING 130484,A000000,00800,0000,0800DIETARY 130484,A000000,00900,0000,0900NURSING ADMINISTRATION 130484,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130484,A000000,01100,0000,1100PHARMACY 130484,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130484,A000000,01300,0000,1300SOCIAL SERVICE 130484,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130484,A000000,01600,0000,1600SKILLED NURSING FACILITY 130484,A000000,01800,0000,1800NURSING FACILITY 130484,A000000,01810,0000,1810ICF/MR 130484,A000000,02100,0000,2100RADIOLOGY 130484,A000000,02500,0000,2500PHYSICAL THERAPY 130484,A000000,03550,0000,3550FQHC 130484,A000000,05000,0000,5000CORF 130484,A000000,05010,0000,5010CMHC 130484,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130484,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130484,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130484,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130484,A000000,06200,0000,6200PATIENTS LAUNDRY 130484,A000000,06300,0000,6150HHA 130484,A000000,06310,0000,6151SAN VICENTE PROGRAM 130484,A81000A,00100,0100,N 130484,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 130484,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 130484,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 130484,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 130484,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 130484,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 130484,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 130484,B100000,00000,0800,0800MEALS SERVED :DIETARY 130484,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 130484,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 130484,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 130484,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 130484,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 130484,S000000,00100,0200,10/31/02 130484,S200000,00100,0300,29395 130484,S200000,00200,0100,RIO PIEDRAS 130484,S200000,00200,0200,PR 130484,S200000,00200,0300,00924- 130484,S200000,00300,0100,SAN JUAN 130484,S200000,00300,0200,7440 130484,S200000,00300,0300,U 130484,S200000,00400,0100,COMPLEJO MEDICO SOCIAL-SNF 130484,S200000,00400,0200,405021 130484,S200000,00400,0300,01/26/83 130484,S200000,00400,0500,P 130484,S200000,01004,0500,O 130484,S200000,01500,0100,Y 130484,S200000,01600,0100,N 130484,S200000,01700,0100,N 130484,S200000,01800,0100,N 130484,S200000,02200,0100,Y 130484,S200000,02800,0100,N 130484,S200000,02900,0100,N 130484,S200000,03000,0100,N 130484,S200000,03100,0100,N 130484,S200000,03200,0100,N 130484,S200000,03300,0100,Y 130484,S200000,03300,0200,Y 130484,S200000,04100,0100,N 130484,S200000,04200,0100,N 130484,S200000,04300,0100,N 130484,S200000,04600,0100,Y 130484,S200000,04700,0100,N 130484,S200000,04700,0200,N 130484,S200000,04900,0100,N 130484,S200000,05000,0100,N 130484,S200000,05100,0100,N 130484,S200000,05200,0100,N 130553,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130553,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130553,A000000,00300,0000,0300EMPLOYEE BENEFITS 130553,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130553,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130553,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130553,A000000,00700,0000,0700HOUSEKEEPING 130553,A000000,00800,0000,0800DIETARY 130553,A000000,00900,0000,0900NURSING ADMINISTRATION 130553,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130553,A000000,01100,0000,1100PHARMACY 130553,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130553,A000000,01300,0000,1300SOCIAL SERVICE 130553,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130553,A000000,01600,0000,1600SKILLED NURSING FACILITY 130553,A000000,01800,0000,1800NURSING FACILITY 130553,A000000,01810,0000,1810ICF/MR 130553,A000000,02100,0000,2100RADIOLOGY 130553,A000000,02200,0000,2200LABORATORY 130553,A000000,02300,0000,2300INTRAVENOUS THERAPY 130553,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130553,A000000,02500,0000,2500PHYSICAL THERAPY 130553,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130553,A000000,02700,0000,2700SPEECH PATHOLOGY 130553,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 130553,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130553,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130553,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 130553,A000000,03550,0000,3550FQHC 130553,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 130553,A000000,04800,0000,4800AMBULANCE 130553,A000000,05000,0000,5000CORF 130553,A000000,05010,0000,5010CMHC 130553,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130553,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130553,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130553,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130553,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 130553,A81000A,00100,0100,Y 130553,A81000B,00100,0300,CORPORATE OFFICE ALL 130553,A81000B,00200,0300,CORPORATE OFFICE 130553,A81000B,00300,0300,CORPORATE OFFICE 130553,A81000B,00400,0300,CORPORATE OFFICE 130553,A81000B,00500,0300,CORPORATE OFFICE 130553,A81000C,00100,0100,B 130553,A81000C,00100,0200,NORTHPORT HEALTH 130553,B100000,00000,0100,0100SQUARE FEET 130553,B100000,00000,0200,0200SQUARE FEET 130553,B100000,00000,0300,0300GROSS SALARIES 130553,B100000,00000,0400,0400ACCUM COST 130553,B100000,00000,0500,0500SQUARE FEET 130553,B100000,00000,0600,0600POUNDS OF LAUNDRY 130553,B100000,00000,0700,0700HOURS OF SERVICE 130553,B100000,00000,0800,0800MEALS SERVED 130553,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 130553,B100000,00000,1000,1000COSTED REQUISITIO 130553,B100000,00000,1100,1100COSTED REQUISITIO 130553,B100000,00000,1200,1200TIME SPENT 130553,B100000,00000,1300,1300TIME SPENT 130553,B100000,00000,1400,1400ASSIGNED TIME 130553,E10A180,00501,0100,07/12/00 130553,E10A180,00550,0300,07/12/00 130553,S000000,00100,0200,05/31/00 130553,S200000,00100,0100,4500 OLD GREENWOOD ROAD 130553,S200000,00200,0100,FORT SMITH 130553,S200000,00200,0200,AR 130553,S200000,00200,0300,72903 130553,S200000,00300,0100,SEBASTIAN 130553,S200000,00300,0200,2720 130553,S200000,00300,0300,U 130553,S200000,00400,0100,COVINGTON HEALTH & REHAB CENTER 130553,S200000,00400,0200,045325 130553,S200000,00400,0300,12/01/97 130553,S200000,00400,0500,P 130553,S200000,01500,0100,N 130553,S200000,01600,0100,Y 130553,S200000,01700,0100,N 130553,S200000,01800,0100,N 130553,S200000,02200,0100,N 130553,S200000,02800,0100,N 130553,S200000,02900,0100,N 130553,S200000,03000,0100,N 130553,S200000,03100,0100,N 130553,S200000,03200,0100,N 130553,S200000,03300,0100,N 130553,S200000,03300,0200,N 130553,S200000,04100,0100,N 130553,S200000,04200,0100,N 130553,S200000,04300,0100,N 130553,S200000,04600,0100,N 130553,S200000,04700,0100,N 130553,S200000,04900,0100,N 130553,S200000,05200,0100,N 130555,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130555,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130555,A000000,00300,0000,0300EMPLOYEE BENEFITS 130555,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130555,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130555,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130555,A000000,00700,0000,0700HOUSEKEEPING 130555,A000000,00800,0000,0800DIETARY 130555,A000000,00900,0000,0900NURSING ADMINISTRATION 130555,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130555,A000000,01100,0000,1100PHARMACY 130555,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130555,A000000,01300,0000,1300SOCIAL SERVICE 130555,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130555,A000000,01600,0000,1600SKILLED NURSING FACILITY 130555,A000000,01800,0000,1800NURSING FACILITY 130555,A000000,01810,0000,1810ICF/MR 130555,A000000,02200,0000,2200LABORATORY 130555,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130555,A000000,02500,0000,2500PHYSICAL THERAPY 130555,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130555,A000000,02700,0000,2700SPEECH PATHOLOGY 130555,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130555,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130555,A000000,03550,0000,3550FQHC 130555,A000000,05000,0000,5000CORF 130555,A000000,05010,0000,5010CMHC 130555,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130555,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130555,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130555,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130555,A000000,06200,0000,6200PATIENTS LAUNDRY 130555,A000000,06300,0000,6150PATIENTS PERSONAL NEEDS 130555,A81000A,00100,0100,Y 130555,A81000B,00100,0300,THERAPY SERVICES 130555,A81000B,00200,0300,THERAPY SERVICES 130555,A81000B,00300,0300,THERAPY SERVICES 130555,A81000B,00400,0300,HOME OFFICE COSTS 130555,A81000B,00500,0300,HOME OFFICE COSTS 130555,A81000B,00600,0300,SUPPLIES 130555,A81000B,00700,0300,SUPPLIES 130555,A81000B,00800,0300,SUPPLIES 130555,A81000B,00900,0300,SUPPLIES 130555,A81000B,01000,0300,SUPPLIES 130555,A81000B,01100,0300,SUPPLIES 130555,A81000B,01200,0300,SUPPLIES 130555,A81000B,01300,0300,SUPPLIES 130555,A81000B,01400,0300,SUPPLIES 130555,A81000B,01500,0300,SUPPLIES 130555,A81000B,01600,0300,FACILITY LEASE 130555,A81000C,00100,0100,A 130555,A81000C,00100,0200,SEE HCFA 339 130555,A81000C,00100,0400,DELTA HLTH GRP 130555,A81000C,00100,0600,NRSG HOME OPERA 130555,A81000C,00200,0100,A 130555,A81000C,00200,0200,SEE HCFA 339 130555,A81000C,00200,0400,SKYLER OF MS I 130555,A81000C,00200,0600,PROPERTY LESSOR 130555,A81000C,00300,0100,A 130555,A81000C,00300,0200,SEE HCFA 339 130555,A81000C,00300,0400,DELTA DURABLES 130555,A81000C,00300,0600,SUPPLIES 130555,A81000C,00400,0100,A 130555,A81000C,00400,0200,SEE HCFA 339 130555,A81000C,00400,0400,DELTA REHAB GRO 130555,A81000C,00400,0600,THERAPY SERVICE 130555,B100000,00000,0100,0100SQUARE FEET 130555,B100000,00000,0200,0200SQUARE FEET 130555,B100000,00000,0300,0300GROSS SALARIES 130555,B100000,00000,0400,0400ACCUM COST 130555,B100000,00000,0500,0500SQUARE FEET 130555,B100000,00000,0600,0600POUNDS OF LAUNDRY 130555,B100000,00000,0700,0700SQUARE FEET 130555,B100000,00000,0800,0800MEALS SERVED 130555,B100000,00000,0900,0900DIRECT NRSG HRS 130555,B100000,00000,1000,1000PATIENT DAYS 130555,B100000,00000,1100,1100COSTED REQUIS 130555,B100000,00000,1200,1200NURSING SALARIES 130555,B100000,00000,1300,1300TIME SPENT 130555,B100000,00000,1400,1400ASSIGNED TIME 130555,E10A180,00550,0100,06/27/00 130555,S000000,00100,0200,06/01/00 130555,S200000,00100,0100,3401 MAIN STREET 130555,S200000,00200,0100,MOSS POINT 130555,S200000,00200,0200,MS 130555,S200000,00200,0300,39563 130555,S200000,00300,0100,JACKSON 130555,S200000,00300,0200,0920 130555,S200000,00300,0300,U 130555,S200000,00400,0100,CHATEAU DEVILLE NURSING CENTER 130555,S200000,00400,0200,255174 130555,S200000,00400,0300,05/01/94 130555,S200000,00400,0500,P 130555,S200000,00400,0600,O 130555,S200000,00600,0200,255174 130555,S200000,00600,0300,05/01/94 130555,S200000,00600,0600,O 130555,S200000,01500,0100,N 130555,S200000,01600,0100,Y 130555,S200000,01700,0100,N 130555,S200000,01800,0100,N 130555,S200000,02200,0100,N 130555,S200000,02800,0100,N 130555,S200000,02900,0100,N 130555,S200000,03000,0100,N 130555,S200000,03100,0100,N 130555,S200000,03200,0100,N 130555,S200000,03300,0100,N 130555,S200000,03300,0200,N 130555,S200000,03500,0300,N 130555,S200000,04100,0100,N 130555,S200000,04200,0100,N 130555,S200000,04300,0100,N 130555,S200000,04600,0100,N 130555,S200000,04700,0100,N 130555,S200000,04900,0100,N 130556,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130556,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130556,A000000,00300,0000,0300EMPLOYEE BENEFITS 130556,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130556,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130556,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130556,A000000,00700,0000,0700HOUSEKEEPING 130556,A000000,00800,0000,0800DIETARY 130556,A000000,00900,0000,0900NURSING ADMINISTRATION 130556,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130556,A000000,01100,0000,1100PHARMACY 130556,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130556,A000000,01300,0000,1300SOCIAL SERVICE 130556,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130556,A000000,01600,0000,1600SKILLED NURSING FACILITY 130556,A000000,01810,0000,1810ICF/MR 130556,A000000,02100,0000,2100RADIOLOGY 130556,A000000,02200,0000,2200LABORATORY 130556,A000000,02500,0000,2500PHYSICAL THERAPY 130556,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130556,A000000,02700,0000,2700SPEECH PATHOLOGY 130556,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130556,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130556,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 130556,A000000,03550,0000,3550FQHC 130556,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 130556,A000000,05000,0000,5000CORF 130556,A000000,05010,0000,5010CMHC 130556,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130556,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130556,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130556,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130556,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130556,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 130556,A81000A,00100,0100,Y 130556,A81000B,00100,0300,HOME OFFICE COSTS 130556,A81000B,00200,0300,HOME OFFICE COSTS 130556,A81000B,00300,0300,HOME OFFICE COSTS 130556,A81000C,00100,0100,A 130556,A81000C,00100,0200,DOUG WRIGHT SR. 130556,A81000C,00100,0400,RIGHT CARE INC 130556,A81000C,00100,0600,MANAGEMENT 130556,B100000,00000,0100,0100SQUARE FEET 130556,B100000,00000,0200,0200SQUARE FEET 130556,B100000,00000,0300,0300GROSS SALARIES 130556,B100000,00000,0400,0400ACCUM COST 130556,B100000,00000,0500,0500SQUARE FEET 130556,B100000,00000,0600,0600HOURS OF SERVICE 130556,B100000,00000,0700,0700HOURS OF SERVICE 130556,B100000,00000,0800,0800MEALS SERVED 130556,B100000,00000,0900,0900HOURS OF SERVICE 130556,B100000,00000,1000,1000COSTED REQUISITIO 130556,B100000,00000,1100,1100COSTED REQUIS 130556,B100000,00000,1200,1200HOURS OF SERVICE 130556,B100000,00000,1300,1300HOURS OF SERVICE 130556,B100000,00000,1400,1400ASSIGNED TIME 130556,E10A180,00501,0100,07/31/00 130556,E10A180,00501,0300,07/31/00 130556,S000000,00100,0200,06/30/00 130556,S200000,00100,0100,1401 FIRST AVE. NE 130556,S200000,00100,0300,398 130556,S200000,00200,0100,MAGEE 130556,S200000,00200,0200,MS 130556,S200000,00200,0300,39111 130556,S200000,00300,0100,SIMPSON 130556,S200000,00300,0200,0025 130556,S200000,00300,0300,R 130556,S200000,00400,0100,HILLCREST HEALTH CENTER 130556,S200000,00400,0200,255188 130556,S200000,00400,0300,11/07/95 130556,S200000,00400,0500,P 130556,S200000,01500,0100,N 130556,S200000,01600,0100,Y 130556,S200000,01700,0100,N 130556,S200000,01800,0100,N 130556,S200000,02200,0100,N 130556,S200000,02800,0100,N 130556,S200000,02900,0100,N 130556,S200000,03000,0100,N 130556,S200000,03100,0100,N 130556,S200000,03200,0100,N 130556,S200000,03300,0100,N 130556,S200000,03300,0200,N 130556,S200000,04100,0100,N 130556,S200000,04200,0100,N 130556,S200000,04300,0100,N 130556,S200000,04600,0100,N 130556,S200000,04700,0100,N 130556,S200000,04900,0100,N 130557,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130557,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130557,A000000,00300,0000,0300EMPLOYEE BENEFITS 130557,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130557,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130557,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130557,A000000,00700,0000,0700HOUSEKEEPING 130557,A000000,00800,0000,0800DIETARY 130557,A000000,00900,0000,0900NURSING ADMINISTRATION 130557,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130557,A000000,01100,0000,1100PHARMACY 130557,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130557,A000000,01300,0000,1300SOCIAL SERVICE 130557,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130557,A000000,01600,0000,1600SKILLED NURSING FACILITY 130557,A000000,01810,0000,1810ICF/MR 130557,A000000,02100,0000,2100RADIOLOGY 130557,A000000,02200,0000,2200LABORATORY 130557,A000000,02300,0000,2300INTRAVENOUS THERAPY 130557,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130557,A000000,02500,0000,2500PHYSICAL THERAPY 130557,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130557,A000000,02700,0000,2700SPEECH PATHOLOGY 130557,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130557,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130557,A000000,03550,0000,3550FQHC 130557,A000000,04800,0000,4800AMBULANCE 130557,A000000,05000,0000,5000CORF 130557,A000000,05010,0000,5010CMHC 130557,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130557,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130557,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130557,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130557,A81000A,00100,0100,N 130557,B100000,00000,0100,0100SQUARE FEET 130557,B100000,00000,0200,0200SQUARE FEET 130557,B100000,00000,0300,0300GROSS SALARIES 130557,B100000,00000,0400,0400ACCUM. COST 130557,B100000,00000,0500,0500SQUARE FEET 130557,B100000,00000,0600,0600POUNDS OF LAUNDRY 130557,B100000,00000,0700,0700SQUARE FEET 130557,B100000,00000,0800,0800MEALS SERVED 130557,B100000,00000,0900,0900DIRECT NRSING HRS 130557,B100000,00000,1000,1000COSTED REQUIS 130557,B100000,00000,1100,1100COSTED REQUIS 130557,B100000,00000,1200,1200TIME SPENT 130557,B100000,00000,1300,1300TIME SPENT 130557,B100000,00000,1400,1400ASSIGNED TIME 130557,E10A180,00501,0100,06/26/00 130557,E10A180,00501,0300,08/01/00 130557,E10A180,00550,0100,06/15/00 130557,S000000,00100,0200,05/16/00 130557,S200000,00100,0300,PO BOX 398 130557,S200000,00200,0100,MONTICELLO 130557,S200000,00200,0200,MS 130557,S200000,00300,0100,LAWRENCE 130557,S200000,00300,0200,0025 130557,S200000,00300,0300,R 130557,S200000,00400,0100,LAWRENCE COUNTY NURSING HOME 130557,S200000,00400,0200,255214 130557,S200000,00400,0300,01/01/96 130557,S200000,00400,0500,P 130557,S200000,01500,0100,Y 130557,S200000,01600,0100,N 130557,S200000,01700,0100,N 130557,S200000,01800,0100,N 130557,S200000,02200,0100,Y 130557,S200000,02800,0100,N 130557,S200000,02900,0100,N 130557,S200000,03000,0100,N 130557,S200000,03100,0100,N 130557,S200000,03200,0100,N 130557,S200000,03300,0100,N 130557,S200000,03300,0200,N 130557,S200000,04100,0100,N 130557,S200000,04200,0100,N 130557,S200000,04300,0100,N 130557,S200000,04600,0100,N 130557,S200000,04700,0100,N 130557,S200000,04900,0100,N 130557,S200000,05200,0100,N 130560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130560,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130560,A000000,00300,0000,0300EMPLOYEE BENEFITS 130560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130560,A000000,00700,0000,0700HOUSEKEEPING 130560,A000000,00800,0000,0800DIETARY 130560,A000000,00900,0000,0900NURSING ADMINISTRATION 130560,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130560,A000000,01100,0000,1100PHARMACY 130560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130560,A000000,01300,0000,1300SOCIAL SERVICE 130560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130560,A000000,01600,0000,1600SKILLED NURSING FACILITY 130560,A000000,01800,0000,1800NURSING FACILITY 130560,A000000,01810,0000,1810ICF/MR 130560,A000000,02200,0000,2200LABORATORY 130560,A000000,02500,0000,2500PHYSICAL THERAPY 130560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130560,A000000,02700,0000,2700SPEECH PATHOLOGY 130560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130560,A000000,03550,0000,3550FQHC 130560,A000000,05000,0000,5000CORF 130560,A000000,05010,0000,5010CMHC 130560,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130560,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130560,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130560,A000000,05300,0000,5300INTEREST EXPENSE 130560,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130560,A81000A,00100,0100,Y 130560,A81000B,00100,0300,MANAGEMENT FEES 130560,A81000C,00100,0100,A 130560,A81000C,00100,0200,ROBERT WACTHER 130560,A81000C,00100,0400,AMERICAN HEALTHCARE CORP 130560,A81000C,00100,0600,MANAGEMENT COMPANY 130560,B100000,00000,0100,0100SQUARE FEET 130560,B100000,00000,0200,0200SQUARE FEET 130560,B100000,00000,0300,0300GROSS SALARIES 130560,B100000,00000,0400,0400ACCUM. COST 130560,B100000,00000,0500,0500SQUARE FEET 130560,B100000,00000,0600,0600POUNDS OF LAUNDRY 130560,B100000,00000,0700,0700SQUARE FEET 130560,B100000,00000,0800,0800MEALS SERVED 130560,B100000,00000,0900,0900HOURS OF SERVICE 130560,B100000,00000,1000,1000COSTED REQUIS 130560,B100000,00000,1100,1100COSTED REQUIS 130560,B100000,00000,1200,1200TIME SPENT 130560,B100000,00000,1300,1300TIME SPENT 130560,B100000,00000,1400,1400ASSIGNED TIME 130560,E10A180,00501,0100,06/28/00 130560,E10A180,00501,0300,06/28/00 130560,S000000,00100,0200,05/22/00 130560,S200000,00100,0100,1441 CHARIC DRIVE 130560,S200000,00200,0100,BALLWIN 130560,S200000,00200,0200,MO 130560,S200000,00300,0100,ST. LOUIS 130560,S200000,00300,0200,7040 130560,S200000,00300,0300,U 130560,S200000,00400,0100,OAK FOREST SKILLED CARE 130560,S200000,00400,0200,265539 130560,S200000,00400,0300,06/05/93 130560,S200000,00400,0500,P 130560,S200000,01500,0100,N 130560,S200000,01600,0100,Y 130560,S200000,01700,0100,N 130560,S200000,01800,0100,N 130560,S200000,02200,0100,N 130560,S200000,02800,0100,N 130560,S200000,02900,0100,N 130560,S200000,03000,0100,N 130560,S200000,03100,0100,N 130560,S200000,03200,0100,N 130560,S200000,03300,0100,N 130560,S200000,03300,0200,N 130560,S200000,04100,0100,N 130560,S200000,04200,0100,N 130560,S200000,04300,0100,N 130560,S200000,04600,0100,N 130560,S200000,04700,0100,N 130560,S200000,04900,0100,N 130560,S200000,05200,0100,N 130803,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130803,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130803,A000000,00300,0000,0300EMPLOYEE BENEFITS 130803,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130803,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130803,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130803,A000000,00700,0000,0700HOUSEKEEPING 130803,A000000,00800,0000,0800DIETARY 130803,A000000,00900,0000,0900NURSING ADMINISTRATION 130803,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130803,A000000,01100,0000,1100PHARMACY 130803,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130803,A000000,01300,0000,1300SOCIAL SERVICE 130803,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130803,A000000,01600,0000,1600SKILLED NURSING FACILITY 130803,A000000,01800,0000,1800NURSING FACILITY 130803,A000000,01810,0000,1810ICF/MR 130803,A000000,02500,0000,2500PHYSICAL THERAPY 130803,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130803,A000000,02700,0000,2700SPEECH PATHOLOGY 130803,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130803,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130803,A000000,03550,0000,3550FQHC 130803,A000000,05000,0000,5000CORF 130803,A000000,05010,0000,5010CMHC 130803,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130803,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130803,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130803,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130803,A81000A,00100,0100,Y 130803,A81000B,00100,0300,HOME OFFICE COSTS 130803,A81000B,00200,0300,HOME OFFICE COSTS 130803,A81000B,00300,0300,HOME OFFICE COSTS 130803,A81000C,00100,0100,A 130803,A81000C,00100,0200,DOUG WRIGHT SR 130803,A81000C,00100,0400,RIGHT CARE INC 130803,A81000C,00100,0600,MANAGEMENT 130803,B100000,00000,0100,0100SQUARE FEET 130803,B100000,00000,0200,0200SQUARE FEET 130803,B100000,00000,0300,0300GROSS SALARIES 130803,B100000,00000,0400,0400ACCUM COST 130803,B100000,00000,0500,0500SQUARE FEET 130803,B100000,00000,0600,0600POUNDS OF LAUNDRY 130803,B100000,00000,0700,0700HOURS OF SERVICE 130803,B100000,00000,0800,0800MEALS SERVED 130803,B100000,00000,0900,0900DIRECT NRSG HRS 130803,B100000,00000,1000,1000PATIENT DAYS 130803,B100000,00000,1100,1100COSTED REQUIS 130803,B100000,00000,1200,1200PATIEN DAYS 130803,B100000,00000,1300,1300PATIENT DAYS 130803,B100000,00000,1400,1400ASSIGNED TIME 130803,E10A180,00501,0100,08/30/00 130803,E10A180,00501,0300,08/30/00 130803,S000000,00100,0200,07/11/00 130803,S200000,00100,0100,1018 ALBERTA AVENUE 130803,S200000,00200,0100,COLUMBIA 130803,S200000,00200,0200,MS 130803,S200000,00200,0300,39429 130803,S200000,00300,0200,0025 130803,S200000,00300,0300,R 130803,S200000,00400,0100,THE MYRTLES 130803,S200000,00400,0200,255194 130803,S200000,00400,0300,11/01/94 130803,S200000,00400,0500,P 130803,S200000,01500,0100,N 130803,S200000,01600,0100,N 130803,S200000,01700,0100,N 130803,S200000,01800,0100,N 130803,S200000,02200,0100,N 130803,S200000,02800,0100,N 130803,S200000,02900,0100,N 130803,S200000,03000,0100,N 130803,S200000,03100,0100,N 130803,S200000,03200,0100,N 130803,S200000,03300,0100,N 130803,S200000,03300,0200,N 130803,S200000,04100,0100,N 130803,S200000,04200,0100,N 130803,S200000,04300,0100,N 130803,S200000,04600,0100,N 130803,S200000,04700,0100,N 130803,S200000,05200,0100,N 130808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130808,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130808,A000000,00300,0000,0300EMPLOYEE BENEFITS 130808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130808,A000000,00700,0000,0700HOUSEKEEPING 130808,A000000,00800,0000,0800DIETARY 130808,A000000,00900,0000,0900NURSING ADMINISTRATION 130808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130808,A000000,01100,0000,1100PHARMACY 130808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130808,A000000,01300,0000,1300SOCIAL SERVICE 130808,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130808,A000000,01500,0000,1350OTHER GENERAL SERVICES 130808,A000000,01600,0000,1600SKILLED NURSING FACILITY 130808,A000000,01800,0000,1800NURSING FACILITY 130808,A000000,01810,0000,1810ICF/MR 130808,A000000,02100,0000,2100RADIOLOGY 130808,A000000,02200,0000,2200LABORATORY 130808,A000000,02500,0000,2500PHYSICAL THERAPY 130808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130808,A000000,02700,0000,2700SPEECH PATHOLOGY 130808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130808,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130808,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130808,A000000,03550,0000,3550FQHC 130808,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130808,A000000,05000,0000,5000CORF 130808,A000000,05010,0000,5010CMHC 130808,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130808,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130808,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130808,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130808,A000000,05300,0000,5300INTEREST EXPENSE 130808,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130808,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130808,A81000A,00100,0100,Y 130808,A81000B,00100,0300,FACILITY LEASE 130808,A81000C,00100,0100,A 130808,A81000C,00100,0200,PARTNERS 130808,A81000C,00100,0400,COMMUNITY NSG HOME INV 130808,A81000C,00100,0600,NURSING HOME FACILITY 130808,B100000,00000,0100,0100SQUARE FEET 130808,B100000,00000,0200,0200SQUARE FEET 130808,B100000,00000,0300,0300GROSS SALARIES 130808,B100000,00000,0400,0400ACCUM COST 130808,B100000,00000,0500,0500SQUARE FEET 130808,B100000,00000,0600,0600POUNDS OF LAUNDRY 130808,B100000,00000,0700,0700SQUARE FEET 130808,B100000,00000,0800,0800MEALS SERVED 130808,B100000,00000,0900,0900DIRECT NSG 130808,B100000,00000,1000,1000COSTED REQUIS. 130808,B100000,00000,1100,1100NO STATISTICS 130808,B100000,00000,1200,1200TIME SPENT 130808,B100000,00000,1300,1300TIME SPENT 130808,B100000,00000,1400,1400NO STATISTICS 130808,B100000,00000,1500,1350NO STATISTICS 130808,E10A180,00501,0300,06/14/00 130808,S000000,00100,0200,05/15/00 130808,S200000,00100,0100,400 EAST HOSPITAL ROAD 130808,S200000,00200,0100,EL DORADO SPRINGS 130808,S200000,00200,0200,MO 130808,S200000,00300,0100,CEDAR 130808,S200000,00300,0200,0026 130808,S200000,00300,0300,R 130808,S200000,00400,0100,EL DORADO SPRINGS COMMUNITY NSG HOME 130808,S200000,00400,0200,265446 130808,S200000,00400,0300,05/01/95 130808,S200000,00400,0500,P 130808,S200000,01500,0100,N 130808,S200000,01600,0100,Y 130808,S200000,01700,0100,N 130808,S200000,01800,0100,N 130808,S200000,02200,0100,Y 130808,S200000,02800,0100,N 130808,S200000,02900,0100,N 130808,S200000,03000,0100,N 130808,S200000,03100,0100,N 130808,S200000,03200,0100,N 130808,S200000,03300,0100,N 130808,S200000,03300,0200,N 130808,S200000,04100,0100,N 130808,S200000,04200,0100,N 130808,S200000,04300,0100,N 130808,S200000,04600,0100,N 130808,S200000,04700,0100,N 130808,S200000,04900,0100,N 130808,S200000,05200,0100,N 130809,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130809,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130809,A000000,00300,0000,0300EMPLOYEE BENEFITS 130809,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130809,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130809,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130809,A000000,00700,0000,0700HOUSEKEEPING 130809,A000000,00800,0000,0800DIETARY 130809,A000000,00900,0000,0900NURSING ADMINISTRATION 130809,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130809,A000000,01100,0000,1100PHARMACY 130809,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130809,A000000,01300,0000,1300SOCIAL SERVICE 130809,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130809,A000000,01500,0000,1350OTHER GENERAL SERVICES 130809,A000000,01600,0000,1600SKILLED NURSING FACILITY 130809,A000000,01800,0000,1800NURSING FACILITY 130809,A000000,01810,0000,1810ICF/MR 130809,A000000,02100,0000,2100RADIOLOGY 130809,A000000,02200,0000,2200LABORATORY 130809,A000000,02500,0000,2500PHYSICAL THERAPY 130809,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130809,A000000,02700,0000,2700SPEECH PATHOLOGY 130809,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130809,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130809,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130809,A000000,03550,0000,3550FQHC 130809,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130809,A000000,05000,0000,5000CORF 130809,A000000,05010,0000,5010CMHC 130809,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130809,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130809,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130809,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130809,A000000,05300,0000,5300INTEREST EXPENSE 130809,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130809,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130809,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130809,A000000,06200,0000,6200PATIENTS LAUNDRY 130809,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130809,A81000A,00100,0100,Y 130809,A81000B,00100,0300,MANAGEMENT FEES 130809,A81000C,00100,0100,A 130809,A81000C,00100,0200,ROBERT WACHTER 130809,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 130809,A81000C,00100,0600,MANAGEMENT COMPANY 130809,B100000,00000,0100,0100SQUARE FEET 130809,B100000,00000,0200,0200SQUARE FEET 130809,B100000,00000,0300,0300GROSS SALARIES 130809,B100000,00000,0400,0400ACCUM COST 130809,B100000,00000,0500,0500SQUARE FEET 130809,B100000,00000,0600,0600POUNDS OF LAUNDRY 130809,B100000,00000,0700,0700SQUARE FEET 130809,B100000,00000,0800,0800MEALS SERVED 130809,B100000,00000,0900,0900HOURS OF SERVICE 130809,B100000,00000,1000,1000COSTED REQUIS. 130809,B100000,00000,1100,1100COSTED REQUIS. 130809,B100000,00000,1200,1200TIME SPENT 130809,B100000,00000,1300,1300TIME SPENT 130809,B100000,00000,1400,1400ASSIGNED TIME 130809,B100000,00000,1500,1350NO STATISTICS 130809,E10A180,00501,0100,11/22/00 130809,E10A180,00501,0300,11/22/00 130809,S000000,00100,0200,06/28/00 130809,S200000,00100,0100,1221 SOUTHGATE LANE 130809,S200000,00200,0100,JEFFERSON CITY 130809,S200000,00200,0200,MO 130809,S200000,00200,0300,65109 130809,S200000,00300,0100,COLE 130809,S200000,00300,0200,0026 130809,S200000,00300,0300,R 130809,S200000,00400,0100,OAK VIEW LIVING CENTER 130809,S200000,00400,0200,265530 130809,S200000,00400,0300,09/01/99 130809,S200000,00400,0500,P 130809,S200000,01500,0100,N 130809,S200000,01600,0100,Y 130809,S200000,01700,0100,N 130809,S200000,01800,0100,N 130809,S200000,02200,0100,N 130809,S200000,02800,0100,N 130809,S200000,02900,0100,N 130809,S200000,03000,0100,N 130809,S200000,03100,0100,N 130809,S200000,03200,0100,N 130809,S200000,03300,0100,N 130809,S200000,03300,0200,N 130809,S200000,04100,0100,N 130809,S200000,04200,0100,N 130809,S200000,04300,0100,N 130809,S200000,04600,0100,N 130809,S200000,04700,0100,N 130809,S200000,04900,0100,N 130809,S200000,05200,0100,N 130810,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130810,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130810,A000000,00300,0000,0300EMPLOYEE BENEFITS 130810,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130810,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130810,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130810,A000000,00700,0000,0700HOUSEKEEPING 130810,A000000,00800,0000,0800DIETARY 130810,A000000,00900,0000,0900NURSING ADMINISTRATION 130810,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130810,A000000,01100,0000,1100PHARMACY 130810,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130810,A000000,01300,0000,1300SOCIAL SERVICE 130810,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130810,A000000,01500,0000,1350OTHER GENERAL SERVICES 130810,A000000,01600,0000,1600SKILLED NURSING FACILITY 130810,A000000,01800,0000,1800NURSING FACILITY 130810,A000000,01810,0000,1810ICF/MR 130810,A000000,02200,0000,2200LABORATORY 130810,A000000,02500,0000,2500PHYSICAL THERAPY 130810,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130810,A000000,02700,0000,2700SPEECH PATHOLOGY 130810,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130810,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130810,A000000,03550,0000,3550FQHC 130810,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130810,A000000,05000,0000,5000CORF 130810,A000000,05010,0000,5010CMHC 130810,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130810,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130810,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130810,A000000,05100,0000,4750OTHER REIMBURSABLE COST 130810,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130810,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130810,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130810,A81000A,00100,0100,Y 130810,A81000B,00100,0300,MANAGEMENT FEES 130810,A81000B,00200,0300,WORKERS COMPENSATION 130810,A81000B,00300,0300,OWNERS COMPENSATION 130810,A81000C,00100,0100,A 130810,A81000C,00100,0200,JENNINGS BOND 130810,A81000C,00100,0400,BONCO INC. 130810,A81000C,00100,0600,EMPLOYEE LEASING 130810,A81000C,00200,0100,A 130810,A81000C,00200,0200,JENNINGS BOND 130810,A81000C,00200,0400,BONCO INC. 130810,A81000C,00200,0600,EMPLOYEE LEASING 130810,A81000C,00300,0100,E 130810,A81000C,00300,0200,JENNINGS BOND 130810,A81000C,00300,0400,JENNINGS BOND 130810,A81000C,00300,0600,ADMINISTRATOR 130810,B100000,00000,0100,0100SQUARE FEET 130810,B100000,00000,0200,0200SQUARE FEET 130810,B100000,00000,0300,0300GROSS SALARIES 130810,B100000,00000,0400,0400ACCUM. COST 130810,B100000,00000,0500,0500SQUARE FEET 130810,B100000,00000,0600,0600PATIENT DAYS 130810,B100000,00000,0700,0700SQUARE FEET 130810,B100000,00000,0800,0800PATIENT DAYS 130810,B100000,00000,0900,0900PATIENT DAYS 130810,B100000,00000,1000,1000NO STATISTICS 130810,B100000,00000,1100,1100NO STATISTICS 130810,B100000,00000,1200,1200PATIENT DAYS 130810,B100000,00000,1300,1300PATIENT DAYS 130810,B100000,00000,1400,1400NO STATISTICS 130810,B100000,00000,1500,1350NO STATISTICS 130810,S000000,00100,0200,04/27/01 130810,S200000,00100,0100,ROUTE 3 130810,S200000,00200,0100,MARBLE HILL 130810,S200000,00200,0200,MO 130810,S200000,00200,0300,63764 130810,S200000,00300,0100,BOLLINGER 130810,S200000,00300,0200,0026 130810,S200000,00300,0300,R 130810,S200000,00400,0100,BOND NURSING CARE CENTER 130810,S200000,00400,0200,265553 130810,S200000,00400,0300,10/21/93 130810,S200000,00400,0500,P 130810,S200000,01500,0100,N 130810,S200000,01600,0100,Y 130810,S200000,01700,0100,N 130810,S200000,01800,0100,N 130810,S200000,02200,0100,N 130810,S200000,02800,0100,N 130810,S200000,02900,0100,N 130810,S200000,03000,0100,N 130810,S200000,03100,0100,N 130810,S200000,03200,0100,N 130810,S200000,03300,0100,N 130810,S200000,03300,0200,N 130810,S200000,04100,0100,N 130810,S200000,04200,0100,N 130810,S200000,04300,0100,N 130810,S200000,04600,0100,N 130810,S200000,04700,0100,N 130810,S200000,04700,0200,N 130810,S200000,04900,0100,N 130817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130817,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130817,A000000,00300,0000,0300EMPLOYEE BENEFITS 130817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130817,A000000,00700,0000,0700HOUSEKEEPING 130817,A000000,00800,0000,0800DIETARY 130817,A000000,00900,0000,0900NURSING ADMINISTRATION 130817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130817,A000000,01100,0000,1100PHARMACY 130817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130817,A000000,01300,0000,1300SOCIAL SERVICE 130817,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130817,A000000,01600,0000,1600SKILLED NURSING FACILITY 130817,A000000,01810,0000,1810ICF/MR 130817,A000000,02100,0000,2100RADIOLOGY 130817,A000000,02200,0000,2200LABORATORY 130817,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130817,A000000,02500,0000,2500PHYSICAL THERAPY 130817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130817,A000000,02700,0000,2700SPEECH PATHOLOGY 130817,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130817,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130817,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 130817,A000000,03550,0000,3550FQHC 130817,A000000,04800,0000,4800AMBULANCE 130817,A000000,05000,0000,5000CORF 130817,A000000,05010,0000,5010CMHC 130817,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130817,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130817,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130817,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130817,A81000A,00100,0100,Y 130817,A81000B,00100,0300,H.O. CAP RELATED BLDG 130817,A81000B,00200,0300,H.O. CAP RELATED MME 130817,A81000B,00300,0300,H.O. FIELD SUPERVISION 130817,A81000C,00100,0100,B 130817,A81000C,00100,0200,LA EXTENDED CARE CENTERS 130817,B100000,00000,0100,0100SQUARE FEET 130817,B100000,00000,0200,0200SQUARE FEET 130817,B100000,00000,0300,0300GROSS SALARIES 130817,B100000,00000,0400,0400ACCUM COST 130817,B100000,00000,0500,0500SQUARE FEET 130817,B100000,00000,0600,0600POUNDS OF LAUNDRY 130817,B100000,00000,0700,0700SQUARE FEET 130817,B100000,00000,0800,0800MEALS SERVED 130817,B100000,00000,0900,0900DIRECT NRSING HRS 130817,B100000,00000,1000,1000COSTED REQUIS 130817,B100000,00000,1100,1100COSTED REQUIS 130817,B100000,00000,1200,1200TIME SPENT 130817,B100000,00000,1300,1300TIME SPENT 130817,B100000,00000,1400,1400ASSIGNED TIME 130817,E10A180,00501,0100,06/15/00 130817,S000000,00100,0200,05/16/00 130817,S200000,00100,0100,587 JOHN R. JUNKIN DRIVE 130817,S200000,00200,0100,NATCHEZ 130817,S200000,00200,0200,MS 130817,S200000,00300,0100,ADAMS 130817,S200000,00300,0200,0025 130817,S200000,00300,0300,R 130817,S200000,00400,0100,ADAMS COUNTY NURSING HOME 130817,S200000,00400,0200,255169 130817,S200000,00400,0300,03/01/94 130817,S200000,00400,0500,P 130817,S200000,01500,0100,Y 130817,S200000,01600,0100,N 130817,S200000,01700,0100,N 130817,S200000,01800,0100,N 130817,S200000,02200,0100,N 130817,S200000,02800,0100,N 130817,S200000,02900,0100,N 130817,S200000,03000,0100,N 130817,S200000,03100,0100,N 130817,S200000,03200,0100,N 130817,S200000,03300,0100,N 130817,S200000,03300,0200,N 130817,S200000,04100,0100,N 130817,S200000,04200,0100,N 130817,S200000,04300,0100,N 130817,S200000,04600,0100,N 130817,S200000,04700,0100,N 130817,S200000,04900,0100,N 130817,S200000,05200,0100,N 130888,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130888,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130888,A000000,00300,0000,0300EMPLOYEE BENEFITS 130888,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130888,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130888,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130888,A000000,00700,0000,0700HOUSEKEEPING 130888,A000000,00800,0000,0800DIETARY 130888,A000000,00900,0000,0900NURSING ADMINISTRATION 130888,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130888,A000000,01100,0000,1100PHARMACY 130888,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130888,A000000,01300,0000,1300SOCIAL SERVICE 130888,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130888,A000000,01600,0000,1600SKILLED NURSING FACILITY 130888,A000000,01810,0000,1810ICF/MR 130888,A000000,02100,0000,2100RADIOLOGY 130888,A000000,02200,0000,2200LABORATORY 130888,A000000,02500,0000,2500PHYSICAL THERAPY 130888,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130888,A000000,02700,0000,2700SPEECH PATHOLOGY 130888,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130888,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130888,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 130888,A000000,03550,0000,3550FQHC 130888,A000000,05000,0000,5000CORF 130888,A000000,05010,0000,5010CMHC 130888,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130888,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130888,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130888,A81000A,00100,0100,Y 130888,A81000B,00100,0300,HOME OFFICE ALLOCATION 130888,A81000B,00200,0300,HOME OFFICE ALLOCATION 130888,A81000B,00300,0300,HOME OFFICE ALLOCATION 130888,A81000C,00100,0100,A 130888,A81000C,00100,0200,CRESCENT HEALTH 130888,A81000C,00100,0400,CRESCENT HEALTH 130888,A81000C,00100,0600,HEALTHCARE 130888,B100000,00000,0100,0100SQUARE FEET 130888,B100000,00000,0200,0200SQUARE FEET 130888,B100000,00000,0300,0300GROSS SALARIES 130888,B100000,00000,0400,0400ACCUM COST 130888,B100000,00000,0500,0500SQUARE FEET 130888,B100000,00000,0600,0600POUNDS OF LAUNDRY 130888,B100000,00000,0700,0700SQUARE FEET 130888,B100000,00000,0800,0800MEALS SERVED 130888,B100000,00000,0900,0900NURSING SALARIES 130888,B100000,00000,1000,1000COSTED REQUISITIO 130888,B100000,00000,1100,1100COSTED REQUISITIO 130888,B100000,00000,1200,1200TIME SPENT 130888,B100000,00000,1300,1300TIME SPENT 130888,B100000,00000,1400,1400ASSIGNED TIME 130888,E10A180,00550,0100,09/14/01 130888,S000000,00100,0200,05/01/00 130888,S200000,00100,0100,1500 AVENUE G 130888,S200000,00200,0100,ELY 130888,S200000,00200,0200,NV 130888,S200000,00200,0300,89301 130888,S200000,00300,0100,WHITE PINE 130888,S200000,00300,0200,29 130888,S200000,00300,0300,R 0 130888,S200000,00400,0100,WHITE PINE CARE CENTER 130888,S200000,00400,0200,295029 130888,S200000,00400,0300,07/15/79 130888,S200000,00400,0500,P 130888,S200000,01500,0100,Y 130888,S200000,01600,0100,N 130888,S200000,01700,0100,N 130888,S200000,01800,0100,N 130888,S200000,02200,0100,N 130888,S200000,02800,0100,N 130888,S200000,02900,0100,N 130888,S200000,03000,0100,N 130888,S200000,03100,0100,N 130888,S200000,03200,0100,N 130888,S200000,03300,0100,N 130888,S200000,03300,0200,N 130888,S200000,04100,0100,N 130888,S200000,04200,0100,N 130888,S200000,04300,0100,N 130888,S200000,04600,0100,N 130888,S200000,04700,0100,N 130888,S200000,04900,0100,N 130888,S200000,05200,0100,N 130890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130890,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130890,A000000,00300,0000,0300EMPLOYEE BENEFITS 130890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130890,A000000,00700,0000,0700HOUSEKEEPING 130890,A000000,00800,0000,0800DIETARY 130890,A000000,00900,0000,0900NURSING ADMINISTRATION 130890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130890,A000000,01100,0000,1100PHARMACY 130890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130890,A000000,01300,0000,1300SOCIAL SERVICE 130890,A000000,01600,0000,1600SKILLED NURSING FACILITY 130890,A000000,01800,0000,1800NURSING FACILITY 130890,A000000,01900,0000,1900OTHER LONG TERM CARE 130890,A000000,02100,0000,2100RADIOLOGY 130890,A000000,02200,0000,2200LABORATORY 130890,A000000,02300,0000,2300INTRAVENOUS THERAPY 130890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130890,A000000,02500,0000,2500PHYSICAL THERAPY 130890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130890,A000000,02700,0000,2700SPEECH PATHOLOGY 130890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130890,A000000,03200,0000,3200SUPPORT SURFACES 130890,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 130890,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130890,A000000,05300,0000,5300INTEREST EXPENSE 130890,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130890,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 130890,A000000,06301,0000,6151RESOURCE DEVELOPMENT 130890,A81000A,00100,0100,Y 130890,A81000B,00100,0300,PROPERTY & LIAB INS 130890,A81000B,00200,0300,VEHICLE INS 130890,A81000B,00300,0300,UNEMPLOYMENT 130890,A81000B,00400,0300,ADM & ACCTG 130890,A81000B,00500,0300,WORKERS COMP 130890,A81000B,00600,0300,ADM OTHER 130890,A81000B,00700,0300,HOUSEKEEPING 130890,A81000B,00800,0300,DIETARY SUPPLEMENT 130890,A81000B,00900,0300,NURSING SUPPLIES 130890,A81000B,00901,0300,INCONTINENT BRIEFS 130890,A81000B,00902,0300,SMALL EQU 130890,A81000C,00100,0100,B 130890,A81000C,00100,0400,GOOD SAMARITAN 130890,A81000C,00100,0600,HEALTHCARE 130890,B100000,00000,0100,0100SQUARE FEETCAP REL COSTS - BL 130890,B100000,00000,0200,0200SQUARE FEETCAP REL COSTS - MO 130890,B100000,00000,0300,0300GROSS SALARIESEMPLOYEE BENEF 130890,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 130890,B100000,00000,0500,0500SQUARE FEETPLANT OPERATION M 130890,B100000,00000,0600,0600PATIENT DAYSLAUNDRY & LINEN SE 130890,B100000,00000,0700,0700SQUARE FEETHOUSEKEEPING 130890,B100000,00000,0800,0800MEALS SERVEDDIETARY 130890,B100000,00000,0900,0900DIR NURSINHRS OF SVCNURSING ADMI 130890,B100000,00000,1000,1000COSTED REQUISITIOCENTRAL SERV 130890,B100000,00000,1100,1100COSTED REQUISITIOPHARMACY 130890,B100000,00000,1200,1200GROSS REVENUESMEDICAL RECORD 130890,B100000,00000,1300,1300TIME SPENTSOCIAL SERVICE 130890,S000000,00100,0200,05/19/00 130890,S200000,00100,0100,315 E. NEELEY 130890,S200000,00100,0300,699 130890,S200000,00200,0100,ATKINSON 130890,S200000,00200,0200,NE 130890,S200000,00200,0300,68713-0699 130890,S200000,00300,0100,HOLT 130890,S200000,00300,0300,R 130890,S200000,00400,0100,ATKINSON GOOD SAM. CNTR 130890,S200000,00400,0200,285177 130890,S200000,00400,0300,02/01/96 130890,S200000,00400,0500,P 130890,S200000,00400,0600,N 130890,S200000,01500,0100,Y 130890,S200000,01600,0100,N 130890,S200000,01700,0100,N 130890,S200000,01800,0100,N 130890,S200000,01900,0100,Y 130890,S200000,02200,0100,N 130890,S200000,02800,0100,N 130890,S200000,02900,0100,N 130890,S200000,03000,0100,N 130890,S200000,03100,0100,N 130890,S200000,03200,0100,N 130890,S200000,03300,0100,N 130890,S200000,03300,0200,N 130890,S200000,04100,0100,N 130890,S200000,04200,0100,N 130890,S200000,04300,0100,N 130890,S200000,04600,0100,N 130890,S200000,04700,0100,N 130890,S200000,04900,0100,N 130890,S700003,00000,0400,4 130891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130891,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130891,A000000,00300,0000,0300EMPLOYEE BENEFITS 130891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130891,A000000,00700,0000,0700HOUSEKEEPING 130891,A000000,00800,0000,0800DIETARY 130891,A000000,00900,0000,0900NURSING ADMINISTRATION 130891,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130891,A000000,01300,0000,1300SOCIAL SERVICE 130891,A000000,01500,0000,1350ACTIVITIES 130891,A000000,01600,0000,1600SKILLED NURSING FACILITY 130891,A000000,01800,0000,1800NURSING FACILITY 130891,A000000,01810,0000,1810ICF/MR 130891,A000000,01900,0000,1900OTHER LONG TERM CARE 130891,A000000,02100,0000,2100RADIOLOGY 130891,A000000,02200,0000,2200LABORATORY 130891,A000000,02300,0000,2300INTRAVENOUS THERAPY 130891,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130891,A000000,02500,0000,2500PHYSICAL THERAPY 130891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130891,A000000,02700,0000,2700SPEECH PATHOLOGY 130891,A000000,02800,0000,2800ELECTROCARDIOLOGY 130891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130891,A000000,03001,0000,3001PEN MEDICAL SUPPLIES 130891,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130891,A000000,03200,0000,3200SUPPORT SURFACES 130891,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130891,A000000,03400,0000,3400CLINIC 130891,A000000,03500,0000,3500RURAL HEALTH CLINIC 130891,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130891,A000000,04800,0000,4800AMBULANCE 130891,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130891,A000000,05000,0000,5000CORF 130891,A000000,05100,0000,4750OSP 130891,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130891,A000000,05300,0000,5300INTEREST EXPENSE 130891,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130891,A000000,05500,0000,5500HOSPICE 130891,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130891,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130891,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130891,A000000,06100,0000,6100NONPAID WORKERS 130891,A000000,06200,0000,6200PATIENTS LAUNDRY 130891,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130891,A81000A,00100,0100,Y 130891,A81000B,00100,0300,HOME OFFICE - OPERATING 130891,A81000B,00200,0300,MME CAPITAL 130891,A81000C,00100,0100,B 130891,A81000C,00100,0400,CARE INITIATIVE 130891,A81000C,00100,0600,HOME OFFICE 130891,B100000,00000,0100,0100SQUARE FEETCAP REL COSTS - BL 130891,B100000,00000,0200,0200SQUARE FEETCAP REL COSTS - MO 130891,B100000,00000,0300,0300GROSS SALARIESEMPLOYEE BENEF 130891,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 130891,B100000,00000,0500,0500SQUARE FEETPLANT OPERATION M 130891,B100000,00000,0600,0600POUNDS OF LAUNDRYLAUNDRY & LINEN 130891,B100000,00000,0700,0700SQUARE FEETHOUSEKEEPING 130891,B100000,00000,0800,0800MEALS SERVEDDIETARY 130891,B100000,00000,0900,0900HOURS OF SERVICENURSING ADMINIS 130891,B100000,00000,1200,1200TIME SPENTMEDICAL RECORDS & 130891,B100000,00000,1300,1300TIME SPENTSOCIAL SERVICE 130891,B100000,00000,1500,1350TIME SPENTACTIVITIES 130891,E10A180,00501,0300,07/26/00 130891,S000000,00100,0200,05/30/00 130891,S200000,00100,0100,521 N. OLIPHANT 130891,S200000,00200,0100,WEST BRANCH 130891,S200000,00200,0200,IA 130891,S200000,00200,0300,52358-9701 130891,S200000,00300,0100,CEDAR 130891,S200000,00300,0300,R 130891,S200000,00400,0100,CRESTVIEW NURSING AND REHAB CENTER 130891,S200000,00400,0200,165287 130891,S200000,00400,0300,09/01/96 130891,S200000,00400,0500,P 130891,S200000,00400,0600,N 130891,S200000,00600,0600,N 130891,S200000,00601,0600,N 130891,S200000,01000,0500,N 130891,S200000,01000,0600,N 130891,S200000,01100,0500,N 130891,S200000,01100,0600,N 130891,S200000,01500,0100,Y 130891,S200000,01600,0100,N 130891,S200000,01700,0100,N 130891,S200000,01800,0100,N 130891,S200000,01900,0100,N 130891,S200000,02200,0100,N 130891,S200000,02800,0100,N 130891,S200000,02900,0100,N 130891,S200000,03000,0100,N 130891,S200000,03100,0100,N 130891,S200000,03200,0100,N 130891,S200000,03300,0100,N 130891,S200000,03300,0200,N 130891,S200000,03500,0300,N 130891,S200000,03501,0300,N 130891,S200000,03600,0100,N 130891,S200000,03600,0200,N 130891,S200000,04000,0100,N 130891,S200000,04000,0200,N 130891,S200000,04100,0100,N 130891,S200000,04200,0100,N 130891,S200000,04300,0100,N 130891,S200000,04600,0100,N 130891,S200000,04700,0100,N 130891,S200000,04700,0200,N 130891,S200000,04900,0100,N 130891,S700003,00000,0400,4 130892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130892,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 130892,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130892,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 130892,A000000,00300,0000,0300EMPLOYEE BENEFITS 130892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130892,A000000,00700,0000,0700HOUSEKEEPING 130892,A000000,00800,0000,0800DIETARY 130892,A000000,00801,0000,0801CAFETERIA 130892,A000000,00900,0000,0900NURSING ADMINISTRATION 130892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130892,A000000,01100,0000,1100PHARMACY 130892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130892,A000000,01300,0000,1300SOCIAL SERVICE 130892,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130892,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 130892,A000000,01600,0000,1600SKILLED NURSING FACILITY 130892,A000000,01800,0000,1800NURSING FACILITY 130892,A000000,01900,0000,1900OTHER LONG TERM CARE 130892,A000000,02100,0000,2100RADIOLOGY 130892,A000000,02200,0000,2200LABORATORY 130892,A000000,02300,0000,2300INTRAVENOUS THERAPY 130892,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130892,A000000,02500,0000,2500PHYSICAL THERAPY 130892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130892,A000000,02700,0000,2700SPEECH PATHOLOGY 130892,A000000,02800,0000,2800ELECTROCARDIOLOGY 130892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130892,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130892,A000000,03200,0000,3200SUPPORT SURFACES 130892,A000000,03300,0000,3050OTHER ANCILLARY 130892,A000000,03301,0000,3051OTHER ANCILLARY II 130892,A000000,03302,0000,3052OTHER ANCILLARY III 130892,A000000,03400,0000,3400CLINIC 130892,A000000,03500,0000,3500RURAL HEALTH CLINIC 130892,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 130892,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130892,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130892,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130892,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130892,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130892,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130892,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130892,A000000,04400,0000,4400DME RENTED - HHA 130892,A000000,04500,0000,4500DME SOLD - HHA 130892,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130892,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130892,A000000,04800,0000,4800AMBULANCE 130892,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130892,A000000,05000,0000,5000CORF 130892,A000000,05010,0000,5010CMHC I 130892,A000000,05020,0000,5020OPT I 130892,A000000,05100,0000,4750OSP 130892,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130892,A000000,05300,0000,5300INTEREST EXPENSE 130892,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130892,A000000,05500,0000,5500HOSPICE 130892,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 130892,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 130892,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130892,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130892,A000000,06100,0000,6100NONPAID WORKERS 130892,A000000,06200,0000,6200PATIENTS LAUNDRY 130892,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130892,A81000A,00100,0100,Y 130892,A81000B,00100,0300,SALARIES 130892,A81000B,00200,0300,SALARIES 130892,A81000B,00300,0300,SALARIES 130892,A81000B,00400,0300,SALARIES 130892,A81000C,00100,0100,D 130892,A81000C,00100,0200,BETTY BILL 130892,A81000C,00200,0100,D 130892,A81000C,00200,0200,RAYMOND BILL 130892,A81000C,00300,0100,D 130892,A81000C,00300,0200,TERRA HILLEGAS 130892,A81000C,00400,0100,D 130892,A81000C,00400,0200,TONIARA OLSEN 130892,B100000,00000,0100,0100(SQUARE FEET)CAP REL COSTS - B 130892,B100000,00000,0101,0101(SQUARE FEET)CAP REL COSTS - B 130892,B100000,00000,0200,0200(SQUARE FEET)CAP REL COSTS - M 130892,B100000,00000,0201,0201(SQUARE FEET)CAP REL COSTS - M 130892,B100000,00000,0300,0300(GROSS SALARIES)EMPLOYEE BENE 130892,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 130892,B100000,00000,0500,0500(SQUARE FEET)PLANT OPERATION 130892,B100000,00000,0600,0600(PATIENT DAYS)LAUNDRY & LINEN S 130892,B100000,00000,0700,0700(SQUARE FEET)HOUSEKEEPING 130892,B100000,00000,0800,0800(MEALS SERVED)DIETARY 130892,B100000,00000,0801,0801(MEALS SERVED)CAFETERIA 130892,B100000,00000,0900,0900(NURSING SALARIES)NURSING ADMIN 130892,B100000,00000,1000,1000(COSTED REQUIS.)CENTRAL SERVIC 130892,B100000,00000,1100,1100(PATIENT DAYS)PHARMACY 130892,B100000,00000,1200,1200(PATIENT DAYS)MEDICAL RECORDS & 130892,B100000,00000,1300,1300(PATIENT DAYS)SOCIAL SERVICE 130892,B100000,00000,1400,1400(ASSIGNED TIME)INTERNS & RESIDEN 130892,B100000,00000,1500,1350BLANKOTHER GENERAL SERVICE COST 130892,S000000,00100,0200,05/12/00 130892,S200000,00100,0100,150 S. HIGHT STREET 130892,S200000,00100,0300,617 130892,S200000,00200,0100,GREENE 130892,S200000,00200,0200,IA 130892,S200000,00200,0300,503636 130892,S200000,00300,0100,BUTLER 130892,S200000,00300,0300,R 130892,S200000,00400,0100,LIEBE CARE CENTER 130892,S200000,00400,0200,165356 130892,S200000,00400,0300,11/01/97 130892,S200000,00400,0500,P 130892,S200000,00400,0600,N 130892,S200000,01500,0100,Y 130892,S200000,01600,0100,N 130892,S200000,01700,0100,N 130892,S200000,01800,0100,N 130892,S200000,01900,0100,N 130892,S200000,02200,0100,Y 130892,S200000,02800,0100,Y 130892,S200000,02900,0100,N 130892,S200000,03000,0100,N 130892,S200000,03100,0100,N 130892,S200000,03200,0100,N 130892,S200000,03300,0100,N 130892,S200000,03300,0200,N 130892,S200000,03500,0300,N 130892,S200000,03600,0100,N 130892,S200000,03600,0200,N 130892,S200000,03700,0100,N 130892,S200000,03700,0200,N 130892,S200000,04000,0100,N 130892,S200000,04000,0200,N 130892,S200000,04100,0100,N 130892,S200000,04200,0100,N 130892,S200000,04300,0100,N 130892,S200000,04600,0100,N 130892,S200000,04700,0100,N 130892,S200000,04700,0200,N 130892,S200000,04900,0100,N 130892,S700003,00000,0400,4 130893,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130893,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130893,A000000,00300,0000,0300EMPLOYEE BENEFITS 130893,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130893,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130893,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130893,A000000,00700,0000,0700HOUSEKEEPING 130893,A000000,00800,0000,0800DIETARY 130893,A000000,00900,0000,0900NURSING ADMINISTRATION 130893,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130893,A000000,01100,0000,1100PHARMACY 130893,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130893,A000000,01300,0000,1300SOCIAL SERVICE 130893,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 130893,A000000,01500,0000,1350OTHER GENERAL SERVICES 130893,A000000,01600,0000,1600SKILLED NURSING FACILITY 130893,A000000,01800,0000,1800NURSING FACILITY 130893,A000000,01900,0000,1900OTHER LONG TERM CARE 130893,A000000,02100,0000,2100RADIOLOGY 130893,A000000,02200,0000,2200LABORATORY 130893,A000000,02300,0000,2300INTRAVENOUS THERAPY 130893,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130893,A000000,02500,0000,2500PHYSICAL THERAPY 130893,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130893,A000000,02700,0000,2700SPEECH PATHOLOGY 130893,A000000,02800,0000,2800ELECTROCARDIOLOGY 130893,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130893,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130893,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 130893,A000000,03200,0000,3200SUPPORT SURFACES 130893,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 130893,A000000,03400,0000,3400CLINIC 130893,A000000,03500,0000,3500RURAL HEALTH CLINIC 130893,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 130893,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 130893,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 130893,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 130893,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 130893,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 130893,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 130893,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 130893,A000000,04400,0000,4400DME RENTED - HHA 130893,A000000,04500,0000,4500DME SOLD - HHA 130893,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 130893,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 130893,A000000,04800,0000,4800AMBULANCE 130893,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 130893,A000000,05000,0000,5000CORF 130893,A000000,05100,0000,4750OSP 130893,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130893,A000000,05300,0000,5300INTEREST EXPENSE 130893,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130893,A000000,05500,0000,5500HOSPICE 130893,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 130893,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 130893,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130893,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 130893,A000000,06100,0000,6100NONPAID WORKERS 130893,A000000,06200,0000,6200PATIENTS LAUNDRY 130893,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 130893,A81000A,00100,0100,Y 130893,A81000B,00100,0300,HOME OFFICE COSTS 130893,A81000B,00200,0300,CAP COST RENT 130893,A81000B,00300,0300,CAP COST BLDG DEP 130893,A81000B,00400,0300,CAP COST EQUIP DEPR 130893,A81000B,00500,0300,CAP COST INT 130893,A81000B,00600,0300,CAP COST AMORTIZATION 130893,A81000C,00100,0100,B 130893,A81000C,00100,0400,TEALWOOD CARE C 130893,A81000C,00100,0600,NH MANAGEMENT 130893,A81000C,00300,0100,A 130893,A81000C,00300,0200,SAM KAPLAN 130893,A81000C,00300,0400,LEONARD LOUIS 130893,A81000C,00300,0600,NH OWNER 130893,A81000C,00400,0100,A 130893,A81000C,00400,0200,RALPH STRANGIS 130893,A81000C,00400,0400,LEONARD LOUIS 130893,A81000C,00400,0600,NH OWNER 130893,B100000,00000,0100,0100SQUARE FEETCAP REL COSTS - BL 130893,B100000,00000,0200,0200SQUARE FEETCAP REL COSTS - MO 130893,B100000,00000,0300,0300GROSS SALARIESEMPLOYEE BENEF 130893,B100000,00000,0400,0400ACC COSTADMINISTRATIVE & GENERAL 130893,B100000,00000,0500,0500SQUARE FEETPLANT OPERATION M 130893,B100000,00000,0600,0600PATIENT DAYSLAUNDRY & LINEN SE 130893,B100000,00000,0700,0700SQUARE FEETHOUSEKEEPING 130893,B100000,00000,0800,0800PATIENT DAYSDIETARY 130893,B100000,00000,0900,0900PATIENT DAYSNURSING ADMINISTRA 130893,B100000,00000,1000,1000COSTED REQUIS.CENTRAL SERVICE 130893,B100000,00000,1100,1100COSTED REQUIS.PHARMACY 130893,B100000,00000,1200,1200PATIENT DAYSMEDICAL RECORDS & 130893,B100000,00000,1300,1300PATIENT DAYSSOCIAL SERVICE 130893,B100000,00000,1400,1400ASSIGNED TIMEINTERNS & RESIDENT 130893,B100000,00000,1500,1350NO STATISTICSOTHER GENERA 130893,H510100,02400,0000,9943 130893,H710000,00301,0100,01/19/00 130893,H710000,00501,0100,07/21/00 130893,S000000,00100,0200,05/26/00 130893,S200000,00100,0100,700 4 STREET 130893,S200000,00200,0100,LAKE PRESTON 130893,S200000,00200,0200,SD 130893,S200000,00200,0300,57249- 130893,S200000,00300,0100,KINGSBURY 130893,S200000,00300,0300,R 130893,S200000,00400,0100,KINGSBURY MEMORIAL MANOR 130893,S200000,00400,0200,435067 130893,S200000,00400,0300,02/01/92 130893,S200000,00400,0500,P 130893,S200000,00400,0600,N 130893,S200000,00800,0200,437043 130893,S200000,00800,0300,04/21/93 130893,S200000,00800,0500,O 130893,S200000,00800,0600,N 130893,S200000,01500,0100,N 130893,S200000,01600,0100,Y 130893,S200000,01700,0100,N 130893,S200000,01800,0100,N 130893,S200000,01900,0100,N 130893,S200000,02200,0100,N 130893,S200000,02800,0100,N 130893,S200000,02900,0100,N 130893,S200000,03000,0100,N 130893,S200000,03100,0100,N 130893,S200000,03200,0100,N 130893,S200000,03300,0100,N 130893,S200000,03300,0200,N 130893,S200000,03700,0100,N 130893,S200000,03700,0200,N 130893,S200000,04100,0100,N 130893,S200000,04200,0100,N 130893,S200000,04300,0100,N 130893,S200000,04600,0100,N 130893,S200000,04700,0100,N 130893,S200000,04700,0200,N 130893,S200000,04900,0100,N 130893,S700003,00000,0100,1 130932,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130932,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130932,A000000,00300,0000,0300EMPLOYEE BENEFITS 130932,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130932,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130932,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130932,A000000,00700,0000,0700HOUSEKEEPING 130932,A000000,00800,0000,0800DIETARY 130932,A000000,00900,0000,0900NURSING ADMINISTRATION 130932,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130932,A000000,01100,0000,1100PHARMACY 130932,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130932,A000000,01300,0000,1300SOCIAL SERVICE 130932,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130932,A000000,01600,0000,1600SKILLED NURSING FACILITY 130932,A000000,01800,0000,1800NURSING FACILITY 130932,A000000,01810,0000,1810ICF/MR 130932,A000000,02100,0000,2100RADIOLOGY 130932,A000000,02200,0000,2200LABORATORY 130932,A000000,02500,0000,2500PHYSICAL THERAPY 130932,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130932,A000000,02700,0000,2700SPEECH PATHOLOGY 130932,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130932,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130932,A000000,03550,0000,3550FQHC 130932,A000000,05000,0000,5000CORF 130932,A000000,05010,0000,5010CMHC 130932,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130932,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130932,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130932,A000000,05300,0000,5300INTEREST EXPENSE 130932,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 130932,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130932,A81000A,00100,0100,Y 130932,A81000B,00100,0300,CAPITAL RELATED COSTS 130932,A81000B,00200,0300,CAPITAL RELATED COSTS 130932,A81000B,00300,0300,A & G COSTS 130932,A81000C,00100,0100,A 130932,A81000C,00100,0200,R. WACHTER 130932,A81000C,00100,0400,AMERICAN HEALTHARE MGMT. 130932,A81000C,00100,0600,MANAGEMENT COMPANY 130932,B100000,00000,0100,0100SQUARE FEET 130932,B100000,00000,0200,0200SQUARE FEET 130932,B100000,00000,0300,0300GROSS SALARIES 130932,B100000,00000,0400,0400ACCUM COST 130932,B100000,00000,0500,0500SQUARE FEET 130932,B100000,00000,0600,0600POUNDS OF LAUNDRY 130932,B100000,00000,0700,0700SQUARE FEET 130932,B100000,00000,0800,0800MEALS SERVED 130932,B100000,00000,0900,0900HOURS OF SERVICE 130932,B100000,00000,1000,1000COSTED REQUIS 130932,B100000,00000,1100,1100COSTED REQUIS 130932,B100000,00000,1200,1200TIME SPENT 130932,B100000,00000,1300,1300TIME SPENT 130932,B100000,00000,1400,1400ASSIGNED TIME 130932,E10A180,00301,0100,06/16/99 130932,E10A180,00501,0100,06/28/00 130932,E10A180,00501,0300,06/28/00 130932,S000000,00100,0200,05/22/00 130932,S200000,00100,0100,1200 MC CUTCHEN DRIVE 130932,S200000,00200,0100,ROLLA 130932,S200000,00200,0200,MO 130932,S200000,00300,0100,PHELPS 130932,S200000,00300,0200,0026 130932,S200000,00300,0300,R 130932,S200000,00400,0100,HERITAGE PARK SKILLED CARE 130932,S200000,00400,0200,265487 130932,S200000,00400,0300,07/01/95 130932,S200000,00400,0500,P 130932,S200000,01500,0100,N 130932,S200000,01600,0100,Y 130932,S200000,01700,0100,N 130932,S200000,01800,0100,N 130932,S200000,02200,0100,N 130932,S200000,02800,0100,N 130932,S200000,02900,0100,N 130932,S200000,03000,0100,N 130932,S200000,03100,0100,N 130932,S200000,03200,0100,N 130932,S200000,03300,0100,N 130932,S200000,03300,0200,N 130932,S200000,04100,0100,N 130932,S200000,04200,0100,N 130932,S200000,04300,0100,N 130932,S200000,04600,0100,N 130932,S200000,04700,0100,N 130932,S200000,04900,0100,N 130932,S200000,05200,0100,N 130942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130942,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130942,A000000,00300,0000,0300EMPLOYEE BENEFITS 130942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130942,A000000,00700,0000,0700HOUSEKEEPING 130942,A000000,00800,0000,0800DIETARY 130942,A000000,00900,0000,0900NURSING ADMINISTRATION 130942,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130942,A000000,01100,0000,1100PHARMACY 130942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130942,A000000,01300,0000,1300SOCIAL SERVICE 130942,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130942,A000000,01600,0000,1600SKILLED NURSING FACILITY 130942,A000000,01800,0000,1800NURSING FACILITY 130942,A000000,01810,0000,1810ICF/MR 130942,A000000,02100,0000,2100RADIOLOGY 130942,A000000,02200,0000,2200LABORATORY 130942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 130942,A000000,02500,0000,2500PHYSICAL THERAPY 130942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130942,A000000,02700,0000,2700SPEECH PATHOLOGY 130942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130942,A000000,03550,0000,3550FQHC 130942,A000000,05000,0000,5000CORF 130942,A000000,05010,0000,5010CMHC 130942,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130942,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130942,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130942,A81000A,00100,0100,Y 130942,A81000B,00100,0300,HOME OFFICE COSTS 130942,A81000B,00200,0300,HOME OFFICE COSTS 130942,A81000B,00300,0300,CONTRACT THERAPY 130942,A81000B,00400,0300,CONTRACT THERAPY 130942,A81000B,00500,0300,CONTRACT THERAPY 130942,A81000C,00100,0100,B 130942,A81000C,00100,0400,MERCY CONTINUIN 130942,A81000C,00100,0600,LONG TERM CARE 130942,A81000C,00200,0100,B 130942,A81000C,00200,0400,MERCY CONTINUIN 130942,A81000C,00200,0600,LONG TERM CARE 130942,A81000C,00300,0100,B 130942,A81000C,00300,0400,GARY NEDERVELD 130942,A81000C,00300,0600,CONTRACT THERAP 130942,A81000C,00400,0100,B 130942,A81000C,00400,0400,GARY NEDERVELD 130942,A81000C,00400,0600,CONTRACT THERAP 130942,A81000C,00500,0100,B 130942,A81000C,00500,0400,GARY NEDERVELD 130942,A81000C,00500,0600,CONTRACT THERAP 130942,B100000,00000,0100,0100SQUARE FEET 130942,B100000,00000,0200,0200SQUARE FEET 130942,B100000,00000,0300,0300GROSS SALARIES 130942,B100000,00000,0400,0400ACCUM COST 130942,B100000,00000,0500,0500SQUARE FEET 130942,B100000,00000,0600,0600PATIENT DAYS 130942,B100000,00000,0700,0700SQUARE FEET 130942,B100000,00000,0800,0800MEALS SERVED 130942,B100000,00000,0900,0900PATIENT DAYS 130942,B100000,00000,1000,1000COSTED REQUIS 130942,B100000,00000,1100,1100COSTED REQUIS 130942,B100000,00000,1200,1200TIME SPENT 130942,B100000,00000,1300,1300PATIENT DAYS 130942,B100000,00000,1400,1400ASSIGNED TIME 130942,E10A180,00501,0100,12/19/01 130942,E10A180,00501,0300,12/19/01 130942,S000000,00100,0200,12/29/00 130942,S200000,00100,0100,718 W. FOURTH ST. 130942,S200000,00200,0100,ROYAL OAK 130942,S200000,00200,0200,MI 130942,S200000,00200,0300,48067 130942,S200000,00300,0100,O 130942,S200000,00300,0200,2160 130942,S200000,00300,0300,U 130942,S200000,00400,0100,ALEXANDER 130942,S200000,00400,0200,235430 130942,S200000,00400,0300,01/01/90 130942,S200000,00400,0500,P 130942,S200000,00400,0600,O 130942,S200000,00600,0200,627356 130942,S200000,00600,0300,01/01/90 130942,S200000,00600,0600,O 130942,S200000,01500,0100,N 130942,S200000,01600,0100,Y 130942,S200000,01700,0100,N 130942,S200000,01800,0100,N 130942,S200000,01900,0100,OTHER 130942,S200000,02200,0100,Y 130942,S200000,02800,0100,N 130942,S200000,02900,0100,N 130942,S200000,03000,0100,N 130942,S200000,03100,0100,N 130942,S200000,03200,0100,N 130942,S200000,03300,0100,N 130942,S200000,03300,0200,N 130942,S200000,03500,0300,N 130942,S200000,04100,0100,N 130942,S200000,04200,0100,N 130942,S200000,04300,0100,Y 130942,S200000,04600,0100,N 130942,S200000,04700,0100,N 130942,S200000,04900,0100,N 130942,S200000,05200,0100,N 130953,S000000,00100,0200,05/08/00 130961,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 130961,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 130961,A000000,00300,0000,0300EMPLOYEE BENEFITS 130961,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130961,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 130961,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130961,A000000,00700,0000,0700HOUSEKEEPING 130961,A000000,00800,0000,0800DIETARY 130961,A000000,00900,0000,0900NURSING ADMINISTRATION 130961,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130961,A000000,01100,0000,1100PHARMACY 130961,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130961,A000000,01300,0000,1300SOCIAL SERVICE 130961,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 130961,A000000,01500,0000,1350ACTIVITIES 130961,A000000,01600,0000,1600SKILLED NURSING FACILITY 130961,A000000,01810,0000,1810ICF/MR 130961,A000000,02100,0000,2100RADIOLOGY 130961,A000000,02200,0000,2200LABORATORY 130961,A000000,02500,0000,2500PHYSICAL THERAPY 130961,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130961,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 130961,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130961,A000000,03550,0000,3550FQHC 130961,A000000,05000,0000,5000CORF 130961,A000000,05010,0000,5010CMHC 130961,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 130961,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 130961,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 130961,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130961,A000000,06300,0000,6150BEDS OUT OF SERVICE 130961,A81000A,00100,0100,Y 130961,A81000B,00100,0300,ACCOUNTING 130961,A81000C,00100,0100,A 130961,A81000C,00100,0200,GARDEN CITY OST 130961,A81000C,00100,0400,GARDEN CITY OST 130961,A81000C,00100,0600,HOSPITAL 130961,B100000,00000,0100,0100SQUARE FEET 130961,B100000,00000,0200,0200SQUARE FEET 130961,B100000,00000,0300,0300GROSS SALARIES 130961,B100000,00000,0400,0400ACCUM COST 130961,B100000,00000,0500,0500SQUARE FEET 130961,B100000,00000,0600,0600PATIENT DAYS 130961,B100000,00000,0700,0700SQUARE FEET 130961,B100000,00000,0800,0800MEALS SERVED 130961,B100000,00000,0900,0900PATIENT DAYS 130961,B100000,00000,1000,1000COSTED REQUIS 130961,B100000,00000,1100,1100COSTED REQUIS 130961,B100000,00000,1200,1200PATIEN DAYS 130961,B100000,00000,1300,1300TIME SPENT 130961,B100000,00000,1400,1400ASSIGNED TIME 130961,B100000,00000,1500,1350PATIENT DAYS 130961,S000000,00100,0200,05/30/00 130961,S200000,00100,0100,2936 S. DALY 130961,S200000,00200,0100,INKSTER 130961,S200000,00200,0200,MI 130961,S200000,00200,0300,48141 130961,S200000,00300,0100,WAYNE 130961,S200000,00300,0200,2160 130961,S200000,00300,0300,U 130961,S200000,00400,0100,ADVANCE NURSING CENTER 130961,S200000,00400,0200,235131 130961,S200000,00400,0300,10/31/98 130961,S200000,00400,0500,P 130961,S200000,01500,0100,Y 130961,S200000,01600,0100,N 130961,S200000,01700,0100,N 130961,S200000,01800,0100,N 130961,S200000,01900,0100,501 C 3 130961,S200000,02200,0100,N 130961,S200000,02800,0100,N 130961,S200000,02900,0100,N 130961,S200000,03000,0100,N 130961,S200000,03100,0100,N 130961,S200000,03200,0100,N 130961,S200000,03300,0100,N 130961,S200000,03300,0200,N 130961,S200000,04100,0100,N 130961,S200000,04200,0100,N 130961,S200000,04300,0100,N 130961,S200000,04600,0100,N 130961,S200000,04700,0100,N 130961,S200000,04900,0100,N 130961,S200000,05200,0100,N 130975,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 130975,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 130975,A000000,00300,0000,0300EMPLOYEE BENEFITS 130975,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 130975,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 130975,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 130975,A000000,00700,0000,0700HOUSEKEEPING 130975,A000000,00800,0000,0800DIETARY 130975,A000000,00900,0000,0900NURSING ADMINISTRATION 130975,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 130975,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 130975,A000000,01300,0000,1300SOCIAL SERVICE 130975,A000000,01600,0000,1600SKILLED NURSING FACILITY 130975,A000000,01800,0000,1800NURSING FACILITY 130975,A000000,02200,0000,2200LABORATORY 130975,A000000,02500,0000,2500PHYSICAL THERAPY 130975,A000000,02600,0000,2600OCCUPATIONAL THERAPY 130975,A000000,02700,0000,2700SPEECH PATHOLOGY 130975,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 130975,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 130975,A000000,03200,0000,3200SUPPORT SURFACES 130975,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 130975,A000000,05900,0000,5900BARBER & BEAUTY SHOP 130975,A000000,06300,0000,6150INDEPENDENT LIVING 130975,A81000A,00100,0100,N 130975,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 130975,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 130975,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 130975,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 130975,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 130975,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 130975,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 130975,B100000,00000,0800,0800MEALS SERVED DIETARY 130975,B100000,00000,0900,0900DIRECT NRSG HRS NURSING ADMIN 130975,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 130975,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 130975,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 130975,E10A180,00501,0300,01/30/01 130975,S000000,00100,0200,12/28/00 130975,S200000,00100,0100,5550 SOUTH SHORE DRIVE 130975,S200000,00200,0100,CHICAGO 130975,S200000,00200,0200,IL 130975,S200000,00200,0300,60637 130975,S200000,00300,0100,COOK 130975,S200000,00400,0100,MONTGOMERY PLACE 130975,S200000,00400,0200,145748 130975,S200000,00400,0300,03/19/93 130975,S200000,00400,0500,P 130975,S200000,00400,0600,N 130975,S200000,01500,0100,N 130975,S200000,01600,0100,Y 130975,S200000,01700,0100,N 130975,S200000,01800,0100,N 130975,S200000,02200,0100,N 130975,S200000,02800,0100,N 130975,S200000,02900,0100,N 130975,S200000,03000,0100,N 130975,S200000,03100,0100,N 130975,S200000,03200,0100,N 130975,S200000,03300,0100,N 130975,S200000,03300,0200,N 130975,S200000,04100,0100,N 130975,S200000,04200,0100,N 130975,S200000,04300,0100,N 130975,S200000,04600,0100,N 130975,S200000,04700,0100,N 130975,S200000,04900,0100,N 130975,S700003,00000,0400,X 131065,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131065,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 131065,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131065,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 131065,A000000,00300,0000,0300EMPLOYEE BENEFITS 131065,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131065,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131065,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131065,A000000,00700,0000,0700HOUSEKEEPING 131065,A000000,00800,0000,0800DIETARY 131065,A000000,00801,0000,0801CAFETERIA 131065,A000000,00900,0000,0900NURSING ADMINISTRATION 131065,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131065,A000000,01100,0000,1100PHARMACY 131065,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131065,A000000,01300,0000,1300SOCIAL SERVICE 131065,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131065,A000000,01500,0000,1350ACTIVITIES 131065,A000000,01600,0000,1600SKILLED NURSING FACILITY 131065,A000000,01810,0000,1810ICF/MR 131065,A000000,02100,0000,2100RADIOLOGY 131065,A000000,02200,0000,2200LABORATORY 131065,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 131065,A000000,02500,0000,2500PHYSICAL THERAPY 131065,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131065,A000000,02700,0000,2700SPEECH PATHOLOGY 131065,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131065,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131065,A000000,03300,0000,3050OTHER ANCILLARY 131065,A000000,03301,0000,3051OTHER ANCILLARY II 131065,A000000,03302,0000,3052OTHER ANCILLARY III 131065,A000000,03550,0000,3550FQHC 131065,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 131065,A000000,05000,0000,5000CORF I 131065,A000000,05010,0000,5010CMHC I 131065,A000000,05020,0000,5020OPT I 131065,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131065,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131065,A000000,05100,0000,4750OTHER REIMBURSABLE COST 131065,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 131065,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 131065,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 131065,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131065,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 131065,A81000A,00100,0100,N 131065,B100000,00000,0100,0100(SQUARE FEET) 131065,B100000,00000,0101,0101(SQUARE FEET) 131065,B100000,00000,0200,0200(SQUARE FEET) 131065,B100000,00000,0201,0201(SQUARE FEET) 131065,B100000,00000,0300,0300(GROSS SALARIES) 131065,B100000,00000,0400,0400(ACCUM. COST) 131065,B100000,00000,0500,0500(SQUARE FEET) 131065,B100000,00000,0600,0600(PATIENT DAYS) 131065,B100000,00000,0700,0700(SQUARE FEET) 131065,B100000,00000,0800,0800(MEALS SERVED) 131065,B100000,00000,0801,0801(MEALS SERVED) 131065,B100000,00000,0900,0900(NURSING SALARIES) 131065,B100000,00000,1000,1000(PATIENT DAYS) 131065,B100000,00000,1100,1100(PATIENT DAYS) 131065,B100000,00000,1200,1200(PATIENT DAYS) 131065,B100000,00000,1300,1300(PATIENT DAYS) 131065,B100000,00000,1400,1400(ASSIGNED TIME) 131065,B100000,00000,1500,1350(PATIENT DAYS) 131065,S000000,00100,0200,10/03/00 131065,S200000,00100,0100,104 LOIS LANE 131065,S200000,00200,0100,COLORADO SPRINGS 131065,S200000,00200,0200,CO 131065,S200000,00200,0300,80904 131065,S200000,00300,0100,EL PASO 131065,S200000,00300,0200,1720 131065,S200000,00300,0300,U 131065,S200000,00400,0100,GARDEN OF THE GODS CARE CENTER 131065,S200000,00400,0200,065198 131065,S200000,00400,0300,11/01/84 131065,S200000,00400,0500,P 131065,S200000,01500,0100,Y 131065,S200000,01600,0100,N 131065,S200000,01700,0100,N 131065,S200000,01800,0100,N 131065,S200000,02200,0100,N 131065,S200000,02800,0100,N 131065,S200000,02900,0100,N 131065,S200000,03000,0100,N 131065,S200000,03100,0100,N 131065,S200000,03200,0100,N 131065,S200000,03300,0100,N 131065,S200000,03300,0200,N 131065,S200000,04200,0100,N 131065,S200000,04300,0100,Y 131065,S200000,04600,0100,N 131065,S200000,04700,0100,N 131065,S200000,04900,0100,N 131068,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131068,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131068,A000000,00300,0000,0300EMPLOYEE BENEFITS 131068,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131068,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131068,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131068,A000000,00700,0000,0700HOUSEKEEPING 131068,A000000,00800,0000,0800DIETARY 131068,A000000,00900,0000,0900NURSING ADMINISTRATION 131068,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131068,A000000,01100,0000,1100PHARMACY 131068,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131068,A000000,01300,0000,1300SOCIAL SERVICE 131068,A000000,01301,0000,1301ACTIVITIES 131068,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131068,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 131068,A000000,01600,0000,1600SKILLED NURSING FACILITY 131068,A000000,01800,0000,1800NURSING FACILITY 131068,A000000,01810,0000,1810ICF/MR 131068,A000000,02100,0000,2100RADIOLOGY 131068,A000000,02200,0000,2200LABORATORY 131068,A000000,02300,0000,2300INTRAVENOUS THERAPY 131068,A000000,02500,0000,2500PHYSICAL THERAPY 131068,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131068,A000000,02700,0000,2700SPEECH PATHOLOGY 131068,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131068,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131068,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 131068,A000000,03301,0000,3051P.E.N. THERAPY 131068,A000000,03550,0000,3550FQHC 131068,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 131068,A000000,05000,0000,5000CORF 131068,A000000,05010,0000,5010CMHC 131068,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 131068,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131068,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131068,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 131068,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 131068,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131068,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 131068,A81000A,00100,0100,Y 131068,A81000B,00100,0300,NURSING SUPPLIES 131068,A81000B,00200,0300,OSHA-SUPPLIES 131068,A81000B,00300,0300,COST OF OXYGEN NON CHGBLE 131068,A81000B,00400,0300,COST OF OXYGEN 131068,A81000B,00500,0300,EMPLOYEE PHYSICALS 131068,A81000B,00600,0300,MINOR EQMNT RPLCMNT-NURSE 131068,A81000B,00700,0300,DIETART SUPPLEMENTS 131068,A81000B,00800,0300,DIETARY SUPPLIES 131068,A81000B,00900,0300,DME 131068,A81000B,01000,0300,SHORT TERM EQMNT RENTAL 131068,A81000B,01100,0300,PRESC DRUGS 131068,A81000B,01200,0300,PRESC DRUGS 131068,A81000B,01300,0300,CAPITATION 131068,A81000B,01400,0300,PHARMACIST-CONTRACT 131068,A81000B,01500,0300,ANC EQMNT RNTL 131068,A81000B,01600,0300,CNTR CNSLT-NURSING-PCC 131068,A81000B,01700,0300,COST OF SUPPLIES-IV 131068,A81000B,01800,0300,IV CONTRACT 131068,A81000B,01900,0300,PT CONSULTANT 131068,A81000B,02000,0300,PT 131068,A81000B,02100,0300,OT 131068,A81000B,02200,0300,ST 131068,A81000B,02300,0300,HOME OFFICE ALLOCATION 131068,A81000C,00100,0100,B 131068,A81000C,00100,0200,BERTHOUD LIVING 131068,A81000C,00100,0400,MARINER POST-AC 131068,A81000C,00100,0600,NURSING HOMES 131068,A81000C,00200,0100,G 131068,A81000C,00200,0200,MARINER POST-AC 131068,A81000C,00200,0400,AMERICAN PHARMA 131068,A81000C,00200,0600,PHARMACEUTICALS 131068,A81000C,00300,0100,G 131068,A81000C,00300,0200,MARINER POST-AC 131068,A81000C,00300,0400,PRISM (ATS ARS 131068,A81000C,00300,0600,THERAPIES 131068,B100000,00000,0100,0100SQUARE FEET 131068,B100000,00000,0200,0200SQUARE FEET 131068,B100000,00000,0300,0300GROSS SALARIES 131068,B100000,00000,0400,0400ACCUM COST 131068,B100000,00000,0500,0500SQUARE FEET 131068,B100000,00000,0600,0600PATIENT DAYS 131068,B100000,00000,0700,0700SQUARE FEET 131068,B100000,00000,0800,0800MEALS SERVED 131068,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 131068,B100000,00000,1000,1000COSTED REQUISITIO 131068,B100000,00000,1100,1100COSTED REQUISITIO 131068,B100000,00000,1200,1200PATIENT DAYS 131068,B100000,00000,1300,1300PATIENT DAYS 131068,B100000,00000,1301,1301PATIENT DAYS 131068,B100000,00000,1400,1400ASSIGNED TIME 131068,B100000,00000,1500,1350 131068,S000000,00100,0200,02/29/00 131068,S200000,00100,0100,855 FRANKLIN 131068,S200000,00200,0100,BERTHOUD 131068,S200000,00200,0200,CO 131068,S200000,00200,0300,80513 131068,S200000,00300,0100,LARIMER 131068,S200000,00400,0100,BERTHOUD LIVING CENTER 131068,S200000,00400,0200,065265 131068,S200000,00400,0300,10/01/89 131068,S200000,00400,0500,P 131068,S200000,01500,0100,N 131068,S200000,01600,0100,N 131068,S200000,01700,0100,N 131068,S200000,01800,0100,N 131068,S200000,02200,0100,N 131068,S200000,02800,0100,N 131068,S200000,02900,0100,N 131068,S200000,03000,0100,N 131068,S200000,03100,0100,N 131068,S200000,03200,0100,N 131068,S200000,03300,0100,N 131068,S200000,03300,0200,N 131068,S200000,04100,0100,N 131068,S200000,04200,0100,N 131068,S200000,04300,0100,N 131068,S200000,04600,0100,N 131068,S200000,04700,0100,N 131068,S200000,04900,0100,N 131085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131085,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131085,A000000,00300,0000,0300EMPLOYEE BENEFITS 131085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131085,A000000,00700,0000,0700HOUSEKEEPING 131085,A000000,00800,0000,0800DIETARY 131085,A000000,00900,0000,0900NURSING ADMINISTRATION 131085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131085,A000000,01100,0000,1100PHARMACY 131085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131085,A000000,01300,0000,1300SOCIAL SERVICE 131085,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131085,A000000,01500,0000,1350PATIENT ACTIVITIES 131085,A000000,01600,0000,1600SKILLED NURSING FACILITY 131085,A000000,01810,0000,1810ICF/MR 131085,A000000,02100,0000,2100RADIOLOGY 131085,A000000,02200,0000,2200LABORATORY 131085,A000000,02500,0000,2500PHYSICAL THERAPY 131085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131085,A000000,02700,0000,2700SPEECH PATHOLOGY 131085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131085,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 131085,A000000,03550,0000,3550FQHC 131085,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 131085,A000000,05000,0000,5000CORF 131085,A000000,05010,0000,5010CMHC 131085,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 131085,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131085,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131085,A000000,05100,0000,4750OTHER REIMBURSABLE COST 131085,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 131085,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131085,A000000,06300,0000,6150CORPORATE OFFICES 131085,A000000,06301,0000,6151FEE SCREEN 131085,A81000A,00100,0100,Y 131085,A81000B,00100,0300,MANAGEMENT/ACCTG FEES 131085,A81000B,00200,0300,MANAGEMENT/ACCTG FEES 131085,A81000B,00300,0300,PT 131085,A81000B,00400,0300,OT 131085,A81000B,00500,0300,ST 131085,A81000B,00600,0300,HOME OFFICE TRAINING COORDINAT 131085,A81000B,00700,0300,HOME OFFICE DIETARY CONSULTANT 131085,A81000B,00800,0300,HOME OFFICE MAINTENANCE 131085,A81000B,00900,0300,HOME OFFICE NURSE 131085,A81000C,00100,0100,A 131085,A81000C,00100,0200,W. E. CAMPBELL 131085,A81000C,00100,0400,L.P. SERVICES INC. 131085,A81000C,00100,0600,ACCOUNTING SERVICES 131085,A81000C,00200,0100,A 131085,A81000C,00200,0200,CAMPBELL CAMPBELL&MILLER 131085,A81000C,00200,0400,SENIOR CARE CONSULTANTS 131085,A81000C,00200,0600,MANAGEMENT COMPANY 131085,A81000C,00300,0100,A 131085,A81000C,00300,0200,CAMPBELL CAMPBELL&MILLER 131085,A81000C,00300,0400,SENIOR CARE REHAB INC. 131085,A81000C,00300,0600,THERAPY SERVICE PROVIDER 131085,B100000,00000,0100,0100SQUARE FEET 131085,B100000,00000,0200,0200SQUARE FEET 131085,B100000,00000,0300,0300GROSS SALARIES 131085,B100000,00000,0400,0400ACCUM. COST 131085,B100000,00000,0500,0500SQUARE FEET 131085,B100000,00000,0600,0600PATIENT DAYS 131085,B100000,00000,0700,0700SQUARE FEET C 131085,B100000,00000,0800,0800MEALS SERVED 131085,B100000,00000,0900,0900DIRECT NRSING HRS 131085,B100000,00000,1000,1000COSTED REQUIS. 131085,B100000,00000,1100,1100COSTED REQUIS. 131085,B100000,00000,1200,1200TIME SPENT 131085,B100000,00000,1300,1300TIME SPENT 131085,B100000,00000,1400,1400ASSIGNED TIME 131085,B100000,00000,1500,1350PATIENT DAYS 131085,S000000,00100,0200,06/02/00 131085,S200000,00100,0100,6700 HERITAGE PARKWAY 131085,S200000,00200,0100,ROWLETT 131085,S200000,00200,0200,TX 131085,S200000,00200,0300,75087 131085,S200000,00300,0100,ROCKWALL 131085,S200000,00300,0200,1920 131085,S200000,00300,0300,U 131085,S200000,00400,0100,SENIOR CARE AT LAKE POINTE 131085,S200000,00400,0200,675579 131085,S200000,00400,0300,04/16/96 131085,S200000,00400,0500,P 131085,S200000,01500,0100,Y 131085,S200000,01600,0100,N 131085,S200000,01700,0100,N 131085,S200000,01800,0100,N 131085,S200000,02200,0100,N 131085,S200000,02800,0100,N 131085,S200000,02900,0100,N 131085,S200000,03000,0100,N 131085,S200000,03100,0100,N 131085,S200000,03200,0100,N 131085,S200000,03300,0100,N 131085,S200000,03300,0200,N 131085,S200000,04100,0100,Y 131085,S200000,04200,0100,N 131085,S200000,04300,0100,N 131085,S200000,04600,0100,N 131085,S200000,04700,0100,N 131085,S200000,04700,0200,N 131085,S200000,04900,0100,N 131338,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131338,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 131338,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131338,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 131338,A000000,00300,0000,0300EMPLOYEE BENEFITS 131338,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131338,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131338,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131338,A000000,00700,0000,0700HOUSEKEEPING 131338,A000000,00800,0000,0800DIETARY 131338,A000000,00801,0000,0801CAFETERIA 131338,A000000,00900,0000,0900NURSING ADMINISTRATION 131338,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131338,A000000,01100,0000,1100PHARMACY 131338,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131338,A000000,01300,0000,1300SOCIAL SERVICE 131338,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131338,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 131338,A000000,01600,0000,1600SKILLED NURSING FACILITY 131338,A000000,01810,0000,1810ICF/MR 131338,A000000,01900,0000,1900OTHER LONG TERM CARE 131338,A000000,02100,0000,2100RADIOLOGY 131338,A000000,02200,0000,2200LABORATORY 131338,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 131338,A000000,02500,0000,2500PHYSICAL THERAPY 131338,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131338,A000000,02700,0000,2700SPEECH PATHOLOGY 131338,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131338,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131338,A000000,03300,0000,3050OTHER ANCILLARY 131338,A000000,03301,0000,3051OTHER ANCILLARY II 131338,A000000,03302,0000,3052OTHER ANCILLARY III 131338,A000000,03550,0000,3550FQHC 131338,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 131338,A000000,05000,0000,5000CORF I 131338,A000000,05010,0000,5010CMHC I 131338,A000000,05020,0000,5020OPT I 131338,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131338,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131338,A000000,05100,0000,4750OTHER REIMBURSABLE COST 131338,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 131338,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 131338,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 131338,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131338,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 131338,A81000A,00100,0100,N 131338,B100000,00000,0100,0100(SQUARE FEET) 131338,B100000,00000,0101,0101(SQUARE FEET) 131338,B100000,00000,0200,0200(SQUARE FEET) 131338,B100000,00000,0201,0201(SQUARE FEET) 131338,B100000,00000,0300,0300(GROSS SALARIES) 131338,B100000,00000,0400,0400ACCUM COST 131338,B100000,00000,0500,0500(SQUARE FEET) 131338,B100000,00000,0600,0600PATIENT DA 131338,B100000,00000,0700,0700(SQUARE FEET) 131338,B100000,00000,0800,0800(MEALS SERVED) 131338,B100000,00000,0801,0801(MEALS SERVED) 131338,B100000,00000,0900,0900(DIRECT NRSING HRS 131338,B100000,00000,1000,1000PATIENT DA 131338,B100000,00000,1100,1100PATIENT DA 131338,B100000,00000,1200,1200PATIENT DA 131338,B100000,00000,1300,1300PATIENT DA 131338,B100000,00000,1400,1400(ASSIGNED TIME) 131338,B100000,00000,1500,1350PATIENT DA 131338,E10A180,00501,0100,07/17/01 131338,E10A180,00502,0100,08/24/01 131338,S000000,00100,0200,05/22/01 131338,S200000,00100,0100,1995 CORNELIUS HARNETT BLVD 131338,S200000,00200,0100,LILLINGTON 131338,S200000,00200,0200,NC 131338,S200000,00200,0300,27546 131338,S200000,00300,0100,HARNETT 131338,S200000,00300,0300,R 131338,S200000,00400,0100,HARNETT MANOR 131338,S200000,00400,0200,345213 131338,S200000,00400,0300,10/01/81 131338,S200000,00400,0500,P 131338,S200000,01500,0100,N 131338,S200000,01600,0100,Y 131338,S200000,01700,0100,N 131338,S200000,01800,0100,N 131338,S200000,02200,0100,N 131338,S200000,02800,0100,N 131338,S200000,02900,0100,N 131338,S200000,03000,0100,N 131338,S200000,03100,0100,N 131338,S200000,03200,0100,N 131338,S200000,03300,0100,N 131338,S200000,03300,0200,N 131338,S200000,04100,0100,N 131338,S200000,04200,0100,N 131338,S200000,04300,0100,N 131338,S200000,04600,0100,N 131338,S200000,04700,0100,N 131338,S200000,04900,0100,N 131338,S200000,05200,0100,N 131345,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131345,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131345,A000000,00300,0000,0300EMPLOYEE BENEFITS 131345,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131345,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131345,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131345,A000000,00700,0000,0700HOUSEKEEPING 131345,A000000,00800,0000,0800DIETARY 131345,A000000,00900,0000,0900NURSING ADMINISTRATION 131345,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131345,A000000,01100,0000,1100PHARMACY 131345,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131345,A000000,01300,0000,1300SOCIAL SERVICE 131345,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131345,A000000,01500,0000,1350PATIENT ACTIVITIES 131345,A000000,01600,0000,1600SKILLED NURSING FACILITY 131345,A000000,01800,0000,1800NURSING FACILITY 131345,A000000,01810,0000,1810ICF/MR 131345,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 131345,A000000,02500,0000,2500PHYSICAL THERAPY 131345,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131345,A000000,02700,0000,2700SPEECH PATHOLOGY 131345,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131345,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131345,A000000,03200,0000,3200SUPPORT SURFACES 131345,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 131345,A000000,03550,0000,3550FQHC 131345,A000000,05000,0000,5000CORF 131345,A000000,05010,0000,5010CMHC 131345,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 131345,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131345,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131345,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131345,A81000A,00100,0100,Y 131345,A81000B,00100,0300,HOME OFFICE 131345,A81000B,00200,0300,HOME OFFICE 131345,A81000B,00300,0300,MGMT FEES 131345,A81000B,00400,0300,NON-LEGEND DRUGS 131345,A81000B,00500,0300,NON-LEGEND DRUGS 131345,A81000B,00600,0300,NON-LEGEND DRUGS 131345,A81000B,00700,0300,PHARMACY CONSULTANT 131345,A81000B,00800,0300,LEGEND DRUGS 131345,A81000B,00900,0300,NRS CONSULTANT 131345,A81000B,01000,0300,A/R BOOKKEEPER 131345,A81000C,00100,0100,B 131345,A81000C,00100,0400,MEADOWBROOK HEALTHCARE 131345,A81000C,00100,0600,HOME OFFICE 131345,A81000C,00200,0100,B 131345,A81000C,00200,0400,MEADOWBROOK HEALTHCARE 131345,A81000C,00200,0600,HOME OFFICE 131345,A81000C,00300,0100,B 131345,A81000C,00300,0400,MEADOWBROOK HEALTHCARE 131345,A81000C,00300,0600,HOME OFFICE 131345,A81000C,00400,0100,B 131345,A81000C,00400,0400,BROOKCARE PHARMACY 131345,A81000C,00400,0600,PHARMACY 131345,A81000C,00500,0100,B 131345,A81000C,00500,0400,BROOKCARE PHARMACY 131345,A81000C,00500,0600,PHARMACY 131345,A81000C,00600,0100,B 131345,A81000C,00600,0400,BROOKCARE PHARMACY 131345,A81000C,00600,0600,PHARMACY 131345,A81000C,00700,0100,B 131345,A81000C,00700,0400,BROOKCARE PHARMACY 131345,A81000C,00700,0600,PHARMACY 131345,A81000C,00800,0100,B 131345,A81000C,00800,0400,BROOKCARE PHARMACY 131345,A81000C,00800,0600,PHARMACY 131345,A81000C,00900,0100,B 131345,A81000C,00900,0400,MEADOWBROOK HEALTHCARE 131345,A81000C,00900,0600,HOME OFFICE 131345,A81000C,01000,0100,B 131345,A81000C,01000,0400,MEADOWBROOK HEALTHCARE 131345,A81000C,01000,0600,HOME OFFICE 131345,B100000,00000,0100,0100SQUARE FEET 131345,B100000,00000,0200,0200SQUARE FEET 131345,B100000,00000,0300,0300GROSS SALARIES 131345,B100000,00000,0400,0400ACCUM COST 131345,B100000,00000,0500,0500SQUARE FEET 131345,B100000,00000,0600,0600POUNDS OF LAUNDRY 131345,B100000,00000,0700,0700SQR FTG EXC DIETAR 131345,B100000,00000,0800,0800PATIENT DAYS 131345,B100000,00000,0900,0900NURSING HOURS 131345,B100000,00000,1000,1000COSTED REQUIS. 131345,B100000,00000,1100,1100COSTED REQUIS 131345,B100000,00000,1200,1200TIME SPENT 131345,B100000,00000,1300,1300PATIENT DAYS 131345,B100000,00000,1400,1400ASSIGNED TIME 131345,B100000,00000,1500,1350PATIENT DAYS 131345,E10A180,00301,0100,03/29/99 131345,E10A180,00501,0100,07/17/00 131345,E10A180,00501,0300,07/17/00 131345,S000000,00100,0200,06/01/00 131345,S200000,00100,0100,3905 CLEMMONS ROAD 131345,S200000,00100,0300,249 131345,S200000,00200,0100,CLEMMONS 131345,S200000,00200,0200,NC 131345,S200000,00300,0100,FORSYTH 131345,S200000,00300,0200,3120 131345,S200000,00300,0300,U 131345,S200000,00400,0100,MEADOWBROOK MANOR OF CLEMMONS 131345,S200000,00400,0200,345131 131345,S200000,00400,0300,10/01/81 131345,S200000,00400,0500,P 131345,S200000,01500,0100,N 131345,S200000,01600,0100,Y 131345,S200000,01700,0100,N 131345,S200000,01800,0100,N 131345,S200000,01900,0100,NONE 131345,S200000,02200,0100,N 131345,S200000,02800,0100,N 131345,S200000,02900,0100,N 131345,S200000,03000,0100,N 131345,S200000,03100,0100,N 131345,S200000,03200,0100,N 131345,S200000,03300,0100,N 131345,S200000,03300,0200,N 131345,S200000,04100,0100,N 131345,S200000,04200,0100,N 131345,S200000,04300,0100,N 131345,S200000,04600,0100,N 131345,S200000,04700,0100,N 131345,S200000,04900,0100,N 131345,S200000,05200,0100,N 131346,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 131346,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 131346,A000000,00300,0000,0300EMPLOYEE BENEFITS 131346,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 131346,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 131346,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 131346,A000000,00700,0000,0700HOUSEKEEPING 131346,A000000,00800,0000,0800DIETARY 131346,A000000,00900,0000,0900NURSING ADMINISTRATION 131346,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 131346,A000000,01100,0000,1100PHARMACY 131346,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 131346,A000000,01300,0000,1300SOCIAL SERVICE 131346,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 131346,A000000,01500,0000,1350PATIENT ACTIVITIES 131346,A000000,01600,0000,1600SKILLED NURSING FACILITY 131346,A000000,01800,0000,1800NURSING FACILITY 131346,A000000,01810,0000,1810ICF/MR 131346,A000000,01900,0000,1900OTHER LONG TERM CARE 131346,A000000,02500,0000,2500PHYSICAL THERAPY 131346,A000000,02600,0000,2600OCCUPATIONAL THERAPY 131346,A000000,02700,0000,2700SPEECH PATHOLOGY 131346,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 131346,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 131346,A000000,03200,0000,3200SUPPORT SURFACES 131346,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 131346,A000000,03550,0000,3550FQHC 131346,A000000,05000,0000,5000CORF 131346,A000000,05010,0000,5010CMHC 131346,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 131346,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 131346,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 131346,A000000,05900,0000,5900BARBER & BEAUTY SHOP 131346,A81000A,00100,0100,Y 131346,A81000B,00100,0300,HOME OFFICE 131346,A81000B,00200,0300,HOME OFFICE 131346,A81000B,00300,0300,MGMT FEES 131346,A81000B,00400,0300,NON-LEGEND DRUGS 131346,A81000B,00500,0300,NON-LEGEND DRUGS 131346,A81000B,00600,0300,NON-LEGEND DRUGS 131346,A81000B,00700,0300,NON-LEGEND DRUGS 131346,A81000B,00800,0300,PHARM CONS 131346,A81000B,00900,0300,LEGEND DRUGS 131346,A81000B,01000,0300,DIET CONSULTANT 131346,A81000B,01100,0300,NRSG CONSULTANT 131346,A81000C,00100,0100,B 131346,A81000C,00100,0400,MEADOWBROOK 131346,A81000C,00100,0600,HOME OFFICE 131346,A81000C,00200,0100,B 131346,A81000C,00200,0400,MEADOWBROOK 131346,A81000C,00200,0600,HOME OFFICE 131346,A81000C,00300,0100,B 131346,A81000C,00300,0400,MEADOWBROOK 131346,A81000C,00300,0600,HOME OFFICE 131346,A81000C,00400,0100,B 131346,A81000C,00400,0400,BROOKCARE 131346,A81000C,00400,0600,PHARMACY 131346,A81000C,00500,0100,B 131346,A81000C,00500,0400,BROOKCARE 131346,A81000C,00500,0600,PHARMACY 131346,A81000C,00600,0100,B 131346,A81000C,00600,0400,BROOKCARE 131346,A81000C,00600,0600,PHARMACY 131346,A81000C,00700,0100,B 131346,A81000C,00700,0400,BROOKCARE 131346,A81000C,00700,0600,PHARMACY 131346,A81000C,00800,0100,B 131346,A81000C,00800,0400,BROOKCARE 131346,A81000C,00800,0600,PHARMACY 131346,A81000C,00900,0100,B 131346,A81000C,00900,0400,BROOKCARE 131346,A81000C,00900,0600,PHARMACY 131346,A81000C,01000,0100,B 131346,A81000C,01000,0400,MEADOWBROOK 131346,A81000C,01000,0600,HOME OFFICE 131346,A81000C,01100,0100,B 131346,A81000C,01100,0400,MEADOWBROOK 131346,A81000C,01100,0600,HOME OFFICE 131346,B100000,00000,0100,0100SQUARE FEET 131346,B100000,00000,0200,0200SQUARE FEET 131346,B100000,00000,0300,0300GROSS SALARIES 131346,B100000,00000,0400,0400ACCUM COST 131346,B100000,00000,0500,0500SQUARE FEET 131346,B100000,00000,0600,0600POUNDS OF LAUNDRY 131346,B100000,00000,0700,0700SQR FTG EXC DIET 131346,B100000,00000,0800,0800PATIENT DAYS 131346,B100000,00000,0900,0900DIRECT NRSING HRS 131346,B100000,00000,1000,1000PATIENT DAYS 131346,B100000,00000,1100,1100COSTED REQUIS. 131346,B100000,00000,1200,1200TIME SPENT 131346,B100000,00000,1300,1300TIME SPENT 131346,B100000,00000,1400,1400ASSIGNED TIME 131346,B100000,00000,1500,1350TIME SPENT 131346,E10A180,00301,0100,03/29/99 131346,E10A180,00501,0300,09/20/01 131346,E10A180,00550,0100,06/01/00 131346,E10A180,00550,0300,06/01/00 131346,E10A180,00551,0100,09/20/01 131346,S000000,00100,0200,06/01/00 131346,S200000,00100,0100,316 NC HWY 801 SOUTH 131346,S200000,00200,0100,ADVANCE 131346,S200000,00200,0200,NC 131346,S200000,00200,0300,27006 131346,S200000,00300,0100,DAVIE 131346,S200000,00300,0200,3120 131346,S200000,00300,0300,U 131346,S200000,00400,0100,MEADOWBROOK TERRACE OF DAVIE 131346,S200000,00400,0200,345456 131346,S200000,00400,0300,04/25/94 131346,S200000,00400,0500,P 131346,S200000,01500,0100,N 131346,S200000,01600,0100,Y 131346,S200000,01700,0100,N 131346,S200000,01800,0100,N 131346,S200000,02200,0100,N 131346,S200000,02800,0100,N 131346,S200000,02900,0100,N 131346,S200000,03000,0100,N 131346,S200000,03100,0100,N 131346,S200000,03200,0100,N 131346,S200000,03300,0100,N 131346,S200000,03300,0200,N 131346,S200000,04100,0100,N 131346,S200000,04200,0100,N 131346,S200000,04300,0100,N 131346,S200000,04600,0100,N 131346,S200000,04700,0100,N 131346,S200000,04900,0100,N 131346,S200000,05200,0100,N 132058,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132058,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132058,A000000,00300,0000,0300EMPLOYEE BENEFITS 132058,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132058,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132058,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132058,A000000,00700,0000,0700HOUSEKEEPING 132058,A000000,00800,0000,0800DIETARY 132058,A000000,00900,0000,0900NURSING ADMINISTRATION 132058,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132058,A000000,01100,0000,1100PHARMACY 132058,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132058,A000000,01300,0000,1300SOCIAL SERVICE 132058,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132058,A000000,01600,0000,1600SKILLED NURSING FACILITY 132058,A000000,01800,0000,1800NURSING FACILITY 132058,A000000,01810,0000,1810ICF/MR 132058,A000000,01900,0000,1900OTHER LONG TERM CARE 132058,A000000,02200,0000,2200LABORATORY 132058,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132058,A000000,02500,0000,2500PHYSICAL THERAPY 132058,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132058,A000000,02700,0000,2700SPEECH PATHOLOGY 132058,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132058,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132058,A000000,03300,0000,3050THERAPY BEDS 132058,A000000,03550,0000,3550FQHC 132058,A000000,03701,0000,3701ADMINISTRATIVE & GENERAL - HHA 132058,A000000,05000,0000,5000CORF 132058,A000000,05010,0000,5010CMHC 132058,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132058,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132058,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132058,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132058,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132058,A81000A,00100,0100,Y 132058,A81000B,00100,0300,RESPIRATORY THERAPY 132058,A81000B,00200,0300,PHYSICAL THERAPY 132058,A81000B,00300,0300,OCCUPATIONAL THERAPY 132058,A81000B,00400,0300,SPEECH PATHOLOGY 132058,A81000B,00500,0300,LABORATORY 132058,A81000B,00600,0300,RADIOLOGY 132058,A81000B,00700,0300,MANAGEMENT FEE 132058,A81000B,00800,0300,MEDICAL SUPPLIES 132058,A81000C,00100,0100,B 132058,A81000C,00100,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00200,0100,B 132058,A81000C,00200,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00300,0100,B 132058,A81000C,00300,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00400,0100,B 132058,A81000C,00400,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00500,0100,B 132058,A81000C,00500,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00600,0100,B 132058,A81000C,00600,0200,FAUQUIER HOSPITAL INC. 132058,A81000C,00700,0100,B 132058,A81000C,00700,0200,FAUQUIER HOSPITAL INC. 132058,B100000,00000,0100,0100SQUARE FEET 132058,B100000,00000,0200,0200SQUARE FEET 132058,B100000,00000,0300,0300GROSS SALARIES 132058,B100000,00000,0400,0400ACCUM. COST 132058,B100000,00000,0500,0500SQUARE FEET 132058,B100000,00000,0600,0600POUNDS OF LAUNDRY 132058,B100000,00000,0700,0700SQUARE FEET 132058,B100000,00000,0800,0800MEALS SERVED 132058,B100000,00000,0900,0900PAID HOURS 132058,B100000,00000,1000,1000DAYS 132058,B100000,00000,1100,1100COSTED REQUIS 132058,B100000,00000,1200,1200REVENUE 132058,B100000,00000,1300,1300TIME SPENT 132058,B100000,00000,1400,1400ASSIGNED TIME 132058,E10A180,00301,0100,01/01/99 132058,E10A180,00501,0100,04/12/00 132058,E10A180,00550,0300,04/12/00 132058,S000000,00100,0200,02/18/00 132058,S200000,00100,0100,360 HOSPITAL DRIVE 132058,S200000,00200,0100,WARRENTON 132058,S200000,00200,0200,VA 132058,S200000,00300,0100,FAUQUIER 132058,S200000,00300,0200,8840 132058,S200000,00300,0300,U 132058,S200000,00400,0100,WARRENTON OVERLOOK 132058,S200000,00400,0200,495233 132058,S200000,00400,0300,03/20/91 132058,S200000,00400,0500,P 132058,S200000,00600,0200,495233 132058,S200000,00600,0300,03/20/91 132058,S200000,01500,0100,N 132058,S200000,01600,0100,Y 132058,S200000,01700,0100,N 132058,S200000,01800,0100,N 132058,S200000,02200,0100,N 132058,S200000,02800,0100,N 132058,S200000,02900,0100,N 132058,S200000,03000,0100,N 132058,S200000,03100,0100,N 132058,S200000,03200,0100,N 132058,S200000,03300,0100,N 132058,S200000,03300,0200,N 132058,S200000,03500,0300,N 132058,S200000,04100,0100,N 132058,S200000,04200,0100,N 132058,S200000,04300,0100,N 132058,S200000,04600,0100,N 132058,S200000,04700,0100,N 132058,S200000,04900,0100,N 132058,S200000,05000,0100,N 132058,S200000,05100,0100,N 132058,S200000,05200,0100,N 132091,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132091,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132091,A000000,00300,0000,0300EMPLOYEE BENEFITS 132091,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132091,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132091,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132091,A000000,00700,0000,0700HOUSEKEEPING 132091,A000000,00800,0000,0800DIETARY 132091,A000000,00900,0000,0900NURSING ADMINISTRATION 132091,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132091,A000000,01100,0000,1100PHARMACY 132091,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132091,A000000,01300,0000,1300SOCIAL SERVICE 132091,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132091,A000000,01500,0000,1350OTHER GENERAL SERVICES 132091,A000000,01600,0000,1600SKILLED NURSING FACILITY 132091,A000000,01800,0000,1800NURSING FACILITY 132091,A000000,01810,0000,1810ICF/MR 132091,A000000,01900,0000,1900OTHER LONG TERM CARE 132091,A000000,02100,0000,2100RADIOLOGY 132091,A000000,02200,0000,2200LABORATORY 132091,A000000,02300,0000,2300INTRAVENOUS THERAPY 132091,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132091,A000000,02500,0000,2500PHYSICAL THERAPY 132091,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132091,A000000,02700,0000,2700SPEECH PATHOLOGY 132091,A000000,02800,0000,2800ELECTROCARDIOLOGY 132091,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132091,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132091,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132091,A000000,03200,0000,3200SUPPORT SURFACES 132091,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132091,A000000,03400,0000,3400CLINIC 132091,A000000,03500,0000,3500RURAL HEALTH CLINIC 132091,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132091,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132091,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132091,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132091,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132091,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132091,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132091,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132091,A000000,04400,0000,4400DME RENTED - HHA 132091,A000000,04500,0000,4500DME SOLD - HHA 132091,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132091,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132091,A000000,04800,0000,4800AMBULANCE 132091,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132091,A000000,05000,0000,5000CORF 132091,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132091,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132091,A000000,05300,0000,5300INTEREST EXPENSE 132091,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132091,A000000,05500,0000,5500HOSPICE 132091,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132091,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132091,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132091,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132091,A000000,06100,0000,6100NONPAID WORKERS 132091,A000000,06200,0000,6200PATIENTS LAUNDRY 132091,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132091,A81000A,00100,0100,Y 132091,A81000B,00100,0300,RENT EXPENSE 132091,A81000C,00100,0100,B 132091,A81000C,00100,0200,JUHL REAL ESTATE INVESTME 132091,A81000C,00100,0600,OWNS PROPERTY 132091,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132091,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132091,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132091,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132091,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132091,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 132091,B100000,00000,0700,0750SQUARE FEET-HSKG :HOUSEKEEPING 132091,B100000,00000,0800,0800MEALS SERVED :DIETARY 132091,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 132091,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 132091,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 132091,H510100,00000,0000,0801 132091,H710000,00501,0300,06/27/00 132091,H710000,00550,0100,06/27/00 132091,S000000,00100,0200,06/05/00 132091,S200000,00100,0100,100 GLEN OAKS DRIVE 132091,S200000,00100,0300,RT. 3 BOX B 132091,S200000,00200,0100,NEW LONDON 132091,S200000,00200,0200,MN 132091,S200000,00200,0300,56273- 132091,S200000,00300,0100,KANDIYOHI 132091,S200000,00300,0200,9924 132091,S200000,00300,0300,R 132091,S200000,00400,0100,JUHL ENT. INC. DBA: GLEN OAKS C.C. 132091,S200000,00400,0200,245360 132091,S200000,00400,0300,11/18/86 132091,S200000,00400,0500,P 132091,S200000,00800,0200,247133 132091,S200000,00800,0300,06/30/83 132091,S200000,00800,0500,O 132091,S200000,01500,0100,Y 132091,S200000,01600,0100,N 132091,S200000,01700,0100,N 132091,S200000,01800,0100,N 132091,S200000,02200,0100,N 132091,S200000,02800,0100,N 132091,S200000,02900,0100,N 132091,S200000,03000,0100,N 132091,S200000,03100,0100,N 132091,S200000,03200,0100,N 132091,S200000,04100,0100,N 132091,S200000,04200,0100,N 132091,S200000,04300,0100,N 132091,S200000,04600,0100,N 132091,S200000,04700,0100,N 132091,S200000,04700,0200,N 132091,S200000,04900,0100,N 132091,S200000,05000,0100,N 132091,S200000,05100,0100,N 132091,S200000,05200,0100,N 132091,S410002,01700,0100,4885531189130801 132187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132187,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132187,A000000,00300,0000,0300EMPLOYEE BENEFITS 132187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132187,A000000,00700,0000,0700HOUSEKEEPING 132187,A000000,00800,0000,0800DIETARY 132187,A000000,00900,0000,0900NURSING ADMINISTRATION 132187,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132187,A000000,01100,0000,1100PHARMACY 132187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132187,A000000,01300,0000,1300SOCIAL SERVICE 132187,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132187,A000000,01600,0000,1600SKILLED NURSING FACILITY 132187,A000000,01800,0000,1800NURSING FACILITY 132187,A000000,01810,0000,1810ICF/MR 132187,A000000,02200,0000,2200LABORATORY 132187,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132187,A000000,02500,0000,2500PHYSICAL THERAPY 132187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132187,A000000,02700,0000,2700SPEECH PATHOLOGY 132187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132187,A000000,03550,0000,3550FQHC 132187,A000000,05000,0000,5000CORF 132187,A000000,05010,0000,5010CMHC 132187,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132187,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132187,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132187,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 132187,A000000,05801,0000,5801PATIENT LAUNDRY 132187,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132187,A81000A,00100,0100,Y 132187,A81000B,00100,0300,ADMINISTRATIVE & GEN 132187,A81000B,00200,0300,OXYGEN THERAPY 132187,A81000B,00300,0300,PLANT OPERATIONS & 132187,A81000C,00100,0100,G 132187,A81000C,00100,0200,PIMA COUNTY 132187,A81000C,00100,0400,PIMA COUNTY 132187,A81000C,00100,0600,COUNTY 132187,A81000C,00200,0100,G 132187,A81000C,00200,0200,KINO HOSPITAL 132187,A81000C,00200,0400,PIMA COUNTY 132187,A81000C,00200,0600,COUNTY 132187,A81000C,00300,0100,G 132187,A81000C,00300,0200,PIMA COUNTY 132187,A81000C,00300,0400,PIMA COUNTY 132187,A81000C,00300,0600,COUNTY 132187,B100000,00000,0100,0100SQUARE FEET 132187,B100000,00000,0200,0200SQUARE FEET 132187,B100000,00000,0300,0300GROSS SALARIES 132187,B100000,00000,0400,0400ACCUM COST 132187,B100000,00000,0500,0500SQUARE FEET 132187,B100000,00000,0600,0600POUNDS OF LAUNDRY 132187,B100000,00000,0700,0700HOURS OF SERVICE 132187,B100000,00000,0800,0800MEALS SERVED 132187,B100000,00000,0900,0900DIRECT NRSG HRS 132187,B100000,00000,1000,1000COSTED REQUIS 132187,B100000,00000,1100,1100COSTED REQUIS 132187,B100000,00000,1200,1200TIME SPENT 132187,B100000,00000,1300,1300TIME SPENT 132187,B100000,00000,1400,1400ASSIGNED TIME 132187,E10A180,00301,0100,05/09/00 132187,E10A180,00350,0300,05/09/00 132187,S000000,00100,0200,11/30/00 132187,S200000,00100,0100,2250 NORTH CRAYCROFT 132187,S200000,00200,0100,TUCSON 132187,S200000,00200,0200,AZ 132187,S200000,00300,0100,PIMA 132187,S200000,00300,0200,8520 132187,S200000,00300,0300,U 132187,S200000,00400,0100,POSADA DEL SOL 132187,S200000,00400,0200,035064 132187,S200000,00400,0300,08/18/76 132187,S200000,00400,0500,P 132187,S200000,00600,0200,035064 132187,S200000,00600,0300,08/18/76 132187,S200000,00600,0600,O 132187,S200000,01500,0100,N 132187,S200000,01600,0100,Y 132187,S200000,01700,0100,N 132187,S200000,01800,0100,N 132187,S200000,02200,0100,N 132187,S200000,02800,0100,N 132187,S200000,02900,0100,N 132187,S200000,03000,0100,N 132187,S200000,03100,0100,N 132187,S200000,03200,0100,N 132187,S200000,03300,0100,N 132187,S200000,03300,0200,N 132187,S200000,03500,0300,N 132187,S200000,04100,0100,N 132187,S200000,04200,0100,N 132187,S200000,04300,0100,N 132187,S200000,04600,0100,N 132187,S200000,04700,0100,N 132187,S200000,04900,0100,N 132189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132189,A000000,00300,0000,0300EMPLOYEE BENEFITS 132189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132189,A000000,00700,0000,0700HOUSEKEEPING 132189,A000000,00800,0000,0800DIETARY 132189,A000000,00900,0000,0900NURSING ADMINISTRATION 132189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132189,A000000,01100,0000,1100PHARMACY 132189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132189,A000000,01300,0000,1300SOCIAL SERVICE 132189,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132189,A000000,01500,0000,1350RECREATION 132189,A000000,01600,0000,1600SKILLED NURSING FACILITY 132189,A000000,01800,0000,1800NURSING FACILITY 132189,A000000,01810,0000,1810ICF/MR 132189,A000000,02100,0000,2100RADIOLOGY 132189,A000000,02200,0000,2200LABORATORY 132189,A000000,02300,0000,2300INTRAVENOUS THERAPY 132189,A000000,02500,0000,2500PHYSICAL THERAPY 132189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132189,A000000,02700,0000,2700SPEECH PATHOLOGY 132189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132189,A000000,03550,0000,3550FQHC 132189,A000000,05000,0000,5000CORF 132189,A000000,05010,0000,5010CMHC 132189,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132189,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132189,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132189,A81000A,00100,0100,Y 132189,A81000B,00100,0300,MANAGEMENT FEES 132189,A81000C,00100,0100,A 132189,A81000C,00100,0200,SIERRA LAND 132189,A81000C,00100,0400,SIERRA LAND 132189,A81000C,00100,0600,PROPERTY MANAGE 132189,B100000,00000,0100,0100SQUARE FEET 132189,B100000,00000,0200,0200SQUARE FEET 132189,B100000,00000,0300,0300GROSS SALARIES 132189,B100000,00000,0400,0400ACCUM COST 132189,B100000,00000,0500,0500SQUARE FEET 132189,B100000,00000,0600,0600POUNDS OF LAUNDRY 132189,B100000,00000,0700,0700HOURS OF SERVICE 132189,B100000,00000,0800,0800PATIENT DAYS 132189,B100000,00000,0900,0900PATIENT DAYS 132189,B100000,00000,1000,1000PATIENT DAYS 132189,B100000,00000,1100,1100COSTED REQUIS 132189,B100000,00000,1200,1200PATIENT DAYS 132189,B100000,00000,1300,1300PATIENT DAYS 132189,B100000,00000,1400,1400ASSIGNED TIME 132189,B100000,00000,1500,1350PATIENT DAYS 132189,S000000,00100,0200,11/22/00 132189,S200000,00100,0100,12207 NORTH 113TH AVENUE 132189,S200000,00200,0100,YOUNGTOWN 132189,S200000,00200,0200,AZ 132189,S200000,00200,0300,85363 132189,S200000,00300,0100,MARICOPA 132189,S200000,00300,0300,U 132189,S200000,00400,0100,SUNVIEW CARE CENTER 132189,S200000,00400,0200,035245 132189,S200000,00400,0300,10/27/97 132189,S200000,00400,0500,P 132189,S200000,00600,0200,035245 132189,S200000,00600,0300,10/27/97 132189,S200000,00600,0600,O 132189,S200000,01500,0100,Y 132189,S200000,01600,0100,N 132189,S200000,01700,0100,N 132189,S200000,01800,0100,N 132189,S200000,02200,0100,N 132189,S200000,02800,0100,N 132189,S200000,02900,0100,N 132189,S200000,03000,0100,N 132189,S200000,03100,0100,N 132189,S200000,03200,0100,N 132189,S200000,03300,0100,N 132189,S200000,03300,0200,N 132189,S200000,03500,0300,N 132189,S200000,04100,0100,N 132189,S200000,04200,0100,N 132189,S200000,04300,0100,N 132189,S200000,04600,0100,N 132189,S200000,04700,0100,N 132189,S200000,04900,0100,N 132248,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132248,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132248,A000000,00300,0000,0300EMPLOYEE BENEFITS 132248,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132248,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132248,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132248,A000000,00700,0000,0700HOUSEKEEPING 132248,A000000,00800,0000,0800DIETARY 132248,A000000,00900,0000,0900NURSING ADMINISTRATION 132248,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132248,A000000,01100,0000,1100PHARMACY 132248,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132248,A000000,01300,0000,1300SOCIAL SERVICE 132248,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132248,A000000,01600,0000,1600SKILLED NURSING FACILITY 132248,A000000,01800,0000,1800NURSING FACILITY 132248,A000000,01810,0000,1810ICF/MR 132248,A000000,02100,0000,2100RADIOLOGY 132248,A000000,02200,0000,2200LABORATORY 132248,A000000,02300,0000,2300INTRAVENOUS THERAPY 132248,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132248,A000000,02500,0000,2500PHYSICAL THERAPY 132248,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132248,A000000,02700,0000,2700SPEECH PATHOLOGY 132248,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132248,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132248,A000000,03200,0000,3200SUPPORT SURFACES 132248,A000000,03550,0000,3550FQHC 132248,A000000,05000,0000,5000CORF 132248,A000000,05010,0000,5010CMHC 132248,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132248,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132248,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132248,A81000A,00100,0100,Y 132248,A81000B,00100,0300,HOME OFFICE COSTS 132248,A81000C,00100,0100,B 132248,A81000C,00100,0200,ADVOCAT INC. 132248,A81000C,00100,0400,DVCR LEASING CO 132248,A81000C,00100,0600,L/T CARE MGT CO 132248,B100000,00000,0100,0100SQUARE FEET 132248,B100000,00000,0200,0200SQUARE FEET 132248,B100000,00000,0300,0300GROSS SALARIES 132248,B100000,00000,0400,0400ACCUM COST 132248,B100000,00000,0500,0500SQUARE FEET 132248,B100000,00000,0600,0600PATIENT DAYS 132248,B100000,00000,0700,0700SQUARE FEET 132248,B100000,00000,0800,0800PATIENT DAYS 132248,B100000,00000,0900,0900TOTAL HRS SUPRVSD 132248,B100000,00000,1000,1000COSTED REQUIS 132248,B100000,00000,1100,1100COSTED REQUIS 132248,B100000,00000,1200,1200PATIENT REVENUES 132248,B100000,00000,1300,1300PATIENT DAYS 132248,B100000,00000,1400,1400ASSIGNED TIME 132248,E10A180,00351,0100,11/18/00 132248,S000000,00100,0200,12/28/00 132248,S200000,00100,0100,524 CARPENTER DAM RD 132248,S200000,00200,0100,HOT SPRINGS 132248,S200000,00200,0200,AR 132248,S200000,00200,0300,72455 132248,S200000,00300,0100,G 132248,S200000,00300,0200,9904 132248,S200000,00300,0300,R 132248,S200000,00400,0100,THE PINES NRSG. AND REHAB. 132248,S200000,00400,0200,045243 132248,S200000,00400,0300,08/01/94 132248,S200000,00400,0500,P 132248,S200000,01500,0100,N 132248,S200000,01600,0100,Y 132248,S200000,01700,0100,N 132248,S200000,01800,0100,N 132248,S200000,02200,0100,Y 132248,S200000,02800,0100,Y 132248,S200000,02900,0100,N 132248,S200000,03000,0100,N 132248,S200000,03100,0100,N 132248,S200000,03200,0100,N 132248,S200000,03300,0100,N 132248,S200000,03300,0200,N 132248,S200000,04100,0100,N 132248,S200000,04200,0100,N 132248,S200000,04300,0100,N 132248,S200000,04600,0100,N 132248,S200000,04700,0100,N 132248,S200000,04900,0100,N 132251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132251,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132251,A000000,00300,0000,0300EMPLOYEE BENEFITS 132251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132251,A000000,00700,0000,0700HOUSEKEEPING 132251,A000000,00800,0000,0800DIETARY 132251,A000000,00900,0000,0900NURSING ADMINISTRATION 132251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132251,A000000,01100,0000,1100PHARMACY 132251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132251,A000000,01300,0000,1300SOCIAL SERVICE 132251,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132251,A000000,01600,0000,1600SKILLED NURSING FACILITY 132251,A000000,01800,0000,1800NURSING FACILITY 132251,A000000,01810,0000,1810ICF/MR 132251,A000000,02100,0000,2100RADIOLOGY 132251,A000000,02200,0000,2200LABORATORY 132251,A000000,02300,0000,2300INTRAVENOUS THERAPY 132251,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132251,A000000,02500,0000,2500PHYSICAL THERAPY 132251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132251,A000000,02700,0000,2700SPEECH PATHOLOGY 132251,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132251,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132251,A000000,03200,0000,3200SUPPORT SURFACES 132251,A000000,03550,0000,3550FQHC 132251,A000000,05000,0000,5000CORF 132251,A000000,05010,0000,5010CMHC 132251,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132251,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132251,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132251,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 132251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132251,A81000A,00100,0100,Y 132251,A81000B,00100,0300,HOME OFFICE COSTS 132251,A81000C,00100,0100,B 132251,A81000C,00100,0200,ADVOCAT INC. 132251,A81000C,00100,0400,DVCR LEASING CO 132251,A81000C,00100,0600,L/T CARE MGT CO 132251,B100000,00000,0100,0100SQUARE FEET 132251,B100000,00000,0200,0200SQUARE FEET 132251,B100000,00000,0300,0300GROSS SALARIES 132251,B100000,00000,0400,0400ACCUM COST 132251,B100000,00000,0500,0500SQUARE FEET 132251,B100000,00000,0600,0600PATIENT DAYS 132251,B100000,00000,0700,0700SQUARE FEET 132251,B100000,00000,0800,0800PATIENT DAYS 132251,B100000,00000,0900,0900TOTAL HRS SUPRVSD 132251,B100000,00000,1000,1000COSTED REQUIS 132251,B100000,00000,1100,1100COSTED REQUIS 132251,B100000,00000,1200,1200PATIENT REVENUES 132251,B100000,00000,1300,1300PATIENT DAYS 132251,B100000,00000,1400,1400ASSIGNED TIME 132251,S000000,00100,0200,12/28/00 132251,S200000,00100,0100,610 CARPENTER DAM RD 132251,S200000,00200,0100,HOT SPRINGS 132251,S200000,00200,0200,AR 132251,S200000,00200,0300,71901 132251,S200000,00300,0100,G 132251,S200000,00300,0200,9904 132251,S200000,00300,0300,R 132251,S200000,00400,0100,GARLAND NRSG. AND REHAB. CENTER 132251,S200000,00400,0200,045235 132251,S200000,00400,0300,06/01/94 132251,S200000,00400,0500,P 132251,S200000,01500,0100,N 132251,S200000,01600,0100,Y 132251,S200000,01700,0100,N 132251,S200000,01800,0100,N 132251,S200000,02200,0100,Y 132251,S200000,02800,0100,Y 132251,S200000,02900,0100,N 132251,S200000,03000,0100,N 132251,S200000,03100,0100,N 132251,S200000,03200,0100,N 132251,S200000,03300,0100,N 132251,S200000,03300,0200,N 132251,S200000,04100,0100,N 132251,S200000,04200,0100,N 132251,S200000,04300,0100,N 132251,S200000,04600,0100,N 132251,S200000,04700,0100,N 132251,S200000,04900,0100,N 132272,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132272,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURE 132272,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132272,A000000,00300,0000,0300EMPLOYEE BENEFITS 132272,A000000,00301,0000,0301EMPLOYEE BENEFITS 132272,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132272,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132272,A000000,00501,0000,0501PLANT OPERATION MAINT. & REPAI 132272,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132272,A000000,00700,0000,0700HOUSEKEEPING 132272,A000000,00800,0000,0800DIETARY 132272,A000000,00900,0000,0900NURSING ADMINISTRATION 132272,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132272,A000000,01100,0000,1100PHARMACY 132272,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132272,A000000,01300,0000,1300SOCIAL SERVICE 132272,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132272,A000000,01500,0000,1350DIVERSIONAL THERAPY 132272,A000000,01600,0000,1600SKILLED NURSING FACILITY 132272,A000000,01810,0000,1810ICF/MR 132272,A000000,02100,0000,2100RADIOLOGY 132272,A000000,02200,0000,2200LABORATORY 132272,A000000,02300,0000,2300INTRAVENOUS THERAPY 132272,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132272,A000000,02500,0000,2500PHYSICAL THERAPY 132272,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132272,A000000,02700,0000,2700SPEECH PATHOLOGY 132272,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132272,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132272,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132272,A000000,03550,0000,3550FQHC 132272,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132272,A000000,05000,0000,5000CORF 132272,A000000,05010,0000,5010CMHC 132272,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132272,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132272,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132272,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132272,A000000,05300,0000,5300INTEREST EXPENSE 132272,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132272,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132272,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132272,A81000A,00100,0100,Y 132272,A81000B,00100,0300,LAUNDRY & LINEN SERVICE 132272,A81000B,00200,0300,WORKERS COMPENSATION 132272,A81000B,00300,0300,PHYSICAL THERAPY 132272,A81000B,00400,0300,OCCUPATIONAL THERAPY 132272,A81000B,00500,0300,SPEECH THERAPY 132272,A81000B,00600,0300,DIETARY CONSULTANT 132272,A81000B,00700,0300,ADMIN. & GENERAL 132272,A81000C,00100,0100,G 132272,A81000C,00100,0200,TEXTILE SYSTEMS 132272,A81000C,00100,0400,BORGESS HEALTH ALLIANCE 132272,A81000C,00100,0600,LAUNDRY SERVICE 132272,A81000C,00200,0100,G 132272,A81000C,00200,0200,LEE MEMORIAL HOSPITAL 132272,A81000C,00200,0400,BORGESS HEALTH ALLIANCE 132272,A81000C,00200,0600,ACUTE CARE HOSPITAL 132272,A81000C,00300,0100,G 132272,A81000C,00300,0200,LEE MEMORIAL HOSPITAL 132272,A81000C,00300,0400,BORGESS HEALTH ALLIANCE 132272,A81000C,00300,0600,ACUTE CARE HOSPITAL 132272,A81000C,00400,0100,G 132272,A81000C,00400,0200,BORGESS HEALTH ALLIANCE 132272,A81000C,00400,0400,BORGESS HEALTH ALLIANCE 132272,A81000C,00400,0600,HOME OFFICE COST REPORT 132272,B100000,00000,0100,0100SQUARE FEET 132272,B100000,00000,0101,0101SQUARE FEET 132272,B100000,00000,0200,0200SQUARE FEET 132272,B100000,00000,0300,0300SALARIES 132272,B100000,00000,0301,0301SALARIES 132272,B100000,00000,0400,0400ACCUM. COST 132272,B100000,00000,0500,0500SQUARE FEET 132272,B100000,00000,0501,0501SQUARE FEET 132272,B100000,00000,0600,0600# OF LAUNDRY 132272,B100000,00000,0700,0700HRS WORKED 132272,B100000,00000,0800,0800MEALS SERVED 132272,B100000,00000,0900,0900HRS WORKED 132272,B100000,00000,1000,1000NO STATISTICS 132272,B100000,00000,1100,1100NO STATISTICS 132272,B100000,00000,1200,1200HRS WORKED 132272,B100000,00000,1300,1300HRS WORKED 132272,B100000,00000,1400,1400NO STATISTICS 132272,B100000,00000,1500,1350HRS WORKED 132272,S000000,00100,0200,11/28/00 132272,S200000,00100,0100,610 UNETA 132272,S200000,00200,0100,DOWAGIAC 132272,S200000,00200,0200,MI 132272,S200000,00200,0300,49047 132272,S200000,00300,0100,CASS 132272,S200000,00300,0200,23 132272,S200000,00300,0300,R 132272,S200000,00400,0100,DOWAGIAC NURSING HOME INC. 132272,S200000,00400,0200,235230 132272,S200000,00400,0300,10/01/80 132272,S200000,00400,0500,P 132272,S200000,01500,0100,Y 132272,S200000,01600,0100,N 132272,S200000,01700,0100,N 132272,S200000,01800,0100,N 132272,S200000,02200,0100,Y 132272,S200000,02800,0100,N 132272,S200000,02900,0100,N 132272,S200000,03000,0100,N 132272,S200000,03100,0100,N 132272,S200000,03200,0100,N 132272,S200000,03300,0100,N 132272,S200000,03300,0200,N 132272,S200000,04100,0100,N 132272,S200000,04200,0100,N 132272,S200000,04300,0100,N 132272,S200000,04600,0100,N 132272,S200000,04700,0100,N 132272,S200000,04900,0100,N 132272,S200000,05200,0100,N 132441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132441,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132441,A000000,00300,0000,0300EMPLOYEE BENEFITS 132441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132441,A000000,00700,0000,0700HOUSEKEEPING 132441,A000000,00800,0000,0800DIETARY 132441,A000000,00900,0000,0900NURSING ADMINISTRATION 132441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132441,A000000,01100,0000,1100PHARMACY 132441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132441,A000000,01300,0000,1300SOCIAL SERVICE 132441,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132441,A000000,01500,0000,1350OTHER GENERAL SERVICES 132441,A000000,01600,0000,1600SKILLED NURSING FACILITY 132441,A000000,01800,0000,1800NURSING FACILITY 132441,A000000,01900,0000,1900OTHER LONG TERM CARE 132441,A000000,02100,0000,2100RADIOLOGY 132441,A000000,02200,0000,2200LABORATORY 132441,A000000,02300,0000,2300INTRAVENOUS THERAPY 132441,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132441,A000000,02500,0000,2500PHYSICAL THERAPY 132441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132441,A000000,02700,0000,2700SPEECH PATHOLOGY 132441,A000000,02800,0000,2800ELECTROCARDIOLOGY 132441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132441,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132441,A000000,03200,0000,3200SUPPORT SURFACES 132441,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132441,A000000,03400,0000,3400CLINIC 132441,A000000,03500,0000,3500RURAL HEALTH CLINIC 132441,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132441,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132441,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132441,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132441,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132441,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132441,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132441,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132441,A000000,04400,0000,4400DME RENTED - HHA 132441,A000000,04500,0000,4500DME SOLD - HHA 132441,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132441,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132441,A000000,04800,0000,4800AMBULANCE 132441,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 132441,A000000,05000,0000,5000CORF 132441,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132441,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132441,A000000,05300,0000,5300INTEREST EXPENSE 132441,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132441,A000000,05500,0000,5500HOSPICE 132441,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132441,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132441,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132441,A000000,06100,0000,6100NONPAID WORKERS 132441,A000000,06200,0000,6200PATIENTS LAUNDRY 132441,A000000,06300,0000,6150PEN THERAPY 132441,A81000A,00100,0100,N 132441,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132441,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132441,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132441,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132441,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132441,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 132441,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 132441,B100000,00000,0800,0800MEALS SERVED DIETARY 132441,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 132441,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 132441,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 132441,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 132441,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 132441,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 132441,B100000,00000,1500,1500NO STATISTICS OTHER GENER 132441,E10A180,00501,0100,04/06/01 132441,S000000,00100,0200,02/27/01 132441,S200000,00100,0100,2920 SOUTH PHARR COURT N.W. 132441,S200000,00200,0100,ATLANTA 132441,S200000,00200,0200,GA 132441,S200000,00200,0300,30363- 132441,S200000,00300,0100,FULTON 132441,S200000,00300,0200,000U 132441,S200000,00300,0300,U 132441,S200000,00400,0100,NURSECARE OF ATLANTA INC. 132441,S200000,00400,0200,115129 132441,S200000,00400,0300,12/22/71 132441,S200000,00400,0500,P 132441,S200000,00400,0600,N 132441,S200000,01500,0100,N 132441,S200000,01600,0100,Y 132441,S200000,01700,0100,N 132441,S200000,01800,0100,N 132441,S200000,02200,0100,N 132441,S200000,02800,0100,N 132441,S200000,02900,0100,N 132441,S200000,03000,0100,N 132441,S200000,03100,0100,N 132441,S200000,03200,0100,N 132441,S200000,03300,0100,N 132441,S200000,03300,0200,N 132441,S200000,04100,0100,N 132441,S200000,04200,0100,N 132441,S200000,04300,0100,N 132441,S200000,04600,0100,N 132441,S200000,04700,0100,N 132441,S200000,04700,0200,N 132441,S200000,04900,0100,N 132441,S200000,05200,0100,N 132441,S700003,00000,0200,X 132442,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132442,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132442,A000000,00300,0000,0300EMPLOYEE BENEFITS 132442,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132442,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132442,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132442,A000000,00700,0000,0700HOUSEKEEPING 132442,A000000,00800,0000,0800DIETARY 132442,A000000,00900,0000,0900NURSING ADMINISTRATION 132442,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132442,A000000,01100,0000,1100PHARMACY 132442,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132442,A000000,01300,0000,1300SOCIAL SERVICE 132442,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132442,A000000,01600,0000,1600SKILLED NURSING FACILITY 132442,A000000,01900,0000,1900OTHER LONG TERM CARE 132442,A000000,02100,0000,2100RADIOLOGY 132442,A000000,02200,0000,2200LABORATORY 132442,A000000,02300,0000,2300INTRAVENOUS THERAPY 132442,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132442,A000000,02500,0000,2500PHYSICAL THERAPY 132442,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132442,A000000,02700,0000,2700SPEECH PATHOLOGY 132442,A000000,02800,0000,2800ELECTROCARDIOLOGY 132442,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132442,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132442,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132442,A000000,03200,0000,3200SUPPORT SURFACES 132442,A000000,03400,0000,3400CLINIC 132442,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132442,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132442,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132442,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132442,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132442,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132442,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132442,A000000,04400,0000,4400DME RENTED - HHA 132442,A000000,04500,0000,4500DME SOLD - HHA 132442,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132442,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132442,A000000,04800,0000,4800AMBULANCE 132442,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 132442,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132442,A000000,05300,0000,5300INTEREST EXPENSE 132442,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132442,A000000,05500,0000,5500HOSPICE 132442,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132442,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132442,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132442,A000000,06100,0000,6100NONPAID WORKERS 132442,A000000,06200,0000,6200PATIENTS LAUNDRY 132442,A81000A,00100,0100,Y 132442,A81000B,00100,0300,MANAGEMENT FEES 132442,A81000B,00200,0300,CAPITAL - BUILDING 132442,A81000B,00300,0300,CAPITAL - EQUIPMENT 132442,A81000C,00100,0100,A 132442,A81000C,00100,0200,T.B. STROUD 132442,A81000C,00100,0400,COATAL HEALTH 132442,A81000C,00100,0600,MANAGEMENT 132442,A81000C,00200,0100,A 132442,A81000C,00200,0200,J.B. STROUD 132442,A81000C,00200,0400,MANAGEMENT 132442,B100000,00000,0100,0100SQUARE FOOTAGE CAP REL COSTS 132442,B100000,00000,0200,0200SQUARE FOOTAGE CAP REL COSTS 132442,B100000,00000,0300,0300GROSS SAL EMPLOYEE BENEFITS 132442,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132442,B100000,00000,0500,0500SQUARE FOOTAGE PLANT OPERATIO 132442,B100000,00000,0600,0600PAT DAYS LAUNDRY & LINEN SERVICE 132442,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 132442,B100000,00000,0800,0800PAT DAYS DIETARY 132442,B100000,00000,0900,0900PAT DAYS NURSING ADMINISTRATION 132442,B100000,00000,1000,1000PAT DAYS CENTRAL SERVICES & SUPP 132442,B100000,00000,1100,1100PAT DAYS PHARMACY 132442,B100000,00000,1200,1200PAT DAYS MEDICAL RECORDS & LIBRA 132442,B100000,00000,1300,1300PAT DAYS SOCIAL SERVICE 132442,B100000,00000,1400,1400PAT DAYS INTERNS & RESIDENTS (AP 132442,E10A180,00501,0100,12/28/01 132442,E10A180,00550,0300,12/28/01 132442,S000000,00100,0200,02/26/01 132442,S200000,00200,0100,WARRENTON 132442,S200000,00200,0200,GA 132442,S200000,00200,0300,30828 132442,S200000,00300,0100,WARREN 132442,S200000,00300,0200,0011 132442,S200000,00300,0300,R 132442,S200000,00400,0100,WARRENTON HEALTH & REHABILITATION 132442,S200000,00400,0200,115321 132442,S200000,00400,0300,05/01/84 132442,S200000,00400,0500,P 132442,S200000,00400,0600,O 132442,S200000,01500,0100,Y 132442,S200000,01600,0100,N 132442,S200000,01700,0100,N 132442,S200000,01800,0100,N 132442,S200000,02200,0100,Y 132442,S200000,02800,0100,N 132442,S200000,02900,0100,N 132442,S200000,03000,0100,N 132442,S200000,03100,0100,N 132442,S200000,03200,0100,N 132442,S200000,03300,0100,N 132442,S200000,03300,0200,N 132442,S200000,03600,0100,N 132442,S200000,03600,0200,N 132442,S200000,03700,0100,N 132442,S200000,03700,0200,N 132442,S200000,04100,0100,N 132442,S200000,04200,0100,N 132442,S200000,04300,0100,N 132442,S200000,04600,0100,N 132442,S200000,04700,0100,N 132442,S200000,04900,0100,N 132442,S200000,05200,0100,N 132442,S700003,00000,0400,X 132444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132444,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132444,A000000,00300,0000,0300EMPLOYEE BENEFITS 132444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132444,A000000,00700,0000,0700HOUSEKEEPING 132444,A000000,00800,0000,0800DIETARY 132444,A000000,00900,0000,0900NURSING ADMINISTRATION 132444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132444,A000000,01100,0000,1100PHARMACY 132444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132444,A000000,01300,0000,1300SOCIAL SERVICE 132444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132444,A000000,01500,0000,1350OTHER GENERAL SERVICES 132444,A000000,01501,0000,1351RECREATION 132444,A000000,01600,0000,1600SKILLED NURSING FACILITY 132444,A000000,01800,0000,1800NURSING FACILITY 132444,A000000,01810,0000,1810ICF/MR 132444,A000000,02200,0000,2200LABORATORY 132444,A000000,02500,0000,2500PHYSICAL THERAPY 132444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132444,A000000,02700,0000,2700SPEECH PATHOLOGY 132444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132444,A000000,03550,0000,3550FQHC 132444,A000000,05000,0000,5000CORF 132444,A000000,05010,0000,5010CMHC 132444,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132444,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132444,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132444,A000000,05300,0000,5300INTEREST EXPENSE 132444,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132444,A000000,06302,0000,6152ADULT DAY CARE 132444,A000000,06304,0000,6154MEALS ON WHEELS 132444,A81000A,00100,0100,Y 132444,A81000B,00100,0300,MANAGEMENT FEES 132444,A81000C,00100,0100,B 132444,A81000C,00100,0200,HEALTH CARE JAPAN CO. LTD 132444,A81000C,00100,0400,ALOHA MANAGEMENT CO 132444,A81000C,00100,0600,L-T CARE MANAGMENT 132444,B100000,00000,0100,0100SQUARE FEET 132444,B100000,00000,0200,0200SQUARE FEET 132444,B100000,00000,0300,0300GROSS SALARIES 132444,B100000,00000,0400,0400ACCUM. COST 132444,B100000,00000,0500,0500SQUARE FEET 132444,B100000,00000,0600,0600PATIENT DAYS 132444,B100000,00000,0700,0700PATIENT DAYS 132444,B100000,00000,0800,0800PATIENT DAYS 132444,B100000,00000,0900,0900DIRECT NRSING HRS 132444,B100000,00000,1000,1000COSTED REQUIS 132444,B100000,00000,1100,1100COSTED REQUIS 132444,B100000,00000,1200,1200PATIENT DAYS 132444,B100000,00000,1300,1300PATIENT DAYS 132444,B100000,00000,1400,1400ASSIGNED TIME 132444,B100000,00000,1500,1350NO STATISTICS 132444,B100000,00000,1501,1351PATIENT DAYS 132444,E10A180,00501,0100,03/23/01 132444,S000000,00100,0200,02/02/01 132444,S200000,00100,0100,45-545 KAMEHAMEHA HWY 132444,S200000,00200,0100,KANEOHE 132444,S200000,00200,0200,HI 132444,S200000,00200,0300,96744 132444,S200000,00300,0100,H 132444,S200000,00300,0200,3320 132444,S200000,00300,0300,U 132444,S200000,00400,0100,ALOHA NURSING & REHAB CENTRE 132444,S200000,00400,0200,125038 132444,S200000,00400,0300,06/01/90 132444,S200000,00400,0500,P 132444,S200000,00400,0600,O 132444,S200000,00600,0200,125038 132444,S200000,00600,0300,08/26/88 132444,S200000,00600,0600,O 132444,S200000,01500,0100,N 132444,S200000,01600,0100,Y 132444,S200000,01700,0100,N 132444,S200000,01800,0100,N 132444,S200000,02200,0100,N 132444,S200000,02800,0100,Y 132444,S200000,02900,0100,N 132444,S200000,03000,0100,N 132444,S200000,03100,0100,N 132444,S200000,03200,0100,N 132444,S200000,03300,0100,N 132444,S200000,03300,0200,N 132444,S200000,03500,0300,N 132444,S200000,04100,0100,N 132444,S200000,04200,0100,N 132444,S200000,04300,0100,Y 132444,S200000,04600,0100,N 132444,S200000,04700,0100,N 132444,S200000,04700,0200,N 132444,S200000,04900,0100,N 132471,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132471,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132471,A000000,00300,0000,0300EMPLOYEE BENEFITS 132471,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132471,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132471,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132471,A000000,00700,0000,0700HOUSEKEEPING 132471,A000000,00800,0000,0800DIETARY 132471,A000000,00900,0000,0900NURSING ADMINISTRATION 132471,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132471,A000000,01100,0000,1100PHARMACY 132471,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132471,A000000,01300,0000,1300SOCIAL SERVICE 132471,A000000,01600,0000,1600SKILLED NURSING FACILITY 132471,A000000,01800,0000,1800NURSING FACILITY 132471,A000000,02100,0000,2100RADIOLOGY 132471,A000000,02200,0000,2200LABORATORY 132471,A000000,02300,0000,2300INTRAVENOUS THERAPY 132471,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132471,A000000,02500,0000,2500PHYSICAL THERAPY 132471,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132471,A000000,02700,0000,2700SPEECH PATHOLOGY 132471,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132471,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132471,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132471,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132471,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132471,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132471,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132471,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132471,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132471,A000000,04800,0000,4800AMBULANCE 132471,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132471,A000000,06301,0000,6151PRIVATE DUTY 132471,A81000A,00100,0100,Y 132471,A81000B,00100,0300,MANAGEMENT FEE (HOME OFFICE) 132471,A81000C,00100,0100,B 132471,A81000C,00100,0200,FOUNTAINS RETIREMENT COMM 132471,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132471,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132471,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132471,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132471,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132471,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132471,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 132471,B100000,00000,0800,0800MEALS SERVED :DIETARY 132471,B100000,00000,0900,0950DIRECT NRSING $$ :NURSING ADMINI 132471,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132471,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 132471,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132471,H510100,00000,0000,0569 132471,S000000,00100,0200,05/31/00 132471,S200000,00100,0100,1255 PASADENA AVENUE SOUTH 132471,S200000,00200,0100,ST. PETERSBURG 132471,S200000,00200,0200,FL 132471,S200000,00200,0300,33707- 132471,S200000,00300,0100,PINELLAS 132471,S200000,00300,0200,8280 132471,S200000,00300,0300,U 132471,S200000,00400,0100,THE SPRINGS AT BOCA CIEGA BAY 132471,S200000,00400,0200,105537 132471,S200000,00400,0300,04/04/86 132471,S200000,00400,0500,P 132471,S200000,00800,0200,107529 132471,S200000,00800,0300,06/24/96 132471,S200000,00800,0500,O 132471,S200000,01500,0100,Y 132471,S200000,01600,0100,N 132471,S200000,01700,0100,N 132471,S200000,01800,0100,N 132471,S200000,02200,0100,N 132471,S200000,02800,0100,N 132471,S200000,02900,0100,N 132471,S200000,03000,0100,N 132471,S200000,03100,0100,N 132471,S200000,03200,0100,N 132471,S200000,04100,0100,N 132471,S200000,04200,0100,N 132471,S200000,04300,0100,N 132471,S200000,04600,0100,N 132471,S200000,04700,0100,N 132471,S200000,04700,0200,N 132471,S200000,04900,0100,N 132471,S200000,05000,0100,N 132471,S200000,05100,0100,N 132471,S200000,05200,0100,N 132471,S410002,01700,0100,4885531239200569 132479,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132479,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132479,A000000,00300,0000,0300EMPLOYEE BENEFITS 132479,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132479,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132479,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132479,A000000,00700,0000,0700HOUSEKEEPING 132479,A000000,00800,0000,0800DIETARY 132479,A000000,00900,0000,0900NURSING ADMINISTRATION 132479,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132479,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132479,A000000,01300,0000,1300SOCIAL SERVICE 132479,A000000,01500,0000,1350TELEPHONE 132479,A000000,01501,0000,1351UTITLITIES 132479,A000000,01600,0000,1600SKILLED NURSING FACILITY 132479,A000000,01800,0000,1800NURSING FACILITY 132479,A000000,01900,0000,1900OTHER LONG TERM CARE 132479,A000000,02100,0000,2100RADIOLOGY 132479,A000000,02200,0000,2200LABORATORY 132479,A000000,02300,0000,2300INTRAVENOUS THERAPY 132479,A000000,02500,0000,2500PHYSICAL THERAPY 132479,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132479,A000000,02700,0000,2700SPEECH PATHOLOGY 132479,A000000,02800,0000,2800ELECTROCARDIOLOGY 132479,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132479,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132479,A000000,03200,0000,3200SUPPORT SURFACES 132479,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132479,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132479,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132479,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132479,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132479,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132479,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132479,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132479,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132479,A000000,04701,0000,4701PRIVATE DUTY NURSING 132479,A000000,04800,0000,4800AMBULANCE 132479,A000000,05500,0000,5500HOSPICE 132479,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132479,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132479,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132479,A000000,06301,0000,6151CARITAS ADULT DAY HEALTH CENTER 132479,A000000,06302,0000,6152HOLY FAMILY CHILD CARE CENTER 132479,A000000,06303,0000,6153CONVENT 132479,A000000,06304,0000,6154ASSISTED LIVING 132479,A81000A,00100,0100,Y 132479,A81000B,00100,0300,ADMIN MANAGEMENT COSTS 132479,A81000C,00100,0100,B 132479,A81000C,00100,0200,ST. ANTHONY HOME 132479,A81000C,00100,0400,ST. MARY HEALTHCARE CTR 132479,A81000C,00100,0600,NURSING HOME 132479,A81000C,00200,0100,B 132479,A81000C,00200,0200,ST ANTHONY HOME 132479,A81000C,00200,0400,ST. ELIZABETH HEALTHCARE 132479,A81000C,00200,0600,NURSING HOME 132479,A81000C,00300,0100,B 132479,A81000C,00300,0200,ST ANTHONY HOME 132479,A81000C,00300,0400,GEORGE DAVIS 132479,A81000C,00300,0600,NURSING HOME 132479,A81000C,00400,0100,B 132479,A81000C,00400,0200,ST ANTHONY HOME 132479,A81000C,00400,0400,ST. CLARE 132479,A81000C,00400,0600,NURSING HOME 132479,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132479,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132479,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132479,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132479,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 132479,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132479,B100000,00000,0800,0800MEALS SERVED :DIETARY 132479,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 132479,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 132479,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 132479,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132479,B100000,00000,1500,1350 ACCUM. COST :TELEPHONE 132479,B100000,00000,1501,1351SQUARE FEET :UTITLITIES 132479,S000000,00100,0200,02/19/01 132479,S200000,00100,0100,203 FRANCISCAN DRIVE 132479,S200000,00200,0100,CROWN POINT 132479,S200000,00200,0200,IN 132479,S200000,00200,0300,46307-4824 132479,S200000,00300,0100,LAKE 132479,S200000,00300,0200,2960 132479,S200000,00300,0300,U 132479,S200000,00400,0100,ST. ANTHONY HOME 132479,S200000,00400,0200,155214 132479,S200000,00400,0300,02/28/83 132479,S200000,00400,0500,P 132479,S200000,00800,0200,157287 132479,S200000,00800,0300,03/01/94 132479,S200000,00800,0500,P 132479,S200000,01200,0200,151532 132479,S200000,01200,0300,03/02/95 132479,S200000,01500,0100,N 132479,S200000,01600,0100,Y 132479,S200000,01700,0100,N 132479,S200000,01800,0100,N 132479,S200000,02200,0100,N 132479,S200000,02800,0100,N 132479,S200000,02900,0100,N 132479,S200000,03000,0100,N 132479,S200000,03100,0100,N 132479,S200000,03200,0100,N 132479,S200000,04100,0100,N 132479,S200000,04200,0100,N 132479,S200000,04300,0100,N 132479,S200000,04600,0100,N 132479,S200000,04700,0100,N 132479,S200000,04700,0200,N 132479,S200000,04900,0100,N 132479,S200000,05000,0100,N 132479,S200000,05100,0100,N 132479,S200000,05200,0100,N 132507,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132507,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132507,A000000,00300,0000,0300EMPLOYEE BENEFITS 132507,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132507,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132507,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132507,A000000,00700,0000,0700HOUSEKEEPING 132507,A000000,00800,0000,0800DIETARY 132507,A000000,00900,0000,0900NURSING ADMINISTRATION 132507,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132507,A000000,01100,0000,1100PHARMACY 132507,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132507,A000000,01300,0000,1300SOCIAL SERVICE 132507,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132507,A000000,01600,0000,1600SKILLED NURSING FACILITY 132507,A000000,01800,0000,1800NURSING FACILITY 132507,A000000,01810,0000,1810ICF/MR 132507,A000000,02100,0000,2100RADIOLOGY 132507,A000000,02200,0000,2200LABORATORY 132507,A000000,02500,0000,2500PHYSICAL THERAPY 132507,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132507,A000000,02700,0000,2700SPEECH PATHOLOGY 132507,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132507,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132507,A000000,03200,0000,3200SUPPORT SURFACES 132507,A000000,03550,0000,3550FQHC 132507,A000000,05000,0000,5000CORF 132507,A000000,05010,0000,5010CMHC 132507,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132507,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132507,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132507,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132507,A81000A,00100,0100,Y 132507,A81000B,00200,0300,RENT 132507,A81000B,00400,0300,HOME OFFICE 132507,A81000C,00200,0100,B 132507,A81000C,00200,0200,CARE CENTERS I 132507,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132507,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132507,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132507,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132507,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132507,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132507,B100000,00000,0800,0850PATIENT DAYS :DIETARY 132507,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 132507,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132507,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 132507,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132507,E10A180,00501,0100,03/19/01 132507,E10A180,00550,0300,03/19/01 132507,E10A180,00601,0300,07/29/02 132507,E10A180,00650,0100,07/29/02 132507,S000000,00100,0200,06/11/02 132507,S200000,00200,0300, - 132507,S200000,00300,0100,COOK 132507,S200000,00300,0200,1600 132507,S200000,00300,0300,U 132507,S200000,00400,0100,FAIRHAVEN OF CHICAGO RIDGE INC. 132507,S200000,00400,0200,145639 132507,S200000,00400,0300,04/16/93 132507,S200000,00400,0500,P 132507,S200000,01500,0100,N 132507,S200000,01600,0100,Y 132507,S200000,01700,0100,N 132507,S200000,01800,0100,N 132507,S200000,02200,0100,N 132507,S200000,02800,0100,N 132507,S200000,02900,0100,N 132507,S200000,03000,0100,N 132507,S200000,03100,0100,N 132507,S200000,03200,0100,N 132507,S200000,04100,0100,Y 132507,S200000,04200,0100,Y 132507,S200000,04300,0100,N 132507,S200000,04600,0100,N 132507,S200000,04700,0100,N 132507,S200000,04700,0200,N 132507,S200000,04900,0100,N 132507,S200000,05000,0100,N 132507,S200000,05100,0100,N 132507,S200000,05200,0100,N 132509,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132509,A000000,00300,0000,0300EMPLOYEE BENEFITS 132509,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132509,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132509,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132509,A000000,00700,0000,0700HOUSEKEEPING 132509,A000000,00800,0000,0800DIETARY 132509,A000000,00900,0000,0900NURSING ADMINISTRATION 132509,A000000,01100,0000,1100PHARMACY 132509,A000000,01300,0000,1300SOCIAL SERVICE 132509,A000000,01500,0000,1350OTHER GENERAL SERVICES 132509,A000000,01501,0000,1351ACTIVITIES 132509,A000000,01600,0000,1600SKILLED NURSING FACILITY 132509,A000000,01800,0000,1800NURSING FACILITY 132509,A000000,02100,0000,2100RADIOLOGY 132509,A000000,02200,0000,2200LABORATORY 132509,A000000,02300,0000,2300INTRAVENOUS THERAPY 132509,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132509,A000000,02500,0000,2500PHYSICAL THERAPY 132509,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132509,A000000,02700,0000,2700SPEECH PATHOLOGY 132509,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132509,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132509,A000000,03200,0000,3200SUPPORT SURFACES 132509,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132509,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132509,A81000A,00100,0100,N 132509,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132509,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132509,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132509,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132509,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132509,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132509,B100000,00000,0800,0800MEALS SERVED :DIETARY 132509,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 132509,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 132509,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132509,B100000,00000,1501,1351PATIENT DAYS :ACTIVITIES 132509,S000000,00100,0200,12/14/00 132509,S200000,00100,0100,1920 MASON AVENUE 132509,S200000,00200,0100,DAYTONA BEACH 132509,S200000,00200,0200,FL 132509,S200000,00200,0300,32117-5103 132509,S200000,00300,0100,VOLUSIA 132509,S200000,00300,0200,2020 132509,S200000,00300,0300,U 132509,S200000,00400,0100,EMORY L BENNETT MEMORIAL VETERANS SN 132509,S200000,00400,0200,105840 132509,S200000,00400,0300,01/01/94 132509,S200000,00400,0500,P 132509,S200000,01500,0100,Y 132509,S200000,01600,0100,N 132509,S200000,01700,0100,N 132509,S200000,01800,0100,N 132509,S200000,02200,0100,N 132509,S200000,02800,0100,N 132509,S200000,02900,0100,N 132509,S200000,03000,0100,N 132509,S200000,03100,0100,N 132509,S200000,03200,0100,N 132509,S200000,04100,0100,N 132509,S200000,04200,0100,N 132509,S200000,04300,0100,N 132509,S200000,04600,0100,N 132509,S200000,04700,0100,N 132509,S200000,04700,0200,N 132509,S200000,04900,0100,N 132509,S200000,05000,0100,N 132509,S200000,05100,0100,N 132509,S200000,05200,0100,N 132510,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132510,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132510,A000000,00300,0000,0300EMPLOYEE BENEFITS 132510,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132510,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132510,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132510,A000000,00700,0000,0700HOUSEKEEPING 132510,A000000,00800,0000,0800DIETARY 132510,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132510,A000000,01100,0000,1100PHARMACY 132510,A000000,01300,0000,1300SOCIAL SERVICE 132510,A000000,01500,0000,1350OTHER GENERAL SERVICES 132510,A000000,01501,0000,1351ACTIVITIES 132510,A000000,01600,0000,1600SKILLED NURSING FACILITY 132510,A000000,01800,0000,1800NURSING FACILITY 132510,A000000,01900,0000,1900OTHER LONG TERM CARE 132510,A000000,02100,0000,2100RADIOLOGY 132510,A000000,02101,0000,2101AMBULANCE 132510,A000000,02200,0000,2200LABORATORY 132510,A000000,02300,0000,2300INTRAVENOUS THERAPY 132510,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132510,A000000,02500,0000,2500PHYSICAL THERAPY 132510,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132510,A000000,02700,0000,2700SPEECH PATHOLOGY 132510,A000000,02800,0000,2800ELECTROCARDIOLOGY 132510,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132510,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132510,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132510,A000000,03200,0000,3200SUPPORT SURFACES 132510,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132510,A000000,03400,0000,3400CLINIC 132510,A000000,03500,0000,3500RURAL HEALTH CLINIC 132510,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132510,A000000,04800,0000,4800AMBULANCE 132510,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132510,A000000,05000,0000,5000CORF 132510,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132510,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132510,A000000,05300,0000,5300INTEREST EXPENSE 132510,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132510,A000000,05500,0000,5500HOSPICE 132510,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132510,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132510,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132510,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132510,A000000,06001,0000,6001ADULT DAY CARE 132510,A000000,06100,0000,6100NONPAID WORKERS 132510,A000000,06200,0000,6200PATIENTS LAUNDRY 132510,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132510,A81000A,00100,0100,N 132510,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132510,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132510,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132510,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132510,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132510,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132510,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132510,B100000,00000,0800,0850PATIENT DAYS :DIETARY 132510,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132510,B100000,00000,1300,1330GROSS REVENUE :SOCIAL SERVICE 132510,B100000,00000,1501,1351PATIENT DAYS :ACTIVITIES 132510,S000000,00100,0200,10/18/00 132510,S200000,00100,0100,4847 FRED GLADSTONE DRIVE 132510,S200000,00200,0100,WEST PALM BEACH 132510,S200000,00200,0200,FL 132510,S200000,00200,0300,33417- 132510,S200000,00300,0100,PALM BEACH 132510,S200000,00300,0200,8960 132510,S200000,00300,0300,U 132510,S200000,00400,0100,JOSEPH L MORSE GERIATRIC CENTER 132510,S200000,00400,0200,105801 132510,S200000,00400,0300,07/01/93 132510,S200000,00400,0500,P 132510,S200000,01500,0100,Y 132510,S200000,01600,0100,N 132510,S200000,01700,0100,N 132510,S200000,01800,0100,N 132510,S200000,02200,0100,N 132510,S200000,02800,0100,Y 132510,S200000,02900,0100,N 132510,S200000,03000,0100,N 132510,S200000,03100,0100,N 132510,S200000,03200,0100,N 132510,S200000,04100,0100,N 132510,S200000,04200,0100,N 132510,S200000,04300,0100,N 132510,S200000,04600,0100,N 132510,S200000,04700,0100,N 132510,S200000,04700,0200,N 132510,S200000,04900,0100,N 132510,S200000,05000,0100,N 132510,S200000,05100,0100,N 132510,S200000,05200,0100,N 132610,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132610,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132610,A000000,00300,0000,0300EMPLOYEE BENEFITS 132610,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132610,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132610,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132610,A000000,00700,0000,0700HOUSEKEEPING 132610,A000000,00800,0000,0800DIETARY 132610,A000000,00900,0000,0900NURSING ADMINISTRATION 132610,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132610,A000000,01300,0000,1300SOCIAL SERVICE 132610,A000000,01500,0000,1350ACTIVITIES 132610,A000000,01600,0000,1600SKILLED NURSING FACILITY 132610,A000000,02200,0000,2200LABORATORY 132610,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132610,A000000,02500,0000,2500PHYSICAL THERAPY 132610,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132610,A000000,02700,0000,2700SPEECH PATHOLOGY 132610,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132610,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132610,A000000,03200,0000,3200SUPPORT SURFACES 132610,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132610,A000000,05300,0000,5300INTEREST EXPENSE 132610,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132610,A81000A,00100,0100,Y 132610,A81000B,00100,0300,INSURANCE 132610,A81000B,00200,0300,HOME OFFICE 132610,A81000B,00300,0300,GROUP INSURANCE 132610,A81000B,00400,0300,HOME OFFICE 132610,A81000C,00100,0100,A 132610,A81000C,00100,0200,ABCM CORPORATIO 132610,A81000C,00100,0600,HOME OFFICE 132610,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132610,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132610,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132610,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132610,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132610,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132610,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132610,B100000,00000,0800,0800MEALS SERVED DIETARY 132610,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132610,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132610,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132610,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132610,E10A180,00501,0300,01/03/01 132610,S000000,00100,0200,11/28/00 132610,S200000,00100,0100,108 SECOND AVENUE 132610,S200000,00200,0100,ARMSTRONG 132610,S200000,00200,0200,IA 132610,S200000,00200,0300,50514 132610,S200000,00300,0100,EMMET 132610,S200000,00300,0200,9916 132610,S200000,00300,0300,R 132610,S200000,00400,0100,VALLEY VUE CARE CENTER 132610,S200000,00400,0200,165353 132610,S200000,00400,0300,08/01/97 132610,S200000,00400,0500,P 132610,S200000,00400,0600,N 132610,S200000,01500,0100,Y 132610,S200000,01600,0100,N 132610,S200000,01700,0100,N 132610,S200000,01800,0100,N 132610,S200000,02200,0100,N 132610,S200000,02800,0100,N 132610,S200000,02900,0100,N 132610,S200000,03000,0100,N 132610,S200000,03100,0100,N 132610,S200000,03200,0100,N 132610,S200000,03300,0100,N 132610,S200000,03300,0200,N 132610,S200000,04100,0100,N 132610,S200000,04200,0100,N 132610,S200000,04300,0100,N 132610,S200000,04600,0100,N 132610,S200000,04700,0100,N 132610,S200000,04900,0100,N 132610,S200000,05000,0100,N 132610,S200000,05100,0100,N 132610,S200000,05200,0100,N 132610,S700003,00000,0400,X 132622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132622,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132622,A000000,00300,0000,0300EMPLOYEE BENEFITS 132622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132622,A000000,00700,0000,0700HOUSEKEEPING 132622,A000000,00800,0000,0800DIETARY 132622,A000000,00900,0000,0900NURSING ADMINISTRATION 132622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132622,A000000,01300,0000,1300SOCIAL SERVICE 132622,A000000,01500,0000,1350ACTIVITIES 132622,A000000,01600,0000,1600SKILLED NURSING FACILITY 132622,A000000,02100,0000,2100RADIOLOGY 132622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132622,A000000,02500,0000,2500PHYSICAL THERAPY 132622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132622,A000000,02700,0000,2700SPEECH PATHOLOGY 132622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132622,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132622,A000000,05300,0000,5300INTEREST EXPENSE 132622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132622,A81000A,00100,0100,Y 132622,A81000B,00100,0300,PROPERTY INSURANCE 132622,A81000B,00200,0300,HOME OFFICE 132622,A81000B,00300,0300,GROUP INSURANCE 132622,A81000B,00400,0300,HOME OFFICE 132622,A81000C,00100,0100,A 132622,A81000C,00100,0200,ABCM CORPORATIO 132622,A81000C,00100,0600,HOME OFFICE 132622,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132622,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132622,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132622,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132622,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132622,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132622,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132622,B100000,00000,0800,0800MEALS SERVED DIETARY 132622,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132622,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132622,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132622,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132622,E10A180,00501,0300,12/28/00 132622,S000000,00100,0200,11/28/00 132622,S200000,00100,0100,900 SEVENTH STREET WEST 132622,S200000,00200,0100,ALLISON 132622,S200000,00200,0200,IA 132622,S200000,00200,0300,50602 132622,S200000,00300,0100,BUTLER 132622,S200000,00300,0200,9916 132622,S200000,00300,0300,R 132622,S200000,00400,0100,ALLISON HEALTH CARE CENTER 132622,S200000,00400,0200,165336 132622,S200000,00400,0300,08/01/97 132622,S200000,00400,0500,P 132622,S200000,00400,0600,N 132622,S200000,01500,0100,Y 132622,S200000,01600,0100,N 132622,S200000,01700,0100,N 132622,S200000,01800,0100,N 132622,S200000,02200,0100,N 132622,S200000,02800,0100,N 132622,S200000,02900,0100,N 132622,S200000,03000,0100,N 132622,S200000,03100,0100,N 132622,S200000,03200,0100,N 132622,S200000,03300,0100,N 132622,S200000,03300,0200,N 132622,S200000,04100,0100,N 132622,S200000,04200,0100,N 132622,S200000,04300,0100,N 132622,S200000,04600,0100,N 132622,S200000,04700,0100,N 132622,S200000,04900,0100,N 132622,S200000,05000,0100,N 132622,S200000,05100,0100,N 132622,S200000,05200,0100,N 132622,S700003,00000,0400,X 132624,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132624,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132624,A000000,00300,0000,0300EMPLOYEE BENEFITS 132624,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132624,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132624,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132624,A000000,00700,0000,0700HOUSEKEEPING 132624,A000000,00800,0000,0800DIETARY 132624,A000000,00900,0000,0900NURSING ADMINISTRATION 132624,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132624,A000000,01300,0000,1300SOCIAL SERVICE 132624,A000000,01500,0000,1350ACTIVITIES 132624,A000000,01600,0000,1600SKILLED NURSING FACILITY 132624,A000000,02100,0000,2100RADIOLOGY 132624,A000000,02200,0000,2200LABORATORY 132624,A000000,02300,0000,2300INTRAVENOUS THERAPY 132624,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132624,A000000,02500,0000,2500PHYSICAL THERAPY 132624,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132624,A000000,02700,0000,2700SPEECH PATHOLOGY 132624,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132624,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132624,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132624,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132624,A81000A,00100,0100,Y 132624,A81000B,00100,0300,INSURANCE 132624,A81000B,00200,0300,HOME OFFICE 132624,A81000B,00300,0300,GROUP INSURANCE 132624,A81000B,00400,0300,HOME OFFICE 132624,A81000C,00100,0100,A 132624,A81000C,00100,0200,ABCM CORPORATIO 132624,A81000C,00100,0600,HOME OFFICE 132624,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132624,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132624,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132624,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132624,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132624,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132624,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132624,B100000,00000,0800,0800MEALS SERVED DIETARY 132624,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132624,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132624,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132624,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132624,E10A180,00501,0300,12/29/00 132624,S000000,00100,0200,11/28/00 132624,S200000,00200,0100,DUMONT 132624,S200000,00200,0200,IA 132624,S200000,00200,0300,50625 132624,S200000,00300,0100,BUTLER 132624,S200000,00300,0200,9916 132624,S200000,00300,0300,R 132624,S200000,00400,0100,DUMONT CARE CENTER 132624,S200000,00400,0200,165339 132624,S200000,00400,0300,08/01/97 132624,S200000,00400,0500,P 132624,S200000,00400,0600,N 132624,S200000,01500,0100,Y 132624,S200000,01600,0100,N 132624,S200000,01700,0100,N 132624,S200000,01800,0100,N 132624,S200000,02200,0100,N 132624,S200000,02800,0100,N 132624,S200000,02900,0100,N 132624,S200000,03000,0100,N 132624,S200000,03100,0100,N 132624,S200000,03200,0100,N 132624,S200000,03300,0100,N 132624,S200000,03300,0200,N 132624,S200000,04100,0100,N 132624,S200000,04200,0100,N 132624,S200000,04300,0100,N 132624,S200000,04600,0100,N 132624,S200000,04700,0100,N 132624,S200000,04900,0100,N 132624,S200000,05000,0100,N 132624,S200000,05100,0100,N 132624,S200000,05200,0100,N 132624,S700003,00000,0400,X 132628,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132628,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132628,A000000,00300,0000,0300EMPLOYEE BENEFITS 132628,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132628,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132628,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132628,A000000,00700,0000,0700HOUSEKEEPING 132628,A000000,00800,0000,0800DIETARY 132628,A000000,00900,0000,0900NURSING ADMINISTRATION 132628,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132628,A000000,01300,0000,1300SOCIAL SERVICE 132628,A000000,01500,0000,1350ACTIVITIES 132628,A000000,01600,0000,1600SKILLED NURSING FACILITY 132628,A000000,02100,0000,2100RADIOLOGY 132628,A000000,02200,0000,2200LABORATORY 132628,A000000,02300,0000,2300INTRAVENOUS THERAPY 132628,A000000,02500,0000,2500PHYSICAL THERAPY 132628,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132628,A000000,02700,0000,2700SPEECH PATHOLOGY 132628,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132628,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132628,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132628,A000000,05300,0000,5300INTEREST EXPENSE 132628,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132628,A81000A,00100,0100,Y 132628,A81000B,00100,0300,INSURANCE 132628,A81000B,00200,0300,HOME OFFICE 132628,A81000B,00300,0300,GROUP INSURANCE 132628,A81000B,00400,0300,HOME OFFICE 132628,A81000C,00100,0100,A 132628,A81000C,00100,0200,ABCM CORPORATIO 132628,A81000C,00100,0600,HOME OFFICE 132628,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132628,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132628,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132628,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132628,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132628,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132628,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132628,B100000,00000,0800,0800MEALS SERVED DIETARY 132628,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132628,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132628,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132628,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132628,E10A180,00501,0300,12/28/00 132628,S000000,00100,0200,11/28/00 132628,S200000,00100,0100,800 5TH STREET S.E. 132628,S200000,00200,0100,OELWEIN 132628,S200000,00200,0200,IA 132628,S200000,00200,0300,50662 132628,S200000,00300,0100,FAYETTE 132628,S200000,00300,0200,9916 132628,S200000,00300,0300,R 132628,S200000,00400,0100,GRANDVIEW CARE CENTER 132628,S200000,00400,0200,165340 132628,S200000,00400,0300,08/01/97 132628,S200000,00400,0500,P 132628,S200000,00400,0600,N 132628,S200000,01500,0100,Y 132628,S200000,01600,0100,N 132628,S200000,01700,0100,N 132628,S200000,01800,0100,N 132628,S200000,02200,0100,N 132628,S200000,02800,0100,N 132628,S200000,02900,0100,N 132628,S200000,03000,0100,N 132628,S200000,03100,0100,N 132628,S200000,03200,0100,N 132628,S200000,03300,0100,N 132628,S200000,03300,0200,N 132628,S200000,04100,0100,N 132628,S200000,04200,0100,N 132628,S200000,04300,0100,N 132628,S200000,04600,0100,N 132628,S200000,04700,0100,N 132628,S200000,04900,0100,N 132628,S200000,05000,0100,N 132628,S200000,05100,0100,N 132628,S200000,05200,0100,N 132628,S700003,00000,0400,X 132629,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132629,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132629,A000000,00300,0000,0300EMPLOYEE BENEFITS 132629,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132629,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132629,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132629,A000000,00700,0000,0700HOUSEKEEPING 132629,A000000,00800,0000,0800DIETARY 132629,A000000,00900,0000,0900NURSING ADMINISTRATION 132629,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132629,A000000,01300,0000,1300SOCIAL SERVICE 132629,A000000,01500,0000,1350ACTIVITIES 132629,A000000,01600,0000,1600SKILLED NURSING FACILITY 132629,A000000,02100,0000,2100RADIOLOGY 132629,A000000,02200,0000,2200LABORATORY 132629,A000000,02300,0000,2300INTRAVENOUS THERAPY 132629,A000000,02500,0000,2500PHYSICAL THERAPY 132629,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132629,A000000,02700,0000,2700SPEECH PATHOLOGY 132629,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132629,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132629,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132629,A000000,05300,0000,5300INTEREST EXPENSE 132629,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132629,A81000A,00100,0100,Y 132629,A81000B,00100,0300,INSURANCE 132629,A81000B,00200,0300,HOME OFFICE 132629,A81000B,00300,0300,GROUP INSURANCE 132629,A81000B,00400,0300,HOME OFFICE 132629,A81000C,00100,0100,A 132629,A81000C,00100,0200,NURSING CARE MG 132629,A81000C,00100,0600,HOME OFFICE 132629,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132629,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132629,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132629,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132629,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132629,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132629,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132629,B100000,00000,0800,0800MEALS SERVED DIETARY 132629,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132629,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132629,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132629,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132629,E10A180,00501,0300,12/29/00 132629,S000000,00100,0200,11/28/00 132629,S200000,00100,0100,2405 21ST STREET 132629,S200000,00200,0100,EMMETSBURG 132629,S200000,00200,0200,IA 132629,S200000,00200,0300,50536 132629,S200000,00300,0100,PALO ALTO 132629,S200000,00300,0200,9916 132629,S200000,00300,0300,R 132629,S200000,00400,0100,EMMETSBURG CARE CENTER 132629,S200000,00400,0200,165352 132629,S200000,00400,0300,08/01/97 132629,S200000,00400,0500,P 132629,S200000,00400,0600,N 132629,S200000,01500,0100,Y 132629,S200000,01600,0100,N 132629,S200000,01700,0100,N 132629,S200000,01800,0100,N 132629,S200000,02200,0100,N 132629,S200000,02800,0100,N 132629,S200000,02900,0100,N 132629,S200000,03000,0100,N 132629,S200000,03100,0100,N 132629,S200000,03200,0100,N 132629,S200000,03300,0100,N 132629,S200000,03300,0200,N 132629,S200000,04100,0100,N 132629,S200000,04200,0100,N 132629,S200000,04300,0100,N 132629,S200000,04600,0100,N 132629,S200000,04700,0100,N 132629,S200000,04900,0100,N 132629,S200000,05000,0100,N 132629,S200000,05100,0100,N 132629,S200000,05200,0100,N 132629,S700003,00000,0400,X 132630,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132630,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132630,A000000,00300,0000,0300EMPLOYEE BENEFITS 132630,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132630,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132630,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132630,A000000,00700,0000,0700HOUSEKEEPING 132630,A000000,00800,0000,0800DIETARY 132630,A000000,00900,0000,0900NURSING ADMINISTRATION 132630,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132630,A000000,01300,0000,1300SOCIAL SERVICE 132630,A000000,01500,0000,1350ACTIVITIES 132630,A000000,01600,0000,1600SKILLED NURSING FACILITY 132630,A000000,02200,0000,2200LABORATORY 132630,A000000,02500,0000,2500PHYSICAL THERAPY 132630,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132630,A000000,02700,0000,2700SPEECH PATHOLOGY 132630,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132630,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132630,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132630,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132630,A81000A,00100,0100,Y 132630,A81000B,00100,0300,INSURANCE 132630,A81000B,00200,0300,HOME OFFICE 132630,A81000B,00300,0300,GROUP INSURANCE 132630,A81000B,00400,0300,HOME OFFICE 132630,A81000C,00100,0100,A 132630,A81000C,00100,0200,ABCM CORPORATIO 132630,A81000C,00100,0600,HOME OFFICE 132630,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132630,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132630,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132630,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132630,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132630,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132630,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132630,B100000,00000,0800,0800MEALS SERVED DIETARY 132630,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 132630,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132630,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 132630,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 132630,E10A180,00501,0300,12/29/00 132630,S000000,00100,0200,11/28/00 132630,S200000,00100,0100,100 SIXTH STREET 132630,S200000,00200,0100,NEVADA 132630,S200000,00200,0200,IA 132630,S200000,00200,0300,50201 132630,S200000,00300,0100,STORY 132630,S200000,00300,0200,9916 132630,S200000,00300,0300,R 132630,S200000,00400,0100,ROLLING GREEN VILLAGE 132630,S200000,00400,0200,165361 132630,S200000,00400,0300,10/01/97 132630,S200000,00400,0500,P 132630,S200000,00400,0600,N 132630,S200000,01500,0100,Y 132630,S200000,01600,0100,N 132630,S200000,01700,0100,N 132630,S200000,01800,0100,N 132630,S200000,02200,0100,N 132630,S200000,02800,0100,N 132630,S200000,02900,0100,N 132630,S200000,03000,0100,N 132630,S200000,03100,0100,N 132630,S200000,03200,0100,N 132630,S200000,03300,0100,N 132630,S200000,03300,0200,N 132630,S200000,04100,0100,N 132630,S200000,04200,0100,N 132630,S200000,04300,0100,N 132630,S200000,04600,0100,N 132630,S200000,04700,0100,N 132630,S200000,04900,0100,N 132630,S200000,05000,0100,N 132630,S200000,05100,0100,N 132630,S200000,05200,0100,N 132630,S700003,00000,0400,X 132695,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132695,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132695,A000000,00300,0000,0300EMPLOYEE BENEFITS 132695,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132695,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132695,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132695,A000000,00700,0000,0700HOUSEKEEPING 132695,A000000,00800,0000,0800DIETARY 132695,A000000,00900,0000,0900NURSING ADMINISTRATION 132695,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132695,A000000,01100,0000,1100PHARMACY 132695,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132695,A000000,01300,0000,1300SOCIAL SERVICE 132695,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132695,A000000,01500,0000,1350OTHER GENERAL SERVICES 132695,A000000,01600,0000,1600SKILLED NURSING FACILITY 132695,A000000,01800,0000,1800NURSING FACILITY 132695,A000000,01900,0000,1900OTHER LONG TERM CARE 132695,A000000,02100,0000,2100RADIOLOGY 132695,A000000,02200,0000,2200LABORATORY 132695,A000000,02300,0000,2300INTRAVENOUS THERAPY 132695,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132695,A000000,02500,0000,2500PHYSICAL THERAPY 132695,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132695,A000000,02700,0000,2700SPEECH PATHOLOGY 132695,A000000,02800,0000,2800ELECTROCARDIOLOGY 132695,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132695,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132695,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132695,A000000,03200,0000,3200SUPPORT SURFACES 132695,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132695,A000000,03400,0000,3400CLINIC 132695,A000000,03500,0000,3500RURAL HEALTH CLINIC 132695,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132695,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132695,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132695,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132695,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132695,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132695,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132695,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132695,A000000,04400,0000,4400DME RENTED - HHA 132695,A000000,04500,0000,4500DME SOLD - HHA 132695,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132695,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132695,A000000,04800,0000,4800AMBULANCE 132695,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132695,A000000,05000,0000,5000CORF 132695,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132695,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132695,A000000,05300,0000,5300INTEREST EXPENSE 132695,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132695,A000000,05500,0000,5500HOSPICE 132695,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132695,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132695,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132695,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132695,A000000,06100,0000,6100NONPAID WORKERS 132695,A000000,06200,0000,6200PATIENTS LAUNDRY 132695,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132695,A81000A,00100,0100,Y 132695,A81000B,00100,0300,PLANT OPERATIONS # 51009 ACT 132695,A81000B,00200,0300,BUILDING & FIXTURES 132695,A81000B,00300,0300,MOVABLE EQUIPMENT 132695,A81000B,00400,0300,NON-CAPITAL 132695,A81000C,00100,0100,A 132695,A81000C,00100,0200,RODNEY LEIN 132695,A81000C,00100,0400,LEIN CONSTRUCTI 132695,A81000C,00100,0600,CONSTRUCTION CO 132695,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132695,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132695,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132695,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132695,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132695,B100000,00000,0600,0600HEALTH CENTE PATI LAUNDRY & L 132695,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132695,B100000,00000,0800,0800SCHEDULED MEALS DIETARY 132695,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTRAT 132695,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 132695,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 132695,B100000,00000,1200,1200HEALTH CENTE PATI MEDICAL REC 132695,B100000,00000,1300,1300HEALTH CENTE PATI SOCIAL SERV 132695,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 132695,B100000,00000,1500,1500NO STATISTICS OTHER GENER 132695,E10A180,00550,0100,05/02/01 132695,E10A180,00550,0300,05/02/01 132695,S000000,00100,0200,03/02/01 132695,S200000,00100,0100,1201 SE MILL POND CT 132695,S200000,00200,0100,ANKENY 132695,S200000,00200,0200,IA 132695,S200000,00200,0300,50021- 132695,S200000,00300,0100,POLK 132695,S200000,00300,0200,2120 132695,S200000,00300,0300,U 132695,S200000,00400,0100,MILL-POND RETIREMENT COMMUNITY 132695,S200000,00400,0200,165261 132695,S200000,00400,0300,09/07/95 132695,S200000,00400,0500,P 132695,S200000,00400,0600,N 132695,S200000,00600,0200,165261 132695,S200000,00600,0300,09/07/95 132695,S200000,00600,0600,O 132695,S200000,01500,0100,N 132695,S200000,01600,0100,Y 132695,S200000,01700,0100,N 132695,S200000,01800,0100,N 132695,S200000,01900,0100,OTHER 132695,S200000,02200,0100,N 132695,S200000,02800,0100,N 132695,S200000,02900,0100,N 132695,S200000,03000,0100,N 132695,S200000,03100,0100,N 132695,S200000,03200,0100,N 132695,S200000,03300,0100,N 132695,S200000,03300,0200,N 132695,S200000,03500,0300,N 132695,S200000,03600,0100,N 132695,S200000,03600,0200,N 132695,S200000,03700,0100,N 132695,S200000,03700,0200,N 132695,S200000,03900,0200,N 132695,S200000,04000,0200,N 132695,S200000,04100,0100,Y 132695,S200000,04200,0100,Y 132695,S200000,04300,0100,N 132695,S200000,04600,0100,N 132695,S200000,04700,0100,N 132695,S200000,04700,0200,N 132695,S200000,04900,0100,N 132695,S200000,05000,0100,N 132695,S200000,05200,0100,N 132695,S700003,00000,0400,X 132766,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132766,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132766,A000000,00300,0000,0300EMPLOYEE BENEFITS 132766,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132766,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132766,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132766,A000000,00700,0000,0700HOUSEKEEPING 132766,A000000,00800,0000,0800DIETARY 132766,A000000,00900,0000,0900NURSING ADMINISTRATION 132766,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132766,A000000,01100,0000,1100PHARMACY 132766,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132766,A000000,01300,0000,1300SOCIAL SERVICE 132766,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132766,A000000,01500,0000,1350ACTIVITIES 132766,A000000,01600,0000,1600SKILLED NURSING FACILITY 132766,A000000,01810,0000,1810ICF/MR 132766,A000000,02100,0000,2100RADIOLOGY 132766,A000000,02200,0000,2200LABORATORY 132766,A000000,02500,0000,2500PHYSICAL THERAPY 132766,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132766,A000000,02700,0000,2700SPEECH PATHOLOGY 132766,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132766,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132766,A000000,03550,0000,3550FQHC 132766,A000000,05000,0000,5000CORF 132766,A000000,05010,0000,5010CMHC 132766,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132766,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132766,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132766,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132766,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132766,A81000A,00100,0100,Y 132766,A81000B,00100,0300,HOME OFC ALLOCATION 132766,A81000C,00100,0100,B 132766,A81000C,00100,0200,FREDERICK COUNT 132766,A81000C,00100,0400,FREDERICK COUNT 132766,A81000C,00100,0600,COMMON OWNERSHI 132766,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132766,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132766,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132766,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132766,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132766,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132766,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132766,B100000,00000,0800,0800MEALS SERVED :DIETARY 132766,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 132766,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 132766,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 132766,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132766,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 132766,E10A180,00550,0300,05/06/02 132766,S000000,00100,0200,05/03/02 132766,S200000,00100,0100,2200 ROSEMONT AVENUE 132766,S200000,00200,0100,FREDERICK 132766,S200000,00200,0200,MD 132766,S200000,00200,0300,21701- 132766,S200000,00300,0100,FREDERICK 132766,S200000,00300,0200,8840 132766,S200000,00300,0300,U 132766,S200000,00400,0100,CITIZENS NURSING HOME 132766,S200000,00400,0200,215105 132766,S200000,00400,0300,12/01/76 132766,S200000,00400,0500,P 132766,S200000,00400,0600,O 132766,S200000,01500,0100,Y 132766,S200000,01600,0100,N 132766,S200000,01700,0100,N 132766,S200000,01800,0100,N 132766,S200000,02200,0100,N 132766,S200000,02800,0100,N 132766,S200000,02900,0100,N 132766,S200000,03000,0100,N 132766,S200000,03100,0100,N 132766,S200000,03200,0100,N 132766,S200000,04100,0100,N 132766,S200000,04200,0100,N 132766,S200000,04300,0100,N 132766,S200000,04600,0100,N 132766,S200000,04700,0100,N 132766,S200000,04700,0200,N 132766,S200000,04900,0100,N 132766,S200000,05000,0100,Y 132766,S200000,05100,0100,N 132766,S200000,05200,0100,N 132830,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132830,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132830,A000000,00300,0000,0300EMPLOYEE BENEFITS 132830,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132830,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132830,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132830,A000000,00700,0000,0700HOUSEKEEPING 132830,A000000,00800,0000,0800DIETARY 132830,A000000,00900,0000,0900NURSING ADMINISTRATION 132830,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132830,A000000,01100,0000,1100PHARMACY 132830,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132830,A000000,01300,0000,1300SOCIAL SERVICE 132830,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132830,A000000,01500,0000,1350OTHER GENERAL SERVICES 132830,A000000,01600,0000,1600SKILLED NURSING FACILITY 132830,A000000,01800,0000,1800NURSING FACILITY 132830,A000000,01810,0000,1810ICF/MR 132830,A000000,01900,0000,1900OTHER LONG TERM CARE 132830,A000000,02100,0000,2100RADIOLOGY 132830,A000000,02200,0000,2200LABORATORY 132830,A000000,02300,0000,2300INTRAVENOUS THERAPY 132830,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132830,A000000,02500,0000,2500PHYSICAL THERAPY 132830,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132830,A000000,02700,0000,2700SPEECH PATHOLOGY 132830,A000000,02800,0000,2800ELECTROCARDIOLOGY 132830,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132830,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132830,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132830,A000000,03200,0000,3200SUPPORT SURFACES 132830,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132830,A000000,03400,0000,3400CLINIC 132830,A000000,03500,0000,3500RURAL HEALTH CLINIC 132830,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132830,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132830,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132830,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132830,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132830,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132830,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132830,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132830,A000000,04400,0000,4400DME RENTED - HHA 132830,A000000,04500,0000,4500DME SOLD - HHA 132830,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132830,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132830,A000000,04800,0000,4800AMBULANCE 132830,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132830,A000000,05000,0000,5000CORF 132830,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132830,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132830,A000000,05300,0000,5300INTEREST EXPENSE 132830,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132830,A000000,05500,0000,5500HOSPICE 132830,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132830,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132830,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132830,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132830,A000000,06100,0000,6100NONPAID WORKERS 132830,A000000,06200,0000,6200PATIENTS LAUNDRY 132830,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132830,A81000A,00100,0100,Y 132830,A81000B,00100,0300,SALARIES 132830,A81000B,00200,0300,MEDICAL DIRECTOR 132830,A81000B,00300,0300,RENT 132830,A81000C,00100,0100,D 132830,A81000C,00100,0200,DENNIS EDWARDS 132830,A81000C,00100,0400,NORMAN EDWARDS MD 132830,A81000C,00200,0100,A 132830,A81000C,00200,0200,BROWNING & EDWARDS 132830,A81000C,00200,0400,BROWNING & EDWARDS MD 132830,A81000C,00200,0600,PHYSICIANS 132830,A81000C,00300,0100,A 132830,A81000C,00300,0200,MCKENZIE BROWNING EDWAR 132830,A81000C,00300,0400,LOUISA 7-DAY LAUNDRY 132830,A81000C,00300,0600,REAL ESTATE 132830,B100000,00000,0100,0100SQAURE FEET :CAP REL COSTS - BL 132830,B100000,00000,0200,0250SQAURE FEET :CAP REL COSTS - MO 132830,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132830,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132830,B100000,00000,0500,0500SQAURE FEET :PLANT OPERATION M 132830,B100000,00000,0600,0600POUNDS LAUNDRY :LAUNDRY & LINEN 132830,B100000,00000,0700,0750SQAURE FEET :HOUSEKEEPING 132830,B100000,00000,0800,0800PATIENT MEALS :DIETARY 132830,B100000,00000,0900,0900DIRECT HOURS :NURSING ADMINISTR 132830,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 132830,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 132830,E10A180,00550,0300,11/20/00 132830,E10A180,00601,0100,07/29/02 132830,E10A180,00601,0300,07/29/02 132830,S000000,00100,0200,11/20/00 132830,S200000,00100,0100,RT. 6 ONE MCKENZIE DRIVE 132830,S200000,00200,0100,LOUISA 132830,S200000,00200,0200,KY 132830,S200000,00200,0300,41230- 132830,S200000,00300,0100,LAWRENCE 132830,S200000,00300,0200,18 132830,S200000,00300,0300,R 132830,S200000,00400,0100,J.J. JORDAN GERIATRIC CENTER 132830,S200000,00400,0200,185131 132830,S200000,00400,0300,12/01/74 132830,S200000,00400,0500,P 132830,S200000,01500,0100,N 132830,S200000,01600,0100,Y 132830,S200000,01700,0100,N 132830,S200000,01800,0100,N 132830,S200000,02200,0100,N 132830,S200000,02800,0100,N 132830,S200000,02900,0100,N 132830,S200000,03000,0100,N 132830,S200000,03100,0100,N 132830,S200000,03200,0100,N 132830,S200000,04100,0100,N 132830,S200000,04200,0100,N 132830,S200000,04300,0100,N 132830,S200000,04600,0100,N 132830,S200000,04700,0100,N 132830,S200000,04700,0200,N 132830,S200000,04900,0100,N 132830,S200000,05000,0100,N 132830,S200000,05100,0100,N 132830,S200000,05200,0100,N 132853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132853,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132853,A000000,00300,0000,0300EMPLOYEE BENEFITS 132853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132853,A000000,00700,0000,0700HOUSEKEEPING 132853,A000000,00800,0000,0800DIETARY 132853,A000000,00900,0000,0900NURSING ADMINISTRATION 132853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132853,A000000,01100,0000,1100PHARMACY 132853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132853,A000000,01300,0000,1300SOCIAL SERVICE 132853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132853,A000000,01500,0000,1350OTHER GENERAL SERVICES 132853,A000000,01600,0000,1600SKILLED NURSING FACILITY 132853,A000000,01800,0000,1800NURSING FACILITY 132853,A000000,01810,0000,1810ICF/MR 132853,A000000,01900,0000,1900OTHER LONG TERM CARE 132853,A000000,02100,0000,2100RADIOLOGY 132853,A000000,02200,0000,2200LABORATORY 132853,A000000,02300,0000,2300INTRAVENOUS THERAPY 132853,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132853,A000000,02500,0000,2500PHYSICAL THERAPY 132853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132853,A000000,02700,0000,2700SPEECH PATHOLOGY 132853,A000000,02800,0000,2800ELECTROCARDIOLOGY 132853,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132853,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132853,A000000,03200,0000,3200SUPPORT SURFACES 132853,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132853,A000000,03400,0000,3400CLINIC 132853,A000000,03500,0000,3500RURAL HEALTH CLINIC 132853,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132853,A000000,04800,0000,4800AMBULANCE 132853,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132853,A000000,05000,0000,5000CORF 132853,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132853,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132853,A000000,05300,0000,5300INTEREST EXPENSE 132853,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132853,A000000,05500,0000,5500HOSPICE 132853,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132853,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132853,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132853,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132853,A000000,06100,0000,6100NONPAID WORKERS 132853,A000000,06200,0000,6200PATIENTS LAUNDRY 132853,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132853,A81000A,00100,0100,Y 132853,A81000B,00100,0300,DEPRECIATION 132853,A81000C,00100,0100,B 132853,A81000C,00100,0200,BOONE CO. FISCAL COURT 132853,A81000C,00200,0100,B 132853,A81000C,00200,0200,BOONE CO. PUBLIC PROPERTY 132853,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132853,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132853,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132853,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132853,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132853,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132853,B100000,00000,0800,0800MEALS SERVED :DIETARY 132853,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132853,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 132853,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132853,E10A180,00550,0100,04/20/00 132853,E10A180,00551,0100,08/03/01 132853,E10A180,00601,0100,09/09/02 132853,S000000,00100,0200,04/20/00 132853,S200000,00100,0100,7300 WOODSPOINT DRIVE 132853,S200000,00200,0100,FLORENCE 132853,S200000,00200,0200,KY 132853,S200000,00200,0300,41042- 132853,S200000,00300,0100,BOONE 132853,S200000,00300,0200,1640 132853,S200000,00300,0300,U 132853,S200000,00400,0100,WOODSPOINT GERIATRIC CARE CENTER 132853,S200000,00400,0200,185090 132853,S200000,00400,0300,04/01/95 132853,S200000,00400,0500,P 132853,S200000,01500,0100,Y 132853,S200000,01600,0100,N 132853,S200000,01700,0100,N 132853,S200000,01800,0100,N 132853,S200000,02200,0100,N 132853,S200000,02800,0100,N 132853,S200000,02900,0100,N 132853,S200000,03000,0100,N 132853,S200000,03100,0100,N 132853,S200000,03200,0100,N 132853,S200000,04100,0100,N 132853,S200000,04200,0100,N 132853,S200000,04300,0100,N 132853,S200000,04600,0100,N 132853,S200000,04700,0100,N 132853,S200000,04700,0200,N 132853,S200000,04900,0100,N 132853,S200000,05000,0100,N 132853,S200000,05100,0100,N 132853,S200000,05200,0100,N 132854,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132854,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132854,A000000,00300,0000,0300EMPLOYEE BENEFITS 132854,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132854,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132854,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132854,A000000,00700,0000,0700HOUSEKEEPING 132854,A000000,00800,0000,0800DIETARY 132854,A000000,00900,0000,0900NURSING ADMINISTRATION 132854,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132854,A000000,01100,0000,1100PHARMACY 132854,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132854,A000000,01300,0000,1300SOCIAL SERVICE 132854,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132854,A000000,01500,0000,1350OTHER GENERAL SERVICES 132854,A000000,01600,0000,1600SKILLED NURSING FACILITY 132854,A000000,01800,0000,1800NURSING FACILITY 132854,A000000,01810,0000,1810ICF/MR 132854,A000000,01900,0000,1900OTHER LONG TERM CARE 132854,A000000,02100,0000,2100RADIOLOGY 132854,A000000,02200,0000,2200LABORATORY 132854,A000000,02300,0000,2300INTRAVENOUS THERAPY 132854,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132854,A000000,02500,0000,2500PHYSICAL THERAPY 132854,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132854,A000000,02700,0000,2700SPEECH PATHOLOGY 132854,A000000,02800,0000,2800ELECTROCARDIOLOGY 132854,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132854,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132854,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132854,A000000,03200,0000,3200SUPPORT SURFACES 132854,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132854,A000000,03400,0000,3400CLINIC 132854,A000000,03500,0000,3500RURAL HEALTH CLINIC 132854,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132854,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132854,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132854,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132854,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132854,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132854,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132854,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132854,A000000,04400,0000,4400DME RENTED - HHA 132854,A000000,04500,0000,4500DME SOLD - HHA 132854,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132854,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132854,A000000,04800,0000,4800AMBULANCE 132854,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132854,A000000,05000,0000,5000CORF 132854,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132854,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132854,A000000,05300,0000,5300INTEREST EXPENSE 132854,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132854,A000000,05500,0000,5500HOSPICE 132854,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132854,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132854,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132854,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132854,A000000,06100,0000,6100NONPAID WORKERS 132854,A000000,06200,0000,6200PATIENTS LAUNDRY 132854,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132854,A81000A,00100,0100,N 132854,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 132854,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 132854,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132854,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132854,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 132854,B100000,00000,0600,0600LAUNDRY POUNDAGE :LAUNDRY & LIN 132854,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 132854,B100000,00000,0800,0800MEALS SERVED :DIETARY 132854,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 132854,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132854,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 132854,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132854,E10A180,00550,0300,12/04/00 132854,E10A180,00601,0100,09/09/02 132854,E10A180,00601,0300,09/09/02 132854,S000000,00100,0200,12/27/00 132854,S200000,00100,0100,851 KIMSEY LANE 132854,S200000,00200,0100,HENDERSON 132854,S200000,00200,0200,KY 132854,S200000,00200,0300,42420- 132854,S200000,00300,0100,HENDERSON 132854,S200000,00300,0200,2440 132854,S200000,00300,0300,U 132854,S200000,00400,0100,REDBANKS NURSING HOME 132854,S200000,00400,0200,185124 132854,S200000,00400,0300,05/01/73 132854,S200000,00400,0500,P 132854,S200000,01500,0100,N 132854,S200000,01600,0100,Y 132854,S200000,01700,0100,N 132854,S200000,01800,0100,N 132854,S200000,02200,0100,N 132854,S200000,02800,0100,N 132854,S200000,02900,0100,N 132854,S200000,03000,0100,N 132854,S200000,03100,0100,N 132854,S200000,03200,0100,N 132854,S200000,04100,0100,N 132854,S200000,04200,0100,N 132854,S200000,04300,0100,N 132854,S200000,04600,0100,N 132854,S200000,04700,0100,N 132854,S200000,04700,0200,N 132854,S200000,04900,0100,N 132854,S200000,05000,0100,N 132854,S200000,05100,0100,N 132854,S200000,05200,0100,N 132855,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132855,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132855,A000000,00300,0000,0300EMPLOYEE BENEFITS 132855,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132855,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132855,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132855,A000000,00700,0000,0700HOUSEKEEPING 132855,A000000,00800,0000,0800DIETARY 132855,A000000,00900,0000,0900NURSING ADMINISTRATION 132855,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132855,A000000,01100,0000,1100PHARMACY 132855,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132855,A000000,01300,0000,1300SOCIAL SERVICE 132855,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132855,A000000,01500,0000,1350OTHER GENERAL SERVICES 132855,A000000,01600,0000,1600SKILLED NURSING FACILITY 132855,A000000,01800,0000,1800NURSING FACILITY 132855,A000000,01810,0000,1810ICF/MR 132855,A000000,01900,0000,1900OTHER LONG TERM CARE 132855,A000000,02100,0000,2100RADIOLOGY 132855,A000000,02200,0000,2200LABORATORY 132855,A000000,02300,0000,2300INTRAVENOUS THERAPY 132855,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132855,A000000,02500,0000,2500PHYSICAL THERAPY 132855,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132855,A000000,02700,0000,2700SPEECH PATHOLOGY 132855,A000000,02800,0000,2800ELECTROCARDIOLOGY 132855,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132855,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132855,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132855,A000000,03200,0000,3200SUPPORT SURFACES 132855,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132855,A000000,03400,0000,3400CLINIC 132855,A000000,03500,0000,3500RURAL HEALTH CLINIC 132855,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132855,A000000,04800,0000,4800AMBULANCE 132855,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132855,A000000,05000,0000,5000CORF 132855,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132855,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132855,A000000,05300,0000,5300INTEREST EXPENSE 132855,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132855,A000000,05500,0000,5500HOSPICE 132855,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132855,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132855,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132855,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132855,A000000,06100,0000,6100NONPAID WORKERS 132855,A000000,06200,0000,6200PATIENTS LAUNDRY 132855,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132855,A81000A,00100,0100,N 132855,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132855,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132855,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132855,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132855,B100000,00000,0600,0650SQUARE FEET :LAUNDRY & LINEN SE 132855,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132855,B100000,00000,0800,0800MEALS SERVED :DIETARY 132855,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 132855,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 132855,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 132855,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132855,E10A180,00550,0100,09/11/00 132855,E10A180,00550,0300,09/11/00 132855,E10A180,00650,0100,09/13/02 132855,E10A180,00650,0300,09/13/02 132855,S000000,00100,0200,09/11/00 132855,S200000,00100,0300,747 132855,S200000,00200,0100,WHITESBURG 132855,S200000,00200,0200,KY 132855,S200000,00200,0300,41858- 132855,S200000,00300,0100,LETCHER 132855,S200000,00300,0200,0018 132855,S200000,00300,0300,R 132855,S200000,00400,0100,LETCHER MANOR 132855,S200000,00400,0200,185200 132855,S200000,00400,0300,10/01/89 132855,S200000,00400,0500,P 132855,S200000,01500,0100,N 132855,S200000,01600,0100,Y 132855,S200000,01700,0100,N 132855,S200000,01800,0100,N 132855,S200000,02200,0100,N 132855,S200000,02800,0100,N 132855,S200000,02900,0100,N 132855,S200000,03000,0100,N 132855,S200000,03100,0100,N 132855,S200000,03200,0100,N 132855,S200000,04100,0100,N 132855,S200000,04200,0100,N 132855,S200000,04300,0100,N 132855,S200000,04600,0100,N 132855,S200000,04700,0100,N 132855,S200000,04700,0200,N 132855,S200000,04900,0100,N 132855,S200000,05000,0100,N 132855,S200000,05100,0100,N 132855,S200000,05200,0100,N 132863,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132863,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 132863,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132863,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 132863,A000000,00300,0000,0300EMPLOYEE BENEFITS 132863,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132863,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132863,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132863,A000000,00700,0000,0700HOUSEKEEPING 132863,A000000,00800,0000,0800DIETARY 132863,A000000,00801,0000,0801CAFETERIA 132863,A000000,00900,0000,0900NURSING ADMINISTRATION 132863,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132863,A000000,01100,0000,1100PHARMACY 132863,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132863,A000000,01300,0000,1300SOCIAL SERVICE 132863,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132863,A000000,01500,0000,1350ACTIVITIES 132863,A000000,01600,0000,1600SKILLED NURSING FACILITY 132863,A000000,01800,0000,1800NURSING FACILITY 132863,A000000,01900,0000,1900OTHER LONG TERM CARE 132863,A000000,02100,0000,2100RADIOLOGY 132863,A000000,02200,0000,2200LABORATORY 132863,A000000,02300,0000,2300INTRAVENOUS THERAPY 132863,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132863,A000000,02500,0000,2500PHYSICAL THERAPY 132863,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132863,A000000,02700,0000,2700SPEECH PATHOLOGY 132863,A000000,02800,0000,2800ELECTROCARDIOLOGY 132863,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132863,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132863,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132863,A000000,03200,0000,3200SUPPORT SURFACES 132863,A000000,03300,0000,3050CLINITRON 132863,A000000,03301,0000,3051OTHER ANCILLARY II 132863,A000000,03302,0000,3052OTHER ANCILLARY III 132863,A000000,03400,0000,3400CLINIC 132863,A000000,03500,0000,3500RURAL HEALTH CLINIC 132863,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 132863,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132863,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132863,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132863,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132863,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132863,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132863,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132863,A000000,04400,0000,4400DME RENTED - HHA 132863,A000000,04500,0000,4500DME SOLD - HHA 132863,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132863,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132863,A000000,04800,0000,4800AMBULANCE 132863,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132863,A000000,05000,0000,5000CORF 132863,A000000,05010,0000,5010CMHC I 132863,A000000,05020,0000,5020OPT I 132863,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132863,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132863,A000000,05300,0000,5300INTEREST EXPENSE 132863,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132863,A000000,05500,0000,5500HOSPICE 132863,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 132863,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 132863,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132863,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132863,A000000,06301,0000,6151NONREIMBURSABLE COST #2 132863,A000000,06302,0000,6152NONREIMBURSABLE COST #3 132863,A000000,06303,0000,6153NONREIMBURSABLE COST #4 132863,A000000,06304,0000,6154NONREIMBURSABLE COST #5 132863,A81000A,00100,0100,Y 132863,A81000B,00100,0300,RENT 132863,A81000B,00200,0300,ADMINISTRATIVE 132863,A81000B,00300,0300,LAUNDRY 132863,A81000B,00400,0300,DIETARY 132863,A81000B,00500,0300,PHARMACY 132863,A81000B,00600,0300,MEDICAL SUPPLIES 132863,A81000C,00100,0100,B 132863,A81000C,00100,0200,MERCY MEDICAL 132863,A81000C,00100,0400,MERCY MEDICAL 132863,A81000C,00100,0600,HOSPITAL 132863,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 132863,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 132863,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132863,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 132863,B100000,00000,0600,0600(POUNDS OF LAUNDRY) :LAUNDRY & L 132863,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 132863,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 132863,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 132863,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 132863,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 132863,B100000,00000,1500,1350(TIME SPENT) :ACTIVITIES 132863,H510100,00000,0000,7296 132863,H710000,00301,0100,09/26/00 132863,H710000,00501,0100,02/15/01 132863,S000000,00100,0200,12/12/00 132863,S200000,00100,0100,2300 DULANEY VALLEY ROAD 132863,S200000,00200,0100,TIMONIUM 132863,S200000,00200,0200,MD 132863,S200000,00200,0300,21093- 132863,S200000,00300,0100,BALTIMORE 132863,S200000,00300,0200,0720 132863,S200000,00300,0300,U 132863,S200000,00400,0100,STELLA MARIS INC. 132863,S200000,00400,0200,215117 132863,S200000,00400,0300,09/09/79 132863,S200000,00400,0500,P 132863,S200000,00800,0200,217072 132863,S200000,00800,0300,04/06/83 132863,S200000,00800,0500,O 132863,S200000,01200,0200,211500 132863,S200000,01200,0300,11/18/83 132863,S200000,01500,0100,N 132863,S200000,01600,0100,Y 132863,S200000,01700,0100,N 132863,S200000,01800,0100,N 132863,S200000,02200,0100,N 132863,S200000,02800,0100,N 132863,S200000,02900,0100,N 132863,S200000,03000,0100,N 132863,S200000,03100,0100,N 132863,S200000,03200,0100,N 132863,S200000,04100,0100,N 132863,S200000,04200,0100,N 132863,S200000,04300,0100,N 132863,S200000,04600,0100,N 132863,S200000,04700,0100,N 132863,S200000,04700,0200,N 132863,S200000,04900,0100,N 132863,S200000,05000,0100,N 132863,S200000,05100,0100,N 132863,S200000,05200,0100,N 132942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 132942,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 132942,A000000,00300,0000,0300EMPLOYEE BENEFITS 132942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 132942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132942,A000000,00700,0000,0700HOUSEKEEPING 132942,A000000,00800,0000,0800DIETARY 132942,A000000,00900,0000,0900NURSING ADMINISTRATION 132942,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132942,A000000,01100,0000,1100PHARMACY 132942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132942,A000000,01300,0000,1300SOCIAL SERVICE 132942,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 132942,A000000,01500,0000,1350OTHER LONG TERM 132942,A000000,01501,0000,1351RESTORATIVE THERAPY 132942,A000000,01600,0000,1600SKILLED NURSING FACILITY 132942,A000000,01810,0000,1810ICF/MR 132942,A000000,01900,0000,1900OTHER LONG TERM CARE 132942,A000000,02100,0000,2100RADIOLOGY 132942,A000000,02200,0000,2200LABORATORY 132942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132942,A000000,02500,0000,2500PHYSICAL THERAPY 132942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132942,A000000,02700,0000,2700SPEECH PATHOLOGY 132942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 132942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132942,A000000,03300,0000,3050OTHER LONG TERM CARE 132942,A000000,03550,0000,3550FQHC 132942,A000000,05000,0000,5000CORF 132942,A000000,05010,0000,5010CMHC 132942,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 132942,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 132942,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 132942,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 132942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132942,A81000A,00100,0100,N 132942,B100000,00000,0100,0100SQUARE FEET 132942,B100000,00000,0200,0200DOLLAR VALUE 132942,B100000,00000,0300,0300GROSS SALARIES 132942,B100000,00000,0400,0400ACCUM. COST 132942,B100000,00000,0500,0500SQUARE FEET 132942,B100000,00000,0600,0600POUNDS OF LAUNDRY 132942,B100000,00000,0700,0700HOURS OF SERVICE 132942,B100000,00000,0800,0800MEALS SERVED 132942,B100000,00000,0900,0900DIRECT NRSING HRS 132942,B100000,00000,1000,1000COSTED REQUIS. 132942,B100000,00000,1100,1100COSTED REQUIS. 132942,B100000,00000,1200,1200TIME SPENT 132942,B100000,00000,1300,1300TIME SPENT 132942,B100000,00000,1400,1400ASSIGNED TIME 132942,B100000,00000,1500,1350(ACC COST) 132942,B100000,00000,1501,1351(ACCU COST) 132942,S000000,00100,0200,02/14/01 132942,S200000,00100,0100,3600 E. FULTON 132942,S200000,00200,0100,GRAND RAPIDS 132942,S200000,00200,0200,MI 132942,S200000,00200,0300,49546 132942,S200000,00300,0100,K 132942,S200000,00300,0200,3000 132942,S200000,00300,0300,U 132942,S200000,00400,0100,PORTER HILL PRESBYTERIAN VILLAGE 132942,S200000,00400,0200,235310 132942,S200000,00400,0300,01/01/80 132942,S200000,00400,0500,P 132942,S200000,00400,0600,O 132942,S200000,01500,0100,Y 132942,S200000,01600,0100,N 132942,S200000,01700,0100,N 132942,S200000,01800,0100,N 132942,S200000,02200,0100,Y 132942,S200000,02800,0100,Y 132942,S200000,02900,0100,N 132942,S200000,03000,0100,N 132942,S200000,03100,0100,N 132942,S200000,03200,0100,N 132942,S200000,03300,0100,N 132942,S200000,03300,0200,N 132942,S200000,04100,0100,N 132942,S200000,04200,0100,N 132942,S200000,04300,0100,N 132942,S200000,04600,0100,N 132942,S200000,04700,0100,N 132942,S200000,04700,0200,N 132942,S200000,04900,0100,N 132962,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132962,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132962,A000000,00300,0000,0300EMPLOYEE BENEFITS 132962,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132962,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132962,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132962,A000000,00700,0000,0700HOUSEKEEPING 132962,A000000,00800,0000,0800DIETARY 132962,A000000,00900,0000,0900NURSING ADMINISTRATION 132962,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132962,A000000,01100,0000,1100PHARMACY 132962,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132962,A000000,01300,0000,1300SOCIAL SERVICE 132962,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132962,A000000,01500,0000,1350OTHER GENERAL SERVICES 132962,A000000,01600,0000,1600SKILLED NURSING FACILITY 132962,A000000,01800,0000,1800NURSING FACILITY 132962,A000000,01810,0000,1810ICF/MR 132962,A000000,01900,0000,1900OTHER LONG TERM CARE 132962,A000000,02100,0000,2100RADIOLOGY 132962,A000000,02200,0000,2200LABORATORY 132962,A000000,02300,0000,2300INTRAVENOUS THERAPY 132962,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132962,A000000,02500,0000,2500PHYSICAL THERAPY 132962,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132962,A000000,02700,0000,2700SPEECH PATHOLOGY 132962,A000000,02800,0000,2800ELECTROCARDIOLOGY 132962,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132962,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132962,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132962,A000000,03200,0000,3200SUPPORT SURFACES 132962,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132962,A000000,03301,0000,3051AIR BEDS & COMPLEX MEDICAL EQUIP 132962,A000000,03400,0000,3400CLINIC 132962,A000000,03500,0000,3500RURAL HEALTH CLINIC 132962,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132962,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132962,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132962,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132962,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132962,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132962,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132962,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132962,A000000,04400,0000,4400DME RENTED - HHA 132962,A000000,04500,0000,4500DME SOLD - HHA 132962,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132962,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132962,A000000,04800,0000,4800AMBULANCE 132962,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132962,A000000,05000,0000,5000CORF 132962,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132962,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132962,A000000,05300,0000,5300INTEREST EXPENSE 132962,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132962,A000000,05500,0000,5500HOSPICE 132962,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132962,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132962,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132962,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132962,A000000,06100,0000,6100NONPAID WORKERS 132962,A000000,06200,0000,6200PATIENTS LAUNDRY 132962,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132962,A81000A,00100,0100,Y 132962,A81000B,00100,0300,LAUNDRY SERVICES 132962,A81000B,00200,0300,LAUNDRY SERVICES 132962,A81000B,00300,0300,LAUNDRY SERVICES 132962,A81000B,00400,0300,LAUNDRY SERVICES 132962,A81000C,00100,0100,G 132962,A81000C,00100,0200,LSF INC. 132962,A81000C,00100,0400,LSF INC.DBA; AHCC-EVELETH 132962,A81000C,00100,0600,NURSING HOME 132962,A81000C,00200,0100,G 132962,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132962,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132962,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132962,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132962,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132962,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 132962,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 132962,B100000,00000,0800,0800MEALS SERVED :DIETARY 132962,B100000,00000,0900,0950PRODUCTIVE E HO :NURSING ADMINIS 132962,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 132962,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 132962,E10A180,00501,0300,01/23/01 132962,E10A180,00550,0100,01/23/01 132962,S000000,00100,0200,01/08/01 132962,S200000,00100,0300,971 132962,S200000,00200,0100,VIRGINIA 132962,S200000,00200,0200,MN 132962,S200000,00200,0300,55792- 132962,S200000,00300,0100,ST. LOUIS 132962,S200000,00300,0200,2240 132962,S200000,00300,0300,U 132962,S200000,00400,0100,LSF INC. DBA: ARROWHEAD HCC-VIRGINIA 132962,S200000,00400,0200,245283 132962,S200000,00400,0300,08/01/85 132962,S200000,00400,0500,P 132962,S200000,01500,0100,N 132962,S200000,01600,0100,Y 132962,S200000,01700,0100,N 132962,S200000,01800,0100,N 132962,S200000,02200,0100,N 132962,S200000,02800,0100,N 132962,S200000,02900,0100,N 132962,S200000,03000,0100,N 132962,S200000,03100,0100,N 132962,S200000,03200,0100,N 132962,S200000,04100,0100,N 132962,S200000,04200,0100,N 132962,S200000,04300,0100,N 132962,S200000,04600,0100,N 132962,S200000,04700,0100,N 132962,S200000,04700,0200,N 132962,S200000,04900,0100,N 132962,S200000,05000,0100,N 132962,S200000,05100,0100,N 132962,S200000,05200,0100,N 132963,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132963,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132963,A000000,00300,0000,0300EMPLOYEE BENEFITS 132963,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132963,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132963,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132963,A000000,00700,0000,0700HOUSEKEEPING 132963,A000000,00800,0000,0800DIETARY 132963,A000000,00900,0000,0900NURSING ADMINISTRATION 132963,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132963,A000000,01100,0000,1100PHARMACY 132963,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132963,A000000,01300,0000,1300SOCIAL SERVICE 132963,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132963,A000000,01500,0000,1350OTHER GENERAL SERVICES 132963,A000000,01600,0000,1600SKILLED NURSING FACILITY 132963,A000000,01800,0000,1800NURSING FACILITY 132963,A000000,01810,0000,1810ICF/MR 132963,A000000,01900,0000,1900OTHER LONG TERM CARE 132963,A000000,02100,0000,2100RADIOLOGY 132963,A000000,02200,0000,2200LABORATORY 132963,A000000,02300,0000,2300INTRAVENOUS THERAPY 132963,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132963,A000000,02500,0000,2500PHYSICAL THERAPY 132963,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132963,A000000,02700,0000,2700SPEECH PATHOLOGY 132963,A000000,02800,0000,2800ELECTROCARDIOLOGY 132963,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132963,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132963,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132963,A000000,03200,0000,3200SUPPORT SURFACES 132963,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132963,A000000,03400,0000,3400CLINIC 132963,A000000,03500,0000,3500RURAL HEALTH CLINIC 132963,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132963,A000000,04800,0000,4800AMBULANCE 132963,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132963,A000000,05000,0000,5000CORF 132963,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132963,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132963,A000000,05300,0000,5300INTEREST EXPENSE 132963,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132963,A000000,05500,0000,5500HOSPICE 132963,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132963,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132963,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132963,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132963,A000000,06100,0000,6100NONPAID WORKERS 132963,A000000,06200,0000,6200PATIENTS LAUNDRY 132963,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132963,A81000A,00100,0100,Y 132963,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132963,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132963,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132963,A81000B,00400,0300,NURSE CONSULTING 132963,A81000B,00500,0300,ADMINISTRATOR SALARY/TAXES/BENEFITS 132963,A81000B,00600,0300,COMPUTER USER FEES 132963,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132963,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132963,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132963,A81000C,00100,0100,G 132963,A81000C,00100,0200,BHS - CAMBRIDGE 132963,A81000C,00100,0400,BHS - DULUTH 132963,A81000C,00100,0600,MANAGEMENT SERVICES 132963,A81000C,00200,0100,G 132963,A81000C,00200,0200,BHS - DULUTH 132963,A81000C,00200,0400,BHS - DULUTH 132963,A81000C,00200,0600,MANAGEMENT SERVICES 132963,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132963,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132963,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132963,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132963,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132963,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 132963,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132963,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 132963,B100000,00000,0900,0950TIME STUDIES :NURSING ADMINISTR 132963,B100000,00000,1200,1200TIME STUDI :MEDICAL RECORDS & L 132963,B100000,00000,1300,1300TIME STUDI :SOCIAL SERVICE 132963,E10A180,00501,0100,01/30/01 132963,E10A180,00550,0300,01/30/01 132963,S000000,00100,0200,01/05/01 132963,S200000,00100,0100,324 JOHNSON PARKWAY 132963,S200000,00200,0100,ST. PAUL 132963,S200000,00200,0200,MN 132963,S200000,00200,0300,55106- 132963,S200000,00300,0100,RAMSEY 132963,S200000,00300,0200,5120 132963,S200000,00300,0300,U 132963,S200000,00400,0100,PARKWAY MANOR OF DAYTON S BLUFF HEAL 132963,S200000,00400,0200,245260 132963,S200000,00400,0300,03/01/83 132963,S200000,00400,0500,P 132963,S200000,01500,0100,N 132963,S200000,01600,0100,Y 132963,S200000,01700,0100,N 132963,S200000,01800,0100,N 132963,S200000,02200,0100,N 132963,S200000,02800,0100,N 132963,S200000,02900,0100,N 132963,S200000,03000,0100,N 132963,S200000,03100,0100,N 132963,S200000,03200,0100,N 132963,S200000,04100,0100,N 132963,S200000,04200,0100,N 132963,S200000,04300,0100,N 132963,S200000,04600,0100,N 132963,S200000,04700,0100,N 132963,S200000,04700,0200,N 132963,S200000,04900,0100,N 132963,S200000,05000,0100,N 132963,S200000,05100,0100,N 132963,S200000,05200,0100,N 132964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132964,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132964,A000000,00300,0000,0300EMPLOYEE BENEFITS 132964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132964,A000000,00700,0000,0700HOUSEKEEPING 132964,A000000,00800,0000,0800DIETARY 132964,A000000,00900,0000,0900NURSING ADMINISTRATION 132964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132964,A000000,01300,0000,1300SOCIAL SERVICE 132964,A000000,01600,0000,1600SKILLED NURSING FACILITY 132964,A000000,02100,0000,2100RADIOLOGY 132964,A000000,02200,0000,2200LABORATORY 132964,A000000,02500,0000,2500PHYSICAL THERAPY 132964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132964,A000000,02700,0000,2700SPEECH PATHOLOGY 132964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132964,A000000,04800,0000,4800AMBULANCE 132964,A81000A,00100,0100,Y 132964,A81000B,00100,0300,MANAGEMENT FEE 132964,A81000B,00200,0300,THERAPY SERVICES 132964,A81000B,00300,0300,OCCUP THER 132964,A81000B,00400,0300,SPEECH THER 132964,A81000B,00500,0300,INT INC 132964,A81000B,00600,0300,REHAB FEES 132964,A81000C,00100,0100,B 132964,A81000C,00100,0200,ST FRANCIS HEALTH CENTER 132964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132964,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132964,B100000,00000,0300,0300GROSS SALARY :EMPLOYEE BENEFITS 132964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132964,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 132964,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132964,B100000,00000,0800,0850TIME SPENT :DIETARY 132964,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 132964,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 132964,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 132964,S000000,00100,0200,10/30/00 132964,S200000,00100,0100,1500 EAST THIRD AVENUE 132964,S200000,00200,0100,HIBBING 132964,S200000,00200,0200,MN 132964,S200000,00200,0300,55746- 132964,S200000,00300,0100,ST LOUIS 132964,S200000,00300,0200,2240 132964,S200000,00300,0300,U 132964,S200000,00400,0100,LEISURE HILLS HEALTH CENTER 132964,S200000,00400,0200,245239 132964,S200000,00400,0300,10/01/82 132964,S200000,00400,0500,P 132964,S200000,01500,0100,Y 132964,S200000,01600,0100,N 132964,S200000,01700,0100,N 132964,S200000,01800,0100,N 132964,S200000,02200,0100,N 132964,S200000,02800,0100,N 132964,S200000,02900,0100,N 132964,S200000,03000,0100,N 132964,S200000,03100,0100,N 132964,S200000,03200,0100,N 132964,S200000,04100,0100,N 132964,S200000,04200,0100,N 132964,S200000,04300,0100,N 132964,S200000,04600,0100,N 132964,S200000,04700,0100,N 132964,S200000,04700,0200,N 132964,S200000,04900,0100,N 132964,S200000,05000,0100,N 132964,S200000,05100,0100,N 132964,S200000,05200,0100,N 132967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132967,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132967,A000000,00300,0000,0300EMPLOYEE BENEFITS 132967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132967,A000000,00700,0000,0700HOUSEKEEPING 132967,A000000,00800,0000,0800DIETARY 132967,A000000,00900,0000,0900NURSING ADMINISTRATION 132967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132967,A000000,01100,0000,1100PHARMACY 132967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132967,A000000,01300,0000,1300SOCIAL SERVICE 132967,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132967,A000000,01500,0000,1350OTHER GENERAL SERVICES 132967,A000000,01600,0000,1600SKILLED NURSING FACILITY 132967,A000000,01800,0000,1800NURSING FACILITY 132967,A000000,01810,0000,1810ICF/MR 132967,A000000,01900,0000,1900OTHER LONG TERM CARE 132967,A000000,02100,0000,2100RADIOLOGY 132967,A000000,02200,0000,2200LABORATORY 132967,A000000,02300,0000,2300INTRAVENOUS THERAPY 132967,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132967,A000000,02500,0000,2500PHYSICAL THERAPY 132967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132967,A000000,02700,0000,2700SPEECH PATHOLOGY 132967,A000000,02800,0000,2800ELECTROCARDIOLOGY 132967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132967,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132967,A000000,03200,0000,3200SUPPORT SURFACES 132967,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132967,A000000,03400,0000,3400CLINIC 132967,A000000,03500,0000,3500RURAL HEALTH CLINIC 132967,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132967,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132967,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132967,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132967,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132967,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132967,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132967,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132967,A000000,04400,0000,4400DME RENTED - HHA 132967,A000000,04500,0000,4500DME SOLD - HHA 132967,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132967,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132967,A000000,04800,0000,4800AMBULANCE 132967,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132967,A000000,05000,0000,5000CORF 132967,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132967,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132967,A000000,05300,0000,5300INTEREST EXPENSE 132967,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132967,A000000,05500,0000,5500HOSPICE 132967,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132967,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132967,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132967,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132967,A000000,06100,0000,6100NONPAID WORKERS 132967,A000000,06200,0000,6200PATIENTS LAUNDRY 132967,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132967,A000000,06301,0000,6151MEALS ON WHEELS 132967,A81000A,00100,0100,Y 132967,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICES 132967,A81000B,00200,0300,UNEMPLOYMENT INS 132967,A81000B,00300,0300,WORKERS COMP 132967,A81000B,00400,0300,PROPERTY/LIABILITY 132967,A81000B,00500,0300,VEHICLE 132967,A81000B,00600,0300,MEDICAL SUPPLIES 132967,A81000B,00700,0300,INCONTINENTS 132967,A81000C,00100,0100,B 132967,A81000C,00100,0400,GOOD SAMARITAN 132967,A81000C,00100,0600,HEALTHCARE 132967,A81000C,00200,0100,B 132967,A81000C,00200,0400,OMNICARE PHARMA 132967,A81000C,00200,0600,MEDICAL/DRUGS 132967,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132967,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132967,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132967,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132967,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132967,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132967,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 132967,B100000,00000,0800,0800MEALS SERVED DIETARY 132967,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 132967,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 132967,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 132967,B100000,00000,1200,1200GROSS REVENUES MEDICAL RECOR 132967,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 132967,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 132967,B100000,00000,1500,1500NO STATISTICS OTHER GENER 132967,E10A180,00501,0100,10/23/00 132967,E10A180,00501,0300,10/23/00 132967,S000000,00100,0200,09/28/00 132967,S200000,00100,0100,149 FIRST AVENUE 132967,S200000,00200,0100,WESTBROOK 132967,S200000,00200,0200,MN 132967,S200000,00200,0300,56183-0218 132967,S200000,00300,0100,COTTONWOOD 132967,S200000,00300,0200,9924 132967,S200000,00300,0300,R 132967,S200000,00400,0100,WESTBROOK GOOD SAMARITAN CENTER 132967,S200000,00400,0200,245595 132967,S200000,00400,0300,01/01/92 132967,S200000,00400,0500,P 132967,S200000,00400,0600,N 132967,S200000,01500,0100,Y 132967,S200000,01600,0100,N 132967,S200000,01700,0100,N 132967,S200000,01800,0100,N 132967,S200000,02200,0100,N 132967,S200000,02800,0100,Y 132967,S200000,02900,0100,N 132967,S200000,03000,0100,N 132967,S200000,03100,0100,N 132967,S200000,03200,0100,N 132967,S200000,03300,0100,N 132967,S200000,03300,0200,N 132967,S200000,04100,0100,N 132967,S200000,04200,0100,N 132967,S200000,04300,0100,N 132967,S200000,04600,0100,N 132967,S200000,04700,0100,N 132967,S200000,04700,0200,N 132967,S200000,04900,0100,N 132967,S200000,05000,0100,N 132967,S200000,05100,0100,N 132967,S200000,05200,0100,N 132967,S700003,00000,0100,X 132968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132968,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132968,A000000,00300,0000,0300EMPLOYEE BENEFITS 132968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132968,A000000,00700,0000,0700HOUSEKEEPING 132968,A000000,00800,0000,0800DIETARY 132968,A000000,00900,0000,0900NURSING ADMINISTRATION 132968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132968,A000000,01100,0000,1100PHARMACY 132968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132968,A000000,01300,0000,1300SOCIAL SERVICE 132968,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132968,A000000,01500,0000,1350OTHER GENERAL SERVICES 132968,A000000,01600,0000,1600SKILLED NURSING FACILITY 132968,A000000,01800,0000,1800NURSING FACILITY 132968,A000000,01810,0000,1810ICF/MR 132968,A000000,01900,0000,1900OTHER LONG TERM CARE 132968,A000000,02100,0000,2100RADIOLOGY 132968,A000000,02200,0000,2200LABORATORY 132968,A000000,02300,0000,2300INTRAVENOUS THERAPY 132968,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132968,A000000,02500,0000,2500PHYSICAL THERAPY 132968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132968,A000000,02700,0000,2700SPEECH PATHOLOGY 132968,A000000,02800,0000,2800ELECTROCARDIOLOGY 132968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132968,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132968,A000000,03200,0000,3200SUPPORT SURFACES 132968,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132968,A000000,03400,0000,3400CLINIC 132968,A000000,03500,0000,3500RURAL HEALTH CLINIC 132968,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132968,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132968,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132968,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132968,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132968,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132968,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132968,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132968,A000000,04400,0000,4400DME RENTED - HHA 132968,A000000,04500,0000,4500DME SOLD - HHA 132968,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132968,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132968,A000000,04800,0000,4800AMBULANCE 132968,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132968,A000000,05000,0000,5000CORF 132968,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132968,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132968,A000000,05300,0000,5300INTEREST EXPENSE 132968,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132968,A000000,05500,0000,5500HOSPICE 132968,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132968,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132968,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132968,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132968,A000000,06100,0000,6100NONPAID WORKERS 132968,A000000,06200,0000,6200PATIENTS LAUNDRY 132968,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132968,A000000,06301,0000,6151CLINIC 132968,A000000,06302,0000,6152MEALS ON WHEELS 132968,A81000A,00100,0100,Y 132968,A81000B,00100,0300,ADMIN/ACCTNG SERVICES 132968,A81000B,00200,0300,UNEMPLOYMENT INS 132968,A81000B,00300,0300,WORKERS COMP 132968,A81000B,00400,0300,PROPERTY/LIABILITY INS 132968,A81000B,00500,0300,VEHICLE INS 132968,A81000B,00600,0300,MEDICAL SUPPLIES 132968,A81000B,00700,0300,INCONTINENTS 132968,A81000C,00100,0100,B 132968,A81000C,00100,0400,GOOD SAMARITAN 132968,A81000C,00100,0600,HEALTHCARE 132968,A81000C,00200,0100,B 132968,A81000C,00200,0400,OMICARE PHARMAC 132968,A81000C,00200,0600,MEDICAL /DRUGS 132968,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132968,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132968,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132968,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132968,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132968,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132968,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132968,B100000,00000,0800,0800MEALS SERVED DIETARY 132968,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 132968,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 132968,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 132968,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 132968,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 132968,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 132968,B100000,00000,1500,1500NO STATISTICS OTHER GENER 132968,E10A180,00550,0100,11/02/00 132968,E10A180,00550,0300,11/02/00 132968,S000000,00100,0200,09/28/00 132968,S200000,00100,0100,411 SEVENTH AVE NW 132968,S200000,00200,0100,ARLINGTON 132968,S200000,00200,0200,MN 132968,S200000,00200,0300,55307-0645 132968,S200000,00300,0100,SIBLEY 132968,S200000,00300,0200,9924 132968,S200000,00300,0300,R 132968,S200000,00400,0100,ARLINGTON GOOD SAMARITAN CENTER 132968,S200000,00400,0200,245598 132968,S200000,00400,0300,10/01/91 132968,S200000,00400,0500,P 132968,S200000,00400,0600,N 132968,S200000,01500,0100,Y 132968,S200000,01600,0100,N 132968,S200000,01700,0100,N 132968,S200000,01800,0100,N 132968,S200000,02200,0100,N 132968,S200000,02800,0100,N 132968,S200000,02900,0100,N 132968,S200000,03000,0100,N 132968,S200000,03100,0100,N 132968,S200000,03200,0100,N 132968,S200000,03300,0100,N 132968,S200000,03300,0200,N 132968,S200000,04100,0100,N 132968,S200000,04200,0100,N 132968,S200000,04300,0100,N 132968,S200000,04600,0100,N 132968,S200000,04700,0100,N 132968,S200000,04700,0200,N 132968,S200000,04900,0100,N 132968,S200000,05000,0100,N 132968,S200000,05100,0100,N 132968,S200000,05200,0100,N 132968,S700003,00000,0100,X 132969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132969,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132969,A000000,00300,0000,0300EMPLOYEE BENEFITS 132969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132969,A000000,00700,0000,0700HOUSEKEEPING 132969,A000000,00800,0000,0800DIETARY 132969,A000000,00900,0000,0900NURSING ADMINISTRATION 132969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132969,A000000,01100,0000,1100PHARMACY 132969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132969,A000000,01300,0000,1300SOCIAL SERVICE 132969,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132969,A000000,01500,0000,1350OTHER GENERAL SERVICES 132969,A000000,01600,0000,1600SKILLED NURSING FACILITY 132969,A000000,01800,0000,1800NURSING FACILITY 132969,A000000,01810,0000,1810ICF/MR 132969,A000000,01900,0000,1900OTHER LONG TERM CARE 132969,A000000,02100,0000,2100RADIOLOGY 132969,A000000,02200,0000,2200LABORATORY 132969,A000000,02300,0000,2300INTRAVENOUS THERAPY 132969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132969,A000000,02500,0000,2500PHYSICAL THERAPY 132969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132969,A000000,02700,0000,2700SPEECH PATHOLOGY 132969,A000000,02800,0000,2800ELECTROCARDIOLOGY 132969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132969,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132969,A000000,03200,0000,3200SUPPORT SURFACES 132969,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132969,A000000,03400,0000,3400CLINIC 132969,A000000,03500,0000,3500RURAL HEALTH CLINIC 132969,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132969,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132969,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132969,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132969,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132969,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132969,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132969,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132969,A000000,04400,0000,4400DME RENTED - HHA 132969,A000000,04500,0000,4500DME SOLD - HHA 132969,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132969,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132969,A000000,04800,0000,4800AMBULANCE 132969,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132969,A000000,05000,0000,5000CORF 132969,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132969,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132969,A000000,05300,0000,5300INTEREST EXPENSE 132969,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132969,A000000,05500,0000,5500HOSPICE 132969,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132969,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132969,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132969,A000000,06100,0000,6100NONPAID WORKERS 132969,A000000,06200,0000,6200PATIENTS LAUNDRY 132969,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132969,A000000,06301,0000,6151CLINIC 132969,A81000A,00100,0100,Y 132969,A81000B,00100,0300,ADMIN/ACCOUNTING SERVICE 132969,A81000B,00200,0300,UNEMPLOYMENT INS 132969,A81000B,00300,0300,WORKERS COMP 132969,A81000B,00400,0300,PROPERTY/LIABILITY INS 132969,A81000B,00500,0300,VEHICLE INSURANCE 132969,A81000B,00600,0300,MEDICAL SUPPLY 132969,A81000B,00700,0300,INCONTINENTS 132969,A81000C,00100,0100,B 132969,A81000C,00100,0400,GOOD SAMARITAN 132969,A81000C,00100,0600,HEALTHCARE 132969,A81000C,00200,0100,B 132969,A81000C,00200,0400,OMNICARE PHARMY 132969,A81000C,00200,0600,MED/NURS SUPPLY 132969,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132969,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132969,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132969,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132969,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132969,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132969,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132969,B100000,00000,0800,0800MEALS SERV DIETARY 132969,B100000,00000,0900,0900DIRECT NURSING HR NURSING ADM 132969,B100000,00000,1000,1000COSTE REQ CENTRAL SERVICES & SUP 132969,B100000,00000,1100,1100COSTED REQ PHARMACY 132969,B100000,00000,1200,1200GROSS REV MEDICAL RECORDS & LIBR 132969,B100000,00000,1300,1300ADMIS SOCIAL SERVICE 132969,B100000,00000,1400,1400BLANK INTERNS & RESIDENTS (APPRV 132969,B100000,00000,1500,1500BLANK OTHER GENERAL SERVICES 132969,E10A180,00501,0100,12/21/01 132969,E10A180,00550,0100,10/20/00 132969,E10A180,00550,0300,10/20/00 132969,S000000,00100,0200,09/28/00 132969,S200000,00100,0100,RR1 132969,S200000,00200,0100,BLACKDUCK 132969,S200000,00200,0200,MN 132969,S200000,00200,0300,56630-9764 132969,S200000,00300,0100,BELTRAMI 132969,S200000,00300,0200,9924 132969,S200000,00300,0300,R 132969,S200000,00400,0100,NORTHERN PINES GOOD SAMARITAN CENTER 132969,S200000,00400,0200,245600 132969,S200000,00400,0300,04/01/92 132969,S200000,00400,0500,P 132969,S200000,00400,0600,N 132969,S200000,01500,0100,Y 132969,S200000,01600,0100,N 132969,S200000,01700,0100,N 132969,S200000,01800,0100,N 132969,S200000,02200,0100,N 132969,S200000,02800,0100,N 132969,S200000,02900,0100,N 132969,S200000,03000,0100,N 132969,S200000,03100,0100,N 132969,S200000,03200,0100,N 132969,S200000,03300,0100,N 132969,S200000,03300,0200,N 132969,S200000,04100,0100,N 132969,S200000,04200,0100,N 132969,S200000,04300,0100,N 132969,S200000,04600,0100,N 132969,S200000,04700,0100,N 132969,S200000,04700,0200,N 132969,S200000,04900,0100,N 132969,S200000,05000,0100,N 132969,S200000,05100,0100,N 132969,S200000,05200,0100,N 132969,S700003,00000,0100,X 132972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132972,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132972,A000000,00300,0000,0300EMPLOYEE BENEFITS 132972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132972,A000000,00700,0000,0700HOUSEKEEPING 132972,A000000,00800,0000,0800DIETARY 132972,A000000,00900,0000,0900NURSING ADMINISTRATION 132972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132972,A000000,01100,0000,1100PHARMACY 132972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132972,A000000,01300,0000,1300SOCIAL SERVICE 132972,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132972,A000000,01500,0000,1350OTHER GENERAL SERVICES 132972,A000000,01600,0000,1600SKILLED NURSING FACILITY 132972,A000000,01800,0000,1800NURSING FACILITY 132972,A000000,01810,0000,1810ICF/MR 132972,A000000,01900,0000,1900OTHER LONG TERM CARE 132972,A000000,02100,0000,2100RADIOLOGY 132972,A000000,02200,0000,2200LABORATORY 132972,A000000,02300,0000,2300INTRAVENOUS THERAPY 132972,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132972,A000000,02500,0000,2500PHYSICAL THERAPY 132972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132972,A000000,02700,0000,2700SPEECH PATHOLOGY 132972,A000000,02800,0000,2800ELECTROCARDIOLOGY 132972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132972,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132972,A000000,03200,0000,3200SUPPORT SURFACES 132972,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132972,A000000,03400,0000,3400CLINIC 132972,A000000,03500,0000,3500RURAL HEALTH CLINIC 132972,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132972,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132972,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132972,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132972,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132972,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132972,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132972,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132972,A000000,04400,0000,4400DME RENTED - HHA 132972,A000000,04500,0000,4500DME SOLD - HHA 132972,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132972,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132972,A000000,04800,0000,4800AMBULANCE 132972,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132972,A000000,05000,0000,5000CORF 132972,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132972,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132972,A000000,05300,0000,5300INTEREST EXPENSE 132972,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132972,A000000,05500,0000,5500HOSPICE 132972,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132972,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132972,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132972,A000000,06100,0000,6100NONPAID WORKERS 132972,A000000,06200,0000,6200PATIENTS LAUNDRY 132972,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132972,A000000,06301,0000,6151ASSISTED LIVING 132972,A000000,06302,0000,6152CONGREGATE LIVING 132972,A81000A,00100,0100,Y 132972,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING SERVICE 132972,A81000B,00200,0300,UNEMPLOYMENT INS 132972,A81000B,00300,0300,WORKERS COMP 132972,A81000B,00400,0300,PROPERTY/LIABILITY INS 132972,A81000B,00500,0300,VEHICLE INS 132972,A81000B,00600,0300,MEDICAL SUPPLY 132972,A81000B,00700,0300,DISPOSABLE BRIEFS 132972,A81000B,00800,0300,DIETARY SUPPLIES 132972,A81000C,00100,0100,B 132972,A81000C,00100,0400,GOOD SAMARITAN 132972,A81000C,00100,0600,HEALTHCARE 132972,A81000C,00200,0100,B 132972,A81000C,00200,0400,OMNICARE PHARMA 132972,A81000C,00200,0600,MEDICAL/DRUGS 132972,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 132972,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 132972,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 132972,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 132972,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 132972,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 132972,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 132972,B100000,00000,0800,0800MEALS SERVED DIETARY 132972,B100000,00000,0900,0900PRODUCTIVEHO NURSING ADMINISTRAT 132972,B100000,00000,1000,1000COSTED REQUIS CENTRAL SERVICE 132972,B100000,00000,1100,1100COSTED REQUIS PHARMACY 132972,B100000,00000,1200,1200GROSS REVENU MEDICAL RECORDS 132972,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 132972,B100000,00000,1400,1400NO STATISTICS INTERNS & R 132972,B100000,00000,1500,1500NO STATISTICS OTHER GENER 132972,E10A180,00501,0100,11/03/00 132972,E10A180,00550,0300,11/03/00 132972,S000000,00100,0200,09/28/00 132972,S200000,00100,0100,705 SIXTH STREET 132972,S200000,00200,0100,WINDOM 132972,S200000,00200,0200,MN 132972,S200000,00200,0300,56101-1814 132972,S200000,00300,0100,COTTONWOOD 132972,S200000,00400,0100,SOGGE MEMORIAL GOOD SAMARITAN CENTER 132972,S200000,00400,0200,245558 132972,S200000,00400,0300,05/01/91 132972,S200000,00400,0500,P 132972,S200000,00400,0600,N 132972,S200000,00600,0600,N 132972,S200000,00601,0600,N 132972,S200000,00800,0600,N 132972,S200000,01000,0600,N 132972,S200000,01100,0600,N 132972,S200000,01500,0100,Y 132972,S200000,01600,0100,N 132972,S200000,01700,0100,N 132972,S200000,01800,0100,N 132972,S200000,02200,0100,N 132972,S200000,02800,0100,N 132972,S200000,02900,0100,N 132972,S200000,03000,0100,N 132972,S200000,03100,0100,N 132972,S200000,03200,0100,N 132972,S200000,03300,0100,N 132972,S200000,03300,0200,N 132972,S200000,03500,0300,N 132972,S200000,03501,0300,N 132972,S200000,03600,0100,N 132972,S200000,03600,0200,N 132972,S200000,03700,0100,N 132972,S200000,03700,0200,N 132972,S200000,03900,0200,N 132972,S200000,04000,0200,N 132972,S200000,04100,0100,N 132972,S200000,04200,0100,N 132972,S200000,04300,0100,N 132972,S200000,04600,0100,N 132972,S200000,04700,0100,N 132972,S200000,04700,0200,N 132972,S200000,04900,0100,N 132972,S700003,00000,0100,X 132988,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132988,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132988,A000000,00300,0000,0300EMPLOYEE BENEFITS 132988,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132988,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132988,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132988,A000000,00700,0000,0700HOUSEKEEPING 132988,A000000,00800,0000,0800DIETARY 132988,A000000,00900,0000,0900NURSING ADMINISTRATION 132988,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132988,A000000,01100,0000,1100PHARMACY 132988,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132988,A000000,01300,0000,1300SOCIAL SERVICE 132988,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132988,A000000,01500,0000,1350OTHER GENERAL SERVICES 132988,A000000,01600,0000,1600SKILLED NURSING FACILITY 132988,A000000,01800,0000,1800NURSING FACILITY 132988,A000000,01810,0000,1810ICF/MR 132988,A000000,01900,0000,1900OTHER LONG TERM CARE 132988,A000000,02100,0000,2100RADIOLOGY 132988,A000000,02200,0000,2200LABORATORY 132988,A000000,02300,0000,2300INTRAVENOUS THERAPY 132988,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132988,A000000,02500,0000,2500PHYSICAL THERAPY 132988,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132988,A000000,02700,0000,2700SPEECH PATHOLOGY 132988,A000000,02800,0000,2800ELECTROCARDIOLOGY 132988,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132988,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132988,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132988,A000000,03200,0000,3200SUPPORT SURFACES 132988,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132988,A000000,03400,0000,3400CLINIC 132988,A000000,03500,0000,3500RURAL HEALTH CLINIC 132988,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132988,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132988,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132988,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132988,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132988,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132988,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132988,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132988,A000000,04400,0000,4400DME RENTED - HHA 132988,A000000,04500,0000,4500DME SOLD - HHA 132988,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132988,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132988,A000000,04800,0000,4800AMBULANCE 132988,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132988,A000000,05000,0000,5000CORF 132988,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132988,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132988,A000000,05300,0000,5300INTEREST EXPENSE 132988,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132988,A000000,05500,0000,5500HOSPICE 132988,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132988,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132988,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132988,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132988,A000000,06100,0000,6100NONPAID WORKERS 132988,A000000,06200,0000,6200PATIENTS LAUNDRY 132988,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132988,A81000A,00100,0100,Y 132988,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132988,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132988,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132988,A81000B,00400,0300,NURSE CONSULTING 132988,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 132988,A81000B,00600,0300,COMPUTER USER FEES 132988,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132988,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132988,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132988,A81000C,00100,0100,G 132988,A81000C,00100,0200,BHS - CAMBRIDGE 132988,A81000C,00100,0400,BHS - DULUTH 132988,A81000C,00100,0600,MANAGEMENT SERVICES 132988,A81000C,00200,0100,G 132988,A81000C,00200,0200,BHS - DULUTH 132988,A81000C,00200,0400,BHS - DULUTH 132988,A81000C,00200,0600,MANAGEMENT SERVICES 132988,A81000C,00300,0100,Q 132988,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132988,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132988,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132988,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132988,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132988,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 132988,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132988,B100000,00000,0800,0800MEALS SERVED :DIETARY 132988,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 132988,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 132988,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 132988,E10A180,00501,0100,02/13/01 132988,E10A180,00550,0100,02/12/01 132988,S000000,00100,0200,01/29/01 132988,S200000,00100,0100,213 PIONEER ROAD 132988,S200000,00200,0100,RED WING 132988,S200000,00200,0200,MN 132988,S200000,00200,0300,55066- 132988,S200000,00300,0100,GOODHUE 132988,S200000,00300,0200,24 132988,S200000,00300,0300,R 132988,S200000,00400,0100,BCC DBA: HI-PARK CARE CENTER 132988,S200000,00400,0200,245355 132988,S200000,00400,0300,07/01/86 132988,S200000,00400,0500,P 132988,S200000,01500,0100,Y 132988,S200000,01600,0100,N 132988,S200000,01700,0100,N 132988,S200000,01800,0100,N 132988,S200000,02200,0100,N 132988,S200000,02800,0100,N 132988,S200000,02900,0100,N 132988,S200000,03000,0100,N 132988,S200000,03100,0100,N 132988,S200000,03200,0100,N 132988,S200000,04100,0100,N 132988,S200000,04200,0100,N 132988,S200000,04300,0100,N 132988,S200000,04600,0100,N 132988,S200000,04700,0100,N 132988,S200000,04700,0200,N 132988,S200000,04900,0100,N 132988,S200000,05000,0100,N 132988,S200000,05100,0100,N 132988,S200000,05200,0100,N 132989,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132989,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132989,A000000,00300,0000,0300EMPLOYEE BENEFITS 132989,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132989,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132989,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132989,A000000,00700,0000,0700HOUSEKEEPING 132989,A000000,00800,0000,0800DIETARY 132989,A000000,00900,0000,0900NURSING ADMINISTRATION 132989,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132989,A000000,01100,0000,1100PHARMACY 132989,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132989,A000000,01300,0000,1300SOCIAL SERVICE 132989,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132989,A000000,01500,0000,1350OTHER GENERAL SERVICES 132989,A000000,01501,0000,1351ACTIVITIES 132989,A000000,01600,0000,1600SKILLED NURSING FACILITY 132989,A000000,01800,0000,1800NURSING FACILITY 132989,A000000,01810,0000,1810ICF/MR 132989,A000000,01900,0000,1900OTHER LONG TERM CARE 132989,A000000,02100,0000,2100RADIOLOGY 132989,A000000,02200,0000,2200LABORATORY 132989,A000000,02300,0000,2300INTRAVENOUS THERAPY 132989,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132989,A000000,02500,0000,2500PHYSICAL THERAPY 132989,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132989,A000000,02700,0000,2700SPEECH PATHOLOGY 132989,A000000,02800,0000,2800ELECTROCARDIOLOGY 132989,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132989,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132989,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132989,A000000,03200,0000,3200SUPPORT SURFACES 132989,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132989,A000000,03400,0000,3400CLINIC 132989,A000000,03500,0000,3500RURAL HEALTH CLINIC 132989,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132989,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132989,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132989,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132989,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132989,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132989,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132989,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132989,A000000,04400,0000,4400DME RENTED - HHA 132989,A000000,04500,0000,4500DME SOLD - HHA 132989,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132989,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132989,A000000,04800,0000,4800AMBULANCE 132989,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132989,A000000,05000,0000,5000CORF 132989,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132989,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132989,A000000,05300,0000,5300INTEREST EXPENSE 132989,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132989,A000000,05500,0000,5500HOSPICE 132989,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132989,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132989,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132989,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132989,A000000,06100,0000,6100NONPAID WORKERS 132989,A000000,06200,0000,6200PATIENTS LAUNDRY 132989,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132989,A000000,06301,0000,6151ADULT DAY CARE 132989,A000000,06302,0000,6152NONREIMBURSED OBRA COSTS 132989,A000000,06303,0000,6153GUEST ROOM COSTS 132989,A81000A,00100,0100,Y 132989,A81000B,00100,0300,HOME OFFICE COSTS 132989,A81000C,00100,0100,B 132989,A81000C,00100,0200,ST. ANNE HOSPICE 132989,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 132989,A81000C,00100,0600,HOME OFFICE 132989,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132989,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132989,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132989,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132989,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132989,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 132989,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132989,B100000,00000,0800,0800MEALS SERVED :DIETARY 132989,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 132989,B100000,00000,1501,1351PATIENT DAYS :ACTIVITIES 132989,S000000,00100,0200,12/28/00 132989,S200000,00100,0100,1347 W. BROADWAY 132989,S200000,00200,0100,WINONA 132989,S200000,00200,0200,MN 132989,S200000,00200,0300,55987- 132989,S200000,00300,0100,WINONA 132989,S200000,00300,0200,0 132989,S200000,00300,0300,R 132989,S200000,00400,0100,ST. ANNE HOSPICE INC. 132989,S200000,00400,0200,245233 132989,S200000,00400,0300,04/01/80 132989,S200000,00400,0500,P 132989,S200000,01500,0100,Y 132989,S200000,01600,0100,N 132989,S200000,01700,0100,N 132989,S200000,01800,0100,N 132989,S200000,02200,0100,Y 132989,S200000,02800,0100,N 132989,S200000,02900,0100,N 132989,S200000,03000,0100,N 132989,S200000,03100,0100,N 132989,S200000,03200,0100,N 132989,S200000,04100,0100,N 132989,S200000,04200,0100,N 132989,S200000,04300,0100,N 132989,S200000,04600,0100,N 132989,S200000,04700,0100,N 132989,S200000,04700,0200,N 132989,S200000,04900,0100,N 132989,S200000,05000,0100,N 132989,S200000,05100,0100,N 132989,S200000,05200,0100,N 132993,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 132993,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 132993,A000000,00300,0000,0300EMPLOYEE BENEFITS 132993,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 132993,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 132993,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 132993,A000000,00700,0000,0700HOUSEKEEPING 132993,A000000,00800,0000,0800DIETARY 132993,A000000,00900,0000,0900NURSING ADMINISTRATION 132993,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 132993,A000000,01100,0000,1100PHARMACY 132993,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 132993,A000000,01300,0000,1300SOCIAL SERVICE 132993,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 132993,A000000,01500,0000,1350OTHER GENERAL SERVICES 132993,A000000,01600,0000,1600SKILLED NURSING FACILITY 132993,A000000,01800,0000,1800NURSING FACILITY 132993,A000000,01810,0000,1810ICF/MR 132993,A000000,01900,0000,1900OTHER LONG TERM CARE 132993,A000000,02100,0000,2100RADIOLOGY 132993,A000000,02200,0000,2200LABORATORY 132993,A000000,02300,0000,2300INTRAVENOUS THERAPY 132993,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 132993,A000000,02500,0000,2500PHYSICAL THERAPY 132993,A000000,02600,0000,2600OCCUPATIONAL THERAPY 132993,A000000,02700,0000,2700SPEECH PATHOLOGY 132993,A000000,02800,0000,2800ELECTROCARDIOLOGY 132993,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 132993,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 132993,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 132993,A000000,03200,0000,3200SUPPORT SURFACES 132993,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 132993,A000000,03400,0000,3400CLINIC 132993,A000000,03500,0000,3500RURAL HEALTH CLINIC 132993,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 132993,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 132993,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 132993,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 132993,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 132993,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 132993,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 132993,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 132993,A000000,04400,0000,4400DME RENTED - HHA 132993,A000000,04500,0000,4500DME SOLD - HHA 132993,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 132993,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 132993,A000000,04800,0000,4800AMBULANCE 132993,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 132993,A000000,05000,0000,5000CORF 132993,A000000,05100,0000,4750OTHER REIMBURSABLE COST 132993,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 132993,A000000,05300,0000,5300INTEREST EXPENSE 132993,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 132993,A000000,05500,0000,5500HOSPICE 132993,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 132993,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 132993,A000000,05900,0000,5900BARBER & BEAUTY SHOP 132993,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 132993,A000000,06100,0000,6100NONPAID WORKERS 132993,A000000,06200,0000,6200PATIENTS LAUNDRY 132993,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 132993,A81000A,00100,0100,Y 132993,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132993,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132993,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 132993,A81000B,00400,0300,NURSE CONSULTING 132993,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFI 132993,A81000B,00600,0300,COMPUTER USER FEES 132993,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132993,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132993,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPPORT 132993,A81000C,00100,0100,G 132993,A81000C,00100,0200,BENEDICTINE HEALTH - CAMB 132993,A81000C,00100,0400,BHS-DULUTH 132993,A81000C,00100,0600,MANAGEMENT SERVICES 132993,A81000C,00200,0100,G 132993,A81000C,00200,0200,BENEDICTINE HEALTH - DULU 132993,A81000C,00200,0400,BHS-DULUTH 132993,A81000C,00200,0600,MANAGEMENT SERVICES 132993,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 132993,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 132993,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 132993,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 132993,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 132993,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 132993,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 132993,B100000,00000,0800,0800MEALS SERVED :DIETARY 132993,B100000,00000,0900,0950PRODUCTIVE E H :NURSING ADMINIST 132993,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 132993,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 132993,E10A180,00501,0100,02/09/01 132993,E10A180,00550,0300,02/09/01 132993,S000000,00100,0200,01/08/01 132993,S200000,00100,0100,110 E. 18TH STREET 132993,S200000,00200,0100,MINNEAPOLIS 132993,S200000,00200,0200,MN 132993,S200000,00200,0300,55403- 132993,S200000,00300,0100,HENNEPIN 132993,S200000,00300,0200,5120 132993,S200000,00300,0300,U 132993,S200000,00400,0100,ST. GERTRUDE S HLTH CTR INC DBA CITY 132993,S200000,00400,0200,245266 132993,S200000,00400,0300,02/24/84 132993,S200000,00400,0500,P 132993,S200000,01500,0100,Y 132993,S200000,01600,0100,N 132993,S200000,01700,0100,N 132993,S200000,01800,0100,N 132993,S200000,02200,0100,N 132993,S200000,02800,0100,N 132993,S200000,02900,0100,N 132993,S200000,03000,0100,N 132993,S200000,03100,0100,N 132993,S200000,03200,0100,N 132993,S200000,04100,0100,N 132993,S200000,04200,0100,N 132993,S200000,04300,0100,N 132993,S200000,04600,0100,N 132993,S200000,04700,0100,N 132993,S200000,04700,0200,N 132993,S200000,04900,0100,N 132993,S200000,05000,0100,N 132993,S200000,05100,0100,N 132993,S200000,05200,0100,N 133023,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133023,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133023,A000000,00300,0000,0300EMPLOYEE BENEFITS 133023,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133023,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133023,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133023,A000000,00700,0000,0700HOUSEKEEPING 133023,A000000,00800,0000,0800DIETARY 133023,A000000,00801,0000,0801CAFETERIA 133023,A000000,00900,0000,0900NURSING ADMINISTRATION 133023,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133023,A000000,01100,0000,1100PHARMACY 133023,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133023,A000000,01300,0000,1300SOCIAL SERVICE 133023,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133023,A000000,01500,0000,1350OTHER GENERAL SERVICES 133023,A000000,01600,0000,1600SKILLED NURSING FACILITY 133023,A000000,01800,0000,1800NURSING FACILITY 133023,A000000,01810,0000,1810ICF/MR 133023,A000000,01900,0000,1900OTHER LONG TERM CARE 133023,A000000,02100,0000,2100RADIOLOGY 133023,A000000,02200,0000,2200LABORATORY 133023,A000000,02300,0000,2300INTRAVENOUS THERAPY 133023,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133023,A000000,02500,0000,2500PHYSICAL THERAPY 133023,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133023,A000000,02700,0000,2700SPEECH PATHOLOGY 133023,A000000,02800,0000,2800ELECTROCARDIOLOGY 133023,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133023,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133023,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133023,A000000,03200,0000,3200SUPPORT SURFACES 133023,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133023,A000000,03400,0000,3400CLINIC 133023,A000000,03500,0000,3500RURAL HEALTH CLINIC 133023,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133023,A000000,04800,0000,4800AMBULANCE 133023,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133023,A000000,05000,0000,5000CORF 133023,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133023,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133023,A000000,05300,0000,5300INTEREST EXPENSE 133023,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133023,A000000,05500,0000,5500HOSPICE 133023,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133023,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133023,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133023,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133023,A000000,06100,0000,6100NONPAID WORKERS 133023,A000000,06200,0000,6200PATIENTS LAUNDRY 133023,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133023,A000000,06301,0000,6151RESIDENT SERVICES 133023,A81000A,00100,0100,N 133023,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 133023,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 133023,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 133023,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 133023,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 133023,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 133023,B100000,00000,0700,0700HOURS OF SERVICE HOUSEKEEPING 133023,B100000,00000,0800,0800MEALS SERVED DIETARY 133023,B100000,00000,0801,0801HOURS CAFETERIA 133023,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 133023,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 133023,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 133023,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 133023,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 133023,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 133023,B100000,00000,1500,1500NO STATISTICS OTHER GENER 133023,E10A180,00501,0300,01/18/01 133023,S000000,00100,0200,11/29/00 133023,S200000,00100,0100,12503 VILLAGE CIRCLE 133023,S200000,00200,0100,ST. LOUIS 133023,S200000,00200,0200,MO 133023,S200000,00200,0300,63127- 133023,S200000,00300,0100,ST. LOUIS 133023,S200000,00300,0200,7040 133023,S200000,00300,0300,U 133023,S200000,00400,0100,FRIENDSHIP VILLAGE OF SOUTH CO. 133023,S200000,00400,0200,265136 133023,S200000,00400,0300,02/01/87 133023,S200000,00400,0500,P 133023,S200000,00400,0600,N 133023,S200000,01500,0100,N 133023,S200000,01600,0100,Y 133023,S200000,01700,0100,N 133023,S200000,01800,0100,N 133023,S200000,01900,0100,OTHER 133023,S200000,02200,0100,Y 133023,S200000,02800,0100,Y 133023,S200000,02900,0100,N 133023,S200000,03000,0100,N 133023,S200000,03100,0100,N 133023,S200000,03200,0100,N 133023,S200000,03300,0100,N 133023,S200000,03300,0200,N 133023,S200000,04100,0100,N 133023,S200000,04200,0100,N 133023,S200000,04300,0100,N 133023,S200000,04600,0100,N 133023,S200000,04700,0100,N 133023,S200000,04700,0200,N 133023,S200000,04900,0100,N 133023,S200000,05000,0100,N 133023,S200000,05100,0100,N 133023,S200000,05200,0100,N 133023,S700003,00000,0200,X 133144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133144,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 133144,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133144,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 133144,A000000,00300,0000,0300EMPLOYEE BENEFITS 133144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133144,A000000,00700,0000,0700HOUSEKEEPING 133144,A000000,00800,0000,0800DIETARY 133144,A000000,00801,0000,0801CAFETERIA 133144,A000000,00900,0000,0900NURSING ADMINISTRATION 133144,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133144,A000000,01100,0000,1100PHARMACY 133144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133144,A000000,01300,0000,1300SOCIAL SERVICE 133144,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133144,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 133144,A000000,01600,0000,1600SKILLED NURSING FACILITY 133144,A000000,01800,0000,1800NURSING FACILITY 133144,A000000,01900,0000,1900OTHER LONG TERM CARE 133144,A000000,02100,0000,2100RADIOLOGY 133144,A000000,02200,0000,2200LABORATORY 133144,A000000,02300,0000,2300INTRAVENOUS THERAPY 133144,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133144,A000000,02500,0000,2500PHYSICAL THERAPY 133144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133144,A000000,02700,0000,2700SPEECH PATHOLOGY 133144,A000000,02800,0000,2800ELECTROCARDIOLOGY 133144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133144,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133144,A000000,03200,0000,3200SUPPORT SURFACES 133144,A000000,03300,0000,3050OTHER ANCILLARY 133144,A000000,03301,0000,3051OTHER ANCILLARY II 133144,A000000,03302,0000,3052OTHER ANCILLARY III 133144,A000000,03400,0000,3400CLINIC 133144,A000000,03500,0000,3500RURAL HEALTH CLINIC 133144,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 133144,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133144,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133144,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133144,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133144,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133144,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133144,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133144,A000000,04400,0000,4400DME RENTED - HHA 133144,A000000,04500,0000,4500DME SOLD - HHA 133144,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133144,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133144,A000000,04800,0000,4800AMBULANCE 133144,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133144,A000000,05000,0000,5000CORF 133144,A000000,05010,0000,5010CMHC I 133144,A000000,05020,0000,5020OPT I 133144,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133144,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133144,A000000,05300,0000,5300INTEREST EXPENSE 133144,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133144,A000000,05500,0000,5500HOSPICE 133144,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 133144,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 133144,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133144,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133144,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133144,A000000,06100,0000,6100NONPAID WORKERS 133144,A000000,06200,0000,6200PATIENTS LAUNDRY 133144,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133144,A81000A,00100,0100,Y 133144,A81000B,00100,0300,MANAGEMENT FEE 133144,A81000B,00200,0300,PAYROLL PROCESSING 133144,A81000B,00300,0300,PHYSICAL THERAPY 133144,A81000B,00400,0300,OCCUPATION THERAPY 133144,A81000B,00500,0300,SPEECH THERAPY 133144,A81000B,00600,0300,DIETARY 133144,A81000B,00700,0300,CENTRAL SUPPLY 133144,A81000B,00800,0300,MEDICAL SUPPLIES 133144,A81000B,00900,0300,MED EQUIP RENTAL 133144,A81000C,00100,0100,G 133144,A81000C,00100,0200,CENT HC CORP 133144,A81000C,00100,0400,CENT HC CORP 133144,A81000C,00100,0600,HOME OFFICE 133144,A81000C,00200,0100,G 133144,A81000C,00200,0200,CENT HC CORP 133144,A81000C,00200,0400,CENT HC CORP 133144,A81000C,00200,0600,HOME OFFICE 133144,A81000C,00300,0100,G 133144,A81000C,00300,0200,PARAGON 133144,A81000C,00300,0400,CENT HC CORP 133144,A81000C,00300,0600,THERAPY 133144,A81000C,00400,0100,G 133144,A81000C,00400,0200,PARAGON 133144,A81000C,00400,0400,CENT HC CORP 133144,A81000C,00400,0600,THERAPY 133144,A81000C,00500,0100,G 133144,A81000C,00500,0200,PARAGON 133144,A81000C,00500,0400,CENT HC CORP 133144,A81000C,00500,0600,THERAPY 133144,A81000C,00600,0100,G 133144,A81000C,00600,0200,CENTENNIAL PTS 133144,A81000C,00600,0400,CENT HC CORP 133144,A81000C,00600,0600,SUPPLIES 133144,A81000C,00700,0100,G 133144,A81000C,00700,0200,CENTENNIAL PTS 133144,A81000C,00700,0400,CENT HC CORP 133144,A81000C,00700,0600,MED SUPPLIES 133144,A81000C,00800,0100,G 133144,A81000C,00800,0200,CENTENNIAL PTS 133144,A81000C,00800,0400,CENT HC CORP 133144,A81000C,00800,0600,MED SUPPLIES 133144,A81000C,00900,0100,G 133144,A81000C,00900,0200,CENTENNIAL PTS 133144,A81000C,00900,0400,CENT HC CORP 133144,A81000C,00900,0600,SUPPLIES 133144,A81000C,03100,0000,EQUIPMENT 133144,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 133144,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 133144,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 133144,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133144,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 133144,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 133144,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 133144,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 133144,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 133144,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 133144,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 133144,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 133144,S000000,00100,0200,06/01/00 133144,S200000,00100,0100,1200 WEST COLLEGE DRIVE 133144,S200000,00200,0100,LIBERTY 133144,S200000,00200,0200,MO 133144,S200000,00200,0300,64068- 133144,S200000,00300,0100,CLAY 133144,S200000,00300,0200,3760 133144,S200000,00300,0300,U 133144,S200000,00400,0100,ASHTON COURT CARE & REHAB 133144,S200000,00400,0200,265437 133144,S200000,00400,0300,12/01/95 133144,S200000,00400,0500,P 133144,S200000,01500,0100,Y 133144,S200000,01600,0100,N 133144,S200000,01700,0100,N 133144,S200000,01800,0100,N 133144,S200000,01900,0100,TRUST 133144,S200000,02200,0100,Y 133144,S200000,02800,0100,N 133144,S200000,02900,0100,N 133144,S200000,03000,0100,N 133144,S200000,03100,0100,N 133144,S200000,03200,0100,N 133144,S200000,04100,0100,N 133144,S200000,04200,0100,N 133144,S200000,04300,0100,N 133144,S200000,04600,0100,N 133144,S200000,04700,0100,N 133144,S200000,04700,0200,N 133144,S200000,04900,0100,N 133144,S200000,05000,0100,N 133144,S200000,05100,0100,N 133144,S200000,05200,0100,N 133195,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133195,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133195,A000000,00300,0000,0300EMPLOYEE BENEFITS 133195,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133195,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133195,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133195,A000000,00700,0000,0700HOUSEKEEPING 133195,A000000,00800,0000,0800DIETARY 133195,A000000,00801,0000,0801CAFETERIA 133195,A000000,00900,0000,0900NURSING ADMINISTRATION 133195,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133195,A000000,01100,0000,1100PHARMACY 133195,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133195,A000000,01300,0000,1300SOCIAL SERVICE 133195,A000000,01600,0000,1600SKILLED NURSING FACILITY 133195,A000000,02100,0000,2100RADIOLOGY 133195,A000000,02200,0000,2200LABORATORY 133195,A000000,02300,0000,2300INTRAVENOUS THERAPY 133195,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133195,A000000,02500,0000,2500PHYSICAL THERAPY 133195,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133195,A000000,02700,0000,2700SPEECH PATHOLOGY 133195,A000000,02800,0000,2800ELECTROCARDIOLOGY 133195,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133195,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133195,A000000,03300,0000,3050RECREATION 133195,A000000,05300,0000,5300INTEREST EXPENSE 133195,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133195,A000000,06300,0000,6150JAIL 133195,A81000A,00100,0100,Y 133195,A81000B,00100,0300,ACCTG SERVICES FROM COUNTY 133195,A81000C,00100,0100,B 133195,A81000C,00100,0200, GRAFTON CTY NURSING HOME 133195,A81000C,00100,0400,GRAFTON COUNTY 133195,A81000C,00100,0600,COUNTY GOVERNMENT 133195,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133195,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133195,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133195,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133195,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 133195,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133195,B100000,00000,0800,0800MEALS SERVED :DIETARY 133195,B100000,00000,0801,0851FTES :CAFETERIA 133195,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 133195,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 133195,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 133195,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 133195,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133195,E10A180,00501,0100,02/13/01 133195,E10A180,00550,0300,02/13/01 133195,S000000,00100,0200,02/13/01 133195,S200000,00100,0100,RR 1 133195,S200000,00100,0300,71 133195,S200000,00200,0100,NORTH HAVERHILL 133195,S200000,00200,0200,NH 133195,S200000,00200,0300,03774-9709 133195,S200000,00300,0100,GRAFTON 133195,S200000,00300,0200,30 133195,S200000,00300,0300,R 133195,S200000,00400,0100,GRAFTON COUNTY NURSING HOME 133195,S200000,00400,0200,305053 133195,S200000,00400,0300,07/01/95 133195,S200000,00400,0500,P 133195,S200000,01500,0100,Y 133195,S200000,01600,0100,N 133195,S200000,01700,0100,N 133195,S200000,01800,0100,N 133195,S200000,02200,0100,N 133195,S200000,02800,0100,N 133195,S200000,02900,0100,N 133195,S200000,03000,0100,N 133195,S200000,03100,0100,N 133195,S200000,03200,0100,N 133195,S200000,04100,0100,N 133195,S200000,04200,0100,N 133195,S200000,04300,0100,N 133195,S200000,04600,0100,N 133195,S200000,04700,0100,N 133195,S200000,04700,0200,N 133195,S200000,04900,0100,N 133195,S200000,05000,0100,N 133195,S200000,05100,0100,N 133195,S200000,05200,0100,N 133251,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 133251,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 133251,A000000,00300,0000,0300EMPLOYEE BENEFITS 133251,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133251,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 133251,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133251,A000000,00700,0000,0700HOUSEKEEPING 133251,A000000,00800,0000,0800DIETARY 133251,A000000,00900,0000,0900NURSING ADMINISTRATION 133251,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133251,A000000,01100,0000,1100PHARMACY 133251,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133251,A000000,01300,0000,1300SOCIAL SERVICE 133251,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 133251,A000000,01500,0000,1350ACTIVITY THERAPY 133251,A000000,01501,0000,1351TREATMENT ROOM 133251,A000000,01502,0000,1352PSYCHOLOGY 133251,A000000,01600,0000,1600SKILLED NURSING FACILITY 133251,A000000,01800,0000,1800NURSING FACILITY 133251,A000000,01900,0000,1900OTHER LONG TERM CARE 133251,A000000,02100,0000,2100RADIOLOGY 133251,A000000,02200,0000,2200LABORATORY 133251,A000000,02500,0000,2500PHYSICAL THERAPY 133251,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133251,A000000,02700,0000,2700SPEECH PATHOLOGY 133251,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133251,A000000,03301,0000,3051AUDIOLOGY 133251,A000000,03400,0000,3400CLINIC 133251,A000000,03550,0000,3550FQHC 133251,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133251,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133251,A000000,05000,0000,5000CORF 133251,A000000,05010,0000,5010CMHC 133251,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133251,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133251,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133251,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133251,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133251,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133251,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133251,A000000,06001,0000,6001DENTISTRY 133251,A000000,06002,0000,6002MAINT OF PERSONNEL 133251,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133251,A81000A,00100,0100,Y 133251,A81000B,00100,0300,STATE OF NM ADMIN COST 133251,A81000C,00100,0100,G 133251,A81000C,00100,0400,STATE OF NEW MEXICO 133251,B100000,00000,0100,0100SQUARE FEET 133251,B100000,00000,0200,0200SQUARE FEET 133251,B100000,00000,0300,0300GROSS SALARIES 133251,B100000,00000,0400,0400ACCUM. COST 133251,B100000,00000,0500,0500SQUARE FEET 133251,B100000,00000,0600,0600POUNDS OF LAUNDRY 133251,B100000,00000,0700,0700SQUARE FEET 133251,B100000,00000,0800,0800MEALS SERVED 133251,B100000,00000,0900,0900DIRECT NRSING HRS 133251,B100000,00000,1000,1000COSTED REQUIS 133251,B100000,00000,1100,1100COSTED REQUIS. 133251,B100000,00000,1200,1200TIME SPENT 133251,B100000,00000,1300,1300TIME SPENT 133251,B100000,00000,1400,1400ASSIGNED TIME 133251,B100000,00000,1500,1350TIME SPENT 133251,B100000,00000,1501,1351TREATMENTS S 133251,B100000,00000,1502,1352PSYCH TIME 133251,S000000,00100,0200,09/17/01 133251,S200000,00100,0100,3695 HOT SPRINGS BLVD 133251,S200000,00100,0300,1388 133251,S200000,00200,0100,LAS VEGAS 133251,S200000,00200,0200,NM 133251,S200000,00200,0300,87701 133251,S200000,00300,0100,SAN MIGUEL 133251,S200000,00300,0200,9999 133251,S200000,00300,0300,R 133251,S200000,00400,0100,LAS VEGAS MEDICAL CENTER 133251,S200000,00400,0200,325104 133251,S200000,00400,0300,07/01/97 133251,S200000,00400,0500,P 133251,S200000,00400,0600,O 133251,S200000,01500,0100,N 133251,S200000,01600,0100,Y 133251,S200000,01700,0100,N 133251,S200000,01800,0100,N 133251,S200000,02200,0100,N 133251,S200000,02800,0100,N 133251,S200000,02900,0100,N 133251,S200000,03000,0100,N 133251,S200000,03100,0100,N 133251,S200000,03200,0100,N 133251,S200000,03300,0100,N 133251,S200000,03300,0200,N 133251,S200000,04100,0100,N 133251,S200000,04200,0100,N 133251,S200000,04300,0100,N 133251,S200000,04600,0100,N 133251,S200000,04700,0100,N 133251,S200000,04700,0200,N 133251,S200000,04900,0100,Y 133259,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133259,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133259,A000000,00300,0000,0300EMPLOYEE BENEFITS 133259,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133259,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133259,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133259,A000000,00700,0000,0700HOUSEKEEPING 133259,A000000,00800,0000,0800DIETARY 133259,A000000,00801,0000,0801CAFETERIA 133259,A000000,00900,0000,0900NURSING ADMINISTRATION 133259,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133259,A000000,01100,0000,1100PHARMACY 133259,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133259,A000000,01300,0000,1300SOCIAL SERVICE 133259,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133259,A000000,01600,0000,1600SKILLED NURSING FACILITY 133259,A000000,01800,0000,1800NURSING FACILITY 133259,A000000,01900,0000,1900OTHER LONG TERM CARE 133259,A000000,02100,0000,2100RADIOLOGY 133259,A000000,02200,0000,2200LABORATORY 133259,A000000,02300,0000,2300INTRAVENOUS THERAPY 133259,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133259,A000000,02500,0000,2500PHYSICAL THERAPY 133259,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133259,A000000,02700,0000,2700SPEECH PATHOLOGY 133259,A000000,02800,0000,2800ELECTROCARDIOLOGY 133259,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133259,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133259,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133259,A000000,03200,0000,3200SUPPORT SURFACES 133259,A000000,03400,0000,3400CLINIC 133259,A000000,03500,0000,3500RURAL HEALTH CLINIC 133259,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133259,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133259,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133259,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133259,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133259,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133259,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133259,A000000,04400,0000,4400DME RENTED - HHA 133259,A000000,04500,0000,4500DME SOLD - HHA 133259,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133259,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133259,A000000,04800,0000,4800AMBULANCE 133259,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133259,A000000,05000,0000,5000CORF 133259,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133259,A000000,05300,0000,5300INTEREST EXPENSE 133259,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133259,A000000,05500,0000,5500HOSPICE 133259,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133259,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133259,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133259,A000000,06100,0000,6100NONPAID WORKERS 133259,A000000,06200,0000,6200PATIENTS LAUNDRY 133259,A81000A,00100,0100,N 133259,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133259,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133259,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133259,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133259,B100000,00000,0600,0650ROUTINE :LAUNDRY & LINEN SERVI 133259,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133259,B100000,00000,0800,0800MEALS SERVED :DIETARY 133259,B100000,00000,0801,0851FTE ALL :CAFETERIA 133259,B100000,00000,0900,0950FTE MEDICAL :NURSING ADMINISTRA 133259,B100000,00000,1000,1050ROUTINE :CENTRAL SERVICES & SU 133259,B100000,00000,1100,1150ROUTINE :PHARMACY 133259,B100000,00000,1200,1250ROUTINE :MEDICAL RECORDS & LIB 133259,H510100,00000,0000,0257 133259,H510200,00000,0000,8720 133259,H710000,00501,0100,01/11/01 133259,S000000,00100,0200,12/04/00 133259,S200000,00100,0100,27100 CEDAR ROAD 133259,S200000,00200,0100,BEACHWOOD 133259,S200000,00200,0200,OH 133259,S200000,00200,0300,44122- 133259,S200000,00300,0100,CUYAHOGA 133259,S200000,00300,0200,1680 133259,S200000,00300,0300,U 133259,S200000,00400,0100,MENORAH PARK CENTER FOR THE AGING 133259,S200000,00400,0200,365094 133259,S200000,00400,0300,01/01/67 133259,S200000,00400,0500,P 133259,S200000,00800,0200,367617 133259,S200000,00800,0300,01/23/95 133259,S200000,00800,0500,O 133259,S200000,01500,0100,Y 133259,S200000,01600,0100,N 133259,S200000,01700,0100,N 133259,S200000,01800,0100,N 133259,S200000,02200,0100,N 133259,S200000,02800,0100,N 133259,S200000,02900,0100,N 133259,S200000,03000,0100,N 133259,S200000,03100,0100,N 133259,S200000,03200,0100,N 133259,S200000,04100,0100,N 133259,S200000,04200,0100,N 133259,S200000,04300,0100,N 133259,S200000,04600,0100,N 133259,S200000,04700,0100,N 133259,S200000,04700,0200,N 133259,S200000,04900,0100,N 133259,S200000,05000,0100,N 133259,S200000,05100,0100,N 133259,S200000,05200,0100,N 133260,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133260,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133260,A000000,00300,0000,0300EMPLOYEE BENEFITS 133260,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133260,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133260,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133260,A000000,00700,0000,0700HOUSEKEEPING 133260,A000000,00800,0000,0800DIETARY 133260,A000000,00900,0000,0900NURSING ADMINISTRATION 133260,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133260,A000000,01100,0000,1100PHARMACY 133260,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133260,A000000,01300,0000,1300SOCIAL SERVICE 133260,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133260,A000000,01500,0000,1350OTHER GENERAL SERVICES 133260,A000000,01600,0000,1600SKILLED NURSING FACILITY 133260,A000000,01800,0000,1800NURSING FACILITY 133260,A000000,01810,0000,1810ICF/MR 133260,A000000,01900,0000,1900OTHER LONG TERM CARE 133260,A000000,02100,0000,2100RADIOLOGY 133260,A000000,02200,0000,2200LABORATORY 133260,A000000,02300,0000,2300INTRAVENOUS THERAPY 133260,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133260,A000000,02500,0000,2500PHYSICAL THERAPY 133260,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133260,A000000,02700,0000,2700SPEECH PATHOLOGY 133260,A000000,02800,0000,2800ELECTROCARDIOLOGY 133260,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133260,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133260,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133260,A000000,03200,0000,3200SUPPORT SURFACES 133260,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133260,A000000,03400,0000,3400CLINIC 133260,A000000,03500,0000,3500RURAL HEALTH CLINIC 133260,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133260,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133260,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133260,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133260,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133260,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133260,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133260,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133260,A000000,04400,0000,4400DME RENTED - HHA 133260,A000000,04500,0000,4500DME SOLD - HHA 133260,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133260,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133260,A000000,04800,0000,4800AMBULANCE 133260,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133260,A000000,05000,0000,5000CORF 133260,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133260,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133260,A000000,05300,0000,5300INTEREST EXPENSE 133260,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133260,A000000,05500,0000,5500HOSPICE 133260,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133260,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133260,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133260,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133260,A000000,06100,0000,6100NONPAID WORKERS 133260,A000000,06200,0000,6200PATIENTS LAUNDRY 133260,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133260,A81000A,00100,0100,Y 133260,A81000B,00100,0300,HOME OFFICE COSTS 133260,A81000B,00200,0300,HOME OFFICE COSTS 133260,A81000B,00300,0300,HOME OFFICE COSTS 133260,A81000B,00400,0300,HOME OFFICE COSTS 133260,A81000B,00500,0300,HOME OFFICE COSTS 133260,A81000C,00100,0100,B 133260,A81000C,00100,0400,OPRS 133260,A81000C,00100,0600,HOME OFFICE 133260,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133260,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133260,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133260,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133260,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133260,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 133260,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133260,B100000,00000,0800,0800MEALS SERVED :DIETARY 133260,B100000,00000,0900,0950DIRECT NURSING HO :NURSING ADMIN 133260,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 133260,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 133260,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 133260,H510100,00000,0000,4947 133260,H510200,00000,0000,8113 133260,H510300,00000,0000,4434 133260,H710000,00501,0100,01/23/01 133260,H710000,00501,0300,01/23/01 133260,H710000,00502,0100,03/15/01 133260,H710000,00502,0300,03/15/01 133260,S000000,00100,0200,12/01/00 133260,S200000,00100,0100,1701 LLANFAIR AVENUE 133260,S200000,00200,0100,CINCINNATI 133260,S200000,00200,0200,OH 133260,S200000,00200,0300,45224- 133260,S200000,00300,0100,HAMILTON 133260,S200000,00300,0200,1640 133260,S200000,00300,0300,U 133260,S200000,00400,0100,LLANFAIR TERRACE 133260,S200000,00400,0200,365470 133260,S200000,00400,0300,03/31/80 133260,S200000,00400,0500,P 133260,S200000,00800,0200,367429 133260,S200000,00800,0300,01/20/88 133260,S200000,00800,0500,O 133260,S200000,01500,0100,Y 133260,S200000,01600,0100,N 133260,S200000,01700,0100,N 133260,S200000,01800,0100,N 133260,S200000,01900,0100,CCRC 133260,S200000,02200,0100,N 133260,S200000,02800,0100,N 133260,S200000,02900,0100,N 133260,S200000,03000,0100,N 133260,S200000,03100,0100,N 133260,S200000,03200,0100,N 133260,S200000,04100,0100,N 133260,S200000,04200,0100,N 133260,S200000,04300,0100,Y 133260,S200000,04600,0100,N 133260,S200000,04700,0100,N 133260,S200000,04700,0200,N 133260,S200000,04900,0100,N 133260,S200000,05000,0100,N 133260,S200000,05100,0100,N 133260,S200000,05200,0100,N 133261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133261,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133261,A000000,00300,0000,0300EMPLOYEE BENEFITS 133261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133261,A000000,00700,0000,0700HOUSEKEEPING 133261,A000000,00800,0000,0800DIETARY 133261,A000000,00900,0000,0900NURSING ADMINISTRATION 133261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133261,A000000,01100,0000,1100PHARMACY 133261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133261,A000000,01300,0000,1300SOCIAL SERVICE 133261,A000000,01600,0000,1600SKILLED NURSING FACILITY 133261,A000000,01800,0000,1800NURSING FACILITY 133261,A000000,02200,0000,2200LABORATORY 133261,A000000,02300,0000,2300INTRAVENOUS THERAPY 133261,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133261,A000000,02500,0000,2500PHYSICAL THERAPY 133261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133261,A000000,02700,0000,2700SPEECH PATHOLOGY 133261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133261,A81000A,00100,0100,N 133261,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133261,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133261,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133261,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133261,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133261,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 133261,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 133261,B100000,00000,0800,0800MEALS SERVED :DIETARY 133261,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 133261,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 133261,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 133261,S000000,00100,0200,05/31/01 133261,S200000,00100,0100,1301 NW ANDREWS 133261,S200000,00200,0100,LAWTON 133261,S200000,00200,0200,OK 133261,S200000,00200,0300,73507- 133261,S200000,00300,0100,COMMANCHE 133261,S200000,00300,0200,5880 133261,S200000,00300,0300,U 133261,S200000,00400,0100,CREST VIEW LIFE CENTER 133261,S200000,00400,0200,375179 133261,S200000,00400,0300,07/01/96 133261,S200000,00400,0500,P 133261,S200000,01004,0500,O 133261,S200000,01500,0100,N 133261,S200000,01600,0100,Y 133261,S200000,01700,0100,N 133261,S200000,01800,0100,N 133261,S200000,02200,0100,N 133261,S200000,02800,0100,N 133261,S200000,02900,0100,N 133261,S200000,03000,0100,N 133261,S200000,03100,0100,Y 133261,S200000,03200,0100,N 133261,S200000,03300,0100,Y 133261,S200000,03300,0200,Y 133261,S200000,04100,0100,N 133261,S200000,04200,0100,N 133261,S200000,04300,0100,N 133261,S200000,04600,0100,N 133261,S200000,04700,0100,N 133261,S200000,04700,0200,N 133261,S200000,04900,0100,N 133261,S200000,05000,0100,N 133261,S200000,05100,0100,N 133261,S200000,05200,0100,N 133262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133262,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133262,A000000,00300,0000,0300EMPLOYEE BENEFITS 133262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133262,A000000,00700,0000,0700HOUSEKEEPING 133262,A000000,00800,0000,0800DIETARY 133262,A000000,00900,0000,0900NURSING ADMINISTRATION 133262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133262,A000000,01300,0000,1300SOCIAL SERVICE 133262,A000000,01600,0000,1600SKILLED NURSING FACILITY 133262,A000000,02200,0000,2200LABORATORY 133262,A000000,02500,0000,2500PHYSICAL THERAPY 133262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133262,A000000,02700,0000,2700SPEECH PATHOLOGY 133262,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133262,A000000,03200,0000,3200SUPPORT SURFACES 133262,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133262,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133262,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133262,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133262,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133262,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133262,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133262,A000000,04800,0000,4800AMBULANCE 133262,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133262,A000000,05300,0000,5300INTEREST EXPENSE 133262,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133262,A000000,06100,0000,6100NONPAID WORKERS 133262,A000000,06101,0000,6101OTHER NON REIMBURSEABLE COST 133262,A000000,06102,0000,6102HILTON OTHER 133262,A000000,06103,0000,6103DAY CARE 133262,A000000,06104,0000,6104CONTRACTED THERAPY 133262,A000000,06200,0000,6200PATIENTS LAUNDRY 133262,A000000,06300,0000,6150HOME HEALTH AGENCY 133262,A81000A,00100,0100,N 133262,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133262,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133262,B100000,00000,0300,0350SALARIES :EMPLOYEE BENEFITS 133262,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133262,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133262,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 133262,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133262,B100000,00000,0800,0800MEAL SERVED :DIETARY 133262,B100000,00000,0900,0950INPATIENT DAYS :NURSING ADMINIS 133262,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 133262,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 133262,E10A180,00501,0300,01/18/01 133262,H510100,00000,0000,7650 133262,H710000,00550,0100,01/18/01 133262,S000000,00100,0200,11/30/00 133262,S200000,00100,0100,201 HILLTOP DR. 133262,S200000,00100,0300,780 133262,S200000,00200,0100,KILLDEER 133262,S200000,00200,0200,ND 133262,S200000,00200,0300,58640- 133262,S200000,00300,0100,DUNN 133262,S200000,00300,0300,R 133262,S200000,00400,0100,HILL TOP HOME OF COMFORT 133262,S200000,00400,0200,355092 133262,S200000,00400,0300,04/06/89 133262,S200000,00400,0500,P 133262,S200000,00400,0600,O 133262,S200000,01500,0100,Y 133262,S200000,01600,0100,N 133262,S200000,01700,0100,N 133262,S200000,01800,0100,N 133262,S200000,02200,0100,N 133262,S200000,02800,0100,N 133262,S200000,02900,0100,N 133262,S200000,03000,0100,N 133262,S200000,03100,0100,N 133262,S200000,03200,0100,N 133262,S200000,04100,0100,N 133262,S200000,04200,0100,N 133262,S200000,04300,0100,N 133262,S200000,04600,0100,N 133262,S200000,04700,0100,N 133262,S200000,04700,0200,N 133262,S200000,04900,0100,N 133262,S200000,05000,0100,N 133262,S200000,05100,0100,N 133262,S200000,05200,0100,N 133262,S410002,01700,0100,4885531105177650 133268,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133268,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133268,A000000,00300,0000,0300EMPLOYEE BENEFITS 133268,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133268,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133268,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133268,A000000,00700,0000,0700HOUSEKEEPING 133268,A000000,00800,0000,0800DIETARY 133268,A000000,00900,0000,0900NURSING ADMINISTRATION 133268,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133268,A000000,01100,0000,1100PHARMACY 133268,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133268,A000000,01300,0000,1300SOCIAL SERVICE 133268,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133268,A000000,01500,0000,1350ACTIVITIES 133268,A000000,01600,0000,1600SKILLED NURSING FACILITY 133268,A000000,01800,0000,1800NURSING FACILITY 133268,A000000,01900,0000,1900OTHER LONG TERM CARE 133268,A000000,02100,0000,2100RADIOLOGY 133268,A000000,02200,0000,2200LABORATORY 133268,A000000,02300,0000,2300INTRAVENOUS THERAPY 133268,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133268,A000000,02500,0000,2500PHYSICAL THERAPY 133268,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133268,A000000,02700,0000,2700SPEECH PATHOLOGY 133268,A000000,02800,0000,2800ELECTROCARDIOLOGY 133268,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133268,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133268,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133268,A000000,03200,0000,3200SUPPORT SURFACES 133268,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133268,A000000,03400,0000,3400CLINIC 133268,A000000,03500,0000,3500RURAL HEALTH CLINIC 133268,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133268,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133268,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133268,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133268,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133268,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133268,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133268,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133268,A000000,04400,0000,4400DME RENTED - HHA 133268,A000000,04500,0000,4500DME SOLD - HHA 133268,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133268,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133268,A000000,04800,0000,4800AMBULANCE 133268,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133268,A000000,05000,0000,5000CORF 133268,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133268,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133268,A000000,05300,0000,5300INTEREST EXPENSE 133268,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133268,A000000,05500,0000,5500HOSPICE 133268,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133268,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133268,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133268,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133268,A000000,06100,0000,6100NONPAID WORKERS 133268,A000000,06200,0000,6200PATIENTS LAUNDRY 133268,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133268,A000000,06301,0000,6151RESIDENT SERVICES 133268,A000000,06302,0000,6152ASSISTED LIVING 133268,A000000,06303,0000,6153HOME HEALTH 133268,A81000A,00100,0100,N 133268,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 133268,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 133268,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 133268,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 133268,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 133268,B100000,00000,0600,0600LAUNDRY POUNDAGE LAUNDRY & LIN 133268,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 133268,B100000,00000,0800,0800MEALS SERVED DIETARY 133268,B100000,00000,0900,0900PATIENT DAYS NURSING ADMINISTR 133268,B100000,00000,1000,1000PATIENT DAYS CENTRAL SERVICES 133268,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 133268,B100000,00000,1200,1200PATIENT DAYS MEDICAL RECORDS & 133268,B100000,00000,1300,1300PATIENT DAYS SOCIAL SERVICE 133268,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 133268,B100000,00000,1500,1500PATIENT DAYS ACTIVITIES 133268,E10A180,00501,0100,01/11/01 133268,E10A180,00501,0300,01/11/01 133268,S000000,00100,0200,12/04/00 133268,S200000,00100,0100,6000 RIVERSIDE DRIVE 133268,S200000,00200,0100,DUBLIN 133268,S200000,00200,0200,OH 133268,S200000,00200,0300,43017- 133268,S200000,00300,0100,FRANKLIN 133268,S200000,00300,0200,1840 133268,S200000,00300,0300,U 133268,S200000,00400,0100,FRIENDSHIP VILLAGE OF DUBLIN 133268,S200000,00400,0200,365560 133268,S200000,00400,0300,07/02/81 133268,S200000,00400,0500,P 133268,S200000,00400,0600,N 133268,S200000,01500,0100,Y 133268,S200000,01600,0100,N 133268,S200000,01700,0100,Y 133268,S200000,01800,0100,N 133268,S200000,01900,0100,OTHER 133268,S200000,02200,0100,N 133268,S200000,02800,0100,N 133268,S200000,02900,0100,N 133268,S200000,03000,0100,N 133268,S200000,03100,0100,N 133268,S200000,03200,0100,N 133268,S200000,03300,0100,N 133268,S200000,03300,0200,N 133268,S200000,04100,0100,N 133268,S200000,04200,0100,N 133268,S200000,04300,0100,N 133268,S200000,04600,0100,N 133268,S200000,04700,0100,N 133268,S200000,04700,0200,N 133268,S200000,04900,0100,N 133268,S200000,05000,0100,N 133268,S200000,05200,0100,N 133268,S700003,00000,0200,X 133274,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133274,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133274,A000000,00300,0000,0300EMPLOYEE BENEFITS 133274,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133274,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133274,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133274,A000000,00700,0000,0700HOUSEKEEPING 133274,A000000,00800,0000,0800DIETARY 133274,A000000,00900,0000,0900NURSING ADMINISTRATION 133274,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133274,A000000,01100,0000,1100PHARMACY 133274,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133274,A000000,01300,0000,1300SOCIAL SERVICE 133274,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133274,A000000,01500,0000,1350OTHER GENERAL SERVICES 133274,A000000,01600,0000,1600SKILLED NURSING FACILITY 133274,A000000,01800,0000,1800NURSING FACILITY 133274,A000000,01810,0000,1810ICF/MR 133274,A000000,01900,0000,1900OTHER LONG TERM CARE 133274,A000000,02100,0000,2100RADIOLOGY 133274,A000000,02200,0000,2200LABORATORY 133274,A000000,02300,0000,2300INTRAVENOUS THERAPY 133274,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133274,A000000,02500,0000,2500PHYSICAL THERAPY 133274,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133274,A000000,02700,0000,2700SPEECH PATHOLOGY 133274,A000000,02800,0000,2800ELECTROCARDIOLOGY 133274,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133274,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133274,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133274,A000000,03200,0000,3200SUPPORT SURFACES 133274,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133274,A000000,03400,0000,3400CLINIC 133274,A000000,03500,0000,3500RURAL HEALTH CLINIC 133274,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133274,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133274,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133274,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133274,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133274,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133274,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133274,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133274,A000000,04400,0000,4400DME RENTED - HHA 133274,A000000,04500,0000,4500DME SOLD - HHA 133274,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133274,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133274,A000000,04800,0000,4800AMBULANCE 133274,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133274,A000000,05000,0000,5000CORF 133274,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133274,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133274,A000000,05300,0000,5300INTEREST EXPENSE 133274,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133274,A000000,05500,0000,5500HOSPICE 133274,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133274,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133274,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133274,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133274,A000000,06100,0000,6100NONPAID WORKERS 133274,A000000,06200,0000,6200PATIENTS LAUNDRY 133274,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133274,A81000A,00100,0100,Y 133274,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 133274,A81000B,00200,0300,UNEMPLOYMENT INS 133274,A81000B,00300,0300,WORKERS COMP 133274,A81000B,00400,0300,PROPERTY/LIABILITY INS 133274,A81000B,00500,0300,VEHICLE INSURANCE 133274,A81000B,00600,0300,MEDICAL SUPPLIES 133274,A81000B,00700,0300,DISPOSABLE BRIEFS 133274,A81000B,00800,0300,DIETARY SUPPLIES 133274,A81000C,00100,0100,B 133274,A81000C,00100,0400,GOOD SAMARITAN 133274,A81000C,00100,0600,HEALTHCARE 133274,A81000C,00200,0100,B 133274,A81000C,00200,0400,OMNICARE PHARMA 133274,A81000C,00200,0600,MEDICAL/DRUGS 133274,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 133274,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 133274,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 133274,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 133274,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 133274,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 133274,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 133274,B100000,00000,0800,0800MEALS SERVED DIETARY 133274,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 133274,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 133274,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 133274,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 133274,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 133274,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 133274,B100000,00000,1500,1500NO STATISTICS OTHER GENER 133274,E10A180,00501,0100,12/01/00 133274,E10A180,00550,0300,12/01/00 133274,S000000,00100,0200,11/06/00 133274,S200000,00100,0100,725 EAST 10TH 133274,S200000,00200,0100,BOTTINEAU 133274,S200000,00200,0200,ND 133274,S200000,00200,0300,58318- 133274,S200000,00300,0100,BOTTINEAU 133274,S200000,00300,0200,9935 133274,S200000,00300,0300,R 133274,S200000,00400,0100,BOTTINEAU GOOD SAMARITAN CTR 133274,S200000,00400,0200,355093 133274,S200000,00400,0300,01/01/90 133274,S200000,00400,0500,P 133274,S200000,00400,0600,N 133274,S200000,00600,0600,N 133274,S200000,00601,0600,N 133274,S200000,00800,0500,N 133274,S200000,00800,0600,N 133274,S200000,01000,0500,N 133274,S200000,01000,0600,N 133274,S200000,01100,0500,N 133274,S200000,01100,0600,N 133274,S200000,01500,0100,Y 133274,S200000,01600,0100,N 133274,S200000,01700,0100,N 133274,S200000,01800,0100,N 133274,S200000,02200,0100,N 133274,S200000,02800,0100,N 133274,S200000,02900,0100,N 133274,S200000,03000,0100,N 133274,S200000,03100,0100,N 133274,S200000,03200,0100,N 133274,S200000,03300,0100,N 133274,S200000,03300,0200,N 133274,S200000,03500,0300,N 133274,S200000,03501,0300,N 133274,S200000,03600,0100,N 133274,S200000,03600,0200,N 133274,S200000,03700,0100,N 133274,S200000,03700,0200,N 133274,S200000,03900,0200,N 133274,S200000,04000,0200,N 133274,S200000,04100,0100,N 133274,S200000,04200,0100,N 133274,S200000,04300,0100,N 133274,S200000,04600,0100,N 133274,S200000,04700,0100,N 133274,S200000,04700,0200,N 133274,S200000,04900,0100,N 133274,S200000,05200,0100,N 133274,S700003,00000,0200,X 133278,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 133278,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 133278,A000000,00300,0000,0300EMPLOYEE BENEFITS 133278,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133278,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 133278,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133278,A000000,00700,0000,0700HOUSEKEEPING 133278,A000000,00800,0000,0800DIETARY 133278,A000000,00900,0000,0900NURSING ADMINISTRATION 133278,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133278,A000000,01100,0000,1100PHARMACY 133278,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133278,A000000,01300,0000,1300SOCIAL SERVICE 133278,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 133278,A000000,01500,0000,1350VOLUNTEER SERVICES 133278,A000000,01510,0000,1351RECREATIONAL THERAPY 133278,A000000,01520,0000,1352MEDICAL SERVICES 133278,A000000,01600,0000,1600SKILLED NURSING FACILITY 133278,A000000,01810,0000,1810ICF/MR 133278,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133278,A000000,02500,0000,2500PHYSICAL THERAPY 133278,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133278,A000000,02700,0000,2700SPEECH PATHOLOGY 133278,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133278,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133278,A000000,03550,0000,3550FQHC 133278,A000000,05000,0000,5000CORF 133278,A000000,05010,0000,5010CMHC 133278,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133278,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133278,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133278,A000000,05300,0000,5300INTEREST EXPENSE 133278,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 133278,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133278,A000000,06100,0000,6100NONPAID WORKERS 133278,A000000,06200,0000,6200PATIENTS LAUNDRY 133278,A81000A,00100,0100,N 133278,B100000,00000,0100,0100SQUARE FEET 133278,B100000,00000,0200,0200SQUARE FEET 133278,B100000,00000,0300,0300GROSS SALARIES 133278,B100000,00000,0400,0400ACCUM COST 133278,B100000,00000,0500,0500SQUARE FEET 133278,B100000,00000,0600,0600POUNDS OF LAUNDRY 133278,B100000,00000,0700,0700HOURS OF SERVICE 133278,B100000,00000,0800,0800MEALS SERVED 133278,B100000,00000,0900,0900DIRECT NRSG HRS 133278,B100000,00000,1000,1000COSTED REQUIS 133278,B100000,00000,1100,1100COSTED REQUIS 133278,B100000,00000,1200,1200TIME SPENT 133278,B100000,00000,1300,1300TIME SPENT 133278,B100000,00000,1400,1400ASSIGNED TIME 133278,B100000,00000,1500,1350TIME SPENT 133278,B100000,00000,1510,1360NO. OF RESIDENTS 133278,B100000,00000,1520,1370TIME STUDY 133278,S000000,00100,0200,10/31/00 133278,S200000,00100,0100,220 RICHMOND AVE 133278,S200000,00200,0100,BATAVIA 133278,S200000,00200,0200,NY 133278,S200000,00200,0300,14020 133278,S200000,00300,0100,GENESEE 133278,S200000,00300,0200,6840 133278,S200000,00300,0300,U 133278,S200000,00400,0100,NEW YORK STATE VET. HOME-BATAVIA 133278,S200000,00400,0200,335788 133278,S200000,00400,0300,08/28/95 133278,S200000,00400,0500,P 133278,S200000,01500,0100,Y 133278,S200000,01600,0100,N 133278,S200000,01700,0100,N 133278,S200000,01800,0100,N 133278,S200000,02200,0100,Y 133278,S200000,02800,0100,N 133278,S200000,02900,0100,N 133278,S200000,03000,0100,N 133278,S200000,03100,0100,N 133278,S200000,03200,0100,N 133278,S200000,03300,0100,N 133278,S200000,03300,0200,N 133278,S200000,04100,0100,N 133278,S200000,04200,0100,N 133278,S200000,04300,0100,N 133278,S200000,04600,0100,N 133278,S200000,04700,0100,N 133278,S200000,04900,0100,N 133286,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133286,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133286,A000000,00300,0000,0300EMPLOYEE BENEFITS 133286,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133286,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133286,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133286,A000000,00700,0000,0700HOUSEKEEPING 133286,A000000,00800,0000,0800DIETARY 133286,A000000,00900,0000,0900NURSING ADMINISTRATION 133286,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133286,A000000,01100,0000,1100PHARMACY 133286,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133286,A000000,01300,0000,1300SOCIAL SERVICE 133286,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133286,A000000,01500,0000,1350OTHER GENERAL SERVICES 133286,A000000,01600,0000,1600SKILLED NURSING FACILITY 133286,A000000,01800,0000,1800NURSING FACILITY 133286,A000000,01810,0000,1810ICF/MR 133286,A000000,01900,0000,1900OTHER LONG TERM CARE 133286,A000000,02100,0000,2100RADIOLOGY 133286,A000000,02200,0000,2200LABORATORY 133286,A000000,02300,0000,2300INTRAVENOUS THERAPY 133286,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133286,A000000,02500,0000,2500PHYSICAL THERAPY 133286,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133286,A000000,02700,0000,2700SPEECH PATHOLOGY 133286,A000000,02800,0000,2800ELECTROCARDIOLOGY 133286,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133286,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133286,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133286,A000000,03200,0000,3200SUPPORT SURFACES 133286,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133286,A000000,03400,0000,3400CLINIC 133286,A000000,03500,0000,3500RURAL HEALTH CLINIC 133286,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133286,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133286,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133286,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133286,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133286,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133286,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133286,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133286,A000000,04400,0000,4400DME RENTED - HHA 133286,A000000,04500,0000,4500DME SOLD - HHA 133286,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133286,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133286,A000000,04800,0000,4800AMBULANCE 133286,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133286,A000000,05000,0000,5000CORF 133286,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133286,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133286,A000000,05300,0000,5300INTEREST EXPENSE 133286,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133286,A000000,05500,0000,5500HOSPICE 133286,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133286,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133286,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133286,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133286,A000000,06100,0000,6100NONPAID WORKERS 133286,A000000,06200,0000,6200PATIENTS LAUNDRY 133286,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133286,A81000A,00100,0100,Y 133286,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 133286,A81000B,00200,0300,UNEMPLOYMENT INS 133286,A81000B,00300,0300,WORKERS COMP 133286,A81000B,00400,0300,PROPERTY/LIABILITY INSURANCE 133286,A81000B,00500,0300,VEHICLE INSURANCE 133286,A81000B,00600,0300,MEDICAL SUPPLIES 133286,A81000B,00700,0300,DISPOSABLE BRIEFS 133286,A81000B,00800,0300,DIETARY SUPPLIES 133286,A81000B,00900,0300,LINENS 133286,A81000C,00100,0100,B 133286,A81000C,00100,0400,GOOD SAMARITAN 133286,A81000C,00100,0600,HEALTHCARE 133286,A81000C,00200,0100,B 133286,A81000C,00200,0400,OMNICARE PHARMA 133286,A81000C,00200,0600,MEDICAL/DRUGS 133286,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 133286,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 133286,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 133286,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 133286,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 133286,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 133286,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 133286,B100000,00000,0800,0800MEALS SERVED DIETARY 133286,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 133286,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 133286,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 133286,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 133286,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 133286,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 133286,B100000,00000,1500,1500NO STATISTICS OTHER GENER 133286,E10A180,00501,0100,12/04/00 133286,E10A180,00550,0300,12/04/00 133286,S000000,00100,0200,11/06/00 133286,S200000,00100,0100,705 SE 4TH ST 133286,S200000,00200,0100,CROSBY 133286,S200000,00200,0200,ND 133286,S200000,00200,0300,58730- 133286,S200000,00300,0100,DIVIDE 133286,S200000,00300,0200,9935 133286,S200000,00400,0100,CROSBY GOOD SAMARITAN CENTER 133286,S200000,00400,0200,355111 133286,S200000,00400,0300,11/01/91 133286,S200000,00400,0500,P 133286,S200000,00400,0600,N 133286,S200000,00600,0600,N 133286,S200000,00601,0600,N 133286,S200000,00800,0500,N 133286,S200000,00800,0600,N 133286,S200000,01000,0500,N 133286,S200000,01000,0600,N 133286,S200000,01100,0500,N 133286,S200000,01100,0600,N 133286,S200000,01500,0100,Y 133286,S200000,01600,0100,N 133286,S200000,01700,0100,N 133286,S200000,01800,0100,N 133286,S200000,02200,0100,N 133286,S200000,02800,0100,N 133286,S200000,02900,0100,N 133286,S200000,03000,0100,N 133286,S200000,03100,0100,N 133286,S200000,03200,0100,N 133286,S200000,03300,0100,N 133286,S200000,03300,0200,N 133286,S200000,03500,0300,N 133286,S200000,03501,0300,N 133286,S200000,03600,0100,N 133286,S200000,03600,0200,N 133286,S200000,03700,0100,N 133286,S200000,03700,0200,N 133286,S200000,03900,0200,N 133286,S200000,04000,0200,N 133286,S200000,04100,0100,N 133286,S200000,04200,0100,N 133286,S200000,04300,0100,N 133286,S200000,04600,0100,N 133286,S200000,04700,0100,N 133286,S200000,04700,0200,N 133286,S200000,04900,0100,N 133286,S200000,05000,0100,N 133286,S200000,05100,0100,N 133286,S200000,05200,0100,N 133286,S700003,00000,0200,X 133289,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133289,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 133289,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133289,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 133289,A000000,00300,0000,0300EMPLOYEE BENEFITS 133289,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133289,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133289,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133289,A000000,00700,0000,0700HOUSEKEEPING 133289,A000000,00800,0000,0800DIETARY 133289,A000000,00801,0000,0801CAFETERIA 133289,A000000,00900,0000,0900NURSING ADMINISTRATION 133289,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133289,A000000,01100,0000,1100PHARMACY 133289,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133289,A000000,01300,0000,1300SOCIAL SERVICE 133289,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133289,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 133289,A000000,01600,0000,1600SKILLED NURSING FACILITY 133289,A000000,01800,0000,1800NURSING FACILITY 133289,A000000,01900,0000,1900OTHER LONG TERM CARE 133289,A000000,02100,0000,2100RADIOLOGY 133289,A000000,02200,0000,2200LABORATORY 133289,A000000,02300,0000,2300INTRAVENOUS THERAPY 133289,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133289,A000000,02500,0000,2500PHYSICAL THERAPY 133289,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133289,A000000,02700,0000,2700SPEECH PATHOLOGY 133289,A000000,02800,0000,2800ELECTROCARDIOLOGY 133289,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133289,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133289,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133289,A000000,03200,0000,3200SUPPORT SURFACES 133289,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 133289,A000000,03301,0000,3051OTHER ANCILLARY II 133289,A000000,03302,0000,3052OTHER ANCILLARY III 133289,A000000,03400,0000,3400CLINIC 133289,A000000,03500,0000,3500RURAL HEALTH CLINIC 133289,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 133289,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133289,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133289,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133289,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133289,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133289,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133289,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133289,A000000,04400,0000,4400DME RENTED - HHA 133289,A000000,04500,0000,4500DME SOLD - HHA 133289,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133289,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133289,A000000,04800,0000,4800AMBULANCE 133289,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133289,A000000,05000,0000,5000CORF 133289,A000000,05010,0000,5010CMHC I 133289,A000000,05020,0000,5020OPT I 133289,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133289,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133289,A000000,05300,0000,5300INTEREST EXPENSE 133289,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133289,A000000,05500,0000,5500HOSPICE 133289,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 133289,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 133289,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133289,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133289,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133289,A000000,06100,0000,6100NONPAID WORKERS 133289,A000000,06200,0000,6200PATIENTS LAUNDRY 133289,A000000,06300,0000,6150VENDING MACHINES 133289,A81000A,00100,0100,N 133289,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 133289,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 133289,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 133289,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133289,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 133289,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 133289,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 133289,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 133289,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 133289,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 133289,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 133289,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 133289,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 133289,E10A180,00501,0100,01/11/01 133289,S000000,00100,0200,11/30/00 133289,S200000,00100,0100,789 STONEY BROOK TRAIL 133289,S200000,00200,0100,FAIRBORN 133289,S200000,00200,0200,OH 133289,S200000,00200,0300,45324- 133289,S200000,00300,0100,GREENE 133289,S200000,00300,0200,2000 133289,S200000,00300,0300,U 133289,S200000,00400,0100,THE COLLINSWOOD 133289,S200000,00400,0200,365979 133289,S200000,00400,0300,08/31/94 133289,S200000,00400,0500,P 133289,S200000,01500,0100,N 133289,S200000,01600,0100,Y 133289,S200000,01700,0100,N 133289,S200000,01800,0100,N 133289,S200000,02100,0100,A 133289,S200000,02200,0100,N 133289,S200000,02800,0100,N 133289,S200000,02900,0100,N 133289,S200000,03000,0100,N 133289,S200000,03100,0100,N 133289,S200000,03200,0100,N 133289,S200000,04100,0100,N 133289,S200000,04200,0100,N 133289,S200000,04300,0100,N 133289,S200000,04600,0100,N 133289,S200000,04700,0100,Y 133289,S200000,04700,0200,N 133289,S200000,04900,0100,N 133289,S200000,05000,0100,N 133289,S200000,05100,0100,N 133289,S200000,05200,0100,N 133296,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133296,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133296,A000000,00300,0000,0300EMPLOYEE BENEFITS 133296,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133296,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133296,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133296,A000000,00700,0000,0700HOUSEKEEPING 133296,A000000,00800,0000,0800DIETARY 133296,A000000,00900,0000,0900NURSING ADMINISTRATION 133296,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133296,A000000,01100,0000,1100PHARMACY 133296,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133296,A000000,01300,0000,1300SOCIAL SERVICE 133296,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133296,A000000,01500,0000,1350OTHER GENERAL SERVICES 133296,A000000,01600,0000,1600SKILLED NURSING FACILITY 133296,A000000,01800,0000,1800NURSING FACILITY 133296,A000000,01810,0000,1810ICF/MR 133296,A000000,01900,0000,1900OTHER LONG TERM CARE 133296,A000000,02100,0000,2100RADIOLOGY 133296,A000000,02200,0000,2200LABORATORY 133296,A000000,02300,0000,2300INTRAVENOUS THERAPY 133296,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133296,A000000,02500,0000,2500PHYSICAL THERAPY 133296,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133296,A000000,02700,0000,2700SPEECH PATHOLOGY 133296,A000000,02800,0000,2800ELECTROCARDIOLOGY 133296,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133296,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133296,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133296,A000000,03200,0000,3200SUPPORT SURFACES 133296,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133296,A000000,03400,0000,3400CLINIC 133296,A000000,03500,0000,3500RURAL HEALTH CLINIC 133296,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133296,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133296,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133296,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133296,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133296,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133296,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133296,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133296,A000000,04400,0000,4400DME RENTED - HHA 133296,A000000,04500,0000,4500DME SOLD - HHA 133296,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133296,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133296,A000000,04800,0000,4800AMBULANCE 133296,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133296,A000000,05000,0000,5000CORF 133296,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133296,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133296,A000000,05300,0000,5300INTEREST EXPENSE 133296,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133296,A000000,05500,0000,5500HOSPICE 133296,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133296,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133296,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133296,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133296,A000000,06100,0000,6100NONPAID WORKERS 133296,A000000,06200,0000,6200PATIENTS LAUNDRY 133296,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133296,A000000,06301,0000,6151CHILD DAY CARE 133296,A000000,06302,0000,6152APTS AT CASSELTON 133296,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 133296,A000000,06304,0000,6154MEALS ON WHEELS 133296,A000000,06305,0000,6155FARM 133296,A81000A,00100,0100,Y 133296,A81000B,00100,0300,ADMINISTRATIVE/ACCOUNTING 133296,A81000B,00200,0300,UNEMPLOYMENT INS 133296,A81000B,00300,0300,WORKERS COMP 133296,A81000B,00400,0300,PROPERTY/LIABILITY INS 133296,A81000B,00500,0300,VEHICLE INS 133296,A81000B,00600,0300,MEDICAL SUPPLY 133296,A81000B,00700,0300,DISPOSAL BRIEFS 133296,A81000B,00800,0300,DIETARY SUPPLIES 133296,A81000C,00100,0100,B 133296,A81000C,00100,0400,GOOD SAMARITAN 133296,A81000C,00100,0600,HEALTHCARE 133296,A81000C,00200,0100,B 133296,A81000C,00200,0400,OMNICARE 133296,A81000C,00200,0600,MEDICAL/DRUGS 133296,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 133296,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 133296,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 133296,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 133296,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 133296,B100000,00000,0600,0600PATIENT DAYS LAUNDRY & LINEN S 133296,B100000,00000,0700,0700SQUARE FOOTAGE HOUSEKEEPING 133296,B100000,00000,0800,0800MEALS SERVED DIETARY 133296,B100000,00000,0900,0900DIRECT NRSING HRS NURSING ADM 133296,B100000,00000,1000,1000COSTED REQUIS. CENTRAL SERVIC 133296,B100000,00000,1100,1100COSTED REQUIS. PHARMACY 133296,B100000,00000,1200,1200GROSS REVENUE MEDICAL RECORD 133296,B100000,00000,1300,1300ADMISSIONS SOCIAL SERVICE 133296,B100000,00000,1400,1400ASSIGNED TIME INTERNS & RESIDEN 133296,B100000,00000,1500,1500NO STATISTICS OTHER GENER 133296,E10A180,00501,0100,12/01/00 133296,E10A180,00550,0300,12/01/00 133296,S000000,00100,0200,11/06/00 133296,S200000,00100,0100,150 COUNTY RD 34 133296,S200000,00200,0100,ARTHUR 133296,S200000,00200,0200,ND 133296,S200000,00200,0300,58006- 133296,S200000,00300,0100,CASS 133296,S200000,00300,0200,2520 133296,S200000,00400,0100,ARTHUR GOOD SAMARITAN CENTER 133296,S200000,00400,0200,355113 133296,S200000,00400,0300,12/01/91 133296,S200000,00400,0500,P 133296,S200000,00400,0600,N 133296,S200000,00600,0600,N 133296,S200000,00601,0600,N 133296,S200000,00800,0500,N 133296,S200000,00800,0600,N 133296,S200000,01000,0500,N 133296,S200000,01000,0600,N 133296,S200000,01100,0500,N 133296,S200000,01100,0600,N 133296,S200000,01500,0100,Y 133296,S200000,01600,0100,N 133296,S200000,01700,0100,N 133296,S200000,01800,0100,N 133296,S200000,02200,0100,N 133296,S200000,02800,0100,N 133296,S200000,02900,0100,N 133296,S200000,03000,0100,N 133296,S200000,03100,0100,N 133296,S200000,03200,0100,N 133296,S200000,03300,0100,N 133296,S200000,03300,0200,N 133296,S200000,03500,0300,N 133296,S200000,03501,0300,N 133296,S200000,03600,0100,N 133296,S200000,03600,0200,N 133296,S200000,03700,0100,N 133296,S200000,03700,0200,N 133296,S200000,03900,0200,N 133296,S200000,04000,0200,N 133296,S200000,04100,0100,N 133296,S200000,04200,0100,N 133296,S200000,04300,0100,N 133296,S200000,04600,0100,N 133296,S200000,04700,0100,N 133296,S200000,04700,0200,N 133296,S200000,04900,0100,N 133296,S200000,05000,0100,Y 133296,S200000,05100,0100,N 133296,S200000,05200,0100,N 133296,S700003,00000,0200,X 133326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133326,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133326,A000000,00300,0000,0300EMPLOYEE BENEFITS 133326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133326,A000000,00700,0000,0700HOUSEKEEPING 133326,A000000,00800,0000,0800DIETARY 133326,A000000,00900,0000,0900NURSING ADMINISTRATION 133326,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133326,A000000,01100,0000,1100PHARMACY 133326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133326,A000000,01300,0000,1300SOCIAL SERVICE 133326,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133326,A000000,01500,0000,1350OTHER GENERAL SERVICES 133326,A000000,01600,0000,1600SKILLED NURSING FACILITY 133326,A000000,01800,0000,1800NURSING FACILITY 133326,A000000,01810,0000,1810ICF/MR 133326,A000000,01900,0000,1900OTHER LONG TERM CARE 133326,A000000,02100,0000,2100RADIOLOGY 133326,A000000,02200,0000,2200LABORATORY 133326,A000000,02300,0000,2300INTRAVENOUS THERAPY 133326,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133326,A000000,02500,0000,2500PHYSICAL THERAPY 133326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133326,A000000,02700,0000,2700SPEECH PATHOLOGY 133326,A000000,02800,0000,2800ELECTROCARDIOLOGY 133326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133326,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133326,A000000,03200,0000,3200SUPPORT SURFACES 133326,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133326,A000000,03400,0000,3400CLINIC 133326,A000000,03500,0000,3500RURAL HEALTH CLINIC 133326,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133326,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133326,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133326,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133326,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133326,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133326,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133326,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133326,A000000,04400,0000,4400DME RENTED - HHA 133326,A000000,04500,0000,4500DME SOLD - HHA 133326,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133326,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133326,A000000,04800,0000,4800AMBULANCE 133326,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133326,A000000,05000,0000,5000CORF 133326,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133326,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133326,A000000,05300,0000,5300INTEREST EXPENSE 133326,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133326,A000000,05500,0000,5500HOSPICE 133326,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133326,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133326,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133326,A000000,06100,0000,6100NONPAID WORKERS 133326,A000000,06200,0000,6200PATIENTS LAUNDRY 133326,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133326,A81000A,00100,0100,Y 133326,A81000B,00100,0300,HOME OFFICE COST 133326,A81000B,00200,0300,HOME OFFICE COST 133326,A81000B,00300,0300,HOME OFFICE COST 133326,A81000B,00400,0300,HOME OFFICE COST 133326,A81000B,00500,0300,HOME OFFICE COST 133326,A81000C,00100,0100,B 133326,A81000C,00100,0400,OPRS 133326,A81000C,00100,0600,HOME OFFICE 133326,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133326,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133326,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133326,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133326,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133326,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 133326,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133326,B100000,00000,0800,0800MEALS SERVED :DIETARY 133326,B100000,00000,0900,0900DIRECTNURS SING HOUR :NURSING AD 133326,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 133326,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 133326,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 133326,H510100,00000,0000,1272 133326,H510200,00000,0000,2585 133326,H710000,00350,0100,02/29/00 133326,H710000,00350,0300,02/29/00 133326,S000000,00100,0200,12/01/00 133326,S200000,00100,0100,3003 W. CISCO ROAD 133326,S200000,00200,0100,SIDNEY 133326,S200000,00200,0200,OH 133326,S200000,00200,0300,45365- 133326,S200000,00300,0100,SHELBY 133326,S200000,00300,0200,36 133326,S200000,00300,0300,R 133326,S200000,00400,0100,DOROTHY LOVE 133326,S200000,00400,0200,365506 133326,S200000,00400,0300,04/03/80 133326,S200000,00400,0500,P 133326,S200000,00800,0200,367510 133326,S200000,00800,0300,07/01/92 133326,S200000,00800,0500,O 133326,S200000,01500,0100,Y 133326,S200000,01600,0100,N 133326,S200000,01700,0100,N 133326,S200000,01800,0100,N 133326,S200000,01900,0100,CCRC 133326,S200000,02200,0100,N 133326,S200000,02800,0100,N 133326,S200000,02900,0100,N 133326,S200000,03000,0100,N 133326,S200000,03100,0100,N 133326,S200000,03200,0100,N 133326,S200000,04100,0100,N 133326,S200000,04200,0100,N 133326,S200000,04300,0100,Y 133326,S200000,04600,0100,N 133326,S200000,04700,0100,N 133326,S200000,04700,0200,N 133326,S200000,04900,0100,N 133326,S200000,05000,0100,N 133326,S200000,05100,0100,N 133326,S200000,05200,0100,N 133326,S410002,01700,0100,4885531138601272 133326,S410002,01701,0100,4885531104982585 133480,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 133480,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 133480,A000000,00300,0000,0300EMPLOYEE BENEFITS 133480,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133480,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 133480,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133480,A000000,00700,0000,0700HOUSEKEEPING 133480,A000000,00800,0000,0800DIETARY 133480,A000000,00900,0000,0900NURSING ADMINISTRATION 133480,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133480,A000000,01100,0000,1100PHARMACY 133480,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133480,A000000,01300,0000,1300SOCIAL SERVICE 133480,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 133480,A000000,01500,0000,1350OTHER GENERAL SERVICES 133480,A000000,01501,0000,1351ACTIVITIES 133480,A000000,01600,0000,1600SKILLED NURSING FACILITY 133480,A000000,01800,0000,1800NURSING FACILITY 133480,A000000,01810,0000,1810ICF/MR 133480,A000000,02100,0000,2100RADIOLOGY 133480,A000000,02200,0000,2200LABORATORY 133480,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133480,A000000,02500,0000,2500PHYSICAL THERAPY 133480,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133480,A000000,02700,0000,2700SPEECH PATHOLOGY 133480,A000000,02800,0000,2800ELECTROCARDIOLOGY 133480,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 133480,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133480,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133480,A000000,03550,0000,3550FQHC 133480,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133480,A000000,05000,0000,5000CORF 133480,A000000,05010,0000,5010CMHC 133480,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133480,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133480,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133480,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133480,A000000,05300,0000,5300INTEREST EXPENSE 133480,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133480,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133480,A81000A,00100,0100,Y 133480,A81000B,00100,0300,ENVIRONMENTAL SVCS. 133480,A81000B,00200,0300,PROF SVCS-CORP OFFICE 133480,A81000B,00300,0300,PROF MGMT SVCS 133480,A81000B,00400,0300,ASST. MEDICAL DIRECTOR 133480,A81000B,00500,0300,ADMIN. CONSULTANT 133480,A81000C,00100,0100,E 133480,A81000C,00100,0200,DR. GREGORY SALKO 133480,A81000C,00100,0400,DR. GREGORY SALKO 133480,A81000C,00100,0600,OWNER 133480,B100000,00000,0100,0100SQUARE FEET 133480,B100000,00000,0200,0200SQUARE FEET 133480,B100000,00000,0300,0300GROSS SALARIES 133480,B100000,00000,0400,0400ACCUM. COST 133480,B100000,00000,0500,0500SQUARE FEET 133480,B100000,00000,0600,0600POUNDS OF LAUNDRY 133480,B100000,00000,0700,0700HOURS OF SERVICE 133480,B100000,00000,0800,0800MEALS SERVED 133480,B100000,00000,0900,0900DIRECT NRSING HRS 133480,B100000,00000,1000,1000COSTED REQUIS. 133480,B100000,00000,1100,1100COSTED REQUIS. 133480,B100000,00000,1200,1200TIME SPENT 133480,B100000,00000,1300,1300TIME SPENT 133480,B100000,00000,1400,1400ASSIGNED TIME 133480,B100000,00000,1500,1350POUNDS OF LAUNDRY 133480,B100000,00000,1501,1351POUNDS OF LAUNDRY 133480,E10A180,00501,0100,01/08/01 133480,E10A180,00501,0300,01/08/01 133480,S000000,00100,0200,12/04/00 133480,S200000,00100,0100,45 NORTH SCOTT STREET 133480,S200000,00200,0100,CARBONDALE 133480,S200000,00200,0200,PA 133480,S200000,00200,0300,18447 133480,S200000,00300,0200,7560 133480,S200000,00300,0300,U 133480,S200000,00400,0100,OSPREY RIDGE HEALTHCARE & REHAB 133480,S200000,00400,0200,395984 133480,S200000,00400,0300,04/26/96 133480,S200000,00400,0500,P 133480,S200000,01500,0100,N 133480,S200000,01600,0100,Y 133480,S200000,01700,0100,N 133480,S200000,01800,0100,N 133480,S200000,02200,0100,Y 133480,S200000,02800,0100,N 133480,S200000,02900,0100,N 133480,S200000,03000,0100,N 133480,S200000,03100,0100,N 133480,S200000,03200,0100,N 133480,S200000,03300,0100,N 133480,S200000,03300,0200,N 133480,S200000,04100,0100,Y 133480,S200000,04200,0100,N 133480,S200000,04300,0100,N 133480,S200000,04600,0100,N 133480,S200000,04700,0100,N 133480,S200000,04900,0100,N 133480,S200000,05200,0100,N 133506,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133506,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133506,A000000,00300,0000,0300EMPLOYEE BENEFITS 133506,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133506,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133506,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133506,A000000,00700,0000,0700HOUSEKEEPING 133506,A000000,00800,0000,0800DIETARY 133506,A000000,00900,0000,0900NURSING ADMINISTRATION 133506,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133506,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133506,A000000,01300,0000,1300SOCIAL SERVICE 133506,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133506,A000000,01500,0000,1350OTHER GENERAL SERVICES 133506,A000000,01600,0000,1600SKILLED NURSING FACILITY 133506,A000000,01800,0000,1800NURSING FACILITY 133506,A000000,01810,0000,1810ICF/MR 133506,A000000,01900,0000,1900OTHER LONG TERM CARE 133506,A000000,02100,0000,2100RADIOLOGY 133506,A000000,02200,0000,2200LABORATORY 133506,A000000,02300,0000,2300INTRAVENOUS THERAPY 133506,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133506,A000000,02500,0000,2500PHYSICAL THERAPY 133506,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133506,A000000,02700,0000,2700SPEECH PATHOLOGY 133506,A000000,02800,0000,2800ELECTROCARDIOLOGY 133506,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133506,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133506,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133506,A000000,03200,0000,3200SUPPORT SURFACES 133506,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133506,A000000,03400,0000,3400CLINIC 133506,A000000,03500,0000,3500RURAL HEALTH CLINIC 133506,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133506,A000000,04800,0000,4800AMBULANCE 133506,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133506,A000000,05000,0000,5000CORF 133506,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133506,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133506,A000000,05300,0000,5300INTEREST EXPENSE 133506,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133506,A000000,05500,0000,5500HOSPICE 133506,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133506,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133506,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133506,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133506,A000000,06100,0000,6100NONPAID WORKERS 133506,A000000,06200,0000,6200PATIENTS LAUNDRY 133506,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133506,A81000A,00100,0100,N 133506,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133506,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133506,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133506,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133506,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133506,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133506,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133506,B100000,00000,0800,0800MEALS SERVED :DIETARY 133506,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 133506,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 133506,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 133506,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133506,S000000,00100,0200,11/29/00 133506,S200000,00100,0100,646 16TH STREET 133506,S200000,00200,0100,ASTORIA 133506,S200000,00200,0200,OR 133506,S200000,00200,0300,97103- 133506,S200000,00300,0100,CLATSOP 133506,S200000,00300,0300,R 133506,S200000,00400,0100,CLATSOP CARE CENTER 133506,S200000,00400,0200,385144 133506,S200000,00400,0300,11/01/79 133506,S200000,00400,0500,P 133506,S200000,01500,0100,N 133506,S200000,01600,0100,Y 133506,S200000,01700,0100,N 133506,S200000,01800,0100,N 133506,S200000,02200,0100,N 133506,S200000,02800,0100,N 133506,S200000,02900,0100,N 133506,S200000,03000,0100,N 133506,S200000,03100,0100,N 133506,S200000,03200,0100,N 133506,S200000,04100,0100,N 133506,S200000,04200,0100,N 133506,S200000,04300,0100,N 133506,S200000,04600,0100,N 133506,S200000,04700,0100,N 133506,S200000,04700,0200,N 133506,S200000,04900,0100,N 133506,S200000,05000,0100,N 133506,S200000,05100,0100,N 133506,S200000,05200,0100,N 133534,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133534,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133534,A000000,00300,0000,0300EMPLOYEE BENEFITS 133534,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133534,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133534,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133534,A000000,00700,0000,0700HOUSEKEEPING 133534,A000000,00800,0000,0800DIETARY 133534,A000000,00900,0000,0900NURSING ADMINISTRATION 133534,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133534,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133534,A000000,01300,0000,1300SOCIAL SERVICE 133534,A000000,01500,0000,1350ACTIVITIES 133534,A000000,01600,0000,1600SKILLED NURSING FACILITY 133534,A000000,01800,0000,1800NURSING FACILITY 133534,A000000,01810,0000,1810ICF/MR 133534,A000000,01900,0000,1900OTHER LONG TERM CARE 133534,A000000,02100,0000,2100RADIOLOGY 133534,A000000,02200,0000,2200LABORATORY 133534,A000000,02300,0000,2300INTRAVENOUS THERAPY 133534,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133534,A000000,02500,0000,2500PHYSICAL THERAPY 133534,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133534,A000000,02700,0000,2700SPEECH PATHOLOGY 133534,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133534,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133534,A000000,03200,0000,3200SUPPORT SURFACES 133534,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133534,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133534,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133534,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133534,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133534,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133534,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133534,A000000,04400,0000,4400DME RENTED - HHA 133534,A000000,04500,0000,4500DME SOLD - HHA 133534,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133534,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133534,A000000,04800,0000,4800AMBULANCE 133534,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133534,A000000,05300,0000,5300INTEREST EXPENSE 133534,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133534,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133534,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133534,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133534,A000000,06300,0000,6150GYM/FITNESS CENTER 133534,A81000A,00100,0100,Y 133534,A81000B,00100,0300,BUILDING LEASE 133534,A81000B,00200,0300,MANAGEMENT FEES 133534,A81000B,00300,0300,ALLOWABLE CAPITAL-BUILDING 133534,A81000B,00400,0300,ALLOWABLE CAPITAL-EQUIPMENT 133534,A81000B,00500,0300,ALLOWABLE INTEREST 133534,A81000B,00600,0300,ADMINISTRATOR COST REIMB 133534,A81000B,00700,0300,HSI ALLOCATED COSTS 133534,A81000C,00100,0100,A 133534,A81000C,00100,0200,WERNER G NISTLER 133534,A81000C,00100,0400,TLC - THREE FOUNTAINS 133534,A81000C,00100,0600,LESSOR OF REAL PROPERTY 133534,A81000C,00200,0100,A 133534,A81000C,00200,0200,WERNER G NISTLER 133534,A81000C,00200,0400,TLC 133534,A81000C,00200,0600,MANAGEMENT & ACCOUNTING 133534,A81000C,00300,0100,A 133534,A81000C,00300,0200,WERNER G NISTLER 133534,A81000C,00300,0400,HSI 133534,A81000C,00300,0600,DATA PROCESSING/SUPPLIES 133534,A81000C,00400,0100,A 133534,A81000C,00400,0200,STEVE NISTLER 133534,A81000C,00400,0400,TLC - THREE FOUNTAINS 133534,A81000C,00400,0600,LESSOR OF REAL PROPERTY 133534,A81000C,00500,0100,A 133534,A81000C,00500,0200,STEVE NISTLER 133534,A81000C,00500,0400,TLC 133534,A81000C,00500,0600,MANAGEMENT & ACCOUNTING 133534,A81000C,00600,0100,A 133534,A81000C,00600,0200,STEVE NISTLER 133534,A81000C,00600,0400,HSI 133534,A81000C,00600,0600,DATA PROCESSING/SUPPLIES 133534,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133534,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133534,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133534,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133534,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133534,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133534,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133534,B100000,00000,0800,0800MEALS SERVED :DIETARY 133534,B100000,00000,0900,0950DIRECT NSG :NURSING ADMINISTRAT 133534,B100000,00000,1000,1050GROSS REVENUES :CENTRAL SERVICE 133534,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 133534,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 133534,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 133534,H510100,00000,0000,6308 133534,H510200,00000,0000,4387 133534,H710000,00350,0100,10/18/99 133534,H710000,00501,0100,07/28/00 133534,H710000,00550,0300,07/28/00 133534,S000000,00100,0200,06/01/00 133534,S200000,00100,0100,835 CRATER LAKE DRIVE 133534,S200000,00200,0100,MEDFORD 133534,S200000,00200,0200,OR 133534,S200000,00200,0300,97501- 133534,S200000,00300,0100,JACKSON 133534,S200000,00300,0200,4890 133534,S200000,00300,0300,U 133534,S200000,00400,0100,WATERFORD AT THREE FOUNTAINS 133534,S200000,00400,0200,385126 133534,S200000,00400,0300,10/01/81 133534,S200000,00400,0500,P 133534,S200000,00800,0200,387142 133534,S200000,00800,0300,10/07/98 133534,S200000,00800,0500,O 133534,S200000,01500,0100,N 133534,S200000,01600,0100,Y 133534,S200000,01700,0100,N 133534,S200000,01800,0100,N 133534,S200000,02200,0100,N 133534,S200000,02800,0100,N 133534,S200000,02900,0100,N 133534,S200000,03000,0100,N 133534,S200000,03100,0100,N 133534,S200000,03200,0100,N 133534,S200000,04100,0100,N 133534,S200000,04200,0100,N 133534,S200000,04300,0100,N 133534,S200000,04600,0100,N 133534,S200000,04700,0100,N 133534,S200000,04700,0200,N 133534,S200000,04900,0100,N 133534,S200000,05000,0100,N 133534,S200000,05100,0100,N 133534,S200000,05200,0100,N 133596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133596,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133596,A000000,00300,0000,0300EMPLOYEE BENEFITS 133596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133596,A000000,00700,0000,0700HOUSEKEEPING 133596,A000000,00800,0000,0800DIETARY 133596,A000000,00900,0000,0900NURSING ADMINISTRATION 133596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133596,A000000,01100,0000,1100PHARMACY 133596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133596,A000000,01300,0000,1300SOCIAL SERVICE 133596,A000000,01301,0000,1301ACTIVITIES 133596,A000000,01600,0000,1600SKILLED NURSING FACILITY 133596,A000000,01800,0000,1800NURSING FACILITY 133596,A000000,02100,0000,2100RADIOLOGY 133596,A000000,02200,0000,2200LABORATORY 133596,A000000,02300,0000,2300INTRAVENOUS THERAPY 133596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133596,A000000,02500,0000,2500PHYSICAL THERAPY 133596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133596,A000000,02700,0000,2700SPEECH PATHOLOGY 133596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133596,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133596,A000000,03301,0000,3051MEDICAL EQUIPMENT 133596,A000000,04800,0000,4800AMBULANCE 133596,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133596,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133596,A81000A,00100,0100,Y 133596,A81000B,00100,0300,HOME OFFICE CAPITAL 133596,A81000B,00200,0300,HOME OFFICE NONCAPITAL 133596,A81000B,00300,0300,WAREHOUSE 133596,A81000C,00100,0100,A 133596,A81000C,00100,0200,PETER C. KERN 133596,A81000C,00100,0400,HEA MANAGEMENT GROUP 133596,A81000C,00100,0600,HOME OFFICE 133596,A81000C,00200,0100,A 133596,A81000C,00200,0200,PETER C. KERN 133596,A81000C,00200,0400,WAREHOUSE STORAGE 133596,A81000C,00200,0600,OLD RECORD STORAGE 133596,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133596,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133596,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133596,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133596,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133596,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133596,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133596,B100000,00000,0800,0800MEALS SERVED :DIETARY 133596,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 133596,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 133596,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 133596,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 133596,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133596,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 133596,S000000,00100,0200,09/14/00 133596,S200000,00100,0100,114 CHERRY STREET 133596,S200000,00200,0100,LUBBOCK 133596,S200000,00200,0200,TX 133596,S200000,00200,0300,79403- 133596,S200000,00300,0100,LUBBOCK 133596,S200000,00300,0200,4600 133596,S200000,00300,0300,U 133596,S200000,00400,0100,PARKWAY MANOR CARE CENTER 133596,S200000,00400,0200,455469 133596,S200000,00400,0300,02/01/94 133596,S200000,00400,0500,P 133596,S200000,01500,0100,N 133596,S200000,01600,0100,Y 133596,S200000,01700,0100,N 133596,S200000,01800,0100,N 133596,S200000,02200,0100,Y 133596,S200000,02800,0100,N 133596,S200000,02900,0100,N 133596,S200000,03000,0100,N 133596,S200000,03100,0100,N 133596,S200000,03200,0100,N 133596,S200000,04100,0100,N 133596,S200000,04200,0100,N 133596,S200000,04300,0100,Y 133596,S200000,04600,0100,N 133596,S200000,04700,0100,N 133596,S200000,04700,0200,N 133596,S200000,04900,0100,N 133596,S200000,05000,0100,N 133596,S200000,05100,0100,N 133596,S200000,05200,0100,N 133601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 133601,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 133601,A000000,00300,0000,0300EMPLOYEE BENEFITS 133601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 133601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133601,A000000,00700,0000,0700HOUSEKEEPING 133601,A000000,00800,0000,0800DIETARY 133601,A000000,00900,0000,0900NURSING ADMINISTRATION 133601,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133601,A000000,01100,0000,1100PHARMACY 133601,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133601,A000000,01300,0000,1300SOCIAL SERVICE 133601,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 133601,A000000,01500,0000,1350OTHER GENERAL SERVICES 133601,A000000,01501,0000,1351ACTIVITIES 133601,A000000,01600,0000,1600SKILLED NURSING FACILITY 133601,A000000,01810,0000,1810ICF/MR 133601,A000000,02100,0000,2100RADIOLOGY 133601,A000000,02200,0000,2200LABORATORY 133601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133601,A000000,02500,0000,2500PHYSICAL THERAPY 133601,A000000,02501,0000,2501PHYSICAL THERAPY 133601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133601,A000000,02700,0000,2700SPEECH PATHOLOGY 133601,A000000,02800,0000,2800ELECTROCARDIOLOGY 133601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 133601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 133601,A000000,03550,0000,3550FQHC 133601,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 133601,A000000,05000,0000,5000CORF 133601,A000000,05010,0000,5010CMHC 133601,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133601,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133601,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133601,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133601,A000000,05300,0000,5300INTEREST EXPENSE 133601,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133601,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133601,A000000,06301,0000,6151SENIOR & DAY CARE CENTERS 133601,A000000,06302,0000,6152AMBULANCE 133601,A81000A,00100,0100,Y 133601,A81000B,00100,0300,PHARMACY 133601,A81000B,00200,0300,INTEREST EXPENSE 133601,A81000B,00300,0300,FISCAL SERVICES 133601,A81000B,00400,0300,HOME OFFICE MANAGEMENT FEES 133601,A81000C,00100,0100,G 133601,A81000C,00100,0200,WAUSAU HOSPITAL 133601,A81000C,00100,0400,COMMUNITY HEALTH CARE INC 133601,A81000C,00100,0600,HOSPITAL - WAUSAU WI 133601,A81000C,00200,0100,B 133601,A81000C,00200,0200,COMMUNITY HEALTH CARE 133601,A81000C,00200,0400,WAUSAU WISCONSIN 133601,A81000C,00200,0600,PARENT CORPORATION 133601,A81000C,00300,0100,G 133601,A81000C,00300,0200,WAUSAU HOSPITAL 133601,A81000C,00300,0400,COMMUNITY HEALTH CARE INC 133601,A81000C,00300,0600,HOSPITAL- WAUSAU WI 133601,A81000C,00400,0100,G 133601,A81000C,00400,0200,WAUSAU HOSPITAL 133601,A81000C,00400,0400,COMMUNITY HEALTH CARE INC 133601,A81000C,00400,0600,HOSPITAL - WAUSAU WI 133601,B100000,00000,0100,0100SQUARE FOOTAGE 133601,B100000,00000,0200,0200EQUIP DEPR E 133601,B100000,00000,0300,0300GROSS SALARIES 133601,B100000,00000,0400,0400ACCUM. COST 133601,B100000,00000,0500,0500SQUARE FOOTAGE 133601,B100000,00000,0600,0600POUNDS OF LAUNDRY 133601,B100000,00000,0700,0700HOURS OF SERVICE 133601,B100000,00000,0800,0800MEALS SERVED 133601,B100000,00000,0900,0900NO STATISTICS 133601,B100000,00000,1000,1000NO STATISTICS 133601,B100000,00000,1100,1100COSTED REQUIS 133601,B100000,00000,1200,1200NO STATISTICS 133601,B100000,00000,1300,1300TIME SPENT 133601,B100000,00000,1400,1400NO STATISTICS 133601,B100000,00000,1500,1350NO STATISTICS 133601,B100000,00000,1501,1351PATIENT DAYS 133601,S000000,00100,0200,12/27/00 133601,S200000,00100,0100,2383 HWY 17 133601,S200000,00200,0100,PHELPS 133601,S200000,00200,0200,WI 133601,S200000,00200,0300,54554 133601,S200000,00300,0100,V 133601,S200000,00300,0200,52 133601,S200000,00300,0300,R 133601,S200000,00400,0100,NORTHWOODS MEDICAL CENTER INC. 133601,S200000,00400,0200,525589 133601,S200000,00400,0300,03/11/96 133601,S200000,00400,0500,P 133601,S200000,01500,0100,Y 133601,S200000,01600,0100,N 133601,S200000,01700,0100,N 133601,S200000,01800,0100,N 133601,S200000,02200,0100,Y 133601,S200000,02800,0100,Y 133601,S200000,02900,0100,N 133601,S200000,03000,0100,N 133601,S200000,03100,0100,N 133601,S200000,03200,0100,N 133601,S200000,03300,0100,N 133601,S200000,03300,0200,N 133601,S200000,04100,0100,N 133601,S200000,04200,0100,N 133601,S200000,04300,0100,N 133601,S200000,04600,0100,N 133601,S200000,04700,0100,N 133601,S200000,04700,0200,N 133601,S200000,04900,0100,N 133603,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133603,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133603,A000000,00300,0000,0300EMPLOYEE BENEFITS 133603,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133603,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133603,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133603,A000000,00700,0000,0700HOUSEKEEPING 133603,A000000,00800,0000,0800DIETARY 133603,A000000,00900,0000,0900NURSING ADMINISTRATION 133603,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133603,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133603,A000000,01300,0000,1300SOCIAL SERVICE 133603,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 133603,A000000,01600,0000,1600SKILLED NURSING FACILITY 133603,A000000,01800,0000,1800NURSING FACILITY 133603,A000000,01900,0000,1900OTHER LONG TERM CARE 133603,A000000,02100,0000,2100RADIOLOGY 133603,A000000,02200,0000,2200LABORATORY 133603,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133603,A000000,02500,0000,2500PHYSICAL THERAPY 133603,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133603,A000000,02700,0000,2700SPEECH PATHOLOGY 133603,A000000,02800,0000,2800ELECTROCARDIOLOGY 133603,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133603,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133603,A000000,03200,0000,3200SUPPORT SURFACES 133603,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 133603,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 133603,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133603,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133603,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133603,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133603,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133603,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133603,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133603,A000000,04400,0000,4400DME RENTED - HHA 133603,A000000,04500,0000,4500DME SOLD - HHA 133603,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133603,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133603,A000000,04800,0000,4800AMBULANCE 133603,A000000,05000,0000,5000CORF 133603,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133603,A000000,05300,0000,5300INTEREST EXPENSE 133603,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133603,A000000,05500,0000,5500HOSPICE 133603,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133603,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133603,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133603,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 133603,A81000A,00100,0100,N 133603,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133603,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133603,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133603,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133603,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133603,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133603,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133603,B100000,00000,0800,0800MEALS SERVED :DIETARY 133603,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 133603,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 133603,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 133603,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133603,E10A180,00301,0100,06/01/00 133603,H510100,00000,0000,0520 133603,S000000,00100,0200,12/04/00 133603,S200000,00100,0100,1020 EAST JEFFERSON STREET 133603,S200000,00200,0100,SEATTLE 133603,S200000,00200,0200,WA 133603,S200000,00200,0300,98122- 133603,S200000,00300,0100,KING 133603,S200000,00300,0200,7600 133603,S200000,00300,0300,U 133603,S200000,00400,0100,BESSIE BURTON SULLIVAN SNR 133603,S200000,00400,0200,505388 133603,S200000,00400,0300,09/14/91 133603,S200000,00400,0500,P 133603,S200000,00800,0200,507102 133603,S200000,00800,0300,11/02/94 133603,S200000,00800,0500,O 133603,S200000,01500,0100,N 133603,S200000,01600,0100,Y 133603,S200000,01700,0100,N 133603,S200000,01800,0100,N 133603,S200000,02200,0100,N 133603,S200000,02800,0100,N 133603,S200000,02900,0100,N 133603,S200000,03000,0100,N 133603,S200000,03100,0100,N 133603,S200000,03200,0100,N 133603,S200000,04100,0100,N 133603,S200000,04200,0100,N 133603,S200000,04300,0100,N 133603,S200000,04600,0100,N 133603,S200000,04700,0100,N 133603,S200000,04700,0200,N 133603,S200000,04900,0100,N 133603,S200000,05000,0100,N 133603,S200000,05100,0100,N 133603,S200000,05200,0100,N 133603,S410002,01700,0100,4885531188670520 133664,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133664,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 133664,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133664,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 133664,A000000,00300,0000,0300EMPLOYEE BENEFITS 133664,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133664,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133664,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133664,A000000,00700,0000,0700HOUSEKEEPING 133664,A000000,00800,0000,0800DIETARY 133664,A000000,00801,0000,0801CAFETERIA 133664,A000000,00900,0000,0900NURSING ADMINISTRATION 133664,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133664,A000000,01100,0000,1100PHARMACY 133664,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133664,A000000,01300,0000,1300SOCIAL SERVICE 133664,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133664,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 133664,A000000,01600,0000,1600SKILLED NURSING FACILITY 133664,A000000,01800,0000,1800NURSING FACILITY 133664,A000000,01900,0000,1900OTHER LONG TERM CARE 133664,A000000,02100,0000,2100RADIOLOGY 133664,A000000,02200,0000,2200LABORATORY 133664,A000000,02300,0000,2300INTRAVENOUS THERAPY 133664,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133664,A000000,02500,0000,2500PHYSICAL THERAPY 133664,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133664,A000000,02700,0000,2700SPEECH PATHOLOGY 133664,A000000,02800,0000,2800ELECTROCARDIOLOGY 133664,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133664,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133664,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 133664,A000000,03200,0000,3200SUPPORT SURFACES 133664,A000000,03300,0000,3050OTHER ANCILLARY 133664,A000000,03301,0000,3051OTHER ANCILLARY II 133664,A000000,03302,0000,3052OTHER ANCILLARY III 133664,A000000,03400,0000,3400CLINIC 133664,A000000,03500,0000,3500RURAL HEALTH CLINIC 133664,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 133664,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133664,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133664,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133664,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133664,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133664,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133664,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133664,A000000,04400,0000,4400DME RENTED - HHA 133664,A000000,04500,0000,4500DME SOLD - HHA 133664,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 133664,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 133664,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 133664,A000000,05000,0000,5000CORF 133664,A000000,05010,0000,5010CMHC I 133664,A000000,05020,0000,5020OPT I 133664,A000000,05100,0000,4750OTHER REIMBURSABLE COST 133664,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133664,A000000,05300,0000,5300INTEREST EXPENSE 133664,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133664,A000000,05500,0000,5500HOSPICE 133664,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 133664,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 133664,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133664,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133664,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 133664,A000000,06100,0000,6100NONPAID WORKERS 133664,A000000,06200,0000,6200PATIENTS LAUNDRY 133664,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133664,A81000A,00100,0100,Y 133664,A81000B,00100,0300,MANAGEMENT FEES 133664,A81000B,00200,0300,PAYROLL PROCESSING FEE 133664,A81000B,00300,0300,SPECIALTY BEDS 133664,A81000C,00100,0100,G 133664,A81000C,00100,0200,CENTENNIAL HC 133664,A81000C,00100,0400,CENTENNIAL HC 133664,A81000C,00100,0600,HOME OFFICE 133664,A81000C,00200,0100,G 133664,A81000C,00200,0200,CENTENNIAL HC 133664,A81000C,00200,0400,CENTENNIAL HC 133664,A81000C,00200,0600,HOME OFFICE 133664,A81000C,00300,0100,B 133664,A81000C,00300,0200,CENTENNIAL PTS 133664,A81000C,00300,0400,CENTENNIAL HC 133664,A81000C,00300,0600,MED SUPPLIES 133664,A81000C,03100,0000,MGMT 133664,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 133664,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 133664,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 133664,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133664,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 133664,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 133664,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 133664,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 133664,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 133664,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 133664,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 133664,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 133664,S000000,00100,0200,07/14/99 133664,S200000,00100,0100,2961 ST. ANTHONY DRIVE 133664,S200000,00200,0100,GREEN BAY 133664,S200000,00200,0200,WI 133664,S200000,00200,0300,54311- 133664,S200000,00300,0100,BROWN 133664,S200000,00300,0200,3080 133664,S200000,00300,0300,U 133664,S200000,00400,0100,PARKVIEW MANOR 133664,S200000,00400,0200,525307 133664,S200000,00400,0300,10/01/79 133664,S200000,00400,0500,P 133664,S200000,01500,0100,N 133664,S200000,01600,0100,Y 133664,S200000,01700,0100,N 133664,S200000,01800,0100,N 133664,S200000,02200,0100,Y 133664,S200000,02800,0100,Y 133664,S200000,02900,0100,N 133664,S200000,03000,0100,N 133664,S200000,03100,0100,N 133664,S200000,03200,0100,N 133664,S200000,04100,0100,N 133664,S200000,04200,0100,N 133664,S200000,04300,0100,N 133664,S200000,04600,0100,N 133664,S200000,04700,0100,N 133664,S200000,04700,0200,N 133664,S200000,04900,0100,N 133664,S200000,05000,0100,N 133664,S200000,05100,0100,N 133664,S200000,05200,0100,N 133669,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133669,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133669,A000000,00300,0000,0300EMPLOYEE BENEFITS 133669,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133669,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133669,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133669,A000000,00700,0000,0700HOUSEKEEPING 133669,A000000,00800,0000,0800DIETARY 133669,A000000,00900,0000,0900NURSING ADMINISTRATION 133669,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133669,A000000,01100,0000,1100PHARMACY 133669,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133669,A000000,01300,0000,1300SOCIAL SERVICE 133669,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133669,A000000,01500,0000,1350RECREATION ACTIVITIES 133669,A000000,01600,0000,1600SKILLED NURSING FACILITY 133669,A000000,01800,0000,1800NURSING FACILITY 133669,A000000,01810,0000,1810ICF/MR 133669,A000000,02100,0000,2100RADIOLOGY 133669,A000000,02200,0000,2200LABORATORY 133669,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133669,A000000,02500,0000,2500PHYSICAL THERAPY 133669,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133669,A000000,02700,0000,2700SPEECH PATHOLOGY 133669,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133669,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133669,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 133669,A000000,03301,0000,3051ENTERAL FEEDING 133669,A000000,03550,0000,3550FQHC 133669,A000000,05000,0000,5000CORF 133669,A000000,05010,0000,5010CMHC 133669,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133669,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133669,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133669,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 133669,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 133669,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133669,A000000,06300,0000,6150ENTERSTOMAL THERAPY 133669,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 133669,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 133669,A000000,06312,0000,6153DIALYSIS 133669,A000000,06320,0000,6154APARTMENTS 133669,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 133669,A000000,06340,0000,6156CLOSED PATIENT AREAS 133669,A000000,06350,0000,6157O/P ADULT DAYCARE 133669,A81000A,00100,0100,Y 133669,A81000B,00100,0300,HOME OFFICE CAPITAL COST 133669,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 133669,A81000B,00700,0300,SYMPHONY RESPIRATORY 133669,A81000B,00800,0300,SYMPHONY MOBILEX 133669,A81000B,00900,0300,LTC LABS 133669,A81000B,01000,0300,REHAB ALLOCATION 133669,A81000B,01100,0300,REHAB ALLOCATION 133669,A81000B,01200,0300,REHAB ALLOCATION 133669,A81000B,01300,0300,CLINICAL ALLOCATION 133669,A81000C,00100,0100,B 133669,A81000C,00100,0400,IHS INC. 133669,A81000C,00100,0600,NURSING HOMES 133669,A81000C,00200,0100,G 133669,A81000C,00200,0400,SYMPHONY REHAB 133669,A81000C,00200,0600,REHAB SERVICES 133669,A81000C,00300,0100,G 133669,A81000C,00300,0400,LTC MED LAB 133669,A81000C,00300,0600,LABORATORY 133669,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 133669,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 133669,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133669,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 133669,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 133669,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 133669,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 133669,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 133669,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 133669,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 133669,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 133669,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 133669,E10A180,00350,0100,09/18/00 133669,E10A180,00501,0100,12/26/00 133669,E10A180,00550,0300,12/26/00 133669,S000000,00100,0200,11/01/00 133669,S200000,00100,0100,9909 WHITE ROCK TRAIL 133669,S200000,00200,0100,DALLAS 133669,S200000,00200,0200,TX 133669,S200000,00200,0300,75238- 133669,S200000,00300,0100,DALLAS 133669,S200000,00300,0200,1920 133669,S200000,00300,0300,U 133669,S200000,00400,0100,IHS-DOCTORS 133669,S200000,00400,0200,455895 133669,S200000,00400,0300,10/04/90 133669,S200000,00400,0500,P 133669,S200000,00600,0200,455895 133669,S200000,00600,0300,10/04/90 133669,S200000,00600,0600,O 133669,S200000,01500,0100,N 133669,S200000,01600,0100,Y 133669,S200000,01700,0100,N 133669,S200000,01800,0100,N 133669,S200000,02200,0100,Y 133669,S200000,02800,0100,N 133669,S200000,02900,0100,N 133669,S200000,03000,0100,N 133669,S200000,03100,0100,N 133669,S200000,03200,0100,N 133669,S200000,04100,0100,N 133669,S200000,04200,0100,N 133669,S200000,04300,0100,N 133669,S200000,04600,0100,N 133669,S200000,04700,0100,N 133669,S200000,04700,0200,N 133669,S200000,04900,0100,N 133669,S200000,05000,0100,N 133669,S200000,05100,0100,N 133669,S200000,05200,0100,N 133672,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133672,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133672,A000000,00300,0000,0300EMPLOYEE BENEFITS 133672,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133672,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133672,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133672,A000000,00700,0000,0700HOUSEKEEPING 133672,A000000,00800,0000,0800DIETARY 133672,A000000,00900,0000,0900NURSING ADMINISTRATION 133672,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133672,A000000,01100,0000,1100PHARMACY 133672,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133672,A000000,01300,0000,1300SOCIAL SERVICE 133672,A000000,01301,0000,1301INSERVICE 133672,A000000,01302,0000,1302RECREATION 133672,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133672,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 133672,A000000,01600,0000,1600SKILLED NURSING FACILITY 133672,A000000,01800,0000,1800NURSING FACILITY 133672,A000000,01900,0000,1900OTHER LONG TERM CARE 133672,A000000,02100,0000,2100RADIOLOGY 133672,A000000,02200,0000,2200LABORATORY 133672,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133672,A000000,02500,0000,2500PHYSICAL THERAPY 133672,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133672,A000000,02700,0000,2700SPEECH PATHOLOGY 133672,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133672,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133672,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 133672,A000000,04800,0000,4800AMBULANCE 133672,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133672,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 133672,A81000A,00100,0100,N 133672,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133672,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133672,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 133672,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133672,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133672,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133672,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133672,B100000,00000,0800,0800MEALS SERVED :DIETARY 133672,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 133672,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 133672,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 133672,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 133672,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133672,B100000,00000,1301,1331HOURS OF SERVICE :INSERVICE 133672,B100000,00000,1302,1332PATIENT DAYS :RECREATION 133672,E10A180,00550,0100,06/30/00 133672,E10A180,00550,0300,06/30/00 133672,S000000,00100,0200,02/15/01 133672,S200000,00100,0100,325 NORTH STREET 133672,S200000,00200,0100,BENNINGTON 133672,S200000,00200,0200,VT 133672,S200000,00200,0300,05201- 133672,S200000,00300,0100,BENNINGTON 133672,S200000,00300,0200,47 133672,S200000,00300,0300,R 133672,S200000,00400,0100,VERMONT VETERANS HOME 133672,S200000,00400,0200,475032 133672,S200000,00400,0300,04/13/89 133672,S200000,00400,0500,P 133672,S200000,01500,0100,Y 133672,S200000,01600,0100,N 133672,S200000,01700,0100,N 133672,S200000,01800,0100,N 133672,S200000,02200,0100,N 133672,S200000,02800,0100,N 133672,S200000,02900,0100,N 133672,S200000,03000,0100,N 133672,S200000,03100,0100,N 133672,S200000,03200,0100,N 133672,S200000,04100,0100,N 133672,S200000,04200,0100,N 133672,S200000,04300,0100,N 133672,S200000,04600,0100,N 133672,S200000,04700,0100,N 133672,S200000,04700,0200,N 133672,S200000,04900,0100,N 133672,S200000,05000,0100,N 133672,S200000,05100,0100,N 133672,S200000,05200,0100,N 133693,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133693,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133693,A000000,00300,0000,0300EMPLOYEE BENEFITS 133693,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133693,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133693,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133693,A000000,00700,0000,0700HOUSEKEEPING 133693,A000000,00800,0000,0800DIETARY 133693,A000000,00900,0000,0900NURSING ADMINISTRATION 133693,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133693,A000000,01100,0000,1100PHARMACY 133693,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133693,A000000,01300,0000,1300SOCIAL SERVICE 133693,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 133693,A000000,01600,0000,1600SKILLED NURSING FACILITY 133693,A000000,01800,0000,1800NURSING FACILITY 133693,A000000,02200,0000,2200LABORATORY 133693,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133693,A000000,02500,0000,2500PHYSICAL THERAPY 133693,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133693,A000000,02700,0000,2700SPEECH PATHOLOGY 133693,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133693,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133693,A000000,03300,0000,3050MEDICAL EQUIPMENT RENTAL 133693,A000000,05000,0000,5000CORF 133693,A000000,05010,0000,5010CMHC 133693,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133693,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133693,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133693,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133693,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133693,A81000A,00100,0100,Y 133693,A81000B,00100,0300,MANAGEMENT FEES 133693,A81000C,00100,0100,B 133693,A81000C,00100,0200,UTAH SENIOR SER 133693,A81000C,00100,0400,UTAH SENIOR SER 133693,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 133693,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 133693,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 133693,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133693,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 133693,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 133693,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 133693,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 133693,B100000,00000,0900,0950(NURSING SAL COSTS) :NURSING ADM 133693,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 133693,B100000,00000,1100,1100(COSTED REQUIS) :PHARMACY 133693,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 133693,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 133693,S000000,00100,0200,06/01/00 133693,S200000,00100,0100,575 EAST 1400 SOUTH 133693,S200000,00200,0100,OREM 133693,S200000,00200,0200,UT 133693,S200000,00200,0300,84058- 133693,S200000,00300,0100,UTAH 133693,S200000,00300,0200,6520 133693,S200000,00300,0300,U 133693,S200000,00400,0100,OREM NURSING & REHAB 133693,S200000,00400,0200,465104 133693,S200000,00400,0300,12/01/79 133693,S200000,00400,0500,P 133693,S200000,00600,0200,465104 133693,S200000,00600,0300,12/01/79 133693,S200000,00600,0600,O 133693,S200000,01500,0100,Y 133693,S200000,01600,0100,N 133693,S200000,01700,0100,N 133693,S200000,01800,0100,N 133693,S200000,02200,0100,Y 133693,S200000,02800,0100,N 133693,S200000,02900,0100,N 133693,S200000,03000,0100,N 133693,S200000,03100,0100,N 133693,S200000,03200,0100,N 133693,S200000,04100,0100,N 133693,S200000,04200,0100,N 133693,S200000,04300,0100,Y 133693,S200000,04600,0100,N 133693,S200000,04700,0100,N 133693,S200000,04700,0200,N 133693,S200000,04900,0100,N 133693,S200000,05000,0100,N 133693,S200000,05100,0100,N 133693,S200000,05200,0100,N 133730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 133730,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 133730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 133730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133730,A000000,00700,0000,0700HOUSEKEEPING 133730,A000000,00800,0000,0800DIETARY 133730,A000000,00900,0000,0900NURSING ADMINISTRATION 133730,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133730,A000000,01300,0000,1300SOCIAL SERVICE 133730,A000000,01500,0000,1350ACTIVITIES 133730,A000000,01600,0000,1600SKILLED NURSING FACILITY 133730,A000000,01800,0000,1800NURSING FACILITY 133730,A000000,02100,0000,2100RADIOLOGY 133730,A000000,02200,0000,2200LABORATORY 133730,A000000,02300,0000,2300INTRAVENOUS THERAPY 133730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 133730,A000000,02500,0000,2500PHYSICAL THERAPY 133730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133730,A000000,02700,0000,2700SPEECH PATHOLOGY 133730,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 133730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133730,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 133730,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 133730,A000000,03701,0000,3701ADMINISTRATIVE & GENERAL - HHA 2 133730,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 133730,A000000,03801,0000,3801SKILLED NURSING CARE - HHA 2 133730,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 133730,A000000,03901,0000,3901PHYSICAL THERAPY - HHA 2 133730,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 133730,A000000,04001,0000,4001OCCUPATIONAL THERAPY - HHA 2 133730,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 133730,A000000,04101,0000,4101SPEECH PATHOLOGY - HHA 2 133730,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 133730,A000000,04201,0000,4201MEDICAL SOCIAL SERVICES - HHA 2 133730,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 133730,A000000,04301,0000,4301HOME HEALTH AIDE - HHA 2 133730,A000000,04400,0000,4400DME RENTED - HHA 133730,A000000,04401,0000,4401SUPPLIES 133730,A000000,04402,0000,4402SUPPLIES - HHA 2 133730,A000000,04800,0000,4800AMBULANCE 133730,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 133730,A000000,05101,0000,4751ADMIN & GENERAL - RMHC 133730,A000000,05102,0000,4752SKILLED NURSING CARE - RMHC 133730,A000000,05103,0000,4753PHYSICAL THERAPY - RMHC 133730,A000000,05104,0000,4754OCCUPATION THERAPY - RMHC 133730,A000000,05105,0000,4755SPEECH THERAPY - RMHC 133730,A000000,05106,0000,4756MEDICAL SOCIAL SERV - RMHC 133730,A000000,05107,0000,4757HOME HEALTH AIDES - RMHC 133730,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 133730,A000000,05500,0000,5500HOSPICE 133730,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133730,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 133730,A81000A,00100,0100,Y 133730,A81000B,00100,0300,CLF SNF POOLED ALLOCATION 133730,A81000B,00200,0300,CREST ALLOCATION 133730,A81000B,00300,0300,MCCALL ALLOCATION 133730,A81000B,00400,0300,CLF FUNCTIONAL ALLOCATION 133730,A81000B,00500,0300,MANAGE-IT 133730,A81000B,00600,0300,HEALTH CARE LEASING 133730,A81000C,00100,0100,E 133730,A81000C,00100,0200,LEE BANGERTER 133730,A81000C,00100,0400,OWNER 133730,A81000C,00100,0600,MANAGEMENT COMP 133730,A81000C,00200,0100,E 133730,A81000C,00200,0200,DEE BANGERTER 133730,A81000C,00200,0400,OWNER 133730,A81000C,00200,0600,MANAGEMENT COMP 133730,A81000C,00300,0100,E 133730,A81000C,00300,0200,HEALTH CARE LEA 133730,A81000C,00300,0400,HEALTH CARE LEA 133730,A81000C,00300,0600,LEASING COMPANY 133730,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 133730,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 133730,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 133730,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 133730,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 133730,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 133730,B100000,00000,0800,0800MEALS SERVED :DIETARY 133730,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 133730,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 133730,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 133730,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 133730,E10A180,00501,0100,07/27/00 133730,E10A180,00550,0300,07/27/00 133730,H510100,00000,0000,3105 133730,H520100,00000,0000,3105 133730,H710000,00501,0300,07/27/00 133730,H710000,00550,0100,07/27/00 133730,H720000,00501,0300,07/27/00 133730,H720000,00550,0100,07/27/00 133730,S000000,00100,0200,05/31/00 133730,S200000,00100,0100,1450 SOUTH 1500 EAST 133730,S200000,00200,0100,CLEARFIELD 133730,S200000,00200,0200,UT 133730,S200000,00200,0300,84015- 133730,S200000,00300,0100,DAVIS 133730,S200000,00300,0200,7160 133730,S200000,00300,0300,U 133730,S200000,00400,0100,ROCKY MOUNTAIN CARE - CLEARFIELD 133730,S200000,00400,0200,465067 133730,S200000,00400,0300,07/18/77 133730,S200000,00400,0500,P 133730,S200000,00800,0200,137070 133730,S200000,00800,0300,03/17/94 133730,S200000,00800,0500,O 133730,S200000,00801,0200,137301 133730,S200000,00801,0300,02/05/99 133730,S200000,00801,0500,O 133730,S200000,01500,0100,N 133730,S200000,01600,0100,Y 133730,S200000,01700,0100,N 133730,S200000,01800,0100,N 133730,S200000,02200,0100,N 133730,S200000,02800,0100,N 133730,S200000,02900,0100,N 133730,S200000,03000,0100,N 133730,S200000,03100,0100,N 133730,S200000,03200,0100,N 133730,S200000,04100,0100,N 133730,S200000,04200,0100,N 133730,S200000,04300,0100,N 133730,S200000,04600,0100,N 133730,S200000,04700,0100,N 133730,S200000,04700,0200,N 133730,S200000,04900,0100,N 133730,S200000,05000,0100,N 133730,S200000,05100,0100,N 133730,S200000,05200,0100,N 133891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 133891,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 133891,A000000,00300,0000,0300EMPLOYEE BENEFITS 133891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 133891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 133891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 133891,A000000,00700,0000,0700HOUSEKEEPING 133891,A000000,00800,0000,0800DIETARY 133891,A000000,00900,0000,0900NURSING ADMINISTRATION 133891,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 133891,A000000,01100,0000,1100PHARMACY 133891,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 133891,A000000,01300,0000,1300SOCIAL SERVICE 133891,A000000,01301,0000,1301ACTIVITIES 133891,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 133891,A000000,01500,0000,1350REHABILITATION 133891,A000000,01600,0000,1600SKILLED NURSING FACILITY 133891,A000000,01800,0000,1800NURSING FACILITY 133891,A000000,01810,0000,1810ICF/MR 133891,A000000,02200,0000,2200LABORATORY 133891,A000000,02300,0000,2300INTRAVENOUS THERAPY 133891,A000000,02500,0000,2500PHYSICAL THERAPY 133891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 133891,A000000,02700,0000,2700SPEECH PATHOLOGY 133891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 133891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 133891,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 133891,A000000,03550,0000,3550FQHC 133891,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 133891,A000000,05000,0000,5000CORF 133891,A000000,05010,0000,5010CMHC 133891,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 133891,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 133891,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 133891,A000000,05300,0000,5300INTEREST EXPENSE 133891,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 133891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 133891,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 133891,A81000A,00100,0100,Y 133891,A81000B,00100,0300,HOME COST CAPTIAL 133891,A81000B,00200,0300,MEDICAL SUPPLIES 133891,A81000B,00300,0300,DIETARY 133891,A81000B,00400,0300,DRUGS 133891,A81000B,00500,0300,IV 133891,A81000B,00600,0300,PT 133891,A81000B,00700,0300,OT 133891,A81000B,00800,0300,ST 133891,A81000B,00900,0300,HOME OFFICE COST ALLOCATION 133891,A81000C,00100,0100,B 133891,A81000C,00100,0200,B/C OF FINCASTL 133891,A81000C,00100,0400,MAINER PAN 133891,A81000C,00100,0600,NURSING HOMES 133891,A81000C,00200,0100,G 133891,A81000C,00200,0200,MARINER PAN 133891,A81000C,00200,0400,AMER PHARM SERV 133891,A81000C,00200,0600,PHARMACEUTICALS 133891,A81000C,00300,0100,G 133891,A81000C,00300,0200,MARINER PAN 133891,A81000C,00300,0400,PRISM - ATS-ARS 133891,A81000C,00300,0600,THERAPIES 133891,B100000,00000,0100,0100SQUARE FEET 133891,B100000,00000,0200,0200SQUARE FEET 133891,B100000,00000,0300,0300GROSS SALARIES 133891,B100000,00000,0400,0400ACCUM COST 133891,B100000,00000,0500,0500SQUARE FEET 133891,B100000,00000,0600,0600POUNDS OF LAUNDRY 133891,B100000,00000,0700,0700SQUARE FEET 133891,B100000,00000,0800,0800MEALS SERVED 133891,B100000,00000,0900,0900DIRECT NUR 133891,B100000,00000,1000,1000PATIENT REQUIS. 133891,B100000,00000,1100,1100COSTED REQUIS 133891,B100000,00000,1200,1200PATIENT DAYS 133891,B100000,00000,1300,1300PATIENT DAYS 133891,B100000,00000,1301,1301PATIENT DAYS 133891,B100000,00000,1400,1400ASSIGNED TIME 133891,B100000,00000,1500,1350UNIT OF SERVICE 133891,E10A180,00301,0100,07/19/99 133891,S000000,00100,0200,05/14/02 133891,S200000,00100,0100,ROUTE 1 BOX 478N 133891,S200000,00200,0100,FINCASTLE 133891,S200000,00200,0200,VA 133891,S200000,00200,0300,24090 133891,S200000,00300,0100,BOTETOURT 133891,S200000,00300,0200,6800 133891,S200000,00300,0300,U 133891,S200000,00400,0100,BRIAN CTR HLTH & REHAB/FINCASTLE 133891,S200000,00400,0200,495218 133891,S200000,00400,0300,04/01/92 133891,S200000,00400,0500,P 133891,S200000,01500,0100,N 133891,S200000,01600,0100,Y 133891,S200000,01700,0100,N 133891,S200000,01800,0100,N 133891,S200000,02200,0100,N 133891,S200000,02800,0100,N 133891,S200000,02900,0100,N 133891,S200000,03000,0100,N 133891,S200000,03100,0100,N 133891,S200000,03200,0100,N 133891,S200000,03300,0100,N 133891,S200000,03300,0200,N 133891,S200000,04100,0100,N 133891,S200000,04200,0100,N 133891,S200000,04300,0100,N 133891,S200000,04600,0100,N 133891,S200000,04700,0100,N 133891,S200000,04900,0100,N 133891,S200000,05000,0100,N 133891,S200000,05100,0100,N 133891,S200000,05200,0100,N 134020,S000000,00100,0200,06/01/00 134022,S000000,00100,0200,05/31/00 134066,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 134066,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 134066,A000000,00300,0000,0300EMPLOYEE BENEFITS 134066,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134066,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 134066,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134066,A000000,00700,0000,0700HOUSEKEEPING 134066,A000000,00800,0000,0800DIETARY 134066,A000000,00900,0000,0900NURSING ADMINISTRATION 134066,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134066,A000000,01100,0000,1100PHARMACY 134066,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134066,A000000,01300,0000,1300SOCIAL SERVICE 134066,A000000,01301,0000,1301ACTIVITIES 134066,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 134066,A000000,01500,0000,1350REHABILITATION 134066,A000000,01600,0000,1600SKILLED NURSING FACILITY 134066,A000000,01800,0000,1800NURSING FACILITY 134066,A000000,01810,0000,1810ICF/MR 134066,A000000,02200,0000,2200LABORATORY 134066,A000000,02300,0000,2300INTRAVENOUS THERAPY 134066,A000000,02500,0000,2500PHYSICAL THERAPY 134066,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134066,A000000,02700,0000,2700SPEECH PATHOLOGY 134066,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 134066,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134066,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 134066,A000000,03550,0000,3550FQHC 134066,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134066,A000000,05000,0000,5000CORF 134066,A000000,05010,0000,5010CMHC 134066,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134066,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134066,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134066,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134066,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134066,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134066,A81000A,00100,0100,Y 134066,A81000B,00100,0300,HOIME OFFICE COST 134066,A81000B,00200,0300,MEDICAL SUPPLIES 134066,A81000B,00300,0300,DIETARY SUPPLEMENTS 134066,A81000B,00400,0300,HOME OFFICE CAPITAL 134066,A81000C,00100,0100,B 134066,A81000C,00100,0200,B/C KEGLEY MANO 134066,A81000C,00100,0400,MARINER PAN 134066,A81000C,00100,0600,NURSING HOMES 134066,A81000C,00200,0100,G 134066,A81000C,00200,0200,MARINER PAN 134066,A81000C,00200,0400,AMER PHAR SVCS 134066,A81000C,00200,0600,PHARMACEUTICALS 134066,A81000C,00300,0100,G 134066,A81000C,00300,0200,MARINER PAN 134066,A81000C,00300,0400,PRISM-ATS-ARS-T 134066,A81000C,00300,0600,THERAPIES 134066,B100000,00000,0100,0100SQUARE FEET 134066,B100000,00000,0200,0200SQUARE FEET 134066,B100000,00000,0300,0300GROSS SALARIES 134066,B100000,00000,0400,0400ACCUM COST 134066,B100000,00000,0500,0500SQUARE FEET 134066,B100000,00000,0600,0600POUNDS OF LAUNDRY 134066,B100000,00000,0700,0700HOURS OF SERVICE 134066,B100000,00000,0800,0800MEALS SERVED 134066,B100000,00000,0900,0900DIRECT NUR 134066,B100000,00000,1000,1000COSTED REQUIS. 134066,B100000,00000,1100,1100COSTED REQUIS. 134066,B100000,00000,1200,1200TIME SPENT 134066,B100000,00000,1300,1300TIME SPENT 134066,B100000,00000,1301,1301TIME SPENT 134066,B100000,00000,1400,1400ASSIGNED TIME 134066,B100000,00000,1500,1350TIME SPENT 134066,E10A180,00301,0100,07/19/99 134066,S000000,00100,0200,05/14/02 134066,S200000,00100,0100,ROUTE 1 BOX 105 134066,S200000,00200,0100,BASTIAN 134066,S200000,00200,0200,VA 134066,S200000,00200,0300,24314 134066,S200000,00300,0100,BLAND 134066,S200000,00300,0300,R 134066,S200000,00400,0100,KEGLEY MANOR 134066,S200000,00400,0200,495191 134066,S200000,00400,0300,04/01/92 134066,S200000,00400,0500,P 134066,S200000,01500,0100,N 134066,S200000,01600,0100,Y 134066,S200000,01700,0100,N 134066,S200000,01800,0100,N 134066,S200000,02200,0100,N 134066,S200000,02800,0100,N 134066,S200000,02900,0100,N 134066,S200000,03000,0100,N 134066,S200000,03100,0100,N 134066,S200000,03200,0100,N 134066,S200000,03300,0100,N 134066,S200000,03300,0200,N 134066,S200000,04100,0100,N 134066,S200000,04200,0100,N 134066,S200000,04300,0100,N 134066,S200000,04600,0100,N 134066,S200000,04700,0100,N 134066,S200000,04900,0100,N 134066,S200000,05000,0100,N 134066,S200000,05100,0100,N 134066,S200000,05200,0100,N 134067,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 134067,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 134067,A000000,00300,0000,0300EMPLOYEE BENEFITS 134067,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134067,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 134067,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134067,A000000,00700,0000,0700HOUSEKEEPING 134067,A000000,00800,0000,0800DIETARY 134067,A000000,00900,0000,0900NURSING ADMINISTRATION 134067,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134067,A000000,01100,0000,1100PHARMACY 134067,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134067,A000000,01300,0000,1300SOCIAL SERVICE 134067,A000000,01301,0000,1301ACTIVITIES 134067,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 134067,A000000,01500,0000,1350REHABILITATION 134067,A000000,01600,0000,1600SKILLED NURSING FACILITY 134067,A000000,01800,0000,1800NURSING FACILITY 134067,A000000,01810,0000,1810ICF/MR 134067,A000000,02200,0000,2200LABORATORY 134067,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134067,A000000,02500,0000,2500PHYSICAL THERAPY 134067,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134067,A000000,02700,0000,2700SPEECH PATHOLOGY 134067,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 134067,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134067,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 134067,A000000,03550,0000,3550FQHC 134067,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134067,A000000,05000,0000,5000CORF 134067,A000000,05010,0000,5010CMHC 134067,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134067,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134067,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134067,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134067,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134067,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134067,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134067,A81000A,00100,0100,Y 134067,A81000B,00100,0300,HOME OFFICE CAPITAL 134067,A81000B,00200,0300,MEDICAL SUPPLIES 134067,A81000B,00300,0300,PT 134067,A81000B,00400,0300,OT 134067,A81000B,00500,0300,ST 134067,A81000B,00600,0300,HOME OFFICE COST ALLOCATION 134067,A81000B,00700,0300,CENTRAL SUPPLY 134067,A81000C,00100,0100,B 134067,A81000C,00100,0200,B/C ALLEGHANY P 134067,A81000C,00100,0400,MARINER PAN 134067,A81000C,00100,0600,NURSING HOMES 134067,A81000C,00200,0100,G 134067,A81000C,00200,0200,MARINER PAN 134067,A81000C,00200,0400,AMER. PHARM SER 134067,A81000C,00200,0600,PHARMACEUTICALS 134067,A81000C,00300,0100,G 134067,A81000C,00300,0200,MARINER PAN 134067,A81000C,00300,0400,PRISM-ATS-ARS-T 134067,A81000C,00300,0600,THERAPIES 134067,B100000,00000,0100,0100SQUARE FEET 134067,B100000,00000,0200,0200SQUARE FEET 134067,B100000,00000,0300,0300GROSS SALARIES 134067,B100000,00000,0400,0400ACCUM COST 134067,B100000,00000,0500,0500SQUARE FEET 134067,B100000,00000,0600,0600POUNDS OF LAUNDRY 134067,B100000,00000,0700,0700HOURS OF SERVICE 134067,B100000,00000,0800,0800MEALS SERVED 134067,B100000,00000,0900,0900DIRECT NUR 134067,B100000,00000,1000,1000COSTED REQUIS. 134067,B100000,00000,1100,1100COSTED REQUIS. 134067,B100000,00000,1200,1200TIME SPENT 134067,B100000,00000,1300,1300TIME SPENT 134067,B100000,00000,1301,1301PATIENT DAYS 134067,B100000,00000,1400,1400ASSIGNED TIME 134067,B100000,00000,1500,1350UNIT OF SERVICES 134067,E10A180,00301,0100,07/19/99 134067,E10A180,00302,0100,07/19/99 134067,E10A180,00501,0300,05/14/02 134067,E10A180,00550,0100,05/14/02 134067,S000000,00100,0200,05/14/02 134067,S200000,00100,0100,ARCH LNAE P.O. BOX 200 134067,S200000,00200,0100,LOW MOOR 134067,S200000,00200,0200,VA 134067,S200000,00200,0300,24457 134067,S200000,00300,0100,ALLEGHANY 134067,S200000,00300,0300,R 134067,S200000,00400,0100,BRIAN CTR HLTH & REHAB/ALLEGHANY 134067,S200000,00400,0200,495221 134067,S200000,00400,0300,04/01/92 134067,S200000,00400,0500,P 134067,S200000,01500,0100,N 134067,S200000,01600,0100,Y 134067,S200000,01700,0100,N 134067,S200000,01800,0100,N 134067,S200000,02200,0100,N 134067,S200000,02800,0100,N 134067,S200000,02900,0100,N 134067,S200000,03000,0100,N 134067,S200000,03100,0100,N 134067,S200000,03200,0100,N 134067,S200000,03300,0100,N 134067,S200000,03300,0200,N 134067,S200000,04100,0100,N 134067,S200000,04200,0100,N 134067,S200000,04300,0100,N 134067,S200000,04600,0100,N 134067,S200000,04700,0100,N 134067,S200000,04900,0100,N 134067,S200000,05000,0100,N 134067,S200000,05100,0100,N 134067,S200000,05200,0100,N 134173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134173,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134173,A000000,00300,0000,0300EMPLOYEE BENEFITS 134173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134173,A000000,00700,0000,0700HOUSEKEEPING 134173,A000000,00800,0000,0800DIETARY 134173,A000000,00900,0000,0900NURSING ADMINISTRATION 134173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134173,A000000,01100,0000,1100PHARMACY 134173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134173,A000000,01300,0000,1300SOCIAL SERVICE 134173,A000000,01600,0000,1600SKILLED NURSING FACILITY 134173,A000000,01800,0000,1800NURSING FACILITY 134173,A000000,01900,0000,1900OTHER LONG TERM CARE 134173,A000000,02100,0000,2100RADIOLOGY 134173,A000000,02200,0000,2200LABORATORY 134173,A000000,02300,0000,2300INTRAVENOUS THERAPY 134173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134173,A000000,02500,0000,2500PHYSICAL THERAPY 134173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134173,A000000,02700,0000,2700SPEECH PATHOLOGY 134173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134173,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134173,A000000,04800,0000,4800AMBULANCE 134173,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134173,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134173,A81000A,00100,0100,Y 134173,A81000B,00100,0300,HOME OFFICE ALLOC 134173,A81000B,00200,0300,HOME OFFICE ALLOC 134173,A81000B,00400,0300,PHYSICAL THERAPY 134173,A81000B,00500,0300,OCCUPATIONAL THERAPY 134173,A81000B,00600,0300,SPEECH THERAPY 134173,A81000C,00100,0100,A 134173,A81000C,00100,0200,COVENANT CARE INC 134173,A81000C,00100,0400,COVENANT CARE INC. 134173,A81000C,00100,0600,HEALTH CARE 134173,A81000C,00200,0100,B 134173,A81000C,00200,0200,PHARMACY 134173,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 134173,A81000C,00200,0600,PHARMACY - HEALTH CARE 134173,A81000C,00300,0100,C 134173,A81000C,00300,0200,THERAPY 134173,A81000C,00300,0400,SELECT THEREAPY 134173,A81000C,00300,0600,THERAPY SERVICES 134173,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134173,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134173,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134173,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134173,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134173,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134173,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134173,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134173,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 134173,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134173,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 134173,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134173,S000000,00100,0200,06/01/00 134173,S200000,00100,0100,2450 NORTH BUFFALO DRIVE 134173,S200000,00200,0100,LAS VEGAS 134173,S200000,00200,0200,NV 134173,S200000,00200,0300,89129- 134173,S200000,00300,0100,CLARKE COUNTY 134173,S200000,00300,0200,4120 134173,S200000,00300,0300,U 134173,S200000,00400,0100,SILVER HILLS HEALTHCARE CENTER 134173,S200000,00400,0200,295066 134173,S200000,00400,0300,10/01/98 134173,S200000,00400,0500,P 134173,S200000,00600,0300,01/01/98 134173,S200000,01500,0100,N 134173,S200000,01600,0100,Y 134173,S200000,01700,0100,N 134173,S200000,01800,0100,N 134173,S200000,02200,0100,N 134173,S200000,02800,0100,N 134173,S200000,02900,0100,N 134173,S200000,03000,0100,N 134173,S200000,03100,0100,N 134173,S200000,03200,0100,N 134173,S200000,04100,0100,N 134173,S200000,04200,0100,N 134173,S200000,04300,0100,N 134173,S200000,04600,0100,N 134173,S200000,04700,0100,N 134173,S200000,04700,0200,N 134173,S200000,04900,0100,N 134173,S200000,05000,0100,N 134173,S200000,05100,0100,N 134173,S200000,05200,0100,N 134174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134174,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134174,A000000,00300,0000,0300EMPLOYEE BENEFITS 134174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134174,A000000,00700,0000,0700HOUSEKEEPING 134174,A000000,00800,0000,0800DIETARY 134174,A000000,00900,0000,0900NURSING ADMINISTRATION 134174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134174,A000000,01100,0000,1100PHARMACY 134174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134174,A000000,01300,0000,1300SOCIAL SERVICE 134174,A000000,01600,0000,1600SKILLED NURSING FACILITY 134174,A000000,01800,0000,1800NURSING FACILITY 134174,A000000,01900,0000,1900OTHER LONG TERM CARE 134174,A000000,02100,0000,2100RADIOLOGY 134174,A000000,02200,0000,2200LABORATORY 134174,A000000,02300,0000,2300INTRAVENOUS THERAPY 134174,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134174,A000000,02500,0000,2500PHYSICAL THERAPY 134174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134174,A000000,02700,0000,2700SPEECH PATHOLOGY 134174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134174,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134174,A000000,04800,0000,4800AMBULANCE 134174,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134174,A81000A,00100,0100,Y 134174,A81000B,00100,0300,HOME OFFICE ALLOC 134174,A81000B,00200,0300,HOME OFFICE ALLOC 134174,A81000B,00400,0300,PHYSICAL THERAPY 134174,A81000B,00500,0300,OCCUPATIONAL THERAPY 134174,A81000B,00600,0300,SPEECH THERAPY 134174,A81000C,00100,0100,A 134174,A81000C,00100,0200,COVENANT CARE INC 134174,A81000C,00100,0400,COVENANT CARE INC. 134174,A81000C,00100,0600,HEALTH CARE 134174,A81000C,00200,0100,A 134174,A81000C,00300,0100,C 134174,A81000C,00300,0200,THERAPY 134174,A81000C,00300,0400,SELECT THEREAPY 134174,A81000C,00300,0600,THERAPY SERVICES 134174,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134174,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134174,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134174,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134174,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134174,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134174,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134174,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134174,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 134174,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134174,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 134174,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134174,S000000,00100,0200,06/01/00 134174,S200000,00100,0100,1151 SOUTH TORREY PINES DRIVE 134174,S200000,00200,0100,LAS VEGAS 134174,S200000,00200,0200,NV 134174,S200000,00200,0300,89146- 134174,S200000,00300,0100,CLARKE 134174,S200000,00300,0200,4120 134174,S200000,00300,0300,U 134174,S200000,00400,0100,SILVER RIDGE HEALTHCARE CENTER 134174,S200000,00400,0200,295072 134174,S200000,00400,0300,09/30/99 134174,S200000,00400,0500,P 134174,S200000,01004,0500,O 134174,S200000,01500,0100,N 134174,S200000,01600,0100,Y 134174,S200000,01700,0100,N 134174,S200000,01800,0100,N 134174,S200000,02200,0100,N 134174,S200000,02800,0100,N 134174,S200000,02900,0100,N 134174,S200000,03000,0100,N 134174,S200000,03100,0100,N 134174,S200000,03200,0100,N 134174,S200000,04100,0100,N 134174,S200000,04200,0100,N 134174,S200000,04300,0100,N 134174,S200000,04600,0100,N 134174,S200000,04700,0100,N 134174,S200000,04700,0200,N 134174,S200000,04900,0100,N 134174,S200000,05000,0100,N 134174,S200000,05100,0100,N 134174,S200000,05200,0100,N 134188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134188,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134188,A000000,00300,0000,0300EMPLOYEE BENEFITS 134188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134188,A000000,00700,0000,0700HOUSEKEEPING 134188,A000000,00800,0000,0800DIETARY 134188,A000000,00900,0000,0900NURSING ADMINISTRATION 134188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134188,A000000,01100,0000,1100PHARMACY 134188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134188,A000000,01300,0000,1300SOCIAL SERVICE 134188,A000000,01600,0000,1600SKILLED NURSING FACILITY 134188,A000000,01800,0000,1800NURSING FACILITY 134188,A000000,01900,0000,1900OTHER LONG TERM CARE 134188,A000000,02100,0000,2100RADIOLOGY 134188,A000000,02200,0000,2200LABORATORY 134188,A000000,02300,0000,2300INTRAVENOUS THERAPY 134188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134188,A000000,02500,0000,2500PHYSICAL THERAPY 134188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134188,A000000,02700,0000,2700SPEECH PATHOLOGY 134188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134188,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134188,A000000,04800,0000,4800AMBULANCE 134188,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134188,A81000A,00100,0100,Y 134188,A81000B,00100,0300,HOME OFFICE ALLOC 134188,A81000B,00200,0300,HOME OFFICE ALLOC 134188,A81000B,00300,0300,PHARMACY 134188,A81000B,00400,0300,OCCUPATIONAL THERAPY 134188,A81000C,00100,0100,A 134188,A81000C,00100,0200,COVENANT CARE INC 134188,A81000C,00100,0400,COVENANT CARE INC. 134188,A81000C,00100,0600,HEALTH CARE 134188,A81000C,00200,0100,B 134188,A81000C,00200,0200,PHARMACY 134188,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 134188,A81000C,00200,0600,PHARMACY - HEALTH CARE 134188,A81000C,00300,0100,C 134188,A81000C,00300,0200,THERAPY 134188,A81000C,00300,0400,SELECT THEREAPY 134188,A81000C,00300,0600,THERAPY SERVICES 134188,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134188,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134188,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134188,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134188,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134188,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134188,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134188,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 134188,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134188,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 134188,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134188,S000000,00100,0200,06/01/00 134188,S200000,00100,0100,4120 NORTH WINCESTER 134188,S200000,00200,0100,SANTA CLARA 134188,S200000,00200,0200,CA 134188,S200000,00200,0300,95050- 134188,S200000,00300,0100,SANTA CLARA/SAN JOSE 134188,S200000,00300,0200,7400 134188,S200000,00300,0300,U 134188,S200000,00400,0100,MISSION SKILLED NURSING 134188,S200000,00400,0200,055645 134188,S200000,00400,0300,02/15/67 134188,S200000,00400,0500,P 134188,S200000,01500,0100,N 134188,S200000,01600,0100,Y 134188,S200000,01700,0100,N 134188,S200000,01800,0100,N 134188,S200000,02200,0100,N 134188,S200000,02800,0100,N 134188,S200000,02900,0100,N 134188,S200000,03000,0100,N 134188,S200000,03100,0100,N 134188,S200000,03200,0100,N 134188,S200000,04100,0100,N 134188,S200000,04200,0100,N 134188,S200000,04300,0100,N 134188,S200000,04600,0100,N 134188,S200000,04700,0100,N 134188,S200000,04700,0200,N 134188,S200000,04900,0100,N 134188,S200000,05000,0100,N 134188,S200000,05100,0100,N 134188,S200000,05200,0100,N 134189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134189,A000000,00300,0000,0300EMPLOYEE BENEFITS 134189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134189,A000000,00700,0000,0700HOUSEKEEPING 134189,A000000,00800,0000,0800DIETARY 134189,A000000,00900,0000,0900NURSING ADMINISTRATION 134189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134189,A000000,01100,0000,1100PHARMACY 134189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134189,A000000,01300,0000,1300SOCIAL SERVICE 134189,A000000,01600,0000,1600SKILLED NURSING FACILITY 134189,A000000,01800,0000,1800NURSING FACILITY 134189,A000000,01900,0000,1900OTHER LONG TERM CARE 134189,A000000,02100,0000,2100RADIOLOGY 134189,A000000,02200,0000,2200LABORATORY 134189,A000000,02300,0000,2300INTRAVENOUS THERAPY 134189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134189,A000000,02500,0000,2500PHYSICAL THERAPY 134189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134189,A000000,02700,0000,2700SPEECH PATHOLOGY 134189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134189,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134189,A000000,04800,0000,4800AMBULANCE 134189,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134189,A81000A,00100,0100,Y 134189,A81000B,00100,0300,HOME OFFICE ALLOC 134189,A81000B,00200,0300,HOME OFFICE ALLOC 134189,A81000B,00300,0300,PHARMACY 134189,A81000B,00400,0300,PHYSICAL THERAPY 134189,A81000B,00500,0300,OCCUPATIONAL THERAPY 134189,A81000B,00600,0300,SPEECH THERAPY 134189,A81000C,00100,0100,A 134189,A81000C,00100,0200,COVENANT CARE INC 134189,A81000C,00100,0400,COVENANT CARE INC. 134189,A81000C,00100,0600,HEALTH CARE 134189,A81000C,00200,0100,B 134189,A81000C,00200,0200,PHARMACY 134189,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 134189,A81000C,00200,0600,PHARMACY - HEALTH CARE 134189,A81000C,00300,0100,C 134189,A81000C,00300,0200,THERAPY 134189,A81000C,00300,0400,SELECT THEREAPY 134189,A81000C,00300,0600,THERAPY SERVICES 134189,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134189,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134189,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134189,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134189,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134189,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134189,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134189,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134189,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 134189,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134189,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 134189,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134189,S000000,00100,0200,06/01/00 134189,S200000,00100,0100,809 FREMONT AVENUE 134189,S200000,00200,0100,LOS ALTOS 134189,S200000,00200,0200,CA 134189,S200000,00200,0300,94024- 134189,S200000,00300,0100,SANTA CLARA 134189,S200000,00300,0200,7400 134189,S200000,00300,0300,U 134189,S200000,00400,0100,LOS ALTOS SUB-ACUTE & REHAB. CENTER 134189,S200000,00400,0200,056116 134189,S200000,00400,0300,06/01/89 134189,S200000,00400,0500,P 134189,S200000,00600,0200,056116 134189,S200000,00600,0300,06/01/89 134189,S200000,01500,0100,N 134189,S200000,01600,0100,Y 134189,S200000,01700,0100,N 134189,S200000,01800,0100,N 134189,S200000,02200,0100,N 134189,S200000,02800,0100,N 134189,S200000,02900,0100,N 134189,S200000,03000,0100,N 134189,S200000,03100,0100,N 134189,S200000,03200,0100,N 134189,S200000,04100,0100,N 134189,S200000,04200,0100,N 134189,S200000,04300,0100,N 134189,S200000,04600,0100,N 134189,S200000,04700,0100,N 134189,S200000,04700,0200,N 134189,S200000,04900,0100,N 134189,S200000,05000,0100,N 134189,S200000,05100,0100,N 134189,S200000,05200,0100,N 134340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 134340,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 134340,A000000,00300,0000,0300EMPLOYEE BENEFITS 134340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 134340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134340,A000000,00700,0000,0700HOUSEKEEPING 134340,A000000,00800,0000,0800DIETARY 134340,A000000,00900,0000,0900NURSING ADMINISTRATION 134340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134340,A000000,01100,0000,1100PHARMACY 134340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134340,A000000,01300,0000,1300SOCIAL SERVICE 134340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 134340,A000000,01500,0000,1350PATIENT ACTIVITIES 134340,A000000,01600,0000,1600SKILLED NURSING FACILITY 134340,A000000,01810,0000,1810ICF/MR 134340,A000000,02100,0000,2100RADIOLOGY 134340,A000000,02200,0000,2200LABORATORY 134340,A000000,02500,0000,2500PHYSICAL THERAPY 134340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134340,A000000,02700,0000,2700SPEECH PATHOLOGY 134340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 134340,A000000,02901,0000,2901CLINITRON BEDS 134340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134340,A000000,03550,0000,3550FQHC 134340,A000000,05000,0000,5000CORF 134340,A000000,05010,0000,5010CMHC 134340,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134340,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134340,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134340,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134340,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134340,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 134340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134340,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134340,A000000,06301,0000,6151AEMC CLININC 134340,A81000A,00100,0100,N 134340,B100000,00000,0100,0100SQUARE FEET 134340,B100000,00000,0200,0200SQUARE FEET 134340,B100000,00000,0300,0300GROSS SALARIES 134340,B100000,00000,0400,0400ACCUM COST 134340,B100000,00000,0500,0500SQUARE FEET 134340,B100000,00000,0600,0600POUNDS OF LAUNDRY 134340,B100000,00000,0700,0700SQ FT EXCL DIETA 134340,B100000,00000,0800,0800PATIENT DAYS 134340,B100000,00000,0900,0900NURSING SALARIES 134340,B100000,00000,1000,1000PATIENT DAYS 134340,B100000,00000,1100,1100COSTED REQUIS. 134340,B100000,00000,1200,1200PATIENT DAYS 134340,B100000,00000,1300,1300PATIENT DAYS 134340,B100000,00000,1400,1400ASSIGNED TIME 134340,B100000,00000,1500,1350PATIENT DAYS 134340,E10A180,00501,0100,12/04/00 134340,E10A180,00501,0300,12/04/00 134340,E10A180,00550,0100,12/26/01 134340,E10A180,00550,0300,12/26/01 134340,S000000,00100,0200,11/20/00 134340,S200000,00100,0100,7800 BUSTLETON AVENUE 134340,S200000,00200,0100,PHILADELPHIA 134340,S200000,00200,0200,PA 134340,S200000,00200,0300,19152 134340,S200000,00300,0100,PHILADELPHIA 134340,S200000,00300,0200,6160 134340,S200000,00300,0300,U 134340,S200000,00400,0100,GOLDEN SLIPPER CLUB - UPTOWN HOME 134340,S200000,00400,0200,395537 134340,S200000,00400,0300,07/09/85 134340,S200000,00400,0500,P 134340,S200000,01500,0100,Y 134340,S200000,01600,0100,N 134340,S200000,01700,0100,N 134340,S200000,01800,0100,N 134340,S200000,01900,0100,501 (C) (3) 134340,S200000,02200,0100,N 134340,S200000,02800,0100,N 134340,S200000,02900,0100,N 134340,S200000,03000,0100,N 134340,S200000,03100,0100,N 134340,S200000,03200,0100,N 134340,S200000,03300,0100,N 134340,S200000,03300,0200,N 134340,S200000,04100,0100,N 134340,S200000,04200,0100,N 134340,S200000,04300,0100,Y 134340,S200000,04600,0100,N 134340,S200000,04700,0100,N 134340,S200000,04900,0100,N 134340,S200000,05200,0100,N 134341,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 134341,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 134341,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 134341,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 134341,A000000,00300,0000,0300EMPLOYEE BENEFITS 134341,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134341,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 134341,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134341,A000000,00700,0000,0700HOUSEKEEPING 134341,A000000,00800,0000,0800DIETARY 134341,A000000,00801,0000,0801CAFETERIA 134341,A000000,00900,0000,0900NURSING ADMINISTRATION 134341,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134341,A000000,01100,0000,1100PHARMACY 134341,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134341,A000000,01300,0000,1300SOCIAL SERVICE 134341,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 134341,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134341,A000000,01600,0000,1600SKILLED NURSING FACILITY 134341,A000000,01800,0000,1800NURSING FACILITY 134341,A000000,01810,0000,1810ICF/MR 134341,A000000,02100,0000,2100RADIOLOGY 134341,A000000,02200,0000,2200LABORATORY 134341,A000000,02300,0000,2300INTRAVENOUS THERAPY 134341,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134341,A000000,02500,0000,2500PHYSICAL THERAPY 134341,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134341,A000000,02700,0000,2700SPEECH PATHOLOGY 134341,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 134341,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134341,A000000,03200,0000,3200SUPPORT SURFACES 134341,A000000,03300,0000,3050PEN PART B 134341,A000000,03301,0000,3051FEE SCREENING 134341,A000000,03302,0000,3052OTHER ANCILLARY III 134341,A000000,03550,0000,3550FQHC 134341,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 134341,A000000,05000,0000,5000CORF I 134341,A000000,05010,0000,5010CMHC I 134341,A000000,05020,0000,5020OPT I 134341,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134341,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134341,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134341,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 134341,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 134341,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134341,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134341,A81000A,00100,0100,Y 134341,A81000B,00100,0300,HOME OFFICE ALLOCATIOND 134341,A81000B,00200,0300,H.O. CAP RELATED 134341,A81000B,00300,0300,PT 134341,A81000B,00400,0300,OT 134341,A81000B,00500,0300,ST 134341,A81000B,00600,0300,MEDICAL SUPPLIES 134341,A81000B,00700,0300,DRUGS 134341,A81000B,00800,0300,CLINITRON 134341,A81000B,00900,0300,CENRAL SUPPLY 134341,A81000C,00100,0100,B 134341,A81000C,00100,0200,GENEESIS HEALTS 134341,A81000C,00100,0600,MGMT CO 134341,A81000C,00200,0100,B 134341,A81000C,00200,0200,NEIGHBORCARE 134341,A81000C,00200,0600,PHARMACY 134341,A81000C,00300,0100,B 134341,A81000C,00300,0200,GENESIS SCVS 134341,A81000C,00300,0600,VARIOUS 134341,A81000C,00400,0100,B 134341,A81000C,00400,0200,GENESIS PHYS 134341,A81000C,00400,0600,CASE MGMT 134341,A81000C,00500,0100,B 134341,A81000C,00500,0200,GENESIS REHAB 134341,A81000C,00500,0600,RT 134341,B100000,00000,0100,0100(SQUARE FEET) 134341,B100000,00000,0101,0101(SQUARE FEET) 134341,B100000,00000,0200,0200(SQUARE FEET) 134341,B100000,00000,0201,0201(SQUARE FEET) 134341,B100000,00000,0300,0300(GROSS SALARIES) 134341,B100000,00000,0400,0400ACCUM COST 134341,B100000,00000,0500,0500(SQUARE FEET) 134341,B100000,00000,0600,0600(PATIENT DAYS) 134341,B100000,00000,0700,0700(SQUARE FEET) 134341,B100000,00000,0800,0800(MEALS SERVED) 134341,B100000,00000,0801,0801(MEALS SERVED) 134341,B100000,00000,0900,0900(NURSING SALARIES) 134341,B100000,00000,1000,1000(PATIENT DAYS) 134341,B100000,00000,1100,1100(PATIENT DAYS) 134341,B100000,00000,1200,1200(GROSS CHARGES) 134341,B100000,00000,1300,1300(PATIENT DAYS) 134341,B100000,00000,1400,1400(ASSIGNED TIME) 134341,B100000,00000,1500,1350(PATIENT DAYS) 134341,E10A180,00501,0100,03/17/00 134341,E10A180,00501,0300,03/17/00 134341,E10A180,00502,0100,05/18/01 134341,E10A180,00550,0300,05/18/01 134341,S000000,00100,0200,03/06/00 134341,S200000,00100,0100,301 SOUTH BAY STREET 134341,S200000,00200,0100,EUSTIS 134341,S200000,00200,0200,FL 134341,S200000,00200,0300,32726 134341,S200000,00300,0200,5960 134341,S200000,00300,0300,U 134341,S200000,00400,0100,OAKWOOD 134341,S200000,00400,0200,105324 134341,S200000,00400,0300,08/01/87 134341,S200000,00400,0500,P 134341,S200000,01500,0100,N 134341,S200000,01600,0100,Y 134341,S200000,01700,0100,N 134341,S200000,01800,0100,N 134341,S200000,02200,0100,Y 134341,S200000,02800,0100,N 134341,S200000,02900,0100,N 134341,S200000,03000,0100,N 134341,S200000,03100,0100,N 134341,S200000,03200,0100,N 134341,S200000,03300,0100,N 134341,S200000,03300,0200,N 134341,S200000,04100,0100,N 134341,S200000,04200,0100,N 134341,S200000,04300,0100,N 134341,S200000,04700,0100,N 134341,S200000,04900,0100,N 134341,S200000,05200,0100,N 134362,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 134362,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 134362,A000000,00300,0000,0300EMPLOYEE BENEFITS 134362,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134362,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 134362,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134362,A000000,00700,0000,0700HOUSEKEEPING 134362,A000000,00800,0000,0800DIETARY 134362,A000000,00900,0000,0900NURSING ADMINISTRATION 134362,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134362,A000000,01100,0000,1100PHARMACY 134362,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134362,A000000,01300,0000,1300SOCIAL SERVICE 134362,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 134362,A000000,01600,0000,1600SKILLED NURSING FACILITY 134362,A000000,01800,0000,1800NURSING FACILITY 134362,A000000,01810,0000,1810ICF/MR 134362,A000000,02100,0000,2100RADIOLOGY 134362,A000000,02200,0000,2200LABORATORY 134362,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134362,A000000,02500,0000,2500PHYSICAL THERAPY 134362,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134362,A000000,02700,0000,2700SPEECH PATHOLOGY 134362,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 134362,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134362,A000000,03550,0000,3550FQHC 134362,A000000,05000,0000,5000CORF 134362,A000000,05010,0000,5010CMHC 134362,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134362,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134362,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134362,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134362,A000000,06200,0000,6200PATIENTS LAUNDRY 134362,A81000A,00100,0100,Y 134362,A81000B,00100,0300,CONTRACT THERAPY 134362,A81000B,00200,0300,CONTRACT THERAPY 134362,A81000B,00300,0300,CONTRACT THERAPY 134362,A81000B,00400,0300,HOME OFFICE COSTS 134362,A81000B,00500,0300,HOME OFFICE COSTS 134362,A81000C,00100,0100,B 134362,A81000C,00100,0400,GARY NEDERVELD 134362,A81000C,00100,0600,CONTRACT THERAP 134362,A81000C,00200,0100,B 134362,A81000C,00200,0400,GARY NEDERVELD 134362,A81000C,00200,0600,CONTRACT THERAP 134362,A81000C,00300,0100,B 134362,A81000C,00300,0400,GARY NEDERVELD 134362,A81000C,00300,0600,CONTRACT THERAP 134362,A81000C,00400,0100,B 134362,A81000C,00400,0400,MERCY CONTINUIN 134362,A81000C,00400,0600,LONG TERM CARE 134362,A81000C,00500,0100,B 134362,A81000C,00500,0400,MERCY CONTINUIN 134362,A81000C,00500,0600,LONG TERM CARE 134362,B100000,00000,0100,0100SQUARE FEET 134362,B100000,00000,0200,0200SQUARE FEET 134362,B100000,00000,0300,0300GROSS SALARIES 134362,B100000,00000,0400,0400ACCUM COST 134362,B100000,00000,0500,0500SQUARE FEET 134362,B100000,00000,0600,0600POUNDS OF LAUNDRY 134362,B100000,00000,0700,0700SQUARE FEET 134362,B100000,00000,0800,0800MEALS SERVED 134362,B100000,00000,0900,0900PATIENT DAYS 134362,B100000,00000,1000,1000COSTED REQUIS 134362,B100000,00000,1100,1100COSTED REQUIS 134362,B100000,00000,1200,1200TIME SPENT 134362,B100000,00000,1300,1300PATIENT DAYS 134362,B100000,00000,1400,1400ASSIGNED TIME 134362,E10A180,00501,0100,08/29/01 134362,E10A180,00501,0300,08/29/01 134362,S000000,00100,0200,12/28/00 134362,S200000,00100,0100,111 EVERGREEN 134362,S200000,00200,0100,BATTLE CREEK 134362,S200000,00200,0200,MI 134362,S200000,00200,0300,49017 134362,S200000,00300,0100,C 134362,S200000,00300,0200,3720 134362,S200000,00300,0300,U 134362,S200000,00400,0100,EVERGREEN MANOR 134362,S200000,00400,0200,235054 134362,S200000,00400,0300,01/01/90 134362,S200000,00400,0500,P 134362,S200000,00400,0600,O 134362,S200000,00600,0200,634619 134362,S200000,00600,0300,01/01/90 134362,S200000,00600,0600,O 134362,S200000,01500,0100,N 134362,S200000,01600,0100,Y 134362,S200000,01700,0100,N 134362,S200000,01800,0100,N 134362,S200000,02200,0100,Y 134362,S200000,02800,0100,N 134362,S200000,02900,0100,N 134362,S200000,03000,0100,N 134362,S200000,03100,0100,N 134362,S200000,03200,0100,N 134362,S200000,03300,0100,N 134362,S200000,03300,0200,N 134362,S200000,03500,0300,N 134362,S200000,04100,0100,N 134362,S200000,04200,0100,N 134362,S200000,04300,0100,Y 134362,S200000,04600,0100,N 134362,S200000,04700,0100,N 134362,S200000,04900,0100,N 134362,S200000,05200,0100,N 134527,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134527,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134527,A000000,00300,0000,0300EMPLOYEE BENEFITS 134527,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134527,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134527,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134527,A000000,00700,0000,0700HOUSEKEEPING 134527,A000000,00800,0000,0800DIETARY 134527,A000000,00900,0000,0900NURSING ADMINISTRATION 134527,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134527,A000000,01100,0000,1100PHARMACY 134527,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134527,A000000,01300,0000,1300SOCIAL SERVICE 134527,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134527,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134527,A000000,01600,0000,1600SKILLED NURSING FACILITY 134527,A000000,01800,0000,1800NURSING FACILITY 134527,A000000,01900,0000,1900OTHER LONG TERM CARE 134527,A000000,02100,0000,2100RADIOLOGY 134527,A000000,02200,0000,2200LABORATORY 134527,A000000,02300,0000,2300INTRAVENOUS THERAPY 134527,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134527,A000000,02500,0000,2500PHYSICAL THERAPY 134527,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134527,A000000,02700,0000,2700SPEECH PATHOLOGY 134527,A000000,02800,0000,2800ELECTROCARDIOLOGY 134527,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134527,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134527,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134527,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134527,A000000,03200,0000,3200SUPPORT SURFACES 134527,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134527,A000000,03400,0000,3400CLINIC 134527,A000000,03500,0000,3500RURAL HEALTH CLINIC 134527,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134527,A000000,04800,0000,4800AMBULANCE 134527,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134527,A000000,05000,0000,5000CORF 134527,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134527,A000000,05300,0000,5300INTEREST EXPENSE 134527,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134527,A000000,05500,0000,5500HOSPICE 134527,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134527,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134527,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134527,A000000,05901,0000,5901DOMICILLARY 134527,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134527,A000000,06100,0000,6100NONPAID WORKERS 134527,A000000,06200,0000,6200PATIENTS LAUNDRY 134527,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134527,A81000A,00100,0100,Y 134527,A81000B,00100,0300,CORPORATE OFFICE 134527,A81000B,00200,0300,CORPORATE OFFICE 134527,A81000C,00100,0100,C 134527,A81000C,00100,0200,NHS INC. 134527,A81000C,00100,0400,NHS INC. 134527,A81000C,00100,0600,HOME OFFICE 134527,A81000C,00200,0100,C 134527,A81000C,00200,0200,NHS INC. STOCK 134527,A81000C,00200,0400,NORTHGATE SERVI 134527,A81000C,00200,0600,PHARMACY 134527,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134527,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134527,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134527,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134527,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134527,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134527,B100000,00000,0800,0800MEALS SERVED :DIETARY 134527,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134527,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134527,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134527,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134527,S000000,00100,0200,12/01/00 134527,S200000,00100,0100,1825 HOLTVILLE ROAD 134527,S200000,00200,0100,WETUMPKA 134527,S200000,00200,0200,AL 134527,S200000,00200,0300,36092- 134527,S200000,00300,0100,ELMORE 134527,S200000,00300,0200,5240 134527,S200000,00300,0300,U 134527,S200000,00400,0100,WETUMPKA NURSING FACILITY 134527,S200000,00400,0200,015027 134527,S200000,00400,0300,07/24/67 134527,S200000,00400,0500,P 134527,S200000,01500,0100,N 134527,S200000,01600,0100,N 134527,S200000,01700,0100,N 134527,S200000,01800,0100,N 134527,S200000,02200,0100,N 134527,S200000,02800,0100,N 134527,S200000,02900,0100,N 134527,S200000,03000,0100,N 134527,S200000,03100,0100,N 134527,S200000,03200,0100,N 134527,S200000,04100,0100,N 134527,S200000,04200,0100,N 134527,S200000,04300,0100,N 134527,S200000,04600,0100,N 134527,S200000,04700,0100,N 134527,S200000,04700,0200,N 134527,S200000,04900,0100,N 134527,S200000,05000,0100,N 134527,S200000,05100,0100,N 134527,S200000,05200,0100,N 134528,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134528,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134528,A000000,00300,0000,0300EMPLOYEE BENEFITS 134528,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134528,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134528,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134528,A000000,00700,0000,0700HOUSEKEEPING 134528,A000000,00800,0000,0800DIETARY 134528,A000000,00900,0000,0900NURSING ADMINISTRATION 134528,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134528,A000000,01100,0000,1100PHARMACY 134528,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134528,A000000,01300,0000,1300SOCIAL SERVICE 134528,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134528,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134528,A000000,01600,0000,1600SKILLED NURSING FACILITY 134528,A000000,01800,0000,1800NURSING FACILITY 134528,A000000,01900,0000,1900OTHER LONG TERM CARE 134528,A000000,02100,0000,2100RADIOLOGY 134528,A000000,02200,0000,2200LABORATORY 134528,A000000,02300,0000,2300INTRAVENOUS THERAPY 134528,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134528,A000000,02500,0000,2500PHYSICAL THERAPY 134528,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134528,A000000,02700,0000,2700SPEECH PATHOLOGY 134528,A000000,02800,0000,2800ELECTROCARDIOLOGY 134528,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134528,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134528,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134528,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134528,A000000,03200,0000,3200SUPPORT SURFACES 134528,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134528,A000000,03400,0000,3400CLINIC 134528,A000000,03500,0000,3500RURAL HEALTH CLINIC 134528,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134528,A000000,04800,0000,4800AMBULANCE 134528,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134528,A000000,05000,0000,5000CORF 134528,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134528,A000000,05300,0000,5300INTEREST EXPENSE 134528,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134528,A000000,05500,0000,5500HOSPICE 134528,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134528,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134528,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134528,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134528,A000000,06100,0000,6100NONPAID WORKERS 134528,A000000,06200,0000,6200PATIENTS LAUNDRY 134528,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134528,A81000A,00100,0100,Y 134528,A81000B,00100,0300,CORPORATE OFFICE 134528,A81000B,00200,0300,CORPORATE OFFICE 134528,A81000C,00100,0100,C 134528,A81000C,00100,0200,NHS INC. 134528,A81000C,00100,0400,NHS INC. 134528,A81000C,00100,0600,HOME OFFICE 134528,A81000C,00200,0100,C 134528,A81000C,00200,0200,NHS INC. STOCK 134528,A81000C,00200,0400,NORTHGATE SERVI 134528,A81000C,00200,0600,PHARMACY 134528,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134528,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134528,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134528,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134528,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134528,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134528,B100000,00000,0800,0800MEALS SERVED :DIETARY 134528,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134528,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134528,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134528,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134528,S000000,00100,0200,12/01/00 134528,S200000,00100,0100,600 34TH STREET 134528,S200000,00200,0100,NORTHPORT 134528,S200000,00200,0200,AL 134528,S200000,00200,0300,35476- 134528,S200000,00300,0100,TUSCALOOSA 134528,S200000,00300,0200,8600 134528,S200000,00300,0300,U 134528,S200000,00400,0100,ESTES HEALTH CARE CENTER - NORTH 134528,S200000,00400,0200,015034 134528,S200000,00400,0300,10/16/67 134528,S200000,00400,0500,P 134528,S200000,01500,0100,N 134528,S200000,01600,0100,N 134528,S200000,01700,0100,N 134528,S200000,01800,0100,N 134528,S200000,02200,0100,N 134528,S200000,02800,0100,N 134528,S200000,02900,0100,N 134528,S200000,03000,0100,N 134528,S200000,03100,0100,N 134528,S200000,03200,0100,N 134528,S200000,04100,0100,N 134528,S200000,04200,0100,N 134528,S200000,04300,0100,N 134528,S200000,04600,0100,N 134528,S200000,04700,0100,N 134528,S200000,04700,0200,N 134528,S200000,04900,0100,N 134528,S200000,05000,0100,N 134528,S200000,05100,0100,N 134528,S200000,05200,0100,N 134529,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134529,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134529,A000000,00300,0000,0300EMPLOYEE BENEFITS 134529,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134529,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134529,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134529,A000000,00700,0000,0700HOUSEKEEPING 134529,A000000,00800,0000,0800DIETARY 134529,A000000,00900,0000,0900NURSING ADMINISTRATION 134529,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134529,A000000,01100,0000,1100PHARMACY 134529,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134529,A000000,01300,0000,1300SOCIAL SERVICE 134529,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134529,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134529,A000000,01600,0000,1600SKILLED NURSING FACILITY 134529,A000000,01800,0000,1800NURSING FACILITY 134529,A000000,01900,0000,1900OTHER LONG TERM CARE 134529,A000000,02100,0000,2100RADIOLOGY 134529,A000000,02200,0000,2200LABORATORY 134529,A000000,02300,0000,2300INTRAVENOUS THERAPY 134529,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134529,A000000,02500,0000,2500PHYSICAL THERAPY 134529,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134529,A000000,02700,0000,2700SPEECH PATHOLOGY 134529,A000000,02800,0000,2800ELECTROCARDIOLOGY 134529,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134529,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134529,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134529,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134529,A000000,03200,0000,3200SUPPORT SURFACES 134529,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134529,A000000,03400,0000,3400CLINIC 134529,A000000,03500,0000,3500RURAL HEALTH CLINIC 134529,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134529,A000000,04800,0000,4800AMBULANCE 134529,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134529,A000000,05000,0000,5000CORF 134529,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134529,A000000,05300,0000,5300INTEREST EXPENSE 134529,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134529,A000000,05500,0000,5500HOSPICE 134529,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134529,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134529,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134529,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134529,A000000,06100,0000,6100NONPAID WORKERS 134529,A000000,06200,0000,6200PATIENTS LAUNDRY 134529,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134529,A81000A,00100,0100,Y 134529,A81000B,00100,0300,CORPORATE OFFICE 134529,A81000B,00200,0300,CORPORATE OFFICE 134529,A81000C,00100,0100,C 134529,A81000C,00100,0200,NHS INC. 134529,A81000C,00100,0400,NHS INC. 134529,A81000C,00100,0600,HOME OFFICE 134529,A81000C,00200,0100,C 134529,A81000C,00200,0200,NHS INC STOCKH 134529,A81000C,00200,0400,NORTHGATE SERVI 134529,A81000C,00200,0600,PHARMACY 134529,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134529,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134529,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134529,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134529,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134529,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134529,B100000,00000,0800,0800MEALS SERVED :DIETARY 134529,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134529,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134529,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134529,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134529,S000000,00100,0200,12/01/00 134529,S200000,00100,0100,1220 SOUTH 17TH STREET 134529,S200000,00200,0100,BIRMINGHAM 134529,S200000,00200,0200,AL 134529,S200000,00200,0300,35205- 134529,S200000,00300,0100,JEFFERSON 134529,S200000,00300,0200,1000 134529,S200000,00300,0300,U 134529,S200000,00400,0100,ESTES NURSING FACILITY - SOUTH 134529,S200000,00400,0200,015097 134529,S200000,00400,0300,09/01/82 134529,S200000,00400,0500,P 134529,S200000,01500,0100,N 134529,S200000,01600,0100,N 134529,S200000,01700,0100,N 134529,S200000,01800,0100,N 134529,S200000,02200,0100,N 134529,S200000,02800,0100,N 134529,S200000,02900,0100,N 134529,S200000,03000,0100,N 134529,S200000,03100,0100,N 134529,S200000,03200,0100,N 134529,S200000,04100,0100,N 134529,S200000,04200,0100,N 134529,S200000,04300,0100,N 134529,S200000,04600,0100,N 134529,S200000,04700,0100,N 134529,S200000,04700,0200,N 134529,S200000,04900,0100,N 134529,S200000,05000,0100,N 134529,S200000,05100,0100,N 134529,S200000,05200,0100,N 134530,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134530,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134530,A000000,00300,0000,0300EMPLOYEE BENEFITS 134530,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134530,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134530,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134530,A000000,00700,0000,0700HOUSEKEEPING 134530,A000000,00800,0000,0800DIETARY 134530,A000000,00900,0000,0900NURSING ADMINISTRATION 134530,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134530,A000000,01100,0000,1100PHARMACY 134530,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134530,A000000,01300,0000,1300SOCIAL SERVICE 134530,A000000,01600,0000,1600SKILLED NURSING FACILITY 134530,A000000,01800,0000,1800NURSING FACILITY 134530,A000000,02100,0000,2100RADIOLOGY 134530,A000000,02200,0000,2200LABORATORY 134530,A000000,02300,0000,2300INTRAVENOUS THERAPY 134530,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134530,A000000,02500,0000,2500PHYSICAL THERAPY 134530,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134530,A000000,02700,0000,2700SPEECH PATHOLOGY 134530,A000000,02800,0000,2800ELECTROCARDIOLOGY 134530,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134530,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134530,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134530,A000000,03200,0000,3200SUPPORT SURFACES 134530,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134530,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134530,A000000,04800,0000,4800AMBULANCE 134530,A000000,05000,0000,5000CORF 134530,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134530,A000000,05300,0000,5300INTEREST EXPENSE 134530,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134530,A000000,05500,0000,5500HOSPICE 134530,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134530,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134530,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134530,A000000,06200,0000,6200PATIENTS LAUNDRY 134530,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134530,A81000A,00100,0100,Y 134530,A81000B,00100,0300,CORPORATE OFFICE 134530,A81000B,00200,0300,CORPORATE OFFICE 134530,A81000C,00100,0100,C 134530,A81000C,00100,0200,NHS INC. 134530,A81000C,00100,0400,NHS INC. 134530,A81000C,00100,0600,HOME OFFICE 134530,A81000C,00200,0100,C 134530,A81000C,00200,0200,NHS INC. STOCK 134530,A81000C,00200,0400,NORTHGATE SERVI 134530,A81000C,00200,0600,PHARMACY 134530,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134530,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134530,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134530,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134530,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134530,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134530,B100000,00000,0800,0800MEALS SERVED :DIETARY 134530,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134530,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134530,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134530,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134530,S000000,00100,0200,12/01/00 134530,S200000,00100,0100,1201 NORTH 22ND STREET 134530,S200000,00200,0100,BIRMINGHAM 134530,S200000,00200,0200,AL 134530,S200000,00200,0300,35234- 134530,S200000,00300,0100,JEFFERSON 134530,S200000,00300,0200,1000 134530,S200000,00300,0300,U 134530,S200000,00400,0100,ESTES NURSING FACILITY-CIVIC CENTER 134530,S200000,00400,0200,015109 134530,S200000,00400,0300,09/01/82 134530,S200000,00400,0500,P 134530,S200000,01500,0100,N 134530,S200000,01600,0100,N 134530,S200000,01700,0100,N 134530,S200000,01800,0100,N 134530,S200000,02200,0100,N 134530,S200000,02800,0100,N 134530,S200000,02900,0100,N 134530,S200000,03000,0100,N 134530,S200000,03100,0100,N 134530,S200000,03200,0100,N 134530,S200000,04100,0100,N 134530,S200000,04200,0100,N 134530,S200000,04300,0100,N 134530,S200000,04600,0100,N 134530,S200000,04700,0100,N 134530,S200000,04700,0200,N 134530,S200000,04900,0100,N 134530,S200000,05000,0100,N 134530,S200000,05100,0100,N 134530,S200000,05200,0100,N 134531,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134531,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134531,A000000,00300,0000,0300EMPLOYEE BENEFITS 134531,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134531,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134531,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134531,A000000,00700,0000,0700HOUSEKEEPING 134531,A000000,00800,0000,0800DIETARY 134531,A000000,00900,0000,0900NURSING ADMINISTRATION 134531,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134531,A000000,01100,0000,1100PHARMACY 134531,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134531,A000000,01300,0000,1300SOCIAL SERVICE 134531,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134531,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134531,A000000,01600,0000,1600SKILLED NURSING FACILITY 134531,A000000,01800,0000,1800NURSING FACILITY 134531,A000000,01900,0000,1900OTHER LONG TERM CARE 134531,A000000,02100,0000,2100RADIOLOGY 134531,A000000,02200,0000,2200LABORATORY 134531,A000000,02300,0000,2300INTRAVENOUS THERAPY 134531,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134531,A000000,02500,0000,2500PHYSICAL THERAPY 134531,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134531,A000000,02700,0000,2700SPEECH PATHOLOGY 134531,A000000,02800,0000,2800ELECTROCARDIOLOGY 134531,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134531,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134531,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134531,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134531,A000000,03200,0000,3200SUPPORT SURFACES 134531,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134531,A000000,03400,0000,3400CLINIC 134531,A000000,03500,0000,3500RURAL HEALTH CLINIC 134531,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134531,A000000,04800,0000,4800AMBULANCE 134531,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134531,A000000,05000,0000,5000CORF 134531,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134531,A000000,05300,0000,5300INTEREST EXPENSE 134531,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134531,A000000,05500,0000,5500HOSPICE 134531,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134531,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134531,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134531,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134531,A000000,06100,0000,6100NONPAID WORKERS 134531,A000000,06200,0000,6200PATIENTS LAUNDRY 134531,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134531,A81000A,00100,0100,Y 134531,A81000B,00100,0300,CORPORATE OFFICE 134531,A81000B,00200,0300,CORPORATE OFFICE 134531,A81000C,00100,0100,C 134531,A81000C,00100,0200,NHS INC. 134531,A81000C,00100,0400,NHS INC. 134531,A81000C,00100,0600,HOME OFFICE 134531,A81000C,00200,0100,C 134531,A81000C,00200,0200,NHS INC. 134531,A81000C,00200,0400,NORTHGATE SERVI 134531,A81000C,00200,0600,PHARMACY 134531,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134531,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134531,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134531,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134531,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134531,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134531,B100000,00000,0800,0800MEALS SERVED :DIETARY 134531,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134531,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134531,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134531,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134531,S000000,00100,0200,12/01/00 134531,S200000,00100,0100,70 HIGHLAND STREET WEST 134531,S200000,00200,0100,CORDOVA 134531,S200000,00200,0200,AL 134531,S200000,00200,0300,35550- 134531,S200000,00300,0100,WALKER 134531,S200000,00300,0200,01 134531,S200000,00300,0300,R 134531,S200000,00400,0100,CORDOVA HEALTH CARE CENTER 134531,S200000,00400,0200,015115 134531,S200000,00400,0300,10/01/84 134531,S200000,00400,0500,P 134531,S200000,01500,0100,N 134531,S200000,01600,0100,N 134531,S200000,01700,0100,N 134531,S200000,01800,0100,N 134531,S200000,02200,0100,N 134531,S200000,02800,0100,N 134531,S200000,02900,0100,N 134531,S200000,03000,0100,N 134531,S200000,03100,0100,N 134531,S200000,03200,0100,N 134531,S200000,04100,0100,N 134531,S200000,04200,0100,N 134531,S200000,04300,0100,N 134531,S200000,04600,0100,N 134531,S200000,04700,0100,N 134531,S200000,04700,0200,N 134531,S200000,04900,0100,N 134531,S200000,05000,0100,N 134531,S200000,05100,0100,N 134531,S200000,05200,0100,N 134532,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134532,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134532,A000000,00300,0000,0300EMPLOYEE BENEFITS 134532,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134532,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134532,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134532,A000000,00700,0000,0700HOUSEKEEPING 134532,A000000,00800,0000,0800DIETARY 134532,A000000,00900,0000,0900NURSING ADMINISTRATION 134532,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134532,A000000,01100,0000,1100PHARMACY 134532,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134532,A000000,01300,0000,1300SOCIAL SERVICE 134532,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134532,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134532,A000000,01600,0000,1600SKILLED NURSING FACILITY 134532,A000000,01800,0000,1800NURSING FACILITY 134532,A000000,01900,0000,1900OTHER LONG TERM CARE 134532,A000000,02100,0000,2100RADIOLOGY 134532,A000000,02200,0000,2200LABORATORY 134532,A000000,02300,0000,2300INTRAVENOUS THERAPY 134532,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134532,A000000,02500,0000,2500PHYSICAL THERAPY 134532,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134532,A000000,02700,0000,2700SPEECH PATHOLOGY 134532,A000000,02800,0000,2800ELECTROCARDIOLOGY 134532,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134532,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134532,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134532,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134532,A000000,03200,0000,3200SUPPORT SURFACES 134532,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134532,A000000,03400,0000,3400CLINIC 134532,A000000,03500,0000,3500RURAL HEALTH CLINIC 134532,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134532,A000000,04800,0000,4800AMBULANCE 134532,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134532,A000000,05000,0000,5000CORF 134532,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134532,A000000,05300,0000,5300INTEREST EXPENSE 134532,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134532,A000000,05500,0000,5500HOSPICE 134532,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134532,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134532,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134532,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134532,A000000,06100,0000,6100NONPAID WORKERS 134532,A000000,06200,0000,6200PATIENTS LAUNDRY 134532,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134532,A81000A,00100,0100,Y 134532,A81000B,00100,0300,CORPORATE OFFICE 134532,A81000B,00200,0300,CORPORATE OFFICE 134532,A81000C,00100,0100,C 134532,A81000C,00100,0200,NHS INC. 134532,A81000C,00100,0400,NHS INC. 134532,A81000C,00100,0600,HOME OFFICE 134532,A81000C,00200,0100,C 134532,A81000C,00200,0200,NHS INC. STOCK 134532,A81000C,00200,0400,NORTHGATE SERVI 134532,A81000C,00200,0600,PHARMACY 134532,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134532,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134532,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134532,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134532,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134532,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134532,B100000,00000,0800,0800MEALS SERVED :DIETARY 134532,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134532,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134532,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134532,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134532,S000000,00100,0200,12/01/00 134532,S200000,00100,0100,824 6TH AVENUE WEST 134532,S200000,00200,0100,BIRMINGHAM 134532,S200000,00200,0200,AL 134532,S200000,00200,0300,35204- 134532,S200000,00300,0100,JEFFERSON 134532,S200000,00300,0200,1000 134532,S200000,00300,0300,U 134532,S200000,00400,0100,ESTES NURSING FACILITY - OAK KNOLL 134532,S200000,00400,0200,015117 134532,S200000,00400,0300,09/01/82 134532,S200000,00400,0500,P 134532,S200000,01500,0100,N 134532,S200000,01600,0100,N 134532,S200000,01700,0100,N 134532,S200000,01800,0100,N 134532,S200000,02200,0100,N 134532,S200000,02800,0100,N 134532,S200000,02900,0100,N 134532,S200000,03000,0100,N 134532,S200000,03100,0100,N 134532,S200000,03200,0100,N 134532,S200000,04100,0100,N 134532,S200000,04200,0100,N 134532,S200000,04300,0100,N 134532,S200000,04600,0100,N 134532,S200000,04700,0100,N 134532,S200000,04700,0200,N 134532,S200000,04900,0100,N 134532,S200000,05000,0100,N 134532,S200000,05100,0100,N 134532,S200000,05200,0100,N 134533,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134533,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134533,A000000,00300,0000,0300EMPLOYEE BENEFITS 134533,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134533,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134533,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134533,A000000,00700,0000,0700HOUSEKEEPING 134533,A000000,00800,0000,0800DIETARY 134533,A000000,00900,0000,0900NURSING ADMINISTRATION 134533,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134533,A000000,01100,0000,1100PHARMACY 134533,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134533,A000000,01300,0000,1300SOCIAL SERVICE 134533,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134533,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134533,A000000,01600,0000,1600SKILLED NURSING FACILITY 134533,A000000,01800,0000,1800NURSING FACILITY 134533,A000000,01900,0000,1900OTHER LONG TERM CARE 134533,A000000,02100,0000,2100RADIOLOGY 134533,A000000,02200,0000,2200LABORATORY 134533,A000000,02300,0000,2300INTRAVENOUS THERAPY 134533,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134533,A000000,02500,0000,2500PHYSICAL THERAPY 134533,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134533,A000000,02700,0000,2700SPEECH PATHOLOGY 134533,A000000,02800,0000,2800ELECTROCARDIOLOGY 134533,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134533,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134533,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134533,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134533,A000000,03200,0000,3200SUPPORT SURFACES 134533,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134533,A000000,03400,0000,3400CLINIC 134533,A000000,03500,0000,3500RURAL HEALTH CLINIC 134533,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134533,A000000,04800,0000,4800AMBULANCE 134533,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134533,A000000,05000,0000,5000CORF 134533,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134533,A000000,05300,0000,5300INTEREST EXPENSE 134533,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134533,A000000,05500,0000,5500HOSPICE 134533,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134533,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134533,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134533,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134533,A000000,06100,0000,6100NONPAID WORKERS 134533,A000000,06200,0000,6200PATIENTS LAUNDRY 134533,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134533,A81000A,00100,0100,Y 134533,A81000B,00100,0300,CORPORATE OFFICE 134533,A81000B,00200,0300,CORPORATE OFFICE 134533,A81000C,00100,0100,C 134533,A81000C,00100,0200,NHS INC. 134533,A81000C,00100,0400,NHS INC. 134533,A81000C,00100,0600,HOME OFFICE 134533,A81000C,00200,0100,C 134533,A81000C,00200,0200,NHS INC. STOCK 134533,A81000C,00200,0400,NORTHGATE SERVI 134533,A81000C,00200,0600,PHARMACY 134533,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134533,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134533,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134533,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134533,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134533,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134533,B100000,00000,0800,0800MEALS SERVED :DIETARY 134533,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134533,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134533,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134533,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134533,S000000,00100,0200,12/01/00 134533,S200000,00100,0100,2639 GILMER AVENUE 134533,S200000,00100,0300,P.O. BOX 780277 134533,S200000,00200,0100,TALLASSEE 134533,S200000,00200,0200,AL 134533,S200000,00200,0300,36078- 134533,S200000,00300,0100,ELMORE 134533,S200000,00300,0200,5240 134533,S200000,00300,0300,U 134533,S200000,00400,0100,TALLASSEE HEALTH CARE CENTER 134533,S200000,00400,0200,015139 134533,S200000,00400,0300,07/01/92 134533,S200000,00400,0500,P 134533,S200000,01500,0100,N 134533,S200000,01600,0100,N 134533,S200000,01700,0100,N 134533,S200000,01800,0100,N 134533,S200000,02200,0100,N 134533,S200000,02800,0100,N 134533,S200000,02900,0100,N 134533,S200000,03000,0100,N 134533,S200000,03100,0100,N 134533,S200000,03200,0100,N 134533,S200000,04100,0100,N 134533,S200000,04200,0100,N 134533,S200000,04300,0100,N 134533,S200000,04600,0100,N 134533,S200000,04700,0100,N 134533,S200000,04700,0200,N 134533,S200000,04900,0100,N 134533,S200000,05000,0100,N 134533,S200000,05100,0100,N 134533,S200000,05200,0100,N 134534,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134534,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134534,A000000,00300,0000,0300EMPLOYEE BENEFITS 134534,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134534,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134534,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134534,A000000,00700,0000,0700HOUSEKEEPING 134534,A000000,00800,0000,0800DIETARY 134534,A000000,00900,0000,0900NURSING ADMINISTRATION 134534,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134534,A000000,01100,0000,1100PHARMACY 134534,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134534,A000000,01300,0000,1300SOCIAL SERVICE 134534,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134534,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134534,A000000,01600,0000,1600SKILLED NURSING FACILITY 134534,A000000,01800,0000,1800NURSING FACILITY 134534,A000000,01900,0000,1900OTHER LONG TERM CARE 134534,A000000,02100,0000,2100RADIOLOGY 134534,A000000,02200,0000,2200LABORATORY 134534,A000000,02300,0000,2300INTRAVENOUS THERAPY 134534,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134534,A000000,02500,0000,2500PHYSICAL THERAPY 134534,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134534,A000000,02700,0000,2700SPEECH PATHOLOGY 134534,A000000,02800,0000,2800ELECTROCARDIOLOGY 134534,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 134534,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134534,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134534,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134534,A000000,03200,0000,3200SUPPORT SURFACES 134534,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134534,A000000,03400,0000,3400CLINIC 134534,A000000,03500,0000,3500RURAL HEALTH CLINIC 134534,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134534,A000000,04800,0000,4800AMBULANCE 134534,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134534,A000000,05000,0000,5000CORF 134534,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134534,A000000,05300,0000,5300INTEREST EXPENSE 134534,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134534,A000000,05500,0000,5500HOSPICE 134534,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134534,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134534,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134534,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134534,A000000,06100,0000,6100NONPAID WORKERS 134534,A000000,06200,0000,6200PATIENTS LAUNDRY 134534,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134534,A81000A,00100,0100,Y 134534,A81000B,00100,0300,CORPORATE OFFICE 134534,A81000B,00200,0300,CORPORATE OFFICE 134534,A81000C,00100,0100,C 134534,A81000C,00100,0200,NHS INC. 134534,A81000C,00100,0400,NHS INC. 134534,A81000C,00100,0600,HOME OFFICE 134534,A81000C,00200,0100,C 134534,A81000C,00200,0200,NHS INC. STOCK 134534,A81000C,00200,0400,NORTHGATE SERVI 134534,A81000C,00200,0600,PHARMACY 134534,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134534,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134534,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134534,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134534,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134534,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134534,B100000,00000,0800,0800MEALS SERVED :DIETARY 134534,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134534,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134534,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134534,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134534,S000000,00100,0200,12/01/00 134534,S200000,00100,0100,88073 HWY 9 134534,S200000,00200,0100,LINEVILLE 134534,S200000,00200,0200,AL 134534,S200000,00200,0300,36266- 134534,S200000,00300,0100,CLAY 134534,S200000,00300,0200,0001 134534,S200000,00300,0300,R 134534,S200000,00400,0100,LINEVILLE NURSING FACILITY 134534,S200000,00400,0200,015142 134534,S200000,00400,0300,09/01/82 134534,S200000,00400,0500,P 134534,S200000,01500,0100,N 134534,S200000,01600,0100,N 134534,S200000,01700,0100,N 134534,S200000,01800,0100,N 134534,S200000,02200,0100,N 134534,S200000,02800,0100,N 134534,S200000,02900,0100,N 134534,S200000,03000,0100,N 134534,S200000,03100,0100,N 134534,S200000,03200,0100,N 134534,S200000,04100,0100,N 134534,S200000,04200,0100,N 134534,S200000,04300,0100,N 134534,S200000,04600,0100,N 134534,S200000,04700,0100,N 134534,S200000,04700,0200,N 134534,S200000,04900,0100,N 134534,S200000,05000,0100,N 134534,S200000,05100,0100,N 134534,S200000,05200,0100,N 134572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134572,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134572,A000000,00300,0000,0300EMPLOYEE BENEFITS 134572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134572,A000000,00700,0000,0700HOUSEKEEPING 134572,A000000,00800,0000,0800DIETARY 134572,A000000,00900,0000,0900NURSING ADMINISTRATION 134572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134572,A000000,01100,0000,1100PHARMACY 134572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134572,A000000,01300,0000,1300SOCIAL SERVICE 134572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134572,A000000,01600,0000,1600SKILLED NURSING FACILITY 134572,A000000,01800,0000,1800NURSING FACILITY 134572,A000000,01810,0000,1810ICF/MR 134572,A000000,02500,0000,2500PHYSICAL THERAPY 134572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134572,A000000,02700,0000,2700SPEECH PATHOLOGY 134572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134572,A000000,03550,0000,3550FQHC 134572,A000000,05000,0000,5000CORF 134572,A000000,05010,0000,5010CMHC 134572,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134572,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134572,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134572,A81000A,00100,0100,Y 134572,A81000B,00100,0300,MANAGEMENT FEES 134572,A81000B,00200,0300,LEASE FEES 134572,A81000C,00100,0100,A 134572,A81000C,00100,0200,JACK & ELDORA V 134572,A81000C,00100,0400,VETTER HEALTH S 134572,A81000C,00100,0600,MANAGEMENT COMP 134572,A81000C,00200,0400,VETTER LEASING 134572,A81000C,00200,0600,LEASING COMPANY 134572,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 134572,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 134572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134572,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 134572,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 134572,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 134572,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 134572,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 134572,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 134572,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 134572,S000000,00100,0200,11/30/00 134572,S200000,00100,0100,1409 WEST MAIN 134572,S200000,00200,0100,LAKE CITY 134572,S200000,00200,0200,IA 134572,S200000,00200,0300,51449-9701 134572,S200000,00300,0100,CALHOUN 134572,S200000,00300,0200,16 134572,S200000,00300,0300,R 134572,S200000,00400,0100,SHADY OAKS NURSING HOME 134572,S200000,00400,0200,165082 134572,S200000,00400,0300,09/01/68 134572,S200000,00400,0500,P 134572,S200000,01004,0500,O 134572,S200000,01500,0100,N 134572,S200000,01600,0100,Y 134572,S200000,01700,0100,N 134572,S200000,01800,0100,N 134572,S200000,02200,0100,N 134572,S200000,02800,0100,Y 134572,S200000,02900,0100,N 134572,S200000,03000,0100,N 134572,S200000,03100,0100,N 134572,S200000,03200,0100,N 134572,S200000,04100,0100,N 134572,S200000,04200,0100,N 134572,S200000,04300,0100,N 134572,S200000,04600,0100,N 134572,S200000,04700,0100,N 134572,S200000,04700,0200,N 134572,S200000,04900,0100,N 134572,S200000,05000,0100,N 134572,S200000,05100,0100,N 134572,S200000,05200,0100,N 134577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134577,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134577,A000000,00300,0000,0300EMPLOYEE BENEFITS 134577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134577,A000000,00700,0000,0700HOUSEKEEPING 134577,A000000,00800,0000,0800DIETARY 134577,A000000,00900,0000,0900NURSING ADMINISTRATION 134577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134577,A000000,01100,0000,1100PHARMACY 134577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134577,A000000,01300,0000,1300SOCIAL SERVICE 134577,A000000,01600,0000,1600SKILLED NURSING FACILITY 134577,A000000,01800,0000,1800NURSING FACILITY 134577,A000000,02100,0000,2100RADIOLOGY 134577,A000000,02200,0000,2200LABORATORY 134577,A000000,02300,0000,2300INTRAVENOUS THERAPY 134577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134577,A000000,02500,0000,2500PHYSICAL THERAPY 134577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134577,A000000,02700,0000,2700SPEECH PATHOLOGY 134577,A000000,02800,0000,2800ELECTROCARDIOLOGY 134577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134577,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134577,A81000A,00100,0100,Y 134577,A81000B,00100,0300,BUILDING LEASE 134577,A81000B,00200,0300,LEASE 134577,A81000B,00300,0300,HOME OFFICE COST 134577,A81000C,00100,0100,G 134577,A81000C,00100,0200,CARONDELET HEAL 134577,A81000C,00100,0600,HEALTHCARE 134577,A81000C,00200,0100,G 134577,A81000C,00200,0200,CARONDELET HEAL 134577,A81000C,00200,0600,HEALTHCARE 134577,A81000C,00300,0100,G 134577,A81000C,00300,0200,CARONDELET HEAL 134577,A81000C,00300,0600,HEALTHCARE 134577,A81000C,03100,0000,HOME OFFICE 134577,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134577,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134577,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134577,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134577,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 134577,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134577,B100000,00000,0800,0850DAYS :DIETARY 134577,B100000,00000,0900,0900HOURS :NURSING ADMINISTRATION 134577,B100000,00000,1000,1050CS SUPPLY :CENTRAL SERVICES & S 134577,B100000,00000,1200,1250REVENUE :MEDICAL RECORDS & LIB 134577,B100000,00000,1300,1330REVENUE :SOCIAL SERVICE 134577,S000000,00100,0200,11/16/00 134577,S200000,00100,0100,11901 ROSEWOOD 134577,S200000,00200,0100,OVERLAND PARK KANSAS 134577,S200000,00200,0200,KS 134577,S200000,00200,0300,66209- 134577,S200000,00300,0100,JOHNSON 134577,S200000,00300,0200,3760 134577,S200000,00300,0300,U 134577,S200000,00400,0100,VILLA SAINT JOSEPH 134577,S200000,00400,0200,175183 134577,S200000,00400,0300,05/19/89 134577,S200000,00400,0500,P 134577,S200000,01500,0100,N 134577,S200000,01600,0100,Y 134577,S200000,01700,0100,N 134577,S200000,01800,0100,N 134577,S200000,02200,0100,Y 134577,S200000,02800,0100,N 134577,S200000,02900,0100,N 134577,S200000,03000,0100,N 134577,S200000,03100,0100,N 134577,S200000,03200,0100,N 134577,S200000,04100,0100,N 134577,S200000,04200,0100,N 134577,S200000,04300,0100,Y 134577,S200000,04600,0100,N 134577,S200000,04700,0100,N 134577,S200000,04700,0200,N 134577,S200000,04900,0100,N 134577,S200000,05000,0100,N 134577,S200000,05100,0100,N 134577,S200000,05200,0100,N 134579,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134579,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134579,A000000,00300,0000,0300EMPLOYEE BENEFITS 134579,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134579,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134579,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134579,A000000,00700,0000,0700HOUSEKEEPING 134579,A000000,00800,0000,0800DIETARY 134579,A000000,00900,0000,0900NURSING ADMINISTRATION 134579,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134579,A000000,01100,0000,1100PHARMACY 134579,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134579,A000000,01300,0000,1300SOCIAL SERVICE 134579,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134579,A000000,01600,0000,1600SKILLED NURSING FACILITY 134579,A000000,01810,0000,1810ICF/MR 134579,A000000,02500,0000,2500PHYSICAL THERAPY 134579,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134579,A000000,02700,0000,2700SPEECH PATHOLOGY 134579,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134579,A000000,03550,0000,3550FQHC 134579,A000000,05000,0000,5000CORF 134579,A000000,05010,0000,5010CMHC 134579,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134579,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134579,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134579,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134579,A81000A,00100,0100,Y 134579,A81000B,00100,0300,MANAGEMENT FEES 134579,A81000B,00200,0300,LEASE FEES 134579,A81000C,00100,0100,A 134579,A81000C,00100,0200,JACK & ELDORA V 134579,A81000C,00100,0400,VETTER HEALTH S 134579,A81000C,00100,0600,MANAGEMENT CO. 134579,A81000C,00200,0400,VETTER LEASING 134579,A81000C,00200,0600,LEASING CO. 134579,B100000,00000,0100,0100(SQUARE FOOTAGE) :CAP REL COSTS 134579,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134579,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134579,B100000,00000,0500,0500(SQUARE FOOTAGE) :PLANT OPERATI 134579,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 134579,B100000,00000,0700,0750(SQUARE FOOTAGE) :HOUSEKEEPING 134579,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 134579,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 134579,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 134579,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 134579,S000000,00100,0200,11/29/00 134579,S200000,00100,0100,2308 N. 3RD STREET 134579,S200000,00100,0300,955 134579,S200000,00200,0100,GARDEN CITY 134579,S200000,00200,0200,KS 134579,S200000,00200,0300,67846- 134579,S200000,00300,0100,FINNEY 134579,S200000,00300,0200,17 134579,S200000,00300,0300,R 134579,S200000,00400,0100,TERRACE GARDEN CARE CENTER 134579,S200000,00400,0200,175429 134579,S200000,00400,0300,01/01/98 134579,S200000,00400,0500,P 134579,S200000,01004,0500,O 134579,S200000,01500,0100,Y 134579,S200000,01600,0100,N 134579,S200000,01700,0100,N 134579,S200000,01800,0100,N 134579,S200000,02200,0100,N 134579,S200000,02800,0100,Y 134579,S200000,02900,0100,N 134579,S200000,03000,0100,N 134579,S200000,03100,0100,N 134579,S200000,03200,0100,N 134579,S200000,04100,0100,N 134579,S200000,04200,0100,N 134579,S200000,04300,0100,N 134579,S200000,04600,0100,N 134579,S200000,04700,0100,N 134579,S200000,04700,0200,N 134579,S200000,04900,0100,N 134579,S200000,05000,0100,N 134579,S200000,05100,0100,N 134579,S200000,05200,0100,N 134580,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134580,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134580,A000000,00300,0000,0300EMPLOYEE BENEFITS 134580,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134580,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134580,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134580,A000000,00700,0000,0700HOUSEKEEPING 134580,A000000,00800,0000,0800DIETARY 134580,A000000,00900,0000,0900NURSING ADMINISTRATION 134580,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134580,A000000,01100,0000,1100PHARMACY 134580,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134580,A000000,01300,0000,1300SOCIAL SERVICE 134580,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134580,A000000,01600,0000,1600SKILLED NURSING FACILITY 134580,A000000,01810,0000,1810ICF/MR 134580,A000000,02500,0000,2500PHYSICAL THERAPY 134580,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134580,A000000,02700,0000,2700SPEECH PATHOLOGY 134580,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134580,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134580,A000000,03550,0000,3550FQHC 134580,A000000,05000,0000,5000CORF 134580,A000000,05010,0000,5010CMHC 134580,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134580,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134580,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134580,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134580,A81000A,00100,0100,Y 134580,A81000B,00100,0300,MANAGEMENT FEES 134580,A81000B,00200,0300,LEASE FEES 134580,A81000C,00100,0100,A 134580,A81000C,00100,0200,JACK & ELDORA V 134580,A81000C,00100,0400,VETTER HEALTH S 134580,A81000C,00100,0600,MANAGEMENT CO. 134580,A81000C,00200,0400,VETTER LEASING 134580,A81000C,00200,0600,LEASING CO. 134580,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134580,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134580,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134580,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134580,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134580,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134580,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134580,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134580,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134580,S000000,00100,0200,11/30/00 134580,S200000,00100,0100,101 NORTH PINE 134580,S200000,00200,0100,GARNETT 134580,S200000,00200,0200,KS 134580,S200000,00200,0300,66032- 134580,S200000,00300,0100,ANDERSON 134580,S200000,00300,0300,R 134580,S200000,00400,0100,GOLDEN HEIGHTS LIVING CENTER 134580,S200000,00400,0200,175433 134580,S200000,00400,0300,04/01/98 134580,S200000,00400,0500,P 134580,S200000,01004,0500,O 134580,S200000,01500,0100,Y 134580,S200000,01600,0100,N 134580,S200000,01700,0100,N 134580,S200000,01800,0100,N 134580,S200000,02200,0100,N 134580,S200000,02800,0100,N 134580,S200000,02900,0100,N 134580,S200000,03000,0100,N 134580,S200000,03100,0100,N 134580,S200000,03200,0100,N 134580,S200000,04100,0100,N 134580,S200000,04200,0100,N 134580,S200000,04300,0100,N 134580,S200000,04600,0100,N 134580,S200000,04700,0100,N 134580,S200000,04700,0200,N 134580,S200000,04900,0100,N 134580,S200000,05000,0100,N 134580,S200000,05100,0100,N 134580,S200000,05200,0100,N 134593,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134593,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134593,A000000,00300,0000,0300EMPLOYEE BENEFITS 134593,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134593,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134593,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134593,A000000,00700,0000,0700HOUSEKEEPING 134593,A000000,00800,0000,0800DIETARY 134593,A000000,00900,0000,0900NURSING ADMINISTRATION 134593,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134593,A000000,01100,0000,1100PHARMACY 134593,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134593,A000000,01300,0000,1300SOCIAL SERVICE 134593,A000000,01600,0000,1600SKILLED NURSING FACILITY 134593,A000000,01800,0000,1800NURSING FACILITY 134593,A000000,02100,0000,2100RADIOLOGY 134593,A000000,02200,0000,2200LABORATORY 134593,A000000,02300,0000,2300INTRAVENOUS THERAPY 134593,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134593,A000000,02500,0000,2500PHYSICAL THERAPY 134593,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134593,A000000,02700,0000,2700SPEECH PATHOLOGY 134593,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134593,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134593,A000000,03300,0000,3050HYPERBARICE THERAPY 134593,A000000,04800,0000,4800AMBULANCE 134593,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134593,A000000,06300,0000,6150BEAUTY SHOP 134593,A000000,06301,0000,6151RENTAL SPACE 134593,A81000A,00100,0100,Y 134593,A81000B,00100,0300,MEDICAL RECORDS 134593,A81000B,00200,0300,RESPIRATORY THERAPY 134593,A81000B,00300,0300,LEASE 134593,A81000B,00400,0300,LEASE 134593,A81000B,00500,0300,HOME OFFICE 134593,A81000C,00100,0100,G 134593,A81000C,00100,0200,SJHC 134593,A81000C,00200,0100,G 134593,A81000C,00200,0200,CH 134593,A81000C,03100,0000,HOME OFFICE 134593,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134593,B100000,00000,0200,0250EQUIP DEPR :CAP REL COSTS - MOV 134593,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134593,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134593,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134593,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 134593,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134593,B100000,00000,0800,0850DAYS :DIETARY 134593,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 134593,B100000,00000,1000,1000CSS REQUISTION :CENTRAL SERVICE 134593,B100000,00000,1200,1250REVENUE :MEDICAL RECORDS & LIB 134593,B100000,00000,1300,1330DAYS :SOCIAL SERVICE 134593,E10A180,00301,0100,01/11/00 134593,S000000,00100,0200,11/16/00 134593,S200000,00100,0100,CARONDELET MANOR 134593,S200000,00200,0100,KANSAS CITY 134593,S200000,00200,0200,MO 134593,S200000,00200,0300,64114- 134593,S200000,00300,0100,JACKSON 134593,S200000,00300,0200,3760 134593,S200000,00300,0300,U 134593,S200000,00400,0100,CARONDELET MANOR 134593,S200000,00400,0200,265303 134593,S200000,00400,0300,01/01/90 134593,S200000,00400,0500,P 134593,S200000,00600,0200,265303 134593,S200000,00600,0300,01/01/90 134593,S200000,00600,0600,O 134593,S200000,01500,0100,N 134593,S200000,01600,0100,Y 134593,S200000,01700,0100,N 134593,S200000,01800,0100,N 134593,S200000,02200,0100,Y 134593,S200000,02800,0100,Y 134593,S200000,02900,0100,N 134593,S200000,03000,0100,N 134593,S200000,03100,0100,N 134593,S200000,03200,0100,N 134593,S200000,04100,0100,N 134593,S200000,04200,0100,N 134593,S200000,04300,0100,Y 134593,S200000,04600,0100,N 134593,S200000,04700,0100,N 134593,S200000,04700,0200,N 134593,S200000,04900,0100,N 134593,S200000,05000,0100,N 134593,S200000,05100,0100,N 134593,S200000,05200,0100,N 134594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134594,A000000,00300,0000,0300EMPLOYEE BENEFITS 134594,A000000,00401,0000,0401ACTIVITIES 134594,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL 134594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134594,A000000,00700,0000,0700HOUSEKEEPING 134594,A000000,00800,0000,0800DIETARY 134594,A000000,00900,0000,0900NURSING ADMINISTRATION 134594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134594,A000000,01100,0000,1100PHARMACY 134594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134594,A000000,01300,0000,1300SOCIAL SERVICE 134594,A000000,01600,0000,1600SKILLED NURSING FACILITY 134594,A000000,01800,0000,1800NURSING FACILITY 134594,A000000,02100,0000,2100RADIOLOGY 134594,A000000,02200,0000,2200LABORATORY 134594,A000000,02300,0000,2300INTRAVENOUS THERAPY 134594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134594,A000000,02500,0000,2500PHYSICAL THERAPY 134594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134594,A000000,02700,0000,2700SPEECH PATHOLOGY 134594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134594,A000000,03300,0000,3050PEN 134594,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134594,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134594,A000000,06300,0000,6150RCF UNIT 134594,A81000A,00100,0100,Y 134594,A81000B,00100,0300,BUILDING LEASE 134594,A81000B,00200,0300,LEASE 134594,A81000B,00300,0300,ADMIN 134594,A81000B,00400,0300,HOME OFFICE 134594,A81000B,00500,0300,HOME OFFICE 134594,A81000B,00600,0300,HOME OFFICE 134594,A81000B,00700,0300,PHYSICAL THERAPY 134594,A81000B,00800,0300,OCCUPATIONAL THERAPY 134594,A81000B,00900,0300,SPEECH THERAPY 134594,A81000C,00100,0100,G 134594,A81000C,00100,0200,ST. MARY S HOS 134594,A81000C,00200,0100,G 134594,A81000C,00200,0200,CH 134594,A81000C,00300,0100,G 134594,A81000C,00300,0200,AFFIL THERAPY 134594,A81000C,03100,0000,THERAPY SERVICE 134594,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 134594,B100000,00000,0200,0250SQ FT :CAP REL COSTS - MOVABLE 134594,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134594,B100000,00000,0401,0451PT DAYS :ACTIVITIES 134594,B100000,00000,0402,0402 ACCUM. COST :ADMINISTRATIVE & G 134594,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 134594,B100000,00000,0600,0650PT DAYS :LAUNDRY & LINEN SERVIC 134594,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 134594,B100000,00000,0800,0850PT DAYS :DIETARY 134594,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 134594,B100000,00000,1000,1050PT DAYS CSS/DRUGS :CENTRAL SERVI 134594,B100000,00000,1100,1150PT DAYS CSS/DRUGS :PHARMACY 134594,B100000,00000,1200,1250REVENUE :MEDICAL RECORDS & LIB 134594,B100000,00000,1300,1330REVENUE :SOCIAL SERVICE 134594,S000000,00100,0200,11/16/00 134594,S200000,00100,0100,111 MOCK AVENUE 134594,S200000,00200,0100,BLUE SPRINGS 134594,S200000,00200,0200,MO 134594,S200000,00200,0300,64014- 134594,S200000,00300,0100,JACKSON 134594,S200000,00300,0200,3760 134594,S200000,00300,0300,U 134594,S200000,00400,0100,ST. MARY S MANOR 134594,S200000,00400,0200,265313 134594,S200000,00400,0300,06/05/87 134594,S200000,00400,0500,P 134594,S200000,00600,0200,265313 134594,S200000,00600,0300,06/05/87 134594,S200000,00600,0600,O 134594,S200000,01500,0100,N 134594,S200000,01600,0100,Y 134594,S200000,01700,0100,N 134594,S200000,01800,0100,N 134594,S200000,02200,0100,Y 134594,S200000,02800,0100,N 134594,S200000,02900,0100,N 134594,S200000,03000,0100,N 134594,S200000,03100,0100,N 134594,S200000,03200,0100,N 134594,S200000,04100,0100,N 134594,S200000,04200,0100,N 134594,S200000,04300,0100,Y 134594,S200000,04600,0100,N 134594,S200000,04700,0100,N 134594,S200000,04700,0200,N 134594,S200000,04900,0100,N 134594,S200000,05000,0100,N 134594,S200000,05100,0100,N 134594,S200000,05200,0100,N 134597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134597,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134597,A000000,00300,0000,0300EMPLOYEE BENEFITS 134597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134597,A000000,00700,0000,0700HOUSEKEEPING 134597,A000000,00800,0000,0800DIETARY 134597,A000000,00900,0000,0900NURSING ADMINISTRATION 134597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134597,A000000,01100,0000,1100PHARMACY 134597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134597,A000000,01300,0000,1300SOCIAL SERVICE 134597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134597,A000000,01600,0000,1600SKILLED NURSING FACILITY 134597,A000000,01810,0000,1810ICF/MR 134597,A000000,02500,0000,2500PHYSICAL THERAPY 134597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134597,A000000,02700,0000,2700SPEECH PATHOLOGY 134597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134597,A000000,03550,0000,3550FQHC 134597,A000000,05000,0000,5000CORF 134597,A000000,05010,0000,5010CMHC 134597,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134597,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134597,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134597,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134597,A81000A,00100,0100,Y 134597,A81000B,00100,0300,MANAGEMENT FEES 134597,A81000B,00200,0300,LEASE FEES 134597,A81000C,00100,0100,A 134597,A81000C,00100,0200,JACK & ELDORA V 134597,A81000C,00100,0400,VETTER HEALTH S 134597,A81000C,00100,0600,MANAGEMENT CO. 134597,A81000C,00200,0400,VETTER LEASING 134597,A81000C,00200,0600,LEASING CO. 134597,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 134597,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 134597,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134597,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 134597,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 134597,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 134597,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 134597,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 134597,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 134597,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 134597,S000000,00100,0200,11/30/00 134597,S200000,00100,0100,1633 SWEETWATER 134597,S200000,00200,0100,ALLIANCE 134597,S200000,00200,0200,NE 134597,S200000,00200,0300,69301- 134597,S200000,00300,0100,BOX BUTTE 134597,S200000,00300,0200,0028 134597,S200000,00300,0300,R 134597,S200000,00400,0100,HIGHLAND PARK CARE CENTER 134597,S200000,00400,0200,285063 134597,S200000,00400,0300,06/17/89 134597,S200000,00400,0500,P 134597,S200000,01500,0100,Y 134597,S200000,01600,0100,N 134597,S200000,01700,0100,N 134597,S200000,01800,0100,N 134597,S200000,02200,0100,N 134597,S200000,02800,0100,N 134597,S200000,02900,0100,N 134597,S200000,03000,0100,N 134597,S200000,03100,0100,N 134597,S200000,03200,0100,N 134597,S200000,04100,0100,N 134597,S200000,04200,0100,N 134597,S200000,04300,0100,N 134597,S200000,04600,0100,N 134597,S200000,04700,0100,N 134597,S200000,04700,0200,N 134597,S200000,04900,0100,N 134597,S200000,05000,0100,N 134597,S200000,05100,0100,N 134597,S200000,05200,0100,N 134598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134598,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134598,A000000,00300,0000,0300EMPLOYEE BENEFITS 134598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134598,A000000,00700,0000,0700HOUSEKEEPING 134598,A000000,00800,0000,0800DIETARY 134598,A000000,00900,0000,0900NURSING ADMINISTRATION 134598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134598,A000000,01100,0000,1100PHARMACY 134598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134598,A000000,01300,0000,1300SOCIAL SERVICE 134598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134598,A000000,01500,0000,1350OTHER GENERAL SERVICES 134598,A000000,01600,0000,1600SKILLED NURSING FACILITY 134598,A000000,01800,0000,1800NURSING FACILITY 134598,A000000,01810,0000,1810ICF/MR 134598,A000000,01900,0000,1900OTHER LONG TERM CARE 134598,A000000,02100,0000,2100RADIOLOGY 134598,A000000,02200,0000,2200LABORATORY 134598,A000000,02300,0000,2300INTRAVENOUS THERAPY 134598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134598,A000000,02500,0000,2500PHYSICAL THERAPY 134598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134598,A000000,02700,0000,2700SPEECH PATHOLOGY 134598,A000000,02800,0000,2800ELECTROCARDIOLOGY 134598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134598,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134598,A000000,03200,0000,3200SUPPORT SURFACES 134598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134598,A000000,03400,0000,3400CLINIC 134598,A000000,03500,0000,3500RURAL HEALTH CLINIC 134598,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134598,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134598,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134598,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134598,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134598,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134598,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134598,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134598,A000000,04400,0000,4400DME RENTED - HHA 134598,A000000,04500,0000,4500DME SOLD - HHA 134598,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134598,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134598,A000000,04800,0000,4800AMBULANCE 134598,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134598,A000000,05000,0000,5000CORF 134598,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134598,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134598,A000000,05300,0000,5300INTEREST EXPENSE 134598,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134598,A000000,05500,0000,5500HOSPICE 134598,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134598,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134598,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134598,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134598,A000000,06100,0000,6100NONPAID WORKERS 134598,A000000,06200,0000,6200PATIENTS LAUNDRY 134598,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134598,A81000A,00100,0100,Y 134598,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 134598,A81000B,00200,0300,PHYSICAL THERAPY 134598,A81000B,00300,0300,OCCUPATIONAL THERAPY 134598,A81000C,00100,0100,D 134598,A81000C,00100,0400,THE AMBASSADOR GROUP INC 134598,A81000C,00100,0600,MANAGEMENT COMPANY 134598,A81000C,00200,0100,D 134598,A81000C,00200,0400,AMBASSADOR REHAB AGENCY 134598,A81000C,00200,0600,THERAPY COMPANY 134598,A81000C,00300,0100,D 134598,A81000C,00300,0400,AMBASSADOR REHAB AGENCY 134598,A81000C,00300,0600,THERAPY COMPANY 134598,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134598,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134598,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134598,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134598,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134598,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134598,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134598,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134598,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134598,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134598,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134598,S000000,00100,0200,11/30/00 134598,S200000,00100,0100,4405 NORMAL BLVD 134598,S200000,00200,0100,LINCOLN 134598,S200000,00200,0200,NE 134598,S200000,00200,0300,68506- 134598,S200000,00300,0100,LANCASTER 134598,S200000,00300,0200,4360 134598,S200000,00300,0300,U 134598,S200000,00400,0100,THE AMBASSADOR LINCOLN INC 134598,S200000,00400,0200,285066 134598,S200000,00400,0300,02/02/84 134598,S200000,00400,0500,P 134598,S200000,01500,0100,Y 134598,S200000,01600,0100,N 134598,S200000,01700,0100,N 134598,S200000,01800,0100,N 134598,S200000,02200,0100,N 134598,S200000,02800,0100,Y 134598,S200000,02900,0100,N 134598,S200000,03000,0100,N 134598,S200000,03100,0100,N 134598,S200000,03200,0100,N 134598,S200000,04100,0100,N 134598,S200000,04200,0100,N 134598,S200000,04300,0100,N 134598,S200000,04600,0100,N 134598,S200000,04700,0100,N 134598,S200000,04700,0200,N 134598,S200000,04900,0100,N 134598,S200000,05000,0100,N 134598,S200000,05100,0100,N 134598,S200000,05200,0100,N 134600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134600,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 134600,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134600,A000000,00300,0000,0300EMPLOYEE BENEFITS 134600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134600,A000000,00601,0000,0601LAUNDRY & LINEN SERVICE 134600,A000000,00700,0000,0700HOUSEKEEPING 134600,A000000,00800,0000,0800DIETARY 134600,A000000,00801,0000,0801DIETARY 134600,A000000,00900,0000,0900NURSING ADMINISTRATION 134600,A000000,00901,0000,0901NURSING ADMINISTRATION 134600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134600,A000000,01001,0000,1001CENTRAL SERVICES & SUPPLY 134600,A000000,01100,0000,1100PHARMACY 134600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134600,A000000,01201,0000,1201MEDICAL RECORDS & LIBRARY 134600,A000000,01300,0000,1300SOCIAL SERVICE 134600,A000000,01301,0000,1301SOCIAL SERVICE 134600,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134600,A000000,01500,0000,1350OTHER GENERAL SERVICES 134600,A000000,01600,0000,1600SKILLED NURSING FACILITY 134600,A000000,01800,0000,1800NURSING FACILITY 134600,A000000,01810,0000,1810ICF/MR 134600,A000000,01900,0000,1900OTHER LONG TERM CARE 134600,A000000,02100,0000,2100RADIOLOGY 134600,A000000,02200,0000,2200LABORATORY 134600,A000000,02300,0000,2300INTRAVENOUS THERAPY 134600,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134600,A000000,02500,0000,2500PHYSICAL THERAPY 134600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134600,A000000,02700,0000,2700SPEECH PATHOLOGY 134600,A000000,02800,0000,2800ELECTROCARDIOLOGY 134600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134600,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134600,A000000,03200,0000,3200SUPPORT SURFACES 134600,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134600,A000000,03400,0000,3400CLINIC 134600,A000000,03500,0000,3500RURAL HEALTH CLINIC 134600,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134600,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134600,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134600,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134600,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134600,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134600,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134600,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134600,A000000,04400,0000,4400DME RENTED - HHA 134600,A000000,04500,0000,4500DME SOLD - HHA 134600,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134600,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134600,A000000,04800,0000,4800AMBULANCE 134600,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134600,A000000,05000,0000,5000CORF 134600,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134600,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134600,A000000,05300,0000,5300INTEREST EXPENSE 134600,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134600,A000000,05500,0000,5500HOSPICE 134600,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134600,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134600,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134600,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134600,A000000,06100,0000,6100NONPAID WORKERS 134600,A000000,06200,0000,6200PATIENTS LAUNDRY 134600,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134600,A81000A,00100,0100,Y 134600,A81000B,00100,0300,MANAGEMENT FEE 134600,A81000B,00200,0300,PHYSICAL THERAPY 134600,A81000B,00300,0300,OCCUPATIONAL THERAPY 134600,A81000C,00100,0100,D 134600,A81000C,00100,0400,THE AMBASSADOR GROUP 134600,A81000C,00100,0600,MANAGEMENT COMPANY 134600,A81000C,00200,0100,D 134600,A81000C,00200,0400,THE AMBASSADOR REHAB AGEN 134600,A81000C,00200,0600,CONTRACT THERAPY 134600,A81000C,00300,0100,D 134600,A81000C,00300,0400,THE AMBASSADOR REHAB AGEN 134600,A81000C,00300,0600,CONTRACT THERAPY 134600,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134600,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134600,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134600,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134600,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134600,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134600,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134600,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134600,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134600,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134600,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134600,E10A180,00301,0100,01/17/00 134600,S000000,00100,0200,11/30/00 134600,S200000,00100,0100,1540 NORTH 72ND STREET 134600,S200000,00200,0100,OMAHA 134600,S200000,00200,0200,NE 134600,S200000,00200,0300,68114- 134600,S200000,00300,0100,DOUGLAS 134600,S200000,00300,0200,5920 134600,S200000,00300,0300,U 134600,S200000,00400,0100,THE AMBASSADOR OMAHA 134600,S200000,00400,0200,285127 134600,S200000,00400,0300,03/01/93 134600,S200000,00400,0500,P 134600,S200000,01500,0100,Y 134600,S200000,01600,0100,N 134600,S200000,01700,0100,N 134600,S200000,01800,0100,N 134600,S200000,02200,0100,N 134600,S200000,02800,0100,Y 134600,S200000,02900,0100,N 134600,S200000,03000,0100,N 134600,S200000,03100,0100,N 134600,S200000,03200,0100,N 134600,S200000,04100,0100,N 134600,S200000,04200,0100,N 134600,S200000,04300,0100,N 134600,S200000,04600,0100,N 134600,S200000,04700,0100,N 134600,S200000,04700,0200,N 134600,S200000,04900,0100,N 134600,S200000,05000,0100,N 134600,S200000,05100,0100,N 134600,S200000,05200,0100,N 134606,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134606,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134606,A000000,00300,0000,0300EMPLOYEE BENEFITS 134606,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134606,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134606,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134606,A000000,00700,0000,0700HOUSEKEEPING 134606,A000000,00800,0000,0800DIETARY 134606,A000000,00900,0000,0900NURSING ADMINISTRATION 134606,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134606,A000000,01100,0000,1100PHARMACY 134606,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134606,A000000,01300,0000,1300SOCIAL SERVICE 134606,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134606,A000000,01500,0000,1350PATIENT ACTIVITIES 134606,A000000,01600,0000,1600SKILLED NURSING FACILITY 134606,A000000,01800,0000,1800NURSING FACILITY 134606,A000000,01810,0000,1810ICF/MR 134606,A000000,02100,0000,2100RADIOLOGY 134606,A000000,02300,0000,2300INTRAVENOUS THERAPY 134606,A000000,02500,0000,2500PHYSICAL THERAPY 134606,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134606,A000000,02700,0000,2700SPEECH PATHOLOGY 134606,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134606,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134606,A000000,03550,0000,3550FQHC 134606,A000000,05000,0000,5000CORF 134606,A000000,05010,0000,5010CMHC 134606,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134606,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134606,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134606,A81000A,00100,0100,N 134606,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134606,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134606,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134606,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134606,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134606,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 134606,B100000,00000,0800,0800MEALS SERVED :DIETARY 134606,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 134606,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 134606,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 134606,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134606,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134606,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 134606,E10A180,00301,0100,08/18/99 134606,S000000,00100,0200,06/02/00 134606,S200000,00100,0100,1105 LINDEN STREET 134606,S200000,00200,0100,CAMDEN 134606,S200000,00200,0200,NJ 134606,S200000,00200,0300,08102-1062 134606,S200000,00300,0100,CAMDEN 134606,S200000,00300,0200,6160 134606,S200000,00300,0300,U 134606,S200000,00400,0100,WOODLAND CARE CENTER 134606,S200000,00400,0200,315267 134606,S200000,00400,0300,09/08/88 134606,S200000,00400,0500,P 134606,S200000,00400,0600,O 134606,S200000,00600,0200,315267 134606,S200000,00600,0300,09/08/88 134606,S200000,00600,0600,O 134606,S200000,01500,0100,N 134606,S200000,01600,0100,Y 134606,S200000,01700,0100,N 134606,S200000,01800,0100,N 134606,S200000,02200,0100,Y 134606,S200000,02800,0100,N 134606,S200000,02900,0100,N 134606,S200000,03000,0100,N 134606,S200000,03100,0100,N 134606,S200000,03200,0100,N 134606,S200000,04100,0100,N 134606,S200000,04200,0100,N 134606,S200000,04300,0100,N 134606,S200000,04600,0100,N 134606,S200000,04700,0100,N 134606,S200000,04700,0200,N 134606,S200000,04900,0100,N 134606,S200000,05000,0100,N 134606,S200000,05100,0100,N 134606,S200000,05200,0100,N 134612,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134612,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134612,A000000,00300,0000,0300EMPLOYEE BENEFITS 134612,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134612,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134612,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134612,A000000,00700,0000,0700HOUSEKEEPING 134612,A000000,00800,0000,0800DIETARY 134612,A000000,00900,0000,0900NURSING ADMINISTRATION 134612,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134612,A000000,01100,0000,1100PHARMACY 134612,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134612,A000000,01300,0000,1300SOCIAL SERVICE 134612,A000000,01301,0000,1301ACTIVITIES 134612,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134612,A000000,01500,0000,1350OTHER GENERAL SERVICES 134612,A000000,01600,0000,1600SKILLED NURSING FACILITY 134612,A000000,01800,0000,1800NURSING FACILITY 134612,A000000,01810,0000,1810ICF/MR 134612,A000000,01900,0000,1900OTHER LONG TERM CARE 134612,A000000,02100,0000,2100RADIOLOGY 134612,A000000,02200,0000,2200LABORATORY 134612,A000000,02300,0000,2300INTRAVENOUS THERAPY 134612,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134612,A000000,02500,0000,2500PHYSICAL THERAPY 134612,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134612,A000000,02700,0000,2700SPEECH PATHOLOGY 134612,A000000,02800,0000,2800ELECTROCARDIOLOGY 134612,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134612,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134612,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134612,A000000,03200,0000,3200SUPPORT SURFACES 134612,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134612,A000000,03400,0000,3400CLINIC 134612,A000000,03500,0000,3500RURAL HEALTH CLINIC 134612,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134612,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134612,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134612,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134612,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134612,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134612,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134612,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134612,A000000,04400,0000,4400DME RENTED - HHA 134612,A000000,04500,0000,4500DME SOLD - HHA 134612,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134612,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134612,A000000,04800,0000,4800AMBULANCE 134612,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134612,A000000,05000,0000,5000CORF 134612,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134612,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134612,A000000,05300,0000,5300INTEREST EXPENSE 134612,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134612,A000000,05500,0000,5500HOSPICE 134612,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134612,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134612,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134612,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134612,A000000,06100,0000,6100NONPAID WORKERS 134612,A000000,06200,0000,6200PATIENTS LAUNDRY 134612,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134612,A81000A,00100,0100,Y 134612,A81000B,00100,0300,ADMINISTRATIVE AND GEBERAL 134612,A81000B,00200,0300,CAPITAL 134612,A81000C,00100,0100,A 134612,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 134612,A81000C,00100,0400,LENOX HEALTHCARE INC 134612,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134612,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134612,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134612,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134612,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134612,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134612,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134612,B100000,00000,0800,0800MEALS SERVED :DIETARY 134612,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 134612,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134612,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 134612,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134612,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134612,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 134612,B100000,00000,1400,1400ASSIGNED TIME :INTERNS & RESIDE 134612,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 134612,S000000,00100,0200,12/02/00 134612,S200000,00100,0100,1224 WOODLAND LOOP 134612,S200000,00200,0100,BARTLESVILLE 134612,S200000,00200,0200,OK 134612,S200000,00200,0300,74006- 134612,S200000,00300,0100,WASHINGTON 134612,S200000,00400,0100,HERITAGE VILLA NURSING HOME 134612,S200000,00400,0200,375109 134612,S200000,00400,0300,04/01/91 134612,S200000,00400,0500,P 134612,S200000,01004,0500,O 134612,S200000,01500,0100,N 134612,S200000,01600,0100,Y 134612,S200000,01700,0100,N 134612,S200000,01800,0100,N 134612,S200000,02200,0100,N 134612,S200000,02800,0100,N 134612,S200000,02900,0100,N 134612,S200000,03000,0100,N 134612,S200000,03100,0100,N 134612,S200000,03200,0100,N 134612,S200000,04100,0100,N 134612,S200000,04200,0100,N 134612,S200000,04300,0100,N 134612,S200000,04600,0100,N 134612,S200000,04700,0100,N 134612,S200000,04900,0100,N 134612,S700003,00000,0200,2 134647,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134647,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134647,A000000,00300,0000,0300EMPLOYEE BENEFITS 134647,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134647,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134647,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134647,A000000,00700,0000,0700HOUSEKEEPING 134647,A000000,00800,0000,0800DIETARY 134647,A000000,00900,0000,0900NURSING ADMINISTRATION 134647,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134647,A000000,01100,0000,1100PHARMACY 134647,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134647,A000000,01300,0000,1300SOCIAL SERVICE 134647,A000000,01600,0000,1600SKILLED NURSING FACILITY 134647,A000000,01800,0000,1800NURSING FACILITY 134647,A000000,01900,0000,1900OTHER LONG TERM CARE 134647,A000000,02100,0000,2100RADIOLOGY 134647,A000000,02200,0000,2200LABORATORY 134647,A000000,02300,0000,2300INTRAVENOUS THERAPY 134647,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134647,A000000,02500,0000,2500PHYSICAL THERAPY 134647,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134647,A000000,02700,0000,2700SPEECH PATHOLOGY 134647,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134647,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134647,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134647,A000000,04800,0000,4800AMBULANCE 134647,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134647,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134647,A81000A,00100,0100,Y 134647,A81000B,00100,0300,HOME OFFICE ALLOC 134647,A81000B,00200,0300,HOME OFFICE ALLOC 134647,A81000B,00300,0300,PHARMACY 134647,A81000B,00400,0300,PHYSICAL THERAPY 134647,A81000B,00500,0300,OCCUPATIONAL THERAPY 134647,A81000B,00600,0300,SPEECH THERAPY 134647,A81000C,00100,0100,A 134647,A81000C,00100,0200,COVENANT CARE INC 134647,A81000C,00100,0400,COVENANT CARE INC. 134647,A81000C,00100,0600,HEALTH CARE 134647,A81000C,00200,0100,B 134647,A81000C,00200,0200,PHARMACY 134647,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 134647,A81000C,00200,0600,PHARMACY - HEALTH CARE 134647,A81000C,00300,0100,C 134647,A81000C,00300,0200,THERAPY 134647,A81000C,00300,0400,SELECT THEREAPY 134647,A81000C,00300,0600,THERAPY SERVICES 134647,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134647,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134647,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134647,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134647,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134647,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134647,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134647,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134647,B100000,00000,0900,0950 NURSING SALARIES :NURSING ADMIN 134647,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134647,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134647,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134647,S000000,00100,0200,06/01/00 134647,S200000,00100,0100,6821 24TH STREET 134647,S200000,00200,0100,SACRAMENTO 134647,S200000,00200,0200,CA 134647,S200000,00200,0300,95822- 134647,S200000,00300,0100,SACRAMENTO 134647,S200000,00300,0200,6920 134647,S200000,00300,0300,U 134647,S200000,00400,0100,EMERALD GARDENS NURSING CENTER 134647,S200000,00400,0200,555442 134647,S200000,00400,0300,01/13/95 134647,S200000,00400,0500,P 134647,S200000,00600,0200,555442 134647,S200000,00600,0300,01/13/95 134647,S200000,00600,0600,O 134647,S200000,01500,0100,N 134647,S200000,01600,0100,Y 134647,S200000,01700,0100,N 134647,S200000,01800,0100,N 134647,S200000,02200,0100,N 134647,S200000,02800,0100,N 134647,S200000,02900,0100,N 134647,S200000,03000,0100,N 134647,S200000,03100,0100,N 134647,S200000,03200,0100,N 134647,S200000,04100,0100,N 134647,S200000,04200,0100,N 134647,S200000,04300,0100,N 134647,S200000,04600,0100,N 134647,S200000,04700,0100,N 134647,S200000,04700,0200,N 134647,S200000,04900,0100,N 134647,S200000,05000,0100,N 134647,S200000,05100,0100,N 134647,S200000,05200,0100,N 134673,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134673,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134673,A000000,00300,0000,0300EMPLOYEE BENEFITS 134673,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134673,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134673,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134673,A000000,00700,0000,0700HOUSEKEEPING 134673,A000000,00800,0000,0800DIETARY 134673,A000000,00900,0000,0900NURSING ADMINISTRATION 134673,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134673,A000000,01100,0000,1100PHARMACY 134673,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134673,A000000,01300,0000,1300SOCIAL SERVICE 134673,A000000,01301,0000,1351ACTIVITIES 134673,A000000,01600,0000,1600SKILLED NURSING FACILITY 134673,A000000,01800,0000,1800NURSING FACILITY 134673,A000000,02100,0000,2100RADIOLOGY 134673,A000000,02200,0000,2200LABORATORY 134673,A000000,02300,0000,2300INTRAVENOUS THERAPY 134673,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134673,A000000,02500,0000,2500PHYSICAL THERAPY 134673,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134673,A000000,02700,0000,2700SPEECH PATHOLOGY 134673,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134673,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134673,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134673,A000000,03301,0000,3051MEDICAL EQUIPMENT 134673,A000000,04800,0000,4800AMBULANCE 134673,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134673,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134673,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134673,A81000A,00100,0100,Y 134673,A81000B,00100,0300,HOME OFFICE CAPITAL 134673,A81000B,00200,0300,HOME OFFICE NONCAPITAL 134673,A81000B,00300,0300,WAREHOUSE 134673,A81000C,00100,0100,A 134673,A81000C,00100,0200,PETER C. KERN 134673,A81000C,00100,0400,HEA MANAGEMENT GROUP 134673,A81000C,00100,0600,HOME OFFICE 134673,A81000C,00200,0100,A 134673,A81000C,00200,0200,PETER C. KERN 134673,A81000C,00200,0400,WAREHOUSE STORAGE 134673,A81000C,00200,0600,OLD RECORD STORAGE 134673,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134673,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134673,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134673,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134673,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134673,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134673,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134673,B100000,00000,0800,0800MEALS SERVED :DIETARY 134673,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 134673,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134673,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 134673,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134673,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134673,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 134673,S000000,00100,0200,04/12/00 134673,S200000,00100,0100,220 HUGHSTON STREET 134673,S200000,00200,0100,MCBAIN 134673,S200000,00200,0200,MI 134673,S200000,00200,0300,49657- 134673,S200000,00300,0100,MISSAUKEE 134673,S200000,00300,0200,23 134673,S200000,00300,0300,R 134673,S200000,00400,0100,AUTUMNWOOD OF MCBAIN 134673,S200000,00400,0200,235438 134673,S200000,00400,0300,06/01/88 134673,S200000,00400,0500,P 134673,S200000,01500,0100,N 134673,S200000,01600,0100,Y 134673,S200000,01700,0100,N 134673,S200000,01800,0100,N 134673,S200000,02200,0100,Y 134673,S200000,02800,0100,N 134673,S200000,02900,0100,N 134673,S200000,03000,0100,N 134673,S200000,03100,0100,N 134673,S200000,03200,0100,N 134673,S200000,04100,0100,N 134673,S200000,04200,0100,N 134673,S200000,04300,0100,Y 134673,S200000,04600,0100,N 134673,S200000,04700,0100,N 134673,S200000,04700,0200,N 134673,S200000,04900,0100,N 134673,S200000,05000,0100,N 134673,S200000,05100,0100,N 134673,S200000,05200,0100,N 134700,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134700,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134700,A000000,00300,0000,0300EMPLOYEE BENEFITS 134700,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134700,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134700,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134700,A000000,00700,0000,0700HOUSEKEEPING 134700,A000000,00800,0000,0800DIETARY 134700,A000000,00900,0000,0900NURSING ADMINISTRATION 134700,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134700,A000000,01100,0000,1100PHARMACY 134700,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134700,A000000,01300,0000,1300SOCIAL SERVICE 134700,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134700,A000000,01600,0000,1600SKILLED NURSING FACILITY 134700,A000000,01800,0000,1800NURSING FACILITY 134700,A000000,01900,0000,1900OTHER LONG TERM CARE 134700,A000000,02100,0000,2100RADIOLOGY 134700,A000000,02200,0000,2200LABORATORY 134700,A000000,02300,0000,2300INTRAVENOUS THERAPY 134700,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134700,A000000,02500,0000,2500PHYSICAL THERAPY 134700,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134700,A000000,02700,0000,2700SPEECH PATHOLOGY 134700,A000000,02800,0000,2800ELECTROCARDIOLOGY 134700,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134700,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134700,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134700,A000000,03200,0000,3200SUPPORT SURFACES 134700,A000000,03400,0000,3400CLINIC 134700,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134700,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134700,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134700,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134700,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134700,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134700,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134700,A000000,04400,0000,4400DME RENTED - HHA 134700,A000000,04500,0000,4500DME SOLD - HHA 134700,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134700,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134700,A000000,04800,0000,4800AMBULANCE 134700,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134700,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134700,A000000,05300,0000,5300INTEREST EXPENSE 134700,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134700,A000000,05500,0000,5500HOSPICE 134700,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134700,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134700,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134700,A000000,06100,0000,6100NONPAID WORKERS 134700,A000000,06200,0000,6200PATIENTS LAUNDRY 134700,A81000A,00100,0100,N 134700,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 134700,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 134700,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134700,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134700,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 134700,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134700,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 134700,B100000,00000,0800,0850PAT DAYS :DIETARY 134700,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 134700,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 134700,B100000,00000,1100,1150PAT DAYS :PHARMACY 134700,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 134700,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134700,E10A180,00301,0100,01/26/00 134700,S000000,00100,0200,12/05/00 134700,S200000,00100,0100,1865 BOLD SPRINGS ROAD 134700,S200000,00100,0300,886 134700,S200000,00200,0100,MONROE 134700,S200000,00200,0200,GA 134700,S200000,00200,0300,30655- 134700,S200000,00300,0100,WALTON 134700,S200000,00300,0200,0520 134700,S200000,00300,0300,U 134700,S200000,00400,0100,PARK PLACE NURSING FACILITY 134700,S200000,00400,0200,115005 134700,S200000,00400,0300,10/01/93 134700,S200000,00400,0500,P 134700,S200000,00400,0600,O 134700,S200000,01500,0100,Y 134700,S200000,01600,0100,N 134700,S200000,01700,0100,N 134700,S200000,01800,0100,N 134700,S200000,02200,0100,Y 134700,S200000,02800,0100,N 134700,S200000,02900,0100,N 134700,S200000,03000,0100,N 134700,S200000,03100,0100,N 134700,S200000,03200,0100,N 134700,S200000,04100,0100,N 134700,S200000,04200,0100,N 134700,S200000,04300,0100,N 134700,S200000,04600,0100,N 134700,S200000,04700,0100,N 134700,S200000,04700,0200,N 134700,S200000,04900,0100,N 134700,S200000,05000,0100,N 134700,S200000,05100,0100,N 134700,S200000,05200,0100,N 134701,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134701,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134701,A000000,00300,0000,0300EMPLOYEE BENEFITS 134701,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134701,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134701,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134701,A000000,00700,0000,0700HOUSEKEEPING 134701,A000000,00800,0000,0800DIETARY 134701,A000000,00900,0000,0900NURSING ADMINISTRATION 134701,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134701,A000000,01100,0000,1100PHARMACY 134701,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134701,A000000,01300,0000,1300SOCIAL SERVICE 134701,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134701,A000000,01500,0000,1350OTHER GENERAL SERVICES 134701,A000000,01600,0000,1600SKILLED NURSING FACILITY 134701,A000000,01800,0000,1800NURSING FACILITY 134701,A000000,01900,0000,1900OTHER LONG TERM CARE 134701,A000000,02100,0000,2100RADIOLOGY 134701,A000000,02200,0000,2200LABORATORY 134701,A000000,02300,0000,2300INTRAVENOUS THERAPY 134701,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134701,A000000,02500,0000,2500PHYSICAL THERAPY 134701,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134701,A000000,02700,0000,2700SPEECH PATHOLOGY 134701,A000000,02800,0000,2800ELECTROCARDIOLOGY 134701,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134701,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134701,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134701,A000000,03200,0000,3200SUPPORT SURFACES 134701,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134701,A000000,03400,0000,3400CLINIC 134701,A000000,03500,0000,3500RURAL HEALTH CLINIC 134701,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134701,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134701,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134701,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134701,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134701,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134701,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134701,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134701,A000000,04400,0000,4400DME RENTED - HHA 134701,A000000,04500,0000,4500DME SOLD - HHA 134701,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134701,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134701,A000000,04800,0000,4800AMBULANCE 134701,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134701,A000000,05000,0000,5000CORF 134701,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134701,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134701,A000000,05300,0000,5300INTEREST EXPENSE 134701,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134701,A000000,05500,0000,5500HOSPICE 134701,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134701,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134701,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134701,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134701,A000000,06100,0000,6100NONPAID WORKERS 134701,A000000,06200,0000,6200PATIENTS LAUNDRY 134701,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134701,A81000A,00100,0100,Y 134701,A81000B,00100,0300,MANAGEMENT FEE 134701,A81000B,00200,0300,MANAGEMENT FEE 134701,A81000B,00300,0300,PHYSICAL THERAPY 134701,A81000B,00400,0300,OCCUPATIONAL THERAPY 134701,A81000B,00500,0300,SPEECH THERAPY 134701,A81000C,00100,0100,B 134701,A81000C,00100,0400,CARE MORE MANAGEMENT 134701,A81000C,00100,0600,MANAGEMENT 134701,A81000C,00200,0100,B 134701,A81000C,00200,0400,CARE MORE MANAGEMENT 134701,A81000C,00200,0600,MANAGEMENT 134701,A81000C,00300,0100,A 134701,A81000C,00300,0200,SEE ATTACHED 134701,A81000C,00300,0600,THERAPY 134701,A81000C,00400,0100,A 134701,A81000C,00400,0200,SEE ATTACHED 134701,A81000C,00400,0600,THERAPY 134701,A81000C,00500,0100,A 134701,A81000C,00500,0200,SEE ATTACHED 134701,A81000C,00500,0600,THERAPY 134701,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134701,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134701,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134701,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134701,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134701,B100000,00000,0800,0800MEALS SERVED :DIETARY 134701,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 134701,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134701,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134701,E10A180,00301,0100,01/28/00 134701,S000000,00100,0200,12/04/00 134701,S200000,00100,0300,428 134701,S200000,00200,0100,CONYERS 134701,S200000,00200,0200,GA 134701,S200000,00200,0300,30207- 134701,S200000,00300,0100,ROCKDALE 134701,S200000,00300,0200,0520 134701,S200000,00300,0300,U 134701,S200000,00400,0100,STARCREST OF CONYERS 134701,S200000,00400,0200,115469 134701,S200000,00400,0300,11/27/89 134701,S200000,00400,0500,P 134701,S200000,01500,0100,N 134701,S200000,01600,0100,Y 134701,S200000,01700,0100,N 134701,S200000,01800,0100,N 134701,S200000,02200,0100,N 134701,S200000,02800,0100,N 134701,S200000,02900,0100,N 134701,S200000,03000,0100,N 134701,S200000,03100,0100,N 134701,S200000,03200,0100,N 134701,S200000,04100,0100,N 134701,S200000,04200,0100,N 134701,S200000,04300,0100,N 134701,S200000,04600,0100,N 134701,S200000,04700,0100,N 134701,S200000,04700,0200,N 134701,S200000,04900,0100,N 134701,S200000,05000,0100,N 134701,S200000,05100,0100,N 134701,S200000,05200,0100,N 134702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134702,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134702,A000000,00300,0000,0300EMPLOYEE BENEFITS 134702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134702,A000000,00700,0000,0700HOUSEKEEPING 134702,A000000,00800,0000,0800DIETARY 134702,A000000,00900,0000,0900NURSING ADMINISTRATION 134702,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134702,A000000,01100,0000,1100PHARMACY 134702,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134702,A000000,01300,0000,1300SOCIAL SERVICE 134702,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134702,A000000,01600,0000,1600SKILLED NURSING FACILITY 134702,A000000,01800,0000,1800NURSING FACILITY 134702,A000000,01900,0000,1900OTHER LONG TERM CARE 134702,A000000,02100,0000,2100RADIOLOGY 134702,A000000,02200,0000,2200LABORATORY 134702,A000000,02300,0000,2300INTRAVENOUS THERAPY 134702,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134702,A000000,02500,0000,2500PHYSICAL THERAPY 134702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134702,A000000,02700,0000,2700SPEECH PATHOLOGY 134702,A000000,02800,0000,2800ELECTROCARDIOLOGY 134702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134702,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134702,A000000,03200,0000,3200SUPPORT SURFACES 134702,A000000,03400,0000,3400CLINIC 134702,A000000,03500,0000,3500RURAL HEALTH CLINIC 134702,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134702,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134702,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134702,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134702,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134702,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134702,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134702,A000000,04400,0000,4400DME RENTED - HHA 134702,A000000,04500,0000,4500DME SOLD - HHA 134702,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134702,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134702,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134702,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134702,A000000,05300,0000,5300INTEREST EXPENSE 134702,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134702,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134702,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134702,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134702,A000000,06100,0000,6100NONPAID WORKERS 134702,A000000,06200,0000,6200PATIENTS LAUNDRY 134702,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENTE 134702,A81000A,00100,0100,Y 134702,A81000B,00100,0300,HO WORKERE COMP EXP 134702,A81000B,00200,0300,HO CORPORATE ALLOCATION 134702,A81000C,00100,0100,B 134702,A81000C,00100,0400,COMMON BD TRUST 134702,A81000C,00100,0600,HOME OFFICE 134702,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134702,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134702,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134702,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134702,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134702,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134702,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134702,B100000,00000,0800,0850PAT DAYS :DIETARY 134702,B100000,00000,0900,0950DIR NURS HRS SERV:NURSING ADMINI 134702,B100000,00000,1000,1000COST REQ -SUPP :CENTRAL SERVICES 134702,B100000,00000,1100,1100COST REQ -DRUGS :PHARMACY 134702,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 134702,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134702,S000000,00100,0200,12/05/00 134702,S200000,00100,0100,1901 WEST SCREVEN 134702,S200000,00100,0300,407 134702,S200000,00200,0100,QUITMAN 134702,S200000,00200,0200,GA 134702,S200000,00200,0300,31643- 134702,S200000,00300,0100,BROOKS 134702,S200000,00300,0200,0011 134702,S200000,00300,0300,R 134702,S200000,00400,0100,PRESBYTERIAN HOMES QUITMAN INC. 134702,S200000,00400,0200,115498 134702,S200000,00400,0300,12/31/89 134702,S200000,00400,0500,P 134702,S200000,01500,0100,N 134702,S200000,01600,0100,Y 134702,S200000,01700,0100,N 134702,S200000,01800,0100,N 134702,S200000,02200,0100,N 134702,S200000,02800,0100,N 134702,S200000,02900,0100,N 134702,S200000,03000,0100,N 134702,S200000,03100,0100,N 134702,S200000,03200,0100,N 134702,S200000,04100,0100,N 134702,S200000,04200,0100,N 134702,S200000,04300,0100,N 134702,S200000,04600,0100,N 134702,S200000,04700,0100,N 134702,S200000,04700,0200,N 134702,S200000,04900,0100,N 134702,S200000,05000,0100,N 134702,S200000,05100,0100,N 134702,S200000,05200,0100,N 134703,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134703,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134703,A000000,00300,0000,0300EMPLOYEE BENEFITS 134703,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134703,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134703,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134703,A000000,00700,0000,0700HOUSEKEEPING 134703,A000000,00800,0000,0800DIETARY 134703,A000000,00900,0000,0900NURSING ADMINISTRATION 134703,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134703,A000000,01100,0000,1100PHARMACY 134703,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134703,A000000,01300,0000,1300SOCIAL SERVICE 134703,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134703,A000000,01600,0000,1600SKILLED NURSING FACILITY 134703,A000000,01800,0000,1800NURSING FACILITY 134703,A000000,01900,0000,1900OTHER LONG TERM CARE 134703,A000000,02100,0000,2100RADIOLOGY 134703,A000000,02200,0000,2200LABORATORY 134703,A000000,02300,0000,2300INTRAVENOUS THERAPY 134703,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134703,A000000,02500,0000,2500PHYSICAL THERAPY 134703,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134703,A000000,02700,0000,2700SPEECH PATHOLOGY 134703,A000000,02800,0000,2800ELECTROCARDIOLOGY 134703,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134703,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134703,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134703,A000000,03200,0000,3200SUPPORT SURFACES 134703,A000000,03400,0000,3400CLINIC 134703,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134703,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134703,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134703,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134703,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134703,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134703,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134703,A000000,04400,0000,4400DME RENTED - HHA 134703,A000000,04500,0000,4500DME SOLD - HHA 134703,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134703,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134703,A000000,04800,0000,4800AMBULANCE 134703,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134703,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134703,A000000,05300,0000,5300INTEREST EXPENSE 134703,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134703,A000000,05500,0000,5500HOSPICE 134703,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134703,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134703,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134703,A000000,06100,0000,6100NONPAID WORKERS 134703,A000000,06200,0000,6200PATIENTS LAUNDRY 134703,A81000A,00100,0100,N 134703,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 134703,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134703,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134703,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 134703,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134703,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 134703,B100000,00000,0800,0850PAT DAYS :DIETARY 134703,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 134703,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 134703,B100000,00000,1100,1150PAT DAYS :PHARMACY 134703,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 134703,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134703,E10A180,00301,0100,01/15/00 134703,S000000,00100,0200,12/04/00 134703,S200000,00100,0100,SOUTH RIVER ROAD 134703,S200000,00100,0300,460 134703,S200000,00200,0100,FRANKLIN 134703,S200000,00200,0200,GA 134703,S200000,00200,0300,30217- 134703,S200000,00300,0100,HEARD 134703,S200000,00300,0200,0011 134703,S200000,00300,0300,R 134703,S200000,00400,0100,FRANKLIN HEALTH CARE CENTER 134703,S200000,00400,0200,115616 134703,S200000,00400,0300,09/01/96 134703,S200000,00400,0500,P 134703,S200000,00400,0600,O 134703,S200000,01500,0100,Y 134703,S200000,01600,0100,N 134703,S200000,01700,0100,N 134703,S200000,01800,0100,N 134703,S200000,02200,0100,Y 134703,S200000,02800,0100,N 134703,S200000,02900,0100,N 134703,S200000,03000,0100,N 134703,S200000,03100,0100,N 134703,S200000,03200,0100,N 134703,S200000,04100,0100,N 134703,S200000,04200,0100,N 134703,S200000,04300,0100,N 134703,S200000,04600,0100,N 134703,S200000,04700,0100,N 134703,S200000,04700,0200,N 134703,S200000,04900,0100,N 134703,S200000,05000,0100,N 134703,S200000,05100,0100,N 134703,S200000,05200,0100,N 134722,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134722,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134722,A000000,00300,0000,0300EMPLOYEE BENEFITS 134722,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134722,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134722,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134722,A000000,00700,0000,0700HOUSEKEEPING 134722,A000000,00800,0000,0800DIETARY 134722,A000000,00900,0000,0900NURSING ADMINISTRATION 134722,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134722,A000000,01100,0000,1100PHARMACY 134722,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134722,A000000,01300,0000,1300SOCIAL SERVICE 134722,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134722,A000000,01600,0000,1600SKILLED NURSING FACILITY 134722,A000000,01810,0000,1810ICF/MR 134722,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134722,A000000,02500,0000,2500PHYSICAL THERAPY 134722,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134722,A000000,02700,0000,2700SPEECH PATHOLOGY 134722,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134722,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134722,A000000,03550,0000,3550FQHC 134722,A000000,05000,0000,5000CORF 134722,A000000,05010,0000,5010CMHC 134722,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134722,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134722,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134722,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134722,A81000A,00100,0100,Y 134722,A81000B,00100,0300,MANAGEMENT FEES 134722,A81000B,00200,0300,LEASE FEES 134722,A81000C,00100,0100,A 134722,A81000C,00100,0200,JACK & ELDORA V 134722,A81000C,00100,0400,VETTER HEALTH S 134722,A81000C,00100,0600,MANAGEMENT COMP 134722,A81000C,00200,0400,VETTER LEASING 134722,A81000C,00200,0600,LEASING COMPANY 134722,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134722,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134722,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134722,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134722,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134722,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134722,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134722,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134722,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134722,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134722,S000000,00100,0200,11/30/00 134722,S200000,00100,0100,400 EAST BIRCHWOOD 134722,S200000,00200,0100,HOOPER 134722,S200000,00200,0200,NE 134722,S200000,00200,0300,68031- 134722,S200000,00300,0100,DODGE 134722,S200000,00300,0200,0028 134722,S200000,00300,0300,R 134722,S200000,00400,0100,HOOPER CARE CENTER 134722,S200000,00400,0200,285229 134722,S200000,00400,0300,04/01/98 134722,S200000,00400,0500,P 134722,S200000,01004,0500,O 134722,S200000,01500,0100,Y 134722,S200000,01600,0100,N 134722,S200000,01700,0100,N 134722,S200000,01800,0100,N 134722,S200000,02200,0100,N 134722,S200000,02800,0100,N 134722,S200000,02900,0100,N 134722,S200000,03000,0100,N 134722,S200000,03100,0100,N 134722,S200000,03200,0100,N 134722,S200000,04100,0100,N 134722,S200000,04200,0100,N 134722,S200000,04300,0100,N 134722,S200000,04600,0100,N 134722,S200000,04700,0100,N 134722,S200000,04700,0200,N 134722,S200000,04900,0100,N 134722,S200000,05000,0100,N 134722,S200000,05100,0100,N 134722,S200000,05200,0100,N 134733,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134733,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134733,A000000,00300,0000,0300EMPLOYEE BENEFITS 134733,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134733,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134733,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134733,A000000,00700,0000,0700HOUSEKEEPING 134733,A000000,00800,0000,0800DIETARY 134733,A000000,00900,0000,0900NURSING ADMINISTRATION 134733,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134733,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134733,A000000,01300,0000,1300SOCIAL SERVICE 134733,A000000,01600,0000,1600SKILLED NURSING FACILITY 134733,A000000,01800,0000,1800NURSING FACILITY 134733,A000000,02100,0000,2100RADIOLOGY 134733,A000000,02200,0000,2200LABORATORY 134733,A000000,02300,0000,2300INTRAVENOUS THERAPY 134733,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134733,A000000,02500,0000,2500PHYSICAL THERAPY 134733,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134733,A000000,02700,0000,2700SPEECH PATHOLOGY 134733,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134733,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134733,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 134733,A000000,03002,0000,3051ENTERAL THERAPY 134733,A000000,03003,0000,3052LAB TEST FEE SCREEN 134733,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134733,A81000A,00100,0100,Y 134733,A81000B,00100,0300,HOME OFFICE COSTS 134733,A81000C,00100,0100,B 134733,A81000C,00100,0200,WHISPERING OAKS 134733,A81000C,00100,0400,CENTURY CARE I 134733,A81000C,00100,0600,HOME OFFICE 134733,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134733,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134733,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134733,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134733,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134733,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134733,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134733,B100000,00000,0800,0800MEALS SERVED :DIETARY 134733,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 134733,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134733,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134733,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134733,S000000,00100,0200,03/12/01 134733,S200000,00100,0100,105 HOSPITAL DRIVE 134733,S200000,00200,0100,CUERO 134733,S200000,00200,0200,TX 134733,S200000,00200,0300,77954- 134733,S200000,00300,0100,DEWITT 134733,S200000,00300,0300,R 134733,S200000,00400,0100,WHISPERING OAKS NURSING CENTER 134733,S200000,00400,0200,675134 134733,S200000,00400,0300,01/01/95 134733,S200000,00400,0500,P 134733,S200000,00600,0200,675134 134733,S200000,00600,0300,01/01/95 134733,S200000,00600,0600,O 134733,S200000,01500,0100,N 134733,S200000,01600,0100,Y 134733,S200000,01700,0100,N 134733,S200000,01800,0100,N 134733,S200000,02200,0100,N 134733,S200000,02800,0100,N 134733,S200000,02900,0100,N 134733,S200000,03000,0100,N 134733,S200000,03100,0100,N 134733,S200000,03200,0100,N 134733,S200000,04100,0100,N 134733,S200000,04200,0100,Y 134733,S200000,04300,0100,N 134733,S200000,04600,0100,N 134733,S200000,04700,0100,N 134733,S200000,04700,0200,N 134733,S200000,04900,0100,N 134733,S200000,05000,0100,N 134733,S200000,05100,0100,N 134733,S200000,05200,0100,N 134749,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134749,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134749,A000000,00300,0000,0300EMPLOYEE BENEFITS 134749,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134749,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134749,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134749,A000000,00700,0000,0700HOUSEKEEPING 134749,A000000,00800,0000,0800DIETARY 134749,A000000,00900,0000,0900NURSING ADMINISTRATION 134749,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134749,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134749,A000000,01300,0000,1300SOCIAL SERVICE 134749,A000000,01600,0000,1600SKILLED NURSING FACILITY 134749,A000000,01800,0000,1800NURSING FACILITY 134749,A000000,01900,0000,1900OTHER LONG TERM CARE 134749,A000000,02100,0000,2100RADIOLOGY 134749,A000000,02200,0000,2200LABORATORY 134749,A000000,02300,0000,2300INTRAVENOUS THERAPY 134749,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134749,A000000,02500,0000,2500PHYSICAL THERAPY 134749,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134749,A000000,02700,0000,2700SPEECH PATHOLOGY 134749,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134749,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134749,A000000,03200,0000,3200SUPPORT SURFACES 134749,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134749,A81000A,00100,0100,Y 134749,A81000B,00100,0300,HOME OFFICE COSTS 134749,A81000C,00100,0100,B 134749,A81000C,00100,0200,ADVOCAT INC. 134749,A81000C,00100,0400,DVCR LEASING CO 134749,A81000C,00100,0600,L/T CARE MGT CO 134749,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134749,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134749,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134749,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134749,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134749,B100000,00000,0600,0650WEIGHTED PT DAYS :LAUNDRY & LINE 134749,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134749,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134749,B100000,00000,0900,0950TOTAL HRS SUPRVSD :NURSING ADMIN 134749,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 134749,B100000,00000,1200,1250SNF PT DAYS :MEDICAL RECORDS & L 134749,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134749,S000000,00100,0200,12/01/00 134749,S200000,00100,0100,1720 KNOWLES ROAD 134749,S200000,00200,0100,PHENIX CITY 134749,S200000,00200,0200,AL 134749,S200000,00200,0300,36869- 134749,S200000,00300,0100,RUSSELL 134749,S200000,00300,0200,1800 134749,S200000,00300,0300,U 134749,S200000,00400,0100,CANTERBURY HEALTH CARE 134749,S200000,00400,0200,015382 134749,S200000,00400,0300,01/01/86 134749,S200000,00400,0500,P 134749,S200000,01500,0100,N 134749,S200000,01600,0100,Y 134749,S200000,01700,0100,N 134749,S200000,01800,0100,N 134749,S200000,02200,0100,Y 134749,S200000,02800,0100,N 134749,S200000,02900,0100,N 134749,S200000,03000,0100,N 134749,S200000,03100,0100,N 134749,S200000,03200,0100,N 134749,S200000,04100,0100,N 134749,S200000,04200,0100,N 134749,S200000,04300,0100,N 134749,S200000,04600,0100,N 134749,S200000,04700,0100,N 134749,S200000,04700,0200,N 134749,S200000,04900,0100,N 134749,S200000,05000,0100,N 134749,S200000,05100,0100,N 134749,S200000,05200,0100,N 134754,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134754,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 134754,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134754,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 134754,A000000,00300,0000,0300EMPLOYEE BENEFITS 134754,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134754,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134754,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134754,A000000,00700,0000,0700HOUSEKEEPING 134754,A000000,00800,0000,0800DIETARY 134754,A000000,00801,0000,0801CAFETERIA 134754,A000000,00900,0000,0900NURSING ADMINISTRATION 134754,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134754,A000000,01100,0000,1100PHARMACY 134754,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134754,A000000,01300,0000,1300SOCIAL SERVICE 134754,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134754,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 134754,A000000,01600,0000,1600SKILLED NURSING FACILITY 134754,A000000,01800,0000,1800NURSING FACILITY 134754,A000000,01900,0000,1900OTHER LONG TERM CARE 134754,A000000,02100,0000,2100RADIOLOGY 134754,A000000,02200,0000,2200LABORATORY 134754,A000000,02300,0000,2300INTRAVENOUS THERAPY 134754,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134754,A000000,02500,0000,2500PHYSICAL THERAPY 134754,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134754,A000000,02700,0000,2700SPEECH PATHOLOGY 134754,A000000,02800,0000,2800ELECTROCARDIOLOGY 134754,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134754,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134754,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134754,A000000,03200,0000,3200SUPPORT SURFACES 134754,A000000,03300,0000,3050OTHER ANCILLARY 134754,A000000,03301,0000,3051OTHER ANCILLARY II 134754,A000000,03302,0000,3052OTHER ANCILLARY III 134754,A000000,03400,0000,3400CLINIC 134754,A000000,03500,0000,3500RURAL HEALTH CLINIC 134754,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 134754,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134754,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134754,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134754,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134754,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134754,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134754,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134754,A000000,04400,0000,4400DME RENTED - HHA 134754,A000000,04500,0000,4500DME SOLD - HHA 134754,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134754,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134754,A000000,04800,0000,4800AMBULANCE 134754,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134754,A000000,05000,0000,5000CORF 134754,A000000,05010,0000,5010CMHC I 134754,A000000,05020,0000,5020OPT I 134754,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134754,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134754,A000000,05300,0000,5300INTEREST EXPENSE 134754,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134754,A000000,05500,0000,5500HOSPICE 134754,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 134754,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 134754,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134754,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134754,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134754,A000000,06100,0000,6100NONPAID WORKERS 134754,A000000,06200,0000,6200PATIENTS LAUNDRY 134754,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134754,A81000A,00100,0100,Y 134754,A81000B,00100,0300,MANAGEMENT FEE 134754,A81000C,00100,0100,A 134754,A81000C,00100,0200,THELMA R. ALLGD 134754,A81000C,00100,0400,ALLGOOD HEALTHE 134754,A81000C,00100,0600,MGT CO 134754,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 134754,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134754,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 134754,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 134754,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 134754,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 134754,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 134754,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 134754,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 134754,S000000,00100,0200,12/01/00 134754,S200000,00100,0100,S 134754,S200000,00200,0100,POOLER 134754,S200000,00200,0200,GA 134754,S200000,00200,0300,31322- 134754,S200000,00300,0100,CHATHAM 134754,S200000,00300,0200,7520 134754,S200000,00300,0300,U 134754,S200000,00400,0100,MOSS OAKS HEALTH CARE 134754,S200000,00400,0200,115293 134754,S200000,00400,0300,03/10/82 134754,S200000,00400,0500,P 134754,S200000,01500,0100,Y 134754,S200000,01600,0100,N 134754,S200000,01700,0100,N 134754,S200000,01800,0100,N 134754,S200000,02200,0100,N 134754,S200000,02800,0100,N 134754,S200000,02900,0100,N 134754,S200000,03000,0100,N 134754,S200000,03100,0100,N 134754,S200000,03200,0100,N 134754,S200000,04100,0100,N 134754,S200000,04200,0100,N 134754,S200000,04300,0100,N 134754,S200000,04600,0100,N 134754,S200000,04700,0100,N 134754,S200000,04700,0200,N 134754,S200000,04900,0100,N 134754,S200000,05000,0100,N 134754,S200000,05100,0100,N 134754,S200000,05200,0100,N 134756,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134756,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134756,A000000,00300,0000,0300EMPLOYEE BENEFITS 134756,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134756,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134756,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134756,A000000,00700,0000,0700HOUSEKEEPING 134756,A000000,00800,0000,0800DIETARY 134756,A000000,00900,0000,0900NURSING ADMINISTRATION 134756,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134756,A000000,01100,0000,1100PHARMACY 134756,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134756,A000000,01300,0000,1300SOCIAL SERVICE 134756,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134756,A000000,01500,0000,1350ACTIVITIES 134756,A000000,01600,0000,1600SKILLED NURSING FACILITY 134756,A000000,01800,0000,1800NURSING FACILITY 134756,A000000,01900,0000,1900OTHER LONG TERM CARE 134756,A000000,02100,0000,2100RADIOLOGY 134756,A000000,02200,0000,2200LABORATORY 134756,A000000,02300,0000,2300INTRAVENOUS THERAPY 134756,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134756,A000000,02500,0000,2500PHYSICAL THERAPY 134756,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134756,A000000,02700,0000,2700SPEECH PATHOLOGY 134756,A000000,02800,0000,2800ELECTROCARDIOLOGY 134756,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134756,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134756,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134756,A000000,03200,0000,3200SUPPORT SURFACES 134756,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134756,A000000,03400,0000,3400CLINIC 134756,A000000,03500,0000,3500RURAL HEALTH CLINIC 134756,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134756,A000000,04800,0000,4800AMBULANCE 134756,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134756,A000000,05000,0000,5000CORF 134756,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134756,A000000,05300,0000,5300INTEREST EXPENSE 134756,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134756,A000000,05500,0000,5500HOSPICE 134756,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134756,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134756,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134756,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134756,A000000,06100,0000,6100NONPAID WORKERS 134756,A000000,06200,0000,6200PATIENTS LAUNDRY 134756,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134756,A81000A,00100,0100,Y 134756,A81000B,00100,0300,NURSING SUPPLIES 134756,A81000B,00200,0300,NURSING SUPPLIES 134756,A81000B,00300,0300,FLU VACCINE 134756,A81000B,00400,0300,DRUGS RELATED 134756,A81000B,00500,0300,CONTRACTED SERVICE 134756,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 134756,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 134756,A81000B,00800,0300,HEPATITIS B VACCINE 134756,A81000B,00900,0300,DIETARY SUPPLIES 134756,A81000B,01000,0300,LAUNDRY SUPPLIES 134756,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 134756,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 134756,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 134756,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 134756,A81000B,01500,0300,FACILITY ADMINISTRATOR 134756,A81000B,01600,0300,DIETARY CONSULTANT 134756,A81000B,01700,0300,NURSE CONSULTANT 134756,A81000B,01800,0300,REGIONAL PERSONNEL 134756,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 134756,A81000B,02000,0300,THERAPY CONSULTANT 134756,A81000B,02100,0300,MAINTENANCE CONSULTANT 134756,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 134756,A81000B,02300,0300,PHYSICAL THERAPY 134756,A81000B,02400,0300,SOCIAL SERVICES SUPPLIES 134756,A81000B,02500,0300,ACTIVITIES SUPPLIES 134756,A81000B,02600,0300,MEDICAL RECORDS SUPPLIES 134756,A81000C,00100,0100,B 134756,A81000C,00100,0200,NEIL PRUITT 134756,A81000C,00100,0400,UNITED REHAB 134756,A81000C,00100,0600,THERAPY 134756,A81000C,00200,0100,B 134756,A81000C,00200,0200,NEIL PRUITT 134756,A81000C,00200,0400,UNITED PHARMACY 134756,A81000C,00200,0600,PHARMACY 134756,A81000C,00300,0100,B 134756,A81000C,00300,0200,NEIL PRUITT 134756,A81000C,00300,0400,PRUITT PROPERTI 134756,A81000C,00300,0600,RENTAL 134756,A81000C,00400,0100,B 134756,A81000C,00400,0200,NEIL PRUITT 134756,A81000C,00400,0400,PRUITT CORPORAT 134756,A81000C,00400,0600,MANAGEMENT 134756,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134756,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134756,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134756,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134756,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134756,B100000,00000,0800,0800MEALS SERVED :DIETARY 134756,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134756,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134756,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134756,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134756,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 134756,E10A180,00301,0100,01/27/00 134756,S000000,00100,0200,12/04/00 134756,S200000,00100,0100,99 HILL HAVEN ROAD 134756,S200000,00200,0100,GREENVILLE 134756,S200000,00200,0200,GA 134756,S200000,00200,0300,30222- 134756,S200000,00300,0200,11 134756,S200000,00300,0300,R 134756,S200000,00400,0100,ALVISTA HEALTH CARE INC. 134756,S200000,00400,0200,115658 134756,S200000,00400,0300,01/01/99 134756,S200000,00400,0500,P 134756,S200000,01500,0100,N 134756,S200000,01600,0100,Y 134756,S200000,01700,0100,N 134756,S200000,01800,0100,N 134756,S200000,02200,0100,N 134756,S200000,02800,0100,N 134756,S200000,02900,0100,N 134756,S200000,03000,0100,N 134756,S200000,03100,0100,N 134756,S200000,03200,0100,N 134756,S200000,04100,0100,N 134756,S200000,04200,0100,N 134756,S200000,04300,0100,N 134756,S200000,04600,0100,N 134756,S200000,04700,0100,N 134756,S200000,04700,0200,N 134756,S200000,04900,0100,N 134756,S200000,05000,0100,N 134756,S200000,05100,0100,N 134756,S200000,05200,0100,N 134766,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134766,A000000,00300,0000,0300EMPLOYEE BENEFITS 134766,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134766,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134766,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134766,A000000,00700,0000,0700HOUSEKEEPING 134766,A000000,00800,0000,0800DIETARY 134766,A000000,00900,0000,0900NURSING ADMINISTRATION 134766,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134766,A000000,01100,0000,1100PHARMACY 134766,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134766,A000000,01300,0000,1300SOCIAL SERVICE 134766,A000000,01500,0000,1350PATIENT ACTIVITIES 134766,A000000,01600,0000,1600SKILLED NURSING FACILITY 134766,A000000,01800,0000,1800NURSING FACILITY 134766,A000000,01900,0000,1900OTHER LONG TERM CARE 134766,A000000,02100,0000,2100RADIOLOGY 134766,A000000,02200,0000,2200LABORATORY 134766,A000000,02300,0000,2300INTRAVENOUS THERAPY 134766,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134766,A000000,02500,0000,2500PHYSICAL THERAPY 134766,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134766,A000000,02700,0000,2700SPEECH PATHOLOGY 134766,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134766,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134766,A000000,03200,0000,3200SUPPORT SURFACES 134766,A000000,04800,0000,4800AMBULANCE 134766,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134766,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134766,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134766,A000000,06100,0000,6100NONPAID WORKERS 134766,A000000,06200,0000,6200PATIENTS LAUNDRY 134766,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134766,A81000A,00100,0100,Y 134766,A81000B,00100,0300,ADMINISTRATOR 134766,A81000B,00200,0300,OFFICER 134766,A81000B,00300,0300,INTEREST-STOCKHOLDERS 134766,A81000C,00100,0100,G 134766,A81000C,00100,0200,MARY LOU BROWNING 134766,A81000C,00100,0400,RELATIVE OF OWNER 134766,A81000C,00200,0100,G 134766,A81000C,00200,0200,EVERETT OLIVER 134766,A81000C,00200,0400,OFFICER 134766,A81000C,00300,0100,G 134766,A81000C,00300,0200,STOCKHOLDER LOAN 134766,A81000C,00300,0400,INTEREST 134766,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134766,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134766,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134766,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134766,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134766,B100000,00000,0700,0750SQ FT EXCL K:HOUSEKEEPING 134766,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134766,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134766,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134766,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 134766,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134766,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134766,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 134766,S000000,00100,0200,11/29/00 134766,S200000,00100,0100,2050 SIXTH AVENUE 134766,S200000,00200,0100,NEPTUNE CITH 134766,S200000,00200,0200,NJ 134766,S200000,00200,0300,07753- 134766,S200000,00300,0100,MONMOUTH 134766,S200000,00300,0200,5190 134766,S200000,00300,0300,U 134766,S200000,00400,0100,MEDICENTER NEPTUNE 134766,S200000,00400,0200,315105 134766,S200000,00400,0300,06/21/69 134766,S200000,00400,0500,P 134766,S200000,01500,0100,Y 134766,S200000,01600,0100,N 134766,S200000,01700,0100,N 134766,S200000,01800,0100,N 134766,S200000,02200,0100,N 134766,S200000,02800,0100,N 134766,S200000,02900,0100,N 134766,S200000,03000,0100,N 134766,S200000,03100,0100,N 134766,S200000,03200,0100,N 134766,S200000,04100,0100,N 134766,S200000,04200,0100,N 134766,S200000,04300,0100,N 134766,S200000,04600,0100,N 134766,S200000,04700,0100,N 134766,S200000,04700,0200,N 134766,S200000,04900,0100,N 134766,S200000,05000,0100,N 134766,S200000,05100,0100,N 134766,S200000,05200,0100,N 134767,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134767,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134767,A000000,00300,0000,0300EMPLOYEE BENEFITS 134767,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134767,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134767,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134767,A000000,00700,0000,0700HOUSEKEEPING 134767,A000000,00800,0000,0800DIETARY 134767,A000000,00900,0000,0900NURSING ADMINISTRATION 134767,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134767,A000000,01100,0000,1100PHARMACY 134767,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134767,A000000,01300,0000,1300SOCIAL SERVICE 134767,A000000,01500,0000,1350ACTIVITIES 134767,A000000,01600,0000,1600SKILLED NURSING FACILITY 134767,A000000,01800,0000,1800NURSING FACILITY 134767,A000000,01900,0000,1900OTHER LONG TERM CARE 134767,A000000,02100,0000,2100RADIOLOGY 134767,A000000,02200,0000,2200LABORATORY 134767,A000000,02300,0000,2300INTRAVENOUS THERAPY 134767,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134767,A000000,02500,0000,2500PHYSICAL THERAPY 134767,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134767,A000000,02700,0000,2700SPEECH PATHOLOGY 134767,A000000,02800,0000,2800ELECTROCARDIOLOGY 134767,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134767,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134767,A000000,03200,0000,3200SUPPORT SURFACES 134767,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134767,A000000,04800,0000,4800AMBULANCE 134767,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134767,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134767,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134767,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134767,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134767,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134767,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134767,A81000A,00100,0100,N 134767,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134767,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134767,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134767,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134767,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134767,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134767,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 134767,B100000,00000,0800,0800MEALS SERVED :DIETARY 134767,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134767,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134767,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 134767,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134767,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134767,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 134767,E10A180,00301,0100,07/31/99 134767,S000000,00100,0200,05/22/00 134767,S200000,00100,0100,615 23RD ST 134767,S200000,00200,0100,UNION CITY 134767,S200000,00200,0200,NJ 134767,S200000,00200,0300,07087- 134767,S200000,00300,0100,HUDSON 134767,S200000,00300,0200,3640 134767,S200000,00300,0300,U 134767,S200000,00400,0100,CASTLE HILL HEALTH CARE CENTER 134767,S200000,00400,0200,315344 134767,S200000,00400,0300,08/01/95 134767,S200000,00400,0500,P 134767,S200000,01500,0100,N 134767,S200000,01600,0100,Y 134767,S200000,01700,0100,N 134767,S200000,01800,0100,N 134767,S200000,02200,0100,N 134767,S200000,02800,0100,N 134767,S200000,02900,0100,N 134767,S200000,03000,0100,N 134767,S200000,03100,0100,N 134767,S200000,03200,0100,N 134767,S200000,04100,0100,N 134767,S200000,04200,0100,N 134767,S200000,04300,0100,N 134767,S200000,04600,0100,N 134767,S200000,04700,0100,N 134767,S200000,04700,0200,N 134767,S200000,04900,0100,N 134767,S200000,05000,0100,N 134767,S200000,05100,0100,N 134767,S200000,05200,0100,N 134769,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134769,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134769,A000000,00300,0000,0300EMPLOYEE BENEFITS 134769,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134769,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134769,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134769,A000000,00700,0000,0700HOUSEKEEPING 134769,A000000,00800,0000,0800DIETARY 134769,A000000,00900,0000,0900NURSING ADMINISTRATION 134769,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134769,A000000,01100,0000,1100PHARMACY 134769,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134769,A000000,01300,0000,1300SOCIAL SERVICE 134769,A000000,01600,0000,1600SKILLED NURSING FACILITY 134769,A000000,01800,0000,1800NURSING FACILITY 134769,A000000,02100,0000,2100RADIOLOGY 134769,A000000,02200,0000,2200LABORATORY 134769,A000000,02300,0000,2300INTRAVENOUS THERAPY 134769,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134769,A000000,02500,0000,2500PHYSICAL THERAPY 134769,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134769,A000000,02700,0000,2700SPEECH PATHOLOGY 134769,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134769,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134769,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134769,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134769,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134769,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134769,A81000A,00100,0100,N 134769,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134769,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134769,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134769,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134769,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134769,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134769,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134769,B100000,00000,0800,0800MEALS SERVED :DIETARY 134769,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134769,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134769,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134769,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134769,S000000,00100,0200,12/06/00 134769,S200000,00100,0100,4195 MILAM 134769,S200000,00100,0300,1990 134769,S200000,00200,0100,BEAUMONT 134769,S200000,00200,0200,TX 134769,S200000,00200,0300,77707- 134769,S200000,00300,0100,JEFFERSON 134769,S200000,00300,0200,0840 134769,S200000,00300,0300,U 134769,S200000,00400,0100,SCHLESINGER GERIATRIC CENTER 134769,S200000,00400,0200,455001 134769,S200000,00400,0300,06/15/66 134769,S200000,00400,0500,P 134769,S200000,01500,0100,N 134769,S200000,01600,0100,Y 134769,S200000,01700,0100,N 134769,S200000,01800,0100,N 134769,S200000,02200,0100,N 134769,S200000,02800,0100,N 134769,S200000,02900,0100,N 134769,S200000,03000,0100,N 134769,S200000,03100,0100,N 134769,S200000,03200,0100,N 134769,S200000,04100,0100,N 134769,S200000,04200,0100,N 134769,S200000,04300,0100,N 134769,S200000,04600,0100,N 134769,S200000,04700,0100,N 134769,S200000,04700,0200,N 134769,S200000,04900,0100,N 134769,S200000,05000,0100,N 134769,S200000,05100,0100,N 134769,S200000,05200,0100,N 134785,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134785,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134785,A000000,00300,0000,0300EMPLOYEE BENEFITS 134785,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134785,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134785,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134785,A000000,00700,0000,0700HOUSEKEEPING 134785,A000000,00800,0000,0800DIETARY 134785,A000000,00900,0000,0900NURSING ADMINISTRATION 134785,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134785,A000000,01100,0000,1100PHARMACY 134785,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134785,A000000,01300,0000,1300SOCIAL SERVICE 134785,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134785,A000000,01500,0000,1350OTHER GENERAL SERVICES 134785,A000000,01600,0000,1600SKILLED NURSING FACILITY 134785,A000000,01800,0000,1800NURSING FACILITY 134785,A000000,01810,0000,1810ICF/MR 134785,A000000,01900,0000,1900OTHER LONG TERM CARE 134785,A000000,02100,0000,2100RADIOLOGY 134785,A000000,02200,0000,2200LABORATORY 134785,A000000,02300,0000,2300INTRAVENOUS THERAPY 134785,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134785,A000000,02500,0000,2500PHYSICAL THERAPY 134785,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134785,A000000,02700,0000,2700SPEECH PATHOLOGY 134785,A000000,02800,0000,2800ELECTROCARDIOLOGY 134785,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134785,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134785,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134785,A000000,03200,0000,3200SUPPORT SURFACES 134785,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134785,A000000,03400,0000,3400CLINIC 134785,A000000,03500,0000,3500RURAL HEALTH CLINIC 134785,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134785,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134785,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134785,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134785,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134785,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134785,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134785,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134785,A000000,04400,0000,4400DME RENTED - HHA 134785,A000000,04500,0000,4500DME SOLD - HHA 134785,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134785,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134785,A000000,04800,0000,4800AMBULANCE 134785,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134785,A000000,05000,0000,5000CORF 134785,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134785,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134785,A000000,05300,0000,5300INTEREST EXPENSE 134785,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134785,A000000,05500,0000,5500HOSPICE 134785,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134785,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134785,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134785,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134785,A000000,06100,0000,6100NONPAID WORKERS 134785,A000000,06200,0000,6200PATIENTS LAUNDRY 134785,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134785,A81000A,00100,0100,Y 134785,A81000B,00100,0300,BLDGS FIXT AND RENTAL COSTS 134785,A81000B,00200,0300,RENTAL COSTS 134785,A81000B,00300,0300,RELATED PARTY NF HOME OFF 134785,A81000B,00400,0300,HOME OFFICE 134785,A81000B,00500,0300,HOME OFFICE 134785,A81000C,00100,0100,A 134785,A81000C,00100,0200,KARSCHNER MANGIONE ET AL 134785,A81000C,00100,0400,IDEAL LTD 134785,A81000C,00100,0600,RENTAL 134785,A81000C,00200,0100,A 134785,A81000C,00200,0200,SAME AS ABOVE 134785,A81000C,00200,0400,IDEAL LTD 134785,A81000C,00200,0600,RENTAL 134785,A81000C,00300,0100,A 134785,A81000C,00300,0200,BLUE RIDGE NH 134785,A81000C,00300,0400,BLUE RIDGE NH 134785,A81000C,00300,0600,HOME OFFICE 134785,A81000C,00400,0100,A 134785,A81000C,00400,0200,BLUE RIDGE NH 134785,A81000C,00400,0400,BLUE RIDGE NH 134785,A81000C,00400,0600,HOME OFFICE 134785,A81000C,00500,0100,A 134785,A81000C,00500,0200,BLUE RIDGE NH 134785,A81000C,00500,0400,BLUE RIDGE NH 134785,A81000C,00500,0600,HOME OFFICE 134785,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 134785,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134785,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 134785,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134785,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 134785,B100000,00000,0800,0850PAT DAYS :DIETARY 134785,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134785,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134785,E10A180,00301,0100,01/24/00 134785,S000000,00100,0200,12/11/00 134785,S200000,00100,0100,1387 HIGHWAY 41-N 134785,S200000,00200,0100,CALHOUN 134785,S200000,00200,0200,GA 134785,S200000,00200,0300,30701- 134785,S200000,00300,0100,GORDON 134785,S200000,00300,0200,0011 134785,S200000,00300,0300,R 134785,S200000,00400,0100,CALHOUN HEALTH CARE CENTER INC 134785,S200000,00400,0200,115340 134785,S200000,00400,0300,11/27/89 134785,S200000,00400,0500,P 134785,S200000,01500,0100,N 134785,S200000,01600,0100,Y 134785,S200000,01700,0100,N 134785,S200000,01800,0100,N 134785,S200000,02200,0100,N 134785,S200000,02800,0100,N 134785,S200000,02900,0100,N 134785,S200000,03000,0100,N 134785,S200000,03100,0100,N 134785,S200000,03200,0100,N 134785,S200000,04100,0100,N 134785,S200000,04200,0100,N 134785,S200000,04300,0100,N 134785,S200000,04600,0100,N 134785,S200000,04700,0100,N 134785,S200000,04700,0200,N 134785,S200000,04900,0100,N 134785,S200000,05000,0100,N 134785,S200000,05100,0100,N 134785,S200000,05200,0100,N 134786,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134786,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134786,A000000,00300,0000,0300EMPLOYEE BENEFITS 134786,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134786,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134786,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134786,A000000,00700,0000,0700HOUSEKEEPING 134786,A000000,00800,0000,0800DIETARY 134786,A000000,00900,0000,0900NURSING ADMINISTRATION 134786,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134786,A000000,01100,0000,1100PHARMACY 134786,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134786,A000000,01300,0000,1300SOCIAL SERVICE 134786,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134786,A000000,01600,0000,1600SKILLED NURSING FACILITY 134786,A000000,01800,0000,1800NURSING FACILITY 134786,A000000,01900,0000,1900OTHER LONG TERM CARE 134786,A000000,02100,0000,2100RADIOLOGY 134786,A000000,02200,0000,2200LABORATORY 134786,A000000,02300,0000,2300INTRAVENOUS THERAPY 134786,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134786,A000000,02500,0000,2500PHYSICAL THERAPY 134786,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134786,A000000,02700,0000,2700SPEECH PATHOLOGY 134786,A000000,02800,0000,2800ELECTROCARDIOLOGY 134786,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134786,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134786,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134786,A000000,03200,0000,3200SUPPORT SURFACES 134786,A000000,03400,0000,3400CLINIC 134786,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134786,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134786,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134786,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134786,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134786,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134786,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134786,A000000,04400,0000,4400DME RENTED - HHA 134786,A000000,04500,0000,4500DME SOLD - HHA 134786,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134786,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134786,A000000,04800,0000,4800AMBULANCE 134786,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134786,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134786,A000000,05300,0000,5300INTEREST EXPENSE 134786,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134786,A000000,05500,0000,5500HOSPICE 134786,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134786,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134786,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134786,A000000,06100,0000,6100NONPAID WORKERS 134786,A000000,06200,0000,6200PATIENTS LAUNDRY 134786,A81000A,00100,0100,Y 134786,A81000B,00100,0300,MANAGEMENT FEES 134786,A81000B,00200,0300,BUILDINGS AND FIXTURES 134786,A81000B,00300,0300,INTEREST 134786,A81000C,00100,0100,A 134786,A81000C,00100,0200,PINELEAF INVEST 134786,A81000C,00100,0400,BUFORD COOK 134786,A81000C,00100,0600,MANAGEMENT CO. 134786,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 134786,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 134786,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134786,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134786,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 134786,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134786,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 134786,B100000,00000,0800,0850PAT DAYS :DIETARY 134786,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 134786,B100000,00000,1100,1150PAT DAYS :PHARMACY 134786,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 134786,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134786,E10A180,00301,0100,01/21/00 134786,S000000,00100,0200,12/04/00 134786,S200000,00100,0300,613 134786,S200000,00200,0100,CRAWFORD 134786,S200000,00200,0200,GA 134786,S200000,00200,0300,30630-0613 134786,S200000,00300,0100,OGLETHORPE 134786,S200000,00300,0200,0011 134786,S200000,00300,0300,R 134786,S200000,00400,0100,QUIET OAKS HEALTH CARE 134786,S200000,00400,0200,115396 134786,S200000,00400,0300,07/01/89 134786,S200000,00400,0500,P 134786,S200000,00600,0200,115396 134786,S200000,00600,0300,07/01/89 134786,S200000,00600,0600,O 134786,S200000,01500,0100,N 134786,S200000,01600,0100,Y 134786,S200000,01700,0100,N 134786,S200000,01800,0100,N 134786,S200000,02200,0100,Y 134786,S200000,02800,0100,N 134786,S200000,02900,0100,N 134786,S200000,03000,0100,N 134786,S200000,03100,0100,N 134786,S200000,03200,0100,N 134786,S200000,04100,0100,N 134786,S200000,04200,0100,N 134786,S200000,04300,0100,N 134786,S200000,04600,0100,N 134786,S200000,04700,0100,N 134786,S200000,04700,0200,N 134786,S200000,04900,0100,N 134786,S200000,05000,0100,N 134786,S200000,05100,0100,N 134786,S200000,05200,0100,N 134787,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134787,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134787,A000000,00300,0000,0300EMPLOYEE BENEFITS 134787,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134787,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134787,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134787,A000000,00700,0000,0700HOUSEKEEPING 134787,A000000,00800,0000,0800DIETARY 134787,A000000,00900,0000,0900NURSING ADMINISTRATION 134787,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134787,A000000,01100,0000,1100PHARMACY 134787,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134787,A000000,01300,0000,1300SOCIAL SERVICE 134787,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134787,A000000,01500,0000,1350ACTIVITIES 134787,A000000,01600,0000,1600SKILLED NURSING FACILITY 134787,A000000,01800,0000,1800NURSING FACILITY 134787,A000000,01900,0000,1900OTHER LONG TERM CARE 134787,A000000,02100,0000,2100RADIOLOGY 134787,A000000,02200,0000,2200LABORATORY 134787,A000000,02300,0000,2300INTRAVENOUS THERAPY 134787,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134787,A000000,02500,0000,2500PHYSICAL THERAPY 134787,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134787,A000000,02700,0000,2700SPEECH PATHOLOGY 134787,A000000,02800,0000,2800ELECTROCARDIOLOGY 134787,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134787,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134787,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134787,A000000,03200,0000,3200SUPPORT SURFACES 134787,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 134787,A000000,03400,0000,3400CLINIC 134787,A000000,03500,0000,3500RURAL HEALTH CLINIC 134787,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 134787,A000000,04800,0000,4800AMBULANCE 134787,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134787,A000000,05000,0000,5000CORF 134787,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134787,A000000,05300,0000,5300INTEREST EXPENSE 134787,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134787,A000000,05500,0000,5500HOSPICE 134787,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134787,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134787,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134787,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134787,A000000,06100,0000,6100NONPAID WORKERS 134787,A000000,06200,0000,6200PATIENTS LAUNDRY 134787,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 134787,A81000A,00100,0100,Y 134787,A81000B,00100,0300,NURSING SUPPLIES 134787,A81000B,00200,0300,NURSING SUPPLIES 134787,A81000B,00300,0300,FLU VACCINE 134787,A81000B,00400,0300,DRUGS RELATED 134787,A81000B,00500,0300,CONTRACTED SERVICE 134787,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 134787,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 134787,A81000B,00800,0300,HEPATITIS B VACCINE 134787,A81000B,00900,0300,DIETARY SUPPLIES 134787,A81000B,01000,0300,LAUNDRY SUPPLIES 134787,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 134787,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 134787,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 134787,A81000B,01400,0300,FACILITY LEASE 134787,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 134787,A81000B,01600,0300,FACILITY ADMINISTRATOR 134787,A81000B,01700,0300,DIETARY CONSULTANT 134787,A81000B,01800,0300,NURSE CONSULTANT 134787,A81000B,01900,0300,REGIONAL PERSONNEL 134787,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 134787,A81000B,02100,0300,THERAPY CONSULTANT 134787,A81000B,02200,0300,MAINTENANCE CONSULTANT 134787,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 134787,A81000B,02400,0300,AIDE TRAINING 134787,A81000B,02500,0300,PHYSICAL THERAPY 134787,A81000B,02600,0300,SOCIAL SERVICES SUPPLIES 134787,A81000B,02700,0300,ACTIVITIES SUPPLIES 134787,A81000B,02800,0300,MEDICAL RECORDS SUPPLIES 134787,A81000C,00100,0100,B 134787,A81000C,00100,0200,NEIL PRUITT 134787,A81000C,00100,0400,UNITED REHAB 134787,A81000C,00100,0600,THERAPY 134787,A81000C,00200,0100,B 134787,A81000C,00200,0200,NEIL PRUITT 134787,A81000C,00200,0400,UNITED PHARMACY 134787,A81000C,00200,0600,PHARMACY 134787,A81000C,00300,0100,B 134787,A81000C,00300,0200,NEIL PRUITT 134787,A81000C,00300,0400,PRUITT PROPERTI 134787,A81000C,00300,0600,RENTAL 134787,A81000C,00400,0100,B 134787,A81000C,00400,0200,NEIL PRUITT 134787,A81000C,00400,0400,PRUITT CORPORAT 134787,A81000C,00400,0600,MANAGEMENT 134787,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134787,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134787,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134787,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134787,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134787,B100000,00000,0800,0800MEALS SERVED :DIETARY 134787,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 134787,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 134787,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134787,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134787,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 134787,E10A180,00301,0100,01/27/00 134787,S000000,00100,0200,12/04/00 134787,S200000,00100,0300,P.O. BOX 1999 134787,S200000,00200,0100,FORT OGELTHORPE 134787,S200000,00200,0200,GA 134787,S200000,00200,0300,30742- 134787,S200000,00300,0100,CATOOSA 134787,S200000,00300,0200,1560 134787,S200000,00300,0300,U 134787,S200000,00400,0100,FT. OGLETHORPE NURSING HOME INC. 134787,S200000,00400,0200,115409 134787,S200000,00400,0300,07/01/96 134787,S200000,00400,0500,P 134787,S200000,01500,0100,N 134787,S200000,01600,0100,Y 134787,S200000,01700,0100,N 134787,S200000,01800,0100,N 134787,S200000,02200,0100,N 134787,S200000,02800,0100,N 134787,S200000,02900,0100,N 134787,S200000,03000,0100,N 134787,S200000,03100,0100,N 134787,S200000,03200,0100,N 134787,S200000,04100,0100,N 134787,S200000,04200,0100,N 134787,S200000,04300,0100,N 134787,S200000,04600,0100,N 134787,S200000,04700,0100,N 134787,S200000,04700,0200,N 134787,S200000,04900,0100,N 134787,S200000,05000,0100,N 134787,S200000,05100,0100,N 134787,S200000,05200,0100,N 134788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134788,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134788,A000000,00300,0000,0300EMPLOYEE BENEFITS 134788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134788,A000000,00700,0000,0700HOUSEKEEPING 134788,A000000,00800,0000,0800DIETARY 134788,A000000,00900,0000,0900NURSING ADMINISTRATION 134788,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134788,A000000,01100,0000,1100PHARMACY 134788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134788,A000000,01300,0000,1300SOCIAL SERVICE 134788,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134788,A000000,01600,0000,1600SKILLED NURSING FACILITY 134788,A000000,01900,0000,1900OTHER LONG TERM CARE 134788,A000000,02100,0000,2100RADIOLOGY 134788,A000000,02200,0000,2200LABORATORY 134788,A000000,02300,0000,2300INTRAVENOUS THERAPY 134788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134788,A000000,02500,0000,2500PHYSICAL THERAPY 134788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134788,A000000,02700,0000,2700SPEECH PATHOLOGY 134788,A000000,02800,0000,2800ELECTROCARDIOLOGY 134788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134788,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134788,A000000,03200,0000,3200SUPPORT SURFACES 134788,A000000,03400,0000,3400CLINIC 134788,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134788,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134788,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134788,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134788,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134788,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134788,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134788,A000000,04400,0000,4400DME RENTED - HHA 134788,A000000,04500,0000,4500DME SOLD - HHA 134788,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134788,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134788,A000000,04800,0000,4800AMBULANCE 134788,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134788,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134788,A000000,05300,0000,5300INTEREST EXPENSE 134788,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134788,A000000,05500,0000,5500HOSPICE 134788,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134788,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134788,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134788,A000000,06100,0000,6100NONPAID WORKERS 134788,A000000,06200,0000,6200PATIENTS LAUNDRY 134788,A81000A,00100,0100,Y 134788,A81000B,00100,0300,MANAGEMENT FEES 134788,A81000B,00200,0300,CAPITAL - BUILDING 134788,A81000B,00300,0300,CAPITAL - EQUIPMENT 134788,A81000B,00400,0300,INTEREST EXPENSE 134788,A81000C,00100,0100,A 134788,A81000C,00100,0200,BIRD FAMILY LP 134788,A81000C,00100,0400,TAYLOR & BIRD 134788,A81000C,00100,0600,OWNERSHIP 134788,A81000C,00200,0100,A 134788,A81000C,00200,0200,TAYLOR FMLY LP 134788,A81000C,00200,0400,INC. 134788,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 134788,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 134788,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134788,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134788,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 134788,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134788,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 134788,B100000,00000,0800,0850PAT DAYS :DIETARY 134788,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 134788,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 134788,B100000,00000,1100,1150PAT DAYS :PHARMACY 134788,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 134788,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134788,E10A180,00301,0100,01/25/00 134788,S000000,00100,0200,11/20/00 134788,S200000,00100,0300,118 134788,S200000,00200,0100,PULASKI 134788,S200000,00200,0200,GA 134788,S200000,00200,0300,30451- 134788,S200000,00300,0100,CANDLER 134788,S200000,00300,0200,0011 134788,S200000,00300,0300,R 134788,S200000,00400,0100,PULASKI NURSING HOME 134788,S200000,00400,0200,115522 134788,S200000,00400,0300,05/01/92 134788,S200000,00400,0500,P 134788,S200000,00400,0600,O 134788,S200000,01500,0100,Y 134788,S200000,01600,0100,N 134788,S200000,01700,0100,N 134788,S200000,01800,0100,N 134788,S200000,02200,0100,Y 134788,S200000,02800,0100,N 134788,S200000,02900,0100,N 134788,S200000,03000,0100,N 134788,S200000,03100,0100,N 134788,S200000,03200,0100,N 134788,S200000,04100,0100,N 134788,S200000,04200,0100,N 134788,S200000,04300,0100,N 134788,S200000,04600,0100,N 134788,S200000,04700,0100,N 134788,S200000,04700,0200,N 134788,S200000,04900,0100,N 134788,S200000,05000,0100,N 134788,S200000,05100,0100,N 134788,S200000,05200,0100,N 134789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134789,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134789,A000000,00300,0000,0300EMPLOYEE BENEFITS 134789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134789,A000000,00700,0000,0700HOUSEKEEPING 134789,A000000,00800,0000,0800DIETARY 134789,A000000,00900,0000,0900NURSING ADMINISTRATION 134789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134789,A000000,01100,0000,1100PHARMACY 134789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134789,A000000,01300,0000,1300SOCIAL SERVICE 134789,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134789,A000000,01600,0000,1600SKILLED NURSING FACILITY 134789,A000000,01800,0000,1800NURSING FACILITY 134789,A000000,01900,0000,1900OTHER LONG TERM CARE 134789,A000000,02100,0000,2100RADIOLOGY 134789,A000000,02200,0000,2200LABORATORY 134789,A000000,02300,0000,2300INTRAVENOUS THERAPY 134789,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134789,A000000,02500,0000,2500PHYSICAL THERAPY 134789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134789,A000000,02700,0000,2700SPEECH PATHOLOGY 134789,A000000,02800,0000,2800ELECTROCARDIOLOGY 134789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134789,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134789,A000000,03200,0000,3200SUPPORT SURFACES 134789,A000000,03400,0000,3400CLINIC 134789,A000000,03500,0000,3500RURAL HEALTH CLINIC 134789,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134789,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134789,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134789,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134789,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134789,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134789,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134789,A000000,04400,0000,4400DME RENTED - HHA 134789,A000000,04500,0000,4500DME SOLD - HHA 134789,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134789,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134789,A000000,04800,0000,4800AMBULANCE 134789,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134789,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134789,A000000,05300,0000,5300INTEREST EXPENSE 134789,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134789,A000000,05500,0000,5500HOSPICE 134789,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134789,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134789,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134789,A000000,06100,0000,6100NONPAID WORKERS 134789,A000000,06200,0000,6200PATIENTS LAUNDRY 134789,A81000A,00100,0100,Y 134789,A81000B,00100,0300,BUILDING LEASE EXPENSE 134789,A81000C,00100,0100,F 134789,A81000C,00100,0200,DEBORAH MEADE 134789,A81000C,00100,0400,PEACHBELT PROP. 134789,A81000C,00100,0600,BUILDING LEASE 134789,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134789,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 134789,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 134789,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134789,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134789,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 134789,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134789,B100000,00000,0800,0850PAT DAYS :DIETARY 134789,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 134789,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 134789,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 134789,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 134789,E10A180,00301,0100,02/04/00 134789,S000000,00100,0200,12/01/00 134789,S200000,00100,0100,801 ELBERTA ROAD 134789,S200000,00200,0100,WARNER ROBINS 134789,S200000,00200,0200,GA 134789,S200000,00200,0300,31093- 134789,S200000,00300,0100,HOUSTON 134789,S200000,00300,0200,4680 134789,S200000,00300,0300,U 134789,S200000,00400,0100,PEACHBELT HEALTH CARE CENTER 134789,S200000,00400,0200,115552 134789,S200000,00400,0300,08/01/93 134789,S200000,00400,0500,P 134789,S200000,01500,0100,N 134789,S200000,01600,0100,Y 134789,S200000,01700,0100,N 134789,S200000,01800,0100,N 134789,S200000,02200,0100,N 134789,S200000,02800,0100,N 134789,S200000,02900,0100,N 134789,S200000,03000,0100,N 134789,S200000,03100,0100,N 134789,S200000,03200,0100,N 134789,S200000,04100,0100,N 134789,S200000,04200,0100,N 134789,S200000,04300,0100,N 134789,S200000,04600,0100,N 134789,S200000,04700,0100,N 134789,S200000,04700,0200,N 134789,S200000,04900,0100,N 134789,S200000,05000,0100,N 134789,S200000,05100,0100,N 134789,S200000,05200,0100,N 134795,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134795,A000000,00300,0000,0300EMPLOYEE BENEFITS 134795,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134795,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134795,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134795,A000000,00700,0000,0700HOUSEKEEPING 134795,A000000,00800,0000,0800DIETARY 134795,A000000,00900,0000,0900NURSING ADMINISTRATION 134795,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134795,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134795,A000000,01300,0000,1300SOCIAL SERVICE 134795,A000000,01500,0000,1350DIVERSIONAL THERAPY 134795,A000000,01600,0000,1600SKILLED NURSING FACILITY 134795,A000000,01800,0000,1800NURSING FACILITY 134795,A000000,02100,0000,2100RADIOLOGY 134795,A000000,02200,0000,2200LABORATORY 134795,A000000,02300,0000,2300INTRAVENOUS THERAPY 134795,A000000,02500,0000,2500PHYSICAL THERAPY 134795,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134795,A000000,02700,0000,2700SPEECH PATHOLOGY 134795,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134795,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134795,A000000,03200,0000,3200SUPPORT SURFACES 134795,A000000,04800,0000,4800AMBULANCE 134795,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134795,A000000,06300,0000,6150ENTERAL FEEDINGS 134795,A81000A,00100,0100,Y 134795,A81000B,00100,0300,RENT 134795,A81000B,00200,0300,RENT 134795,A81000B,00300,0300,HOME OFFICE COSTS 134795,A81000B,00400,0300,HOME OFFICE COSTS 134795,A81000B,00500,0300,HOME OFFICE COSTS 134795,A81000B,00600,0300,THERAPY SERVICES 134795,A81000B,00700,0300,THERAPY SERVICES 134795,A81000B,00800,0300,THERAPY SERVICES 134795,A81000C,00100,0100,A 134795,A81000C,00100,0200,LEONARD ATTMAN 134795,A81000C,00100,0400,CLINTON N.H.L.P 134795,A81000C,00100,0600,REAL ESTATE REN 134795,A81000C,00200,0100,A 134795,A81000C,00200,0200,GARY ATTMAN 134795,A81000C,00200,0400,CLINTON N.H.L.P 134795,A81000C,00200,0600,REAL ESTATE REN 134795,A81000C,00300,0100,A 134795,A81000C,00300,0200,ALVIN POWERS 134795,A81000C,00300,0400,CLINTON N.H.L.P 134795,A81000C,00300,0600,REAL ESTATE REN 134795,A81000C,00400,0100,A 134795,A81000C,00400,0200,1986 TRUST FBO 134795,A81000C,00400,0400,CLINTON N.H.L.P 134795,A81000C,00400,0600,REAL ESTATE REN 134795,A81000C,00500,0100,A 134795,A81000C,00500,0200,LEONARD ATTMAN 134795,A81000C,00500,0400,FUTURECARE HEAL 134795,A81000C,00500,0600,HOME OFFICE 134795,A81000C,00600,0100,A 134795,A81000C,00600,0200,GARY ATTMAN 134795,A81000C,00600,0400,FUTURECARE HEAL 134795,A81000C,00600,0600,HOME OFFICE 134795,A81000C,00700,0100,A 134795,A81000C,00700,0200,ALVIN POWERS 134795,A81000C,00700,0400,FUTURECARE HEAL 134795,A81000C,00700,0600,HOME OFFICE 134795,A81000C,00800,0100,A 134795,A81000C,00800,0200,1986 TRUST FBO 134795,A81000C,00800,0400,FUTURECARE HEAL 134795,A81000C,00800,0600,HOME OFFICE 134795,A81000C,00900,0100,B 134795,A81000C,00900,0400,FUTURECARE REHA 134795,A81000C,00900,0600,THERAPY SERVICE 134795,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134795,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134795,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134795,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134795,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 134795,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134795,B100000,00000,0800,0800MEALS SERVED :DIETARY 134795,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 134795,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134795,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 134795,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 134795,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 134795,S000000,00100,0200,12/21/01 134795,S200000,00100,0100,9106 PINEVIEW LANE 134795,S200000,00200,0100,CLINTON 134795,S200000,00200,0200,MD 134795,S200000,00200,0300,20735- 134795,S200000,00300,0100,PRINCE GEORGE S 134795,S200000,00300,0200,8840 134795,S200000,00300,0300,U 134795,S200000,00400,0100,PINEVIEW NURSING & REHAB CENTER 134795,S200000,00400,0200,215328 134795,S200000,00400,0300,05/28/99 134795,S200000,00400,0500,P 134795,S200000,00600,0200,215328 134795,S200000,00600,0300,05/28/99 134795,S200000,00600,0600,O 134795,S200000,01500,0100,N 134795,S200000,01600,0100,Y 134795,S200000,01700,0100,N 134795,S200000,01800,0100,N 134795,S200000,01900,0100,(501)(C)(3) 134795,S200000,02200,0100,N 134795,S200000,02800,0100,N 134795,S200000,02900,0100,N 134795,S200000,03000,0100,N 134795,S200000,03100,0100,N 134795,S200000,03200,0100,N 134795,S200000,04100,0100,N 134795,S200000,04200,0100,N 134795,S200000,04300,0100,N 134795,S200000,04600,0100,N 134795,S200000,04700,0100,N 134795,S200000,04700,0200,N 134795,S200000,04900,0100,N 134795,S200000,05000,0100,N 134795,S200000,05100,0100,N 134795,S200000,05200,0100,N 134805,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134805,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134805,A000000,00300,0000,0300EMPLOYEE BENEFITS 134805,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134805,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134805,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134805,A000000,00700,0000,0700HOUSEKEEPING 134805,A000000,00800,0000,0800DIETARY 134805,A000000,00900,0000,0900NURSING ADMINISTRATION 134805,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134805,A000000,01100,0000,1100PHARMACY 134805,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134805,A000000,01300,0000,1300SOCIAL SERVICE 134805,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134805,A000000,01600,0000,1600SKILLED NURSING FACILITY 134805,A000000,01810,0000,1810ICF/MR 134805,A000000,01900,0000,1900OTHER LONG TERM CARE 134805,A000000,02500,0000,2500PHYSICAL THERAPY 134805,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134805,A000000,02700,0000,2700SPEECH PATHOLOGY 134805,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134805,A000000,03550,0000,3550FQHC 134805,A000000,05000,0000,5000CORF 134805,A000000,05010,0000,5010CMHC 134805,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134805,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134805,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134805,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134805,A81000A,00100,0100,Y 134805,A81000B,00100,0300,MANAGEMENT FEES 134805,A81000B,00200,0300,LEASE FEES 134805,A81000C,00100,0100,A 134805,A81000C,00100,0200,JACK & ELDORA V 134805,A81000C,00100,0400,VETTER HEALTH S 134805,A81000C,00100,0600,MANAGEMENT COMP 134805,A81000C,00200,0400,VETTER LEASING 134805,A81000C,00200,0600,LEASING COMPANY 134805,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134805,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134805,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134805,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134805,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 134805,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134805,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 134805,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 134805,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 134805,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 134805,S000000,00100,0200,11/30/00 134805,S200000,00100,0100,6TH & NEBRASKA 134805,S200000,00100,0300,310 134805,S200000,00200,0100,EMERSON 134805,S200000,00200,0200,NE 134805,S200000,00200,0300,68733- 134805,S200000,00300,0100,DAKOTA 134805,S200000,00300,0200,7720 134805,S200000,00300,0300,U 134805,S200000,00400,0100,HERITAGE OF EMERSON 134805,S200000,00400,0200,285222 134805,S200000,00400,0300,03/12/98 134805,S200000,00400,0500,P 134805,S200000,01004,0500,O 134805,S200000,01500,0100,Y 134805,S200000,01600,0100,N 134805,S200000,01700,0100,N 134805,S200000,01800,0100,N 134805,S200000,02200,0100,N 134805,S200000,02800,0100,Y 134805,S200000,02900,0100,N 134805,S200000,03000,0100,N 134805,S200000,03100,0100,N 134805,S200000,03200,0100,N 134805,S200000,04100,0100,N 134805,S200000,04200,0100,N 134805,S200000,04300,0100,N 134805,S200000,04600,0100,N 134805,S200000,04700,0100,N 134805,S200000,04700,0200,N 134805,S200000,04900,0100,N 134805,S200000,05000,0100,N 134805,S200000,05100,0100,N 134805,S200000,05200,0100,N 134806,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134806,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134806,A000000,00300,0000,0300EMPLOYEE BENEFITS 134806,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134806,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134806,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134806,A000000,00700,0000,0700HOUSEKEEPING 134806,A000000,00800,0000,0800DIETARY 134806,A000000,00900,0000,0900NURSING ADMINISTRATION 134806,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134806,A000000,01100,0000,1100PHARMACY 134806,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134806,A000000,01300,0000,1300SOCIAL SERVICE 134806,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134806,A000000,01600,0000,1600SKILLED NURSING FACILITY 134806,A000000,01810,0000,1810ICF/MR 134806,A000000,02500,0000,2500PHYSICAL THERAPY 134806,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134806,A000000,02700,0000,2700SPEECH PATHOLOGY 134806,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134806,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134806,A000000,03550,0000,3550FQHC 134806,A000000,05000,0000,5000CORF 134806,A000000,05010,0000,5010CMHC 134806,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134806,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134806,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134806,A81000A,00100,0100,Y 134806,A81000B,00100,0300,LEASING FEES 134806,A81000B,00200,0300,MANAGEMENT FEES 134806,A81000C,00100,0100,A 134806,A81000C,00100,0200,JACK & ELDORA V 134806,A81000C,00100,0400,VETTHER HEALTH 134806,A81000C,00100,0600,MANAGEMENT CO. 134806,A81000C,00200,0400,VETTER LEASING 134806,A81000C,00200,0600,LEASING CO. 134806,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134806,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134806,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134806,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134806,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134806,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134806,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134806,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134806,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134806,S000000,00100,0200,11/30/00 134806,S200000,00100,0100,FIFTH AND N ST. 134806,S200000,00100,0300,370 134806,S200000,00200,0100,BRIDGEPORT 134806,S200000,00200,0200,NE 134806,S200000,00200,0300,69336- 134806,S200000,00300,0100,MORRILL 134806,S200000,00300,0200,0028 134806,S200000,00300,0300,R 134806,S200000,00400,0100,HERITAGE OF BRIDGEPORT 134806,S200000,00400,0200,285224 134806,S200000,00400,0300,04/01/98 134806,S200000,00400,0500,P 134806,S200000,01004,0500,O 134806,S200000,01500,0100,Y 134806,S200000,01600,0100,N 134806,S200000,01700,0100,N 134806,S200000,01800,0100,N 134806,S200000,02200,0100,N 134806,S200000,02800,0100,N 134806,S200000,02900,0100,N 134806,S200000,03000,0100,N 134806,S200000,03100,0100,N 134806,S200000,03200,0100,N 134806,S200000,04100,0100,N 134806,S200000,04200,0100,N 134806,S200000,04300,0100,N 134806,S200000,04600,0100,N 134806,S200000,04700,0100,N 134806,S200000,04700,0200,N 134806,S200000,04900,0100,N 134806,S200000,05000,0100,N 134806,S200000,05100,0100,N 134806,S200000,05200,0100,N 134807,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134807,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134807,A000000,00300,0000,0300EMPLOYEE BENEFITS 134807,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134807,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134807,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134807,A000000,00700,0000,0700HOUSEKEEPING 134807,A000000,00800,0000,0800DIETARY 134807,A000000,00900,0000,0900NURSING ADMINISTRATION 134807,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134807,A000000,01100,0000,1100PHARMACY 134807,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134807,A000000,01300,0000,1300SOCIAL SERVICE 134807,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134807,A000000,01600,0000,1600SKILLED NURSING FACILITY 134807,A000000,01810,0000,1810ICF/MR 134807,A000000,02500,0000,2500PHYSICAL THERAPY 134807,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134807,A000000,02700,0000,2700SPEECH PATHOLOGY 134807,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134807,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134807,A000000,03550,0000,3550FQHC 134807,A000000,05000,0000,5000CORF 134807,A000000,05010,0000,5010CMHC 134807,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134807,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134807,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134807,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134807,A81000A,00100,0100,Y 134807,A81000B,00100,0300,MANAGEMENT FEES 134807,A81000B,00200,0300,LEASE FEES 134807,A81000C,00100,0100,A 134807,A81000C,00100,0200,JACK & ELDORA V 134807,A81000C,00100,0400,VETTER HEALTH S 134807,A81000C,00100,0600,MANAGEMENT COMP 134807,A81000C,00200,0400,VETTER LEASING 134807,A81000C,00200,0600,LEASING COMPANY 134807,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134807,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134807,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134807,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134807,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134807,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134807,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134807,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134807,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134807,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134807,S000000,00100,0200,11/30/00 134807,S200000,00100,0100,636 NORTH LOCUST 134807,S200000,00200,0100,RED CLOUD 134807,S200000,00200,0200,NE 134807,S200000,00200,0300,68970- 134807,S200000,00300,0100,FRANKLIN 134807,S200000,00300,0200,0028 134807,S200000,00300,0300,R 134807,S200000,00400,0100,HERITAGE OF RED CLOUD 134807,S200000,00400,0200,285225 134807,S200000,00400,0300,03/01/98 134807,S200000,00400,0500,P 134807,S200000,01004,0500,O 134807,S200000,01500,0100,Y 134807,S200000,01600,0100,N 134807,S200000,01700,0100,N 134807,S200000,01800,0100,N 134807,S200000,02200,0100,N 134807,S200000,02800,0100,Y 134807,S200000,02900,0100,N 134807,S200000,03000,0100,N 134807,S200000,03100,0100,N 134807,S200000,03200,0100,N 134807,S200000,04100,0100,N 134807,S200000,04200,0100,N 134807,S200000,04300,0100,N 134807,S200000,04600,0100,N 134807,S200000,04700,0100,N 134807,S200000,04700,0200,N 134807,S200000,04900,0100,N 134807,S200000,05000,0100,N 134807,S200000,05100,0100,N 134807,S200000,05200,0100,N 134808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134808,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134808,A000000,00300,0000,0300EMPLOYEE BENEFITS 134808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134808,A000000,00700,0000,0700HOUSEKEEPING 134808,A000000,00800,0000,0800DIETARY 134808,A000000,00900,0000,0900NURSING ADMINISTRATION 134808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134808,A000000,01100,0000,1100PHARMACY 134808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134808,A000000,01300,0000,1300SOCIAL SERVICE 134808,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134808,A000000,01600,0000,1600SKILLED NURSING FACILITY 134808,A000000,01810,0000,1810ICF/MR 134808,A000000,01900,0000,1900OTHER LONG TERM CARE 134808,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134808,A000000,02500,0000,2500PHYSICAL THERAPY 134808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134808,A000000,02700,0000,2700SPEECH PATHOLOGY 134808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134808,A000000,03550,0000,3550FQHC 134808,A000000,05000,0000,5000CORF 134808,A000000,05010,0000,5010CMHC 134808,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 134808,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 134808,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 134808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134808,A81000A,00100,0100,Y 134808,A81000B,00100,0300,MANAGEMENT FEES 134808,A81000B,00200,0300,EQUIPMENT LEASES 134808,A81000C,00100,0100,A 134808,A81000C,00100,0200,JACK & ELDORA V 134808,A81000C,00100,0400,VETTER HEALTH S 134808,A81000C,00100,0600,MANAGEMENT COMP 134808,A81000C,00200,0400,VETTER LEASING 134808,A81000C,00200,0600,LEASING COMPANY 134808,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134808,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134808,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134808,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134808,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134808,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134808,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134808,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 134808,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 134808,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134808,S000000,00100,0200,11/30/00 134808,S200000,00100,0100,1005 N. 8TH STREET 134808,S200000,00200,0100,LOUP CITY 134808,S200000,00200,0200,NE 134808,S200000,00200,0300,68853- 134808,S200000,00300,0100,SHERMAN 134808,S200000,00300,0200,0028 134808,S200000,00300,0300,R 134808,S200000,00400,0100,ROSE LANE HOME 134808,S200000,00400,0200,285228 134808,S200000,00400,0300,03/01/98 134808,S200000,00400,0500,P 134808,S200000,01004,0500,O 134808,S200000,01500,0100,Y 134808,S200000,01600,0100,N 134808,S200000,01700,0100,N 134808,S200000,01800,0100,N 134808,S200000,02200,0100,N 134808,S200000,02800,0100,N 134808,S200000,02900,0100,N 134808,S200000,03000,0100,N 134808,S200000,03100,0100,N 134808,S200000,03200,0100,N 134808,S200000,04100,0100,N 134808,S200000,04200,0100,N 134808,S200000,04300,0100,N 134808,S200000,04600,0100,N 134808,S200000,04700,0100,N 134808,S200000,04700,0200,N 134808,S200000,04900,0100,N 134808,S200000,05000,0100,N 134808,S200000,05100,0100,N 134808,S200000,05200,0100,N 134811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134811,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134811,A000000,00300,0000,0300EMPLOYEE BENEFITS 134811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134811,A000000,00700,0000,0700HOUSEKEEPING 134811,A000000,00800,0000,0800DIETARY 134811,A000000,00900,0000,0900NURSING ADMINISTRATION 134811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134811,A000000,01100,0000,1100PHARMACY 134811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134811,A000000,01300,0000,1300SOCIAL SERVICE 134811,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134811,A000000,01500,0000,1350PATIENT ACTIVITIES 134811,A000000,01600,0000,1600SKILLED NURSING FACILITY 134811,A000000,01800,0000,1800NURSING FACILITY 134811,A000000,01810,0000,1810ICF/MR 134811,A000000,01900,0000,1900OTHER LONG TERM CARE 134811,A000000,02100,0000,2100RADIOLOGY 134811,A000000,02200,0000,2200LABORATORY 134811,A000000,02300,0000,2300INTRAVENOUS THERAPY 134811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134811,A000000,02500,0000,2500PHYSICAL THERAPY 134811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134811,A000000,02700,0000,2700SPEECH PATHOLOGY 134811,A000000,02800,0000,2800ELECTROCARDIOLOGY 134811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134811,A000000,03200,0000,3200SUPPORT SURFACES 134811,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134811,A000000,03400,0000,3400CLINIC 134811,A000000,03500,0000,3500RURAL HEALTH CLINIC 134811,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134811,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 134811,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 134811,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 134811,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 134811,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 134811,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 134811,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 134811,A000000,04400,0000,4400DME RENTED - HHA 134811,A000000,04500,0000,4500DME SOLD - HHA 134811,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 134811,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 134811,A000000,04800,0000,4800AMBULANCE 134811,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134811,A000000,05000,0000,5000CORF 134811,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134811,A000000,05300,0000,5300INTEREST EXPENSE 134811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134811,A000000,05500,0000,5500HOSPICE 134811,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134811,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134811,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134811,A000000,06100,0000,6100NONPAID WORKERS 134811,A000000,06200,0000,6200PATIENTS LAUNDRY 134811,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134811,A81000A,00100,0100,Y 134811,A81000B,00100,0300,HOME OFFICE FEES 134811,A81000C,00100,0100,B 134811,A81000C,00100,0200,THE ARDSLEY GROUP 134811,A81000C,00100,0400,THE ARDSLEY GROUP 134811,A81000C,00100,0600,HOME OFFICE 134811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134811,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134811,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134811,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 134811,B100000,00000,0800,0800MEALS SERVED :DIETARY 134811,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 134811,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 134811,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 134811,B100000,00000,1200,1250GROSS SALARIES :MEDICAL RECORDS 134811,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 134811,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 134811,S000000,00100,0200,12/01/00 134811,S200000,00100,0100,2109 RED LION ROAD 134811,S200000,00200,0100,PHILADELPHIA 134811,S200000,00200,0200,PA 134811,S200000,00200,0300,19115- 134811,S200000,00300,0100,PHILADELPHIA 134811,S200000,00300,0200,6160 134811,S200000,00300,0300,U 134811,S200000,00400,0100,ASHTON HALL NURSING & REHAB CENTER 134811,S200000,00400,0200,395110 134811,S200000,00400,0300,07/01/90 134811,S200000,00400,0500,P 134811,S200000,01500,0100,N 134811,S200000,01600,0100,Y 134811,S200000,01700,0100,N 134811,S200000,01800,0100,N 134811,S200000,02200,0100,N 134811,S200000,02800,0100,N 134811,S200000,02900,0100,N 134811,S200000,03000,0100,N 134811,S200000,03100,0100,N 134811,S200000,03200,0100,N 134811,S200000,04100,0100,N 134811,S200000,04200,0100,N 134811,S200000,04300,0100,N 134811,S200000,04600,0100,N 134811,S200000,04700,0100,N 134811,S200000,04700,0200,N 134811,S200000,04900,0100,N 134811,S200000,05000,0100,N 134811,S200000,05100,0100,N 134811,S200000,05200,0100,N 134812,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 134812,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 134812,A000000,00300,0000,0300EMPLOYEE BENEFITS 134812,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 134812,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 134812,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 134812,A000000,00700,0000,0700HOUSEKEEPING 134812,A000000,00800,0000,0800DIETARY 134812,A000000,00900,0000,0900NURSING ADMINISTRATION 134812,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 134812,A000000,01100,0000,1100PHARMACY 134812,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 134812,A000000,01300,0000,1300SOCIAL SERVICE 134812,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 134812,A000000,01500,0000,1350PATIENT ACTIVITIES 134812,A000000,01600,0000,1600SKILLED NURSING FACILITY 134812,A000000,01800,0000,1800NURSING FACILITY 134812,A000000,01810,0000,1810ICF/MR 134812,A000000,01900,0000,1900OTHER LONG TERM CARE 134812,A000000,02100,0000,2100RADIOLOGY 134812,A000000,02200,0000,2200LABORATORY 134812,A000000,02300,0000,2300INTRAVENOUS THERAPY 134812,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 134812,A000000,02500,0000,2500PHYSICAL THERAPY 134812,A000000,02600,0000,2600OCCUPATIONAL THERAPY 134812,A000000,02700,0000,2700SPEECH PATHOLOGY 134812,A000000,02800,0000,2800ELECTROCARDIOLOGY 134812,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 134812,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 134812,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 134812,A000000,03200,0000,3200SUPPORT SURFACES 134812,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 134812,A000000,03400,0000,3400CLINIC 134812,A000000,03500,0000,3500RURAL HEALTH CLINIC 134812,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 134812,A000000,04800,0000,4800AMBULANCE 134812,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 134812,A000000,05000,0000,5000CORF 134812,A000000,05100,0000,4750OTHER REIMBURSABLE COST 134812,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 134812,A000000,05300,0000,5300INTEREST EXPENSE 134812,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 134812,A000000,05500,0000,5500HOSPICE 134812,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 134812,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 134812,A000000,05900,0000,5900BARBER & BEAUTY SHOP 134812,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 134812,A000000,06100,0000,6100NONPAID WORKERS 134812,A000000,06200,0000,6200PATIENTS LAUNDRY 134812,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 134812,A81000A,00100,0100,Y 134812,A81000B,00100,0300,MANAGEMENT FEES 134812,A81000B,00200,0300,IV SERVICES 134812,A81000B,00300,0300,PHARMACY 134812,A81000B,00400,0300,MEDICAL SUPPLIES 134812,A81000C,00100,0100,B 134812,A81000C,00100,0400,METHODIST HOSPITAL 134812,A81000C,00100,0600,MGMT SERVICES 134812,A81000C,00200,0100,B 134812,A81000C,00200,0400,THOMAS JEFF UNIV HOSP 134812,A81000C,00200,0600,HOSPITAL SERVICES 134812,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 134812,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 134812,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 134812,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 134812,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 134812,B100000,00000,0700,0750MODIFIED SQ FEET :HOUSEKEEPING 134812,B100000,00000,0800,0850PATIENT DAYS :DIETARY 134812,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 134812,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 134812,S000000,00100,0200,11/28/00 134812,S200000,00100,0100,2509 SOUTH FOURTH STREET 134812,S200000,00200,0100,PHILADELPHIA 134812,S200000,00200,0200,PA 134812,S200000,00200,0300,19148- 134812,S200000,00300,0100,PHILADELPHIA 134812,S200000,00300,0200,6160 134812,S200000,00300,0300,U 134812,S200000,00400,0100,METHODIST HOSPITAL NURSING CENTER 134812,S200000,00400,0200,395558 134812,S200000,00400,0300,11/29/82 134812,S200000,00400,0500,P 134812,S200000,01500,0100,N 134812,S200000,01600,0100,Y 134812,S200000,01700,0100,N 134812,S200000,01800,0100,N 134812,S200000,02200,0100,N 134812,S200000,02800,0100,N 134812,S200000,02900,0100,N 134812,S200000,03000,0100,N 134812,S200000,03100,0100,N 134812,S200000,03200,0100,N 134812,S200000,04100,0100,N 134812,S200000,04200,0100,N 134812,S200000,04300,0100,N 134812,S200000,04600,0100,N 134812,S200000,04700,0100,N 134812,S200000,04700,0200,N 134812,S200000,04900,0100,N 134812,S200000,05000,0100,N 134812,S200000,05100,0100,N 134812,S200000,05200,0100,N 135556,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 135556,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 135556,A000000,00300,0000,0300EMPLOYEE BENEFITS 135556,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 135556,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 135556,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 135556,A000000,00700,0000,0700HOUSEKEEPING 135556,A000000,00800,0000,0800DIETARY 135556,A000000,00900,0000,0900NURSING ADMINISTRATION 135556,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 135556,A000000,01100,0000,1100PHARMACY 135556,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 135556,A000000,01300,0000,1300SOCIAL SERVICE 135556,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 135556,A000000,01500,0000,1350OTHER GENERAL SERVICES 135556,A000000,01600,0000,1600SKILLED NURSING FACILITY 135556,A000000,01800,0000,1800NURSING FACILITY 135556,A000000,01900,0000,1900OTHER LONG TERM CARE 135556,A000000,02100,0000,2100RADIOLOGY 135556,A000000,02200,0000,2200LABORATORY 135556,A000000,02300,0000,2300INTRAVENOUS THERAPY 135556,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 135556,A000000,02500,0000,2500PHYSICAL THERAPY 135556,A000000,02600,0000,2600OCCUPATIONAL THERAPY 135556,A000000,02700,0000,2700SPEECH PATHOLOGY 135556,A000000,02800,0000,2800ELECTROCARDIOLOGY 135556,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 135556,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 135556,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 135556,A000000,03200,0000,3200SUPPORT SURFACES 135556,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 135556,A000000,03400,0000,3400CLINIC 135556,A000000,03500,0000,3500RURAL HEALTH CLINIC 135556,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 135556,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 135556,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 135556,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 135556,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 135556,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 135556,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 135556,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 135556,A000000,04400,0000,4400DME RENTED - HHA 135556,A000000,04500,0000,4500DME SOLD - HHA 135556,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 135556,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 135556,A000000,04800,0000,4800AMBULANCE 135556,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 135556,A000000,05000,0000,5000CORF 135556,A000000,05100,0000,4750OTHER REIMBURSABLE COST 135556,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 135556,A000000,05300,0000,5300INTEREST EXPENSE 135556,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 135556,A000000,05500,0000,5500HOSPICE 135556,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 135556,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 135556,A000000,05900,0000,5900BARBER & BEAUTY SHOP 135556,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 135556,A000000,06100,0000,6100NONPAID WORKERS 135556,A000000,06200,0000,6200PATIENTS LAUNDRY 135556,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 135556,A81000A,00100,0100,Y 135556,A81000B,00100,0300,MANAGEMENT SERVICES 135556,A81000B,00200,0300,MANAGEMENT SERVICES 135556,A81000B,00300,0300,PHYSICAL THERAPY 135556,A81000B,00400,0300,OCCUPATIONAL THERAPY 135556,A81000B,00500,0300,SPEECH THERAPY 135556,A81000B,00600,0300,LEASE 135556,A81000C,00100,0100,B 135556,A81000C,00100,0400,CARE MORE MANAGEMENT 135556,A81000C,00100,0600,MANAGEMENT 135556,A81000C,00200,0100,B 135556,A81000C,00200,0400,CARE MORE MANAGEMENT 135556,A81000C,00200,0600,MANAGEMENT 135556,A81000C,00300,0100,A 135556,A81000C,00300,0200,SEE ATTACHED 135556,A81000C,00300,0600,THERAPY 135556,A81000C,00400,0100,A 135556,A81000C,00400,0200,SEE ATTACHED 135556,A81000C,00400,0600,THERAPY 135556,A81000C,00500,0100,A 135556,A81000C,00500,0200,SEE ATTACHED 135556,A81000C,00500,0600,THERAPY 135556,A81000C,00600,0100,A 135556,A81000C,00600,0200,BRICK NELSON 135556,A81000C,00600,0600,LEASE 135556,A81000C,00700,0100,A 135556,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 135556,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 135556,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 135556,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 135556,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 135556,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 135556,B100000,00000,0800,0800MEALS SERVED :DIETARY 135556,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 135556,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 135556,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 135556,E10A180,00301,0100,01/28/00 135556,S000000,00100,0200,12/04/00 135556,S200000,00100,0100,151 WISDOM ROAD 135556,S200000,00100,0300,2747 135556,S200000,00200,0100,PEACHTREE CITY 135556,S200000,00200,0200,GA 135556,S200000,00200,0300,30269- 135556,S200000,00300,0100,FAYETTE 135556,S200000,00300,0200,0520 135556,S200000,00300,0300,U 135556,S200000,00400,0100,SOUTHLAND NURSING HOME 135556,S200000,00400,0200,115460 135556,S200000,00400,0300,09/29/89 135556,S200000,00400,0500,P 135556,S200000,01500,0100,N 135556,S200000,01600,0100,Y 135556,S200000,01700,0100,N 135556,S200000,01800,0100,N 135556,S200000,02200,0100,N 135556,S200000,02800,0100,N 135556,S200000,02900,0100,N 135556,S200000,03000,0100,N 135556,S200000,03100,0100,N 135556,S200000,03200,0100,N 135556,S200000,04100,0100,N 135556,S200000,04200,0100,N 135556,S200000,04300,0100,N 135556,S200000,04600,0100,N 135556,S200000,04700,0100,N 135556,S200000,04700,0200,N 135556,S200000,04900,0100,N 135556,S200000,05000,0100,N 135556,S200000,05100,0100,N 135556,S200000,05200,0100,N 135584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 135584,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 135584,A000000,00300,0000,0300EMPLOYEE BENEFITS 135584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 135584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 135584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 135584,A000000,00700,0000,0700HOUSEKEEPING 135584,A000000,00800,0000,0800DIETARY 135584,A000000,00900,0000,0900NURSING ADMINISTRATION 135584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 135584,A000000,01100,0000,1100PHARMACY 135584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 135584,A000000,01300,0000,1300SOCIAL SERVICE 135584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 135584,A000000,01500,0000,1350OTHER GENERAL SERVICES 135584,A000000,01600,0000,1600SKILLED NURSING FACILITY 135584,A000000,01800,0000,1800NURSING FACILITY 135584,A000000,01810,0000,1810ICF/MR 135584,A000000,01900,0000,1900OTHER LONG TERM CARE 135584,A000000,02200,0000,2200LABORATORY 135584,A000000,02500,0000,2500PHYSICAL THERAPY 135584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 135584,A000000,02700,0000,2700SPEECH PATHOLOGY 135584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 135584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 135584,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 135584,A000000,03550,0000,3550FQHC 135584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 135584,A000000,05000,0000,5000CORF 135584,A000000,05010,0000,5010CMHC 135584,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 135584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 135584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 135584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 135584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 135584,A000000,05900,0000,5900BARBER & BEAUTY SHOP 135584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 135584,A81000A,00100,0100,Y 135584,A81000B,00100,0300,OWNERS COMPENSATION 135584,A81000C,00100,0100,A 135584,A81000C,00100,0200,JOHN M. SELLS 135584,A81000C,00100,0400,JOHN M. SELLS INC. 135584,A81000C,00100,0600,ADMINISTRATIVE SERVICES 135584,B100000,00000,0100,0100SQUARE FEET 135584,B100000,00000,0200,0200NO STATISTICS 135584,B100000,00000,0300,0300(GROSS SALARIES) 135584,B100000,00000,0400,0400ACCUM COST 135584,B100000,00000,0500,0500SQUARE FEET 135584,B100000,00000,0600,0600PAT DAYS 135584,B100000,00000,0700,0700SQUARE FEET 135584,B100000,00000,0800,0800PAT DAYS 135584,B100000,00000,0900,0900PAT DAYS 135584,B100000,00000,1000,1000PAT DAYS 135584,B100000,00000,1100,1100PAT DAYS 135584,B100000,00000,1200,1200PAT DAYS 135584,B100000,00000,1300,1300PAT DAYS 135584,B100000,00000,1400,1400NO STATISTICS 135584,B100000,00000,1500,1350NO STATISTICS 135584,E10A180,00501,0100,08/02/01 135584,E10A180,00550,0100,07/09/01 135584,E10A180,00550,0300,07/09/01 135584,E10A180,00551,0300,08/02/01 135584,S000000,00100,0200,09/23/99 135584,S200000,00100,0100,609 S. RAILROAD ST. 135584,S200000,00200,0100,MATTHEWS 135584,S200000,00200,0200,MO 135584,S200000,00200,0300,63867 135584,S200000,00300,0100,NEW MADRID 135584,S200000,00300,0200,0026 135584,S200000,00300,0300,R 135584,S200000,00400,0100,SELLS REST HOME INC. 135584,S200000,00400,0200,265397 135584,S200000,00400,0300,09/21/89 135584,S200000,00400,0500,P 135584,S200000,01500,0100,N 135584,S200000,01600,0100,Y 135584,S200000,01700,0100,N 135584,S200000,01800,0100,N 135584,S200000,02200,0100,Y 135584,S200000,02800,0100,N 135584,S200000,02900,0100,N 135584,S200000,03000,0100,N 135584,S200000,03100,0100,N 135584,S200000,03200,0100,N 135584,S200000,03300,0100,N 135584,S200000,03300,0200,N 135584,S200000,04100,0100,N 135584,S200000,04200,0100,N 135584,S200000,04300,0100,Y 135584,S200000,04600,0100,N 135584,S200000,04700,0100,N 135584,S200000,04900,0100,N 135584,S200000,05200,0100,N 135807,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 135807,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 135807,A000000,00300,0000,0300EMPLOYEE BENEFITS 135807,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 135807,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 135807,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 135807,A000000,00700,0000,0700HOUSEKEEPING 135807,A000000,00800,0000,0800DIETARY 135807,A000000,00900,0000,0900NURSING ADMINISTRATION 135807,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 135807,A000000,01100,0000,1100PHARMACY 135807,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 135807,A000000,01300,0000,1300SOCIAL SERVICE 135807,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 135807,A000000,01600,0000,1600SKILLED NURSING FACILITY 135807,A000000,01800,0000,1800NURSING FACILITY 135807,A000000,01900,0000,1900OTHER LONG TERM CARE 135807,A000000,02100,0000,2100RADIOLOGY 135807,A000000,02200,0000,2200LABORATORY 135807,A000000,02300,0000,2300INTRAVENOUS THERAPY 135807,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 135807,A000000,02500,0000,2500PHYSICAL THERAPY 135807,A000000,02600,0000,2600OCCUPATIONAL THERAPY 135807,A000000,02700,0000,2700SPEECH PATHOLOGY 135807,A000000,02800,0000,2800ELECTROCARDIOLOGY 135807,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 135807,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 135807,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 135807,A000000,03200,0000,3200SUPPORT SURFACES 135807,A000000,03400,0000,3400CLINIC 135807,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 135807,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 135807,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 135807,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 135807,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 135807,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 135807,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 135807,A000000,04400,0000,4400DME RENTED - HHA 135807,A000000,04500,0000,4500DME SOLD - HHA 135807,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 135807,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 135807,A000000,04800,0000,4800AMBULANCE 135807,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 135807,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 135807,A000000,05300,0000,5300INTEREST EXPENSE 135807,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 135807,A000000,05500,0000,5500HOSPICE 135807,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 135807,A000000,05900,0000,5900BARBER & BEAUTY SHOP 135807,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 135807,A000000,06100,0000,6100NONPAID WORKERS 135807,A000000,06200,0000,6200PATIENTS LAUNDRY 135807,A81000A,00100,0100,Y 135807,A81000B,00100,0300,MANAGEMENT FEES 135807,A81000B,00200,0300,OLD CAPITAL BUILDING 135807,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 135807,A81000B,00400,0300,NEW CAPITAL BUILDING 135807,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 135807,A81000B,00600,0300,FUNCTIONAL SALARY 135807,A81000B,00700,0300,FUNCTIONAL SALARY 135807,A81000B,00800,0300,FUNCTIONAL BENEFITS 135807,A81000B,00900,0300,PHARMACY CONSULTANT 135807,A81000B,01000,0300,DIETARY CONSULTANT 135807,A81000B,01100,0300,MEDICAL RECORDS SUPPLIES 135807,A81000B,01200,0300,DIETARY SUPPLIES 135807,A81000B,01300,0300,NURSING SUPPLIES 135807,A81000B,01400,0300,PT SUPPLIES 135807,A81000B,01500,0300,IV THERAPY 135807,A81000C,00100,0100,A 135807,A81000C,00100,0200,ELDERCARE HEALT 135807,A81000C,00100,0400,MEDICAL MATRIX 135807,A81000C,00100,0600,PHARM & DIETARY 135807,A81000C,00200,0100,A 135807,A81000C,00200,0200,GA HOMECARE 135807,A81000C,00200,0400,MEDICAL MATRIX 135807,A81000C,00200,0600,IV THERAPY 135807,A81000C,00300,0100,A 135807,A81000C,00300,0200,GAP MANAGEMENT 135807,A81000C,00300,0400,MEDICAL MATRIX 135807,A81000C,00300,0600,MANAGEMENT 135807,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 135807,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 135807,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 135807,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 135807,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 135807,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 135807,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 135807,B100000,00000,0800,0850PAT DAYS :DIETARY 135807,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 135807,B100000,00000,1100,1150PAT DAYS :PHARMACY 135807,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 135807,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 135807,E10A180,00301,0100,01/26/00 135807,S000000,00100,0200,12/01/00 135807,S200000,00100,0100,511 MT. PLEASANT ROAD 135807,S200000,00100,0300,1080 135807,S200000,00200,0100,THOMSON 135807,S200000,00200,0200,GA 135807,S200000,00200,0300,30824- 135807,S200000,00300,0100,MCDUFFIE 135807,S200000,00300,0200,0600 135807,S200000,00300,0300,U 135807,S200000,00400,0100,THOMSON MANOR NURSING HOME 135807,S200000,00400,0200,115365 135807,S200000,00400,0300,08/01/98 135807,S200000,00400,0500,P 135807,S200000,00600,0200,115365 135807,S200000,00600,0300,08/01/89 135807,S200000,00600,0600,O 135807,S200000,01500,0100,N 135807,S200000,01600,0100,Y 135807,S200000,01700,0100,N 135807,S200000,01800,0100,N 135807,S200000,02200,0100,Y 135807,S200000,02800,0100,N 135807,S200000,02900,0100,N 135807,S200000,03000,0100,N 135807,S200000,03100,0100,N 135807,S200000,03200,0100,N 135807,S200000,04100,0100,N 135807,S200000,04200,0100,N 135807,S200000,04300,0100,N 135807,S200000,04600,0100,N 135807,S200000,04700,0100,N 135807,S200000,04700,0200,N 135807,S200000,04900,0100,N 135807,S200000,05000,0100,N 135807,S200000,05100,0100,N 135807,S200000,05200,0100,N 135936,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 135936,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 135936,A000000,00300,0000,0300EMPLOYEE BENEFITS 135936,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 135936,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 135936,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 135936,A000000,00700,0000,0700HOUSEKEEPING 135936,A000000,00800,0000,0800DIETARY 135936,A000000,00900,0000,0900NURSING ADMINISTRATION 135936,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 135936,A000000,01100,0000,1100PHARMACY 135936,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 135936,A000000,01300,0000,1300SOCIAL SERVICE 135936,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 135936,A000000,01500,0000,1350PATIENT ACTIVITIES 135936,A000000,01600,0000,1600SKILLED NURSING FACILITY 135936,A000000,01800,0000,1800NURSING FACILITY 135936,A000000,01900,0000,1900OTHER LONG TERM CARE 135936,A000000,02100,0000,2100RADIOLOGY 135936,A000000,02200,0000,2200LABORATORY 135936,A000000,02300,0000,2300INTRAVENOUS THERAPY 135936,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 135936,A000000,02500,0000,2500PHYSICAL THERAPY 135936,A000000,02600,0000,2600OCCUPATIONAL THERAPY 135936,A000000,02700,0000,2700SPEECH PATHOLOGY 135936,A000000,02800,0000,2800ELECTROCARDIOLOGY 135936,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 135936,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 135936,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 135936,A000000,03200,0000,3200SUPPORT SURFACES 135936,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 135936,A000000,03400,0000,3400CLINIC 135936,A000000,03500,0000,3500RURAL HEALTH CLINIC 135936,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 135936,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 135936,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 135936,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 135936,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 135936,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 135936,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 135936,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 135936,A000000,04400,0000,4400DME RENTED - HHA 135936,A000000,04500,0000,4500DME SOLD - HHA 135936,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 135936,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 135936,A000000,04800,0000,4800AMBULANCE 135936,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 135936,A000000,05000,0000,5000CORF 135936,A000000,05100,0000,4750OTHER REIMBURSABLE COST 135936,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 135936,A000000,05300,0000,5300INTEREST EXPENSE 135936,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 135936,A000000,05500,0000,5500HOSPICE 135936,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 135936,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 135936,A000000,05900,0000,5900BARBER & BEAUTY SHOP 135936,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 135936,A000000,06100,0000,6100NONPAID WORKERS 135936,A000000,06200,0000,6200PATIENTS LAUNDRY 135936,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 135936,A81000A,00100,0100,Y 135936,A81000B,00100,0300,MANAGEMENT FEE 135936,A81000B,00200,0300,LEASE EXPENSE 135936,A81000C,00100,0100,B 135936,A81000C,00100,0400,HEALTHMARK PARTNERS LLC 135936,A81000C,00100,0600,MANAGEMENT COMPANY 135936,A81000C,00200,0100,B 135936,A81000C,00200,0400,HCFP REIT EQUITY INC. 135936,A81000C,00200,0600,REAL ESTATE TRUST COMPANY 135936,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 135936,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 135936,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 135936,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 135936,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 135936,B100000,00000,0700,0750SQ FEET EXCL DIET:HOUSEKEEPING 135936,B100000,00000,0800,0850PATIENT DAYS :DIETARY 135936,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 135936,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 135936,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 135936,S000000,00100,0200,02/09/01 135936,S200000,00100,0100,3702 COVE VIEW BLVD 135936,S200000,00200,0100,GALVESTON 135936,S200000,00200,0200,TX 135936,S200000,00200,0300,77554- 135936,S200000,00300,0100,GALVESTON 135936,S200000,00300,0200,2920 135936,S200000,00300,0300,U 135936,S200000,00400,0100,GULF HEALTH CARE CENTER OF GALVESTON 135936,S200000,00400,0200,675254 135936,S200000,00400,0300,02/01/94 135936,S200000,00400,0500,P 135936,S200000,01500,0100,N 135936,S200000,01600,0100,Y 135936,S200000,01700,0100,N 135936,S200000,01800,0100,N 135936,S200000,02200,0100,N 135936,S200000,02800,0100,N 135936,S200000,02900,0100,N 135936,S200000,03000,0100,N 135936,S200000,03100,0100,N 135936,S200000,03200,0100,N 135936,S200000,04100,0100,N 135936,S200000,04200,0100,N 135936,S200000,04300,0100,N 135936,S200000,04600,0100,N 135936,S200000,04700,0100,N 135936,S200000,04700,0200,N 135936,S200000,04900,0100,N 135936,S200000,05000,0100,N 135936,S200000,05100,0100,N 135936,S200000,05200,0100,N 135992,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 135992,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 135992,A000000,00300,0000,0300EMPLOYEE BENEFITS 135992,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 135992,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 135992,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 135992,A000000,00700,0000,0700HOUSEKEEPING 135992,A000000,00800,0000,0800DIETARY 135992,A000000,00900,0000,0900NURSING ADMINISTRATION 135992,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 135992,A000000,01100,0000,1100PHARMACY 135992,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 135992,A000000,01300,0000,1300SOCIAL SERVICE 135992,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 135992,A000000,01500,0000,1350OTHER GENERAL SERVICES 135992,A000000,01600,0000,1600SKILLED NURSING FACILITY 135992,A000000,01800,0000,1800NURSING FACILITY 135992,A000000,01810,0000,1810ICF/MR 135992,A000000,01900,0000,1900OTHER LONG TERM CARE 135992,A000000,02100,0000,2100RADIOLOGY 135992,A000000,02200,0000,2200LABORATORY 135992,A000000,02300,0000,2300INTRAVENOUS THERAPY 135992,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 135992,A000000,02500,0000,2500PHYSICAL THERAPY 135992,A000000,02600,0000,2600OCCUPATIONAL THERAPY 135992,A000000,02700,0000,2700SPEECH PATHOLOGY 135992,A000000,02800,0000,2800ELECTROCARDIOLOGY 135992,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 135992,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 135992,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 135992,A000000,03200,0000,3200SUPPORT SURFACES 135992,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 135992,A000000,03400,0000,3400CLINIC 135992,A000000,03500,0000,3500RURAL HEALTH CLINIC 135992,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 135992,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 135992,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 135992,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 135992,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 135992,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 135992,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 135992,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 135992,A000000,04400,0000,4400DME RENTED - HHA 135992,A000000,04500,0000,4500DME SOLD - HHA 135992,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 135992,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 135992,A000000,04800,0000,4800AMBULANCE 135992,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 135992,A000000,05000,0000,5000CORF 135992,A000000,05100,0000,4750OTHER REIMBURSABLE COST 135992,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 135992,A000000,05300,0000,5300INTEREST EXPENSE 135992,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 135992,A000000,05500,0000,5500HOSPICE 135992,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 135992,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 135992,A000000,05900,0000,5900BARBER & BEAUTY SHOP 135992,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 135992,A000000,06100,0000,6100NONPAID WORKERS 135992,A000000,06200,0000,6200PATIENTS LAUNDRY 135992,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 135992,A81000A,00100,0100,Y 135992,A81000B,00100,0300,PHYSICAL THERAPY 135992,A81000B,00200,0300,OCCUPATIONAL THERAPY 135992,A81000B,00300,0300,MANAGEMENT FEE 135992,A81000C,00100,0100,D 135992,A81000C,00100,0400,THE AMBASSADOR REHAB AGEN 135992,A81000C,00100,0600,CONTRACT THERAPY 135992,A81000C,00200,0100,D 135992,A81000C,00200,0400,THE AMBASSADOR REHAB AGEN 135992,A81000C,00200,0600,CONTRACT THERAPY 135992,A81000C,00300,0100,D 135992,A81000C,00300,0400,THE AMBASSADOR GROUP INC 135992,A81000C,00300,0600,MANAGEMENT COMPANY 135992,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 135992,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 135992,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 135992,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 135992,B100000,00000,0600,0650INPATIENT DAYS :LAUNDRY & LINEN 135992,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 135992,B100000,00000,0800,0850INPATIENT DAYS :DIETARY 135992,B100000,00000,0900,0950DIRECT LABOR :NURSING ADMINISTR 135992,B100000,00000,1000,1050INPATIENT DAYS :CENTRAL SERVICE 135992,B100000,00000,1200,1250INPATIENT DAYS :MEDICAL RECORDS 135992,B100000,00000,1300,1330INPATIENT DAYS :SOCIAL SERVICE 135992,H510100,00000,0000,4386 135992,H510200,00000,0000,8420 135992,H510300,00000,0000,7813 135992,S000000,00100,0200,11/30/00 135992,S200000,00100,0100,1800 14TH STREET 135992,S200000,00200,0100,NEBRASKA CITY 135992,S200000,00200,0200,NE 135992,S200000,00200,0300,68410- 135992,S200000,00300,0100,OTOE 135992,S200000,00300,0200,9928 135992,S200000,00300,0300,R 135992,S200000,00400,0100,AMBASSADOR NEBRASKA CITY 135992,S200000,00400,0200,285126 135992,S200000,00400,0300,11/01/92 135992,S200000,00400,0500,P 135992,S200000,00800,0200,287091 135992,S200000,00800,0300,05/01/94 135992,S200000,00800,0500,O 135992,S200000,01500,0100,Y 135992,S200000,01600,0100,N 135992,S200000,01700,0100,N 135992,S200000,01800,0100,N 135992,S200000,02200,0100,N 135992,S200000,02800,0100,Y 135992,S200000,02900,0100,N 135992,S200000,03000,0100,N 135992,S200000,03100,0100,N 135992,S200000,03200,0100,N 135992,S200000,04100,0100,N 135992,S200000,04200,0100,N 135992,S200000,04300,0100,N 135992,S200000,04600,0100,N 135992,S200000,04700,0100,N 135992,S200000,04700,0200,N 135992,S200000,04900,0100,N 135992,S200000,05000,0100,N 135992,S200000,05100,0100,N 135992,S200000,05200,0100,N 136122,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136122,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136122,A000000,00300,0000,0300EMPLOYEE BENEFITS 136122,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136122,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136122,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136122,A000000,00700,0000,0700HOUSEKEEPING 136122,A000000,00800,0000,0800DIETARY 136122,A000000,00900,0000,0900NURSING ADMINISTRATION 136122,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136122,A000000,01100,0000,1100PHARMACY 136122,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136122,A000000,01300,0000,1300SOCIAL SERVICE 136122,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136122,A000000,01500,0000,1350ACTIVITIES 136122,A000000,01600,0000,1600SKILLED NURSING FACILITY 136122,A000000,01800,0000,1800NURSING FACILITY 136122,A000000,01900,0000,1900OTHER LONG TERM CARE 136122,A000000,02100,0000,2100RADIOLOGY 136122,A000000,02200,0000,2200LABORATORY 136122,A000000,02300,0000,2300INTRAVENOUS THERAPY 136122,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136122,A000000,02500,0000,2500PHYSICAL THERAPY 136122,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136122,A000000,02700,0000,2700SPEECH PATHOLOGY 136122,A000000,02800,0000,2800ELECTROCARDIOLOGY 136122,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136122,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136122,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 136122,A000000,03200,0000,3200SUPPORT SURFACES 136122,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 136122,A000000,03400,0000,3400CLINIC 136122,A000000,03500,0000,3500RURAL HEALTH CLINIC 136122,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 136122,A000000,04800,0000,4800AMBULANCE 136122,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 136122,A000000,05000,0000,5000CORF 136122,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 136122,A000000,05300,0000,5300INTEREST EXPENSE 136122,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136122,A000000,05500,0000,5500HOSPICE 136122,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 136122,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 136122,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136122,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 136122,A000000,06100,0000,6100NONPAID WORKERS 136122,A000000,06200,0000,6200PATIENTS LAUNDRY 136122,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 136122,A81000A,00100,0100,Y 136122,A81000B,00100,0300,NURSING SUPPLIES 136122,A81000B,00200,0300,FLU VACCINE 136122,A81000B,00300,0300,DRUGS RELATED 136122,A81000B,00400,0300,CONTRACTED SERVICE 136122,A81000B,00500,0300,MEDICARE PRESCRIPTION DRUGS 136122,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 136122,A81000B,00700,0300,HEPATITIS B VACCINE 136122,A81000B,00800,0300,DIETARY SUPPLIES 136122,A81000B,00900,0300,LAUNDRY SUPPLIES 136122,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 136122,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 136122,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 136122,A81000B,01300,0300,FACILITY LEASE 136122,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 136122,A81000B,01500,0300,FACILITY ADMINISTRATOR 136122,A81000B,01600,0300,DIETARY CONSULTANT 136122,A81000B,01700,0300,NURSE CONSULTANT 136122,A81000B,01800,0300,REGIONAL PERSONNEL 136122,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 136122,A81000B,02000,0300,THERAPY CONSULTANT 136122,A81000B,02100,0300,MAINTENANCE CONSULTANT 136122,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 136122,A81000B,02300,0300,PHYSICAL THERAPY 136122,A81000B,02400,0300,SOCIAL SERVICES SUPPLIES 136122,A81000B,02500,0300,ACTIVITIES SUPPLIES 136122,A81000C,00100,0100,B 136122,A81000C,00100,0200,NEIL PRUITT 136122,A81000C,00100,0400,UNITED REHAB 136122,A81000C,00100,0600,THERAPY 136122,A81000C,00200,0100,B 136122,A81000C,00200,0200,NEIL PRUITT 136122,A81000C,00200,0400,UNITED PHARMACY 136122,A81000C,00200,0600,PHARMACY 136122,A81000C,00300,0100,B 136122,A81000C,00300,0200,NEIL PRUITT 136122,A81000C,00300,0400,PRUITT PROPERTI 136122,A81000C,00300,0600,RENTAL 136122,A81000C,00400,0100,B 136122,A81000C,00400,0200,NEIL PRUITT 136122,A81000C,00400,0400,PRUITT CORPORAT 136122,A81000C,00400,0600,MANAGEMENT 136122,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136122,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136122,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136122,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 136122,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136122,B100000,00000,0800,0800MEALS SERVED :DIETARY 136122,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 136122,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 136122,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 136122,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 136122,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 136122,E10A180,00301,0100,01/27/00 136122,S000000,00100,0200,12/04/00 136122,S200000,00100,0100,800 PATTERSON ROAD 136122,S200000,00200,0100,LAFAYETTE 136122,S200000,00200,0200,GE 136122,S200000,00200,0300,30728- 136122,S200000,00300,0100,WALKER 136122,S200000,00300,0200,1560 136122,S200000,00300,0300,U 136122,S200000,00400,0100,SHEPHERD HILLS HEALTH CARE INC. 136122,S200000,00400,0200,115452 136122,S200000,00400,0300,10/01/89 136122,S200000,00400,0500,P 136122,S200000,01500,0100,N 136122,S200000,01600,0100,Y 136122,S200000,01700,0100,N 136122,S200000,01800,0100,N 136122,S200000,02200,0100,N 136122,S200000,02800,0100,N 136122,S200000,02900,0100,N 136122,S200000,03000,0100,N 136122,S200000,03100,0100,N 136122,S200000,03200,0100,N 136122,S200000,04100,0100,N 136122,S200000,04200,0100,N 136122,S200000,04300,0100,N 136122,S200000,04600,0100,N 136122,S200000,04700,0100,N 136122,S200000,04700,0200,N 136122,S200000,04900,0100,N 136122,S200000,05000,0100,N 136122,S200000,05100,0100,N 136122,S200000,05200,0100,N 136146,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136146,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136146,A000000,00300,0000,0300EMPLOYEE BENEFITS 136146,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136146,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136146,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136146,A000000,00700,0000,0700HOUSEKEEPING 136146,A000000,00800,0000,0800DIETARY 136146,A000000,00900,0000,0900NURSING ADMINISTRATION 136146,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136146,A000000,01100,0000,1100PHARMACY 136146,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136146,A000000,01300,0000,1300SOCIAL SERVICE 136146,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136146,A000000,01500,0000,1350ACTIVITIES 136146,A000000,01600,0000,1600SKILLED NURSING FACILITY 136146,A000000,01800,0000,1800NURSING FACILITY 136146,A000000,01810,0000,1810ICF/MR 136146,A000000,01900,0000,1900OTHER LONG TERM CARE 136146,A000000,02100,0000,2100RADIOLOGY 136146,A000000,02200,0000,2200LABORATORY 136146,A000000,02300,0000,2300INTRAVENOUS THERAPY 136146,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136146,A000000,02500,0000,2500PHYSICAL THERAPY 136146,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136146,A000000,02700,0000,2700SPEECH PATHOLOGY 136146,A000000,02800,0000,2800ELECTROCARDIOLOGY 136146,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136146,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136146,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 136146,A000000,03200,0000,3200SUPPORT SURFACES 136146,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 136146,A000000,03400,0000,3400CLINIC 136146,A000000,03500,0000,3500RURAL HEALTH CLINIC 136146,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 136146,A000000,04800,0000,4800AMBULANCE 136146,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 136146,A000000,05000,0000,5000CORF 136146,A000000,05100,0000,4750OTHER REIMBURSABLE COST 136146,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 136146,A000000,05300,0000,5300INTEREST EXPENSE 136146,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136146,A000000,05500,0000,5500HOSPICE 136146,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 136146,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 136146,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136146,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 136146,A000000,06100,0000,6100NONPAID WORKERS 136146,A000000,06200,0000,6200PATIENTS LAUNDRY 136146,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136146,A81000A,00100,0100,Y 136146,A81000B,00100,0300,HOME OFFICE EXPENSES 136146,A81000C,00100,0100,B 136146,A81000C,00100,0200,GREEN ACRES HEALTH SYSTEM 136146,A81000C,00100,0400,GREEN ACRES HEALTH SYSTEM 136146,A81000C,00100,0600,HOME OFFICE 136146,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136146,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136146,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136146,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136146,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 136146,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136146,B100000,00000,0800,0800MEALS SERVED :DIETARY 136146,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 136146,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 136146,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 136146,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 136146,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136146,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 136146,S000000,00100,0200,12/01/00 136146,S200000,00100,0100,253 TWINING ROAD 136146,S200000,00200,0100,RICHBORO 136146,S200000,00200,0200,PA 136146,S200000,00200,0300,18954- 136146,S200000,00300,0100,BUCKS 136146,S200000,00300,0200,6160 136146,S200000,00300,0300,U 136146,S200000,00400,0100,RICHBORO REHAB & NURSING CTR 136146,S200000,00400,0200,395217 136146,S200000,00400,0300,06/15/88 136146,S200000,00400,0500,P 136146,S200000,01500,0100,N 136146,S200000,01600,0100,Y 136146,S200000,01700,0100,N 136146,S200000,01800,0100,N 136146,S200000,02200,0100,N 136146,S200000,02800,0100,N 136146,S200000,02900,0100,N 136146,S200000,03000,0100,N 136146,S200000,03100,0100,N 136146,S200000,03200,0100,N 136146,S200000,04100,0100,N 136146,S200000,04200,0100,N 136146,S200000,04300,0100,N 136146,S200000,04600,0100,N 136146,S200000,04700,0100,N 136146,S200000,04700,0200,N 136146,S200000,04900,0100,N 136146,S200000,05000,0100,N 136146,S200000,05100,0100,N 136146,S200000,05200,0100,N 136149,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136149,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136149,A000000,00300,0000,0300EMPLOYEE BENEFITS 136149,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136149,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136149,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136149,A000000,00700,0000,0700HOUSEKEEPING 136149,A000000,00800,0000,0800DIETARY 136149,A000000,00900,0000,0900NURSING ADMINISTRATION 136149,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136149,A000000,01100,0000,1100PHARMACY 136149,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136149,A000000,01300,0000,1300SOCIAL SERVICE 136149,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136149,A000000,01500,0000,1350ACTIVITIES 136149,A000000,01600,0000,1600SKILLED NURSING FACILITY 136149,A000000,01800,0000,1800NURSING FACILITY 136149,A000000,02100,0000,2100RADIOLOGY 136149,A000000,02200,0000,2200LABORATORY 136149,A000000,02300,0000,2300INTRAVENOUS THERAPY 136149,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136149,A000000,02500,0000,2500PHYSICAL THERAPY 136149,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136149,A000000,02700,0000,2700SPEECH PATHOLOGY 136149,A000000,02800,0000,2800ELECTROCARDIOLOGY 136149,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136149,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136149,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 136149,A000000,03200,0000,3200SUPPORT SURFACES 136149,A000000,03400,0000,3400CLINIC 136149,A000000,04800,0000,4800AMBULANCE 136149,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 136149,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 136149,A000000,05300,0000,5300INTEREST EXPENSE 136149,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136149,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 136149,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136149,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 136149,A000000,06100,0000,6100NONPAID WORKERS 136149,A000000,06200,0000,6200PATIENTS LAUNDRY 136149,A000000,06300,0000,6150PCARE RESID. & OTHER NR 136149,A81000A,00100,0100,N 136149,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136149,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136149,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136149,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 136149,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136149,B100000,00000,0800,0800MEALS SERVED :DIETARY 136149,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 136149,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136149,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 136149,B100000,00000,1500,1350HOURS PAID :ACTIVITIES 136149,S000000,00100,0200,12/04/00 136149,S200000,00100,0100,219 CATS BACK ROAD 136149,S200000,00200,0100,EPHRATA 136149,S200000,00200,0200,PA 136149,S200000,00200,0300,17522- 136149,S200000,00300,0100,LANCASTER 136149,S200000,00300,0200,4000 136149,S200000,00300,0300,U 136149,S200000,00400,0100,FAIRMOUNT HOMES 136149,S200000,00400,0200,395805 136149,S200000,00400,0300,10/01/89 136149,S200000,00400,0500,P 136149,S200000,01500,0100,Y 136149,S200000,01600,0100,N 136149,S200000,01700,0100,N 136149,S200000,01800,0100,N 136149,S200000,02200,0100,N 136149,S200000,02800,0100,Y 136149,S200000,02900,0100,N 136149,S200000,03000,0100,N 136149,S200000,03100,0100,N 136149,S200000,03200,0100,N 136149,S200000,04100,0100,N 136149,S200000,04200,0100,N 136149,S200000,04300,0100,N 136149,S200000,04600,0100,N 136149,S200000,04700,0100,N 136149,S200000,04700,0200,N 136149,S200000,04900,0100,N 136149,S200000,05000,0100,N 136149,S200000,05100,0100,N 136149,S200000,05200,0100,N 136174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136174,A000000,00101,0000,0101CAP REL COSTS - MEDICAL 136174,A000000,00102,0000,0102CAP REL COSTS - PERSONAL CARE 136174,A000000,00103,0000,0103CAP REL COSTS - RES 136174,A000000,00104,0000,0104CAP REL COSTS - EXPANSION 136174,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136174,A000000,00300,0000,0300EMPLOYEE BENEFITS 136174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136174,A000000,00700,0000,0700HOUSEKEEPING 136174,A000000,00701,0000,0701HOUSEKEEPING - MEDICAL 136174,A000000,00702,0000,0702HOUSEKEEPING - PC 136174,A000000,00703,0000,0703HOUSEKEEPING - RES 136174,A000000,00800,0000,0800DIETARY 136174,A000000,00900,0000,0900NURSING ADMINISTRATION 136174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136174,A000000,01100,0000,1100PHARMACY 136174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136174,A000000,01300,0000,1300SOCIAL SERVICE 136174,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136174,A000000,01500,0000,1350PATIENT ACTIVITIES 136174,A000000,01600,0000,1600SKILLED NURSING FACILITY 136174,A000000,01810,0000,1810ICF/MR 136174,A000000,01900,0000,1900OTHER LONG TERM CARE 136174,A000000,02100,0000,2100RADIOLOGY 136174,A000000,02200,0000,2200LABORATORY 136174,A000000,02500,0000,2500PHYSICAL THERAPY 136174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136174,A000000,02700,0000,2700SPEECH PATHOLOGY 136174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136174,A000000,02901,0000,2901CLINITRON BEDS 136174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136174,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 136174,A000000,03550,0000,3550FQHC 136174,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 136174,A000000,05000,0000,5000CORF 136174,A000000,05010,0000,5010CMHC 136174,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136174,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136174,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136174,A000000,05100,0000,4750OTHER REIMBURSABLE COST 136174,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 136174,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 136174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136174,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136174,A81000A,00100,0100,Y 136174,A81000B,00100,0300,LEGAL EXPENSE 136174,A81000C,00100,0100,E 136174,A81000C,00100,0200,JOHN MILLER 136174,A81000C,00100,0400,CHESTERS & MILLER LLP 136174,A81000C,00100,0600,LAW OFFICE 136174,B100000,00000,0100,0100SQUARE FEET COM 136174,B100000,00000,0101,0101SQ FT MEDICAL 136174,B100000,00000,0102,0102SQFT PC 136174,B100000,00000,0103,0103SQFT RESIDENTIA 136174,B100000,00000,0104,0104SQFT EXPANSION 136174,B100000,00000,0200,0200SQUARE FEET COM 136174,B100000,00000,0300,0300GROSS SALARIES 136174,B100000,00000,0400,0400ACCUM COST 136174,B100000,00000,0500,0500SQUARE FEET COM 136174,B100000,00000,0600,0600POUNDS OF LAUNDRY 136174,B100000,00000,0700,0700SQFT COMB EXCL DIET 136174,B100000,00000,0701,0701SQFT MED EXCL DIET 136174,B100000,00000,0702,0702SQFT PC EXCL DIET 136174,B100000,00000,0703,0703SQFT RES EXCL DIET 136174,B100000,00000,0800,0800MEALS SERVED 136174,B100000,00000,0900,0900PATIENT DAYSSNF ON 136174,B100000,00000,1000,1000COSTED REQUIS. 136174,B100000,00000,1100,1100COSTED REQUIS. 136174,B100000,00000,1200,1200TIME SPENT 136174,B100000,00000,1300,1300PATIENT DAYSSNF ON 136174,B100000,00000,1400,1400ASSIGNED TIME 136174,B100000,00000,1500,1350PATIENT DAYSSNF ON 136174,E10A180,00501,0300,12/01/00 136174,E10A180,00502,0300,03/06/02 136174,E10A180,00550,0100,12/01/00 136174,E10A180,00551,0100,03/06/02 136174,S000000,00100,0200,11/21/00 136174,S200000,00100,0100,1800 VILLAGE CIRCLE 136174,S200000,00200,0100,LANCASTER 136174,S200000,00200,0200,PA 136174,S200000,00200,0300,17603 136174,S200000,00300,0100,LANCASTER 136174,S200000,00300,0200,4000 136174,S200000,00300,0300,U 136174,S200000,00400,0100,HOMESTEAD VILLAGE INC. 136174,S200000,00400,0200,395720 136174,S200000,00400,0300,10/17/86 136174,S200000,00400,0500,P 136174,S200000,01500,0100,N 136174,S200000,01600,0100,N 136174,S200000,01700,0100,Y 136174,S200000,01800,0100,N 136174,S200000,01900,0100,501 (C) (3) 136174,S200000,02200,0100,N 136174,S200000,02800,0100,N 136174,S200000,02900,0100,N 136174,S200000,03000,0100,N 136174,S200000,03100,0100,N 136174,S200000,03200,0100,N 136174,S200000,03300,0100,N 136174,S200000,03300,0200,N 136174,S200000,04100,0100,N 136174,S200000,04200,0100,N 136174,S200000,04300,0100,Y 136174,S200000,04600,0100,N 136174,S200000,04700,0100,N 136174,S200000,04900,0100,N 136174,S200000,05200,0100,N 136205,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136205,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136205,A000000,00300,0000,0300EMPLOYEE BENEFITS 136205,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136205,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136205,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136205,A000000,00700,0000,0700HOUSEKEEPING 136205,A000000,00800,0000,0800DIETARY 136205,A000000,00801,0000,0801CAFETERIA 136205,A000000,00900,0000,0900NURSING ADMINISTRATION 136205,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136205,A000000,01100,0000,1100PHARMACY 136205,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136205,A000000,01300,0000,1300SOCIAL SERVICE 136205,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136205,A000000,01600,0000,1600SKILLED NURSING FACILITY 136205,A000000,01800,0000,1800NURSING FACILITY 136205,A000000,01810,0000,1810ICF/MR 136205,A000000,02300,0000,2300INTRAVENOUS THERAPY 136205,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136205,A000000,02500,0000,2500PHYSICAL THERAPY 136205,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136205,A000000,02700,0000,2700SPEECH PATHOLOGY 136205,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136205,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136205,A000000,03550,0000,3550FQHC 136205,A000000,05000,0000,5000CORF 136205,A000000,05010,0000,5010CMHC 136205,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136205,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136205,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136205,A000000,05300,0000,5300INTEREST EXPENSE 136205,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136205,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 136205,A81000A,00100,0100,N 136205,B100000,00000,0100,0100SQUARE FEET 136205,B100000,00000,0200,0200SQUARE FEET 136205,B100000,00000,0300,0300GROSS SALARIES 136205,B100000,00000,0400,0400ACCUM COST 136205,B100000,00000,0500,0500SQUARE FEET 136205,B100000,00000,0600,0600PATIENT DAYS 136205,B100000,00000,0700,0700SQUARE FEET 136205,B100000,00000,0800,0800MEALS SERVED 136205,B100000,00000,0801,0801FTE EMPLOYEES 136205,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 136205,B100000,00000,1000,1000COSTED REQUISITIO 136205,B100000,00000,1100,1100COSTED REQUISITIO 136205,B100000,00000,1200,1200PATIENT DAYS 136205,B100000,00000,1300,1300PATIENT DAYS 136205,B100000,00000,1400,1400ASSIGNED TIME 136205,E10A180,00301,0100,07/01/99 136205,E10A180,00302,0100,07/08/99 136205,E10A180,00303,0100,07/27/99 136205,E10A180,00304,0100,11/17/99 136205,S000000,00100,0200,08/21/00 136205,S200000,00100,0100,901 WILD ROSE LANE 136205,S200000,00200,0100,BROWNSVILLE 136205,S200000,00200,0200,TX 136205,S200000,00200,0300,78520 136205,S200000,00300,0100,CAMERON 136205,S200000,00300,0200,1240 136205,S200000,00300,0300,U 136205,S200000,00400,0100,VALLEY GRANDE MANOR INC. 136205,S200000,00400,0200,455423 136205,S200000,00400,0300,04/01/98 136205,S200000,00400,0500,P 136205,S200000,01500,0100,N 136205,S200000,01600,0100,Y 136205,S200000,01700,0100,N 136205,S200000,01800,0100,N 136205,S200000,02200,0100,N 136205,S200000,02800,0100,N 136205,S200000,02900,0100,N 136205,S200000,03000,0100,N 136205,S200000,03100,0100,N 136205,S200000,03200,0100,N 136205,S200000,03300,0100,N 136205,S200000,03300,0200,N 136205,S200000,04100,0100,N 136205,S200000,04200,0100,N 136205,S200000,04300,0100,N 136205,S200000,04600,0100,N 136205,S200000,04700,0100,N 136205,S200000,04900,0100,N 136207,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136207,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136207,A000000,00300,0000,0300EMPLOYEE BENEFITS 136207,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136207,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136207,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136207,A000000,00700,0000,0700HOUSEKEEPING 136207,A000000,00800,0000,0800DIETARY 136207,A000000,00900,0000,0900NURSING ADMINISTRATION 136207,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136207,A000000,01100,0000,1100PHARMACY 136207,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136207,A000000,01300,0000,1300SOCIAL SERVICE 136207,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136207,A000000,01500,0000,1350ACTIVITIES 136207,A000000,01600,0000,1600SKILLED NURSING FACILITY 136207,A000000,01800,0000,1800NURSING FACILITY 136207,A000000,01810,0000,1810ICF/MR 136207,A000000,02500,0000,2500PHYSICAL THERAPY 136207,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136207,A000000,02700,0000,2700SPEECH PATHOLOGY 136207,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136207,A000000,02903,0000,2901ACCU-CHECK 136207,A000000,02904,0000,2902PEN THERAPY 136207,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136207,A000000,03550,0000,3550FQHC 136207,A000000,05000,0000,5000CORF 136207,A000000,05010,0000,5010CMHC 136207,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136207,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136207,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136207,A000000,05300,0000,5300INTEREST EXPENSE 136207,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136207,A000000,05500,0000,5500HOSPICE 136207,A81000A,00100,0100,N 136207,B100000,00000,0100,0100SQUARE FEET 136207,B100000,00000,0200,0200SQUARE FEET 136207,B100000,00000,0300,0300GROSS SALARIES 136207,B100000,00000,0400,0400ACCUM COST 136207,B100000,00000,0500,0500SQUARE FEET 136207,B100000,00000,0600,0600POUNDS OF LAUNDRY 136207,B100000,00000,0700,0700HOURS OF SERVICE 136207,B100000,00000,0800,0800MEALS SERVED 136207,B100000,00000,0900,0900DIRECT NRSG HRS 136207,B100000,00000,1000,1000COSTED REQUIS 136207,B100000,00000,1100,1100COSTED REQUIS 136207,B100000,00000,1200,1200TIME SPENT 136207,B100000,00000,1300,1300TIME SPENT 136207,B100000,00000,1400,1400ASSIGNED TIME 136207,B100000,00000,1500,1350TIME SPENT 136207,S000000,00100,0200,01/16/01 136207,S200000,00100,0100,300 N NEBRASKA AVE 136207,S200000,00100,0300,1238 136207,S200000,00200,0100,SAN JUAN 136207,S200000,00200,0200,TX 136207,S200000,00200,0300,78589 136207,S200000,00300,0100,H 136207,S200000,00300,0200,4880 136207,S200000,00300,0300,U 136207,S200000,00400,0100,SAN JUAN NURSING HOME 136207,S200000,00400,0200,455484 136207,S200000,00400,0300,03/06/84 136207,S200000,00400,0500,P 136207,S200000,00400,0600,O 136207,S200000,01200,0200,451631 136207,S200000,01200,0300,10/05/95 136207,S200000,01500,0100,N 136207,S200000,01600,0100,Y 136207,S200000,01700,0100,N 136207,S200000,01800,0100,N 136207,S200000,02200,0100,Y 136207,S200000,02800,0100,Y 136207,S200000,02900,0100,N 136207,S200000,03000,0100,N 136207,S200000,03100,0100,N 136207,S200000,03200,0100,N 136207,S200000,03300,0100,N 136207,S200000,03300,0200,N 136207,S200000,04100,0100,N 136207,S200000,04200,0100,N 136207,S200000,04300,0100,N 136207,S200000,04600,0100,N 136207,S200000,04700,0100,N 136207,S200000,04900,0100,N 136210,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136210,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136210,A000000,00300,0000,0300EMPLOYEE BENEFITS 136210,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136210,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136210,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136210,A000000,00700,0000,0700HOUSEKEEPING 136210,A000000,00800,0000,0800DIETARY 136210,A000000,00900,0000,0900NURSING ADMINISTRATION 136210,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136210,A000000,01100,0000,1100PHARMACY 136210,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136210,A000000,01300,0000,1300SOCIAL SERVICE 136210,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136210,A000000,01500,0000,1350OTHER GENERAL SERVICES 136210,A000000,01600,0000,1600SKILLED NURSING FACILITY 136210,A000000,01800,0000,1800NURSING FACILITY 136210,A000000,01810,0000,1810ICF/MR 136210,A000000,02100,0000,2100RADIOLOGY 136210,A000000,02500,0000,2500PHYSICAL THERAPY 136210,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136210,A000000,02700,0000,2700SPEECH PATHOLOGY 136210,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136210,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136210,A000000,03200,0000,3200SUPPORT SURFACES 136210,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 136210,A000000,03550,0000,3550FQHC 136210,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 136210,A000000,05000,0000,5000CORF 136210,A000000,05010,0000,5010CMHC 136210,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136210,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136210,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136210,A000000,05100,0000,4750OTHER REIMBURSABLE COST 136210,A000000,05300,0000,5300INTEREST EXPENSE 136210,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136210,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 136210,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136210,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136210,A81000A,00100,0100,Y 136210,A81000B,00100,0300,INTEREST EXPENSE 136210,A81000C,00100,0100,A 136210,A81000C,00100,0200,WILLIAM C. HORABIN 136210,A81000C,00100,0400,SIERRA HALTH SYSTEMS 136210,A81000C,00100,0600,MANAGEMENT COMPANY 136210,A81000C,00200,0100,A 136210,A81000C,00200,0200,WILLIAM C. HORABIN 136210,A81000C,00200,0400,SB REALTY CORPORATION 136210,A81000C,00200,0600,LEASING COMPANY 136210,B100000,00000,0100,0100SQUARE FEET 136210,B100000,00000,0200,0200DOLLAR VALUE 136210,B100000,00000,0300,0300GROSS SALARIES 136210,B100000,00000,0400,0400ACCUM. COST 136210,B100000,00000,0500,0500SQUARE FEET 136210,B100000,00000,0600,0600PATIENT DAYS 136210,B100000,00000,0700,0700SQUARE FEET 136210,B100000,00000,0800,0800MEALS SERVED 136210,B100000,00000,0900,0900HOURS SUPERVISED 136210,B100000,00000,1000,1000COSTEDREQU UISITIONS 136210,B100000,00000,1100,1100COSTEDREQU UISITIONS 136210,B100000,00000,1200,1200GROSS CHARGES 136210,B100000,00000,1300,1300GROSS CHARGES 136210,B100000,00000,1400,1400TIME SPENT 136210,B100000,00000,1500,1350NO STATISTICS 136210,S000000,00100,0200,04/03/00 136210,S200000,00100,0100,11127 CIRCLE DRIVE 136210,S200000,00200,0100,AUSTIN 136210,S200000,00200,0200,TX 136210,S200000,00300,0100,TRAVIS 136210,S200000,00400,0100,STONEBRDIGE HEALTH CENTER 136210,S200000,00400,0200,675649 136210,S200000,00400,0300,12/19/96 136210,S200000,00400,0500,P 136210,S200000,01500,0100,N 136210,S200000,01600,0100,Y 136210,S200000,01700,0100,N 136210,S200000,01800,0100,N 136210,S200000,02200,0100,N 136210,S200000,02800,0100,N 136210,S200000,02900,0100,N 136210,S200000,03000,0100,N 136210,S200000,03100,0100,N 136210,S200000,03200,0100,N 136210,S200000,03300,0100,N 136210,S200000,03300,0200,N 136210,S200000,04100,0100,N 136210,S200000,04200,0100,N 136210,S200000,04300,0100,N 136210,S200000,04600,0100,N 136210,S200000,04700,0100,N 136210,S200000,04900,0100,N 136215,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136215,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136215,A000000,00300,0000,0300EMPLOYEE BENEFITS 136215,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136215,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136215,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136215,A000000,00700,0000,0700HOUSEKEEPING 136215,A000000,00800,0000,0800DIETARY 136215,A000000,00900,0000,0900NURSING ADMINISTRATION 136215,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136215,A000000,01100,0000,1100PHARMACY 136215,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136215,A000000,01300,0000,1300SOCIAL SERVICE 136215,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136215,A000000,01600,0000,1600SKILLED NURSING FACILITY 136215,A000000,01800,0000,1800NURSING FACILITY 136215,A000000,01810,0000,1810ICF/MR 136215,A000000,02300,0000,2300INTRAVENOUS THERAPY 136215,A000000,02500,0000,2500PHYSICAL THERAPY 136215,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136215,A000000,02700,0000,2700SPEECH PATHOLOGY 136215,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136215,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136215,A000000,03550,0000,3550FQHC 136215,A000000,05000,0000,5000CORF 136215,A000000,05010,0000,5010CMHC 136215,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136215,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136215,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136215,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136215,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 136215,A81000A,00100,0100,Y 136215,A81000B,00100,0300,HOME OFFICE- CAPITAL 136215,A81000B,00200,0300,HOME OFFICE-NON CAPITAL 136215,A81000C,00100,0100,B 136215,A81000C,00100,0200,LSS OF SHINER 136215,A81000C,00100,0400,LUTHERAN SOCIAL 136215,A81000C,00100,0600,LTC / CHARITY 136215,B100000,00000,0100,0100SQUARE FEET 136215,B100000,00000,0200,0200SQUARE FEET 136215,B100000,00000,0300,0300GROSS SALARIES 136215,B100000,00000,0400,0400ACCUM COST 136215,B100000,00000,0500,0500SQUARE FEET 136215,B100000,00000,0600,0600PATIENT DAYS 136215,B100000,00000,0700,0700SQUARE FEET 136215,B100000,00000,0800,0800MEALS SERVED 136215,B100000,00000,0900,0900PATIENT DAYS 136215,B100000,00000,1000,1000PATIENT DAYS 136215,B100000,00000,1100,1100PATIENT DAYS 136215,B100000,00000,1200,1200PATIENT DAYS 136215,B100000,00000,1300,1300TIME SPENT 136215,B100000,00000,1400,1400ASSIGNED TIME 136215,S000000,00100,0200,06/02/00 136215,S200000,00100,0100,1213 NORTH AVENUE B 136215,S200000,00200,0100,SHINER 136215,S200000,00200,0200,TX 136215,S200000,00200,0300,77984 136215,S200000,00300,0100,LAVACA 136215,S200000,00300,0200,0045 136215,S200000,00300,0300,R 136215,S200000,00400,0100,TRINITY LUTHERAN HOME OF SHINER 136215,S200000,00400,0200,675547 136215,S200000,00400,0300,12/05/95 136215,S200000,00400,0500,P 136215,S200000,01500,0100,N 136215,S200000,01600,0100,Y 136215,S200000,01700,0100,N 136215,S200000,01800,0100,N 136215,S200000,02200,0100,N 136215,S200000,02800,0100,N 136215,S200000,02900,0100,N 136215,S200000,03000,0100,N 136215,S200000,03100,0100,N 136215,S200000,03200,0100,N 136215,S200000,03300,0100,N 136215,S200000,03300,0200,N 136215,S200000,04100,0100,N 136215,S200000,04200,0100,N 136215,S200000,04300,0100,N 136215,S200000,04600,0100,N 136215,S200000,04700,0100,N 136215,S200000,04900,0100,N 136216,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136216,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136216,A000000,00300,0000,0300EMPLOYEE BENEFITS 136216,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136216,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136216,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136216,A000000,00700,0000,0700HOUSEKEEPING 136216,A000000,00800,0000,0800DIETARY 136216,A000000,00900,0000,0900NURSING ADMINISTRATION 136216,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136216,A000000,01100,0000,1100PHARMACY 136216,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136216,A000000,01300,0000,1300SOCIAL SERVICE 136216,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136216,A000000,01600,0000,1600SKILLED NURSING FACILITY 136216,A000000,01800,0000,1800NURSING FACILITY 136216,A000000,01810,0000,1810ICF/MR 136216,A000000,02200,0000,2200LABORATORY 136216,A000000,02300,0000,2300INTRAVENOUS THERAPY 136216,A000000,02500,0000,2500PHYSICAL THERAPY 136216,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136216,A000000,02700,0000,2700SPEECH PATHOLOGY 136216,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136216,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136216,A000000,03200,0000,3200SUPPORT SURFACES 136216,A000000,03550,0000,3550FQHC 136216,A000000,05000,0000,5000CORF 136216,A000000,05010,0000,5010CMHC 136216,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136216,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136216,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136216,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136216,A81000A,00100,0100,Y 136216,A81000B,00100,0300,BLDGS & F REMOVE RENT PD TO RE 136216,A81000B,00200,0300,ADD BACK RELATED LESSOR INTERE 136216,A81000B,00300,0300,ADD BACK RELATED LESSOR DEPREC 136216,A81000B,00400,0300,ADD BACK RELATED LESSOR DEPREC 136216,A81000B,00500,0300,ADD BACK RELATED LESSOR PROP I 136216,A81000B,00600,0300,ADD BACK RELATED LESSOR ADMIN 136216,A81000C,00100,0100,A 136216,A81000C,00100,0400,KINGSLAND HILLS ASSOCIATE 136216,A81000C,00100,0600,RELATED PARTY LESSOR 136216,B100000,00000,0100,0100SQUARE FEET 136216,B100000,00000,0200,0200SQUARE FEET 136216,B100000,00000,0300,0300GROSS SALARIES 136216,B100000,00000,0400,0400ACCUM. COST 136216,B100000,00000,0500,0500SQUARE FEET 136216,B100000,00000,0600,0600INPATIENT DAYS 136216,B100000,00000,0700,0700SQUARE FEET 136216,B100000,00000,0800,0800INPATIENT DAYS 136216,B100000,00000,0900,0900INPATIENT DAYS 136216,B100000,00000,1000,1000COSTED REQUIS. 136216,B100000,00000,1100,1100COSTED REQUIS. 136216,B100000,00000,1200,1200INPATIENT DAYS 136216,B100000,00000,1300,1300INPATIENT DAYS 136216,B100000,00000,1400,1400ASSIGNED TIME 136216,S000000,00100,0200,06/02/00 136216,S200000,00100,0300,1079 136216,S200000,00200,0100,KINGSLAND 136216,S200000,00200,0200,TX 136216,S200000,00300,0100,LLANO 136216,S200000,00300,0200,0045 136216,S200000,00300,0300,R 136216,S200000,00400,0100,KINGSLAND HILLS CARE CENTER 136216,S200000,00400,0200,675551 136216,S200000,00400,0300,01/01/96 136216,S200000,00400,0500,P 136216,S200000,01500,0100,N 136216,S200000,01600,0100,Y 136216,S200000,01700,0100,N 136216,S200000,01800,0100,N 136216,S200000,02200,0100,N 136216,S200000,02800,0100,N 136216,S200000,02900,0100,N 136216,S200000,03000,0100,N 136216,S200000,03100,0100,N 136216,S200000,03200,0100,N 136216,S200000,03300,0100,N 136216,S200000,03300,0200,N 136216,S200000,04100,0100,N 136216,S200000,04200,0100,N 136216,S200000,04300,0100,N 136216,S200000,04600,0100,N 136216,S200000,04700,0100,N 136216,S200000,04700,0200,N 136216,S200000,04900,0100,N 136217,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136217,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136217,A000000,00300,0000,0300EMPLOYEE BENEFITS 136217,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136217,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136217,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136217,A000000,00700,0000,0700HOUSEKEEPING 136217,A000000,00800,0000,0800DIETARY 136217,A000000,00900,0000,0900NURSING ADMINISTRATION 136217,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136217,A000000,01100,0000,1100PHARMACY 136217,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136217,A000000,01300,0000,1300SOCIAL SERVICE 136217,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136217,A000000,01500,0000,1350OTHER GENERAL SERVICES 136217,A000000,01600,0000,1600SKILLED NURSING FACILITY 136217,A000000,01810,0000,1810ICF/MR 136217,A000000,02500,0000,2500PHYSICAL THERAPY 136217,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136217,A000000,02700,0000,2700SPEECH PATHOLOGY 136217,A000000,02800,0000,2800ELECTROCARDIOLOGY 136217,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 136217,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136217,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 136217,A000000,03550,0000,3550FQHC 136217,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 136217,A000000,05000,0000,5000CORF 136217,A000000,05010,0000,5010CMHC 136217,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136217,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136217,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136217,A000000,05100,0000,4750OTHER REIMBURSABLE COST 136217,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 136217,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136217,A81000A,00100,0100,Y 136217,A81000B,00100,0300,MGMNT SERVICES 136217,A81000C,00100,0100,A 136217,A81000C,00100,0200,PEOPLES NURSING FACITITY 136217,A81000C,00100,0600,MGMNT SERVICES 136217,A81000C,00200,0100,A 136217,A81000C,00200,0200,ERWIN CARE CENTERS 136217,A81000C,00200,0600,MGMNT SERVICES 136217,A81000C,00300,0100,A 136217,A81000C,00300,0200,PEOPLES HEALTH SERVICES 136217,A81000C,00300,0600,HOME OFFICE 136217,B100000,00000,0100,0100SQUARE FEET 136217,B100000,00000,0200,0200SQUARE FEET 136217,B100000,00000,0300,0300GROSS SALARIES 136217,B100000,00000,0400,0400ACCUM. COST 136217,B100000,00000,0500,0500SQUARE FEET 136217,B100000,00000,0600,0600PATIENT DAYS 136217,B100000,00000,0700,0700SQUARE FEET 136217,B100000,00000,0800,0800PATIENT DAYS 136217,B100000,00000,0900,0900PATIENT DAYS 136217,B100000,00000,1000,1000COSTED REQUIS. 136217,B100000,00000,1100,1100COSTED REQUIS. 136217,B100000,00000,1200,1200PATIENT DAYS 136217,B100000,00000,1300,1300PATIENT DAYS 136217,B100000,00000,1400,1400ASSIGNED TIME 136217,B100000,00000,1500,1350NO STATISTICS 136217,S000000,00100,0200,07/18/00 136217,S200000,00100,0100,1010 EAST MCARTHUR 136217,S200000,00200,0100,CUERO 136217,S200000,00200,0200,TX 136217,S200000,00200,0300,77954 136217,S200000,00300,0100,HOWARD 136217,S200000,00300,0200,9999 136217,S200000,00300,0300,R 136217,S200000,00400,0100,PEOPLES NURSING CENTER OF CUERO 136217,S200000,00400,0200,675675 136217,S200000,00400,0300,04/21/97 136217,S200000,00400,0500,P 136217,S200000,01500,0100,Y 136217,S200000,01600,0100,N 136217,S200000,01700,0100,N 136217,S200000,01800,0100,N 136217,S200000,02200,0100,N 136217,S200000,02800,0100,N 136217,S200000,02900,0100,N 136217,S200000,03000,0100,N 136217,S200000,03100,0100,N 136217,S200000,03200,0100,N 136217,S200000,03300,0100,N 136217,S200000,03300,0200,N 136217,S200000,04100,0100,N 136217,S200000,04200,0100,N 136217,S200000,04300,0100,N 136217,S200000,04600,0100,N 136217,S200000,04700,0100,N 136218,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 136218,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 136218,A000000,00300,0000,0300EMPLOYEE BENEFITS 136218,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136218,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 136218,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136218,A000000,00700,0000,0700HOUSEKEEPING 136218,A000000,00800,0000,0800DIETARY 136218,A000000,00900,0000,0900NURSING ADMINISTRATION 136218,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136218,A000000,01100,0000,1100PHARMACY 136218,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136218,A000000,01300,0000,1300SOCIAL SERVICE 136218,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 136218,A000000,01600,0000,1600SKILLED NURSING FACILITY 136218,A000000,01800,0000,1800NURSING FACILITY 136218,A000000,01810,0000,1810ICF/MR 136218,A000000,02100,0000,2100RADIOLOGY 136218,A000000,02200,0000,2200LABORATORY 136218,A000000,02500,0000,2500PHYSICAL THERAPY 136218,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136218,A000000,02700,0000,2700SPEECH PATHOLOGY 136218,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136218,A000000,03550,0000,3550FQHC 136218,A000000,05000,0000,5000CORF 136218,A000000,05010,0000,5010CMHC 136218,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136218,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136218,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136218,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136218,A81000A,00100,0100,N 136218,B100000,00000,0100,0100SQUARE FEET 136218,B100000,00000,0200,0200DOLLAR VALUE 136218,B100000,00000,0300,0300GROSS SALARIES 136218,B100000,00000,0400,0400ACCUM. COST 136218,B100000,00000,0500,0500SQUARE FEET 136218,B100000,00000,0600,0600INPATIENT DAYS 136218,B100000,00000,0700,0700SQUARE FEET 136218,B100000,00000,0800,0800INPATIENT DAYS 136218,B100000,00000,0900,0900INPATIENT DAYS 136218,B100000,00000,1000,1000COSTED REQUIS. 136218,B100000,00000,1100,1100COSTED REQUIS. 136218,B100000,00000,1200,1200INPATIENT DAYS 136218,B100000,00000,1300,1300INPATIENT DAYS 136218,B100000,00000,1400,1400ASSIGNED TIME 136218,S000000,00100,0200,09/12/00 136218,S200000,00100,0100,200 E RYAN 136218,S200000,00200,0100,BOERNE 136218,S200000,00200,0200,TX 136218,S200000,00300,0100,KENDALL 136218,S200000,00300,0200,0045 136218,S200000,00300,0300,R 136218,S200000,00400,0100,HILLTOP NURSING HOME 136218,S200000,00400,0200,675678 136218,S200000,00400,0300,04/11/97 136218,S200000,00400,0500,P 136218,S200000,01500,0100,N 136218,S200000,01600,0100,Y 136218,S200000,01700,0100,N 136218,S200000,01800,0100,N 136218,S200000,02200,0100,N 136218,S200000,02800,0100,N 136218,S200000,02900,0100,N 136218,S200000,03000,0100,N 136218,S200000,03100,0100,N 136218,S200000,03200,0100,N 136218,S200000,03300,0100,N 136218,S200000,03300,0200,N 136218,S200000,04100,0100,N 136218,S200000,04200,0100,N 136218,S200000,04300,0100,N 136218,S200000,04600,0100,N 136218,S200000,04700,0100,N 136218,S200000,04700,0200,N 136218,S200000,04900,0100,N 136430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136430,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136430,A000000,00300,0000,0300EMPLOYEE BENEFITS 136430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136430,A000000,00700,0000,0700HOUSEKEEPING 136430,A000000,00800,0000,0800DIETARY 136430,A000000,00900,0000,0900NURSING ADMINISTRATION 136430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136430,A000000,01100,0000,1100PHARMACY 136430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136430,A000000,01300,0000,1300SOCIAL SERVICE 136430,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136430,A000000,01600,0000,1600SKILLED NURSING FACILITY 136430,A000000,01800,0000,1800NURSING FACILITY 136430,A000000,01810,0000,1810ICF/MR 136430,A000000,02100,0000,2100RADIOLOGY 136430,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136430,A000000,02500,0000,2500PHYSICAL THERAPY 136430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136430,A000000,02700,0000,2700SPEECH PATHOLOGY 136430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136430,A000000,03050,0000,3050COMPLEX MEDICAL EQUIPMENT 136430,A000000,03051,0000,3051ENTERAL THERAPY 136430,A000000,03052,0000,3052LAB TEST FEE SCREEN 136430,A000000,03550,0000,3550FQHC 136430,A000000,05000,0000,5000CORF 136430,A000000,05010,0000,5010CMHC 136430,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136430,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136430,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136430,A81000A,00100,0100,Y 136430,A81000B,00100,0300,HOME OFFICE COSTS 136430,A81000C,00100,0100,B 136430,A81000C,00100,0200,GREEN OAKS NURS 136430,A81000C,00100,0400,CENTURY CARE I 136430,A81000C,00100,0600,HOME OFFICE 136430,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136430,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136430,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136430,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136430,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136430,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136430,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136430,B100000,00000,0800,0800MEALS SERVED :DIETARY 136430,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 136430,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 136430,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136430,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136430,S000000,00100,0200,03/12/01 136430,S200000,00100,0100,500 VALLE VISTA 136430,S200000,00200,0100,ATHENS 136430,S200000,00200,0200,TX 136430,S200000,00200,0300,75751- 136430,S200000,00300,0100,HENDERSON 136430,S200000,00300,0200,1920 136430,S200000,00300,0300,U 136430,S200000,00400,0100,GREEN OAKS NURSING CENTER 136430,S200000,00400,0200,675424 136430,S200000,00400,0300,01/01/96 136430,S200000,00400,0500,P 136430,S200000,00600,0200,675424 136430,S200000,00600,0300,01/01/96 136430,S200000,00600,0600,O 136430,S200000,01500,0100,N 136430,S200000,01600,0100,Y 136430,S200000,01700,0100,N 136430,S200000,01800,0100,N 136430,S200000,02200,0100,N 136430,S200000,02800,0100,N 136430,S200000,02900,0100,N 136430,S200000,03000,0100,N 136430,S200000,03100,0100,N 136430,S200000,03200,0100,N 136430,S200000,04100,0100,N 136430,S200000,04200,0100,N 136430,S200000,04300,0100,N 136430,S200000,04600,0100,N 136430,S200000,04700,0100,N 136430,S200000,04700,0200,N 136430,S200000,04900,0100,N 136430,S200000,05000,0100,N 136430,S200000,05100,0100,N 136430,S200000,05200,0100,N 136436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136436,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136436,A000000,00300,0000,0300EMPLOYEE BENEFITS 136436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136436,A000000,00700,0000,0700HOUSEKEEPING 136436,A000000,00800,0000,0800DIETARY 136436,A000000,00900,0000,0900NURSING ADMINISTRATION 136436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136436,A000000,01100,0000,1100PHARMACY 136436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136436,A000000,01300,0000,1300SOCIAL SERVICE 136436,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136436,A000000,01600,0000,1600SKILLED NURSING FACILITY 136436,A000000,01800,0000,1800NURSING FACILITY 136436,A000000,01810,0000,1810ICF/MR 136436,A000000,02100,0000,2100RADIOLOGY 136436,A000000,02200,0000,2200LABORATORY 136436,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136436,A000000,02500,0000,2500PHYSICAL THERAPY 136436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136436,A000000,02700,0000,2700SPEECH PATHOLOGY 136436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136436,A000000,03050,0000,3050COMPLEX MEDICAL EQUIPMENT 136436,A000000,03051,0000,3051ENTERAL THERAPY 136436,A000000,03052,0000,3052LAB TEST FEE SCREEN PT B 136436,A000000,03550,0000,3550FQHC 136436,A000000,05000,0000,5000CORF 136436,A000000,05010,0000,5010CMHC 136436,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 136436,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136436,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136436,A81000A,00100,0100,Y 136436,A81000B,00100,0300,HOME OFFICE COSTS 136436,A81000C,00100,0100,B 136436,A81000C,00100,0200,LYNNHAVEN NRSG. 136436,A81000C,00100,0400,CENTURY CARE I 136436,A81000C,00100,0600,HOME OFFICE 136436,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136436,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136436,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136436,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136436,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136436,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136436,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136436,B100000,00000,0800,0800MEALS SERVED :DIETARY 136436,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 136436,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 136436,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136436,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136436,S000000,00100,0200,03/05/01 136436,S200000,00100,0100,3030 FIG STREET 136436,S200000,00200,0100,CORPUS CHRISTI 136436,S200000,00200,0200,TX 136436,S200000,00200,0300,78404- 136436,S200000,00300,0100,NUECES 136436,S200000,00300,0200,1880 136436,S200000,00300,0300,U 136436,S200000,00400,0100,LYNNHAVEN NURSING CENTER 136436,S200000,00400,0200,675653 136436,S200000,00400,0300,12/01/96 136436,S200000,00400,0500,P 136436,S200000,00600,0200,675653 136436,S200000,00600,0300,12/01/95 136436,S200000,00600,0600,O 136436,S200000,01500,0100,N 136436,S200000,01600,0100,Y 136436,S200000,01700,0100,N 136436,S200000,01800,0100,N 136436,S200000,02200,0100,N 136436,S200000,02800,0100,N 136436,S200000,02900,0100,N 136436,S200000,03000,0100,N 136436,S200000,03100,0100,N 136436,S200000,03200,0100,N 136436,S200000,04100,0100,N 136436,S200000,04200,0100,N 136436,S200000,04300,0100,N 136436,S200000,04600,0100,N 136436,S200000,04700,0100,N 136436,S200000,04700,0200,N 136436,S200000,04900,0100,N 136436,S200000,05000,0100,N 136436,S200000,05100,0100,N 136436,S200000,05200,0100,N 136441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136441,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136441,A000000,00300,0000,0300EMPLOYEE BENEFITS 136441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136441,A000000,00700,0000,0700HOUSEKEEPING 136441,A000000,00800,0000,0800DIETARY 136441,A000000,00900,0000,0900NURSING ADMINISTRATION 136441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136441,A000000,01100,0000,1100PHARMACY 136441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136441,A000000,01300,0000,1300SOCIAL SERVICE 136441,A000000,01600,0000,1600SKILLED NURSING FACILITY 136441,A000000,01800,0000,1800NURSING FACILITY 136441,A000000,02100,0000,2100RADIOLOGY 136441,A000000,02200,0000,2200LABORATORY 136441,A000000,02300,0000,2300INTRAVENOUS THERAPY 136441,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136441,A000000,02500,0000,2500PHYSICAL THERAPY 136441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136441,A000000,02700,0000,2700SPEECH PATHOLOGY 136441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136441,A000000,03050,0000,3050COMPLEX MEDICAL EQUIPMENT 136441,A000000,03051,0000,3051ENTERAL THERAPY 136441,A000000,03052,0000,3052LAB TEST FEE SCREEN 136441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136441,A81000A,00100,0100,Y 136441,A81000B,00100,0300,HOME OFFICE COSTS 136441,A81000C,00100,0100,B 136441,A81000C,00100,0200,TOMBALL NRS. CT 136441,A81000C,00100,0400,CENTURY CARE I 136441,A81000C,00100,0600,HOME OFFICE 136441,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136441,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136441,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136441,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136441,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136441,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136441,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136441,B100000,00000,0800,0800MEALS SERVED :DIETARY 136441,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 136441,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 136441,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136441,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136441,S000000,00100,0200,04/02/01 136441,S200000,00100,0100,815 N. PEACH STREET 136441,S200000,00200,0100,TOMBALL 136441,S200000,00200,0200,TX 136441,S200000,00200,0300,77375- 136441,S200000,00300,0100,HARRIS 136441,S200000,00300,0200,3360 136441,S200000,00300,0300,U 136441,S200000,00400,0100,TOMBALL NURSING CENTER 136441,S200000,00400,0200,675714 136441,S200000,00400,0300,07/09/97 136441,S200000,00400,0500,P 136441,S200000,00600,0200,004890 136441,S200000,00600,0300,01/01/95 136441,S200000,00600,0600,O 136441,S200000,01500,0100,N 136441,S200000,01600,0100,Y 136441,S200000,01700,0100,N 136441,S200000,01800,0100,N 136441,S200000,02200,0100,N 136441,S200000,02800,0100,N 136441,S200000,02900,0100,N 136441,S200000,03000,0100,N 136441,S200000,03100,0100,N 136441,S200000,03200,0100,N 136441,S200000,04100,0100,N 136441,S200000,04200,0100,Y 136441,S200000,04300,0100,N 136441,S200000,04600,0100,N 136441,S200000,04700,0100,N 136441,S200000,04700,0200,N 136441,S200000,04900,0100,N 136441,S200000,05000,0100,N 136441,S200000,05100,0100,N 136441,S200000,05200,0100,N 136443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136443,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136443,A000000,00300,0000,0300EMPLOYEE BENEFITS 136443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136443,A000000,00700,0000,0700HOUSEKEEPING 136443,A000000,00800,0000,0800DIETARY 136443,A000000,00900,0000,0900NURSING ADMINISTRATION 136443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136443,A000000,01100,0000,1100PHARMACY 136443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136443,A000000,01300,0000,1300SOCIAL SERVICE 136443,A000000,01600,0000,1600SKILLED NURSING FACILITY 136443,A000000,01800,0000,1800NURSING FACILITY 136443,A000000,02300,0000,2300INTRAVENOUS THERAPY 136443,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136443,A000000,02500,0000,2500PHYSICAL THERAPY 136443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136443,A000000,03050,0000,3050COMPLEX MEDICAL EQUIPMENT 136443,A000000,03051,0000,3051ENTERAL THERAPY 136443,A000000,03052,0000,3052LAB TEST FEE SCREEN - PT. B 136443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136443,A81000A,00100,0100,Y 136443,A81000B,00100,0300,HOME OFFICE COSTS 136443,A81000C,00100,0100,A 136443,A81000C,00100,0200,FORT STOCKTON N 136443,A81000C,00100,0400,CENTURY CARE I 136443,A81000C,00100,0600,HOME OFFICE 136443,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136443,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136443,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136443,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136443,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136443,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136443,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136443,B100000,00000,0800,0800MEALS SERVED :DIETARY 136443,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 136443,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 136443,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136443,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136443,S000000,00100,0200,03/29/01 136443,S200000,00100,0100,501 NORTH SYCAMORE 136443,S200000,00200,0100,FORT STOCKTON 136443,S200000,00200,0200,TX 136443,S200000,00200,0300,79735- 136443,S200000,00300,0100,PECOS 136443,S200000,00300,0200,45 136443,S200000,00300,0300,R 136443,S200000,00400,0100,FORT STOCKTON NURSING CENTER 136443,S200000,00400,0200,675722 136443,S200000,00400,0300,01/01/96 136443,S200000,00400,0500,P 136443,S200000,00600,0200,675722 136443,S200000,00600,0300,01/01/96 136443,S200000,00600,0600,O 136443,S200000,01500,0100,N 136443,S200000,01600,0100,Y 136443,S200000,01700,0100,N 136443,S200000,01800,0100,N 136443,S200000,02200,0100,N 136443,S200000,02800,0100,N 136443,S200000,02900,0100,N 136443,S200000,03000,0100,N 136443,S200000,03100,0100,N 136443,S200000,03200,0100,N 136443,S200000,04100,0100,N 136443,S200000,04200,0100,Y 136443,S200000,04300,0100,N 136443,S200000,04600,0100,N 136443,S200000,04700,0100,N 136443,S200000,04700,0200,N 136443,S200000,04900,0100,N 136443,S200000,05000,0100,N 136443,S200000,05100,0100,N 136443,S200000,05200,0100,N 136603,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136603,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 136603,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136603,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 136603,A000000,00300,0000,0300EMPLOYEE BENEFITS 136603,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136603,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136603,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136603,A000000,00700,0000,0700HOUSEKEEPING 136603,A000000,00800,0000,0800DIETARY 136603,A000000,00801,0000,0801CAFETERIA 136603,A000000,00900,0000,0900NURSING ADMINISTRATION 136603,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136603,A000000,01100,0000,1100PHARMACY 136603,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136603,A000000,01300,0000,1300SOCIAL SERVICE 136603,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136603,A000000,01500,0000,1350ACTIVITIES 136603,A000000,01600,0000,1600SKILLED NURSING FACILITY 136603,A000000,01800,0000,1800NURSING FACILITY 136603,A000000,01900,0000,1900OTHER LONG TERM CARE 136603,A000000,02100,0000,2100RADIOLOGY 136603,A000000,02200,0000,2200LABORATORY 136603,A000000,02300,0000,2300INTRAVENOUS THERAPY 136603,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136603,A000000,02500,0000,2500PHYSICAL THERAPY 136603,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136603,A000000,02700,0000,2700SPEECH PATHOLOGY 136603,A000000,02800,0000,2800ELECTROCARDIOLOGY 136603,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136603,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136603,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 136603,A000000,03200,0000,3200SUPPORT SURFACES 136603,A000000,03300,0000,3050OTHER ANCILLARY 136603,A000000,03301,0000,3051OTHER ANCILLARY II 136603,A000000,03302,0000,3052OTHER ANCILLARY III 136603,A000000,03400,0000,3400CLINIC 136603,A000000,03500,0000,3500RURAL HEALTH CLINIC 136603,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 136603,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 136603,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 136603,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 136603,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 136603,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 136603,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 136603,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 136603,A000000,04400,0000,4400DME RENTED - HHA 136603,A000000,04500,0000,4500DME SOLD - HHA 136603,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 136603,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 136603,A000000,04800,0000,4800AMBULANCE 136603,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 136603,A000000,05000,0000,5000CORF 136603,A000000,05010,0000,5010CMHC I 136603,A000000,05020,0000,5020OPT I 136603,A000000,05100,0000,4750OTHER REIMBURSABLE COST 136603,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 136603,A000000,05300,0000,5300INTEREST EXPENSE 136603,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136603,A000000,05500,0000,5500HOSPICE 136603,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 136603,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 136603,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 136603,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136603,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 136603,A000000,06100,0000,6100NONPAID WORKERS 136603,A000000,06200,0000,6200PATIENTS LAUNDRY 136603,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136603,A81000A,00100,0100,Y 136603,A81000B,00100,0300,MANAGEMENT FEES 136603,A81000B,00200,0300,INTEREST INCOME 136603,A81000B,00300,0300,PHYSICAL THERAPY 136603,A81000B,00400,0300,OCCUPATIONAL THERAPY 136603,A81000B,00500,0300,SPEECH THERAPY 136603,A81000C,00100,0100,A 136603,A81000C,00100,0200,AMERICAN HEALTH 136603,A81000C,00100,0400,TENNESSEE HEALT 136603,A81000C,00100,0600,MANAGEMENT CO 136603,A81000C,00200,0100,B 136603,A81000C,00200,0200,AMERICAN HEALTH 136603,A81000C,00200,0400,AHC 136603,A81000C,00200,0600,HOME OFFICE 136603,A81000C,00300,0100,C 136603,A81000C,00300,0200,AMERICAN HEALTH 136603,A81000C,00300,0400,REHAB AMERICA 136603,A81000C,00300,0600,THERAPY COMPANY 136603,A81000C,00400,0100,D 136603,A81000C,00400,0200,AMERICAN HEALTH 136603,A81000C,00400,0400,REHAB AMERICA 136603,A81000C,00400,0600,THERAPY COMPANY 136603,A81000C,00500,0100,E 136603,A81000C,00500,0200,AMERICAN HEALTH 136603,A81000C,00500,0400,REHAB AMERICA 136603,A81000C,00500,0600,THERAPY COMPANY 136603,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 136603,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 136603,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 136603,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136603,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 136603,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 136603,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 136603,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 136603,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 136603,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 136603,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 136603,B100000,00000,1500,1350(TIME SPENT) :ACTIVITIES 136603,E10A180,00301,0100,07/22/99 136603,S000000,00100,0200,05/19/00 136603,S200000,00100,0100,1630 E REELFOOT AVENUE 136603,S200000,00200,0100,UNION CITY 136603,S200000,00200,0200,TN 136603,S200000,00200,0300,38261- 136603,S200000,00300,0100,OBION 136603,S200000,00300,0200,0044 136603,S200000,00300,0300,R 136603,S200000,00400,0100,UNION CITY MANOR 136603,S200000,00400,0200,445381 136603,S200000,00400,0300,08/09/96 136603,S200000,00400,0500,P 136603,S200000,01500,0100,N 136603,S200000,01600,0100,Y 136603,S200000,01700,0100,N 136603,S200000,01800,0100,N 136603,S200000,02200,0100,Y 136603,S200000,02800,0100,N 136603,S200000,02900,0100,N 136603,S200000,03000,0100,N 136603,S200000,03100,0100,N 136603,S200000,03200,0100,N 136603,S200000,04100,0100,N 136603,S200000,04200,0100,N 136603,S200000,04300,0100,N 136603,S200000,04600,0100,N 136603,S200000,04700,0100,N 136603,S200000,04700,0200,N 136603,S200000,04900,0100,N 136603,S200000,05000,0100,N 136603,S200000,05100,0100,N 136603,S200000,05200,0100,N 136650,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136650,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136650,A000000,00300,0000,0300EMPLOYEE BENEFITS 136650,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136650,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136650,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136650,A000000,00700,0000,0700HOUSEKEEPING 136650,A000000,00800,0000,0800DIETARY 136650,A000000,00900,0000,0900NURSING ADMINISTRATION 136650,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136650,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136650,A000000,01300,0000,1300SOCIAL SERVICE 136650,A000000,01600,0000,1600SKILLED NURSING FACILITY 136650,A000000,01800,0000,1800NURSING FACILITY 136650,A000000,02100,0000,2100RADIOLOGY 136650,A000000,02200,0000,2200LABORATORY 136650,A000000,02300,0000,2300INTRAVENOUS THERAPY 136650,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136650,A000000,02500,0000,2500PHYSICAL THERAPY 136650,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136650,A000000,02700,0000,2700SPEECH PATHOLOGY 136650,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136650,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136650,A000000,03200,0000,3200SUPPORT SURFACES 136650,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136650,A81000A,00100,0100,Y 136650,A81000B,00100,0300,HOME OFFICE COSTS 136650,A81000C,00100,0100,B 136650,A81000C,00100,0200,ADVOCAT INC. 136650,A81000C,00100,0400,DVCR LEASING CO 136650,A81000C,00100,0600,L/T CARE MGT CO 136650,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136650,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136650,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136650,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136650,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136650,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136650,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136650,B100000,00000,0800,0850PATIENT DAYS :DIETARY 136650,B100000,00000,0900,0950TOTAL HRS SUPRVSD :NURSING ADMIN 136650,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 136650,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136650,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136650,S000000,00100,0200,12/01/00 136650,S200000,00100,0100,4164 HALLS MILLS ROAD 136650,S200000,00200,0100,MOBILE 136650,S200000,00200,0200,AL 136650,S200000,00200,0300,36693- 136650,S200000,00300,0100,MOBILE 136650,S200000,00300,0200,5160 136650,S200000,00300,0300,U 136650,S200000,00400,0100,LYNWOOD NURSING HOME 136650,S200000,00400,0200,015434 136650,S200000,00400,0300,09/05/97 136650,S200000,00400,0500,P 136650,S200000,01500,0100,N 136650,S200000,01600,0100,Y 136650,S200000,01700,0100,N 136650,S200000,01800,0100,N 136650,S200000,02200,0100,Y 136650,S200000,02800,0100,N 136650,S200000,02900,0100,N 136650,S200000,03000,0100,N 136650,S200000,03100,0100,N 136650,S200000,03200,0100,N 136650,S200000,04100,0100,N 136650,S200000,04200,0100,N 136650,S200000,04300,0100,N 136650,S200000,04600,0100,N 136650,S200000,04700,0100,N 136650,S200000,04700,0200,N 136650,S200000,04900,0100,N 136650,S200000,05000,0100,N 136650,S200000,05100,0100,N 136650,S200000,05200,0100,N 136745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136745,A000000,00300,0000,0300EMPLOYEE BENEFITS 136745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136745,A000000,00700,0000,0700HOUSEKEEPING 136745,A000000,00800,0000,0800DIETARY 136745,A000000,00900,0000,0900NURSING ADMINISTRATION 136745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136745,A000000,01100,0000,1100PHARMACY 136745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136745,A000000,01300,0000,1300SOCIAL SERVICE 136745,A000000,01301,0000,1301ACTIVITY 136745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 136745,A000000,01600,0000,1600SKILLED NURSING FACILITY 136745,A000000,01800,0000,1800NURSING FACILITY 136745,A000000,01810,0000,1810ICF/MR 136745,A000000,01900,0000,1900OTHER LONG TERM CARE 136745,A000000,02100,0000,2100RADIOLOGY 136745,A000000,02200,0000,2200LABORATORY 136745,A000000,02300,0000,2300INTRAVENOUS THERAPY 136745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136745,A000000,02500,0000,2500PHYSICAL THERAPY 136745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136745,A000000,02700,0000,2700SPEECH PATHOLOGY 136745,A000000,02800,0000,2800ELECTROCARDIOLOGY 136745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136745,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 136745,A000000,03200,0000,3200SUPPORT SURFACES 136745,A000000,03400,0000,3400CLINIC 136745,A000000,03500,0000,3500RURAL HEALTH CLINIC 136745,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENTE 136745,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 136745,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 136745,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 136745,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 136745,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 136745,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 136745,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 136745,A000000,04400,0000,4400DME RENTED - HHA 136745,A000000,04500,0000,4500DME SOLD - HHA 136745,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 136745,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 136745,A000000,04800,0000,4800AMBULANCE 136745,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 136745,A000000,05000,0000,5000CORF 136745,A000000,05010,0000,5010CMHC 136745,A000000,05020,0000,5020OPT 136745,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 136745,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 136745,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 136745,A000000,05300,0000,5300INTEREST EXPENSE 136745,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136745,A000000,05500,0000,5500HOSPICE 136745,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 136745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136745,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 136745,A000000,06100,0000,6100NONPAID WORKERS 136745,A000000,06200,0000,6200PATIENTS LAUNDRY 136745,A81000A,00100,0100,N 136745,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 136745,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 136745,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 136745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136745,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 136745,B100000,00000,0600,0600(POUNDS OF LAUNDRY) :LAUNDRY & L 136745,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 136745,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 136745,B100000,00000,0900,0900(DIR NRSG HOURS) :NURSING ADMINI 136745,B100000,00000,1200,1200(TIME SPENT) :MEDICAL RECORDS & 136745,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 136745,B100000,00000,1301,1301(TIME SPENT) :ACTIVITY 136745,S000000,00100,0200,03/07/01 136745,S200000,00100,0100,2689 65TH STREET 136745,S200000,00100,0300,5639 136745,S200000,00200,0100,PORT ARTHUR 136745,S200000,00200,0200,TE 136745,S200000,00200,0300,77640- 136745,S200000,00300,0100,JEFFERSON 136745,S200000,00300,0200,0840 136745,S200000,00300,0300,U 136745,S200000,00400,0100,GASPARDS NURSING CARE CENTER 136745,S200000,00400,0200,455535 136745,S200000,00400,0300,01/01/90 136745,S200000,00400,0500,P 136745,S200000,01500,0100,Y 136745,S200000,01600,0100,N 136745,S200000,01700,0100,N 136745,S200000,01800,0100,N 136745,S200000,02200,0100,N 136745,S200000,02800,0100,N 136745,S200000,02900,0100,N 136745,S200000,03000,0100,N 136745,S200000,03100,0100,N 136745,S200000,03200,0100,N 136745,S200000,04100,0100,N 136745,S200000,04200,0100,N 136745,S200000,04300,0100,N 136745,S200000,04600,0100,N 136745,S200000,04700,0100,N 136745,S200000,04700,0200,N 136745,S200000,04900,0100,N 136745,S200000,05000,0100,N 136745,S200000,05100,0100,N 136745,S200000,05200,0100,N 136747,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136747,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136747,A000000,00300,0000,0300EMPLOYEE BENEFITS 136747,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136747,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136747,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136747,A000000,00700,0000,0700HOUSEKEEPING 136747,A000000,00800,0000,0800DIETARY 136747,A000000,00900,0000,0900NURSING ADMINISTRATION 136747,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136747,A000000,01100,0000,1100PHARMACY 136747,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136747,A000000,01300,0000,1300SOCIAL SERVICE 136747,A000000,01301,0000,1351ACTIVITIES 136747,A000000,01600,0000,1600SKILLED NURSING FACILITY 136747,A000000,01800,0000,1800NURSING FACILITY 136747,A000000,02100,0000,2100RADIOLOGY 136747,A000000,02200,0000,2200LABORATORY 136747,A000000,02300,0000,2300INTRAVENOUS THERAPY 136747,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136747,A000000,02500,0000,2500PHYSICAL THERAPY 136747,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136747,A000000,02700,0000,2700SPEECH PATHOLOGY 136747,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136747,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136747,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 136747,A000000,03301,0000,3051MEDICAL EQUIPMENT 136747,A000000,04800,0000,4800AMBULANCE 136747,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 136747,A000000,05900,0000,5900BARBER & BEAUTY SHOP 136747,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 136747,A81000A,00100,0100,Y 136747,A81000B,00100,0300,HOME OFFICE CAPITAL 136747,A81000B,00200,0300,HOME OFFICE NONCAPITAL 136747,A81000B,00300,0300,WAREHOUSE 136747,A81000C,00100,0100,A 136747,A81000C,00100,0200,PETER C. KERN 136747,A81000C,00100,0400,HEA MANAGEMENT GROUP 136747,A81000C,00100,0600,HOME OFFICE 136747,A81000C,00200,0100,A 136747,A81000C,00200,0200,PETER C. KERN 136747,A81000C,00200,0400,WAREHOUSE STORAGE 136747,A81000C,00200,0600,OLD RECORD STORAGE 136747,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136747,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136747,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136747,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136747,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136747,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136747,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136747,B100000,00000,0800,0800MEALS SERVED :DIETARY 136747,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 136747,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 136747,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 136747,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136747,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136747,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 136747,E10A180,00301,0100,08/15/99 136747,S000000,00100,0200,10/02/01 136747,S200000,00100,0100,2525 OSAGE ROAD 136747,S200000,00200,0100,GATESVILLE 136747,S200000,00200,0200,TX 136747,S200000,00200,0300,78528-1848 136747,S200000,00300,0100,CORYELL 136747,S200000,00300,0300,U 136747,S200000,00400,0100,OSAGE CARE CENTER 136747,S200000,00400,0200,455612 136747,S200000,00400,0300,12/06/85 136747,S200000,00400,0500,P 136747,S200000,01500,0100,N 136747,S200000,01600,0100,Y 136747,S200000,01700,0100,N 136747,S200000,01800,0100,N 136747,S200000,02200,0100,Y 136747,S200000,02800,0100,N 136747,S200000,02900,0100,N 136747,S200000,03000,0100,N 136747,S200000,03100,0100,N 136747,S200000,03200,0100,N 136747,S200000,04100,0100,N 136747,S200000,04200,0100,N 136747,S200000,04300,0100,Y 136747,S200000,04600,0100,N 136747,S200000,04700,0100,N 136747,S200000,04700,0200,N 136747,S200000,04900,0100,N 136747,S200000,05000,0100,N 136747,S200000,05100,0100,N 136747,S200000,05200,0100,N 136750,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 136750,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 136750,A000000,00300,0000,0300EMPLOYEE BENEFITS 136750,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 136750,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 136750,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 136750,A000000,00700,0000,0700HOUSEKEEPING 136750,A000000,00800,0000,0800DIETARY 136750,A000000,00900,0000,0900NURSING ADMINISTRATION 136750,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 136750,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 136750,A000000,01300,0000,1300SOCIAL SERVICE 136750,A000000,01600,0000,1600SKILLED NURSING FACILITY 136750,A000000,01800,0000,1800NURSING FACILITY 136750,A000000,02100,0000,2100RADIOLOGY 136750,A000000,02200,0000,2200LABORATORY 136750,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 136750,A000000,02500,0000,2500PHYSICAL THERAPY 136750,A000000,02600,0000,2600OCCUPATIONAL THERAPY 136750,A000000,02700,0000,2700SPEECH PATHOLOGY 136750,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 136750,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 136750,A000000,03200,0000,3200SUPPORT SURFACES 136750,A81000A,00100,0100,Y 136750,A81000B,00100,0300,HOME OFFICE COSTS 136750,A81000C,00100,0100,B 136750,A81000C,00100,0200,ADVOCAT INC. 136750,A81000C,00100,0400,DVCR LEASING CO 136750,A81000C,00100,0600,L/T CARE MGT CO 136750,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 136750,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 136750,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 136750,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 136750,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 136750,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 136750,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 136750,B100000,00000,0800,0850PATIENT DAYS :DIETARY 136750,B100000,00000,0900,0950TOTAL HRS SUPRVSD :NURSING ADMIN 136750,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 136750,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 136750,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 136750,S000000,00100,0200,12/01/00 136750,S200000,00100,0100,7514 KINGSLEY 136750,S200000,00200,0100,HOUSTON 136750,S200000,00200,0200,TX 136750,S200000,00200,0300,77087- 136750,S200000,00300,0100,HARRIS 136750,S200000,00300,0200,3360 136750,S200000,00300,0300,U 136750,S200000,00400,0100,AFTON OAKS 136750,S200000,00400,0200,455682 136750,S200000,00400,0300,01/21/87 136750,S200000,00400,0500,P 136750,S200000,01500,0100,N 136750,S200000,01600,0100,Y 136750,S200000,01700,0100,N 136750,S200000,01800,0100,N 136750,S200000,02200,0100,Y 136750,S200000,02800,0100,N 136750,S200000,02900,0100,N 136750,S200000,03000,0100,N 136750,S200000,03100,0100,N 136750,S200000,03200,0100,N 136750,S200000,04100,0100,N 136750,S200000,04200,0100,N 136750,S200000,04300,0100,N 136750,S200000,04600,0100,N 136750,S200000,04700,0100,N 136750,S200000,04700,0200,N 136750,S200000,04900,0100,N 136750,S200000,05000,0100,N 136750,S200000,05100,0100,N 136750,S200000,05200,0100,N 137222,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137222,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 137222,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137222,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 137222,A000000,00300,0000,0300EMPLOYEE BENEFITS 137222,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137222,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137222,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137222,A000000,00700,0000,0700HOUSEKEEPING 137222,A000000,00800,0000,0800DIETARY 137222,A000000,00801,0000,0801CAFETERIA 137222,A000000,00900,0000,0900NURSING ADMINISTRATION 137222,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137222,A000000,01100,0000,1100PHARMACY 137222,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137222,A000000,01300,0000,1300SOCIAL SERVICE 137222,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137222,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 137222,A000000,01600,0000,1600SKILLED NURSING FACILITY 137222,A000000,01800,0000,1800NURSING FACILITY 137222,A000000,01900,0000,1900OTHER LONG TERM CARE 137222,A000000,02100,0000,2100RADIOLOGY 137222,A000000,02200,0000,2200LABORATORY 137222,A000000,02300,0000,2300INTRAVENOUS THERAPY 137222,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137222,A000000,02500,0000,2500PHYSICAL THERAPY 137222,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137222,A000000,02700,0000,2700SPEECH PATHOLOGY 137222,A000000,02800,0000,2800ELECTROCARDIOLOGY 137222,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137222,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137222,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137222,A000000,03200,0000,3200SUPPORT SURFACES 137222,A000000,03300,0000,3050OTHER ANCILLARY 137222,A000000,03301,0000,3051OTHER ANCILLARY II 137222,A000000,03302,0000,3052OTHER ANCILLARY III 137222,A000000,03400,0000,3400CLINIC 137222,A000000,03500,0000,3500RURAL HEALTH CLINIC 137222,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 137222,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137222,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137222,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137222,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137222,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137222,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137222,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137222,A000000,04400,0000,4400DME RENTED - HHA 137222,A000000,04500,0000,4500DME SOLD - HHA 137222,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137222,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137222,A000000,04800,0000,4800AMBULANCE 137222,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137222,A000000,05000,0000,5000CORF 137222,A000000,05010,0000,5010CMHC I 137222,A000000,05020,0000,5020OPT I 137222,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137222,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137222,A000000,05300,0000,5300INTEREST EXPENSE 137222,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137222,A000000,05500,0000,5500HOSPICE 137222,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 137222,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 137222,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137222,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137222,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137222,A000000,06100,0000,6100NONPAID WORKERS 137222,A000000,06200,0000,6200PATIENTS LAUNDRY 137222,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137222,A81000A,00100,0100,Y 137222,A81000B,00100,0300,MANAGEMENT FEES 137222,A81000C,00100,0100,E 137222,A81000C,00100,0200,THELMA ALLGOOD 137222,A81000C,00100,0400,ALLGOOD HEALTH 137222,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 137222,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137222,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 137222,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 137222,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 137222,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 137222,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 137222,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 137222,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 137222,S000000,00100,0200,12/01/00 137222,S200000,00100,0100,820 STEVENS CREEK ROAD 137222,S200000,00200,0100,AUGUSTA 137222,S200000,00200,0200,GA 137222,S200000,00200,0300,30907- 137222,S200000,00300,0100,RICHMOND 137222,S200000,00300,0200,0600 137222,S200000,00300,0300,U 137222,S200000,00400,0100,WEST LAKE MANOR 137222,S200000,00400,0200,115278 137222,S200000,00400,0300,08/01/91 137222,S200000,00400,0500,P 137222,S200000,01500,0100,Y 137222,S200000,01600,0100,N 137222,S200000,01700,0100,N 137222,S200000,01800,0100,N 137222,S200000,02200,0100,N 137222,S200000,02800,0100,N 137222,S200000,02900,0100,N 137222,S200000,03000,0100,N 137222,S200000,03100,0100,N 137222,S200000,03200,0100,N 137222,S200000,04100,0100,N 137222,S200000,04200,0100,N 137222,S200000,04300,0100,N 137222,S200000,04600,0100,N 137222,S200000,04700,0100,N 137222,S200000,04700,0200,N 137222,S200000,04900,0100,N 137222,S200000,05000,0100,N 137222,S200000,05100,0100,N 137222,S200000,05200,0100,N 137226,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137226,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137226,A000000,00300,0000,0300EMPLOYEE BENEFITS 137226,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137226,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137226,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137226,A000000,00700,0000,0700HOUSEKEEPING 137226,A000000,00800,0000,0800DIETARY 137226,A000000,00900,0000,0900NURSING ADMINISTRATION 137226,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137226,A000000,01100,0000,1100PHARMACY 137226,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137226,A000000,01300,0000,1300SOCIAL SERVICE 137226,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137226,A000000,01500,0000,1350OTHER GENERAL SERVICES 137226,A000000,01600,0000,1600SKILLED NURSING FACILITY 137226,A000000,01800,0000,1800NURSING FACILITY 137226,A000000,01900,0000,1900OTHER LONG TERM CARE 137226,A000000,02100,0000,2100RADIOLOGY 137226,A000000,02200,0000,2200LABORATORY 137226,A000000,02300,0000,2300INTRAVENOUS THERAPY 137226,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137226,A000000,02500,0000,2500PHYSICAL THERAPY 137226,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137226,A000000,02700,0000,2700SPEECH PATHOLOGY 137226,A000000,02800,0000,2800ELECTROCARDIOLOGY 137226,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137226,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137226,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137226,A000000,03200,0000,3200SUPPORT SURFACES 137226,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137226,A000000,03400,0000,3400CLINIC 137226,A000000,03500,0000,3500RURAL HEALTH CLINIC 137226,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137226,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137226,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137226,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137226,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137226,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137226,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137226,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137226,A000000,04400,0000,4400DME RENTED - HHA 137226,A000000,04500,0000,4500DME SOLD - HHA 137226,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137226,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137226,A000000,04800,0000,4800AMBULANCE 137226,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137226,A000000,05000,0000,5000CORF 137226,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137226,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137226,A000000,05300,0000,5300INTEREST EXPENSE 137226,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137226,A000000,05500,0000,5500HOSPICE 137226,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137226,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137226,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137226,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137226,A000000,06100,0000,6100NONPAID WORKERS 137226,A000000,06200,0000,6200PATIENTS LAUNDRY 137226,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137226,A81000A,00100,0100,Y 137226,A81000B,00100,0300,PHYSICAL THERAPY 137226,A81000B,00200,0300,OCCUPATIONAL THERAPY 137226,A81000B,00300,0300,SPEECH THERAPY 137226,A81000B,00400,0300,LEASE EXPENSE 137226,A81000B,00500,0300,ADMINISTRATION 137226,A81000B,00600,0300,MANAGEMENT FEES 137226,A81000B,00700,0300,MANAGEMENT SERVICES 137226,A81000C,00100,0100,A 137226,A81000C,00100,0200,SEE ATTACHED 137226,A81000C,00100,0600,THERAPY 137226,A81000C,00200,0100,A 137226,A81000C,00200,0200,SEE ATTACHED 137226,A81000C,00200,0600,THERAPY 137226,A81000C,00300,0100,A 137226,A81000C,00300,0200,SEE ATTACHED 137226,A81000C,00300,0600,THERAPY 137226,A81000C,00400,0100,A 137226,A81000C,00400,0200,SEE ATTACHED 137226,A81000C,00400,0600,LEASE 137226,A81000C,00500,0100,A 137226,A81000C,00500,0200,SEE ATTACHED 137226,A81000C,00500,0600,ADMINISTRATION 137226,A81000C,00600,0100,B 137226,A81000C,00600,0400,CARE MORE MANAGEMENT 137226,A81000C,00600,0600,MANAGEMENT 137226,A81000C,00700,0100,B 137226,A81000C,00700,0400,CARE MORE MANAGEMENT 137226,A81000C,00700,0600,MANAGEMENT 137226,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137226,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137226,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137226,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137226,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137226,B100000,00000,0800,0800MEALS SERVED :DIETARY 137226,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137226,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137226,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137226,E10A180,00301,0100,01/28/00 137226,S000000,00100,0200,12/04/00 137226,S200000,00100,0100,521 SUMTER STREET 137226,S200000,00100,0300,639 137226,S200000,00200,0100,MONTEZUMA 137226,S200000,00200,0200,GA 137226,S200000,00200,0300,31063- 137226,S200000,00300,0100,MACON 137226,S200000,00300,0200,11 137226,S200000,00300,0300,R 137226,S200000,00400,0100,MONTEZUMA HEALTH CARE CENTER 137226,S200000,00400,0200,115364 137226,S200000,00400,0300,07/01/89 137226,S200000,00400,0500,P 137226,S200000,01500,0100,N 137226,S200000,01600,0100,Y 137226,S200000,01700,0100,N 137226,S200000,01800,0100,N 137226,S200000,02200,0100,N 137226,S200000,02800,0100,N 137226,S200000,02900,0100,N 137226,S200000,03000,0100,N 137226,S200000,03100,0100,N 137226,S200000,03200,0100,N 137226,S200000,04100,0100,N 137226,S200000,04200,0100,N 137226,S200000,04300,0100,N 137226,S200000,04600,0100,N 137226,S200000,04700,0100,N 137226,S200000,04700,0200,N 137226,S200000,04900,0100,N 137226,S200000,05000,0100,N 137226,S200000,05100,0100,N 137226,S200000,05200,0100,N 137227,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137227,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137227,A000000,00300,0000,0300EMPLOYEE BENEFITS 137227,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137227,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137227,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137227,A000000,00700,0000,0700HOUSEKEEPING 137227,A000000,00800,0000,0800DIETARY 137227,A000000,00900,0000,0900NURSING ADMINISTRATION 137227,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137227,A000000,01100,0000,1100PHARMACY 137227,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137227,A000000,01300,0000,1300SOCIAL SERVICE 137227,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137227,A000000,01500,0000,1350ACTIVITIES 137227,A000000,01600,0000,1600SKILLED NURSING FACILITY 137227,A000000,01800,0000,1800NURSING FACILITY 137227,A000000,01900,0000,1900OTHER LONG TERM CARE 137227,A000000,02100,0000,2100RADIOLOGY 137227,A000000,02200,0000,2200LABORATORY 137227,A000000,02300,0000,2300INTRAVENOUS THERAPY 137227,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137227,A000000,02500,0000,2500PHYSICAL THERAPY 137227,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137227,A000000,02700,0000,2700SPEECH PATHOLOGY 137227,A000000,02800,0000,2800ELECTROCARDIOLOGY 137227,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137227,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137227,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137227,A000000,03200,0000,3200SUPPORT SURFACES 137227,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137227,A000000,03400,0000,3400CLINIC 137227,A000000,03500,0000,3500RURAL HEALTH CLINIC 137227,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137227,A000000,04800,0000,4800AMBULANCE 137227,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137227,A000000,05000,0000,5000CORF 137227,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137227,A000000,05300,0000,5300INTEREST EXPENSE 137227,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137227,A000000,05500,0000,5500HOSPICE 137227,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137227,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137227,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137227,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137227,A000000,06100,0000,6100NONPAID WORKERS 137227,A000000,06200,0000,6200PATIENTS LAUNDRY 137227,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137227,A81000A,00100,0100,Y 137227,A81000B,00100,0300,NURSING SUPPLIES 137227,A81000B,00200,0300,DRUGS RELATED 137227,A81000B,00300,0300,CONTRACTED SERVICE 137227,A81000B,00400,0300,MEDICARE PRESCRIPTION DRUGS 137227,A81000B,00500,0300,CHARGEABLE MEDICAL SUPPLIES 137227,A81000B,00600,0300,DIETARY SUPPLIES 137227,A81000B,00700,0300,LAUNDRY SUPPLIES 137227,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 137227,A81000B,00900,0300,PLANT OPERATION MAINT. & REPAIRS 137227,A81000B,01000,0300,ADMINISTRATIVE & GENERAL 137227,A81000B,01100,0300,FACILITY LEASE 137227,A81000B,01200,0300,POOLED COST/INTEREST EXP/INTEREST IN 137227,A81000B,01300,0300,FACILITY ADMINISTRATOR 137227,A81000B,01400,0300,DIETARY CONSULTANT 137227,A81000B,01500,0300,NURSE CONSULTANT 137227,A81000B,01600,0300,REGIONAL PERSONNEL 137227,A81000B,01700,0300,CAP REL COSTS - BLDGS & FIXTURES 137227,A81000B,01800,0300,THERAPY CONSULTANT 137227,A81000B,01900,0300,MAINTENANCE CONSULTANT 137227,A81000B,02000,0300,ACCOUNTS RECEIVABLE DEPT 137227,A81000B,02100,0300,PHYSICAL THERAPY 137227,A81000B,02200,0300,ACTIVITIES SUPPLIES 137227,A81000C,00100,0100,B 137227,A81000C,00100,0200,NEIL PRUITT 137227,A81000C,00100,0400,UNITED REHAB 137227,A81000C,00100,0600,THERAPY 137227,A81000C,00200,0100,B 137227,A81000C,00200,0200,NEIL PRUITT 137227,A81000C,00200,0400,UNITED PHARMACY 137227,A81000C,00200,0600,PHARMACY 137227,A81000C,00300,0100,B 137227,A81000C,00300,0200,NEIL PRUITT 137227,A81000C,00300,0400,PRUITT PROPERTI 137227,A81000C,00300,0600,RENTAL 137227,A81000C,00400,0100,B 137227,A81000C,00400,0200,NEIL PRUITT 137227,A81000C,00400,0400,PRUITT CORPORAT 137227,A81000C,00400,0600,MANAGEMENT 137227,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137227,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137227,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137227,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137227,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137227,B100000,00000,0800,0800MEALS SERVED :DIETARY 137227,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137227,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137227,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137227,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137227,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137227,E10A180,00301,0100,01/27/00 137227,S000000,00100,0200,12/01/00 137227,S200000,00100,0100,1060 OLD CLINTON ROAD 137227,S200000,00200,0100,MACON 137227,S200000,00200,0200,GA 137227,S200000,00200,0300,31211- 137227,S200000,00300,0100,BIBB 137227,S200000,00300,0200,4680 137227,S200000,00300,0300,U 137227,S200000,00400,0100,PEAKE HEALTH CARE CENTER INC. 137227,S200000,00400,0200,115394 137227,S200000,00400,0300,07/01/92 137227,S200000,00400,0500,P 137227,S200000,01500,0100,N 137227,S200000,01600,0100,Y 137227,S200000,01700,0100,N 137227,S200000,01800,0100,N 137227,S200000,02200,0100,N 137227,S200000,02800,0100,N 137227,S200000,02900,0100,N 137227,S200000,03000,0100,N 137227,S200000,03100,0100,N 137227,S200000,03200,0100,N 137227,S200000,04100,0100,N 137227,S200000,04200,0100,N 137227,S200000,04300,0100,N 137227,S200000,04600,0100,N 137227,S200000,04700,0100,N 137227,S200000,04700,0200,N 137227,S200000,04900,0100,N 137227,S200000,05000,0100,N 137227,S200000,05100,0100,N 137227,S200000,05200,0100,N 137228,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137228,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137228,A000000,00300,0000,0300EMPLOYEE BENEFITS 137228,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137228,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137228,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137228,A000000,00700,0000,0700HOUSEKEEPING 137228,A000000,00800,0000,0800DIETARY 137228,A000000,00900,0000,0900NURSING ADMINISTRATION 137228,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137228,A000000,01100,0000,1100PHARMACY 137228,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137228,A000000,01300,0000,1300SOCIAL SERVICE 137228,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137228,A000000,01500,0000,1350OTHER GENERAL SERVICES 137228,A000000,01600,0000,1600SKILLED NURSING FACILITY 137228,A000000,01800,0000,1800NURSING FACILITY 137228,A000000,01900,0000,1900OTHER LONG TERM CARE 137228,A000000,02100,0000,2100RADIOLOGY 137228,A000000,02200,0000,2200LABORATORY 137228,A000000,02300,0000,2300INTRAVENOUS THERAPY 137228,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137228,A000000,02500,0000,2500PHYSICAL THERAPY 137228,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137228,A000000,02700,0000,2700SPEECH PATHOLOGY 137228,A000000,02800,0000,2800ELECTROCARDIOLOGY 137228,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137228,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137228,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137228,A000000,03200,0000,3200SUPPORT SURFACES 137228,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137228,A000000,03400,0000,3400CLINIC 137228,A000000,03500,0000,3500RURAL HEALTH CLINIC 137228,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137228,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137228,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137228,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137228,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137228,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137228,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137228,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137228,A000000,04400,0000,4400DME RENTED - HHA 137228,A000000,04500,0000,4500DME SOLD - HHA 137228,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137228,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137228,A000000,04800,0000,4800AMBULANCE 137228,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137228,A000000,05000,0000,5000CORF 137228,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137228,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137228,A000000,05300,0000,5300INTEREST EXPENSE 137228,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137228,A000000,05500,0000,5500HOSPICE 137228,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137228,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137228,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137228,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137228,A000000,06100,0000,6100NONPAID WORKERS 137228,A000000,06200,0000,6200PATIENTS LAUNDRY 137228,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137228,A81000A,00100,0100,Y 137228,A81000B,00100,0300,PHYSICAL THERAPY 137228,A81000B,00200,0300,OCCUPATIONAL THERAPY 137228,A81000B,00300,0300,SPEECH THERAPY 137228,A81000B,00400,0300,LEASE EXPENSE 137228,A81000B,00500,0300,ADMINISTRATION 137228,A81000B,00600,0300,MANAGEMENT FEES 137228,A81000B,00700,0300,MANAGEMENT SERVICES 137228,A81000C,00100,0100,A 137228,A81000C,00100,0200,SEE ATTACHED 137228,A81000C,00100,0600,THERAPY 137228,A81000C,00200,0100,A 137228,A81000C,00200,0200,SEE ATTACHED 137228,A81000C,00200,0600,THERAPY 137228,A81000C,00300,0100,A 137228,A81000C,00300,0200,SEE ATTACHED 137228,A81000C,00300,0600,THERAPY 137228,A81000C,00400,0100,A 137228,A81000C,00400,0200,SEE ATTACHED 137228,A81000C,00400,0600,LEASE 137228,A81000C,00500,0100,A 137228,A81000C,00500,0200,SEE ATTACHED 137228,A81000C,00500,0600,ADMINISTRATION 137228,A81000C,00600,0100,B 137228,A81000C,00600,0400,CARE MORE MANAGEMENT 137228,A81000C,00600,0600,MANAGEMENT 137228,A81000C,00700,0100,B 137228,A81000C,00700,0400,CARE MORE MANAGEMENT 137228,A81000C,00700,0600,MANAGEMENT 137228,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137228,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137228,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137228,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137228,B100000,00000,0600,0650PATIENTS DAYS :LAUNDRY & LINEN 137228,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137228,B100000,00000,0800,0800MEALS SERVED :DIETARY 137228,B100000,00000,1100,1150PATIENTS DAYS :PHARMACY 137228,B100000,00000,1200,1250PATIENTS DAYS :MEDICAL RECORDS 137228,B100000,00000,1300,1330PATIENTS DAYS :SOCIAL SERVICE 137228,E10A180,00301,0100,01/28/00 137228,S000000,00100,0200,12/04/00 137228,S200000,00100,0100,1010 HIGHLAND STREET 137228,S200000,00200,0100,SUMMERVILLE 137228,S200000,00200,0200,GA 137228,S200000,00200,0300,30747- 137228,S200000,00300,0100,CHATTOOGA 137228,S200000,00300,0200,11 137228,S200000,00300,0300,R 137228,S200000,00400,0100,OAKVIEW NURSING & REHAB CENTER 137228,S200000,00400,0200,115428 137228,S200000,00400,0300,07/01/66 137228,S200000,00400,0500,P 137228,S200000,01500,0100,N 137228,S200000,01600,0100,Y 137228,S200000,01700,0100,N 137228,S200000,01800,0100,N 137228,S200000,02200,0100,N 137228,S200000,02800,0100,N 137228,S200000,02900,0100,N 137228,S200000,03000,0100,N 137228,S200000,03100,0100,N 137228,S200000,03200,0100,N 137228,S200000,04100,0100,N 137228,S200000,04200,0100,N 137228,S200000,04300,0100,N 137228,S200000,04600,0100,N 137228,S200000,04700,0100,N 137228,S200000,04700,0200,N 137228,S200000,04900,0100,N 137228,S200000,05000,0100,N 137228,S200000,05100,0100,N 137228,S200000,05200,0100,N 137229,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137229,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 137229,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137229,A000000,00300,0000,0300EMPLOYEE BENEFITS 137229,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137229,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137229,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137229,A000000,00700,0000,0700HOUSEKEEPING 137229,A000000,00800,0000,0800DIETARY 137229,A000000,00900,0000,0900NURSING ADMINISTRATION 137229,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137229,A000000,01100,0000,1100PHARMACY 137229,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137229,A000000,01300,0000,1300SOCIAL SERVICE 137229,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137229,A000000,01500,0000,1350OTHER GENERAL SERVICES 137229,A000000,01600,0000,1600SKILLED NURSING FACILITY 137229,A000000,01800,0000,1800NURSING FACILITY 137229,A000000,01810,0000,1810ICF/MR 137229,A000000,01900,0000,1900OTHER LONG TERM CARE 137229,A000000,02100,0000,2100RADIOLOGY 137229,A000000,02200,0000,2200LABORATORY 137229,A000000,02300,0000,2300INTRAVENOUS THERAPY 137229,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137229,A000000,02500,0000,2500PHYSICAL THERAPY 137229,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137229,A000000,02700,0000,2700SPEECH PATHOLOGY 137229,A000000,02800,0000,2800ELECTROCARDIOLOGY 137229,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137229,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137229,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137229,A000000,03200,0000,3200SUPPORT SURFACES 137229,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137229,A000000,03400,0000,3400CLINIC 137229,A000000,03500,0000,3500RURAL HEALTH CLINIC 137229,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137229,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137229,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137229,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137229,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137229,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137229,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137229,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137229,A000000,04400,0000,4400DME RENTED - HHA 137229,A000000,04500,0000,4500DME SOLD - HHA 137229,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137229,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137229,A000000,04800,0000,4800AMBULANCE 137229,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137229,A000000,05000,0000,5000CORF 137229,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137229,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137229,A000000,05300,0000,5300INTEREST EXPENSE 137229,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137229,A000000,05500,0000,5500HOSPICE 137229,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137229,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137229,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137229,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137229,A000000,06100,0000,6100NONPAID WORKERS 137229,A000000,06200,0000,6200PATIENTS LAUNDRY 137229,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137229,A81000A,00100,0100,Y 137229,A81000B,00100,0300,MANAGEMENT FEES 137229,A81000B,00200,0300,ACCOUNTING 137229,A81000B,00300,0300,MANAGEMENT FEES 137229,A81000C,00100,0100,D 137229,A81000C,00100,0200,WILLIAM C. DAVIS 137229,A81000C,00100,0400,CROSSROADS MED MGT 137229,A81000C,00100,0600,MANAGEMENT 137229,A81000C,00200,0100,D 137229,A81000C,00200,0200,FRANK J. DAVIS 137229,A81000C,00200,0400,FRANK J. DAVIS CPA 137229,A81000C,00200,0600,ACCOUNTING 137229,A81000C,00300,0100,D 137229,A81000C,00300,0200,WILLIAM C. DAVIS 137229,A81000C,00300,0400,CROSSROADS MED MGT 137229,A81000C,00300,0600,MANAGEMENT 137229,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137229,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137229,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137229,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137229,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137229,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137229,B100000,00000,0800,0800MEALS SERVED :DIETARY 137229,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 137229,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 137229,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 137229,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 137229,E10A180,00302,0100,01/31/00 137229,S000000,00100,0200,12/04/00 137229,S200000,00100,0100,500 STANLEY STREET 137229,S200000,00100,0300,1289 137229,S200000,00200,0100,PERRY 137229,S200000,00200,0200,GA 137229,S200000,00200,0300,31069- 137229,S200000,00300,0100,HOUSTON 137229,S200000,00300,0200,4680 137229,S200000,00300,0300,U 137229,S200000,00400,0100,SUMMERHILL ELDERLIVING HOME & CARE 137229,S200000,00400,0200,115430 137229,S200000,00400,0300,09/01/89 137229,S200000,00400,0500,P 137229,S200000,01500,0100,N 137229,S200000,01600,0100,Y 137229,S200000,01700,0100,N 137229,S200000,01800,0100,N 137229,S200000,02200,0100,N 137229,S200000,02800,0100,Y 137229,S200000,02900,0100,Y 137229,S200000,03000,0100,N 137229,S200000,03100,0100,N 137229,S200000,03200,0100,N 137229,S200000,04100,0100,N 137229,S200000,04200,0100,N 137229,S200000,04300,0100,N 137229,S200000,04600,0100,N 137229,S200000,04700,0100,N 137229,S200000,04700,0200,N 137229,S200000,04900,0100,N 137229,S200000,05000,0100,N 137229,S200000,05100,0100,N 137229,S200000,05200,0100,N 137231,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137231,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137231,A000000,00300,0000,0300EMPLOYEE BENEFITS 137231,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137231,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137231,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137231,A000000,00700,0000,0700HOUSEKEEPING 137231,A000000,00800,0000,0800DIETARY 137231,A000000,00900,0000,0900NURSING ADMINISTRATION 137231,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137231,A000000,01100,0000,1100PHARMACY 137231,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137231,A000000,01300,0000,1300SOCIAL SERVICE 137231,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137231,A000000,01500,0000,1350OTHER GENERAL SERVICES 137231,A000000,01600,0000,1600SKILLED NURSING FACILITY 137231,A000000,01800,0000,1800NURSING FACILITY 137231,A000000,01900,0000,1900OTHER LONG TERM CARE 137231,A000000,02100,0000,2100RADIOLOGY 137231,A000000,02200,0000,2200LABORATORY 137231,A000000,02300,0000,2300INTRAVENOUS THERAPY 137231,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137231,A000000,02500,0000,2500PHYSICAL THERAPY 137231,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137231,A000000,02700,0000,2700SPEECH PATHOLOGY 137231,A000000,02800,0000,2800ELECTROCARDIOLOGY 137231,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137231,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137231,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137231,A000000,03200,0000,3200SUPPORT SURFACES 137231,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137231,A000000,03400,0000,3400CLINIC 137231,A000000,03500,0000,3500RURAL HEALTH CLINIC 137231,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137231,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137231,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137231,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137231,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137231,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137231,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137231,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137231,A000000,04400,0000,4400DME RENTED - HHA 137231,A000000,04500,0000,4500DME SOLD - HHA 137231,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137231,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137231,A000000,04800,0000,4800AMBULANCE 137231,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137231,A000000,05000,0000,5000CORF 137231,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137231,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137231,A000000,05300,0000,5300INTEREST EXPENSE 137231,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137231,A000000,05500,0000,5500HOSPICE 137231,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137231,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137231,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137231,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137231,A000000,06100,0000,6100NONPAID WORKERS 137231,A000000,06200,0000,6200PATIENTS LAUNDRY 137231,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137231,A81000A,00100,0100,Y 137231,A81000B,00100,0300,PYHSICAL THERAPY 137231,A81000B,00200,0300,OCCUPATIONAL THERAPY 137231,A81000B,00300,0300,SPEECH THERAPY 137231,A81000B,00400,0300,MANAGEMENT SERVICES 137231,A81000B,00500,0300,MANAGEMENT SERVICES 137231,A81000C,00100,0100,A 137231,A81000C,00100,0200,SEE ATTACHED 137231,A81000C,00100,0600,THERAPY 137231,A81000C,00200,0100,A 137231,A81000C,00200,0200,SEE ATTACHED 137231,A81000C,00200,0600,THERAPY 137231,A81000C,00300,0100,A 137231,A81000C,00300,0200,SEE ATTACHED 137231,A81000C,00300,0600,THERAPY 137231,A81000C,00400,0100,B 137231,A81000C,00400,0400,CARE MORE MANAGEMENT 137231,A81000C,00400,0600,MANAGEMENT 137231,A81000C,00500,0100,B 137231,A81000C,00500,0400,CARE MORE MANAGEMENT 137231,A81000C,00500,0600,MANAGEMENT 137231,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137231,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137231,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137231,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137231,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137231,B100000,00000,0800,0800MEALS SERVED :DIETARY 137231,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137231,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137231,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137231,E10A180,00301,0100,01/28/00 137231,S000000,00100,0200,12/04/00 137231,S200000,00100,0100,198 HAMPTON STREET 137231,S200000,00100,0300,796 137231,S200000,00200,0100,MCDONOUGH 137231,S200000,00200,0200,GA 137231,S200000,00200,0300,30253- 137231,S200000,00300,0100,HENRY 137231,S200000,00300,0200,0520 137231,S200000,00300,0300,U 137231,S200000,00400,0100,STARCREST OF MCDONOUGH 137231,S200000,00400,0200,115463 137231,S200000,00400,0300,11/27/89 137231,S200000,00400,0500,P 137231,S200000,01500,0100,N 137231,S200000,01600,0100,Y 137231,S200000,01700,0100,N 137231,S200000,01800,0100,N 137231,S200000,02200,0100,N 137231,S200000,02800,0100,N 137231,S200000,02900,0100,N 137231,S200000,03000,0100,N 137231,S200000,03100,0100,N 137231,S200000,03200,0100,N 137231,S200000,04100,0100,N 137231,S200000,04200,0100,N 137231,S200000,04300,0100,N 137231,S200000,04600,0100,N 137231,S200000,04700,0100,N 137231,S200000,04700,0200,N 137231,S200000,04900,0100,N 137231,S200000,05000,0100,N 137231,S200000,05100,0100,N 137231,S200000,05200,0100,N 137232,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137232,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137232,A000000,00300,0000,0300EMPLOYEE BENEFITS 137232,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137232,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137232,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137232,A000000,00700,0000,0700HOUSEKEEPING 137232,A000000,00800,0000,0800DIETARY 137232,A000000,00900,0000,0900NURSING ADMINISTRATION 137232,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137232,A000000,01100,0000,1100PHARMACY 137232,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137232,A000000,01300,0000,1300SOCIAL SERVICE 137232,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137232,A000000,01500,0000,1350ACTIVITIES 137232,A000000,01600,0000,1600SKILLED NURSING FACILITY 137232,A000000,01800,0000,1800NURSING FACILITY 137232,A000000,01900,0000,1900OTHER LONG TERM CARE 137232,A000000,02100,0000,2100RADIOLOGY 137232,A000000,02200,0000,2200LABORATORY 137232,A000000,02300,0000,2300INTRAVENOUS THERAPY 137232,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137232,A000000,02500,0000,2500PHYSICAL THERAPY 137232,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137232,A000000,02700,0000,2700SPEECH PATHOLOGY 137232,A000000,02800,0000,2800ELECTROCARDIOLOGY 137232,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137232,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137232,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137232,A000000,03200,0000,3200SUPPORT SURFACES 137232,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137232,A000000,03400,0000,3400CLINIC 137232,A000000,03500,0000,3500RURAL HEALTH CLINIC 137232,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137232,A000000,04800,0000,4800AMBULANCE 137232,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137232,A000000,05000,0000,5000CORF 137232,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137232,A000000,05300,0000,5300INTEREST EXPENSE 137232,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137232,A000000,05500,0000,5500HOSPICE 137232,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137232,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137232,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137232,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137232,A000000,06100,0000,6100NONPAID WORKERS 137232,A000000,06200,0000,6200PATIENTS LAUNDRY 137232,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137232,A81000A,00100,0100,Y 137232,A81000B,00100,0300,NURSING SUPPLIES 137232,A81000B,00200,0300,NURSING SUPPLIES 137232,A81000B,00300,0300,FLU VACCINE 137232,A81000B,00400,0300,DRUGS RELATED 137232,A81000B,00500,0300,CONTRACTED SERVICE 137232,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 137232,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 137232,A81000B,00800,0300,HEPATITIS B VACCINE 137232,A81000B,00900,0300,DIETARY SUPPLIES 137232,A81000B,01000,0300,LAUNDRY SUPPLIES 137232,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 137232,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 137232,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 137232,A81000B,01400,0300,FACILITY LEASE 137232,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 137232,A81000B,01600,0300,FACILITY ADMINISTRATOR 137232,A81000B,01700,0300,DIETARY CONSULTANT 137232,A81000B,01800,0300,NURSE CONSULTANT 137232,A81000B,01900,0300,REGIONAL PERSONNEL 137232,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 137232,A81000B,02100,0300,THERAPY CONSULTANT 137232,A81000B,02200,0300,MAINTENANCE CONSULTANT 137232,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 137232,A81000B,02400,0300,PHYSICAL THERAPY 137232,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 137232,A81000B,02600,0300,ACTIVITIES SUPPLIES 137232,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 137232,A81000C,00100,0100,B 137232,A81000C,00100,0200,NEIL PRUITT 137232,A81000C,00100,0400,UNITED REHAB 137232,A81000C,00100,0600,THERAPY 137232,A81000C,00200,0100,B 137232,A81000C,00200,0200,NEIL PRUITT 137232,A81000C,00200,0400,UNITED PHARMACY 137232,A81000C,00200,0600,PHARMACY 137232,A81000C,00300,0100,B 137232,A81000C,00300,0200,NEIL PRUITT 137232,A81000C,00300,0400,PRUITT PROPERTI 137232,A81000C,00300,0600,RENTAL 137232,A81000C,00400,0100,B 137232,A81000C,00400,0200,NEIL PRUITT 137232,A81000C,00400,0400,PRUITT CORPORAT 137232,A81000C,00400,0600,MANAGEMENT 137232,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137232,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137232,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137232,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137232,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137232,B100000,00000,0800,0800MEALS SERVED :DIETARY 137232,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137232,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137232,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137232,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137232,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137232,E10A180,00301,0100,01/27/00 137232,S000000,00100,0200,12/01/00 137232,S200000,00100,0100,788 INDIAN TRAIL ROAD 137232,S200000,00200,0100,LILBURN 137232,S200000,00200,0200,GE 137232,S200000,00200,0300,30247- 137232,S200000,00300,0100,GWINNETT 137232,S200000,00300,0200,0520 137232,S200000,00300,0300,U 137232,S200000,00400,0100,LILBURN HEALTH CARE INC. 137232,S200000,00400,0200,115516 137232,S200000,00400,0300,06/01/91 137232,S200000,00400,0500,P 137232,S200000,01500,0100,N 137232,S200000,01600,0100,Y 137232,S200000,01700,0100,N 137232,S200000,01800,0100,N 137232,S200000,02200,0100,N 137232,S200000,02800,0100,N 137232,S200000,02900,0100,N 137232,S200000,03000,0100,N 137232,S200000,03100,0100,N 137232,S200000,03200,0100,N 137232,S200000,04100,0100,N 137232,S200000,04200,0100,N 137232,S200000,04300,0100,N 137232,S200000,04600,0100,N 137232,S200000,04700,0100,N 137232,S200000,04700,0200,N 137232,S200000,04900,0100,N 137232,S200000,05000,0100,N 137232,S200000,05100,0100,N 137232,S200000,05200,0100,N 137236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137236,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137236,A000000,00300,0000,0300EMPLOYEE BENEFITS 137236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137236,A000000,00700,0000,0700HOUSEKEEPING 137236,A000000,00800,0000,0800DIETARY 137236,A000000,00900,0000,0900NURSING ADMINISTRATION 137236,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137236,A000000,01100,0000,1100PHARMACY 137236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137236,A000000,01300,0000,1300SOCIAL SERVICE 137236,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137236,A000000,01600,0000,1600SKILLED NURSING FACILITY 137236,A000000,01900,0000,1900OTHER LONG TERM CARE 137236,A000000,02100,0000,2100RADIOLOGY 137236,A000000,02200,0000,2200LABORATORY 137236,A000000,02300,0000,2300INTRAVENOUS THERAPY 137236,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137236,A000000,02500,0000,2500PHYSICAL THERAPY 137236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137236,A000000,02700,0000,2700SPEECH PATHOLOGY 137236,A000000,02800,0000,2800ELECTROCARDIOLOGY 137236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137236,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137236,A000000,03200,0000,3200SUPPORT SURFACES 137236,A000000,03400,0000,3400CLINIC 137236,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137236,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137236,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137236,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137236,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137236,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137236,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137236,A000000,04400,0000,4400DME RENTED - HHA 137236,A000000,04500,0000,4500DME SOLD - HHA 137236,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137236,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137236,A000000,04800,0000,4800AMBULANCE 137236,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137236,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137236,A000000,05300,0000,5300INTEREST EXPENSE 137236,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137236,A000000,05500,0000,5500HOSPICE 137236,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137236,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137236,A000000,06100,0000,6100NONPAID WORKERS 137236,A000000,06200,0000,6200PATIENTS LAUNDRY 137236,A81000A,00100,0100,Y 137236,A81000B,00100,0300,MANAGEMENT FEES 137236,A81000B,00200,0300,CAPITAL - BUILDING 137236,A81000B,00300,0300,CAPITAL - EQUIPMENT 137236,A81000B,00400,0300,INTEREST EXPENSE 137236,A81000C,00100,0100,A 137236,A81000C,00100,0200,BIRD FAMILY LP 137236,A81000C,00100,0400,TAYLOR & BIRD 137236,A81000C,00100,0600,OWNERSHIP 137236,A81000C,00200,0100,A 137236,A81000C,00200,0200,TAYLOR FMLY LP 137236,A81000C,00200,0400,INC. 137236,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137236,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137236,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137236,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137236,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137236,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137236,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137236,B100000,00000,0800,0850PAT DAYS :DIETARY 137236,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137236,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 137236,B100000,00000,1100,1150PAT DAYS :PHARMACY 137236,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137236,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137236,E10A180,00301,0100,01/25/00 137236,S000000,00100,0200,11/21/00 137236,S200000,00100,0100,300 CEDAR ROAD 137236,S200000,00100,0300,356 137236,S200000,00200,0100,METTER 137236,S200000,00200,0200,GA 137236,S200000,00200,0300,30439- 137236,S200000,00300,0100,CANDLER 137236,S200000,00300,0200,0011 137236,S200000,00300,0300,R 137236,S200000,00400,0100,METTER NURSING HOME 137236,S200000,00400,0200,115642 137236,S200000,00400,0300,09/01/97 137236,S200000,00400,0500,P 137236,S200000,00400,0600,O 137236,S200000,01500,0100,Y 137236,S200000,01600,0100,N 137236,S200000,01700,0100,N 137236,S200000,01800,0100,N 137236,S200000,02200,0100,Y 137236,S200000,02800,0100,N 137236,S200000,02900,0100,N 137236,S200000,03000,0100,N 137236,S200000,03100,0100,N 137236,S200000,03200,0100,N 137236,S200000,04100,0100,N 137236,S200000,04200,0100,N 137236,S200000,04300,0100,N 137236,S200000,04600,0100,N 137236,S200000,04700,0100,N 137236,S200000,04700,0200,N 137236,S200000,04900,0100,N 137236,S200000,05000,0100,N 137236,S200000,05100,0100,N 137236,S200000,05200,0100,N 137304,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137304,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137304,A000000,00300,0000,0300EMPLOYEE BENEFITS 137304,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137304,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137304,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137304,A000000,00700,0000,0700HOUSEKEEPING 137304,A000000,00800,0000,0800DIETARY 137304,A000000,00900,0000,0900NURSING ADMINISTRATION 137304,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137304,A000000,01100,0000,1100PHARMACY 137304,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137304,A000000,01300,0000,1300SOCIAL SERVICE 137304,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137304,A000000,01500,0000,1350PATIENT ACTIVITIES 137304,A000000,01600,0000,1600SKILLED NURSING FACILITY 137304,A000000,01800,0000,1800NURSING FACILITY 137304,A000000,01810,0000,1810ICF/MR 137304,A000000,01900,0000,1900OTHER LONG TERM CARE 137304,A000000,02100,0000,2100RADIOLOGY 137304,A000000,02200,0000,2200LABORATORY 137304,A000000,02300,0000,2300INTRAVENOUS THERAPY 137304,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137304,A000000,02500,0000,2500PHYSICAL THERAPY 137304,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137304,A000000,02700,0000,2700SPEECH PATHOLOGY 137304,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137304,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137304,A000000,03550,0000,3550FQHC 137304,A000000,04800,0000,4800AMBULANCE 137304,A000000,05000,0000,5000CORF 137304,A000000,05010,0000,5010CMHC 137304,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 137304,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 137304,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 137304,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137304,A000000,06300,0000,6150PATIENT PERSONAL ITEMS 137304,A81000A,00100,0100,Y 137304,A81000B,00100,0300,SUPPLEMENTAL FEEDING 137304,A81000B,00300,0300,MEDICAL SUPPLIES 137304,A81000B,00400,0300,MEDICAL SUPPLIES 137304,A81000B,00500,0300,ROUTINE SERVICES 137304,A81000B,00600,0300,ROUTINE SERVICES 137304,A81000B,00700,0300,BILLABLE MEDICAL SUP 137304,A81000C,00100,0100,A 137304,A81000C,00100,0200,JOSH SHERRILL 137304,A81000C,00100,0400,WINDSOR POINT 137304,A81000C,00100,0600,MEDICAL SUPPLY 137304,A81000C,00200,0100,A 137304,A81000C,00200,0200,JASON SHERRILL 137304,A81000C,00200,0400,WINDSOR POINT 137304,A81000C,00200,0600,MEDICAL SUPPLY 137304,A81000C,00300,0100,A 137304,A81000C,00300,0200,JOSH SHERRILL 137304,A81000C,00300,0400,WINDSOR POINT 137304,A81000C,00300,0600,MEDICAL SUPPLY 137304,A81000C,00400,0100,A 137304,A81000C,00400,0200,JASON SHERRILL 137304,A81000C,00400,0400,WINDSOR POINT 137304,A81000C,00400,0600,MEDICAL SUPPLY 137304,A81000C,00500,0100,A 137304,A81000C,00500,0200,JOSH SHERRILL 137304,A81000C,00500,0400,WINDSOR POINT 137304,A81000C,00500,0600,MEDCIAL SUPPLY 137304,A81000C,00600,0100,A 137304,A81000C,00600,0200,JASON SHERRILL 137304,A81000C,00600,0400,WINDSOR POINT 137304,A81000C,00600,0600,MEDICAL SUPPLY 137304,A81000C,00700,0100,A 137304,A81000C,00700,0200,JOSH SHERRILL 137304,A81000C,00700,0400,WINDSOR POINT 137304,A81000C,00700,0600,MEDICAL SUPPLY 137304,A81000C,00800,0100,A 137304,A81000C,00800,0200,JASON SHERRRILL 137304,A81000C,00800,0400,WINDSOR POINT 137304,A81000C,00800,0600,MEDICAL SUPPLY 137304,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137304,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137304,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137304,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137304,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137304,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137304,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137304,B100000,00000,0800,0800MEALS SERVED :DIETARY 137304,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 137304,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137304,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137304,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 137304,E10A180,00301,0100,01/24/00 137304,S000000,00100,0200,04/06/01 137304,S200000,00100,0100,2575 WEST FIFTH STREET 137304,S200000,00200,0100,GREENVILLE 137304,S200000,00200,0200,NC 137304,S200000,00200,0300,27834- 137304,S200000,00300,0100,PITT 137304,S200000,00300,0200,3150 137304,S200000,00300,0300,U 137304,S200000,00400,0100,GREENFIELD PLACE LLC 137304,S200000,00400,0200,345377 137304,S200000,00400,0300,04/01/97 137304,S200000,00400,0500,P 137304,S200000,00600,0200,346338 137304,S200000,00600,0300,04/01/97 137304,S200000,00600,0600,O 137304,S200000,01500,0100,N 137304,S200000,01600,0100,Y 137304,S200000,01700,0100,N 137304,S200000,01800,0100,N 137304,S200000,01900,0100,LIMITED LIABILITY CO 137304,S200000,02200,0100,N 137304,S200000,02800,0100,N 137304,S200000,02900,0100,N 137304,S200000,03000,0100,N 137304,S200000,03100,0100,N 137304,S200000,03200,0100,N 137304,S200000,04100,0100,N 137304,S200000,04200,0100,N 137304,S200000,04300,0100,N 137304,S200000,04600,0100,N 137304,S200000,04700,0100,Y 137304,S200000,04700,0200,Y 137304,S200000,04900,0100,N 137304,S200000,05000,0100,N 137304,S200000,05100,0100,N 137304,S200000,05200,0100,N 137306,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137306,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137306,A000000,00300,0000,0300EMPLOYEE BENEFITS 137306,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137306,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137306,A000000,00700,0000,0700HOUSEKEEPING 137306,A000000,00800,0000,0800DIETARY 137306,A000000,00900,0000,0900NURSING ADMINISTRATION 137306,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137306,A000000,01300,0000,1300SOCIAL SERVICE 137306,A000000,01500,0000,1350ACTIVITIES 137306,A000000,01600,0000,1600SKILLED NURSING FACILITY 137306,A000000,01810,0000,1810ICF/MR 137306,A000000,01900,0000,1900OTHER LONG TERM CARE 137306,A000000,02100,0000,2100RADIOLOGY 137306,A000000,02200,0000,2200LABORATORY 137306,A000000,02500,0000,2500PHYSICAL THERAPY 137306,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137306,A000000,02700,0000,2700SPEECH PATHOLOGY 137306,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137306,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137306,A000000,03200,0000,3200SUPPORT SURFACES 137306,A000000,03300,0000,3050AIR FLUIDIZED THERAPY 137306,A000000,03550,0000,3550FQHC 137306,A000000,05000,0000,5000CORF 137306,A000000,05010,0000,5010CMHC 137306,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 137306,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 137306,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 137306,A000000,05300,0000,5300INTEREST EXPENSE 137306,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137306,A81000A,00100,0100,Y 137306,A81000B,00100,0300,ADMIN & GENERAL MGMT 137306,A81000B,00200,0300,ADMIN & GEN ADMIN 137306,A81000B,00300,0300,HOME OFFICE COSTS 137306,A81000C,00100,0100,B 137306,A81000C,00100,0200,HEALTH CARE ADM 137306,A81000C,00200,0100,B 137306,A81000C,00200,0200,JAMES LOUDERMIL 137306,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137306,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137306,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137306,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137306,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137306,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137306,B100000,00000,0800,0800MEALS SERVED :DIETARY 137306,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 137306,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137306,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137306,B100000,00000,1500,1350HOURS SERVED :ACTIVITIES 137306,E10A180,00301,0100,10/22/99 137306,S000000,00100,0200,07/05/01 137306,S200000,00100,0100,1900 HIGHWAY 6 WEST 137306,S200000,00200,0100,WACO 137306,S200000,00200,0200,TX 137306,S200000,00200,0300,76710- 137306,S200000,00300,0100,MCCLENNAN 137306,S200000,00300,0200,8800 137306,S200000,00300,0300,U 137306,S200000,00400,0100,RIDGECREST RETIREMENT 137306,S200000,00400,0200,455670 137306,S200000,00400,0300,08/01/95 137306,S200000,00400,0500,P 137306,S200000,00400,0600,P 137306,S200000,01500,0100,Y 137306,S200000,01600,0100,N 137306,S200000,01700,0100,N 137306,S200000,01800,0100,N 137306,S200000,02200,0100,Y 137306,S200000,02800,0100,N 137306,S200000,02900,0100,N 137306,S200000,03000,0100,N 137306,S200000,03100,0100,N 137306,S200000,03200,0100,N 137306,S200000,04100,0100,N 137306,S200000,04200,0100,N 137306,S200000,04300,0100,N 137306,S200000,04600,0100,N 137306,S200000,04700,0100,N 137306,S200000,04700,0200,N 137306,S200000,04900,0100,N 137306,S200000,05000,0100,N 137306,S200000,05100,0100,N 137306,S200000,05200,0100,N 137311,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137311,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137311,A000000,00300,0000,0300EMPLOYEE BENEFITS 137311,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137311,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137311,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137311,A000000,00700,0000,0700HOUSEKEEPING 137311,A000000,00800,0000,0800DIETARY 137311,A000000,00900,0000,0900NURSING ADMINISTRATION 137311,A000000,01100,0000,1100PHARMACY 137311,A000000,01300,0000,1300SOCIAL SERVICE 137311,A000000,01600,0000,1600SKILLED NURSING FACILITY 137311,A000000,01800,0000,1800NURSING FACILITY 137311,A000000,02100,0000,2100RADIOLOGY 137311,A000000,02200,0000,2200LABORATORY 137311,A000000,02300,0000,2300INTRAVENOUS THERAPY 137311,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137311,A000000,02500,0000,2500PHYSICAL THERAPY 137311,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137311,A000000,02700,0000,2700SPEECH PATHOLOGY 137311,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137311,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137311,A81000A,00100,0100,N 137311,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137311,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137311,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137311,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137311,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137311,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137311,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137311,B100000,00000,0800,0800MEALS SERVED :DIETARY 137311,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 137311,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137311,S000000,00100,0200,08/12/02 137311,S200000,00100,0100,1501 7TH STREET 137311,S200000,00200,0100,WICHITA FALLS 137311,S200000,00200,0200,OK 137311,S200000,00200,0300,76301- 137311,S200000,00300,0100,WICHITA 137311,S200000,00300,0200,9080 137311,S200000,00300,0300,U 137311,S200000,00400,0100,WICHITA FALLS CARE CENTER 137311,S200000,00400,0200,675497 137311,S200000,00400,0300,01/01/98 137311,S200000,00400,0500,P 137311,S200000,01500,0100,N 137311,S200000,01600,0100,Y 137311,S200000,01700,0100,N 137311,S200000,01800,0100,N 137311,S200000,02200,0100,N 137311,S200000,02800,0100,N 137311,S200000,02900,0100,N 137311,S200000,03000,0100,N 137311,S200000,03100,0100,N 137311,S200000,03200,0100,N 137311,S200000,04100,0100,N 137311,S200000,04200,0100,N 137311,S200000,04300,0100,N 137311,S200000,04600,0100,N 137311,S200000,04700,0100,N 137311,S200000,04700,0200,N 137311,S200000,04900,0100,N 137311,S200000,05000,0100,N 137311,S200000,05100,0100,N 137311,S200000,05200,0100,N 137317,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137317,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137317,A000000,00300,0000,0300EMPLOYEE BENEFITS 137317,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137317,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137317,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137317,A000000,00700,0000,0700HOUSEKEEPING 137317,A000000,00800,0000,0800DIETARY 137317,A000000,00900,0000,0900NURSING ADMINISTRATION 137317,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137317,A000000,01100,0000,1100PHARMACY 137317,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137317,A000000,01300,0000,1300SOCIAL SERVICE 137317,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137317,A000000,01600,0000,1600SKILLED NURSING FACILITY 137317,A000000,01800,0000,1800NURSING FACILITY 137317,A000000,01900,0000,1900OTHER LONG TERM CARE 137317,A000000,02100,0000,2100RADIOLOGY 137317,A000000,02200,0000,2200LABORATORY 137317,A000000,02300,0000,2300INTRAVENOUS THERAPY 137317,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137317,A000000,02500,0000,2500PHYSICAL THERAPY 137317,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137317,A000000,02700,0000,2700SPEECH PATHOLOGY 137317,A000000,02800,0000,2800ELECTROCARDIOLOGY 137317,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137317,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137317,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137317,A000000,03200,0000,3200SUPPORT SURFACES 137317,A000000,03400,0000,3400CLINIC 137317,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137317,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137317,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137317,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137317,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137317,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137317,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137317,A000000,04400,0000,4400DME RENTED - HHA 137317,A000000,04500,0000,4500DME SOLD - HHA 137317,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137317,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137317,A000000,04800,0000,4800AMBULANCE 137317,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137317,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137317,A000000,05300,0000,5300INTEREST EXPENSE 137317,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137317,A000000,05500,0000,5500HOSPICE 137317,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137317,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137317,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137317,A000000,06100,0000,6100NONPAID WORKERS 137317,A000000,06200,0000,6200PATIENTS LAUNDRY 137317,A81000A,00100,0100,Y 137317,A81000B,00100,0300,MANAGEMENT FEES 137317,A81000B,00200,0300,OLD CAPITAL - BUILDING 137317,A81000B,00300,0300,OLD CAPITAL - EQUIPMENT 137317,A81000B,00400,0300,NEW CAPITAL - BUILDING 137317,A81000B,00500,0300,NEW CAPITAL - EQUIPMENT 137317,A81000B,00600,0300,FUNCTIONAL SALARIES 137317,A81000B,00700,0300,FUNCTIONAL SALARIES 137317,A81000B,00800,0300,FUNCTIONAL BENEFITS 137317,A81000B,00900,0300,PHARMACY C/S 137317,A81000B,01000,0300,DIETARY C/S 137317,A81000B,01100,0300,IV THERAPY 137317,A81000B,01200,0300,LEASE 137317,A81000B,01300,0300,DEPRECIATION 137317,A81000B,01400,0300,INTEREST 137317,A81000B,01500,0300,AMORTIZATION 137317,A81000C,00100,0100,A 137317,A81000C,00100,0200,PROF HEALTHCARE 137317,A81000C,00100,0400,MEDICAL MATRIX 137317,A81000C,00100,0600,PHARMACY/DIETRY 137317,A81000C,00200,0100,A 137317,A81000C,00200,0200,GEORGIA HOME CR 137317,A81000C,00200,0400,MEDICAL MATRIX 137317,A81000C,00200,0600,IV THERAPY 137317,A81000C,00300,0100,A 137317,A81000C,00300,0200,GAP MANAGEMENT 137317,A81000C,00300,0400,MEDICAL MATRIX 137317,A81000C,00300,0600,MANAGEMENT 137317,A81000C,00400,0100,A 137317,A81000C,00400,0200,HEALTH CARE SO 137317,A81000C,00400,0400,RANDY COODY 137317,A81000C,00400,0600,OWNERSHIP 137317,A81000C,00500,0100,A 137317,A81000C,00500,0200,HEALTH CARE SO 137317,A81000C,00500,0400,HARRIS HARDIN 137317,A81000C,00500,0600,OWNERSHIP 137317,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137317,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137317,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137317,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137317,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137317,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137317,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137317,B100000,00000,0800,0850PAT DAYS :DIETARY 137317,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137317,B100000,00000,1100,1150PAT DAYS :PHARMACY 137317,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137317,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137317,E10A180,00301,0100,01/26/00 137317,S000000,00100,0200,12/01/00 137317,S200000,00100,0100,181 OXLEY DRIVE 137317,S200000,00100,0300,352 137317,S200000,00200,0100,LYONS 137317,S200000,00200,0200,GA 137317,S200000,00200,0300,30436- 137317,S200000,00300,0100,TOOMBS 137317,S200000,00300,0200,11 137317,S200000,00300,0300,R 137317,S200000,00400,0100,TOOMBS NURSING HOME 137317,S200000,00400,0200,115387 137317,S200000,00400,0300,09/01/89 137317,S200000,00400,0500,P 137317,S200000,00600,0200,115387 137317,S200000,00600,0300,09/01/89 137317,S200000,00600,0600,O 137317,S200000,01500,0100,N 137317,S200000,01600,0100,Y 137317,S200000,01700,0100,N 137317,S200000,01800,0100,N 137317,S200000,02200,0100,Y 137317,S200000,02800,0100,N 137317,S200000,02900,0100,N 137317,S200000,03000,0100,N 137317,S200000,03100,0100,N 137317,S200000,03200,0100,N 137317,S200000,04100,0100,N 137317,S200000,04200,0100,N 137317,S200000,04300,0100,N 137317,S200000,04600,0100,N 137317,S200000,04700,0100,N 137317,S200000,04700,0200,N 137317,S200000,04900,0100,N 137317,S200000,05000,0100,N 137317,S200000,05100,0100,N 137317,S200000,05200,0100,N 137323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137323,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137323,A000000,00300,0000,0300EMPLOYEE BENEFITS 137323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137323,A000000,00700,0000,0700HOUSEKEEPING 137323,A000000,00800,0000,0800DIETARY 137323,A000000,00900,0000,0900NURSING ADMINISTRATION 137323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137323,A000000,01100,0000,1100PHARMACY 137323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137323,A000000,01300,0000,1300SOCIAL SERVICE 137323,A000000,01301,0000,1351ACTIVITIES 137323,A000000,01600,0000,1600SKILLED NURSING FACILITY 137323,A000000,01800,0000,1800NURSING FACILITY 137323,A000000,02100,0000,2100RADIOLOGY 137323,A000000,02200,0000,2200LABORATORY 137323,A000000,02300,0000,2300INTRAVENOUS THERAPY 137323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137323,A000000,02500,0000,2500PHYSICAL THERAPY 137323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137323,A000000,02700,0000,2700SPEECH PATHOLOGY 137323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137323,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137323,A000000,03301,0000,3051MEDICAL EQUIPMENT 137323,A000000,04800,0000,4800AMBULANCE 137323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137323,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137323,A81000A,00100,0100,Y 137323,A81000B,00100,0300,HOME OFFICE CAPITAL 137323,A81000B,00200,0300,HOME OFFICE NONCAPITAL 137323,A81000B,00300,0300,WAREHOUSE 137323,A81000C,00100,0100,A 137323,A81000C,00100,0200,PETER C. KERN 137323,A81000C,00100,0400,HEA MANAGEMENT GROUP 137323,A81000C,00100,0600,HOME OFFICE 137323,A81000C,00200,0100,A 137323,A81000C,00200,0200,PETER C. KERN 137323,A81000C,00200,0400,WAREHOUSE STORAGE 137323,A81000C,00200,0600,OLD RECORD STORAGE 137323,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137323,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137323,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137323,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137323,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137323,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137323,B100000,00000,0800,0800MEALS SERVED :DIETARY 137323,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 137323,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137323,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137323,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137323,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137323,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 137323,S000000,00100,0200,07/02/02 137323,S200000,00100,0100,2400 QUAKER AVENUE 137323,S200000,00200,0100,LUBBOCK 137323,S200000,00200,0200,TX 137323,S200000,00200,0300,79410-1834 137323,S200000,00300,0100,LUBBOCK 137323,S200000,00300,0200,4600 137323,S200000,00300,0300,U 137323,S200000,00400,0100,UNIVERSITY MANOR 137323,S200000,00400,0200,455655 137323,S200000,00400,0300,04/26/86 137323,S200000,00400,0500,P 137323,S200000,01500,0100,N 137323,S200000,01600,0100,Y 137323,S200000,01700,0100,N 137323,S200000,01800,0100,N 137323,S200000,02200,0100,Y 137323,S200000,02800,0100,N 137323,S200000,02900,0100,N 137323,S200000,03000,0100,N 137323,S200000,03100,0100,N 137323,S200000,03200,0100,N 137323,S200000,04100,0100,N 137323,S200000,04200,0100,N 137323,S200000,04300,0100,Y 137323,S200000,04600,0100,N 137323,S200000,04700,0100,N 137323,S200000,04700,0200,N 137323,S200000,04900,0100,N 137323,S200000,05000,0100,N 137323,S200000,05100,0100,N 137323,S200000,05200,0100,N 137332,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137332,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137332,A000000,00300,0000,0300EMPLOYEE BENEFITS 137332,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137332,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137332,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137332,A000000,00700,0000,0700HOUSEKEEPING 137332,A000000,00800,0000,0800DIETARY 137332,A000000,00900,0000,0900NURSING ADMINISTRATION 137332,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137332,A000000,01100,0000,1100PHARMACY 137332,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137332,A000000,01300,0000,1300SOCIAL SERVICE 137332,A000000,01600,0000,1600SKILLED NURSING FACILITY 137332,A000000,01800,0000,1800NURSING FACILITY 137332,A000000,02100,0000,2100RADIOLOGY 137332,A000000,02200,0000,2200LABORATORY 137332,A000000,02300,0000,2300INTRAVENOUS THERAPY 137332,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137332,A000000,02500,0000,2500PHYSICAL THERAPY 137332,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137332,A000000,02700,0000,2700SPEECH PATHOLOGY 137332,A000000,02800,0000,2800ELECTROCARDIOLOGY 137332,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137332,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137332,A81000A,00100,0100,N 137332,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137332,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137332,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137332,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137332,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137332,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137332,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137332,B100000,00000,0800,0800MEALS SERVED :DIETARY 137332,B100000,00000,0900,0950DIRECT NUR :NURSING ADMINISTRAT 137332,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137332,S000000,00100,0200,05/23/02 137332,S200000,00100,0100,3718 N. PORTLAND 137332,S200000,00200,0100,OKLAHOMA CITY 137332,S200000,00200,0200,OK 137332,S200000,00200,0300,73112- 137332,S200000,00300,0100,OKLAHOMA 137332,S200000,00300,0200,5880 137332,S200000,00300,0300,U 137332,S200000,00400,0100,NORTHWINDS LIVING CENTER 137332,S200000,00400,0200,375181 137332,S200000,00400,0300,01/01/95 137332,S200000,00400,0500,P 137332,S200000,01004,0500,O 137332,S200000,01500,0100,N 137332,S200000,01600,0100,N 137332,S200000,01700,0100,N 137332,S200000,01800,0100,N 137332,S200000,02200,0100,N 137332,S200000,02800,0100,N 137332,S200000,02900,0100,N 137332,S200000,03000,0100,N 137332,S200000,03100,0100,N 137332,S200000,03200,0100,N 137332,S200000,04100,0100,N 137332,S200000,04200,0100,N 137332,S200000,04300,0100,N 137332,S200000,04600,0100,N 137332,S200000,04700,0100,N 137332,S200000,04700,0200,N 137332,S200000,04900,0100,N 137332,S200000,05000,0100,N 137332,S200000,05100,0100,N 137332,S200000,05200,0100,N 137340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137340,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137340,A000000,00300,0000,0300EMPLOYEE BENEFITS 137340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137340,A000000,00700,0000,0700HOUSEKEEPING 137340,A000000,00800,0000,0800DIETARY 137340,A000000,00900,0000,0900NURSING ADMINISTRATION 137340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137340,A000000,01100,0000,1100PHARMACY 137340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137340,A000000,01300,0000,1300SOCIAL SERVICE 137340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137340,A000000,01500,0000,1350ACTIVITIES 137340,A000000,01600,0000,1600SKILLED NURSING FACILITY 137340,A000000,01800,0000,1800NURSING FACILITY 137340,A000000,01900,0000,1900OTHER LONG TERM CARE 137340,A000000,02100,0000,2100RADIOLOGY 137340,A000000,02200,0000,2200LABORATORY 137340,A000000,02300,0000,2300INTRAVENOUS THERAPY 137340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137340,A000000,02500,0000,2500PHYSICAL THERAPY 137340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137340,A000000,02700,0000,2700SPEECH PATHOLOGY 137340,A000000,02800,0000,2800ELECTROCARDIOLOGY 137340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137340,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137340,A000000,03200,0000,3200SUPPORT SURFACES 137340,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137340,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CEN 137340,A000000,03302,0000,3052OTHER ANCILLARY SERVICE COST CEN 137340,A000000,03400,0000,3400CLINIC 137340,A000000,03500,0000,3500RURAL HEALTH CLINIC 137340,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137340,A000000,04800,0000,4800AMBULANCE 137340,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137340,A000000,05000,0000,5000CORF 137340,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137340,A000000,05300,0000,5300INTEREST EXPENSE 137340,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137340,A000000,05500,0000,5500HOSPICE 137340,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137340,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137340,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137340,A000000,06100,0000,6100NONPAID WORKERS 137340,A000000,06200,0000,6200PATIENTS LAUNDRY 137340,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137340,A81000A,00100,0100,Y 137340,A81000B,00100,0300,NURSING SUPPLIES 137340,A81000B,00200,0300,NURSING SUPPLIES 137340,A81000B,00300,0300,FLU VACCINE 137340,A81000B,00400,0300,DRUGS RELATED 137340,A81000B,00500,0300,CONTRACTED SERVICE 137340,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 137340,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 137340,A81000B,00800,0300,HEPATITIS B VACCINE 137340,A81000B,00900,0300,DIETARY SUPPLIES 137340,A81000B,01000,0300,LAUNDRY SUPPLIES 137340,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 137340,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 137340,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 137340,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 137340,A81000B,01500,0300,FACILITY ADMINISTRATOR 137340,A81000B,01600,0300,DIETARY CONSULTANT 137340,A81000B,01700,0300,NURSE CONSULTANT 137340,A81000B,01800,0300,REGIONAL PERSONNEL 137340,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 137340,A81000B,02000,0300,THERAPY CONSULTANT 137340,A81000B,02100,0300,MAINTENANCE CONSULTANT 137340,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 137340,A81000B,02300,0300,PHYSICAL THERAPY 137340,A81000B,02400,0300,SOCIAL SERVICES SUPPLIES 137340,A81000B,02500,0300,ACTIVITIES SUPPLIES 137340,A81000C,00100,0100,B 137340,A81000C,00100,0200,NEIL PRUITT 137340,A81000C,00100,0400,UNITED REHAB 137340,A81000C,00100,0600,THERAPY 137340,A81000C,00200,0100,B 137340,A81000C,00200,0200,NEIL PRUITT 137340,A81000C,00200,0400,UNITED PHARMACY 137340,A81000C,00200,0600,PHARMACY 137340,A81000C,00300,0100,B 137340,A81000C,00300,0200,NEIL PRUITT 137340,A81000C,00300,0400,PRUITT PROPERTI 137340,A81000C,00300,0600,RENTAL 137340,A81000C,00400,0100,B 137340,A81000C,00400,0200,NEIL PRUITT 137340,A81000C,00400,0400,PRUITT CORPORAT 137340,A81000C,00400,0600,MANAGEMENT 137340,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137340,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137340,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137340,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137340,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137340,B100000,00000,0800,0800MEALS SERVED :DIETARY 137340,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137340,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137340,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137340,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137340,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137340,E10A180,00301,0100,01/27/00 137340,S000000,00100,0200,12/01/00 137340,S200000,00100,0100,2255 ANTHONY ROAD 137340,S200000,00200,0100,MACON 137340,S200000,00200,0200,GA 137340,S200000,00200,0300,31204- 137340,S200000,00300,0100,BIBB 137340,S200000,00300,0300,U 137340,S200000,00400,0100,SOUTHERN MEDICAL OF NORTH MACON 137340,S200000,00400,0200,115288 137340,S200000,00400,0300,02/18/97 137340,S200000,00400,0500,P 137340,S200000,01500,0100,N 137340,S200000,01600,0100,Y 137340,S200000,01700,0100,N 137340,S200000,01800,0100,N 137340,S200000,02200,0100,N 137340,S200000,02800,0100,N 137340,S200000,02900,0100,N 137340,S200000,03000,0100,N 137340,S200000,03100,0100,N 137340,S200000,03200,0100,N 137340,S200000,04100,0100,N 137340,S200000,04200,0100,N 137340,S200000,04300,0100,N 137340,S200000,04600,0100,N 137340,S200000,04700,0100,N 137340,S200000,04700,0200,N 137340,S200000,04900,0100,N 137340,S200000,05000,0100,N 137340,S200000,05100,0100,N 137340,S200000,05200,0100,N 137341,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137341,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137341,A000000,00300,0000,0300EMPLOYEE BENEFITS 137341,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137341,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137341,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137341,A000000,00700,0000,0700HOUSEKEEPING 137341,A000000,00800,0000,0800DIETARY 137341,A000000,00900,0000,0900NURSING ADMINISTRATION 137341,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137341,A000000,01100,0000,1100PHARMACY 137341,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137341,A000000,01300,0000,1300SOCIAL SERVICE 137341,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137341,A000000,01500,0000,1350ACTIVITIES 137341,A000000,01600,0000,1600SKILLED NURSING FACILITY 137341,A000000,01800,0000,1800NURSING FACILITY 137341,A000000,01900,0000,1900OTHER LONG TERM CARE 137341,A000000,02100,0000,2100RADIOLOGY 137341,A000000,02200,0000,2200LABORATORY 137341,A000000,02300,0000,2300INTRAVENOUS THERAPY 137341,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137341,A000000,02500,0000,2500PHYSICAL THERAPY 137341,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137341,A000000,02700,0000,2700SPEECH PATHOLOGY 137341,A000000,02800,0000,2800ELECTROCARDIOLOGY 137341,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137341,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137341,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137341,A000000,03200,0000,3200SUPPORT SURFACES 137341,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137341,A000000,03400,0000,3400CLINIC 137341,A000000,03500,0000,3500RURAL HEALTH CLINIC 137341,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137341,A000000,04800,0000,4800AMBULANCE 137341,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137341,A000000,05000,0000,5000CORF 137341,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137341,A000000,05300,0000,5300INTEREST EXPENSE 137341,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137341,A000000,05500,0000,5500HOSPICE 137341,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137341,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137341,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137341,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137341,A000000,06100,0000,6100NONPAID WORKERS 137341,A000000,06200,0000,6200PATIENTS LAUNDRY 137341,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137341,A81000A,00100,0100,Y 137341,A81000B,00100,0300,NURSING SUPPLIES 137341,A81000B,00200,0300,NURSING SUPPLIES 137341,A81000B,00300,0300,FLU VACCINE 137341,A81000B,00400,0300,DRUGS RELATED 137341,A81000B,00500,0300,CONTRACTED SERVICE 137341,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 137341,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 137341,A81000B,00800,0300,HEPATITIS B VACCINE 137341,A81000B,00900,0300,DIETARY SUPPLIES 137341,A81000B,01000,0300,LAUNDRY SUPPLIES 137341,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 137341,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 137341,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 137341,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 137341,A81000B,01500,0300,FACILITY ADMINISTRATOR 137341,A81000B,01600,0300,DIETARY CONSULTANT 137341,A81000B,01700,0300,NURSE CONSULTANT 137341,A81000B,01800,0300,REGIONAL PERSONNEL 137341,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 137341,A81000B,02000,0300,THERAPY CONSULTANT 137341,A81000B,02100,0300,MAINTENANCE CONSULTANT 137341,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 137341,A81000B,02300,0300,AIDE TRAINING 137341,A81000B,02400,0300,PHYSICAL THERAPY 137341,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 137341,A81000B,02600,0300,ACTIVITIES SUPPLIES 137341,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 137341,A81000C,00100,0100,B 137341,A81000C,00100,0200,NEIL PRUITT 137341,A81000C,00100,0400,UNITED REHAB 137341,A81000C,00100,0600,THERAPY 137341,A81000C,00200,0100,B 137341,A81000C,00200,0200,NEIL PRUITT 137341,A81000C,00200,0400,UNITED PHARMACY 137341,A81000C,00200,0600,PHARMACY 137341,A81000C,00300,0100,B 137341,A81000C,00300,0200,NEIL PRUITT 137341,A81000C,00300,0400,PRUITT PROPERTI 137341,A81000C,00300,0600,RENTAL 137341,A81000C,00400,0100,B 137341,A81000C,00400,0200,NEIL PRUITT 137341,A81000C,00400,0400,PRUITT CORPORAT 137341,A81000C,00400,0600,MANAGEMENT 137341,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137341,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137341,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137341,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137341,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137341,B100000,00000,0800,0800MEALS SERVED :DIETARY 137341,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137341,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137341,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137341,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137341,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137341,E10A180,00301,0100,01/27/00 137341,S000000,00100,0200,12/01/00 137341,S200000,00100,0100,P.O. BOX 1129 137341,S200000,00100,0300,1129 137341,S200000,00200,0100,TOCCOA 137341,S200000,00200,0200,CA 137341,S200000,00200,0300,30577- 137341,S200000,00300,0100,STEPHENS 137341,S200000,00300,0200,11 137341,S200000,00300,0300,R 137341,S200000,00400,0100,TOCCOA NURSING CENTER INC. 137341,S200000,00400,0200,115345 137341,S200000,00400,0300,07/01/99 137341,S200000,00400,0500,P 137341,S200000,01500,0100,N 137341,S200000,01600,0100,Y 137341,S200000,01700,0100,N 137341,S200000,01800,0100,N 137341,S200000,02200,0100,N 137341,S200000,02800,0100,N 137341,S200000,02900,0100,N 137341,S200000,03000,0100,N 137341,S200000,03100,0100,N 137341,S200000,03200,0100,N 137341,S200000,04100,0100,N 137341,S200000,04200,0100,N 137341,S200000,04300,0100,N 137341,S200000,04600,0100,N 137341,S200000,04700,0100,N 137341,S200000,04700,0200,N 137341,S200000,04900,0100,N 137341,S200000,05000,0100,N 137341,S200000,05100,0100,N 137341,S200000,05200,0100,N 137342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137342,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137342,A000000,00300,0000,0300EMPLOYEE BENEFITS 137342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137342,A000000,00700,0000,0700HOUSEKEEPING 137342,A000000,00800,0000,0800DIETARY 137342,A000000,00900,0000,0900NURSING ADMINISTRATION 137342,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137342,A000000,01100,0000,1100PHARMACY 137342,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137342,A000000,01300,0000,1300SOCIAL SERVICE 137342,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137342,A000000,01600,0000,1600SKILLED NURSING FACILITY 137342,A000000,01810,0000,1810ICF/MR 137342,A000000,02200,0000,2200LABORATORY 137342,A000000,02500,0000,2500PHYSICAL THERAPY 137342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137342,A000000,03550,0000,3550FQHC 137342,A000000,05000,0000,5000CORF 137342,A000000,05010,0000,5010CMHC 137342,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 137342,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 137342,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 137342,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137342,A81000A,00100,0100,Y 137342,A81000B,00100,0300,MANAGEMENT FEES 137342,A81000B,00200,0300,CAPITAL COST ALLOCAT 137342,A81000B,00300,0300,CAPITAL COST ALLOCAT 137342,A81000C,00100,0100,A 137342,A81000C,00100,0200,RON ADDINGTON 137342,A81000C,00100,0400,A & B MANAGEMEN 137342,A81000C,00100,0600,MANAGMENT COMPA 137342,A81000C,00200,0100,A 137342,A81000C,00200,0200,HARVE BAUGUESS 137342,A81000C,00200,0400,A & B MANAGEMEN 137342,A81000C,00200,0600,MANAGEMENT COMP 137342,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137342,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137342,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137342,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137342,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137342,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137342,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137342,B100000,00000,0800,0800MEALS SERVED :DIETARY 137342,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 137342,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137342,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137342,E10A180,00302,0100,01/20/00 137342,S000000,00100,0200,11/30/00 137342,S200000,00100,0100,411 PINE STREET 137342,S200000,00100,0300,538 137342,S200000,00200,0100,SYLVANIA 137342,S200000,00200,0200,GA 137342,S200000,00200,0300,30467- 137342,S200000,00300,0100,SCREVEN 137342,S200000,00300,0200,11 137342,S200000,00300,0300,R 137342,S200000,00400,0100,SYL-VIEW HEALTH CARE CENTER INC. 137342,S200000,00400,0200,115544 137342,S200000,00400,0300,05/01/93 137342,S200000,00400,0500,P 137342,S200000,01500,0100,N 137342,S200000,01600,0100,N 137342,S200000,01700,0100,N 137342,S200000,01800,0100,N 137342,S200000,02200,0100,N 137342,S200000,02800,0100,N 137342,S200000,02900,0100,N 137342,S200000,03000,0100,N 137342,S200000,03100,0100,N 137342,S200000,03200,0100,N 137342,S200000,04100,0100,N 137342,S200000,04200,0100,N 137342,S200000,04300,0100,N 137342,S200000,04600,0100,N 137342,S200000,04700,0100,N 137342,S200000,04700,0200,N 137342,S200000,04900,0100,N 137342,S200000,05000,0100,N 137342,S200000,05100,0100,N 137342,S200000,05200,0100,N 137343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137343,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137343,A000000,00300,0000,0300EMPLOYEE BENEFITS 137343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137343,A000000,00700,0000,0700HOUSEKEEPING 137343,A000000,00800,0000,0800DIETARY 137343,A000000,00900,0000,0900NURSING ADMINISTRATION 137343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137343,A000000,01100,0000,1100PHARMACY 137343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137343,A000000,01300,0000,1300SOCIAL SERVICE 137343,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137343,A000000,01600,0000,1600SKILLED NURSING FACILITY 137343,A000000,01800,0000,1800NURSING FACILITY 137343,A000000,01900,0000,1900OTHER LONG TERM CARE 137343,A000000,02100,0000,2100RADIOLOGY 137343,A000000,02200,0000,2200LABORATORY 137343,A000000,02300,0000,2300INTRAVENOUS THERAPY 137343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137343,A000000,02500,0000,2500PHYSICAL THERAPY 137343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137343,A000000,02700,0000,2700SPEECH PATHOLOGY 137343,A000000,02800,0000,2800ELECTROCARDIOLOGY 137343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137343,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137343,A000000,03200,0000,3200SUPPORT SURFACES 137343,A000000,03400,0000,3400CLINIC 137343,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137343,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137343,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137343,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137343,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137343,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137343,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137343,A000000,04400,0000,4400DME RENTED - HHA 137343,A000000,04500,0000,4500DME SOLD - HHA 137343,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137343,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137343,A000000,04800,0000,4800AMBULANCE 137343,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137343,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137343,A000000,05300,0000,5300INTEREST EXPENSE 137343,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137343,A000000,05500,0000,5500HOSPICE 137343,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137343,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137343,A000000,06100,0000,6100NONPAID WORKERS 137343,A000000,06200,0000,6200PATIENTS LAUNDRY 137343,A81000A,00100,0100,N 137343,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137343,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137343,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137343,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137343,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137343,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137343,B100000,00000,0800,0850PAT DAYS :DIETARY 137343,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137343,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 137343,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137343,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137343,E10A180,00301,0100,01/25/00 137343,S000000,00100,0200,01/04/01 137343,S200000,00100,0100,3301 LAKEWOOD AVE. 137343,S200000,00200,0100,ATLANTA 137343,S200000,00200,0200,GA 137343,S200000,00200,0300,30310- 137343,S200000,00300,0100,FULTON 137343,S200000,00300,0200,0520 137343,S200000,00300,0300,U 137343,S200000,00400,0100,CAMILLA NURSING HOME 137343,S200000,00400,0200,115602 137343,S200000,00400,0300,04/01/96 137343,S200000,00400,0500,P 137343,S200000,00600,0200,115602 137343,S200000,00600,0300,04/01/96 137343,S200000,00600,0600,O 137343,S200000,01500,0100,N 137343,S200000,01600,0100,Y 137343,S200000,01700,0100,N 137343,S200000,01800,0100,N 137343,S200000,02200,0100,N 137343,S200000,02800,0100,N 137343,S200000,02900,0100,N 137343,S200000,03000,0100,N 137343,S200000,03100,0100,N 137343,S200000,03200,0100,N 137343,S200000,04100,0100,N 137343,S200000,04200,0100,N 137343,S200000,04300,0100,N 137343,S200000,04600,0100,N 137343,S200000,04700,0100,N 137343,S200000,04700,0200,N 137343,S200000,04900,0100,N 137343,S200000,05000,0100,N 137343,S200000,05100,0100,N 137343,S200000,05200,0100,N 137344,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137344,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137344,A000000,00300,0000,0300EMPLOYEE BENEFITS 137344,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137344,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137344,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137344,A000000,00700,0000,0700HOUSEKEEPING 137344,A000000,00800,0000,0800DIETARY 137344,A000000,00900,0000,0900NURSING ADMINISTRATION 137344,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137344,A000000,01100,0000,1100PHARMACY 137344,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137344,A000000,01300,0000,1300SOCIAL SERVICE 137344,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137344,A000000,01500,0000,1350OTHER GENERAL SERVICES 137344,A000000,01600,0000,1600SKILLED NURSING FACILITY 137344,A000000,01800,0000,1800NURSING FACILITY 137344,A000000,01900,0000,1900OTHER LONG TERM CARE 137344,A000000,02100,0000,2100RADIOLOGY 137344,A000000,02200,0000,2200LABORATORY 137344,A000000,02300,0000,2300INTRAVENOUS THERAPY 137344,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137344,A000000,02500,0000,2500PHYSICAL THERAPY 137344,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137344,A000000,02700,0000,2700SPEECH PATHOLOGY 137344,A000000,02800,0000,2800ELECTROCARDIOLOGY 137344,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137344,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137344,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137344,A000000,03200,0000,3200SUPPORT SURFACES 137344,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137344,A000000,03400,0000,3400CLINIC 137344,A000000,03500,0000,3500RURAL HEALTH CLINIC 137344,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137344,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137344,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137344,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137344,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137344,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137344,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137344,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137344,A000000,04400,0000,4400DME RENTED - HHA 137344,A000000,04500,0000,4500DME SOLD - HHA 137344,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137344,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137344,A000000,04800,0000,4800AMBULANCE 137344,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137344,A000000,05000,0000,5000CORF 137344,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137344,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137344,A000000,05300,0000,5300INTEREST EXPENSE 137344,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137344,A000000,05500,0000,5500HOSPICE 137344,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137344,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137344,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137344,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137344,A000000,06100,0000,6100NONPAID WORKERS 137344,A000000,06200,0000,6200PATIENTS LAUNDRY 137344,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137344,A81000A,00100,0100,Y 137344,A81000B,00100,0300,MANAGEMENT SERVICES 137344,A81000B,00200,0300,MANAGEMENT SERVICES 137344,A81000B,00300,0300,PHYSICAL THERAPY 137344,A81000B,00400,0300,OCCUPATIONAL THERAPY 137344,A81000B,00500,0300,SPEECH THERAPY 137344,A81000C,00100,0100,B 137344,A81000C,00100,0400,CARE MORE MANAGEMENT 137344,A81000C,00100,0600,MANAGEMENT 137344,A81000C,00200,0100,B 137344,A81000C,00200,0400,CARE MORE MANAGEMENT 137344,A81000C,00200,0600,MANAGEMENT 137344,A81000C,00300,0100,A 137344,A81000C,00300,0200,SEE ATTACHED 137344,A81000C,00300,0600,THERAPY 137344,A81000C,00400,0100,A 137344,A81000C,00400,0200,SEE ATTACHED 137344,A81000C,00400,0600,THERAPY 137344,A81000C,00500,0100,A 137344,A81000C,00500,0200,SEE ATTACHED 137344,A81000C,00500,0600,THERAPY 137344,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137344,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137344,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137344,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137344,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137344,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137344,B100000,00000,0800,0800MEALS SERVED :DIETARY 137344,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137344,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137344,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137344,E10A180,00301,0100,01/28/00 137344,S000000,00100,0200,12/04/00 137344,S200000,00100,0100,1310 W. GORDON STREET 137344,S200000,00200,0100,DOUGLAS 137344,S200000,00200,0200,GA 137344,S200000,00200,0300,31533- 137344,S200000,00300,0100,COFFEE 137344,S200000,00300,0200,11 137344,S200000,00300,0300,R 137344,S200000,00400,0100,SHADY ACRES CONVALESCENT 137344,S200000,00400,0200,115611 137344,S200000,00400,0300,10/01/96 137344,S200000,00400,0500,P 137344,S200000,01500,0100,Y 137344,S200000,01600,0100,N 137344,S200000,01700,0100,N 137344,S200000,01800,0100,N 137344,S200000,02200,0100,N 137344,S200000,02800,0100,N 137344,S200000,02900,0100,N 137344,S200000,03000,0100,N 137344,S200000,03100,0100,N 137344,S200000,03200,0100,N 137344,S200000,04100,0100,N 137344,S200000,04200,0100,N 137344,S200000,04300,0100,N 137344,S200000,04600,0100,N 137344,S200000,04700,0100,N 137344,S200000,04700,0200,N 137344,S200000,04900,0100,N 137344,S200000,05000,0100,N 137344,S200000,05100,0100,N 137344,S200000,05200,0100,N 137346,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137346,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137346,A000000,00300,0000,0300EMPLOYEE BENEFITS 137346,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137346,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137346,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137346,A000000,00700,0000,0700HOUSEKEEPING 137346,A000000,00800,0000,0800DIETARY 137346,A000000,00801,0000,0801CAFETERIA 137346,A000000,00900,0000,0900NURSING ADMINISTRATION 137346,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137346,A000000,01100,0000,1100PHARMACY 137346,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137346,A000000,01300,0000,1300SOCIAL SERVICE 137346,A000000,01600,0000,1600SKILLED NURSING FACILITY 137346,A000000,01800,0000,1800NURSING FACILITY 137346,A000000,01900,0000,1900OTHER LONG TERM CARE 137346,A000000,02100,0000,2100RADIOLOGY 137346,A000000,02200,0000,2200LABORATORY 137346,A000000,02300,0000,2300INTRAVENOUS THERAPY 137346,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137346,A000000,02500,0000,2500PHYSICAL THERAPY 137346,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137346,A000000,02700,0000,2700SPEECH PATHOLOGY 137346,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137346,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137346,A000000,03200,0000,3200SUPPORT SURFACES 137346,A000000,05300,0000,5300INTEREST EXPENSE 137346,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137346,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137346,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137346,A81000A,00100,0100,Y 137346,A81000B,00100,0300,NEW CAP BLDG AND FIXTURES 137346,A81000B,00200,0300,HOME OFFICE COSTS 137346,A81000C,00100,0100,B 137346,A81000C,00100,0200,SISTERS OF CHAR 137346,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137346,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137346,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137346,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137346,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137346,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137346,B100000,00000,0800,0800MEALS SERVED :DIETARY 137346,B100000,00000,0801,0851FTE EMPLOYEES :CAFETERIA 137346,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137346,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137346,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 137346,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137346,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137346,S000000,00100,0200,12/12/00 137346,S200000,00100,0100,2301 STERLINGTON ROAD 137346,S200000,00200,0100,MONROE 137346,S200000,00200,0200,LA 137346,S200000,00200,0300,71211- 137346,S200000,00300,0100,QUACHITA 137346,S200000,00300,0200,5200 137346,S200000,00300,0300,U 137346,S200000,00400,0100,ST. JOSEPH S HOME 137346,S200000,00400,0200,195539 137346,S200000,00400,0300,11/06/95 137346,S200000,00400,0500,P 137346,S200000,01500,0100,N 137346,S200000,01600,0100,Y 137346,S200000,01700,0100,N 137346,S200000,01800,0100,N 137346,S200000,02200,0100,N 137346,S200000,02800,0100,N 137346,S200000,02900,0100,N 137346,S200000,03000,0100,N 137346,S200000,03100,0100,N 137346,S200000,03200,0100,N 137346,S200000,04100,0100,N 137346,S200000,04200,0100,N 137346,S200000,04300,0100,N 137346,S200000,04600,0100,N 137346,S200000,04700,0100,N 137346,S200000,04700,0200,N 137346,S200000,04900,0100,N 137346,S200000,05000,0100,N 137346,S200000,05100,0100,N 137346,S200000,05200,0100,N 137349,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137349,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137349,A000000,00300,0000,0300EMPLOYEE BENEFITS 137349,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137349,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137349,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137349,A000000,00700,0000,0700HOUSEKEEPING 137349,A000000,00800,0000,0800DIETARY 137349,A000000,00900,0000,0900NURSING ADMINISTRATION 137349,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137349,A000000,01100,0000,1100PHARMACY 137349,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137349,A000000,01300,0000,1300SOCIAL SERVICE 137349,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137349,A000000,01500,0000,1350OTHER GENERAL SERVICES 137349,A000000,01501,0000,1351ACTIVITIES 137349,A000000,01600,0000,1600SKILLED NURSING FACILITY 137349,A000000,01800,0000,1800NURSING FACILITY 137349,A000000,01810,0000,1810ICF/MR 137349,A000000,01900,0000,1900OTHER LONG TERM CARE 137349,A000000,02100,0000,2100RADIOLOGY 137349,A000000,02200,0000,2200LABORATORY 137349,A000000,02300,0000,2300INTRAVENOUS THERAPY 137349,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137349,A000000,02500,0000,2500PHYSICAL THERAPY 137349,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137349,A000000,02700,0000,2700SPEECH PATHOLOGY 137349,A000000,02800,0000,2800ELECTROCARDIOLOGY 137349,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137349,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137349,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137349,A000000,03200,0000,3200SUPPORT SURFACES 137349,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137349,A000000,03400,0000,3400CLINIC 137349,A000000,03500,0000,3500RURAL HEALTH CLINIC 137349,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137349,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137349,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137349,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137349,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137349,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137349,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137349,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137349,A000000,04400,0000,4400DME RENTED - HHA 137349,A000000,04500,0000,4500DME SOLD - HHA 137349,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137349,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137349,A000000,04800,0000,4800AMBULANCE 137349,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137349,A000000,05000,0000,5000CORF 137349,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137349,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137349,A000000,05300,0000,5300INTEREST EXPENSE 137349,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137349,A000000,05500,0000,5500HOSPICE 137349,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137349,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137349,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137349,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137349,A000000,06100,0000,6100NONPAID WORKERS 137349,A000000,06200,0000,6200PATIENTS LAUNDRY 137349,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137349,A81000A,00100,0100,Y 137349,A81000B,00100,0300,HOME OFFICE ALLOCATION 137349,A81000C,00100,0100,B 137349,A81000C,00100,0400,HEARTWAY CORPORATION 137349,A81000C,00100,0600,NURSING HOME OPERATORS 137349,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137349,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137349,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137349,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137349,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137349,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137349,B100000,00000,0800,0800MEALS SERVED :DIETARY 137349,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 137349,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 137349,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137349,B100000,00000,1501,1351PATIENT DAYS :ACTIVITIES 137349,S000000,00100,0200,12/18/00 137349,S200000,00100,0100,1201 DIERKS 137349,S200000,00200,0100,BROKEN BOW 137349,S200000,00200,0200,OK 137349,S200000,00200,0300,74728- 137349,S200000,00300,0100,MCCURTAIN 137349,S200000,00300,0200,37 137349,S200000,00300,0300,R 137349,S200000,00400,0100,MCCURTAIN MANOR NURSING CENTER 137349,S200000,00400,0200,375133 137349,S200000,00400,0300,02/05/96 137349,S200000,00400,0500,P 137349,S200000,01500,0100,N 137349,S200000,01600,0100,Y 137349,S200000,01700,0100,N 137349,S200000,01800,0100,N 137349,S200000,02200,0100,N 137349,S200000,02800,0100,N 137349,S200000,02900,0100,N 137349,S200000,03000,0100,N 137349,S200000,03100,0100,N 137349,S200000,03200,0100,N 137349,S200000,04100,0100,N 137349,S200000,04200,0100,N 137349,S200000,04300,0100,N 137349,S200000,04600,0100,N 137349,S200000,04700,0100,N 137349,S200000,04700,0200,N 137349,S200000,04900,0100,N 137349,S200000,05000,0100,N 137349,S200000,05100,0100,N 137349,S200000,05200,0100,N 137350,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137350,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137350,A000000,00300,0000,0300EMPLOYEE BENEFITS 137350,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137350,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137350,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137350,A000000,00700,0000,0700HOUSEKEEPING 137350,A000000,00800,0000,0800DIETARY 137350,A000000,00900,0000,0900NURSING ADMINISTRATION 137350,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137350,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137350,A000000,01300,0000,1300SOCIAL SERVICE 137350,A000000,01500,0000,1350ACTIVITIES 137350,A000000,01600,0000,1600SKILLED NURSING FACILITY 137350,A000000,01800,0000,1800NURSING FACILITY 137350,A000000,02100,0000,2100RADIOLOGY 137350,A000000,02200,0000,2200LABORATORY 137350,A000000,02300,0000,2300INTRAVENOUS THERAPY 137350,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137350,A000000,02500,0000,2500PHYSICAL THERAPY 137350,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137350,A000000,02700,0000,2700SPEECH PATHOLOGY 137350,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137350,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137350,A000000,03200,0000,3200SUPPORT SURFACES 137350,A000000,04800,0000,4800AMBULANCE 137350,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137350,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137350,A81000A,00100,0100,Y 137350,A81000B,00100,0300,MANAGEMENT FEE 137350,A81000B,00200,0300,RADIOLOGY 137350,A81000B,00300,0300,PHARMACY COSTS 137350,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 137350,A81000B,00500,0300,PHARMACY COSTS 137350,A81000B,00600,0300,PHARMACY COSTS 137350,A81000B,00700,0300,PEN SUPPLIES 137350,A81000B,00800,0300,SUPPORT SURFACES 137350,A81000B,00900,0300,OXYGEN THERAPY 137350,A81000B,01000,0300,THERAPY COSTS 137350,A81000B,01100,0300,THERAPY COSTS 137350,A81000B,01200,0300,THERAPY COSTS 137350,A81000B,01300,0300,IV THERAPY COSTS 137350,A81000B,01400,0300,MEDICAL SUPPLY COSTS 137350,A81000C,00100,0100,F 137350,A81000C,00100,0200,GRADY COUNTY 137350,A81000C,00100,0400,AMITY CARE CORP 137350,A81000C,00100,0600,LTC MGMT CO 137350,A81000C,00200,0100,F 137350,A81000C,00200,0200,GRADY COUNTY 137350,A81000C,00200,0400,US X-RAY 137350,A81000C,00200,0600,X-RAY CO 137350,A81000C,00300,0100,F 137350,A81000C,00300,0200,GRADY COUNTY 137350,A81000C,00300,0400,PHARMACY SOLUTIONS 137350,A81000C,00300,0600,PHARMACY CO 137350,A81000C,00400,0100,F 137350,A81000C,00400,0200,GRADY COUNTY 137350,A81000C,00400,0400,CARE SOURCE 137350,A81000C,00400,0600,MEDICAL SUPPLY CO 137350,A81000C,00500,0100,F 137350,A81000C,00500,0200,GRADY COUNTY 137350,A81000C,00500,0400,REHABSOURCE 137350,A81000C,00500,0600,THERAPY CO 137350,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137350,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137350,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137350,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137350,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137350,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137350,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137350,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 137350,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137350,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137350,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137350,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 137350,E10A180,00301,0100,01/11/00 137350,S000000,00100,0200,12/04/00 137350,S200000,00100,0100,2300 IOWA AVENUE 137350,S200000,00200,0100,CHICKASHA 137350,S200000,00200,0200,OK 137350,S200000,00200,0300,73023- 137350,S200000,00300,0100,GRADY 137350,S200000,00300,0200,37 137350,S200000,00300,0300,R 137350,S200000,00400,0100,CONVALESCENT CTR OF GRADY COUNTY 137350,S200000,00400,0200,375144 137350,S200000,00400,0300,11/01/93 137350,S200000,00400,0500,P 137350,S200000,01500,0100,Y 137350,S200000,01600,0100,N 137350,S200000,01700,0100,N 137350,S200000,01800,0100,N 137350,S200000,02200,0100,Y 137350,S200000,02800,0100,N 137350,S200000,02900,0100,N 137350,S200000,03000,0100,N 137350,S200000,03100,0100,N 137350,S200000,03200,0100,N 137350,S200000,04100,0100,N 137350,S200000,04200,0100,N 137350,S200000,04300,0100,N 137350,S200000,04600,0100,N 137350,S200000,04700,0100,N 137350,S200000,04700,0200,N 137350,S200000,04900,0100,N 137350,S200000,05000,0100,N 137350,S200000,05100,0100,N 137350,S200000,05200,0100,N 137351,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137351,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137351,A000000,00300,0000,0300EMPLOYEE BENEFITS 137351,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137351,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137351,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137351,A000000,00700,0000,0700HOUSEKEEPING 137351,A000000,00800,0000,0800DIETARY 137351,A000000,00900,0000,0900NURSING ADMINISTRATION 137351,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137351,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137351,A000000,01300,0000,1300SOCIAL SERVICE 137351,A000000,01500,0000,1350ACTIVITIES 137351,A000000,01600,0000,1600SKILLED NURSING FACILITY 137351,A000000,01800,0000,1800NURSING FACILITY 137351,A000000,02100,0000,2100RADIOLOGY 137351,A000000,02200,0000,2200LABORATORY 137351,A000000,02300,0000,2300INTRAVENOUS THERAPY 137351,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137351,A000000,02500,0000,2500PHYSICAL THERAPY 137351,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137351,A000000,02700,0000,2700SPEECH PATHOLOGY 137351,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137351,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137351,A000000,03200,0000,3200SUPPORT SURFACES 137351,A000000,04800,0000,4800AMBULANCE 137351,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137351,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137351,A81000A,00100,0100,Y 137351,A81000B,00100,0300,MANAGEMENT FEE 137351,A81000B,00200,0300,RADIOLOGY 137351,A81000B,00300,0300,PHARMACY COSTS 137351,A81000B,00400,0300,PHARMACY CONSULTANT COSTS 137351,A81000B,00500,0300,PHARMACY COSTS 137351,A81000B,00600,0300,PHARMACY COSTS 137351,A81000B,00700,0300,PEN SUPPLIES 137351,A81000B,00800,0300,SUPPORT SURFACES 137351,A81000B,00900,0300,OXYGEN THERAPY 137351,A81000B,01000,0300,THERAPY COSTS 137351,A81000B,01100,0300,THERAPY COSTS 137351,A81000B,01200,0300,THERAPY COSTS 137351,A81000B,01300,0300,MEDICAL SUPPLY COSTS 137351,A81000C,00100,0100,F 137351,A81000C,00100,0200,TIMBERLANE MANOR 137351,A81000C,00100,0400,AMITY CARE CORP 137351,A81000C,00100,0600,LTC MGMT CO 137351,A81000C,00200,0100,F 137351,A81000C,00200,0200,TIMBERLANE MANOR 137351,A81000C,00200,0400,U S X-RAY 137351,A81000C,00200,0600,X-RAY CO 137351,A81000C,00300,0100,F 137351,A81000C,00300,0200,TIMBERLANE MANOR 137351,A81000C,00300,0400,PHARMACY SOLUTIONS 137351,A81000C,00300,0600,PHARMACY CO 137351,A81000C,00400,0100,F 137351,A81000C,00400,0200,TIMBERLANE MANOR 137351,A81000C,00400,0400,CARE SOURCE 137351,A81000C,00400,0600,MEDICAL SUPPLY CO 137351,A81000C,00500,0100,F 137351,A81000C,00500,0200,TIMBERLANE MANOR 137351,A81000C,00500,0400,REHABSOURCE 137351,A81000C,00500,0600,THERAPY CO. 137351,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137351,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137351,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137351,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137351,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137351,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137351,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137351,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 137351,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137351,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137351,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137351,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 137351,S000000,00100,0200,12/04/00 137351,S200000,00100,0100,2520 SOUTH RANKIN 137351,S200000,00200,0100,EDMOND 137351,S200000,00200,0200,OK 137351,S200000,00200,0300,73083- 137351,S200000,00300,0100,OKLAHOMA 137351,S200000,00300,0200,5880 137351,S200000,00300,0300,U 137351,S200000,00400,0100,TIMBERLANE MANOR 137351,S200000,00400,0200,375158 137351,S200000,00400,0300,05/01/94 137351,S200000,00400,0500,P 137351,S200000,01500,0100,Y 137351,S200000,01600,0100,N 137351,S200000,01700,0100,N 137351,S200000,01800,0100,N 137351,S200000,02200,0100,Y 137351,S200000,02800,0100,N 137351,S200000,02900,0100,N 137351,S200000,03000,0100,N 137351,S200000,03100,0100,N 137351,S200000,03200,0100,N 137351,S200000,04100,0100,N 137351,S200000,04200,0100,N 137351,S200000,04300,0100,N 137351,S200000,04600,0100,N 137351,S200000,04700,0100,N 137351,S200000,04700,0200,N 137351,S200000,04900,0100,N 137351,S200000,05000,0100,N 137351,S200000,05100,0100,N 137351,S200000,05200,0100,N 137352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137352,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137352,A000000,00300,0000,0300EMPLOYEE BENEFITS 137352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137352,A000000,00700,0000,0700HOUSEKEEPING 137352,A000000,00800,0000,0800DIETARY 137352,A000000,00900,0000,0900NURSING ADMINISTRATION 137352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137352,A000000,01300,0000,1300SOCIAL SERVICE 137352,A000000,01500,0000,1350ACTIVITIES 137352,A000000,01600,0000,1600SKILLED NURSING FACILITY 137352,A000000,01800,0000,1800NURSING FACILITY 137352,A000000,02100,0000,2100RADIOLOGY 137352,A000000,02200,0000,2200LABORATORY 137352,A000000,02300,0000,2300INTRAVENOUS THERAPY 137352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137352,A000000,02500,0000,2500PHYSICAL THERAPY 137352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137352,A000000,02700,0000,2700SPEECH PATHOLOGY 137352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137352,A000000,03200,0000,3200SUPPORT SURFACES 137352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137352,A81000A,00100,0100,Y 137352,A81000B,00100,0300,MANAGEMENT FEE 137352,A81000B,00200,0300,RADIOLOGY 137352,A81000B,00300,0300,PHARMACY CONSULTANT COSTS 137352,A81000B,00400,0300,PHARMACY COSTS 137352,A81000B,00500,0300,PHARMACY COSTS 137352,A81000B,00600,0300,PEN SUPPLIES 137352,A81000B,00700,0300,SUPPORT SURFACES 137352,A81000B,00800,0300,OXYGEN THERAPY 137352,A81000B,00900,0300,THERAPY COSTS 137352,A81000B,01000,0300,THERAPY COSTS 137352,A81000B,01100,0300,THERAPY COSTS 137352,A81000B,01200,0300,IV THERAPY COSTS 137352,A81000B,01300,0300,MEDICAL SUPPLIES 137352,A81000B,01400,0300,THERAPY SUPPLIES 137352,A81000B,01500,0300,CAPITAL COST 137352,A81000C,00100,0100,F 137352,A81000C,00100,0200,AZALEA PARK 137352,A81000C,00100,0400,AMITY CARE CORP 137352,A81000C,00100,0600,LTC MAGMT CO 137352,A81000C,00200,0100,F 137352,A81000C,00200,0200,AZALEA PARK 137352,A81000C,00200,0400,U S X-RAY 137352,A81000C,00200,0600,X-RAY CO 137352,A81000C,00300,0100,F 137352,A81000C,00300,0200,AZALEA PARK 137352,A81000C,00300,0400,PAHRMACY SOLUTIONS 137352,A81000C,00300,0600,PHARMACY CO 137352,A81000C,00400,0100,F 137352,A81000C,00400,0200,AZALEA PARK 137352,A81000C,00400,0400,CARE SOURCE 137352,A81000C,00400,0600,MEDICAL SUPPLY CO 137352,A81000C,00500,0100,F 137352,A81000C,00500,0200,AZALEA PARK 137352,A81000C,00500,0400,REHABSOURCE 137352,A81000C,00500,0600,THERAPY CO 137352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137352,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137352,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 137352,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137352,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137352,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 137352,S000000,00100,0200,12/04/00 137352,S200000,00100,0100,4717 WEST OKMULGEE 137352,S200000,00200,0100,MUSKOGEE 137352,S200000,00200,0200,OK 137352,S200000,00200,0300,74401- 137352,S200000,00300,0100,MUSKOGEE 137352,S200000,00300,0200,37 137352,S200000,00300,0300,R 137352,S200000,00400,0100,AZALEA PARK MANOR 137352,S200000,00400,0200,375159 137352,S200000,00400,0300,04/01/94 137352,S200000,00400,0500,P 137352,S200000,01500,0100,Y 137352,S200000,01600,0100,N 137352,S200000,01700,0100,N 137352,S200000,01800,0100,N 137352,S200000,02200,0100,Y 137352,S200000,02800,0100,N 137352,S200000,02900,0100,N 137352,S200000,03000,0100,N 137352,S200000,03100,0100,N 137352,S200000,03200,0100,N 137352,S200000,04100,0100,N 137352,S200000,04200,0100,N 137352,S200000,04300,0100,N 137352,S200000,04600,0100,N 137352,S200000,04700,0100,N 137352,S200000,04700,0200,N 137352,S200000,04900,0100,N 137352,S200000,05000,0100,N 137352,S200000,05100,0100,N 137352,S200000,05200,0100,N 137363,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137363,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137363,A000000,00300,0000,0300EMPLOYEE BENEFITS 137363,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137363,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137363,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137363,A000000,00700,0000,0700HOUSEKEEPING 137363,A000000,00800,0000,0800DIETARY 137363,A000000,00900,0000,0900NURSING ADMINISTRATION 137363,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137363,A000000,01100,0000,1100PHARMACY 137363,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137363,A000000,01300,0000,1300SOCIAL SERVICE 137363,A000000,01301,0000,1351ACTIVITIES 137363,A000000,01600,0000,1600SKILLED NURSING FACILITY 137363,A000000,01800,0000,1800NURSING FACILITY 137363,A000000,02100,0000,2100RADIOLOGY 137363,A000000,02200,0000,2200LABORATORY 137363,A000000,02300,0000,2300INTRAVENOUS THERAPY 137363,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137363,A000000,02500,0000,2500PHYSICAL THERAPY 137363,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137363,A000000,02700,0000,2700SPEECH PATHOLOGY 137363,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137363,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137363,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137363,A000000,03301,0000,3051MEDICAL EQUIPMENT 137363,A000000,04800,0000,4800AMBULANCE 137363,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137363,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137363,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137363,A81000A,00100,0100,Y 137363,A81000B,00100,0300,HOME OFFICE CAPITAL 137363,A81000B,00200,0300,HOME OFFICE NONCAPITAL 137363,A81000B,00300,0300,WAREHOUSE 137363,A81000C,00100,0100,A 137363,A81000C,00100,0200,PETER C. KERN 137363,A81000C,00100,0400,HEA MANAGEMENT GROUP 137363,A81000C,00100,0600,HOME OFFICE 137363,A81000C,00200,0100,A 137363,A81000C,00200,0200,PETER C. KERN 137363,A81000C,00200,0400,WAREHOUSE STORAGE 137363,A81000C,00200,0600,OLD RECORD STORAGE 137363,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137363,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137363,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137363,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137363,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137363,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137363,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137363,B100000,00000,0800,0800MEALS SERVED :DIETARY 137363,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 137363,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137363,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137363,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137363,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137363,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 137363,S000000,00100,0200,05/30/00 137363,S200000,00100,0100,803 SOUTH ALAMO 137363,S200000,00200,0100,LEVELLAND 137363,S200000,00200,0200,TX 137363,S200000,00200,0300,79336- 137363,S200000,00300,0100,HOCKELY 137363,S200000,00300,0200,45 137363,S200000,00300,0300,R 137363,S200000,00400,0100,LYNWOOD MANOR 137363,S200000,00400,0200,455871 137363,S200000,00400,0300,03/19/90 137363,S200000,00400,0500,P 137363,S200000,01500,0100,N 137363,S200000,01600,0100,Y 137363,S200000,01700,0100,N 137363,S200000,01800,0100,N 137363,S200000,02200,0100,Y 137363,S200000,02800,0100,N 137363,S200000,02900,0100,N 137363,S200000,03000,0100,N 137363,S200000,03100,0100,N 137363,S200000,03200,0100,N 137363,S200000,04100,0100,N 137363,S200000,04200,0100,N 137363,S200000,04300,0100,Y 137363,S200000,04600,0100,N 137363,S200000,04700,0100,N 137363,S200000,04700,0200,N 137363,S200000,04900,0100,N 137363,S200000,05000,0100,N 137363,S200000,05100,0100,N 137363,S200000,05200,0100,N 137436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137436,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137436,A000000,00300,0000,0300EMPLOYEE BENEFITS 137436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137436,A000000,00700,0000,0700HOUSEKEEPING 137436,A000000,00800,0000,0800DIETARY 137436,A000000,00900,0000,0900NURSING ADMINISTRATION 137436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137436,A000000,01100,0000,1100PHARMACY 137436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137436,A000000,01300,0000,1300SOCIAL SERVICE 137436,A000000,01600,0000,1600SKILLED NURSING FACILITY 137436,A000000,01800,0000,1800NURSING FACILITY 137436,A000000,01900,0000,1900OTHER LONG TERM CARE 137436,A000000,02100,0000,2100RADIOLOGY 137436,A000000,02200,0000,2200LABORATORY 137436,A000000,02300,0000,2300INTRAVENOUS THERAPY 137436,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137436,A000000,02500,0000,2500PHYSICAL THERAPY 137436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137436,A000000,02700,0000,2700SPEECH PATHOLOGY 137436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137436,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 137436,A000000,04800,0000,4800AMBULANCE 137436,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137436,A81000A,00100,0100,Y 137436,A81000B,00100,0300,HOME OFFICE ALLOC 137436,A81000B,00200,0300,HOME OFFICE ALLOC 137436,A81000B,00300,0300,PHARMACY 137436,A81000B,00400,0300,PHYSICAL THERAPY 137436,A81000B,00500,0300,OCCUPATIONAL THERAPY 137436,A81000B,00600,0300,SPEECH THERAPY 137436,A81000C,00100,0100,A 137436,A81000C,00100,0200,COVENANT CARE INC 137436,A81000C,00100,0400,COVENANT CARE INC. 137436,A81000C,00100,0600,HEALTH CARE 137436,A81000C,00200,0100,B 137436,A81000C,00200,0200,PHARMACY 137436,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 137436,A81000C,00200,0600,PHARMACY - HEALTH CARE 137436,A81000C,00300,0100,C 137436,A81000C,00300,0200,THERAPY 137436,A81000C,00300,0400,SELECT THEREAPY 137436,A81000C,00300,0600,THERAPY SERVICES 137436,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137436,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137436,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137436,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137436,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137436,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137436,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137436,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137436,B100000,00000,0900,0950 NURSING SALARIES :NURSING ADMIN 137436,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 137436,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 137436,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137436,S000000,00100,0200,06/01/00 137436,S200000,00100,0100,2725 PAPCIFIC AVENUE 137436,S200000,00200,0100,LONG BEACH 137436,S200000,00200,0200,CA 137436,S200000,00200,0300,90806- 137436,S200000,00300,0100,LOS ANGELES 137436,S200000,00300,0200,4480 137436,S200000,00300,0300,U 137436,S200000,00400,0100,ROYAL CARE SKILLED NURSING CENTER 137436,S200000,00400,0200,055041 137436,S200000,00400,0300,05/01/74 137436,S200000,00400,0500,P 137436,S200000,00600,0200,055041 137436,S200000,00600,0300,05/01/74 137436,S200000,01500,0100,N 137436,S200000,01600,0100,Y 137436,S200000,01700,0100,N 137436,S200000,01800,0100,N 137436,S200000,02200,0100,N 137436,S200000,02800,0100,N 137436,S200000,02900,0100,N 137436,S200000,03000,0100,N 137436,S200000,03100,0100,N 137436,S200000,03200,0100,N 137436,S200000,04100,0100,N 137436,S200000,04200,0100,N 137436,S200000,04300,0100,N 137436,S200000,04600,0100,N 137436,S200000,04700,0100,N 137436,S200000,04700,0200,N 137436,S200000,04900,0100,N 137436,S200000,05000,0100,N 137436,S200000,05100,0100,N 137436,S200000,05200,0100,N 137446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137446,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137446,A000000,00300,0000,0300EMPLOYEE BENEFITS 137446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137446,A000000,00700,0000,0700HOUSEKEEPING 137446,A000000,00800,0000,0800DIETARY 137446,A000000,00900,0000,0900NURSING ADMINISTRATION 137446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137446,A000000,01100,0000,1100PHARMACY 137446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137446,A000000,01300,0000,1300SOCIAL SERVICE 137446,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137446,A000000,01500,0000,1350OTHER GENERAL SERVICES 137446,A000000,01600,0000,1600SKILLED NURSING FACILITY 137446,A000000,01800,0000,1800NURSING FACILITY 137446,A000000,01810,0000,1810ICF/MR 137446,A000000,01900,0000,1900OTHER LONG TERM CARE 137446,A000000,02100,0000,2100RADIOLOGY 137446,A000000,02200,0000,2200LABORATORY 137446,A000000,02300,0000,2300INTRAVENOUS THERAPY 137446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137446,A000000,02500,0000,2500PHYSICAL THERAPY 137446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137446,A000000,02700,0000,2700SPEECH PATHOLOGY 137446,A000000,02800,0000,2800ELECTROCARDIOLOGY 137446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137446,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137446,A000000,03200,0000,3200SUPPORT SURFACES 137446,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137446,A000000,03400,0000,3400CLINIC 137446,A000000,03500,0000,3500RURAL HEALTH CLINIC 137446,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137446,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137446,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137446,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137446,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137446,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137446,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137446,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137446,A000000,04400,0000,4400DME RENTED - HHA 137446,A000000,04500,0000,4500DME SOLD - HHA 137446,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137446,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137446,A000000,04800,0000,4800AMBULANCE 137446,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137446,A000000,05000,0000,5000CORF 137446,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137446,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137446,A000000,05300,0000,5300INTEREST EXPENSE 137446,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137446,A000000,05500,0000,5500HOSPICE 137446,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137446,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137446,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137446,A000000,06100,0000,6100NONPAID WORKERS 137446,A000000,06200,0000,6200PATIENTS LAUNDRY 137446,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137446,A81000A,00100,0100,Y 137446,A81000B,00100,0300,RENTAL 137446,A81000B,00200,0300,RENTAL 137446,A81000B,00300,0300,HOME OFFICE RELATED PARTY 137446,A81000B,00400,0300,HOME OFFICE RELATED PARTY 137446,A81000B,00500,0300,HOME OFFICE RELATED PARTY 137446,A81000C,00100,0100,A 137446,A81000C,00100,0200,KARSCHNER MAGIONE ETAL 137446,A81000C,00100,0400,CHATSWORTH LTD 137446,A81000C,00100,0600,RENTAL 137446,A81000C,00200,0100,A 137446,A81000C,00200,0200,SAME AS LINE 1 137446,A81000C,00300,0100,A 137446,A81000C,00300,0200,BLUE RIDGE NH 137446,A81000C,00300,0400,BLUE RIDGE NH 137446,A81000C,00300,0600,HOME OFFICE 137446,A81000C,00400,0200,SAME AS LINE 3 137446,A81000C,00500,0200,SAME AS LINE 3 137446,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137446,B100000,00000,0200,0250NO STATISTICS :CAP REL COSTS - 137446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137446,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137446,B100000,00000,0600,0650LBS OF LAUN :LAUNDRY & LINEN SER 137446,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 137446,B100000,00000,0800,0850PAT DAYS :DIETARY 137446,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137446,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137446,S000000,00100,0200,12/01/00 137446,S200000,00100,0100,HOSPITAL DRIVE 137446,S200000,00100,0300,1126 137446,S200000,00200,0100,CHATSWORTH 137446,S200000,00200,0200,GA 137446,S200000,00200,0300,30705- 137446,S200000,00300,0100,MURRAY 137446,S200000,00300,0200,11 137446,S200000,00300,0300,R 137446,S200000,00400,0100,CHATSWORTH HCC INC 137446,S200000,00400,0200,115280 137446,S200000,00400,0300,03/25/81 137446,S200000,00400,0500,P 137446,S200000,01500,0100,N 137446,S200000,01600,0100,Y 137446,S200000,01700,0100,N 137446,S200000,01800,0100,N 137446,S200000,02200,0100,N 137446,S200000,02800,0100,N 137446,S200000,02900,0100,N 137446,S200000,03000,0100,N 137446,S200000,03100,0100,N 137446,S200000,03200,0100,N 137446,S200000,04100,0100,N 137446,S200000,04200,0100,N 137446,S200000,04300,0100,N 137446,S200000,04600,0100,N 137446,S200000,04700,0100,N 137446,S200000,04700,0200,N 137446,S200000,04900,0100,N 137446,S200000,05000,0100,N 137446,S200000,05100,0100,N 137446,S200000,05200,0100,N 137448,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137448,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137448,A000000,00300,0000,0300EMPLOYEE BENEFITS 137448,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137448,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137448,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137448,A000000,00700,0000,0700HOUSEKEEPING 137448,A000000,00800,0000,0800DIETARY 137448,A000000,00900,0000,0900NURSING ADMINISTRATION 137448,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137448,A000000,01100,0000,1100PHARMACY 137448,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137448,A000000,01300,0000,1300SOCIAL SERVICE 137448,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137448,A000000,01500,0000,1350ACTIVITIES 137448,A000000,01600,0000,1600SKILLED NURSING FACILITY 137448,A000000,01800,0000,1800NURSING FACILITY 137448,A000000,01900,0000,1900OTHER LONG TERM CARE 137448,A000000,02100,0000,2100RADIOLOGY 137448,A000000,02200,0000,2200LABORATORY 137448,A000000,02300,0000,2300INTRAVENOUS THERAPY 137448,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137448,A000000,02500,0000,2500PHYSICAL THERAPY 137448,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137448,A000000,02700,0000,2700SPEECH PATHOLOGY 137448,A000000,02800,0000,2800ELECTROCARDIOLOGY 137448,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137448,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137448,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137448,A000000,03200,0000,3200SUPPORT SURFACES 137448,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137448,A000000,03400,0000,3400CLINIC 137448,A000000,03500,0000,3500RURAL HEALTH CLINIC 137448,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137448,A000000,04800,0000,4800AMBULANCE 137448,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137448,A000000,05000,0000,5000CORF 137448,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137448,A000000,05300,0000,5300INTEREST EXPENSE 137448,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137448,A000000,05500,0000,5500HOSPICE 137448,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137448,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137448,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137448,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137448,A000000,06100,0000,6100NONPAID WORKERS 137448,A000000,06200,0000,6200PATIENTS LAUNDRY 137448,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137448,A81000A,00100,0100,Y 137448,A81000B,00100,0300,NURSING SUPPLIES 137448,A81000B,00200,0300,NURSING SUPPLIES 137448,A81000B,00300,0300,FLU VACCINE 137448,A81000B,00400,0300,DRUGS RELATED 137448,A81000B,00500,0300,PHARMACY CONSULTANT 137448,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 137448,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 137448,A81000B,00800,0300,SUPPLIES 137448,A81000B,00900,0300,SUPPLIES 137448,A81000B,01000,0300,PLANT OPERATION MAINT. & REPAIRS 137448,A81000B,01100,0300,ADMINISTRATIVE & GENERAL 137448,A81000B,01200,0300,FACILITY LEASE 137448,A81000B,01300,0300,POOLED COST/INTEREST EXP/INTEREST IN 137448,A81000B,01400,0300,FACILITY ADMINISTRATOR 137448,A81000B,01500,0300,DIETARY CONSULTANT 137448,A81000B,01600,0300,NURSE CONSULTANT 137448,A81000B,01700,0300,REGIONAL PERSONNEL 137448,A81000B,01800,0300,CAP REL COSTS - BLDGS & FIXTURES 137448,A81000B,01900,0300,THERAPY CONSULTANT 137448,A81000B,02000,0300,MAINTENANCE CONSULTANT 137448,A81000B,02100,0300,ACCOUNTS RECEIVABLE DEPT 137448,A81000B,02200,0300,AIDE TRAINING 137448,A81000B,02300,0300,PHYSICAL THERAPY 137448,A81000B,02400,0300,MEDICAL RECORDS 137448,A81000B,02500,0300,SOCIAL SERVICES 137448,A81000B,02600,0300,ACCOUNTS RECEIVABLE DEPT 137448,A81000C,00100,0100,B 137448,A81000C,00100,0200,NEIL PRUITT 137448,A81000C,00100,0400,UNITED REHAB 137448,A81000C,00100,0600,THERAPY 137448,A81000C,00200,0100,B 137448,A81000C,00200,0200,NEIL PRUITT 137448,A81000C,00200,0400,UNITED PHARMACY 137448,A81000C,00200,0600,PHARMACY 137448,A81000C,00300,0100,B 137448,A81000C,00300,0200,NEIL PRUITT 137448,A81000C,00300,0400,PRUITT PROPERTI 137448,A81000C,00300,0600,RENTAL 137448,A81000C,00400,0100,B 137448,A81000C,00400,0200,NEIL PRUITT 137448,A81000C,00400,0400,PRUITT CORPORAT 137448,A81000C,00400,0600,MANAGEMENT 137448,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137448,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137448,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137448,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137448,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137448,B100000,00000,0800,0800MEALS SERVED :DIETARY 137448,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137448,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137448,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137448,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137448,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137448,E10A180,00301,0100,01/27/00 137448,S000000,00100,0200,12/04/00 137448,S200000,00100,0100,404 INDUSTRIAL DRIVE 137448,S200000,00200,0100,ASHBURN GEORGIA 31714 137448,S200000,00200,0200,CA 137448,S200000,00200,0300, - 137448,S200000,00300,0100,TURNER 137448,S200000,00300,0200,11 137448,S200000,00300,0300,R 137448,S200000,00400,0100,ASHBURN HEALTH CARE CENTER INC. 137448,S200000,00400,0200,115491 137448,S200000,00400,0300,07/01/99 137448,S200000,00400,0500,P 137448,S200000,01500,0100,N 137448,S200000,01600,0100,Y 137448,S200000,01700,0100,N 137448,S200000,01800,0100,N 137448,S200000,02200,0100,N 137448,S200000,02800,0100,N 137448,S200000,02900,0100,N 137448,S200000,03000,0100,N 137448,S200000,03100,0100,N 137448,S200000,03200,0100,N 137448,S200000,04100,0100,N 137448,S200000,04200,0100,N 137448,S200000,04300,0100,N 137448,S200000,04600,0100,N 137448,S200000,04700,0100,N 137448,S200000,04700,0200,N 137448,S200000,04900,0100,N 137448,S200000,05000,0100,N 137448,S200000,05100,0100,N 137448,S200000,05200,0100,N 137465,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137465,A000000,00300,0000,0300EMPLOYEE BENEFITS 137465,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137465,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137465,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137465,A000000,00700,0000,0700HOUSEKEEPING 137465,A000000,00800,0000,0800DIETARY 137465,A000000,00900,0000,0900NURSING ADMINISTRATION 137465,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137465,A000000,01100,0000,1100PHARMACY 137465,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137465,A000000,01300,0000,1300SOCIAL SERVICE 137465,A000000,01500,0000,1350PATIENT ACTIVITIES 137465,A000000,01600,0000,1600SKILLED NURSING FACILITY 137465,A000000,01800,0000,1800NURSING FACILITY 137465,A000000,01900,0000,1900OTHER LONG TERM CARE 137465,A000000,02100,0000,2100RADIOLOGY 137465,A000000,02200,0000,2200LABORATORY 137465,A000000,02300,0000,2300INTRAVENOUS THERAPY 137465,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137465,A000000,02500,0000,2500PHYSICAL THERAPY 137465,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137465,A000000,02700,0000,2700SPEECH PATHOLOGY 137465,A000000,02800,0000,2800ELECTROCARDIOLOGY 137465,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137465,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137465,A000000,03200,0000,3200SUPPORT SURFACES 137465,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137465,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137465,A000000,04800,0000,4800AMBULANCE 137465,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137465,A000000,05300,0000,5300INTEREST EXPENSE 137465,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137465,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137465,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137465,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137465,A000000,06100,0000,6100NONPAID WORKERS 137465,A000000,06200,0000,6200PATIENTS LAUNDRY 137465,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137465,A81000A,00100,0100,Y 137465,A81000B,00100,0300,ADMINISTRATOR 137465,A81000B,00200,0300,ADMINISTRATION 137465,A81000B,00300,0300,PURCHASING 137465,A81000B,00400,0300,DIETARY 137465,A81000B,00500,0300,ACTIVITIES 137465,A81000B,00600,0300,ACTIVITIES 137465,A81000C,00100,0100,F 137465,A81000C,00100,0400,LIZER JOZEFOVIC 137465,A81000C,00100,0600,AMINISTRATOR 137465,A81000C,00200,0100,F 137465,A81000C,00200,0400,MARK NEUMAN 137465,A81000C,00200,0600,OFFICE MANAGER 137465,A81000C,00300,0100,F 137465,A81000C,00300,0400,IDY GRUNFELD 137465,A81000C,00300,0600,DIETARY 137465,A81000C,00400,0100,F 137465,A81000C,00400,0400,LORIZAINE NEUMAN 137465,A81000C,00400,0600,ACTIVITIES 137465,A81000C,00500,0100,F 137465,A81000C,00500,0400,NEIL NEUMAN 137465,A81000C,00500,0600,PURCHASING 137465,A81000C,00600,0100,F 137465,A81000C,00600,0400,DENISE NEUMAN 137465,A81000C,00600,0600,ACTIVITIES 137465,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137465,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137465,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137465,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137465,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137465,B100000,00000,0700,0750SQ FT EXC KITCHEN:HOUSEKEEPING 137465,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137465,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 137465,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137465,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137465,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137465,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 137465,S000000,00100,0200,08/01/00 137465,S200000,00100,0100,512 UNION STREET 137465,S200000,00200,0100,TRENTON 137465,S200000,00200,0200,NJ 137465,S200000,00200,0300,08611- 137465,S200000,00300,0100,MERCER 137465,S200000,00300,0200,8480 137465,S200000,00300,0300,U 137465,S200000,00400,0100,WATERS EDGE CONVALESCENT CTR 137465,S200000,00400,0200,315324 137465,S200000,00400,0300,06/15/93 137465,S200000,00400,0500,P 137465,S200000,01500,0100,N 137465,S200000,01600,0100,Y 137465,S200000,01700,0100,N 137465,S200000,01800,0100,N 137465,S200000,02200,0100,N 137465,S200000,02800,0100,N 137465,S200000,02900,0100,N 137465,S200000,03000,0100,N 137465,S200000,03100,0100,N 137465,S200000,03200,0100,N 137465,S200000,04100,0100,N 137465,S200000,04200,0100,N 137465,S200000,04300,0100,N 137465,S200000,04600,0100,N 137465,S200000,04700,0100,N 137465,S200000,04700,0200,N 137465,S200000,04900,0100,N 137465,S200000,05000,0100,N 137465,S200000,05100,0100,N 137465,S200000,05200,0100,N 137493,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137493,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 137493,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137493,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 137493,A000000,00300,0000,0300EMPLOYEE BENEFITS 137493,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137493,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137493,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137493,A000000,00700,0000,0700HOUSEKEEPING 137493,A000000,00800,0000,0800DIETARY 137493,A000000,00801,0000,0801CAFETERIA 137493,A000000,00900,0000,0900NURSING ADMINISTRATION 137493,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137493,A000000,01100,0000,1100PHARMACY 137493,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137493,A000000,01300,0000,1300SOCIAL SERVICE 137493,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137493,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 137493,A000000,01600,0000,1600SKILLED NURSING FACILITY 137493,A000000,01800,0000,1800NURSING FACILITY 137493,A000000,01900,0000,1900OTHER LONG TERM CARE 137493,A000000,02100,0000,2100RADIOLOGY 137493,A000000,02200,0000,2200LABORATORY 137493,A000000,02300,0000,2300INTRAVENOUS THERAPY 137493,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137493,A000000,02500,0000,2500PHYSICAL THERAPY 137493,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137493,A000000,02700,0000,2700SPEECH PATHOLOGY 137493,A000000,02800,0000,2800ELECTROCARDIOLOGY 137493,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137493,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137493,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137493,A000000,03200,0000,3200SUPPORT SURFACES 137493,A000000,03300,0000,3050OTHER ANCILLARY 137493,A000000,03301,0000,3051OTHER ANCILLARY II 137493,A000000,03302,0000,3052OTHER ANCILLARY III 137493,A000000,03400,0000,3400CLINIC 137493,A000000,03500,0000,3500RURAL HEALTH CLINIC 137493,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 137493,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137493,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137493,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137493,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137493,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137493,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137493,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137493,A000000,04400,0000,4400DME RENTED - HHA 137493,A000000,04500,0000,4500DME SOLD - HHA 137493,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137493,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137493,A000000,04800,0000,4800AMBULANCE 137493,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137493,A000000,05000,0000,5000CORF 137493,A000000,05010,0000,5010CMHC I 137493,A000000,05020,0000,5020OPT I 137493,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137493,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137493,A000000,05300,0000,5300INTEREST EXPENSE 137493,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137493,A000000,05500,0000,5500HOSPICE 137493,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 137493,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 137493,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137493,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137493,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137493,A000000,06100,0000,6100NONPAID WORKERS 137493,A000000,06200,0000,6200PATIENTS LAUNDRY 137493,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137493,A81000A,00100,0100,Y 137493,A81000B,00100,0300,MANAGEMENT FEES 137493,A81000C,00100,0100,E 137493,A81000C,00100,0200,THELMA ALLGOOD 137493,A81000C,00100,0400,ALLGOOD HEALTH 137493,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 137493,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137493,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 137493,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 137493,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 137493,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 137493,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 137493,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 137493,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 137493,E10A180,00301,0100,01/27/00 137493,S000000,00100,0200,12/01/00 137493,S200000,00100,0100,409 PLEASANT HOME ROAD 137493,S200000,00200,0100,AUGUSTA 137493,S200000,00200,0200,GA 137493,S200000,00200,0300,30907- 137493,S200000,00300,0100,RICHMOND 137493,S200000,00300,0200,0600 137493,S200000,00300,0300,U 137493,S200000,00400,0100,FORREST LAKE HEALTH CARE INC. 137493,S200000,00400,0200,115308 137493,S200000,00400,0300,08/01/88 137493,S200000,00400,0500,P 137493,S200000,01500,0100,Y 137493,S200000,01600,0100,N 137493,S200000,01700,0100,N 137493,S200000,01800,0100,N 137493,S200000,02200,0100,N 137493,S200000,02800,0100,N 137493,S200000,02900,0100,N 137493,S200000,03000,0100,N 137493,S200000,03100,0100,N 137493,S200000,03200,0100,N 137493,S200000,04100,0100,N 137493,S200000,04200,0100,N 137493,S200000,04300,0100,N 137493,S200000,04600,0100,N 137493,S200000,04700,0100,N 137493,S200000,04700,0200,N 137493,S200000,04900,0100,N 137493,S200000,05000,0100,N 137493,S200000,05100,0100,N 137493,S200000,05200,0100,N 137495,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137495,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137495,A000000,00300,0000,0300EMPLOYEE BENEFITS 137495,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137495,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137495,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137495,A000000,00700,0000,0700HOUSEKEEPING 137495,A000000,00800,0000,0800DIETARY 137495,A000000,00900,0000,0900NURSING ADMINISTRATION 137495,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137495,A000000,01100,0000,1100PHARMACY 137495,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137495,A000000,01300,0000,1300SOCIAL SERVICE 137495,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137495,A000000,01500,0000,1350OTHER GENERAL SERVICES 137495,A000000,01600,0000,1600SKILLED NURSING FACILITY 137495,A000000,01800,0000,1800NURSING FACILITY 137495,A000000,01810,0000,1810ICF/MR 137495,A000000,01900,0000,1900OTHER LONG TERM CARE 137495,A000000,02100,0000,2100RADIOLOGY 137495,A000000,02200,0000,2200LABORATORY 137495,A000000,02300,0000,2300INTRAVENOUS THERAPY 137495,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137495,A000000,02500,0000,2500PHYSICAL THERAPY 137495,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137495,A000000,02700,0000,2700SPEECH PATHOLOGY 137495,A000000,02800,0000,2800ELECTROCARDIOLOGY 137495,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137495,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137495,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137495,A000000,03200,0000,3200SUPPORT SURFACES 137495,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137495,A000000,03400,0000,3400CLINIC 137495,A000000,03500,0000,3500RURAL HEALTH CLINIC 137495,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137495,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137495,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137495,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137495,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137495,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137495,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137495,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137495,A000000,04400,0000,4400DME RENTED - HHA 137495,A000000,04500,0000,4500DME SOLD - HHA 137495,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137495,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137495,A000000,04800,0000,4800AMBULANCE 137495,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137495,A000000,05000,0000,5000CORF 137495,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137495,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137495,A000000,05300,0000,5300INTEREST EXPENSE 137495,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137495,A000000,05500,0000,5500HOSPICE 137495,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137495,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137495,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137495,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137495,A000000,06100,0000,6100NONPAID WORKERS 137495,A000000,06200,0000,6200PATIENTS LAUNDRY 137495,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137495,A81000A,00100,0100,Y 137495,A81000B,00100,0300,CAPITAL COST 137495,A81000B,00200,0300,CAPITAL COSTS 137495,A81000B,00300,0300,CAPITAL COSTS HO 137495,A81000B,00400,0300,A&G HO 137495,A81000B,00500,0300,RELATED PARTY COST NF HO 137495,A81000C,00100,0100,A 137495,A81000C,00100,0200,KARSCHNER MANGIONE 137495,A81000C,00100,0400,IDEAL LTD 137495,A81000C,00100,0600,RENTAL 137495,A81000C,00200,0100,A 137495,A81000C,00200,0200,KARSCHNER MANGIONE 137495,A81000C,00200,0400,IDEAL LTD 137495,A81000C,00200,0600,RENTAL 137495,A81000C,00300,0100,B 137495,A81000C,00300,0200,BLUE RIDGE NH 137495,A81000C,00300,0400,BLUE RIDGE NH 137495,A81000C,00300,0600,HOME OFFICE (HO) 137495,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 137495,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137495,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 137495,B100000,00000,0600,0650LBS LAUND :LAUNDRY & LINEN SERV 137495,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 137495,B100000,00000,0800,0850PAT DAYS :DIETARY 137495,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137495,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137495,E10A180,00301,0100,01/24/00 137495,S000000,00100,0200,12/01/00 137495,S200000,00100,0100,304 5TH AVE 137495,S200000,00200,0100,DECATUR 137495,S200000,00200,0200,GA 137495,S200000,00200,0300,30030- 137495,S200000,00300,0100,DEKALB 137495,S200000,00300,0200,0520 137495,S200000,00300,0300,U 137495,S200000,00400,0100,DECATUR HCC IN 137495,S200000,00400,0200,115482 137495,S200000,00400,0300,09/01/89 137495,S200000,00400,0500,P 137495,S200000,01500,0100,N 137495,S200000,01600,0100,Y 137495,S200000,01700,0100,N 137495,S200000,01800,0100,N 137495,S200000,02200,0100,N 137495,S200000,02800,0100,N 137495,S200000,02900,0100,N 137495,S200000,03000,0100,N 137495,S200000,03100,0100,N 137495,S200000,03200,0100,N 137495,S200000,04100,0100,N 137495,S200000,04200,0100,N 137495,S200000,04300,0100,N 137495,S200000,04600,0100,N 137495,S200000,04700,0100,N 137495,S200000,04700,0200,N 137495,S200000,04900,0100,N 137495,S200000,05000,0100,N 137495,S200000,05100,0100,N 137495,S200000,05200,0100,N 137518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137518,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137518,A000000,00300,0000,0300EMPLOYEE BENEFITS 137518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137518,A000000,00700,0000,0700HOUSEKEEPING 137518,A000000,00800,0000,0800DIETARY 137518,A000000,00900,0000,0900NURSING ADMINISTRATION 137518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137518,A000000,01100,0000,1100PHARMACY 137518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137518,A000000,01300,0000,1300SOCIAL SERVICE 137518,A000000,01500,0000,1350ACTIVITIES 137518,A000000,01600,0000,1600SKILLED NURSING FACILITY 137518,A000000,01800,0000,1800NURSING FACILITY 137518,A000000,01900,0000,1900OTHER LONG TERM CARE 137518,A000000,02100,0000,2100RADIOLOGY 137518,A000000,02200,0000,2200LABORATORY 137518,A000000,02300,0000,2300INTRAVENOUS THERAPY 137518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137518,A000000,02500,0000,2500PHYSICAL THERAPY 137518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137518,A000000,02700,0000,2700SPEECH PATHOLOGY 137518,A000000,02800,0000,2800ELECTROCARDIOLOGY 137518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137518,A000000,03200,0000,3200SUPPORT SURFACES 137518,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137518,A000000,04800,0000,4800AMBULANCE 137518,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137518,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137518,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137518,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137518,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137518,A000000,06300,0000,6150ADULT DAY CARE 137518,A81000A,00100,0100,N 137518,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137518,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137518,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137518,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137518,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137518,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137518,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137518,B100000,00000,0800,0800MEALS SERVED :DIETARY 137518,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137518,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137518,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137518,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137518,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 137518,E10A180,00301,0100,09/02/99 137518,S000000,00100,0200,06/02/00 137518,S200000,00100,0100,65 JAY STREET 137518,S200000,00200,0100,NEWARK 137518,S200000,00200,0200,NJ 137518,S200000,00200,0300,07103- 137518,S200000,00300,0100,ESSEX 137518,S200000,00300,0200,5640 137518,S200000,00300,0300,U 137518,S200000,00400,0100,NEWARK EXTENDED CARE FACILITY INC. 137518,S200000,00400,0200,315236 137518,S200000,00400,0300,01/01/67 137518,S200000,00400,0500,P 137518,S200000,01500,0100,N 137518,S200000,01600,0100,Y 137518,S200000,01700,0100,N 137518,S200000,01800,0100,N 137518,S200000,02200,0100,N 137518,S200000,02800,0100,N 137518,S200000,02900,0100,N 137518,S200000,03000,0100,N 137518,S200000,03100,0100,N 137518,S200000,03200,0100,N 137518,S200000,04100,0100,N 137518,S200000,04200,0100,N 137518,S200000,04300,0100,N 137518,S200000,04600,0100,N 137518,S200000,04700,0100,N 137518,S200000,04700,0200,N 137518,S200000,04900,0100,N 137518,S200000,05000,0100,N 137518,S200000,05100,0100,N 137518,S200000,05200,0100,N 137585,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137585,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137585,A000000,00300,0000,0300EMPLOYEE BENEFITS 137585,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137585,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137585,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137585,A000000,00700,0000,0700HOUSEKEEPING 137585,A000000,00800,0000,0800DIETARY 137585,A000000,00900,0000,0900NURSING ADMINISTRATION 137585,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137585,A000000,01100,0000,1100PHARMACY 137585,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137585,A000000,01300,0000,1300SOCIAL SERVICE 137585,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137585,A000000,01600,0000,1600SKILLED NURSING FACILITY 137585,A000000,01800,0000,1800NURSING FACILITY 137585,A000000,01900,0000,1900OTHER LONG TERM CARE 137585,A000000,02100,0000,2100RADIOLOGY 137585,A000000,02200,0000,2200LABORATORY 137585,A000000,02300,0000,2300INTRAVENOUS THERAPY 137585,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137585,A000000,02500,0000,2500PHYSICAL THERAPY 137585,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137585,A000000,02700,0000,2700SPEECH PATHOLOGY 137585,A000000,02800,0000,2800ELECTROCARDIOLOGY 137585,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137585,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137585,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137585,A000000,03200,0000,3200SUPPORT SURFACES 137585,A000000,03400,0000,3400CLINIC 137585,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137585,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137585,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137585,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137585,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137585,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137585,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137585,A000000,04400,0000,4400DME RENTED - HHA 137585,A000000,04500,0000,4500DME SOLD - HHA 137585,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137585,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137585,A000000,04800,0000,4800AMBULANCE 137585,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137585,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137585,A000000,05300,0000,5300INTEREST EXPENSE 137585,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137585,A000000,05500,0000,5500HOSPICE 137585,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137585,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137585,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137585,A000000,06100,0000,6100NONPAID WORKERS 137585,A000000,06200,0000,6200PATIENTS LAUNDRY 137585,A81000A,00100,0100,Y 137585,A81000B,00100,0300,MANAGEMENT FEES 137585,A81000B,00200,0300,BUILDING & FIXTURES 137585,A81000B,00300,0300,INTEREST EXPENSE 137585,A81000C,00100,0100,A 137585,A81000C,00100,0200,PINELEAF INVEST 137585,A81000C,00100,0400,BUFORD COOK 137585,A81000C,00100,0600,MANAGEMENT CO. 137585,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137585,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137585,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137585,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137585,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137585,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137585,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137585,B100000,00000,0800,0850PAT DAYS :DIETARY 137585,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137585,B100000,00000,1100,1150PAT DAYS :PHARMACY 137585,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137585,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137585,E10A180,00301,0100,01/11/00 137585,S000000,00100,0200,12/04/00 137585,S200000,00100,0300,209 137585,S200000,00200,0100,WRIGHTSVILLE 137585,S200000,00200,0200,GA 137585,S200000,00200,0300,31096- 137585,S200000,00300,0100,JOHNSON 137585,S200000,00300,0200,0011 137585,S200000,00300,0300,R 137585,S200000,00400,0100,WRIGHTSVILLE MANOR NURSING HOME 137585,S200000,00400,0200,115406 137585,S200000,00400,0300,11/01/89 137585,S200000,00400,0500,P 137585,S200000,01500,0100,Y 137585,S200000,01600,0100,N 137585,S200000,01700,0100,N 137585,S200000,01800,0100,N 137585,S200000,02200,0100,N 137585,S200000,02800,0100,N 137585,S200000,02900,0100,N 137585,S200000,03000,0100,N 137585,S200000,03100,0100,N 137585,S200000,03200,0100,N 137585,S200000,04100,0100,N 137585,S200000,04200,0100,N 137585,S200000,04300,0100,N 137585,S200000,04600,0100,N 137585,S200000,04700,0100,N 137585,S200000,04700,0200,N 137585,S200000,04900,0100,N 137585,S200000,05000,0100,N 137585,S200000,05100,0100,N 137585,S200000,05200,0100,N 137586,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137586,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137586,A000000,00300,0000,0300EMPLOYEE BENEFITS 137586,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137586,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137586,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137586,A000000,00700,0000,0700HOUSEKEEPING 137586,A000000,00800,0000,0800DIETARY 137586,A000000,00900,0000,0900NURSING ADMINISTRATION 137586,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137586,A000000,01100,0000,1100PHARMACY 137586,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137586,A000000,01300,0000,1300SOCIAL SERVICE 137586,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137586,A000000,01500,0000,1350ACTIVITIES 137586,A000000,01600,0000,1600SKILLED NURSING FACILITY 137586,A000000,01800,0000,1800NURSING FACILITY 137586,A000000,01900,0000,1900OTHER LONG TERM CARE 137586,A000000,02100,0000,2100RADIOLOGY 137586,A000000,02200,0000,2200LABORATORY 137586,A000000,02300,0000,2300INTRAVENOUS THERAPY 137586,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137586,A000000,02500,0000,2500PHYSICAL THERAPY 137586,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137586,A000000,02700,0000,2700SPEECH PATHOLOGY 137586,A000000,02800,0000,2800ELECTROCARDIOLOGY 137586,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137586,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137586,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137586,A000000,03200,0000,3200SUPPORT SURFACES 137586,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137586,A000000,03400,0000,3400CLINIC 137586,A000000,03500,0000,3500RURAL HEALTH CLINIC 137586,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137586,A000000,04800,0000,4800AMBULANCE 137586,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137586,A000000,05000,0000,5000CORF 137586,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137586,A000000,05300,0000,5300INTEREST EXPENSE 137586,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137586,A000000,05500,0000,5500HOSPICE 137586,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137586,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137586,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137586,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137586,A000000,06100,0000,6100NONPAID WORKERS 137586,A000000,06200,0000,6200PATIENTS LAUNDRY 137586,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137586,A81000A,00100,0100,Y 137586,A81000B,00100,0300,NURSING SUPPLIES 137586,A81000B,00200,0300,NURSING SUPPLIES 137586,A81000B,00300,0300,FLU VACCINE 137586,A81000B,00400,0300,DRUGS RELATED 137586,A81000B,00500,0300,CONTRACTED SERVICE 137586,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 137586,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 137586,A81000B,00800,0300,HEPATITIS B VACCINE 137586,A81000B,00900,0300,DIETARY SUPPLIES 137586,A81000B,01000,0300,LAUNDRY SUPPLIES 137586,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 137586,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 137586,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 137586,A81000B,01400,0300,FACILITY LEASE 137586,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 137586,A81000B,01600,0300,FACILITY ADMINISTRATOR 137586,A81000B,01700,0300,DIETARY CONSULTANT 137586,A81000B,01800,0300,NURSE CONSULTANT 137586,A81000B,01900,0300,REGIONAL PERSONNEL 137586,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 137586,A81000B,02100,0300,THERAPY CONSULTANT 137586,A81000B,02200,0300,MAINTENANCE CONSULTANT 137586,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 137586,A81000B,02400,0300,PHYSICAL THERAPY 137586,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 137586,A81000B,02600,0300,ACTIVITIES SUPPLIES 137586,A81000C,00100,0100,B 137586,A81000C,00100,0200,NEIL PRUITT 137586,A81000C,00100,0400,UNITED REHAB 137586,A81000C,00100,0600,THERAPY 137586,A81000C,00200,0100,B 137586,A81000C,00200,0200,NEIL PRUITT 137586,A81000C,00200,0400,UNITED PHARMACY 137586,A81000C,00200,0600,PHARMACY 137586,A81000C,00300,0100,B 137586,A81000C,00300,0200,NEIL PRUITT 137586,A81000C,00300,0400,PRUITT PROPERTI 137586,A81000C,00300,0600,RENTAL 137586,A81000C,00400,0100,B 137586,A81000C,00400,0200,NEIL PRUITT 137586,A81000C,00400,0400,PRUITT CORPORAT 137586,A81000C,00400,0600,MANAGEMENT 137586,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137586,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137586,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137586,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137586,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137586,B100000,00000,0800,0800MEALS SERVED :DIETARY 137586,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 137586,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 137586,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 137586,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137586,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 137586,E10A180,00301,0100,01/27/00 137586,S000000,00100,0200,12/01/00 137586,S200000,00100,0100,HIGHWAY 112 137586,S200000,00100,0300,7 137586,S200000,00200,0100,TOOMSBORO 137586,S200000,00200,0200,CA 137586,S200000,00200,0300,31090- 137586,S200000,00300,0100,WILKINSON 137586,S200000,00300,0200,11 137586,S200000,00300,0300,R 137586,S200000,00400,0100,TOOMSBORO HEALTH CARE INC. 137586,S200000,00400,0200,115455 137586,S200000,00400,0300,07/01/99 137586,S200000,00400,0500,P 137586,S200000,01500,0100,N 137586,S200000,01600,0100,Y 137586,S200000,01700,0100,N 137586,S200000,01800,0100,N 137586,S200000,02200,0100,N 137586,S200000,02800,0100,N 137586,S200000,02900,0100,N 137586,S200000,03000,0100,N 137586,S200000,03100,0100,N 137586,S200000,03200,0100,N 137586,S200000,04100,0100,N 137586,S200000,04200,0100,N 137586,S200000,04300,0100,N 137586,S200000,04600,0100,N 137586,S200000,04700,0100,N 137586,S200000,04700,0200,N 137586,S200000,04900,0100,N 137586,S200000,05000,0100,N 137586,S200000,05100,0100,N 137586,S200000,05200,0100,N 137587,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137587,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137587,A000000,00300,0000,0300EMPLOYEE BENEFITS 137587,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137587,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137587,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137587,A000000,00700,0000,0700HOUSEKEEPING 137587,A000000,00800,0000,0800DIETARY 137587,A000000,00900,0000,0900NURSING ADMINISTRATION 137587,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137587,A000000,01100,0000,1100PHARMACY 137587,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137587,A000000,01300,0000,1300SOCIAL SERVICE 137587,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137587,A000000,01600,0000,1600SKILLED NURSING FACILITY 137587,A000000,01800,0000,1800NURSING FACILITY 137587,A000000,01900,0000,1900OTHER LONG TERM CARE 137587,A000000,02100,0000,2100RADIOLOGY 137587,A000000,02200,0000,2200LABORATORY 137587,A000000,02300,0000,2300INTRAVENOUS THERAPY 137587,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137587,A000000,02500,0000,2500PHYSICAL THERAPY 137587,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137587,A000000,02700,0000,2700SPEECH PATHOLOGY 137587,A000000,02800,0000,2800ELECTROCARDIOLOGY 137587,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137587,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137587,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137587,A000000,03200,0000,3200SUPPORT SURFACES 137587,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137587,A000000,03400,0000,3400CLINIC 137587,A000000,03500,0000,3500RURAL HEALTH CLINIC 137587,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137587,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137587,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137587,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137587,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137587,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137587,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137587,A000000,04400,0000,4400DME RENTED - HHA 137587,A000000,04500,0000,4500DME SOLD - HHA 137587,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137587,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137587,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137587,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137587,A000000,05300,0000,5300INTEREST EXPENSE 137587,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137587,A000000,05500,0000,5500HOSPICE 137587,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137587,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137587,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137587,A000000,06100,0000,6100NONPAID WORKERS 137587,A000000,06200,0000,6200PATIENTS LAUNDRY 137587,A81000A,00100,0100,Y 137587,A81000B,00100,0300,HOME OFFICE A&G 137587,A81000B,00200,0300,WORKERS COMP EXPENSE 137587,A81000C,00100,0100,B 137587,A81000C,00100,0400,COMM BD TRUSTEE 137587,A81000C,00100,0600,HOME OFFICE 137587,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137587,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137587,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137587,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137587,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137587,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137587,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137587,B100000,00000,0800,0850PAT DAYS :DIETARY 137587,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137587,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 137587,B100000,00000,1100,1150PAT DAYS :PHARMACY 137587,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137587,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137587,S000000,00100,0200,12/05/00 137587,S200000,00100,0100,2000 EAST-WEST CONNECTOR 137587,S200000,00200,0100,AUSTELL 137587,S200000,00200,0200,GA 137587,S200000,00200,0300,30106- 137587,S200000,00300,0100,COBB 137587,S200000,00300,0200,0520 137587,S200000,00300,0300,U 137587,S200000,00400,0100,PRESBYTERIAN VILLAGE 137587,S200000,00400,0200,115490 137587,S200000,00400,0300,01/01/90 137587,S200000,00400,0500,P 137587,S200000,01500,0100,Y 137587,S200000,01600,0100,N 137587,S200000,01700,0100,N 137587,S200000,01800,0100,N 137587,S200000,02200,0100,N 137587,S200000,02800,0100,N 137587,S200000,02900,0100,N 137587,S200000,03000,0100,N 137587,S200000,03100,0100,N 137587,S200000,03200,0100,N 137587,S200000,04100,0100,N 137587,S200000,04200,0100,N 137587,S200000,04300,0100,N 137587,S200000,04600,0100,N 137587,S200000,04700,0100,N 137587,S200000,04700,0200,N 137587,S200000,04900,0100,N 137587,S200000,05000,0100,N 137587,S200000,05100,0100,N 137587,S200000,05200,0100,N 137588,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137588,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137588,A000000,00300,0000,0300EMPLOYEE BENEFITS 137588,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137588,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137588,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137588,A000000,00700,0000,0700HOUSEKEEPING 137588,A000000,00800,0000,0800DIETARY 137588,A000000,00900,0000,0900NURSING ADMINISTRATION 137588,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137588,A000000,01100,0000,1100PHARMACY 137588,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137588,A000000,01300,0000,1300SOCIAL SERVICE 137588,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137588,A000000,01500,0000,1350OTHER GENERAL SERVICES 137588,A000000,01600,0000,1600SKILLED NURSING FACILITY 137588,A000000,01800,0000,1800NURSING FACILITY 137588,A000000,01900,0000,1900OTHER LONG TERM CARE 137588,A000000,02100,0000,2100RADIOLOGY 137588,A000000,02200,0000,2200LABORATORY 137588,A000000,02300,0000,2300INTRAVENOUS THERAPY 137588,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137588,A000000,02500,0000,2500PHYSICAL THERAPY 137588,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137588,A000000,02700,0000,2700SPEECH PATHOLOGY 137588,A000000,02800,0000,2800ELECTROCARDIOLOGY 137588,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137588,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137588,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137588,A000000,03200,0000,3200SUPPORT SURFACES 137588,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137588,A000000,03400,0000,3400CLINIC 137588,A000000,03500,0000,3500RURAL HEALTH CLINIC 137588,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137588,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137588,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137588,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137588,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137588,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137588,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137588,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137588,A000000,04400,0000,4400DME RENTED - HHA 137588,A000000,04500,0000,4500DME SOLD - HHA 137588,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137588,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137588,A000000,04800,0000,4800AMBULANCE 137588,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137588,A000000,05000,0000,5000CORF 137588,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137588,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137588,A000000,05300,0000,5300INTEREST EXPENSE 137588,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137588,A000000,05500,0000,5500HOSPICE 137588,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137588,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137588,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137588,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137588,A000000,06100,0000,6100NONPAID WORKERS 137588,A000000,06200,0000,6200PATIENTS LAUNDRY 137588,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137588,A81000A,00100,0100,Y 137588,A81000B,00100,0300,PHYSICAL THERAPY 137588,A81000B,00200,0300,OCCUPATIONAL THERAPY 137588,A81000B,00300,0300,SPEECH THERAPY 137588,A81000B,00400,0300,ADMINISTRATION 137588,A81000B,00500,0300,MANAGEMENT FEES 137588,A81000B,00600,0300,MANAGEMENT SERVICES 137588,A81000C,00100,0100,A 137588,A81000C,00100,0200,SEE ATTACHED 137588,A81000C,00100,0600,THERAPY 137588,A81000C,00200,0100,A 137588,A81000C,00200,0200,SEE ATTACHED 137588,A81000C,00200,0600,THERAPY 137588,A81000C,00300,0100,A 137588,A81000C,00300,0200,SEE ATTACHED 137588,A81000C,00300,0600,THERAPY 137588,A81000C,00400,0100,A 137588,A81000C,00400,0200,SEE ATTACHED 137588,A81000C,00400,0600,ADMINISTRATION 137588,A81000C,00500,0100,B 137588,A81000C,00500,0400,CARE MORE MANAGEMENT 137588,A81000C,00500,0600,MANAGEMENT 137588,A81000C,00600,0100,B 137588,A81000C,00600,0400,CARE MORE MANAGEMENT 137588,A81000C,00600,0600,MANAGEMENT 137588,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137588,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137588,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137588,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137588,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137588,B100000,00000,0800,0800MEALS SERVED :DIETARY 137588,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137588,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137588,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137588,E10A180,00301,0100,01/28/00 137588,S000000,00100,0200,12/04/00 137588,S200000,00100,0100,1104 SOUTH FIRST AVENUE 137588,S200000,00200,0100,MCRAE 137588,S200000,00200,0200,GA 137588,S200000,00200,0300,31055- 137588,S200000,00300,0100,TELFAIR 137588,S200000,00300,0200,11 137588,S200000,00300,0300,R 137588,S200000,00400,0100,MCRAE MANOR NURSING HOME 137588,S200000,00400,0200,115494 137588,S200000,00400,0300,07/01/89 137588,S200000,00400,0500,P 137588,S200000,01500,0100,Y 137588,S200000,01600,0100,N 137588,S200000,01700,0100,N 137588,S200000,01800,0100,N 137588,S200000,02200,0100,N 137588,S200000,02800,0100,N 137588,S200000,02900,0100,N 137588,S200000,03000,0100,N 137588,S200000,03100,0100,N 137588,S200000,03200,0100,N 137588,S200000,04100,0100,N 137588,S200000,04200,0100,N 137588,S200000,04300,0100,N 137588,S200000,04600,0100,N 137588,S200000,04700,0100,N 137588,S200000,04700,0200,N 137588,S200000,04900,0100,N 137588,S200000,05000,0100,N 137588,S200000,05100,0100,N 137588,S200000,05200,0100,N 137590,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137590,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137590,A000000,00300,0000,0300EMPLOYEE BENEFITS 137590,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137590,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137590,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137590,A000000,00700,0000,0700HOUSEKEEPING 137590,A000000,00800,0000,0800DIETARY 137590,A000000,00900,0000,0900NURSING ADMINISTRATION 137590,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137590,A000000,01100,0000,1100PHARMACY 137590,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137590,A000000,01300,0000,1300SOCIAL SERVICE 137590,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137590,A000000,01600,0000,1600SKILLED NURSING FACILITY 137590,A000000,01810,0000,1810ICF/MR 137590,A000000,01900,0000,1900OTHER LONG TERM CARE 137590,A000000,02100,0000,2100RADIOLOGY 137590,A000000,02200,0000,2200LABORATORY 137590,A000000,02500,0000,2500PHYSICAL THERAPY 137590,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137590,A000000,02700,0000,2700SPEECH PATHOLOGY 137590,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137590,A000000,03550,0000,3550FQHC 137590,A000000,05000,0000,5000CORF 137590,A000000,05010,0000,5010CMHC 137590,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 137590,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 137590,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 137590,A81000A,00100,0100,Y 137590,A81000B,00100,0300,CAPITAL COST ALLOCAT 137590,A81000B,00200,0300,CAPITAL COST ALLOCAT 137590,A81000B,00300,0300,MANAGEMENT FEES 137590,A81000B,00400,0300,LEASING EXPENSE 137590,A81000C,00100,0100,A 137590,A81000C,00100,0200,RON ADDINGTON 137590,A81000C,00100,0400,A&B MANAGEMENT 137590,A81000C,00100,0600,MANAGEMENT CO. 137590,A81000C,00200,0100,A 137590,A81000C,00200,0200,HARVE BAUGUESS 137590,A81000C,00200,0400,A&B MANAGEMENT 137590,A81000C,00200,0600,MANAGEMENT CO. 137590,A81000C,00300,0100,A 137590,A81000C,00300,0200,RON ADDINGTON 137590,A81000C,00300,0400,A&B MANAGEMENT 137590,A81000C,00300,0600,MANAGEMENT CO. 137590,A81000C,00400,0100,A 137590,A81000C,00400,0200,RON ADDINGTON 137590,A81000C,00400,0400,A&B RENTALS 137590,A81000C,00400,0600,LEASING CO. 137590,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137590,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137590,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137590,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137590,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137590,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137590,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137590,B100000,00000,0800,0800MEALS SERVED :DIETARY 137590,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 137590,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137590,E10A180,00301,0100,01/12/00 137590,S000000,00100,0200,12/01/00 137590,S200000,00100,0100,2775 CASTLEBERRY ROAD 137590,S200000,00100,0300,24 137590,S200000,00200,0100,CUMMING 137590,S200000,00200,0200,GA 137590,S200000,00200,0300,30028- 137590,S200000,00300,0100,FORSYTH 137590,S200000,00300,0200,0520 137590,S200000,00300,0300,U 137590,S200000,00400,0100,CUMMING NURSING CENTER INC. 137590,S200000,00400,0200,115551 137590,S200000,00400,0300,08/01/95 137590,S200000,00400,0500,P 137590,S200000,01500,0100,N 137590,S200000,01600,0100,N 137590,S200000,01700,0100,N 137590,S200000,01800,0100,N 137590,S200000,02200,0100,N 137590,S200000,02800,0100,N 137590,S200000,02900,0100,N 137590,S200000,03000,0100,N 137590,S200000,03100,0100,N 137590,S200000,03200,0100,N 137590,S200000,04100,0100,N 137590,S200000,04200,0100,N 137590,S200000,04300,0100,N 137590,S200000,04600,0100,N 137590,S200000,04700,0100,N 137590,S200000,04700,0200,N 137590,S200000,04900,0100,N 137590,S200000,05000,0100,N 137590,S200000,05100,0100,N 137590,S200000,05200,0100,N 137591,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137591,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 137591,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137591,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 137591,A000000,00300,0000,0300EMPLOYEE BENEFITS 137591,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137591,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137591,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137591,A000000,00700,0000,0700HOUSEKEEPING 137591,A000000,00800,0000,0800DIETARY 137591,A000000,00801,0000,0801CAFETERIA 137591,A000000,00900,0000,0900NURSING ADMINISTRATION 137591,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137591,A000000,01100,0000,1100PHARMACY 137591,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137591,A000000,01300,0000,1300SOCIAL SERVICE 137591,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137591,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 137591,A000000,01600,0000,1600SKILLED NURSING FACILITY 137591,A000000,01800,0000,1800NURSING FACILITY 137591,A000000,01900,0000,1900OTHER LONG TERM CARE 137591,A000000,02100,0000,2100RADIOLOGY 137591,A000000,02200,0000,2200LABORATORY 137591,A000000,02300,0000,2300INTRAVENOUS THERAPY 137591,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137591,A000000,02500,0000,2500PHYSICAL THERAPY 137591,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137591,A000000,02700,0000,2700SPEECH PATHOLOGY 137591,A000000,02800,0000,2800ELECTROCARDIOLOGY 137591,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137591,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137591,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137591,A000000,03200,0000,3200SUPPORT SURFACES 137591,A000000,03300,0000,3050OTHER ANCILLARY 137591,A000000,03301,0000,3051OTHER ANCILLARY II 137591,A000000,03302,0000,3052OTHER ANCILLARY III 137591,A000000,03400,0000,3400CLINIC 137591,A000000,03500,0000,3500RURAL HEALTH CLINIC 137591,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 137591,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137591,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137591,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137591,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137591,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137591,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137591,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137591,A000000,04400,0000,4400DME RENTED - HHA 137591,A000000,04500,0000,4500DME SOLD - HHA 137591,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137591,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137591,A000000,04800,0000,4800AMBULANCE 137591,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137591,A000000,05000,0000,5000CORF 137591,A000000,05010,0000,5010CMHC I 137591,A000000,05020,0000,5020OPT I 137591,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137591,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137591,A000000,05300,0000,5300INTEREST EXPENSE 137591,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137591,A000000,05500,0000,5500HOSPICE 137591,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 137591,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 137591,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137591,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137591,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137591,A000000,06100,0000,6100NONPAID WORKERS 137591,A000000,06200,0000,6200PATIENTS LAUNDRY 137591,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137591,A81000A,00100,0100,Y 137591,A81000B,00100,0300,MANAGEMENT FEE 137591,A81000C,00100,0100,A 137591,A81000C,00100,0200,THELMA ALLGOOD 137591,A81000C,00100,0400,ALLGOOD HEALTH 137591,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 137591,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137591,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 137591,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 137591,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 137591,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 137591,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 137591,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 137591,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 137591,S000000,00100,0200,12/01/00 137591,S200000,00100,0100,4608 LAWRENCEVILLE HIGHWAY 137591,S200000,00200,0100,TUCKER 137591,S200000,00200,0200,GA 137591,S200000,00200,0300,30084- 137591,S200000,00300,0100,DEKALB 137591,S200000,00300,0200,0520 137591,S200000,00300,0300,U 137591,S200000,00400,0100,MEADOWBROOK NURSING HOME INC. 137591,S200000,00400,0200,115561 137591,S200000,00400,0300,06/01/89 137591,S200000,00400,0500,P 137591,S200000,01500,0100,Y 137591,S200000,01600,0100,N 137591,S200000,01700,0100,N 137591,S200000,01800,0100,N 137591,S200000,02200,0100,N 137591,S200000,02800,0100,N 137591,S200000,02900,0100,N 137591,S200000,03000,0100,N 137591,S200000,03100,0100,N 137591,S200000,03200,0100,N 137591,S200000,04100,0100,N 137591,S200000,04200,0100,N 137591,S200000,04300,0100,N 137591,S200000,04600,0100,N 137591,S200000,04700,0100,N 137591,S200000,04700,0200,N 137591,S200000,04900,0100,N 137591,S200000,05000,0100,N 137591,S200000,05100,0100,N 137591,S200000,05200,0100,N 137592,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137592,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137592,A000000,00300,0000,0300EMPLOYEE BENEFITS 137592,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137592,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137592,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137592,A000000,00700,0000,0700HOUSEKEEPING 137592,A000000,00800,0000,0800DIETARY 137592,A000000,00900,0000,0900NURSING ADMINISTRATION 137592,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137592,A000000,01100,0000,1100PHARMACY 137592,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137592,A000000,01300,0000,1300SOCIAL SERVICE 137592,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137592,A000000,01600,0000,1600SKILLED NURSING FACILITY 137592,A000000,01800,0000,1800NURSING FACILITY 137592,A000000,01900,0000,1900OTHER LONG TERM CARE 137592,A000000,02100,0000,2100RADIOLOGY 137592,A000000,02200,0000,2200LABORATORY 137592,A000000,02300,0000,2300INTRAVENOUS THERAPY 137592,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137592,A000000,02500,0000,2500PHYSICAL THERAPY 137592,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137592,A000000,02700,0000,2700SPEECH PATHOLOGY 137592,A000000,02800,0000,2800ELECTROCARDIOLOGY 137592,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137592,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137592,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137592,A000000,03200,0000,3200SUPPORT SURFACES 137592,A000000,03400,0000,3400CLINIC 137592,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137592,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137592,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137592,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137592,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137592,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137592,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137592,A000000,04400,0000,4400DME RENTED - HHA 137592,A000000,04500,0000,4500DME SOLD - HHA 137592,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137592,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137592,A000000,04800,0000,4800AMBULANCE 137592,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137592,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137592,A000000,05300,0000,5300INTEREST EXPENSE 137592,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137592,A000000,05500,0000,5500HOSPICE 137592,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137592,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137592,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137592,A000000,06100,0000,6100NONPAID WORKERS 137592,A000000,06200,0000,6200PATIENTS LAUNDRY 137592,A81000A,00100,0100,Y 137592,A81000B,00100,0300,LEASE EXPENSE 137592,A81000C,00100,0100,A 137592,A81000C,00100,0200,AARON BARANAN 137592,A81000C,00100,0600,BUILDING LEASE 137592,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137592,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137592,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137592,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137592,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137592,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137592,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137592,B100000,00000,0800,0850PAT DAYS :DIETARY 137592,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137592,B100000,00000,1100,1150PAT DAYS :PHARMACY 137592,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137592,E10A180,00301,0100,01/12/00 137592,S000000,00100,0200,12/05/00 137592,S200000,00100,0100,560 ST CHARLES AVENUE NE 137592,S200000,00200,0100,ATLANTA 137592,S200000,00200,0200,GA 137592,S200000,00200,0300,30308- 137592,S200000,00300,0100,FULTON 137592,S200000,00300,0200,0520 137592,S200000,00300,0300,U 137592,S200000,00400,0100,ALPINE INN CARE D/B ANSLEY PRAVILION 137592,S200000,00400,0200,115567 137592,S200000,00400,0300,07/01/94 137592,S200000,00400,0500,P 137592,S200000,00400,0600,O 137592,S200000,01500,0100,Y 137592,S200000,01600,0100,N 137592,S200000,01700,0100,N 137592,S200000,01800,0100,N 137592,S200000,02200,0100,Y 137592,S200000,02800,0100,N 137592,S200000,02900,0100,Y 137592,S200000,03000,0100,Y 137592,S200000,03100,0100,N 137592,S200000,03200,0100,N 137592,S200000,04100,0100,N 137592,S200000,04200,0100,N 137592,S200000,04300,0100,N 137592,S200000,04600,0100,N 137592,S200000,04700,0100,N 137592,S200000,04700,0200,N 137592,S200000,04900,0100,N 137592,S200000,05000,0100,N 137592,S200000,05100,0100,N 137592,S200000,05200,0100,N 137594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137594,A000000,00300,0000,0300EMPLOYEE BENEFITS 137594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137594,A000000,00700,0000,0700HOUSEKEEPING 137594,A000000,00800,0000,0800DIETARY 137594,A000000,00900,0000,0900NURSING ADMINISTRATION 137594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137594,A000000,01100,0000,1100PHARMACY 137594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137594,A000000,01300,0000,1300SOCIAL SERVICE 137594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137594,A000000,01600,0000,1600SKILLED NURSING FACILITY 137594,A000000,01900,0000,1900OTHER LONG TERM CARE 137594,A000000,02100,0000,2100RADIOLOGY 137594,A000000,02200,0000,2200LABORATORY 137594,A000000,02300,0000,2300INTRAVENOUS THERAPY 137594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137594,A000000,02500,0000,2500PHYSICAL THERAPY 137594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137594,A000000,02700,0000,2700SPEECH PATHOLOGY 137594,A000000,02800,0000,2800ELECTROCARDIOLOGY 137594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137594,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137594,A000000,03200,0000,3200SUPPORT SURFACES 137594,A000000,03400,0000,3400CLINIC 137594,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137594,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137594,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137594,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137594,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137594,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137594,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137594,A000000,04400,0000,4400DME RENTED - HHA 137594,A000000,04500,0000,4500DME SOLD - HHA 137594,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137594,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137594,A000000,04800,0000,4800AMBULANCE 137594,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137594,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137594,A000000,05300,0000,5300INTEREST EXPENSE 137594,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137594,A000000,05500,0000,5500HOSPICE 137594,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137594,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137594,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137594,A000000,06100,0000,6100NONPAID WORKERS 137594,A000000,06200,0000,6200PATIENTS LAUNDRY 137594,A81000A,00100,0100,Y 137594,A81000B,00100,0300,MANAGEMENT FEES 137594,A81000B,00200,0300,CAPITAL - BUILDING 137594,A81000B,00300,0300,CAPITAL - EQUIPMENT 137594,A81000B,00400,0300,INTEREST EXPENSE 137594,A81000C,00100,0100,A 137594,A81000C,00100,0200,BIRD FAMILY LP 137594,A81000C,00100,0400,TAYLOR & BIRD 137594,A81000C,00100,0600,OWNERSHIP 137594,A81000C,00200,0100,A 137594,A81000C,00200,0200,TAYLOR FMLY LP 137594,A81000C,00200,0400,INC. 137594,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137594,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137594,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137594,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137594,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137594,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137594,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137594,B100000,00000,0800,0850PAT DAYS :DIETARY 137594,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137594,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 137594,B100000,00000,1100,1150PAT DAYS :PHARMACY 137594,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137594,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137594,S000000,00100,0200,11/20/00 137594,S200000,00100,0100,405 SOUTH COLLEGE STREET 137594,S200000,00200,0100,STATESBORO 137594,S200000,00200,0200,GA 137594,S200000,00200,0300,30458- 137594,S200000,00300,0100,BULLOCH 137594,S200000,00300,0200,11 137594,S200000,00300,0300,R 137594,S200000,00400,0100,STATESBORO NURSING HOME 137594,S200000,00400,0200,115618 137594,S200000,00400,0300,09/01/96 137594,S200000,00400,0500,P 137594,S200000,00400,0600,O 137594,S200000,01500,0100,Y 137594,S200000,01600,0100,N 137594,S200000,01700,0100,N 137594,S200000,01800,0100,N 137594,S200000,02200,0100,Y 137594,S200000,02800,0100,N 137594,S200000,02900,0100,N 137594,S200000,03000,0100,N 137594,S200000,03100,0100,N 137594,S200000,03200,0100,N 137594,S200000,04100,0100,N 137594,S200000,04200,0100,N 137594,S200000,04300,0100,N 137594,S200000,04600,0100,N 137594,S200000,04700,0100,N 137594,S200000,04700,0200,N 137594,S200000,04900,0100,N 137594,S200000,05000,0100,N 137594,S200000,05100,0100,N 137594,S200000,05200,0100,N 137595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137595,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137595,A000000,00300,0000,0300EMPLOYEE BENEFITS 137595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137595,A000000,00700,0000,0700HOUSEKEEPING 137595,A000000,00800,0000,0800DIETARY 137595,A000000,00900,0000,0900NURSING ADMINISTRATION 137595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137595,A000000,01100,0000,1100PHARMACY 137595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137595,A000000,01300,0000,1300SOCIAL SERVICE 137595,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137595,A000000,01500,0000,1350OTHER GENERAL SERVICES 137595,A000000,01600,0000,1600SKILLED NURSING FACILITY 137595,A000000,01800,0000,1800NURSING FACILITY 137595,A000000,01810,0000,1810ICF/MR 137595,A000000,01900,0000,1900OTHER LONG TERM CARE 137595,A000000,02100,0000,2100RADIOLOGY 137595,A000000,02200,0000,2200LABORATORY 137595,A000000,02300,0000,2300INTRAVENOUS THERAPY 137595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137595,A000000,02500,0000,2500PHYSICAL THERAPY 137595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137595,A000000,02700,0000,2700SPEECH PATHOLOGY 137595,A000000,02800,0000,2800ELECTROCARDIOLOGY 137595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137595,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137595,A000000,03200,0000,3200SUPPORT SURFACES 137595,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137595,A000000,03400,0000,3400CLINIC 137595,A000000,03500,0000,3500RURAL HEALTH CLINIC 137595,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137595,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137595,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137595,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137595,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137595,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137595,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137595,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137595,A000000,04400,0000,4400DME RENTED - HHA 137595,A000000,04500,0000,4500DME SOLD - HHA 137595,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137595,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137595,A000000,04800,0000,4800AMBULANCE 137595,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137595,A000000,05000,0000,5000CORF 137595,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137595,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137595,A000000,05300,0000,5300INTEREST EXPENSE 137595,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137595,A000000,05500,0000,5500HOSPICE 137595,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137595,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137595,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137595,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137595,A000000,06100,0000,6100NONPAID WORKERS 137595,A000000,06200,0000,6200PATIENTS LAUNDRY 137595,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137595,A81000A,00100,0100,Y 137595,A81000B,00100,0300,MANAGEMENT SERVICE 137595,A81000B,00200,0300,MANAGEMENT SERVICE 137595,A81000C,00100,0100,B 137595,A81000C,00100,0200,WE CARE INC 137595,A81000C,00100,0400,WE CARE INC. 137595,A81000C,00100,0600,MANAGEMENT 137595,A81000C,00200,0100,B 137595,A81000C,00200,0200,WE CARE INC 137595,A81000C,00200,0400,WE CARE INC 137595,A81000C,00200,0600,MANAGEMENT 137595,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137595,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137595,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137595,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137595,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137595,B100000,00000,0800,0800MEALS SERVED :DIETARY 137595,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 137595,E10A180,00302,0100,03/07/00 137595,S000000,00100,0200,12/04/00 137595,S200000,00100,0100,165 WINSTON DRIVE 137595,S200000,00200,0100,ATHENS 137595,S200000,00200,0200,GA 137595,S200000,00200,0300,30607- 137595,S200000,00300,0100,CLARKE 137595,S200000,00300,0200,0500 137595,S200000,00300,0300,U 137595,S200000,00400,0100,GRANDVIEW CARE CENTER 137595,S200000,00400,0200,115631 137595,S200000,00400,0300,03/01/97 137595,S200000,00400,0500,P 137595,S200000,01500,0100,Y 137595,S200000,01600,0100,N 137595,S200000,01700,0100,N 137595,S200000,01800,0100,N 137595,S200000,02200,0100,N 137595,S200000,02800,0100,N 137595,S200000,02900,0100,N 137595,S200000,03000,0100,N 137595,S200000,03100,0100,N 137595,S200000,03200,0100,N 137595,S200000,04100,0100,N 137595,S200000,04200,0100,N 137595,S200000,04300,0100,N 137595,S200000,04600,0100,N 137595,S200000,04700,0100,N 137595,S200000,04700,0200,N 137595,S200000,04900,0100,N 137595,S200000,05000,0100,N 137595,S200000,05100,0100,N 137595,S200000,05200,0100,N 137597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137597,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137597,A000000,00300,0000,0300EMPLOYEE BENEFITS 137597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137597,A000000,00700,0000,0700HOUSEKEEPING 137597,A000000,00800,0000,0800DIETARY 137597,A000000,00900,0000,0900NURSING ADMINISTRATION 137597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137597,A000000,01100,0000,1100PHARMACY 137597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137597,A000000,01300,0000,1300SOCIAL SERVICE 137597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137597,A000000,01600,0000,1600SKILLED NURSING FACILITY 137597,A000000,01900,0000,1900OTHER LONG TERM CARE 137597,A000000,02100,0000,2100RADIOLOGY 137597,A000000,02200,0000,2200LABORATORY 137597,A000000,02300,0000,2300INTRAVENOUS THERAPY 137597,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137597,A000000,02500,0000,2500PHYSICAL THERAPY 137597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137597,A000000,02700,0000,2700SPEECH PATHOLOGY 137597,A000000,02800,0000,2800ELECTROCARDIOLOGY 137597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137597,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137597,A000000,03200,0000,3200SUPPORT SURFACES 137597,A000000,03400,0000,3400CLINIC 137597,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137597,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137597,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137597,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137597,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137597,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137597,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137597,A000000,04400,0000,4400DME RENTED - HHA 137597,A000000,04500,0000,4500DME SOLD - HHA 137597,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137597,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137597,A000000,04800,0000,4800AMBULANCE 137597,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137597,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137597,A000000,05300,0000,5300INTEREST EXPENSE 137597,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137597,A000000,05500,0000,5500HOSPICE 137597,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137597,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137597,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137597,A000000,06100,0000,6100NONPAID WORKERS 137597,A000000,06200,0000,6200PATIENTS LAUNDRY 137597,A81000A,00100,0100,N 137597,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 137597,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 137597,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 137597,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137597,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 137597,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 137597,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 137597,B100000,00000,0800,0850PAT DAYS :DIETARY 137597,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 137597,B100000,00000,1100,1150PAT DAYS :PHARMACY 137597,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 137597,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 137597,E10A180,00301,0100,01/25/00 137597,S000000,00100,0200,11/30/00 137597,S200000,00100,0100,2450 OAK GROVE CHURCH ROAD 137597,S200000,00100,0300,1216 137597,S200000,00200,0100,CARROLLTON 137597,S200000,00200,0200,GA 137597,S200000,00200,0300,30117- 137597,S200000,00300,0100,CARROLL 137597,S200000,00300,0200,0520 137597,S200000,00300,0300,U 137597,S200000,00400,0100,CARROLLTON MANOR INC. 137597,S200000,00400,0200,115638 137597,S200000,00400,0300,03/01/97 137597,S200000,00400,0500,P 137597,S200000,00400,0600,O 137597,S200000,01500,0100,Y 137597,S200000,01600,0100,N 137597,S200000,01700,0100,N 137597,S200000,01800,0100,N 137597,S200000,02200,0100,Y 137597,S200000,02800,0100,N 137597,S200000,02900,0100,N 137597,S200000,03000,0100,N 137597,S200000,03100,0100,N 137597,S200000,03200,0100,N 137597,S200000,04100,0100,N 137597,S200000,04200,0100,N 137597,S200000,04300,0100,N 137597,S200000,04600,0100,N 137597,S200000,04700,0100,N 137597,S200000,04700,0200,N 137597,S200000,04900,0100,N 137597,S200000,05000,0100,N 137597,S200000,05100,0100,N 137597,S200000,05200,0100,N 137770,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 137770,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 137770,A000000,00300,0000,0300EMPLOYEE BENEFITS 137770,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137770,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 137770,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137770,A000000,00700,0000,0700HOUSEKEEPING 137770,A000000,00800,0000,0800DIETARY 137770,A000000,00900,0000,0900NURSING ADMINISTRATION 137770,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137770,A000000,01100,0000,1100PHARMACY 137770,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137770,A000000,01300,0000,1300SOCIAL SERVICE 137770,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 137770,A000000,01500,0000,1350OTHER GENERAL SERVICES 137770,A000000,01600,0000,1600SKILLED NURSING FACILITY 137770,A000000,01800,0000,1800NURSING FACILITY 137770,A000000,01810,0000,1810ICF/MR 137770,A000000,02100,0000,2100RADIOLOGY 137770,A000000,02200,0000,2200LABORATORY 137770,A000000,02300,0000,2300INTRAVENOUS THERAPY 137770,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137770,A000000,02500,0000,2500PHYSICAL THERAPY 137770,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137770,A000000,02700,0000,2700SPEECH PATHOLOGY 137770,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 137770,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137770,A000000,03200,0000,3200SUPPORT SURFACES 137770,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137770,A000000,03550,0000,3550FQHC 137770,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137770,A000000,04800,0000,4800AMBULANCE 137770,A000000,05000,0000,5000CORF 137770,A000000,05010,0000,5010CMHC 137770,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 137770,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 137770,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 137770,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137770,A000000,05300,0000,5300INTEREST EXPENSE 137770,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137770,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137770,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137770,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 137770,A81000A,00100,0100,Y 137770,A81000B,00100,0300,MANAGEMENT FEES 137770,A81000B,00200,0300,BUILDINGS 137770,A81000B,00300,0300,EQUIPMENT 137770,A81000C,00100,0100,A 137770,A81000C,00100,0200,MR. JAMES B. CONNELLY 137770,A81000C,00100,0400,CONNELLY MANAGEMENT INC 137770,A81000C,00100,0600,MANAGEMENT COMPANY 137770,A81000C,00200,0100,A 137770,A81000C,00200,0200,MR. JAMES B. CONNELLY 137770,A81000C,00200,0400,DUNDEE NURSING HOME 137770,A81000C,00200,0600,NURSING HOME 137770,B100000,00000,0100,0100SQ FEET 137770,B100000,00000,0200,0200SQ FEET 137770,B100000,00000,0300,0300GROSS SALARIES 137770,B100000,00000,0400,0400ACCUM. COST 137770,B100000,00000,0500,0500SQ FEET 137770,B100000,00000,0600,0600PATIENT DAYS 137770,B100000,00000,0700,0700SQ FEET 137770,B100000,00000,0800,0800PATIENT DAYS 137770,B100000,00000,0900,0900PATIENT DAYS 137770,B100000,00000,1000,1000CHARGES 137770,B100000,00000,1100,1100NO STATISTICS 137770,B100000,00000,1200,1200PATIENT DAYS 137770,B100000,00000,1300,1300PATIENT DAYS 137770,B100000,00000,1400,1400NO STATISTICS 137770,B100000,00000,1500,1350NO STATISTICS 137770,E10A180,00501,0100,05/30/00 137770,S000000,00100,0200,03/31/00 137770,S200000,00100,0100,921 BOWMAN ROAD 137770,S200000,00200,0100,MT. PLEASANT 137770,S200000,00200,0200,SC 137770,S200000,00300,0100,CHARLESTON 137770,S200000,00300,0200,9942 137770,S200000,00300,0300,U 137770,S200000,00400,0100,CHARLESTON NURSING CENTER INC. 137770,S200000,00400,0200,425110 137770,S200000,00400,0300,07/01/92 137770,S200000,00400,0400,O 137770,S200000,00400,0500,P 137770,S200000,00400,0600,O 137770,S200000,00600,0200,425110 137770,S200000,00600,0300,11/22/77 137770,S200000,01500,0100,N 137770,S200000,01600,0100,Y 137770,S200000,01700,0100,N 137770,S200000,01800,0100,N 137770,S200000,02200,0100,N 137770,S200000,02800,0100,Y 137770,S200000,02900,0100,N 137770,S200000,03000,0100,N 137770,S200000,03100,0100,N 137770,S200000,03200,0100,N 137770,S200000,03300,0100,N 137770,S200000,03300,0200,N 137770,S200000,03500,0300,N 137770,S200000,04100,0100,N 137770,S200000,04200,0100,N 137770,S200000,04300,0100,N 137770,S200000,04600,0100,N 137770,S200000,04700,0100,N 137770,S200000,04900,0100,N 137799,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137799,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137799,A000000,00300,0000,0300EMPLOYEE BENEFITS 137799,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137799,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137799,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137799,A000000,00700,0000,0700HOUSEKEEPING 137799,A000000,00800,0000,0800DIETARY 137799,A000000,00900,0000,0900NURSING ADMINISTRATION 137799,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137799,A000000,01100,0000,1100PHARMACY 137799,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137799,A000000,01300,0000,1300SOCIAL SERVICE 137799,A000000,01600,0000,1600SKILLED NURSING FACILITY 137799,A000000,01800,0000,1800NURSING FACILITY 137799,A000000,01900,0000,1900OTHER LONG TERM CARE 137799,A000000,02100,0000,2100RADIOLOGY 137799,A000000,02200,0000,2200LABORATORY 137799,A000000,02300,0000,2300INTRAVENOUS THERAPY 137799,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137799,A000000,02500,0000,2500PHYSICAL THERAPY 137799,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137799,A000000,02700,0000,2700SPEECH PATHOLOGY 137799,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137799,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137799,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 137799,A000000,04800,0000,4800AMBULANCE 137799,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137799,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137799,A81000A,00100,0100,Y 137799,A81000B,00100,0300,HOME OFFICE ALLOC 137799,A81000B,00200,0300,HOME OFFICE ALLOC 137799,A81000B,00300,0300,PHARMACY 137799,A81000B,00400,0300,PHYSICAL THERAPY 137799,A81000B,00500,0300,OCCUPATIONAL THERAPY 137799,A81000B,00600,0300,SPEECH THERAPY 137799,A81000C,00100,0100,A 137799,A81000C,00100,0200,COVENANT CARE INC 137799,A81000C,00100,0400,COVENANT CARE INC. 137799,A81000C,00100,0600,HEALTH CARE 137799,A81000C,00200,0100,B 137799,A81000C,00200,0200,PHARMACY 137799,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 137799,A81000C,00200,0600,PHARMACY - HEALTH CARE 137799,A81000C,00300,0100,C 137799,A81000C,00300,0200,THERAPY 137799,A81000C,00300,0400,SELECT THEREAPY 137799,A81000C,00300,0600,THERAPY SERVICES 137799,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137799,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137799,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137799,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137799,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137799,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137799,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137799,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137799,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 137799,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 137799,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 137799,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137799,S000000,00100,0200,06/01/00 137799,S200000,00100,0100,1025 WEST 2ND AVENUE 137799,S200000,00200,0100,ESCONDIDO 137799,S200000,00200,0200,CA 137799,S200000,00200,0300,92025- 137799,S200000,00300,0100,SAN DIEGO 137799,S200000,00300,0200,7320 137799,S200000,00300,0300,U 137799,S200000,00400,0100,VALLE VISTA CONVALESCENT HOSPITAL 137799,S200000,00400,0200,055500 137799,S200000,00400,0300,01/01/67 137799,S200000,00400,0500,P 137799,S200000,01500,0100,N 137799,S200000,01600,0100,Y 137799,S200000,01700,0100,N 137799,S200000,01800,0100,N 137799,S200000,02200,0100,N 137799,S200000,02800,0100,N 137799,S200000,02900,0100,N 137799,S200000,03000,0100,N 137799,S200000,03100,0100,N 137799,S200000,03200,0100,N 137799,S200000,04100,0100,N 137799,S200000,04200,0100,N 137799,S200000,04300,0100,N 137799,S200000,04600,0100,N 137799,S200000,04700,0100,N 137799,S200000,04700,0200,N 137799,S200000,04900,0100,N 137799,S200000,05000,0100,N 137799,S200000,05100,0100,N 137799,S200000,05200,0100,N 137801,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137801,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137801,A000000,00300,0000,0300EMPLOYEE BENEFITS 137801,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137801,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137801,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137801,A000000,00700,0000,0700HOUSEKEEPING 137801,A000000,00800,0000,0800DIETARY 137801,A000000,00900,0000,0900NURSING ADMINISTRATION 137801,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137801,A000000,01100,0000,1100PHARMACY 137801,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137801,A000000,01300,0000,1300SOCIAL SERVICE 137801,A000000,01500,0000,1350ACTIVITIES 137801,A000000,01600,0000,1600SKILLED NURSING FACILITY 137801,A000000,01800,0000,1800NURSING FACILITY 137801,A000000,01900,0000,1900OTHER LONG TERM CARE 137801,A000000,02100,0000,2100RADIOLOGY 137801,A000000,02200,0000,2200LABORATORY 137801,A000000,02300,0000,2300INTRAVENOUS THERAPY 137801,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137801,A000000,02500,0000,2500PHYSICAL THERAPY 137801,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137801,A000000,02700,0000,2700SPEECH PATHOLOGY 137801,A000000,02800,0000,2800ELECTROCARDIOLOGY 137801,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137801,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137801,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137801,A000000,03200,0000,3200SUPPORT SURFACES 137801,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137801,A000000,04800,0000,4800AMBULANCE 137801,A000000,05000,0000,5000CORF 137801,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137801,A000000,05300,0000,5300INTEREST EXPENSE 137801,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137801,A000000,05500,0000,5500HOSPICE 137801,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137801,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137801,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137801,A000000,06100,0000,6100NONPAID WORKERS 137801,A000000,06200,0000,6200PATIENTS LAUNDRY 137801,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137801,A81000A,00100,0100,Y 137801,A81000B,00100,0300,HOME OFFICE ALLOCATION 137801,A81000C,00100,0100,B 137801,A81000C,00100,0200,RHA INC. 137801,A81000C,00100,0400,RHA INC 137801,A81000C,00100,0600,LTC OPERATOR 137801,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137801,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137801,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137801,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137801,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137801,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137801,B100000,00000,0800,0800MEALS SERVED :DIETARY 137801,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 137801,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137801,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 137801,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137801,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137801,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 137801,E10A180,00301,0100,01/21/00 137801,S000000,00100,0200,12/15/00 137801,S200000,00100,0100,US HIGHWAY 19 137801,S200000,00100,0300,RTE 1 21 137801,S200000,00200,0100,MONTICELLO 137801,S200000,00200,0200,FL 137801,S200000,00200,0300,32344- 137801,S200000,00300,0100,JEFFERSON 137801,S200000,00300,0200,0010 137801,S200000,00300,0300,R 137801,S200000,00400,0100,BRYNWOOD CENTER 137801,S200000,00400,0200,105633 137801,S200000,00400,0300,12/02/88 137801,S200000,00400,0500,P 137801,S200000,01500,0100,N 137801,S200000,01600,0100,Y 137801,S200000,01700,0100,N 137801,S200000,01800,0100,N 137801,S200000,02200,0100,Y 137801,S200000,02800,0100,N 137801,S200000,02900,0100,N 137801,S200000,03000,0100,N 137801,S200000,03100,0100,N 137801,S200000,03200,0100,N 137801,S200000,04100,0100,N 137801,S200000,04200,0100,N 137801,S200000,04300,0100,N 137801,S200000,04600,0100,N 137801,S200000,04700,0100,N 137801,S200000,04700,0200,N 137801,S200000,04900,0100,N 137801,S200000,05000,0100,N 137801,S200000,05100,0100,N 137801,S200000,05200,0100,N 137816,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137816,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137816,A000000,00300,0000,0300EMPLOYEE BENEFITS 137816,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137816,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137816,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137816,A000000,00700,0000,0700HOUSEKEEPING 137816,A000000,00800,0000,0800DIETARY 137816,A000000,00900,0000,0900NURSING ADMINISTRATION 137816,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137816,A000000,01100,0000,1100PHARMACY 137816,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137816,A000000,01300,0000,1300SOCIAL SERVICE 137816,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137816,A000000,01500,0000,1350PATIENT ACTIVITIES 137816,A000000,01600,0000,1600SKILLED NURSING FACILITY 137816,A000000,01800,0000,1800NURSING FACILITY 137816,A000000,01900,0000,1900OTHER LONG TERM CARE 137816,A000000,02100,0000,2100RADIOLOGY 137816,A000000,02200,0000,2200LABORATORY 137816,A000000,02300,0000,2300INTRAVENOUS THERAPY 137816,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137816,A000000,02500,0000,2500PHYSICAL THERAPY 137816,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137816,A000000,02700,0000,2700SPEECH PATHOLOGY 137816,A000000,02800,0000,2800ELECTROCARDIOLOGY 137816,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137816,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137816,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137816,A000000,03200,0000,3200SUPPORT SURFACES 137816,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 137816,A000000,03400,0000,3400CLINIC 137816,A000000,03500,0000,3500RURAL HEALTH CLINIC 137816,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 137816,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 137816,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 137816,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 137816,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 137816,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 137816,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 137816,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 137816,A000000,04400,0000,4400DME RENTED - HHA 137816,A000000,04500,0000,4500DME SOLD - HHA 137816,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 137816,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 137816,A000000,04800,0000,4800AMBULANCE 137816,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137816,A000000,05000,0000,5000CORF 137816,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137816,A000000,05300,0000,5300INTEREST EXPENSE 137816,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137816,A000000,05500,0000,5500HOSPICE 137816,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137816,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137816,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137816,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137816,A000000,06100,0000,6100NONPAID WORKERS 137816,A000000,06200,0000,6200PATIENTS LAUNDRY 137816,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 137816,A81000A,00100,0100,Y 137816,A81000B,00100,0300,VARIOUS NURSING SUPPLIES 137816,A81000B,00200,0300,INFECTIOUS WASTE 137816,A81000B,00300,0300,CLASSIFIED ADVERTISING 137816,A81000B,00400,0300,FOOD PURCHASES 137816,A81000B,00500,0300,PHARMACY 137816,A81000C,00100,0100,G 137816,A81000C,00100,0200,AMBULATORY HEAL 137816,A81000C,00100,0400,BLOOMSBURG HOSP 137816,A81000C,00100,0600,HEALTH 137816,A81000C,00200,0100,G 137816,A81000C,00200,0200,AMBULATORY HEAL 137816,A81000C,00200,0400,BLOOMSBURG HOSP 137816,A81000C,00200,0600,HEALTH 137816,A81000C,00300,0100,G 137816,A81000C,00300,0200,AMBULATORY HEAL 137816,A81000C,00300,0400,BLOOMSBURG HOSP 137816,A81000C,00300,0600,HEALTH 137816,A81000C,00400,0100,G 137816,A81000C,00400,0200,AMBULATORY HEAL 137816,A81000C,00400,0400,BLOOMSBURG HOSP 137816,A81000C,00400,0600,HEALTH 137816,A81000C,00500,0100,G 137816,A81000C,00500,0200,AMBULATORY HEAL 137816,A81000C,00500,0400,BLOOMSBURG HOSP 137816,A81000C,00500,0600,HEALTH 137816,A81000C,03100,0000,PHARMACY 137816,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137816,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137816,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137816,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137816,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137816,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137816,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137816,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 137816,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 137816,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 137816,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 137816,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137816,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 137816,S000000,00100,0200,11/30/00 137816,S200000,00100,0100,211 EAST FIRST STREET 137816,S200000,00200,0100,BLOOMSBURG PA 17815 137816,S200000,00200,0200,PA 137816,S200000,00200,0300, - 137816,S200000,00300,0100,COLUMBIA COUNTY 137816,S200000,00300,0200,7560 137816,S200000,00300,0300,U 137816,S200000,00400,0100,BLOOMSBURG HEALTH CARE CENTER 137816,S200000,00400,0200,396065 137816,S200000,00400,0300,05/18/99 137816,S200000,00400,0500,P 137816,S200000,01500,0100,Y 137816,S200000,01600,0100,N 137816,S200000,01700,0100,N 137816,S200000,01800,0100,N 137816,S200000,02200,0100,N 137816,S200000,02800,0100,N 137816,S200000,02900,0100,N 137816,S200000,03000,0100,N 137816,S200000,03100,0100,N 137816,S200000,03200,0100,N 137816,S200000,04100,0100,N 137816,S200000,04200,0100,N 137816,S200000,04300,0100,N 137816,S200000,04600,0100,N 137816,S200000,04700,0100,N 137816,S200000,04700,0200,N 137816,S200000,04900,0100,N 137816,S200000,05000,0100,N 137816,S200000,05100,0100,N 137816,S200000,05200,0100,N 137821,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137821,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137821,A000000,00300,0000,0300EMPLOYEE BENEFITS 137821,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137821,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137821,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137821,A000000,00700,0000,0700HOUSEKEEPING 137821,A000000,00800,0000,0800DIETARY 137821,A000000,00900,0000,0900NURSING ADMINISTRATION 137821,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137821,A000000,01100,0000,1100PHARMACY 137821,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137821,A000000,01300,0000,1300SOCIAL SERVICE 137821,A000000,01600,0000,1600SKILLED NURSING FACILITY 137821,A000000,01800,0000,1800NURSING FACILITY 137821,A000000,01900,0000,1900OTHER LONG TERM CARE 137821,A000000,02100,0000,2100RADIOLOGY 137821,A000000,02200,0000,2200LABORATORY 137821,A000000,02300,0000,2300INTRAVENOUS THERAPY 137821,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137821,A000000,02500,0000,2500PHYSICAL THERAPY 137821,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137821,A000000,02700,0000,2700SPEECH PATHOLOGY 137821,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137821,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137821,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 137821,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137821,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137821,A81000A,00100,0100,Y 137821,A81000B,00100,0300,HOME OFFICE ALLOC 137821,A81000B,00200,0300,HOME OFFICE ALLOC 137821,A81000B,00300,0300,PHARMACY 137821,A81000B,00400,0300,PHYSICAL THERAPY 137821,A81000B,00500,0300,OCCUPATIONAL THERAPY 137821,A81000B,00600,0300,SPEECH THERAPY 137821,A81000C,00100,0100,A 137821,A81000C,00100,0200,COVENANT CARE INC 137821,A81000C,00100,0400,COVENANT CARE INC. 137821,A81000C,00100,0600,HEALTH CARE 137821,A81000C,00200,0100,B 137821,A81000C,00200,0200,PHARMACY 137821,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 137821,A81000C,00200,0600,PHARMACY - HEALTH CARE 137821,A81000C,00300,0100,C 137821,A81000C,00300,0200,THERAPY 137821,A81000C,00300,0400,SELECT THEREAPY 137821,A81000C,00300,0600,THERAPY SERVICES 137821,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 137821,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 137821,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137821,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137821,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 137821,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 137821,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 137821,B100000,00000,0800,0850PATIENT DAYS :DIETARY 137821,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 137821,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 137821,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 137821,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 137821,S000000,00100,0200,06/01/00 137821,S200000,00100,0100,1111 EAST TUOLUMNE ROAD 137821,S200000,00200,0100,TURLOCK 137821,S200000,00200,0200,CA 137821,S200000,00200,0300,95382- 137821,S200000,00300,0100,STANISLAUS 137821,S200000,00300,0200,5170 137821,S200000,00300,0300,U 137821,S200000,00400,0100,TURLOCK NURSING & REHAB. CENTER 137821,S200000,00400,0200,555240 137821,S200000,00400,0300,01/01/95 137821,S200000,00400,0500,P 137821,S200000,01500,0100,N 137821,S200000,01600,0100,Y 137821,S200000,01700,0100,N 137821,S200000,01800,0100,N 137821,S200000,02200,0100,N 137821,S200000,02800,0100,N 137821,S200000,02900,0100,N 137821,S200000,03000,0100,N 137821,S200000,03100,0100,N 137821,S200000,03200,0100,N 137821,S200000,04100,0100,N 137821,S200000,04200,0100,N 137821,S200000,04300,0100,N 137821,S200000,04600,0100,N 137821,S200000,04700,0100,N 137821,S200000,04700,0200,N 137821,S200000,04900,0100,N 137821,S200000,05000,0100,N 137821,S200000,05100,0100,N 137821,S200000,05200,0100,N 137864,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 137864,A000000,00101,0000,0101CAP REL COSTS - NURSING FACILITY 137864,A000000,00102,0000,0102CAP REL COSTS - COMMON & RESIDNE 137864,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 137864,A000000,00300,0000,0300EMPLOYEE BENEFITS 137864,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 137864,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 137864,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 137864,A000000,00700,0000,0700HOUSEKEEPING 137864,A000000,00701,0000,0701HOUSEKEEPING - NURSING 137864,A000000,00702,0000,0702HOUSEKEEPING - COMMON 137864,A000000,00703,0000,0703HOUSEKEEPING - RESIDENTIAL 137864,A000000,00800,0000,0800DIETARY 137864,A000000,00900,0000,0900NURSING ADMINISTRATION 137864,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 137864,A000000,01100,0000,1100PHARMACY 137864,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 137864,A000000,01300,0000,1300SOCIAL SERVICE 137864,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 137864,A000000,01500,0000,1350PATIENT ACTIVITIES 137864,A000000,01600,0000,1600SKILLED NURSING FACILITY 137864,A000000,01800,0000,1800NURSING FACILITY 137864,A000000,01810,0000,1810ICF/MR 137864,A000000,01900,0000,1900OTHER LONG TERM CARE 137864,A000000,02100,0000,2100RADIOLOGY 137864,A000000,02200,0000,2200LABORATORY 137864,A000000,02300,0000,2300INTRAVENOUS THERAPY 137864,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 137864,A000000,02500,0000,2500PHYSICAL THERAPY 137864,A000000,02600,0000,2600OCCUPATIONAL THERAPY 137864,A000000,02700,0000,2700SPEECH PATHOLOGY 137864,A000000,02800,0000,2800ELECTROCARDIOLOGY 137864,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 137864,A000000,02901,0000,2901CLINITRON BEDS 137864,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 137864,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 137864,A000000,03200,0000,3200SUPPORT SURFACES 137864,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 137864,A000000,03400,0000,3400CLINIC 137864,A000000,03500,0000,3500RURAL HEALTH CLINIC 137864,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 137864,A000000,04800,0000,4800AMBULANCE 137864,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 137864,A000000,05000,0000,5000CORF 137864,A000000,05100,0000,4750OTHER REIMBURSABLE COST 137864,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 137864,A000000,05300,0000,5300INTEREST EXPENSE 137864,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 137864,A000000,05500,0000,5500HOSPICE 137864,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 137864,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 137864,A000000,05900,0000,5900BARBER & BEAUTY SHOP 137864,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 137864,A000000,06100,0000,6100NONPAID WORKERS 137864,A000000,06200,0000,6200PATIENTS LAUNDRY 137864,A000000,06300,0000,6150PERSONAL CARE \ RESIDENTIAL 137864,A000000,06301,0000,6151GUEST SUITES 137864,A81000A,00100,0100,N 137864,B100000,00000,0101,0101SQ FEET NURSING :CAP REL COSTS - 137864,B100000,00000,0102,0102SQ FEET COMMON/RES :CAP REL COST 137864,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 137864,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 137864,B100000,00000,0500,0500SQUARE FEET COMBI :PLANT OPERATI 137864,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 137864,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 137864,B100000,00000,0701,0751SQ FT NRSNG EXCL:HOUSEKEEPING - 137864,B100000,00000,0702,0752SQ FT COMMONEXCL :HOUSEKEEPING - 137864,B100000,00000,0703,0753SQ FT RES EXCL:HOUSEKEEPING - RE 137864,B100000,00000,0800,0800MEALS SERVED :DIETARY 137864,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 137864,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 137864,S000000,00100,0200,11/10/00 137864,S200000,00100,0100,1048 WEST BALTIMORE PIKE 137864,S200000,00200,0100,MEDIA 137864,S200000,00200,0200,PA 137864,S200000,00200,0300,19063- 137864,S200000,00300,0100,DELAWARE 137864,S200000,00300,0200,6160 137864,S200000,00300,0300,U 137864,S200000,00400,0100,MONTICELLO HOUSE 137864,S200000,00400,0200,395974 137864,S200000,00400,0300,11/13/95 137864,S200000,00400,0500,P 137864,S200000,01500,0100,N 137864,S200000,01600,0100,Y 137864,S200000,01700,0100,Y 137864,S200000,01800,0100,N 137864,S200000,02200,0100,N 137864,S200000,02800,0100,N 137864,S200000,02900,0100,N 137864,S200000,03000,0100,N 137864,S200000,03100,0100,N 137864,S200000,03200,0100,N 137864,S200000,04100,0100,N 137864,S200000,04200,0100,N 137864,S200000,04300,0100,Y 137864,S200000,04600,0100,N 137864,S200000,04700,0100,N 137864,S200000,04700,0200,N 137864,S200000,04900,0100,N 137864,S200000,05000,0100,N 137864,S200000,05100,0100,N 137864,S200000,05200,0100,N 138131,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138131,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138131,A000000,00300,0000,0300EMPLOYEE BENEFITS 138131,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138131,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138131,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138131,A000000,00700,0000,0700HOUSEKEEPING 138131,A000000,00800,0000,0800DIETARY 138131,A000000,00900,0000,0900NURSING ADMINISTRATION 138131,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138131,A000000,01100,0000,1100PHARMACY 138131,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138131,A000000,01300,0000,1300SOCIAL SERVICE 138131,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138131,A000000,01500,0000,1350ACTIVITIES 138131,A000000,01600,0000,1600SKILLED NURSING FACILITY 138131,A000000,01800,0000,1800NURSING FACILITY 138131,A000000,01900,0000,1900OTHER LONG TERM CARE 138131,A000000,02100,0000,2100RADIOLOGY 138131,A000000,02200,0000,2200LABORATORY 138131,A000000,02300,0000,2300INTRAVENOUS THERAPY 138131,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138131,A000000,02500,0000,2500PHYSICAL THERAPY 138131,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138131,A000000,02700,0000,2700SPEECH PATHOLOGY 138131,A000000,02800,0000,2800ELECTROCARDIOLOGY 138131,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138131,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138131,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138131,A000000,03200,0000,3200SUPPORT SURFACES 138131,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138131,A000000,03400,0000,3400CLINIC 138131,A000000,03500,0000,3500RURAL HEALTH CLINIC 138131,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 138131,A000000,04800,0000,4800AMBULANCE 138131,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138131,A000000,05000,0000,5000CORF 138131,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138131,A000000,05300,0000,5300INTEREST EXPENSE 138131,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138131,A000000,05500,0000,5500HOSPICE 138131,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138131,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138131,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138131,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138131,A000000,06100,0000,6100NONPAID WORKERS 138131,A000000,06200,0000,6200PATIENTS LAUNDRY 138131,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 138131,A81000A,00100,0100,Y 138131,A81000B,00100,0300,NURSING SUPPLIES 138131,A81000B,00200,0300,NURSING SUPPLIES 138131,A81000B,00300,0300,FLU VACCINE 138131,A81000B,00400,0300,CHARGEABLE MEDICAL SUPPLIES 138131,A81000B,00500,0300,HEPATITIS B VACCINE 138131,A81000B,00600,0300,DIETARY SUPPLIES 138131,A81000B,00700,0300,LAUNDRY SUPPLIES 138131,A81000B,00800,0300,HOUSEKEEPING SUPPLIES 138131,A81000B,00900,0300,PLANT OPERATION MAINT. & REPAIRS 138131,A81000B,01000,0300,ADMINISTRATIVE & GENERAL 138131,A81000B,01100,0300,POOLED COST/INTEREST EXP/INTEREST IN 138131,A81000B,01200,0300,FACILITY ADMINISTRATOR 138131,A81000B,01300,0300,DIETARY CONSULTANT 138131,A81000B,01400,0300,NURSE CONSULTANT 138131,A81000B,01500,0300,REGIONAL PERSONNEL 138131,A81000B,01600,0300,CAP REL COSTS - BLDGS & FIXTURES 138131,A81000B,01700,0300,THERAPY CONSULTANT 138131,A81000B,01800,0300,MAINTENANCE CONSULTANT 138131,A81000B,01900,0300,ACCOUNTS RECEIVABLE DEPT 138131,A81000B,02000,0300,AIDE TRAINING 138131,A81000B,02100,0300,PHYSICAL THERAPY 138131,A81000C,00100,0100,B 138131,A81000C,00100,0200,NEIL PRUITT 138131,A81000C,00100,0400,UNITED REHAB 138131,A81000C,00100,0600,THERAPY 138131,A81000C,00200,0100,B 138131,A81000C,00200,0200,NEIL PRUITT 138131,A81000C,00200,0400,UNITED PHARMACY 138131,A81000C,00200,0600,PHARMACY 138131,A81000C,00300,0100,B 138131,A81000C,00300,0200,NEIL PRUITT 138131,A81000C,00300,0400,PRUITT PROPERTI 138131,A81000C,00300,0600,RENTAL 138131,A81000C,00400,0100,B 138131,A81000C,00400,0200,NEIL PRUITT 138131,A81000C,00400,0400,PRUITT CORPORAT 138131,A81000C,00400,0600,MANAGEMENT 138131,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138131,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138131,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138131,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138131,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138131,B100000,00000,0800,0800MEALS SERVED :DIETARY 138131,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138131,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138131,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138131,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138131,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 138131,E10A180,00301,0100,01/27/00 138131,S000000,00100,0200,12/04/00 138131,S200000,00100,0100,560 JOHNSON RIDGE CENTER 138131,S200000,00200,0100,ELKIN 138131,S200000,00200,0200,CA 138131,S200000,00200,0300,28621-2495 138131,S200000,00300,0100,SURRY 138131,S200000,00300,0200,34 138131,S200000,00300,0300,R 138131,S200000,00400,0100,ELKIN HEALTH CARE INC. 138131,S200000,00400,0200,345124 138131,S200000,00400,0300,10/01/81 138131,S200000,00400,0500,P 138131,S200000,01500,0100,N 138131,S200000,01600,0100,Y 138131,S200000,01700,0100,N 138131,S200000,01800,0100,N 138131,S200000,02200,0100,N 138131,S200000,02800,0100,N 138131,S200000,02900,0100,N 138131,S200000,03000,0100,N 138131,S200000,03100,0100,N 138131,S200000,03200,0100,N 138131,S200000,04100,0100,N 138131,S200000,04200,0100,N 138131,S200000,04300,0100,N 138131,S200000,04600,0100,N 138131,S200000,04700,0100,N 138131,S200000,04700,0200,N 138131,S200000,04900,0100,N 138131,S200000,05000,0100,N 138131,S200000,05100,0100,N 138131,S200000,05200,0100,N 138133,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138133,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138133,A000000,00300,0000,0300EMPLOYEE BENEFITS 138133,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138133,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138133,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138133,A000000,00700,0000,0700HOUSEKEEPING 138133,A000000,00800,0000,0800DIETARY 138133,A000000,00900,0000,0900NURSING ADMINISTRATION 138133,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138133,A000000,01100,0000,1100PHARMACY 138133,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138133,A000000,01300,0000,1300SOCIAL SERVICE 138133,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138133,A000000,01500,0000,1350ACTIVITIES 138133,A000000,01600,0000,1600SKILLED NURSING FACILITY 138133,A000000,01800,0000,1800NURSING FACILITY 138133,A000000,01900,0000,1900OTHER LONG TERM CARE 138133,A000000,02100,0000,2100RADIOLOGY 138133,A000000,02200,0000,2200LABORATORY 138133,A000000,02300,0000,2300INTRAVENOUS THERAPY 138133,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138133,A000000,02500,0000,2500PHYSICAL THERAPY 138133,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138133,A000000,02700,0000,2700SPEECH PATHOLOGY 138133,A000000,02800,0000,2800ELECTROCARDIOLOGY 138133,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138133,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138133,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138133,A000000,03200,0000,3200SUPPORT SURFACES 138133,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138133,A000000,03400,0000,3400CLINIC 138133,A000000,03500,0000,3500RURAL HEALTH CLINIC 138133,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 138133,A000000,04800,0000,4800AMBULANCE 138133,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138133,A000000,05000,0000,5000CORF 138133,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138133,A000000,05300,0000,5300INTEREST EXPENSE 138133,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138133,A000000,05500,0000,5500HOSPICE 138133,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138133,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138133,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138133,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138133,A000000,06100,0000,6100NONPAID WORKERS 138133,A000000,06200,0000,6200PATIENTS LAUNDRY 138133,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 138133,A81000A,00100,0100,Y 138133,A81000B,00100,0300,NURSING SUPPLIES 138133,A81000B,00200,0300,NURSING SUPPLIES 138133,A81000B,00400,0300,DRUGS RELATED 138133,A81000B,00600,0300,CHARGEABLE MEDICAL SUPPLIES 138133,A81000B,00800,0300,DIETARY SUPPLIES 138133,A81000B,00900,0300,LAUNDRY SUPPLIES 138133,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 138133,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 138133,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 138133,A81000B,01300,0300,FACILITY LEASE 138133,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 138133,A81000B,01500,0300,FACILITY ADMINISTRATOR 138133,A81000B,01600,0300,DIETARY CONSULTANT 138133,A81000B,01700,0300,NURSE CONSULTANT 138133,A81000B,01800,0300,REGIONAL PERSONNEL 138133,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 138133,A81000B,02000,0300,THERAPY CONSULTANT 138133,A81000B,02100,0300,MAINTENANCE CONSULTANT 138133,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 138133,A81000B,02300,0300,PHYSICAL THERAPY 138133,A81000B,02400,0300,SOCIAL SERVICES SUPPLIES 138133,A81000B,02500,0300,ACTIVITIES SUPPLIES 138133,A81000C,00100,0100,B 138133,A81000C,00100,0200,NEIL PRUITT 138133,A81000C,00100,0400,UNITED REHAB 138133,A81000C,00100,0600,THERAPY 138133,A81000C,00200,0100,B 138133,A81000C,00200,0200,NEIL PRUITT 138133,A81000C,00200,0400,UNITED PHARMACY 138133,A81000C,00200,0600,PHARMACY 138133,A81000C,00300,0100,B 138133,A81000C,00300,0200,NEIL PRUITT 138133,A81000C,00300,0400,PRUITT PROPERTI 138133,A81000C,00300,0600,RENTAL 138133,A81000C,00400,0100,B 138133,A81000C,00400,0200,NEIL PRUITT 138133,A81000C,00400,0400,PRUITT CORPORAT 138133,A81000C,00400,0600,MANAGEMENT 138133,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138133,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138133,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138133,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138133,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138133,B100000,00000,0800,0800MEALS SERVED :DIETARY 138133,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138133,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138133,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138133,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 138133,E10A180,00301,0100,01/27/00 138133,S000000,00100,0200,12/04/00 138133,S200000,00100,0100,ROUTE 1 BOX 96 138133,S200000,00200,0100,FARMVILLE 138133,S200000,00200,0200,NC 138133,S200000,00200,0300,27828- 138133,S200000,00300,0100,PITT 138133,S200000,00300,0300,R 138133,S200000,00400,0100,FARMVILLE HEALTH CARE INC. 138133,S200000,00400,0200,345384 138133,S200000,00400,0300,07/01/99 138133,S200000,00400,0500,P 138133,S200000,01500,0100,N 138133,S200000,01600,0100,Y 138133,S200000,01700,0100,N 138133,S200000,01800,0100,N 138133,S200000,02200,0100,N 138133,S200000,02800,0100,N 138133,S200000,02900,0100,N 138133,S200000,03000,0100,N 138133,S200000,03100,0100,N 138133,S200000,03200,0100,N 138133,S200000,04100,0100,N 138133,S200000,04200,0100,N 138133,S200000,04300,0100,N 138133,S200000,04600,0100,N 138133,S200000,04700,0100,N 138133,S200000,04700,0200,N 138133,S200000,04900,0100,N 138133,S200000,05000,0100,N 138133,S200000,05100,0100,N 138133,S200000,05200,0100,N 138151,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138151,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138151,A000000,00300,0000,0300EMPLOYEE BENEFITS 138151,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138151,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138151,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138151,A000000,00700,0000,0700HOUSEKEEPING 138151,A000000,00800,0000,0800DIETARY 138151,A000000,00900,0000,0900NURSING ADMINISTRATION 138151,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138151,A000000,01100,0000,1100PHARMACY 138151,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138151,A000000,01300,0000,1300SOCIAL SERVICE 138151,A000000,01301,0000,1351ACTIVITIES 138151,A000000,01600,0000,1600SKILLED NURSING FACILITY 138151,A000000,01800,0000,1800NURSING FACILITY 138151,A000000,02100,0000,2100RADIOLOGY 138151,A000000,02200,0000,2200LABORATORY 138151,A000000,02300,0000,2300INTRAVENOUS THERAPY 138151,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138151,A000000,02500,0000,2500PHYSICAL THERAPY 138151,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138151,A000000,02700,0000,2700SPEECH PATHOLOGY 138151,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138151,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138151,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138151,A000000,03301,0000,3051MEDICAL EQUIPMENT 138151,A000000,04800,0000,4800AMBULANCE 138151,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138151,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138151,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138151,A81000A,00100,0100,Y 138151,A81000B,00100,0300,HOME OFFICE CAPITAL 138151,A81000B,00200,0300,HOME OFFICE NONCAPITAL 138151,A81000B,00300,0300,WAREHOUSE 138151,A81000C,00100,0100,A 138151,A81000C,00100,0200,PETER C. KERN 138151,A81000C,00100,0400,HEA MANAGEMENT GROUP 138151,A81000C,00100,0600,HOME OFFICE 138151,A81000C,00200,0100,A 138151,A81000C,00200,0200,PETER C. KERN 138151,A81000C,00200,0400,WAREHOUSE STORAGE 138151,A81000C,00200,0600,OLD RECORD STORAGE 138151,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138151,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138151,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138151,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138151,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138151,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138151,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138151,B100000,00000,0800,0800MEALS SERVED :DIETARY 138151,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 138151,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 138151,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 138151,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 138151,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138151,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 138151,S000000,00100,0200,05/30/00 138151,S200000,00100,0100,ROUTE 1 BOX 1X OLD AUSTIN ROAD 138151,S200000,00200,0100,BASTROP 138151,S200000,00200,0200,TX 138151,S200000,00200,0300,78602- 138151,S200000,00300,0100,BASTROP 138151,S200000,00300,0200,0640 138151,S200000,00300,0300,U 138151,S200000,00400,0100,SILVER PINES GERIATRIC CENTER 138151,S200000,00400,0200,675434 138151,S200000,00400,0300,11/21/96 138151,S200000,00400,0500,P 138151,S200000,01500,0100,N 138151,S200000,01600,0100,Y 138151,S200000,01700,0100,N 138151,S200000,01800,0100,N 138151,S200000,02200,0100,Y 138151,S200000,02800,0100,N 138151,S200000,02900,0100,N 138151,S200000,03000,0100,N 138151,S200000,03100,0100,N 138151,S200000,03200,0100,N 138151,S200000,04100,0100,N 138151,S200000,04200,0100,N 138151,S200000,04300,0100,Y 138151,S200000,04600,0100,N 138151,S200000,04700,0100,N 138151,S200000,04700,0200,N 138151,S200000,04900,0100,N 138151,S200000,05000,0100,N 138151,S200000,05100,0100,N 138151,S200000,05200,0100,N 138155,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138155,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 138155,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138155,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 138155,A000000,00300,0000,0300EMPLOYEE BENEFITS 138155,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138155,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138155,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138155,A000000,00700,0000,0700HOUSEKEEPING 138155,A000000,00800,0000,0800DIETARY 138155,A000000,00801,0000,0801CAFETERIA 138155,A000000,00900,0000,0900NURSING ADMINISTRATION 138155,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138155,A000000,01100,0000,1100PHARMACY 138155,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138155,A000000,01300,0000,1300SOCIAL SERVICE 138155,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138155,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 138155,A000000,01600,0000,1600SKILLED NURSING FACILITY 138155,A000000,01800,0000,1800NURSING FACILITY 138155,A000000,01900,0000,1900OTHER LONG TERM CARE 138155,A000000,02100,0000,2100RADIOLOGY 138155,A000000,02200,0000,2200LABORATORY 138155,A000000,02300,0000,2300INTRAVENOUS THERAPY 138155,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138155,A000000,02500,0000,2500PHYSICAL THERAPY 138155,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138155,A000000,02700,0000,2700SPEECH PATHOLOGY 138155,A000000,02800,0000,2800ELECTROCARDIOLOGY 138155,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138155,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138155,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138155,A000000,03200,0000,3200SUPPORT SURFACES 138155,A000000,03300,0000,3050OTHER ANCILLARY 138155,A000000,03301,0000,3051OTHER ANCILLARY II 138155,A000000,03302,0000,3052OTHER ANCILLARY III 138155,A000000,03400,0000,3400CLINIC 138155,A000000,03500,0000,3500RURAL HEALTH CLINIC 138155,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 138155,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138155,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138155,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138155,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138155,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138155,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138155,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138155,A000000,04400,0000,4400DME RENTED - HHA 138155,A000000,04500,0000,4500DME SOLD - HHA 138155,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138155,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138155,A000000,04800,0000,4800AMBULANCE 138155,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138155,A000000,05000,0000,5000CORF 138155,A000000,05010,0000,5010CMHC I 138155,A000000,05020,0000,5020OPT I 138155,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138155,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138155,A000000,05300,0000,5300INTEREST EXPENSE 138155,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138155,A000000,05500,0000,5500HOSPICE 138155,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 138155,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 138155,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138155,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138155,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138155,A000000,06100,0000,6100NONPAID WORKERS 138155,A000000,06200,0000,6200PATIENTS LAUNDRY 138155,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138155,A81000A,00100,0100,Y 138155,A81000B,00100,0300,MANAGEMENT FEES 138155,A81000C,00100,0100,E 138155,A81000C,00100,0200,THELMA ALLGOOD 138155,A81000C,00100,0400,ALLGOOD HEALTH 138155,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 138155,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138155,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 138155,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 138155,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 138155,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 138155,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 138155,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 138155,E10A180,00301,0100,01/20/00 138155,E10A180,00501,0100,01/16/01 138155,E10A180,00550,0300,01/16/01 138155,S000000,00100,0200,12/01/00 138155,S200000,00100,0100,3235 DEANS BRIDGE ROAD 138155,S200000,00200,0100,AUGUSTA 138155,S200000,00200,0200,GA 138155,S200000,00200,0300,30906- 138155,S200000,00300,0100,RICHMOND 138155,S200000,00300,0200,0600 138155,S200000,00300,0300,U 138155,S200000,00400,0100,JENNINGS HEALTHCARE INC. 138155,S200000,00400,0200,115290 138155,S200000,00400,0300,07/01/83 138155,S200000,00400,0500,P 138155,S200000,01500,0100,Y 138155,S200000,01600,0100,N 138155,S200000,01700,0100,N 138155,S200000,01800,0100,N 138155,S200000,02200,0100,N 138155,S200000,02800,0100,N 138155,S200000,02900,0100,N 138155,S200000,03000,0100,N 138155,S200000,03100,0100,N 138155,S200000,03200,0100,N 138155,S200000,04100,0100,N 138155,S200000,04200,0100,N 138155,S200000,04300,0100,N 138155,S200000,04600,0100,N 138155,S200000,04700,0100,N 138155,S200000,04700,0200,N 138155,S200000,04900,0100,N 138155,S200000,05000,0100,N 138155,S200000,05100,0100,N 138155,S200000,05200,0100,N 138156,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138156,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138156,A000000,00300,0000,0300EMPLOYEE BENEFITS 138156,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138156,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138156,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138156,A000000,00700,0000,0700HOUSEKEEPING 138156,A000000,00800,0000,0800DIETARY 138156,A000000,00900,0000,0900NURSING ADMINISTRATION 138156,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138156,A000000,01100,0000,1100PHARMACY 138156,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138156,A000000,01300,0000,1300SOCIAL SERVICE 138156,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138156,A000000,01500,0000,1350OTHER GENERAL SERVICES 138156,A000000,01600,0000,1600SKILLED NURSING FACILITY 138156,A000000,01800,0000,1800NURSING FACILITY 138156,A000000,01810,0000,1810ICF/MR 138156,A000000,01900,0000,1900OTHER LONG TERM CARE 138156,A000000,02100,0000,2100RADIOLOGY 138156,A000000,02200,0000,2200LABORATORY 138156,A000000,02300,0000,2300INTRAVENOUS THERAPY 138156,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138156,A000000,02500,0000,2500PHYSICAL THERAPY 138156,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138156,A000000,02700,0000,2700SPEECH PATHOLOGY 138156,A000000,02800,0000,2800ELECTROCARDIOLOGY 138156,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138156,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138156,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138156,A000000,03200,0000,3200SUPPORT SURFACES 138156,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138156,A000000,03400,0000,3400CLINIC 138156,A000000,03500,0000,3500RURAL HEALTH CLINIC 138156,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138156,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138156,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138156,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138156,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138156,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138156,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138156,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138156,A000000,04400,0000,4400DME RENTED - HHA 138156,A000000,04500,0000,4500DME SOLD - HHA 138156,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138156,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138156,A000000,04800,0000,4800AMBULANCE 138156,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138156,A000000,05000,0000,5000CORF 138156,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138156,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138156,A000000,05300,0000,5300INTEREST EXPENSE 138156,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138156,A000000,05500,0000,5500HOSPICE 138156,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138156,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138156,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138156,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138156,A000000,06100,0000,6100NONPAID WORKERS 138156,A000000,06200,0000,6200PATIENTS LAUNDRY 138156,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138156,A81000A,00100,0100,Y 138156,A81000B,00100,0300,RENT 138156,A81000B,00200,0300,HOME OFFICE CAPITAL 138156,A81000B,00300,0300,MANAGEMENT FEE 138156,A81000B,00400,0300,HOME OFFICE QA 138156,A81000C,00100,0100,A 138156,A81000C,00100,0200,KARSCHNER MANGIONE ET AL 138156,A81000C,00100,0400,FAIRBURN LTD 138156,A81000C,00100,0600,RENT 138156,A81000C,00200,0100,A 138156,A81000C,00200,0200,KARSCHNER MANGIONE ET AL 138156,A81000C,00200,0400,BLUE RIDGE NURSING HOMES 138156,A81000C,00200,0600,HOME OFFICE 138156,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 138156,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138156,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 138156,B100000,00000,0600,0650LBS OF LAUND :LAUNDRY & LINEN SE 138156,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 138156,B100000,00000,0800,0850PAT DAYS :DIETARY 138156,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138156,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138156,S000000,00100,0200,12/11/00 138156,S200000,00100,0100,178 W. CAMBELLTON STREET 138156,S200000,00200,0100,FAIRBURN 138156,S200000,00200,0200,GA 138156,S200000,00200,0300,30213- 138156,S200000,00300,0100,FULTON 138156,S200000,00300,0200,0520 138156,S200000,00300,0300,U 138156,S200000,00400,0100,FAIRBURN HCC INC 138156,S200000,00400,0200,115298 138156,S200000,00400,0300,05/01/82 138156,S200000,00400,0500,P 138156,S200000,01500,0100,N 138156,S200000,01600,0100,Y 138156,S200000,01700,0100,N 138156,S200000,01800,0100,N 138156,S200000,02200,0100,N 138156,S200000,02800,0100,N 138156,S200000,02900,0100,N 138156,S200000,03000,0100,N 138156,S200000,03100,0100,N 138156,S200000,03200,0100,N 138156,S200000,04100,0100,N 138156,S200000,04200,0100,N 138156,S200000,04300,0100,N 138156,S200000,04600,0100,N 138156,S200000,04700,0100,N 138156,S200000,04700,0200,N 138156,S200000,04900,0100,N 138156,S200000,05000,0100,N 138156,S200000,05100,0100,N 138156,S200000,05200,0100,N 138157,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138157,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138157,A000000,00300,0000,0300EMPLOYEE BENEFITS 138157,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138157,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138157,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138157,A000000,00700,0000,0700HOUSEKEEPING 138157,A000000,00800,0000,0800DIETARY 138157,A000000,00900,0000,0900NURSING ADMINISTRATION 138157,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138157,A000000,01100,0000,1100PHARMACY 138157,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138157,A000000,01300,0000,1300SOCIAL SERVICE 138157,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138157,A000000,01600,0000,1600SKILLED NURSING FACILITY 138157,A000000,01900,0000,1900OTHER LONG TERM CARE 138157,A000000,02100,0000,2100RADIOLOGY 138157,A000000,02200,0000,2200LABORATORY 138157,A000000,02300,0000,2300INTRAVENOUS THERAPY 138157,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138157,A000000,02500,0000,2500PHYSICAL THERAPY 138157,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138157,A000000,02700,0000,2700SPEECH PATHOLOGY 138157,A000000,02800,0000,2800ELECTROCARDIOLOGY 138157,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138157,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138157,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138157,A000000,03200,0000,3200SUPPORT SURFACES 138157,A000000,03400,0000,3400CLINIC 138157,A000000,04800,0000,4800AMBULANCE 138157,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138157,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138157,A000000,05300,0000,5300INTEREST EXPENSE 138157,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138157,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138157,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138157,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138157,A000000,06100,0000,6100NONPAID WORKERS 138157,A000000,06200,0000,6200PATIENTS LAUNDRY 138157,A81000A,00100,0100,N 138157,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138157,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 138157,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138157,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138157,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138157,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138157,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 138157,B100000,00000,0800,0800MEALS SERVED :DIETARY 138157,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138157,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138157,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138157,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138157,E10A180,00301,0100,01/20/00 138157,S000000,00100,0200,04/05/01 138157,S200000,00100,0100,2122 CUMMING ROAD 138157,S200000,00200,0100,AUGUSTA 138157,S200000,00200,0200,GA 138157,S200000,00200,0300,30904- 138157,S200000,00300,0100,RICHMOND 138157,S200000,00300,0200,0600 138157,S200000,00300,0300,U 138157,S200000,00400,0100,MAGNOLIA HILL OF AUGUSTA 138157,S200000,00400,0200,115303 138157,S200000,00400,0300,04/01/83 138157,S200000,00400,0500,P 138157,S200000,01500,0100,N 138157,S200000,01600,0100,Y 138157,S200000,01700,0100,N 138157,S200000,01800,0100,N 138157,S200000,01900,0100,501 (C) 3 138157,S200000,02200,0100,N 138157,S200000,02800,0100,N 138157,S200000,02900,0100,N 138157,S200000,03000,0100,N 138157,S200000,03100,0100,N 138157,S200000,03200,0100,N 138157,S200000,04100,0100,N 138157,S200000,04200,0100,N 138157,S200000,04300,0100,N 138157,S200000,04600,0100,N 138157,S200000,04700,0100,N 138157,S200000,04700,0200,N 138157,S200000,04900,0100,N 138157,S200000,05000,0100,N 138157,S200000,05100,0100,N 138157,S200000,05200,0100,N 138159,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138159,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138159,A000000,00300,0000,0300EMPLOYEE BENEFITS 138159,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138159,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138159,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138159,A000000,00700,0000,0700HOUSEKEEPING 138159,A000000,00800,0000,0800DIETARY 138159,A000000,00900,0000,0900NURSING ADMINISTRATION 138159,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138159,A000000,01100,0000,1100PHARMACY 138159,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138159,A000000,01300,0000,1300SOCIAL SERVICE 138159,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138159,A000000,01500,0000,1350ACTIVITIES 138159,A000000,01600,0000,1600SKILLED NURSING FACILITY 138159,A000000,01800,0000,1800NURSING FACILITY 138159,A000000,01900,0000,1900OTHER LONG TERM CARE 138159,A000000,02100,0000,2100RADIOLOGY 138159,A000000,02200,0000,2200LABORATORY 138159,A000000,02300,0000,2300INTRAVENOUS THERAPY 138159,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138159,A000000,02500,0000,2500PHYSICAL THERAPY 138159,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138159,A000000,02700,0000,2700SPEECH PATHOLOGY 138159,A000000,02800,0000,2800ELECTROCARDIOLOGY 138159,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138159,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138159,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138159,A000000,03200,0000,3200SUPPORT SURFACES 138159,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138159,A000000,03400,0000,3400CLINIC 138159,A000000,03500,0000,3500RURAL HEALTH CLINIC 138159,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 138159,A000000,04800,0000,4800AMBULANCE 138159,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138159,A000000,05000,0000,5000CORF 138159,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138159,A000000,05300,0000,5300INTEREST EXPENSE 138159,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138159,A000000,05500,0000,5500HOSPICE 138159,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138159,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138159,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138159,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138159,A000000,06100,0000,6100NONPAID WORKERS 138159,A000000,06200,0000,6200PATIENTS LAUNDRY 138159,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 138159,A81000A,00100,0100,Y 138159,A81000B,00100,0300,NURSING SUPPLIES 138159,A81000B,00200,0300,NURSING SUPPLIES 138159,A81000B,00300,0300,FLU VACCINE 138159,A81000B,00400,0300,DRUGS RELATED 138159,A81000B,00500,0300,CONTRACTED SERVICE 138159,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 138159,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 138159,A81000B,00800,0300,HEPATITIS B VACCINE 138159,A81000B,00900,0300,DIETARY SUPPLIES 138159,A81000B,01000,0300,LAUNDRY SUPPLIES 138159,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 138159,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 138159,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 138159,A81000B,01400,0300,FACILITY LEASE 138159,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 138159,A81000B,01600,0300,FACILITY ADMINISTRATOR 138159,A81000B,01700,0300,DIETARY CONSULTANT 138159,A81000B,01800,0300,NURSE CONSULTANT 138159,A81000B,01900,0300,REGIONAL PERSONNEL 138159,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 138159,A81000B,02100,0300,THERAPY CONSULTANT 138159,A81000B,02200,0300,MAINTENANCE CONSULTANT 138159,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 138159,A81000B,02400,0300,AIDE TRAINING 138159,A81000B,02500,0300,PHYSICAL THERAPY 138159,A81000B,02600,0300,SOCIAL SERVICES SUPPLIES 138159,A81000B,02700,0300,ACTIVITIES SUPPLIES 138159,A81000B,02800,0300,MEDICAL RECORDS SUPPLIES 138159,A81000C,00100,0100,B 138159,A81000C,00100,0200,NEIL PRUITT 138159,A81000C,00100,0400,UNITED REHAB 138159,A81000C,00100,0600,THERAPY 138159,A81000C,00200,0100,B 138159,A81000C,00200,0200,NEIL PRUITT 138159,A81000C,00200,0400,UNITED PHARMACY 138159,A81000C,00200,0600,PHARMACY 138159,A81000C,00300,0100,B 138159,A81000C,00300,0200,NEIL PRUITT 138159,A81000C,00300,0400,PRUITT PROPERTI 138159,A81000C,00300,0600,RENTAL 138159,A81000C,00400,0100,B 138159,A81000C,00400,0200,NEIL PRUITT 138159,A81000C,00400,0400,PRUITT CORPORAT 138159,A81000C,00400,0600,MANAGEMENT 138159,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138159,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138159,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138159,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138159,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138159,B100000,00000,0800,0800MEALS SERVED :DIETARY 138159,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138159,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138159,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138159,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138159,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 138159,E10A180,00301,0100,01/27/00 138159,S000000,00100,0200,12/04/00 138159,S200000,00100,0100,HIGHWAY 42 138159,S200000,00200,0100,FORSYTH 138159,S200000,00200,0200,CA 138159,S200000,00200,0300,31029- 138159,S200000,00300,0100,MONROE 138159,S200000,00300,0200,0011 138159,S200000,00300,0300,R 138159,S200000,00400,0100,HILLTOP NURSING HOME INC. 138159,S200000,00400,0200,115379 138159,S200000,00400,0300,07/01/89 138159,S200000,00400,0500,P 138159,S200000,01500,0100,N 138159,S200000,01600,0100,Y 138159,S200000,01700,0100,N 138159,S200000,01800,0100,N 138159,S200000,02200,0100,N 138159,S200000,02800,0100,N 138159,S200000,02900,0100,N 138159,S200000,03000,0100,N 138159,S200000,03100,0100,N 138159,S200000,03200,0100,N 138159,S200000,04100,0100,N 138159,S200000,04200,0100,N 138159,S200000,04300,0100,N 138159,S200000,04600,0100,N 138159,S200000,04700,0100,N 138159,S200000,04700,0200,N 138159,S200000,04900,0100,N 138159,S200000,05000,0100,N 138159,S200000,05100,0100,N 138159,S200000,05200,0100,N 138160,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138160,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138160,A000000,00300,0000,0300EMPLOYEE BENEFITS 138160,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138160,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138160,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138160,A000000,00700,0000,0700HOUSEKEEPING 138160,A000000,00800,0000,0800DIETARY 138160,A000000,00900,0000,0900NURSING ADMINISTRATION 138160,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138160,A000000,01100,0000,1100PHARMACY 138160,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138160,A000000,01300,0000,1300SOCIAL SERVICE 138160,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138160,A000000,01500,0000,1350ACTIVITIES 138160,A000000,01600,0000,1600SKILLED NURSING FACILITY 138160,A000000,01800,0000,1800NURSING FACILITY 138160,A000000,01900,0000,1900OTHER LONG TERM CARE 138160,A000000,02100,0000,2100RADIOLOGY 138160,A000000,02200,0000,2200LABORATORY 138160,A000000,02300,0000,2300INTRAVENOUS THERAPY 138160,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138160,A000000,02500,0000,2500PHYSICAL THERAPY 138160,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138160,A000000,02700,0000,2700SPEECH PATHOLOGY 138160,A000000,02800,0000,2800ELECTROCARDIOLOGY 138160,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138160,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138160,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138160,A000000,03200,0000,3200SUPPORT SURFACES 138160,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138160,A000000,03400,0000,3400CLINIC 138160,A000000,03500,0000,3500RURAL HEALTH CLINIC 138160,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 138160,A000000,04800,0000,4800AMBULANCE 138160,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138160,A000000,05000,0000,5000CORF 138160,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138160,A000000,05300,0000,5300INTEREST EXPENSE 138160,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138160,A000000,05500,0000,5500HOSPICE 138160,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138160,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138160,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138160,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138160,A000000,06100,0000,6100NONPAID WORKERS 138160,A000000,06200,0000,6200PATIENTS LAUNDRY 138160,A000000,06300,0000,6150HOME HEALTH AGENCY 138160,A81000A,00100,0100,Y 138160,A81000B,00100,0300,NURSING SUPPLIES 138160,A81000B,00200,0300,NURSING SUPPLIES 138160,A81000B,00300,0300,FLU VACCINE 138160,A81000B,00400,0300,DRUGS RELATED 138160,A81000B,00500,0300,CONTRACTED SERVICE 138160,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 138160,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 138160,A81000B,00800,0300,HEPATITIS B VACCINE 138160,A81000B,00900,0300,DIETARY SUPPLIES 138160,A81000B,01000,0300,LAUNDRY SUPPLIES 138160,A81000B,01100,0300,HOUSEKEEPING SUPPLIES 138160,A81000B,01200,0300,PLANT OPERATION MAINT. & REPAIRS 138160,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 138160,A81000B,01400,0300,FACILITY LEASE 138160,A81000B,01500,0300,POOLED COST/INTEREST EXP/INTEREST IN 138160,A81000B,01600,0300,FACILITY ADMINISTRATOR 138160,A81000B,01700,0300,DIETARY CONSULTANT 138160,A81000B,01800,0300,NURSE CONSULTANT 138160,A81000B,01900,0300,REGIONAL PERSONNEL 138160,A81000B,02000,0300,CAP REL COSTS - BLDGS & FIXTURES 138160,A81000B,02100,0300,THERAPY CONSULTANT 138160,A81000B,02200,0300,MAINTENANCE CONSULTANT 138160,A81000B,02300,0300,ACCOUNTS RECEIVABLE DEPT 138160,A81000B,02400,0300,PHYSICAL THERAPY 138160,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 138160,A81000B,02600,0300,ACTIVITIES SUPPLIES 138160,A81000C,00100,0100,B 138160,A81000C,00100,0200,NEIL PRUITT 138160,A81000C,00100,0400,UNITED REHAB 138160,A81000C,00100,0600,THERAPY 138160,A81000C,00200,0100,B 138160,A81000C,00200,0200,NEIL PRUITT 138160,A81000C,00200,0400,UNITED PHARMACY 138160,A81000C,00200,0600,PHARMACY 138160,A81000C,00300,0100,B 138160,A81000C,00300,0200,NEIL PRUITT 138160,A81000C,00300,0400,PRUITT PROPERTI 138160,A81000C,00300,0600,RENTAL 138160,A81000C,00400,0100,B 138160,A81000C,00400,0200,NEIL PRUITT 138160,A81000C,00400,0400,PRUITT CORPORAT 138160,A81000C,00400,0600,MANAGEMENT 138160,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138160,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138160,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138160,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138160,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138160,B100000,00000,0800,0800MEALS SERVED :DIETARY 138160,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138160,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138160,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138160,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 138160,E10A180,00301,0100,01/27/00 138160,S000000,00100,0200,12/04/00 138160,S200000,00100,0100,443 BAGWELL ROAD 138160,S200000,00200,0100,CARROLLTON 138160,S200000,00200,0200,CA 138160,S200000,00200,0300, - 138160,S200000,00300,0100,CARROLL 138160,S200000,00300,0200,0520 138160,S200000,00300,0300,U 138160,S200000,00400,0100,BAGWELL NURSING HOME INC. 138160,S200000,00400,0200,115384 138160,S200000,00400,0300,07/01/89 138160,S200000,00400,0500,P 138160,S200000,01500,0100,N 138160,S200000,01600,0100,Y 138160,S200000,01700,0100,N 138160,S200000,01800,0100,N 138160,S200000,02200,0100,N 138160,S200000,02800,0100,N 138160,S200000,02900,0100,N 138160,S200000,03000,0100,N 138160,S200000,03100,0100,N 138160,S200000,03200,0100,N 138160,S200000,04100,0100,N 138160,S200000,04200,0100,N 138160,S200000,04300,0100,N 138160,S200000,04600,0100,N 138160,S200000,04700,0100,N 138160,S200000,04700,0200,N 138160,S200000,04900,0100,N 138160,S200000,05000,0100,N 138160,S200000,05100,0100,N 138160,S200000,05200,0100,N 138161,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138161,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138161,A000000,00300,0000,0300EMPLOYEE BENEFITS 138161,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138161,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138161,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138161,A000000,00700,0000,0700HOUSEKEEPING 138161,A000000,00800,0000,0800DIETARY 138161,A000000,00900,0000,0900NURSING ADMINISTRATION 138161,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138161,A000000,01100,0000,1100PHARMACY 138161,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138161,A000000,01300,0000,1300SOCIAL SERVICE 138161,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138161,A000000,01500,0000,1350ACTIVITIES 138161,A000000,01600,0000,1600SKILLED NURSING FACILITY 138161,A000000,01800,0000,1800NURSING FACILITY 138161,A000000,01900,0000,1900OTHER LONG TERM CARE 138161,A000000,02100,0000,2100RADIOLOGY 138161,A000000,02200,0000,2200LABORATORY 138161,A000000,02300,0000,2300INTRAVENOUS THERAPY 138161,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138161,A000000,02500,0000,2500PHYSICAL THERAPY 138161,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138161,A000000,02700,0000,2700SPEECH PATHOLOGY 138161,A000000,02800,0000,2800ELECTROCARDIOLOGY 138161,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138161,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138161,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138161,A000000,03200,0000,3200SUPPORT SURFACES 138161,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 138161,A000000,03400,0000,3400CLINIC 138161,A000000,03500,0000,3500RURAL HEALTH CLINIC 138161,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 138161,A000000,04800,0000,4800AMBULANCE 138161,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138161,A000000,05000,0000,5000CORF 138161,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138161,A000000,05300,0000,5300INTEREST EXPENSE 138161,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138161,A000000,05500,0000,5500HOSPICE 138161,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138161,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138161,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138161,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138161,A000000,06100,0000,6100NONPAID WORKERS 138161,A000000,06200,0000,6200PATIENTS LAUNDRY 138161,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 138161,A81000A,00100,0100,Y 138161,A81000B,00100,0300,NURSING SUPPLIES 138161,A81000B,00200,0300,NURSING SUPPLIES 138161,A81000B,00300,0300,FLU VACCINE 138161,A81000B,00400,0300,DRUGS RELATED 138161,A81000B,00500,0300,CONTRACTED SERVICE 138161,A81000B,00600,0300,MEDICARE PRESCRIPTION DRUGS 138161,A81000B,00700,0300,CHARGEABLE MEDICAL SUPPLIES 138161,A81000B,00800,0300,DIETARY SUPPLIES 138161,A81000B,00900,0300,LAUNDRY SUPPLIES 138161,A81000B,01000,0300,HOUSEKEEPING SUPPLIES 138161,A81000B,01100,0300,PLANT OPERATION MAINT. & REPAIRS 138161,A81000B,01200,0300,ADMINISTRATIVE & GENERAL 138161,A81000B,01300,0300,FACILITY LEASE 138161,A81000B,01400,0300,POOLED COST/INTEREST EXP/INTEREST IN 138161,A81000B,01500,0300,FACILITY ADMINISTRATOR 138161,A81000B,01600,0300,DIETARY CONSULTANT 138161,A81000B,01700,0300,NURSE CONSULTANT 138161,A81000B,01800,0300,REGIONAL PERSONNEL 138161,A81000B,01900,0300,CAP REL COSTS - BLDGS & FIXTURES 138161,A81000B,02000,0300,THERAPY CONSULTANT 138161,A81000B,02100,0300,MAINTENANCE CONSULTANT 138161,A81000B,02200,0300,ACCOUNTS RECEIVABLE DEPT 138161,A81000B,02300,0300,AIDE TRAINING 138161,A81000B,02400,0300,PHYSICAL THERAPY 138161,A81000B,02500,0300,SOCIAL SERVICES SUPPLIES 138161,A81000B,02600,0300,ACTIVITIES SUPPLIES 138161,A81000B,02700,0300,MEDICAL RECORDS SUPPLIES 138161,A81000C,00100,0100,B 138161,A81000C,00100,0200,NEIL PRUITT 138161,A81000C,00100,0400,UNITED REHAB 138161,A81000C,00100,0600,THERAPY 138161,A81000C,00200,0100,B 138161,A81000C,00200,0200,NEIL PRUITT 138161,A81000C,00200,0400,UNITED PHARMACY 138161,A81000C,00200,0600,PHARMACY 138161,A81000C,00300,0100,B 138161,A81000C,00300,0200,NEIL PRUITT 138161,A81000C,00300,0400,PRUITT PROPERTI 138161,A81000C,00300,0600,RENTAL 138161,A81000C,00400,0100,B 138161,A81000C,00400,0200,NEIL PRUITT 138161,A81000C,00400,0400,PRUITT CORPORAT 138161,A81000C,00400,0600,MANAGEMENT 138161,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138161,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138161,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138161,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138161,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138161,B100000,00000,0800,0800MEALS SERVED :DIETARY 138161,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138161,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138161,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138161,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138161,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 138161,E10A180,00301,0100,01/27/00 138161,S000000,00100,0200,12/04/00 138161,S200000,00100,0300,2999 138161,S200000,00200,0100,VALDOSTA 138161,S200000,00200,0200,CA 138161,S200000,00200,0300,31601- 138161,S200000,00300,0100,LOWNDES 138161,S200000,00300,0200,11 138161,S200000,00300,0300,R 138161,S200000,00400,0100,CRESTWOOD NURSING HOME INC. 138161,S200000,00400,0200,115385 138161,S200000,00400,0300,07/16/89 138161,S200000,00400,0500,P 138161,S200000,01500,0100,N 138161,S200000,01600,0100,Y 138161,S200000,01700,0100,N 138161,S200000,01800,0100,N 138161,S200000,02200,0100,N 138161,S200000,02800,0100,N 138161,S200000,02900,0100,N 138161,S200000,03000,0100,N 138161,S200000,03100,0100,N 138161,S200000,03200,0100,N 138161,S200000,04100,0100,N 138161,S200000,04200,0100,N 138161,S200000,04300,0100,N 138161,S200000,04600,0100,N 138161,S200000,04700,0100,N 138161,S200000,04700,0200,N 138161,S200000,04900,0100,N 138161,S200000,05000,0100,N 138161,S200000,05100,0100,N 138161,S200000,05200,0100,N 138162,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138162,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 138162,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138162,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 138162,A000000,00300,0000,0300EMPLOYEE BENEFITS 138162,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138162,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138162,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138162,A000000,00700,0000,0700HOUSEKEEPING 138162,A000000,00800,0000,0800DIETARY 138162,A000000,00801,0000,0801CAFETERIA 138162,A000000,00900,0000,0900NURSING ADMINISTRATION 138162,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138162,A000000,01100,0000,1100PHARMACY 138162,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138162,A000000,01300,0000,1300SOCIAL SERVICE 138162,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138162,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 138162,A000000,01600,0000,1600SKILLED NURSING FACILITY 138162,A000000,01800,0000,1800NURSING FACILITY 138162,A000000,01900,0000,1900OTHER LONG TERM CARE 138162,A000000,02100,0000,2100RADIOLOGY 138162,A000000,02200,0000,2200LABORATORY 138162,A000000,02300,0000,2300INTRAVENOUS THERAPY 138162,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138162,A000000,02500,0000,2500PHYSICAL THERAPY 138162,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138162,A000000,02700,0000,2700SPEECH PATHOLOGY 138162,A000000,02800,0000,2800ELECTROCARDIOLOGY 138162,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138162,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138162,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138162,A000000,03200,0000,3200SUPPORT SURFACES 138162,A000000,03300,0000,3050AMBULANCE 138162,A000000,03301,0000,3051OTHER RX SVS 138162,A000000,03302,0000,3052OTHER ANCILLARY III 138162,A000000,03400,0000,3400CLINIC 138162,A000000,03500,0000,3500RURAL HEALTH CLINIC 138162,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 138162,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138162,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138162,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138162,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138162,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138162,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138162,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138162,A000000,04400,0000,4400DME RENTED - HHA 138162,A000000,04500,0000,4500DME SOLD - HHA 138162,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138162,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138162,A000000,04800,0000,4800AMBULANCE 138162,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138162,A000000,05000,0000,5000CORF 138162,A000000,05010,0000,5010CMHC I 138162,A000000,05020,0000,5020OPT I 138162,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138162,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138162,A000000,05300,0000,5300INTEREST EXPENSE 138162,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138162,A000000,05500,0000,5500HOSPICE 138162,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 138162,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 138162,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138162,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138162,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138162,A000000,06100,0000,6100NONPAID WORKERS 138162,A000000,06200,0000,6200PATIENTS LAUNDRY 138162,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138162,A81000A,00100,0100,N 138162,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 138162,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 138162,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138162,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 138162,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 138162,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 138162,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 138162,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 138162,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 138162,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 138162,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 138162,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 138162,E10A180,00301,0100,01/25/00 138162,S000000,00100,0200,01/24/01 138162,S200000,00100,0100,ATHENS HIGHWAY 138162,S200000,00100,0300,588 138162,S200000,00200,0100,WIMDER 138162,S200000,00200,0200,GA 138162,S200000,00200,0300,30680- 138162,S200000,00300,0100,BARROW 138162,S200000,00300,0200,0520 138162,S200000,00300,0300,U 138162,S200000,00400,0100,RUSSELL NURSING HOME 138162,S200000,00400,0200,115536 138162,S200000,00400,0300,01/01/93 138162,S200000,00400,0500,P 138162,S200000,01500,0100,N 138162,S200000,01600,0100,Y 138162,S200000,01700,0100,N 138162,S200000,01800,0100,N 138162,S200000,02100,0100,A 138162,S200000,02200,0100,Y 138162,S200000,02800,0100,N 138162,S200000,02900,0100,N 138162,S200000,03000,0100,N 138162,S200000,03100,0100,N 138162,S200000,03200,0100,N 138162,S200000,04100,0100,N 138162,S200000,04200,0100,N 138162,S200000,04300,0100,N 138162,S200000,04600,0100,N 138162,S200000,04700,0100,Y 138162,S200000,04700,0200,Y 138162,S200000,04900,0100,N 138162,S200000,05000,0100,N 138162,S200000,05100,0100,N 138162,S200000,05200,0100,N 138184,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138184,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138184,A000000,00300,0000,0300EMPLOYEE BENEFITS 138184,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138184,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138184,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138184,A000000,00700,0000,0700HOUSEKEEPING 138184,A000000,00800,0000,0800DIETARY 138184,A000000,00900,0000,0900NURSING ADMINISTRATION 138184,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138184,A000000,01100,0000,1100PHARMACY 138184,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138184,A000000,01300,0000,1300SOCIAL SERVICE 138184,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138184,A000000,01500,0000,1350PATIENT ACTIVITIES 138184,A000000,01600,0000,1600SKILLED NURSING FACILITY 138184,A000000,01800,0000,1800NURSING FACILITY 138184,A000000,01900,0000,1900OTHER LONG TERM CARE 138184,A000000,02100,0000,2100RADIOLOGY 138184,A000000,02200,0000,2200LABORATORY 138184,A000000,02300,0000,2300INTRAVENOUS THERAPY 138184,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138184,A000000,02500,0000,2500PHYSICAL THERAPY 138184,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138184,A000000,02700,0000,2700SPEECH PATHOLOGY 138184,A000000,02800,0000,2800ELECTROCARDIOLOGY 138184,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138184,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138184,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138184,A000000,03200,0000,3200SUPPORT SURFACES 138184,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138184,A000000,03400,0000,3400CLINIC 138184,A000000,03500,0000,3500RURAL HEALTH CLINIC 138184,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138184,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138184,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138184,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138184,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138184,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138184,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138184,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138184,A000000,04400,0000,4400DME RENTED - HHA 138184,A000000,04500,0000,4500DME SOLD - HHA 138184,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138184,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138184,A000000,04800,0000,4800AMBULANCE 138184,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138184,A000000,05000,0000,5000CORF 138184,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138184,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138184,A000000,05300,0000,5300INTEREST EXPENSE 138184,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138184,A000000,05500,0000,5500HOSPICE 138184,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138184,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138184,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138184,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138184,A000000,06100,0000,6100NONPAID WORKERS 138184,A000000,06200,0000,6200PATIENTS LAUNDRY 138184,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138184,A81000A,00100,0100,Y 138184,A81000B,00100,0300,HOME OFFICE COSTS 138184,A81000B,00200,0300,HOME OFFICE CAPITAL 138184,A81000B,00300,0300,HOME OFFICE NON CAPITAL 138184,A81000B,00400,0300,ANCILLARY MANAGEMENT 138184,A81000B,00500,0300,ANCILLARY MANAGEMENT 138184,A81000B,00600,0300,ANCILLARY MANAGEMENT 138184,A81000C,00100,0100,A 138184,A81000C,00100,0200,FOUNDATION HEALTH SVCS 138184,A81000C,00100,0400,FOUNDATION HEALTH SVCS 138184,A81000C,00100,0600,HOME OFFICE 138184,A81000C,00200,0100,A 138184,A81000C,00200,0200,FOUNDATION ANCILLARY SVCS 138184,A81000C,00200,0400,FOUNDATION ANCILLARY SVCS 138184,A81000C,00200,0600,ANCILLARY MANAGEMENT 138184,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138184,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138184,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138184,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138184,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138184,B100000,00000,0700,0750SQU FT EXCL :HOUSEKEEPING 138184,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138184,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 138184,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 138184,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 138184,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 138184,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138184,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 138184,S000000,00100,0200,06/01/00 138184,S200000,00100,0100,4615 PARK HEIGHTS AVENUE 138184,S200000,00200,0100,BALTIMORE 138184,S200000,00200,0200,MD 138184,S200000,00200,0300,21215- 138184,S200000,00300,0100,BALTIMORE 138184,S200000,00300,0200,0720 138184,S200000,00300,0300,U 138184,S200000,00400,0100,GREENSPRING NURSING AND REHAB CENTER 138184,S200000,00400,0200,215208 138184,S200000,00400,0300,07/01/95 138184,S200000,00400,0500,P 138184,S200000,01500,0100,N 138184,S200000,01600,0100,Y 138184,S200000,01700,0100,N 138184,S200000,01800,0100,N 138184,S200000,02200,0100,N 138184,S200000,02800,0100,N 138184,S200000,02900,0100,N 138184,S200000,03000,0100,N 138184,S200000,03100,0100,N 138184,S200000,03200,0100,N 138184,S200000,04100,0100,N 138184,S200000,04200,0100,N 138184,S200000,04300,0100,N 138184,S200000,04600,0100,N 138184,S200000,04700,0100,N 138184,S200000,04700,0200,N 138184,S200000,04900,0100,N 138184,S200000,05000,0100,N 138184,S200000,05100,0100,N 138184,S200000,05200,0100,N 138191,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138191,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138191,A000000,00300,0000,0300EMPLOYEE BENEFITS 138191,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138191,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138191,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138191,A000000,00700,0000,0700HOUSEKEEPING 138191,A000000,00800,0000,0800DIETARY 138191,A000000,00900,0000,0900NURSING ADMINISTRATION 138191,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138191,A000000,01600,0000,1600SKILLED NURSING FACILITY 138191,A000000,01800,0000,1800NURSING FACILITY 138191,A000000,02100,0000,2100RADIOLOGY 138191,A000000,02200,0000,2200LABORATORY 138191,A000000,02300,0000,2300INTRAVENOUS THERAPY 138191,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138191,A000000,02500,0000,2500PHYSICAL THERAPY 138191,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138191,A000000,02700,0000,2700SPEECH PATHOLOGY 138191,A000000,02800,0000,2800ELECTROCARDIOLOGY 138191,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138191,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138191,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138191,A81000A,00100,0100,Y 138191,A81000B,00100,0300,HOME OFFICE EXPENSES 138191,A81000C,00100,0100,A 138191,A81000C,00100,0200,E.I. BERNABE 138191,A81000C,00100,0400,PLEASANT CARE C 138191,A81000C,00100,0600,HEALTH CARE PRO 138191,A81000C,00200,0100,A 138191,A81000C,00200,0200,E.I. BERNABE 138191,A81000C,00200,0400,PCC HEALTH SERV 138191,A81000C,00200,0600,HEALTH CARE PRO 138191,A81000C,00300,0100,A 138191,A81000C,00300,0200,E.I. BERNABE 138191,A81000C,00300,0400,EMBER CARE CORP 138191,A81000C,00300,0600,HEALTH CARE PRO 138191,A81000C,00400,0100,A 138191,A81000C,00400,0200,E.I. BERNABE 138191,A81000C,00400,0400,ATLAS CARE ENTE 138191,A81000C,00400,0600,HEALTH CARE PRO 138191,A81000C,00500,0100,A 138191,A81000C,00500,0200,E.I. BERNABE 138191,A81000C,00500,0400,SNF PROPERTIES 138191,A81000C,00500,0600,HEALTH CARE PRO 138191,A81000C,00600,0100,A 138191,A81000C,00600,0200,E.I. BERNABE 138191,A81000C,00600,0400,STOCKTON EDISON 138191,A81000C,00600,0600,HEALTH CARE PRO 138191,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138191,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138191,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138191,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138191,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138191,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138191,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138191,B100000,00000,0800,0800MEALS SERVED :DIETARY 138191,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 138191,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 138191,E10A180,00351,0100,09/15/00 138191,E10A180,00352,0100,09/18/00 138191,E10A180,00353,0100,09/22/00 138191,E10A180,00354,0100,09/25/00 138191,E10A180,00355,0100,09/27/00 138191,E10A180,00356,0100,10/06/00 138191,E10A180,00357,0100,10/11/00 138191,E10A180,00358,0100,10/20/00 138191,S000000,00100,0200,01/31/01 138191,S200000,00100,0100,12831 MACLAY STREET 138191,S200000,00200,0100,SYLMAR 138191,S200000,00200,0200,CA 138191,S200000,00200,0300,91342- 138191,S200000,00300,0100,LOS ANGELES 138191,S200000,00300,0200,4480 138191,S200000,00300,0300,U 138191,S200000,00400,0100,EMBERCARE MACLAY SKILLED NURSING 138191,S200000,00400,0200,555583 138191,S200000,00400,0300,09/01/94 138191,S200000,00400,0500,P 138191,S200000,00600,0200,555583 138191,S200000,00600,0300,09/01/94 138191,S200000,00600,0600,O 138191,S200000,01500,0100,N 138191,S200000,01600,0100,Y 138191,S200000,01700,0100,N 138191,S200000,01800,0100,N 138191,S200000,02200,0100,N 138191,S200000,02800,0100,N 138191,S200000,02900,0100,N 138191,S200000,03000,0100,N 138191,S200000,03100,0100,N 138191,S200000,03200,0100,N 138191,S200000,04100,0100,N 138191,S200000,04200,0100,N 138191,S200000,04300,0100,N 138191,S200000,04600,0100,N 138191,S200000,04700,0100,N 138191,S200000,04700,0200,N 138191,S200000,04900,0100,N 138191,S200000,05000,0100,N 138191,S200000,05100,0100,N 138191,S200000,05200,0100,N 138210,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138210,A000000,00300,0000,0300EMPLOYEE BENEFITS 138210,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138210,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138210,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138210,A000000,00700,0000,0700HOUSEKEEPING 138210,A000000,00800,0000,0800DIETARY 138210,A000000,00900,0000,0900NURSING ADMINISTRATION 138210,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138210,A000000,01100,0000,1100PHARMACY 138210,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138210,A000000,01300,0000,1300SOCIAL SERVICE 138210,A000000,01500,0000,1350PATIENT ACTIVITIES 138210,A000000,01600,0000,1600SKILLED NURSING FACILITY 138210,A000000,01800,0000,1800NURSING FACILITY 138210,A000000,01900,0000,1900OTHER LONG TERM CARE 138210,A000000,02100,0000,2100RADIOLOGY 138210,A000000,02200,0000,2200LABORATORY 138210,A000000,02300,0000,2300INTRAVENOUS THERAPY 138210,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138210,A000000,02500,0000,2500PHYSICAL THERAPY 138210,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138210,A000000,02700,0000,2700SPEECH PATHOLOGY 138210,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138210,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138210,A000000,03200,0000,3200SUPPORT SURFACES 138210,A000000,04800,0000,4800AMBULANCE 138210,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138210,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138210,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138210,A000000,06100,0000,6100NONPAID WORKERS 138210,A000000,06200,0000,6200PATIENTS LAUNDRY 138210,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138210,A81000A,00100,0100,Y 138210,A81000B,00100,0300,HOME OFFICE COSTS 138210,A81000B,00200,0300,HOME OFFICE COSTS 138210,A81000C,00100,0100,B 138210,A81000C,00100,0200,GERI CARE INC 138210,A81000C,00100,0400,GERI CARE INC 138210,A81000C,00100,0600,HOME OFFICE 138210,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138210,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138210,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138210,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138210,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138210,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138210,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138210,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 138210,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 138210,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 138210,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 138210,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138210,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 138210,E10A180,00301,0100,07/27/99 138210,S000000,00100,0200,06/01/00 138210,S200000,00100,0100,685 SELINA ROAD 138210,S200000,00200,0100,SEWELL 138210,S200000,00200,0200,NJ 138210,S200000,00200,0300,08080- 138210,S200000,00300,0100,GLOUCESTER 138210,S200000,00300,0200,6160 138210,S200000,00300,0300,U 138210,S200000,00400,0100,GLOUCESTER MANOR 138210,S200000,00400,0200,315272 138210,S200000,00400,0300,01/23/89 138210,S200000,00400,0500,P 138210,S200000,01500,0100,N 138210,S200000,01600,0100,Y 138210,S200000,01700,0100,N 138210,S200000,01800,0100,N 138210,S200000,02200,0100,N 138210,S200000,02800,0100,N 138210,S200000,02900,0100,N 138210,S200000,03000,0100,N 138210,S200000,03100,0100,N 138210,S200000,03200,0100,N 138210,S200000,04100,0100,N 138210,S200000,04200,0100,N 138210,S200000,04300,0100,N 138210,S200000,04600,0100,N 138210,S200000,04700,0100,N 138210,S200000,04700,0200,N 138210,S200000,04900,0100,N 138210,S200000,05000,0100,N 138210,S200000,05100,0100,N 138210,S200000,05200,0100,N 138444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138444,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138444,A000000,00300,0000,0300EMPLOYEE BENEFITS 138444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138444,A000000,00700,0000,0700HOUSEKEEPING 138444,A000000,00800,0000,0800DIETARY 138444,A000000,00900,0000,0900NURSING ADMINISTRATION 138444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138444,A000000,01100,0000,1100PHARMACY 138444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138444,A000000,01300,0000,1300SOCIAL SERVICE 138444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138444,A000000,01500,0000,1350ACTIVITIES 138444,A000000,01600,0000,1600SKILLED NURSING FACILITY 138444,A000000,01800,0000,1800NURSING FACILITY 138444,A000000,01810,0000,1810ICF/MR 138444,A000000,01900,0000,1900OTHER LONG TERM CARE 138444,A000000,02100,0000,2100RADIOLOGY 138444,A000000,02200,0000,2200LABORATORY 138444,A000000,02300,0000,2300INTRAVENOUS THERAPY 138444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138444,A000000,02500,0000,2500PHYSICAL THERAPY 138444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138444,A000000,02700,0000,2700SPEECH PATHOLOGY 138444,A000000,02800,0000,2800ELECTROCARDIOLOGY 138444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138444,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138444,A000000,03200,0000,3200SUPPORT SURFACES 138444,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138444,A000000,03400,0000,3400CLINIC 138444,A000000,03500,0000,3500RURAL HEALTH CLINIC 138444,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138444,A000000,04800,0000,4800AMBULANCE 138444,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138444,A000000,05000,0000,5000CORF 138444,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138444,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138444,A000000,05300,0000,5300INTEREST EXPENSE 138444,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138444,A000000,05500,0000,5500HOSPICE 138444,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138444,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138444,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138444,A000000,06100,0000,6100NONPAID WORKERS 138444,A000000,06200,0000,6200PATIENTS LAUNDRY 138444,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138444,A81000A,00100,0100,Y 138444,A81000B,00100,0300,HOME OFFICE EXPENSES 138444,A81000C,00100,0100,B 138444,A81000C,00100,0200,GREEN ACRES HEALTH SYSTEM 138444,A81000C,00100,0400,GREEN ACRES HEALTH SYSTEM 138444,A81000C,00100,0600,HOME OFFICE 138444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138444,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138444,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138444,B100000,00000,0800,0800MEALS SERVED :DIETARY 138444,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 138444,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138444,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 138444,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 138444,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138444,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 138444,E10A180,00301,0100,01/01/00 138444,S000000,00100,0200,12/01/00 138444,S200000,00100,0100,820 ROUTE 413 138444,S200000,00100,0300,447 138444,S200000,00200,0100,PINEVILLE 138444,S200000,00200,0200,PA 138444,S200000,00200,0300,18946- 138444,S200000,00300,0100,BUCKS 138444,S200000,00300,0200,6160 138444,S200000,00300,0300,U 138444,S200000,00400,0100,BUCKINGHAM VALLEY REHAB & NSG 138444,S200000,00400,0200,395188 138444,S200000,00400,0300,06/15/88 138444,S200000,00400,0500,P 138444,S200000,01500,0100,N 138444,S200000,01600,0100,Y 138444,S200000,01700,0100,N 138444,S200000,01800,0100,N 138444,S200000,02200,0100,N 138444,S200000,02800,0100,N 138444,S200000,02900,0100,N 138444,S200000,03000,0100,N 138444,S200000,03100,0100,N 138444,S200000,03200,0100,N 138444,S200000,04100,0100,N 138444,S200000,04200,0100,N 138444,S200000,04300,0100,N 138444,S200000,04600,0100,N 138444,S200000,04700,0100,N 138444,S200000,04700,0200,N 138444,S200000,04900,0100,N 138444,S200000,05000,0100,N 138444,S200000,05100,0100,N 138444,S200000,05200,0100,N 138697,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138697,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138697,A000000,00300,0000,0300EMPLOYEE BENEFITS 138697,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138697,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138697,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138697,A000000,00700,0000,0700HOUSEKEEPING 138697,A000000,00800,0000,0800DIETARY 138697,A000000,00900,0000,0900NURSING ADMINISTRATION 138697,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138697,A000000,01100,0000,1100PHARMACY 138697,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138697,A000000,01300,0000,1300SOCIAL SERVICE 138697,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 138697,A000000,01500,0000,1350PATIENT ACTIVITIES 138697,A000000,01600,0000,1600SKILLED NURSING FACILITY 138697,A000000,01800,0000,1800NURSING FACILITY 138697,A000000,01810,0000,1810ICF/MR 138697,A000000,01900,0000,1900OTHER LONG TERM CARE 138697,A000000,02100,0000,2100RADIOLOGY 138697,A000000,02200,0000,2200LABORATORY 138697,A000000,02300,0000,2300INTRAVENOUS THERAPY 138697,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138697,A000000,02500,0000,2500PHYSICAL THERAPY 138697,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138697,A000000,02700,0000,2700SPEECH PATHOLOGY 138697,A000000,02800,0000,2800ELECTROCARDIOLOGY 138697,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138697,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138697,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138697,A000000,03200,0000,3200SUPPORT SURFACES 138697,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138697,A000000,03400,0000,3400CLINIC 138697,A000000,03500,0000,3500RURAL HEALTH CLINIC 138697,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138697,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138697,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138697,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138697,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138697,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138697,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138697,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138697,A000000,04400,0000,4400DME RENTED - HHA 138697,A000000,04500,0000,4500DME SOLD - HHA 138697,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138697,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138697,A000000,04800,0000,4800AMBULANCE 138697,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138697,A000000,05000,0000,5000CORF 138697,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138697,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138697,A000000,05300,0000,5300INTEREST EXPENSE 138697,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138697,A000000,05500,0000,5500HOSPICE 138697,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138697,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138697,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138697,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138697,A000000,06100,0000,6100NONPAID WORKERS 138697,A000000,06200,0000,6200PATIENTS LAUNDRY 138697,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138697,A81000A,00100,0100,Y 138697,A81000B,00100,0300,HOME OFFICE FEES 138697,A81000C,00100,0100,B 138697,A81000C,00100,0200,THE ARDSLEY GROUP 138697,A81000C,00100,0400,THE ARDSLEY GROUP 138697,A81000C,00100,0600,HOME OFFICE 138697,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138697,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138697,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138697,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138697,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138697,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138697,B100000,00000,0800,0800MEALS SERVED :DIETARY 138697,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 138697,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138697,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 138697,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 138697,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138697,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 138697,S000000,00100,0200,12/01/00 138697,S200000,00100,0100,1730 BUCK ROAD NORTH 138697,S200000,00200,0100,FEASTERVILLE 138697,S200000,00200,0200,PA 138697,S200000,00200,0300,19047- 138697,S200000,00300,0100,BUCKS 138697,S200000,00300,0200,6160 138697,S200000,00300,0300,U 138697,S200000,00400,0100,RIDGE CREST NURSING & REHAB CTR 138697,S200000,00400,0200,395156 138697,S200000,00400,0300,05/01/90 138697,S200000,00400,0500,P 138697,S200000,01500,0100,N 138697,S200000,01600,0100,Y 138697,S200000,01700,0100,N 138697,S200000,01800,0100,N 138697,S200000,02200,0100,N 138697,S200000,02800,0100,N 138697,S200000,02900,0100,N 138697,S200000,03000,0100,N 138697,S200000,03100,0100,N 138697,S200000,03200,0100,N 138697,S200000,04100,0100,N 138697,S200000,04200,0100,N 138697,S200000,04300,0100,N 138697,S200000,04600,0100,N 138697,S200000,04700,0100,N 138697,S200000,04700,0200,N 138697,S200000,04900,0100,N 138697,S200000,05000,0100,N 138697,S200000,05100,0100,N 138697,S200000,05200,0100,N 138829,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138829,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138829,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138829,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138829,A000000,00700,0000,0700HOUSEKEEPING 138829,A000000,00800,0000,0800DIETARY 138829,A000000,00900,0000,0900NURSING ADMINISTRATION 138829,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138829,A000000,01100,0000,1100PHARMACY 138829,A000000,01300,0000,1300SOCIAL SERVICE 138829,A000000,01600,0000,1600SKILLED NURSING FACILITY 138829,A000000,01800,0000,1800NURSING FACILITY 138829,A000000,01810,0000,1810ICF/MR 138829,A000000,01900,0000,1900OTHER LONG TERM CARE 138829,A000000,02100,0000,2100RADIOLOGY 138829,A000000,02200,0000,2200LABORATORY 138829,A000000,02300,0000,2300INTRAVENOUS THERAPY 138829,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138829,A000000,02500,0000,2500PHYSICAL THERAPY 138829,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138829,A000000,02700,0000,2700SPEECH PATHOLOGY 138829,A000000,02800,0000,2800ELECTROCARDIOLOGY 138829,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138829,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138829,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138829,A000000,03200,0000,3200SUPPORT SURFACES 138829,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138829,A000000,03400,0000,3400CLINIC 138829,A000000,03500,0000,3500RURAL HEALTH CLINIC 138829,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138829,A000000,04800,0000,4800AMBULANCE 138829,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138829,A000000,05000,0000,5000CORF 138829,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138829,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138829,A000000,05300,0000,5300INTEREST EXPENSE 138829,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138829,A000000,05500,0000,5500HOSPICE 138829,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138829,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138829,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138829,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138829,A000000,06100,0000,6100NONPAID WORKERS 138829,A000000,06200,0000,6200PATIENTS LAUNDRY 138829,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138829,A81000A,00100,0100,Y 138829,A81000B,00100,0300,MANAGEMENT FEE 138829,A81000B,00200,0300,RENT 138829,A81000B,00300,0300,AMORTIZATION 138829,A81000B,00400,0300,REAL ESTATE TAXES 138829,A81000B,00500,0300,DEPRECIATION 138829,A81000B,00600,0300,INTEREST 138829,A81000B,00700,0300,BUILDING SERVICES 138829,A81000C,00100,0100,A 138829,A81000C,00100,0200,HARRY TRACTMAN 138829,A81000C,00100,0400,ACCORD HEALTH SERVICES 138829,A81000C,00100,0600,HOME OFFICE 138829,A81000C,00200,0100,A 138829,A81000C,00200,0200,HARRY TRACTMAN 138829,A81000C,00200,0400,ELISA LTD. 138829,A81000C,00200,0600,REAL ESTATE 138829,A81000C,00300,0100,A 138829,A81000C,00300,0200,HARRY TRACTMAN 138829,A81000C,00300,0400,CHESTER DEVELOPMENT CO. 138829,A81000C,00300,0600,BUILDING SERVICES 138829,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138829,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138829,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138829,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138829,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138829,B100000,00000,0800,0800MEALS SERVED :DIETARY 138829,B100000,00000,0900,0950DIRECT NURSE HRS :NURSING ADMINI 138829,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 138829,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138829,S000000,00100,0200,11/30/00 138829,S200000,00100,0100,501 MAIN STREET 138829,S200000,00200,0100,DOYLESTOWN 138829,S200000,00200,0200,PA 138829,S200000,00200,0300,18901- 138829,S200000,00300,0100,BUCKS 138829,S200000,00300,0200,6160 138829,S200000,00300,0300,U 138829,S200000,00400,0100,GREENLEAF NURSING & CONV. INC. 138829,S200000,00400,0200,395047 138829,S200000,00400,0300,06/10/81 138829,S200000,00400,0500,P 138829,S200000,01500,0100,Y 138829,S200000,01600,0100,N 138829,S200000,01700,0100,N 138829,S200000,01800,0100,N 138829,S200000,02200,0100,N 138829,S200000,02800,0100,N 138829,S200000,02900,0100,N 138829,S200000,03000,0100,N 138829,S200000,03100,0100,N 138829,S200000,03200,0100,N 138829,S200000,04100,0100,N 138829,S200000,04200,0100,N 138829,S200000,04300,0100,N 138829,S200000,04600,0100,N 138829,S200000,04700,0100,N 138829,S200000,04700,0200,N 138829,S200000,04900,0100,N 138829,S200000,05000,0100,N 138829,S200000,05100,0100,N 138829,S200000,05200,0100,N 138900,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138900,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138900,A000000,00300,0000,0300EMPLOYEE BENEFITS 138900,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138900,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138900,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138900,A000000,00700,0000,0700HOUSEKEEPING 138900,A000000,00800,0000,0800DIETARY 138900,A000000,00900,0000,0900NURSING ADMINISTRATION 138900,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138900,A000000,01100,0000,1100PHARMACY 138900,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138900,A000000,01300,0000,1300SOCIAL SERVICE 138900,A000000,01600,0000,1600SKILLED NURSING FACILITY 138900,A000000,01800,0000,1800NURSING FACILITY 138900,A000000,01900,0000,1900OTHER LONG TERM CARE 138900,A000000,02100,0000,2100RADIOLOGY 138900,A000000,02200,0000,2200LABORATORY 138900,A000000,02300,0000,2300INTRAVENOUS THERAPY 138900,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138900,A000000,02500,0000,2500PHYSICAL THERAPY 138900,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138900,A000000,02700,0000,2700SPEECH PATHOLOGY 138900,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138900,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138900,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 138900,A000000,04800,0000,4800AMBULANCE 138900,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138900,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138900,A81000A,00100,0100,Y 138900,A81000B,00100,0300,HOME OFFICE ALLOC 138900,A81000B,00200,0300,HOME OFFICE ALLOC 138900,A81000B,00300,0300,PHARMACY 138900,A81000B,00400,0300,PHYSICAL THERAPY 138900,A81000B,00500,0300,OCCUPATIONAL THERAPY 138900,A81000B,00600,0300,SPEECH THERAPY 138900,A81000C,00100,0100,A 138900,A81000C,00100,0200,COVENANT CARE INC 138900,A81000C,00100,0400,COVENANT CARE INC. 138900,A81000C,00100,0600,HEALTH CARE 138900,A81000C,00200,0100,B 138900,A81000C,00200,0200,PHARMACY 138900,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 138900,A81000C,00200,0600,PHARMACY - HEALTH CARE 138900,A81000C,00300,0100,C 138900,A81000C,00300,0200,THERAPY 138900,A81000C,00300,0400,SELECT THEREAPY 138900,A81000C,00300,0600,THERAPY SERVICES 138900,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138900,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138900,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138900,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138900,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138900,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138900,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138900,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138900,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138900,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138900,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 138900,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138900,S000000,00100,0200,06/01/00 138900,S200000,00100,0100,260 EAST MARKET STREET 138900,S200000,00200,0100,LONG BEACH 138900,S200000,00200,0200,CA 138900,S200000,00200,0300,90807- 138900,S200000,00300,0100,LOS ANGELES 138900,S200000,00300,0200,4480 138900,S200000,00300,0300,U 138900,S200000,00400,0100,CANDLEWOOD CARE CENTER 138900,S200000,00400,0200,055995 138900,S200000,00400,0300,06/12/87 138900,S200000,00400,0500,P 138900,S200000,00600,0200,055995 138900,S200000,00600,0300,06/12/87 138900,S200000,01500,0100,N 138900,S200000,01600,0100,Y 138900,S200000,01700,0100,N 138900,S200000,01800,0100,N 138900,S200000,02200,0100,N 138900,S200000,02800,0100,N 138900,S200000,02900,0100,N 138900,S200000,03000,0100,N 138900,S200000,03100,0100,N 138900,S200000,03200,0100,N 138900,S200000,04100,0100,N 138900,S200000,04200,0100,N 138900,S200000,04300,0100,N 138900,S200000,04600,0100,N 138900,S200000,04700,0100,N 138900,S200000,04700,0200,N 138900,S200000,04900,0100,N 138900,S200000,05000,0100,N 138900,S200000,05100,0100,N 138900,S200000,05200,0100,N 138902,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138902,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138902,A000000,00300,0000,0300EMPLOYEE BENEFITS 138902,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138902,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138902,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138902,A000000,00700,0000,0700HOUSEKEEPING 138902,A000000,00800,0000,0800DIETARY 138902,A000000,00900,0000,0900NURSING ADMINISTRATION 138902,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138902,A000000,01100,0000,1100PHARMACY 138902,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138902,A000000,01300,0000,1300SOCIAL SERVICE 138902,A000000,01600,0000,1600SKILLED NURSING FACILITY 138902,A000000,01800,0000,1800NURSING FACILITY 138902,A000000,01900,0000,1900OTHER LONG TERM CARE 138902,A000000,02100,0000,2100RADIOLOGY 138902,A000000,02200,0000,2200LABORATORY 138902,A000000,02300,0000,2300INTRAVENOUS THERAPY 138902,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138902,A000000,02500,0000,2500PHYSICAL THERAPY 138902,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138902,A000000,02700,0000,2700SPEECH PATHOLOGY 138902,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138902,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138902,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 138902,A000000,04800,0000,4800AMBULANCE 138902,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138902,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138902,A81000A,00100,0100,Y 138902,A81000B,00100,0300,HOME OFFICE ALLOC 138902,A81000B,00200,0300,HOME OFFICE ALLOC 138902,A81000B,00300,0300,PHARMACY 138902,A81000B,00400,0300,PHYSICAL THERAPY 138902,A81000B,00500,0300,OCCUPATIONAL THERAPY 138902,A81000B,00600,0300,SPEECH THERAPY 138902,A81000C,00100,0100,A 138902,A81000C,00100,0200,COVENANT CARE INC 138902,A81000C,00100,0400,COVENANT CARE INC. 138902,A81000C,00100,0600,HEALTH CARE 138902,A81000C,00200,0100,B 138902,A81000C,00200,0200,PHARMACY 138902,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 138902,A81000C,00200,0600,PHARMACY - HEALTH CARE 138902,A81000C,00300,0100,C 138902,A81000C,00300,0200,THERAPY 138902,A81000C,00300,0400,SELECT THEREAPY 138902,A81000C,00300,0600,THERAPY SERVICES 138902,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138902,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138902,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138902,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138902,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138902,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138902,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138902,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138902,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138902,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138902,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 138902,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138902,S000000,00100,0200,06/01/00 138902,S200000,00100,0100,1291 SOUTH BERNARDO 138902,S200000,00200,0100,SUNNYVALE 138902,S200000,00200,0200,CA 138902,S200000,00200,0300,94087- 138902,S200000,00300,0100,SAN JOSE 138902,S200000,00300,0200,7400 138902,S200000,00300,0300,U 138902,S200000,00400,0100,SUNNYVALE NURSING & REHAB CENTER 138902,S200000,00400,0200,056119 138902,S200000,00400,0300,10/29/69 138902,S200000,00400,0500,P 138902,S200000,00600,0200,056119 138902,S200000,00600,0300,10/26/69 138902,S200000,01500,0100,N 138902,S200000,01600,0100,Y 138902,S200000,01700,0100,N 138902,S200000,01800,0100,N 138902,S200000,02200,0100,N 138902,S200000,02800,0100,N 138902,S200000,02900,0100,N 138902,S200000,03000,0100,N 138902,S200000,03100,0100,N 138902,S200000,03200,0100,N 138902,S200000,04100,0100,N 138902,S200000,04200,0100,N 138902,S200000,04300,0100,N 138902,S200000,04600,0100,N 138902,S200000,04700,0100,N 138902,S200000,04700,0200,N 138902,S200000,04900,0100,N 138902,S200000,05000,0100,N 138902,S200000,05100,0100,N 138902,S200000,05200,0100,N 138903,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138903,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138903,A000000,00300,0000,0300EMPLOYEE BENEFITS 138903,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138903,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138903,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138903,A000000,00700,0000,0700HOUSEKEEPING 138903,A000000,00800,0000,0800DIETARY 138903,A000000,00900,0000,0900NURSING ADMINISTRATION 138903,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138903,A000000,01100,0000,1100PHARMACY 138903,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138903,A000000,01300,0000,1300SOCIAL SERVICE 138903,A000000,01600,0000,1600SKILLED NURSING FACILITY 138903,A000000,01800,0000,1800NURSING FACILITY 138903,A000000,01900,0000,1900OTHER LONG TERM CARE 138903,A000000,02100,0000,2100RADIOLOGY 138903,A000000,02200,0000,2200LABORATORY 138903,A000000,02300,0000,2300INTRAVENOUS THERAPY 138903,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138903,A000000,02500,0000,2500PHYSICAL THERAPY 138903,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138903,A000000,02700,0000,2700SPEECH PATHOLOGY 138903,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138903,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138903,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 138903,A000000,04800,0000,4800AMBULANCE 138903,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138903,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138903,A81000A,00100,0100,Y 138903,A81000B,00100,0300,HOME OFFICE ALLOC 138903,A81000B,00200,0300,HOME OFFICE ALLOC 138903,A81000B,00300,0300,PHARMACY 138903,A81000B,00400,0300,PHYSICAL THERAPY 138903,A81000B,00500,0300,OCCUPATIONAL THERAPY 138903,A81000B,00600,0300,SPEECH THERAPY 138903,A81000C,00100,0100,A 138903,A81000C,00100,0200,COVENANT CARE INC 138903,A81000C,00100,0400,COVENANT CARE INC. 138903,A81000C,00100,0600,HEALTH CARE 138903,A81000C,00200,0100,B 138903,A81000C,00200,0200,PHARMACY 138903,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 138903,A81000C,00200,0600,PHARMACY - HEALTH CARE 138903,A81000C,00300,0100,C 138903,A81000C,00300,0200,THERAPY 138903,A81000C,00300,0400,SELECT THEREAPY 138903,A81000C,00300,0600,THERAPY SERVICES 138903,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138903,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138903,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138903,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138903,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138903,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138903,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138903,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138903,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138903,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138903,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 138903,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138903,S000000,00100,0200,06/01/00 138903,S200000,00100,0100,6425 MILES AVENUE 138903,S200000,00200,0100,HUNTINGTON PARK 138903,S200000,00200,0200,CA 138903,S200000,00200,0300,90255- 138903,S200000,00300,0100,LOS ANGELES 138903,S200000,00300,0200,4480 138903,S200000,00300,0300,U 138903,S200000,00400,0100,HUNTINGTON PARK NURSING CENTER 138903,S200000,00400,0200,056144 138903,S200000,00400,0300,01/19/70 138903,S200000,00400,0500,P 138903,S200000,00600,0200,056144 138903,S200000,00600,0300,01/19/70 138903,S200000,01500,0100,N 138903,S200000,01600,0100,Y 138903,S200000,01700,0100,N 138903,S200000,01800,0100,N 138903,S200000,02200,0100,Y 138903,S200000,02800,0100,N 138903,S200000,02900,0100,N 138903,S200000,03000,0100,N 138903,S200000,03100,0100,N 138903,S200000,03200,0100,N 138903,S200000,04100,0100,N 138903,S200000,04200,0100,N 138903,S200000,04300,0100,N 138903,S200000,04600,0100,N 138903,S200000,04700,0100,N 138903,S200000,04700,0200,N 138903,S200000,04900,0100,N 138903,S200000,05000,0100,N 138903,S200000,05100,0100,N 138903,S200000,05200,0100,N 138904,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138904,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138904,A000000,00300,0000,0300EMPLOYEE BENEFITS 138904,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138904,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138904,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138904,A000000,00700,0000,0700HOUSEKEEPING 138904,A000000,00800,0000,0800DIETARY 138904,A000000,00900,0000,0900NURSING ADMINISTRATION 138904,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138904,A000000,01100,0000,1100PHARMACY 138904,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138904,A000000,01300,0000,1300SOCIAL SERVICE 138904,A000000,01600,0000,1600SKILLED NURSING FACILITY 138904,A000000,01800,0000,1800NURSING FACILITY 138904,A000000,01900,0000,1900OTHER LONG TERM CARE 138904,A000000,02100,0000,2100RADIOLOGY 138904,A000000,02200,0000,2200LABORATORY 138904,A000000,02300,0000,2300INTRAVENOUS THERAPY 138904,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138904,A000000,02500,0000,2500PHYSICAL THERAPY 138904,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138904,A000000,02700,0000,2700SPEECH PATHOLOGY 138904,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138904,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138904,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 138904,A000000,04800,0000,4800AMBULANCE 138904,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138904,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138904,A81000A,00100,0100,Y 138904,A81000B,00100,0300,HOME OFFICE ALLOC 138904,A81000B,00200,0300,HOME OFFICE ALLOC 138904,A81000B,00300,0300,PHARMACY 138904,A81000B,00400,0300,PHYSICAL THERAPY 138904,A81000B,00500,0300,OCCUPATIONAL THERAPY 138904,A81000B,00600,0300,SPEECH THERAPY 138904,A81000C,00100,0100,A 138904,A81000C,00100,0200,COVENANT CARE INC 138904,A81000C,00100,0400,COVENANT CARE INC. 138904,A81000C,00100,0600,HEALTH CARE 138904,A81000C,00200,0100,B 138904,A81000C,00200,0200,PHARMACY 138904,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 138904,A81000C,00200,0600,PHARMACY - HEALTH CARE 138904,A81000C,00300,0100,C 138904,A81000C,00300,0200,THERAPY 138904,A81000C,00300,0400,SELECT THEREAPY 138904,A81000C,00300,0600,THERAPY SERVICES 138904,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138904,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138904,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138904,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138904,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138904,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138904,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138904,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138904,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138904,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138904,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 138904,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138904,S000000,00100,0200,06/01/00 138904,S200000,00100,0100,4010 VIRIGINIA ROAD 138904,S200000,00200,0100,LONG BEACH 138904,S200000,00200,0200,CA 138904,S200000,00200,0300,90807- 138904,S200000,00300,0100,LOS ANGELES 138904,S200000,00300,0200,4480 138904,S200000,00300,0300,U 138904,S200000,00400,0100,CATERED MANOR 138904,S200000,00400,0200,056150 138904,S200000,00400,0300,09/01/97 138904,S200000,00400,0500,P 138904,S200000,00600,0200,056150 138904,S200000,00600,0300,09/01/97 138904,S200000,01500,0100,N 138904,S200000,01600,0100,Y 138904,S200000,01700,0100,N 138904,S200000,01800,0100,N 138904,S200000,02200,0100,N 138904,S200000,02800,0100,N 138904,S200000,02900,0100,N 138904,S200000,03000,0100,N 138904,S200000,03100,0100,N 138904,S200000,03200,0100,N 138904,S200000,04100,0100,N 138904,S200000,04200,0100,N 138904,S200000,04300,0100,N 138904,S200000,04600,0100,N 138904,S200000,04700,0100,N 138904,S200000,04700,0200,N 138904,S200000,04900,0100,N 138904,S200000,05000,0100,N 138904,S200000,05100,0100,N 138904,S200000,05200,0100,N 138917,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138917,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138917,A000000,00300,0000,0300EMPLOYEE BENEFITS 138917,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138917,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138917,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138917,A000000,00700,0000,0700HOUSEKEEPING 138917,A000000,00800,0000,0800DIETARY 138917,A000000,00801,0000,0801CAFETERIA 138917,A000000,00900,0000,0900NURSING ADMINISTRATION 138917,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138917,A000000,01100,0000,1100PHARMACY 138917,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138917,A000000,01300,0000,1300SOCIAL SERVICE 138917,A000000,01600,0000,1600SKILLED NURSING FACILITY 138917,A000000,01800,0000,1800NURSING FACILITY 138917,A000000,01900,0000,1900OTHER LONG TERM CARE 138917,A000000,02100,0000,2100RADIOLOGY 138917,A000000,02200,0000,2200LABORATORY 138917,A000000,02300,0000,2300INTRAVENOUS THERAPY 138917,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138917,A000000,02500,0000,2500PHYSICAL THERAPY 138917,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138917,A000000,02700,0000,2700SPEECH PATHOLOGY 138917,A000000,02800,0000,2800ELECTROCARDIOLOGY 138917,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138917,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138917,A000000,03200,0000,3200SUPPORT SURFACES 138917,A000000,04800,0000,4800AMBULANCE 138917,A000000,05300,0000,5300INTEREST EXPENSE 138917,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138917,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138917,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138917,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 138917,A81000A,00100,0100,Y 138917,A81000B,00100,0300,HOME OFC COSTS 138917,A81000B,00200,0300,HOME OFC COSTS 138917,A81000B,00300,0300,PRESCRIPTION RX 138917,A81000B,00400,0300,I V THERAPY 138917,A81000B,00500,0300,HOME OFC COSTS 138917,A81000C,00100,0100,B 138917,A81000C,00100,0200,AHCC INC. 138917,A81000C,00100,0400,AHCC INC. 138917,A81000C,00100,0600,HOME OFC 138917,A81000C,00200,0100,B 138917,A81000C,00200,0200,AHCC INC 138917,A81000C,00200,0400,LTC MGMT 138917,A81000C,00200,0600,BILLING SERV 138917,A81000C,00300,0100,B 138917,A81000C,00300,0200,AHCC INC 138917,A81000C,00300,0400,NIPSI 138917,A81000C,00300,0600,PHARMACY 138917,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138917,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138917,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138917,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138917,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138917,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138917,B100000,00000,0800,0800MEALS SERVED :DIETARY 138917,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 138917,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 138917,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 138917,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 138917,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138917,S000000,00100,0200,06/19/00 138917,S200000,00100,0100,5925 ALMEDA ROAD 138917,S200000,00200,0100,HOUSTON 138917,S200000,00200,0200,TX 138917,S200000,00200,0300,77004- 138917,S200000,00300,0100,HARRIS 138917,S200000,00300,0200,3360 138917,S200000,00300,0300,U 138917,S200000,00400,0100,TOWN PARK CONVALESCENT CENTER 138917,S200000,00400,0200,455527 138917,S200000,00400,0300,07/09/85 138917,S200000,00400,0500,P 138917,S200000,01500,0100,N 138917,S200000,01600,0100,Y 138917,S200000,01700,0100,N 138917,S200000,01800,0100,N 138917,S200000,02200,0100,N 138917,S200000,02800,0100,N 138917,S200000,02900,0100,N 138917,S200000,03000,0100,N 138917,S200000,03100,0100,N 138917,S200000,03200,0100,N 138917,S200000,04100,0100,N 138917,S200000,04200,0100,N 138917,S200000,04300,0100,N 138917,S200000,04600,0100,N 138917,S200000,04700,0100,N 138917,S200000,04700,0200,N 138917,S200000,04900,0100,N 138917,S200000,05000,0100,N 138917,S200000,05100,0100,N 138917,S200000,05200,0100,N 138921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138921,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138921,A000000,00300,0000,0300EMPLOYEE BENEFITS 138921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138921,A000000,00700,0000,0700HOUSEKEEPING 138921,A000000,00800,0000,0800DIETARY 138921,A000000,00900,0000,0900NURSING ADMINISTRATION 138921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138921,A000000,01100,0000,1100PHARMACY 138921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138921,A000000,01300,0000,1300SOCIAL SERVICE 138921,A000000,01600,0000,1600SKILLED NURSING FACILITY 138921,A000000,01800,0000,1800NURSING FACILITY 138921,A000000,01900,0000,1900OTHER LONG TERM CARE 138921,A000000,02100,0000,2100RADIOLOGY 138921,A000000,02200,0000,2200LABORATORY 138921,A000000,02300,0000,2300INTRAVENOUS THERAPY 138921,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138921,A000000,02500,0000,2500PHYSICAL THERAPY 138921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138921,A000000,02700,0000,2700SPEECH PATHOLOGY 138921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138921,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 138921,A000000,04800,0000,4800AMBULANCE 138921,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138921,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138921,A81000A,00100,0100,Y 138921,A81000B,00100,0300,HOME OFFICE ALLOC 138921,A81000B,00200,0300,HOME OFFICE ALLOC 138921,A81000B,00300,0300,PHARMACY 138921,A81000B,00400,0300,PHYSICAL THERAPY 138921,A81000B,00500,0300,OCCUPATIONAL THERAPY 138921,A81000B,00600,0300,SPEECH THERAPY 138921,A81000C,00100,0100,A 138921,A81000C,00100,0200,COVENANT CARE INC 138921,A81000C,00100,0400,COVENANT CARE INC. 138921,A81000C,00100,0600,HEALTH CARE 138921,A81000C,00200,0100,B 138921,A81000C,00200,0200,PHARMACY 138921,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 138921,A81000C,00200,0600,PHARMACY - HEALTH CARE 138921,A81000C,00300,0100,C 138921,A81000C,00300,0200,THERAPY 138921,A81000C,00300,0400,SELECT THEREAPY 138921,A81000C,00300,0600,THERAPY SERVICES 138921,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138921,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 138921,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138921,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138921,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138921,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 138921,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 138921,B100000,00000,0800,0850PATIENT DAYS :DIETARY 138921,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138921,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138921,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 138921,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 138921,S000000,00100,0200,06/01/00 138921,S200000,00100,0100,3620 B DALE ROAD 138921,S200000,00200,0100,MODESTO 138921,S200000,00200,0200,CA 138921,S200000,00200,0300,95356- 138921,S200000,00300,0100,STANISLAUS/MODESTO 138921,S200000,00300,0200,5170 138921,S200000,00300,0300,U 138921,S200000,00400,0100,VINTAGE FAIRE NURSING & REHAB CENTER 138921,S200000,00400,0200,555355 138921,S200000,00400,0300,01/13/95 138921,S200000,00400,0500,P 138921,S200000,00600,0200,555355 138921,S200000,00600,0300,01/13/95 138921,S200000,01500,0100,N 138921,S200000,01600,0100,Y 138921,S200000,01700,0100,N 138921,S200000,01800,0100,N 138921,S200000,02200,0100,N 138921,S200000,02800,0100,N 138921,S200000,02900,0100,N 138921,S200000,03000,0100,N 138921,S200000,03100,0100,N 138921,S200000,03200,0100,N 138921,S200000,04100,0100,N 138921,S200000,04200,0100,N 138921,S200000,04300,0100,N 138921,S200000,04600,0100,N 138921,S200000,04700,0100,N 138921,S200000,04700,0200,N 138921,S200000,04900,0100,N 138921,S200000,05000,0100,N 138921,S200000,05100,0100,N 138921,S200000,05200,0100,N 138933,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138933,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138933,A000000,00300,0000,0300EMPLOYEE BENEFITS 138933,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138933,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138933,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138933,A000000,00700,0000,0700HOUSEKEEPING 138933,A000000,00800,0000,0800DIETARY 138933,A000000,00900,0000,0900NURSING ADMINISTRATION 138933,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138933,A000000,01100,0000,1100PHARMACY 138933,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138933,A000000,01300,0000,1300SOCIAL SERVICE 138933,A000000,01600,0000,1600SKILLED NURSING FACILITY 138933,A000000,01800,0000,1800NURSING FACILITY 138933,A000000,01810,0000,1810ICF/MR 138933,A000000,01900,0000,1900OTHER LONG TERM CARE 138933,A000000,02100,0000,2100RADIOLOGY 138933,A000000,02200,0000,2200LABORATORY 138933,A000000,02300,0000,2300INTRAVENOUS THERAPY 138933,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138933,A000000,02500,0000,2500PHYSICAL THERAPY 138933,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138933,A000000,02700,0000,2700SPEECH PATHOLOGY 138933,A000000,02800,0000,2800ELECTROCARDIOLOGY 138933,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138933,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138933,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138933,A000000,03200,0000,3200SUPPORT SURFACES 138933,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138933,A000000,03400,0000,3400CLINIC 138933,A000000,03500,0000,3500RURAL HEALTH CLINIC 138933,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138933,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138933,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138933,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138933,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138933,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138933,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138933,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138933,A000000,04400,0000,4400DME RENTED - HHA 138933,A000000,04500,0000,4500DME SOLD - HHA 138933,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138933,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138933,A000000,04800,0000,4800AMBULANCE 138933,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138933,A000000,05000,0000,5000CORF 138933,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138933,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138933,A000000,05300,0000,5300INTEREST EXPENSE 138933,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138933,A000000,05500,0000,5500HOSPICE 138933,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138933,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138933,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138933,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138933,A000000,06100,0000,6100NONPAID WORKERS 138933,A000000,06200,0000,6200PATIENTS LAUNDRY 138933,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138933,A81000A,00100,0100,Y 138933,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 138933,A81000B,00200,0300,RELATED PARTY ADJUSTMENT 138933,A81000C,00100,0100,A 138933,A81000C,00100,0200,FRANK BROWN 138933,A81000C,00100,0400,USA HEALTHACARE 138933,A81000C,00100,0600,HOME OFFICE 138933,A81000C,00200,0100,B 138933,A81000C,00200,0200,FRANK BROWN 138933,A81000C,00200,0400,AGE INC. 138933,A81000C,00200,0600,BUILDING LEASE 138933,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138933,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138933,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138933,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138933,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138933,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 138933,B100000,00000,0800,0800MEALS SERVED :DIETARY 138933,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138933,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138933,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 138933,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138933,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138933,S000000,00100,0200,11/15/00 138933,S200000,00100,0100,3RD STREET WEST 138933,S200000,00200,0100,FALKVILLE 138933,S200000,00200,0200,AL 138933,S200000,00200,0300,35622- 138933,S200000,00300,0100,MORGAN 138933,S200000,00300,0200,2030 138933,S200000,00300,0300,U 138933,S200000,00400,0100,USA HEALTHCARE-FALKVILLE 138933,S200000,00400,0200,015136 138933,S200000,00400,0300,07/01/87 138933,S200000,00400,0500,P 138933,S200000,01500,0100,N 138933,S200000,01600,0100,Y 138933,S200000,01700,0100,N 138933,S200000,01800,0100,N 138933,S200000,02200,0100,N 138933,S200000,02800,0100,N 138933,S200000,02900,0100,N 138933,S200000,03000,0100,N 138933,S200000,03100,0100,N 138933,S200000,03200,0100,N 138933,S200000,04100,0100,N 138933,S200000,04200,0100,N 138933,S200000,04300,0100,N 138933,S200000,04600,0100,N 138933,S200000,04700,0100,N 138933,S200000,04700,0200,N 138933,S200000,04900,0100,N 138933,S200000,05000,0100,N 138933,S200000,05100,0100,N 138933,S200000,05200,0100,N 138934,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138934,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138934,A000000,00300,0000,0300EMPLOYEE BENEFITS 138934,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138934,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138934,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138934,A000000,00700,0000,0700HOUSEKEEPING 138934,A000000,00800,0000,0800DIETARY 138934,A000000,00900,0000,0900NURSING ADMINISTRATION 138934,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138934,A000000,01100,0000,1100PHARMACY 138934,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138934,A000000,01300,0000,1300SOCIAL SERVICE 138934,A000000,01600,0000,1600SKILLED NURSING FACILITY 138934,A000000,01800,0000,1800NURSING FACILITY 138934,A000000,01810,0000,1810ICF/MR 138934,A000000,01900,0000,1900OTHER LONG TERM CARE 138934,A000000,02100,0000,2100RADIOLOGY 138934,A000000,02200,0000,2200LABORATORY 138934,A000000,02300,0000,2300INTRAVENOUS THERAPY 138934,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138934,A000000,02500,0000,2500PHYSICAL THERAPY 138934,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138934,A000000,02700,0000,2700SPEECH PATHOLOGY 138934,A000000,02800,0000,2800ELECTROCARDIOLOGY 138934,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138934,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138934,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138934,A000000,03200,0000,3200SUPPORT SURFACES 138934,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138934,A000000,03400,0000,3400CLINIC 138934,A000000,03500,0000,3500RURAL HEALTH CLINIC 138934,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138934,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138934,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138934,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138934,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138934,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138934,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138934,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138934,A000000,04400,0000,4400DME RENTED - HHA 138934,A000000,04500,0000,4500DME SOLD - HHA 138934,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138934,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138934,A000000,04800,0000,4800AMBULANCE 138934,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138934,A000000,05000,0000,5000CORF 138934,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138934,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138934,A000000,05300,0000,5300INTEREST EXPENSE 138934,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138934,A000000,05500,0000,5500HOSPICE 138934,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138934,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138934,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138934,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138934,A000000,06100,0000,6100NONPAID WORKERS 138934,A000000,06200,0000,6200PATIENTS LAUNDRY 138934,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138934,A81000A,00100,0100,Y 138934,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 138934,A81000B,00200,0300,CAPITAL COST ( BLDG LEASE) 138934,A81000C,00100,0100,A 138934,A81000C,00100,0200,FRANK BROWN 138934,A81000C,00100,0400,USA HEALTHCARE INC. 138934,A81000C,00100,0600,HOME OFFICE 138934,A81000C,00200,0100,B 138934,A81000C,00200,0200,FRANK BROWN 138934,A81000C,00200,0400,AGE INC 138934,A81000C,00200,0600,BLDG LEASE 138934,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138934,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138934,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138934,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138934,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138934,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 138934,B100000,00000,0800,0800MEALS SERVED :DIETARY 138934,B100000,00000,0900,0900DIRECT NRSNG HOUR :NURSING ADMIN 138934,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138934,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 138934,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138934,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138934,S000000,00100,0200,11/15/00 138934,S200000,00100,0300,1821 138934,S200000,00200,0100,DECATUR 138934,S200000,00200,0200,AL 138934,S200000,00200,0300,35602- 138934,S200000,00300,0100,MORGAN 138934,S200000,00300,0200,2030 138934,S200000,00300,0300,U 138934,S200000,00400,0100,USA HEALTHCARE - SOUTH MORGAN LLC 138934,S200000,00400,0200,015206 138934,S200000,00400,0300,12/01/77 138934,S200000,00400,0500,P 138934,S200000,01500,0100,N 138934,S200000,01600,0100,Y 138934,S200000,01700,0100,N 138934,S200000,01800,0100,N 138934,S200000,02200,0100,N 138934,S200000,02800,0100,N 138934,S200000,02900,0100,N 138934,S200000,03000,0100,N 138934,S200000,03100,0100,N 138934,S200000,03200,0100,N 138934,S200000,04100,0100,N 138934,S200000,04200,0100,N 138934,S200000,04300,0100,N 138934,S200000,04600,0100,N 138934,S200000,04700,0100,N 138934,S200000,04700,0200,N 138934,S200000,04900,0100,N 138934,S200000,05000,0100,N 138934,S200000,05100,0100,N 138934,S200000,05200,0100,N 138935,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138935,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138935,A000000,00300,0000,0300EMPLOYEE BENEFITS 138935,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138935,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138935,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138935,A000000,00700,0000,0700HOUSEKEEPING 138935,A000000,00800,0000,0800DIETARY 138935,A000000,00900,0000,0900NURSING ADMINISTRATION 138935,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138935,A000000,01100,0000,1100PHARMACY 138935,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138935,A000000,01300,0000,1300SOCIAL SERVICE 138935,A000000,01600,0000,1600SKILLED NURSING FACILITY 138935,A000000,01800,0000,1800NURSING FACILITY 138935,A000000,01810,0000,1810ICF/MR 138935,A000000,01900,0000,1900OTHER LONG TERM CARE 138935,A000000,02100,0000,2100RADIOLOGY 138935,A000000,02200,0000,2200LABORATORY 138935,A000000,02300,0000,2300INTRAVENOUS THERAPY 138935,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138935,A000000,02500,0000,2500PHYSICAL THERAPY 138935,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138935,A000000,02700,0000,2700SPEECH PATHOLOGY 138935,A000000,02800,0000,2800ELECTROCARDIOLOGY 138935,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138935,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138935,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138935,A000000,03200,0000,3200SUPPORT SURFACES 138935,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138935,A000000,03400,0000,3400CLINIC 138935,A000000,03500,0000,3500RURAL HEALTH CLINIC 138935,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138935,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138935,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138935,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138935,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138935,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138935,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138935,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138935,A000000,04400,0000,4400DME RENTED - HHA 138935,A000000,04500,0000,4500DME SOLD - HHA 138935,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138935,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138935,A000000,04800,0000,4800AMBULANCE 138935,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138935,A000000,05000,0000,5000CORF 138935,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138935,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138935,A000000,05300,0000,5300INTEREST EXPENSE 138935,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138935,A000000,05500,0000,5500HOSPICE 138935,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138935,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138935,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138935,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138935,A000000,06100,0000,6100NONPAID WORKERS 138935,A000000,06200,0000,6200PATIENTS LAUNDRY 138935,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138935,A81000A,00100,0100,Y 138935,A81000B,00100,0300,HOME OFFICE ALLOCATION 138935,A81000C,00100,0100,A 138935,A81000C,00100,0200,FRANK BROWN 138935,A81000C,00100,0400,USA HEALTHCARE INC. 138935,A81000C,00100,0600,HOME OFFICE 138935,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138935,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138935,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138935,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138935,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138935,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 138935,B100000,00000,0800,0800MEALS SERVED :DIETARY 138935,B100000,00000,0900,0900DIRECT NSG HOURS :NURSING ADMINI 138935,B100000,00000,1000,1000COST REQUIS. :CENTRAL SERVICES 138935,B100000,00000,1100,1100COST REQUIS. :PHARMACY 138935,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138935,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138935,S000000,00100,0200,11/15/00 138935,S200000,00100,0100,4143 HIGHWAY 20 138935,S200000,00200,0100,TRINITY 138935,S200000,00200,0200,AL 138935,S200000,00200,0300,35673- 138935,S200000,00300,0100,DECATUR 138935,S200000,00300,0200,2030 138935,S200000,00300,0300,U 138935,S200000,00400,0100,WEST MORGAN HEALTHCARE CENTR 138935,S200000,00400,0200,015394 138935,S200000,00400,0300,06/01/82 138935,S200000,00400,0500,P 138935,S200000,01500,0100,N 138935,S200000,01600,0100,Y 138935,S200000,01700,0100,N 138935,S200000,01800,0100,N 138935,S200000,02200,0100,N 138935,S200000,02800,0100,N 138935,S200000,02900,0100,N 138935,S200000,03000,0100,N 138935,S200000,03100,0100,N 138935,S200000,03200,0100,N 138935,S200000,04100,0100,N 138935,S200000,04200,0100,N 138935,S200000,04300,0100,N 138935,S200000,04600,0100,N 138935,S200000,04700,0100,Y 138935,S200000,04700,0200,N 138935,S200000,04900,0100,N 138935,S200000,05000,0100,N 138935,S200000,05100,0100,N 138935,S200000,05200,0100,N 138937,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 138937,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 138937,A000000,00300,0000,0300EMPLOYEE BENEFITS 138937,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 138937,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 138937,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 138937,A000000,00700,0000,0700HOUSEKEEPING 138937,A000000,00800,0000,0800DIETARY 138937,A000000,00900,0000,0900NURSING ADMINISTRATION 138937,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 138937,A000000,01100,0000,1100PHARMACY 138937,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 138937,A000000,01300,0000,1300SOCIAL SERVICE 138937,A000000,01600,0000,1600SKILLED NURSING FACILITY 138937,A000000,01800,0000,1800NURSING FACILITY 138937,A000000,01810,0000,1810ICF/MR 138937,A000000,01900,0000,1900OTHER LONG TERM CARE 138937,A000000,02100,0000,2100RADIOLOGY 138937,A000000,02200,0000,2200LABORATORY 138937,A000000,02300,0000,2300INTRAVENOUS THERAPY 138937,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 138937,A000000,02500,0000,2500PHYSICAL THERAPY 138937,A000000,02600,0000,2600OCCUPATIONAL THERAPY 138937,A000000,02700,0000,2700SPEECH PATHOLOGY 138937,A000000,02800,0000,2800ELECTROCARDIOLOGY 138937,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 138937,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 138937,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 138937,A000000,03200,0000,3200SUPPORT SURFACES 138937,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 138937,A000000,03400,0000,3400CLINIC 138937,A000000,03500,0000,3500RURAL HEALTH CLINIC 138937,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 138937,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 138937,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 138937,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 138937,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 138937,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 138937,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 138937,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 138937,A000000,04400,0000,4400DME RENTED - HHA 138937,A000000,04500,0000,4500DME SOLD - HHA 138937,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 138937,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 138937,A000000,04800,0000,4800AMBULANCE 138937,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 138937,A000000,05000,0000,5000CORF 138937,A000000,05100,0000,4750OTHER REIMBURSABLE COST 138937,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 138937,A000000,05300,0000,5300INTEREST EXPENSE 138937,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 138937,A000000,05500,0000,5500HOSPICE 138937,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 138937,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 138937,A000000,05900,0000,5900BARBER & BEAUTY SHOP 138937,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 138937,A000000,06100,0000,6100NONPAID WORKERS 138937,A000000,06200,0000,6200PATIENTS LAUNDRY 138937,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 138937,A81000A,00100,0100,Y 138937,A81000B,00100,0300,HOME OFFFICE COST ALLOCATION 138937,A81000B,00200,0300,RELATED PARTY ADJUSTMENT 138937,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 138937,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 138937,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 138937,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 138937,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 138937,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 138937,B100000,00000,0800,0800MEALS SERVED :DIETARY 138937,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 138937,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 138937,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 138937,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 138937,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 138937,S000000,00100,0200,11/15/00 138937,S200000,00100,0100,401 ARNOLD STREET 138937,S200000,00100,0300,190 138937,S200000,00200,0100,CULLMAN 138937,S200000,00200,0200,AL 138937,S200000,00200,0300,35056- 138937,S200000,00300,0100,CULLMAN 138937,S200000,00300,0200,01 138937,S200000,00300,0300,R 138937,S200000,00400,0100,CULLMAN LTC & REHAB CENTER 138937,S200000,00400,0200,015437 138937,S200000,00400,0300,06/18/98 138937,S200000,00400,0500,P 138937,S200000,01500,0100,N 138937,S200000,01600,0100,Y 138937,S200000,01700,0100,N 138937,S200000,01800,0100,N 138937,S200000,02200,0100,N 138937,S200000,02800,0100,N 138937,S200000,02900,0100,N 138937,S200000,03000,0100,N 138937,S200000,03100,0100,N 138937,S200000,03200,0100,N 138937,S200000,04100,0100,Y 138937,S200000,04200,0100,N 138937,S200000,04300,0100,N 138937,S200000,04600,0100,N 138937,S200000,04700,0100,N 138937,S200000,04700,0200,N 138937,S200000,04900,0100,N 138937,S200000,05000,0100,N 138937,S200000,05100,0100,N 138937,S200000,05200,0100,N 139038,S000000,00100,0200,12/05/02 139106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139106,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139106,A000000,00300,0000,0300EMPLOYEE BENEFITS 139106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139106,A000000,00700,0000,0700HOUSEKEEPING 139106,A000000,00800,0000,0800DIETARY 139106,A000000,00900,0000,0900NURSING ADMINISTRATION 139106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139106,A000000,01100,0000,1100PHARMACY 139106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139106,A000000,01300,0000,1300SOCIAL SERVICE 139106,A000000,01500,0000,1350PATIENT ACTIVITIES 139106,A000000,01600,0000,1600SKILLED NURSING FACILITY 139106,A000000,01800,0000,1800NURSING FACILITY 139106,A000000,02100,0000,2100RADIOLOGY 139106,A000000,02200,0000,2200LABORATORY 139106,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139106,A000000,02500,0000,2500PHYSICAL THERAPY 139106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139106,A000000,02700,0000,2700SPEECH PATHOLOGY 139106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139106,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 139106,A000000,04800,0000,4800AMBULANCE 139106,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139106,A000000,05300,0000,5300INTEREST EXPENSE 139106,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139106,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139106,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139106,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139106,A81000A,00100,0100,Y 139106,A81000B,00100,0300,MANAGEMENT FEE 139106,A81000C,00100,0100,B 139106,A81000C,00100,0400,JHA SERVICES 139106,A81000C,00100,0600,MANAGEMENT CO. 139106,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 139106,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 139106,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139106,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139106,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 139106,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 139106,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 139106,B100000,00000,0800,0800MEALS SERVED :DIETARY 139106,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 139106,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 139106,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 139106,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 139106,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 139106,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 139106,S000000,00100,0200,10/03/00 139106,S200000,00100,0100,630 OCEAN AVENUE 139106,S200000,00200,0100,PORTLAND 139106,S200000,00200,0200,ME 139106,S200000,00200,0300,04112- 139106,S200000,00300,0100,CUMBERLAND 139106,S200000,00300,0200,6403 139106,S200000,00300,0300,U 139106,S200000,00400,0100,CEDARS NURSING CARE CENTER 139106,S200000,00400,0200,205003 139106,S200000,00400,0300,01/01/67 139106,S200000,00400,0500,P 139106,S200000,01500,0100,N 139106,S200000,01600,0100,Y 139106,S200000,01700,0100,N 139106,S200000,01800,0100,N 139106,S200000,02200,0100,Y 139106,S200000,02800,0100,Y 139106,S200000,02900,0100,N 139106,S200000,03000,0100,N 139106,S200000,03100,0100,N 139106,S200000,03200,0100,N 139106,S200000,04100,0100,N 139106,S200000,04200,0100,N 139106,S200000,04300,0100,N 139106,S200000,04600,0100,N 139106,S200000,04700,0100,N 139106,S200000,04700,0200,N 139106,S200000,04900,0100,N 139106,S200000,05000,0100,N 139106,S200000,05100,0100,N 139106,S200000,05200,0100,N 139157,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139157,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139157,A000000,00300,0000,0300EMPLOYEE BENEFITS 139157,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139157,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139157,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139157,A000000,00700,0000,0700HOUSEKEEPING 139157,A000000,00800,0000,0800DIETARY 139157,A000000,00900,0000,0900NURSING ADMINISTRATION 139157,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139157,A000000,01300,0000,1300SOCIAL SERVICE 139157,A000000,01600,0000,1600SKILLED NURSING FACILITY 139157,A000000,01800,0000,1800NURSING FACILITY 139157,A000000,02100,0000,2100RADIOLOGY 139157,A000000,02200,0000,2200LABORATORY 139157,A000000,02500,0000,2500PHYSICAL THERAPY 139157,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139157,A000000,02700,0000,2700SPEECH PATHOLOGY 139157,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139157,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139157,A000000,03100,0000,3100TRANSPORTATION 139157,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139157,A000000,05300,0000,5300INTEREST EXPENSE 139157,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139157,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 139157,A000000,06200,0000,6200PATIENTS LAUNDRY 139157,A81000A,00100,0100,Y 139157,A81000B,00100,0300,ALLOCATION OF MGMT SALARIES 139157,A81000B,00200,0300,ALLOCATION OF BUSINESS OFFICE 139157,A81000B,00300,0300,ADMINISTRATOR SALARY 139157,A81000C,00100,0100,A 139157,A81000C,00100,0200,NORMA PEZZELLI 139157,A81000C,00100,0400,WOONS HLTH CTR 139157,A81000C,00100,0600,NURSING HOME 139157,A81000C,00200,0100,A 139157,A81000C,00200,0200,NORMA PEZZELLI 139157,A81000C,00200,0400,WOONS HLTH CTR 139157,A81000C,00200,0600,NURSING HOME 139157,A81000C,00300,0100,A 139157,A81000C,00300,0200,NORMA PEZZELLI 139157,A81000C,00300,0400,WOONS HLTH CTR 139157,A81000C,00300,0600,NURSING HOME 139157,B100000,00000,0100,0100SQUARE FEET CAP REL COSTS - B 139157,B100000,00000,0200,0200SQUARE FEET CAP REL COSTS - M 139157,B100000,00000,0300,0300GROSS SALARIES EMPLOYEE BENE 139157,B100000,00000,0400,0400ACCUM. COST ADMINISTRATIVE & 139157,B100000,00000,0500,0500SQUARE FEET PLANT OPERATION 139157,B100000,00000,0600,0600POUNDS OF LAUNDRY LAUNDRY & LINE 139157,B100000,00000,0700,0700SQUARE FEET HOUSEKEEPING 139157,B100000,00000,0800,0800MEALS SERVED DIETARY 139157,B100000,00000,0900,0900DIR NURSINHRS NURSING ADMI 139157,B100000,00000,1200,1200TIME SPENT MEDICAL RECORDS 139157,B100000,00000,1300,1300TIME SPENT SOCIAL SERVICE 139157,S000000,00100,0200,05/31/00 139157,S200000,00100,0100,100 SMITHFIELD ROAD 139157,S200000,00200,0100,NORTH PROVIDENCE 139157,S200000,00200,0200,RI 139157,S200000,00200,0300,02904 139157,S200000,00300,0100,PROVIDENCE 139157,S200000,00300,0200,0000 139157,S200000,00400,0100,GOLDEN CREST NURSING CENTRE 139157,S200000,00400,0200,415029 139157,S200000,00400,0300,10/01/69 139157,S200000,00400,0500,P 139157,S200000,00400,0600,N 139157,S200000,01500,0100,N 139157,S200000,01600,0100,Y 139157,S200000,01700,0100,N 139157,S200000,01800,0100,N 139157,S200000,02200,0100,Y 139157,S200000,02800,0100,N 139157,S200000,02900,0100,N 139157,S200000,03000,0100,N 139157,S200000,03100,0100,N 139157,S200000,03200,0100,N 139157,S200000,03300,0100,N 139157,S200000,03300,0200,N 139157,S200000,04100,0100,N 139157,S200000,04200,0100,N 139157,S200000,04300,0100,Y 139157,S200000,04600,0100,N 139157,S200000,04700,0100,N 139157,S200000,04900,0100,N 139157,S200000,05000,0100,N 139157,S200000,05100,0100,N 139157,S200000,05200,0100,N 139157,S700003,00000,0100,X 139173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139173,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139173,A000000,00300,0000,0300EMPLOYEE BENEFITS 139173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139173,A000000,00700,0000,0700HOUSEKEEPING 139173,A000000,00800,0000,0800DIETARY 139173,A000000,00900,0000,0900NURSING ADMINISTRATION 139173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139173,A000000,01100,0000,1100PHARMACY 139173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139173,A000000,01300,0000,1300SOCIAL SERVICE 139173,A000000,01600,0000,1600SKILLED NURSING FACILITY 139173,A000000,01800,0000,1800NURSING FACILITY 139173,A000000,01900,0000,1900OTHER LONG TERM CARE 139173,A000000,02100,0000,2100RADIOLOGY 139173,A000000,02200,0000,2200LABORATORY 139173,A000000,02300,0000,2300INTRAVENOUS THERAPY 139173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139173,A000000,02500,0000,2500PHYSICAL THERAPY 139173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139173,A000000,02700,0000,2700SPEECH PATHOLOGY 139173,A000000,02800,0000,2800ELECTROCARDIOLOGY 139173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139173,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 139173,A000000,03200,0000,3200SUPPORT SURFACES 139173,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 139173,A000000,03400,0000,3400CLINIC 139173,A000000,03500,0000,3500RURAL HEALTH CLINIC 139173,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 139173,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 139173,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 139173,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 139173,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 139173,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 139173,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 139173,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 139173,A000000,04400,0000,4400DME RENTED - HHA 139173,A000000,04500,0000,4500DME SOLD - HHA 139173,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 139173,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 139173,A000000,04800,0000,4800AMBULANCE 139173,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 139173,A000000,05000,0000,5000CORF 139173,A000000,05100,0000,4750OTHER REIMBURSABLE COST 139173,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139173,A000000,05300,0000,5300INTEREST EXPENSE 139173,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139173,A000000,05500,0000,5500HOSPICE 139173,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139173,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139173,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139173,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 139173,A000000,06100,0000,6100NONPAID WORKERS 139173,A000000,06200,0000,6200PATIENTS LAUNDRY 139173,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139173,A81000A,00100,0100,Y 139173,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 139173,A81000B,00200,0300,CAPITAL COSTR ( BLDG LEASE) 139173,A81000C,00100,0100,A 139173,A81000C,00100,0200,FRANK BROWN 139173,A81000C,00100,0400,USA HEALTHCARE INC. 139173,A81000C,00100,0600,HOME OFFICE 139173,A81000C,00200,0100,B 139173,A81000C,00200,0200,FRANK BROWN 139173,A81000C,00200,0400,AGE INC 139173,A81000C,00200,0600,BLDG LEASE 139173,B100000,00000,0100,0100SQAURE FEET :CAP REL COSTS - BL 139173,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139173,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139173,B100000,00000,0500,0500SQAURE FEET :PLANT OPERATION M 139173,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 139173,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 139173,B100000,00000,0800,0800MEALS SERVED :DIETARY 139173,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 139173,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 139173,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 139173,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 139173,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 139173,S000000,00100,0200,12/05/00 139173,S200000,00100,0100,1900 OILVE STREET 139173,S200000,00200,0100,CULLMAN 139173,S200000,00200,0200,AL 139173,S200000,00200,0300,35026- 139173,S200000,00300,0100,CULLMAN 139173,S200000,00300,0200,01 139173,S200000,00300,0300,R 139173,S200000,00400,0100,USA HEALTHCARE - WOODLAND VILLAGE L 139173,S200000,00400,0200,015383 139173,S200000,00400,0300,08/09/83 139173,S200000,00400,0500,P 139173,S200000,01500,0100,N 139173,S200000,01600,0100,Y 139173,S200000,01700,0100,N 139173,S200000,01800,0100,N 139173,S200000,02200,0100,N 139173,S200000,02800,0100,N 139173,S200000,02900,0100,N 139173,S200000,03000,0100,N 139173,S200000,03100,0100,N 139173,S200000,03200,0100,N 139173,S200000,04100,0100,N 139173,S200000,04200,0100,N 139173,S200000,04300,0100,N 139173,S200000,04600,0100,N 139173,S200000,04700,0100,N 139173,S200000,04700,0200,N 139173,S200000,04900,0100,N 139173,S200000,05000,0100,N 139173,S200000,05100,0100,N 139173,S200000,05200,0100,N 139280,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139280,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139280,A000000,00300,0000,0300EMPLOYEE BENEFITS 139280,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139280,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139280,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139280,A000000,00700,0000,0700HOUSEKEEPING 139280,A000000,00800,0000,0800DIETARY 139280,A000000,00900,0000,0900NURSING ADMINISTRATION 139280,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139280,A000000,01100,0000,1100PHARMACY 139280,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139280,A000000,01300,0000,1300SOCIAL SERVICE 139280,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 139280,A000000,01500,0000,1350OTHER GENERAL SERVICES 139280,A000000,01600,0000,1600SKILLED NURSING FACILITY 139280,A000000,01800,0000,1800NURSING FACILITY 139280,A000000,01810,0000,1810ICF/MR 139280,A000000,01900,0000,1900OTHER LONG TERM CARE 139280,A000000,02100,0000,2100RADIOLOGY 139280,A000000,02200,0000,2200LABORATORY 139280,A000000,02300,0000,2300INTRAVENOUS THERAPY 139280,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139280,A000000,02500,0000,2500PHYSICAL THERAPY 139280,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139280,A000000,02700,0000,2700SPEECH PATHOLOGY 139280,A000000,02800,0000,2800ELECTROCARDIOLOGY 139280,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139280,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139280,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 139280,A000000,03200,0000,3200SUPPORT SURFACES 139280,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 139280,A000000,03400,0000,3400CLINIC 139280,A000000,03500,0000,3500RURAL HEALTH CLINIC 139280,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 139280,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 139280,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 139280,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 139280,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 139280,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 139280,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 139280,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 139280,A000000,04400,0000,4400DME RENTED - HHA 139280,A000000,04500,0000,4500DME SOLD - HHA 139280,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 139280,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 139280,A000000,04800,0000,4800AMBULANCE 139280,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 139280,A000000,05000,0000,5000CORF 139280,A000000,05100,0000,4750OTHER REIMBURSABLE COST 139280,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139280,A000000,05300,0000,5300INTEREST EXPENSE 139280,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139280,A000000,05500,0000,5500HOSPICE 139280,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139280,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139280,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139280,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 139280,A000000,06100,0000,6100NONPAID WORKERS 139280,A000000,06200,0000,6200PATIENTS LAUNDRY 139280,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139280,A81000A,00100,0100,Y 139280,A81000B,00100,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 139280,A81000B,00200,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 139280,A81000B,00300,0300,CENTRAL OFFICE-BHS-C-MGMT FEES 139280,A81000B,00400,0300,NURSE CONSULTING 139280,A81000B,00500,0300,ADMINISTRATOR SAL/TAXES/BENEFITS 139280,A81000B,00600,0300,COMPUTER USER FEES 139280,A81000B,00700,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 139280,A81000B,00800,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 139280,A81000B,00900,0300,CENTRAL OFFICE-BHS-D-MUTUAL SUPP FEE 139280,A81000C,00100,0100,G 139280,A81000C,00100,0200,BHS - CAMBRIDGE 139280,A81000C,00100,0400,BHS - DULUTH 139280,A81000C,00100,0600,MANAGEMENT SERVICES 139280,A81000C,00200,0100,G 139280,A81000C,00200,0200,BHS - DULUTH 139280,A81000C,00200,0400,BHS - DULUTH 139280,A81000C,00200,0600,MANAGEMENT SERVICES 139280,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 139280,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 139280,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139280,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139280,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 139280,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 139280,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 139280,B100000,00000,0800,0800MEALS SERVED :DIETARY 139280,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 139280,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 139280,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 139280,E10A180,00501,0100,02/28/01 139280,S000000,00100,0200,01/29/01 139280,S200000,00100,0100,2800 HIGHWAY 694 139280,S200000,00200,0100,NEW BRIGHTON 139280,S200000,00200,0200,MN 139280,S200000,00200,0300,55112- 139280,S200000,00300,0100,RAMSEY 139280,S200000,00300,0200,5120 139280,S200000,00300,0300,U 139280,S200000,00400,0100,BCC DBA INNSBRUCK HEALTH CARE CENTER 139280,S200000,00400,0200,245310 139280,S200000,00400,0300,07/01/86 139280,S200000,00400,0500,P 139280,S200000,01500,0100,Y 139280,S200000,01600,0100,N 139280,S200000,01700,0100,N 139280,S200000,01800,0100,N 139280,S200000,02200,0100,N 139280,S200000,02800,0100,N 139280,S200000,02900,0100,N 139280,S200000,03000,0100,N 139280,S200000,03100,0100,N 139280,S200000,03200,0100,N 139280,S200000,04100,0100,N 139280,S200000,04200,0100,N 139280,S200000,04300,0100,N 139280,S200000,04600,0100,N 139280,S200000,04700,0100,N 139280,S200000,04700,0200,N 139280,S200000,04900,0100,N 139280,S200000,05000,0100,N 139280,S200000,05100,0100,N 139280,S200000,05200,0100,N 139284,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139284,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139284,A000000,00300,0000,0300EMPLOYEE BENEFITS 139284,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139284,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139284,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139284,A000000,00700,0000,0700HOUSEKEEPING 139284,A000000,00800,0000,0800DIETARY 139284,A000000,00900,0000,0900NURSING ADMINISTRATION 139284,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139284,A000000,01100,0000,1100PHARMACY 139284,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139284,A000000,01300,0000,1300SOCIAL SERVICE 139284,A000000,01301,0000,1301PASTORAL CARE 139284,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 139284,A000000,01500,0000,1350OTHER GENERAL SERVICES 139284,A000000,01600,0000,1600SKILLED NURSING FACILITY 139284,A000000,01800,0000,1800NURSING FACILITY 139284,A000000,01810,0000,1810ICF/MR 139284,A000000,01900,0000,1900OTHER LONG TERM CARE 139284,A000000,02100,0000,2100RADIOLOGY 139284,A000000,02200,0000,2200LABORATORY 139284,A000000,02300,0000,2300INTRAVENOUS THERAPY 139284,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139284,A000000,02500,0000,2500PHYSICAL THERAPY 139284,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139284,A000000,02700,0000,2700SPEECH PATHOLOGY 139284,A000000,02800,0000,2800ELECTROCARDIOLOGY 139284,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139284,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139284,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 139284,A000000,03200,0000,3200SUPPORT SURFACES 139284,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 139284,A000000,03400,0000,3400CLINIC 139284,A000000,03500,0000,3500RURAL HEALTH CLINIC 139284,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 139284,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 139284,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 139284,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 139284,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 139284,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 139284,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 139284,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 139284,A000000,04400,0000,4400DME RENTED - HHA 139284,A000000,04500,0000,4500DME SOLD - HHA 139284,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 139284,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 139284,A000000,04800,0000,4800AMBULANCE 139284,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 139284,A000000,05000,0000,5000CORF 139284,A000000,05100,0000,4750OTHER REIMBURSABLE COST 139284,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139284,A000000,05300,0000,5300INTEREST EXPENSE 139284,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139284,A000000,05500,0000,5500HOSPICE 139284,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139284,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139284,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139284,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 139284,A000000,06100,0000,6100NONPAID WORKERS 139284,A000000,06200,0000,6200PATIENTS LAUNDRY 139284,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139284,A000000,06301,0000,6151CHILD CARE 139284,A000000,06302,0000,6152ADULT DAY CARE 139284,A000000,06303,0000,6153DENTAL OFFICE 139284,A000000,06304,0000,6154WESTWOOD 139284,A000000,06305,0000,6155FOUNDATION 139284,A81000A,00100,0100,Y 139284,A81000B,00100,0300,CENTRAL OFFICE-ADMINISTRATOR SAL/TAX 139284,A81000B,00200,0300,CENTRAL OFFICE-MUTUAL SUPPORT FEE 139284,A81000B,00300,0300,CENTRAL OFFICE-MUTUAL SUPPORT FEE 139284,A81000B,00400,0300,CENTRAL OFFICE-MUTUAL SUPPORT FEE 139284,A81000B,00500,0300,GROUND LEASE 139284,A81000B,00600,0300,DIETARY 139284,A81000B,00700,0300,CHAPLAINCY SALARIES 139284,A81000B,00800,0300,BOARD STIPENDS - SISTERS 139284,A81000C,00100,0100,G 139284,A81000C,00100,0200,BENEDICTINE SISTERS 139284,A81000C,00100,0400,BENEDICTINE HEALTH SYSTEM 139284,A81000C,00100,0600,MANAGEMENT SERVICES 139284,A81000C,00200,0100,G 139284,A81000C,00200,0200,BENEDICTINE SISTERS 139284,A81000C,00200,0400,BENEDICTINE PRIORY 139284,A81000C,00200,0600,RELIGIOUS ORDER 139284,A81000C,00300,0100,G 139284,A81000C,00300,0200,BENEDICTINE SISTERS 139284,A81000C,00300,0400,BENEDICTINE PRIORY 139284,A81000C,00300,0600,DIETARY FOODS 139284,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 139284,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 139284,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139284,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139284,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 139284,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 139284,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 139284,B100000,00000,0800,0800MEALS SERVED :DIETARY 139284,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 139284,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 139284,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 139284,B100000,00000,1301,1331RESIDENT DAYS :PASTORAL CARE 139284,E10A180,00501,0100,02/12/01 139284,E10A180,00550,0300,02/12/01 139284,S000000,00100,0200,01/09/01 139284,S200000,00100,0100,935 KENWOOD AVENUE SOUTH 139284,S200000,00200,0100,DULUTH 139284,S200000,00200,0200,MN 139284,S200000,00200,0300,55811- 139284,S200000,00300,0100,ST. LOUIS 139284,S200000,00300,0200,2240 139284,S200000,00300,0300,U 139284,S200000,00400,0100,BENEDICTINE HEALTH CENTER 139284,S200000,00400,0200,245236 139284,S200000,00400,0300,11/17/80 139284,S200000,00400,0500,P 139284,S200000,01500,0100,Y 139284,S200000,01600,0100,N 139284,S200000,01700,0100,N 139284,S200000,01800,0100,N 139284,S200000,02200,0100,N 139284,S200000,02800,0100,N 139284,S200000,02900,0100,N 139284,S200000,03000,0100,N 139284,S200000,03100,0100,N 139284,S200000,03200,0100,N 139284,S200000,04100,0100,N 139284,S200000,04200,0100,N 139284,S200000,04300,0100,N 139284,S200000,04600,0100,N 139284,S200000,04700,0100,N 139284,S200000,04700,0200,N 139284,S200000,04900,0100,N 139284,S200000,05000,0100,N 139284,S200000,05100,0100,N 139284,S200000,05200,0100,N 139570,S000000,00100,0200,02/01/01 139570,S200000,00100,0100,2000 NEWBURG ROAD 139570,S200000,00200,0100,LOUISVILLE 139570,S200000,00200,0200,KY 139570,S200000,00200,0300,40205 139570,S200000,00300,0100,JEFFERSON 139570,S200000,00400,0100,NAZARETH HOME 139570,S200000,00400,0300,04/06/76 139590,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 139590,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 139590,A000000,00300,0000,0300EMPLOYEE BENEFITS 139590,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139590,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 139590,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139590,A000000,00700,0000,0700HOUSEKEEPING 139590,A000000,00800,0000,0800DIETARY 139590,A000000,00900,0000,0900NURSING ADMINISTRATION 139590,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139590,A000000,01100,0000,1100PHARMACY 139590,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139590,A000000,01300,0000,1300SOCIAL SERVICE 139590,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 139590,A000000,01600,0000,1600SKILLED NURSING FACILITY 139590,A000000,01810,0000,1810ICF/MR 139590,A000000,02100,0000,2100RADIOLOGY 139590,A000000,02200,0000,2200LABORATORY 139590,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139590,A000000,02500,0000,2500PHYSICAL THERAPY 139590,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139590,A000000,02700,0000,2700SPEECH PATHOLOGY 139590,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 139590,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139590,A000000,03200,0000,3200SUPPORT SURFACES 139590,A000000,03550,0000,3550FQHC 139590,A000000,05000,0000,5000CORF 139590,A000000,05010,0000,5010CMHC 139590,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 139590,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 139590,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 139590,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139590,A81000A,00100,0100,Y 139590,A81000B,00100,0300,MGMT FEES 139590,A81000B,00200,0300,PHYSICAL THERAPY 139590,A81000B,00300,0300,OCCUPATIONAL THERAPY 139590,A81000B,00400,0300,SPEECH THERAPY 139590,A81000B,00500,0300,RESPIRATORY THERAPY 139590,A81000B,00600,0300,MEDICAL SUPPLIES SKILLED NURS 139590,A81000B,00700,0300,MEDICAL SUPPLIES 139590,A81000B,00800,0300,PHARMACY 139590,A81000C,00100,0100,B 139590,A81000C,00100,0200,FOUNTAIN VIEW INC. 139590,A81000C,00100,0400,DEVONSHIRE CARE CENTER 139590,A81000C,00100,0600,SNF 139590,A81000C,00200,0100,B 139590,A81000C,00200,0200,FOUNTAIN VIEW INC 139590,A81000C,00200,0400,LOCOMOTION 139590,A81000C,00200,0600,THERAPY COMPANY 139590,A81000C,00300,0100,B 139590,A81000C,00300,0200,FOUNTAIN VIEW INC 139590,A81000C,00300,0400,I N O 139590,A81000C,00300,0600,MEDICAL SUPPLIES 139590,A81000C,00400,0100,B 139590,A81000C,00400,0200,FOUNTAIN VIEW INC. 139590,A81000C,00400,0400,SKILLED CARE PHARMACY 139590,A81000C,00400,0600,PHARMACY 139590,B100000,00000,0100,0100SQUARE FEET 139590,B100000,00000,0200,0200SQUARE FEET 139590,B100000,00000,0300,0300GROSS SALARIES 139590,B100000,00000,0400,0400ACCUM. COST 139590,B100000,00000,0500,0500SQUARE FEET 139590,B100000,00000,0600,0600POUNDS OF LAUNDRY 139590,B100000,00000,0700,0700SQUARE FEET 139590,B100000,00000,0800,0800MEALS SERVED 139590,B100000,00000,0900,0900DIRECT NRSING HRS 139590,B100000,00000,1000,1000COSTED REQUIS 139590,B100000,00000,1100,1100COSTED REQUIS 139590,B100000,00000,1200,1200GROSS REVENUE 139590,B100000,00000,1300,1300PATIENT DAYS 139590,B100000,00000,1400,1400ASSIGNED TIME 139590,E10A180,00350,0300,03/07/00 139590,E10A180,00550,0300,01/25/01 139590,S000000,00100,0200,01/18/01 139590,S200000,00100,0100,1350 EAST DEVONSHIRE AVE 139590,S200000,00200,0100,HEMET 139590,S200000,00200,0200,CA 139590,S200000,00200,0300,92544 139590,S200000,00300,0100,R 139590,S200000,00300,0200,6780 139590,S200000,00300,0300,U 139590,S200000,00400,0100,DEVONSHIRE CARE CENTER 139590,S200000,00400,0200,056095 139590,S200000,00400,0300,09/05/69 139590,S200000,00400,0500,P 139590,S200000,00400,0600,O 139590,S200000,01500,0100,N 139590,S200000,01600,0100,Y 139590,S200000,01700,0100,N 139590,S200000,01800,0100,N 139590,S200000,02200,0100,N 139590,S200000,02800,0100,N 139590,S200000,02900,0100,N 139590,S200000,03000,0100,N 139590,S200000,03100,0100,N 139590,S200000,03200,0100,N 139590,S200000,03300,0100,N 139590,S200000,03300,0200,N 139590,S200000,04100,0100,N 139590,S200000,04200,0100,N 139590,S200000,04300,0100,N 139590,S200000,04600,0100,N 139590,S200000,04700,0100,N 139590,S200000,04700,0200,N 139590,S200000,04900,0100,N 139590,S200000,05200,0100,N 139605,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 139605,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 139605,A000000,00300,0000,0300EMPLOYEE BENEFITS 139605,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139605,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 139605,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139605,A000000,00700,0000,0700HOUSEKEEPING 139605,A000000,00800,0000,0800DIETARY 139605,A000000,00900,0000,0900NURSING ADMINISTRATION 139605,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139605,A000000,01100,0000,1100PHARMACY 139605,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139605,A000000,01300,0000,1300SOCIAL SERVICE 139605,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 139605,A000000,01600,0000,1600SKILLED NURSING FACILITY 139605,A000000,01810,0000,1810ICF/MR 139605,A000000,02500,0000,2500PHYSICAL THERAPY 139605,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139605,A000000,02700,0000,2700SPEECH PATHOLOGY 139605,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139605,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 139605,A000000,03550,0000,3550FQHC 139605,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 139605,A000000,05000,0000,5000CORF 139605,A000000,05010,0000,5010CMHC 139605,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 139605,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 139605,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 139605,A000000,05300,0000,5300INTEREST EXPENSE 139605,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139605,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139605,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 139605,A81000A,00100,0100,Y 139605,A81000B,00100,0300,RENT 139605,A81000B,00200,0300,DEPRECIATION-BUILDINGS 139605,A81000B,00300,0300,DEPRECIATION-MOVEABLE 139605,A81000B,00400,0300,STARTUP COSTS 139605,A81000B,00500,0300,INTEREST 139605,A81000B,00600,0300,INTEREST 139605,A81000C,00100,0100,B 139605,A81000C,00100,0400,VICTORIAN MANAG 139605,A81000C,00100,0600,LESSOR 139605,A81000C,00200,0100,D 139605,A81000C,00200,0200,WILLIAM WHITE 139605,A81000C,00200,0600,MORTGAGE HOLDER 139605,B100000,00000,0100,0100SQUARE FEET 139605,B100000,00000,0200,0200SQUARE FEET 139605,B100000,00000,0300,0300GROSS SALARIES 139605,B100000,00000,0400,0400ACCUM COST 139605,B100000,00000,0500,0500SQUARE FEET 139605,B100000,00000,0600,0600PATIENT DAYS 139605,B100000,00000,0700,0700SQUARE FEET 139605,B100000,00000,0800,0800PATIENT DAYS 139605,B100000,00000,0900,0900PATIENT DAYS 139605,B100000,00000,1000,1000PATIENT DAYS 139605,B100000,00000,1100,1100PATIENT DAYS 139605,B100000,00000,1200,1200PATIENT DAYS 139605,B100000,00000,1300,1300PATIENT DAYS 139605,B100000,00000,1400,1400ASSIGNED TIME 139605,E10A180,00501,0300,10/30/01 139605,E10A180,00550,0100,10/30/01 139605,S000000,00100,0200,05/31/00 139605,S200000,00100,0100,31 VAUXHALL STREET 139605,S200000,00200,0100,NEW LONDON 139605,S200000,00200,0200,CT 139605,S200000,00200,0300,06320 139605,S200000,00300,0100,NEW LONDON 139605,S200000,00300,0200,5523 139605,S200000,00300,0300,U 139605,S200000,00400,0100,BEECHWOOD REHAB & NURSING CENTER 139605,S200000,00400,0200,075335 139605,S200000,00400,0300,03/02/90 139605,S200000,00400,0500,P 139605,S200000,01500,0100,Y 139605,S200000,01600,0100,N 139605,S200000,01700,0100,N 139605,S200000,01800,0100,N 139605,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 139605,S200000,02200,0100,N 139605,S200000,02800,0100,N 139605,S200000,02900,0100,N 139605,S200000,03000,0100,N 139605,S200000,03100,0100,N 139605,S200000,03200,0100,N 139605,S200000,03300,0100,N 139605,S200000,03300,0200,N 139605,S200000,04100,0100,N 139605,S200000,04200,0100,N 139605,S200000,04300,0100,N 139605,S200000,04600,0100,N 139605,S200000,04700,0100,N 139605,S200000,04900,0100,N 139605,S200000,05200,0100,N 139779,S000000,00100,0200,07/12/01 139793,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 139793,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 139793,A000000,00300,0000,0300EMPLOYEE BENEFITS 139793,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139793,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 139793,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139793,A000000,00700,0000,0700HOUSEKEEPING 139793,A000000,00800,0000,0800DIETARY 139793,A000000,00900,0000,0900NURSING ADMINISTRATION 139793,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139793,A000000,01100,0000,1100PHARMACY 139793,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139793,A000000,01300,0000,1300SOCIAL SERVICE 139793,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 139793,A000000,01500,0000,1350ACTIVITIES 139793,A000000,01600,0000,1600SKILLED NURSING FACILITY 139793,A000000,01800,0000,1800NURSING FACILITY 139793,A000000,01810,0000,1810ICF/MR 139793,A000000,02100,0000,2100RADIOLOGY 139793,A000000,02200,0000,2200LABORATORY 139793,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139793,A000000,02500,0000,2500PHYSICAL THERAPY 139793,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139793,A000000,02700,0000,2700SPEECH PATHOLOGY 139793,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 139793,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139793,A000000,03300,0000,3050PEN THERAPY 139793,A000000,03550,0000,3550FQHC 139793,A000000,05000,0000,5000CORF 139793,A000000,05010,0000,5010CMHC 139793,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 139793,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 139793,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 139793,A000000,05300,0000,5300INTEREST EXPENSE 139793,A81000A,00100,0100,N 139793,B100000,00000,0100,0100SQUARE FEET 139793,B100000,00000,0200,0200SQUARE FEET 139793,B100000,00000,0300,0300GROSS SAL 139793,B100000,00000,0400,0400ACCUM. COST 139793,B100000,00000,0500,0500SQUARE FEET 139793,B100000,00000,0600,0600LBS OF LAUNDRY 139793,B100000,00000,0700,0700SQUARE FEET 139793,B100000,00000,0800,0800MEALS SERVED 139793,B100000,00000,0900,0900TIME SPENT -NUR 139793,B100000,00000,1000,1000BLANK 139793,B100000,00000,1100,1100BLANK 139793,B100000,00000,1200,1200TIME SPENT -MED 139793,B100000,00000,1300,1300TIME SPENT -SOC 139793,B100000,00000,1400,1400BLANK 139793,B100000,00000,1500,1350TIME SPENT -ACT 139793,S000000,00100,0200,06/01/00 139793,S200000,00100,0100,3922 WEST RIVER DR 139793,S200000,00200,0100,CORPUS CHRISTI 139793,S200000,00200,0200,TX 139793,S200000,00200,0300,78410 139793,S200000,00300,0100,NUECES 139793,S200000,00300,0200,1880 139793,S200000,00300,0300,U 139793,S200000,00400,0100,RIVER RIDGE NURSING CENTER 139793,S200000,00400,0200,675672 139793,S200000,00400,0300,04/01/97 139793,S200000,00400,0500,P 139793,S200000,01500,0100,N 139793,S200000,01600,0100,Y 139793,S200000,01700,0100,N 139793,S200000,01800,0100,N 139793,S200000,02200,0100,N 139793,S200000,02800,0100,N 139793,S200000,02900,0100,N 139793,S200000,03000,0100,N 139793,S200000,03100,0100,N 139793,S200000,03200,0100,N 139793,S200000,03300,0100,N 139793,S200000,03300,0200,N 139793,S200000,04100,0100,N 139793,S200000,04200,0100,N 139793,S200000,04300,0100,Y 139793,S200000,04600,0100,N 139793,S200000,04700,0100,N 139793,S200000,04900,0100,N 139898,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139898,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139898,A000000,00300,0000,0300EMPLOYEE BENEFITS 139898,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139898,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139898,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139898,A000000,00700,0000,0700HOUSEKEEPING 139898,A000000,00800,0000,0800DIETARY 139898,A000000,00900,0000,0900NURSING ADMINISTRATION 139898,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139898,A000000,01100,0000,1100PHARMACY 139898,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139898,A000000,01300,0000,1300SOCIAL SERVICE 139898,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 139898,A000000,01500,0000,1350ACTIVITIES 139898,A000000,01600,0000,1600SKILLED NURSING FACILITY 139898,A000000,01800,0000,1800NURSING FACILITY 139898,A000000,01900,0000,1900OTHER LONG TERM CARE 139898,A000000,02100,0000,2100RADIOLOGY 139898,A000000,02200,0000,2200LABORATORY 139898,A000000,02300,0000,2300INTRAVENOUS THERAPY 139898,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139898,A000000,02500,0000,2500PHYSICAL THERAPY 139898,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139898,A000000,02700,0000,2700SPEECH PATHOLOGY 139898,A000000,02800,0000,2800ELECTROCARDIOLOGY 139898,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139898,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139898,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 139898,A000000,03200,0000,3200SUPPORT SURFACES 139898,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 139898,A000000,04800,0000,4800AMBULANCE 139898,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 139898,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 139898,A000000,05300,0000,5300INTEREST EXPENSE 139898,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139898,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 139898,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139898,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139898,A000000,06100,0000,6100NONPAID WORKERS 139898,A000000,06200,0000,6200PATIENTS LAUNDRY 139898,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139898,A81000A,00100,0100,Y 139898,A81000B,00100,0300,HOME OFFICE COST 139898,A81000B,00200,0300,INTEREST 139898,A81000B,00300,0300,PT ADMIN FEES 139898,A81000B,00400,0300,OT ADMIN FEES 139898,A81000B,00500,0300,ST ADMIN FEES 139898,A81000B,00600,0300,DIRECT CORP INTEREST 139898,A81000C,00100,0100,B 139898,A81000C,00100,0200,BETHEL PARK 139898,A81000C,00100,0400,HCR MANORCARE INC. 139898,A81000C,00100,0600,LONG TERM CARE FACILITIES 139898,A81000C,00200,0100,B 139898,A81000C,00200,0200,BETHEL PARK 139898,A81000C,00200,0400,HEARTLAND MGMT SERV 139898,A81000C,00200,0600,THERAPY MGMT SERVICES 139898,A81000C,00300,0100,B 139898,A81000C,00300,0200,BETHEL PARK 139898,A81000C,00300,0400,HEARTLAND MGMT SERV 139898,A81000C,00300,0600,THERAPY MGMT SERVICES 139898,A81000C,00400,0100,B 139898,A81000C,00400,0200,BETHEL PARK 139898,A81000C,00400,0400,HEARTLAND MGMT SERV 139898,A81000C,00400,0600,THERAPY MGMT SERVICES 139898,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 139898,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 139898,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139898,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139898,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 139898,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 139898,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 139898,B100000,00000,0800,0800MEALS SERVED :DIETARY 139898,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 139898,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 139898,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 139898,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 139898,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 139898,E10A180,00550,0100,12/21/01 139898,S000000,00100,0200,10/25/00 139898,S200000,00100,0100,60 HIGHLAND ROAD 139898,S200000,00200,0100,BETHEL PARK 139898,S200000,00200,0200,PA 139898,S200000,00200,0300,15102- 139898,S200000,00300,0100,ALLEGHENY 139898,S200000,00300,0200,6280 139898,S200000,00300,0300,U 139898,S200000,00400,0100,BETHEL PARK 139898,S200000,00400,0200,395731 139898,S200000,00400,0300,06/20/87 139898,S200000,00400,0500,P 139898,S200000,00400,0600,P 139898,S200000,01500,0100,N 139898,S200000,01600,0100,Y 139898,S200000,01700,0100,N 139898,S200000,01800,0100,N 139898,S200000,02200,0100,Y 139898,S200000,02800,0100,N 139898,S200000,02900,0100,N 139898,S200000,03000,0100,N 139898,S200000,03100,0100,N 139898,S200000,03200,0100,N 139898,S200000,04100,0100,N 139898,S200000,04200,0100,N 139898,S200000,04300,0100,N 139898,S200000,04600,0100,N 139898,S200000,04700,0100,N 139898,S200000,04700,0200,N 139898,S200000,04900,0100,N 139898,S200000,05000,0100,N 139898,S200000,05100,0100,N 139898,S200000,05200,0100,N 139911,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 139911,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 139911,A000000,00300,0000,0300EMPLOYEE BENEFITS 139911,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 139911,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 139911,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 139911,A000000,00700,0000,0700HOUSEKEEPING 139911,A000000,00800,0000,0800DIETARY 139911,A000000,00900,0000,0900NURSING ADMINISTRATION 139911,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 139911,A000000,01100,0000,1100PHARMACY 139911,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 139911,A000000,01300,0000,1300SOCIAL SERVICE 139911,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 139911,A000000,01500,0000,1350ACTIVITIES 139911,A000000,01600,0000,1600SKILLED NURSING FACILITY 139911,A000000,01800,0000,1800NURSING FACILITY 139911,A000000,01810,0000,1810ICF/MR 139911,A000000,01900,0000,1900OTHER LONG TERM CARE 139911,A000000,02100,0000,2100RADIOLOGY 139911,A000000,02200,0000,2200LABORATORY 139911,A000000,02300,0000,2300INTRAVENOUS THERAPY 139911,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 139911,A000000,02500,0000,2500PHYSICAL THERAPY 139911,A000000,02600,0000,2600OCCUPATIONAL THERAPY 139911,A000000,02700,0000,2700SPEECH PATHOLOGY 139911,A000000,02800,0000,2800ELECTROCARDIOLOGY 139911,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 139911,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 139911,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 139911,A000000,03200,0000,3200SUPPORT SURFACES 139911,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 139911,A000000,03400,0000,3400CLINIC 139911,A000000,03500,0000,3500RURAL HEALTH CLINIC 139911,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 139911,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 139911,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 139911,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 139911,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 139911,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 139911,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 139911,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 139911,A000000,04400,0000,4400DME RENTED - HHA 139911,A000000,04500,0000,4500DME SOLD - HHA 139911,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 139911,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 139911,A000000,04800,0000,4800AMBULANCE 139911,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 139911,A000000,05000,0000,5000CORF 139911,A000000,05100,0000,4750OTHER REIMBURSABLE COST 139911,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 139911,A000000,05300,0000,5300INTEREST EXPENSE 139911,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 139911,A000000,05500,0000,5500HOSPICE 139911,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 139911,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 139911,A000000,05900,0000,5900BARBER & BEAUTY SHOP 139911,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 139911,A000000,06100,0000,6100NONPAID WORKERS 139911,A000000,06200,0000,6200PATIENTS LAUNDRY 139911,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 139911,A81000A,00100,0100,Y 139911,A81000B,00100,0300,EXECUTIVE ALLOCATION / MI 139911,A81000B,00200,0300,FINANCE 139911,A81000B,00300,0300,MIS 139911,A81000B,00400,0300,HUMAN RESOURCES/BENEFIT 139911,A81000B,00500,0300,PLANT EXPENSES 139911,A81000B,00600,0300,DINNING SERVICES MGT 139911,A81000B,00700,0300,HOUSEKEEPING 139911,A81000B,00800,0300,LAUNDRY EXPENSES 139911,A81000C,00100,0100,G 139911,A81000C,00100,0200,MEASE MANOR INC. 139911,A81000C,00100,0600,SHARED SERVICE 139911,A81000C,00200,0100,G 139911,A81000C,00200,0200,MEASE MANOR INC. 139911,A81000C,00200,0600,SHARED SERVICE 139911,A81000C,00300,0100,G 139911,A81000C,00300,0200,MEASE MANOR INC. 139911,A81000C,00300,0600,SHARED SERVICE 139911,A81000C,00400,0100,G 139911,A81000C,00400,0200,MEASE MANOR INC. 139911,A81000C,00400,0600,SHARED SERVICE 139911,A81000C,00500,0100,G 139911,A81000C,00500,0200,MEASE MANOR INC. 139911,A81000C,00500,0600,SHARED SERVICE 139911,A81000C,00600,0100,G 139911,A81000C,00600,0200,MEASE MANOR INC. 139911,A81000C,00600,0600,SHARED SERVICE 139911,A81000C,00700,0100,G 139911,A81000C,00700,0200,MEASE MANOR INC. 139911,A81000C,00700,0600,SHARED SERVICE 139911,A81000C,00800,0100,G 139911,A81000C,00800,0200,MEASE MANOR INC. 139911,A81000C,00800,0600,SHARED SERVICE 139911,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 139911,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 139911,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 139911,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 139911,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 139911,B100000,00000,0700,0750SQ FT MODIFIED :HOUSEKEEPING 139911,B100000,00000,0800,0850PATIENT DAYS :DIETARY 139911,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 139911,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 139911,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 139911,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 139911,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 139911,S000000,00100,0200,06/02/00 139911,S200000,00100,0100,910 NEW YORK AVENUE 139911,S200000,00200,0100,DUNEDIN 139911,S200000,00200,0200,FL 139911,S200000,00200,0300,34698- 139911,S200000,00300,0100,PINELLAS 139911,S200000,00300,0200,8280 139911,S200000,00300,0300,U 139911,S200000,00400,0100,MEASE CONTINUING CARE 139911,S200000,00400,0200,105732 139911,S200000,00400,0300,06/12/91 139911,S200000,00400,0500,P 139911,S200000,01500,0100,N 139911,S200000,01600,0100,Y 139911,S200000,01700,0100,N 139911,S200000,01800,0100,N 139911,S200000,02200,0100,N 139911,S200000,02800,0100,N 139911,S200000,02900,0100,N 139911,S200000,03000,0100,N 139911,S200000,03100,0100,N 139911,S200000,03200,0100,N 139911,S200000,04100,0100,N 139911,S200000,04200,0100,N 139911,S200000,04300,0100,N 139911,S200000,04600,0100,N 139911,S200000,04700,0100,N 139911,S200000,04700,0200,N 139911,S200000,04900,0100,N 139911,S200000,05000,0100,N 139911,S200000,05100,0100,N 139911,S200000,05200,0100,N 140101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140101,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140101,A000000,00300,0000,0300EMPLOYEE BENEFITS 140101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140101,A000000,00700,0000,0700HOUSEKEEPING 140101,A000000,00800,0000,0800DIETARY 140101,A000000,01100,0000,1100PHARMACY 140101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140101,A000000,01300,0000,1300SOCIAL SERVICE 140101,A000000,01600,0000,1600SKILLED NURSING FACILITY 140101,A000000,02200,0000,2200LABORATORY 140101,A000000,02300,0000,2300INTRAVENOUS THERAPY 140101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140101,A000000,02500,0000,2500PHYSICAL THERAPY 140101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140101,A000000,02700,0000,2700SPEECH PATHOLOGY 140101,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140101,A000000,05300,0000,5300INTEREST EXPENSE 140101,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140101,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140101,A81000A,00100,0100,N 140101,B100000,00000,0100,0100SQ FT 1 :CAP REL COSTS - BLDGS & 140101,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 140101,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 140101,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140101,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 140101,B100000,00000,0600,0600(POUNDS OF LAUNDRY) :LAUNDRY & L 140101,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 140101,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 140101,B100000,00000,1100,1100(COSTED REQUIS) :PHARMACY 140101,B100000,00000,1200,1200(TIME SPENT) :MEDICAL RECORDS & 140101,B100000,00000,1300,1300(TIME SPENT) :SOCIAL SERVICE 140101,S000000,00100,0200,11/19/01 140101,S200000,00100,0100,701 MONROE STREET N.W. 140101,S200000,00200,0100,RUSSELLVILLE 140101,S200000,00200,0200,AL 140101,S200000,00200,0300,35653- 140101,S200000,00300,0100,FRANKLIN 140101,S200000,00300,0200,1 140101,S200000,00300,0300,R 140101,S200000,00400,0100,BURNS NURSING HOME 140101,S200000,00400,0200,015009 140101,S200000,00400,0300,09/02/66 140101,S200000,00400,0500,P 140101,S200000,01500,0100,Y 140101,S200000,01600,0100,N 140101,S200000,01700,0100,N 140101,S200000,01800,0100,N 140101,S200000,02200,0100,N 140101,S200000,02800,0100,Y 140101,S200000,02900,0100,N 140101,S200000,03000,0100,N 140101,S200000,03100,0100,N 140101,S200000,03200,0100,N 140101,S200000,04100,0100,N 140101,S200000,04200,0100,N 140101,S200000,04300,0100,Y 140101,S200000,04600,0100,N 140101,S200000,04700,0100,N 140101,S200000,04700,0200,N 140101,S200000,04900,0100,N 140101,S200000,05000,0100,N 140101,S200000,05100,0100,N 140101,S200000,05200,0100,N 140121,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140121,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 140121,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140121,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 140121,A000000,00300,0000,0300EMPLOYEE BENEFITS 140121,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140121,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140121,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140121,A000000,00700,0000,0700HOUSEKEEPING 140121,A000000,00800,0000,0800DIETARY 140121,A000000,00801,0000,0801CAFETERIA 140121,A000000,00900,0000,0900NURSING ADMINISTRATION 140121,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140121,A000000,01100,0000,1100PHARMACY 140121,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140121,A000000,01300,0000,1300SOCIAL SERVICE 140121,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140121,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 140121,A000000,01600,0000,1600SKILLED NURSING FACILITY 140121,A000000,01800,0000,1800NURSING FACILITY 140121,A000000,01900,0000,1900OTHER LONG TERM CARE 140121,A000000,02100,0000,2100RADIOLOGY 140121,A000000,02200,0000,2200LABORATORY 140121,A000000,02300,0000,2300INTRAVENOUS THERAPY 140121,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140121,A000000,02500,0000,2500PHYSICAL THERAPY 140121,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140121,A000000,02700,0000,2700SPEECH PATHOLOGY 140121,A000000,02800,0000,2800ELECTROCARDIOLOGY 140121,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140121,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140121,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140121,A000000,03200,0000,3200SUPPORT SURFACES 140121,A000000,03300,0000,3050OTHER ANCILLARY 140121,A000000,03301,0000,3051OTHER ANCILLARY II 140121,A000000,03302,0000,3052OTHER ANCILLARY III 140121,A000000,03400,0000,3400CLINIC 140121,A000000,03500,0000,3500RURAL HEALTH CLINIC 140121,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 140121,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140121,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140121,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140121,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140121,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140121,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140121,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140121,A000000,04400,0000,4400DME RENTED - HHA 140121,A000000,04500,0000,4500DME SOLD - HHA 140121,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140121,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140121,A000000,04800,0000,4800AMBULANCE 140121,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140121,A000000,05000,0000,5000CORF 140121,A000000,05010,0000,5010CMHC I 140121,A000000,05020,0000,5020OPT I 140121,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140121,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140121,A000000,05300,0000,5300INTEREST EXPENSE 140121,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140121,A000000,05500,0000,5500HOSPICE 140121,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 140121,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 140121,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140121,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140121,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140121,A000000,06100,0000,6100NONPAID WORKERS 140121,A000000,06200,0000,6200PATIENTS LAUNDRY 140121,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140121,A81000A,00100,0100,Y 140121,A81000B,00100,0300,MANAGEMENT FEE 140121,A81000C,00100,0100,A 140121,A81000C,00100,0200,ROBERT HAGAN 140121,A81000C,00100,0400,PRIME HEALTH 140121,A81000C,00100,0600,MGT CO 140121,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 140121,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140121,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 140121,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 140121,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 140121,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 140121,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 140121,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 140121,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 140121,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 140121,S000000,00100,0200,11/30/00 140121,S200000,00100,0100,2975 FINNEY CIRCLE 140121,S200000,00200,0100,MACON 140121,S200000,00200,0200,GA 140121,S200000,00200,0300,31201- 140121,S200000,00300,0100,BIBB 140121,S200000,00300,0200,4680 140121,S200000,00300,0300,U 140121,S200000,00400,0100,ROSEWOOD NURSING CENTER 140121,S200000,00400,0200,115391 140121,S200000,00400,0300,10/27/93 140121,S200000,00400,0500,P 140121,S200000,01500,0100,Y 140121,S200000,01600,0100,N 140121,S200000,01700,0100,N 140121,S200000,01800,0100,N 140121,S200000,02200,0100,N 140121,S200000,02800,0100,N 140121,S200000,02900,0100,N 140121,S200000,03000,0100,N 140121,S200000,03100,0100,N 140121,S200000,03200,0100,N 140121,S200000,04100,0100,N 140121,S200000,04200,0100,N 140121,S200000,04300,0100,N 140121,S200000,04600,0100,N 140121,S200000,04700,0100,N 140121,S200000,04700,0200,N 140121,S200000,04900,0100,N 140121,S200000,05000,0100,N 140121,S200000,05100,0100,N 140121,S200000,05200,0100,N 140152,S000000,00100,0200,02/28/00 140242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140242,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140242,A000000,00300,0000,0300EMPLOYEE BENEFITS 140242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140242,A000000,00700,0000,0700HOUSEKEEPING 140242,A000000,00800,0000,0800DIETARY 140242,A000000,00900,0000,0900NURSING ADMINISTRATION 140242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140242,A000000,01100,0000,1100PHARMACY 140242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140242,A000000,01300,0000,1300SOCIAL SERVICE 140242,A000000,01600,0000,1600SKILLED NURSING FACILITY 140242,A000000,01800,0000,1800NURSING FACILITY 140242,A000000,01900,0000,1900OTHER LONG TERM CARE 140242,A000000,02100,0000,2100RADIOLOGY 140242,A000000,02200,0000,2200LABORATORY 140242,A000000,02300,0000,2300INTRAVENOUS THERAPY 140242,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140242,A000000,02500,0000,2500PHYSICAL THERAPY 140242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140242,A000000,02700,0000,2700SPEECH PATHOLOGY 140242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140242,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 140242,A000000,04800,0000,4800AMBULANCE 140242,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140242,A81000A,00100,0100,Y 140242,A81000B,00100,0300,HOME OFFICE ALLOC 140242,A81000B,00200,0300,HOME OFFICE ALLOC 140242,A81000B,00300,0300,PHARMACY 140242,A81000B,00400,0300,PHYSICAL THERAPY 140242,A81000B,00500,0300,OCCUPATIONAL THERAPY 140242,A81000B,00600,0300,SPEECH THERAPY 140242,A81000C,00100,0100,A 140242,A81000C,00100,0200,COVENANT CARE INC 140242,A81000C,00100,0400,COVENANT CARE INC. 140242,A81000C,00100,0600,HEALTH CARE 140242,A81000C,00200,0100,B 140242,A81000C,00200,0200,PHARMACY 140242,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 140242,A81000C,00200,0600,PHARMACY - HEALTH CARE 140242,A81000C,00300,0100,C 140242,A81000C,00300,0200,THERAPY 140242,A81000C,00300,0400,SELECT THEREAPY 140242,A81000C,00300,0600,THERAPY SERVICES 140242,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 140242,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 140242,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 140242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140242,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 140242,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 140242,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 140242,B100000,00000,0800,0850PATIENT DAYS :DIETARY 140242,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 140242,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 140242,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 140242,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 140242,S000000,00100,0200,06/01/00 140242,S200000,00100,0100,577 SOUTH PEACH AVENUE 140242,S200000,00200,0100,FRESNO 140242,S200000,00200,0200,CA 140242,S200000,00200,0300,93727- 140242,S200000,00300,0100,FRESNO 140242,S200000,00300,0200,2840 140242,S200000,00300,0300,U 140242,S200000,00400,0100,PACIFIC GARDENS NURSING & REHAB 140242,S200000,00400,0200,056207 140242,S200000,00400,0300,01/13/95 140242,S200000,00400,0500,P 140242,S200000,00600,0200,056207 140242,S200000,00600,0300,08/13/94 140242,S200000,01500,0100,N 140242,S200000,01600,0100,Y 140242,S200000,01700,0100,N 140242,S200000,01800,0100,N 140242,S200000,02200,0100,N 140242,S200000,02800,0100,N 140242,S200000,02900,0100,N 140242,S200000,03000,0100,N 140242,S200000,03100,0100,N 140242,S200000,03200,0100,N 140242,S200000,04100,0100,N 140242,S200000,04200,0100,N 140242,S200000,04300,0100,N 140242,S200000,04600,0100,N 140242,S200000,04700,0100,N 140242,S200000,04700,0200,N 140242,S200000,04900,0100,N 140242,S200000,05000,0100,N 140242,S200000,05100,0100,N 140242,S200000,05200,0100,N 140250,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140250,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140250,A000000,00300,0000,0300EMPLOYEE BENEFITS 140250,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140250,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140250,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140250,A000000,00700,0000,0700HOUSEKEEPING 140250,A000000,00800,0000,0800DIETARY 140250,A000000,00900,0000,0900NURSING ADMINISTRATION 140250,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140250,A000000,01100,0000,1100PHARMACY 140250,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140250,A000000,01300,0000,1300SOCIAL SERVICE 140250,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140250,A000000,01500,0000,1350OTHER GENERAL SERVICES 140250,A000000,01600,0000,1600SKILLED NURSING FACILITY 140250,A000000,01800,0000,1800NURSING FACILITY 140250,A000000,01810,0000,1810ICF/MR 140250,A000000,01900,0000,1900OTHER LONG TERM CARE 140250,A000000,02100,0000,2100RADIOLOGY 140250,A000000,02200,0000,2200LABORATORY 140250,A000000,02300,0000,2300INTRAVENOUS THERAPY 140250,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140250,A000000,02500,0000,2500PHYSICAL THERAPY 140250,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140250,A000000,02700,0000,2700SPEECH PATHOLOGY 140250,A000000,02800,0000,2800ELECTROCARDIOLOGY 140250,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140250,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140250,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140250,A000000,03200,0000,3200SUPPORT SURFACES 140250,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140250,A000000,03400,0000,3400CLINIC 140250,A000000,03500,0000,3500RURAL HEALTH CLINIC 140250,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 140250,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140250,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140250,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140250,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140250,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140250,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140250,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140250,A000000,04400,0000,4400DME RENTED - HHA 140250,A000000,04500,0000,4500DME SOLD - HHA 140250,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140250,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140250,A000000,04800,0000,4800AMBULANCE 140250,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140250,A000000,05000,0000,5000CORF 140250,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140250,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140250,A000000,05300,0000,5300INTEREST EXPENSE 140250,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140250,A000000,05500,0000,5500HOSPICE 140250,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 140250,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140250,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140250,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140250,A000000,06100,0000,6100NONPAID WORKERS 140250,A000000,06200,0000,6200PATIENTS LAUNDRY 140250,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140250,A81000A,00100,0100,Y 140250,A81000B,00100,0300,RENT 140250,A81000B,00200,0300,HOME OFFICE CAPITAL 140250,A81000B,00300,0300,HOME OFFICE MGNT FEE 140250,A81000B,00400,0300,HOME OFFICE QA 140250,A81000C,00100,0100,A 140250,A81000C,00100,0200,KARSCHNER MANGIONE ET AL 140250,A81000C,00100,0400,DEKALB LTD 140250,A81000C,00100,0600,RENTAL 140250,A81000C,00200,0100,A 140250,A81000C,00200,0200,MANGIONE KARSCHNER ET AL 140250,A81000C,00200,0400,BLUE RIDGE NURSING HOMES 140250,A81000C,00200,0600,HOME OFFICE 140250,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 140250,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140250,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 140250,B100000,00000,0600,0650LBS OF LAUND :LAUNDRY & LINEN SE 140250,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 140250,B100000,00000,0800,0850PAT DAYS :DIETARY 140250,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 140250,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 140250,S000000,00100,0200,12/01/00 140250,S200000,00100,0100,5160 SPRINGVIEW AVENUE 140250,S200000,00200,0100,STONE MT 140250,S200000,00200,0200,GA 140250,S200000,00200,0300,30083- 140250,S200000,00300,0100,DEKALB 140250,S200000,00300,0200,0520 140250,S200000,00300,0300,U 140250,S200000,00400,0100,ROSEMONT AT STONE MT HCC 140250,S200000,00400,0200,115565 140250,S200000,00400,0300,01/01/95 140250,S200000,00400,0500,P 140250,S200000,01500,0100,N 140250,S200000,01600,0100,Y 140250,S200000,01700,0100,N 140250,S200000,01800,0100,N 140250,S200000,02200,0100,N 140250,S200000,02800,0100,N 140250,S200000,02900,0100,N 140250,S200000,03000,0100,N 140250,S200000,03100,0100,N 140250,S200000,03200,0100,N 140250,S200000,04100,0100,N 140250,S200000,04200,0100,N 140250,S200000,04300,0100,N 140250,S200000,04600,0100,N 140250,S200000,04700,0100,N 140250,S200000,04700,0200,N 140250,S200000,04900,0100,N 140250,S200000,05000,0100,N 140250,S200000,05100,0100,N 140250,S200000,05200,0100,N 140443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140443,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140443,A000000,00300,0000,0300EMPLOYEE BENEFITS 140443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140443,A000000,00700,0000,0700HOUSEKEEPING 140443,A000000,00800,0000,0800DIETARY 140443,A000000,00900,0000,0900NURSING ADMINISTRATION 140443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140443,A000000,01100,0000,1100PHARMACY 140443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140443,A000000,01300,0000,1300SOCIAL SERVICE 140443,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140443,A000000,01600,0000,1600SKILLED NURSING FACILITY 140443,A000000,01800,0000,1800NURSING FACILITY 140443,A000000,01900,0000,1900OTHER LONG TERM CARE 140443,A000000,02100,0000,2100RADIOLOGY 140443,A000000,02200,0000,2200LABORATORY 140443,A000000,02300,0000,2300INTRAVENOUS THERAPY 140443,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140443,A000000,02500,0000,2500PHYSICAL THERAPY 140443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140443,A000000,02700,0000,2700SPEECH PATHOLOGY 140443,A000000,02800,0000,2800ELECTROCARDIOLOGY 140443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140443,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140443,A000000,03200,0000,3200SUPPORT SURFACES 140443,A000000,03400,0000,3400CLINIC 140443,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140443,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140443,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140443,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140443,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140443,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140443,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140443,A000000,04400,0000,4400DME RENTED - HHA 140443,A000000,04500,0000,4500DME SOLD - HHA 140443,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140443,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140443,A000000,04800,0000,4800AMBULANCE 140443,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140443,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140443,A000000,05300,0000,5300INTEREST EXPENSE 140443,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140443,A000000,05500,0000,5500HOSPICE 140443,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140443,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140443,A000000,06100,0000,6100NONPAID WORKERS 140443,A000000,06200,0000,6200PATIENTS LAUNDRY 140443,A81000A,00100,0100,Y 140443,A81000B,00100,0300,MANAGEMENT FEES 140443,A81000B,00200,0300,OLD CAPITAL BUILDING 140443,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 140443,A81000B,00400,0300,NEW CAPITAL BUILDING 140443,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 140443,A81000B,00600,0300,FUNCTIONAL SALARY 140443,A81000B,00700,0300,FUNCTIONAL SALARY 140443,A81000B,00800,0300,FUNCTIONAL BENEFITS 140443,A81000B,00900,0300,PHARMACY CONSULTANT 140443,A81000B,01000,0300,DIETARY CONSULTANT 140443,A81000B,01100,0300,IV THERAPY 140443,A81000B,01200,0300,IV THERAPY 140443,A81000C,00100,0100,A 140443,A81000C,00100,0200,ELDERCARE HEALT 140443,A81000C,00100,0400,MEDICAL MATRIX 140443,A81000C,00100,0600,PHARM & DIETARY 140443,A81000C,00200,0100,A 140443,A81000C,00200,0200,GA HOMECARE 140443,A81000C,00200,0400,MEDICAL MATRIX 140443,A81000C,00200,0600,IV THERAPY 140443,A81000C,00300,0100,A 140443,A81000C,00300,0200,GAP MANAGEMENT 140443,A81000C,00300,0400,MEDICAL MATRIX 140443,A81000C,00300,0600,MANAGEMENT 140443,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 140443,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 140443,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 140443,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140443,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 140443,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 140443,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 140443,B100000,00000,0800,0850PAT DAYS :DIETARY 140443,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 140443,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 140443,B100000,00000,1100,1150PAT DAYS :PHARMACY 140443,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 140443,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 140443,E10A180,00301,0100,01/26/00 140443,S000000,00100,0200,12/01/00 140443,S200000,00100,0300,86 140443,S200000,00200,0100,SPARTA 140443,S200000,00200,0200,GA 140443,S200000,00200,0300,31087- 140443,S200000,00300,0100,HANCOCK 140443,S200000,00300,0200,0011 140443,S200000,00300,0300,R 140443,S200000,00400,0100,PROVIDENCE HEALTHCARE OF SPARTA 140443,S200000,00400,0200,115397 140443,S200000,00400,0300,09/01/89 140443,S200000,00400,0500,P 140443,S200000,00600,0200,115397 140443,S200000,00600,0300,09/01/89 140443,S200000,00600,0600,O 140443,S200000,01500,0100,N 140443,S200000,01600,0100,Y 140443,S200000,01700,0100,N 140443,S200000,01800,0100,N 140443,S200000,02200,0100,Y 140443,S200000,02800,0100,N 140443,S200000,02900,0100,N 140443,S200000,03000,0100,N 140443,S200000,03100,0100,N 140443,S200000,03200,0100,N 140443,S200000,04100,0100,N 140443,S200000,04200,0100,N 140443,S200000,04300,0100,N 140443,S200000,04600,0100,N 140443,S200000,04700,0100,N 140443,S200000,04700,0200,N 140443,S200000,04900,0100,N 140443,S200000,05000,0100,N 140443,S200000,05100,0100,N 140443,S200000,05200,0100,N 140445,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140445,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140445,A000000,00300,0000,0300EMPLOYEE BENEFITS 140445,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140445,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140445,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140445,A000000,00700,0000,0700HOUSEKEEPING 140445,A000000,00800,0000,0800DIETARY 140445,A000000,00900,0000,0900NURSING ADMINISTRATION 140445,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140445,A000000,01100,0000,1100PHARMACY 140445,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140445,A000000,01300,0000,1300SOCIAL SERVICE 140445,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140445,A000000,01600,0000,1600SKILLED NURSING FACILITY 140445,A000000,01800,0000,1800NURSING FACILITY 140445,A000000,01900,0000,1900OTHER LONG TERM CARE 140445,A000000,02100,0000,2100RADIOLOGY 140445,A000000,02200,0000,2200LABORATORY 140445,A000000,02300,0000,2300INTRAVENOUS THERAPY 140445,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140445,A000000,02500,0000,2500PHYSICAL THERAPY 140445,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140445,A000000,02700,0000,2700SPEECH PATHOLOGY 140445,A000000,02800,0000,2800ELECTROCARDIOLOGY 140445,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140445,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140445,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140445,A000000,03200,0000,3200SUPPORT SURFACES 140445,A000000,03400,0000,3400CLINIC 140445,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140445,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140445,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140445,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140445,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140445,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140445,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140445,A000000,04400,0000,4400DME RENTED - HHA 140445,A000000,04500,0000,4500DME SOLD - HHA 140445,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140445,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140445,A000000,04800,0000,4800AMBULANCE 140445,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140445,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140445,A000000,05300,0000,5300INTEREST EXPENSE 140445,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140445,A000000,05500,0000,5500HOSPICE 140445,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140445,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140445,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140445,A000000,06100,0000,6100NONPAID WORKERS 140445,A000000,06200,0000,6200PATIENTS LAUNDRY 140445,A81000A,00100,0100,Y 140445,A81000B,00100,0300,MANAGEMENT FEES 140445,A81000B,00200,0300,OLD CAPITAL BUILDING 140445,A81000B,00300,0300,NEW CAPITAL BUILDING 140445,A81000B,00400,0300,NEW CAPITAL EQUIPMENT 140445,A81000B,00500,0300,OLD CAPITAL EQUIPMENT 140445,A81000B,00600,0300,FUNCTIONAL SALARY 140445,A81000B,00700,0300,FUNCTIONAL SALARY 140445,A81000B,00800,0300,FUNCTIONAL BENEFITS 140445,A81000B,00900,0300,PHARMACY CONSULTANT 140445,A81000B,01000,0300,DIETARY CONSULTANT 140445,A81000B,01100,0300,NURSING MISCELLANEOUS 140445,A81000B,01200,0300,IV THERAPY 140445,A81000B,01300,0300,IV THERAPY 140445,A81000C,00100,0100,A 140445,A81000C,00100,0200,ELDERCARE HEALT 140445,A81000C,00100,0400,MEDICAL MATRIX 140445,A81000C,00100,0600,PHARM & DIETARY 140445,A81000C,00200,0100,A 140445,A81000C,00200,0200,GA HOMECARE 140445,A81000C,00200,0400,MEDICAL MATRIX 140445,A81000C,00200,0600,IV THERAPY 140445,A81000C,00300,0100,A 140445,A81000C,00300,0200,GAP MANAGEMENT 140445,A81000C,00300,0400,MEDICAL MATRIX 140445,A81000C,00300,0600,MANAGEMENT 140445,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 140445,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 140445,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 140445,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140445,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 140445,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 140445,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 140445,B100000,00000,0800,0850PAT DAYS :DIETARY 140445,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 140445,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 140445,B100000,00000,1100,1150PAT DAYS :PHARMACY 140445,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 140445,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 140445,E10A180,00301,0100,01/26/00 140445,S000000,00100,0200,12/01/00 140445,S200000,00100,0100,SIXTH STREET 140445,S200000,00100,0300,476 140445,S200000,00200,0100,COCHRAN 140445,S200000,00200,0200,GA 140445,S200000,00200,0300,31014- 140445,S200000,00300,0100,BLECKLEY 140445,S200000,00300,0200,0011 140445,S200000,00300,0300,R 140445,S200000,00400,0100,BRYANT NURSING CENTER 140445,S200000,00400,0200,115479 140445,S200000,00400,0300,08/01/89 140445,S200000,00400,0500,P 140445,S200000,00600,0200,115479 140445,S200000,00600,0300,08/01/89 140445,S200000,00600,0600,O 140445,S200000,01500,0100,N 140445,S200000,01600,0100,Y 140445,S200000,01700,0100,N 140445,S200000,01800,0100,N 140445,S200000,02200,0100,Y 140445,S200000,02800,0100,N 140445,S200000,02900,0100,N 140445,S200000,03000,0100,N 140445,S200000,03100,0100,N 140445,S200000,03200,0100,N 140445,S200000,04100,0100,N 140445,S200000,04200,0100,N 140445,S200000,04300,0100,N 140445,S200000,04600,0100,N 140445,S200000,04700,0100,N 140445,S200000,04700,0200,N 140445,S200000,04900,0100,N 140445,S200000,05000,0100,N 140445,S200000,05100,0100,N 140445,S200000,05200,0100,N 140446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140446,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140446,A000000,00300,0000,0300EMPLOYEE BENEFITS 140446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140446,A000000,00700,0000,0700HOUSEKEEPING 140446,A000000,00800,0000,0800DIETARY 140446,A000000,00900,0000,0900NURSING ADMINISTRATION 140446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140446,A000000,01100,0000,1100PHARMACY 140446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140446,A000000,01300,0000,1300SOCIAL SERVICE 140446,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140446,A000000,01600,0000,1600SKILLED NURSING FACILITY 140446,A000000,01800,0000,1800NURSING FACILITY 140446,A000000,01900,0000,1900OTHER LONG TERM CARE 140446,A000000,02100,0000,2100RADIOLOGY 140446,A000000,02200,0000,2200LABORATORY 140446,A000000,02300,0000,2300INTRAVENOUS THERAPY 140446,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140446,A000000,02500,0000,2500PHYSICAL THERAPY 140446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140446,A000000,02700,0000,2700SPEECH PATHOLOGY 140446,A000000,02800,0000,2800ELECTROCARDIOLOGY 140446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140446,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140446,A000000,03200,0000,3200SUPPORT SURFACES 140446,A000000,03400,0000,3400CLINIC 140446,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140446,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140446,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140446,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140446,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140446,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140446,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140446,A000000,04400,0000,4400DME RENTED - HHA 140446,A000000,04500,0000,4500DME SOLD - HHA 140446,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140446,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140446,A000000,04800,0000,4800AMBULANCE 140446,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140446,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140446,A000000,05300,0000,5300INTEREST EXPENSE 140446,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140446,A000000,05500,0000,5500HOSPICE 140446,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140446,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140446,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140446,A000000,06100,0000,6100NONPAID WORKERS 140446,A000000,06200,0000,6200PATIENTS LAUNDRY 140446,A81000A,00100,0100,Y 140446,A81000B,00100,0300,MANAGEMENT FEES 140446,A81000B,00200,0300,OLD CAPITAL BUILDING 140446,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 140446,A81000B,00400,0300,NEW CAPITAL BUILDING 140446,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 140446,A81000B,00600,0300,FUNCTIONAL SALARY 140446,A81000B,00700,0300,FUNCTIONAL SALARY 140446,A81000B,00800,0300,FUNCTIONAL BENEFITS 140446,A81000B,00900,0300,PHARMACY CONSULTANT 140446,A81000B,01000,0300,DIETARY CONSULTANT 140446,A81000B,01100,0300,LEASE 140446,A81000B,01200,0300,DEPRECIATION 140446,A81000B,01300,0300,INTEREST 140446,A81000B,01400,0300,AMORTIZATION 140446,A81000C,00100,0100,A 140446,A81000C,00100,0200,ELDERCARE HEALT 140446,A81000C,00100,0400,MEDICAL MATRIX 140446,A81000C,00100,0600,PHARM & DIETARY 140446,A81000C,00200,0100,A 140446,A81000C,00200,0200,GA HOMECARE 140446,A81000C,00200,0400,MEDICAL MATRIX 140446,A81000C,00200,0600,IV THERAPY 140446,A81000C,00300,0100,A 140446,A81000C,00300,0200,GAP MANAGEMENT 140446,A81000C,00300,0400,MEDICAL MATRIX 140446,A81000C,00300,0600,MANAGEMENT 140446,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 140446,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 140446,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 140446,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140446,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 140446,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 140446,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 140446,B100000,00000,0800,0850PAT DAYS :DIETARY 140446,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 140446,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 140446,B100000,00000,1100,1150PAT DAYS :PHARMACY 140446,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 140446,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 140446,E10A180,00301,0100,01/27/00 140446,S000000,00100,0200,12/01/00 140446,S200000,00100,0100,99 OVERYBY DRIVE 140446,S200000,00100,0300,339 140446,S200000,00200,0100,RICHLAND 140446,S200000,00200,0200,GA 140446,S200000,00200,0300,31825- 140446,S200000,00300,0100,STEWART 140446,S200000,00300,0200,0011 140446,S200000,00300,0300,R 140446,S200000,00400,0100,FOUR COUNTY HEALTH CARE 140446,S200000,00400,0200,115481 140446,S200000,00400,0300,10/01/89 140446,S200000,00400,0500,P 140446,S200000,00600,0200,115481 140446,S200000,00600,0300,10/01/89 140446,S200000,00600,0600,O 140446,S200000,01500,0100,N 140446,S200000,01600,0100,Y 140446,S200000,01700,0100,N 140446,S200000,01800,0100,N 140446,S200000,02200,0100,Y 140446,S200000,02800,0100,N 140446,S200000,02900,0100,N 140446,S200000,03000,0100,N 140446,S200000,03100,0100,N 140446,S200000,03200,0100,N 140446,S200000,04100,0100,N 140446,S200000,04200,0100,N 140446,S200000,04300,0100,N 140446,S200000,04600,0100,N 140446,S200000,04700,0100,N 140446,S200000,04700,0200,N 140446,S200000,04900,0100,N 140446,S200000,05000,0100,N 140446,S200000,05100,0100,N 140446,S200000,05200,0100,N 140496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140496,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140496,A000000,00300,0000,0300EMPLOYEE BENEFITS 140496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140496,A000000,00700,0000,0700HOUSEKEEPING 140496,A000000,00800,0000,0800DIETARY 140496,A000000,00900,0000,0900NURSING ADMINISTRATION 140496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140496,A000000,01100,0000,1100PHARMACY 140496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140496,A000000,01300,0000,1300SOCIAL SERVICE 140496,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140496,A000000,01500,0000,1350OTHER GENERAL SERVICES 140496,A000000,01600,0000,1600SKILLED NURSING FACILITY 140496,A000000,01800,0000,1800NURSING FACILITY 140496,A000000,01810,0000,1810ICF/MR 140496,A000000,01900,0000,1900OTHER LONG TERM CARE 140496,A000000,02100,0000,2100RADIOLOGY 140496,A000000,02200,0000,2200LABORATORY 140496,A000000,02300,0000,2300INTRAVENOUS THERAPY 140496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140496,A000000,02500,0000,2500PHYSICAL THERAPY 140496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140496,A000000,02700,0000,2700SPEECH PATHOLOGY 140496,A000000,02800,0000,2800ELECTROCARDIOLOGY 140496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140496,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140496,A000000,03200,0000,3200SUPPORT SURFACES 140496,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140496,A000000,03400,0000,3400CLINIC 140496,A000000,03500,0000,3500RURAL HEALTH CLINIC 140496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 140496,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140496,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140496,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140496,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140496,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140496,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140496,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140496,A000000,04400,0000,4400DME RENTED - HHA 140496,A000000,04500,0000,4500DME SOLD - HHA 140496,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140496,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140496,A000000,04800,0000,4800AMBULANCE 140496,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140496,A000000,05000,0000,5000CORF 140496,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140496,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140496,A000000,05300,0000,5300INTEREST EXPENSE 140496,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140496,A000000,05500,0000,5500HOSPICE 140496,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 140496,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140496,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140496,A000000,06100,0000,6100NONPAID WORKERS 140496,A000000,06200,0000,6200PATIENTS LAUNDRY 140496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140496,A81000A,00100,0100,N 140496,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 140496,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 140496,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 140496,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140496,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 140496,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 140496,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 140496,B100000,00000,0800,0800MEALS SERVED :DIETARY 140496,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 140496,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 140496,B100000,00000,1300,1330GROSS SALARIES :SOCIAL SERVICE 140496,B100000,00000,1400,1450GROSS SALARIES :INTERNS & RESID 140496,S000000,00100,0200,01/18/01 140496,S200000,00100,0100,301 WEST CRINER 140496,S200000,00100,0300,670 140496,S200000,00200,0100,GRANDVIEW 140496,S200000,00200,0200,TX 140496,S200000,00200,0300,76050- 140496,S200000,00300,0100,JOHNSON 140496,S200000,00300,0300,U 140496,S200000,00400,0100,GRANDVIEW NURSING HOME 140496,S200000,00400,0200,675369 140496,S200000,00400,0300,06/20/94 140496,S200000,00400,0500,P 140496,S200000,01500,0100,N 140496,S200000,01600,0100,Y 140496,S200000,01700,0100,N 140496,S200000,01800,0100,N 140496,S200000,02200,0100,N 140496,S200000,02800,0100,N 140496,S200000,02900,0100,N 140496,S200000,03000,0100,N 140496,S200000,03100,0100,N 140496,S200000,03200,0100,N 140496,S200000,04100,0100,N 140496,S200000,04200,0100,N 140496,S200000,04300,0100,N 140496,S200000,04600,0100,N 140496,S200000,04700,0100,N 140496,S200000,04700,0200,N 140496,S200000,04900,0100,N 140496,S200000,05000,0100,N 140496,S200000,05100,0100,N 140496,S200000,05200,0100,N 140602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 140602,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 140602,A000000,00300,0000,0300EMPLOYEE BENEFITS 140602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 140602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140602,A000000,00700,0000,0700HOUSEKEEPING 140602,A000000,00800,0000,0800DIETARY 140602,A000000,00900,0000,0900NURSING ADMINISTRATION 140602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140602,A000000,01100,0000,1100PHARMACY 140602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140602,A000000,01300,0000,1300SOCIAL SERVICE 140602,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 140602,A000000,01500,0000,1350OTHER GENERAL SERVICES 140602,A000000,01600,0000,1600SKILLED NURSING FACILITY 140602,A000000,01800,0000,1800NURSING FACILITY 140602,A000000,01810,0000,1810ICF/MR 140602,A000000,01900,0000,1900OTHER LONG TERM CARE 140602,A000000,02100,0000,2100RADIOLOGY 140602,A000000,02200,0000,2200LABORATORY 140602,A000000,02300,0000,2300INTRAVENOUS THERAPY 140602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140602,A000000,02500,0000,2500PHYSICAL THERAPY 140602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140602,A000000,02700,0000,2700SPEECH PATHOLOGY 140602,A000000,02800,0000,2800ELECTROCARDIOLOGY 140602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 140602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140602,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 140602,A000000,03200,0000,3200SUPPORT SURFACES 140602,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140602,A000000,03400,0000,3400CLINIC 140602,A000000,03500,0000,3500RURAL HEALTH CLINIC 140602,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 140602,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 140602,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 140602,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 140602,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 140602,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 140602,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 140602,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 140602,A000000,04400,0000,4400DME RENTED - HHA 140602,A000000,04500,0000,4500DME SOLD - HHA 140602,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 140602,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 140602,A000000,04800,0000,4800AMBULANCE 140602,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 140602,A000000,05000,0000,5000CORF 140602,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140602,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 140602,A000000,05300,0000,5300INTEREST EXPENSE 140602,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140602,A000000,05500,0000,5500HOSPICE 140602,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 140602,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 140602,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140602,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140602,A000000,06100,0000,6100NONPAID WORKERS 140602,A000000,06200,0000,6200PATIENTS LAUNDRY 140602,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140602,A81000A,00100,0100,Y 140602,A81000B,00100,0300,LAUNDRY SERVICES 140602,A81000B,00200,0300,LAUNDRY SERVICES 140602,A81000B,00300,0300,LAUNDRY SERVICES 140602,A81000B,00400,0300,LAUNDRY SERVICES 140602,A81000C,00100,0100,G 140602,A81000C,00100,0200,LSF. INC. 140602,A81000C,00100,0400,LSF INC. DBA: AHCC-VIRGI 140602,A81000C,00100,0600,NURSING HOME 140602,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 140602,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 140602,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 140602,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 140602,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 140602,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 140602,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 140602,B100000,00000,0800,0800MEALS SERVED :DIETARY 140602,B100000,00000,0900,0950RESIDENT DAYS :NURSING ADMINIST 140602,B100000,00000,1200,1250RESIDENT DAYS :MEDICAL RECORDS 140602,B100000,00000,1300,1330RESIDENT DAYS :SOCIAL SERVICE 140602,E10A180,00501,0100,02/09/01 140602,E10A180,00550,0100,12/04/02 140602,E10A180,00550,0300,12/04/02 140602,S000000,00100,0200,01/08/01 140602,S200000,00100,0100,601 GRANT AVENUE 140602,S200000,00200,0100,EVELETH 140602,S200000,00200,0200,MN 140602,S200000,00200,0300,55734-1395 140602,S200000,00300,0100,ST. LOUIS 140602,S200000,00300,0200,2240 140602,S200000,00300,0300,U 140602,S200000,00400,0100,LSF INC. DBA: AHCC - EVELETH 140602,S200000,00400,0200,245277 140602,S200000,00400,0300,04/01/85 140602,S200000,00400,0500,P 140602,S200000,00400,0600,O 140602,S200000,01500,0100,Y 140602,S200000,01600,0100,N 140602,S200000,01700,0100,N 140602,S200000,01800,0100,N 140602,S200000,02200,0100,N 140602,S200000,02800,0100,N 140602,S200000,02900,0100,N 140602,S200000,03000,0100,N 140602,S200000,03100,0100,N 140602,S200000,03200,0100,N 140602,S200000,04100,0100,N 140602,S200000,04200,0100,N 140602,S200000,04300,0100,N 140602,S200000,04600,0100,N 140602,S200000,04700,0100,N 140602,S200000,04700,0200,N 140602,S200000,04900,0100,N 140602,S200000,05000,0100,N 140602,S200000,05100,0100,N 140602,S200000,05200,0100,N 140621,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140621,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140621,A000000,00300,0000,0300EMPLOYEE BENEFITS 140621,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140621,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140621,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140621,A000000,00700,0000,0700HOUSEKEEPING 140621,A000000,00800,0000,0800DIETARY 140621,A000000,00900,0000,0900NURSING ADMINISTRATION 140621,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140621,A000000,01100,0000,1100PHARMACY 140621,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140621,A000000,01300,0000,1300SOCIAL SERVICE 140621,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140621,A000000,01500,0000,1350PATIENT ACTIVITIES 140621,A000000,01600,0000,1600SKILLED NURSING FACILITY 140621,A000000,01800,0000,1800NURSING FACILITY 140621,A000000,02100,0000,2100RADIOLOGY 140621,A000000,02200,0000,2200LABORATORY 140621,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140621,A000000,02500,0000,2500PHYSICAL THERAPY 140621,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140621,A000000,02700,0000,2700SPEECH PATHOLOGY 140621,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140621,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140621,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140621,A000000,03550,0000,3550FQHC 140621,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 140621,A000000,05000,0000,5000CORF 140621,A000000,05010,0000,5010CMHC 140621,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140621,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140621,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140621,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140621,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 140621,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 140621,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140621,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 140621,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140621,A81000A,00100,0100,Y 140621,A81000B,00100,0300,MANAGEMENT FEE 140621,A81000C,00100,0100,A 140621,A81000C,00100,0200,AMCARE MGMT SERVICES 140621,A81000C,00100,0400,AMCARE MGMT SERVICES 140621,A81000C,00100,0600,MGMT COMPANY 140621,B100000,00000,0100,0100SQUARE FEET 140621,B100000,00000,0200,0200NO STATISTICS 140621,B100000,00000,0300,0300NO STATISTICS 140621,B100000,00000,0400,0400ACCUM COST 140621,B100000,00000,0500,0500SQUARE FEET 140621,B100000,00000,0600,0600PATIENT DAYS 140621,B100000,00000,0700,0700SQ FT EXCL DIET 140621,B100000,00000,0800,0800PATIENT DAYS 140621,B100000,00000,0900,0900PATIENT DAYS 140621,B100000,00000,1000,1000PATIENT DAYS 140621,B100000,00000,1100,1100NO STATISTICS 140621,B100000,00000,1200,1200PATIENT DAYS 140621,B100000,00000,1300,1300PATIENT DAYS 140621,B100000,00000,1400,1400NO STATISTICS 140621,B100000,00000,1500,1350PATIENT DAYS 140621,E10A180,00501,0100,06/04/01 140621,E10A180,00501,0300,06/04/01 140621,E10A180,00502,0100,08/10/01 140621,E10A180,00550,0300,08/10/01 140621,S000000,00100,0200,04/17/01 140621,S200000,00100,0100,MAIN STREET 140621,S200000,00100,0300,10 140621,S200000,00200,0100,LAPORTE 140621,S200000,00200,0200,PA 140621,S200000,00200,0300,18626 140621,S200000,00300,0100,S 140621,S200000,00300,0200,0039 140621,S200000,00300,0300,R 140621,S200000,00400,0100,THE HIGHLANDS CARE CENTER 140621,S200000,00400,0200,395683 140621,S200000,00400,0300,01/16/85 140621,S200000,00400,0500,P 140621,S200000,01500,0100,N 140621,S200000,01600,0100,Y 140621,S200000,01700,0100,N 140621,S200000,01800,0100,N 140621,S200000,02200,0100,N 140621,S200000,02800,0100,N 140621,S200000,02900,0100,N 140621,S200000,03000,0100,N 140621,S200000,03100,0100,N 140621,S200000,03200,0100,N 140621,S200000,03300,0100,N 140621,S200000,03300,0200,N 140621,S200000,04100,0100,N 140621,S200000,04200,0100,N 140621,S200000,04300,0100,N 140621,S200000,04600,0100,N 140621,S200000,04700,0100,N 140621,S200000,04900,0100,N 140621,S200000,05200,0100,N 140629,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140629,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140629,A000000,00300,0000,0300EMPLOYEE BENEFITS 140629,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140629,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140629,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140629,A000000,00700,0000,0700HOUSEKEEPING 140629,A000000,00800,0000,0800DIETARY 140629,A000000,00900,0000,0900NURSING ADMINISTRATION 140629,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140629,A000000,01100,0000,1100PHARMACY 140629,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140629,A000000,01300,0000,1300SOCIAL SERVICE 140629,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140629,A000000,01600,0000,1600SKILLED NURSING FACILITY 140629,A000000,01800,0000,1800NURSING FACILITY 140629,A000000,01810,0000,1810ICF/MR 140629,A000000,02100,0000,2100RADIOLOGY 140629,A000000,02200,0000,2200LABORATORY 140629,A000000,02500,0000,2500PHYSICAL THERAPY 140629,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140629,A000000,02700,0000,2700SPEECH PATHOLOGY 140629,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140629,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140629,A000000,03550,0000,3550FQHC 140629,A000000,04800,0000,4800AMBULANCE 140629,A000000,05000,0000,5000CORF 140629,A000000,05010,0000,5010CMHC 140629,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140629,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140629,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140629,A000000,05300,0000,5300INTEREST EXPENSE 140629,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140629,A81000A,00100,0100,Y 140629,A81000B,00100,0300,HOME OFFICE COST 140629,A81000B,00200,0300,HOME OFF - CAP BLDG 140629,A81000B,00300,0300,HOME OFF - CAP EQUIP 140629,A81000B,00400,0300,LAUNDRY & LINEN SVC 140629,A81000B,00500,0300,MEDICAL SUPPLIES 140629,A81000B,00600,0300,PHARMACY DRUGS 140629,A81000B,00700,0300,ROUTINE DRUGS 140629,A81000B,00800,0300,ROUTINE DRUGS 140629,A81000B,00900,0300,ROUTINE SUPPLIES 140629,A81000B,01000,0300,ROUTINE SUPPLIES 140629,A81000B,01100,0300,PHYSICAL THERAPY 140629,A81000B,01200,0300,OCCUP THERAPY 140629,A81000B,01300,0300,SPEECH THERAPY 140629,A81000C,00100,0100,A 140629,A81000C,00100,0200,RONALD E LAWREN 140629,A81000C,00100,0400,LAWRENCE HEALTH 140629,A81000C,00100,0600,MGMT LAUNDRY 140629,A81000C,00200,0100,A 140629,A81000C,00200,0200,RONALD E LAWREN 140629,A81000C,00200,0400,PHARMACY SERVIC 140629,A81000C,00200,0600,PHARMACY SERVIC 140629,A81000C,00300,0100,A 140629,A81000C,00300,0200,RONALD E LAWREN 140629,A81000C,00300,0400,HALLMARK HEALTH 140629,A81000C,00300,0600,THERAPY SERVICE 140629,B100000,00000,0100,0100SQUARE FEET 140629,B100000,00000,0200,0200SQUARE FEET 140629,B100000,00000,0300,0300GROSS SALARIES 140629,B100000,00000,0400,0400ACCUM COST 140629,B100000,00000,0500,0500SQUARE FEET 140629,B100000,00000,0600,0600POUNDS OF LAUNDRY 140629,B100000,00000,0700,0700HOURS OF SERVICE 140629,B100000,00000,0800,0800MEALS SERVED 140629,B100000,00000,0900,0900DIRECT NRSG HRS 140629,B100000,00000,1000,1000COSTED REQUIS 140629,B100000,00000,1100,1100COSTED REQUIS 140629,B100000,00000,1200,1200TIME SPENT 140629,B100000,00000,1300,1300TIME SPENT 140629,B100000,00000,1400,1400ASSIGNED TIME 140629,E10A180,00501,0100,02/27/01 140629,E10A180,00501,0300,01/03/01 140629,E10A180,00550,0100,01/03/01 140629,E10A180,00550,0300,02/27/01 140629,E10A180,00551,0300,07/29/02 140629,S000000,00100,0200,11/30/00 140629,S200000,00100,0100,12823 KINGSTON PIKE 140629,S200000,00200,0100,FARRAGUT 140629,S200000,00200,0200,TN 140629,S200000,00200,0300,37922 140629,S200000,00300,0100,K 140629,S200000,00300,0200,3840 140629,S200000,00300,0300,U 140629,S200000,00400,0100,FARRAGUT HEALTH CARE CENTER 140629,S200000,00400,0200,445258 140629,S200000,00400,0300,08/02/90 140629,S200000,00400,0500,P 140629,S200000,00600,0200,445258 140629,S200000,00600,0300,08/02/90 140629,S200000,00600,0400,O 140629,S200000,01500,0100,N 140629,S200000,01600,0100,Y 140629,S200000,01700,0100,N 140629,S200000,01800,0100,N 140629,S200000,01900,0100,LLC 140629,S200000,02200,0100,N 140629,S200000,02800,0100,N 140629,S200000,02900,0100,N 140629,S200000,03000,0100,N 140629,S200000,03100,0100,N 140629,S200000,03200,0100,N 140629,S200000,03300,0100,N 140629,S200000,03300,0200,N 140629,S200000,03500,0300,N 140629,S200000,04100,0100,N 140629,S200000,04200,0100,N 140629,S200000,04300,0100,N 140629,S200000,04600,0100,N 140629,S200000,04700,0100,Y 140629,S200000,04700,0200,Y 140629,S200000,04900,0100,N 140629,S200000,05200,0100,N 140702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140702,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140702,A000000,00300,0000,0300EMPLOYEE BENEFITS 140702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140702,A000000,00700,0000,0700HOUSEKEEPING 140702,A000000,00800,0000,0800DIETARY 140702,A000000,00900,0000,0900NURSING ADMINISTRATION 140702,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140702,A000000,01100,0000,1100PHARMACY 140702,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140702,A000000,01300,0000,1300SOCIAL SERVICE 140702,A000000,01301,0000,1301ACTIVITES 140702,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140702,A000000,01500,0000,1350REHABILITATION 140702,A000000,01600,0000,1600SKILLED NURSING FACILITY 140702,A000000,01800,0000,1800NURSING FACILITY 140702,A000000,01810,0000,1810ICF/MR 140702,A000000,02100,0000,2100RADIOLOGY 140702,A000000,02200,0000,2200LABORATORY 140702,A000000,02300,0000,2300INTRAVENOUS THERAPY 140702,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 140702,A000000,02500,0000,2500PHYSICAL THERAPY 140702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140702,A000000,02700,0000,2700SPEECH PATHOLOGY 140702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140702,A000000,03300,0000,3050EQUIPMENT RENTAL 140702,A000000,03301,0000,3051PEN THERAPY 140702,A000000,03550,0000,3550FQHC 140702,A000000,05000,0000,5000CORF 140702,A000000,05010,0000,5010CMHC 140702,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140702,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140702,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140702,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140702,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140702,A000000,06300,0000,6150VENDING 140702,A000000,06301,0000,6151STAND-BY 140702,A81000A,00100,0100,Y 140702,A81000B,00100,0300,HOME OFFICE COST 140702,A81000B,00200,0300,DIETARY SUPPLEMENTS 140702,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 140702,A81000B,00400,0300,PRESCRIPTION DRUGS 140702,A81000B,00500,0300,MEDICAL SUPPLIES 140702,A81000B,00600,0300,ADMIN COSTS 140702,A81000B,00700,0300,HOME OFFICE INTEREST 140702,A81000B,00800,0300,EQUIPMENT REPLACEMENT 140702,A81000B,00900,0300,IV THERAPY 140702,A81000B,01000,0300,THERAPY CONSULTING 140702,A81000B,01100,0300,PHYSICAL THERAPY 140702,A81000B,01200,0300,OCCUPATIONAL THERAPY 140702,A81000B,01300,0300,SPEECH THERAPY 140702,A81000B,01400,0300,ANC EQUIP RENTAL 140702,A81000C,00100,0100,B 140702,A81000C,00100,0200,CENTENNIAL 1071 140702,A81000C,00100,0400,MARINER PAN 140702,A81000C,00100,0600,NURSING HOMES 140702,A81000C,00200,0100,G 140702,A81000C,00200,0200,MARINER PAN 140702,A81000C,00200,0400,AMER PHARM SVCS 140702,A81000C,00200,0600,PHARMACEUTICALS 140702,A81000C,00300,0100,G 140702,A81000C,00300,0200,MARINER PAN 140702,A81000C,00300,0400,PRISM-ATS-ARS-T 140702,A81000C,00300,0600,THERAPIES 140702,B100000,00000,0100,0100SQUARE FEET 140702,B100000,00000,0200,0200SQUARE FEET 140702,B100000,00000,0300,0300GROSS SALARIES 140702,B100000,00000,0400,0400ACCUM COST 140702,B100000,00000,0500,0500SQUARE FEET 140702,B100000,00000,0600,0600PATIENT DAYS 140702,B100000,00000,0700,0700SQUARE FEET 140702,B100000,00000,0800,0800MEALS SERVED 140702,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 140702,B100000,00000,1000,1000COSTED REQUISITIO 140702,B100000,00000,1100,1100COSTED REQUIS 140702,B100000,00000,1200,1200PATIENT DAYS 140702,B100000,00000,1300,1300PATIENT DAYS 140702,B100000,00000,1301,1301PATIENT DAYS 140702,B100000,00000,1400,1400ASSIGNED TIME 140702,B100000,00000,1500,1350UNITS OF SERVICE 140702,S000000,00100,0200,02/29/00 140702,S200000,00100,0100,1637 29TH AVE PLACE 140702,S200000,00200,0100,GREELEY 140702,S200000,00200,0200,CO 140702,S200000,00200,0300,80631 140702,S200000,00300,0100,WELD 140702,S200000,00400,0100,CENTENNIAL HEALTH CARE CENTER 140702,S200000,00400,0200,065212 140702,S200000,00400,0300,07/01/85 140702,S200000,00400,0500,P 140702,S200000,01500,0100,N 140702,S200000,01600,0100,Y 140702,S200000,01700,0100,N 140702,S200000,01800,0100,N 140702,S200000,02200,0100,Y 140702,S200000,02800,0100,N 140702,S200000,02900,0100,N 140702,S200000,03000,0100,N 140702,S200000,03100,0100,N 140702,S200000,03200,0100,N 140702,S200000,03300,0100,N 140702,S200000,03300,0200,N 140702,S200000,04100,0100,N 140702,S200000,04200,0100,N 140702,S200000,04300,0100,Y 140702,S200000,04600,0100,N 140702,S200000,04700,0100,N 140702,S200000,04900,0100,N 140887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140887,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140887,A000000,00300,0000,0300EMPLOYEE BENEFITS 140887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140887,A000000,00700,0000,0700HOUSEKEEPING 140887,A000000,00800,0000,0800DIETARY 140887,A000000,00900,0000,0900NURSING ADMINISTRATION 140887,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140887,A000000,01100,0000,1100PHARMACY 140887,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140887,A000000,01300,0000,1300SOCIAL SERVICE 140887,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140887,A000000,01600,0000,1600SKILLED NURSING FACILITY 140887,A000000,01810,0000,1810ICF/MR 140887,A000000,02100,0000,2100RADIOLOGY 140887,A000000,02200,0000,2200LABORATORY 140887,A000000,02500,0000,2500PHYSICAL THERAPY 140887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140887,A000000,02700,0000,2700SPEECH PATHOLOGY 140887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140887,A000000,03200,0000,3200SUPPORT SURFACES 140887,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140887,A000000,03550,0000,3550FQHC 140887,A000000,05000,0000,5000CORF 140887,A000000,05010,0000,5010CMHC 140887,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140887,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140887,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140887,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 140887,A81000A,00100,0100,Y 140887,A81000B,00100,0300,MANAGEMENT FEES 140887,A81000B,00200,0300,PHYSICAL THERAPY 140887,A81000B,00300,0300,OCCUPATIONAL THERAPY 140887,A81000B,00400,0300,SPEECH THERAPY 140887,A81000B,00500,0300,PATIENT SUPPLIES 140887,A81000B,00600,0300,MEDICAL SUPPLIES 140887,A81000B,00700,0300,PHARMACY 140887,A81000C,00100,0100,B 140887,A81000C,00100,0200,FOUNTAIN VIEW INC. 140887,A81000C,00100,0400,VALLEY HEALTH CARE CENTER 140887,A81000C,00100,0600,SNF 140887,A81000C,00200,0100,B 140887,A81000C,00200,0200,FOUNTAIN VIEW INC. 140887,A81000C,00200,0400,LOCOMOTION 140887,A81000C,00200,0600,THERAPY COMPANY 140887,A81000C,00300,0100,B 140887,A81000C,00300,0200,FOUNTAIN VIEW INC. 140887,A81000C,00300,0400,I N O 140887,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 140887,A81000C,00400,0100,B 140887,A81000C,00400,0200,FOUNTAIN VIEW INC. 140887,A81000C,00400,0400,SKILLED CARE PHARMACY 140887,A81000C,00400,0600,PHARMACY 140887,B100000,00000,0100,0100SQUARE FEET 140887,B100000,00000,0200,0200SQUARE FEET 140887,B100000,00000,0300,0300GROSS SALARIES 140887,B100000,00000,0400,0400ACCUM. COST 140887,B100000,00000,0500,0500SQUARE FEET 140887,B100000,00000,0600,0600POUNDS OF LAUNDRY 140887,B100000,00000,0700,0700SQUARE FEET 140887,B100000,00000,0800,0800MEALS SERVED 140887,B100000,00000,0900,0900DIRECT NRSING HRS 140887,B100000,00000,1000,1000COSTED REQUIS 140887,B100000,00000,1100,1100COSTED REQUIS 140887,B100000,00000,1200,1200GROSS REVENUE 140887,B100000,00000,1300,1300PATIENT DAYS 140887,B100000,00000,1400,1400ASSIGNED TIME 140887,E10A180,00501,0100,02/12/01 140887,E10A180,00501,0300,02/12/01 140887,S000000,00100,0200,01/18/01 140887,S200000,00100,0100,4840 E. TULARE AVE. 140887,S200000,00200,0100,FRESNO 140887,S200000,00200,0200,CA 140887,S200000,00200,0300,93727 140887,S200000,00300,0100,F 140887,S200000,00300,0200,2840 140887,S200000,00300,0300,U 140887,S200000,00400,0100,VALLEY CONVALESCENT CENTER 140887,S200000,00400,0200,056225 140887,S200000,00400,0300,01/01/82 140887,S200000,00400,0500,P 140887,S200000,00400,0600,O 140887,S200000,01500,0100,N 140887,S200000,01600,0100,Y 140887,S200000,01700,0100,N 140887,S200000,01800,0100,N 140887,S200000,02200,0100,N 140887,S200000,02800,0100,N 140887,S200000,02900,0100,N 140887,S200000,03000,0100,N 140887,S200000,03100,0100,N 140887,S200000,03200,0100,N 140887,S200000,03300,0100,N 140887,S200000,03300,0200,N 140887,S200000,04100,0100,N 140887,S200000,04200,0100,N 140887,S200000,04300,0100,N 140887,S200000,04600,0100,N 140887,S200000,04700,0100,N 140887,S200000,04900,0100,N 140887,S200000,05200,0100,N 140921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140921,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140921,A000000,00300,0000,0300EMPLOYEE BENEFITS 140921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140921,A000000,00700,0000,0700HOUSEKEEPING 140921,A000000,00800,0000,0800DIETARY 140921,A000000,00900,0000,0900NURSING ADMINISTRATION 140921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140921,A000000,01100,0000,1100PHARMACY 140921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140921,A000000,01300,0000,1300SOCIAL SERVICE 140921,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140921,A000000,01500,0000,1350OTHER GENERAL SERVICES 140921,A000000,01600,0000,1600SKILLED NURSING FACILITY 140921,A000000,01800,0000,1800NURSING FACILITY 140921,A000000,01810,0000,1810ICF/MR 140921,A000000,02500,0000,2500PHYSICAL THERAPY 140921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140921,A000000,02700,0000,2700SPEECH PATHOLOGY 140921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140921,A000000,03200,0000,3200SUPPORT SURFACES 140921,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 140921,A000000,03550,0000,3550FQHC 140921,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 140921,A000000,05000,0000,5000CORF 140921,A000000,05010,0000,5010CMHC 140921,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140921,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140921,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140921,A000000,05100,0000,4750OTHER REIMBURSABLE COST 140921,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 140921,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 140921,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 140921,A81000A,00100,0100,N 140921,B100000,00000,0100,0100SQUARE FEET 140921,B100000,00000,0200,0200SQUARE FEET 140921,B100000,00000,0300,0300GROSS SALARIES 140921,B100000,00000,0400,0400ACCUM COST 140921,B100000,00000,0500,0500SQUARE FEET 140921,B100000,00000,0600,0600PATIENT DAYS 140921,B100000,00000,0700,0700SQUARE FEET 140921,B100000,00000,0800,0800MEALS SERVED 140921,B100000,00000,0900,0900HOURS SUPERVISED 140921,B100000,00000,1000,1000PATIENT DAYS 140921,B100000,00000,1100,1100PATIENT DAYS 140921,B100000,00000,1200,1200PATIENT DAYS 140921,B100000,00000,1300,1300PATIENT DAYS 140921,B100000,00000,1400,1400ASSIGNED TIME 140921,B100000,00000,1500,1350NO STATISTICS 140921,E10A180,00501,0100,06/14/00 140921,S000000,00100,0200,05/18/00 140921,S200000,00100,0100,1338 N. CUTTING AVE. 140921,S200000,00100,0300,757 140921,S200000,00200,0100,JENNINGS 140921,S200000,00200,0200,LA 140921,S200000,00300,0100,JEFFERSON DAVIS 140921,S200000,00300,0200,0019 140921,S200000,00300,0300,R 140921,S200000,00400,0100,JEFFERSON DAVIS NURSING HOME 140921,S200000,00400,0200,195314 140921,S200000,00400,0300,01/10/95 140921,S200000,00400,0500,P 140921,S200000,01500,0100,N 140921,S200000,01600,0100,Y 140921,S200000,01700,0100,N 140921,S200000,01800,0100,N 140921,S200000,02200,0100,N 140921,S200000,02800,0100,N 140921,S200000,02900,0100,N 140921,S200000,03000,0100,N 140921,S200000,03100,0100,N 140921,S200000,03200,0100,N 140921,S200000,03300,0100,N 140921,S200000,03300,0200,N 140921,S200000,04100,0100,N 140921,S200000,04200,0100,N 140921,S200000,04300,0100,N 140921,S200000,04600,0100,N 140921,S200000,04700,0100,N 140921,S200000,04900,0100,N 140921,S200000,05200,0100,N 140923,S000000,00100,0200,08/22/00 140927,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 140927,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 140927,A000000,00300,0000,0300EMPLOYEE BENEFITS 140927,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 140927,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 140927,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 140927,A000000,00700,0000,0700HOUSEKEEPING 140927,A000000,00800,0000,0800DIETARY 140927,A000000,00900,0000,0900NURSING ADMINISTRATION 140927,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 140927,A000000,01100,0000,1100PHARMACY 140927,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 140927,A000000,01300,0000,1300SOCIAL SERVICE 140927,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 140927,A000000,01600,0000,1600SKILLED NURSING FACILITY 140927,A000000,01800,0000,1800NURSING FACILITY 140927,A000000,01810,0000,1810ICF/MR 140927,A000000,02100,0000,2100RADIOLOGY 140927,A000000,02200,0000,2200LABORATORY 140927,A000000,02500,0000,2500PHYSICAL THERAPY 140927,A000000,02600,0000,2600OCCUPATIONAL THERAPY 140927,A000000,02700,0000,2700SPEECH PATHOLOGY 140927,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 140927,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 140927,A000000,03550,0000,3550FQHC 140927,A000000,05000,0000,5000CORF 140927,A000000,05010,0000,5010CMHC 140927,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 140927,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 140927,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 140927,A000000,05900,0000,5900BARBER & BEAUTY SHOP 140927,A81000A,00100,0100,Y 140927,A81000B,00200,0300,RENT 140927,A81000B,00400,0300,MANAGEMENT FEES 140927,A81000C,00200,0100,B 140927,A81000C,00200,0200,RAMONA VILLA L 140927,A81000C,00400,0100,B 140927,A81000C,00400,0200,EKS / EMI 140927,B100000,00000,0100,0100SQUARE FEET 140927,B100000,00000,0200,0200SQUARE FEET 140927,B100000,00000,0300,0300GROSS SALARIES 140927,B100000,00000,0400,0400ACCUM COST 140927,B100000,00000,0500,0500SQUARE FEET 140927,B100000,00000,0600,0600PATIENT DAYS 140927,B100000,00000,0700,0700SQUARE FEET 140927,B100000,00000,0800,0800PATIENT DAYS 140927,B100000,00000,0900,0900PATIENT DAYS 140927,B100000,00000,1000,1000PATIENT DAYS 140927,B100000,00000,1100,1100COSTED REQUIS 140927,B100000,00000,1200,1200PATIENT DAYS 140927,B100000,00000,1300,1300PATIENT DAYS 140927,B100000,00000,1400,1400ASSIGNED TIME 140927,S000000,00100,0200,05/19/00 140927,S200000,00100,0100,8575 N. GRANBY AVENUE 140927,S200000,00200,0100,KANSAS CITY 140927,S200000,00200,0200,MO 140927,S200000,00200,0300,64154 140927,S200000,00300,0100,PLATTE COUNTY 140927,S200000,00300,0200,3760 140927,S200000,00300,0300,U 140927,S200000,00400,0100,BARRY HEALTH CARE CENTER INC. 140927,S200000,00400,0200,265697 140927,S200000,00400,0300,02/25/99 140927,S200000,00400,0500,P 140927,S200000,01500,0100,N 140927,S200000,01600,0100,Y 140927,S200000,01700,0100,N 140927,S200000,01800,0100,N 140927,S200000,02200,0100,N 140927,S200000,02800,0100,N 140927,S200000,02900,0100,N 140927,S200000,03000,0100,N 140927,S200000,03100,0100,N 140927,S200000,03200,0100,N 140927,S200000,03300,0100,N 140927,S200000,03300,0200,N 140927,S200000,04100,0100,N 140927,S200000,04200,0100,N 140927,S200000,04300,0100,N 140927,S200000,04600,0100,N 140927,S200000,04700,0100,N 140927,S200000,04900,0100,N 140927,S200000,05200,0100,N 141369,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 141369,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 141369,A000000,00300,0000,0300EMPLOYEE BENEFITS 141369,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141369,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 141369,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141369,A000000,00700,0000,0700HOUSEKEEPING 141369,A000000,00800,0000,0800DIETARY 141369,A000000,00900,0000,0900NURSING ADMINISTRATION 141369,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141369,A000000,01100,0000,1100PHARMACY 141369,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141369,A000000,01300,0000,1300SOCIAL SERVICE 141369,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 141369,A000000,01500,0000,1350OTHER GENERAL SERVICES 141369,A000000,01600,0000,1600SKILLED NURSING FACILITY 141369,A000000,01800,0000,1800NURSING FACILITY 141369,A000000,01810,0000,1810ICF/MR 141369,A000000,02100,0000,2100RADIOLOGY 141369,A000000,02200,0000,2200LABORATORY 141369,A000000,02300,0000,2300INTRAVENOUS THERAPY 141369,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141369,A000000,02500,0000,2500PHYSICAL THERAPY 141369,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141369,A000000,02700,0000,2700SPEECH PATHOLOGY 141369,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 141369,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141369,A000000,03200,0000,3200SUPPORT SURFACES 141369,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 141369,A000000,03550,0000,3550FQHC 141369,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 141369,A000000,05000,0000,5000CORF 141369,A000000,05010,0000,5010CMHC 141369,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 141369,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 141369,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 141369,A000000,05100,0000,4750OTHER REIMBURSABLE COST 141369,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 141369,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141369,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 141369,A81000A,00100,0100,Y 141369,A81000B,00100,0300,MANAGEMENT FEES 141369,A81000B,00300,0300,BUILDING LEASE 141369,A81000B,00400,0300,MORTGAGE INTEREST EXP 141369,A81000B,00500,0300,OTHER EXPENSE 141369,A81000B,00600,0300,DEPR EXP-BUILDING 141369,A81000B,00700,0300,HOME OFFICE-BUILDING 141369,A81000B,00800,0300,HOME OFFICE DEPR-EQPT 141369,A81000B,00900,0300,HOME OFFICE COSTS 141369,A81000B,01000,0300,HOME OFFICE INTEREST-EQPT 141369,A81000B,01100,0300,INTEREST EXP-GMAC 141369,A81000B,01200,0300,INTEREST EXP-GMAC 141369,A81000B,01300,0300,INTEREST EXP-WELLS FARGO 141369,A81000B,01400,0300,INTEREST EXP-ROMOR INVEST. 141369,A81000B,01500,0300,INTEREST EXP-RBC 141369,A81000B,01600,0300,INTEREST EXP-RBC 141369,A81000B,01700,0300,INTEREST EXP-NOTES 141369,A81000B,01800,0300,INTEREST EXP-VENDORS 141369,A81000B,01900,0300,INTEREST EXP-PENALTIES 141369,A81000B,02000,0300,INTEREST EXP-RBC 141369,A81000B,02100,0300,INTEREST EXP-RBC 141369,A81000B,02200,0300,INTEREST EXP-BANK ONE 141369,A81000B,02300,0300,INTEREST EXP-SUPERIOR NATIONAL 141369,A81000B,02400,0300,INTEREST EXP-ROMOR INVEST. 141369,A81000C,00100,0100,A 141369,A81000C,00100,0200,R. ROY 141369,A81000C,00100,0400,KILLEN-ANDERSON 141369,A81000C,00100,0600,LESSOR 141369,A81000C,00200,0100,B 141369,A81000C,00200,0400,APPLEWOOD INN 141369,A81000C,00200,0600,SNF 141369,A81000C,00300,0100,B 141369,A81000C,00300,0200,WESTERN CARE MGNT. CORP. 141369,A81000C,00300,0600,HOME OFFICE 141369,B100000,00000,0100,0100SQUARE FEET 141369,B100000,00000,0200,0200SQUARE FEET 141369,B100000,00000,0300,0300GROSS SALARIES 141369,B100000,00000,0400,0400ACCUM. COST 141369,B100000,00000,0500,0500SQUARE FEET 141369,B100000,00000,0600,0600POUNDS OF LAUNDRY 141369,B100000,00000,0700,0700HOURS OF SERVICE 141369,B100000,00000,0800,0800MEALS SERVED 141369,B100000,00000,0900,0900DIR NRSG LABOR COST 141369,B100000,00000,1000,1000COSTED REQUIS. 141369,B100000,00000,1100,1100COSTED REQUIS. 141369,B100000,00000,1200,1200TIME SPENT 141369,B100000,00000,1300,1300TIME SPENT 141369,B100000,00000,1400,1400ASSIGNED TIME 141369,B100000,00000,1500,1350NO STATISTICS 141369,E10A180,00301,0300,03/28/00 141369,E10A180,00550,0100,02/22/01 141369,E10A180,00550,0300,12/15/00 141369,E10A180,00551,0300,02/22/01 141369,S000000,00100,0200,12/18/00 141369,S200000,00100,0100,3300 FRANKLIN STREET 141369,S200000,00200,0100,ANDERSON 141369,S200000,00200,0200,CA 141369,S200000,00200,0300,96007 141369,S200000,00300,0100,S 141369,S200000,00300,0200,6690 141369,S200000,00300,0300,U 141369,S200000,00400,0100,REHAB SPECIALTIES INN 141369,S200000,00400,0200,555147 141369,S200000,00400,0300,06/06/82 141369,S200000,00400,0500,P 141369,S200000,00600,0200,555147 141369,S200000,00600,0300,06/06/82 141369,S200000,00600,0600,O 141369,S200000,00610,0200,555147 141369,S200000,00610,0300,06/06/82 141369,S200000,00610,0600,O 141369,S200000,01500,0100,N 141369,S200000,01600,0100,Y 141369,S200000,01700,0100,N 141369,S200000,01800,0100,N 141369,S200000,02200,0100,N 141369,S200000,02800,0100,Y 141369,S200000,02900,0100,N 141369,S200000,03000,0100,N 141369,S200000,03100,0100,N 141369,S200000,03200,0100,N 141369,S200000,03300,0100,N 141369,S200000,03300,0200,N 141369,S200000,03500,0300,N 141369,S200000,03510,0300,N 141369,S200000,04100,0100,N 141369,S200000,04200,0100,N 141369,S200000,04300,0100,N 141369,S200000,04600,0100,N 141369,S200000,04700,0100,N 141369,S200000,04900,0100,N 141369,S200000,05200,0100,N 141463,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141463,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141463,A000000,00300,0000,0300EMPLOYEE BENEFITS 141463,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141463,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141463,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141463,A000000,00700,0000,0700HOUSEKEEPING 141463,A000000,00800,0000,0800DIETARY 141463,A000000,00900,0000,0900NURSING ADMINISTRATION 141463,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141463,A000000,01300,0000,1300SOCIAL SERVICE 141463,A000000,01600,0000,1600SKILLED NURSING FACILITY 141463,A000000,01800,0000,1800NURSING FACILITY 141463,A000000,01900,0000,1900OTHER LONG TERM CARE 141463,A000000,02100,0000,2100RADIOLOGY 141463,A000000,02200,0000,2200LABORATORY 141463,A000000,02300,0000,2300INTRAVENOUS THERAPY 141463,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141463,A000000,02500,0000,2500PHYSICAL THERAPY 141463,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141463,A000000,02700,0000,2700SPEECH PATHOLOGY 141463,A000000,02800,0000,2800ELECTROCARDIOLOGY 141463,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141463,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141463,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141463,A000000,03200,0000,3200SUPPORT SURFACES 141463,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 141463,A000000,03301,0000,3051OXYGEN THERAPY SUPPLIES 141463,A000000,03302,0000,3052PSYCH TESTING 141463,A000000,03303,0000,3053GLUCOSE TESTING 141463,A000000,03304,0000,3054PEN THERAPY SUPPLIES 141463,A000000,03400,0000,3400CLINIC 141463,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 141463,A000000,04800,0000,4800AMBULANCE 141463,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141463,A000000,05000,0000,5000CORF 141463,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141463,A000000,05300,0000,5300INTEREST EXPENSE 141463,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141463,A000000,05500,0000,5500HOSPICE 141463,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 141463,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141463,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141463,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141463,A000000,06100,0000,6100NONPAID WORKERS 141463,A000000,06200,0000,6200PATIENTS LAUNDRY 141463,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 141463,A81000A,00100,0100,Y 141463,A81000B,00100,0300,MANAGEMENT COMPANY COSTS 141463,A81000C,00100,0100,G 141463,A81000C,00100,0200,C.M.E. INC 141463,A81000C,00100,0400,C.M.E.. INC 141463,A81000C,00100,0600,HEALTHCARE 141463,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 141463,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 141463,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 141463,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141463,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 141463,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 141463,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 141463,B100000,00000,0800,0800MEALS SERVED :DIETARY 141463,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 141463,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 141463,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 141463,S000000,00100,0200,12/18/00 141463,S200000,00100,0100,1514 CHELSEA STREET 141463,S200000,00200,0100,TAMPA 141463,S200000,00200,0200,FL 141463,S200000,00200,0300,33610- 141463,S200000,00300,0100,HILLSBOROUGH 141463,S200000,00300,0200,8280 141463,S200000,00300,0300,U 141463,S200000,00400,0100,OAKWOOD PARK SU CASA 141463,S200000,00400,0200,105299 141463,S200000,00400,0300,03/17/89 141463,S200000,00400,0500,P 141463,S200000,01500,0100,N 141463,S200000,01600,0100,Y 141463,S200000,01700,0100,N 141463,S200000,01800,0100,N 141463,S200000,02200,0100,N 141463,S200000,02800,0100,Y 141463,S200000,02900,0100,N 141463,S200000,03000,0100,N 141463,S200000,03100,0100,N 141463,S200000,03200,0100,N 141463,S200000,04100,0100,N 141463,S200000,04200,0100,N 141463,S200000,04300,0100,N 141463,S200000,04600,0100,N 141463,S200000,04700,0100,N 141463,S200000,04700,0200,N 141463,S200000,04900,0100,N 141463,S200000,05000,0100,N 141463,S200000,05100,0100,N 141463,S200000,05200,0100,N 141652,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 141652,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 141652,A000000,00300,0000,0300EMPLOYEE BENEFITS 141652,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141652,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 141652,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141652,A000000,00700,0000,0700HOUSEKEEPING 141652,A000000,00800,0000,0800DIETARY 141652,A000000,00900,0000,0900NURSING ADMINISTRATION 141652,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141652,A000000,01100,0000,1100PHARMACY 141652,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141652,A000000,01300,0000,1300SOCIAL SERVICE 141652,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 141652,A000000,01500,0000,1350ACTIVITIES 141652,A000000,01600,0000,1600SKILLED NURSING FACILITY 141652,A000000,01810,0000,1810ICF/MR 141652,A000000,02500,0000,2500PHYSICAL THERAPY 141652,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141652,A000000,02700,0000,2700SPEECH PATHOLOGY 141652,A000000,03300,0000,3050PSYCHIATRIC SERVICES 141652,A000000,03550,0000,3550FQHC 141652,A000000,05000,0000,5000CORF 141652,A000000,05010,0000,5010CMHC 141652,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 141652,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 141652,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 141652,A000000,05300,0000,5300INTEREST EXPENSE 141652,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 141652,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141652,A000000,06101,0000,6101PHYSICIAN SERVICES 141652,A000000,06102,0000,6102DENTAL SERVICES 141652,A000000,06103,0000,6103PUBLIC RELATIONS 141652,A000000,06104,0000,6104PASTORAL EDUCATION 141652,A81000A,00100,0100,N 141652,B100000,00000,0100,0100SQUARE FEET 141652,B100000,00000,0200,0200SQUARE FEET 141652,B100000,00000,0300,0300GROSS SALARIES 141652,B100000,00000,0400,0400ACCUM COST 141652,B100000,00000,0500,0500SQUARE FEET 141652,B100000,00000,0600,0600POUNDS OF LAUNDRY 141652,B100000,00000,0700,0700SQUARE FEET 141652,B100000,00000,0800,0800MEALS SERVED 141652,B100000,00000,0900,0900DIRECT NRSING HRS 141652,B100000,00000,1000,1000COSTED REQUIS 141652,B100000,00000,1100,1100COSTED REQUIS 141652,B100000,00000,1200,1200TIME SPENT 141652,B100000,00000,1300,1300TIME SPENT 141652,B100000,00000,1400,1400ASSIGNED TIME 141652,B100000,00000,1500,1350TIME SPENT 141652,E10A180,00301,0100,05/09/00 141652,E10A180,00302,0100,01/18/00 141652,E10A180,00550,0100,05/25/01 141652,S000000,00100,0200,10/18/00 141652,S200000,00100,0100,110 UTICA ROAD 141652,S200000,00200,0100,CLINTON 141652,S200000,00200,0200,NY 141652,S200000,00200,0300,13323 141652,S200000,00300,0100,ONEIDA 141652,S200000,00300,0200,8680 141652,S200000,00300,0300,U 141652,S200000,00400,0100,KATHERINE LUTHER HOME 141652,S200000,00400,0200,335006 141652,S200000,00400,0300,01/01/67 141652,S200000,00400,0500,P 141652,S200000,00400,0600,P 141652,S200000,01500,0100,Y 141652,S200000,01600,0100,N 141652,S200000,01700,0100,N 141652,S200000,01800,0100,N 141652,S200000,02200,0100,N 141652,S200000,02800,0100,N 141652,S200000,02900,0100,N 141652,S200000,03000,0100,N 141652,S200000,03100,0100,N 141652,S200000,03200,0100,N 141652,S200000,03300,0100,N 141652,S200000,03300,0200,N 141652,S200000,04100,0100,N 141652,S200000,04200,0100,N 141652,S200000,04300,0100,N 141652,S200000,04600,0100,N 141652,S200000,04700,0100,N 141652,S200000,04900,0100,N 141652,S200000,05200,0100,N 141653,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 141653,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 141653,A000000,00300,0000,0300EMPLOYEE BENEFITS 141653,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141653,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 141653,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141653,A000000,00700,0000,0700HOUSEKEEPING 141653,A000000,00800,0000,0800DIETARY 141653,A000000,00900,0000,0900NURSING ADMINISTRATION 141653,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141653,A000000,01100,0000,1100PHARMACY 141653,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141653,A000000,01300,0000,1300SOCIAL SERVICE 141653,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 141653,A000000,01500,0000,1350ACTIVITIES 141653,A000000,01600,0000,1600SKILLED NURSING FACILITY 141653,A000000,01810,0000,1810ICF/MR 141653,A000000,02500,0000,2500PHYSICAL THERAPY 141653,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141653,A000000,02700,0000,2700SPEECH PATHOLOGY 141653,A000000,03300,0000,3050PSYCHIATRIC SERVICES 141653,A000000,03550,0000,3550FQHC 141653,A000000,05000,0000,5000CORF 141653,A000000,05010,0000,5010CMHC 141653,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 141653,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 141653,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 141653,A000000,05300,0000,5300INTEREST EXPENSE 141653,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 141653,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141653,A000000,06101,0000,6101PHYSICIAN SERVICES 141653,A000000,06102,0000,6102DENTAL 141653,A000000,06103,0000,6103PUBLIC RELATIONS 141653,A000000,06104,0000,6104PASTORAL EDUCATION 141653,A81000A,00100,0100,N 141653,B100000,00000,0100,0100SQUARE FEET 141653,B100000,00000,0200,0200SQUARE FEET 141653,B100000,00000,0300,0300GROSS SALARIES 141653,B100000,00000,0400,0400ACCUM COST 141653,B100000,00000,0500,0500SQUARE FEET 141653,B100000,00000,0600,0600POUNDS OF LAUNDRY 141653,B100000,00000,0700,0700SQUARE FEET 141653,B100000,00000,0800,0800MEALS SERVED 141653,B100000,00000,0900,0900DIRECT NRSING HRS 141653,B100000,00000,1000,1000COSTED REQUIS 141653,B100000,00000,1100,1100COSTED REQUIS 141653,B100000,00000,1200,1200TIME SPENT 141653,B100000,00000,1300,1300TIME SPENT 141653,B100000,00000,1400,1400ASSIGNED TIME 141653,B100000,00000,1500,1350TIME SPENT 141653,E10A180,00301,0100,01/18/00 141653,E10A180,00302,0100,05/09/00 141653,E10A180,00501,0100,02/28/01 141653,E10A180,00550,0300,02/28/01 141653,S000000,00100,0200,06/02/00 141653,S200000,00100,0100,110 UTICA ROAD 141653,S200000,00200,0100,CLINTON 141653,S200000,00200,0200,NY 141653,S200000,00200,0300,13323 141653,S200000,00300,0100,ONEIDA 141653,S200000,00300,0200,8680 141653,S200000,00300,0300,U 141653,S200000,00400,0100,MARTIN LUTHER NURSING HOME 141653,S200000,00400,0200,335186 141653,S200000,00400,0300,01/01/67 141653,S200000,00400,0500,P 141653,S200000,00400,0600,P 141653,S200000,01500,0100,Y 141653,S200000,01600,0100,N 141653,S200000,01700,0100,N 141653,S200000,01800,0100,N 141653,S200000,02200,0100,N 141653,S200000,02800,0100,N 141653,S200000,02900,0100,N 141653,S200000,03000,0100,N 141653,S200000,03100,0100,N 141653,S200000,03200,0100,N 141653,S200000,03300,0100,N 141653,S200000,03300,0200,N 141653,S200000,04100,0100,N 141653,S200000,04200,0100,N 141653,S200000,04300,0100,N 141653,S200000,04600,0100,N 141653,S200000,04700,0100,N 141653,S200000,04900,0100,N 141653,S200000,05200,0100,N 141676,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141676,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141676,A000000,00300,0000,0300EMPLOYEE BENEFITS 141676,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141676,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141676,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141676,A000000,00700,0000,0700HOUSEKEEPING 141676,A000000,00800,0000,0800DIETARY 141676,A000000,00900,0000,0900NURSING ADMINISTRATION 141676,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141676,A000000,01100,0000,1100PHARMACY 141676,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141676,A000000,01300,0000,1300SOCIAL SERVICE 141676,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141676,A000000,01600,0000,1600SKILLED NURSING FACILITY 141676,A000000,01800,0000,1800NURSING FACILITY 141676,A000000,01900,0000,1900OTHER LONG TERM CARE 141676,A000000,02100,0000,2100RADIOLOGY 141676,A000000,02200,0000,2200LABORATORY 141676,A000000,02300,0000,2300INTRAVENOUS THERAPY 141676,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141676,A000000,02500,0000,2500PHYSICAL THERAPY 141676,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141676,A000000,02700,0000,2700SPEECH PATHOLOGY 141676,A000000,02800,0000,2800ELECTROCARDIOLOGY 141676,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141676,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141676,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141676,A000000,03200,0000,3200SUPPORT SURFACES 141676,A000000,03400,0000,3400CLINIC 141676,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141676,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141676,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141676,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141676,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141676,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141676,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141676,A000000,04400,0000,4400DME RENTED - HHA 141676,A000000,04500,0000,4500DME SOLD - HHA 141676,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141676,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141676,A000000,04800,0000,4800AMBULANCE 141676,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141676,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141676,A000000,05300,0000,5300INTEREST EXPENSE 141676,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141676,A000000,05500,0000,5500HOSPICE 141676,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141676,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141676,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141676,A000000,06100,0000,6100NONPAID WORKERS 141676,A000000,06200,0000,6200PATIENTS LAUNDRY 141676,A81000A,00100,0100,Y 141676,A81000B,00100,0300,MANAGEMENT FEES 141676,A81000B,00200,0300,OLD CAPITAL BUILDING 141676,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141676,A81000B,00400,0300,NEW CAPITAL BUILDING 141676,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141676,A81000B,00600,0300,FUNCTIONAL SALARY 141676,A81000B,00700,0300,FUNCTIONAL SALARY 141676,A81000B,00800,0300,FUNCTIONAL BENEFITS 141676,A81000B,00900,0300,PHARMACY CONSULTANT 141676,A81000B,01000,0300,DIETARY CONSULTANT 141676,A81000B,01100,0300,IV THERAPY 141676,A81000B,01200,0300,IV THERAPY 141676,A81000C,00100,0100,A 141676,A81000C,00100,0200,ELDERCARE HEALT 141676,A81000C,00100,0400,MEDICAL MATRIX 141676,A81000C,00100,0600,PHARM & DIETARY 141676,A81000C,00200,0100,A 141676,A81000C,00200,0200,GA HOMECARE 141676,A81000C,00200,0400,MEDICAL MATRIX 141676,A81000C,00200,0600,IV THERAPY 141676,A81000C,00300,0100,A 141676,A81000C,00300,0200,GAP MANAGEMENT 141676,A81000C,00300,0400,MEDICAL MATRIX 141676,A81000C,00300,0600,MANAGEMENT 141676,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141676,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141676,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141676,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141676,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141676,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141676,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141676,B100000,00000,0800,0850PAT DAYS :DIETARY 141676,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141676,B100000,00000,1100,1150PAT DAYS :PHARMACY 141676,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141676,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141676,E10A180,00301,0100,01/26/00 141676,S000000,00100,0200,12/01/00 141676,S200000,00100,0100,WASHINGTON HIGHWAY 141676,S200000,00100,0300,312 141676,S200000,00200,0100,UNION POINT 141676,S200000,00200,0200,GA 141676,S200000,00200,0300,30669- 141676,S200000,00300,0100,GREENE 141676,S200000,00300,0200,0011 141676,S200000,00300,0300,R 141676,S200000,00400,0100,GREENE POINT HEALTH CARE 141676,S200000,00400,0200,115488 141676,S200000,00400,0300,08/01/89 141676,S200000,00400,0500,P 141676,S200000,00600,0200,115488 141676,S200000,00600,0300,08/01/89 141676,S200000,00600,0600,O 141676,S200000,01500,0100,N 141676,S200000,01600,0100,Y 141676,S200000,01700,0100,N 141676,S200000,01800,0100,N 141676,S200000,02200,0100,Y 141676,S200000,02800,0100,N 141676,S200000,02900,0100,N 141676,S200000,03000,0100,N 141676,S200000,03100,0100,N 141676,S200000,03200,0100,N 141676,S200000,04100,0100,N 141676,S200000,04200,0100,N 141676,S200000,04300,0100,N 141676,S200000,04600,0100,N 141676,S200000,04700,0100,N 141676,S200000,04700,0200,N 141676,S200000,04900,0100,N 141676,S200000,05000,0100,N 141676,S200000,05100,0100,N 141676,S200000,05200,0100,N 141677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141677,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141677,A000000,00300,0000,0300EMPLOYEE BENEFITS 141677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141677,A000000,00700,0000,0700HOUSEKEEPING 141677,A000000,00800,0000,0800DIETARY 141677,A000000,00900,0000,0900NURSING ADMINISTRATION 141677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141677,A000000,01100,0000,1100PHARMACY 141677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141677,A000000,01300,0000,1300SOCIAL SERVICE 141677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141677,A000000,01600,0000,1600SKILLED NURSING FACILITY 141677,A000000,01800,0000,1800NURSING FACILITY 141677,A000000,01900,0000,1900OTHER LONG TERM CARE 141677,A000000,02100,0000,2100RADIOLOGY 141677,A000000,02200,0000,2200LABORATORY 141677,A000000,02300,0000,2300INTRAVENOUS THERAPY 141677,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141677,A000000,02500,0000,2500PHYSICAL THERAPY 141677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141677,A000000,02700,0000,2700SPEECH PATHOLOGY 141677,A000000,02800,0000,2800ELECTROCARDIOLOGY 141677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141677,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141677,A000000,03200,0000,3200SUPPORT SURFACES 141677,A000000,03400,0000,3400CLINIC 141677,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141677,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141677,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141677,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141677,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141677,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141677,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141677,A000000,04400,0000,4400DME RENTED - HHA 141677,A000000,04500,0000,4500DME SOLD - HHA 141677,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141677,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141677,A000000,04800,0000,4800AMBULANCE 141677,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141677,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141677,A000000,05300,0000,5300INTEREST EXPENSE 141677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141677,A000000,05500,0000,5500HOSPICE 141677,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141677,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141677,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141677,A000000,06100,0000,6100NONPAID WORKERS 141677,A000000,06200,0000,6200PATIENTS LAUNDRY 141677,A81000A,00100,0100,Y 141677,A81000B,00100,0300,MANAGEMENT FEES 141677,A81000B,00200,0300,OLD CAPITAL BUILDING 141677,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141677,A81000B,00400,0300,NEW CAPITAL BUILDING 141677,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141677,A81000B,00600,0300,FUNCTIONAL SALARY 141677,A81000B,00700,0300,FUNCTIONAL SALARY 141677,A81000B,00800,0300,FUNCTIONAL BENEFITS 141677,A81000B,00900,0300,PHARMACY CONSULTANT 141677,A81000B,01000,0300,DIETARY CONSULTANT 141677,A81000B,01100,0300,NURSING MISCELLANEOUS 141677,A81000B,01200,0300,DIETARY SUPPLIES 141677,A81000B,01300,0300,MEDICAL RECORDS SUPPLIES 141677,A81000B,01400,0300,EQUIPMENT RENTAL 141677,A81000B,01500,0300,PT SUPPLIES 141677,A81000B,01600,0300,IV THERAPY 141677,A81000B,01700,0300,IV THERAPY 141677,A81000B,01800,0300,LEASE 141677,A81000B,01900,0300,DEPRECIATION 141677,A81000B,02000,0300,INTEREST 141677,A81000B,02100,0300,AMORTIZATION 141677,A81000C,00100,0100,A 141677,A81000C,00100,0200,ELDERCARE HEALT 141677,A81000C,00100,0400,MEDICAL MATRIX 141677,A81000C,00100,0600,PHARM & DIETARY 141677,A81000C,00200,0100,A 141677,A81000C,00200,0200,GA HOMECARE 141677,A81000C,00200,0400,MEDICAL MATRIX 141677,A81000C,00200,0600,IV THERAPY 141677,A81000C,00300,0100,A 141677,A81000C,00300,0200,GAP MANAGEMENT 141677,A81000C,00300,0400,MEDICAL MATRIX 141677,A81000C,00300,0600,MANAGEMENT 141677,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141677,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141677,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141677,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141677,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141677,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141677,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141677,B100000,00000,0800,0850PAT DAYS :DIETARY 141677,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141677,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 141677,B100000,00000,1100,1150PAT DAYS :PHARMACY 141677,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141677,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141677,E10A180,00301,0100,01/26/00 141677,S000000,00100,0200,12/01/00 141677,S200000,00100,0300,2400 141677,S200000,00200,0100,BUTLER 141677,S200000,00200,0200,GA 141677,S200000,00200,0300,31006- 141677,S200000,00300,0100,TAYLOR 141677,S200000,00300,0200,0011 141677,S200000,00300,0300,R 141677,S200000,00400,0100,TAYLOR COUNTY HEALTH CARE 141677,S200000,00400,0200,115507 141677,S200000,00400,0300,06/06/90 141677,S200000,00400,0500,P 141677,S200000,00600,0200,115507 141677,S200000,00600,0300,06/06/90 141677,S200000,00600,0600,O 141677,S200000,01500,0100,N 141677,S200000,01600,0100,Y 141677,S200000,01700,0100,N 141677,S200000,01800,0100,N 141677,S200000,02200,0100,Y 141677,S200000,02800,0100,N 141677,S200000,02900,0100,N 141677,S200000,03000,0100,N 141677,S200000,03100,0100,N 141677,S200000,03200,0100,N 141677,S200000,04100,0100,N 141677,S200000,04200,0100,N 141677,S200000,04300,0100,N 141677,S200000,04600,0100,N 141677,S200000,04700,0100,N 141677,S200000,04700,0200,N 141677,S200000,04900,0100,N 141677,S200000,05000,0100,N 141677,S200000,05100,0100,N 141677,S200000,05200,0100,N 141678,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141678,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141678,A000000,00300,0000,0300EMPLOYEE BENEFITS 141678,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141678,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141678,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141678,A000000,00700,0000,0700HOUSEKEEPING 141678,A000000,00800,0000,0800DIETARY 141678,A000000,00900,0000,0900NURSING ADMINISTRATION 141678,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141678,A000000,01100,0000,1100PHARMACY 141678,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141678,A000000,01300,0000,1300SOCIAL SERVICE 141678,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141678,A000000,01600,0000,1600SKILLED NURSING FACILITY 141678,A000000,01800,0000,1800NURSING FACILITY 141678,A000000,01900,0000,1900OTHER LONG TERM CARE 141678,A000000,02100,0000,2100RADIOLOGY 141678,A000000,02200,0000,2200LABORATORY 141678,A000000,02300,0000,2300INTRAVENOUS THERAPY 141678,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141678,A000000,02500,0000,2500PHYSICAL THERAPY 141678,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141678,A000000,02700,0000,2700SPEECH PATHOLOGY 141678,A000000,02800,0000,2800ELECTROCARDIOLOGY 141678,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141678,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141678,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141678,A000000,03200,0000,3200SUPPORT SURFACES 141678,A000000,03400,0000,3400CLINIC 141678,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141678,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141678,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141678,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141678,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141678,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141678,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141678,A000000,04400,0000,4400DME RENTED - HHA 141678,A000000,04500,0000,4500DME SOLD - HHA 141678,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141678,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141678,A000000,04800,0000,4800AMBULANCE 141678,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141678,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141678,A000000,05300,0000,5300INTEREST EXPENSE 141678,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141678,A000000,05500,0000,5500HOSPICE 141678,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141678,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141678,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141678,A000000,06100,0000,6100NONPAID WORKERS 141678,A000000,06200,0000,6200PATIENTS LAUNDRY 141678,A81000A,00100,0100,Y 141678,A81000B,00100,0300,MANAGEMENT FEES 141678,A81000B,00200,0300,CAPITAL - BUILDING NEW 141678,A81000B,00300,0300,CAPITAL - EQUIPMENT NEW 141678,A81000B,00400,0300,CAPITAL - BUILDING OLD 141678,A81000B,00500,0300,CAPIAL - EQUIPMENT OLD 141678,A81000B,00600,0300,FUNCTIONAL SALARIES 141678,A81000B,00700,0300,FUNCTIONAL SALARIES 141678,A81000B,00800,0300,FUNCTIONAL BENEFITS 141678,A81000B,00900,0300,IV THERAPY 141678,A81000B,01000,0300,IV THERAPY 141678,A81000B,01100,0300,PT SUPPLIES 141678,A81000B,01200,0300,PHARMACY CONSULTING 141678,A81000B,01300,0300,DIETARY CONSULTING 141678,A81000B,01400,0300,NURSING SUPPLIES 141678,A81000B,01500,0300,NURSING MISCELLANEOUS 141678,A81000B,01600,0300,DIETARY SUPPLIES 141678,A81000B,01700,0300,LEASE 141678,A81000B,01800,0300,DEPRECIATION 141678,A81000B,01900,0300,INTEREST 141678,A81000B,02000,0300,AMORTIZATION 141678,A81000C,00100,0100,A 141678,A81000C,00100,0200,ELDERCARE HLTHC 141678,A81000C,00100,0400,MEDICAL MATRIX 141678,A81000C,00100,0600,PHARM & DIETARY 141678,A81000C,00200,0100,A 141678,A81000C,00200,0200,GEORGIA HOME CR 141678,A81000C,00200,0400,MEDICAL MATRIX 141678,A81000C,00200,0600,IV THERAPY 141678,A81000C,00300,0100,A 141678,A81000C,00300,0200,GAP MANAGEMENT 141678,A81000C,00300,0400,MEDICAL MATRIX 141678,A81000C,00300,0600,MANAGEMENT 141678,A81000C,00400,0100,A 141678,A81000C,00400,0200,HEALTH CARE SO 141678,A81000C,00400,0400,RANDY COODY 141678,A81000C,00400,0600,OWNERSHIP 141678,A81000C,00500,0100,A 141678,A81000C,00500,0200,HEALTH CARE SO 141678,A81000C,00500,0400,HARRIS HARDIN 141678,A81000C,00500,0600,OWNERSHIP 141678,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141678,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141678,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141678,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141678,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141678,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141678,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141678,B100000,00000,0800,0850PAT DAYS :DIETARY 141678,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141678,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 141678,B100000,00000,1100,1150PAT DAYS :PHARMACY 141678,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141678,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141678,E10A180,00301,0100,01/26/00 141678,S000000,00100,0200,12/01/00 141678,S200000,00100,0100,225 HOSPITAL STREET 141678,S200000,00200,0100,PLAINS 141678,S200000,00200,0200,GA 141678,S200000,00200,0300,31780- 141678,S200000,00300,0100,SUMTER 141678,S200000,00300,0200,0011 141678,S200000,00300,0300,R 141678,S200000,00400,0100,LILLAIN G. CARTER 141678,S200000,00400,0200,115550 141678,S200000,00400,0300,07/01/93 141678,S200000,00400,0500,P 141678,S200000,00600,0200,115550 141678,S200000,00600,0300,07/01/93 141678,S200000,00600,0600,O 141678,S200000,01500,0100,N 141678,S200000,01600,0100,Y 141678,S200000,01700,0100,N 141678,S200000,01800,0100,N 141678,S200000,02200,0100,Y 141678,S200000,02800,0100,N 141678,S200000,02900,0100,N 141678,S200000,03000,0100,N 141678,S200000,03100,0100,N 141678,S200000,03200,0100,N 141678,S200000,04100,0100,N 141678,S200000,04200,0100,N 141678,S200000,04300,0100,N 141678,S200000,04600,0100,N 141678,S200000,04700,0100,N 141678,S200000,04700,0200,N 141678,S200000,04900,0100,N 141678,S200000,05000,0100,N 141678,S200000,05100,0100,N 141678,S200000,05200,0100,N 141679,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141679,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141679,A000000,00300,0000,0300EMPLOYEE BENEFITS 141679,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141679,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141679,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141679,A000000,00700,0000,0700HOUSEKEEPING 141679,A000000,00800,0000,0800DIETARY 141679,A000000,00900,0000,0900NURSING ADMINISTRATION 141679,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141679,A000000,01100,0000,1100PHARMACY 141679,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141679,A000000,01300,0000,1300SOCIAL SERVICE 141679,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141679,A000000,01600,0000,1600SKILLED NURSING FACILITY 141679,A000000,01800,0000,1800NURSING FACILITY 141679,A000000,01900,0000,1900OTHER LONG TERM CARE 141679,A000000,02100,0000,2100RADIOLOGY 141679,A000000,02200,0000,2200LABORATORY 141679,A000000,02300,0000,2300INTRAVENOUS THERAPY 141679,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141679,A000000,02500,0000,2500PHYSICAL THERAPY 141679,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141679,A000000,02700,0000,2700SPEECH PATHOLOGY 141679,A000000,02800,0000,2800ELECTROCARDIOLOGY 141679,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141679,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141679,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141679,A000000,03200,0000,3200SUPPORT SURFACES 141679,A000000,03400,0000,3400CLINIC 141679,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141679,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141679,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141679,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141679,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141679,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141679,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141679,A000000,04400,0000,4400DME RENTED - HHA 141679,A000000,04500,0000,4500DME SOLD - HHA 141679,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141679,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141679,A000000,04800,0000,4800AMBULANCE 141679,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141679,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141679,A000000,05300,0000,5300INTEREST EXPENSE 141679,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141679,A000000,05500,0000,5500HOSPICE 141679,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141679,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141679,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141679,A000000,06100,0000,6100NONPAID WORKERS 141679,A000000,06200,0000,6200PATIENTS LAUNDRY 141679,A81000A,00100,0100,Y 141679,A81000B,00100,0300,MANAGEMENT FEES 141679,A81000B,00200,0300,OLD CAPITAL BUILDING 141679,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141679,A81000B,00400,0300,NEW CAPITAL BUILDING 141679,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141679,A81000B,00600,0300,FUNCTIONAL SALARY 141679,A81000B,00700,0300,FUNCTIONAL SALARY 141679,A81000B,00800,0300,FUNCTIONAL BENEFITS 141679,A81000B,00900,0300,MEDICAL RECORDS SUPPLIES 141679,A81000B,01000,0300,PHARMACY CONSULTANT 141679,A81000B,01100,0300,DIETARY CONSULTANT 141679,A81000B,01200,0300,IV THERAPY 141679,A81000B,01300,0300,IV THERAPY 141679,A81000C,00100,0100,A 141679,A81000C,00100,0200,ELDERCARE HEALT 141679,A81000C,00100,0400,MEDICAL MATRIX 141679,A81000C,00100,0600,PHARM & DIETARY 141679,A81000C,00200,0100,A 141679,A81000C,00200,0200,GA HOMECARE 141679,A81000C,00200,0400,MEDICAL MATRIX 141679,A81000C,00200,0600,IV THERAPY 141679,A81000C,00300,0100,A 141679,A81000C,00300,0200,GAP MANAGEMENT 141679,A81000C,00300,0400,MEDICAL MATRIX 141679,A81000C,00300,0600,MANAGEMENT 141679,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141679,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141679,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141679,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141679,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141679,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141679,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141679,B100000,00000,0800,0850PAT DAYS :DIETARY 141679,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141679,B100000,00000,1100,1150PAT DAYS :PHARMACY 141679,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141679,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141679,E10A180,00301,0100,01/27/00 141679,S000000,00100,0200,12/01/00 141679,S200000,00100,0300,459 141679,S200000,00200,0100,WAVERLY HALL 141679,S200000,00200,0200,GA 141679,S200000,00200,0300,31831- 141679,S200000,00300,0100,HARRIS 141679,S200000,00300,0200,1800 141679,S200000,00300,0300,U 141679,S200000,00400,0100,OAK VIEW HOME 141679,S200000,00400,0200,115576 141679,S200000,00400,0300,11/01/94 141679,S200000,00400,0500,P 141679,S200000,00600,0200,115576 141679,S200000,00600,0300,11/01/94 141679,S200000,00600,0600,O 141679,S200000,01500,0100,N 141679,S200000,01600,0100,Y 141679,S200000,01700,0100,N 141679,S200000,01800,0100,N 141679,S200000,02200,0100,Y 141679,S200000,02800,0100,N 141679,S200000,02900,0100,N 141679,S200000,03000,0100,N 141679,S200000,03100,0100,N 141679,S200000,03200,0100,N 141679,S200000,04100,0100,N 141679,S200000,04200,0100,N 141679,S200000,04300,0100,N 141679,S200000,04600,0100,N 141679,S200000,04700,0100,N 141679,S200000,04700,0200,N 141679,S200000,04900,0100,N 141679,S200000,05000,0100,N 141679,S200000,05100,0100,N 141679,S200000,05200,0100,N 141680,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141680,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141680,A000000,00300,0000,0300EMPLOYEE BENEFITS 141680,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141680,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141680,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141680,A000000,00700,0000,0700HOUSEKEEPING 141680,A000000,00800,0000,0800DIETARY 141680,A000000,00900,0000,0900NURSING ADMINISTRATION 141680,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141680,A000000,01100,0000,1100PHARMACY 141680,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141680,A000000,01300,0000,1300SOCIAL SERVICE 141680,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141680,A000000,01600,0000,1600SKILLED NURSING FACILITY 141680,A000000,01800,0000,1800NURSING FACILITY 141680,A000000,01900,0000,1900OTHER LONG TERM CARE 141680,A000000,02100,0000,2100RADIOLOGY 141680,A000000,02200,0000,2200LABORATORY 141680,A000000,02300,0000,2300INTRAVENOUS THERAPY 141680,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141680,A000000,02500,0000,2500PHYSICAL THERAPY 141680,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141680,A000000,02700,0000,2700SPEECH PATHOLOGY 141680,A000000,02800,0000,2800ELECTROCARDIOLOGY 141680,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141680,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141680,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141680,A000000,03200,0000,3200SUPPORT SURFACES 141680,A000000,03400,0000,3400CLINIC 141680,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141680,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141680,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141680,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141680,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141680,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141680,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141680,A000000,04400,0000,4400DME RENTED - HHA 141680,A000000,04500,0000,4500DME SOLD - HHA 141680,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141680,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141680,A000000,04800,0000,4800AMBULANCE 141680,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141680,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141680,A000000,05300,0000,5300INTEREST EXPENSE 141680,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141680,A000000,05500,0000,5500HOSPICE 141680,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141680,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141680,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141680,A000000,06100,0000,6100NONPAID WORKERS 141680,A000000,06200,0000,6200PATIENTS LAUNDRY 141680,A81000A,00100,0100,Y 141680,A81000B,00100,0300,MANAGEMENT FEES 141680,A81000B,00200,0300,OLD CAPITAL BUILDING 141680,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141680,A81000B,00400,0300,NEW CAPITAL BUILDING 141680,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141680,A81000B,00600,0300,FUNCTIONAL SALARY 141680,A81000B,00700,0300,FUNCTIONAL SALARY 141680,A81000B,00800,0300,FUNCTIONAL BENEFITS 141680,A81000B,00900,0300,PHARMACY CONSULTANT 141680,A81000B,01000,0300,DIETARY CONSULTANT 141680,A81000B,01100,0300,NURSING MISCELLANEOUS 141680,A81000B,01200,0300,DIETARY SUPPLIES 141680,A81000B,01300,0300,LEASE 141680,A81000B,01400,0300,DEPRECIATION 141680,A81000B,01500,0300,INTEREST 141680,A81000B,01600,0300,AMORTIZATION 141680,A81000C,00100,0100,A 141680,A81000C,00100,0200,ELDERCARE HEALT 141680,A81000C,00100,0400,MEDICAL MATRIX 141680,A81000C,00100,0600,PHARM & DIETARY 141680,A81000C,00200,0100,A 141680,A81000C,00200,0200,GA HOMECARE 141680,A81000C,00200,0400,MEDICAL MATRIX 141680,A81000C,00200,0600,IV THERAPY 141680,A81000C,00300,0100,A 141680,A81000C,00300,0200,GAP MANAGEMENT 141680,A81000C,00300,0400,MEDICAL MATRIX 141680,A81000C,00300,0600,MANAGEMENT 141680,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141680,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141680,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141680,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141680,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141680,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141680,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141680,B100000,00000,0800,0850PAT DAYS :DIETARY 141680,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141680,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 141680,B100000,00000,1100,1150PAT DAYS :PHARMACY 141680,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141680,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141680,E10A180,00301,0100,01/26/00 141680,S000000,00100,0200,12/01/00 141680,S200000,00100,0100,214 NORTH MAIN STREET 141680,S200000,00100,0300,859 141680,S200000,00200,0100,LEESBURG 141680,S200000,00200,0200,GA 141680,S200000,00200,0300,31763- 141680,S200000,00300,0100,LEE 141680,S200000,00300,0200,0120 141680,S200000,00300,0300,U 141680,S200000,00400,0100,LEE COUNTY HEALTH CARE 141680,S200000,00400,0200,115614 141680,S200000,00400,0300,08/01/96 141680,S200000,00400,0500,P 141680,S200000,00600,0200,115614 141680,S200000,00600,0300,08/01/96 141680,S200000,00600,0600,O 141680,S200000,01500,0100,N 141680,S200000,01600,0100,Y 141680,S200000,01700,0100,N 141680,S200000,01800,0100,N 141680,S200000,02200,0100,Y 141680,S200000,02800,0100,Y 141680,S200000,02900,0100,N 141680,S200000,03000,0100,N 141680,S200000,03100,0100,N 141680,S200000,03200,0100,N 141680,S200000,04100,0100,N 141680,S200000,04200,0100,N 141680,S200000,04300,0100,N 141680,S200000,04600,0100,N 141680,S200000,04700,0100,N 141680,S200000,04700,0200,N 141680,S200000,04900,0100,N 141680,S200000,05000,0100,N 141680,S200000,05100,0100,N 141680,S200000,05200,0100,N 141681,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141681,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141681,A000000,00300,0000,0300EMPLOYEE BENEFITS 141681,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141681,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141681,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141681,A000000,00700,0000,0700HOUSEKEEPING 141681,A000000,00800,0000,0800DIETARY 141681,A000000,00900,0000,0900NURSING ADMINISTRATION 141681,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141681,A000000,01100,0000,1100PHARMACY 141681,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141681,A000000,01300,0000,1300SOCIAL SERVICE 141681,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141681,A000000,01600,0000,1600SKILLED NURSING FACILITY 141681,A000000,01800,0000,1800NURSING FACILITY 141681,A000000,01900,0000,1900OTHER LONG TERM CARE 141681,A000000,02100,0000,2100RADIOLOGY 141681,A000000,02200,0000,2200LABORATORY 141681,A000000,02300,0000,2300INTRAVENOUS THERAPY 141681,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141681,A000000,02500,0000,2500PHYSICAL THERAPY 141681,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141681,A000000,02700,0000,2700SPEECH PATHOLOGY 141681,A000000,02800,0000,2800ELECTROCARDIOLOGY 141681,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141681,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141681,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141681,A000000,03200,0000,3200SUPPORT SURFACES 141681,A000000,03400,0000,3400CLINIC 141681,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141681,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141681,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141681,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141681,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141681,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141681,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141681,A000000,04400,0000,4400DME RENTED - HHA 141681,A000000,04500,0000,4500DME SOLD - HHA 141681,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141681,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141681,A000000,04800,0000,4800AMBULANCE 141681,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141681,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141681,A000000,05300,0000,5300INTEREST EXPENSE 141681,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141681,A000000,05500,0000,5500HOSPICE 141681,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141681,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141681,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141681,A000000,06100,0000,6100NONPAID WORKERS 141681,A000000,06200,0000,6200PATIENTS LAUNDRY 141681,A81000A,00100,0100,Y 141681,A81000B,00100,0300,MANAGEMENT FEES 141681,A81000B,00200,0300,OLD CAPITAL BUILDING 141681,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141681,A81000B,00400,0300,NEW CAPITAL BUILDING 141681,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141681,A81000B,00600,0300,FUNCTIONAL SALARY 141681,A81000B,00700,0300,FUNCTIONAL SALARY 141681,A81000B,00800,0300,FUNCTIONAL BENEFITS 141681,A81000B,00900,0300,PHARMACY CONSULTANT 141681,A81000B,01000,0300,DIETARY CONSULTANT 141681,A81000B,01100,0300,IV THERAPY 141681,A81000B,01200,0300,IV THERAPY 141681,A81000C,00100,0100,A 141681,A81000C,00100,0200,ELDERCARE HEALT 141681,A81000C,00100,0400,MEDICAL MATRIX 141681,A81000C,00100,0600,PHARM & DIETARY 141681,A81000C,00200,0100,A 141681,A81000C,00200,0200,GA HOMECARE 141681,A81000C,00200,0400,MEDICAL MATRIX 141681,A81000C,00200,0600,IV THERAPY 141681,A81000C,00300,0100,A 141681,A81000C,00300,0200,GAP MANAGEMENT 141681,A81000C,00300,0400,MEDICAL MATRIX 141681,A81000C,00300,0600,MANAGEMENT 141681,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141681,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141681,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141681,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141681,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141681,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141681,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141681,B100000,00000,0800,0850PAT DAYS :DIETARY 141681,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141681,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 141681,B100000,00000,1100,1150PAT DAYS :PHARMACY 141681,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141681,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141681,E10A180,00301,0100,01/26/00 141681,S000000,00100,0200,12/01/00 141681,S200000,00100,0100,3520 KENNETH DRIVE 141681,S200000,00200,0100,MACON 141681,S200000,00200,0200,GA 141681,S200000,00200,0300,31206- 141681,S200000,00300,0100,BIBB 141681,S200000,00300,0200,4680 141681,S200000,00300,0300,U 141681,S200000,00400,0100,CHERRY BLOSSOM HEALTH CARE 141681,S200000,00400,0200,115652 141681,S200000,00400,0300,02/01/98 141681,S200000,00400,0500,P 141681,S200000,00600,0200,115652 141681,S200000,00600,0300,02/01/98 141681,S200000,00600,0600,O 141681,S200000,01500,0100,Y 141681,S200000,01600,0100,N 141681,S200000,01700,0100,N 141681,S200000,01800,0100,N 141681,S200000,02200,0100,Y 141681,S200000,02800,0100,N 141681,S200000,02900,0100,N 141681,S200000,03000,0100,N 141681,S200000,03100,0100,N 141681,S200000,03200,0100,N 141681,S200000,04100,0100,N 141681,S200000,04200,0100,N 141681,S200000,04300,0100,N 141681,S200000,04600,0100,N 141681,S200000,04700,0100,N 141681,S200000,04700,0200,N 141681,S200000,04900,0100,N 141681,S200000,05000,0100,N 141681,S200000,05100,0100,N 141681,S200000,05200,0100,N 141689,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141689,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141689,A000000,00300,0000,0300EMPLOYEE BENEFITS 141689,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141689,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141689,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141689,A000000,00700,0000,0700HOUSEKEEPING 141689,A000000,00800,0000,0800DIETARY 141689,A000000,00900,0000,0900NURSING ADMINISTRATION 141689,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141689,A000000,01100,0000,1100PHARMACY 141689,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141689,A000000,01300,0000,1300SOCIAL SERVICE 141689,A000000,01600,0000,1600SKILLED NURSING FACILITY 141689,A000000,01800,0000,1800NURSING FACILITY 141689,A000000,01900,0000,1900OTHER LONG TERM CARE 141689,A000000,02100,0000,2100RADIOLOGY 141689,A000000,02200,0000,2200LABORATORY 141689,A000000,02300,0000,2300INTRAVENOUS THERAPY 141689,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141689,A000000,02500,0000,2500PHYSICAL THERAPY 141689,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141689,A000000,02700,0000,2700SPEECH PATHOLOGY 141689,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141689,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141689,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 141689,A000000,04800,0000,4800AMBULANCE 141689,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141689,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141689,A81000A,00100,0100,Y 141689,A81000B,00100,0300,HOME OFFICE ALLOC 141689,A81000B,00200,0300,HOME OFFICE ALLOC 141689,A81000B,00300,0300,PHARMACY 141689,A81000B,00400,0300,PHYSICAL THERAPY 141689,A81000B,00500,0300,OCCUPATIONAL THERAPY 141689,A81000B,00600,0300,SPEECH THERAPY 141689,A81000C,00100,0100,A 141689,A81000C,00100,0200,COVENANT CARE INC 141689,A81000C,00100,0400,COVENANT CARE INC. 141689,A81000C,00100,0600,HEALTH CARE 141689,A81000C,00200,0100,B 141689,A81000C,00200,0200,PHARMACY 141689,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 141689,A81000C,00200,0600,PHARMACY - HEALTH CARE 141689,A81000C,00300,0100,C 141689,A81000C,00300,0200,THERAPY 141689,A81000C,00300,0400,SELECT THEREAPY 141689,A81000C,00300,0600,THERAPY SERVICES 141689,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 141689,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 141689,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 141689,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141689,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 141689,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 141689,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 141689,B100000,00000,0800,0850PATIENT DAYS :DIETARY 141689,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 141689,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 141689,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 141689,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 141689,S000000,00100,0200,06/01/00 141689,S200000,00100,0100,1929 NORTH FAIRVIEW STREET 141689,S200000,00200,0100,SANTA ANA 141689,S200000,00200,0200,CA 141689,S200000,00200,0300,92706- 141689,S200000,00300,0100,ORANGE 141689,S200000,00300,0200,5945 141689,S200000,00300,0300,U 141689,S200000,00400,0100,ST. EDNA SUB-ACUTE & REHAB. CENTER 141689,S200000,00400,0200,555093 141689,S200000,00400,0300,08/11/78 141689,S200000,00400,0500,P 141689,S200000,00600,0200,555093 141689,S200000,00600,0300,08/11/78 141689,S200000,00600,0600,P 141689,S200000,01500,0100,N 141689,S200000,01600,0100,Y 141689,S200000,01700,0100,N 141689,S200000,01800,0100,N 141689,S200000,02200,0100,N 141689,S200000,02800,0100,N 141689,S200000,02900,0100,N 141689,S200000,03000,0100,N 141689,S200000,03100,0100,N 141689,S200000,03200,0100,N 141689,S200000,04100,0100,N 141689,S200000,04200,0100,N 141689,S200000,04300,0100,N 141689,S200000,04600,0100,N 141689,S200000,04700,0100,N 141689,S200000,04700,0200,N 141689,S200000,04900,0100,N 141689,S200000,05000,0100,N 141689,S200000,05100,0100,N 141689,S200000,05200,0100,N 141770,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 141770,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 141770,A000000,00300,0000,0300EMPLOYEE BENEFITS 141770,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 141770,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 141770,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 141770,A000000,00700,0000,0700HOUSEKEEPING 141770,A000000,00800,0000,0800DIETARY 141770,A000000,00900,0000,0900NURSING ADMINISTRATION 141770,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 141770,A000000,01100,0000,1100PHARMACY 141770,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 141770,A000000,01300,0000,1300SOCIAL SERVICE 141770,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 141770,A000000,01600,0000,1600SKILLED NURSING FACILITY 141770,A000000,01800,0000,1800NURSING FACILITY 141770,A000000,01900,0000,1900OTHER LONG TERM CARE 141770,A000000,02100,0000,2100RADIOLOGY 141770,A000000,02200,0000,2200LABORATORY 141770,A000000,02300,0000,2300INTRAVENOUS THERAPY 141770,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 141770,A000000,02500,0000,2500PHYSICAL THERAPY 141770,A000000,02600,0000,2600OCCUPATIONAL THERAPY 141770,A000000,02700,0000,2700SPEECH PATHOLOGY 141770,A000000,02800,0000,2800ELECTROCARDIOLOGY 141770,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 141770,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 141770,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 141770,A000000,03200,0000,3200SUPPORT SURFACES 141770,A000000,03400,0000,3400CLINIC 141770,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 141770,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 141770,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 141770,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 141770,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 141770,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 141770,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 141770,A000000,04400,0000,4400DME RENTED - HHA 141770,A000000,04500,0000,4500DME SOLD - HHA 141770,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 141770,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 141770,A000000,04800,0000,4800AMBULANCE 141770,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 141770,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 141770,A000000,05300,0000,5300INTEREST EXPENSE 141770,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 141770,A000000,05500,0000,5500HOSPICE 141770,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 141770,A000000,05900,0000,5900BARBER & BEAUTY SHOP 141770,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 141770,A000000,06100,0000,6100NONPAID WORKERS 141770,A000000,06200,0000,6200PATIENTS LAUNDRY 141770,A81000A,00100,0100,Y 141770,A81000B,00100,0300,MANAGEMENT FEES 141770,A81000B,00200,0300,OLD CAPITAL BUILDING 141770,A81000B,00300,0300,OLD CAPITAL EQUIPMENT 141770,A81000B,00400,0300,NEW CAPITAL BUILDING 141770,A81000B,00500,0300,NEW CAPITAL EQUIPMENT 141770,A81000B,00600,0300,FUNCTIONAL SALARY 141770,A81000B,00700,0300,FUNCTIONAL SALARY 141770,A81000B,00800,0300,FUNCTIONAL BENEFITS 141770,A81000B,00900,0300,PHARMACY CONSULTANT 141770,A81000B,01000,0300,DIETARY CONSULTANT 141770,A81000B,01100,0300,IV THERAPY 141770,A81000B,01200,0300,IV THERAPY 141770,A81000C,00100,0100,A 141770,A81000C,00100,0200,ELDERCARE HEALT 141770,A81000C,00100,0400,MEDICAL MATRIX 141770,A81000C,00100,0600,PHARM & DIETARY 141770,A81000C,00200,0100,A 141770,A81000C,00200,0200,GA HOMECARE 141770,A81000C,00200,0400,MEDICAL MATRIX 141770,A81000C,00200,0600,IV THERAPY 141770,A81000C,00300,0100,A 141770,A81000C,00300,0200,GAP MANAGEMENT 141770,A81000C,00300,0400,MEDICAL MATRIX 141770,A81000C,00300,0600,MANAGEMENT 141770,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 141770,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 141770,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 141770,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 141770,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 141770,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 141770,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 141770,B100000,00000,0800,0850PAT DAYS :DIETARY 141770,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 141770,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 141770,B100000,00000,1100,1150PAT DAYS :PHARMACY 141770,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 141770,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 141770,E10A180,00301,0100,01/26/00 141770,S000000,00100,0200,12/01/00 141770,S200000,00100,0100,1011 S. GREEN STREET 141770,S200000,00200,0100,THOMASTON 141770,S200000,00200,0200,GA 141770,S200000,00200,0300,30286- 141770,S200000,00300,0100,UPSON 141770,S200000,00300,0200,0011 141770,S200000,00300,0300,R 141770,S200000,00400,0100,PROVIDENCE HEALTHCARE OF THOMASTON 141770,S200000,00400,0200,115484 141770,S200000,00400,0300,10/01/89 141770,S200000,00400,0500,P 141770,S200000,00600,0200,115484 141770,S200000,00600,0300,10/01/89 141770,S200000,00600,0600,O 141770,S200000,01500,0100,N 141770,S200000,01600,0100,Y 141770,S200000,01700,0100,N 141770,S200000,01800,0100,N 141770,S200000,02200,0100,Y 141770,S200000,02800,0100,N 141770,S200000,02900,0100,N 141770,S200000,03000,0100,N 141770,S200000,03100,0100,N 141770,S200000,03200,0100,N 141770,S200000,04100,0100,N 141770,S200000,04200,0100,N 141770,S200000,04300,0100,N 141770,S200000,04600,0100,N 141770,S200000,04700,0100,N 141770,S200000,04700,0200,N 141770,S200000,04900,0100,N 141770,S200000,05000,0100,N 141770,S200000,05100,0100,N 141770,S200000,05200,0100,N 142137,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 142137,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 142137,A000000,00300,0000,0300EMPLOYEE BENEFITS 142137,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142137,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 142137,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142137,A000000,00700,0000,0700HOUSEKEEPING 142137,A000000,00800,0000,0800DIETARY 142137,A000000,00900,0000,0900NURSING ADMINISTRATION 142137,A000000,01100,0000,1100PHARMACY 142137,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142137,A000000,01300,0000,1300SOCIAL SERVICE 142137,A000000,01500,0000,1350OTHER GENERAL SERVICES 142137,A000000,01501,0000,1351PATIENT ACTIVITIES 142137,A000000,01600,0000,1600SKILLED NURSING FACILITY 142137,A000000,01800,0000,1800NURSING FACILITY 142137,A000000,01900,0000,1900OTHER LONG TERM CARE 142137,A000000,02100,0000,2100RADIOLOGY 142137,A000000,02200,0000,2200LABORATORY 142137,A000000,02300,0000,2300INTRAVENOUS THERAPY 142137,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 142137,A000000,02500,0000,2500PHYSICAL THERAPY 142137,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142137,A000000,02700,0000,2700SPEECH PATHOLOGY 142137,A000000,02800,0000,2800ELECTROCARDIOLOGY 142137,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 142137,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142137,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 142137,A000000,03200,0000,3200SUPPORT SURFACES 142137,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 142137,A000000,05300,0000,5300INTEREST EXPENSE 142137,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 142137,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 142137,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 142137,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142137,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 142137,A000000,06100,0000,6100NONPAID WORKERS 142137,A000000,06200,0000,6200PATIENTS LAUNDRY 142137,A000000,06201,0000,6201WALKER POINT 142137,A000000,06202,0000,6202CHASE POINT 142137,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 142137,A81000A,00100,0100,Y 142137,A81000B,00200,0300,LAB 142137,A81000C,00100,0100,B 142137,A81000C,00100,0200,MILES HEALTH CARE INC. 142137,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 142137,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 142137,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 142137,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 142137,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 142137,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 142137,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 142137,B100000,00000,0800,0800MEALS SERVED :DIETARY 142137,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 142137,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 142137,B100000,00000,1501,1351TIME SPENT :PATIENT ACTIVITIES 142137,S000000,00100,0200,02/29/00 142137,S200000,00100,0100,BRISTOL ROAD 142137,S200000,00200,0100,DAMARISCOTTA 142137,S200000,00200,0200,ME 142137,S200000,00200,0300,04543- 142137,S200000,00300,0100,LINCOLN 142137,S200000,00300,0200,9920 142137,S200000,00300,0300,R 142137,S200000,00400,0100,COVE S EDGE 142137,S200000,00400,0200,205067 142137,S200000,00400,0300,06/29/91 142137,S200000,00400,0500,P 142137,S200000,00600,0600,O 142137,S200000,01500,0100,N 142137,S200000,01600,0100,Y 142137,S200000,01700,0100,N 142137,S200000,01800,0100,N 142137,S200000,02200,0100,N 142137,S200000,02800,0100,N 142137,S200000,02900,0100,N 142137,S200000,03000,0100,N 142137,S200000,03100,0100,N 142137,S200000,03200,0100,N 142137,S200000,04100,0100,N 142137,S200000,04200,0100,N 142137,S200000,04300,0100,N 142137,S200000,04600,0100,N 142137,S200000,04700,0100,N 142137,S200000,04700,0200,N 142137,S200000,04900,0100,N 142137,S200000,05000,0100,N 142137,S200000,05100,0100,N 142137,S200000,05200,0100,N 142182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142182,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142182,A000000,00300,0000,0300EMPLOYEE BENEFITS 142182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142182,A000000,00700,0000,0700HOUSEKEEPING 142182,A000000,00800,0000,0800DIETARY 142182,A000000,00900,0000,0900NURSING ADMINISTRATION 142182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142182,A000000,01100,0000,1100PHARMACY 142182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142182,A000000,01300,0000,1300SOCIAL SERVICE 142182,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142182,A000000,01600,0000,1600SKILLED NURSING FACILITY 142182,A000000,01800,0000,1800NURSING FACILITY 142182,A000000,01810,0000,1810ICF/MR 142182,A000000,02100,0000,2100RADIOLOGY 142182,A000000,02200,0000,2200LABORATORY 142182,A000000,02500,0000,2500PHYSICAL THERAPY 142182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142182,A000000,02700,0000,2700SPEECH PATHOLOGY 142182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142182,A000000,03550,0000,3550FQHC 142182,A000000,05000,0000,5000CORF 142182,A000000,05010,0000,5010CMHC 142182,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142182,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142182,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142182,A000000,05300,0000,5300INTEREST EXPENSE 142182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 142182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142182,A81000A,00100,0100,Y 142182,A81000B,00100,0300,MGMT FEES 142182,A81000C,00100,0100,A 142182,A81000C,00100,0200,ROBERT WACHTER 142182,A81000C,00100,0400,AMERICAN HEALTHCARE MGMT 142182,A81000C,00100,0600,MGMT 142182,B100000,00000,0100,0100SQUARE FEET 142182,B100000,00000,0200,0200SQUARE FEET 142182,B100000,00000,0300,0300GROSS SALARIES 142182,B100000,00000,0400,0400ACCUM COST 142182,B100000,00000,0500,0500SQUARE FEET 142182,B100000,00000,0600,0600POUNDS OF LAUNDRY 142182,B100000,00000,0700,0700SQUARE FEET 142182,B100000,00000,0800,0800MEALS SERVED 142182,B100000,00000,0900,0900HOURS OF SERVICE 142182,B100000,00000,1000,1000COSTED REQUIS 142182,B100000,00000,1100,1100COSTED REQUIS 142182,B100000,00000,1200,1200TIME SPENT 142182,B100000,00000,1300,1300TIME SPENT 142182,B100000,00000,1400,1400ASSIGNED TIME 142182,E10A180,00501,0100,06/27/01 142182,E10A180,00550,0300,06/27/01 142182,S000000,00100,0200,05/22/00 142182,S200000,00100,0100,3450 RUSSELL BLVD 142182,S200000,00200,0100,ST. LOUIS 142182,S200000,00200,0200,MO 142182,S200000,00200,0300,63104 142182,S200000,00300,0100,ST. LOUIS 142182,S200000,00300,0200,7040 142182,S200000,00300,0300,U 142182,S200000,00400,0100,AHM SKILLED & ASSISTED LIVING CENTER 142182,S200000,00400,0200,265567 142182,S200000,00400,0300,06/01/99 142182,S200000,00400,0500,P 142182,S200000,01500,0100,N 142182,S200000,01600,0100,Y 142182,S200000,01700,0100,N 142182,S200000,01800,0100,N 142182,S200000,02200,0100,N 142182,S200000,02800,0100,N 142182,S200000,02900,0100,N 142182,S200000,03000,0100,N 142182,S200000,03100,0100,N 142182,S200000,03200,0100,N 142182,S200000,03300,0100,N 142182,S200000,03300,0200,N 142182,S200000,04100,0100,N 142182,S200000,04200,0100,N 142182,S200000,04300,0100,N 142182,S200000,04600,0100,N 142182,S200000,04700,0100,N 142182,S200000,04900,0100,N 142182,S200000,05200,0100,N 142499,S000000,00100,0200,06/01/00 142499,S200000,00100,0300,565 142499,S200000,00200,0100,CHEYENE WELLS 142499,S200000,00200,0200,CO 142499,S200000,00200,0300,80810 142499,S200000,00300,0100,CHEYENE 142499,S200000,00400,0100,CHEYENE MANOR 142499,S200000,00400,0300,04/13/99 142502,S000000,00100,0200,01/12/00 142515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142515,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142515,A000000,00300,0000,0300EMPLOYEE BENEFITS 142515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142515,A000000,00700,0000,0700HOUSEKEEPING 142515,A000000,00800,0000,0800DIETARY 142515,A000000,00900,0000,0900NURSING ADMINISTRATION 142515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142515,A000000,01100,0000,1100PHARMACY 142515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142515,A000000,01300,0000,1300SOCIAL SERVICE 142515,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142515,A000000,01600,0000,1600SKILLED NURSING FACILITY 142515,A000000,01810,0000,1810ICF/MR 142515,A000000,02100,0000,2100RADIOLOGY 142515,A000000,02200,0000,2200LABORATORY 142515,A000000,02300,0000,2300INTRAVENOUS THERAPY 142515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 142515,A000000,02500,0000,2500PHYSICAL THERAPY 142515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142515,A000000,02700,0000,2700SPEECH PATHOLOGY 142515,A000000,02800,0000,2800ELECTROCARDIOLOGY 142515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142515,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 142515,A000000,03550,0000,3550FQHC 142515,A000000,05000,0000,5000CORF 142515,A000000,05010,0000,5010CMHC 142515,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142515,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142515,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142515,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 142515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142515,A81000A,00100,0100,Y 142515,A81000B,00100,0300,H.O. CAP REL BLDG & FIXTURES 142515,A81000B,00200,0300,H.O. CAP REL MME 142515,A81000B,00300,0300,H.O. ADMIN & FIELD SUPER- LECC 142515,A81000B,00400,0300,H.O. CAP RELATED ADMIN & GEN 142515,A81000B,00500,0300,H.O. ADMIN & FIELD SUPERVISION 142515,A81000C,00100,0100,F 142515,A81000C,00100,0200,ELTON BEEBE 142515,A81000C,00100,0400,MAGNOLIA MANAGEMENT 142515,A81000C,00100,0600,MANAGEMENT COMPANY 142515,A81000C,00200,0100,B 142515,A81000C,00200,0200,LA EXTENDED CARE CENTERS 142515,B100000,00000,0100,0100SQUARE FEET 142515,B100000,00000,0200,0200SQUARE FEET 142515,B100000,00000,0300,0300GROSS SALARIES 142515,B100000,00000,0400,0400ACCUM COST 142515,B100000,00000,0500,0500SQUARE FEET 142515,B100000,00000,0600,0600POUNDS OF LAUNDRY 142515,B100000,00000,0700,0700SQUARE FEET 142515,B100000,00000,0800,0800MEALS SERVED 142515,B100000,00000,0900,0900DIRECT NRSING HRS 142515,B100000,00000,1000,1000COSTED REQUIS 142515,B100000,00000,1100,1100COSTED REQUIS 142515,B100000,00000,1200,1200TIME SPENT 142515,B100000,00000,1300,1300TIME SPENT 142515,B100000,00000,1400,1400ASSIGNED TIME 142515,E10A180,00501,0100,06/14/00 142515,E10A180,00501,0300,09/13/00 142515,E10A180,00502,0300,01/10/03 142515,E10A180,00550,0100,01/10/03 142515,S000000,00100,0200,07/21/00 142515,S200000,00100,0100,160 DUCHARME ROAD 142515,S200000,00200,0100,OPELOUSAS 142515,S200000,00200,0200,LA 142515,S200000,00200,0300,70570 142515,S200000,00300,0100,ST. LANDRY 142515,S200000,00300,0200,3880 142515,S200000,00300,0300,U 142515,S200000,00400,0100,SENIOR VILLAGE NURSING HOME 142515,S200000,00400,0200,195318 142515,S200000,00400,0300,02/01/95 142515,S200000,00400,0500,P 142515,S200000,01500,0100,Y 142515,S200000,01600,0100,N 142515,S200000,01700,0100,N 142515,S200000,01800,0100,N 142515,S200000,02200,0100,Y 142515,S200000,02800,0100,N 142515,S200000,02900,0100,N 142515,S200000,03000,0100,N 142515,S200000,03100,0100,N 142515,S200000,03200,0100,N 142515,S200000,03300,0100,N 142515,S200000,03300,0200,N 142515,S200000,04100,0100,N 142515,S200000,04200,0100,N 142515,S200000,04300,0100,N 142515,S200000,04600,0100,N 142515,S200000,04700,0100,N 142515,S200000,04700,0200,N 142515,S200000,04900,0100,N 142516,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142516,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142516,A000000,00300,0000,0300EMPLOYEE BENEFITS 142516,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142516,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142516,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142516,A000000,00700,0000,0700HOUSEKEEPING 142516,A000000,00800,0000,0800DIETARY 142516,A000000,00900,0000,0900NURSING ADMINISTRATION 142516,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142516,A000000,01100,0000,1100PHARMACY 142516,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142516,A000000,01300,0000,1300SOCIAL SERVICE 142516,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142516,A000000,01600,0000,1600SKILLED NURSING FACILITY 142516,A000000,01800,0000,1800NURSING FACILITY 142516,A000000,01810,0000,1810ICF/MR 142516,A000000,02100,0000,2100RADIOLOGY 142516,A000000,02200,0000,2200LABORATORY 142516,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 142516,A000000,02500,0000,2500PHYSICAL THERAPY 142516,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142516,A000000,02700,0000,2700SPEECH PATHOLOGY 142516,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142516,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142516,A000000,03550,0000,3550FQHC 142516,A000000,05000,0000,5000CORF 142516,A000000,05010,0000,5010CMHC 142516,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142516,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142516,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142516,A000000,05300,0000,5300INTEREST EXPENSE 142516,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142516,A81000A,00100,0100,N 142516,B100000,00000,0100,0100SQUARE FEET 142516,B100000,00000,0200,0200SQUARE FEET 142516,B100000,00000,0300,0300GROSS SALARIES 142516,B100000,00000,0400,0400ACCUM COST 142516,B100000,00000,0500,0500SQUARE FEET 142516,B100000,00000,0600,0600PATIENT DAYS 142516,B100000,00000,0700,0700SQUARE FEET 142516,B100000,00000,0800,0800MEALS SERVED 142516,B100000,00000,0900,0900HOURS SUPERVISED 142516,B100000,00000,1000,1000COSTED REQUIS. 142516,B100000,00000,1100,1100COSTED REQUIS. 142516,B100000,00000,1200,1200GROSS REVENUE 142516,B100000,00000,1300,1300PATIENT DAYS 142516,B100000,00000,1400,1400ASSIGNED TIME 142516,E10A180,00501,0100,07/12/00 142516,E10A180,00550,0300,07/12/00 142516,S000000,00100,0200,05/31/00 142516,S200000,00100,0100,505 WEST EVERGREEN 142516,S200000,00200,0100,STRAFFORD 142516,S200000,00200,0200,MO 142516,S200000,00200,0300,65757 142516,S200000,00300,0100,GREENE 142516,S200000,00300,0200,7920 142516,S200000,00300,0300,U 142516,S200000,00400,0100,STRAFFORD CARE CENTER 142516,S200000,00400,0200,265656 142516,S200000,00400,0300,08/21/96 142516,S200000,00400,0500,P 142516,S200000,01500,0100,N 142516,S200000,01600,0100,Y 142516,S200000,01700,0100,N 142516,S200000,01800,0100,N 142516,S200000,02200,0100,N 142516,S200000,02800,0100,N 142516,S200000,02900,0100,N 142516,S200000,03000,0100,N 142516,S200000,03100,0100,N 142516,S200000,03200,0100,N 142516,S200000,03300,0100,N 142516,S200000,03300,0200,N 142516,S200000,04100,0100,N 142516,S200000,04200,0100,N 142516,S200000,04300,0100,N 142516,S200000,04600,0100,N 142516,S200000,04700,0100,N 142516,S200000,04900,0100,N 142516,S200000,05200,0100,N 142517,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142517,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142517,A000000,00300,0000,0300EMPLOYEE BENEFITS 142517,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142517,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142517,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142517,A000000,00700,0000,0700HOUSEKEEPING 142517,A000000,00800,0000,0800DIETARY 142517,A000000,00900,0000,0900NURSING ADMINISTRATION 142517,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142517,A000000,01100,0000,1100PHARMACY 142517,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142517,A000000,01300,0000,1300SOCIAL SERVICE 142517,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142517,A000000,01500,0000,1350PATIENT ACTIVITIES 142517,A000000,01600,0000,1600SKILLED NURSING FACILITY 142517,A000000,01800,0000,1800NURSING FACILITY 142517,A000000,01810,0000,1810ICF/MR 142517,A000000,02200,0000,2200LABORATORY 142517,A000000,02500,0000,2500PHYSICAL THERAPY 142517,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142517,A000000,02700,0000,2700SPEECH PATHOLOGY 142517,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142517,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142517,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 142517,A000000,03550,0000,3550FQHC 142517,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 142517,A000000,05000,0000,5000CORF 142517,A000000,05010,0000,5010CMHC 142517,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142517,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142517,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142517,A000000,05100,0000,4750OTHER REIMBURSABLE COST 142517,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 142517,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 142517,A81000A,00100,0100,Y 142517,A81000B,00100,0300,HOME OFFICE 142517,A81000B,00200,0300,HOME OFFICE CAPITAL 142517,A81000B,00300,0300,HOME OFFICE NON CAPITAL 142517,A81000B,00400,0300,ANCILLARY MGMT FEE 142517,A81000B,00500,0300,ANCILLARY MGMT FEE 142517,A81000B,00600,0300,ANCILLARY MGMT FEE 142517,A81000C,00100,0100,B 142517,A81000C,00100,0200,FHS INC 142517,A81000C,00100,0400,FHS INC 142517,A81000C,00100,0600,HOME OFFICE 142517,A81000C,00200,0100,B 142517,A81000C,00200,0200,FAS INC 142517,A81000C,00200,0400,FAS INC 142517,A81000C,00200,0600,ANCILLARY MGMT 142517,B100000,00000,0100,0100SQUARE FEET 142517,B100000,00000,0200,0200NO STATISTICS 142517,B100000,00000,0300,0300GROSS SALARIES 142517,B100000,00000,0400,0400ACCUM COST 142517,B100000,00000,0500,0500SQUARE FEET 142517,B100000,00000,0600,0600PATIENT DAYS 142517,B100000,00000,0700,0700SQ FT EXCL DIET 142517,B100000,00000,0800,0800MEALS SERVED 142517,B100000,00000,0900,0900NO STATISTICS 142517,B100000,00000,1000,1000NO STATISTICS 142517,B100000,00000,1100,1100PATIENT DAYS 142517,B100000,00000,1200,1200NO STATISTICS 142517,B100000,00000,1300,1300NO STATISTICS 142517,B100000,00000,1400,1400NO STATISTICS 142517,B100000,00000,1500,1350PATIENT DAYS 142517,E10A180,00501,0100,07/13/00 142517,E10A180,00501,0300,07/13/00 142517,S000000,00100,0200,06/01/00 142517,S200000,00100,0100,570 NORTH SOLOMON STREET 142517,S200000,00200,0100,GREENVILLE 142517,S200000,00200,0200,MS 142517,S200000,00200,0300,38701 142517,S200000,00300,0100,WASHINGTON 142517,S200000,00300,0200,0025 142517,S200000,00300,0300,R 142517,S200000,00400,0100,AUTUMN LEAVES NURSING HOME 142517,S200000,00400,0200,255219 142517,S200000,00400,0300,02/16/96 142517,S200000,00400,0500,P 142517,S200000,01500,0100,N 142517,S200000,01600,0100,Y 142517,S200000,01700,0100,N 142517,S200000,01800,0100,N 142517,S200000,02200,0100,N 142517,S200000,02800,0100,N 142517,S200000,02900,0100,N 142517,S200000,03000,0100,N 142517,S200000,03100,0100,N 142517,S200000,03200,0100,N 142517,S200000,03300,0100,N 142517,S200000,03300,0200,N 142517,S200000,04100,0100,N 142517,S200000,04200,0100,N 142517,S200000,04300,0100,N 142517,S200000,04600,0100,N 142517,S200000,04700,0100,N 142517,S200000,04900,0100,N 142517,S200000,05200,0100,N 142702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142702,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142702,A000000,00300,0000,0300EMPLOYEE BENEFITS 142702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142702,A000000,00700,0000,0700HOUSEKEEPING 142702,A000000,00800,0000,0800DIETARY 142702,A000000,00900,0000,0900NURSING ADMINISTRATION 142702,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142702,A000000,01100,0000,1100PHARMACY 142702,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142702,A000000,01300,0000,1300SOCIAL SERVICE 142702,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142702,A000000,01500,0000,1350PATIENT ACTIVITIES 142702,A000000,01600,0000,1600SKILLED NURSING FACILITY 142702,A000000,01800,0000,1800NURSING FACILITY 142702,A000000,01810,0000,1810ICF/MR 142702,A000000,02100,0000,2100RADIOLOGY 142702,A000000,02500,0000,2500PHYSICAL THERAPY 142702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142702,A000000,02700,0000,2700SPEECH PATHOLOGY 142702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142702,A000000,03001,0000,3001AIR FLUIDIZED BEDS 142702,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 142702,A000000,03550,0000,3550FQHC 142702,A000000,05000,0000,5000CORF 142702,A000000,05010,0000,5010CMHC 142702,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142702,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142702,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142702,A000000,05100,0000,4750OTHER REIMBURSABLE COST 142702,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 142702,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 142702,A81000A,00100,0100,Y 142702,A81000B,00100,0300,HOME OFFICE COSTS 142702,A81000B,00200,0300,SPEECH THERAPY 142702,A81000B,00300,0300,PHYSICAL THERAPY 142702,A81000B,00400,0300,OCCUPATIONAL THERAPY 142702,A81000C,00100,0100,F 142702,A81000C,00100,0400,CAMELOT HEALTHCARE LLC 142702,A81000C,00100,0600,MANAGEMENT COMPANY 142702,A81000C,00200,0100,A 142702,A81000C,00200,0400,FIRST KNIGHT 142702,A81000C,00200,0600,ANCILLARY SERVICES 142702,A81000C,00300,0100,A 142702,A81000C,00300,0400,FIRST KNIGHT 142702,A81000C,00300,0600,ANCILLARY SERVICES 142702,A81000C,00400,0100,A 142702,A81000C,00400,0400,FIRST KNIGHT 142702,A81000C,00400,0600,ANCILLARY SERVICES 142702,B100000,00000,0100,0100SQUARE FEET 142702,B100000,00000,0200,0200SQUARE FEET 142702,B100000,00000,0300,0300GROSS SALARIES 142702,B100000,00000,0400,0400ACCUM COST 142702,B100000,00000,0500,0500SQUARE FEET 142702,B100000,00000,0600,0600PATIENT DAYS 142702,B100000,00000,0700,0700SQUARE FEET 142702,B100000,00000,0800,0800MEALS SERVED 142702,B100000,00000,0900,0900PATIENT DAYS 142702,B100000,00000,1000,1000COSTED REQUIS. 142702,B100000,00000,1100,1100COSTED REQUIS. 142702,B100000,00000,1200,1200TIME SPENT 142702,B100000,00000,1300,1300PATIENT DAYS 142702,B100000,00000,1400,1400ASSIGNED TIME 142702,B100000,00000,1500,1350PATIENT DAYS 142702,E10A180,00501,0100,08/23/00 142702,E10A180,00501,0300,08/23/00 142702,S000000,00100,0200,07/07/00 142702,S200000,00100,0100,7923 LINE AVENUE 142702,S200000,00200,0100,SHREVEPORT 142702,S200000,00200,0200,LA 142702,S200000,00200,0300,71106 142702,S200000,00300,0100,CADDO 142702,S200000,00300,0200,7680 142702,S200000,00300,0300,U 142702,S200000,00400,0100,CAMELOT GARDENS OF SHREVEPORT 142702,S200000,00400,0200,195355 142702,S200000,00400,0300,09/09/96 142702,S200000,00400,0500,P 142702,S200000,00600,0200,195355 142702,S200000,00600,0300,09/09/96 142702,S200000,01500,0100,N 142702,S200000,01600,0100,Y 142702,S200000,01700,0100,N 142702,S200000,01800,0100,N 142702,S200000,02200,0100,N 142702,S200000,02800,0100,N 142702,S200000,02900,0100,N 142702,S200000,03000,0100,N 142702,S200000,03100,0100,N 142702,S200000,03200,0100,N 142702,S200000,03300,0100,N 142702,S200000,03300,0200,N 142702,S200000,03500,0300,N 142702,S200000,04100,0100,N 142702,S200000,04200,0100,N 142702,S200000,04300,0100,N 142702,S200000,04600,0100,N 142702,S200000,04700,0100,N 142702,S200000,04700,0200,N 142702,S200000,04900,0100,N 142705,S000000,00100,0200,06/08/00 142707,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 142707,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 142707,A000000,00300,0000,0300EMPLOYEE BENEFITS 142707,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142707,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 142707,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142707,A000000,00700,0000,0700HOUSEKEEPING 142707,A000000,00800,0000,0800DIETARY 142707,A000000,00900,0000,0900NURSING ADMINISTRATION 142707,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142707,A000000,01100,0000,1100PHARMACY 142707,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142707,A000000,01300,0000,1300SOCIAL SERVICE 142707,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 142707,A000000,01500,0000,1350OTHER GENERAL SERVICES 142707,A000000,01600,0000,1600SKILLED NURSING FACILITY 142707,A000000,01800,0000,1800NURSING FACILITY 142707,A000000,01810,0000,1810ICF/MR 142707,A000000,02500,0000,2500PHYSICAL THERAPY 142707,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142707,A000000,02700,0000,2700SPEECH PATHOLOGY 142707,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 142707,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142707,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 142707,A000000,03550,0000,3550FQHC 142707,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 142707,A000000,05000,0000,5000CORF 142707,A000000,05010,0000,5010CMHC 142707,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 142707,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 142707,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 142707,A000000,05100,0000,4750OTHER REIMBURSABLE COST 142707,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 142707,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142707,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 142707,A81000A,00100,0100,Y 142707,A81000B,00100,0300,RENT EXPENSE 142707,A81000C,00100,0100,A 142707,B100000,00000,0100,0100SQUARE FEET 142707,B100000,00000,0200,0200SQUARE FEET 142707,B100000,00000,0300,0300GROSS SALARIES 142707,B100000,00000,0400,0400ACCUM COST 142707,B100000,00000,0500,0500SQUARE FEET 142707,B100000,00000,0600,0600POUNDS OF LAUNDRY 142707,B100000,00000,0700,0700SQUARE FEET 142707,B100000,00000,0800,0800MEALS SERVED 142707,B100000,00000,0900,0900DIRECT NRSING HRS 142707,B100000,00000,1000,1000COSTED REQUIS 142707,B100000,00000,1100,1100COSTED REQUIS 142707,B100000,00000,1200,1200TIME SPENT 142707,B100000,00000,1300,1300TIME SPENT 142707,B100000,00000,1400,1400ASSIGNED TIME 142707,B100000,00000,1500,1350NO STATISTICS 142707,S000000,00100,0200,06/01/00 142707,S200000,00100,0100,1301 SAINT JOE DRIVE 142707,S200000,00200,0100,PARK HILLS 142707,S200000,00200,0200,MO 142707,S200000,00200,0300,63601 142707,S200000,00300,0100,SAINT FRANCOIS 142707,S200000,00300,0200,26 142707,S200000,00300,0300,R 142707,S200000,00400,0100,COUNTRY MEADOWS OF PARK HILLS 142707,S200000,00400,0200,265601 142707,S200000,00400,0300,04/16/99 142707,S200000,00400,0500,P 142707,S200000,01500,0100,N 142707,S200000,01600,0100,Y 142707,S200000,01700,0100,N 142707,S200000,01800,0100,N 142707,S200000,02200,0100,N 142707,S200000,02800,0100,N 142707,S200000,02900,0100,N 142707,S200000,03000,0100,N 142707,S200000,03100,0100,N 142707,S200000,03200,0100,N 142707,S200000,03300,0100,N 142707,S200000,03300,0200,N 142707,S200000,04100,0100,N 142707,S200000,04200,0100,N 142707,S200000,04300,0100,N 142707,S200000,04600,0100,N 142707,S200000,04700,0100,N 142707,S200000,04700,0200,N 142707,S200000,04900,0100,N 142707,S200000,05000,0100,N 142707,S200000,05100,0100,N 142707,S200000,05200,0100,N 142958,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 142958,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 142958,A000000,00300,0000,0300EMPLOYEE BENEFITS 142958,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 142958,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 142958,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 142958,A000000,00700,0000,0700HOUSEKEEPING 142958,A000000,00800,0000,0800DIETARY 142958,A000000,00900,0000,0900NURSING ADMINISTRATION 142958,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 142958,A000000,01100,0000,1100PHARMACY 142958,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 142958,A000000,01300,0000,1300SOCIAL SERVICE 142958,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 142958,A000000,01500,0000,1350ACTIVITIES 142958,A000000,01600,0000,1600SKILLED NURSING FACILITY 142958,A000000,01800,0000,1800NURSING FACILITY 142958,A000000,01900,0000,1900OTHER LONG TERM CARE 142958,A000000,02100,0000,2100RADIOLOGY 142958,A000000,02200,0000,2200LABORATORY 142958,A000000,02300,0000,2300INTRAVENOUS THERAPY 142958,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 142958,A000000,02500,0000,2500PHYSICAL THERAPY 142958,A000000,02600,0000,2600OCCUPATIONAL THERAPY 142958,A000000,02700,0000,2700SPEECH PATHOLOGY 142958,A000000,02800,0000,2800ELECTROCARDIOLOGY 142958,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 142958,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 142958,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 142958,A000000,03200,0000,3200SUPPORT SURFACES 142958,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 142958,A000000,03400,0000,3400CLINIC 142958,A000000,03500,0000,3500RURAL HEALTH CLINIC 142958,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 142958,A000000,04800,0000,4800AMBULANCE 142958,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 142958,A000000,05000,0000,5000CORF 142958,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 142958,A000000,05300,0000,5300INTEREST EXPENSE 142958,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 142958,A000000,05500,0000,5500HOSPICE 142958,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 142958,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 142958,A000000,05900,0000,5900BARBER & BEAUTY SHOP 142958,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 142958,A000000,06100,0000,6100NONPAID WORKERS 142958,A000000,06200,0000,6200PATIENTS LAUNDRY 142958,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 142958,A81000A,00100,0100,Y 142958,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXTURES 142958,A81000C,00100,0100,A 142958,A81000C,00100,0200,H. MAX HUIE 142958,A81000C,00100,0400,THE HUIE GROUP 142958,A81000C,00100,0600,MANAGEMENT 142958,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 142958,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 142958,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 142958,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 142958,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 142958,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 142958,B100000,00000,0800,0800MEALS SERVED :DIETARY 142958,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 142958,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 142958,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 142958,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 142958,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 142958,S000000,00100,0200,12/04/00 142958,S200000,00100,0100,3900 LAKEWOOD DRIVE 142958,S200000,00200,0100,PHENIX CITY 142958,S200000,00200,0200,AL 142958,S200000,00200,0300,36867- 142958,S200000,00300,0100,RUSSELL 142958,S200000,00300,0200,1800 142958,S200000,00300,0300,U 142958,S200000,00400,0100,PHENIX CITY HEALTH CARE INC. 142958,S200000,00400,0200,015331 142958,S200000,00400,0300,07/01/99 142958,S200000,00400,0500,P 142958,S200000,01500,0100,Y 142958,S200000,01600,0100,N 142958,S200000,01700,0100,N 142958,S200000,01800,0100,N 142958,S200000,02200,0100,N 142958,S200000,02800,0100,N 142958,S200000,02900,0100,N 142958,S200000,03000,0100,N 142958,S200000,03100,0100,N 142958,S200000,03200,0100,N 142958,S200000,04100,0100,N 142958,S200000,04200,0100,N 142958,S200000,04300,0100,N 142958,S200000,04600,0100,N 142958,S200000,04700,0100,N 142958,S200000,04700,0200,N 142958,S200000,04900,0100,N 142958,S200000,05000,0100,N 142958,S200000,05100,0100,N 142958,S200000,05200,0100,N 143078,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 143078,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 143078,A000000,00300,0000,0300EMPLOYEE BENEFITS 143078,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143078,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 143078,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143078,A000000,00700,0000,0700HOUSEKEEPING 143078,A000000,00800,0000,0800DIETARY 143078,A000000,00900,0000,0900NURSING ADMINISTRATION 143078,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143078,A000000,01100,0000,1100PHARMACY 143078,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143078,A000000,01300,0000,1300SOCIAL SERVICE 143078,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 143078,A000000,01600,0000,1600SKILLED NURSING FACILITY 143078,A000000,01800,0000,1800NURSING FACILITY 143078,A000000,01810,0000,1810ICF/MR 143078,A000000,02100,0000,2100RADIOLOGY 143078,A000000,02200,0000,2200LABORATORY 143078,A000000,02300,0000,2300INTRAVENOUS THERAPY 143078,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143078,A000000,02500,0000,2500PHYSICAL THERAPY 143078,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143078,A000000,02700,0000,2700SPEECH PATHOLOGY 143078,A000000,02770,0000,2702ENTERAL NUTRITION (PEN) 143078,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 143078,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143078,A000000,03200,0000,3200SUPPORT SURFACES 143078,A000000,03550,0000,3550FQHC 143078,A000000,05000,0000,5000CORF 143078,A000000,05010,0000,5010CMHC 143078,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 143078,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 143078,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 143078,A000000,05300,0000,5300INTEREST EXPENSE 143078,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143078,A81000A,00100,0100,Y 143078,A81000B,00100,0300,ENTERAL FEEDING 143078,A81000B,00200,0300,MANAGEMENT FEES 143078,A81000B,00300,0300,MANAGEMENT FEES 143078,A81000B,00400,0300,MANAGEMENT FEES 143078,A81000B,00500,0300,DIETARY 143078,A81000B,00600,0300,H.O. RENTAL SPACE 143078,A81000B,00700,0300,H.O. RENTAL SPACE 143078,A81000B,00800,0300,H.O. RENTAL SPACE 143078,A81000B,00900,0300,H.O. RENTAL SPACE 143078,A81000B,01000,0300,HOME OFFICE COST 143078,A81000B,01100,0300,HOME OFFICE COST 143078,A81000B,01200,0300,HOME OFFICE COST 143078,A81000C,00100,0100,A 143078,A81000C,00100,0200,MR. FRANK FELTH 143078,A81000C,00100,0400,HALCYON 143078,A81000C,00100,0600,MED. SUPPLY CO. 143078,A81000C,00200,0100,A 143078,A81000C,00200,0200,MR. FRANK FELTH 143078,A81000C,00200,0400,FANE MANAGMENT 143078,A81000C,00200,0600,MANAGEMENT CO. 143078,A81000C,00300,0100,A 143078,A81000C,00300,0200,MR. FRANK FELTH 143078,A81000C,00300,0400,FANE MANAGEMENT 143078,A81000C,00300,0600,MANAGEMENT CO. 143078,A81000C,00400,0100,A 143078,A81000C,00400,0200,MR. FRANK FELTH 143078,A81000C,00400,0400,FANE MANAGMENT 143078,A81000C,00400,0600,MANAGEMENT CO. 143078,A81000C,00500,0100,A 143078,A81000C,00500,0200,MR. FRANK FELTH 143078,A81000C,00500,0400,HALCYON 143078,A81000C,00500,0600,MED. SUPPLY CO. 143078,A81000C,00600,0100,A 143078,A81000C,00600,0200,MR. FRANK FELTH 143078,A81000C,00600,0400,FANE MANAGEMENT 143078,A81000C,00600,0600,MANAGEMENT CO. 143078,A81000C,00700,0100,A 143078,A81000C,00700,0200,MR. FRANK FELTH 143078,A81000C,00700,0400,FANE MANAGEMENT 143078,A81000C,00700,0600,MANAGEMENT CO. 143078,A81000C,00800,0100,A 143078,A81000C,00800,0200,MR. FRANK FELTH 143078,A81000C,00800,0400,FANE MANAGEMENT 143078,A81000C,00800,0600,MANAGEMENT CO. 143078,A81000C,00900,0100,A 143078,A81000C,00900,0200,MR. FRANK FELTH 143078,A81000C,00900,0400,FANE MANAGEMENT 143078,A81000C,00900,0600,MANAGEMENT CO. 143078,A81000C,01000,0100,A 143078,A81000C,01000,0200,MR. FRANK FELTH 143078,A81000C,01000,0400,FANE MANAGEMENT 143078,A81000C,01000,0600,MANAGEMENT CO. 143078,A81000C,01100,0100,A 143078,A81000C,01100,0200,MR. FRANK FELTH 143078,A81000C,01100,0400,FANE MANAGEMENT 143078,A81000C,01100,0600,MANAGEMENT CO. 143078,A81000C,01200,0100,A 143078,A81000C,01200,0200,MR. FRANK FELTH 143078,A81000C,01200,0400,FANE MANAGEMENT 143078,A81000C,01200,0600,MANAGEMENT CO. 143078,B100000,00000,0100,0100SQUARE FEET 143078,B100000,00000,0200,0200SQUARE FEET 143078,B100000,00000,0300,0300GROSS SALARIES 143078,B100000,00000,0400,0400ACCUM COST 143078,B100000,00000,0500,0500SQUARE FEET 143078,B100000,00000,0600,0600POUNDS OF LAUNDRY 143078,B100000,00000,0700,0700HOURS OF SERVICE 143078,B100000,00000,0800,0800MEALS SERVED 143078,B100000,00000,0900,0900DIRECT NRSG HRS 143078,B100000,00000,1000,1000COSTED REQUIS 143078,B100000,00000,1100,1100COSTED REQUIS 143078,B100000,00000,1200,1200TIME SPENT 143078,B100000,00000,1300,1300TIME SPENT 143078,B100000,00000,1400,1400ASSIGNED TIME 143078,E10A180,00301,0100,08/17/99 143078,E10A180,00350,0300,08/17/99 143078,E10A180,00550,0100,05/01/00 143078,E10A180,00550,0300,05/01/00 143078,S000000,00100,0200,03/27/00 143078,S200000,00100,0100,1200 TALISMAN DRIVE 143078,S200000,00200,0100,NORTH AUGUSTA 143078,S200000,00200,0200,SC 143078,S200000,00200,0300,29841 143078,S200000,00300,0100,AIKEN 143078,S200000,00400,0100,ANNE MARIA REHAB & NURSING CENTER 143078,S200000,00400,0200,425296 143078,S200000,00400,0300,12/14/90 143078,S200000,00400,0500,P 143078,S200000,00400,0600,O 143078,S200000,01500,0100,N 143078,S200000,01600,0100,Y 143078,S200000,01700,0100,N 143078,S200000,01800,0100,N 143078,S200000,02200,0100,Y 143078,S200000,02800,0100,N 143078,S200000,02900,0100,N 143078,S200000,03000,0100,N 143078,S200000,03100,0100,N 143078,S200000,03200,0100,N 143078,S200000,03300,0100,N 143078,S200000,03300,0200,N 143078,S200000,04100,0100,N 143078,S200000,04200,0100,N 143078,S200000,04300,0100,N 143078,S200000,04600,0100,N 143078,S200000,04700,0100,N 143078,S200000,04900,0100,N 143452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143452,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 143452,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143452,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 143452,A000000,00300,0000,0300EMPLOYEE BENEFITS 143452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143452,A000000,00700,0000,0700HOUSEKEEPING 143452,A000000,00800,0000,0800DIETARY 143452,A000000,00801,0000,0801CAFETERIA 143452,A000000,00900,0000,0900NURSING ADMINISTRATION 143452,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143452,A000000,01100,0000,1100PHARMACY 143452,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143452,A000000,01300,0000,1300SOCIAL SERVICE 143452,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143452,A000000,01500,0000,1350ACTIVITIES 143452,A000000,01600,0000,1600SKILLED NURSING FACILITY 143452,A000000,01800,0000,1800NURSING FACILITY 143452,A000000,01900,0000,1900OTHER LONG TERM CARE 143452,A000000,02100,0000,2100RADIOLOGY 143452,A000000,02200,0000,2200LABORATORY 143452,A000000,02300,0000,2300INTRAVENOUS THERAPY 143452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143452,A000000,02500,0000,2500PHYSICAL THERAPY 143452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143452,A000000,02700,0000,2700SPEECH PATHOLOGY 143452,A000000,02800,0000,2800ELECTROCARDIOLOGY 143452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143452,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143452,A000000,03200,0000,3200SUPPORT SURFACES 143452,A000000,03300,0000,3050DME 143452,A000000,03301,0000,3051ORTHOTICS 143452,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 143452,A000000,03400,0000,3400CLINIC 143452,A000000,03500,0000,3500RURAL HEALTH CLINIC 143452,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 143452,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 143452,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 143452,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 143452,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 143452,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 143452,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 143452,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 143452,A000000,04400,0000,4400DME RENTED - HHA 143452,A000000,04500,0000,4500DME SOLD - HHA 143452,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 143452,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 143452,A000000,04800,0000,4800AMBULANCE 143452,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143452,A000000,05000,0000,5000CORF 143452,A000000,05010,0000,5010CMHC I 143452,A000000,05020,0000,5020OPT I 143452,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143452,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143452,A000000,05300,0000,5300INTEREST EXPENSE 143452,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143452,A000000,05500,0000,5500HOSPICE 143452,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 143452,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 143452,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143452,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143452,A000000,06100,0000,6100NONPAID WORKERS 143452,A000000,06200,0000,6200PATIENTS LAUNDRY 143452,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143452,A81000A,00100,0100,Y 143452,A81000B,00100,0300,HOME OFFICE ALLOCATION 143452,A81000B,00200,0300,THERACOR ACTUAL COSTS 143452,A81000B,00300,0300,THERACOR ACTUAL COSTS 143452,A81000B,00400,0300,THERACOR ACTUAL COSTS 143452,A81000C,00100,0100,B 143452,A81000C,00100,0200,HARBORSIDE 143452,A81000C,00200,0200,HEALTHCARE 143452,A81000C,00300,0200,LIMITED P SHIP 143452,A81000C,00300,0600,MANAGEMENT CO 143452,A81000C,00500,0100,B 143452,A81000C,00500,0200,HARBORSIDE 143452,A81000C,00600,0200,REHABILITITAION 143452,A81000C,00700,0200,LIMITED P SHIP 143452,A81000C,00700,0600,THERAPY 143452,A81000C,00800,0600,SERVICE AND 143452,A81000C,00900,0600,MANAGEMENT CO 143452,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 143452,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 143452,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143452,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 143452,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 143452,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 143452,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 143452,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 143452,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 143452,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 143452,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 143452,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 143452,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 143452,S000000,00100,0200,06/01/00 143452,S200000,00100,0100,1201 DALY DRIVE 143452,S200000,00200,0100,NEW HAVEN 143452,S200000,00200,0200,IN 143452,S200000,00200,0300,46774- 143452,S200000,00300,0100,ALLEN 143452,S200000,00300,0200,2760 143452,S200000,00300,0300,U 143452,S200000,00400,0100,HHC - NEW HAVEN 143452,S200000,00400,0200,155207 143452,S200000,00400,0300,03/06/90 143452,S200000,00400,0500,P 143452,S200000,01500,0100,N 143452,S200000,01600,0100,Y 143452,S200000,01700,0100,N 143452,S200000,01800,0100,N 143452,S200000,02200,0100,Y 143452,S200000,02800,0100,N 143452,S200000,02900,0100,N 143452,S200000,03000,0100,N 143452,S200000,03100,0100,N 143452,S200000,03200,0100,N 143452,S200000,04100,0100,N 143452,S200000,04200,0100,N 143452,S200000,04300,0100,N 143452,S200000,04600,0100,N 143452,S200000,04700,0100,Y 143452,S200000,04700,0200,Y 143452,S200000,04900,0100,Y 143452,S200000,05000,0100,N 143452,S200000,05100,0100,N 143452,S200000,05200,0100,N 143453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143453,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 143453,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143453,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 143453,A000000,00300,0000,0300EMPLOYEE BENEFITS 143453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143453,A000000,00700,0000,0700HOUSEKEEPING 143453,A000000,00800,0000,0800DIETARY 143453,A000000,00801,0000,0801CAFETERIA 143453,A000000,00900,0000,0900NURSING ADMINISTRATION 143453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143453,A000000,01100,0000,1100PHARMACY 143453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143453,A000000,01300,0000,1300SOCIAL SERVICE 143453,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143453,A000000,01500,0000,1350ACTIVITIES 143453,A000000,01600,0000,1600SKILLED NURSING FACILITY 143453,A000000,01800,0000,1800NURSING FACILITY 143453,A000000,01900,0000,1900OTHER LONG TERM CARE 143453,A000000,02100,0000,2100RADIOLOGY 143453,A000000,02200,0000,2200LABORATORY 143453,A000000,02300,0000,2300INTRAVENOUS THERAPY 143453,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143453,A000000,02500,0000,2500PHYSICAL THERAPY 143453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143453,A000000,02700,0000,2700SPEECH PATHOLOGY 143453,A000000,02800,0000,2800ELECTROCARDIOLOGY 143453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143453,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143453,A000000,03200,0000,3200SUPPORT SURFACES 143453,A000000,03300,0000,3050DME 143453,A000000,03301,0000,3051ORTHOTICS 143453,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 143453,A000000,03400,0000,3400CLINIC 143453,A000000,03500,0000,3500RURAL HEALTH CLINIC 143453,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 143453,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 143453,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 143453,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 143453,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 143453,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 143453,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 143453,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 143453,A000000,04400,0000,4400DME RENTED - HHA 143453,A000000,04500,0000,4500DME SOLD - HHA 143453,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 143453,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 143453,A000000,04800,0000,4800AMBULANCE 143453,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143453,A000000,05000,0000,5000CORF 143453,A000000,05010,0000,5010CMHC I 143453,A000000,05020,0000,5020OPT I 143453,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143453,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143453,A000000,05300,0000,5300INTEREST EXPENSE 143453,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143453,A000000,05500,0000,5500HOSPICE 143453,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 143453,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 143453,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143453,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143453,A000000,06100,0000,6100NONPAID WORKERS 143453,A000000,06200,0000,6200PATIENTS LAUNDRY 143453,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143453,A81000A,00100,0100,Y 143453,A81000B,00100,0300,HOME OFFICE ALLOCATION 143453,A81000B,00200,0300,THERACOR ACTUAL COSTS 143453,A81000B,00300,0300,THERACOR ACTUAL COSTS 143453,A81000B,00400,0300,THERACOR ACTUAL COSTS 143453,A81000C,00100,0100,B 143453,A81000C,00100,0200,HARBORSIDE 143453,A81000C,00200,0200,HEALTHCARE 143453,A81000C,00300,0200,LIMITED P SHIP 143453,A81000C,00300,0600,MANAGEMENT CO 143453,A81000C,00500,0100,B 143453,A81000C,00500,0200,HARBORSIDE 143453,A81000C,00600,0200,REHABILITITAION 143453,A81000C,00700,0200,LIMITED P SHIP 143453,A81000C,00700,0600,THERAPY 143453,A81000C,00800,0600,SERVICE AND 143453,A81000C,00900,0600,MANAGEMENT CO 143453,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 143453,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 143453,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143453,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 143453,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 143453,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 143453,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 143453,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 143453,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 143453,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 143453,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 143453,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 143453,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 143453,S000000,00100,0200,06/01/00 143453,S200000,00100,0100,1001 EAST SPRINGFIELD DRIVE 143453,S200000,00200,0100,TERRE HAUTE 143453,S200000,00200,0200,IN 143453,S200000,00200,0300,47802- 143453,S200000,00300,0100,VIGO 143453,S200000,00300,0200,8320 143453,S200000,00300,0300,U 143453,S200000,00400,0100,HHC - TERRE HAUTE 143453,S200000,00400,0200,155213 143453,S200000,00400,0300,03/06/90 143453,S200000,00400,0500,P 143453,S200000,01500,0100,N 143453,S200000,01600,0100,Y 143453,S200000,01700,0100,N 143453,S200000,01800,0100,N 143453,S200000,02200,0100,Y 143453,S200000,02800,0100,N 143453,S200000,02900,0100,N 143453,S200000,03000,0100,N 143453,S200000,03100,0100,N 143453,S200000,03200,0100,N 143453,S200000,04100,0100,N 143453,S200000,04200,0100,N 143453,S200000,04300,0100,N 143453,S200000,04600,0100,N 143453,S200000,04700,0100,Y 143453,S200000,04700,0200,Y 143453,S200000,04900,0100,N 143453,S200000,05000,0100,N 143453,S200000,05100,0100,N 143453,S200000,05200,0100,N 143454,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143454,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 143454,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143454,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 143454,A000000,00300,0000,0300EMPLOYEE BENEFITS 143454,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143454,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143454,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143454,A000000,00700,0000,0700HOUSEKEEPING 143454,A000000,00800,0000,0800DIETARY 143454,A000000,00801,0000,0801CAFETERIA 143454,A000000,00900,0000,0900NURSING ADMINISTRATION 143454,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143454,A000000,01100,0000,1100PHARMACY 143454,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143454,A000000,01300,0000,1300SOCIAL SERVICE 143454,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143454,A000000,01500,0000,1350ACTIVITIES 143454,A000000,01600,0000,1600SKILLED NURSING FACILITY 143454,A000000,01800,0000,1800NURSING FACILITY 143454,A000000,01900,0000,1900OTHER LONG TERM CARE 143454,A000000,02100,0000,2100RADIOLOGY 143454,A000000,02200,0000,2200LABORATORY 143454,A000000,02300,0000,2300INTRAVENOUS THERAPY 143454,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143454,A000000,02500,0000,2500PHYSICAL THERAPY 143454,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143454,A000000,02700,0000,2700SPEECH PATHOLOGY 143454,A000000,02800,0000,2800ELECTROCARDIOLOGY 143454,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143454,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143454,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143454,A000000,03200,0000,3200SUPPORT SURFACES 143454,A000000,03300,0000,3050DME 143454,A000000,03301,0000,3051ORTHOTICS 143454,A000000,03302,0000,3052PHYSCH/NON-PHYSICIAN DIAG 143454,A000000,03400,0000,3400CLINIC 143454,A000000,03500,0000,3500RURAL HEALTH CLINIC 143454,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 143454,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 143454,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 143454,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 143454,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 143454,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 143454,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 143454,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 143454,A000000,04400,0000,4400DME RENTED - HHA 143454,A000000,04500,0000,4500DME SOLD - HHA 143454,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 143454,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 143454,A000000,04800,0000,4800AMBULANCE 143454,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143454,A000000,05000,0000,5000CORF 143454,A000000,05010,0000,5010CMHC I 143454,A000000,05020,0000,5020OPT I 143454,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143454,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143454,A000000,05300,0000,5300INTEREST EXPENSE 143454,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143454,A000000,05500,0000,5500HOSPICE 143454,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 143454,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 143454,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143454,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143454,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143454,A000000,06100,0000,6100NONPAID WORKERS 143454,A000000,06200,0000,6200PATIENTS LAUNDRY 143454,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143454,A81000A,00100,0100,Y 143454,A81000B,00100,0300,HOME OFFICE ALLOCATION 143454,A81000B,00200,0300,THERACOR ACTUAL COSTS 143454,A81000B,00300,0300,THERACOR ACTUAL COSTS 143454,A81000B,00400,0300,THERACOR ACTUAL COSTS 143454,A81000C,00100,0100,B 143454,A81000C,00100,0200,HARBORSIDE 143454,A81000C,00200,0200,HEALTHCARE 143454,A81000C,00300,0200,LIMITED P SHIP 143454,A81000C,00300,0600,MANAGEMENT CO 143454,A81000C,00500,0100,B 143454,A81000C,00500,0200,HARBORSIDE 143454,A81000C,00600,0200,REHABILITITAION 143454,A81000C,00700,0200,LIMITED P SHIP 143454,A81000C,00700,0600,THERAPY 143454,A81000C,00800,0600,SERVICE AND 143454,A81000C,00900,0600,MANAGEMENT CO 143454,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 143454,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 143454,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143454,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 143454,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 143454,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 143454,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 143454,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 143454,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 143454,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 143454,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 143454,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 143454,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 143454,S000000,00100,0200,06/01/00 143454,S200000,00100,0100,4851 TINCHER RD 143454,S200000,00200,0100,INDIANAPOLIS 143454,S200000,00200,0200,IN 143454,S200000,00200,0300,46221- 143454,S200000,00300,0100,MARION 143454,S200000,00300,0200,3480 143454,S200000,00300,0300,U 143454,S200000,00400,0100,HHC - DECATUR 143454,S200000,00400,0200,155336 143454,S200000,00400,0300,03/01/88 143454,S200000,00400,0500,P 143454,S200000,01500,0100,N 143454,S200000,01600,0100,Y 143454,S200000,01700,0100,N 143454,S200000,01800,0100,N 143454,S200000,02200,0100,Y 143454,S200000,02800,0100,N 143454,S200000,02900,0100,N 143454,S200000,03000,0100,N 143454,S200000,03100,0100,N 143454,S200000,03200,0100,N 143454,S200000,04100,0100,N 143454,S200000,04200,0100,N 143454,S200000,04300,0100,N 143454,S200000,04600,0100,N 143454,S200000,04700,0100,Y 143454,S200000,04700,0200,Y 143454,S200000,04900,0100,N 143454,S200000,05000,0100,N 143454,S200000,05100,0100,N 143454,S200000,05200,0100,N 143455,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143455,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 143455,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143455,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 143455,A000000,00300,0000,0300EMPLOYEE BENEFITS 143455,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143455,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143455,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143455,A000000,00700,0000,0700HOUSEKEEPING 143455,A000000,00800,0000,0800DIETARY 143455,A000000,00801,0000,0801CAFETERIA 143455,A000000,00900,0000,0900NURSING ADMINISTRATION 143455,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143455,A000000,01100,0000,1100PHARMACY 143455,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143455,A000000,01300,0000,1300SOCIAL SERVICE 143455,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143455,A000000,01500,0000,1350ACTIVITIES 143455,A000000,01600,0000,1600SKILLED NURSING FACILITY 143455,A000000,01800,0000,1800NURSING FACILITY 143455,A000000,01900,0000,1900OTHER LONG TERM CARE 143455,A000000,02100,0000,2100RADIOLOGY 143455,A000000,02200,0000,2200LABORATORY 143455,A000000,02300,0000,2300INTRAVENOUS THERAPY 143455,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143455,A000000,02500,0000,2500PHYSICAL THERAPY 143455,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143455,A000000,02700,0000,2700SPEECH PATHOLOGY 143455,A000000,02800,0000,2800ELECTROCARDIOLOGY 143455,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143455,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143455,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143455,A000000,03200,0000,3200SUPPORT SURFACES 143455,A000000,03300,0000,3050DME 143455,A000000,03301,0000,3051ORTHOTICS 143455,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 143455,A000000,03400,0000,3400CLINIC 143455,A000000,03500,0000,3500RURAL HEALTH CLINIC 143455,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 143455,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 143455,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 143455,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 143455,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 143455,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 143455,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 143455,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 143455,A000000,04400,0000,4400DME RENTED - HHA 143455,A000000,04500,0000,4500DME SOLD - HHA 143455,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 143455,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 143455,A000000,04800,0000,4800AMBULANCE 143455,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143455,A000000,05000,0000,5000CORF 143455,A000000,05010,0000,5010CMHC I 143455,A000000,05020,0000,5020OPT I 143455,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143455,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143455,A000000,05300,0000,5300INTEREST EXPENSE 143455,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143455,A000000,05500,0000,5500HOSPICE 143455,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 143455,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 143455,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143455,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143455,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143455,A000000,06100,0000,6100NONPAID WORKERS 143455,A000000,06200,0000,6200PATIENTS LAUNDRY 143455,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143455,A81000A,00100,0100,Y 143455,A81000B,00100,0300,HOME OFFICE ALLOCATION 143455,A81000B,00200,0300,THERACOR ACTUAL COSTS 143455,A81000B,00300,0300,THERACOR ACTUAL COSTS 143455,A81000B,00400,0300,THERACOR ACTUAL COSTS 143455,A81000C,00100,0100,B 143455,A81000C,00100,0200,HARBORSIDE 143455,A81000C,00200,0200,HEALTHCARE 143455,A81000C,00300,0200,LIMITED P SHIP 143455,A81000C,00300,0600,MANAGEMENT CO 143455,A81000C,00500,0100,B 143455,A81000C,00500,0200,HARBORSIDE 143455,A81000C,00600,0200,REHABILITITAION 143455,A81000C,00700,0200,LIMITED P SHIP 143455,A81000C,00700,0600,THERAPY 143455,A81000C,00800,0600,SERVICE AND 143455,A81000C,00900,0600,MANAGEMENT CO 143455,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 143455,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 143455,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143455,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 143455,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 143455,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 143455,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 143455,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 143455,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 143455,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 143455,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 143455,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 143455,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 143455,S000000,00100,0200,06/01/00 143455,S200000,00100,0100,8201 WEST WASHINGTON STREET 143455,S200000,00200,0100,INDIANAPOLIS 143455,S200000,00200,0200,IN 143455,S200000,00200,0300,46231- 143455,S200000,00300,0100,MARION 143455,S200000,00300,0200,3480 143455,S200000,00300,0300,U 143455,S200000,00400,0100,HHC - INDIANAPOLIS 143455,S200000,00400,0200,155383 143455,S200000,00400,0300,03/01/88 143455,S200000,00400,0500,P 143455,S200000,01500,0100,N 143455,S200000,01600,0100,Y 143455,S200000,01700,0100,N 143455,S200000,01800,0100,N 143455,S200000,02200,0100,Y 143455,S200000,02800,0100,N 143455,S200000,02900,0100,N 143455,S200000,03000,0100,N 143455,S200000,03100,0100,N 143455,S200000,03200,0100,N 143455,S200000,04100,0100,N 143455,S200000,04200,0100,N 143455,S200000,04300,0100,N 143455,S200000,04600,0100,N 143455,S200000,04700,0100,Y 143455,S200000,04700,0200,Y 143455,S200000,04900,0100,Y 143455,S200000,05000,0100,N 143455,S200000,05100,0100,N 143455,S200000,05200,0100,N 143463,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 143463,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 143463,A000000,00300,0000,0300EMPLOYEE BENEFITS 143463,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143463,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 143463,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143463,A000000,00700,0000,0700HOUSEKEEPING 143463,A000000,00800,0000,0800DIETARY 143463,A000000,00900,0000,0900NURSING ADMINISTRATION 143463,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143463,A000000,01100,0000,1100PHARMACY 143463,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143463,A000000,01300,0000,1300SOCIAL SERVICE 143463,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 143463,A000000,01500,0000,1350OTHER GENERAL SERVICES 143463,A000000,01600,0000,1600SKILLED NURSING FACILITY 143463,A000000,01800,0000,1800NURSING FACILITY 143463,A000000,01810,0000,1810ICF/MR 143463,A000000,02500,0000,2500PHYSICAL THERAPY 143463,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143463,A000000,02700,0000,2700SPEECH PATHOLOGY 143463,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 143463,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143463,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 143463,A000000,03550,0000,3550FQHC 143463,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 143463,A000000,05000,0000,5000CORF 143463,A000000,05010,0000,5010CMHC 143463,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 143463,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 143463,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 143463,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143463,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 143463,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143463,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143463,A81000A,00100,0100,Y 143463,A81000B,00100,0300,RENT EXPENSE 143463,A81000C,00100,0100,A 143463,A81000C,00100,0200,GMG PROPERTIES LLC 143463,A81000C,00100,0400,REAL ESTATE COMPANY 143463,B100000,00000,0100,0100SQUARE FEET 143463,B100000,00000,0200,0200NO STATISTICS 143463,B100000,00000,0300,0300GROSS SALARIES 143463,B100000,00000,0400,0400ACCUM COST 143463,B100000,00000,0500,0500SQUARE FEET 143463,B100000,00000,0600,0600POUNDS OF LAUNDRY 143463,B100000,00000,0700,0700SQUARE FEET 143463,B100000,00000,0800,0800MEALS SERVED 143463,B100000,00000,0900,0900DIRECT NURSING HR 143463,B100000,00000,1000,1000NO STATISTICS 143463,B100000,00000,1100,1100NO STATISTICS 143463,B100000,00000,1200,1200TIME SPENT 143463,B100000,00000,1300,1300TIME SPENT 143463,B100000,00000,1400,1400NO STATISTICS 143463,B100000,00000,1500,1350NO STATISTICS 143463,E10A180,00501,0100, 5/25/00 143463,E10A180,00501,0300, 5/25/00 143463,S000000,00100,0200,04/12/00 143463,S200000,00100,0100,1101 WEST OUTER 21 143463,S200000,00200,0100,ARNOLD 143463,S200000,00200,0200,MO 143463,S200000,00300,0100,JEFFERSON 143463,S200000,00300,0200,7040 143463,S200000,00300,0300,U 143463,S200000,00400,0100,SOUTH COUNTY NURSING HOME INC. 143463,S200000,00400,0200,265509 143463,S200000,00400,0300,10/12/92 143463,S200000,00400,0500,P 143463,S200000,01500,0100,N 143463,S200000,01600,0100,Y 143463,S200000,01700,0100,N 143463,S200000,01800,0100,N 143463,S200000,02200,0100,Y 143463,S200000,02800,0100,N 143463,S200000,02900,0100,N 143463,S200000,03000,0100,N 143463,S200000,03100,0100,N 143463,S200000,03200,0100,N 143463,S200000,03300,0100,N 143463,S200000,03300,0200,N 143463,S200000,04100,0100,N 143463,S200000,04200,0100,N 143463,S200000,04300,0100,N 143463,S200000,04600,0100,N 143463,S200000,04700,0100,N 143463,S200000,04900,0100,N 143463,S200000,05200,0100,N 143608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143608,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143608,A000000,00300,0000,0300EMPLOYEE BENEFITS 143608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143608,A000000,00700,0000,0700HOUSEKEEPING 143608,A000000,00800,0000,0800DIETARY 143608,A000000,00900,0000,0900NURSING ADMINISTRATION 143608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143608,A000000,01100,0000,1100PHARMACY 143608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143608,A000000,01300,0000,1300SOCIAL SERVICE 143608,A000000,01600,0000,1600SKILLED NURSING FACILITY 143608,A000000,01800,0000,1800NURSING FACILITY 143608,A000000,01810,0000,1810ICF/MR 143608,A000000,01900,0000,1900OTHER LONG TERM CARE 143608,A000000,02100,0000,2100RADIOLOGY 143608,A000000,02200,0000,2200LABORATORY 143608,A000000,02300,0000,2300INTRAVENOUS THERAPY 143608,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143608,A000000,02500,0000,2500PHYSICAL THERAPY 143608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143608,A000000,02700,0000,2700SPEECH PATHOLOGY 143608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143608,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 143608,A000000,04800,0000,4800AMBULANCE 143608,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143608,A000000,05300,0000,5300INTEREST EXPENSE 143608,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143608,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143608,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143608,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143608,A000000,06100,0000,6100NONPAID WORKERS 143608,A000000,06200,0000,6200PATIENTS LAUNDRY 143608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143608,A81000A,00100,0100,Y 143608,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 143608,A81000B,00200,0300,CAPITAL COST (LEASE) 143608,A81000C,00100,0100,A 143608,A81000C,00100,0200,FRANK BROWN 143608,A81000C,00100,0400,USA HEALTHCARE INC. 143608,A81000C,00100,0600,HOME OFFICE 143608,A81000C,00200,0100,B 143608,A81000C,00200,0200,FRANK BROWN 143608,A81000C,00200,0400,AGE INC 143608,A81000C,00200,0600,FACILITY LEASING 143608,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 143608,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 143608,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143608,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 143608,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 143608,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 143608,B100000,00000,0800,0800MEALS SERVED :DIETARY 143608,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 143608,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 143608,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 143608,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 143608,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 143608,S000000,00100,0200,11/15/00 143608,S200000,00100,0100,1423 HILLBEE STREET 143608,S200000,00200,0100,CULLMAN 143608,S200000,00200,0200,AL 143608,S200000,00200,0300,35010- 143608,S200000,00300,0100,TALLAPOOSA 143608,S200000,00300,0200,01 143608,S200000,00300,0300,R 143608,S200000,00400,0100,USA HEALTHCARE-ADAMS LLC 143608,S200000,00400,0200,015386 143608,S200000,00400,0300,02/27/84 143608,S200000,00400,0500,P 143608,S200000,01500,0100,N 143608,S200000,01600,0100,Y 143608,S200000,01700,0100,N 143608,S200000,01800,0100,N 143608,S200000,02200,0100,N 143608,S200000,02800,0100,N 143608,S200000,02900,0100,N 143608,S200000,03000,0100,N 143608,S200000,03100,0100,N 143608,S200000,03200,0100,N 143608,S200000,04100,0100,N 143608,S200000,04200,0100,N 143608,S200000,04300,0100,N 143608,S200000,04600,0100,N 143608,S200000,04700,0100,N 143608,S200000,04700,0200,N 143608,S200000,04900,0100,N 143608,S200000,05000,0100,N 143608,S200000,05100,0100,N 143608,S200000,05200,0100,N 143696,S000000,00100,0200,07/10/00 143697,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 143697,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 143697,A000000,00300,0000,0300EMPLOYEE BENEFITS 143697,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143697,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 143697,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143697,A000000,00700,0000,0700HOUSEKEEPING 143697,A000000,00800,0000,0800DIETARY 143697,A000000,00900,0000,0900NURSING ADMINISTRATION 143697,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143697,A000000,01100,0000,1100PHARMACY 143697,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143697,A000000,01300,0000,1300SOCIAL SERVICE 143697,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 143697,A000000,01500,0000,1350PATIENT ACTIVITIES 143697,A000000,01600,0000,1600SKILLED NURSING FACILITY 143697,A000000,01800,0000,1800NURSING FACILITY 143697,A000000,01810,0000,1810ICF/MR 143697,A000000,02300,0000,2300INTRAVENOUS THERAPY 143697,A000000,02500,0000,2500PHYSICAL THERAPY 143697,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143697,A000000,02700,0000,2700SPEECH PATHOLOGY 143697,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 143697,A000000,02901,0000,2901CLINITRON BEDS 143697,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143697,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 143697,A000000,03550,0000,3550FQHC 143697,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 143697,A000000,05000,0000,5000CORF 143697,A000000,05010,0000,5010CMHC 143697,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 143697,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 143697,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 143697,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143697,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 143697,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143697,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143697,A81000A,00100,0100,Y 143697,A81000B,00100,0300,MANAGEMENT FEES 143697,A81000C,00100,0100,B 143697,A81000C,00100,0200,VARIOUS 143697,A81000C,00100,0400,STONEBRIDGE MANAGEMENT 143697,A81000C,00100,0600,MANAGEMENT COMPANY 143697,B100000,00000,0100,0100SQUARE FEET 143697,B100000,00000,0200,0200SQUARE FEET 143697,B100000,00000,0300,0300GROSS SALARIES 143697,B100000,00000,0400,0400ACCUM COST 143697,B100000,00000,0500,0500SQUARE FEET 143697,B100000,00000,0600,0600PATIENT DAYS 143697,B100000,00000,0700,0700SQUARE FEET 143697,B100000,00000,0800,0800MEALS SERVED 143697,B100000,00000,0900,0900PATIENT DAYS 143697,B100000,00000,1000,1000COSTED REQUIS 143697,B100000,00000,1100,1100COSTED REQUIS 143697,B100000,00000,1200,1200TIME SPENT 143697,B100000,00000,1300,1300PATIENT DAYS 143697,B100000,00000,1400,1400ASSIGNED TIME 143697,B100000,00000,1500,1350PATIENT DAYS 143697,E10A180,00501,0100,06/21/00 143697,E10A180,00501,0300,06/21/00 143697,S000000,00100,0200,06/06/00 143697,S200000,00100,0100,2701 ERNEST STREET 143697,S200000,00200,0100,LAKE CHARLES 143697,S200000,00200,0200,LA 143697,S200000,00300,0100,CALCASIEU 143697,S200000,00300,0200,3960 143697,S200000,00300,0300,U 143697,S200000,00400,0100,LAKE CHARLES CARE CENTER 143697,S200000,00400,0200,195413 143697,S200000,00400,0300,05/01/97 143697,S200000,00400,0500,P 143697,S200000,01500,0100,N 143697,S200000,01600,0100,Y 143697,S200000,01700,0100,N 143697,S200000,01800,0100,N 143697,S200000,02200,0100,N 143697,S200000,02800,0100,N 143697,S200000,02900,0100,N 143697,S200000,03000,0100,N 143697,S200000,03100,0100,N 143697,S200000,03200,0100,N 143697,S200000,03300,0100,N 143697,S200000,03300,0200,N 143697,S200000,04100,0100,N 143697,S200000,04200,0100,N 143697,S200000,04300,0100,Y 143697,S200000,04600,0100,N 143697,S200000,04700,0100,N 143697,S200000,04900,0100,N 143697,S200000,05200,0100,N 143706,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 143706,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 143706,A000000,00300,0000,0300EMPLOYEE BENEFITS 143706,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143706,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 143706,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143706,A000000,00700,0000,0700HOUSEKEEPING 143706,A000000,00800,0000,0800DIETARY 143706,A000000,00900,0000,0900NURSING ADMINISTRATION 143706,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143706,A000000,01100,0000,1100PHARMACY 143706,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143706,A000000,01300,0000,1300SOCIAL SERVICE 143706,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 143706,A000000,01500,0000,1350ACTIVITIES 143706,A000000,01501,0000,1351INDIRECT CONSULTANTS 143706,A000000,01600,0000,1600SKILLED NURSING FACILITY 143706,A000000,01800,0000,1800NURSING FACILITY 143706,A000000,01810,0000,1810ICF/MR 143706,A000000,02100,0000,2100RADIOLOGY 143706,A000000,02300,0000,2300INTRAVENOUS THERAPY 143706,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143706,A000000,02500,0000,2500PHYSICAL THERAPY 143706,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143706,A000000,02700,0000,2700SPEECH PATHOLOGY 143706,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 143706,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143706,A000000,03300,0000,3050DURABLE MEDICAL EQUIPMENT 143706,A000000,03301,0000,3051AIR FLUID THERAPY 143706,A000000,03550,0000,3550FQHC 143706,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 143706,A000000,05000,0000,5000CORF 143706,A000000,05010,0000,5010CMHC 143706,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 143706,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 143706,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 143706,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143706,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 143706,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143706,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143706,A81000A,00100,0100,Y 143706,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 143706,A81000B,00400,0300,CONTRACT LABOR 143706,A81000B,00500,0300,CONTRACT LABOR 143706,A81000B,00600,0300,CONTRACT LABOR 143706,A81000B,00700,0300,CONTRACT LABOR 143706,A81000C,00100,0100,F 143706,A81000C,00100,0200,FRONTIER REHAB 143706,A81000C,00100,0400,FRONTIER GROUP INC. 143706,A81000C,00100,0600,THERAPY SERVICES 143706,A81000C,00200,0100,F 143706,A81000C,00200,0200,FRONTIER MNMGT 143706,A81000C,00200,0400,FRONTIER GROUP INC. 143706,A81000C,00200,0600,MNMGT SERVICES 143706,A81000C,00300,0100,F 143706,A81000C,00300,0200,FRONTIER MNMGT 143706,A81000C,00300,0400,FRONTIER GROUP INC. 143706,A81000C,00300,0600,CAPITAL COSTS 143706,B100000,00000,0100,0100SQUARE FEET 143706,B100000,00000,0200,0200SQUARE FEET 143706,B100000,00000,0300,0300GROSS SALARIES 143706,B100000,00000,0400,0400ACCUM. COST 143706,B100000,00000,0500,0500SQUARE FEET 143706,B100000,00000,0600,0600PATIENT DAYS 143706,B100000,00000,0700,0700SQUARE FEET 143706,B100000,00000,0800,0800PATIENT DAYS 143706,B100000,00000,0900,0900DIRECT NRSING HRS 143706,B100000,00000,1000,1000PATIENT DAYS 143706,B100000,00000,1100,1100PATIENT DAYS 143706,B100000,00000,1200,1200TIME SPENT 143706,B100000,00000,1300,1300TIME SPENT 143706,B100000,00000,1400,1400ASSIGNED TIME 143706,B100000,00000,1500,1350PATIENT DAYS 143706,B100000,00000,1501,1351NO STATISTICS 143706,S000000,00100,0200,04/03/00 143706,S200000,00100,0100,ONE CARE LANE 143706,S200000,00200,0100,WEST HAVEN 143706,S200000,00200,0200,CT 143706,S200000,00300,0100,NEW HAVEN 143706,S200000,00300,0200,5483 143706,S200000,00300,0300,U 143706,S200000,00400,0100,COC - SOUNDVIEW 143706,S200000,00400,0200,075062 143706,S200000,00400,0300,01/01/67 143706,S200000,00400,0500,P 143706,S200000,00400,0600,P 143706,S200000,00600,0200,075062 143706,S200000,00600,0300,01/01/67 143706,S200000,00600,0600,P 143706,S200000,01500,0100,N 143706,S200000,01600,0100,Y 143706,S200000,01700,0100,N 143706,S200000,01800,0100,N 143706,S200000,02200,0100,Y 143706,S200000,02800,0100,Y 143706,S200000,02900,0100,N 143706,S200000,03000,0100,N 143706,S200000,03100,0100,Y 143706,S200000,03200,0100,N 143706,S200000,03300,0100,N 143706,S200000,03300,0200,N 143706,S200000,03500,0300,N 143706,S200000,04100,0100,N 143706,S200000,04200,0100,N 143706,S200000,04300,0100,N 143706,S200000,04600,0100,N 143706,S200000,04700,0100,N 143706,S200000,04900,0100,N 143706,S200000,05200,0100,N 143707,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 143707,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 143707,A000000,00300,0000,0300EMPLOYEE BENEFITS 143707,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143707,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 143707,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143707,A000000,00700,0000,0700HOUSEKEEPING 143707,A000000,00800,0000,0800DIETARY 143707,A000000,00900,0000,0900NURSING ADMINISTRATION 143707,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143707,A000000,01100,0000,1100PHARMACY 143707,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143707,A000000,01300,0000,1300SOCIAL SERVICE 143707,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 143707,A000000,01500,0000,1350ACTIVITIES 143707,A000000,01501,0000,1351INDIRECT CONSULTANTS 143707,A000000,01600,0000,1600SKILLED NURSING FACILITY 143707,A000000,01800,0000,1800NURSING FACILITY 143707,A000000,01810,0000,1810ICF/MR 143707,A000000,02100,0000,2100RADIOLOGY 143707,A000000,02300,0000,2300INTRAVENOUS THERAPY 143707,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143707,A000000,02500,0000,2500PHYSICAL THERAPY 143707,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143707,A000000,02700,0000,2700SPEECH PATHOLOGY 143707,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 143707,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143707,A000000,03300,0000,3050AIR FLUIDIZED THERAPY 143707,A000000,03550,0000,3550FQHC 143707,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 143707,A000000,05000,0000,5000CORF 143707,A000000,05010,0000,5010CMHC 143707,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 143707,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 143707,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 143707,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143707,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 143707,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143707,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143707,A81000A,00100,0100,Y 143707,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 143707,A81000B,00400,0300,CONTRACT LABOR 143707,A81000B,00500,0300,CONTRACT LABOR 143707,A81000B,00600,0300,CONTRACT LABOR 143707,A81000B,00700,0300,CONTRACT LABOR 143707,A81000B,00800,0300,SALARY - MANAGER PT 143707,A81000C,00100,0100,F 143707,A81000C,00100,0200,FRONTIER REHAB 143707,A81000C,00100,0400,FRONTIER GROUP INC. 143707,A81000C,00100,0600,THERAPY SERVICES 143707,A81000C,00200,0100,F 143707,A81000C,00200,0200,FRONTIER MNMGT 143707,A81000C,00200,0400,FRONTIER GROUP INC. 143707,A81000C,00200,0600,MNMGT SERVICES 143707,A81000C,00300,0100,F 143707,A81000C,00300,0200,FRONTIER MNMGT 143707,A81000C,00300,0400,FRONTIER GROUP INC. 143707,A81000C,00300,0600,CAPITAL COSTS 143707,B100000,00000,0100,0100SQUARE FEET 143707,B100000,00000,0200,0200SQUARE FEET 143707,B100000,00000,0300,0300GROSS SALARIES 143707,B100000,00000,0400,0400ACCUM COST 143707,B100000,00000,0500,0500SQUARE FEET 143707,B100000,00000,0600,0600PATIENT DAYS 143707,B100000,00000,0700,0700SQUARE FEET 143707,B100000,00000,0800,0800PATIENT DAYS 143707,B100000,00000,0900,0900DIRECT NRSING HRS 143707,B100000,00000,1000,1000PATIENT DAYS 143707,B100000,00000,1100,1100PATIENT DAYS 143707,B100000,00000,1200,1200TIME SPENT 143707,B100000,00000,1300,1300PATIENT DAYS 143707,B100000,00000,1400,1400ASSIGNED TIME 143707,B100000,00000,1500,1350PATIENT DAYS 143707,B100000,00000,1501,1351NO STATISTICS 143707,S000000,00100,0200,04/03/00 143707,S200000,00100,0100,2432 ALBANY AVENUE 143707,S200000,00200,0100,WEST HARTFORD 143707,S200000,00200,0200,CT 143707,S200000,00300,0100,HARTFORD 143707,S200000,00300,0200,3283 143707,S200000,00300,0300,U 143707,S200000,00400,0100,COC - WEST HARTFORD 143707,S200000,00400,0200,075248 143707,S200000,00400,0300,07/01/83 143707,S200000,00400,0500,P 143707,S200000,00400,0600,P 143707,S200000,00600,0200,075248 143707,S200000,00600,0300,07/01/83 143707,S200000,00600,0600,P 143707,S200000,01500,0100,N 143707,S200000,01600,0100,Y 143707,S200000,01700,0100,N 143707,S200000,01800,0100,N 143707,S200000,02200,0100,Y 143707,S200000,02800,0100,Y 143707,S200000,02900,0100,N 143707,S200000,03000,0100,N 143707,S200000,03100,0100,Y 143707,S200000,03200,0100,N 143707,S200000,03300,0100,N 143707,S200000,03300,0200,N 143707,S200000,03500,0300,N 143707,S200000,04100,0100,N 143707,S200000,04200,0100,N 143707,S200000,04300,0100,N 143707,S200000,04600,0100,N 143707,S200000,04700,0100,N 143707,S200000,04900,0100,N 143707,S200000,05200,0100,N 143772,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143772,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143772,A000000,00300,0000,0300EMPLOYEE BENEFITS 143772,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143772,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143772,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143772,A000000,00700,0000,0700HOUSEKEEPING 143772,A000000,00800,0000,0800DIETARY 143772,A000000,00900,0000,0900NURSING ADMINISTRATION 143772,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143772,A000000,01100,0000,1100PHARMACY 143772,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143772,A000000,01300,0000,1300SOCIAL SERVICE 143772,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143772,A000000,01600,0000,1600SKILLED NURSING FACILITY 143772,A000000,01800,0000,1800NURSING FACILITY 143772,A000000,01810,0000,1810ICF/MR 143772,A000000,01900,0000,1900OTHER LONG TERM CARE 143772,A000000,02100,0000,2100RADIOLOGY 143772,A000000,02200,0000,2200LABORATORY 143772,A000000,02300,0000,2300INTRAVENOUS THERAPY 143772,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143772,A000000,02500,0000,2500PHYSICAL THERAPY 143772,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143772,A000000,02700,0000,2700SPEECH PATHOLOGY 143772,A000000,02800,0000,2800ELECTROCARDIOLOGY 143772,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143772,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143772,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143772,A000000,03200,0000,3200SUPPORT SURFACES 143772,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 143772,A000000,03400,0000,3400CLINIC 143772,A000000,03500,0000,3500RURAL HEALTH CLINIC 143772,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 143772,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 143772,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 143772,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 143772,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 143772,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 143772,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 143772,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 143772,A000000,04400,0000,4400DME RENTED - HHA 143772,A000000,04500,0000,4500DME SOLD - HHA 143772,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 143772,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 143772,A000000,04800,0000,4800AMBULANCE 143772,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143772,A000000,05000,0000,5000CORF 143772,A000000,05100,0000,4750OTHER REIMBURSABLE COST 143772,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143772,A000000,05300,0000,5300INTEREST EXPENSE 143772,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143772,A000000,05500,0000,5500HOSPICE 143772,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 143772,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143772,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143772,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143772,A000000,06100,0000,6100NONPAID WORKERS 143772,A000000,06200,0000,6200PATIENTS LAUNDRY 143772,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 143772,A81000A,00100,0100,Y 143772,A81000B,00100,0300,LEASE EXPENSE 143772,A81000B,00200,0300,INTEREST EXPENSE 143772,A81000B,00300,0300,DEPRECIATION - OLD BUILDING 143772,A81000B,00400,0300,DERPECIATION - NEW BUILDING 143772,A81000B,00500,0300,DEPRECIATION - OLD MME 143772,A81000C,00100,0100,A 143772,A81000C,00100,0200,DWIGHT SPEARMAN 143772,A81000C,00100,0400,GLENWOOD CONVALESCENT CTR 143772,A81000C,00100,0600,OWNER 143772,A81000C,00200,0100,A 143772,A81000C,00200,0200,DWIGHT SPEARMAN 143772,A81000C,00200,0400,GLENWOOD CONVALESCENT CTR 143772,A81000C,00200,0600,OWNER 143772,A81000C,00300,0100,A 143772,A81000C,00300,0200,WILLIAM SPEARMAN 143772,A81000C,00300,0400,GLENWOOD CONVALESCENT CTR 143772,A81000C,00300,0600,OWNER 143772,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 143772,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 143772,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 143772,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143772,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 143772,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 143772,B100000,00000,0700,0700HOURS OF TIME :HOUSEKEEPING 143772,B100000,00000,0800,0800MEALS SERVED :DIETARY 143772,B100000,00000,0900,0900DIRECT NRSING HOU :NURSING ADMIN 143772,B100000,00000,1000,1000COST REQUIS. :CENTRAL SERVICES 143772,B100000,00000,1100,1100COST REQUIS. :PHARMACY 143772,B100000,00000,1200,1200HOURS OF TIME :MEDICAL RECORDS & 143772,B100000,00000,1300,1300HOURS OF TIME :SOCIAL SERVICE 143772,S000000,00100,0200,11/08/00 143772,S200000,00100,0100,211 ANA DRIVE 143772,S200000,00200,0100,FLORENCE 143772,S200000,00200,0200,AL 143772,S200000,00200,0300,35630- 143772,S200000,00300,0100,LAUDERDALE 143772,S200000,00300,0200,2650 143772,S200000,00300,0300,U 143772,S200000,00400,0100,GLENWOOD REHAB & CONVALESCENT 143772,S200000,00400,0200,015147 143772,S200000,00400,0300,07/01/76 143772,S200000,00400,0500,P 143772,S200000,01500,0100,N 143772,S200000,01600,0100,Y 143772,S200000,01700,0100,N 143772,S200000,01800,0100,N 143772,S200000,02200,0100,N 143772,S200000,02800,0100,N 143772,S200000,02900,0100,N 143772,S200000,03000,0100,N 143772,S200000,03100,0100,N 143772,S200000,03200,0100,N 143772,S200000,04100,0100,N 143772,S200000,04200,0100,N 143772,S200000,04300,0100,N 143772,S200000,04600,0100,N 143772,S200000,04700,0100,Y 143772,S200000,04700,0200,N 143772,S200000,04900,0100,N 143772,S200000,05000,0100,N 143772,S200000,05100,0100,N 143772,S200000,05200,0100,N 143994,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 143994,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 143994,A000000,00300,0000,0300EMPLOYEE BENEFITS 143994,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 143994,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 143994,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 143994,A000000,00700,0000,0700HOUSEKEEPING 143994,A000000,00800,0000,0800DIETARY 143994,A000000,00900,0000,0900NURSING ADMINISTRATION 143994,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 143994,A000000,01100,0000,1100PHARMACY 143994,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 143994,A000000,01300,0000,1300SOCIAL SERVICE 143994,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 143994,A000000,01600,0000,1600SKILLED NURSING FACILITY 143994,A000000,01900,0000,1900OTHER LONG TERM CARE 143994,A000000,02100,0000,2100RADIOLOGY 143994,A000000,02200,0000,2200LABORATORY 143994,A000000,02300,0000,2300INTRAVENOUS THERAPY 143994,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 143994,A000000,02500,0000,2500PHYSICAL THERAPY 143994,A000000,02600,0000,2600OCCUPATIONAL THERAPY 143994,A000000,02700,0000,2700SPEECH PATHOLOGY 143994,A000000,02800,0000,2800ELECTROCARDIOLOGY 143994,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 143994,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 143994,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 143994,A000000,03200,0000,3200SUPPORT SURFACES 143994,A000000,03400,0000,3400CLINIC 143994,A000000,04800,0000,4800AMBULANCE 143994,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 143994,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 143994,A000000,05300,0000,5300INTEREST EXPENSE 143994,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 143994,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 143994,A000000,05900,0000,5900BARBER & BEAUTY SHOP 143994,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 143994,A000000,06100,0000,6100NONPAID WORKERS 143994,A000000,06200,0000,6200PATIENTS LAUNDRY 143994,A81000A,00100,0100,N 143994,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 143994,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 143994,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 143994,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 143994,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 143994,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 143994,B100000,00000,0800,0800MEALS SERVED :DIETARY 143994,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 143994,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 143994,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 143994,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 143994,S000000,00100,0200,04/05/01 143994,S200000,00100,0100,112 HOSPITAL DRIVE 143994,S200000,00200,0100,WASHINGTON 143994,S200000,00200,0200,GA 143994,S200000,00200,0300,30673- 143994,S200000,00300,0100,WILKES 143994,S200000,00300,0200,11 143994,S200000,00300,0300,R 143994,S200000,00400,0100,WILKES HEALTH CARE 143994,S200000,00400,0200,115325 143994,S200000,00400,0300,10/01/84 143994,S200000,00400,0500,P 143994,S200000,01500,0100,N 143994,S200000,01600,0100,Y 143994,S200000,01700,0100,N 143994,S200000,01800,0100,N 143994,S200000,01900,0100,501 (C) 3 143994,S200000,02200,0100,N 143994,S200000,02800,0100,N 143994,S200000,02900,0100,N 143994,S200000,03000,0100,N 143994,S200000,03100,0100,N 143994,S200000,03200,0100,N 143994,S200000,04100,0100,N 143994,S200000,04200,0100,N 143994,S200000,04300,0100,N 143994,S200000,04600,0100,N 143994,S200000,04700,0100,N 143994,S200000,04700,0200,N 143994,S200000,04900,0100,N 143994,S200000,05000,0100,N 143994,S200000,05100,0100,N 143994,S200000,05200,0100,N 144233,S000000,00100,0200,03/31/03 144366,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 144366,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 144366,A000000,00300,0000,0300EMPLOYEE BENEFITS 144366,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144366,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 144366,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144366,A000000,00700,0000,0700HOUSEKEEPING 144366,A000000,00800,0000,0800DIETARY 144366,A000000,00900,0000,0900NURSING ADMINISTRATION 144366,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144366,A000000,01100,0000,1100PHARMACY 144366,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144366,A000000,01300,0000,1300SOCIAL SERVICE 144366,A000000,01600,0000,1600SKILLED NURSING FACILITY 144366,A000000,01800,0000,1800NURSING FACILITY 144366,A000000,01810,0000,1810ICF/MR 144366,A000000,01900,0000,1900OTHER LONG TERM CARE 144366,A000000,02100,0000,2100RADIOLOGY 144366,A000000,02200,0000,2200LABORATORY 144366,A000000,02300,0000,2300INTRAVENOUS THERAPY 144366,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144366,A000000,02500,0000,2500PHYSICAL THERAPY 144366,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144366,A000000,02700,0000,2700SPEECH PATHOLOGY 144366,A000000,02800,0000,2800ELECTROCARDIOLOGY 144366,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 144366,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144366,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 144366,A000000,03200,0000,3200SUPPORT SURFACES 144366,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 144366,A000000,03400,0000,3400CLINIC 144366,A000000,03500,0000,3500RURAL HEALTH CLINIC 144366,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144366,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 144366,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 144366,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 144366,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 144366,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 144366,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 144366,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 144366,A000000,04400,0000,4400DME RENTED - HHA 144366,A000000,04500,0000,4500DME SOLD - HHA 144366,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 144366,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 144366,A000000,04800,0000,4800AMBULANCE 144366,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 144366,A000000,05000,0000,5000CORF 144366,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144366,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 144366,A000000,05300,0000,5300INTEREST EXPENSE 144366,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144366,A000000,05500,0000,5500HOSPICE 144366,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 144366,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 144366,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144366,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 144366,A000000,06100,0000,6100NONPAID WORKERS 144366,A000000,06200,0000,6200PATIENTS LAUNDRY 144366,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144366,A81000A,00100,0100,Y 144366,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 144366,A81000C,00100,0100,A 144366,A81000C,00100,0200,FRANK BROWN 144366,A81000C,00100,0400,USA HEALTHCARE INC. 144366,A81000C,00100,0600,HOME OFFICE 144366,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 144366,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 144366,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 144366,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 144366,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 144366,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 144366,B100000,00000,0800,0800MEALS SERVED :DIETARY 144366,B100000,00000,0900,0900DIRECT NRSNG HOUR :NURSING ADMIN 144366,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 144366,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 144366,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 144366,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 144366,S000000,00100,0200,11/15/00 144366,S200000,00100,0100,2201 11TH AVENUE 144366,S200000,00200,0100,HALEYVILLE 144366,S200000,00200,0200,AL 144366,S200000,00200,0300,35565- 144366,S200000,00300,0100,MARION 144366,S200000,00300,0200,01 144366,S200000,00300,0300,R 144366,S200000,00400,0100,HALEYVILLE HEALTHCARE CENTER 144366,S200000,00400,0200,015157 144366,S200000,00400,0300,09/24/84 144366,S200000,00400,0500,P 144366,S200000,01500,0100,N 144366,S200000,01600,0100,Y 144366,S200000,01700,0100,N 144366,S200000,01800,0100,N 144366,S200000,02200,0100,N 144366,S200000,02800,0100,N 144366,S200000,02900,0100,N 144366,S200000,03000,0100,N 144366,S200000,03100,0100,N 144366,S200000,03200,0100,N 144366,S200000,04100,0100,N 144366,S200000,04200,0100,N 144366,S200000,04300,0100,N 144366,S200000,04600,0100,N 144366,S200000,04700,0100,N 144366,S200000,04700,0200,N 144366,S200000,04900,0100,N 144366,S200000,05000,0100,N 144366,S200000,05100,0100,N 144366,S200000,05200,0100,N 144377,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 144377,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 144377,A000000,00300,0000,0300EMPLOYEE BENEFITS 144377,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144377,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 144377,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144377,A000000,00700,0000,0700HOUSEKEEPING 144377,A000000,00800,0000,0800DIETARY 144377,A000000,00900,0000,0900NURSING ADMINISTRATION 144377,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144377,A000000,01100,0000,1100PHARMACY 144377,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144377,A000000,01300,0000,1300SOCIAL SERVICE 144377,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 144377,A000000,01600,0000,1600SKILLED NURSING FACILITY 144377,A000000,01900,0000,1900OTHER LONG TERM CARE 144377,A000000,02100,0000,2100RADIOLOGY 144377,A000000,02200,0000,2200LABORATORY 144377,A000000,02300,0000,2300INTRAVENOUS THERAPY 144377,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144377,A000000,02500,0000,2500PHYSICAL THERAPY 144377,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144377,A000000,02700,0000,2700SPEECH PATHOLOGY 144377,A000000,02800,0000,2800ELECTROCARDIOLOGY 144377,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 144377,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144377,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 144377,A000000,03200,0000,3200SUPPORT SURFACES 144377,A000000,03400,0000,3400CLINIC 144377,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 144377,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 144377,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 144377,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 144377,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 144377,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 144377,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 144377,A000000,04400,0000,4400DME RENTED - HHA 144377,A000000,04500,0000,4500DME SOLD - HHA 144377,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 144377,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 144377,A000000,04800,0000,4800AMBULANCE 144377,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 144377,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 144377,A000000,05300,0000,5300INTEREST EXPENSE 144377,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144377,A000000,05500,0000,5500HOSPICE 144377,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 144377,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144377,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 144377,A000000,06100,0000,6100NONPAID WORKERS 144377,A000000,06200,0000,6200PATIENTS LAUNDRY 144377,A81000A,00100,0100,Y 144377,A81000B,00100,0300,BUILDING LEASE 144377,A81000C,00100,0100,A 144377,A81000C,00100,0200,C&M PEEK S TARN 144377,A81000C,00100,0400,C&M PEEK &S TAR 144377,A81000C,00100,0600,LEASING OF BLDG 144377,B100000,00000,0100,0100SQ FOOTAGE :CAP REL COSTS - BLD 144377,B100000,00000,0200,0250SQ FOOTAGE :CAP REL COSTS - MOV 144377,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 144377,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 144377,B100000,00000,0500,0500SQ FOOTAGE :PLANT OPERATION MA 144377,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 144377,B100000,00000,0700,0750SQ FOOTAGE :HOUSEKEEPING 144377,B100000,00000,0800,0850PAT DAYS :DIETARY 144377,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 144377,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 144377,B100000,00000,1100,1150PAT DAYS :PHARMACY 144377,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 144377,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 144377,E10A180,00301,0100,01/25/00 144377,S000000,00100,0200,12/05/00 144377,S200000,00100,0100,505 NORTH FIFTH AVENUE 144377,S200000,00200,0100,ROME 144377,S200000,00200,0200,GA 144377,S200000,00200,0300,30161- 144377,S200000,00300,0100,FLOYD 144377,S200000,00300,0200,0011 144377,S200000,00300,0300,R 144377,S200000,00400,0100,FIFTH AVENUE HEALTH CARE CENTER 144377,S200000,00400,0200,115319 144377,S200000,00400,0300,10/13/83 144377,S200000,00400,0500,P 144377,S200000,00400,0600,O 144377,S200000,01500,0100,Y 144377,S200000,01600,0100,N 144377,S200000,01700,0100,N 144377,S200000,01800,0100,N 144377,S200000,02200,0100,Y 144377,S200000,02800,0100,N 144377,S200000,02900,0100,N 144377,S200000,03000,0100,N 144377,S200000,03100,0100,N 144377,S200000,03200,0100,N 144377,S200000,04100,0100,N 144377,S200000,04200,0100,N 144377,S200000,04300,0100,N 144377,S200000,04600,0100,N 144377,S200000,04700,0100,N 144377,S200000,04700,0200,N 144377,S200000,04900,0100,N 144377,S200000,05000,0100,N 144377,S200000,05100,0100,N 144377,S200000,05200,0100,N 144534,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144534,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144534,A000000,00300,0000,0300EMPLOYEE BENEFITS 144534,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144534,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144534,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144534,A000000,00700,0000,0700HOUSEKEEPING 144534,A000000,00800,0000,0800DIETARY 144534,A000000,00900,0000,0900NURSING ADMINISTRATION 144534,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144534,A000000,01100,0000,1100PHARMACY 144534,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144534,A000000,01300,0000,1300SOCIAL SERVICE 144534,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144534,A000000,01500,0000,1350ACTIVITIES 144534,A000000,01501,0000,1351INDIRECT CONSULTANTS 144534,A000000,01600,0000,1600SKILLED NURSING FACILITY 144534,A000000,01800,0000,1800NURSING FACILITY 144534,A000000,01810,0000,1810ICF/MR 144534,A000000,02100,0000,2100RADIOLOGY 144534,A000000,02500,0000,2500PHYSICAL THERAPY 144534,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144534,A000000,02700,0000,2700SPEECH PATHOLOGY 144534,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144534,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144534,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 144534,A000000,03550,0000,3550FQHC 144534,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144534,A000000,05000,0000,5000CORF 144534,A000000,05010,0000,5010CMHC 144534,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 144534,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144534,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144534,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144534,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 144534,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144534,A81000A,00100,0100,Y 144534,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 144534,A81000B,00500,0300,CONTRACT LABOR 144534,A81000B,00600,0300,CONTRACT LABOR 144534,A81000B,00700,0300,CONTRACT LABOR 144534,A81000C,00100,0100,F 144534,A81000C,00100,0200,FRONTIER REHAB 144534,A81000C,00100,0400,FRONTIER GROUP INC. 144534,A81000C,00100,0600,THERAPY SERVICES 144534,A81000C,00200,0100,F 144534,A81000C,00200,0200,FRONTIER MNMGT 144534,A81000C,00200,0400,FRONTIER GROUP INC. 144534,A81000C,00200,0600,MNMGT SERVICES 144534,A81000C,00300,0100,F 144534,A81000C,00300,0200,FRONTIER MNMGT 144534,A81000C,00300,0400,FRONTIER GROUP INC. 144534,A81000C,00300,0600,CAPITAL COSTS 144534,B100000,00000,0100,0100SQUARE FEET 144534,B100000,00000,0200,0200SQUARE FEET 144534,B100000,00000,0300,0300GROSS SALARIES 144534,B100000,00000,0400,0400ACCUM COST 144534,B100000,00000,0500,0500SQUARE FEET 144534,B100000,00000,0600,0600PATIENT DAYS 144534,B100000,00000,0700,0700SQUARE FEET 144534,B100000,00000,0800,0800PATIENT DAYS 144534,B100000,00000,0900,0900DIRECT NRSING HRS 144534,B100000,00000,1000,1000PATIENT DAYS 144534,B100000,00000,1100,1100PATIENT DAYS 144534,B100000,00000,1200,1200TIME SPENT 144534,B100000,00000,1300,1300TIME SPENT 144534,B100000,00000,1400,1400ASSIGNED TIME 144534,B100000,00000,1500,1350PATIENT DAYS 144534,B100000,00000,1501,1351NO STATISTICS 144534,S000000,00100,0200,04/03/00 144534,S200000,00100,0100,97 PRESTON RD. 144534,S200000,00200,0100,GRISWOLD 144534,S200000,00200,0200,CT 144534,S200000,00300,0100,NEW LONDON 144534,S200000,00300,0200,5523 144534,S200000,00300,0300,U 144534,S200000,00400,0100,COC - SUMMIT 144534,S200000,00400,0200,075093 144534,S200000,00400,0300,10/01/78 144534,S200000,00400,0500,P 144534,S200000,00400,0600,P 144534,S200000,00600,0200,075093 144534,S200000,00600,0300,10/01/78 144534,S200000,00600,0600,P 144534,S200000,01500,0100,N 144534,S200000,01600,0100,Y 144534,S200000,01700,0100,N 144534,S200000,01800,0100,N 144534,S200000,02200,0100,Y 144534,S200000,02800,0100,Y 144534,S200000,02900,0100,N 144534,S200000,03000,0100,N 144534,S200000,03100,0100,Y 144534,S200000,03200,0100,N 144534,S200000,03300,0100,N 144534,S200000,03300,0200,N 144534,S200000,03500,0300,N 144534,S200000,04100,0100,N 144534,S200000,04200,0100,N 144534,S200000,04300,0100,N 144534,S200000,04600,0100,N 144534,S200000,04700,0100,N 144534,S200000,04900,0100,N 144534,S200000,05200,0100,N 144535,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144535,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144535,A000000,00300,0000,0300EMPLOYEE BENEFITS 144535,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144535,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144535,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144535,A000000,00700,0000,0700HOUSEKEEPING 144535,A000000,00800,0000,0800DIETARY 144535,A000000,00900,0000,0900NURSING ADMINISTRATION 144535,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144535,A000000,01100,0000,1100PHARMACY 144535,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144535,A000000,01300,0000,1300SOCIAL SERVICE 144535,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144535,A000000,01500,0000,1350ACTIVITIES 144535,A000000,01501,0000,1351INDIRECT CONSULTANTS 144535,A000000,01600,0000,1600SKILLED NURSING FACILITY 144535,A000000,01810,0000,1810ICF/MR 144535,A000000,02100,0000,2100RADIOLOGY 144535,A000000,02500,0000,2500PHYSICAL THERAPY 144535,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144535,A000000,02700,0000,2700SPEECH PATHOLOGY 144535,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144535,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144535,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 144535,A000000,03550,0000,3550FQHC 144535,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144535,A000000,05000,0000,5000CORF 144535,A000000,05010,0000,5010CMHC 144535,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 144535,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144535,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144535,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144535,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 144535,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144535,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144535,A81000A,00100,0100,Y 144535,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 144535,A81000B,00500,0300,CONTRACT LABOR 144535,A81000B,00600,0300,CONTRACT LABOR 144535,A81000B,00700,0300,CONTRACT LABOR 144535,A81000C,00100,0100,F 144535,A81000C,00100,0200,FRONTIER REHAB 144535,A81000C,00100,0400,FRONTIER GROUP INC. 144535,A81000C,00100,0600,THERAPY SERVICES 144535,A81000C,00200,0100,F 144535,A81000C,00200,0200,FRONTIER MNMGT 144535,A81000C,00200,0400,FRONTIER GROUP INC. 144535,A81000C,00200,0600,MNMGT SERVICES 144535,A81000C,00300,0100,F 144535,A81000C,00300,0200,FRONTIER MNMGT 144535,A81000C,00300,0400,FRONTIER GROUP INC. 144535,A81000C,00300,0600,CAPITAL COST 144535,B100000,00000,0100,0100SQUARE FEET 144535,B100000,00000,0200,0200SQUARE FEET 144535,B100000,00000,0300,0300GROSS SALARIES 144535,B100000,00000,0400,0400ACCUM COST 144535,B100000,00000,0500,0500SQUARE FEET 144535,B100000,00000,0600,0600PATIENT DAYS 144535,B100000,00000,0700,0700SQUARE FEET 144535,B100000,00000,0800,0800PATIENT DAYS 144535,B100000,00000,0900,0900DIRECT NRSING HRS 144535,B100000,00000,1000,1000PATIENT DAYS 144535,B100000,00000,1100,1100PATIENT DAYS 144535,B100000,00000,1200,1200TIME SPENT 144535,B100000,00000,1300,1300TIME SPENT 144535,B100000,00000,1400,1400ASSIGNED TIME 144535,B100000,00000,1500,1350PATIENT DAYS 144535,B100000,00000,1501,1351NO STATISTICS 144535,S000000,00100,0200,04/03/00 144535,S200000,00100,0100,50 MEAD ST. 144535,S200000,00200,0100,NEW HAVEN 144535,S200000,00200,0200,CT 144535,S200000,00300,0100,NEW HAVEN 144535,S200000,00300,0200,5483 144535,S200000,00300,0300,U 144535,S200000,00400,0100,COC - ELM CITY 144535,S200000,00400,0200,075115 144535,S200000,00400,0300,07/26/79 144535,S200000,00400,0500,P 144535,S200000,00400,0600,P 144535,S200000,01500,0100,N 144535,S200000,01600,0100,Y 144535,S200000,01700,0100,N 144535,S200000,01800,0100,N 144535,S200000,02200,0100,Y 144535,S200000,02800,0100,Y 144535,S200000,02900,0100,N 144535,S200000,03000,0100,N 144535,S200000,03100,0100,Y 144535,S200000,03200,0100,N 144535,S200000,03300,0100,N 144535,S200000,03300,0200,N 144535,S200000,04100,0100,N 144535,S200000,04200,0100,N 144535,S200000,04300,0100,Y 144535,S200000,04600,0100,N 144535,S200000,04700,0100,N 144535,S200000,04900,0100,N 144535,S200000,05200,0100,N 144536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144536,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144536,A000000,00300,0000,0300EMPLOYEE BENEFITS 144536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144536,A000000,00700,0000,0700HOUSEKEEPING 144536,A000000,00800,0000,0800DIETARY 144536,A000000,00900,0000,0900NURSING ADMINISTRATION 144536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144536,A000000,01100,0000,1100PHARMACY 144536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144536,A000000,01300,0000,1300SOCIAL SERVICE 144536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144536,A000000,01500,0000,1350ACTIVITIES 144536,A000000,01501,0000,1351INDIRECT CONSULTANTS 144536,A000000,01600,0000,1600SKILLED NURSING FACILITY 144536,A000000,01800,0000,1800NURSING FACILITY 144536,A000000,01810,0000,1810ICF/MR 144536,A000000,02100,0000,2100RADIOLOGY 144536,A000000,02300,0000,2300INTRAVENOUS THERAPY 144536,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144536,A000000,02500,0000,2500PHYSICAL THERAPY 144536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144536,A000000,02700,0000,2700SPEECH PATHOLOGY 144536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144536,A000000,03300,0000,3050DURABLE MEDICAL EQUIPMEN 144536,A000000,03301,0000,3051CONTRA ANCILLARIES 144536,A000000,03302,0000,3052OTHER 144536,A000000,03550,0000,3550FQHC 144536,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144536,A000000,05000,0000,5000CORF 144536,A000000,05010,0000,5010CMHC 144536,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 144536,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144536,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144536,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144536,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 144536,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 144536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144536,A81000A,00100,0100,Y 144536,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 144536,A81000B,00200,0300,MNMGT FEE - CAP. RELATED B & F 144536,A81000B,00300,0300,MNMGT FEE - CAP. RELATED MME 144536,A81000B,00400,0300,CONTRACT LABOR 144536,A81000B,00500,0300,CONTRACT LABOR 144536,A81000B,00600,0300,CONTRACT LABOR 144536,A81000B,00700,0300,CONTRACT LABOR 144536,A81000C,00100,0100,F 144536,A81000C,00100,0200,FRONTIER REHAB 144536,A81000C,00100,0400,FRONTIER GROUP INC. 144536,A81000C,00100,0600,THERAPY SERVICES 144536,A81000C,00200,0100,F 144536,A81000C,00200,0200,FRONTIER MNMGT 144536,A81000C,00200,0400,FRONTIER GROUP INC. 144536,A81000C,00200,0600,MNMGT SERVICES 144536,A81000C,00300,0100,F 144536,A81000C,00300,0200,FRONTIER MNMGT 144536,A81000C,00300,0400,FRONTIER GROUP INC. 144536,A81000C,00300,0600,CAPITAL COSTS 144536,B100000,00000,0100,0100SQUARE FEET 144536,B100000,00000,0200,0200SQUARE FEET 144536,B100000,00000,0300,0300GROSS SALARIES 144536,B100000,00000,0400,0400ACCUM COST 144536,B100000,00000,0500,0500SQUARE FEET 144536,B100000,00000,0600,0600PATIENT DAYS 144536,B100000,00000,0700,0700SQUARE FEET 144536,B100000,00000,0800,0800PATIENT DAYS 144536,B100000,00000,0900,0900DIRECT NRSING HRS 144536,B100000,00000,1000,1000PATIENT DAYS 144536,B100000,00000,1100,1100PATIENT DAYS 144536,B100000,00000,1200,1200TIME SPENT 144536,B100000,00000,1300,1300TIME SPENT 144536,B100000,00000,1400,1400ASSIGNED TIME 144536,B100000,00000,1500,1350PATIENT DAYS 144536,B100000,00000,1501,1351NO STATISTICS 144536,S000000,00100,0200,04/03/00 144536,S200000,00100,0100,915 ELLA T. GRASSO BLVD. 144536,S200000,00200,0100,NEW HAVEN 144536,S200000,00200,0200,CT 144536,S200000,00300,0100,NEW HAVEN 144536,S200000,00300,0200,5483 144536,S200000,00300,0300,U 144536,S200000,00400,0100,COC - NEW HAVEN 144536,S200000,00400,0200,075179 144536,S200000,00400,0300,03/21/67 144536,S200000,00400,0500,P 144536,S200000,00400,0600,P 144536,S200000,00600,0200,075179 144536,S200000,00600,0300,03/21/67 144536,S200000,00600,0600,P 144536,S200000,01500,0100,N 144536,S200000,01600,0100,Y 144536,S200000,01700,0100,N 144536,S200000,01800,0100,N 144536,S200000,01900,0100,NON PROFIT CORP 144536,S200000,02200,0100,Y 144536,S200000,02800,0100,Y 144536,S200000,02900,0100,N 144536,S200000,03000,0100,N 144536,S200000,03100,0100,Y 144536,S200000,03200,0100,N 144536,S200000,03300,0100,N 144536,S200000,03300,0200,N 144536,S200000,03500,0300,N 144536,S200000,04100,0100,N 144536,S200000,04200,0100,N 144536,S200000,04300,0100,N 144536,S200000,04600,0100,N 144536,S200000,04700,0100,N 144536,S200000,04900,0100,N 144536,S200000,05200,0100,N 144541,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144541,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 144541,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144541,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 144541,A000000,00300,0000,0300EMPLOYEE BENEFITS 144541,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144541,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144541,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144541,A000000,00700,0000,0700HOUSEKEEPING 144541,A000000,00800,0000,0800DIETARY 144541,A000000,00801,0000,0801CAFETERIA 144541,A000000,00900,0000,0900NURSING ADMINISTRATION 144541,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144541,A000000,01100,0000,1100PHARMACY 144541,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144541,A000000,01300,0000,1300SOCIAL SERVICE 144541,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144541,A000000,01500,0000,1350ACTIVITIES 144541,A000000,01600,0000,1600SKILLED NURSING FACILITY 144541,A000000,01800,0000,1800NURSING FACILITY 144541,A000000,01810,0000,1810ICF/MR 144541,A000000,02100,0000,2100RADIOLOGY 144541,A000000,02200,0000,2200LABORATORY 144541,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144541,A000000,02500,0000,2500PHYSICAL THERAPY 144541,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144541,A000000,02700,0000,2700SPEECH PATHOLOGY 144541,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144541,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144541,A000000,03300,0000,3050PEN THERAPY 144541,A000000,03301,0000,3051FEE SCREENING 144541,A000000,03302,0000,3052OTHER ANCILLARY III 144541,A000000,03550,0000,3550FQHC 144541,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 144541,A000000,05000,0000,5000CORF I 144541,A000000,05010,0000,5010CMHC I 144541,A000000,05020,0000,5020OPT I 144541,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144541,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144541,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144541,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 144541,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 144541,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144541,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144541,A81000A,00100,0100,Y 144541,A81000B,00100,0300,HOME OFFICE 144541,A81000B,00200,0300,HOME OFFICE 144541,A81000B,00300,0300,SEE ATTACHED 144541,A81000C,00100,0100,B 144541,A81000C,00100,0200,GENESIS HEALTH 144541,A81000C,00100,0600,HOME OFFICE 144541,A81000C,00200,0100,B 144541,A81000C,00200,0200,GENESIS HEALTH 144541,A81000C,00200,0600,HOME OFFICE 144541,A81000C,00300,0100,B 144541,A81000C,00300,0200,GENESIS REHAB 144541,A81000C,00300,0600,REHAB SERVICES 144541,A81000C,00400,0100,B 144541,A81000C,00400,0200,GENESIS REHAB 144541,A81000C,00400,0600,REHAB SERVICES 144541,A81000C,00500,0100,B 144541,A81000C,00500,0200,GENESIS REHAB 144541,A81000C,00500,0600,REHAB SERVICES 144541,B100000,00000,0100,0100(SQUARE FEET) 144541,B100000,00000,0101,0101(SQUARE FEET) 144541,B100000,00000,0200,0200(SQUARE FEET) 144541,B100000,00000,0201,0201(SQUARE FEET) 144541,B100000,00000,0300,0300(GROSS SALARIES) 144541,B100000,00000,0400,0400ACCUM COST 144541,B100000,00000,0500,0500(SQUARE FEET) 144541,B100000,00000,0600,0600(PATIENT DAYS) 144541,B100000,00000,0700,0700(SQUARE FEET) 144541,B100000,00000,0800,0800(MEALS SERVED) 144541,B100000,00000,0801,0801(MEALS SERVED) 144541,B100000,00000,0900,0900(NURSING SALARIES) 144541,B100000,00000,1000,1000(COSTED REQUIS.) 144541,B100000,00000,1100,1100(COSTED REQUIS.) 144541,B100000,00000,1200,1200(GROSS CHARGES) 144541,B100000,00000,1300,1300(PATIENT DAYS) 144541,B100000,00000,1400,1400(ASSIGNED TIME) 144541,B100000,00000,1500,1350(PATIENT DAYS) 144541,E10A180,00501,0100,02/14/01 144541,E10A180,00501,0300,03/30/00 144541,E10A180,00502,0300,02/14/01 144541,S000000,00100,0200,02/29/00 144541,S200000,00100,0100,RR#1BOX 960 HARRELL 144541,S200000,00200,0100,MORRISVILLE 144541,S200000,00200,0200,VT 144541,S200000,00300,0100,LAMOILLE 144541,S200000,00300,0200,0047 144541,S200000,00300,0300,R 144541,S200000,00400,0100,MORRISVILLE CENTER 144541,S200000,00400,0200,475051 144541,S200000,00400,0300,06/01/95 144541,S200000,00400,0500,P 144541,S200000,01500,0100,N 144541,S200000,01600,0100,Y 144541,S200000,01700,0100,N 144541,S200000,01800,0100,N 144541,S200000,02200,0100,Y 144541,S200000,02800,0100,N 144541,S200000,02900,0100,N 144541,S200000,03000,0100,N 144541,S200000,03100,0100,N 144541,S200000,03200,0100,N 144541,S200000,03300,0100,N 144541,S200000,03300,0200,N 144541,S200000,04100,0100,N 144541,S200000,04200,0100,N 144541,S200000,04300,0100,N 144541,S200000,04600,0100,N 144541,S200000,04700,0100,N 144541,S200000,04900,0100,N 144541,S200000,05200,0100,N 144542,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144542,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 144542,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144542,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 144542,A000000,00300,0000,0300EMPLOYEE BENEFITS 144542,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144542,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144542,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144542,A000000,00700,0000,0700HOUSEKEEPING 144542,A000000,00800,0000,0800DIETARY 144542,A000000,00801,0000,0801CAFETERIA 144542,A000000,00900,0000,0900NURSING ADMINISTRATION 144542,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144542,A000000,01100,0000,1100PHARMACY 144542,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144542,A000000,01300,0000,1300SOCIAL SERVICE 144542,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144542,A000000,01500,0000,1350ACTIVITIES 144542,A000000,01600,0000,1600SKILLED NURSING FACILITY 144542,A000000,01800,0000,1800NURSING FACILITY 144542,A000000,01810,0000,1810ICF/MR 144542,A000000,02100,0000,2100RADIOLOGY 144542,A000000,02200,0000,2200LABORATORY 144542,A000000,02500,0000,2500PHYSICAL THERAPY 144542,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144542,A000000,02700,0000,2700SPEECH PATHOLOGY 144542,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144542,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144542,A000000,03300,0000,3050PEN THERAPY 144542,A000000,03301,0000,3051FEE SCREENING 144542,A000000,03302,0000,3052OTHER ANCILLARY III 144542,A000000,03550,0000,3550FQHC 144542,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 144542,A000000,05000,0000,5000CORF I 144542,A000000,05010,0000,5010CMHC I 144542,A000000,05020,0000,5020OPT I 144542,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144542,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144542,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144542,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 144542,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 144542,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144542,A81000A,00100,0100,Y 144542,A81000B,00100,0300,HOME OFFICE 144542,A81000B,00200,0300,HOME OFFICE 144542,A81000B,00300,0300,SEE ATTACHED 144542,A81000C,00100,0100,B 144542,A81000C,00100,0200,GENESIS HEALTH 144542,A81000C,00100,0600,HOME OFFICE 144542,A81000C,00200,0100,B 144542,A81000C,00200,0200,GENESIS HEALTH 144542,A81000C,00200,0600,HOME OFFICE 144542,A81000C,00300,0100,B 144542,A81000C,00300,0200,GENESIS REHAB 144542,A81000C,00300,0600,REHAB SERVICES 144542,A81000C,00400,0100,B 144542,A81000C,00400,0200,GENESIS REHAB 144542,A81000C,00400,0600,REHAB SERVICES 144542,A81000C,00500,0100,B 144542,A81000C,00500,0200,GENESIS REHAB 144542,A81000C,00500,0600,REHAB SERVICES 144542,B100000,00000,0100,0100(SQUARE FEET) 144542,B100000,00000,0101,0101(SQUARE FEET) 144542,B100000,00000,0200,0200(SQUARE FEET) 144542,B100000,00000,0201,0201(SQUARE FEET) 144542,B100000,00000,0300,0300(GROSS SALARIES) 144542,B100000,00000,0400,0400ACCUM COST 144542,B100000,00000,0500,0500(SQUARE FEET) 144542,B100000,00000,0600,0600(PATIENT DAYS) 144542,B100000,00000,0700,0700(SQUARE FEET) 144542,B100000,00000,0800,0800(MEALS SERVED) 144542,B100000,00000,0801,0801(MEALS SERVED) 144542,B100000,00000,0900,0900(NURSING SALARIES) 144542,B100000,00000,1000,1000(COSTED REQUIS.) 144542,B100000,00000,1100,1100(COSTED REQUIS.) 144542,B100000,00000,1200,1200(GROSS CHARGES) 144542,B100000,00000,1300,1300(PATIENT DAYS) 144542,B100000,00000,1400,1400(ASSIGNED TIME) 144542,B100000,00000,1500,1350(PATIENT DAYS) 144542,E10A180,00501,0100,03/19/01 144542,E10A180,00501,0300,03/02/00 144542,E10A180,00550,0300,03/19/01 144542,S000000,00100,0200,02/29/00 144542,S200000,00100,0100,9 HAYWOOD AVENUE 144542,S200000,00100,0300,6623 144542,S200000,00200,0100,RUTLAND 144542,S200000,00200,0200,VT 144542,S200000,00200,0300,05701 144542,S200000,00300,0100,RUTLAND 144542,S200000,00300,0200,0047 144542,S200000,00300,0300,R 144542,S200000,00400,0100,MOUNTAIN VIEW CENTER 144542,S200000,00400,0200,475012 144542,S200000,00400,0300,10/01/96 144542,S200000,00400,0500,P 144542,S200000,01500,0100,N 144542,S200000,01600,0100,Y 144542,S200000,01700,0100,N 144542,S200000,01800,0100,N 144542,S200000,02200,0100,Y 144542,S200000,02800,0100,N 144542,S200000,02900,0100,N 144542,S200000,03000,0100,N 144542,S200000,03100,0100,N 144542,S200000,03200,0100,N 144542,S200000,03300,0100,N 144542,S200000,03300,0200,N 144542,S200000,04100,0100,N 144542,S200000,04200,0100,N 144542,S200000,04300,0100,N 144542,S200000,04600,0100,N 144542,S200000,04700,0100,N 144542,S200000,04900,0100,N 144542,S200000,05200,0100,N 144546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144546,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 144546,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144546,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 144546,A000000,00300,0000,0300EMPLOYEE BENEFITS 144546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144546,A000000,00700,0000,0700HOUSEKEEPING 144546,A000000,00800,0000,0800DIETARY 144546,A000000,00801,0000,0801CAFETERIA 144546,A000000,00900,0000,0900NURSING ADMINISTRATION 144546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144546,A000000,01100,0000,1100PHARMACY 144546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144546,A000000,01300,0000,1300SOCIAL SERVICE 144546,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144546,A000000,01500,0000,1350ACTIVITIES 144546,A000000,01600,0000,1600SKILLED NURSING FACILITY 144546,A000000,01800,0000,1800NURSING FACILITY 144546,A000000,01810,0000,1810ICF/MR 144546,A000000,02100,0000,2100RADIOLOGY 144546,A000000,02200,0000,2200LABORATORY 144546,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144546,A000000,02500,0000,2500PHYSICAL THERAPY 144546,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144546,A000000,02700,0000,2700SPEECH PATHOLOGY 144546,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144546,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144546,A000000,03300,0000,3050PEN THERAPY 144546,A000000,03301,0000,3051FEE SCREENING 144546,A000000,03302,0000,3052OTHER ANCILLARY III 144546,A000000,03550,0000,3550FQHC 144546,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 144546,A000000,04800,0000,4800AMBULANCE 144546,A000000,05000,0000,5000CORF I 144546,A000000,05010,0000,5010CMHC I 144546,A000000,05020,0000,5020OPT I 144546,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144546,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144546,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144546,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 144546,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 144546,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144546,A81000A,00100,0100,Y 144546,A81000B,00100,0300,HOME OFFICE 144546,A81000B,00200,0300,HOME OFFICE CAPITAL 144546,A81000B,00300,0300,SEE ATTACHED 144546,A81000C,00100,0100,A 144546,A81000C,00100,0200,GENESIS HEALTH 144546,A81000C,00100,0600,HOME OFFICE 144546,A81000C,00200,0100,B 144546,A81000C,00200,0200,GENESIS HEALTH 144546,A81000C,00200,0600,HOME OFFICE CAP 144546,B100000,00000,0100,0100(SQUARE FEET) 144546,B100000,00000,0101,0101(SQUARE FEET) 144546,B100000,00000,0200,0200(SQUARE FEET) 144546,B100000,00000,0201,0201(SQUARE FEET) 144546,B100000,00000,0300,0300(GROSS SALARIES) 144546,B100000,00000,0400,0400ACCUM COST 144546,B100000,00000,0500,0500(SQUARE FEET) 144546,B100000,00000,0600,0600(PATIENT DAYS) 144546,B100000,00000,0700,0700(SQUARE FEET) 144546,B100000,00000,0800,0800(MEALS SERVED) 144546,B100000,00000,0801,0801(MEALS SERVED) 144546,B100000,00000,0900,0900(NURSING SALARIES) 144546,B100000,00000,1000,1000(COSTED REQUIS.) 144546,B100000,00000,1100,1100(PATIENT DAYS) 144546,B100000,00000,1200,1200(GROSS CHARGES) 144546,B100000,00000,1300,1300(PATIENT DAYS) 144546,B100000,00000,1400,1400(ASSIGNED TIME) 144546,B100000,00000,1500,1350(PATIENT DAYS) 144546,E10A180,00501,0100,03/28/00 144546,E10A180,00501,0300,03/28/00 144546,E10A180,00502,0100,11/21/00 144546,E10A180,00502,0300,11/21/00 144546,S000000,00100,0200,02/29/00 144546,S200000,00100,0100,677 COURT STREET 144546,S200000,00200,0100,KEENE 144546,S200000,00200,0200,NH 144546,S200000,00200,0300,03431 144546,S200000,00300,0100,CHESHIRE 144546,S200000,00300,0200,0030 144546,S200000,00300,0300,R 144546,S200000,00400,0100,KEENE CENTER 144546,S200000,00400,0200,305051 144546,S200000,00400,0300,06/01/95 144546,S200000,00400,0500,P 144546,S200000,01500,0100,N 144546,S200000,01600,0100,Y 144546,S200000,01700,0100,N 144546,S200000,01800,0100,N 144546,S200000,02200,0100,Y 144546,S200000,02800,0100,N 144546,S200000,02900,0100,N 144546,S200000,03000,0100,N 144546,S200000,03100,0100,N 144546,S200000,03200,0100,N 144546,S200000,03300,0100,N 144546,S200000,03300,0200,N 144546,S200000,04100,0100,N 144546,S200000,04200,0100,N 144546,S200000,04300,0100,N 144546,S200000,04600,0100,N 144546,S200000,04700,0100,Y 144546,S200000,04900,0100,Y 144546,S200000,05200,0100,N 144685,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 144685,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 144685,A000000,00300,0000,0300EMPLOYEE BENEFITS 144685,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144685,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 144685,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144685,A000000,00700,0000,0700HOUSEKEEPING 144685,A000000,00800,0000,0800DIETARY 144685,A000000,00900,0000,0900NURSING ADMINISTRATION 144685,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144685,A000000,01100,0000,1100PHARMACY 144685,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144685,A000000,01300,0000,1300SOCIAL SERVICE 144685,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 144685,A000000,01600,0000,1600SKILLED NURSING FACILITY 144685,A000000,01800,0000,1800NURSING FACILITY 144685,A000000,02100,0000,2100RADIOLOGY 144685,A000000,02200,0000,2200LABORATORY 144685,A000000,02300,0000,2300INTRAVENOUS THERAPY 144685,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144685,A000000,02500,0000,2500PHYSICAL THERAPY 144685,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144685,A000000,02700,0000,2700SPEECH PATHOLOGY 144685,A000000,02800,0000,2800ELECTROCARDIOLOGY 144685,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 144685,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144685,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 144685,A000000,03200,0000,3200SUPPORT SURFACES 144685,A000000,03400,0000,3400CLINIC 144685,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 144685,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 144685,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 144685,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 144685,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 144685,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 144685,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 144685,A000000,04400,0000,4400DME RENTED - HHA 144685,A000000,04500,0000,4500DME SOLD - HHA 144685,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 144685,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 144685,A000000,04800,0000,4800AMBULANCE 144685,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 144685,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 144685,A000000,05300,0000,5300INTEREST EXPENSE 144685,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144685,A000000,05500,0000,5500HOSPICE 144685,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 144685,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144685,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 144685,A000000,06100,0000,6100NONPAID WORKERS 144685,A000000,06200,0000,6200PATIENTS LAUNDRY 144685,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENTE 144685,A81000A,00100,0100,Y 144685,A81000B,00100,0300,MANAGEMENT FEES 144685,A81000C,00100,0100,A 144685,A81000C,00100,0200,T.LLOYD RYAN 144685,A81000C,00100,0600,MGT SVS 144685,A81000C,00200,0100,A 144685,A81000C,00200,0200,PINE GROVE HC 144685,A81000C,00200,0600,MGT SVS 144685,S000000,00100,0200,04/27/00 144685,S200000,00100,0100,999 SOUTH MAIN STREET 144685,S200000,00200,0100,PASCOAG 144685,S200000,00200,0200,RI 144685,S200000,00200,0300,02859 144685,S200000,00300,0100,PROVIDENCE 144685,S200000,00400,0100,BURRILLVILLE NURSING HOME 144685,S200000,00400,0200,415099 144685,S200000,00400,0300,09/01/91 144685,S200000,00400,0500,P 144685,S200000,01500,0100,N 144685,S200000,01600,0100,Y 144685,S200000,01700,0100,N 144685,S200000,01800,0100,N 144685,S200000,02200,0100,N 144685,S200000,02800,0100,N 144685,S200000,02900,0100,N 144685,S200000,03000,0100,N 144685,S200000,03100,0100,N 144685,S200000,03200,0100,N 144685,S200000,03300,0100,N 144685,S200000,03300,0200,N 144685,S200000,04100,0100,N 144685,S200000,04200,0100,N 144685,S200000,04300,0100,Y 144685,S200000,04600,0100,N 144685,S200000,04700,0100,Y 144685,S200000,04900,0100,N 144685,S700003,00000,0100,X 144791,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 144791,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 144791,A000000,00300,0000,0300EMPLOYEE BENEFITS 144791,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144791,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 144791,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144791,A000000,00700,0000,0700HOUSEKEEPING 144791,A000000,00800,0000,0800DIETARY 144791,A000000,00900,0000,0900NURSING ADMINISTRATION 144791,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144791,A000000,01100,0000,1100PHARMACY 144791,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144791,A000000,01300,0000,1300SOCIAL SERVICE 144791,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 144791,A000000,01600,0000,1600SKILLED NURSING FACILITY 144791,A000000,01900,0000,1900OTHER LONG TERM CARE 144791,A000000,02100,0000,2100RADIOLOGY 144791,A000000,02200,0000,2200LABORATORY 144791,A000000,02300,0000,2300INTRAVENOUS THERAPY 144791,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144791,A000000,02500,0000,2500PHYSICAL THERAPY 144791,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144791,A000000,02700,0000,2700SPEECH PATHOLOGY 144791,A000000,02800,0000,2800ELECTROCARDIOLOGY 144791,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 144791,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144791,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 144791,A000000,03200,0000,3200SUPPORT SURFACES 144791,A000000,03400,0000,3400CLINIC 144791,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 144791,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 144791,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 144791,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 144791,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 144791,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 144791,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 144791,A000000,04400,0000,4400DME RENTED - HHA 144791,A000000,04500,0000,4500DME SOLD - HHA 144791,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 144791,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 144791,A000000,04800,0000,4800AMBULANCE 144791,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 144791,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 144791,A000000,05300,0000,5300INTEREST EXPENSE 144791,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144791,A000000,05500,0000,5500HOSPICE 144791,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 144791,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144791,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 144791,A000000,06100,0000,6100NONPAID WORKERS 144791,A000000,06200,0000,6200PATIENTS LAUNDRY 144791,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENTE 144791,A81000A,00100,0100,Y 144791,A81000B,00100,0300,INSURANCE 144791,A81000B,00200,0300,REAL ESTATE TAXES 144791,A81000B,00300,0300,INTEREST 144791,A81000B,00400,0300,AMORT-CLOSING COSTS 144791,A81000B,00500,0300,BLDG DEPR 144791,A81000B,00600,0300,EQUIP DEPR 144791,A81000B,00700,0300,RENT 144791,A81000B,00800,0300,MANAGEMENT FEES 144791,A81000B,00900,0300,ADMIN SALARIES 144791,A81000C,00100,0100,A 144791,A81000C,00100,0200,N. AUDINO SR. 144791,A81000C,00100,0400,NORMAN REALTY 144791,A81000C,00100,0600,COPR REAL 144791,A81000C,00200,0100,A 144791,A81000C,00200,0200,N. AUDINO JR. 144791,A81000C,00200,0400,NORMAN REALTY 144791,A81000C,00200,0600,ESTATE RENTAL 144791,S000000,00100,0200,05/31/00 144791,S200000,00100,0100,20 AUSTIN AVENUE 144791,S200000,00200,0100,SMITHFIELD 144791,S200000,00200,0200,RI 144791,S200000,00200,0300,02828 144791,S200000,00300,0100,PROVIDENCE 144791,S200000,00400,0100,CORTLAND PLACE HEALTH CENTER INC. 144791,S200000,00400,0200,415123 144791,S200000,00400,0300,08/04/97 144791,S200000,00400,0500,P 144791,S200000,01500,0100,Y 144791,S200000,01600,0100,N 144791,S200000,01700,0100,N 144791,S200000,01800,0100,N 144791,S200000,02200,0100,N 144791,S200000,02800,0100,N 144791,S200000,02900,0100,N 144791,S200000,03000,0100,N 144791,S200000,03100,0100,N 144791,S200000,03200,0100,N 144791,S200000,03300,0100,N 144791,S200000,03300,0200,N 144791,S200000,04100,0100,Y 144791,S200000,04200,0100,N 144791,S200000,04300,0100,Y 144791,S200000,04600,0100,N 144791,S200000,04700,0100,N 144791,S200000,04900,0100,N 144791,S700003,00000,0400,X 144839,S000000,00100,0200,08/29/00 144842,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144842,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144842,A000000,00300,0000,0300EMPLOYEE BENEFITS 144842,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144842,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144842,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144842,A000000,00700,0000,0700HOUSEKEEPING 144842,A000000,00800,0000,0800DIETARY 144842,A000000,00900,0000,0900NURSING ADMINISTRATION 144842,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144842,A000000,01100,0000,1100PHARMACY 144842,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144842,A000000,01300,0000,1300SOCIAL SERVICE 144842,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144842,A000000,01600,0000,1600SKILLED NURSING FACILITY 144842,A000000,01810,0000,1810ICF/MR 144842,A000000,02100,0000,2100RADIOLOGY 144842,A000000,02200,0000,2200LABORATORY 144842,A000000,02300,0000,2300INTRAVENOUS THERAPY 144842,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144842,A000000,02500,0000,2500PHYSICAL THERAPY 144842,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144842,A000000,02700,0000,2700SPEECH PATHOLOGY 144842,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144842,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144842,A000000,03550,0000,3550FQHC 144842,A000000,05000,0000,5000CORF 144842,A000000,05010,0000,5010CMHC 144842,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 144842,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144842,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144842,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144842,A81000A,00100,0100,Y 144842,A81000B,00100,0300,H.O. CARP REL BLDG & FIXTURES 144842,A81000B,00200,0300,H.O. CAP RELATED MME 144842,A81000B,00300,0300,H.O. ADMIN & FIELD SUPER LECC 144842,A81000B,00400,0300,H.O. ADMIN & FIELD SUPERVISION 144842,A81000B,00500,0300,H.O. NURSING ADMINISTRATION 144842,A81000B,00600,0300,H.O. CAP REL ADMIN & FIELD SUP 144842,A81000B,00700,0300,H.O. CAP REL NURSING CONSULT. 144842,A81000C,00100,0100,F 144842,A81000C,00100,0200,ELTON G. BEEBE 144842,A81000C,00100,0400,MAGNOLIA MANAGEMENT 144842,A81000C,00100,0600,MANAGEMENT COMPANY 144842,A81000C,00200,0100,B 144842,A81000C,00200,0200,LA EXTENDED CARE CENTERS 144842,B100000,00000,0100,0100SQUARE FEET 144842,B100000,00000,0200,0200SQUARE FEET 144842,B100000,00000,0300,0300GROSS SALARIES 144842,B100000,00000,0400,0400ACCUM COST 144842,B100000,00000,0500,0500SQUARE FEET 144842,B100000,00000,0600,0600POUNDS OF LAUNDRY 144842,B100000,00000,0700,0700SQUARE FEET 144842,B100000,00000,0800,0800MEALS SERVED 144842,B100000,00000,0900,0900DIRECT NRSING HRS 144842,B100000,00000,1000,1000COSTED REQUIS 144842,B100000,00000,1100,1100COSTED REQUIS 144842,B100000,00000,1200,1200TIME SPENT 144842,B100000,00000,1300,1300TIME SPENT 144842,B100000,00000,1400,1400ASSIGNED TIME 144842,E10A180,00501,0100,06/21/00 144842,E10A180,00501,0300,09/13/00 144842,E10A180,00550,0300,06/21/00 144842,S000000,00100,0200,05/25/00 144842,S200000,00100,0100,1820 WEST CAUSEWAY APPROACH 144842,S200000,00200,0100,MANDEVILLE 144842,S200000,00200,0200,LA 144842,S200000,00200,0300,70448 144842,S200000,00300,0100,ST. TAMMY 144842,S200000,00300,0200,5560 144842,S200000,00300,0300,U 144842,S200000,00400,0100,HERITAGE MANOR OF MANDEVILLE 144842,S200000,00400,0200,195279 144842,S200000,00400,0300,08/05/93 144842,S200000,00400,0500,P 144842,S200000,01500,0100,Y 144842,S200000,01600,0100,N 144842,S200000,01700,0100,N 144842,S200000,01800,0100,N 144842,S200000,02200,0100,Y 144842,S200000,02800,0100,N 144842,S200000,02900,0100,N 144842,S200000,03000,0100,N 144842,S200000,03100,0100,N 144842,S200000,03200,0100,N 144842,S200000,03300,0100,N 144842,S200000,03300,0200,N 144842,S200000,04100,0100,N 144842,S200000,04200,0100,N 144842,S200000,04300,0100,N 144842,S200000,04600,0100,N 144842,S200000,04700,0100,N 144842,S200000,04900,0100,N 144842,S200000,05200,0100,N 144844,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 144844,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 144844,A000000,00300,0000,0300EMPLOYEE BENEFITS 144844,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144844,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 144844,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144844,A000000,00700,0000,0700HOUSEKEEPING 144844,A000000,00800,0000,0800DIETARY 144844,A000000,00900,0000,0900NURSING ADMINISTRATION 144844,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144844,A000000,01100,0000,1100PHARMACY 144844,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144844,A000000,01300,0000,1300SOCIAL SERVICE 144844,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 144844,A000000,01500,0000,1350OTHER GENERAL SERVICES 144844,A000000,01600,0000,1600SKILLED NURSING FACILITY 144844,A000000,01800,0000,1800NURSING FACILITY 144844,A000000,01810,0000,1810ICF/MR 144844,A000000,02500,0000,2500PHYSICAL THERAPY 144844,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144844,A000000,02700,0000,2700SPEECH PATHOLOGY 144844,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 144844,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144844,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 144844,A000000,03550,0000,3550FQHC 144844,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144844,A000000,05000,0000,5000CORF 144844,A000000,05010,0000,5010CMHC 144844,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 144844,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 144844,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 144844,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144844,A000000,05300,0000,5300INTEREST EXPENSE 144844,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144844,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 144844,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144844,A81000A,00100,0100,N 144844,B100000,00000,0100,0100SQUARE FEET 144844,B100000,00000,0200,0200DOLLAR VALUE 144844,B100000,00000,0300,0300GROSS SALARIES 144844,B100000,00000,0400,0400ACCUM COST 144844,B100000,00000,0500,0500SQUARE FEET 144844,B100000,00000,0600,0600POUNDS OF LAUNDRY 144844,B100000,00000,0700,0700HOURS OF SERVICE 144844,B100000,00000,0800,0800MEALS SERVED 144844,B100000,00000,0900,0900DIRECT NRSING HRS 144844,B100000,00000,1000,1000COSTED REQUIS. 144844,B100000,00000,1100,1100COSTED REQUIS. 144844,B100000,00000,1200,1200TIME SPENT 144844,B100000,00000,1300,1300TIME SPENT 144844,B100000,00000,1400,1400ASSIGNED TIME 144844,B100000,00000,1500,1350NO STATISTICS 144844,E10A180,00301,0100,01/04/00 144844,E10A180,00302,0100,02/16/00 144844,E10A180,00501,0100,07/19/00 144844,E10A180,00501,0300,07/19/00 144844,S000000,00100,0200,05/31/00 144844,S200000,00100,0100,11546 FLORIDA BOULEVARD 144844,S200000,00200,0100,BATON ROUGE 144844,S200000,00200,0200,AL 144844,S200000,00200,0300,70815 144844,S200000,00300,0100,BATON ROUGE 144844,S200000,00300,0200,0760 144844,S200000,00300,0300,U 144844,S200000,00400,0100,ST MARY S NURSING & REHABILITATION 144844,S200000,00400,0200,195476 144844,S200000,00400,0300,05/01/99 144844,S200000,00400,0500,P 144844,S200000,00600,0200,195476 144844,S200000,00600,0300,05/01/99 144844,S200000,01500,0100,N 144844,S200000,01600,0100,Y 144844,S200000,01700,0100,N 144844,S200000,01800,0100,N 144844,S200000,02200,0100,N 144844,S200000,02800,0100,N 144844,S200000,02900,0100,N 144844,S200000,03000,0100,N 144844,S200000,03100,0100,N 144844,S200000,03200,0100,N 144844,S200000,03300,0100,N 144844,S200000,03300,0200,N 144844,S200000,03500,0300,N 144844,S200000,04100,0100,N 144844,S200000,04200,0100,N 144844,S200000,04300,0100,N 144844,S200000,04600,0100,N 144844,S200000,04700,0100,N 144844,S200000,04900,0100,N 144844,S200000,05200,0100,N 144872,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 144872,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 144872,A000000,00300,0000,0300EMPLOYEE BENEFITS 144872,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 144872,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 144872,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 144872,A000000,00700,0000,0700HOUSEKEEPING 144872,A000000,00800,0000,0800DIETARY 144872,A000000,00900,0000,0900NURSING ADMINISTRATION 144872,A000000,00901,0000,0901OTHER NURSING 144872,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 144872,A000000,01100,0000,1100PHARMACY 144872,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 144872,A000000,01300,0000,1300SOCIAL SERVICE 144872,A000000,01301,0000,1301ACTIVITIES 144872,A000000,01600,0000,1600SKILLED NURSING FACILITY 144872,A000000,01800,0000,1800NURSING FACILITY 144872,A000000,02100,0000,2100RADIOLOGY 144872,A000000,02200,0000,2200LABORATORY 144872,A000000,02300,0000,2300INTRAVENOUS THERAPY 144872,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 144872,A000000,02500,0000,2500PHYSICAL THERAPY 144872,A000000,02600,0000,2600OCCUPATIONAL THERAPY 144872,A000000,02700,0000,2700SPEECH PATHOLOGY 144872,A000000,02800,0000,2800ELECTROCARDIOLOGY 144872,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 144872,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 144872,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 144872,A000000,03301,0000,3051NUTRITIONAL THERAPY 144872,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 144872,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 144872,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 144872,A000000,04800,0000,4800AMBULANCE 144872,A000000,05100,0000,4750OTHER REIMBURSABLE COST 144872,A000000,05300,0000,5300INTEREST EXPENSE 144872,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 144872,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 144872,A000000,05900,0000,5900BARBER & BEAUTY SHOP 144872,A000000,06200,0000,6200PATIENTS LAUNDRY 144872,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 144872,A000000,06301,0000,6151DAY CARE 144872,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 144872,A000000,06303,0000,6153DISTRICT OFFICE SPACE 144872,A81000A,00100,0100,Y 144872,A81000B,00100,0300,HOME OFFICE COSTS 144872,A81000B,00200,0300,LIABILITY INSURANCE 144872,A81000B,00500,0300,VC PHARMACY - ADMIN 144872,A81000B,00900,0300,VC PHARMACY - DIETARY 144872,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 144872,A81000B,01100,0300,VC PHARMACY - NONLEGEND DRUG 144872,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 144872,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 144872,A81000B,01400,0300,VC PHARMACY - IV THERAPY 144872,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 144872,A81000B,01600,0300,VENCARE REHAB - PHYS THER 144872,A81000B,01700,0300,VENCARE REHAB - OCCP THER 144872,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 144872,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 144872,A81000B,02000,0300,VC PHARMACY - LEGEND 144872,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 144872,A81000B,02200,0300,VC PHARMACY - BARBER/BEAUTY 144872,A81000C,00100,0100,B 144872,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 144872,A81000C,00100,0400,CORNERSTONE INSURANCE CO 144872,A81000C,00100,0600,LIABILITY INSURANCE 144872,A81000C,00200,0400,VENCARE PHARMACY SERVICES 144872,A81000C,00200,0600,PHARMACY 144872,A81000C,00300,0400,VENCARE RESPIRATORY 144872,A81000C,00300,0600,RESPIRATORY THERAPY 144872,A81000C,00400,0400,THERAPY SERVICES 144872,A81000C,00500,0400,VENCARE REHAB SERVICES 144872,A81000C,00500,0600,REHAB 144872,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 144872,A81000C,00600,0600,PORTABLE X-RAY 144872,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 144872,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 144872,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 144872,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 144872,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 144872,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 144872,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 144872,B100000,00000,0800,0850PATIENT DAYS :DIETARY 144872,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 144872,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 144872,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 144872,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 144872,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 144872,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 144872,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 144872,E10A180,00301,0100,11/30/00 144872,E10A180,00350,0100,06/30/00 144872,S000000,00100,0200,12/11/00 144872,S200000,00100,0100,168 WEST CENTRAL ST. 144872,S200000,00200,0100,NATICK 144872,S200000,00200,0200,MA 144872,S200000,00200,0300,01760- 144872,S200000,00300,0100,MIDDLESEX 144872,S200000,00300,0300,U 144872,S200000,00400,0100,BRITTANY HEALTHCARE CENTER 144872,S200000,00400,0200,225516 144872,S200000,00400,0300,07/01/90 144872,S200000,00400,0500,P 144872,S200000,01500,0100,Y 144872,S200000,01600,0100,N 144872,S200000,01700,0100,N 144872,S200000,01800,0100,N 144872,S200000,02200,0100,Y 144872,S200000,02800,0100,N 144872,S200000,02900,0100,N 144872,S200000,03000,0100,N 144872,S200000,03100,0100,N 144872,S200000,03200,0100,N 144872,S200000,04100,0100,N 144872,S200000,04200,0100,N 144872,S200000,04300,0100,N 144872,S200000,04600,0100,N 144872,S200000,04700,0100,N 144872,S200000,04700,0200,N 144872,S200000,04900,0100,N 144872,S200000,05000,0100,N 144872,S200000,05100,0100,N 144872,S200000,05200,0100,N 145015,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145015,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145015,A000000,00300,0000,0300EMPLOYEE BENEFITS 145015,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145015,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145015,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145015,A000000,00700,0000,0700HOUSEKEEPING 145015,A000000,00800,0000,0800DIETARY 145015,A000000,00900,0000,0900NURSING ADMINISTRATION 145015,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145015,A000000,01100,0000,1100PHARMACY 145015,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145015,A000000,01300,0000,1300SOCIAL SERVICE 145015,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145015,A000000,01500,0000,1350PATIENT ACTIVITIES 145015,A000000,01600,0000,1600SKILLED NURSING FACILITY 145015,A000000,01800,0000,1800NURSING FACILITY 145015,A000000,01810,0000,1810ICF/MR 145015,A000000,02100,0000,2100RADIOLOGY 145015,A000000,02200,0000,2200LABORATORY 145015,A000000,02300,0000,2300INTRAVENOUS THERAPY 145015,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145015,A000000,02500,0000,2500PHYSICAL THERAPY 145015,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145015,A000000,02700,0000,2700SPEECH PATHOLOGY 145015,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145015,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145015,A000000,03200,0000,3200SUPPORT SURFACES 145015,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145015,A000000,03550,0000,3550FQHC 145015,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145015,A000000,05000,0000,5000CORF 145015,A000000,05010,0000,5010CMHC 145015,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145015,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145015,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145015,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145015,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145015,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145015,A81000A,00100,0100,Y 145015,A81000B,00100,0300,INTEREST EXPENSE 145015,A81000B,00200,0300,INTEREST EXPENSE 145015,A81000C,00100,0100,B 145015,A81000C,00100,0400,SENIOR LIVING PROPERTIES 145015,A81000C,00100,0600,HOME OFFICE 145015,B100000,00000,0100,0100SQUARE FEET 145015,B100000,00000,0200,0200NO STATISTICS 145015,B100000,00000,0300,0300GROSS SALARIES 145015,B100000,00000,0400,0400ACCUM. COST 145015,B100000,00000,0500,0500SQUARE FEET 145015,B100000,00000,0600,0600PATIENT DAYS 145015,B100000,00000,0700,0700SQ. FT. EXCL. DIET 145015,B100000,00000,0800,0800PATIENT DAYS 145015,B100000,00000,0900,0900NO STATISTICS 145015,B100000,00000,1000,1000PATIENT DAYS 145015,B100000,00000,1100,1100PATIENT DAYS 145015,B100000,00000,1200,1200NO STATISTICS 145015,B100000,00000,1300,1300NO STATISTICS 145015,B100000,00000,1400,1400NO STATISTICS 145015,B100000,00000,1500,1350PATIENT DAYS 145015,E10A180,00301,0100,10/27/99 145015,E10A180,00302,0100,11/29/99 145015,S000000,00100,0200,06/01/00 145015,S200000,00100,0100,215 MARGARET STREET 145015,S200000,00200,0100,LINDALE 145015,S200000,00200,0200,TX 145015,S200000,00300,0100,SMITH 145015,S200000,00300,0200,8640 145015,S200000,00300,0300,U 145015,S200000,00400,0100,LINDALE HEALTHCARE CENTER 145015,S200000,00400,0200,455972 145015,S200000,00400,0300,12/11/91 145015,S200000,00400,0500,P 145015,S200000,01500,0100,N 145015,S200000,01600,0100,Y 145015,S200000,01700,0100,N 145015,S200000,01800,0100,N 145015,S200000,02200,0100,N 145015,S200000,02800,0100,N 145015,S200000,02900,0100,N 145015,S200000,03000,0100,N 145015,S200000,03100,0100,N 145015,S200000,03200,0100,N 145015,S200000,03300,0100,N 145015,S200000,03300,0200,N 145015,S200000,04100,0100,N 145015,S200000,04200,0100,N 145015,S200000,04300,0100,Y 145015,S200000,04600,0100,N 145015,S200000,04700,0100,N 145015,S200000,04700,0200,N 145015,S200000,04900,0100,N 145017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145017,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145017,A000000,00300,0000,0300EMPLOYEE BENEFITS 145017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145017,A000000,00700,0000,0700HOUSEKEEPING 145017,A000000,00800,0000,0800DIETARY 145017,A000000,00900,0000,0900NURSING ADMINISTRATION 145017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145017,A000000,01100,0000,1100PHARMACY 145017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145017,A000000,01300,0000,1300SOCIAL SERVICE 145017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145017,A000000,01500,0000,1350PATIENT ACTIVITIES 145017,A000000,01600,0000,1600SKILLED NURSING FACILITY 145017,A000000,01800,0000,1800NURSING FACILITY 145017,A000000,01810,0000,1810ICF/MR 145017,A000000,02100,0000,2100RADIOLOGY 145017,A000000,02500,0000,2500PHYSICAL THERAPY 145017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145017,A000000,02700,0000,2700SPEECH PATHOLOGY 145017,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145017,A000000,03200,0000,3200SUPPORT SURFACES 145017,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145017,A000000,03550,0000,3550FQHC 145017,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145017,A000000,05000,0000,5000CORF 145017,A000000,05010,0000,5010CMHC 145017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145017,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145017,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145017,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145017,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145017,A81000A,00100,0100,Y 145017,A81000B,00100,0300,HOME OFFICE NON-CAPITAL 145017,A81000B,00200,0300,HOME OFFICE CAPITAL 145017,A81000C,00100,0100,B 145017,A81000C,00100,0200,KENNETH AND LYNN HUBBRD 145017,A81000C,00100,0400,HUBBARD HEALTH CARE MGT 145017,A81000C,00100,0600,HOME OFFICE 145017,B100000,00000,0100,0100SQUARE FEET 145017,B100000,00000,0200,0200DOLLAR VALUE 145017,B100000,00000,0300,0300GROSS SALARIES 145017,B100000,00000,0400,0400ACCUM. COST 145017,B100000,00000,0500,0500SQUARE FEET 145017,B100000,00000,0600,0600POUNDS OF LAUNDRY 145017,B100000,00000,0700,0700SQ. FTG. EXC. DIET 145017,B100000,00000,0800,0800MEALS SERVED 145017,B100000,00000,0900,0900DIRECT NRSING HRS 145017,B100000,00000,1000,1000PATIENT DAYS 145017,B100000,00000,1100,1100PATIENT DAYS 145017,B100000,00000,1200,1200TIME SPENT 145017,B100000,00000,1300,1300TIME SPENT 145017,B100000,00000,1400,1400ASSIGNED TIME 145017,B100000,00000,1500,1350TIME SPENT 145017,S000000,00100,0200,06/01/00 145017,S200000,00100,0100,1123 N. BOLTON 145017,S200000,00200,0100,JACKSONVILLE 145017,S200000,00200,0200,TX 145017,S200000,00200,0300,75766 145017,S200000,00300,0100,CHEROKEE 145017,S200000,00300,0200,9999 145017,S200000,00300,0300,R 145017,S200000,00400,0100,TWIN OAKS CONVALESCENT CENTER 145017,S200000,00400,0200,675183 145017,S200000,00400,0300,08/26/93 145017,S200000,00400,0500,P 145017,S200000,01500,0100,N 145017,S200000,01600,0100,Y 145017,S200000,01700,0100,N 145017,S200000,01800,0100,N 145017,S200000,02200,0100,N 145017,S200000,02800,0100,N 145017,S200000,02900,0100,N 145017,S200000,03000,0100,N 145017,S200000,03100,0100,N 145017,S200000,03200,0100,N 145017,S200000,03300,0100,N 145017,S200000,03300,0200,N 145017,S200000,04100,0100,N 145017,S200000,04200,0100,N 145017,S200000,04300,0100,N 145017,S200000,04600,0100,N 145017,S200000,04700,0100,N 145017,S200000,04700,0200,N 145017,S200000,04900,0100,N 145018,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145018,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145018,A000000,00300,0000,0300EMPLOYEE BENEFITS 145018,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145018,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145018,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145018,A000000,00700,0000,0700HOUSEKEEPING 145018,A000000,00800,0000,0800DIETARY 145018,A000000,00900,0000,0900NURSING ADMINISTRATION 145018,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145018,A000000,01100,0000,1100PHARMACY 145018,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145018,A000000,01300,0000,1300SOCIAL SERVICE 145018,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145018,A000000,01600,0000,1600SKILLED NURSING FACILITY 145018,A000000,01800,0000,1800NURSING FACILITY 145018,A000000,01810,0000,1810ICF/MR 145018,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145018,A000000,02500,0000,2500PHYSICAL THERAPY 145018,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145018,A000000,02700,0000,2700SPEECH PATHOLOGY 145018,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145018,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145018,A000000,03550,0000,3550FQHC 145018,A000000,05000,0000,5000CORF 145018,A000000,05010,0000,5010CMHC 145018,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145018,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145018,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145018,A000000,06150,0000,6101NONREIMBURSABLE CAMILLA 145018,A81000A,00100,0100,N 145018,B100000,00000,0100,0100SQUARE FEET 145018,B100000,00000,0200,0200SQUARE FEET 145018,B100000,00000,0300,0300GROSS SALARIES 145018,B100000,00000,0400,0400ACCUM COST 145018,B100000,00000,0500,0500SQUARE FEET 145018,B100000,00000,0600,0600PATIENTS DAYS 145018,B100000,00000,0700,0700SQUARE FEET 145018,B100000,00000,0800,0800MEALS SERVED 145018,B100000,00000,0900,0900DIRECT NRSG HRS 145018,B100000,00000,1000,1000COSTED REQUIS 145018,B100000,00000,1100,1100COSTED REQUIS 145018,B100000,00000,1200,1200TIME SPENT 145018,B100000,00000,1300,1300PATIENT DAYS 145018,B100000,00000,1400,1400ASSIGNED TIME 145018,S000000,00100,0200,06/15/00 145018,S200000,00100,0100,550 ANN ARBOR 145018,S200000,00200,0100,DALLAS 145018,S200000,00200,0200,TX 145018,S200000,00200,0300,75216 145018,S200000,00300,0100,DALLAS 145018,S200000,00300,0200,1920 145018,S200000,00300,0300,U 145018,S200000,00400,0100,GRACE PRESBYTERIAN VILLAGE 145018,S200000,00400,0200,675611 145018,S200000,00400,0300,05/08/96 145018,S200000,00400,0500,P 145018,S200000,01500,0100,N 145018,S200000,01600,0100,Y 145018,S200000,01700,0100,N 145018,S200000,01800,0100,N 145018,S200000,02200,0100,N 145018,S200000,02800,0100,N 145018,S200000,02900,0100,N 145018,S200000,03000,0100,N 145018,S200000,03100,0100,N 145018,S200000,03200,0100,N 145018,S200000,03300,0100,N 145018,S200000,03300,0200,N 145018,S200000,04100,0100,N 145018,S200000,04200,0100,N 145018,S200000,04300,0100,N 145018,S200000,04600,0100,N 145018,S200000,04700,0100,N 145018,S200000,04900,0100,N 145088,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145088,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145088,A000000,00300,0000,0300EMPLOYEE BENEFITS 145088,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145088,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145088,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145088,A000000,00700,0000,0700HOUSEKEEPING 145088,A000000,00800,0000,0800DIETARY 145088,A000000,00900,0000,0900NURSING ADMINISTRATION 145088,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145088,A000000,01100,0000,1100PHARMACY 145088,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145088,A000000,01300,0000,1300SOCIAL SERVICE 145088,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 145088,A000000,01500,0000,1350ACTIVITIES 145088,A000000,01600,0000,1600SKILLED NURSING FACILITY 145088,A000000,01800,0000,1800NURSING FACILITY 145088,A000000,01900,0000,1900OTHER LONG TERM CARE 145088,A000000,02100,0000,2100RADIOLOGY 145088,A000000,02200,0000,2200LABORATORY 145088,A000000,02300,0000,2300INTRAVENOUS THERAPY 145088,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145088,A000000,02500,0000,2500PHYSICAL THERAPY 145088,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145088,A000000,02700,0000,2700SPEECH PATHOLOGY 145088,A000000,02800,0000,2800ELECTROCARDIOLOGY 145088,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145088,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145088,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 145088,A000000,03200,0000,3200SUPPORT SURFACES 145088,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 145088,A000000,03400,0000,3400CLINIC 145088,A000000,03500,0000,3500RURAL HEALTH CLINIC 145088,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 145088,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 145088,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 145088,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 145088,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 145088,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 145088,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 145088,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 145088,A000000,04400,0000,4400DME RENTED - HHA 145088,A000000,04500,0000,4500DME SOLD - HHA 145088,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 145088,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 145088,A000000,04800,0000,4800AMBULANCE 145088,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 145088,A000000,05000,0000,5000CORF 145088,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 145088,A000000,05300,0000,5300INTEREST EXPENSE 145088,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145088,A000000,05500,0000,5500HOSPICE 145088,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145088,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145088,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145088,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 145088,A000000,06100,0000,6100NONPAID WORKERS 145088,A000000,06200,0000,6200PATIENTS LAUNDRY 145088,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 145088,A81000A,00100,0100,Y 145088,A81000B,00100,0300,ADMINISTRATIVE 145088,A81000C,00100,0100,B 145088,A81000C,00100,0200,SALEM HOUSING C 145088,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145088,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145088,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145088,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145088,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145088,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145088,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145088,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145088,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 145088,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 145088,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 145088,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 145088,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145088,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 145088,S000000,00100,0200,12/04/00 145088,S200000,00100,0100,512 2ND AVENUE 145088,S200000,00100,0300,P.O. 400 145088,S200000,00200,0100,REFORM 145088,S200000,00200,0200,AL 145088,S200000,00200,0300,35481- 145088,S200000,00300,0200,01 145088,S200000,00300,0300,R 145088,S200000,00400,0100,SALEM NURSING & REHAB OF REFORM 145088,S200000,00400,0200,015141 145088,S200000,00400,0300,06/01/95 145088,S200000,00400,0500,P 145088,S200000,01500,0100,N 145088,S200000,01600,0100,Y 145088,S200000,01700,0100,N 145088,S200000,01800,0100,N 145088,S200000,01900,0100,501 (C) 145088,S200000,02200,0100,N 145088,S200000,02800,0100,N 145088,S200000,02900,0100,N 145088,S200000,03000,0100,N 145088,S200000,03100,0100,N 145088,S200000,03200,0100,N 145088,S200000,04100,0100,N 145088,S200000,04200,0100,N 145088,S200000,04300,0100,N 145088,S200000,04600,0100,N 145088,S200000,04700,0100,N 145088,S200000,04700,0200,N 145088,S200000,04900,0100,N 145088,S200000,05000,0100,N 145088,S200000,05100,0100,N 145088,S200000,05200,0100,N 145089,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145089,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145089,A000000,00300,0000,0300EMPLOYEE BENEFITS 145089,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145089,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145089,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145089,A000000,00700,0000,0700HOUSEKEEPING 145089,A000000,00800,0000,0800DIETARY 145089,A000000,00900,0000,0900NURSING ADMINISTRATION 145089,A000000,00901,0000,0901OTHER NURSING 145089,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145089,A000000,01100,0000,1100PHARMACY 145089,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145089,A000000,01300,0000,1300SOCIAL SERVICE 145089,A000000,01301,0000,1301ACTIVITIES 145089,A000000,01600,0000,1600SKILLED NURSING FACILITY 145089,A000000,01800,0000,1800NURSING FACILITY 145089,A000000,02100,0000,2100RADIOLOGY 145089,A000000,02200,0000,2200LABORATORY 145089,A000000,02300,0000,2300INTRAVENOUS THERAPY 145089,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145089,A000000,02500,0000,2500PHYSICAL THERAPY 145089,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145089,A000000,02700,0000,2700SPEECH PATHOLOGY 145089,A000000,02800,0000,2800ELECTROCARDIOLOGY 145089,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145089,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145089,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145089,A000000,03301,0000,3051NUTRITIONAL THERAPY 145089,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145089,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145089,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145089,A000000,04800,0000,4800AMBULANCE 145089,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145089,A000000,05300,0000,5300INTEREST EXPENSE 145089,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145089,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145089,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145089,A000000,06200,0000,6200PATIENTS LAUNDRY 145089,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145089,A000000,06301,0000,6151DAY CARE 145089,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145089,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145089,A81000A,00100,0100,Y 145089,A81000B,00100,0300,HOME OFFICE COSTS 145089,A81000B,00200,0300,LIABILITY INSURANCE 145089,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145089,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145089,A81000B,00500,0300,VC PHARMACY - ADMIN 145089,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145089,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145089,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145089,A81000B,00900,0300,VC PHARMACY - DIETARY 145089,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145089,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145089,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145089,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145089,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145089,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145089,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145089,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145089,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145089,A81000B,01900,0300,VC PHARMACY - LAB 145089,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145089,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145089,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145089,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145089,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145089,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145089,A81000B,02600,0300,VC PHARMACY - LEGEND 145089,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145089,A81000B,02800,0300,VC PHARMACY - NUTR THER 145089,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145089,A81000C,00100,0100,B 145089,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145089,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145089,A81000C,00100,0600,LIABILITY INSURANCE 145089,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145089,A81000C,00200,0600,PHARMACY 145089,A81000C,00300,0400,VENCARE RESPIRATORY 145089,A81000C,00300,0600,RESPIRATORY THERAPY 145089,A81000C,00400,0400,THERAPY SERVICES 145089,A81000C,00500,0400,VENCARE REHAB SERVICES 145089,A81000C,00500,0600,REHAB 145089,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145089,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145089,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145089,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145089,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145089,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145089,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145089,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145089,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145089,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145089,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145089,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145089,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145089,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145089,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145089,E10A180,00301,0100,11/30/00 145089,S000000,00100,0200,12/11/00 145089,S200000,00100,0100,2728 10TH AVENUE SOUTH 145089,S200000,00200,0100,BIRMINGHAM 145089,S200000,00200,0200,AL 145089,S200000,00200,0300,35205- 145089,S200000,00300,0100,JEFFERSON 145089,S200000,00300,0300,U 145089,S200000,00400,0100,804 - REHAB & HC OF BIRMINGHAM 145089,S200000,00400,0200,015369 145089,S200000,00400,0300,04/01/78 145089,S200000,00400,0500,P 145089,S200000,01500,0100,N 145089,S200000,01600,0100,Y 145089,S200000,01700,0100,N 145089,S200000,01800,0100,N 145089,S200000,02200,0100,Y 145089,S200000,02800,0100,N 145089,S200000,02900,0100,N 145089,S200000,03000,0100,N 145089,S200000,03100,0100,N 145089,S200000,03200,0100,N 145089,S200000,04100,0100,N 145089,S200000,04200,0100,N 145089,S200000,04300,0100,N 145089,S200000,04600,0100,N 145089,S200000,04700,0100,N 145089,S200000,04700,0200,N 145089,S200000,04900,0100,N 145089,S200000,05000,0100,N 145089,S200000,05100,0100,N 145089,S200000,05200,0100,N 145117,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145117,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145117,A000000,00300,0000,0300EMPLOYEE BENEFITS 145117,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145117,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145117,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145117,A000000,00700,0000,0700HOUSEKEEPING 145117,A000000,00800,0000,0800DIETARY 145117,A000000,00900,0000,0900NURSING ADMINISTRATION 145117,A000000,00901,0000,0901OTHER NURSING 145117,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145117,A000000,01100,0000,1100PHARMACY 145117,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145117,A000000,01300,0000,1300SOCIAL SERVICE 145117,A000000,01301,0000,1301ACTIVITIES 145117,A000000,01600,0000,1600SKILLED NURSING FACILITY 145117,A000000,01800,0000,1800NURSING FACILITY 145117,A000000,02100,0000,2100RADIOLOGY 145117,A000000,02200,0000,2200LABORATORY 145117,A000000,02300,0000,2300INTRAVENOUS THERAPY 145117,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145117,A000000,02500,0000,2500PHYSICAL THERAPY 145117,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145117,A000000,02700,0000,2700SPEECH PATHOLOGY 145117,A000000,02800,0000,2800ELECTROCARDIOLOGY 145117,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145117,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145117,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145117,A000000,03301,0000,3051NUTRITIONAL THERAPY 145117,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145117,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145117,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145117,A000000,04800,0000,4800AMBULANCE 145117,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145117,A000000,05300,0000,5300INTEREST EXPENSE 145117,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145117,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145117,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145117,A000000,06200,0000,6200PATIENTS LAUNDRY 145117,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145117,A000000,06301,0000,6151DAY CARE 145117,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145117,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145117,A81000A,00100,0100,Y 145117,A81000B,00100,0300,HOME OFFICE COSTS 145117,A81000B,00200,0300,LIABILITY INSURANCE 145117,A81000B,00500,0300,VC PHARMACY - ADMIN 145117,A81000B,00900,0300,VC PHARMACY - DIETARY 145117,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145117,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145117,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 145117,A81000B,01300,0300,VC PHARMACY - IV THERAPY 145117,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 145117,A81000B,01500,0300,VENCARE REHAB - PHYS THER 145117,A81000B,01600,0300,VENCARE REHAB - OCCP THER 145117,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 145117,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 145117,A81000B,01900,0300,VC PHARMACY - LEGEND 145117,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 145117,A81000C,00100,0100,B 145117,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145117,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145117,A81000C,00100,0600,LIABILITY INSURANCE 145117,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145117,A81000C,00200,0600,PHARMACY 145117,A81000C,00300,0400,VENCARE RESPIRATORY 145117,A81000C,00300,0600,RESPIRATORY THERAPY 145117,A81000C,00400,0400,THERAPY SERVICES 145117,A81000C,00500,0400,VENCARE REHAB SERVICES 145117,A81000C,00500,0600,REHAB 145117,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145117,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145117,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145117,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145117,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145117,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145117,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145117,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145117,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145117,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145117,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145117,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145117,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145117,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145117,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145117,E10A180,00350,0100,06/30/00 145117,S000000,00100,0200,12/01/00 145117,S200000,00100,0100,10456 HIGHWAY 62 EAST 145117,S200000,00200,0100,CALVERT CITY 145117,S200000,00200,0200,KY 145117,S200000,00200,0300,42003- 145117,S200000,00300,0100,MARSHALL 145117,S200000,00300,0300,R 145117,S200000,00400,0100,278 - OAKVIEW NURSING & REHAB CTR 145117,S200000,00400,0200,185195 145117,S200000,00400,0300,11/11/88 145117,S200000,00400,0500,P 145117,S200000,01500,0100,N 145117,S200000,01600,0100,Y 145117,S200000,01700,0100,N 145117,S200000,01800,0100,N 145117,S200000,02200,0100,Y 145117,S200000,02800,0100,N 145117,S200000,02900,0100,N 145117,S200000,03000,0100,N 145117,S200000,03100,0100,N 145117,S200000,03200,0100,N 145117,S200000,04100,0100,N 145117,S200000,04200,0100,N 145117,S200000,04300,0100,N 145117,S200000,04600,0100,N 145117,S200000,04700,0100,N 145117,S200000,04700,0200,N 145117,S200000,04900,0100,N 145117,S200000,05000,0100,N 145117,S200000,05100,0100,N 145117,S200000,05200,0100,N 145121,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145121,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145121,A000000,00300,0000,0300EMPLOYEE BENEFITS 145121,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145121,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145121,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145121,A000000,00700,0000,0700HOUSEKEEPING 145121,A000000,00800,0000,0800DIETARY 145121,A000000,00900,0000,0900NURSING ADMINISTRATION 145121,A000000,00901,0000,0901OTHER NURSING 145121,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145121,A000000,01100,0000,1100PHARMACY 145121,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145121,A000000,01300,0000,1300SOCIAL SERVICE 145121,A000000,01301,0000,1301ACTIVITIES 145121,A000000,01600,0000,1600SKILLED NURSING FACILITY 145121,A000000,01800,0000,1800NURSING FACILITY 145121,A000000,02100,0000,2100RADIOLOGY 145121,A000000,02200,0000,2200LABORATORY 145121,A000000,02300,0000,2300INTRAVENOUS THERAPY 145121,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145121,A000000,02500,0000,2500PHYSICAL THERAPY 145121,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145121,A000000,02700,0000,2700SPEECH PATHOLOGY 145121,A000000,02800,0000,2800ELECTROCARDIOLOGY 145121,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145121,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145121,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145121,A000000,03301,0000,3051NUTRITIONAL THERAPY 145121,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145121,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145121,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145121,A000000,04800,0000,4800AMBULANCE 145121,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145121,A000000,05300,0000,5300INTEREST EXPENSE 145121,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145121,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145121,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145121,A000000,06200,0000,6200PATIENTS LAUNDRY 145121,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145121,A000000,06301,0000,6151DAY CARE 145121,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145121,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145121,A81000A,00100,0100,Y 145121,A81000B,00100,0300,HOME OFFICE COSTS 145121,A81000B,00200,0300,LIABILITY INSURANCE 145121,A81000B,00500,0300,VC PHARMACY - ADMIN 145121,A81000B,00900,0300,VC PHARMACY - DIETARY 145121,A81000B,01000,0300,VC PHARMACY - NONLEGEND 145121,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145121,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 145121,A81000B,01300,0300,VENCARE REHAB - PHYS THER 145121,A81000B,01400,0300,VENCARE REHAB - OCCP THER 145121,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 145121,A81000B,01600,0300,VC PHARMACY - LEGEND 145121,A81000C,00100,0100,B 145121,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145121,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145121,A81000C,00100,0600,LIABILITY INSURANCE 145121,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145121,A81000C,00200,0600,PHARMACY 145121,A81000C,00300,0400,VENCARE RESPIRATORY 145121,A81000C,00300,0600,RESPIRATORY THERAPY 145121,A81000C,00400,0400,THERAPY SERVICES 145121,A81000C,00500,0400,VENCARE REHAB SERVICES 145121,A81000C,00500,0600,REHAB 145121,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145121,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145121,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145121,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145121,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145121,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145121,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145121,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145121,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145121,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145121,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145121,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145121,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145121,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145121,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145121,S000000,00100,0200,12/11/00 145121,S200000,00100,0100,51 WINSHIP STREET 145121,S200000,00200,0100,BATH 145121,S200000,00200,0200,ME 145121,S200000,00200,0300,04530- 145121,S200000,00300,0100,CUMBERLAND 145121,S200000,00300,0300,U 145121,S200000,00400,0100,WINSHIP GREEN NURSING CENTER 145121,S200000,00400,0200,205078 145121,S200000,00400,0300,01/01/93 145121,S200000,00400,0500,P 145121,S200000,01500,0100,Y 145121,S200000,01600,0100,N 145121,S200000,01700,0100,N 145121,S200000,01800,0100,N 145121,S200000,02200,0100,Y 145121,S200000,02800,0100,N 145121,S200000,02900,0100,N 145121,S200000,03000,0100,N 145121,S200000,03100,0100,N 145121,S200000,03200,0100,N 145121,S200000,04100,0100,N 145121,S200000,04200,0100,N 145121,S200000,04300,0100,N 145121,S200000,04600,0100,N 145121,S200000,04700,0100,N 145121,S200000,04700,0200,N 145121,S200000,04900,0100,N 145121,S200000,05000,0100,N 145121,S200000,05100,0100,N 145121,S200000,05200,0100,N 145122,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145122,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145122,A000000,00300,0000,0300EMPLOYEE BENEFITS 145122,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145122,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145122,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145122,A000000,00700,0000,0700HOUSEKEEPING 145122,A000000,00800,0000,0800DIETARY 145122,A000000,00900,0000,0900NURSING ADMINISTRATION 145122,A000000,00901,0000,0901OTHER NURSING 145122,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145122,A000000,01100,0000,1100PHARMACY 145122,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145122,A000000,01300,0000,1300SOCIAL SERVICE 145122,A000000,01301,0000,1301ACTIVITIES 145122,A000000,01600,0000,1600SKILLED NURSING FACILITY 145122,A000000,01800,0000,1800NURSING FACILITY 145122,A000000,02100,0000,2100RADIOLOGY 145122,A000000,02200,0000,2200LABORATORY 145122,A000000,02300,0000,2300INTRAVENOUS THERAPY 145122,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145122,A000000,02500,0000,2500PHYSICAL THERAPY 145122,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145122,A000000,02700,0000,2700SPEECH PATHOLOGY 145122,A000000,02800,0000,2800ELECTROCARDIOLOGY 145122,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145122,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145122,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145122,A000000,03301,0000,3051NUTRITIONAL THERAPY 145122,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145122,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145122,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145122,A000000,04800,0000,4800AMBULANCE 145122,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145122,A000000,05300,0000,5300INTEREST EXPENSE 145122,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145122,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145122,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145122,A000000,06200,0000,6200PATIENTS LAUNDRY 145122,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145122,A000000,06301,0000,6151DAY CARE 145122,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145122,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145122,A81000A,00100,0100,Y 145122,A81000B,00100,0300,HOME OFFICE COSTS 145122,A81000B,00200,0300,LIABILITY INSURANCE 145122,A81000B,00500,0300,VC PHARMACY - ADMIN 145122,A81000B,00900,0300,VC PHARMACY - DIETARY 145122,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 145122,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145122,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145122,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145122,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145122,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145122,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145122,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145122,A81000B,01800,0300,VC PHARMACY - LEGEND 145122,A81000C,00100,0100,B 145122,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145122,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145122,A81000C,00100,0600,LIABILITY INSURANCE 145122,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145122,A81000C,00200,0600,PHARMACY 145122,A81000C,00300,0400,VENCARE RESPIRATORY 145122,A81000C,00300,0600,RESPIRATORY THERAPY 145122,A81000C,00400,0400,THERAPY SERVICES 145122,A81000C,00500,0400,VENCARE REHAB SERVICES 145122,A81000C,00500,0600,REHAB 145122,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145122,A81000C,00600,0600,PORTABLE X-RAY 145122,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145122,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145122,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145122,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145122,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145122,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145122,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145122,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145122,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145122,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145122,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145122,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145122,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145122,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145122,E10A180,00301,0100,11/30/00 145122,E10A180,00350,0100,11/30/00 145122,S000000,00100,0200,12/11/00 145122,S200000,00100,0100,10 BELLAMY STREET 145122,S200000,00200,0100,BRIGHTON 145122,S200000,00200,0200,MA 145122,S200000,00200,0300,02135- 145122,S200000,00300,0100,SUFFOLK 145122,S200000,00300,0300,U 145122,S200000,00400,0100,PRESENTATION NRSG. & REHAB CENTER 145122,S200000,00400,0200,225486 145122,S200000,00400,0300,06/01/90 145122,S200000,00400,0500,P 145122,S200000,01500,0100,Y 145122,S200000,01600,0100,N 145122,S200000,01700,0100,N 145122,S200000,01800,0100,N 145122,S200000,02200,0100,Y 145122,S200000,02800,0100,N 145122,S200000,02900,0100,N 145122,S200000,03000,0100,N 145122,S200000,03100,0100,N 145122,S200000,03200,0100,N 145122,S200000,04100,0100,N 145122,S200000,04200,0100,N 145122,S200000,04300,0100,N 145122,S200000,04600,0100,N 145122,S200000,04700,0100,N 145122,S200000,04700,0200,N 145122,S200000,04900,0100,N 145122,S200000,05000,0100,N 145122,S200000,05100,0100,N 145122,S200000,05200,0100,N 145123,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145123,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145123,A000000,00300,0000,0300EMPLOYEE BENEFITS 145123,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145123,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145123,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145123,A000000,00700,0000,0700HOUSEKEEPING 145123,A000000,00800,0000,0800DIETARY 145123,A000000,00900,0000,0900NURSING ADMINISTRATION 145123,A000000,00901,0000,0901OTHER NURSING 145123,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145123,A000000,01100,0000,1100PHARMACY 145123,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145123,A000000,01300,0000,1300SOCIAL SERVICE 145123,A000000,01301,0000,1301ACTIVITIES 145123,A000000,01600,0000,1600SKILLED NURSING FACILITY 145123,A000000,01800,0000,1800NURSING FACILITY 145123,A000000,02100,0000,2100RADIOLOGY 145123,A000000,02200,0000,2200LABORATORY 145123,A000000,02300,0000,2300INTRAVENOUS THERAPY 145123,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145123,A000000,02500,0000,2500PHYSICAL THERAPY 145123,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145123,A000000,02700,0000,2700SPEECH PATHOLOGY 145123,A000000,02800,0000,2800ELECTROCARDIOLOGY 145123,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145123,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145123,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145123,A000000,03301,0000,3051NUTRITIONAL THERAPY 145123,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145123,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145123,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145123,A000000,04800,0000,4800AMBULANCE 145123,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145123,A000000,05300,0000,5300INTEREST EXPENSE 145123,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145123,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145123,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145123,A000000,06200,0000,6200PATIENTS LAUNDRY 145123,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145123,A000000,06301,0000,6151DAY CARE 145123,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145123,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145123,A81000A,00100,0100,Y 145123,A81000B,00100,0300,HOME OFFICE COSTS 145123,A81000B,00200,0300,LIABILITY INSURANCE 145123,A81000B,00500,0300,VC PHARMACY - ADMIN 145123,A81000B,00900,0300,VC PHARMACY - DIETARY 145123,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 145123,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 145123,A81000B,01200,0300,VENCARE REHAB - PHYS THER 145123,A81000B,01300,0300,VENCARE REHAB - OCCP THER 145123,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 145123,A81000B,01500,0300,VC PHARMACY - MEDICAL SUPP 145123,A81000B,01600,0300,VC PHARMACY - LEGEND 145123,A81000B,01700,0300,VC PHARMACY - COMPLEX MEDICAL 145123,A81000C,00100,0100,B 145123,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145123,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145123,A81000C,00100,0600,LIABILITY INSURANCE 145123,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145123,A81000C,00200,0600,PHARMACY 145123,A81000C,00300,0400,VENCARE RESPIRATORY 145123,A81000C,00300,0600,RESPIRATORY THERAPY 145123,A81000C,00400,0400,THERAPY SERVICES 145123,A81000C,00500,0400,VENCARE REHAB SERVICES 145123,A81000C,00500,0600,REHAB 145123,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145123,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145123,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145123,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145123,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145123,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145123,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145123,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145123,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145123,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145123,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145123,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145123,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145123,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145123,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145123,E10A180,00301,0100,06/30/00 145123,E10A180,00350,0100,11/30/00 145123,S000000,00100,0200,12/11/00 145123,S200000,00100,0100,320 MAPLE AVENUE 145123,S200000,00200,0100,GREAT BARRINGTON 145123,S200000,00200,0200,MA 145123,S200000,00200,0300,01232- 145123,S200000,00300,0100,BERKSHIRE 145123,S200000,00300,0300,U 145123,S200000,00400,0100,TIMBERLYN HEIGHTS NRSG & ALZHEIMER 145123,S200000,00400,0200,225495 145123,S200000,00400,0300,07/01/90 145123,S200000,00400,0500,P 145123,S200000,01500,0100,Y 145123,S200000,01600,0100,N 145123,S200000,01700,0100,N 145123,S200000,01800,0100,N 145123,S200000,02200,0100,Y 145123,S200000,02800,0100,N 145123,S200000,02900,0100,N 145123,S200000,03000,0100,N 145123,S200000,03100,0100,N 145123,S200000,03200,0100,N 145123,S200000,04100,0100,N 145123,S200000,04200,0100,N 145123,S200000,04300,0100,N 145123,S200000,04600,0100,N 145123,S200000,04700,0100,N 145123,S200000,04700,0200,N 145123,S200000,04900,0100,N 145123,S200000,05000,0100,N 145123,S200000,05100,0100,N 145123,S200000,05200,0100,N 145124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145124,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145124,A000000,00300,0000,0300EMPLOYEE BENEFITS 145124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145124,A000000,00700,0000,0700HOUSEKEEPING 145124,A000000,00800,0000,0800DIETARY 145124,A000000,00900,0000,0900NURSING ADMINISTRATION 145124,A000000,00901,0000,0901OTHER NURSING 145124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145124,A000000,01100,0000,1100PHARMACY 145124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145124,A000000,01300,0000,1300SOCIAL SERVICE 145124,A000000,01301,0000,1301ACTIVITIES 145124,A000000,01600,0000,1600SKILLED NURSING FACILITY 145124,A000000,01800,0000,1800NURSING FACILITY 145124,A000000,02100,0000,2100RADIOLOGY 145124,A000000,02200,0000,2200LABORATORY 145124,A000000,02300,0000,2300INTRAVENOUS THERAPY 145124,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145124,A000000,02500,0000,2500PHYSICAL THERAPY 145124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145124,A000000,02700,0000,2700SPEECH PATHOLOGY 145124,A000000,02800,0000,2800ELECTROCARDIOLOGY 145124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145124,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145124,A000000,03301,0000,3051NUTRITIONAL THERAPY 145124,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145124,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145124,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145124,A000000,04800,0000,4800AMBULANCE 145124,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145124,A000000,05300,0000,5300INTEREST EXPENSE 145124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145124,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145124,A000000,06200,0000,6200PATIENTS LAUNDRY 145124,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145124,A000000,06301,0000,6151DAY CARE 145124,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145124,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145124,A81000A,00100,0100,Y 145124,A81000B,00100,0300,HOME OFFICE COSTS 145124,A81000B,00200,0300,LIABILITY INSURANCE 145124,A81000B,00500,0300,VC PHARMACY - ADMIN 145124,A81000B,00900,0300,VC PHARMACY - DIETARY 145124,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145124,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145124,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145124,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145124,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145124,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145124,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145124,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145124,A81000B,01800,0300,VC PHARMACY - LEGEND 145124,A81000C,00100,0100,B 145124,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145124,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145124,A81000C,00100,0600,LIABILITY INSURANCE 145124,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145124,A81000C,00200,0600,PHARMACY 145124,A81000C,00300,0400,VENCARE RESPIRATORY 145124,A81000C,00300,0600,RESPIRATORY THERAPY 145124,A81000C,00400,0400,THERAPY SERVICES 145124,A81000C,00500,0400,VENCARE REHAB SERVICES 145124,A81000C,00500,0600,REHAB 145124,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145124,A81000C,00600,0600,PORTABLE X-RAY 145124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145124,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145124,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145124,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145124,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145124,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145124,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145124,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145124,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145124,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145124,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145124,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145124,E10A180,00301,0100,11/30/00 145124,E10A180,00350,0100,06/30/00 145124,S000000,00100,0200,12/22/00 145124,S200000,00100,0100,1190 VFW PARKWAY 145124,S200000,00200,0100,WEST ROXBURY 145124,S200000,00200,0200,MA 145124,S200000,00200,0300,02132- 145124,S200000,00300,0100,SUFFOLK 145124,S200000,00300,0200,1123 145124,S200000,00300,0300,U 145124,S200000,00400,0100,BROOK FARM REHAB & NURSING CENTRE 145124,S200000,00400,0200,225497 145124,S200000,00400,0300,07/01/90 145124,S200000,00400,0500,P 145124,S200000,01500,0100,Y 145124,S200000,01600,0100,N 145124,S200000,01700,0100,N 145124,S200000,01800,0100,N 145124,S200000,02200,0100,Y 145124,S200000,02800,0100,N 145124,S200000,02900,0100,N 145124,S200000,03000,0100,N 145124,S200000,03100,0100,N 145124,S200000,03200,0100,N 145124,S200000,04100,0100,N 145124,S200000,04200,0100,N 145124,S200000,04300,0100,N 145124,S200000,04600,0100,N 145124,S200000,04700,0100,N 145124,S200000,04700,0200,N 145124,S200000,04900,0100,N 145124,S200000,05000,0100,N 145124,S200000,05100,0100,N 145124,S200000,05200,0100,N 145125,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145125,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145125,A000000,00300,0000,0300EMPLOYEE BENEFITS 145125,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145125,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145125,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145125,A000000,00700,0000,0700HOUSEKEEPING 145125,A000000,00800,0000,0800DIETARY 145125,A000000,00900,0000,0900NURSING ADMINISTRATION 145125,A000000,00901,0000,0901OTHER NURSING 145125,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145125,A000000,01100,0000,1100PHARMACY 145125,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145125,A000000,01300,0000,1300SOCIAL SERVICE 145125,A000000,01301,0000,1301ACTIVITIES 145125,A000000,01600,0000,1600SKILLED NURSING FACILITY 145125,A000000,01800,0000,1800NURSING FACILITY 145125,A000000,02100,0000,2100RADIOLOGY 145125,A000000,02200,0000,2200LABORATORY 145125,A000000,02300,0000,2300INTRAVENOUS THERAPY 145125,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145125,A000000,02500,0000,2500PHYSICAL THERAPY 145125,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145125,A000000,02700,0000,2700SPEECH PATHOLOGY 145125,A000000,02800,0000,2800ELECTROCARDIOLOGY 145125,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145125,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145125,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145125,A000000,03301,0000,3051NUTRITIONAL THERAPY 145125,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145125,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145125,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145125,A000000,04800,0000,4800AMBULANCE 145125,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145125,A000000,05300,0000,5300INTEREST EXPENSE 145125,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145125,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145125,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145125,A000000,06200,0000,6200PATIENTS LAUNDRY 145125,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145125,A000000,06301,0000,6151DAY CARE 145125,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145125,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145125,A81000A,00100,0100,Y 145125,A81000B,00100,0300,HOME OFFICE COSTS 145125,A81000B,00200,0300,LIABILITY INSURANCE 145125,A81000B,00500,0300,VC PHARMACY - ADMIN 145125,A81000B,00900,0300,VC PHARMACY - DIETARY 145125,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145125,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145125,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145125,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145125,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145125,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145125,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145125,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145125,A81000B,01800,0300,VC PHARMACY - LEGEND 145125,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145125,A81000C,00100,0100,B 145125,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145125,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145125,A81000C,00100,0600,LIABILITY INSURANCE 145125,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145125,A81000C,00200,0600,PHARMACY 145125,A81000C,00300,0400,VENCARE RESPIRATORY 145125,A81000C,00300,0600,RESPIRATORY THERAPY 145125,A81000C,00400,0400,THERAPY SERVICES 145125,A81000C,00500,0400,VENCARE REHAB SERVICES 145125,A81000C,00500,0600,REHAB 145125,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145125,A81000C,00600,0600,PORTABLE X-RAY 145125,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145125,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145125,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145125,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145125,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145125,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145125,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145125,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145125,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145125,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145125,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145125,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145125,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145125,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145125,E10A180,00301,0100,11/30/00 145125,S000000,00100,0200,12/11/00 145125,S200000,00100,0100,160 MAIN STREET 145125,S200000,00200,0100,WALPOLE 145125,S200000,00200,0200,MA 145125,S200000,00200,0300,02081- 145125,S200000,00300,0100,NORFOLK 145125,S200000,00300,0200,1123 145125,S200000,00300,0300,U 145125,S200000,00400,0100,#198 - HARRINGTON HOUSE NURSING CTR 145125,S200000,00400,0200,225536 145125,S200000,00400,0300,07/18/91 145125,S200000,00400,0500,P 145125,S200000,01500,0100,Y 145125,S200000,01600,0100,N 145125,S200000,01700,0100,N 145125,S200000,01800,0100,N 145125,S200000,02200,0100,Y 145125,S200000,02800,0100,N 145125,S200000,02900,0100,N 145125,S200000,03000,0100,N 145125,S200000,03100,0100,N 145125,S200000,03200,0100,N 145125,S200000,04100,0100,N 145125,S200000,04200,0100,N 145125,S200000,04300,0100,N 145125,S200000,04600,0100,N 145125,S200000,04700,0100,N 145125,S200000,04700,0200,N 145125,S200000,04900,0100,N 145125,S200000,05000,0100,N 145125,S200000,05100,0100,N 145125,S200000,05200,0100,N 145126,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145126,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145126,A000000,00300,0000,0300EMPLOYEE BENEFITS 145126,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145126,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145126,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145126,A000000,00700,0000,0700HOUSEKEEPING 145126,A000000,00800,0000,0800DIETARY 145126,A000000,00900,0000,0900NURSING ADMINISTRATION 145126,A000000,00901,0000,0901OTHER NURSING 145126,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145126,A000000,01100,0000,1100PHARMACY 145126,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145126,A000000,01300,0000,1300SOCIAL SERVICE 145126,A000000,01301,0000,1301ACTIVITIES 145126,A000000,01600,0000,1600SKILLED NURSING FACILITY 145126,A000000,01800,0000,1800NURSING FACILITY 145126,A000000,02100,0000,2100RADIOLOGY 145126,A000000,02200,0000,2200LABORATORY 145126,A000000,02300,0000,2300INTRAVENOUS THERAPY 145126,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145126,A000000,02500,0000,2500PHYSICAL THERAPY 145126,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145126,A000000,02700,0000,2700SPEECH PATHOLOGY 145126,A000000,02800,0000,2800ELECTROCARDIOLOGY 145126,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145126,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145126,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145126,A000000,03301,0000,3051NUTRITIONAL THERAPY 145126,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145126,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145126,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145126,A000000,04800,0000,4800AMBULANCE 145126,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145126,A000000,05300,0000,5300INTEREST EXPENSE 145126,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145126,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145126,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145126,A000000,06200,0000,6200PATIENTS LAUNDRY 145126,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145126,A000000,06301,0000,6151DAY CARE 145126,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145126,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145126,A81000A,00100,0100,Y 145126,A81000B,00100,0300,HOME OFFICE COSTS 145126,A81000B,00200,0300,LIABILITY INSURANCE 145126,A81000B,00500,0300,VC PHARMACY - ADMIN 145126,A81000B,00900,0300,VC PHARMACY - DIETARY 145126,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145126,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145126,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 145126,A81000B,01300,0300,VENCARE REHAB - PHYS THER 145126,A81000B,01400,0300,VENCARE REHAB - OCCP THER 145126,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 145126,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 145126,A81000B,01700,0300,VC PHARMACY - LEGEND 145126,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 145126,A81000C,00100,0100,B 145126,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145126,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145126,A81000C,00100,0600,LIABILITY INSURANCE 145126,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145126,A81000C,00200,0600,PHARMACY 145126,A81000C,00300,0400,VENCARE RESPIRATORY 145126,A81000C,00300,0600,RESPIRATORY THERAPY 145126,A81000C,00400,0400,THERAPY SERVICES 145126,A81000C,00500,0400,VENCARE REHAB SERVICES 145126,A81000C,00500,0600,REHAB 145126,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145126,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145126,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145126,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145126,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145126,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145126,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145126,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145126,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145126,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145126,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145126,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145126,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145126,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145126,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145126,E10A180,00301,0100,11/30/00 145126,E10A180,00350,0100,06/30/00 145126,S000000,00100,0200,12/11/00 145126,S200000,00100,0100,77 HIGH STREET 145126,S200000,00200,0100,NEWBURYPORT 145126,S200000,00200,0200,MA 145126,S200000,00200,0300,01950- 145126,S200000,00300,0100,ESSEX 145126,S200000,00300,0300,U 145126,S200000,00400,0100,BRIGHAM MANOR NURSING & REHAB CENTER 145126,S200000,00400,0200,225549 145126,S200000,00400,0300,02/24/92 145126,S200000,00400,0500,P 145126,S200000,01500,0100,Y 145126,S200000,01600,0100,N 145126,S200000,01700,0100,N 145126,S200000,01800,0100,N 145126,S200000,02200,0100,Y 145126,S200000,02800,0100,N 145126,S200000,02900,0100,N 145126,S200000,03000,0100,N 145126,S200000,03100,0100,N 145126,S200000,03200,0100,N 145126,S200000,04100,0100,N 145126,S200000,04200,0100,N 145126,S200000,04300,0100,N 145126,S200000,04600,0100,N 145126,S200000,04700,0100,N 145126,S200000,04700,0200,N 145126,S200000,04900,0100,N 145126,S200000,05000,0100,N 145126,S200000,05100,0100,N 145126,S200000,05200,0100,N 145132,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145132,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145132,A000000,00300,0000,0300EMPLOYEE BENEFITS 145132,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145132,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145132,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145132,A000000,00700,0000,0700HOUSEKEEPING 145132,A000000,00800,0000,0800DIETARY 145132,A000000,00900,0000,0900NURSING ADMINISTRATION 145132,A000000,00901,0000,0901OTHER NURSING 145132,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145132,A000000,01100,0000,1100PHARMACY 145132,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145132,A000000,01300,0000,1300SOCIAL SERVICE 145132,A000000,01301,0000,1301ACTIVITIES 145132,A000000,01600,0000,1600SKILLED NURSING FACILITY 145132,A000000,01800,0000,1800NURSING FACILITY 145132,A000000,02100,0000,2100RADIOLOGY 145132,A000000,02200,0000,2200LABORATORY 145132,A000000,02300,0000,2300INTRAVENOUS THERAPY 145132,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145132,A000000,02500,0000,2500PHYSICAL THERAPY 145132,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145132,A000000,02700,0000,2700SPEECH PATHOLOGY 145132,A000000,02800,0000,2800ELECTROCARDIOLOGY 145132,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145132,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145132,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145132,A000000,03301,0000,3051NUTRITIONAL THERAPY 145132,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145132,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145132,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145132,A000000,04800,0000,4800AMBULANCE 145132,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145132,A000000,05300,0000,5300INTEREST EXPENSE 145132,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145132,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145132,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145132,A000000,06200,0000,6200PATIENTS LAUNDRY 145132,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145132,A000000,06301,0000,6151DAY CARE 145132,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145132,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145132,A81000A,00100,0100,Y 145132,A81000B,00100,0300,HOME OFFICE COSTS 145132,A81000B,00200,0300,LIABILITY INSURANCE 145132,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145132,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 145132,A81000B,01200,0300,VENCARE REHAB - PHYS THER 145132,A81000B,01300,0300,VENCARE REHAB - OCCP THER 145132,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 145132,A81000B,01500,0300,VC PHARMACY - MEDICAL SUPP 145132,A81000B,01600,0300,VC PHARMACY - LEGEND 145132,A81000B,01700,0300,VC PHARMACY - EMPL BENEFITS 145132,A81000C,00100,0100,B 145132,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145132,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145132,A81000C,00100,0600,LIABILITY INSURANCE 145132,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145132,A81000C,00200,0600,PHARMACY 145132,A81000C,00300,0400,VENCARE RESPIRATORY 145132,A81000C,00300,0600,RESPIRATORY THERAPY 145132,A81000C,00400,0400,THERAPY SERVICES 145132,A81000C,00500,0400,VENCARE REHAB SERVICES 145132,A81000C,00500,0600,REHAB 145132,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145132,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145132,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145132,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145132,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145132,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145132,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145132,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145132,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145132,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145132,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145132,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145132,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145132,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145132,E10A180,00301,0100,06/30/00 145132,E10A180,00350,0100,11/30/00 145132,S000000,00100,0200,07/27/01 145132,S200000,00100,0100,43 STARR FARM 145132,S200000,00200,0100,BURLINGTON 145132,S200000,00200,0200,VT 145132,S200000,00200,0300,05401- 145132,S200000,00300,0100,CHITTENDEN 145132,S200000,00300,0300,U 145132,S200000,00400,0100,BIRCHWOOD TERRACE HEALTHCARE 145132,S200000,00400,0200,475003 145132,S200000,00400,0300,07/01/76 145132,S200000,00400,0500,P 145132,S200000,01500,0100,Y 145132,S200000,01600,0100,N 145132,S200000,01700,0100,N 145132,S200000,01800,0100,N 145132,S200000,02200,0100,Y 145132,S200000,02800,0100,N 145132,S200000,02900,0100,N 145132,S200000,03000,0100,N 145132,S200000,03100,0100,N 145132,S200000,03200,0100,N 145132,S200000,04100,0100,N 145132,S200000,04200,0100,N 145132,S200000,04300,0100,N 145132,S200000,04600,0100,N 145132,S200000,04700,0100,N 145132,S200000,04700,0200,N 145132,S200000,04900,0100,N 145132,S200000,05000,0100,N 145132,S200000,05100,0100,N 145132,S200000,05200,0100,N 145134,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145134,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145134,A000000,00300,0000,0300EMPLOYEE BENEFITS 145134,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145134,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145134,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145134,A000000,00700,0000,0700HOUSEKEEPING 145134,A000000,00800,0000,0800DIETARY 145134,A000000,00900,0000,0900NURSING ADMINISTRATION 145134,A000000,00901,0000,0901OTHER NURSING 145134,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145134,A000000,01100,0000,1100PHARMACY 145134,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145134,A000000,01300,0000,1300SOCIAL SERVICE 145134,A000000,01301,0000,1301ACTIVITIES 145134,A000000,01600,0000,1600SKILLED NURSING FACILITY 145134,A000000,01800,0000,1800NURSING FACILITY 145134,A000000,02100,0000,2100RADIOLOGY 145134,A000000,02200,0000,2200LABORATORY 145134,A000000,02300,0000,2300INTRAVENOUS THERAPY 145134,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145134,A000000,02500,0000,2500PHYSICAL THERAPY 145134,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145134,A000000,02700,0000,2700SPEECH PATHOLOGY 145134,A000000,02800,0000,2800ELECTROCARDIOLOGY 145134,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145134,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145134,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145134,A000000,03301,0000,3051NUTRITIONAL THERAPY 145134,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145134,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145134,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145134,A000000,04800,0000,4800AMBULANCE 145134,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145134,A000000,05300,0000,5300INTEREST EXPENSE 145134,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145134,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145134,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145134,A000000,06200,0000,6200PATIENTS LAUNDRY 145134,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145134,A000000,06301,0000,6151DAY CARE 145134,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145134,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145134,A81000A,00100,0100,Y 145134,A81000B,00100,0300,HOME OFFICE COSTS 145134,A81000B,00200,0300,LIABILITY INSURANCE 145134,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145134,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145134,A81000B,00500,0300,VC PHARMACY - ADMIN 145134,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145134,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145134,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145134,A81000B,00900,0300,VC PHARMACY - DIETARY 145134,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145134,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145134,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145134,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145134,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145134,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145134,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145134,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145134,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145134,A81000B,01900,0300,VC PHARMACY - LAB 145134,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145134,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145134,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145134,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145134,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145134,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145134,A81000B,02600,0300,VC PHARMACY - LEGEND 145134,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145134,A81000B,02800,0300,VC PHARMACY - NUTR THER 145134,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145134,A81000C,00100,0100,B 145134,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145134,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145134,A81000C,00100,0600,LIABILITY INSURANCE 145134,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145134,A81000C,00200,0600,PHARMACY 145134,A81000C,00300,0400,VENCARE RESPIRATORY 145134,A81000C,00300,0600,RESPIRATORY THERAPY 145134,A81000C,00400,0400,THERAPY SERVICES 145134,A81000C,00500,0400,VENCARE REHAB SERVICES 145134,A81000C,00500,0600,REHAB 145134,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145134,A81000C,00600,0600,PORTABLE X-RAY 145134,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145134,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145134,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145134,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145134,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145134,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145134,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145134,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145134,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145134,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145134,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145134,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145134,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145134,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145134,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145134,E10A180,00350,0100,06/30/00 145134,S000000,00100,0200,12/01/00 145134,S200000,00100,0100,1002 FOREST DRIVE 145134,S200000,00200,0100,RIVERTON 145134,S200000,00200,0200,WY 145134,S200000,00200,0300,82501- 145134,S200000,00300,0100,FREMONT 145134,S200000,00300,0300,R 145134,S200000,00400,0100,482 - WIND RIVER HEALTHCARE & REHAB 145134,S200000,00400,0200,535031 145134,S200000,00400,0300,10/18/88 145134,S200000,00400,0500,P 145134,S200000,01500,0100,Y 145134,S200000,01600,0100,N 145134,S200000,01700,0100,N 145134,S200000,01800,0100,N 145134,S200000,02200,0100,Y 145134,S200000,02800,0100,N 145134,S200000,02900,0100,N 145134,S200000,03000,0100,N 145134,S200000,03100,0100,N 145134,S200000,03200,0100,N 145134,S200000,04100,0100,N 145134,S200000,04200,0100,N 145134,S200000,04300,0100,N 145134,S200000,04600,0100,N 145134,S200000,04700,0100,N 145134,S200000,04700,0200,N 145134,S200000,04900,0100,N 145134,S200000,05000,0100,N 145134,S200000,05100,0100,N 145134,S200000,05200,0100,N 145135,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145135,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145135,A000000,00300,0000,0300EMPLOYEE BENEFITS 145135,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145135,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145135,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145135,A000000,00700,0000,0700HOUSEKEEPING 145135,A000000,00800,0000,0800DIETARY 145135,A000000,00900,0000,0900NURSING ADMINISTRATION 145135,A000000,00901,0000,0901OTHER NURSING 145135,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145135,A000000,01100,0000,1100PHARMACY 145135,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145135,A000000,01300,0000,1300SOCIAL SERVICE 145135,A000000,01301,0000,1301ACTIVITIES 145135,A000000,01600,0000,1600SKILLED NURSING FACILITY 145135,A000000,01800,0000,1800NURSING FACILITY 145135,A000000,02100,0000,2100RADIOLOGY 145135,A000000,02200,0000,2200LABORATORY 145135,A000000,02300,0000,2300INTRAVENOUS THERAPY 145135,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145135,A000000,02500,0000,2500PHYSICAL THERAPY 145135,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145135,A000000,02700,0000,2700SPEECH PATHOLOGY 145135,A000000,02800,0000,2800ELECTROCARDIOLOGY 145135,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145135,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145135,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145135,A000000,03301,0000,3051NUTRITIONAL THERAPY 145135,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145135,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145135,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145135,A000000,04800,0000,4800AMBULANCE 145135,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145135,A000000,05300,0000,5300INTEREST EXPENSE 145135,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145135,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145135,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145135,A000000,06200,0000,6200PATIENTS LAUNDRY 145135,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145135,A000000,06301,0000,6151DAY CARE 145135,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145135,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145135,A81000A,00100,0100,Y 145135,A81000B,00100,0300,HOME OFFICE COSTS 145135,A81000B,00200,0300,LIABILITY INSURANCE 145135,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145135,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145135,A81000B,00500,0300,VC PHARMACY - ADMIN 145135,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145135,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145135,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145135,A81000B,00900,0300,VC PHARMACY - DIETARY 145135,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145135,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145135,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145135,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145135,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145135,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145135,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145135,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145135,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145135,A81000B,01900,0300,VC PHARMACY - LAB 145135,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145135,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145135,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145135,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145135,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145135,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145135,A81000B,02600,0300,VC PHARMACY - LEGEND 145135,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145135,A81000B,02800,0300,VC PHARMACY - NUTR THER 145135,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145135,A81000C,00100,0100,B 145135,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145135,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145135,A81000C,00100,0600,LIABILITY INSURANCE 145135,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145135,A81000C,00200,0600,PHARMACY 145135,A81000C,00300,0400,VENCARE RESPIRATORY 145135,A81000C,00300,0600,RESPIRATORY THERAPY 145135,A81000C,00400,0400,THERAPY SERVICES 145135,A81000C,00500,0400,VENCARE REHAB SERVICES 145135,A81000C,00500,0600,REHAB 145135,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145135,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145135,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145135,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145135,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145135,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145135,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145135,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145135,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145135,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145135,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145135,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145135,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145135,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145135,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145135,E10A180,00301,0100,06/30/00 145135,S000000,00100,0200,12/01/00 145135,S200000,00100,0100,542 16TH STREET 145135,S200000,00200,0100,RAWLINS 145135,S200000,00200,0200,WY 145135,S200000,00200,0300,82301- 145135,S200000,00300,0100,CARBON 145135,S200000,00300,0300,R 145135,S200000,00400,0100,481 - SOUTH CENTRAL WY HEALTHCARE 145135,S200000,00400,0200,535036 145135,S200000,00400,0300,04/01/89 145135,S200000,00400,0500,P 145135,S200000,01500,0100,Y 145135,S200000,01600,0100,N 145135,S200000,01700,0100,N 145135,S200000,01800,0100,N 145135,S200000,02200,0100,Y 145135,S200000,02800,0100,N 145135,S200000,02900,0100,N 145135,S200000,03000,0100,N 145135,S200000,03100,0100,N 145135,S200000,03200,0100,N 145135,S200000,04100,0100,N 145135,S200000,04200,0100,N 145135,S200000,04300,0100,N 145135,S200000,04600,0100,N 145135,S200000,04700,0100,N 145135,S200000,04700,0200,N 145135,S200000,04900,0100,N 145135,S200000,05000,0100,N 145135,S200000,05100,0100,N 145135,S200000,05200,0100,N 145139,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145139,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145139,A000000,00300,0000,0300EMPLOYEE BENEFITS 145139,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145139,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145139,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145139,A000000,00700,0000,0700HOUSEKEEPING 145139,A000000,00800,0000,0800DIETARY 145139,A000000,00900,0000,0900NURSING ADMINISTRATION 145139,A000000,00901,0000,0901OTHER NURSING 145139,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145139,A000000,01100,0000,1100PHARMACY 145139,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145139,A000000,01300,0000,1300SOCIAL SERVICE 145139,A000000,01301,0000,1301ACTIVITIES 145139,A000000,01600,0000,1600SKILLED NURSING FACILITY 145139,A000000,01800,0000,1800NURSING FACILITY 145139,A000000,02100,0000,2100RADIOLOGY 145139,A000000,02200,0000,2200LABORATORY 145139,A000000,02300,0000,2300INTRAVENOUS THERAPY 145139,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145139,A000000,02500,0000,2500PHYSICAL THERAPY 145139,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145139,A000000,02700,0000,2700SPEECH PATHOLOGY 145139,A000000,02800,0000,2800ELECTROCARDIOLOGY 145139,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145139,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145139,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145139,A000000,03301,0000,3051NUTRITIONAL THERAPY 145139,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145139,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145139,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145139,A000000,04800,0000,4800AMBULANCE 145139,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145139,A000000,05300,0000,5300INTEREST EXPENSE 145139,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145139,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145139,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145139,A000000,06200,0000,6200PATIENTS LAUNDRY 145139,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145139,A000000,06301,0000,6151DAY CARE 145139,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145139,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145139,A81000A,00100,0100,Y 145139,A81000B,00100,0300,HOME OFFICE COSTS 145139,A81000B,00200,0300,LIABILITY INSURANCE 145139,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145139,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145139,A81000B,00500,0300,VC PHARMACY - ADMIN 145139,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145139,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145139,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145139,A81000B,00900,0300,VC PHARMACY - DIETARY 145139,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145139,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145139,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145139,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145139,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145139,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145139,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145139,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145139,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145139,A81000B,01900,0300,VC PHARMACY - LAB 145139,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145139,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145139,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145139,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145139,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145139,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145139,A81000B,02600,0300,VC PHARMACY - LEGEND 145139,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145139,A81000B,02800,0300,VC PHARMACY - NUTR THER 145139,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145139,A81000C,00100,0100,B 145139,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145139,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145139,A81000C,00100,0600,LIABILITY INSURANCE 145139,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145139,A81000C,00200,0600,PHARMACY 145139,A81000C,00300,0400,VENCARE RESPIRATORY 145139,A81000C,00300,0600,RESPIRATORY THERAPY 145139,A81000C,00400,0400,THERAPY SERVICES 145139,A81000C,00500,0400,VENCARE REHAB SERVICES 145139,A81000C,00500,0600,REHAB 145139,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145139,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145139,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145139,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145139,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145139,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145139,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145139,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145139,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145139,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145139,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145139,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145139,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145139,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145139,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145139,E10A180,00301,0100,06/30/00 145139,S000000,00100,0200,12/07/01 145139,S200000,00100,0100,401 WEST ADA AVENUE 145139,S200000,00200,0100,GLENDORA 145139,S200000,00200,0200,CA 145139,S200000,00200,0300,91740- 145139,S200000,00300,0100,LOS ANGELES 145139,S200000,00300,0200,4480 145139,S200000,00300,0300,U 145139,S200000,00400,0100,981 - FOOTHILL NURSING & REHAB CENTE 145139,S200000,00400,0200,555416 145139,S200000,00400,0300,04/13/90 145139,S200000,00400,0500,P 145139,S200000,01500,0100,Y 145139,S200000,01600,0100,N 145139,S200000,01700,0100,N 145139,S200000,01800,0100,N 145139,S200000,02200,0100,Y 145139,S200000,02800,0100,N 145139,S200000,02900,0100,N 145139,S200000,03000,0100,N 145139,S200000,03100,0100,N 145139,S200000,03200,0100,N 145139,S200000,04100,0100,N 145139,S200000,04200,0100,N 145139,S200000,04300,0100,N 145139,S200000,04600,0100,N 145139,S200000,04700,0100,N 145139,S200000,04700,0200,N 145139,S200000,04900,0100,N 145139,S200000,05000,0100,N 145139,S200000,05100,0100,N 145139,S200000,05200,0100,N 145157,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145157,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145157,A000000,00300,0000,0300EMPLOYEE BENEFITS 145157,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145157,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145157,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145157,A000000,00700,0000,0700HOUSEKEEPING 145157,A000000,00800,0000,0800DIETARY 145157,A000000,00900,0000,0900NURSING ADMINISTRATION 145157,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145157,A000000,01100,0000,1100PHARMACY 145157,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145157,A000000,01300,0000,1300SOCIAL SERVICE 145157,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145157,A000000,01500,0000,1350OTHER GENERAL SERVICES 145157,A000000,01600,0000,1600SKILLED NURSING FACILITY 145157,A000000,01800,0000,1800NURSING FACILITY 145157,A000000,01810,0000,1810ICF/MR 145157,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145157,A000000,02500,0000,2500PHYSICAL THERAPY 145157,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145157,A000000,02700,0000,2700SPEECH PATHOLOGY 145157,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145157,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145157,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145157,A000000,03550,0000,3550FQHC 145157,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145157,A000000,05000,0000,5000CORF 145157,A000000,05010,0000,5010CMHC 145157,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145157,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145157,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145157,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145157,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145157,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145157,A81000A,00100,0100,N 145157,B100000,00000,0100,0100SQUARE FEET 145157,B100000,00000,0200,0200SQUARE FEET 145157,B100000,00000,0300,0300GROSS SALARIES 145157,B100000,00000,0400,0400ACCUM COST 145157,B100000,00000,0500,0500SQUARE FEET 145157,B100000,00000,0600,0600POUNDS OF LAUNDRY 145157,B100000,00000,0700,0700SQUARE FEET 145157,B100000,00000,0800,0800MEALS SERVED 145157,B100000,00000,0900,0900DIRECT NRSING HRS 145157,B100000,00000,1000,1000COSTED REQUIS. 145157,B100000,00000,1100,1100COSTED REQUIS. 145157,B100000,00000,1200,1200TIME SPENT 145157,B100000,00000,1300,1300TIME SPENT 145157,B100000,00000,1400,1400ASSIGNED TIME 145157,B100000,00000,1500,1350NO STATISTICS 145157,E10A180,00501,0100,05/10/00 145157,E10A180,00550,0300,05/10/00 145157,S000000,00100,0200,04/10/00 145157,S200000,00100,0100,1525 WEST MCNEESE 145157,S200000,00200,0100,LAKE CHARLES 145157,S200000,00200,0200,LA 145157,S200000,00300,0100,CALCASIEU 145157,S200000,00300,0200,3960 145157,S200000,00300,0300,U 145157,S200000,00400,0100,GRAND COVE RETIREMENT CENTER 145157,S200000,00400,0200,195376 145157,S200000,00400,0300,08/01/96 145157,S200000,00400,0500,P 145157,S200000,01500,0100,N 145157,S200000,01600,0100,Y 145157,S200000,01700,0100,N 145157,S200000,01800,0100,N 145157,S200000,02200,0100,N 145157,S200000,02800,0100,N 145157,S200000,02900,0100,N 145157,S200000,03000,0100,N 145157,S200000,03100,0100,N 145157,S200000,03200,0100,N 145157,S200000,03300,0100,N 145157,S200000,03300,0200,N 145157,S200000,04100,0100,N 145157,S200000,04200,0100,N 145157,S200000,04300,0100,Y 145157,S200000,04600,0100,N 145157,S200000,04700,0100,N 145157,S200000,05200,0100,N 145193,S000000,00100,0200,03/03/03 145380,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145380,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145380,A000000,00300,0000,0300EMPLOYEE BENEFITS 145380,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145380,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145380,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145380,A000000,00700,0000,0700HOUSEKEEPING 145380,A000000,00800,0000,0800DIETARY 145380,A000000,00900,0000,0900NURSING ADMINISTRATION 145380,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145380,A000000,01100,0000,1100PHARMACY 145380,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145380,A000000,01300,0000,1300SOCIAL SERVICE 145380,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 145380,A000000,01500,0000,1350OTHER GENERAL SERVICES 145380,A000000,01600,0000,1600SKILLED NURSING FACILITY 145380,A000000,01800,0000,1800NURSING FACILITY 145380,A000000,01810,0000,1810ICF/MR 145380,A000000,01900,0000,1900OTHER LONG TERM CARE 145380,A000000,02100,0000,2100RADIOLOGY 145380,A000000,02200,0000,2200LABORATORY 145380,A000000,02300,0000,2300INTRAVENOUS THERAPY 145380,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145380,A000000,02500,0000,2500PHYSICAL THERAPY 145380,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145380,A000000,02700,0000,2700SPEECH PATHOLOGY 145380,A000000,02800,0000,2800ELECTROCARDIOLOGY 145380,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145380,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145380,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 145380,A000000,03200,0000,3200SUPPORT SURFACES 145380,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145380,A000000,03400,0000,3400CLINIC 145380,A000000,03500,0000,3500RURAL HEALTH CLINIC 145380,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145380,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 145380,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 145380,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 145380,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 145380,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 145380,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 145380,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 145380,A000000,04400,0000,4400DME RENTED - HHA 145380,A000000,04500,0000,4500DME SOLD - HHA 145380,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 145380,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 145380,A000000,04800,0000,4800AMBULANCE 145380,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 145380,A000000,05000,0000,5000CORF 145380,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145380,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 145380,A000000,05300,0000,5300INTEREST EXPENSE 145380,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145380,A000000,05500,0000,5500HOSPICE 145380,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145380,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145380,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145380,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 145380,A000000,06100,0000,6100NONPAID WORKERS 145380,A000000,06200,0000,6200PATIENTS LAUNDRY 145380,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145380,A81000A,00100,0100,Y 145380,A81000B,00100,0300,HOME OFFICE COST 145380,A81000B,00200,0300,HOME OFFICE COST 145380,A81000B,00300,0300,FACILITY LEASE 145380,A81000B,00400,0300,ROUTINE/BILLABLE SUPPLIES 145380,A81000C,00100,0100,A 145380,A81000C,00100,0200,ROGER & PATTI TURENNE 145380,A81000C,00100,0400,TURENNE & ASSOCIATES 145380,A81000C,00100,0600,MANAGEMENT COMPANY 145380,A81000C,00200,0100,A 145380,A81000C,00200,0200,ROGER & PATTI TURENNE 145380,A81000C,00200,0400,TURENNE & ASSOCIATES 145380,A81000C,00200,0600,MANAGEMENT COMPANY 145380,A81000C,00300,0100,A 145380,A81000C,00300,0200,ROGER & PATTI TURENNE 145380,A81000C,00300,0600,INDIVIDUALS 145380,A81000C,00400,0100,A 145380,A81000C,00400,0200,ROGER & PATTI TURENNE 145380,A81000C,00400,0400,PHARMEDCO 145380,A81000C,00400,0600,SUPPLY COMPANY 145380,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145380,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145380,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145380,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145380,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 145380,B100000,00000,0700,0750TIME SPENT :HOUSEKEEPING 145380,B100000,00000,0800,0800MEALS SERVED :DIETARY 145380,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 145380,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 145380,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 145380,S000000,00100,0200,12/27/00 145380,S200000,00100,0100,616 CHAFFEE STREET 145380,S200000,00200,0100,TALLADEGA 145380,S200000,00200,0200,AL 145380,S200000,00200,0300,35160- 145380,S200000,00300,0100,TALLADEGA 145380,S200000,00300,0300,R 145380,S200000,00400,0100,TALLADEGA HEALTHCARE CENTER 145380,S200000,00400,0200,015162 145380,S200000,00400,0300,09/01/91 145380,S200000,00400,0500,P 145380,S200000,01500,0100,N 145380,S200000,01600,0100,Y 145380,S200000,01700,0100,N 145380,S200000,01800,0100,N 145380,S200000,02200,0100,N 145380,S200000,02800,0100,N 145380,S200000,02900,0100,N 145380,S200000,03000,0100,N 145380,S200000,03100,0100,N 145380,S200000,03200,0100,N 145380,S200000,04100,0100,N 145380,S200000,04200,0100,N 145380,S200000,04300,0100,N 145380,S200000,04600,0100,N 145380,S200000,04700,0100,N 145380,S200000,04700,0200,N 145380,S200000,04900,0100,N 145380,S200000,05000,0100,N 145380,S200000,05100,0100,N 145380,S200000,05200,0100,N 145381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145381,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145381,A000000,00300,0000,0300EMPLOYEE BENEFITS 145381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145381,A000000,00700,0000,0700HOUSEKEEPING 145381,A000000,00800,0000,0800DIETARY 145381,A000000,00900,0000,0900NURSING ADMINISTRATION 145381,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145381,A000000,01100,0000,1100PHARMACY 145381,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145381,A000000,01300,0000,1300SOCIAL SERVICE 145381,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 145381,A000000,01500,0000,1350ACTIVITIES 145381,A000000,01600,0000,1600SKILLED NURSING FACILITY 145381,A000000,01800,0000,1800NURSING FACILITY 145381,A000000,01900,0000,1900OTHER LONG TERM CARE 145381,A000000,02100,0000,2100RADIOLOGY 145381,A000000,02200,0000,2200LABORATORY 145381,A000000,02300,0000,2300INTRAVENOUS THERAPY 145381,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145381,A000000,02500,0000,2500PHYSICAL THERAPY 145381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145381,A000000,02700,0000,2700SPEECH PATHOLOGY 145381,A000000,02800,0000,2800ELECTROCARDIOLOGY 145381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145381,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 145381,A000000,03200,0000,3200SUPPORT SURFACES 145381,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 145381,A000000,03400,0000,3400CLINIC 145381,A000000,03500,0000,3500RURAL HEALTH CLINIC 145381,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 145381,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 145381,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 145381,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 145381,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 145381,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 145381,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 145381,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 145381,A000000,04400,0000,4400DME RENTED - HHA 145381,A000000,04500,0000,4500DME SOLD - HHA 145381,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 145381,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 145381,A000000,04800,0000,4800AMBULANCE 145381,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 145381,A000000,05000,0000,5000CORF 145381,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 145381,A000000,05300,0000,5300INTEREST EXPENSE 145381,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145381,A000000,05500,0000,5500HOSPICE 145381,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145381,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145381,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145381,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 145381,A000000,06100,0000,6100NONPAID WORKERS 145381,A000000,06200,0000,6200PATIENTS LAUNDRY 145381,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 145381,A81000A,00100,0100,Y 145381,A81000B,00100,0300,ADMIN AND GENERAL 145381,A81000C,00100,0100,B 145381,A81000C,00100,0200,SALEM HOUSING C 145381,A81000C,00100,0600,LTC 145381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145381,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145381,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145381,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145381,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145381,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145381,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 145381,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 145381,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 145381,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 145381,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145381,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 145381,S000000,00100,0200,12/04/00 145381,S200000,00100,0100,502 GAUTIER ST 145381,S200000,00100,0300,P.O. BOX 830599 145381,S200000,00200,0100,TUSKEGEE 145381,S200000,00200,0200,AL 145381,S200000,00200,0300,36083- 145381,S200000,00300,0100,MACON 145381,S200000,00300,0200,01 145381,S200000,00300,0300,R 145381,S200000,00400,0100,SALEM NURSING & REHAB OF TUSKEGEE 145381,S200000,00400,0200,015438 145381,S200000,00400,0300,02/22/99 145381,S200000,00400,0500,P 145381,S200000,01500,0100,N 145381,S200000,01600,0100,Y 145381,S200000,01700,0100,N 145381,S200000,01800,0100,N 145381,S200000,02200,0100,N 145381,S200000,02800,0100,N 145381,S200000,02900,0100,N 145381,S200000,03000,0100,N 145381,S200000,03100,0100,N 145381,S200000,03200,0100,N 145381,S200000,04100,0100,N 145381,S200000,04200,0100,N 145381,S200000,04300,0100,N 145381,S200000,04600,0100,N 145381,S200000,04700,0100,N 145381,S200000,04700,0200,N 145381,S200000,04900,0100,N 145381,S200000,05000,0100,N 145381,S200000,05100,0100,N 145381,S200000,05200,0100,N 145394,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145394,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145394,A000000,00300,0000,0300EMPLOYEE BENEFITS 145394,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145394,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145394,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145394,A000000,00700,0000,0700HOUSEKEEPING 145394,A000000,00800,0000,0800DIETARY 145394,A000000,00900,0000,0900NURSING ADMINISTRATION 145394,A000000,00901,0000,0901OTHER NURSING 145394,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145394,A000000,01100,0000,1100PHARMACY 145394,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145394,A000000,01300,0000,1300SOCIAL SERVICE 145394,A000000,01301,0000,1301ACTIVITIES 145394,A000000,01600,0000,1600SKILLED NURSING FACILITY 145394,A000000,01800,0000,1800NURSING FACILITY 145394,A000000,02100,0000,2100RADIOLOGY 145394,A000000,02200,0000,2200LABORATORY 145394,A000000,02300,0000,2300INTRAVENOUS THERAPY 145394,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145394,A000000,02500,0000,2500PHYSICAL THERAPY 145394,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145394,A000000,02700,0000,2700SPEECH PATHOLOGY 145394,A000000,02800,0000,2800ELECTROCARDIOLOGY 145394,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145394,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145394,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145394,A000000,03301,0000,3051NUTRITIONAL THERAPY 145394,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145394,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145394,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145394,A000000,04800,0000,4800AMBULANCE 145394,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145394,A000000,05300,0000,5300INTEREST EXPENSE 145394,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145394,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145394,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145394,A000000,06200,0000,6200PATIENTS LAUNDRY 145394,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145394,A000000,06301,0000,6151DAY CARE 145394,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145394,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145394,A81000A,00100,0100,Y 145394,A81000B,00100,0300,HOME OFFICE COSTS 145394,A81000B,00200,0300,LIABILITY INSURANCE 145394,A81000B,00500,0300,VC PHARMACY - ADMIN 145394,A81000B,00900,0300,VC PHARMACY - DIETARY 145394,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145394,A81000B,01100,0300,VC PHARMACY - NONLEGEND 145394,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 145394,A81000B,01300,0300,VC PHARMACY - ROUTINE NONCT 145394,A81000B,01400,0300,VC PHARMACY - IV THERAPY 145394,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 145394,A81000B,01600,0300,VENCARE REHAB - PHYS THER 145394,A81000B,01700,0300,VENCARE REHAB - OCCP THER 145394,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 145394,A81000B,01900,0300,VC PHARMACY - LEGEND 145394,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 145394,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 145394,A81000C,00100,0100,B 145394,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145394,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145394,A81000C,00100,0600,LIABILITY INSURANCE 145394,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145394,A81000C,00200,0600,PHARMACY 145394,A81000C,00300,0400,VENCARE RESPIRATORY 145394,A81000C,00300,0600,RESPIRATORY THERAPY 145394,A81000C,00400,0400,THERAPY SERVICES 145394,A81000C,00500,0400,VENCARE REHAB SERVICES 145394,A81000C,00500,0600,REHAB 145394,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145394,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145394,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145394,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145394,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145394,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145394,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145394,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145394,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145394,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145394,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145394,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145394,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145394,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145394,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145394,E10A180,00301,0100,06/30/00 145394,S000000,00100,0200,12/11/00 145394,S200000,00100,0100,74 PARKWAY SOUTH 145394,S200000,00200,0100,BREWER 145394,S200000,00200,0200,ME 145394,S200000,00200,0300,04412- 145394,S200000,00300,0100,OXFORD 145394,S200000,00300,0300,U 145394,S200000,00400,0100,BREWER REHAB & LIVING CENTER 145394,S200000,00400,0200,205062 145394,S200000,00400,0300,12/04/89 145394,S200000,00400,0500,P 145394,S200000,01500,0100,N 145394,S200000,01600,0100,Y 145394,S200000,01700,0100,N 145394,S200000,01800,0100,N 145394,S200000,02200,0100,Y 145394,S200000,02800,0100,N 145394,S200000,02900,0100,N 145394,S200000,03000,0100,N 145394,S200000,03100,0100,N 145394,S200000,03200,0100,N 145394,S200000,04100,0100,N 145394,S200000,04200,0100,N 145394,S200000,04300,0100,N 145394,S200000,04600,0100,N 145394,S200000,04700,0100,N 145394,S200000,04700,0200,N 145394,S200000,04900,0100,N 145394,S200000,05000,0100,N 145394,S200000,05100,0100,N 145394,S200000,05200,0100,N 145395,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145395,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145395,A000000,00300,0000,0300EMPLOYEE BENEFITS 145395,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145395,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145395,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145395,A000000,00700,0000,0700HOUSEKEEPING 145395,A000000,00800,0000,0800DIETARY 145395,A000000,00900,0000,0900NURSING ADMINISTRATION 145395,A000000,00901,0000,0901OTHER NURSING 145395,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145395,A000000,01100,0000,1100PHARMACY 145395,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145395,A000000,01300,0000,1300SOCIAL SERVICE 145395,A000000,01301,0000,1301ACTIVITIES 145395,A000000,01600,0000,1600SKILLED NURSING FACILITY 145395,A000000,01800,0000,1800NURSING FACILITY 145395,A000000,02100,0000,2100RADIOLOGY 145395,A000000,02200,0000,2200LABORATORY 145395,A000000,02300,0000,2300INTRAVENOUS THERAPY 145395,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145395,A000000,02500,0000,2500PHYSICAL THERAPY 145395,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145395,A000000,02700,0000,2700SPEECH PATHOLOGY 145395,A000000,02800,0000,2800ELECTROCARDIOLOGY 145395,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145395,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145395,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145395,A000000,03301,0000,3051NUTRITIONAL THERAPY 145395,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145395,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145395,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145395,A000000,04800,0000,4800AMBULANCE 145395,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145395,A000000,05300,0000,5300INTEREST EXPENSE 145395,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145395,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145395,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145395,A000000,06200,0000,6200PATIENTS LAUNDRY 145395,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145395,A000000,06301,0000,6151DAY CARE 145395,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145395,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145395,A81000A,00100,0100,Y 145395,A81000B,00100,0300,HOME OFFICE COSTS 145395,A81000B,00200,0300,LIABILITY INSURANCE 145395,A81000B,00500,0300,VC PHARMACY - ADMIN 145395,A81000B,00900,0300,VC PHARMACY - DIETARY 145395,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145395,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145395,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145395,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145395,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145395,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145395,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145395,A81000B,01700,0300,VC PHARMACY - LEGEND 145395,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 145395,A81000C,00100,0100,B 145395,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145395,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145395,A81000C,00100,0600,LIABILITY INSURANCE 145395,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145395,A81000C,00200,0600,PHARMACY 145395,A81000C,00300,0400,VENCARE RESPIRATORY 145395,A81000C,00300,0600,RESPIRATORY THERAPY 145395,A81000C,00400,0400,THERAPY SERVICES 145395,A81000C,00500,0400,VENCARE REHAB SERVICES 145395,A81000C,00500,0600,REHAB 145395,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145395,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145395,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145395,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145395,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145395,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145395,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145395,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145395,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145395,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145395,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145395,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145395,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145395,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145395,E10A180,00350,0100,06/30/00 145395,S000000,00100,0200,12/11/00 145395,S200000,00100,0100,187 EASTERN AVENUE 145395,S200000,00200,0100,AUGUSTA 145395,S200000,00200,0200,ME 145395,S200000,00200,0300,04330- 145395,S200000,00300,0100,KENNEBUNK 145395,S200000,00300,0300,R 145395,S200000,00400,0100,AUGUSTA REHAB CENTER 145395,S200000,00400,0200,205077 145395,S200000,00400,0300,08/01/92 145395,S200000,00400,0500,P 145395,S200000,01500,0100,Y 145395,S200000,01600,0100,N 145395,S200000,01700,0100,N 145395,S200000,01800,0100,N 145395,S200000,02200,0100,Y 145395,S200000,02800,0100,N 145395,S200000,02900,0100,N 145395,S200000,03000,0100,N 145395,S200000,03100,0100,N 145395,S200000,03200,0100,N 145395,S200000,04100,0100,N 145395,S200000,04200,0100,N 145395,S200000,04300,0100,N 145395,S200000,04600,0100,N 145395,S200000,04700,0100,N 145395,S200000,04700,0200,N 145395,S200000,04900,0100,N 145395,S200000,05000,0100,N 145395,S200000,05100,0100,N 145395,S200000,05200,0100,N 145396,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145396,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145396,A000000,00300,0000,0300EMPLOYEE BENEFITS 145396,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145396,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145396,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145396,A000000,00700,0000,0700HOUSEKEEPING 145396,A000000,00800,0000,0800DIETARY 145396,A000000,00900,0000,0900NURSING ADMINISTRATION 145396,A000000,00901,0000,0901OTHER NURSING 145396,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145396,A000000,01100,0000,1100PHARMACY 145396,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145396,A000000,01300,0000,1300SOCIAL SERVICE 145396,A000000,01301,0000,1301ACTIVITIES 145396,A000000,01600,0000,1600SKILLED NURSING FACILITY 145396,A000000,01800,0000,1800NURSING FACILITY 145396,A000000,02100,0000,2100RADIOLOGY 145396,A000000,02200,0000,2200LABORATORY 145396,A000000,02300,0000,2300INTRAVENOUS THERAPY 145396,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145396,A000000,02500,0000,2500PHYSICAL THERAPY 145396,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145396,A000000,02700,0000,2700SPEECH PATHOLOGY 145396,A000000,02800,0000,2800ELECTROCARDIOLOGY 145396,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145396,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145396,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145396,A000000,03301,0000,3051NUTRITIONAL THERAPY 145396,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145396,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145396,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145396,A000000,04800,0000,4800AMBULANCE 145396,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145396,A000000,05300,0000,5300INTEREST EXPENSE 145396,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145396,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145396,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145396,A000000,06200,0000,6200PATIENTS LAUNDRY 145396,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145396,A000000,06301,0000,6151DAY CARE 145396,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145396,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145396,A81000A,00100,0100,Y 145396,A81000B,00100,0300,HOME OFFICE COSTS 145396,A81000B,00200,0300,LIABILITY INSURANCE 145396,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145396,A81000B,00500,0300,VC PHARMACY - ADMIN 145396,A81000B,00900,0300,VC PHARMACY - DIETARY 145396,A81000B,01000,0300,VC PHARMACY - NONLEGEND 145396,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145396,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145396,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145396,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145396,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145396,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145396,A81000B,01700,0300,VC PHARMACY - LEGEND 145396,A81000C,00100,0100,B 145396,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145396,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145396,A81000C,00100,0600,LIABILITY INSURANCE 145396,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145396,A81000C,00200,0600,PHARMACY 145396,A81000C,00300,0400,VENCARE RESPIRATORY 145396,A81000C,00300,0600,RESPIRATORY THERAPY 145396,A81000C,00400,0400,THERAPY SERVICES 145396,A81000C,00500,0400,VENCARE REHAB SERVICES 145396,A81000C,00500,0600,REHAB 145396,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145396,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145396,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145396,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145396,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145396,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145396,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145396,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145396,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145396,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145396,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145396,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145396,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145396,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145396,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145396,S000000,00100,0200,12/11/00 145396,S200000,00100,0100,122 PORTLAND STREET 145396,S200000,00200,0100,YARMOUTH 145396,S200000,00200,0200,ME 145396,S200000,00200,0300,04096- 145396,S200000,00300,0100,CUMBERLAND 145396,S200000,00300,0300,U 145396,S200000,00400,0100,BRENTWOOD REHAB & NURSING CENTER 145396,S200000,00400,0200,205079 145396,S200000,00400,0300,08/01/92 145396,S200000,00400,0500,P 145396,S200000,01500,0100,Y 145396,S200000,01600,0100,N 145396,S200000,01700,0100,N 145396,S200000,01800,0100,N 145396,S200000,02200,0100,Y 145396,S200000,02800,0100,N 145396,S200000,02900,0100,N 145396,S200000,03000,0100,N 145396,S200000,03100,0100,N 145396,S200000,03200,0100,N 145396,S200000,04100,0100,N 145396,S200000,04200,0100,N 145396,S200000,04300,0100,N 145396,S200000,04600,0100,N 145396,S200000,04700,0100,N 145396,S200000,04700,0200,N 145396,S200000,04900,0100,N 145396,S200000,05000,0100,N 145396,S200000,05100,0100,N 145396,S200000,05200,0100,N 145397,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145397,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145397,A000000,00300,0000,0300EMPLOYEE BENEFITS 145397,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145397,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145397,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145397,A000000,00700,0000,0700HOUSEKEEPING 145397,A000000,00800,0000,0800DIETARY 145397,A000000,00900,0000,0900NURSING ADMINISTRATION 145397,A000000,00901,0000,0901OTHER NURSING 145397,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145397,A000000,01100,0000,1100PHARMACY 145397,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145397,A000000,01300,0000,1300SOCIAL SERVICE 145397,A000000,01301,0000,1301ACTIVITIES 145397,A000000,01600,0000,1600SKILLED NURSING FACILITY 145397,A000000,01800,0000,1800NURSING FACILITY 145397,A000000,02100,0000,2100RADIOLOGY 145397,A000000,02200,0000,2200LABORATORY 145397,A000000,02300,0000,2300INTRAVENOUS THERAPY 145397,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145397,A000000,02500,0000,2500PHYSICAL THERAPY 145397,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145397,A000000,02700,0000,2700SPEECH PATHOLOGY 145397,A000000,02800,0000,2800ELECTROCARDIOLOGY 145397,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145397,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145397,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145397,A000000,03301,0000,3051NUTRITIONAL THERAPY 145397,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145397,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145397,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145397,A000000,04800,0000,4800AMBULANCE 145397,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145397,A000000,05300,0000,5300INTEREST EXPENSE 145397,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145397,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145397,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145397,A000000,06200,0000,6200PATIENTS LAUNDRY 145397,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145397,A000000,06301,0000,6151DAY CARE 145397,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145397,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145397,A81000A,00100,0100,Y 145397,A81000B,00100,0300,HOME OFFICE COSTS 145397,A81000B,00200,0300,LIABILITY INSURANCE 145397,A81000B,00500,0300,VC PHARMACY - ADMIN 145397,A81000B,00900,0300,VC PHARMACY - DIETARY 145397,A81000B,01000,0300,VC PHARMACY - NONLEGEND 145397,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145397,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 145397,A81000B,01300,0300,VENCARE REHAB - PHYS THER 145397,A81000B,01400,0300,VENCARE REHAB - OCCP THER 145397,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 145397,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 145397,A81000B,01700,0300,VC PHARMACY - LEGEND 145397,A81000C,00100,0100,B 145397,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145397,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145397,A81000C,00100,0600,LIABILITY INSURANCE 145397,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145397,A81000C,00200,0600,PHARMACY 145397,A81000C,00300,0400,VENCARE RESPIRATORY 145397,A81000C,00300,0600,RESPIRATORY THERAPY 145397,A81000C,00400,0400,THERAPY SERVICES 145397,A81000C,00500,0400,VENCARE REHAB SERVICES 145397,A81000C,00500,0600,REHAB 145397,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145397,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145397,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145397,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145397,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145397,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145397,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145397,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145397,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145397,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145397,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145397,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145397,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145397,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145397,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145397,S000000,00100,0200,12/11/00 145397,S200000,00100,0100,126 DEPOT STREET 145397,S200000,00200,0100,WALDOBORO 145397,S200000,00200,0200,ME 145397,S200000,00200,0300,04572- 145397,S200000,00300,0100,LINCOLN 145397,S200000,00300,0300,R 145397,S200000,00400,0100,FIELDCREST MANOR NURSING HOME 145397,S200000,00400,0200,205094 145397,S200000,00400,0300,01/01/93 145397,S200000,00400,0500,P 145397,S200000,01500,0100,Y 145397,S200000,01600,0100,N 145397,S200000,01700,0100,N 145397,S200000,01800,0100,N 145397,S200000,02200,0100,Y 145397,S200000,02800,0100,N 145397,S200000,02900,0100,N 145397,S200000,03000,0100,N 145397,S200000,03100,0100,N 145397,S200000,03200,0100,N 145397,S200000,04100,0100,N 145397,S200000,04200,0100,N 145397,S200000,04300,0100,N 145397,S200000,04600,0100,N 145397,S200000,04700,0100,N 145397,S200000,04700,0200,N 145397,S200000,04900,0100,N 145397,S200000,05000,0100,N 145397,S200000,05100,0100,N 145397,S200000,05200,0100,N 145398,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145398,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145398,A000000,00300,0000,0300EMPLOYEE BENEFITS 145398,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145398,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145398,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145398,A000000,00700,0000,0700HOUSEKEEPING 145398,A000000,00800,0000,0800DIETARY 145398,A000000,00900,0000,0900NURSING ADMINISTRATION 145398,A000000,00901,0000,0901OTHER NURSING 145398,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145398,A000000,01100,0000,1100PHARMACY 145398,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145398,A000000,01300,0000,1300SOCIAL SERVICE 145398,A000000,01301,0000,1301ACTIVITIES 145398,A000000,01600,0000,1600SKILLED NURSING FACILITY 145398,A000000,01800,0000,1800NURSING FACILITY 145398,A000000,02100,0000,2100RADIOLOGY 145398,A000000,02200,0000,2200LABORATORY 145398,A000000,02300,0000,2300INTRAVENOUS THERAPY 145398,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145398,A000000,02500,0000,2500PHYSICAL THERAPY 145398,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145398,A000000,02700,0000,2700SPEECH PATHOLOGY 145398,A000000,02800,0000,2800ELECTROCARDIOLOGY 145398,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145398,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145398,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145398,A000000,03301,0000,3051NUTRITIONAL THERAPY 145398,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145398,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145398,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145398,A000000,04800,0000,4800AMBULANCE 145398,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145398,A000000,05300,0000,5300INTEREST EXPENSE 145398,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145398,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145398,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145398,A000000,06200,0000,6200PATIENTS LAUNDRY 145398,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145398,A000000,06301,0000,6151DAY CARE 145398,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145398,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145398,A81000A,00100,0100,Y 145398,A81000B,00100,0300,HOME OFFICE COSTS 145398,A81000B,00200,0300,LIABILITY INSURANCE 145398,A81000B,00500,0300,VC PHARMACY - ADMIN 145398,A81000B,00900,0300,VC PHARMACY - DIETARY 145398,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145398,A81000B,01100,0300,VC PHARMACY - NONLEGEND 145398,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 145398,A81000B,01300,0300,VC PHARMACY - ROUTINE NONCT 145398,A81000B,01400,0300,VC PHARMACY - IV THERAPY 145398,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 145398,A81000B,01600,0300,VENCARE REHAB - PHYS THER 145398,A81000B,01700,0300,VENCARE REHAB - OCCP THER 145398,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 145398,A81000B,01900,0300,VC PHARMACY - LEGEND 145398,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 145398,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 145398,A81000C,00100,0100,B 145398,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145398,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145398,A81000C,00100,0600,LIABILITY INSURANCE 145398,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145398,A81000C,00200,0600,PHARMACY 145398,A81000C,00300,0400,VENCARE RESPIRATORY 145398,A81000C,00300,0600,RESPIRATORY THERAPY 145398,A81000C,00400,0400,THERAPY SERVICES 145398,A81000C,00500,0400,VENCARE REHAB SERVICES 145398,A81000C,00500,0600,REHAB 145398,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145398,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145398,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145398,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145398,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145398,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145398,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145398,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145398,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145398,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145398,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145398,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145398,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145398,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145398,S000000,00100,0200,12/11/00 145398,S200000,00100,0100,24 MARION AVENUE 145398,S200000,00200,0100,NORWAY 145398,S200000,00200,0200,ME 145398,S200000,00200,0300,04268- 145398,S200000,00300,0100,KNOX 145398,S200000,00300,0300,R 145398,S200000,00400,0100,NORWAY CONVALESCENT CENTER 145398,S200000,00400,0200,205097 145398,S200000,00400,0300,01/01/93 145398,S200000,00400,0500,P 145398,S200000,01500,0100,N 145398,S200000,01600,0100,Y 145398,S200000,01700,0100,N 145398,S200000,01800,0100,N 145398,S200000,02200,0100,Y 145398,S200000,02800,0100,N 145398,S200000,02900,0100,N 145398,S200000,03000,0100,N 145398,S200000,03100,0100,N 145398,S200000,03200,0100,N 145398,S200000,04100,0100,N 145398,S200000,04200,0100,N 145398,S200000,04300,0100,N 145398,S200000,04600,0100,N 145398,S200000,04700,0100,N 145398,S200000,04700,0200,N 145398,S200000,04900,0100,N 145398,S200000,05000,0100,N 145398,S200000,05100,0100,N 145398,S200000,05200,0100,N 145399,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145399,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145399,A000000,00300,0000,0300EMPLOYEE BENEFITS 145399,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145399,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145399,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145399,A000000,00700,0000,0700HOUSEKEEPING 145399,A000000,00800,0000,0800DIETARY 145399,A000000,00900,0000,0900NURSING ADMINISTRATION 145399,A000000,00901,0000,0901OTHER NURSING 145399,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145399,A000000,01100,0000,1100PHARMACY 145399,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145399,A000000,01300,0000,1300SOCIAL SERVICE 145399,A000000,01301,0000,1301ACTIVITIES 145399,A000000,01600,0000,1600SKILLED NURSING FACILITY 145399,A000000,01800,0000,1800NURSING FACILITY 145399,A000000,02100,0000,2100RADIOLOGY 145399,A000000,02200,0000,2200LABORATORY 145399,A000000,02300,0000,2300INTRAVENOUS THERAPY 145399,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145399,A000000,02500,0000,2500PHYSICAL THERAPY 145399,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145399,A000000,02700,0000,2700SPEECH PATHOLOGY 145399,A000000,02800,0000,2800ELECTROCARDIOLOGY 145399,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145399,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145399,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145399,A000000,03301,0000,3051NUTRITIONAL THERAPY 145399,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145399,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145399,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145399,A000000,04800,0000,4800AMBULANCE 145399,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145399,A000000,05300,0000,5300INTEREST EXPENSE 145399,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145399,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145399,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145399,A000000,06200,0000,6200PATIENTS LAUNDRY 145399,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145399,A000000,06301,0000,6151DAY CARE 145399,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145399,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145399,A81000A,00100,0100,Y 145399,A81000B,00100,0300,HOME OFFICE COSTS 145399,A81000B,00200,0300,LIABILITY INSURANCE 145399,A81000B,00500,0300,VC PHARMACY - ADMIN 145399,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 145399,A81000B,01100,0300,VENCARE REHAB - PHYS THER 145399,A81000B,01200,0300,VENCARE REHAB - OCCP THER 145399,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 145399,A81000B,01400,0300,VC PHARMACY - EMPL BENEFITS 145399,A81000C,00100,0100,B 145399,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145399,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145399,A81000C,00100,0600,LIABILITY INSURANCE 145399,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145399,A81000C,00200,0600,PHARMACY 145399,A81000C,00300,0400,VENCARE RESPIRATORY 145399,A81000C,00300,0600,RESPIRATORY THERAPY 145399,A81000C,00400,0400,THERAPY SERVICES 145399,A81000C,00500,0400,VENCARE REHAB SERVICES 145399,A81000C,00500,0600,REHAB 145399,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145399,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145399,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145399,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145399,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145399,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145399,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145399,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145399,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145399,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145399,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145399,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145399,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145399,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145399,S000000,00100,0200,12/11/00 145399,S200000,00100,0100,750 UNION STREET 145399,S200000,00200,0100,BANGOR 145399,S200000,00200,0200,ME 145399,S200000,00200,0300,04401- 145399,S200000,00300,0100,PENOBSCOT 145399,S200000,00300,0300,U 145399,S200000,00400,0100,WESTGATE MANOR 145399,S200000,00400,0200,205105 145399,S200000,00400,0300,01/01/93 145399,S200000,00400,0500,P 145399,S200000,01500,0100,N 145399,S200000,01600,0100,Y 145399,S200000,01700,0100,N 145399,S200000,01800,0100,N 145399,S200000,02200,0100,Y 145399,S200000,02800,0100,N 145399,S200000,02900,0100,N 145399,S200000,03000,0100,N 145399,S200000,03100,0100,N 145399,S200000,03200,0100,N 145399,S200000,04100,0100,N 145399,S200000,04200,0100,N 145399,S200000,04300,0100,N 145399,S200000,04600,0100,N 145399,S200000,04700,0100,N 145399,S200000,04700,0200,N 145399,S200000,04900,0100,N 145399,S200000,05000,0100,N 145399,S200000,05100,0100,N 145399,S200000,05200,0100,N 145400,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145400,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145400,A000000,00300,0000,0300EMPLOYEE BENEFITS 145400,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145400,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145400,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145400,A000000,00700,0000,0700HOUSEKEEPING 145400,A000000,00800,0000,0800DIETARY 145400,A000000,00900,0000,0900NURSING ADMINISTRATION 145400,A000000,00901,0000,0901OTHER NURSING 145400,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145400,A000000,01100,0000,1100PHARMACY 145400,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145400,A000000,01300,0000,1300SOCIAL SERVICE 145400,A000000,01301,0000,1301ACTIVITIES 145400,A000000,01600,0000,1600SKILLED NURSING FACILITY 145400,A000000,01800,0000,1800NURSING FACILITY 145400,A000000,02100,0000,2100RADIOLOGY 145400,A000000,02200,0000,2200LABORATORY 145400,A000000,02300,0000,2300INTRAVENOUS THERAPY 145400,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145400,A000000,02500,0000,2500PHYSICAL THERAPY 145400,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145400,A000000,02700,0000,2700SPEECH PATHOLOGY 145400,A000000,02800,0000,2800ELECTROCARDIOLOGY 145400,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145400,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145400,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145400,A000000,03301,0000,3051NUTRITIONAL THERAPY 145400,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145400,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145400,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145400,A000000,04800,0000,4800AMBULANCE 145400,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145400,A000000,05300,0000,5300INTEREST EXPENSE 145400,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145400,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145400,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145400,A000000,06200,0000,6200PATIENTS LAUNDRY 145400,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145400,A000000,06301,0000,6151DAY CARE 145400,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145400,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145400,A81000A,00100,0100,Y 145400,A81000B,00100,0300,HOME OFFICE COSTS 145400,A81000B,00200,0300,LIABILITY INSURANCE 145400,A81000B,00500,0300,VC PHARMACY - ADMIN 145400,A81000B,00900,0300,VC PHARMACY - DIETARY 145400,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145400,A81000B,01100,0300,VC PHARMACY - NONLEGEND 145400,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 145400,A81000B,01300,0300,VC PHARMACY - IV THERAPY 145400,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 145400,A81000B,01500,0300,VENCARE REHAB - PHYS THER 145400,A81000B,01600,0300,VENCARE REHAB - OCCP THER 145400,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 145400,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 145400,A81000B,01900,0300,VC PHARMACY - LEGEND 145400,A81000C,00100,0100,B 145400,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145400,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145400,A81000C,00100,0600,LIABILITY INSURANCE 145400,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145400,A81000C,00200,0600,PHARMACY 145400,A81000C,00300,0400,VENCARE RESPIRATORY 145400,A81000C,00300,0600,RESPIRATORY THERAPY 145400,A81000C,00400,0400,THERAPY SERVICES 145400,A81000C,00500,0400,VENCARE REHAB SERVICES 145400,A81000C,00500,0600,REHAB 145400,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145400,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145400,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145400,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145400,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145400,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145400,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145400,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145400,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145400,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145400,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145400,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145400,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145400,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145400,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145400,S000000,00100,0200,12/11/00 145400,S200000,00100,0100,516 MOUNT HOPE AVENUE 145400,S200000,00200,0100,BANGOR 145400,S200000,00200,0200,ME 145400,S200000,00200,0300,04401- 145400,S200000,00300,0100,PENOBSCOT 145400,S200000,00300,0300,U 145400,S200000,00400,0100,EASTSIDE REHAB & LIVING CENTER 145400,S200000,00400,0200,205106 145400,S200000,00400,0300,01/01/93 145400,S200000,00400,0500,P 145400,S200000,01500,0100,Y 145400,S200000,01600,0100,N 145400,S200000,01700,0100,N 145400,S200000,01800,0100,N 145400,S200000,02200,0100,Y 145400,S200000,02800,0100,N 145400,S200000,02900,0100,N 145400,S200000,03000,0100,N 145400,S200000,03100,0100,N 145400,S200000,03200,0100,N 145400,S200000,04100,0100,N 145400,S200000,04200,0100,N 145400,S200000,04300,0100,N 145400,S200000,04600,0100,N 145400,S200000,04700,0100,N 145400,S200000,04700,0200,N 145400,S200000,04900,0100,N 145400,S200000,05000,0100,N 145400,S200000,05100,0100,N 145400,S200000,05200,0100,N 145405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145405,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145405,A000000,00300,0000,0300EMPLOYEE BENEFITS 145405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145405,A000000,00700,0000,0700HOUSEKEEPING 145405,A000000,00800,0000,0800DIETARY 145405,A000000,00900,0000,0900NURSING ADMINISTRATION 145405,A000000,00901,0000,0901OTHER NURSING 145405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145405,A000000,01100,0000,1100PHARMACY 145405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145405,A000000,01300,0000,1300SOCIAL SERVICE 145405,A000000,01301,0000,1301ACTIVITIES 145405,A000000,01600,0000,1600SKILLED NURSING FACILITY 145405,A000000,01800,0000,1800NURSING FACILITY 145405,A000000,02100,0000,2100RADIOLOGY 145405,A000000,02200,0000,2200LABORATORY 145405,A000000,02300,0000,2300INTRAVENOUS THERAPY 145405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145405,A000000,02500,0000,2500PHYSICAL THERAPY 145405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145405,A000000,02700,0000,2700SPEECH PATHOLOGY 145405,A000000,02800,0000,2800ELECTROCARDIOLOGY 145405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145405,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145405,A000000,03301,0000,3051NUTRITIONAL THERAPY 145405,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145405,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145405,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145405,A000000,04800,0000,4800AMBULANCE 145405,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145405,A000000,05300,0000,5300INTEREST EXPENSE 145405,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145405,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145405,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145405,A000000,06200,0000,6200PATIENTS LAUNDRY 145405,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145405,A000000,06301,0000,6151DAY CARE 145405,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145405,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145405,A81000A,00100,0100,Y 145405,A81000B,00100,0300,HOME OFFICE COSTS 145405,A81000B,00200,0300,LIABILITY INSURANCE 145405,A81000B,00500,0300,VC PHARMACY - ADMIN 145405,A81000B,00900,0300,VC PHARMACY - DIETARY 145405,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145405,A81000B,01100,0300,VC PHARMACT - NON LEGEND 145405,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145405,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145405,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145405,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145405,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145405,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145405,A81000B,01800,0300,VC PHARMACY - LEGEND 145405,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145405,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 145405,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 145405,A81000C,00100,0100,B 145405,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145405,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145405,A81000C,00100,0600,LIABILITY INSURANCE 145405,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145405,A81000C,00200,0600,PHARMACY 145405,A81000C,00300,0400,VENCARE RESPIRATORY 145405,A81000C,00300,0600,RESPIRATORY THERAPY 145405,A81000C,00400,0400,THERAPY SERVICES 145405,A81000C,00500,0400,VENCARE REHAB SERVICES 145405,A81000C,00500,0600,REHAB 145405,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145405,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145405,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145405,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145405,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145405,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145405,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145405,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145405,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145405,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145405,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145405,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145405,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145405,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145405,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145405,S000000,00100,0200,12/11/00 145405,S200000,00100,0100,55 HARRIS ROAD 145405,S200000,00200,0100,NASHUA 145405,S200000,00200,0200,NH 145405,S200000,00200,0300,03062- 145405,S200000,00300,0100,HILLSBORO 145405,S200000,00300,0200,1123 145405,S200000,00300,0300,U 145405,S200000,00400,0100,592 - GREENBRIAR TERRACE HEALTHCARE 145405,S200000,00400,0200,305005 145405,S200000,00400,0300,07/01/76 145405,S200000,00400,0500,P 145405,S200000,01500,0100,Y 145405,S200000,01600,0100,N 145405,S200000,01700,0100,N 145405,S200000,01800,0100,N 145405,S200000,02200,0100,Y 145405,S200000,02800,0100,N 145405,S200000,02900,0100,N 145405,S200000,03000,0100,N 145405,S200000,03100,0100,N 145405,S200000,03200,0100,N 145405,S200000,04100,0100,N 145405,S200000,04200,0100,N 145405,S200000,04300,0100,N 145405,S200000,04600,0100,N 145405,S200000,04700,0100,N 145405,S200000,04700,0200,N 145405,S200000,04900,0100,N 145405,S200000,05000,0100,N 145405,S200000,05100,0100,N 145405,S200000,05200,0100,N 145514,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145514,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145514,A000000,00300,0000,0300EMPLOYEE BENEFITS 145514,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145514,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145514,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145514,A000000,00700,0000,0700HOUSEKEEPING 145514,A000000,00800,0000,0800DIETARY 145514,A000000,00900,0000,0900NURSING ADMINISTRATION 145514,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145514,A000000,01100,0000,1100PHARMACY 145514,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145514,A000000,01300,0000,1300SOCIAL SERVICE 145514,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145514,A000000,01600,0000,1600SKILLED NURSING FACILITY 145514,A000000,01800,0000,1800NURSING FACILITY 145514,A000000,01810,0000,1810ICF/MR 145514,A000000,01900,0000,1900OTHER LONG TERM CARE 145514,A000000,02100,0000,2100RADIOLOGY 145514,A000000,02200,0000,2200LABORATORY 145514,A000000,02500,0000,2500PHYSICAL THERAPY 145514,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145514,A000000,02700,0000,2700SPEECH PATHOLOGY 145514,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145514,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145514,A000000,03300,0000,3050ENTERAL 145514,A000000,03550,0000,3550FQHC 145514,A000000,05000,0000,5000CORF 145514,A000000,05010,0000,5010CMHC 145514,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145514,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145514,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145514,A81000A,00100,0100,N 145514,B100000,00000,0100,0100SQUARE FEET 145514,B100000,00000,0200,0200SQUARE FEET 145514,B100000,00000,0300,0300GROSS SALARIES 145514,B100000,00000,0400,0400ACCUM COST 145514,B100000,00000,0500,0500SQUARE FEET 145514,B100000,00000,0600,0600POUNDS OF LAUNDRY 145514,B100000,00000,0700,0700 SQUARE FEET 145514,B100000,00000,0800,0800MEALS SERVED 145514,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 145514,B100000,00000,1000,1000COSTED REQUIS 145514,B100000,00000,1100,1100COSTED REQUIS 145514,B100000,00000,1200,1200TIME SPENT 145514,B100000,00000,1300,1300TIME SPENT 145514,B100000,00000,1400,1400ASSIGNED TIME 145514,E10A180,00301,0100,04/12/99 145514,E10A180,00501,0100,09/17/01 145514,E10A180,00501,0300,05/30/00 145514,E10A180,00550,0100,05/30/00 145514,E10A180,00550,0300,09/17/01 145514,E10A180,00551,0100,07/24/00 145514,S000000,00100,0200,05/30/00 145514,S200000,00100,0100,206 GREENSBORO RD 145514,S200000,00200,0100,HIGH POINT 145514,S200000,00200,0200,NC 145514,S200000,00200,0300,27260 145514,S200000,00300,0100,GUILFORD 145514,S200000,00300,0200,3120 145514,S200000,00300,0300,U 145514,S200000,00400,0100,THE EVERGREENS - HIGH POINT 145514,S200000,00400,0200,345178 145514,S200000,00400,0300,04/01/78 145514,S200000,00400,0500,P 145514,S200000,00600,0200,345178 145514,S200000,00600,0300,04/01/78 145514,S200000,00600,0600,O 145514,S200000,01500,0100,N 145514,S200000,01600,0100,Y 145514,S200000,01700,0100,N 145514,S200000,01800,0100,N 145514,S200000,02200,0100,N 145514,S200000,02800,0100,N 145514,S200000,02900,0100,N 145514,S200000,03000,0100,N 145514,S200000,03100,0100,N 145514,S200000,03200,0100,N 145514,S200000,03300,0100,N 145514,S200000,03300,0200,N 145514,S200000,03500,0300,N 145514,S200000,04100,0100,N 145514,S200000,04200,0100,N 145514,S200000,04300,0100,Y 145514,S200000,04600,0100,N 145514,S200000,04700,0100,N 145514,S200000,04900,0100,N 145514,S200000,05200,0100,N 145558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145558,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 145558,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145558,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 145558,A000000,00300,0000,0300EMPLOYEE BENEFITS 145558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145558,A000000,00700,0000,0700HOUSEKEEPING 145558,A000000,00800,0000,0800DIETARY 145558,A000000,00801,0000,0801CAFETERIA 145558,A000000,00900,0000,0900NURSING ADMINISTRATION 145558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145558,A000000,01100,0000,1100PHARMACY 145558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145558,A000000,01300,0000,1300SOCIAL SERVICE 145558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145558,A000000,01500,0000,1350ACTIVITIES 145558,A000000,01600,0000,1600SKILLED NURSING FACILITY 145558,A000000,01800,0000,1800NURSING FACILITY 145558,A000000,01810,0000,1810ICF/MR 145558,A000000,02100,0000,2100RADIOLOGY 145558,A000000,02200,0000,2200LABORATORY 145558,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145558,A000000,02500,0000,2500PHYSICAL THERAPY 145558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145558,A000000,02700,0000,2700SPEECH PATHOLOGY 145558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145558,A000000,03300,0000,3050PENN THERAPY 145558,A000000,03301,0000,3051FEE SCREENING 145558,A000000,03302,0000,3052OTHER ANCILLARY III 145558,A000000,03550,0000,3550FQHC 145558,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 145558,A000000,04800,0000,4800AMBULANCE 145558,A000000,04801,0000,4801AMBULANCE 145558,A000000,04802,0000,4802AMBULANCE 145558,A000000,05000,0000,5000CORF I 145558,A000000,05010,0000,5010CMHC I 145558,A000000,05020,0000,5020OPT I 145558,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145558,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145558,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145558,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 145558,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 145558,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145558,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145558,A81000A,00100,0100,Y 145558,A81000B,00100,0300,HOME OFFICE ALLOCATION 145558,A81000B,00200,0300,HOME OFFICE ALLOCATION 145558,A81000B,00300,0300,REHAB SVC 145558,A81000B,00400,0300,REHAB SVC 145558,A81000B,00500,0300,REHAB SVC 145558,A81000C,00100,0100,G 145558,A81000C,00100,0200,GENESIS HEALTH 145558,A81000C,00100,0600,HOME OFFICE 145558,A81000C,00200,0100,G 145558,A81000C,00200,0200,GENESIS HEALTH 145558,A81000C,00200,0600,HOME OFFICE 145558,A81000C,00300,0100,B 145558,A81000C,00300,0200,REHAB SVC. 145558,A81000C,00300,0600,REHAB 145558,A81000C,00400,0100,B 145558,A81000C,00400,0200,REHAB SVC. 145558,A81000C,00400,0600,REHAB 145558,A81000C,00500,0100,B 145558,A81000C,00500,0200,REHAB SVC. 145558,A81000C,00500,0600,REHAB 145558,B100000,00000,0100,0100(SQUARE FEET) 145558,B100000,00000,0101,0101(SQUARE FEET) 145558,B100000,00000,0200,0200(SQUARE FEET) 145558,B100000,00000,0201,0201(SQUARE FEET) 145558,B100000,00000,0300,0300(GROSS SALARIES) 145558,B100000,00000,0400,0400ACCUM COST 145558,B100000,00000,0500,0500(SQUARE FEET) 145558,B100000,00000,0600,0600(PATIENT DAYS) 145558,B100000,00000,0700,0700(SQUARE FEET) 145558,B100000,00000,0800,0800(MEALS SERVED) 145558,B100000,00000,0801,0801(MEALS SERVED) 145558,B100000,00000,0900,0900(NURSING SALARIES) 145558,B100000,00000,1000,1000(COSTED REQUIS.) 145558,B100000,00000,1100,1100(PATIENT DAYS) 145558,B100000,00000,1200,1200(GROSS CHARGES) 145558,B100000,00000,1300,1300(PATIENT DAYS) 145558,B100000,00000,1400,1400(ASSIGNED TIME) 145558,B100000,00000,1500,1350(PATIENT DAYS) 145558,E10A180,00501,0100,03/23/00 145558,E10A180,00501,0300,03/23/00 145558,E10A180,00550,0100,02/12/01 145558,E10A180,00550,0300,02/12/01 145558,S000000,00100,0200,02/29/00 145558,S200000,00100,0100,25 RIDGEWOOD ROAD 145558,S200000,00200,0100,BEDFORD 145558,S200000,00200,0200,NH 145558,S200000,00200,0300,03110 145558,S200000,00300,0100,HILLSBOROUGH 145558,S200000,00300,0200,1123 145558,S200000,00300,0300,U 145558,S200000,00400,0100,RIDGEWOOD CENTER 145558,S200000,00400,0200,305052 145558,S200000,00400,0300,05/01/95 145558,S200000,00400,0500,P 145558,S200000,01500,0100,N 145558,S200000,01600,0100,Y 145558,S200000,01700,0100,N 145558,S200000,01800,0100,N 145558,S200000,02200,0100,Y 145558,S200000,02800,0100,N 145558,S200000,02900,0100,N 145558,S200000,03000,0100,N 145558,S200000,03100,0100,N 145558,S200000,03200,0100,N 145558,S200000,03300,0100,N 145558,S200000,03300,0200,N 145558,S200000,04100,0100,N 145558,S200000,04200,0100,N 145558,S200000,04300,0100,N 145558,S200000,04600,0100,N 145558,S200000,04700,0100,Y 145558,S200000,04900,0100,Y 145558,S200000,05200,0100,N 145566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145566,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 145566,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145566,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 145566,A000000,00300,0000,0300EMPLOYEE BENEFITS 145566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145566,A000000,00700,0000,0700HOUSEKEEPING 145566,A000000,00800,0000,0800DIETARY 145566,A000000,00801,0000,0801CAFETERIA 145566,A000000,00900,0000,0900NURSING ADMINISTRATION 145566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145566,A000000,01100,0000,1100PHARMACY 145566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145566,A000000,01300,0000,1300SOCIAL SERVICE 145566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145566,A000000,01500,0000,1350ACTIVITIES 145566,A000000,01600,0000,1600SKILLED NURSING FACILITY 145566,A000000,01800,0000,1800NURSING FACILITY 145566,A000000,01810,0000,1810ICF/MR 145566,A000000,02100,0000,2100RADIOLOGY 145566,A000000,02200,0000,2200LABORATORY 145566,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145566,A000000,02500,0000,2500PHYSICAL THERAPY 145566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145566,A000000,02700,0000,2700SPEECH PATHOLOGY 145566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145566,A000000,03300,0000,3050PEN THERAPY 145566,A000000,03301,0000,3051FEE SCREENING 145566,A000000,03302,0000,3052OTHER ANCILLARY III 145566,A000000,03550,0000,3550FQHC 145566,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 145566,A000000,04801,0000,4801AMBULANCE 145566,A000000,04802,0000,4802AMBULANCE 145566,A000000,05000,0000,5000CORF I 145566,A000000,05010,0000,5010CMHC I 145566,A000000,05020,0000,5020OPT I 145566,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145566,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145566,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145566,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 145566,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 145566,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145566,A81000A,00100,0100,Y 145566,A81000B,00100,0300,HOME OFFICE ALLOCATION 145566,A81000B,00200,0300,HOME OFFICE ALLOCATION 145566,A81000B,00300,0300,SEE ATTACHED 145566,A81000C,00100,0100,B 145566,A81000C,00100,0200,GENESIS HEALTH 145566,A81000C,00100,0600,HOME OFFICE 145566,A81000C,00200,0100,B 145566,A81000C,00200,0200,GENESIS HEALTH 145566,A81000C,00200,0600,HOME OFFICE 145566,A81000C,00300,0100,B 145566,A81000C,00300,0200,GENESIS REHAB 145566,A81000C,00300,0600,REHAB SERVICES 145566,A81000C,00400,0100,B 145566,A81000C,00400,0200,GENESIS REHAB 145566,A81000C,00400,0600,REHAB SERVICES 145566,A81000C,00500,0100,B 145566,A81000C,00500,0200,GENESIS REHAB 145566,A81000C,00500,0600,REHAB SERVICES 145566,B100000,00000,0100,0100(SQUARE FEET) 145566,B100000,00000,0101,0101(SQUARE FEET) 145566,B100000,00000,0200,0200(SQUARE FEET) 145566,B100000,00000,0201,0201(SQUARE FEET) 145566,B100000,00000,0300,0300(GROSS SALARIES) 145566,B100000,00000,0400,0400ACCUM COST 145566,B100000,00000,0500,0500(SQUARE FEET) 145566,B100000,00000,0600,0600(PATIENT DAYS) 145566,B100000,00000,0700,0700(SQUARE FEET) 145566,B100000,00000,0800,0800(MEALS SERVED) 145566,B100000,00000,0801,0801(MEALS SERVED) 145566,B100000,00000,0900,0900(NURSING SALARIES) 145566,B100000,00000,1000,1000(COSTED REQUIS.) 145566,B100000,00000,1100,1100(COSTED REQUIS.) 145566,B100000,00000,1200,1200(GROSS CHARGES) 145566,B100000,00000,1300,1300(PATIENT DAYS) 145566,B100000,00000,1400,1400(ASSIGNED TIME) 145566,B100000,00000,1500,1350(PATIENT DAYS) 145566,E10A180,00501,0100,03/03/00 145566,E10A180,00501,0300,03/03/00 145566,E10A180,00550,0100,06/04/01 145566,E10A180,00550,0300,06/04/01 145566,S000000,00100,0200,02/29/00 145566,S200000,00100,0100,175 BLUEBERRY LANE 145566,S200000,00200,0100,LACONIA 145566,S200000,00200,0200,NH 145566,S200000,00200,0300,03246 145566,S200000,00300,0100,BELKNAP 145566,S200000,00300,0200,0030 145566,S200000,00300,0300,R 145566,S200000,00400,0100,LACONIA CENTER 145566,S200000,00400,0200,305040 145566,S200000,00400,0300,04/12/90 145566,S200000,00400,0500,P 145566,S200000,01500,0100,N 145566,S200000,01600,0100,Y 145566,S200000,01700,0100,N 145566,S200000,01800,0100,N 145566,S200000,02200,0100,Y 145566,S200000,02800,0100,N 145566,S200000,02900,0100,N 145566,S200000,03000,0100,N 145566,S200000,03100,0100,N 145566,S200000,03200,0100,N 145566,S200000,03300,0100,N 145566,S200000,03300,0200,N 145566,S200000,04100,0100,N 145566,S200000,04200,0100,N 145566,S200000,04300,0100,N 145566,S200000,04600,0100,N 145566,S200000,04700,0100,N 145566,S200000,04900,0100,N 145566,S200000,05200,0100,N 145644,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145644,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145644,A000000,00300,0000,0300EMPLOYEE BENEFITS 145644,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145644,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145644,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145644,A000000,00700,0000,0700HOUSEKEEPING 145644,A000000,00800,0000,0800DIETARY 145644,A000000,00900,0000,0900NURSING ADMINISTRATION 145644,A000000,00901,0000,0901OTHER NURSING 145644,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145644,A000000,01100,0000,1100PHARMACY 145644,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145644,A000000,01300,0000,1300SOCIAL SERVICE 145644,A000000,01301,0000,1301ACTIVITIES 145644,A000000,01600,0000,1600SKILLED NURSING FACILITY 145644,A000000,01800,0000,1800NURSING FACILITY 145644,A000000,02100,0000,2100RADIOLOGY 145644,A000000,02200,0000,2200LABORATORY 145644,A000000,02300,0000,2300INTRAVENOUS THERAPY 145644,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145644,A000000,02500,0000,2500PHYSICAL THERAPY 145644,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145644,A000000,02700,0000,2700SPEECH PATHOLOGY 145644,A000000,02800,0000,2800ELECTROCARDIOLOGY 145644,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145644,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145644,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145644,A000000,03301,0000,3051NUTRITIONAL THERAPY 145644,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145644,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145644,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145644,A000000,04800,0000,4800AMBULANCE 145644,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145644,A000000,05300,0000,5300INTEREST EXPENSE 145644,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145644,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145644,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145644,A000000,06200,0000,6200PATIENTS LAUNDRY 145644,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145644,A000000,06301,0000,6151DAY CARE 145644,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145644,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145644,A81000A,00100,0100,Y 145644,A81000B,00100,0300,HOME OFFICE COSTS 145644,A81000B,00200,0300,LIABILITY INSURANCE 145644,A81000B,00500,0300,VC PHARMACY - ADMIN 145644,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145644,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 145644,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145644,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145644,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145644,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145644,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145644,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145644,A81000B,01700,0300,VC PHARMACY - LEGEND 145644,A81000B,01800,0300,VC PHARMACY - PROS & ORTHOS 145644,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 145644,A81000C,00100,0100,B 145644,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145644,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145644,A81000C,00100,0600,LIABILITY INSURANCE 145644,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145644,A81000C,00200,0600,PHARMACY 145644,A81000C,00300,0400,VENCARE RESPIRATORY 145644,A81000C,00300,0600,RESPIRATORY THERAPY 145644,A81000C,00400,0400,THERAPY SERVICES 145644,A81000C,00500,0400,VENCARE REHAB SERVICES 145644,A81000C,00500,0600,REHAB 145644,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145644,A81000C,00600,0600,PORTABLE X-RAY 145644,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145644,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145644,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145644,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145644,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145644,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145644,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145644,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145644,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145644,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145644,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145644,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145644,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145644,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145644,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145644,E10A180,00301,0100,06/30/00 145644,E10A180,00302,0100,11/30/00 145644,S000000,00100,0200,12/01/00 145644,S200000,00100,0100,3625 ST. JOSEPH ROAD 145644,S200000,00200,0100,NEW ALBANY 145644,S200000,00200,0200,IN 145644,S200000,00200,0300,47150- 145644,S200000,00300,0100,FLOYD 145644,S200000,00300,0300,U 145644,S200000,00400,0100,#111 ROLLING HILLS HEALTH CARE CENTE 145644,S200000,00400,0200,155488 145644,S200000,00400,0300,06/01/93 145644,S200000,00400,0500,P 145644,S200000,01500,0100,Y 145644,S200000,01600,0100,N 145644,S200000,01700,0100,N 145644,S200000,01800,0100,N 145644,S200000,02200,0100,Y 145644,S200000,02800,0100,N 145644,S200000,02900,0100,N 145644,S200000,03000,0100,N 145644,S200000,03100,0100,N 145644,S200000,03200,0100,N 145644,S200000,04100,0100,N 145644,S200000,04200,0100,N 145644,S200000,04300,0100,N 145644,S200000,04600,0100,N 145644,S200000,04700,0100,N 145644,S200000,04700,0200,N 145644,S200000,04900,0100,N 145644,S200000,05000,0100,N 145644,S200000,05100,0100,N 145644,S200000,05200,0100,N 145648,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145648,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145648,A000000,00300,0000,0300EMPLOYEE BENEFITS 145648,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145648,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145648,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145648,A000000,00700,0000,0700HOUSEKEEPING 145648,A000000,00800,0000,0800DIETARY 145648,A000000,00900,0000,0900NURSING ADMINISTRATION 145648,A000000,00901,0000,0901OTHER NURSING 145648,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145648,A000000,01100,0000,1100PHARMACY 145648,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145648,A000000,01300,0000,1300SOCIAL SERVICE 145648,A000000,01301,0000,1301ACTIVITIES 145648,A000000,01600,0000,1600SKILLED NURSING FACILITY 145648,A000000,01800,0000,1800NURSING FACILITY 145648,A000000,02100,0000,2100RADIOLOGY 145648,A000000,02200,0000,2200LABORATORY 145648,A000000,02300,0000,2300INTRAVENOUS THERAPY 145648,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145648,A000000,02500,0000,2500PHYSICAL THERAPY 145648,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145648,A000000,02700,0000,2700SPEECH PATHOLOGY 145648,A000000,02800,0000,2800ELECTROCARDIOLOGY 145648,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145648,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145648,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145648,A000000,03301,0000,3051NUTRITIONAL THERAPY 145648,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145648,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145648,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145648,A000000,04800,0000,4800AMBULANCE 145648,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145648,A000000,05300,0000,5300INTEREST EXPENSE 145648,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145648,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145648,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145648,A000000,06200,0000,6200PATIENTS LAUNDRY 145648,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145648,A000000,06301,0000,6151DAY CARE 145648,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145648,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145648,A81000A,00100,0100,Y 145648,A81000B,00100,0300,HOME OFFICE COSTS 145648,A81000B,00200,0300,LIABILITY INSURANCE 145648,A81000B,00500,0300,VC PHARMACY - ADMIN 145648,A81000B,00900,0300,VC PHARMACY - DIETARY 145648,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 145648,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145648,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145648,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145648,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145648,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145648,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145648,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145648,A81000B,01800,0300,VC PHARMACY - LEGEND 145648,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145648,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 145648,A81000C,00100,0100,B 145648,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145648,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145648,A81000C,00100,0600,LIABILITY INSURANCE 145648,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145648,A81000C,00200,0600,PHARMACY 145648,A81000C,00300,0400,VENCARE RESPIRATORY 145648,A81000C,00300,0600,RESPIRATORY THERAPY 145648,A81000C,00400,0400,THERAPY SERVICES 145648,A81000C,00500,0400,VENCARE REHAB SERVICES 145648,A81000C,00500,0600,REHAB 145648,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145648,A81000C,00600,0600,PORTABLE X-RAY 145648,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145648,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145648,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145648,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145648,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145648,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145648,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145648,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145648,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145648,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145648,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145648,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145648,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145648,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145648,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145648,S000000,00100,0200,12/01/00 145648,S200000,00100,0100,7823 OLD HIGHWAY #60 145648,S200000,00200,0100,SELLERSBURG 145648,S200000,00200,0200,IN 145648,S200000,00200,0300,47172- 145648,S200000,00300,0100,CLARK 145648,S200000,00300,0300,U 145648,S200000,00400,0100,#199 VENCOR AT SELLERSBURG 145648,S200000,00400,0200,155659 145648,S200000,00400,0300,02/19/99 145648,S200000,00400,0500,P 145648,S200000,01500,0100,Y 145648,S200000,01600,0100,N 145648,S200000,01700,0100,N 145648,S200000,01800,0100,N 145648,S200000,02200,0100,Y 145648,S200000,02800,0100,N 145648,S200000,02900,0100,N 145648,S200000,03000,0100,N 145648,S200000,03100,0100,N 145648,S200000,03200,0100,N 145648,S200000,04100,0100,N 145648,S200000,04200,0100,N 145648,S200000,04300,0100,N 145648,S200000,04600,0100,N 145648,S200000,04700,0100,N 145648,S200000,04700,0200,N 145648,S200000,04900,0100,N 145648,S200000,05000,0100,N 145648,S200000,05100,0100,N 145648,S200000,05200,0100,N 145652,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145652,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145652,A000000,00300,0000,0300EMPLOYEE BENEFITS 145652,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145652,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145652,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145652,A000000,00700,0000,0700HOUSEKEEPING 145652,A000000,00800,0000,0800DIETARY 145652,A000000,00900,0000,0900NURSING ADMINISTRATION 145652,A000000,00901,0000,0901OTHER NURSING 145652,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145652,A000000,01100,0000,1100PHARMACY 145652,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145652,A000000,01300,0000,1300SOCIAL SERVICE 145652,A000000,01301,0000,1301ACTIVITIES 145652,A000000,01600,0000,1600SKILLED NURSING FACILITY 145652,A000000,01800,0000,1800NURSING FACILITY 145652,A000000,02100,0000,2100RADIOLOGY 145652,A000000,02200,0000,2200LABORATORY 145652,A000000,02300,0000,2300INTRAVENOUS THERAPY 145652,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145652,A000000,02500,0000,2500PHYSICAL THERAPY 145652,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145652,A000000,02700,0000,2700SPEECH PATHOLOGY 145652,A000000,02800,0000,2800ELECTROCARDIOLOGY 145652,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145652,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145652,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145652,A000000,03301,0000,3051NUTRITIONAL THERAPY 145652,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145652,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145652,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145652,A000000,04800,0000,4800AMBULANCE 145652,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145652,A000000,05300,0000,5300INTEREST EXPENSE 145652,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145652,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145652,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145652,A000000,06200,0000,6200PATIENTS LAUNDRY 145652,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145652,A000000,06301,0000,6151DAY CARE 145652,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145652,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145652,A81000A,00100,0100,Y 145652,A81000B,00100,0300,HOME OFFICE COSTS 145652,A81000B,00200,0300,LIABILITY INSURANCE 145652,A81000B,00500,0300,VC PHARMACY - ADMIN 145652,A81000B,00900,0300,VC PHARMACY - DIETARY 145652,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145652,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145652,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145652,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145652,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145652,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145652,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145652,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145652,A81000B,01800,0300,VC PHARMACY - LEGEND 145652,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145652,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 145652,A81000C,00100,0100,B 145652,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145652,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145652,A81000C,00100,0600,LIABILITY INSURANCE 145652,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145652,A81000C,00200,0600,PHARMACY 145652,A81000C,00300,0400,VENCARE RESPIRATORY 145652,A81000C,00300,0600,RESPIRATORY THERAPY 145652,A81000C,00400,0400,THERAPY SERVICES 145652,A81000C,00500,0400,VENCARE REHAB SERVICES 145652,A81000C,00500,0600,REHAB 145652,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145652,A81000C,00600,0600,PORTABLE X-RAY 145652,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145652,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145652,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145652,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145652,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145652,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145652,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145652,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145652,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145652,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145652,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145652,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145652,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145652,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145652,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145652,E10A180,00301,0100,06/30/00 145652,E10A180,00350,0100,11/30/00 145652,S000000,00100,0200,12/01/00 145652,S200000,00100,0100,200 GLENWAY ROAD 145652,S200000,00200,0100,WINCHESTER 145652,S200000,00200,0200,KY 145652,S200000,00200,0300,40391- 145652,S200000,00300,0100,CLARK 145652,S200000,00300,0300,U 145652,S200000,00400,0100,#280 WINCHESTER CENTRE FOR HEALTH 145652,S200000,00400,0200,185146 145652,S200000,00400,0300,11/01/85 145652,S200000,00400,0500,P 145652,S200000,01500,0100,N 145652,S200000,01600,0100,Y 145652,S200000,01700,0100,N 145652,S200000,01800,0100,N 145652,S200000,02200,0100,Y 145652,S200000,02800,0100,N 145652,S200000,02900,0100,N 145652,S200000,03000,0100,N 145652,S200000,03100,0100,N 145652,S200000,03200,0100,N 145652,S200000,04100,0100,N 145652,S200000,04200,0100,N 145652,S200000,04300,0100,N 145652,S200000,04600,0100,N 145652,S200000,04700,0100,N 145652,S200000,04700,0200,N 145652,S200000,04900,0100,N 145652,S200000,05000,0100,N 145652,S200000,05100,0100,N 145652,S200000,05200,0100,N 145655,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145655,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145655,A000000,00300,0000,0300EMPLOYEE BENEFITS 145655,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145655,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145655,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145655,A000000,00700,0000,0700HOUSEKEEPING 145655,A000000,00800,0000,0800DIETARY 145655,A000000,00900,0000,0900NURSING ADMINISTRATION 145655,A000000,00901,0000,0901OTHER NURSING 145655,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145655,A000000,01100,0000,1100PHARMACY 145655,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145655,A000000,01300,0000,1300SOCIAL SERVICE 145655,A000000,01301,0000,1301ACTIVITIES 145655,A000000,01600,0000,1600SKILLED NURSING FACILITY 145655,A000000,01800,0000,1800NURSING FACILITY 145655,A000000,02100,0000,2100RADIOLOGY 145655,A000000,02200,0000,2200LABORATORY 145655,A000000,02300,0000,2300INTRAVENOUS THERAPY 145655,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145655,A000000,02500,0000,2500PHYSICAL THERAPY 145655,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145655,A000000,02700,0000,2700SPEECH PATHOLOGY 145655,A000000,02800,0000,2800ELECTROCARDIOLOGY 145655,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145655,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145655,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145655,A000000,03301,0000,3051NUTRITIONAL THERAPY 145655,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145655,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145655,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145655,A000000,04800,0000,4800AMBULANCE 145655,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145655,A000000,05300,0000,5300INTEREST EXPENSE 145655,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145655,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145655,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145655,A000000,06200,0000,6200PATIENTS LAUNDRY 145655,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145655,A000000,06301,0000,6151DAY CARE 145655,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145655,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145655,A81000A,00100,0100,Y 145655,A81000B,00100,0300,HOME OFFICE COSTS 145655,A81000B,00200,0300,LIABILITY INSURANCE 145655,A81000B,00500,0300,VC PHARMACY - ADMIN 145655,A81000B,00900,0300,VC PHARMACY - DIETARY 145655,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145655,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145655,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145655,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145655,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145655,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145655,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145655,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 145655,A81000B,01800,0300,VC PHARMACY - LEGEND 145655,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145655,A81000B,02000,0300,VC PHARMACY - NONREIMB 145655,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 145655,A81000C,00100,0100,B 145655,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145655,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145655,A81000C,00100,0600,LIABILITY INSURANCE 145655,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145655,A81000C,00200,0600,PHARMACY 145655,A81000C,00300,0400,VENCARE RESPIRATORY 145655,A81000C,00300,0600,RESPIRATORY THERAPY 145655,A81000C,00400,0400,THERAPY SERVICES 145655,A81000C,00500,0400,VENCARE REHAB SERVICES 145655,A81000C,00500,0600,REHAB 145655,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145655,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145655,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145655,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145655,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145655,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145655,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145655,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145655,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145655,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145655,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145655,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145655,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145655,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145655,E10A180,00301,0100,06/30/00 145655,E10A180,00302,0100,11/30/00 145655,S000000,00100,0200,12/11/00 145655,S200000,00100,0100,88 HARTLEY STREET 145655,S200000,00200,0100,WEBSTER 145655,S200000,00200,0200,MA 145655,S200000,00200,0300,01570- 145655,S200000,00300,0100,WORCESTER 145655,S200000,00300,0300,U 145655,S200000,00400,0100,OAKWOOD REHAB & NURSING CENTER 145655,S200000,00400,0200,225483 145655,S200000,00400,0300,07/01/90 145655,S200000,00400,0500,P 145655,S200000,01500,0100,Y 145655,S200000,01600,0100,N 145655,S200000,01700,0100,N 145655,S200000,01800,0100,N 145655,S200000,02200,0100,Y 145655,S200000,02800,0100,N 145655,S200000,02900,0100,N 145655,S200000,03000,0100,N 145655,S200000,03100,0100,N 145655,S200000,03200,0100,N 145655,S200000,04100,0100,N 145655,S200000,04200,0100,N 145655,S200000,04300,0100,N 145655,S200000,04600,0100,N 145655,S200000,04700,0100,N 145655,S200000,04700,0200,N 145655,S200000,04900,0100,N 145655,S200000,05000,0100,N 145655,S200000,05100,0100,N 145655,S200000,05200,0100,N 145656,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145656,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145656,A000000,00300,0000,0300EMPLOYEE BENEFITS 145656,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145656,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145656,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145656,A000000,00700,0000,0700HOUSEKEEPING 145656,A000000,00800,0000,0800DIETARY 145656,A000000,00900,0000,0900NURSING ADMINISTRATION 145656,A000000,00901,0000,0901OTHER NURSING 145656,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145656,A000000,01100,0000,1100PHARMACY 145656,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145656,A000000,01300,0000,1300SOCIAL SERVICE 145656,A000000,01301,0000,1301ACTIVITIES 145656,A000000,01600,0000,1600SKILLED NURSING FACILITY 145656,A000000,01800,0000,1800NURSING FACILITY 145656,A000000,02100,0000,2100RADIOLOGY 145656,A000000,02200,0000,2200LABORATORY 145656,A000000,02300,0000,2300INTRAVENOUS THERAPY 145656,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145656,A000000,02500,0000,2500PHYSICAL THERAPY 145656,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145656,A000000,02700,0000,2700SPEECH PATHOLOGY 145656,A000000,02800,0000,2800ELECTROCARDIOLOGY 145656,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145656,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145656,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145656,A000000,03301,0000,3051NUTRITIONAL THERAPY 145656,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145656,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145656,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145656,A000000,04800,0000,4800AMBULANCE 145656,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145656,A000000,05300,0000,5300INTEREST EXPENSE 145656,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145656,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145656,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145656,A000000,06200,0000,6200PATIENTS LAUNDRY 145656,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145656,A000000,06301,0000,6151DAY CARE 145656,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145656,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145656,A81000A,00100,0100,Y 145656,A81000B,00100,0300,HOME OFFICE COSTS 145656,A81000B,00200,0300,LIABILITY INSURANCE 145656,A81000B,00500,0300,VC PHARMACY - ADMIN 145656,A81000B,00900,0300,VC PHARMACY - DIETARY 145656,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145656,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 145656,A81000B,01200,0300,VC PHARMACY - LAB 145656,A81000B,01300,0300,VC PHARMACY - IV THERAPY 145656,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 145656,A81000B,01500,0300,VENCARE REHAB - PHYS THER 145656,A81000B,01600,0300,VENCARE REHAB - OCCP THER 145656,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 145656,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPPLIES 145656,A81000B,01900,0300,VC PHARMACY - LEGEND 145656,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 145656,A81000C,00100,0100,B 145656,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145656,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145656,A81000C,00100,0600,LIABILITY INSURANCE 145656,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145656,A81000C,00200,0600,PHARMACY 145656,A81000C,00300,0400,VENCARE RESPIRATORY 145656,A81000C,00300,0600,RESPIRATORY THERAPY 145656,A81000C,00400,0400,THERAPY SERVICES 145656,A81000C,00500,0400,VENCARE REHAB SERVICES 145656,A81000C,00500,0600,REHAB 145656,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145656,A81000C,00600,0600,PORTABLE X-RAY 145656,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145656,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145656,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145656,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145656,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145656,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145656,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145656,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145656,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145656,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145656,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145656,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145656,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145656,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145656,E10A180,00350,0100,06/30/00 145656,E10A180,00351,0100,11/30/00 145656,S000000,00100,0200,12/11/00 145656,S200000,00100,0100,5060 WASHINGTON ST 145656,S200000,00200,0100,WEST ROXBURY 145656,S200000,00200,0200,MA 145656,S200000,00200,0300,02132- 145656,S200000,00300,0100,SUFFOLK 145656,S200000,00300,0300,U 145656,S200000,00400,0100,WEST ROXBURY MANOR 145656,S200000,00400,0200,225499 145656,S200000,00400,0300,07/01/90 145656,S200000,00400,0500,P 145656,S200000,01500,0100,Y 145656,S200000,01600,0100,N 145656,S200000,01700,0100,N 145656,S200000,01800,0100,N 145656,S200000,02200,0100,Y 145656,S200000,02800,0100,N 145656,S200000,02900,0100,N 145656,S200000,03000,0100,N 145656,S200000,03100,0100,N 145656,S200000,03200,0100,N 145656,S200000,04100,0100,N 145656,S200000,04200,0100,N 145656,S200000,04300,0100,N 145656,S200000,04600,0100,N 145656,S200000,04700,0100,N 145656,S200000,04700,0200,N 145656,S200000,04900,0100,N 145656,S200000,05000,0100,N 145656,S200000,05100,0100,N 145656,S200000,05200,0100,N 145665,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145665,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145665,A000000,00300,0000,0300EMPLOYEE BENEFITS 145665,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145665,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145665,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145665,A000000,00700,0000,0700HOUSEKEEPING 145665,A000000,00800,0000,0800DIETARY 145665,A000000,00900,0000,0900NURSING ADMINISTRATION 145665,A000000,00901,0000,0901OTHER NURSING 145665,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145665,A000000,01100,0000,1100PHARMACY 145665,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145665,A000000,01300,0000,1300SOCIAL SERVICE 145665,A000000,01301,0000,1301ACTIVITIES 145665,A000000,01600,0000,1600SKILLED NURSING FACILITY 145665,A000000,01800,0000,1800NURSING FACILITY 145665,A000000,02100,0000,2100RADIOLOGY 145665,A000000,02200,0000,2200LABORATORY 145665,A000000,02300,0000,2300INTRAVENOUS THERAPY 145665,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145665,A000000,02500,0000,2500PHYSICAL THERAPY 145665,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145665,A000000,02700,0000,2700SPEECH PATHOLOGY 145665,A000000,02800,0000,2800ELECTROCARDIOLOGY 145665,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145665,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145665,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145665,A000000,03301,0000,3051NUTRITIONAL THERAPY 145665,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145665,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145665,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145665,A000000,04800,0000,4800AMBULANCE 145665,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145665,A000000,05300,0000,5300INTEREST EXPENSE 145665,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145665,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145665,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145665,A000000,06200,0000,6200PATIENTS LAUNDRY 145665,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145665,A000000,06301,0000,6151DAY CARE 145665,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145665,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145665,A81000A,00100,0100,Y 145665,A81000B,00100,0300,HOME OFFICE COSTS 145665,A81000B,00200,0300,LIABILITY INSURANCE 145665,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 145665,A81000B,01100,0300,VENCARE REHAB - PHYS THER 145665,A81000B,01200,0300,VENCARE REHAB - OCCP THER 145665,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 145665,A81000B,01400,0300,VC PHARMACY - MEDICAL SUPP 145665,A81000B,01500,0300,VC PHARMACY - LEGEND 145665,A81000B,01600,0300,VC PHARMACY - COMPLEX MEDICAL 145665,A81000C,00100,0100,B 145665,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145665,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145665,A81000C,00100,0600,LIABILITY INSURANCE 145665,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145665,A81000C,00200,0600,PHARMACY 145665,A81000C,00300,0400,VENCARE RESPIRATORY 145665,A81000C,00300,0600,RESPIRATORY THERAPY 145665,A81000C,00400,0400,THERAPY SERVICES 145665,A81000C,00500,0400,VENCARE REHAB SERVICES 145665,A81000C,00500,0600,REHAB 145665,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145665,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145665,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145665,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145665,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145665,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145665,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145665,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145665,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145665,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145665,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145665,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145665,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145665,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145665,E10A180,00301,0100,11/30/00 145665,E10A180,00350,0100,06/30/00 145665,S000000,00100,0200,12/01/00 145665,S200000,00100,0100,2125 FAIRVIEW AVENUE 145665,S200000,00200,0100,EASTON 145665,S200000,00200,0200,PA 145665,S200000,00200,0300,18042- 145665,S200000,00300,0100,NORTHAMPTON 145665,S200000,00300,0300,U 145665,S200000,00400,0100,PERSONACARE AT EASTWOOD 145665,S200000,00400,0200,395075 145665,S200000,00400,0300,07/01/67 145665,S200000,00400,0500,P 145665,S200000,01500,0100,Y 145665,S200000,01600,0100,N 145665,S200000,01700,0100,N 145665,S200000,01800,0100,N 145665,S200000,02200,0100,Y 145665,S200000,02800,0100,N 145665,S200000,02900,0100,N 145665,S200000,03000,0100,N 145665,S200000,03100,0100,N 145665,S200000,03200,0100,N 145665,S200000,04100,0100,N 145665,S200000,04200,0100,N 145665,S200000,04300,0100,N 145665,S200000,04600,0100,N 145665,S200000,04700,0100,N 145665,S200000,04700,0200,N 145665,S200000,04900,0100,N 145665,S200000,05000,0100,N 145665,S200000,05100,0100,N 145665,S200000,05200,0100,N 145667,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145667,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145667,A000000,00300,0000,0300EMPLOYEE BENEFITS 145667,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145667,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145667,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145667,A000000,00700,0000,0700HOUSEKEEPING 145667,A000000,00800,0000,0800DIETARY 145667,A000000,00900,0000,0900NURSING ADMINISTRATION 145667,A000000,00901,0000,0901OTHER NURSING 145667,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145667,A000000,01100,0000,1100PHARMACY 145667,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145667,A000000,01300,0000,1300SOCIAL SERVICE 145667,A000000,01301,0000,1301ACTIVITIES 145667,A000000,01600,0000,1600SKILLED NURSING FACILITY 145667,A000000,01800,0000,1800NURSING FACILITY 145667,A000000,02100,0000,2100RADIOLOGY 145667,A000000,02200,0000,2200LABORATORY 145667,A000000,02300,0000,2300INTRAVENOUS THERAPY 145667,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145667,A000000,02500,0000,2500PHYSICAL THERAPY 145667,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145667,A000000,02700,0000,2700SPEECH PATHOLOGY 145667,A000000,02800,0000,2800ELECTROCARDIOLOGY 145667,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145667,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145667,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145667,A000000,03301,0000,3051NUTRITIONAL THERAPY 145667,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145667,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145667,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145667,A000000,04800,0000,4800AMBULANCE 145667,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145667,A000000,05300,0000,5300INTEREST EXPENSE 145667,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145667,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145667,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145667,A000000,06200,0000,6200PATIENTS LAUNDRY 145667,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145667,A000000,06301,0000,6151DAY CARE 145667,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145667,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145667,A81000A,00100,0100,Y 145667,A81000B,00100,0300,HOME OFFICE COSTS 145667,A81000B,00200,0300,LIABILITY INSURANCE 145667,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145667,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145667,A81000B,00500,0300,VC PHARMACY - ADMIN 145667,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145667,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145667,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145667,A81000B,00900,0300,VC PHARMACY - DIETARY 145667,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145667,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145667,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145667,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145667,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145667,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145667,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145667,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145667,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145667,A81000B,01900,0300,VC PHARMACY - LAB 145667,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145667,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145667,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145667,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145667,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145667,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145667,A81000B,02600,0300,VC PHARMACY - LEGEND 145667,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145667,A81000B,02800,0300,VC PHARMACY - NUTR THER 145667,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145667,A81000C,00100,0100,B 145667,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145667,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145667,A81000C,00100,0600,LIABILITY INSURANCE 145667,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145667,A81000C,00200,0600,PHARMACY 145667,A81000C,00300,0400,VENCARE RESPIRATORY 145667,A81000C,00300,0600,RESPIRATORY THERAPY 145667,A81000C,00500,0400,VENCARE REHAB SERVICES 145667,A81000C,00500,0600,REHAB 145667,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 145667,A81000C,00600,0600,PORTABLE X-RAY 145667,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145667,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145667,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145667,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145667,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145667,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145667,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145667,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145667,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145667,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145667,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145667,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145667,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145667,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145667,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145667,E10A180,00301,0100,06/30/00 145667,E10A180,00302,0100,11/30/00 145667,S000000,00100,0200,12/01/00 145667,S200000,00100,0100,515 WEST ASHBY PLACE 145667,S200000,00200,0100,SAN ANTONIO 145667,S200000,00200,0200,TX 145667,S200000,00200,0300,78212- 145667,S200000,00300,0100,BEXAR 145667,S200000,00300,0200,7240 145667,S200000,00300,0300,U 145667,S200000,00400,0100,1234 - SAN PEDRO MANOR 145667,S200000,00400,0200,455689 145667,S200000,00400,0300,08/01/94 145667,S200000,00400,0500,P 145667,S200000,01500,0100,Y 145667,S200000,01600,0100,N 145667,S200000,01700,0100,N 145667,S200000,01800,0100,N 145667,S200000,02200,0100,Y 145667,S200000,02800,0100,N 145667,S200000,02900,0100,N 145667,S200000,03000,0100,N 145667,S200000,03100,0100,N 145667,S200000,03200,0100,N 145667,S200000,04100,0100,N 145667,S200000,04200,0100,N 145667,S200000,04300,0100,N 145667,S200000,04600,0100,N 145667,S200000,04700,0100,N 145667,S200000,04700,0200,N 145667,S200000,04900,0100,N 145667,S200000,05000,0100,N 145667,S200000,05100,0100,N 145667,S200000,05200,0100,N 145670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145670,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145670,A000000,00300,0000,0300EMPLOYEE BENEFITS 145670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145670,A000000,00700,0000,0700HOUSEKEEPING 145670,A000000,00800,0000,0800DIETARY 145670,A000000,00900,0000,0900NURSING ADMINISTRATION 145670,A000000,00901,0000,0901OTHER NURSING 145670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145670,A000000,01100,0000,1100PHARMACY 145670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145670,A000000,01300,0000,1300SOCIAL SERVICE 145670,A000000,01301,0000,1301ACTIVITIES 145670,A000000,01600,0000,1600SKILLED NURSING FACILITY 145670,A000000,01800,0000,1800NURSING FACILITY 145670,A000000,02100,0000,2100RADIOLOGY 145670,A000000,02200,0000,2200LABORATORY 145670,A000000,02300,0000,2300INTRAVENOUS THERAPY 145670,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145670,A000000,02500,0000,2500PHYSICAL THERAPY 145670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145670,A000000,02700,0000,2700SPEECH PATHOLOGY 145670,A000000,02800,0000,2800ELECTROCARDIOLOGY 145670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145670,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145670,A000000,03301,0000,3051NUTRITIONAL THERAPY 145670,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145670,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145670,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145670,A000000,04800,0000,4800AMBULANCE 145670,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145670,A000000,05300,0000,5300INTEREST EXPENSE 145670,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145670,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145670,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145670,A000000,06200,0000,6200PATIENTS LAUNDRY 145670,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145670,A000000,06301,0000,6151DAY CARE 145670,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145670,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145670,A81000A,00100,0100,Y 145670,A81000B,00100,0300,HOME OFFICE COSTS 145670,A81000B,00200,0300,LIABILITY INSURANCE 145670,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145670,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145670,A81000B,00500,0300,VC PHARMACY - ADMIN 145670,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145670,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145670,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145670,A81000B,00900,0300,VC PHARMACY - DIETARY 145670,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145670,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145670,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145670,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145670,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145670,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145670,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145670,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145670,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145670,A81000B,01900,0300,VC PHARMACY - LAB 145670,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145670,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145670,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145670,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145670,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145670,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145670,A81000B,02600,0300,VC PHARMACY - LEGEND 145670,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145670,A81000B,02800,0300,VC PHARMACY - NUTR THER 145670,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145670,A81000C,00100,0100,B 145670,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145670,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145670,A81000C,00100,0600,LIABILITY INSURANCE 145670,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145670,A81000C,00200,0600,PHARMACY 145670,A81000C,00300,0400,VENCARE RESPIRATORY 145670,A81000C,00300,0600,RESPIRATORY THERAPY 145670,A81000C,00400,0400,THERAPY SERVICES 145670,A81000C,00500,0400,VENCARE REHAB SERVICES 145670,A81000C,00500,0600,REHAB 145670,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145670,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145670,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145670,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145670,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145670,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145670,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145670,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145670,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145670,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145670,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145670,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145670,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145670,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145670,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145670,S000000,00100,0200,12/01/00 145670,S200000,00100,0100,165 SOUTH 1000 EAST 145670,S200000,00200,0100,SALT LAKE 145670,S200000,00200,0200,UT 145670,S200000,00200,0300,84102- 145670,S200000,00300,0100,SALT LAKE 145670,S200000,00300,0300,U 145670,S200000,00400,0100,419 - SALT LAKE NURSING & REHAB 145670,S200000,00400,0200,465072 145670,S200000,00400,0300,01/01/70 145670,S200000,00400,0500,P 145670,S200000,01500,0100,Y 145670,S200000,01600,0100,N 145670,S200000,01700,0100,N 145670,S200000,01800,0100,N 145670,S200000,02200,0100,Y 145670,S200000,02800,0100,N 145670,S200000,02900,0100,N 145670,S200000,03000,0100,N 145670,S200000,03100,0100,N 145670,S200000,03200,0100,N 145670,S200000,04100,0100,N 145670,S200000,04200,0100,N 145670,S200000,04300,0100,N 145670,S200000,04600,0100,N 145670,S200000,04700,0100,N 145670,S200000,04700,0200,N 145670,S200000,04900,0100,N 145670,S200000,05000,0100,N 145670,S200000,05100,0100,N 145670,S200000,05200,0100,N 145672,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145672,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145672,A000000,00300,0000,0300EMPLOYEE BENEFITS 145672,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145672,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145672,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145672,A000000,00700,0000,0700HOUSEKEEPING 145672,A000000,00800,0000,0800DIETARY 145672,A000000,00900,0000,0900NURSING ADMINISTRATION 145672,A000000,00901,0000,0901OTHER NURSING 145672,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145672,A000000,01100,0000,1100PHARMACY 145672,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145672,A000000,01300,0000,1300SOCIAL SERVICE 145672,A000000,01301,0000,1301ACTIVITIES 145672,A000000,01600,0000,1600SKILLED NURSING FACILITY 145672,A000000,01800,0000,1800NURSING FACILITY 145672,A000000,02100,0000,2100RADIOLOGY 145672,A000000,02200,0000,2200LABORATORY 145672,A000000,02300,0000,2300INTRAVENOUS THERAPY 145672,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145672,A000000,02500,0000,2500PHYSICAL THERAPY 145672,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145672,A000000,02700,0000,2700SPEECH PATHOLOGY 145672,A000000,02800,0000,2800ELECTROCARDIOLOGY 145672,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145672,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145672,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145672,A000000,03301,0000,3051NUTRITIONAL THERAPY 145672,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145672,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145672,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145672,A000000,04800,0000,4800AMBULANCE 145672,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145672,A000000,05300,0000,5300INTEREST EXPENSE 145672,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145672,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145672,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145672,A000000,06200,0000,6200PATIENTS LAUNDRY 145672,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145672,A000000,06301,0000,6151DAY CARE 145672,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145672,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145672,A81000A,00100,0100,Y 145672,A81000B,00100,0300,HOME OFFICE COSTS 145672,A81000B,00200,0300,LIABILITY INSURANCE 145672,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 145672,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145672,A81000B,00500,0300,VC PHARMACY - ADMIN 145672,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 145672,A81000B,00700,0300,VC PHARMACY - LAUNDRY 145672,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 145672,A81000B,00900,0300,VC PHARMACY - DIETARY 145672,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 145672,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 145672,A81000B,01200,0300,VC PHARMACY - NONLEGEND 145672,A81000B,01300,0300,VC PHARMACY - MED RECORDS 145672,A81000B,01400,0300,VC PHARMACY - SOC SVCS 145672,A81000B,01500,0300,VC PHARMACY - ACTIVITY 145672,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 145672,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 145672,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 145672,A81000B,01900,0300,VC PHARMACY - LAB 145672,A81000B,02000,0300,VC PHARMACY - IV THERAPY 145672,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 145672,A81000B,02200,0300,VENCARE REHAB - PHYS THER 145672,A81000B,02300,0300,VENCARE REHAB - OCCP THER 145672,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 145672,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 145672,A81000B,02600,0300,VC PHARMACY - LEGEND 145672,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 145672,A81000B,02800,0300,VC PHARMACY - NUTR THER 145672,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 145672,A81000C,00100,0100,B 145672,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145672,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145672,A81000C,00100,0600,LIABILITY INSURANCE 145672,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145672,A81000C,00200,0600,PHARMACY 145672,A81000C,00300,0400,VENCARE RESPIRATORY 145672,A81000C,00300,0600,RESPIRATORY THERAPY 145672,A81000C,00400,0400,THERAPY SERVICES 145672,A81000C,00500,0400,VENCARE REHAB SERVICES 145672,A81000C,00500,0600,REHAB 145672,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145672,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145672,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145672,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145672,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145672,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145672,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145672,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145672,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145672,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145672,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145672,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145672,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145672,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145672,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145672,E10A180,00350,0100,06/30/00 145672,E10A180,00351,0100,11/30/00 145672,S000000,00100,0200,12/01/00 145672,S200000,00100,0100,575 EAST 11000 SOUTH 145672,S200000,00200,0100,SANDY 145672,S200000,00200,0200,UT 145672,S200000,00200,0300,84070- 145672,S200000,00300,0100,SALT LAKE 145672,S200000,00300,0300,U 145672,S200000,00400,0100,230 - CROSSLANDS REHAB & HEALTHCARE 145672,S200000,00400,0200,465110 145672,S200000,00400,0300,02/13/87 145672,S200000,00400,0500,P 145672,S200000,01500,0100,Y 145672,S200000,01600,0100,N 145672,S200000,01700,0100,N 145672,S200000,01800,0100,N 145672,S200000,02200,0100,Y 145672,S200000,02800,0100,Y 145672,S200000,02900,0100,N 145672,S200000,03000,0100,N 145672,S200000,03100,0100,N 145672,S200000,03200,0100,N 145672,S200000,04100,0100,N 145672,S200000,04200,0100,N 145672,S200000,04300,0100,N 145672,S200000,04600,0100,N 145672,S200000,04700,0100,N 145672,S200000,04700,0200,N 145672,S200000,04900,0100,N 145672,S200000,05000,0100,N 145672,S200000,05100,0100,N 145672,S200000,05200,0100,N 145745,S000000,00100,0200,10/25/00 145745,S200000,00100,0100,605 N. MAPLE STREET 145745,S200000,00200,0100,MUENSTER 145745,S200000,00200,0200,TX 145745,S200000,00200,0300,76252 145745,S200000,00300,0100,MUENSTER 145745,S200000,00400,0100,SAINT RICHARDS VILLA INC 145745,S200000,00400,0300,06/01/98 145752,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145752,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145752,A000000,00300,0000,0300EMPLOYEE BENEFITS 145752,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145752,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145752,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145752,A000000,00700,0000,0700HOUSEKEEPING 145752,A000000,00800,0000,0800DIETARY 145752,A000000,00900,0000,0900NURSING ADMINISTRATION 145752,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145752,A000000,01100,0000,1100PHARMACY 145752,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145752,A000000,01300,0000,1300SOCIAL SERVICE 145752,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 145752,A000000,01500,0000,1350OTHER GENERAL SERVICES 145752,A000000,01600,0000,1600SKILLED NURSING FACILITY 145752,A000000,01800,0000,1800NURSING FACILITY 145752,A000000,01810,0000,1810ICF/MR 145752,A000000,01900,0000,1900OTHER LONG TERM CARE 145752,A000000,02100,0000,2100RADIOLOGY 145752,A000000,02200,0000,2200LABORATORY 145752,A000000,02300,0000,2300INTRAVENOUS THERAPY 145752,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145752,A000000,02500,0000,2500PHYSICAL THERAPY 145752,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145752,A000000,02700,0000,2700SPEECH PATHOLOGY 145752,A000000,02800,0000,2800ELECTROCARDIOLOGY 145752,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145752,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145752,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 145752,A000000,03200,0000,3200SUPPORT SURFACES 145752,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145752,A000000,03400,0000,3400CLINIC 145752,A000000,03500,0000,3500RURAL HEALTH CLINIC 145752,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145752,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 145752,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 145752,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 145752,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 145752,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 145752,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 145752,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 145752,A000000,04400,0000,4400DME RENTED - HHA 145752,A000000,04500,0000,4500DME SOLD - HHA 145752,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 145752,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 145752,A000000,04800,0000,4800AMBULANCE 145752,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 145752,A000000,05000,0000,5000CORF 145752,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145752,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 145752,A000000,05300,0000,5300INTEREST EXPENSE 145752,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145752,A000000,05500,0000,5500HOSPICE 145752,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145752,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145752,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145752,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 145752,A000000,06100,0000,6100NONPAID WORKERS 145752,A000000,06200,0000,6200PATIENTS LAUNDRY 145752,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145752,A81000A,00100,0100,N 145752,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145752,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145752,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145752,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145752,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 145752,B100000,00000,0700,0750SQUARE FEET C :HOUSEKEEPING 145752,B100000,00000,0800,0800MEALS SERVED :DIETARY 145752,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 145752,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 145752,B100000,00000,1200,1250TOTAL CHARGES :MEDICAL RECORDS 145752,B100000,00000,1300,1330TOTAL CHARGES :SOCIAL SERVICE 145752,S000000,00100,0200,05/24/00 145752,S200000,00100,0100,1007 SOUTH WASHINGTON 145752,S200000,00100,0300,1629 145752,S200000,00200,0100,MARSHALL 145752,S200000,00200,0200,TX 145752,S200000,00200,0300,75670- 145752,S200000,00300,0100,HARRISON 145752,S200000,00300,0200,4420 145752,S200000,00300,0300,U 145752,S200000,00400,0100,MARSHALL MANOR NURSING & REHAB CTR 145752,S200000,00400,0200,455646 145752,S200000,00400,0300,04/08/97 145752,S200000,00400,0500,P 145752,S200000,01500,0100,N 145752,S200000,01600,0100,Y 145752,S200000,01700,0100,N 145752,S200000,01800,0100,N 145752,S200000,02200,0100,N 145752,S200000,02800,0100,N 145752,S200000,02900,0100,N 145752,S200000,03000,0100,N 145752,S200000,03100,0100,N 145752,S200000,03200,0100,N 145752,S200000,04100,0100,N 145752,S200000,04200,0100,N 145752,S200000,04300,0100,N 145752,S200000,04600,0100,N 145752,S200000,04700,0100,N 145752,S200000,04700,0200,N 145752,S200000,04900,0100,N 145752,S200000,05000,0100,N 145752,S200000,05100,0100,N 145752,S200000,05200,0100,N 145753,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145753,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145753,A000000,00300,0000,0300EMPLOYEE BENEFITS 145753,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145753,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145753,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145753,A000000,00700,0000,0700HOUSEKEEPING 145753,A000000,00800,0000,0800DIETARY 145753,A000000,00900,0000,0900NURSING ADMINISTRATION 145753,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145753,A000000,01100,0000,1100PHARMACY 145753,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145753,A000000,01300,0000,1300SOCIAL SERVICE 145753,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145753,A000000,01600,0000,1600SKILLED NURSING FACILITY 145753,A000000,01810,0000,1810ICF/MR 145753,A000000,02100,0000,2100RADIOLOGY 145753,A000000,02200,0000,2200LABORATORY 145753,A000000,02500,0000,2500PHYSICAL THERAPY 145753,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145753,A000000,02700,0000,2700SPEECH PATHOLOGY 145753,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145753,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145753,A000000,03550,0000,3550FQHC 145753,A000000,05000,0000,5000CORF 145753,A000000,05010,0000,5010CMHC 145753,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145753,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145753,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145753,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145753,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145753,A81000A,00100,0100,Y 145753,A81000B,00100,0300,LEGAL EXPENSE 145753,A81000B,00200,0300,CONSULTING EXPENSE 145753,A81000B,00300,0300,FACILITY LEASE 145753,A81000C,00100,0100,B 145753,A81000C,00100,0400,EHMANN VAN DENDRGH & TR 145753,A81000C,00100,0600,LAW FIRM 145753,A81000C,00200,0100,B 145753,A81000C,00200,0400,ZA CONSULTING LLC 145753,A81000C,00200,0600,HEALTHCARE CONSULTING 145753,A81000C,00300,0100,B 145753,A81000C,00300,0400,PHILTEX HOLDINGS INC. 145753,A81000C,00300,0600,REAL ESTATE 145753,B100000,00000,0100,0100SQUARE FEET 145753,B100000,00000,0200,0200SQUARE FEET 145753,B100000,00000,0300,0300GROSS SALARIES 145753,B100000,00000,0400,0400ACCUM. COST 145753,B100000,00000,0500,0500SQUARE FEET 145753,B100000,00000,0600,0600INPATIENT DAYS 145753,B100000,00000,0700,0700SQUARE FEET 145753,B100000,00000,0800,0800INPATIENT DAYS 145753,B100000,00000,0900,0900INPATIENT DAYS 145753,B100000,00000,1000,1000COSTED REQUIS. 145753,B100000,00000,1100,1100COSTED REQUIS. 145753,B100000,00000,1200,1200INPATIENT DAYS 145753,B100000,00000,1300,1300INPATIENT DAYS 145753,B100000,00000,1400,1400ASSIGNED TIME 145753,E10A180,00550,0300,07/31/00 145753,S000000,00100,0200,06/01/00 145753,S200000,00100,0100,505 CENTERVILLE ROAD 145753,S200000,00200,0100,GARLAND 145753,S200000,00200,0200,TX 145753,S200000,00200,0300,75041 145753,S200000,00300,0100,DALLAS 145753,S200000,00300,0200,1920 145753,S200000,00300,0300,U 145753,S200000,00400,0100,SILVER LEAVES NURSING CENTER 145753,S200000,00400,0200,455731 145753,S200000,00400,0300,01/27/88 145753,S200000,00400,0500,P 145753,S200000,01500,0100,Y 145753,S200000,01600,0100,N 145753,S200000,01700,0100,N 145753,S200000,01800,0100,N 145753,S200000,02200,0100,N 145753,S200000,02800,0100,N 145753,S200000,02900,0100,N 145753,S200000,03000,0100,N 145753,S200000,03100,0100,N 145753,S200000,03200,0100,N 145753,S200000,03300,0100,N 145753,S200000,03300,0200,N 145753,S200000,04100,0100,N 145753,S200000,04200,0100,N 145753,S200000,04300,0100,N 145753,S200000,04600,0100,N 145753,S200000,04700,0100,N 145753,S200000,04700,0200,N 145753,S200000,04900,0100,N 145754,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145754,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145754,A000000,00300,0000,0300EMPLOYEE BENEFITS 145754,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145754,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145754,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145754,A000000,00700,0000,0700HOUSEKEEPING 145754,A000000,00800,0000,0800DIETARY 145754,A000000,00801,0000,0801CAFETERIA 145754,A000000,00900,0000,0900NURSING ADMINISTRATION 145754,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145754,A000000,01100,0000,1100PHARMACY 145754,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145754,A000000,01300,0000,1300SOCIAL SERVICE 145754,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145754,A000000,01600,0000,1600SKILLED NURSING FACILITY 145754,A000000,01810,0000,1810ICF/MR 145754,A000000,02200,0000,2200LABORATORY 145754,A000000,02500,0000,2500PHYSICAL THERAPY 145754,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145754,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145754,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145754,A000000,03550,0000,3550FQHC 145754,A000000,05000,0000,5000CORF 145754,A000000,05010,0000,5010CMHC 145754,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145754,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145754,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145754,A000000,05300,0000,5300INTEREST EXPENSE 145754,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 145754,A81000A,00100,0100,Y 145754,A81000B,00100,0300,BUILDING RENT 145754,A81000C,00100,0100,B 145754,A81000C,00100,0200,JADE HILL ENTER 145754,B100000,00000,0100,0100SQUARE FEET 145754,B100000,00000,0200,0200SQUARE FEET 145754,B100000,00000,0300,0300GROSS SALARIES 145754,B100000,00000,0400,0400ACCUM COST 145754,B100000,00000,0500,0500SQUARE FEET 145754,B100000,00000,0600,0600PATIENT DAYS 145754,B100000,00000,0700,0700SQUARE FEET 145754,B100000,00000,0800,0800MEALS SERVED 145754,B100000,00000,0801,0801FTE EMPLOYEES 145754,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 145754,B100000,00000,1000,1000COSTED REQUISITIO 145754,B100000,00000,1100,1100COSTED REQUISITIO 145754,B100000,00000,1200,1200PATIENT DAYS 145754,B100000,00000,1300,1300PATIENT DAYS 145754,B100000,00000,1400,1400ASSIGNED TIME 145754,S000000,00100,0200,06/06/00 145754,S200000,00100,0100,205 WEST GENTRY 145754,S200000,00200,0100,HAMILTON 145754,S200000,00200,0200,TX 145754,S200000,00200,0300,76531 145754,S200000,00300,0100,HAMILTON 145754,S200000,00300,0200,0000 145754,S200000,00300,0300,R 145754,S200000,00400,0100,HAMILTON NURSING HOME 145754,S200000,00400,0200,675476 145754,S200000,00400,0300,04/21/95 145754,S200000,00400,0500,P 145754,S200000,01500,0100,Y 145754,S200000,01600,0100,N 145754,S200000,01700,0100,N 145754,S200000,01800,0100,N 145754,S200000,02200,0100,N 145754,S200000,02800,0100,N 145754,S200000,02900,0100,N 145754,S200000,03000,0100,N 145754,S200000,03100,0100,N 145754,S200000,03200,0100,N 145754,S200000,03300,0100,N 145754,S200000,03300,0200,N 145754,S200000,04100,0100,N 145754,S200000,04200,0100,N 145754,S200000,04300,0100,N 145754,S200000,04600,0100,N 145754,S200000,04700,0100,N 145754,S200000,04900,0100,N 145755,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145755,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145755,A000000,00300,0000,0300EMPLOYEE BENEFITS 145755,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145755,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145755,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145755,A000000,00700,0000,0700HOUSEKEEPING 145755,A000000,00800,0000,0800DIETARY 145755,A000000,00900,0000,0900NURSING ADMINISTRATION 145755,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145755,A000000,01100,0000,1100PHARMACY 145755,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145755,A000000,01300,0000,1300SOCIAL SERVICE 145755,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145755,A000000,01500,0000,1350OTHER GENERAL SERVICES 145755,A000000,01600,0000,1600SKILLED NURSING FACILITY 145755,A000000,01800,0000,1800NURSING FACILITY 145755,A000000,01810,0000,1810ICF/MR 145755,A000000,01900,0000,1900OTHER LONG TERM CARE 145755,A000000,02100,0000,2100RADIOLOGY 145755,A000000,02200,0000,2200LABORATORY 145755,A000000,02300,0000,2300INTRAVENOUS THERAPY 145755,A000000,02500,0000,2500PHYSICAL THERAPY 145755,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145755,A000000,02700,0000,2700SPEECH PATHOLOGY 145755,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145755,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145755,A000000,03200,0000,3200SUPPORT SURFACES 145755,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145755,A000000,03550,0000,3550FQHC 145755,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145755,A000000,05000,0000,5000CORF 145755,A000000,05010,0000,5010CMHC 145755,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145755,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145755,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145755,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145755,A000000,05300,0000,5300INTEREST EXPENSE 145755,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 145755,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145755,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145755,A81000A,00100,0100,Y 145755,A81000B,00100,0300,MANAGEMENT FEES - HOME OFFICE 145755,A81000B,00200,0300,MANAGEMENT FEES - HOME OFFICE 145755,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 145755,A81000B,00400,0300,SPEECH THERAPY 145755,A81000B,00500,0300,PHYSICAL THERAPY 145755,A81000B,00600,0300,OCCUPATIONAL THERAPY 145755,A81000B,00700,0300,ROUTINE 145755,A81000B,00800,0300,ROUTINE 145755,A81000C,00100,0100,A 145755,A81000C,00100,0200,JOHN NEILL 145755,A81000C,00100,0400,TELESIS MANAGEMENT CORP. 145755,A81000C,00100,0600,MANAGEMENT COMPANY 145755,A81000C,00200,0100,A 145755,A81000C,00200,0200,STEVEN RUSH 145755,A81000C,00200,0400,TELESIS MANAGEMENT CORP. 145755,A81000C,00200,0600,MANAGEMENT COMPANY 145755,A81000C,00300,0100,A 145755,A81000C,00300,0200,JOHN NEILL 145755,A81000C,00300,0400,WALNUT PLACE PHARMACY 145755,A81000C,00300,0600,PHARMACY 145755,A81000C,00400,0100,A 145755,A81000C,00400,0200,STEVEN RUSH 145755,A81000C,00400,0400,WALNUT PLACE PHARMACY 145755,A81000C,00400,0600,PHARMACY 145755,A81000C,00500,0100,A 145755,A81000C,00500,0200,JOHN NEILL 145755,A81000C,00500,0400,AUTUMN LEAVES 145755,A81000C,00500,0600,NURSING FACILITY 145755,A81000C,00600,0100,A 145755,A81000C,00600,0200,STEVEN RUSH 145755,A81000C,00600,0400,AUTUMN LEAVES 145755,A81000C,00600,0600,NURSING FACILITY 145755,B100000,00000,0100,0100SQUARE FEET 145755,B100000,00000,0200,0200DOLLAR VALUE 145755,B100000,00000,0300,0300GROSS SALARIES 145755,B100000,00000,0400,0400ACCUM. COST 145755,B100000,00000,0500,0500SQUARE FEET 145755,B100000,00000,0600,0600POUNDS OF LAUNDRY 145755,B100000,00000,0700,0700SQUARE FT CLEANED 145755,B100000,00000,0800,0800MEALS SERVED 145755,B100000,00000,0900,0900TIME SPENT 145755,B100000,00000,1000,1000COSTED REQUIS. 145755,B100000,00000,1100,1100COSTED REQUIS. 145755,B100000,00000,1200,1200TIME SPENT 145755,B100000,00000,1300,1300TIME SPENT 145755,B100000,00000,1400,1400ASSIGNED TIME 145755,B100000,00000,1500,1350NO STATISTICS 145755,S000000,00100,0200,06/01/00 145755,S200000,00100,0100,2600 PARKVIEW DRIVE 145755,S200000,00200,0100,BEDFORD 145755,S200000,00200,0200,TX 145755,S200000,00200,0300,76022 145755,S200000,00300,0100,TARRANT 145755,S200000,00300,0200,2800 145755,S200000,00300,0300,U 145755,S200000,00400,0100,PARKWOOD HEALTH CARE COMMUNITY 145755,S200000,00400,0200,675565 145755,S200000,00400,0300,02/22/96 145755,S200000,00400,0500,P 145755,S200000,01500,0100,N 145755,S200000,01600,0100,Y 145755,S200000,01700,0100,N 145755,S200000,01800,0100,N 145755,S200000,02200,0100,N 145755,S200000,02800,0100,N 145755,S200000,02900,0100,N 145755,S200000,03000,0100,N 145755,S200000,03100,0100,N 145755,S200000,03200,0100,N 145755,S200000,03300,0100,N 145755,S200000,03300,0200,N 145755,S200000,04100,0100,Y 145755,S200000,04200,0100,N 145755,S200000,04300,0100,N 145755,S200000,04600,0100,N 145755,S200000,04700,0100,N 145755,S200000,04700,0200,N 145755,S200000,04900,0100,N 145887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 145887,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 145887,A000000,00300,0000,0300EMPLOYEE BENEFITS 145887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 145887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145887,A000000,00700,0000,0700HOUSEKEEPING 145887,A000000,00800,0000,0800DIETARY 145887,A000000,00900,0000,0900NURSING ADMINISTRATION 145887,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145887,A000000,01100,0000,1100PHARMACY 145887,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145887,A000000,01300,0000,1300SOCIAL SERVICE 145887,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 145887,A000000,01600,0000,1600SKILLED NURSING FACILITY 145887,A000000,01810,0000,1810ICF/MR 145887,A000000,02100,0000,2100RADIOLOGY 145887,A000000,02200,0000,2200LABORATORY 145887,A000000,02300,0000,2300INTRAVENOUS THERAPY 145887,A000000,02500,0000,2500PHYSICAL THERAPY 145887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145887,A000000,02700,0000,2700SPEECH PATHOLOGY 145887,A000000,02800,0000,2800ELECTROCARDIOLOGY 145887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 145887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145887,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 145887,A000000,03301,0000,3051AIR FLUIDIZED BEDS 145887,A000000,03303,0000,3053ORTHOTICS 145887,A000000,03550,0000,3550FQHC 145887,A000000,04800,0000,4800AMBULANCE 145887,A000000,05000,0000,5000CORF 145887,A000000,05010,0000,5010CMHC 145887,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 145887,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 145887,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 145887,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145887,A81000A,00100,0100,Y 145887,A81000B,00100,0300,H.O. CAP REL BLGD & FIXTURES 145887,A81000B,00200,0300,H.O CAP RELATED MME 145887,A81000B,00300,0300,H.O. ADMIN & FIELD SUPERVISION 145887,A81000B,00400,0300,H.O. CAP REL ADMIN & FIELD SUP 145887,A81000B,00500,0300,H.O. NURSING ADMINISTRATION 145887,A81000B,00600,0300,H.O. NURSING ADMINISTRATION 145887,A81000B,00700,0300,H.O. CAP REL NURSING ADMIN 145887,A81000C,00100,0100,F 145887,A81000C,00100,0200,ELTON G. BEEBE 145887,A81000C,00100,0400,MAGNOLIA MANAGEMENT 145887,A81000C,00100,0600,MANAGEMENT COMPANY 145887,A81000C,00200,0100,A 145887,A81000C,00200,0200,LA EXTENDED CARE CENTERS 145887,B100000,00000,0100,0100SQUARE FEET 145887,B100000,00000,0200,0200SQUARE FEET 145887,B100000,00000,0300,0300GROSS SALARIES 145887,B100000,00000,0400,0400ACCUM COST 145887,B100000,00000,0500,0500SQUARE FEET 145887,B100000,00000,0600,0600POUNDS OF LAUNDRY 145887,B100000,00000,0700,0700SQUARE FEET 145887,B100000,00000,0800,0800MEALS SERVED 145887,B100000,00000,0900,0900DIRECT NRSING HRS 145887,B100000,00000,1000,1000COSTED REQUIS 145887,B100000,00000,1100,1100COSTED REQUIS 145887,B100000,00000,1200,1200TIME SPENT 145887,B100000,00000,1300,1300TIME SPENT 145887,B100000,00000,1400,1400ASSIGNED TIME 145887,E10A180,00501,0100,06/21/00 145887,E10A180,00501,0300,09/13/00 145887,S000000,00100,0200,05/25/00 145887,S200000,00100,0100,1335 WOODDALE BOULEVARD 145887,S200000,00200,0100,BATON ROUGE 145887,S200000,00200,0200,LA 145887,S200000,00200,0300,70806 145887,S200000,00300,0100,EAST BATON ROUGE 145887,S200000,00300,0200,0760 145887,S200000,00300,0300,U 145887,S200000,00400,0100,BATON ROUGE HERITAGE HOUSE II 145887,S200000,00400,0200,195389 145887,S200000,00400,0300,11/01/96 145887,S200000,00400,0500,P 145887,S200000,01500,0100,Y 145887,S200000,01600,0100,N 145887,S200000,01700,0100,N 145887,S200000,01800,0100,N 145887,S200000,02200,0100,Y 145887,S200000,02800,0100,N 145887,S200000,02900,0100,N 145887,S200000,03000,0100,N 145887,S200000,03100,0100,N 145887,S200000,03200,0100,N 145887,S200000,03300,0100,N 145887,S200000,03300,0200,N 145887,S200000,04100,0100,N 145887,S200000,04200,0100,N 145887,S200000,04300,0100,N 145887,S200000,04600,0100,N 145887,S200000,04700,0100,N 145887,S200000,04900,0100,N 145887,S200000,05200,0100,N 145930,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 145930,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 145930,A000000,00300,0000,0300EMPLOYEE BENEFITS 145930,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 145930,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 145930,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 145930,A000000,00700,0000,0700HOUSEKEEPING 145930,A000000,00800,0000,0800DIETARY 145930,A000000,00900,0000,0900NURSING ADMINISTRATION 145930,A000000,00901,0000,0901OTHER NURSING 145930,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 145930,A000000,01100,0000,1100PHARMACY 145930,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 145930,A000000,01300,0000,1300SOCIAL SERVICE 145930,A000000,01301,0000,1301ACTIVITIES 145930,A000000,01600,0000,1600SKILLED NURSING FACILITY 145930,A000000,01800,0000,1800NURSING FACILITY 145930,A000000,02100,0000,2100RADIOLOGY 145930,A000000,02200,0000,2200LABORATORY 145930,A000000,02300,0000,2300INTRAVENOUS THERAPY 145930,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 145930,A000000,02500,0000,2500PHYSICAL THERAPY 145930,A000000,02600,0000,2600OCCUPATIONAL THERAPY 145930,A000000,02700,0000,2700SPEECH PATHOLOGY 145930,A000000,02800,0000,2800ELECTROCARDIOLOGY 145930,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 145930,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 145930,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 145930,A000000,03301,0000,3051NUTRITIONAL THERAPY 145930,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 145930,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 145930,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 145930,A000000,04800,0000,4800AMBULANCE 145930,A000000,05100,0000,4750OTHER REIMBURSABLE COST 145930,A000000,05300,0000,5300INTEREST EXPENSE 145930,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 145930,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 145930,A000000,05900,0000,5900BARBER & BEAUTY SHOP 145930,A000000,06200,0000,6200PATIENTS LAUNDRY 145930,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 145930,A000000,06301,0000,6151DAY CARE 145930,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 145930,A000000,06303,0000,6153DISTRICT OFFICE SPACE 145930,A81000A,00100,0100,Y 145930,A81000B,00100,0300,HOME OFFICE COSTS 145930,A81000B,00200,0300,LIABILITY INSURANCE 145930,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 145930,A81000B,00900,0300,VC PHARMACY - DIETARY 145930,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 145930,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 145930,A81000B,01200,0300,VC PHARMACY - IV THERAPY 145930,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 145930,A81000B,01400,0300,VENCARE REHAB - PHYS THER 145930,A81000B,01500,0300,VENCARE REHAB - OCCP THER 145930,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 145930,A81000B,01700,0300,VC PHARMACY - LEGEND 145930,A81000B,01800,0300,VC PHARMACY - OTHER MEDICAL 145930,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 145930,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 145930,A81000C,00100,0100,B 145930,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 145930,A81000C,00100,0400,CORNERSTONE INSURANCE CO 145930,A81000C,00100,0600,LIABILITY INSURANCE 145930,A81000C,00200,0400,VENCARE PHARMACY SERVICES 145930,A81000C,00200,0600,PHARMACY 145930,A81000C,00300,0400,VENCARE RESPIRATORY 145930,A81000C,00300,0600,RESPIRATORY THERAPY 145930,A81000C,00400,0400,THERAPY SERVICES 145930,A81000C,00500,0400,VENCARE REHAB SERVICES 145930,A81000C,00500,0600,REHAB 145930,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 145930,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 145930,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 145930,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 145930,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 145930,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 145930,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 145930,B100000,00000,0800,0850PATIENT DAYS :DIETARY 145930,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 145930,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 145930,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 145930,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 145930,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 145930,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 145930,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 145930,E10A180,00301,0100,06/30/00 145930,S000000,00100,0200,12/11/00 145930,S200000,00100,0100,121 NORTHBORO RD 145930,S200000,00200,0100,MARLBORO 145930,S200000,00200,0200,MA 145930,S200000,00200,0300,01752- 145930,S200000,00300,0100,MIDDLESEX 145930,S200000,00300,0200,1123 145930,S200000,00300,0300,U 145930,S200000,00400,0100,WESTRIDGE HEALTHCARE CENTER 145930,S200000,00400,0200,225063 145930,S200000,00400,0300,01/01/84 145930,S200000,00400,0500,P 145930,S200000,01500,0100,Y 145930,S200000,01600,0100,N 145930,S200000,01700,0100,N 145930,S200000,01800,0100,N 145930,S200000,02200,0100,Y 145930,S200000,02800,0100,N 145930,S200000,02900,0100,N 145930,S200000,03000,0100,N 145930,S200000,03100,0100,N 145930,S200000,03200,0100,N 145930,S200000,04100,0100,N 145930,S200000,04200,0100,N 145930,S200000,04300,0100,N 145930,S200000,04600,0100,N 145930,S200000,04700,0100,N 145930,S200000,04700,0200,N 145930,S200000,04900,0100,N 145930,S200000,05000,0100,N 145930,S200000,05100,0100,N 145930,S200000,05200,0100,N 146325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146325,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146325,A000000,00300,0000,0300EMPLOYEE BENEFITS 146325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146325,A000000,00700,0000,0700HOUSEKEEPING 146325,A000000,00800,0000,0800DIETARY 146325,A000000,00900,0000,0900NURSING ADMINISTRATION 146325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146325,A000000,01100,0000,1100PHARMACY 146325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146325,A000000,01300,0000,1300SOCIAL SERVICE 146325,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146325,A000000,01500,0000,1350ACTIVITIES 146325,A000000,01600,0000,1600SKILLED NURSING FACILITY 146325,A000000,01800,0000,1800NURSING FACILITY 146325,A000000,01810,0000,1810ICF/MR 146325,A000000,01900,0000,1900OTHER LONG TERM CARE 146325,A000000,02100,0000,2100RADIOLOGY 146325,A000000,02200,0000,2200LABORATORY 146325,A000000,02300,0000,2300INTRAVENOUS THERAPY 146325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146325,A000000,02500,0000,2500PHYSICAL THERAPY 146325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146325,A000000,02700,0000,2700SPEECH PATHOLOGY 146325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146325,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 146325,A000000,03200,0000,3200SUPPORT SURFACES 146325,A000000,03550,0000,3550FQHC 146325,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 146325,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 146325,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 146325,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 146325,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 146325,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 146325,A000000,05000,0000,5000CORF 146325,A000000,05010,0000,5010CMHC 146325,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 146325,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146325,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146325,A000000,05500,0000,5500HOSPICE 146325,A000000,05600,0000,5350OTHER OUTPATIENT SERVICES 146325,A000000,05610,0000,5351MEALS ON WHEELS 146325,A000000,05620,0000,5352ADULT DAY CENTER 146325,A000000,05630,0000,5353THERAPEUTIC POOL 146325,A000000,05640,0000,5354PATIENT TRANSPORT 146325,A000000,05650,0000,5355COMMUNITY RELATIONS 146325,A000000,05660,0000,5356VILLAGE 146325,A000000,05670,0000,5357CONTRACT REHAB (SCHOOLS) 146325,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 146325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146325,A81000A,00100,0100,N 146325,B100000,00000,0100,0100SQUARE FEET 146325,B100000,00000,0200,0200SQUARE FEET 146325,B100000,00000,0300,0300GROSS SALARIES 146325,B100000,00000,0400,0400ACCUM COST 146325,B100000,00000,0500,0500SQUARE FEET 146325,B100000,00000,0600,0600TIME SPENT 146325,B100000,00000,0700,0700SQUARE FEET 146325,B100000,00000,0800,0800MEALS SERVED 146325,B100000,00000,0900,0900DIRECT NRSG HRS 146325,B100000,00000,1000,1000COSTED REQUIS 146325,B100000,00000,1100,1100COSTED REQUIS 146325,B100000,00000,1200,1200TIME SPENT 146325,B100000,00000,1300,1300TIME SPENT 146325,B100000,00000,1400,1400ASSIGNED TIME 146325,B100000,00000,1500,1350TIME SPENT 146325,E10A180,00501,0100,02/13/03 146325,E10A180,00501,0300,09/09/02 146325,E10A180,00550,0100,09/09/02 146325,H510100,00000,0000,3283 146325,H510100,02400,0000,3283 146325,H710000,00501,0100,09/09/02 146325,H710000,00502,0100,03/14/03 146325,H710000,00550,0100,02/13/03 146325,S000000,00100,0200,07/31/00 146325,S200000,00100,0100,75 GREAT POND ROAD 146325,S200000,00200,0100,SIMSBURY 146325,S200000,00200,0200,CT 146325,S200000,00200,0300,06070 146325,S200000,00300,0100,HARTFORD 146325,S200000,00300,0200,3283 146325,S200000,00300,0300,U 146325,S200000,00400,0100,MCLEAN HEALTH CENTER 146325,S200000,00400,0200,075216 146325,S200000,00400,0300,03/28/72 146325,S200000,00400,0500,P 146325,S200000,00600,0200,075216 146325,S200000,00600,0300,03/28/72 146325,S200000,00600,0600,O 146325,S200000,00800,0200,077166 146325,S200000,00800,0300,12/13/85 146325,S200000,00800,0500,O 146325,S200000,01500,0100,Y 146325,S200000,01600,0100,N 146325,S200000,01700,0100,N 146325,S200000,01800,0100,N 146325,S200000,01900,0100,TRUSTEE 146325,S200000,02200,0100,N 146325,S200000,02800,0100,Y 146325,S200000,02900,0100,N 146325,S200000,03000,0100,N 146325,S200000,03100,0100,N 146325,S200000,03200,0100,N 146325,S200000,03300,0100,N 146325,S200000,03300,0200,N 146325,S200000,03500,0300,N 146325,S200000,03700,0100,N 146325,S200000,03700,0200,N 146325,S200000,04100,0100,N 146325,S200000,04200,0100,Y 146325,S200000,04300,0100,N 146325,S200000,04600,0100,N 146325,S200000,04700,0100,N 146325,S200000,04900,0100,N 146325,S200000,05200,0100,N 146325,S410002,01700,0100,3283 146366,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146366,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146366,A000000,00300,0000,0300EMPLOYEE BENEFITS 146366,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146366,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146366,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146366,A000000,00700,0000,0700HOUSEKEEPING 146366,A000000,00800,0000,0800DIETARY 146366,A000000,00900,0000,0900NURSING ADMINISTRATION 146366,A000000,00901,0000,0901OTHER NURSING 146366,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146366,A000000,01100,0000,1100PHARMACY 146366,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146366,A000000,01300,0000,1300SOCIAL SERVICE 146366,A000000,01301,0000,1301ACTIVITIES 146366,A000000,01600,0000,1600SKILLED NURSING FACILITY 146366,A000000,01800,0000,1800NURSING FACILITY 146366,A000000,02100,0000,2100RADIOLOGY 146366,A000000,02200,0000,2200LABORATORY 146366,A000000,02300,0000,2300INTRAVENOUS THERAPY 146366,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146366,A000000,02500,0000,2500PHYSICAL THERAPY 146366,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146366,A000000,02700,0000,2700SPEECH PATHOLOGY 146366,A000000,02800,0000,2800ELECTROCARDIOLOGY 146366,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146366,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146366,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146366,A000000,03301,0000,3051NUTRITIONAL THERAPY 146366,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146366,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146366,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146366,A000000,04800,0000,4800AMBULANCE 146366,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146366,A000000,05300,0000,5300INTEREST EXPENSE 146366,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146366,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146366,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146366,A000000,06200,0000,6200PATIENTS LAUNDRY 146366,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146366,A000000,06301,0000,6151DAY CARE 146366,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146366,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146366,A81000A,00100,0100,Y 146366,A81000B,00100,0300,HOME OFFICE COSTS 146366,A81000B,00200,0300,LIABILITY INSURANCE 146366,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146366,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146366,A81000B,00500,0300,VC PHARMACY - ADMIN 146366,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146366,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146366,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146366,A81000B,00900,0300,VC PHARMACY - DIETARY 146366,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146366,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146366,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146366,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146366,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146366,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146366,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146366,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146366,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 146366,A81000B,01900,0300,VC PHARMACY - LAB 146366,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146366,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 146366,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146366,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146366,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146366,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146366,A81000B,02600,0300,VC PHARMACY - LEGEND 146366,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146366,A81000B,02800,0300,VC PHARMACY - NUTR THER 146366,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146366,A81000C,00100,0100,B 146366,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146366,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146366,A81000C,00100,0600,LIABILITY INSURANCE 146366,A81000C,00300,0400,VENCARE RESPIRATORY 146366,A81000C,00300,0600,RESPIRATORY THERAPY 146366,A81000C,00500,0400,VENCARE REHAB SERVICES 146366,A81000C,00500,0600,REHAB 146366,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146366,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146366,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146366,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146366,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146366,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146366,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146366,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146366,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146366,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146366,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146366,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146366,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146366,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146366,E10A180,00301,0100,06/30/00 146366,S000000,00100,0200,12/04/00 146366,S200000,00100,0100,500 ST CLAIR AVENUE SOUTH 146366,S200000,00200,0100,HUNTSVILLE 146366,S200000,00200,0200,AL 146366,S200000,00200,0300,35801- 146366,S200000,00300,0100,MADISON 146366,S200000,00300,0300,U 146366,S200000,00400,0100,1227-PERSONACARE OF HUNTSVILLE 146366,S200000,00400,0200,015111 146366,S200000,00400,0300,03/01/94 146366,S200000,00400,0500,P 146366,S200000,01500,0100,N 146366,S200000,01600,0100,Y 146366,S200000,01700,0100,N 146366,S200000,01800,0100,N 146366,S200000,02200,0100,Y 146366,S200000,02800,0100,N 146366,S200000,02900,0100,N 146366,S200000,03000,0100,N 146366,S200000,03100,0100,N 146366,S200000,03200,0100,N 146366,S200000,04100,0100,N 146366,S200000,04200,0100,N 146366,S200000,04300,0100,N 146366,S200000,04600,0100,N 146366,S200000,04700,0100,N 146366,S200000,04700,0200,N 146366,S200000,04900,0100,N 146366,S200000,05000,0100,N 146366,S200000,05100,0100,N 146366,S200000,05200,0100,N 146367,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146367,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146367,A000000,00300,0000,0300EMPLOYEE BENEFITS 146367,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146367,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146367,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146367,A000000,00700,0000,0700HOUSEKEEPING 146367,A000000,00800,0000,0800DIETARY 146367,A000000,00900,0000,0900NURSING ADMINISTRATION 146367,A000000,00901,0000,0901OTHER NURSING 146367,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146367,A000000,01100,0000,1100PHARMACY 146367,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146367,A000000,01300,0000,1300SOCIAL SERVICE 146367,A000000,01301,0000,1301ACTIVITIES 146367,A000000,01600,0000,1600SKILLED NURSING FACILITY 146367,A000000,01800,0000,1800NURSING FACILITY 146367,A000000,02100,0000,2100RADIOLOGY 146367,A000000,02200,0000,2200LABORATORY 146367,A000000,02300,0000,2300INTRAVENOUS THERAPY 146367,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146367,A000000,02500,0000,2500PHYSICAL THERAPY 146367,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146367,A000000,02700,0000,2700SPEECH PATHOLOGY 146367,A000000,02800,0000,2800ELECTROCARDIOLOGY 146367,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146367,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146367,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146367,A000000,03301,0000,3051NUTRITIONAL THERAPY 146367,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146367,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146367,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146367,A000000,04800,0000,4800AMBULANCE 146367,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146367,A000000,05300,0000,5300INTEREST EXPENSE 146367,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146367,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146367,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146367,A000000,06200,0000,6200PATIENTS LAUNDRY 146367,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146367,A000000,06301,0000,6151DAY CARE 146367,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146367,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146367,A81000A,00100,0100,Y 146367,A81000B,00100,0300,HOME OFFICE COSTS 146367,A81000B,00200,0300,LIABILITY INSURANCE 146367,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146367,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146367,A81000B,00500,0300,VC PHARMACY - ADMIN 146367,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146367,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146367,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146367,A81000B,00900,0300,VC PHARMACY - DIETARY 146367,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146367,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146367,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146367,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146367,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146367,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146367,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146367,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146367,A81000B,01800,0300,VENCARE MOBILE RADIOLOGY 146367,A81000B,01900,0300,VC PHARMACY - LAB 146367,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146367,A81000B,02100,0300,VENCARE RT 146367,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146367,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146367,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146367,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146367,A81000B,02600,0300,VC PHARMACY - LEGEND 146367,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146367,A81000B,02800,0300,VC PHARMACY - NUTR THER 146367,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146367,A81000C,00100,0100,B 146367,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146367,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146367,A81000C,00100,0600,LIABILITY INSURANCE 146367,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146367,A81000C,00200,0600,PHARMACY 146367,A81000C,00300,0400,VENCARE RESPIRATORY 146367,A81000C,00300,0600,RESPIRATORY THERAPY 146367,A81000C,00400,0400,THERAPY SERVICES 146367,A81000C,00500,0400,VENCARE REHAB SERVICES 146367,A81000C,00500,0600,REHAB 146367,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146367,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146367,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146367,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146367,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146367,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146367,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146367,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146367,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146367,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146367,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146367,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146367,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146367,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146367,S000000,00100,0200,12/11/00 146367,S200000,00100,0100,105 TEAKWOOD DRIVE 146367,S200000,00200,0100,HUNTSVILLE 146367,S200000,00200,0200,AL 146367,S200000,00200,0300,35801- 146367,S200000,00300,0100,MADISON 146367,S200000,00300,0300,U 146367,S200000,00400,0100,791 - REHAB & HCC HUNTSVILLE 146367,S200000,00400,0200,015116 146367,S200000,00400,0300,09/01/82 146367,S200000,00400,0500,P 146367,S200000,01500,0100,N 146367,S200000,01600,0100,Y 146367,S200000,01700,0100,N 146367,S200000,01800,0100,N 146367,S200000,02200,0100,Y 146367,S200000,02800,0100,N 146367,S200000,02900,0100,N 146367,S200000,03000,0100,N 146367,S200000,03100,0100,N 146367,S200000,03200,0100,N 146367,S200000,04100,0100,N 146367,S200000,04200,0100,N 146367,S200000,04300,0100,N 146367,S200000,04600,0100,N 146367,S200000,04700,0100,N 146367,S200000,04700,0200,N 146367,S200000,04900,0100,N 146367,S200000,05000,0100,N 146367,S200000,05100,0100,N 146367,S200000,05200,0100,N 146368,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146368,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146368,A000000,00300,0000,0300EMPLOYEE BENEFITS 146368,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146368,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146368,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146368,A000000,00700,0000,0700HOUSEKEEPING 146368,A000000,00800,0000,0800DIETARY 146368,A000000,00900,0000,0900NURSING ADMINISTRATION 146368,A000000,00901,0000,0901OTHER NURSING 146368,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146368,A000000,01100,0000,1100PHARMACY 146368,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146368,A000000,01300,0000,1300SOCIAL SERVICE 146368,A000000,01301,0000,1301ACTIVITIES 146368,A000000,01600,0000,1600SKILLED NURSING FACILITY 146368,A000000,01800,0000,1800NURSING FACILITY 146368,A000000,02100,0000,2100RADIOLOGY 146368,A000000,02200,0000,2200LABORATORY 146368,A000000,02300,0000,2300INTRAVENOUS THERAPY 146368,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146368,A000000,02500,0000,2500PHYSICAL THERAPY 146368,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146368,A000000,02700,0000,2700SPEECH PATHOLOGY 146368,A000000,02800,0000,2800ELECTROCARDIOLOGY 146368,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146368,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146368,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146368,A000000,03301,0000,3051NUTRITIONAL THERAPY 146368,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146368,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146368,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146368,A000000,04800,0000,4800AMBULANCE 146368,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146368,A000000,05300,0000,5300INTEREST EXPENSE 146368,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146368,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146368,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146368,A000000,06200,0000,6200PATIENTS LAUNDRY 146368,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146368,A000000,06301,0000,6151DAY CARE 146368,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146368,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146368,A81000A,00100,0100,Y 146368,A81000B,00100,0300,HOME OFFICE COSTS 146368,A81000B,00200,0300,LIABILITY INSURANCE 146368,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146368,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146368,A81000B,00500,0300,VC PHARMACY - ADMIN 146368,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146368,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146368,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146368,A81000B,00900,0300,VC PHARMACY - DIETARY 146368,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146368,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146368,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146368,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146368,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146368,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146368,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146368,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146368,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 146368,A81000B,01900,0300,VC PHARMACY - LAB 146368,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146368,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 146368,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146368,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146368,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146368,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146368,A81000B,02600,0300,VC PHARMACY - LEGEND 146368,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146368,A81000B,02800,0300,VC PHARMACY - NUTR THER 146368,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146368,A81000C,00100,0100,B 146368,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146368,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146368,A81000C,00100,0600,LIABILITY INSURANCE 146368,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146368,A81000C,00200,0600,PHARMACY 146368,A81000C,00300,0400,VENCARE RESPIRATORY 146368,A81000C,00300,0600,RESPIRATORY THERAPY 146368,A81000C,00400,0400,THERAPY SERVICES 146368,A81000C,00500,0400,VENCARE REHAB SERVICES 146368,A81000C,00500,0600,REHAB 146368,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146368,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146368,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146368,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146368,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146368,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146368,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146368,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146368,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146368,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146368,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146368,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146368,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146368,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146368,E10A180,00301,0100,06/30/00 146368,S000000,00100,0200,12/11/00 146368,S200000,00100,0100,1758 SPRINGHILL AVENUE 146368,S200000,00200,0100,MOBILE 146368,S200000,00200,0200,AL 146368,S200000,00200,0300,36607- 146368,S200000,00300,0100,MOBILE 146368,S200000,00300,0300,U 146368,S200000,00400,0100,824 - REHAB & HCARE CTR OF MOBILE 146368,S200000,00400,0200,015151 146368,S200000,00400,0300,01/21/76 146368,S200000,00400,0500,P 146368,S200000,01500,0100,N 146368,S200000,01600,0100,Y 146368,S200000,01700,0100,N 146368,S200000,01800,0100,N 146368,S200000,02200,0100,Y 146368,S200000,02800,0100,N 146368,S200000,02900,0100,N 146368,S200000,03000,0100,N 146368,S200000,03100,0100,N 146368,S200000,03200,0100,N 146368,S200000,04100,0100,N 146368,S200000,04200,0100,N 146368,S200000,04300,0100,N 146368,S200000,04600,0100,N 146368,S200000,04700,0100,N 146368,S200000,04700,0200,N 146368,S200000,04900,0100,N 146368,S200000,05000,0100,N 146368,S200000,05100,0100,N 146368,S200000,05200,0100,N 146369,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146369,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146369,A000000,00300,0000,0300EMPLOYEE BENEFITS 146369,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146369,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146369,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146369,A000000,00700,0000,0700HOUSEKEEPING 146369,A000000,00800,0000,0800DIETARY 146369,A000000,00900,0000,0900NURSING ADMINISTRATION 146369,A000000,00901,0000,0901OTHER NURSING 146369,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146369,A000000,01100,0000,1100PHARMACY 146369,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146369,A000000,01300,0000,1300SOCIAL SERVICE 146369,A000000,01301,0000,1301ACTIVITIES 146369,A000000,01600,0000,1600SKILLED NURSING FACILITY 146369,A000000,01800,0000,1800NURSING FACILITY 146369,A000000,02100,0000,2100RADIOLOGY 146369,A000000,02200,0000,2200LABORATORY 146369,A000000,02300,0000,2300INTRAVENOUS THERAPY 146369,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146369,A000000,02500,0000,2500PHYSICAL THERAPY 146369,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146369,A000000,02700,0000,2700SPEECH PATHOLOGY 146369,A000000,02800,0000,2800ELECTROCARDIOLOGY 146369,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146369,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146369,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146369,A000000,03301,0000,3051NUTRITIONAL THERAPY 146369,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146369,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146369,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146369,A000000,04800,0000,4800AMBULANCE 146369,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146369,A000000,05300,0000,5300INTEREST EXPENSE 146369,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146369,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146369,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146369,A000000,06200,0000,6200PATIENTS LAUNDRY 146369,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146369,A000000,06301,0000,6151DAY CARE 146369,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146369,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146369,A81000A,00100,0100,Y 146369,A81000B,00100,0300,HOME OFFICE COSTS 146369,A81000B,00200,0300,LIABILITY INSURANCE 146369,A81000B,00500,0300,VC PHARMACY - ADMIN 146369,A81000B,00700,0300,VC PHARMACY - NONLEGEND 146369,A81000B,00900,0300,VC PHARMACY - DIETARY 146369,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146369,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 146369,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 146369,A81000B,01300,0300,VENCARE REHAB - PHYS THER 146369,A81000B,01400,0300,VENCARE REHAB - OCCP THER 146369,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 146369,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 146369,A81000B,01700,0300,VC PHARMACY - LEGEND 146369,A81000B,01800,0300,VENCARE PHARMACY- CME/DME 146369,A81000C,00100,0100,B 146369,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146369,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146369,A81000C,00100,0600,LIABILITY INSURANCE 146369,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146369,A81000C,00200,0600,PHARMACY 146369,A81000C,00300,0400,VENCARE RESPIRATORY 146369,A81000C,00300,0600,RESPIRATORY THERAPY 146369,A81000C,00400,0400,THERAPY SERVICES 146369,A81000C,00500,0400,VENCARE REHAB SERVICES 146369,A81000C,00500,0600,REHAB 146369,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146369,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146369,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146369,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146369,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146369,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146369,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146369,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146369,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146369,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146369,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146369,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146369,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146369,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146369,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146369,S000000,00100,0200,12/01/00 146369,S200000,00100,0100,5545 EAST LEE STREET 146369,S200000,00200,0100,TUCSON 146369,S200000,00200,0200,AZ 146369,S200000,00200,0300,85712- 146369,S200000,00300,0100,PIMA 146369,S200000,00300,0300,U 146369,S200000,00400,0100,#436 VALLEY HCRC 146369,S200000,00400,0200,035068 146369,S200000,00400,0300,01/16/81 146369,S200000,00400,0500,P 146369,S200000,01500,0100,Y 146369,S200000,01600,0100,N 146369,S200000,01700,0100,N 146369,S200000,01800,0100,N 146369,S200000,02200,0100,Y 146369,S200000,02800,0100,N 146369,S200000,02900,0100,N 146369,S200000,03000,0100,N 146369,S200000,03100,0100,N 146369,S200000,03200,0100,N 146369,S200000,04100,0100,N 146369,S200000,04200,0100,N 146369,S200000,04300,0100,N 146369,S200000,04600,0100,N 146369,S200000,04700,0100,N 146369,S200000,04700,0200,N 146369,S200000,04900,0100,N 146369,S200000,05000,0100,N 146369,S200000,05100,0100,N 146369,S200000,05200,0100,N 146370,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146370,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146370,A000000,00300,0000,0300EMPLOYEE BENEFITS 146370,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146370,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146370,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146370,A000000,00700,0000,0700HOUSEKEEPING 146370,A000000,00800,0000,0800DIETARY 146370,A000000,00900,0000,0900NURSING ADMINISTRATION 146370,A000000,00901,0000,0901OTHER NURSING 146370,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146370,A000000,01100,0000,1100PHARMACY 146370,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146370,A000000,01300,0000,1300SOCIAL SERVICE 146370,A000000,01301,0000,1301ACTIVITIES 146370,A000000,01600,0000,1600SKILLED NURSING FACILITY 146370,A000000,01800,0000,1800NURSING FACILITY 146370,A000000,02100,0000,2100RADIOLOGY 146370,A000000,02200,0000,2200LABORATORY 146370,A000000,02300,0000,2300INTRAVENOUS THERAPY 146370,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146370,A000000,02500,0000,2500PHYSICAL THERAPY 146370,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146370,A000000,02700,0000,2700SPEECH PATHOLOGY 146370,A000000,02800,0000,2800ELECTROCARDIOLOGY 146370,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146370,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146370,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146370,A000000,03301,0000,3051NUTRITIONAL THERAPY 146370,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146370,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146370,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146370,A000000,04800,0000,4800AMBULANCE 146370,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146370,A000000,05300,0000,5300INTEREST EXPENSE 146370,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146370,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146370,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146370,A000000,06200,0000,6200PATIENTS LAUNDRY 146370,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146370,A000000,06301,0000,6151DAY CARE 146370,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146370,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146370,A81000A,00100,0100,Y 146370,A81000B,00100,0300,HOME OFFICE COSTS 146370,A81000B,00200,0300,LIABILITY INSURANCE 146370,A81000B,00500,0300,VC PHARMACY - ADMIN 146370,A81000B,00700,0300,VC PHARMACY - NONLEGEND 146370,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146370,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 146370,A81000B,01200,0300,VC PHARMACY - IV THERAPY 146370,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 146370,A81000B,01400,0300,VENCARE REHAB - PHYS THER 146370,A81000B,01500,0300,VENCARE REHAB - OCCP THER 146370,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 146370,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 146370,A81000B,01800,0300,VC PHARMACY - LEGEND 146370,A81000C,00100,0100,B 146370,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146370,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146370,A81000C,00100,0600,LIABILITY INSURANCE 146370,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146370,A81000C,00200,0600,PHARMACY 146370,A81000C,00300,0400,VENCARE RESPIRATORY 146370,A81000C,00300,0600,RESPIRATORY THERAPY 146370,A81000C,00400,0400,THERAPY SERVICES 146370,A81000C,00500,0400,VENCARE REHAB SERVICES 146370,A81000C,00500,0600,REHAB 146370,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146370,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146370,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146370,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146370,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146370,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146370,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146370,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146370,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146370,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146370,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146370,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146370,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146370,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146370,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146370,E10A180,00350,0100,06/30/00 146370,S000000,00100,0200,12/01/00 146370,S200000,00100,0100,1919 WEST MEDICAL STREET 146370,S200000,00200,0100,TUCSON 146370,S200000,00200,0200,AZ 146370,S200000,00200,0300,85704- 146370,S200000,00300,0100,PIMA 146370,S200000,00300,0300,U 146370,S200000,00400,0100,#743- DESERT LIFE RCC 146370,S200000,00400,0200,035070 146370,S200000,00400,0300,09/01/82 146370,S200000,00400,0500,P 146370,S200000,01500,0100,Y 146370,S200000,01600,0100,N 146370,S200000,01700,0100,N 146370,S200000,01800,0100,N 146370,S200000,02200,0100,Y 146370,S200000,02800,0100,N 146370,S200000,02900,0100,N 146370,S200000,03000,0100,N 146370,S200000,03100,0100,N 146370,S200000,03200,0100,N 146370,S200000,04100,0100,N 146370,S200000,04200,0100,N 146370,S200000,04300,0100,N 146370,S200000,04600,0100,N 146370,S200000,04700,0100,N 146370,S200000,04700,0200,N 146370,S200000,04900,0100,N 146370,S200000,05000,0100,N 146370,S200000,05100,0100,N 146370,S200000,05200,0100,N 146432,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146432,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146432,A000000,00300,0000,0300EMPLOYEE BENEFITS 146432,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146432,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146432,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146432,A000000,00700,0000,0700HOUSEKEEPING 146432,A000000,00800,0000,0800DIETARY 146432,A000000,00900,0000,0900NURSING ADMINISTRATION 146432,A000000,00901,0000,0901OTHER NURSING 146432,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146432,A000000,01100,0000,1100PHARMACY 146432,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146432,A000000,01300,0000,1300SOCIAL SERVICE 146432,A000000,01301,0000,1301ACTIVITIES 146432,A000000,01600,0000,1600SKILLED NURSING FACILITY 146432,A000000,01800,0000,1800NURSING FACILITY 146432,A000000,02100,0000,2100RADIOLOGY 146432,A000000,02200,0000,2200LABORATORY 146432,A000000,02300,0000,2300INTRAVENOUS THERAPY 146432,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146432,A000000,02500,0000,2500PHYSICAL THERAPY 146432,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146432,A000000,02700,0000,2700SPEECH PATHOLOGY 146432,A000000,02800,0000,2800ELECTROCARDIOLOGY 146432,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146432,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146432,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146432,A000000,03301,0000,3051NUTRITIONAL THERAPY 146432,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146432,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146432,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146432,A000000,04800,0000,4800AMBULANCE 146432,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146432,A000000,05300,0000,5300INTEREST EXPENSE 146432,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146432,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146432,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146432,A000000,06200,0000,6200PATIENTS LAUNDRY 146432,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146432,A000000,06301,0000,6151DAY CARE 146432,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146432,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146432,A81000A,00100,0100,Y 146432,A81000B,00100,0300,HOME OFFICE COSTS 146432,A81000B,00200,0300,LIABILITY INSURANCE 146432,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146432,A81000B,00500,0300,VC PHARMACY - ADMIN 146432,A81000B,00900,0300,VC PHARMACY - DIETARY 146432,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146432,A81000B,01100,0300,VC PHARMACY - NONLEGEND 146432,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 146432,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 146432,A81000B,01400,0300,VC PHARMACY - IV THERAPY 146432,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 146432,A81000B,01600,0300,VENCARE REHAB - PHYS THER 146432,A81000B,01700,0300,VENCARE REHAB - OCCP THER 146432,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 146432,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 146432,A81000B,02000,0300,VC PHARMACY - LEGEND 146432,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 146432,A81000C,00100,0100,B 146432,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146432,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146432,A81000C,00100,0600,LIABILITY INSURANCE 146432,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146432,A81000C,00200,0600,PHARMACY 146432,A81000C,00300,0400,VENCARE RESPIRATORY 146432,A81000C,00300,0600,RESPIRATORY THERAPY 146432,A81000C,00400,0400,THERAPY SERVICES 146432,A81000C,00500,0400,VENCARE REHAB SERVICES 146432,A81000C,00500,0600,REHAB 146432,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 146432,A81000C,00600,0600,PORTABLE X-RAY 146432,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146432,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146432,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146432,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146432,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146432,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146432,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146432,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146432,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146432,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146432,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146432,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146432,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146432,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146432,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146432,E10A180,00350,0100,06/30/00 146432,S000000,00100,0200,12/11/00 146432,S200000,00100,0100,75 BRIMBAL AVENUE 146432,S200000,00200,0100,BEVERLY 146432,S200000,00200,0200,MA 146432,S200000,00200,0300,01915- 146432,S200000,00300,0100,ESSEX 146432,S200000,00300,0300,U 146432,S200000,00400,0100,BLUEBERRY HILL HEALTHCARE 146432,S200000,00400,0200,225133 146432,S200000,00400,0300,07/01/76 146432,S200000,00400,0500,P 146432,S200000,01500,0100,Y 146432,S200000,01600,0100,N 146432,S200000,01700,0100,N 146432,S200000,01800,0100,N 146432,S200000,02200,0100,Y 146432,S200000,02800,0100,N 146432,S200000,02900,0100,N 146432,S200000,03000,0100,N 146432,S200000,03100,0100,N 146432,S200000,03200,0100,N 146432,S200000,04100,0100,N 146432,S200000,04200,0100,N 146432,S200000,04300,0100,N 146432,S200000,04600,0100,N 146432,S200000,04700,0100,N 146432,S200000,04700,0200,N 146432,S200000,04900,0100,N 146432,S200000,05000,0100,N 146432,S200000,05100,0100,N 146432,S200000,05200,0100,N 146433,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146433,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146433,A000000,00300,0000,0300EMPLOYEE BENEFITS 146433,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146433,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146433,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146433,A000000,00700,0000,0700HOUSEKEEPING 146433,A000000,00800,0000,0800DIETARY 146433,A000000,00900,0000,0900NURSING ADMINISTRATION 146433,A000000,00901,0000,0901OTHER NURSING 146433,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146433,A000000,01100,0000,1100PHARMACY 146433,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146433,A000000,01300,0000,1300SOCIAL SERVICE 146433,A000000,01301,0000,1301ACTIVITIES 146433,A000000,01600,0000,1600SKILLED NURSING FACILITY 146433,A000000,01800,0000,1800NURSING FACILITY 146433,A000000,02100,0000,2100RADIOLOGY 146433,A000000,02200,0000,2200LABORATORY 146433,A000000,02300,0000,2300INTRAVENOUS THERAPY 146433,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146433,A000000,02500,0000,2500PHYSICAL THERAPY 146433,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146433,A000000,02700,0000,2700SPEECH PATHOLOGY 146433,A000000,02800,0000,2800ELECTROCARDIOLOGY 146433,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146433,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146433,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146433,A000000,03301,0000,3051NUTRITIONAL THERAPY 146433,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146433,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146433,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146433,A000000,04800,0000,4800AMBULANCE 146433,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146433,A000000,05300,0000,5300INTEREST EXPENSE 146433,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146433,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146433,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146433,A000000,06200,0000,6200PATIENTS LAUNDRY 146433,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146433,A000000,06301,0000,6151DAY CARE 146433,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146433,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146433,A81000A,00100,0100,Y 146433,A81000B,00100,0300,HOME OFFICE COSTS 146433,A81000B,00200,0300,LIABILITY INSURANCE 146433,A81000B,00900,0300,VC PHARMACY - DIETARY 146433,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 146433,A81000B,01100,0300,VENCARE REHAB - PHYS THER 146433,A81000B,01200,0300,VENCARE REHAB - OCCP THER 146433,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 146433,A81000C,00100,0100,B 146433,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146433,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146433,A81000C,00100,0600,LIABILITY INSURANCE 146433,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146433,A81000C,00200,0600,PHARMACY 146433,A81000C,00300,0400,VENCARE RESPIRATORY 146433,A81000C,00300,0600,RESPIRATORY THERAPY 146433,A81000C,00400,0400,THERAPY SERVICES 146433,A81000C,00500,0400,VENCARE REHAB SERVICES 146433,A81000C,00500,0600,REHAB 146433,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146433,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146433,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146433,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146433,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146433,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146433,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146433,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146433,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146433,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146433,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146433,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146433,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146433,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146433,E10A180,00350,0100,06/30/00 146433,S000000,00100,0200,12/11/00 146433,S200000,00100,0100,148 MAPLE AVENUE 146433,S200000,00200,0100,GREAT BARRINGTON 146433,S200000,00200,0200,MA 146433,S200000,00200,0300,01230- 146433,S200000,00300,0100,BERKSHIRE 146433,S200000,00300,0300,U 146433,S200000,00400,0100,#585 - GREAT BARRINGTON REHAB & NRSG 146433,S200000,00400,0200,225230 146433,S200000,00400,0300,07/01/76 146433,S200000,00400,0500,P 146433,S200000,01500,0100,Y 146433,S200000,01600,0100,N 146433,S200000,01700,0100,N 146433,S200000,01800,0100,N 146433,S200000,02200,0100,Y 146433,S200000,02800,0100,N 146433,S200000,02900,0100,N 146433,S200000,03000,0100,N 146433,S200000,03100,0100,N 146433,S200000,03200,0100,N 146433,S200000,04100,0100,N 146433,S200000,04200,0100,N 146433,S200000,04300,0100,N 146433,S200000,04600,0100,N 146433,S200000,04700,0100,N 146433,S200000,04700,0200,N 146433,S200000,04900,0100,N 146433,S200000,05000,0100,N 146433,S200000,05100,0100,N 146433,S200000,05200,0100,N 146434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146434,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146434,A000000,00300,0000,0300EMPLOYEE BENEFITS 146434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146434,A000000,00700,0000,0700HOUSEKEEPING 146434,A000000,00800,0000,0800DIETARY 146434,A000000,00900,0000,0900NURSING ADMINISTRATION 146434,A000000,00901,0000,0901OTHER NURSING 146434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146434,A000000,01100,0000,1100PHARMACY 146434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146434,A000000,01300,0000,1300SOCIAL SERVICE 146434,A000000,01301,0000,1301ACTIVITIES 146434,A000000,01600,0000,1600SKILLED NURSING FACILITY 146434,A000000,01800,0000,1800NURSING FACILITY 146434,A000000,02100,0000,2100RADIOLOGY 146434,A000000,02200,0000,2200LABORATORY 146434,A000000,02300,0000,2300INTRAVENOUS THERAPY 146434,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146434,A000000,02500,0000,2500PHYSICAL THERAPY 146434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146434,A000000,02700,0000,2700SPEECH PATHOLOGY 146434,A000000,02800,0000,2800ELECTROCARDIOLOGY 146434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146434,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146434,A000000,03301,0000,3051NUTRITIONAL THERAPY 146434,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146434,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146434,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146434,A000000,04800,0000,4800AMBULANCE 146434,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146434,A000000,05300,0000,5300INTEREST EXPENSE 146434,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146434,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146434,A000000,06200,0000,6200PATIENTS LAUNDRY 146434,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146434,A000000,06301,0000,6151DAY CARE 146434,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146434,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146434,A81000A,00100,0100,Y 146434,A81000B,00100,0300,HOME OFFICE COSTS 146434,A81000B,00200,0300,LIABILITY INSURANCE 146434,A81000B,00500,0300,VC PHARMACY - ADMIN 146434,A81000B,00900,0300,VC PHARMACY - DIETARY 146434,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146434,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 146434,A81000B,01200,0300,VC PHARMACY - IV THERAPY 146434,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 146434,A81000B,01400,0300,VENCARE REHAB - PHYS THER 146434,A81000B,01500,0300,VENCARE REHAB - OCCP THER 146434,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 146434,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 146434,A81000B,01800,0300,VC PHARMACY - LEGEND 146434,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 146434,A81000C,00100,0100,B 146434,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146434,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146434,A81000C,00100,0600,LIABILITY INSURANCE 146434,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146434,A81000C,00200,0600,PHARMACY 146434,A81000C,00300,0400,VENCARE RESPIRATORY 146434,A81000C,00300,0600,RESPIRATORY THERAPY 146434,A81000C,00400,0400,THERAPY SERVICES 146434,A81000C,00500,0400,VENCARE REHAB SERVICES 146434,A81000C,00500,0600,REHAB 146434,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 146434,A81000C,00600,0600,PORTABLE X-RAY 146434,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146434,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146434,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146434,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146434,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146434,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146434,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146434,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146434,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146434,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146434,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146434,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146434,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146434,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146434,E10A180,00350,0100,06/30/00 146434,S000000,00100,0200,12/11/00 146434,S200000,00100,0100,ONE LOVE LANE 146434,S200000,00200,0100,SOUTH DENNIS 146434,S200000,00200,0200,MA 146434,S200000,00200,0300,02660- 146434,S200000,00300,0100,BARNSTABLE 146434,S200000,00300,0300,U 146434,S200000,00400,0100,EAGLE POND REHAB & LIVING CENTER 146434,S200000,00400,0200,225320 146434,S200000,00400,0300,01/27/89 146434,S200000,00400,0500,P 146434,S200000,01500,0100,Y 146434,S200000,01600,0100,N 146434,S200000,01700,0100,N 146434,S200000,01800,0100,N 146434,S200000,02200,0100,Y 146434,S200000,02800,0100,N 146434,S200000,02900,0100,N 146434,S200000,03000,0100,N 146434,S200000,03100,0100,N 146434,S200000,03200,0100,N 146434,S200000,04100,0100,N 146434,S200000,04200,0100,N 146434,S200000,04300,0100,N 146434,S200000,04600,0100,N 146434,S200000,04700,0100,N 146434,S200000,04700,0200,N 146434,S200000,04900,0100,N 146434,S200000,05000,0100,N 146434,S200000,05100,0100,N 146434,S200000,05200,0100,N 146435,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146435,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146435,A000000,00300,0000,0300EMPLOYEE BENEFITS 146435,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146435,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146435,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146435,A000000,00700,0000,0700HOUSEKEEPING 146435,A000000,00800,0000,0800DIETARY 146435,A000000,00900,0000,0900NURSING ADMINISTRATION 146435,A000000,00901,0000,0901OTHER NURSING 146435,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146435,A000000,01100,0000,1100PHARMACY 146435,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146435,A000000,01300,0000,1300SOCIAL SERVICE 146435,A000000,01301,0000,1301ACTIVITIES 146435,A000000,01600,0000,1600SKILLED NURSING FACILITY 146435,A000000,01800,0000,1800NURSING FACILITY 146435,A000000,02100,0000,2100RADIOLOGY 146435,A000000,02200,0000,2200LABORATORY 146435,A000000,02300,0000,2300INTRAVENOUS THERAPY 146435,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146435,A000000,02500,0000,2500PHYSICAL THERAPY 146435,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146435,A000000,02700,0000,2700SPEECH PATHOLOGY 146435,A000000,02800,0000,2800ELECTROCARDIOLOGY 146435,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146435,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146435,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146435,A000000,03301,0000,3051NUTRITIONAL THERAPY 146435,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146435,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146435,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146435,A000000,04800,0000,4800AMBULANCE 146435,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146435,A000000,05300,0000,5300INTEREST EXPENSE 146435,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146435,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146435,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146435,A000000,06200,0000,6200PATIENTS LAUNDRY 146435,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146435,A000000,06301,0000,6151DAY CARE 146435,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146435,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146435,A81000A,00100,0100,Y 146435,A81000B,00100,0300,HOME OFFICE COSTS 146435,A81000B,00200,0300,LIABILITY INSURANCE 146435,A81000B,00500,0300,VC PHARMACY - ADMIN 146435,A81000B,00900,0300,VC PHARMACY - DIETARY 146435,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146435,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 146435,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 146435,A81000B,01300,0300,VC PHARMACY - IV THERAPY 146435,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 146435,A81000B,01500,0300,VENCARE REHAB - PHYS THER 146435,A81000B,01600,0300,VENCARE REHAB - OCCP THER 146435,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 146435,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 146435,A81000B,01900,0300,VC PHARMACY - LEGEND 146435,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 146435,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 146435,A81000C,00100,0100,B 146435,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146435,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146435,A81000C,00100,0600,LIABILITY INSURANCE 146435,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146435,A81000C,00200,0600,PHARMACY 146435,A81000C,00300,0400,VENCARE RESPIRATORY 146435,A81000C,00300,0600,RESPIRATORY THERAPY 146435,A81000C,00400,0400,THERAPY SERVICES 146435,A81000C,00500,0400,VENCARE REHAB SERVICES 146435,A81000C,00500,0600,REHAB 146435,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 146435,A81000C,00600,0600,PORTABLE X-RAY 146435,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146435,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146435,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146435,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146435,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146435,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146435,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146435,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146435,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146435,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146435,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146435,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146435,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146435,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146435,E10A180,00301,0100,06/30/00 146435,E10A180,00350,0100,06/30/00 146435,S000000,00100,0200,12/11/00 146435,S200000,00100,0100,277 WASHINGTON STREET 146435,S200000,00200,0100,ABINGTON 146435,S200000,00200,0200,MA 146435,S200000,00200,0300,02351- 146435,S200000,00300,0100,NORFOLK 146435,S200000,00300,0300,U 146435,S200000,00400,0100,COLONY HOUSE NRSG & REHAB 146435,S200000,00400,0200,225435 146435,S200000,00400,0300,07/01/90 146435,S200000,00400,0500,P 146435,S200000,01500,0100,Y 146435,S200000,01600,0100,N 146435,S200000,01700,0100,N 146435,S200000,01800,0100,N 146435,S200000,02200,0100,Y 146435,S200000,02800,0100,N 146435,S200000,02900,0100,N 146435,S200000,03000,0100,N 146435,S200000,03100,0100,N 146435,S200000,03200,0100,N 146435,S200000,04100,0100,N 146435,S200000,04200,0100,N 146435,S200000,04300,0100,N 146435,S200000,04600,0100,N 146435,S200000,04700,0100,N 146435,S200000,04700,0200,N 146435,S200000,04900,0100,N 146435,S200000,05000,0100,N 146435,S200000,05100,0100,N 146435,S200000,05200,0100,N 146493,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146493,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146493,A000000,00300,0000,0300EMPLOYEE BENEFITS 146493,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146493,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146493,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146493,A000000,00700,0000,0700HOUSEKEEPING 146493,A000000,00800,0000,0800DIETARY 146493,A000000,00900,0000,0900NURSING ADMINISTRATION 146493,A000000,00901,0000,0901OTHER NURSING 146493,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146493,A000000,01100,0000,1100PHARMACY 146493,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146493,A000000,01300,0000,1300SOCIAL SERVICE 146493,A000000,01301,0000,1301ACTIVITIES 146493,A000000,01600,0000,1600SKILLED NURSING FACILITY 146493,A000000,01800,0000,1800NURSING FACILITY 146493,A000000,02100,0000,2100RADIOLOGY 146493,A000000,02200,0000,2200LABORATORY 146493,A000000,02300,0000,2300INTRAVENOUS THERAPY 146493,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146493,A000000,02500,0000,2500PHYSICAL THERAPY 146493,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146493,A000000,02700,0000,2700SPEECH PATHOLOGY 146493,A000000,02800,0000,2800ELECTROCARDIOLOGY 146493,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146493,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146493,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146493,A000000,03301,0000,3051NUTRITIONAL THERAPY 146493,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146493,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146493,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146493,A000000,04800,0000,4800AMBULANCE 146493,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146493,A000000,05300,0000,5300INTEREST EXPENSE 146493,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146493,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146493,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146493,A000000,06200,0000,6200PATIENTS LAUNDRY 146493,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146493,A000000,06301,0000,6151DAY CARE 146493,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146493,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146493,A81000A,00100,0100,Y 146493,A81000B,00100,0300,HOME OFFICE COSTS 146493,A81000B,00200,0300,LIABILITY INSURANCE 146493,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146493,A81000B,00900,0300,VC PHARMACY - DIETARY 146493,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 146493,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 146493,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 146493,A81000B,01300,0300,VENCARE REHAB - PHYS THER 146493,A81000B,01400,0300,VENCARE REHAB - OCCP THER 146493,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 146493,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 146493,A81000B,01700,0300,VC PHARMACY - LEGEND 146493,A81000C,00100,0100,B 146493,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146493,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146493,A81000C,00100,0600,LIABILITY INSURANCE 146493,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146493,A81000C,00200,0600,PHARMACY 146493,A81000C,00300,0400,VENCARE RESPIRATORY 146493,A81000C,00300,0600,RESPIRATORY THERAPY 146493,A81000C,00400,0400,THERAPY SERVICES 146493,A81000C,00500,0400,VENCARE REHAB SERVICES 146493,A81000C,00500,0600,REHAB 146493,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146493,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146493,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146493,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146493,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146493,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146493,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146493,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146493,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146493,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146493,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146493,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146493,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146493,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146493,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146493,E10A180,00301,0100,06/30/00 146493,S000000,00100,0200,12/01/00 146493,S200000,00100,0100,130 STRAWBERRY LANE 146493,S200000,00200,0100,WISCONSIN RAPIDS 146493,S200000,00200,0200,WI 146493,S200000,00200,0300,54494- 146493,S200000,00300,0100,WOOD 146493,S200000,00300,0300,R 146493,S200000,00400,0100,772-FAMILY HERITAGE MED.&REHAB. 146493,S200000,00400,0200,525429 146493,S200000,00400,0300,08/01/89 146493,S200000,00400,0500,P 146493,S200000,01500,0100,Y 146493,S200000,01600,0100,N 146493,S200000,01700,0100,N 146493,S200000,01800,0100,N 146493,S200000,02200,0100,Y 146493,S200000,02800,0100,N 146493,S200000,02900,0100,N 146493,S200000,03000,0100,N 146493,S200000,03100,0100,N 146493,S200000,03200,0100,N 146493,S200000,04100,0100,N 146493,S200000,04200,0100,N 146493,S200000,04300,0100,N 146493,S200000,04600,0100,N 146493,S200000,04700,0100,N 146493,S200000,04700,0200,N 146493,S200000,04900,0100,N 146493,S200000,05000,0100,N 146493,S200000,05100,0100,N 146493,S200000,05200,0100,N 146494,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146494,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146494,A000000,00300,0000,0300EMPLOYEE BENEFITS 146494,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146494,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146494,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146494,A000000,00700,0000,0700HOUSEKEEPING 146494,A000000,00800,0000,0800DIETARY 146494,A000000,00900,0000,0900NURSING ADMINISTRATION 146494,A000000,00901,0000,0901OTHER NURSING 146494,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146494,A000000,01100,0000,1100PHARMACY 146494,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146494,A000000,01300,0000,1300SOCIAL SERVICE 146494,A000000,01301,0000,1301ACTIVITIES 146494,A000000,01600,0000,1600SKILLED NURSING FACILITY 146494,A000000,01800,0000,1800NURSING FACILITY 146494,A000000,02100,0000,2100RADIOLOGY 146494,A000000,02200,0000,2200LABORATORY 146494,A000000,02300,0000,2300INTRAVENOUS THERAPY 146494,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146494,A000000,02500,0000,2500PHYSICAL THERAPY 146494,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146494,A000000,02700,0000,2700SPEECH PATHOLOGY 146494,A000000,02800,0000,2800ELECTROCARDIOLOGY 146494,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146494,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146494,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146494,A000000,03301,0000,3051NUTRITIONAL THERAPY 146494,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146494,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146494,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146494,A000000,04800,0000,4800AMBULANCE 146494,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146494,A000000,05300,0000,5300INTEREST EXPENSE 146494,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146494,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146494,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146494,A000000,06200,0000,6200PATIENTS LAUNDRY 146494,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146494,A000000,06301,0000,6151DAY CARE 146494,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146494,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146494,A81000A,00100,0100,Y 146494,A81000B,00100,0300,HOME OFFICE COSTS 146494,A81000B,00200,0300,LIABILITY INSURANCE 146494,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146494,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146494,A81000B,00500,0300,VC PHARMACY - ADMIN 146494,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146494,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146494,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146494,A81000B,00900,0300,VC PHARMACY - DIETARY 146494,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146494,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146494,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146494,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146494,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146494,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146494,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146494,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146494,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 146494,A81000B,01900,0300,VC PHARMACY - LAB 146494,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146494,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 146494,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146494,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146494,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146494,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146494,A81000B,02600,0300,VC PHARMACY - LEGEND 146494,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146494,A81000B,02800,0300,VC PHARMACY - NUTR THER 146494,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146494,A81000C,00100,0100,B 146494,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146494,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146494,A81000C,00100,0600,LIABILITY INSURANCE 146494,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146494,A81000C,00200,0600,PHARMACY 146494,A81000C,00300,0400,VENCARE RESPIRATORY 146494,A81000C,00300,0600,RESPIRATORY THERAPY 146494,A81000C,00400,0400,THERAPY SERVICES 146494,A81000C,00500,0400,VENCARE REHAB SERVICES 146494,A81000C,00500,0600,REHAB 146494,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 146494,A81000C,00600,0600,PORTABLE X-RAY 146494,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146494,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146494,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146494,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146494,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146494,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146494,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146494,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146494,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146494,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146494,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146494,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146494,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146494,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146494,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146494,E10A180,00350,0100,06/30/00 146494,S000000,00100,0200,12/01/00 146494,S200000,00100,0100,3128 BOXELDER 146494,S200000,00200,0100,CHEYENNE 146494,S200000,00200,0200,CA 146494,S200000,00200,0300,82001- 146494,S200000,00300,0100,LARAMIE 146494,S200000,00300,0300,U 146494,S200000,00400,0100,441 - MOUNTAIN TOWERS HEALTHCARE 146494,S200000,00400,0200,535013 146494,S200000,00400,0300,07/01/85 146494,S200000,00400,0500,P 146494,S200000,01500,0100,Y 146494,S200000,01600,0100,N 146494,S200000,01700,0100,N 146494,S200000,01800,0100,N 146494,S200000,02200,0100,Y 146494,S200000,02800,0100,N 146494,S200000,02900,0100,N 146494,S200000,03000,0100,N 146494,S200000,03100,0100,N 146494,S200000,03200,0100,N 146494,S200000,04100,0100,N 146494,S200000,04200,0100,N 146494,S200000,04300,0100,N 146494,S200000,04600,0100,N 146494,S200000,04700,0100,N 146494,S200000,04700,0200,N 146494,S200000,04900,0100,N 146494,S200000,05000,0100,N 146494,S200000,05100,0100,N 146494,S200000,05200,0100,N 146496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146496,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146496,A000000,00300,0000,0300EMPLOYEE BENEFITS 146496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146496,A000000,00700,0000,0700HOUSEKEEPING 146496,A000000,00800,0000,0800DIETARY 146496,A000000,00900,0000,0900NURSING ADMINISTRATION 146496,A000000,00901,0000,0901OTHER NURSING 146496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146496,A000000,01100,0000,1100PHARMACY 146496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146496,A000000,01300,0000,1300SOCIAL SERVICE 146496,A000000,01301,0000,1301ACTIVITIES 146496,A000000,01600,0000,1600SKILLED NURSING FACILITY 146496,A000000,01800,0000,1800NURSING FACILITY 146496,A000000,02100,0000,2100RADIOLOGY 146496,A000000,02200,0000,2200LABORATORY 146496,A000000,02300,0000,2300INTRAVENOUS THERAPY 146496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146496,A000000,02500,0000,2500PHYSICAL THERAPY 146496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146496,A000000,02700,0000,2700SPEECH PATHOLOGY 146496,A000000,02800,0000,2800ELECTROCARDIOLOGY 146496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146496,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146496,A000000,03301,0000,3051NUTRITIONAL THERAPY 146496,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146496,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146496,A000000,04800,0000,4800AMBULANCE 146496,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146496,A000000,05300,0000,5300INTEREST EXPENSE 146496,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146496,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146496,A000000,06200,0000,6200PATIENTS LAUNDRY 146496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146496,A000000,06301,0000,6151DAY CARE 146496,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146496,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146496,A81000A,00100,0100,Y 146496,A81000B,00100,0300,HOME OFFICE COSTS 146496,A81000B,00200,0300,LIABILITY INSURANCE 146496,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146496,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146496,A81000B,00500,0300,VC PHARMACY - ADMIN 146496,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146496,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146496,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146496,A81000B,00900,0300,VC PHARMACY - DIETARY 146496,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146496,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146496,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146496,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146496,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146496,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146496,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146496,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146496,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 146496,A81000B,01900,0300,VC PHARMACY - LAB 146496,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146496,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 146496,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146496,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146496,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146496,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146496,A81000B,02600,0300,VC PHARMACY - LEGEND 146496,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146496,A81000B,02800,0300,VC PHARMACY - NUTR THER 146496,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146496,A81000C,00100,0100,B 146496,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146496,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146496,A81000C,00100,0600,LIABILITY INSURANCE 146496,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146496,A81000C,00200,0600,PHARMACY 146496,A81000C,00300,0400,VENCARE RESPIRATORY 146496,A81000C,00300,0600,RESPIRATORY THERAPY 146496,A81000C,00400,0400,THERAPY SERVICES 146496,A81000C,00500,0400,VENCARE REHAB SERVICES 146496,A81000C,00500,0600,REHAB 146496,A81000C,00600,0600,0 146496,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146496,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146496,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146496,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146496,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146496,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146496,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146496,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146496,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146496,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146496,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146496,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146496,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146496,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146496,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146496,E10A180,00301,0100,06/30/00 146496,S000000,00100,0200,12/01/00 146496,S200000,00100,0100,2211 MT. VERNON AVENUE 146496,S200000,00200,0100,BAKERSFIELD 146496,S200000,00200,0200,CA 146496,S200000,00200,0300,93306- 146496,S200000,00300,0100,KERN 146496,S200000,00300,0300,U 146496,S200000,00400,0100,210 - CALIFORNIAN CARE CENTER 146496,S200000,00400,0200,555256 146496,S200000,00400,0300,12/23/86 146496,S200000,00400,0500,P 146496,S200000,01500,0100,Y 146496,S200000,01600,0100,N 146496,S200000,01700,0100,N 146496,S200000,01800,0100,N 146496,S200000,02200,0100,Y 146496,S200000,02800,0100,N 146496,S200000,02900,0100,N 146496,S200000,03000,0100,N 146496,S200000,03100,0100,N 146496,S200000,03200,0100,N 146496,S200000,04100,0100,N 146496,S200000,04200,0100,N 146496,S200000,04300,0100,N 146496,S200000,04600,0100,N 146496,S200000,04700,0100,N 146496,S200000,04700,0200,N 146496,S200000,04900,0100,N 146496,S200000,05000,0100,N 146496,S200000,05100,0100,N 146496,S200000,05200,0100,N 146497,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 146497,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 146497,A000000,00300,0000,0300EMPLOYEE BENEFITS 146497,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146497,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 146497,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146497,A000000,00700,0000,0700HOUSEKEEPING 146497,A000000,00800,0000,0800DIETARY 146497,A000000,00900,0000,0900NURSING ADMINISTRATION 146497,A000000,00901,0000,0901OTHER NURSING 146497,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146497,A000000,01100,0000,1100PHARMACY 146497,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146497,A000000,01300,0000,1300SOCIAL SERVICE 146497,A000000,01301,0000,1301ACTIVITIES 146497,A000000,01600,0000,1600SKILLED NURSING FACILITY 146497,A000000,01800,0000,1800NURSING FACILITY 146497,A000000,02100,0000,2100RADIOLOGY 146497,A000000,02200,0000,2200LABORATORY 146497,A000000,02300,0000,2300INTRAVENOUS THERAPY 146497,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146497,A000000,02500,0000,2500PHYSICAL THERAPY 146497,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146497,A000000,02700,0000,2700SPEECH PATHOLOGY 146497,A000000,02800,0000,2800ELECTROCARDIOLOGY 146497,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 146497,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146497,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146497,A000000,03301,0000,3051NUTRITIONAL THERAPY 146497,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 146497,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 146497,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 146497,A000000,04800,0000,4800AMBULANCE 146497,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146497,A000000,05300,0000,5300INTEREST EXPENSE 146497,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146497,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 146497,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146497,A000000,06200,0000,6200PATIENTS LAUNDRY 146497,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146497,A000000,06301,0000,6151DAY CARE 146497,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 146497,A000000,06303,0000,6153DISTRICT OFFICE SPACE 146497,A81000A,00100,0100,Y 146497,A81000B,00100,0300,HOME OFFICE COSTS 146497,A81000B,00200,0300,LIABILITY INSURANCE 146497,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 146497,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 146497,A81000B,00500,0300,VC PHARMACY - ADMIN 146497,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 146497,A81000B,00700,0300,VC PHARMACY - LAUNDRY 146497,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 146497,A81000B,00900,0300,VC PHARMACY - DIETARY 146497,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 146497,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 146497,A81000B,01200,0300,VC PHARMACY - NONLEGEND 146497,A81000B,01300,0300,VC PHARMACY - MED RECORDS 146497,A81000B,01400,0300,VC PHARMACY - SOC SVCS 146497,A81000B,01500,0300,VC PHARMACY - ACTIVITY 146497,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 146497,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 146497,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 146497,A81000B,01900,0300,VC PHARMACY - LAB 146497,A81000B,02000,0300,VC PHARMACY - IV THERAPY 146497,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 146497,A81000B,02200,0300,VENCARE REHAB - PHYS THER 146497,A81000B,02300,0300,VENCARE REHAB - OCCP THER 146497,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 146497,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 146497,A81000B,02600,0300,VC PHARMACY - LEGEND 146497,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 146497,A81000B,02800,0300,VC PHARMACY - NUTR THER 146497,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 146497,A81000C,00100,0100,B 146497,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 146497,A81000C,00100,0400,CORNERSTONE INSURANCE CO 146497,A81000C,00100,0600,LIABILITY INSURANCE 146497,A81000C,00200,0400,VENCARE PHARMACY SERVICES 146497,A81000C,00200,0600,PHARMACY 146497,A81000C,00300,0400,VENCARE RESPIRATORY 146497,A81000C,00300,0600,RESPIRATORY THERAPY 146497,A81000C,00400,0400,THERAPY SERVICES 146497,A81000C,00500,0400,VENCARE REHAB SERVICES 146497,A81000C,00500,0600,REHAB 146497,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 146497,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 146497,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 146497,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 146497,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 146497,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 146497,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 146497,B100000,00000,0800,0850PATIENT DAYS :DIETARY 146497,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 146497,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 146497,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 146497,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 146497,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 146497,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 146497,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 146497,S000000,00100,0200,01/18/01 146497,S200000,00100,0100,2120 BENTON DRIVE 146497,S200000,00200,0100,REDDING 146497,S200000,00200,0200,CA 146497,S200000,00200,0300,96003- 146497,S200000,00300,0100,SHASTA 146497,S200000,00300,0300,U 146497,S200000,00400,0100,167 - CANYONWOOD NURSING &REHAB CENT 146497,S200000,00400,0200,555356 146497,S200000,00400,0300,04/10/89 146497,S200000,00400,0500,P 146497,S200000,01500,0100,Y 146497,S200000,01600,0100,N 146497,S200000,01700,0100,N 146497,S200000,01800,0100,N 146497,S200000,02200,0100,Y 146497,S200000,02800,0100,N 146497,S200000,02900,0100,N 146497,S200000,03000,0100,N 146497,S200000,03100,0100,N 146497,S200000,03200,0100,N 146497,S200000,04100,0100,N 146497,S200000,04200,0100,N 146497,S200000,04300,0100,N 146497,S200000,04600,0100,N 146497,S200000,04700,0100,N 146497,S200000,04700,0200,N 146497,S200000,04900,0100,N 146497,S200000,05000,0100,N 146497,S200000,05100,0100,N 146497,S200000,05200,0100,N 146568,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146568,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146568,A000000,00300,0000,0300EMPLOYEE BENEFITS 146568,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146568,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146568,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146568,A000000,00700,0000,0700HOUSEKEEPING 146568,A000000,00800,0000,0800DIETARY 146568,A000000,00900,0000,0900NURSING ADMINISTRATION 146568,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146568,A000000,01100,0000,1100PHARMACY 146568,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146568,A000000,01300,0000,1300SOCIAL SERVICE 146568,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146568,A000000,01600,0000,1600SKILLED NURSING FACILITY 146568,A000000,01810,0000,1810ICF/MR 146568,A000000,02100,0000,2100RADIOLOGY 146568,A000000,02200,0000,2200LABORATORY 146568,A000000,02300,0000,2300INTRAVENOUS THERAPY 146568,A000000,02500,0000,2500PHYSICAL THERAPY 146568,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146568,A000000,02700,0000,2700SPEECH PATHOLOGY 146568,A000000,02800,0000,2800ELECTROCARDIOLOGY 146568,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146568,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146568,A000000,03550,0000,3550FQHC 146568,A000000,04800,0000,4800AMBULANCE 146568,A000000,05000,0000,5000CORF 146568,A000000,05010,0000,5010CMHC 146568,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 146568,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146568,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146568,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146568,A81000A,00100,0100,Y 146568,A81000B,00100,0300,H.O. CAP REL ADMIN & FIELD SUP 146568,A81000B,00200,0300,H.O. ADMIN & FIELD SUPERVISION 146568,A81000C,00100,0100,F 146568,A81000C,00100,0200,ELTON G. BEEBE 146568,A81000C,00100,0400,MAGNOLIA MANAGEMENT 146568,A81000C,00100,0600,MANAGEMENT COMPANY 146568,B100000,00000,0100,0100SQUARE FEET 146568,B100000,00000,0200,0200SQUARE FEET 146568,B100000,00000,0300,0300GROSS SALARIES 146568,B100000,00000,0400,0400ACCUM COST 146568,B100000,00000,0500,0500SQUARE FEET 146568,B100000,00000,0600,0600POUNDS OF LAUNDRY 146568,B100000,00000,0700,0700SQUARE FEET 146568,B100000,00000,0800,0800MEALS SERVED 146568,B100000,00000,0900,0900DIRECT NRSING HRS 146568,B100000,00000,1000,1000COSTED REQUIS 146568,B100000,00000,1100,1100COSTED REQUIS 146568,B100000,00000,1200,1200TIME SPENT 146568,B100000,00000,1300,1300TIME SPENT 146568,B100000,00000,1400,1400ASSIGNED TIME 146568,E10A180,00501,0100,06/21/00 146568,E10A180,00501,0300,09/13/00 146568,E10A180,00550,0300,06/21/00 146568,S000000,00100,0200,05/25/00 146568,S200000,00100,0100,720 KEYSER AVENUE 146568,S200000,00200,0100,NATCHITOCHES 146568,S200000,00200,0200,LA 146568,S200000,00200,0300,71457 146568,S200000,00300,0100,NATCHITOCHES 146568,S200000,00300,0200,0019 146568,S200000,00300,0300,R 146568,S200000,00400,0100,HERITAGE MANOR OF NATCHITOCHES 146568,S200000,00400,0200,195405 146568,S200000,00400,0300,04/01/97 146568,S200000,00400,0500,P 146568,S200000,01500,0100,Y 146568,S200000,01600,0100,N 146568,S200000,01700,0100,N 146568,S200000,01800,0100,N 146568,S200000,02200,0100,Y 146568,S200000,02800,0100,N 146568,S200000,02900,0100,N 146568,S200000,03000,0100,N 146568,S200000,03100,0100,N 146568,S200000,03200,0100,N 146568,S200000,03300,0100,N 146568,S200000,03300,0200,N 146568,S200000,04100,0100,N 146568,S200000,04200,0100,N 146568,S200000,04300,0100,N 146568,S200000,04600,0100,N 146568,S200000,04700,0100,N 146568,S200000,04900,0100,N 146568,S200000,05200,0100,N 146586,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146586,A000000,00101,0000,0101CRC-BLDG WOLC 146586,A000000,00102,0000,0102CRC - SHARED 146586,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146586,A000000,00201,0000,0201CRC MME-WOLC 146586,A000000,00202,0000,0202CRC MME-SHARED 146586,A000000,00300,0000,0300EMPLOYEE BENEFITS 146586,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146586,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146586,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146586,A000000,00700,0000,0700HOUSEKEEPING 146586,A000000,00800,0000,0800DIETARY 146586,A000000,00900,0000,0900NURSING ADMINISTRATION 146586,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146586,A000000,01100,0000,1100PHARMACY 146586,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146586,A000000,01300,0000,1300SOCIAL SERVICE 146586,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146586,A000000,01500,0000,1350OTHER GENERAL SERVICES 146586,A000000,01600,0000,1600SKILLED NURSING FACILITY 146586,A000000,01800,0000,1800NURSING FACILITY 146586,A000000,01810,0000,1810ICF/MR 146586,A000000,01900,0000,1900OTHER LONG TERM CARE 146586,A000000,02100,0000,2100RADIOLOGY 146586,A000000,02200,0000,2200LABORATORY 146586,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146586,A000000,02500,0000,2500PHYSICAL THERAPY 146586,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146586,A000000,02700,0000,2700SPEECH PATHOLOGY 146586,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146586,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146586,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 146586,A000000,03550,0000,3550FQHC 146586,A000000,04801,0000,4801AMBULANCE 146586,A000000,04802,0000,4802AMBULANCE 146586,A000000,05000,0000,5000CORF 146586,A000000,05010,0000,5010CMHC 146586,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 146586,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146586,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146586,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146586,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 146586,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 146586,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146586,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146586,A81000A,00100,0100,Y 146586,A81000B,00100,0300,RENT 146586,A81000B,00200,0300,HOUSEKEEPING 146586,A81000B,00300,0300,PLANT OPERATIONS 146586,A81000B,00400,0300,ADMINISTRATION 146586,A81000C,00100,0100,B 146586,A81000C,00100,0400,RLDS CHURCH 146586,A81000C,00200,0100,G 146586,A81000C,00200,0400,E.A. SMITH RETIREMENT CTR 146586,A81000C,00200,0600,ELDERLY APARTMENTS 146586,B100000,00000,0100,0100SQUARE FEET 146586,B100000,00000,0101,0101SQUARE FEET 146586,B100000,00000,0102,0102SQUARE FEET 146586,B100000,00000,0200,0200SQUARE FEET 146586,B100000,00000,0201,0201SQUARE FEET 146586,B100000,00000,0202,0202SQUARE FEET 146586,B100000,00000,0300,0300GROSS SALARIES 146586,B100000,00000,0400,0400ACCUM COST 146586,B100000,00000,0500,0500SQUARE FEET 146586,B100000,00000,0600,0600POUNDS OF LAUNDRY 146586,B100000,00000,0700,0700SQUARE FEET 146586,B100000,00000,0800,0800MEALS SERVED 146586,B100000,00000,0900,0900PATIENT DAYS 146586,B100000,00000,1000,1000COSTEDREQU UISITIONS 146586,B100000,00000,1100,1100COSTEDREQU UISITIONS 146586,B100000,00000,1200,1200TIME STUDIES 146586,B100000,00000,1300,1300TIME STUDIES 146586,B100000,00000,1400,1400ASSIGNED TIME 146586,B100000,00000,1500,1350DOLLAR VALUE 146586,E10A180,00350,0100,02/29/00 146586,E10A180,00550,0100,08/02/00 146586,E10A180,00550,0300,08/02/00 146586,S000000,00100,0200,06/16/00 146586,S200000,00100,0100,1515 WEST WHITE OAK 146586,S200000,00200,0100,INDEPENDENCE 146586,S200000,00200,0200,MO 146586,S200000,00200,0300,64050 146586,S200000,00300,0100,JACKSON 146586,S200000,00300,0200,3760 146586,S200000,00300,0300,U 146586,S200000,00400,0100,RESTHAVEN CARE CENTER 146586,S200000,00400,0200,265569 146586,S200000,00400,0300,04/06/94 146586,S200000,00400,0500,P 146586,S200000,01500,0100,N 146586,S200000,01600,0100,Y 146586,S200000,01700,0100,N 146586,S200000,01800,0100,N 146586,S200000,02200,0100,N 146586,S200000,02800,0100,N 146586,S200000,02900,0100,N 146586,S200000,03000,0100,N 146586,S200000,03100,0100,N 146586,S200000,03200,0100,N 146586,S200000,03300,0100,N 146586,S200000,03300,0200,N 146586,S200000,04100,0100,N 146586,S200000,04200,0100,N 146586,S200000,04300,0100,N 146586,S200000,04600,0100,N 146586,S200000,04700,0100,N 146586,S200000,04900,0100,N 146586,S200000,05200,0100,N 146892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146892,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 146892,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146892,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 146892,A000000,00300,0000,0300EMPLOYEE BENEFITS 146892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146892,A000000,00700,0000,0700HOUSEKEEPING 146892,A000000,00800,0000,0800DIETARY 146892,A000000,00801,0000,0801CAFETERIA 146892,A000000,00900,0000,0900NURSING ADMINISTRATION 146892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146892,A000000,01100,0000,1100PHARMACY 146892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146892,A000000,01300,0000,1300SOCIAL SERVICE 146892,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146892,A000000,01500,0000,1350REC THERAPY 146892,A000000,01600,0000,1600SKILLED NURSING FACILITY 146892,A000000,01800,0000,1800NURSING FACILITY 146892,A000000,01810,0000,1810ICF/MR 146892,A000000,02100,0000,2100RADIOLOGY 146892,A000000,02200,0000,2200LABORATORY 146892,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146892,A000000,02500,0000,2500PHYSICAL THERAPY 146892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146892,A000000,02700,0000,2700SPEECH PATHOLOGY 146892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146892,A000000,03300,0000,3050PEN THERAPY 146892,A000000,03301,0000,3051FEE SCREENING 146892,A000000,03302,0000,3052OTHER ANCILLARY III 146892,A000000,03550,0000,3550FQHC 146892,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 146892,A000000,04801,0000,4801AMBULANCE 146892,A000000,04802,0000,4802AMBULANCE 146892,A000000,04803,0000,4803AMBULANCE 146892,A000000,05000,0000,5000CORF I 146892,A000000,05010,0000,5010CMHC I 146892,A000000,05020,0000,5020OPT I 146892,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146892,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146892,A000000,05100,0000,4750OTHER REIMBURSABLE COST 146892,A000000,05300,0000,5300INTEREST EXPENSE 146892,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 146892,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 146892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146892,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 146892,A81000A,00100,0100,Y 146892,A81000B,00100,0300,AS ATTACHED 146892,A81000B,00200,0300,HOME OFFICE 146892,A81000B,00300,0300,CAPITAL INTEREST 146892,A81000B,00400,0300,HOME OFFICE 146892,A81000C,00100,0100,B 146892,A81000C,00100,0400,AS ATTACHED 146892,A81000C,00100,0600,AS ATTACHED 146892,A81000C,00200,0100,B 146892,A81000C,00200,0400,GEN. HLTH VEN. 146892,A81000C,00200,0600,LONG TERM CARE 146892,A81000C,00300,0100,B 146892,A81000C,00300,0400,GEN. HLTH VEN. 146892,A81000C,00300,0600,LONG TERM CARE 146892,A81000C,00400,0100,B 146892,A81000C,00400,0400,GEN. HLTH VEN. 146892,A81000C,00400,0600,LONG TERM CARE 146892,B100000,00000,0100,0100(SQUARE FEET) 146892,B100000,00000,0101,0101(SQUARE FEET) 146892,B100000,00000,0200,0200(SQUARE FEET) 146892,B100000,00000,0201,0201(SQUARE FEET) 146892,B100000,00000,0300,0300(GROSS SALARIES) 146892,B100000,00000,0400,0400ACCUM COST 146892,B100000,00000,0500,0500(SQUARE FEET) 146892,B100000,00000,0600,0600(PATIENT DAYS) 146892,B100000,00000,0700,0700(SQUARE FEET) 146892,B100000,00000,0800,0800(MEALS SERVED) 146892,B100000,00000,0801,0801(MEALS SERVED) 146892,B100000,00000,0900,0900(NURSING SALARIES) 146892,B100000,00000,1000,1000COST REQ 146892,B100000,00000,1100,1100(PATIENT DAYS) 146892,B100000,00000,1200,1200(PATIENT DAYS) 146892,B100000,00000,1300,1300(PATIENT DAYS) 146892,B100000,00000,1400,1400(ASSIGNED TIME) 146892,B100000,00000,1500,1350(PATIENT DAYS) 146892,S000000,00100,0200,05/31/00 146892,S200000,00100,0100,3 INDUSTRIAL HGWY EAST 146892,S200000,00200,0100,EATONTOWN 146892,S200000,00200,0200,NJ 146892,S200000,00200,0300,07724 146892,S200000,00300,0100,MONMOUTH 146892,S200000,00300,0200,5190 146892,S200000,00300,0300,U 146892,S200000,00400,0100,JERSEY SHORE 146892,S200000,00400,0200,315364 146892,S200000,00400,0300,04/08/97 146892,S200000,00400,0500,P 146892,S200000,01500,0100,N 146892,S200000,01600,0100,Y 146892,S200000,01700,0100,N 146892,S200000,01800,0100,N 146892,S200000,02200,0100,Y 146892,S200000,02800,0100,N 146892,S200000,02900,0100,N 146892,S200000,03000,0100,N 146892,S200000,03100,0100,N 146892,S200000,03200,0100,N 146892,S200000,03300,0100,N 146892,S200000,03300,0200,N 146892,S200000,04100,0100,N 146892,S200000,04200,0100,N 146892,S200000,04300,0100,N 146892,S200000,04600,0100,N 146892,S200000,04700,0100,N 146892,S200000,04900,0100,N 146917,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146917,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146917,A000000,00300,0000,0300EMPLOYEE BENEFITS 146917,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146917,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146917,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146917,A000000,00700,0000,0700HOUSEKEEPING 146917,A000000,00800,0000,0800DIETARY 146917,A000000,00900,0000,0900NURSING ADMINISTRATION 146917,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146917,A000000,01100,0000,1100PHARMACY 146917,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146917,A000000,01300,0000,1300SOCIAL SERVICE 146917,A000000,01301,0000,1301ACTIVITES 146917,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146917,A000000,01500,0000,1350REHABILITATION 146917,A000000,01600,0000,1600SKILLED NURSING FACILITY 146917,A000000,01800,0000,1800NURSING FACILITY 146917,A000000,01810,0000,1810ICF/MR 146917,A000000,02100,0000,2100RADIOLOGY 146917,A000000,02200,0000,2200LABORATORY 146917,A000000,02300,0000,2300INTRAVENOUS THERAPY 146917,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146917,A000000,02500,0000,2500PHYSICAL THERAPY 146917,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146917,A000000,02700,0000,2700SPEECH PATHOLOGY 146917,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146917,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146917,A000000,03300,0000,3050EQUIPMENT RENTAL 146917,A000000,03301,0000,3051PEN THERAPY 146917,A000000,03550,0000,3550FQHC 146917,A000000,05000,0000,5000CORF 146917,A000000,05010,0000,5010CMHC 146917,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 146917,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146917,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146917,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146917,A000000,06300,0000,6150VENDING 146917,A000000,06301,0000,6151STAND-BY 146917,A81000A,00100,0100,Y 146917,A81000B,00100,0300,HOME OFFICE COST 146917,A81000B,00200,0300,DIETARY SUPPLEMENTS 146917,A81000B,00400,0300,PRESCRIPTION DRUGS 146917,A81000B,00500,0300,MEDICAL SUPPLIES 146917,A81000B,00700,0300,HOME OFFICE CAPITAL 146917,A81000B,00900,0300,IV THERAPY 146917,A81000B,01000,0300,THERAPY CONSULTING 146917,A81000B,01100,0300,PHYSICAL THERAPY 146917,A81000B,01200,0300,OCCUPATIONAL THERAPY 146917,A81000B,01300,0300,SPEECH THERAPY 146917,A81000B,01400,0300,ANC EQUIP RENTAL 146917,A81000B,01500,0300,CENTRAL SUPPLY 146917,A81000B,01600,0300,CAPITAL 146917,A81000C,00100,0100,B 146917,A81000C,00100,0200,B/C AUSTELL PS# 146917,A81000C,00100,0400,MARINER PAN 146917,A81000C,00100,0600,NURSING HOMES 146917,A81000C,00200,0100,G 146917,A81000C,00200,0200,MARINER PAN 146917,A81000C,00200,0400,AMER PHARM SVCS 146917,A81000C,00200,0600,PHARMACEUTICALS 146917,A81000C,00300,0100,G 146917,A81000C,00300,0200,MARINER PAN 146917,A81000C,00300,0400,PRISM-ATS-ARS-T 146917,A81000C,00300,0600,THERAPIES 146917,B100000,00000,0100,0100SQUARE FEET 146917,B100000,00000,0200,0200SQUARE FEET 146917,B100000,00000,0300,0300GROSS SALARIES 146917,B100000,00000,0400,0400ACCUM COST 146917,B100000,00000,0500,0500SQUARE FEET 146917,B100000,00000,0600,0600PATIENT DAYS 146917,B100000,00000,0700,0700SQUARE FEET 146917,B100000,00000,0800,0800MEALS SERVED 146917,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 146917,B100000,00000,1000,1000PATIENT DAYS 146917,B100000,00000,1100,1100COSTED REQUIS 146917,B100000,00000,1200,1200PATIENT DAYS 146917,B100000,00000,1300,1300PATIENT DAYS 146917,B100000,00000,1301,1301PATIENT DAYS 146917,B100000,00000,1400,1400ASSIGNED TIME 146917,B100000,00000,1500,1350UNITS OF SERVICE 146917,E10A180,00301,0100,07/19/99 146917,E10A180,00501,0100,10/24/00 146917,E10A180,00501,0300,09/20/01 146917,E10A180,00550,0100,09/20/01 146917,E10A180,00551,0300,10/24/00 146917,S000000,00100,0200,08/30/00 146917,S200000,00100,0100,2130 ANDERSON MILL ROAD 146917,S200000,00200,0100,AUSTELL 146917,S200000,00200,0200,GEORGIA 146917,S200000,00200,0300,30106 146917,S200000,00300,0100,COBB 146917,S200000,00300,0200,0520 146917,S200000,00300,0300,U 146917,S200000,00400,0100,BRIAN CENTER NURSING CARE/AUSTELL 146917,S200000,00400,0200,115145 146917,S200000,00400,0300,08/05/75 146917,S200000,00400,0500,P 146917,S200000,01500,0100,N 146917,S200000,01600,0100,Y 146917,S200000,01700,0100,N 146917,S200000,01800,0100,N 146917,S200000,02200,0100,Y 146917,S200000,02800,0100,N 146917,S200000,02900,0100,N 146917,S200000,03000,0100,N 146917,S200000,03100,0100,N 146917,S200000,03200,0100,N 146917,S200000,03300,0100,N 146917,S200000,03300,0200,N 146917,S200000,04100,0100,N 146917,S200000,04200,0100,N 146917,S200000,04300,0100,N 146917,S200000,04600,0100,N 146917,S200000,04700,0100,N 146917,S200000,04900,0100,N 146917,S200000,05200,0100,N 146918,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 146918,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 146918,A000000,00300,0000,0300EMPLOYEE BENEFITS 146918,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 146918,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 146918,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 146918,A000000,00700,0000,0700HOUSEKEEPING 146918,A000000,00800,0000,0800DIETARY 146918,A000000,00900,0000,0900NURSING ADMINISTRATION 146918,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 146918,A000000,01100,0000,1100PHARMACY 146918,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 146918,A000000,01300,0000,1300SOCIAL SERVICE 146918,A000000,01301,0000,1301ACTIVITES 146918,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 146918,A000000,01500,0000,1350REHABILITATION 146918,A000000,01600,0000,1600SKILLED NURSING FACILITY 146918,A000000,01800,0000,1800NURSING FACILITY 146918,A000000,01810,0000,1810ICF/MR 146918,A000000,02200,0000,2200LABORATORY 146918,A000000,02300,0000,2300INTRAVENOUS THERAPY 146918,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 146918,A000000,02500,0000,2500PHYSICAL THERAPY 146918,A000000,02600,0000,2600OCCUPATIONAL THERAPY 146918,A000000,02700,0000,2700SPEECH PATHOLOGY 146918,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 146918,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 146918,A000000,03300,0000,3050EQUIPMENT RENTAL 146918,A000000,03301,0000,3051PEN THERAPY 146918,A000000,03550,0000,3550FQHC 146918,A000000,05000,0000,5000CORF 146918,A000000,05010,0000,5010CMHC 146918,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 146918,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 146918,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 146918,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 146918,A000000,05900,0000,5900BARBER & BEAUTY SHOP 146918,A000000,06300,0000,6150VENDING 146918,A000000,06301,0000,6151STAND-BY 146918,A81000A,00100,0100,Y 146918,A81000B,00100,0300,ADMIN & GENERAL 146918,A81000B,00200,0300,DIETARY SUPPLEMENTS 146918,A81000B,00300,0300,PRESCRIPTION DRUGS 146918,A81000B,00400,0300,MEDICAL SUPPLIES 146918,A81000B,00500,0300,BLDG CAPITAL 146918,A81000B,00600,0300,IV THERAPY 146918,A81000B,00700,0300,REHAB 146918,A81000B,00800,0300,PHYSICAL THERAPY 146918,A81000B,00900,0300,OCCUPATIONAL THERAPY 146918,A81000B,01000,0300,SPEECH THERAPY 146918,A81000B,01100,0300,CENTRAL SUPPLY 146918,A81000C,00100,0100,B 146918,A81000C,00100,0200,BCHR / MOORESVI 146918,A81000C,00100,0400,MARINER PAN 146918,A81000C,00100,0600,NURSING HOMES 146918,A81000C,00200,0100,G 146918,A81000C,00200,0200,MARINER PAN 146918,A81000C,00200,0400,AMER PHARM SVCS 146918,A81000C,00200,0600,PHARMACEUTICALS 146918,A81000C,00300,0100,G 146918,A81000C,00300,0200,MARINER PAN 146918,A81000C,00300,0400,PRISM-ATS-ARS-T 146918,A81000C,00300,0600,THERAPIES 146918,B100000,00000,0100,0100SQUARE FEET 146918,B100000,00000,0200,0200SQUARE FEET 146918,B100000,00000,0300,0300GROSS SALARIES 146918,B100000,00000,0400,0400ACCUM COST 146918,B100000,00000,0500,0500SQUARE FEET 146918,B100000,00000,0600,0600PATIENT DAYS 146918,B100000,00000,0700,0700SQUARE FEET 146918,B100000,00000,0800,0800MEALS SERVED 146918,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 146918,B100000,00000,1000,1000PATIENT DAYS 146918,B100000,00000,1100,1100COSTED REQUIS 146918,B100000,00000,1200,1200PATIENT DAYS 146918,B100000,00000,1300,1300PATIENT DAYS 146918,B100000,00000,1301,1301PATIENT DAYS 146918,B100000,00000,1400,1400ASSIGNED TIME 146918,B100000,00000,1500,1350UNITS OF SERVICE 146918,E10A180,00301,0100,07/19/00 146918,E10A180,00302,0100,07/19/00 146918,E10A180,00501,0100,08/30/00 146918,E10A180,00501,0300,08/30/00 146918,E10A180,00550,0100,09/21/01 146918,E10A180,00550,0300,09/21/01 146918,S000000,00100,0200,08/30/00 146918,S200000,00100,0100,752 EAST CENTER AVENUE 146918,S200000,00200,0100,MOORESVILLE 146918,S200000,00200,0200,NC 146918,S200000,00200,0300,28115 146918,S200000,00300,0100,IREDELL 146918,S200000,00300,0200,1560 146918,S200000,00300,0300,R 146918,S200000,00400,0100,BRIAN CTR HLTH & RETIRE/MOORESVILLE 146918,S200000,00400,0200,345179 146918,S200000,00400,0300,05/01/78 146918,S200000,00400,0500,P 146918,S200000,00600,0200,345179 146918,S200000,00600,0300,05/01/78 146918,S200000,00600,0600,O 146918,S200000,01500,0100,N 146918,S200000,01600,0100,Y 146918,S200000,01700,0100,N 146918,S200000,01800,0100,N 146918,S200000,02200,0100,Y 146918,S200000,02800,0100,N 146918,S200000,02900,0100,N 146918,S200000,03000,0100,N 146918,S200000,03100,0100,N 146918,S200000,03200,0100,N 146918,S200000,03300,0100,N 146918,S200000,03300,0200,N 146918,S200000,03500,0300,N 146918,S200000,04100,0100,N 146918,S200000,04200,0100,N 146918,S200000,04300,0100,N 146918,S200000,04600,0100,N 146918,S200000,04700,0100,N 146918,S200000,04900,0100,N 146918,S200000,05200,0100,N 146967,S000000,00100,0200,11/24/00 146967,S200000,00100,0100,309 SPRING STREET 146967,S200000,00200,0100,NEWPORT 146967,S200000,00200,0200,RI 146967,S200000,00200,0300,02840 146967,S200000,00300,0100,NEWPORT 146967,S200000,00400,0100,SAINT CLARE HOME 146967,S200000,00400,0200,415111 146967,S200000,00400,0300,01/01/92 147010,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147010,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147010,A000000,00300,0000,0300EMPLOYEE BENEFITS 147010,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147010,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147010,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147010,A000000,00700,0000,0700HOUSEKEEPING 147010,A000000,00800,0000,0800DIETARY 147010,A000000,00900,0000,0900NURSING ADMINISTRATION 147010,A000000,00901,0000,0901OTHER NURSING 147010,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147010,A000000,01100,0000,1100PHARMACY 147010,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147010,A000000,01300,0000,1300SOCIAL SERVICE 147010,A000000,01301,0000,1301ACTIVITIES 147010,A000000,01600,0000,1600SKILLED NURSING FACILITY 147010,A000000,01800,0000,1800NURSING FACILITY 147010,A000000,02100,0000,2100RADIOLOGY 147010,A000000,02200,0000,2200LABORATORY 147010,A000000,02300,0000,2300INTRAVENOUS THERAPY 147010,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147010,A000000,02500,0000,2500PHYSICAL THERAPY 147010,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147010,A000000,02700,0000,2700SPEECH PATHOLOGY 147010,A000000,02800,0000,2800ELECTROCARDIOLOGY 147010,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147010,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147010,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147010,A000000,03301,0000,3051NUTRITIONAL THERAPY 147010,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147010,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147010,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147010,A000000,04800,0000,4800AMBULANCE 147010,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147010,A000000,05300,0000,5300INTEREST EXPENSE 147010,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147010,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147010,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147010,A000000,06200,0000,6200PATIENTS LAUNDRY 147010,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147010,A000000,06301,0000,6151DAY CARE 147010,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147010,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147010,A81000A,00100,0100,Y 147010,A81000B,00100,0300,HOME OFFICE COSTS 147010,A81000B,00200,0300,LIABILITY INSURANCE 147010,A81000B,00900,0300,VC PHARMACY - DIETARY 147010,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147010,A81000B,01100,0300,VC PHARMACY - NON LEGEND 147010,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 147010,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147010,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147010,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147010,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147010,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147010,A81000B,01800,0300,VC PHARMACY - LEGEND 147010,A81000C,00100,0100,B 147010,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147010,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147010,A81000C,00100,0600,LIABILITY INSURANCE 147010,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147010,A81000C,00200,0600,PHARMACY 147010,A81000C,00300,0400,VENCARE RESPIRATORY 147010,A81000C,00300,0600,RESPIRATORY THERAPY 147010,A81000C,00400,0400,THERAPY SERVICES 147010,A81000C,00500,0400,VENCARE REHAB SERVICES 147010,A81000C,00500,0600,REHAB 147010,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147010,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147010,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147010,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147010,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147010,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147010,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147010,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147010,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147010,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147010,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147010,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147010,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147010,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147010,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147010,E10A180,00350,0100,06/30/00 147010,S000000,00100,0200,12/01/00 147010,S200000,00100,0100,6651 CARONDELET DRIVE EAST 147010,S200000,00200,0100,TUCSON 147010,S200000,00200,0200,AZ 147010,S200000,00200,0300,85710- 147010,S200000,00300,0100,PIMA 147010,S200000,00300,0300,U 147010,S200000,00400,0100,#851 VILLA CAMPANA RC 147010,S200000,00400,0200,035085 147010,S200000,00400,0300,08/24/83 147010,S200000,00400,0500,P 147010,S200000,01500,0100,Y 147010,S200000,01600,0100,N 147010,S200000,01700,0100,N 147010,S200000,01800,0100,N 147010,S200000,02200,0100,Y 147010,S200000,02800,0100,N 147010,S200000,02900,0100,N 147010,S200000,03000,0100,N 147010,S200000,03100,0100,N 147010,S200000,03200,0100,N 147010,S200000,04100,0100,N 147010,S200000,04200,0100,N 147010,S200000,04300,0100,N 147010,S200000,04600,0100,N 147010,S200000,04700,0100,N 147010,S200000,04700,0200,N 147010,S200000,04900,0100,N 147010,S200000,05000,0100,N 147010,S200000,05100,0100,N 147010,S200000,05200,0100,N 147012,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147012,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147012,A000000,00300,0000,0300EMPLOYEE BENEFITS 147012,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147012,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147012,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147012,A000000,00700,0000,0700HOUSEKEEPING 147012,A000000,00800,0000,0800DIETARY 147012,A000000,00900,0000,0900NURSING ADMINISTRATION 147012,A000000,00901,0000,0901OTHER NURSING 147012,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147012,A000000,01100,0000,1100PHARMACY 147012,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147012,A000000,01300,0000,1300SOCIAL SERVICE 147012,A000000,01301,0000,1301ACTIVITIES 147012,A000000,01600,0000,1600SKILLED NURSING FACILITY 147012,A000000,01800,0000,1800NURSING FACILITY 147012,A000000,02100,0000,2100RADIOLOGY 147012,A000000,02200,0000,2200LABORATORY 147012,A000000,02300,0000,2300INTRAVENOUS THERAPY 147012,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147012,A000000,02500,0000,2500PHYSICAL THERAPY 147012,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147012,A000000,02700,0000,2700SPEECH PATHOLOGY 147012,A000000,02800,0000,2800ELECTROCARDIOLOGY 147012,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147012,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147012,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147012,A000000,03301,0000,3051NUTRITIONAL THERAPY 147012,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147012,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147012,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147012,A000000,04800,0000,4800AMBULANCE 147012,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147012,A000000,05300,0000,5300INTEREST EXPENSE 147012,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147012,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147012,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147012,A000000,06200,0000,6200PATIENTS LAUNDRY 147012,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147012,A000000,06301,0000,6151DAY CARE 147012,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147012,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147012,A81000A,00100,0100,Y 147012,A81000B,00100,0300,HOME OFFICE COSTS 147012,A81000B,00200,0300,LIABILITY INSURANCE 147012,A81000B,00500,0300,VC PHARMACY - ADMIN 147012,A81000B,00700,0300,VC PHARMCY- NONLEGEND 147012,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147012,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147012,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147012,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147012,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147012,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147012,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147012,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147012,A81000B,01800,0300,VC PHARMACY - LEGEND 147012,A81000B,01900,0300,VC PHARMACY - NUTR THER 147012,A81000C,00100,0100,B 147012,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147012,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147012,A81000C,00100,0600,LIABILITY INSURANCE 147012,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147012,A81000C,00200,0600,PHARMACY 147012,A81000C,00300,0400,VENCARE RESPIRATORY 147012,A81000C,00300,0600,RESPIRATORY THERAPY 147012,A81000C,00400,0400,THERAPY SERVICES 147012,A81000C,00500,0400,VENCARE REHAB SERVICES 147012,A81000C,00500,0600,REHAB 147012,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147012,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147012,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147012,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147012,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147012,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147012,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147012,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147012,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147012,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147012,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147012,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147012,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147012,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147012,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147012,E10A180,00350,0100,06/30/00 147012,S000000,00100,0200,12/01/00 147012,S200000,00100,0100,4202 NORTH 20TH AVE 147012,S200000,00200,0100,PHOENIX 147012,S200000,00200,0200,AZ 147012,S200000,00200,0300,85015- 147012,S200000,00300,0100,MARICOPA 147012,S200000,00300,0300,U 147012,S200000,00400,0100,# 742 -SONORAN RCC 147012,S200000,00400,0200,035107 147012,S200000,00400,0300,08/08/85 147012,S200000,00400,0500,P 147012,S200000,01500,0100,Y 147012,S200000,01600,0100,N 147012,S200000,01700,0100,N 147012,S200000,01800,0100,N 147012,S200000,02200,0100,Y 147012,S200000,02800,0100,N 147012,S200000,02900,0100,N 147012,S200000,03000,0100,N 147012,S200000,03100,0100,N 147012,S200000,03200,0100,N 147012,S200000,04100,0100,N 147012,S200000,04200,0100,N 147012,S200000,04300,0100,N 147012,S200000,04600,0100,N 147012,S200000,04700,0100,N 147012,S200000,04700,0200,N 147012,S200000,04900,0100,N 147012,S200000,05000,0100,N 147012,S200000,05100,0100,N 147012,S200000,05200,0100,N 147014,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147014,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147014,A000000,00300,0000,0300EMPLOYEE BENEFITS 147014,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147014,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147014,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147014,A000000,00700,0000,0700HOUSEKEEPING 147014,A000000,00800,0000,0800DIETARY 147014,A000000,00900,0000,0900NURSING ADMINISTRATION 147014,A000000,00901,0000,0901OTHER NURSING 147014,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147014,A000000,01100,0000,1100PHARMACY 147014,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147014,A000000,01300,0000,1300SOCIAL SERVICE 147014,A000000,01301,0000,1301ACTIVITIES 147014,A000000,01600,0000,1600SKILLED NURSING FACILITY 147014,A000000,01800,0000,1800NURSING FACILITY 147014,A000000,02100,0000,2100RADIOLOGY 147014,A000000,02200,0000,2200LABORATORY 147014,A000000,02300,0000,2300INTRAVENOUS THERAPY 147014,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147014,A000000,02500,0000,2500PHYSICAL THERAPY 147014,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147014,A000000,02700,0000,2700SPEECH PATHOLOGY 147014,A000000,02800,0000,2800ELECTROCARDIOLOGY 147014,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147014,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147014,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147014,A000000,03301,0000,3051NUTRITIONAL THERAPY 147014,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147014,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147014,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147014,A000000,04800,0000,4800AMBULANCE 147014,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147014,A000000,05300,0000,5300INTEREST EXPENSE 147014,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147014,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147014,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147014,A000000,06200,0000,6200PATIENTS LAUNDRY 147014,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147014,A000000,06301,0000,6151DAY CARE 147014,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147014,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147014,A81000A,00100,0100,Y 147014,A81000B,00100,0300,HOME OFFICE COSTS 147014,A81000B,00200,0300,LIABILITY INSURANCE 147014,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147014,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147014,A81000B,00500,0300,VC PHARMACY - ADMIN 147014,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147014,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147014,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147014,A81000B,00900,0300,VC PHARMACY - DIETARY 147014,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147014,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147014,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147014,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147014,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147014,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147014,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147014,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147014,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147014,A81000B,01900,0300,VC PHARMACY - LAB 147014,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147014,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147014,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147014,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147014,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147014,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147014,A81000B,02600,0300,VC PHARMACY - LEGEND 147014,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147014,A81000B,02800,0300,VC PHARMACY - NUTR THER 147014,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147014,A81000C,00100,0100,B 147014,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147014,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147014,A81000C,00100,0600,LIABILITY INSURANCE 147014,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147014,A81000C,00200,0600,PHARMACY 147014,A81000C,00300,0400,VENCARE RESPIRATORY 147014,A81000C,00300,0600,RESPIRATORY THERAPY 147014,A81000C,00400,0400,THERAPY SERVICES 147014,A81000C,00500,0400,VENCARE REHAB SERVICES 147014,A81000C,00500,0600,REHAB 147014,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147014,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147014,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147014,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147014,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147014,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147014,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147014,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147014,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147014,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147014,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147014,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147014,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147014,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147014,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147014,E10A180,00301,0100,06/30/00 147014,S000000,00100,0200,12/01/00 147014,S200000,00100,0100,1425 WOODSIDE DRIVE 147014,S200000,00200,0100,SAN LUIS OBISPO 147014,S200000,00200,0200,CA 147014,S200000,00200,0300,93401- 147014,S200000,00300,0100,SAN LUIS OBISPO 147014,S200000,00300,0300,U 147014,S200000,00400,0100,212 - WOODSIDE NURSING & REHAB CENTE 147014,S200000,00400,0200,055079 147014,S200000,00400,0300,01/01/84 147014,S200000,00400,0500,P 147014,S200000,01500,0100,Y 147014,S200000,01600,0100,N 147014,S200000,01700,0100,N 147014,S200000,01800,0100,N 147014,S200000,02200,0100,Y 147014,S200000,02800,0100,N 147014,S200000,02900,0100,N 147014,S200000,03000,0100,N 147014,S200000,03100,0100,N 147014,S200000,03200,0100,N 147014,S200000,04100,0100,N 147014,S200000,04200,0100,N 147014,S200000,04300,0100,N 147014,S200000,04600,0100,N 147014,S200000,04700,0100,N 147014,S200000,04700,0200,N 147014,S200000,04900,0100,N 147014,S200000,05000,0100,N 147014,S200000,05100,0100,N 147014,S200000,05200,0100,N 147016,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147016,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147016,A000000,00300,0000,0300EMPLOYEE BENEFITS 147016,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147016,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147016,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147016,A000000,00700,0000,0700HOUSEKEEPING 147016,A000000,00800,0000,0800DIETARY 147016,A000000,00900,0000,0900NURSING ADMINISTRATION 147016,A000000,00901,0000,0901OTHER NURSING 147016,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147016,A000000,01100,0000,1100PHARMACY 147016,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147016,A000000,01300,0000,1300SOCIAL SERVICE 147016,A000000,01301,0000,1301ACTIVITIES 147016,A000000,01600,0000,1600SKILLED NURSING FACILITY 147016,A000000,01800,0000,1800NURSING FACILITY 147016,A000000,02100,0000,2100RADIOLOGY 147016,A000000,02200,0000,2200LABORATORY 147016,A000000,02300,0000,2300INTRAVENOUS THERAPY 147016,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147016,A000000,02500,0000,2500PHYSICAL THERAPY 147016,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147016,A000000,02700,0000,2700SPEECH PATHOLOGY 147016,A000000,02800,0000,2800ELECTROCARDIOLOGY 147016,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147016,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147016,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147016,A000000,03301,0000,3051NUTRITIONAL THERAPY 147016,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147016,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147016,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147016,A000000,04800,0000,4800AMBULANCE 147016,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147016,A000000,05300,0000,5300INTEREST EXPENSE 147016,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147016,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147016,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147016,A000000,06200,0000,6200PATIENTS LAUNDRY 147016,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147016,A000000,06301,0000,6151DAY CARE 147016,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147016,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147016,A81000A,00100,0100,Y 147016,A81000B,00100,0300,HOME OFFICE COSTS 147016,A81000B,00200,0300,LIABILITY INSURANCE 147016,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147016,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147016,A81000B,00500,0300,VC PHARMACY - ADMIN 147016,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147016,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147016,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147016,A81000B,00900,0300,VC PHARMACY - DIETARY 147016,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147016,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147016,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147016,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147016,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147016,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147016,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147016,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147016,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147016,A81000B,01900,0300,VC PHARMACY - LAB 147016,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147016,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147016,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147016,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147016,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147016,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147016,A81000B,02600,0300,VC PHARMACY - LEGEND 147016,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147016,A81000B,02800,0300,VC PHARMACY - NUTR THER 147016,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147016,A81000C,00100,0100,B 147016,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147016,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147016,A81000C,00100,0600,LIABILITY INSURANCE 147016,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147016,A81000C,00200,0600,PHARMACY 147016,A81000C,00300,0400,VENCARE RESPIRATORY 147016,A81000C,00300,0600,RESPIRATORY THERAPY 147016,A81000C,00400,0400,THERAPY SERVICES 147016,A81000C,00500,0400,VENCARE REHAB SERVICES 147016,A81000C,00500,0600,REHAB 147016,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147016,A81000C,00600,0600,PORTABLE X-RAY 147016,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147016,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147016,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147016,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147016,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147016,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147016,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147016,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147016,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147016,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147016,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147016,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147016,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147016,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147016,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147016,E10A180,00301,0100,06/30/00 147016,S000000,00100,0200,12/01/00 147016,S200000,00100,0100,1575 7TH AVENUE 147016,S200000,00200,0100,SAN FRANCISCO 147016,S200000,00200,0200,CA 147016,S200000,00200,0300,94122- 147016,S200000,00300,0100,SAN FRANCISCO 147016,S200000,00300,0300,U 147016,S200000,00400,0100,335 - LAWTON HEALTHCARE CNETER 147016,S200000,00400,0200,055175 147016,S200000,00400,0300,02/01/71 147016,S200000,00400,0500,P 147016,S200000,01500,0100,Y 147016,S200000,01600,0100,N 147016,S200000,01700,0100,N 147016,S200000,01800,0100,N 147016,S200000,02200,0100,Y 147016,S200000,02800,0100,N 147016,S200000,02900,0100,N 147016,S200000,03000,0100,N 147016,S200000,03100,0100,N 147016,S200000,03200,0100,N 147016,S200000,04100,0100,N 147016,S200000,04200,0100,N 147016,S200000,04300,0100,N 147016,S200000,04600,0100,N 147016,S200000,04700,0100,N 147016,S200000,04700,0200,N 147016,S200000,04900,0100,N 147016,S200000,05000,0100,N 147016,S200000,05100,0100,N 147016,S200000,05200,0100,N 147019,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147019,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147019,A000000,00300,0000,0300EMPLOYEE BENEFITS 147019,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147019,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147019,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147019,A000000,00700,0000,0700HOUSEKEEPING 147019,A000000,00800,0000,0800DIETARY 147019,A000000,00900,0000,0900NURSING ADMINISTRATION 147019,A000000,00901,0000,0901OTHER NURSING 147019,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147019,A000000,01100,0000,1100PHARMACY 147019,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147019,A000000,01300,0000,1300SOCIAL SERVICE 147019,A000000,01301,0000,1301ACTIVITIES 147019,A000000,01600,0000,1600SKILLED NURSING FACILITY 147019,A000000,01800,0000,1800NURSING FACILITY 147019,A000000,02100,0000,2100RADIOLOGY 147019,A000000,02200,0000,2200LABORATORY 147019,A000000,02300,0000,2300INTRAVENOUS THERAPY 147019,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147019,A000000,02500,0000,2500PHYSICAL THERAPY 147019,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147019,A000000,02700,0000,2700SPEECH PATHOLOGY 147019,A000000,02800,0000,2800ELECTROCARDIOLOGY 147019,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147019,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147019,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147019,A000000,03301,0000,3051NUTRITIONAL THERAPY 147019,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147019,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147019,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147019,A000000,04800,0000,4800AMBULANCE 147019,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147019,A000000,05300,0000,5300INTEREST EXPENSE 147019,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147019,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147019,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147019,A000000,06200,0000,6200PATIENTS LAUNDRY 147019,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147019,A000000,06301,0000,6151DAY CARE 147019,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147019,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147019,A81000A,00100,0100,Y 147019,A81000B,00100,0300,HOME OFFICE COSTS 147019,A81000B,00200,0300,LIABILITY INSURANCE 147019,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147019,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147019,A81000B,00500,0300,VC PHARMACY - ADMIN 147019,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147019,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147019,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147019,A81000B,00900,0300,VC PHARMACY - DIETARY 147019,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147019,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147019,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147019,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147019,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147019,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147019,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147019,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147019,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147019,A81000B,01900,0300,VC PHARMACY - LAB 147019,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147019,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147019,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147019,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147019,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147019,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147019,A81000B,02600,0300,VC PHARMACY - LEGEND 147019,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147019,A81000B,02800,0300,VC PHARMACY - NUTR THER 147019,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147019,A81000C,00100,0100,B 147019,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147019,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147019,A81000C,00100,0600,LIABILITY INSURANCE 147019,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147019,A81000C,00200,0600,PHARMACY 147019,A81000C,00300,0400,VENCARE RESPIRATORY 147019,A81000C,00300,0600,RESPIRATORY THERAPY 147019,A81000C,00400,0400,THERAPY SERVICES 147019,A81000C,00500,0400,VENCARE REHAB SERVICES 147019,A81000C,00500,0600,REHAB 147019,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147019,A81000C,00600,0600,PORTABLE X-RAY 147019,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147019,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147019,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147019,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147019,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147019,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147019,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147019,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147019,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147019,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147019,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147019,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147019,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147019,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147019,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147019,E10A180,00301,0100,06/30/00 147019,S000000,00100,0200,12/01/00 147019,S200000,00100,0100,76 FENTON STREET 147019,S200000,00200,0100,LIVERMORE 147019,S200000,00200,0200,CA 147019,S200000,00200,0300,94550- 147019,S200000,00300,0100,ALAMEDA 147019,S200000,00300,0300,U 147019,S200000,00400,0100,205 - HACIENDA CARE CENTER 147019,S200000,00400,0200,055212 147019,S200000,00400,0300,01/01/84 147019,S200000,00400,0500,P 147019,S200000,01500,0100,Y 147019,S200000,01600,0100,N 147019,S200000,01700,0100,N 147019,S200000,01800,0100,N 147019,S200000,02200,0100,Y 147019,S200000,02800,0100,N 147019,S200000,02900,0100,N 147019,S200000,03000,0100,N 147019,S200000,03100,0100,N 147019,S200000,03200,0100,N 147019,S200000,04100,0100,N 147019,S200000,04200,0100,N 147019,S200000,04300,0100,N 147019,S200000,04600,0100,N 147019,S200000,04700,0100,N 147019,S200000,04700,0200,N 147019,S200000,04900,0100,N 147019,S200000,05000,0100,N 147019,S200000,05100,0100,N 147019,S200000,05200,0100,N 147027,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147027,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147027,A000000,00300,0000,0300EMPLOYEE BENEFITS 147027,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147027,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147027,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147027,A000000,00700,0000,0700HOUSEKEEPING 147027,A000000,00800,0000,0800DIETARY 147027,A000000,00900,0000,0900NURSING ADMINISTRATION 147027,A000000,00901,0000,0901OTHER NURSING 147027,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147027,A000000,01100,0000,1100PHARMACY 147027,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147027,A000000,01300,0000,1300SOCIAL SERVICE 147027,A000000,01301,0000,1301ACTIVITIES 147027,A000000,01600,0000,1600SKILLED NURSING FACILITY 147027,A000000,01800,0000,1800NURSING FACILITY 147027,A000000,02100,0000,2100RADIOLOGY 147027,A000000,02200,0000,2200LABORATORY 147027,A000000,02300,0000,2300INTRAVENOUS THERAPY 147027,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147027,A000000,02500,0000,2500PHYSICAL THERAPY 147027,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147027,A000000,02700,0000,2700SPEECH PATHOLOGY 147027,A000000,02800,0000,2800ELECTROCARDIOLOGY 147027,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147027,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147027,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147027,A000000,03301,0000,3051NUTRITIONAL THERAPY 147027,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147027,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147027,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147027,A000000,04800,0000,4800AMBULANCE 147027,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147027,A000000,05300,0000,5300INTEREST EXPENSE 147027,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147027,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147027,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147027,A000000,06200,0000,6200PATIENTS LAUNDRY 147027,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147027,A000000,06301,0000,6151DAY CARE 147027,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147027,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147027,A81000A,00100,0100,Y 147027,A81000B,00100,0300,HOME OFFICE COSTS 147027,A81000B,00200,0300,LIABILITY INSURANCE 147027,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147027,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147027,A81000B,00500,0300,VC PHARMACY - ADMIN 147027,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147027,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147027,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147027,A81000B,00900,0300,VC PHARMACY - DIETARY 147027,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147027,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147027,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147027,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147027,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147027,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147027,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147027,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147027,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147027,A81000B,01900,0300,VC PHARMACY - LAB 147027,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147027,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147027,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147027,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147027,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147027,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147027,A81000B,02600,0300,VC PHARMACY - LEGEND 147027,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147027,A81000B,02800,0300,VC PHARMACY - NUTR THER 147027,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147027,A81000C,00100,0100,B 147027,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147027,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147027,A81000C,00100,0600,LIABILITY INSURANCE 147027,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147027,A81000C,00200,0600,PHARMACY 147027,A81000C,00300,0400,VENCARE RESPIRATORY 147027,A81000C,00300,0600,RESPIRATORY THERAPY 147027,A81000C,00400,0400,THERAPY SERVICES 147027,A81000C,00500,0400,VENCARE REHAB SERVICES 147027,A81000C,00500,0600,REHAB 147027,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147027,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147027,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147027,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147027,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147027,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147027,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147027,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147027,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147027,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147027,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147027,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147027,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147027,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147027,S000000,00100,0200,12/01/00 147027,S200000,00100,0100,1115 CAPITOLA ROAD 147027,S200000,00200,0100,SANTA CRUZ 147027,S200000,00200,0200,CA 147027,S200000,00200,0300,95062- 147027,S200000,00300,0100,SANTA CRUZ 147027,S200000,00300,0300,U 147027,S200000,00400,0100,368 - SANTA CRUZ HEALTHCARE CENTER 147027,S200000,00400,0200,056065 147027,S200000,00400,0300,08/01/72 147027,S200000,00400,0500,P 147027,S200000,01500,0100,Y 147027,S200000,01600,0100,N 147027,S200000,01700,0100,N 147027,S200000,01800,0100,N 147027,S200000,02200,0100,Y 147027,S200000,02800,0100,N 147027,S200000,02900,0100,N 147027,S200000,03000,0100,N 147027,S200000,03100,0100,N 147027,S200000,03200,0100,N 147027,S200000,04100,0100,N 147027,S200000,04200,0100,N 147027,S200000,04300,0100,N 147027,S200000,04600,0100,N 147027,S200000,04700,0100,N 147027,S200000,04700,0200,N 147027,S200000,04900,0100,N 147027,S200000,05000,0100,N 147027,S200000,05100,0100,N 147027,S200000,05200,0100,N 147030,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147030,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147030,A000000,00300,0000,0300EMPLOYEE BENEFITS 147030,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147030,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147030,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147030,A000000,00700,0000,0700HOUSEKEEPING 147030,A000000,00800,0000,0800DIETARY 147030,A000000,00900,0000,0900NURSING ADMINISTRATION 147030,A000000,00901,0000,0901OTHER NURSING 147030,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147030,A000000,01100,0000,1100PHARMACY 147030,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147030,A000000,01300,0000,1300SOCIAL SERVICE 147030,A000000,01301,0000,1301ACTIVITIES 147030,A000000,01600,0000,1600SKILLED NURSING FACILITY 147030,A000000,01800,0000,1800NURSING FACILITY 147030,A000000,02100,0000,2100RADIOLOGY 147030,A000000,02200,0000,2200LABORATORY 147030,A000000,02300,0000,2300INTRAVENOUS THERAPY 147030,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147030,A000000,02500,0000,2500PHYSICAL THERAPY 147030,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147030,A000000,02700,0000,2700SPEECH PATHOLOGY 147030,A000000,02800,0000,2800ELECTROCARDIOLOGY 147030,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147030,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147030,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147030,A000000,03301,0000,3051NUTRITIONAL THERAPY 147030,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147030,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147030,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147030,A000000,04800,0000,4800AMBULANCE 147030,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147030,A000000,05300,0000,5300INTEREST EXPENSE 147030,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147030,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147030,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147030,A000000,06200,0000,6200PATIENTS LAUNDRY 147030,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147030,A000000,06301,0000,6151DAY CARE 147030,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147030,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147030,A81000A,00100,0100,Y 147030,A81000B,00100,0300,HOME OFFICE COSTS 147030,A81000B,00200,0300,LIABILITY INSURANCE 147030,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147030,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147030,A81000B,00500,0300,VC PHARMACY - ADMIN 147030,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147030,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147030,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147030,A81000B,00900,0300,VC PHARMACY - DIETARY 147030,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147030,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147030,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147030,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147030,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147030,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147030,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147030,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147030,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147030,A81000B,01900,0300,VC PHARMACY - LAB 147030,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147030,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147030,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147030,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147030,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147030,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147030,A81000B,02600,0300,VC PHARMACY - LEGEND 147030,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147030,A81000B,02800,0300,VC PHARMACY - NUTR THER 147030,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147030,A81000C,00100,0100,B 147030,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147030,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147030,A81000C,00100,0600,LIABILITY INSURANCE 147030,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147030,A81000C,00200,0600,PHARMACY 147030,A81000C,00300,0400,VENCARE RESPIRATORY 147030,A81000C,00300,0600,RESPIRATORY THERAPY 147030,A81000C,00400,0400,THERAPY SERVICES 147030,A81000C,00500,0400,VENCARE REHAB SERVICES 147030,A81000C,00500,0600,REHAB 147030,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147030,A81000C,00600,0600,PORTABLE X-RAY 147030,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147030,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147030,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147030,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147030,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147030,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147030,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147030,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147030,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147030,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147030,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147030,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147030,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147030,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147030,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147030,E10A180,00302,0100,11/30/00 147030,S000000,00100,0200,12/01/00 147030,S200000,00100,0100,2707 PINE STREET 147030,S200000,00200,0100,SAN FRANCISCO 147030,S200000,00200,0200,CA 147030,S200000,00200,0300,94115- 147030,S200000,00300,0100,SAN FRANCISCO 147030,S200000,00300,0300,U 147030,S200000,00400,0100,909 - GOLDEN GATE HEALTHCARE CENTER 147030,S200000,00400,0200,056176 147030,S200000,00400,0300,03/29/74 147030,S200000,00400,0500,P 147030,S200000,01500,0100,Y 147030,S200000,01600,0100,N 147030,S200000,01700,0100,N 147030,S200000,01800,0100,N 147030,S200000,02200,0100,Y 147030,S200000,02800,0100,N 147030,S200000,02900,0100,N 147030,S200000,03000,0100,N 147030,S200000,03100,0100,N 147030,S200000,03200,0100,N 147030,S200000,04100,0100,N 147030,S200000,04200,0100,N 147030,S200000,04300,0100,N 147030,S200000,04600,0100,N 147030,S200000,04700,0100,N 147030,S200000,04700,0200,N 147030,S200000,04900,0100,N 147030,S200000,05000,0100,N 147030,S200000,05100,0100,N 147030,S200000,05200,0100,N 147032,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147032,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147032,A000000,00300,0000,0300EMPLOYEE BENEFITS 147032,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147032,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147032,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147032,A000000,00700,0000,0700HOUSEKEEPING 147032,A000000,00800,0000,0800DIETARY 147032,A000000,00900,0000,0900NURSING ADMINISTRATION 147032,A000000,00901,0000,0901OTHER NURSING 147032,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147032,A000000,01100,0000,1100PHARMACY 147032,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147032,A000000,01300,0000,1300SOCIAL SERVICE 147032,A000000,01301,0000,1301ACTIVITIES 147032,A000000,01600,0000,1600SKILLED NURSING FACILITY 147032,A000000,01800,0000,1800NURSING FACILITY 147032,A000000,02100,0000,2100RADIOLOGY 147032,A000000,02200,0000,2200LABORATORY 147032,A000000,02300,0000,2300INTRAVENOUS THERAPY 147032,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147032,A000000,02500,0000,2500PHYSICAL THERAPY 147032,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147032,A000000,02700,0000,2700SPEECH PATHOLOGY 147032,A000000,02800,0000,2800ELECTROCARDIOLOGY 147032,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147032,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147032,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147032,A000000,03301,0000,3051NUTRITIONAL THERAPY 147032,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147032,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147032,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147032,A000000,04800,0000,4800AMBULANCE 147032,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147032,A000000,05300,0000,5300INTEREST EXPENSE 147032,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147032,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147032,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147032,A000000,06200,0000,6200PATIENTS LAUNDRY 147032,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147032,A000000,06301,0000,6151DAY CARE 147032,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147032,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147032,A81000A,00100,0100,Y 147032,A81000B,00100,0300,HOME OFFICE COSTS 147032,A81000B,00200,0300,LIABILITY INSURANCE 147032,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147032,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147032,A81000B,00500,0300,VC PHARMACY - ADMIN 147032,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147032,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147032,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147032,A81000B,00900,0300,VC PHARMACY - DIETARY 147032,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147032,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147032,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147032,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147032,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147032,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147032,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147032,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147032,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147032,A81000B,01900,0300,VC PHARMACY - LAB 147032,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147032,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147032,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147032,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147032,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147032,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147032,A81000B,02600,0300,VC PHARMACY - LEGEND 147032,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147032,A81000B,02800,0300,VC PHARMACY - NUTR THER 147032,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147032,A81000C,00100,0100,B 147032,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147032,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147032,A81000C,00100,0600,LIABILITY INSURANCE 147032,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147032,A81000C,00200,0600,PHARMACY 147032,A81000C,00300,0400,VENCARE RESPIRATORY 147032,A81000C,00300,0600,RESPIRATORY THERAPY 147032,A81000C,00400,0400,THERAPY SERVICES 147032,A81000C,00500,0400,VENCARE REHAB SERVICES 147032,A81000C,00500,0600,REHAB 147032,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147032,A81000C,00600,0600,PORTABLE X-RAY 147032,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147032,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147032,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147032,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147032,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147032,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147032,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147032,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147032,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147032,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147032,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147032,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147032,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147032,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147032,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147032,S000000,00100,0200,12/01/00 147032,S200000,00100,0100,516 WILLOW STREET 147032,S200000,00200,0100,ALAMEDA 147032,S200000,00200,0200,CA 147032,S200000,00200,0300,94501- 147032,S200000,00300,0100,ALAMEDA 147032,S200000,00300,0300,U 147032,S200000,00400,0100,738 - BAY VIEW NURSING & REHAB CENTE 147032,S200000,00400,0200,056348 147032,S200000,00400,0300,09/01/82 147032,S200000,00400,0500,P 147032,S200000,01500,0100,Y 147032,S200000,01600,0100,N 147032,S200000,01700,0100,N 147032,S200000,01800,0100,N 147032,S200000,02200,0100,Y 147032,S200000,02800,0100,N 147032,S200000,02900,0100,N 147032,S200000,03000,0100,N 147032,S200000,03100,0100,N 147032,S200000,03200,0100,N 147032,S200000,04100,0100,N 147032,S200000,04200,0100,N 147032,S200000,04300,0100,N 147032,S200000,04600,0100,N 147032,S200000,04700,0100,N 147032,S200000,04700,0200,N 147032,S200000,04900,0100,N 147032,S200000,05000,0100,N 147032,S200000,05100,0100,N 147032,S200000,05200,0100,N 147035,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147035,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147035,A000000,00300,0000,0300EMPLOYEE BENEFITS 147035,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147035,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147035,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147035,A000000,00700,0000,0700HOUSEKEEPING 147035,A000000,00800,0000,0800DIETARY 147035,A000000,00900,0000,0900NURSING ADMINISTRATION 147035,A000000,00901,0000,0901OTHER NURSING 147035,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147035,A000000,01100,0000,1100PHARMACY 147035,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147035,A000000,01300,0000,1300SOCIAL SERVICE 147035,A000000,01301,0000,1301ACTIVITIES 147035,A000000,01600,0000,1600SKILLED NURSING FACILITY 147035,A000000,01800,0000,1800NURSING FACILITY 147035,A000000,02100,0000,2100RADIOLOGY 147035,A000000,02200,0000,2200LABORATORY 147035,A000000,02300,0000,2300INTRAVENOUS THERAPY 147035,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147035,A000000,02500,0000,2500PHYSICAL THERAPY 147035,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147035,A000000,02700,0000,2700SPEECH PATHOLOGY 147035,A000000,02800,0000,2800ELECTROCARDIOLOGY 147035,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147035,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147035,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147035,A000000,03301,0000,3051NUTRITIONAL THERAPY 147035,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147035,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147035,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147035,A000000,04800,0000,4800AMBULANCE 147035,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147035,A000000,05300,0000,5300INTEREST EXPENSE 147035,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147035,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147035,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147035,A000000,06200,0000,6200PATIENTS LAUNDRY 147035,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147035,A000000,06301,0000,6151DAY CARE 147035,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147035,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147035,A81000A,00100,0100,Y 147035,A81000B,00100,0300,HOME OFFICE COSTS 147035,A81000B,00200,0300,LIABILITY INSURANCE 147035,A81000B,00500,0300,VC PHARMACY - ADMIN 147035,A81000B,00900,0300,VC PHARMACY - DIETARY 147035,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147035,A81000B,01100,0300,VC PHARMACY - NONLEGEND 147035,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 147035,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147035,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147035,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147035,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147035,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147035,A81000B,01800,0300,VC PHARMACY - LEGEND 147035,A81000C,00100,0100,B 147035,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147035,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147035,A81000C,00100,0600,LIABILITY INSURANCE 147035,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147035,A81000C,00200,0600,PHARMACY 147035,A81000C,00300,0400,VENCARE RESPIRATORY 147035,A81000C,00300,0600,RESPIRATORY THERAPY 147035,A81000C,00400,0400,THERAPY SERVICES 147035,A81000C,00500,0400,VENCARE REHAB SERVICES 147035,A81000C,00500,0600,REHAB 147035,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147035,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147035,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147035,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147035,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147035,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147035,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147035,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147035,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147035,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147035,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147035,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147035,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147035,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147035,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147035,E10A180,00350,0100,06/30/00 147035,S000000,00100,0200,12/01/00 147035,S200000,00100,0100,53 COURTLAND AVENUE 147035,S200000,00200,0100,STAMFORD 147035,S200000,00200,0200,CT 147035,S200000,00200,0300,06902- 147035,S200000,00300,0100,FAIRFIELD 147035,S200000,00300,0300,U 147035,S200000,00400,0100,COURTLAND GARDENS HEALTH CARE CENTER 147035,S200000,00400,0200,075061 147035,S200000,00400,0300,12/01/85 147035,S200000,00400,0500,P 147035,S200000,01500,0100,Y 147035,S200000,01600,0100,N 147035,S200000,01700,0100,N 147035,S200000,01800,0100,N 147035,S200000,02200,0100,Y 147035,S200000,02800,0100,N 147035,S200000,02900,0100,N 147035,S200000,03000,0100,N 147035,S200000,03100,0100,N 147035,S200000,03200,0100,N 147035,S200000,04100,0100,N 147035,S200000,04200,0100,N 147035,S200000,04300,0100,N 147035,S200000,04600,0100,N 147035,S200000,04700,0100,N 147035,S200000,04700,0200,N 147035,S200000,04900,0100,N 147035,S200000,05000,0100,N 147035,S200000,05100,0100,N 147035,S200000,05200,0100,N 147059,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147059,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147059,A000000,00300,0000,0300EMPLOYEE BENEFITS 147059,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147059,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147059,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147059,A000000,00700,0000,0700HOUSEKEEPING 147059,A000000,00800,0000,0800DIETARY 147059,A000000,00900,0000,0900NURSING ADMINISTRATION 147059,A000000,00901,0000,0901OTHER NURSING 147059,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147059,A000000,01100,0000,1100PHARMACY 147059,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147059,A000000,01300,0000,1300SOCIAL SERVICE 147059,A000000,01301,0000,1301ACTIVITIES 147059,A000000,01600,0000,1600SKILLED NURSING FACILITY 147059,A000000,01800,0000,1800NURSING FACILITY 147059,A000000,02100,0000,2100RADIOLOGY 147059,A000000,02200,0000,2200LABORATORY 147059,A000000,02300,0000,2300INTRAVENOUS THERAPY 147059,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147059,A000000,02500,0000,2500PHYSICAL THERAPY 147059,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147059,A000000,02700,0000,2700SPEECH PATHOLOGY 147059,A000000,02800,0000,2800ELECTROCARDIOLOGY 147059,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147059,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147059,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147059,A000000,03301,0000,3051NUTRITIONAL THERAPY 147059,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147059,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147059,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147059,A000000,04800,0000,4800AMBULANCE 147059,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147059,A000000,05300,0000,5300INTEREST EXPENSE 147059,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147059,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147059,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147059,A000000,06200,0000,6200PATIENTS LAUNDRY 147059,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147059,A000000,06301,0000,6151DAY CARE 147059,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147059,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147059,A81000A,00100,0100,Y 147059,A81000B,00100,0300,HOME OFFICE COSTS 147059,A81000B,00200,0300,LIABILITY INSURANCE 147059,A81000B,00500,0300,VC PHARMACY - ADMIN 147059,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147059,A81000B,01100,0300,VC PHARMACY - ROUTINE NONCT 147059,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147059,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147059,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147059,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147059,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147059,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147059,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147059,A81000B,01900,0300,VC PHARMACY - LEGEND 147059,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147059,A81000C,00100,0100,B 147059,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147059,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147059,A81000C,00100,0600,LIABILITY INSURANCE 147059,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147059,A81000C,00200,0600,PHARMACY 147059,A81000C,00300,0400,VENCARE RESPIRATORY 147059,A81000C,00300,0600,RESPIRATORY THERAPY 147059,A81000C,00400,0400,THERAPY SERVICES 147059,A81000C,00500,0400,VENCARE REHAB SERVICES 147059,A81000C,00500,0600,REHAB 147059,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147059,A81000C,00600,0600,PORTABLE X-RAY 147059,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147059,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147059,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147059,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147059,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147059,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147059,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147059,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147059,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147059,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147059,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147059,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147059,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147059,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147059,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147059,E10A180,00301,0100,06/30/00 147059,S000000,00100,0200,12/01/00 147059,S200000,00100,0100,4301 N. WALNUT 147059,S200000,00200,0100,MUNCIE 147059,S200000,00200,0200,IN 147059,S200000,00200,0300,47303- 147059,S200000,00300,0100,DELAWARE 147059,S200000,00300,0200,5280 147059,S200000,00300,0300,U 147059,S200000,00400,0100,#406 MUNCIE HEALTH & REHAB CENTER 147059,S200000,00400,0200,155242 147059,S200000,00400,0300,10/01/84 147059,S200000,00400,0500,P 147059,S200000,01500,0100,N 147059,S200000,01600,0100,Y 147059,S200000,01700,0100,N 147059,S200000,01800,0100,N 147059,S200000,02200,0100,Y 147059,S200000,02800,0100,N 147059,S200000,02900,0100,N 147059,S200000,03000,0100,N 147059,S200000,03100,0100,N 147059,S200000,03200,0100,N 147059,S200000,04100,0100,N 147059,S200000,04200,0100,N 147059,S200000,04300,0100,N 147059,S200000,04600,0100,N 147059,S200000,04700,0100,N 147059,S200000,04700,0200,N 147059,S200000,04900,0100,N 147059,S200000,05000,0100,N 147059,S200000,05100,0100,N 147059,S200000,05200,0100,N 147060,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147060,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147060,A000000,00300,0000,0300EMPLOYEE BENEFITS 147060,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147060,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147060,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147060,A000000,00700,0000,0700HOUSEKEEPING 147060,A000000,00800,0000,0800DIETARY 147060,A000000,00900,0000,0900NURSING ADMINISTRATION 147060,A000000,00901,0000,0901OTHER NURSING 147060,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147060,A000000,01100,0000,1100PHARMACY 147060,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147060,A000000,01300,0000,1300SOCIAL SERVICE 147060,A000000,01301,0000,1301ACTIVITIES 147060,A000000,01600,0000,1600SKILLED NURSING FACILITY 147060,A000000,01800,0000,1800NURSING FACILITY 147060,A000000,02100,0000,2100RADIOLOGY 147060,A000000,02200,0000,2200LABORATORY 147060,A000000,02300,0000,2300INTRAVENOUS THERAPY 147060,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147060,A000000,02500,0000,2500PHYSICAL THERAPY 147060,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147060,A000000,02700,0000,2700SPEECH PATHOLOGY 147060,A000000,02800,0000,2800ELECTROCARDIOLOGY 147060,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147060,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147060,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147060,A000000,03301,0000,3051NUTRITIONAL THERAPY 147060,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147060,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147060,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147060,A000000,04800,0000,4800AMBULANCE 147060,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147060,A000000,05300,0000,5300INTEREST EXPENSE 147060,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147060,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147060,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147060,A000000,06200,0000,6200PATIENTS LAUNDRY 147060,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147060,A000000,06301,0000,6151DAY CARE 147060,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147060,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147060,A81000A,00100,0100,Y 147060,A81000B,00100,0300,HOME OFFICE COSTS 147060,A81000B,00200,0300,LIABILITY INSURANCE 147060,A81000B,00500,0300,VC PHARMACY - ADMIN 147060,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147060,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147060,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147060,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147060,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147060,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147060,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147060,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147060,A81000B,01800,0300,VC PHARMACY - LEGEND 147060,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147060,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147060,A81000C,00100,0100,B 147060,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147060,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147060,A81000C,00100,0600,LIABILITY INSURANCE 147060,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147060,A81000C,00200,0600,PHARMACY 147060,A81000C,00300,0400,VENCARE RESPIRATORY 147060,A81000C,00300,0600,RESPIRATORY THERAPY 147060,A81000C,00500,0400,VENCARE REHAB SERVICES 147060,A81000C,00500,0600,REHAB 147060,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147060,A81000C,00600,0600,PORTABLE X-RAY 147060,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147060,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147060,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147060,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147060,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147060,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147060,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147060,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147060,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147060,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147060,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147060,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147060,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147060,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147060,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147060,E10A180,00301,0100,06/30/00 147060,S000000,00100,0200,12/01/00 147060,S200000,00100,0100,101 POTTERS LANE 147060,S200000,00200,0100,CLARKSVILLE 147060,S200000,00200,0200,IN 147060,S200000,00200,0300,47129- 147060,S200000,00300,0100,CLARK 147060,S200000,00300,0200,4520 147060,S200000,00300,0300,U 147060,S200000,00400,0100,#694 WEDGEWOOD HEALTH CARE CENTER 147060,S200000,00400,0200,155265 147060,S200000,00400,0300,10/01/85 147060,S200000,00400,0500,P 147060,S200000,01500,0100,N 147060,S200000,01600,0100,Y 147060,S200000,01700,0100,N 147060,S200000,01800,0100,N 147060,S200000,02200,0100,Y 147060,S200000,02800,0100,N 147060,S200000,02900,0100,N 147060,S200000,03000,0100,N 147060,S200000,03100,0100,N 147060,S200000,03200,0100,N 147060,S200000,04100,0100,N 147060,S200000,04200,0100,N 147060,S200000,04300,0100,N 147060,S200000,04600,0100,N 147060,S200000,04700,0100,N 147060,S200000,04700,0200,N 147060,S200000,04900,0100,N 147060,S200000,05000,0100,N 147060,S200000,05100,0100,N 147060,S200000,05200,0100,N 147061,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147061,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147061,A000000,00300,0000,0300EMPLOYEE BENEFITS 147061,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147061,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147061,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147061,A000000,00700,0000,0700HOUSEKEEPING 147061,A000000,00800,0000,0800DIETARY 147061,A000000,00900,0000,0900NURSING ADMINISTRATION 147061,A000000,00901,0000,0901OTHER NURSING 147061,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147061,A000000,01100,0000,1100PHARMACY 147061,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147061,A000000,01300,0000,1300SOCIAL SERVICE 147061,A000000,01301,0000,1301ACTIVITIES 147061,A000000,01600,0000,1600SKILLED NURSING FACILITY 147061,A000000,01800,0000,1800NURSING FACILITY 147061,A000000,02100,0000,2100RADIOLOGY 147061,A000000,02200,0000,2200LABORATORY 147061,A000000,02300,0000,2300INTRAVENOUS THERAPY 147061,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147061,A000000,02500,0000,2500PHYSICAL THERAPY 147061,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147061,A000000,02700,0000,2700SPEECH PATHOLOGY 147061,A000000,02800,0000,2800ELECTROCARDIOLOGY 147061,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147061,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147061,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147061,A000000,03301,0000,3051NUTRITIONAL THERAPY 147061,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147061,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147061,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147061,A000000,04800,0000,4800AMBULANCE 147061,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147061,A000000,05300,0000,5300INTEREST EXPENSE 147061,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147061,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147061,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147061,A000000,06200,0000,6200PATIENTS LAUNDRY 147061,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147061,A000000,06301,0000,6151DAY CARE 147061,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147061,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147061,A81000A,00100,0100,Y 147061,A81000B,00100,0300,HOME OFFICE COSTS 147061,A81000B,00200,0300,LIABILITY INSURANCE 147061,A81000B,01000,0300,MOBILE RADIOLOGY - XRAY 147061,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 147061,A81000B,01200,0300,VENCARE REHAB - PHYS THER 147061,A81000B,01300,0300,VENCARE REHAB - OCCP THER 147061,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 147061,A81000B,01500,0300,VC PHARMACY - EMPL BENEFITS 147061,A81000C,00100,0100,B 147061,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147061,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147061,A81000C,00100,0600,LIABILITY INSURANCE 147061,A81000C,00300,0400,VENCARE RESPIRATORY 147061,A81000C,00300,0600,RESPIRATORY THERAPY 147061,A81000C,00400,0400,THERAPY SERVICES 147061,A81000C,00500,0400,VENCARE REHAB SERVICES 147061,A81000C,00500,0600,REHAB 147061,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147061,A81000C,00600,0600,PORTABLE X-RAY 147061,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147061,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147061,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147061,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147061,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147061,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147061,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147061,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147061,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147061,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147061,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147061,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147061,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147061,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147061,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147061,E10A180,00301,0100,11/30/00 147061,S000000,00100,0200,12/01/00 147061,S200000,00100,0100,5226 E. 82ND STREET 147061,S200000,00200,0100,INDIANAPOLIS 147061,S200000,00200,0200,IN 147061,S200000,00200,0300,46250- 147061,S200000,00300,0100,MARION 147061,S200000,00300,0300,U 147061,S200000,00400,0100,#224 REGENCY PLACE OF CASTLETON 147061,S200000,00400,0200,155272 147061,S200000,00400,0300,01/14/86 147061,S200000,00400,0500,P 147061,S200000,01500,0100,Y 147061,S200000,01600,0100,N 147061,S200000,01700,0100,N 147061,S200000,01800,0100,N 147061,S200000,02200,0100,Y 147061,S200000,02800,0100,N 147061,S200000,02900,0100,N 147061,S200000,03000,0100,N 147061,S200000,03100,0100,N 147061,S200000,03200,0100,N 147061,S200000,04100,0100,N 147061,S200000,04200,0100,N 147061,S200000,04300,0100,N 147061,S200000,04600,0100,N 147061,S200000,04700,0100,N 147061,S200000,04700,0200,N 147061,S200000,04900,0100,N 147061,S200000,05000,0100,N 147061,S200000,05100,0100,N 147061,S200000,05200,0100,N 147062,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147062,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147062,A000000,00300,0000,0300EMPLOYEE BENEFITS 147062,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147062,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147062,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147062,A000000,00700,0000,0700HOUSEKEEPING 147062,A000000,00800,0000,0800DIETARY 147062,A000000,00900,0000,0900NURSING ADMINISTRATION 147062,A000000,00901,0000,0901OTHER NURSING 147062,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147062,A000000,01100,0000,1100PHARMACY 147062,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147062,A000000,01300,0000,1300SOCIAL SERVICE 147062,A000000,01301,0000,1301ACTIVITIES 147062,A000000,01600,0000,1600SKILLED NURSING FACILITY 147062,A000000,01800,0000,1800NURSING FACILITY 147062,A000000,02100,0000,2100RADIOLOGY 147062,A000000,02200,0000,2200LABORATORY 147062,A000000,02300,0000,2300INTRAVENOUS THERAPY 147062,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147062,A000000,02500,0000,2500PHYSICAL THERAPY 147062,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147062,A000000,02700,0000,2700SPEECH PATHOLOGY 147062,A000000,02800,0000,2800ELECTROCARDIOLOGY 147062,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147062,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147062,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147062,A000000,03301,0000,3051NUTRITIONAL THERAPY 147062,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147062,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147062,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147062,A000000,04800,0000,4800AMBULANCE 147062,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147062,A000000,05300,0000,5300INTEREST EXPENSE 147062,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147062,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147062,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147062,A000000,06200,0000,6200PATIENTS LAUNDRY 147062,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147062,A000000,06301,0000,6151DAY CARE 147062,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147062,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147062,A81000A,00100,0100,Y 147062,A81000B,00100,0300,HOME OFFICE COSTS 147062,A81000B,00200,0300,LIABILITY INSURANCE 147062,A81000B,00500,0300,VC PHARMACY - ADMIN 147062,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147062,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147062,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 147062,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 147062,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147062,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147062,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147062,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147062,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147062,A81000B,01900,0300,VC PHARMACY - LEGEND 147062,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147062,A81000C,00100,0100,B 147062,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147062,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147062,A81000C,00100,0600,LIABILITY INSURANCE 147062,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147062,A81000C,00200,0600,PHARMACY 147062,A81000C,00300,0400,VENCARE RESPIRATORY 147062,A81000C,00300,0600,RESPIRATORY THERAPY 147062,A81000C,00400,0400,THERAPY SERVICES 147062,A81000C,00500,0400,VENCARE REHAB SERVICES 147062,A81000C,00500,0600,REHAB 147062,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147062,A81000C,00600,0600,PORTABLE X-RAY 147062,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147062,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147062,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147062,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147062,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147062,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147062,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147062,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147062,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147062,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147062,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147062,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147062,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147062,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147062,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147062,E10A180,00301,0100,06/30/00 147062,S000000,00100,0200,12/01/00 147062,S200000,00100,0100,4725 S. COLONIAL OAKS DRIVE 147062,S200000,00200,0100,MARION 147062,S200000,00200,0200,IN 147062,S200000,00200,0300,46953- 147062,S200000,00300,0100,GRANT 147062,S200000,00300,0300,R 147062,S200000,00400,0100,#408 COLONIAL OAKS HEALTH CARE 147062,S200000,00400,0200,155289 147062,S200000,00400,0300,01/01/86 147062,S200000,00400,0500,P 147062,S200000,01500,0100,N 147062,S200000,01600,0100,Y 147062,S200000,01700,0100,N 147062,S200000,01800,0100,N 147062,S200000,02200,0100,Y 147062,S200000,02800,0100,N 147062,S200000,02900,0100,N 147062,S200000,03000,0100,N 147062,S200000,03100,0100,N 147062,S200000,03200,0100,N 147062,S200000,04100,0100,N 147062,S200000,04200,0100,N 147062,S200000,04300,0100,N 147062,S200000,04600,0100,N 147062,S200000,04700,0100,N 147062,S200000,04700,0200,N 147062,S200000,04900,0100,N 147062,S200000,05000,0100,N 147062,S200000,05100,0100,N 147062,S200000,05200,0100,N 147063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147063,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147063,A000000,00300,0000,0300EMPLOYEE BENEFITS 147063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147063,A000000,00700,0000,0700HOUSEKEEPING 147063,A000000,00800,0000,0800DIETARY 147063,A000000,00900,0000,0900NURSING ADMINISTRATION 147063,A000000,00901,0000,0901OTHER NURSING 147063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147063,A000000,01100,0000,1100PHARMACY 147063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147063,A000000,01300,0000,1300SOCIAL SERVICE 147063,A000000,01301,0000,1301ACTIVITIES 147063,A000000,01600,0000,1600SKILLED NURSING FACILITY 147063,A000000,01800,0000,1800NURSING FACILITY 147063,A000000,02100,0000,2100RADIOLOGY 147063,A000000,02200,0000,2200LABORATORY 147063,A000000,02300,0000,2300INTRAVENOUS THERAPY 147063,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147063,A000000,02500,0000,2500PHYSICAL THERAPY 147063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147063,A000000,02700,0000,2700SPEECH PATHOLOGY 147063,A000000,02800,0000,2800ELECTROCARDIOLOGY 147063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147063,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147063,A000000,03301,0000,3051NUTRITIONAL THERAPY 147063,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147063,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147063,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147063,A000000,04800,0000,4800AMBULANCE 147063,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147063,A000000,05300,0000,5300INTEREST EXPENSE 147063,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147063,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147063,A000000,06200,0000,6200PATIENTS LAUNDRY 147063,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147063,A000000,06301,0000,6151DAY CARE 147063,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147063,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147063,A81000A,00100,0100,Y 147063,A81000B,00100,0300,HOME OFFICE COSTS 147063,A81000B,00200,0300,LIABILITY INSURANCE 147063,A81000B,00500,0300,VC PHARMACY - ADMIN 147063,A81000B,00900,0300,VC PHARMACY - DIETARY 147063,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147063,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147063,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147063,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147063,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147063,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147063,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147063,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147063,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147063,A81000B,01900,0300,VC PHARMACY - LEGEND 147063,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147063,A81000C,00100,0100,B 147063,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147063,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147063,A81000C,00100,0600,LIABILITY INSURANCE 147063,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147063,A81000C,00200,0600,PHARMACY 147063,A81000C,00300,0400,VENCARE RESPIRATORY 147063,A81000C,00300,0600,RESPIRATORY THERAPY 147063,A81000C,00400,0400,THERAPY SERVICES 147063,A81000C,00500,0400,VENCARE REHAB SERVICES 147063,A81000C,00500,0600,REHAB 147063,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147063,A81000C,00600,0600,PORTABLE X-RAY 147063,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147063,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147063,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147063,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147063,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147063,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147063,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147063,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147063,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147063,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147063,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147063,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147063,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147063,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147063,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147063,S000000,00100,0200,12/01/00 147063,S200000,00100,0100,240 BEECHMONT DRIVE 147063,S200000,00200,0100,CORYDON 147063,S200000,00200,0200,IN 147063,S200000,00200,0300,47112- 147063,S200000,00300,0100,HARRISON 147063,S200000,00300,0300,U 147063,S200000,00400,0100,#288 INDIAN CREEK CONVALESCENT CENTE 147063,S200000,00400,0200,155312 147063,S200000,00400,0300,11/23/87 147063,S200000,00400,0500,P 147063,S200000,01500,0100,Y 147063,S200000,01600,0100,N 147063,S200000,01700,0100,N 147063,S200000,01800,0100,N 147063,S200000,02200,0100,Y 147063,S200000,02800,0100,N 147063,S200000,02900,0100,N 147063,S200000,03000,0100,N 147063,S200000,03100,0100,N 147063,S200000,03200,0100,N 147063,S200000,04100,0100,N 147063,S200000,04200,0100,N 147063,S200000,04300,0100,N 147063,S200000,04600,0100,N 147063,S200000,04700,0100,N 147063,S200000,04700,0200,N 147063,S200000,04900,0100,N 147063,S200000,05000,0100,N 147063,S200000,05100,0100,N 147063,S200000,05200,0100,N 147064,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147064,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147064,A000000,00300,0000,0300EMPLOYEE BENEFITS 147064,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147064,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147064,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147064,A000000,00700,0000,0700HOUSEKEEPING 147064,A000000,00800,0000,0800DIETARY 147064,A000000,00900,0000,0900NURSING ADMINISTRATION 147064,A000000,00901,0000,0901OTHER NURSING 147064,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147064,A000000,01100,0000,1100PHARMACY 147064,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147064,A000000,01300,0000,1300SOCIAL SERVICE 147064,A000000,01301,0000,1301ACTIVITIES 147064,A000000,01600,0000,1600SKILLED NURSING FACILITY 147064,A000000,01800,0000,1800NURSING FACILITY 147064,A000000,02100,0000,2100RADIOLOGY 147064,A000000,02200,0000,2200LABORATORY 147064,A000000,02300,0000,2300INTRAVENOUS THERAPY 147064,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147064,A000000,02500,0000,2500PHYSICAL THERAPY 147064,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147064,A000000,02700,0000,2700SPEECH PATHOLOGY 147064,A000000,02800,0000,2800ELECTROCARDIOLOGY 147064,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147064,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147064,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147064,A000000,03301,0000,3051NUTRITIONAL THERAPY 147064,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147064,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147064,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147064,A000000,04800,0000,4800AMBULANCE 147064,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147064,A000000,05300,0000,5300INTEREST EXPENSE 147064,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147064,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147064,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147064,A000000,06200,0000,6200PATIENTS LAUNDRY 147064,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147064,A000000,06301,0000,6151DAY CARE 147064,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147064,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147064,A81000A,00100,0100,Y 147064,A81000B,00100,0300,HOME OFFICE COSTS 147064,A81000B,00200,0300,LIABILITY INSURANCE 147064,A81000B,00500,0300,VC PHARMACY - ADMIN 147064,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147064,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147064,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147064,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147064,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147064,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147064,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147064,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147064,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147064,A81000B,01900,0300,VC PHARMACY - LEGEND 147064,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147064,A81000C,00100,0100,B 147064,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147064,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147064,A81000C,00100,0600,LIABILITY INSURANCE 147064,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147064,A81000C,00200,0600,PHARMACY 147064,A81000C,00300,0400,VENCARE RESPIRATORY 147064,A81000C,00300,0600,RESPIRATORY THERAPY 147064,A81000C,00400,0400,THERAPY SERVICES 147064,A81000C,00500,0400,VENCARE REHAB SERVICES 147064,A81000C,00500,0600,REHAB 147064,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147064,A81000C,00600,0600,PORTABLE X-RAY 147064,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147064,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147064,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147064,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147064,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147064,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147064,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147064,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147064,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147064,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147064,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147064,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147064,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147064,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147064,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147064,E10A180,00301,0100,06/30/00 147064,S000000,00100,0200,12/01/00 147064,S200000,00100,0100,7301 E. 16TH STREET 147064,S200000,00200,0100,INDIANAPOLIS 147064,S200000,00200,0200,IN 147064,S200000,00200,0300,46219- 147064,S200000,00300,0100,MARION 147064,S200000,00300,0300,U 147064,S200000,00400,0100,#213 WILDWOOD HEALTH CARE CENTER 147064,S200000,00400,0200,155334 147064,S200000,00400,0300,10/23/89 147064,S200000,00400,0500,P 147064,S200000,01500,0100,Y 147064,S200000,01600,0100,N 147064,S200000,01700,0100,N 147064,S200000,01800,0100,N 147064,S200000,02200,0100,Y 147064,S200000,02800,0100,N 147064,S200000,02900,0100,N 147064,S200000,03000,0100,N 147064,S200000,03100,0100,N 147064,S200000,03200,0100,N 147064,S200000,04100,0100,N 147064,S200000,04200,0100,N 147064,S200000,04300,0100,N 147064,S200000,04600,0100,N 147064,S200000,04700,0100,N 147064,S200000,04700,0200,N 147064,S200000,04900,0100,N 147064,S200000,05000,0100,N 147064,S200000,05100,0100,N 147064,S200000,05200,0100,N 147065,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147065,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147065,A000000,00300,0000,0300EMPLOYEE BENEFITS 147065,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147065,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147065,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147065,A000000,00700,0000,0700HOUSEKEEPING 147065,A000000,00800,0000,0800DIETARY 147065,A000000,00900,0000,0900NURSING ADMINISTRATION 147065,A000000,00901,0000,0901OTHER NURSING 147065,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147065,A000000,01100,0000,1100PHARMACY 147065,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147065,A000000,01300,0000,1300SOCIAL SERVICE 147065,A000000,01301,0000,1301ACTIVITIES 147065,A000000,01600,0000,1600SKILLED NURSING FACILITY 147065,A000000,01800,0000,1800NURSING FACILITY 147065,A000000,02100,0000,2100RADIOLOGY 147065,A000000,02200,0000,2200LABORATORY 147065,A000000,02300,0000,2300INTRAVENOUS THERAPY 147065,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147065,A000000,02500,0000,2500PHYSICAL THERAPY 147065,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147065,A000000,02700,0000,2700SPEECH PATHOLOGY 147065,A000000,02800,0000,2800ELECTROCARDIOLOGY 147065,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147065,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147065,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147065,A000000,03301,0000,3051NUTRITIONAL THERAPY 147065,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147065,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147065,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147065,A000000,04800,0000,4800AMBULANCE 147065,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147065,A000000,05300,0000,5300INTEREST EXPENSE 147065,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147065,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147065,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147065,A000000,06200,0000,6200PATIENTS LAUNDRY 147065,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147065,A000000,06301,0000,6151DAY CARE 147065,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147065,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147065,A81000A,00100,0100,Y 147065,A81000B,00100,0300,HOME OFFICE COSTS 147065,A81000B,00200,0300,LIABILITY INSURANCE 147065,A81000B,00500,0300,VC PHARMACY - ADMIN 147065,A81000B,00900,0300,VC PHARMACY - DIETARY 147065,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147065,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147065,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147065,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147065,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147065,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147065,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147065,A81000B,01700,0300,VC PHARMACY - LEGEND 147065,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147065,A81000C,00100,0100,B 147065,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147065,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147065,A81000C,00100,0600,LIABILITY INSURANCE 147065,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147065,A81000C,00200,0600,PHARMACY 147065,A81000C,00300,0400,VENCARE RESPIRATORY 147065,A81000C,00300,0600,RESPIRATORY THERAPY 147065,A81000C,00400,0400,THERAPY SERVICES 147065,A81000C,00500,0400,VENCARE REHAB SERVICES 147065,A81000C,00500,0600,REHAB 147065,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147065,A81000C,00600,0600,PORTABLE X-RAY 147065,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147065,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147065,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147065,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147065,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147065,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147065,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147065,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147065,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147065,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147065,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147065,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147065,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147065,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147065,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147065,E10A180,00301,0100,06/30/00 147065,S000000,00100,0200,12/01/00 147065,S200000,00100,0100,1001 N. GRANT STREET 147065,S200000,00200,0100,LEBANON 147065,S200000,00200,0200,IN 147065,S200000,00200,0300,46052- 147065,S200000,00300,0100,BOONE 147065,S200000,00300,0300,U 147065,S200000,00400,0100,#407 PARKWOOD HEALTH CARE CENTER 147065,S200000,00400,0200,155378 147065,S200000,00400,0300,06/13/91 147065,S200000,00400,0500,P 147065,S200000,01500,0100,Y 147065,S200000,01600,0100,N 147065,S200000,01700,0100,N 147065,S200000,01800,0100,N 147065,S200000,02200,0100,Y 147065,S200000,02800,0100,N 147065,S200000,02900,0100,N 147065,S200000,03000,0100,N 147065,S200000,03100,0100,N 147065,S200000,03200,0100,N 147065,S200000,04100,0100,N 147065,S200000,04200,0100,N 147065,S200000,04300,0100,N 147065,S200000,04600,0100,N 147065,S200000,04700,0100,N 147065,S200000,04700,0200,N 147065,S200000,04900,0100,N 147065,S200000,05000,0100,N 147065,S200000,05100,0100,N 147065,S200000,05200,0100,N 147074,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147074,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147074,A000000,00300,0000,0300EMPLOYEE BENEFITS 147074,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147074,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147074,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147074,A000000,00700,0000,0700HOUSEKEEPING 147074,A000000,00800,0000,0800DIETARY 147074,A000000,00900,0000,0900NURSING ADMINISTRATION 147074,A000000,00901,0000,0901OTHER NURSING 147074,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147074,A000000,01100,0000,1100PHARMACY 147074,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147074,A000000,01300,0000,1300SOCIAL SERVICE 147074,A000000,01301,0000,1301ACTIVITIES 147074,A000000,01600,0000,1600SKILLED NURSING FACILITY 147074,A000000,01800,0000,1800NURSING FACILITY 147074,A000000,02100,0000,2100RADIOLOGY 147074,A000000,02200,0000,2200LABORATORY 147074,A000000,02300,0000,2300INTRAVENOUS THERAPY 147074,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147074,A000000,02500,0000,2500PHYSICAL THERAPY 147074,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147074,A000000,02700,0000,2700SPEECH PATHOLOGY 147074,A000000,02800,0000,2800ELECTROCARDIOLOGY 147074,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147074,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147074,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147074,A000000,03301,0000,3051NUTRITIONAL THERAPY 147074,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147074,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147074,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147074,A000000,04800,0000,4800AMBULANCE 147074,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147074,A000000,05300,0000,5300INTEREST EXPENSE 147074,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147074,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147074,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147074,A000000,06200,0000,6200PATIENTS LAUNDRY 147074,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147074,A000000,06301,0000,6151DAY CARE 147074,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147074,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147074,A81000A,00100,0100,Y 147074,A81000B,00100,0300,HOME OFFICE COSTS 147074,A81000B,00200,0300,LIABILITY INSURANCE 147074,A81000B,00500,0300,VC PHARMACY - ADMIN 147074,A81000B,00900,0300,VC PHARMACY - DIETARY 147074,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147074,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147074,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 147074,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 147074,A81000B,01400,0300,VC PHARMACY - IV THERAPY 147074,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 147074,A81000B,01600,0300,VENCARE REHAB - PHYS THER 147074,A81000B,01700,0300,VENCARE REHAB - OCCP THER 147074,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 147074,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 147074,A81000B,02000,0300,VC PHARMACY - LEGEND 147074,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 147074,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 147074,A81000C,00100,0100,B 147074,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147074,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147074,A81000C,00100,0600,LIABILITY INSURANCE 147074,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147074,A81000C,00200,0600,PHARMACY 147074,A81000C,00300,0400,VENCARE RESPIRATORY 147074,A81000C,00300,0600,RESPIRATORY THERAPY 147074,A81000C,00400,0400,THERAPY SERVICES 147074,A81000C,00500,0400,VENCARE REHAB SERVICES 147074,A81000C,00500,0600,REHAB 147074,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147074,A81000C,00600,0600,PORTABLE X-RAY 147074,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147074,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147074,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147074,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147074,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147074,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147074,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147074,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147074,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147074,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147074,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147074,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147074,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147074,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147074,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147074,E10A180,00350,0100,06/30/00 147074,S000000,00100,0200,12/01/00 147074,S200000,00100,0100,3535 BARDSTOWN ROAD 147074,S200000,00200,0100,LOUISVILLE 147074,S200000,00200,0200,KY 147074,S200000,00200,0300,40218- 147074,S200000,00300,0100,JEFFERSON 147074,S200000,00300,0300,U 147074,S200000,00400,0100,#781 BASHFORD EAST HEALTH CARE 147074,S200000,00400,0200,185196 147074,S200000,00400,0300,11/29/88 147074,S200000,00400,0500,P 147074,S200000,01500,0100,N 147074,S200000,01600,0100,Y 147074,S200000,01700,0100,N 147074,S200000,01800,0100,N 147074,S200000,02200,0100,Y 147074,S200000,02800,0100,N 147074,S200000,02900,0100,N 147074,S200000,03000,0100,N 147074,S200000,03100,0100,N 147074,S200000,03200,0100,N 147074,S200000,04100,0100,N 147074,S200000,04200,0100,N 147074,S200000,04300,0100,N 147074,S200000,04600,0100,N 147074,S200000,04700,0100,N 147074,S200000,04700,0200,N 147074,S200000,04900,0100,N 147074,S200000,05000,0100,N 147074,S200000,05100,0100,N 147074,S200000,05200,0100,N 147079,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147079,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147079,A000000,00300,0000,0300EMPLOYEE BENEFITS 147079,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147079,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147079,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147079,A000000,00700,0000,0700HOUSEKEEPING 147079,A000000,00800,0000,0800DIETARY 147079,A000000,00900,0000,0900NURSING ADMINISTRATION 147079,A000000,00901,0000,0901OTHER NURSING 147079,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147079,A000000,01100,0000,1100PHARMACY 147079,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147079,A000000,01300,0000,1300SOCIAL SERVICE 147079,A000000,01301,0000,1301ACTIVITIES 147079,A000000,01600,0000,1600SKILLED NURSING FACILITY 147079,A000000,01800,0000,1800NURSING FACILITY 147079,A000000,02100,0000,2100RADIOLOGY 147079,A000000,02200,0000,2200LABORATORY 147079,A000000,02300,0000,2300INTRAVENOUS THERAPY 147079,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147079,A000000,02500,0000,2500PHYSICAL THERAPY 147079,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147079,A000000,02700,0000,2700SPEECH PATHOLOGY 147079,A000000,02800,0000,2800ELECTROCARDIOLOGY 147079,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147079,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147079,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147079,A000000,03301,0000,3051NUTRITIONAL THERAPY 147079,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147079,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147079,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147079,A000000,04800,0000,4800AMBULANCE 147079,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147079,A000000,05300,0000,5300INTEREST EXPENSE 147079,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147079,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147079,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147079,A000000,06200,0000,6200PATIENTS LAUNDRY 147079,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147079,A000000,06301,0000,6151DAY CARE 147079,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147079,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147079,A81000A,00100,0100,Y 147079,A81000B,00100,0300,HOME OFFICE COSTS 147079,A81000B,00200,0300,LIABILITY INSURANCE 147079,A81000B,00500,0300,VC PHARMACY - ADMIN 147079,A81000B,00900,0300,VC PHARMACY - DIETARY 147079,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147079,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147079,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147079,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147079,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147079,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147079,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147079,A81000B,01700,0300,VC PHARMACY - LEGEND 147079,A81000B,01800,0300,VC PHARMACY - OTHER MEDICAL 147079,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 147079,A81000C,00100,0100,B 147079,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147079,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147079,A81000C,00100,0600,LIABILITY INSURANCE 147079,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147079,A81000C,00200,0600,PHARMACY 147079,A81000C,00300,0400,VENCARE RESPIRATORY 147079,A81000C,00300,0600,RESPIRATORY THERAPY 147079,A81000C,00400,0400,THERAPY SERVICES 147079,A81000C,00500,0400,VENCARE REHAB SERVICES 147079,A81000C,00500,0600,REHAB 147079,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147079,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147079,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147079,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147079,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147079,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147079,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147079,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147079,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147079,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147079,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147079,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147079,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147079,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147079,S000000,00100,0200,12/11/00 147079,S200000,00100,0100,158 ROSS ROAD 147079,S200000,00200,0100,KENNEBUNK 147079,S200000,00200,0200,ME 147079,S200000,00200,0300,04043- 147079,S200000,00300,0100,OXFORD 147079,S200000,00300,0300,U 147079,S200000,00400,0100,KENNEBUNK NURSING CENTER 147079,S200000,00400,0200,205095 147079,S200000,00400,0300,01/01/93 147079,S200000,00400,0500,P 147079,S200000,01500,0100,Y 147079,S200000,01600,0100,N 147079,S200000,01700,0100,N 147079,S200000,01800,0100,N 147079,S200000,02200,0100,Y 147079,S200000,02800,0100,N 147079,S200000,02900,0100,N 147079,S200000,03000,0100,N 147079,S200000,03100,0100,N 147079,S200000,03200,0100,N 147079,S200000,04100,0100,N 147079,S200000,04200,0100,N 147079,S200000,04300,0100,N 147079,S200000,04600,0100,N 147079,S200000,04700,0100,N 147079,S200000,04700,0200,N 147079,S200000,04900,0100,N 147079,S200000,05000,0100,N 147079,S200000,05100,0100,N 147079,S200000,05200,0100,N 147080,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147080,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147080,A000000,00300,0000,0300EMPLOYEE BENEFITS 147080,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147080,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147080,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147080,A000000,00700,0000,0700HOUSEKEEPING 147080,A000000,00800,0000,0800DIETARY 147080,A000000,00900,0000,0900NURSING ADMINISTRATION 147080,A000000,00901,0000,0901OTHER NURSING 147080,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147080,A000000,01100,0000,1100PHARMACY 147080,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147080,A000000,01300,0000,1300SOCIAL SERVICE 147080,A000000,01301,0000,1301ACTIVITIES 147080,A000000,01600,0000,1600SKILLED NURSING FACILITY 147080,A000000,01800,0000,1800NURSING FACILITY 147080,A000000,02100,0000,2100RADIOLOGY 147080,A000000,02200,0000,2200LABORATORY 147080,A000000,02300,0000,2300INTRAVENOUS THERAPY 147080,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147080,A000000,02500,0000,2500PHYSICAL THERAPY 147080,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147080,A000000,02700,0000,2700SPEECH PATHOLOGY 147080,A000000,02800,0000,2800ELECTROCARDIOLOGY 147080,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147080,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147080,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147080,A000000,03301,0000,3051NUTRITIONAL THERAPY 147080,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147080,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147080,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147080,A000000,04800,0000,4800AMBULANCE 147080,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147080,A000000,05300,0000,5300INTEREST EXPENSE 147080,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147080,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147080,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147080,A000000,06200,0000,6200PATIENTS LAUNDRY 147080,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147080,A000000,06301,0000,6151DAY CARE 147080,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147080,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147080,A81000A,00100,0100,Y 147080,A81000B,00100,0300,HOME OFFICE COSTS 147080,A81000B,00200,0300,LIABILITY INSURANCE 147080,A81000B,00500,0300,VC PHARMACY - ADMIN 147080,A81000B,00900,0300,VC PHARMACY - DIETARY 147080,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147080,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147080,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 147080,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147080,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147080,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147080,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147080,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147080,A81000B,01800,0300,VC PHARMACY - LEGEND 147080,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 147080,A81000C,00100,0100,B 147080,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147080,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147080,A81000C,00100,0600,LIABILITY INSURANCE 147080,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147080,A81000C,00200,0600,PHARMACY 147080,A81000C,00300,0400,VENCARE RESPIRATORY 147080,A81000C,00300,0600,RESPIRATORY THERAPY 147080,A81000C,00400,0400,THERAPY SERVICES 147080,A81000C,00500,0400,VENCARE REHAB SERVICES 147080,A81000C,00500,0600,REHAB 147080,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147080,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147080,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147080,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147080,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147080,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147080,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147080,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147080,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147080,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147080,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147080,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147080,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147080,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147080,S000000,00100,0200,12/11/00 147080,S200000,00100,0100,201 CAMDEN STREET 147080,S200000,00200,0100,ROCKLAND 147080,S200000,00200,0200,ME 147080,S200000,00200,0300,04841- 147080,S200000,00300,0100,KNOX 147080,S200000,00300,0300,R 147080,S200000,00400,0100,SHORE VILLAGE NURSING CENTER 147080,S200000,00400,0200,205096 147080,S200000,00400,0300,01/01/93 147080,S200000,00400,0500,P 147080,S200000,01500,0100,Y 147080,S200000,01600,0100,N 147080,S200000,01700,0100,N 147080,S200000,01800,0100,N 147080,S200000,02200,0100,Y 147080,S200000,02800,0100,N 147080,S200000,02900,0100,N 147080,S200000,03000,0100,N 147080,S200000,03100,0100,N 147080,S200000,03200,0100,N 147080,S200000,04100,0100,N 147080,S200000,04200,0100,N 147080,S200000,04300,0100,N 147080,S200000,04600,0100,N 147080,S200000,04700,0100,N 147080,S200000,04700,0200,N 147080,S200000,04900,0100,N 147080,S200000,05000,0100,N 147080,S200000,05100,0100,N 147080,S200000,05200,0100,N 147085,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147085,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147085,A000000,00300,0000,0300EMPLOYEE BENEFITS 147085,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147085,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147085,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147085,A000000,00700,0000,0700HOUSEKEEPING 147085,A000000,00800,0000,0800DIETARY 147085,A000000,00900,0000,0900NURSING ADMINISTRATION 147085,A000000,00901,0000,0901OTHER NURSING 147085,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147085,A000000,01100,0000,1100PHARMACY 147085,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147085,A000000,01300,0000,1300SOCIAL SERVICE 147085,A000000,01301,0000,1301ACTIVITIES 147085,A000000,01600,0000,1600SKILLED NURSING FACILITY 147085,A000000,01800,0000,1800NURSING FACILITY 147085,A000000,02100,0000,2100RADIOLOGY 147085,A000000,02200,0000,2200LABORATORY 147085,A000000,02300,0000,2300INTRAVENOUS THERAPY 147085,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147085,A000000,02500,0000,2500PHYSICAL THERAPY 147085,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147085,A000000,02700,0000,2700SPEECH PATHOLOGY 147085,A000000,02800,0000,2800ELECTROCARDIOLOGY 147085,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147085,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147085,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147085,A000000,03301,0000,3051NUTRITIONAL THERAPY 147085,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147085,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147085,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147085,A000000,04800,0000,4800AMBULANCE 147085,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147085,A000000,05300,0000,5300INTEREST EXPENSE 147085,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147085,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147085,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147085,A000000,06200,0000,6200PATIENTS LAUNDRY 147085,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147085,A000000,06301,0000,6151DAY CARE 147085,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147085,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147085,A81000A,00100,0100,Y 147085,A81000B,00100,0300,HOME OFFICE COSTS 147085,A81000B,00200,0300,LIABILITY INSURANCE 147085,A81000B,00500,0300,VC PHARMACY - ADMIN 147085,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147085,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147085,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147085,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147085,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147085,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147085,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147085,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147085,A81000B,01800,0300,VC PHARMACY - LEGEND 147085,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147085,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147085,A81000C,00100,0100,B 147085,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147085,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147085,A81000C,00100,0600,LIABILITY INSURANCE 147085,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147085,A81000C,00200,0600,PHARMACY 147085,A81000C,00300,0400,VENCARE RESPIRATORY 147085,A81000C,00300,0600,RESPIRATORY THERAPY 147085,A81000C,00400,0400,THERAPY SERVICES 147085,A81000C,00500,0400,VENCARE REHAB SERVICES 147085,A81000C,00500,0600,REHAB 147085,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147085,A81000C,00600,0600,PORTABLE X-RAY 147085,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147085,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147085,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147085,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147085,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147085,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147085,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147085,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147085,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147085,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147085,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147085,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147085,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147085,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147085,S000000,00100,0200,12/11/00 147085,S200000,00100,0100,184 MAIN STREET 147085,S200000,00200,0100,FAIRHAVEN 147085,S200000,00200,0200,MA 147085,S200000,00200,0300,02719- 147085,S200000,00300,0100,BRISTOL 147085,S200000,00300,0200,1123 147085,S200000,00300,0300,U 147085,S200000,00400,0100,NICHOLS HOUSE NURSING HOME 147085,S200000,00400,0200,225117 147085,S200000,00400,0300,01/01/84 147085,S200000,00400,0500,P 147085,S200000,01500,0100,N 147085,S200000,01600,0100,Y 147085,S200000,01700,0100,N 147085,S200000,01800,0100,N 147085,S200000,02200,0100,Y 147085,S200000,02800,0100,N 147085,S200000,02900,0100,N 147085,S200000,03000,0100,N 147085,S200000,03100,0100,N 147085,S200000,03200,0100,N 147085,S200000,04100,0100,N 147085,S200000,04200,0100,N 147085,S200000,04300,0100,N 147085,S200000,04600,0100,N 147085,S200000,04700,0100,N 147085,S200000,04700,0200,N 147085,S200000,04900,0100,N 147085,S200000,05000,0100,N 147085,S200000,05100,0100,N 147085,S200000,05200,0100,N 147086,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147086,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147086,A000000,00300,0000,0300EMPLOYEE BENEFITS 147086,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147086,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147086,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147086,A000000,00700,0000,0700HOUSEKEEPING 147086,A000000,00800,0000,0800DIETARY 147086,A000000,00900,0000,0900NURSING ADMINISTRATION 147086,A000000,00901,0000,0901OTHER NURSING 147086,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147086,A000000,01100,0000,1100PHARMACY 147086,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147086,A000000,01300,0000,1300SOCIAL SERVICE 147086,A000000,01301,0000,1301ACTIVITIES 147086,A000000,01600,0000,1600SKILLED NURSING FACILITY 147086,A000000,01800,0000,1800NURSING FACILITY 147086,A000000,02100,0000,2100RADIOLOGY 147086,A000000,02200,0000,2200LABORATORY 147086,A000000,02300,0000,2300INTRAVENOUS THERAPY 147086,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147086,A000000,02500,0000,2500PHYSICAL THERAPY 147086,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147086,A000000,02700,0000,2700SPEECH PATHOLOGY 147086,A000000,02800,0000,2800ELECTROCARDIOLOGY 147086,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147086,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147086,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147086,A000000,03301,0000,3051NUTRITIONAL THERAPY 147086,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147086,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147086,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147086,A000000,04800,0000,4800AMBULANCE 147086,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147086,A000000,05300,0000,5300INTEREST EXPENSE 147086,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147086,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147086,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147086,A000000,06200,0000,6200PATIENTS LAUNDRY 147086,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147086,A000000,06301,0000,6151DAY CARE 147086,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147086,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147086,A81000A,00100,0100,Y 147086,A81000B,00100,0300,HOME OFFICE COSTS 147086,A81000B,00200,0300,LIABILITY INSURANCE 147086,A81000B,00500,0300,VC PHARMACY - ADMIN 147086,A81000B,00900,0300,VC PHARMACY - DIETARY 147086,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147086,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147086,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147086,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147086,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147086,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147086,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147086,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147086,A81000B,01800,0300,VC PHARMACY - LEGEND 147086,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147086,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147086,A81000C,00100,0100,B 147086,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147086,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147086,A81000C,00100,0600,LIABILITY INSURANCE 147086,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147086,A81000C,00200,0600,PHARMACY 147086,A81000C,00300,0400,VENCARE RESPIRATORY 147086,A81000C,00300,0600,RESPIRATORY THERAPY 147086,A81000C,00400,0400,THERAPY SERVICES 147086,A81000C,00500,0400,VENCARE REHAB SERVICES 147086,A81000C,00500,0600,REHAB 147086,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147086,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147086,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147086,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147086,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147086,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147086,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147086,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147086,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147086,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147086,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147086,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147086,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147086,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147086,E10A180,00301,0100,06/30/00 147086,S000000,00100,0200,12/11/00 147086,S200000,00100,0100,785 MAIN STREET 147086,S200000,00200,0100,CONCORD 147086,S200000,00200,0200,MA 147086,S200000,00200,0300,01742- 147086,S200000,00300,0100,MIDDLESEX 147086,S200000,00300,0300,U 147086,S200000,00400,0100,WALDEN REHAB & NURSING CENTER 147086,S200000,00400,0200,225170 147086,S200000,00400,0300,07/01/76 147086,S200000,00400,0500,P 147086,S200000,01500,0100,Y 147086,S200000,01600,0100,N 147086,S200000,01700,0100,N 147086,S200000,01800,0100,N 147086,S200000,02200,0100,Y 147086,S200000,02800,0100,N 147086,S200000,02900,0100,N 147086,S200000,03000,0100,N 147086,S200000,03100,0100,N 147086,S200000,03200,0100,N 147086,S200000,04100,0100,N 147086,S200000,04200,0100,N 147086,S200000,04300,0100,N 147086,S200000,04600,0100,N 147086,S200000,04700,0100,N 147086,S200000,04700,0200,N 147086,S200000,04900,0100,N 147086,S200000,05000,0100,N 147086,S200000,05100,0100,N 147086,S200000,05200,0100,N 147087,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147087,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147087,A000000,00300,0000,0300EMPLOYEE BENEFITS 147087,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147087,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147087,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147087,A000000,00700,0000,0700HOUSEKEEPING 147087,A000000,00800,0000,0800DIETARY 147087,A000000,00900,0000,0900NURSING ADMINISTRATION 147087,A000000,00901,0000,0901OTHER NURSING 147087,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147087,A000000,01100,0000,1100PHARMACY 147087,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147087,A000000,01300,0000,1300SOCIAL SERVICE 147087,A000000,01301,0000,1301ACTIVITIES 147087,A000000,01600,0000,1600SKILLED NURSING FACILITY 147087,A000000,01800,0000,1800NURSING FACILITY 147087,A000000,02100,0000,2100RADIOLOGY 147087,A000000,02200,0000,2200LABORATORY 147087,A000000,02300,0000,2300INTRAVENOUS THERAPY 147087,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147087,A000000,02500,0000,2500PHYSICAL THERAPY 147087,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147087,A000000,02700,0000,2700SPEECH PATHOLOGY 147087,A000000,02800,0000,2800ELECTROCARDIOLOGY 147087,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147087,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147087,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147087,A000000,03301,0000,3051NUTRITIONAL THERAPY 147087,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147087,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147087,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147087,A000000,04800,0000,4800AMBULANCE 147087,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147087,A000000,05300,0000,5300INTEREST EXPENSE 147087,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147087,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147087,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147087,A000000,06200,0000,6200PATIENTS LAUNDRY 147087,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147087,A000000,06301,0000,6151DAY CARE 147087,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147087,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147087,A81000A,00100,0100,Y 147087,A81000B,00100,0300,HOME OFFICE COSTS 147087,A81000B,00200,0300,LIABILITY INSURANCE 147087,A81000B,00500,0300,VC PHARMACY - ADMIN 147087,A81000B,00900,0300,VC PHARMACY - DIETARY 147087,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147087,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147087,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147087,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147087,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147087,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147087,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147087,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147087,A81000B,01800,0300,VC PHARMACY - LEGEND 147087,A81000C,00100,0100,B 147087,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147087,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147087,A81000C,00100,0600,LIABILITY INSURANCE 147087,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147087,A81000C,00200,0600,PHARMACY 147087,A81000C,00300,0400,VENCARE RESPIRATORY 147087,A81000C,00300,0600,RESPIRATORY THERAPY 147087,A81000C,00400,0400,THERAPY SERVICES 147087,A81000C,00500,0400,VENCARE REHAB SERVICES 147087,A81000C,00500,0600,REHAB 147087,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147087,A81000C,00600,0600,PORTABLE X-RAY 147087,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147087,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147087,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147087,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147087,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147087,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147087,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147087,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147087,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147087,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147087,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147087,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147087,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147087,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147087,S000000,00100,0200,12/11/00 147087,S200000,00100,0100,2045 GRAND ARMY HIGHWAY 147087,S200000,00200,0100,SWANSEA 147087,S200000,00200,0200,MA 147087,S200000,00200,0300,02351- 147087,S200000,00300,0100,BRISTOL 147087,S200000,00300,0200,1123 147087,S200000,00300,0300,U 147087,S200000,00400,0100,COUNTRY GARDENS 147087,S200000,00400,0200,225185 147087,S200000,00400,0300,01/01/84 147087,S200000,00400,0500,P 147087,S200000,01500,0100,Y 147087,S200000,01600,0100,N 147087,S200000,01700,0100,N 147087,S200000,01800,0100,N 147087,S200000,02200,0100,Y 147087,S200000,02800,0100,N 147087,S200000,02900,0100,N 147087,S200000,03000,0100,N 147087,S200000,03100,0100,N 147087,S200000,03200,0100,N 147087,S200000,04100,0100,N 147087,S200000,04200,0100,N 147087,S200000,04300,0100,N 147087,S200000,04600,0100,N 147087,S200000,04700,0100,N 147087,S200000,04700,0200,N 147087,S200000,04900,0100,N 147087,S200000,05000,0100,N 147087,S200000,05100,0100,N 147087,S200000,05200,0100,N 147088,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147088,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147088,A000000,00300,0000,0300EMPLOYEE BENEFITS 147088,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147088,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147088,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147088,A000000,00700,0000,0700HOUSEKEEPING 147088,A000000,00800,0000,0800DIETARY 147088,A000000,00900,0000,0900NURSING ADMINISTRATION 147088,A000000,00901,0000,0901OTHER NURSING 147088,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147088,A000000,01100,0000,1100PHARMACY 147088,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147088,A000000,01300,0000,1300SOCIAL SERVICE 147088,A000000,01301,0000,1301ACTIVITIES 147088,A000000,01600,0000,1600SKILLED NURSING FACILITY 147088,A000000,01800,0000,1800NURSING FACILITY 147088,A000000,02100,0000,2100RADIOLOGY 147088,A000000,02200,0000,2200LABORATORY 147088,A000000,02300,0000,2300INTRAVENOUS THERAPY 147088,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147088,A000000,02500,0000,2500PHYSICAL THERAPY 147088,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147088,A000000,02700,0000,2700SPEECH PATHOLOGY 147088,A000000,02800,0000,2800ELECTROCARDIOLOGY 147088,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147088,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147088,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147088,A000000,03301,0000,3051NUTRITIONAL THERAPY 147088,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147088,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147088,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147088,A000000,04800,0000,4800AMBULANCE 147088,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147088,A000000,05300,0000,5300INTEREST EXPENSE 147088,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147088,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147088,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147088,A000000,06200,0000,6200PATIENTS LAUNDRY 147088,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147088,A000000,06301,0000,6151DAY CARE 147088,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147088,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147088,A81000A,00100,0100,Y 147088,A81000B,00100,0300,HOME OFFICE COSTS 147088,A81000B,00200,0300,LIABILITY INSURANCE 147088,A81000B,00500,0300,VC PHARMACY - ADMIN 147088,A81000B,00900,0300,VC PHARMACY - DIETARY 147088,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147088,A81000B,01100,0300,VC PHARMACY - NON LEGEND 147088,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147088,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147088,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147088,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147088,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147088,A81000B,01700,0300,VC PHARMACY - LEGEND 147088,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147088,A81000C,00100,0100,B 147088,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147088,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147088,A81000C,00100,0600,LIABILITY INSURANCE 147088,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147088,A81000C,00200,0600,PHARMACY 147088,A81000C,00300,0400,VENCARE RESPIRATORY 147088,A81000C,00300,0600,RESPIRATORY THERAPY 147088,A81000C,00400,0400,THERAPY SERVICES 147088,A81000C,00500,0400,VENCARE REHAB SERVICES 147088,A81000C,00500,0600,REHAB 147088,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147088,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147088,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147088,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147088,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147088,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147088,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147088,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147088,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147088,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147088,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147088,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147088,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147088,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147088,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147088,E10A180,00301,0100,06/30/00 147088,E10A180,00350,0100,11/30/00 147088,S000000,00100,0200,12/11/00 147088,S200000,00100,0100,BALLARD HILL ROAD 147088,S200000,00200,0100,LANCASTER 147088,S200000,00200,0200,MA 147088,S200000,00200,0300,01523- 147088,S200000,00300,0100,WORCESTER 147088,S200000,00300,0200,1123 147088,S200000,00300,0300,U 147088,S200000,00400,0100,#587 - RIVER TERRACE HEALTHCARE 147088,S200000,00400,0200,225210 147088,S200000,00400,0300,07/01/76 147088,S200000,00400,0500,P 147088,S200000,01500,0100,Y 147088,S200000,01600,0100,N 147088,S200000,01700,0100,N 147088,S200000,01800,0100,N 147088,S200000,02200,0100,Y 147088,S200000,02800,0100,N 147088,S200000,02900,0100,N 147088,S200000,03000,0100,N 147088,S200000,03100,0100,N 147088,S200000,03200,0100,N 147088,S200000,04100,0100,N 147088,S200000,04200,0100,N 147088,S200000,04300,0100,N 147088,S200000,04600,0100,N 147088,S200000,04700,0100,N 147088,S200000,04700,0200,N 147088,S200000,04900,0100,N 147088,S200000,05000,0100,N 147088,S200000,05100,0100,N 147088,S200000,05200,0100,N 147089,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147089,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147089,A000000,00300,0000,0300EMPLOYEE BENEFITS 147089,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147089,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147089,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147089,A000000,00700,0000,0700HOUSEKEEPING 147089,A000000,00800,0000,0800DIETARY 147089,A000000,00900,0000,0900NURSING ADMINISTRATION 147089,A000000,00901,0000,0901OTHER NURSING 147089,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147089,A000000,01100,0000,1100PHARMACY 147089,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147089,A000000,01300,0000,1300SOCIAL SERVICE 147089,A000000,01301,0000,1301ACTIVITIES 147089,A000000,01600,0000,1600SKILLED NURSING FACILITY 147089,A000000,01800,0000,1800NURSING FACILITY 147089,A000000,02100,0000,2100RADIOLOGY 147089,A000000,02200,0000,2200LABORATORY 147089,A000000,02300,0000,2300INTRAVENOUS THERAPY 147089,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147089,A000000,02500,0000,2500PHYSICAL THERAPY 147089,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147089,A000000,02700,0000,2700SPEECH PATHOLOGY 147089,A000000,02800,0000,2800ELECTROCARDIOLOGY 147089,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147089,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147089,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147089,A000000,03301,0000,3051NUTRITIONAL THERAPY 147089,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147089,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147089,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147089,A000000,04800,0000,4800AMBULANCE 147089,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147089,A000000,05300,0000,5300INTEREST EXPENSE 147089,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147089,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147089,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147089,A000000,06200,0000,6200PATIENTS LAUNDRY 147089,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147089,A000000,06301,0000,6151DAY CARE 147089,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147089,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147089,A81000A,00100,0100,Y 147089,A81000B,00100,0300,HOME OFFICE COSTS 147089,A81000B,00200,0300,LIABILITY INSURANCE 147089,A81000B,00500,0300,VC PHARMACY - ADMIN 147089,A81000B,00900,0300,VC PHARMACY - DIETARY 147089,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147089,A81000B,01100,0300,VC PHARMACY - NONLEGEND 147089,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 147089,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 147089,A81000B,01400,0300,VC PHARMACY - IV THERAPY 147089,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 147089,A81000B,01600,0300,VENCARE REHAB - PHYS THER 147089,A81000B,01700,0300,VENCARE REHAB - OCCP THER 147089,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 147089,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 147089,A81000B,02000,0300,VC PHARMACY - LEGEND 147089,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 147089,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 147089,A81000B,02300,0300,MOBILE RADIOLOGY - EKG 147089,A81000C,00100,0100,B 147089,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147089,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147089,A81000C,00100,0600,LIABILITY INSURANCE 147089,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147089,A81000C,00200,0600,PHARMACY 147089,A81000C,00300,0400,VENCARE RESPIRATORY 147089,A81000C,00300,0600,RESPIRATORY THERAPY 147089,A81000C,00400,0400,THERAPY SERVICES 147089,A81000C,00500,0400,VENCARE REHAB SERVICES 147089,A81000C,00500,0600,REHAB 147089,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147089,A81000C,00600,0600,PORTABLE X-RAY 147089,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147089,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147089,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147089,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147089,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147089,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147089,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147089,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147089,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147089,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147089,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147089,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147089,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147089,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147089,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147089,S000000,00100,0200,12/11/00 147089,S200000,00100,0100,2 BEAUMONT AVENUE 147089,S200000,00200,0100,BROCKTON 147089,S200000,00200,0200,MA 147089,S200000,00200,0300,02402- 147089,S200000,00300,0100,PLYMOUTH 147089,S200000,00300,0300,U 147089,S200000,00400,0100,EMBASSY HOUSE SKILLED NRSG & REHAB 147089,S200000,00400,0200,225221 147089,S200000,00400,0300,07/01/76 147089,S200000,00400,0500,P 147089,S200000,01500,0100,Y 147089,S200000,01600,0100,N 147089,S200000,01700,0100,N 147089,S200000,01800,0100,N 147089,S200000,02200,0100,Y 147089,S200000,02800,0100,N 147089,S200000,02900,0100,N 147089,S200000,03000,0100,N 147089,S200000,03100,0100,N 147089,S200000,03200,0100,N 147089,S200000,04100,0100,N 147089,S200000,04200,0100,N 147089,S200000,04300,0100,N 147089,S200000,04600,0100,N 147089,S200000,04700,0100,N 147089,S200000,04700,0200,N 147089,S200000,04900,0100,N 147089,S200000,05000,0100,N 147089,S200000,05100,0100,N 147089,S200000,05200,0100,N 147090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147090,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147090,A000000,00300,0000,0300EMPLOYEE BENEFITS 147090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147090,A000000,00700,0000,0700HOUSEKEEPING 147090,A000000,00800,0000,0800DIETARY 147090,A000000,00900,0000,0900NURSING ADMINISTRATION 147090,A000000,00901,0000,0901OTHER NURSING 147090,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147090,A000000,01100,0000,1100PHARMACY 147090,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147090,A000000,01300,0000,1300SOCIAL SERVICE 147090,A000000,01301,0000,1301ACTIVITIES 147090,A000000,01600,0000,1600SKILLED NURSING FACILITY 147090,A000000,01800,0000,1800NURSING FACILITY 147090,A000000,02100,0000,2100RADIOLOGY 147090,A000000,02200,0000,2200LABORATORY 147090,A000000,02300,0000,2300INTRAVENOUS THERAPY 147090,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147090,A000000,02500,0000,2500PHYSICAL THERAPY 147090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147090,A000000,02700,0000,2700SPEECH PATHOLOGY 147090,A000000,02800,0000,2800ELECTROCARDIOLOGY 147090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147090,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147090,A000000,03301,0000,3051NUTRITIONAL THERAPY 147090,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147090,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147090,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147090,A000000,04800,0000,4800AMBULANCE 147090,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147090,A000000,05300,0000,5300INTEREST EXPENSE 147090,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147090,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147090,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147090,A000000,06200,0000,6200PATIENTS LAUNDRY 147090,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147090,A000000,06301,0000,6151DAY CARE 147090,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147090,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147090,A81000A,00100,0100,Y 147090,A81000B,00100,0300,HOME OFFICE COSTS 147090,A81000B,00200,0300,LIABILITY INSURANCE 147090,A81000B,00500,0300,VC PHARMACY - ADMIN 147090,A81000B,00900,0300,VC PHARMACY - DIETARY 147090,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147090,A81000B,01100,0300,VC PHARMACY - NON LEGEND 147090,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147090,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147090,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147090,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147090,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147090,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147090,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147090,A81000B,01900,0300,VC PHARMACY - LEGEND 147090,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147090,A81000C,00100,0100,B 147090,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147090,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147090,A81000C,00100,0600,LIABILITY INSURANCE 147090,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147090,A81000C,00200,0600,PHARMACY 147090,A81000C,00300,0400,VENCARE RESPIRATORY 147090,A81000C,00300,0600,RESPIRATORY THERAPY 147090,A81000C,00400,0400,THERAPY SERVICES 147090,A81000C,00500,0400,VENCARE REHAB SERVICES 147090,A81000C,00500,0600,REHAB 147090,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147090,A81000C,00600,0600,PORTABLE X-RAY 147090,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147090,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147090,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147090,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147090,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147090,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147090,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147090,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147090,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147090,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147090,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147090,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147090,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147090,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147090,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147090,S000000,00100,0200,12/11/00 147090,S200000,00100,0100,694 WORCESTER RD 147090,S200000,00200,0100,WELLESLEY 147090,S200000,00200,0200,MA 147090,S200000,00200,0300,02181- 147090,S200000,00300,0100,NOEFOLK 147090,S200000,00300,0200,1123 147090,S200000,00300,0300,U 147090,S200000,00400,0100,NEWTON & WELLESLEY ALZHEIMER CENTER 147090,S200000,00400,0200,225222 147090,S200000,00400,0300,01/01/84 147090,S200000,00400,0500,P 147090,S200000,01500,0100,Y 147090,S200000,01600,0100,N 147090,S200000,01700,0100,N 147090,S200000,01800,0100,N 147090,S200000,02200,0100,Y 147090,S200000,02800,0100,N 147090,S200000,02900,0100,N 147090,S200000,03000,0100,N 147090,S200000,03100,0100,N 147090,S200000,03200,0100,N 147090,S200000,04100,0100,N 147090,S200000,04200,0100,N 147090,S200000,04300,0100,N 147090,S200000,04600,0100,N 147090,S200000,04700,0100,N 147090,S200000,04700,0200,N 147090,S200000,04900,0100,N 147090,S200000,05000,0100,N 147090,S200000,05100,0100,N 147090,S200000,05200,0100,N 147091,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147091,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147091,A000000,00300,0000,0300EMPLOYEE BENEFITS 147091,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147091,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147091,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147091,A000000,00700,0000,0700HOUSEKEEPING 147091,A000000,00800,0000,0800DIETARY 147091,A000000,00900,0000,0900NURSING ADMINISTRATION 147091,A000000,00901,0000,0901OTHER NURSING 147091,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147091,A000000,01100,0000,1100PHARMACY 147091,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147091,A000000,01300,0000,1300SOCIAL SERVICE 147091,A000000,01301,0000,1301ACTIVITIES 147091,A000000,01600,0000,1600SKILLED NURSING FACILITY 147091,A000000,01800,0000,1800NURSING FACILITY 147091,A000000,02100,0000,2100RADIOLOGY 147091,A000000,02200,0000,2200LABORATORY 147091,A000000,02300,0000,2300INTRAVENOUS THERAPY 147091,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147091,A000000,02500,0000,2500PHYSICAL THERAPY 147091,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147091,A000000,02700,0000,2700SPEECH PATHOLOGY 147091,A000000,02800,0000,2800ELECTROCARDIOLOGY 147091,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147091,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147091,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147091,A000000,03301,0000,3051NUTRITIONAL THERAPY 147091,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147091,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147091,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147091,A000000,04800,0000,4800AMBULANCE 147091,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147091,A000000,05300,0000,5300INTEREST EXPENSE 147091,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147091,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147091,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147091,A000000,06200,0000,6200PATIENTS LAUNDRY 147091,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147091,A000000,06301,0000,6151DAY CARE 147091,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147091,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147091,A81000A,00100,0100,Y 147091,A81000B,00100,0300,HOME OFFICE COSTS 147091,A81000B,00200,0300,LIABILITY INSURANCE 147091,A81000B,00500,0300,VC PHARMACY - ADMIN 147091,A81000B,00900,0300,VC PHARMACY - DIETARY 147091,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147091,A81000B,01100,0300,VC PHARMACY - IV THERAPY 147091,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147091,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147091,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147091,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147091,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147091,A81000B,01700,0300,VC PHARMACY - LEGEND 147091,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147091,A81000C,00100,0100,B 147091,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147091,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147091,A81000C,00100,0600,LIABILITY INSURANCE 147091,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147091,A81000C,00200,0600,PHARMACY 147091,A81000C,00300,0400,VENCARE RESPIRATORY 147091,A81000C,00300,0600,RESPIRATORY THERAPY 147091,A81000C,00400,0400,THERAPY SERVICES 147091,A81000C,00500,0400,VENCARE REHAB SERVICES 147091,A81000C,00500,0600,REHAB 147091,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147091,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147091,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147091,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147091,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147091,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147091,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147091,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147091,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147091,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147091,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147091,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147091,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147091,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147091,S000000,00100,0200,12/01/00 147091,S200000,00100,0100,94 SUMMER STREET 147091,S200000,00200,0100,FITCHBURG 147091,S200000,00200,0200,MA 147091,S200000,00200,0300,01420- 147091,S200000,00300,0100,WORCESTER 147091,S200000,00300,0300,U 147091,S200000,00400,0100,HILLCREST NURSING HOME 147091,S200000,00400,0200,225227 147091,S200000,00400,0300,01/01/84 147091,S200000,00400,0500,P 147091,S200000,01500,0100,N 147091,S200000,01600,0100,Y 147091,S200000,01700,0100,N 147091,S200000,01800,0100,N 147091,S200000,02200,0100,Y 147091,S200000,02800,0100,N 147091,S200000,02900,0100,N 147091,S200000,03000,0100,N 147091,S200000,03100,0100,N 147091,S200000,03200,0100,N 147091,S200000,04100,0100,N 147091,S200000,04200,0100,N 147091,S200000,04300,0100,N 147091,S200000,04600,0100,N 147091,S200000,04700,0100,N 147091,S200000,04700,0200,N 147091,S200000,04900,0100,N 147091,S200000,05000,0100,N 147091,S200000,05100,0100,N 147091,S200000,05200,0100,N 147092,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147092,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147092,A000000,00300,0000,0300EMPLOYEE BENEFITS 147092,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147092,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147092,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147092,A000000,00700,0000,0700HOUSEKEEPING 147092,A000000,00800,0000,0800DIETARY 147092,A000000,00900,0000,0900NURSING ADMINISTRATION 147092,A000000,00901,0000,0901OTHER NURSING 147092,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147092,A000000,01100,0000,1100PHARMACY 147092,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147092,A000000,01300,0000,1300SOCIAL SERVICE 147092,A000000,01301,0000,1301ACTIVITIES 147092,A000000,01600,0000,1600SKILLED NURSING FACILITY 147092,A000000,01800,0000,1800NURSING FACILITY 147092,A000000,02100,0000,2100RADIOLOGY 147092,A000000,02200,0000,2200LABORATORY 147092,A000000,02300,0000,2300INTRAVENOUS THERAPY 147092,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147092,A000000,02500,0000,2500PHYSICAL THERAPY 147092,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147092,A000000,02700,0000,2700SPEECH PATHOLOGY 147092,A000000,02800,0000,2800ELECTROCARDIOLOGY 147092,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147092,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147092,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147092,A000000,03301,0000,3051NUTRITIONAL THERAPY 147092,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147092,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147092,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147092,A000000,04800,0000,4800AMBULANCE 147092,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147092,A000000,05300,0000,5300INTEREST EXPENSE 147092,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147092,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147092,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147092,A000000,06200,0000,6200PATIENTS LAUNDRY 147092,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147092,A000000,06301,0000,6151DAY CARE 147092,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147092,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147092,A81000A,00100,0100,Y 147092,A81000B,00100,0300,HOME OFFICE COSTS 147092,A81000B,00200,0300,LIABILITY INSURANCE 147092,A81000B,00500,0300,VC PHARMACY - ADMIN 147092,A81000B,00900,0300,VC PHARMACY - DIETARY 147092,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147092,A81000B,01100,0300,VC PHARMACY - IV THERAPY 147092,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147092,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147092,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147092,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147092,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147092,A81000B,01700,0300,VC PHARMACY - LEGEND 147092,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 147092,A81000B,01900,0300,VC PHARMACY - PROS & ORTHOS 147092,A81000C,00100,0100,B 147092,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147092,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147092,A81000C,00100,0600,LIABILITY INSURANCE 147092,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147092,A81000C,00200,0600,PHARMACY 147092,A81000C,00300,0400,VENCARE RESPIRATORY 147092,A81000C,00300,0600,RESPIRATORY THERAPY 147092,A81000C,00400,0400,THERAPY SERVICES 147092,A81000C,00500,0400,VENCARE REHAB SERVICES 147092,A81000C,00500,0600,REHAB 147092,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147092,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147092,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147092,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147092,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147092,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147092,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147092,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147092,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147092,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147092,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147092,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147092,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147092,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147092,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147092,E10A180,00301,0100,01/01/00 147092,E10A180,00350,0100,06/30/00 147092,S000000,00100,0200,12/11/00 147092,S200000,00100,0100,COLONIAL DRIVE 147092,S200000,00200,0100,WESTBOROUGH 147092,S200000,00200,0200,MA 147092,S200000,00200,0300,01581- 147092,S200000,00300,0100,WORCESTER 147092,S200000,00300,0300,U 147092,S200000,00400,0100,WESTBOROUGH HEALTH CARE CENTER 147092,S200000,00400,0200,225242 147092,S200000,00400,0300,01/01/84 147092,S200000,00400,0500,P 147092,S200000,01500,0100,Y 147092,S200000,01600,0100,N 147092,S200000,01700,0100,N 147092,S200000,01800,0100,N 147092,S200000,02200,0100,Y 147092,S200000,02800,0100,N 147092,S200000,02900,0100,N 147092,S200000,03000,0100,N 147092,S200000,03100,0100,N 147092,S200000,03200,0100,N 147092,S200000,04100,0100,N 147092,S200000,04200,0100,N 147092,S200000,04300,0100,N 147092,S200000,04600,0100,N 147092,S200000,04700,0100,N 147092,S200000,04700,0200,N 147092,S200000,04900,0100,N 147092,S200000,05000,0100,N 147092,S200000,05100,0100,N 147092,S200000,05200,0100,N 147093,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147093,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147093,A000000,00300,0000,0300EMPLOYEE BENEFITS 147093,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147093,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147093,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147093,A000000,00700,0000,0700HOUSEKEEPING 147093,A000000,00800,0000,0800DIETARY 147093,A000000,00900,0000,0900NURSING ADMINISTRATION 147093,A000000,00901,0000,0901OTHER NURSING 147093,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147093,A000000,01100,0000,1100PHARMACY 147093,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147093,A000000,01300,0000,1300SOCIAL SERVICE 147093,A000000,01301,0000,1301ACTIVITIES 147093,A000000,01600,0000,1600SKILLED NURSING FACILITY 147093,A000000,01800,0000,1800NURSING FACILITY 147093,A000000,02100,0000,2100RADIOLOGY 147093,A000000,02200,0000,2200LABORATORY 147093,A000000,02300,0000,2300INTRAVENOUS THERAPY 147093,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147093,A000000,02500,0000,2500PHYSICAL THERAPY 147093,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147093,A000000,02700,0000,2700SPEECH PATHOLOGY 147093,A000000,02800,0000,2800ELECTROCARDIOLOGY 147093,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147093,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147093,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147093,A000000,03301,0000,3051NUTRITIONAL THERAPY 147093,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147093,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147093,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147093,A000000,04800,0000,4800AMBULANCE 147093,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147093,A000000,05300,0000,5300INTEREST EXPENSE 147093,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147093,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147093,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147093,A000000,06200,0000,6200PATIENTS LAUNDRY 147093,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147093,A000000,06301,0000,6151DAY CARE 147093,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147093,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147093,A81000A,00100,0100,Y 147093,A81000B,00100,0300,HOME OFFICE COSTS 147093,A81000B,00200,0300,LIABILITY INSURANCE 147093,A81000B,00500,0300,VC PHARMACY - ADMIN 147093,A81000B,00900,0300,VC PHARMACY - DIETARY 147093,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147093,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147093,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147093,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147093,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147093,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147093,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147093,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147093,A81000B,01800,0300,VC PHARMACY - LEGEND 147093,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147093,A81000C,00100,0100,B 147093,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147093,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147093,A81000C,00100,0600,LIABILITY INSURANCE 147093,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147093,A81000C,00200,0600,PHARMACY 147093,A81000C,00300,0400,VENCARE RESPIRATORY 147093,A81000C,00300,0600,RESPIRATORY THERAPY 147093,A81000C,00400,0400,THERAPY SERVICES 147093,A81000C,00500,0400,VENCARE REHAB SERVICES 147093,A81000C,00500,0600,REHAB 147093,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147093,A81000C,00600,0600,PORTABLE X-RAY 147093,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147093,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147093,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147093,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147093,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147093,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147093,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147093,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147093,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147093,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147093,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147093,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147093,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147093,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147093,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147093,E10A180,00301,0100,06/30/00 147093,S000000,00100,0200,12/11/00 147093,S200000,00100,0100,11 MCGRATH HIGHWAY 147093,S200000,00200,0100,QUINCY 147093,S200000,00200,0200,MA 147093,S200000,00200,0300,02169- 147093,S200000,00300,0100,NORFOLK 147093,S200000,00300,0300,U 147093,S200000,00400,0100,QUINCY REHAB & NURSING CENTER 147093,S200000,00400,0200,225263 147093,S200000,00400,0300,01/01/84 147093,S200000,00400,0500,P 147093,S200000,01500,0100,Y 147093,S200000,01600,0100,N 147093,S200000,01700,0100,N 147093,S200000,01800,0100,N 147093,S200000,02200,0100,Y 147093,S200000,02800,0100,N 147093,S200000,02900,0100,N 147093,S200000,03000,0100,N 147093,S200000,03100,0100,N 147093,S200000,03200,0100,N 147093,S200000,04100,0100,N 147093,S200000,04200,0100,N 147093,S200000,04300,0100,N 147093,S200000,04600,0100,N 147093,S200000,04700,0100,N 147093,S200000,04700,0200,N 147093,S200000,04900,0100,N 147093,S200000,05000,0100,N 147093,S200000,05100,0100,N 147093,S200000,05200,0100,N 147095,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147095,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147095,A000000,00300,0000,0300EMPLOYEE BENEFITS 147095,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147095,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147095,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147095,A000000,00700,0000,0700HOUSEKEEPING 147095,A000000,00800,0000,0800DIETARY 147095,A000000,00900,0000,0900NURSING ADMINISTRATION 147095,A000000,00901,0000,0901OTHER NURSING 147095,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147095,A000000,01100,0000,1100PHARMACY 147095,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147095,A000000,01300,0000,1300SOCIAL SERVICE 147095,A000000,01301,0000,1301ACTIVITIES 147095,A000000,01600,0000,1600SKILLED NURSING FACILITY 147095,A000000,01800,0000,1800NURSING FACILITY 147095,A000000,02100,0000,2100RADIOLOGY 147095,A000000,02200,0000,2200LABORATORY 147095,A000000,02300,0000,2300INTRAVENOUS THERAPY 147095,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147095,A000000,02500,0000,2500PHYSICAL THERAPY 147095,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147095,A000000,02700,0000,2700SPEECH PATHOLOGY 147095,A000000,02800,0000,2800ELECTROCARDIOLOGY 147095,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147095,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147095,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147095,A000000,03301,0000,3051NUTRITIONAL THERAPY 147095,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147095,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147095,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147095,A000000,04800,0000,4800AMBULANCE 147095,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147095,A000000,05300,0000,5300INTEREST EXPENSE 147095,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147095,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147095,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147095,A000000,06200,0000,6200PATIENTS LAUNDRY 147095,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147095,A000000,06301,0000,6151DAY CARE 147095,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147095,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147095,A81000A,00100,0100,Y 147095,A81000B,00100,0300,HOME OFFICE COSTS 147095,A81000B,00200,0300,LIABILITY INSURANCE 147095,A81000B,00500,0300,VC PHARMACY - ADMIN 147095,A81000B,00900,0300,VC PHARMACY - DIETARY 147095,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147095,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147095,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147095,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147095,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147095,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147095,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147095,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147095,A81000B,01800,0300,VC PHARMACY - LEGEND 147095,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147095,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147095,A81000B,02100,0300,MOBILE RADIOLOGY - EKG 147095,A81000C,00100,0100,B 147095,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147095,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147095,A81000C,00100,0600,LIABILITY INSURANCE 147095,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147095,A81000C,00200,0600,PHARMACY 147095,A81000C,00300,0400,VENCARE RESPIRATORY 147095,A81000C,00300,0600,RESPIRATORY THERAPY 147095,A81000C,00400,0400,THERAPY SERVICES 147095,A81000C,00500,0400,VENCARE REHAB SERVICES 147095,A81000C,00500,0600,REHAB 147095,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147095,A81000C,00600,0600,PORTABLE X-RAY 147095,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147095,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147095,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147095,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147095,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147095,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147095,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147095,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147095,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147095,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147095,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147095,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147095,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147095,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147095,S000000,00100,0200,12/11/00 147095,S200000,00100,0100,66 CENTER STREET 147095,S200000,00200,0100,EAST BRIDGEWATER 147095,S200000,00200,0200,MA 147095,S200000,00200,0300,02333- 147095,S200000,00300,0100,PLYMOUTH 147095,S200000,00300,0300,U 147095,S200000,00400,0100,SACHEM NURSING & REHAB CENTER 147095,S200000,00400,0200,225322 147095,S200000,00400,0300,01/31/90 147095,S200000,00400,0500,P 147095,S200000,01500,0100,Y 147095,S200000,01600,0100,N 147095,S200000,01700,0100,N 147095,S200000,01800,0100,N 147095,S200000,02200,0100,Y 147095,S200000,02800,0100,N 147095,S200000,02900,0100,N 147095,S200000,03000,0100,N 147095,S200000,03100,0100,N 147095,S200000,03200,0100,N 147095,S200000,04100,0100,N 147095,S200000,04200,0100,N 147095,S200000,04300,0100,N 147095,S200000,04600,0100,N 147095,S200000,04700,0100,N 147095,S200000,04700,0200,N 147095,S200000,04900,0100,N 147095,S200000,05000,0100,N 147095,S200000,05100,0100,N 147095,S200000,05200,0100,N 147096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147096,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147096,A000000,00300,0000,0300EMPLOYEE BENEFITS 147096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147096,A000000,00700,0000,0700HOUSEKEEPING 147096,A000000,00800,0000,0800DIETARY 147096,A000000,00900,0000,0900NURSING ADMINISTRATION 147096,A000000,00901,0000,0901OTHER NURSING 147096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147096,A000000,01100,0000,1100PHARMACY 147096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147096,A000000,01300,0000,1300SOCIAL SERVICE 147096,A000000,01301,0000,1301ACTIVITIES 147096,A000000,01600,0000,1600SKILLED NURSING FACILITY 147096,A000000,01800,0000,1800NURSING FACILITY 147096,A000000,02100,0000,2100RADIOLOGY 147096,A000000,02200,0000,2200LABORATORY 147096,A000000,02300,0000,2300INTRAVENOUS THERAPY 147096,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147096,A000000,02500,0000,2500PHYSICAL THERAPY 147096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147096,A000000,02700,0000,2700SPEECH PATHOLOGY 147096,A000000,02800,0000,2800ELECTROCARDIOLOGY 147096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147096,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147096,A000000,03301,0000,3051NUTRITIONAL THERAPY 147096,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147096,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147096,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147096,A000000,04800,0000,4800AMBULANCE 147096,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147096,A000000,05300,0000,5300INTEREST EXPENSE 147096,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147096,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147096,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147096,A000000,06200,0000,6200PATIENTS LAUNDRY 147096,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147096,A000000,06301,0000,6151DAY CARE 147096,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147096,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147096,A81000A,00100,0100,Y 147096,A81000B,00100,0300,HOME OFFICE COSTS 147096,A81000B,00200,0300,LIABILITY INSURANCE 147096,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147096,A81000B,00500,0300,VC PHARMACY - ADMIN 147096,A81000B,00900,0300,VC PHARMACY - DIETARY 147096,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147096,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147096,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147096,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147096,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147096,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147096,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147096,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147096,A81000B,01900,0300,VC PHARMACY - LEGEND 147096,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147096,A81000C,00100,0100,B 147096,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147096,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147096,A81000C,00100,0600,LIABILITY INSURANCE 147096,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147096,A81000C,00200,0600,PHARMACY 147096,A81000C,00300,0400,VENCARE RESPIRATORY 147096,A81000C,00300,0600,RESPIRATORY THERAPY 147096,A81000C,00400,0400,THERAPY SERVICES 147096,A81000C,00500,0400,VENCARE REHAB SERVICES 147096,A81000C,00500,0600,REHAB 147096,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147096,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147096,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147096,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147096,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147096,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147096,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147096,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147096,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147096,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147096,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147096,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147096,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147096,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147096,S000000,00100,0200,12/11/00 147096,S200000,00100,0100,400 BOLTON ST 147096,S200000,00200,0100,MARLBORO 147096,S200000,00200,0200,MA 147096,S200000,00200,0300,01752- 147096,S200000,00300,0100,MIDDLESEX 147096,S200000,00300,0300,U 147096,S200000,00400,0100,BOLTON MANOR NURSING HOME 147096,S200000,00400,0200,225326 147096,S200000,00400,0300,07/01/90 147096,S200000,00400,0500,P 147096,S200000,01500,0100,Y 147096,S200000,01600,0100,N 147096,S200000,01700,0100,N 147096,S200000,01800,0100,N 147096,S200000,02200,0100,Y 147096,S200000,02800,0100,N 147096,S200000,02900,0100,N 147096,S200000,03000,0100,N 147096,S200000,03100,0100,N 147096,S200000,03200,0100,N 147096,S200000,04100,0100,N 147096,S200000,04200,0100,N 147096,S200000,04300,0100,N 147096,S200000,04600,0100,N 147096,S200000,04700,0100,N 147096,S200000,04700,0200,N 147096,S200000,04900,0100,N 147096,S200000,05000,0100,N 147096,S200000,05100,0100,N 147096,S200000,05200,0100,N 147097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147097,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147097,A000000,00300,0000,0300EMPLOYEE BENEFITS 147097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147097,A000000,00700,0000,0700HOUSEKEEPING 147097,A000000,00800,0000,0800DIETARY 147097,A000000,00900,0000,0900NURSING ADMINISTRATION 147097,A000000,00901,0000,0901OTHER NURSING 147097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147097,A000000,01100,0000,1100PHARMACY 147097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147097,A000000,01300,0000,1300SOCIAL SERVICE 147097,A000000,01301,0000,1301ACTIVITIES 147097,A000000,01600,0000,1600SKILLED NURSING FACILITY 147097,A000000,01800,0000,1800NURSING FACILITY 147097,A000000,02100,0000,2100RADIOLOGY 147097,A000000,02200,0000,2200LABORATORY 147097,A000000,02300,0000,2300INTRAVENOUS THERAPY 147097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147097,A000000,02500,0000,2500PHYSICAL THERAPY 147097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147097,A000000,02700,0000,2700SPEECH PATHOLOGY 147097,A000000,02800,0000,2800ELECTROCARDIOLOGY 147097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147097,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147097,A000000,03301,0000,3051NUTRITIONAL THERAPY 147097,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147097,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147097,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147097,A000000,04800,0000,4800AMBULANCE 147097,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147097,A000000,05300,0000,5300INTEREST EXPENSE 147097,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147097,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147097,A000000,06200,0000,6200PATIENTS LAUNDRY 147097,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147097,A000000,06301,0000,6151DAY CARE 147097,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147097,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147097,A81000A,00100,0100,Y 147097,A81000B,00100,0300,HOME OFFICE COSTS 147097,A81000B,00200,0300,LIABILITY INSURANCE 147097,A81000B,00500,0300,VC PHARMACY - ADMIN 147097,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147097,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147097,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147097,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147097,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147097,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147097,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147097,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147097,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147097,A81000B,01900,0300,VC PHARMACY - LEGEND 147097,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147097,A81000C,00100,0100,B 147097,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147097,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147097,A81000C,00100,0600,LIABILITY INSURANCE 147097,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147097,A81000C,00200,0600,PHARMACY 147097,A81000C,00300,0400,VENCARE RESPIRATORY 147097,A81000C,00300,0600,RESPIRATORY THERAPY 147097,A81000C,00400,0400,THERAPY SERVICES 147097,A81000C,00500,0400,VENCARE REHAB SERVICES 147097,A81000C,00500,0600,REHAB 147097,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147097,A81000C,00600,0600,PORTABLE X-RAY 147097,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147097,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147097,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147097,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147097,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147097,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147097,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147097,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147097,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147097,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147097,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147097,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147097,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147097,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147097,E10A180,00301,0100,06/30/00 147097,E10A180,00302,0100,11/30/00 147097,E10A180,00350,0100,06/30/00 147097,S000000,00100,0200,12/11/00 147097,S200000,00100,0100,180 LOW STREET 147097,S200000,00200,0100,NEWBURYPORT 147097,S200000,00200,0200,MA 147097,S200000,00200,0300,01950- 147097,S200000,00300,0100,ESSEX 147097,S200000,00300,0300,U 147097,S200000,00400,0100,COUNTRY MANOR REHAB & NURSING CTR 147097,S200000,00400,0200,225332 147097,S200000,00400,0300,01/19/90 147097,S200000,00400,0500,P 147097,S200000,01500,0100,Y 147097,S200000,01600,0100,N 147097,S200000,01700,0100,N 147097,S200000,01800,0100,N 147097,S200000,02200,0100,Y 147097,S200000,02800,0100,N 147097,S200000,02900,0100,N 147097,S200000,03000,0100,N 147097,S200000,03100,0100,N 147097,S200000,03200,0100,N 147097,S200000,04100,0100,N 147097,S200000,04200,0100,N 147097,S200000,04300,0100,N 147097,S200000,04600,0100,N 147097,S200000,04700,0100,N 147097,S200000,04700,0200,N 147097,S200000,04900,0100,N 147097,S200000,05000,0100,N 147097,S200000,05100,0100,N 147097,S200000,05200,0100,N 147098,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147098,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147098,A000000,00300,0000,0300EMPLOYEE BENEFITS 147098,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147098,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147098,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147098,A000000,00700,0000,0700HOUSEKEEPING 147098,A000000,00800,0000,0800DIETARY 147098,A000000,00900,0000,0900NURSING ADMINISTRATION 147098,A000000,00901,0000,0901OTHER NURSING 147098,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147098,A000000,01100,0000,1100PHARMACY 147098,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147098,A000000,01300,0000,1300SOCIAL SERVICE 147098,A000000,01301,0000,1301ACTIVITIES 147098,A000000,01600,0000,1600SKILLED NURSING FACILITY 147098,A000000,01800,0000,1800NURSING FACILITY 147098,A000000,02100,0000,2100RADIOLOGY 147098,A000000,02200,0000,2200LABORATORY 147098,A000000,02300,0000,2300INTRAVENOUS THERAPY 147098,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147098,A000000,02500,0000,2500PHYSICAL THERAPY 147098,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147098,A000000,02700,0000,2700SPEECH PATHOLOGY 147098,A000000,02800,0000,2800ELECTROCARDIOLOGY 147098,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147098,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147098,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147098,A000000,03301,0000,3051NUTRITIONAL THERAPY 147098,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147098,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147098,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147098,A000000,04800,0000,4800AMBULANCE 147098,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147098,A000000,05300,0000,5300INTEREST EXPENSE 147098,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147098,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147098,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147098,A000000,06200,0000,6200PATIENTS LAUNDRY 147098,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147098,A000000,06301,0000,6151DAY CARE 147098,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147098,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147098,A81000A,00100,0100,Y 147098,A81000B,00100,0300,HOME OFFICE COSTS 147098,A81000B,00200,0300,LIABILITY INSURANCE 147098,A81000B,00300,0300,VENTAS REIT 147098,A81000B,00500,0300,VC PHARMACY - ADMIN 147098,A81000B,00900,0300,VC PHARMACY - DIETARY 147098,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147098,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147098,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147098,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147098,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147098,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147098,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147098,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147098,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147098,A81000B,01900,0300,VC PHARMACY - LEGEND 147098,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147098,A81000C,00100,0100,B 147098,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147098,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147098,A81000C,00100,0600,LIABILITY INSURANCE 147098,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147098,A81000C,00200,0600,PHARMACY 147098,A81000C,00300,0400,VENCARE RESPIRATORY 147098,A81000C,00300,0600,RESPIRATORY THERAPY 147098,A81000C,00400,0400,THERAPY SERVICES 147098,A81000C,00500,0400,VENCARE REHAB SERVICES 147098,A81000C,00500,0600,REHAB 147098,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147098,A81000C,00600,0600,PORTABLE X-RAY 147098,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147098,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147098,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147098,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147098,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147098,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147098,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147098,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147098,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147098,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147098,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147098,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147098,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147098,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147098,E10A180,00301,0100,06/30/00 147098,S000000,00100,0200,12/11/00 147098,S200000,00100,0100,1100 VFW PARKWAY 147098,S200000,00200,0100,WEST ROXBURY 147098,S200000,00200,0200,MA 147098,S200000,00200,0300,02132- 147098,S200000,00300,0100,MIDDLESEX 147098,S200000,00300,0300,U 147098,S200000,00400,0100,STAR OF DAVID NRSG & ALZHEIMER 147098,S200000,00400,0200,225336 147098,S200000,00400,0300,02/24/90 147098,S200000,00400,0500,P 147098,S200000,01500,0100,Y 147098,S200000,01600,0100,N 147098,S200000,01700,0100,N 147098,S200000,01800,0100,N 147098,S200000,02200,0100,Y 147098,S200000,02800,0100,N 147098,S200000,02900,0100,N 147098,S200000,03000,0100,N 147098,S200000,03100,0100,N 147098,S200000,03200,0100,N 147098,S200000,04100,0100,N 147098,S200000,04200,0100,N 147098,S200000,04300,0100,N 147098,S200000,04600,0100,N 147098,S200000,04700,0100,N 147098,S200000,04700,0200,N 147098,S200000,04900,0100,N 147098,S200000,05000,0100,N 147098,S200000,05100,0100,N 147098,S200000,05200,0100,N 147099,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147099,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147099,A000000,00300,0000,0300EMPLOYEE BENEFITS 147099,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147099,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147099,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147099,A000000,00700,0000,0700HOUSEKEEPING 147099,A000000,00800,0000,0800DIETARY 147099,A000000,00900,0000,0900NURSING ADMINISTRATION 147099,A000000,00901,0000,0901OTHER NURSING 147099,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147099,A000000,01100,0000,1100PHARMACY 147099,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147099,A000000,01300,0000,1300SOCIAL SERVICE 147099,A000000,01301,0000,1301ACTIVITIES 147099,A000000,01600,0000,1600SKILLED NURSING FACILITY 147099,A000000,01800,0000,1800NURSING FACILITY 147099,A000000,02100,0000,2100RADIOLOGY 147099,A000000,02200,0000,2200LABORATORY 147099,A000000,02300,0000,2300INTRAVENOUS THERAPY 147099,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147099,A000000,02500,0000,2500PHYSICAL THERAPY 147099,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147099,A000000,02700,0000,2700SPEECH PATHOLOGY 147099,A000000,02800,0000,2800ELECTROCARDIOLOGY 147099,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147099,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147099,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147099,A000000,03301,0000,3051NUTRITIONAL THERAPY 147099,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147099,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147099,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147099,A000000,04800,0000,4800AMBULANCE 147099,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147099,A000000,05300,0000,5300INTEREST EXPENSE 147099,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147099,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147099,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147099,A000000,06200,0000,6200PATIENTS LAUNDRY 147099,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147099,A000000,06301,0000,6151DAY CARE 147099,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147099,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147099,A81000A,00100,0100,Y 147099,A81000B,00100,0300,HOME OFFICE COSTS 147099,A81000B,00200,0300,LIABILITY INSURANCE 147099,A81000B,00500,0300,VC PHARMACY - ADMIN 147099,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147099,A81000B,00900,0300,VC PHARMACY - DIETARY 147099,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147099,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147099,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147099,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147099,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147099,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147099,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147099,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147099,A81000B,01800,0300,VC PHARMACY - LEGEND 147099,A81000C,00100,0100,B 147099,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147099,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147099,A81000C,00100,0600,LIABILITY INSURANCE 147099,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147099,A81000C,00200,0600,PHARMACY 147099,A81000C,00300,0400,VENCARE RESPIRATORY 147099,A81000C,00300,0600,RESPIRATORY THERAPY 147099,A81000C,00400,0400,THERAPY SERVICES 147099,A81000C,00500,0400,VENCARE REHAB SERVICES 147099,A81000C,00500,0600,REHAB 147099,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147099,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147099,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147099,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147099,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147099,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147099,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147099,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147099,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147099,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147099,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147099,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147099,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147099,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147099,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147099,S000000,00100,0200,12/11/00 147099,S200000,00100,0100,73 CHESTNUT STREET 147099,S200000,00200,0100,SAUGUS 147099,S200000,00200,0200,MA 147099,S200000,00200,0300,01906- 147099,S200000,00300,0100,WORCESTER 147099,S200000,00300,0300,U 147099,S200000,00400,0100,HAMMERSMITH HOUSE NURSING CARE CTR 147099,S200000,00400,0200,225370 147099,S200000,00400,0300,04/18/90 147099,S200000,00400,0500,P 147099,S200000,01500,0100,Y 147099,S200000,01600,0100,N 147099,S200000,01700,0100,N 147099,S200000,01800,0100,N 147099,S200000,02200,0100,Y 147099,S200000,02800,0100,N 147099,S200000,02900,0100,N 147099,S200000,03000,0100,N 147099,S200000,03100,0100,N 147099,S200000,03200,0100,N 147099,S200000,04100,0100,N 147099,S200000,04200,0100,N 147099,S200000,04300,0100,N 147099,S200000,04600,0100,N 147099,S200000,04700,0100,N 147099,S200000,04700,0200,N 147099,S200000,04900,0100,N 147099,S200000,05000,0100,N 147099,S200000,05100,0100,N 147099,S200000,05200,0100,N 147101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147101,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147101,A000000,00300,0000,0300EMPLOYEE BENEFITS 147101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147101,A000000,00700,0000,0700HOUSEKEEPING 147101,A000000,00800,0000,0800DIETARY 147101,A000000,00900,0000,0900NURSING ADMINISTRATION 147101,A000000,00901,0000,0901OTHER NURSING 147101,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147101,A000000,01100,0000,1100PHARMACY 147101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147101,A000000,01300,0000,1300SOCIAL SERVICE 147101,A000000,01301,0000,1301ACTIVITIES 147101,A000000,01600,0000,1600SKILLED NURSING FACILITY 147101,A000000,01800,0000,1800NURSING FACILITY 147101,A000000,02100,0000,2100RADIOLOGY 147101,A000000,02200,0000,2200LABORATORY 147101,A000000,02300,0000,2300INTRAVENOUS THERAPY 147101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147101,A000000,02500,0000,2500PHYSICAL THERAPY 147101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147101,A000000,02700,0000,2700SPEECH PATHOLOGY 147101,A000000,02800,0000,2800ELECTROCARDIOLOGY 147101,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147101,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147101,A000000,03301,0000,3051NUTRITIONAL THERAPY 147101,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147101,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147101,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147101,A000000,04800,0000,4800AMBULANCE 147101,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147101,A000000,05300,0000,5300INTEREST EXPENSE 147101,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147101,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147101,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147101,A000000,06200,0000,6200PATIENTS LAUNDRY 147101,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147101,A000000,06301,0000,6151DAY CARE 147101,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147101,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147101,A81000A,00100,0100,Y 147101,A81000B,00100,0300,HOME OFFICE COSTS 147101,A81000B,00200,0300,LIABILITY INSURANCE 147101,A81000B,00500,0300,VC PHARMACY - ADMIN 147101,A81000B,00900,0300,VC PHARMACY - DIETARY 147101,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147101,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147101,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147101,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147101,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147101,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147101,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147101,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147101,A81000B,01800,0300,VC PHARMACY - LEGEND 147101,A81000B,01900,0300,VC PHARMACY - OTHER MEDICAL 147101,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147101,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 147101,A81000C,00100,0100,B 147101,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147101,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147101,A81000C,00100,0600,LIABILITY INSURANCE 147101,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147101,A81000C,00200,0600,PHARMACY 147101,A81000C,00300,0400,VENCARE RESPIRATORY 147101,A81000C,00300,0600,RESPIRATORY THERAPY 147101,A81000C,00400,0400,THERAPY SERVICES 147101,A81000C,00500,0400,VENCARE REHAB SERVICES 147101,A81000C,00500,0600,REHAB 147101,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147101,A81000C,00600,0600,PORTABLE X-RAY 147101,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147101,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147101,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147101,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147101,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147101,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147101,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147101,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147101,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147101,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147101,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147101,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147101,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147101,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147101,E10A180,00350,0100,06/30/00 147101,S000000,00100,0200,12/11/00 147101,S200000,00100,0100,26 GARFIELD ST 147101,S200000,00200,0100,NEEDHAM 147101,S200000,00200,0200,MA 147101,S200000,00200,0300,02192- 147101,S200000,00300,0100,MIDDLESEX 147101,S200000,00300,0300,U 147101,S200000,00400,0100,BRIARWOOD NURSING FACILITY 147101,S200000,00400,0200,225437 147101,S200000,00400,0300,06/29/90 147101,S200000,00400,0500,P 147101,S200000,01500,0100,Y 147101,S200000,01600,0100,N 147101,S200000,01700,0100,N 147101,S200000,01800,0100,N 147101,S200000,02200,0100,Y 147101,S200000,02800,0100,N 147101,S200000,02900,0100,N 147101,S200000,03000,0100,N 147101,S200000,03100,0100,N 147101,S200000,03200,0100,N 147101,S200000,04100,0100,N 147101,S200000,04200,0100,N 147101,S200000,04300,0100,N 147101,S200000,04600,0100,N 147101,S200000,04700,0100,N 147101,S200000,04700,0200,N 147101,S200000,04900,0100,N 147101,S200000,05000,0100,N 147101,S200000,05100,0100,N 147101,S200000,05200,0100,N 147102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147102,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147102,A000000,00300,0000,0300EMPLOYEE BENEFITS 147102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147102,A000000,00700,0000,0700HOUSEKEEPING 147102,A000000,00800,0000,0800DIETARY 147102,A000000,00900,0000,0900NURSING ADMINISTRATION 147102,A000000,00901,0000,0901OTHER NURSING 147102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147102,A000000,01100,0000,1100PHARMACY 147102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147102,A000000,01300,0000,1300SOCIAL SERVICE 147102,A000000,01301,0000,1301ACTIVITIES 147102,A000000,01600,0000,1600SKILLED NURSING FACILITY 147102,A000000,01800,0000,1800NURSING FACILITY 147102,A000000,02100,0000,2100RADIOLOGY 147102,A000000,02200,0000,2200LABORATORY 147102,A000000,02300,0000,2300INTRAVENOUS THERAPY 147102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147102,A000000,02500,0000,2500PHYSICAL THERAPY 147102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147102,A000000,02700,0000,2700SPEECH PATHOLOGY 147102,A000000,02800,0000,2800ELECTROCARDIOLOGY 147102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147102,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147102,A000000,03301,0000,3051NUTRITIONAL THERAPY 147102,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147102,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147102,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147102,A000000,04800,0000,4800AMBULANCE 147102,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147102,A000000,05300,0000,5300INTEREST EXPENSE 147102,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147102,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147102,A000000,06200,0000,6200PATIENTS LAUNDRY 147102,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147102,A000000,06301,0000,6151DAY CARE 147102,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147102,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147102,A81000A,00100,0100,Y 147102,A81000B,00100,0300,HOME OFFICE COSTS 147102,A81000B,00200,0300,LIABILITY INSURANCE 147102,A81000B,00500,0300,VC PHARMACY - ADMIN 147102,A81000B,00900,0300,VC PHARMACY - DIETARY 147102,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147102,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147102,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147102,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147102,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147102,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147102,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147102,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147102,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147102,A81000B,01900,0300,VC PHARMACY - LEGEND 147102,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147102,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 147102,A81000C,00100,0100,B 147102,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147102,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147102,A81000C,00100,0600,LIABILITY INSURANCE 147102,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147102,A81000C,00200,0600,PHARMACY 147102,A81000C,00300,0400,VENCARE RESPIRATORY 147102,A81000C,00300,0600,RESPIRATORY THERAPY 147102,A81000C,00400,0400,THERAPY SERVICES 147102,A81000C,00500,0400,VENCARE REHAB SERVICES 147102,A81000C,00500,0600,REHAB 147102,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147102,A81000C,00600,0600,PORTABLE X-RAY 147102,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147102,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147102,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147102,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147102,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147102,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147102,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147102,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147102,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147102,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147102,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147102,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147102,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147102,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147102,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147102,S000000,00100,0200,12/11/00 147102,S200000,00100,0100,1044 PARK HILLS STREET 147102,S200000,00200,0100,STOUGHTON 147102,S200000,00200,0200,MA 147102,S200000,00200,0300,02072- 147102,S200000,00300,0100,NORFOLK 147102,S200000,00300,0300,U 147102,S200000,00400,0100,BLUE HILLS ALZAHEIMER S CARE CTR 147102,S200000,00400,0200,225444 147102,S200000,00400,0300,07/01/90 147102,S200000,00400,0500,P 147102,S200000,01500,0100,Y 147102,S200000,01600,0100,N 147102,S200000,01700,0100,N 147102,S200000,01800,0100,N 147102,S200000,02200,0100,N 147102,S200000,02800,0100,N 147102,S200000,02900,0100,N 147102,S200000,03000,0100,N 147102,S200000,03100,0100,N 147102,S200000,03200,0100,N 147102,S200000,04100,0100,N 147102,S200000,04200,0100,N 147102,S200000,04300,0100,N 147102,S200000,04600,0100,N 147102,S200000,04700,0100,N 147102,S200000,04700,0200,N 147102,S200000,04900,0100,N 147102,S200000,05000,0100,N 147102,S200000,05100,0100,N 147102,S200000,05200,0100,N 147103,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147103,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147103,A000000,00300,0000,0300EMPLOYEE BENEFITS 147103,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147103,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147103,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147103,A000000,00700,0000,0700HOUSEKEEPING 147103,A000000,00800,0000,0800DIETARY 147103,A000000,00900,0000,0900NURSING ADMINISTRATION 147103,A000000,00901,0000,0901OTHER NURSING 147103,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147103,A000000,01100,0000,1100PHARMACY 147103,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147103,A000000,01300,0000,1300SOCIAL SERVICE 147103,A000000,01301,0000,1301ACTIVITIES 147103,A000000,01600,0000,1600SKILLED NURSING FACILITY 147103,A000000,01800,0000,1800NURSING FACILITY 147103,A000000,02100,0000,2100RADIOLOGY 147103,A000000,02200,0000,2200LABORATORY 147103,A000000,02300,0000,2300INTRAVENOUS THERAPY 147103,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147103,A000000,02500,0000,2500PHYSICAL THERAPY 147103,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147103,A000000,02700,0000,2700SPEECH PATHOLOGY 147103,A000000,02800,0000,2800ELECTROCARDIOLOGY 147103,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147103,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147103,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147103,A000000,03301,0000,3051NUTRITIONAL THERAPY 147103,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147103,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147103,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147103,A000000,04800,0000,4800AMBULANCE 147103,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147103,A000000,05300,0000,5300INTEREST EXPENSE 147103,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147103,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147103,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147103,A000000,06200,0000,6200PATIENTS LAUNDRY 147103,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147103,A000000,06301,0000,6151DAY CARE 147103,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147103,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147103,A81000A,00100,0100,Y 147103,A81000B,00100,0300,HOME OFFICE COSTS 147103,A81000B,00200,0300,LIABILITY INSURANCE 147103,A81000B,00500,0300,VC PHARMACY - ADMIN 147103,A81000B,00900,0300,VC PHARMACY - DIETARY 147103,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147103,A81000B,01100,0300,VC PHARMACY - NONLEGEND 147103,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 147103,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 147103,A81000B,01400,0300,VC PHARMACY - IV THERAPY 147103,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 147103,A81000B,01600,0300,VENCARE REHAB - PHYS THER 147103,A81000B,01700,0300,VENCARE REHAB - OCCP THER 147103,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 147103,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 147103,A81000B,02000,0300,VC PHARMACY - LEGEND 147103,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 147103,A81000C,00100,0100,B 147103,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147103,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147103,A81000C,00100,0600,LIABILITY INSURANCE 147103,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147103,A81000C,00200,0600,PHARMACY 147103,A81000C,00300,0400,VENCARE RESPIRATORY 147103,A81000C,00300,0600,RESPIRATORY THERAPY 147103,A81000C,00400,0400,THERAPY SERVICES 147103,A81000C,00500,0400,VENCARE REHAB SERVICES 147103,A81000C,00500,0600,REHAB 147103,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147103,A81000C,00600,0600,PORTABLE X-RAY 147103,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147103,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147103,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147103,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147103,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147103,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147103,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147103,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147103,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147103,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147103,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147103,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147103,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147103,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147103,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147103,E10A180,00301,0100,06/30/00 147103,S000000,00100,0200,12/11/00 147103,S200000,00100,0100,273 OAK GROVE AVENUE 147103,S200000,00200,0100,FALL RIVER 147103,S200000,00200,0200,MA 147103,S200000,00200,0300,02723- 147103,S200000,00300,0100,BRISTOL 147103,S200000,00300,0300,U 147103,S200000,00400,0100,CRAWFORD SKILLED NRSG & REHAB CENTER 147103,S200000,00400,0200,225453 147103,S200000,00400,0300,07/01/90 147103,S200000,00400,0500,P 147103,S200000,01500,0100,Y 147103,S200000,01600,0100,N 147103,S200000,01700,0100,N 147103,S200000,01800,0100,N 147103,S200000,02200,0100,Y 147103,S200000,02800,0100,N 147103,S200000,02900,0100,N 147103,S200000,03000,0100,N 147103,S200000,03100,0100,N 147103,S200000,03200,0100,N 147103,S200000,04100,0100,N 147103,S200000,04200,0100,N 147103,S200000,04300,0100,N 147103,S200000,04600,0100,N 147103,S200000,04700,0100,N 147103,S200000,04700,0200,N 147103,S200000,04900,0100,N 147103,S200000,05000,0100,N 147103,S200000,05100,0100,N 147103,S200000,05200,0100,N 147104,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147104,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147104,A000000,00300,0000,0300EMPLOYEE BENEFITS 147104,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147104,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147104,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147104,A000000,00700,0000,0700HOUSEKEEPING 147104,A000000,00800,0000,0800DIETARY 147104,A000000,00900,0000,0900NURSING ADMINISTRATION 147104,A000000,00901,0000,0901OTHER NURSING 147104,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147104,A000000,01100,0000,1100PHARMACY 147104,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147104,A000000,01300,0000,1300SOCIAL SERVICE 147104,A000000,01301,0000,1301ACTIVITIES 147104,A000000,01600,0000,1600SKILLED NURSING FACILITY 147104,A000000,01800,0000,1800NURSING FACILITY 147104,A000000,02100,0000,2100RADIOLOGY 147104,A000000,02200,0000,2200LABORATORY 147104,A000000,02300,0000,2300INTRAVENOUS THERAPY 147104,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147104,A000000,02500,0000,2500PHYSICAL THERAPY 147104,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147104,A000000,02700,0000,2700SPEECH PATHOLOGY 147104,A000000,02800,0000,2800ELECTROCARDIOLOGY 147104,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147104,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147104,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147104,A000000,03301,0000,3051NUTRITIONAL THERAPY 147104,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147104,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147104,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147104,A000000,04800,0000,4800AMBULANCE 147104,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147104,A000000,05300,0000,5300INTEREST EXPENSE 147104,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147104,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147104,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147104,A000000,06200,0000,6200PATIENTS LAUNDRY 147104,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147104,A000000,06301,0000,6151DAY CARE 147104,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147104,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147104,A81000A,00100,0100,Y 147104,A81000B,00100,0300,HOME OFFICE COSTS 147104,A81000B,00200,0300,LIABILITY INSURANCE 147104,A81000B,00500,0300,VC PHARMACY - ADMIN 147104,A81000B,00900,0300,VC PHARMACY - DIETARY 147104,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147104,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147104,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147104,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147104,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147104,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147104,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147104,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147104,A81000B,01800,0300,VC PHARMACY - LEGEND 147104,A81000C,00100,0100,B 147104,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147104,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147104,A81000C,00100,0600,LIABILITY INSURANCE 147104,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147104,A81000C,00200,0600,PHARMACY 147104,A81000C,00300,0400,VENCARE RESPIRATORY 147104,A81000C,00300,0600,RESPIRATORY THERAPY 147104,A81000C,00500,0400,VENCARE REHAB SERVICES 147104,A81000C,00500,0600,REHAB 147104,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147104,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147104,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147104,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147104,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147104,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147104,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147104,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147104,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147104,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147104,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147104,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147104,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147104,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147104,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147104,E10A180,00301,0100,06/30/00 147104,S000000,00100,0200,12/11/00 147104,S200000,00100,0100,44 SOUTH ST 147104,S200000,00200,0100,ROCKPORT 147104,S200000,00200,0200,MA 147104,S200000,00200,0300,01966- 147104,S200000,00300,0100,ESSEX 147104,S200000,00300,0300,U 147104,S200000,00400,0100,DEN-MAR REHAB & NURSING CENTER 147104,S200000,00400,0200,225456 147104,S200000,00400,0300,07/01/90 147104,S200000,00400,0500,P 147104,S200000,01500,0100,Y 147104,S200000,01600,0100,N 147104,S200000,01700,0100,N 147104,S200000,01800,0100,N 147104,S200000,02200,0100,Y 147104,S200000,02800,0100,N 147104,S200000,02900,0100,N 147104,S200000,03000,0100,N 147104,S200000,03100,0100,N 147104,S200000,03200,0100,N 147104,S200000,04100,0100,N 147104,S200000,04200,0100,N 147104,S200000,04300,0100,N 147104,S200000,04600,0100,N 147104,S200000,04700,0100,N 147104,S200000,04700,0200,N 147104,S200000,04900,0100,N 147104,S200000,05000,0100,N 147104,S200000,05100,0100,N 147104,S200000,05200,0100,N 147105,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147105,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147105,A000000,00300,0000,0300EMPLOYEE BENEFITS 147105,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147105,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147105,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147105,A000000,00700,0000,0700HOUSEKEEPING 147105,A000000,00800,0000,0800DIETARY 147105,A000000,00900,0000,0900NURSING ADMINISTRATION 147105,A000000,00901,0000,0901OTHER NURSING 147105,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147105,A000000,01100,0000,1100PHARMACY 147105,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147105,A000000,01300,0000,1300SOCIAL SERVICE 147105,A000000,01301,0000,1301ACTIVITIES 147105,A000000,01600,0000,1600SKILLED NURSING FACILITY 147105,A000000,01800,0000,1800NURSING FACILITY 147105,A000000,02100,0000,2100RADIOLOGY 147105,A000000,02200,0000,2200LABORATORY 147105,A000000,02300,0000,2300INTRAVENOUS THERAPY 147105,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147105,A000000,02500,0000,2500PHYSICAL THERAPY 147105,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147105,A000000,02700,0000,2700SPEECH PATHOLOGY 147105,A000000,02800,0000,2800ELECTROCARDIOLOGY 147105,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147105,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147105,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147105,A000000,03301,0000,3051NUTRITIONAL THERAPY 147105,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147105,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147105,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147105,A000000,04800,0000,4800AMBULANCE 147105,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147105,A000000,05300,0000,5300INTEREST EXPENSE 147105,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147105,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147105,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147105,A000000,06200,0000,6200PATIENTS LAUNDRY 147105,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147105,A000000,06301,0000,6151DAY CARE 147105,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147105,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147105,A81000A,00100,0100,Y 147105,A81000B,00100,0300,HOME OFFICE COSTS 147105,A81000B,00200,0300,LIABILITY INSURANCE 147105,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147105,A81000B,00500,0300,VC PHARMACY - ADMIN 147105,A81000B,00900,0300,VC PHARMACY - DIETARY 147105,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147105,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147105,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147105,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147105,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147105,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147105,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147105,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147105,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147105,A81000B,01900,0300,VC PHARMACY - LEGEND 147105,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147105,A81000B,02100,0300,VC PHARMACY - EKG 147105,A81000C,00100,0100,B 147105,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147105,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147105,A81000C,00100,0600,LIABILITY INSURANCE 147105,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147105,A81000C,00200,0600,PHARMACY 147105,A81000C,00300,0400,VENCARE RESPIRATORY 147105,A81000C,00300,0600,RESPIRATORY THERAPY 147105,A81000C,00400,0400,THERAPY SERVICES 147105,A81000C,00500,0400,VENCARE REHAB SERVICES 147105,A81000C,00500,0600,REHAB 147105,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147105,A81000C,00600,0600,PORTABLE X-RAY 147105,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147105,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147105,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147105,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147105,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147105,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147105,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147105,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147105,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147105,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147105,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147105,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147105,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147105,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147105,E10A180,00301,0100,06/30/00 147105,S000000,00100,0200,12/11/00 147105,S200000,00100,0100,130 CHESTNUT STREET 147105,S200000,00200,0100,FRANKLIN 147105,S200000,00200,0200,MA 147105,S200000,00200,0300,02038- 147105,S200000,00300,0100,NORFOLK 147105,S200000,00300,0300,U 147105,S200000,00400,0100,FRANKLIN HOUSE SKILLED NRSG & REHAB 147105,S200000,00400,0200,225461 147105,S200000,00400,0300,07/01/90 147105,S200000,00400,0500,P 147105,S200000,01500,0100,Y 147105,S200000,01600,0100,N 147105,S200000,01700,0100,N 147105,S200000,01800,0100,N 147105,S200000,02200,0100,Y 147105,S200000,02800,0100,N 147105,S200000,02900,0100,N 147105,S200000,03000,0100,N 147105,S200000,03100,0100,N 147105,S200000,03200,0100,N 147105,S200000,04100,0100,N 147105,S200000,04200,0100,N 147105,S200000,04300,0100,N 147105,S200000,04600,0100,N 147105,S200000,04700,0100,N 147105,S200000,04700,0200,N 147105,S200000,04900,0100,N 147105,S200000,05000,0100,N 147105,S200000,05100,0100,N 147105,S200000,05200,0100,N 147106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147106,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147106,A000000,00300,0000,0300EMPLOYEE BENEFITS 147106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147106,A000000,00700,0000,0700HOUSEKEEPING 147106,A000000,00800,0000,0800DIETARY 147106,A000000,00900,0000,0900NURSING ADMINISTRATION 147106,A000000,00901,0000,0901OTHER NURSING 147106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147106,A000000,01100,0000,1100PHARMACY 147106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147106,A000000,01300,0000,1300SOCIAL SERVICE 147106,A000000,01301,0000,1301ACTIVITIES 147106,A000000,01600,0000,1600SKILLED NURSING FACILITY 147106,A000000,01800,0000,1800NURSING FACILITY 147106,A000000,02100,0000,2100RADIOLOGY 147106,A000000,02200,0000,2200LABORATORY 147106,A000000,02300,0000,2300INTRAVENOUS THERAPY 147106,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147106,A000000,02500,0000,2500PHYSICAL THERAPY 147106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147106,A000000,02700,0000,2700SPEECH PATHOLOGY 147106,A000000,02800,0000,2800ELECTROCARDIOLOGY 147106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147106,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147106,A000000,03301,0000,3051NUTRITIONAL THERAPY 147106,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147106,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147106,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147106,A000000,04800,0000,4800AMBULANCE 147106,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147106,A000000,05300,0000,5300INTEREST EXPENSE 147106,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147106,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147106,A000000,06200,0000,6200PATIENTS LAUNDRY 147106,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147106,A000000,06301,0000,6151DAY CARE 147106,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147106,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147106,A81000A,00100,0100,Y 147106,A81000B,00100,0300,HOME OFFICE COSTS 147106,A81000B,00200,0300,LIABILITY INSURANCE 147106,A81000B,00500,0300,VC PHARMACY - ADMIN 147106,A81000B,00900,0300,VC PHARMACY - DIETARY 147106,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147106,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147106,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147106,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147106,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147106,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147106,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147106,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147106,A81000B,01800,0300,VC PHARMACY - LEGEND 147106,A81000B,01900,0300,VC PHARMACY - NUTR THER 147106,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147106,A81000C,00100,0100,B 147106,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147106,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147106,A81000C,00100,0600,LIABILITY INSURANCE 147106,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147106,A81000C,00200,0600,PHARMACY 147106,A81000C,00300,0400,VENCARE RESPIRATORY 147106,A81000C,00300,0600,RESPIRATORY THERAPY 147106,A81000C,00400,0400,THERAPY SERVICES 147106,A81000C,00500,0400,VENCARE REHAB SERVICES 147106,A81000C,00500,0600,REHAB 147106,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147106,A81000C,00600,0600,PORTABLE X-RAY 147106,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147106,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147106,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147106,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147106,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147106,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147106,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147106,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147106,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147106,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147106,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147106,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147106,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147106,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147106,E10A180,00301,0100,06/30/00 147106,S000000,00100,0200,12/11/00 147106,S200000,00100,0100,1123 ROCKDALE AVENUE 147106,S200000,00200,0100,NEW BEDFORD 147106,S200000,00200,0200,MA 147106,S200000,00200,0300,02700- 147106,S200000,00300,0100,BRISTOL 147106,S200000,00300,0300,U 147106,S200000,00400,0100,HALLMARK NURSING & REHAB CTR 147106,S200000,00400,0200,225465 147106,S200000,00400,0300,07/01/90 147106,S200000,00400,0500,P 147106,S200000,01500,0100,Y 147106,S200000,01600,0100,N 147106,S200000,01700,0100,N 147106,S200000,01800,0100,N 147106,S200000,02200,0100,Y 147106,S200000,02800,0100,N 147106,S200000,02900,0100,N 147106,S200000,03000,0100,N 147106,S200000,03100,0100,N 147106,S200000,03200,0100,N 147106,S200000,04100,0100,N 147106,S200000,04200,0100,N 147106,S200000,04300,0100,N 147106,S200000,04600,0100,N 147106,S200000,04700,0100,N 147106,S200000,04700,0200,N 147106,S200000,04900,0100,N 147106,S200000,05000,0100,N 147106,S200000,05100,0100,N 147106,S200000,05200,0100,N 147107,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147107,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147107,A000000,00300,0000,0300EMPLOYEE BENEFITS 147107,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147107,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147107,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147107,A000000,00700,0000,0700HOUSEKEEPING 147107,A000000,00800,0000,0800DIETARY 147107,A000000,00900,0000,0900NURSING ADMINISTRATION 147107,A000000,00901,0000,0901OTHER NURSING 147107,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147107,A000000,01100,0000,1100PHARMACY 147107,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147107,A000000,01300,0000,1300SOCIAL SERVICE 147107,A000000,01301,0000,1301ACTIVITIES 147107,A000000,01600,0000,1600SKILLED NURSING FACILITY 147107,A000000,01800,0000,1800NURSING FACILITY 147107,A000000,02100,0000,2100RADIOLOGY 147107,A000000,02200,0000,2200LABORATORY 147107,A000000,02300,0000,2300INTRAVENOUS THERAPY 147107,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147107,A000000,02500,0000,2500PHYSICAL THERAPY 147107,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147107,A000000,02700,0000,2700SPEECH PATHOLOGY 147107,A000000,02800,0000,2800ELECTROCARDIOLOGY 147107,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147107,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147107,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147107,A000000,03301,0000,3051NUTRITIONAL THERAPY 147107,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147107,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147107,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147107,A000000,04800,0000,4800AMBULANCE 147107,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147107,A000000,05300,0000,5300INTEREST EXPENSE 147107,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147107,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147107,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147107,A000000,06200,0000,6200PATIENTS LAUNDRY 147107,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147107,A000000,06301,0000,6151DAY CARE 147107,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147107,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147107,A81000A,00100,0100,Y 147107,A81000B,00100,0300,HOME OFFICE COSTS 147107,A81000B,00200,0300,LIABILITY INSURANCE 147107,A81000B,00500,0300,VC PHARMACY - ADMIN 147107,A81000B,00900,0300,VC PHARMACY - DIETARY 147107,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147107,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147107,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147107,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147107,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147107,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147107,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147107,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147107,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147107,A81000B,01900,0300,VC PHARMACY - LEGEND 147107,A81000C,00100,0100,B 147107,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147107,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147107,A81000C,00100,0600,LIABILITY INSURANCE 147107,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147107,A81000C,00200,0600,PHARMACY 147107,A81000C,00300,0400,VENCARE RESPIRATORY 147107,A81000C,00300,0600,RESPIRATORY THERAPY 147107,A81000C,00400,0400,THERAPY SERVICES 147107,A81000C,00500,0400,VENCARE REHAB SERVICES 147107,A81000C,00500,0600,REHAB 147107,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147107,A81000C,00600,0600,PORTABLE X-RAY 147107,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147107,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147107,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147107,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147107,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147107,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147107,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147107,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147107,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147107,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147107,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147107,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147107,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147107,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147107,E10A180,00301,0100,06/30/00 147107,S000000,00100,0200,12/11/00 147107,S200000,00100,0100,174 FOREST HILLS STREET 147107,S200000,00200,0100,JAMAICA PLAIN 147107,S200000,00200,0200,MA 147107,S200000,00200,0300,02132- 147107,S200000,00300,0100,SUFFOLK 147107,S200000,00300,0300,U 147107,S200000,00400,0100,LAUREL RIDGE REHAB & NURSING CTR 147107,S200000,00400,0200,225469 147107,S200000,00400,0300,07/01/90 147107,S200000,00400,0500,P 147107,S200000,01500,0100,Y 147107,S200000,01600,0100,N 147107,S200000,01700,0100,N 147107,S200000,01800,0100,N 147107,S200000,02200,0100,N 147107,S200000,02800,0100,N 147107,S200000,02900,0100,N 147107,S200000,03000,0100,N 147107,S200000,03100,0100,N 147107,S200000,03200,0100,N 147107,S200000,04100,0100,N 147107,S200000,04200,0100,N 147107,S200000,04300,0100,N 147107,S200000,04600,0100,N 147107,S200000,04700,0100,N 147107,S200000,04700,0200,N 147107,S200000,04900,0100,N 147107,S200000,05000,0100,N 147107,S200000,05100,0100,N 147107,S200000,05200,0100,N 147111,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147111,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147111,A000000,00300,0000,0300EMPLOYEE BENEFITS 147111,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147111,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147111,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147111,A000000,00700,0000,0700HOUSEKEEPING 147111,A000000,00800,0000,0800DIETARY 147111,A000000,00900,0000,0900NURSING ADMINISTRATION 147111,A000000,00901,0000,0901OTHER NURSING 147111,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147111,A000000,01100,0000,1100PHARMACY 147111,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147111,A000000,01300,0000,1300SOCIAL SERVICE 147111,A000000,01301,0000,1301ACTIVITIES 147111,A000000,01600,0000,1600SKILLED NURSING FACILITY 147111,A000000,01800,0000,1800NURSING FACILITY 147111,A000000,02100,0000,2100RADIOLOGY 147111,A000000,02200,0000,2200LABORATORY 147111,A000000,02300,0000,2300INTRAVENOUS THERAPY 147111,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147111,A000000,02500,0000,2500PHYSICAL THERAPY 147111,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147111,A000000,02700,0000,2700SPEECH PATHOLOGY 147111,A000000,02800,0000,2800ELECTROCARDIOLOGY 147111,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147111,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147111,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147111,A000000,03301,0000,3051NUTRITIONAL THERAPY 147111,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147111,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147111,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147111,A000000,04800,0000,4800AMBULANCE 147111,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147111,A000000,05300,0000,5300INTEREST EXPENSE 147111,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147111,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147111,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147111,A000000,06200,0000,6200PATIENTS LAUNDRY 147111,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147111,A000000,06301,0000,6151DAY CARE 147111,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147111,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147111,A81000A,00100,0100,Y 147111,A81000B,00100,0300,HOME OFFICE COSTS 147111,A81000B,00200,0300,LIABILITY INSURANCE 147111,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147111,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147111,A81000B,00500,0300,VC PHARMACY - ADMIN 147111,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147111,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147111,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147111,A81000B,00900,0300,VC PHARMACY - DIETARY 147111,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147111,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147111,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147111,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147111,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147111,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147111,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147111,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147111,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147111,A81000B,01900,0300,VC PHARMACY - LAB 147111,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147111,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147111,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147111,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147111,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147111,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147111,A81000B,02600,0300,VC PHARMACY - LEGEND 147111,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147111,A81000B,02800,0300,VC PHARMACY - NUTR THER 147111,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147111,A81000C,00100,0100,B 147111,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147111,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147111,A81000C,00100,0600,LIABILITY INSURANCE 147111,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147111,A81000C,00200,0600,PHARMACY 147111,A81000C,00300,0400,VENCARE RESPIRATORY 147111,A81000C,00300,0600,RESPIRATORY THERAPY 147111,A81000C,00400,0400,THERAPY SERVICES 147111,A81000C,00500,0400,VENCARE REHAB SERVICES 147111,A81000C,00500,0600,REHAB 147111,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147111,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147111,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147111,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147111,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147111,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147111,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147111,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147111,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147111,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147111,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147111,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147111,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147111,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147111,E10A180,00302,0100,11/30/00 147111,E10A180,00350,0100,06/30/00 147111,S000000,00100,0200,01/16/02 147111,S200000,00100,0100,3701 JOANN DRIVE 147111,S200000,00200,0100,CORINTH 147111,S200000,00200,0200,MS 147111,S200000,00200,0300,38834- 147111,S200000,00300,0100,ALCORN 147111,S200000,00300,0200,0025 147111,S200000,00300,0300,R 147111,S200000,00400,0100,227 - CARE INN - ALCORN COUNTY 147111,S200000,00400,0200,255110 147111,S200000,00400,0300,05/08/89 147111,S200000,00400,0500,P 147111,S200000,01500,0100,Y 147111,S200000,01600,0100,N 147111,S200000,01700,0100,N 147111,S200000,01800,0100,N 147111,S200000,02200,0100,Y 147111,S200000,02800,0100,N 147111,S200000,02900,0100,N 147111,S200000,03000,0100,N 147111,S200000,03100,0100,N 147111,S200000,03200,0100,N 147111,S200000,04100,0100,N 147111,S200000,04200,0100,N 147111,S200000,04300,0100,N 147111,S200000,04600,0100,N 147111,S200000,04700,0100,N 147111,S200000,04700,0200,N 147111,S200000,04900,0100,N 147111,S200000,05000,0100,N 147111,S200000,05100,0100,N 147111,S200000,05200,0100,N 147121,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147121,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147121,A000000,00300,0000,0300EMPLOYEE BENEFITS 147121,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147121,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147121,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147121,A000000,00700,0000,0700HOUSEKEEPING 147121,A000000,00800,0000,0800DIETARY 147121,A000000,00900,0000,0900NURSING ADMINISTRATION 147121,A000000,00901,0000,0901OTHER NURSING 147121,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147121,A000000,01100,0000,1100PHARMACY 147121,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147121,A000000,01300,0000,1300SOCIAL SERVICE 147121,A000000,01301,0000,1301ACTIVITIES 147121,A000000,01600,0000,1600SKILLED NURSING FACILITY 147121,A000000,01800,0000,1800NURSING FACILITY 147121,A000000,02100,0000,2100RADIOLOGY 147121,A000000,02200,0000,2200LABORATORY 147121,A000000,02300,0000,2300INTRAVENOUS THERAPY 147121,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147121,A000000,02500,0000,2500PHYSICAL THERAPY 147121,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147121,A000000,02700,0000,2700SPEECH PATHOLOGY 147121,A000000,02800,0000,2800ELECTROCARDIOLOGY 147121,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147121,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147121,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147121,A000000,03301,0000,3051NUTRITIONAL THERAPY 147121,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147121,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147121,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147121,A000000,04800,0000,4800AMBULANCE 147121,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147121,A000000,05300,0000,5300INTEREST EXPENSE 147121,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147121,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147121,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147121,A000000,06200,0000,6200PATIENTS LAUNDRY 147121,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147121,A000000,06301,0000,6151DAY CARE 147121,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147121,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147121,A81000A,00100,0100,Y 147121,A81000B,00100,0300,HOME OFFICE COSTS 147121,A81000B,00200,0300,LIABILITY INSURANCE 147121,A81000B,00500,0300,VC PHARMACY - ADMIN 147121,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147121,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 147121,A81000B,01200,0300,VENCARE REHAB - PHYS THER 147121,A81000B,01300,0300,VENCARE REHAB - OCCP THER 147121,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 147121,A81000B,01500,0300,VC PHARMACY - LEGEND 147121,A81000C,00100,0100,B 147121,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147121,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147121,A81000C,00100,0600,LIABILITY INSURANCE 147121,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147121,A81000C,00200,0600,PHARMACY 147121,A81000C,00300,0400,VENCARE RESPIRATORY 147121,A81000C,00300,0600,RESPIRATORY THERAPY 147121,A81000C,00400,0400,THERAPY SERVICES 147121,A81000C,00500,0400,VENCARE REHAB SERVICES 147121,A81000C,00500,0600,REHAB 147121,A81000C,00700,0100,F 147121,A81000C,00700,0200,W. BRUCE LUNDSFORD 147121,A81000C,00700,0400,VENTAS INC 147121,A81000C,00700,0600,REAL ESTATE MANAGEMENT 147121,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147121,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147121,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147121,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147121,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147121,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147121,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147121,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147121,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147121,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147121,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147121,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147121,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147121,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147121,E10A180,00301,0100,06/30/00 147121,S000000,00100,0200,12/01/00 147121,S200000,00100,0100,510 SOUTH 74TH STREET 147121,S200000,00200,0100,LIVINGSTON 147121,S200000,00200,0200,MT 147121,S200000,00200,0300,59047- 147121,S200000,00300,0100,PARK 147121,S200000,00300,0300,R 147121,S200000,00400,0100,#434 LIVINGSTON HRC 147121,S200000,00400,0200,275047 147121,S200000,00400,0300,01/01/82 147121,S200000,00400,0500,P 147121,S200000,01500,0100,Y 147121,S200000,01600,0100,N 147121,S200000,01700,0100,N 147121,S200000,01800,0100,N 147121,S200000,02200,0100,Y 147121,S200000,02800,0100,N 147121,S200000,02900,0100,N 147121,S200000,03000,0100,N 147121,S200000,03100,0100,N 147121,S200000,03200,0100,N 147121,S200000,04100,0100,N 147121,S200000,04200,0100,N 147121,S200000,04300,0100,N 147121,S200000,04600,0100,N 147121,S200000,04700,0100,N 147121,S200000,04700,0200,N 147121,S200000,04900,0100,N 147121,S200000,05000,0100,N 147121,S200000,05100,0100,N 147121,S200000,05200,0100,N 147122,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147122,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147122,A000000,00300,0000,0300EMPLOYEE BENEFITS 147122,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147122,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147122,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147122,A000000,00700,0000,0700HOUSEKEEPING 147122,A000000,00800,0000,0800DIETARY 147122,A000000,00900,0000,0900NURSING ADMINISTRATION 147122,A000000,00901,0000,0901OTHER NURSING 147122,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147122,A000000,01100,0000,1100PHARMACY 147122,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147122,A000000,01300,0000,1300SOCIAL SERVICE 147122,A000000,01301,0000,1301ACTIVITIES 147122,A000000,01600,0000,1600SKILLED NURSING FACILITY 147122,A000000,01800,0000,1800NURSING FACILITY 147122,A000000,02100,0000,2100RADIOLOGY 147122,A000000,02200,0000,2200LABORATORY 147122,A000000,02300,0000,2300INTRAVENOUS THERAPY 147122,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147122,A000000,02500,0000,2500PHYSICAL THERAPY 147122,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147122,A000000,02700,0000,2700SPEECH PATHOLOGY 147122,A000000,02800,0000,2800ELECTROCARDIOLOGY 147122,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147122,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147122,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147122,A000000,03301,0000,3051NUTRITIONAL THERAPY 147122,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147122,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147122,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147122,A000000,04800,0000,4800AMBULANCE 147122,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147122,A000000,05300,0000,5300INTEREST EXPENSE 147122,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147122,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147122,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147122,A000000,06200,0000,6200PATIENTS LAUNDRY 147122,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147122,A000000,06301,0000,6151DAY CARE 147122,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147122,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147122,A81000A,00100,0100,Y 147122,A81000B,00100,0300,HOME OFFICE COSTS 147122,A81000B,00200,0300,LIABILITY INSURANCE 147122,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147122,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147122,A81000B,00500,0300,VC PHARMACY - ADMIN 147122,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147122,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147122,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147122,A81000B,00900,0300,VC PHARMACY - DIETARY 147122,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147122,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147122,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147122,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147122,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147122,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147122,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147122,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147122,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147122,A81000B,01900,0300,VC PHARMACY - LAB 147122,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147122,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147122,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147122,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147122,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147122,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147122,A81000B,02600,0300,VC PHARMACY - LEGEND 147122,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147122,A81000B,02800,0300,VC PHARMACY - NUTR THER 147122,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147122,A81000C,00100,0100,B 147122,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147122,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147122,A81000C,00100,0600,LIABILITY INSURANCE 147122,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147122,A81000C,00200,0600,PHARMACY 147122,A81000C,00300,0400,VENCARE RESPIRATORY 147122,A81000C,00300,0600,RESPIRATORY THERAPY 147122,A81000C,00400,0400,THERAPY SERVICES 147122,A81000C,00500,0400,VENCARE REHAB SERVICES 147122,A81000C,00500,0600,REHAB 147122,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147122,A81000C,00600,0600,PORTABLE X-RAY 147122,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147122,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147122,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147122,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147122,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147122,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147122,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147122,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147122,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147122,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147122,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147122,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147122,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147122,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147122,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147122,E10A180,00301,0100,06/30/00 147122,S000000,00100,0200,12/01/00 147122,S200000,00100,0100,4735 SOUTH 54TH STREET 147122,S200000,00200,0100,LINCOLN 147122,S200000,00200,0200,NE 147122,S200000,00200,0300,68516- 147122,S200000,00300,0100,LANCASTER 147122,S200000,00300,0300,U 147122,S200000,00400,0100,746 - HOMESTEAD HEALTHCARE & REHAB C 147122,S200000,00400,0200,285049 147122,S200000,00400,0300,09/01/82 147122,S200000,00400,0500,P 147122,S200000,01500,0100,Y 147122,S200000,01600,0100,N 147122,S200000,01700,0100,N 147122,S200000,01800,0100,N 147122,S200000,02200,0100,Y 147122,S200000,02800,0100,N 147122,S200000,02900,0100,N 147122,S200000,03000,0100,N 147122,S200000,03100,0100,N 147122,S200000,03200,0100,N 147122,S200000,04100,0100,N 147122,S200000,04200,0100,N 147122,S200000,04300,0100,N 147122,S200000,04600,0100,N 147122,S200000,04700,0100,N 147122,S200000,04700,0200,N 147122,S200000,04900,0100,N 147122,S200000,05000,0100,N 147122,S200000,05100,0100,N 147122,S200000,05200,0100,N 147124,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147124,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147124,A000000,00300,0000,0300EMPLOYEE BENEFITS 147124,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147124,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147124,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147124,A000000,00700,0000,0700HOUSEKEEPING 147124,A000000,00800,0000,0800DIETARY 147124,A000000,00900,0000,0900NURSING ADMINISTRATION 147124,A000000,00901,0000,0901OTHER NURSING 147124,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147124,A000000,01100,0000,1100PHARMACY 147124,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147124,A000000,01300,0000,1300SOCIAL SERVICE 147124,A000000,01301,0000,1301ACTIVITIES 147124,A000000,01600,0000,1600SKILLED NURSING FACILITY 147124,A000000,01800,0000,1800NURSING FACILITY 147124,A000000,02100,0000,2100RADIOLOGY 147124,A000000,02200,0000,2200LABORATORY 147124,A000000,02300,0000,2300INTRAVENOUS THERAPY 147124,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147124,A000000,02500,0000,2500PHYSICAL THERAPY 147124,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147124,A000000,02700,0000,2700SPEECH PATHOLOGY 147124,A000000,02800,0000,2800ELECTROCARDIOLOGY 147124,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147124,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147124,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147124,A000000,03301,0000,3051NUTRITIONAL THERAPY 147124,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147124,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147124,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147124,A000000,04800,0000,4800AMBULANCE 147124,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147124,A000000,05300,0000,5300INTEREST EXPENSE 147124,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147124,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147124,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147124,A000000,06200,0000,6200PATIENTS LAUNDRY 147124,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147124,A000000,06301,0000,6151DAY CARE 147124,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147124,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147124,A81000A,00100,0100,Y 147124,A81000B,00100,0300,HOME OFFICE COSTS 147124,A81000B,00200,0300,LIABILITY INSURANCE 147124,A81000B,00500,0300,VC PHARMACY - ADMIN 147124,A81000B,00700,0300,VC PHARMACY -NONLEGEND 147124,A81000B,00900,0300,VC PHARMACY - DIETARY 147124,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147124,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147124,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147124,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147124,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147124,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147124,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147124,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147124,A81000B,01800,0300,VC PHARMACY - LEGEND 147124,A81000B,01900,0300,VC PHARMACY - OTHER MEDICAL 147124,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 147124,A81000C,00100,0100,B 147124,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147124,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147124,A81000C,00100,0600,LIABILITY INSURANCE 147124,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147124,A81000C,00200,0600,PHARMACY 147124,A81000C,00300,0400,VENCARE RESPIRATORY 147124,A81000C,00300,0600,RESPIRATORY THERAPY 147124,A81000C,00400,0400,THERAPY SERVICES 147124,A81000C,00500,0400,VENCARE REHAB SERVICES 147124,A81000C,00500,0600,REHAB 147124,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147124,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147124,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147124,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147124,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147124,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147124,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147124,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147124,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147124,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147124,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147124,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147124,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147124,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147124,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147124,E10A180,00301,0100,06/30/00 147124,S000000,00100,0200,12/01/00 147124,S200000,00100,0100,2832 MARYLAND PKWY 147124,S200000,00200,0100,LAS VEGAS 147124,S200000,00200,0200,NV 147124,S200000,00200,0300,89109- 147124,S200000,00300,0100,CLARK 147124,S200000,00300,0300,U 147124,S200000,00400,0100,#640- LAS VEGAS HCRC 147124,S200000,00400,0200,295006 147124,S200000,00400,0300,01/01/72 147124,S200000,00400,0500,P 147124,S200000,01500,0100,Y 147124,S200000,01600,0100,N 147124,S200000,01700,0100,N 147124,S200000,01800,0100,N 147124,S200000,02200,0100,Y 147124,S200000,02800,0100,N 147124,S200000,02900,0100,N 147124,S200000,03000,0100,N 147124,S200000,03100,0100,N 147124,S200000,03200,0100,N 147124,S200000,04100,0100,N 147124,S200000,04200,0100,N 147124,S200000,04300,0100,N 147124,S200000,04600,0100,N 147124,S200000,04700,0100,N 147124,S200000,04700,0200,N 147124,S200000,04900,0100,N 147124,S200000,05000,0100,N 147124,S200000,05100,0100,N 147124,S200000,05200,0100,N 147144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147144,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147144,A000000,00300,0000,0300EMPLOYEE BENEFITS 147144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147144,A000000,00700,0000,0700HOUSEKEEPING 147144,A000000,00800,0000,0800DIETARY 147144,A000000,00900,0000,0900NURSING ADMINISTRATION 147144,A000000,00901,0000,0901OTHER NURSING 147144,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147144,A000000,01100,0000,1100PHARMACY 147144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147144,A000000,01300,0000,1300SOCIAL SERVICE 147144,A000000,01301,0000,1301ACTIVITIES 147144,A000000,01600,0000,1600SKILLED NURSING FACILITY 147144,A000000,01800,0000,1800NURSING FACILITY 147144,A000000,02100,0000,2100RADIOLOGY 147144,A000000,02200,0000,2200LABORATORY 147144,A000000,02300,0000,2300INTRAVENOUS THERAPY 147144,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147144,A000000,02500,0000,2500PHYSICAL THERAPY 147144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147144,A000000,02700,0000,2700SPEECH PATHOLOGY 147144,A000000,02800,0000,2800ELECTROCARDIOLOGY 147144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147144,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147144,A000000,03301,0000,3051NUTRITIONAL THERAPY 147144,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147144,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147144,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147144,A000000,04800,0000,4800AMBULANCE 147144,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147144,A000000,05300,0000,5300INTEREST EXPENSE 147144,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147144,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147144,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147144,A000000,06200,0000,6200PATIENTS LAUNDRY 147144,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147144,A000000,06301,0000,6151DAY CARE 147144,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147144,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147144,A81000A,00100,0100,Y 147144,A81000B,00100,0300,HOME OFFICE COSTS 147144,A81000B,00200,0300,LIABILITY INSURANCE 147144,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147144,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147144,A81000B,00500,0300,VC PHARMACY - ADMIN 147144,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147144,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147144,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147144,A81000B,00900,0300,VC PHARMACY - DIETARY 147144,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147144,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147144,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147144,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147144,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147144,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147144,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147144,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147144,A81000B,01800,0300,VENCARE MOBILE RADIOLOGY 147144,A81000B,01900,0300,VC PHARMACY - LAB 147144,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147144,A81000B,02100,0300,VENCARE RESP THERAPY SVCS 147144,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147144,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147144,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147144,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147144,A81000B,02600,0300,VC PHARMACY - LEGEND 147144,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147144,A81000B,02800,0300,VC PHARMACY - NUTR THER 147144,A81000B,02900,0300,VENCARE RESP THERAPY SVCS 147144,A81000C,00100,0100,B 147144,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147144,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147144,A81000C,00100,0600,LIABILITY INSURANCE 147144,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147144,A81000C,00200,0600,PHARMACY 147144,A81000C,00300,0400,VENCARE RESPIRATORY 147144,A81000C,00300,0600,RESPIRATORY THERAPY 147144,A81000C,00400,0400,THERAPY SERVICES 147144,A81000C,00500,0400,VENCARE REHAB SERVICES 147144,A81000C,00500,0600,REHAB 147144,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147144,A81000C,00600,0600,PORTABLE X-RAY 147144,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147144,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147144,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147144,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147144,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147144,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147144,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147144,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147144,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147144,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147144,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147144,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147144,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147144,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147144,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147144,E10A180,00301,0100,11/30/00 147144,S000000,00100,0200,12/11/00 147144,S200000,00100,0100,1400 JUNIOR HIGH ROAD 147144,S200000,00200,0100,SCOTLAND NECK 147144,S200000,00200,0200,NC 147144,S200000,00200,0300,27874- 147144,S200000,00300,0100,HALIFAX 147144,S200000,00300,0300,R 147144,S200000,00400,0100,717 - GUARDIAN CARE OF SCOTLAND NECK 147144,S200000,00400,0200,345375 147144,S200000,00400,0300,06/12/91 147144,S200000,00400,0500,P 147144,S200000,01500,0100,N 147144,S200000,01600,0100,Y 147144,S200000,01700,0100,N 147144,S200000,01800,0100,N 147144,S200000,02200,0100,Y 147144,S200000,02800,0100,N 147144,S200000,02900,0100,N 147144,S200000,03000,0100,N 147144,S200000,03100,0100,N 147144,S200000,03200,0100,N 147144,S200000,04100,0100,N 147144,S200000,04200,0100,N 147144,S200000,04300,0100,N 147144,S200000,04600,0100,N 147144,S200000,04700,0100,N 147144,S200000,04700,0200,N 147144,S200000,04900,0100,N 147144,S200000,05000,0100,N 147144,S200000,05100,0100,N 147144,S200000,05200,0100,N 147176,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147176,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147176,A000000,00300,0000,0300EMPLOYEE BENEFITS 147176,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147176,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147176,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147176,A000000,00700,0000,0700HOUSEKEEPING 147176,A000000,00800,0000,0800DIETARY 147176,A000000,00900,0000,0900NURSING ADMINISTRATION 147176,A000000,00901,0000,0901OTHER NURSING 147176,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147176,A000000,01100,0000,1100PHARMACY 147176,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147176,A000000,01300,0000,1300SOCIAL SERVICE 147176,A000000,01301,0000,1301ACTIVITIES 147176,A000000,01600,0000,1600SKILLED NURSING FACILITY 147176,A000000,01800,0000,1800NURSING FACILITY 147176,A000000,02100,0000,2100RADIOLOGY 147176,A000000,02200,0000,2200LABORATORY 147176,A000000,02300,0000,2300INTRAVENOUS THERAPY 147176,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147176,A000000,02500,0000,2500PHYSICAL THERAPY 147176,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147176,A000000,02700,0000,2700SPEECH PATHOLOGY 147176,A000000,02800,0000,2800ELECTROCARDIOLOGY 147176,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147176,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147176,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147176,A000000,03301,0000,3051NUTRITIONAL THERAPY 147176,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147176,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147176,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147176,A000000,04800,0000,4800AMBULANCE 147176,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147176,A000000,05300,0000,5300INTEREST EXPENSE 147176,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147176,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147176,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147176,A000000,06200,0000,6200PATIENTS LAUNDRY 147176,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147176,A000000,06301,0000,6151DAY CARE 147176,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147176,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147176,A81000A,00100,0100,Y 147176,A81000B,00100,0300,HOME OFFICE COSTS 147176,A81000B,00200,0300,LIABILITY INSURANCE 147176,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147176,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147176,A81000B,00500,0300,VC PHARMACY - ADMIN 147176,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147176,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147176,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147176,A81000B,00900,0300,VC PHARMACY - DIETARY 147176,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147176,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147176,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147176,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147176,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147176,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147176,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147176,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147176,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147176,A81000B,01900,0300,VC PHARMACY - LAB 147176,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147176,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147176,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147176,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147176,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147176,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147176,A81000B,02600,0300,VC PHARMACY - LEGEND 147176,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147176,A81000B,02800,0300,VC PHARMACY - NUTR THER 147176,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147176,A81000C,00100,0100,B 147176,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147176,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147176,A81000C,00100,0600,LIABILITY INSURANCE 147176,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147176,A81000C,00200,0600,PHARMACY 147176,A81000C,00300,0400,VENCARE RESPIRATORY 147176,A81000C,00300,0600,RESPIRATORY THERAPY 147176,A81000C,00400,0400,THERAPY SERVICES 147176,A81000C,00500,0400,VENCARE REHAB SERVICES 147176,A81000C,00500,0600,REHAB 147176,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147176,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147176,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147176,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147176,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147176,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147176,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147176,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147176,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147176,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147176,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147176,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147176,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147176,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147176,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147176,E10A180,00301,0100,11/30/00 147176,E10A180,00350,0100,06/30/00 147176,S000000,00100,0200,12/01/00 147176,S200000,00100,0100,3430 HARRISON BLVD 147176,S200000,00200,0100,OGDEN 147176,S200000,00200,0200,UT 147176,S200000,00200,0300,84403- 147176,S200000,00300,0100,WEBER 147176,S200000,00300,0300,U 147176,S200000,00400,0100,140 - WASATCH CARE CNETER 147176,S200000,00400,0200,465009 147176,S200000,00400,0300,08/01/82 147176,S200000,00400,0500,P 147176,S200000,01500,0100,Y 147176,S200000,01600,0100,N 147176,S200000,01700,0100,N 147176,S200000,01800,0100,N 147176,S200000,02200,0100,Y 147176,S200000,02800,0100,Y 147176,S200000,02900,0100,N 147176,S200000,03000,0100,N 147176,S200000,03100,0100,N 147176,S200000,03200,0100,N 147176,S200000,04100,0100,N 147176,S200000,04200,0100,N 147176,S200000,04300,0100,N 147176,S200000,04600,0100,N 147176,S200000,04700,0100,N 147176,S200000,04700,0200,N 147176,S200000,04900,0100,N 147176,S200000,05000,0100,N 147176,S200000,05100,0100,N 147176,S200000,05200,0100,N 147177,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147177,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147177,A000000,00300,0000,0300EMPLOYEE BENEFITS 147177,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147177,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147177,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147177,A000000,00700,0000,0700HOUSEKEEPING 147177,A000000,00800,0000,0800DIETARY 147177,A000000,00900,0000,0900NURSING ADMINISTRATION 147177,A000000,00901,0000,0901OTHER NURSING 147177,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147177,A000000,01100,0000,1100PHARMACY 147177,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147177,A000000,01300,0000,1300SOCIAL SERVICE 147177,A000000,01301,0000,1301ACTIVITIES 147177,A000000,01600,0000,1600SKILLED NURSING FACILITY 147177,A000000,01800,0000,1800NURSING FACILITY 147177,A000000,02100,0000,2100RADIOLOGY 147177,A000000,02200,0000,2200LABORATORY 147177,A000000,02300,0000,2300INTRAVENOUS THERAPY 147177,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147177,A000000,02500,0000,2500PHYSICAL THERAPY 147177,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147177,A000000,02700,0000,2700SPEECH PATHOLOGY 147177,A000000,02800,0000,2800ELECTROCARDIOLOGY 147177,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147177,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147177,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147177,A000000,03301,0000,3051NUTRITIONAL THERAPY 147177,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147177,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147177,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147177,A000000,04800,0000,4800AMBULANCE 147177,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147177,A000000,05300,0000,5300INTEREST EXPENSE 147177,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147177,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147177,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147177,A000000,06200,0000,6200PATIENTS LAUNDRY 147177,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147177,A000000,06301,0000,6151DAY CARE 147177,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147177,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147177,A81000A,00100,0100,Y 147177,A81000B,00100,0300,HOME OFFICE COSTS 147177,A81000B,00200,0300,LIABILITY INSURANCE 147177,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147177,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147177,A81000B,00500,0300,VC PHARMACY - ADMIN 147177,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147177,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147177,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147177,A81000B,00900,0300,VC PHARMACY - DIETARY 147177,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147177,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147177,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147177,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147177,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147177,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147177,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147177,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147177,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147177,A81000B,01900,0300,VC PHARMACY - LAB 147177,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147177,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147177,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147177,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147177,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147177,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147177,A81000B,02600,0300,VC PHARMACY - LEGEND 147177,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147177,A81000B,02800,0300,VC PHARMACY - NUTR THER 147177,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147177,A81000C,00100,0100,B 147177,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147177,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147177,A81000C,00100,0600,LIABILITY INSURANCE 147177,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147177,A81000C,00200,0600,PHARMACY 147177,A81000C,00300,0400,VENCARE RESPIRATORY 147177,A81000C,00300,0600,RESPIRATORY THERAPY 147177,A81000C,00400,0400,THERAPY SERVICES 147177,A81000C,00500,0400,VENCARE REHAB SERVICES 147177,A81000C,00500,0600,REHAB 147177,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147177,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147177,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147177,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147177,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147177,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147177,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147177,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147177,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147177,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147177,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147177,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147177,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147177,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147177,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147177,E10A180,00350,0100,11/30/00 147177,S000000,00100,0200,12/01/00 147177,S200000,00100,0100,41 SOUTH 9TH STREET 147177,S200000,00200,0100,SALT LAKE CITY 147177,S200000,00200,0200,UT 147177,S200000,00200,0300,84102- 147177,S200000,00300,0100,SALT LAKE 147177,S200000,00300,0200,7160 147177,S200000,00300,0300,U 147177,S200000,00400,0100,655 - FEDERAL HEIGHTS NURSING 147177,S200000,00400,0200,465055 147177,S200000,00400,0300,01/01/67 147177,S200000,00400,0500,P 147177,S200000,01500,0100,Y 147177,S200000,01600,0100,N 147177,S200000,01700,0100,N 147177,S200000,01800,0100,N 147177,S200000,02200,0100,Y 147177,S200000,02800,0100,N 147177,S200000,02900,0100,N 147177,S200000,03000,0100,N 147177,S200000,03100,0100,N 147177,S200000,03200,0100,N 147177,S200000,04100,0100,N 147177,S200000,04200,0100,N 147177,S200000,04300,0100,N 147177,S200000,04600,0100,N 147177,S200000,04700,0100,N 147177,S200000,04700,0200,N 147177,S200000,04900,0100,N 147177,S200000,05000,0100,N 147177,S200000,05100,0100,N 147177,S200000,05200,0100,N 147178,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147178,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147178,A000000,00300,0000,0300EMPLOYEE BENEFITS 147178,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147178,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147178,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147178,A000000,00700,0000,0700HOUSEKEEPING 147178,A000000,00800,0000,0800DIETARY 147178,A000000,00900,0000,0900NURSING ADMINISTRATION 147178,A000000,00901,0000,0901OTHER NURSING 147178,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147178,A000000,01100,0000,1100PHARMACY 147178,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147178,A000000,01300,0000,1300SOCIAL SERVICE 147178,A000000,01301,0000,1301ACTIVITIES 147178,A000000,01600,0000,1600SKILLED NURSING FACILITY 147178,A000000,01800,0000,1800NURSING FACILITY 147178,A000000,02100,0000,2100RADIOLOGY 147178,A000000,02200,0000,2200LABORATORY 147178,A000000,02300,0000,2300INTRAVENOUS THERAPY 147178,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147178,A000000,02500,0000,2500PHYSICAL THERAPY 147178,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147178,A000000,02700,0000,2700SPEECH PATHOLOGY 147178,A000000,02800,0000,2800ELECTROCARDIOLOGY 147178,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147178,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147178,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147178,A000000,03301,0000,3051NUTRITIONAL THERAPY 147178,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147178,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147178,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147178,A000000,04800,0000,4800AMBULANCE 147178,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147178,A000000,05300,0000,5300INTEREST EXPENSE 147178,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147178,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147178,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147178,A000000,06200,0000,6200PATIENTS LAUNDRY 147178,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147178,A000000,06301,0000,6151DAY CARE 147178,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147178,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147178,A81000A,00100,0100,Y 147178,A81000B,00100,0300,HOME OFFICE COSTS 147178,A81000B,00200,0300,LIABILITY INSURANCE 147178,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147178,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147178,A81000B,00500,0300,VC PHARMACY - ADMIN 147178,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147178,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147178,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147178,A81000B,00900,0300,VC PHARMACY - DIETARY 147178,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147178,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147178,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147178,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147178,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147178,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147178,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147178,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147178,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147178,A81000B,01900,0300,VC PHARMACY - LAB 147178,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147178,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147178,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147178,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147178,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147178,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147178,A81000B,02600,0300,VC PHARMACY - LEGEND 147178,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147178,A81000B,02800,0300,VC PHARMACY - NUTR THER 147178,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147178,A81000C,00100,0100,B 147178,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147178,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147178,A81000C,00100,0600,LIABILITY INSURANCE 147178,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147178,A81000C,00200,0600,PHARMACY 147178,A81000C,00300,0400,VENCARE RESPIRATORY 147178,A81000C,00300,0600,RESPIRATORY THERAPY 147178,A81000C,00400,0400,THERAPY SERVICES 147178,A81000C,00500,0400,VENCARE REHAB SERVICES 147178,A81000C,00500,0600,REHAB 147178,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147178,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147178,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147178,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147178,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147178,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147178,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147178,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147178,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147178,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147178,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147178,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147178,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147178,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147178,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147178,E10A180,00301,0100,06/30/00 147178,E10A180,00302,0100,11/30/00 147178,S000000,00100,0200,12/01/00 147178,S200000,00100,0100,1032 EAST 100TH STREET SOUTH 147178,S200000,00200,0100,ST. GEORGE 147178,S200000,00200,0200,UT 147178,S200000,00200,0300,84770- 147178,S200000,00300,0100,SALT LAKE 147178,S200000,00300,0300,R 147178,S200000,00400,0100,247 - ST. GEORGE CARE AND REHAB 147178,S200000,00400,0200,465064 147178,S200000,00400,0300,09/01/85 147178,S200000,00400,0500,P 147178,S200000,01500,0100,Y 147178,S200000,01600,0100,N 147178,S200000,01700,0100,N 147178,S200000,01800,0100,N 147178,S200000,02200,0100,Y 147178,S200000,02800,0100,Y 147178,S200000,02900,0100,N 147178,S200000,03000,0100,N 147178,S200000,03100,0100,N 147178,S200000,03200,0100,N 147178,S200000,04100,0100,N 147178,S200000,04200,0100,N 147178,S200000,04300,0100,N 147178,S200000,04600,0100,N 147178,S200000,04700,0100,N 147178,S200000,04700,0200,N 147178,S200000,04900,0100,N 147178,S200000,05000,0100,N 147178,S200000,05100,0100,N 147178,S200000,05200,0100,N 147182,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147182,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147182,A000000,00300,0000,0300EMPLOYEE BENEFITS 147182,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147182,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147182,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147182,A000000,00700,0000,0700HOUSEKEEPING 147182,A000000,00800,0000,0800DIETARY 147182,A000000,00900,0000,0900NURSING ADMINISTRATION 147182,A000000,00901,0000,0901OTHER NURSING 147182,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147182,A000000,01100,0000,1100PHARMACY 147182,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147182,A000000,01300,0000,1300SOCIAL SERVICE 147182,A000000,01301,0000,1301ACTIVITIES 147182,A000000,01600,0000,1600SKILLED NURSING FACILITY 147182,A000000,01800,0000,1800NURSING FACILITY 147182,A000000,02100,0000,2100RADIOLOGY 147182,A000000,02200,0000,2200LABORATORY 147182,A000000,02300,0000,2300INTRAVENOUS THERAPY 147182,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147182,A000000,02500,0000,2500PHYSICAL THERAPY 147182,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147182,A000000,02700,0000,2700SPEECH PATHOLOGY 147182,A000000,02800,0000,2800ELECTROCARDIOLOGY 147182,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147182,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147182,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147182,A000000,03301,0000,3051NUTRITIONAL THERAPY 147182,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147182,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147182,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147182,A000000,04800,0000,4800AMBULANCE 147182,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147182,A000000,05300,0000,5300INTEREST EXPENSE 147182,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147182,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147182,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147182,A000000,06200,0000,6200PATIENTS LAUNDRY 147182,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147182,A000000,06301,0000,6151DAY CARE 147182,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147182,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147182,A81000A,00100,0100,Y 147182,A81000B,00100,0300,HOME OFFICE COSTS 147182,A81000B,00200,0300,LIABILITY INSURANCE 147182,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147182,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147182,A81000B,00500,0300,VC PHARMACY - ADMIN 147182,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147182,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147182,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147182,A81000B,00900,0300,VC PHARMACY - DIETARY 147182,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147182,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147182,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147182,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147182,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147182,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147182,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147182,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147182,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147182,A81000B,01900,0300,VC PHARMACY - LAB 147182,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147182,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147182,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147182,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147182,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147182,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147182,A81000B,02600,0300,VC PHARMACY - LEGEND 147182,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147182,A81000B,02800,0300,VC PHARMACY - NUTR THER 147182,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147182,A81000C,00100,0100,B 147182,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147182,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147182,A81000C,00100,0600,LIABILITY INSURANCE 147182,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147182,A81000C,00200,0600,PHARMACY 147182,A81000C,00300,0400,VENCARE RESPIRATORY 147182,A81000C,00300,0600,RESPIRATORY THERAPY 147182,A81000C,00400,0400,THERAPY SERVICES 147182,A81000C,00500,0400,VENCARE REHAB SERVICES 147182,A81000C,00500,0600,REHAB 147182,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147182,A81000C,00600,0600,PORTABLE X-RAY 147182,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147182,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147182,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147182,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147182,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147182,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147182,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147182,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147182,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147182,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147182,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147182,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147182,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147182,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147182,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147182,E10A180,00350,0100,06/30/00 147182,E10A180,00351,0100,11/30/00 147182,S000000,00100,0200,12/01/00 147182,S200000,00100,0100,21008 76TH AVE WEST 147182,S200000,00200,0100,EDMONDS 147182,S200000,00200,0200,WA 147182,S200000,00200,0300,98020- 147182,S200000,00300,0100,SNOHOMISH 147182,S200000,00300,0300,U 147182,S200000,00400,0100,461 - EDMONDS REHAB & HEALTHCARE CTR 147182,S200000,00400,0200,505103 147182,S200000,00400,0300,07/01/84 147182,S200000,00400,0500,P 147182,S200000,01500,0100,Y 147182,S200000,01600,0100,N 147182,S200000,01700,0100,N 147182,S200000,01800,0100,N 147182,S200000,02200,0100,Y 147182,S200000,02800,0100,N 147182,S200000,02900,0100,N 147182,S200000,03000,0100,N 147182,S200000,03100,0100,N 147182,S200000,03200,0100,N 147182,S200000,04100,0100,N 147182,S200000,04200,0100,N 147182,S200000,04300,0100,N 147182,S200000,04600,0100,N 147182,S200000,04700,0100,N 147182,S200000,04700,0200,N 147182,S200000,04900,0100,N 147182,S200000,05000,0100,N 147182,S200000,05100,0100,N 147182,S200000,05200,0100,N 147184,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147184,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147184,A000000,00300,0000,0300EMPLOYEE BENEFITS 147184,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147184,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147184,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147184,A000000,00700,0000,0700HOUSEKEEPING 147184,A000000,00800,0000,0800DIETARY 147184,A000000,00900,0000,0900NURSING ADMINISTRATION 147184,A000000,00901,0000,0901OTHER NURSING 147184,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147184,A000000,01100,0000,1100PHARMACY 147184,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147184,A000000,01300,0000,1300SOCIAL SERVICE 147184,A000000,01301,0000,1301ACTIVITIES 147184,A000000,01600,0000,1600SKILLED NURSING FACILITY 147184,A000000,01800,0000,1800NURSING FACILITY 147184,A000000,02100,0000,2100RADIOLOGY 147184,A000000,02200,0000,2200LABORATORY 147184,A000000,02300,0000,2300INTRAVENOUS THERAPY 147184,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147184,A000000,02500,0000,2500PHYSICAL THERAPY 147184,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147184,A000000,02700,0000,2700SPEECH PATHOLOGY 147184,A000000,02800,0000,2800ELECTROCARDIOLOGY 147184,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147184,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147184,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147184,A000000,03301,0000,3051NUTRITIONAL THERAPY 147184,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147184,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147184,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147184,A000000,04800,0000,4800AMBULANCE 147184,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147184,A000000,05300,0000,5300INTEREST EXPENSE 147184,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147184,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147184,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147184,A000000,06200,0000,6200PATIENTS LAUNDRY 147184,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147184,A000000,06301,0000,6151DAY CARE 147184,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147184,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147184,A81000A,00100,0100,Y 147184,A81000B,00100,0300,HOME OFFICE COSTS 147184,A81000B,00200,0300,LIABILITY INSURANCE 147184,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147184,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147184,A81000B,00500,0300,VC PHARMACY - ADMIN 147184,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147184,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147184,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147184,A81000B,00900,0300,VC PHARMACY - DIETARY 147184,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147184,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147184,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147184,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147184,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147184,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147184,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147184,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147184,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147184,A81000B,01900,0300,VC PHARMACY - LAB 147184,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147184,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147184,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147184,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147184,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147184,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147184,A81000B,02600,0300,VC PHARMACY - LEGEND 147184,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147184,A81000B,02800,0300,VC PHARMACY - NUTR THER 147184,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147184,A81000C,00100,0100,B 147184,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147184,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147184,A81000C,00100,0600,LIABILITY INSURANCE 147184,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147184,A81000C,00200,0600,PHARMACY 147184,A81000C,00300,0400,VENCARE RESPIRATORY 147184,A81000C,00300,0600,RESPIRATORY THERAPY 147184,A81000C,00400,0400,THERAPY SERVICES 147184,A81000C,00500,0400,VENCARE REHAB SERVICES 147184,A81000C,00500,0600,REHAB 147184,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147184,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147184,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147184,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147184,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147184,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147184,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147184,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147184,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147184,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147184,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147184,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147184,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147184,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147184,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147184,E10A180,00301,0100,06/30/00 147184,E10A180,00302,0100,11/30/00 147184,S000000,00100,0200,12/01/00 147184,S200000,00100,0100,400 EAST 33RD STREET 147184,S200000,00200,0100,VANCOUVER 147184,S200000,00200,0200,WA 147184,S200000,00200,0300,98663- 147184,S200000,00300,0100,CLERK 147184,S200000,00300,0300,U 147184,S200000,00400,0100,180 - VENCOR OF VANCOUVER HEALTHCARE 147184,S200000,00400,0200,505206 147184,S200000,00400,0300,11/08/70 147184,S200000,00400,0500,P 147184,S200000,01500,0100,Y 147184,S200000,01600,0100,N 147184,S200000,01700,0100,N 147184,S200000,01800,0100,N 147184,S200000,02200,0100,Y 147184,S200000,02800,0100,N 147184,S200000,02900,0100,N 147184,S200000,03000,0100,N 147184,S200000,03100,0100,N 147184,S200000,03200,0100,N 147184,S200000,04100,0100,N 147184,S200000,04200,0100,N 147184,S200000,04300,0100,N 147184,S200000,04600,0100,N 147184,S200000,04700,0100,N 147184,S200000,04700,0200,N 147184,S200000,04900,0100,N 147184,S200000,05000,0100,N 147184,S200000,05100,0100,N 147184,S200000,05200,0100,N 147186,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147186,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147186,A000000,00300,0000,0300EMPLOYEE BENEFITS 147186,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147186,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147186,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147186,A000000,00700,0000,0700HOUSEKEEPING 147186,A000000,00800,0000,0800DIETARY 147186,A000000,00900,0000,0900NURSING ADMINISTRATION 147186,A000000,00901,0000,0901OTHER NURSING 147186,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147186,A000000,01100,0000,1100PHARMACY 147186,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147186,A000000,01300,0000,1300SOCIAL SERVICE 147186,A000000,01301,0000,1301ACTIVITIES 147186,A000000,01600,0000,1600SKILLED NURSING FACILITY 147186,A000000,01800,0000,1800NURSING FACILITY 147186,A000000,02100,0000,2100RADIOLOGY 147186,A000000,02200,0000,2200LABORATORY 147186,A000000,02300,0000,2300INTRAVENOUS THERAPY 147186,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147186,A000000,02500,0000,2500PHYSICAL THERAPY 147186,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147186,A000000,02700,0000,2700SPEECH PATHOLOGY 147186,A000000,02800,0000,2800ELECTROCARDIOLOGY 147186,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147186,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147186,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147186,A000000,03301,0000,3051NUTRITIONAL THERAPY 147186,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147186,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147186,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147186,A000000,04800,0000,4800AMBULANCE 147186,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147186,A000000,05300,0000,5300INTEREST EXPENSE 147186,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147186,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147186,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147186,A000000,06200,0000,6200PATIENTS LAUNDRY 147186,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147186,A000000,06301,0000,6151DAY CARE 147186,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147186,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147186,A81000A,00100,0100,Y 147186,A81000B,00100,0300,HOME OFFICE COSTS 147186,A81000B,00200,0300,LIABILITY INSURANCE 147186,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147186,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147186,A81000B,00500,0300,VC PHARMACY - ADMIN 147186,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147186,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147186,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147186,A81000B,00900,0300,VC PHARMACY - DIETARY 147186,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147186,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147186,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147186,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147186,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147186,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147186,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147186,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147186,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147186,A81000B,01900,0300,VC PHARMACY - LAB 147186,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147186,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147186,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147186,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147186,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147186,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147186,A81000B,02600,0300,VC PHARMACY - LEGEND 147186,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147186,A81000B,02800,0300,VC PHARMACY - NUTR THER 147186,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147186,A81000C,00100,0100,B 147186,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147186,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147186,A81000C,00100,0600,LIABILITY INSURANCE 147186,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147186,A81000C,00200,0600,PHARMACY 147186,A81000C,00300,0400,VENCARE RESPIRATORY 147186,A81000C,00300,0600,RESPIRATORY THERAPY 147186,A81000C,00400,0400,THERAPY SERVICES 147186,A81000C,00500,0400,VENCARE REHAB SERVICES 147186,A81000C,00500,0600,REHAB 147186,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147186,A81000C,00600,0600,PORTABLE X-RAY 147186,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147186,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147186,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147186,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147186,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147186,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147186,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147186,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147186,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147186,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147186,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147186,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147186,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147186,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147186,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147186,E10A180,00301,0100,06/30/00 147186,E10A180,00302,0100,11/30/00 147186,S000000,00100,0200,12/01/00 147186,S200000,00100,0100,11411 BRIDGEPORT WAY 147186,S200000,00200,0100,TACOMA 147186,S200000,00200,0200,WA 147186,S200000,00200,0300,98499- 147186,S200000,00300,0100,PIERCE 147186,S200000,00300,0300,U 147186,S200000,00400,0100,168 - LAKEWOOD HEALTHCARE CENTER 147186,S200000,00400,0200,505347 147186,S200000,00400,0300,07/26/89 147186,S200000,00400,0500,P 147186,S200000,01500,0100,Y 147186,S200000,01600,0100,N 147186,S200000,01700,0100,N 147186,S200000,01800,0100,N 147186,S200000,02200,0100,Y 147186,S200000,02800,0100,N 147186,S200000,02900,0100,N 147186,S200000,03000,0100,N 147186,S200000,03100,0100,N 147186,S200000,03200,0100,N 147186,S200000,04100,0100,N 147186,S200000,04200,0100,N 147186,S200000,04300,0100,N 147186,S200000,04600,0100,N 147186,S200000,04700,0100,N 147186,S200000,04700,0200,N 147186,S200000,04900,0100,N 147186,S200000,05000,0100,N 147186,S200000,05100,0100,N 147186,S200000,05200,0100,N 147188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147188,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147188,A000000,00300,0000,0300EMPLOYEE BENEFITS 147188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147188,A000000,00700,0000,0700HOUSEKEEPING 147188,A000000,00800,0000,0800DIETARY 147188,A000000,00900,0000,0900NURSING ADMINISTRATION 147188,A000000,00901,0000,0901OTHER NURSING 147188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147188,A000000,01100,0000,1100PHARMACY 147188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147188,A000000,01300,0000,1300SOCIAL SERVICE 147188,A000000,01301,0000,1301ACTIVITIES 147188,A000000,01600,0000,1600SKILLED NURSING FACILITY 147188,A000000,01800,0000,1800NURSING FACILITY 147188,A000000,02100,0000,2100RADIOLOGY 147188,A000000,02200,0000,2200LABORATORY 147188,A000000,02300,0000,2300INTRAVENOUS THERAPY 147188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147188,A000000,02500,0000,2500PHYSICAL THERAPY 147188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147188,A000000,02700,0000,2700SPEECH PATHOLOGY 147188,A000000,02800,0000,2800ELECTROCARDIOLOGY 147188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147188,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147188,A000000,03301,0000,3051NUTRITIONAL THERAPY 147188,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147188,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147188,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147188,A000000,04800,0000,4800AMBULANCE 147188,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147188,A000000,05300,0000,5300INTEREST EXPENSE 147188,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147188,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147188,A000000,06200,0000,6200PATIENTS LAUNDRY 147188,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147188,A000000,06301,0000,6151DAY CARE 147188,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147188,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147188,A81000A,00100,0100,Y 147188,A81000B,00100,0300,HOME OFFICE COSTS 147188,A81000B,00200,0300,LIABILITY INSURANCE 147188,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147188,A81000B,00500,0300,VC PHARMACY - ADMIN 147188,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147188,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147188,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 147188,A81000B,01300,0300,VC PHARMACY - IV THERAPY 147188,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 147188,A81000B,01500,0300,VENCARE REHAB - PHYS THER 147188,A81000B,01600,0300,VENCARE REHAB - OCCP THER 147188,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 147188,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 147188,A81000B,01900,0300,VC PHARMACY - LEGEND 147188,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147188,A81000C,00100,0100,B 147188,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147188,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147188,A81000C,00100,0600,LIABILITY INSURANCE 147188,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147188,A81000C,00200,0600,PHARMACY 147188,A81000C,00300,0400,VENCARE RESPIRATORY 147188,A81000C,00300,0600,RESPIRATORY THERAPY 147188,A81000C,00400,0400,THERAPY SERVICES 147188,A81000C,00500,0400,VENCARE REHAB SERVICES 147188,A81000C,00500,0600,REHAB 147188,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147188,A81000C,00600,0600,PORTABLE X-RAY 147188,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147188,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147188,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147188,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147188,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147188,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147188,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147188,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147188,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147188,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147188,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147188,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147188,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147188,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147188,E10A180,00301,0100,06/30/00 147188,S000000,00100,0200,12/01/00 147188,S200000,00100,0100,3415 SHERIDAN ROAD 147188,S200000,00200,0100,KENOSHA 147188,S200000,00200,0200,WI 147188,S200000,00200,0300,53140- 147188,S200000,00300,0100,KENOSHA 147188,S200000,00300,0300,U 147188,S200000,00400,0100,776-WOODSTOCK HEALTH & REHAB. 147188,S200000,00400,0200,525281 147188,S200000,00400,0300,09/01/82 147188,S200000,00400,0500,P 147188,S200000,01500,0100,Y 147188,S200000,01600,0100,N 147188,S200000,01700,0100,N 147188,S200000,01800,0100,N 147188,S200000,02200,0100,Y 147188,S200000,02800,0100,N 147188,S200000,02900,0100,N 147188,S200000,03000,0100,N 147188,S200000,03100,0100,N 147188,S200000,03200,0100,N 147188,S200000,04100,0100,N 147188,S200000,04200,0100,N 147188,S200000,04300,0100,N 147188,S200000,04600,0100,N 147188,S200000,04700,0100,N 147188,S200000,04700,0200,N 147188,S200000,04900,0100,N 147188,S200000,05000,0100,N 147188,S200000,05100,0100,N 147188,S200000,05200,0100,N 147189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147189,A000000,00300,0000,0300EMPLOYEE BENEFITS 147189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147189,A000000,00700,0000,0700HOUSEKEEPING 147189,A000000,00800,0000,0800DIETARY 147189,A000000,00900,0000,0900NURSING ADMINISTRATION 147189,A000000,00901,0000,0901OTHER NURSING 147189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147189,A000000,01100,0000,1100PHARMACY 147189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147189,A000000,01300,0000,1300SOCIAL SERVICE 147189,A000000,01301,0000,1301ACTIVITIES 147189,A000000,01600,0000,1600SKILLED NURSING FACILITY 147189,A000000,01800,0000,1800NURSING FACILITY 147189,A000000,02100,0000,2100RADIOLOGY 147189,A000000,02200,0000,2200LABORATORY 147189,A000000,02300,0000,2300INTRAVENOUS THERAPY 147189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147189,A000000,02500,0000,2500PHYSICAL THERAPY 147189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147189,A000000,02700,0000,2700SPEECH PATHOLOGY 147189,A000000,02800,0000,2800ELECTROCARDIOLOGY 147189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147189,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147189,A000000,03301,0000,3051NUTRITIONAL THERAPY 147189,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147189,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147189,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147189,A000000,04800,0000,4800AMBULANCE 147189,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147189,A000000,05300,0000,5300INTEREST EXPENSE 147189,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147189,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147189,A000000,06200,0000,6200PATIENTS LAUNDRY 147189,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147189,A000000,06301,0000,6151DAY CARE 147189,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147189,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147189,A81000A,00100,0100,Y 147189,A81000B,00100,0300,HOME OFFICE COSTS 147189,A81000B,00200,0300,LIABILITY INSURANCE 147189,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147189,A81000B,00500,0300,VC PHARMACY - ADMIN 147189,A81000B,00900,0300,VC PHARMACY - DIETARY 147189,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147189,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147189,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147189,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147189,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147189,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147189,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147189,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147189,A81000B,01800,0300,VC PHARMACY - LEGEND 147189,A81000B,01900,0300,VC PHARMACY - PROS & ORTHOS 147189,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147189,A81000C,00100,0100,B 147189,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147189,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147189,A81000C,00100,0600,LIABILITY INSURANCE 147189,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147189,A81000C,00200,0600,PHARMACY 147189,A81000C,00300,0400,VENCARE RESPIRATORY 147189,A81000C,00300,0600,RESPIRATORY THERAPY 147189,A81000C,00400,0400,THERAPY SERVICES 147189,A81000C,00500,0400,VENCARE REHAB SERVICES 147189,A81000C,00500,0600,REHAB 147189,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147189,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147189,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147189,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147189,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147189,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147189,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147189,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147189,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147189,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147189,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147189,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147189,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147189,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147189,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147189,S000000,00100,0200,12/01/00 147189,S200000,00100,0100,1850 BOWEN STREET 147189,S200000,00200,0100,OSHKOSH 147189,S200000,00200,0200,WI 147189,S200000,00200,0300,54901- 147189,S200000,00300,0100,WINNEBAGO 147189,S200000,00300,0300,U 147189,S200000,00400,0100,197-OSHKOSH MEDICAL & REHAB. 147189,S200000,00400,0200,525299 147189,S200000,00400,0300,10/01/85 147189,S200000,00400,0500,P 147189,S200000,01500,0100,Y 147189,S200000,01600,0100,N 147189,S200000,01700,0100,N 147189,S200000,01800,0100,N 147189,S200000,02200,0100,Y 147189,S200000,02800,0100,N 147189,S200000,02900,0100,N 147189,S200000,03000,0100,N 147189,S200000,03100,0100,N 147189,S200000,03200,0100,N 147189,S200000,04100,0100,N 147189,S200000,04200,0100,N 147189,S200000,04300,0100,N 147189,S200000,04600,0100,N 147189,S200000,04700,0100,N 147189,S200000,04700,0200,N 147189,S200000,04900,0100,N 147189,S200000,05000,0100,N 147189,S200000,05100,0100,N 147189,S200000,05200,0100,N 147190,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147190,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147190,A000000,00300,0000,0300EMPLOYEE BENEFITS 147190,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147190,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147190,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147190,A000000,00700,0000,0700HOUSEKEEPING 147190,A000000,00800,0000,0800DIETARY 147190,A000000,00900,0000,0900NURSING ADMINISTRATION 147190,A000000,00901,0000,0901OTHER NURSING 147190,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147190,A000000,01100,0000,1100PHARMACY 147190,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147190,A000000,01300,0000,1300SOCIAL SERVICE 147190,A000000,01301,0000,1301ACTIVITIES 147190,A000000,01600,0000,1600SKILLED NURSING FACILITY 147190,A000000,01800,0000,1800NURSING FACILITY 147190,A000000,02100,0000,2100RADIOLOGY 147190,A000000,02200,0000,2200LABORATORY 147190,A000000,02300,0000,2300INTRAVENOUS THERAPY 147190,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147190,A000000,02500,0000,2500PHYSICAL THERAPY 147190,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147190,A000000,02700,0000,2700SPEECH PATHOLOGY 147190,A000000,02800,0000,2800ELECTROCARDIOLOGY 147190,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147190,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147190,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147190,A000000,03301,0000,3051NUTRITIONAL THERAPY 147190,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147190,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147190,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147190,A000000,04800,0000,4800AMBULANCE 147190,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147190,A000000,05300,0000,5300INTEREST EXPENSE 147190,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147190,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147190,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147190,A000000,06200,0000,6200PATIENTS LAUNDRY 147190,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147190,A000000,06301,0000,6151DAY CARE 147190,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147190,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147190,A81000A,00100,0100,Y 147190,A81000B,00100,0300,HOME OFFICE COSTS 147190,A81000B,00200,0300,LIABILITY INSURANCE 147190,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147190,A81000B,00500,0300,VC PHARMACY - ADMIN 147190,A81000B,00900,0300,VC PHARMACY - DIETARY 147190,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147190,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147190,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147190,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147190,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147190,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147190,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147190,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147190,A81000B,01800,0300,VC PHARMACY - LEGEND 147190,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 147190,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 147190,A81000C,00100,0100,B 147190,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147190,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147190,A81000C,00100,0600,LIABILITY INSURANCE 147190,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147190,A81000C,00200,0600,PHARMACY 147190,A81000C,00300,0400,VENCARE RESPIRATORY 147190,A81000C,00300,0600,RESPIRATORY THERAPY 147190,A81000C,00400,0400,THERAPY SERVICES 147190,A81000C,00500,0400,VENCARE REHAB SERVICES 147190,A81000C,00500,0600,REHAB 147190,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147190,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147190,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147190,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147190,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147190,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147190,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147190,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147190,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147190,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147190,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147190,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147190,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147190,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147190,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147190,E10A180,00301,0100,06/30/00 147190,S000000,00100,0200,12/01/00 147190,S200000,00100,0100,8400 SHERIDAN ROAD 147190,S200000,00200,0100,KENOSHA 147190,S200000,00200,0200,WI 147190,S200000,00200,0300,53140- 147190,S200000,00300,0100,KENOSHA 147190,S200000,00300,0300,U 147190,S200000,00400,0100,775-SHERIDAN MEDICAL COMPLEX 147190,S200000,00400,0200,525318 147190,S200000,00400,0300,09/01/82 147190,S200000,00400,0500,P 147190,S200000,01500,0100,Y 147190,S200000,01600,0100,N 147190,S200000,01700,0100,N 147190,S200000,01800,0100,N 147190,S200000,02200,0100,Y 147190,S200000,02800,0100,N 147190,S200000,02900,0100,N 147190,S200000,03000,0100,N 147190,S200000,03100,0100,N 147190,S200000,03200,0100,N 147190,S200000,04100,0100,N 147190,S200000,04200,0100,N 147190,S200000,04300,0100,N 147190,S200000,04600,0100,N 147190,S200000,04700,0100,N 147190,S200000,04700,0200,N 147190,S200000,04900,0100,N 147190,S200000,05000,0100,N 147190,S200000,05100,0100,N 147190,S200000,05200,0100,N 147191,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147191,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147191,A000000,00300,0000,0300EMPLOYEE BENEFITS 147191,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147191,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147191,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147191,A000000,00700,0000,0700HOUSEKEEPING 147191,A000000,00800,0000,0800DIETARY 147191,A000000,00900,0000,0900NURSING ADMINISTRATION 147191,A000000,00901,0000,0901OTHER NURSING 147191,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147191,A000000,01100,0000,1100PHARMACY 147191,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147191,A000000,01300,0000,1300SOCIAL SERVICE 147191,A000000,01301,0000,1301ACTIVITIES 147191,A000000,01600,0000,1600SKILLED NURSING FACILITY 147191,A000000,01800,0000,1800NURSING FACILITY 147191,A000000,02100,0000,2100RADIOLOGY 147191,A000000,02200,0000,2200LABORATORY 147191,A000000,02300,0000,2300INTRAVENOUS THERAPY 147191,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147191,A000000,02500,0000,2500PHYSICAL THERAPY 147191,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147191,A000000,02700,0000,2700SPEECH PATHOLOGY 147191,A000000,02800,0000,2800ELECTROCARDIOLOGY 147191,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147191,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147191,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147191,A000000,03301,0000,3051NUTRITIONAL THERAPY 147191,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147191,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147191,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147191,A000000,04800,0000,4800AMBULANCE 147191,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147191,A000000,05300,0000,5300INTEREST EXPENSE 147191,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147191,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147191,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147191,A000000,06200,0000,6200PATIENTS LAUNDRY 147191,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147191,A000000,06301,0000,6151DAY CARE 147191,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147191,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147191,A81000A,00100,0100,Y 147191,A81000B,00100,0300,HOME OFFICE COSTS 147191,A81000B,00200,0300,LIABILITY INSURANCE 147191,A81000B,00500,0300,VC PHARMACY - ADMIN 147191,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147191,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147191,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147191,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147191,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147191,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147191,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147191,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147191,A81000B,01800,0300,VC PHARMACY - LEGEND 147191,A81000C,00100,0100,B 147191,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147191,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147191,A81000C,00100,0600,LIABILITY INSURANCE 147191,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147191,A81000C,00200,0600,PHARMACY 147191,A81000C,00300,0400,VENCARE RESPIRATORY 147191,A81000C,00300,0600,RESPIRATORY THERAPY 147191,A81000C,00400,0400,THERAPY SERVICES 147191,A81000C,00500,0400,VENCARE REHAB SERVICES 147191,A81000C,00500,0600,REHAB 147191,A81000C,00700,0400,CLEVIUS GORDER 147191,A81000C,00700,0600,REAL ESTATE PARTNERSHIP 147191,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147191,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147191,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147191,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147191,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147191,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147191,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147191,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147191,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147191,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147191,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147191,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147191,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147191,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147191,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147191,E10A180,00350,0100,06/30/00 147191,S000000,00100,0200,12/01/00 147191,S200000,00100,0100,6201 ELMWOOD AVENUE 147191,S200000,00200,0100,MIDDLETON 147191,S200000,00200,0200,WI 147191,S200000,00200,0300,53562- 147191,S200000,00300,0100,DANE 147191,S200000,00300,0300,U 147191,S200000,00400,0100,1216-MIDDLETON VILLAGE NSG. 147191,S200000,00400,0200,525330 147191,S200000,00400,0300,12/03/82 147191,S200000,00400,0500,P 147191,S200000,01500,0100,Y 147191,S200000,01600,0100,N 147191,S200000,01700,0100,N 147191,S200000,01800,0100,N 147191,S200000,02200,0100,Y 147191,S200000,02800,0100,N 147191,S200000,02900,0100,N 147191,S200000,03000,0100,N 147191,S200000,03100,0100,N 147191,S200000,03200,0100,N 147191,S200000,04100,0100,N 147191,S200000,04200,0100,N 147191,S200000,04300,0100,N 147191,S200000,04600,0100,N 147191,S200000,04700,0100,N 147191,S200000,04700,0200,N 147191,S200000,04900,0100,N 147191,S200000,05000,0100,N 147191,S200000,05100,0100,N 147191,S200000,05200,0100,N 147193,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147193,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147193,A000000,00300,0000,0300EMPLOYEE BENEFITS 147193,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147193,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147193,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147193,A000000,00700,0000,0700HOUSEKEEPING 147193,A000000,00800,0000,0800DIETARY 147193,A000000,00900,0000,0900NURSING ADMINISTRATION 147193,A000000,00901,0000,0901OTHER NURSING 147193,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147193,A000000,01100,0000,1100PHARMACY 147193,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147193,A000000,01300,0000,1300SOCIAL SERVICE 147193,A000000,01301,0000,1301ACTIVITIES 147193,A000000,01600,0000,1600SKILLED NURSING FACILITY 147193,A000000,01800,0000,1800NURSING FACILITY 147193,A000000,02100,0000,2100RADIOLOGY 147193,A000000,02200,0000,2200LABORATORY 147193,A000000,02300,0000,2300INTRAVENOUS THERAPY 147193,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147193,A000000,02500,0000,2500PHYSICAL THERAPY 147193,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147193,A000000,02700,0000,2700SPEECH PATHOLOGY 147193,A000000,02800,0000,2800ELECTROCARDIOLOGY 147193,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147193,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147193,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147193,A000000,03301,0000,3051NUTRITIONAL THERAPY 147193,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147193,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147193,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147193,A000000,04800,0000,4800AMBULANCE 147193,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147193,A000000,05300,0000,5300INTEREST EXPENSE 147193,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147193,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147193,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147193,A000000,06200,0000,6200PATIENTS LAUNDRY 147193,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147193,A000000,06301,0000,6151DAY CARE 147193,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147193,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147193,A81000A,00100,0100,Y 147193,A81000B,00100,0300,HOME OFFICE COSTS 147193,A81000B,00200,0300,LIABILITY INSURANCE 147193,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147193,A81000B,00500,0300,VC PHARMACY - ADMIN 147193,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147193,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147193,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147193,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147193,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147193,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147193,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147193,A81000B,01700,0300,VC PHARMACY - LEGEND 147193,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147193,A81000C,00100,0100,B 147193,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147193,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147193,A81000C,00100,0600,LIABILITY INSURANCE 147193,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147193,A81000C,00200,0600,PHARMACY 147193,A81000C,00300,0400,VENCARE RESPIRATORY 147193,A81000C,00300,0600,RESPIRATORY THERAPY 147193,A81000C,00400,0400,THERAPY SERVICES 147193,A81000C,00500,0400,VENCARE REHAB SERVICES 147193,A81000C,00500,0600,REHAB 147193,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147193,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147193,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147193,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147193,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147193,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147193,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147193,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147193,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147193,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147193,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147193,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147193,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147193,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147193,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147193,E10A180,00301,0100,06/30/00 147193,S000000,00100,0200,12/01/00 147193,S200000,00100,0100,1445 NORTH 7TH STREET 147193,S200000,00200,0100,MANITOWOC 147193,S200000,00200,0200,WI 147193,S200000,00200,0300,54220- 147193,S200000,00300,0100,MANITOWOC 147193,S200000,00300,0300,R 147193,S200000,00400,0100,769-NORTHRIDGE MEDICAL & REHAB 147193,S200000,00400,0200,525389 147193,S200000,00400,0300,06/02/85 147193,S200000,00400,0500,P 147193,S200000,01500,0100,Y 147193,S200000,01600,0100,N 147193,S200000,01700,0100,N 147193,S200000,01800,0100,N 147193,S200000,02200,0100,Y 147193,S200000,02800,0100,N 147193,S200000,02900,0100,N 147193,S200000,03000,0100,N 147193,S200000,03100,0100,N 147193,S200000,03200,0100,N 147193,S200000,04100,0100,N 147193,S200000,04200,0100,N 147193,S200000,04300,0100,N 147193,S200000,04600,0100,N 147193,S200000,04700,0100,N 147193,S200000,04700,0200,N 147193,S200000,04900,0100,N 147193,S200000,05000,0100,N 147193,S200000,05100,0100,N 147193,S200000,05200,0100,N 147194,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147194,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147194,A000000,00300,0000,0300EMPLOYEE BENEFITS 147194,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147194,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147194,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147194,A000000,00700,0000,0700HOUSEKEEPING 147194,A000000,00800,0000,0800DIETARY 147194,A000000,00900,0000,0900NURSING ADMINISTRATION 147194,A000000,00901,0000,0901OTHER NURSING 147194,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147194,A000000,01100,0000,1100PHARMACY 147194,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147194,A000000,01300,0000,1300SOCIAL SERVICE 147194,A000000,01301,0000,1301ACTIVITIES 147194,A000000,01600,0000,1600SKILLED NURSING FACILITY 147194,A000000,01800,0000,1800NURSING FACILITY 147194,A000000,02100,0000,2100RADIOLOGY 147194,A000000,02200,0000,2200LABORATORY 147194,A000000,02300,0000,2300INTRAVENOUS THERAPY 147194,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147194,A000000,02500,0000,2500PHYSICAL THERAPY 147194,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147194,A000000,02700,0000,2700SPEECH PATHOLOGY 147194,A000000,02800,0000,2800ELECTROCARDIOLOGY 147194,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147194,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147194,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147194,A000000,03301,0000,3051NUTRITIONAL THERAPY 147194,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147194,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147194,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147194,A000000,04800,0000,4800AMBULANCE 147194,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147194,A000000,05300,0000,5300INTEREST EXPENSE 147194,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147194,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147194,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147194,A000000,06200,0000,6200PATIENTS LAUNDRY 147194,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147194,A000000,06301,0000,6151DAY CARE 147194,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147194,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147194,A81000A,00100,0100,Y 147194,A81000B,00100,0300,HOME OFFICE COSTS 147194,A81000B,00200,0300,LIABILITY INSURANCE 147194,A81000B,00500,0300,VC PHARMACY - ADMIN 147194,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147194,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147194,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147194,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147194,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147194,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147194,A81000B,01600,0300,VC PHARMACY - LEGEND 147194,A81000B,01700,0300,VC PHARMACY - EMPL BENEFITS 147194,A81000C,00100,0100,B 147194,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147194,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147194,A81000C,00100,0600,LIABILITY INSURANCE 147194,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147194,A81000C,00200,0600,PHARMACY 147194,A81000C,00300,0400,VENCARE RESPIRATORY 147194,A81000C,00300,0600,RESPIRATORY THERAPY 147194,A81000C,00400,0400,THERAPY SERVICES 147194,A81000C,00500,0400,VENCARE REHAB SERVICES 147194,A81000C,00500,0600,REHAB 147194,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147194,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147194,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147194,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147194,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147194,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147194,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147194,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147194,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147194,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147194,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147194,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147194,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147194,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147194,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147194,E10A180,00350,0100,06/30/00 147194,S000000,00100,0200,12/01/00 147194,S200000,00100,0100,1010 EAST WAUSAU 147194,S200000,00200,0100,WAUSAU 147194,S200000,00200,0200,WI 147194,S200000,00200,0300,54401- 147194,S200000,00300,0100,MARATHON 147194,S200000,00300,0300,U 147194,S200000,00400,0100,766-COLONIAL MANOR MED. & REHAB 147194,S200000,00400,0200,525405 147194,S200000,00400,0300,01/01/87 147194,S200000,00400,0500,P 147194,S200000,01500,0100,Y 147194,S200000,01600,0100,N 147194,S200000,01700,0100,N 147194,S200000,01800,0100,N 147194,S200000,02200,0100,Y 147194,S200000,02800,0100,N 147194,S200000,02900,0100,N 147194,S200000,03000,0100,N 147194,S200000,03100,0100,N 147194,S200000,03200,0100,N 147194,S200000,04100,0100,N 147194,S200000,04200,0100,N 147194,S200000,04300,0100,N 147194,S200000,04600,0100,N 147194,S200000,04700,0100,N 147194,S200000,04700,0200,N 147194,S200000,04900,0100,N 147194,S200000,05000,0100,N 147194,S200000,05100,0100,N 147194,S200000,05200,0100,N 147195,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147195,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147195,A000000,00300,0000,0300EMPLOYEE BENEFITS 147195,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147195,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147195,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147195,A000000,00700,0000,0700HOUSEKEEPING 147195,A000000,00800,0000,0800DIETARY 147195,A000000,00900,0000,0900NURSING ADMINISTRATION 147195,A000000,00901,0000,0901OTHER NURSING 147195,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147195,A000000,01100,0000,1100PHARMACY 147195,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147195,A000000,01300,0000,1300SOCIAL SERVICE 147195,A000000,01301,0000,1301ACTIVITIES 147195,A000000,01600,0000,1600SKILLED NURSING FACILITY 147195,A000000,01800,0000,1800NURSING FACILITY 147195,A000000,02100,0000,2100RADIOLOGY 147195,A000000,02200,0000,2200LABORATORY 147195,A000000,02300,0000,2300INTRAVENOUS THERAPY 147195,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147195,A000000,02500,0000,2500PHYSICAL THERAPY 147195,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147195,A000000,02700,0000,2700SPEECH PATHOLOGY 147195,A000000,02800,0000,2800ELECTROCARDIOLOGY 147195,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147195,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147195,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147195,A000000,03301,0000,3051NUTRITIONAL THERAPY 147195,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147195,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147195,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147195,A000000,04800,0000,4800AMBULANCE 147195,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147195,A000000,05300,0000,5300INTEREST EXPENSE 147195,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147195,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147195,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147195,A000000,06200,0000,6200PATIENTS LAUNDRY 147195,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147195,A000000,06301,0000,6151DAY CARE 147195,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147195,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147195,A81000A,00100,0100,Y 147195,A81000B,00100,0300,HOME OFFICE COSTS 147195,A81000B,00200,0300,LIABILITY INSURANCE 147195,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147195,A81000B,00500,0300,VC PHARMACY - ADMIN 147195,A81000B,00900,0300,VC PHARMACY - DIETARY 147195,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147195,A81000B,01100,0300,VC PHARMACY - IV THERAPY 147195,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147195,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147195,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147195,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147195,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147195,A81000B,01700,0300,VC PHARMACY - LEGEND 147195,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147195,A81000C,00100,0100,B 147195,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147195,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147195,A81000C,00100,0600,LIABILITY INSURANCE 147195,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147195,A81000C,00200,0600,PHARMACY 147195,A81000C,00300,0400,VENCARE RESPIRATORY 147195,A81000C,00300,0600,RESPIRATORY THERAPY 147195,A81000C,00400,0400,THERAPY SERVICES 147195,A81000C,00500,0400,VENCARE REHAB SERVICES 147195,A81000C,00500,0600,REHAB 147195,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147195,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147195,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147195,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147195,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147195,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147195,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147195,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147195,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147195,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147195,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147195,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147195,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147195,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147195,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147195,E10A180,00301,0100,06/30/00 147195,S000000,00100,0200,12/01/00 147195,S200000,00100,0100,601 BRIARCLIFF DRIVE 147195,S200000,00200,0100,APPLETON 147195,S200000,00200,0200,WI 147195,S200000,00200,0300,54915- 147195,S200000,00300,0100,OUTAGAMIE 147195,S200000,00300,0300,U 147195,S200000,00400,0100,767-COLONY OAKS CARE CENTER 147195,S200000,00400,0200,525407 147195,S200000,00400,0300,03/02/87 147195,S200000,00400,0500,P 147195,S200000,01500,0100,Y 147195,S200000,01600,0100,N 147195,S200000,01700,0100,N 147195,S200000,01800,0100,N 147195,S200000,02200,0100,Y 147195,S200000,02800,0100,N 147195,S200000,02900,0100,N 147195,S200000,03000,0100,N 147195,S200000,03100,0100,N 147195,S200000,03200,0100,N 147195,S200000,04100,0100,N 147195,S200000,04200,0100,N 147195,S200000,04300,0100,N 147195,S200000,04600,0100,N 147195,S200000,04700,0100,N 147195,S200000,04700,0200,N 147195,S200000,04900,0100,N 147195,S200000,05000,0100,N 147195,S200000,05100,0100,N 147195,S200000,05200,0100,N 147196,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147196,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147196,A000000,00300,0000,0300EMPLOYEE BENEFITS 147196,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147196,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147196,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147196,A000000,00700,0000,0700HOUSEKEEPING 147196,A000000,00800,0000,0800DIETARY 147196,A000000,00900,0000,0900NURSING ADMINISTRATION 147196,A000000,00901,0000,0901OTHER NURSING 147196,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147196,A000000,01100,0000,1100PHARMACY 147196,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147196,A000000,01300,0000,1300SOCIAL SERVICE 147196,A000000,01301,0000,1301ACTIVITIES 147196,A000000,01600,0000,1600SKILLED NURSING FACILITY 147196,A000000,01800,0000,1800NURSING FACILITY 147196,A000000,02100,0000,2100RADIOLOGY 147196,A000000,02200,0000,2200LABORATORY 147196,A000000,02300,0000,2300INTRAVENOUS THERAPY 147196,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147196,A000000,02500,0000,2500PHYSICAL THERAPY 147196,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147196,A000000,02700,0000,2700SPEECH PATHOLOGY 147196,A000000,02800,0000,2800ELECTROCARDIOLOGY 147196,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147196,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147196,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147196,A000000,03301,0000,3051NUTRITIONAL THERAPY 147196,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147196,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147196,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147196,A000000,04800,0000,4800AMBULANCE 147196,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147196,A000000,05300,0000,5300INTEREST EXPENSE 147196,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147196,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147196,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147196,A000000,06200,0000,6200PATIENTS LAUNDRY 147196,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147196,A000000,06301,0000,6151DAY CARE 147196,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147196,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147196,A81000A,00100,0100,Y 147196,A81000B,00100,0300,HOME OFFICE COSTS 147196,A81000B,00200,0300,LIABILITY INSURANCE 147196,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147196,A81000B,00900,0300,VC PHARMACY - DIETARY 147196,A81000B,01000,0300,VC PHARMACY - IV THERAPY 147196,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 147196,A81000B,01200,0300,VENCARE REHAB - PHYS THER 147196,A81000B,01300,0300,VENCARE REHAB - OCCP THER 147196,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 147196,A81000C,00100,0100,B 147196,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147196,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147196,A81000C,00100,0600,LIABILITY INSURANCE 147196,A81000C,00300,0400,VENCARE RESPIRATORY 147196,A81000C,00300,0600,RESPIRATORY THERAPY 147196,A81000C,00400,0400,THERAPY SERVICES 147196,A81000C,00500,0400,VENCARE REHAB SERVICES 147196,A81000C,00500,0600,REHAB 147196,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147196,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147196,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147196,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147196,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147196,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147196,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147196,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147196,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147196,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147196,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147196,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147196,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147196,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147196,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147196,E10A180,00301,0100,06/30/00 147196,S000000,00100,0200,12/01/00 147196,S200000,00100,0100,729 PARK STREET 147196,S200000,00200,0100,ANTIGO 147196,S200000,00200,0200,WI 147196,S200000,00200,0300,54409- 147196,S200000,00300,0100,LANGLADE 147196,S200000,00300,0300,R 147196,S200000,00400,0100,765-EASTVIEW MEDICAL & REHAB. 147196,S200000,00400,0200,525410 147196,S200000,00400,0300,01/01/88 147196,S200000,00400,0500,P 147196,S200000,01500,0100,Y 147196,S200000,01600,0100,N 147196,S200000,01700,0100,N 147196,S200000,01800,0100,N 147196,S200000,02200,0100,Y 147196,S200000,02800,0100,N 147196,S200000,02900,0100,N 147196,S200000,03000,0100,N 147196,S200000,03100,0100,N 147196,S200000,03200,0100,N 147196,S200000,04100,0100,N 147196,S200000,04200,0100,N 147196,S200000,04300,0100,N 147196,S200000,04600,0100,N 147196,S200000,04700,0100,N 147196,S200000,04700,0200,N 147196,S200000,04900,0100,N 147196,S200000,05000,0100,N 147196,S200000,05100,0100,N 147196,S200000,05200,0100,N 147197,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147197,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147197,A000000,00300,0000,0300EMPLOYEE BENEFITS 147197,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147197,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147197,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147197,A000000,00700,0000,0700HOUSEKEEPING 147197,A000000,00800,0000,0800DIETARY 147197,A000000,00900,0000,0900NURSING ADMINISTRATION 147197,A000000,00901,0000,0901OTHER NURSING 147197,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147197,A000000,01100,0000,1100PHARMACY 147197,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147197,A000000,01300,0000,1300SOCIAL SERVICE 147197,A000000,01301,0000,1301ACTIVITIES 147197,A000000,01600,0000,1600SKILLED NURSING FACILITY 147197,A000000,01800,0000,1800NURSING FACILITY 147197,A000000,02100,0000,2100RADIOLOGY 147197,A000000,02200,0000,2200LABORATORY 147197,A000000,02300,0000,2300INTRAVENOUS THERAPY 147197,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147197,A000000,02500,0000,2500PHYSICAL THERAPY 147197,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147197,A000000,02700,0000,2700SPEECH PATHOLOGY 147197,A000000,02800,0000,2800ELECTROCARDIOLOGY 147197,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147197,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147197,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147197,A000000,03301,0000,3051NUTRITIONAL THERAPY 147197,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147197,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147197,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147197,A000000,04800,0000,4800AMBULANCE 147197,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147197,A000000,05300,0000,5300INTEREST EXPENSE 147197,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147197,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147197,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147197,A000000,06200,0000,6200PATIENTS LAUNDRY 147197,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147197,A000000,06301,0000,6151DAY CARE 147197,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147197,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147197,A81000A,00100,0100,Y 147197,A81000B,00100,0300,HOME OFFICE COSTS 147197,A81000B,00200,0300,LIABILITY INSURANCE 147197,A81000B,00500,0300,VC PHARMACY - ADMIN 147197,A81000B,00900,0300,VC PHARMACY - DIETARY 147197,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147197,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147197,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147197,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147197,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147197,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147197,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147197,A81000B,01700,0300,VC PHARMACY - LEGEND 147197,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147197,A81000C,00100,0100,B 147197,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147197,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147197,A81000C,00100,0600,LIABILITY INSURANCE 147197,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147197,A81000C,00200,0600,PHARMACY 147197,A81000C,00300,0400,VENCARE RESPIRATORY 147197,A81000C,00300,0600,RESPIRATORY THERAPY 147197,A81000C,00400,0400,THERAPY SERVICES 147197,A81000C,00500,0400,VENCARE REHAB SERVICES 147197,A81000C,00500,0600,REHAB 147197,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147197,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147197,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147197,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147197,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147197,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147197,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147197,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147197,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147197,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147197,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147197,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147197,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147197,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147197,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147197,E10A180,00350,0100,06/30/00 147197,S000000,00100,0200,12/01/00 147197,S200000,00100,0100,6001 ALDERSON STREET 147197,S200000,00200,0100,SCHOFIELD 147197,S200000,00200,0200,WI 147197,S200000,00200,0300,54476- 147197,S200000,00300,0100,MARATHON 147197,S200000,00300,0300,U 147197,S200000,00400,0100,771-KENNEDY PARK MED. & REHAB. 147197,S200000,00400,0200,525420 147197,S200000,00400,0300,02/15/89 147197,S200000,00400,0500,P 147197,S200000,01500,0100,Y 147197,S200000,01600,0100,N 147197,S200000,01700,0100,N 147197,S200000,01800,0100,N 147197,S200000,02200,0100,Y 147197,S200000,02800,0100,N 147197,S200000,02900,0100,N 147197,S200000,03000,0100,N 147197,S200000,03100,0100,N 147197,S200000,03200,0100,N 147197,S200000,04100,0100,N 147197,S200000,04200,0100,N 147197,S200000,04300,0100,N 147197,S200000,04600,0100,N 147197,S200000,04700,0100,N 147197,S200000,04700,0200,N 147197,S200000,04900,0100,N 147197,S200000,05000,0100,N 147197,S200000,05100,0100,N 147197,S200000,05200,0100,N 147198,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147198,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147198,A000000,00300,0000,0300EMPLOYEE BENEFITS 147198,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147198,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147198,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147198,A000000,00700,0000,0700HOUSEKEEPING 147198,A000000,00800,0000,0800DIETARY 147198,A000000,00900,0000,0900NURSING ADMINISTRATION 147198,A000000,00901,0000,0901OTHER NURSING 147198,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147198,A000000,01100,0000,1100PHARMACY 147198,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147198,A000000,01300,0000,1300SOCIAL SERVICE 147198,A000000,01301,0000,1301ACTIVITIES 147198,A000000,01600,0000,1600SKILLED NURSING FACILITY 147198,A000000,01800,0000,1800NURSING FACILITY 147198,A000000,02100,0000,2100RADIOLOGY 147198,A000000,02200,0000,2200LABORATORY 147198,A000000,02300,0000,2300INTRAVENOUS THERAPY 147198,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147198,A000000,02500,0000,2500PHYSICAL THERAPY 147198,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147198,A000000,02700,0000,2700SPEECH PATHOLOGY 147198,A000000,02800,0000,2800ELECTROCARDIOLOGY 147198,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147198,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147198,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147198,A000000,03301,0000,3051NUTRITIONAL THERAPY 147198,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147198,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147198,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147198,A000000,04800,0000,4800AMBULANCE 147198,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147198,A000000,05300,0000,5300INTEREST EXPENSE 147198,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147198,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147198,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147198,A000000,06200,0000,6200PATIENTS LAUNDRY 147198,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147198,A000000,06301,0000,6151DAY CARE 147198,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147198,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147198,A81000A,00100,0100,Y 147198,A81000B,00100,0300,HOME OFFICE COSTS 147198,A81000B,00200,0300,LIABILITY INSURANCE 147198,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147198,A81000B,00500,0300,VC PHARMACY - ADMIN 147198,A81000B,00900,0300,VC PHARMACY - DIETARY 147198,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147198,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147198,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 147198,A81000B,01300,0300,VENCARE REHAB - PHYS THER 147198,A81000B,01400,0300,VENCARE REHAB - OCCP THER 147198,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 147198,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 147198,A81000B,01700,0300,VC PHARMACY - LEGEND 147198,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 147198,A81000C,00100,0100,B 147198,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147198,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147198,A81000C,00100,0600,LIABILITY INSURANCE 147198,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147198,A81000C,00200,0600,PHARMACY 147198,A81000C,00300,0400,VENCARE RESPIRATORY 147198,A81000C,00300,0600,RESPIRATORY THERAPY 147198,A81000C,00400,0400,THERAPY SERVICES 147198,A81000C,00500,0400,VENCARE REHAB SERVICES 147198,A81000C,00500,0600,REHAB 147198,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147198,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147198,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147198,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147198,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147198,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147198,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147198,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147198,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147198,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147198,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147198,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147198,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147198,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147198,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147198,E10A180,00301,0100,06/30/00 147198,S000000,00100,0200,12/01/00 147198,S200000,00100,0100,2305 SAN LUIS PLACE 147198,S200000,00200,0100,GREEN BAY 147198,S200000,00200,0200,WI 147198,S200000,00200,0300,54304- 147198,S200000,00300,0100,BROWN 147198,S200000,00300,0300,U 147198,S200000,00400,0100,289-SAN LUIS MEDICAL & REHAB. 147198,S200000,00400,0200,525427 147198,S200000,00400,0300,08/01/89 147198,S200000,00400,0500,P 147198,S200000,01500,0100,Y 147198,S200000,01600,0100,N 147198,S200000,01700,0100,N 147198,S200000,01800,0100,N 147198,S200000,02200,0100,Y 147198,S200000,02800,0100,N 147198,S200000,02900,0100,N 147198,S200000,03000,0100,N 147198,S200000,03100,0100,N 147198,S200000,03200,0100,N 147198,S200000,04100,0100,N 147198,S200000,04200,0100,N 147198,S200000,04300,0100,N 147198,S200000,04600,0100,N 147198,S200000,04700,0100,N 147198,S200000,04700,0200,N 147198,S200000,04900,0100,N 147198,S200000,05000,0100,N 147198,S200000,05100,0100,N 147198,S200000,05200,0100,N 147199,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147199,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147199,A000000,00300,0000,0300EMPLOYEE BENEFITS 147199,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147199,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147199,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147199,A000000,00700,0000,0700HOUSEKEEPING 147199,A000000,00800,0000,0800DIETARY 147199,A000000,00900,0000,0900NURSING ADMINISTRATION 147199,A000000,00901,0000,0901OTHER NURSING 147199,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147199,A000000,01100,0000,1100PHARMACY 147199,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147199,A000000,01300,0000,1300SOCIAL SERVICE 147199,A000000,01301,0000,1301ACTIVITIES 147199,A000000,01600,0000,1600SKILLED NURSING FACILITY 147199,A000000,01800,0000,1800NURSING FACILITY 147199,A000000,02100,0000,2100RADIOLOGY 147199,A000000,02200,0000,2200LABORATORY 147199,A000000,02300,0000,2300INTRAVENOUS THERAPY 147199,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147199,A000000,02500,0000,2500PHYSICAL THERAPY 147199,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147199,A000000,02700,0000,2700SPEECH PATHOLOGY 147199,A000000,02800,0000,2800ELECTROCARDIOLOGY 147199,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147199,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147199,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147199,A000000,03301,0000,3051NUTRITIONAL THERAPY 147199,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147199,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147199,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147199,A000000,04800,0000,4800AMBULANCE 147199,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147199,A000000,05300,0000,5300INTEREST EXPENSE 147199,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147199,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147199,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147199,A000000,06200,0000,6200PATIENTS LAUNDRY 147199,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147199,A000000,06301,0000,6151DAY CARE 147199,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147199,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147199,A81000A,00100,0100,Y 147199,A81000B,00100,0300,HOME OFFICE COSTS 147199,A81000B,00200,0300,LIABILITY INSURANCE 147199,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147199,A81000B,00500,0300,VC PHARMACY - ADMIN 147199,A81000B,00900,0300,VC PHARMACY - DIETARY 147199,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 147199,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 147199,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147199,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147199,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147199,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147199,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147199,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147199,A81000B,01800,0300,VC PHARMACY - LEGEND 147199,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 147199,A81000C,00100,0100,B 147199,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147199,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147199,A81000C,00100,0600,LIABILITY INSURANCE 147199,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147199,A81000C,00200,0600,PHARMACY 147199,A81000C,00300,0400,VENCARE RESPIRATORY 147199,A81000C,00300,0600,RESPIRATORY THERAPY 147199,A81000C,00400,0400,THERAPY SERVICES 147199,A81000C,00500,0400,VENCARE REHAB SERVICES 147199,A81000C,00500,0600,REHAB 147199,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147199,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147199,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147199,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147199,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147199,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147199,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147199,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147199,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147199,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147199,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147199,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147199,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147199,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147199,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147199,E10A180,00301,0100,06/30/00 147199,S000000,00100,0200,12/01/00 147199,S200000,00100,0100,125 BYRD AVENUE 147199,S200000,00200,0100,NEENAH 147199,S200000,00200,0200,WI 147199,S200000,00200,0300,54956- 147199,S200000,00300,0100,WINNEBAGO 147199,S200000,00300,0300,U 147199,S200000,00400,0100,770-VALLHAVEN CARE CENTER 147199,S200000,00400,0200,525481 147199,S200000,00400,0300,12/01/91 147199,S200000,00400,0500,P 147199,S200000,01500,0100,Y 147199,S200000,01600,0100,N 147199,S200000,01700,0100,N 147199,S200000,01800,0100,N 147199,S200000,02200,0100,Y 147199,S200000,02800,0100,N 147199,S200000,02900,0100,N 147199,S200000,03000,0100,N 147199,S200000,03100,0100,N 147199,S200000,03200,0100,N 147199,S200000,04100,0100,N 147199,S200000,04200,0100,N 147199,S200000,04300,0100,N 147199,S200000,04600,0100,N 147199,S200000,04700,0100,N 147199,S200000,04700,0200,N 147199,S200000,04900,0100,N 147199,S200000,05000,0100,N 147199,S200000,05100,0100,N 147199,S200000,05200,0100,N 147200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147200,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147200,A000000,00300,0000,0300EMPLOYEE BENEFITS 147200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147200,A000000,00700,0000,0700HOUSEKEEPING 147200,A000000,00800,0000,0800DIETARY 147200,A000000,00900,0000,0900NURSING ADMINISTRATION 147200,A000000,00901,0000,0901OTHER NURSING 147200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147200,A000000,01100,0000,1100PHARMACY 147200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147200,A000000,01300,0000,1300SOCIAL SERVICE 147200,A000000,01301,0000,1301ACTIVITIES 147200,A000000,01600,0000,1600SKILLED NURSING FACILITY 147200,A000000,01800,0000,1800NURSING FACILITY 147200,A000000,02100,0000,2100RADIOLOGY 147200,A000000,02200,0000,2200LABORATORY 147200,A000000,02300,0000,2300INTRAVENOUS THERAPY 147200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147200,A000000,02500,0000,2500PHYSICAL THERAPY 147200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147200,A000000,02700,0000,2700SPEECH PATHOLOGY 147200,A000000,02800,0000,2800ELECTROCARDIOLOGY 147200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147200,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147200,A000000,03301,0000,3051NUTRITIONAL THERAPY 147200,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147200,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147200,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147200,A000000,04800,0000,4800AMBULANCE 147200,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147200,A000000,05300,0000,5300INTEREST EXPENSE 147200,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147200,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147200,A000000,06200,0000,6200PATIENTS LAUNDRY 147200,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147200,A000000,06301,0000,6151DAY CARE 147200,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147200,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147200,A81000A,00100,0100,Y 147200,A81000B,00100,0300,HOME OFFICE COSTS 147200,A81000B,00200,0300,LIABILITY INSURANCE 147200,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147200,A81000B,00500,0300,VC PHARMACY - ADMIN 147200,A81000B,00900,0300,VC PHARMACY - DIETARY 147200,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 147200,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 147200,A81000B,01200,0300,VC PHARMACY - IV THERAPY 147200,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 147200,A81000B,01400,0300,VENCARE REHAB - PHYS THER 147200,A81000B,01500,0300,VENCARE REHAB - OCCP THER 147200,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 147200,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 147200,A81000B,01800,0300,VC PHARMACY - LEGEND 147200,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 147200,A81000C,00100,0100,B 147200,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147200,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147200,A81000C,00100,0600,LIABILITY INSURANCE 147200,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147200,A81000C,00200,0600,PHARMACY 147200,A81000C,00300,0400,VENCARE RESPIRATORY 147200,A81000C,00300,0600,RESPIRATORY THERAPY 147200,A81000C,00400,0400,THERAPY SERVICES 147200,A81000C,00500,0400,VENCARE REHAB SERVICES 147200,A81000C,00500,0600,REHAB 147200,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147200,A81000C,00600,0600,PORTABLE X-RAY 147200,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147200,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147200,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147200,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147200,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147200,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147200,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147200,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147200,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147200,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147200,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147200,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147200,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147200,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147200,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147200,E10A180,00350,0100,06/30/00 147200,S000000,00100,0200,12/01/00 147200,S200000,00100,0100,677 EAST STATE STREET 147200,S200000,00200,0100,BURLINGTON 147200,S200000,00200,0200,WI 147200,S200000,00200,0300,53105- 147200,S200000,00300,0100,RACINE 147200,S200000,00300,0300,U 147200,S200000,00400,0100,773-MT. CARMEL MED. & REHAB. 147200,S200000,00400,0200,525482 147200,S200000,00400,0300,04/01/92 147200,S200000,00400,0500,P 147200,S200000,01500,0100,Y 147200,S200000,01600,0100,N 147200,S200000,01700,0100,N 147200,S200000,01800,0100,N 147200,S200000,02200,0100,Y 147200,S200000,02800,0100,N 147200,S200000,02900,0100,N 147200,S200000,03000,0100,N 147200,S200000,03100,0100,N 147200,S200000,03200,0100,N 147200,S200000,04100,0100,N 147200,S200000,04200,0100,N 147200,S200000,04300,0100,N 147200,S200000,04600,0100,N 147200,S200000,04700,0100,N 147200,S200000,04700,0200,N 147200,S200000,04900,0100,N 147200,S200000,05000,0100,N 147200,S200000,05100,0100,N 147200,S200000,05200,0100,N 147201,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 147201,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 147201,A000000,00300,0000,0300EMPLOYEE BENEFITS 147201,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147201,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 147201,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147201,A000000,00700,0000,0700HOUSEKEEPING 147201,A000000,00800,0000,0800DIETARY 147201,A000000,00900,0000,0900NURSING ADMINISTRATION 147201,A000000,00901,0000,0901OTHER NURSING 147201,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147201,A000000,01100,0000,1100PHARMACY 147201,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147201,A000000,01300,0000,1300SOCIAL SERVICE 147201,A000000,01301,0000,1301ACTIVITIES 147201,A000000,01600,0000,1600SKILLED NURSING FACILITY 147201,A000000,01800,0000,1800NURSING FACILITY 147201,A000000,02100,0000,2100RADIOLOGY 147201,A000000,02200,0000,2200LABORATORY 147201,A000000,02300,0000,2300INTRAVENOUS THERAPY 147201,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 147201,A000000,02500,0000,2500PHYSICAL THERAPY 147201,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147201,A000000,02700,0000,2700SPEECH PATHOLOGY 147201,A000000,02800,0000,2800ELECTROCARDIOLOGY 147201,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 147201,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147201,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 147201,A000000,03301,0000,3051NUTRITIONAL THERAPY 147201,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 147201,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 147201,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 147201,A000000,04800,0000,4800AMBULANCE 147201,A000000,05100,0000,4750OTHER REIMBURSABLE COST 147201,A000000,05300,0000,5300INTEREST EXPENSE 147201,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147201,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 147201,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147201,A000000,06200,0000,6200PATIENTS LAUNDRY 147201,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 147201,A000000,06301,0000,6151DAY CARE 147201,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 147201,A000000,06303,0000,6153DISTRICT OFFICE SPACE 147201,A81000A,00100,0100,Y 147201,A81000B,00100,0300,HOME OFFICE COSTS 147201,A81000B,00200,0300,LIABILITY INSURANCE 147201,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 147201,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 147201,A81000B,00500,0300,VC PHARMACY - ADMIN 147201,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 147201,A81000B,00700,0300,VC PHARMACY - LAUNDRY 147201,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 147201,A81000B,00900,0300,VC PHARMACY - DIETARY 147201,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 147201,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 147201,A81000B,01200,0300,VC PHARMACY - NONLEGEND 147201,A81000B,01300,0300,VC PHARMACY - MED RECORDS 147201,A81000B,01400,0300,VC PHARMACY - SOC SVCS 147201,A81000B,01500,0300,VC PHARMACY - ACTIVITY 147201,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 147201,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 147201,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 147201,A81000B,01900,0300,VC PHARMACY - LAB 147201,A81000B,02000,0300,VC PHARMACY - IV THERAPY 147201,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 147201,A81000B,02200,0300,VENCARE REHAB - PHYS THER 147201,A81000B,02300,0300,VENCARE REHAB - OCCP THER 147201,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 147201,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 147201,A81000B,02600,0300,VC PHARMACY - LEGEND 147201,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 147201,A81000B,02800,0300,VC PHARMACY - NUTR THER 147201,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 147201,A81000C,00100,0100,B 147201,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 147201,A81000C,00100,0400,CORNERSTONE INSURANCE CO 147201,A81000C,00100,0600,LIABILITY INSURANCE 147201,A81000C,00200,0400,VENCARE PHARMACY SERVICES 147201,A81000C,00200,0600,PHARMACY 147201,A81000C,00300,0400,VENCARE RESPIRATORY 147201,A81000C,00300,0600,RESPIRATORY THERAPY 147201,A81000C,00400,0400,THERAPY SERVICES 147201,A81000C,00500,0400,VENCARE REHAB SERVICES 147201,A81000C,00500,0600,REHAB 147201,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 147201,A81000C,00600,0600,PORTABLE X-RAY 147201,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 147201,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 147201,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 147201,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 147201,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 147201,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 147201,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 147201,B100000,00000,0800,0850PATIENT DAYS :DIETARY 147201,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 147201,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 147201,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 147201,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 147201,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 147201,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 147201,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 147201,E10A180,00301,0100,06/30/00 147201,S000000,00100,0200,12/01/00 147201,S200000,00100,0100,1325 SAGE STREET 147201,S200000,00200,0100,ROCK SPRINGS 147201,S200000,00200,0200,WY 147201,S200000,00200,0300,82901- 147201,S200000,00300,0100,SWEETWATER 147201,S200000,00300,0300,R 147201,S200000,00400,0100,483 - SAGE VIEW CARE CENTER 147201,S200000,00400,0200,535037 147201,S200000,00400,0300,07/06/89 147201,S200000,00400,0500,P 147201,S200000,01500,0100,Y 147201,S200000,01600,0100,N 147201,S200000,01700,0100,N 147201,S200000,01800,0100,N 147201,S200000,02200,0100,Y 147201,S200000,02800,0100,N 147201,S200000,02900,0100,N 147201,S200000,03000,0100,N 147201,S200000,03100,0100,N 147201,S200000,03200,0100,N 147201,S200000,04100,0100,N 147201,S200000,04200,0100,N 147201,S200000,04300,0100,N 147201,S200000,04600,0100,N 147201,S200000,04700,0100,N 147201,S200000,04700,0200,N 147201,S200000,04900,0100,N 147201,S200000,05000,0100,N 147201,S200000,05100,0100,N 147201,S200000,05200,0100,N 147703,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 147703,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 147703,A000000,00300,0000,0300EMPLOYEE BENEFITS 147703,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 147703,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 147703,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 147703,A000000,00700,0000,0700HOUSEKEEPING 147703,A000000,00800,0000,0800DIETARY 147703,A000000,00900,0000,0900NURSING ADMINISTRATION 147703,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 147703,A000000,01100,0000,1100PHARMACY 147703,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 147703,A000000,01300,0000,1300SOCIAL SERVICE 147703,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 147703,A000000,01600,0000,1600SKILLED NURSING FACILITY 147703,A000000,01810,0000,1810ICF/MR 147703,A000000,02100,0000,2100RADIOLOGY 147703,A000000,02200,0000,2200LABORATORY 147703,A000000,02300,0000,2300INTRAVENOUS THERAPY 147703,A000000,02500,0000,2500PHYSICAL THERAPY 147703,A000000,02600,0000,2600OCCUPATIONAL THERAPY 147703,A000000,02700,0000,2700SPEECH PATHOLOGY 147703,A000000,02800,0000,2800ELECTROCARDIOLOGY 147703,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 147703,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 147703,A000000,03550,0000,3550FQHC 147703,A000000,04801,0000,4801AMBULANCE 147703,A000000,04802,0000,4802AMBULANCE 147703,A000000,05000,0000,5000CORF 147703,A000000,05010,0000,5010CMHC 147703,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 147703,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 147703,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 147703,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 147703,A000000,05900,0000,5900BARBER & BEAUTY SHOP 147703,A81000A,00100,0100,Y 147703,A81000B,00100,0300,H.O. CAP REL ADMIN & FIELD SUP 147703,A81000B,00200,0300,H.O. ADMIN & FIELD SUPERVISION 147703,A81000B,00300,0300,H.O. NURSING ADMINISTRATION 147703,A81000B,00400,0300,H.O. CAP REL NURSE ADMIN. 147703,A81000C,00100,0100,F 147703,A81000C,00100,0200,ELTON G. BEEBE 147703,A81000C,00100,0400,MAGNOLIA MANAGEMENT 147703,A81000C,00100,0600,MANAGEMENT COMPANY 147703,B100000,00000,0100,0100SQUARE FEET 147703,B100000,00000,0200,0200SQUARE FEET 147703,B100000,00000,0300,0300GROSS SALARIES 147703,B100000,00000,0400,0400ACCUM COST 147703,B100000,00000,0500,0500SQUARE FEET 147703,B100000,00000,0600,0600POUNDS OF LAUNDRY 147703,B100000,00000,0700,0700SQUARE FEET 147703,B100000,00000,0800,0800MEALS SERVED 147703,B100000,00000,0900,0900DIRECT NRSING HRS 147703,B100000,00000,1000,1000COSTED REQUIS 147703,B100000,00000,1100,1100COSTED REQUIS 147703,B100000,00000,1200,1200TIME SPENT 147703,B100000,00000,1300,1300TIME SPENT 147703,B100000,00000,1400,1400ASSIGNED TIME 147703,E10A180,00501,0100,06/28/00 147703,E10A180,00501,0300,09/13/00 147703,S000000,00100,0200,07/21/00 147703,S200000,00100,0100,2110 AUDUBON AVENUE 147703,S200000,00200,0100,THIBODAUX 147703,S200000,00200,0200,LA 147703,S200000,00300,0100,LAFOURCHE 147703,S200000,00300,0200,3350 147703,S200000,00300,0300,U 147703,S200000,00400,0100,AUDUBON GUEST HOUSE 147703,S200000,00400,0200,195275 147703,S200000,00400,0300,10/01/92 147703,S200000,00400,0500,P 147703,S200000,01500,0100,Y 147703,S200000,01600,0100,N 147703,S200000,01700,0100,N 147703,S200000,01800,0100,N 147703,S200000,02200,0100,Y 147703,S200000,02800,0100,N 147703,S200000,02900,0100,N 147703,S200000,03000,0100,N 147703,S200000,03100,0100,N 147703,S200000,03200,0100,N 147703,S200000,03300,0100,N 147703,S200000,03300,0200,N 147703,S200000,04100,0100,N 147703,S200000,04200,0100,N 147703,S200000,04300,0100,N 147703,S200000,04600,0100,N 147703,S200000,04700,0100,N 147703,S200000,04900,0100,N 147703,S200000,05200,0100,N 148457,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148457,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148457,A000000,00300,0000,0300EMPLOYEE BENEFITS 148457,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148457,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148457,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148457,A000000,00700,0000,0700HOUSEKEEPING 148457,A000000,00800,0000,0800DIETARY 148457,A000000,00900,0000,0900NURSING ADMINISTRATION 148457,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148457,A000000,01100,0000,1100PHARMACY 148457,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148457,A000000,01300,0000,1300SOCIAL SERVICE 148457,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 148457,A000000,01500,0000,1350OTHER GENERAL SERVICES 148457,A000000,01600,0000,1600SKILLED NURSING FACILITY 148457,A000000,01800,0000,1800NURSING FACILITY 148457,A000000,01810,0000,1810ICF/MR 148457,A000000,01900,0000,1900OTHER LONG TERM CARE 148457,A000000,02100,0000,2100RADIOLOGY 148457,A000000,02200,0000,2200LABORATORY 148457,A000000,02300,0000,2300INTRAVENOUS THERAPY 148457,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148457,A000000,02500,0000,2500PHYSICAL THERAPY 148457,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148457,A000000,02700,0000,2700SPEECH PATHOLOGY 148457,A000000,02800,0000,2800ELECTROCARDIOLOGY 148457,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148457,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148457,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 148457,A000000,03200,0000,3200SUPPORT SURFACES 148457,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148457,A000000,03400,0000,3400CLINIC 148457,A000000,03500,0000,3500RURAL HEALTH CLINIC 148457,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148457,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 148457,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 148457,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 148457,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 148457,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 148457,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 148457,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 148457,A000000,04400,0000,4400DME RENTED - HHA 148457,A000000,04500,0000,4500DME SOLD - HHA 148457,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 148457,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 148457,A000000,04800,0000,4800AMBULANCE 148457,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 148457,A000000,05000,0000,5000CORF 148457,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148457,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 148457,A000000,05300,0000,5300INTEREST EXPENSE 148457,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148457,A000000,05500,0000,5500HOSPICE 148457,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 148457,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148457,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148457,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 148457,A000000,06100,0000,6100NONPAID WORKERS 148457,A000000,06200,0000,6200PATIENTS LAUNDRY 148457,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148457,A81000A,00100,0100,Y 148457,A81000B,00100,0300,HOME OFFICE COST 148457,A81000B,00200,0300,HOME OFFICE COST 148457,A81000B,00300,0300,REL PARTY INTEREST EXPENSE 148457,A81000B,00400,0300,SEE ATTACHED 148457,A81000B,00500,0300,INTEREST EXPENSE 148457,A81000C,00100,0100,A 148457,A81000C,00100,0200,ROGER & PATTI TURENNE 148457,A81000C,00100,0400,TURENNE & ASSOCIATES 148457,A81000C,00100,0600,HOME OFFICE 148457,A81000C,00200,0100,A 148457,A81000C,00200,0200,ROGER & PATTI TURENNE 148457,A81000C,00200,0400,TURENNE & ASSOCIATES 148457,A81000C,00200,0600,HOME OFFICE 148457,A81000C,00300,0100,A 148457,A81000C,00300,0200,ROGER & PATTI TURENNE 148457,A81000C,00300,0600,INDIVIDUALS 148457,A81000C,00400,0100,A 148457,A81000C,00400,0200,ROGER & PATTI TURENNE 148457,A81000C,00400,0400,PHARMEDCO 148457,A81000C,00400,0600,SUPPLY COMPANY 148457,A81000C,00500,0100,A 148457,A81000C,00500,0200,ROGER & PATTI TURENNE 148457,A81000C,00500,0400,TURENNE PROPERTIES LTD. 148457,A81000C,00500,0600,PROPERTY MANAGMENT 148457,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148457,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148457,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148457,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148457,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 148457,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 148457,B100000,00000,0800,0800MEALS SERVED :DIETARY 148457,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 148457,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 148457,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 148457,E10A180,00350,0300,01/03/00 148457,S000000,00100,0200,01/11/01 148457,S200000,00100,0100,520 HULL STREET 148457,S200000,00200,0100,MONTGOMERY 148457,S200000,00200,0200,AL 148457,S200000,00200,0300,36104- 148457,S200000,00300,0100,MONTGOMERY 148457,S200000,00300,0200,5240 148457,S200000,00300,0300,U 148457,S200000,00400,0100,CAPITOL HILL HEALTHCARE CENTER 148457,S200000,00400,0200,015390 148457,S200000,00400,0300,06/01/86 148457,S200000,00400,0500,P 148457,S200000,01500,0100,N 148457,S200000,01600,0100,Y 148457,S200000,01700,0100,N 148457,S200000,01800,0100,N 148457,S200000,02200,0100,N 148457,S200000,02800,0100,N 148457,S200000,02900,0100,N 148457,S200000,03000,0100,N 148457,S200000,03100,0100,N 148457,S200000,03200,0100,N 148457,S200000,04100,0100,N 148457,S200000,04200,0100,N 148457,S200000,04300,0100,N 148457,S200000,04600,0100,N 148457,S200000,04700,0100,N 148457,S200000,04700,0200,N 148457,S200000,04900,0100,N 148457,S200000,05000,0100,N 148457,S200000,05100,0100,N 148457,S200000,05200,0100,N 148694,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148694,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148694,A000000,00300,0000,0300EMPLOYEE BENEFITS 148694,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148694,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148694,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148694,A000000,00700,0000,0700HOUSEKEEPING 148694,A000000,00800,0000,0800DIETARY 148694,A000000,00900,0000,0900NURSING ADMINISTRATION 148694,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148694,A000000,01100,0000,1100PHARMACY 148694,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148694,A000000,01300,0000,1300SOCIAL SERVICE 148694,A000000,01500,0000,1350OTHER GENERAL SERVICES 148694,A000000,01600,0000,1600SKILLED NURSING FACILITY 148694,A000000,01800,0000,1800NURSING FACILITY 148694,A000000,01900,0000,1900OTHER LONG TERM CARE 148694,A000000,02100,0000,2100RADIOLOGY 148694,A000000,02200,0000,2200LABORATORY 148694,A000000,02300,0000,2300INTRAVENOUS THERAPY 148694,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148694,A000000,02500,0000,2500PHYSICAL THERAPY 148694,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148694,A000000,02700,0000,2700SPEECH PATHOLOGY 148694,A000000,02800,0000,2800ELECTROCARDIOLOGY 148694,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148694,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148694,A000000,03200,0000,3200SUPPORT SURFACES 148694,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148694,A000000,04800,0000,4800AMBULANCE 148694,A000000,05300,0000,5300INTEREST EXPENSE 148694,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148694,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 148694,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148694,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148694,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 148694,A000000,06100,0000,6100NONPAID WORKERS 148694,A000000,06200,0000,6200PATIENTS LAUNDRY 148694,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148694,A81000A,00100,0100,Y 148694,A81000B,00100,0300,HOME OFFICE COST ALLOCATION 148694,A81000B,00200,0300,CAPITAL COST (BLDG LEASE) 148694,A81000C,00100,0100,A 148694,A81000C,00100,0200,R. FRANK BROWN 148694,A81000C,00100,0400,USA HEALTHCARE INC 148694,A81000C,00100,0600,HOME OFFICE 148694,A81000C,00200,0100,B 148694,A81000C,00200,0200,R FRANK BROWN 148694,A81000C,00200,0400,AGE INC 148694,A81000C,00200,0600,BUILDING LEASE 148694,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148694,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148694,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148694,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148694,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 148694,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 148694,B100000,00000,0800,0800MEALS SERVED :DIETARY 148694,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 148694,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 148694,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 148694,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 148694,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 148694,S000000,00100,0200,11/15/00 148694,S200000,00100,0100,401 ARNOLD ST NE 148694,S200000,00100,0300,190 148694,S200000,00200,0100,CULLMAN 148694,S200000,00200,0200,AL 148694,S200000,00200,0300,35026- 148694,S200000,00300,0100,CULLMAN 148694,S200000,00300,0200,01 148694,S200000,00300,0300,R 148694,S200000,00400,0100,USA HEALTHCARE-CULLMAN LLC 148694,S200000,00400,0200,015048 148694,S200000,00400,0300,10/01/78 148694,S200000,00400,0500,P 148694,S200000,01500,0100,N 148694,S200000,01600,0100,Y 148694,S200000,01700,0100,N 148694,S200000,01800,0100,N 148694,S200000,02200,0100,N 148694,S200000,02800,0100,N 148694,S200000,02900,0100,N 148694,S200000,03000,0100,N 148694,S200000,03100,0100,N 148694,S200000,03200,0100,N 148694,S200000,04100,0100,N 148694,S200000,04200,0100,N 148694,S200000,04300,0100,N 148694,S200000,04600,0100,N 148694,S200000,04700,0100,N 148694,S200000,04700,0200,N 148694,S200000,04900,0100,N 148694,S200000,05000,0100,N 148694,S200000,05100,0100,N 148694,S200000,05200,0100,N 148705,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148705,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148705,A000000,00300,0000,0300EMPLOYEE BENEFITS 148705,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148705,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148705,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148705,A000000,00700,0000,0700HOUSEKEEPING 148705,A000000,00800,0000,0800DIETARY 148705,A000000,00900,0000,0900NURSING ADMINISTRATION 148705,A000000,00901,0000,0901OTHER NURSING 148705,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148705,A000000,01100,0000,1100PHARMACY 148705,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148705,A000000,01300,0000,1300SOCIAL SERVICE 148705,A000000,01301,0000,1301ACTIVITIES 148705,A000000,01600,0000,1600SKILLED NURSING FACILITY 148705,A000000,01800,0000,1800NURSING FACILITY 148705,A000000,02100,0000,2100RADIOLOGY 148705,A000000,02200,0000,2200LABORATORY 148705,A000000,02300,0000,2300INTRAVENOUS THERAPY 148705,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148705,A000000,02500,0000,2500PHYSICAL THERAPY 148705,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148705,A000000,02700,0000,2700SPEECH PATHOLOGY 148705,A000000,02800,0000,2800ELECTROCARDIOLOGY 148705,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148705,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148705,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148705,A000000,03301,0000,3051NUTRITIONAL THERAPY 148705,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148705,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148705,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148705,A000000,04800,0000,4800AMBULANCE 148705,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148705,A000000,05300,0000,5300INTEREST EXPENSE 148705,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148705,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148705,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148705,A000000,06200,0000,6200PATIENTS LAUNDRY 148705,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148705,A000000,06301,0000,6151DAY CARE 148705,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148705,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148705,A81000A,00100,0100,Y 148705,A81000B,00100,0300,HOME OFFICE COSTS 148705,A81000B,00200,0300,LIABILITY INSURANCE 148705,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148705,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148705,A81000B,00500,0300,VC PHARMACY - ADMIN 148705,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148705,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148705,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148705,A81000B,00900,0300,VC PHARMACY - DIETARY 148705,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148705,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148705,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148705,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148705,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148705,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148705,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148705,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148705,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148705,A81000B,01900,0300,VC PHARMACY - LAB 148705,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148705,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148705,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148705,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148705,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148705,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148705,A81000B,02600,0300,VC PHARMACY - LEGEND 148705,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148705,A81000B,02800,0300,VC PHARMACY - NUTR THER 148705,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148705,A81000C,00100,0100,B 148705,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148705,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148705,A81000C,00100,0600,LIABILITY INSURANCE 148705,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148705,A81000C,00200,0600,PHARMACY 148705,A81000C,00300,0400,VENCARE RESPIRATORY 148705,A81000C,00300,0600,RESPIRATORY THERAPY 148705,A81000C,00400,0400,THERAPY SERVICES 148705,A81000C,00500,0400,VENCARE REHAB SERVICES 148705,A81000C,00500,0600,REHAB 148705,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148705,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148705,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148705,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148705,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148705,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148705,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148705,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148705,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148705,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148705,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148705,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148705,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148705,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148705,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148705,E10A180,00301,0100,06/30/00 148705,S000000,00100,0200,12/01/00 148705,S200000,00100,0100,920 WEST LAVETA 148705,S200000,00200,0100,ORANGE 148705,S200000,00200,0200,CA 148705,S200000,00200,0300,92668- 148705,S200000,00300,0100,ORANGE 148705,S200000,00300,0300,U 148705,S200000,00400,0100,525 - LA VETA NURSING & REHAB CENTER 148705,S200000,00400,0200,055252 148705,S200000,00400,0300,01/01/67 148705,S200000,00400,0500,P 148705,S200000,01500,0100,Y 148705,S200000,01600,0100,N 148705,S200000,01700,0100,N 148705,S200000,01800,0100,N 148705,S200000,02200,0100,Y 148705,S200000,02800,0100,N 148705,S200000,02900,0100,N 148705,S200000,03000,0100,N 148705,S200000,03100,0100,N 148705,S200000,03200,0100,N 148705,S200000,04100,0100,N 148705,S200000,04200,0100,N 148705,S200000,04300,0100,N 148705,S200000,04600,0100,N 148705,S200000,04700,0100,N 148705,S200000,04700,0200,N 148705,S200000,04900,0100,N 148705,S200000,05000,0100,N 148705,S200000,05100,0100,N 148705,S200000,05200,0100,N 148710,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148710,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148710,A000000,00300,0000,0300EMPLOYEE BENEFITS 148710,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148710,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148710,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148710,A000000,00700,0000,0700HOUSEKEEPING 148710,A000000,00800,0000,0800DIETARY 148710,A000000,00900,0000,0900NURSING ADMINISTRATION 148710,A000000,00901,0000,0901OTHER NURSING 148710,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148710,A000000,01100,0000,1100PHARMACY 148710,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148710,A000000,01300,0000,1300SOCIAL SERVICE 148710,A000000,01301,0000,1301ACTIVITIES 148710,A000000,01600,0000,1600SKILLED NURSING FACILITY 148710,A000000,01800,0000,1800NURSING FACILITY 148710,A000000,02100,0000,2100RADIOLOGY 148710,A000000,02200,0000,2200LABORATORY 148710,A000000,02300,0000,2300INTRAVENOUS THERAPY 148710,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148710,A000000,02500,0000,2500PHYSICAL THERAPY 148710,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148710,A000000,02700,0000,2700SPEECH PATHOLOGY 148710,A000000,02800,0000,2800ELECTROCARDIOLOGY 148710,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148710,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148710,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148710,A000000,03301,0000,3051NUTRITIONAL THERAPY 148710,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148710,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148710,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148710,A000000,04800,0000,4800AMBULANCE 148710,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148710,A000000,05300,0000,5300INTEREST EXPENSE 148710,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148710,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148710,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148710,A000000,06200,0000,6200PATIENTS LAUNDRY 148710,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148710,A000000,06301,0000,6151DAY CARE 148710,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148710,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148710,A81000A,00100,0100,Y 148710,A81000B,00100,0300,HOME OFFICE COSTS 148710,A81000B,00200,0300,LIABILITY INSURANCE 148710,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148710,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148710,A81000B,00500,0300,VC PHARMACY - ADMIN 148710,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148710,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148710,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148710,A81000B,00900,0300,VC PHARMACY - DIETARY 148710,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148710,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148710,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148710,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148710,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148710,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148710,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148710,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148710,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148710,A81000B,01900,0300,VC PHARMACY - LAB 148710,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148710,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148710,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148710,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148710,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148710,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148710,A81000B,02600,0300,VC PHARMACY - LEGEND 148710,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148710,A81000B,02800,0300,VC PHARMACY - NUTR THER 148710,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148710,A81000C,00100,0100,B 148710,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148710,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148710,A81000C,00100,0600,LIABILITY INSURANCE 148710,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148710,A81000C,00200,0600,PHARMACY 148710,A81000C,00300,0400,VENCARE RESPIRATORY 148710,A81000C,00300,0600,RESPIRATORY THERAPY 148710,A81000C,00400,0400,THERAPY SERVICES 148710,A81000C,00500,0400,VENCARE REHAB SERVICES 148710,A81000C,00500,0600,REHAB 148710,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148710,A81000C,00600,0600,PORTABLE X-RAY 148710,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148710,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148710,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148710,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148710,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148710,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148710,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148710,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148710,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148710,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148710,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148710,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148710,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148710,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148710,S000000,00100,0200,12/01/00 148710,S200000,00100,0100,1609 TROUSDALE 148710,S200000,00200,0100,BURLINGAME 148710,S200000,00200,0200,CA 148710,S200000,00200,0300,94010- 148710,S200000,00300,0100,SAN MATEO 148710,S200000,00300,0300,U 148710,S200000,00400,0100,320 - MAGNOLIA GARDENS CARE CTR 148710,S200000,00400,0200,055397 148710,S200000,00400,0300,01/01/67 148710,S200000,00400,0500,P 148710,S200000,01500,0100,Y 148710,S200000,01600,0100,N 148710,S200000,01700,0100,N 148710,S200000,01800,0100,N 148710,S200000,02200,0100,Y 148710,S200000,02800,0100,N 148710,S200000,02900,0100,N 148710,S200000,03000,0100,N 148710,S200000,03100,0100,N 148710,S200000,03200,0100,N 148710,S200000,04100,0100,N 148710,S200000,04200,0100,N 148710,S200000,04300,0100,N 148710,S200000,04600,0100,N 148710,S200000,04700,0100,N 148710,S200000,04700,0200,N 148710,S200000,04900,0100,N 148710,S200000,05000,0100,N 148710,S200000,05100,0100,N 148710,S200000,05200,0100,N 148713,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148713,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148713,A000000,00300,0000,0300EMPLOYEE BENEFITS 148713,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148713,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148713,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148713,A000000,00700,0000,0700HOUSEKEEPING 148713,A000000,00800,0000,0800DIETARY 148713,A000000,00900,0000,0900NURSING ADMINISTRATION 148713,A000000,00901,0000,0901OTHER NURSING 148713,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148713,A000000,01100,0000,1100PHARMACY 148713,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148713,A000000,01300,0000,1300SOCIAL SERVICE 148713,A000000,01301,0000,1301ACTIVITIES 148713,A000000,01600,0000,1600SKILLED NURSING FACILITY 148713,A000000,01800,0000,1800NURSING FACILITY 148713,A000000,02100,0000,2100RADIOLOGY 148713,A000000,02200,0000,2200LABORATORY 148713,A000000,02300,0000,2300INTRAVENOUS THERAPY 148713,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148713,A000000,02500,0000,2500PHYSICAL THERAPY 148713,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148713,A000000,02700,0000,2700SPEECH PATHOLOGY 148713,A000000,02800,0000,2800ELECTROCARDIOLOGY 148713,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148713,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148713,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148713,A000000,03301,0000,3051NUTRITIONAL THERAPY 148713,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148713,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148713,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148713,A000000,04800,0000,4800AMBULANCE 148713,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148713,A000000,05300,0000,5300INTEREST EXPENSE 148713,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148713,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148713,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148713,A000000,06200,0000,6200PATIENTS LAUNDRY 148713,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148713,A000000,06301,0000,6151DAY CARE 148713,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148713,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148713,A81000A,00100,0100,Y 148713,A81000B,00100,0300,HOME OFFICE COSTS 148713,A81000B,00200,0300,LIABILITY INSURANCE 148713,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148713,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148713,A81000B,00500,0300,VC PHARMACY - ADMIN 148713,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148713,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148713,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148713,A81000B,00900,0300,VC PHARMACY - DIETARY 148713,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148713,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148713,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148713,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148713,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148713,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148713,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148713,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148713,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148713,A81000B,01900,0300,VC PHARMACY - LAB 148713,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148713,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148713,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148713,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148713,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148713,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148713,A81000B,02600,0300,VC PHARMACY - LEGEND 148713,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148713,A81000B,02800,0300,VC PHARMACY - NUTR THER 148713,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148713,A81000C,00100,0100,B 148713,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148713,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148713,A81000C,00100,0600,LIABILITY INSURANCE 148713,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148713,A81000C,00200,0600,PHARMACY 148713,A81000C,00300,0400,VENCARE RESPIRATORY 148713,A81000C,00300,0600,RESPIRATORY THERAPY 148713,A81000C,00400,0400,THERAPY SERVICES 148713,A81000C,00500,0400,VENCARE REHAB SERVICES 148713,A81000C,00500,0600,REHAB 148713,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148713,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148713,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148713,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148713,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148713,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148713,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148713,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148713,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148713,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148713,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148713,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148713,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148713,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148713,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148713,S000000,00100,0200,12/01/00 148713,S200000,00100,0100,2641 SOUTH C STREET 148713,S200000,00200,0100,OXNARD 148713,S200000,00200,0200,CA 148713,S200000,00200,0300,93083- 148713,S200000,00300,0100,VENTURA 148713,S200000,00300,0300,U 148713,S200000,00400,0100,420 - MAYWOOD ACRES HEALTHCARE CENTE 148713,S200000,00400,0200,055597 148713,S200000,00400,0300,01/01/73 148713,S200000,00400,0500,P 148713,S200000,01500,0100,Y 148713,S200000,01600,0100,N 148713,S200000,01700,0100,N 148713,S200000,01800,0100,N 148713,S200000,02200,0100,Y 148713,S200000,02800,0100,N 148713,S200000,02900,0100,N 148713,S200000,03000,0100,N 148713,S200000,03100,0100,N 148713,S200000,03200,0100,N 148713,S200000,04100,0100,N 148713,S200000,04200,0100,N 148713,S200000,04300,0100,N 148713,S200000,04600,0100,N 148713,S200000,04700,0100,N 148713,S200000,04700,0200,N 148713,S200000,04900,0100,N 148713,S200000,05000,0100,N 148713,S200000,05100,0100,N 148713,S200000,05200,0100,N 148715,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148715,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148715,A000000,00300,0000,0300EMPLOYEE BENEFITS 148715,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148715,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148715,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148715,A000000,00700,0000,0700HOUSEKEEPING 148715,A000000,00800,0000,0800DIETARY 148715,A000000,00900,0000,0900NURSING ADMINISTRATION 148715,A000000,00901,0000,0901OTHER NURSING 148715,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148715,A000000,01100,0000,1100PHARMACY 148715,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148715,A000000,01300,0000,1300SOCIAL SERVICE 148715,A000000,01301,0000,1301ACTIVITIES 148715,A000000,01600,0000,1600SKILLED NURSING FACILITY 148715,A000000,01800,0000,1800NURSING FACILITY 148715,A000000,02100,0000,2100RADIOLOGY 148715,A000000,02200,0000,2200LABORATORY 148715,A000000,02300,0000,2300INTRAVENOUS THERAPY 148715,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148715,A000000,02500,0000,2500PHYSICAL THERAPY 148715,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148715,A000000,02700,0000,2700SPEECH PATHOLOGY 148715,A000000,02800,0000,2800ELECTROCARDIOLOGY 148715,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148715,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148715,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148715,A000000,03301,0000,3051NUTRITIONAL THERAPY 148715,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148715,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148715,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148715,A000000,04800,0000,4800AMBULANCE 148715,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148715,A000000,05300,0000,5300INTEREST EXPENSE 148715,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148715,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148715,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148715,A000000,06200,0000,6200PATIENTS LAUNDRY 148715,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148715,A000000,06301,0000,6151DAY CARE 148715,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148715,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148715,A81000A,00100,0100,Y 148715,A81000B,00100,0300,HOME OFFICE COSTS 148715,A81000B,00200,0300,LIABILITY INSURANCE 148715,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148715,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148715,A81000B,00500,0300,VC PHARMACY - ADMIN 148715,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148715,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148715,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148715,A81000B,00900,0300,VC PHARMACY - DIETARY 148715,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148715,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148715,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148715,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148715,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148715,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148715,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148715,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148715,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148715,A81000B,01900,0300,VC PHARMACY - LAB 148715,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148715,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148715,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148715,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148715,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148715,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148715,A81000B,02600,0300,VC PHARMACY - LEGEND 148715,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148715,A81000B,02800,0300,VC PHARMACY - NUTR THER 148715,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148715,A81000C,00100,0100,B 148715,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148715,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148715,A81000C,00100,0600,LIABILITY INSURANCE 148715,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148715,A81000C,00200,0600,PHARMACY 148715,A81000C,00300,0400,VENCARE RESPIRATORY 148715,A81000C,00300,0600,RESPIRATORY THERAPY 148715,A81000C,00400,0400,THERAPY SERVICES 148715,A81000C,00500,0400,VENCARE REHAB SERVICES 148715,A81000C,00500,0600,REHAB 148715,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148715,A81000C,00600,0600,PORTABLE X-RAY 148715,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148715,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148715,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148715,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148715,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148715,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148715,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148715,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148715,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148715,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148715,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148715,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148715,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148715,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148715,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148715,S000000,00100,0200,12/01/00 148715,S200000,00100,0100,2121 PINE STREET 148715,S200000,00200,0100,SAN FRANCISCO 148715,S200000,00200,0200,CA 148715,S200000,00200,0300,94115- 148715,S200000,00300,0100,SAN FRANCISCO 148715,S200000,00300,0300,U 148715,S200000,00400,0100,911 - VICTORIAN HEALTHCARE CENTER 148715,S200000,00400,0200,055848 148715,S200000,00400,0300,03/29/74 148715,S200000,00400,0500,P 148715,S200000,01500,0100,Y 148715,S200000,01600,0100,N 148715,S200000,01700,0100,N 148715,S200000,01800,0100,N 148715,S200000,02200,0100,Y 148715,S200000,02800,0100,N 148715,S200000,02900,0100,N 148715,S200000,03000,0100,N 148715,S200000,03100,0100,N 148715,S200000,03200,0100,N 148715,S200000,04100,0100,N 148715,S200000,04200,0100,N 148715,S200000,04300,0100,N 148715,S200000,04600,0100,N 148715,S200000,04700,0100,N 148715,S200000,04700,0200,N 148715,S200000,04900,0100,N 148715,S200000,05000,0100,N 148715,S200000,05100,0100,N 148715,S200000,05200,0100,N 148729,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148729,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148729,A000000,00300,0000,0300EMPLOYEE BENEFITS 148729,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148729,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148729,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148729,A000000,00700,0000,0700HOUSEKEEPING 148729,A000000,00800,0000,0800DIETARY 148729,A000000,00900,0000,0900NURSING ADMINISTRATION 148729,A000000,00901,0000,0901OTHER NURSING 148729,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148729,A000000,01100,0000,1100PHARMACY 148729,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148729,A000000,01300,0000,1300SOCIAL SERVICE 148729,A000000,01301,0000,1301ACTIVITIES 148729,A000000,01600,0000,1600SKILLED NURSING FACILITY 148729,A000000,01800,0000,1800NURSING FACILITY 148729,A000000,02100,0000,2100RADIOLOGY 148729,A000000,02200,0000,2200LABORATORY 148729,A000000,02300,0000,2300INTRAVENOUS THERAPY 148729,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148729,A000000,02500,0000,2500PHYSICAL THERAPY 148729,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148729,A000000,02700,0000,2700SPEECH PATHOLOGY 148729,A000000,02800,0000,2800ELECTROCARDIOLOGY 148729,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148729,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148729,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148729,A000000,03301,0000,3051NUTRITIONAL THERAPY 148729,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148729,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148729,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148729,A000000,04800,0000,4800AMBULANCE 148729,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148729,A000000,05300,0000,5300INTEREST EXPENSE 148729,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148729,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148729,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148729,A000000,06200,0000,6200PATIENTS LAUNDRY 148729,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148729,A000000,06301,0000,6151DAY CARE 148729,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148729,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148729,A81000A,00100,0100,Y 148729,A81000B,00100,0300,HOME OFFICE COSTS 148729,A81000B,00200,0300,LIABILITY INSURANCE 148729,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148729,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148729,A81000B,00500,0300,VC PHARMACY - ADMIN 148729,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148729,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148729,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148729,A81000B,00900,0300,VC PHARMACY - DIETARY 148729,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148729,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148729,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148729,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148729,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148729,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148729,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148729,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148729,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148729,A81000B,01900,0300,VC PHARMACY - LAB 148729,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148729,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148729,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148729,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148729,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148729,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148729,A81000B,02600,0300,VC PHARMACY - LEGEND 148729,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148729,A81000B,02800,0300,VC PHARMACY - NUTR THER 148729,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148729,A81000C,00100,0100,B 148729,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148729,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148729,A81000C,00100,0600,LIABILITY INSURANCE 148729,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148729,A81000C,00200,0600,PHARMACY 148729,A81000C,00300,0400,VENCARE RESPIRATORY 148729,A81000C,00300,0600,RESPIRATORY THERAPY 148729,A81000C,00400,0400,THERAPY SERVICES 148729,A81000C,00500,0400,VENCARE REHAB SERVICES 148729,A81000C,00500,0600,REHAB 148729,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148729,A81000C,00600,0600,PORTABLE X-RAY 148729,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148729,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148729,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148729,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148729,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148729,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148729,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148729,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148729,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148729,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148729,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148729,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148729,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148729,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148729,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148729,E10A180,00301,0100,06/30/00 148729,S000000,00100,0200,12/01/00 148729,S200000,00100,0100,10201 EAST 3RD AVE 148729,S200000,00200,0100,AURORA 148729,S200000,00200,0200,CO 148729,S200000,00200,0300,80010- 148729,S200000,00300,0100,ARAPAHOE 148729,S200000,00300,0300,U 148729,S200000,00400,0100,745 - AURORA CARE CENTER 148729,S200000,00400,0200,065001 148729,S200000,00400,0300,09/01/82 148729,S200000,00400,0500,P 148729,S200000,01500,0100,Y 148729,S200000,01600,0100,N 148729,S200000,01700,0100,N 148729,S200000,01800,0100,N 148729,S200000,02200,0100,Y 148729,S200000,02800,0100,Y 148729,S200000,02900,0100,N 148729,S200000,03000,0100,N 148729,S200000,03100,0100,N 148729,S200000,03200,0100,N 148729,S200000,04100,0100,N 148729,S200000,04200,0100,N 148729,S200000,04300,0100,N 148729,S200000,04600,0100,N 148729,S200000,04700,0100,N 148729,S200000,04700,0200,N 148729,S200000,04900,0100,N 148729,S200000,05000,0100,N 148729,S200000,05100,0100,N 148729,S200000,05200,0100,N 148730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148730,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148730,A000000,00300,0000,0300EMPLOYEE BENEFITS 148730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148730,A000000,00700,0000,0700HOUSEKEEPING 148730,A000000,00800,0000,0800DIETARY 148730,A000000,00900,0000,0900NURSING ADMINISTRATION 148730,A000000,00901,0000,0901OTHER NURSING 148730,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148730,A000000,01100,0000,1100PHARMACY 148730,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148730,A000000,01300,0000,1300SOCIAL SERVICE 148730,A000000,01301,0000,1301ACTIVITIES 148730,A000000,01600,0000,1600SKILLED NURSING FACILITY 148730,A000000,01800,0000,1800NURSING FACILITY 148730,A000000,02100,0000,2100RADIOLOGY 148730,A000000,02200,0000,2200LABORATORY 148730,A000000,02300,0000,2300INTRAVENOUS THERAPY 148730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148730,A000000,02500,0000,2500PHYSICAL THERAPY 148730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148730,A000000,02700,0000,2700SPEECH PATHOLOGY 148730,A000000,02800,0000,2800ELECTROCARDIOLOGY 148730,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148730,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148730,A000000,03301,0000,3051NUTRITIONAL THERAPY 148730,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148730,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148730,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148730,A000000,04800,0000,4800AMBULANCE 148730,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148730,A000000,05300,0000,5300INTEREST EXPENSE 148730,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148730,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148730,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148730,A000000,06200,0000,6200PATIENTS LAUNDRY 148730,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148730,A000000,06301,0000,6151DAY CARE 148730,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148730,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148730,A81000A,00100,0100,Y 148730,A81000B,00100,0300,HOME OFFICE COSTS 148730,A81000B,00200,0300,LIABILITY INSURANCE 148730,A81000B,00500,0300,VC PHARMACY - ADMIN 148730,A81000B,00900,0300,VC PHARMACY - DIETARY 148730,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 148730,A81000B,01100,0300,VC PHARMACY - NONLEGEND 148730,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 148730,A81000B,01300,0300,VC PHARMACY - IV THERAPY 148730,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 148730,A81000B,01500,0300,VENCARE REHAB - PHYS THER 148730,A81000B,01600,0300,VENCARE REHAB - OCCP THER 148730,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 148730,A81000B,01800,0300,VC PHARMACY - LEGEND 148730,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 148730,A81000C,00100,0100,B 148730,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148730,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148730,A81000C,00100,0600,LIABILITY INSURANCE 148730,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148730,A81000C,00200,0600,PHARMACY 148730,A81000C,00300,0400,VENCARE RESPIRATORY 148730,A81000C,00300,0600,RESPIRATORY THERAPY 148730,A81000C,00400,0400,THERAPY SERVICES 148730,A81000C,00500,0400,VENCARE REHAB SERVICES 148730,A81000C,00500,0600,REHAB 148730,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148730,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148730,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148730,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148730,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148730,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148730,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148730,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148730,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148730,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148730,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148730,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148730,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148730,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148730,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148730,E10A180,00350,0100,06/30/00 148730,S000000,00100,0200,12/11/00 148730,S200000,00100,0100,66 CLINIC DRIVE 148730,S200000,00200,0100,NEW BRITAIN 148730,S200000,00200,0200,CT 148730,S200000,00200,0300,06051- 148730,S200000,00300,0100,HARTFORD 148730,S200000,00300,0300,U 148730,S200000,00400,0100,ANDREW HOUSE HEALTHCARE 148730,S200000,00400,0200,075185 148730,S200000,00400,0300,07/01/76 148730,S200000,00400,0500,P 148730,S200000,01500,0100,Y 148730,S200000,01600,0100,N 148730,S200000,01700,0100,N 148730,S200000,01800,0100,N 148730,S200000,02200,0100,Y 148730,S200000,02800,0100,N 148730,S200000,02900,0100,N 148730,S200000,03000,0100,N 148730,S200000,03100,0100,N 148730,S200000,03200,0100,N 148730,S200000,04100,0100,N 148730,S200000,04200,0100,N 148730,S200000,04300,0100,N 148730,S200000,04600,0100,N 148730,S200000,04700,0100,N 148730,S200000,04700,0200,N 148730,S200000,04900,0100,N 148730,S200000,05000,0100,N 148730,S200000,05100,0100,N 148730,S200000,05200,0100,N 148731,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148731,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148731,A000000,00300,0000,0300EMPLOYEE BENEFITS 148731,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148731,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148731,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148731,A000000,00700,0000,0700HOUSEKEEPING 148731,A000000,00800,0000,0800DIETARY 148731,A000000,00900,0000,0900NURSING ADMINISTRATION 148731,A000000,00901,0000,0901OTHER NURSING 148731,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148731,A000000,01100,0000,1100PHARMACY 148731,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148731,A000000,01300,0000,1300SOCIAL SERVICE 148731,A000000,01301,0000,1301ACTIVITIES 148731,A000000,01600,0000,1600SKILLED NURSING FACILITY 148731,A000000,01800,0000,1800NURSING FACILITY 148731,A000000,02100,0000,2100RADIOLOGY 148731,A000000,02200,0000,2200LABORATORY 148731,A000000,02300,0000,2300INTRAVENOUS THERAPY 148731,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148731,A000000,02500,0000,2500PHYSICAL THERAPY 148731,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148731,A000000,02700,0000,2700SPEECH PATHOLOGY 148731,A000000,02800,0000,2800ELECTROCARDIOLOGY 148731,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148731,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148731,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148731,A000000,03301,0000,3051NUTRITIONAL THERAPY 148731,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148731,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148731,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148731,A000000,04800,0000,4800AMBULANCE 148731,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148731,A000000,05300,0000,5300INTEREST EXPENSE 148731,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148731,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148731,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148731,A000000,06200,0000,6200PATIENTS LAUNDRY 148731,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148731,A000000,06301,0000,6151DAY CARE 148731,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148731,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148731,A81000A,00100,0100,Y 148731,A81000B,00100,0300,HOME OFFICE COSTS 148731,A81000B,00200,0300,LIABILITY INSURANCE 148731,A81000B,00500,0300,VC PHARMACY - ADMIN 148731,A81000B,00900,0300,VC PHARMACY - DIETARY 148731,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 148731,A81000B,01100,0300,VC PHARMACY - LAB 148731,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 148731,A81000B,01300,0300,VENCARE REHAB - PHYS THER 148731,A81000B,01400,0300,VENCARE REHAB - OCCP THER 148731,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 148731,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 148731,A81000B,01700,0300,VC PHARMACY - LEGEND 148731,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 148731,A81000C,00100,0100,B 148731,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148731,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148731,A81000C,00100,0600,LIABILITY INSURANCE 148731,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148731,A81000C,00200,0600,PHARMACY 148731,A81000C,00300,0400,VENCARE RESPIRATORY 148731,A81000C,00300,0600,RESPIRATORY THERAPY 148731,A81000C,00400,0400,THERAPY SERVICES 148731,A81000C,00500,0400,VENCARE REHAB SERVICES 148731,A81000C,00500,0600,REHAB 148731,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148731,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148731,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148731,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148731,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148731,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148731,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148731,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148731,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148731,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148731,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148731,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148731,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148731,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148731,E10A180,00301,0100,06/30/00 148731,S000000,00100,0200,12/11/00 148731,S200000,00100,0100,1157 ENFIELD AVENUE 148731,S200000,00200,0100,ENFIELD 148731,S200000,00200,0200,CT 148731,S200000,00200,0300,06082- 148731,S200000,00300,0100,HARTFORD 148731,S200000,00300,0200,3283 148731,S200000,00300,0300,U 148731,S200000,00400,0100,#568 - PARKWAY PAVILION HEALTHCARE 148731,S200000,00400,0200,075195 148731,S200000,00400,0300,07/01/76 148731,S200000,00400,0500,P 148731,S200000,01500,0100,Y 148731,S200000,01600,0100,N 148731,S200000,01700,0100,N 148731,S200000,01800,0100,N 148731,S200000,02200,0100,Y 148731,S200000,02800,0100,N 148731,S200000,02900,0100,N 148731,S200000,03000,0100,N 148731,S200000,03100,0100,N 148731,S200000,03200,0100,N 148731,S200000,04100,0100,N 148731,S200000,04200,0100,N 148731,S200000,04300,0100,N 148731,S200000,04600,0100,N 148731,S200000,04700,0100,N 148731,S200000,04700,0200,N 148731,S200000,04900,0100,N 148731,S200000,05000,0100,N 148731,S200000,05100,0100,N 148731,S200000,05200,0100,N 148732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148732,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148732,A000000,00300,0000,0300EMPLOYEE BENEFITS 148732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148732,A000000,00700,0000,0700HOUSEKEEPING 148732,A000000,00800,0000,0800DIETARY 148732,A000000,00900,0000,0900NURSING ADMINISTRATION 148732,A000000,00901,0000,0901OTHER NURSING 148732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148732,A000000,01100,0000,1100PHARMACY 148732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148732,A000000,01300,0000,1300SOCIAL SERVICE 148732,A000000,01301,0000,1301ACTIVITIES 148732,A000000,01600,0000,1600SKILLED NURSING FACILITY 148732,A000000,01800,0000,1800NURSING FACILITY 148732,A000000,02100,0000,2100RADIOLOGY 148732,A000000,02200,0000,2200LABORATORY 148732,A000000,02300,0000,2300INTRAVENOUS THERAPY 148732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148732,A000000,02500,0000,2500PHYSICAL THERAPY 148732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148732,A000000,02700,0000,2700SPEECH PATHOLOGY 148732,A000000,02800,0000,2800ELECTROCARDIOLOGY 148732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148732,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148732,A000000,03301,0000,3051NUTRITIONAL THERAPY 148732,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148732,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148732,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148732,A000000,04800,0000,4800AMBULANCE 148732,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148732,A000000,05300,0000,5300INTEREST EXPENSE 148732,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148732,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148732,A000000,06200,0000,6200PATIENTS LAUNDRY 148732,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148732,A000000,06301,0000,6151DAY CARE 148732,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148732,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148732,A81000A,00100,0100,Y 148732,A81000B,00100,0300,HOME OFFICE COSTS 148732,A81000B,00200,0300,LIABILITY INSURANCE 148732,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148732,A81000B,00500,0300,VC PHARMACY - ADMIN 148732,A81000B,00900,0300,VC PHARMACY - DIETARY 148732,A81000B,01000,0300,VC PHARMACY - NONLEGEND 148732,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 148732,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 148732,A81000B,01300,0300,VENCARE REHAB - PHYS THER 148732,A81000B,01400,0300,VENCARE REHAB - OCCP THER 148732,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 148732,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 148732,A81000B,01700,0300,VC PHARMACY - LEGEND 148732,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 148732,A81000C,00100,0100,B 148732,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148732,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148732,A81000C,00100,0600,LIABILITY INSURANCE 148732,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148732,A81000C,00200,0600,PHARMACY 148732,A81000C,00300,0400,VENCARE RESPIRATORY 148732,A81000C,00300,0600,RESPIRATORY THERAPY 148732,A81000C,00400,0400,THERAPY SERVICES 148732,A81000C,00500,0400,VENCARE REHAB SERVICES 148732,A81000C,00500,0600,REHAB 148732,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148732,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148732,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148732,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148732,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148732,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148732,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148732,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148732,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148732,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148732,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148732,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148732,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148732,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148732,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148732,S000000,00100,0200,12/11/00 148732,S200000,00100,0100,78 VIETS STREET EXTENSION 148732,S200000,00200,0100,NEW LONDON 148732,S200000,00200,0200,CT 148732,S200000,00200,0300,06320- 148732,S200000,00300,0100,NEW LONDON 148732,S200000,00300,0300,U 148732,S200000,00400,0100,NUTMEG PAVILION HEALTHCARE 148732,S200000,00400,0200,075196 148732,S200000,00400,0300,07/01/76 148732,S200000,00400,0500,P 148732,S200000,01500,0100,Y 148732,S200000,01600,0100,N 148732,S200000,01700,0100,N 148732,S200000,01800,0100,N 148732,S200000,02200,0100,Y 148732,S200000,02800,0100,N 148732,S200000,02900,0100,N 148732,S200000,03000,0100,N 148732,S200000,03100,0100,N 148732,S200000,03200,0100,N 148732,S200000,04100,0100,N 148732,S200000,04200,0100,N 148732,S200000,04300,0100,N 148732,S200000,04600,0100,N 148732,S200000,04700,0100,N 148732,S200000,04700,0200,N 148732,S200000,04900,0100,N 148732,S200000,05000,0100,N 148732,S200000,05100,0100,N 148732,S200000,05200,0100,N 148733,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148733,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148733,A000000,00300,0000,0300EMPLOYEE BENEFITS 148733,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148733,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148733,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148733,A000000,00700,0000,0700HOUSEKEEPING 148733,A000000,00800,0000,0800DIETARY 148733,A000000,00900,0000,0900NURSING ADMINISTRATION 148733,A000000,00901,0000,0901OTHER NURSING 148733,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148733,A000000,01100,0000,1100PHARMACY 148733,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148733,A000000,01300,0000,1300SOCIAL SERVICE 148733,A000000,01301,0000,1301ACTIVITIES 148733,A000000,01600,0000,1600SKILLED NURSING FACILITY 148733,A000000,01800,0000,1800NURSING FACILITY 148733,A000000,02100,0000,2100RADIOLOGY 148733,A000000,02200,0000,2200LABORATORY 148733,A000000,02300,0000,2300INTRAVENOUS THERAPY 148733,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148733,A000000,02500,0000,2500PHYSICAL THERAPY 148733,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148733,A000000,02700,0000,2700SPEECH PATHOLOGY 148733,A000000,02800,0000,2800ELECTROCARDIOLOGY 148733,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148733,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148733,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148733,A000000,03301,0000,3051NUTRITIONAL THERAPY 148733,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148733,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148733,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148733,A000000,04800,0000,4800AMBULANCE 148733,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148733,A000000,05300,0000,5300INTEREST EXPENSE 148733,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148733,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148733,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148733,A000000,06200,0000,6200PATIENTS LAUNDRY 148733,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148733,A000000,06301,0000,6151DAY CARE 148733,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148733,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148733,A81000A,00100,0100,Y 148733,A81000B,00100,0300,HOME OFFICE COSTS 148733,A81000B,00200,0300,LIABILITY INSURANCE 148733,A81000B,00500,0300,VC PHARMACY - ADMIN 148733,A81000B,00900,0300,VC PHARMACY - DIETARY 148733,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 148733,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 148733,A81000B,01200,0300,VENCARE REHAB - PHYS THER 148733,A81000B,01300,0300,VENCARE REHAB - OCCP THER 148733,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 148733,A81000B,01500,0300,VC PHARMACY - MEDICAL SUPP 148733,A81000B,01600,0300,VC PHARMACY - LEGEND 148733,A81000B,01700,0300,VC PHARMACY - COMPLEX MEDICAL 148733,A81000C,00100,0100,B 148733,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148733,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148733,A81000C,00100,0600,LIABILITY INSURANCE 148733,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148733,A81000C,00200,0600,PHARMACY 148733,A81000C,00300,0400,VENCARE RESPIRATORY 148733,A81000C,00300,0600,RESPIRATORY THERAPY 148733,A81000C,00400,0400,THERAPY SERVICES 148733,A81000C,00500,0400,VENCARE REHAB SERVICES 148733,A81000C,00500,0600,REHAB 148733,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148733,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148733,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148733,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148733,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148733,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148733,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148733,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148733,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148733,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148733,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148733,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148733,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148733,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148733,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148733,E10A180,00301,0100,06/30/00 148733,S000000,00100,0200,12/11/00 148733,S200000,00100,0100,89 VIETS STREET EXTENSION 148733,S200000,00200,0100,NEW LONDON 148733,S200000,00200,0200,CT 148733,S200000,00200,0300,06320- 148733,S200000,00300,0100,NEW LONDON 148733,S200000,00300,0200,5523 148733,S200000,00300,0300,U 148733,S200000,00400,0100,#563 - CAMELOT NURSING CENTER 148733,S200000,00400,0200,075267 148733,S200000,00400,0300,07/01/76 148733,S200000,00400,0500,P 148733,S200000,01500,0100,Y 148733,S200000,01600,0100,N 148733,S200000,01700,0100,N 148733,S200000,01800,0100,N 148733,S200000,02200,0100,Y 148733,S200000,02800,0100,N 148733,S200000,02900,0100,N 148733,S200000,03000,0100,N 148733,S200000,03100,0100,N 148733,S200000,03200,0100,N 148733,S200000,04100,0100,N 148733,S200000,04200,0100,N 148733,S200000,04300,0100,N 148733,S200000,04600,0100,N 148733,S200000,04700,0100,N 148733,S200000,04700,0200,N 148733,S200000,04900,0100,N 148733,S200000,05000,0100,N 148733,S200000,05100,0100,N 148733,S200000,05200,0100,N 148734,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148734,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148734,A000000,00300,0000,0300EMPLOYEE BENEFITS 148734,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148734,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148734,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148734,A000000,00700,0000,0700HOUSEKEEPING 148734,A000000,00800,0000,0800DIETARY 148734,A000000,00900,0000,0900NURSING ADMINISTRATION 148734,A000000,00901,0000,0901OTHER NURSING 148734,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148734,A000000,01100,0000,1100PHARMACY 148734,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148734,A000000,01300,0000,1300SOCIAL SERVICE 148734,A000000,01301,0000,1301ACTIVITIES 148734,A000000,01600,0000,1600SKILLED NURSING FACILITY 148734,A000000,01800,0000,1800NURSING FACILITY 148734,A000000,02100,0000,2100RADIOLOGY 148734,A000000,02200,0000,2200LABORATORY 148734,A000000,02300,0000,2300INTRAVENOUS THERAPY 148734,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148734,A000000,02500,0000,2500PHYSICAL THERAPY 148734,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148734,A000000,02700,0000,2700SPEECH PATHOLOGY 148734,A000000,02800,0000,2800ELECTROCARDIOLOGY 148734,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148734,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148734,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148734,A000000,03301,0000,3051NUTRITIONAL THERAPY 148734,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148734,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148734,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148734,A000000,04800,0000,4800AMBULANCE 148734,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148734,A000000,05300,0000,5300INTEREST EXPENSE 148734,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148734,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148734,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148734,A000000,06200,0000,6200PATIENTS LAUNDRY 148734,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148734,A000000,06301,0000,6151DAY CARE 148734,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148734,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148734,A81000A,00100,0100,Y 148734,A81000B,00100,0300,HOME OFFICE COSTS 148734,A81000B,00200,0300,LIABILITY INSURANCE 148734,A81000B,00500,0300,VC PHARMACY - ADMIN 148734,A81000B,00900,0300,VC PHARMACY - DIETARY 148734,A81000B,01000,0300,VC PHARMACY - NONLEGEND 148734,A81000B,01100,0300,VENCARE REHAB - PHYS THER 148734,A81000B,01200,0300,VENCARE REHAB - OCCP THER 148734,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 148734,A81000B,01400,0300,VENCARE RESPIRATORY 148734,A81000C,00100,0100,B 148734,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148734,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148734,A81000C,00100,0600,LIABILITY INSURANCE 148734,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148734,A81000C,00200,0600,PHARMACY 148734,A81000C,00300,0400,VENCARE RESPIRATORY 148734,A81000C,00300,0600,RESPIRATORY THERAPY 148734,A81000C,00400,0400,THERAPY SERVICES 148734,A81000C,00500,0400,VENCARE REHAB SERVICES 148734,A81000C,00500,0600,REHAB 148734,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148734,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148734,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148734,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148734,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148734,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148734,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148734,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148734,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148734,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148734,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148734,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148734,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148734,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148734,S000000,00100,0200,12/01/00 148734,S200000,00100,0100,160 GLENBROOK ROAD 148734,S200000,00200,0100,STAMFORD 148734,S200000,00200,0200,CT 148734,S200000,00200,0300,06902- 148734,S200000,00300,0100,FAIRFIELD 148734,S200000,00300,0300,U 148734,S200000,00400,0100,HOMESTEAD HEALTH CENTER 148734,S200000,00400,0200,075287 148734,S200000,00400,0300,12/01/85 148734,S200000,00400,0500,P 148734,S200000,01500,0100,Y 148734,S200000,01600,0100,N 148734,S200000,01700,0100,N 148734,S200000,01800,0100,N 148734,S200000,02200,0100,Y 148734,S200000,02800,0100,N 148734,S200000,02900,0100,N 148734,S200000,03000,0100,N 148734,S200000,03100,0100,N 148734,S200000,03200,0100,N 148734,S200000,04100,0100,N 148734,S200000,04200,0100,N 148734,S200000,04300,0100,N 148734,S200000,04600,0100,N 148734,S200000,04700,0100,N 148734,S200000,04700,0200,N 148734,S200000,04900,0100,N 148734,S200000,05000,0100,N 148734,S200000,05100,0100,N 148734,S200000,05200,0100,N 148737,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148737,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148737,A000000,00300,0000,0300EMPLOYEE BENEFITS 148737,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148737,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148737,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148737,A000000,00700,0000,0700HOUSEKEEPING 148737,A000000,00800,0000,0800DIETARY 148737,A000000,00900,0000,0900NURSING ADMINISTRATION 148737,A000000,00901,0000,0901OTHER NURSING 148737,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148737,A000000,01100,0000,1100PHARMACY 148737,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148737,A000000,01300,0000,1300SOCIAL SERVICE 148737,A000000,01301,0000,1301ACTIVITIES 148737,A000000,01600,0000,1600SKILLED NURSING FACILITY 148737,A000000,01800,0000,1800NURSING FACILITY 148737,A000000,02100,0000,2100RADIOLOGY 148737,A000000,02200,0000,2200LABORATORY 148737,A000000,02300,0000,2300INTRAVENOUS THERAPY 148737,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148737,A000000,02500,0000,2500PHYSICAL THERAPY 148737,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148737,A000000,02700,0000,2700SPEECH PATHOLOGY 148737,A000000,02800,0000,2800ELECTROCARDIOLOGY 148737,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148737,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148737,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148737,A000000,03301,0000,3051NUTRITIONAL THERAPY 148737,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148737,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148737,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148737,A000000,04800,0000,4800AMBULANCE 148737,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148737,A000000,05300,0000,5300INTEREST EXPENSE 148737,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148737,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148737,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148737,A000000,06200,0000,6200PATIENTS LAUNDRY 148737,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148737,A000000,06301,0000,6151DAY CARE 148737,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148737,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148737,A81000A,00100,0100,Y 148737,A81000B,00100,0300,HOME OFFICE COSTS 148737,A81000B,00200,0300,LIABILITY INSURANCE 148737,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148737,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148737,A81000B,00500,0300,VC PHARMACY - ADMIN 148737,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148737,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148737,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148737,A81000B,00900,0300,VC PHARMACY - DIETARY 148737,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148737,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148737,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148737,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148737,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148737,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148737,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148737,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148737,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148737,A81000B,01900,0300,VC PHARMACY - LAB 148737,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148737,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148737,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148737,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148737,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148737,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148737,A81000B,02600,0300,VC PHARMACY - LEGEND 148737,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148737,A81000B,02800,0300,VC PHARMACY - NUTR THER 148737,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148737,A81000C,00100,0100,B 148737,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148737,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148737,A81000C,00100,0600,LIABILITY INSURANCE 148737,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148737,A81000C,00200,0600,PHARMACY 148737,A81000C,00300,0400,VENCARE RESPIRATORY 148737,A81000C,00300,0600,RESPIRATORY THERAPY 148737,A81000C,00400,0400,THERAPY SERVICES 148737,A81000C,00500,0400,VENCARE REHAB SERVICES 148737,A81000C,00500,0600,REHAB 148737,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148737,A81000C,00600,0600,PORTABLE X-RAY 148737,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148737,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148737,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148737,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148737,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148737,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148737,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148737,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148737,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148737,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148737,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148737,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148737,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148737,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148737,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148737,E10A180,00301,0100,06/30/00 148737,S000000,00100,0200,12/11/00 148737,S200000,00100,0100,1524 EAST AVENUE SOUTH 148737,S200000,00200,0100,SARASOTA 148737,S200000,00200,0200,FL 148737,S200000,00200,0300,34239- 148737,S200000,00300,0100,SARASOTA 148737,S200000,00300,0300,U 148737,S200000,00400,0100,#117-EAST MANOR MEDICAL CARE CNTR 148737,S200000,00400,0200,105155 148737,S200000,00400,0300,10/01/71 148737,S200000,00400,0500,P 148737,S200000,01500,0100,N 148737,S200000,01600,0100,Y 148737,S200000,01700,0100,N 148737,S200000,01800,0100,N 148737,S200000,02200,0100,Y 148737,S200000,02800,0100,N 148737,S200000,02900,0100,N 148737,S200000,03000,0100,N 148737,S200000,03100,0100,N 148737,S200000,03200,0100,N 148737,S200000,04100,0100,N 148737,S200000,04200,0100,N 148737,S200000,04300,0100,N 148737,S200000,04600,0100,N 148737,S200000,04700,0100,N 148737,S200000,04700,0200,N 148737,S200000,04900,0100,N 148737,S200000,05000,0100,N 148737,S200000,05100,0100,N 148737,S200000,05200,0100,N 148738,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148738,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148738,A000000,00300,0000,0300EMPLOYEE BENEFITS 148738,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148738,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148738,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148738,A000000,00700,0000,0700HOUSEKEEPING 148738,A000000,00800,0000,0800DIETARY 148738,A000000,00900,0000,0900NURSING ADMINISTRATION 148738,A000000,00901,0000,0901OTHER NURSING 148738,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148738,A000000,01100,0000,1100PHARMACY 148738,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148738,A000000,01300,0000,1300SOCIAL SERVICE 148738,A000000,01301,0000,1301ACTIVITIES 148738,A000000,01600,0000,1600SKILLED NURSING FACILITY 148738,A000000,01800,0000,1800NURSING FACILITY 148738,A000000,02100,0000,2100RADIOLOGY 148738,A000000,02200,0000,2200LABORATORY 148738,A000000,02300,0000,2300INTRAVENOUS THERAPY 148738,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148738,A000000,02500,0000,2500PHYSICAL THERAPY 148738,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148738,A000000,02700,0000,2700SPEECH PATHOLOGY 148738,A000000,02800,0000,2800ELECTROCARDIOLOGY 148738,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148738,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148738,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148738,A000000,03301,0000,3051NUTRITIONAL THERAPY 148738,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148738,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148738,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148738,A000000,04800,0000,4800AMBULANCE 148738,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148738,A000000,05300,0000,5300INTEREST EXPENSE 148738,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148738,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148738,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148738,A000000,06200,0000,6200PATIENTS LAUNDRY 148738,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148738,A000000,06301,0000,6151DAY CARE 148738,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148738,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148738,A81000A,00100,0100,Y 148738,A81000B,00100,0300,HOME OFFICE COSTS 148738,A81000B,00200,0300,LIABILITY INSURANCE 148738,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148738,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148738,A81000B,00500,0300,VC PHARMACY - ADMIN 148738,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148738,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148738,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148738,A81000B,00900,0300,VC PHARMACY - DIETARY 148738,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148738,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148738,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148738,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148738,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148738,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148738,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148738,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148738,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148738,A81000B,01900,0300,VC PHARMACY - LAB 148738,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148738,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148738,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148738,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148738,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148738,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148738,A81000B,02600,0300,VC PHARMACY - LEGEND 148738,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148738,A81000B,02800,0300,VC PHARMACY - NUTR THER 148738,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148738,A81000C,00100,0100,B 148738,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148738,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148738,A81000C,00100,0600,LIABILITY INSURANCE 148738,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148738,A81000C,00200,0600,PHARMACY 148738,A81000C,00300,0400,VENCARE RESPIRATORY 148738,A81000C,00300,0600,RESPIRATORY THERAPY 148738,A81000C,00400,0400,THERAPY SERVICES 148738,A81000C,00500,0400,VENCARE REHAB SERVICES 148738,A81000C,00500,0600,REHAB 148738,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148738,A81000C,00600,0600,PORTABLE X-RAY 148738,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148738,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148738,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148738,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148738,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148738,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148738,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148738,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148738,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148738,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148738,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148738,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148738,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148738,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148738,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148738,S000000,00100,0200,12/11/00 148738,S200000,00100,0100,755 MEADOWS ROAD 148738,S200000,00200,0100,BOCA RATON 148738,S200000,00200,0200,FL 148738,S200000,00200,0300,33486- 148738,S200000,00300,0100,PALM BEACH 148738,S200000,00300,0300,U 148738,S200000,00400,0100,610-BOCA RATON REHABILITATION CENTER 148738,S200000,00400,0200,105219 148738,S200000,00400,0300,04/01/78 148738,S200000,00400,0500,P 148738,S200000,01500,0100,N 148738,S200000,01600,0100,Y 148738,S200000,01700,0100,N 148738,S200000,01800,0100,N 148738,S200000,02200,0100,Y 148738,S200000,02800,0100,N 148738,S200000,02900,0100,N 148738,S200000,03000,0100,N 148738,S200000,03100,0100,N 148738,S200000,03200,0100,N 148738,S200000,04100,0100,N 148738,S200000,04200,0100,N 148738,S200000,04300,0100,N 148738,S200000,04600,0100,N 148738,S200000,04700,0100,N 148738,S200000,04700,0200,N 148738,S200000,04900,0100,N 148738,S200000,05000,0100,N 148738,S200000,05100,0100,N 148738,S200000,05200,0100,N 148739,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148739,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148739,A000000,00300,0000,0300EMPLOYEE BENEFITS 148739,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148739,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148739,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148739,A000000,00700,0000,0700HOUSEKEEPING 148739,A000000,00800,0000,0800DIETARY 148739,A000000,00900,0000,0900NURSING ADMINISTRATION 148739,A000000,00901,0000,0901OTHER NURSING 148739,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148739,A000000,01100,0000,1100PHARMACY 148739,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148739,A000000,01300,0000,1300SOCIAL SERVICE 148739,A000000,01301,0000,1301ACTIVITIES 148739,A000000,01600,0000,1600SKILLED NURSING FACILITY 148739,A000000,01800,0000,1800NURSING FACILITY 148739,A000000,02100,0000,2100RADIOLOGY 148739,A000000,02200,0000,2200LABORATORY 148739,A000000,02300,0000,2300INTRAVENOUS THERAPY 148739,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148739,A000000,02500,0000,2500PHYSICAL THERAPY 148739,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148739,A000000,02700,0000,2700SPEECH PATHOLOGY 148739,A000000,02800,0000,2800ELECTROCARDIOLOGY 148739,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148739,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148739,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148739,A000000,03301,0000,3051NUTRITIONAL THERAPY 148739,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148739,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148739,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148739,A000000,04800,0000,4800AMBULANCE 148739,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148739,A000000,05300,0000,5300INTEREST EXPENSE 148739,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148739,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148739,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148739,A000000,06200,0000,6200PATIENTS LAUNDRY 148739,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148739,A000000,06301,0000,6151DAY CARE 148739,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148739,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148739,A81000A,00100,0100,Y 148739,A81000B,00100,0300,HOME OFFICE COSTS 148739,A81000B,00200,0300,LIABILITY INSURANCE 148739,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148739,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148739,A81000B,00500,0300,VC PHARMACY - ADMIN 148739,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148739,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148739,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148739,A81000B,00900,0300,VC PHARMACY - DIETARY 148739,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148739,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148739,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148739,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148739,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148739,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148739,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148739,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148739,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148739,A81000B,01900,0300,VC PHARMACY - LAB 148739,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148739,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148739,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148739,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148739,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148739,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148739,A81000B,02600,0300,VC PHARMACY - LEGEND 148739,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148739,A81000B,02800,0300,VC PHARMACY - NUTR THER 148739,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148739,A81000C,00100,0100,B 148739,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148739,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148739,A81000C,00100,0600,LIABILITY INSURANCE 148739,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148739,A81000C,00200,0600,PHARMACY 148739,A81000C,00300,0400,VENCARE RESPIRATORY 148739,A81000C,00300,0600,RESPIRATORY THERAPY 148739,A81000C,00400,0400,THERAPY SERVICES 148739,A81000C,00500,0400,VENCARE REHAB SERVICES 148739,A81000C,00500,0600,REHAB 148739,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148739,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148739,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148739,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148739,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148739,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148739,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148739,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148739,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148739,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148739,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148739,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148739,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148739,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148739,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148739,E10A180,00301,0100,06/30/00 148739,S000000,00100,0200,12/11/00 148739,S200000,00100,0100,4411 NORTH HABANA AVENUE 148739,S200000,00200,0100,TAMPA 148739,S200000,00200,0200,FL 148739,S200000,00200,0300,33614- 148739,S200000,00300,0100,HILLSBOROUGH 148739,S200000,00300,0300,U 148739,S200000,00400,0100,836 - REHAB & HLTHCR CENTER OF TAMPA 148739,S200000,00400,0200,105234 148739,S200000,00400,0300,06/23/70 148739,S200000,00400,0500,P 148739,S200000,01500,0100,Y 148739,S200000,01600,0100,N 148739,S200000,01700,0100,N 148739,S200000,01800,0100,N 148739,S200000,02200,0100,Y 148739,S200000,02800,0100,N 148739,S200000,02900,0100,N 148739,S200000,03000,0100,N 148739,S200000,03100,0100,N 148739,S200000,03200,0100,N 148739,S200000,04100,0100,N 148739,S200000,04200,0100,N 148739,S200000,04300,0100,N 148739,S200000,04600,0100,N 148739,S200000,04700,0100,N 148739,S200000,04700,0200,N 148739,S200000,04900,0100,N 148739,S200000,05000,0100,N 148739,S200000,05100,0100,N 148739,S200000,05200,0100,N 148740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148740,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148740,A000000,00300,0000,0300EMPLOYEE BENEFITS 148740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148740,A000000,00700,0000,0700HOUSEKEEPING 148740,A000000,00800,0000,0800DIETARY 148740,A000000,00900,0000,0900NURSING ADMINISTRATION 148740,A000000,00901,0000,0901OTHER NURSING 148740,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148740,A000000,01100,0000,1100PHARMACY 148740,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148740,A000000,01300,0000,1300SOCIAL SERVICE 148740,A000000,01301,0000,1301ACTIVITIES 148740,A000000,01600,0000,1600SKILLED NURSING FACILITY 148740,A000000,01800,0000,1800NURSING FACILITY 148740,A000000,02100,0000,2100RADIOLOGY 148740,A000000,02200,0000,2200LABORATORY 148740,A000000,02300,0000,2300INTRAVENOUS THERAPY 148740,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148740,A000000,02500,0000,2500PHYSICAL THERAPY 148740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148740,A000000,02700,0000,2700SPEECH PATHOLOGY 148740,A000000,02800,0000,2800ELECTROCARDIOLOGY 148740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148740,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148740,A000000,03301,0000,3051NUTRITIONAL THERAPY 148740,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148740,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148740,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148740,A000000,04800,0000,4800AMBULANCE 148740,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148740,A000000,05300,0000,5300INTEREST EXPENSE 148740,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148740,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148740,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148740,A000000,06200,0000,6200PATIENTS LAUNDRY 148740,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148740,A000000,06301,0000,6151DAY CARE 148740,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148740,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148740,A81000A,00100,0100,Y 148740,A81000B,00100,0300,HOME OFFICE COSTS 148740,A81000B,00200,0300,LIABILITY INSURANCE 148740,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148740,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148740,A81000B,00500,0300,VC PHARMACY - ADMIN 148740,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148740,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148740,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148740,A81000B,00900,0300,VC PHARMACY - DIETARY 148740,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148740,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148740,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148740,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148740,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148740,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148740,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148740,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148740,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148740,A81000B,01900,0300,VC PHARMACY - LAB 148740,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148740,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148740,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148740,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148740,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148740,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148740,A81000B,02600,0300,VC PHARMACY - LEGEND 148740,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148740,A81000B,02800,0300,VC PHARMACY - NUTR THER 148740,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148740,A81000C,00100,0100,B 148740,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148740,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148740,A81000C,00100,0600,LIABILITY INSURANCE 148740,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148740,A81000C,00200,0600,PHARMACY 148740,A81000C,00300,0400,VENCARE RESPIRATORY 148740,A81000C,00300,0600,RESPIRATORY THERAPY 148740,A81000C,00400,0400,THERAPY SERVICES 148740,A81000C,00500,0400,VENCARE REHAB SERVICES 148740,A81000C,00500,0600,REHAB 148740,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148740,A81000C,00600,0600,PORTABLE X-RAY 148740,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148740,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148740,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148740,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148740,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148740,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148740,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148740,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148740,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148740,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148740,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148740,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148740,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148740,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148740,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148740,S000000,00100,0200,12/01/00 148740,S200000,00100,0100,1902 59TH STREET WEST 148740,S200000,00200,0100,BRADENTON 148740,S200000,00200,0200,FL 148740,S200000,00200,0300,34209- 148740,S200000,00300,0100,MANATEE 148740,S200000,00300,0300,U 148740,S200000,00400,0100,1217-CASA MORA REHAB & EXTENDED CARE 148740,S200000,00400,0200,105327 148740,S200000,00400,0300,04/01/95 148740,S200000,00400,0500,P 148740,S200000,01500,0100,Y 148740,S200000,01600,0100,N 148740,S200000,01700,0100,N 148740,S200000,01800,0100,N 148740,S200000,02200,0100,Y 148740,S200000,02800,0100,N 148740,S200000,02900,0100,N 148740,S200000,03000,0100,N 148740,S200000,03100,0100,N 148740,S200000,03200,0100,N 148740,S200000,04100,0100,N 148740,S200000,04200,0100,N 148740,S200000,04300,0100,N 148740,S200000,04600,0100,N 148740,S200000,04700,0100,N 148740,S200000,04700,0200,N 148740,S200000,04900,0100,N 148740,S200000,05000,0100,N 148740,S200000,05100,0100,N 148740,S200000,05200,0100,N 148741,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148741,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148741,A000000,00300,0000,0300EMPLOYEE BENEFITS 148741,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148741,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148741,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148741,A000000,00700,0000,0700HOUSEKEEPING 148741,A000000,00800,0000,0800DIETARY 148741,A000000,00900,0000,0900NURSING ADMINISTRATION 148741,A000000,00901,0000,0901OTHER NURSING 148741,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148741,A000000,01100,0000,1100PHARMACY 148741,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148741,A000000,01300,0000,1300SOCIAL SERVICE 148741,A000000,01301,0000,1301ACTIVITIES 148741,A000000,01600,0000,1600SKILLED NURSING FACILITY 148741,A000000,01800,0000,1800NURSING FACILITY 148741,A000000,02100,0000,2100RADIOLOGY 148741,A000000,02200,0000,2200LABORATORY 148741,A000000,02300,0000,2300INTRAVENOUS THERAPY 148741,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148741,A000000,02500,0000,2500PHYSICAL THERAPY 148741,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148741,A000000,02700,0000,2700SPEECH PATHOLOGY 148741,A000000,02800,0000,2800ELECTROCARDIOLOGY 148741,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148741,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148741,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148741,A000000,03301,0000,3051NUTRITIONAL THERAPY 148741,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148741,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148741,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148741,A000000,04800,0000,4800AMBULANCE 148741,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148741,A000000,05300,0000,5300INTEREST EXPENSE 148741,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148741,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148741,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148741,A000000,06200,0000,6200PATIENTS LAUNDRY 148741,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148741,A000000,06301,0000,6151DAY CARE 148741,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148741,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148741,A81000A,00100,0100,Y 148741,A81000B,00100,0300,HOME OFFICE COSTS 148741,A81000B,00200,0300,LIABILITY INSURANCE 148741,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148741,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148741,A81000B,00500,0300,VC PHARMACY - ADMIN 148741,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148741,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148741,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148741,A81000B,00900,0300,VC PHARMACY - DIETARY 148741,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148741,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148741,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148741,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148741,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148741,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148741,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148741,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148741,A81000B,01800,0300,XRAY 148741,A81000B,01900,0300,VC PHARMACY - LAB 148741,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148741,A81000B,02100,0300,VENCARE RESP THERAPY SVCS 148741,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148741,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148741,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148741,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148741,A81000B,02600,0300,VC PHARMACY - LEGEND 148741,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148741,A81000B,02800,0300,VC PHARMACY - NUTR THER 148741,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148741,A81000C,00100,0100,B 148741,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148741,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148741,A81000C,00100,0600,LIABILITY INSURANCE 148741,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148741,A81000C,00200,0600,PHARMACY 148741,A81000C,00300,0400,VENCARE RESPIRATORY 148741,A81000C,00300,0600,RESPIRATORY THERAPY 148741,A81000C,00400,0400,THERAPY SERVICES 148741,A81000C,00500,0400,VENCARE REHAB SERVICES 148741,A81000C,00500,0600,REHAB 148741,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148741,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148741,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148741,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148741,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148741,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148741,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148741,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148741,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148741,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148741,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148741,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148741,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148741,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148741,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148741,E10A180,00301,0100,06/30/00 148741,S000000,00100,0200,12/11/00 148741,S200000,00100,0100,2629 DEL PRADO BOULEVARD 148741,S200000,00200,0100,CAPE CORAL 148741,S200000,00200,0200,FL 148741,S200000,00200,0300,33904- 148741,S200000,00300,0100,LEE 148741,S200000,00300,0300,U 148741,S200000,00400,0100,837 - REHAB & HC CTR OF CAPE CORAL 148741,S200000,00400,0200,105342 148741,S200000,00400,0300,12/01/85 148741,S200000,00400,0500,P 148741,S200000,01500,0100,N 148741,S200000,01600,0100,Y 148741,S200000,01700,0100,N 148741,S200000,01800,0100,N 148741,S200000,02200,0100,Y 148741,S200000,02800,0100,N 148741,S200000,02900,0100,N 148741,S200000,03000,0100,N 148741,S200000,03100,0100,N 148741,S200000,03200,0100,N 148741,S200000,04100,0100,N 148741,S200000,04200,0100,N 148741,S200000,04300,0100,N 148741,S200000,04600,0100,N 148741,S200000,04700,0100,N 148741,S200000,04700,0200,N 148741,S200000,04900,0100,N 148741,S200000,05000,0100,N 148741,S200000,05100,0100,N 148741,S200000,05200,0100,N 148742,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148742,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148742,A000000,00300,0000,0300EMPLOYEE BENEFITS 148742,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148742,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148742,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148742,A000000,00700,0000,0700HOUSEKEEPING 148742,A000000,00800,0000,0800DIETARY 148742,A000000,00900,0000,0900NURSING ADMINISTRATION 148742,A000000,00901,0000,0901OTHER NURSING 148742,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148742,A000000,01100,0000,1100PHARMACY 148742,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148742,A000000,01300,0000,1300SOCIAL SERVICE 148742,A000000,01301,0000,1301ACTIVITIES 148742,A000000,01600,0000,1600SKILLED NURSING FACILITY 148742,A000000,01800,0000,1800NURSING FACILITY 148742,A000000,02100,0000,2100RADIOLOGY 148742,A000000,02200,0000,2200LABORATORY 148742,A000000,02300,0000,2300INTRAVENOUS THERAPY 148742,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148742,A000000,02500,0000,2500PHYSICAL THERAPY 148742,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148742,A000000,02700,0000,2700SPEECH PATHOLOGY 148742,A000000,02800,0000,2800ELECTROCARDIOLOGY 148742,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148742,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148742,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148742,A000000,03301,0000,3051NUTRITIONAL THERAPY 148742,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148742,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148742,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148742,A000000,04800,0000,4800AMBULANCE 148742,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148742,A000000,05300,0000,5300INTEREST EXPENSE 148742,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148742,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148742,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148742,A000000,06200,0000,6200PATIENTS LAUNDRY 148742,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148742,A000000,06301,0000,6151DAY CARE 148742,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148742,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148742,A81000A,00100,0100,Y 148742,A81000B,00100,0300,HOME OFFICE COSTS 148742,A81000B,00200,0300,LIABILITY INSURANCE 148742,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148742,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148742,A81000B,00500,0300,VC PHARMACY - ADMIN 148742,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148742,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148742,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148742,A81000B,00900,0300,VC PHARMACY - DIETARY 148742,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148742,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148742,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148742,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148742,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148742,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148742,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148742,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148742,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148742,A81000B,01900,0300,VC PHARMACY - LAB 148742,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148742,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148742,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148742,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148742,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148742,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148742,A81000B,02600,0300,VC PHARMACY - LEGEND 148742,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148742,A81000B,02800,0300,VC PHARMACY - NUTR THER 148742,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148742,A81000C,00100,0100,B 148742,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148742,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148742,A81000C,00100,0600,LIABILITY INSURANCE 148742,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148742,A81000C,00200,0600,PHARMACY 148742,A81000C,00300,0400,VENCARE RESPIRATORY 148742,A81000C,00300,0600,RESPIRATORY THERAPY 148742,A81000C,00400,0400,THERAPY SERVICES 148742,A81000C,00500,0400,VENCARE REHAB SERVICES 148742,A81000C,00500,0600,REHAB 148742,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148742,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148742,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148742,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148742,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148742,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148742,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148742,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148742,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148742,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148742,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148742,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148742,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148742,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148742,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148742,E10A180,00350,0100,06/30/00 148742,S000000,00100,0200,12/11/00 148742,S200000,00100,0100,7045 EVERGREEN WOODS TRAIL 148742,S200000,00200,0100,SPRINGHILL 148742,S200000,00200,0200,FL 148742,S200000,00200,0300,34608- 148742,S200000,00300,0100,HERNANDO 148742,S200000,00300,0300,U 148742,S200000,00400,0100,637-EVERGREEN WOODS HLTH & REHAB CTR 148742,S200000,00400,0200,105397 148742,S200000,00400,0300,07/01/95 148742,S200000,00400,0500,P 148742,S200000,01500,0100,N 148742,S200000,01600,0100,Y 148742,S200000,01700,0100,N 148742,S200000,01800,0100,N 148742,S200000,02200,0100,Y 148742,S200000,02800,0100,N 148742,S200000,02900,0100,N 148742,S200000,03000,0100,N 148742,S200000,03100,0100,N 148742,S200000,03200,0100,N 148742,S200000,04100,0100,N 148742,S200000,04200,0100,N 148742,S200000,04300,0100,N 148742,S200000,04600,0100,N 148742,S200000,04700,0100,N 148742,S200000,04700,0200,N 148742,S200000,04900,0100,N 148742,S200000,05000,0100,N 148742,S200000,05100,0100,N 148742,S200000,05200,0100,N 148744,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148744,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148744,A000000,00300,0000,0300EMPLOYEE BENEFITS 148744,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148744,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148744,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148744,A000000,00700,0000,0700HOUSEKEEPING 148744,A000000,00800,0000,0800DIETARY 148744,A000000,00900,0000,0900NURSING ADMINISTRATION 148744,A000000,00901,0000,0901OTHER NURSING 148744,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148744,A000000,01100,0000,1100PHARMACY 148744,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148744,A000000,01300,0000,1300SOCIAL SERVICE 148744,A000000,01301,0000,1301ACTIVITIES 148744,A000000,01600,0000,1600SKILLED NURSING FACILITY 148744,A000000,01800,0000,1800NURSING FACILITY 148744,A000000,02100,0000,2100RADIOLOGY 148744,A000000,02200,0000,2200LABORATORY 148744,A000000,02300,0000,2300INTRAVENOUS THERAPY 148744,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148744,A000000,02500,0000,2500PHYSICAL THERAPY 148744,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148744,A000000,02700,0000,2700SPEECH PATHOLOGY 148744,A000000,02800,0000,2800ELECTROCARDIOLOGY 148744,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148744,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148744,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148744,A000000,03301,0000,3051NUTRITIONAL THERAPY 148744,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148744,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148744,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148744,A000000,04800,0000,4800AMBULANCE 148744,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148744,A000000,05300,0000,5300INTEREST EXPENSE 148744,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148744,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148744,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148744,A000000,06200,0000,6200PATIENTS LAUNDRY 148744,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148744,A000000,06301,0000,6151DAY CARE 148744,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148744,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148744,A81000A,00100,0100,Y 148744,A81000B,00100,0300,HOME OFFICE COSTS 148744,A81000B,00200,0300,LIABILITY INSURANCE 148744,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148744,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148744,A81000B,00500,0300,VC PHARMACY - ADMIN 148744,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148744,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148744,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148744,A81000B,00900,0300,VC PHARMACY - DIETARY 148744,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148744,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148744,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148744,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148744,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148744,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148744,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148744,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148744,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148744,A81000B,01900,0300,VC PHARMACY - LAB 148744,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148744,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148744,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148744,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148744,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148744,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148744,A81000B,02600,0300,VC PHARMACY - LEGEND 148744,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148744,A81000B,02800,0300,VC PHARMACY - NUTR THER 148744,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148744,A81000C,00100,0100,B 148744,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148744,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148744,A81000C,00100,0600,LIABILITY INSURANCE 148744,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148744,A81000C,00200,0600,PHARMACY 148744,A81000C,00300,0400,VENCARE RESPIRATORY 148744,A81000C,00300,0600,RESPIRATORY THERAPY 148744,A81000C,00400,0400,THERAPY SERVICES 148744,A81000C,00500,0400,VENCARE REHAB SERVICES 148744,A81000C,00500,0600,REHAB 148744,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148744,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148744,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148744,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148744,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148744,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148744,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148744,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148744,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148744,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148744,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148744,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148744,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148744,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148744,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148744,E10A180,00301,0100,06/30/00 148744,S000000,00100,0200,12/11/00 148744,S200000,00100,0100,1705 JESS PARRISH COURT 148744,S200000,00200,0100,TITUSVILLE 148744,S200000,00200,0200,FL 148744,S200000,00200,0300,32796- 148744,S200000,00300,0100,BREVARD 148744,S200000,00300,0300,U 148744,S200000,00400,0100,125-TITUSVILLE REHAB & NURSING CTR 148744,S200000,00400,0200,105448 148744,S200000,00400,0300,01/01/84 148744,S200000,00400,0500,P 148744,S200000,01500,0100,Y 148744,S200000,01600,0100,N 148744,S200000,01700,0100,N 148744,S200000,01800,0100,N 148744,S200000,02200,0100,Y 148744,S200000,02800,0100,N 148744,S200000,02900,0100,N 148744,S200000,03000,0100,N 148744,S200000,03100,0100,N 148744,S200000,03200,0100,N 148744,S200000,04100,0100,N 148744,S200000,04200,0100,N 148744,S200000,04300,0100,N 148744,S200000,04600,0100,N 148744,S200000,04700,0100,N 148744,S200000,04700,0200,N 148744,S200000,04900,0100,N 148744,S200000,05000,0100,N 148744,S200000,05100,0100,N 148744,S200000,05200,0100,N 148745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148745,A000000,00300,0000,0300EMPLOYEE BENEFITS 148745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148745,A000000,00700,0000,0700HOUSEKEEPING 148745,A000000,00800,0000,0800DIETARY 148745,A000000,00900,0000,0900NURSING ADMINISTRATION 148745,A000000,00901,0000,0901OTHER NURSING 148745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148745,A000000,01100,0000,1100PHARMACY 148745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148745,A000000,01300,0000,1300SOCIAL SERVICE 148745,A000000,01301,0000,1301ACTIVITIES 148745,A000000,01600,0000,1600SKILLED NURSING FACILITY 148745,A000000,01800,0000,1800NURSING FACILITY 148745,A000000,02100,0000,2100RADIOLOGY 148745,A000000,02200,0000,2200LABORATORY 148745,A000000,02300,0000,2300INTRAVENOUS THERAPY 148745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148745,A000000,02500,0000,2500PHYSICAL THERAPY 148745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148745,A000000,02700,0000,2700SPEECH PATHOLOGY 148745,A000000,02800,0000,2800ELECTROCARDIOLOGY 148745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148745,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148745,A000000,03301,0000,3051NUTRITIONAL THERAPY 148745,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148745,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148745,A000000,04800,0000,4800AMBULANCE 148745,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148745,A000000,05300,0000,5300INTEREST EXPENSE 148745,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148745,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148745,A000000,06200,0000,6200PATIENTS LAUNDRY 148745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148745,A000000,06301,0000,6151DAY CARE 148745,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148745,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148745,A81000A,00100,0100,Y 148745,A81000B,00100,0300,HOME OFFICE COSTS 148745,A81000B,00200,0300,LIABILITY INSURANCE 148745,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148745,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148745,A81000B,00500,0300,VC PHARMACY - ADMIN 148745,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148745,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148745,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148745,A81000B,00900,0300,VC PHARMACY - DIETARY 148745,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148745,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148745,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148745,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148745,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148745,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148745,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148745,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148745,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148745,A81000B,01900,0300,VC PHARMACY - LAB 148745,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148745,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148745,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148745,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148745,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148745,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148745,A81000B,02600,0300,VC PHARMACY - LEGEND 148745,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148745,A81000B,02800,0300,VC PHARMACY - NUTR THER 148745,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148745,A81000C,00100,0100,B 148745,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148745,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148745,A81000C,00100,0600,LIABILITY INSURANCE 148745,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148745,A81000C,00200,0600,PHARMACY 148745,A81000C,00300,0400,VENCARE RESPIRATORY 148745,A81000C,00300,0600,RESPIRATORY THERAPY 148745,A81000C,00400,0400,THERAPY SERVICES 148745,A81000C,00500,0400,VENCARE REHAB SERVICES 148745,A81000C,00500,0600,REHAB 148745,A81000C,00600,0400,VENCARE MOBILE DIAGNOSTIC 148745,A81000C,00600,0600,RADIOLOGY 148745,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148745,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148745,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148745,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148745,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148745,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148745,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148745,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148745,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148745,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148745,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148745,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148745,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148745,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148745,E10A180,00301,0100,06/30/00 148745,S000000,00100,0200,12/11/00 148745,S200000,00100,0100,4201 31ST STREET SOUTH 148745,S200000,00200,0100,ST. PETERSBURG 148745,S200000,00200,0200,FL 148745,S200000,00200,0300,33712- 148745,S200000,00300,0100,PINELLAS 148745,S200000,00300,0300,U 148745,S200000,00400,0100,245-BAY POINTE NURSING PAVILION 148745,S200000,00400,0200,105477 148745,S200000,00400,0300,11/08/84 148745,S200000,00400,0500,P 148745,S200000,01500,0100,N 148745,S200000,01600,0100,Y 148745,S200000,01700,0100,N 148745,S200000,01800,0100,N 148745,S200000,02200,0100,Y 148745,S200000,02800,0100,N 148745,S200000,02900,0100,N 148745,S200000,03000,0100,N 148745,S200000,03100,0100,N 148745,S200000,03200,0100,N 148745,S200000,04100,0100,N 148745,S200000,04200,0100,N 148745,S200000,04300,0100,N 148745,S200000,04600,0100,N 148745,S200000,04700,0100,N 148745,S200000,04700,0200,N 148745,S200000,04900,0100,N 148745,S200000,05000,0100,N 148745,S200000,05100,0100,N 148745,S200000,05200,0100,N 148827,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148827,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148827,A000000,00300,0000,0300EMPLOYEE BENEFITS 148827,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148827,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148827,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148827,A000000,00700,0000,0700HOUSEKEEPING 148827,A000000,00800,0000,0800DIETARY 148827,A000000,00900,0000,0900NURSING ADMINISTRATION 148827,A000000,00901,0000,0901OTHER NURSING 148827,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148827,A000000,01100,0000,1100PHARMACY 148827,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148827,A000000,01300,0000,1300SOCIAL SERVICE 148827,A000000,01301,0000,1301ACTIVITIES 148827,A000000,01600,0000,1600SKILLED NURSING FACILITY 148827,A000000,01800,0000,1800NURSING FACILITY 148827,A000000,02100,0000,2100RADIOLOGY 148827,A000000,02200,0000,2200LABORATORY 148827,A000000,02300,0000,2300INTRAVENOUS THERAPY 148827,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148827,A000000,02500,0000,2500PHYSICAL THERAPY 148827,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148827,A000000,02700,0000,2700SPEECH PATHOLOGY 148827,A000000,02800,0000,2800ELECTROCARDIOLOGY 148827,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148827,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148827,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148827,A000000,03301,0000,3051NUTRITIONAL THERAPY 148827,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148827,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148827,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148827,A000000,04800,0000,4800AMBULANCE 148827,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148827,A000000,05300,0000,5300INTEREST EXPENSE 148827,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148827,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148827,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148827,A000000,06200,0000,6200PATIENTS LAUNDRY 148827,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148827,A000000,06301,0000,6151DAY CARE 148827,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148827,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148827,A81000A,00100,0100,Y 148827,A81000B,00100,0300,HOME OFFICE COSTS 148827,A81000B,00200,0300,LIABILITY INSURANCE 148827,A81000B,00900,0300,VC PHARMACY - DIETARY 148827,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 148827,A81000B,01100,0300,VENCARE REHAB - PHYS THER 148827,A81000B,01200,0300,VENCARE REHAB - OCCP THER 148827,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 148827,A81000B,01400,0300,VC PHARMACY - LEGEND 148827,A81000C,00100,0100,B 148827,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148827,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148827,A81000C,00100,0600,LIABILITY INSURANCE 148827,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148827,A81000C,00200,0600,PHARMACY 148827,A81000C,00300,0400,VENCARE RESPIRATORY 148827,A81000C,00300,0600,RESPIRATORY THERAPY 148827,A81000C,00400,0400,THERAPY SERVICES 148827,A81000C,00500,0400,VENCARE REHAB SERVICES 148827,A81000C,00500,0600,REHAB 148827,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148827,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148827,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148827,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148827,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148827,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148827,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148827,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148827,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148827,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148827,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148827,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148827,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148827,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148827,E10A180,00301,0100,06/30/00 148827,E10A180,00350,0100,11/30/00 148827,S000000,00100,0200,12/11/00 148827,S200000,00100,0100,LYME ROAD 148827,S200000,00200,0100,HANOVER 148827,S200000,00200,0200,NH 148827,S200000,00200,0300,03755- 148827,S200000,00300,0100,GRAFTON 148827,S200000,00300,0200,30 148827,S200000,00300,0300,R 148827,S200000,00400,0100,#593 - HANOVER TERRACE HEALTHCARE 148827,S200000,00400,0200,305020 148827,S200000,00400,0300,07/01/76 148827,S200000,00400,0500,P 148827,S200000,01500,0100,Y 148827,S200000,01600,0100,N 148827,S200000,01700,0100,N 148827,S200000,01800,0100,N 148827,S200000,02200,0100,Y 148827,S200000,02800,0100,N 148827,S200000,02900,0100,N 148827,S200000,03000,0100,N 148827,S200000,03100,0100,N 148827,S200000,03200,0100,N 148827,S200000,04100,0100,N 148827,S200000,04200,0100,N 148827,S200000,04300,0100,N 148827,S200000,04600,0100,N 148827,S200000,04700,0100,N 148827,S200000,04700,0200,N 148827,S200000,04900,0100,N 148827,S200000,05000,0100,N 148827,S200000,05100,0100,N 148827,S200000,05200,0100,N 148848,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 148848,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 148848,A000000,00300,0000,0300EMPLOYEE BENEFITS 148848,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 148848,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 148848,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 148848,A000000,00700,0000,0700HOUSEKEEPING 148848,A000000,00800,0000,0800DIETARY 148848,A000000,00900,0000,0900NURSING ADMINISTRATION 148848,A000000,00901,0000,0901OTHER NURSING 148848,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 148848,A000000,01100,0000,1100PHARMACY 148848,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 148848,A000000,01300,0000,1300SOCIAL SERVICE 148848,A000000,01301,0000,1301ACTIVITIES 148848,A000000,01600,0000,1600SKILLED NURSING FACILITY 148848,A000000,01800,0000,1800NURSING FACILITY 148848,A000000,02100,0000,2100RADIOLOGY 148848,A000000,02200,0000,2200LABORATORY 148848,A000000,02300,0000,2300INTRAVENOUS THERAPY 148848,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 148848,A000000,02500,0000,2500PHYSICAL THERAPY 148848,A000000,02600,0000,2600OCCUPATIONAL THERAPY 148848,A000000,02700,0000,2700SPEECH PATHOLOGY 148848,A000000,02800,0000,2800ELECTROCARDIOLOGY 148848,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 148848,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 148848,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 148848,A000000,03301,0000,3051NUTRITIONAL THERAPY 148848,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 148848,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 148848,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 148848,A000000,04800,0000,4800AMBULANCE 148848,A000000,05100,0000,4750OTHER REIMBURSABLE COST 148848,A000000,05300,0000,5300INTEREST EXPENSE 148848,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 148848,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 148848,A000000,05900,0000,5900BARBER & BEAUTY SHOP 148848,A000000,06200,0000,6200PATIENTS LAUNDRY 148848,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 148848,A000000,06301,0000,6151DAY CARE 148848,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 148848,A000000,06303,0000,6153DISTRICT OFFICE SPACE 148848,A81000A,00100,0100,Y 148848,A81000B,00100,0300,HOME OFFICE COSTS 148848,A81000B,00200,0300,LIABILITY INSURANCE 148848,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 148848,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 148848,A81000B,00500,0300,VC PHARMACY - ADMIN 148848,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 148848,A81000B,00700,0300,VC PHARMACY - LAUNDRY 148848,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 148848,A81000B,00900,0300,VC PHARMACY - DIETARY 148848,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 148848,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 148848,A81000B,01200,0300,VC PHARMACY - NONLEGEND 148848,A81000B,01300,0300,VC PHARMACY - MED RECORDS 148848,A81000B,01400,0300,VC PHARMACY - SOC SVCS 148848,A81000B,01500,0300,VC PHARMACY - ACTIVITY 148848,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 148848,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 148848,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 148848,A81000B,01900,0300,VC PHARMACY - LAB 148848,A81000B,02000,0300,VC PHARMACY - IV THERAPY 148848,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 148848,A81000B,02200,0300,VENCARE REHAB - PHYS THER 148848,A81000B,02300,0300,VENCARE REHAB - OCCP THER 148848,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 148848,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 148848,A81000B,02600,0300,VC PHARMACY - LEGEND 148848,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 148848,A81000B,02800,0300,VC PHARMACY - NUTR THER 148848,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 148848,A81000C,00100,0100,B 148848,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 148848,A81000C,00100,0400,CORNERSTONE INSURANCE CO 148848,A81000C,00100,0600,LIABILITY INSURANCE 148848,A81000C,00200,0400,VENCARE PHARMACY SERVICES 148848,A81000C,00200,0600,PHARMACY 148848,A81000C,00300,0400,VENCARE RESPIRATORY 148848,A81000C,00300,0600,RESPIRATORY THERAPY 148848,A81000C,00400,0400,THERAPY SERVICES 148848,A81000C,00500,0400,VENCARE REHAB SERVICES 148848,A81000C,00500,0600,REHAB 148848,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 148848,A81000C,00600,0600,PORTABLE X-RAY 148848,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 148848,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 148848,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 148848,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 148848,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 148848,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 148848,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 148848,B100000,00000,0800,0850PATIENT DAYS :DIETARY 148848,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 148848,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 148848,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 148848,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 148848,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 148848,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 148848,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 148848,E10A180,00302,0100,11/30/00 148848,S000000,00100,0200,12/11/00 148848,S200000,00100,0100,6025 PRIMACY PARKWAY 148848,S200000,00200,0100,MEMPHIS 148848,S200000,00200,0200,TN 148848,S200000,00200,0300,38119- 148848,S200000,00300,0100,SHELBY 148848,S200000,00300,0300,U 148848,S200000,00400,0100,822 - PRIMACY HEALTHCARE & REHAB CTR 148848,S200000,00400,0200,445140 148848,S200000,00400,0300,05/18/81 148848,S200000,00400,0500,P 148848,S200000,01500,0100,Y 148848,S200000,01600,0100,N 148848,S200000,01700,0100,N 148848,S200000,01800,0100,N 148848,S200000,02200,0100,Y 148848,S200000,02800,0100,N 148848,S200000,02900,0100,N 148848,S200000,03000,0100,N 148848,S200000,03100,0100,N 148848,S200000,03200,0100,N 148848,S200000,04100,0100,N 148848,S200000,04200,0100,N 148848,S200000,04300,0100,N 148848,S200000,04600,0100,N 148848,S200000,04700,0100,N 148848,S200000,04700,0200,N 148848,S200000,04900,0100,N 148848,S200000,05000,0100,N 148848,S200000,05100,0100,N 148848,S200000,05200,0100,N 149097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149097,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149097,A000000,00300,0000,0300EMPLOYEE BENEFITS 149097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149097,A000000,00700,0000,0700HOUSEKEEPING 149097,A000000,00800,0000,0800DIETARY 149097,A000000,00900,0000,0900NURSING ADMINISTRATION 149097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149097,A000000,01100,0000,1100PHARMACY 149097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149097,A000000,01300,0000,1300SOCIAL SERVICE 149097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149097,A000000,01600,0000,1600SKILLED NURSING FACILITY 149097,A000000,01810,0000,1810ICF/MR 149097,A000000,02100,0000,2100RADIOLOGY 149097,A000000,02200,0000,2200LABORATORY 149097,A000000,02300,0000,2300INTRAVENOUS THERAPY 149097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 149097,A000000,02500,0000,2500PHYSICAL THERAPY 149097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149097,A000000,02700,0000,2700SPEECH PATHOLOGY 149097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149097,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 149097,A000000,03550,0000,3550FQHC 149097,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 149097,A000000,05000,0000,5000CORF 149097,A000000,05010,0000,5010CMHC 149097,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149097,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149097,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149097,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 149097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 149097,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 149097,A81000A,00100,0100,Y 149097,A81000B,00100,0300,HOME OFFICE COSTS 149097,A81000B,00200,0300,HOME OFFICE COSTS 149097,A81000B,00300,0300,HOME OFFICE COSTS 149097,A81000C,00100,0100,A 149097,A81000C,00100,0200,DOUG WRIGHT SR 149097,A81000C,00100,0400,RIGHT CARE INC 149097,A81000C,00100,0600,MANAGEMENT 149097,B100000,00000,0100,0100SQUARE FEET 149097,B100000,00000,0200,0200SQUARE FEET 149097,B100000,00000,0300,0300GROSS SALARIES 149097,B100000,00000,0400,0400ACCUM COST 149097,B100000,00000,0500,0500SQUARE FEET 149097,B100000,00000,0600,0600PATIENT DAYS 149097,B100000,00000,0700,0700HOURS OF SERVICE 149097,B100000,00000,0800,0800MEALS SERVED 149097,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 149097,B100000,00000,1000,1000COSTED REQUISITIO 149097,B100000,00000,1100,1100PATIENT DAYS 149097,B100000,00000,1200,1200HOURS OF SERVICE 149097,B100000,00000,1300,1300HOURS OF SERVICE 149097,B100000,00000,1400,1400ASSIGNED TIME 149097,E10A180,00301,0100,10/13/99 149097,E10A180,00501,0100,08/02/00 149097,E10A180,00501,0300,08/02/00 149097,S000000,00100,0200,07/07/00 149097,S200000,00100,0100,6520 SUNSCOPE DRIVE 149097,S200000,00200,0100,OCEAN SPRINGS 149097,S200000,00200,0200,MS 149097,S200000,00200,0300,39564 149097,S200000,00300,0100,JACKSON 149097,S200000,00300,0200,0920 149097,S200000,00300,0300,U 149097,S200000,00400,0100,SUNPLEX SUB-ACUTE 149097,S200000,00400,0200,255244 149097,S200000,00400,0300,01/08/97 149097,S200000,00400,0500,P 149097,S200000,01500,0100,N 149097,S200000,01600,0100,Y 149097,S200000,01700,0100,N 149097,S200000,01800,0100,N 149097,S200000,02200,0100,N 149097,S200000,02800,0100,N 149097,S200000,02900,0100,N 149097,S200000,03000,0100,N 149097,S200000,03100,0100,N 149097,S200000,03200,0100,N 149097,S200000,03300,0100,N 149097,S200000,03300,0200,N 149097,S200000,04100,0100,N 149097,S200000,04200,0100,N 149097,S200000,04300,0100,N 149097,S200000,04600,0100,N 149097,S200000,04700,0100,N 149097,S200000,04900,0100,N 149097,S200000,05200,0100,N 149446,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149446,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 149446,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149446,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 149446,A000000,00300,0000,0300EMPLOYEE BENEFITS 149446,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149446,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149446,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149446,A000000,00700,0000,0700HOUSEKEEPING 149446,A000000,00800,0000,0800DIETARY 149446,A000000,00801,0000,0801CAFETERIA 149446,A000000,00900,0000,0900NURSING ADMINISTRATION 149446,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149446,A000000,01100,0000,1100PHARMACY 149446,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149446,A000000,01300,0000,1300SOCIAL SERVICE 149446,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149446,A000000,01500,0000,1350ACTIVITIES 149446,A000000,01600,0000,1600SKILLED NURSING FACILITY 149446,A000000,01800,0000,1800NURSING FACILITY 149446,A000000,01810,0000,1810ICF/MR 149446,A000000,02100,0000,2100RADIOLOGY 149446,A000000,02200,0000,2200LABORATORY 149446,A000000,02300,0000,2300INTRAVENOUS THERAPY 149446,A000000,02500,0000,2500PHYSICAL THERAPY 149446,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149446,A000000,02700,0000,2700SPEECH PATHOLOGY 149446,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149446,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149446,A000000,03300,0000,3050OTHER ANCILLARY 149446,A000000,03301,0000,3051OTHER ANCILLARY II 149446,A000000,03302,0000,3052OTHER ANCILLARY III 149446,A000000,03550,0000,3550FQHC 149446,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 149446,A000000,04801,0000,4801AMBULANCE 149446,A000000,04802,0000,4802AMBULANCE 149446,A000000,04803,0000,4803AMBULANCE 149446,A000000,05000,0000,5000CORF I 149446,A000000,05010,0000,5010CMHC I 149446,A000000,05020,0000,5020OPT I 149446,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149446,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149446,A000000,05100,0000,4750OTHER REIMBURSABLE COST 149446,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 149446,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 149446,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149446,A81000A,00100,0100,Y 149446,A81000B,00100,0300,INTEREST PAYMENTS 149446,A81000C,00100,0100,B 149446,A81000C,00100,0400,OMEGA 149446,A81000C,00100,0600,PARENT COMPANY 149446,B100000,00000,0100,0100(SQUARE FEET) 149446,B100000,00000,0101,0101(SQUARE FEET) 149446,B100000,00000,0200,0200(SQUARE FEET) 149446,B100000,00000,0201,0201(SQUARE FEET) 149446,B100000,00000,0300,0300(GROSS SALARIES) 149446,B100000,00000,0400,0400ACCUM COST 149446,B100000,00000,0500,0500(SQUARE FEET) 149446,B100000,00000,0600,0600(PATIENT DAYS) 149446,B100000,00000,0700,0700(SQUARE FEET) 149446,B100000,00000,0800,0800(MEALS SERVED) 149446,B100000,00000,0801,0801(MEALS SERVED) 149446,B100000,00000,0900,0900(NURSING SALARIES) 149446,B100000,00000,1000,1000(COSTED REQUIS.) 149446,B100000,00000,1100,1100(COSTED REQUIS.) 149446,B100000,00000,1200,1200(GROSS CHARGES) 149446,B100000,00000,1300,1300(PATIENT DAYS) 149446,B100000,00000,1400,1400(ASSIGNED TIME) 149446,B100000,00000,1500,1350(PATIENT DAYS) 149446,S000000,00100,0200,05/26/00 149446,S200000,00100,0100,161 FALMOUTH ROAD 149446,S200000,00200,0100,MASHPEE 149446,S200000,00200,0200,MA 149446,S200000,00200,0300,02649 149446,S200000,00300,0100,BARNSTABLE 149446,S200000,00300,0200,0743 149446,S200000,00300,0300,U 149446,S200000,00400,0100,COC - MASHPEE 149446,S200000,00400,0200,225689 149446,S200000,00400,0300,08/23/95 149446,S200000,00400,0500,P 149446,S200000,01500,0100,N 149446,S200000,01600,0100,Y 149446,S200000,01700,0100,N 149446,S200000,01800,0100,N 149446,S200000,02200,0100,N 149446,S200000,02800,0100,N 149446,S200000,02900,0100,N 149446,S200000,03000,0100,N 149446,S200000,03100,0100,N 149446,S200000,03200,0100,N 149446,S200000,03300,0100,N 149446,S200000,03300,0200,N 149446,S200000,04100,0100,N 149446,S200000,04200,0100,N 149446,S200000,04300,0100,N 149446,S200000,04600,0100,N 149446,S200000,04700,0100,N 149446,S200000,04900,0100,N 149447,S000000,00100,0200,07/27/00 149778,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149778,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149778,A000000,00300,0000,0300EMPLOYEE BENEFITS 149778,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149778,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149778,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149778,A000000,00700,0000,0700HOUSEKEEPING 149778,A000000,00800,0000,0800DIETARY 149778,A000000,00900,0000,0900NURSING ADMINISTRATION 149778,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149778,A000000,01100,0000,1100PHARMACY 149778,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149778,A000000,01300,0000,1300SOCIAL SERVICE 149778,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149778,A000000,01600,0000,1600SKILLED NURSING FACILITY 149778,A000000,01800,0000,1800NURSING FACILITY 149778,A000000,01810,0000,1810ICF/MR 149778,A000000,01900,0000,1900OTHER LONG TERM CARE 149778,A000000,02100,0000,2100RADIOLOGY 149778,A000000,02200,0000,2200LABORATORY 149778,A000000,02500,0000,2500PHYSICAL THERAPY 149778,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149778,A000000,02700,0000,2700SPEECH PATHOLOGY 149778,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149778,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149778,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 149778,A000000,03550,0000,3550FQHC 149778,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 149778,A000000,05000,0000,5000CORF 149778,A000000,05010,0000,5010CMHC 149778,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149778,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149778,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149778,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 149778,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 149778,A81000A,00100,0100,Y 149778,A81000B,00100,0300,HOME OFFICE COSTS 149778,A81000B,00200,0300,HOME OFFICE COSTS 149778,A81000B,00300,0300,HOME OFFICE COSTS 149778,A81000C,00100,0100,A 149778,A81000C,00100,0200,DOUG WRIGHT 149778,A81000C,00100,0400,RIGHT CARE INC 149778,A81000C,00100,0600,MANAGEMENT 149778,B100000,00000,0100,0100SQUARE FEET 149778,B100000,00000,0200,0200SQUARE FEET 149778,B100000,00000,0300,0300GROSS SALARIES 149778,B100000,00000,0400,0400ACCUM COST 149778,B100000,00000,0500,0500SQUARE FEET 149778,B100000,00000,0600,0600PATIENT DAYS 149778,B100000,00000,0700,0700SQUARE FEET 149778,B100000,00000,0800,0800MEALS SERVED 149778,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 149778,B100000,00000,1000,1000COSTED REQUISITIO 149778,B100000,00000,1100,1100COSTED REQUIS 149778,B100000,00000,1200,1200SQUARE FEET 149778,B100000,00000,1300,1300PATIENT DAYS 149778,B100000,00000,1400,1400ASSIGNED TIME 149778,E10A180,00501,0100,08/23/00 149778,E10A180,00550,0300,08/23/00 149778,S000000,00100,0200,06/30/00 149778,S200000,00100,0100,1140 WEST QUITMAN STREET 149778,S200000,00200,0100,IUKA 149778,S200000,00200,0200,MS 149778,S200000,00200,0300,38852 149778,S200000,00300,0100,TISHOMINGO 149778,S200000,00300,0200,0025 149778,S200000,00300,0300,R 149778,S200000,00400,0100,TISHOMINGO LIVING CENTER 149778,S200000,00400,0200,255127 149778,S200000,00400,0300,12/02/97 149778,S200000,00400,0500,P 149778,S200000,01500,0100,N 149778,S200000,01600,0100,Y 149778,S200000,01700,0100,N 149778,S200000,01800,0100,N 149778,S200000,02200,0100,N 149778,S200000,02800,0100,N 149778,S200000,02900,0100,N 149778,S200000,03000,0100,N 149778,S200000,03100,0100,N 149778,S200000,03200,0100,N 149778,S200000,03300,0100,N 149778,S200000,03300,0200,N 149778,S200000,04100,0100,N 149778,S200000,04200,0100,N 149778,S200000,04300,0100,N 149778,S200000,04600,0100,N 149778,S200000,04700,0100,N 149778,S200000,04900,0100,N 149782,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149782,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 149782,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149782,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 149782,A000000,00300,0000,0300EMPLOYEE BENEFITS 149782,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149782,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149782,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149782,A000000,00700,0000,0700HOUSEKEEPING 149782,A000000,00800,0000,0800DIETARY 149782,A000000,00801,0000,0801CAFETERIA 149782,A000000,00900,0000,0900NURSING ADMINISTRATION 149782,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149782,A000000,01100,0000,1100PHARMACY 149782,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149782,A000000,01300,0000,1300SOCIAL SERVICE 149782,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149782,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 149782,A000000,01600,0000,1600SKILLED NURSING FACILITY 149782,A000000,01800,0000,1800NURSING FACILITY 149782,A000000,01810,0000,1810ICF/MR 149782,A000000,02100,0000,2100RADIOLOGY 149782,A000000,02200,0000,2200LABORATORY 149782,A000000,02500,0000,2500PHYSICAL THERAPY 149782,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149782,A000000,02700,0000,2700SPEECH PATHOLOGY 149782,A000000,03300,0000,3050OTHER ANCILLARY 149782,A000000,03301,0000,3051OTHER ANCILLARY II 149782,A000000,03302,0000,3052OTHER ANCILLARY III 149782,A000000,03550,0000,3550FQHC 149782,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 149782,A000000,05000,0000,5000CORF I 149782,A000000,05010,0000,5010CMHC I 149782,A000000,05020,0000,5020OPT I 149782,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149782,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149782,A000000,05100,0000,4750OTHER REIMBURSABLE COST 149782,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 149782,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 149782,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149782,A81000A,00100,0100,Y 149782,A81000B,00900,0300,HOME OFFICE COSTS 149782,A81000C,01000,0100,D 149782,A81000C,01000,0200,KATHY WILCOX 149782,A81000C,01000,0400,WILCOX OFFICES 149782,B100000,00000,0100,0100(SQUARE FEET) 149782,B100000,00000,0101,0101(SQUARE FEET) 149782,B100000,00000,0200,0200(SQUARE FEET) 149782,B100000,00000,0201,0201(SQUARE FEET) 149782,B100000,00000,0300,0300(GROSS SALARIES) 149782,B100000,00000,0400,0400ACCUM COST 149782,B100000,00000,0500,0500(SQUARE FEET) 149782,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 149782,B100000,00000,0700,0700(SQUARE FEET) 149782,B100000,00000,0800,0800(MEALS SERVED) 149782,B100000,00000,0801,0801(MEALS SERVED) 149782,B100000,00000,0900,0900(PATIENT DAYS) 149782,B100000,00000,1000,1000(COSTED REQUIS.) 149782,B100000,00000,1100,1100(COSTED REQUIS.) 149782,B100000,00000,1200,1200(GROSS CHARGES) 149782,B100000,00000,1300,1300(TIME SPENT) 149782,B100000,00000,1400,1400(ASSIGNED TIME) 149782,B100000,00000,1500,1350(PATIENT DAYS) 149782,S000000,00100,0200,05/14/02 149782,S200000,00100,0100,HWY 5 NORTH 149782,S200000,00100,0300,8132 149782,S200000,00200,0100,CAMDENTON 149782,S200000,00200,0200,MO 149782,S200000,00200,0300,65020 149782,S200000,00300,0100,CAMDEN 149782,S200000,00300,0200,0026 149782,S200000,00300,0300,R 149782,S200000,00400,0100,CAMDENTON WINDOR ESTATES 149782,S200000,00400,0200,265091 149782,S200000,00400,0300,07/01/66 149782,S200000,00400,0500,P 149782,S200000,01500,0100,N 149782,S200000,01600,0100,Y 149782,S200000,01700,0100,N 149782,S200000,01800,0100,N 149782,S200000,02200,0100,N 149782,S200000,02800,0100,N 149782,S200000,02900,0100,N 149782,S200000,03000,0100,N 149782,S200000,03100,0100,N 149782,S200000,03200,0100,N 149782,S200000,03300,0100,N 149782,S200000,03300,0200,N 149782,S200000,04100,0100,N 149782,S200000,04200,0100,N 149782,S200000,04300,0100,N 149782,S200000,04700,0100,N 149966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149966,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149966,A000000,00300,0000,0300EMPLOYEE BENEFITS 149966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149966,A000000,00700,0000,0700HOUSEKEEPING 149966,A000000,00800,0000,0800DIETARY 149966,A000000,00900,0000,0900NURSING ADMINISTRATION 149966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149966,A000000,01100,0000,1100PHARMACY 149966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149966,A000000,01300,0000,1300SOCIAL SERVICE 149966,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149966,A000000,01600,0000,1600SKILLED NURSING FACILITY 149966,A000000,01800,0000,1800NURSING FACILITY 149966,A000000,01810,0000,1810ICF/MR 149966,A000000,02200,0000,2200LABORATORY 149966,A000000,02500,0000,2500PHYSICAL THERAPY 149966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149966,A000000,02700,0000,2700SPEECH PATHOLOGY 149966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149966,A000000,03200,0000,3200SUPPORT SURFACES 149966,A000000,03550,0000,3550FQHC 149966,A000000,05000,0000,5000CORF 149966,A000000,05010,0000,5010CMHC 149966,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149966,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149966,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 149966,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149966,A81000A,00100,0100,Y 149966,A81000B,00100,0300,RENT EXPENSE 149966,A81000B,00200,0300,LEGAL EXPENSE 149966,A81000B,00300,0300,CONSULTING EXPENSE 149966,A81000C,00100,0100,B 149966,A81000C,00100,0400,PHILTEX HOLDINGS INC 149966,A81000C,00100,0600,REAL ESTATE 149966,A81000C,00200,0100,B 149966,A81000C,00200,0400,EHMANN VAN DENBERGH & TR 149966,A81000C,00200,0600,LAW FIRM 149966,A81000C,00300,0100,B 149966,A81000C,00300,0400,ZA CONSULTING LLC 149966,A81000C,00300,0600,HEALTHCARE CONSULTING 149966,B100000,00000,0100,0100SQUARE FEET 149966,B100000,00000,0200,0200SQUARE FEET 149966,B100000,00000,0300,0300GROSS SALARIES 149966,B100000,00000,0400,0400ACCUM. COST 149966,B100000,00000,0500,0500SQUARE FEET 149966,B100000,00000,0600,0600INPATIENT DAYS 149966,B100000,00000,0700,0700SQUARE FEET 149966,B100000,00000,0800,0800INPATIENT DAYS 149966,B100000,00000,0900,0900INPATIENT DAYS 149966,B100000,00000,1000,1000COSTED REQUIS. 149966,B100000,00000,1100,1100COSTED REQUIS. 149966,B100000,00000,1200,1200INPATIENT DAYS 149966,B100000,00000,1300,1300INPATIENT DAYS 149966,B100000,00000,1400,1400ASSIGNED TIME 149966,S000000,00100,0200,06/01/00 149966,S200000,00100,0100,509 SOUTH GROVE STREET 149966,S200000,00200,0100,MARSHALL 149966,S200000,00200,0200,TX 149966,S200000,00200,0300,75670 149966,S200000,00300,0100,HARRISON 149966,S200000,00400,0100,COLONIAL PARK NURSING HOME 149966,S200000,00400,0200,455598 149966,S200000,00400,0300,08/04/98 149966,S200000,00400,0500,P 149966,S200000,01500,0100,N 149966,S200000,01600,0100,Y 149966,S200000,01700,0100,N 149966,S200000,01800,0100,N 149966,S200000,02200,0100,N 149966,S200000,02800,0100,N 149966,S200000,02900,0100,N 149966,S200000,03000,0100,N 149966,S200000,03100,0100,N 149966,S200000,03200,0100,N 149966,S200000,03300,0100,N 149966,S200000,03300,0200,N 149966,S200000,04100,0100,N 149966,S200000,04200,0100,N 149966,S200000,04300,0100,N 149966,S200000,04600,0100,N 149966,S200000,04700,0100,N 149966,S200000,04700,0200,N 149966,S200000,04900,0100,N 149967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149967,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149967,A000000,00300,0000,0300EMPLOYEE BENEFITS 149967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149967,A000000,00700,0000,0700HOUSEKEEPING 149967,A000000,00800,0000,0800DIETARY 149967,A000000,00900,0000,0900NURSING ADMINISTRATION 149967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149967,A000000,01100,0000,1100PHARMACY 149967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149967,A000000,01300,0000,1300SOCIAL SERVICE 149967,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149967,A000000,01600,0000,1600SKILLED NURSING FACILITY 149967,A000000,01800,0000,1800NURSING FACILITY 149967,A000000,01810,0000,1810ICF/MR 149967,A000000,02200,0000,2200LABORATORY 149967,A000000,02500,0000,2500PHYSICAL THERAPY 149967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149967,A000000,02700,0000,2700SPEECH PATHOLOGY 149967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149967,A000000,03550,0000,3550FQHC 149967,A000000,05000,0000,5000CORF 149967,A000000,05010,0000,5010CMHC 149967,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149967,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149967,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149967,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149967,A81000A,00100,0100,Y 149967,A81000B,00100,0300,RENT EXPENSE 149967,A81000B,00200,0300,LEGAL EXPENSES 149967,A81000B,00300,0300,CONSULTING EXPENSES 149967,A81000C,00100,0100,B 149967,A81000C,00100,0400,PHILTEX HOLDING INC 149967,A81000C,00100,0600,REAL ESTATE HOLDING CO. 149967,A81000C,00200,0100,B 149967,A81000C,00200,0400,EHMANN VAN DENBERGH & TR 149967,A81000C,00200,0600,LAW FIRM 149967,A81000C,00300,0100,B 149967,A81000C,00300,0400,ZA CONSULTING LLC 149967,A81000C,00300,0600,HEALTHCARE CONSULTING 149967,B100000,00000,0100,0100SQUARE FEET 149967,B100000,00000,0200,0200SQUARE FEET 149967,B100000,00000,0300,0300GROSS SALARIES 149967,B100000,00000,0400,0400ACCUM. COST 149967,B100000,00000,0500,0500SQUARE FEET 149967,B100000,00000,0600,0600INPATIENT DAYS 149967,B100000,00000,0700,0700SQUARE FEET 149967,B100000,00000,0800,0800INPATIENT DAYS 149967,B100000,00000,0900,0900INPATIENT DAYS 149967,B100000,00000,1000,1000COSTED REQUIS. 149967,B100000,00000,1100,1100COSTED REQUIS. 149967,B100000,00000,1200,1200INPATIENT DAYS 149967,B100000,00000,1300,1300INPATIENT DAYS 149967,B100000,00000,1400,1400ASSIGNED TIME 149967,S000000,00100,0200,06/01/00 149967,S200000,00100,0100,207 W MERRITT ST 149967,S200000,00200,0100,MARSHALL 149967,S200000,00200,0200,TX 149967,S200000,00200,0300,75670 149967,S200000,00300,0100,HARRISON 149967,S200000,00400,0100,MERRITT PLAZA NURSING HOME 149967,S200000,00400,0200,455879 149967,S200000,00400,0300,04/26/90 149967,S200000,00400,0500,P 149967,S200000,01500,0100,N 149967,S200000,01600,0100,Y 149967,S200000,01700,0100,N 149967,S200000,01800,0100,N 149967,S200000,02200,0100,N 149967,S200000,02800,0100,N 149967,S200000,02900,0100,N 149967,S200000,03000,0100,N 149967,S200000,03100,0100,N 149967,S200000,03200,0100,N 149967,S200000,03300,0100,N 149967,S200000,03300,0200,N 149967,S200000,04100,0100,N 149967,S200000,04200,0100,N 149967,S200000,04300,0100,N 149967,S200000,04600,0100,N 149967,S200000,04700,0100,N 149967,S200000,04700,0200,N 149967,S200000,04900,0100,N 149968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149968,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149968,A000000,00300,0000,0300EMPLOYEE BENEFITS 149968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149968,A000000,00700,0000,0700HOUSEKEEPING 149968,A000000,00800,0000,0800DIETARY 149968,A000000,00900,0000,0900NURSING ADMINISTRATION 149968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149968,A000000,01100,0000,1100PHARMACY 149968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149968,A000000,01300,0000,1300SOCIAL SERVICE 149968,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149968,A000000,01600,0000,1600SKILLED NURSING FACILITY 149968,A000000,01800,0000,1800NURSING FACILITY 149968,A000000,01810,0000,1810ICF/MR 149968,A000000,02200,0000,2200LABORATORY 149968,A000000,02500,0000,2500PHYSICAL THERAPY 149968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149968,A000000,02700,0000,2700SPEECH PATHOLOGY 149968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149968,A000000,03550,0000,3550FQHC 149968,A000000,05000,0000,5000CORF 149968,A000000,05010,0000,5010CMHC 149968,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149968,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149968,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149968,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149968,A81000A,00100,0100,Y 149968,A81000B,00200,0300,LEGAL EXPENSE 149968,A81000B,00300,0300,CONSULTING EXPENSE 149968,A81000C,00100,0100,B 149968,A81000C,00100,0400,PHILTEX HOLDING INC. 149968,A81000C,00100,0600,REAL ESTATE HOLDING CO 149968,A81000C,00200,0100,B 149968,A81000C,00200,0400,EHMANN VAN DENBERGH & TR 149968,A81000C,00200,0600,LEGAL FIRM 149968,A81000C,00300,0100,B 149968,A81000C,00300,0400,ZA CONSULTING LLC 149968,A81000C,00300,0600,HEALTHCARE CONSULTING 149968,B100000,00000,0100,0100SQUARE FEET 149968,B100000,00000,0200,0200DOLLAR VALUE 149968,B100000,00000,0300,0300GROSS SALARIES 149968,B100000,00000,0400,0400ACCUM. COST 149968,B100000,00000,0500,0500SQUARE FEET 149968,B100000,00000,0600,0600INPATIENT DAYS 149968,B100000,00000,0700,0700SQUARE FEET 149968,B100000,00000,0800,0800INPATIENT DAYS 149968,B100000,00000,0900,0900INPATIENT DAYS 149968,B100000,00000,1000,1000COSTED REQUIS. 149968,B100000,00000,1100,1100COSTED REQUIS. 149968,B100000,00000,1200,1200INPATIENT DAYS 149968,B100000,00000,1300,1300INPATIENT DAYS 149968,B100000,00000,1400,1400ASSIGNED TIME 149968,S000000,00100,0200,06/01/00 149968,S200000,00100,0100,FM ROAD 580E 149968,S200000,00200,0100,LAMPASSAS 149968,S200000,00200,0200,TX 149968,S200000,00200,0300,76550 149968,S200000,00300,0100,LAMPASSAS 149968,S200000,00400,0100,LEISURE LDGE OF LAMPASSAS 149968,S200000,00400,0200,455951 149968,S200000,00400,0300,11/01/91 149968,S200000,00400,0500,P 149968,S200000,01500,0100,N 149968,S200000,01600,0100,Y 149968,S200000,01700,0100,N 149968,S200000,01800,0100,N 149968,S200000,02200,0100,N 149968,S200000,02800,0100,N 149968,S200000,02900,0100,N 149968,S200000,03000,0100,N 149968,S200000,03100,0100,N 149968,S200000,03200,0100,N 149968,S200000,03300,0100,N 149968,S200000,03300,0200,N 149968,S200000,04100,0100,N 149968,S200000,04200,0100,N 149968,S200000,04300,0100,N 149968,S200000,04600,0100,N 149968,S200000,04700,0100,N 149968,S200000,04700,0200,N 149968,S200000,04900,0100,N 149969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 149969,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 149969,A000000,00300,0000,0300EMPLOYEE BENEFITS 149969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 149969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 149969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 149969,A000000,00700,0000,0700HOUSEKEEPING 149969,A000000,00800,0000,0800DIETARY 149969,A000000,00900,0000,0900NURSING ADMINISTRATION 149969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 149969,A000000,01100,0000,1100PHARMACY 149969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 149969,A000000,01300,0000,1300SOCIAL SERVICE 149969,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 149969,A000000,01600,0000,1600SKILLED NURSING FACILITY 149969,A000000,01800,0000,1800NURSING FACILITY 149969,A000000,01810,0000,1810ICF/MR 149969,A000000,02200,0000,2200LABORATORY 149969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 149969,A000000,02500,0000,2500PHYSICAL THERAPY 149969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 149969,A000000,02700,0000,2700SPEECH PATHOLOGY 149969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 149969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 149969,A000000,03550,0000,3550FQHC 149969,A000000,05000,0000,5000CORF 149969,A000000,05010,0000,5010CMHC 149969,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 149969,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 149969,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 149969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 149969,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 149969,A81000A,00100,0100,Y 149969,A81000B,00100,0300,RENT EXPENSE 149969,A81000B,00200,0300,LEGAL EXPENSE 149969,A81000B,00300,0300,CONSULTING EXPENSE 149969,A81000C,00100,0100,B 149969,A81000C,00100,0400,PHILTEX HOLDING INC 149969,A81000C,00100,0600,REAL ESTATE HOLDING CO. 149969,A81000C,00200,0100,B 149969,A81000C,00200,0400,EHMANN VAN DENBERGH & TR 149969,A81000C,00200,0600,LAW FIRM 149969,A81000C,00300,0100,B 149969,A81000C,00300,0400,ZA CONSULTING LLC 149969,A81000C,00300,0600,HEALTHCARE CONSULTING 149969,B100000,00000,0100,0100SQUARE FEET 149969,B100000,00000,0200,0200SQUARE FEET 149969,B100000,00000,0300,0300GROSS SALARIES 149969,B100000,00000,0400,0400ACCUM. COST 149969,B100000,00000,0500,0500SQUARE FEET 149969,B100000,00000,0600,0600INPATIENT DAYS 149969,B100000,00000,0700,0700SQUARE FEET 149969,B100000,00000,0800,0800INPATIENT DAYS 149969,B100000,00000,0900,0900INPATIENT DAYS 149969,B100000,00000,1000,1000COSTED REQUIS. 149969,B100000,00000,1100,1100COSTED REQUIS. 149969,B100000,00000,1200,1200INPATIENT DAYS 149969,B100000,00000,1300,1300INPATIENT DAYS 149969,B100000,00000,1400,1400ASSIGNED TIME 149969,S000000,00100,0200,06/01/00 149969,S200000,00100,0100,1110 WESTVIEW DRIVE 149969,S200000,00200,0100,WESTVIEW CARE CENTER 149969,S200000,00200,0300,76380 149969,S200000,00300,0100,BAYLOR 149969,S200000,00400,0100,WESTVIEW CARE CENTER 149969,S200000,00400,0200,675042 149969,S200000,00400,0300,04/21/92 149969,S200000,00400,0500,P 149969,S200000,01500,0100,N 149969,S200000,01600,0100,Y 149969,S200000,01700,0100,N 149969,S200000,01800,0100,N 149969,S200000,02200,0100,N 149969,S200000,02800,0100,N 149969,S200000,02900,0100,N 149969,S200000,03000,0100,N 149969,S200000,03100,0100,N 149969,S200000,03200,0100,N 149969,S200000,03300,0100,N 149969,S200000,03300,0200,N 149969,S200000,04100,0100,N 149969,S200000,04200,0100,N 149969,S200000,04300,0100,N 149969,S200000,04600,0100,N 149969,S200000,04700,0100,N 149969,S200000,04700,0200,N 149969,S200000,04900,0100,N 150201,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150201,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150201,A000000,00300,0000,0300EMPLOYEE BENEFITS 150201,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150201,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150201,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150201,A000000,00700,0000,0700HOUSEKEEPING 150201,A000000,00800,0000,0800DIETARY 150201,A000000,00900,0000,0900NURSING ADMINISTRATION 150201,A000000,00901,0000,0901OTHER NURSING 150201,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150201,A000000,01100,0000,1100PHARMACY 150201,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150201,A000000,01300,0000,1300SOCIAL SERVICE 150201,A000000,01301,0000,1301ACTIVITIES 150201,A000000,01600,0000,1600SKILLED NURSING FACILITY 150201,A000000,01800,0000,1800NURSING FACILITY 150201,A000000,02100,0000,2100RADIOLOGY 150201,A000000,02200,0000,2200LABORATORY 150201,A000000,02300,0000,2300INTRAVENOUS THERAPY 150201,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150201,A000000,02500,0000,2500PHYSICAL THERAPY 150201,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150201,A000000,02700,0000,2700SPEECH PATHOLOGY 150201,A000000,02800,0000,2800ELECTROCARDIOLOGY 150201,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150201,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150201,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150201,A000000,03301,0000,3051NUTRITIONAL THERAPY 150201,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150201,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150201,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150201,A000000,04800,0000,4800AMBULANCE 150201,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150201,A000000,05300,0000,5300INTEREST EXPENSE 150201,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150201,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150201,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150201,A000000,06200,0000,6200PATIENTS LAUNDRY 150201,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150201,A000000,06301,0000,6151DAY CARE 150201,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150201,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150201,A81000A,00100,0100,Y 150201,A81000B,00100,0300,HOME OFFICE COSTS 150201,A81000B,00200,0300,LIABILITY INSURANCE 150201,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150201,A81000B,00500,0300,VC PHARMACY - ADMIN 150201,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150201,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150201,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150201,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150201,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150201,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150201,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150201,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150201,A81000B,01800,0300,VC PHARMACY - LEGEND 150201,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 150201,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 150201,A81000C,00100,0100,B 150201,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150201,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150201,A81000C,00100,0600,LIABILITY INSURANCE 150201,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150201,A81000C,00200,0600,PHARMACY 150201,A81000C,00300,0400,VENCARE RESPIRATORY 150201,A81000C,00300,0600,RESPIRATORY THERAPY 150201,A81000C,00400,0400,THERAPY SERVICES 150201,A81000C,00500,0400,VENCARE REHAB SERVICES 150201,A81000C,00500,0600,REHAB 150201,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150201,A81000C,00600,0600,PORTABLE X-RAY 150201,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150201,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150201,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150201,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150201,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150201,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150201,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150201,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150201,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150201,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150201,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150201,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150201,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150201,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150201,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150201,E10A180,00301,0100,11/30/00 150201,S000000,00100,0200,12/01/00 150201,S200000,00100,0100,620 EAST MAIN STREET 150201,S200000,00200,0100,WEST LAFAYETTE 150201,S200000,00200,0200,OH 150201,S200000,00200,0300,43845- 150201,S200000,00300,0100,COSHOCTON 150201,S200000,00300,0300,R 150201,S200000,00400,0100,#578 WEST LAFAYETTE REHAB & NURSING 150201,S200000,00400,0200,365891 150201,S200000,00400,0300,11/12/92 150201,S200000,00400,0500,P 150201,S200000,01500,0100,Y 150201,S200000,01600,0100,N 150201,S200000,01700,0100,N 150201,S200000,01800,0100,N 150201,S200000,02200,0100,Y 150201,S200000,02800,0100,N 150201,S200000,02900,0100,N 150201,S200000,03000,0100,N 150201,S200000,03100,0100,N 150201,S200000,03200,0100,N 150201,S200000,04100,0100,N 150201,S200000,04200,0100,N 150201,S200000,04300,0100,N 150201,S200000,04600,0100,N 150201,S200000,04700,0100,N 150201,S200000,04700,0200,N 150201,S200000,04900,0100,N 150201,S200000,05000,0100,N 150201,S200000,05100,0100,N 150201,S200000,05200,0100,N 150202,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150202,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150202,A000000,00300,0000,0300EMPLOYEE BENEFITS 150202,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150202,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150202,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150202,A000000,00700,0000,0700HOUSEKEEPING 150202,A000000,00800,0000,0800DIETARY 150202,A000000,00900,0000,0900NURSING ADMINISTRATION 150202,A000000,00901,0000,0901OTHER NURSING 150202,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150202,A000000,01100,0000,1100PHARMACY 150202,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150202,A000000,01300,0000,1300SOCIAL SERVICE 150202,A000000,01301,0000,1301ACTIVITIES 150202,A000000,01600,0000,1600SKILLED NURSING FACILITY 150202,A000000,01800,0000,1800NURSING FACILITY 150202,A000000,02100,0000,2100RADIOLOGY 150202,A000000,02200,0000,2200LABORATORY 150202,A000000,02300,0000,2300INTRAVENOUS THERAPY 150202,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150202,A000000,02500,0000,2500PHYSICAL THERAPY 150202,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150202,A000000,02700,0000,2700SPEECH PATHOLOGY 150202,A000000,02800,0000,2800ELECTROCARDIOLOGY 150202,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150202,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150202,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150202,A000000,03301,0000,3051NUTRITIONAL THERAPY 150202,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150202,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150202,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150202,A000000,04800,0000,4800AMBULANCE 150202,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150202,A000000,05300,0000,5300INTEREST EXPENSE 150202,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150202,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150202,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150202,A000000,06200,0000,6200PATIENTS LAUNDRY 150202,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150202,A000000,06301,0000,6151DAY CARE 150202,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150202,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150202,A81000A,00100,0100,Y 150202,A81000B,00100,0300,HOME OFFICE COSTS 150202,A81000B,00200,0300,LIABILITY INSURANCE 150202,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150202,A81000B,00500,0300,VC PHARMACY - ADMIN 150202,A81000B,00900,0300,VC PHARMACY - DIETARY 150202,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150202,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150202,A81000B,01200,0300,VC PHARMACY - LAB 150202,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150202,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150202,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150202,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150202,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150202,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150202,A81000B,01900,0300,VC PHARMACY - LEGEND 150202,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150202,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 150202,A81000C,00100,0100,B 150202,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150202,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150202,A81000C,00100,0600,LIABILITY INSURANCE 150202,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150202,A81000C,00200,0600,PHARMACY 150202,A81000C,00300,0400,VENCARE RESPIRATORY 150202,A81000C,00300,0600,RESPIRATORY THERAPY 150202,A81000C,00400,0400,THERAPY SERVICES 150202,A81000C,00500,0400,VENCARE REHAB SERVICES 150202,A81000C,00500,0600,REHAB 150202,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150202,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150202,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150202,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150202,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150202,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150202,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150202,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150202,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150202,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150202,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150202,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150202,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150202,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150202,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150202,E10A180,00301,0100,11/30/00 150202,S000000,00100,0200,12/01/00 150202,S200000,00100,0100,700 MONROE ROAD 150202,S200000,00200,0100,LEBANON 150202,S200000,00200,0200,OH 150202,S200000,00200,0300,45036- 150202,S200000,00300,0100,WARREN 150202,S200000,00300,0300,U 150202,S200000,00400,0100,#868 LEBANON COUNTRY MANOR 150202,S200000,00400,0200,365920 150202,S200000,00400,0300,09/01/93 150202,S200000,00400,0500,P 150202,S200000,01500,0100,Y 150202,S200000,01600,0100,N 150202,S200000,01700,0100,N 150202,S200000,01800,0100,N 150202,S200000,02200,0100,Y 150202,S200000,02800,0100,N 150202,S200000,02900,0100,N 150202,S200000,03000,0100,N 150202,S200000,03100,0100,N 150202,S200000,03200,0100,N 150202,S200000,04100,0100,N 150202,S200000,04200,0100,N 150202,S200000,04300,0100,N 150202,S200000,04600,0100,N 150202,S200000,04700,0100,N 150202,S200000,04700,0200,N 150202,S200000,04900,0100,N 150202,S200000,05000,0100,N 150202,S200000,05100,0100,N 150202,S200000,05200,0100,N 150216,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150216,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150216,A000000,00300,0000,0300EMPLOYEE BENEFITS 150216,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150216,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150216,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150216,A000000,00700,0000,0700HOUSEKEEPING 150216,A000000,00800,0000,0800DIETARY 150216,A000000,00900,0000,0900NURSING ADMINISTRATION 150216,A000000,00901,0000,0901OTHER NURSING 150216,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150216,A000000,01100,0000,1100PHARMACY 150216,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150216,A000000,01300,0000,1300SOCIAL SERVICE 150216,A000000,01301,0000,1301ACTIVITIES 150216,A000000,01600,0000,1600SKILLED NURSING FACILITY 150216,A000000,01800,0000,1800NURSING FACILITY 150216,A000000,02100,0000,2100RADIOLOGY 150216,A000000,02200,0000,2200LABORATORY 150216,A000000,02300,0000,2300INTRAVENOUS THERAPY 150216,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150216,A000000,02500,0000,2500PHYSICAL THERAPY 150216,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150216,A000000,02700,0000,2700SPEECH PATHOLOGY 150216,A000000,02800,0000,2800ELECTROCARDIOLOGY 150216,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150216,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150216,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150216,A000000,03301,0000,3051NUTRITIONAL THERAPY 150216,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150216,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150216,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150216,A000000,04800,0000,4800AMBULANCE 150216,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150216,A000000,05300,0000,5300INTEREST EXPENSE 150216,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150216,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150216,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150216,A000000,06200,0000,6200PATIENTS LAUNDRY 150216,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150216,A000000,06301,0000,6151DAY CARE 150216,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150216,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150216,A81000A,00100,0100,Y 150216,A81000B,00100,0300,HOME OFFICE COSTS 150216,A81000B,00200,0300,LIABILITY INSURANCE 150216,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 150216,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150216,A81000B,00500,0300,VC PHARMACY - ADMIN 150216,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 150216,A81000B,00700,0300,VC PHARMACY - LAUNDRY 150216,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 150216,A81000B,00900,0300,VC PHARMACY - DIETARY 150216,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 150216,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 150216,A81000B,01200,0300,VC PHARMACY - NONLEGEND 150216,A81000B,01300,0300,VC PHARMACY - MED RECORDS 150216,A81000B,01400,0300,VC PHARMACY - SOC SVCS 150216,A81000B,01500,0300,VC PHARMACY - ACTIVITY 150216,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 150216,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 150216,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 150216,A81000B,01900,0300,VC PHARMACY - LAB 150216,A81000B,02000,0300,VC PHARMACY - IV THERAPY 150216,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 150216,A81000B,02200,0300,VENCARE REHAB - PHYS THER 150216,A81000B,02300,0300,VENCARE REHAB - OCCP THER 150216,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 150216,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 150216,A81000B,02600,0300,VC PHARMACY - LEGEND 150216,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 150216,A81000B,02800,0300,VC PHARMACY - NUTR THER 150216,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 150216,A81000C,00100,0100,B 150216,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150216,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150216,A81000C,00100,0600,LIABILITY INSURANCE 150216,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150216,A81000C,00200,0600,PHARMACY 150216,A81000C,00300,0400,VENCARE RESPIRATORY 150216,A81000C,00300,0600,RESPIRATORY THERAPY 150216,A81000C,00400,0400,THERAPY SERVICES 150216,A81000C,00500,0400,VENCARE REHAB SERVICES 150216,A81000C,00500,0600,REHAB 150216,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150216,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150216,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150216,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150216,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150216,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150216,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150216,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150216,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150216,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150216,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150216,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150216,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150216,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150216,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150216,E10A180,00301,0100,06/30/00 150216,E10A180,00302,0100,11/30/00 150216,S000000,00100,0200,12/01/00 150216,S200000,00100,0100,625 STEVENS ST 150216,S200000,00200,0100,MEDFORD 150216,S200000,00200,0200,OR 150216,S200000,00200,0300,97501- 150216,S200000,00300,0100,JACKSON 150216,S200000,00300,0300,U 150216,S200000,00400,0100,453 - MEDFORD REHAB & HEALTHCARE CTR 150216,S200000,00400,0200,385024 150216,S200000,00400,0300,05/01/85 150216,S200000,00400,0500,P 150216,S200000,01500,0100,Y 150216,S200000,01600,0100,N 150216,S200000,01700,0100,N 150216,S200000,01800,0100,N 150216,S200000,02200,0100,Y 150216,S200000,02800,0100,N 150216,S200000,02900,0100,N 150216,S200000,03000,0100,N 150216,S200000,03100,0100,N 150216,S200000,03200,0100,N 150216,S200000,04100,0100,N 150216,S200000,04200,0100,N 150216,S200000,04300,0100,N 150216,S200000,04600,0100,N 150216,S200000,04700,0100,N 150216,S200000,04700,0200,N 150216,S200000,04900,0100,N 150216,S200000,05000,0100,N 150216,S200000,05100,0100,N 150216,S200000,05200,0100,N 150218,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150218,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150218,A000000,00300,0000,0300EMPLOYEE BENEFITS 150218,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150218,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150218,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150218,A000000,00700,0000,0700HOUSEKEEPING 150218,A000000,00800,0000,0800DIETARY 150218,A000000,00900,0000,0900NURSING ADMINISTRATION 150218,A000000,00901,0000,0901OTHER NURSING 150218,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150218,A000000,01100,0000,1100PHARMACY 150218,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150218,A000000,01300,0000,1300SOCIAL SERVICE 150218,A000000,01301,0000,1301ACTIVITIES 150218,A000000,01600,0000,1600SKILLED NURSING FACILITY 150218,A000000,01800,0000,1800NURSING FACILITY 150218,A000000,02100,0000,2100RADIOLOGY 150218,A000000,02200,0000,2200LABORATORY 150218,A000000,02300,0000,2300INTRAVENOUS THERAPY 150218,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150218,A000000,02500,0000,2500PHYSICAL THERAPY 150218,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150218,A000000,02700,0000,2700SPEECH PATHOLOGY 150218,A000000,02800,0000,2800ELECTROCARDIOLOGY 150218,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150218,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150218,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150218,A000000,03301,0000,3051NUTRITIONAL THERAPY 150218,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150218,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150218,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150218,A000000,04800,0000,4800AMBULANCE 150218,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150218,A000000,05300,0000,5300INTEREST EXPENSE 150218,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150218,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150218,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150218,A000000,06200,0000,6200PATIENTS LAUNDRY 150218,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150218,A000000,06301,0000,6151DAY CARE 150218,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150218,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150218,A81000A,00100,0100,Y 150218,A81000B,00100,0300,HOME OFFICE COSTS 150218,A81000B,00200,0300,LIABILITY INSURANCE 150218,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 150218,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150218,A81000B,00500,0300,VC PHARMACY - ADMIN 150218,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 150218,A81000B,00700,0300,VC PHARMACY - LAUNDRY 150218,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 150218,A81000B,00900,0300,VC PHARMACY - DIETARY 150218,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 150218,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 150218,A81000B,01200,0300,VC PHARMACY - NONLEGEND 150218,A81000B,01300,0300,VC PHARMACY - MED RECORDS 150218,A81000B,01400,0300,VC PHARMACY - SOC SVCS 150218,A81000B,01500,0300,VC PHARMACY - ACTIVITY 150218,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 150218,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 150218,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 150218,A81000B,01900,0300,VC PHARMACY - LAB 150218,A81000B,02000,0300,VC PHARMACY - IV THERAPY 150218,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 150218,A81000B,02200,0300,VENCARE REHAB - PHYS THER 150218,A81000B,02300,0300,VENCARE REHAB - OCCP THER 150218,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 150218,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 150218,A81000B,02600,0300,VC PHARMACY - LEGEND 150218,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 150218,A81000B,02800,0300,VC PHARMACY - NUTR THER 150218,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 150218,A81000C,00100,0100,B 150218,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150218,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150218,A81000C,00100,0600,LIABILITY INSURANCE 150218,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150218,A81000C,00200,0600,PHARMACY 150218,A81000C,00300,0400,VENCARE RESPIRATORY 150218,A81000C,00300,0600,RESPIRATORY THERAPY 150218,A81000C,00400,0400,THERAPY SERVICES 150218,A81000C,00500,0400,VENCARE REHAB SERVICES 150218,A81000C,00500,0600,REHAB 150218,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150218,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150218,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150218,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150218,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150218,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150218,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150218,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150218,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150218,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150218,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150218,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150218,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150218,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150218,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150218,E10A180,00350,0100,06/30/00 150218,E10A180,00351,0100,11/30/00 150218,S000000,00100,0200,12/01/00 150218,S200000,00100,0100,4515 SUNNYSIDE RD SE 150218,S200000,00200,0100,SALEM 150218,S200000,00200,0200,OR 150218,S200000,00200,0300,97302- 150218,S200000,00300,0100,MARION 150218,S200000,00300,0300,U 150218,S200000,00400,0100,452 - SUNNYSIDE CARE CENTER 150218,S200000,00400,0200,385189 150218,S200000,00400,0300,08/01/90 150218,S200000,00400,0500,P 150218,S200000,01500,0100,Y 150218,S200000,01600,0100,N 150218,S200000,01700,0100,N 150218,S200000,01800,0100,N 150218,S200000,02200,0100,Y 150218,S200000,02800,0100,N 150218,S200000,02900,0100,N 150218,S200000,03000,0100,N 150218,S200000,03100,0100,N 150218,S200000,03200,0100,N 150218,S200000,04100,0100,N 150218,S200000,04200,0100,N 150218,S200000,04300,0100,N 150218,S200000,04600,0100,N 150218,S200000,04700,0100,N 150218,S200000,04700,0200,N 150218,S200000,04900,0100,N 150218,S200000,05000,0100,N 150218,S200000,05100,0100,N 150218,S200000,05200,0100,N 150220,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150220,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150220,A000000,00300,0000,0300EMPLOYEE BENEFITS 150220,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150220,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150220,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150220,A000000,00700,0000,0700HOUSEKEEPING 150220,A000000,00800,0000,0800DIETARY 150220,A000000,00900,0000,0900NURSING ADMINISTRATION 150220,A000000,00901,0000,0901OTHER NURSING 150220,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150220,A000000,01100,0000,1100PHARMACY 150220,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150220,A000000,01300,0000,1300SOCIAL SERVICE 150220,A000000,01301,0000,1301ACTIVITIES 150220,A000000,01600,0000,1600SKILLED NURSING FACILITY 150220,A000000,01800,0000,1800NURSING FACILITY 150220,A000000,02100,0000,2100RADIOLOGY 150220,A000000,02200,0000,2200LABORATORY 150220,A000000,02300,0000,2300INTRAVENOUS THERAPY 150220,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150220,A000000,02500,0000,2500PHYSICAL THERAPY 150220,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150220,A000000,02700,0000,2700SPEECH PATHOLOGY 150220,A000000,02800,0000,2800ELECTROCARDIOLOGY 150220,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150220,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150220,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150220,A000000,03301,0000,3051NUTRITIONAL THERAPY 150220,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150220,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150220,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150220,A000000,04800,0000,4800AMBULANCE 150220,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150220,A000000,05300,0000,5300INTEREST EXPENSE 150220,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150220,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150220,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150220,A000000,06200,0000,6200PATIENTS LAUNDRY 150220,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150220,A000000,06301,0000,6151DAY CARE 150220,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150220,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150220,A81000A,00100,0100,Y 150220,A81000B,00100,0300,HOME OFFICE COSTS 150220,A81000B,00200,0300,LIABILITY INSURANCE 150220,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 150220,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150220,A81000B,00500,0300,VC PHARMACY - ADMIN 150220,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 150220,A81000B,00700,0300,VC PHARMACY - LAUNDRY 150220,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 150220,A81000B,00900,0300,VC PHARMACY - DIETARY 150220,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 150220,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 150220,A81000B,01200,0300,VC PHARMACY - NONLEGEND 150220,A81000B,01300,0300,VC PHARMACY - MED RECORDS 150220,A81000B,01400,0300,VC PHARMACY - SOC SVCS 150220,A81000B,01500,0300,VC PHARMACY - ACTIVITY 150220,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 150220,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 150220,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 150220,A81000B,01900,0300,VC PHARMACY - LAB 150220,A81000B,02000,0300,VC PHARMACY - IV THERAPY 150220,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 150220,A81000B,02200,0300,VENCARE REHAB - PHYS THER 150220,A81000B,02300,0300,VENCARE REHAB - OCCP THER 150220,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 150220,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 150220,A81000B,02600,0300,VC PHARMACY - LEGEND 150220,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 150220,A81000B,02800,0300,VC PHARMACY - NUTR THER 150220,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 150220,A81000C,00100,0100,B 150220,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150220,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150220,A81000C,00100,0600,LIABILITY INSURANCE 150220,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150220,A81000C,00200,0600,PHARMACY 150220,A81000C,00300,0400,VENCARE RESPIRATORY 150220,A81000C,00300,0600,RESPIRATORY THERAPY 150220,A81000C,00400,0400,THERAPY SERVICES 150220,A81000C,00500,0400,VENCARE REHAB SERVICES 150220,A81000C,00500,0600,REHAB 150220,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150220,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150220,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150220,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150220,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150220,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150220,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150220,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150220,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150220,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150220,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150220,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150220,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150220,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150220,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150220,E10A180,00301,0100,11/30/00 150220,E10A180,00350,0100,06/30/00 150220,S000000,00100,0200,12/01/00 150220,S200000,00100,0100,11850 SW ALLEN BLVD 150220,S200000,00200,0100,BEAVERTON 150220,S200000,00200,0200,OR 150220,S200000,00200,0300,97005- 150220,S200000,00300,0100,WASHINGTON 150220,S200000,00300,0300,U 150220,S200000,00400,0100,455- HYLAND HILLS REHABILITATION CTR 150220,S200000,00400,0200,385195 150220,S200000,00400,0300,05/12/89 150220,S200000,00400,0500,P 150220,S200000,01500,0100,Y 150220,S200000,01600,0100,N 150220,S200000,01700,0100,N 150220,S200000,01800,0100,N 150220,S200000,02200,0100,Y 150220,S200000,02800,0100,N 150220,S200000,02900,0100,N 150220,S200000,03000,0100,N 150220,S200000,03100,0100,N 150220,S200000,03200,0100,N 150220,S200000,04100,0100,N 150220,S200000,04200,0100,N 150220,S200000,04300,0100,N 150220,S200000,04600,0100,N 150220,S200000,04700,0100,N 150220,S200000,04700,0200,N 150220,S200000,04900,0100,N 150220,S200000,05000,0100,N 150220,S200000,05100,0100,N 150220,S200000,05200,0100,N 150369,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150369,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150369,A000000,00300,0000,0300EMPLOYEE BENEFITS 150369,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150369,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150369,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150369,A000000,00700,0000,0700HOUSEKEEPING 150369,A000000,00800,0000,0800DIETARY 150369,A000000,00900,0000,0900NURSING ADMINISTRATION 150369,A000000,00901,0000,0901OTHER NURSING 150369,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150369,A000000,01100,0000,1100PHARMACY 150369,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150369,A000000,01300,0000,1300SOCIAL SERVICE 150369,A000000,01301,0000,1301ACTIVITIES 150369,A000000,01600,0000,1600SKILLED NURSING FACILITY 150369,A000000,01800,0000,1800NURSING FACILITY 150369,A000000,02100,0000,2100RADIOLOGY 150369,A000000,02200,0000,2200LABORATORY 150369,A000000,02300,0000,2300INTRAVENOUS THERAPY 150369,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150369,A000000,02500,0000,2500PHYSICAL THERAPY 150369,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150369,A000000,02700,0000,2700SPEECH PATHOLOGY 150369,A000000,02800,0000,2800ELECTROCARDIOLOGY 150369,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150369,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150369,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150369,A000000,03301,0000,3051NUTRITIONAL THERAPY 150369,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150369,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150369,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150369,A000000,04800,0000,4800AMBULANCE 150369,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150369,A000000,05300,0000,5300INTEREST EXPENSE 150369,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150369,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150369,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150369,A000000,06200,0000,6200PATIENTS LAUNDRY 150369,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150369,A000000,06301,0000,6151DAY CARE 150369,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150369,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150369,A81000A,00100,0100,Y 150369,A81000B,00100,0300,HOME OFFICE COSTS 150369,A81000B,00200,0300,LIABILITY INSURANCE 150369,A81000B,00500,0300,VC PHARMACY - ADMIN 150369,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 150369,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 150369,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 150369,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 150369,A81000B,01400,0300,VC PHARMACY - IV THERAPY 150369,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 150369,A81000B,01600,0300,VENCARE REHAB - PHYS THER 150369,A81000B,01700,0300,VENCARE REHAB - OCCP THER 150369,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 150369,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 150369,A81000B,02000,0300,VC PHARMACY - LEGEND 150369,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 150369,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 150369,A81000C,00100,0100,B 150369,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150369,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150369,A81000C,00100,0600,LIABILITY INSURANCE 150369,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150369,A81000C,00200,0600,PHARMACY 150369,A81000C,00300,0400,VENCARE RESPIRATORY 150369,A81000C,00300,0600,RESPIRATORY THERAPY 150369,A81000C,00400,0400,THERAPY SERVICES 150369,A81000C,00500,0400,VENCARE REHAB SERVICES 150369,A81000C,00500,0600,REHAB 150369,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150369,A81000C,00600,0600,PORTABLE X-RAY 150369,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150369,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150369,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150369,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150369,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150369,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150369,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150369,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150369,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150369,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150369,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150369,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150369,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150369,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150369,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150369,E10A180,00301,0100,11/30/00 150369,E10A180,00350,0100,06/30/00 150369,S000000,00100,0200,03/06/01 150369,S200000,00100,0100,100 S. WHITEWOMAN STREET 150369,S200000,00200,0100,COSHOCTON 150369,S200000,00200,0200,OH 150369,S200000,00200,0300,43812- 150369,S200000,00300,0100,COSHOCTON 150369,S200000,00300,0300,R 150369,S200000,00400,0100,#635 COSHOCTON HEALTH & REHAB CENTER 150369,S200000,00400,0200,365880 150369,S200000,00400,0300,06/23/92 150369,S200000,00400,0500,P 150369,S200000,01500,0100,Y 150369,S200000,01600,0100,N 150369,S200000,01700,0100,N 150369,S200000,01800,0100,N 150369,S200000,02200,0100,Y 150369,S200000,02800,0100,N 150369,S200000,02900,0100,N 150369,S200000,03000,0100,N 150369,S200000,03100,0100,N 150369,S200000,03200,0100,N 150369,S200000,04100,0100,N 150369,S200000,04200,0100,N 150369,S200000,04300,0100,N 150369,S200000,04600,0100,N 150369,S200000,04700,0100,N 150369,S200000,04700,0200,N 150369,S200000,04900,0100,N 150369,S200000,05000,0100,N 150369,S200000,05100,0100,N 150369,S200000,05200,0100,N 150422,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150422,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150422,A000000,00300,0000,0300EMPLOYEE BENEFITS 150422,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150422,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150422,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150422,A000000,00700,0000,0700HOUSEKEEPING 150422,A000000,00800,0000,0800DIETARY 150422,A000000,00900,0000,0900NURSING ADMINISTRATION 150422,A000000,00901,0000,0901OTHER NURSING 150422,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150422,A000000,01100,0000,1100PHARMACY 150422,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150422,A000000,01300,0000,1300SOCIAL SERVICE 150422,A000000,01301,0000,1301ACTIVITIES 150422,A000000,01600,0000,1600SKILLED NURSING FACILITY 150422,A000000,01800,0000,1800NURSING FACILITY 150422,A000000,02100,0000,2100RADIOLOGY 150422,A000000,02200,0000,2200LABORATORY 150422,A000000,02300,0000,2300INTRAVENOUS THERAPY 150422,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150422,A000000,02500,0000,2500PHYSICAL THERAPY 150422,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150422,A000000,02700,0000,2700SPEECH PATHOLOGY 150422,A000000,02800,0000,2800ELECTROCARDIOLOGY 150422,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150422,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150422,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150422,A000000,03301,0000,3051NUTRITIONAL THERAPY 150422,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150422,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150422,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150422,A000000,04800,0000,4800AMBULANCE 150422,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150422,A000000,05300,0000,5300INTEREST EXPENSE 150422,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150422,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150422,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150422,A000000,06200,0000,6200PATIENTS LAUNDRY 150422,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150422,A000000,06301,0000,6151DAY CARE 150422,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150422,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150422,A81000A,00100,0100,Y 150422,A81000B,00100,0300,HOME OFFICE COSTS 150422,A81000B,00200,0300,LIABILITY INSURANCE 150422,A81000B,00500,0300,VC PHARMACY - ADMIN 150422,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 150422,A81000B,01100,0300,VC PHARMACY - IV THERAPY 150422,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 150422,A81000B,01300,0300,VENCARE REHAB - PHYS THER 150422,A81000B,01400,0300,VENCARE REHAB - OCCP THER 150422,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 150422,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 150422,A81000B,01700,0300,VC PHARMACY - LEGEND 150422,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 150422,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 150422,A81000C,00100,0100,B 150422,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150422,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150422,A81000C,00100,0600,LIABILITY INSURANCE 150422,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150422,A81000C,00200,0600,PHARMACY 150422,A81000C,00300,0400,VENCARE RESPIRATORY 150422,A81000C,00300,0600,RESPIRATORY THERAPY 150422,A81000C,00400,0400,THERAPY SERVICES 150422,A81000C,00500,0400,VENCARE REHAB SERVICES 150422,A81000C,00500,0600,REHAB 150422,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150422,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150422,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150422,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150422,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150422,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150422,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150422,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150422,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150422,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150422,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150422,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150422,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150422,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150422,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150422,E10A180,00301,0100,06/30/00 150422,E10A180,00302,0100,11/30/00 150422,S000000,00100,0200,12/01/00 150422,S200000,00100,0100,3500 MAPLE AVENUE 150422,S200000,00200,0100,TERRE HAUTE 150422,S200000,00200,0200,IN 150422,S200000,00200,0300,47804- 150422,S200000,00300,0100,VIGO 150422,S200000,00300,0300,U 150422,S200000,00400,0100,#112 ROYAL OAKS HEALTH CARE & REHAB 150422,S200000,00400,0200,155426 150422,S200000,00400,0300,01/10/92 150422,S200000,00400,0500,P 150422,S200000,01500,0100,Y 150422,S200000,01600,0100,N 150422,S200000,01700,0100,N 150422,S200000,01800,0100,N 150422,S200000,02200,0100,Y 150422,S200000,02800,0100,N 150422,S200000,02900,0100,N 150422,S200000,03000,0100,N 150422,S200000,03100,0100,N 150422,S200000,03200,0100,N 150422,S200000,04100,0100,N 150422,S200000,04200,0100,N 150422,S200000,04300,0100,N 150422,S200000,04600,0100,N 150422,S200000,04700,0100,N 150422,S200000,04700,0200,N 150422,S200000,04900,0100,N 150422,S200000,05000,0100,N 150422,S200000,05100,0100,N 150422,S200000,05200,0100,N 150423,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150423,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150423,A000000,00300,0000,0300EMPLOYEE BENEFITS 150423,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150423,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150423,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150423,A000000,00700,0000,0700HOUSEKEEPING 150423,A000000,00800,0000,0800DIETARY 150423,A000000,00900,0000,0900NURSING ADMINISTRATION 150423,A000000,00901,0000,0901OTHER NURSING 150423,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150423,A000000,01100,0000,1100PHARMACY 150423,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150423,A000000,01300,0000,1300SOCIAL SERVICE 150423,A000000,01301,0000,1301ACTIVITIES 150423,A000000,01600,0000,1600SKILLED NURSING FACILITY 150423,A000000,01800,0000,1800NURSING FACILITY 150423,A000000,02100,0000,2100RADIOLOGY 150423,A000000,02200,0000,2200LABORATORY 150423,A000000,02300,0000,2300INTRAVENOUS THERAPY 150423,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150423,A000000,02500,0000,2500PHYSICAL THERAPY 150423,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150423,A000000,02700,0000,2700SPEECH PATHOLOGY 150423,A000000,02800,0000,2800ELECTROCARDIOLOGY 150423,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150423,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150423,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150423,A000000,03301,0000,3051NUTRITIONAL THERAPY 150423,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150423,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150423,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150423,A000000,04800,0000,4800AMBULANCE 150423,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150423,A000000,05300,0000,5300INTEREST EXPENSE 150423,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150423,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150423,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150423,A000000,06200,0000,6200PATIENTS LAUNDRY 150423,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150423,A000000,06301,0000,6151DAY CARE 150423,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150423,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150423,A81000A,00100,0100,Y 150423,A81000B,00100,0300,HOME OFFICE COSTS 150423,A81000B,00200,0300,LIABILITY INSURANCE 150423,A81000B,00500,0300,VC PHARMACY - ADMIN 150423,A81000B,00900,0300,VC PHARMACY - DIETARY 150423,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150423,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150423,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 150423,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 150423,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150423,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150423,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150423,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150423,A81000B,01800,0300,VC PHARMACY - LEGEND 150423,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 150423,A81000C,00100,0100,B 150423,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150423,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150423,A81000C,00100,0600,LIABILITY INSURANCE 150423,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150423,A81000C,00200,0600,PHARMACY 150423,A81000C,00300,0400,VENCARE RESPIRATORY 150423,A81000C,00300,0600,RESPIRATORY THERAPY 150423,A81000C,00400,0400,THERAPY SERVICES 150423,A81000C,00500,0400,VENCARE REHAB SERVICES 150423,A81000C,00500,0600,REHAB 150423,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150423,A81000C,00600,0600,PORTABLE X-RAY 150423,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150423,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150423,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150423,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150423,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150423,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150423,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150423,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150423,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150423,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150423,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150423,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150423,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150423,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150423,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150423,E10A180,00301,0100,06/30/00 150423,E10A180,00302,0100,11/30/00 150423,S000000,00100,0200,12/01/00 150423,S200000,00100,0100,1065 PARKWAY STREET 150423,S200000,00200,0100,BERNE 150423,S200000,00200,0200,IN 150423,S200000,00200,0300,46711- 150423,S200000,00300,0100,ADAMS 150423,S200000,00300,0300,U 150423,S200000,00400,0100,#296 CHALET VILLAGE HEALTH & REHAB 150423,S200000,00400,0200,155473 150423,S200000,00400,0300,10/27/92 150423,S200000,00400,0500,P 150423,S200000,01500,0100,N 150423,S200000,01600,0100,Y 150423,S200000,01700,0100,N 150423,S200000,01800,0100,N 150423,S200000,02200,0100,Y 150423,S200000,02800,0100,N 150423,S200000,02900,0100,N 150423,S200000,03000,0100,N 150423,S200000,03100,0100,N 150423,S200000,03200,0100,N 150423,S200000,04100,0100,N 150423,S200000,04200,0100,N 150423,S200000,04300,0100,N 150423,S200000,04600,0100,N 150423,S200000,04700,0100,N 150423,S200000,04700,0200,N 150423,S200000,04900,0100,N 150423,S200000,05000,0100,N 150423,S200000,05100,0100,N 150423,S200000,05200,0100,N 150424,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150424,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150424,A000000,00300,0000,0300EMPLOYEE BENEFITS 150424,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150424,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150424,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150424,A000000,00700,0000,0700HOUSEKEEPING 150424,A000000,00800,0000,0800DIETARY 150424,A000000,00900,0000,0900NURSING ADMINISTRATION 150424,A000000,00901,0000,0901OTHER NURSING 150424,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150424,A000000,01100,0000,1100PHARMACY 150424,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150424,A000000,01300,0000,1300SOCIAL SERVICE 150424,A000000,01301,0000,1301ACTIVITIES 150424,A000000,01600,0000,1600SKILLED NURSING FACILITY 150424,A000000,01800,0000,1800NURSING FACILITY 150424,A000000,02100,0000,2100RADIOLOGY 150424,A000000,02200,0000,2200LABORATORY 150424,A000000,02300,0000,2300INTRAVENOUS THERAPY 150424,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150424,A000000,02500,0000,2500PHYSICAL THERAPY 150424,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150424,A000000,02700,0000,2700SPEECH PATHOLOGY 150424,A000000,02800,0000,2800ELECTROCARDIOLOGY 150424,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150424,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150424,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150424,A000000,03301,0000,3051NUTRITIONAL THERAPY 150424,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150424,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150424,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150424,A000000,04800,0000,4800AMBULANCE 150424,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150424,A000000,05300,0000,5300INTEREST EXPENSE 150424,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150424,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150424,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150424,A000000,06200,0000,6200PATIENTS LAUNDRY 150424,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150424,A000000,06301,0000,6151DAY CARE 150424,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150424,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150424,A81000A,00100,0100,Y 150424,A81000B,00100,0300,HOME OFFICE COSTS 150424,A81000B,00200,0300,LIABILITY INSURANCE 150424,A81000B,00500,0300,VC PHARMACY - ADMIN 150424,A81000B,00900,0300,VC PHARMACY - DIETARY 150424,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150424,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150424,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150424,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150424,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150424,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150424,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150424,A81000B,01700,0300,VC PHARMACY - LEGEND 150424,A81000C,00100,0100,B 150424,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150424,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150424,A81000C,00100,0600,LIABILITY INSURANCE 150424,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150424,A81000C,00200,0600,PHARMACY 150424,A81000C,00300,0400,VENCARE RESPIRATORY 150424,A81000C,00300,0600,RESPIRATORY THERAPY 150424,A81000C,00400,0400,THERAPY SERVICES 150424,A81000C,00500,0400,VENCARE REHAB SERVICES 150424,A81000C,00500,0600,REHAB 150424,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150424,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150424,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150424,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150424,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150424,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150424,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150424,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150424,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150424,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150424,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150424,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150424,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150424,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150424,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150424,E10A180,00301,0100,11/30/00 150424,S000000,00100,0200,12/01/00 150424,S200000,00100,0100,316 WOODIES LANE 150424,S200000,00200,0100,BREMEN 150424,S200000,00200,0200,IN 150424,S200000,00200,0300,46506- 150424,S200000,00300,0100,HARRISON 150424,S200000,00300,0300,R 150424,S200000,00400,0100,#290 BREMEN HEALTH CARE CENTER 150424,S200000,00400,0200,155474 150424,S200000,00400,0300,10/27/92 150424,S200000,00400,0500,P 150424,S200000,01500,0100,Y 150424,S200000,01600,0100,N 150424,S200000,01700,0100,N 150424,S200000,01800,0100,N 150424,S200000,02200,0100,Y 150424,S200000,02800,0100,N 150424,S200000,02900,0100,N 150424,S200000,03000,0100,N 150424,S200000,03100,0100,N 150424,S200000,03200,0100,N 150424,S200000,04100,0100,N 150424,S200000,04200,0100,N 150424,S200000,04300,0100,N 150424,S200000,04600,0100,N 150424,S200000,04700,0100,N 150424,S200000,04700,0200,N 150424,S200000,04900,0100,N 150424,S200000,05000,0100,N 150424,S200000,05100,0100,N 150424,S200000,05200,0100,N 150425,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150425,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150425,A000000,00300,0000,0300EMPLOYEE BENEFITS 150425,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150425,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150425,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150425,A000000,00700,0000,0700HOUSEKEEPING 150425,A000000,00800,0000,0800DIETARY 150425,A000000,00900,0000,0900NURSING ADMINISTRATION 150425,A000000,00901,0000,0901OTHER NURSING 150425,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150425,A000000,01100,0000,1100PHARMACY 150425,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150425,A000000,01300,0000,1300SOCIAL SERVICE 150425,A000000,01301,0000,1301ACTIVITIES 150425,A000000,01600,0000,1600SKILLED NURSING FACILITY 150425,A000000,01800,0000,1800NURSING FACILITY 150425,A000000,02100,0000,2100RADIOLOGY 150425,A000000,02200,0000,2200LABORATORY 150425,A000000,02300,0000,2300INTRAVENOUS THERAPY 150425,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150425,A000000,02500,0000,2500PHYSICAL THERAPY 150425,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150425,A000000,02700,0000,2700SPEECH PATHOLOGY 150425,A000000,02800,0000,2800ELECTROCARDIOLOGY 150425,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150425,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150425,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150425,A000000,03301,0000,3051NUTRITIONAL THERAPY 150425,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150425,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150425,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150425,A000000,04800,0000,4800AMBULANCE 150425,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150425,A000000,05300,0000,5300INTEREST EXPENSE 150425,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150425,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150425,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150425,A000000,06200,0000,6200PATIENTS LAUNDRY 150425,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150425,A000000,06301,0000,6151DAY CARE 150425,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150425,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150425,A81000A,00100,0100,Y 150425,A81000B,00100,0300,HOME OFFICE COSTS 150425,A81000B,00200,0300,LIABILITY INSURANCE 150425,A81000B,00500,0300,VC PHARMACY - ADMIN 150425,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 150425,A81000B,01100,0300,VC PHARMACY - IV THERAPY 150425,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 150425,A81000B,01300,0300,VENCARE REHAB - PHYS THER 150425,A81000B,01400,0300,VENCARE REHAB - OCCP THER 150425,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 150425,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 150425,A81000B,01700,0300,VC PHARMACY - LEGEND 150425,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 150425,A81000C,00100,0100,B 150425,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150425,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150425,A81000C,00100,0600,LIABILITY INSURANCE 150425,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150425,A81000C,00200,0600,PHARMACY 150425,A81000C,00300,0400,VENCARE RESPIRATORY 150425,A81000C,00300,0600,RESPIRATORY THERAPY 150425,A81000C,00400,0400,THERAPY SERVICES 150425,A81000C,00500,0400,VENCARE REHAB SERVICES 150425,A81000C,00500,0600,REHAB 150425,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150425,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150425,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150425,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150425,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150425,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150425,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150425,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150425,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150425,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150425,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150425,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150425,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150425,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150425,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150425,E10A180,00301,0100,06/30/00 150425,E10A180,00350,0100,11/30/00 150425,S000000,00100,0200,12/01/00 150425,S200000,00100,0100,2222 MARGARET AVENUE 150425,S200000,00200,0100,TERRE HAUTE 150425,S200000,00200,0200,IN 150425,S200000,00200,0300,47802- 150425,S200000,00300,0100,VIGO 150425,S200000,00300,0300,U 150425,S200000,00400,0100,#113 SOUTHWOOD HEALTH AND REHAB CENT 150425,S200000,00400,0200,155484 150425,S200000,00400,0300,03/15/93 150425,S200000,00400,0500,P 150425,S200000,01500,0100,Y 150425,S200000,01600,0100,N 150425,S200000,01700,0100,N 150425,S200000,01800,0100,N 150425,S200000,02200,0100,Y 150425,S200000,02800,0100,N 150425,S200000,02900,0100,N 150425,S200000,03000,0100,N 150425,S200000,03100,0100,N 150425,S200000,03200,0100,N 150425,S200000,04100,0100,N 150425,S200000,04200,0100,N 150425,S200000,04300,0100,N 150425,S200000,04600,0100,N 150425,S200000,04700,0100,N 150425,S200000,04700,0200,N 150425,S200000,04900,0100,N 150425,S200000,05000,0100,N 150425,S200000,05100,0100,N 150425,S200000,05200,0100,N 150426,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150426,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150426,A000000,00300,0000,0300EMPLOYEE BENEFITS 150426,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150426,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150426,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150426,A000000,00700,0000,0700HOUSEKEEPING 150426,A000000,00800,0000,0800DIETARY 150426,A000000,00900,0000,0900NURSING ADMINISTRATION 150426,A000000,00901,0000,0901OTHER NURSING 150426,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150426,A000000,01100,0000,1100PHARMACY 150426,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150426,A000000,01300,0000,1300SOCIAL SERVICE 150426,A000000,01301,0000,1301ACTIVITIES 150426,A000000,01600,0000,1600SKILLED NURSING FACILITY 150426,A000000,01800,0000,1800NURSING FACILITY 150426,A000000,02100,0000,2100RADIOLOGY 150426,A000000,02200,0000,2200LABORATORY 150426,A000000,02300,0000,2300INTRAVENOUS THERAPY 150426,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150426,A000000,02500,0000,2500PHYSICAL THERAPY 150426,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150426,A000000,02700,0000,2700SPEECH PATHOLOGY 150426,A000000,02800,0000,2800ELECTROCARDIOLOGY 150426,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150426,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150426,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150426,A000000,03301,0000,3051NUTRITIONAL THERAPY 150426,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150426,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150426,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150426,A000000,04800,0000,4800AMBULANCE 150426,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150426,A000000,05300,0000,5300INTEREST EXPENSE 150426,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150426,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150426,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150426,A000000,06200,0000,6200PATIENTS LAUNDRY 150426,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150426,A000000,06301,0000,6151DAY CARE 150426,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150426,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150426,A81000A,00100,0100,Y 150426,A81000B,00100,0300,HOME OFFICE COSTS 150426,A81000B,00200,0300,LIABILITY INSURANCE 150426,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 150426,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150426,A81000B,00500,0300,VC PHARMACY - ADMIN 150426,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 150426,A81000B,00700,0300,VC PHARMACY - LAUNDRY 150426,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 150426,A81000B,00900,0300,VC PHARMACY - DIETARY 150426,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 150426,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 150426,A81000B,01200,0300,VC PHARMACY - NONLEGEND 150426,A81000B,01300,0300,VC PHARMACY - MED RECORDS 150426,A81000B,01400,0300,VC PHARMACY - SOC SVCS 150426,A81000B,01500,0300,VC PHARMACY - ACTIVITY 150426,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 150426,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 150426,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 150426,A81000B,01900,0300,VC PHARMACY - LAB 150426,A81000B,02000,0300,VC PHARMACY - IV THERAPY 150426,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 150426,A81000B,02200,0300,VENCARE REHAB - PHYS THER 150426,A81000B,02300,0300,VENCARE REHAB - OCCP THER 150426,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 150426,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 150426,A81000B,02600,0300,VC PHARMACY - LEGEND 150426,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 150426,A81000B,02800,0300,VC PHARMACY - NUTR THER 150426,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 150426,A81000C,00100,0100,B 150426,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150426,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150426,A81000C,00100,0600,LIABILITY INSURANCE 150426,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150426,A81000C,00200,0600,PHARMACY 150426,A81000C,00300,0400,VENCARE RESPIRATORY 150426,A81000C,00300,0600,RESPIRATORY THERAPY 150426,A81000C,00400,0400,THERAPY SERVICES 150426,A81000C,00500,0400,VENCARE REHAB SERVICES 150426,A81000C,00500,0600,REHAB 150426,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150426,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150426,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150426,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150426,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150426,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150426,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150426,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150426,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150426,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150426,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150426,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150426,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150426,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150426,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150426,E10A180,00301,0100,11/30/00 150426,S000000,00100,0200,12/01/00 150426,S200000,00100,0100,333 WEST MISHAWAKA ROAD 150426,S200000,00200,0100,ELKHART 150426,S200000,00200,0200,IN 150426,S200000,00200,0300,46517- 150426,S200000,00300,0100,ELKHART 150426,S200000,00300,0300,U 150426,S200000,00400,0100,#209 VALLEY VIEW HEALTHCARE CENTER 150426,S200000,00400,0200,155496 150426,S200000,00400,0300,06/18/93 150426,S200000,00400,0500,P 150426,S200000,01500,0100,Y 150426,S200000,01600,0100,N 150426,S200000,01700,0100,N 150426,S200000,01800,0100,N 150426,S200000,02200,0100,Y 150426,S200000,02800,0100,N 150426,S200000,02900,0100,N 150426,S200000,03000,0100,N 150426,S200000,03100,0100,N 150426,S200000,03200,0100,N 150426,S200000,04100,0100,N 150426,S200000,04200,0100,N 150426,S200000,04300,0100,N 150426,S200000,04600,0100,N 150426,S200000,04700,0100,N 150426,S200000,04700,0200,N 150426,S200000,04900,0100,N 150426,S200000,05000,0100,N 150426,S200000,05100,0100,N 150426,S200000,05200,0100,N 150427,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150427,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150427,A000000,00300,0000,0300EMPLOYEE BENEFITS 150427,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150427,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150427,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150427,A000000,00700,0000,0700HOUSEKEEPING 150427,A000000,00800,0000,0800DIETARY 150427,A000000,00900,0000,0900NURSING ADMINISTRATION 150427,A000000,00901,0000,0901OTHER NURSING 150427,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150427,A000000,01100,0000,1100PHARMACY 150427,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150427,A000000,01300,0000,1300SOCIAL SERVICE 150427,A000000,01301,0000,1301ACTIVITIES 150427,A000000,01600,0000,1600SKILLED NURSING FACILITY 150427,A000000,01800,0000,1800NURSING FACILITY 150427,A000000,02100,0000,2100RADIOLOGY 150427,A000000,02200,0000,2200LABORATORY 150427,A000000,02300,0000,2300INTRAVENOUS THERAPY 150427,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150427,A000000,02500,0000,2500PHYSICAL THERAPY 150427,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150427,A000000,02700,0000,2700SPEECH PATHOLOGY 150427,A000000,02800,0000,2800ELECTROCARDIOLOGY 150427,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150427,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150427,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150427,A000000,03301,0000,3051NUTRITIONAL THERAPY 150427,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150427,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150427,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150427,A000000,04800,0000,4800AMBULANCE 150427,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150427,A000000,05300,0000,5300INTEREST EXPENSE 150427,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150427,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150427,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150427,A000000,06200,0000,6200PATIENTS LAUNDRY 150427,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150427,A000000,06301,0000,6151DAY CARE 150427,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150427,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150427,A81000A,00100,0100,Y 150427,A81000B,00100,0300,HOME OFFICE COSTS 150427,A81000B,00200,0300,LIABILITY INSURANCE 150427,A81000B,00500,0300,VC PHARMACY - ADMIN 150427,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 150427,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 150427,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150427,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150427,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150427,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150427,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150427,A81000B,01700,0300,VC PHARMACY - LEGEND 150427,A81000B,01800,0300,VC PHARMACY - EMPL BENEFITS 150427,A81000C,00100,0100,B 150427,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150427,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150427,A81000C,00100,0600,LIABILITY INSURANCE 150427,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150427,A81000C,00200,0600,PHARMACY 150427,A81000C,00300,0400,VENCARE RESPIRATORY 150427,A81000C,00300,0600,RESPIRATORY THERAPY 150427,A81000C,00400,0400,THERAPY SERVICES 150427,A81000C,00500,0400,VENCARE REHAB SERVICES 150427,A81000C,00500,0600,REHAB 150427,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150427,A81000C,00600,0600,PORTABLE X-RAY 150427,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150427,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150427,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150427,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150427,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150427,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150427,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150427,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150427,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150427,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150427,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150427,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150427,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150427,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150427,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150427,E10A180,00301,0100,11/30/00 150427,S000000,00100,0200,12/01/00 150427,S200000,00100,0100,1529 W. LANCASTER 150427,S200000,00200,0100,BLUFFTON 150427,S200000,00200,0200,IN 150427,S200000,00200,0300,46714- 150427,S200000,00300,0100,WELLS 150427,S200000,00300,0300,U 150427,S200000,00400,0100,#269 MEADOWVALE HEALTH & REHAB 150427,S200000,00400,0200,155501 150427,S200000,00400,0300,11/15/93 150427,S200000,00400,0500,P 150427,S200000,01500,0100,Y 150427,S200000,01600,0100,N 150427,S200000,01700,0100,N 150427,S200000,01800,0100,N 150427,S200000,02200,0100,Y 150427,S200000,02800,0100,N 150427,S200000,02900,0100,N 150427,S200000,03000,0100,N 150427,S200000,03100,0100,N 150427,S200000,03200,0100,N 150427,S200000,04100,0100,N 150427,S200000,04200,0100,N 150427,S200000,04300,0100,N 150427,S200000,04600,0100,N 150427,S200000,04700,0100,N 150427,S200000,04700,0200,N 150427,S200000,04900,0100,N 150427,S200000,05000,0100,N 150427,S200000,05100,0100,N 150427,S200000,05200,0100,N 150428,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150428,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150428,A000000,00300,0000,0300EMPLOYEE BENEFITS 150428,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150428,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150428,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150428,A000000,00700,0000,0700HOUSEKEEPING 150428,A000000,00800,0000,0800DIETARY 150428,A000000,00900,0000,0900NURSING ADMINISTRATION 150428,A000000,00901,0000,0901OTHER NURSING 150428,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150428,A000000,01100,0000,1100PHARMACY 150428,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150428,A000000,01300,0000,1300SOCIAL SERVICE 150428,A000000,01301,0000,1301ACTIVITIES 150428,A000000,01600,0000,1600SKILLED NURSING FACILITY 150428,A000000,01800,0000,1800NURSING FACILITY 150428,A000000,02100,0000,2100RADIOLOGY 150428,A000000,02200,0000,2200LABORATORY 150428,A000000,02300,0000,2300INTRAVENOUS THERAPY 150428,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150428,A000000,02500,0000,2500PHYSICAL THERAPY 150428,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150428,A000000,02700,0000,2700SPEECH PATHOLOGY 150428,A000000,02800,0000,2800ELECTROCARDIOLOGY 150428,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150428,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150428,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150428,A000000,03301,0000,3051NUTRITIONAL THERAPY 150428,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150428,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150428,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150428,A000000,04800,0000,4800AMBULANCE 150428,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150428,A000000,05300,0000,5300INTEREST EXPENSE 150428,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150428,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150428,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150428,A000000,06200,0000,6200PATIENTS LAUNDRY 150428,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150428,A000000,06301,0000,6151DAY CARE 150428,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150428,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150428,A81000A,00100,0100,Y 150428,A81000B,00100,0300,HOME OFFICE COSTS 150428,A81000B,00200,0300,LIABILITY INSURANCE 150428,A81000B,00500,0300,VC PHARMACY - ADMIN 150428,A81000B,00900,0300,VC PHARMACY - DIETARY 150428,A81000B,01000,0300,VC PHARMACY - SOC SVCS 150428,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150428,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150428,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150428,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150428,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150428,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150428,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 150428,A81000B,01800,0300,VC PHARMACY - LEGEND 150428,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 150428,A81000C,00100,0100,B 150428,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150428,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150428,A81000C,00100,0600,LIABILITY INSURANCE 150428,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150428,A81000C,00200,0600,PHARMACY 150428,A81000C,00300,0400,VENCARE RESPIRATORY 150428,A81000C,00300,0600,RESPIRATORY THERAPY 150428,A81000C,00400,0400,THERAPY SERVICES 150428,A81000C,00500,0400,VENCARE REHAB SERVICES 150428,A81000C,00500,0600,REHAB 150428,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150428,A81000C,00600,0600,PORTABLE X-RAY 150428,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150428,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150428,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150428,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150428,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150428,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150428,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150428,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150428,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150428,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150428,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150428,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150428,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150428,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150428,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150428,S000000,00100,0200,12/01/00 150428,S200000,00100,0100,150 BEECHMONT DRIVE 150428,S200000,00200,0100,CORYDON 150428,S200000,00200,0200,IN 150428,S200000,00200,0300,47112- 150428,S200000,00300,0100,HARRISON 150428,S200000,00300,0300,U 150428,S200000,00400,0100,#131 VENCOR AT CORYDON 150428,S200000,00400,0200,155657 150428,S200000,00400,0300,08/07/98 150428,S200000,00400,0500,P 150428,S200000,01500,0100,Y 150428,S200000,01600,0100,N 150428,S200000,01700,0100,N 150428,S200000,01800,0100,N 150428,S200000,02200,0100,Y 150428,S200000,02800,0100,N 150428,S200000,02900,0100,N 150428,S200000,03000,0100,N 150428,S200000,03100,0100,N 150428,S200000,03200,0100,N 150428,S200000,04100,0100,N 150428,S200000,04200,0100,N 150428,S200000,04300,0100,N 150428,S200000,04600,0100,N 150428,S200000,04700,0100,N 150428,S200000,04700,0200,N 150428,S200000,04900,0100,N 150428,S200000,05000,0100,N 150428,S200000,05100,0100,N 150428,S200000,05200,0100,N 150429,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150429,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150429,A000000,00300,0000,0300EMPLOYEE BENEFITS 150429,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150429,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150429,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150429,A000000,00700,0000,0700HOUSEKEEPING 150429,A000000,00800,0000,0800DIETARY 150429,A000000,00900,0000,0900NURSING ADMINISTRATION 150429,A000000,00901,0000,0901OTHER NURSING 150429,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150429,A000000,01100,0000,1100PHARMACY 150429,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150429,A000000,01300,0000,1300SOCIAL SERVICE 150429,A000000,01301,0000,1301ACTIVITIES 150429,A000000,01600,0000,1600SKILLED NURSING FACILITY 150429,A000000,01800,0000,1800NURSING FACILITY 150429,A000000,02100,0000,2100RADIOLOGY 150429,A000000,02200,0000,2200LABORATORY 150429,A000000,02300,0000,2300INTRAVENOUS THERAPY 150429,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150429,A000000,02500,0000,2500PHYSICAL THERAPY 150429,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150429,A000000,02700,0000,2700SPEECH PATHOLOGY 150429,A000000,02800,0000,2800ELECTROCARDIOLOGY 150429,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150429,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150429,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150429,A000000,03301,0000,3051NUTRITIONAL THERAPY 150429,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150429,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150429,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150429,A000000,04800,0000,4800AMBULANCE 150429,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150429,A000000,05300,0000,5300INTEREST EXPENSE 150429,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150429,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150429,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150429,A000000,06200,0000,6200PATIENTS LAUNDRY 150429,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150429,A000000,06301,0000,6151DAY CARE 150429,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150429,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150429,A81000A,00100,0100,Y 150429,A81000B,00100,0300,HOME OFFICE COSTS 150429,A81000B,00200,0300,LIABILITY INSURANCE 150429,A81000B,00500,0300,VC PHARMACY - ADMIN 150429,A81000B,00900,0300,VC PHARMACY - DIETARY 150429,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150429,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150429,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150429,A81000B,01300,0300,VC PHARMACY - LAB 150429,A81000B,01400,0300,VC PHARMACY - IV THERAPY 150429,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 150429,A81000B,01600,0300,VENCARE REHAB - PHYS THER 150429,A81000B,01700,0300,VENCARE REHAB - OCCP THER 150429,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 150429,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 150429,A81000B,02000,0300,VC PHARMACY - LEGEND 150429,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 150429,A81000C,00100,0100,B 150429,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150429,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150429,A81000C,00100,0600,LIABILITY INSURANCE 150429,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150429,A81000C,00200,0600,PHARMACY 150429,A81000C,00300,0400,VENCARE RESPIRATORY 150429,A81000C,00300,0600,RESPIRATORY THERAPY 150429,A81000C,00400,0400,THERAPY SERVICES 150429,A81000C,00500,0400,VENCARE REHAB SERVICES 150429,A81000C,00500,0600,REHAB 150429,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150429,A81000C,00600,0600,PORTABLE X-RAY 150429,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150429,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150429,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150429,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150429,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150429,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150429,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150429,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150429,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150429,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150429,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150429,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150429,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150429,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150429,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150429,S000000,00100,0200,12/01/00 150429,S200000,00100,0100,4102 SHORE DRIVE 150429,S200000,00200,0100,INDIANAPOLIS 150429,S200000,00200,0200,IN 150429,S200000,00200,0300,46254- 150429,S200000,00300,0100,MARION 150429,S200000,00300,0300,U 150429,S200000,00400,0100,#194 VENCOR AT EAGLE CREEK 150429,S200000,00400,0200,155664 150429,S200000,00400,0300,04/29/99 150429,S200000,00400,0500,P 150429,S200000,01500,0100,Y 150429,S200000,01600,0100,N 150429,S200000,01700,0100,N 150429,S200000,01800,0100,N 150429,S200000,02200,0100,Y 150429,S200000,02800,0100,N 150429,S200000,02900,0100,N 150429,S200000,03000,0100,N 150429,S200000,03100,0100,N 150429,S200000,03200,0100,N 150429,S200000,04100,0100,N 150429,S200000,04200,0100,N 150429,S200000,04300,0100,N 150429,S200000,04600,0100,N 150429,S200000,04700,0100,N 150429,S200000,04700,0200,N 150429,S200000,04900,0100,N 150429,S200000,05000,0100,N 150429,S200000,05100,0100,N 150429,S200000,05200,0100,N 150450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150450,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150450,A000000,00300,0000,0300EMPLOYEE BENEFITS 150450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150450,A000000,00700,0000,0700HOUSEKEEPING 150450,A000000,00800,0000,0800DIETARY 150450,A000000,00900,0000,0900NURSING ADMINISTRATION 150450,A000000,00901,0000,0901OTHER NURSING 150450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150450,A000000,01100,0000,1100PHARMACY 150450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150450,A000000,01300,0000,1300SOCIAL SERVICE 150450,A000000,01301,0000,1301ACTIVITIES 150450,A000000,01600,0000,1600SKILLED NURSING FACILITY 150450,A000000,01800,0000,1800NURSING FACILITY 150450,A000000,02100,0000,2100RADIOLOGY 150450,A000000,02200,0000,2200LABORATORY 150450,A000000,02300,0000,2300INTRAVENOUS THERAPY 150450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150450,A000000,02500,0000,2500PHYSICAL THERAPY 150450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150450,A000000,02700,0000,2700SPEECH PATHOLOGY 150450,A000000,02800,0000,2800ELECTROCARDIOLOGY 150450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150450,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150450,A000000,03301,0000,3051NUTRITIONAL THERAPY 150450,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150450,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150450,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150450,A000000,04800,0000,4800AMBULANCE 150450,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150450,A000000,05300,0000,5300INTEREST EXPENSE 150450,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150450,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150450,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150450,A000000,06200,0000,6200PATIENTS LAUNDRY 150450,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150450,A000000,06301,0000,6151DAY CARE 150450,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150450,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150450,A81000A,00100,0100,Y 150450,A81000B,00100,0300,HOME OFFICE COSTS 150450,A81000B,00200,0300,LIABILITY INSURANCE 150450,A81000B,00500,0300,VC PHARMACY - ADMIN 150450,A81000B,00900,0300,VC PHARMACY - DIETARY 150450,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150450,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150450,A81000B,01200,0300,VC PHARMACY - LAB 150450,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150450,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150450,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150450,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150450,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150450,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150450,A81000B,01900,0300,VC PHARMACY - LEGEND 150450,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 150450,A81000C,00100,0100,B 150450,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150450,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150450,A81000C,00100,0600,LIABILITY INSURANCE 150450,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150450,A81000C,00200,0600,PHARMACY 150450,A81000C,00300,0400,VENCARE RESPIRATORY 150450,A81000C,00300,0600,RESPIRATORY THERAPY 150450,A81000C,00400,0400,THERAPY SERVICES 150450,A81000C,00500,0400,VENCARE REHAB SERVICES 150450,A81000C,00500,0600,REHAB 150450,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150450,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150450,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150450,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150450,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150450,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150450,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150450,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150450,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150450,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150450,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150450,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150450,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150450,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150450,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150450,E10A180,00301,0100,06/30/00 150450,E10A180,00350,0100,11/30/00 150450,S000000,00100,0200,12/01/00 150450,S200000,00100,0100,550 HIGH STREET 150450,S200000,00200,0100,BOWLING GREEN 150450,S200000,00200,0200,KY 150450,S200000,00200,0300,42101- 150450,S200000,00300,0100,WARREN 150450,S200000,00300,0300,R 150450,S200000,00400,0100,ROSEWOOD HEALTH CARE CTR - 277 150450,S200000,00400,0200,185089 150450,S200000,00400,0300,11/01/85 150450,S200000,00400,0500,P 150450,S200000,01500,0100,Y 150450,S200000,01600,0100,N 150450,S200000,01700,0100,N 150450,S200000,01800,0100,N 150450,S200000,02200,0100,Y 150450,S200000,02800,0100,N 150450,S200000,02900,0100,N 150450,S200000,03000,0100,N 150450,S200000,03100,0100,N 150450,S200000,03200,0100,N 150450,S200000,04100,0100,N 150450,S200000,04200,0100,N 150450,S200000,04300,0100,N 150450,S200000,04600,0100,N 150450,S200000,04700,0100,N 150450,S200000,04700,0200,N 150450,S200000,04900,0100,N 150450,S200000,05000,0100,N 150450,S200000,05100,0100,N 150450,S200000,05200,0100,N 150451,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150451,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150451,A000000,00300,0000,0300EMPLOYEE BENEFITS 150451,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150451,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150451,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150451,A000000,00700,0000,0700HOUSEKEEPING 150451,A000000,00800,0000,0800DIETARY 150451,A000000,00900,0000,0900NURSING ADMINISTRATION 150451,A000000,00901,0000,0901OTHER NURSING 150451,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150451,A000000,01100,0000,1100PHARMACY 150451,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150451,A000000,01300,0000,1300SOCIAL SERVICE 150451,A000000,01301,0000,1301ACTIVITIES 150451,A000000,01600,0000,1600SKILLED NURSING FACILITY 150451,A000000,01800,0000,1800NURSING FACILITY 150451,A000000,02100,0000,2100RADIOLOGY 150451,A000000,02200,0000,2200LABORATORY 150451,A000000,02300,0000,2300INTRAVENOUS THERAPY 150451,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150451,A000000,02500,0000,2500PHYSICAL THERAPY 150451,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150451,A000000,02700,0000,2700SPEECH PATHOLOGY 150451,A000000,02800,0000,2800ELECTROCARDIOLOGY 150451,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150451,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150451,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150451,A000000,03301,0000,3051NUTRITIONAL THERAPY 150451,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150451,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150451,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150451,A000000,04800,0000,4800AMBULANCE 150451,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150451,A000000,05300,0000,5300INTEREST EXPENSE 150451,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150451,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150451,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150451,A000000,06200,0000,6200PATIENTS LAUNDRY 150451,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150451,A000000,06301,0000,6151DAY CARE 150451,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150451,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150451,A81000A,00100,0100,Y 150451,A81000B,00100,0300,HOME OFFICE COSTS 150451,A81000B,00200,0300,LIABILITY INSURANCE 150451,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150451,A81000B,00500,0300,VC PHARMACY - ADMIN 150451,A81000B,00900,0300,VC PHARMACY - DIETARY 150451,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150451,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150451,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 150451,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 150451,A81000B,01400,0300,VC PHARMACY - IV THERAPY 150451,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 150451,A81000B,01600,0300,VENCARE REHAB - PHYS THER 150451,A81000B,01700,0300,VENCARE REHAB - OCCP THER 150451,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 150451,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 150451,A81000B,02000,0300,VC PHARMACY - LEGEND 150451,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 150451,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 150451,A81000C,00100,0100,B 150451,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150451,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150451,A81000C,00100,0600,LIABILITY INSURANCE 150451,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150451,A81000C,00200,0600,PHARMACY 150451,A81000C,00300,0400,VENCARE RESPIRATORY 150451,A81000C,00300,0600,RESPIRATORY THERAPY 150451,A81000C,00400,0400,THERAPY SERVICES 150451,A81000C,00500,0400,VENCARE REHAB SERVICES 150451,A81000C,00500,0600,REHAB 150451,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150451,A81000C,00600,0600,PORTABLE X-RAY 150451,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150451,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150451,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150451,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150451,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150451,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150451,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150451,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150451,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150451,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150451,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150451,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150451,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150451,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150451,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150451,E10A180,00301,0100,06/30/00 150451,E10A180,00302,0100,11/30/00 150451,S000000,00100,0200,12/01/00 150451,S200000,00100,0100,1117 WOODLAND DRIVE 150451,S200000,00200,0100,ELIZABETHTOWN 150451,S200000,00200,0200,KY 150451,S200000,00200,0300,42701- 150451,S200000,00300,0100,HARDIN 150451,S200000,00300,0300,R 150451,S200000,00400,0100,787 - WOODLAND TERRACE HEALTH CARE 150451,S200000,00400,0200,185118 150451,S200000,00400,0300,07/01/69 150451,S200000,00400,0500,P 150451,S200000,01500,0100,N 150451,S200000,01600,0100,Y 150451,S200000,01700,0100,N 150451,S200000,01800,0100,N 150451,S200000,02200,0100,Y 150451,S200000,02800,0100,N 150451,S200000,02900,0100,N 150451,S200000,03000,0100,N 150451,S200000,03100,0100,N 150451,S200000,03200,0100,N 150451,S200000,04100,0100,N 150451,S200000,04200,0100,N 150451,S200000,04300,0100,N 150451,S200000,04600,0100,N 150451,S200000,04700,0100,N 150451,S200000,04700,0200,N 150451,S200000,04900,0100,N 150451,S200000,05000,0100,N 150451,S200000,05100,0100,N 150451,S200000,05200,0100,N 150452,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150452,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150452,A000000,00300,0000,0300EMPLOYEE BENEFITS 150452,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150452,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150452,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150452,A000000,00700,0000,0700HOUSEKEEPING 150452,A000000,00800,0000,0800DIETARY 150452,A000000,00900,0000,0900NURSING ADMINISTRATION 150452,A000000,00901,0000,0901OTHER NURSING 150452,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150452,A000000,01100,0000,1100PHARMACY 150452,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150452,A000000,01300,0000,1300SOCIAL SERVICE 150452,A000000,01301,0000,1301ACTIVITIES 150452,A000000,01600,0000,1600SKILLED NURSING FACILITY 150452,A000000,01800,0000,1800NURSING FACILITY 150452,A000000,02100,0000,2100RADIOLOGY 150452,A000000,02200,0000,2200LABORATORY 150452,A000000,02300,0000,2300INTRAVENOUS THERAPY 150452,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150452,A000000,02500,0000,2500PHYSICAL THERAPY 150452,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150452,A000000,02700,0000,2700SPEECH PATHOLOGY 150452,A000000,02800,0000,2800ELECTROCARDIOLOGY 150452,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150452,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150452,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150452,A000000,03301,0000,3051NUTRITIONAL THERAPY 150452,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150452,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150452,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150452,A000000,04800,0000,4800AMBULANCE 150452,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150452,A000000,05300,0000,5300INTEREST EXPENSE 150452,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150452,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150452,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150452,A000000,06200,0000,6200PATIENTS LAUNDRY 150452,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150452,A000000,06301,0000,6151DAY CARE 150452,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150452,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150452,A81000A,00100,0100,Y 150452,A81000B,00100,0300,HOME OFFICE COSTS 150452,A81000B,00200,0300,LIABILITY INSURANCE 150452,A81000B,00500,0300,VC PHARMACY - ADMIN 150452,A81000B,00900,0300,VC PHARMACY - DIETARY 150452,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150452,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150452,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 150452,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 150452,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150452,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150452,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150452,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150452,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150452,A81000B,01900,0300,VC PHARMACY - LEGEND 150452,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 150452,A81000C,00100,0100,B 150452,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150452,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150452,A81000C,00100,0600,LIABILITY INSURANCE 150452,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150452,A81000C,00200,0600,PHARMACY 150452,A81000C,00300,0400,VENCARE RESPIRATORY 150452,A81000C,00300,0600,RESPIRATORY THERAPY 150452,A81000C,00400,0400,THERAPY SERVICES 150452,A81000C,00500,0400,VENCARE REHAB SERVICES 150452,A81000C,00500,0600,REHAB 150452,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150452,A81000C,00600,0600,PORTABLE X-RAY 150452,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150452,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150452,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150452,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150452,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150452,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150452,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150452,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150452,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150452,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150452,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150452,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150452,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150452,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150452,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150452,E10A180,00301,0100,06/30/00 150452,E10A180,00350,0100,11/30/00 150452,S000000,00100,0200,12/01/00 150452,S200000,00100,0100,3740 OLD HARTFORD ROAD 150452,S200000,00200,0100,OWENSBORO 150452,S200000,00200,0200,KY 150452,S200000,00200,0300,42303- 150452,S200000,00300,0100,DAVIESS 150452,S200000,00300,0300,U 150452,S200000,00400,0100,785 - HILLCREST HEALTH CARE CENTER 150452,S200000,00400,0200,185120 150452,S200000,00400,0300,09/01/82 150452,S200000,00400,0500,P 150452,S200000,01500,0100,N 150452,S200000,01600,0100,Y 150452,S200000,01700,0100,N 150452,S200000,01800,0100,N 150452,S200000,02200,0100,Y 150452,S200000,02800,0100,N 150452,S200000,02900,0100,N 150452,S200000,03000,0100,N 150452,S200000,03100,0100,N 150452,S200000,03200,0100,N 150452,S200000,04100,0100,N 150452,S200000,04200,0100,N 150452,S200000,04300,0100,N 150452,S200000,04600,0100,N 150452,S200000,04700,0100,N 150452,S200000,04700,0200,N 150452,S200000,04900,0100,N 150452,S200000,05000,0100,N 150452,S200000,05100,0100,N 150452,S200000,05200,0100,N 150453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150453,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150453,A000000,00300,0000,0300EMPLOYEE BENEFITS 150453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150453,A000000,00700,0000,0700HOUSEKEEPING 150453,A000000,00800,0000,0800DIETARY 150453,A000000,00900,0000,0900NURSING ADMINISTRATION 150453,A000000,00901,0000,0901OTHER NURSING 150453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150453,A000000,01100,0000,1100PHARMACY 150453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150453,A000000,01300,0000,1300SOCIAL SERVICE 150453,A000000,01301,0000,1301ACTIVITIES 150453,A000000,01600,0000,1600SKILLED NURSING FACILITY 150453,A000000,01800,0000,1800NURSING FACILITY 150453,A000000,02100,0000,2100RADIOLOGY 150453,A000000,02200,0000,2200LABORATORY 150453,A000000,02300,0000,2300INTRAVENOUS THERAPY 150453,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150453,A000000,02500,0000,2500PHYSICAL THERAPY 150453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150453,A000000,02700,0000,2700SPEECH PATHOLOGY 150453,A000000,02800,0000,2800ELECTROCARDIOLOGY 150453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150453,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150453,A000000,03301,0000,3051NUTRITIONAL THERAPY 150453,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150453,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150453,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150453,A000000,04800,0000,4800AMBULANCE 150453,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150453,A000000,05300,0000,5300INTEREST EXPENSE 150453,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150453,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150453,A000000,06200,0000,6200PATIENTS LAUNDRY 150453,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150453,A000000,06301,0000,6151DAY CARE 150453,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150453,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150453,A81000A,00100,0100,Y 150453,A81000B,00100,0300,HOME OFFICE COSTS 150453,A81000B,00200,0300,LIABILITY INSURANCE 150453,A81000B,00500,0300,VC PHARMACY - ADMIN 150453,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150453,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150453,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 150453,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 150453,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150453,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150453,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150453,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150453,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150453,A81000B,01900,0300,VC PHARMACY - LEGEND 150453,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150453,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 150453,A81000C,00100,0100,B 150453,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150453,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150453,A81000C,00100,0600,LIABILITY INSURANCE 150453,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150453,A81000C,00200,0600,PHARMACY 150453,A81000C,00300,0400,VENCARE RESPIRATORY 150453,A81000C,00300,0600,RESPIRATORY THERAPY 150453,A81000C,00400,0400,THERAPY SERVICES 150453,A81000C,00500,0400,VENCARE REHAB SERVICES 150453,A81000C,00500,0600,REHAB 150453,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150453,A81000C,00600,0600,PORTABLE X-RAY 150453,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150453,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150453,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150453,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150453,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150453,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150453,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150453,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150453,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150453,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150453,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150453,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150453,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150453,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150453,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150453,E10A180,00301,0100,06/30/00 150453,E10A180,00302,0100,11/30/00 150453,S000000,00100,0200,12/01/00 150453,S200000,00100,0100,642 NORTH THIRD STREET 150453,S200000,00200,0100,DANVILLE 150453,S200000,00200,0200,KY 150453,S200000,00200,0300,40422- 150453,S200000,00300,0100,BOYLE 150453,S200000,00300,0300,R 150453,S200000,00400,0100,#782 DANVILLE CENTRE FOR HEALTH 150453,S200000,00400,0200,185127 150453,S200000,00400,0300,09/01/82 150453,S200000,00400,0500,P 150453,S200000,01500,0100,N 150453,S200000,01600,0100,Y 150453,S200000,01700,0100,N 150453,S200000,01800,0100,N 150453,S200000,02200,0100,Y 150453,S200000,02800,0100,N 150453,S200000,02900,0100,N 150453,S200000,03000,0100,N 150453,S200000,03100,0100,N 150453,S200000,03200,0100,N 150453,S200000,04100,0100,N 150453,S200000,04200,0100,N 150453,S200000,04300,0100,N 150453,S200000,04600,0100,N 150453,S200000,04700,0100,N 150453,S200000,04700,0200,N 150453,S200000,04900,0100,N 150453,S200000,05000,0100,N 150453,S200000,05100,0100,N 150453,S200000,05200,0100,N 150454,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150454,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150454,A000000,00300,0000,0300EMPLOYEE BENEFITS 150454,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150454,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150454,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150454,A000000,00700,0000,0700HOUSEKEEPING 150454,A000000,00800,0000,0800DIETARY 150454,A000000,00900,0000,0900NURSING ADMINISTRATION 150454,A000000,00901,0000,0901OTHER NURSING 150454,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150454,A000000,01100,0000,1100PHARMACY 150454,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150454,A000000,01300,0000,1300SOCIAL SERVICE 150454,A000000,01301,0000,1301ACTIVITIES 150454,A000000,01600,0000,1600SKILLED NURSING FACILITY 150454,A000000,01800,0000,1800NURSING FACILITY 150454,A000000,02100,0000,2100RADIOLOGY 150454,A000000,02200,0000,2200LABORATORY 150454,A000000,02300,0000,2300INTRAVENOUS THERAPY 150454,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150454,A000000,02500,0000,2500PHYSICAL THERAPY 150454,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150454,A000000,02700,0000,2700SPEECH PATHOLOGY 150454,A000000,02800,0000,2800ELECTROCARDIOLOGY 150454,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150454,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150454,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150454,A000000,03301,0000,3051NUTRITIONAL THERAPY 150454,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150454,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150454,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150454,A000000,04800,0000,4800AMBULANCE 150454,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150454,A000000,05300,0000,5300INTEREST EXPENSE 150454,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150454,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150454,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150454,A000000,06200,0000,6200PATIENTS LAUNDRY 150454,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150454,A000000,06301,0000,6151DAY CARE 150454,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150454,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150454,A81000A,00100,0100,Y 150454,A81000B,00100,0300,HOME OFFICE COSTS 150454,A81000B,00200,0300,LIABILITY INSURANCE 150454,A81000B,00500,0300,VC PHARMACY - ADMIN 150454,A81000B,00900,0300,VC PHARMACY - DIETARY 150454,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 150454,A81000B,01100,0300,VC PHARMACY - ROUTINE NONCT 150454,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150454,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150454,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150454,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150454,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150454,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150454,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150454,A81000B,01900,0300,VC PHARMACY - LEGEND 150454,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150454,A81000B,02100,0300,VC PHARMACY - NONREIMB 150454,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 150454,A81000C,00100,0100,B 150454,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150454,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150454,A81000C,00100,0600,LIABILITY INSURANCE 150454,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150454,A81000C,00200,0600,PHARMACY 150454,A81000C,00300,0400,VENCARE RESPIRATORY 150454,A81000C,00300,0600,RESPIRATORY THERAPY 150454,A81000C,00400,0400,THERAPY SERVICES 150454,A81000C,00500,0400,VENCARE REHAB SERVICES 150454,A81000C,00500,0600,REHAB 150454,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150454,A81000C,00600,0600,PORTABLE X-RAY 150454,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150454,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150454,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150454,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150454,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150454,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150454,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150454,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150454,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150454,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150454,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150454,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150454,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150454,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150454,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150454,E10A180,00301,0100,06/30/00 150454,E10A180,00350,0100,11/30/00 150454,S000000,00100,0200,12/01/00 150454,S200000,00100,0100,6000 HUNTING ROAD 150454,S200000,00200,0100,LOUISVILLE 150454,S200000,00200,0200,KY 150454,S200000,00200,0300,40222- 150454,S200000,00300,0100,JEFFERSON 150454,S200000,00300,0300,U 150454,S200000,00400,0100,# 784 NORTHFIELD CENTRE FOR HEALTH 150454,S200000,00400,0200,185179 150454,S200000,00400,0300,07/01/86 150454,S200000,00400,0500,P 150454,S200000,01500,0100,N 150454,S200000,01600,0100,Y 150454,S200000,01700,0100,N 150454,S200000,01800,0100,N 150454,S200000,02200,0100,Y 150454,S200000,02800,0100,N 150454,S200000,02900,0100,N 150454,S200000,03000,0100,N 150454,S200000,03100,0100,N 150454,S200000,03200,0100,N 150454,S200000,04100,0100,N 150454,S200000,04200,0100,N 150454,S200000,04300,0100,N 150454,S200000,04600,0100,N 150454,S200000,04700,0100,N 150454,S200000,04700,0200,N 150454,S200000,04900,0100,N 150454,S200000,05000,0100,N 150454,S200000,05100,0100,N 150454,S200000,05200,0100,N 150536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150536,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150536,A000000,00300,0000,0300EMPLOYEE BENEFITS 150536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150536,A000000,00700,0000,0700HOUSEKEEPING 150536,A000000,00800,0000,0800DIETARY 150536,A000000,00900,0000,0900NURSING ADMINISTRATION 150536,A000000,00901,0000,0901OTHER NURSING 150536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150536,A000000,01100,0000,1100PHARMACY 150536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150536,A000000,01300,0000,1300SOCIAL SERVICE 150536,A000000,01301,0000,1301ACTIVITIES 150536,A000000,01600,0000,1600SKILLED NURSING FACILITY 150536,A000000,01800,0000,1800NURSING FACILITY 150536,A000000,02100,0000,2100RADIOLOGY 150536,A000000,02200,0000,2200LABORATORY 150536,A000000,02300,0000,2300INTRAVENOUS THERAPY 150536,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150536,A000000,02500,0000,2500PHYSICAL THERAPY 150536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150536,A000000,02700,0000,2700SPEECH PATHOLOGY 150536,A000000,02800,0000,2800ELECTROCARDIOLOGY 150536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150536,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150536,A000000,03301,0000,3051NUTRITIONAL THERAPY 150536,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150536,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150536,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150536,A000000,04800,0000,4800AMBULANCE 150536,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150536,A000000,05300,0000,5300INTEREST EXPENSE 150536,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150536,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150536,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150536,A000000,06200,0000,6200PATIENTS LAUNDRY 150536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150536,A000000,06301,0000,6151DAY CARE 150536,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150536,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150536,A81000A,00100,0100,Y 150536,A81000B,00100,0300,HOME OFFICE COSTS 150536,A81000B,00200,0300,LIABILITY INSURANCE 150536,A81000B,00500,0300,VC PHARMACY - ADMIN 150536,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150536,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150536,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150536,A81000B,01300,0300,VENCARE REHAB - PHYS THER 150536,A81000B,01400,0300,VENCARE REHAB - OCCP THER 150536,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 150536,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 150536,A81000B,01700,0300,VC PHARMACY - LEGEND 150536,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 150536,A81000C,00100,0100,B 150536,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150536,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150536,A81000C,00100,0600,LIABILITY INSURANCE 150536,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150536,A81000C,00200,0600,PHARMACY 150536,A81000C,00500,0400,VENCARE REHAB SERVICES 150536,A81000C,00500,0600,REHAB 150536,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150536,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150536,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150536,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150536,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150536,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150536,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150536,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150536,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150536,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150536,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150536,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150536,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150536,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150536,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150536,E10A180,00301,0100,06/30/00 150536,E10A180,00350,0100,11/30/00 150536,S000000,00100,0200,12/01/00 150536,S200000,00100,0100,145 OLIVE STREET 150536,S200000,00200,0100,AKRON 150536,S200000,00200,0200,OH 150536,S200000,00200,0300,44310- 150536,S200000,00300,0100,SUMMIT 150536,S200000,00300,0300,U 150536,S200000,00400,0100,#802 BRIDGEPARK CTR FOR RHB & NURS 150536,S200000,00400,0200,365259 150536,S200000,00400,0300,01/13/71 150536,S200000,00400,0500,P 150536,S200000,01500,0100,Y 150536,S200000,01600,0100,N 150536,S200000,01700,0100,N 150536,S200000,01800,0100,N 150536,S200000,02200,0100,Y 150536,S200000,02800,0100,N 150536,S200000,02900,0100,N 150536,S200000,03000,0100,N 150536,S200000,03100,0100,N 150536,S200000,03200,0100,N 150536,S200000,04100,0100,N 150536,S200000,04200,0100,N 150536,S200000,04300,0100,N 150536,S200000,04600,0100,N 150536,S200000,04700,0100,N 150536,S200000,04700,0200,N 150536,S200000,04900,0100,N 150536,S200000,05000,0100,N 150536,S200000,05100,0100,N 150536,S200000,05200,0100,N 150538,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150538,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150538,A000000,00300,0000,0300EMPLOYEE BENEFITS 150538,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150538,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150538,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150538,A000000,00700,0000,0700HOUSEKEEPING 150538,A000000,00800,0000,0800DIETARY 150538,A000000,00900,0000,0900NURSING ADMINISTRATION 150538,A000000,00901,0000,0901OTHER NURSING 150538,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150538,A000000,01100,0000,1100PHARMACY 150538,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150538,A000000,01300,0000,1300SOCIAL SERVICE 150538,A000000,01301,0000,1301ACTIVITIES 150538,A000000,01600,0000,1600SKILLED NURSING FACILITY 150538,A000000,01800,0000,1800NURSING FACILITY 150538,A000000,02100,0000,2100RADIOLOGY 150538,A000000,02200,0000,2200LABORATORY 150538,A000000,02300,0000,2300INTRAVENOUS THERAPY 150538,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150538,A000000,02500,0000,2500PHYSICAL THERAPY 150538,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150538,A000000,02700,0000,2700SPEECH PATHOLOGY 150538,A000000,02800,0000,2800ELECTROCARDIOLOGY 150538,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150538,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150538,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150538,A000000,03301,0000,3051NUTRITIONAL THERAPY 150538,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150538,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150538,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150538,A000000,04800,0000,4800AMBULANCE 150538,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150538,A000000,05300,0000,5300INTEREST EXPENSE 150538,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150538,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150538,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150538,A000000,06200,0000,6200PATIENTS LAUNDRY 150538,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150538,A000000,06301,0000,6151DAY CARE 150538,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150538,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150538,A81000A,00100,0100,Y 150538,A81000B,00100,0300,HOME OFFICE COSTS 150538,A81000B,00200,0300,LIABILITY INSURANCE 150538,A81000B,00500,0300,VC PHARMACY - ADMIN 150538,A81000B,00900,0300,VC PHARMACY - DIETARY 150538,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150538,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150538,A81000B,01200,0300,VC PHARMACY - LAB 150538,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150538,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150538,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150538,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150538,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150538,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150538,A81000B,01900,0300,VC PHARMACY - LEGEND 150538,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150538,A81000C,00100,0100,B 150538,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150538,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150538,A81000C,00100,0600,LIABILITY INSURANCE 150538,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150538,A81000C,00200,0600,PHARMACY 150538,A81000C,00300,0400,VENCARE RESPIRATORY 150538,A81000C,00300,0600,RESPIRATORY THERAPY 150538,A81000C,00400,0400,THERAPY SERVICES 150538,A81000C,00500,0400,VENCARE REHAB SERVICES 150538,A81000C,00500,0600,REHAB 150538,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150538,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150538,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150538,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150538,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150538,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150538,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150538,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150538,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150538,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150538,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150538,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150538,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150538,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150538,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150538,E10A180,00301,0100,11/30/00 150538,S000000,00100,0200,12/01/00 150538,S200000,00100,0100,175 COMMUNITY DRIVE 150538,S200000,00200,0100,MARION 150538,S200000,00200,0200,OH 150538,S200000,00200,0300,43302- 150538,S200000,00300,0100,MARION 150538,S200000,00300,0300,R 150538,S200000,00400,0100,#870 COMMUNITY HEALTHCARE CENTER 150538,S200000,00400,0200,365329 150538,S200000,00400,0300,08/01/95 150538,S200000,00400,0500,P 150538,S200000,01500,0100,Y 150538,S200000,01600,0100,N 150538,S200000,01700,0100,N 150538,S200000,01800,0100,N 150538,S200000,02200,0100,Y 150538,S200000,02800,0100,N 150538,S200000,02900,0100,N 150538,S200000,03000,0100,N 150538,S200000,03100,0100,N 150538,S200000,03200,0100,N 150538,S200000,04100,0100,N 150538,S200000,04200,0100,N 150538,S200000,04300,0100,N 150538,S200000,04600,0100,N 150538,S200000,04700,0100,N 150538,S200000,04700,0200,N 150538,S200000,04900,0100,N 150538,S200000,05000,0100,N 150538,S200000,05100,0100,N 150538,S200000,05200,0100,N 150539,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150539,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150539,A000000,00300,0000,0300EMPLOYEE BENEFITS 150539,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150539,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150539,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150539,A000000,00700,0000,0700HOUSEKEEPING 150539,A000000,00800,0000,0800DIETARY 150539,A000000,00900,0000,0900NURSING ADMINISTRATION 150539,A000000,00901,0000,0901OTHER NURSING 150539,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150539,A000000,01100,0000,1100PHARMACY 150539,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150539,A000000,01300,0000,1300SOCIAL SERVICE 150539,A000000,01301,0000,1301ACTIVITIES 150539,A000000,01600,0000,1600SKILLED NURSING FACILITY 150539,A000000,01800,0000,1800NURSING FACILITY 150539,A000000,02100,0000,2100RADIOLOGY 150539,A000000,02200,0000,2200LABORATORY 150539,A000000,02300,0000,2300INTRAVENOUS THERAPY 150539,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150539,A000000,02500,0000,2500PHYSICAL THERAPY 150539,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150539,A000000,02700,0000,2700SPEECH PATHOLOGY 150539,A000000,02800,0000,2800ELECTROCARDIOLOGY 150539,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150539,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150539,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150539,A000000,03301,0000,3051NUTRITIONAL THERAPY 150539,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150539,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150539,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150539,A000000,04800,0000,4800AMBULANCE 150539,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150539,A000000,05300,0000,5300INTEREST EXPENSE 150539,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150539,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150539,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150539,A000000,06200,0000,6200PATIENTS LAUNDRY 150539,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150539,A000000,06301,0000,6151DAY CARE 150539,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150539,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150539,A81000A,00100,0100,Y 150539,A81000B,00100,0300,HOME OFFICE COSTS 150539,A81000B,00200,0300,LIABILITY INSURANCE 150539,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150539,A81000B,00500,0300,VC PHARMACY - ADMIN 150539,A81000B,00900,0300,VC PHARMACY - DIETARY 150539,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150539,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150539,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150539,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150539,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150539,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150539,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150539,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150539,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150539,A81000B,01900,0300,VC PHARMACY - LEGEND 150539,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150539,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 150539,A81000C,00100,0100,B 150539,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150539,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150539,A81000C,00100,0600,LIABILITY INSURANCE 150539,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150539,A81000C,00200,0600,PHARMACY 150539,A81000C,00300,0400,VENCARE RESPIRATORY 150539,A81000C,00300,0600,RESPIRATORY THERAPY 150539,A81000C,00400,0400,THERAPY SERVICES 150539,A81000C,00500,0400,VENCARE REHAB SERVICES 150539,A81000C,00500,0600,REHAB 150539,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150539,A81000C,00600,0600,PORTABLE X-RAY 150539,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150539,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150539,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150539,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150539,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150539,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150539,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150539,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150539,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150539,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150539,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150539,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150539,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150539,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150539,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150539,E10A180,00301,0100,06/30/00 150539,E10A180,00302,0100,11/30/00 150539,S000000,00100,0200,12/01/00 150539,S200000,00100,0100,75 MCMILLEN DRIVE 150539,S200000,00200,0100,NEWARK 150539,S200000,00200,0200,OH 150539,S200000,00200,0300,43055- 150539,S200000,00300,0100,LICKING 150539,S200000,00300,0300,U 150539,S200000,00400,0100,#237 NEWARK HEALTHCARE CENTER 150539,S200000,00400,0200,365425 150539,S200000,00400,0300,05/01/86 150539,S200000,00400,0500,P 150539,S200000,01500,0100,Y 150539,S200000,01600,0100,N 150539,S200000,01700,0100,N 150539,S200000,01800,0100,N 150539,S200000,02200,0100,Y 150539,S200000,02800,0100,N 150539,S200000,02900,0100,N 150539,S200000,03000,0100,N 150539,S200000,03100,0100,N 150539,S200000,03200,0100,N 150539,S200000,04100,0100,N 150539,S200000,04200,0100,N 150539,S200000,04300,0100,N 150539,S200000,04600,0100,N 150539,S200000,04700,0100,N 150539,S200000,04700,0200,N 150539,S200000,04900,0100,N 150539,S200000,05000,0100,N 150539,S200000,05100,0100,N 150539,S200000,05200,0100,N 150540,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150540,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150540,A000000,00300,0000,0300EMPLOYEE BENEFITS 150540,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150540,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150540,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150540,A000000,00700,0000,0700HOUSEKEEPING 150540,A000000,00800,0000,0800DIETARY 150540,A000000,00900,0000,0900NURSING ADMINISTRATION 150540,A000000,00901,0000,0901OTHER NURSING 150540,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150540,A000000,01100,0000,1100PHARMACY 150540,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150540,A000000,01300,0000,1300SOCIAL SERVICE 150540,A000000,01301,0000,1301ACTIVITIES 150540,A000000,01600,0000,1600SKILLED NURSING FACILITY 150540,A000000,01800,0000,1800NURSING FACILITY 150540,A000000,02100,0000,2100RADIOLOGY 150540,A000000,02200,0000,2200LABORATORY 150540,A000000,02300,0000,2300INTRAVENOUS THERAPY 150540,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150540,A000000,02500,0000,2500PHYSICAL THERAPY 150540,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150540,A000000,02700,0000,2700SPEECH PATHOLOGY 150540,A000000,02800,0000,2800ELECTROCARDIOLOGY 150540,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150540,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150540,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150540,A000000,03301,0000,3051NUTRITIONAL THERAPY 150540,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150540,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150540,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150540,A000000,04800,0000,4800AMBULANCE 150540,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150540,A000000,05300,0000,5300INTEREST EXPENSE 150540,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150540,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150540,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150540,A000000,06200,0000,6200PATIENTS LAUNDRY 150540,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150540,A000000,06301,0000,6151DAY CARE 150540,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150540,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150540,A81000A,00100,0100,Y 150540,A81000B,00100,0300,HOME OFFICE COSTS 150540,A81000B,00200,0300,LIABILITY INSURANCE 150540,A81000B,00500,0300,VC PHARMACY - ADMIN 150540,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150540,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150540,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150540,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150540,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150540,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150540,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150540,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 150540,A81000B,01800,0300,VC PHARMACY - LEGEND 150540,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 150540,A81000C,00100,0100,B 150540,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150540,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150540,A81000C,00100,0600,LIABILITY INSURANCE 150540,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150540,A81000C,00200,0600,PHARMACY 150540,A81000C,00300,0400,VENCARE RESPIRATORY 150540,A81000C,00300,0600,RESPIRATORY THERAPY 150540,A81000C,00400,0400,THERAPY SERVICES 150540,A81000C,00500,0400,VENCARE REHAB SERVICES 150540,A81000C,00500,0600,REHAB 150540,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150540,A81000C,00600,0600,PORTABLE X-RAY 150540,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150540,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150540,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150540,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150540,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150540,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150540,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150540,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150540,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150540,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150540,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150540,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150540,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150540,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150540,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150540,E10A180,00301,0100,06/30/00 150540,E10A180,00350,0100,11/30/00 150540,S000000,00100,0200,12/01/00 150540,S200000,00100,0100,300 ARLINGTON AVE 150540,S200000,00200,0100,LOGAN 150540,S200000,00200,0200,OH 150540,S200000,00200,0300,43138- 150540,S200000,00300,0100,HOCKING 150540,S200000,00300,0300,R 150540,S200000,00400,0100,#571 LOGAN HEALTH CARE CENTER 150540,S200000,00400,0200,365435 150540,S200000,00400,0300,11/01/85 150540,S200000,00400,0500,P 150540,S200000,01500,0100,Y 150540,S200000,01600,0100,N 150540,S200000,01700,0100,N 150540,S200000,01800,0100,N 150540,S200000,02200,0100,Y 150540,S200000,02800,0100,N 150540,S200000,02900,0100,N 150540,S200000,03000,0100,N 150540,S200000,03100,0100,N 150540,S200000,03200,0100,N 150540,S200000,04100,0100,N 150540,S200000,04200,0100,N 150540,S200000,04300,0100,N 150540,S200000,04600,0100,N 150540,S200000,04700,0100,N 150540,S200000,04700,0200,N 150540,S200000,04900,0100,N 150540,S200000,05000,0100,N 150540,S200000,05100,0100,N 150540,S200000,05200,0100,N 150541,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150541,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150541,A000000,00300,0000,0300EMPLOYEE BENEFITS 150541,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150541,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150541,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150541,A000000,00700,0000,0700HOUSEKEEPING 150541,A000000,00800,0000,0800DIETARY 150541,A000000,00900,0000,0900NURSING ADMINISTRATION 150541,A000000,00901,0000,0901OTHER NURSING 150541,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150541,A000000,01100,0000,1100PHARMACY 150541,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150541,A000000,01300,0000,1300SOCIAL SERVICE 150541,A000000,01301,0000,1301ACTIVITIES 150541,A000000,01600,0000,1600SKILLED NURSING FACILITY 150541,A000000,01800,0000,1800NURSING FACILITY 150541,A000000,02100,0000,2100RADIOLOGY 150541,A000000,02200,0000,2200LABORATORY 150541,A000000,02300,0000,2300INTRAVENOUS THERAPY 150541,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150541,A000000,02500,0000,2500PHYSICAL THERAPY 150541,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150541,A000000,02700,0000,2700SPEECH PATHOLOGY 150541,A000000,02800,0000,2800ELECTROCARDIOLOGY 150541,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150541,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150541,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150541,A000000,03301,0000,3051NUTRITIONAL THERAPY 150541,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150541,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150541,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150541,A000000,04800,0000,4800AMBULANCE 150541,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150541,A000000,05300,0000,5300INTEREST EXPENSE 150541,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150541,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150541,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150541,A000000,06200,0000,6200PATIENTS LAUNDRY 150541,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150541,A000000,06301,0000,6151DAY CARE 150541,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150541,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150541,A81000A,00100,0100,Y 150541,A81000B,00100,0300,HOME OFFICE COSTS 150541,A81000B,00200,0300,LIABILITY INSURANCE 150541,A81000B,00500,0300,VC PHARMACY - ADMIN 150541,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150541,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150541,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150541,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150541,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150541,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150541,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150541,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150541,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150541,A81000B,01900,0300,VC PHARMACY - LEGEND 150541,A81000B,02000,0300,VC PHARMACY - OTHER MEDICAL 150541,A81000B,02100,0300,VC PHARMACY - NUTR THER 150541,A81000B,02200,0300,VC PHARMACY - COMPLEX MEDICAL 150541,A81000B,02300,0300,VC PHARMACY - PROS & ORTHOS 150541,A81000B,02400,0300,VC PHARMACY - NONREIMB 150541,A81000B,02500,0300,VC PHARMACY - EMPL BENEFITS 150541,A81000C,00100,0100,B 150541,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150541,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150541,A81000C,00100,0600,LIABILITY INSURANCE 150541,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150541,A81000C,00200,0600,PHARMACY 150541,A81000C,00300,0400,VENCARE RESPIRATORY 150541,A81000C,00300,0600,RESPIRATORY THERAPY 150541,A81000C,00400,0400,THERAPY SERVICES 150541,A81000C,00500,0400,VENCARE REHAB SERVICES 150541,A81000C,00500,0600,REHAB 150541,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150541,A81000C,00600,0600,PORTABLE X-RAY 150541,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150541,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150541,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150541,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150541,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150541,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150541,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150541,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150541,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150541,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150541,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150541,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150541,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150541,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150541,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150541,E10A180,00301,0100,06/30/00 150541,E10A180,00302,0100,11/30/00 150541,E10A180,00350,0100,06/30/00 150541,S000000,00100,0200,12/01/00 150541,S200000,00100,0100,1300 HILL ROAD NORTH 150541,S200000,00200,0100,PICKERINGTON 150541,S200000,00200,0200,OH 150541,S200000,00200,0300,43147- 150541,S200000,00300,0100,FRANKLIN 150541,S200000,00300,0300,U 150541,S200000,00400,0100,#570 PICKERINGTON NURSING & REHAB 150541,S200000,00400,0200,365636 150541,S200000,00400,0300,09/01/85 150541,S200000,00400,0500,P 150541,S200000,01500,0100,Y 150541,S200000,01600,0100,N 150541,S200000,01700,0100,N 150541,S200000,01800,0100,N 150541,S200000,02200,0100,Y 150541,S200000,02800,0100,N 150541,S200000,02900,0100,N 150541,S200000,03000,0100,N 150541,S200000,03100,0100,N 150541,S200000,03200,0100,N 150541,S200000,04100,0100,N 150541,S200000,04200,0100,N 150541,S200000,04300,0100,N 150541,S200000,04600,0100,N 150541,S200000,04700,0100,N 150541,S200000,04700,0200,N 150541,S200000,04900,0100,N 150541,S200000,05000,0100,N 150541,S200000,05100,0100,N 150541,S200000,05200,0100,N 150542,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150542,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150542,A000000,00300,0000,0300EMPLOYEE BENEFITS 150542,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150542,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150542,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150542,A000000,00700,0000,0700HOUSEKEEPING 150542,A000000,00800,0000,0800DIETARY 150542,A000000,00900,0000,0900NURSING ADMINISTRATION 150542,A000000,00901,0000,0901OTHER NURSING 150542,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150542,A000000,01100,0000,1100PHARMACY 150542,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150542,A000000,01300,0000,1300SOCIAL SERVICE 150542,A000000,01301,0000,1301ACTIVITIES 150542,A000000,01600,0000,1600SKILLED NURSING FACILITY 150542,A000000,01800,0000,1800NURSING FACILITY 150542,A000000,02100,0000,2100RADIOLOGY 150542,A000000,02200,0000,2200LABORATORY 150542,A000000,02300,0000,2300INTRAVENOUS THERAPY 150542,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150542,A000000,02500,0000,2500PHYSICAL THERAPY 150542,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150542,A000000,02700,0000,2700SPEECH PATHOLOGY 150542,A000000,02800,0000,2800ELECTROCARDIOLOGY 150542,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150542,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150542,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150542,A000000,03301,0000,3051NUTRITIONAL THERAPY 150542,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150542,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150542,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150542,A000000,04800,0000,4800AMBULANCE 150542,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150542,A000000,05300,0000,5300INTEREST EXPENSE 150542,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150542,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150542,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150542,A000000,06200,0000,6200PATIENTS LAUNDRY 150542,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150542,A000000,06301,0000,6151DAY CARE 150542,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150542,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150542,A81000A,00100,0100,Y 150542,A81000B,00100,0300,HOME OFFICE COSTS 150542,A81000B,00200,0300,LIABILITY INSURANCE 150542,A81000B,00500,0300,VC PHARMACY - ADMIN 150542,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150542,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150542,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150542,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150542,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150542,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150542,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150542,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150542,A81000B,01800,0300,VC PHARMACY - LEGEND 150542,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 150542,A81000C,00100,0100,B 150542,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150542,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150542,A81000C,00100,0600,LIABILITY INSURANCE 150542,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150542,A81000C,00200,0600,PHARMACY 150542,A81000C,00300,0400,VENCARE RESPIRATORY 150542,A81000C,00300,0600,RESPIRATORY THERAPY 150542,A81000C,00400,0400,THERAPY SERVICES 150542,A81000C,00500,0400,VENCARE REHAB SERVICES 150542,A81000C,00500,0600,REHAB 150542,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150542,A81000C,00600,0600,PORTABLE X-RAY 150542,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150542,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150542,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150542,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150542,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150542,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150542,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150542,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150542,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150542,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150542,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150542,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150542,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150542,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150542,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150542,E10A180,00301,0100,11/30/00 150542,E10A180,00350,0100,06/30/00 150542,S000000,00100,0200,12/01/00 150542,S200000,00100,0100,36 LEHMAN DRIVE 150542,S200000,00200,0100,CANAL WINCHESTER 150542,S200000,00200,0200,OH 150542,S200000,00200,0300,43110- 150542,S200000,00300,0100,FRANKLIN 150542,S200000,00300,0300,U 150542,S200000,00400,0100,#572 WINCHESTER PLACE NURS & REHAB 150542,S200000,00400,0200,365644 150542,S200000,00400,0300,11/01/85 150542,S200000,00400,0500,P 150542,S200000,01500,0100,Y 150542,S200000,01600,0100,N 150542,S200000,01700,0100,N 150542,S200000,01800,0100,N 150542,S200000,02200,0100,Y 150542,S200000,02800,0100,N 150542,S200000,02900,0100,N 150542,S200000,03000,0100,N 150542,S200000,03100,0100,N 150542,S200000,03200,0100,N 150542,S200000,04100,0100,N 150542,S200000,04200,0100,N 150542,S200000,04300,0100,N 150542,S200000,04600,0100,N 150542,S200000,04700,0100,N 150542,S200000,04700,0200,N 150542,S200000,04900,0100,N 150542,S200000,05000,0100,N 150542,S200000,05100,0100,N 150542,S200000,05200,0100,N 150543,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150543,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150543,A000000,00300,0000,0300EMPLOYEE BENEFITS 150543,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150543,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150543,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150543,A000000,00700,0000,0700HOUSEKEEPING 150543,A000000,00800,0000,0800DIETARY 150543,A000000,00900,0000,0900NURSING ADMINISTRATION 150543,A000000,00901,0000,0901OTHER NURSING 150543,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150543,A000000,01100,0000,1100PHARMACY 150543,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150543,A000000,01300,0000,1300SOCIAL SERVICE 150543,A000000,01301,0000,1301ACTIVITIES 150543,A000000,01600,0000,1600SKILLED NURSING FACILITY 150543,A000000,01800,0000,1800NURSING FACILITY 150543,A000000,02100,0000,2100RADIOLOGY 150543,A000000,02200,0000,2200LABORATORY 150543,A000000,02300,0000,2300INTRAVENOUS THERAPY 150543,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150543,A000000,02500,0000,2500PHYSICAL THERAPY 150543,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150543,A000000,02700,0000,2700SPEECH PATHOLOGY 150543,A000000,02800,0000,2800ELECTROCARDIOLOGY 150543,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150543,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150543,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150543,A000000,03301,0000,3051NUTRITIONAL THERAPY 150543,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150543,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150543,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150543,A000000,04800,0000,4800AMBULANCE 150543,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150543,A000000,05300,0000,5300INTEREST EXPENSE 150543,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150543,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150543,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150543,A000000,06200,0000,6200PATIENTS LAUNDRY 150543,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150543,A000000,06301,0000,6151DAY CARE 150543,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150543,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150543,A81000A,00100,0100,Y 150543,A81000B,00100,0300,HOME OFFICE COSTS 150543,A81000B,00200,0300,LIABILITY INSURANCE 150543,A81000B,00500,0300,VC PHARMACY - ADMIN 150543,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 150543,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150543,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150543,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150543,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150543,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150543,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150543,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150543,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150543,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150543,A81000B,01900,0300,VC PHARMACY - LEGEND 150543,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150543,A81000B,02100,0300,VC PHARMACY - PROS & ORTHOS 150543,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 150543,A81000C,00100,0100,B 150543,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150543,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150543,A81000C,00100,0600,LIABILITY INSURANCE 150543,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150543,A81000C,00200,0600,PHARMACY 150543,A81000C,00300,0400,VENCARE RESPIRATORY 150543,A81000C,00300,0600,RESPIRATORY THERAPY 150543,A81000C,00400,0400,THERAPY SERVICES 150543,A81000C,00500,0400,VENCARE REHAB SERVICES 150543,A81000C,00500,0600,REHAB 150543,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150543,A81000C,00600,0600,PORTABLE X-RAY 150543,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150543,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150543,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150543,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150543,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150543,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150543,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150543,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150543,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150543,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150543,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150543,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150543,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150543,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150543,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150543,E10A180,00301,0100,06/30/00 150543,E10A180,00350,0100,06/30/00 150543,E10A180,00351,0100,11/30/00 150543,S000000,00100,0200,12/01/00 150543,S200000,00100,0100,2770 CLIME ROAD 150543,S200000,00200,0100,COLUMBUS 150543,S200000,00200,0200,OH 150543,S200000,00200,0300,43223- 150543,S200000,00300,0100,FRANKLIN 150543,S200000,00300,0300,U 150543,S200000,00400,0100,#560 FRANKLIN WOODS HEALTH CARE CTR 150543,S200000,00400,0200,365673 150543,S200000,00400,0300,04/01/86 150543,S200000,00400,0500,P 150543,S200000,01500,0100,Y 150543,S200000,01600,0100,N 150543,S200000,01700,0100,N 150543,S200000,01800,0100,N 150543,S200000,02200,0100,Y 150543,S200000,02800,0100,N 150543,S200000,02900,0100,N 150543,S200000,03000,0100,N 150543,S200000,03100,0100,N 150543,S200000,03200,0100,N 150543,S200000,04100,0100,N 150543,S200000,04200,0100,N 150543,S200000,04300,0100,N 150543,S200000,04600,0100,N 150543,S200000,04700,0100,N 150543,S200000,04700,0200,N 150543,S200000,04900,0100,N 150543,S200000,05000,0100,N 150543,S200000,05100,0100,N 150543,S200000,05200,0100,N 150544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150544,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150544,A000000,00300,0000,0300EMPLOYEE BENEFITS 150544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150544,A000000,00700,0000,0700HOUSEKEEPING 150544,A000000,00800,0000,0800DIETARY 150544,A000000,00900,0000,0900NURSING ADMINISTRATION 150544,A000000,00901,0000,0901OTHER NURSING 150544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150544,A000000,01100,0000,1100PHARMACY 150544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150544,A000000,01300,0000,1300SOCIAL SERVICE 150544,A000000,01301,0000,1301ACTIVITIES 150544,A000000,01600,0000,1600SKILLED NURSING FACILITY 150544,A000000,01800,0000,1800NURSING FACILITY 150544,A000000,02100,0000,2100RADIOLOGY 150544,A000000,02200,0000,2200LABORATORY 150544,A000000,02300,0000,2300INTRAVENOUS THERAPY 150544,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150544,A000000,02500,0000,2500PHYSICAL THERAPY 150544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150544,A000000,02700,0000,2700SPEECH PATHOLOGY 150544,A000000,02800,0000,2800ELECTROCARDIOLOGY 150544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150544,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150544,A000000,03301,0000,3051NUTRITIONAL THERAPY 150544,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150544,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150544,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150544,A000000,04800,0000,4800AMBULANCE 150544,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150544,A000000,05300,0000,5300INTEREST EXPENSE 150544,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150544,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150544,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150544,A000000,06200,0000,6200PATIENTS LAUNDRY 150544,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150544,A000000,06301,0000,6151DAY CARE 150544,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150544,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150544,A81000A,00100,0100,Y 150544,A81000B,00100,0300,HOME OFFICE COSTS 150544,A81000B,00200,0300,LIABILITY INSURANCE 150544,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 150544,A81000B,00500,0300,VC PHARMACY - ADMIN 150544,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 150544,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150544,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150544,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150544,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150544,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150544,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150544,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150544,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 150544,A81000B,01800,0300,VC PHARMACY - LEGEND 150544,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 150544,A81000C,00100,0100,B 150544,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150544,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150544,A81000C,00100,0600,LIABILITY INSURANCE 150544,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150544,A81000C,00200,0600,PHARMACY 150544,A81000C,00300,0400,VENCARE RESPIRATORY 150544,A81000C,00300,0600,RESPIRATORY THERAPY 150544,A81000C,00400,0400,THERAPY SERVICES 150544,A81000C,00500,0400,VENCARE REHAB SERVICES 150544,A81000C,00500,0600,REHAB 150544,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150544,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150544,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150544,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150544,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150544,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150544,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150544,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150544,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150544,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150544,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150544,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150544,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150544,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150544,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150544,E10A180,00301,0100,06/30/00 150544,E10A180,00302,0100,11/30/00 150544,E10A180,00350,0100,06/30/00 150544,S000000,00100,0200,12/01/00 150544,S200000,00100,0100,60 MARIETTA ROAD 150544,S200000,00200,0100,CHILLICOTHE 150544,S200000,00200,0200,OH 150544,S200000,00200,0300,45601- 150544,S200000,00300,0100,ROSS 150544,S200000,00300,0300,R 150544,S200000,00400,0100,#569 CHILLICOTHE NURSING & REHAB CTR 150544,S200000,00400,0200,365694 150544,S200000,00400,0300,02/09/87 150544,S200000,00400,0500,P 150544,S200000,01500,0100,Y 150544,S200000,01600,0100,N 150544,S200000,01700,0100,N 150544,S200000,01800,0100,N 150544,S200000,02200,0100,Y 150544,S200000,02800,0100,N 150544,S200000,02900,0100,N 150544,S200000,03000,0100,N 150544,S200000,03100,0100,N 150544,S200000,03200,0100,N 150544,S200000,04100,0100,N 150544,S200000,04200,0100,N 150544,S200000,04300,0100,N 150544,S200000,04600,0100,N 150544,S200000,04700,0100,N 150544,S200000,04700,0200,N 150544,S200000,04900,0100,N 150544,S200000,05000,0100,N 150544,S200000,05100,0100,N 150544,S200000,05200,0100,N 150545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150545,A000000,00300,0000,0300EMPLOYEE BENEFITS 150545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150545,A000000,00700,0000,0700HOUSEKEEPING 150545,A000000,00800,0000,0800DIETARY 150545,A000000,00900,0000,0900NURSING ADMINISTRATION 150545,A000000,00901,0000,0901OTHER NURSING 150545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150545,A000000,01100,0000,1100PHARMACY 150545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150545,A000000,01300,0000,1300SOCIAL SERVICE 150545,A000000,01301,0000,1301ACTIVITIES 150545,A000000,01600,0000,1600SKILLED NURSING FACILITY 150545,A000000,01800,0000,1800NURSING FACILITY 150545,A000000,02100,0000,2100RADIOLOGY 150545,A000000,02200,0000,2200LABORATORY 150545,A000000,02300,0000,2300INTRAVENOUS THERAPY 150545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150545,A000000,02500,0000,2500PHYSICAL THERAPY 150545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150545,A000000,02700,0000,2700SPEECH PATHOLOGY 150545,A000000,02800,0000,2800ELECTROCARDIOLOGY 150545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150545,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150545,A000000,03301,0000,3051NUTRITIONAL THERAPY 150545,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150545,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150545,A000000,04800,0000,4800AMBULANCE 150545,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150545,A000000,05300,0000,5300INTEREST EXPENSE 150545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150545,A000000,06200,0000,6200PATIENTS LAUNDRY 150545,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150545,A000000,06301,0000,6151DAY CARE 150545,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150545,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150545,A81000A,00100,0100,Y 150545,A81000B,00100,0300,HOME OFFICE COSTS 150545,A81000B,00200,0300,LIABILITY INSURANCE 150545,A81000B,00500,0300,VC PHARMACY - ADMIN 150545,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150545,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150545,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150545,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150545,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150545,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150545,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150545,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 150545,A81000B,01800,0300,VC PHARMACY - LEGEND 150545,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 150545,A81000C,00100,0100,B 150545,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150545,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150545,A81000C,00100,0600,LIABILITY INSURANCE 150545,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150545,A81000C,00200,0600,PHARMACY 150545,A81000C,00300,0400,VENCARE RESPIRATORY 150545,A81000C,00300,0600,RESPIRATORY THERAPY 150545,A81000C,00400,0400,THERAPY SERVICES 150545,A81000C,00500,0400,VENCARE REHAB SERVICES 150545,A81000C,00500,0600,REHAB 150545,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150545,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150545,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150545,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150545,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150545,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150545,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150545,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150545,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150545,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150545,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150545,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150545,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150545,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150545,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150545,E10A180,00301,0100,06/30/00 150545,E10A180,00350,0100,11/30/00 150545,S000000,00100,0200,12/01/00 150545,S200000,00100,0100,70 NORMANDY DRIVE 150545,S200000,00200,0100,PAINESVILLE 150545,S200000,00200,0200,OH 150545,S200000,00200,0300,44077- 150545,S200000,00300,0100,LAKE 150545,S200000,00300,0300,U 150545,S200000,00400,0100,#1229 LAKEMED NURSING & REHAB 150545,S200000,00400,0200,365713 150545,S200000,00400,0300,01/01/92 150545,S200000,00400,0500,P 150545,S200000,01500,0100,Y 150545,S200000,01600,0100,N 150545,S200000,01700,0100,N 150545,S200000,01800,0100,N 150545,S200000,02200,0100,Y 150545,S200000,02800,0100,N 150545,S200000,02900,0100,N 150545,S200000,03000,0100,N 150545,S200000,03100,0100,N 150545,S200000,03200,0100,N 150545,S200000,04100,0100,N 150545,S200000,04200,0100,N 150545,S200000,04300,0100,N 150545,S200000,04600,0100,N 150545,S200000,04700,0100,N 150545,S200000,04700,0200,N 150545,S200000,04900,0100,N 150545,S200000,05000,0100,N 150545,S200000,05100,0100,N 150545,S200000,05200,0100,N 150546,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150546,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150546,A000000,00300,0000,0300EMPLOYEE BENEFITS 150546,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150546,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150546,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150546,A000000,00700,0000,0700HOUSEKEEPING 150546,A000000,00800,0000,0800DIETARY 150546,A000000,00900,0000,0900NURSING ADMINISTRATION 150546,A000000,00901,0000,0901OTHER NURSING 150546,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150546,A000000,01100,0000,1100PHARMACY 150546,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150546,A000000,01300,0000,1300SOCIAL SERVICE 150546,A000000,01301,0000,1301ACTIVITIES 150546,A000000,01600,0000,1600SKILLED NURSING FACILITY 150546,A000000,01800,0000,1800NURSING FACILITY 150546,A000000,02100,0000,2100RADIOLOGY 150546,A000000,02200,0000,2200LABORATORY 150546,A000000,02300,0000,2300INTRAVENOUS THERAPY 150546,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150546,A000000,02500,0000,2500PHYSICAL THERAPY 150546,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150546,A000000,02700,0000,2700SPEECH PATHOLOGY 150546,A000000,02800,0000,2800ELECTROCARDIOLOGY 150546,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150546,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150546,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150546,A000000,03301,0000,3051NUTRITIONAL THERAPY 150546,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150546,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150546,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150546,A000000,04800,0000,4800AMBULANCE 150546,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150546,A000000,05300,0000,5300INTEREST EXPENSE 150546,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150546,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150546,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150546,A000000,06200,0000,6200PATIENTS LAUNDRY 150546,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150546,A000000,06301,0000,6151DAY CARE 150546,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150546,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150546,A81000A,00100,0100,Y 150546,A81000B,00100,0300,HOME OFFICE COSTS 150546,A81000B,00200,0300,LIABILITY INSURANCE 150546,A81000B,00500,0300,VC PHARMACY - ADMIN 150546,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150546,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150546,A81000B,01200,0300,VC PHARMACY - IV THERAPY 150546,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 150546,A81000B,01400,0300,VENCARE REHAB - PHYS THER 150546,A81000B,01500,0300,VENCARE REHAB - OCCP THER 150546,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 150546,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 150546,A81000B,01800,0300,VC PHARMACY - LEGEND 150546,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 150546,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 150546,A81000C,00100,0100,B 150546,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150546,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150546,A81000C,00100,0600,LIABILITY INSURANCE 150546,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150546,A81000C,00200,0600,PHARMACY 150546,A81000C,00300,0400,VENCARE RESPIRATORY 150546,A81000C,00300,0600,RESPIRATORY THERAPY 150546,A81000C,00400,0400,THERAPY SERVICES 150546,A81000C,00500,0400,VENCARE REHAB SERVICES 150546,A81000C,00500,0600,REHAB 150546,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150546,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150546,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150546,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150546,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150546,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150546,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150546,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150546,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150546,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150546,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150546,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150546,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150546,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150546,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150546,E10A180,00350,0100,06/30/00 150546,E10A180,00351,0100,11/30/00 150546,S000000,00100,0200,12/01/00 150546,S200000,00100,0100,11239 WATERVILLE STREET 150546,S200000,00200,0100,WHITEHOUSE 150546,S200000,00200,0200,OH 150546,S200000,00200,0300,43571- 150546,S200000,00300,0100,LUCAS 150546,S200000,00300,0300,U 150546,S200000,00400,0100,#295 WHITEHOUSE COUNTRY MANOR 150546,S200000,00400,0200,365756 150546,S200000,00400,0300,10/04/89 150546,S200000,00400,0500,P 150546,S200000,01500,0100,Y 150546,S200000,01600,0100,N 150546,S200000,01700,0100,N 150546,S200000,01800,0100,N 150546,S200000,02200,0100,Y 150546,S200000,02800,0100,N 150546,S200000,02900,0100,N 150546,S200000,03000,0100,N 150546,S200000,03100,0100,N 150546,S200000,03200,0100,N 150546,S200000,04100,0100,N 150546,S200000,04200,0100,N 150546,S200000,04300,0100,N 150546,S200000,04600,0100,N 150546,S200000,04700,0100,N 150546,S200000,04700,0200,N 150546,S200000,04900,0100,N 150546,S200000,05000,0100,N 150546,S200000,05100,0100,N 150546,S200000,05200,0100,N 150547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150547,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150547,A000000,00300,0000,0300EMPLOYEE BENEFITS 150547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150547,A000000,00700,0000,0700HOUSEKEEPING 150547,A000000,00800,0000,0800DIETARY 150547,A000000,00900,0000,0900NURSING ADMINISTRATION 150547,A000000,00901,0000,0901OTHER NURSING 150547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150547,A000000,01100,0000,1100PHARMACY 150547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150547,A000000,01300,0000,1300SOCIAL SERVICE 150547,A000000,01301,0000,1301ACTIVITIES 150547,A000000,01600,0000,1600SKILLED NURSING FACILITY 150547,A000000,01800,0000,1800NURSING FACILITY 150547,A000000,02100,0000,2100RADIOLOGY 150547,A000000,02200,0000,2200LABORATORY 150547,A000000,02300,0000,2300INTRAVENOUS THERAPY 150547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150547,A000000,02500,0000,2500PHYSICAL THERAPY 150547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150547,A000000,02700,0000,2700SPEECH PATHOLOGY 150547,A000000,02800,0000,2800ELECTROCARDIOLOGY 150547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150547,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150547,A000000,03301,0000,3051NUTRITIONAL THERAPY 150547,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150547,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150547,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150547,A000000,04800,0000,4800AMBULANCE 150547,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150547,A000000,05300,0000,5300INTEREST EXPENSE 150547,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150547,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150547,A000000,06200,0000,6200PATIENTS LAUNDRY 150547,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150547,A000000,06301,0000,6151DAY CARE 150547,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150547,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150547,A81000A,00100,0100,Y 150547,A81000B,00100,0300,HOME OFFICE COSTS 150547,A81000B,00200,0300,LIABILITY INSURANCE 150547,A81000B,00500,0300,VC PHARMACY - ADMIN 150547,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150547,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150547,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150547,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150547,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150547,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150547,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150547,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150547,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150547,A81000B,01900,0300,VC PHARMACY - LEGEND 150547,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150547,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 150547,A81000C,00100,0100,B 150547,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150547,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150547,A81000C,00100,0600,LIABILITY INSURANCE 150547,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150547,A81000C,00200,0600,PHARMACY 150547,A81000C,00300,0400,VENCARE RESPIRATORY 150547,A81000C,00300,0600,RESPIRATORY THERAPY 150547,A81000C,00400,0400,THERAPY SERVICES 150547,A81000C,00500,0400,VENCARE REHAB SERVICES 150547,A81000C,00500,0600,REHAB 150547,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150547,A81000C,00600,0600,PORTABLE X-RAY 150547,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150547,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150547,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150547,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150547,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150547,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150547,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150547,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150547,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150547,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150547,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150547,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150547,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150547,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150547,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150547,E10A180,00301,0100,06/30/00 150547,E10A180,00302,0100,11/30/00 150547,S000000,00100,0200,10/25/01 150547,S200000,00100,0100,1471 WILLS CREEK VALLEY DR. 150547,S200000,00200,0100,CAMBRIDGE 150547,S200000,00200,0200,OH 150547,S200000,00200,0300,43725- 150547,S200000,00300,0100,GUERNSEY 150547,S200000,00300,0300,R 150547,S200000,00400,0100,#634 CAMBRIDGE HEALTH & REHAB CENTER 150547,S200000,00400,0200,365770 150547,S200000,00400,0300,11/28/89 150547,S200000,00400,0500,P 150547,S200000,01500,0100,Y 150547,S200000,01600,0100,N 150547,S200000,01700,0100,N 150547,S200000,01800,0100,N 150547,S200000,02200,0100,Y 150547,S200000,02800,0100,N 150547,S200000,02900,0100,N 150547,S200000,03000,0100,N 150547,S200000,03100,0100,N 150547,S200000,03200,0100,N 150547,S200000,04100,0100,N 150547,S200000,04200,0100,N 150547,S200000,04300,0100,N 150547,S200000,04600,0100,N 150547,S200000,04700,0100,N 150547,S200000,04700,0200,N 150547,S200000,04900,0100,N 150547,S200000,05000,0100,N 150547,S200000,05100,0100,N 150547,S200000,05200,0100,N 150548,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 150548,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 150548,A000000,00300,0000,0300EMPLOYEE BENEFITS 150548,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 150548,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 150548,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 150548,A000000,00700,0000,0700HOUSEKEEPING 150548,A000000,00800,0000,0800DIETARY 150548,A000000,00900,0000,0900NURSING ADMINISTRATION 150548,A000000,00901,0000,0901OTHER NURSING 150548,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 150548,A000000,01100,0000,1100PHARMACY 150548,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 150548,A000000,01300,0000,1300SOCIAL SERVICE 150548,A000000,01301,0000,1301ACTIVITIES 150548,A000000,01600,0000,1600SKILLED NURSING FACILITY 150548,A000000,01800,0000,1800NURSING FACILITY 150548,A000000,02100,0000,2100RADIOLOGY 150548,A000000,02200,0000,2200LABORATORY 150548,A000000,02300,0000,2300INTRAVENOUS THERAPY 150548,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 150548,A000000,02500,0000,2500PHYSICAL THERAPY 150548,A000000,02600,0000,2600OCCUPATIONAL THERAPY 150548,A000000,02700,0000,2700SPEECH PATHOLOGY 150548,A000000,02800,0000,2800ELECTROCARDIOLOGY 150548,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 150548,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 150548,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 150548,A000000,03301,0000,3051NUTRITIONAL THERAPY 150548,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 150548,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 150548,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 150548,A000000,04800,0000,4800AMBULANCE 150548,A000000,05100,0000,4750OTHER REIMBURSABLE COST 150548,A000000,05300,0000,5300INTEREST EXPENSE 150548,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 150548,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 150548,A000000,05900,0000,5900BARBER & BEAUTY SHOP 150548,A000000,06200,0000,6200PATIENTS LAUNDRY 150548,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 150548,A000000,06301,0000,6151DAY CARE 150548,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 150548,A000000,06303,0000,6153DISTRICT OFFICE SPACE 150548,A81000A,00100,0100,Y 150548,A81000B,00100,0300,HOME OFFICE COSTS 150548,A81000B,00200,0300,LIABILITY INSURANCE 150548,A81000B,00500,0300,VC PHARMACY - ADMIN 150548,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 150548,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 150548,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 150548,A81000B,01300,0300,VC PHARMACY - IV THERAPY 150548,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 150548,A81000B,01500,0300,VENCARE REHAB - PHYS THER 150548,A81000B,01600,0300,VENCARE REHAB - OCCP THER 150548,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 150548,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 150548,A81000B,01900,0300,VC PHARMACY - LEGEND 150548,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 150548,A81000C,00100,0100,B 150548,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 150548,A81000C,00100,0400,CORNERSTONE INSURANCE CO 150548,A81000C,00100,0600,LIABILITY INSURANCE 150548,A81000C,00200,0400,VENCARE PHARMACY SERVICES 150548,A81000C,00200,0600,PHARMACY 150548,A81000C,00300,0400,VENCARE RESPIRATORY 150548,A81000C,00300,0600,RESPIRATORY THERAPY 150548,A81000C,00400,0400,THERAPY SERVICES 150548,A81000C,00500,0400,VENCARE REHAB SERVICES 150548,A81000C,00500,0600,REHAB 150548,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 150548,A81000C,00600,0600,PORTABLE X-RAY 150548,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 150548,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 150548,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 150548,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 150548,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 150548,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 150548,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 150548,B100000,00000,0800,0850PATIENT DAYS :DIETARY 150548,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 150548,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 150548,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 150548,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 150548,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 150548,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 150548,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 150548,E10A180,00301,0100,06/30/00 150548,E10A180,00302,0100,11/30/00 150548,S000000,00100,0200,12/01/00 150548,S200000,00100,0100,5460 CLEVELAND AVENUE 150548,S200000,00200,0100,CLEVELAND 150548,S200000,00200,0200,OH 150548,S200000,00200,0300,43231- 150548,S200000,00300,0100,FRANKLIN 150548,S200000,00300,0300,U 150548,S200000,00400,0100,#577 MINERVA PARK PLACE NURS & REHAB 150548,S200000,00400,0200,365806 150548,S200000,00400,0300,09/30/90 150548,S200000,00400,0500,P 150548,S200000,01500,0100,Y 150548,S200000,01600,0100,N 150548,S200000,01700,0100,N 150548,S200000,01800,0100,N 150548,S200000,02200,0100,Y 150548,S200000,02800,0100,N 150548,S200000,02900,0100,N 150548,S200000,03000,0100,N 150548,S200000,03100,0100,N 150548,S200000,03200,0100,N 150548,S200000,04100,0100,N 150548,S200000,04200,0100,N 150548,S200000,04300,0100,N 150548,S200000,04600,0100,N 150548,S200000,04700,0100,N 150548,S200000,04700,0200,N 150548,S200000,04900,0100,N 150548,S200000,05000,0100,N 150548,S200000,05100,0100,N 150548,S200000,05200,0100,N 151200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151200,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151200,A000000,00300,0000,0300EMPLOYEE BENEFITS 151200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151200,A000000,00700,0000,0700HOUSEKEEPING 151200,A000000,00800,0000,0800DIETARY 151200,A000000,00900,0000,0900NURSING ADMINISTRATION 151200,A000000,00901,0000,0901OTHER NURSING 151200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151200,A000000,01100,0000,1100PHARMACY 151200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151200,A000000,01300,0000,1300SOCIAL SERVICE 151200,A000000,01301,0000,1301ACTIVITIES 151200,A000000,01600,0000,1600SKILLED NURSING FACILITY 151200,A000000,01800,0000,1800NURSING FACILITY 151200,A000000,02100,0000,2100RADIOLOGY 151200,A000000,02200,0000,2200LABORATORY 151200,A000000,02300,0000,2300INTRAVENOUS THERAPY 151200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151200,A000000,02500,0000,2500PHYSICAL THERAPY 151200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151200,A000000,02700,0000,2700SPEECH PATHOLOGY 151200,A000000,02800,0000,2800ELECTROCARDIOLOGY 151200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151200,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151200,A000000,03301,0000,3051NUTRITIONAL THERAPY 151200,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 151200,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 151200,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151200,A000000,04800,0000,4800AMBULANCE 151200,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151200,A000000,05300,0000,5300INTEREST EXPENSE 151200,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151200,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151200,A000000,06200,0000,6200PATIENTS LAUNDRY 151200,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151200,A000000,06301,0000,6151DAY CARE 151200,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 151200,A000000,06303,0000,6153DISTRICT OFFICE SPACE 151200,A81000A,00100,0100,Y 151200,A81000B,00100,0300,HOME OFFICE COSTS 151200,A81000B,00200,0300,LIABILITY INSURANCE 151200,A81000B,00500,0300,VC PHARMACY - ADMIN 151200,A81000B,00900,0300,VC PHARMACY - DIETARY 151200,A81000B,01000,0300,VC PHARMACY - NONLEGEND 151200,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 151200,A81000B,01200,0300,VC PHARMACY - ROUTINE CERT 151200,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 151200,A81000B,01400,0300,VENCARE REHAB - PHYS THER 151200,A81000B,01500,0300,VENCARE REHAB - OCCP THER 151200,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 151200,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 151200,A81000B,01800,0300,VC PHARMACY - LEGEND 151200,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 151200,A81000C,00100,0100,B 151200,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 151200,A81000C,00100,0400,CORNERSTONE INSURANCE CO 151200,A81000C,00100,0600,LIABILITY INSURANCE 151200,A81000C,00200,0400,VENCARE PHARMACY SERVICES 151200,A81000C,00200,0600,PHARMACY 151200,A81000C,00300,0400,VENCARE RESPIRATORY 151200,A81000C,00300,0600,RESPIRATORY THERAPY 151200,A81000C,00400,0400,THERAPY SERVICES 151200,A81000C,00500,0400,VENCARE REHAB SERVICES 151200,A81000C,00500,0600,REHAB 151200,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151200,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151200,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151200,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151200,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151200,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151200,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151200,B100000,00000,0800,0850PATIENT DAYS :DIETARY 151200,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 151200,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 151200,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 151200,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 151200,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 151200,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151200,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 151200,E10A180,00350,0100,06/30/00 151200,E10A180,00351,0100,11/30/00 151200,S000000,00100,0200,11/07/01 151200,S200000,00100,0100,660 CORONADO DRIVE 151200,S200000,00200,0100,SUERRA VISTA 151200,S200000,00200,0200,AZ 151200,S200000,00200,0300,85635- 151200,S200000,00300,0100,COCHISE 151200,S200000,00300,0200,03 151200,S200000,00300,0300,R 151200,S200000,00400,0100,#796 HACIENDA RCC 151200,S200000,00400,0200,035086 151200,S200000,00400,0300,09/08/83 151200,S200000,00400,0500,P 151200,S200000,01500,0100,Y 151200,S200000,01600,0100,N 151200,S200000,01700,0100,N 151200,S200000,01800,0100,N 151200,S200000,02200,0100,Y 151200,S200000,02800,0100,N 151200,S200000,02900,0100,N 151200,S200000,03000,0100,N 151200,S200000,03100,0100,N 151200,S200000,03200,0100,N 151200,S200000,04100,0100,N 151200,S200000,04200,0100,N 151200,S200000,04300,0100,N 151200,S200000,04600,0100,N 151200,S200000,04700,0100,N 151200,S200000,04700,0200,N 151200,S200000,04900,0100,N 151200,S200000,05000,0100,N 151200,S200000,05100,0100,N 151200,S200000,05200,0100,N 151236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151236,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151236,A000000,00300,0000,0300EMPLOYEE BENEFITS 151236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151236,A000000,00700,0000,0700HOUSEKEEPING 151236,A000000,00800,0000,0800DIETARY 151236,A000000,00900,0000,0900NURSING ADMINISTRATION 151236,A000000,00901,0000,0901OTHER NURSING 151236,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151236,A000000,01100,0000,1100PHARMACY 151236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151236,A000000,01300,0000,1300SOCIAL SERVICE 151236,A000000,01301,0000,1301ACTIVITIES 151236,A000000,01600,0000,1600SKILLED NURSING FACILITY 151236,A000000,01800,0000,1800NURSING FACILITY 151236,A000000,02100,0000,2100RADIOLOGY 151236,A000000,02200,0000,2200LABORATORY 151236,A000000,02300,0000,2300INTRAVENOUS THERAPY 151236,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151236,A000000,02500,0000,2500PHYSICAL THERAPY 151236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151236,A000000,02700,0000,2700SPEECH PATHOLOGY 151236,A000000,02800,0000,2800ELECTROCARDIOLOGY 151236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151236,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151236,A000000,03301,0000,3051NUTRITIONAL THERAPY 151236,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 151236,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 151236,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151236,A000000,04800,0000,4800AMBULANCE 151236,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151236,A000000,05300,0000,5300INTEREST EXPENSE 151236,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151236,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151236,A000000,06200,0000,6200PATIENTS LAUNDRY 151236,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151236,A000000,06301,0000,6151DAY CARE 151236,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 151236,A000000,06303,0000,6153DISTRICT OFFICE SPACE 151236,A81000A,00100,0100,Y 151236,A81000B,00100,0300,HOME OFFICE COSTS 151236,A81000B,00200,0300,LIABILITY INSURANCE 151236,A81000B,00500,0300,VC PHARMACY - ADMIN 151236,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 151236,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 151236,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 151236,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 151236,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 151236,A81000B,01500,0300,VENCARE REHAB - PHYS THER 151236,A81000B,01600,0300,VENCARE REHAB - OCCP THER 151236,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 151236,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 151236,A81000B,01900,0300,VC PHARMACY - LEGEND 151236,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 151236,A81000C,00100,0100,B 151236,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 151236,A81000C,00100,0400,CORNERSTONE INSURANCE CO 151236,A81000C,00100,0600,LIABILITY INSURANCE 151236,A81000C,00200,0400,VENCARE PHARMACY SERVICES 151236,A81000C,00200,0600,PHARMACY 151236,A81000C,00300,0400,VENCARE RESPIRATORY 151236,A81000C,00300,0600,RESPIRATORY THERAPY 151236,A81000C,00400,0400,THERAPY SERVICES 151236,A81000C,00500,0400,VENCARE REHAB SERVICES 151236,A81000C,00500,0600,REHAB 151236,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 151236,A81000C,00600,0600,PORTABLE X-RAY 151236,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151236,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151236,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151236,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151236,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151236,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151236,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151236,B100000,00000,0800,0850PATIENT DAYS :DIETARY 151236,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 151236,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 151236,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 151236,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 151236,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 151236,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151236,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 151236,E10A180,00301,0100,06/30/00 151236,E10A180,00350,0100,11/30/00 151236,S000000,00100,0200,12/01/00 151236,S200000,00100,0100,1614 PARRISH AVENUE 151236,S200000,00200,0100,OWENSBORO 151236,S200000,00200,0200,KY 151236,S200000,00200,0300,42301- 151236,S200000,00300,0100,DAVIESS 151236,S200000,00300,0300,U 151236,S200000,00400,0100,1225 - PERSONACARE AT HERMITAGE 151236,S200000,00400,0200,185346 151236,S200000,00400,0300,07/09/92 151236,S200000,00400,0500,P 151236,S200000,01500,0100,N 151236,S200000,01600,0100,Y 151236,S200000,01700,0100,N 151236,S200000,01800,0100,N 151236,S200000,02200,0100,Y 151236,S200000,02800,0100,N 151236,S200000,02900,0100,N 151236,S200000,03000,0100,N 151236,S200000,03100,0100,N 151236,S200000,03200,0100,N 151236,S200000,04100,0100,N 151236,S200000,04200,0100,N 151236,S200000,04300,0100,N 151236,S200000,04600,0100,N 151236,S200000,04700,0100,N 151236,S200000,04700,0200,N 151236,S200000,04900,0100,N 151236,S200000,05000,0100,N 151236,S200000,05100,0100,N 151236,S200000,05200,0100,N 151292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151292,A000000,00300,0000,0300EMPLOYEE BENEFITS 151292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151292,A000000,00700,0000,0700HOUSEKEEPING 151292,A000000,00800,0000,0800DIETARY 151292,A000000,00900,0000,0900NURSING ADMINISTRATION 151292,A000000,00901,0000,0901OTHER NURSING 151292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151292,A000000,01100,0000,1100PHARMACY 151292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151292,A000000,01300,0000,1300SOCIAL SERVICE 151292,A000000,01301,0000,1301ACTIVITIES 151292,A000000,01600,0000,1600SKILLED NURSING FACILITY 151292,A000000,01800,0000,1800NURSING FACILITY 151292,A000000,02100,0000,2100RADIOLOGY 151292,A000000,02200,0000,2200LABORATORY 151292,A000000,02300,0000,2300INTRAVENOUS THERAPY 151292,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151292,A000000,02500,0000,2500PHYSICAL THERAPY 151292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151292,A000000,02700,0000,2700SPEECH PATHOLOGY 151292,A000000,02800,0000,2800ELECTROCARDIOLOGY 151292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151292,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151292,A000000,03301,0000,3051NUTRITIONAL THERAPY 151292,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 151292,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 151292,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151292,A000000,04800,0000,4800AMBULANCE 151292,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151292,A000000,05300,0000,5300INTEREST EXPENSE 151292,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151292,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151292,A000000,06200,0000,6200PATIENTS LAUNDRY 151292,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151292,A000000,06301,0000,6151DAY CARE 151292,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 151292,A000000,06303,0000,6153DISTRICT OFFICE SPACE 151292,A81000A,00100,0100,Y 151292,A81000B,00100,0300,HOME OFFICE COSTS 151292,A81000B,00200,0300,LIABILITY INSURANCE 151292,A81000B,00500,0300,VC PHARMACY - ADMIN 151292,A81000B,00900,0300,VC PHARMACY - DIETARY 151292,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 151292,A81000B,01100,0300,VC PHARMACY - IV THERAPY 151292,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 151292,A81000B,01300,0300,VENCARE REHAB - PHYS THER 151292,A81000B,01400,0300,VENCARE REHAB - OCCP THER 151292,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 151292,A81000B,01600,0300,VC PHARMACY - PROS & ORTHOS 151292,A81000C,00100,0100,B 151292,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 151292,A81000C,00100,0400,CORNERSTONE INSURANCE CO 151292,A81000C,00100,0600,LIABILITY INSURANCE 151292,A81000C,00200,0400,VENCARE PHARMACY SERVICES 151292,A81000C,00200,0600,PHARMACY 151292,A81000C,00300,0400,VENCARE RESPIRATORY 151292,A81000C,00300,0600,RESPIRATORY THERAPY 151292,A81000C,00400,0400,THERAPY SERVICES 151292,A81000C,00500,0400,VENCARE REHAB SERVICES 151292,A81000C,00500,0600,REHAB 151292,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151292,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151292,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151292,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151292,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151292,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151292,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151292,B100000,00000,0800,0850PATIENT DAYS :DIETARY 151292,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 151292,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 151292,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 151292,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 151292,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151292,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 151292,E10A180,00350,0100,11/30/00 151292,S000000,00100,0200,12/01/00 151292,S200000,00100,0100,1000 E WYOMISSING BLVD 151292,S200000,00200,0100,READING 151292,S200000,00200,0200,PA 151292,S200000,00200,0300,19611- 151292,S200000,00300,0100,BERKS 151292,S200000,00300,0300,U 151292,S200000,00400,0100,PERSONACARE OF WYOMISSING 151292,S200000,00400,0200,395237 151292,S200000,00400,0300,09/01/93 151292,S200000,00400,0500,P 151292,S200000,01500,0100,Y 151292,S200000,01600,0100,N 151292,S200000,01700,0100,N 151292,S200000,01800,0100,N 151292,S200000,02200,0100,Y 151292,S200000,02800,0100,N 151292,S200000,02900,0100,N 151292,S200000,03000,0100,N 151292,S200000,03100,0100,N 151292,S200000,03200,0100,N 151292,S200000,04100,0100,N 151292,S200000,04200,0100,N 151292,S200000,04300,0100,N 151292,S200000,04600,0100,N 151292,S200000,04700,0100,N 151292,S200000,04700,0200,N 151292,S200000,04900,0100,N 151292,S200000,05000,0100,N 151292,S200000,05100,0100,N 151292,S200000,05200,0100,N 151294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151294,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151294,A000000,00300,0000,0300EMPLOYEE BENEFITS 151294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151294,A000000,00700,0000,0700HOUSEKEEPING 151294,A000000,00800,0000,0800DIETARY 151294,A000000,00900,0000,0900NURSING ADMINISTRATION 151294,A000000,00901,0000,0901OTHER NURSING 151294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151294,A000000,01100,0000,1100PHARMACY 151294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151294,A000000,01300,0000,1300SOCIAL SERVICE 151294,A000000,01301,0000,1301ACTIVITIES 151294,A000000,01600,0000,1600SKILLED NURSING FACILITY 151294,A000000,01800,0000,1800NURSING FACILITY 151294,A000000,02100,0000,2100RADIOLOGY 151294,A000000,02200,0000,2200LABORATORY 151294,A000000,02300,0000,2300INTRAVENOUS THERAPY 151294,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151294,A000000,02500,0000,2500PHYSICAL THERAPY 151294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151294,A000000,02700,0000,2700SPEECH PATHOLOGY 151294,A000000,02800,0000,2800ELECTROCARDIOLOGY 151294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151294,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151294,A000000,03301,0000,3051NUTRITIONAL THERAPY 151294,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 151294,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 151294,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151294,A000000,04800,0000,4800AMBULANCE 151294,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151294,A000000,05300,0000,5300INTEREST EXPENSE 151294,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151294,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151294,A000000,06200,0000,6200PATIENTS LAUNDRY 151294,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151294,A000000,06301,0000,6151DAY CARE 151294,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 151294,A000000,06303,0000,6153DISTRICT OFFICE SPACE 151294,A81000A,00100,0100,Y 151294,A81000B,00100,0300,HOME OFFICE COSTS 151294,A81000B,00200,0300,LIABILITY INSURANCE 151294,A81000B,00900,0300,VC PHARMACY - DIETARY 151294,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 151294,A81000B,01100,0300,VENCARE REHAB - PHYS THER 151294,A81000B,01200,0300,VENCARE REHAB - OCCP THER 151294,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 151294,A81000B,01400,0300,VC PHARMACY - MEDICAL SUPP 151294,A81000B,01500,0300,VC PHARMACY - COMPLEX MEDICAL 151294,A81000C,00100,0100,B 151294,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 151294,A81000C,00100,0400,CORNERSTONE INSURANCE CO 151294,A81000C,00100,0600,LIABILITY INSURANCE 151294,A81000C,00200,0400,VENCARE PHARMACY SERVICES 151294,A81000C,00200,0600,PHARMACY 151294,A81000C,00300,0400,VENCARE RESPIRATORY 151294,A81000C,00300,0600,RESPIRATORY THERAPY 151294,A81000C,00400,0400,THERAPY SERVICES 151294,A81000C,00500,0400,VENCARE REHAB SERVICES 151294,A81000C,00500,0600,REHAB 151294,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151294,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151294,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151294,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151294,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151294,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151294,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151294,B100000,00000,0800,0850PATIENT DAYS :DIETARY 151294,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 151294,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 151294,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 151294,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 151294,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151294,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 151294,E10A180,00301,0100,01/30/00 151294,E10A180,00350,0100,11/30/00 151294,S000000,00100,0200,12/01/00 151294,S200000,00100,0100,100 WAMPANOAG TRAIL 151294,S200000,00200,0100,E. PROVIDENCE 151294,S200000,00200,0200,RI 151294,S200000,00200,0300,02915- 151294,S200000,00300,0100,PROVIDENCE 151294,S200000,00300,0300,U 151294,S200000,00400,0100,HEALTH HAVENS NURSING CENTER 151294,S200000,00400,0200,415007 151294,S200000,00400,0300,01/01/92 151294,S200000,00400,0500,P 151294,S200000,01500,0100,Y 151294,S200000,01600,0100,N 151294,S200000,01700,0100,N 151294,S200000,01800,0100,N 151294,S200000,02200,0100,Y 151294,S200000,02800,0100,N 151294,S200000,02900,0100,N 151294,S200000,03000,0100,N 151294,S200000,03100,0100,N 151294,S200000,03200,0100,N 151294,S200000,04100,0100,N 151294,S200000,04200,0100,N 151294,S200000,04300,0100,N 151294,S200000,04600,0100,N 151294,S200000,04700,0100,N 151294,S200000,04700,0200,N 151294,S200000,04900,0100,N 151294,S200000,05000,0100,N 151294,S200000,05100,0100,N 151294,S200000,05200,0100,N 151440,S000000,00100,0200,03/30/00 151637,S000000,00100,0200,12/18/00 151637,S200000,00100,0300,909 151637,S200000,00200,0100,SHELBYVILLE 151637,S200000,00200,0200,KY 151637,S200000,00200,0300,40066 151637,S200000,00300,0100,SHELBY 151637,S200000,00400,0100,MASONIC HOMES OF KENTUCKY 151637,S200000,00400,0300,04/28/93 151771,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151771,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151771,A000000,00300,0000,0300EMPLOYEE BENEFITS 151771,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151771,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151771,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151771,A000000,00700,0000,0700HOUSEKEEPING 151771,A000000,00800,0000,0800DIETARY 151771,A000000,00900,0000,0900NURSING ADMINISTRATION 151771,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151771,A000000,01100,0000,1100PHARMACY 151771,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151771,A000000,01300,0000,1300SOCIAL SERVICE 151771,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 151771,A000000,01500,0000,1350ACTIVITIES 151771,A000000,01600,0000,1600SKILLED NURSING FACILITY 151771,A000000,01810,0000,1810ICF/MR 151771,A000000,02100,0000,2100RADIOLOGY 151771,A000000,02200,0000,2200LABORATORY 151771,A000000,02500,0000,2500PHYSICAL THERAPY 151771,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151771,A000000,02700,0000,2700SPEECH PATHOLOGY 151771,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151771,A000000,02910,0000,2901AIR FLUIDIZED BEDS 151771,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151771,A000000,03550,0000,3550FQHC 151771,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 151771,A000000,05000,0000,5000CORF 151771,A000000,05010,0000,5010CMHC 151771,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 151771,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 151771,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 151771,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151771,A81000A,00100,0100,Y 151771,A81000B,00100,0300,MANAGEMENT FEES 151771,A81000B,00200,0300,CONTRACT SERVICES 151771,A81000C,00100,0100,A 151771,A81000C,00100,0200,DOUG SPIES 151771,A81000C,00100,0400,ROCKY MTN CARE 151771,A81000C,00100,0600,MANAGEMENT CO 151771,A81000C,00200,0100,A 151771,A81000C,00200,0200,JODY ROBINSON 151771,A81000C,00200,0400,ROCKY MTN CARE 151771,A81000C,00200,0600,MANAGEMENT CO 151771,A81000C,00300,0100,A 151771,A81000C,00300,0200,DOUG SPIES 151771,A81000C,00300,0600,CONSULTANT 151771,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151771,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151771,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151771,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151771,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151771,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151771,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151771,B100000,00000,0800,0800MEALS SERVED :DIETARY 151771,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 151771,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 151771,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151771,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 151771,E10A180,00301,0100,05/05/00 151771,S000000,00100,0200,12/01/00 151771,S200000,00100,0100,115 INGALLS STREET 151771,S200000,00200,0100,LAKEWOOD 151771,S200000,00200,0200,CO 151771,S200000,00200,0300,80226- 151771,S200000,00300,0100,JEFFERSON 151771,S200000,00300,0200,2080 151771,S200000,00300,0300,U 151771,S200000,00400,0100,MAPLETON MEDIPLEX 151771,S200000,00400,0200,065097 151771,S200000,00400,0300,03/15/91 151771,S200000,00400,0500,P 151771,S200000,01500,0100,Y 151771,S200000,01600,0100,N 151771,S200000,01700,0100,N 151771,S200000,01800,0100,N 151771,S200000,01900,0100,S-CORPORATION 151771,S200000,02200,0100,Y 151771,S200000,02800,0100,N 151771,S200000,02900,0100,N 151771,S200000,03000,0100,N 151771,S200000,03100,0100,N 151771,S200000,03200,0100,N 151771,S200000,04100,0100,N 151771,S200000,04200,0100,N 151771,S200000,04300,0100,N 151771,S200000,04600,0100,N 151771,S200000,04700,0100,N 151771,S200000,04700,0200,N 151771,S200000,04900,0100,N 151771,S200000,05000,0100,N 151771,S200000,05100,0100,N 151771,S200000,05200,0100,N 151772,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151772,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151772,A000000,00300,0000,0300EMPLOYEE BENEFITS 151772,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151772,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151772,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151772,A000000,00700,0000,0700HOUSEKEEPING 151772,A000000,00800,0000,0800DIETARY 151772,A000000,00900,0000,0900NURSING ADMINISTRATION 151772,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151772,A000000,01100,0000,1100PHARMACY 151772,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151772,A000000,01300,0000,1300SOCIAL SERVICE 151772,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 151772,A000000,01500,0000,1350OTHER GENERAL SERVICES 151772,A000000,01600,0000,1600SKILLED NURSING FACILITY 151772,A000000,01800,0000,1800NURSING FACILITY 151772,A000000,01810,0000,1810ICF/MR 151772,A000000,01900,0000,1900OTHER LONG TERM CARE 151772,A000000,02100,0000,2100RADIOLOGY 151772,A000000,02200,0000,2200LABORATORY 151772,A000000,02300,0000,2300INTRAVENOUS THERAPY 151772,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151772,A000000,02500,0000,2500PHYSICAL THERAPY 151772,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151772,A000000,02700,0000,2700SPEECH PATHOLOGY 151772,A000000,02800,0000,2800ELECTROCARDIOLOGY 151772,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151772,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151772,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 151772,A000000,03200,0000,3200SUPPORT SURFACES 151772,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151772,A000000,03400,0000,3400CLINIC 151772,A000000,03500,0000,3500RURAL HEALTH CLINIC 151772,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151772,A000000,04800,0000,4800AMBULANCE 151772,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 151772,A000000,05000,0000,5000CORF 151772,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151772,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 151772,A000000,05300,0000,5300INTEREST EXPENSE 151772,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151772,A000000,05500,0000,5500HOSPICE 151772,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 151772,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151772,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151772,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 151772,A000000,06100,0000,6100NONPAID WORKERS 151772,A000000,06200,0000,6200PATIENTS LAUNDRY 151772,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151772,A81000A,00100,0100,Y 151772,A81000B,00100,0300,BUILDING LEASE 151772,A81000B,00200,0300,EQUIPMENT LEASE 151772,A81000B,00300,0300,CARE CENTER HOME OFFICE 151772,A81000B,00400,0300,HOME OFFICE BUILDING COST 151772,A81000C,00100,0100,D 151772,A81000C,00100,0200,PETER MADIGAN 151772,A81000C,00100,0400,PETER MADIGAN LESSOR 151772,A81000C,00100,0600,BUILDING/EQUIPMENT LEASE 151772,A81000C,00200,0100,D 151772,A81000C,00200,0200,PETER MADIGAN 151772,A81000C,00200,0400,PETER MADIGAN LENDOR 151772,A81000C,00200,0600,RELATED PARTY INTEREST 151772,A81000C,00300,0100,A 151772,A81000C,00300,0200,STEPHEN MADIGAN 151772,A81000C,00300,0400,STEPHAN MADIGAN 151772,A81000C,00300,0600,RELATED PARTY INTEREST 151772,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151772,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151772,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151772,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151772,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151772,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 151772,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151772,B100000,00000,0800,0800MEALS SERVED :DIETARY 151772,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 151772,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 151772,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151772,S000000,00100,0200,12/04/00 151772,S200000,00100,0100,2305 BLAKE AVE 151772,S200000,00200,0100,GLENWOOD SPRINGS 151772,S200000,00200,0200,CO 151772,S200000,00200,0300,81601-4325 151772,S200000,00300,0100,GARFIELD 151772,S200000,00300,0200,06 151772,S200000,00300,0300,R 151772,S200000,00400,0100,GLEN VALLEY CARE CENTER CORP 151772,S200000,00400,0200,065244 151772,S200000,00400,0300,02/14/95 151772,S200000,00400,0500,P 151772,S200000,01500,0100,N 151772,S200000,01600,0100,Y 151772,S200000,01700,0100,N 151772,S200000,01800,0100,N 151772,S200000,02200,0100,N 151772,S200000,02800,0100,N 151772,S200000,02900,0100,N 151772,S200000,03000,0100,N 151772,S200000,03100,0100,N 151772,S200000,03200,0100,N 151772,S200000,04100,0100,N 151772,S200000,04200,0100,N 151772,S200000,04300,0100,N 151772,S200000,04600,0100,N 151772,S200000,04700,0100,N 151772,S200000,04700,0200,N 151772,S200000,04900,0100,N 151772,S200000,05000,0100,N 151772,S200000,05100,0100,N 151772,S200000,05200,0100,N 151773,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151773,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151773,A000000,00300,0000,0300EMPLOYEE BENEFITS 151773,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151773,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151773,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151773,A000000,00700,0000,0700HOUSEKEEPING 151773,A000000,00800,0000,0800DIETARY 151773,A000000,00900,0000,0900NURSING ADMINISTRATION 151773,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151773,A000000,01100,0000,1100PHARMACY 151773,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151773,A000000,01300,0000,1300SOCIAL SERVICE 151773,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 151773,A000000,01500,0000,1350OTHER GENERAL SERVICES 151773,A000000,01600,0000,1600SKILLED NURSING FACILITY 151773,A000000,01800,0000,1800NURSING FACILITY 151773,A000000,01810,0000,1810ICF/MR 151773,A000000,01900,0000,1900OTHER LONG TERM CARE 151773,A000000,02100,0000,2100RADIOLOGY 151773,A000000,02200,0000,2200LABORATORY 151773,A000000,02300,0000,2300INTRAVENOUS THERAPY 151773,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151773,A000000,02500,0000,2500PHYSICAL THERAPY 151773,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151773,A000000,02700,0000,2700SPEECH PATHOLOGY 151773,A000000,02800,0000,2800ELECTROCARDIOLOGY 151773,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151773,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151773,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 151773,A000000,03200,0000,3200SUPPORT SURFACES 151773,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151773,A000000,03400,0000,3400CLINIC 151773,A000000,03500,0000,3500RURAL HEALTH CLINIC 151773,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151773,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 151773,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 151773,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 151773,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 151773,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 151773,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 151773,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 151773,A000000,04400,0000,4400DME RENTED - HHA 151773,A000000,04500,0000,4500DME SOLD - HHA 151773,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 151773,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 151773,A000000,04800,0000,4800AMBULANCE 151773,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 151773,A000000,05000,0000,5000CORF 151773,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151773,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 151773,A000000,05300,0000,5300INTEREST EXPENSE 151773,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151773,A000000,05500,0000,5500HOSPICE 151773,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 151773,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151773,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151773,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 151773,A000000,06100,0000,6100NONPAID WORKERS 151773,A000000,06200,0000,6200PATIENTS LAUNDRY 151773,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151773,A000000,06301,0000,6151MARKETING 151773,A000000,06302,0000,6152VIGOR 151773,A81000A,00100,0100,N 151773,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151773,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151773,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151773,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151773,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151773,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151773,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151773,B100000,00000,0800,0800MEALS SERVED :DIETARY 151773,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 151773,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 151773,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 151773,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 151773,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 151773,S000000,00100,0200,12/11/00 151773,S200000,00100,0100,12205 GUNSTOCK DRIVE 151773,S200000,00200,0100,COLORADO SPRINGS 151773,S200000,00200,0200,CO 151773,S200000,00200,0300,80921- 151773,S200000,00300,0100,EL PASO 151773,S200000,00300,0200,1720 151773,S200000,00300,0300,U 151773,S200000,00400,0100,LIBERTY MANOR 151773,S200000,00400,0200,065305 151773,S200000,00400,0300,10/15/92 151773,S200000,00400,0500,P 151773,S200000,01500,0100,N 151773,S200000,01600,0100,Y 151773,S200000,01700,0100,N 151773,S200000,01800,0100,N 151773,S200000,02200,0100,Y 151773,S200000,02800,0100,N 151773,S200000,02900,0100,N 151773,S200000,03000,0100,N 151773,S200000,03100,0100,N 151773,S200000,03200,0100,N 151773,S200000,04100,0100,N 151773,S200000,04200,0100,N 151773,S200000,04300,0100,N 151773,S200000,04600,0100,N 151773,S200000,04700,0100,N 151773,S200000,04700,0200,N 151773,S200000,04900,0100,N 151773,S200000,05000,0100,N 151773,S200000,05100,0100,N 151773,S200000,05200,0100,N 151774,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151774,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151774,A000000,00300,0000,0300EMPLOYEE BENEFITS 151774,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151774,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151774,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151774,A000000,00700,0000,0700HOUSEKEEPING 151774,A000000,00800,0000,0800DIETARY 151774,A000000,00900,0000,0900NURSING ADMINISTRATION 151774,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151774,A000000,01100,0000,1100PHARMACY 151774,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151774,A000000,01300,0000,1300SOCIAL SERVICE 151774,A000000,01500,0000,1350ACTIVITIES 151774,A000000,01600,0000,1600SKILLED NURSING FACILITY 151774,A000000,01900,0000,1900OTHER LONG TERM CARE 151774,A000000,02100,0000,2100RADIOLOGY 151774,A000000,02200,0000,2200LABORATORY 151774,A000000,02300,0000,2300INTRAVENOUS THERAPY 151774,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151774,A000000,02500,0000,2500PHYSICAL THERAPY 151774,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151774,A000000,02700,0000,2700SPEECH PATHOLOGY 151774,A000000,02800,0000,2800ELECTROCARDIOLOGY 151774,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151774,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151774,A000000,03200,0000,3200SUPPORT SURFACES 151774,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 151774,A000000,04800,0000,4800AMBULANCE 151774,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 151774,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151774,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151774,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 151774,A81000A,00100,0100,N 151774,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151774,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151774,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151774,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151774,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151774,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 151774,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 151774,B100000,00000,0800,0800MEALS SERVED :DIETARY 151774,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 151774,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 151774,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 151774,B100000,00000,1300,1330GROSS REVENUES :SOCIAL SERVICE 151774,B100000,00000,1500,1350GROSS REVENUES :ACTIVITIES 151774,S000000,00100,0200,01/23/01 151774,S200000,00100,0100,350 PONCA PLACE 151774,S200000,00200,0100,BOULDER 151774,S200000,00200,0200,CO 151774,S200000,00200,0300,80303- 151774,S200000,00300,0100,BOULDER 151774,S200000,00300,0200,1125 151774,S200000,00300,0300,U 151774,S200000,00400,0100,FRASIER MEADOW MANOR HEALTH CARE CTR 151774,S200000,00400,0200,065324 151774,S200000,00400,0300,06/01/94 151774,S200000,00400,0500,P 151774,S200000,01500,0100,Y 151774,S200000,01600,0100,N 151774,S200000,01700,0100,N 151774,S200000,01800,0100,N 151774,S200000,02200,0100,N 151774,S200000,02800,0100,N 151774,S200000,02900,0100,N 151774,S200000,03000,0100,N 151774,S200000,03100,0100,N 151774,S200000,03200,0100,N 151774,S200000,04100,0100,N 151774,S200000,04200,0100,N 151774,S200000,04300,0100,N 151774,S200000,04600,0100,N 151774,S200000,04700,0100,N 151774,S200000,04700,0200,N 151774,S200000,04900,0100,N 151774,S200000,05000,0100,N 151774,S200000,05100,0100,N 151774,S200000,05200,0100,N 151820,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151820,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151820,A000000,00300,0000,0300EMPLOYEE BENEFITS 151820,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151820,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151820,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151820,A000000,00700,0000,0700HOUSEKEEPING 151820,A000000,00800,0000,0800DIETARY 151820,A000000,00900,0000,0900NURSING ADMINISTRATION 151820,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151820,A000000,01100,0000,1100PHARMACY 151820,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151820,A000000,01300,0000,1300SOCIAL SERVICE 151820,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 151820,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 151820,A000000,01600,0000,1600SKILLED NURSING FACILITY 151820,A000000,01810,0000,1810ICF/MR 151820,A000000,02200,0000,2200LABORATORY 151820,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151820,A000000,02500,0000,2500PHYSICAL THERAPY 151820,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151820,A000000,02700,0000,2700SPEECH PATHOLOGY 151820,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151820,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151820,A000000,03550,0000,3550FQHC 151820,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 151820,A000000,05000,0000,5000CORF 151820,A000000,05010,0000,5010CMHC 151820,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 151820,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 151820,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 151820,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 151820,A000000,05300,0000,5300INTEREST EXPENSE 151820,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151820,A81000A,00100,0100,Y 151820,A81000B,00100,0300,MANAGEMENT FEES 151820,A81000C,00100,0100,A 151820,A81000C,00100,0400,JUNIPER PARTNER 151820,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 151820,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 151820,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 151820,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151820,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 151820,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 151820,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 151820,B100000,00000,0800,0850TIME SPENT :DIETARY 151820,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 151820,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 151820,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 151820,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 151820,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 151820,S000000,00100,0200,07/17/00 151820,S200000,00100,0100,2277 EAST DRIVE 151820,S200000,00200,0100,MONTE VISTA 151820,S200000,00200,0200,CO 151820,S200000,00200,0300,81144- 151820,S200000,00300,0100,RIO GRANDE 151820,S200000,00300,0200,6 151820,S200000,00300,0300,R 151820,S200000,00400,0100,MT. MEADOWS 151820,S200000,00400,0200,065291 151820,S200000,00400,0300,06/05/91 151820,S200000,00400,0500,P 151820,S200000,01500,0100,Y 151820,S200000,01600,0100,N 151820,S200000,01700,0100,N 151820,S200000,01800,0100,N 151820,S200000,02200,0100,N 151820,S200000,02800,0100,N 151820,S200000,02900,0100,N 151820,S200000,03000,0100,N 151820,S200000,03100,0100,N 151820,S200000,03200,0100,N 151820,S200000,04100,0100,N 151820,S200000,04200,0100,N 151820,S200000,04300,0100,N 151820,S200000,04600,0100,N 151820,S200000,04700,0100,N 151820,S200000,04700,0200,N 151820,S200000,04900,0100,N 151820,S200000,05000,0100,N 151820,S200000,05100,0100,N 151820,S200000,05200,0100,N 151821,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 151821,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 151821,A000000,00300,0000,0300EMPLOYEE BENEFITS 151821,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151821,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 151821,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151821,A000000,00700,0000,0700HOUSEKEEPING 151821,A000000,00800,0000,0800DIETARY 151821,A000000,00900,0000,0900NURSING ADMINISTRATION 151821,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151821,A000000,01100,0000,1100PHARMACY 151821,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151821,A000000,01300,0000,1300SOCIAL SERVICE 151821,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 151821,A000000,01500,0000,1350OTHER GENERAL SERVICES 151821,A000000,01600,0000,1600SKILLED NURSING FACILITY 151821,A000000,01810,0000,1810ICF/MR 151821,A000000,02200,0000,2200LABORATORY 151821,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151821,A000000,02500,0000,2500PHYSICAL THERAPY 151821,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151821,A000000,02700,0000,2700SPEECH PATHOLOGY 151821,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 151821,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151821,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 151821,A000000,03550,0000,3550FQHC 151821,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 151821,A000000,05000,0000,5000CORF 151821,A000000,05010,0000,5010CMHC 151821,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 151821,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 151821,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 151821,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151821,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 151821,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151821,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151821,A000000,06301,0000,6151ASSISTED LIVING 151821,A000000,06302,0000,6152DAY CARE 151821,A81000A,00100,0100,N 151821,B100000,00000,0100,0100SQUARE FEET 151821,B100000,00000,0200,0200SQUARE FEET 151821,B100000,00000,0300,0300GROSS SALARIES 151821,B100000,00000,0400,0400ACCUM. COST 151821,B100000,00000,0500,0500SQUARE FEET 151821,B100000,00000,0600,0600PATIENT DAYS 151821,B100000,00000,0700,0700SQUARE FEET 151821,B100000,00000,0800,0800MEALS SERVED 151821,B100000,00000,0900,0900GROSS CHARGES 151821,B100000,00000,1000,1000GROSS CHARGES 151821,B100000,00000,1100,1100GROSS CHARGES 151821,B100000,00000,1200,1200GROSS CHARGES 151821,B100000,00000,1300,1300PATIENT DAYS 151821,B100000,00000,1400,1400ASSIGNED TIME 151821,B100000,00000,1500,1350PATIENT DAYS 151821,S000000,00100,0200,05/05/00 151821,S200000,00100,0100,810 THIRD STREET 151821,S200000,00200,0100,LAS ANIMAS 151821,S200000,00200,0200,CO 151821,S200000,00300,0100,BENT 151821,S200000,00300,0200,9906 151821,S200000,00300,0300,R 151821,S200000,00400,0100,BENT COUNTY MEMORIAL NURSING HOME 151821,S200000,00400,0200,065359 151821,S200000,00400,0300,07/01/97 151821,S200000,00400,0500,P 151821,S200000,01500,0100,Y 151821,S200000,01600,0100,N 151821,S200000,01700,0100,N 151821,S200000,01800,0100,N 151821,S200000,02200,0100,N 151821,S200000,02800,0100,N 151821,S200000,02900,0100,N 151821,S200000,03000,0100,N 151821,S200000,03100,0100,N 151821,S200000,03200,0100,N 151821,S200000,03300,0100,N 151821,S200000,03300,0200,N 151821,S200000,04100,0100,N 151821,S200000,04200,0100,N 151821,S200000,04300,0100,N 151821,S200000,04600,0100,N 151821,S200000,04700,0100,N 151821,S200000,04700,0200,N 151821,S200000,04900,0100,N 151822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 151822,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 151822,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 151822,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 151822,A000000,00300,0000,0300EMPLOYEE BENEFITS 151822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 151822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 151822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 151822,A000000,00700,0000,0700HOUSEKEEPING 151822,A000000,00800,0000,0800DIETARY 151822,A000000,00801,0000,0801CAFETERIA 151822,A000000,00900,0000,0900NURSING ADMINISTRATION 151822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 151822,A000000,01100,0000,1100PHARMACY 151822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 151822,A000000,01300,0000,1300SOCIAL SERVICE 151822,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 151822,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 151822,A000000,01600,0000,1600SKILLED NURSING FACILITY 151822,A000000,01800,0000,1800NURSING FACILITY 151822,A000000,01900,0000,1900OTHER LONG TERM CARE 151822,A000000,02100,0000,2100RADIOLOGY 151822,A000000,02200,0000,2200LABORATORY 151822,A000000,02300,0000,2300INTRAVENOUS THERAPY 151822,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 151822,A000000,02500,0000,2500PHYSICAL THERAPY 151822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 151822,A000000,02700,0000,2700SPEECH PATHOLOGY 151822,A000000,02800,0000,2800ELECTROCARDIOLOGY 151822,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 151822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 151822,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 151822,A000000,03200,0000,3200SUPPORT SURFACES 151822,A000000,03300,0000,3050OTHER ANCILLARY 151822,A000000,03301,0000,3051OTHER ANCILLARY II 151822,A000000,03302,0000,3052OTHER ANCILLARY III 151822,A000000,03400,0000,3400CLINIC 151822,A000000,03500,0000,3500RURAL HEALTH CLINIC 151822,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 151822,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 151822,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 151822,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 151822,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 151822,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 151822,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 151822,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 151822,A000000,04400,0000,4400DME RENTED - HHA 151822,A000000,04500,0000,4500DME SOLD - HHA 151822,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 151822,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 151822,A000000,04800,0000,4800AMBULANCE 151822,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 151822,A000000,05000,0000,5000CORF 151822,A000000,05010,0000,5010CMHC I 151822,A000000,05020,0000,5020OPT I 151822,A000000,05100,0000,4750OTHER REIMBURSABLE COST 151822,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 151822,A000000,05300,0000,5300INTEREST EXPENSE 151822,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 151822,A000000,05500,0000,5500HOSPICE 151822,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 151822,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 151822,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 151822,A000000,05900,0000,5900BARBER & BEAUTY SHOP 151822,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 151822,A000000,06100,0000,6100NONPAID WORKERS 151822,A000000,06200,0000,6200PATIENTS LAUNDRY 151822,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 151822,A81000A,00100,0100,N 151822,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 151822,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 151822,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 151822,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 151822,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 151822,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 151822,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 151822,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 151822,B100000,00000,0900,0950(GROSS CHARGES) :NURSING ADMINI 151822,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 151822,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 151822,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 151822,B100000,00000,1300,1330(GROSS CHARGES) :SOCIAL SERVICE 151822,S000000,00100,0200,06/20/00 151822,S200000,00100,0100,1011 SOMBRILLO CT 151822,S200000,00200,0100,LOS ALAMOS 151822,S200000,00200,0200,NM 151822,S200000,00200,0300,87544- 151822,S200000,00300,0100,LOS ALAMOS 151822,S200000,00300,0200,7490 151822,S200000,00300,0300,U 151822,S200000,00400,0100,SOMBRILLO NURSING & REHABILITATION 151822,S200000,00400,0200,325056 151822,S200000,00400,0300,10/01/91 151822,S200000,00400,0500,P 151822,S200000,01500,0100,N 151822,S200000,01600,0100,Y 151822,S200000,01700,0100,N 151822,S200000,01800,0100,N 151822,S200000,02200,0100,Y 151822,S200000,02800,0100,Y 151822,S200000,02900,0100,N 151822,S200000,03000,0100,N 151822,S200000,03100,0100,N 151822,S200000,03200,0100,N 151822,S200000,04100,0100,N 151822,S200000,04200,0100,N 151822,S200000,04300,0100,Y 151822,S200000,04600,0100,N 151822,S200000,04700,0100,N 151822,S200000,04700,0200,N 151822,S200000,04900,0100,N 151822,S200000,05000,0100,N 151822,S200000,05100,0100,N 151822,S200000,05200,0100,N 152034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152034,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152034,A000000,00300,0000,0300EMPLOYEE BENEFITS 152034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152034,A000000,00700,0000,0700HOUSEKEEPING 152034,A000000,00800,0000,0800DIETARY 152034,A000000,00900,0000,0900NURSING ADMINISTRATION 152034,A000000,00901,0000,0901OTHER NURSING 152034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152034,A000000,01100,0000,1100PHARMACY 152034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152034,A000000,01300,0000,1300SOCIAL SERVICE 152034,A000000,01301,0000,1301ACTIVITIES 152034,A000000,01600,0000,1600SKILLED NURSING FACILITY 152034,A000000,01800,0000,1800NURSING FACILITY 152034,A000000,02100,0000,2100RADIOLOGY 152034,A000000,02200,0000,2200LABORATORY 152034,A000000,02300,0000,2300INTRAVENOUS THERAPY 152034,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152034,A000000,02500,0000,2500PHYSICAL THERAPY 152034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152034,A000000,02700,0000,2700SPEECH PATHOLOGY 152034,A000000,02800,0000,2800ELECTROCARDIOLOGY 152034,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152034,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152034,A000000,03301,0000,3051NUTRITIONAL THERAPY 152034,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152034,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152034,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152034,A000000,04800,0000,4800AMBULANCE 152034,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152034,A000000,05300,0000,5300INTEREST EXPENSE 152034,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152034,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152034,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152034,A000000,06200,0000,6200PATIENTS LAUNDRY 152034,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152034,A000000,06301,0000,6151DAY CARE 152034,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152034,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152034,A81000A,00100,0100,Y 152034,A81000B,00100,0300,HOME OFFICE COSTS 152034,A81000B,00200,0300,LIABILITY INSURANCE 152034,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152034,A81000B,00500,0300,VC PHARMACY - ADMIN 152034,A81000B,00900,0300,VC PHARMACY - DIETARY 152034,A81000B,01000,0300,VC PHARMACY - NONLEGEND 152034,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 152034,A81000B,01200,0300,VC PHARMACY - IV THERAPY 152034,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 152034,A81000B,01400,0300,VENCARE REHAB - PHYS THER 152034,A81000B,01500,0300,VENCARE REHAB - OCCP THER 152034,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 152034,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 152034,A81000B,01800,0300,VC PHARMACY - LEGEND 152034,A81000C,00100,0100,B 152034,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152034,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152034,A81000C,00100,0600,LIABILITY INSURANCE 152034,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152034,A81000C,00200,0600,PHARMACY 152034,A81000C,00300,0400,VENCARE RESPIRATORY 152034,A81000C,00300,0600,RESPIRATORY THERAPY 152034,A81000C,00400,0400,THERAPY SERVICES 152034,A81000C,00500,0400,VENCARE REHAB SERVICES 152034,A81000C,00500,0600,REHAB 152034,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152034,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152034,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152034,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152034,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152034,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152034,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152034,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152034,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152034,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152034,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152034,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152034,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152034,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152034,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152034,E10A180,00301,0100,06/30/00 152034,E10A180,00350,0100,11/30/00 152034,S000000,00100,0200,10/10/01 152034,S200000,00100,0100,505 JACKS CANYON RD 152034,S200000,00200,0100,SEDONA 152034,S200000,00200,0200,AZ 152034,S200000,00200,0300, - 152034,S200000,00300,0100,YAVAPAI 152034,S200000,00300,0300,R 152034,S200000,00400,0100,#853 KACHINA POINT HCR 152034,S200000,00400,0200,035094 152034,S200000,00400,0300,11/20/84 152034,S200000,00400,0500,P 152034,S200000,01500,0100,Y 152034,S200000,01600,0100,N 152034,S200000,01700,0100,N 152034,S200000,01800,0100,N 152034,S200000,02200,0100,Y 152034,S200000,02800,0100,N 152034,S200000,02900,0100,N 152034,S200000,03000,0100,N 152034,S200000,03100,0100,N 152034,S200000,03200,0100,N 152034,S200000,04100,0100,N 152034,S200000,04200,0100,N 152034,S200000,04300,0100,N 152034,S200000,04600,0100,N 152034,S200000,04700,0100,N 152034,S200000,04700,0200,N 152034,S200000,04900,0100,N 152034,S200000,05000,0100,N 152034,S200000,05100,0100,N 152034,S200000,05200,0100,N 152039,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152039,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152039,A000000,00300,0000,0300EMPLOYEE BENEFITS 152039,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152039,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152039,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152039,A000000,00700,0000,0700HOUSEKEEPING 152039,A000000,00800,0000,0800DIETARY 152039,A000000,00900,0000,0900NURSING ADMINISTRATION 152039,A000000,00901,0000,0901OTHER NURSING 152039,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152039,A000000,01100,0000,1100PHARMACY 152039,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152039,A000000,01300,0000,1300SOCIAL SERVICE 152039,A000000,01301,0000,1301ACTIVITIES 152039,A000000,01600,0000,1600SKILLED NURSING FACILITY 152039,A000000,01800,0000,1800NURSING FACILITY 152039,A000000,02100,0000,2100RADIOLOGY 152039,A000000,02200,0000,2200LABORATORY 152039,A000000,02300,0000,2300INTRAVENOUS THERAPY 152039,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152039,A000000,02500,0000,2500PHYSICAL THERAPY 152039,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152039,A000000,02700,0000,2700SPEECH PATHOLOGY 152039,A000000,02800,0000,2800ELECTROCARDIOLOGY 152039,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152039,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152039,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152039,A000000,03301,0000,3051NUTRITIONAL THERAPY 152039,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152039,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152039,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152039,A000000,04800,0000,4800AMBULANCE 152039,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152039,A000000,05300,0000,5300INTEREST EXPENSE 152039,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152039,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152039,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152039,A000000,06200,0000,6200PATIENTS LAUNDRY 152039,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152039,A000000,06301,0000,6151DAY CARE 152039,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152039,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152039,A81000A,00100,0100,Y 152039,A81000B,00100,0300,HOME OFFICE COSTS 152039,A81000B,00200,0300,LIABILITY INSURANCE 152039,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152039,A81000B,00500,0300,VC PHARMACY - ADMIN 152039,A81000B,00900,0300,VC PHARMACY - DIETARY 152039,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 152039,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 152039,A81000B,01200,0300,VENCARE REHAB - PHYS THER 152039,A81000B,01300,0300,VENCARE REHAB - OCCP THER 152039,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 152039,A81000B,01500,0300,VC PHARMACY - MEDICAL SUPP 152039,A81000B,01600,0300,VC PHARMACY - LEGEND 152039,A81000C,00100,0100,B 152039,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152039,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152039,A81000C,00100,0600,LIABILITY INSURANCE 152039,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152039,A81000C,00200,0600,PHARMACY 152039,A81000C,00300,0400,VENCARE RESPIRATORY 152039,A81000C,00300,0600,RESPIRATORY THERAPY 152039,A81000C,00400,0400,THERAPY SERVICES 152039,A81000C,00500,0400,VENCARE REHAB SERVICES 152039,A81000C,00500,0600,REHAB 152039,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152039,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152039,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152039,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152039,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152039,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152039,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152039,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152039,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152039,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152039,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152039,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152039,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152039,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152039,E10A180,00301,0100,06/30/00 152039,S000000,00100,0200,12/11/00 152039,S200000,00100,0100,50 PALMER STREET 152039,S200000,00200,0100,NORWICH 152039,S200000,00200,0200,CT 152039,S200000,00200,0300,06360- 152039,S200000,00300,0100,NEW LONDON 152039,S200000,00300,0200,5523 152039,S200000,00300,0300,U 152039,S200000,00400,0100,#565 - HAMILTON PAVILION HEALTHCARE 152039,S200000,00400,0200,075209 152039,S200000,00400,0300,07/01/76 152039,S200000,00400,0500,P 152039,S200000,01500,0100,Y 152039,S200000,01600,0100,N 152039,S200000,01700,0100,N 152039,S200000,01800,0100,N 152039,S200000,02200,0100,Y 152039,S200000,02800,0100,N 152039,S200000,02900,0100,N 152039,S200000,03000,0100,N 152039,S200000,03100,0100,N 152039,S200000,03200,0100,N 152039,S200000,04100,0100,N 152039,S200000,04200,0100,N 152039,S200000,04300,0100,N 152039,S200000,04600,0100,N 152039,S200000,04700,0100,N 152039,S200000,04700,0200,N 152039,S200000,04900,0100,N 152039,S200000,05000,0100,N 152039,S200000,05100,0100,N 152039,S200000,05200,0100,N 152040,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152040,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152040,A000000,00300,0000,0300EMPLOYEE BENEFITS 152040,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152040,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152040,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152040,A000000,00700,0000,0700HOUSEKEEPING 152040,A000000,00800,0000,0800DIETARY 152040,A000000,00900,0000,0900NURSING ADMINISTRATION 152040,A000000,00901,0000,0901OTHER NURSING 152040,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152040,A000000,01100,0000,1100PHARMACY 152040,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152040,A000000,01300,0000,1300SOCIAL SERVICE 152040,A000000,01301,0000,1301ACTIVITIES 152040,A000000,01600,0000,1600SKILLED NURSING FACILITY 152040,A000000,01800,0000,1800NURSING FACILITY 152040,A000000,02100,0000,2100RADIOLOGY 152040,A000000,02200,0000,2200LABORATORY 152040,A000000,02300,0000,2300INTRAVENOUS THERAPY 152040,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152040,A000000,02500,0000,2500PHYSICAL THERAPY 152040,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152040,A000000,02700,0000,2700SPEECH PATHOLOGY 152040,A000000,02800,0000,2800ELECTROCARDIOLOGY 152040,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152040,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152040,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152040,A000000,03301,0000,3051NUTRITIONAL THERAPY 152040,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152040,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152040,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152040,A000000,04800,0000,4800AMBULANCE 152040,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152040,A000000,05300,0000,5300INTEREST EXPENSE 152040,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152040,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152040,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152040,A000000,06200,0000,6200PATIENTS LAUNDRY 152040,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152040,A000000,06301,0000,6151DAY CARE 152040,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152040,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152040,A81000A,00100,0100,Y 152040,A81000B,00100,0300,HOME OFFICE COSTS 152040,A81000B,00200,0300,LIABILITY INSURANCE 152040,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152040,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152040,A81000B,00500,0300,VC PHARMACY - ADMIN 152040,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152040,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152040,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152040,A81000B,00900,0300,VC PHARMACY - DIETARY 152040,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152040,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152040,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152040,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152040,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152040,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152040,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152040,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152040,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152040,A81000B,01900,0300,VC PHARMACY - LAB 152040,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152040,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152040,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152040,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152040,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152040,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152040,A81000B,02600,0300,VC PHARMACY - LEGEND 152040,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152040,A81000B,02800,0300,VC PHARMACY - NUTR THER 152040,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152040,A81000C,00100,0100,B 152040,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152040,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152040,A81000C,00100,0600,LIABILITY INSURANCE 152040,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152040,A81000C,00200,0600,PHARMACY 152040,A81000C,00300,0400,VENCARE RESPIRATORY 152040,A81000C,00300,0600,RESPIRATORY THERAPY 152040,A81000C,00400,0400,THERAPY SERVICES 152040,A81000C,00500,0400,VENCARE REHAB SERVICES 152040,A81000C,00500,0600,REHAB 152040,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152040,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152040,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152040,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152040,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152040,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152040,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152040,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152040,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152040,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152040,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152040,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152040,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152040,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152040,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152040,E10A180,00301,0100,06/30/00 152040,E10A180,00350,0100,11/30/00 152040,S000000,00100,0200,08/16/01 152040,S200000,00100,0100,301 NORTHPOINT PARKWAY 152040,S200000,00200,0100,WEST PALM BEACH 152040,S200000,00200,0200,FL 152040,S200000,00200,0300,33407- 152040,S200000,00300,0100,PALM BEACH 152040,S200000,00300,0200,8960 152040,S200000,00300,0300,U 152040,S200000,00400,0100,#115-REHAB CNTR OF PALM BEACHES 152040,S200000,00400,0200,105039 152040,S200000,00400,0300,01/01/67 152040,S200000,00400,0500,P 152040,S200000,01500,0100,N 152040,S200000,01600,0100,Y 152040,S200000,01700,0100,N 152040,S200000,01800,0100,N 152040,S200000,02200,0100,Y 152040,S200000,02800,0100,N 152040,S200000,02900,0100,N 152040,S200000,03000,0100,N 152040,S200000,03100,0100,N 152040,S200000,03200,0100,N 152040,S200000,04100,0100,N 152040,S200000,04200,0100,N 152040,S200000,04300,0100,N 152040,S200000,04600,0100,N 152040,S200000,04700,0100,N 152040,S200000,04700,0200,N 152040,S200000,04900,0100,N 152040,S200000,05000,0100,N 152040,S200000,05100,0100,N 152040,S200000,05200,0100,N 152049,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152049,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152049,A000000,00300,0000,0300EMPLOYEE BENEFITS 152049,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152049,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152049,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152049,A000000,00700,0000,0700HOUSEKEEPING 152049,A000000,00800,0000,0800DIETARY 152049,A000000,00900,0000,0900NURSING ADMINISTRATION 152049,A000000,00901,0000,0901OTHER NURSING 152049,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152049,A000000,01100,0000,1100PHARMACY 152049,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152049,A000000,01300,0000,1300SOCIAL SERVICE 152049,A000000,01301,0000,1301ACTIVITIES 152049,A000000,01600,0000,1600SKILLED NURSING FACILITY 152049,A000000,01800,0000,1800NURSING FACILITY 152049,A000000,02100,0000,2100RADIOLOGY 152049,A000000,02200,0000,2200LABORATORY 152049,A000000,02300,0000,2300INTRAVENOUS THERAPY 152049,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152049,A000000,02500,0000,2500PHYSICAL THERAPY 152049,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152049,A000000,02700,0000,2700SPEECH PATHOLOGY 152049,A000000,02800,0000,2800ELECTROCARDIOLOGY 152049,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152049,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152049,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152049,A000000,03301,0000,3051NUTRITIONAL THERAPY 152049,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152049,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152049,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152049,A000000,04800,0000,4800AMBULANCE 152049,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152049,A000000,05300,0000,5300INTEREST EXPENSE 152049,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152049,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152049,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152049,A000000,06200,0000,6200PATIENTS LAUNDRY 152049,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152049,A000000,06301,0000,6151DAY CARE 152049,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152049,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152049,A81000A,00100,0100,Y 152049,A81000B,00100,0300,HOME OFFICE COSTS 152049,A81000B,00200,0300,LIABILITY INSURANCE 152049,A81000B,00500,0300,VC PHARMACY - ADMIN 152049,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 152049,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 152049,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 152049,A81000B,01300,0300,VENCARE REHAB - PHYS THER 152049,A81000B,01400,0300,VENCARE REHAB - OCCP THER 152049,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 152049,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 152049,A81000B,01700,0300,VC PHARMACY - LEGEND 152049,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 152049,A81000B,01900,0300,VC PHARMACY - PROS & ORTHOS 152049,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 152049,A81000C,00100,0100,B 152049,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152049,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152049,A81000C,00100,0600,LIABILITY INSURANCE 152049,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152049,A81000C,00200,0600,PHARMACY 152049,A81000C,00300,0400,VENCARE RESPIRATORY 152049,A81000C,00300,0600,RESPIRATORY THERAPY 152049,A81000C,00400,0400,THERAPY SERVICES 152049,A81000C,00500,0400,VENCARE REHAB SERVICES 152049,A81000C,00500,0600,REHAB 152049,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152049,A81000C,00600,0600,PORTABLE X-RAY 152049,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152049,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152049,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152049,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152049,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152049,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152049,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152049,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152049,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152049,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152049,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152049,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152049,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152049,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152049,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152049,E10A180,00301,0100,06/30/00 152049,E10A180,00350,0100,11/30/00 152049,S000000,00100,0200,12/01/00 152049,S200000,00100,0100,HWY 127 SOUTH 152049,S200000,00200,0100,LIBERTY 152049,S200000,00200,0200,KY 152049,S200000,00200,0300,42539- 152049,S200000,00300,0100,CASEY 152049,S200000,00300,0300,R 152049,S200000,00400,0100,#248 LIBERTY CARE CENTER 152049,S200000,00400,0200,185408 152049,S200000,00400,0300,06/02/95 152049,S200000,00400,0500,P 152049,S200000,01500,0100,N 152049,S200000,01600,0100,Y 152049,S200000,01700,0100,N 152049,S200000,01800,0100,N 152049,S200000,02200,0100,Y 152049,S200000,02800,0100,N 152049,S200000,02900,0100,N 152049,S200000,03000,0100,N 152049,S200000,03100,0100,N 152049,S200000,03200,0100,N 152049,S200000,04100,0100,N 152049,S200000,04200,0100,N 152049,S200000,04300,0100,N 152049,S200000,04600,0100,N 152049,S200000,04700,0100,N 152049,S200000,04700,0200,N 152049,S200000,04900,0100,N 152049,S200000,05000,0100,N 152049,S200000,05100,0100,N 152049,S200000,05200,0100,N 152063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152063,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152063,A000000,00300,0000,0300EMPLOYEE BENEFITS 152063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152063,A000000,00700,0000,0700HOUSEKEEPING 152063,A000000,00800,0000,0800DIETARY 152063,A000000,00900,0000,0900NURSING ADMINISTRATION 152063,A000000,00901,0000,0901OTHER NURSING 152063,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152063,A000000,01100,0000,1100PHARMACY 152063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152063,A000000,01300,0000,1300SOCIAL SERVICE 152063,A000000,01301,0000,1301ACTIVITIES 152063,A000000,01600,0000,1600SKILLED NURSING FACILITY 152063,A000000,01800,0000,1800NURSING FACILITY 152063,A000000,02100,0000,2100RADIOLOGY 152063,A000000,02200,0000,2200LABORATORY 152063,A000000,02300,0000,2300INTRAVENOUS THERAPY 152063,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152063,A000000,02500,0000,2500PHYSICAL THERAPY 152063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152063,A000000,02700,0000,2700SPEECH PATHOLOGY 152063,A000000,02800,0000,2800ELECTROCARDIOLOGY 152063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152063,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152063,A000000,03301,0000,3051NUTRITIONAL THERAPY 152063,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152063,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152063,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152063,A000000,04800,0000,4800AMBULANCE 152063,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152063,A000000,05300,0000,5300INTEREST EXPENSE 152063,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152063,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152063,A000000,06200,0000,6200PATIENTS LAUNDRY 152063,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152063,A000000,06301,0000,6151DAY CARE 152063,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152063,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152063,A81000A,00100,0100,Y 152063,A81000B,00100,0300,HOME OFFICE COSTS 152063,A81000B,00200,0300,LIABILITY INSURANCE 152063,A81000B,01000,0300,VC PHARMACY - ROUTINE CERT 152063,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 152063,A81000B,01200,0300,VENCARE REHAB - PHYS THER 152063,A81000B,01300,0300,VENCARE REHAB - OCCP THER 152063,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 152063,A81000B,01500,0300,VC PHARMACY - MEDICAL SUPP 152063,A81000C,00100,0100,B 152063,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152063,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152063,A81000C,00100,0600,LIABILITY INSURANCE 152063,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152063,A81000C,00200,0600,PHARMACY 152063,A81000C,00300,0400,VENCARE RESPIRATORY 152063,A81000C,00300,0600,RESPIRATORY THERAPY 152063,A81000C,00400,0400,THERAPY SERVICES 152063,A81000C,00500,0400,VENCARE REHAB SERVICES 152063,A81000C,00500,0600,REHAB 152063,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152063,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152063,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152063,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152063,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152063,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152063,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152063,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152063,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152063,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152063,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152063,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152063,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152063,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152063,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152063,S000000,00100,0200,12/01/00 152063,S200000,00100,0100,200 OREGON STREET 152063,S200000,00200,0100,DILLION 152063,S200000,00200,0200,MT 152063,S200000,00200,0300,59725- 152063,S200000,00300,0100,BEAVERHEAD 152063,S200000,00300,0300,R 152063,S200000,00400,0100,# 433 PARKVIEW ACRES CRC 152063,S200000,00400,0200,275124 152063,S200000,00400,0300,08/25/88 152063,S200000,00400,0500,P 152063,S200000,01500,0100,Y 152063,S200000,01600,0100,N 152063,S200000,01700,0100,N 152063,S200000,01800,0100,N 152063,S200000,02200,0100,Y 152063,S200000,02800,0100,N 152063,S200000,02900,0100,N 152063,S200000,03000,0100,N 152063,S200000,03100,0100,N 152063,S200000,03200,0100,N 152063,S200000,04100,0100,N 152063,S200000,04200,0100,N 152063,S200000,04300,0100,N 152063,S200000,04600,0100,N 152063,S200000,04700,0100,N 152063,S200000,04700,0200,N 152063,S200000,04900,0100,N 152063,S200000,05000,0100,N 152063,S200000,05100,0100,N 152063,S200000,05200,0100,N 152064,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152064,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152064,A000000,00300,0000,0300EMPLOYEE BENEFITS 152064,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152064,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152064,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152064,A000000,00700,0000,0700HOUSEKEEPING 152064,A000000,00800,0000,0800DIETARY 152064,A000000,00900,0000,0900NURSING ADMINISTRATION 152064,A000000,00901,0000,0901OTHER NURSING 152064,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152064,A000000,01100,0000,1100PHARMACY 152064,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152064,A000000,01300,0000,1300SOCIAL SERVICE 152064,A000000,01301,0000,1301ACTIVITIES 152064,A000000,01600,0000,1600SKILLED NURSING FACILITY 152064,A000000,01800,0000,1800NURSING FACILITY 152064,A000000,02100,0000,2100RADIOLOGY 152064,A000000,02200,0000,2200LABORATORY 152064,A000000,02300,0000,2300INTRAVENOUS THERAPY 152064,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152064,A000000,02500,0000,2500PHYSICAL THERAPY 152064,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152064,A000000,02700,0000,2700SPEECH PATHOLOGY 152064,A000000,02800,0000,2800ELECTROCARDIOLOGY 152064,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152064,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152064,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152064,A000000,03301,0000,3051NUTRITIONAL THERAPY 152064,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152064,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152064,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152064,A000000,04800,0000,4800AMBULANCE 152064,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152064,A000000,05300,0000,5300INTEREST EXPENSE 152064,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152064,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152064,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152064,A000000,06200,0000,6200PATIENTS LAUNDRY 152064,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152064,A000000,06301,0000,6151DAY CARE 152064,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152064,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152064,A81000A,00100,0100,Y 152064,A81000B,00100,0300,HOME OFFICE COSTS 152064,A81000B,00200,0300,LIABILITY INSURANCE 152064,A81000B,00500,0300,VC PHARMACY - ADMIN 152064,A81000B,00900,0300,VC PHARMACY - DIETARY 152064,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 152064,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 152064,A81000B,01200,0300,VENCARE REHAB - PHYS THER 152064,A81000B,01300,0300,VENCARE REHAB - OCCP THER 152064,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 152064,A81000B,01500,0300,VC PHARMACY - LEGEND 152064,A81000B,01600,0300,VC PHARMACY - COMPLEX MEDICAL 152064,A81000C,00100,0100,B 152064,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152064,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152064,A81000C,00100,0600,LIABILITY INSURANCE 152064,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152064,A81000C,00200,0600,PHARMACY 152064,A81000C,00300,0400,VENCARE RESPIRATORY 152064,A81000C,00300,0600,RESPIRATORY THERAPY 152064,A81000C,00400,0400,THERAPY SERVICES 152064,A81000C,00500,0400,VENCARE REHAB SERVICES 152064,A81000C,00500,0600,REHAB 152064,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152064,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152064,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152064,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152064,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152064,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152064,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152064,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152064,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152064,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152064,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152064,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152064,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152064,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152064,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152064,E10A180,00301,0100,06/30/00 152064,E10A180,00350,0100,11/30/00 152064,S000000,00100,0200,12/11/00 152064,S200000,00100,0100,PLAZA DRIVE 152064,S200000,00200,0100,DOVER 152064,S200000,00200,0200,NH 152064,S200000,00200,0300,03820- 152064,S200000,00300,0100,STAFFORD 152064,S200000,00300,0200,1123 152064,S200000,00300,0300,U 152064,S200000,00400,0100,DOVER REHAB & LIVING CENTER 152064,S200000,00400,0200,305018 152064,S200000,00400,0300,07/01/76 152064,S200000,00400,0500,P 152064,S200000,01500,0100,N 152064,S200000,01600,0100,Y 152064,S200000,01700,0100,N 152064,S200000,01800,0100,N 152064,S200000,02200,0100,Y 152064,S200000,02800,0100,N 152064,S200000,02900,0100,N 152064,S200000,03000,0100,N 152064,S200000,03100,0100,N 152064,S200000,03200,0100,N 152064,S200000,04100,0100,N 152064,S200000,04200,0100,N 152064,S200000,04300,0100,N 152064,S200000,04600,0100,N 152064,S200000,04700,0100,N 152064,S200000,04700,0200,N 152064,S200000,04900,0100,N 152064,S200000,05000,0100,N 152064,S200000,05100,0100,N 152064,S200000,05200,0100,N 152067,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152067,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152067,A000000,00300,0000,0300EMPLOYEE BENEFITS 152067,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152067,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152067,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152067,A000000,00700,0000,0700HOUSEKEEPING 152067,A000000,00800,0000,0800DIETARY 152067,A000000,00900,0000,0900NURSING ADMINISTRATION 152067,A000000,00901,0000,0901OTHER NURSING 152067,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152067,A000000,01100,0000,1100PHARMACY 152067,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152067,A000000,01300,0000,1300SOCIAL SERVICE 152067,A000000,01301,0000,1301ACTIVITIES 152067,A000000,01600,0000,1600SKILLED NURSING FACILITY 152067,A000000,01800,0000,1800NURSING FACILITY 152067,A000000,02100,0000,2100RADIOLOGY 152067,A000000,02200,0000,2200LABORATORY 152067,A000000,02300,0000,2300INTRAVENOUS THERAPY 152067,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152067,A000000,02500,0000,2500PHYSICAL THERAPY 152067,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152067,A000000,02700,0000,2700SPEECH PATHOLOGY 152067,A000000,02800,0000,2800ELECTROCARDIOLOGY 152067,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152067,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152067,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152067,A000000,03301,0000,3051NUTRITIONAL THERAPY 152067,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152067,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152067,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152067,A000000,04800,0000,4800AMBULANCE 152067,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152067,A000000,05300,0000,5300INTEREST EXPENSE 152067,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152067,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152067,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152067,A000000,06200,0000,6200PATIENTS LAUNDRY 152067,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152067,A000000,06301,0000,6151DAY CARE 152067,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152067,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152067,A81000A,00100,0100,Y 152067,A81000B,00100,0300,HOME OFFICE COSTS 152067,A81000B,00200,0300,LIABILITY INSURANCE 152067,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152067,A81000B,00900,0300,VC PHARMACY - DIETARY 152067,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 152067,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 152067,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 152067,A81000B,01300,0300,VC PHARMACY - LAB 152067,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 152067,A81000B,01500,0300,VENCARE REHAB - PHYS THER 152067,A81000B,01600,0300,VENCARE REHAB - OCCP THER 152067,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 152067,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 152067,A81000B,01900,0300,VC PHARMACY - LEGEND 152067,A81000B,02000,0300,VC PHARMACY - OTHER MEDICAL 152067,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 152067,A81000C,00100,0100,B 152067,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152067,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152067,A81000C,00100,0600,LIABILITY INSURANCE 152067,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152067,A81000C,00200,0600,PHARMACY 152067,A81000C,00300,0400,VENCARE RESPIRATORY 152067,A81000C,00300,0600,RESPIRATORY THERAPY 152067,A81000C,00500,0400,VENCARE REHAB SERVICES 152067,A81000C,00500,0600,REHAB 152067,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152067,A81000C,00600,0600,PORTABLE X-RAY 152067,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152067,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152067,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152067,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152067,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152067,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152067,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152067,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152067,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152067,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152067,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152067,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152067,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152067,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152067,E10A180,00301,0100,06/30/00 152067,E10A180,00350,0100,11/30/00 152067,S000000,00100,0200,12/01/00 152067,S200000,00100,0100,544 PLEASANT AVE. 152067,S200000,00200,0100,PAWTUCKET 152067,S200000,00200,0200,RI 152067,S200000,00200,0300,02860- 152067,S200000,00300,0100,PROVIDENCE 152067,S200000,00300,0300,U 152067,S200000,00400,0100,OAK HILL NURSING & REHABILITATION 152067,S200000,00400,0200,415027 152067,S200000,00400,0300,01/01/92 152067,S200000,00400,0500,P 152067,S200000,01500,0100,Y 152067,S200000,01600,0100,N 152067,S200000,01700,0100,N 152067,S200000,01800,0100,N 152067,S200000,02200,0100,Y 152067,S200000,02800,0100,N 152067,S200000,02900,0100,N 152067,S200000,03000,0100,N 152067,S200000,03100,0100,N 152067,S200000,03200,0100,N 152067,S200000,04100,0100,N 152067,S200000,04200,0100,N 152067,S200000,04300,0100,N 152067,S200000,04600,0100,N 152067,S200000,04700,0100,N 152067,S200000,04700,0200,N 152067,S200000,04900,0100,N 152067,S200000,05000,0100,N 152067,S200000,05100,0100,N 152067,S200000,05200,0100,N 152072,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152072,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152072,A000000,00300,0000,0300EMPLOYEE BENEFITS 152072,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152072,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152072,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152072,A000000,00700,0000,0700HOUSEKEEPING 152072,A000000,00800,0000,0800DIETARY 152072,A000000,00900,0000,0900NURSING ADMINISTRATION 152072,A000000,00901,0000,0901OTHER NURSING 152072,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152072,A000000,01100,0000,1100PHARMACY 152072,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152072,A000000,01300,0000,1300SOCIAL SERVICE 152072,A000000,01301,0000,1301ACTIVITIES 152072,A000000,01600,0000,1600SKILLED NURSING FACILITY 152072,A000000,01800,0000,1800NURSING FACILITY 152072,A000000,02100,0000,2100RADIOLOGY 152072,A000000,02200,0000,2200LABORATORY 152072,A000000,02300,0000,2300INTRAVENOUS THERAPY 152072,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152072,A000000,02500,0000,2500PHYSICAL THERAPY 152072,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152072,A000000,02700,0000,2700SPEECH PATHOLOGY 152072,A000000,02800,0000,2800ELECTROCARDIOLOGY 152072,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152072,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152072,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152072,A000000,03301,0000,3051NUTRITIONAL THERAPY 152072,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152072,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152072,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152072,A000000,04800,0000,4800AMBULANCE 152072,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152072,A000000,05300,0000,5300INTEREST EXPENSE 152072,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152072,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152072,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152072,A000000,06200,0000,6200PATIENTS LAUNDRY 152072,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152072,A000000,06301,0000,6151DAY CARE 152072,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152072,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152072,A81000A,00100,0100,Y 152072,A81000B,00100,0300,HOME OFFICE COSTS 152072,A81000B,00200,0300,LIABILITY INSURANCE 152072,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152072,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152072,A81000B,00500,0300,VC PHARMACY - ADMIN 152072,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152072,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152072,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152072,A81000B,00900,0300,VC PHARMACY - DIETARY 152072,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152072,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152072,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152072,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152072,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152072,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152072,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152072,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152072,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152072,A81000B,01900,0300,VC PHARMACY - LAB 152072,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152072,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152072,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152072,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152072,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152072,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152072,A81000B,02600,0300,VC PHARMACY - LEGEND 152072,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152072,A81000B,02800,0300,VC PHARMACY - NUTR THER 152072,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152072,A81000C,00100,0100,B 152072,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152072,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152072,A81000C,00100,0600,LIABILITY INSURANCE 152072,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152072,A81000C,00200,0600,PHARMACY 152072,A81000C,00300,0400,VENCARE RESPIRATORY 152072,A81000C,00300,0600,RESPIRATORY THERAPY 152072,A81000C,00500,0400,VENCARE REHAB SERVICES 152072,A81000C,00500,0600,REHAB 152072,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152072,A81000C,00600,0600,PORTABLE X-RAY 152072,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152072,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152072,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152072,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152072,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152072,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152072,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152072,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152072,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152072,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152072,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152072,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152072,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152072,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152072,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152072,E10A180,00350,0100,06/30/00 152072,E10A180,00352,0100,11/30/00 152072,S000000,00100,0200,12/01/00 152072,S200000,00100,0100,8607 VILLAGE DRIVE 152072,S200000,00200,0100,SAN ANTONIO 152072,S200000,00200,0200,TX 152072,S200000,00200,0300,78217- 152072,S200000,00300,0100,BEXAR 152072,S200000,00300,0200,7240 152072,S200000,00300,0300,U 152072,S200000,00400,0100,NORMANDY TERRACE NORTHEAST 152072,S200000,00400,0200,455760 152072,S200000,00400,0300,01/01/94 152072,S200000,00400,0500,P 152072,S200000,01500,0100,Y 152072,S200000,01600,0100,N 152072,S200000,01700,0100,N 152072,S200000,01800,0100,N 152072,S200000,02200,0100,Y 152072,S200000,02800,0100,N 152072,S200000,02900,0100,N 152072,S200000,03000,0100,N 152072,S200000,03100,0100,N 152072,S200000,03200,0100,N 152072,S200000,04100,0100,N 152072,S200000,04200,0100,N 152072,S200000,04300,0100,N 152072,S200000,04600,0100,N 152072,S200000,04700,0100,N 152072,S200000,04700,0200,N 152072,S200000,04900,0100,N 152072,S200000,05000,0100,N 152072,S200000,05100,0100,N 152072,S200000,05200,0100,N 152075,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152075,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152075,A000000,00300,0000,0300EMPLOYEE BENEFITS 152075,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152075,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152075,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152075,A000000,00700,0000,0700HOUSEKEEPING 152075,A000000,00800,0000,0800DIETARY 152075,A000000,00900,0000,0900NURSING ADMINISTRATION 152075,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152075,A000000,01100,0000,1100PHARMACY 152075,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152075,A000000,01300,0000,1300SOCIAL SERVICE 152075,A000000,01301,0000,1301ACTIVITIES 152075,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 152075,A000000,01500,0000,1350OTHER GENERAL SERVICES 152075,A000000,01600,0000,1600SKILLED NURSING FACILITY 152075,A000000,01800,0000,1800NURSING FACILITY 152075,A000000,01810,0000,1810ICF/MR 152075,A000000,01900,0000,1900OTHER LONG TERM CARE 152075,A000000,02100,0000,2100RADIOLOGY 152075,A000000,02200,0000,2200LABORATORY 152075,A000000,02300,0000,2300INTRAVENOUS THERAPY 152075,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152075,A000000,02500,0000,2500PHYSICAL THERAPY 152075,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152075,A000000,02700,0000,2700SPEECH PATHOLOGY 152075,A000000,02800,0000,2800ELECTROCARDIOLOGY 152075,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152075,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152075,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 152075,A000000,03200,0000,3200SUPPORT SURFACES 152075,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152075,A000000,03301,0000,3051PROSTHETICS & ORTHOTICS 152075,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152075,A000000,03400,0000,3400CLINIC 152075,A000000,03500,0000,3500RURAL HEALTH CLINIC 152075,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152075,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 152075,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 152075,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 152075,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 152075,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 152075,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 152075,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 152075,A000000,04400,0000,4400DME RENTED - HHA 152075,A000000,04500,0000,4500DME SOLD - HHA 152075,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 152075,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 152075,A000000,04800,0000,4800AMBULANCE 152075,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 152075,A000000,05000,0000,5000CORF 152075,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152075,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 152075,A000000,05300,0000,5300INTEREST EXPENSE 152075,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152075,A000000,05500,0000,5500HOSPICE 152075,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 152075,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152075,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152075,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 152075,A000000,06100,0000,6100NONPAID WORKERS 152075,A000000,06200,0000,6200PATIENTS LAUNDRY 152075,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152075,A81000A,00100,0100,Y 152075,A81000B,00100,0300,HOME OFFICE COSTS 152075,A81000B,00200,0300,HOME OFFICE COSTS 152075,A81000B,00300,0300,HOME OFFICE COSTS 152075,A81000B,00400,0300,VENCARE PHARMACY 152075,A81000B,00500,0300,VENCARE PHARMACY 152075,A81000C,00100,0100,B 152075,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152075,A81000C,00100,0400,VENCARE PHARMACY 152075,A81000C,00100,0600,PHARMACY 152075,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152075,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152075,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152075,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152075,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152075,B100000,00000,0600,0650# OF LAUNDRY :LAUNDRY & LINEN SE 152075,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152075,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152075,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152075,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 152075,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 152075,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152075,S000000,00100,0200,12/06/00 152075,S200000,00100,0100,5700 WEST LAYTON AVENUE 152075,S200000,00200,0100,GREENFIELD 152075,S200000,00200,0200,WI 152075,S200000,00200,0300,53220- 152075,S200000,00300,0100,MILWAUKEE 152075,S200000,00300,0200,5080 152075,S200000,00300,0300,U 152075,S200000,00400,0100,MOUNT CARMEL LLC 152075,S200000,00400,0200,525344 152075,S200000,00400,0300,01/01/84 152075,S200000,00400,0500,P 152075,S200000,01500,0100,Y 152075,S200000,01600,0100,N 152075,S200000,01700,0100,N 152075,S200000,01800,0100,N 152075,S200000,02200,0100,N 152075,S200000,02800,0100,N 152075,S200000,02900,0100,N 152075,S200000,03000,0100,N 152075,S200000,03100,0100,N 152075,S200000,03200,0100,N 152075,S200000,04100,0100,N 152075,S200000,04200,0100,N 152075,S200000,04300,0100,N 152075,S200000,04600,0100,N 152075,S200000,04700,0100,N 152075,S200000,04700,0200,N 152075,S200000,04900,0100,N 152075,S200000,05000,0100,N 152075,S200000,05100,0100,N 152075,S200000,05200,0100,N 152078,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152078,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152078,A000000,00300,0000,0300EMPLOYEE BENEFITS 152078,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152078,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152078,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152078,A000000,00700,0000,0700HOUSEKEEPING 152078,A000000,00800,0000,0800DIETARY 152078,A000000,00900,0000,0900NURSING ADMINISTRATION 152078,A000000,00901,0000,0901OTHER NURSING 152078,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152078,A000000,01100,0000,1100PHARMACY 152078,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152078,A000000,01300,0000,1300SOCIAL SERVICE 152078,A000000,01301,0000,1301ACTIVITIES 152078,A000000,01600,0000,1600SKILLED NURSING FACILITY 152078,A000000,01800,0000,1800NURSING FACILITY 152078,A000000,02100,0000,2100RADIOLOGY 152078,A000000,02200,0000,2200LABORATORY 152078,A000000,02300,0000,2300INTRAVENOUS THERAPY 152078,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152078,A000000,02500,0000,2500PHYSICAL THERAPY 152078,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152078,A000000,02700,0000,2700SPEECH PATHOLOGY 152078,A000000,02800,0000,2800ELECTROCARDIOLOGY 152078,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152078,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152078,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152078,A000000,03301,0000,3051NUTRITIONAL THERAPY 152078,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152078,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152078,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152078,A000000,04800,0000,4800AMBULANCE 152078,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152078,A000000,05300,0000,5300INTEREST EXPENSE 152078,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152078,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152078,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152078,A000000,06200,0000,6200PATIENTS LAUNDRY 152078,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152078,A000000,06301,0000,6151DAY CARE 152078,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152078,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152078,A81000A,00100,0100,Y 152078,A81000B,00100,0300,HOME OFFICE COSTS 152078,A81000B,00200,0300,LIABILITY INSURANCE 152078,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152078,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152078,A81000B,00500,0300,VC PHARMACY - ADMIN 152078,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152078,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152078,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152078,A81000B,00900,0300,VC PHARMACY - DIETARY 152078,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152078,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152078,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152078,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152078,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152078,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152078,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152078,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152078,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152078,A81000B,01900,0300,VC PHARMACY - LAB 152078,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152078,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152078,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152078,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152078,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152078,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152078,A81000B,02600,0300,VC PHARMACY - LEGEND 152078,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152078,A81000B,02800,0300,VC PHARMACY - NUTR THER 152078,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152078,A81000C,00100,0100,B 152078,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152078,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152078,A81000C,00100,0600,LIABILITY INSURANCE 152078,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152078,A81000C,00200,0600,PHARMACY 152078,A81000C,00300,0400,VENCARE RESPIRATORY 152078,A81000C,00300,0600,RESPIRATORY THERAPY 152078,A81000C,00400,0400,THERAPY SERVICES 152078,A81000C,00500,0400,VENCARE REHAB SERVICES 152078,A81000C,00500,0600,REHAB 152078,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152078,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152078,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152078,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152078,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152078,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152078,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152078,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152078,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152078,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152078,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152078,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152078,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152078,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152078,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152078,E10A180,00301,0100,06/30/00 152078,S000000,00100,0200,12/01/00 152078,S200000,00100,0100,1517 KNICKERBOCKER DR. 152078,S200000,00200,0100,STOCKTON 152078,S200000,00200,0200,CA 152078,S200000,00200,0300,95210- 152078,S200000,00300,0100,JOAQUIN 152078,S200000,00300,0300,U 152078,S200000,00400,0100,350-VALLEY GARDENS HEALTHCARE & REHA 152078,S200000,00400,0200,555307 152078,S200000,00400,0300,07/07/88 152078,S200000,00400,0500,P 152078,S200000,01500,0100,Y 152078,S200000,01600,0100,N 152078,S200000,01700,0100,N 152078,S200000,01800,0100,N 152078,S200000,02200,0100,Y 152078,S200000,02800,0100,N 152078,S200000,02900,0100,N 152078,S200000,03000,0100,N 152078,S200000,03100,0100,N 152078,S200000,03200,0100,N 152078,S200000,04100,0100,N 152078,S200000,04200,0100,N 152078,S200000,04300,0100,N 152078,S200000,04600,0100,N 152078,S200000,04700,0100,N 152078,S200000,04700,0200,N 152078,S200000,04900,0100,N 152078,S200000,05000,0100,N 152078,S200000,05100,0100,N 152078,S200000,05200,0100,N 152160,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152160,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152160,A000000,00300,0000,0300EMPLOYEE BENEFITS 152160,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152160,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152160,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152160,A000000,00700,0000,0700HOUSEKEEPING 152160,A000000,00800,0000,0800DIETARY 152160,A000000,00900,0000,0900NURSING ADMINISTRATION 152160,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152160,A000000,01100,0000,1100PHARMACY 152160,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152160,A000000,01300,0000,1300SOCIAL SERVICE 152160,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 152160,A000000,01500,0000,1350RECREATION ACTIVITIES 152160,A000000,01600,0000,1600SKILLED NURSING FACILITY 152160,A000000,01800,0000,1800NURSING FACILITY 152160,A000000,01810,0000,1810ICF/MR 152160,A000000,02100,0000,2100RADIOLOGY 152160,A000000,02200,0000,2200LABORATORY 152160,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152160,A000000,02500,0000,2500PHYSICAL THERAPY 152160,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152160,A000000,02700,0000,2700SPEECH PATHOLOGY 152160,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152160,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152160,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 152160,A000000,03301,0000,3051ENTERAL FEEDING 152160,A000000,03550,0000,3550FQHC 152160,A000000,05000,0000,5000CORF 152160,A000000,05010,0000,5010CMHC 152160,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 152160,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 152160,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 152160,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152160,A000000,06300,0000,6150ENTERSTOMAL THERAPY 152160,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 152160,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 152160,A000000,06312,0000,6153DIALYSIS 152160,A000000,06320,0000,6154APARTMENTS 152160,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 152160,A000000,06340,0000,6156CLOSED PATIENT AREAS 152160,A000000,06350,0000,6157O/P ADULT DAYCARE 152160,A81000A,00100,0100,Y 152160,A81000B,00100,0300,HOME OFFICE CAPITAL COST 152160,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 152160,A81000B,00400,0300,SYMPHONY REHAB 152160,A81000B,00500,0300,SYMPHONY REHAB 152160,A81000B,00600,0300,SYMPHONY REHAB 152160,A81000B,00700,0300,REHAB ALLOCATION 152160,A81000B,00800,0300,REHAB ALLOCATION 152160,A81000B,00900,0300,REHAB ALLOCATION 152160,A81000B,01000,0300,CLINICAL ALLOCATION 152160,A81000B,01100,0300,SYMPHONY MOBILEX 152160,A81000B,01200,0300,SYMPHONY MOBILEX 152160,A81000C,00100,0100,B 152160,A81000C,00100,0400,IHS INC. 152160,A81000C,00100,0600,NURSING HOMES 152160,A81000C,00200,0100,B 152160,A81000C,00200,0400,LYRIC 152160,A81000C,00200,0600,NURSING HOMES 152160,A81000C,00300,0100,G 152160,A81000C,00300,0400,SYMPHONY 152160,A81000C,00300,0600,REHAB 152160,A81000C,00400,0100,G 152160,A81000C,00400,0400,LTC 152160,A81000C,00400,0600,LAB 152160,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 152160,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 152160,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152160,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 152160,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 152160,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 152160,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 152160,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 152160,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 152160,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 152160,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 152160,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 152160,E10A180,00301,0100,12/03/99 152160,E10A180,00302,0100,05/18/00 152160,E10A180,00501,0100,08/09/01 152160,E10A180,00501,0300,08/09/01 152160,E10A180,00550,0100,07/28/00 152160,S000000,00100,0200,06/15/00 152160,S200000,00100,0100,820 RHUE HAUS LANE 152160,S200000,00200,0100,HUMMELSTOWN 152160,S200000,00200,0200,PA 152160,S200000,00200,0300,17036- 152160,S200000,00300,0100,DAUPHIN 152160,S200000,00300,0200,3240 152160,S200000,00300,0300,U 152160,S200000,00400,0100,IHS-HERSHEY AT WOODLANDS 152160,S200000,00400,0200,395242 152160,S200000,00400,0300,07/25/86 152160,S200000,00400,0500,P 152160,S200000,00600,0200,395242 152160,S200000,00600,0300,07/25/86 152160,S200000,00600,0600,O 152160,S200000,01500,0100,N 152160,S200000,01600,0100,Y 152160,S200000,01700,0100,N 152160,S200000,01800,0100,N 152160,S200000,02200,0100,Y 152160,S200000,02800,0100,N 152160,S200000,02900,0100,N 152160,S200000,03000,0100,N 152160,S200000,03100,0100,N 152160,S200000,03200,0100,N 152160,S200000,04100,0100,N 152160,S200000,04200,0100,N 152160,S200000,04300,0100,N 152160,S200000,04600,0100,N 152160,S200000,04700,0100,N 152160,S200000,04700,0200,N 152160,S200000,04900,0100,N 152160,S200000,05000,0100,N 152160,S200000,05100,0100,N 152160,S200000,05200,0100,N 152174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 152174,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 152174,A000000,00300,0000,0300EMPLOYEE BENEFITS 152174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 152174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152174,A000000,00700,0000,0700HOUSEKEEPING 152174,A000000,00800,0000,0800DIETARY 152174,A000000,00900,0000,0900NURSING ADMINISTRATION 152174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152174,A000000,01100,0000,1100PHARMACY 152174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152174,A000000,01300,0000,1300SOCIAL SERVICE 152174,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 152174,A000000,01600,0000,1600SKILLED NURSING FACILITY 152174,A000000,01800,0000,1800NURSING FACILITY 152174,A000000,01810,0000,1810ICF/MR 152174,A000000,02200,0000,2200LABORATORY 152174,A000000,02500,0000,2500PHYSICAL THERAPY 152174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152174,A000000,02700,0000,2700SPEECH PATHOLOGY 152174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 152174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152174,A000000,03550,0000,3550FQHC 152174,A000000,05000,0000,5000CORF 152174,A000000,05010,0000,5010CMHC 152174,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 152174,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 152174,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 152174,A000000,05300,0000,5300INTEREST EXPENSE 152174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152174,A81000A,00100,0100,Y 152174,A81000B,00100,0300,CAPITAL COSTS 152174,A81000B,00200,0300,ADMINISTRATIVE COSTS 152174,A81000C,00100,0100,A 152174,A81000C,00100,0200,JOHN JAMISON II 152174,A81000C,00100,0400,CARECORPS MGT C 152174,A81000C,00100,0600,CENT OFFICE 152174,B100000,00000,0100,0100SQUARE FEET 152174,B100000,00000,0200,0200SQUARE FEET 152174,B100000,00000,0300,0300GROSS SALARIES 152174,B100000,00000,0400,0400ACCUM COST 152174,B100000,00000,0500,0500SQUARE FEET 152174,B100000,00000,0600,0600PATIENT DAYS 152174,B100000,00000,0700,0700SQUARE FEET 152174,B100000,00000,0800,0800MEALS SERVED 152174,B100000,00000,0900,0900NURSING SALARIES 152174,B100000,00000,1000,1000COSTED REQUIS 152174,B100000,00000,1100,1100COSTED REQUIS 152174,B100000,00000,1200,1200PATIENT DAYS 152174,B100000,00000,1300,1300PATIENT DAYS 152174,B100000,00000,1400,1400ASSIGNED TIME 152174,E10A180,00501,0300,06/20/00 152174,E10A180,00550,0100,06/20/00 152174,S000000,00100,0200,06/01/00 152174,S200000,00100,0100,935 WEST STREET 152174,S200000,00200,0100,LAUREL 152174,S200000,00200,0200,MS 152174,S200000,00200,0300,39440 152174,S200000,00300,0100,JONES 152174,S200000,00300,0200,0025 152174,S200000,00300,0300,U 152174,S200000,00400,0100,CARE CENTER OF LAUREL 152174,S200000,00400,0200,255095 152174,S200000,00400,0300,01/01/90 152174,S200000,00400,0500,P 152174,S200000,01500,0100,N 152174,S200000,01600,0100,Y 152174,S200000,01700,0100,N 152174,S200000,01800,0100,N 152174,S200000,02200,0100,N 152174,S200000,02800,0100,N 152174,S200000,02900,0100,N 152174,S200000,03000,0100,N 152174,S200000,03100,0100,N 152174,S200000,03200,0100,N 152174,S200000,03300,0100,N 152174,S200000,03300,0200,N 152174,S200000,04100,0100,N 152174,S200000,04200,0100,N 152174,S200000,04300,0100,N 152174,S200000,04600,0100,N 152174,S200000,04700,0100,N 152174,S200000,04900,0100,N 152174,S200000,05200,0100,N 152558,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 152558,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 152558,A000000,00300,0000,0300EMPLOYEE BENEFITS 152558,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152558,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 152558,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152558,A000000,00700,0000,0700HOUSEKEEPING 152558,A000000,00800,0000,0800DIETARY 152558,A000000,00900,0000,0900NURSING ADMINISTRATION 152558,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152558,A000000,01100,0000,1100PHARMACY 152558,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152558,A000000,01300,0000,1300SOCIAL SERVICE 152558,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 152558,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 152558,A000000,01600,0000,1600SKILLED NURSING FACILITY 152558,A000000,01810,0000,1810ICF/MR 152558,A000000,02100,0000,2100RADIOLOGY 152558,A000000,02200,0000,2200LABORATORY 152558,A000000,02500,0000,2500PHYSICAL THERAPY 152558,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152558,A000000,02700,0000,2700SPEECH PATHOLOGY 152558,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 152558,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152558,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 152558,A000000,03550,0000,3550FQHC 152558,A000000,05000,0000,5000CORF 152558,A000000,05010,0000,5010CMHC 152558,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 152558,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 152558,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 152558,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152558,A81000A,00100,0100,Y 152558,A81000B,00100,0300,MGT FEE/HOME OFFICE 152558,A81000B,00200,0300,PHYSICAL THERAPY 152558,A81000B,00300,0300,OCCUPATIONAL THERAPY 152558,A81000B,00400,0300,SPEECH THERAPY 152558,A81000B,00500,0300,MEDICAL SUPPLIES 152558,A81000B,00600,0300,MEDICAL SUPPLIES 152558,A81000C,00100,0100,B 152558,A81000C,00100,0200,FOUNTAIN VIEW INC 152558,A81000C,00100,0400,TOWN & COUNTRY MANOR 152558,A81000C,00200,0100,B 152558,A81000C,00200,0400,LOCOMOTION THERAPY INC 152558,A81000C,00200,0600,THERAPY COMPANY 152558,A81000C,00300,0100,B 152558,A81000C,00300,0400,SKILLED CARE PHARMACY 152558,A81000C,00300,0600,INST. PHARM. 152558,A81000C,00400,0400,I N O 152558,A81000C,00400,0600,SUPPLIER 152558,B100000,00000,0100,0100SQUARE FEET 152558,B100000,00000,0200,0200SQUARE FEET 152558,B100000,00000,0300,0300GROSS SALARY 152558,B100000,00000,0400,0400ACCUM. COST 152558,B100000,00000,0500,0500SQUARE FEET 152558,B100000,00000,0600,0600PATIENT DAYS 152558,B100000,00000,0700,0700SQUQRE FEET 152558,B100000,00000,0800,0800PATIENT DAYS 152558,B100000,00000,0900,0900NURSING HOURS 152558,B100000,00000,1000,1000COSTED REQUIS 152558,B100000,00000,1100,1100COSTED REQUIS 152558,B100000,00000,1200,1200GROSS REVENUE 152558,B100000,00000,1300,1300PATIENT DAYS 152558,B100000,00000,1400,1400ASSIGNED TIME 152558,B100000,00000,1500,1350 152558,E10A180,00350,0100,02/22/00 152558,E10A180,00350,0300,02/22/00 152558,E10A180,00501,0100,02/26/01 152558,E10A180,00501,0300,02/26/01 152558,S000000,00100,0200,01/22/01 152558,S200000,00100,0100,625 NO MAIN STREET 152558,S200000,00200,0100,BOERNE 152558,S200000,00200,0200,TX 152558,S200000,00200,0300,78006 152558,S200000,00300,0100,B 152558,S200000,00300,0200,0045 152558,S200000,00300,0300,R 152558,S200000,00400,0100,TOWN & COUNTRY MANOR 152558,S200000,00400,0200,455796 152558,S200000,00400,0300,03/03/89 152558,S200000,00400,0500,P 152558,S200000,01500,0100,Y 152558,S200000,01600,0100,N 152558,S200000,01700,0100,N 152558,S200000,01800,0100,N 152558,S200000,02200,0100,N 152558,S200000,02800,0100,N 152558,S200000,02900,0100,N 152558,S200000,03000,0100,N 152558,S200000,03100,0100,N 152558,S200000,03200,0100,N 152558,S200000,03300,0100,N 152558,S200000,03300,0200,N 152558,S200000,04100,0100,N 152558,S200000,04200,0100,N 152558,S200000,04300,0100,N 152558,S200000,04600,0100,N 152558,S200000,04700,0100,N 152558,S200000,04900,0100,N 152558,S200000,05200,0100,N 152944,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 152944,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 152944,A000000,00300,0000,0300EMPLOYEE BENEFITS 152944,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152944,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 152944,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152944,A000000,00700,0000,0700HOUSEKEEPING 152944,A000000,00800,0000,0800DIETARY 152944,A000000,00900,0000,0900NURSING ADMINISTRATION 152944,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152944,A000000,01100,0000,1100PHARMACY 152944,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152944,A000000,01300,0000,1300SOCIAL SERVICE 152944,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 152944,A000000,01600,0000,1600SKILLED NURSING FACILITY 152944,A000000,01810,0000,1810ICF/MR 152944,A000000,02100,0000,2100RADIOLOGY 152944,A000000,02200,0000,2200LABORATORY 152944,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152944,A000000,02500,0000,2500PHYSICAL THERAPY 152944,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152944,A000000,02700,0000,2700SPEECH PATHOLOGY 152944,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 152944,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152944,A000000,03200,0000,3200SUPPORT SURFACES 152944,A000000,03550,0000,3550FQHC 152944,A000000,05000,0000,5000CORF 152944,A000000,05010,0000,5010CMHC 152944,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 152944,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 152944,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 152944,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152944,A81000A,00100,0100,Y 152944,A81000B,00100,0300,MANAGEMENT FEES 152944,A81000B,00200,0300,PHYSICAL THERAPY 152944,A81000B,00300,0300,OCCUPATIONAL THERAPY 152944,A81000B,00400,0300,SPEECH THERAPY 152944,A81000B,00500,0300,REPSIRATORY THERAPY 152944,A81000B,00600,0300,MEDICAL SUPPLIES 152944,A81000B,00700,0300,PATIENT SUPPLIES 152944,A81000B,00800,0300,PHARMACY 152944,A81000C,00100,0100,B 152944,A81000C,00100,0200,FOUNTAIN VIEW INC 152944,A81000C,00100,0400,FOUNTAIN CARE CENTER 152944,A81000C,00100,0600,SNF 152944,A81000C,00200,0100,B 152944,A81000C,00200,0200,FOUNTAIN VIEW INC. 152944,A81000C,00200,0400,LOCOMOTION 152944,A81000C,00200,0600,THERAPY COMPANY 152944,A81000C,00300,0100,B 152944,A81000C,00300,0200,FOUNTAIN VIEW INC. 152944,A81000C,00300,0400,I N O 152944,A81000C,00300,0600,MEDICAL SUPPLY COMPANY 152944,A81000C,00400,0100,B 152944,A81000C,00400,0200,FOUNTAIN VIEW INC. 152944,A81000C,00400,0400,SKILLED CARE PHARMACY 152944,A81000C,00400,0600,PHARMACY 152944,B100000,00000,0100,0100SQUARE FEET 152944,B100000,00000,0200,0200SQUARE FEET 152944,B100000,00000,0300,0300GROSS SALARIES 152944,B100000,00000,0400,0400ACCUM. COST 152944,B100000,00000,0500,0500SQUARE FEET 152944,B100000,00000,0600,0600POUNDS OF LAUNDRY 152944,B100000,00000,0700,0700SQUARE FEET 152944,B100000,00000,0800,0800MEALS SERVED 152944,B100000,00000,0900,0900DIRECT NRSING HRS 152944,B100000,00000,1000,1000COSTED REQUIS 152944,B100000,00000,1100,1100COSTED REQUIS 152944,B100000,00000,1200,1200GROSS REVENUE 152944,B100000,00000,1300,1300PATIENT DAYS 152944,B100000,00000,1400,1400ASSIGNED TIME 152944,E10A180,00501,0100,02/07/01 152944,E10A180,00550,0300,02/07/01 152944,S000000,00100,0200,01/18/01 152944,S200000,00100,0100,1835 W. LAVETA AVE. 152944,S200000,00200,0100,ORANGE 152944,S200000,00200,0200,CA 152944,S200000,00200,0300,92668 152944,S200000,00300,0100,O 152944,S200000,00300,0200,5945 152944,S200000,00300,0300,U 152944,S200000,00400,0100,FOUNTAIN CARE CENTER 152944,S200000,00400,0200,555259 152944,S200000,00400,0300,03/04/87 152944,S200000,00400,0500,P 152944,S200000,00400,0600,O 152944,S200000,01500,0100,N 152944,S200000,01600,0100,Y 152944,S200000,01700,0100,N 152944,S200000,01800,0100,N 152944,S200000,02200,0100,N 152944,S200000,02800,0100,N 152944,S200000,02900,0100,N 152944,S200000,03000,0100,N 152944,S200000,03100,0100,N 152944,S200000,03200,0100,N 152944,S200000,03300,0100,N 152944,S200000,03300,0200,N 152944,S200000,04100,0100,N 152944,S200000,04200,0100,N 152944,S200000,04300,0100,N 152944,S200000,04600,0100,N 152944,S200000,04700,0100,N 152944,S200000,04700,0200,N 152944,S200000,04900,0100,N 152944,S200000,05200,0100,N 152955,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152955,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152955,A000000,00300,0000,0300EMPLOYEE BENEFITS 152955,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152955,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152955,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152955,A000000,00700,0000,0700HOUSEKEEPING 152955,A000000,00800,0000,0800DIETARY 152955,A000000,00900,0000,0900NURSING ADMINISTRATION 152955,A000000,00901,0000,0901OTHER NURSING 152955,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152955,A000000,01100,0000,1100PHARMACY 152955,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152955,A000000,01300,0000,1300SOCIAL SERVICE 152955,A000000,01301,0000,1301ACTIVITIES 152955,A000000,01600,0000,1600SKILLED NURSING FACILITY 152955,A000000,01800,0000,1800NURSING FACILITY 152955,A000000,02100,0000,2100RADIOLOGY 152955,A000000,02200,0000,2200LABORATORY 152955,A000000,02300,0000,2300INTRAVENOUS THERAPY 152955,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152955,A000000,02500,0000,2500PHYSICAL THERAPY 152955,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152955,A000000,02700,0000,2700SPEECH PATHOLOGY 152955,A000000,02800,0000,2800ELECTROCARDIOLOGY 152955,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152955,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152955,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152955,A000000,03301,0000,3051NUTRITIONAL THERAPY 152955,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152955,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152955,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152955,A000000,04800,0000,4800AMBULANCE 152955,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152955,A000000,05300,0000,5300INTEREST EXPENSE 152955,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152955,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152955,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152955,A000000,06200,0000,6200PATIENTS LAUNDRY 152955,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152955,A000000,06301,0000,6151DAY CARE 152955,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152955,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152955,A81000A,00100,0100,Y 152955,A81000B,00100,0300,HOME OFFICE COSTS 152955,A81000B,00200,0300,LIABILITY INSURANCE 152955,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152955,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152955,A81000B,00500,0300,VC PHARMACY - ADMIN 152955,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152955,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152955,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152955,A81000B,00900,0300,VC PHARMACY - DIETARY 152955,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152955,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152955,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152955,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152955,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152955,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152955,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152955,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152955,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152955,A81000B,01900,0300,VC PHARMACY - LAB 152955,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152955,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152955,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152955,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152955,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152955,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152955,A81000B,02600,0300,VC PHARMACY - LEGEND 152955,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152955,A81000B,02800,0300,VC PHARMACY - NUTR THER 152955,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152955,A81000C,00100,0100,B 152955,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152955,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152955,A81000C,00100,0600,LIABILITY INSURANCE 152955,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152955,A81000C,00200,0600,PHARMACY 152955,A81000C,00300,0400,VENCARE RESPIRATORY 152955,A81000C,00300,0600,RESPIRATORY THERAPY 152955,A81000C,00400,0400,THERAPY SERVICES 152955,A81000C,00500,0400,VENCARE REHAB SERVICES 152955,A81000C,00500,0600,REHAB 152955,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152955,A81000C,00600,0600,PORTABLE X-RAY 152955,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152955,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152955,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152955,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152955,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152955,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152955,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152955,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152955,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152955,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152955,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152955,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152955,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152955,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152955,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152955,E10A180,00301,0100,06/30/00 152955,S000000,00100,0200,12/11/00 152955,S200000,00100,0100,26 TOWER ROAD 152955,S200000,00200,0100,MARIETTA 152955,S200000,00200,0200,GA 152955,S200000,00200,0300,30060- 152955,S200000,00300,0100,COBB 152955,S200000,00300,0200,0520 152955,S200000,00300,0300,U 152955,S200000,00400,0100,645 SPECIALTY CARE OF MARIETTA 152955,S200000,00400,0200,115115 152955,S200000,00400,0300,01/18/70 152955,S200000,00400,0500,P 152955,S200000,01500,0100,N 152955,S200000,01600,0100,Y 152955,S200000,01700,0100,N 152955,S200000,01800,0100,N 152955,S200000,02200,0100,Y 152955,S200000,02800,0100,Y 152955,S200000,02900,0100,N 152955,S200000,03000,0100,N 152955,S200000,03100,0100,N 152955,S200000,03200,0100,N 152955,S200000,04100,0100,N 152955,S200000,04200,0100,N 152955,S200000,04300,0100,N 152955,S200000,04600,0100,N 152955,S200000,04700,0100,N 152955,S200000,04700,0200,N 152955,S200000,04900,0100,N 152955,S200000,05000,0100,N 152955,S200000,05100,0100,N 152955,S200000,05200,0100,N 152956,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152956,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152956,A000000,00300,0000,0300EMPLOYEE BENEFITS 152956,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152956,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152956,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152956,A000000,00700,0000,0700HOUSEKEEPING 152956,A000000,00800,0000,0800DIETARY 152956,A000000,00900,0000,0900NURSING ADMINISTRATION 152956,A000000,00901,0000,0901OTHER NURSING 152956,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152956,A000000,01100,0000,1100PHARMACY 152956,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152956,A000000,01300,0000,1300SOCIAL SERVICE 152956,A000000,01301,0000,1301ACTIVITIES 152956,A000000,01600,0000,1600SKILLED NURSING FACILITY 152956,A000000,01800,0000,1800NURSING FACILITY 152956,A000000,02100,0000,2100RADIOLOGY 152956,A000000,02200,0000,2200LABORATORY 152956,A000000,02300,0000,2300INTRAVENOUS THERAPY 152956,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152956,A000000,02500,0000,2500PHYSICAL THERAPY 152956,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152956,A000000,02700,0000,2700SPEECH PATHOLOGY 152956,A000000,02800,0000,2800ELECTROCARDIOLOGY 152956,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152956,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152956,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152956,A000000,03301,0000,3051NUTRITIONAL THERAPY 152956,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152956,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152956,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152956,A000000,04800,0000,4800AMBULANCE 152956,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152956,A000000,05300,0000,5300INTEREST EXPENSE 152956,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152956,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152956,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152956,A000000,06200,0000,6200PATIENTS LAUNDRY 152956,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152956,A000000,06301,0000,6151DAY CARE 152956,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152956,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152956,A81000A,00100,0100,Y 152956,A81000B,00100,0300,HOME OFFICE COSTS 152956,A81000B,00200,0300,LIABILITY INSURANCE 152956,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152956,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152956,A81000B,00500,0300,VC PHARMACY - ADMIN 152956,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152956,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152956,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152956,A81000B,00900,0300,VC PHARMACY - DIETARY 152956,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152956,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152956,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152956,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152956,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152956,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152956,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152956,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152956,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152956,A81000B,01900,0300,VC PHARMACY - LAB 152956,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152956,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152956,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152956,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152956,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152956,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152956,A81000B,02600,0300,VC PHARMACY - LEGEND 152956,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152956,A81000B,02800,0300,VC PHARMACY - NUTR THER 152956,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152956,A81000C,00100,0100,B 152956,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152956,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152956,A81000C,00100,0600,LIABILITY INSURANCE 152956,A81000C,00300,0400,VENCARE RESPIRATORY 152956,A81000C,00300,0600,RESPIRATORY THERAPY 152956,A81000C,00400,0400,THERAPY SERVICES 152956,A81000C,00500,0400,VENCARE REHAB SERVICES 152956,A81000C,00500,0600,REHAB 152956,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152956,A81000C,00600,0600,PORTABLE X-RAY 152956,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152956,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152956,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152956,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152956,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152956,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152956,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152956,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152956,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152956,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152956,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152956,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152956,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152956,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152956,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152956,E10A180,00350,0100,06/30/00 152956,E10A180,00352,0100,11/30/00 152956,S000000,00100,0200,12/01/00 152956,S200000,00100,0100,110 BRANDYWINE BLVD 152956,S200000,00200,0100,FAYETTEVILLE 152956,S200000,00200,0200,GA 152956,S200000,00200,0300,30214- 152956,S200000,00300,0100,FAYETTE 152956,S200000,00300,0200,0520 152956,S200000,00300,0300,U 152956,S200000,00400,0100,1228 LAFAYETTE NURSING REHAB 152956,S200000,00400,0200,115360 152956,S200000,00400,0300,04/20/89 152956,S200000,00400,0500,P 152956,S200000,01500,0100,Y 152956,S200000,01600,0100,N 152956,S200000,01700,0100,N 152956,S200000,01800,0100,N 152956,S200000,02200,0100,Y 152956,S200000,02800,0100,Y 152956,S200000,02900,0100,N 152956,S200000,03000,0100,N 152956,S200000,03100,0100,N 152956,S200000,03200,0100,N 152956,S200000,04100,0100,N 152956,S200000,04200,0100,N 152956,S200000,04300,0100,N 152956,S200000,04600,0100,N 152956,S200000,04700,0100,N 152956,S200000,04700,0200,N 152956,S200000,04900,0100,N 152956,S200000,05000,0100,N 152956,S200000,05100,0100,N 152956,S200000,05200,0100,N 152973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152973,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152973,A000000,00300,0000,0300EMPLOYEE BENEFITS 152973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152973,A000000,00700,0000,0700HOUSEKEEPING 152973,A000000,00800,0000,0800DIETARY 152973,A000000,00900,0000,0900NURSING ADMINISTRATION 152973,A000000,00901,0000,0901OTHER NURSING 152973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152973,A000000,01100,0000,1100PHARMACY 152973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152973,A000000,01300,0000,1300SOCIAL SERVICE 152973,A000000,01301,0000,1301ACTIVITIES 152973,A000000,01600,0000,1600SKILLED NURSING FACILITY 152973,A000000,01800,0000,1800NURSING FACILITY 152973,A000000,02100,0000,2100RADIOLOGY 152973,A000000,02200,0000,2200LABORATORY 152973,A000000,02300,0000,2300INTRAVENOUS THERAPY 152973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152973,A000000,02500,0000,2500PHYSICAL THERAPY 152973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152973,A000000,02700,0000,2700SPEECH PATHOLOGY 152973,A000000,02800,0000,2800ELECTROCARDIOLOGY 152973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152973,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152973,A000000,03301,0000,3051NUTRITIONAL THERAPY 152973,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152973,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152973,A000000,04800,0000,4800AMBULANCE 152973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152973,A000000,05300,0000,5300INTEREST EXPENSE 152973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152973,A000000,06200,0000,6200PATIENTS LAUNDRY 152973,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152973,A000000,06301,0000,6151DAY CARE 152973,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152973,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152973,A81000A,00100,0100,Y 152973,A81000B,00100,0300,HOME OFFICE COSTS 152973,A81000B,00200,0300,LIABILITY INSURANCE 152973,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152973,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152973,A81000B,00500,0300,VC PHARMACY - ADMIN 152973,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152973,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152973,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152973,A81000B,00900,0300,VC PHARMACY - DIETARY 152973,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152973,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152973,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152973,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152973,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152973,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152973,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152973,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152973,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152973,A81000B,01900,0300,VC PHARMACY - LAB 152973,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152973,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152973,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152973,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152973,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152973,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152973,A81000B,02600,0300,VC PHARMACY - LEGEND 152973,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152973,A81000B,02800,0300,VC PHARMACY - NUTR THER 152973,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152973,A81000C,00100,0100,B 152973,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152973,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152973,A81000C,00100,0600,LIABILITY INSURANCE 152973,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152973,A81000C,00200,0600,PHARMACY 152973,A81000C,00300,0400,VENCARE RESPIRATORY 152973,A81000C,00300,0600,RESPIRATORY THERAPY 152973,A81000C,00400,0400,THERAPY SERVICES 152973,A81000C,00500,0400,VENCARE REHAB SERVICES 152973,A81000C,00500,0600,REHAB 152973,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152973,A81000C,00600,0600,PORTABLE X-RAY 152973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152973,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152973,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152973,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152973,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152973,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152973,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152973,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152973,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152973,E10A180,00301,0100,06/30/00 152973,S000000,00100,0200,12/11/00 152973,S200000,00100,0100,4230 NORTH ROXBORO ROAD 152973,S200000,00200,0100,DURHAM 152973,S200000,00200,0200,NC 152973,S200000,00200,0300,27704- 152973,S200000,00300,0100,DURHAM 152973,S200000,00300,0200,6640 152973,S200000,00300,0300,U 152973,S200000,00400,0100,146- ROSE MANOR HEALTHCARE CTR 152973,S200000,00400,0200,345081 152973,S200000,00400,0300,09/01/73 152973,S200000,00400,0500,P 152973,S200000,01500,0100,N 152973,S200000,01600,0100,Y 152973,S200000,01700,0100,N 152973,S200000,01800,0100,N 152973,S200000,02200,0100,Y 152973,S200000,02800,0100,N 152973,S200000,02900,0100,N 152973,S200000,03000,0100,N 152973,S200000,03100,0100,N 152973,S200000,03200,0100,N 152973,S200000,04100,0100,N 152973,S200000,04200,0100,N 152973,S200000,04300,0100,N 152973,S200000,04600,0100,N 152973,S200000,04700,0100,N 152973,S200000,04700,0200,N 152973,S200000,04900,0100,N 152973,S200000,05000,0100,N 152973,S200000,05100,0100,N 152973,S200000,05200,0100,N 152974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152974,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152974,A000000,00300,0000,0300EMPLOYEE BENEFITS 152974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152974,A000000,00700,0000,0700HOUSEKEEPING 152974,A000000,00800,0000,0800DIETARY 152974,A000000,00900,0000,0900NURSING ADMINISTRATION 152974,A000000,00901,0000,0901OTHER NURSING 152974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152974,A000000,01100,0000,1100PHARMACY 152974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152974,A000000,01300,0000,1300SOCIAL SERVICE 152974,A000000,01301,0000,1301ACTIVITIES 152974,A000000,01600,0000,1600SKILLED NURSING FACILITY 152974,A000000,01800,0000,1800NURSING FACILITY 152974,A000000,02100,0000,2100RADIOLOGY 152974,A000000,02200,0000,2200LABORATORY 152974,A000000,02300,0000,2300INTRAVENOUS THERAPY 152974,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152974,A000000,02500,0000,2500PHYSICAL THERAPY 152974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152974,A000000,02700,0000,2700SPEECH PATHOLOGY 152974,A000000,02800,0000,2800ELECTROCARDIOLOGY 152974,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152974,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152974,A000000,03301,0000,3051NUTRITIONAL THERAPY 152974,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152974,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152974,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152974,A000000,04800,0000,4800AMBULANCE 152974,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152974,A000000,05300,0000,5300INTEREST EXPENSE 152974,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152974,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152974,A000000,06200,0000,6200PATIENTS LAUNDRY 152974,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152974,A000000,06301,0000,6151DAY CARE 152974,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152974,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152974,A81000A,00100,0100,Y 152974,A81000B,00100,0300,HOME OFFICE COSTS 152974,A81000B,00200,0300,LIABILITY INSURANCE 152974,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152974,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152974,A81000B,00500,0300,VC PHARMACY - ADMIN 152974,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152974,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152974,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152974,A81000B,00900,0300,VC PHARMACY - DIETARY 152974,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152974,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152974,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152974,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152974,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152974,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152974,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152974,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152974,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152974,A81000B,01900,0300,VC PHARMACY - LAB 152974,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152974,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152974,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152974,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152974,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152974,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152974,A81000B,02600,0300,VC PHARMACY - LEGEND 152974,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152974,A81000B,02800,0300,VC PHARMACY - NUTR THER 152974,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152974,A81000C,00100,0100,B 152974,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152974,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152974,A81000C,00100,0600,LIABILITY INSURANCE 152974,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152974,A81000C,00200,0600,PHARMACY 152974,A81000C,00300,0400,VENCARE RESPIRATORY 152974,A81000C,00300,0600,RESPIRATORY THERAPY 152974,A81000C,00400,0400,THERAPY SERVICES 152974,A81000C,00500,0400,VENCARE REHAB SERVICES 152974,A81000C,00500,0600,REHAB 152974,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152974,A81000C,00600,0600,PORTABLE X-RAY 152974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152974,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152974,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152974,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152974,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152974,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152974,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152974,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152974,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152974,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152974,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152974,E10A180,00301,0100,06/30/00 152974,S000000,00100,0200,12/11/00 152974,S200000,00100,0100,1602 EAST FRANKLIN STREET 152974,S200000,00200,0100,CHAPEL HILL 152974,S200000,00200,0200,NC 152974,S200000,00200,0300,27514- 152974,S200000,00300,0100,ORANGE 152974,S200000,00300,0200,6640 152974,S200000,00300,0300,U 152974,S200000,00400,0100,806 - CHAPEL HILL REHAB & HEALTHCARE 152974,S200000,00400,0200,345225 152974,S200000,00400,0300,08/31/82 152974,S200000,00400,0500,P 152974,S200000,01500,0100,N 152974,S200000,01600,0100,Y 152974,S200000,01700,0100,N 152974,S200000,01800,0100,N 152974,S200000,02200,0100,Y 152974,S200000,02800,0100,N 152974,S200000,02900,0100,N 152974,S200000,03000,0100,N 152974,S200000,03100,0100,N 152974,S200000,03200,0100,N 152974,S200000,04100,0100,N 152974,S200000,04200,0100,N 152974,S200000,04300,0100,N 152974,S200000,04600,0100,N 152974,S200000,04700,0100,N 152974,S200000,04700,0200,N 152974,S200000,04900,0100,N 152974,S200000,05000,0100,N 152974,S200000,05100,0100,N 152974,S200000,05200,0100,N 152975,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152975,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152975,A000000,00300,0000,0300EMPLOYEE BENEFITS 152975,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152975,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152975,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152975,A000000,00700,0000,0700HOUSEKEEPING 152975,A000000,00800,0000,0800DIETARY 152975,A000000,00900,0000,0900NURSING ADMINISTRATION 152975,A000000,00901,0000,0901OTHER NURSING 152975,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152975,A000000,01100,0000,1100PHARMACY 152975,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152975,A000000,01300,0000,1300SOCIAL SERVICE 152975,A000000,01301,0000,1301ACTIVITIES 152975,A000000,01600,0000,1600SKILLED NURSING FACILITY 152975,A000000,01800,0000,1800NURSING FACILITY 152975,A000000,02100,0000,2100RADIOLOGY 152975,A000000,02200,0000,2200LABORATORY 152975,A000000,02300,0000,2300INTRAVENOUS THERAPY 152975,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152975,A000000,02500,0000,2500PHYSICAL THERAPY 152975,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152975,A000000,02700,0000,2700SPEECH PATHOLOGY 152975,A000000,02800,0000,2800ELECTROCARDIOLOGY 152975,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152975,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152975,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152975,A000000,03301,0000,3051NUTRITIONAL THERAPY 152975,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152975,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152975,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152975,A000000,04800,0000,4800AMBULANCE 152975,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152975,A000000,05300,0000,5300INTEREST EXPENSE 152975,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152975,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152975,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152975,A000000,06200,0000,6200PATIENTS LAUNDRY 152975,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152975,A000000,06301,0000,6151DAY CARE 152975,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152975,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152975,A81000A,00100,0100,Y 152975,A81000B,00100,0300,HOME OFFICE COSTS 152975,A81000B,00200,0300,LIABILITY INSURANCE 152975,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152975,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152975,A81000B,00500,0300,VC PHARMACY - ADMIN 152975,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152975,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152975,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152975,A81000B,00900,0300,VC PHARMACY - DIETARY 152975,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152975,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152975,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152975,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152975,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152975,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152975,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152975,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152975,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152975,A81000B,01900,0300,VC PHARMACY - LAB 152975,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152975,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152975,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152975,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152975,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152975,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152975,A81000B,02600,0300,VC PHARMACY - LEGEND 152975,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152975,A81000B,02800,0300,VC PHARMACY - NUTR THER 152975,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152975,A81000C,00100,0100,B 152975,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152975,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152975,A81000C,00100,0600,LIABILITY INSURANCE 152975,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152975,A81000C,00200,0600,PHARMACY 152975,A81000C,00300,0400,VENCARE RESPIRATORY 152975,A81000C,00300,0600,RESPIRATORY THERAPY 152975,A81000C,00400,0400,THERAPY SERVICES 152975,A81000C,00500,0400,VENCARE REHAB SERVICES 152975,A81000C,00500,0600,REHAB 152975,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152975,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152975,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152975,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152975,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152975,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152975,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152975,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152975,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152975,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152975,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152975,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152975,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152975,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152975,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152975,E10A180,00301,0100,06/30/00 152975,E10A180,00302,0100,11/30/00 152975,S000000,00100,0200,12/11/00 152975,S200000,00100,0100,1212 SUNSET DRIVE 152975,S200000,00200,0100,MONROE 152975,S200000,00200,0200,NC 152975,S200000,00200,0300,28111- 152975,S200000,00300,0100,UNION 152975,S200000,00300,0200,1520 152975,S200000,00300,0300,U 152975,S200000,00400,0100,707 - REHABILITATION & NURSING CTR 152975,S200000,00400,0200,345254 152975,S200000,00400,0300,12/30/86 152975,S200000,00400,0500,P 152975,S200000,01500,0100,N 152975,S200000,01600,0100,Y 152975,S200000,01700,0100,N 152975,S200000,01800,0100,N 152975,S200000,02200,0100,Y 152975,S200000,02800,0100,N 152975,S200000,02900,0100,N 152975,S200000,03000,0100,N 152975,S200000,03100,0100,N 152975,S200000,03200,0100,N 152975,S200000,04100,0100,N 152975,S200000,04200,0100,N 152975,S200000,04300,0100,N 152975,S200000,04600,0100,N 152975,S200000,04700,0100,N 152975,S200000,04700,0200,N 152975,S200000,04900,0100,N 152975,S200000,05000,0100,N 152975,S200000,05100,0100,N 152975,S200000,05200,0100,N 152976,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152976,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152976,A000000,00300,0000,0300EMPLOYEE BENEFITS 152976,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152976,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152976,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152976,A000000,00700,0000,0700HOUSEKEEPING 152976,A000000,00800,0000,0800DIETARY 152976,A000000,00900,0000,0900NURSING ADMINISTRATION 152976,A000000,00901,0000,0901OTHER NURSING 152976,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152976,A000000,01100,0000,1100PHARMACY 152976,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152976,A000000,01300,0000,1300SOCIAL SERVICE 152976,A000000,01301,0000,1301ACTIVITIES 152976,A000000,01600,0000,1600SKILLED NURSING FACILITY 152976,A000000,01800,0000,1800NURSING FACILITY 152976,A000000,02100,0000,2100RADIOLOGY 152976,A000000,02200,0000,2200LABORATORY 152976,A000000,02300,0000,2300INTRAVENOUS THERAPY 152976,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152976,A000000,02500,0000,2500PHYSICAL THERAPY 152976,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152976,A000000,02700,0000,2700SPEECH PATHOLOGY 152976,A000000,02800,0000,2800ELECTROCARDIOLOGY 152976,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152976,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152976,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152976,A000000,03301,0000,3051NUTRITIONAL THERAPY 152976,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152976,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152976,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152976,A000000,04800,0000,4800AMBULANCE 152976,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152976,A000000,05300,0000,5300INTEREST EXPENSE 152976,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152976,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152976,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152976,A000000,06200,0000,6200PATIENTS LAUNDRY 152976,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152976,A000000,06301,0000,6151DAY CARE 152976,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152976,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152976,A81000A,00100,0100,Y 152976,A81000B,00100,0300,HOME OFFICE COSTS 152976,A81000B,00200,0300,LIABILITY INSURANCE 152976,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152976,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152976,A81000B,00500,0300,VC PHARMACY - ADMIN 152976,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152976,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152976,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152976,A81000B,00900,0300,VC PHARMACY - DIETARY 152976,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152976,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152976,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152976,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152976,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152976,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152976,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152976,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152976,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152976,A81000B,01900,0300,VC PHARMACY - LAB 152976,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152976,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152976,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152976,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152976,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152976,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152976,A81000B,02600,0300,VC PHARMACY - LEGEND 152976,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152976,A81000B,02800,0300,VC PHARMACY - NUTR THER 152976,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152976,A81000C,00100,0100,B 152976,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152976,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152976,A81000C,00100,0600,LIABILITY INSURANCE 152976,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152976,A81000C,00200,0600,PHARMACY 152976,A81000C,00300,0400,VENCARE RESPIRATORY 152976,A81000C,00300,0600,RESPIRATORY THERAPY 152976,A81000C,00400,0400,THERAPY SERVICES 152976,A81000C,00500,0400,VENCARE REHAB SERVICES 152976,A81000C,00500,0600,REHAB 152976,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152976,A81000C,00600,0600,PORTABLE X-RAY 152976,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152976,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152976,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152976,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152976,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152976,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152976,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152976,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152976,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152976,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152976,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152976,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152976,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152976,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152976,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152976,E10A180,00301,0100,06/30/00 152976,S000000,00100,0200,12/11/00 152976,S200000,00100,0100,208 SOUTH BECKFORD DRIVE 152976,S200000,00200,0100,HENDERSON 152976,S200000,00200,0200,NC 152976,S200000,00200,0300,27536- 152976,S200000,00300,0100,VANCE 152976,S200000,00300,0200,34 152976,S200000,00300,0300,R 152976,S200000,00400,0100,706 - GUARDIAN CARE OF HENDERSON 152976,S200000,00400,0200,345344 152976,S200000,00400,0300,01/08/91 152976,S200000,00400,0500,P 152976,S200000,01500,0100,N 152976,S200000,01600,0100,Y 152976,S200000,01700,0100,N 152976,S200000,01800,0100,N 152976,S200000,02200,0100,Y 152976,S200000,02800,0100,N 152976,S200000,02900,0100,N 152976,S200000,03000,0100,N 152976,S200000,03100,0100,N 152976,S200000,03200,0100,N 152976,S200000,04100,0100,N 152976,S200000,04200,0100,N 152976,S200000,04300,0100,N 152976,S200000,04600,0100,N 152976,S200000,04700,0100,N 152976,S200000,04700,0200,N 152976,S200000,04900,0100,N 152976,S200000,05000,0100,N 152976,S200000,05100,0100,N 152976,S200000,05200,0100,N 152984,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 152984,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 152984,A000000,00300,0000,0300EMPLOYEE BENEFITS 152984,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 152984,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 152984,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 152984,A000000,00700,0000,0700HOUSEKEEPING 152984,A000000,00800,0000,0800DIETARY 152984,A000000,00900,0000,0900NURSING ADMINISTRATION 152984,A000000,00901,0000,0901OTHER NURSING 152984,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 152984,A000000,01100,0000,1100PHARMACY 152984,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 152984,A000000,01300,0000,1300SOCIAL SERVICE 152984,A000000,01301,0000,1301ACTIVITIES 152984,A000000,01600,0000,1600SKILLED NURSING FACILITY 152984,A000000,01800,0000,1800NURSING FACILITY 152984,A000000,02100,0000,2100RADIOLOGY 152984,A000000,02200,0000,2200LABORATORY 152984,A000000,02300,0000,2300INTRAVENOUS THERAPY 152984,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 152984,A000000,02500,0000,2500PHYSICAL THERAPY 152984,A000000,02600,0000,2600OCCUPATIONAL THERAPY 152984,A000000,02700,0000,2700SPEECH PATHOLOGY 152984,A000000,02800,0000,2800ELECTROCARDIOLOGY 152984,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 152984,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 152984,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 152984,A000000,03301,0000,3051NUTRITIONAL THERAPY 152984,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 152984,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 152984,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 152984,A000000,04800,0000,4800AMBULANCE 152984,A000000,05100,0000,4750OTHER REIMBURSABLE COST 152984,A000000,05300,0000,5300INTEREST EXPENSE 152984,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 152984,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 152984,A000000,05900,0000,5900BARBER & BEAUTY SHOP 152984,A000000,06200,0000,6200PATIENTS LAUNDRY 152984,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 152984,A000000,06301,0000,6151DAY CARE 152984,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 152984,A000000,06303,0000,6153DISTRICT OFFICE SPACE 152984,A81000A,00100,0100,Y 152984,A81000B,00100,0300,HOME OFFICE COSTS 152984,A81000B,00200,0300,LIABILITY INSURANCE 152984,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 152984,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 152984,A81000B,00500,0300,VC PHARMACY - ADMIN 152984,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 152984,A81000B,00700,0300,VC PHARMACY - LAUNDRY 152984,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 152984,A81000B,00900,0300,VC PHARMACY - DIETARY 152984,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 152984,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 152984,A81000B,01200,0300,VC PHARMACY - NONLEGEND 152984,A81000B,01300,0300,VC PHARMACY - MED RECORDS 152984,A81000B,01400,0300,VC PHARMACY - SOC SVCS 152984,A81000B,01500,0300,VC PHARMACY - ACTIVITY 152984,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 152984,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 152984,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 152984,A81000B,01900,0300,VC PHARMACY - LAB 152984,A81000B,02000,0300,VC PHARMACY - IV THERAPY 152984,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 152984,A81000B,02200,0300,VENCARE REHAB - PHYS THER 152984,A81000B,02300,0300,VENCARE REHAB - OCCP THER 152984,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 152984,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 152984,A81000B,02600,0300,VC PHARMACY - LEGEND 152984,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 152984,A81000B,02800,0300,VC PHARMACY - NUTR THER 152984,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 152984,A81000C,00100,0100,B 152984,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 152984,A81000C,00100,0400,CORNERSTONE INSURANCE CO 152984,A81000C,00100,0600,LIABILITY INSURANCE 152984,A81000C,00200,0400,VENCARE PHARMACY SERVICES 152984,A81000C,00200,0600,PHARMACY 152984,A81000C,00300,0400,VENCARE RESPIRATORY 152984,A81000C,00300,0600,RESPIRATORY THERAPY 152984,A81000C,00400,0400,THERAPY SERVICES 152984,A81000C,00500,0400,VENCARE REHAB SERVICES 152984,A81000C,00500,0600,REHAB 152984,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 152984,A81000C,00600,0600,PORTABLE X-RAY 152984,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 152984,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 152984,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 152984,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 152984,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 152984,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 152984,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 152984,B100000,00000,0800,0850PATIENT DAYS :DIETARY 152984,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 152984,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 152984,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 152984,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 152984,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 152984,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 152984,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 152984,E10A180,00301,0100,06/30/00 152984,E10A180,00352,0100,11/30/00 152984,S000000,00100,0200,12/11/00 152984,S200000,00100,0100,1148 FIRST COLONIAL RD 152984,S200000,00200,0100,VIRGINIA BEACH 152984,S200000,00200,0200,VA 152984,S200000,00200,0300,23454- 152984,S200000,00300,0100,PRINCESS ANNE 152984,S200000,00300,0200,5720 152984,S200000,00300,0300,U 152984,S200000,00400,0100,842 BAY POINTE MEDICAL & REHAB 152984,S200000,00400,0200,495086 152984,S200000,00400,0300,09/13/71 152984,S200000,00400,0500,P 152984,S200000,01500,0100,N 152984,S200000,01600,0100,Y 152984,S200000,01700,0100,N 152984,S200000,01800,0100,N 152984,S200000,02200,0100,Y 152984,S200000,02800,0100,Y 152984,S200000,02900,0100,N 152984,S200000,03000,0100,N 152984,S200000,03100,0100,N 152984,S200000,03200,0100,N 152984,S200000,04100,0100,N 152984,S200000,04200,0100,N 152984,S200000,04300,0100,N 152984,S200000,04600,0100,N 152984,S200000,04700,0100,N 152984,S200000,04700,0200,N 152984,S200000,04900,0100,N 152984,S200000,05000,0100,N 152984,S200000,05100,0100,N 152984,S200000,05200,0100,N 153174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153174,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153174,A000000,00300,0000,0300EMPLOYEE BENEFITS 153174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153174,A000000,00700,0000,0700HOUSEKEEPING 153174,A000000,00800,0000,0800DIETARY 153174,A000000,00900,0000,0900NURSING ADMINISTRATION 153174,A000000,00901,0000,0901OTHER NURSING 153174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153174,A000000,01100,0000,1100PHARMACY 153174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153174,A000000,01300,0000,1300SOCIAL SERVICE 153174,A000000,01301,0000,1301ACTIVITIES 153174,A000000,01600,0000,1600SKILLED NURSING FACILITY 153174,A000000,01800,0000,1800NURSING FACILITY 153174,A000000,02100,0000,2100RADIOLOGY 153174,A000000,02200,0000,2200LABORATORY 153174,A000000,02300,0000,2300INTRAVENOUS THERAPY 153174,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153174,A000000,02500,0000,2500PHYSICAL THERAPY 153174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153174,A000000,02700,0000,2700SPEECH PATHOLOGY 153174,A000000,02800,0000,2800ELECTROCARDIOLOGY 153174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153174,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153174,A000000,03301,0000,3051NUTRITIONAL THERAPY 153174,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 153174,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 153174,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153174,A000000,04800,0000,4800AMBULANCE 153174,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153174,A000000,05300,0000,5300INTEREST EXPENSE 153174,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153174,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153174,A000000,06200,0000,6200PATIENTS LAUNDRY 153174,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153174,A000000,06301,0000,6151DAY CARE 153174,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 153174,A000000,06303,0000,6153DISTRICT OFFICE SPACE 153174,A81000A,00100,0100,Y 153174,A81000B,00100,0300,HOME OFFICE COSTS 153174,A81000B,00200,0300,LIABILITY INSURANCE 153174,A81000B,00500,0300,VC PHARMACY - ADMIN 153174,A81000B,00900,0300,VC PHARMACY - DIETARY 153174,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 153174,A81000B,01100,0300,VC PHARMACY - IV THERAPY 153174,A81000B,01200,0300,VC HOSPITAL - INHALATION THER 153174,A81000B,01300,0300,VENCARE REHAB - PHYS THER 153174,A81000B,01400,0300,VENCARE REHAB - OCCP THER 153174,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 153174,A81000B,01600,0300,VC PHARMACY - LEGEND 153174,A81000B,01700,0300,VC PHARMACY - OTHER MEDICAL 153174,A81000C,00100,0100,B 153174,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 153174,A81000C,00100,0400,CORNERSTONE INSURANCE CO 153174,A81000C,00100,0600,LIABILITY INSURANCE 153174,A81000C,00200,0400,VENCARE PHARMACY SERVICES 153174,A81000C,00200,0600,PHARMACY 153174,A81000C,00300,0400,VENCARE RESPIRATORY 153174,A81000C,00300,0600,RESPIRATORY THERAPY 153174,A81000C,00400,0400,THERAPY SERVICES 153174,A81000C,00500,0400,VENCARE REHAB SERVICES 153174,A81000C,00500,0600,REHAB 153174,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153174,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153174,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153174,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153174,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153174,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153174,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 153174,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153174,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 153174,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 153174,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 153174,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153174,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 153174,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 153174,E10A180,00301,0100,06/30/00 153174,S000000,00100,0200,12/11/00 153174,S200000,00100,0100,581 POQUONOCK AVENUE 153174,S200000,00200,0100,WINDSOR 153174,S200000,00200,0200,CT 153174,S200000,00200,0300,06095- 153174,S200000,00300,0100,HARTFORD 153174,S200000,00300,0200,3283 153174,S200000,00300,0300,U 153174,S200000,00400,0100,#566 - WINDSOR SKILLED NRSG & REHAB 153174,S200000,00400,0200,075011 153174,S200000,00400,0300,07/01/76 153174,S200000,00400,0500,P 153174,S200000,01500,0100,Y 153174,S200000,01600,0100,N 153174,S200000,01700,0100,N 153174,S200000,01800,0100,N 153174,S200000,02200,0100,Y 153174,S200000,02800,0100,N 153174,S200000,02900,0100,N 153174,S200000,03000,0100,N 153174,S200000,03100,0100,N 153174,S200000,03200,0100,N 153174,S200000,04100,0100,N 153174,S200000,04200,0100,N 153174,S200000,04300,0100,N 153174,S200000,04600,0100,N 153174,S200000,04700,0100,N 153174,S200000,04700,0200,N 153174,S200000,04900,0100,N 153174,S200000,05000,0100,N 153174,S200000,05100,0100,N 153174,S200000,05200,0100,N 153176,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153176,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153176,A000000,00300,0000,0300EMPLOYEE BENEFITS 153176,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153176,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153176,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153176,A000000,00700,0000,0700HOUSEKEEPING 153176,A000000,00800,0000,0800DIETARY 153176,A000000,00900,0000,0900NURSING ADMINISTRATION 153176,A000000,00901,0000,0901OTHER NURSING 153176,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153176,A000000,01100,0000,1100PHARMACY 153176,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153176,A000000,01300,0000,1300SOCIAL SERVICE 153176,A000000,01301,0000,1301ACTIVITIES 153176,A000000,01600,0000,1600SKILLED NURSING FACILITY 153176,A000000,01800,0000,1800NURSING FACILITY 153176,A000000,02100,0000,2100RADIOLOGY 153176,A000000,02200,0000,2200LABORATORY 153176,A000000,02300,0000,2300INTRAVENOUS THERAPY 153176,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153176,A000000,02500,0000,2500PHYSICAL THERAPY 153176,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153176,A000000,02700,0000,2700SPEECH PATHOLOGY 153176,A000000,02800,0000,2800ELECTROCARDIOLOGY 153176,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153176,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153176,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153176,A000000,03301,0000,3051NUTRITIONAL THERAPY 153176,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 153176,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 153176,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153176,A000000,04800,0000,4800AMBULANCE 153176,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153176,A000000,05300,0000,5300INTEREST EXPENSE 153176,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153176,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153176,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153176,A000000,06200,0000,6200PATIENTS LAUNDRY 153176,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153176,A000000,06301,0000,6151DAY CARE 153176,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 153176,A000000,06303,0000,6153DISTRICT OFFICE SPACE 153176,A81000A,00100,0100,Y 153176,A81000B,00100,0300,HOME OFFICE COSTS 153176,A81000B,00200,0300,LIABILITY INSURANCE 153176,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 153176,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 153176,A81000B,00500,0300,VC PHARMACY - ADMIN 153176,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 153176,A81000B,00700,0300,VC PHARMACY - LAUNDRY 153176,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 153176,A81000B,00900,0300,VC PHARMACY - DIETARY 153176,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 153176,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 153176,A81000B,01200,0300,VC PHARMACY - NONLEGEND 153176,A81000B,01300,0300,VC PHARMACY - MED RECORDS 153176,A81000B,01400,0300,VC PHARMACY - SOC SVCS 153176,A81000B,01500,0300,VC PHARMACY - ACTIVITY 153176,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 153176,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 153176,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 153176,A81000B,01900,0300,VC PHARMACY - LAB 153176,A81000B,02000,0300,VC PHARMACY - IV THERAPY 153176,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 153176,A81000B,02200,0300,VENCARE REHAB - PHYS THER 153176,A81000B,02300,0300,VENCARE REHAB - OCCP THER 153176,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 153176,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 153176,A81000B,02600,0300,VC PHARMACY - LEGEND 153176,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 153176,A81000B,02800,0300,VC PHARMACY - NUTR THER 153176,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 153176,A81000C,00100,0100,B 153176,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 153176,A81000C,00100,0400,CORNERSTONE INSURANCE CO 153176,A81000C,00100,0600,LIABILITY INSURANCE 153176,A81000C,00300,0400,VENCARE RESPIRATORY 153176,A81000C,00300,0600,RESPIRATORY THERAPY 153176,A81000C,00400,0400,THERAPY SERVICES 153176,A81000C,00500,0400,VENCARE REHAB SERVICES 153176,A81000C,00500,0600,REHAB 153176,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153176,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153176,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153176,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153176,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153176,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153176,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 153176,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153176,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 153176,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 153176,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 153176,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 153176,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153176,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 153176,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 153176,S000000,00100,0200,12/01/00 153176,S200000,00100,0100,419 ELBERTA ROAD 153176,S200000,00200,0100,WARNER ROBINS 153176,S200000,00200,0200,GA 153176,S200000,00200,0300,31093- 153176,S200000,00300,0100,HOUSTON 153176,S200000,00300,0300,U 153176,S200000,00400,0100,1214 ELBERTA HEALTH CARE 153176,S200000,00400,0200,115657 153176,S200000,00400,0300,04/01/98 153176,S200000,00400,0500,P 153176,S200000,01500,0100,Y 153176,S200000,01600,0100,N 153176,S200000,01700,0100,N 153176,S200000,01800,0100,N 153176,S200000,02200,0100,Y 153176,S200000,02800,0100,N 153176,S200000,02900,0100,N 153176,S200000,03000,0100,N 153176,S200000,03100,0100,N 153176,S200000,03200,0100,N 153176,S200000,04100,0100,N 153176,S200000,04200,0100,N 153176,S200000,04300,0100,N 153176,S200000,04600,0100,N 153176,S200000,04700,0100,N 153176,S200000,04700,0200,N 153176,S200000,04900,0100,N 153176,S200000,05000,0100,N 153176,S200000,05100,0100,N 153176,S200000,05200,0100,N 153205,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153205,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153205,A000000,00300,0000,0300EMPLOYEE BENEFITS 153205,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153205,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153205,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153205,A000000,00700,0000,0700HOUSEKEEPING 153205,A000000,00800,0000,0800DIETARY 153205,A000000,00900,0000,0900NURSING ADMINISTRATION 153205,A000000,00901,0000,0901OTHER NURSING 153205,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153205,A000000,01100,0000,1100PHARMACY 153205,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153205,A000000,01300,0000,1300SOCIAL SERVICE 153205,A000000,01301,0000,1301ACTIVITIES 153205,A000000,01600,0000,1600SKILLED NURSING FACILITY 153205,A000000,01800,0000,1800NURSING FACILITY 153205,A000000,02100,0000,2100RADIOLOGY 153205,A000000,02200,0000,2200LABORATORY 153205,A000000,02300,0000,2300INTRAVENOUS THERAPY 153205,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153205,A000000,02500,0000,2500PHYSICAL THERAPY 153205,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153205,A000000,02700,0000,2700SPEECH PATHOLOGY 153205,A000000,02800,0000,2800ELECTROCARDIOLOGY 153205,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153205,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153205,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153205,A000000,03301,0000,3051NUTRITIONAL THERAPY 153205,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 153205,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 153205,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153205,A000000,04800,0000,4800AMBULANCE 153205,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153205,A000000,05300,0000,5300INTEREST EXPENSE 153205,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153205,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153205,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153205,A000000,06200,0000,6200PATIENTS LAUNDRY 153205,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153205,A000000,06301,0000,6151DAY CARE 153205,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 153205,A000000,06303,0000,6153DISTRICT OFFICE SPACE 153205,A81000A,00100,0100,Y 153205,A81000B,00100,0300,HOME OFFICE COSTS 153205,A81000B,00200,0300,LIABILITY INSURANCE 153205,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 153205,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 153205,A81000B,00500,0300,VC PHARMACY - ADMIN 153205,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 153205,A81000B,00700,0300,VC PHARMACY - LAUNDRY 153205,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 153205,A81000B,00900,0300,VC PHARMACY - DIETARY 153205,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 153205,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 153205,A81000B,01200,0300,VC PHARMACY - NONLEGEND 153205,A81000B,01300,0300,VC PHARMACY - MED RECORDS 153205,A81000B,01400,0300,VC PHARMACY - SOC SVCS 153205,A81000B,01500,0300,VC PHARMACY - ACTIVITY 153205,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 153205,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 153205,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 153205,A81000B,01900,0300,VC PHARMACY - LAB 153205,A81000B,02000,0300,VC PHARMACY - IV THERAPY 153205,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 153205,A81000B,02200,0300,VENCARE REHAB - PHYS THER 153205,A81000B,02300,0300,VENCARE REHAB - OCCP THER 153205,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 153205,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 153205,A81000B,02600,0300,VC PHARMACY - LEGEND 153205,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 153205,A81000B,02800,0300,VC PHARMACY - NUTR THER 153205,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 153205,A81000C,00100,0100,B 153205,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 153205,A81000C,00100,0400,CORNERSTONE INSURANCE CO 153205,A81000C,00100,0600,LIABILITY INSURANCE 153205,A81000C,00200,0400,VENCARE PHARMACY SERVICES 153205,A81000C,00200,0600,PHARMACY 153205,A81000C,00300,0400,VENCARE RESPIRATORY 153205,A81000C,00300,0600,RESPIRATORY THERAPY 153205,A81000C,00400,0400,THERAPY SERVICES 153205,A81000C,00500,0400,VENCARE REHAB SERVICES 153205,A81000C,00500,0600,REHAB 153205,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 153205,A81000C,00600,0600,PORTABLE X-RAY 153205,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153205,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153205,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153205,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153205,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153205,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153205,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 153205,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153205,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 153205,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 153205,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 153205,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 153205,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153205,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 153205,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 153205,E10A180,00301,0100,06/30/00 153205,E10A180,00302,0100,11/30/00 153205,S000000,00100,0200,12/11/00 153205,S200000,00100,0100,25 SUNNYBROOK ROAD 153205,S200000,00200,0100,RALEIGH 153205,S200000,00200,0200,NC 153205,S200000,00200,0300,27610- 153205,S200000,00300,0100,WAKE 153205,S200000,00300,0300,U 153205,S200000,00400,0100,137 - SUNNYBROOK ALZHEIMER S & HC 153205,S200000,00400,0200,345077 153205,S200000,00400,0300,09/01/73 153205,S200000,00400,0500,P 153205,S200000,01500,0100,Y 153205,S200000,01600,0100,N 153205,S200000,01700,0100,N 153205,S200000,01800,0100,N 153205,S200000,02200,0100,Y 153205,S200000,02800,0100,N 153205,S200000,02900,0100,N 153205,S200000,03000,0100,N 153205,S200000,03100,0100,N 153205,S200000,03200,0100,N 153205,S200000,04100,0100,N 153205,S200000,04200,0100,N 153205,S200000,04300,0100,N 153205,S200000,04600,0100,N 153205,S200000,04700,0100,N 153205,S200000,04700,0200,N 153205,S200000,04900,0100,N 153205,S200000,05000,0100,N 153205,S200000,05100,0100,N 153205,S200000,05200,0100,N 153207,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153207,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153207,A000000,00300,0000,0300EMPLOYEE BENEFITS 153207,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153207,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153207,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153207,A000000,00700,0000,0700HOUSEKEEPING 153207,A000000,00800,0000,0800DIETARY 153207,A000000,00900,0000,0900NURSING ADMINISTRATION 153207,A000000,00901,0000,0901OTHER NURSING 153207,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153207,A000000,01100,0000,1100PHARMACY 153207,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153207,A000000,01300,0000,1300SOCIAL SERVICE 153207,A000000,01301,0000,1301ACTIVITIES 153207,A000000,01600,0000,1600SKILLED NURSING FACILITY 153207,A000000,01800,0000,1800NURSING FACILITY 153207,A000000,02100,0000,2100RADIOLOGY 153207,A000000,02200,0000,2200LABORATORY 153207,A000000,02300,0000,2300INTRAVENOUS THERAPY 153207,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153207,A000000,02500,0000,2500PHYSICAL THERAPY 153207,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153207,A000000,02700,0000,2700SPEECH PATHOLOGY 153207,A000000,02800,0000,2800ELECTROCARDIOLOGY 153207,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153207,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153207,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153207,A000000,03301,0000,3051NUTRITIONAL THERAPY 153207,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 153207,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 153207,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153207,A000000,04800,0000,4800AMBULANCE 153207,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153207,A000000,05300,0000,5300INTEREST EXPENSE 153207,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153207,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153207,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153207,A000000,06200,0000,6200PATIENTS LAUNDRY 153207,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153207,A000000,06301,0000,6151DAY CARE 153207,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 153207,A000000,06303,0000,6153DISTRICT OFFICE SPACE 153207,A81000A,00100,0100,Y 153207,A81000B,00100,0300,HOME OFFICE COSTS 153207,A81000B,00200,0300,LIABILITY INSURANCE 153207,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 153207,A81000B,00400,0300,VC HOSPITAL - CAP REL EQUIP 153207,A81000B,00500,0300,VC PHARMACY - ADMIN 153207,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 153207,A81000B,00700,0300,VC PHARMACY - LAUNDRY 153207,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 153207,A81000B,00900,0300,VC PHARMACY - DIETARY 153207,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 153207,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 153207,A81000B,01200,0300,VC PHARMACY - NONLEGEND 153207,A81000B,01300,0300,VC PHARMACY - MED RECORDS 153207,A81000B,01400,0300,VC PHARMACY - SOC SVCS 153207,A81000B,01500,0300,VC PHARMACY - ACTIVITY 153207,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 153207,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 153207,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 153207,A81000B,01900,0300,VC PHARMACY - LAB 153207,A81000B,02000,0300,VC PHARMACY - IV THERAPY 153207,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 153207,A81000B,02200,0300,VENCARE REHAB - PHYS THER 153207,A81000B,02300,0300,VENCARE REHAB - OCCP THER 153207,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 153207,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 153207,A81000B,02600,0300,VC PHARMACY - LEGEND 153207,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 153207,A81000B,02800,0300,VC PHARMACY - NUTR THER 153207,A81000B,02900,0300,VC HOSPITAL - COMPLEX MED 153207,A81000C,00100,0100,B 153207,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 153207,A81000C,00100,0400,CORNERSTONE INSURANCE CO 153207,A81000C,00100,0600,LIABILITY INSURANCE 153207,A81000C,00200,0400,VENCARE PHARMACY SERVICES 153207,A81000C,00200,0600,PHARMACY 153207,A81000C,00300,0400,VENCARE RESPIRATORY 153207,A81000C,00300,0600,RESPIRATORY THERAPY 153207,A81000C,00400,0400,THERAPY SERVICES 153207,A81000C,00500,0400,VENCARE REHAB SERVICES 153207,A81000C,00500,0600,REHAB 153207,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 153207,A81000C,00600,0600,PORTABLE X-RAY 153207,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153207,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153207,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153207,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153207,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153207,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153207,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 153207,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153207,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 153207,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 153207,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 153207,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 153207,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153207,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 153207,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 153207,E10A180,00301,0100,11/30/00 153207,S000000,00100,0200,12/11/00 153207,S200000,00100,0100,1012 JAMESTOWN WAY 153207,S200000,00200,0100,MARYVILLE 153207,S200000,00200,0200,TN 153207,S200000,00200,0300,37803- 153207,S200000,00300,0100,BLOUNT 153207,S200000,00300,0300,U 153207,S200000,00400,0100,187 - MARYVILLE HEALTHCARE & REHAB 153207,S200000,00400,0200,445245 153207,S200000,00400,0300,03/01/90 153207,S200000,00400,0500,P 153207,S200000,01500,0100,N 153207,S200000,01600,0100,Y 153207,S200000,01700,0100,N 153207,S200000,01800,0100,N 153207,S200000,02200,0100,Y 153207,S200000,02800,0100,N 153207,S200000,02900,0100,N 153207,S200000,03000,0100,N 153207,S200000,03100,0100,N 153207,S200000,03200,0100,N 153207,S200000,04100,0100,N 153207,S200000,04200,0100,N 153207,S200000,04300,0100,N 153207,S200000,04600,0100,N 153207,S200000,04700,0100,N 153207,S200000,04700,0200,N 153207,S200000,04900,0100,N 153207,S200000,05000,0100,N 153207,S200000,05100,0100,N 153207,S200000,05200,0100,N 153317,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153317,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153317,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153317,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153317,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153317,A000000,00700,0000,0700HOUSEKEEPING 153317,A000000,00800,0000,0800DIETARY 153317,A000000,00900,0000,0900NURSING ADMINISTRATION 153317,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153317,A000000,01001,0000,1001CENTRAL SERVICES & SUPPLY 153317,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153317,A000000,01300,0000,1300SOCIAL SERVICE 153317,A000000,01600,0000,1600SKILLED NURSING FACILITY 153317,A000000,01800,0000,1800NURSING FACILITY 153317,A000000,02100,0000,2100RADIOLOGY 153317,A000000,02200,0000,2200LABORATORY 153317,A000000,02300,0000,2300INTRAVENOUS THERAPY 153317,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153317,A000000,02500,0000,2500PHYSICAL THERAPY 153317,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153317,A000000,02700,0000,2700SPEECH PATHOLOGY 153317,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153317,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153317,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153317,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 153317,A000000,03302,0000,3052MEDICAL EQUIPMENT 153317,A000000,04800,0000,4800AMBULANCE 153317,A000000,05300,0000,5300INTEREST EXPENSE 153317,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153317,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153317,A000000,06200,0000,6200PATIENTS LAUNDRY 153317,A000000,06300,0000,6150MARKETING 153317,A81000A,00100,0100,Y 153317,A81000B,00100,0300,HOME OFFICE A&G 153317,A81000B,00200,0300,HOME OFFICE CAPITAL 153317,A81000B,00300,0300,DIVISION OFFICE A&G 153317,A81000B,00400,0300,DIVISION OFFICE CAPITAL 153317,A81000B,00500,0300,INSURANCE 153317,A81000B,00600,0300,PHYSICAL THERAPY 153317,A81000B,00700,0300,OCCUPATIONAL THERAPY 153317,A81000B,00800,0300,SPEECH THERAPY 153317,A81000B,00900,0300,AIR FLUIDIZED THERAPY 153317,A81000C,00100,0100,B 153317,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 153317,A81000C,00200,0100,G 153317,A81000C,00200,0200,LAURIER INC. 153317,A81000C,00200,0400,EXTENDICARE INC. 153317,A81000C,00200,0600,INSURANCE 153317,A81000C,00300,0100,G 153317,A81000C,00300,0200,UNITED REHABILITATION SVS 153317,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 153317,A81000C,00300,0600,THERAPY SERVICE 153317,A81000C,00400,0100,G 153317,A81000C,00400,0200,UPC 153317,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 153317,A81000C,00400,0600,PHARMACY THERAPY 153317,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153317,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153317,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153317,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153317,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153317,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 153317,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153317,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 153317,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153317,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153317,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 153317,E10A180,00301,0100,06/22/98 153317,E10A180,00301,0300,06/22/98 153317,E10A180,00350,0100,06/22/98 153317,E10A180,00350,0300,06/22/98 153317,E10A180,00550,0100,06/14/00 153317,E10A180,00601,0100,09/06/01 153317,E10A180,00650,0300,09/06/01 153317,S000000,00100,0200,06/02/00 153317,S200000,00100,0100,218 ELM STREET 153317,S200000,00200,0100,LONDON 153317,S200000,00200,0200,OH 153317,S200000,00200,0300,43140- 153317,S200000,00300,0100,MADISON 153317,S200000,00300,0200,1840 153317,S200000,00300,0300,U 153317,S200000,00400,0100,ARBORS AT LONDON 153317,S200000,00400,0200,365241 153317,S200000,00400,0300,07/01/86 153317,S200000,00400,0500,P 153317,S200000,01500,0100,N 153317,S200000,01600,0100,Y 153317,S200000,01700,0100,N 153317,S200000,01800,0100,N 153317,S200000,02200,0100,N 153317,S200000,02800,0100,N 153317,S200000,02900,0100,N 153317,S200000,03000,0100,N 153317,S200000,03100,0100,N 153317,S200000,03200,0100,N 153317,S200000,04100,0100,N 153317,S200000,04200,0100,N 153317,S200000,04300,0100,N 153317,S200000,04600,0100,N 153317,S200000,04700,0100,N 153317,S200000,04700,0200,N 153317,S200000,04900,0100,N 153317,S200000,05000,0100,N 153317,S200000,05100,0100,N 153317,S200000,05200,0100,N 153405,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153405,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153405,A000000,00300,0000,0300EMPLOYEE BENEFITS 153405,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153405,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153405,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153405,A000000,00700,0000,0700HOUSEKEEPING 153405,A000000,00800,0000,0800DIETARY 153405,A000000,00900,0000,0900NURSING ADMINISTRATION 153405,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153405,A000000,01100,0000,1100PHARMACY 153405,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153405,A000000,01300,0000,1300SOCIAL SERVICE 153405,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153405,A000000,01500,0000,1350PATIENT ACTIVITIES 153405,A000000,01600,0000,1600SKILLED NURSING FACILITY 153405,A000000,01800,0000,1800NURSING FACILITY 153405,A000000,01810,0000,1810ICF/MR 153405,A000000,01900,0000,1900OTHER LONG TERM CARE 153405,A000000,02100,0000,2100RADIOLOGY 153405,A000000,02200,0000,2200LABORATORY 153405,A000000,02300,0000,2300INTRAVENOUS THERAPY 153405,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153405,A000000,02500,0000,2500PHYSICAL THERAPY 153405,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153405,A000000,02700,0000,2700SPEECH PATHOLOGY 153405,A000000,02800,0000,2800ELECTROCARDIOLOGY 153405,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153405,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153405,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 153405,A000000,03200,0000,3200SUPPORT SURFACES 153405,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153405,A000000,03400,0000,3400CLINIC 153405,A000000,03500,0000,3500RURAL HEALTH CLINIC 153405,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153405,A000000,04800,0000,4800AMBULANCE 153405,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153405,A000000,05000,0000,5000CORF 153405,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153405,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 153405,A000000,05300,0000,5300INTEREST EXPENSE 153405,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153405,A000000,05500,0000,5500HOSPICE 153405,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153405,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153405,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153405,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 153405,A000000,06100,0000,6100NONPAID WORKERS 153405,A000000,06200,0000,6200PATIENTS LAUNDRY 153405,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153405,A81000A,00100,0100,Y 153405,A81000B,00100,0300,INTEREST EXPENSE 153405,A81000B,00200,0300,INTEREST EXPENSE HCFP 153405,A81000C,00100,0100,B 153405,A81000C,00100,0400,SENIOR LIVING PROPERTIES 153405,A81000C,00100,0600,HOME OFFICE 153405,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153405,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153405,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153405,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153405,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153405,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153405,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153405,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153405,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153405,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153405,E10A180,00301,0100,10/27/99 153405,E10A180,00302,0100,11/29/99 153405,S000000,00100,0200,06/01/00 153405,S200000,00100,0100,1816 TILE FACTORY ROAD 153405,S200000,00200,0100,PALESTINE 153405,S200000,00200,0200,TX 153405,S200000,00200,0300,75801- 153405,S200000,00300,0100,ANDERSON 153405,S200000,00300,0200,0045 153405,S200000,00300,0300,R 153405,S200000,00400,0100,PALESTINE HEALTHCARE CENTER 153405,S200000,00400,0200,455565 153405,S200000,00400,0300,07/19/85 153405,S200000,00400,0500,P 153405,S200000,01500,0100,N 153405,S200000,01600,0100,Y 153405,S200000,01700,0100,N 153405,S200000,01800,0100,N 153405,S200000,02200,0100,N 153405,S200000,02800,0100,N 153405,S200000,02900,0100,N 153405,S200000,03000,0100,N 153405,S200000,03100,0100,N 153405,S200000,03200,0100,N 153405,S200000,04100,0100,N 153405,S200000,04200,0100,N 153405,S200000,04300,0100,Y 153405,S200000,04600,0100,N 153405,S200000,04700,0100,N 153405,S200000,04700,0200,N 153405,S200000,04900,0100,N 153405,S200000,05000,0100,N 153405,S200000,05100,0100,N 153405,S200000,05200,0100,N 153406,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153406,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153406,A000000,00300,0000,0300EMPLOYEE BENEFITS 153406,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153406,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153406,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153406,A000000,00700,0000,0700HOUSEKEEPING 153406,A000000,00800,0000,0800DIETARY 153406,A000000,00900,0000,0900NURSING ADMINISTRATION 153406,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153406,A000000,01100,0000,1100PHARMACY 153406,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153406,A000000,01300,0000,1300SOCIAL SERVICE 153406,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153406,A000000,01500,0000,1350PATIENT ACTIVITIES 153406,A000000,01600,0000,1600SKILLED NURSING FACILITY 153406,A000000,01800,0000,1800NURSING FACILITY 153406,A000000,01810,0000,1810ICF/MR 153406,A000000,02100,0000,2100RADIOLOGY 153406,A000000,02200,0000,2200LABORATORY 153406,A000000,02300,0000,2300INTRAVENOUS THERAPY 153406,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153406,A000000,02500,0000,2500PHYSICAL THERAPY 153406,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153406,A000000,02700,0000,2700SPEECH PATHOLOGY 153406,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153406,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153406,A000000,03200,0000,3200SUPPORT SURFACES 153406,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153406,A000000,03550,0000,3550FQHC 153406,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153406,A000000,05000,0000,5000CORF 153406,A000000,05010,0000,5010CMHC 153406,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153406,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153406,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153406,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153406,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153406,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153406,A81000A,00100,0100,Y 153406,A81000B,00100,0300,INTEREST EXPENSE 153406,A81000B,00200,0300,INTEREST EXPENSE HCFP 153406,A81000C,00100,0100,B 153406,A81000C,00100,0400,SENIOR LIVING P 153406,A81000C,00100,0600,HOME OFFICE 153406,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153406,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153406,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153406,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153406,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153406,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153406,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153406,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153406,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153406,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153406,E10A180,00301,0100,10/27/99 153406,E10A180,00302,0100,11/29/99 153406,S000000,00100,0200,06/01/00 153406,S200000,00100,0100,1413 WEST MAIN 153406,S200000,00200,0100,WAXAHACHIE 153406,S200000,00200,0200,TX 153406,S200000,00200,0300, - 153406,S200000,00300,0100,ELLIS 153406,S200000,00300,0200,1920 153406,S200000,00300,0300,U 153406,S200000,00400,0100,RENFRO HEALTHCARE CENTER 153406,S200000,00400,0200,455591 153406,S200000,00400,0300,01/16/86 153406,S200000,00400,0500,P 153406,S200000,01500,0100,N 153406,S200000,01600,0100,Y 153406,S200000,01700,0100,N 153406,S200000,01800,0100,N 153406,S200000,02200,0100,N 153406,S200000,02800,0100,N 153406,S200000,02900,0100,N 153406,S200000,03000,0100,N 153406,S200000,03100,0100,N 153406,S200000,03200,0100,N 153406,S200000,04100,0100,N 153406,S200000,04200,0100,N 153406,S200000,04300,0100,Y 153406,S200000,04600,0100,N 153406,S200000,04700,0100,N 153406,S200000,04700,0200,N 153406,S200000,04900,0100,N 153406,S200000,05000,0100,N 153406,S200000,05100,0100,N 153406,S200000,05200,0100,N 153408,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153408,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153408,A000000,00300,0000,0300EMPLOYEE BENEFITS 153408,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153408,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153408,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153408,A000000,00700,0000,0700HOUSEKEEPING 153408,A000000,00800,0000,0800DIETARY 153408,A000000,00900,0000,0900NURSING ADMINISTRATION 153408,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153408,A000000,01100,0000,1100PHARMACY 153408,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153408,A000000,01300,0000,1300SOCIAL SERVICE 153408,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153408,A000000,01500,0000,1350PATIENT ACTIVITIES 153408,A000000,01600,0000,1600SKILLED NURSING FACILITY 153408,A000000,01800,0000,1800NURSING FACILITY 153408,A000000,01810,0000,1810ICF/MR 153408,A000000,02100,0000,2100RADIOLOGY 153408,A000000,02200,0000,2200LABORATORY 153408,A000000,02300,0000,2300INTRAVENOUS THERAPY 153408,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153408,A000000,02500,0000,2500PHYSICAL THERAPY 153408,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153408,A000000,02700,0000,2700SPEECH PATHOLOGY 153408,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153408,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153408,A000000,03200,0000,3200SUPPORT SURFACES 153408,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153408,A000000,03550,0000,3550FQHC 153408,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153408,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153408,A000000,05000,0000,5000CORF 153408,A000000,05010,0000,5010CMHC 153408,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153408,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153408,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153408,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153408,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153408,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153408,A81000A,00100,0100,Y 153408,A81000B,00100,0300,INTEREST EXPENSE 153408,A81000B,00200,0300,INTEREST EXPENSE HCFP 153408,A81000C,00100,0100,B 153408,A81000C,00100,0400,SENIOR LIVING P 153408,A81000C,00100,0600,HOME OFFICE 153408,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153408,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153408,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153408,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153408,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153408,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153408,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153408,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153408,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153408,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153408,E10A180,00301,0100,10/27/99 153408,E10A180,00302,0100,11/29/99 153408,S000000,00100,0200,06/01/00 153408,S200000,00100,0100,DRAWER W. FRONT STREET 153408,S200000,00200,0100,ANAHUAC 153408,S200000,00200,0200,TX 153408,S200000,00200,0300, - 153408,S200000,00300,0100,CHAMBERS 153408,S200000,00300,0200,3360 153408,S200000,00300,0300,U 153408,S200000,00400,0100,ANAHUAC HEALTHCARE CENTER 153408,S200000,00400,0200,455710 153408,S200000,00400,0300,07/01/87 153408,S200000,00400,0500,P 153408,S200000,01500,0100,N 153408,S200000,01600,0100,Y 153408,S200000,01700,0100,N 153408,S200000,01800,0100,N 153408,S200000,02200,0100,N 153408,S200000,02800,0100,N 153408,S200000,02900,0100,N 153408,S200000,03000,0100,N 153408,S200000,03100,0100,N 153408,S200000,03200,0100,N 153408,S200000,04100,0100,N 153408,S200000,04200,0100,N 153408,S200000,04300,0100,Y 153408,S200000,04600,0100,N 153408,S200000,04700,0100,N 153408,S200000,04700,0200,N 153408,S200000,04900,0100,N 153408,S200000,05000,0100,N 153408,S200000,05100,0100,N 153408,S200000,05200,0100,N 153409,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153409,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153409,A000000,00300,0000,0300EMPLOYEE BENEFITS 153409,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153409,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153409,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153409,A000000,00700,0000,0700HOUSEKEEPING 153409,A000000,00800,0000,0800DIETARY 153409,A000000,00900,0000,0900NURSING ADMINISTRATION 153409,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153409,A000000,01100,0000,1100PHARMACY 153409,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153409,A000000,01300,0000,1300SOCIAL SERVICE 153409,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153409,A000000,01500,0000,1350PATIENT ACTIVITIES 153409,A000000,01600,0000,1600SKILLED NURSING FACILITY 153409,A000000,01800,0000,1800NURSING FACILITY 153409,A000000,01810,0000,1810ICF/MR 153409,A000000,02100,0000,2100RADIOLOGY 153409,A000000,02200,0000,2200LABORATORY 153409,A000000,02300,0000,2300INTRAVENOUS THERAPY 153409,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153409,A000000,02500,0000,2500PHYSICAL THERAPY 153409,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153409,A000000,02700,0000,2700SPEECH PATHOLOGY 153409,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153409,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153409,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153409,A000000,03550,0000,3550FQHC 153409,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153409,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153409,A000000,05000,0000,5000CORF 153409,A000000,05010,0000,5010CMHC 153409,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153409,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153409,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153409,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153409,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153409,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153409,A81000A,00100,0100,Y 153409,A81000B,00100,0300,INTEREST EXPENSE 153409,A81000B,00200,0300,INTEREST EXPENSE HCFP 153409,A81000C,00100,0100,B 153409,A81000C,00100,0400,SENIOR LIVING P 153409,A81000C,00100,0600,HOME OFFICE 153409,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153409,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153409,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153409,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153409,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153409,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153409,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153409,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153409,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153409,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153409,E10A180,00301,0100,10/27/99 153409,E10A180,00302,0100,11/29/99 153409,S000000,00100,0200,06/01/00 153409,S200000,00100,0100,211 EAST JASPER STREET 153409,S200000,00200,0100,JACKSBORO 153409,S200000,00200,0200,TX 153409,S200000,00200,0300, - 153409,S200000,00300,0100,JACK 153409,S200000,00300,0200,0045 153409,S200000,00300,0300,R 153409,S200000,00400,0100,JACKSBORO HEALTHCARE CENTER 153409,S200000,00400,0200,455808 153409,S200000,00400,0300,04/20/89 153409,S200000,00400,0500,P 153409,S200000,01500,0100,N 153409,S200000,01600,0100,Y 153409,S200000,01700,0100,N 153409,S200000,01800,0100,N 153409,S200000,02200,0100,N 153409,S200000,02800,0100,N 153409,S200000,02900,0100,N 153409,S200000,03000,0100,N 153409,S200000,03100,0100,N 153409,S200000,03200,0100,N 153409,S200000,04100,0100,N 153409,S200000,04200,0100,N 153409,S200000,04300,0100,Y 153409,S200000,04600,0100,N 153409,S200000,04700,0100,N 153409,S200000,04700,0200,N 153409,S200000,04900,0100,N 153409,S200000,05000,0100,N 153409,S200000,05100,0100,N 153409,S200000,05200,0100,N 153410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153410,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153410,A000000,00300,0000,0300EMPLOYEE BENEFITS 153410,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153410,A000000,00700,0000,0700HOUSEKEEPING 153410,A000000,00800,0000,0800DIETARY 153410,A000000,00900,0000,0900NURSING ADMINISTRATION 153410,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153410,A000000,01100,0000,1100PHARMACY 153410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153410,A000000,01300,0000,1300SOCIAL SERVICE 153410,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153410,A000000,01500,0000,1350PATIENT ACTIVITIES 153410,A000000,01600,0000,1600SKILLED NURSING FACILITY 153410,A000000,01800,0000,1800NURSING FACILITY 153410,A000000,01810,0000,1810ICF/MR 153410,A000000,02100,0000,2100RADIOLOGY 153410,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153410,A000000,02500,0000,2500PHYSICAL THERAPY 153410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153410,A000000,02700,0000,2700SPEECH PATHOLOGY 153410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153410,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153410,A000000,03550,0000,3550FQHC 153410,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153410,A000000,05000,0000,5000CORF 153410,A000000,05010,0000,5010CMHC 153410,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153410,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153410,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153410,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153410,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153410,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153410,A81000A,00100,0100,Y 153410,A81000B,00100,0300,INTEREST EXPENSE 153410,A81000B,00200,0300,INTEREST EXPENSE HCFP 153410,A81000C,00100,0100,B 153410,A81000C,00100,0400,SENIOR LIVING P 153410,A81000C,00100,0600,HOME OFFICE 153410,A81000C,00200,0100,B 153410,A81000C,00300,0100,B 153410,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153410,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153410,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153410,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153410,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153410,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153410,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153410,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153410,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153410,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153410,E10A180,00301,0100,10/27/99 153410,E10A180,00302,0100,11/29/99 153410,S000000,00100,0200,06/05/00 153410,S200000,00100,0100,1107 SOUTH CLAY 153410,S200000,00200,0100,ENNIS 153410,S200000,00200,0200,TX 153410,S200000,00200,0300, - 153410,S200000,00300,0100,ELLIS 153410,S200000,00300,0200,1920 153410,S200000,00300,0300,U 153410,S200000,00400,0100,CLAYSTONE HEALTHCARE CENTER 153410,S200000,00400,0200,455843 153410,S200000,00400,0300,09/01/89 153410,S200000,00400,0500,P 153410,S200000,01500,0100,N 153410,S200000,01600,0100,Y 153410,S200000,01700,0100,N 153410,S200000,01800,0100,N 153410,S200000,02200,0100,N 153410,S200000,02800,0100,N 153410,S200000,02900,0100,N 153410,S200000,03000,0100,N 153410,S200000,03100,0100,N 153410,S200000,03200,0100,N 153410,S200000,04100,0100,N 153410,S200000,04200,0100,N 153410,S200000,04300,0100,Y 153410,S200000,04600,0100,N 153410,S200000,04700,0100,N 153410,S200000,04700,0200,N 153410,S200000,04900,0100,N 153410,S200000,05000,0100,N 153410,S200000,05100,0100,N 153410,S200000,05200,0100,N 153411,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153411,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153411,A000000,00300,0000,0300EMPLOYEE BENEFITS 153411,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153411,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153411,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153411,A000000,00700,0000,0700HOUSEKEEPING 153411,A000000,00800,0000,0800DIETARY 153411,A000000,00900,0000,0900NURSING ADMINISTRATION 153411,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153411,A000000,01100,0000,1100PHARMACY 153411,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153411,A000000,01300,0000,1300SOCIAL SERVICE 153411,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153411,A000000,01500,0000,1350PATIENT ACTIVITIES 153411,A000000,01600,0000,1600SKILLED NURSING FACILITY 153411,A000000,01800,0000,1800NURSING FACILITY 153411,A000000,01810,0000,1810ICF/MR 153411,A000000,02100,0000,2100RADIOLOGY 153411,A000000,02200,0000,2200LABORATORY 153411,A000000,02300,0000,2300INTRAVENOUS THERAPY 153411,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153411,A000000,02500,0000,2500PHYSICAL THERAPY 153411,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153411,A000000,02700,0000,2700SPEECH PATHOLOGY 153411,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153411,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153411,A000000,03200,0000,3200SUPPORT SURFACES 153411,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153411,A000000,03550,0000,3550FQHC 153411,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153411,A000000,05000,0000,5000CORF 153411,A000000,05010,0000,5010CMHC 153411,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153411,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153411,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153411,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153411,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153411,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153411,A81000A,00100,0100,Y 153411,A81000B,00100,0300,INTEREST EXPENSE 153411,A81000B,00200,0300,INTEREST EXPENSE HCFP 153411,A81000C,00100,0100,B 153411,A81000C,00100,0400,SENIOR LIVING P 153411,A81000C,00100,0600,HOME OFFICE 153411,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153411,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153411,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153411,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153411,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153411,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153411,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153411,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153411,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153411,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153411,E10A180,00301,0100,10/27/99 153411,E10A180,00302,0100,11/29/99 153411,S000000,00100,0200,06/01/00 153411,S200000,00100,0100,609 RIO CONCHO DRIVE 153411,S200000,00200,0100,SAN ANGELO 153411,S200000,00200,0200,TX 153411,S200000,00200,0300, - 153411,S200000,00300,0100,TOM GREEN 153411,S200000,00300,0200,7200 153411,S200000,00300,0300,U 153411,S200000,00400,0100,RIVERSIDE HEALTHCARE CENTER 153411,S200000,00400,0200,455853 153411,S200000,00400,0300,10/20/89 153411,S200000,00400,0500,P 153411,S200000,01500,0100,N 153411,S200000,01600,0100,Y 153411,S200000,01700,0100,N 153411,S200000,01800,0100,N 153411,S200000,02200,0100,N 153411,S200000,02800,0100,N 153411,S200000,02900,0100,N 153411,S200000,03000,0100,N 153411,S200000,03100,0100,N 153411,S200000,03200,0100,N 153411,S200000,04100,0100,N 153411,S200000,04200,0100,N 153411,S200000,04300,0100,Y 153411,S200000,04600,0100,N 153411,S200000,04700,0100,N 153411,S200000,04700,0200,N 153411,S200000,04900,0100,N 153411,S200000,05000,0100,N 153411,S200000,05100,0100,N 153411,S200000,05200,0100,N 153412,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153412,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153412,A000000,00300,0000,0300EMPLOYEE BENEFITS 153412,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153412,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153412,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153412,A000000,00700,0000,0700HOUSEKEEPING 153412,A000000,00800,0000,0800DIETARY 153412,A000000,00900,0000,0900NURSING ADMINISTRATION 153412,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153412,A000000,01100,0000,1100PHARMACY 153412,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153412,A000000,01300,0000,1300SOCIAL SERVICE 153412,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153412,A000000,01500,0000,1350PATIENT ACTIVITIES 153412,A000000,01600,0000,1600SKILLED NURSING FACILITY 153412,A000000,01800,0000,1800NURSING FACILITY 153412,A000000,01810,0000,1810ICF/MR 153412,A000000,02100,0000,2100RADIOLOGY 153412,A000000,02200,0000,2200LABORATORY 153412,A000000,02300,0000,2300INTRAVENOUS THERAPY 153412,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153412,A000000,02500,0000,2500PHYSICAL THERAPY 153412,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153412,A000000,02700,0000,2700SPEECH PATHOLOGY 153412,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153412,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153412,A000000,03200,0000,3200SUPPORT SURFACES 153412,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153412,A000000,03550,0000,3550FQHC 153412,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153412,A000000,05000,0000,5000CORF 153412,A000000,05010,0000,5010CMHC 153412,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153412,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153412,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153412,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153412,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153412,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153412,A81000A,00100,0100,Y 153412,A81000B,00100,0300,INTEREST EXPENSE 153412,A81000B,00200,0300,INTEREST EXPENSE HCFP 153412,A81000C,00100,0100,B 153412,A81000C,00100,0400,SENIOR LIVING P 153412,A81000C,00100,0600,HOME OFFICE 153412,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153412,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153412,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153412,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153412,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153412,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153412,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153412,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153412,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153412,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153412,E10A180,00301,0100,10/27/99 153412,E10A180,00302,0100,11/29/99 153412,S000000,00100,0200,06/22/00 153412,S200000,00100,0100,1302 W. PAYNE STREET 153412,S200000,00200,0100,OLNEY 153412,S200000,00200,0200,TX 153412,S200000,00200,0300,76374- 153412,S200000,00300,0100,YOUNG 153412,S200000,00300,0200,0045 153412,S200000,00300,0300,R 153412,S200000,00400,0100,OLNEY HEALTHCARE CENTER 153412,S200000,00400,0200,455932 153412,S200000,00400,0300,07/11/91 153412,S200000,00400,0500,P 153412,S200000,01500,0100,N 153412,S200000,01600,0100,Y 153412,S200000,01700,0100,N 153412,S200000,01800,0100,N 153412,S200000,02200,0100,N 153412,S200000,02800,0100,N 153412,S200000,02900,0100,N 153412,S200000,03000,0100,N 153412,S200000,03100,0100,N 153412,S200000,03200,0100,N 153412,S200000,04100,0100,N 153412,S200000,04200,0100,N 153412,S200000,04300,0100,Y 153412,S200000,04600,0100,N 153412,S200000,04700,0100,N 153412,S200000,04700,0200,N 153412,S200000,04900,0100,N 153412,S200000,05000,0100,N 153412,S200000,05100,0100,N 153412,S200000,05200,0100,N 153413,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153413,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153413,A000000,00300,0000,0300EMPLOYEE BENEFITS 153413,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153413,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153413,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153413,A000000,00700,0000,0700HOUSEKEEPING 153413,A000000,00800,0000,0800DIETARY 153413,A000000,00900,0000,0900NURSING ADMINISTRATION 153413,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153413,A000000,01100,0000,1100PHARMACY 153413,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153413,A000000,01300,0000,1300SOCIAL SERVICE 153413,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153413,A000000,01500,0000,1350PATIENT ACTIVITIES 153413,A000000,01600,0000,1600SKILLED NURSING FACILITY 153413,A000000,01800,0000,1800NURSING FACILITY 153413,A000000,01810,0000,1810ICF/MR 153413,A000000,01900,0000,1900OTHER LONG TERM CARE 153413,A000000,02100,0000,2100RADIOLOGY 153413,A000000,02200,0000,2200LABORATORY 153413,A000000,02300,0000,2300INTRAVENOUS THERAPY 153413,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153413,A000000,02500,0000,2500PHYSICAL THERAPY 153413,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153413,A000000,02700,0000,2700SPEECH PATHOLOGY 153413,A000000,02800,0000,2800ELECTROCARDIOLOGY 153413,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153413,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153413,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 153413,A000000,03200,0000,3200SUPPORT SURFACES 153413,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153413,A000000,03400,0000,3400CLINIC 153413,A000000,03500,0000,3500RURAL HEALTH CLINIC 153413,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153413,A000000,04800,0000,4800AMBULANCE 153413,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153413,A000000,05000,0000,5000CORF 153413,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153413,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 153413,A000000,05300,0000,5300INTEREST EXPENSE 153413,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153413,A000000,05500,0000,5500HOSPICE 153413,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153413,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153413,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153413,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 153413,A000000,06100,0000,6100NONPAID WORKERS 153413,A000000,06200,0000,6200PATIENTS LAUNDRY 153413,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153413,A81000A,00100,0100,Y 153413,A81000B,00100,0300,INTEREST EXPENSE 153413,A81000B,00200,0300,INTEREST EXPENSE HCFP 153413,A81000C,00100,0100,B 153413,A81000C,00100,0400,SENIOR LIVING PROPERTIES 153413,A81000C,00100,0600,HOME OFFICE 153413,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153413,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153413,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153413,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153413,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153413,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153413,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153413,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153413,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153413,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153413,S000000,00100,0200,06/01/00 153413,S200000,00100,0100,620 HOSPITAL DRIVE 153413,S200000,00200,0100,CEDAR HILL 153413,S200000,00200,0200,TX 153413,S200000,00200,0300,79714- 153413,S200000,00300,0100,ANDREWS 153413,S200000,00300,0200,0045 153413,S200000,00300,0300,R 153413,S200000,00400,0100,ANDREWS HEALTHCARE CENTER 153413,S200000,00400,0200,455947 153413,S200000,00400,0300,08/01/98 153413,S200000,00400,0500,P 153413,S200000,01500,0100,N 153413,S200000,01600,0100,Y 153413,S200000,01700,0100,N 153413,S200000,01800,0100,N 153413,S200000,02200,0100,N 153413,S200000,02800,0100,N 153413,S200000,02900,0100,N 153413,S200000,03000,0100,N 153413,S200000,03100,0100,N 153413,S200000,03200,0100,N 153413,S200000,04100,0100,N 153413,S200000,04200,0100,N 153413,S200000,04300,0100,Y 153413,S200000,04600,0100,N 153413,S200000,04700,0100,N 153413,S200000,04700,0200,N 153413,S200000,04900,0100,N 153413,S200000,05000,0100,N 153413,S200000,05100,0100,N 153413,S200000,05200,0100,N 153414,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153414,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153414,A000000,00300,0000,0300EMPLOYEE BENEFITS 153414,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153414,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153414,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153414,A000000,00700,0000,0700HOUSEKEEPING 153414,A000000,00800,0000,0800DIETARY 153414,A000000,00900,0000,0900NURSING ADMINISTRATION 153414,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153414,A000000,01100,0000,1100PHARMACY 153414,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153414,A000000,01300,0000,1300SOCIAL SERVICE 153414,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153414,A000000,01500,0000,1350PATIENT ACTIVITIES 153414,A000000,01600,0000,1600SKILLED NURSING FACILITY 153414,A000000,01800,0000,1800NURSING FACILITY 153414,A000000,01810,0000,1810ICF/MR 153414,A000000,02100,0000,2100RADIOLOGY 153414,A000000,02300,0000,2300INTRAVENOUS THERAPY 153414,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153414,A000000,02500,0000,2500PHYSICAL THERAPY 153414,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153414,A000000,02700,0000,2700SPEECH PATHOLOGY 153414,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153414,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153414,A000000,03200,0000,3200SUPPORT SURFACES 153414,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153414,A000000,03550,0000,3550FQHC 153414,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153414,A000000,05000,0000,5000CORF 153414,A000000,05010,0000,5010CMHC 153414,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153414,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153414,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153414,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153414,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153414,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153414,A81000A,00100,0100,Y 153414,A81000B,00100,0300,INTEREST EXPENSE 153414,A81000B,00200,0300,INTEREST EXPENSE HCFP 153414,A81000C,00100,0100,B 153414,A81000C,00100,0400,SENIOR LIVING P 153414,A81000C,00100,0600,HOME OFFICE 153414,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153414,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153414,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153414,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153414,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153414,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153414,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153414,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153414,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153414,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153414,E10A180,00301,0100,10/27/99 153414,E10A180,00302,0100,11/29/99 153414,S000000,00100,0200,06/01/00 153414,S200000,00100,0100,3001 S. HOUSTON STREET 153414,S200000,00200,0100,KAUFMAN 153414,S200000,00200,0200,TX 153414,S200000,00200,0300, - 153414,S200000,00300,0100,KAUFMAN 153414,S200000,00300,0200,1920 153414,S200000,00300,0300,U 153414,S200000,00400,0100,KAUFMAN HEALTHCARE CENTER 153414,S200000,00400,0200,455962 153414,S200000,00400,0300,11/01/91 153414,S200000,00400,0500,P 153414,S200000,01500,0100,N 153414,S200000,01600,0100,Y 153414,S200000,01700,0100,N 153414,S200000,01800,0100,N 153414,S200000,02200,0100,N 153414,S200000,02800,0100,N 153414,S200000,02900,0100,N 153414,S200000,03000,0100,N 153414,S200000,03100,0100,N 153414,S200000,03200,0100,N 153414,S200000,04100,0100,N 153414,S200000,04200,0100,N 153414,S200000,04300,0100,Y 153414,S200000,04600,0100,N 153414,S200000,04700,0100,N 153414,S200000,04700,0200,N 153414,S200000,04900,0100,N 153414,S200000,05000,0100,N 153414,S200000,05100,0100,N 153414,S200000,05200,0100,N 153415,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153415,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153415,A000000,00300,0000,0300EMPLOYEE BENEFITS 153415,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153415,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153415,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153415,A000000,00700,0000,0700HOUSEKEEPING 153415,A000000,00800,0000,0800DIETARY 153415,A000000,00900,0000,0900NURSING ADMINISTRATION 153415,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153415,A000000,01100,0000,1100PHARMACY 153415,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153415,A000000,01300,0000,1300SOCIAL SERVICE 153415,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153415,A000000,01500,0000,1350PATIENT ACTIVITIES 153415,A000000,01600,0000,1600SKILLED NURSING FACILITY 153415,A000000,01800,0000,1800NURSING FACILITY 153415,A000000,01810,0000,1810ICF/MR 153415,A000000,02200,0000,2200LABORATORY 153415,A000000,02300,0000,2300INTRAVENOUS THERAPY 153415,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153415,A000000,02500,0000,2500PHYSICAL THERAPY 153415,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153415,A000000,02700,0000,2700SPEECH PATHOLOGY 153415,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153415,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153415,A000000,03200,0000,3200SUPPORT SURFACES 153415,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153415,A000000,03550,0000,3550FQHC 153415,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153415,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153415,A000000,05000,0000,5000CORF 153415,A000000,05010,0000,5010CMHC 153415,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153415,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153415,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153415,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153415,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153415,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153415,A81000A,00100,0100,Y 153415,A81000B,00100,0300,INTEREST EXPENSE 153415,A81000B,00200,0300,INTEREST EXPENSE HCFP 153415,A81000C,00100,0100,B 153415,A81000C,00100,0400,SENIOR LIVING P 153415,A81000C,00100,0600,HOME OFFICE 153415,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153415,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153415,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153415,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153415,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153415,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153415,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153415,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153415,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153415,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153415,E10A180,00301,0100,10/27/99 153415,E10A180,00302,0100,11/29/99 153415,S000000,00100,0200,06/01/00 153415,S200000,00100,0100,701 SOUTH MARKET STREET 153415,S200000,00200,0100,CARTHAGE 153415,S200000,00200,0200,TX 153415,S200000,00200,0300, - 153415,S200000,00300,0100,PANOLA 153415,S200000,00300,0200,0045 153415,S200000,00300,0300,R 153415,S200000,00400,0100,CARTHAGE HEALTHCARE CENTER 153415,S200000,00400,0200,455963 153415,S200000,00400,0300,12/01/91 153415,S200000,00400,0500,P 153415,S200000,01500,0100,N 153415,S200000,01600,0100,Y 153415,S200000,01700,0100,N 153415,S200000,01800,0100,N 153415,S200000,02200,0100,N 153415,S200000,02800,0100,N 153415,S200000,02900,0100,N 153415,S200000,03000,0100,N 153415,S200000,03100,0100,N 153415,S200000,03200,0100,N 153415,S200000,04100,0100,N 153415,S200000,04200,0100,N 153415,S200000,04300,0100,Y 153415,S200000,04600,0100,N 153415,S200000,04700,0100,N 153415,S200000,04700,0200,N 153415,S200000,04900,0100,N 153415,S200000,05000,0100,N 153415,S200000,05100,0100,N 153415,S200000,05200,0100,N 153416,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153416,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153416,A000000,00300,0000,0300EMPLOYEE BENEFITS 153416,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153416,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153416,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153416,A000000,00700,0000,0700HOUSEKEEPING 153416,A000000,00800,0000,0800DIETARY 153416,A000000,00900,0000,0900NURSING ADMINISTRATION 153416,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153416,A000000,01100,0000,1100PHARMACY 153416,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153416,A000000,01300,0000,1300SOCIAL SERVICE 153416,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153416,A000000,01500,0000,1350PATIENT ACTIVITIES 153416,A000000,01600,0000,1600SKILLED NURSING FACILITY 153416,A000000,01800,0000,1800NURSING FACILITY 153416,A000000,01810,0000,1810ICF/MR 153416,A000000,02100,0000,2100RADIOLOGY 153416,A000000,02200,0000,2200LABORATORY 153416,A000000,02300,0000,2300INTRAVENOUS THERAPY 153416,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153416,A000000,02500,0000,2500PHYSICAL THERAPY 153416,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153416,A000000,02700,0000,2700SPEECH PATHOLOGY 153416,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153416,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153416,A000000,03200,0000,3200SUPPORT SURFACES 153416,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153416,A000000,03550,0000,3550FQHC 153416,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153416,A000000,05000,0000,5000CORF 153416,A000000,05010,0000,5010CMHC 153416,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153416,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153416,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153416,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153416,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153416,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153416,A81000A,00100,0100,Y 153416,A81000B,00100,0300,INTEREST EXPENSE 153416,A81000B,00200,0300,INTEREST EXPENSE HCFP 153416,A81000C,00100,0100,B 153416,A81000C,00100,0400,SENIOR LIVING P 153416,A81000C,00100,0600,HOME OFFICE 153416,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153416,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153416,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153416,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153416,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153416,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153416,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153416,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153416,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153416,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153416,E10A180,00301,0100,10/27/99 153416,E10A180,00302,0100,11/29/99 153416,S000000,00100,0200,06/01/00 153416,S200000,00100,0100,615 MAIN STREET 153416,S200000,00200,0100,VAN 153416,S200000,00200,0200,TX 153416,S200000,00200,0300,75790- 153416,S200000,00300,0100,VAN ZANDT 153416,S200000,00300,0200,0045 153416,S200000,00300,0300,R 153416,S200000,00400,0100,COUNTRY INN HEALTHCARE CENTER 153416,S200000,00400,0200,455966 153416,S200000,00400,0300,09/23/91 153416,S200000,00400,0500,P 153416,S200000,01500,0100,N 153416,S200000,01600,0100,Y 153416,S200000,01700,0100,N 153416,S200000,01800,0100,N 153416,S200000,02200,0100,N 153416,S200000,02800,0100,N 153416,S200000,02900,0100,N 153416,S200000,03000,0100,N 153416,S200000,03100,0100,N 153416,S200000,03200,0100,N 153416,S200000,04100,0100,N 153416,S200000,04200,0100,N 153416,S200000,04300,0100,Y 153416,S200000,04600,0100,N 153416,S200000,04700,0100,N 153416,S200000,04700,0200,N 153416,S200000,04900,0100,N 153416,S200000,05000,0100,N 153416,S200000,05100,0100,N 153416,S200000,05200,0100,N 153417,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153417,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153417,A000000,00300,0000,0300EMPLOYEE BENEFITS 153417,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153417,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153417,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153417,A000000,00700,0000,0700HOUSEKEEPING 153417,A000000,00800,0000,0800DIETARY 153417,A000000,00900,0000,0900NURSING ADMINISTRATION 153417,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153417,A000000,01100,0000,1100PHARMACY 153417,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153417,A000000,01300,0000,1300SOCIAL SERVICE 153417,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153417,A000000,01500,0000,1350PATIENT ACTIVITIES 153417,A000000,01600,0000,1600SKILLED NURSING FACILITY 153417,A000000,01800,0000,1800NURSING FACILITY 153417,A000000,01810,0000,1810ICF/MR 153417,A000000,02200,0000,2200LABORATORY 153417,A000000,02300,0000,2300INTRAVENOUS THERAPY 153417,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153417,A000000,02500,0000,2500PHYSICAL THERAPY 153417,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153417,A000000,02700,0000,2700SPEECH PATHOLOGY 153417,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153417,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153417,A000000,03200,0000,3200SUPPORT SURFACES 153417,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153417,A000000,03550,0000,3550FQHC 153417,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153417,A000000,05000,0000,5000CORF 153417,A000000,05010,0000,5010CMHC 153417,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153417,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153417,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153417,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153417,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153417,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153417,A81000A,00100,0100,Y 153417,A81000B,00100,0300,INTEREST EXPENSE 153417,A81000B,00200,0300,INTEREST EXPENSE HCFP 153417,A81000C,00100,0100,B 153417,A81000C,00100,0400,SENIOR LIVING P 153417,A81000C,00100,0600,HOME OFFICE 153417,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153417,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153417,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153417,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153417,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153417,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153417,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153417,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153417,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153417,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153417,E10A180,00301,0100,10/27/99 153417,E10A180,00302,0100,11/29/99 153417,S000000,00100,0200,06/01/00 153417,S200000,00100,0100,125 AVENUE J 153417,S200000,00200,0100,ANSON 153417,S200000,00200,0200,TX 153417,S200000,00200,0300,79501- 153417,S200000,00300,0100,JONES 153417,S200000,00300,0200,0045 153417,S200000,00300,0300,R 153417,S200000,00400,0100,ANSON HEALTHCARE CENTER 153417,S200000,00400,0200,455980 153417,S200000,00400,0300,12/20/91 153417,S200000,00400,0500,P 153417,S200000,01500,0100,N 153417,S200000,01600,0100,Y 153417,S200000,01700,0100,N 153417,S200000,01800,0100,N 153417,S200000,02200,0100,N 153417,S200000,02800,0100,N 153417,S200000,02900,0100,N 153417,S200000,03000,0100,N 153417,S200000,03100,0100,N 153417,S200000,03200,0100,N 153417,S200000,04100,0100,N 153417,S200000,04200,0100,N 153417,S200000,04300,0100,Y 153417,S200000,04600,0100,N 153417,S200000,04700,0100,N 153417,S200000,04700,0200,N 153417,S200000,04900,0100,N 153417,S200000,05000,0100,N 153417,S200000,05100,0100,N 153417,S200000,05200,0100,N 153418,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153418,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153418,A000000,00300,0000,0300EMPLOYEE BENEFITS 153418,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153418,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153418,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153418,A000000,00700,0000,0700HOUSEKEEPING 153418,A000000,00800,0000,0800DIETARY 153418,A000000,00900,0000,0900NURSING ADMINISTRATION 153418,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153418,A000000,01100,0000,1100PHARMACY 153418,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153418,A000000,01300,0000,1300SOCIAL SERVICE 153418,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153418,A000000,01500,0000,1350PATIENT ACTIVITIES 153418,A000000,01600,0000,1600SKILLED NURSING FACILITY 153418,A000000,01800,0000,1800NURSING FACILITY 153418,A000000,01810,0000,1810ICF/MR 153418,A000000,02200,0000,2200LABORATORY 153418,A000000,02300,0000,2300INTRAVENOUS THERAPY 153418,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153418,A000000,02500,0000,2500PHYSICAL THERAPY 153418,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153418,A000000,02700,0000,2700SPEECH PATHOLOGY 153418,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153418,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153418,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153418,A000000,03550,0000,3550FQHC 153418,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153418,A000000,05000,0000,5000CORF 153418,A000000,05010,0000,5010CMHC 153418,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153418,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153418,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153418,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153418,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153418,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153418,A81000A,00100,0100,Y 153418,A81000B,00100,0300,INTEREST EXPENSE 153418,A81000B,00200,0300,INTEREST EXPENSE HCFP 153418,A81000C,00100,0100,B 153418,A81000C,00100,0400,SENIOR LIVING P 153418,A81000C,00100,0600, HOME OFFICE 153418,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153418,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153418,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153418,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153418,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153418,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153418,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153418,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153418,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153418,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153418,E10A180,00301,0100,10/27/99 153418,E10A180,00302,0100,11/29/99 153418,S000000,00100,0200,06/01/00 153418,S200000,00100,0100,1309 BRAZOS 153418,S200000,00200,0100,GRAHAM 153418,S200000,00200,0200,TX 153418,S200000,00200,0300,76450- 153418,S200000,00300,0100,YOUNG 153418,S200000,00300,0200,45 153418,S200000,00300,0300,R 153418,S200000,00400,0100,GRAHAM HEALTHCARE CENTER 153418,S200000,00400,0200,455992 153418,S200000,00400,0300,02/06/92 153418,S200000,00400,0500,P 153418,S200000,01500,0100,N 153418,S200000,01600,0100,Y 153418,S200000,01700,0100,N 153418,S200000,01800,0100,N 153418,S200000,02200,0100,N 153418,S200000,02800,0100,N 153418,S200000,02900,0100,N 153418,S200000,03000,0100,N 153418,S200000,03100,0100,N 153418,S200000,03200,0100,N 153418,S200000,04100,0100,N 153418,S200000,04200,0100,N 153418,S200000,04300,0100,Y 153418,S200000,04600,0100,N 153418,S200000,04700,0100,N 153418,S200000,04700,0200,N 153418,S200000,04900,0100,N 153418,S200000,05000,0100,N 153418,S200000,05100,0100,N 153418,S200000,05200,0100,N 153419,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153419,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153419,A000000,00300,0000,0300EMPLOYEE BENEFITS 153419,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153419,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153419,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153419,A000000,00700,0000,0700HOUSEKEEPING 153419,A000000,00800,0000,0800DIETARY 153419,A000000,00900,0000,0900NURSING ADMINISTRATION 153419,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153419,A000000,01100,0000,1100PHARMACY 153419,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153419,A000000,01300,0000,1300SOCIAL SERVICE 153419,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153419,A000000,01500,0000,1350PATIENT ACTIVITIES 153419,A000000,01600,0000,1600SKILLED NURSING FACILITY 153419,A000000,01800,0000,1800NURSING FACILITY 153419,A000000,01810,0000,1810ICF/MR 153419,A000000,02100,0000,2100RADIOLOGY 153419,A000000,02200,0000,2200LABORATORY 153419,A000000,02300,0000,2300INTRAVENOUS THERAPY 153419,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153419,A000000,02500,0000,2500PHYSICAL THERAPY 153419,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153419,A000000,02700,0000,2700SPEECH PATHOLOGY 153419,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153419,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153419,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153419,A000000,03550,0000,3550FQHC 153419,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153419,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153419,A000000,05000,0000,5000CORF 153419,A000000,05010,0000,5010CMHC 153419,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153419,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153419,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153419,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153419,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153419,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153419,A81000A,00100,0100,Y 153419,A81000B,00100,0300,INTEREST EXPENSE 153419,A81000B,00200,0300,INTEREST EXPENSE HCFP 153419,A81000C,00100,0100,B 153419,A81000C,00100,0400,SENIOR LIVING P 153419,A81000C,00100,0600,HOME OFFICE 153419,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153419,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153419,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153419,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153419,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153419,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153419,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153419,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153419,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153419,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153419,E10A180,00301,0100,10/27/99 153419,E10A180,00302,0100,11/29/99 153419,S000000,00100,0200,06/01/00 153419,S200000,00100,0100,2000 EAST SCHOOL STREET 153419,S200000,00200,0100,KERMIT 153419,S200000,00200,0200,TX 153419,S200000,00200,0300, - 153419,S200000,00300,0100,WINKLER 153419,S200000,00300,0200,0067 153419,S200000,00300,0300,R 153419,S200000,00400,0100,KERMIT HEALTHCARE CENTER 153419,S200000,00400,0200,675015 153419,S200000,00400,0300,02/12/92 153419,S200000,00400,0500,P 153419,S200000,01500,0100,N 153419,S200000,01600,0100,Y 153419,S200000,01700,0100,N 153419,S200000,01800,0100,N 153419,S200000,02200,0100,N 153419,S200000,02800,0100,N 153419,S200000,02900,0100,N 153419,S200000,03000,0100,N 153419,S200000,03100,0100,N 153419,S200000,03200,0100,N 153419,S200000,04100,0100,N 153419,S200000,04200,0100,N 153419,S200000,04300,0100,Y 153419,S200000,04600,0100,N 153419,S200000,04700,0100,N 153419,S200000,04700,0200,N 153419,S200000,04900,0100,N 153419,S200000,05000,0100,N 153419,S200000,05100,0100,N 153419,S200000,05200,0100,N 153420,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153420,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153420,A000000,00300,0000,0300EMPLOYEE BENEFITS 153420,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153420,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153420,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153420,A000000,00700,0000,0700HOUSEKEEPING 153420,A000000,00800,0000,0800DIETARY 153420,A000000,00900,0000,0900NURSING ADMINISTRATION 153420,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153420,A000000,01100,0000,1100PHARMACY 153420,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153420,A000000,01300,0000,1300SOCIAL SERVICE 153420,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153420,A000000,01500,0000,1350PATIENT ACTIVITIES 153420,A000000,01600,0000,1600SKILLED NURSING FACILITY 153420,A000000,01800,0000,1800NURSING FACILITY 153420,A000000,01810,0000,1810ICF/MR 153420,A000000,02100,0000,2100RADIOLOGY 153420,A000000,02200,0000,2200LABORATORY 153420,A000000,02300,0000,2300INTRAVENOUS THERAPY 153420,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153420,A000000,02500,0000,2500PHYSICAL THERAPY 153420,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153420,A000000,02700,0000,2700SPEECH PATHOLOGY 153420,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153420,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153420,A000000,03200,0000,3200SUPPORT SURFACES 153420,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153420,A000000,03550,0000,3550FQHC 153420,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153420,A000000,05000,0000,5000CORF 153420,A000000,05010,0000,5010CMHC 153420,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153420,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153420,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153420,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153420,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153420,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153420,A81000A,00100,0100,Y 153420,A81000B,00100,0300,INTEREST EXPENSE 153420,A81000B,00200,0300,INTEREST EXPENSE - HCFP 153420,A81000C,00100,0100,B 153420,A81000C,00100,0400,SENIOR LIVING P 153420,A81000C,00100,0600,HOME OFFICE 153420,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153420,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153420,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153420,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153420,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153420,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153420,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153420,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153420,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153420,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153420,E10A180,00301,0100,10/27/99 153420,E10A180,00302,0100,11/29/99 153420,S000000,00100,0200,06/01/00 153420,S200000,00100,0100,511 SOUTH BAILEY 153420,S200000,00200,0100,ELECTRA 153420,S200000,00200,0200,TX 153420,S200000,00200,0300, - 153420,S200000,00300,0100,WICHITA 153420,S200000,00300,0200,9080 153420,S200000,00300,0300,U 153420,S200000,00400,0100,ELECTRA HEALTHCARE CENTER 153420,S200000,00400,0200,675021 153420,S200000,00400,0300,03/30/92 153420,S200000,00400,0500,P 153420,S200000,01500,0100,N 153420,S200000,01600,0100,Y 153420,S200000,01700,0100,N 153420,S200000,01800,0100,N 153420,S200000,02200,0100,N 153420,S200000,02800,0100,N 153420,S200000,02900,0100,N 153420,S200000,03000,0100,N 153420,S200000,03100,0100,N 153420,S200000,03200,0100,N 153420,S200000,04100,0100,N 153420,S200000,04200,0100,N 153420,S200000,04300,0100,Y 153420,S200000,04600,0100,N 153420,S200000,04700,0100,N 153420,S200000,04700,0200,N 153420,S200000,04900,0100,N 153420,S200000,05000,0100,N 153420,S200000,05100,0100,N 153420,S200000,05200,0100,N 153421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153421,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153421,A000000,00300,0000,0300EMPLOYEE BENEFITS 153421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153421,A000000,00700,0000,0700HOUSEKEEPING 153421,A000000,00800,0000,0800DIETARY 153421,A000000,00900,0000,0900NURSING ADMINISTRATION 153421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153421,A000000,01100,0000,1100PHARMACY 153421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153421,A000000,01300,0000,1300SOCIAL SERVICE 153421,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153421,A000000,01500,0000,1350PATIENT ACTIVITIES 153421,A000000,01600,0000,1600SKILLED NURSING FACILITY 153421,A000000,01800,0000,1800NURSING FACILITY 153421,A000000,01810,0000,1810ICF/MR 153421,A000000,02100,0000,2100RADIOLOGY 153421,A000000,02200,0000,2200LABORATORY 153421,A000000,02300,0000,2300INTRAVENOUS THERAPY 153421,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153421,A000000,02500,0000,2500PHYSICAL THERAPY 153421,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153421,A000000,02700,0000,2700SPEECH PATHOLOGY 153421,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153421,A000000,03200,0000,3200SUPPORT SURFACES 153421,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153421,A000000,03550,0000,3550FQHC 153421,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153421,A000000,05000,0000,5000CORF 153421,A000000,05010,0000,5010CMHC 153421,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153421,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153421,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153421,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153421,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153421,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153421,A81000A,00100,0100,Y 153421,A81000B,00100,0300,INTEREST EXPENSE 153421,A81000B,00200,0300,INTEREST EXPENSE HCFP 153421,A81000C,00100,0100,B 153421,A81000C,00100,0400,SENIOR LIVIVNG 153421,A81000C,00100,0600,HOME OFFICE 153421,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153421,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153421,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153421,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153421,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153421,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153421,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153421,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153421,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153421,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153421,E10A180,00301,0100,10/27/99 153421,E10A180,00302,0100,11/29/99 153421,S000000,00100,0200,06/01/00 153421,S200000,00100,0100,230 SOUTH CLARK STREET 153421,S200000,00200,0100,CEDAR HILL 153421,S200000,00200,0200,TX 153421,S200000,00200,0300, - 153421,S200000,00300,0100,DALLAS 153421,S200000,00300,0200,1920 153421,S200000,00300,0300,U 153421,S200000,00400,0100,CEDAR HILL HEALTHCARE CENTER 153421,S200000,00400,0200,675032 153421,S200000,00400,0300,04/01/92 153421,S200000,00400,0500,P 153421,S200000,01500,0100,N 153421,S200000,01600,0100,Y 153421,S200000,01700,0100,N 153421,S200000,01800,0100,N 153421,S200000,02200,0100,N 153421,S200000,02800,0100,N 153421,S200000,02900,0100,N 153421,S200000,03000,0100,N 153421,S200000,03100,0100,N 153421,S200000,03200,0100,N 153421,S200000,04100,0100,N 153421,S200000,04200,0100,N 153421,S200000,04300,0100,Y 153421,S200000,04600,0100,N 153421,S200000,04700,0100,N 153421,S200000,04700,0200,N 153421,S200000,04900,0100,N 153421,S200000,05000,0100,N 153421,S200000,05100,0100,N 153421,S200000,05200,0100,N 153422,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153422,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153422,A000000,00300,0000,0300EMPLOYEE BENEFITS 153422,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153422,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153422,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153422,A000000,00700,0000,0700HOUSEKEEPING 153422,A000000,00800,0000,0800DIETARY 153422,A000000,00900,0000,0900NURSING ADMINISTRATION 153422,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153422,A000000,01100,0000,1100PHARMACY 153422,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153422,A000000,01300,0000,1300SOCIAL SERVICE 153422,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153422,A000000,01500,0000,1350PATIENT ACTIVITIES 153422,A000000,01600,0000,1600SKILLED NURSING FACILITY 153422,A000000,01800,0000,1800NURSING FACILITY 153422,A000000,01810,0000,1810ICF/MR 153422,A000000,02100,0000,2100RADIOLOGY 153422,A000000,02300,0000,2300INTRAVENOUS THERAPY 153422,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153422,A000000,02500,0000,2500PHYSICAL THERAPY 153422,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153422,A000000,02700,0000,2700SPEECH PATHOLOGY 153422,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153422,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153422,A000000,03200,0000,3200SUPPORT SURFACES 153422,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153422,A000000,03550,0000,3550FQHC 153422,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153422,A000000,05000,0000,5000CORF 153422,A000000,05010,0000,5010CMHC 153422,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153422,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153422,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153422,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153422,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153422,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153422,A81000A,00100,0100,Y 153422,A81000B,00100,0300,INTEREST EXPENSE 153422,A81000B,00200,0300,INTEREST EXPENSE HCFP 153422,A81000C,00100,0100,B 153422,A81000C,00100,0400,SENIOR LIVING P 153422,A81000C,00100,0600,HOME OFFICE 153422,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153422,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153422,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153422,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153422,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153422,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 153422,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153422,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 153422,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 153422,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 153422,E10A180,00301,0100,10/27/99 153422,E10A180,00302,0100,11/29/99 153422,S000000,00100,0200,06/01/00 153422,S200000,00100,0100,1000 MINTER NURSING AVE 153422,S200000,00200,0100,THROCKMORTON 153422,S200000,00200,0200,TX 153422,S200000,00200,0300, - 153422,S200000,00300,0100,THROCKMORTON 153422,S200000,00300,0200,67 153422,S200000,00300,0300,R 153422,S200000,00400,0100,THROCKMORTON HEALTHCARE CENTER 153422,S200000,00400,0200,675094 153422,S200000,00400,0300,11/05/94 153422,S200000,00400,0500,P 153422,S200000,01500,0100,N 153422,S200000,01600,0100,Y 153422,S200000,01700,0100,N 153422,S200000,01800,0100,N 153422,S200000,02200,0100,N 153422,S200000,02800,0100,N 153422,S200000,02900,0100,N 153422,S200000,03000,0100,N 153422,S200000,03100,0100,N 153422,S200000,03200,0100,N 153422,S200000,04100,0100,N 153422,S200000,04200,0100,N 153422,S200000,04300,0100,Y 153422,S200000,04600,0100,N 153422,S200000,04700,0100,N 153422,S200000,04700,0200,N 153422,S200000,04900,0100,N 153422,S200000,05000,0100,N 153422,S200000,05100,0100,N 153422,S200000,05200,0100,N 153423,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153423,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153423,A000000,00300,0000,0300EMPLOYEE BENEFITS 153423,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153423,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153423,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153423,A000000,00700,0000,0700HOUSEKEEPING 153423,A000000,00800,0000,0800DIETARY 153423,A000000,00900,0000,0900NURSING ADMINISTRATION 153423,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153423,A000000,01100,0000,1100PHARMACY 153423,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153423,A000000,01300,0000,1300SOCIAL SERVICE 153423,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153423,A000000,01500,0000,1350OTHER GENERAL SERVICES 153423,A000000,01600,0000,1600SKILLED NURSING FACILITY 153423,A000000,01800,0000,1800NURSING FACILITY 153423,A000000,01810,0000,1810ICF/MR 153423,A000000,02100,0000,2100RADIOLOGY 153423,A000000,02200,0000,2200LABORATORY 153423,A000000,02500,0000,2500PHYSICAL THERAPY 153423,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153423,A000000,02700,0000,2700SPEECH PATHOLOGY 153423,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153423,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153423,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153423,A000000,03550,0000,3550FQHC 153423,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153423,A000000,05000,0000,5000CORF 153423,A000000,05010,0000,5010CMHC 153423,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153423,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153423,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153423,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153423,A000000,05300,0000,5300INTEREST EXPENSE 153423,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153423,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153423,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153423,A81000A,00100,0100,Y 153423,A81000B,00100,0300,MANAGEMENT FEES / HOME OFFICE 153423,A81000B,00200,0300,HOME OFFICE CAPITAL - BLDG 153423,A81000C,00100,0100,A 153423,A81000C,00100,0200,LARRY S. PARKER 153423,A81000C,00100,0400,BRIARCLIFF MGT 153423,A81000C,00100,0600,MANAGEMENT COMP 153423,A81000C,00200,0100,A 153423,A81000C,00200,0200,LARRY S. PARKER 153423,A81000C,00200,0400,BRIARCLIFF VILL 153423,A81000C,00200,0600,NURSING FACILIT 153423,A81000C,00300,0100,A 153423,A81000C,00300,0200,DON STEELE 153423,A81000C,00300,0400,BRIARCLIFF VILL 153423,A81000C,00300,0600,NURSING FACILIT 153423,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153423,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153423,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153423,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153423,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153423,B100000,00000,0700,0750SQUARE FEET C :HOUSEKEEPING 153423,B100000,00000,0800,0800MEALS SERVED :DIETARY 153423,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 153423,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 153423,S000000,00100,0200,06/13/00 153423,S200000,00100,0100,4400 WALNUT STREET 153423,S200000,00200,0100,GREENVILLE 153423,S200000,00200,0200,TX 153423,S200000,00200,0300,75401- 153423,S200000,00300,0100,HUNT 153423,S200000,00300,0200,1920 153423,S200000,00300,0300,U 153423,S200000,00400,0100,BRIARCLIFF HEALTH CTR OF GREENVILLE 153423,S200000,00400,0200,675666 153423,S200000,00400,0300,03/10/97 153423,S200000,00400,0500,P 153423,S200000,01500,0100,N 153423,S200000,01600,0100,Y 153423,S200000,01700,0100,N 153423,S200000,01800,0100,N 153423,S200000,02200,0100,N 153423,S200000,02800,0100,N 153423,S200000,02900,0100,N 153423,S200000,03000,0100,N 153423,S200000,03100,0100,N 153423,S200000,03200,0100,N 153423,S200000,04100,0100,N 153423,S200000,04200,0100,N 153423,S200000,04300,0100,N 153423,S200000,04600,0100,N 153423,S200000,04700,0100,N 153423,S200000,04700,0200,N 153423,S200000,04900,0100,N 153423,S200000,05000,0100,N 153423,S200000,05100,0100,N 153423,S200000,05200,0100,N 153533,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 153533,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 153533,A000000,00300,0000,0300EMPLOYEE BENEFITS 153533,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153533,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 153533,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153533,A000000,00700,0000,0700HOUSEKEEPING 153533,A000000,00800,0000,0800DIETARY 153533,A000000,00900,0000,0900NURSING ADMINISTRATION 153533,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153533,A000000,01100,0000,1100PHARMACY 153533,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153533,A000000,01300,0000,1300SOCIAL SERVICE 153533,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 153533,A000000,01500,0000,1350OTHER GENERAL SERVICES 153533,A000000,01600,0000,1600SKILLED NURSING FACILITY 153533,A000000,01800,0000,1800NURSING FACILITY 153533,A000000,01810,0000,1810ICF/MR 153533,A000000,02100,0000,2100RADIOLOGY 153533,A000000,02300,0000,2300INTRAVENOUS THERAPY 153533,A000000,02500,0000,2500PHYSICAL THERAPY 153533,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153533,A000000,02700,0000,2700SPEECH PATHOLOGY 153533,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 153533,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153533,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153533,A000000,03550,0000,3550FQHC 153533,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153533,A000000,05000,0000,5000CORF 153533,A000000,05010,0000,5010CMHC 153533,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153533,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153533,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153533,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153533,A000000,05300,0000,5300INTEREST EXPENSE 153533,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153533,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153533,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153533,A81000A,00100,0100,Y 153533,A81000B,00100,0300,MANAGEMENT FEES 153533,A81000B,00200,0300,MANAGEMENT FEES 153533,A81000C,00100,0100,D 153533,A81000C,00100,0200,BURGIN HEALTH MANAGEMENT 153533,A81000C,00100,0400,BURGIN HEALTH MANAGEMENT 153533,A81000C,00100,0600,MANAGEMENT COMPANY 153533,B100000,00000,0100,0100SQUARE FEET 153533,B100000,00000,0200,0200SQUARE FEET 153533,B100000,00000,0300,0300GROSS SALARIES 153533,B100000,00000,0400,0400ACCUM COST 153533,B100000,00000,0500,0500SQUARE FEET 153533,B100000,00000,0600,0600POUNDS OF LAUNDRY 153533,B100000,00000,0700,0700SQUARE FEET 153533,B100000,00000,0800,0800MEALS SERVED 153533,B100000,00000,0900,0900DIRECT NSG 153533,B100000,00000,1000,1000COSTED REQUIS 153533,B100000,00000,1100,1100NO STATISTICS 153533,B100000,00000,1200,1200TIME SPENT 153533,B100000,00000,1300,1300TIME SPENT 153533,B100000,00000,1400,1400NO STATISTICS 153533,B100000,00000,1500,1350NO STATISTICS 153533,E10A180,00501,0300,06/29/00 153533,S000000,00100,0200,05/30/00 153533,S200000,00100,0100,1201 HUNT AVE 153533,S200000,00200,0100,COLUMBIA 153533,S200000,00200,0200,MO 153533,S200000,00200,0300,65202 153533,S200000,00300,0100,BOONE 153533,S200000,00300,0200,1740 153533,S200000,00300,0300,U 153533,S200000,00400,0100,THE WILLIAMSBURG 153533,S200000,00400,0200,265302 153533,S200000,00400,0300,12/01/95 153533,S200000,00400,0500,P 153533,S200000,01500,0100,N 153533,S200000,01600,0100,Y 153533,S200000,01700,0100,N 153533,S200000,01800,0100,N 153533,S200000,02200,0100,N 153533,S200000,02800,0100,N 153533,S200000,02900,0100,N 153533,S200000,03000,0100,N 153533,S200000,03100,0100,N 153533,S200000,03200,0100,N 153533,S200000,03300,0100,N 153533,S200000,03300,0200,N 153533,S200000,04100,0100,N 153533,S200000,04200,0100,N 153533,S200000,04300,0100,N 153533,S200000,04600,0100,N 153533,S200000,04700,0100,N 153533,S200000,04900,0100,N 153533,S200000,05200,0100,N 153572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153572,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153572,A000000,00300,0000,0300EMPLOYEE BENEFITS 153572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153572,A000000,00700,0000,0700HOUSEKEEPING 153572,A000000,00800,0000,0800DIETARY 153572,A000000,00900,0000,0900NURSING ADMINISTRATION 153572,A000000,00901,0000,0901OTHER NURSING 153572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153572,A000000,01100,0000,1100PHARMACY 153572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153572,A000000,01300,0000,1300SOCIAL SERVICE 153572,A000000,01301,0000,1301ACTIVITIES 153572,A000000,01600,0000,1600SKILLED NURSING FACILITY 153572,A000000,01800,0000,1800NURSING FACILITY 153572,A000000,02100,0000,2100RADIOLOGY 153572,A000000,02200,0000,2200LABORATORY 153572,A000000,02300,0000,2300INTRAVENOUS THERAPY 153572,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153572,A000000,02500,0000,2500PHYSICAL THERAPY 153572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153572,A000000,02700,0000,2700SPEECH PATHOLOGY 153572,A000000,02800,0000,2800ELECTROCARDIOLOGY 153572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153572,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 153572,A000000,03301,0000,3051NUTRITIONAL THERAPY 153572,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 153572,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 153572,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 153572,A000000,04800,0000,4800AMBULANCE 153572,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153572,A000000,05300,0000,5300INTEREST EXPENSE 153572,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153572,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153572,A000000,06200,0000,6200PATIENTS LAUNDRY 153572,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153572,A000000,06301,0000,6151DAY CARE 153572,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 153572,A000000,06303,0000,6153DISTRICT OFFICE SPACE 153572,A81000A,00100,0100,Y 153572,A81000B,00100,0300,HOME OFFICE COSTS 153572,A81000B,00200,0300,LIABILITY INSURANCE 153572,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 153572,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 153572,A81000B,00500,0300,VC PHARMACY - ADMIN 153572,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 153572,A81000B,00700,0300,VC PHARMACY - LAUNDRY 153572,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 153572,A81000B,00900,0300,VC PHARMACY - DIETARY 153572,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 153572,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 153572,A81000B,01200,0300,VC PHARMACY - NONLEGEND 153572,A81000B,01300,0300,VC PHARMACY - MED RECORDS 153572,A81000B,01400,0300,VC PHARMACY - SOC SVCS 153572,A81000B,01500,0300,VC PHARMACY - ACTIVITY 153572,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 153572,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 153572,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 153572,A81000B,01900,0300,VC PHARMACY - LAB 153572,A81000B,02000,0300,VC PHARMACY - IV THERAPY 153572,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 153572,A81000B,02200,0300,VENCARE REHAB - PHYS THER 153572,A81000B,02300,0300,VENCARE REHAB - OCCP THER 153572,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 153572,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 153572,A81000B,02600,0300,VC PHARMACY - LEGEND 153572,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 153572,A81000B,02800,0300,VC PHARMACY - NUTR THER 153572,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 153572,A81000C,00100,0100,B 153572,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 153572,A81000C,00100,0400,CORNERSTONE INSURANCE CO 153572,A81000C,00100,0600,LIABILITY INSURANCE 153572,A81000C,00300,0400,VENCARE RESPIRATORY 153572,A81000C,00300,0600,RESPIRATORY THERAPY 153572,A81000C,00400,0400,THERAPY SERVICES 153572,A81000C,00500,0400,VENCARE REHAB SERVICES 153572,A81000C,00500,0600,REHAB 153572,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 153572,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 153572,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 153572,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153572,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 153572,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 153572,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 153572,B100000,00000,0800,0850PATIENT DAYS :DIETARY 153572,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 153572,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 153572,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 153572,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 153572,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 153572,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 153572,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 153572,E10A180,00301,0100,06/30/00 153572,S000000,00100,0200,12/01/00 153572,S200000,00100,0100,1601 ELBERTA ROAD 153572,S200000,00200,0100,WARNER ROBINS 153572,S200000,00200,0200,GA 153572,S200000,00200,0300,31093- 153572,S200000,00300,0100,HOUSTON 153572,S200000,00300,0200,4680 153572,S200000,00300,0300,U 153572,S200000,00400,0100,1236 PERSONACARE OF WARNER ROBINS 153572,S200000,00400,0200,115612 153572,S200000,00400,0300,06/01/96 153572,S200000,00400,0500,P 153572,S200000,01500,0100,N 153572,S200000,01600,0100,Y 153572,S200000,01700,0100,N 153572,S200000,01800,0100,N 153572,S200000,02200,0100,Y 153572,S200000,02800,0100,N 153572,S200000,02900,0100,N 153572,S200000,03000,0100,N 153572,S200000,03100,0100,N 153572,S200000,03200,0100,N 153572,S200000,04100,0100,N 153572,S200000,04200,0100,N 153572,S200000,04300,0100,N 153572,S200000,04600,0100,N 153572,S200000,04700,0100,N 153572,S200000,04700,0200,N 153572,S200000,04900,0100,N 153572,S200000,05000,0100,N 153572,S200000,05100,0100,N 153572,S200000,05200,0100,N 153849,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 153849,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 153849,A000000,00300,0000,0300EMPLOYEE BENEFITS 153849,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153849,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 153849,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153849,A000000,00700,0000,0700HOUSEKEEPING 153849,A000000,00800,0000,0800DIETARY 153849,A000000,00900,0000,0900NURSING ADMINISTRATION 153849,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153849,A000000,01100,0000,1100PHARMACY 153849,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153849,A000000,01300,0000,1300SOCIAL SERVICE 153849,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 153849,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 153849,A000000,01600,0000,1600SKILLED NURSING FACILITY 153849,A000000,01810,0000,1810ICF/MR 153849,A000000,02100,0000,2100RADIOLOGY 153849,A000000,02200,0000,2200LABORATORY 153849,A000000,02500,0000,2500PHYSICAL THERAPY 153849,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153849,A000000,02700,0000,2700SPEECH PATHOLOGY 153849,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 153849,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153849,A000000,03200,0000,3200SUPPORT SURFACES 153849,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 153849,A000000,03550,0000,3550FQHC 153849,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 153849,A000000,04801,0000,4801AMBULANCE 153849,A000000,04802,0000,4802AMBULANCE 153849,A000000,04803,0000,4803AMBULANCE 153849,A000000,05000,0000,5000CORF 153849,A000000,05010,0000,5010CMHC 153849,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 153849,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 153849,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 153849,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 153849,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 153849,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 153849,A81000A,00100,0100,Y 153849,A81000B,00100,0300,HOME OFFICE COSTS 153849,A81000C,00100,0100,A 153849,A81000C,00100,0200,DOUG WRIGHT SR 153849,A81000C,00100,0400,RIGHT CARE INC 153849,A81000C,00100,0600,MANAGMENT 153849,B100000,00000,0100,0100SQUARE FEET 153849,B100000,00000,0200,0200SQUARE FEET 153849,B100000,00000,0300,0300GROSS SALARIES 153849,B100000,00000,0400,0400ACCUM COST 153849,B100000,00000,0500,0500SQUARE FEET 153849,B100000,00000,0600,0600PATIENT DAYS 153849,B100000,00000,0700,0700SQUARE FEET 153849,B100000,00000,0800,0800MEALS SERVED 153849,B100000,00000,0900,0900PATIENT DAYS 153849,B100000,00000,1000,1000PATIENT DAYS 153849,B100000,00000,1100,1100PATIENT DAYS 153849,B100000,00000,1200,1200PATIENT DAYS 153849,B100000,00000,1300,1300PATIENT DAYS 153849,B100000,00000,1400,1400ASSIGNED TIME 153849,B100000,00000,1500,1350 153849,E10A180,00501,0100,08/02/00 153849,E10A180,00550,0300,08/02/00 153849,S000000,00100,0200,06/23/00 153849,S200000,00100,0100,4403 HOSPITAL ROAD 153849,S200000,00200,0100,PASCAGOULA 153849,S200000,00200,0200,MS 153849,S200000,00200,0300,39567 153849,S200000,00300,0100,JACKSON 153849,S200000,00300,0200,0920 153849,S200000,00300,0300,U 153849,S200000,00400,0100,PLAZA NURSING CENTER 153849,S200000,00400,0200,255207 153849,S200000,00400,0300,11/01/95 153849,S200000,00400,0500,P 153849,S200000,01500,0100,Y 153849,S200000,01600,0100,N 153849,S200000,01700,0100,N 153849,S200000,01800,0100,N 153849,S200000,02200,0100,N 153849,S200000,02800,0100,N 153849,S200000,02900,0100,N 153849,S200000,03000,0100,N 153849,S200000,03100,0100,N 153849,S200000,03200,0100,N 153849,S200000,03300,0100,N 153849,S200000,03300,0200,N 153849,S200000,04100,0100,N 153849,S200000,04200,0100,N 153849,S200000,04300,0100,N 153849,S200000,04600,0100,N 153849,S200000,04700,0100,N 153849,S200000,04900,0100,N 153849,S200000,05200,0100,N 153986,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 153986,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 153986,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 153986,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 153986,A000000,00300,0000,0300EMPLOYEE BENEFITS 153986,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 153986,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 153986,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 153986,A000000,00700,0000,0700HOUSEKEEPING 153986,A000000,00800,0000,0800DIETARY 153986,A000000,00801,0000,0801CAFETERIA 153986,A000000,00900,0000,0900NURSING ADMINISTRATION 153986,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 153986,A000000,01100,0000,1100PHARMACY 153986,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 153986,A000000,01300,0000,1300SOCIAL SERVICE 153986,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 153986,A000000,01500,0000,1350ACTIVITIES 153986,A000000,01600,0000,1600SKILLED NURSING FACILITY 153986,A000000,01800,0000,1800NURSING FACILITY 153986,A000000,01900,0000,1900OTHER LONG TERM CARE 153986,A000000,02100,0000,2100RADIOLOGY 153986,A000000,02200,0000,2200LABORATORY 153986,A000000,02300,0000,2300INTRAVENOUS THERAPY 153986,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 153986,A000000,02500,0000,2500PHYSICAL THERAPY 153986,A000000,02600,0000,2600OCCUPATIONAL THERAPY 153986,A000000,02700,0000,2700SPEECH PATHOLOGY 153986,A000000,02800,0000,2800ELECTROCARDIOLOGY 153986,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 153986,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 153986,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 153986,A000000,03200,0000,3200SUPPORT SURFACES 153986,A000000,03300,0000,3050OTHER ANCILLARY 153986,A000000,03301,0000,3051OTHER ANCILLARY II 153986,A000000,03302,0000,3052OTHER ANCILLARY III 153986,A000000,03400,0000,3400CLINIC 153986,A000000,03500,0000,3500RURAL HEALTH CLINIC 153986,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 153986,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 153986,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 153986,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 153986,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 153986,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 153986,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 153986,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 153986,A000000,04400,0000,4400DME RENTED - HHA 153986,A000000,04500,0000,4500DME SOLD - HHA 153986,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 153986,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 153986,A000000,04800,0000,4800AMBULANCE 153986,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 153986,A000000,05000,0000,5000CORF 153986,A000000,05010,0000,5010CMHC I 153986,A000000,05020,0000,5020OPT I 153986,A000000,05100,0000,4750OTHER REIMBURSABLE COST 153986,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 153986,A000000,05300,0000,5300INTEREST EXPENSE 153986,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 153986,A000000,05500,0000,5500HOSPICE 153986,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 153986,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 153986,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 153986,A000000,05900,0000,5900BARBER & BEAUTY SHOP 153986,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 153986,A000000,06100,0000,6100NONPAID WORKERS 153986,A000000,06200,0000,6200PATIENTS LAUNDRY 153986,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 153986,A81000A,00100,0100,N 153986,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 153986,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 153986,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 153986,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 153986,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 153986,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 153986,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 153986,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 153986,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 153986,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 153986,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 153986,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 153986,S000000,00100,0200,10/20/00 153986,S200000,00100,0100,135 W 7TH STREET 153986,S200000,00200,0100,WALSENBURG 153986,S200000,00200,0200,CO 153986,S200000,00200,0300,81089- 153986,S200000,00300,0100,HUERFANO 153986,S200000,00300,0200,06 153986,S200000,00300,0300,R 153986,S200000,00400,0100,WALSENBURG CARE CENTER 153986,S200000,00400,0200,065288 153986,S200000,00400,0300,12/01/90 153986,S200000,00400,0500,P 153986,S200000,01500,0100,Y 153986,S200000,01600,0100,N 153986,S200000,01700,0100,N 153986,S200000,01800,0100,N 153986,S200000,02200,0100,N 153986,S200000,02800,0100,N 153986,S200000,02900,0100,N 153986,S200000,03000,0100,N 153986,S200000,03100,0100,N 153986,S200000,03200,0100,N 153986,S200000,04100,0100,N 153986,S200000,04200,0100,N 153986,S200000,04300,0100,Y 153986,S200000,04600,0100,N 153986,S200000,04700,0100,N 153986,S200000,04700,0200,N 153986,S200000,04900,0100,N 153986,S200000,05000,0100,N 153986,S200000,05100,0100,N 153986,S200000,05200,0100,N 154001,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154001,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 154001,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154001,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 154001,A000000,00300,0000,0300EMPLOYEE BENEFITS 154001,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154001,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154001,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154001,A000000,00700,0000,0700HOUSEKEEPING 154001,A000000,00800,0000,0800DIETARY 154001,A000000,00801,0000,0801CAFETERIA 154001,A000000,00900,0000,0900NURSING ADMINISTRATION 154001,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154001,A000000,01100,0000,1100PHARMACY 154001,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154001,A000000,01300,0000,1300SOCIAL SERVICE 154001,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 154001,A000000,01500,0000,1350ACTIVITIES 154001,A000000,01600,0000,1600SKILLED NURSING FACILITY 154001,A000000,01800,0000,1800NURSING FACILITY 154001,A000000,01900,0000,1900OTHER LONG TERM CARE 154001,A000000,02100,0000,2100RADIOLOGY 154001,A000000,02200,0000,2200LABORATORY 154001,A000000,02300,0000,2300INTRAVENOUS THERAPY 154001,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154001,A000000,02500,0000,2500PHYSICAL THERAPY 154001,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154001,A000000,02700,0000,2700SPEECH PATHOLOGY 154001,A000000,02800,0000,2800ELECTROCARDIOLOGY 154001,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154001,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154001,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 154001,A000000,03200,0000,3200SUPPORT SURFACES 154001,A000000,03300,0000,3050OTHER ANCILLARY 154001,A000000,03301,0000,3051PEN THERAPY 154001,A000000,03302,0000,3052OTHER ANCILLARY III 154001,A000000,03400,0000,3400CLINIC 154001,A000000,03500,0000,3500RURAL HEALTH CLINIC 154001,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 154001,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 154001,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 154001,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 154001,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 154001,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 154001,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 154001,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 154001,A000000,04400,0000,4400DME RENTED - HHA 154001,A000000,04500,0000,4500DME SOLD - HHA 154001,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 154001,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 154001,A000000,04800,0000,4800AMBULANCE 154001,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 154001,A000000,05000,0000,5000CORF 154001,A000000,05010,0000,5010CMHC I 154001,A000000,05020,0000,5020OPT I 154001,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154001,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 154001,A000000,05300,0000,5300INTEREST EXPENSE 154001,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154001,A000000,05500,0000,5500HOSPICE 154001,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 154001,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 154001,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154001,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154001,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 154001,A000000,06100,0000,6100NONPAID WORKERS 154001,A000000,06200,0000,6200PATIENTS LAUNDRY 154001,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154001,A81000A,00100,0100,Y 154001,A81000B,00100,0300,MANAGEMENT FEE 154001,A81000B,00200,0300,BUILDING LEASE 154001,A81000B,00300,0300,DEPREC - EQUIP 154001,A81000B,00400,0300,WORK CAP LOAN 154001,A81000B,00500,0300,PHYSICAL THERAPY 154001,A81000B,00600,0300,OCCUPATION THERAPY 154001,A81000B,00700,0300,SPEECH THERAPY 154001,A81000B,00800,0300,ADMIN CONSULTING 154001,A81000B,00900,0300,NURSE CONSULTING 154001,A81000C,00100,0100,A 154001,A81000C,00100,0200,KRAUSZ/SEBBAG 154001,A81000C,00100,0400,SOLOMON HTH SVS 154001,A81000C,00100,0600,MANAGEMENT 154001,A81000C,00200,0100,A 154001,A81000C,00200,0200,KRAUSZ/SEBBAG 154001,A81000C,00200,0400,ALLISON PTNSHP 154001,A81000C,00200,0600,REAL ESTATE 154001,A81000C,00300,0100,A 154001,A81000C,00300,0200,KRAUSZ/SEBBAG 154001,A81000C,00300,0400,ALLISON PTNSHP 154001,A81000C,00300,0600,REAL ESTATE 154001,A81000C,00400,0100,A 154001,A81000C,00400,0200,KRAUSZ/SEBBAG 154001,A81000C,00400,0400,ALLISON PTNSHP 154001,A81000C,00400,0600,REAL ESTATE 154001,A81000C,00500,0100,A 154001,A81000C,00500,0200,KRAUSZ/SEBBAG 154001,A81000C,00500,0400,SHC/PROG PROV 154001,A81000C,00500,0600,THERAPY SVCS 154001,A81000C,00600,0100,A 154001,A81000C,00600,0200,KRAUSZ/SEBBAG 154001,A81000C,00600,0400,SHC/PROG PROV 154001,A81000C,00600,0600,THERAPY SVCS 154001,A81000C,00700,0100,A 154001,A81000C,00700,0200,KRAUSZ/SEBBAG 154001,A81000C,00700,0400,SHC/PROG PROV 154001,A81000C,00700,0600,THERAPY SVCS 154001,A81000C,00800,0100,A 154001,A81000C,00800,0200,KRAUSZ/SEBBAG 154001,A81000C,00800,0400,SOLOMON HC CONS 154001,A81000C,00800,0600,HC CONSULTING 154001,A81000C,00900,0100,A 154001,A81000C,00900,0200,KRAUSZ/SEBBAG 154001,A81000C,00900,0400,SOLOMON HC CONS 154001,A81000C,00900,0600,HC CONSULTING 154001,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 154001,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 154001,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 154001,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154001,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 154001,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 154001,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 154001,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 154001,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 154001,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 154001,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 154001,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 154001,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 154001,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 154001,S000000,00100,0200,06/06/00 154001,S200000,00100,0100,1660 ALLISON ST. 154001,S200000,00200,0100,LAKEWOOD 154001,S200000,00200,0200,CO 154001,S200000,00200,0300, - 154001,S200000,00300,0100,JEFFERSON 154001,S200000,00300,0200,2080 154001,S200000,00300,0300,U 154001,S200000,00400,0100,ALLISON CARE CENTER INC. 154001,S200000,00400,0200,065297 154001,S200000,00400,0300,12/01/91 154001,S200000,00400,0500,P 154001,S200000,01500,0100,Y 154001,S200000,01600,0100,N 154001,S200000,01700,0100,N 154001,S200000,01800,0100,N 154001,S200000,02200,0100,Y 154001,S200000,02800,0100,N 154001,S200000,02900,0100,N 154001,S200000,03000,0100,N 154001,S200000,03100,0100,N 154001,S200000,03200,0100,N 154001,S200000,04100,0100,N 154001,S200000,04200,0100,N 154001,S200000,04300,0100,Y 154001,S200000,04600,0100,N 154001,S200000,04700,0100,N 154001,S200000,04700,0200,N 154001,S200000,04900,0100,N 154001,S200000,05000,0100,N 154001,S200000,05100,0100,N 154001,S200000,05200,0100,N 154002,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154002,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154002,A000000,00300,0000,0300EMPLOYEE BENEFITS 154002,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154002,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154002,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154002,A000000,00700,0000,0700HOUSEKEEPING 154002,A000000,00800,0000,0800DIETARY 154002,A000000,00900,0000,0900NURSING ADMINISTRATION 154002,A000000,01100,0000,1100PHARMACY 154002,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154002,A000000,01300,0000,1300SOCIAL SERVICE 154002,A000000,01600,0000,1600SKILLED NURSING FACILITY 154002,A000000,01800,0000,1800NURSING FACILITY 154002,A000000,02100,0000,2100RADIOLOGY 154002,A000000,02200,0000,2200LABORATORY 154002,A000000,02500,0000,2500PHYSICAL THERAPY 154002,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154002,A000000,02700,0000,2700SPEECH PATHOLOGY 154002,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154002,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154002,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154002,A000000,03301,0000,3051PROSTHETIC/ORTHICS 154002,A000000,05300,0000,5300INTEREST EXPENSE 154002,A81000A,00100,0100,Y 154002,A81000B,00100,0300,CAP REL COSTS BLDG & FIXTURES 154002,A81000B,00200,0300,CAP REL COSTS MOV EQUIPMENT 154002,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 154002,A81000C,00100,0100,A 154002,A81000C,00100,0200,G. EARL HUMPHRIES 154002,A81000C,00100,0400,HOSPITAL SYSTEMS LLC 154002,A81000C,00100,0600,MANAGEMENT COMPANY 154002,A81000C,00200,0100,A 154002,A81000C,00200,0200,JACK M. STOLIER 154002,A81000C,00200,0400,OWNER OF FACILITY 154002,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154002,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154002,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154002,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154002,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154002,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154002,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154002,B100000,00000,0800,0800MEALS SERVED :DIETARY 154002,B100000,00000,0900,0950DIRECT NURS :NURSING ADMINISTRA 154002,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 154002,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 154002,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 154002,S000000,00100,0200,05/22/00 154002,S200000,00100,0100,1340 MAESTAS ROAD 154002,S200000,00200,0100,TAOS 154002,S200000,00200,0200,NM 154002,S200000,00200,0300,87571- 154002,S200000,00300,0100,TAOS 154002,S200000,00300,0200,32 154002,S200000,00300,0300,R 154002,S200000,00400,0100,TAOS LIVING CENTER 154002,S200000,00400,0200,325105 154002,S200000,00400,0300,08/05/96 154002,S200000,00400,0500,P 154002,S200000,01500,0100,N 154002,S200000,01600,0100,Y 154002,S200000,01700,0100,N 154002,S200000,01800,0100,N 154002,S200000,02200,0100,N 154002,S200000,02800,0100,N 154002,S200000,02900,0100,N 154002,S200000,03000,0100,N 154002,S200000,03100,0100,N 154002,S200000,03200,0100,N 154002,S200000,04100,0100,N 154002,S200000,04200,0100,Y 154002,S200000,04300,0100,N 154002,S200000,04600,0100,N 154002,S200000,04700,0100,N 154002,S200000,04700,0200,N 154002,S200000,04900,0100,N 154002,S200000,05000,0100,N 154002,S200000,05100,0100,N 154002,S200000,05200,0100,N 154003,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154003,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154003,A000000,00300,0000,0300EMPLOYEE BENEFITS 154003,A000000,00401,0000,0401ADMIN. & GENERAL - TOTAL 154003,A000000,00402,0000,0402ADMIN & GEN - HC/PC 154003,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154003,A000000,00501,0000,0501PLANT OPERATION - HC/PC 154003,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154003,A000000,00700,0000,0700HOUSEKEEPING 154003,A000000,00800,0000,0800DIETARY 154003,A000000,00801,0000,0801DIETARY - H.C. 154003,A000000,00900,0000,0900NURSING ADMINISTRATION 154003,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154003,A000000,01100,0000,1100PHARMACY 154003,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154003,A000000,01300,0000,1300SOCIAL SERVICE 154003,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 154003,A000000,01500,0000,1350OTHER GENERAL SERVICES 154003,A000000,01600,0000,1600SKILLED NURSING FACILITY 154003,A000000,01800,0000,1800NURSING FACILITY 154003,A000000,01810,0000,1810ICF/MR 154003,A000000,01900,0000,1900OTHER LONG TERM CARE 154003,A000000,02100,0000,2100RADIOLOGY 154003,A000000,02200,0000,2200LABORATORY 154003,A000000,02300,0000,2300INTRAVENOUS THERAPY 154003,A000000,02500,0000,2500PHYSICAL THERAPY 154003,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154003,A000000,02700,0000,2700SPEECH PATHOLOGY 154003,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154003,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154003,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154003,A000000,03550,0000,3550FQHC 154003,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154003,A000000,05000,0000,5000CORF 154003,A000000,05010,0000,5010CMHC 154003,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 154003,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 154003,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 154003,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154003,A000000,05300,0000,5300INTEREST EXPENSE 154003,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 154003,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154003,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154003,A000000,06301,0000,6151MARKETING COSTS 154003,A81000A,00100,0100,N 154003,B100000,00000,0100,0100HC/PC SQ.FT. :CAP REL COSTS - B 154003,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154003,B100000,00000,0401,0401 ACCUM. COST :ADMIN. & GENERAL - 154003,B100000,00000,0402,0402 ACCUM. COST :ADMIN & GEN - HC/P 154003,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154003,B100000,00000,0501,0501HC/PC SQ. FT. :PLANT OPERATION - 154003,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 154003,B100000,00000,0700,0750HEALTH CTR SQ :HOUSEKEEPING 154003,B100000,00000,0800,0800MEALS SERVED :DIETARY 154003,B100000,00000,0801,0851HEALTH CTR :DIETARY - H.C. 154003,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 154003,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 154003,S000000,00100,0200,12/21/00 154003,S200000,00100,0100,7400 CRESTWAY DRIVE 154003,S200000,00200,0100,SAN ANTONIO 154003,S200000,00200,0200,TX 154003,S200000,00200,0300,78239- 154003,S200000,00300,0100,BEXAR 154003,S200000,00300,0200,7240 154003,S200000,00300,0300,U 154003,S200000,00400,0100,ARMY RESIDENCE COMMUNITY H.C. 154003,S200000,00400,0200,675697 154003,S200000,00400,0300,10/16/97 154003,S200000,00400,0500,P 154003,S200000,01500,0100,N 154003,S200000,01600,0100,Y 154003,S200000,01700,0100,Y 154003,S200000,01800,0100,N 154003,S200000,02200,0100,N 154003,S200000,02800,0100,Y 154003,S200000,02900,0100,N 154003,S200000,03000,0100,N 154003,S200000,03100,0100,N 154003,S200000,03200,0100,N 154003,S200000,04100,0100,N 154003,S200000,04200,0100,N 154003,S200000,04300,0100,N 154003,S200000,04600,0100,N 154003,S200000,04700,0100,N 154003,S200000,04700,0200,N 154003,S200000,04900,0100,N 154003,S200000,05000,0100,N 154003,S200000,05100,0100,N 154003,S200000,05200,0100,N 154006,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154006,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154006,A000000,00300,0000,0300EMPLOYEE BENEFITS 154006,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154006,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154006,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154006,A000000,00700,0000,0700HOUSEKEEPING 154006,A000000,00800,0000,0800DIETARY 154006,A000000,00900,0000,0900NURSING ADMINISTRATION 154006,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154006,A000000,01100,0000,1100PHARMACY 154006,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154006,A000000,01300,0000,1300SOCIAL SERVICE 154006,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 154006,A000000,01600,0000,1600SKILLED NURSING FACILITY 154006,A000000,01800,0000,1800NURSING FACILITY 154006,A000000,01810,0000,1810ICF/MR 154006,A000000,02100,0000,2100RADIOLOGY 154006,A000000,02200,0000,2200LABORATORY 154006,A000000,02500,0000,2500PHYSICAL THERAPY 154006,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154006,A000000,02700,0000,2700SPEECH PATHOLOGY 154006,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154006,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154006,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENTE 154006,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 154006,A000000,05000,0000,5000CORF 154006,A000000,05010,0000,5010CMHC 154006,A000000,05020,0000,5020OPT 154006,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 154006,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 154006,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154006,A81000A,00100,0100,Y 154006,A81000B,00100,0300,RELATED PARTY RENT 154006,A81000B,00200,0300,RELATED PARTY RENT 154006,A81000C,00100,0100,A 154006,A81000C,00100,0200,BOB & NICK ENTE 154006,A81000C,00100,0400,EVENTIDE NURSIN 154006,A81000C,00100,0600,HEALTHCARE 154006,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 154006,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 154006,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 154006,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154006,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 154006,B100000,00000,0600,0650DAYS OF SERVICE :LAUNDRY & LINEN 154006,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154006,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 154006,B100000,00000,0900,0950DAYS OF SERVICE :NURSING ADMINIS 154006,B100000,00000,1200,1250DAYS OF SERVICE :MEDICAL RECORDS 154006,B100000,00000,1300,1330DAYS OF SERVICE :SOCIAL SERVICE 154006,S000000,00100,0200,06/02/00 154006,S200000,00100,0100,1405 W. STOREY 154006,S200000,00200,0100,SAN SABA 154006,S200000,00200,0200,CA 154006,S200000,00200,0300,76877- 154006,S200000,00300,0100,SAN SABA 154006,S200000,00300,0200,45 154006,S200000,00300,0300,R 154006,S200000,00400,0100,EVENTIDE NURSING HOME INC. 154006,S200000,00400,0200,675715 154006,S200000,00400,0300,09/10/97 154006,S200000,00400,0500,P 154006,S200000,01500,0100,N 154006,S200000,01600,0100,Y 154006,S200000,01700,0100,N 154006,S200000,01800,0100,N 154006,S200000,02200,0100,N 154006,S200000,02800,0100,N 154006,S200000,02900,0100,N 154006,S200000,03000,0100,N 154006,S200000,03100,0100,N 154006,S200000,03200,0100,N 154006,S200000,04100,0100,N 154006,S200000,04200,0100,N 154006,S200000,04300,0100,N 154006,S200000,04600,0100,N 154006,S200000,04700,0100,N 154006,S200000,04700,0200,N 154006,S200000,04900,0100,N 154006,S200000,05000,0100,N 154006,S200000,05100,0100,N 154006,S200000,05200,0100,N 154288,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 154288,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 154288,A000000,00300,0000,0300EMPLOYEE BENEFITS 154288,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154288,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 154288,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154288,A000000,00700,0000,0700HOUSEKEEPING 154288,A000000,00800,0000,0800DIETARY 154288,A000000,00900,0000,0900NURSING ADMINISTRATION 154288,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154288,A000000,01100,0000,1100PHARMACY 154288,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154288,A000000,01300,0000,1300SOCIAL SERVICE 154288,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 154288,A000000,01600,0000,1600SKILLED NURSING FACILITY 154288,A000000,01810,0000,1810ICF/MR 154288,A000000,02100,0000,2100RADIOLOGY 154288,A000000,02200,0000,2200LABORATORY 154288,A000000,02300,0000,2300INTRAVENOUS THERAPY 154288,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154288,A000000,02500,0000,2500PHYSICAL THERAPY 154288,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154288,A000000,02700,0000,2700SPEECH PATHOLOGY 154288,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 154288,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154288,A000000,03550,0000,3550FQHC 154288,A000000,04801,0000,4801AMBULANCE 154288,A000000,04802,0000,4802AMBULANCE 154288,A000000,04803,0000,4803AMBULANCE 154288,A000000,05000,0000,5000CORF 154288,A000000,05010,0000,5010CMHC 154288,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 154288,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 154288,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 154288,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154288,A81000A,00100,0100,Y 154288,A81000B,00100,0300,H.O. CAP REL BLDG 7 FIXTURES 154288,A81000B,00200,0300,H.O. CAP RELATED MME 154288,A81000B,00300,0300,H.O. CAP REL ADMIN & FIELD SUP 154288,A81000B,00400,0300,H.O. CAPITAL RELATED COSTS 154288,A81000B,00500,0300,H.O. CAP REL ADMIN & FIELD SU 154288,A81000C,00100,0100,F 154288,A81000C,00100,0200,ELTON G. BEEBE 154288,A81000C,00100,0400,MAGNOLIA MANAGEMENT 154288,A81000C,00100,0600,MANAGEMENT COMPANY 154288,A81000C,00200,0100,B 154288,A81000C,00200,0200,LA EXTENDED CARE CENTERS 154288,B100000,00000,0100,0100SQUARE FEET 154288,B100000,00000,0200,0200SQUARE FEET 154288,B100000,00000,0300,0300GROSS SALARIES 154288,B100000,00000,0400,0400ACCUM COST 154288,B100000,00000,0500,0500SQUARE FEET 154288,B100000,00000,0600,0600POUNDS OF LAUNDRY 154288,B100000,00000,0700,0700SQUARE FEET 154288,B100000,00000,0800,0800MEALS SERVED 154288,B100000,00000,0900,0900DIRECT NRSING HRS 154288,B100000,00000,1000,1000COSTED REQUIS 154288,B100000,00000,1100,1100COSTED REQUIS 154288,B100000,00000,1200,1200TIME SPENT 154288,B100000,00000,1300,1300TIME SPENT 154288,B100000,00000,1400,1400ASSIGNED TIME 154288,E10A180,00501,0100,07/14/00 154288,E10A180,00501,0300,09/13/00 154288,E10A180,00550,0300,07/14/00 154288,S000000,00100,0200,07/21/00 154288,S200000,00100,0100,9712 MANSFIELD ROAD 154288,S200000,00200,0100,SHREVEPORT 154288,S200000,00200,0200,LA 154288,S200000,00200,0300,71118 154288,S200000,00300,0100,CADDO 154288,S200000,00300,0200,7680 154288,S200000,00300,0300,U 154288,S200000,00400,0100,HERITAGE MANOR SOUTH 154288,S200000,00400,0200,195408 154288,S200000,00400,0300,03/01/97 154288,S200000,00400,0500,P 154288,S200000,01500,0100,Y 154288,S200000,01600,0100,N 154288,S200000,01700,0100,N 154288,S200000,01800,0100,N 154288,S200000,02200,0100,Y 154288,S200000,02800,0100,N 154288,S200000,02900,0100,N 154288,S200000,03000,0100,N 154288,S200000,03100,0100,N 154288,S200000,03200,0100,N 154288,S200000,03300,0100,N 154288,S200000,03300,0200,N 154288,S200000,04100,0100,N 154288,S200000,04200,0100,N 154288,S200000,04300,0100,N 154288,S200000,04600,0100,N 154288,S200000,04700,0100,N 154288,S200000,04900,0100,N 154288,S200000,05200,0100,N 154949,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154949,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 154949,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154949,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPMEN 154949,A000000,00202,0000,0202CAP REL COSTS - MOVABLE EQUIPMEN 154949,A000000,00300,0000,0300EMPLOYEE BENEFITS 154949,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL 154949,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL 154949,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154949,A000000,00501,0000,0501PLANT OPERATION MAINT. & REPAIR 154949,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154949,A000000,00700,0000,0700HOUSEKEEPING 154949,A000000,00800,0000,0800DIETARY 154949,A000000,00900,0000,0900NURSING ADMINISTRATION 154949,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154949,A000000,01100,0000,1100PHARMACY 154949,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154949,A000000,01300,0000,1300SOCIAL SERVICE 154949,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 154949,A000000,01600,0000,1600SKILLED NURSING FACILITY 154949,A000000,01800,0000,1800NURSING FACILITY 154949,A000000,01900,0000,1900OTHER LONG TERM CARE 154949,A000000,02100,0000,2100RADIOLOGY 154949,A000000,02200,0000,2200LABORATORY 154949,A000000,02300,0000,2300INTRAVENOUS THERAPY 154949,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154949,A000000,02500,0000,2500PHYSICAL THERAPY 154949,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154949,A000000,02700,0000,2700SPEECH PATHOLOGY 154949,A000000,02800,0000,2800ELECTROCARDIOLOGY 154949,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154949,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154949,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 154949,A000000,03200,0000,3200SUPPORT SURFACES 154949,A000000,03400,0000,3400CLINIC 154949,A000000,04800,0000,4800AMBULANCE 154949,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 154949,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 154949,A000000,05300,0000,5300INTEREST EXPENSE 154949,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154949,A000000,05500,0000,5500HOSPICE 154949,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154949,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154949,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 154949,A000000,06100,0000,6100NONPAID WORKERS 154949,A000000,06101,0000,6101OTHER NONREIMBURSABLE COST CENTE 154949,A000000,06200,0000,6200PATIENTS LAUNDRY 154949,A000000,06300,0000,6150OTHER NONREIMB CENTERS - CAPITAL 154949,A000000,06301,0000,6151OTHER NONREIMB CENTERS - OTHER E 154949,A81000A,00100,0100,Y 154949,A81000B,00100,0300,RESPIRATORY THERAPY 154949,A81000B,00200,0300,PHYSICAL THERAPY 154949,A81000B,00300,0300,OCCUPATIONAL THERAPY 154949,A81000B,00400,0300,SPEECH THERAPY 154949,A81000B,00500,0300,POOLED ADMINISTRATION & GENERAL 154949,A81000B,00600,0300,BAYCARE 154949,A81000C,00100,0100,B 154949,A81000C,00100,0400,ST JOSEPH S HCC 154949,A81000C,00100,0600,HEALTH CARE 154949,A81000C,00200,0100,B 154949,A81000C,00200,0400,ST JOSEPH S HCC 154949,A81000C,00200,0600,HEALTH CARE 154949,A81000C,00300,0100,B 154949,A81000C,00300,0400,ST JOSEPH S HCC 154949,A81000C,00300,0600,HEALTH CARE 154949,A81000C,00400,0100,B 154949,A81000C,00400,0400,ST JOSEPH S HCC 154949,A81000C,00400,0600,HEALTH CARE 154949,A81000C,00500,0100,B 154949,A81000C,00500,0400,ST JOSEPH S HCC 154949,A81000C,00500,0600,HEALTH CARE 154949,A81000C,00600,0100,B 154949,A81000C,00600,0400,ST JOSEPH S HCC 154949,A81000C,00600,0600,HEALTH CARE 154949,A81000C,00700,0100,B 154949,A81000C,00700,0400,ST JOSEPH S HCC 154949,A81000C,00700,0600,HEALTHCARE 154949,B100000,00000,0100,0100SQ FT DIRECT :CAP REL COSTS - BL 154949,B100000,00000,0101,0101SQ FT SHARED :CAP REL COSTS - BL 154949,B100000,00000,0200,0250SQ FT DIRECT :CAP REL COSTS - MO 154949,B100000,00000,0201,0251SQ FT SHARED :CAP REL COSTS - MO 154949,B100000,00000,0202,0252SQ FT SHARED :CAP REL COSTS - MO 154949,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 154949,B100000,00000,0401,0401 ACCUM. COST :ADMINISTRATIVE & G 154949,B100000,00000,0402,0402 ACCUM. COST :ADMINISTRATIVE & G 154949,B100000,00000,0500,0500SQ FT DIRECT :PLANT OPERATION M 154949,B100000,00000,0501,0501SQ FT SHARED :PLANT OPERATION M 154949,B100000,00000,0600,0600LAUNDRY POUNDS :LAUNDRY & LINEN 154949,B100000,00000,0700,0750SQ FT DIRECT :HOUSEKEEPING 154949,B100000,00000,0800,0800MEALS SERVED :DIETARY 154949,B100000,00000,0900,0950NURSING FTSS :NURSING ADMINIST 154949,B100000,00000,1000,1050SUPPLY COST :CENTRAL SERVICES & 154949,B100000,00000,1200,1250GROSS REV :MEDICAL RECORDS & LI 154949,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 154949,S000000,00100,0200,11/30/00 154949,S200000,00100,0100,4100 EAST FLETCHER AVENUE 154949,S200000,00200,0100,TAMPA 154949,S200000,00200,0200,FL 154949,S200000,00200,0300,33613- 154949,S200000,00300,0100,HILLSBOROUGH 154949,S200000,00300,0200,8280 154949,S200000,00300,0300,U 154949,S200000,00400,0100,JOHN KNOX VILLAGE MEDICAL CENTER 154949,S200000,00400,0200,105351 154949,S200000,00400,0300,01/31/80 154949,S200000,00400,0500,P 154949,S200000,00600,0200,105351 154949,S200000,00600,0300,01/31/80 154949,S200000,00600,0600,O 154949,S200000,01500,0100,N 154949,S200000,01600,0100,Y 154949,S200000,01700,0100,N 154949,S200000,01800,0100,N 154949,S200000,02200,0100,N 154949,S200000,02800,0100,N 154949,S200000,02900,0100,N 154949,S200000,03000,0100,N 154949,S200000,03100,0100,N 154949,S200000,03200,0100,N 154949,S200000,04100,0100,N 154949,S200000,04200,0100,N 154949,S200000,04300,0100,Y 154949,S200000,04600,0100,N 154949,S200000,04700,0100,N 154949,S200000,04700,0200,N 154949,S200000,04900,0100,N 154949,S200000,05000,0100,N 154949,S200000,05100,0100,N 154949,S200000,05200,0100,N 154956,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154956,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154956,A000000,00300,0000,0300EMPLOYEE BENEFITS 154956,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154956,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154956,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154956,A000000,00700,0000,0700HOUSEKEEPING 154956,A000000,00800,0000,0800DIETARY 154956,A000000,00900,0000,0900NURSING ADMINISTRATION 154956,A000000,00901,0000,0901OTHER NURSING 154956,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154956,A000000,01100,0000,1100PHARMACY 154956,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154956,A000000,01300,0000,1300SOCIAL SERVICE 154956,A000000,01301,0000,1301ACTIVITIES 154956,A000000,01600,0000,1600SKILLED NURSING FACILITY 154956,A000000,01800,0000,1800NURSING FACILITY 154956,A000000,02100,0000,2100RADIOLOGY 154956,A000000,02200,0000,2200LABORATORY 154956,A000000,02300,0000,2300INTRAVENOUS THERAPY 154956,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154956,A000000,02500,0000,2500PHYSICAL THERAPY 154956,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154956,A000000,02700,0000,2700SPEECH PATHOLOGY 154956,A000000,02800,0000,2800ELECTROCARDIOLOGY 154956,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154956,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154956,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154956,A000000,03301,0000,3051NUTRITIONAL THERAPY 154956,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154956,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154956,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154956,A000000,04800,0000,4800AMBULANCE 154956,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154956,A000000,05300,0000,5300INTEREST EXPENSE 154956,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154956,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154956,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154956,A000000,06200,0000,6200PATIENTS LAUNDRY 154956,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154956,A000000,06301,0000,6151DAY CARE 154956,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154956,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154956,A000000,06304,0000,6154ASSISTED LIVING FACILITY 154956,A81000A,00100,0100,Y 154956,A81000B,00100,0300,HOME OFFICE COSTS 154956,A81000B,00200,0300,LIABILITY INSURANCE 154956,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154956,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154956,A81000B,00500,0300,VC PHARMACY - ADMIN 154956,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154956,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154956,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154956,A81000B,00900,0300,VC PHARMACY - DIETARY 154956,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154956,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154956,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154956,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154956,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154956,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154956,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154956,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154956,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154956,A81000B,01900,0300,VC PHARMACY - LAB 154956,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154956,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154956,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154956,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154956,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154956,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154956,A81000B,02600,0300,VC PHARMACY - LEGEND 154956,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154956,A81000B,02800,0300,VC PHARMACY - NUTR THER 154956,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154956,A81000C,00100,0100,B 154956,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154956,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154956,A81000C,00100,0600,LIABILITY INSURANCE 154956,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154956,A81000C,00200,0600,PHARMACY 154956,A81000C,00300,0400,VENCARE RESPIRATORY 154956,A81000C,00300,0600,RESPIRATORY THERAPY 154956,A81000C,00400,0400,THERAPY SERVICES 154956,A81000C,00500,0400,VENCARE REHAB SERVICES 154956,A81000C,00500,0600,REHAB 154956,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 154956,A81000C,00600,0600,PORTABLE X-RAY 154956,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154956,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154956,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154956,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154956,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154956,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154956,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154956,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154956,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154956,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154956,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154956,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154956,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154956,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154956,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154956,E10A180,00350,0100,06/30/00 154956,E10A180,00351,0100,11/30/00 154956,S000000,00100,0200,12/04/00 154956,S200000,00100,0100,1111 SOUTH HIGHLAND AVENUE 154956,S200000,00200,0100,CLEARWATER 154956,S200000,00200,0200,FL 154956,S200000,00200,0300,34616- 154956,S200000,00300,0100,PINELLAS 154956,S200000,00300,0200,8280 154956,S200000,00300,0300,U 154956,S200000,00400,0100,1220-HIGHLAND PINES REHAB & NSG CNTR 154956,S200000,00400,0200,105690 154956,S200000,00400,0300,04/01/95 154956,S200000,00400,0500,P 154956,S200000,01500,0100,N 154956,S200000,01600,0100,Y 154956,S200000,01700,0100,N 154956,S200000,01800,0100,N 154956,S200000,02200,0100,Y 154956,S200000,02800,0100,N 154956,S200000,02900,0100,N 154956,S200000,03000,0100,N 154956,S200000,03100,0100,N 154956,S200000,03200,0100,N 154956,S200000,04100,0100,N 154956,S200000,04200,0100,N 154956,S200000,04300,0100,N 154956,S200000,04600,0100,N 154956,S200000,04700,0100,N 154956,S200000,04700,0200,N 154956,S200000,04900,0100,N 154956,S200000,05000,0100,N 154956,S200000,05100,0100,N 154956,S200000,05200,0100,N 154957,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154957,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154957,A000000,00300,0000,0300EMPLOYEE BENEFITS 154957,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154957,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154957,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154957,A000000,00700,0000,0700HOUSEKEEPING 154957,A000000,00800,0000,0800DIETARY 154957,A000000,00900,0000,0900NURSING ADMINISTRATION 154957,A000000,00901,0000,0901OTHER NURSING 154957,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154957,A000000,01100,0000,1100PHARMACY 154957,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154957,A000000,01300,0000,1300SOCIAL SERVICE 154957,A000000,01301,0000,1301ACTIVITIES 154957,A000000,01600,0000,1600SKILLED NURSING FACILITY 154957,A000000,01800,0000,1800NURSING FACILITY 154957,A000000,02100,0000,2100RADIOLOGY 154957,A000000,02200,0000,2200LABORATORY 154957,A000000,02300,0000,2300INTRAVENOUS THERAPY 154957,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154957,A000000,02500,0000,2500PHYSICAL THERAPY 154957,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154957,A000000,02700,0000,2700SPEECH PATHOLOGY 154957,A000000,02800,0000,2800ELECTROCARDIOLOGY 154957,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154957,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154957,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154957,A000000,03301,0000,3051NUTRITIONAL THERAPY 154957,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154957,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154957,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154957,A000000,04800,0000,4800AMBULANCE 154957,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154957,A000000,05300,0000,5300INTEREST EXPENSE 154957,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154957,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154957,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154957,A000000,06200,0000,6200PATIENTS LAUNDRY 154957,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154957,A000000,06301,0000,6151DAY CARE 154957,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154957,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154957,A81000A,00100,0100,Y 154957,A81000B,00100,0300,HOME OFFICE COSTS 154957,A81000B,00200,0300,LIABILITY INSURANCE 154957,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154957,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154957,A81000B,00500,0300,VC PHARMACY - ADMIN 154957,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154957,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154957,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154957,A81000B,00900,0300,VC PHARMACY - DIETARY 154957,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154957,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154957,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154957,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154957,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154957,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154957,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154957,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154957,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154957,A81000B,01900,0300,VC PHARMACY - LAB 154957,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154957,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154957,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154957,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154957,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154957,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154957,A81000B,02600,0300,VC PHARMACY - LEGEND 154957,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154957,A81000B,02800,0300,VC PHARMACY - NUTR THER 154957,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154957,A81000C,00100,0100,B 154957,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154957,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154957,A81000C,00100,0600,LIABILITY INSURANCE 154957,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154957,A81000C,00200,0600,PHARMACY 154957,A81000C,00300,0400,VENCARE RESPIRATORY 154957,A81000C,00300,0600,RESPIRATORY THERAPY 154957,A81000C,00400,0400,THERAPY SERVICES 154957,A81000C,00500,0400,VENCARE REHAB SERVICES 154957,A81000C,00500,0600,REHAB 154957,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 154957,A81000C,00600,0600,PORTABLE X-RAY 154957,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154957,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154957,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154957,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154957,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154957,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154957,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154957,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154957,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154957,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154957,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154957,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154957,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154957,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154957,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154957,S000000,00100,0200,12/01/00 154957,S200000,00100,0100,7109 9TH STREET NORTH 154957,S200000,00200,0100,ST PETERSBURG 154957,S200000,00200,0200,FL 154957,S200000,00200,0300,33702- 154957,S200000,00300,0100,PINELLAS 154957,S200000,00300,0200,8280 154957,S200000,00300,0300,U 154957,S200000,00400,0100,1233-THE ABBEY REHAB & NURSING CNTR 154957,S200000,00400,0200,105749 154957,S200000,00400,0300,04/01/95 154957,S200000,00400,0500,P 154957,S200000,01500,0100,N 154957,S200000,01600,0100,Y 154957,S200000,01700,0100,N 154957,S200000,01800,0100,N 154957,S200000,02200,0100,Y 154957,S200000,02800,0100,N 154957,S200000,02900,0100,N 154957,S200000,03000,0100,N 154957,S200000,03100,0100,N 154957,S200000,03200,0100,N 154957,S200000,04100,0100,N 154957,S200000,04200,0100,N 154957,S200000,04300,0100,N 154957,S200000,04600,0100,N 154957,S200000,04700,0100,N 154957,S200000,04700,0200,N 154957,S200000,04900,0100,N 154957,S200000,05000,0100,N 154957,S200000,05100,0100,N 154957,S200000,05200,0100,N 154958,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154958,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154958,A000000,00300,0000,0300EMPLOYEE BENEFITS 154958,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154958,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154958,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154958,A000000,00700,0000,0700HOUSEKEEPING 154958,A000000,00800,0000,0800DIETARY 154958,A000000,00900,0000,0900NURSING ADMINISTRATION 154958,A000000,00901,0000,0901OTHER NURSING 154958,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154958,A000000,01100,0000,1100PHARMACY 154958,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154958,A000000,01300,0000,1300SOCIAL SERVICE 154958,A000000,01301,0000,1301ACTIVITIES 154958,A000000,01600,0000,1600SKILLED NURSING FACILITY 154958,A000000,01800,0000,1800NURSING FACILITY 154958,A000000,02100,0000,2100RADIOLOGY 154958,A000000,02200,0000,2200LABORATORY 154958,A000000,02300,0000,2300INTRAVENOUS THERAPY 154958,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154958,A000000,02500,0000,2500PHYSICAL THERAPY 154958,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154958,A000000,02700,0000,2700SPEECH PATHOLOGY 154958,A000000,02800,0000,2800ELECTROCARDIOLOGY 154958,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154958,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154958,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154958,A000000,03301,0000,3051NUTRITIONAL THERAPY 154958,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154958,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154958,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154958,A000000,04800,0000,4800AMBULANCE 154958,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154958,A000000,05300,0000,5300INTEREST EXPENSE 154958,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154958,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154958,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154958,A000000,06200,0000,6200PATIENTS LAUNDRY 154958,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154958,A000000,06301,0000,6151DAY CARE 154958,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154958,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154958,A81000A,00100,0100,Y 154958,A81000B,00100,0300,HOME OFFICE COSTS 154958,A81000B,00200,0300,LIABILITY INSURANCE 154958,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154958,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154958,A81000B,00500,0300,VC PHARMACY - ADMIN 154958,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154958,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154958,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154958,A81000B,00900,0300,VC PHARMACY - DIETARY 154958,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154958,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154958,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154958,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154958,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154958,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154958,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154958,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154958,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154958,A81000B,01900,0300,VC PHARMACY - LAB 154958,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154958,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154958,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154958,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154958,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154958,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154958,A81000B,02600,0300,VC PHARMACY - LEGEND 154958,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154958,A81000B,02800,0300,VC PHARMACY - NUTR THER 154958,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154958,A81000C,00100,0100,B 154958,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154958,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154958,A81000C,00100,0600,LIABILITY INSURANCE 154958,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154958,A81000C,00200,0600,PHARMACY 154958,A81000C,00300,0400,VENCARE RESPIRATORY 154958,A81000C,00300,0600,RESPIRATORY THERAPY 154958,A81000C,00400,0400,VENCARE REHAB SERVICES 154958,A81000C,00400,0600,REHAB 154958,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154958,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154958,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154958,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154958,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154958,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154958,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154958,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154958,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154958,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154958,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154958,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154958,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154958,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154958,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154958,E10A180,00301,0100,06/30/00 154958,S000000,00100,0200,12/01/00 154958,S200000,00100,0100,1010 US 27 NORTH 154958,S200000,00200,0100,AVON PARK 154958,S200000,00200,0200,FL 154958,S200000,00200,0300,33825- 154958,S200000,00300,0100,HIGHLANDS 154958,S200000,00300,0200,10 154958,S200000,00300,0300,R 154958,S200000,00400,0100,246-THE OAKS AT AVON 154958,S200000,00400,0200,105780 154958,S200000,00400,0300,01/26/93 154958,S200000,00400,0500,P 154958,S200000,01500,0100,N 154958,S200000,01600,0100,Y 154958,S200000,01700,0100,N 154958,S200000,01800,0100,N 154958,S200000,02200,0100,Y 154958,S200000,02800,0100,N 154958,S200000,02900,0100,N 154958,S200000,03000,0100,N 154958,S200000,03100,0100,N 154958,S200000,03200,0100,N 154958,S200000,04100,0100,N 154958,S200000,04200,0100,N 154958,S200000,04300,0100,N 154958,S200000,04600,0100,N 154958,S200000,04700,0100,N 154958,S200000,04700,0200,N 154958,S200000,04900,0100,N 154958,S200000,05000,0100,N 154958,S200000,05100,0100,N 154958,S200000,05200,0100,N 154959,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154959,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154959,A000000,00300,0000,0300EMPLOYEE BENEFITS 154959,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154959,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154959,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154959,A000000,00700,0000,0700HOUSEKEEPING 154959,A000000,00800,0000,0800DIETARY 154959,A000000,00900,0000,0900NURSING ADMINISTRATION 154959,A000000,00901,0000,0901OTHER NURSING 154959,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154959,A000000,01100,0000,1100PHARMACY 154959,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154959,A000000,01300,0000,1300SOCIAL SERVICE 154959,A000000,01301,0000,1301ACTIVITIES 154959,A000000,01600,0000,1600SKILLED NURSING FACILITY 154959,A000000,01800,0000,1800NURSING FACILITY 154959,A000000,02100,0000,2100RADIOLOGY 154959,A000000,02200,0000,2200LABORATORY 154959,A000000,02300,0000,2300INTRAVENOUS THERAPY 154959,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154959,A000000,02500,0000,2500PHYSICAL THERAPY 154959,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154959,A000000,02700,0000,2700SPEECH PATHOLOGY 154959,A000000,02800,0000,2800ELECTROCARDIOLOGY 154959,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154959,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154959,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154959,A000000,03301,0000,3051NUTRITIONAL THERAPY 154959,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154959,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154959,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154959,A000000,04800,0000,4800AMBULANCE 154959,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154959,A000000,05300,0000,5300INTEREST EXPENSE 154959,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154959,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154959,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154959,A000000,06200,0000,6200PATIENTS LAUNDRY 154959,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154959,A000000,06301,0000,6151DAY CARE 154959,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154959,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154959,A81000A,00100,0100,Y 154959,A81000B,00100,0300,HOME OFFICE COSTS 154959,A81000B,00200,0300,LIABILITY INSURANCE 154959,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154959,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154959,A81000B,00500,0300,VC PHARMACY - ADMIN 154959,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154959,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154959,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154959,A81000B,00900,0300,VC PHARMACY - DIETARY 154959,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154959,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154959,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154959,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154959,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154959,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154959,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154959,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154959,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154959,A81000B,01900,0300,VC PHARMACY - LAB 154959,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154959,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154959,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154959,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154959,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154959,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154959,A81000B,02600,0300,VC PHARMACY - LEGEND 154959,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154959,A81000B,02800,0300,VC PHARMACY - NUTR THER 154959,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154959,A81000C,00100,0100,B 154959,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154959,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154959,A81000C,00100,0600,LIABILITY INSURANCE 154959,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154959,A81000C,00200,0600,PHARMACY 154959,A81000C,00300,0400,VENCARE RESPIRATORY 154959,A81000C,00300,0600,RESPIRATORY THERAPY 154959,A81000C,00400,0400,THERAPY SERVICES 154959,A81000C,00500,0400,VENCARE REHAB SERVICES 154959,A81000C,00500,0600,REHAB 154959,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154959,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154959,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154959,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154959,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154959,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154959,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154959,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154959,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154959,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154959,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154959,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154959,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154959,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154959,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154959,E10A180,00301,0100,06/30/00 154959,S000000,00100,0200,12/11/00 154959,S200000,00100,0100,3421 WINKLER AVE. EXT. 154959,S200000,00200,0100,FT. MYERS 154959,S200000,00200,0200,FL 154959,S200000,00200,0300,33916- 154959,S200000,00300,0100,LEE 154959,S200000,00300,0200,2700 154959,S200000,00300,0300,U 154959,S200000,00400,0100,268-COLONIAL OAKS REHAB CTR-FT MYERS 154959,S200000,00400,0200,105882 154959,S200000,00400,0300,04/12/95 154959,S200000,00400,0500,P 154959,S200000,01500,0100,N 154959,S200000,01600,0100,Y 154959,S200000,01700,0100,N 154959,S200000,01800,0100,N 154959,S200000,02200,0100,Y 154959,S200000,02800,0100,N 154959,S200000,02900,0100,N 154959,S200000,03000,0100,N 154959,S200000,03100,0100,N 154959,S200000,03200,0100,N 154959,S200000,04100,0100,N 154959,S200000,04200,0100,N 154959,S200000,04300,0100,N 154959,S200000,04600,0100,N 154959,S200000,04700,0100,N 154959,S200000,04700,0200,N 154959,S200000,04900,0100,N 154959,S200000,05000,0100,N 154959,S200000,05100,0100,N 154959,S200000,05200,0100,N 154966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154966,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154966,A000000,00300,0000,0300EMPLOYEE BENEFITS 154966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154966,A000000,00700,0000,0700HOUSEKEEPING 154966,A000000,00800,0000,0800DIETARY 154966,A000000,00900,0000,0900NURSING ADMINISTRATION 154966,A000000,00901,0000,0901OTHER NURSING 154966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154966,A000000,01100,0000,1100PHARMACY 154966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154966,A000000,01300,0000,1300SOCIAL SERVICE 154966,A000000,01301,0000,1301ACTIVITIES 154966,A000000,01600,0000,1600SKILLED NURSING FACILITY 154966,A000000,01800,0000,1800NURSING FACILITY 154966,A000000,02100,0000,2100RADIOLOGY 154966,A000000,02200,0000,2200LABORATORY 154966,A000000,02300,0000,2300INTRAVENOUS THERAPY 154966,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154966,A000000,02500,0000,2500PHYSICAL THERAPY 154966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154966,A000000,02700,0000,2700SPEECH PATHOLOGY 154966,A000000,02800,0000,2800ELECTROCARDIOLOGY 154966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154966,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154966,A000000,03301,0000,3051NUTRITIONAL THERAPY 154966,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154966,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154966,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154966,A000000,04800,0000,4800AMBULANCE 154966,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154966,A000000,05300,0000,5300INTEREST EXPENSE 154966,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154966,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154966,A000000,06200,0000,6200PATIENTS LAUNDRY 154966,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154966,A000000,06301,0000,6151DAY CARE 154966,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154966,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154966,A81000A,00100,0100,Y 154966,A81000B,00100,0300,HOME OFFICE COSTS 154966,A81000B,00200,0300,LIABILITY INSURANCE 154966,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154966,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154966,A81000B,00500,0300,VC PHARMACY - ADMIN 154966,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154966,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154966,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154966,A81000B,00900,0300,VC PHARMACY - DIETARY 154966,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154966,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154966,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154966,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154966,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154966,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154966,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154966,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154966,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154966,A81000B,01900,0300,VC PHARMACY - LAB 154966,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154966,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154966,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154966,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154966,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154966,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154966,A81000B,02600,0300,VC PHARMACY - LEGEND 154966,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154966,A81000B,02800,0300,VC PHARMACY - NUTR THER 154966,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154966,A81000C,00100,0100,B 154966,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154966,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154966,A81000C,00100,0600,LIABILITY INSURANCE 154966,A81000C,00300,0400,VENCARE RESPIRATORY 154966,A81000C,00300,0600,RESPIRATORY THERAPY 154966,A81000C,00400,0400,THERAPY SERVICES 154966,A81000C,00500,0400,VENCARE REHAB SERVICES 154966,A81000C,00500,0600,REHAB 154966,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154966,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154966,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154966,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154966,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154966,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154966,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154966,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154966,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154966,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154966,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154966,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154966,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154966,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154966,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154966,S000000,00100,0200,12/01/00 154966,S200000,00100,0100,3020 JEFFERSONVILLE ROAD 154966,S200000,00200,0100,MACON 154966,S200000,00200,0200,GA 154966,S200000,00200,0300,31217- 154966,S200000,00300,0100,BIBB 154966,S200000,00300,0200,4680 154966,S200000,00300,0300,U 154966,S200000,00400,0100,1213 EASTVIEW NURSING HOME 154966,S200000,00400,0200,115656 154966,S200000,00400,0300,04/01/98 154966,S200000,00400,0500,P 154966,S200000,01500,0100,Y 154966,S200000,01600,0100,N 154966,S200000,01700,0100,N 154966,S200000,01800,0100,N 154966,S200000,02200,0100,Y 154966,S200000,02800,0100,N 154966,S200000,02900,0100,N 154966,S200000,03000,0100,N 154966,S200000,03100,0100,N 154966,S200000,03200,0100,N 154966,S200000,04100,0100,N 154966,S200000,04200,0100,N 154966,S200000,04300,0100,N 154966,S200000,04600,0100,N 154966,S200000,04700,0100,N 154966,S200000,04700,0200,N 154966,S200000,04900,0100,N 154966,S200000,05000,0100,N 154966,S200000,05100,0100,N 154966,S200000,05200,0100,N 154967,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154967,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154967,A000000,00300,0000,0300EMPLOYEE BENEFITS 154967,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154967,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154967,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154967,A000000,00700,0000,0700HOUSEKEEPING 154967,A000000,00800,0000,0800DIETARY 154967,A000000,00900,0000,0900NURSING ADMINISTRATION 154967,A000000,00901,0000,0901OTHER NURSING 154967,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154967,A000000,01100,0000,1100PHARMACY 154967,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154967,A000000,01300,0000,1300SOCIAL SERVICE 154967,A000000,01301,0000,1301ACTIVITIES 154967,A000000,01600,0000,1600SKILLED NURSING FACILITY 154967,A000000,01800,0000,1800NURSING FACILITY 154967,A000000,02100,0000,2100RADIOLOGY 154967,A000000,02200,0000,2200LABORATORY 154967,A000000,02300,0000,2300INTRAVENOUS THERAPY 154967,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154967,A000000,02500,0000,2500PHYSICAL THERAPY 154967,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154967,A000000,02700,0000,2700SPEECH PATHOLOGY 154967,A000000,02800,0000,2800ELECTROCARDIOLOGY 154967,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154967,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154967,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154967,A000000,03301,0000,3051NUTRITIONAL THERAPY 154967,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154967,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154967,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154967,A000000,04800,0000,4800AMBULANCE 154967,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154967,A000000,05300,0000,5300INTEREST EXPENSE 154967,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154967,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154967,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154967,A000000,06200,0000,6200PATIENTS LAUNDRY 154967,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154967,A000000,06301,0000,6151DAY CARE 154967,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154967,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154967,A81000A,00100,0100,Y 154967,A81000B,00100,0300,HOME OFFICE COSTS 154967,A81000B,00200,0300,LIABILITY INSURANCE 154967,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 154967,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154967,A81000B,00500,0300,VC PHARMACY - ADMIN 154967,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 154967,A81000B,00700,0300,VC PHARMACY - LAUNDRY 154967,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 154967,A81000B,00900,0300,VC PHARMACY - DIETARY 154967,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 154967,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 154967,A81000B,01200,0300,VC PHARMACY - NONLEGEND 154967,A81000B,01300,0300,VC PHARMACY - MED RECORDS 154967,A81000B,01400,0300,VC PHARMACY - SOC SVCS 154967,A81000B,01500,0300,VC PHARMACY - ACTIVITY 154967,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 154967,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 154967,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 154967,A81000B,01900,0300,VC PHARMACY - LAB 154967,A81000B,02000,0300,VC PHARMACY - IV THERAPY 154967,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 154967,A81000B,02200,0300,VENCARE REHAB - PHYS THER 154967,A81000B,02300,0300,VENCARE REHAB - OCCP THER 154967,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 154967,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 154967,A81000B,02600,0300,VC PHARMACY - LEGEND 154967,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 154967,A81000B,02800,0300,VC PHARMACY - NUTR THER 154967,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 154967,A81000C,00100,0100,B 154967,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154967,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154967,A81000C,00100,0600,LIABILITY INSURANCE 154967,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154967,A81000C,00200,0600,PHARMACY 154967,A81000C,00300,0400,VENCARE RESPIRATORY 154967,A81000C,00300,0600,RESPIRATORY THERAPY 154967,A81000C,00400,0400,THERAPY SERVICES 154967,A81000C,00500,0400,VENCARE REHAB SERVICES 154967,A81000C,00500,0600,REHAB 154967,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154967,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154967,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154967,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154967,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154967,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154967,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154967,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154967,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154967,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154967,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154967,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154967,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154967,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154967,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154967,S000000,00100,0200,12/01/00 154967,S200000,00100,0100,331 EAST PARK 154967,S200000,00200,0100,WEISER 154967,S200000,00200,0200,ID 154967,S200000,00200,0300,83672- 154967,S200000,00300,0100,WASHINGTON 154967,S200000,00300,0200,13 154967,S200000,00300,0300,R 154967,S200000,00400,0100,223 - WEISER REHAB & CARE CENTER 154967,S200000,00400,0200,135010 154967,S200000,00400,0300,01/01/84 154967,S200000,00400,0500,P 154967,S200000,01500,0100,Y 154967,S200000,01600,0100,N 154967,S200000,01700,0100,N 154967,S200000,01800,0100,N 154967,S200000,02200,0100,Y 154967,S200000,02800,0100,N 154967,S200000,02900,0100,N 154967,S200000,03000,0100,N 154967,S200000,03100,0100,N 154967,S200000,03200,0100,N 154967,S200000,04100,0100,N 154967,S200000,04200,0100,N 154967,S200000,04300,0100,N 154967,S200000,04600,0100,N 154967,S200000,04700,0100,N 154967,S200000,04700,0200,N 154967,S200000,04900,0100,N 154967,S200000,05000,0100,N 154967,S200000,05100,0100,N 154967,S200000,05200,0100,N 154968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154968,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154968,A000000,00300,0000,0300EMPLOYEE BENEFITS 154968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154968,A000000,00700,0000,0700HOUSEKEEPING 154968,A000000,00800,0000,0800DIETARY 154968,A000000,00900,0000,0900NURSING ADMINISTRATION 154968,A000000,00901,0000,0901OTHER NURSING 154968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154968,A000000,01100,0000,1100PHARMACY 154968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154968,A000000,01300,0000,1300SOCIAL SERVICE 154968,A000000,01301,0000,1301ACTIVITIES 154968,A000000,01600,0000,1600SKILLED NURSING FACILITY 154968,A000000,01800,0000,1800NURSING FACILITY 154968,A000000,02100,0000,2100RADIOLOGY 154968,A000000,02200,0000,2200LABORATORY 154968,A000000,02300,0000,2300INTRAVENOUS THERAPY 154968,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154968,A000000,02500,0000,2500PHYSICAL THERAPY 154968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154968,A000000,02700,0000,2700SPEECH PATHOLOGY 154968,A000000,02800,0000,2800ELECTROCARDIOLOGY 154968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154968,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154968,A000000,03301,0000,3051NUTRITIONAL THERAPY 154968,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154968,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154968,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154968,A000000,04800,0000,4800AMBULANCE 154968,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154968,A000000,05300,0000,5300INTEREST EXPENSE 154968,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154968,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154968,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154968,A000000,06200,0000,6200PATIENTS LAUNDRY 154968,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154968,A000000,06301,0000,6151DAY CARE 154968,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154968,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154968,A81000A,00100,0100,Y 154968,A81000B,00100,0300,HOME OFFICE COSTS 154968,A81000B,00200,0300,LIABILITY INSURANCE 154968,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 154968,A81000B,01100,0300,VENCARE REHAB - PHYS THER 154968,A81000B,01200,0300,VENCARE REHAB - OCCP THER 154968,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 154968,A81000B,01400,0300,VC PHARMACY - LEGEND 154968,A81000C,00100,0100,B 154968,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154968,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154968,A81000C,00100,0600,LIABILITY INSURANCE 154968,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154968,A81000C,00200,0600,PHARMACY 154968,A81000C,00300,0400,VENCARE RESPIRATORY 154968,A81000C,00300,0600,RESPIRATORY THERAPY 154968,A81000C,00400,0400,THERAPY SERVICES 154968,A81000C,00500,0400,VENCARE REHAB SERVICES 154968,A81000C,00500,0600,REHAB 154968,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154968,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154968,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154968,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154968,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154968,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154968,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154968,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154968,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154968,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154968,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154968,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154968,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154968,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154968,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154968,E10A180,00301,0100,06/30/00 154968,S000000,00100,0200,12/01/00 154968,S200000,00100,0100,2300 GREAT LAKES DRIVE 154968,S200000,00200,0100,DYER 154968,S200000,00200,0200,IN 154968,S200000,00200,0300,46311- 154968,S200000,00300,0100,LAKE 154968,S200000,00300,0200,2960 154968,S200000,00300,0300,U 154968,S200000,00400,0100,#232 REGENCY PLACE OF DYER 154968,S200000,00400,0200,155218 154968,S200000,00400,0300,01/01/84 154968,S200000,00400,0500,P 154968,S200000,01500,0100,Y 154968,S200000,01600,0100,N 154968,S200000,01700,0100,N 154968,S200000,01800,0100,N 154968,S200000,02200,0100,Y 154968,S200000,02800,0100,N 154968,S200000,02900,0100,N 154968,S200000,03000,0100,N 154968,S200000,03100,0100,N 154968,S200000,03200,0100,N 154968,S200000,04100,0100,N 154968,S200000,04200,0100,N 154968,S200000,04300,0100,N 154968,S200000,04600,0100,N 154968,S200000,04700,0100,N 154968,S200000,04700,0200,N 154968,S200000,04900,0100,N 154968,S200000,05000,0100,N 154968,S200000,05100,0100,N 154968,S200000,05200,0100,N 154969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154969,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154969,A000000,00300,0000,0300EMPLOYEE BENEFITS 154969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154969,A000000,00700,0000,0700HOUSEKEEPING 154969,A000000,00800,0000,0800DIETARY 154969,A000000,00900,0000,0900NURSING ADMINISTRATION 154969,A000000,00901,0000,0901OTHER NURSING 154969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154969,A000000,01100,0000,1100PHARMACY 154969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154969,A000000,01300,0000,1300SOCIAL SERVICE 154969,A000000,01301,0000,1301ACTIVITIES 154969,A000000,01600,0000,1600SKILLED NURSING FACILITY 154969,A000000,01800,0000,1800NURSING FACILITY 154969,A000000,02100,0000,2100RADIOLOGY 154969,A000000,02200,0000,2200LABORATORY 154969,A000000,02300,0000,2300INTRAVENOUS THERAPY 154969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154969,A000000,02500,0000,2500PHYSICAL THERAPY 154969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154969,A000000,02700,0000,2700SPEECH PATHOLOGY 154969,A000000,02800,0000,2800ELECTROCARDIOLOGY 154969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154969,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154969,A000000,03301,0000,3051NUTRITIONAL THERAPY 154969,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154969,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154969,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154969,A000000,04800,0000,4800AMBULANCE 154969,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154969,A000000,05300,0000,5300INTEREST EXPENSE 154969,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154969,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154969,A000000,06200,0000,6200PATIENTS LAUNDRY 154969,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154969,A000000,06301,0000,6151DAY CARE 154969,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154969,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154969,A81000A,00100,0100,Y 154969,A81000B,00100,0300,HOME OFFICE COSTS 154969,A81000B,00200,0300,LIABILITY INSURANCE 154969,A81000B,01000,0300,VC HOSPITAL - INHALATION THER 154969,A81000B,01100,0300,VENCARE REHAB - PHYS THER 154969,A81000B,01200,0300,VENCARE REHAB - OCCP THER 154969,A81000B,01300,0300,VENCARE REHAB - SPEECH THER 154969,A81000C,00100,0100,B 154969,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154969,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154969,A81000C,00100,0600,LIABILITY INSURANCE 154969,A81000C,00300,0400,VENCARE RESPIRATORY 154969,A81000C,00300,0600,RESPIRATORY THERAPY 154969,A81000C,00400,0400,THERAPY SERVICES 154969,A81000C,00500,0400,VENCARE REHAB SERVICES 154969,A81000C,00500,0600,REHAB 154969,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154969,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154969,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154969,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154969,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154969,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154969,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154969,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154969,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154969,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154969,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154969,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154969,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154969,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154969,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154969,E10A180,00301,0100,06/30/00 154969,S000000,00100,0200,12/01/00 154969,S200000,00100,0100,52654 N. IRONWOOD ROAD 154969,S200000,00200,0100,SOUTH BEND 154969,S200000,00200,0200,IN 154969,S200000,00200,0300, - 154969,S200000,00300,0100,ST. JOSEPH 154969,S200000,00300,0200,7800 154969,S200000,00300,0300,U 154969,S200000,00400,0100,#405 REGENCY PLACE OF SOUTH BEND 154969,S200000,00400,0200,155219 154969,S200000,00400,0300,01/10/84 154969,S200000,00400,0500,P 154969,S200000,01500,0100,Y 154969,S200000,01600,0100,N 154969,S200000,01700,0100,N 154969,S200000,01800,0100,N 154969,S200000,02200,0100,Y 154969,S200000,02800,0100,N 154969,S200000,02900,0100,N 154969,S200000,03000,0100,N 154969,S200000,03100,0100,N 154969,S200000,03200,0100,N 154969,S200000,04100,0100,N 154969,S200000,04200,0100,N 154969,S200000,04300,0100,N 154969,S200000,04600,0100,N 154969,S200000,04700,0100,N 154969,S200000,04700,0200,N 154969,S200000,04900,0100,N 154969,S200000,05000,0100,N 154969,S200000,05100,0100,N 154969,S200000,05200,0100,N 154970,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154970,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154970,A000000,00300,0000,0300EMPLOYEE BENEFITS 154970,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154970,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154970,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154970,A000000,00700,0000,0700HOUSEKEEPING 154970,A000000,00800,0000,0800DIETARY 154970,A000000,00900,0000,0900NURSING ADMINISTRATION 154970,A000000,00901,0000,0901OTHER NURSING 154970,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154970,A000000,01100,0000,1100PHARMACY 154970,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154970,A000000,01300,0000,1300SOCIAL SERVICE 154970,A000000,01301,0000,1301ACTIVITIES 154970,A000000,01600,0000,1600SKILLED NURSING FACILITY 154970,A000000,01800,0000,1800NURSING FACILITY 154970,A000000,02100,0000,2100RADIOLOGY 154970,A000000,02200,0000,2200LABORATORY 154970,A000000,02300,0000,2300INTRAVENOUS THERAPY 154970,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154970,A000000,02500,0000,2500PHYSICAL THERAPY 154970,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154970,A000000,02700,0000,2700SPEECH PATHOLOGY 154970,A000000,02800,0000,2800ELECTROCARDIOLOGY 154970,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154970,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154970,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154970,A000000,03301,0000,3051NUTRITIONAL THERAPY 154970,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154970,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154970,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154970,A000000,04800,0000,4800AMBULANCE 154970,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154970,A000000,05300,0000,5300INTEREST EXPENSE 154970,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154970,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154970,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154970,A000000,06200,0000,6200PATIENTS LAUNDRY 154970,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154970,A000000,06301,0000,6151DAY CARE 154970,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154970,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154970,A81000A,00100,0100,Y 154970,A81000B,00100,0300,HOME OFFICE COSTS 154970,A81000B,00200,0300,LIABILITY INSURANCE 154970,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154970,A81000B,00500,0300,VC PHARMACY - ADMIN 154970,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 154970,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 154970,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 154970,A81000B,01300,0300,VC PHARMACY - IV THERAPY 154970,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 154970,A81000B,01500,0300,VENCARE REHAB - PHYS THER 154970,A81000B,01600,0300,VENCARE REHAB - OCCP THER 154970,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 154970,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 154970,A81000B,01900,0300,VC PHARMACY - LEGEND 154970,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 154970,A81000C,00100,0100,B 154970,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154970,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154970,A81000C,00100,0600,LIABILITY INSURANCE 154970,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154970,A81000C,00200,0600,PHARMACY 154970,A81000C,00300,0400,VENCARE RESPIRATORY 154970,A81000C,00300,0600,RESPIRATORY THERAPY 154970,A81000C,00400,0400,THERAPY SERVICES 154970,A81000C,00500,0400,VENCARE REHAB SERVICES 154970,A81000C,00500,0600,REHAB 154970,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 154970,A81000C,00600,0600,PORTABLE X-RAY 154970,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154970,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154970,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154970,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154970,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154970,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154970,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154970,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154970,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154970,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154970,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154970,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154970,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154970,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154970,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154970,E10A180,00350,0100,06/30/00 154970,S000000,00100,0200,12/01/00 154970,S200000,00100,0100,429 W. LINCOLN ROAD 154970,S200000,00200,0100,KOKOMO 154970,S200000,00200,0200,IN 154970,S200000,00200,0300,46902- 154970,S200000,00300,0100,HOWARD 154970,S200000,00300,0200,3850 154970,S200000,00300,0300,U 154970,S200000,00400,0100,#294 WINDSOR ESTATES HEALTH & REHAB 154970,S200000,00400,0200,155222 154970,S200000,00400,0300,07/01/86 154970,S200000,00400,0500,P 154970,S200000,01500,0100,Y 154970,S200000,01600,0100,N 154970,S200000,01700,0100,N 154970,S200000,01800,0100,N 154970,S200000,02200,0100,Y 154970,S200000,02800,0100,N 154970,S200000,02900,0100,N 154970,S200000,03000,0100,N 154970,S200000,03100,0100,N 154970,S200000,03200,0100,N 154970,S200000,04100,0100,N 154970,S200000,04200,0100,N 154970,S200000,04300,0100,N 154970,S200000,04600,0100,N 154970,S200000,04700,0100,N 154970,S200000,04700,0200,N 154970,S200000,04900,0100,N 154970,S200000,05000,0100,N 154970,S200000,05100,0100,N 154970,S200000,05200,0100,N 154971,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154971,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154971,A000000,00300,0000,0300EMPLOYEE BENEFITS 154971,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154971,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154971,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154971,A000000,00700,0000,0700HOUSEKEEPING 154971,A000000,00800,0000,0800DIETARY 154971,A000000,00900,0000,0900NURSING ADMINISTRATION 154971,A000000,00901,0000,0901OTHER NURSING 154971,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154971,A000000,01100,0000,1100PHARMACY 154971,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154971,A000000,01300,0000,1300SOCIAL SERVICE 154971,A000000,01301,0000,1301ACTIVITIES 154971,A000000,01600,0000,1600SKILLED NURSING FACILITY 154971,A000000,01800,0000,1800NURSING FACILITY 154971,A000000,02100,0000,2100RADIOLOGY 154971,A000000,02200,0000,2200LABORATORY 154971,A000000,02300,0000,2300INTRAVENOUS THERAPY 154971,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154971,A000000,02500,0000,2500PHYSICAL THERAPY 154971,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154971,A000000,02700,0000,2700SPEECH PATHOLOGY 154971,A000000,02800,0000,2800ELECTROCARDIOLOGY 154971,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154971,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154971,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154971,A000000,03301,0000,3051NUTRITIONAL THERAPY 154971,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154971,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154971,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154971,A000000,04800,0000,4800AMBULANCE 154971,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154971,A000000,05300,0000,5300INTEREST EXPENSE 154971,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154971,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154971,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154971,A000000,06200,0000,6200PATIENTS LAUNDRY 154971,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154971,A000000,06301,0000,6151DAY CARE 154971,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154971,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154971,A81000A,00100,0100,Y 154971,A81000B,00100,0300,HOME OFFICE COSTS 154971,A81000B,00200,0300,LIABILITY INSURANCE 154971,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 154971,A81000B,00500,0300,VC PHARMACY - ADMIN 154971,A81000B,00900,0300,VC PHARMACY - DIETARY 154971,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 154971,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 154971,A81000B,01200,0300,VC PHARMACY - IV THERAPY 154971,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 154971,A81000B,01400,0300,VENCARE REHAB - PHYS THER 154971,A81000B,01500,0300,VENCARE REHAB - OCCP THER 154971,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 154971,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 154971,A81000B,01800,0300,VC PHARMACY - LEGEND 154971,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 154971,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 154971,A81000C,00100,0100,B 154971,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154971,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154971,A81000C,00100,0600,LIABILITY INSURANCE 154971,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154971,A81000C,00200,0600,PHARMACY 154971,A81000C,00300,0400,VENCARE RESPIRATORY 154971,A81000C,00300,0600,RESPIRATORY THERAPY 154971,A81000C,00400,0400,THERAPY SERVICES 154971,A81000C,00500,0400,VENCARE REHAB SERVICES 154971,A81000C,00500,0600,REHAB 154971,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154971,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154971,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154971,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154971,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154971,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154971,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154971,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154971,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154971,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154971,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154971,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154971,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154971,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154971,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154971,S000000,00100,0200,12/01/00 154971,S200000,00100,0100,621 WEST COLUMBIA 154971,S200000,00200,0100,EVANSVILLE 154971,S200000,00200,0200,IN 154971,S200000,00200,0300,47710- 154971,S200000,00300,0100,VANDERBURGH 154971,S200000,00300,0200,2440 154971,S200000,00300,0300,U 154971,S200000,00400,0100,#286 COLUMBIA HEALTHCARE CENTER 154971,S200000,00400,0200,155224 154971,S200000,00400,0300,05/01/86 154971,S200000,00400,0500,P 154971,S200000,01500,0100,Y 154971,S200000,01600,0100,N 154971,S200000,01700,0100,N 154971,S200000,01800,0100,N 154971,S200000,02200,0100,Y 154971,S200000,02800,0100,N 154971,S200000,02900,0100,N 154971,S200000,03000,0100,N 154971,S200000,03100,0100,N 154971,S200000,03200,0100,N 154971,S200000,04100,0100,N 154971,S200000,04200,0100,N 154971,S200000,04300,0100,N 154971,S200000,04600,0100,N 154971,S200000,04700,0100,N 154971,S200000,04700,0200,N 154971,S200000,04900,0100,N 154971,S200000,05000,0100,N 154971,S200000,05100,0100,N 154971,S200000,05200,0100,N 154972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154972,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154972,A000000,00300,0000,0300EMPLOYEE BENEFITS 154972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154972,A000000,00700,0000,0700HOUSEKEEPING 154972,A000000,00800,0000,0800DIETARY 154972,A000000,00900,0000,0900NURSING ADMINISTRATION 154972,A000000,00901,0000,0901OTHER NURSING 154972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154972,A000000,01100,0000,1100PHARMACY 154972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154972,A000000,01300,0000,1300SOCIAL SERVICE 154972,A000000,01301,0000,1301ACTIVITIES 154972,A000000,01600,0000,1600SKILLED NURSING FACILITY 154972,A000000,01800,0000,1800NURSING FACILITY 154972,A000000,02100,0000,2100RADIOLOGY 154972,A000000,02200,0000,2200LABORATORY 154972,A000000,02300,0000,2300INTRAVENOUS THERAPY 154972,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154972,A000000,02500,0000,2500PHYSICAL THERAPY 154972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154972,A000000,02700,0000,2700SPEECH PATHOLOGY 154972,A000000,02800,0000,2800ELECTROCARDIOLOGY 154972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154972,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154972,A000000,03301,0000,3051NUTRITIONAL THERAPY 154972,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154972,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154972,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154972,A000000,04800,0000,4800AMBULANCE 154972,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154972,A000000,05300,0000,5300INTEREST EXPENSE 154972,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154972,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154972,A000000,06200,0000,6200PATIENTS LAUNDRY 154972,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154972,A000000,06301,0000,6151DAY CARE 154972,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154972,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154972,A81000A,00100,0100,Y 154972,A81000B,00100,0300,HOME OFFICE COSTS 154972,A81000B,00200,0300,LIABILITY INSURANCE 154972,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 154972,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 154972,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 154972,A81000B,01300,0300,VC PHARMACY - IV THERAPY 154972,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 154972,A81000B,01500,0300,VENCARE REHAB - PHYS THER 154972,A81000B,01600,0300,VENCARE REHAB - OCCP THER 154972,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 154972,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 154972,A81000B,01900,0300,VC PHARMACY - LEGEND 154972,A81000C,00100,0100,B 154972,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154972,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154972,A81000C,00100,0600,LIABILITY INSURANCE 154972,A81000C,00200,0400,VENCARE PHARMACY SERVICES 154972,A81000C,00200,0600,PHARMACY 154972,A81000C,00300,0400,VENCARE RESPIRATORY 154972,A81000C,00300,0600,RESPIRATORY THERAPY 154972,A81000C,00400,0400,THERAPY SERVICES 154972,A81000C,00500,0400,VENCARE REHAB SERVICES 154972,A81000C,00500,0600,REHAB 154972,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 154972,A81000C,00600,0600,PORTABLE X-RAY 154972,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154972,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154972,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154972,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154972,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154972,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154972,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154972,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154972,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154972,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154972,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 154972,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154972,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154972,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154972,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154972,S000000,00100,0200,12/01/00 154972,S200000,00100,0100,300 WINDY HILL DRIVE 154972,S200000,00200,0100,LAFAYETTE 154972,S200000,00200,0200,IN 154972,S200000,00200,0300,47905- 154972,S200000,00300,0100,TIPPECANOE 154972,S200000,00300,0200,3920 154972,S200000,00300,0300,U 154972,S200000,00400,0100,#404 REGENCY PLACE OF LAFAYETTE 154972,S200000,00400,0200,155243 154972,S200000,00400,0300,01/10/84 154972,S200000,00400,0500,P 154972,S200000,01500,0100,Y 154972,S200000,01600,0100,N 154972,S200000,01700,0100,N 154972,S200000,01800,0100,N 154972,S200000,02200,0100,Y 154972,S200000,02800,0100,N 154972,S200000,02900,0100,N 154972,S200000,03000,0100,N 154972,S200000,03100,0100,N 154972,S200000,03200,0100,N 154972,S200000,04100,0100,N 154972,S200000,04200,0100,N 154972,S200000,04300,0100,N 154972,S200000,04600,0100,N 154972,S200000,04700,0100,N 154972,S200000,04700,0200,N 154972,S200000,04900,0100,N 154972,S200000,05000,0100,N 154972,S200000,05100,0100,N 154972,S200000,05200,0100,N 154973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 154973,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 154973,A000000,00300,0000,0300EMPLOYEE BENEFITS 154973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 154973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154973,A000000,00700,0000,0700HOUSEKEEPING 154973,A000000,00800,0000,0800DIETARY 154973,A000000,00900,0000,0900NURSING ADMINISTRATION 154973,A000000,00901,0000,0901OTHER NURSING 154973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154973,A000000,01100,0000,1100PHARMACY 154973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154973,A000000,01300,0000,1300SOCIAL SERVICE 154973,A000000,01301,0000,1301ACTIVITIES 154973,A000000,01600,0000,1600SKILLED NURSING FACILITY 154973,A000000,01800,0000,1800NURSING FACILITY 154973,A000000,02100,0000,2100RADIOLOGY 154973,A000000,02200,0000,2200LABORATORY 154973,A000000,02300,0000,2300INTRAVENOUS THERAPY 154973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 154973,A000000,02500,0000,2500PHYSICAL THERAPY 154973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154973,A000000,02700,0000,2700SPEECH PATHOLOGY 154973,A000000,02800,0000,2800ELECTROCARDIOLOGY 154973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 154973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154973,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154973,A000000,03301,0000,3051NUTRITIONAL THERAPY 154973,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 154973,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 154973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154973,A000000,04800,0000,4800AMBULANCE 154973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154973,A000000,05300,0000,5300INTEREST EXPENSE 154973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 154973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 154973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154973,A000000,06200,0000,6200PATIENTS LAUNDRY 154973,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154973,A000000,06301,0000,6151DAY CARE 154973,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 154973,A000000,06303,0000,6153DISTRICT OFFICE SPACE 154973,A81000A,00100,0100,Y 154973,A81000B,00100,0300,HOME OFFICE COSTS 154973,A81000B,00200,0300,LIABILITY INSURANCE 154973,A81000B,01000,0300,MOBILE RADIOLOGY - XRAY 154973,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 154973,A81000B,01200,0300,VENCARE REHAB - PHYS THER 154973,A81000B,01300,0300,VENCARE REHAB - OCCP THER 154973,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 154973,A81000C,00100,0100,B 154973,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 154973,A81000C,00100,0400,CORNERSTONE INSURANCE CO 154973,A81000C,00100,0600,LIABILITY INSURANCE 154973,A81000C,00300,0400,VENCARE RESPIRATORY 154973,A81000C,00300,0600,RESPIRATORY THERAPY 154973,A81000C,00400,0400,THERAPY SERVICES 154973,A81000C,00500,0400,VENCARE REHAB SERVICES 154973,A81000C,00500,0600,REHAB 154973,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 154973,A81000C,00600,0600,PORTABLE X-RAY 154973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 154973,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 154973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 154973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 154973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 154973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 154973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 154973,B100000,00000,0800,0850PATIENT DAYS :DIETARY 154973,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 154973,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 154973,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 154973,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 154973,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 154973,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 154973,E10A180,00350,0100,06/30/00 154973,S000000,00100,0200,12/01/00 154973,S200000,00100,0100,6006 BRANDY CHASE COVE 154973,S200000,00200,0100,FT. WAYNE 154973,S200000,00200,0200,IN 154973,S200000,00200,0300,46815- 154973,S200000,00300,0100,ALLEN 154973,S200000,00300,0200,2760 154973,S200000,00300,0300,U 154973,S200000,00400,0100,#402 REGENCY PLACE OF FT. WAYNE 154973,S200000,00400,0200,155249 154973,S200000,00400,0300,12/24/85 154973,S200000,00400,0500,P 154973,S200000,01500,0100,Y 154973,S200000,01600,0100,N 154973,S200000,01700,0100,N 154973,S200000,01800,0100,N 154973,S200000,02200,0100,Y 154973,S200000,02800,0100,N 154973,S200000,02900,0100,N 154973,S200000,03000,0100,N 154973,S200000,03100,0100,N 154973,S200000,03200,0100,N 154973,S200000,04100,0100,N 154973,S200000,04200,0100,N 154973,S200000,04300,0100,N 154973,S200000,04600,0100,N 154973,S200000,04700,0100,N 154973,S200000,04700,0200,N 154973,S200000,04900,0100,N 154973,S200000,05000,0100,N 154973,S200000,05100,0100,N 154973,S200000,05200,0100,N 154999,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 154999,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 154999,A000000,00300,0000,0300EMPLOYEE BENEFITS 154999,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 154999,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 154999,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 154999,A000000,00700,0000,0700HOUSEKEEPING 154999,A000000,00800,0000,0800DIETARY 154999,A000000,00900,0000,0900NURSING ADMINISTRATION 154999,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 154999,A000000,01100,0000,1100PHARMACY 154999,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 154999,A000000,01300,0000,1300SOCIAL SERVICE 154999,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 154999,A000000,01500,0000,1350OTHER GENERAL SERVICES 154999,A000000,01600,0000,1600SKILLED NURSING FACILITY 154999,A000000,01800,0000,1800NURSING FACILITY 154999,A000000,01810,0000,1810ICF/MR 154999,A000000,02100,0000,2100RADIOLOGY 154999,A000000,02200,0000,2200LABORATORY 154999,A000000,02500,0000,2500PHYSICAL THERAPY 154999,A000000,02600,0000,2600OCCUPATIONAL THERAPY 154999,A000000,02700,0000,2700SPEECH PATHOLOGY 154999,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 154999,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 154999,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 154999,A000000,03550,0000,3550FQHC 154999,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 154999,A000000,04801,0000,4801AMBULANCE 154999,A000000,04802,0000,4802AMBULANCE 154999,A000000,04803,0000,4803AMBULANCE 154999,A000000,05000,0000,5000CORF 154999,A000000,05010,0000,5010CMHC 154999,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 154999,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 154999,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 154999,A000000,05100,0000,4750OTHER REIMBURSABLE COST 154999,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 154999,A000000,05900,0000,5900BARBER & BEAUTY SHOP 154999,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 154999,A81000A,00100,0100,Y 154999,A81000B,00100,0300,LEASE EXPENSE 154999,A81000B,00200,0300,HOME OFFICE 154999,A81000B,00300,0300,HOME OFFICE 154999,A81000B,00400,0300,INTEREST EXPENSE 154999,A81000C,00100,0100,A 154999,A81000C,00100,0200,JAMES J. GIARDINA 154999,A81000C,00100,0400,JAMES J. GIARDINA 154999,A81000C,00100,0600,INDIVIDUAL 154999,B100000,00000,0100,0100SQUARE FEET 154999,B100000,00000,0200,0200SQUARE FEET 154999,B100000,00000,0300,0300GROSS SALARIES 154999,B100000,00000,0400,0400ACCUM COST 154999,B100000,00000,0500,0500SQUARE FEET 154999,B100000,00000,0600,0600POUNDS OF LAUNDRY 154999,B100000,00000,0700,0700SQUARE FEET C 154999,B100000,00000,0800,0800MEALS SERVED 154999,B100000,00000,0900,0900DIRECT NRSING HRS 154999,B100000,00000,1000,1000COSTED REQUIS. 154999,B100000,00000,1100,1100NO STATISTICS 154999,B100000,00000,1200,1200TIME SPENT 154999,B100000,00000,1300,1300TIME SPENT 154999,B100000,00000,1400,1400NO STATISTICS 154999,B100000,00000,1500,1350NO STATISTICS 154999,E10A180,00505,0300,05/24/00 154999,S000000,00100,0200,04/28/00 154999,S200000,00100,0100,1700 SOUTH HUDSON 154999,S200000,00200,0100,AURORA 154999,S200000,00200,0200,MO 154999,S200000,00300,0100,LAWRANCE 154999,S200000,00300,0200,0026 154999,S200000,00300,0300,R 154999,S200000,00400,0100,AURORA NURSING CENTER 154999,S200000,00400,0200,265182 154999,S200000,00400,0300,01/01/83 154999,S200000,00400,0500,P 154999,S200000,01500,0100,N 154999,S200000,01600,0100,Y 154999,S200000,01700,0100,N 154999,S200000,01800,0100,N 154999,S200000,02200,0100,N 154999,S200000,02800,0100,N 154999,S200000,02900,0100,N 154999,S200000,03000,0100,N 154999,S200000,03100,0100,N 154999,S200000,03200,0100,N 154999,S200000,03300,0100,N 154999,S200000,03300,0200,N 154999,S200000,04100,0100,N 154999,S200000,04200,0100,N 154999,S200000,04300,0100,N 154999,S200000,04600,0100,N 154999,S200000,04700,0100,N 154999,S200000,04900,0100,N 154999,S200000,05000,0100,N 154999,S200000,05100,0100,N 154999,S200000,05200,0100,N 155058,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 155058,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 155058,A000000,00300,0000,0300EMPLOYEE BENEFITS 155058,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155058,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 155058,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155058,A000000,00700,0000,0700HOUSEKEEPING 155058,A000000,00800,0000,0800DIETARY 155058,A000000,00900,0000,0900NURSING ADMINISTRATION 155058,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155058,A000000,01100,0000,1100PHARMACY 155058,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155058,A000000,01300,0000,1300SOCIAL SERVICE 155058,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 155058,A000000,01500,0000,1350OTHER GENERAL SERVICES 155058,A000000,01600,0000,1600SKILLED NURSING FACILITY 155058,A000000,01810,0000,1810ICF/MR 155058,A000000,02100,0000,2100RADIOLOGY 155058,A000000,02200,0000,2200LABORATORY 155058,A000000,02300,0000,2300INTRAVENOUS THERAPY 155058,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155058,A000000,02500,0000,2500PHYSICAL THERAPY 155058,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155058,A000000,02700,0000,2700SPEECH PATHOLOGY 155058,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 155058,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155058,A000000,03200,0000,3200SUPPORT SURFACES 155058,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155058,A000000,03550,0000,3550FQHC 155058,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155058,A000000,04801,0000,4801AMBULANCE 155058,A000000,04802,0000,4802AMBULANCE 155058,A000000,04803,0000,4803AMBULANCE 155058,A000000,05000,0000,5000CORF 155058,A000000,05010,0000,5010CMHC 155058,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 155058,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 155058,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 155058,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155058,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155058,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 155058,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155058,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155058,A81000A,00100,0100,Y 155058,A81000B,00100,0300,RENT 155058,A81000B,00200,0300,MORTGAGE INTEREST 155058,A81000B,00300,0300,A&G - BUILDING 155058,A81000B,00400,0300,A&G - EQUIPMENT 155058,A81000B,00500,0300,HOME OFFICE ADMIN COST 155058,A81000C,00100,0100,A 155058,A81000C,00100,0200,MORRIS WEISS 155058,A81000C,00100,0400,MORRIS WEISS 155058,A81000C,00100,0600,RENTAL 155058,B100000,00000,0100,0100SQUARE FEET 155058,B100000,00000,0200,0200SQUARE FEET 155058,B100000,00000,0300,0300GROSS SALARIES 155058,B100000,00000,0400,0400ACCUM COST 155058,B100000,00000,0500,0500SQUARE FEET 155058,B100000,00000,0600,0600POUNDS OF LAUNDRY 155058,B100000,00000,0700,0700SQUARE FEET 155058,B100000,00000,0800,0800MEALS SERVED 155058,B100000,00000,0900,0900DIRECT NRSING HRS 155058,B100000,00000,1000,1000PATIENT DAYS 155058,B100000,00000,1100,1100COSTED REQUIS. 155058,B100000,00000,1200,1200GROSS CHARGES 155058,B100000,00000,1300,1300PATIENT DAYS 155058,B100000,00000,1400,1400ASSIGNED TIME 155058,B100000,00000,1500,1350NO STATISTICS 155058,E10A180,00350,0300,09/16/99 155058,E10A180,00501,0100,05/30/00 155058,E10A180,00501,0300,08/03/00 155058,E10A180,00502,0100,08/03/00 155058,E10A180,00502,0300,07/27/01 155058,E10A180,00503,0100,10/03/01 155058,E10A180,00550,0100,07/27/01 155058,E10A180,00550,0300,05/30/00 155058,E10A180,00551,0300,10/03/01 155058,S000000,00100,0200,05/31/00 155058,S200000,00100,0100,8203 TELEGRAPH RD 155058,S200000,00200,0100,PICO RIVERA 155058,S200000,00200,0200,CA 155058,S200000,00200,0300,90660 155058,S200000,00300,0100,LOS ANGELES 155058,S200000,00300,0200,4480 155058,S200000,00300,0300,U 155058,S200000,00400,0100,RIVIERA NURSING & REHAB CENTER 155058,S200000,00400,0200,055045 155058,S200000,00400,0300,01/01/67 155058,S200000,00400,0500,P 155058,S200000,01500,0100,Y 155058,S200000,01600,0100,N 155058,S200000,01700,0100,N 155058,S200000,01800,0100,N 155058,S200000,02200,0100,N 155058,S200000,02800,0100,N 155058,S200000,02900,0100,N 155058,S200000,03000,0100,N 155058,S200000,03100,0100,N 155058,S200000,03200,0100,N 155058,S200000,03300,0100,N 155058,S200000,03300,0200,N 155058,S200000,04100,0100,N 155058,S200000,04200,0100,N 155058,S200000,04300,0100,N 155058,S200000,04600,0100,N 155058,S200000,04700,0100,N 155058,S200000,04700,0200,N 155058,S200000,04900,0100,N 155515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155515,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155515,A000000,00300,0000,0300EMPLOYEE BENEFITS 155515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155515,A000000,00700,0000,0700HOUSEKEEPING 155515,A000000,00800,0000,0800DIETARY 155515,A000000,00900,0000,0900NURSING ADMINISTRATION 155515,A000000,00901,0000,0901OTHER NURSING 155515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155515,A000000,01100,0000,1100PHARMACY 155515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155515,A000000,01300,0000,1300SOCIAL SERVICE 155515,A000000,01301,0000,1301ACTIVITIES 155515,A000000,01600,0000,1600SKILLED NURSING FACILITY 155515,A000000,01800,0000,1800NURSING FACILITY 155515,A000000,02100,0000,2100RADIOLOGY 155515,A000000,02200,0000,2200LABORATORY 155515,A000000,02300,0000,2300INTRAVENOUS THERAPY 155515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155515,A000000,02500,0000,2500PHYSICAL THERAPY 155515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155515,A000000,02700,0000,2700SPEECH PATHOLOGY 155515,A000000,02800,0000,2800ELECTROCARDIOLOGY 155515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155515,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155515,A000000,03301,0000,3051NUTRITIONAL THERAPY 155515,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155515,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155515,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155515,A000000,04800,0000,4800AMBULANCE 155515,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155515,A000000,05300,0000,5300INTEREST EXPENSE 155515,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155515,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155515,A000000,06200,0000,6200PATIENTS LAUNDRY 155515,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155515,A000000,06301,0000,6151DAY CARE 155515,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155515,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155515,A81000A,00100,0100,Y 155515,A81000B,00100,0300,HOME OFFICE COSTS 155515,A81000B,00200,0300,LIABILITY INSURANCE 155515,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155515,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155515,A81000B,00500,0300,VC PHARMACY - ADMIN 155515,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155515,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155515,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155515,A81000B,00900,0300,VC PHARMACY - DIETARY 155515,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155515,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155515,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155515,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155515,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155515,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155515,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155515,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155515,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155515,A81000B,01900,0300,VC PHARMACY - LAB 155515,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155515,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155515,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155515,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155515,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155515,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155515,A81000B,02600,0300,VC PHARMACY - LEGEND 155515,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155515,A81000B,02800,0300,VC PHARMACY - NUTR THER 155515,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155515,A81000C,00100,0100,B 155515,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155515,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155515,A81000C,00100,0600,LIABILITY INSURANCE 155515,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155515,A81000C,00200,0600,PHARMACY 155515,A81000C,00300,0400,VENCARE RESPIRATORY 155515,A81000C,00300,0600,RESPIRATORY THERAPY 155515,A81000C,00400,0400,THERAPY SERVICES 155515,A81000C,00500,0400,VENCARE REHAB SERVICES 155515,A81000C,00500,0600,REHAB 155515,A81000C,00600,0400,MOBILE RADIOLOGY 155515,A81000C,00600,0600,X-RAY 155515,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155515,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155515,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155515,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155515,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155515,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155515,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155515,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155515,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155515,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155515,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155515,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155515,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155515,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155515,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155515,E10A180,00350,0100,06/30/00 155515,S000000,00100,0200,12/01/00 155515,S200000,00100,0100,401 MALLEY DRIVE 155515,S200000,00200,0100,NORTH GLENN 155515,S200000,00200,0200,CO 155515,S200000,00200,0300,80233- 155515,S200000,00300,0100,ADAMS 155515,S200000,00300,0200,2080 155515,S200000,00300,0300,U 155515,S200000,00400,0100,859 - CASTLE GARDEN CARE CENTER 155515,S200000,00400,0200,065196 155515,S200000,00400,0300,10/01/84 155515,S200000,00400,0500,P 155515,S200000,01500,0100,Y 155515,S200000,01600,0100,N 155515,S200000,01700,0100,N 155515,S200000,01800,0100,N 155515,S200000,02200,0100,Y 155515,S200000,02800,0100,Y 155515,S200000,02900,0100,N 155515,S200000,03000,0100,N 155515,S200000,03100,0100,N 155515,S200000,03200,0100,N 155515,S200000,04100,0100,N 155515,S200000,04200,0100,N 155515,S200000,04300,0100,N 155515,S200000,04600,0100,N 155515,S200000,04700,0100,N 155515,S200000,04700,0200,N 155515,S200000,04900,0100,N 155515,S200000,05000,0100,N 155515,S200000,05100,0100,N 155515,S200000,05200,0100,N 155516,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155516,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155516,A000000,00300,0000,0300EMPLOYEE BENEFITS 155516,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155516,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155516,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155516,A000000,00700,0000,0700HOUSEKEEPING 155516,A000000,00800,0000,0800DIETARY 155516,A000000,00900,0000,0900NURSING ADMINISTRATION 155516,A000000,00901,0000,0901OTHER NURSING 155516,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155516,A000000,01100,0000,1100PHARMACY 155516,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155516,A000000,01300,0000,1300SOCIAL SERVICE 155516,A000000,01301,0000,1301ACTIVITIES 155516,A000000,01600,0000,1600SKILLED NURSING FACILITY 155516,A000000,01800,0000,1800NURSING FACILITY 155516,A000000,02100,0000,2100RADIOLOGY 155516,A000000,02200,0000,2200LABORATORY 155516,A000000,02300,0000,2300INTRAVENOUS THERAPY 155516,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155516,A000000,02500,0000,2500PHYSICAL THERAPY 155516,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155516,A000000,02700,0000,2700SPEECH PATHOLOGY 155516,A000000,02800,0000,2800ELECTROCARDIOLOGY 155516,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155516,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155516,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155516,A000000,03301,0000,3051NUTRITIONAL THERAPY 155516,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155516,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155516,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155516,A000000,04800,0000,4800AMBULANCE 155516,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155516,A000000,05300,0000,5300INTEREST EXPENSE 155516,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155516,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155516,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155516,A000000,06200,0000,6200PATIENTS LAUNDRY 155516,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155516,A000000,06301,0000,6151DAY CARE 155516,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155516,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155516,A81000A,00100,0100,Y 155516,A81000B,00100,0300,HOME OFFICE COSTS 155516,A81000B,00200,0300,LIABILITY INSURANCE 155516,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155516,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155516,A81000B,00500,0300,VC PHARMACY - ADMIN 155516,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155516,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155516,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155516,A81000B,00900,0300,VC PHARMACY - DIETARY 155516,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155516,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155516,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155516,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155516,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155516,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155516,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155516,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155516,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155516,A81000B,01900,0300,VC PHARMACY - LAB 155516,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155516,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155516,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155516,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155516,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155516,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155516,A81000B,02600,0300,VC PHARMACY - LEGEND 155516,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155516,A81000B,02800,0300,VC PHARMACY - NUTR THER 155516,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155516,A81000C,00100,0100,B 155516,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155516,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155516,A81000C,00100,0600,LIABILITY INSURANCE 155516,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155516,A81000C,00200,0600,PHARMACY 155516,A81000C,00300,0400,VENCARE RESPIRATORY 155516,A81000C,00300,0600,RESPIRATORY THERAPY 155516,A81000C,00400,0400,THERAPY SERVICES 155516,A81000C,00500,0400,VENCARE REHAB SERVICES 155516,A81000C,00500,0600,REHAB 155516,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155516,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155516,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155516,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155516,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155516,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155516,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155516,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155516,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155516,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155516,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155516,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155516,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155516,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155516,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155516,E10A180,00301,0100,06/30/00 155516,S000000,00100,0200,12/11/00 155516,S200000,00100,0100,950 MELLONVILLE AVENUE 155516,S200000,00200,0100,SANFORD 155516,S200000,00200,0200,FL 155516,S200000,00200,0300,32771- 155516,S200000,00300,0100,SEMINOLE 155516,S200000,00300,0200,5960 155516,S200000,00300,0300,U 155516,S200000,00400,0100,#124-HEALTHCARE & REHAB OF SANFORD 155516,S200000,00400,0200,105539 155516,S200000,00400,0300,03/01/86 155516,S200000,00400,0500,P 155516,S200000,01500,0100,N 155516,S200000,01600,0100,Y 155516,S200000,01700,0100,N 155516,S200000,01800,0100,N 155516,S200000,02200,0100,Y 155516,S200000,02800,0100,N 155516,S200000,02900,0100,N 155516,S200000,03000,0100,N 155516,S200000,03100,0100,N 155516,S200000,03200,0100,N 155516,S200000,04100,0100,N 155516,S200000,04200,0100,N 155516,S200000,04300,0100,N 155516,S200000,04600,0100,N 155516,S200000,04700,0100,N 155516,S200000,04700,0200,N 155516,S200000,04900,0100,N 155516,S200000,05000,0100,N 155516,S200000,05100,0100,N 155516,S200000,05200,0100,N 155517,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155517,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155517,A000000,00300,0000,0300EMPLOYEE BENEFITS 155517,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155517,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155517,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155517,A000000,00700,0000,0700HOUSEKEEPING 155517,A000000,00800,0000,0800DIETARY 155517,A000000,00900,0000,0900NURSING ADMINISTRATION 155517,A000000,00901,0000,0901OTHER NURSING 155517,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155517,A000000,01100,0000,1100PHARMACY 155517,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155517,A000000,01300,0000,1300SOCIAL SERVICE 155517,A000000,01301,0000,1301ACTIVITIES 155517,A000000,01600,0000,1600SKILLED NURSING FACILITY 155517,A000000,01800,0000,1800NURSING FACILITY 155517,A000000,02100,0000,2100RADIOLOGY 155517,A000000,02200,0000,2200LABORATORY 155517,A000000,02300,0000,2300INTRAVENOUS THERAPY 155517,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155517,A000000,02500,0000,2500PHYSICAL THERAPY 155517,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155517,A000000,02700,0000,2700SPEECH PATHOLOGY 155517,A000000,02800,0000,2800ELECTROCARDIOLOGY 155517,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155517,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155517,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155517,A000000,03301,0000,3051NUTRITIONAL THERAPY 155517,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155517,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155517,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155517,A000000,04800,0000,4800AMBULANCE 155517,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155517,A000000,05300,0000,5300INTEREST EXPENSE 155517,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155517,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155517,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155517,A000000,06200,0000,6200PATIENTS LAUNDRY 155517,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155517,A000000,06301,0000,6151DAY CARE 155517,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155517,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155517,A81000A,00100,0100,Y 155517,A81000B,00100,0300,HOME OFFICE COSTS 155517,A81000B,00200,0300,LIABILITY INSURANCE 155517,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155517,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155517,A81000B,00500,0300,VC PHARMACY - ADMIN 155517,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155517,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155517,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155517,A81000B,00900,0300,VC PHARMACY - DIETARY 155517,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155517,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155517,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155517,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155517,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155517,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155517,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155517,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155517,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155517,A81000B,01900,0300,VC PHARMACY - LAB 155517,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155517,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155517,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155517,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155517,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155517,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155517,A81000B,02600,0300,VC PHARMACY - LEGEND 155517,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155517,A81000B,02800,0300,VC PHARMACY - NUTR THER 155517,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155517,A81000C,00100,0100,B 155517,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155517,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155517,A81000C,00100,0600,LIABILITY INSURANCE 155517,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155517,A81000C,00200,0600,PHARMACY 155517,A81000C,00300,0400,VENCARE RESPIRATORY 155517,A81000C,00300,0600,RESPIRATORY THERAPY 155517,A81000C,00400,0400,THERAPY SERVICES 155517,A81000C,00500,0400,VENCARE REHAB SERVICES 155517,A81000C,00500,0600,REHAB 155517,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 155517,A81000C,00600,0600,PORTABLE X-RAY 155517,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155517,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155517,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155517,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155517,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155517,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155517,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155517,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155517,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155517,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155517,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155517,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155517,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155517,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155517,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155517,E10A180,00350,0100,06/30/00 155517,S000000,00100,0200,12/11/00 155517,S200000,00100,0100,15002 HUTCHINSON ROAD 155517,S200000,00200,0100,TAMPA 155517,S200000,00200,0200,FL 155517,S200000,00200,0300,33625- 155517,S200000,00300,0100,HILLSBOROUGH 155517,S200000,00300,0200,8280 155517,S200000,00300,0300,U 155517,S200000,00400,0100,372-CARROLLWOOD CARE CENTER 155517,S200000,00400,0200,105553 155517,S200000,00400,0300,01/09/87 155517,S200000,00400,0500,P 155517,S200000,01500,0100,N 155517,S200000,01600,0100,Y 155517,S200000,01700,0100,N 155517,S200000,01800,0100,N 155517,S200000,02200,0100,Y 155517,S200000,02800,0100,N 155517,S200000,02900,0100,N 155517,S200000,03000,0100,N 155517,S200000,03100,0100,N 155517,S200000,03200,0100,N 155517,S200000,04100,0100,N 155517,S200000,04200,0100,N 155517,S200000,04300,0100,N 155517,S200000,04600,0100,N 155517,S200000,04700,0100,N 155517,S200000,04700,0200,N 155517,S200000,04900,0100,N 155517,S200000,05000,0100,N 155517,S200000,05100,0100,N 155517,S200000,05200,0100,N 155518,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155518,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155518,A000000,00300,0000,0300EMPLOYEE BENEFITS 155518,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155518,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155518,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155518,A000000,00700,0000,0700HOUSEKEEPING 155518,A000000,00800,0000,0800DIETARY 155518,A000000,00900,0000,0900NURSING ADMINISTRATION 155518,A000000,00901,0000,0901OTHER NURSING 155518,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155518,A000000,01100,0000,1100PHARMACY 155518,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155518,A000000,01300,0000,1300SOCIAL SERVICE 155518,A000000,01301,0000,1301ACTIVITIES 155518,A000000,01600,0000,1600SKILLED NURSING FACILITY 155518,A000000,01800,0000,1800NURSING FACILITY 155518,A000000,02100,0000,2100RADIOLOGY 155518,A000000,02200,0000,2200LABORATORY 155518,A000000,02300,0000,2300INTRAVENOUS THERAPY 155518,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155518,A000000,02500,0000,2500PHYSICAL THERAPY 155518,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155518,A000000,02700,0000,2700SPEECH PATHOLOGY 155518,A000000,02800,0000,2800ELECTROCARDIOLOGY 155518,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155518,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155518,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155518,A000000,03301,0000,3051NUTRITIONAL THERAPY 155518,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155518,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155518,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155518,A000000,04800,0000,4800AMBULANCE 155518,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155518,A000000,05300,0000,5300INTEREST EXPENSE 155518,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155518,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155518,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155518,A000000,06200,0000,6200PATIENTS LAUNDRY 155518,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155518,A000000,06301,0000,6151DAY CARE 155518,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155518,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155518,A81000A,00100,0100,Y 155518,A81000B,00100,0300,HOME OFFICE COSTS 155518,A81000B,00200,0300,LIABILITY INSURANCE 155518,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155518,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155518,A81000B,00500,0300,VC PHARMACY - ADMIN 155518,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155518,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155518,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155518,A81000B,00900,0300,VC PHARMACY - DIETARY 155518,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155518,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155518,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155518,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155518,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155518,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155518,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155518,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155518,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155518,A81000B,01900,0300,VC PHARMACY - LAB 155518,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155518,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155518,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155518,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155518,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155518,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155518,A81000B,02600,0300,VC PHARMACY - LEGEND 155518,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155518,A81000B,02800,0300,VC PHARMACY - NUTR THER 155518,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155518,A81000C,00100,0100,B 155518,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155518,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155518,A81000C,00100,0600,LIABILITY INSURANCE 155518,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155518,A81000C,00200,0600,PHARMACY 155518,A81000C,00300,0400,VENCARE RESPIRATORY 155518,A81000C,00300,0600,RESPIRATORY THERAPY 155518,A81000C,00400,0400,THERAPY SERVICES 155518,A81000C,00500,0400,VENCARE REHAB SERVICES 155518,A81000C,00500,0600,REHAB 155518,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155518,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155518,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155518,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155518,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155518,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155518,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155518,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155518,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155518,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155518,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155518,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155518,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155518,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155518,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155518,E10A180,00301,0100,06/30/00 155518,S000000,00100,0200,12/11/00 155518,S200000,00100,0100,13719 LAKESHORE BOULEVARD 155518,S200000,00200,0100,HUDSON 155518,S200000,00200,0200,FL 155518,S200000,00200,0300,34667- 155518,S200000,00300,0100,PASCO 155518,S200000,00300,0200,8280 155518,S200000,00300,0300,U 155518,S200000,00400,0100,181-WINDSOR WOODS CONVALESCENT CTR 155518,S200000,00400,0200,105568 155518,S200000,00400,0300,05/11/87 155518,S200000,00400,0500,P 155518,S200000,01500,0100,N 155518,S200000,01600,0100,Y 155518,S200000,01700,0100,N 155518,S200000,01800,0100,N 155518,S200000,02200,0100,Y 155518,S200000,02800,0100,N 155518,S200000,02900,0100,N 155518,S200000,03000,0100,N 155518,S200000,03100,0100,N 155518,S200000,03200,0100,N 155518,S200000,04100,0100,N 155518,S200000,04200,0100,N 155518,S200000,04300,0100,N 155518,S200000,04600,0100,N 155518,S200000,04700,0100,N 155518,S200000,04700,0200,N 155518,S200000,04900,0100,N 155518,S200000,05000,0100,N 155518,S200000,05100,0100,N 155518,S200000,05200,0100,N 155519,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155519,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155519,A000000,00300,0000,0300EMPLOYEE BENEFITS 155519,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155519,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155519,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155519,A000000,00700,0000,0700HOUSEKEEPING 155519,A000000,00800,0000,0800DIETARY 155519,A000000,00900,0000,0900NURSING ADMINISTRATION 155519,A000000,00901,0000,0901OTHER NURSING 155519,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155519,A000000,01100,0000,1100PHARMACY 155519,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155519,A000000,01300,0000,1300SOCIAL SERVICE 155519,A000000,01301,0000,1301ACTIVITIES 155519,A000000,01600,0000,1600SKILLED NURSING FACILITY 155519,A000000,01800,0000,1800NURSING FACILITY 155519,A000000,02100,0000,2100RADIOLOGY 155519,A000000,02200,0000,2200LABORATORY 155519,A000000,02300,0000,2300INTRAVENOUS THERAPY 155519,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155519,A000000,02500,0000,2500PHYSICAL THERAPY 155519,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155519,A000000,02700,0000,2700SPEECH PATHOLOGY 155519,A000000,02800,0000,2800ELECTROCARDIOLOGY 155519,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155519,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155519,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155519,A000000,03301,0000,3051NUTRITIONAL THERAPY 155519,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155519,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155519,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155519,A000000,04800,0000,4800AMBULANCE 155519,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155519,A000000,05300,0000,5300INTEREST EXPENSE 155519,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155519,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155519,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155519,A000000,06200,0000,6200PATIENTS LAUNDRY 155519,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155519,A000000,06301,0000,6151DAY CARE 155519,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155519,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155519,A81000A,00100,0100,Y 155519,A81000B,00100,0300,HOME OFFICE COSTS 155519,A81000B,00200,0300,LIABILITY INSURANCE 155519,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155519,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155519,A81000B,00500,0300,VC PHARMACY - ADMIN 155519,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155519,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155519,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155519,A81000B,00900,0300,VC PHARMACY - DIETARY 155519,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155519,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155519,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155519,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155519,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155519,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155519,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155519,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155519,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155519,A81000B,01900,0300,VC PHARMACY - LAB 155519,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155519,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155519,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155519,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155519,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155519,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155519,A81000B,02600,0300,VC PHARMACY - LEGEND 155519,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155519,A81000B,02800,0300,VC PHARMACY - NUTR THER 155519,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155519,A81000C,00100,0100,B 155519,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155519,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155519,A81000C,00100,0600,LIABILITY INSURANCE 155519,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155519,A81000C,00200,0600,PHARMACY 155519,A81000C,00300,0400,VENCARE RESPIRATORY 155519,A81000C,00300,0600,RESPIRATORY THERAPY 155519,A81000C,00400,0400,THERAPY SERVICES 155519,A81000C,00500,0400,VENCARE REHAB SERVICES 155519,A81000C,00500,0600,REHAB 155519,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 155519,A81000C,00600,0600,PORTABLE X-RAY 155519,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155519,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155519,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155519,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155519,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155519,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155519,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155519,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155519,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155519,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155519,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155519,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155519,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155519,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155519,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155519,S000000,00100,0200,12/04/00 155519,S200000,00100,0100,51 WEST SAMPLE ROAD 155519,S200000,00200,0100,POMPANO BEACH 155519,S200000,00200,0200,FL 155519,S200000,00200,0300,33064- 155519,S200000,00300,0100,BROWARD 155519,S200000,00300,0200,2680 155519,S200000,00300,0300,U 155519,S200000,00400,0100,1232-POMPANO REHAB & NURSING CNTR 155519,S200000,00400,0200,105572 155519,S200000,00400,0300,04/01/95 155519,S200000,00400,0500,P 155519,S200000,01500,0100,N 155519,S200000,01600,0100,Y 155519,S200000,01700,0100,N 155519,S200000,01800,0100,N 155519,S200000,02200,0100,Y 155519,S200000,02800,0100,N 155519,S200000,02900,0100,N 155519,S200000,03000,0100,N 155519,S200000,03100,0100,N 155519,S200000,03200,0100,N 155519,S200000,04100,0100,N 155519,S200000,04200,0100,N 155519,S200000,04300,0100,N 155519,S200000,04600,0100,N 155519,S200000,04700,0100,N 155519,S200000,04700,0200,N 155519,S200000,04900,0100,N 155519,S200000,05000,0100,N 155519,S200000,05100,0100,N 155519,S200000,05200,0100,N 155520,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155520,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155520,A000000,00300,0000,0300EMPLOYEE BENEFITS 155520,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155520,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155520,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155520,A000000,00700,0000,0700HOUSEKEEPING 155520,A000000,00800,0000,0800DIETARY 155520,A000000,00900,0000,0900NURSING ADMINISTRATION 155520,A000000,00901,0000,0901OTHER NURSING 155520,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155520,A000000,01100,0000,1100PHARMACY 155520,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155520,A000000,01300,0000,1300SOCIAL SERVICE 155520,A000000,01301,0000,1301ACTIVITIES 155520,A000000,01600,0000,1600SKILLED NURSING FACILITY 155520,A000000,01800,0000,1800NURSING FACILITY 155520,A000000,02100,0000,2100RADIOLOGY 155520,A000000,02200,0000,2200LABORATORY 155520,A000000,02300,0000,2300INTRAVENOUS THERAPY 155520,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155520,A000000,02500,0000,2500PHYSICAL THERAPY 155520,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155520,A000000,02700,0000,2700SPEECH PATHOLOGY 155520,A000000,02800,0000,2800ELECTROCARDIOLOGY 155520,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155520,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155520,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155520,A000000,03301,0000,3051NUTRITIONAL THERAPY 155520,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155520,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155520,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155520,A000000,04800,0000,4800AMBULANCE 155520,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155520,A000000,05300,0000,5300INTEREST EXPENSE 155520,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155520,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155520,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155520,A000000,06200,0000,6200PATIENTS LAUNDRY 155520,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155520,A000000,06301,0000,6151DAY CARE 155520,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155520,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155520,A81000A,00100,0100,Y 155520,A81000B,00100,0300,HOME OFFICE COSTS 155520,A81000B,00200,0300,LIABILITY INSURANCE 155520,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155520,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155520,A81000B,00500,0300,VC PHARMACY - ADMIN 155520,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155520,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155520,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155520,A81000B,00900,0300,VC PHARMACY - DIETARY 155520,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155520,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155520,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155520,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155520,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155520,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155520,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155520,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155520,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155520,A81000B,01900,0300,VC PHARMACY - LAB 155520,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155520,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155520,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155520,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155520,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155520,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155520,A81000B,02600,0300,VC PHARMACY - LEGEND 155520,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155520,A81000B,02800,0300,VC PHARMACY - NUTR THER 155520,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155520,A81000C,00100,0100,B 155520,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155520,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155520,A81000C,00100,0600,LIABILITY INSURANCE 155520,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155520,A81000C,00200,0600,PHARMACY 155520,A81000C,00300,0400,VENCARE RESPIRATORY 155520,A81000C,00300,0600,RESPIRATORY THERAPY 155520,A81000C,00400,0400,THERAPY SERVICES 155520,A81000C,00500,0400,VENCARE REHAB SERVICES 155520,A81000C,00500,0600,REHAB 155520,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 155520,A81000C,00600,0600,PORTABLE X-RAY 155520,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155520,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155520,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155520,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155520,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155520,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155520,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155520,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155520,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155520,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155520,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155520,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155520,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155520,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155520,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155520,E10A180,00301,0100,06/30/00 155520,S000000,00100,0200,12/04/00 155520,S200000,00100,0100,401 EAST SAMPLE ROAD 155520,S200000,00200,0100,POMPANO BEACH 155520,S200000,00200,0200,FL 155520,S200000,00200,0300,33064- 155520,S200000,00300,0100,BROWARD 155520,S200000,00300,0200,2680 155520,S200000,00300,0300,U 155520,S200000,00400,0100,1218-NORTH BROWARD REHAB & NSG CNTR 155520,S200000,00400,0200,105622 155520,S200000,00400,0300,04/01/95 155520,S200000,00400,0500,P 155520,S200000,01500,0100,N 155520,S200000,01600,0100,Y 155520,S200000,01700,0100,N 155520,S200000,01800,0100,N 155520,S200000,02200,0100,Y 155520,S200000,02800,0100,N 155520,S200000,02900,0100,N 155520,S200000,03000,0100,N 155520,S200000,03100,0100,N 155520,S200000,03200,0100,N 155520,S200000,04100,0100,N 155520,S200000,04200,0100,N 155520,S200000,04300,0100,N 155520,S200000,04600,0100,N 155520,S200000,04700,0100,N 155520,S200000,04700,0200,N 155520,S200000,04900,0100,N 155520,S200000,05000,0100,N 155520,S200000,05100,0100,N 155520,S200000,05200,0100,N 155521,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155521,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155521,A000000,00300,0000,0300EMPLOYEE BENEFITS 155521,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155521,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155521,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155521,A000000,00700,0000,0700HOUSEKEEPING 155521,A000000,00800,0000,0800DIETARY 155521,A000000,00900,0000,0900NURSING ADMINISTRATION 155521,A000000,00901,0000,0901OTHER NURSING 155521,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155521,A000000,01100,0000,1100PHARMACY 155521,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155521,A000000,01300,0000,1300SOCIAL SERVICE 155521,A000000,01301,0000,1301ACTIVITIES 155521,A000000,01600,0000,1600SKILLED NURSING FACILITY 155521,A000000,01800,0000,1800NURSING FACILITY 155521,A000000,02100,0000,2100RADIOLOGY 155521,A000000,02200,0000,2200LABORATORY 155521,A000000,02300,0000,2300INTRAVENOUS THERAPY 155521,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155521,A000000,02500,0000,2500PHYSICAL THERAPY 155521,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155521,A000000,02700,0000,2700SPEECH PATHOLOGY 155521,A000000,02800,0000,2800ELECTROCARDIOLOGY 155521,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155521,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155521,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155521,A000000,03301,0000,3051NUTRITIONAL THERAPY 155521,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155521,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155521,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155521,A000000,04800,0000,4800AMBULANCE 155521,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155521,A000000,05300,0000,5300INTEREST EXPENSE 155521,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155521,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155521,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155521,A000000,06200,0000,6200PATIENTS LAUNDRY 155521,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155521,A000000,06301,0000,6151DAY CARE 155521,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155521,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155521,A81000A,00100,0100,Y 155521,A81000B,00100,0300,HOME OFFICE COSTS 155521,A81000B,00200,0300,LIABILITY INSURANCE 155521,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155521,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155521,A81000B,00500,0300,VC PHARMACY - ADMIN 155521,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155521,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155521,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155521,A81000B,00900,0300,VC PHARMACY - DIETARY 155521,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155521,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155521,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155521,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155521,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155521,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155521,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155521,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155521,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155521,A81000B,01900,0300,VC PHARMACY - LAB 155521,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155521,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155521,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155521,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155521,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155521,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155521,A81000B,02600,0300,VC PHARMACY - LEGEND 155521,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155521,A81000B,02800,0300,VC PHARMACY - NUTR THER 155521,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155521,A81000C,00100,0100,B 155521,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155521,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155521,A81000C,00100,0600,LIABILITY INSURANCE 155521,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155521,A81000C,00200,0600,PHARMACY 155521,A81000C,00300,0400,VENCARE RESPIRATORY 155521,A81000C,00300,0600,RESPIRATORY THERAPY 155521,A81000C,00400,0400,THERAPY SERVICES 155521,A81000C,00500,0400,VENCARE REHAB SERVICES 155521,A81000C,00500,0600,REHAB 155521,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155521,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155521,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155521,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155521,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155521,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155521,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155521,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155521,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155521,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155521,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155521,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155521,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155521,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155521,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155521,E10A180,00350,0100,06/30/00 155521,S000000,00100,0200,12/01/00 155521,S200000,00100,0100,210 CLEVELAND BLVD 155521,S200000,00200,0100,CALDWELL 155521,S200000,00200,0200,ID 155521,S200000,00200,0300,83605- 155521,S200000,00300,0100,CANYON 155521,S200000,00300,0200,1080 155521,S200000,00300,0300,U 155521,S200000,00400,0100,217 - CALDWELL CARE CENTER 155521,S200000,00400,0200,135014 155521,S200000,00400,0300,01/01/84 155521,S200000,00400,0500,P 155521,S200000,01500,0100,Y 155521,S200000,01600,0100,N 155521,S200000,01700,0100,N 155521,S200000,01800,0100,N 155521,S200000,02200,0100,Y 155521,S200000,02800,0100,N 155521,S200000,02900,0100,N 155521,S200000,03000,0100,N 155521,S200000,03100,0100,N 155521,S200000,03200,0100,N 155521,S200000,04100,0100,N 155521,S200000,04200,0100,N 155521,S200000,04300,0100,N 155521,S200000,04600,0100,N 155521,S200000,04700,0100,N 155521,S200000,04700,0200,N 155521,S200000,04900,0100,N 155521,S200000,05000,0100,N 155521,S200000,05100,0100,N 155521,S200000,05200,0100,N 155522,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155522,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155522,A000000,00300,0000,0300EMPLOYEE BENEFITS 155522,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155522,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155522,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155522,A000000,00700,0000,0700HOUSEKEEPING 155522,A000000,00800,0000,0800DIETARY 155522,A000000,00900,0000,0900NURSING ADMINISTRATION 155522,A000000,00901,0000,0901OTHER NURSING 155522,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155522,A000000,01100,0000,1100PHARMACY 155522,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155522,A000000,01300,0000,1300SOCIAL SERVICE 155522,A000000,01301,0000,1301ACTIVITIES 155522,A000000,01600,0000,1600SKILLED NURSING FACILITY 155522,A000000,01800,0000,1800NURSING FACILITY 155522,A000000,02100,0000,2100RADIOLOGY 155522,A000000,02200,0000,2200LABORATORY 155522,A000000,02300,0000,2300INTRAVENOUS THERAPY 155522,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155522,A000000,02500,0000,2500PHYSICAL THERAPY 155522,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155522,A000000,02700,0000,2700SPEECH PATHOLOGY 155522,A000000,02800,0000,2800ELECTROCARDIOLOGY 155522,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155522,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155522,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155522,A000000,03301,0000,3051NUTRITIONAL THERAPY 155522,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155522,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155522,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155522,A000000,04800,0000,4800AMBULANCE 155522,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155522,A000000,05300,0000,5300INTEREST EXPENSE 155522,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155522,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155522,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155522,A000000,06200,0000,6200PATIENTS LAUNDRY 155522,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155522,A000000,06301,0000,6151DAY CARE 155522,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155522,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155522,A81000A,00100,0100,Y 155522,A81000B,00100,0300,HOME OFFICE COSTS 155522,A81000B,00200,0300,LIABILITY INSURANCE 155522,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155522,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155522,A81000B,00500,0300,VC PHARMACY - ADMIN 155522,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155522,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155522,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155522,A81000B,00900,0300,VC PHARMACY - DIETARY 155522,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155522,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155522,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155522,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155522,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155522,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155522,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155522,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155522,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155522,A81000B,01900,0300,VC PHARMACY - LAB 155522,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155522,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155522,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155522,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155522,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155522,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155522,A81000B,02600,0300,VC PHARMACY - LEGEND 155522,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155522,A81000B,02800,0300,VC PHARMACY - NUTR THER 155522,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155522,A81000C,00100,0100,B 155522,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155522,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155522,A81000C,00100,0600,LIABILITY INSURANCE 155522,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155522,A81000C,00200,0600,PHARMACY 155522,A81000C,00300,0400,VENCARE RESPIRATORY 155522,A81000C,00300,0600,RESPIRATORY THERAPY 155522,A81000C,00400,0400,THERAPY SERVICES 155522,A81000C,00500,0400,VENCARE REHAB SERVICES 155522,A81000C,00500,0600,REHAB 155522,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155522,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155522,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155522,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155522,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155522,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155522,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155522,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155522,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155522,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155522,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155522,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155522,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155522,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155522,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155522,S000000,00100,0200,12/01/00 155522,S200000,00100,0100,404 HORTON 155522,S200000,00200,0100,NAMPA 155522,S200000,00200,0200,ID 155522,S200000,00200,0300,83651- 155522,S200000,00300,0100,CANYON 155522,S200000,00300,0200,1080 155522,S200000,00300,0300,U 155522,S200000,00400,0100,222 - NAMPA CARE CENTER 155522,S200000,00400,0200,135019 155522,S200000,00400,0300,01/01/84 155522,S200000,00400,0500,P 155522,S200000,01500,0100,Y 155522,S200000,01600,0100,N 155522,S200000,01700,0100,N 155522,S200000,01800,0100,N 155522,S200000,02200,0100,Y 155522,S200000,02800,0100,N 155522,S200000,02900,0100,N 155522,S200000,03000,0100,N 155522,S200000,03100,0100,N 155522,S200000,03200,0100,N 155522,S200000,04100,0100,N 155522,S200000,04200,0100,N 155522,S200000,04300,0100,N 155522,S200000,04600,0100,N 155522,S200000,04700,0100,N 155522,S200000,04700,0200,N 155522,S200000,04900,0100,N 155522,S200000,05000,0100,N 155522,S200000,05100,0100,N 155522,S200000,05200,0100,N 155523,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155523,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155523,A000000,00300,0000,0300EMPLOYEE BENEFITS 155523,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155523,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155523,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155523,A000000,00700,0000,0700HOUSEKEEPING 155523,A000000,00800,0000,0800DIETARY 155523,A000000,00900,0000,0900NURSING ADMINISTRATION 155523,A000000,00901,0000,0901OTHER NURSING 155523,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155523,A000000,01100,0000,1100PHARMACY 155523,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155523,A000000,01300,0000,1300SOCIAL SERVICE 155523,A000000,01301,0000,1301ACTIVITIES 155523,A000000,01600,0000,1600SKILLED NURSING FACILITY 155523,A000000,01800,0000,1800NURSING FACILITY 155523,A000000,02100,0000,2100RADIOLOGY 155523,A000000,02200,0000,2200LABORATORY 155523,A000000,02300,0000,2300INTRAVENOUS THERAPY 155523,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155523,A000000,02500,0000,2500PHYSICAL THERAPY 155523,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155523,A000000,02700,0000,2700SPEECH PATHOLOGY 155523,A000000,02800,0000,2800ELECTROCARDIOLOGY 155523,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155523,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155523,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155523,A000000,03301,0000,3051NUTRITIONAL THERAPY 155523,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155523,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155523,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155523,A000000,04800,0000,4800AMBULANCE 155523,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155523,A000000,05300,0000,5300INTEREST EXPENSE 155523,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155523,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155523,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155523,A000000,06200,0000,6200PATIENTS LAUNDRY 155523,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155523,A000000,06301,0000,6151DAY CARE 155523,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155523,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155523,A81000A,00100,0100,Y 155523,A81000B,00100,0300,HOME OFFICE COSTS 155523,A81000B,00200,0300,LIABILITY INSURANCE 155523,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155523,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155523,A81000B,00500,0300,VC PHARMACY - ADMIN 155523,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155523,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155523,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155523,A81000B,00900,0300,VC PHARMACY - DIETARY 155523,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155523,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155523,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155523,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155523,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155523,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155523,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155523,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155523,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155523,A81000B,01900,0300,VC PHARMACY - LAB 155523,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155523,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155523,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155523,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155523,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155523,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155523,A81000B,02600,0300,VC PHARMACY - LEGEND 155523,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155523,A81000B,02800,0300,VC PHARMACY - NUTR THER 155523,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155523,A81000C,00100,0100,B 155523,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155523,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155523,A81000C,00100,0600,LIABILITY INSURANCE 155523,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155523,A81000C,00200,0600,PHARMACY 155523,A81000C,00300,0400,VENCARE RESPIRATORY 155523,A81000C,00300,0600,RESPIRATORY THERAPY 155523,A81000C,00400,0400,THERAPY SERVICES 155523,A81000C,00500,0400,VENCARE REHAB SERVICES 155523,A81000C,00500,0600,REHAB 155523,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155523,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155523,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155523,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155523,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155523,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155523,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155523,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155523,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155523,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155523,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155523,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155523,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155523,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155523,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155523,S000000,00100,0200,12/01/00 155523,S200000,00100,0100,714 NORTH BUTTE 155523,S200000,00200,0100,EMMETT 155523,S200000,00200,0200,ID 155523,S200000,00200,0300,83617- 155523,S200000,00300,0100,GEM 155523,S200000,00300,0200,13 155523,S200000,00300,0300,R 155523,S200000,00400,0100,219 - EMMETT REHAB & HEALTH CARE 155523,S200000,00400,0200,135020 155523,S200000,00400,0300,01/01/84 155523,S200000,00400,0500,P 155523,S200000,01500,0100,Y 155523,S200000,01600,0100,N 155523,S200000,01700,0100,N 155523,S200000,01800,0100,N 155523,S200000,02200,0100,Y 155523,S200000,02800,0100,N 155523,S200000,02900,0100,N 155523,S200000,03000,0100,N 155523,S200000,03100,0100,N 155523,S200000,03200,0100,N 155523,S200000,04100,0100,N 155523,S200000,04200,0100,N 155523,S200000,04300,0100,N 155523,S200000,04600,0100,N 155523,S200000,04700,0100,N 155523,S200000,04700,0200,N 155523,S200000,04900,0100,N 155523,S200000,05000,0100,N 155523,S200000,05100,0100,N 155523,S200000,05200,0100,N 155524,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155524,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155524,A000000,00300,0000,0300EMPLOYEE BENEFITS 155524,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155524,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155524,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155524,A000000,00700,0000,0700HOUSEKEEPING 155524,A000000,00800,0000,0800DIETARY 155524,A000000,00900,0000,0900NURSING ADMINISTRATION 155524,A000000,00901,0000,0901OTHER NURSING 155524,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155524,A000000,01100,0000,1100PHARMACY 155524,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155524,A000000,01300,0000,1300SOCIAL SERVICE 155524,A000000,01301,0000,1301ACTIVITIES 155524,A000000,01600,0000,1600SKILLED NURSING FACILITY 155524,A000000,01800,0000,1800NURSING FACILITY 155524,A000000,02100,0000,2100RADIOLOGY 155524,A000000,02200,0000,2200LABORATORY 155524,A000000,02300,0000,2300INTRAVENOUS THERAPY 155524,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155524,A000000,02500,0000,2500PHYSICAL THERAPY 155524,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155524,A000000,02700,0000,2700SPEECH PATHOLOGY 155524,A000000,02800,0000,2800ELECTROCARDIOLOGY 155524,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155524,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155524,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155524,A000000,03301,0000,3051NUTRITIONAL THERAPY 155524,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155524,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155524,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155524,A000000,04800,0000,4800AMBULANCE 155524,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155524,A000000,05300,0000,5300INTEREST EXPENSE 155524,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155524,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155524,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155524,A000000,06200,0000,6200PATIENTS LAUNDRY 155524,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155524,A000000,06301,0000,6151DAY CARE 155524,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155524,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155524,A81000A,00100,0100,Y 155524,A81000B,00100,0300,HOME OFFICE COSTS 155524,A81000B,00200,0300,LIABILITY INSURANCE 155524,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155524,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155524,A81000B,00500,0300,VC PHARMACY - ADMIN 155524,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155524,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155524,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155524,A81000B,00900,0300,VC PHARMACY - DIETARY 155524,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155524,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155524,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155524,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155524,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155524,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155524,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155524,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155524,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155524,A81000B,01900,0300,VC PHARMACY - LAB 155524,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155524,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155524,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155524,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155524,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155524,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155524,A81000B,02600,0300,VC PHARMACY - LEGEND 155524,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155524,A81000B,02800,0300,VC PHARMACY - NUTR THER 155524,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155524,A81000C,00100,0100,B 155524,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155524,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155524,A81000C,00100,0600,LIABILITY INSURANCE 155524,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155524,A81000C,00200,0600,PHARMACY 155524,A81000C,00300,0400,VENCARE RESPIRATORY 155524,A81000C,00300,0600,RESPIRATORY THERAPY 155524,A81000C,00400,0400,THERAPY SERVICES 155524,A81000C,00500,0400,VENCARE REHAB SERVICES 155524,A81000C,00500,0600,REHAB 155524,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155524,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155524,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155524,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155524,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155524,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155524,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155524,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155524,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155524,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155524,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155524,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155524,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155524,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155524,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155524,E10A180,00301,0100,06/30/00 155524,S000000,00100,0200,12/01/00 155524,S200000,00100,0100,3315 8TH STREET 155524,S200000,00200,0100,LEWISTON 155524,S200000,00200,0200,ID 155524,S200000,00200,0300,83501- 155524,S200000,00300,0100,NEZ PERCE 155524,S200000,00300,0200,13 155524,S200000,00300,0300,R 155524,S200000,00400,0100,221 - LEWISTON REHAB AND CARE CENTER 155524,S200000,00400,0200,135021 155524,S200000,00400,0300,01/01/84 155524,S200000,00400,0500,P 155524,S200000,01500,0100,Y 155524,S200000,01600,0100,N 155524,S200000,01700,0100,N 155524,S200000,01800,0100,N 155524,S200000,02200,0100,Y 155524,S200000,02800,0100,N 155524,S200000,02900,0100,N 155524,S200000,03000,0100,N 155524,S200000,03100,0100,N 155524,S200000,03200,0100,N 155524,S200000,04100,0100,N 155524,S200000,04200,0100,N 155524,S200000,04300,0100,N 155524,S200000,04600,0100,N 155524,S200000,04700,0100,N 155524,S200000,04700,0200,N 155524,S200000,04900,0100,N 155524,S200000,05000,0100,N 155524,S200000,05100,0100,N 155524,S200000,05200,0100,N 155525,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155525,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155525,A000000,00300,0000,0300EMPLOYEE BENEFITS 155525,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155525,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155525,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155525,A000000,00700,0000,0700HOUSEKEEPING 155525,A000000,00800,0000,0800DIETARY 155525,A000000,00900,0000,0900NURSING ADMINISTRATION 155525,A000000,00901,0000,0901OTHER NURSING 155525,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155525,A000000,01100,0000,1100PHARMACY 155525,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155525,A000000,01300,0000,1300SOCIAL SERVICE 155525,A000000,01301,0000,1301ACTIVITIES 155525,A000000,01600,0000,1600SKILLED NURSING FACILITY 155525,A000000,01800,0000,1800NURSING FACILITY 155525,A000000,02100,0000,2100RADIOLOGY 155525,A000000,02200,0000,2200LABORATORY 155525,A000000,02300,0000,2300INTRAVENOUS THERAPY 155525,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155525,A000000,02500,0000,2500PHYSICAL THERAPY 155525,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155525,A000000,02700,0000,2700SPEECH PATHOLOGY 155525,A000000,02800,0000,2800ELECTROCARDIOLOGY 155525,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155525,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155525,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155525,A000000,03301,0000,3051NUTRITIONAL THERAPY 155525,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155525,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155525,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155525,A000000,04800,0000,4800AMBULANCE 155525,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155525,A000000,05300,0000,5300INTEREST EXPENSE 155525,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155525,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155525,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155525,A000000,06200,0000,6200PATIENTS LAUNDRY 155525,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155525,A000000,06301,0000,6151DAY CARE 155525,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155525,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155525,A81000A,00100,0100,Y 155525,A81000B,00100,0300,HOME OFFICE COSTS 155525,A81000B,00200,0300,LIABILITY INSURANCE 155525,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155525,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155525,A81000B,00500,0300,VC PHARMACY - ADMIN 155525,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155525,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155525,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155525,A81000B,00900,0300,VC PHARMACY - DIETARY 155525,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155525,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155525,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155525,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155525,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155525,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155525,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155525,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155525,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155525,A81000B,01900,0300,VC PHARMACY - LAB 155525,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155525,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155525,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155525,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155525,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155525,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155525,A81000B,02600,0300,VC PHARMACY - LEGEND 155525,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155525,A81000B,02800,0300,VC PHARMACY - NUTR THER 155525,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155525,A81000C,00100,0100,B 155525,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155525,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155525,A81000C,00100,0600,LIABILITY INSURANCE 155525,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155525,A81000C,00200,0600,PHARMACY 155525,A81000C,00300,0400,VENCARE RESPIRATORY 155525,A81000C,00300,0600,RESPIRATORY THERAPY 155525,A81000C,00400,0400,THERAPY SERVICES 155525,A81000C,00500,0400,VENCARE REHAB SERVICES 155525,A81000C,00500,0600,REHAB 155525,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155525,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155525,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155525,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155525,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155525,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155525,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155525,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155525,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155525,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155525,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155525,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155525,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155525,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155525,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155525,E10A180,00301,0100,11/30/00 155525,S000000,00100,0200,12/01/00 155525,S200000,00100,0100,2814 SOUTH INDIANA AVE 155525,S200000,00200,0100,CALDWELL 155525,S200000,00200,0200,ID 155525,S200000,00200,0300,83605- 155525,S200000,00300,0100,CANYON 155525,S200000,00300,0200,1080 155525,S200000,00300,0300,U 155525,S200000,00400,0100,218 - CASCADE CARE CENTER 155525,S200000,00400,0200,135051 155525,S200000,00400,0300,01/01/84 155525,S200000,00400,0500,P 155525,S200000,01500,0100,Y 155525,S200000,01600,0100,N 155525,S200000,01700,0100,N 155525,S200000,01800,0100,N 155525,S200000,02200,0100,Y 155525,S200000,02800,0100,N 155525,S200000,02900,0100,N 155525,S200000,03000,0100,N 155525,S200000,03100,0100,N 155525,S200000,03200,0100,N 155525,S200000,04100,0100,N 155525,S200000,04200,0100,N 155525,S200000,04300,0100,N 155525,S200000,04600,0100,N 155525,S200000,04700,0100,N 155525,S200000,04700,0200,N 155525,S200000,04900,0100,N 155525,S200000,05000,0100,N 155525,S200000,05100,0100,N 155525,S200000,05200,0100,N 155526,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 155526,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 155526,A000000,00300,0000,0300EMPLOYEE BENEFITS 155526,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155526,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 155526,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155526,A000000,00700,0000,0700HOUSEKEEPING 155526,A000000,00800,0000,0800DIETARY 155526,A000000,00900,0000,0900NURSING ADMINISTRATION 155526,A000000,00901,0000,0901OTHER NURSING 155526,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155526,A000000,01100,0000,1100PHARMACY 155526,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155526,A000000,01300,0000,1300SOCIAL SERVICE 155526,A000000,01301,0000,1301ACTIVITIES 155526,A000000,01600,0000,1600SKILLED NURSING FACILITY 155526,A000000,01800,0000,1800NURSING FACILITY 155526,A000000,02100,0000,2100RADIOLOGY 155526,A000000,02200,0000,2200LABORATORY 155526,A000000,02300,0000,2300INTRAVENOUS THERAPY 155526,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155526,A000000,02500,0000,2500PHYSICAL THERAPY 155526,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155526,A000000,02700,0000,2700SPEECH PATHOLOGY 155526,A000000,02800,0000,2800ELECTROCARDIOLOGY 155526,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 155526,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155526,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155526,A000000,03301,0000,3051NUTRITIONAL THERAPY 155526,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 155526,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 155526,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155526,A000000,04800,0000,4800AMBULANCE 155526,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155526,A000000,05300,0000,5300INTEREST EXPENSE 155526,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155526,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 155526,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155526,A000000,06200,0000,6200PATIENTS LAUNDRY 155526,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155526,A000000,06301,0000,6151DAY CARE 155526,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 155526,A000000,06303,0000,6153DISTRICT OFFICE SPACE 155526,A81000A,00100,0100,Y 155526,A81000B,00100,0300,HOME OFFICE COSTS 155526,A81000B,00200,0300,LIABILITY INSURANCE 155526,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 155526,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 155526,A81000B,00500,0300,VC PHARMACY - ADMIN 155526,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 155526,A81000B,00700,0300,VC PHARMACY - LAUNDRY 155526,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 155526,A81000B,00900,0300,VC PHARMACY - DIETARY 155526,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 155526,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 155526,A81000B,01200,0300,VC PHARMACY - NONLEGEND 155526,A81000B,01300,0300,VC PHARMACY - MED RECORDS 155526,A81000B,01400,0300,VC PHARMACY - SOC SVCS 155526,A81000B,01500,0300,VC PHARMACY - ACTIVITY 155526,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 155526,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 155526,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 155526,A81000B,01900,0300,VC PHARMACY - LAB 155526,A81000B,02000,0300,VC PHARMACY - IV THERAPY 155526,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 155526,A81000B,02200,0300,VENCARE REHAB - PHYS THER 155526,A81000B,02300,0300,VENCARE REHAB - OCCP THER 155526,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 155526,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 155526,A81000B,02600,0300,VC PHARMACY - LEGEND 155526,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 155526,A81000B,02800,0300,VC PHARMACY - NUTR THER 155526,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 155526,A81000C,00100,0100,B 155526,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 155526,A81000C,00100,0400,CORNERSTONE INSURANCE CO 155526,A81000C,00100,0600,LIABILITY INSURANCE 155526,A81000C,00200,0400,VENCARE PHARMACY SERVICES 155526,A81000C,00200,0600,PHARMACY 155526,A81000C,00300,0400,VENCARE RESPIRATORY 155526,A81000C,00300,0600,RESPIRATORY THERAPY 155526,A81000C,00400,0400,THERAPY SERVICES 155526,A81000C,00500,0400,VENCARE REHAB SERVICES 155526,A81000C,00500,0600,REHAB 155526,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 155526,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 155526,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 155526,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 155526,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 155526,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 155526,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 155526,B100000,00000,0800,0850PATIENT DAYS :DIETARY 155526,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 155526,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 155526,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 155526,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 155526,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 155526,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 155526,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 155526,E10A180,00301,0100,06/30/00 155526,S000000,00100,0200,12/01/00 155526,S200000,00100,0100,601 W. CAMERON 155526,S200000,00200,0100,KELLOGG 155526,S200000,00200,0200,ID 155526,S200000,00200,0300,83837- 155526,S200000,00300,0100,SHOSHONE 155526,S200000,00300,0200,13 155526,S200000,00300,0300,R 155526,S200000,00400,0100,409 - MOUNTAIN VALLEY CARE & REHAB 155526,S200000,00400,0200,135065 155526,S200000,00400,0300,03/01/84 155526,S200000,00400,0500,P 155526,S200000,01500,0100,Y 155526,S200000,01600,0100,N 155526,S200000,01700,0100,N 155526,S200000,01800,0100,N 155526,S200000,02200,0100,Y 155526,S200000,02800,0100,N 155526,S200000,02900,0100,N 155526,S200000,03000,0100,N 155526,S200000,03100,0100,N 155526,S200000,03200,0100,N 155526,S200000,04100,0100,N 155526,S200000,04200,0100,N 155526,S200000,04300,0100,N 155526,S200000,04600,0100,N 155526,S200000,04700,0100,N 155526,S200000,04700,0200,N 155526,S200000,04900,0100,N 155526,S200000,05000,0100,N 155526,S200000,05100,0100,N 155526,S200000,05200,0100,N 155584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 155584,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 155584,A000000,00300,0000,0300EMPLOYEE BENEFITS 155584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 155584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155584,A000000,00700,0000,0700HOUSEKEEPING 155584,A000000,00800,0000,0800DIETARY 155584,A000000,00900,0000,0900NURSING ADMINISTRATION 155584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155584,A000000,01100,0000,1100PHARMACY 155584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155584,A000000,01300,0000,1300SOCIAL SERVICE 155584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 155584,A000000,01500,0000,1350OTHER GENERAL SERVICES 155584,A000000,01600,0000,1600SKILLED NURSING FACILITY 155584,A000000,01800,0000,1800NURSING FACILITY 155584,A000000,01810,0000,1810ICF/MR 155584,A000000,02100,0000,2100RADIOLOGY 155584,A000000,02200,0000,2200LABORATORY 155584,A000000,02500,0000,2500PHYSICAL THERAPY 155584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155584,A000000,02700,0000,2700SPEECH PATHOLOGY 155584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 155584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155584,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155584,A000000,03550,0000,3550FQHC 155584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155584,A000000,04801,0000,4801AMBULANCE 155584,A000000,04802,0000,4802AMBULANCE 155584,A000000,04803,0000,4803AMBULANCE 155584,A000000,05000,0000,5000CORF 155584,A000000,05010,0000,5010CMHC 155584,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 155584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 155584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 155584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155584,A000000,05300,0000,5300INTEREST EXPENSE 155584,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 155584,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155584,A000000,06301,0000,6151DAY CARE 155584,A81000A,00100,0100,Y 155584,A81000B,00100,0300,MANAGEMENT FEES 155584,A81000C,00100,0100,A 155584,A81000C,00100,0200,ROBERT WACHTER 155584,A81000C,00100,0400,AMERICAN HEALTHCARE CORP. 155584,A81000C,00100,0600,MANAGEMENT COMPANY 155584,B100000,00000,0100,0100SQUARE FEET 155584,B100000,00000,0200,0200SQUARE FEET 155584,B100000,00000,0300,0300GROSS SALARIES 155584,B100000,00000,0400,0400ACCUM COST 155584,B100000,00000,0500,0500SQUARE FEET 155584,B100000,00000,0600,0600POUNDS OF LAUNDRY 155584,B100000,00000,0700,0700SQUARE FEET 155584,B100000,00000,0800,0800MEALS SERVED 155584,B100000,00000,0900,0900HOURS OF SERVICE 155584,B100000,00000,1000,1000COSTED REQUIS. 155584,B100000,00000,1100,1100COSTED REQUIS. 155584,B100000,00000,1200,1200TIME SPENT 155584,B100000,00000,1300,1300TIME SPENT 155584,B100000,00000,1400,1400ASSIGNED TIME 155584,B100000,00000,1500,1350NO STATISTICS 155584,E10A180,00501,0100,06/21/00 155584,E10A180,00501,0300,06/21/00 155584,S000000,00100,0200,05/22/00 155584,S200000,00100,0100,2840 WEST CLAY 155584,S200000,00200,0100,ST. CHARLES 155584,S200000,00200,0200,MO 155584,S200000,00300,0100,ST. CHARLES 155584,S200000,00300,0200,7040 155584,S200000,00300,0300,U 155584,S200000,00400,0100,CLAYWEST HOUSE 155584,S200000,00400,0200,265118 155584,S200000,00400,0300,01/01/95 155584,S200000,00400,0500,P 155584,S200000,01500,0100,N 155584,S200000,01600,0100,Y 155584,S200000,01700,0100,N 155584,S200000,01800,0100,N 155584,S200000,02200,0100,N 155584,S200000,02800,0100,N 155584,S200000,02900,0100,N 155584,S200000,03000,0100,N 155584,S200000,03100,0100,N 155584,S200000,03200,0100,N 155584,S200000,03300,0100,N 155584,S200000,03300,0200,N 155584,S200000,04100,0100,N 155584,S200000,04200,0100,N 155584,S200000,04300,0100,N 155584,S200000,04600,0100,N 155584,S200000,04700,0100,N 155584,S200000,04900,0100,N 155584,S200000,05200,0100,N 155585,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 155585,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 155585,A000000,00300,0000,0300EMPLOYEE BENEFITS 155585,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155585,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 155585,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155585,A000000,00700,0000,0700HOUSEKEEPING 155585,A000000,00800,0000,0800DIETARY 155585,A000000,00900,0000,0900NURSING ADMINISTRATION 155585,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155585,A000000,01100,0000,1100PHARMACY 155585,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155585,A000000,01300,0000,1300SOCIAL SERVICE 155585,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 155585,A000000,01500,0000,1350OTHER GENERAL SERVICES 155585,A000000,01600,0000,1600SKILLED NURSING FACILITY 155585,A000000,01800,0000,1800NURSING FACILITY 155585,A000000,01810,0000,1810ICF/MR 155585,A000000,02100,0000,2100RADIOLOGY 155585,A000000,02200,0000,2200LABORATORY 155585,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 155585,A000000,02500,0000,2500PHYSICAL THERAPY 155585,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155585,A000000,02700,0000,2700SPEECH PATHOLOGY 155585,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 155585,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155585,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 155585,A000000,03550,0000,3550FQHC 155585,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 155585,A000000,04801,0000,4801AMBULANCE 155585,A000000,04802,0000,4802AMBULANCE 155585,A000000,04803,0000,4803AMBULANCE 155585,A000000,05000,0000,5000CORF 155585,A000000,05010,0000,5010CMHC 155585,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 155585,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 155585,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 155585,A000000,05100,0000,4750OTHER REIMBURSABLE COST 155585,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155585,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 155585,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155585,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 155585,A81000A,00100,0100,Y 155585,A81000B,00100,0300,HOME OFFICE COSTS 155585,A81000B,00200,0300,HOME OFFICE COSTS 155585,A81000B,00300,0300,SUPPLIES 155585,A81000C,00100,0100,A 155585,A81000C,00100,0200,GEORGE MENOS 155585,A81000C,00100,0400,LADELLE INVESTMENT CO. 155585,A81000C,00100,0600,HOME OFFICE 155585,A81000C,00200,0100,A 155585,A81000C,00200,0200,GEORGE MENOS 155585,A81000C,00200,0400,LADELLE INVESTMENT CO. 155585,A81000C,00200,0600,HOME OFFICE 155585,A81000C,00300,0100,A 155585,A81000C,00300,0200,GEORGE MENOS 155585,A81000C,00300,0400,HEALTH FACILITIES 155585,A81000C,00300,0600,EQUIPMENT/SUPPLIES 155585,B100000,00000,0100,0100SQUARE FEET 155585,B100000,00000,0200,0200DOLLAR VALUE 155585,B100000,00000,0300,0300GROSS SALARIES 155585,B100000,00000,0400,0400ACCUM COST 155585,B100000,00000,0500,0500SQUARE FEET 155585,B100000,00000,0600,0600POUNDS OF LAUNDRY 155585,B100000,00000,0700,0700SQUARE FEET 155585,B100000,00000,0800,0800MEALS SERVED 155585,B100000,00000,0900,0900DIRECT NRSING HRS 155585,B100000,00000,1000,1000COSTED REQUIS. 155585,B100000,00000,1100,1100COSTED REQUIS. 155585,B100000,00000,1200,1200TIME SPENT 155585,B100000,00000,1300,1300TIME SPENT 155585,B100000,00000,1400,1400ASSIGNED TIME 155585,B100000,00000,1500,1350NO STATISTICS 155585,E10A180,00501,0100,08/02/00 155585,E10A180,00550,0300,08/02/00 155585,S000000,00100,0200,06/26/00 155585,S200000,00100,0100,936 CHARBONIER 155585,S200000,00200,0100,FLORISSANT 155585,S200000,00200,0200,MO 155585,S200000,00200,0300,63031 155585,S200000,00300,0100,ST. LOUIS 155585,S200000,00300,0200,7040 155585,S200000,00300,0300,U 155585,S200000,00400,0100,ST. SOPHIA HEALTH AND REHAB CENTER 155585,S200000,00400,0200,265120 155585,S200000,00400,0300,03/20/75 155585,S200000,00400,0500,P 155585,S200000,01500,0100,N 155585,S200000,01600,0100,Y 155585,S200000,01700,0100,N 155585,S200000,01800,0100,N 155585,S200000,02200,0100,N 155585,S200000,02800,0100,N 155585,S200000,02900,0100,N 155585,S200000,03000,0100,N 155585,S200000,03100,0100,N 155585,S200000,03200,0100,N 155585,S200000,03300,0100,N 155585,S200000,03300,0200,N 155585,S200000,04100,0100,N 155585,S200000,04200,0100,N 155585,S200000,04300,0100,N 155585,S200000,04600,0100,N 155585,S200000,04700,0100,N 155585,S200000,04900,0100,N 155585,S200000,05200,0100,N 155586,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 155586,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 155586,A000000,00300,0000,0300EMPLOYEE BENEFITS 155586,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 155586,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 155586,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 155586,A000000,00700,0000,0700HOUSEKEEPING 155586,A000000,00800,0000,0800DIETARY 155586,A000000,00900,0000,0900NURSING ADMINISTRATION 155586,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 155586,A000000,01100,0000,1100PHARMACY 155586,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 155586,A000000,01300,0000,1300SOCIAL SERVICE 155586,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 155586,A000000,01600,0000,1600SKILLED NURSING FACILITY 155586,A000000,01800,0000,1800NURSING FACILITY 155586,A000000,01810,0000,1810ICF/MR 155586,A000000,02100,0000,2100RADIOLOGY 155586,A000000,02500,0000,2500PHYSICAL THERAPY 155586,A000000,02600,0000,2600OCCUPATIONAL THERAPY 155586,A000000,02700,0000,2700SPEECH PATHOLOGY 155586,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 155586,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 155586,A000000,03550,0000,3550FQHC 155586,A000000,04801,0000,4801AMBULANCE 155586,A000000,04802,0000,4802AMBULANCE 155586,A000000,04803,0000,4803AMBULANCE 155586,A000000,05000,0000,5000CORF 155586,A000000,05010,0000,5010CMHC 155586,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 155586,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 155586,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 155586,A000000,05300,0000,5300INTEREST EXPENSE 155586,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 155586,A000000,05900,0000,5900BARBER & BEAUTY SHOP 155586,A81000A,00100,0100,Y 155586,A81000B,00100,0300,MANAGEMENT FEES 155586,A81000C,00100,0100,A 155586,A81000C,00100,0200,TOM & ADELLE DAAKE 155586,A81000C,00100,0400,WENTZVILLE PARK MGMT. 155586,B100000,00000,0100,0100SQUARE FEET 155586,B100000,00000,0200,0200SQUARE FEET 155586,B100000,00000,0300,0300GROSS SALARIES 155586,B100000,00000,0400,0400ACCUM COST 155586,B100000,00000,0500,0500SQUARE FEET 155586,B100000,00000,0600,0600POUNDS OF LAUNDRY 155586,B100000,00000,0700,0700SQUARE FEET 155586,B100000,00000,0800,0800MEALS SERVED 155586,B100000,00000,0900,0900HOURS OF SERVICE 155586,B100000,00000,1000,1000COSTED REQUIS 155586,B100000,00000,1100,1100COSTED REQUIS 155586,B100000,00000,1200,1200TIME SPENT 155586,B100000,00000,1300,1300TIME SPENT 155586,B100000,00000,1400,1400ASSIGNED TIME 155586,E10A180,00501,0100,07/06/00 155586,S000000,00100,0200,06/01/00 155586,S200000,00100,0100,401 MAR LE DRIVE 155586,S200000,00200,0100,WENTZVILLE 155586,S200000,00200,0200,MO 155586,S200000,00300,0100,ST. CHARLES 155586,S200000,00300,0200,7040 155586,S200000,00300,0300,U 155586,S200000,00400,0100,WENTZVILLE 155586,S200000,00400,0200,265319 155586,S200000,00400,0300,04/27/93 155586,S200000,00400,0500,P 155586,S200000,01500,0100,N 155586,S200000,01600,0100,Y 155586,S200000,01700,0100,N 155586,S200000,01800,0100,N 155586,S200000,02200,0100,N 155586,S200000,02800,0100,N 155586,S200000,02900,0100,N 155586,S200000,03000,0100,N 155586,S200000,03100,0100,N 155586,S200000,03200,0100,N 155586,S200000,03300,0100,N 155586,S200000,03300,0200,N 155586,S200000,04100,0100,N 155586,S200000,04200,0100,N 155586,S200000,04300,0100,N 155586,S200000,04600,0100,N 155586,S200000,04700,0100,N 155586,S200000,04900,0100,N 155586,S200000,05200,0100,N 155878,S000000,00100,0200,07/10/03 156017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156017,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156017,A000000,00300,0000,0300EMPLOYEE BENEFITS 156017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156017,A000000,00700,0000,0700HOUSEKEEPING 156017,A000000,00800,0000,0800DIETARY 156017,A000000,00900,0000,0900NURSING ADMINISTRATION 156017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156017,A000000,01100,0000,1100PHARMACY 156017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156017,A000000,01300,0000,1300SOCIAL SERVICE 156017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156017,A000000,01600,0000,1600SKILLED NURSING FACILITY 156017,A000000,01800,0000,1800NURSING FACILITY 156017,A000000,01810,0000,1810ICF/MR 156017,A000000,02500,0000,2500PHYSICAL THERAPY 156017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156017,A000000,02700,0000,2700SPEECH PATHOLOGY 156017,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156017,A000000,03550,0000,3550FQHC 156017,A000000,04801,0000,4801AMBULANCE 156017,A000000,04802,0000,4802AMBULANCE 156017,A000000,04803,0000,4803AMBULANCE 156017,A000000,05000,0000,5000CORF 156017,A000000,05010,0000,5010CMHC 156017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156017,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156017,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156017,A81000A,00100,0100,Y 156017,A81000B,00100,0300,MANAGEMENT FEE 156017,A81000B,00200,0300,HOME OFFICE-CRC BLDNG 156017,A81000B,00300,0300,HOME OFFICE-CRC MOVEABLE 156017,A81000C,00100,0100,C 156017,A81000C,00100,0200,CHERRY RIDGE GCC 156017,A81000C,00100,0400,GAMBLE GUEST CARE CORP 156017,A81000C,00100,0600,HOME OFFICE MANAGEMENT 156017,A81000C,00200,0100,C 156017,A81000C,00200,0200,KEVIN GAMBLE JR 156017,A81000C,00200,0400,SON OF OWNER 156017,A81000C,00200,0600,CONSTR/MAINTENANCEL 156017,B100000,00000,0100,0100SQUARE FEET 156017,B100000,00000,0200,0200SQUARE FEET 156017,B100000,00000,0300,0300GROSS SALARIES 156017,B100000,00000,0400,0400ACCUM COST 156017,B100000,00000,0500,0500SQUARE FEET 156017,B100000,00000,0600,0600PATIENT DAYS 156017,B100000,00000,0700,0700SQUARE FEET 156017,B100000,00000,0800,0800MEALS SERVED 156017,B100000,00000,0900,0900NURSING/TH HR HOURS 156017,B100000,00000,1000,1000COSTED REQUIS. 156017,B100000,00000,1100,1100COSTED REQUIS. 156017,B100000,00000,1200,1200PATIENT DAYS 156017,B100000,00000,1300,1300PATIENT DAYS 156017,B100000,00000,1400,1400ASSIGNED TIME 156017,S000000,00100,0200,06/01/00 156017,S200000,00100,0100,5980 CHERRY RIDGE ROAD 156017,S200000,00100,0300,P.O. BOX 52389 156017,S200000,00200,0100,SHREVEPORT 156017,S200000,00200,0200,LA 156017,S200000,00300,0100,MOREHOUSE 156017,S200000,00300,0200,1900 156017,S200000,00300,0300,R 156017,S200000,00400,0100,CHERRY RIDGE GUEST CARE CENTER 156017,S200000,00400,0200,195415 156017,S200000,00400,0300,07/15/97 156017,S200000,00400,0500,P 156017,S200000,01500,0100,N 156017,S200000,01600,0100,Y 156017,S200000,01700,0100,N 156017,S200000,01800,0100,N 156017,S200000,02200,0100,N 156017,S200000,02800,0100,N 156017,S200000,02900,0100,N 156017,S200000,03000,0100,N 156017,S200000,03100,0100,Y 156017,S200000,03200,0100,N 156017,S200000,03300,0100,N 156017,S200000,03300,0200,N 156017,S200000,04100,0100,N 156017,S200000,04200,0100,N 156017,S200000,04300,0100,N 156017,S200000,04600,0100,N 156017,S200000,04700,0100,N 156017,S200000,04900,0100,N 156017,S200000,05200,0100,N 156026,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156026,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156026,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPME 156026,A000000,00300,0000,0300EMPLOYEE BENEFITS 156026,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156026,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156026,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156026,A000000,00700,0000,0700HOUSEKEEPING 156026,A000000,00800,0000,0800DIETARY 156026,A000000,00900,0000,0900NURSING ADMINISTRATION 156026,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156026,A000000,01100,0000,1100PHARMACY 156026,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156026,A000000,01300,0000,1300SOCIAL SERVICE 156026,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156026,A000000,01500,0000,1350OTHER GENERAL SERVICES 156026,A000000,01600,0000,1600SKILLED NURSING FACILITY 156026,A000000,01800,0000,1800NURSING FACILITY 156026,A000000,01810,0000,1810ICF/MR 156026,A000000,02100,0000,2100RADIOLOGY 156026,A000000,02500,0000,2500PHYSICAL THERAPY 156026,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156026,A000000,02700,0000,2700SPEECH PATHOLOGY 156026,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156026,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156026,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156026,A000000,03550,0000,3550FQHC 156026,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156026,A000000,04801,0000,4801AMBULANCE 156026,A000000,04802,0000,4802AMBULANCE 156026,A000000,04803,0000,4803AMBULANCE 156026,A000000,05000,0000,5000CORF 156026,A000000,05010,0000,5010CMHC 156026,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156026,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156026,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156026,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156026,A000000,05300,0000,5300INTEREST EXPENSE 156026,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156026,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156026,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156026,A81000A,00100,0100,N 156026,B100000,00000,0100,0100SQUARE FEET 156026,B100000,00000,0200,0200SQUARE FEET 156026,B100000,00000,0201,0201SQUARE FEET 156026,B100000,00000,0300,0300GROSS SALARIES 156026,B100000,00000,0400,0400ACCUM COST 156026,B100000,00000,0500,0500SQUARE FEET 156026,B100000,00000,0600,0600POUNDS OF LAUNDRY 156026,B100000,00000,0700,0700SQUARE FEET 156026,B100000,00000,0800,0800MEALS SERVED 156026,B100000,00000,0900,0900HOURS OF SERVICE 156026,B100000,00000,1000,1000COSTED REQUIS. 156026,B100000,00000,1100,1100COSTED REQUIS. 156026,B100000,00000,1200,1200NO STATISTICS 156026,B100000,00000,1300,1300TIME SPENT 156026,B100000,00000,1400,1400NO STATISTICS 156026,B100000,00000,1500,1350NO STATISTICS 156026,E10A180,00501,0300,05/24/00 156026,S000000,00100,0200,04/17/00 156026,S200000,00100,0100,11988 MARK TWAIN LANE 156026,S200000,00200,0100,BRIDGETON 156026,S200000,00200,0200,MO 156026,S200000,00300,0100,ST. LOUIS 156026,S200000,00300,0200,7040 156026,S200000,00300,0300,U 156026,S200000,00400,0100,MARK TWAIN MANOR 156026,S200000,00400,0200,265236 156026,S200000,00400,0300,04/15/84 156026,S200000,00400,0500,P 156026,S200000,01500,0100,N 156026,S200000,01600,0100,Y 156026,S200000,01700,0100,N 156026,S200000,01800,0100,N 156026,S200000,02200,0100,Y 156026,S200000,02800,0100,N 156026,S200000,02900,0100,N 156026,S200000,03000,0100,N 156026,S200000,03100,0100,N 156026,S200000,03200,0100,N 156026,S200000,03300,0100,N 156026,S200000,03300,0200,N 156026,S200000,04100,0100,N 156026,S200000,04200,0100,N 156026,S200000,04300,0100,N 156026,S200000,04600,0100,Y 156026,S200000,04700,0100,N 156026,S200000,04900,0100,N 156026,S200000,05200,0100,N 156029,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156029,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156029,A000000,00300,0000,0300EMPLOYEE BENEFITS 156029,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156029,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156029,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156029,A000000,00700,0000,0700HOUSEKEEPING 156029,A000000,00800,0000,0800DIETARY 156029,A000000,00900,0000,0900NURSING ADMINISTRATION 156029,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156029,A000000,01100,0000,1100PHARMACY 156029,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156029,A000000,01300,0000,1300SOCIAL SERVICE 156029,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156029,A000000,01600,0000,1600SKILLED NURSING FACILITY 156029,A000000,01800,0000,1800NURSING FACILITY 156029,A000000,01810,0000,1810ICF/MR 156029,A000000,02100,0000,2100RADIOLOGY 156029,A000000,02200,0000,2200LABORATORY 156029,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156029,A000000,02500,0000,2500PHYSICAL THERAPY 156029,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156029,A000000,02700,0000,2700SPEECH PATHOLOGY 156029,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156029,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156029,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156029,A000000,03550,0000,3550FQHC 156029,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156029,A000000,04801,0000,4801AMBULANCE 156029,A000000,04802,0000,4802AMBULANCE 156029,A000000,04803,0000,4803AMBULANCE 156029,A000000,05000,0000,5000CORF 156029,A000000,05010,0000,5010CMHC 156029,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156029,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156029,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156029,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156029,A000000,05300,0000,5300INTEREST EXPENSE 156029,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156029,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156029,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156029,A81000A,00100,0100,Y 156029,A81000B,00100,0300,MANAGEMENT FEES 156029,A81000B,00200,0300,CONTRACTED NURSING 156029,A81000B,00300,0300,CONTRACTED THERAPY 156029,A81000C,00100,0100,B 156029,A81000C,00100,0200,ROBERT SALTER 156029,A81000C,00100,0400,MUNICORP INC. 156029,A81000C,00100,0600,NURSING HOME MANGEMENT 156029,A81000C,00200,0100,B 156029,A81000C,00200,0200,ROBERT SALTER 156029,A81000C,00200,0400,REHAB PLUS 156029,A81000C,00200,0600,CONTRACTED THERAPY 156029,A81000C,00300,0100,B 156029,A81000C,00300,0200,ROBERT SALTER 156029,A81000C,00300,0400,HOUSECALLS 156029,A81000C,00300,0600,CONTRACTED NURSING 156029,B100000,00000,0100,0100SQUARE FEET 156029,B100000,00000,0200,0200SQUARE FEET 156029,B100000,00000,0300,0300GROSS SALARIES 156029,B100000,00000,0400,0400ACCUM COST 156029,B100000,00000,0500,0500SQUARE FEET 156029,B100000,00000,0600,0600COSTEDREQU UISITIONS 156029,B100000,00000,0700,0700SQUARE FEET 156029,B100000,00000,0800,0800MEALS SERVED 156029,B100000,00000,0900,0900DIRECTNURS SING HOUR 156029,B100000,00000,1000,1000COSTEDREQU UISITIONS 156029,B100000,00000,1100,1100COSTED REQUIS 156029,B100000,00000,1200,1200TIME SPENT 156029,B100000,00000,1300,1300TIME SPENT 156029,B100000,00000,1400,1400ASSIGNED TIME 156029,E10A180,00550,0300,05/01/00 156029,S000000,00100,0200,05/01/00 156029,S200000,00100,0100,1301 PARTRIDGE 156029,S200000,00200,0100,UNIVERSITY CITY 156029,S200000,00200,0200,MO 156029,S200000,00200,0300,63130 156029,S200000,00300,0100,SAINT LOUIS 156029,S200000,00300,0200,7040 156029,S200000,00300,0300,U 156029,S200000,00400,0100,UNIVERSITY FOREST NURSING CARE CTR 156029,S200000,00400,0200,265422 156029,S200000,00400,0300,03/26/90 156029,S200000,00400,0500,P 156029,S200000,01500,0100,N 156029,S200000,01600,0100,Y 156029,S200000,01700,0100,N 156029,S200000,01800,0100,N 156029,S200000,02200,0100,N 156029,S200000,02800,0100,N 156029,S200000,02900,0100,N 156029,S200000,03000,0100,N 156029,S200000,03100,0100,N 156029,S200000,03200,0100,N 156029,S200000,03300,0100,N 156029,S200000,03300,0200,N 156029,S200000,04100,0100,N 156029,S200000,04200,0100,N 156029,S200000,04300,0100,N 156029,S200000,04600,0100,N 156029,S200000,04700,0100,N 156029,S200000,04900,0100,N 156029,S200000,05200,0100,N 156078,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156078,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156078,A000000,00300,0000,0300EMPLOYEE BENEFITS 156078,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156078,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156078,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156078,A000000,00700,0000,0700HOUSEKEEPING 156078,A000000,00800,0000,0800DIETARY 156078,A000000,00900,0000,0900NURSING ADMINISTRATION 156078,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156078,A000000,01100,0000,1100PHARMACY 156078,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156078,A000000,01300,0000,1300SOCIAL SERVICE 156078,A000000,01600,0000,1600SKILLED NURSING FACILITY 156078,A000000,01800,0000,1800NURSING FACILITY 156078,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156078,A000000,02500,0000,2500PHYSICAL THERAPY 156078,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156078,A000000,02700,0000,2700SPEECH PATHOLOGY 156078,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156078,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156078,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156078,A81000A,00100,0100,Y 156078,A81000B,00100,0300,LEASE COSTS 156078,A81000B,00200,0300,BUILDING DEPRECIATIO 156078,A81000B,00300,0300,EQUIPMENT DEPRECIATI 156078,A81000B,00400,0300,INTEREST EXPENSE 156078,A81000B,00500,0300,BUILDING DEPRECIATIO 156078,A81000C,00100,0100,A 156078,A81000C,00100,0200,MIKE GODFREY 156078,A81000C,00100,0400,GFR PROPERTIES 156078,A81000C,00100,0600,LEASING COMPANY 156078,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156078,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156078,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156078,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156078,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156078,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156078,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156078,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156078,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 156078,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 156078,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156078,E10A180,00501,0300,09/13/01 156078,E10A180,00550,0100,09/13/01 156078,S000000,00100,0200,08/21/01 156078,S200000,00100,0100,775 NORTH 200 EAST 156078,S200000,00200,0100,BRIGHAM CITY 156078,S200000,00200,0200,UT 156078,S200000,00200,0300,84302- 156078,S200000,00300,0100,BOX ELDER 156078,S200000,00300,0200,46 156078,S200000,00300,0300,R 156078,S200000,00400,0100,GODFREY S FOOTHILL RETREAT 156078,S200000,00400,0200,465093 156078,S200000,00400,0300,01/01/91 156078,S200000,00400,0500,P 156078,S200000,01500,0100,N 156078,S200000,01600,0100,Y 156078,S200000,01700,0100,N 156078,S200000,01800,0100,N 156078,S200000,02200,0100,N 156078,S200000,02800,0100,N 156078,S200000,02900,0100,N 156078,S200000,03000,0100,N 156078,S200000,03100,0100,N 156078,S200000,03200,0100,N 156078,S200000,04100,0100,N 156078,S200000,04200,0100,N 156078,S200000,04300,0100,N 156078,S200000,04600,0100,N 156078,S200000,04700,0100,N 156078,S200000,04700,0200,N 156078,S200000,04900,0100,N 156078,S200000,05000,0100,N 156078,S200000,05100,0100,N 156078,S200000,05200,0100,N 156128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156128,A000000,00300,0000,0300EMPLOYEE BENEFITS 156128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156128,A000000,00700,0000,0700HOUSEKEEPING 156128,A000000,00800,0000,0800DIETARY 156128,A000000,00900,0000,0900NURSING ADMINISTRATION 156128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156128,A000000,01300,0000,1300SOCIAL SERVICE 156128,A000000,01600,0000,1600SKILLED NURSING FACILITY 156128,A000000,01800,0000,1800NURSING FACILITY 156128,A000000,02200,0000,2200LABORATORY 156128,A000000,02500,0000,2500PHYSICAL THERAPY 156128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156128,A000000,02700,0000,2700SPEECH PATHOLOGY 156128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156128,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156128,A81000A,00100,0100,N 156128,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156128,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156128,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156128,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156128,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156128,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156128,B100000,00000,0800,0800MEALS SERVED :DIETARY 156128,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 156128,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 156128,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 156128,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156128,S000000,00100,0200,12/01/00 156128,S200000,00100,0100,2025 EAST LINCOLN STREET 156128,S200000,00200,0100,BLOOMINGTON 156128,S200000,00200,0200,IL 156128,S200000,00200,0300,61701- 156128,S200000,00300,0100,MCCLEAN 156128,S200000,00300,0200,1040 156128,S200000,00300,0300,U 156128,S200000,00400,0100,WESTMINSTER VILLAGE 156128,S200000,00400,0200,145400 156128,S200000,00400,0300,08/04/87 156128,S200000,00400,0500,P 156128,S200000,00600,0200,145400 156128,S200000,00600,0300,08/04/87 156128,S200000,00600,0600,O 156128,S200000,01004,0500,O 156128,S200000,01500,0100,N 156128,S200000,01600,0100,Y 156128,S200000,01700,0100,N 156128,S200000,01800,0100,N 156128,S200000,02200,0100,N 156128,S200000,02800,0100,N 156128,S200000,02900,0100,N 156128,S200000,03000,0100,N 156128,S200000,03100,0100,N 156128,S200000,03200,0100,N 156128,S200000,04100,0100,N 156128,S200000,04200,0100,N 156128,S200000,04300,0100,N 156128,S200000,04600,0100,N 156128,S200000,04700,0100,N 156128,S200000,04700,0200,N 156128,S200000,04900,0100,N 156128,S200000,05000,0100,N 156128,S200000,05100,0100,N 156128,S200000,05200,0100,N 156132,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156132,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156132,A000000,00300,0000,0300EMPLOYEE BENEFITS 156132,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156132,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156132,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156132,A000000,00700,0000,0700HOUSEKEEPING 156132,A000000,00800,0000,0800DIETARY 156132,A000000,00900,0000,0900NURSING ADMINISTRATION 156132,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156132,A000000,01100,0000,1100PHARMACY 156132,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156132,A000000,01300,0000,1300SOCIAL SERVICE 156132,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 156132,A000000,01600,0000,1600SKILLED NURSING FACILITY 156132,A000000,01800,0000,1800NURSING FACILITY 156132,A000000,01900,0000,1900OTHER LONG TERM CARE 156132,A000000,02100,0000,2100RADIOLOGY 156132,A000000,02200,0000,2200LABORATORY 156132,A000000,02300,0000,2300INTRAVENOUS THERAPY 156132,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156132,A000000,02500,0000,2500PHYSICAL THERAPY 156132,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156132,A000000,02700,0000,2700SPEECH PATHOLOGY 156132,A000000,02800,0000,2800ELECTROCARDIOLOGY 156132,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156132,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156132,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 156132,A000000,03200,0000,3200SUPPORT SURFACES 156132,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 156132,A000000,03400,0000,3400CLINIC 156132,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 156132,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 156132,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 156132,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 156132,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 156132,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 156132,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 156132,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 156132,A000000,04400,0000,4400DME RENTED - HHA 156132,A000000,04500,0000,4500DME SOLD - HHA 156132,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 156132,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 156132,A000000,04800,0000,4800AMBULANCE 156132,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 156132,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 156132,A000000,05300,0000,5300INTEREST EXPENSE 156132,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156132,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156132,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156132,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156132,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 156132,A000000,06100,0000,6100NONPAID WORKERS 156132,A000000,06200,0000,6200PATIENTS LAUNDRY 156132,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 156132,A81000A,00100,0100,N 156132,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156132,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156132,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156132,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156132,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156132,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156132,B100000,00000,0800,0800MEALS SERVED :DIETARY 156132,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 156132,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 156132,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 156132,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156132,S000000,00100,0200,12/06/01 156132,S200000,00100,0100,1405 N. 2ND. ST. 156132,S200000,00200,0100,SWANSEA 156132,S200000,00200,0200,IL 156132,S200000,00200,0300,62226- 156132,S200000,00300,0100,ST. CLAIR 156132,S200000,00300,0200,7040 156132,S200000,00300,0300,U 156132,S200000,00400,0100,SWANSEA CARE CENTER 156132,S200000,00400,0200,145981 156132,S200000,00400,0300,04/26/99 156132,S200000,00400,0500,P 156132,S200000,01004,0500,O 156132,S200000,01500,0100,N 156132,S200000,01600,0100,Y 156132,S200000,01700,0100,N 156132,S200000,01800,0100,N 156132,S200000,02200,0100,N 156132,S200000,02800,0100,N 156132,S200000,02900,0100,N 156132,S200000,03000,0100,N 156132,S200000,03100,0100,N 156132,S200000,03200,0100,N 156132,S200000,04100,0100,N 156132,S200000,04200,0100,N 156132,S200000,04300,0100,N 156132,S200000,04600,0100,N 156132,S200000,04700,0100,N 156132,S200000,04700,0200,N 156132,S200000,04900,0100,N 156132,S200000,05000,0100,N 156132,S200000,05100,0100,N 156132,S200000,05200,0100,N 156133,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156133,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156133,A000000,00300,0000,0300EMPLOYEE BENEFITS 156133,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156133,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156133,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156133,A000000,00700,0000,0700HOUSEKEEPING 156133,A000000,00800,0000,0800DIETARY 156133,A000000,00900,0000,0900NURSING ADMINISTRATION 156133,A000000,00901,0000,0901OTHER NURSING 156133,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156133,A000000,01100,0000,1100PHARMACY 156133,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156133,A000000,01300,0000,1300SOCIAL SERVICE 156133,A000000,01301,0000,1301ACTIVITIES 156133,A000000,01600,0000,1600SKILLED NURSING FACILITY 156133,A000000,01800,0000,1800NURSING FACILITY 156133,A000000,02100,0000,2100RADIOLOGY 156133,A000000,02200,0000,2200LABORATORY 156133,A000000,02300,0000,2300INTRAVENOUS THERAPY 156133,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156133,A000000,02500,0000,2500PHYSICAL THERAPY 156133,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156133,A000000,02700,0000,2700SPEECH PATHOLOGY 156133,A000000,02800,0000,2800ELECTROCARDIOLOGY 156133,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156133,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156133,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156133,A000000,03301,0000,3051NUTRITIONAL THERAPY 156133,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156133,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156133,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156133,A000000,04800,0000,4800AMBULANCE 156133,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156133,A000000,05300,0000,5300INTEREST EXPENSE 156133,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156133,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156133,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156133,A000000,06200,0000,6200PATIENTS LAUNDRY 156133,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156133,A000000,06301,0000,6151DAY CARE 156133,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156133,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156133,A81000A,00100,0100,Y 156133,A81000B,00100,0300,HOME OFFICE COSTS 156133,A81000B,00200,0300,LIABILITY INSURANCE 156133,A81000B,00500,0300,VC PHARMACY - ADMIN 156133,A81000B,00900,0300,VC PHARMACY - DIETARY 156133,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 156133,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 156133,A81000B,01200,0300,MOBILE RADIOLOGY - XRAY 156133,A81000B,01300,0300,VC PHARMACY - IV THERAPY 156133,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 156133,A81000B,01500,0300,VENCARE REHAB - PHYS THER 156133,A81000B,01600,0300,VENCARE REHAB - OCCP THER 156133,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 156133,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 156133,A81000B,01900,0300,VC PHARMACY - LEGEND 156133,A81000B,02000,0300,VC PHARMACY - PROS & ORTHOS 156133,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 156133,A81000C,00100,0100,B 156133,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156133,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156133,A81000C,00100,0600,LIABILITY INSURANCE 156133,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156133,A81000C,00200,0600,PHARMACY 156133,A81000C,00300,0400,VENCARE RESPIRATORY 156133,A81000C,00300,0600,RESPIRATORY THERAPY 156133,A81000C,00400,0400,THERAPY SERVICES 156133,A81000C,00500,0400,VENCARE REHAB SERVICES 156133,A81000C,00500,0600,REHAB 156133,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156133,A81000C,00600,0600,PORTABLE X-RAY 156133,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156133,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156133,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156133,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156133,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156133,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156133,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156133,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156133,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156133,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156133,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156133,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156133,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156133,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156133,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156133,E10A180,00301,0100,06/30/00 156133,S000000,00100,0200,12/01/00 156133,S200000,00100,0100,2100 MIDWAY 156133,S200000,00200,0100,COLUMBUS 156133,S200000,00200,0200,IN 156133,S200000,00200,0300,47201- 156133,S200000,00300,0100,BARTHOLEMEW 156133,S200000,00300,0200,15 156133,S200000,00300,0300,R 156133,S200000,00400,0100,#780 COLUMBUS CONVALESCENT CENTER 156133,S200000,00400,0200,155133 156133,S200000,00400,0300,09/01/82 156133,S200000,00400,0500,P 156133,S200000,01500,0100,Y 156133,S200000,01600,0100,N 156133,S200000,01700,0100,N 156133,S200000,01800,0100,N 156133,S200000,02200,0100,Y 156133,S200000,02800,0100,N 156133,S200000,02900,0100,N 156133,S200000,03000,0100,N 156133,S200000,03100,0100,N 156133,S200000,03200,0100,N 156133,S200000,04100,0100,N 156133,S200000,04200,0100,N 156133,S200000,04300,0100,N 156133,S200000,04600,0100,N 156133,S200000,04700,0100,N 156133,S200000,04700,0200,N 156133,S200000,04900,0100,N 156133,S200000,05000,0100,N 156133,S200000,05100,0100,N 156133,S200000,05200,0100,N 156134,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156134,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156134,A000000,00300,0000,0300EMPLOYEE BENEFITS 156134,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156134,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156134,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156134,A000000,00700,0000,0700HOUSEKEEPING 156134,A000000,00800,0000,0800DIETARY 156134,A000000,00900,0000,0900NURSING ADMINISTRATION 156134,A000000,00901,0000,0901OTHER NURSING 156134,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156134,A000000,01100,0000,1100PHARMACY 156134,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156134,A000000,01300,0000,1300SOCIAL SERVICE 156134,A000000,01301,0000,1301ACTIVITIES 156134,A000000,01600,0000,1600SKILLED NURSING FACILITY 156134,A000000,01800,0000,1800NURSING FACILITY 156134,A000000,02100,0000,2100RADIOLOGY 156134,A000000,02200,0000,2200LABORATORY 156134,A000000,02300,0000,2300INTRAVENOUS THERAPY 156134,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156134,A000000,02500,0000,2500PHYSICAL THERAPY 156134,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156134,A000000,02700,0000,2700SPEECH PATHOLOGY 156134,A000000,02800,0000,2800ELECTROCARDIOLOGY 156134,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156134,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156134,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156134,A000000,03301,0000,3051NUTRITIONAL THERAPY 156134,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156134,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156134,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156134,A000000,04800,0000,4800AMBULANCE 156134,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156134,A000000,05300,0000,5300INTEREST EXPENSE 156134,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156134,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156134,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156134,A000000,06200,0000,6200PATIENTS LAUNDRY 156134,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156134,A000000,06301,0000,6151DAY CARE 156134,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156134,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156134,A81000A,00100,0100,Y 156134,A81000B,00100,0300,HOME OFFICE COSTS 156134,A81000B,00200,0300,LIABILITY INSURANCE 156134,A81000B,00500,0300,VC PHARMACY - ADMIN 156134,A81000B,00900,0300,VC PHARMACY - DIETARY 156134,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 156134,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 156134,A81000B,01200,0300,VC PHARMACY - IV THERAPY 156134,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 156134,A81000B,01400,0300,VENCARE REHAB - PHYS THER 156134,A81000B,01500,0300,VENCARE REHAB - OCCP THER 156134,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 156134,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 156134,A81000B,01800,0300,VC PHARMACY - LEGEND 156134,A81000B,01900,0300,VC PHARMACY - COMPLEX MEDICAL 156134,A81000B,02000,0300,VC PHARMACY - EMPL BENEFITS 156134,A81000C,00100,0100,B 156134,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156134,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156134,A81000C,00100,0600,LIABILITY INSURANCE 156134,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156134,A81000C,00200,0600,PHARMACY 156134,A81000C,00300,0400,VENCARE RESPIRATORY 156134,A81000C,00300,0600,RESPIRATORY THERAPY 156134,A81000C,00400,0400,THERAPY SERVICES 156134,A81000C,00500,0400,VENCARE REHAB SERVICES 156134,A81000C,00500,0600,REHAB 156134,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156134,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156134,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156134,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156134,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156134,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156134,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156134,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156134,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156134,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156134,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156134,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156134,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156134,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156134,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156134,S000000,00100,0200,12/01/00 156134,S200000,00100,0100,1510 CLINIC DRIVE 156134,S200000,00200,0100,BEDFORD 156134,S200000,00200,0200,IN 156134,S200000,00200,0300,47421- 156134,S200000,00300,0100,LAWRENCE 156134,S200000,00300,0200,15 156134,S200000,00300,0300,R 156134,S200000,00400,0100,#779 WESTVIEW NURSING AND REHAB CENT 156134,S200000,00400,0200,155135 156134,S200000,00400,0300,09/01/82 156134,S200000,00400,0500,P 156134,S200000,01500,0100,Y 156134,S200000,01600,0100,N 156134,S200000,01700,0100,N 156134,S200000,01800,0100,N 156134,S200000,02200,0100,Y 156134,S200000,02800,0100,N 156134,S200000,02900,0100,N 156134,S200000,03000,0100,N 156134,S200000,03100,0100,N 156134,S200000,03200,0100,N 156134,S200000,04100,0100,N 156134,S200000,04200,0100,N 156134,S200000,04300,0100,N 156134,S200000,04600,0100,N 156134,S200000,04700,0100,N 156134,S200000,04700,0200,N 156134,S200000,04900,0100,N 156134,S200000,05000,0100,N 156134,S200000,05100,0100,N 156134,S200000,05200,0100,N 156274,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156274,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156274,A000000,00300,0000,0300EMPLOYEE BENEFITS 156274,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156274,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156274,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156274,A000000,00700,0000,0700HOUSEKEEPING 156274,A000000,00800,0000,0800DIETARY 156274,A000000,00900,0000,0900NURSING ADMINISTRATION 156274,A000000,00901,0000,0901OTHER NURSING 156274,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156274,A000000,01100,0000,1100PHARMACY 156274,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156274,A000000,01300,0000,1300SOCIAL SERVICE 156274,A000000,01301,0000,1301ACTIVITIES 156274,A000000,01600,0000,1600SKILLED NURSING FACILITY 156274,A000000,01800,0000,1800NURSING FACILITY 156274,A000000,02100,0000,2100RADIOLOGY 156274,A000000,02200,0000,2200LABORATORY 156274,A000000,02300,0000,2300INTRAVENOUS THERAPY 156274,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156274,A000000,02500,0000,2500PHYSICAL THERAPY 156274,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156274,A000000,02700,0000,2700SPEECH PATHOLOGY 156274,A000000,02800,0000,2800ELECTROCARDIOLOGY 156274,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156274,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156274,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156274,A000000,03301,0000,3051NUTRITIONAL THERAPY 156274,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156274,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156274,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156274,A000000,04800,0000,4800AMBULANCE 156274,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156274,A000000,05300,0000,5300INTEREST EXPENSE 156274,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156274,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156274,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156274,A000000,06200,0000,6200PATIENTS LAUNDRY 156274,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156274,A000000,06301,0000,6151DAY CARE 156274,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156274,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156274,A81000A,00100,0100,Y 156274,A81000B,00100,0300,HOME OFFICE COSTS 156274,A81000B,00200,0300,LIABILITY INSURANCE 156274,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156274,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156274,A81000B,00500,0300,VC PHARMACY - ADMIN 156274,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156274,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156274,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156274,A81000B,00900,0300,VC PHARMACY - DIETARY 156274,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156274,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156274,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156274,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156274,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156274,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156274,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156274,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156274,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156274,A81000B,01900,0300,VC PHARMACY - LAB 156274,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156274,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156274,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156274,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156274,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156274,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156274,A81000B,02600,0300,VC PHARMACY - LEGEND 156274,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156274,A81000B,02800,0300,VC PHARMACY - NUTR THER 156274,A81000B,02900,0300,VC HOSPITAL - INHALATION THER 156274,A81000C,00100,0100,B 156274,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156274,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156274,A81000C,00100,0600,LIABILITY INSURANCE 156274,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156274,A81000C,00200,0600,PHARMACY 156274,A81000C,00300,0400,VENCARE RESPIRATORY 156274,A81000C,00300,0600,RESPIRATORY THERAPY 156274,A81000C,00400,0400,THERAPY SERVICES 156274,A81000C,00500,0400,VENCARE REHAB SERVICES 156274,A81000C,00500,0600,REHAB 156274,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156274,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156274,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156274,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156274,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156274,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156274,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156274,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156274,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156274,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156274,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156274,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156274,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156274,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156274,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156274,E10A180,00301,0100,06/30/00 156274,E10A180,00302,0100,11/30/00 156274,S000000,00100,0200,12/11/00 156274,S200000,00100,0100,815 EAST 63RD STREET 156274,S200000,00200,0100,SAVANNAH 156274,S200000,00200,0200,GA 156274,S200000,00200,0300,31405- 156274,S200000,00300,0100,CHATHAM 156274,S200000,00300,0200,7520 156274,S200000,00300,0300,U 156274,S200000,00400,0100,155 SAVANNAH REHAB & NURSING CTR 156274,S200000,00400,0200,115120 156274,S200000,00400,0300,04/22/69 156274,S200000,00400,0500,P 156274,S200000,01500,0100,N 156274,S200000,01600,0100,Y 156274,S200000,01700,0100,N 156274,S200000,01800,0100,N 156274,S200000,02200,0100,Y 156274,S200000,02800,0100,N 156274,S200000,02900,0100,N 156274,S200000,03000,0100,N 156274,S200000,03100,0100,N 156274,S200000,03200,0100,N 156274,S200000,04100,0100,N 156274,S200000,04200,0100,N 156274,S200000,04300,0100,N 156274,S200000,04600,0100,N 156274,S200000,04700,0100,N 156274,S200000,04700,0200,N 156274,S200000,04900,0100,N 156274,S200000,05000,0100,N 156274,S200000,05100,0100,N 156274,S200000,05200,0100,N 156276,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156276,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156276,A000000,00300,0000,0300EMPLOYEE BENEFITS 156276,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156276,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156276,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156276,A000000,00700,0000,0700HOUSEKEEPING 156276,A000000,00800,0000,0800DIETARY 156276,A000000,00900,0000,0900NURSING ADMINISTRATION 156276,A000000,00901,0000,0901OTHER NURSING 156276,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156276,A000000,01100,0000,1100PHARMACY 156276,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156276,A000000,01300,0000,1300SOCIAL SERVICE 156276,A000000,01301,0000,1301ACTIVITIES 156276,A000000,01600,0000,1600SKILLED NURSING FACILITY 156276,A000000,01800,0000,1800NURSING FACILITY 156276,A000000,02100,0000,2100RADIOLOGY 156276,A000000,02200,0000,2200LABORATORY 156276,A000000,02300,0000,2300INTRAVENOUS THERAPY 156276,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156276,A000000,02500,0000,2500PHYSICAL THERAPY 156276,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156276,A000000,02700,0000,2700SPEECH PATHOLOGY 156276,A000000,02800,0000,2800ELECTROCARDIOLOGY 156276,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156276,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156276,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156276,A000000,03301,0000,3051NUTRITIONAL THERAPY 156276,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156276,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156276,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156276,A000000,04800,0000,4800AMBULANCE 156276,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156276,A000000,05300,0000,5300INTEREST EXPENSE 156276,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156276,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156276,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156276,A000000,06200,0000,6200PATIENTS LAUNDRY 156276,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156276,A000000,06301,0000,6151DAY CARE 156276,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156276,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156276,A81000A,00100,0100,Y 156276,A81000B,00100,0300,HOME OFFICE COSTS 156276,A81000B,00200,0300,LIABILITY INSURANCE 156276,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156276,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156276,A81000B,00500,0300,VC PHARMACY - ADMIN 156276,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156276,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156276,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156276,A81000B,00900,0300,VC PHARMACY - DIETARY 156276,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156276,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156276,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156276,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156276,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156276,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156276,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156276,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156276,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156276,A81000B,01900,0300,VC PHARMACY - LAB 156276,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156276,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156276,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156276,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156276,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156276,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156276,A81000B,02600,0300,VC PHARMACY - LEGEND 156276,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156276,A81000B,02800,0300,VC PHARMACY - NUTR THER 156276,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156276,A81000C,00100,0100,B 156276,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156276,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156276,A81000C,00100,0600,LIABILITY INSURANCE 156276,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156276,A81000C,00200,0600,PHARMACY 156276,A81000C,00300,0400,VENCARE RESPIRATORY 156276,A81000C,00300,0600,RESPIRATORY THERAPY 156276,A81000C,00400,0400,THERAPY SERVICES 156276,A81000C,00500,0400,VENCARE REHAB SERVICES 156276,A81000C,00500,0600,REHAB 156276,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156276,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156276,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156276,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156276,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156276,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156276,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156276,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156276,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156276,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156276,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156276,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156276,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156276,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156276,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156276,E10A180,00350,0100,06/30/00 156276,S000000,00100,0200,12/01/00 156276,S200000,00100,0100,1001 SOUTH HILTON 156276,S200000,00200,0100,BOISE 156276,S200000,00200,0200,ID 156276,S200000,00200,0300,83705- 156276,S200000,00300,0100,ADA 156276,S200000,00300,0200,1080 156276,S200000,00300,0300,U 156276,S200000,00400,0100,216 - HILLCREST REHAB & CARE CENTER 156276,S200000,00400,0200,135077 156276,S200000,00400,0300,01/01/84 156276,S200000,00400,0500,P 156276,S200000,01500,0100,Y 156276,S200000,01600,0100,N 156276,S200000,01700,0100,N 156276,S200000,01800,0100,N 156276,S200000,02200,0100,Y 156276,S200000,02800,0100,N 156276,S200000,02900,0100,N 156276,S200000,03000,0100,N 156276,S200000,03100,0100,N 156276,S200000,03200,0100,N 156276,S200000,04100,0100,N 156276,S200000,04200,0100,N 156276,S200000,04300,0100,N 156276,S200000,04600,0100,N 156276,S200000,04700,0100,N 156276,S200000,04700,0200,N 156276,S200000,04900,0100,N 156276,S200000,05000,0100,N 156276,S200000,05100,0100,N 156276,S200000,05200,0100,N 156277,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156277,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156277,A000000,00300,0000,0300EMPLOYEE BENEFITS 156277,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156277,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156277,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156277,A000000,00700,0000,0700HOUSEKEEPING 156277,A000000,00800,0000,0800DIETARY 156277,A000000,00900,0000,0900NURSING ADMINISTRATION 156277,A000000,00901,0000,0901OTHER NURSING 156277,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156277,A000000,01100,0000,1100PHARMACY 156277,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156277,A000000,01300,0000,1300SOCIAL SERVICE 156277,A000000,01301,0000,1301ACTIVITIES 156277,A000000,01600,0000,1600SKILLED NURSING FACILITY 156277,A000000,01800,0000,1800NURSING FACILITY 156277,A000000,02100,0000,2100RADIOLOGY 156277,A000000,02200,0000,2200LABORATORY 156277,A000000,02300,0000,2300INTRAVENOUS THERAPY 156277,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156277,A000000,02500,0000,2500PHYSICAL THERAPY 156277,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156277,A000000,02700,0000,2700SPEECH PATHOLOGY 156277,A000000,02800,0000,2800ELECTROCARDIOLOGY 156277,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156277,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156277,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156277,A000000,03301,0000,3051NUTRITIONAL THERAPY 156277,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156277,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156277,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156277,A000000,04800,0000,4800AMBULANCE 156277,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156277,A000000,05300,0000,5300INTEREST EXPENSE 156277,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156277,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156277,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156277,A000000,06200,0000,6200PATIENTS LAUNDRY 156277,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156277,A000000,06301,0000,6151DAY CARE 156277,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156277,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156277,A81000A,00100,0100,Y 156277,A81000B,00100,0300,HOME OFFICE COSTS 156277,A81000B,00200,0300,LIABILITY INSURANCE 156277,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156277,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156277,A81000B,00500,0300,VC PHARMACY - ADMIN 156277,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156277,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156277,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156277,A81000B,00900,0300,VC PHARMACY - DIETARY 156277,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156277,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156277,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156277,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156277,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156277,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156277,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156277,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156277,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156277,A81000B,01900,0300,VC PHARMACY - LAB 156277,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156277,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156277,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156277,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156277,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156277,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156277,A81000B,02600,0300,VC PHARMACY - LEGEND 156277,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156277,A81000B,02800,0300,VC PHARMACY - NUTR THER 156277,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156277,A81000C,00100,0100,B 156277,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156277,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156277,A81000C,00100,0600,LIABILITY INSURANCE 156277,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156277,A81000C,00200,0600,PHARMACY 156277,A81000C,00300,0400,VENCARE RESPIRATORY 156277,A81000C,00300,0600,RESPIRATORY THERAPY 156277,A81000C,00400,0400,THERAPY SERVICES 156277,A81000C,00500,0400,VENCARE REHAB SERVICES 156277,A81000C,00500,0600,REHAB 156277,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156277,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156277,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156277,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156277,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156277,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156277,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156277,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156277,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156277,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156277,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156277,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156277,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156277,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156277,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156277,S000000,00100,0200,12/01/00 156277,S200000,00100,0100,420 ROWE STREET 156277,S200000,00200,0100,MOSCOW 156277,S200000,00200,0200,ID 156277,S200000,00200,0300,83843- 156277,S200000,00300,0100,LATAH 156277,S200000,00300,0200,13 156277,S200000,00300,0300,R 156277,S200000,00400,0100,225 - MOSCOW CARE CENTER 156277,S200000,00400,0200,135093 156277,S200000,00400,0300,05/01/85 156277,S200000,00400,0500,P 156277,S200000,01500,0100,Y 156277,S200000,01600,0100,N 156277,S200000,01700,0100,N 156277,S200000,01800,0100,N 156277,S200000,02200,0100,Y 156277,S200000,02800,0100,N 156277,S200000,02900,0100,N 156277,S200000,03000,0100,N 156277,S200000,03100,0100,N 156277,S200000,03200,0100,N 156277,S200000,04100,0100,N 156277,S200000,04200,0100,N 156277,S200000,04300,0100,N 156277,S200000,04600,0100,N 156277,S200000,04700,0100,N 156277,S200000,04700,0200,N 156277,S200000,04900,0100,N 156277,S200000,05000,0100,N 156277,S200000,05100,0100,N 156277,S200000,05200,0100,N 156291,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156291,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156291,A000000,00300,0000,0300EMPLOYEE BENEFITS 156291,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156291,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156291,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156291,A000000,00700,0000,0700HOUSEKEEPING 156291,A000000,00800,0000,0800DIETARY 156291,A000000,00900,0000,0900NURSING ADMINISTRATION 156291,A000000,00901,0000,0901OTHER NURSING 156291,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156291,A000000,01100,0000,1100PHARMACY 156291,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156291,A000000,01300,0000,1300SOCIAL SERVICE 156291,A000000,01301,0000,1301ACTIVITIES 156291,A000000,01600,0000,1600SKILLED NURSING FACILITY 156291,A000000,01800,0000,1800NURSING FACILITY 156291,A000000,02100,0000,2100RADIOLOGY 156291,A000000,02200,0000,2200LABORATORY 156291,A000000,02300,0000,2300INTRAVENOUS THERAPY 156291,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156291,A000000,02500,0000,2500PHYSICAL THERAPY 156291,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156291,A000000,02700,0000,2700SPEECH PATHOLOGY 156291,A000000,02800,0000,2800ELECTROCARDIOLOGY 156291,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156291,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156291,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156291,A000000,03301,0000,3051NUTRITIONAL THERAPY 156291,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156291,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156291,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156291,A000000,04800,0000,4800AMBULANCE 156291,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156291,A000000,05300,0000,5300INTEREST EXPENSE 156291,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156291,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156291,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156291,A000000,06200,0000,6200PATIENTS LAUNDRY 156291,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156291,A000000,06301,0000,6151DAY CARE 156291,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156291,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156291,A81000A,00100,0100,Y 156291,A81000B,00100,0300,HOME OFFICE COSTS 156291,A81000B,00200,0300,LIABILITY INSURANCE 156291,A81000B,00500,0300,VC PHARMACY - ADMIN 156291,A81000B,00900,0300,VC PHARMACY - DIETARY 156291,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 156291,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 156291,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 156291,A81000B,01300,0300,VC PHARMACY - IV THERAPY 156291,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 156291,A81000B,01500,0300,VENCARE REHAB - PHYS THER 156291,A81000B,01600,0300,VENCARE REHAB - OCCP THER 156291,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 156291,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 156291,A81000B,01900,0300,VC PHARMACY - LEGEND 156291,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 156291,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 156291,A81000C,00100,0100,B 156291,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156291,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156291,A81000C,00100,0600,LIABILITY INSURANCE 156291,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156291,A81000C,00200,0600,PHARMACY 156291,A81000C,00300,0400,VENCARE RESPIRATORY 156291,A81000C,00300,0600,RESPIRATORY THERAPY 156291,A81000C,00400,0400,THERAPY SERVICES 156291,A81000C,00500,0400,VENCARE REHAB SERVICES 156291,A81000C,00500,0600,REHAB 156291,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156291,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156291,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156291,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156291,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156291,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156291,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156291,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156291,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156291,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156291,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156291,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156291,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156291,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156291,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156291,E10A180,00350,0100,06/30/00 156291,S000000,00100,0200,12/01/00 156291,S200000,00100,0100,3801 OLD VINCENNES ROAD 156291,S200000,00200,0100,VINCENNES 156291,S200000,00200,0200,IN 156291,S200000,00200,0300,47591- 156291,S200000,00300,0100,KNOX 156291,S200000,00300,0200,15 156291,S200000,00300,0300,R 156291,S200000,00400,0100,#287 CRESTVIEW 156291,S200000,00400,0200,155042 156291,S200000,00400,0300,05/01/86 156291,S200000,00400,0500,P 156291,S200000,01500,0100,N 156291,S200000,01600,0100,Y 156291,S200000,01700,0100,N 156291,S200000,01800,0100,N 156291,S200000,02200,0100,Y 156291,S200000,02800,0100,N 156291,S200000,02900,0100,N 156291,S200000,03000,0100,N 156291,S200000,03100,0100,N 156291,S200000,03200,0100,N 156291,S200000,04100,0100,N 156291,S200000,04200,0100,N 156291,S200000,04300,0100,N 156291,S200000,04600,0100,N 156291,S200000,04700,0100,N 156291,S200000,04700,0200,N 156291,S200000,04900,0100,N 156291,S200000,05000,0100,N 156291,S200000,05100,0100,N 156291,S200000,05200,0100,N 156292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156292,A000000,00300,0000,0300EMPLOYEE BENEFITS 156292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156292,A000000,00700,0000,0700HOUSEKEEPING 156292,A000000,00800,0000,0800DIETARY 156292,A000000,00900,0000,0900NURSING ADMINISTRATION 156292,A000000,00901,0000,0901OTHER NURSING 156292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156292,A000000,01100,0000,1100PHARMACY 156292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156292,A000000,01300,0000,1300SOCIAL SERVICE 156292,A000000,01301,0000,1301ACTIVITIES 156292,A000000,01600,0000,1600SKILLED NURSING FACILITY 156292,A000000,01800,0000,1800NURSING FACILITY 156292,A000000,02100,0000,2100RADIOLOGY 156292,A000000,02200,0000,2200LABORATORY 156292,A000000,02300,0000,2300INTRAVENOUS THERAPY 156292,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156292,A000000,02500,0000,2500PHYSICAL THERAPY 156292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156292,A000000,02700,0000,2700SPEECH PATHOLOGY 156292,A000000,02800,0000,2800ELECTROCARDIOLOGY 156292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156292,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156292,A000000,03301,0000,3051NUTRITIONAL THERAPY 156292,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156292,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156292,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156292,A000000,04800,0000,4800AMBULANCE 156292,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156292,A000000,05300,0000,5300INTEREST EXPENSE 156292,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156292,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156292,A000000,06200,0000,6200PATIENTS LAUNDRY 156292,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156292,A000000,06301,0000,6151DAY CARE 156292,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156292,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156292,A81000A,00100,0100,Y 156292,A81000B,00100,0300,HOME OFFICE COSTS 156292,A81000B,00200,0300,LIABILITY INSURANCE 156292,A81000B,01000,0300,MOBILE RADIOLOGY - XRAY 156292,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 156292,A81000B,01200,0300,VENCARE REHAB - PHYS THER 156292,A81000B,01300,0300,VENCARE REHAB - OCCP THER 156292,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 156292,A81000C,00100,0100,B 156292,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156292,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156292,A81000C,00100,0600,LIABILITY INSURANCE 156292,A81000C,00300,0400,VENCARE RESPIRATORY 156292,A81000C,00300,0600,RESPIRATORY THERAPY 156292,A81000C,00400,0400,THERAPY SERVICES 156292,A81000C,00500,0400,VENCARE REHAB SERVICES 156292,A81000C,00500,0600,REHAB 156292,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156292,A81000C,00600,0600,PORTABLE X-RAY 156292,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156292,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156292,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156292,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156292,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156292,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156292,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156292,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156292,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156292,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156292,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156292,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156292,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156292,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156292,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156292,E10A180,00301,0100,06/30/00 156292,S000000,00100,0200,12/01/00 156292,S200000,00100,0100,200 GREEN MEADOWS DRIVE 156292,S200000,00200,0100,GREENFIELD 156292,S200000,00200,0200,IN 156292,S200000,00200,0300,46140- 156292,S200000,00300,0100,HANCOCK 156292,S200000,00300,0200,3480 156292,S200000,00300,0300,U 156292,S200000,00400,0100,#403 REGENCY PLACE OF GREENFIELD 156292,S200000,00400,0200,155188 156292,S200000,00400,0300,02/04/80 156292,S200000,00400,0500,P 156292,S200000,01500,0100,Y 156292,S200000,01600,0100,N 156292,S200000,01700,0100,N 156292,S200000,01800,0100,N 156292,S200000,02200,0100,Y 156292,S200000,02800,0100,N 156292,S200000,02900,0100,N 156292,S200000,03000,0100,N 156292,S200000,03100,0100,N 156292,S200000,03200,0100,N 156292,S200000,04100,0100,N 156292,S200000,04200,0100,N 156292,S200000,04300,0100,N 156292,S200000,04600,0100,N 156292,S200000,04700,0100,N 156292,S200000,04700,0200,N 156292,S200000,04900,0100,N 156292,S200000,05000,0100,N 156292,S200000,05100,0100,N 156292,S200000,05200,0100,N 156293,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156293,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156293,A000000,00300,0000,0300EMPLOYEE BENEFITS 156293,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156293,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156293,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156293,A000000,00700,0000,0700HOUSEKEEPING 156293,A000000,00800,0000,0800DIETARY 156293,A000000,00900,0000,0900NURSING ADMINISTRATION 156293,A000000,00901,0000,0901OTHER NURSING 156293,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156293,A000000,01100,0000,1100PHARMACY 156293,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156293,A000000,01300,0000,1300SOCIAL SERVICE 156293,A000000,01301,0000,1301ACTIVITIES 156293,A000000,01600,0000,1600SKILLED NURSING FACILITY 156293,A000000,01800,0000,1800NURSING FACILITY 156293,A000000,02100,0000,2100RADIOLOGY 156293,A000000,02200,0000,2200LABORATORY 156293,A000000,02300,0000,2300INTRAVENOUS THERAPY 156293,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156293,A000000,02500,0000,2500PHYSICAL THERAPY 156293,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156293,A000000,02700,0000,2700SPEECH PATHOLOGY 156293,A000000,02800,0000,2800ELECTROCARDIOLOGY 156293,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156293,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156293,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156293,A000000,03301,0000,3051NUTRITIONAL THERAPY 156293,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156293,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156293,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156293,A000000,04800,0000,4800AMBULANCE 156293,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156293,A000000,05300,0000,5300INTEREST EXPENSE 156293,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156293,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156293,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156293,A000000,06200,0000,6200PATIENTS LAUNDRY 156293,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156293,A000000,06301,0000,6151DAY CARE 156293,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156293,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156293,A81000A,00100,0100,Y 156293,A81000B,00100,0300,HOME OFFICE COSTS 156293,A81000B,00200,0300,LIABILITY INSURANCE 156293,A81000B,01000,0300,MOBILE RADIOLOGY - XRAY 156293,A81000B,01100,0300,VC HOSPITAL - INHALATION THER 156293,A81000B,01200,0300,VENCARE REHAB - PHYS THER 156293,A81000B,01300,0300,VENCARE REHAB - OCCP THER 156293,A81000B,01400,0300,VENCARE REHAB - SPEECH THER 156293,A81000B,01500,0300,VC PHARMACY - EMPL BENEFITS 156293,A81000C,00100,0100,B 156293,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156293,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156293,A81000C,00100,0600,LIABILITY INSURANCE 156293,A81000C,00300,0400,VENCARE RESPIRATORY 156293,A81000C,00300,0600,RESPIRATORY THERAPY 156293,A81000C,00400,0400,THERAPY SERVICES 156293,A81000C,00500,0400,VENCARE REHAB SERVICES 156293,A81000C,00500,0600,REHAB 156293,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156293,A81000C,00600,0600,PORTABLE X-RAY 156293,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156293,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156293,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156293,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156293,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156293,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156293,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156293,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156293,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156293,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156293,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156293,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156293,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156293,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156293,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156293,E10A180,00301,0100,06/30/00 156293,S000000,00100,0200,12/01/00 156293,S200000,00100,0100,377 WESTRIDGE BLVD. 156293,S200000,00200,0100,GREENWOOD 156293,S200000,00200,0200,IN 156293,S200000,00200,0300,46142- 156293,S200000,00300,0100,JOHNSON 156293,S200000,00300,0200,3480 156293,S200000,00300,0300,U 156293,S200000,00400,0100,#240 REGENCY PLACE OF GREENWOOD 156293,S200000,00400,0200,155193 156293,S200000,00400,0300,09/20/85 156293,S200000,00400,0500,P 156293,S200000,01500,0100,Y 156293,S200000,01600,0100,N 156293,S200000,01700,0100,N 156293,S200000,01800,0100,N 156293,S200000,02200,0100,Y 156293,S200000,02800,0100,N 156293,S200000,02900,0100,N 156293,S200000,03000,0100,N 156293,S200000,03100,0100,N 156293,S200000,03200,0100,N 156293,S200000,04100,0100,N 156293,S200000,04200,0100,N 156293,S200000,04300,0100,N 156293,S200000,04600,0100,N 156293,S200000,04700,0100,N 156293,S200000,04700,0200,N 156293,S200000,04900,0100,N 156293,S200000,05000,0100,N 156293,S200000,05100,0100,N 156293,S200000,05200,0100,N 156298,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156298,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156298,A000000,00300,0000,0300EMPLOYEE BENEFITS 156298,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156298,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156298,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156298,A000000,00700,0000,0700HOUSEKEEPING 156298,A000000,00800,0000,0800DIETARY 156298,A000000,00900,0000,0900NURSING ADMINISTRATION 156298,A000000,00901,0000,0901OTHER NURSING 156298,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156298,A000000,01100,0000,1100PHARMACY 156298,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156298,A000000,01300,0000,1300SOCIAL SERVICE 156298,A000000,01301,0000,1301ACTIVITIES 156298,A000000,01600,0000,1600SKILLED NURSING FACILITY 156298,A000000,01800,0000,1800NURSING FACILITY 156298,A000000,02100,0000,2100RADIOLOGY 156298,A000000,02200,0000,2200LABORATORY 156298,A000000,02300,0000,2300INTRAVENOUS THERAPY 156298,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156298,A000000,02500,0000,2500PHYSICAL THERAPY 156298,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156298,A000000,02700,0000,2700SPEECH PATHOLOGY 156298,A000000,02800,0000,2800ELECTROCARDIOLOGY 156298,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156298,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156298,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156298,A000000,03301,0000,3051NUTRITIONAL THERAPY 156298,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156298,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156298,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156298,A000000,04800,0000,4800AMBULANCE 156298,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156298,A000000,05300,0000,5300INTEREST EXPENSE 156298,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156298,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156298,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156298,A000000,06200,0000,6200PATIENTS LAUNDRY 156298,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156298,A000000,06301,0000,6151DAY CARE 156298,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156298,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156298,A81000A,00100,0100,Y 156298,A81000B,00100,0300,HOME OFFICE COSTS 156298,A81000B,00200,0300,LIABILITY INSURANCE 156298,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156298,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156298,A81000B,00500,0300,VC PHARMACY - ADMIN 156298,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156298,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156298,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156298,A81000B,00900,0300,VC PHARMACY - DIETARY 156298,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156298,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156298,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156298,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156298,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156298,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156298,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156298,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156298,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156298,A81000B,01900,0300,VC PHARMACY - LAB 156298,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156298,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156298,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156298,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156298,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156298,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156298,A81000B,02600,0300,VC PHARMACY - LEGEND 156298,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156298,A81000B,02800,0300,VC PHARMACY - NUTR THER 156298,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156298,A81000C,00100,0100,B 156298,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156298,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156298,A81000C,00100,0600,LIABILITY INSURANCE 156298,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156298,A81000C,00200,0600,PHARMACY 156298,A81000C,00300,0400,VENCARE RESPIRATORY 156298,A81000C,00300,0600,RESPIRATORY THERAPY 156298,A81000C,00400,0400,THERAPY SERVICES 156298,A81000C,00500,0400,VENCARE REHAB SERVICES 156298,A81000C,00500,0600,REHAB 156298,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156298,A81000C,00600,0600,PORTABLE X-RAY 156298,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156298,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156298,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156298,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156298,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156298,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156298,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156298,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156298,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156298,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156298,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156298,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156298,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156298,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156298,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156298,E10A180,00301,0100,06/30/00 156298,E10A180,00351,0100,06/30/00 156298,S000000,00100,0200,12/11/00 156298,S200000,00100,0100,2006 SOUTH 16TH STREET 156298,S200000,00200,0100,WILMINGTON 156298,S200000,00200,0200,NC 156298,S200000,00200,0300,28401- 156298,S200000,00300,0100,NEW HANOVER 156298,S200000,00300,0200,9200 156298,S200000,00300,0300,U 156298,S200000,00400,0100,188 CYPRESS POINTE REHAB & HC 156298,S200000,00400,0200,345002 156298,S200000,00400,0300,06/01/76 156298,S200000,00400,0500,P 156298,S200000,01500,0100,N 156298,S200000,01600,0100,Y 156298,S200000,01700,0100,N 156298,S200000,01800,0100,N 156298,S200000,02200,0100,Y 156298,S200000,02800,0100,N 156298,S200000,02900,0100,N 156298,S200000,03000,0100,N 156298,S200000,03100,0100,N 156298,S200000,03200,0100,N 156298,S200000,04100,0100,N 156298,S200000,04200,0100,N 156298,S200000,04300,0100,N 156298,S200000,04600,0100,N 156298,S200000,04700,0100,N 156298,S200000,04700,0200,N 156298,S200000,04900,0100,N 156298,S200000,05000,0100,N 156298,S200000,05100,0100,N 156298,S200000,05200,0100,N 156299,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156299,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156299,A000000,00300,0000,0300EMPLOYEE BENEFITS 156299,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156299,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156299,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156299,A000000,00700,0000,0700HOUSEKEEPING 156299,A000000,00800,0000,0800DIETARY 156299,A000000,00900,0000,0900NURSING ADMINISTRATION 156299,A000000,00901,0000,0901OTHER NURSING 156299,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156299,A000000,01100,0000,1100PHARMACY 156299,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156299,A000000,01300,0000,1300SOCIAL SERVICE 156299,A000000,01301,0000,1301ACTIVITIES 156299,A000000,01600,0000,1600SKILLED NURSING FACILITY 156299,A000000,01800,0000,1800NURSING FACILITY 156299,A000000,02100,0000,2100RADIOLOGY 156299,A000000,02200,0000,2200LABORATORY 156299,A000000,02300,0000,2300INTRAVENOUS THERAPY 156299,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156299,A000000,02500,0000,2500PHYSICAL THERAPY 156299,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156299,A000000,02700,0000,2700SPEECH PATHOLOGY 156299,A000000,02800,0000,2800ELECTROCARDIOLOGY 156299,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156299,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156299,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156299,A000000,03301,0000,3051NUTRITIONAL THERAPY 156299,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156299,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156299,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156299,A000000,04800,0000,4800AMBULANCE 156299,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156299,A000000,05300,0000,5300INTEREST EXPENSE 156299,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156299,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156299,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156299,A000000,06200,0000,6200PATIENTS LAUNDRY 156299,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156299,A000000,06301,0000,6151DAY CARE 156299,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156299,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156299,A81000A,00100,0100,Y 156299,A81000B,00100,0300,HOME OFFICE COSTS 156299,A81000B,00200,0300,LIABILITY INSURANCE 156299,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156299,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156299,A81000B,00500,0300,VC PHARMACY - ADMIN 156299,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156299,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156299,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156299,A81000B,00900,0300,VC PHARMACY - DIETARY 156299,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156299,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156299,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156299,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156299,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156299,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156299,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156299,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156299,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156299,A81000B,01900,0300,VC PHARMACY - LAB 156299,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156299,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156299,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156299,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156299,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156299,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156299,A81000B,02600,0300,VC PHARMACY - LEGEND 156299,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156299,A81000B,02800,0300,VC PHARMACY - NUTR THER 156299,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156299,A81000C,00100,0100,B 156299,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156299,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156299,A81000C,00100,0600,LIABILITY INSURANCE 156299,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156299,A81000C,00200,0600,PHARMACY 156299,A81000C,00300,0400,VENCARE RESPIRATORY 156299,A81000C,00300,0600,RESPIRATORY THERAPY 156299,A81000C,00400,0400,THERAPY SERVICES 156299,A81000C,00500,0400,VENCARE REHAB SERVICES 156299,A81000C,00500,0600,REHAB 156299,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156299,A81000C,00600,0600,PORTABLE X-RAY 156299,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156299,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156299,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156299,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156299,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156299,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156299,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156299,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156299,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156299,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156299,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156299,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156299,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156299,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156299,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156299,E10A180,00301,0100,06/30/00 156299,E10A180,00351,0100,06/30/00 156299,S000000,00100,0200,12/11/00 156299,S200000,00100,0100,3350 SILAS CREEK PARKWAY 156299,S200000,00200,0100,WINSTON - SALEM 156299,S200000,00200,0200,NC 156299,S200000,00200,0300,27103- 156299,S200000,00300,0100,FORSYTH 156299,S200000,00300,0200,3120 156299,S200000,00300,0300,U 156299,S200000,00400,0100,191 SILAS CREEK MANOR 156299,S200000,00400,0200,345003 156299,S200000,00400,0300,06/01/76 156299,S200000,00400,0500,P 156299,S200000,01500,0100,N 156299,S200000,01600,0100,Y 156299,S200000,01700,0100,N 156299,S200000,01800,0100,N 156299,S200000,02200,0100,Y 156299,S200000,02800,0100,N 156299,S200000,02900,0100,N 156299,S200000,03000,0100,N 156299,S200000,03100,0100,N 156299,S200000,03200,0100,N 156299,S200000,04100,0100,N 156299,S200000,04200,0100,N 156299,S200000,04300,0100,N 156299,S200000,04600,0100,N 156299,S200000,04700,0100,N 156299,S200000,04700,0200,N 156299,S200000,04900,0100,N 156299,S200000,05000,0100,N 156299,S200000,05100,0100,N 156299,S200000,05200,0100,N 156300,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156300,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156300,A000000,00300,0000,0300EMPLOYEE BENEFITS 156300,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156300,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156300,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156300,A000000,00700,0000,0700HOUSEKEEPING 156300,A000000,00800,0000,0800DIETARY 156300,A000000,00900,0000,0900NURSING ADMINISTRATION 156300,A000000,00901,0000,0901OTHER NURSING 156300,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156300,A000000,01100,0000,1100PHARMACY 156300,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156300,A000000,01300,0000,1300SOCIAL SERVICE 156300,A000000,01301,0000,1301ACTIVITIES 156300,A000000,01600,0000,1600SKILLED NURSING FACILITY 156300,A000000,01800,0000,1800NURSING FACILITY 156300,A000000,02100,0000,2100RADIOLOGY 156300,A000000,02200,0000,2200LABORATORY 156300,A000000,02300,0000,2300INTRAVENOUS THERAPY 156300,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156300,A000000,02500,0000,2500PHYSICAL THERAPY 156300,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156300,A000000,02700,0000,2700SPEECH PATHOLOGY 156300,A000000,02800,0000,2800ELECTROCARDIOLOGY 156300,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156300,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156300,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156300,A000000,03301,0000,3051NUTRITIONAL THERAPY 156300,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156300,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156300,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156300,A000000,04800,0000,4800AMBULANCE 156300,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156300,A000000,05300,0000,5300INTEREST EXPENSE 156300,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156300,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156300,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156300,A000000,06200,0000,6200PATIENTS LAUNDRY 156300,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156300,A000000,06301,0000,6151DAY CARE 156300,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156300,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156300,A81000A,00100,0100,Y 156300,A81000B,00100,0300,HOME OFFICE COSTS 156300,A81000B,00200,0300,LIABILITY INSURANCE 156300,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156300,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156300,A81000B,00500,0300,VC PHARMACY - ADMIN 156300,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156300,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156300,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156300,A81000B,00900,0300,VC PHARMACY - DIETARY 156300,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156300,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156300,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156300,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156300,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156300,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156300,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156300,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156300,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156300,A81000B,01900,0300,VC PHARMACY - LAB 156300,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156300,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156300,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156300,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156300,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156300,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156300,A81000B,02600,0300,VC PHARMACY - LEGEND 156300,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156300,A81000B,02800,0300,VC PHARMACY - NUTR THER 156300,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156300,A81000C,00100,0100,B 156300,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156300,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156300,A81000C,00100,0600,LIABILITY INSURANCE 156300,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156300,A81000C,00200,0600,PHARMACY 156300,A81000C,00300,0400,VENCARE RESPIRATORY 156300,A81000C,00300,0600,RESPIRATORY THERAPY 156300,A81000C,00400,0400,THERAPY SERVICES 156300,A81000C,00500,0400,VENCARE REHAB SERVICES 156300,A81000C,00500,0600,REHAB 156300,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156300,A81000C,00600,0600,PORTABLE X-RAY 156300,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156300,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156300,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156300,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156300,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156300,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156300,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156300,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156300,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156300,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156300,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156300,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156300,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156300,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156300,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156300,E10A180,00350,0100,06/30/00 156300,S000000,00100,0200,12/11/00 156300,S200000,00100,0100,616 WADE AVENUE 156300,S200000,00200,0100,RALEIGH 156300,S200000,00200,0200,NC 156300,S200000,00200,0300,27605- 156300,S200000,00300,0100,WAKE 156300,S200000,00300,0200,6640 156300,S200000,00300,0300,U 156300,S200000,00400,0100,143 - RALEIGH REHAB & HC CENTER 156300,S200000,00400,0200,345049 156300,S200000,00400,0300,10/01/72 156300,S200000,00400,0500,P 156300,S200000,01500,0100,N 156300,S200000,01600,0100,Y 156300,S200000,01700,0100,N 156300,S200000,01800,0100,N 156300,S200000,02200,0100,Y 156300,S200000,02800,0100,N 156300,S200000,02900,0100,N 156300,S200000,03000,0100,N 156300,S200000,03100,0100,N 156300,S200000,03200,0100,N 156300,S200000,04100,0100,N 156300,S200000,04200,0100,N 156300,S200000,04300,0100,N 156300,S200000,04600,0100,N 156300,S200000,04700,0100,N 156300,S200000,04700,0200,N 156300,S200000,04900,0100,N 156300,S200000,05000,0100,N 156300,S200000,05100,0100,N 156300,S200000,05200,0100,N 156301,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156301,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156301,A000000,00300,0000,0300EMPLOYEE BENEFITS 156301,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156301,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156301,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156301,A000000,00700,0000,0700HOUSEKEEPING 156301,A000000,00800,0000,0800DIETARY 156301,A000000,00900,0000,0900NURSING ADMINISTRATION 156301,A000000,00901,0000,0901OTHER NURSING 156301,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156301,A000000,01100,0000,1100PHARMACY 156301,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156301,A000000,01300,0000,1300SOCIAL SERVICE 156301,A000000,01301,0000,1301ACTIVITIES 156301,A000000,01600,0000,1600SKILLED NURSING FACILITY 156301,A000000,01800,0000,1800NURSING FACILITY 156301,A000000,02100,0000,2100RADIOLOGY 156301,A000000,02200,0000,2200LABORATORY 156301,A000000,02300,0000,2300INTRAVENOUS THERAPY 156301,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156301,A000000,02500,0000,2500PHYSICAL THERAPY 156301,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156301,A000000,02700,0000,2700SPEECH PATHOLOGY 156301,A000000,02800,0000,2800ELECTROCARDIOLOGY 156301,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156301,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156301,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156301,A000000,03301,0000,3051NUTRITIONAL THERAPY 156301,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156301,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156301,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156301,A000000,04800,0000,4800AMBULANCE 156301,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156301,A000000,05300,0000,5300INTEREST EXPENSE 156301,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156301,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156301,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156301,A000000,06200,0000,6200PATIENTS LAUNDRY 156301,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156301,A000000,06301,0000,6151DAY CARE 156301,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156301,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156301,A81000A,00100,0100,Y 156301,A81000B,00100,0300,HOME OFFICE COSTS 156301,A81000B,00200,0300,LIABILITY INSURANCE 156301,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156301,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156301,A81000B,00500,0300,VC PHARMACY - ADMIN 156301,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156301,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156301,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156301,A81000B,00900,0300,VC PHARMACY - DIETARY 156301,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156301,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156301,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156301,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156301,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156301,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156301,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156301,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156301,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156301,A81000B,01900,0300,VC PHARMACY - LAB 156301,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156301,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156301,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156301,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156301,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156301,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156301,A81000B,02600,0300,VC PHARMACY - LEGEND 156301,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156301,A81000B,02800,0300,VC PHARMACY - NUTR THER 156301,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156301,A81000C,00100,0100,B 156301,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156301,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156301,A81000C,00100,0600,LIABILITY INSURANCE 156301,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156301,A81000C,00200,0600,PHARMACY 156301,A81000C,00300,0400,VENCARE RESPIRATORY 156301,A81000C,00300,0600,RESPIRATORY THERAPY 156301,A81000C,00400,0400,THERAPY SERVICES 156301,A81000C,00500,0400,VENCARE REHAB SERVICES 156301,A81000C,00500,0600,REHAB 156301,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156301,A81000C,00600,0600,PORTABLE X-RAY 156301,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156301,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156301,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156301,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156301,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156301,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156301,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156301,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156301,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156301,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156301,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156301,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156301,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156301,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156301,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156301,E10A180,00302,0100,11/30/00 156301,S000000,00100,0200,12/11/00 156301,S200000,00100,0100,1515 PETTIGREW STREET 156301,S200000,00200,0100,DURHAM 156301,S200000,00200,0200,NC 156301,S200000,00200,0300,27705- 156301,S200000,00300,0100,DURHAM 156301,S200000,00300,0200,6640 156301,S200000,00300,0300,U 156301,S200000,00400,0100,116 PETTIGREW REHAB & HC CENTER 156301,S200000,00400,0200,345053 156301,S200000,00400,0300,01/19/69 156301,S200000,00400,0500,P 156301,S200000,01500,0100,N 156301,S200000,01600,0100,Y 156301,S200000,01700,0100,N 156301,S200000,01800,0100,N 156301,S200000,02200,0100,Y 156301,S200000,02800,0100,N 156301,S200000,02900,0100,N 156301,S200000,03000,0100,N 156301,S200000,03100,0100,N 156301,S200000,03200,0100,N 156301,S200000,04100,0100,N 156301,S200000,04200,0100,N 156301,S200000,04300,0100,N 156301,S200000,04600,0100,N 156301,S200000,04700,0100,N 156301,S200000,04700,0200,N 156301,S200000,04900,0100,N 156301,S200000,05000,0100,N 156301,S200000,05100,0100,N 156301,S200000,05200,0100,N 156303,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156303,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156303,A000000,00300,0000,0300EMPLOYEE BENEFITS 156303,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156303,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156303,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156303,A000000,00700,0000,0700HOUSEKEEPING 156303,A000000,00800,0000,0800DIETARY 156303,A000000,00900,0000,0900NURSING ADMINISTRATION 156303,A000000,00901,0000,0901OTHER NURSING 156303,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156303,A000000,01100,0000,1100PHARMACY 156303,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156303,A000000,01300,0000,1300SOCIAL SERVICE 156303,A000000,01301,0000,1301ACTIVITIES 156303,A000000,01600,0000,1600SKILLED NURSING FACILITY 156303,A000000,01800,0000,1800NURSING FACILITY 156303,A000000,02100,0000,2100RADIOLOGY 156303,A000000,02200,0000,2200LABORATORY 156303,A000000,02300,0000,2300INTRAVENOUS THERAPY 156303,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156303,A000000,02500,0000,2500PHYSICAL THERAPY 156303,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156303,A000000,02700,0000,2700SPEECH PATHOLOGY 156303,A000000,02800,0000,2800ELECTROCARDIOLOGY 156303,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156303,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156303,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156303,A000000,03301,0000,3051NUTRITIONAL THERAPY 156303,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156303,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156303,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156303,A000000,04800,0000,4800AMBULANCE 156303,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 156303,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156303,A000000,05300,0000,5300INTEREST EXPENSE 156303,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156303,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156303,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156303,A000000,06200,0000,6200PATIENTS LAUNDRY 156303,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156303,A000000,06301,0000,6151DAY CARE 156303,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156303,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156303,A81000A,00100,0100,Y 156303,A81000B,00100,0300,HOME OFFICE COSTS 156303,A81000B,00200,0300,LIABILITY INSURANCE 156303,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156303,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156303,A81000B,00500,0300,VC PHARMACY - ADMIN 156303,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156303,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156303,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156303,A81000B,00900,0300,VC PHARMACY - DIETARY 156303,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156303,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156303,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156303,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156303,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156303,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156303,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156303,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156303,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156303,A81000B,01900,0300,VC PHARMACY - LAB 156303,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156303,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156303,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156303,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156303,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156303,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156303,A81000B,02600,0300,VC PHARMACY - LEGEND 156303,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156303,A81000B,02800,0300,VC PHARMACY - NUTR THER 156303,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156303,A81000C,00100,0100,B 156303,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156303,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156303,A81000C,00100,0600,LIABILITY INSURANCE 156303,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156303,A81000C,00200,0600,PHARMACY 156303,A81000C,00300,0400,VENCARE RESPIRATORY 156303,A81000C,00300,0600,RESPIRATORY THERAPY 156303,A81000C,00400,0400,THERAPY SERVICES 156303,A81000C,00500,0400,VENCARE REHAB SERVICES 156303,A81000C,00500,0600,REHAB 156303,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156303,A81000C,00600,0600,PORTABLE X-RAY 156303,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156303,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156303,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156303,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156303,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156303,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156303,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156303,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156303,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156303,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156303,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156303,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156303,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156303,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156303,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156303,E10A180,00301,0100,06/30/00 156303,E10A180,00302,0100,11/30/00 156303,S000000,00100,0200,12/11/00 156303,S200000,00100,0100,416 NORTH HIGHLAND STREET 156303,S200000,00200,0100,GASTONIA 156303,S200000,00200,0200,NC 156303,S200000,00200,0300,28052- 156303,S200000,00300,0100,GASTON 156303,S200000,00300,0200,1520 156303,S200000,00300,0300,U 156303,S200000,00400,0100,724 - REHAB & HEALTHCARE OF GASTONIA 156303,S200000,00400,0200,345162 156303,S200000,00400,0300,10/01/81 156303,S200000,00400,0500,P 156303,S200000,01500,0100,N 156303,S200000,01600,0100,Y 156303,S200000,01700,0100,N 156303,S200000,01800,0100,N 156303,S200000,02200,0100,Y 156303,S200000,02800,0100,N 156303,S200000,02900,0100,N 156303,S200000,03000,0100,N 156303,S200000,03100,0100,N 156303,S200000,03200,0100,N 156303,S200000,04100,0100,N 156303,S200000,04200,0100,N 156303,S200000,04300,0100,N 156303,S200000,04600,0100,N 156303,S200000,04700,0100,N 156303,S200000,04700,0200,N 156303,S200000,04900,0100,N 156303,S200000,05000,0100,N 156303,S200000,05100,0100,N 156303,S200000,05200,0100,N 156305,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156305,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156305,A000000,00300,0000,0300EMPLOYEE BENEFITS 156305,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156305,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156305,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156305,A000000,00700,0000,0700HOUSEKEEPING 156305,A000000,00800,0000,0800DIETARY 156305,A000000,00900,0000,0900NURSING ADMINISTRATION 156305,A000000,00901,0000,0901OTHER NURSING 156305,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156305,A000000,01100,0000,1100PHARMACY 156305,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156305,A000000,01300,0000,1300SOCIAL SERVICE 156305,A000000,01301,0000,1301ACTIVITIES 156305,A000000,01600,0000,1600SKILLED NURSING FACILITY 156305,A000000,01800,0000,1800NURSING FACILITY 156305,A000000,02100,0000,2100RADIOLOGY 156305,A000000,02200,0000,2200LABORATORY 156305,A000000,02300,0000,2300INTRAVENOUS THERAPY 156305,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156305,A000000,02500,0000,2500PHYSICAL THERAPY 156305,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156305,A000000,02700,0000,2700SPEECH PATHOLOGY 156305,A000000,02800,0000,2800ELECTROCARDIOLOGY 156305,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156305,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156305,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156305,A000000,03301,0000,3051NUTRITIONAL THERAPY 156305,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156305,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156305,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156305,A000000,04800,0000,4800AMBULANCE 156305,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156305,A000000,05300,0000,5300INTEREST EXPENSE 156305,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156305,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156305,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156305,A000000,06200,0000,6200PATIENTS LAUNDRY 156305,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156305,A000000,06301,0000,6151DAY CARE 156305,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156305,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156305,A81000A,00100,0100,Y 156305,A81000B,00100,0300,HOME OFFICE COSTS 156305,A81000B,00200,0300,LIABILITY INSURANCE 156305,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156305,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156305,A81000B,00500,0300,VC PHARMACY - ADMIN 156305,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156305,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156305,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156305,A81000B,00900,0300,VC PHARMACY - DIETARY 156305,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156305,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156305,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156305,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156305,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156305,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156305,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156305,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156305,A81000B,01800,0300,VENCARE MOBILE RADIOLOGY 156305,A81000B,01900,0300,VC PHARMACY - LAB 156305,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156305,A81000B,02100,0300,VENCARE RESP THERAPY SVCS 156305,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156305,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156305,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156305,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156305,A81000B,02600,0300,VC PHARMACY - LEGEND 156305,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156305,A81000B,02800,0300,VC PHARMACY - NUTR THER 156305,A81000B,02900,0300,VENCARE RESP THERAPY SVCS 156305,A81000C,00100,0100,B 156305,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156305,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156305,A81000C,00100,0600,LIABILITY INSURANCE 156305,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156305,A81000C,00200,0600,PHARMACY 156305,A81000C,00300,0400,VENCARE RESPIRATORY 156305,A81000C,00300,0600,RESPIRATORY THERAPY 156305,A81000C,00400,0400,THERAPY SERVICES 156305,A81000C,00500,0400,VENCARE REHAB SERVICES 156305,A81000C,00500,0600,REHAB 156305,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156305,A81000C,00600,0600,PORTABLE X-RAY 156305,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156305,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156305,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156305,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156305,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156305,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156305,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156305,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156305,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156305,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156305,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156305,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156305,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156305,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156305,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156305,E10A180,00350,0100,06/30/00 156305,S000000,00100,0200,12/11/00 156305,S200000,00100,0100,STOKES ST EXTENSION 156305,S200000,00100,0300,1006 156305,S200000,00200,0100,AHOSKIE 156305,S200000,00200,0200,NC 156305,S200000,00200,0300,27910- 156305,S200000,00300,0100,HERTFORD 156305,S200000,00300,0200,34 156305,S200000,00300,0300,R 156305,S200000,00400,0100,718 - GUARDIAN CARE OF AHOSKIE 156305,S200000,00400,0200,345359 156305,S200000,00400,0300,04/04/91 156305,S200000,00400,0500,P 156305,S200000,01500,0100,N 156305,S200000,01600,0100,Y 156305,S200000,01700,0100,N 156305,S200000,01800,0100,N 156305,S200000,02200,0100,Y 156305,S200000,02800,0100,N 156305,S200000,02900,0100,N 156305,S200000,03000,0100,N 156305,S200000,03100,0100,N 156305,S200000,03200,0100,N 156305,S200000,04100,0100,N 156305,S200000,04200,0100,N 156305,S200000,04300,0100,N 156305,S200000,04600,0100,N 156305,S200000,04700,0100,N 156305,S200000,04700,0200,N 156305,S200000,04900,0100,N 156305,S200000,05000,0100,N 156305,S200000,05100,0100,N 156305,S200000,05200,0100,N 156307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156307,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156307,A000000,00300,0000,0300EMPLOYEE BENEFITS 156307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156307,A000000,00700,0000,0700HOUSEKEEPING 156307,A000000,00800,0000,0800DIETARY 156307,A000000,00900,0000,0900NURSING ADMINISTRATION 156307,A000000,00901,0000,0901OTHER NURSING 156307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156307,A000000,01100,0000,1100PHARMACY 156307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156307,A000000,01300,0000,1300SOCIAL SERVICE 156307,A000000,01301,0000,1301ACTIVITIES 156307,A000000,01600,0000,1600SKILLED NURSING FACILITY 156307,A000000,01800,0000,1800NURSING FACILITY 156307,A000000,02100,0000,2100RADIOLOGY 156307,A000000,02200,0000,2200LABORATORY 156307,A000000,02300,0000,2300INTRAVENOUS THERAPY 156307,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156307,A000000,02500,0000,2500PHYSICAL THERAPY 156307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156307,A000000,02700,0000,2700SPEECH PATHOLOGY 156307,A000000,02800,0000,2800ELECTROCARDIOLOGY 156307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156307,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156307,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156307,A000000,03301,0000,3051NUTRITIONAL THERAPY 156307,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156307,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156307,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156307,A000000,04800,0000,4800AMBULANCE 156307,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156307,A000000,05300,0000,5300INTEREST EXPENSE 156307,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156307,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156307,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156307,A000000,06200,0000,6200PATIENTS LAUNDRY 156307,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156307,A000000,06301,0000,6151DAY CARE 156307,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156307,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156307,A81000A,00100,0100,Y 156307,A81000B,00100,0300,HOME OFFICE COSTS 156307,A81000B,00200,0300,LIABILITY INSURANCE 156307,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156307,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156307,A81000B,00500,0300,VC PHARMACY - ADMIN 156307,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156307,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156307,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156307,A81000B,00900,0300,VC PHARMACY - DIETARY 156307,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156307,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156307,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156307,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156307,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156307,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156307,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156307,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156307,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156307,A81000B,01900,0300,VC PHARMACY - LAB 156307,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156307,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156307,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156307,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156307,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156307,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156307,A81000B,02600,0300,VC PHARMACY - LEGEND 156307,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156307,A81000B,02800,0300,VC PHARMACY - NUTR THER 156307,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156307,A81000C,00100,0100,B 156307,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156307,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156307,A81000C,00100,0600,LIABILITY INSURANCE 156307,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156307,A81000C,00200,0600,PHARMACY 156307,A81000C,00300,0400,VENCARE RESPIRATORY 156307,A81000C,00300,0600,RESPIRATORY THERAPY 156307,A81000C,00400,0400,THERAPY SERVICES 156307,A81000C,00500,0400,VENCARE REHAB SERVICES 156307,A81000C,00500,0600,REHAB 156307,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156307,A81000C,00600,0600,PORTABLE X-RAY 156307,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156307,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156307,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156307,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156307,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156307,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156307,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156307,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156307,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156307,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156307,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156307,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156307,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156307,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156307,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156307,E10A180,00350,0100,06/30/00 156307,E10A180,00351,0100,11/30/00 156307,S000000,00100,0200,12/11/00 156307,S200000,00100,0100,118 HALLIBURTON ROAD 156307,S200000,00200,0100,RIPLEY 156307,S200000,00200,0200,TN 156307,S200000,00200,0300,38063- 156307,S200000,00300,0100,LAUDERDALE 156307,S200000,00300,0200,44 156307,S200000,00300,0300,R 156307,S200000,00400,0100,183 - RIPLEY HEALTHCARE & REHAB CTR 156307,S200000,00400,0200,445202 156307,S200000,00400,0300,12/18/87 156307,S200000,00400,0500,P 156307,S200000,01500,0100,N 156307,S200000,01600,0100,Y 156307,S200000,01700,0100,N 156307,S200000,01800,0100,N 156307,S200000,02200,0100,Y 156307,S200000,02800,0100,N 156307,S200000,02900,0100,N 156307,S200000,03000,0100,N 156307,S200000,03100,0100,N 156307,S200000,03200,0100,N 156307,S200000,04100,0100,N 156307,S200000,04200,0100,N 156307,S200000,04300,0100,N 156307,S200000,04600,0100,N 156307,S200000,04700,0100,N 156307,S200000,04700,0200,N 156307,S200000,04900,0100,N 156307,S200000,05000,0100,N 156307,S200000,05100,0100,N 156307,S200000,05200,0100,N 156308,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156308,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156308,A000000,00300,0000,0300EMPLOYEE BENEFITS 156308,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156308,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156308,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156308,A000000,00700,0000,0700HOUSEKEEPING 156308,A000000,00800,0000,0800DIETARY 156308,A000000,00900,0000,0900NURSING ADMINISTRATION 156308,A000000,00901,0000,0901OTHER NURSING 156308,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156308,A000000,01100,0000,1100PHARMACY 156308,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156308,A000000,01300,0000,1300SOCIAL SERVICE 156308,A000000,01301,0000,1301ACTIVITIES 156308,A000000,01600,0000,1600SKILLED NURSING FACILITY 156308,A000000,01800,0000,1800NURSING FACILITY 156308,A000000,02100,0000,2100RADIOLOGY 156308,A000000,02200,0000,2200LABORATORY 156308,A000000,02300,0000,2300INTRAVENOUS THERAPY 156308,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156308,A000000,02500,0000,2500PHYSICAL THERAPY 156308,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156308,A000000,02700,0000,2700SPEECH PATHOLOGY 156308,A000000,02800,0000,2800ELECTROCARDIOLOGY 156308,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156308,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156308,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156308,A000000,03301,0000,3051NUTRITIONAL THERAPY 156308,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156308,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156308,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156308,A000000,04800,0000,4800AMBULANCE 156308,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156308,A000000,05300,0000,5300INTEREST EXPENSE 156308,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156308,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156308,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156308,A000000,06200,0000,6200PATIENTS LAUNDRY 156308,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156308,A000000,06301,0000,6151DAY CARE 156308,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156308,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156308,A81000A,00100,0100,Y 156308,A81000B,00100,0300,HOME OFFICE COSTS 156308,A81000B,00200,0300,LIABILITY INSURANCE 156308,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156308,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156308,A81000B,00500,0300,VC PHARMACY - ADMIN 156308,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156308,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156308,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156308,A81000B,00900,0300,VC PHARMACY - DIETARY 156308,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156308,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156308,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156308,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156308,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156308,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156308,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156308,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156308,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156308,A81000B,01900,0300,VC PHARMACY - LAB 156308,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156308,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156308,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156308,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156308,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156308,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156308,A81000B,02600,0300,VC PHARMACY - LEGEND 156308,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156308,A81000B,02800,0300,VC PHARMACY - NUTR THER 156308,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156308,A81000C,00100,0100,B 156308,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156308,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156308,A81000C,00100,0600,LIABILITY INSURANCE 156308,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156308,A81000C,00200,0600,PHARMACY 156308,A81000C,00300,0400,VENCARE RESPIRATORY 156308,A81000C,00300,0600,RESPIRATORY THERAPY 156308,A81000C,00500,0400,VENCARE REHAB SERVICES 156308,A81000C,00500,0600,REHAB 156308,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156308,A81000C,00600,0600,PORTABLE X-RAY 156308,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156308,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156308,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156308,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156308,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156308,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156308,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156308,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156308,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156308,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156308,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156308,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156308,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156308,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156308,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156308,S000000,00100,0200,12/11/00 156308,S200000,00100,0100,955 NORTH GERMANTOWN PKY 156308,S200000,00200,0100,CORDOVA 156308,S200000,00200,0200,TN 156308,S200000,00200,0300,38018- 156308,S200000,00300,0100,SHELBY 156308,S200000,00300,0200,4920 156308,S200000,00300,0300,U 156308,S200000,00400,0100,182 - CORDOVA REHAB & NURSING CENTER 156308,S200000,00400,0200,445218 156308,S200000,00400,0300,03/01/89 156308,S200000,00400,0500,P 156308,S200000,01500,0100,N 156308,S200000,01600,0100,Y 156308,S200000,01700,0100,N 156308,S200000,01800,0100,N 156308,S200000,02200,0100,Y 156308,S200000,02800,0100,N 156308,S200000,02900,0100,N 156308,S200000,03000,0100,N 156308,S200000,03100,0100,N 156308,S200000,03200,0100,N 156308,S200000,04100,0100,N 156308,S200000,04200,0100,N 156308,S200000,04300,0100,N 156308,S200000,04600,0100,N 156308,S200000,04700,0100,N 156308,S200000,04700,0200,N 156308,S200000,04900,0100,N 156308,S200000,05000,0100,N 156308,S200000,05100,0100,N 156308,S200000,05200,0100,N 156309,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156309,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156309,A000000,00300,0000,0300EMPLOYEE BENEFITS 156309,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156309,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156309,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156309,A000000,00700,0000,0700HOUSEKEEPING 156309,A000000,00800,0000,0800DIETARY 156309,A000000,00900,0000,0900NURSING ADMINISTRATION 156309,A000000,00901,0000,0901OTHER NURSING 156309,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156309,A000000,01100,0000,1100PHARMACY 156309,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156309,A000000,01300,0000,1300SOCIAL SERVICE 156309,A000000,01301,0000,1301ACTIVITIES 156309,A000000,01600,0000,1600SKILLED NURSING FACILITY 156309,A000000,01800,0000,1800NURSING FACILITY 156309,A000000,02100,0000,2100RADIOLOGY 156309,A000000,02200,0000,2200LABORATORY 156309,A000000,02300,0000,2300INTRAVENOUS THERAPY 156309,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156309,A000000,02500,0000,2500PHYSICAL THERAPY 156309,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156309,A000000,02700,0000,2700SPEECH PATHOLOGY 156309,A000000,02800,0000,2800ELECTROCARDIOLOGY 156309,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156309,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156309,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156309,A000000,03301,0000,3051NUTRITIONAL THERAPY 156309,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156309,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156309,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156309,A000000,04800,0000,4800AMBULANCE 156309,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156309,A000000,05300,0000,5300INTEREST EXPENSE 156309,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156309,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156309,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156309,A000000,06200,0000,6200PATIENTS LAUNDRY 156309,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156309,A000000,06301,0000,6151DAY CARE 156309,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156309,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156309,A81000A,00100,0100,Y 156309,A81000B,00100,0300,HO DIRECT NON CAPITAL 156309,A81000B,00200,0300,HO POOLED CAP BLDG & FIXTURES 156309,A81000B,00300,0300,HO POOLED CAP MME 156309,A81000B,00400,0300,HO POOLED NON CAPITAL 156309,A81000B,00500,0300,LIABILITY INSURANCE 156309,A81000B,00600,0300,A&G LIABILITY INSURANCE 156309,A81000B,00700,0300,VC PHARMACY ADMIN 156309,A81000B,00800,0300,VC PHARMACY - CENTRAL SERVICE 156309,A81000B,00900,0300,VC PHARMACY - NONLEGEND 156309,A81000B,01000,0300,VC MOBILE RADIOLOGY - XRAY 156309,A81000B,01100,0300,VC PHARMACY- IV THERAPY 156309,A81000B,01200,0300,OXYGEN (INHALATION THERAPY) 156309,A81000B,01300,0300,VENCARE REHAB- PT 156309,A81000B,01400,0300,VENCARE REHAB - OT 156309,A81000B,01500,0300,VENCARE REHAB - ST 156309,A81000B,01600,0300,VC PHARMACY - MED SUPPLY 156309,A81000B,01700,0300,VC PHARMACY LEGEND 156309,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL EQUIP 156309,A81000C,00100,0100,B 156309,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156309,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156309,A81000C,00100,0600,LIABILITY INSURANCE 156309,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156309,A81000C,00200,0600,PHARMACY 156309,A81000C,00300,0400,VENCARE RESPIRATORY 156309,A81000C,00300,0600,RESPIRATORY THERAPY 156309,A81000C,00400,0400,THERAPY SERVICES 156309,A81000C,00500,0400,VENCARE REHAB SERVICES 156309,A81000C,00500,0600,REHAB 156309,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156309,A81000C,00600,0600,PORTABLE X-RAY 156309,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156309,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156309,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156309,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156309,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156309,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156309,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156309,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156309,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156309,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156309,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156309,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156309,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156309,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156309,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156309,E10A180,00350,0100,06/30/00 156309,E10A180,00351,0100,11/30/00 156309,S000000,00100,0200,12/11/00 156309,S200000,00100,0100,3909 COVINGTON PIKE 156309,S200000,00200,0100,MEMPHIS 156309,S200000,00200,0200,TN 156309,S200000,00200,0300,38135- 156309,S200000,00300,0100,SHELBY 156309,S200000,00300,0200,4920 156309,S200000,00300,0300,U 156309,S200000,00400,0100,178 - SHELBY PINES REHAB & HEALTHCAR 156309,S200000,00400,0200,445220 156309,S200000,00400,0300,05/02/89 156309,S200000,00400,0500,P 156309,S200000,01500,0100,N 156309,S200000,01600,0100,Y 156309,S200000,01700,0100,N 156309,S200000,01800,0100,N 156309,S200000,02200,0100,Y 156309,S200000,02800,0100,N 156309,S200000,02900,0100,N 156309,S200000,03000,0100,N 156309,S200000,03100,0100,N 156309,S200000,03200,0100,N 156309,S200000,04100,0100,N 156309,S200000,04200,0100,N 156309,S200000,04300,0100,N 156309,S200000,04600,0100,N 156309,S200000,04700,0100,N 156309,S200000,04700,0200,N 156309,S200000,04900,0100,N 156309,S200000,05000,0100,N 156309,S200000,05100,0100,N 156309,S200000,05200,0100,N 156315,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156315,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156315,A000000,00300,0000,0300EMPLOYEE BENEFITS 156315,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156315,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156315,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156315,A000000,00700,0000,0700HOUSEKEEPING 156315,A000000,00800,0000,0800DIETARY 156315,A000000,00900,0000,0900NURSING ADMINISTRATION 156315,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156315,A000000,01100,0000,1100PHARMACY 156315,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156315,A000000,01300,0000,1300SOCIAL SERVICE 156315,A000000,01301,0000,1301ACTIVITIES 156315,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156315,A000000,01500,0000,1350OTHER GENERAL SERVICES 156315,A000000,01600,0000,1600SKILLED NURSING FACILITY 156315,A000000,01800,0000,1800NURSING FACILITY 156315,A000000,01810,0000,1810ICF/MR 156315,A000000,02200,0000,2200LABORATORY 156315,A000000,02500,0000,2500PHYSICAL THERAPY 156315,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156315,A000000,02700,0000,2700SPEECH PATHOLOGY 156315,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156315,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156315,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156315,A000000,03550,0000,3550FQHC 156315,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156315,A000000,05000,0000,5000CORF 156315,A000000,05010,0000,5010CMHC 156315,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156315,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156315,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156315,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156315,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156315,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 156315,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156315,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156315,A81000A,00100,0100,Y 156315,A81000B,00100,0300,MANAGEMENT FEES 156315,A81000B,00200,0300,CAPITAL 156315,A81000C,00100,0100,A 156315,A81000C,00100,0200,COLONIAL LAND CORPORATION 156315,A81000C,00200,0100,A 156315,A81000C,00200,0200,PROVIDENCE HEALTH SERVICE 156315,A81000C,00300,0100,A 156315,A81000C,00300,0200,JAMES R. SMITH 156315,B100000,00000,0100,0100SQUARE FEET 156315,B100000,00000,0200,0200SQUARE FEET 156315,B100000,00000,0300,0300GROSS SALARIES 156315,B100000,00000,0400,0400ACCUM COST 156315,B100000,00000,0500,0500SQUARE FEET 156315,B100000,00000,0600,0600PATIENT DAYS 156315,B100000,00000,0700,0700SQUARE FEET 156315,B100000,00000,0800,0800PATIENT DAYS 156315,B100000,00000,0900,0900PATIENT DAYS 156315,B100000,00000,1000,1000COSTED REQUIS. 156315,B100000,00000,1100,1100COSTED REQUIS. 156315,B100000,00000,1200,1200PATIENT DAYS 156315,B100000,00000,1300,1300PATIENT DAYS 156315,B100000,00000,1301,1301PATIENT DAYS 156315,B100000,00000,1400,1400ASSIGNED TIME 156315,B100000,00000,1500,1350TIME SPENT 156315,E10A180,00550,0100,07/19/02 156315,E10A180,00550,0300,06/17/02 156315,S000000,00100,0200,06/17/02 156315,S200000,00100,0100,188 OLD FINCASTLE ROAD 156315,S200000,00100,0300,559 156315,S200000,00200,0100,FINCASTLE 156315,S200000,00200,0200,VA 156315,S200000,00200,0300,24090 156315,S200000,00300,0100,BOTETOURT 156315,S200000,00300,0200,6800 156315,S200000,00300,0300,U 156315,S200000,00400,0100,BRIAN CENTER FINCASTLE 156315,S200000,00400,0200,495218 156315,S200000,00400,0300,04/01/92 156315,S200000,00400,0500,P 156315,S200000,01500,0100,N 156315,S200000,01600,0100,Y 156315,S200000,01700,0100,N 156315,S200000,01800,0100,N 156315,S200000,02200,0100,N 156315,S200000,02800,0100,N 156315,S200000,02900,0100,N 156315,S200000,03000,0100,N 156315,S200000,03100,0100,N 156315,S200000,03200,0100,N 156315,S200000,03300,0100,N 156315,S200000,03300,0200,N 156315,S200000,04100,0100,N 156315,S200000,04200,0100,N 156315,S200000,04300,0100,N 156315,S200000,04600,0100,N 156315,S200000,04700,0100,N 156315,S200000,04900,0100,N 156315,S200000,05200,0100,N 156720,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156720,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156720,A000000,00300,0000,0300EMPLOYEE BENEFITS 156720,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156720,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156720,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156720,A000000,00700,0000,0700HOUSEKEEPING 156720,A000000,00800,0000,0800DIETARY 156720,A000000,00900,0000,0900NURSING ADMINISTRATION 156720,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156720,A000000,01100,0000,1100PHARMACY 156720,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156720,A000000,01300,0000,1300SOCIAL SERVICE 156720,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156720,A000000,01500,0000,1350OTHER GENERAL SERVICES 156720,A000000,01600,0000,1600SKILLED NURSING FACILITY 156720,A000000,01800,0000,1800NURSING FACILITY 156720,A000000,01810,0000,1810ICF/MR 156720,A000000,02100,0000,2100RADIOLOGY 156720,A000000,02200,0000,2200LABORATORY 156720,A000000,02300,0000,2300INTRAVENOUS THERAPY 156720,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156720,A000000,02500,0000,2500PHYSICAL THERAPY 156720,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156720,A000000,02700,0000,2700SPEECH PATHOLOGY 156720,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156720,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156720,A000000,03200,0000,3200SUPPORT SURFACES 156720,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156720,A000000,03550,0000,3550FQHC 156720,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156720,A000000,04801,0000,4801AMBULANCE 156720,A000000,04802,0000,4802AMBULANCE 156720,A000000,04803,0000,4803AMBULANCE 156720,A000000,05000,0000,5000CORF 156720,A000000,05010,0000,5010CMHC 156720,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156720,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156720,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156720,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156720,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156720,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156720,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156720,A81000A,00100,0100,Y 156720,A81000B,00100,0300,LEASE EXPENSE 156720,A81000B,00200,0300,CAP REL-BLDG & FIX 156720,A81000B,00300,0300,CAP REL-MOVABLE EQUIPT 156720,A81000B,00400,0300,ADMIN & GEN-HO NON-CAP 156720,A81000B,00500,0300,INTEREST EXPENSE 156720,A81000B,00600,0300,DEPRECIATION BUILDINGS 156720,B100000,00000,0100,0100SQUARE FEET 156720,B100000,00000,0200,0200SQUARE FEET 156720,B100000,00000,0300,0300GROSS SALARIES 156720,B100000,00000,0400,0400ACCUM COST 156720,B100000,00000,0500,0500SQUARE FEET 156720,B100000,00000,0600,0600POUNDS OF LAUNDRY 156720,B100000,00000,0700,0700SQUARE FEET 156720,B100000,00000,0800,0800MEALS SERVED 156720,B100000,00000,0900,0900DIRECT NRSING HRS 156720,B100000,00000,1000,1000COSTED REQUIS. 156720,B100000,00000,1100,1100COSTED REQUIS. 156720,B100000,00000,1200,1200GROSS REVENUE 156720,B100000,00000,1300,1300GROSS REVENUE 156720,B100000,00000,1400,1400ASSIGNED TIME 156720,B100000,00000,1500,1350NO STATISTICS 156720,E10A180,00350,0300,11/09/99 156720,E10A180,00501,0100,07/13/00 156720,E10A180,00501,0300,07/13/00 156720,E10A180,00550,0100,05/30/00 156720,E10A180,00550,0300,05/30/00 156720,E10A180,00551,0100,08/08/01 156720,E10A180,00551,0300,08/08/01 156720,S000000,00100,0200,05/31/00 156720,S200000,00100,0100,14819 SOUTH VERMONT 156720,S200000,00200,0100,GARDENA 156720,S200000,00200,0200,CA 156720,S200000,00200,0300,90247 156720,S200000,00300,0100,LOS ANGELES 156720,S200000,00300,0200,4480 156720,S200000,00300,0300,U 156720,S200000,00400,0100,GARDENA CONVALESCENT CENTER 156720,S200000,00400,0200,056019 156720,S200000,00400,0300,08/01/89 156720,S200000,00400,0500,P 156720,S200000,00600,0200,056019 156720,S200000,00600,0300,08/01/89 156720,S200000,00600,0600,O 156720,S200000,01500,0100,N 156720,S200000,01600,0100,Y 156720,S200000,01700,0100,N 156720,S200000,01800,0100,N 156720,S200000,02200,0100,N 156720,S200000,02800,0100,N 156720,S200000,02900,0100,N 156720,S200000,03000,0100,N 156720,S200000,03100,0100,N 156720,S200000,03200,0100,N 156720,S200000,03300,0100,N 156720,S200000,03300,0200,N 156720,S200000,03500,0300,N 156720,S200000,04100,0100,N 156720,S200000,04200,0100,N 156720,S200000,04300,0100,N 156720,S200000,04600,0100,N 156720,S200000,04700,0100,N 156720,S200000,04700,0200,N 156720,S200000,04900,0100,N 156726,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156726,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156726,A000000,00300,0000,0300EMPLOYEE BENEFITS 156726,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156726,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156726,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156726,A000000,00700,0000,0700HOUSEKEEPING 156726,A000000,00800,0000,0800DIETARY 156726,A000000,00900,0000,0900NURSING ADMINISTRATION 156726,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156726,A000000,01100,0000,1100PHARMACY 156726,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156726,A000000,01300,0000,1300SOCIAL SERVICE 156726,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156726,A000000,01600,0000,1600SKILLED NURSING FACILITY 156726,A000000,01800,0000,1800NURSING FACILITY 156726,A000000,01810,0000,1810ICF/MR 156726,A000000,02100,0000,2100RADIOLOGY 156726,A000000,02200,0000,2200LABORATORY 156726,A000000,02300,0000,2300INTRAVENOUS THERAPY 156726,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156726,A000000,02500,0000,2500PHYSICAL THERAPY 156726,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156726,A000000,02700,0000,2700SPEECH PATHOLOGY 156726,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156726,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156726,A000000,03200,0000,3200SUPPORT SURFACES 156726,A000000,03550,0000,3550FQHC 156726,A000000,05000,0000,5000CORF 156726,A000000,05010,0000,5010CMHC 156726,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156726,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156726,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156726,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156726,A81000A,00100,0100,Y 156726,A81000B,00100,0300,MANAGEMENT FEES 156726,A81000B,00200,0300,CAP REL-BLDG 156726,A81000B,00300,0300,CAP REL-EQUIP 156726,A81000B,00400,0300,CAP REL-BLDG 156726,A81000C,00400,0100,B 156726,A81000C,00400,0200,J&L FRIEDMAN 156726,A81000C,00400,0400,LONGWOOD MGT 156726,A81000C,00400,0600,MANAGEMENT 156726,B100000,00000,0100,0100SQUARE FEET 156726,B100000,00000,0200,0200DOLLAR VALUE 156726,B100000,00000,0300,0300GROSS SALARIES 156726,B100000,00000,0400,0400ACCUM COST 156726,B100000,00000,0500,0500SQUARE FEET 156726,B100000,00000,0600,0600POUNDS OF LAUNDRY 156726,B100000,00000,0700,0700HOURS OF SERVICE 156726,B100000,00000,0800,0800MEALS SERVED 156726,B100000,00000,0900,0900DIRECT NRSING HRS 156726,B100000,00000,1000,1000COSTED REQUIS. 156726,B100000,00000,1100,1100COSTED REQUIS. 156726,B100000,00000,1200,1200TIME SPENT 156726,B100000,00000,1300,1300TIME SPENT 156726,B100000,00000,1400,1400ASSIGNED TIME 156726,E10A180,00350,0300,09/17/99 156726,E10A180,00501,0100,08/13/01 156726,E10A180,00501,0300,06/28/00 156726,E10A180,00502,0300,08/13/01 156726,E10A180,00550,0100,06/28/00 156726,S000000,00100,0200,06/02/00 156726,S200000,00100,0100,7836 RESEDA BLVD. 156726,S200000,00200,0100,RESEDA 156726,S200000,00200,0200,CA 156726,S200000,00200,0300,91335 156726,S200000,00300,0100,LOS ANGELES 156726,S200000,00300,0200,4480 156726,S200000,00300,0300,U 156726,S200000,00400,0100,NORTHRIDGE CARE CENTER 156726,S200000,00400,0200,056412 156726,S200000,00400,0300,05/17/83 156726,S200000,00400,0500,P 156726,S200000,00600,0200,056412 156726,S200000,00600,0300,05/17/83 156726,S200000,00600,0600,O 156726,S200000,01500,0100,N 156726,S200000,01600,0100,Y 156726,S200000,01700,0100,N 156726,S200000,01800,0100,N 156726,S200000,02200,0100,N 156726,S200000,02800,0100,N 156726,S200000,02900,0100,N 156726,S200000,03000,0100,N 156726,S200000,03100,0100,N 156726,S200000,03200,0100,N 156726,S200000,03300,0100,N 156726,S200000,03300,0200,N 156726,S200000,03500,0300,N 156726,S200000,04100,0100,N 156726,S200000,04200,0100,N 156726,S200000,04300,0100,Y 156726,S200000,04600,0100,N 156726,S200000,04700,0100,N 156726,S200000,04900,0100,N 156726,S200000,05200,0100,N 156744,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156744,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156744,A000000,00300,0000,0300EMPLOYEE BENEFITS 156744,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156744,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156744,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156744,A000000,00700,0000,0700HOUSEKEEPING 156744,A000000,00800,0000,0800DIETARY 156744,A000000,00900,0000,0900NURSING ADMINISTRATION 156744,A000000,00901,0000,0901OTHER NURSING 156744,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156744,A000000,01100,0000,1100PHARMACY 156744,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156744,A000000,01300,0000,1300SOCIAL SERVICE 156744,A000000,01301,0000,1301ACTIVITIES 156744,A000000,01600,0000,1600SKILLED NURSING FACILITY 156744,A000000,01800,0000,1800NURSING FACILITY 156744,A000000,02100,0000,2100RADIOLOGY 156744,A000000,02200,0000,2200LABORATORY 156744,A000000,02300,0000,2300INTRAVENOUS THERAPY 156744,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156744,A000000,02500,0000,2500PHYSICAL THERAPY 156744,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156744,A000000,02700,0000,2700SPEECH PATHOLOGY 156744,A000000,02800,0000,2800ELECTROCARDIOLOGY 156744,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156744,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156744,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156744,A000000,03301,0000,3051NUTRITIONAL THERAPY 156744,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156744,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156744,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156744,A000000,04800,0000,4800AMBULANCE 156744,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156744,A000000,05300,0000,5300INTEREST EXPENSE 156744,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156744,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156744,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156744,A000000,06200,0000,6200PATIENTS LAUNDRY 156744,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156744,A000000,06301,0000,6151DAY CARE 156744,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156744,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156744,A81000A,00100,0100,Y 156744,A81000B,00100,0300,HOME OFFICE COSTS 156744,A81000B,00200,0300,LIABILITY INSURANCE 156744,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156744,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156744,A81000B,00500,0300,VC PHARMACY - ADMIN 156744,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156744,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156744,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156744,A81000B,00900,0300,VC PHARMACY - DIETARY 156744,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156744,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156744,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156744,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156744,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156744,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156744,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156744,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156744,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156744,A81000B,01900,0300,VC PHARMACY - LAB 156744,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156744,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156744,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156744,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156744,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156744,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156744,A81000B,02600,0300,VC PHARMACY - LEGEND 156744,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156744,A81000B,02800,0300,VC PHARMACY - NUTR THER 156744,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156744,A81000C,00100,0100,B 156744,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156744,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156744,A81000C,00100,0600,LIABILITY INSURANCE 156744,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156744,A81000C,00200,0600,PHARMACY 156744,A81000C,00300,0400,VENCARE RESPIRATORY 156744,A81000C,00300,0600,RESPIRATORY THERAPY 156744,A81000C,00400,0400,THERAPY SERVICES 156744,A81000C,00500,0400,VENCARE REHAB SERVICES 156744,A81000C,00500,0600,REHAB 156744,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156744,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156744,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156744,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156744,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156744,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156744,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156744,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156744,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156744,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156744,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156744,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156744,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156744,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156744,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156744,E10A180,00301,0100,11/30/00 156744,S000000,00100,0200,06/20/01 156744,S200000,00100,0100,3575 SOUTH WASHINGTON 156744,S200000,00200,0100,ENGLEWOOD 156744,S200000,00200,0200,CO 156744,S200000,00200,0300,80110- 156744,S200000,00300,0100,ARAPAHOE 156744,S200000,00300,0300,U 156744,S200000,00400,0100,744 - CHERRY HILLS HEALTH CARE 156744,S200000,00400,0200,065077 156744,S200000,00400,0300,09/01/82 156744,S200000,00400,0500,P 156744,S200000,01500,0100,Y 156744,S200000,01600,0100,N 156744,S200000,01700,0100,N 156744,S200000,01800,0100,N 156744,S200000,02200,0100,Y 156744,S200000,02800,0100,N 156744,S200000,02900,0100,N 156744,S200000,03000,0100,N 156744,S200000,03100,0100,N 156744,S200000,03200,0100,N 156744,S200000,04100,0100,N 156744,S200000,04200,0100,N 156744,S200000,04300,0100,N 156744,S200000,04600,0100,N 156744,S200000,04700,0100,N 156744,S200000,04700,0200,N 156744,S200000,04900,0100,N 156744,S200000,05000,0100,N 156744,S200000,05100,0100,N 156744,S200000,05200,0100,N 156745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156745,A000000,00300,0000,0300EMPLOYEE BENEFITS 156745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156745,A000000,00700,0000,0700HOUSEKEEPING 156745,A000000,00800,0000,0800DIETARY 156745,A000000,00900,0000,0900NURSING ADMINISTRATION 156745,A000000,00901,0000,0901OTHER NURSING 156745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156745,A000000,01100,0000,1100PHARMACY 156745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156745,A000000,01300,0000,1300SOCIAL SERVICE 156745,A000000,01301,0000,1301ACTIVITIES 156745,A000000,01600,0000,1600SKILLED NURSING FACILITY 156745,A000000,01800,0000,1800NURSING FACILITY 156745,A000000,02100,0000,2100RADIOLOGY 156745,A000000,02200,0000,2200LABORATORY 156745,A000000,02300,0000,2300INTRAVENOUS THERAPY 156745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156745,A000000,02500,0000,2500PHYSICAL THERAPY 156745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156745,A000000,02700,0000,2700SPEECH PATHOLOGY 156745,A000000,02800,0000,2800ELECTROCARDIOLOGY 156745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156745,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156745,A000000,03301,0000,3051NUTRITIONAL THERAPY 156745,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156745,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156745,A000000,04800,0000,4800AMBULANCE 156745,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156745,A000000,05300,0000,5300INTEREST EXPENSE 156745,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156745,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156745,A000000,06200,0000,6200PATIENTS LAUNDRY 156745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156745,A000000,06301,0000,6151DAY CARE 156745,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156745,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156745,A81000A,00100,0100,Y 156745,A81000B,00100,0300,HOME OFFICE COSTS 156745,A81000B,00200,0300,LIABILITY INSURANCE 156745,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156745,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156745,A81000B,00500,0300,VC PHARMACY - ADMIN 156745,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156745,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156745,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156745,A81000B,00900,0300,VC PHARMACY - DIETARY 156745,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156745,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156745,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156745,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156745,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156745,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156745,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156745,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156745,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156745,A81000B,01900,0300,VC PHARMACY - LAB 156745,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156745,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156745,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156745,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156745,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156745,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156745,A81000B,02600,0300,VC PHARMACY - LEGEND 156745,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156745,A81000B,02800,0300,VC PHARMACY - NUTR THER 156745,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156745,A81000C,00100,0100,B 156745,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156745,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156745,A81000C,00100,0600,LIABILITY INSURANCE 156745,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156745,A81000C,00200,0600,PHARMACY 156745,A81000C,00300,0400,VENCARE RESPIRATORY 156745,A81000C,00300,0600,RESPIRATORY THERAPY 156745,A81000C,00400,0400,THERAPY SERVICES 156745,A81000C,00500,0400,VENCARE REHAB SERVICES 156745,A81000C,00500,0600,REHAB 156745,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156745,A81000C,00600,0600,PORTABLE X-RAY 156745,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156745,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156745,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156745,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156745,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156745,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156745,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156745,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156745,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156745,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156745,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156745,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156745,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156745,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156745,E10A180,00301,0100,11/30/00 156745,S000000,00100,0200,12/01/00 156745,S200000,00100,0100,6060 E. ILIFF AVENUE 156745,S200000,00200,0100,DENVER 156745,S200000,00200,0200,CO 156745,S200000,00200,0300,80222- 156745,S200000,00300,0100,DENVER 156745,S200000,00300,0300,U 156745,S200000,00400,0100,849 - ILIFF CARE CENTER 156745,S200000,00400,0200,065256 156745,S200000,00400,0300,05/01/89 156745,S200000,00400,0500,P 156745,S200000,01500,0100,Y 156745,S200000,01600,0100,N 156745,S200000,01700,0100,N 156745,S200000,01800,0100,N 156745,S200000,02200,0100,Y 156745,S200000,02800,0100,N 156745,S200000,02900,0100,N 156745,S200000,03000,0100,N 156745,S200000,03100,0100,N 156745,S200000,03200,0100,N 156745,S200000,04100,0100,N 156745,S200000,04200,0100,N 156745,S200000,04300,0100,N 156745,S200000,04600,0100,N 156745,S200000,04700,0100,N 156745,S200000,04700,0200,N 156745,S200000,04900,0100,N 156745,S200000,05000,0100,N 156745,S200000,05100,0100,N 156745,S200000,05200,0100,N 156754,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156754,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156754,A000000,00300,0000,0300EMPLOYEE BENEFITS 156754,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156754,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156754,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156754,A000000,00700,0000,0700HOUSEKEEPING 156754,A000000,00800,0000,0800DIETARY 156754,A000000,00900,0000,0900NURSING ADMINISTRATION 156754,A000000,00901,0000,0901OTHER NURSING 156754,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156754,A000000,01100,0000,1100PHARMACY 156754,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156754,A000000,01300,0000,1300SOCIAL SERVICE 156754,A000000,01301,0000,1301ACTIVITIES 156754,A000000,01600,0000,1600SKILLED NURSING FACILITY 156754,A000000,01800,0000,1800NURSING FACILITY 156754,A000000,02100,0000,2100RADIOLOGY 156754,A000000,02200,0000,2200LABORATORY 156754,A000000,02300,0000,2300INTRAVENOUS THERAPY 156754,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156754,A000000,02500,0000,2500PHYSICAL THERAPY 156754,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156754,A000000,02700,0000,2700SPEECH PATHOLOGY 156754,A000000,02800,0000,2800ELECTROCARDIOLOGY 156754,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156754,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156754,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156754,A000000,03301,0000,3051NUTRITIONAL THERAPY 156754,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156754,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156754,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156754,A000000,04800,0000,4800AMBULANCE 156754,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156754,A000000,05300,0000,5300INTEREST EXPENSE 156754,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156754,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156754,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156754,A000000,06200,0000,6200PATIENTS LAUNDRY 156754,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156754,A000000,06301,0000,6151DAY CARE 156754,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156754,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156754,A81000A,00100,0100,Y 156754,A81000B,00100,0300,HOME OFFICE COSTS 156754,A81000B,00200,0300,LIABILITY INSURANCE 156754,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156754,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156754,A81000B,00500,0300,VC PHARMACY - ADMIN 156754,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156754,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156754,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156754,A81000B,00900,0300,VC PHARMACY - DIETARY 156754,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156754,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156754,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156754,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156754,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156754,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156754,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156754,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156754,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156754,A81000B,01900,0300,VC PHARMACY - LAB 156754,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156754,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156754,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156754,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156754,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156754,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156754,A81000B,02600,0300,VC PHARMACY - LEGEND 156754,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156754,A81000B,02800,0300,VC PHARMACY - NUTR THER 156754,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156754,A81000C,00100,0100,B 156754,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156754,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156754,A81000C,00100,0600,LIABILITY INSURANCE 156754,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156754,A81000C,00200,0600,PHARMACY 156754,A81000C,00300,0400,VENCARE RESPIRATORY 156754,A81000C,00300,0600,RESPIRATORY THERAPY 156754,A81000C,00400,0400,THERAPY SERVICES 156754,A81000C,00500,0400,VENCARE REHAB SERVICES 156754,A81000C,00500,0600,REHAB 156754,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156754,A81000C,00600,0600,PORTABLE X-RAY 156754,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156754,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156754,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156754,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156754,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156754,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156754,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156754,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156754,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156754,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156754,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156754,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156754,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156754,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156754,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156754,E10A180,00301,0100,06/30/00 156754,S000000,00100,0200,12/11/00 156754,S200000,00100,0100,1900 WEST FIRST STREET 156754,S200000,00200,0100,WINSTON - SALEM 156754,S200000,00200,0200,NC 156754,S200000,00200,0300,27104- 156754,S200000,00300,0100,FORSYTH 156754,S200000,00300,0200,3120 156754,S200000,00300,0300,U 156754,S200000,00400,0100,190 WINSTON SALEM REHAB & HC 156754,S200000,00400,0200,345092 156754,S200000,00400,0300,07/01/73 156754,S200000,00400,0500,P 156754,S200000,01500,0100,N 156754,S200000,01600,0100,Y 156754,S200000,01700,0100,N 156754,S200000,01800,0100,N 156754,S200000,02200,0100,Y 156754,S200000,02800,0100,N 156754,S200000,02900,0100,N 156754,S200000,03000,0100,N 156754,S200000,03100,0100,N 156754,S200000,03200,0100,N 156754,S200000,04100,0100,N 156754,S200000,04200,0100,N 156754,S200000,04300,0100,N 156754,S200000,04600,0100,N 156754,S200000,04700,0100,N 156754,S200000,04700,0200,N 156754,S200000,04900,0100,N 156754,S200000,05000,0100,N 156754,S200000,05100,0100,N 156754,S200000,05200,0100,N 156755,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156755,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156755,A000000,00300,0000,0300EMPLOYEE BENEFITS 156755,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156755,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156755,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156755,A000000,00700,0000,0700HOUSEKEEPING 156755,A000000,00800,0000,0800DIETARY 156755,A000000,00900,0000,0900NURSING ADMINISTRATION 156755,A000000,00901,0000,0901OTHER NURSING 156755,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156755,A000000,01100,0000,1100PHARMACY 156755,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156755,A000000,01300,0000,1300SOCIAL SERVICE 156755,A000000,01301,0000,1301ACTIVITIES 156755,A000000,01600,0000,1600SKILLED NURSING FACILITY 156755,A000000,01800,0000,1800NURSING FACILITY 156755,A000000,02100,0000,2100RADIOLOGY 156755,A000000,02200,0000,2200LABORATORY 156755,A000000,02300,0000,2300INTRAVENOUS THERAPY 156755,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156755,A000000,02500,0000,2500PHYSICAL THERAPY 156755,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156755,A000000,02700,0000,2700SPEECH PATHOLOGY 156755,A000000,02800,0000,2800ELECTROCARDIOLOGY 156755,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156755,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156755,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156755,A000000,03301,0000,3051NUTRITIONAL THERAPY 156755,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156755,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156755,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156755,A000000,04800,0000,4800AMBULANCE 156755,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156755,A000000,05300,0000,5300INTEREST EXPENSE 156755,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156755,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156755,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156755,A000000,06200,0000,6200PATIENTS LAUNDRY 156755,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156755,A000000,06301,0000,6151DAY CARE 156755,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156755,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156755,A81000A,00100,0100,Y 156755,A81000B,00100,0300,HOME OFFICE COSTS 156755,A81000B,00200,0300,LIABILITY INSURANCE 156755,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156755,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156755,A81000B,00500,0300,VC PHARMACY - ADMIN 156755,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156755,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156755,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156755,A81000B,00900,0300,VC PHARMACY - DIETARY 156755,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156755,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156755,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156755,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156755,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156755,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156755,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156755,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156755,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156755,A81000B,01900,0300,VC PHARMACY - LAB 156755,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156755,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156755,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156755,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156755,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156755,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156755,A81000B,02600,0300,VC PHARMACY - LEGEND 156755,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156755,A81000B,02800,0300,VC PHARMACY - NUTR THER 156755,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156755,A81000C,00100,0100,B 156755,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156755,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156755,A81000C,00100,0600,LIABILITY INSURANCE 156755,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156755,A81000C,00200,0600,PHARMACY 156755,A81000C,00300,0400,VENCARE RESPIRATORY 156755,A81000C,00300,0600,RESPIRATORY THERAPY 156755,A81000C,00400,0400,THERAPY SERVICES 156755,A81000C,00500,0400,VENCARE REHAB SERVICES 156755,A81000C,00500,0600,REHAB 156755,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156755,A81000C,00600,0600,PORTABLE X-RAY 156755,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156755,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156755,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156755,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156755,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156755,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156755,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156755,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156755,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156755,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156755,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156755,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156755,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156755,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156755,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156755,E10A180,00301,0100,06/30/00 156755,S000000,00100,0200,12/11/00 156755,S200000,00100,0100,509 WEST GANNON AVENUE 156755,S200000,00200,0100,ZEBULON 156755,S200000,00200,0200,NC 156755,S200000,00200,0300,27597- 156755,S200000,00300,0100,WAKE 156755,S200000,00300,0200,6640 156755,S200000,00300,0300,U 156755,S200000,00400,0100,713 - GUARDIAN CARE OF ZEBULON 156755,S200000,00400,0200,345104 156755,S200000,00400,0300,10/01/81 156755,S200000,00400,0500,P 156755,S200000,01500,0100,N 156755,S200000,01600,0100,Y 156755,S200000,01700,0100,N 156755,S200000,01800,0100,N 156755,S200000,02200,0100,Y 156755,S200000,02800,0100,N 156755,S200000,02900,0100,N 156755,S200000,03000,0100,N 156755,S200000,03100,0100,N 156755,S200000,03200,0100,N 156755,S200000,04100,0100,N 156755,S200000,04200,0100,N 156755,S200000,04300,0100,N 156755,S200000,04600,0100,N 156755,S200000,04700,0100,N 156755,S200000,04700,0200,N 156755,S200000,04900,0100,N 156755,S200000,05000,0100,N 156755,S200000,05100,0100,N 156755,S200000,05200,0100,N 156759,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156759,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156759,A000000,00300,0000,0300EMPLOYEE BENEFITS 156759,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156759,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156759,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156759,A000000,00700,0000,0700HOUSEKEEPING 156759,A000000,00800,0000,0800DIETARY 156759,A000000,00900,0000,0900NURSING ADMINISTRATION 156759,A000000,00901,0000,0901OTHER NURSING 156759,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156759,A000000,01100,0000,1100PHARMACY 156759,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156759,A000000,01300,0000,1300SOCIAL SERVICE 156759,A000000,01301,0000,1301ACTIVITIES 156759,A000000,01600,0000,1600SKILLED NURSING FACILITY 156759,A000000,01800,0000,1800NURSING FACILITY 156759,A000000,02100,0000,2100RADIOLOGY 156759,A000000,02200,0000,2200LABORATORY 156759,A000000,02300,0000,2300INTRAVENOUS THERAPY 156759,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156759,A000000,02500,0000,2500PHYSICAL THERAPY 156759,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156759,A000000,02700,0000,2700SPEECH PATHOLOGY 156759,A000000,02800,0000,2800ELECTROCARDIOLOGY 156759,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156759,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156759,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156759,A000000,03301,0000,3051NUTRITIONAL THERAPY 156759,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156759,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156759,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156759,A000000,04800,0000,4800AMBULANCE 156759,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156759,A000000,05300,0000,5300INTEREST EXPENSE 156759,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156759,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156759,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156759,A000000,06200,0000,6200PATIENTS LAUNDRY 156759,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156759,A000000,06301,0000,6151DAY CARE 156759,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156759,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156759,A81000A,00100,0100,Y 156759,A81000B,00100,0300,HOME OFFICE COSTS 156759,A81000B,00200,0300,LIABILITY INSURANCE 156759,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156759,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156759,A81000B,00500,0300,VC PHARMACY - ADMIN 156759,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156759,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156759,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156759,A81000B,00900,0300,VC PHARMACY - DIETARY 156759,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156759,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156759,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156759,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156759,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156759,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156759,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156759,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156759,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156759,A81000B,01900,0300,VC PHARMACY - LAB 156759,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156759,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156759,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156759,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156759,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156759,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156759,A81000B,02600,0300,VC PHARMACY - LEGEND 156759,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156759,A81000B,02800,0300,VC PHARMACY - NUTR THER 156759,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156759,A81000C,00100,0100,B 156759,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156759,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156759,A81000C,00100,0600,LIABILITY INSURANCE 156759,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156759,A81000C,00200,0600,PHARMACY 156759,A81000C,00300,0400,VENCARE RESPIRATORY 156759,A81000C,00300,0600,RESPIRATORY THERAPY 156759,A81000C,00400,0400,THERAPY SERVICES 156759,A81000C,00500,0400,VENCARE REHAB SERVICES 156759,A81000C,00500,0600,REHAB 156759,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156759,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156759,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156759,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156759,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156759,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156759,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156759,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156759,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156759,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156759,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156759,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156759,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156759,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156759,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156759,E10A180,00301,0100,06/30/00 156759,E10A180,00302,0100,11/30/00 156759,S000000,00100,0200,12/11/00 156759,S200000,00100,0100,635 HIGH STREET 156759,S200000,00200,0100,HUNTINGDON 156759,S200000,00200,0200,TN 156759,S200000,00200,0300,38344- 156759,S200000,00300,0100,CARROLL 156759,S200000,00300,0200,44 156759,S200000,00300,0300,R 156759,S200000,00400,0100,179 - HUNTINGDON HEALTH & REHAB CTR 156759,S200000,00400,0200,445210 156759,S200000,00400,0300,06/06/88 156759,S200000,00400,0500,P 156759,S200000,01500,0100,N 156759,S200000,01600,0100,Y 156759,S200000,01700,0100,N 156759,S200000,01800,0100,N 156759,S200000,02200,0100,Y 156759,S200000,02800,0100,N 156759,S200000,02900,0100,N 156759,S200000,03000,0100,N 156759,S200000,03100,0100,N 156759,S200000,03200,0100,N 156759,S200000,04100,0100,N 156759,S200000,04200,0100,N 156759,S200000,04300,0100,N 156759,S200000,04600,0100,N 156759,S200000,04700,0100,N 156759,S200000,04700,0200,N 156759,S200000,04900,0100,N 156759,S200000,05000,0100,N 156759,S200000,05100,0100,N 156759,S200000,05200,0100,N 156760,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156760,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156760,A000000,00300,0000,0300EMPLOYEE BENEFITS 156760,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156760,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156760,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156760,A000000,00700,0000,0700HOUSEKEEPING 156760,A000000,00800,0000,0800DIETARY 156760,A000000,00900,0000,0900NURSING ADMINISTRATION 156760,A000000,00901,0000,0901OTHER NURSING 156760,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156760,A000000,01100,0000,1100PHARMACY 156760,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156760,A000000,01300,0000,1300SOCIAL SERVICE 156760,A000000,01301,0000,1301ACTIVITIES 156760,A000000,01600,0000,1600SKILLED NURSING FACILITY 156760,A000000,01800,0000,1800NURSING FACILITY 156760,A000000,02100,0000,2100RADIOLOGY 156760,A000000,02200,0000,2200LABORATORY 156760,A000000,02300,0000,2300INTRAVENOUS THERAPY 156760,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156760,A000000,02500,0000,2500PHYSICAL THERAPY 156760,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156760,A000000,02700,0000,2700SPEECH PATHOLOGY 156760,A000000,02800,0000,2800ELECTROCARDIOLOGY 156760,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156760,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156760,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156760,A000000,03301,0000,3051NUTRITIONAL THERAPY 156760,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156760,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156760,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156760,A000000,04800,0000,4800AMBULANCE 156760,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156760,A000000,05300,0000,5300INTEREST EXPENSE 156760,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156760,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156760,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156760,A000000,06200,0000,6200PATIENTS LAUNDRY 156760,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156760,A000000,06301,0000,6151DAY CARE 156760,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156760,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156760,A81000A,00100,0100,Y 156760,A81000B,00100,0300,HOME OFFICE COSTS 156760,A81000B,00200,0300,LIABILITY INSURANCE 156760,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156760,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156760,A81000B,00500,0300,VC PHARMACY - ADMIN 156760,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156760,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156760,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156760,A81000B,00900,0300,VC PHARMACY - DIETARY 156760,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156760,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156760,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156760,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156760,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156760,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156760,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156760,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156760,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156760,A81000B,01900,0300,VC PHARMACY - LAB 156760,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156760,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156760,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156760,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156760,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156760,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156760,A81000B,02600,0300,VC PHARMACY - LEGEND 156760,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156760,A81000B,02800,0300,VC PHARMACY - NUTR THER 156760,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156760,A81000C,00100,0100,B 156760,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156760,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156760,A81000C,00100,0600,LIABILITY INSURANCE 156760,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156760,A81000C,00200,0600,PHARMACY 156760,A81000C,00300,0400,VENCARE RESPIRATORY 156760,A81000C,00300,0600,RESPIRATORY THERAPY 156760,A81000C,00400,0400,THERAPY SERVICES 156760,A81000C,00500,0400,VENCARE REHAB SERVICES 156760,A81000C,00500,0600,REHAB 156760,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156760,A81000C,00600,0600,PORTABLE X-RAY 156760,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156760,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156760,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156760,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156760,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156760,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156760,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156760,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156760,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156760,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156760,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156760,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156760,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156760,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156760,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156760,S000000,00100,0200,12/11/00 156760,S200000,00100,0100,307 NORTH 5TH STREET 156760,S200000,00200,0100,MARYVILLE 156760,S200000,00200,0200,TN 156760,S200000,00200,0300,37802- 156760,S200000,00300,0100,BLOUNT 156760,S200000,00300,0200,3840 156760,S200000,00300,0300,U 156760,S200000,00400,0100,189 - FAIRPARK HEALTHCARE CENTER 156760,S200000,00400,0200,445286 156760,S200000,00400,0300,05/08/92 156760,S200000,00400,0500,P 156760,S200000,01500,0100,N 156760,S200000,01600,0100,Y 156760,S200000,01700,0100,N 156760,S200000,01800,0100,N 156760,S200000,02200,0100,Y 156760,S200000,02800,0100,N 156760,S200000,02900,0100,N 156760,S200000,03000,0100,N 156760,S200000,03100,0100,N 156760,S200000,03200,0100,N 156760,S200000,04100,0100,N 156760,S200000,04200,0100,N 156760,S200000,04300,0100,N 156760,S200000,04600,0100,N 156760,S200000,04700,0100,N 156760,S200000,04700,0200,N 156760,S200000,04900,0100,N 156760,S200000,05000,0100,N 156760,S200000,05100,0100,N 156760,S200000,05200,0100,N 156763,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156763,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156763,A000000,00300,0000,0300EMPLOYEE BENEFITS 156763,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156763,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156763,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156763,A000000,00700,0000,0700HOUSEKEEPING 156763,A000000,00800,0000,0800DIETARY 156763,A000000,00900,0000,0900NURSING ADMINISTRATION 156763,A000000,00901,0000,0901OTHER NURSING 156763,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156763,A000000,01100,0000,1100PHARMACY 156763,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156763,A000000,01300,0000,1300SOCIAL SERVICE 156763,A000000,01301,0000,1301ACTIVITIES 156763,A000000,01600,0000,1600SKILLED NURSING FACILITY 156763,A000000,01800,0000,1800NURSING FACILITY 156763,A000000,02100,0000,2100RADIOLOGY 156763,A000000,02200,0000,2200LABORATORY 156763,A000000,02300,0000,2300INTRAVENOUS THERAPY 156763,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156763,A000000,02500,0000,2500PHYSICAL THERAPY 156763,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156763,A000000,02700,0000,2700SPEECH PATHOLOGY 156763,A000000,02800,0000,2800ELECTROCARDIOLOGY 156763,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156763,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156763,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156763,A000000,03301,0000,3051NUTRITIONAL THERAPY 156763,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156763,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156763,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156763,A000000,04800,0000,4800AMBULANCE 156763,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156763,A000000,05300,0000,5300INTEREST EXPENSE 156763,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156763,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156763,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156763,A000000,06200,0000,6200PATIENTS LAUNDRY 156763,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156763,A000000,06301,0000,6151DAY CARE 156763,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156763,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156763,A81000A,00100,0100,Y 156763,A81000B,00100,0300,HOME OFFICE COSTS 156763,A81000B,00200,0300,LIABILITY INSURANCE 156763,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156763,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156763,A81000B,00500,0300,VC PHARMACY - ADMIN 156763,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156763,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156763,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156763,A81000B,00900,0300,VC PHARMACY - DIETARY 156763,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156763,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156763,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156763,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156763,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156763,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156763,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156763,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156763,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156763,A81000B,01900,0300,VC PHARMACY - LAB 156763,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156763,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156763,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156763,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156763,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156763,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156763,A81000B,02600,0300,VC PHARMACY - LEGEND 156763,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156763,A81000B,02800,0300,VC PHARMACY - NUTR THER 156763,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156763,A81000C,00100,0100,B 156763,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156763,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156763,A81000C,00100,0600,LIABILITY INSURANCE 156763,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156763,A81000C,00200,0600,PHARMACY 156763,A81000C,00300,0400,VENCARE RESPIRATORY 156763,A81000C,00300,0600,RESPIRATORY THERAPY 156763,A81000C,00400,0400,THERAPY SERVICES 156763,A81000C,00500,0400,VENCARE REHAB SERVICES 156763,A81000C,00500,0600,REHAB 156763,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156763,A81000C,00600,0600,PORTABLE X-RAY 156763,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156763,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156763,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156763,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156763,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156763,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156763,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156763,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156763,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156763,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156763,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156763,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156763,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156763,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156763,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156763,E10A180,00302,0100,11/30/00 156763,S000000,00100,0200,12/11/00 156763,S200000,00100,0100,200 WEST CONSTANCE ROAD 156763,S200000,00200,0100,SUFFOLK 156763,S200000,00200,0200,VA 156763,S200000,00200,0300, - 156763,S200000,00300,0100,CITY OF SUFFOLK 156763,S200000,00300,0300,U 156763,S200000,00400,0100,825 NANSEMOND REHAB & NURSING 156763,S200000,00400,0200,495247 156763,S200000,00400,0300,06/28/91 156763,S200000,00400,0500,P 156763,S200000,01500,0100,N 156763,S200000,01600,0100,Y 156763,S200000,01700,0100,N 156763,S200000,01800,0100,N 156763,S200000,02200,0100,Y 156763,S200000,02800,0100,N 156763,S200000,02900,0100,N 156763,S200000,03000,0100,N 156763,S200000,03100,0100,N 156763,S200000,03200,0100,N 156763,S200000,04100,0100,N 156763,S200000,04200,0100,N 156763,S200000,04300,0100,N 156763,S200000,04600,0100,N 156763,S200000,04700,0100,N 156763,S200000,04700,0200,N 156763,S200000,04900,0100,N 156763,S200000,05000,0100,N 156763,S200000,05100,0100,N 156763,S200000,05200,0100,N 156764,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156764,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156764,A000000,00300,0000,0300EMPLOYEE BENEFITS 156764,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156764,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156764,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156764,A000000,00700,0000,0700HOUSEKEEPING 156764,A000000,00800,0000,0800DIETARY 156764,A000000,00900,0000,0900NURSING ADMINISTRATION 156764,A000000,00901,0000,0901OTHER NURSING 156764,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156764,A000000,01100,0000,1100PHARMACY 156764,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156764,A000000,01300,0000,1300SOCIAL SERVICE 156764,A000000,01301,0000,1301ACTIVITIES 156764,A000000,01600,0000,1600SKILLED NURSING FACILITY 156764,A000000,01800,0000,1800NURSING FACILITY 156764,A000000,02100,0000,2100RADIOLOGY 156764,A000000,02200,0000,2200LABORATORY 156764,A000000,02300,0000,2300INTRAVENOUS THERAPY 156764,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156764,A000000,02500,0000,2500PHYSICAL THERAPY 156764,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156764,A000000,02700,0000,2700SPEECH PATHOLOGY 156764,A000000,02800,0000,2800ELECTROCARDIOLOGY 156764,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156764,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156764,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156764,A000000,03301,0000,3051NUTRITIONAL THERAPY 156764,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156764,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156764,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156764,A000000,04800,0000,4800AMBULANCE 156764,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156764,A000000,05300,0000,5300INTEREST EXPENSE 156764,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156764,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156764,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156764,A000000,06200,0000,6200PATIENTS LAUNDRY 156764,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156764,A000000,06301,0000,6151DAY CARE 156764,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156764,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156764,A81000A,00100,0100,Y 156764,A81000B,00100,0300,HOME OFFICE COSTS 156764,A81000B,00200,0300,LIABILITY INSURANCE 156764,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156764,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156764,A81000B,00500,0300,VC PHARMACY - ADMIN 156764,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156764,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156764,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156764,A81000B,00900,0300,VC PHARMACY - DIETARY 156764,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156764,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156764,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156764,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156764,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156764,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156764,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156764,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156764,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156764,A81000B,01900,0300,VC PHARMACY - LAB 156764,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156764,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156764,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156764,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156764,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156764,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156764,A81000B,02600,0300,VC PHARMACY - LEGEND 156764,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156764,A81000B,02800,0300,VC PHARMACY - NUTR THER 156764,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156764,A81000C,00100,0100,B 156764,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156764,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156764,A81000C,00100,0600,LIABILITY INSURANCE 156764,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156764,A81000C,00200,0600,PHARMACY 156764,A81000C,00300,0400,VENCARE RESPIRATORY 156764,A81000C,00300,0600,RESPIRATORY THERAPY 156764,A81000C,00400,0400,THERAPY SERVICES 156764,A81000C,00500,0400,VENCARE REHAB SERVICES 156764,A81000C,00500,0600,REHAB 156764,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156764,A81000C,00600,0600,PORTABLE X-RAY 156764,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156764,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156764,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156764,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156764,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156764,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156764,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156764,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156764,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156764,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156764,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156764,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156764,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156764,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156764,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156764,E10A180,00301,0100,06/30/00 156764,S000000,00100,0200,12/01/00 156764,S200000,00100,0100,16357 AURORA AVENUE N. 156764,S200000,00200,0100,SEATTLE 156764,S200000,00200,0200,WA 156764,S200000,00200,0300,98133- 156764,S200000,00300,0100,KING 156764,S200000,00300,0300,U 156764,S200000,00400,0100,114 - ARDEN REHAB & HEALTHCARE CTR 156764,S200000,00400,0200,505214 156764,S200000,00400,0300,11/01/82 156764,S200000,00400,0500,P 156764,S200000,01500,0100,Y 156764,S200000,01600,0100,N 156764,S200000,01700,0100,N 156764,S200000,01800,0100,N 156764,S200000,02200,0100,Y 156764,S200000,02800,0100,N 156764,S200000,02900,0100,N 156764,S200000,03000,0100,N 156764,S200000,03100,0100,N 156764,S200000,03200,0100,N 156764,S200000,04100,0100,N 156764,S200000,04200,0100,N 156764,S200000,04300,0100,N 156764,S200000,04600,0100,N 156764,S200000,04700,0100,N 156764,S200000,04700,0200,N 156764,S200000,04900,0100,N 156764,S200000,05000,0100,N 156764,S200000,05100,0100,N 156764,S200000,05200,0100,N 156765,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156765,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156765,A000000,00300,0000,0300EMPLOYEE BENEFITS 156765,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156765,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156765,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156765,A000000,00700,0000,0700HOUSEKEEPING 156765,A000000,00800,0000,0800DIETARY 156765,A000000,00900,0000,0900NURSING ADMINISTRATION 156765,A000000,00901,0000,0901OTHER NURSING 156765,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156765,A000000,01100,0000,1100PHARMACY 156765,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156765,A000000,01300,0000,1300SOCIAL SERVICE 156765,A000000,01301,0000,1301ACTIVITIES 156765,A000000,01600,0000,1600SKILLED NURSING FACILITY 156765,A000000,01800,0000,1800NURSING FACILITY 156765,A000000,02100,0000,2100RADIOLOGY 156765,A000000,02200,0000,2200LABORATORY 156765,A000000,02300,0000,2300INTRAVENOUS THERAPY 156765,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156765,A000000,02500,0000,2500PHYSICAL THERAPY 156765,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156765,A000000,02700,0000,2700SPEECH PATHOLOGY 156765,A000000,02800,0000,2800ELECTROCARDIOLOGY 156765,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156765,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156765,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156765,A000000,03301,0000,3051NUTRITIONAL THERAPY 156765,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156765,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156765,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156765,A000000,04800,0000,4800AMBULANCE 156765,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156765,A000000,05300,0000,5300INTEREST EXPENSE 156765,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156765,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156765,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156765,A000000,06200,0000,6200PATIENTS LAUNDRY 156765,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156765,A000000,06301,0000,6151DAY CARE 156765,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156765,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156765,A81000A,00100,0100,Y 156765,A81000B,00100,0300,HOME OFFICE COSTS 156765,A81000B,00200,0300,LIABILITY INSURANCE 156765,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156765,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156765,A81000B,00500,0300,VC PHARMACY - ADMIN 156765,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156765,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156765,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156765,A81000B,00900,0300,VC PHARMACY - DIETARY 156765,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156765,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156765,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156765,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156765,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156765,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156765,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156765,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156765,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156765,A81000B,01900,0300,VC PHARMACY - LAB 156765,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156765,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156765,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156765,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156765,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156765,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156765,A81000B,02600,0300,VC PHARMACY - LEGEND 156765,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156765,A81000B,02800,0300,VC PHARMACY - NUTR THER 156765,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156765,A81000C,00100,0100,B 156765,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156765,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156765,A81000C,00100,0600,LIABILITY INSURANCE 156765,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156765,A81000C,00200,0600,PHARMACY 156765,A81000C,00300,0400,VENCARE RESPIRATORY 156765,A81000C,00300,0600,RESPIRATORY THERAPY 156765,A81000C,00400,0400,THERAPY SERVICES 156765,A81000C,00500,0400,VENCARE REHAB SERVICES 156765,A81000C,00500,0600,REHAB 156765,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156765,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156765,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156765,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156765,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156765,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156765,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156765,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156765,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156765,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156765,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156765,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156765,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156765,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156765,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156765,E10A180,00301,0100,06/30/00 156765,E10A180,00350,0100,11/30/00 156765,S000000,00100,0200,12/01/00 156765,S200000,00100,0100,128 BEACON HILL 156765,S200000,00200,0100,LONGVIEW 156765,S200000,00200,0200,WA 156765,S200000,00200,0300,98632- 156765,S200000,00300,0100,COWLITZ 156765,S200000,00300,0300,R 156765,S200000,00400,0100,127 - NORTHWEST CONTINUUM CARE CTR 156765,S200000,00400,0200,505294 156765,S200000,00400,0300,09/01/85 156765,S200000,00400,0500,P 156765,S200000,01500,0100,Y 156765,S200000,01600,0100,N 156765,S200000,01700,0100,N 156765,S200000,01800,0100,N 156765,S200000,02200,0100,Y 156765,S200000,02800,0100,N 156765,S200000,02900,0100,N 156765,S200000,03000,0100,N 156765,S200000,03100,0100,N 156765,S200000,03200,0100,N 156765,S200000,04100,0100,N 156765,S200000,04200,0100,N 156765,S200000,04300,0100,N 156765,S200000,04600,0100,N 156765,S200000,04700,0100,N 156765,S200000,04700,0200,N 156765,S200000,04900,0100,N 156765,S200000,05000,0100,N 156765,S200000,05100,0100,N 156765,S200000,05200,0100,N 156766,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156766,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156766,A000000,00300,0000,0300EMPLOYEE BENEFITS 156766,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156766,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156766,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156766,A000000,00700,0000,0700HOUSEKEEPING 156766,A000000,00800,0000,0800DIETARY 156766,A000000,00900,0000,0900NURSING ADMINISTRATION 156766,A000000,00901,0000,0901OTHER NURSING 156766,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156766,A000000,01100,0000,1100PHARMACY 156766,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156766,A000000,01300,0000,1300SOCIAL SERVICE 156766,A000000,01301,0000,1301ACTIVITIES 156766,A000000,01600,0000,1600SKILLED NURSING FACILITY 156766,A000000,01800,0000,1800NURSING FACILITY 156766,A000000,02100,0000,2100RADIOLOGY 156766,A000000,02200,0000,2200LABORATORY 156766,A000000,02300,0000,2300INTRAVENOUS THERAPY 156766,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156766,A000000,02500,0000,2500PHYSICAL THERAPY 156766,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156766,A000000,02700,0000,2700SPEECH PATHOLOGY 156766,A000000,02800,0000,2800ELECTROCARDIOLOGY 156766,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156766,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156766,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156766,A000000,03301,0000,3051NUTRITIONAL THERAPY 156766,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156766,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156766,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156766,A000000,04800,0000,4800AMBULANCE 156766,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156766,A000000,05300,0000,5300INTEREST EXPENSE 156766,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156766,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156766,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156766,A000000,06200,0000,6200PATIENTS LAUNDRY 156766,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156766,A000000,06301,0000,6151DAY CARE 156766,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156766,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156766,A81000A,00100,0100,Y 156766,A81000B,00100,0300,HOME OFFICE COSTS 156766,A81000B,00200,0300,LIABILITY INSURANCE 156766,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156766,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156766,A81000B,00500,0300,VC PHARMACY - ADMIN 156766,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156766,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156766,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156766,A81000B,00900,0300,VC PHARMACY - DIETARY 156766,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156766,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156766,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156766,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156766,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156766,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156766,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156766,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156766,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156766,A81000B,01900,0300,VC PHARMACY - LAB 156766,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156766,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156766,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156766,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156766,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156766,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156766,A81000B,02600,0300,VC PHARMACY - LEGEND 156766,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156766,A81000B,02800,0300,VC PHARMACY - NUTR THER 156766,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156766,A81000C,00100,0100,B 156766,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156766,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156766,A81000C,00100,0600,LIABILITY INSURANCE 156766,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156766,A81000C,00200,0600,PHARMACY 156766,A81000C,00300,0400,VENCARE RESPIRATORY 156766,A81000C,00300,0600,RESPIRATORY THERAPY 156766,A81000C,00400,0400,THERAPY SERVICES 156766,A81000C,00500,0400,VENCARE REHAB SERVICES 156766,A81000C,00500,0600,REHAB 156766,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156766,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156766,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156766,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156766,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156766,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156766,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156766,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156766,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156766,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156766,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156766,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156766,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156766,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156766,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156766,S000000,00100,0200,12/01/00 156766,S200000,00100,0100,3605 Y STREET 156766,S200000,00200,0100,VANCOUVER 156766,S200000,00200,0200,WA 156766,S200000,00200,0300,98663- 156766,S200000,00300,0100,CLERK 156766,S200000,00300,0300,U 156766,S200000,00400,0100,185 - HERITAGE HEALTH & REHAB CENTER 156766,S200000,00400,0200,505342 156766,S200000,00400,0300,05/25/89 156766,S200000,00400,0500,P 156766,S200000,01500,0100,Y 156766,S200000,01600,0100,N 156766,S200000,01700,0100,N 156766,S200000,01800,0100,N 156766,S200000,02200,0100,Y 156766,S200000,02800,0100,N 156766,S200000,02900,0100,N 156766,S200000,03000,0100,N 156766,S200000,03100,0100,N 156766,S200000,03200,0100,N 156766,S200000,04100,0100,N 156766,S200000,04200,0100,N 156766,S200000,04300,0100,N 156766,S200000,04600,0100,N 156766,S200000,04700,0100,N 156766,S200000,04700,0200,N 156766,S200000,04900,0100,N 156766,S200000,05000,0100,N 156766,S200000,05100,0100,N 156766,S200000,05200,0100,N 156914,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156914,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156914,A000000,00300,0000,0300EMPLOYEE BENEFITS 156914,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156914,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156914,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156914,A000000,00700,0000,0700HOUSEKEEPING 156914,A000000,00800,0000,0800DIETARY 156914,A000000,00900,0000,0900NURSING ADMINISTRATION 156914,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156914,A000000,01100,0000,1100PHARMACY 156914,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156914,A000000,01300,0000,1300SOCIAL SERVICE 156914,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156914,A000000,01600,0000,1600SKILLED NURSING FACILITY 156914,A000000,01800,0000,1800NURSING FACILITY 156914,A000000,01810,0000,1810ICF/MR 156914,A000000,02100,0000,2100RADIOLOGY 156914,A000000,02150,0000,2101CLINITRON THERAPY 156914,A000000,02200,0000,2200LABORATORY 156914,A000000,02300,0000,2300INTRAVENOUS THERAPY 156914,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156914,A000000,02500,0000,2500PHYSICAL THERAPY 156914,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156914,A000000,02700,0000,2700SPEECH PATHOLOGY 156914,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156914,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156914,A000000,03550,0000,3550FQHC 156914,A000000,04801,0000,4801AMBULANCE 156914,A000000,04802,0000,4802AMBULANCE 156914,A000000,04803,0000,4803AMBULANCE 156914,A000000,05000,0000,5000CORF 156914,A000000,05010,0000,5010CMHC 156914,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156914,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156914,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156914,A000000,05300,0000,5300INTEREST EXPENSE 156914,A000000,06300,0000,6150NONREIMBURSABLE 156914,A81000A,00100,0100,Y 156914,A81000B,00100,0300,RENT 156914,A81000B,00200,0300,STORAGE 156914,A81000B,00300,0300,STORAGE CAPITAL 156914,A81000B,00400,0300,HOME OFFICE - NONCAP 156914,A81000B,00500,0300,PROM. ADVERTISING 156914,A81000B,00600,0300,HOME OFFICE - CAPITA 156914,A81000C,00100,0100,A 156914,A81000C,00100,0200,BOB G. DEAN JR 156914,A81000C,00100,0400,BOB DEAN ENTERP 156914,A81000C,00100,0600,NURS. HOME MNGT 156914,A81000C,00200,0100,A 156914,A81000C,00200,0200,BOB G. DEAN JR 156914,A81000C,00200,0400,CHOCTAW WAREHOU 156914,A81000C,00200,0600,STORAGE 156914,A81000C,00300,0100,A 156914,A81000C,00300,0200,BILLIE F. DEAN 156914,A81000C,00300,0400,CHOCTAW WAREHOU 156914,A81000C,00300,0600,STORAGE 156914,B100000,00000,0100,0100SQUARE FEET 156914,B100000,00000,0200,0200SQUARE FEET 156914,B100000,00000,0300,0300GROSS SALARIES 156914,B100000,00000,0400,0400ACCUM COST 156914,B100000,00000,0500,0500SQUARE FEET 156914,B100000,00000,0600,0600PATIENT DAYS 156914,B100000,00000,0700,0700SQ FT W/O KITCHEN 156914,B100000,00000,0800,0800MEALS SERVED 156914,B100000,00000,0900,0900NURSING SALARIES 156914,B100000,00000,1000,1000COSTED REQUIS 156914,B100000,00000,1100,1100PATIENT DAYS 156914,B100000,00000,1200,1200PATIENT DAYS 156914,B100000,00000,1300,1300PATIENT DAYS 156914,B100000,00000,1400,1400ASSIGNED TIME 156914,E10A180,00301,0100,05/09/00 156914,E10A180,00302,0100,10/05/99 156914,E10A180,00501,0100,10/02/00 156914,S000000,00100,0200,08/07/00 156914,S200000,00100,0100,13500 CHEF MENTEUR HIGHWAY 156914,S200000,00200,0100,NEW ORLEANS 156914,S200000,00200,0200,LA 156914,S200000,00200,0300,70129 156914,S200000,00300,0100,ORLEANS 156914,S200000,00300,0200,5560 156914,S200000,00300,0300,U 156914,S200000,00400,0100,MAISON ORLEANS II NURSING HOME 156914,S200000,00400,0200,195298 156914,S200000,00400,0300,10/01/94 156914,S200000,00400,0500,P 156914,S200000,01500,0100,N 156914,S200000,01600,0100,Y 156914,S200000,01700,0100,N 156914,S200000,01800,0100,N 156914,S200000,02200,0100,Y 156914,S200000,02800,0100,N 156914,S200000,02900,0100,N 156914,S200000,03000,0100,N 156914,S200000,03100,0100,N 156914,S200000,03200,0100,N 156914,S200000,03300,0100,N 156914,S200000,03300,0200,N 156914,S200000,04100,0100,N 156914,S200000,04200,0100,N 156914,S200000,04300,0100,N 156914,S200000,04600,0100,N 156914,S200000,04700,0100,N 156914,S200000,04900,0100,N 156914,S200000,05200,0100,N 156915,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 156915,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 156915,A000000,00300,0000,0300EMPLOYEE BENEFITS 156915,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156915,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 156915,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156915,A000000,00700,0000,0700HOUSEKEEPING 156915,A000000,00800,0000,0800DIETARY 156915,A000000,00900,0000,0900NURSING ADMINISTRATION 156915,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156915,A000000,01100,0000,1100PHARMACY 156915,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156915,A000000,01300,0000,1300SOCIAL SERVICE 156915,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 156915,A000000,01500,0000,1350OTHER GENERAL SERVICES 156915,A000000,01600,0000,1600SKILLED NURSING FACILITY 156915,A000000,01800,0000,1800NURSING FACILITY 156915,A000000,01810,0000,1810ICF/MR 156915,A000000,02100,0000,2100RADIOLOGY 156915,A000000,02200,0000,2200LABORATORY 156915,A000000,02500,0000,2500PHYSICAL THERAPY 156915,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156915,A000000,02700,0000,2700SPEECH PATHOLOGY 156915,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 156915,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156915,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156915,A000000,03550,0000,3550FQHC 156915,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156915,A000000,04801,0000,4801AMBULANCE 156915,A000000,04802,0000,4802AMBULANCE 156915,A000000,04803,0000,4803AMBULANCE 156915,A000000,05000,0000,5000CORF 156915,A000000,05010,0000,5010CMHC 156915,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 156915,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 156915,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 156915,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156915,A000000,05300,0000,5300INTEREST EXPENSE 156915,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156915,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 156915,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156915,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156915,A81000A,00100,0100,Y 156915,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 156915,A81000C,00100,0100,A 156915,A81000C,00100,0200,ROBERT WACHTER 156915,A81000C,00100,0400,AMERICAN HEALTHCARE MGMT. 156915,A81000C,00100,0600,MANAGEMENT COMPANY 156915,B100000,00000,0100,0100SQUARE FEET 156915,B100000,00000,0200,0200SQUARE FEET 156915,B100000,00000,0300,0300GROSS SALARIES 156915,B100000,00000,0400,0400ACCUM COST 156915,B100000,00000,0500,0500SQUARE FEET 156915,B100000,00000,0600,0600POUNDS OF LAUNDRY 156915,B100000,00000,0700,0700SQUARE FEET 156915,B100000,00000,0800,0800MEALS SERVED 156915,B100000,00000,0900,0900HOURS OF SERVICE 156915,B100000,00000,1000,1000COSTED REQUIS. 156915,B100000,00000,1100,1100COSTED REQUIS. 156915,B100000,00000,1200,1200TIME SPENT 156915,B100000,00000,1300,1300TIME SPENT 156915,B100000,00000,1400,1400ASSIGNED TIME 156915,B100000,00000,1500,1350NO STATISTICS 156915,E10A180,00502,0100,06/21/00 156915,E10A180,00503,0300,06/21/00 156915,S000000,00100,0200,05/22/00 156915,S200000,00100,0100,1333 SCENIC DRIVE 156915,S200000,00200,0100,HERCULANEUM 156915,S200000,00200,0200,MO 156915,S200000,00300,0100,JEFFERSON 156915,S200000,00300,0200,7040 156915,S200000,00300,0300,R 156915,S200000,00400,0100,WESTVIEW NURSING CENTER 156915,S200000,00400,0200,265216 156915,S200000,00400,0300,02/21/84 156915,S200000,00400,0500,P 156915,S200000,01500,0100,N 156915,S200000,01600,0100,Y 156915,S200000,01700,0100,N 156915,S200000,01800,0100,N 156915,S200000,02200,0100,N 156915,S200000,02800,0100,N 156915,S200000,02900,0100,N 156915,S200000,03000,0100,N 156915,S200000,03100,0100,N 156915,S200000,03200,0100,N 156915,S200000,03300,0100,N 156915,S200000,03300,0200,N 156915,S200000,04100,0100,N 156915,S200000,04200,0100,N 156915,S200000,04300,0100,N 156915,S200000,04600,0100,N 156915,S200000,04700,0100,N 156915,S200000,04700,0200,N 156915,S200000,04900,0100,N 156942,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156942,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156942,A000000,00300,0000,0300EMPLOYEE BENEFITS 156942,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156942,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156942,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156942,A000000,00700,0000,0700HOUSEKEEPING 156942,A000000,00800,0000,0800DIETARY 156942,A000000,00900,0000,0900NURSING ADMINISTRATION 156942,A000000,00901,0000,0901OTHER NURSING 156942,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156942,A000000,01100,0000,1100PHARMACY 156942,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156942,A000000,01300,0000,1300SOCIAL SERVICE 156942,A000000,01301,0000,1301ACTIVITIES 156942,A000000,01600,0000,1600SKILLED NURSING FACILITY 156942,A000000,01800,0000,1800NURSING FACILITY 156942,A000000,02100,0000,2100RADIOLOGY 156942,A000000,02200,0000,2200LABORATORY 156942,A000000,02300,0000,2300INTRAVENOUS THERAPY 156942,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156942,A000000,02500,0000,2500PHYSICAL THERAPY 156942,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156942,A000000,02700,0000,2700SPEECH PATHOLOGY 156942,A000000,02800,0000,2800ELECTROCARDIOLOGY 156942,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156942,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156942,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156942,A000000,03301,0000,3051NUTRITIONAL THERAPY 156942,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156942,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156942,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156942,A000000,04800,0000,4800AMBULANCE 156942,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 156942,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156942,A000000,05300,0000,5300INTEREST EXPENSE 156942,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156942,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156942,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156942,A000000,06200,0000,6200PATIENTS LAUNDRY 156942,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156942,A000000,06301,0000,6151DAY CARE 156942,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156942,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156942,A81000A,00100,0100,Y 156942,A81000B,00100,0300,HOME OFFICE COSTS 156942,A81000B,00200,0300,LIABILITY INSURANCE 156942,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156942,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156942,A81000B,00500,0300,VC PHARMACY - ADMIN 156942,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156942,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156942,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156942,A81000B,00900,0300,VC PHARMACY - DIETARY 156942,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156942,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156942,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156942,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156942,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156942,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156942,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156942,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156942,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156942,A81000B,01900,0300,VC PHARMACY - LAB 156942,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156942,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156942,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156942,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156942,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156942,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156942,A81000B,02600,0300,VC PHARMACY - LEGEND 156942,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156942,A81000B,02800,0300,VC PHARMACY - NUTR THER 156942,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156942,A81000C,00100,0100,B 156942,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156942,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156942,A81000C,00100,0600,LIABILITY INSURANCE 156942,A81000C,00300,0400,VENCARE RESPIRATORY 156942,A81000C,00300,0600,RESPIRATORY THERAPY 156942,A81000C,00400,0400,THERAPY SERVICES 156942,A81000C,00500,0400,VENCARE REHAB SERVICES 156942,A81000C,00500,0600,REHAB 156942,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156942,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156942,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156942,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156942,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156942,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156942,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156942,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156942,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156942,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156942,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156942,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156942,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156942,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156942,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156942,E10A180,00350,0100,06/30/00 156942,S000000,00100,0200,12/01/00 156942,S200000,00100,0100,1736 IRVING PLACE 156942,S200000,00200,0100,SHREVEPORT 156942,S200000,00200,0200,LA 156942,S200000,00200,0300,71101- 156942,S200000,00300,0100,CADDO 156942,S200000,00300,0200,7680 156942,S200000,00300,0300,U 156942,S200000,00400,0100,1235 IRVING PLACE REHABILITATION 156942,S200000,00400,0200,195350 156942,S200000,00400,0300,09/15/95 156942,S200000,00400,0500,P 156942,S200000,01500,0100,Y 156942,S200000,01600,0100,N 156942,S200000,01700,0100,N 156942,S200000,01800,0100,N 156942,S200000,02200,0100,Y 156942,S200000,02800,0100,N 156942,S200000,02900,0100,N 156942,S200000,03000,0100,N 156942,S200000,03100,0100,N 156942,S200000,03200,0100,N 156942,S200000,04100,0100,N 156942,S200000,04200,0100,N 156942,S200000,04300,0100,N 156942,S200000,04600,0100,N 156942,S200000,04700,0100,N 156942,S200000,04700,0200,N 156942,S200000,04900,0100,N 156942,S200000,05000,0100,N 156942,S200000,05100,0100,N 156942,S200000,05200,0100,N 156958,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156958,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156958,A000000,00300,0000,0300EMPLOYEE BENEFITS 156958,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156958,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156958,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156958,A000000,00700,0000,0700HOUSEKEEPING 156958,A000000,00800,0000,0800DIETARY 156958,A000000,00900,0000,0900NURSING ADMINISTRATION 156958,A000000,00901,0000,0901OTHER NURSING 156958,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156958,A000000,01100,0000,1100PHARMACY 156958,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156958,A000000,01300,0000,1300SOCIAL SERVICE 156958,A000000,01301,0000,1301ACTIVITIES 156958,A000000,01600,0000,1600SKILLED NURSING FACILITY 156958,A000000,01800,0000,1800NURSING FACILITY 156958,A000000,02100,0000,2100RADIOLOGY 156958,A000000,02200,0000,2200LABORATORY 156958,A000000,02300,0000,2300INTRAVENOUS THERAPY 156958,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156958,A000000,02500,0000,2500PHYSICAL THERAPY 156958,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156958,A000000,02700,0000,2700SPEECH PATHOLOGY 156958,A000000,02800,0000,2800ELECTROCARDIOLOGY 156958,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156958,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156958,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156958,A000000,03301,0000,3051NUTRITIONAL THERAPY 156958,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156958,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156958,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156958,A000000,04800,0000,4800AMBULANCE 156958,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156958,A000000,05300,0000,5300INTEREST EXPENSE 156958,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156958,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156958,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156958,A000000,06200,0000,6200PATIENTS LAUNDRY 156958,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156958,A000000,06301,0000,6151DAY CARE 156958,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156958,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156958,A81000A,00100,0100,Y 156958,A81000B,00100,0300,HOME OFFICE COSTS 156958,A81000B,00200,0300,LIABILITY INSURANCE 156958,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156958,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156958,A81000B,00500,0300,VC PHARMACY - ADMIN 156958,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156958,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156958,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156958,A81000B,00900,0300,VC PHARMACY - DIETARY 156958,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156958,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156958,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156958,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156958,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156958,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156958,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156958,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156958,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156958,A81000B,01900,0300,VC PHARMACY - LAB 156958,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156958,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156958,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156958,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156958,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156958,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156958,A81000B,02600,0300,VC PHARMACY - LEGEND 156958,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156958,A81000B,02800,0300,VC PHARMACY - NUTR THER 156958,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156958,A81000C,00100,0100,B 156958,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156958,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156958,A81000C,00100,0600,LIABILITY INSURANCE 156958,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156958,A81000C,00200,0600,PHARMACY 156958,A81000C,00300,0400,VENCARE RESPIRATORY 156958,A81000C,00300,0600,RESPIRATORY THERAPY 156958,A81000C,00400,0400,THERAPY SERVICES 156958,A81000C,00500,0400,VENCARE REHAB SERVICES 156958,A81000C,00500,0600,REHAB 156958,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156958,A81000C,00600,0600,PORTABLE X-RAY 156958,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156958,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156958,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156958,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156958,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156958,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156958,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156958,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156958,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156958,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156958,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156958,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156958,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156958,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156958,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156958,E10A180,00301,0100,06/30/00 156958,E10A180,00351,0100,11/30/00 156958,S000000,00100,0200,12/11/00 156958,S200000,00100,0100,411 SOUTH LA SALLE STREET 156958,S200000,00200,0100,DURHAM 156958,S200000,00200,0200,NC 156958,S200000,00200,0300,27705- 156958,S200000,00300,0100,DURHAM 156958,S200000,00300,0200,6640 156958,S200000,00300,0300,U 156958,S200000,00400,0100,136 LASALLE HEALTHCARE CENTER 156958,S200000,00400,0200,345070 156958,S200000,00400,0300,09/01/73 156958,S200000,00400,0500,P 156958,S200000,01500,0100,N 156958,S200000,01600,0100,Y 156958,S200000,01700,0100,N 156958,S200000,01800,0100,N 156958,S200000,02200,0100,Y 156958,S200000,02800,0100,N 156958,S200000,02900,0100,N 156958,S200000,03000,0100,N 156958,S200000,03100,0100,N 156958,S200000,03200,0100,N 156958,S200000,04100,0100,N 156958,S200000,04200,0100,N 156958,S200000,04300,0100,N 156958,S200000,04600,0100,N 156958,S200000,04700,0100,N 156958,S200000,04700,0200,N 156958,S200000,04900,0100,N 156958,S200000,05000,0100,N 156958,S200000,05100,0100,N 156958,S200000,05200,0100,N 156960,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156960,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156960,A000000,00300,0000,0300EMPLOYEE BENEFITS 156960,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156960,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156960,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156960,A000000,00700,0000,0700HOUSEKEEPING 156960,A000000,00800,0000,0800DIETARY 156960,A000000,00900,0000,0900NURSING ADMINISTRATION 156960,A000000,00901,0000,0901OTHER NURSING 156960,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156960,A000000,01100,0000,1100PHARMACY 156960,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156960,A000000,01300,0000,1300SOCIAL SERVICE 156960,A000000,01301,0000,1301ACTIVITIES 156960,A000000,01600,0000,1600SKILLED NURSING FACILITY 156960,A000000,01800,0000,1800NURSING FACILITY 156960,A000000,02100,0000,2100RADIOLOGY 156960,A000000,02200,0000,2200LABORATORY 156960,A000000,02300,0000,2300INTRAVENOUS THERAPY 156960,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156960,A000000,02500,0000,2500PHYSICAL THERAPY 156960,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156960,A000000,02700,0000,2700SPEECH PATHOLOGY 156960,A000000,02800,0000,2800ELECTROCARDIOLOGY 156960,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156960,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156960,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156960,A000000,03301,0000,3051NUTRITIONAL THERAPY 156960,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156960,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156960,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156960,A000000,04800,0000,4800AMBULANCE 156960,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156960,A000000,05300,0000,5300INTEREST EXPENSE 156960,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156960,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156960,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156960,A000000,06200,0000,6200PATIENTS LAUNDRY 156960,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156960,A000000,06301,0000,6151DAY CARE 156960,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156960,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156960,A81000A,00100,0100,Y 156960,A81000B,00100,0300,HOME OFFICE COSTS 156960,A81000B,00200,0300,LIABILITY INSURANCE 156960,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156960,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156960,A81000B,00500,0300,VC PHARMACY - ADMIN 156960,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156960,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156960,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156960,A81000B,00900,0300,VC PHARMACY - DIETARY 156960,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156960,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156960,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156960,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156960,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156960,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156960,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156960,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156960,A81000B,01800,0300,VENCARE MOBILE RADIOLOGY 156960,A81000B,01900,0300,VC PHARMACY - LAB 156960,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156960,A81000B,02100,0300,VENCARE RESP THERAPY SVCS 156960,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156960,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156960,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156960,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156960,A81000B,02600,0300,VC PHARMACY - LEGEND 156960,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156960,A81000B,02800,0300,VC PHARMACY - NUTR THER 156960,A81000B,02900,0300,VENCARE RESP THERAPY SVCS-CME 156960,A81000C,00100,0100,B 156960,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156960,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156960,A81000C,00100,0600,LIABILITY INSURANCE 156960,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156960,A81000C,00200,0600,PHARMACY 156960,A81000C,00300,0400,VENCARE RESPIRATORY 156960,A81000C,00300,0600,RESPIRATORY THERAPY 156960,A81000C,00400,0400,THERAPY SERVICES 156960,A81000C,00500,0400,VENCARE REHAB SERVICES 156960,A81000C,00500,0600,REHAB 156960,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156960,A81000C,00600,0600,PORTABLE X-RAY 156960,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156960,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156960,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156960,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156960,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156960,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156960,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156960,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156960,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156960,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156960,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156960,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156960,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156960,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156960,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156960,E10A180,00301,0100,06/30/00 156960,S000000,00100,0200,12/11/00 156960,S200000,00100,0100,BEASLEY STREET 156960,S200000,00100,0300,478 156960,S200000,00200,0100,KENANSVILLE 156960,S200000,00200,0200,NC 156960,S200000,00200,0300,28349- 156960,S200000,00300,0100,DUPLIN 156960,S200000,00300,0200,34 156960,S200000,00300,0300,R 156960,S200000,00400,0100,722 - GUARDIAN CARE OF KENANSVILLE 156960,S200000,00400,0200,345150 156960,S200000,00400,0300,10/01/81 156960,S200000,00400,0500,P 156960,S200000,01500,0100,N 156960,S200000,01600,0100,Y 156960,S200000,01700,0100,N 156960,S200000,01800,0100,N 156960,S200000,02200,0100,Y 156960,S200000,02800,0100,N 156960,S200000,02900,0100,N 156960,S200000,03000,0100,N 156960,S200000,03100,0100,N 156960,S200000,03200,0100,N 156960,S200000,04100,0100,N 156960,S200000,04200,0100,N 156960,S200000,04300,0100,N 156960,S200000,04600,0100,N 156960,S200000,04700,0100,N 156960,S200000,04700,0200,N 156960,S200000,04900,0100,N 156960,S200000,05000,0100,N 156960,S200000,05100,0100,N 156960,S200000,05200,0100,N 156961,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156961,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156961,A000000,00300,0000,0300EMPLOYEE BENEFITS 156961,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156961,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156961,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156961,A000000,00700,0000,0700HOUSEKEEPING 156961,A000000,00800,0000,0800DIETARY 156961,A000000,00900,0000,0900NURSING ADMINISTRATION 156961,A000000,00901,0000,0901OTHER NURSING 156961,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156961,A000000,01100,0000,1100PHARMACY 156961,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156961,A000000,01300,0000,1300SOCIAL SERVICE 156961,A000000,01301,0000,1301ACTIVITIES 156961,A000000,01600,0000,1600SKILLED NURSING FACILITY 156961,A000000,01800,0000,1800NURSING FACILITY 156961,A000000,02100,0000,2100RADIOLOGY 156961,A000000,02200,0000,2200LABORATORY 156961,A000000,02300,0000,2300INTRAVENOUS THERAPY 156961,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156961,A000000,02500,0000,2500PHYSICAL THERAPY 156961,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156961,A000000,02700,0000,2700SPEECH PATHOLOGY 156961,A000000,02800,0000,2800ELECTROCARDIOLOGY 156961,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156961,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156961,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156961,A000000,03301,0000,3051NUTRITIONAL THERAPY 156961,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156961,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156961,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156961,A000000,04800,0000,4800AMBULANCE 156961,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156961,A000000,05300,0000,5300INTEREST EXPENSE 156961,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156961,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156961,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156961,A000000,06200,0000,6200PATIENTS LAUNDRY 156961,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156961,A000000,06301,0000,6151DAY CARE 156961,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156961,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156961,A81000A,00100,0100,Y 156961,A81000B,00100,0300,HOME OFFICE COSTS 156961,A81000B,00200,0300,LIABILITY INSURANCE 156961,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156961,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156961,A81000B,00500,0300,VC PHARMACY - ADMIN 156961,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156961,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156961,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156961,A81000B,00900,0300,VC PHARMACY - DIETARY 156961,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156961,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156961,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156961,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156961,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156961,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156961,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156961,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156961,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156961,A81000B,01900,0300,VC PHARMACY - LAB 156961,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156961,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156961,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156961,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156961,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156961,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156961,A81000B,02600,0300,VC PHARMACY - LEGEND 156961,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156961,A81000B,02800,0300,VC PHARMACY - NUTR THER 156961,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156961,A81000C,00100,0100,B 156961,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156961,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156961,A81000C,00100,0600,LIABILITY INSURANCE 156961,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156961,A81000C,00200,0600,PHARMACY 156961,A81000C,00300,0400,VENCARE RESPIRATORY 156961,A81000C,00300,0600,RESPIRATORY THERAPY 156961,A81000C,00400,0400,THERAPY SERVICES 156961,A81000C,00500,0400,VENCARE REHAB SERVICES 156961,A81000C,00500,0600,REHAB 156961,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156961,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156961,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156961,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156961,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156961,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156961,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156961,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156961,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156961,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156961,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156961,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156961,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156961,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156961,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156961,E10A180,00301,0100,11/30/00 156961,S000000,00100,0200,12/11/00 156961,S200000,00100,0100,1410 EAST GASTON STREET 156961,S200000,00100,0300,28092 156961,S200000,00200,0100,LINCOLNTON 156961,S200000,00200,0200,NC 156961,S200000,00200,0300,28092- 156961,S200000,00300,0100,LINCOLN 156961,S200000,00300,0200,1520 156961,S200000,00300,0300,U 156961,S200000,00400,0100,307 - LINCOLN NURSING CENTER 156961,S200000,00400,0200,345159 156961,S200000,00400,0300,10/01/86 156961,S200000,00400,0500,P 156961,S200000,01500,0100,N 156961,S200000,01600,0100,Y 156961,S200000,01700,0100,N 156961,S200000,01800,0100,N 156961,S200000,02200,0100,Y 156961,S200000,02800,0100,N 156961,S200000,02900,0100,N 156961,S200000,03000,0100,N 156961,S200000,03100,0100,N 156961,S200000,03200,0100,N 156961,S200000,04100,0100,N 156961,S200000,04200,0100,N 156961,S200000,04300,0100,N 156961,S200000,04600,0100,N 156961,S200000,04700,0100,N 156961,S200000,04700,0200,N 156961,S200000,04900,0100,N 156961,S200000,05000,0100,N 156961,S200000,05100,0100,N 156961,S200000,05200,0100,N 156962,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156962,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156962,A000000,00300,0000,0300EMPLOYEE BENEFITS 156962,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156962,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156962,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156962,A000000,00700,0000,0700HOUSEKEEPING 156962,A000000,00800,0000,0800DIETARY 156962,A000000,00900,0000,0900NURSING ADMINISTRATION 156962,A000000,00901,0000,0901OTHER NURSING 156962,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156962,A000000,01100,0000,1100PHARMACY 156962,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156962,A000000,01300,0000,1300SOCIAL SERVICE 156962,A000000,01301,0000,1301ACTIVITIES 156962,A000000,01600,0000,1600SKILLED NURSING FACILITY 156962,A000000,01800,0000,1800NURSING FACILITY 156962,A000000,02100,0000,2100RADIOLOGY 156962,A000000,02200,0000,2200LABORATORY 156962,A000000,02300,0000,2300INTRAVENOUS THERAPY 156962,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156962,A000000,02500,0000,2500PHYSICAL THERAPY 156962,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156962,A000000,02700,0000,2700SPEECH PATHOLOGY 156962,A000000,02800,0000,2800ELECTROCARDIOLOGY 156962,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156962,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156962,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156962,A000000,03301,0000,3051NUTRITIONAL THERAPY 156962,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156962,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156962,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156962,A000000,04800,0000,4800AMBULANCE 156962,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156962,A000000,05300,0000,5300INTEREST EXPENSE 156962,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156962,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156962,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156962,A000000,06200,0000,6200PATIENTS LAUNDRY 156962,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156962,A000000,06301,0000,6151DAY CARE 156962,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156962,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156962,A81000A,00100,0100,Y 156962,A81000B,00100,0300,HOME OFFICE COSTS 156962,A81000B,00200,0300,LIABILITY INSURANCE 156962,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156962,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156962,A81000B,00500,0300,VC PHARMACY - ADMIN 156962,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156962,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156962,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156962,A81000B,00900,0300,VC PHARMACY - DIETARY 156962,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156962,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156962,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156962,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156962,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156962,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156962,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156962,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156962,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156962,A81000B,01900,0300,VC PHARMACY - LAB 156962,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156962,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156962,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156962,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156962,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156962,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156962,A81000B,02600,0300,VC PHARMACY - LEGEND 156962,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156962,A81000B,02800,0300,VC PHARMACY - NUTR THER 156962,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156962,A81000C,00100,0100,B 156962,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156962,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156962,A81000C,00100,0600,LIABILITY INSURANCE 156962,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156962,A81000C,00200,0600,PHARMACY 156962,A81000C,00300,0400,VENCARE RESPIRATORY 156962,A81000C,00300,0600,RESPIRATORY THERAPY 156962,A81000C,00400,0400,THERAPY SERVICES 156962,A81000C,00500,0400,VENCARE REHAB SERVICES 156962,A81000C,00500,0600,REHAB 156962,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156962,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156962,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156962,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156962,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156962,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156962,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156962,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156962,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156962,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156962,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156962,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156962,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156962,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156962,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156962,E10A180,00301,0100,06/30/00 156962,E10A180,00352,0100,11/30/00 156962,S000000,00100,0200,12/11/00 156962,S200000,00100,0100,91 VICTORIA ROAD 156962,S200000,00200,0100,ASHEVILLE 156962,S200000,00200,0200,NC 156962,S200000,00200,0300,28801- 156962,S200000,00300,0100,BUNCOMBE 156962,S200000,00300,0200,0480 156962,S200000,00300,0300,U 156962,S200000,00400,0100,138 BLUE RIDGE REHAB & HC CENTER 156962,S200000,00400,0200,345174 156962,S200000,00400,0300,02/01/79 156962,S200000,00400,0500,P 156962,S200000,01500,0100,N 156962,S200000,01600,0100,Y 156962,S200000,01700,0100,N 156962,S200000,01800,0100,N 156962,S200000,02200,0100,Y 156962,S200000,02800,0100,N 156962,S200000,02900,0100,N 156962,S200000,03000,0100,N 156962,S200000,03100,0100,N 156962,S200000,03200,0100,N 156962,S200000,04100,0100,N 156962,S200000,04200,0100,N 156962,S200000,04300,0100,N 156962,S200000,04600,0100,N 156962,S200000,04700,0100,N 156962,S200000,04700,0200,N 156962,S200000,04900,0100,N 156962,S200000,05000,0100,N 156962,S200000,05100,0100,N 156962,S200000,05200,0100,N 156963,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156963,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156963,A000000,00300,0000,0300EMPLOYEE BENEFITS 156963,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156963,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156963,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156963,A000000,00700,0000,0700HOUSEKEEPING 156963,A000000,00800,0000,0800DIETARY 156963,A000000,00900,0000,0900NURSING ADMINISTRATION 156963,A000000,00901,0000,0901OTHER NURSING 156963,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156963,A000000,01100,0000,1100PHARMACY 156963,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156963,A000000,01300,0000,1300SOCIAL SERVICE 156963,A000000,01301,0000,1301ACTIVITIES 156963,A000000,01600,0000,1600SKILLED NURSING FACILITY 156963,A000000,01800,0000,1800NURSING FACILITY 156963,A000000,02100,0000,2100RADIOLOGY 156963,A000000,02200,0000,2200LABORATORY 156963,A000000,02300,0000,2300INTRAVENOUS THERAPY 156963,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156963,A000000,02500,0000,2500PHYSICAL THERAPY 156963,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156963,A000000,02700,0000,2700SPEECH PATHOLOGY 156963,A000000,02800,0000,2800ELECTROCARDIOLOGY 156963,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156963,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156963,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156963,A000000,03301,0000,3051NUTRITIONAL THERAPY 156963,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156963,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156963,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156963,A000000,04800,0000,4800AMBULANCE 156963,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156963,A000000,05300,0000,5300INTEREST EXPENSE 156963,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156963,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156963,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156963,A000000,06200,0000,6200PATIENTS LAUNDRY 156963,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156963,A000000,06301,0000,6151DAY CARE 156963,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156963,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156963,A81000A,00100,0100,Y 156963,A81000B,00100,0300,HOME OFFICE COSTS 156963,A81000B,00200,0300,LIABILITY INSURANCE 156963,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156963,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156963,A81000B,00500,0300,VC PHARMACY - ADMIN 156963,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156963,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156963,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156963,A81000B,00900,0300,VC PHARMACY - DIETARY 156963,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156963,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156963,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156963,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156963,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156963,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156963,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156963,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156963,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156963,A81000B,01900,0300,VC PHARMACY - LAB 156963,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156963,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156963,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156963,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156963,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156963,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156963,A81000B,02600,0300,VC PHARMACY - LEGEND 156963,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156963,A81000B,02800,0300,VC PHARMACY - NUTR THER 156963,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156963,A81000C,00100,0100,B 156963,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156963,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156963,A81000C,00100,0600,LIABILITY INSURANCE 156963,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156963,A81000C,00200,0600,PHARMACY 156963,A81000C,00300,0400,VENCARE RESPIRATORY 156963,A81000C,00300,0600,RESPIRATORY THERAPY 156963,A81000C,00400,0400,THERAPY SERVICES 156963,A81000C,00500,0400,VENCARE REHAB SERVICES 156963,A81000C,00500,0600,REHAB 156963,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156963,A81000C,00600,0600,PORTABLE X-RAY 156963,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156963,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156963,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156963,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156963,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156963,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156963,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156963,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156963,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156963,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156963,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156963,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156963,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156963,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156963,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156963,E10A180,00302,0100,11/30/00 156963,S000000,00100,0200,04/17/01 156963,S200000,00100,0100,901 SOUTH HALSTEAD BLVD. 156963,S200000,00200,0100,ELIZABETH CITY 156963,S200000,00200,0200,NC 156963,S200000,00200,0300,27909- 156963,S200000,00300,0100,PASQUOTANK 156963,S200000,00300,0200,34 156963,S200000,00300,0300,R 156963,S200000,00400,0100,726 - GUARDIAN CARE - ELIZABETH CITY 156963,S200000,00400,0200,345184 156963,S200000,00400,0300,10/01/81 156963,S200000,00400,0500,P 156963,S200000,01500,0100,N 156963,S200000,01600,0100,Y 156963,S200000,01700,0100,N 156963,S200000,01800,0100,N 156963,S200000,02200,0100,Y 156963,S200000,02800,0100,N 156963,S200000,02900,0100,N 156963,S200000,03000,0100,N 156963,S200000,03100,0100,N 156963,S200000,03200,0100,N 156963,S200000,04100,0100,N 156963,S200000,04200,0100,N 156963,S200000,04300,0100,N 156963,S200000,04600,0100,N 156963,S200000,04700,0100,N 156963,S200000,04700,0200,N 156963,S200000,04900,0100,N 156963,S200000,05000,0100,N 156963,S200000,05100,0100,N 156963,S200000,05200,0100,N 156964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156964,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156964,A000000,00300,0000,0300EMPLOYEE BENEFITS 156964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156964,A000000,00700,0000,0700HOUSEKEEPING 156964,A000000,00800,0000,0800DIETARY 156964,A000000,00900,0000,0900NURSING ADMINISTRATION 156964,A000000,00901,0000,0901OTHER NURSING 156964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156964,A000000,01100,0000,1100PHARMACY 156964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156964,A000000,01300,0000,1300SOCIAL SERVICE 156964,A000000,01301,0000,1301ACTIVITIES 156964,A000000,01600,0000,1600SKILLED NURSING FACILITY 156964,A000000,01800,0000,1800NURSING FACILITY 156964,A000000,02100,0000,2100RADIOLOGY 156964,A000000,02200,0000,2200LABORATORY 156964,A000000,02300,0000,2300INTRAVENOUS THERAPY 156964,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156964,A000000,02500,0000,2500PHYSICAL THERAPY 156964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156964,A000000,02700,0000,2700SPEECH PATHOLOGY 156964,A000000,02800,0000,2800ELECTROCARDIOLOGY 156964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156964,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156964,A000000,03301,0000,3051NUTRITIONAL THERAPY 156964,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156964,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156964,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156964,A000000,04800,0000,4800AMBULANCE 156964,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156964,A000000,05300,0000,5300INTEREST EXPENSE 156964,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156964,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156964,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156964,A000000,06200,0000,6200PATIENTS LAUNDRY 156964,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156964,A000000,06301,0000,6151DAY CARE 156964,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156964,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156964,A81000A,00100,0100,Y 156964,A81000B,00100,0300,HOME OFFICE COSTS 156964,A81000B,00200,0300,LIABILITY INSURANCE 156964,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156964,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156964,A81000B,00500,0300,VC PHARMACY - ADMIN 156964,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156964,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156964,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156964,A81000B,00900,0300,VC PHARMACY - DIETARY 156964,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156964,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156964,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156964,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156964,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156964,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156964,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156964,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156964,A81000B,01800,0300,VENCARE MOBILE RADIOLOGY-XRAY 156964,A81000B,01900,0300,VC PHARMACY - LAB 156964,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156964,A81000B,02100,0300,VENCARE RESP THERAPY SVCS-RT 156964,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156964,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156964,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156964,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156964,A81000B,02600,0300,VC PHARMACY - LEGEND 156964,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156964,A81000B,02800,0300,VC PHARMACY - NUTR THER 156964,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156964,A81000C,00100,0100,B 156964,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156964,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156964,A81000C,00100,0600,LIABILITY INSURANCE 156964,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156964,A81000C,00200,0600,PHARMACY 156964,A81000C,00300,0400,VENCARE RESPIRATORY 156964,A81000C,00300,0600,RESPIRATORY THERAPY 156964,A81000C,00400,0400,THERAPY SERVICES 156964,A81000C,00500,0400,VENCARE REHAB SERVICES 156964,A81000C,00500,0600,REHAB 156964,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156964,A81000C,00600,0600,PORTABLE X-RAY 156964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156964,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156964,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156964,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156964,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156964,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156964,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156964,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156964,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156964,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156964,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156964,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156964,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156964,E10A180,00302,0100,11/30/00 156964,S000000,00100,0200,12/11/00 156964,S200000,00100,0100,160 WINSTEAD AVE 156964,S200000,00200,0100,ROCKY MOUNT 156964,S200000,00200,0200,NC 156964,S200000,00200,0300,27804- 156964,S200000,00300,0100,NASH 156964,S200000,00300,0200,6895 156964,S200000,00300,0300,U 156964,S200000,00400,0100,723 - GUARDIAN CARE OF ROCKY MT 156964,S200000,00400,0200,345260 156964,S200000,00400,0300,07/01/87 156964,S200000,00400,0500,P 156964,S200000,01500,0100,N 156964,S200000,01600,0100,Y 156964,S200000,01700,0100,N 156964,S200000,01800,0100,N 156964,S200000,02200,0100,Y 156964,S200000,02800,0100,N 156964,S200000,02900,0100,N 156964,S200000,03000,0100,N 156964,S200000,03100,0100,N 156964,S200000,03200,0100,N 156964,S200000,04100,0100,N 156964,S200000,04200,0100,N 156964,S200000,04300,0100,N 156964,S200000,04600,0100,N 156964,S200000,04700,0100,N 156964,S200000,04700,0200,N 156964,S200000,04900,0100,N 156964,S200000,05000,0100,N 156964,S200000,05100,0100,N 156964,S200000,05200,0100,N 156966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156966,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156966,A000000,00300,0000,0300EMPLOYEE BENEFITS 156966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156966,A000000,00700,0000,0700HOUSEKEEPING 156966,A000000,00800,0000,0800DIETARY 156966,A000000,00900,0000,0900NURSING ADMINISTRATION 156966,A000000,00901,0000,0901OTHER NURSING 156966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156966,A000000,01100,0000,1100PHARMACY 156966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156966,A000000,01300,0000,1300SOCIAL SERVICE 156966,A000000,01301,0000,1301ACTIVITIES 156966,A000000,01600,0000,1600SKILLED NURSING FACILITY 156966,A000000,01800,0000,1800NURSING FACILITY 156966,A000000,02100,0000,2100RADIOLOGY 156966,A000000,02200,0000,2200LABORATORY 156966,A000000,02300,0000,2300INTRAVENOUS THERAPY 156966,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156966,A000000,02500,0000,2500PHYSICAL THERAPY 156966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156966,A000000,02700,0000,2700SPEECH PATHOLOGY 156966,A000000,02800,0000,2800ELECTROCARDIOLOGY 156966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156966,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156966,A000000,03301,0000,3051NUTRITIONAL THERAPY 156966,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156966,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156966,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156966,A000000,04800,0000,4800AMBULANCE 156966,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156966,A000000,05300,0000,5300INTEREST EXPENSE 156966,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156966,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156966,A000000,06200,0000,6200PATIENTS LAUNDRY 156966,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156966,A000000,06301,0000,6151DAY CARE 156966,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156966,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156966,A81000A,00100,0100,Y 156966,A81000B,00100,0300,HOME OFFICE COSTS 156966,A81000B,00200,0300,LIABILITY INSURANCE 156966,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156966,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156966,A81000B,00500,0300,VC PHARMACY - ADMIN 156966,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156966,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156966,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156966,A81000B,00900,0300,VC PHARMACY - DIETARY 156966,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156966,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156966,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156966,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156966,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156966,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156966,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156966,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156966,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156966,A81000B,01900,0300,VC PHARMACY - LAB 156966,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156966,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156966,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156966,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156966,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156966,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156966,A81000B,02600,0300,VC PHARMACY - LEGEND 156966,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156966,A81000B,02800,0300,VC PHARMACY - NUTR THER 156966,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156966,A81000C,00100,0100,B 156966,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156966,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156966,A81000C,00100,0600,LIABILITY INSURANCE 156966,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156966,A81000C,00200,0600,PHARMACY 156966,A81000C,00300,0400,VENCARE RESPIRATORY 156966,A81000C,00300,0600,RESPIRATORY THERAPY 156966,A81000C,00400,0400,THERAPY SERVICES 156966,A81000C,00500,0400,VENCARE REHAB SERVICES 156966,A81000C,00500,0600,REHAB 156966,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156966,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156966,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156966,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156966,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156966,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156966,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156966,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156966,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156966,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156966,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156966,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156966,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156966,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156966,E10A180,00302,0100,11/30/00 156966,E10A180,00350,0100,06/30/00 156966,S000000,00100,0200,12/11/00 156966,S200000,00100,0100,907 CUNNINGHAM RD. 156966,S200000,00200,0100,KINSTON 156966,S200000,00200,0200,NC 156966,S200000,00200,0300,28501- 156966,S200000,00300,0100,LENOIR 156966,S200000,00300,0200,34 156966,S200000,00300,0300,R 156966,S200000,00400,0100,711 - GUARDIAN CARE OF KINSTON 156966,S200000,00400,0200,345365 156966,S200000,00400,0300,05/02/91 156966,S200000,00400,0500,P 156966,S200000,01500,0100,N 156966,S200000,01600,0100,Y 156966,S200000,01700,0100,N 156966,S200000,01800,0100,N 156966,S200000,02200,0100,Y 156966,S200000,02800,0100,N 156966,S200000,02900,0100,N 156966,S200000,03000,0100,N 156966,S200000,03100,0100,N 156966,S200000,03200,0100,N 156966,S200000,04100,0100,N 156966,S200000,04200,0100,N 156966,S200000,04300,0100,N 156966,S200000,04600,0100,N 156966,S200000,04700,0100,N 156966,S200000,04700,0200,N 156966,S200000,04900,0100,N 156966,S200000,05000,0100,N 156966,S200000,05100,0100,N 156966,S200000,05200,0100,N 156968,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156968,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156968,A000000,00300,0000,0300EMPLOYEE BENEFITS 156968,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156968,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156968,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156968,A000000,00700,0000,0700HOUSEKEEPING 156968,A000000,00800,0000,0800DIETARY 156968,A000000,00900,0000,0900NURSING ADMINISTRATION 156968,A000000,00901,0000,0901OTHER NURSING 156968,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156968,A000000,01100,0000,1100PHARMACY 156968,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156968,A000000,01300,0000,1300SOCIAL SERVICE 156968,A000000,01301,0000,1301ACTIVITIES 156968,A000000,01600,0000,1600SKILLED NURSING FACILITY 156968,A000000,01800,0000,1800NURSING FACILITY 156968,A000000,02100,0000,2100RADIOLOGY 156968,A000000,02200,0000,2200LABORATORY 156968,A000000,02300,0000,2300INTRAVENOUS THERAPY 156968,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156968,A000000,02500,0000,2500PHYSICAL THERAPY 156968,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156968,A000000,02700,0000,2700SPEECH PATHOLOGY 156968,A000000,02800,0000,2800ELECTROCARDIOLOGY 156968,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156968,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156968,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156968,A000000,03301,0000,3051NUTRITIONAL THERAPY 156968,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156968,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156968,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156968,A000000,04800,0000,4800AMBULANCE 156968,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156968,A000000,05300,0000,5300INTEREST EXPENSE 156968,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156968,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156968,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156968,A000000,06200,0000,6200PATIENTS LAUNDRY 156968,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156968,A000000,06301,0000,6151DAY CARE 156968,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156968,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156968,A81000A,00100,0100,Y 156968,A81000B,00100,0300,HOME OFFICE COSTS 156968,A81000B,00200,0300,LIABILITY INSURANCE 156968,A81000B,00300,0300,CAP REL - BUILDING 156968,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156968,A81000B,00500,0300,VC PHARMACY - ADMIN 156968,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156968,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156968,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156968,A81000B,00900,0300,VC PHARMACY - DIETARY 156968,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156968,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156968,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156968,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156968,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156968,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156968,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156968,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156968,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156968,A81000B,01900,0300,VC PHARMACY - LAB 156968,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156968,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156968,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156968,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156968,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156968,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156968,A81000B,02600,0300,VC PHARMACY - LEGEND 156968,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156968,A81000B,02800,0300,VC PHARMACY - NUTR THER 156968,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156968,A81000C,00100,0100,B 156968,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156968,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156968,A81000C,00100,0600,LIABILITY INSURANCE 156968,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156968,A81000C,00200,0600,PHARMACY 156968,A81000C,00300,0400,VENCARE RESPIRATORY 156968,A81000C,00300,0600,RESPIRATORY THERAPY 156968,A81000C,00500,0400,VENCARE REHAB SERVICES 156968,A81000C,00500,0600,REHAB 156968,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156968,A81000C,00600,0600,PORTABLE X-RAY 156968,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156968,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156968,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156968,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156968,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156968,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156968,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156968,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156968,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156968,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156968,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156968,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156968,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156968,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156968,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156968,E10A180,00302,0100,11/30/00 156968,S000000,00100,0200,12/11/00 156968,S200000,00100,0100,431 LARKIN SPRINGS ROAD 156968,S200000,00200,0100,MADISON 156968,S200000,00200,0200,TN 156968,S200000,00200,0300,37115- 156968,S200000,00300,0100,DAVIDSON 156968,S200000,00300,0200,5360 156968,S200000,00300,0300,U 156968,S200000,00400,0100,132 MADISON HEALTHCARE & REHAB CTR 156968,S200000,00400,0200,445075 156968,S200000,00400,0300,03/01/74 156968,S200000,00400,0500,P 156968,S200000,01500,0100,N 156968,S200000,01600,0100,Y 156968,S200000,01700,0100,N 156968,S200000,01800,0100,N 156968,S200000,02200,0100,Y 156968,S200000,02800,0100,N 156968,S200000,02900,0100,N 156968,S200000,03000,0100,N 156968,S200000,03100,0100,N 156968,S200000,03200,0100,N 156968,S200000,04100,0100,N 156968,S200000,04200,0100,N 156968,S200000,04300,0100,N 156968,S200000,04600,0100,N 156968,S200000,04700,0100,N 156968,S200000,04700,0200,N 156968,S200000,04900,0100,N 156968,S200000,05000,0100,N 156968,S200000,05100,0100,N 156968,S200000,05200,0100,N 156969,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156969,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156969,A000000,00300,0000,0300EMPLOYEE BENEFITS 156969,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156969,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156969,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156969,A000000,00700,0000,0700HOUSEKEEPING 156969,A000000,00800,0000,0800DIETARY 156969,A000000,00900,0000,0900NURSING ADMINISTRATION 156969,A000000,00901,0000,0901OTHER NURSING 156969,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156969,A000000,01100,0000,1100PHARMACY 156969,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156969,A000000,01300,0000,1300SOCIAL SERVICE 156969,A000000,01301,0000,1301ACTIVITIES 156969,A000000,01600,0000,1600SKILLED NURSING FACILITY 156969,A000000,01800,0000,1800NURSING FACILITY 156969,A000000,02100,0000,2100RADIOLOGY 156969,A000000,02200,0000,2200LABORATORY 156969,A000000,02300,0000,2300INTRAVENOUS THERAPY 156969,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156969,A000000,02500,0000,2500PHYSICAL THERAPY 156969,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156969,A000000,02700,0000,2700SPEECH PATHOLOGY 156969,A000000,02800,0000,2800ELECTROCARDIOLOGY 156969,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156969,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156969,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156969,A000000,03301,0000,3051NUTRITIONAL THERAPY 156969,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156969,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156969,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156969,A000000,04800,0000,4800AMBULANCE 156969,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156969,A000000,05300,0000,5300INTEREST EXPENSE 156969,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156969,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156969,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156969,A000000,06200,0000,6200PATIENTS LAUNDRY 156969,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156969,A000000,06301,0000,6151DAY CARE 156969,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156969,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156969,A81000A,00100,0100,Y 156969,A81000B,00100,0300,HOME OFFICE COSTS 156969,A81000B,00200,0300,LIABILITY INSURANCE 156969,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156969,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156969,A81000B,00500,0300,VC PHARMACY - ADMIN 156969,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156969,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156969,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156969,A81000B,00900,0300,VC PHARMACY - DIETARY 156969,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156969,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156969,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156969,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156969,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156969,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156969,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156969,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156969,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156969,A81000B,01900,0300,VC PHARMACY - LAB 156969,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156969,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156969,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156969,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156969,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156969,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156969,A81000B,02600,0300,VC PHARMACY - LEGEND 156969,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156969,A81000B,02800,0300,VC PHARMACY - NUTR THER 156969,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156969,A81000C,00100,0100,B 156969,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156969,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156969,A81000C,00100,0600,LIABILITY INSURANCE 156969,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156969,A81000C,00200,0600,PHARMACY 156969,A81000C,00300,0400,VENCARE RESPIRATORY 156969,A81000C,00300,0600,RESPIRATORY THERAPY 156969,A81000C,00400,0400,THERAPY SERVICES 156969,A81000C,00500,0400,VENCARE REHAB SERVICES 156969,A81000C,00500,0600,REHAB 156969,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156969,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156969,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156969,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156969,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156969,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156969,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156969,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156969,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156969,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156969,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156969,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156969,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156969,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156969,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156969,E10A180,00301,0100,06/30/00 156969,E10A180,00302,0100,11/30/00 156969,S000000,00100,0200,12/11/00 156969,S200000,00100,0100,278 DRY VALLEY ROAD 156969,S200000,00200,0100,ALGOOD 156969,S200000,00200,0200,TN 156969,S200000,00200,0300,38506- 156969,S200000,00300,0100,PUTNAM 156969,S200000,00300,0200,44 156969,S200000,00300,0300,R 156969,S200000,00400,0100,884 - MASTERS HEALTH CARE CENTER 156969,S200000,00400,0200,445136 156969,S200000,00400,0300,04/01/85 156969,S200000,00400,0500,P 156969,S200000,01500,0100,N 156969,S200000,01600,0100,Y 156969,S200000,01700,0100,N 156969,S200000,01800,0100,N 156969,S200000,02200,0100,Y 156969,S200000,02800,0100,N 156969,S200000,02900,0100,N 156969,S200000,03000,0100,N 156969,S200000,03100,0100,N 156969,S200000,03200,0100,N 156969,S200000,04100,0100,N 156969,S200000,04200,0100,N 156969,S200000,04300,0100,N 156969,S200000,04600,0100,N 156969,S200000,04700,0100,N 156969,S200000,04700,0200,N 156969,S200000,04900,0100,N 156969,S200000,05000,0100,N 156969,S200000,05100,0100,N 156969,S200000,05200,0100,N 156970,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156970,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156970,A000000,00300,0000,0300EMPLOYEE BENEFITS 156970,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156970,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156970,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156970,A000000,00700,0000,0700HOUSEKEEPING 156970,A000000,00800,0000,0800DIETARY 156970,A000000,00900,0000,0900NURSING ADMINISTRATION 156970,A000000,00901,0000,0901OTHER NURSING 156970,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156970,A000000,01100,0000,1100PHARMACY 156970,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156970,A000000,01300,0000,1300SOCIAL SERVICE 156970,A000000,01301,0000,1301ACTIVITIES 156970,A000000,01600,0000,1600SKILLED NURSING FACILITY 156970,A000000,01800,0000,1800NURSING FACILITY 156970,A000000,02100,0000,2100RADIOLOGY 156970,A000000,02200,0000,2200LABORATORY 156970,A000000,02300,0000,2300INTRAVENOUS THERAPY 156970,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156970,A000000,02500,0000,2500PHYSICAL THERAPY 156970,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156970,A000000,02700,0000,2700SPEECH PATHOLOGY 156970,A000000,02800,0000,2800ELECTROCARDIOLOGY 156970,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156970,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156970,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156970,A000000,03301,0000,3051NUTRITIONAL THERAPY 156970,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156970,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156970,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156970,A000000,04800,0000,4800AMBULANCE 156970,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156970,A000000,05300,0000,5300INTEREST EXPENSE 156970,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156970,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156970,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156970,A000000,06200,0000,6200PATIENTS LAUNDRY 156970,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156970,A000000,06301,0000,6151DAY CARE 156970,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156970,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156970,A81000A,00100,0100,Y 156970,A81000B,00100,0300,HOME OFFICE COSTS 156970,A81000B,00200,0300,LIABILITY INSURANCE 156970,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156970,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156970,A81000B,00500,0300,VC PHARMACY - ADMIN 156970,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156970,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156970,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156970,A81000B,00900,0300,VC PHARMACY - DIETARY 156970,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156970,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156970,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156970,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156970,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156970,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156970,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156970,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156970,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156970,A81000B,01900,0300,VC PHARMACY - LAB 156970,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156970,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156970,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156970,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156970,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156970,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156970,A81000B,02600,0300,VC PHARMACY - LEGEND 156970,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156970,A81000B,02800,0300,VC PHARMACY - NUTR THER 156970,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156970,A81000C,00100,0100,B 156970,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156970,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156970,A81000C,00100,0600,LIABILITY INSURANCE 156970,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156970,A81000C,00200,0600,PHARMACY 156970,A81000C,00300,0400,VENCARE RESPIRATORY 156970,A81000C,00300,0600,RESPIRATORY THERAPY 156970,A81000C,00500,0400,VENCARE REHAB SERVICES 156970,A81000C,00500,0600,REHAB 156970,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156970,A81000C,00600,0600,PORTABLE X-RAY 156970,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156970,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156970,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156970,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156970,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156970,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156970,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156970,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156970,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156970,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156970,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156970,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156970,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156970,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156970,S000000,00100,0200,12/11/00 156970,S200000,00100,0100,700 NUCKOLLS ROAD 156970,S200000,00200,0100,BOLIVAR 156970,S200000,00200,0200,TN 156970,S200000,00200,0300,38008- 156970,S200000,00300,0100,HARDEMAN 156970,S200000,00300,0200,44 156970,S200000,00300,0300,R 156970,S200000,00400,0100,171 - PINE MEADOWS HLTHCARE & REHAB 156970,S200000,00400,0200,445232 156970,S200000,00400,0300,09/06/89 156970,S200000,00400,0500,P 156970,S200000,01500,0100,N 156970,S200000,01600,0100,Y 156970,S200000,01700,0100,N 156970,S200000,01800,0100,N 156970,S200000,02200,0100,Y 156970,S200000,02800,0100,N 156970,S200000,02900,0100,N 156970,S200000,03000,0100,N 156970,S200000,03100,0100,N 156970,S200000,03200,0100,N 156970,S200000,04100,0100,N 156970,S200000,04200,0100,N 156970,S200000,04300,0100,N 156970,S200000,04600,0100,N 156970,S200000,04700,0100,N 156970,S200000,04700,0200,N 156970,S200000,04900,0100,N 156970,S200000,05000,0100,N 156970,S200000,05100,0100,N 156970,S200000,05200,0100,N 156971,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156971,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156971,A000000,00300,0000,0300EMPLOYEE BENEFITS 156971,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156971,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156971,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156971,A000000,00700,0000,0700HOUSEKEEPING 156971,A000000,00800,0000,0800DIETARY 156971,A000000,00900,0000,0900NURSING ADMINISTRATION 156971,A000000,00901,0000,0901OTHER NURSING 156971,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156971,A000000,01100,0000,1100PHARMACY 156971,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156971,A000000,01300,0000,1300SOCIAL SERVICE 156971,A000000,01301,0000,1301ACTIVITIES 156971,A000000,01600,0000,1600SKILLED NURSING FACILITY 156971,A000000,01800,0000,1800NURSING FACILITY 156971,A000000,02100,0000,2100RADIOLOGY 156971,A000000,02200,0000,2200LABORATORY 156971,A000000,02300,0000,2300INTRAVENOUS THERAPY 156971,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156971,A000000,02500,0000,2500PHYSICAL THERAPY 156971,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156971,A000000,02700,0000,2700SPEECH PATHOLOGY 156971,A000000,02800,0000,2800ELECTROCARDIOLOGY 156971,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156971,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156971,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156971,A000000,03301,0000,3051NUTRITIONAL THERAPY 156971,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156971,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156971,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156971,A000000,04800,0000,4800AMBULANCE 156971,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 156971,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156971,A000000,05300,0000,5300INTEREST EXPENSE 156971,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156971,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156971,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156971,A000000,06200,0000,6200PATIENTS LAUNDRY 156971,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156971,A000000,06301,0000,6151DAY CARE 156971,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156971,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156971,A81000A,00100,0100,Y 156971,A81000B,00100,0300,HOME OFFICE COSTS 156971,A81000B,00200,0300,LIABILITY INSURANCE 156971,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156971,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156971,A81000B,00500,0300,VC PHARMACY - ADMIN 156971,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156971,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156971,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156971,A81000B,00900,0300,VC PHARMACY - DIETARY 156971,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156971,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156971,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156971,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156971,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156971,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156971,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156971,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156971,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156971,A81000B,01900,0300,VC PHARMACY - LAB 156971,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156971,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156971,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156971,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156971,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156971,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156971,A81000B,02600,0300,VC PHARMACY - LEGEND 156971,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156971,A81000B,02800,0300,VC PHARMACY - NUTR THER 156971,A81000B,02900,0300,VC HOSPITAL - COMPLEX MED EQUIP 156971,A81000C,00100,0100,B 156971,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156971,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156971,A81000C,00100,0600,LIABILITY INSURANCE 156971,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156971,A81000C,00200,0600,PHARMACY 156971,A81000C,00300,0400,VENCARE RESPIRATORY 156971,A81000C,00300,0600,RESPIRATORY THERAPY 156971,A81000C,00500,0400,VENCARE REHAB SERVICES 156971,A81000C,00500,0600,REHAB 156971,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156971,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156971,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156971,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156971,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156971,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156971,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156971,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156971,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156971,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156971,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156971,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156971,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156971,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 156971,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156971,E10A180,00351,0100,11/30/00 156971,S000000,00100,0200,12/11/00 156971,S200000,00100,0100,181 DUNLAP ROAD 156971,S200000,00200,0100,BLOUNTVILLE 156971,S200000,00200,0200,TN 156971,S200000,00200,0300,37617- 156971,S200000,00300,0100,SULLIVAN 156971,S200000,00300,0200,3660 156971,S200000,00300,0300,U 156971,S200000,00400,0100,184 - GREYSTONE HEALTHCARE CENTER 156971,S200000,00400,0200,445242 156971,S200000,00400,0300,12/14/89 156971,S200000,00400,0500,P 156971,S200000,01500,0100,N 156971,S200000,01600,0100,Y 156971,S200000,01700,0100,N 156971,S200000,01800,0100,N 156971,S200000,02200,0100,Y 156971,S200000,02800,0100,N 156971,S200000,02900,0100,N 156971,S200000,03000,0100,N 156971,S200000,03100,0100,N 156971,S200000,03200,0100,N 156971,S200000,04100,0100,N 156971,S200000,04200,0100,N 156971,S200000,04300,0100,N 156971,S200000,04600,0100,N 156971,S200000,04700,0100,N 156971,S200000,04700,0200,N 156971,S200000,04900,0100,N 156971,S200000,05000,0100,N 156971,S200000,05100,0100,N 156971,S200000,05200,0100,N 156972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156972,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156972,A000000,00300,0000,0300EMPLOYEE BENEFITS 156972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156972,A000000,00700,0000,0700HOUSEKEEPING 156972,A000000,00800,0000,0800DIETARY 156972,A000000,00900,0000,0900NURSING ADMINISTRATION 156972,A000000,00901,0000,0901OTHER NURSING 156972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156972,A000000,01100,0000,1100PHARMACY 156972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156972,A000000,01300,0000,1300SOCIAL SERVICE 156972,A000000,01301,0000,1301ACTIVITIES 156972,A000000,01600,0000,1600SKILLED NURSING FACILITY 156972,A000000,01800,0000,1800NURSING FACILITY 156972,A000000,02100,0000,2100RADIOLOGY 156972,A000000,02200,0000,2200LABORATORY 156972,A000000,02300,0000,2300INTRAVENOUS THERAPY 156972,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156972,A000000,02500,0000,2500PHYSICAL THERAPY 156972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156972,A000000,02700,0000,2700SPEECH PATHOLOGY 156972,A000000,02800,0000,2800ELECTROCARDIOLOGY 156972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156972,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156972,A000000,03301,0000,3051NUTRITIONAL THERAPY 156972,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156972,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156972,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156972,A000000,04800,0000,4800AMBULANCE 156972,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156972,A000000,05300,0000,5300INTEREST EXPENSE 156972,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156972,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156972,A000000,06200,0000,6200PATIENTS LAUNDRY 156972,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156972,A000000,06301,0000,6151DAY CARE 156972,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156972,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156972,A81000A,00100,0100,Y 156972,A81000B,00100,0300,HOME OFFICE COSTS 156972,A81000B,00200,0300,LIABILITY INSURANCE 156972,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156972,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156972,A81000B,00500,0300,VC PHARMACY - ADMIN 156972,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156972,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156972,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156972,A81000B,00900,0300,VC PHARMACY - DIETARY 156972,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156972,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156972,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156972,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156972,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156972,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156972,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156972,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156972,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156972,A81000B,01900,0300,VC PHARMACY - LAB 156972,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156972,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156972,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156972,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156972,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156972,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156972,A81000B,02600,0300,VC PHARMACY - LEGEND 156972,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156972,A81000B,02800,0300,VC PHARMACY - NUTR THER 156972,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156972,A81000C,00100,0100,B 156972,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156972,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156972,A81000C,00100,0600,LIABILITY INSURANCE 156972,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156972,A81000C,00200,0600,PHARMACY 156972,A81000C,00300,0400,VENCARE RESPIRATORY 156972,A81000C,00300,0600,RESPIRATORY THERAPY 156972,A81000C,00400,0400,THERAPY SERVICES 156972,A81000C,00500,0400,VENCARE REHAB SERVICES 156972,A81000C,00500,0600,REHAB 156972,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156972,A81000C,00600,0600,PORTABLE X-RAY 156972,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156972,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156972,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156972,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156972,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156972,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156972,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156972,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156972,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 156972,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156972,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156972,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156972,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156972,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156972,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156972,E10A180,00301,0100,06/30/00 156972,S000000,00100,0200,12/11/00 156972,S200000,00100,0100,1520 GROVE STREET 156972,S200000,00200,0100,LOUDON 156972,S200000,00200,0200,TN 156972,S200000,00200,0300,37774- 156972,S200000,00300,0100,LOUDON 156972,S200000,00300,0200,3840 156972,S200000,00300,0300,U 156972,S200000,00400,0100,177 - LOUDON HEALTHCARE CENTER 156972,S200000,00400,0200,445253 156972,S200000,00400,0300,07/01/90 156972,S200000,00400,0500,P 156972,S200000,01500,0100,N 156972,S200000,01600,0100,Y 156972,S200000,01700,0100,N 156972,S200000,01800,0100,N 156972,S200000,02200,0100,Y 156972,S200000,02800,0100,N 156972,S200000,02900,0100,N 156972,S200000,03000,0100,N 156972,S200000,03100,0100,N 156972,S200000,03200,0100,N 156972,S200000,04100,0100,N 156972,S200000,04200,0100,N 156972,S200000,04300,0100,N 156972,S200000,04600,0100,N 156972,S200000,04700,0100,N 156972,S200000,04700,0200,N 156972,S200000,04900,0100,N 156972,S200000,05000,0100,N 156972,S200000,05100,0100,N 156972,S200000,05200,0100,N 156973,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156973,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156973,A000000,00300,0000,0300EMPLOYEE BENEFITS 156973,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156973,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156973,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156973,A000000,00700,0000,0700HOUSEKEEPING 156973,A000000,00800,0000,0800DIETARY 156973,A000000,00900,0000,0900NURSING ADMINISTRATION 156973,A000000,00901,0000,0901OTHER NURSING 156973,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156973,A000000,01100,0000,1100PHARMACY 156973,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156973,A000000,01300,0000,1300SOCIAL SERVICE 156973,A000000,01301,0000,1301ACTIVITIES 156973,A000000,01600,0000,1600SKILLED NURSING FACILITY 156973,A000000,01800,0000,1800NURSING FACILITY 156973,A000000,02100,0000,2100RADIOLOGY 156973,A000000,02200,0000,2200LABORATORY 156973,A000000,02300,0000,2300INTRAVENOUS THERAPY 156973,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156973,A000000,02500,0000,2500PHYSICAL THERAPY 156973,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156973,A000000,02700,0000,2700SPEECH PATHOLOGY 156973,A000000,02800,0000,2800ELECTROCARDIOLOGY 156973,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156973,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156973,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156973,A000000,03301,0000,3051NUTRITIONAL THERAPY 156973,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156973,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156973,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156973,A000000,04800,0000,4800AMBULANCE 156973,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156973,A000000,05300,0000,5300INTEREST EXPENSE 156973,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156973,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156973,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156973,A000000,06200,0000,6200PATIENTS LAUNDRY 156973,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156973,A000000,06301,0000,6151DAY CARE 156973,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156973,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156973,A81000A,00100,0100,Y 156973,A81000B,00100,0300,HOME OFFICE COSTS 156973,A81000B,00200,0300,LIABILITY INSURANCE 156973,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156973,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156973,A81000B,00500,0300,VC PHARMACY - ADMIN 156973,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156973,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156973,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156973,A81000B,00900,0300,VC PHARMACY - DIETARY 156973,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156973,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156973,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156973,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156973,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156973,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156973,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156973,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156973,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156973,A81000B,01900,0300,VC PHARMACY - LAB 156973,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156973,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156973,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156973,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156973,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156973,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156973,A81000B,02600,0300,VC PHARMACY - LEGEND 156973,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156973,A81000B,02800,0300,VC PHARMACY - NUTR THER 156973,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156973,A81000C,00100,0100,B 156973,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156973,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156973,A81000C,00100,0600,LIABILITY INSURANCE 156973,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156973,A81000C,00200,0600,PHARMACY 156973,A81000C,00300,0400,VENCARE RESPIRATORY 156973,A81000C,00300,0600,RESPIRATORY THERAPY 156973,A81000C,00400,0400,THERAPY SERVICES 156973,A81000C,00500,0400,VENCARE REHAB SERVICES 156973,A81000C,00500,0600,REHAB 156973,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156973,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156973,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156973,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156973,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156973,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156973,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156973,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156973,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156973,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 156973,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156973,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156973,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156973,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156973,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156973,E10A180,00301,0100,06/30/00 156973,S000000,00100,0200,12/11/00 156973,S200000,00100,0100,197 HOSPITAL DRIVE 156973,S200000,00200,0100,CAMDEN 156973,S200000,00200,0200,TN 156973,S200000,00200,0300,38320- 156973,S200000,00300,0100,BENTON 156973,S200000,00300,0200,44 156973,S200000,00300,0300,R 156973,S200000,00400,0100,174 - CAMDEN HEALTHCARE & REHAB 156973,S200000,00400,0200,445274 156973,S200000,00400,0300,12/04/91 156973,S200000,00400,0500,P 156973,S200000,01500,0100,N 156973,S200000,01600,0100,Y 156973,S200000,01700,0100,N 156973,S200000,01800,0100,N 156973,S200000,02200,0100,Y 156973,S200000,02800,0100,N 156973,S200000,02900,0100,N 156973,S200000,03000,0100,N 156973,S200000,03100,0100,N 156973,S200000,03200,0100,N 156973,S200000,04100,0100,N 156973,S200000,04200,0100,N 156973,S200000,04300,0100,N 156973,S200000,04600,0100,N 156973,S200000,04700,0100,N 156973,S200000,04700,0200,N 156973,S200000,04900,0100,N 156973,S200000,05000,0100,N 156973,S200000,05100,0100,N 156973,S200000,05200,0100,N 156974,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 156974,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 156974,A000000,00300,0000,0300EMPLOYEE BENEFITS 156974,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 156974,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 156974,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 156974,A000000,00700,0000,0700HOUSEKEEPING 156974,A000000,00800,0000,0800DIETARY 156974,A000000,00900,0000,0900NURSING ADMINISTRATION 156974,A000000,00901,0000,0901OTHER NURSING 156974,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 156974,A000000,01100,0000,1100PHARMACY 156974,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 156974,A000000,01300,0000,1300SOCIAL SERVICE 156974,A000000,01301,0000,1301ACTIVITIES 156974,A000000,01600,0000,1600SKILLED NURSING FACILITY 156974,A000000,01800,0000,1800NURSING FACILITY 156974,A000000,02100,0000,2100RADIOLOGY 156974,A000000,02200,0000,2200LABORATORY 156974,A000000,02300,0000,2300INTRAVENOUS THERAPY 156974,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 156974,A000000,02500,0000,2500PHYSICAL THERAPY 156974,A000000,02600,0000,2600OCCUPATIONAL THERAPY 156974,A000000,02700,0000,2700SPEECH PATHOLOGY 156974,A000000,02800,0000,2800ELECTROCARDIOLOGY 156974,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 156974,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 156974,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 156974,A000000,03301,0000,3051NUTRITIONAL THERAPY 156974,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 156974,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 156974,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 156974,A000000,04800,0000,4800AMBULANCE 156974,A000000,05100,0000,4750OTHER REIMBURSABLE COST 156974,A000000,05300,0000,5300INTEREST EXPENSE 156974,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 156974,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 156974,A000000,05900,0000,5900BARBER & BEAUTY SHOP 156974,A000000,06200,0000,6200PATIENTS LAUNDRY 156974,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 156974,A000000,06301,0000,6151DAY CARE 156974,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 156974,A000000,06303,0000,6153DISTRICT OFFICE SPACE 156974,A81000A,00100,0100,Y 156974,A81000B,00100,0300,HOME OFFICE COSTS 156974,A81000B,00200,0300,LIABILITY INSURANCE 156974,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 156974,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 156974,A81000B,00500,0300,VC PHARMACY - ADMIN 156974,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 156974,A81000B,00700,0300,VC PHARMACY - LAUNDRY 156974,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 156974,A81000B,00900,0300,VC PHARMACY - DIETARY 156974,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 156974,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 156974,A81000B,01200,0300,VC PHARMACY - NONLEGEND 156974,A81000B,01300,0300,VC PHARMACY - MED RECORDS 156974,A81000B,01400,0300,VC PHARMACY - SOC SVCS 156974,A81000B,01500,0300,VC PHARMACY - ACTIVITY 156974,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 156974,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 156974,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 156974,A81000B,01900,0300,VC PHARMACY - LAB 156974,A81000B,02000,0300,VC PHARMACY - IV THERAPY 156974,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 156974,A81000B,02200,0300,VENCARE REHAB - PHYS THER 156974,A81000B,02300,0300,VENCARE REHAB - OCCP THER 156974,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 156974,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 156974,A81000B,02600,0300,VC PHARMACY - LEGEND 156974,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 156974,A81000B,02800,0300,VC PHARMACY - NUTR THER 156974,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 156974,A81000C,00100,0100,B 156974,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 156974,A81000C,00100,0400,CORNERSTONE INSURANCE CO 156974,A81000C,00100,0600,LIABILITY INSURANCE 156974,A81000C,00200,0400,VENCARE PHARMACY SERVICES 156974,A81000C,00200,0600,PHARMACY 156974,A81000C,00300,0400,VENCARE RESPIRATORY 156974,A81000C,00300,0600,RESPIRATORY THERAPY 156974,A81000C,00400,0400,THERAPY SERVICES 156974,A81000C,00500,0400,VENCARE REHAB SERVICES 156974,A81000C,00500,0600,REHAB 156974,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 156974,A81000C,00600,0600,PORTABLE X-RAY 156974,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 156974,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 156974,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 156974,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 156974,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 156974,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 156974,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 156974,B100000,00000,0800,0850PATIENT DAYS :DIETARY 156974,B100000,00000,0900,0900HOURS OF SERVICE :NURSING ADMINI 156974,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 156974,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 156974,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 156974,B100000,00000,1300,1330HOURS OF SERVICE :SOCIAL SERVICE 156974,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 156974,E10A180,00352,0100,11/30/00 156974,S000000,00100,0200,12/11/00 156974,S200000,00100,0100,3300 BROADWAY NE 156974,S200000,00200,0100,KNOXVILLE 156974,S200000,00200,0200,TN 156974,S200000,00200,0300,38119- 156974,S200000,00300,0100,KNOX 156974,S200000,00300,0200,3840 156974,S200000,00300,0300,U 156974,S200000,00400,0100,789 - NORTHHAVEN HEALTH CARE CENTER 156974,S200000,00400,0200,445297 156974,S200000,00400,0300,09/01/92 156974,S200000,00400,0500,P 156974,S200000,01500,0100,N 156974,S200000,01600,0100,Y 156974,S200000,01700,0100,N 156974,S200000,01800,0100,N 156974,S200000,02200,0100,Y 156974,S200000,02800,0100,N 156974,S200000,02900,0100,N 156974,S200000,03000,0100,N 156974,S200000,03100,0100,N 156974,S200000,03200,0100,N 156974,S200000,04100,0100,N 156974,S200000,04200,0100,N 156974,S200000,04300,0100,N 156974,S200000,04600,0100,N 156974,S200000,04700,0100,N 156974,S200000,04700,0200,N 156974,S200000,04900,0100,N 156974,S200000,05000,0100,N 156974,S200000,05100,0100,N 156974,S200000,05200,0100,N 157373,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157373,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157373,A000000,00300,0000,0300EMPLOYEE BENEFITS 157373,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157373,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157373,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157373,A000000,00700,0000,0700HOUSEKEEPING 157373,A000000,00800,0000,0800DIETARY 157373,A000000,00900,0000,0900NURSING ADMINISTRATION 157373,A000000,00901,0000,0901OTHER NURSING 157373,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157373,A000000,01100,0000,1100PHARMACY 157373,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157373,A000000,01300,0000,1300SOCIAL SERVICE 157373,A000000,01301,0000,1301ACTIVITIES 157373,A000000,01600,0000,1600SKILLED NURSING FACILITY 157373,A000000,01800,0000,1800NURSING FACILITY 157373,A000000,02100,0000,2100RADIOLOGY 157373,A000000,02200,0000,2200LABORATORY 157373,A000000,02300,0000,2300INTRAVENOUS THERAPY 157373,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157373,A000000,02500,0000,2500PHYSICAL THERAPY 157373,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157373,A000000,02700,0000,2700SPEECH PATHOLOGY 157373,A000000,02800,0000,2800ELECTROCARDIOLOGY 157373,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157373,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157373,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 157373,A000000,03301,0000,3051NUTRITIONAL THERAPY 157373,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 157373,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 157373,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157373,A000000,04800,0000,4800AMBULANCE 157373,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157373,A000000,05300,0000,5300INTEREST EXPENSE 157373,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157373,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157373,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157373,A000000,06200,0000,6200PATIENTS LAUNDRY 157373,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157373,A000000,06301,0000,6151DAY CARE 157373,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 157373,A000000,06303,0000,6153DISTRICT OFFICE SPACE 157373,A81000A,00100,0100,Y 157373,A81000B,00100,0300,HOME OFFICE COSTS 157373,A81000B,00200,0300,LIABILITY INSURANCE 157373,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 157373,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 157373,A81000B,00500,0300,VC PHARMACY - ADMIN 157373,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 157373,A81000B,00700,0300,VC PHARMACY - LAUNDRY 157373,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 157373,A81000B,00900,0300,VC PHARMACY - DIETARY 157373,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 157373,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 157373,A81000B,01200,0300,VC PHARMACY - NONLEGEND 157373,A81000B,01300,0300,VC PHARMACY - MED RECORDS 157373,A81000B,01400,0300,VC PHARMACY - SOC SVCS 157373,A81000B,01500,0300,VC PHARMACY - ACTIVITY 157373,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 157373,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 157373,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 157373,A81000B,01900,0300,VC PHARMACY - LAB 157373,A81000B,02000,0300,VC PHARMACY - IV THERAPY 157373,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 157373,A81000B,02200,0300,VENCARE REHAB - PHYS THER 157373,A81000B,02300,0300,VENCARE REHAB - OCCP THER 157373,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 157373,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 157373,A81000B,02600,0300,VC PHARMACY - LEGEND 157373,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 157373,A81000B,02800,0300,VC PHARMACY - NUTR THER 157373,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 157373,A81000C,00100,0100,B 157373,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 157373,A81000C,00100,0400,CORNERSTONE INSURANCE CO 157373,A81000C,00100,0600,LIABILITY INSURANCE 157373,A81000C,00200,0400,VENCARE PHARMACY SERVICES 157373,A81000C,00200,0600,PHARMACY 157373,A81000C,00300,0400,VENCARE RESPIRATORY 157373,A81000C,00300,0600,RESPIRATORY THERAPY 157373,A81000C,00400,0400,THERAPY SERVICES 157373,A81000C,00500,0400,VENCARE REHAB SERVICES 157373,A81000C,00500,0600,REHAB 157373,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 157373,A81000C,00600,0600,PORTABLE X-RAY 157373,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 157373,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 157373,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 157373,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157373,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 157373,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 157373,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 157373,B100000,00000,0800,0850PATIENT DAYS :DIETARY 157373,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 157373,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 157373,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 157373,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 157373,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 157373,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 157373,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 157373,E10A180,00301,0100,06/30/00 157373,S000000,00100,0200,12/01/00 157373,S200000,00100,0100,1359 PINE STREET 157373,S200000,00200,0100,SAN FRANCISCO 157373,S200000,00200,0200,CA 157373,S200000,00200,0300,94109- 157373,S200000,00300,0100,SAN FRANCISCO 157373,S200000,00300,0300,U 157373,S200000,00400,0100,150 - NOB HILL HEALTHCARE CENTER 157373,S200000,00400,0200,056203 157373,S200000,00400,0300,01/01/72 157373,S200000,00400,0500,P 157373,S200000,01500,0100,Y 157373,S200000,01600,0100,N 157373,S200000,01700,0100,N 157373,S200000,01800,0100,N 157373,S200000,02200,0100,Y 157373,S200000,02800,0100,N 157373,S200000,02900,0100,N 157373,S200000,03000,0100,N 157373,S200000,03100,0100,N 157373,S200000,03200,0100,N 157373,S200000,04100,0100,N 157373,S200000,04200,0100,N 157373,S200000,04300,0100,N 157373,S200000,04600,0100,N 157373,S200000,04700,0100,N 157373,S200000,04700,0200,N 157373,S200000,04900,0100,N 157373,S200000,05000,0100,N 157373,S200000,05100,0100,N 157373,S200000,05200,0100,N 157381,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157381,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157381,A000000,00300,0000,0300EMPLOYEE BENEFITS 157381,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157381,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157381,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157381,A000000,00700,0000,0700HOUSEKEEPING 157381,A000000,00800,0000,0800DIETARY 157381,A000000,00900,0000,0900NURSING ADMINISTRATION 157381,A000000,00901,0000,0901OTHER NURSING 157381,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157381,A000000,01100,0000,1100PHARMACY 157381,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157381,A000000,01300,0000,1300SOCIAL SERVICE 157381,A000000,01301,0000,1301ACTIVITIES 157381,A000000,01600,0000,1600SKILLED NURSING FACILITY 157381,A000000,01800,0000,1800NURSING FACILITY 157381,A000000,02100,0000,2100RADIOLOGY 157381,A000000,02200,0000,2200LABORATORY 157381,A000000,02300,0000,2300INTRAVENOUS THERAPY 157381,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157381,A000000,02500,0000,2500PHYSICAL THERAPY 157381,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157381,A000000,02700,0000,2700SPEECH PATHOLOGY 157381,A000000,02800,0000,2800ELECTROCARDIOLOGY 157381,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157381,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157381,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 157381,A000000,03301,0000,3051NUTRITIONAL THERAPY 157381,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 157381,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 157381,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157381,A000000,04800,0000,4800AMBULANCE 157381,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157381,A000000,05300,0000,5300INTEREST EXPENSE 157381,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157381,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157381,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157381,A000000,06200,0000,6200PATIENTS LAUNDRY 157381,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157381,A000000,06301,0000,6151DAY CARE 157381,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 157381,A000000,06303,0000,6153DISTRICT OFFICE SPACE 157381,A81000A,00100,0100,Y 157381,A81000B,00100,0300,HOME OFFICE COSTS 157381,A81000B,00200,0300,LIABILITY INSURANCE 157381,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 157381,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 157381,A81000B,00500,0300,VC PHARMACY - ADMIN 157381,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 157381,A81000B,00700,0300,VC PHARMACY - LAUNDRY 157381,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 157381,A81000B,00900,0300,VC PHARMACY - DIETARY 157381,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 157381,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 157381,A81000B,01200,0300,VC PHARMACY - NONLEGEND 157381,A81000B,01300,0300,VC PHARMACY - MED RECORDS 157381,A81000B,01400,0300,VC PHARMACY - SOC SVCS 157381,A81000B,01500,0300,VC PHARMACY - ACTIVITY 157381,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 157381,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 157381,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 157381,A81000B,01900,0300,VC PHARMACY - LAB 157381,A81000B,02000,0300,VC PHARMACY - IV THERAPY 157381,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 157381,A81000B,02200,0300,VENCARE REHAB - PHYS THER 157381,A81000B,02300,0300,VENCARE REHAB - OCCP THER 157381,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 157381,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 157381,A81000B,02600,0300,VC PHARMACY - LEGEND 157381,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 157381,A81000B,02800,0300,VC PHARMACY - NUTR THER 157381,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 157381,A81000C,00100,0100,B 157381,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 157381,A81000C,00100,0400,CORNERSTONE INSURANCE CO 157381,A81000C,00100,0600,LIABILITY INSURANCE 157381,A81000C,00300,0400,VENCARE RESPIRATORY 157381,A81000C,00300,0600,RESPIRATORY THERAPY 157381,A81000C,00400,0400,THERAPY SERVICES 157381,A81000C,00500,0400,VENCARE REHAB SERVICES 157381,A81000C,00500,0600,REHAB 157381,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 157381,A81000C,00600,0600,PORTABLE X-RAY 157381,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 157381,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 157381,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 157381,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157381,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 157381,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 157381,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 157381,B100000,00000,0800,0850PATIENT DAYS :DIETARY 157381,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 157381,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 157381,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 157381,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 157381,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 157381,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 157381,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 157381,E10A180,00302,0100,11/30/00 157381,S000000,00100,0200,12/04/00 157381,S200000,00100,0100,2165 IDLEWOOD ROAD 157381,S200000,00200,0100,TUCKER 157381,S200000,00200,0200,GA 157381,S200000,00200,0300,30084- 157381,S200000,00300,0100,DE KALB 157381,S200000,00300,0200,0520 157381,S200000,00300,0300,U 157381,S200000,00400,0100,1238 TUCKER NURSING CENTER 157381,S200000,00400,0200,115596 157381,S200000,00400,0300,12/19/95 157381,S200000,00400,0500,P 157381,S200000,01500,0100,N 157381,S200000,01600,0100,Y 157381,S200000,01700,0100,N 157381,S200000,01800,0100,N 157381,S200000,02200,0100,Y 157381,S200000,02800,0100,N 157381,S200000,02900,0100,N 157381,S200000,03000,0100,N 157381,S200000,03100,0100,N 157381,S200000,03200,0100,N 157381,S200000,04100,0100,N 157381,S200000,04200,0100,N 157381,S200000,04300,0100,N 157381,S200000,04600,0100,N 157381,S200000,04700,0100,N 157381,S200000,04700,0200,N 157381,S200000,04900,0100,N 157381,S200000,05000,0100,N 157381,S200000,05100,0100,N 157381,S200000,05200,0100,N 157390,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157390,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157390,A000000,00300,0000,0300EMPLOYEE BENEFITS 157390,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157390,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157390,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157390,A000000,00700,0000,0700HOUSEKEEPING 157390,A000000,00800,0000,0800DIETARY 157390,A000000,00900,0000,0900NURSING ADMINISTRATION 157390,A000000,00901,0000,0901OTHER NURSING 157390,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157390,A000000,01100,0000,1100PHARMACY 157390,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157390,A000000,01300,0000,1300SOCIAL SERVICE 157390,A000000,01301,0000,1301ACTIVITIES 157390,A000000,01600,0000,1600SKILLED NURSING FACILITY 157390,A000000,01800,0000,1800NURSING FACILITY 157390,A000000,02100,0000,2100RADIOLOGY 157390,A000000,02200,0000,2200LABORATORY 157390,A000000,02300,0000,2300INTRAVENOUS THERAPY 157390,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157390,A000000,02500,0000,2500PHYSICAL THERAPY 157390,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157390,A000000,02700,0000,2700SPEECH PATHOLOGY 157390,A000000,02800,0000,2800ELECTROCARDIOLOGY 157390,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157390,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157390,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 157390,A000000,03301,0000,3051NUTRITIONAL THERAPY 157390,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 157390,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 157390,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157390,A000000,04800,0000,4800AMBULANCE 157390,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157390,A000000,05300,0000,5300INTEREST EXPENSE 157390,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157390,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157390,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157390,A000000,06200,0000,6200PATIENTS LAUNDRY 157390,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157390,A000000,06301,0000,6151DAY CARE 157390,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 157390,A000000,06303,0000,6153DISTRICT OFFICE SPACE 157390,A81000A,00100,0100,Y 157390,A81000B,00100,0300,HOME OFFICE COSTS 157390,A81000B,00200,0300,LIABILITY INSURANCE 157390,A81000B,00500,0300,VC PHARMACY - ADMIN 157390,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 157390,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 157390,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 157390,A81000B,01300,0300,VC HOSPITAL - INHALATION THER 157390,A81000B,01400,0300,VENCARE REHAB - PHYS THER 157390,A81000B,01500,0300,VENCARE REHAB - OCCP THER 157390,A81000B,01600,0300,VENCARE REHAB - SPEECH THER 157390,A81000B,01700,0300,VC PHARMACY - MEDICAL SUPP 157390,A81000B,01800,0300,VC PHARMACY - LEGEND 157390,A81000B,01900,0300,VC PHARMACY - EMPL BENEFITS 157390,A81000C,00100,0100,B 157390,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 157390,A81000C,00100,0400,CORNERSTONE INSURANCE CO 157390,A81000C,00100,0600,LIABILITY INSURANCE 157390,A81000C,00200,0400,VENCARE PHARMACY SERVICES 157390,A81000C,00200,0600,PHARMACY 157390,A81000C,00300,0400,VENCARE RESPIRATORY 157390,A81000C,00300,0600,RESPIRATORY THERAPY 157390,A81000C,00400,0400,THERAPY SERVICES 157390,A81000C,00500,0400,VENCARE REHAB SERVICES 157390,A81000C,00500,0600,REHAB 157390,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 157390,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 157390,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 157390,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157390,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 157390,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 157390,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 157390,B100000,00000,0800,0850PATIENT DAYS :DIETARY 157390,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 157390,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 157390,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 157390,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 157390,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 157390,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 157390,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 157390,E10A180,00301,0100,06/30/00 157390,E10A180,00350,0100,11/30/00 157390,S000000,00100,0200,12/01/00 157390,S200000,00100,0100,401 INDIANA AVENUE 157390,S200000,00200,0100,MAYFIELD 157390,S200000,00200,0200,KY 157390,S200000,00200,0300,42066- 157390,S200000,00300,0100,GRAVES 157390,S200000,00300,0300,R 157390,S200000,00400,0100,HERITAGE MANOR HEALTHCARE 271 157390,S200000,00400,0200,185142 157390,S200000,00400,0300,09/01/86 157390,S200000,00400,0500,P 157390,S200000,01500,0100,N 157390,S200000,01600,0100,Y 157390,S200000,01700,0100,N 157390,S200000,01800,0100,N 157390,S200000,02200,0100,Y 157390,S200000,02800,0100,N 157390,S200000,02900,0100,N 157390,S200000,03000,0100,N 157390,S200000,03100,0100,N 157390,S200000,03200,0100,N 157390,S200000,04100,0100,N 157390,S200000,04200,0100,N 157390,S200000,04300,0100,N 157390,S200000,04600,0100,N 157390,S200000,04700,0100,N 157390,S200000,04700,0200,N 157390,S200000,04900,0100,N 157390,S200000,05000,0100,N 157390,S200000,05100,0100,N 157390,S200000,05200,0100,N 157410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157410,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157410,A000000,00300,0000,0300EMPLOYEE BENEFITS 157410,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157410,A000000,00700,0000,0700HOUSEKEEPING 157410,A000000,00800,0000,0800DIETARY 157410,A000000,00900,0000,0900NURSING ADMINISTRATION 157410,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157410,A000000,01100,0000,1100PHARMACY 157410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157410,A000000,01300,0000,1300SOCIAL SERVICE 157410,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 157410,A000000,01600,0000,1600SKILLED NURSING FACILITY 157410,A000000,01800,0000,1800NURSING FACILITY 157410,A000000,01900,0000,1900OTHER LONG TERM CARE 157410,A000000,02100,0000,2100RADIOLOGY 157410,A000000,02200,0000,2200LABORATORY 157410,A000000,02300,0000,2300INTRAVENOUS THERAPY 157410,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157410,A000000,02500,0000,2500PHYSICAL THERAPY 157410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157410,A000000,02700,0000,2700SPEECH PATHOLOGY 157410,A000000,02800,0000,2800ELECTROCARDIOLOGY 157410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157410,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 157410,A000000,03200,0000,3200SUPPORT SURFACES 157410,A000000,03400,0000,3400CLINIC 157410,A000000,04800,0000,4800AMBULANCE 157410,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 157410,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 157410,A000000,05300,0000,5300INTEREST EXPENSE 157410,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157410,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157410,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157410,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 157410,A000000,06100,0000,6100NONPAID WORKERS 157410,A000000,06200,0000,6200PATIENTS LAUNDRY 157410,A81000A,00100,0100,Y 157410,A81000B,00100,0300,CAPITAL 157410,A81000B,00200,0300,ADMIN 157410,A81000B,00300,0300,NURSING 157410,A81000B,00400,0300,NURSING 157410,A81000B,00500,0300,NURSING 157410,A81000C,00100,0100,B 157410,A81000C,00100,0400,MARRIOTT SLS 157410,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 157410,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 157410,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157410,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 157410,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 157410,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 157410,B100000,00000,0800,0800MEALS SERVED :DIETARY 157410,B100000,00000,0900,0950HEALTHCARE DAYS :NURSING ADMINI 157410,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 157410,B100000,00000,1200,1250HEALTHCARE DAYS :MEDICAL RECORD 157410,B100000,00000,1300,1330HC & AL DAYS:SOCIAL SERVICE 157410,S000000,00100,0200,01/26/01 157410,S200000,00100,0100,2525 EAST FIRST STREET 157410,S200000,00200,0100,FORT MYERS 157410,S200000,00200,0200,FL 157410,S200000,00200,0300,33901- 157410,S200000,00300,0100,LEE 157410,S200000,00300,0200,2700 157410,S200000,00300,0300,U 157410,S200000,00400,0100,CALUSA HARBOUR 157410,S200000,00400,0200,105384 157410,S200000,00400,0300,01/01/98 157410,S200000,00400,0500,P 157410,S200000,00600,0200,105384 157410,S200000,00600,0300,01/01/98 157410,S200000,00600,0600,O 157410,S200000,01500,0100,N 157410,S200000,01600,0100,Y 157410,S200000,01700,0100,N 157410,S200000,01800,0100,N 157410,S200000,02200,0100,N 157410,S200000,02800,0100,N 157410,S200000,02900,0100,N 157410,S200000,03000,0100,N 157410,S200000,03100,0100,N 157410,S200000,03200,0100,N 157410,S200000,04100,0100,N 157410,S200000,04200,0100,N 157410,S200000,04300,0100,N 157410,S200000,04600,0100,N 157410,S200000,04700,0100,N 157410,S200000,04700,0200,N 157410,S200000,04900,0100,N 157410,S200000,05000,0100,N 157410,S200000,05100,0100,N 157410,S200000,05200,0100,N 157437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 157437,A000000,00101,0000,0101CAP REL COSTS - NEW 157437,A000000,00102,0000,0102CAP REL COSTS - TERRACE 157437,A000000,00103,0000,0103CAP REL COSTS - VILLAGE 157437,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 157437,A000000,00300,0000,0300EMPLOYEE BENEFITS 157437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 157437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157437,A000000,00700,0000,0700HOUSEKEEPING 157437,A000000,00800,0000,0800DIETARY 157437,A000000,00900,0000,0900NURSING ADMINISTRATION 157437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157437,A000000,01100,0000,1100PHARMACY 157437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157437,A000000,01300,0000,1300SOCIAL SERVICE 157437,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 157437,A000000,01500,0000,1350PATIENT ACTIVITIES 157437,A000000,01600,0000,1600SKILLED NURSING FACILITY 157437,A000000,01800,0000,1800NURSING FACILITY 157437,A000000,01900,0000,1900OTHER LONG TERM CARE 157437,A000000,02100,0000,2100RADIOLOGY 157437,A000000,02200,0000,2200LABORATORY 157437,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157437,A000000,02500,0000,2500PHYSICAL THERAPY 157437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157437,A000000,02700,0000,2700SPEECH PATHOLOGY 157437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 157437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157437,A000000,03200,0000,3200SUPPORT SURFACES 157437,A000000,03300,0000,3050EQUIPMENT RENTAL 157437,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CE 157437,A000000,03550,0000,3550FQHC 157437,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157437,A000000,05000,0000,5000CORF 157437,A000000,05010,0000,5010CMHC 157437,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 157437,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 157437,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 157437,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157437,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157437,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 157437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157437,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157437,A000000,06301,0000,6151OTHER NON COVERED COSTS 157437,A000000,06302,0000,6152VENDING MACHINE RENT SPACE 157437,A81000A,00100,0100,N 157437,B100000,00000,0100,0100SQUARE FEET 157437,B100000,00000,0101,0101SQUARE FEET 157437,B100000,00000,0102,0102SQUARE FEET 157437,B100000,00000,0103,0103SQUARE FEET 157437,B100000,00000,0200,0200SQUARE FEET 157437,B100000,00000,0300,0300ACTUAL BENEFITS 157437,B100000,00000,0400,0400ACCUM COST 157437,B100000,00000,0500,0500SQUARE FEET 157437,B100000,00000,0600,0600POUNDS OF LAUNDRY 157437,B100000,00000,0700,0700SQUARE FEET 157437,B100000,00000,0800,0800MEALS SERVED 157437,B100000,00000,0900,0900DIRECT NRSING SAL 157437,B100000,00000,1000,1000PATIENT DAYS 157437,B100000,00000,1100,1100COSTED REQUIS 157437,B100000,00000,1200,1200GROSS CHARGES 157437,B100000,00000,1300,1300PATIENT DAYS 157437,B100000,00000,1400,1400ASSIGNED TIME 157437,B100000,00000,1500,1350PATIENT DAYS 157437,E10A180,00501,0100,06/27/00 157437,E10A180,00501,0300,06/27/00 157437,E10A180,00502,0100,09/26/01 157437,S000000,00100,0200,05/31/00 157437,S200000,00100,0100,2729 KING STREET 157437,S200000,00200,0100,ALEXANDRIA 157437,S200000,00200,0200,CA 157437,S200000,00200,0300,22302 157437,S200000,00300,0100,ALEXANDRIA 157437,S200000,00300,0200,8840 157437,S200000,00300,0300,U 157437,S200000,00400,0100,VALLEY NURSING HOME INC. 157437,S200000,00400,0200,495019 157437,S200000,00400,0300,07/01/66 157437,S200000,00400,0500,P 157437,S200000,01500,0100,N 157437,S200000,01600,0100,Y 157437,S200000,01700,0100,N 157437,S200000,01800,0100,N 157437,S200000,01900,0100,NON PROFIT 157437,S200000,02200,0100,N 157437,S200000,02800,0100,Y 157437,S200000,02900,0100,N 157437,S200000,03000,0100,N 157437,S200000,03100,0100,N 157437,S200000,03200,0100,N 157437,S200000,03300,0100,N 157437,S200000,03300,0200,N 157437,S200000,04100,0100,N 157437,S200000,04200,0100,N 157437,S200000,04300,0100,N 157437,S200000,04600,0100,N 157437,S200000,04700,0100,N 157437,S200000,04900,0100,N 157437,S200000,05000,0100,N 157437,S200000,05100,0100,N 157437,S200000,05200,0100,N 157438,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 157438,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 157438,A000000,00300,0000,0300EMPLOYEE BENEFITS 157438,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157438,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 157438,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157438,A000000,00700,0000,0700HOUSEKEEPING 157438,A000000,00800,0000,0800DIETARY 157438,A000000,00900,0000,0900NURSING ADMINISTRATION 157438,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157438,A000000,01100,0000,1100PHARMACY 157438,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157438,A000000,01201,0000,1201MEDICAL RECORDS & LIBRARY 157438,A000000,01202,0000,1202MEDICAL RECORDS & LIBRARY 157438,A000000,01300,0000,1300SOCIAL SERVICE 157438,A000000,01302,0000,1302ACTIVITIES 157438,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 157438,A000000,01500,0000,1350OTHER GENERAL SERVICES 157438,A000000,01600,0000,1600SKILLED NURSING FACILITY 157438,A000000,01800,0000,1800NURSING FACILITY 157438,A000000,02100,0000,2100RADIOLOGY 157438,A000000,02200,0000,2200LABORATORY 157438,A000000,02500,0000,2500PHYSICAL THERAPY 157438,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157438,A000000,02700,0000,2700SPEECH PATHOLOGY 157438,A000000,02801,0000,2801AIR FLUID THERAPY 157438,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 157438,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157438,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 157438,A000000,03550,0000,3550FQHC 157438,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157438,A000000,05000,0000,5000CORF 157438,A000000,05010,0000,5010CMHC 157438,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 157438,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 157438,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 157438,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157438,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 157438,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157438,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157438,A81000A,00100,0100,Y 157438,A81000B,00100,0300,HOME OFFICE CAPITAL COST 157438,A81000B,00200,0300,HOME OFFICE OPERATING COSTS 157438,A81000C,00100,0100,B 157438,A81000C,00100,0400,RUXTON HEALTH CARE INC 157438,A81000C,00100,0600,MGT CO. 157438,B100000,00000,0100,0100SQUARE FEET 157438,B100000,00000,0200,0200SQUARE FEET 157438,B100000,00000,0300,0300GROSS SALARIES 157438,B100000,00000,0400,0400ACCUM COST 157438,B100000,00000,0500,0500SQUARE FEET 157438,B100000,00000,0600,0600PATIENT DAYS 157438,B100000,00000,0700,0700SQUARE FEET 157438,B100000,00000,0800,0800PATIENT DAYS 157438,B100000,00000,0900,0900PATIENT DAYS 157438,B100000,00000,1000,1000PATIENT DAYS 157438,B100000,00000,1100,1100COSTED REQUIS. 157438,B100000,00000,1200,1200PATIENT DAYS 157438,B100000,00000,1201,1201GROSS CHARGES 157438,B100000,00000,1202,1202PATIENT DAYS 157438,B100000,00000,1300,1300PATIENT DAYS 157438,B100000,00000,1302,1302PATIENT DAYS 157438,B100000,00000,1400,1400ASSIGNED TIME 157438,B100000,00000,1500,1350NO STATISTICS 157438,E10A180,00301,0100,03/29/00 157438,E10A180,00501,0100,07/14/00 157438,E10A180,00550,0100,09/28/01 157438,S000000,00100,0200,05/31/00 157438,S200000,00100,0100,4403 FOREST HILL AVE 157438,S200000,00200,0100,RICHMOND 157438,S200000,00200,0200,VA 157438,S200000,00300,0200,6760 157438,S200000,00300,0300,U 157438,S200000,00400,0100,FOREST HILL CONVALESCENT CTR 157438,S200000,00400,0200,495327 157438,S200000,00400,0300,01/10/91 157438,S200000,00400,0500,P 157438,S200000,00600,0200,495327 157438,S200000,00600,0300,01/10/91 157438,S200000,01500,0100,N 157438,S200000,01600,0100,Y 157438,S200000,01700,0100,N 157438,S200000,01800,0100,N 157438,S200000,02200,0100,Y 157438,S200000,02800,0100,N 157438,S200000,02900,0100,N 157438,S200000,03000,0100,N 157438,S200000,03100,0100,N 157438,S200000,03200,0100,N 157438,S200000,03300,0100,N 157438,S200000,03300,0200,N 157438,S200000,03500,0300,N 157438,S200000,04100,0100,N 157438,S200000,04200,0100,N 157438,S200000,04300,0100,N 157438,S200000,04600,0100,N 157438,S200000,04700,0100,N 157438,S200000,04900,0100,N 157438,S200000,05000,0100,N 157438,S200000,05200,0100,N 157628,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157628,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 157628,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157628,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 157628,A000000,00300,0000,0300EMPLOYEE BENEFITS 157628,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157628,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157628,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157628,A000000,00700,0000,0700HOUSEKEEPING 157628,A000000,00800,0000,0800DIETARY 157628,A000000,00801,0000,0801CAFETERIA 157628,A000000,00900,0000,0900NURSING ADMINISTRATION 157628,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157628,A000000,01100,0000,1100PHARMACY 157628,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157628,A000000,01300,0000,1300SOCIAL SERVICE 157628,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 157628,A000000,01500,0000,1350ACTIVITIES 157628,A000000,01600,0000,1600SKILLED NURSING FACILITY 157628,A000000,01800,0000,1800NURSING FACILITY 157628,A000000,01900,0000,1900OTHER LONG TERM CARE 157628,A000000,02100,0000,2100RADIOLOGY 157628,A000000,02200,0000,2200LABORATORY 157628,A000000,02300,0000,2300INTRAVENOUS THERAPY 157628,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157628,A000000,02500,0000,2500PHYSICAL THERAPY 157628,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157628,A000000,02700,0000,2700SPEECH PATHOLOGY 157628,A000000,02800,0000,2800ELECTROCARDIOLOGY 157628,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157628,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157628,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 157628,A000000,03200,0000,3200SUPPORT SURFACES 157628,A000000,03300,0000,3050OTHER ANCILLARY 157628,A000000,03301,0000,3051OTHER ANCILLARY II 157628,A000000,03302,0000,3052OTHER ANCILLARY III 157628,A000000,03400,0000,3400CLINIC 157628,A000000,03500,0000,3500RURAL HEALTH CLINIC 157628,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 157628,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 157628,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 157628,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 157628,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 157628,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 157628,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 157628,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 157628,A000000,04400,0000,4400DME RENTED - HHA 157628,A000000,04500,0000,4500DME SOLD - HHA 157628,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 157628,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 157628,A000000,04800,0000,4800AMBULANCE 157628,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 157628,A000000,05000,0000,5000CORF 157628,A000000,05010,0000,5010CMHC I 157628,A000000,05020,0000,5020OPT I 157628,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157628,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 157628,A000000,05300,0000,5300INTEREST EXPENSE 157628,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157628,A000000,05500,0000,5500HOSPICE 157628,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 157628,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 157628,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157628,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157628,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 157628,A000000,06100,0000,6100NONPAID WORKERS 157628,A000000,06200,0000,6200PATIENTS LAUNDRY 157628,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157628,A81000A,00100,0100,N 157628,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 157628,B100000,00000,0101,0101(SQUARE FEET) :CAP REL COSTS - 157628,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 157628,B100000,00000,0201,0251(SQUARE FEET) :CAP REL COSTS - 157628,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 157628,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157628,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 157628,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 157628,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 157628,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 157628,B100000,00000,0801,0801(MEALS SERVED) :CAFETERIA 157628,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 157628,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 157628,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 157628,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 157628,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 157628,B100000,00000,1400,1400(ASSIGNED TIME) :INTERNS & RESI 157628,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 157628,S000000,00100,0200,11/17/00 157628,S200000,00100,0100,1006 MARKET STREET 157628,S200000,00200,0100,POCOMOKE CITY 157628,S200000,00200,0200,MD 157628,S200000,00200,0300,21851- 157628,S200000,00300,0100,WORCHESTER 157628,S200000,00400,0100,HARTLEY HALL NURSING HOME INC. 157628,S200000,00400,0200,215134 157628,S200000,00400,0300,10/01/81 157628,S200000,00400,0500,P 157628,S200000,01500,0100,Y 157628,S200000,01600,0100,N 157628,S200000,01700,0100,N 157628,S200000,01800,0100,N 157628,S200000,02200,0100,Y 157628,S200000,02800,0100,N 157628,S200000,02900,0100,N 157628,S200000,03000,0100,N 157628,S200000,03100,0100,N 157628,S200000,03200,0100,N 157628,S200000,04100,0100,N 157628,S200000,04200,0100,N 157628,S200000,04300,0100,N 157628,S200000,04600,0100,N 157628,S200000,04700,0100,N 157628,S200000,04900,0100,N 157777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 157777,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 157777,A000000,00300,0000,0300EMPLOYEE BENEFITS 157777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 157777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157777,A000000,00700,0000,0700HOUSEKEEPING 157777,A000000,00800,0000,0800DIETARY 157777,A000000,00900,0000,0900NURSING ADMINISTRATION 157777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157777,A000000,01100,0000,1100PHARMACY 157777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157777,A000000,01300,0000,1300SOCIAL SERVICE 157777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 157777,A000000,01500,0000,1350OTHER GENERAL SERVICES 157777,A000000,01600,0000,1600SKILLED NURSING FACILITY 157777,A000000,01800,0000,1800NURSING FACILITY 157777,A000000,01810,0000,1810ICF/MR 157777,A000000,02100,0000,2100RADIOLOGY 157777,A000000,02200,0000,2200LABORATORY 157777,A000000,02300,0000,2300INTRAVENOUS THERAPY 157777,A000000,02500,0000,2500PHYSICAL THERAPY 157777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157777,A000000,02700,0000,2700SPEECH PATHOLOGY 157777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 157777,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157777,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 157777,A000000,03550,0000,3550FQHC 157777,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 157777,A000000,04800,0000,4800AMBULANCE 157777,A000000,04801,0000,4801AMBULANCE 157777,A000000,04802,0000,4802AMBULANCE 157777,A000000,04803,0000,4803AMBULANCE 157777,A000000,05000,0000,5000CORF 157777,A000000,05010,0000,5010CMHC 157777,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 157777,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 157777,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 157777,A000000,05100,0000,4750OTHER REIMBURSABLE COST 157777,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 157777,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157777,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 157777,A81000A,00100,0100,Y 157777,A81000B,00100,0300,MANAGEMENT FEES 157777,A81000B,00200,0300,MANAGEMENT FEES 157777,A81000C,00100,0100,B 157777,A81000C,00100,0400,MEDICORP HEALTH SYSTEM 157777,A81000C,00100,0600,MANAGEMENT 157777,B100000,00000,0100,0100SQUARE FEET 157777,B100000,00000,0200,0200SQUARE FEET 157777,B100000,00000,0300,0300GROSS SALARIES 157777,B100000,00000,0400,0400ACCUM COST 157777,B100000,00000,0500,0500SQUARE FEET 157777,B100000,00000,0600,0600POUNDS OF LAUNDRY 157777,B100000,00000,0700,0700SQUARE FEET 157777,B100000,00000,0800,0800MEALS SERVED 157777,B100000,00000,0900,0900PATIENT DAYS 157777,B100000,00000,1000,1000PATIENT DAYS 157777,B100000,00000,1100,1100PATIENT DAYS 157777,B100000,00000,1200,1200TIME SPENT 157777,B100000,00000,1300,1300TIME SPENT 157777,B100000,00000,1400,1400ASSIGNED TIME 157777,B100000,00000,1500,1350TIME SPENT 157777,E10A180,00501,0300,06/13/00 157777,E10A180,00550,0100,06/13/00 157777,S000000,00100,0200,05/31/00 157777,S200000,00100,0100,2400 MCKINNEY BLVD 157777,S200000,00200,0100,COLONIAL BEACH 157777,S200000,00200,0200,VA 157777,S200000,00200,0300,22443 157777,S200000,00300,0100,WESTMORELAND 157777,S200000,00300,0200,0049 157777,S200000,00300,0300,R 157777,S200000,00400,0100,MARY WASHINGTON HEALTH CENTER 157777,S200000,00400,0200,495268 157777,S200000,00400,0300,09/07/92 157777,S200000,00400,0500,P 157777,S200000,00600,0200,495268 157777,S200000,00600,0300,09/07/92 157777,S200000,01500,0100,Y 157777,S200000,01600,0100,N 157777,S200000,01700,0100,N 157777,S200000,01800,0100,N 157777,S200000,01900,0100,NON PROFIT 157777,S200000,02200,0100,N 157777,S200000,02800,0100,N 157777,S200000,02900,0100,N 157777,S200000,03000,0100,N 157777,S200000,03100,0100,N 157777,S200000,03200,0100,N 157777,S200000,03300,0100,N 157777,S200000,03300,0200,N 157777,S200000,03500,0300,N 157777,S200000,04100,0100,N 157777,S200000,04200,0100,N 157777,S200000,04300,0100,N 157777,S200000,04600,0100,N 157777,S200000,04700,0100,N 157777,S200000,04900,0100,N 157777,S200000,05200,0100,N 157949,S000000,00100,0200,05/31/00 157950,S000000,00100,0200,06/16/00 157952,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 157952,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 157952,A000000,00300,0000,0300EMPLOYEE BENEFITS 157952,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 157952,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 157952,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 157952,A000000,00700,0000,0700HOUSEKEEPING 157952,A000000,00800,0000,0800DIETARY 157952,A000000,00900,0000,0900NURSING ADMINISTRATION 157952,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 157952,A000000,01100,0000,1100PHARMACY 157952,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 157952,A000000,01300,0000,1300SOCIAL SERVICE 157952,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 157952,A000000,01600,0000,1600SKILLED NURSING FACILITY 157952,A000000,01800,0000,1800NURSING FACILITY 157952,A000000,01900,0000,1900OTHER LONG TERM CARE 157952,A000000,02100,0000,2100RADIOLOGY 157952,A000000,02200,0000,2200LABORATORY 157952,A000000,02300,0000,2300INTRAVENOUS THERAPY 157952,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 157952,A000000,02500,0000,2500PHYSICAL THERAPY 157952,A000000,02600,0000,2600OCCUPATIONAL THERAPY 157952,A000000,02700,0000,2700SPEECH PATHOLOGY 157952,A000000,02800,0000,2800ELECTROCARDIOLOGY 157952,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 157952,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 157952,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 157952,A000000,03200,0000,3200SUPPORT SURFACES 157952,A000000,03400,0000,3400CLINIC 157952,A000000,04800,0000,4800AMBULANCE 157952,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 157952,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 157952,A000000,05300,0000,5300INTEREST EXPENSE 157952,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 157952,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 157952,A000000,05900,0000,5900BARBER & BEAUTY SHOP 157952,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 157952,A000000,06100,0000,6100NONPAID WORKERS 157952,A000000,06200,0000,6200PATIENTS LAUNDRY 157952,A81000A,00100,0100,Y 157952,A81000B,00100,0300,CAPITAL 157952,A81000B,00200,0300,ADMIN 157952,A81000B,00300,0300,NURSING 157952,A81000B,00400,0300,NURSING 157952,A81000B,00500,0300,NURSING 157952,A81000C,00100,0100,B 157952,A81000C,00100,0200,MARRIOTT SLS 157952,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 157952,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 157952,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 157952,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 157952,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 157952,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 157952,B100000,00000,0800,0800MEALS SERVED :DIETARY 157952,B100000,00000,0900,0950HEALTHCARE DAYS :NURSING ADMINI 157952,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 157952,B100000,00000,1200,1250HEALTHCARE DAYS :MEDICAL RECORD 157952,B100000,00000,1300,1330HC & AL DAYS:SOCIAL SERVICE 157952,S000000,00100,0200,01/26/01 157952,S200000,00100,0100,2525 EAST FIRST STREET 157952,S200000,00200,0100,FORT MYERS 157952,S200000,00200,0200,FL 157952,S200000,00200,0300,33901- 157952,S200000,00300,0100,LEE 157952,S200000,00300,0200,2700 157952,S200000,00300,0300,U 157952,S200000,00400,0100,CALUSA HARBOUR 157952,S200000,00400,0200,105384 157952,S200000,00400,0300,12/15/80 157952,S200000,00400,0500,P 157952,S200000,00600,0200,105384 157952,S200000,00600,0300,12/15/80 157952,S200000,00600,0600,O 157952,S200000,01500,0100,N 157952,S200000,01600,0100,Y 157952,S200000,01700,0100,N 157952,S200000,01800,0100,N 157952,S200000,02200,0100,N 157952,S200000,02800,0100,N 157952,S200000,02900,0100,N 157952,S200000,03000,0100,N 157952,S200000,03100,0100,N 157952,S200000,03200,0100,N 157952,S200000,04100,0100,N 157952,S200000,04200,0100,N 157952,S200000,04300,0100,N 157952,S200000,04600,0100,N 157952,S200000,04700,0100,N 157952,S200000,04700,0200,N 157952,S200000,04900,0100,N 157952,S200000,05000,0100,N 157952,S200000,05100,0100,N 157952,S200000,05200,0100,N 158211,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 158211,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURE 158211,A000000,00102,0000,0102CAP REL COSTS - BLDGS & FIXTURE 158211,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 158211,A000000,00201,0000,0201CAP REL COSTS - MOVEABLE EQUIPM 158211,A000000,00202,0000,0202CAP REL COSTS - MOVEABLE EQUIPM 158211,A000000,00300,0000,0300EMPLOYEE BENEFITS 158211,A000000,00301,0000,0301EMPLOYEE BENEFITS - HHA 158211,A000000,00401,0000,0401A&G HCF/COTTAGE 158211,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL - ALL 158211,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 158211,A000000,00501,0000,0501PLANT OPERATIONS 158211,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158211,A000000,00700,0000,0700HOUSEKEEPING 158211,A000000,00800,0000,0800DIETARY 158211,A000000,00801,0000,0801CAFETERIA 158211,A000000,00900,0000,0900NURSING ADMINISTRATION 158211,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158211,A000000,01100,0000,1100PHARMACY 158211,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158211,A000000,01300,0000,1300SOCIAL SERVICE 158211,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 158211,A000000,01600,0000,1600SKILLED NURSING FACILITY 158211,A000000,01800,0000,1800NURSING FACILITY 158211,A000000,01810,0000,1810ICF/MR 158211,A000000,01900,0000,1900OTHER LONG TERM CARE 158211,A000000,02100,0000,2100RADIOLOGY 158211,A000000,02200,0000,2200LABORATORY 158211,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158211,A000000,02500,0000,2500PHYSICAL THERAPY 158211,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158211,A000000,02700,0000,2700SPEECH PATHOLOGY 158211,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 158211,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158211,A000000,03550,0000,3550FQHC 158211,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158211,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158211,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158211,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158211,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158211,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158211,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158211,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 158211,A000000,04800,0000,4800AMBULANCE 158211,A000000,04801,0000,4801AMBULANCE 158211,A000000,04802,0000,4802AMBULANCE 158211,A000000,04803,0000,4803AMBULANCE 158211,A000000,05000,0000,5000CORF 158211,A000000,05010,0000,5010CMHC 158211,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158211,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158211,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158211,A000000,06300,0000,6150DENTIST 158211,A000000,06301,0000,6151PHYSICIANS OFFICES 158211,A000000,06302,0000,6152TRANSPORTATION 158211,A000000,06303,0000,6153RESIDENT COTTAGES 158211,A000000,06304,0000,6154TRANSPORTATION 158211,A000000,06305,0000,6155PROFESSIONAL/PHYSICIAN 158211,A000000,06306,0000,6156MARKETING 158211,A81000A,00100,0100,Y 158211,A81000B,00100,0300,ADMINISTRATIVE MANAGEMENT FEE 158211,A81000B,00200,0300,CAPITAL RELATED COSTS - HCF 158211,A81000B,00300,0300,CAPITAL RELATED COSTS - COTTAG 158211,A81000B,00400,0300,CAPITAL RELATED COSTS 158211,A81000B,00500,0300,CAPITAL RELATED COSTS 158211,A81000B,00600,0300,ADMINISTRATIVE MANAGEMENT FEE 158211,A81000B,00700,0300,CAPITAL RELATED COSTS 158211,A81000B,00800,0300,CAPITAL RELATED COSTS 158211,A81000C,00100,0100,B 158211,A81000C,00100,0400,CHURCH HOMES I 158211,B100000,00000,0100,0100SQUARE FEET 158211,B100000,00000,0101,0101SQUARE FEET 158211,B100000,00000,0102,0102SQUARE FEET 158211,B100000,00000,0200,0200DIRECT COSTS 158211,B100000,00000,0201,0201SQUARE FEET 158211,B100000,00000,0202,0202SQUARE FEET 158211,B100000,00000,0300,0300GROSS SALARIES 158211,B100000,00000,0301,0301 DIRECT COSTS 158211,B100000,00000,0401,0401ACCUM COST 158211,B100000,00000,0402,0402ACCUM COST 158211,B100000,00000,0500,0500SQUARE FEET 158211,B100000,00000,0501,0501SQUARE FEET 158211,B100000,00000,0600,0600POUNDS OF LAUNDRY 158211,B100000,00000,0700,0700SQUARE FEET 158211,B100000,00000,0800,0800MEALS SERVED 158211,B100000,00000,0801,0801FTES 158211,B100000,00000,0900,0900GROSS REVENUE 158211,B100000,00000,1000,1000COSTED REQUIS 158211,B100000,00000,1100,1100COSTED REQUIS 158211,B100000,00000,1200,1200GROSS REVENUE 158211,B100000,00000,1300,1300GROSS REVENUE 158211,B100000,00000,1400,1400ASSIGNED TIME 158211,E10A180,00501,0100,07/30/01 158211,E10A180,00501,0300,07/30/01 158211,H510100,00000,0000,3283 158211,H510100,02400,0000,3283 158211,S000000,00100,0200,05/12/00 158211,S200000,00100,0100,705 NEW BRITAIN AVENUE 158211,S200000,00200,0100,HARTFORD 158211,S200000,00200,0200,CT 158211,S200000,00200,0300,06106 158211,S200000,00300,0100,HARTFORD 158211,S200000,00300,0200,3283 158211,S200000,00300,0300,U 158211,S200000,00400,0100,AVERY HEIGHTS 158211,S200000,00400,0200,075063 158211,S200000,00400,0300,01/01/67 158211,S200000,00400,0500,P 158211,S200000,00600,0200,075063 158211,S200000,00600,0300,01/01/67 158211,S200000,00600,0600,O 158211,S200000,00800,0200,077182 158211,S200000,00800,0300,10/01/98 158211,S200000,00800,0500,O 158211,S200000,01500,0100,N 158211,S200000,01600,0100,Y 158211,S200000,01700,0100,N 158211,S200000,01800,0100,N 158211,S200000,02200,0100,N 158211,S200000,02800,0100,Y 158211,S200000,02900,0100,N 158211,S200000,03000,0100,N 158211,S200000,03100,0100,N 158211,S200000,03200,0100,N 158211,S200000,03300,0100,N 158211,S200000,03300,0200,N 158211,S200000,03500,0300,N 158211,S200000,03700,0100,N 158211,S200000,03700,0200,N 158211,S200000,04100,0100,N 158211,S200000,04200,0100,N 158211,S200000,04300,0100,N 158211,S200000,04600,0100,N 158211,S200000,04700,0100,N 158211,S200000,04900,0100,N 158211,S200000,05200,0100,N 158211,S410002,01300,0000,NURSE SUPERVISOR 158211,S410002,01400,0000,AIDE SUPERVISOR 158211,S410002,01700,0100,3283 158263,A000000,01810,0000,1810ICF/MR 158263,A000000,02500,0000,2500PHYSICAL THERAPY 158263,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158263,A000000,02700,0000,2700SPEECH PATHOLOGY 158263,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 158263,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158263,A000000,03550,0000,3550FQHC 158263,A000000,04801,0000,4801AMBULANCE 158263,A000000,04802,0000,4802AMBULANCE 158263,A000000,04803,0000,4803AMBULANCE 158263,A000000,05000,0000,5000CORF 158263,A000000,05010,0000,5010CMHC 158263,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158263,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158263,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158263,A81000A,00100,0100,N 158263,S000000,00100,0200,07/08/03 158263,S200000,00100,0100,1350 INMAN AVENUE 158263,S200000,00200,0100,EDISON 158263,S200000,00200,0200,NJ 158263,S200000,00200,0300,08820 158263,S200000,00300,0100,MIDDLESEX 158263,S200000,00300,0200,5015 158263,S200000,00300,0300,U 158263,S200000,00400,0100,THE HIGHLANDS AT CARE ONE 158263,S200000,00400,0200,315132 158263,S200000,00400,0300,01/01/99 158263,S200000,00400,0500,P 158263,S200000,01500,0100,Y 158263,S200000,01600,0100,N 158263,S200000,01700,0100,N 158263,S200000,01800,0100,N 158263,S200000,02200,0100,N 158263,S200000,02800,0100,N 158263,S200000,02900,0100,N 158263,S200000,03000,0100,N 158263,S200000,03100,0100,N 158263,S200000,03200,0100,N 158263,S200000,03300,0100,N 158263,S200000,03300,0200,N 158263,S200000,04100,0100,N 158263,S200000,04200,0100,N 158263,S200000,04300,0100,N 158263,S200000,04600,0100,N 158263,S200000,04700,0100,N 158263,S200000,04900,0100,N 158263,S200000,05000,0100,Y 158263,S200000,05100,0100,Y 158263,S200000,05200,0100,Y 158264,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 158264,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 158264,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 158264,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 158264,A000000,00300,0000,0300EMPLOYEE BENEFITS 158264,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158264,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 158264,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158264,A000000,00700,0000,0700HOUSEKEEPING 158264,A000000,00800,0000,0800DIETARY 158264,A000000,00801,0000,0801CAFETERIA 158264,A000000,00900,0000,0900NURSING ADMINISTRATION 158264,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158264,A000000,01100,0000,1100PHARMACY 158264,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158264,A000000,01300,0000,1300SOCIAL SERVICE 158264,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 158264,A000000,01500,0000,1350RECREATION 158264,A000000,01600,0000,1600SKILLED NURSING FACILITY 158264,A000000,01800,0000,1800NURSING FACILITY 158264,A000000,01810,0000,1810ICF/MR 158264,A000000,02100,0000,2100RADIOLOGY 158264,A000000,02200,0000,2200LABORATORY 158264,A000000,02300,0000,2300INTRAVENOUS THERAPY 158264,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158264,A000000,02500,0000,2500PHYSICAL THERAPY 158264,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158264,A000000,02700,0000,2700SPEECH PATHOLOGY 158264,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 158264,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158264,A000000,03300,0000,3050PEN THERAPY 158264,A000000,03301,0000,3051FEE SCREENING 158264,A000000,03302,0000,3052OTHER ANCILLARY III 158264,A000000,03550,0000,3550FQHC 158264,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 158264,A000000,04801,0000,4801AMBULANCE 158264,A000000,04802,0000,4802AMBULANCE 158264,A000000,04803,0000,4803AMBULANCE 158264,A000000,05000,0000,5000CORF 158264,A000000,05010,0000,5010CMHC 158264,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158264,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158264,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158264,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158264,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 158264,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 158264,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158264,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158264,A81000A,00100,0100,Y 158264,A81000B,00100,0300,AS ATTACHED 158264,A81000B,00200,0300,HOME OFFICE 158264,A81000B,00300,0300,CAPITAL INTEREST 158264,A81000C,00100,0100,B 158264,A81000C,00100,0400,AS ATTACHED 158264,A81000C,00100,0600,VARIOUS 158264,A81000C,00200,0100,B 158264,A81000C,00200,0400,GHV 158264,A81000C,00200,0600,LONG TERM CARE 158264,A81000C,00300,0100,B 158264,A81000C,00300,0400,GHV 158264,A81000C,00300,0600,LONG TERM CARE 158264,B100000,00000,0100,0100SQUARE FEET 158264,B100000,00000,0101,0101(SQUARE FEET) 158264,B100000,00000,0200,0200SQUARE FEET 158264,B100000,00000,0201,0201(SQUARE FEET) 158264,B100000,00000,0300,0300GROSS SALARIES 158264,B100000,00000,0400,0400ACCUM COST 158264,B100000,00000,0500,0500SQUARE FEET 158264,B100000,00000,0600,0600PATIENT DAYS 158264,B100000,00000,0700,0700SQUARE FEET 158264,B100000,00000,0800,0800MEALS SERVED 158264,B100000,00000,0801,0801(MEALS SERVED) 158264,B100000,00000,0900,0900NURSING SALARIES 158264,B100000,00000,1000,1000COST REQUIS 158264,B100000,00000,1100,1100COSTED REQUIS 158264,B100000,00000,1200,1200PATIENT DAYS 158264,B100000,00000,1300,1300PATIENT DAYS 158264,B100000,00000,1400,1400ASSIGNED TIME 158264,B100000,00000,1500,1350PATIENT DAYS 158264,E10A180,00501,0100,04/09/03 158264,S000000,00100,0200,03/24/03 158264,S200000,00100,0100,3 INDUSTRIAL HIGHWAY EAST 158264,S200000,00200,0100,EATONTOWN 158264,S200000,00200,0200,NJ 158264,S200000,00200,0300,07724 158264,S200000,00300,0100,MONMOUTH 158264,S200000,00300,0200,5190 158264,S200000,00300,0300,U 158264,S200000,00400,0100,JERSEY SHORE 158264,S200000,00400,0200,315364 158264,S200000,00400,0300,04/08/97 158264,S200000,00400,0500,P 158264,S200000,01500,0100,N 158264,S200000,01600,0100,Y 158264,S200000,01700,0100,N 158264,S200000,01800,0100,N 158264,S200000,02200,0100,Y 158264,S200000,02800,0100,N 158264,S200000,02900,0100,N 158264,S200000,03000,0100,N 158264,S200000,03100,0100,N 158264,S200000,03200,0100,N 158264,S200000,03300,0100,N 158264,S200000,03300,0200,N 158264,S200000,04100,0100,N 158264,S200000,04200,0100,N 158264,S200000,04300,0100,N 158264,S200000,04600,0100,N 158264,S200000,04700,0100,N 158264,S200000,04900,0100,N 158264,S200000,05000,0100,N 158264,S200000,05200,0100,N 158322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158322,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158322,A000000,00300,0000,0300EMPLOYEE BENEFITS 158322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158322,A000000,00700,0000,0700HOUSEKEEPING 158322,A000000,00800,0000,0800DIETARY 158322,A000000,00900,0000,0900NURSING ADMINISTRATION 158322,A000000,00901,0000,0901OTHER NURSING 158322,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158322,A000000,01100,0000,1100PHARMACY 158322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158322,A000000,01300,0000,1300SOCIAL SERVICE 158322,A000000,01301,0000,1301ACTIVITIES 158322,A000000,01600,0000,1600SKILLED NURSING FACILITY 158322,A000000,01800,0000,1800NURSING FACILITY 158322,A000000,02100,0000,2100RADIOLOGY 158322,A000000,02200,0000,2200LABORATORY 158322,A000000,02300,0000,2300INTRAVENOUS THERAPY 158322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158322,A000000,02500,0000,2500PHYSICAL THERAPY 158322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158322,A000000,02700,0000,2700SPEECH PATHOLOGY 158322,A000000,02800,0000,2800ELECTROCARDIOLOGY 158322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158322,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158322,A000000,03301,0000,3051NUTRITIONAL THERAPY 158322,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158322,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158322,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158322,A000000,04800,0000,4800AMBULANCE 158322,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158322,A000000,05300,0000,5300INTEREST EXPENSE 158322,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158322,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158322,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158322,A000000,06200,0000,6200PATIENTS LAUNDRY 158322,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158322,A000000,06301,0000,6151DAY CARE 158322,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158322,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158322,A81000A,00100,0100,Y 158322,A81000B,00100,0300,HOME OFFICE COSTS 158322,A81000B,00200,0300,LIABILITY INSURANCE 158322,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158322,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158322,A81000B,00500,0300,VC PHARMACY - ADMIN 158322,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158322,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158322,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158322,A81000B,00900,0300,VC PHARMACY - DIETARY 158322,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158322,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158322,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158322,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158322,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158322,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158322,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158322,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158322,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158322,A81000B,01900,0300,VC PHARMACY - LAB 158322,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158322,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158322,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158322,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158322,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158322,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158322,A81000B,02600,0300,VC PHARMACY - LEGEND 158322,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158322,A81000B,02800,0300,VC PHARMACY - NUTR THER 158322,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158322,A81000C,00100,0100,B 158322,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158322,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158322,A81000C,00100,0600,LIABILITY INSURANCE 158322,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158322,A81000C,00200,0600,PHARMACY 158322,A81000C,00300,0400,VENCARE RESPIRATORY 158322,A81000C,00300,0600,RESPIRATORY THERAPY 158322,A81000C,00400,0400,THERAPY SERVICES 158322,A81000C,00500,0400,VENCARE REHAB SERVICES 158322,A81000C,00500,0600,REHAB 158322,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158322,A81000C,00600,0600,PORTABLE X-RAY 158322,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158322,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158322,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158322,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158322,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158322,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158322,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158322,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158322,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158322,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158322,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158322,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158322,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158322,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158322,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158322,E10A180,00302,0100,11/30/00 158322,E10A180,00350,0100,06/30/00 158322,S000000,00100,0200,12/11/00 158322,S200000,00100,0100,779 WOODY DRIVE 158322,S200000,00200,0100,GRAHAM 158322,S200000,00200,0200,NC 158322,S200000,00200,0300,27253- 158322,S200000,00300,0100,ALAMANCE 158322,S200000,00300,0200,3120 158322,S200000,00300,0300,U 158322,S200000,00400,0100,193 REHAB & HC CTR. OF ALAMANCE 158322,S200000,00400,0200,345337 158322,S200000,00400,0300,11/08/90 158322,S200000,00400,0500,P 158322,S200000,01500,0100,N 158322,S200000,01600,0100,Y 158322,S200000,01700,0100,N 158322,S200000,01800,0100,N 158322,S200000,02200,0100,Y 158322,S200000,02800,0100,N 158322,S200000,02900,0100,N 158322,S200000,03000,0100,N 158322,S200000,03100,0100,N 158322,S200000,03200,0100,N 158322,S200000,04100,0100,N 158322,S200000,04200,0100,N 158322,S200000,04300,0100,N 158322,S200000,04600,0100,N 158322,S200000,04700,0100,N 158322,S200000,04700,0200,N 158322,S200000,04900,0100,N 158322,S200000,05000,0100,N 158322,S200000,05100,0100,N 158322,S200000,05200,0100,N 158323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158323,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158323,A000000,00300,0000,0300EMPLOYEE BENEFITS 158323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158323,A000000,00700,0000,0700HOUSEKEEPING 158323,A000000,00800,0000,0800DIETARY 158323,A000000,00900,0000,0900NURSING ADMINISTRATION 158323,A000000,00901,0000,0901OTHER NURSING 158323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158323,A000000,01100,0000,1100PHARMACY 158323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158323,A000000,01300,0000,1300SOCIAL SERVICE 158323,A000000,01301,0000,1301ACTIVITIES 158323,A000000,01600,0000,1600SKILLED NURSING FACILITY 158323,A000000,01800,0000,1800NURSING FACILITY 158323,A000000,02100,0000,2100RADIOLOGY 158323,A000000,02200,0000,2200LABORATORY 158323,A000000,02300,0000,2300INTRAVENOUS THERAPY 158323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158323,A000000,02500,0000,2500PHYSICAL THERAPY 158323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158323,A000000,02700,0000,2700SPEECH PATHOLOGY 158323,A000000,02800,0000,2800ELECTROCARDIOLOGY 158323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158323,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158323,A000000,03301,0000,3051NUTRITIONAL THERAPY 158323,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158323,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158323,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158323,A000000,04800,0000,4800AMBULANCE 158323,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158323,A000000,05300,0000,5300INTEREST EXPENSE 158323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158323,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158323,A000000,06200,0000,6200PATIENTS LAUNDRY 158323,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158323,A000000,06301,0000,6151DAY CARE 158323,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158323,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158323,A81000A,00100,0100,Y 158323,A81000B,00100,0300,HOME OFFICE COSTS 158323,A81000B,00200,0300,LIABILITY INSURANCE 158323,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158323,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158323,A81000B,00500,0300,VC PHARMACY - ADMIN 158323,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158323,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158323,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158323,A81000B,00900,0300,VC PHARMACY - DIETARY 158323,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158323,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158323,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158323,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158323,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158323,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158323,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158323,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158323,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158323,A81000B,01900,0300,VC PHARMACY - LAB 158323,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158323,A81000B,02100,0300,VENCARE RT 158323,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158323,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158323,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158323,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158323,A81000B,02600,0300,VC PHARMACY - LEGEND 158323,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158323,A81000B,02800,0300,VC PHARMACY - NUTR THER 158323,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158323,A81000C,00100,0100,B 158323,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158323,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158323,A81000C,00100,0600,LIABILITY INSURANCE 158323,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158323,A81000C,00200,0600,PHARMACY 158323,A81000C,00300,0400,VENCARE RESPIRATORY 158323,A81000C,00300,0600,RESPIRATORY THERAPY 158323,A81000C,00400,0400,THERAPY SERVICES 158323,A81000C,00500,0400,VENCARE REHAB SERVICES 158323,A81000C,00500,0600,REHAB 158323,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158323,A81000C,00600,0600,PORTABLE X-RAY 158323,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158323,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158323,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158323,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158323,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158323,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158323,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158323,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158323,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158323,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158323,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158323,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158323,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158323,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158323,E10A180,00301,0100,06/30/00 158323,E10A180,00302,0100,11/30/00 158323,S000000,00100,0200,12/11/00 158323,S200000,00100,0100,283 W. BROADWAY BLVD. 158323,S200000,00200,0100,JEFFERSON CITY 158323,S200000,00200,0200,TN 158323,S200000,00200,0300,37760- 158323,S200000,00300,0100,JEFFERSON 158323,S200000,00300,0200,44 158323,S200000,00300,0300,R 158323,S200000,00400,0100,175 - JEFFERSON CITY HLTH & REHAB 158323,S200000,00400,0200,445246 158323,S200000,00400,0300,03/05/90 158323,S200000,00400,0500,P 158323,S200000,01500,0100,N 158323,S200000,01600,0100,Y 158323,S200000,01700,0100,N 158323,S200000,01800,0100,N 158323,S200000,02200,0100,Y 158323,S200000,02800,0100,N 158323,S200000,02900,0100,N 158323,S200000,03000,0100,N 158323,S200000,03100,0100,N 158323,S200000,03200,0100,N 158323,S200000,04100,0100,N 158323,S200000,04200,0100,N 158323,S200000,04300,0100,N 158323,S200000,04600,0100,N 158323,S200000,04700,0100,N 158323,S200000,04700,0200,N 158323,S200000,04900,0100,N 158323,S200000,05000,0100,N 158323,S200000,05100,0100,N 158323,S200000,05200,0100,N 158324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158324,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158324,A000000,00300,0000,0300EMPLOYEE BENEFITS 158324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158324,A000000,00700,0000,0700HOUSEKEEPING 158324,A000000,00800,0000,0800DIETARY 158324,A000000,00900,0000,0900NURSING ADMINISTRATION 158324,A000000,00901,0000,0901OTHER NURSING 158324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158324,A000000,01100,0000,1100PHARMACY 158324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158324,A000000,01300,0000,1300SOCIAL SERVICE 158324,A000000,01301,0000,1301ACTIVITIES 158324,A000000,01600,0000,1600SKILLED NURSING FACILITY 158324,A000000,01800,0000,1800NURSING FACILITY 158324,A000000,02100,0000,2100RADIOLOGY 158324,A000000,02200,0000,2200LABORATORY 158324,A000000,02300,0000,2300INTRAVENOUS THERAPY 158324,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158324,A000000,02500,0000,2500PHYSICAL THERAPY 158324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158324,A000000,02700,0000,2700SPEECH PATHOLOGY 158324,A000000,02800,0000,2800ELECTROCARDIOLOGY 158324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158324,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158324,A000000,03301,0000,3051NUTRITIONAL THERAPY 158324,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158324,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158324,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158324,A000000,04800,0000,4800AMBULANCE 158324,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158324,A000000,05300,0000,5300INTEREST EXPENSE 158324,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158324,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158324,A000000,06200,0000,6200PATIENTS LAUNDRY 158324,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158324,A000000,06301,0000,6151DAY CARE 158324,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158324,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158324,A81000A,00100,0100,Y 158324,A81000B,00100,0300,HOME OFFICE COSTS 158324,A81000B,00200,0300,LIABILITY INSURANCE 158324,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158324,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158324,A81000B,00500,0300,VC PHARMACY - ADMIN 158324,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158324,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158324,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158324,A81000B,00900,0300,VC PHARMACY - DIETARY 158324,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158324,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158324,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158324,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158324,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158324,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158324,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158324,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158324,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158324,A81000B,01900,0300,VC PHARMACY - LAB 158324,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158324,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158324,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158324,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158324,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158324,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158324,A81000B,02600,0300,VC PHARMACY - LEGEND 158324,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158324,A81000B,02800,0300,VC PHARMACY - NUTR THER 158324,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158324,A81000C,00100,0100,B 158324,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158324,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158324,A81000C,00100,0600,LIABILITY INSURANCE 158324,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158324,A81000C,00200,0600,PHARMACY 158324,A81000C,00300,0400,VENCARE RESPIRATORY 158324,A81000C,00300,0600,RESPIRATORY THERAPY 158324,A81000C,00400,0400,THERAPY SERVICES 158324,A81000C,00500,0400,VENCARE REHAB SERVICES 158324,A81000C,00500,0600,REHAB 158324,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158324,A81000C,00600,0600,PORTABLE X-RAY 158324,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158324,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158324,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158324,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158324,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158324,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158324,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158324,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158324,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158324,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158324,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158324,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158324,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158324,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158324,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158324,E10A180,00302,0100,11/30/00 158324,S000000,00100,0200,12/11/00 158324,S200000,00100,0100,1005 HAMPTON BOULEVARD 158324,S200000,00200,0100,NORFOLK 158324,S200000,00200,0200,VA 158324,S200000,00200,0300,23507- 158324,S200000,00300,0100,CITY OF NORFOLK 158324,S200000,00300,0200,5720 158324,S200000,00300,0300,U 158324,S200000,00400,0100,826 HARBOUR POINTE MEDICAL & REHAB 158324,S200000,00400,0200,495068 158324,S200000,00400,0300,11/10/69 158324,S200000,00400,0500,P 158324,S200000,01500,0100,N 158324,S200000,01600,0100,Y 158324,S200000,01700,0100,N 158324,S200000,01800,0100,N 158324,S200000,02200,0100,Y 158324,S200000,02800,0100,Y 158324,S200000,02900,0100,N 158324,S200000,03000,0100,N 158324,S200000,03100,0100,N 158324,S200000,03200,0100,N 158324,S200000,04100,0100,N 158324,S200000,04200,0100,N 158324,S200000,04300,0100,N 158324,S200000,04600,0100,N 158324,S200000,04700,0100,N 158324,S200000,04700,0200,N 158324,S200000,04900,0100,N 158324,S200000,05000,0100,N 158324,S200000,05100,0100,N 158324,S200000,05200,0100,N 158325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158325,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158325,A000000,00300,0000,0300EMPLOYEE BENEFITS 158325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158325,A000000,00700,0000,0700HOUSEKEEPING 158325,A000000,00800,0000,0800DIETARY 158325,A000000,00900,0000,0900NURSING ADMINISTRATION 158325,A000000,00901,0000,0901OTHER NURSING 158325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158325,A000000,01100,0000,1100PHARMACY 158325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158325,A000000,01300,0000,1300SOCIAL SERVICE 158325,A000000,01301,0000,1301ACTIVITIES 158325,A000000,01600,0000,1600SKILLED NURSING FACILITY 158325,A000000,01800,0000,1800NURSING FACILITY 158325,A000000,02100,0000,2100RADIOLOGY 158325,A000000,02200,0000,2200LABORATORY 158325,A000000,02300,0000,2300INTRAVENOUS THERAPY 158325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158325,A000000,02500,0000,2500PHYSICAL THERAPY 158325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158325,A000000,02700,0000,2700SPEECH PATHOLOGY 158325,A000000,02800,0000,2800ELECTROCARDIOLOGY 158325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158325,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158325,A000000,03301,0000,3051NUTRITIONAL THERAPY 158325,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158325,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158325,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158325,A000000,04800,0000,4800AMBULANCE 158325,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158325,A000000,05300,0000,5300INTEREST EXPENSE 158325,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158325,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158325,A000000,06200,0000,6200PATIENTS LAUNDRY 158325,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158325,A000000,06301,0000,6151DAY CARE 158325,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158325,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158325,A81000A,00100,0100,Y 158325,A81000B,00100,0300,HOME OFFICE COSTS 158325,A81000B,00200,0300,LIABILITY INSURANCE 158325,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158325,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158325,A81000B,00500,0300,VC PHARMACY - ADMIN 158325,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158325,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158325,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158325,A81000B,00900,0300,VC PHARMACY - DIETARY 158325,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158325,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158325,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158325,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158325,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158325,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158325,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158325,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158325,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158325,A81000B,01900,0300,VC PHARMACY - LAB 158325,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158325,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158325,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158325,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158325,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158325,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158325,A81000B,02600,0300,VC PHARMACY - LEGEND 158325,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158325,A81000B,02800,0300,VC PHARMACY - NUTR THER 158325,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158325,A81000C,00100,0100,B 158325,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158325,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158325,A81000C,00100,0600,LIABILITY INSURANCE 158325,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158325,A81000C,00200,0600,PHARMACY 158325,A81000C,00300,0400,VENCARE RESPIRATORY 158325,A81000C,00300,0600,RESPIRATORY THERAPY 158325,A81000C,00400,0400,THERAPY SERVICES 158325,A81000C,00500,0400,VENCARE REHAB SERVICES 158325,A81000C,00500,0600,REHAB 158325,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158325,A81000C,00600,0600,PORTABLE X-RAY 158325,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158325,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158325,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158325,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158325,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158325,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158325,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158325,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158325,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158325,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158325,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158325,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158325,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158325,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158325,E10A180,00302,0100,11/30/00 158325,S000000,00100,0200,12/11/00 158325,S200000,00100,0100,4142 BONNEY ROAD 158325,S200000,00200,0100,VIRGINIA BEACH 158325,S200000,00200,0200,VA 158325,S200000,00200,0300,23452- 158325,S200000,00300,0100,PRINCESS ANNE 158325,S200000,00300,0200,5720 158325,S200000,00300,0300,U 158325,S200000,00400,0100,829 RIVER POINTE REHAB & HC 158325,S200000,00400,0200,495241 158325,S200000,00400,0300,06/01/91 158325,S200000,00400,0500,P 158325,S200000,01500,0100,N 158325,S200000,01600,0100,Y 158325,S200000,01700,0100,N 158325,S200000,01800,0100,N 158325,S200000,02200,0100,Y 158325,S200000,02800,0100,N 158325,S200000,02900,0100,N 158325,S200000,03000,0100,N 158325,S200000,03100,0100,N 158325,S200000,03200,0100,N 158325,S200000,04100,0100,N 158325,S200000,04200,0100,N 158325,S200000,04300,0100,N 158325,S200000,04600,0100,N 158325,S200000,04700,0100,N 158325,S200000,04700,0200,N 158325,S200000,04900,0100,N 158325,S200000,05000,0100,N 158325,S200000,05100,0100,N 158325,S200000,05200,0100,N 158327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158327,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158327,A000000,00300,0000,0300EMPLOYEE BENEFITS 158327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158327,A000000,00700,0000,0700HOUSEKEEPING 158327,A000000,00800,0000,0800DIETARY 158327,A000000,00900,0000,0900NURSING ADMINISTRATION 158327,A000000,00901,0000,0901OTHER NURSING 158327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158327,A000000,01100,0000,1100PHARMACY 158327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158327,A000000,01300,0000,1300SOCIAL SERVICE 158327,A000000,01301,0000,1301ACTIVITIES 158327,A000000,01600,0000,1600SKILLED NURSING FACILITY 158327,A000000,01800,0000,1800NURSING FACILITY 158327,A000000,02100,0000,2100RADIOLOGY 158327,A000000,02200,0000,2200LABORATORY 158327,A000000,02300,0000,2300INTRAVENOUS THERAPY 158327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158327,A000000,02500,0000,2500PHYSICAL THERAPY 158327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158327,A000000,02700,0000,2700SPEECH PATHOLOGY 158327,A000000,02800,0000,2800ELECTROCARDIOLOGY 158327,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158327,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158327,A000000,03301,0000,3051NUTRITIONAL THERAPY 158327,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158327,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158327,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158327,A000000,04800,0000,4800AMBULANCE 158327,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158327,A000000,05300,0000,5300INTEREST EXPENSE 158327,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158327,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158327,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158327,A000000,06200,0000,6200PATIENTS LAUNDRY 158327,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158327,A000000,06301,0000,6151DAY CARE 158327,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158327,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158327,A81000A,00100,0100,Y 158327,A81000B,00100,0300,HOME OFFICE COSTS 158327,A81000B,00200,0300,LIABILITY INSURANCE 158327,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158327,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158327,A81000B,00500,0300,VC PHARMACY - ADMIN 158327,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158327,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158327,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158327,A81000B,00900,0300,VC PHARMACY - DIETARY 158327,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158327,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158327,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158327,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158327,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158327,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158327,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158327,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158327,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158327,A81000B,01900,0300,VC PHARMACY - LAB 158327,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158327,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158327,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158327,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158327,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158327,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158327,A81000B,02600,0300,VC PHARMACY - LEGEND 158327,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158327,A81000B,02800,0300,VC PHARMACY - NUTR THER 158327,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158327,A81000C,00100,0100,B 158327,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158327,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158327,A81000C,00100,0600,LIABILITY INSURANCE 158327,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158327,A81000C,00200,0600,PHARMACY 158327,A81000C,00300,0400,VENCARE RESPIRATORY 158327,A81000C,00300,0600,RESPIRATORY THERAPY 158327,A81000C,00400,0400,THERAPY SERVICES 158327,A81000C,00500,0400,VENCARE REHAB SERVICES 158327,A81000C,00500,0600,REHAB 158327,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158327,A81000C,00600,0600,PORTABLE X-RAY 158327,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158327,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158327,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158327,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158327,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158327,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158327,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158327,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158327,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158327,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158327,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158327,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158327,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158327,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158327,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158327,E10A180,00301,0100,06/30/00 158327,E10A180,00350,0100,11/30/00 158327,S000000,00100,0200,12/01/00 158327,S200000,00100,0100,1334 TERRY AVENUE 158327,S200000,00200,0100,SEATTLE 158327,S200000,00200,0200,WA 158327,S200000,00200,0300,98101- 158327,S200000,00300,0100,KING 158327,S200000,00300,0200,7600 158327,S200000,00300,0300,U 158327,S200000,00400,0100,160 - FIRST HILL CARE CENTER 158327,S200000,00400,0200,505001 158327,S200000,00400,0300,07/01/84 158327,S200000,00400,0500,P 158327,S200000,01500,0100,Y 158327,S200000,01600,0100,N 158327,S200000,01700,0100,N 158327,S200000,01800,0100,N 158327,S200000,02200,0100,Y 158327,S200000,02800,0100,N 158327,S200000,02900,0100,N 158327,S200000,03000,0100,N 158327,S200000,03100,0100,N 158327,S200000,03200,0100,N 158327,S200000,04100,0100,N 158327,S200000,04200,0100,N 158327,S200000,04300,0100,N 158327,S200000,04600,0100,N 158327,S200000,04700,0100,N 158327,S200000,04700,0200,N 158327,S200000,04900,0100,N 158327,S200000,05000,0100,N 158327,S200000,05100,0100,N 158327,S200000,05200,0100,N 158329,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158329,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158329,A000000,00300,0000,0300EMPLOYEE BENEFITS 158329,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158329,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158329,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158329,A000000,00700,0000,0700HOUSEKEEPING 158329,A000000,00800,0000,0800DIETARY 158329,A000000,00900,0000,0900NURSING ADMINISTRATION 158329,A000000,00901,0000,0901OTHER NURSING 158329,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158329,A000000,01100,0000,1100PHARMACY 158329,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158329,A000000,01300,0000,1300SOCIAL SERVICE 158329,A000000,01301,0000,1301ACTIVITIES 158329,A000000,01600,0000,1600SKILLED NURSING FACILITY 158329,A000000,01800,0000,1800NURSING FACILITY 158329,A000000,02100,0000,2100RADIOLOGY 158329,A000000,02200,0000,2200LABORATORY 158329,A000000,02300,0000,2300INTRAVENOUS THERAPY 158329,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158329,A000000,02500,0000,2500PHYSICAL THERAPY 158329,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158329,A000000,02700,0000,2700SPEECH PATHOLOGY 158329,A000000,02800,0000,2800ELECTROCARDIOLOGY 158329,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158329,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158329,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158329,A000000,03301,0000,3051NUTRITIONAL THERAPY 158329,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158329,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158329,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158329,A000000,04800,0000,4800AMBULANCE 158329,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158329,A000000,05300,0000,5300INTEREST EXPENSE 158329,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158329,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158329,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158329,A000000,06200,0000,6200PATIENTS LAUNDRY 158329,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158329,A000000,06301,0000,6151DAY CARE 158329,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158329,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158329,A81000A,00100,0100,Y 158329,A81000B,00100,0300,HOME OFFICE COSTS 158329,A81000B,00200,0300,LIABILITY INSURANCE 158329,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158329,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158329,A81000B,00500,0300,VC PHARMACY - ADMIN 158329,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158329,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158329,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158329,A81000B,00900,0300,VC PHARMACY - DIETARY 158329,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158329,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158329,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158329,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158329,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158329,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158329,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158329,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158329,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158329,A81000B,01900,0300,VC PHARMACY - LAB 158329,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158329,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158329,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158329,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158329,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158329,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158329,A81000B,02600,0300,VC PHARMACY - LEGEND 158329,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158329,A81000B,02800,0300,VC PHARMACY - NUTR THER 158329,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158329,A81000C,00100,0100,B 158329,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158329,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158329,A81000C,00100,0600,LIABILITY INSURANCE 158329,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158329,A81000C,00200,0600,PHARMACY 158329,A81000C,00300,0400,VENCARE RESPIRATORY 158329,A81000C,00300,0600,RESPIRATORY THERAPY 158329,A81000C,00400,0400,THERAPY SERVICES 158329,A81000C,00500,0400,VENCARE REHAB SERVICES 158329,A81000C,00500,0600,REHAB 158329,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158329,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158329,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158329,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158329,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158329,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158329,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158329,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158329,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158329,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158329,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158329,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158329,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158329,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158329,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158329,E10A180,00301,0100,06/30/00 158329,E10A180,00302,0100,11/30/00 158329,S000000,00100,0200,12/01/00 158329,S200000,00100,0100,1200 BIRCHWOOD AVENUE 158329,S200000,00200,0100,BELLINGHAM 158329,S200000,00200,0200,WA 158329,S200000,00200,0300,98225- 158329,S200000,00300,0100,WHATCOM 158329,S200000,00300,0300,U 158329,S200000,00400,0100,158 - BELLINGHAM HEALTH CARE & REHAB 158329,S200000,00400,0200,505223 158329,S200000,00400,0300,07/01/84 158329,S200000,00400,0500,P 158329,S200000,01500,0100,Y 158329,S200000,01600,0100,N 158329,S200000,01700,0100,N 158329,S200000,01800,0100,N 158329,S200000,02200,0100,Y 158329,S200000,02800,0100,N 158329,S200000,02900,0100,N 158329,S200000,03000,0100,N 158329,S200000,03100,0100,N 158329,S200000,03200,0100,N 158329,S200000,04100,0100,N 158329,S200000,04200,0100,N 158329,S200000,04300,0100,N 158329,S200000,04600,0100,N 158329,S200000,04700,0100,N 158329,S200000,04700,0200,N 158329,S200000,04900,0100,N 158329,S200000,05000,0100,N 158329,S200000,05100,0100,N 158329,S200000,05200,0100,N 158330,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158330,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158330,A000000,00300,0000,0300EMPLOYEE BENEFITS 158330,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158330,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158330,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158330,A000000,00700,0000,0700HOUSEKEEPING 158330,A000000,00800,0000,0800DIETARY 158330,A000000,00900,0000,0900NURSING ADMINISTRATION 158330,A000000,00901,0000,0901OTHER NURSING 158330,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158330,A000000,01100,0000,1100PHARMACY 158330,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158330,A000000,01300,0000,1300SOCIAL SERVICE 158330,A000000,01301,0000,1301ACTIVITIES 158330,A000000,01600,0000,1600SKILLED NURSING FACILITY 158330,A000000,01800,0000,1800NURSING FACILITY 158330,A000000,02100,0000,2100RADIOLOGY 158330,A000000,02200,0000,2200LABORATORY 158330,A000000,02300,0000,2300INTRAVENOUS THERAPY 158330,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158330,A000000,02500,0000,2500PHYSICAL THERAPY 158330,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158330,A000000,02700,0000,2700SPEECH PATHOLOGY 158330,A000000,02800,0000,2800ELECTROCARDIOLOGY 158330,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158330,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158330,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158330,A000000,03301,0000,3051NUTRITIONAL THERAPY 158330,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 158330,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 158330,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158330,A000000,04800,0000,4800AMBULANCE 158330,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158330,A000000,05300,0000,5300INTEREST EXPENSE 158330,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158330,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158330,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158330,A000000,06200,0000,6200PATIENTS LAUNDRY 158330,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158330,A000000,06301,0000,6151DAY CARE 158330,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 158330,A000000,06303,0000,6153DISTRICT OFFICE SPACE 158330,A81000A,00100,0100,Y 158330,A81000B,00100,0300,HOME OFFICE COSTS 158330,A81000B,00200,0300,LIABILITY INSURANCE 158330,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 158330,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 158330,A81000B,00500,0300,VC PHARMACY - ADMIN 158330,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 158330,A81000B,00700,0300,VC PHARMACY - LAUNDRY 158330,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 158330,A81000B,00900,0300,VC PHARMACY - DIETARY 158330,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 158330,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 158330,A81000B,01200,0300,VC PHARMACY - NONLEGEND 158330,A81000B,01300,0300,VC PHARMACY - MED RECORDS 158330,A81000B,01400,0300,VC PHARMACY - SOC SVCS 158330,A81000B,01500,0300,VC PHARMACY - ACTIVITY 158330,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 158330,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 158330,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 158330,A81000B,01900,0300,VC PHARMACY - LAB 158330,A81000B,02000,0300,VC PHARMACY - IV THERAPY 158330,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 158330,A81000B,02200,0300,VENCARE REHAB - PHYS THER 158330,A81000B,02300,0300,VENCARE REHAB - OCCP THER 158330,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 158330,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 158330,A81000B,02600,0300,VC PHARMACY - LEGEND 158330,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 158330,A81000B,02800,0300,VC PHARMACY - NUTR THER 158330,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 158330,A81000C,00100,0100,B 158330,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 158330,A81000C,00100,0400,CORNERSTONE INSURANCE CO 158330,A81000C,00100,0600,LIABILITY INSURANCE 158330,A81000C,00200,0400,VENCARE PHARMACY SERVICES 158330,A81000C,00200,0600,PHARMACY 158330,A81000C,00500,0400,VENCARE REHAB SERVICES 158330,A81000C,00500,0600,REHAB 158330,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 158330,A81000C,00600,0600,PORTABLE X-RAY 158330,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158330,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158330,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158330,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158330,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158330,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158330,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158330,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158330,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 158330,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 158330,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 158330,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 158330,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 158330,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158330,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 158330,E10A180,00301,0100,11/30/00 158330,S000000,00100,0200,12/01/00 158330,S200000,00100,0100,920 12TH AVENUE SE 158330,S200000,00200,0100,PUYALLUP 158330,S200000,00200,0200,WA 158330,S200000,00200,0300,98372- 158330,S200000,00300,0100,PIERCE 158330,S200000,00300,0200,8200 158330,S200000,00300,0300,U 158330,S200000,00400,0100,165 - RAINIER VISTA CARE CENTER 158330,S200000,00400,0200,505304 158330,S200000,00400,0300,08/11/86 158330,S200000,00400,0500,P 158330,S200000,01500,0100,Y 158330,S200000,01600,0100,N 158330,S200000,01700,0100,N 158330,S200000,01800,0100,N 158330,S200000,02200,0100,Y 158330,S200000,02800,0100,N 158330,S200000,02900,0100,N 158330,S200000,03000,0100,N 158330,S200000,03100,0100,N 158330,S200000,03200,0100,N 158330,S200000,04100,0100,N 158330,S200000,04200,0100,N 158330,S200000,04300,0100,N 158330,S200000,04600,0100,N 158330,S200000,04700,0100,N 158330,S200000,04700,0200,N 158330,S200000,04900,0100,N 158330,S200000,05000,0100,N 158330,S200000,05100,0100,N 158330,S200000,05200,0100,N 158598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158598,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158598,A000000,00300,0000,0300EMPLOYEE BENEFITS 158598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158598,A000000,00700,0000,0700HOUSEKEEPING 158598,A000000,00800,0000,0800DIETARY 158598,A000000,00900,0000,0900NURSING ADMINISTRATION 158598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158598,A000000,01100,0000,1100PHARMACY 158598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158598,A000000,01300,0000,1300SOCIAL SERVICE 158598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158598,A000000,01500,0000,1350PATIENT ACTIVITIES 158598,A000000,01600,0000,1600SKILLED NURSING FACILITY 158598,A000000,01800,0000,1800NURSING FACILITY 158598,A000000,01810,0000,1810ICF/MR 158598,A000000,02100,0000,2100RADIOLOGY 158598,A000000,02200,0000,2200LABORATORY 158598,A000000,02300,0000,2300INTRAVENOUS THERAPY 158598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158598,A000000,02500,0000,2500PHYSICAL THERAPY 158598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158598,A000000,02700,0000,2700SPEECH PATHOLOGY 158598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158598,A000000,03200,0000,3200SUPPORT SURFACES 158598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158598,A000000,03550,0000,3550FQHC 158598,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158598,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158598,A000000,05000,0000,5000CORF 158598,A000000,05010,0000,5010CMHC 158598,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158598,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158598,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158598,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158598,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 158598,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158598,A81000A,00100,0100,Y 158598,A81000B,00100,0300,INTEREST EXPENSE 158598,A81000B,00200,0300,INTEREST EXPENSE HCFP 158598,A81000B,01000,0300,FACILITY BENEFITS 158598,A81000C,00100,0100,B 158598,A81000C,00100,0400,SENIOR LIVING P 158598,A81000C,00100,0600,HOME OFFICE 158598,A81000C,00200,0100,B 158598,A81000C,00300,0100,B 158598,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158598,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158598,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158598,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158598,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158598,B100000,00000,0700,0750SQ. FT. EXCL. DIET:HOUSEKEEPING 158598,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158598,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 158598,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 158598,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 158598,E10A180,00301,0100,10/27/99 158598,E10A180,00302,0100,11/29/99 158598,S000000,00100,0200,06/01/00 158598,S200000,00100,0100,700 S. OSTROM STREET 158598,S200000,00200,0100,EASTLAND 158598,S200000,00200,0200,TX 158598,S200000,00200,0300,76448- 158598,S200000,00300,0100,EASTLAND 158598,S200000,00300,0200,0067 158598,S200000,00300,0300,R 158598,S200000,00400,0100,VALLEY VIEW HEALTHCARE CENTER 158598,S200000,00400,0200,675001 158598,S200000,00400,0300,01/29/92 158598,S200000,00400,0500,P 158598,S200000,01500,0100,N 158598,S200000,01600,0100,Y 158598,S200000,01700,0100,N 158598,S200000,01800,0100,N 158598,S200000,02200,0100,N 158598,S200000,02800,0100,N 158598,S200000,02900,0100,N 158598,S200000,03000,0100,N 158598,S200000,03100,0100,N 158598,S200000,03200,0100,N 158598,S200000,04100,0100,N 158598,S200000,04200,0100,N 158598,S200000,04300,0100,Y 158598,S200000,04600,0100,N 158598,S200000,04700,0100,N 158598,S200000,04700,0200,N 158598,S200000,04900,0100,N 158598,S200000,05000,0100,N 158598,S200000,05100,0100,N 158598,S200000,05200,0100,N 158599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158599,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158599,A000000,00300,0000,0300EMPLOYEE BENEFITS 158599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158599,A000000,00700,0000,0700HOUSEKEEPING 158599,A000000,00800,0000,0800DIETARY 158599,A000000,00900,0000,0900NURSING ADMINISTRATION 158599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158599,A000000,01100,0000,1100PHARMACY 158599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158599,A000000,01300,0000,1300SOCIAL SERVICE 158599,A000000,01500,0000,1350OTHER GENERAL SERVICES 158599,A000000,01600,0000,1600SKILLED NURSING FACILITY 158599,A000000,01800,0000,1800NURSING FACILITY 158599,A000000,01900,0000,1900OTHER LONG TERM CARE 158599,A000000,02100,0000,2100RADIOLOGY 158599,A000000,02200,0000,2200LABORATORY 158599,A000000,02300,0000,2300INTRAVENOUS THERAPY 158599,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158599,A000000,02500,0000,2500PHYSICAL THERAPY 158599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158599,A000000,02700,0000,2700SPEECH PATHOLOGY 158599,A000000,02800,0000,2800ELECTROCARDIOLOGY 158599,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158599,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158599,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158599,A000000,03200,0000,3200SUPPORT SURFACES 158599,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158599,A000000,03400,0000,3400CLINIC 158599,A000000,03500,0000,3500RURAL HEALTH CLINIC 158599,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158599,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158599,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158599,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158599,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158599,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158599,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158599,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158599,A000000,04400,0000,4400DME RENTED - HHA 158599,A000000,04500,0000,4500DME SOLD - HHA 158599,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158599,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158599,A000000,04800,0000,4800AMBULANCE 158599,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158599,A000000,05000,0000,5000CORF 158599,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158599,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158599,A000000,05300,0000,5300INTEREST EXPENSE 158599,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158599,A000000,05500,0000,5500HOSPICE 158599,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 158599,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158599,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158599,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158599,A000000,06100,0000,6100NONPAID WORKERS 158599,A000000,06200,0000,6200PATIENTS LAUNDRY 158599,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158599,A81000A,00100,0100,Y 158599,A81000B,00100,0300,MANAGEMENT OVERHEAD 158599,A81000C,00100,0100,A 158599,A81000C,00100,0200,ROCKY LEMON 158599,A81000C,00100,0400,CRESCENT HEALTH SERVICES 158599,A81000C,00100,0600,NURSING HOME MANAGEMENT 158599,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158599,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158599,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158599,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158599,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158599,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158599,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158599,B100000,00000,0800,0850PATIENT DAYS :DIETARY 158599,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 158599,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 158599,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 158599,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158599,S000000,00100,0200,07/03/00 158599,S200000,00100,0100,4005 GASTON AVENUE 158599,S200000,00200,0100,DALLAS 158599,S200000,00200,0200,TX 158599,S200000,00200,0300,75246- 158599,S200000,00300,0100,DALLAS 158599,S200000,00300,0200,1920 158599,S200000,00300,0300,U 158599,S200000,00400,0100,DALLAS HEALTH AND REHAB CENTER 158599,S200000,00400,0200,675121 158599,S200000,00400,0300,07/01/99 158599,S200000,00400,0500,P 158599,S200000,01004,0500,O 158599,S200000,01500,0100,N 158599,S200000,01600,0100,Y 158599,S200000,01700,0100,N 158599,S200000,01800,0100,N 158599,S200000,02200,0100,N 158599,S200000,02800,0100,N 158599,S200000,02900,0100,N 158599,S200000,03000,0100,N 158599,S200000,03100,0100,N 158599,S200000,03200,0100,N 158599,S200000,04100,0100,N 158599,S200000,04200,0100,N 158599,S200000,04300,0100,N 158599,S200000,04600,0100,N 158599,S200000,04700,0100,N 158599,S200000,04700,0200,N 158599,S200000,04900,0100,N 158599,S200000,05000,0100,N 158599,S200000,05100,0100,N 158599,S200000,05200,0100,N 158651,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158651,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158651,A000000,00300,0000,0300EMPLOYEE BENEFITS 158651,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158651,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158651,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158651,A000000,00700,0000,0700HOUSEKEEPING 158651,A000000,00800,0000,0800DIETARY 158651,A000000,00900,0000,0900NURSING ADMINISTRATION 158651,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158651,A000000,01100,0000,1100PHARMACY 158651,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158651,A000000,01300,0000,1300SOCIAL SERVICE 158651,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158651,A000000,01500,0000,1350ACTIVITIES 158651,A000000,01600,0000,1600SKILLED NURSING FACILITY 158651,A000000,01800,0000,1800NURSING FACILITY 158651,A000000,01900,0000,1900OTHER LONG TERM CARE 158651,A000000,02100,0000,2100RADIOLOGY 158651,A000000,02200,0000,2200LABORATORY 158651,A000000,02300,0000,2300INTRAVENOUS THERAPY 158651,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158651,A000000,02500,0000,2500PHYSICAL THERAPY 158651,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158651,A000000,02700,0000,2700SPEECH PATHOLOGY 158651,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158651,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158651,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158651,A000000,03200,0000,3200SUPPORT SURFACES 158651,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 158651,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 158651,A000000,04800,0000,4800AMBULANCE 158651,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158651,A000000,05000,0000,5000CORF 158651,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158651,A000000,05300,0000,5300INTEREST EXPENSE 158651,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158651,A000000,05500,0000,5500HOSPICE 158651,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 158651,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158651,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158651,A000000,06100,0000,6100NONPAID WORKERS 158651,A000000,06200,0000,6200PATIENTS LAUNDRY 158651,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 158651,A81000A,00100,0100,N 158651,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158651,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158651,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158651,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158651,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158651,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158651,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158651,B100000,00000,0800,0800MEALS SERVED :DIETARY 158651,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 158651,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 158651,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 158651,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 158651,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158651,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 158651,S000000,00100,0200,12/04/00 158651,S200000,00100,0100,2021 SCOTT STREET 158651,S200000,00200,0100,AUGUSTA 158651,S200000,00200,0200,GA 158651,S200000,00200,0300,30906- 158651,S200000,00300,0100,RICHMOND 158651,S200000,00300,0200,0600 158651,S200000,00300,0300,U 158651,S200000,00400,0100,SALEM NURSING & REHAB OF AUGUSTA 158651,S200000,00400,0200,115150 158651,S200000,00400,0300,05/01/83 158651,S200000,00400,0500,P 158651,S200000,01500,0100,N 158651,S200000,01600,0100,Y 158651,S200000,01700,0100,N 158651,S200000,01800,0100,Y 158651,S200000,02200,0100,N 158651,S200000,02800,0100,N 158651,S200000,02900,0100,N 158651,S200000,03000,0100,N 158651,S200000,03100,0100,N 158651,S200000,03200,0100,N 158651,S200000,04100,0100,N 158651,S200000,04200,0100,N 158651,S200000,04300,0100,N 158651,S200000,04600,0100,N 158651,S200000,04700,0100,N 158651,S200000,04700,0200,N 158651,S200000,04900,0100,N 158651,S200000,05000,0100,N 158651,S200000,05100,0100,N 158651,S200000,05200,0100,N 158881,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158881,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158881,A000000,00300,0000,0300EMPLOYEE BENEFITS 158881,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158881,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158881,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158881,A000000,00700,0000,0700HOUSEKEEPING 158881,A000000,00800,0000,0800DIETARY 158881,A000000,00900,0000,0900NURSING ADMINISTRATION 158881,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158881,A000000,01100,0000,1100PHARMACY 158881,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158881,A000000,01300,0000,1300SOCIAL SERVICE 158881,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158881,A000000,01500,0000,1350ACTIVITIES 158881,A000000,01600,0000,1600SKILLED NURSING FACILITY 158881,A000000,01800,0000,1800NURSING FACILITY 158881,A000000,01900,0000,1900OTHER LONG TERM CARE 158881,A000000,02100,0000,2100RADIOLOGY 158881,A000000,02200,0000,2200LABORATORY 158881,A000000,02300,0000,2300INTRAVENOUS THERAPY 158881,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158881,A000000,02500,0000,2500PHYSICAL THERAPY 158881,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158881,A000000,02700,0000,2700SPEECH PATHOLOGY 158881,A000000,02800,0000,2800ELECTROCARDIOLOGY 158881,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158881,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158881,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158881,A000000,03200,0000,3200SUPPORT SURFACES 158881,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158881,A000000,03400,0000,3400CLINIC 158881,A000000,03500,0000,3500RURAL HEALTH CLINIC 158881,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158881,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158881,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158881,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158881,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158881,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158881,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158881,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158881,A000000,04400,0000,4400DME RENTED - HHA 158881,A000000,04500,0000,4500DME SOLD - HHA 158881,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158881,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158881,A000000,04800,0000,4800AMBULANCE 158881,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158881,A000000,05000,0000,5000CORF 158881,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158881,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158881,A000000,05300,0000,5300INTEREST EXPENSE 158881,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158881,A000000,05500,0000,5500HOSPICE 158881,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 158881,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158881,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158881,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158881,A000000,06100,0000,6100NONPAID WORKERS 158881,A000000,06200,0000,6200PATIENTS LAUNDRY 158881,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158881,A81000A,00100,0100,N 158881,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158881,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158881,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158881,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158881,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 158881,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158881,B100000,00000,0800,0800MEALS SERVED :DIETARY 158881,B100000,00000,0900,0950FTES :NURSING ADMINISTRATION 158881,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 158881,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 158881,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 158881,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 158881,S000000,00100,0200,06/20/00 158881,S200000,00100,0100,122 HOSPITAL ROAD 158881,S200000,00200,0100,BRUSH 158881,S200000,00200,0200,CO 158881,S200000,00200,0300,80723- 158881,S200000,00300,0100,MORGAN 158881,S200000,00300,0300,U 158881,S200000,00400,0100,EBEN EZER LUTHERAN CARE CENTER 158881,S200000,00400,0200,065163 158881,S200000,00400,0300,07/01/81 158881,S200000,00400,0500,P 158881,S200000,01500,0100,N 158881,S200000,01600,0100,Y 158881,S200000,01700,0100,N 158881,S200000,01800,0100,N 158881,S200000,02200,0100,N 158881,S200000,02800,0100,N 158881,S200000,02900,0100,N 158881,S200000,03000,0100,N 158881,S200000,03100,0100,N 158881,S200000,03200,0100,N 158881,S200000,04100,0100,N 158881,S200000,04200,0100,N 158881,S200000,04300,0100,N 158881,S200000,04600,0100,N 158881,S200000,04700,0100,N 158881,S200000,04700,0200,N 158881,S200000,04900,0100,N 158881,S200000,05000,0100,N 158881,S200000,05100,0100,N 158881,S200000,05200,0100,N 158882,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158882,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158882,A000000,00300,0000,0300EMPLOYEE BENEFITS 158882,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158882,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158882,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158882,A000000,00700,0000,0700HOUSEKEEPING 158882,A000000,00800,0000,0800DIETARY 158882,A000000,00900,0000,0900NURSING ADMINISTRATION 158882,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158882,A000000,01100,0000,1100PHARMACY 158882,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158882,A000000,01300,0000,1300SOCIAL SERVICE 158882,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158882,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 158882,A000000,01600,0000,1600SKILLED NURSING FACILITY 158882,A000000,01810,0000,1810ICF/MR 158882,A000000,02100,0000,2100RADIOLOGY 158882,A000000,02200,0000,2200LABORATORY 158882,A000000,02300,0000,2300INTRAVENOUS THERAPY 158882,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158882,A000000,02500,0000,2500PHYSICAL THERAPY 158882,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158882,A000000,02700,0000,2700SPEECH PATHOLOGY 158882,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158882,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158882,A000000,03550,0000,3550FQHC 158882,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 158882,A000000,05000,0000,5000CORF 158882,A000000,05010,0000,5010CMHC 158882,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158882,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158882,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158882,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158882,A000000,05300,0000,5300INTEREST EXPENSE 158882,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158882,A81000A,00100,0100,Y 158882,A81000B,00100,0300,MANAGEMENT FEES 158882,A81000B,00200,0300,MANAGEMENT FEES 158882,A81000C,00100,0100,A 158882,A81000C,00100,0200,JEFF JEREBKER 158882,A81000C,00100,0400,PINON MGMT/STAR 158882,A81000C,00100,0600,MGMT/THERAPY 158882,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158882,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158882,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158882,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158882,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158882,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 158882,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 158882,B100000,00000,0800,0850TIME SPENT :DIETARY 158882,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 158882,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 158882,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 158882,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 158882,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 158882,S000000,00100,0200,06/16/00 158882,S200000,00100,0100,4601 EAST ASBURY CIRCLE 158882,S200000,00200,0100,DENVER 158882,S200000,00200,0200,CO 158882,S200000,00200,0300,80222- 158882,S200000,00300,0100,DENVER 158882,S200000,00300,0200,2080 158882,S200000,00300,0300,U 158882,S200000,00400,0100,ROWAN COMMUNITY INC. 158882,S200000,00400,0200,065206 158882,S200000,00400,0300,08/01/95 158882,S200000,00400,0500,P 158882,S200000,01500,0100,Y 158882,S200000,01600,0100,N 158882,S200000,01700,0100,N 158882,S200000,01800,0100,N 158882,S200000,02200,0100,N 158882,S200000,02800,0100,N 158882,S200000,02900,0100,N 158882,S200000,03000,0100,N 158882,S200000,03100,0100,N 158882,S200000,03200,0100,N 158882,S200000,04100,0100,N 158882,S200000,04200,0100,N 158882,S200000,04300,0100,N 158882,S200000,04600,0100,N 158882,S200000,04700,0100,N 158882,S200000,04700,0200,N 158882,S200000,04900,0100,N 158882,S200000,05000,0100,N 158882,S200000,05100,0100,N 158882,S200000,05200,0100,N 158883,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158883,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 158883,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158883,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 158883,A000000,00300,0000,0300EMPLOYEE BENEFITS 158883,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158883,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158883,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158883,A000000,00700,0000,0700HOUSEKEEPING 158883,A000000,00800,0000,0800DIETARY 158883,A000000,00801,0000,0801CAFETERIA 158883,A000000,00900,0000,0900NURSING ADMINISTRATION 158883,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158883,A000000,01100,0000,1100PHARMACY 158883,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158883,A000000,01300,0000,1300SOCIAL SERVICE 158883,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158883,A000000,01500,0000,1350ACTIVITIES 158883,A000000,01600,0000,1600SKILLED NURSING FACILITY 158883,A000000,01800,0000,1800NURSING FACILITY 158883,A000000,01900,0000,1900OTHER LONG TERM CARE 158883,A000000,02100,0000,2100RADIOLOGY 158883,A000000,02200,0000,2200LABORATORY 158883,A000000,02300,0000,2300INTRAVENOUS THERAPY 158883,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158883,A000000,02500,0000,2500PHYSICAL THERAPY 158883,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158883,A000000,02700,0000,2700SPEECH PATHOLOGY 158883,A000000,02800,0000,2800ELECTROCARDIOLOGY 158883,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158883,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158883,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158883,A000000,03200,0000,3200SUPPORT SURFACES 158883,A000000,03300,0000,3050OTHER ANCILLARY 158883,A000000,03301,0000,3051OTHER ANCILLARY II 158883,A000000,03302,0000,3052OTHER ANCILLARY III 158883,A000000,03400,0000,3400CLINIC 158883,A000000,03500,0000,3500RURAL HEALTH CLINIC 158883,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 158883,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158883,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158883,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158883,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158883,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158883,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158883,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158883,A000000,04400,0000,4400DME RENTED - HHA 158883,A000000,04500,0000,4500DME SOLD - HHA 158883,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158883,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158883,A000000,04800,0000,4800AMBULANCE 158883,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158883,A000000,05000,0000,5000CORF 158883,A000000,05010,0000,5010CMHC I 158883,A000000,05020,0000,5020OPT I 158883,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158883,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158883,A000000,05300,0000,5300INTEREST EXPENSE 158883,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158883,A000000,05500,0000,5500HOSPICE 158883,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 158883,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 158883,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158883,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158883,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158883,A000000,06100,0000,6100NONPAID WORKERS 158883,A000000,06200,0000,6200PATIENTS LAUNDRY 158883,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158883,A81000A,00100,0100,N 158883,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 158883,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 158883,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 158883,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158883,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 158883,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 158883,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 158883,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 158883,B100000,00000,0900,0950(DIRECT NURSING HRS) :NURSING AD 158883,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 158883,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 158883,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 158883,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 158883,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 158883,S000000,00100,0200,05/31/00 158883,S200000,00100,0100,14800 E BELLEVIEW 158883,S200000,00200,0100,AURORA 158883,S200000,00200,0200,CO 158883,S200000,00200,0300,80015- 158883,S200000,00300,0100,ARAPAHOE 158883,S200000,00300,0200,2080 158883,S200000,00300,0300,U 158883,S200000,00400,0100,SHALOM PARK 158883,S200000,00400,0200,065303 158883,S200000,00400,0300,08/28/92 158883,S200000,00400,0500,P 158883,S200000,01500,0100,N 158883,S200000,01600,0100,Y 158883,S200000,01700,0100,N 158883,S200000,01800,0100,N 158883,S200000,02200,0100,Y 158883,S200000,02800,0100,Y 158883,S200000,02900,0100,N 158883,S200000,03000,0100,N 158883,S200000,03100,0100,N 158883,S200000,03200,0100,N 158883,S200000,04100,0100,N 158883,S200000,04200,0100,N 158883,S200000,04300,0100,N 158883,S200000,04600,0100,N 158883,S200000,04700,0100,N 158883,S200000,04700,0200,N 158883,S200000,04900,0100,N 158883,S200000,05000,0100,N 158883,S200000,05100,0100,N 158883,S200000,05200,0100,N 158884,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158884,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158884,A000000,00300,0000,0300EMPLOYEE BENEFITS 158884,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158884,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158884,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158884,A000000,00700,0000,0700HOUSEKEEPING 158884,A000000,00800,0000,0800DIETARY 158884,A000000,00900,0000,0900NURSING ADMINISTRATION 158884,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158884,A000000,01100,0000,1100PHARMACY 158884,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158884,A000000,01300,0000,1300SOCIAL SERVICE 158884,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 158884,A000000,01600,0000,1600SKILLED NURSING FACILITY 158884,A000000,02100,0000,2100RADIOLOGY 158884,A000000,02200,0000,2200LABORATORY 158884,A000000,02300,0000,2300INTRAVENOUS THERAPY 158884,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158884,A000000,02500,0000,2500PHYSICAL THERAPY 158884,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158884,A000000,02700,0000,2700SPEECH PATHOLOGY 158884,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158884,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158884,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158884,A000000,05300,0000,5300INTEREST EXPENSE 158884,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158884,A81000A,00100,0100,Y 158884,A81000B,00100,0300,MANAGEMENT FEES 158884,A81000B,00200,0300,MANAGEMENT FEES 158884,A81000B,00300,0300,ADM AND GEN. 158884,A81000B,00400,0300,MOVEABLE EQUIP 158884,A81000C,00100,0100,A 158884,A81000C,00100,0200,JEFF JEREBKER 158884,A81000C,00100,0400,PINON MANAGEMEN 158884,A81000C,00100,0600,MANAGEMENT/OVER 158884,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158884,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158884,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158884,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158884,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158884,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 158884,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 158884,B100000,00000,0800,0850TIME SPENT :DIETARY 158884,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 158884,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 158884,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 158884,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 158884,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 158884,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 158884,S000000,00100,0200,06/28/00 158884,S200000,00100,0100,750 8TH STREET 158884,S200000,00200,0100,OLATHE 158884,S200000,00200,0200,CO 158884,S200000,00200,0300,81425- 158884,S200000,00300,0100,MONTROSE 158884,S200000,00300,0200,06 158884,S200000,00300,0300,R 158884,S200000,00400,0100,COLOROW CARE CENTER 158884,S200000,00400,0200,065354 158884,S200000,00400,0300,09/01/96 158884,S200000,00400,0500,P 158884,S200000,00400,0600,O 158884,S200000,01500,0100,Y 158884,S200000,01600,0100,N 158884,S200000,01700,0100,N 158884,S200000,01800,0100,N 158884,S200000,02200,0100,N 158884,S200000,02800,0100,N 158884,S200000,02900,0100,N 158884,S200000,03000,0100,N 158884,S200000,03100,0100,N 158884,S200000,03200,0100,N 158884,S200000,04100,0100,N 158884,S200000,04200,0100,N 158884,S200000,04300,0100,N 158884,S200000,04600,0100,N 158884,S200000,04700,0100,N 158884,S200000,04700,0200,N 158884,S200000,04900,0100,N 158884,S200000,05000,0100,N 158884,S200000,05100,0100,N 158884,S200000,05200,0100,N 158885,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158885,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 158885,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158885,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 158885,A000000,00300,0000,0300EMPLOYEE BENEFITS 158885,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158885,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158885,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158885,A000000,00700,0000,0700HOUSEKEEPING 158885,A000000,00800,0000,0800DIETARY 158885,A000000,00801,0000,0801CAFETERIA 158885,A000000,00900,0000,0900NURSING ADMINISTRATION 158885,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158885,A000000,01100,0000,1100PHARMACY 158885,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158885,A000000,01300,0000,1300SOCIAL SERVICE 158885,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158885,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 158885,A000000,01600,0000,1600SKILLED NURSING FACILITY 158885,A000000,01800,0000,1800NURSING FACILITY 158885,A000000,01900,0000,1900OTHER LONG TERM CARE 158885,A000000,02100,0000,2100RADIOLOGY 158885,A000000,02200,0000,2200LABORATORY 158885,A000000,02300,0000,2300INTRAVENOUS THERAPY 158885,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158885,A000000,02500,0000,2500PHYSICAL THERAPY 158885,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158885,A000000,02700,0000,2700SPEECH PATHOLOGY 158885,A000000,02800,0000,2800ELECTROCARDIOLOGY 158885,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158885,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158885,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158885,A000000,03200,0000,3200SUPPORT SURFACES 158885,A000000,03300,0000,3050OTHER ANCILLARY 158885,A000000,03301,0000,3051OTHER ANCILLARY II 158885,A000000,03302,0000,3052OTHER ANCILLARY III 158885,A000000,03400,0000,3400CLINIC 158885,A000000,03500,0000,3500RURAL HEALTH CLINIC 158885,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 158885,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158885,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158885,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158885,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158885,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158885,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158885,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158885,A000000,04400,0000,4400DME RENTED - HHA 158885,A000000,04500,0000,4500DME SOLD - HHA 158885,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158885,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158885,A000000,04800,0000,4800AMBULANCE 158885,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158885,A000000,05000,0000,5000CORF 158885,A000000,05010,0000,5010CMHC I 158885,A000000,05020,0000,5020OPT I 158885,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158885,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158885,A000000,05300,0000,5300INTEREST EXPENSE 158885,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158885,A000000,05500,0000,5500HOSPICE 158885,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 158885,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 158885,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158885,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158885,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158885,A000000,06100,0000,6100NONPAID WORKERS 158885,A000000,06200,0000,6200PATIENTS LAUNDRY 158885,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158885,A81000A,00100,0100,N 158885,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 158885,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 158885,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 158885,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158885,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 158885,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 158885,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 158885,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 158885,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 158885,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 158885,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 158885,B100000,00000,1500,1350(PATIENT DAYS) :OTHER GENERAL S 158885,S000000,00100,0200,10/02/00 158885,S200000,00100,0100,4001 HOME STREET 158885,S200000,00200,0100,CASTLE ROCK 158885,S200000,00200,0200,CO 158885,S200000,00200,0300,80104- 158885,S200000,00300,0100,DOUGLAS 158885,S200000,00300,0200,2080 158885,S200000,00300,0300,U 158885,S200000,00400,0100,CASTLE ROCK CARE CENTER 158885,S200000,00400,0200,065285 158885,S200000,00400,0300,12/01/90 158885,S200000,00400,0500,P 158885,S200000,01500,0100,Y 158885,S200000,01600,0100,N 158885,S200000,01700,0100,N 158885,S200000,01800,0100,N 158885,S200000,02200,0100,Y 158885,S200000,02800,0100,N 158885,S200000,02900,0100,N 158885,S200000,03000,0100,N 158885,S200000,03100,0100,N 158885,S200000,03200,0100,N 158885,S200000,04100,0100,N 158885,S200000,04200,0100,N 158885,S200000,04300,0100,Y 158885,S200000,04600,0100,N 158885,S200000,04700,0100,N 158885,S200000,04700,0200,N 158885,S200000,04900,0100,N 158885,S200000,05000,0100,N 158885,S200000,05100,0100,N 158885,S200000,05200,0100,N 158886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158886,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158886,A000000,00300,0000,0300EMPLOYEE BENEFITS 158886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158886,A000000,00700,0000,0700HOUSEKEEPING 158886,A000000,00800,0000,0800DIETARY 158886,A000000,00900,0000,0900NURSING ADMINISTRATION 158886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158886,A000000,01100,0000,1100PHARMACY 158886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158886,A000000,01300,0000,1300SOCIAL SERVICE 158886,A000000,01500,0000,1350ACTIVITIES 158886,A000000,01600,0000,1600SKILLED NURSING FACILITY 158886,A000000,02100,0000,2100RADIOLOGY 158886,A000000,02200,0000,2200LABORATORY 158886,A000000,02300,0000,2300INTRAVENOUS THERAPY 158886,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158886,A000000,02500,0000,2500PHYSICAL THERAPY 158886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158886,A000000,02700,0000,2700SPEECH PATHOLOGY 158886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158886,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158886,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158886,A000000,05300,0000,5300INTEREST EXPENSE 158886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158886,A81000A,00100,0100,N 158886,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158886,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158886,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158886,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158886,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158886,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 158886,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 158886,B100000,00000,0800,0850HOURS OF SERVICE :DIETARY 158886,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 158886,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 158886,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 158886,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 158886,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 158886,S000000,00100,0200,07/05/00 158886,S200000,00100,0100,6121 WEST 60TH AVENUE 158886,S200000,00200,0100,ARVADA 158886,S200000,00200,0200,CO 158886,S200000,00200,0300,80003- 158886,S200000,00300,0100,JEFFERESON 158886,S200000,00300,0200,2080 158886,S200000,00300,0300,U 158886,S200000,00400,0100,ARVADA HEALTH CARE 158886,S200000,00400,0200,065321 158886,S200000,00400,0300,05/01/94 158886,S200000,00400,0500,P 158886,S200000,00400,0600,O 158886,S200000,01500,0100,Y 158886,S200000,01600,0100,N 158886,S200000,01700,0100,N 158886,S200000,01800,0100,N 158886,S200000,01900,0100,501C3 158886,S200000,02200,0100,N 158886,S200000,02800,0100,N 158886,S200000,02900,0100,N 158886,S200000,03000,0100,N 158886,S200000,03100,0100,N 158886,S200000,03200,0100,N 158886,S200000,04100,0100,N 158886,S200000,04200,0100,N 158886,S200000,04300,0100,N 158886,S200000,04600,0100,N 158886,S200000,04700,0100,N 158886,S200000,04700,0200,N 158886,S200000,04900,0100,N 158886,S200000,05000,0100,N 158886,S200000,05100,0100,N 158886,S200000,05200,0100,N 158890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158890,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 158890,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158890,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 158890,A000000,00300,0000,0300EMPLOYEE BENEFITS 158890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158890,A000000,00700,0000,0700HOUSEKEEPING 158890,A000000,00800,0000,0800DIETARY 158890,A000000,00801,0000,0801CAFETERIA 158890,A000000,00900,0000,0900NURSING ADMINISTRATION 158890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158890,A000000,01100,0000,1100PHARMACY 158890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158890,A000000,01300,0000,1300SOCIAL SERVICE 158890,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158890,A000000,01500,0000,1350ACTIVITIES 158890,A000000,01600,0000,1600SKILLED NURSING FACILITY 158890,A000000,01800,0000,1800NURSING FACILITY 158890,A000000,01900,0000,1900OTHER LONG TERM CARE 158890,A000000,02100,0000,2100RADIOLOGY 158890,A000000,02200,0000,2200LABORATORY 158890,A000000,02300,0000,2300INTRAVENOUS THERAPY 158890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158890,A000000,02500,0000,2500PHYSICAL THERAPY 158890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158890,A000000,02700,0000,2700SPEECH PATHOLOGY 158890,A000000,02800,0000,2800ELECTROCARDIOLOGY 158890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158890,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158890,A000000,03200,0000,3200SUPPORT SURFACES 158890,A000000,03300,0000,3050OXYGEN 158890,A000000,03301,0000,3051OTHER ANCILLARY II 158890,A000000,03302,0000,3052OTHER ANCILLARY III 158890,A000000,03400,0000,3400CLINIC 158890,A000000,03500,0000,3500RURAL HEALTH CLINIC 158890,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 158890,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158890,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158890,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158890,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158890,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158890,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158890,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158890,A000000,04400,0000,4400DME RENTED - HHA 158890,A000000,04500,0000,4500DME SOLD - HHA 158890,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158890,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158890,A000000,04800,0000,4800AMBULANCE 158890,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158890,A000000,05000,0000,5000CORF 158890,A000000,05010,0000,5010CMHC I 158890,A000000,05020,0000,5020OPT I 158890,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158890,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158890,A000000,05300,0000,5300INTEREST EXPENSE 158890,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158890,A000000,05500,0000,5500HOSPICE 158890,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 158890,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 158890,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158890,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158890,A000000,06100,0000,6100NONPAID WORKERS 158890,A000000,06200,0000,6200PATIENTS LAUNDRY 158890,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158890,A81000A,00100,0100,Y 158890,A81000B,00100,0300,ADMIN SALARY 158890,A81000B,00200,0300,LEGAL FEES 158890,A81000B,00300,0300,LEASE OFFICE 158890,A81000C,00100,0100,A 158890,A81000C,00100,0200,JAY MOSKOWITZ 158890,A81000C,00100,0400, JAY MOSKOWITZ 158890,A81000C,00100,0600, ADMINISTRATOR 158890,A81000C,00200,0100,D 158890,A81000C,00200,0200,J.RUDA 158890,A81000C,00200,0400, J. RUDA 158890,A81000C,00200,0600, ATTORNEY 158890,A81000C,00300,0100,A 158890,A81000C,00300,0200,RUDA/MOSKOWITZ 158890,A81000C,00300,0400, WRM LLC 158890,A81000C,00300,0600, RENTAL 158890,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 158890,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 158890,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 158890,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158890,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 158890,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 158890,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 158890,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 158890,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 158890,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 158890,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 158890,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 158890,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 158890,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 158890,S000000,00100,0200,02/18/00 158890,S200000,00100,0100,2920 FENTON STREET 158890,S200000,00200,0100,WHEAT RIDGE 158890,S200000,00200,0200,CO 158890,S200000,00200,0300,80214- 158890,S200000,00300,0100,JEFFERSON 158890,S200000,00300,0200,2080 158890,S200000,00300,0300,U 158890,S200000,00400,0100,WHEATRIDGE MANOR 158890,S200000,00400,0200,065308 158890,S200000,00400,0300,04/01/93 158890,S200000,00400,0500,P 158890,S200000,01500,0100,Y 158890,S200000,01600,0100,N 158890,S200000,01700,0100,N 158890,S200000,01800,0100,N 158890,S200000,02200,0100,Y 158890,S200000,02800,0100,Y 158890,S200000,02900,0100,N 158890,S200000,03000,0100,N 158890,S200000,03100,0100,N 158890,S200000,03200,0100,N 158890,S200000,04100,0100,N 158890,S200000,04200,0100,N 158890,S200000,04300,0100,N 158890,S200000,04600,0100,N 158890,S200000,04700,0100,N 158890,S200000,04700,0200,N 158890,S200000,04900,0100,N 158890,S200000,05000,0100,N 158890,S200000,05100,0100,N 158890,S200000,05200,0100,N 158891,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158891,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158891,A000000,00300,0000,0300EMPLOYEE BENEFITS 158891,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158891,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158891,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158891,A000000,00700,0000,0700HOUSEKEEPING 158891,A000000,00800,0000,0800DIETARY 158891,A000000,00900,0000,0900NURSING ADMINISTRATION 158891,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158891,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158891,A000000,01300,0000,1300SOCIAL SERVICE 158891,A000000,01600,0000,1600SKILLED NURSING FACILITY 158891,A000000,01800,0000,1800NURSING FACILITY 158891,A000000,02100,0000,2100RADIOLOGY 158891,A000000,02200,0000,2200LABORATORY 158891,A000000,02300,0000,2300INTRAVENOUS THERAPY 158891,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158891,A000000,02500,0000,2500PHYSICAL THERAPY 158891,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158891,A000000,02700,0000,2700SPEECH PATHOLOGY 158891,A000000,02800,0000,2800ELECTROCARDIOLOGY 158891,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158891,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158891,A000000,03200,0000,3200SUPPORT SURFACES 158891,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 158891,A000000,03301,0000,3051GLUCOSE TESTING 158891,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158891,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 158891,A81000A,00100,0100,Y 158891,A81000B,00100,0300,HOME OFFICE COSTS 158891,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158891,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158891,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158891,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158891,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158891,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 158891,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158891,B100000,00000,0800,0800MEALS SERVED :DIETARY 158891,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 158891,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 158891,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 158891,B100000,00000,1300,1330ADMISSIONS :SOCIAL SERVICE 158891,S000000,00100,0200,09/29/00 158891,S200000,00100,0100,2221 DILLON 158891,S200000,00200,0100,CLOVIS 158891,S200000,00200,0200,NM 158891,S200000,00200,0300,88101- 158891,S200000,00300,0100,CURRY 158891,S200000,00300,0200,32 158891,S200000,00300,0300,R 158891,S200000,00400,0100,RETIREMENT RANCH INC. 158891,S200000,00400,0200,325078 158891,S200000,00400,0300,07/06/92 158891,S200000,00400,0500,P 158891,S200000,01500,0100,N 158891,S200000,01600,0100,Y 158891,S200000,01700,0100,N 158891,S200000,01800,0100,N 158891,S200000,02200,0100,N 158891,S200000,02800,0100,Y 158891,S200000,02900,0100,N 158891,S200000,03000,0100,N 158891,S200000,03100,0100,N 158891,S200000,03200,0100,N 158891,S200000,04100,0100,N 158891,S200000,04200,0100,N 158891,S200000,04300,0100,N 158891,S200000,04600,0100,N 158891,S200000,04700,0100,N 158891,S200000,04700,0200,N 158891,S200000,04900,0100,N 158891,S200000,05000,0100,N 158891,S200000,05100,0100,N 158891,S200000,05200,0100,N 158892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158892,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158892,A000000,00300,0000,0300EMPLOYEE BENEFITS 158892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158892,A000000,00700,0000,0700HOUSEKEEPING 158892,A000000,00800,0000,0800DIETARY 158892,A000000,00900,0000,0900NURSING ADMINISTRATION 158892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158892,A000000,01100,0000,1100PHARMACY 158892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158892,A000000,01300,0000,1300SOCIAL SERVICE 158892,A000000,01301,0000,1351ACTIVITIES 158892,A000000,01600,0000,1600SKILLED NURSING FACILITY 158892,A000000,01800,0000,1800NURSING FACILITY 158892,A000000,02100,0000,2100RADIOLOGY 158892,A000000,02200,0000,2200LABORATORY 158892,A000000,02300,0000,2300INTRAVENOUS THERAPY 158892,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158892,A000000,02500,0000,2500PHYSICAL THERAPY 158892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158892,A000000,02700,0000,2700SPEECH PATHOLOGY 158892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158892,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158892,A000000,03301,0000,3051MEDICAL EQUIPMENT 158892,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158892,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158892,A81000A,00100,0100,Y 158892,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 158892,A81000B,00200,0300,CAPITAL - BUILDINGS 158892,A81000B,00300,0300,CAPITAL - EQUIPMENT 158892,A81000B,00400,0300,MEDICAL SUPPLIES - RELATED PARTY 158892,A81000B,00500,0300,CENTRAL SUPPLIES - RELATED PARTY 158892,A81000B,00600,0300,NURSING SUPPLIES - RELATED PARTY 158892,A81000C,00100,0100,B 158892,A81000C,00100,0200,PEAK MEDICAL CORPORATION 158892,A81000C,00100,0400,PEAK MEDICAL CORPORATION 158892,A81000C,00100,0600,HOME OFFICE SERVICES 158892,A81000C,00200,0100,B 158892,A81000C,00200,0200,PEAK MEDICAL CORPORATION 158892,A81000C,00200,0400,MEDICAL RESOURCES 158892,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 158892,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158892,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158892,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158892,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158892,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158892,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158892,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158892,B100000,00000,0800,0800MEALS SERVED :DIETARY 158892,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 158892,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 158892,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 158892,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158892,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 158892,S000000,00100,0200,11/02/00 158892,S200000,00100,0100,1100 TEXAS AVENUE 158892,S200000,00200,0100,DEER LODGE 158892,S200000,00200,0200,MT 158892,S200000,00200,0300,59722- 158892,S200000,00300,0100,POWELL 158892,S200000,00300,0200,27 158892,S200000,00300,0300,R 158892,S200000,00400,0100,COLONIAL MANOR OF DEERLODGE 158892,S200000,00400,0200,275134 158892,S200000,00400,0300,01/01/92 158892,S200000,00400,0500,P 158892,S200000,01500,0100,N 158892,S200000,01600,0100,Y 158892,S200000,01700,0100,N 158892,S200000,01800,0100,N 158892,S200000,02200,0100,N 158892,S200000,02800,0100,N 158892,S200000,02900,0100,N 158892,S200000,03000,0100,N 158892,S200000,03100,0100,N 158892,S200000,03200,0100,N 158892,S200000,04100,0100,N 158892,S200000,04200,0100,N 158892,S200000,04300,0100,N 158892,S200000,04600,0100,N 158892,S200000,04700,0100,N 158892,S200000,04700,0200,N 158892,S200000,04900,0100,N 158892,S200000,05000,0100,N 158892,S200000,05100,0100,N 158892,S200000,05200,0100,N 158896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158896,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158896,A000000,00300,0000,0300EMPLOYEE BENEFITS 158896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158896,A000000,00700,0000,0700HOUSEKEEPING 158896,A000000,00800,0000,0800DIETARY 158896,A000000,00900,0000,0900NURSING ADMINISTRATION 158896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158896,A000000,01100,0000,1100PHARMACY 158896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158896,A000000,01300,0000,1300SOCIAL SERVICE 158896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158896,A000000,01500,0000,1350OTHER GENERAL SERVICES 158896,A000000,01600,0000,1600SKILLED NURSING FACILITY 158896,A000000,01800,0000,1800NURSING FACILITY 158896,A000000,01810,0000,1810ICF/MR 158896,A000000,01900,0000,1900OTHER LONG TERM CARE 158896,A000000,02100,0000,2100RADIOLOGY 158896,A000000,02200,0000,2200LABORATORY 158896,A000000,02300,0000,2300INTRAVENOUS THERAPY 158896,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158896,A000000,02500,0000,2500PHYSICAL THERAPY 158896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158896,A000000,02700,0000,2700SPEECH PATHOLOGY 158896,A000000,02800,0000,2800ELECTROCARDIOLOGY 158896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158896,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158896,A000000,03200,0000,3200SUPPORT SURFACES 158896,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 158896,A000000,03400,0000,3400CLINIC 158896,A000000,03500,0000,3500RURAL HEALTH CLINIC 158896,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 158896,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158896,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158896,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158896,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158896,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158896,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158896,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158896,A000000,04400,0000,4400DME RENTED - HHA 158896,A000000,04500,0000,4500DME SOLD - HHA 158896,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158896,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158896,A000000,04800,0000,4800AMBULANCE 158896,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158896,A000000,05000,0000,5000CORF 158896,A000000,05100,0000,4750OTHER REIMBURSABLE COST 158896,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158896,A000000,05300,0000,5300INTEREST EXPENSE 158896,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158896,A000000,05500,0000,5500HOSPICE 158896,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 158896,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158896,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158896,A000000,06100,0000,6100NONPAID WORKERS 158896,A000000,06200,0000,6200PATIENTS LAUNDRY 158896,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158896,A81000A,00100,0100,Y 158896,A81000B,00100,0300,MANAGEMENT FEES 158896,A81000B,00200,0300,BILLING FEES 158896,A81000C,00100,0100,B 158896,A81000C,00100,0200,HOITT & ASSOCIATES 158896,A81000C,00100,0400,HOITT & ASSOCIATES 158896,A81000C,00100,0600,HEALTH CARE MGMT 158896,A81000C,00200,0100,B 158896,A81000C,00200,0200,MDP ASSOCIATES 158896,A81000C,00200,0400,MDP ASSOCIATES 158896,A81000C,00200,0600,BILLING & ACCOUNTING 158896,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158896,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158896,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158896,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158896,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 158896,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158896,B100000,00000,0800,0800MEALS SERVED :DIETARY 158896,B100000,00000,0900,0950DIRECT NURSING HR :NURSING ADMIN 158896,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 158896,B100000,00000,1100,1150GROSS CHARGES :PHARMACY 158896,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 158896,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 158896,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL SERVI 158896,S000000,00100,0200,04/22/02 158896,S200000,00100,0100,1150 OAK STREET 158896,S200000,00200,0100,LAKEWOOD 158896,S200000,00200,0200,CO 158896,S200000,00200,0300,80215- 158896,S200000,00300,0100,JEFFERSON 158896,S200000,00300,0200,2080 158896,S200000,00300,0300,U 158896,S200000,00400,0100,GRAND OAKS CARE CENTER 158896,S200000,00400,0200,065023 158896,S200000,00400,0300,01/01/72 158896,S200000,00400,0500,P 158896,S200000,01500,0100,N 158896,S200000,01600,0100,Y 158896,S200000,01700,0100,N 158896,S200000,01800,0100,N 158896,S200000,02200,0100,N 158896,S200000,02800,0100,N 158896,S200000,02900,0100,N 158896,S200000,03000,0100,N 158896,S200000,03100,0100,N 158896,S200000,03200,0100,N 158896,S200000,04100,0100,N 158896,S200000,04200,0100,N 158896,S200000,04300,0100,N 158896,S200000,04600,0100,N 158896,S200000,04700,0100,N 158896,S200000,04700,0200,N 158896,S200000,04900,0100,N 158896,S200000,05000,0100,N 158896,S200000,05100,0100,N 158896,S200000,05200,0100,N 158899,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158899,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158899,A000000,00300,0000,0300EMPLOYEE BENEFITS 158899,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158899,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158899,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158899,A000000,00700,0000,0700HOUSEKEEPING 158899,A000000,00800,0000,0800DIETARY 158899,A000000,00900,0000,0900NURSING ADMINISTRATION 158899,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158899,A000000,01100,0000,1100PHARMACY 158899,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158899,A000000,01300,0000,1300SOCIAL SERVICE 158899,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158899,A000000,01500,0000,1350ACTIVITIES 158899,A000000,01600,0000,1600SKILLED NURSING FACILITY 158899,A000000,02200,0000,2200LABORATORY 158899,A000000,02500,0000,2500PHYSICAL THERAPY 158899,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158899,A000000,02700,0000,2700SPEECH PATHOLOGY 158899,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158899,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158899,A000000,03550,0000,3550FQHC 158899,A000000,05000,0000,5000CORF 158899,A000000,05010,0000,5010CMHC 158899,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 158899,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158899,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158899,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158899,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158899,A81000A,00100,0100,Y 158899,A81000B,00100,0300,SALARIES 158899,A81000B,00300,0300,SALARIES 158899,A81000B,00500,0300,RENT 158899,A81000C,00100,0100,A 158899,A81000C,00100,0200,BEVERLY HARRISO 158899,A81000C,00300,0100,A 158899,A81000C,00300,0200,NEWELL HARRISON 158899,A81000C,00500,0100,D 158899,A81000C,00500,0400,FOWLER NRSG HOM 158899,A81000C,00500,0600,LESSOR 158899,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 158899,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 158899,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 158899,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158899,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 158899,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 158899,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 158899,B100000,00000,0800,0800MEALS SERVED :DIETARY 158899,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 158899,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 158899,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 158899,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 158899,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 158899,S000000,00100,0200,04/05/00 158899,S200000,00100,0100,221 2ND STREET 158899,S200000,00200,0100,FOWLER 158899,S200000,00200,0200,CO 158899,S200000,00200,0300,81039- 158899,S200000,00300,0100,OTERO 158899,S200000,00300,0200,06 158899,S200000,00300,0300,R 158899,S200000,00400,0100,FOWLER HEALTH CARE CENTER INC. 158899,S200000,00400,0200,065360 158899,S200000,00400,0300,06/23/97 158899,S200000,00400,0500,P 158899,S200000,01500,0100,Y 158899,S200000,01600,0100,N 158899,S200000,01700,0100,N 158899,S200000,01800,0100,N 158899,S200000,02200,0100,Y 158899,S200000,02800,0100,N 158899,S200000,02900,0100,N 158899,S200000,03000,0100,N 158899,S200000,03100,0100,N 158899,S200000,03200,0100,N 158899,S200000,04100,0100,N 158899,S200000,04200,0100,N 158899,S200000,04300,0100,N 158899,S200000,04600,0100,N 158899,S200000,04700,0100,N 158899,S200000,04700,0200,N 158899,S200000,04900,0100,N 158899,S200000,05000,0100,N 158899,S200000,05100,0100,N 158899,S200000,05200,0100,N 158978,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 158978,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 158978,A000000,00300,0000,0300EMPLOYEE BENEFITS 158978,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 158978,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 158978,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 158978,A000000,00700,0000,0700HOUSEKEEPING 158978,A000000,00800,0000,0800DIETARY 158978,A000000,00900,0000,0900NURSING ADMINISTRATION 158978,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 158978,A000000,01100,0000,1100PHARMACY 158978,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 158978,A000000,01300,0000,1300SOCIAL SERVICE 158978,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 158978,A000000,01600,0000,1600SKILLED NURSING FACILITY 158978,A000000,01800,0000,1800NURSING FACILITY 158978,A000000,01810,0000,1810ICF/MR 158978,A000000,01900,0000,1900OTHER LONG TERM CARE 158978,A000000,02100,0000,2100RADIOLOGY 158978,A000000,02200,0000,2200LABORATORY 158978,A000000,02300,0000,2300INTRAVENOUS THERAPY 158978,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 158978,A000000,02500,0000,2500PHYSICAL THERAPY 158978,A000000,02600,0000,2600OCCUPATIONAL THERAPY 158978,A000000,02700,0000,2700SPEECH PATHOLOGY 158978,A000000,02800,0000,2800ELECTROCARDIOLOGY 158978,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 158978,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 158978,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 158978,A000000,03200,0000,3200SUPPORT SURFACES 158978,A000000,03400,0000,3400CLINIC 158978,A000000,03500,0000,3500RURAL HEALTH CLINIC 158978,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENTE 158978,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 158978,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 158978,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 158978,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 158978,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 158978,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 158978,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 158978,A000000,04400,0000,4400DME RENTED - HHA 158978,A000000,04500,0000,4500DME SOLD - HHA 158978,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 158978,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 158978,A000000,04800,0000,4800AMBULANCE 158978,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 158978,A000000,05000,0000,5000CORF 158978,A000000,05010,0000,5010CMHC 158978,A000000,05020,0000,5020OPT 158978,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 158978,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 158978,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 158978,A000000,05300,0000,5300INTEREST EXPENSE 158978,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 158978,A000000,05500,0000,5500HOSPICE 158978,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 158978,A000000,05900,0000,5900BARBER & BEAUTY SHOP 158978,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 158978,A000000,06100,0000,6100NONPAID WORKERS 158978,A000000,06200,0000,6200PATIENTS LAUNDRY 158978,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 158978,A81000A,00100,0100,N 158978,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 158978,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 158978,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 158978,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 158978,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 158978,B100000,00000,0600,0650(INPATIENT DAYS) :LAUNDRY & LIN 158978,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 158978,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 158978,B100000,00000,0900,0950(INPATIENT DAYS) :NURSING ADMIN 158978,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 158978,B100000,00000,1100,1100(COSTED REQUIS) :PHARMACY 158978,B100000,00000,1200,1250(INPATIENT DAYS :MEDICAL RECORD 158978,B100000,00000,1300,1330(INPATIENT DAYS) :SOCIAL SERVIC 158978,E10A180,00301,0100,06/30/00 158978,S000000,00100,0200,06/30/02 158978,S200000,00100,0100,130 SPENCER LANE 158978,S200000,00200,0100,SAN ANTONIO 158978,S200000,00200,0200,TE 158978,S200000,00200,0300,78216- 158978,S200000,00300,0100,USA 158978,S200000,00300,0200,7240 158978,S200000,00300,0300,U 158978,S200000,00400,0100,GOLDEN MANOR 158978,S200000,00400,0200,675690 158978,S200000,00400,0300,06/04/97 158978,S200000,00400,0500,P 158978,S200000,01500,0100,Y 158978,S200000,01600,0100,N 158978,S200000,01700,0100,N 158978,S200000,01800,0100,N 158978,S200000,02200,0100,Y 158978,S200000,02800,0100,N 158978,S200000,02900,0100,N 158978,S200000,03000,0100,N 158978,S200000,03100,0100,N 158978,S200000,03200,0100,N 158978,S200000,04100,0100,N 158978,S200000,04200,0100,N 158978,S200000,04300,0100,N 158978,S200000,04600,0100,N 158978,S200000,04700,0100,N 158978,S200000,04700,0200,N 158978,S200000,04900,0100,N 158978,S200000,05000,0100,N 158978,S200000,05100,0100,N 158978,S200000,05200,0100,N 159041,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159041,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159041,A000000,00300,0000,0300EMPLOYEE BENEFITS 159041,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159041,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159041,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159041,A000000,00700,0000,0700HOUSEKEEPING 159041,A000000,00800,0000,0800DIETARY 159041,A000000,00900,0000,0900NURSING ADMINISTRATION 159041,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159041,A000000,01100,0000,1100PHARMACY 159041,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159041,A000000,01300,0000,1300SOCIAL SERVICE 159041,A000000,01600,0000,1600SKILLED NURSING FACILITY 159041,A000000,01800,0000,1800NURSING FACILITY 159041,A000000,01900,0000,1900OTHER LONG TERM CARE 159041,A000000,02100,0000,2100RADIOLOGY 159041,A000000,02200,0000,2200LABORATORY 159041,A000000,02300,0000,2300INTRAVENOUS THERAPY 159041,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159041,A000000,02500,0000,2500PHYSICAL THERAPY 159041,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159041,A000000,02700,0000,2700SPEECH PATHOLOGY 159041,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159041,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159041,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 159041,A000000,04800,0000,4800AMBULANCE 159041,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159041,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159041,A81000A,00100,0100,Y 159041,A81000B,00100,0300,HOME OFFICE ALLOC 159041,A81000B,00200,0300,HOME OFFICE ALLOC 159041,A81000B,00300,0300,PHARMACY 159041,A81000B,00400,0300,PHYSICAL THERAPY 159041,A81000B,00500,0300,OCCUPATIONAL THERAPY 159041,A81000B,00600,0300,SPEECH THERAPY 159041,A81000C,00100,0100,A 159041,A81000C,00100,0200,COVENANT CARE INC 159041,A81000C,00100,0400,COVENANT CARE INC. 159041,A81000C,00100,0600,HEALTH CARE 159041,A81000C,00200,0100,B 159041,A81000C,00200,0200,PHARMACY 159041,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 159041,A81000C,00200,0600,PHARMACY - HEALTH CARE 159041,A81000C,00300,0100,C 159041,A81000C,00300,0200,THERAPY 159041,A81000C,00300,0400,SELECT THEREAPY 159041,A81000C,00300,0600,THERAPY SERVICES 159041,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159041,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159041,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159041,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159041,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159041,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159041,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159041,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159041,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 159041,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 159041,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159041,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159041,S000000,00100,0200,06/01/00 159041,S200000,00100,0100,13007 SOUTH PARAMOUNT BLVD. 159041,S200000,00200,0100,DOWNEY 159041,S200000,00200,0200,CA 159041,S200000,00200,0300,90242- 159041,S200000,00300,0100,LOS ANGELES 159041,S200000,00300,0300,U 159041,S200000,00400,0100,DOWNEY CARE CENTER 159041,S200000,00400,0200,055519 159041,S200000,00400,0300,08/17/77 159041,S200000,00400,0500,P 159041,S200000,00600,0200,055519 159041,S200000,00600,0300,08/17/77 159041,S200000,00600,0600,O 159041,S200000,01500,0100,N 159041,S200000,01600,0100,Y 159041,S200000,01700,0100,N 159041,S200000,01800,0100,N 159041,S200000,02200,0100,N 159041,S200000,02800,0100,N 159041,S200000,02900,0100,N 159041,S200000,03000,0100,N 159041,S200000,03100,0100,N 159041,S200000,03200,0100,N 159041,S200000,04100,0100,N 159041,S200000,04200,0100,N 159041,S200000,04300,0100,N 159041,S200000,04600,0100,N 159041,S200000,04700,0100,N 159041,S200000,04700,0200,N 159041,S200000,04900,0100,N 159041,S200000,05000,0100,N 159041,S200000,05100,0100,N 159041,S200000,05200,0100,N 159131,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 159131,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 159131,A000000,00300,0000,0300EMPLOYEE BENEFITS 159131,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159131,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 159131,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159131,A000000,00700,0000,0700HOUSEKEEPING 159131,A000000,00800,0000,0800DIETARY 159131,A000000,00900,0000,0900NURSING ADMINISTRATION 159131,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159131,A000000,01100,0000,1100PHARMACY 159131,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159131,A000000,01300,0000,1300SOCIAL SERVICE 159131,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 159131,A000000,01500,0000,1350OTHER GENERAL SERVICES 159131,A000000,01600,0000,1600SKILLED NURSING FACILITY 159131,A000000,01800,0000,1800NURSING FACILITY 159131,A000000,01810,0000,1810ICF/MR 159131,A000000,02100,0000,2100RADIOLOGY 159131,A000000,02200,0000,2200LABORATORY 159131,A000000,02500,0000,2500PHYSICAL THERAPY 159131,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159131,A000000,02700,0000,2700SPEECH PATHOLOGY 159131,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 159131,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159131,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159131,A000000,03550,0000,3550FQHC 159131,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159131,A000000,04801,0000,4801AMBULANCE 159131,A000000,04802,0000,4802AMBULANCE 159131,A000000,04803,0000,4803AMBULANCE 159131,A000000,05000,0000,5000CORF 159131,A000000,05010,0000,5010CMHC 159131,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159131,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159131,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159131,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159131,A000000,05300,0000,5300INTEREST EXPENSE 159131,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159131,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 159131,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159131,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159131,A81000A,00100,0100,Y 159131,A81000B,00100,0300,DEPRECIATION 159131,A81000B,00200,0300,DIRECTORS FEES 159131,A81000B,00300,0300,ADMINISTRATOR S SALARY 159131,A81000B,00400,0300,ASST ADMIN. SALARY 159131,A81000B,00500,0300,DEFERRED COMPENSATION 159131,A81000B,00600,0300,INTEREST EXPENSE 159131,A81000B,00700,0300,OXYGEN EXPENSE 159131,A81000B,00800,0300,EQUIPMENT RENTAL 159131,A81000B,00900,0300,AIDES SALARY 159131,A81000C,00100,0100,A 159131,A81000C,00100,0200,WOOLLEN NELSON 159131,A81000C,00100,0400,FACILITIES DEV CORP 159131,A81000C,00100,0600,DEV & ARCHITECTS 159131,A81000C,00200,0100,E 159131,A81000C,00200,0200,WOOLLEN NELSON WHEELER 159131,A81000C,00200,0600,INDIVIDUAL 159131,A81000C,00300,0100,E 159131,A81000C,00300,0200,WAYNE WHEELER 159131,A81000C,00300,0600,INDIVIDUAL 159131,A81000C,00400,0100,F 159131,A81000C,00400,0200,WHEELER 159131,A81000C,00400,0600,INDIVIDUAL 159131,A81000C,00500,0100,E 159131,A81000C,00500,0200,WHEELER 159131,A81000C,00500,0600,INDIVIDUAL 159131,A81000C,00600,0100,E 159131,A81000C,00600,0200,WHEELER 159131,A81000C,00600,0600,INDIVIDUAL 159131,A81000C,00700,0100,A 159131,A81000C,00700,0200,WHEELER 159131,A81000C,00700,0400,ASHLEY ENTERPRISES 159131,A81000C,00700,0600,CONSULTING/SUP/EQUIPMENT 159131,A81000C,00800,0100,A 159131,A81000C,00800,0200,WHEELER 159131,A81000C,00800,0400,ASHLEY ENTERPRISES 159131,A81000C,00800,0600,CONSULTING/SUP/EQUIPMENT 159131,A81000C,00900,0100,F 159131,A81000C,00900,0200,WHEELER 159131,A81000C,00900,0600,INDIVIDUAL 159131,B100000,00000,0100,0100SQUARE FEET 159131,B100000,00000,0200,0200SQUARE FEET 159131,B100000,00000,0300,0300GROSS SALARIES 159131,B100000,00000,0400,0400ACCUM COST 159131,B100000,00000,0500,0500SQUARE FEET 159131,B100000,00000,0600,0600POUNDS OF LAUNDRY 159131,B100000,00000,0700,0700SQUARE FEET 159131,B100000,00000,0800,0800MEALS SERVED 159131,B100000,00000,0900,0900DIRECT NRSING HRS 159131,B100000,00000,1000,1000COSTED REQUIS. 159131,B100000,00000,1100,1100COSTED REQUIS. 159131,B100000,00000,1200,1200TIME SPENT 159131,B100000,00000,1300,1300TIME SPENT 159131,B100000,00000,1400,1400ASSIGNED TIME 159131,B100000,00000,1500,1350NO STATISTICS 159131,E10A180,00501,0100,06/06/00 159131,E10A180,00550,0300,06/06/00 159131,S000000,00100,0200,05/09/00 159131,S200000,00100,0100,174 BALLPARK ROAD 159131,S200000,00200,0100,VIENNA 159131,S200000,00200,0200,MO 159131,S200000,00300,0100,MARIES 159131,S200000,00300,0200,0026 159131,S200000,00300,0300,R 159131,S200000,00400,0100,MARIES MANOR NURSING HOME INC. 159131,S200000,00400,0200,265249 159131,S200000,00400,0300,09/27/84 159131,S200000,00400,0500,P 159131,S200000,01500,0100,N 159131,S200000,01600,0100,Y 159131,S200000,01700,0100,N 159131,S200000,01800,0100,N 159131,S200000,02200,0100,Y 159131,S200000,02800,0100,N 159131,S200000,02900,0100,N 159131,S200000,03000,0100,N 159131,S200000,03100,0100,N 159131,S200000,03200,0100,N 159131,S200000,03300,0100,N 159131,S200000,03300,0200,N 159131,S200000,04100,0100,N 159131,S200000,04200,0100,N 159131,S200000,04300,0100,N 159131,S200000,04600,0100,N 159131,S200000,04700,0100,N 159131,S200000,04900,0100,N 159131,S200000,05200,0100,N 159302,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159302,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159302,A000000,00300,0000,0300EMPLOYEE BENEFITS 159302,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159302,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159302,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159302,A000000,00700,0000,0700HOUSEKEEPING 159302,A000000,00800,0000,0800DIETARY 159302,A000000,00900,0000,0900NURSING ADMINISTRATION 159302,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159302,A000000,01300,0000,1300SOCIAL SERVICE 159302,A000000,01600,0000,1600SKILLED NURSING FACILITY 159302,A000000,01800,0000,1800NURSING FACILITY 159302,A000000,02100,0000,2100RADIOLOGY 159302,A000000,02200,0000,2200LABORATORY 159302,A000000,02500,0000,2500PHYSICAL THERAPY 159302,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159302,A000000,02700,0000,2700SPEECH PATHOLOGY 159302,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159302,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159302,A000000,05300,0000,5300INTEREST EXPENSE 159302,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159302,A000000,05900,0000,5900BARBER AND BEAUTY SHOP 159302,A81000A,00100,0100,Y 159302,A81000B,00100,0300,PUMP STATION 159302,A81000B,00200,0300,MY PLACE FEES 159302,A81000B,00300,0300,GENERAL PARTNER FEES 159302,A81000B,00400,0300,CONSTRUCTION SOFTWARE 159302,A81000B,00500,0300,GREGORY BUILDING FEES 159302,A81000B,00600,0300,COVENTRY ASSOCIATES 159302,A81000B,00700,0300,STERLING INTEREST 159302,A81000B,00800,0300,COVENTRY ASSOCIATES 159302,A81000B,00900,0300,COVENTRY ASSOCIATES 159302,A81000B,00901,0300,SMAI INTEREST 159302,A81000B,00902,0300,SMAI INTEREST 159302,A81000B,00903,0300,SMAI INTEREST 159302,A81000B,00904,0300,SHC MGMT FEES 159302,A81000B,00905,0300,SHC ALLOCTION 159302,A81000B,00906,0300,CHC BUILDING RENT 159302,A81000B,00907,0300,ANTONIO GIORDANO INT 159302,A81000B,00908,0300,SHC ALLOCTIO 159302,A81000C,00100,0100,A 159302,A81000C,00100,0200,A. GIORDANO 159302,A81000C,00100,0400,WOODLAND MANOR 159302,A81000C,00100,0600,PUMP STATION 159302,A81000C,00200,0100,D 159302,A81000C,00200,0200,A. GIORDANO FAM 159302,A81000C,00200,0400,MY PLACE 159302,A81000C,00200,0600,EE CONSULT 159302,A81000C,00300,0100,A 159302,A81000C,00300,0200,GIORDANO ETC 159302,A81000C,00300,0400,COVENTRY ASSOC 159302,A81000C,00300,0600,REAL ESTATE 159302,A81000C,00400,0100,A 159302,A81000C,00400,0200,A. GIORDANO 159302,A81000C,00400,0400,CONSTRUCTION SW 159302,A81000C,00400,0600,CONSULTING 159302,A81000C,00500,0100,D 159302,A81000C,00500,0200,A. GIORDANO FAM 159302,A81000C,00500,0400,GREGORY BUILDIN 159302,A81000C,00500,0600,CONSTRUCTION 159302,A81000C,00600,0100,A 159302,A81000C,00600,0200,A. GIORDANO 159302,A81000C,00600,0400,SUBURBAN MTGE 159302,A81000C,00600,0600,MORTGAGE BROKER 159302,A81000C,00700,0100,D 159302,A81000C,00700,0200,A. GIORDANO FA 159302,A81000C,00700,0400,STERLING HCM 159302,A81000C,00700,0600,NH MGMT 159302,S000000,00100,0200,06/09/00 159302,S200000,00100,0100,10 WOODLAND DRIVE 159302,S200000,00200,0100,COVENTRY 159302,S200000,00200,0200,RI 159302,S200000,00200,0300,02816 159302,S200000,00300,0100,KENT 159302,S200000,00300,0200,6483 159302,S200000,00300,0300,U 159302,S200000,00400,0100,COVENTRY HEALTH CENTER 159302,S200000,00400,0200,415078 159302,S200000,00400,0300,02/08/83 159302,S200000,00400,0500,P 159302,S200000,00400,0600,N 159302,S200000,01500,0100,N 159302,S200000,01600,0100,Y 159302,S200000,01700,0100,N 159302,S200000,01800,0100,N 159302,S200000,02200,0100,Y 159302,S200000,02800,0100,Y 159302,S200000,02900,0100,N 159302,S200000,03000,0100,N 159302,S200000,03100,0100,N 159302,S200000,03200,0100,N 159302,S200000,03300,0100,N 159302,S200000,03300,0200,N 159302,S200000,04100,0100,N 159302,S200000,04200,0100,N 159302,S200000,04300,0100,Y 159302,S200000,04600,0100,N 159302,S200000,04700,0100,N 159302,S200000,04900,0100,N 159302,S700003,00000,0100,X 159352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159352,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159352,A000000,00300,0000,0300EMPLOYEE BENEFITS 159352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159352,A000000,00700,0000,0700HOUSEKEEPING 159352,A000000,00800,0000,0800DIETARY 159352,A000000,00900,0000,0900NURSING ADMINISTRATION 159352,A000000,00901,0000,0901OTHER NURSING 159352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159352,A000000,01100,0000,1100PHARMACY 159352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159352,A000000,01300,0000,1300SOCIAL SERVICE 159352,A000000,01301,0000,1301ACTIVITIES 159352,A000000,01600,0000,1600SKILLED NURSING FACILITY 159352,A000000,01800,0000,1800NURSING FACILITY 159352,A000000,02100,0000,2100RADIOLOGY 159352,A000000,02200,0000,2200LABORATORY 159352,A000000,02300,0000,2300INTRAVENOUS THERAPY 159352,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159352,A000000,02500,0000,2500PHYSICAL THERAPY 159352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159352,A000000,02700,0000,2700SPEECH PATHOLOGY 159352,A000000,02800,0000,2800ELECTROCARDIOLOGY 159352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159352,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159352,A000000,03301,0000,3051NUTRITIONAL THERAPY 159352,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159352,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159352,A000000,04800,0000,4800AMBULANCE 159352,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159352,A000000,05300,0000,5300INTEREST EXPENSE 159352,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159352,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159352,A000000,06200,0000,6200PATIENTS LAUNDRY 159352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159352,A000000,06301,0000,6151DAY CARE 159352,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 159352,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159352,A81000A,00100,0100,Y 159352,A81000B,00100,0300,HOME OFFICE COSTS 159352,A81000B,00200,0300,LIABILITY INSURANCE 159352,A81000B,00500,0300,VC PHARMACY - ADMIN 159352,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 159352,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 159352,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 159352,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 159352,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 159352,A81000B,01500,0300,VENCARE REHAB - PHYS THER 159352,A81000B,01600,0300,VENCARE REHAB - OCCP THER 159352,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 159352,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 159352,A81000B,01900,0300,VC PHARMACY - LEGEND 159352,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 159352,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 159352,A81000C,00100,0100,B 159352,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 159352,A81000C,00100,0400,CORNERSTONE INSURANCE CO 159352,A81000C,00100,0600,LIABILITY INSURANCE 159352,A81000C,00200,0400,VENCARE PHARMACY SERVICES 159352,A81000C,00200,0600,PHARMACY 159352,A81000C,00300,0400,VENCARE RESPIRATORY 159352,A81000C,00300,0600,RESPIRATORY THERAPY 159352,A81000C,00400,0400,THERAPY SERVICES 159352,A81000C,00500,0400,VENCARE REHAB SERVICES 159352,A81000C,00500,0600,REHAB 159352,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 159352,A81000C,00600,0600,PORTABLE X-RAY 159352,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159352,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159352,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159352,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159352,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159352,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159352,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159352,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159352,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159352,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 159352,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159352,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 159352,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159352,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159352,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159352,S000000,00100,0200,12/01/00 159352,S200000,00100,0100,337 SOUTH HARRISON STREET 159352,S200000,00200,0100,LEBANON 159352,S200000,00200,0200,KY 159352,S200000,00200,0300,40033- 159352,S200000,00300,0100,MARION 159352,S200000,00300,0300,R 159352,S200000,00400,0100,#279 CEDARS OF LEBANON NURSING CTR 159352,S200000,00400,0200,185267 159352,S200000,00400,0300,06/12/91 159352,S200000,00400,0500,P 159352,S200000,01500,0100,N 159352,S200000,01600,0100,Y 159352,S200000,01700,0100,N 159352,S200000,01800,0100,N 159352,S200000,02200,0100,Y 159352,S200000,02800,0100,N 159352,S200000,02900,0100,N 159352,S200000,03000,0100,N 159352,S200000,03100,0100,N 159352,S200000,03200,0100,N 159352,S200000,04100,0100,N 159352,S200000,04200,0100,N 159352,S200000,04300,0100,N 159352,S200000,04600,0100,N 159352,S200000,04700,0100,N 159352,S200000,04700,0200,N 159352,S200000,04900,0100,N 159352,S200000,05000,0100,N 159352,S200000,05100,0100,N 159352,S200000,05200,0100,N 159353,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159353,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159353,A000000,00300,0000,0300EMPLOYEE BENEFITS 159353,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159353,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159353,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159353,A000000,00700,0000,0700HOUSEKEEPING 159353,A000000,00800,0000,0800DIETARY 159353,A000000,00900,0000,0900NURSING ADMINISTRATION 159353,A000000,00901,0000,0901OTHER NURSING 159353,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159353,A000000,01100,0000,1100PHARMACY 159353,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159353,A000000,01300,0000,1300SOCIAL SERVICE 159353,A000000,01301,0000,1301ACTIVITIES 159353,A000000,01600,0000,1600SKILLED NURSING FACILITY 159353,A000000,01800,0000,1800NURSING FACILITY 159353,A000000,02100,0000,2100RADIOLOGY 159353,A000000,02200,0000,2200LABORATORY 159353,A000000,02300,0000,2300INTRAVENOUS THERAPY 159353,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159353,A000000,02500,0000,2500PHYSICAL THERAPY 159353,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159353,A000000,02700,0000,2700SPEECH PATHOLOGY 159353,A000000,02800,0000,2800ELECTROCARDIOLOGY 159353,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159353,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159353,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159353,A000000,03301,0000,3051NUTRITIONAL THERAPY 159353,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159353,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159353,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159353,A000000,04800,0000,4800AMBULANCE 159353,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159353,A000000,05300,0000,5300INTEREST EXPENSE 159353,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159353,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159353,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159353,A000000,06200,0000,6200PATIENTS LAUNDRY 159353,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159353,A000000,06301,0000,6151DAY CARE 159353,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 159353,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159353,A81000A,00100,0100,Y 159353,A81000B,00100,0300,HOME OFFICE COSTS 159353,A81000B,00200,0300,LIABILITY INSURANCE 159353,A81000B,00500,0300,VC PHARMACY - ADMIN 159353,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 159353,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 159353,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 159353,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 159353,A81000B,01400,0300,VC PHARMACY - IV THERAPY 159353,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 159353,A81000B,01600,0300,VENCARE REHAB - PHYS THER 159353,A81000B,01700,0300,VENCARE REHAB - OCCP THER 159353,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 159353,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 159353,A81000B,02000,0300,VC PHARMACY - LEGEND 159353,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 159353,A81000C,00100,0100,B 159353,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 159353,A81000C,00100,0400,CORNERSTONE INSURANCE CO 159353,A81000C,00100,0600,LIABILITY INSURANCE 159353,A81000C,00200,0400,VENCARE PHARMACY SERVICES 159353,A81000C,00200,0600,PHARMACY 159353,A81000C,00300,0400,VENCARE RESPIRATORY 159353,A81000C,00300,0600,RESPIRATORY THERAPY 159353,A81000C,00400,0400,THERAPY SERVICES 159353,A81000C,00500,0400,VENCARE REHAB SERVICES 159353,A81000C,00500,0600,REHAB 159353,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 159353,A81000C,00600,0600,PORTABLE X-RAY 159353,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159353,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159353,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159353,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159353,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159353,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159353,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159353,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159353,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159353,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 159353,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159353,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 159353,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159353,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159353,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159353,S000000,00100,0200,12/01/00 159353,S200000,00100,0100,853 LEXINGTON ROAD 159353,S200000,00200,0100,HARRODSBURG 159353,S200000,00200,0200,KY 159353,S200000,00200,0300,40330- 159353,S200000,00300,0100,MERCER 159353,S200000,00300,0300,R 159353,S200000,00400,0100,864 - HARRODSBURG HEALTH CARE CENTER 159353,S200000,00400,0200,185287 159353,S200000,00400,0300,08/06/91 159353,S200000,00400,0500,P 159353,S200000,01500,0100,N 159353,S200000,01600,0100,Y 159353,S200000,01700,0100,N 159353,S200000,01800,0100,N 159353,S200000,02200,0100,Y 159353,S200000,02800,0100,N 159353,S200000,02900,0100,N 159353,S200000,03000,0100,N 159353,S200000,03100,0100,N 159353,S200000,03200,0100,N 159353,S200000,04100,0100,N 159353,S200000,04200,0100,N 159353,S200000,04300,0100,N 159353,S200000,04600,0100,N 159353,S200000,04700,0100,N 159353,S200000,04700,0200,N 159353,S200000,04900,0100,N 159353,S200000,05000,0100,N 159353,S200000,05100,0100,N 159353,S200000,05200,0100,N 159354,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159354,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159354,A000000,00300,0000,0300EMPLOYEE BENEFITS 159354,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159354,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159354,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159354,A000000,00700,0000,0700HOUSEKEEPING 159354,A000000,00800,0000,0800DIETARY 159354,A000000,00900,0000,0900NURSING ADMINISTRATION 159354,A000000,00901,0000,0901OTHER NURSING 159354,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159354,A000000,01100,0000,1100PHARMACY 159354,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159354,A000000,01300,0000,1300SOCIAL SERVICE 159354,A000000,01301,0000,1301ACTIVITIES 159354,A000000,01600,0000,1600SKILLED NURSING FACILITY 159354,A000000,01800,0000,1800NURSING FACILITY 159354,A000000,02100,0000,2100RADIOLOGY 159354,A000000,02200,0000,2200LABORATORY 159354,A000000,02300,0000,2300INTRAVENOUS THERAPY 159354,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159354,A000000,02500,0000,2500PHYSICAL THERAPY 159354,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159354,A000000,02700,0000,2700SPEECH PATHOLOGY 159354,A000000,02800,0000,2800ELECTROCARDIOLOGY 159354,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159354,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159354,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159354,A000000,03301,0000,3051NUTRITIONAL THERAPY 159354,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159354,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159354,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159354,A000000,04800,0000,4800AMBULANCE 159354,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159354,A000000,05300,0000,5300INTEREST EXPENSE 159354,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159354,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159354,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159354,A000000,06200,0000,6200PATIENTS LAUNDRY 159354,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159354,A000000,06301,0000,6151DAY CARE 159354,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 159354,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159354,A81000A,00100,0100,Y 159354,A81000B,00100,0300,HOME OFFICE COSTS 159354,A81000B,00200,0300,LIABILITY INSURANCE 159354,A81000B,00500,0300,VC PHARMACY - ADMIN 159354,A81000B,00900,0300,VC PHARMACY - DIETARY 159354,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 159354,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 159354,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 159354,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 159354,A81000B,01400,0300,VC PHARMACY - IV THERAPY 159354,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 159354,A81000B,01600,0300,VENCARE REHAB - PHYS THER 159354,A81000B,01700,0300,VENCARE REHAB - OCCP THER 159354,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 159354,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 159354,A81000B,02000,0300,VC PHARMACY - LEGEND 159354,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 159354,A81000B,02200,0300,VC PHARMACY - EMPL BENEFITS 159354,A81000C,00100,0100,B 159354,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 159354,A81000C,00100,0400,CORNERSTONE INSURANCE CO 159354,A81000C,00100,0600,LIABILITY INSURANCE 159354,A81000C,00200,0400,VENCARE PHARMACY SERVICES 159354,A81000C,00200,0600,PHARMACY 159354,A81000C,00300,0400,VENCARE RESPIRATORY 159354,A81000C,00300,0600,RESPIRATORY THERAPY 159354,A81000C,00400,0400,THERAPY SERVICES 159354,A81000C,00500,0400,VENCARE REHAB SERVICES 159354,A81000C,00500,0600,REHAB 159354,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 159354,A81000C,00600,0600,PORTABLE X-RAY 159354,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159354,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159354,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159354,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159354,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159354,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159354,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159354,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159354,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159354,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 159354,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159354,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 159354,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159354,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159354,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159354,S000000,00100,0200,12/01/00 159354,S200000,00100,0100,515 GREEN DRIVE 159354,S200000,00200,0100,GREENVILLE 159354,S200000,00200,0200,KY 159354,S200000,00200,0300,42345- 159354,S200000,00300,0100,MUHLENBERG 159354,S200000,00300,0300,R 159354,S200000,00400,0100,282 - MAPLE MANOR HEALTH CARE CENTER 159354,S200000,00400,0200,185294 159354,S200000,00400,0300,08/16/91 159354,S200000,00400,0500,P 159354,S200000,01500,0100,N 159354,S200000,01600,0100,Y 159354,S200000,01700,0100,N 159354,S200000,01800,0100,N 159354,S200000,02200,0100,Y 159354,S200000,02800,0100,N 159354,S200000,02900,0100,N 159354,S200000,03000,0100,N 159354,S200000,03100,0100,N 159354,S200000,03200,0100,N 159354,S200000,04100,0100,N 159354,S200000,04200,0100,N 159354,S200000,04300,0100,N 159354,S200000,04600,0100,N 159354,S200000,04700,0100,N 159354,S200000,04700,0200,N 159354,S200000,04900,0100,N 159354,S200000,05000,0100,N 159354,S200000,05100,0100,N 159354,S200000,05200,0100,N 159355,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159355,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159355,A000000,00300,0000,0300EMPLOYEE BENEFITS 159355,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159355,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159355,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159355,A000000,00700,0000,0700HOUSEKEEPING 159355,A000000,00800,0000,0800DIETARY 159355,A000000,00900,0000,0900NURSING ADMINISTRATION 159355,A000000,00901,0000,0901OTHER NURSING 159355,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159355,A000000,01100,0000,1100PHARMACY 159355,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159355,A000000,01300,0000,1300SOCIAL SERVICE 159355,A000000,01301,0000,1301ACTIVITIES 159355,A000000,01600,0000,1600SKILLED NURSING FACILITY 159355,A000000,01800,0000,1800NURSING FACILITY 159355,A000000,02100,0000,2100RADIOLOGY 159355,A000000,02200,0000,2200LABORATORY 159355,A000000,02300,0000,2300INTRAVENOUS THERAPY 159355,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159355,A000000,02500,0000,2500PHYSICAL THERAPY 159355,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159355,A000000,02700,0000,2700SPEECH PATHOLOGY 159355,A000000,02800,0000,2800ELECTROCARDIOLOGY 159355,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159355,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159355,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159355,A000000,03301,0000,3051NUTRITIONAL THERAPY 159355,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159355,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159355,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159355,A000000,04800,0000,4800AMBULANCE 159355,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159355,A000000,05300,0000,5300INTEREST EXPENSE 159355,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159355,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159355,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159355,A000000,06200,0000,6200PATIENTS LAUNDRY 159355,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159355,A000000,06301,0000,6151DAY CARE 159355,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 159355,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159355,A81000A,00100,0100,Y 159355,A81000B,00100,0300,HOME OFFICE COSTS 159355,A81000B,00200,0300,LIABILITY INSURANCE 159355,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 159355,A81000B,00500,0300,VC PHARMACY - ADMIN 159355,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 159355,A81000B,00900,0300,VC PHARMACY - DIETARY 159355,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 159355,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 159355,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 159355,A81000B,01300,0300,VC PHARMACY - IV THERAPY 159355,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 159355,A81000B,01500,0300,VENCARE REHAB - PHYS THER 159355,A81000B,01600,0300,VENCARE REHAB - OCCP THER 159355,A81000B,01700,0300,VENCARE REHAB - SPEECH THER 159355,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 159355,A81000B,01900,0300,VC PHARMACY - LEGEND 159355,A81000B,02000,0300,VC PHARMACY - COMPLEX MEDICAL 159355,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 159355,A81000C,00100,0100,B 159355,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 159355,A81000C,00100,0400,CORNERSTONE INSURANCE CO 159355,A81000C,00100,0600,LIABILITY INSURANCE 159355,A81000C,00200,0400,VENCARE PHARMACY SERVICES 159355,A81000C,00200,0600,PHARMACY 159355,A81000C,00300,0400,VENCARE RESPIRATORY 159355,A81000C,00300,0600,RESPIRATORY THERAPY 159355,A81000C,00400,0400,THERAPY SERVICES 159355,A81000C,00500,0400,VENCARE REHAB SERVICES 159355,A81000C,00500,0600,REHAB 159355,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159355,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159355,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159355,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159355,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159355,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159355,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159355,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159355,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159355,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 159355,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159355,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 159355,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159355,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159355,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159355,E10A180,00301,0100,06/30/00 159355,S000000,00100,0200,12/01/00 159355,S200000,00100,0100,501 NORTH THIRD STREET 159355,S200000,00200,0100,PADUCAH 159355,S200000,00200,0200,KY 159355,S200000,00200,0300,42001- 159355,S200000,00300,0100,MCCRACKEN 159355,S200000,00300,0300,R 159355,S200000,00400,0100,786 - RIVERFRONT TERRACE HEALTH CARE 159355,S200000,00400,0200,185312 159355,S200000,00400,0300,12/01/91 159355,S200000,00400,0500,P 159355,S200000,01500,0100,N 159355,S200000,01600,0100,Y 159355,S200000,01700,0100,N 159355,S200000,01800,0100,N 159355,S200000,02200,0100,Y 159355,S200000,02800,0100,N 159355,S200000,02900,0100,N 159355,S200000,03000,0100,N 159355,S200000,03100,0100,N 159355,S200000,03200,0100,N 159355,S200000,04100,0100,N 159355,S200000,04200,0100,N 159355,S200000,04300,0100,N 159355,S200000,04600,0100,N 159355,S200000,04700,0100,N 159355,S200000,04700,0200,N 159355,S200000,04900,0100,N 159355,S200000,05000,0100,N 159355,S200000,05100,0100,N 159355,S200000,05200,0100,N 159371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159371,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159371,A000000,00300,0000,0300EMPLOYEE BENEFITS 159371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159371,A000000,00700,0000,0700HOUSEKEEPING 159371,A000000,00800,0000,0800DIETARY 159371,A000000,00900,0000,0900NURSING ADMINISTRATION 159371,A000000,00901,0000,0901OTHER NURSING 159371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159371,A000000,01100,0000,1100PHARMACY 159371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159371,A000000,01300,0000,1300SOCIAL SERVICE 159371,A000000,01600,0000,1600SKILLED NURSING FACILITY 159371,A000000,01800,0000,1800NURSING FACILITY 159371,A000000,02100,0000,2100RADIOLOGY 159371,A000000,02200,0000,2200LABORATORY 159371,A000000,02300,0000,2300INTRAVENOUS THERAPY 159371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159371,A000000,02500,0000,2500PHYSICAL THERAPY 159371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159371,A000000,02700,0000,2700SPEECH PATHOLOGY 159371,A000000,02800,0000,2800ELECTROCARDIOLOGY 159371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159371,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159371,A000000,03301,0000,3051NUTRITIONAL THERAPY 159371,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159371,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159371,A000000,04800,0000,4800AMBULANCE 159371,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159371,A000000,05300,0000,5300INTEREST EXPENSE 159371,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159371,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159371,A000000,06200,0000,6200PATIENTS LAUNDRY 159371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159371,A000000,06301,0000,6151OUTSIDE REHAB SERVICES 159371,A000000,06302,0000,6152GUEST MEALS/M.O.W. 159371,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159371,A81000A,00100,0100,N 159371,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159371,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159371,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159371,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159371,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159371,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159371,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159371,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159371,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159371,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159371,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159371,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159371,E10A180,00350,0100,04/04/00 159371,S000000,00100,0200,06/01/00 159371,S200000,00100,0100,23 GEREMONTY DRIVE 159371,S200000,00200,0100,SALEM 159371,S200000,00200,0200,NH 159371,S200000,00200,0300,03079- 159371,S200000,00300,0100,ROCKINGHAM 159371,S200000,00300,0200,1123 159371,S200000,00300,0300,U 159371,S200000,00400,0100,SALEMHAVEN NURSING HOME 159371,S200000,00400,0200,305058 159371,S200000,00400,0300,01/01/96 159371,S200000,00400,0500,P 159371,S200000,01500,0100,N 159371,S200000,01600,0100,Y 159371,S200000,01700,0100,N 159371,S200000,01800,0100,N 159371,S200000,02200,0100,Y 159371,S200000,02800,0100,N 159371,S200000,02900,0100,N 159371,S200000,03000,0100,N 159371,S200000,03100,0100,N 159371,S200000,03200,0100,N 159371,S200000,04100,0100,N 159371,S200000,04200,0100,N 159371,S200000,04300,0100,N 159371,S200000,04600,0100,N 159371,S200000,04700,0100,N 159371,S200000,04700,0200,N 159371,S200000,04900,0100,N 159371,S200000,05000,0100,N 159371,S200000,05100,0100,N 159371,S200000,05200,0100,N 159388,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159388,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159388,A000000,00300,0000,0300EMPLOYEE BENEFITS 159388,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159388,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159388,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159388,A000000,00700,0000,0700HOUSEKEEPING 159388,A000000,00800,0000,0800DIETARY 159388,A000000,00900,0000,0900NURSING ADMINISTRATION 159388,A000000,00901,0000,0901OTHER NURSING 159388,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159388,A000000,01100,0000,1100PHARMACY 159388,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159388,A000000,01300,0000,1300SOCIAL SERVICE 159388,A000000,01301,0000,1301ACTIVITIES 159388,A000000,01600,0000,1600SKILLED NURSING FACILITY 159388,A000000,01800,0000,1800NURSING FACILITY 159388,A000000,02100,0000,2100RADIOLOGY 159388,A000000,02200,0000,2200LABORATORY 159388,A000000,02300,0000,2300INTRAVENOUS THERAPY 159388,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159388,A000000,02500,0000,2500PHYSICAL THERAPY 159388,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159388,A000000,02700,0000,2700SPEECH PATHOLOGY 159388,A000000,02800,0000,2800ELECTROCARDIOLOGY 159388,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159388,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159388,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159388,A000000,03301,0000,3051NUTRITIONAL THERAPY 159388,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 159388,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 159388,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159388,A000000,04800,0000,4800AMBULANCE 159388,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159388,A000000,05300,0000,5300INTEREST EXPENSE 159388,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159388,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159388,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159388,A000000,06200,0000,6200PATIENTS LAUNDRY 159388,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159388,A000000,06301,0000,6151DAY CARE 159388,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 159388,A000000,06303,0000,6153DISTRICT OFFICE SPACE 159388,A81000A,00100,0100,Y 159388,A81000B,00100,0300,HOME OFFICE COSTS 159388,A81000B,00200,0300,LIABILITY INSURANCE 159388,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 159388,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 159388,A81000B,00500,0300,VC PHARMACY - ADMIN 159388,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 159388,A81000B,00700,0300,VC PHARMACY - LAUNDRY 159388,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 159388,A81000B,00900,0300,VC PHARMACY - DIETARY 159388,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 159388,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 159388,A81000B,01200,0300,VC PHARMACY - NONLEGEND 159388,A81000B,01300,0300,VC PHARMACY - MED RECORDS 159388,A81000B,01400,0300,VC PHARMACY - SOC SVCS 159388,A81000B,01500,0300,VC PHARMACY - ACTIVITY 159388,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 159388,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 159388,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 159388,A81000B,01900,0300,VC PHARMACY - LAB 159388,A81000B,02000,0300,VC PHARMACY - IV THERAPY 159388,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 159388,A81000B,02200,0300,VENCARE REHAB - PHYS THER 159388,A81000B,02300,0300,VENCARE REHAB - OCCP THER 159388,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 159388,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 159388,A81000B,02600,0300,VC PHARMACY - LEGEND 159388,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 159388,A81000B,02800,0300,VC PHARMACY - NUTR THER 159388,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 159388,A81000C,00100,0100,B 159388,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 159388,A81000C,00100,0400,CORNERSTONE INSURANCE CO 159388,A81000C,00100,0600,LIABILITY INSURANCE 159388,A81000C,00200,0400,VENCARE PHARMACY SERVICES 159388,A81000C,00200,0600,PHARMACY 159388,A81000C,00300,0400,VENCARE RESPIRATORY 159388,A81000C,00300,0600,RESPIRATORY THERAPY 159388,A81000C,00400,0400,THERAPY SERVICES 159388,A81000C,00500,0400,VENCARE REHAB SERVICES 159388,A81000C,00500,0600,REHAB 159388,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 159388,A81000C,00600,0600,PORTABLE X-RAY 159388,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159388,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159388,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159388,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159388,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159388,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159388,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159388,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159388,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 159388,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 159388,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 159388,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 159388,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159388,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159388,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159388,E10A180,00301,0100,06/30/00 159388,S000000,00100,0200,12/01/00 159388,S200000,00100,0100,2717 DEXTER AVE N 159388,S200000,00200,0100,SEATTLE 159388,S200000,00200,0200,WA 159388,S200000,00200,0300,98109- 159388,S200000,00300,0100,KING 159388,S200000,00300,0300,U 159388,S200000,00400,0100,462 - QUEEN ANNE HEALTHCARE 159388,S200000,00400,0200,505204 159388,S200000,00400,0300,07/01/84 159388,S200000,00400,0500,P 159388,S200000,01500,0100,Y 159388,S200000,01600,0100,N 159388,S200000,01700,0100,N 159388,S200000,01800,0100,N 159388,S200000,02200,0100,Y 159388,S200000,02800,0100,N 159388,S200000,02900,0100,N 159388,S200000,03000,0100,N 159388,S200000,03100,0100,N 159388,S200000,03200,0100,N 159388,S200000,04100,0100,N 159388,S200000,04200,0100,N 159388,S200000,04300,0100,N 159388,S200000,04600,0100,N 159388,S200000,04700,0100,N 159388,S200000,04700,0200,N 159388,S200000,04900,0100,N 159388,S200000,05000,0100,N 159388,S200000,05100,0100,N 159388,S200000,05200,0100,N 159417,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 159417,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 159417,A000000,00300,0000,0300EMPLOYEE BENEFITS 159417,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159417,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 159417,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159417,A000000,00700,0000,0700HOUSEKEEPING 159417,A000000,00800,0000,0800DIETARY 159417,A000000,00900,0000,0900NURSING ADMINISTRATION 159417,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159417,A000000,01100,0000,1100PHARMACY 159417,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159417,A000000,01300,0000,1300SOCIAL SERVICE 159417,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 159417,A000000,01500,0000,1350ACTIVITIES 159417,A000000,01600,0000,1600SKILLED NURSING FACILITY 159417,A000000,01800,0000,1800NURSING FACILITY 159417,A000000,01810,0000,1810ICF/MR 159417,A000000,02200,0000,2200LABORATORY 159417,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159417,A000000,02500,0000,2500PHYSICAL THERAPY 159417,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159417,A000000,02700,0000,2700SPEECH PATHOLOGY 159417,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 159417,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159417,A000000,03300,0000,3050ENTERAL FEEDING 159417,A000000,03550,0000,3550FQHC 159417,A000000,04801,0000,4801AMBULANCE 159417,A000000,04802,0000,4802AMBULANCE 159417,A000000,04803,0000,4803AMBULANCE 159417,A000000,05000,0000,5000CORF 159417,A000000,05010,0000,5010CMHC 159417,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159417,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159417,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159417,A000000,05300,0000,5300INTEREST EXPENSE 159417,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159417,A81000A,00100,0100,Y 159417,A81000B,00100,0300,MANAGEMENT FEES - WELLINGTON M 159417,A81000B,00200,0300,HOME OFFICE ALLOWABLE COSTS 159417,A81000B,00300,0300,HOME OFFICE ALLOWABLE COSTS 159417,A81000B,00400,0300,HOME OFFICE ALLOWABLE COSTS 159417,A81000B,00500,0300,PHYSICAL THERAPY-NW REHAB 159417,A81000B,00600,0300,OCCUP THERAPY-NW REHAB 159417,A81000B,00700,0300,SPEECH THERAPY-NW REHAB 159417,A81000C,00100,0100,A 159417,A81000C,00100,0200,JOHN ROTHERT 159417,A81000C,00100,0400,WELLINGTON MANA 159417,A81000C,00100,0600,MANAGEMENT COMP 159417,A81000C,00200,0100,A 159417,A81000C,00200,0200,WELLINGTON MANA 159417,A81000C,00200,0400,NW REHAB L.L.C 159417,A81000C,00200,0600,THERAPY CO. 159417,B100000,00000,0100,0100SQUARE FEET 159417,B100000,00000,0200,0200SQUARE FEET 159417,B100000,00000,0300,0300GROSS SALARIES 159417,B100000,00000,0400,0400ACCUM COST 159417,B100000,00000,0500,0500SQUARE FEET 159417,B100000,00000,0600,0600PATIENT DAYS 159417,B100000,00000,0700,0700SQUARE FEET 159417,B100000,00000,0800,0800MEALS SERVED 159417,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 159417,B100000,00000,1000,1000PATIENT DAYS 159417,B100000,00000,1100,1100COSTED REQUIS 159417,B100000,00000,1200,1200TIME SPENT 159417,B100000,00000,1300,1300TIME SPENT 159417,B100000,00000,1400,1400ASSIGNED TIME 159417,B100000,00000,1500,1350PATIENT DAYS 159417,E10A180,00501,0100,08/02/00 159417,E10A180,00550,0300,08/02/00 159417,S000000,00100,0200,06/13/00 159417,S200000,00100,0100,HIGHWAY 67 SOUTH 159417,S200000,00100,0300,1328 159417,S200000,00200,0100,POPLAR BLUFF 159417,S200000,00200,0200,MO 159417,S200000,00200,0300,63901 159417,S200000,00300,0100,BUTLER 159417,S200000,00300,0200,0026 159417,S200000,00300,0300,R 159417,S200000,00400,0100,WESTWOOD HILLS HEALTH CARE CENTER 159417,S200000,00400,0200,265193 159417,S200000,00400,0300,06/01/87 159417,S200000,00400,0500,P 159417,S200000,01500,0100,N 159417,S200000,01600,0100,Y 159417,S200000,01700,0100,N 159417,S200000,01800,0100,N 159417,S200000,02200,0100,N 159417,S200000,02800,0100,Y 159417,S200000,02900,0100,N 159417,S200000,03000,0100,N 159417,S200000,03100,0100,N 159417,S200000,03200,0100,N 159417,S200000,03300,0100,N 159417,S200000,03300,0200,N 159417,S200000,04100,0100,N 159417,S200000,04200,0100,N 159417,S200000,04300,0100,N 159417,S200000,04600,0100,N 159417,S200000,04700,0100,N 159417,S200000,04900,0100,N 159417,S200000,05200,0100,N 159684,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 159684,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 159684,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 159684,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 159684,A000000,00300,0000,0300EMPLOYEE BENEFITS 159684,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159684,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 159684,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159684,A000000,00700,0000,0700HOUSEKEEPING 159684,A000000,00800,0000,0800DIETARY 159684,A000000,00801,0000,0801CAFETERIA 159684,A000000,00900,0000,0900NURSING ADMINISTRATION 159684,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159684,A000000,01100,0000,1100PHARMACY 159684,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159684,A000000,01300,0000,1300SOCIAL SERVICE 159684,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 159684,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 159684,A000000,01600,0000,1600SKILLED NURSING FACILITY 159684,A000000,01810,0000,1810ICF/MR 159684,A000000,02200,0000,2200LABORATORY 159684,A000000,02500,0000,2500PHYSICAL THERAPY 159684,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159684,A000000,02700,0000,2700SPEECH PATHOLOGY 159684,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 159684,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159684,A000000,03300,0000,3050OTHER ANCILLARY 159684,A000000,03301,0000,3051OTHER ANCILLARY II 159684,A000000,03302,0000,3052OTHER ANCILLARY III 159684,A000000,03550,0000,3550FQHC 159684,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 159684,A000000,05000,0000,5000CORF I 159684,A000000,05010,0000,5010CMHC I 159684,A000000,05020,0000,5020OPT I 159684,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159684,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159684,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159684,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159684,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 159684,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 159684,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159684,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159684,A81000A,00100,0100,Y 159684,A81000B,00100,0300,MANAGEMENT SERVICES 159684,A81000B,00200,0300,DIRECT ALLOCATION MANG SERVICE 159684,A81000C,00100,0100,A 159684,A81000C,00100,0200,CHOICE MANAGEMT 159684,A81000C,00100,0400,CHOICE MANAGEMT 159684,B100000,00000,0100,0100(SQUARE FEET) 159684,B100000,00000,0101,0101(SQUARE FEET) 159684,B100000,00000,0200,0200(SQUARE FEET) 159684,B100000,00000,0201,0201(SQUARE FEET) 159684,B100000,00000,0300,0300(GROSS SALARIES) 159684,B100000,00000,0400,0400(ACCUM. COST) 159684,B100000,00000,0500,0500(SQUARE FEET) 159684,B100000,00000,0600,0600PATIENT DA 159684,B100000,00000,0700,0700(SQUARE FEET) 159684,B100000,00000,0800,0800(MEALS SERVED) 159684,B100000,00000,0801,0801(MEALS SERVED) 159684,B100000,00000,0900,0900(DIRECT NRSING HRS 159684,B100000,00000,1000,1000PATIENT DA 159684,B100000,00000,1100,1100PATIENT DA 159684,B100000,00000,1200,1200PATIENT DA 159684,B100000,00000,1300,1300PATIENT DA 159684,B100000,00000,1400,1400(ASSIGNED TIME) 159684,B100000,00000,1500,1350PATIENT DA 159684,E10A180,00501,0100,07/17/01 159684,E10A180,00502,0100,08/22/01 159684,S000000,00100,0200,05/22/01 159684,S200000,00100,0100,2578 W. 5TH STREET 159684,S200000,00200,0100,GREENVILLE 159684,S200000,00200,0200,NC 159684,S200000,00200,0300,27834 159684,S200000,00300,0100,PITT 159684,S200000,00300,0200,0000 159684,S200000,00300,0300,U 159684,S200000,00400,0100,TAR RIVER MANOR 159684,S200000,00400,0200,345181 159684,S200000,00400,0300,09/15/88 159684,S200000,00400,0500,P 159684,S200000,01500,0100,N 159684,S200000,01600,0100,Y 159684,S200000,01700,0100,N 159684,S200000,01800,0100,N 159684,S200000,02200,0100,N 159684,S200000,02800,0100,N 159684,S200000,02900,0100,N 159684,S200000,03000,0100,N 159684,S200000,03100,0100,N 159684,S200000,03200,0100,N 159684,S200000,03300,0100,N 159684,S200000,03300,0200,N 159684,S200000,04100,0100,N 159684,S200000,04200,0100,N 159684,S200000,04300,0100,N 159684,S200000,04600,0100,N 159684,S200000,04700,0100,N 159684,S200000,04900,0100,N 159684,S200000,05200,0100,N 159794,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159794,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159794,A000000,00300,0000,0300EMPLOYEE BENEFITS 159794,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159794,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159794,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159794,A000000,00700,0000,0700HOUSEKEEPING 159794,A000000,00800,0000,0800DIETARY 159794,A000000,00900,0000,0900NURSING ADMINISTRATION 159794,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159794,A000000,01100,0000,1100PHARMACY 159794,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159794,A000000,01300,0000,1300SOCIAL SERVICE 159794,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 159794,A000000,01500,0000,1350OTHER GENERAL SERVICES 159794,A000000,01600,0000,1600SKILLED NURSING FACILITY 159794,A000000,01800,0000,1800NURSING FACILITY 159794,A000000,01810,0000,1810ICF/MR 159794,A000000,02100,0000,2100RADIOLOGY 159794,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159794,A000000,02500,0000,2500PHYSICAL THERAPY 159794,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159794,A000000,02700,0000,2700SPEECH PATHOLOGY 159794,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159794,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159794,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159794,A000000,03550,0000,3550FQHC 159794,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159794,A000000,05000,0000,5000CORF 159794,A000000,05010,0000,5010CMHC 159794,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159794,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159794,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159794,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159794,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159794,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 159794,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159794,A81000A,00100,0100,Y 159794,A81000B,00100,0300,MANAGEMENT FEES 159794,A81000C,00100,0100,A 159794,A81000C,00100,0200,ANN WALSHE 159794,A81000C,00100,0400,CARE CENTER CON 159794,A81000C,00100,0600,MANAGEMENT COMP 159794,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159794,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159794,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159794,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159794,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159794,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 159794,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159794,B100000,00000,0800,0800MEALS SERVED :DIETARY 159794,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 159794,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 159794,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 159794,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159794,S000000,00100,0200,07/24/00 159794,S200000,00100,0100,1652 MEADOWBROOK BLVD 159794,S200000,00200,0100,PAONIA 159794,S200000,00200,0200,CO 159794,S200000,00200,0300,81428- 159794,S200000,00300,0100,DELTA 159794,S200000,00300,0300,R 159794,S200000,00400,0100,PAONIA CARE CENTER 159794,S200000,00400,0200,065251 159794,S200000,00400,0300,03/01/89 159794,S200000,00400,0500,P 159794,S200000,01500,0100,N 159794,S200000,01600,0100,Y 159794,S200000,01700,0100,N 159794,S200000,01800,0100,N 159794,S200000,02200,0100,N 159794,S200000,02800,0100,N 159794,S200000,02900,0100,N 159794,S200000,03000,0100,N 159794,S200000,03100,0100,N 159794,S200000,03200,0100,N 159794,S200000,04100,0100,N 159794,S200000,04200,0100,N 159794,S200000,04300,0100,N 159794,S200000,04600,0100,N 159794,S200000,04700,0100,N 159794,S200000,04700,0200,N 159794,S200000,04900,0100,N 159794,S200000,05000,0100,N 159794,S200000,05100,0100,N 159794,S200000,05200,0100,N 159797,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159797,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159797,A000000,00300,0000,0300EMPLOYEE BENEFITS 159797,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159797,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159797,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159797,A000000,00700,0000,0700HOUSEKEEPING 159797,A000000,00800,0000,0800DIETARY 159797,A000000,00900,0000,0900NURSING ADMINISTRATION 159797,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159797,A000000,01100,0000,1100PHARMACY 159797,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159797,A000000,01300,0000,1300SOCIAL SERVICE 159797,A000000,01301,0000,1301ACTIVITIES 159797,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 159797,A000000,01600,0000,1600SKILLED NURSING FACILITY 159797,A000000,01800,0000,1800NURSING FACILITY 159797,A000000,01810,0000,1810ICF/MR 159797,A000000,02200,0000,2200LABORATORY 159797,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159797,A000000,02500,0000,2500PHYSICAL THERAPY 159797,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159797,A000000,02700,0000,2700SPEECH PATHOLOGY 159797,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159797,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159797,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159797,A000000,03301,0000,3051MEDICAL EQUIPMENT 159797,A000000,03550,0000,3550FQHC 159797,A000000,05000,0000,5000CORF 159797,A000000,05010,0000,5010CMHC 159797,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159797,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159797,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159797,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159797,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159797,A81000A,00100,0100,Y 159797,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 159797,A81000B,00200,0300,CAPITAL - BUILDINGS 159797,A81000B,00300,0300,CAPITAL - EQUIPMENT 159797,A81000B,00400,0300,MEDICAL SUPPLY RELATED PARTY 159797,A81000B,00500,0300,CENTRAL SUPPLY RELATED PARTY 159797,A81000B,00600,0300,NURSING SUPPLY RELATED PARTY 159797,A81000C,00100,0100,B 159797,A81000C,00100,0200,PEAK MEDICAL CO 159797,A81000C,00100,0400,PEAK MEDICAL CO 159797,A81000C,00100,0600,HOME OFFICE SER 159797,A81000C,00200,0100,B 159797,A81000C,00200,0200,PEAK MEDICAL CO 159797,A81000C,00200,0400,MEDICAL RESOURC 159797,A81000C,00200,0600,MEDICAL SUPPLY 159797,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159797,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159797,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159797,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159797,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159797,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159797,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159797,B100000,00000,0800,0800MEALS SERVED :DIETARY 159797,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 159797,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 159797,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 159797,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159797,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 159797,S000000,00100,0200,06/04/03 159797,S200000,00100,0100,674 EASTLAND DRIVE 159797,S200000,00200,0100,TWIN FALLS 159797,S200000,00200,0200,ID 159797,S200000,00200,0300,83301- 159797,S200000,00300,0100,TWIN FALLS 159797,S200000,00300,0300,R 159797,S200000,00400,0100,TWIN FALLS CARE CENTER 159797,S200000,00400,0200,135104 159797,S200000,00400,0300,06/01/98 159797,S200000,00400,0500,P 159797,S200000,01500,0100,N 159797,S200000,01600,0100,Y 159797,S200000,01700,0100,N 159797,S200000,01800,0100,N 159797,S200000,02200,0100,N 159797,S200000,02800,0100,N 159797,S200000,02900,0100,N 159797,S200000,03000,0100,N 159797,S200000,03100,0100,N 159797,S200000,03200,0100,N 159797,S200000,04100,0100,N 159797,S200000,04200,0100,N 159797,S200000,04300,0100,N 159797,S200000,04600,0100,N 159797,S200000,04700,0100,N 159797,S200000,04700,0200,N 159797,S200000,04900,0100,N 159797,S200000,05000,0100,N 159797,S200000,05100,0100,N 159797,S200000,05200,0100,N 159856,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159856,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159856,A000000,00300,0000,0300EMPLOYEE BENEFITS 159856,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159856,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159856,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159856,A000000,00700,0000,0700HOUSEKEEPING 159856,A000000,00800,0000,0800DIETARY 159856,A000000,00900,0000,0900NURSING ADMINISTRATION 159856,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159856,A000000,01100,0000,1100PHARMACY 159856,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159856,A000000,01300,0000,1300SOCIAL SERVICE 159856,A000000,01500,0000,1350OTHER - ACTIVITIES 159856,A000000,01600,0000,1600SKILLED NURSING FACILITY 159856,A000000,01810,0000,1810ICF/MR 159856,A000000,02100,0000,2100RADIOLOGY 159856,A000000,02200,0000,2200LABORATORY 159856,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159856,A000000,02500,0000,2500PHYSICAL THERAPY 159856,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159856,A000000,02700,0000,2700SPEECH PATHOLOGY 159856,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159856,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159856,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159856,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159856,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159856,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 159856,A000000,05300,0000,5300INTEREST EXPENSE 159856,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159856,A81000A,00100,0100,Y 159856,A81000B,00100,0300,MGMT FEES 159856,A81000C,00100,0100,A 159856,A81000C,00100,0400,JUNIPER PARTNER 159856,A81000C,00100,0600,MGMT CO 159856,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159856,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159856,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159856,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159856,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159856,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 159856,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 159856,B100000,00000,0800,0850TIME SPENT :DIETARY 159856,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 159856,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 159856,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 159856,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 159856,B100000,00000,1500,1350TIME SPENT :OTHER - ACTIVITIES 159856,S000000,00100,0200,06/23/00 159856,S200000,00100,0100,205 SOUTH MAIN 159856,S200000,00200,0100,LAMAR 159856,S200000,00200,0200,CO 159856,S200000,00200,0300,81052- 159856,S200000,00300,0100,PROWERS 159856,S200000,00300,0200,06 159856,S200000,00300,0300,R 159856,S200000,00400,0100,SANDHAVEN 159856,S200000,00400,0200,065294 159856,S200000,00400,0300,12/01/91 159856,S200000,00400,0500,P 159856,S200000,01500,0100,Y 159856,S200000,01600,0100,N 159856,S200000,01700,0100,N 159856,S200000,01800,0100,N 159856,S200000,02200,0100,N 159856,S200000,02800,0100,N 159856,S200000,02900,0100,N 159856,S200000,03000,0100,N 159856,S200000,03100,0100,N 159856,S200000,03200,0100,N 159856,S200000,04100,0100,N 159856,S200000,04200,0100,N 159856,S200000,04300,0100,N 159856,S200000,04600,0100,N 159856,S200000,04700,0100,N 159856,S200000,04700,0200,N 159856,S200000,04900,0100,N 159856,S200000,05000,0100,N 159856,S200000,05100,0100,N 159856,S200000,05200,0100,N 159857,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159857,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159857,A000000,00300,0000,0300EMPLOYEE BENEFITS 159857,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159857,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159857,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159857,A000000,00700,0000,0700HOUSEKEEPING 159857,A000000,00800,0000,0800DIETARY 159857,A000000,00900,0000,0900NURSING ADMINISTRATION 159857,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159857,A000000,01300,0000,1300SOCIAL SERVICE 159857,A000000,01600,0000,1600SKILLED NURSING FACILITY 159857,A000000,01800,0000,1800NURSING FACILITY 159857,A000000,01900,0000,1900OTHER LONG TERM CARE 159857,A000000,02100,0000,2100RADIOLOGY 159857,A000000,02200,0000,2200LABORATORY 159857,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159857,A000000,02500,0000,2500PHYSICAL THERAPY 159857,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159857,A000000,02700,0000,2700SPEECH PATHOLOGY 159857,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159857,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159857,A000000,03200,0000,3200SUPPORT SURFACES 159857,A81000A,00100,0100,Y 159857,A81000B,00100,0300,HOME OFFICE COSTS 159857,A81000C,00100,0100,B 159857,A81000C,00100,0400,C.M.E INC. 159857,A81000C,00100,0600,HEALTHCARE 159857,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159857,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159857,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159857,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159857,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159857,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159857,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159857,B100000,00000,0800,0800MEALS SERVED :DIETARY 159857,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 159857,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 159857,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159857,S000000,00100,0200,05/31/00 159857,S200000,00100,0100,816 SOUTH INTEROCEAN AVE. 159857,S200000,00200,0100,HOLYOKE 159857,S200000,00200,0200,CO 159857,S200000,00200,0300,80734- 159857,S200000,00300,0100,HOLYOKE 159857,S200000,00300,0200,06 159857,S200000,00300,0300,R 159857,S200000,00400,0100,PRAIRIE VISTA CARE CENTER 159857,S200000,00400,0200,065302 159857,S200000,00400,0300,09/14/92 159857,S200000,00400,0500,P 159857,S200000,01500,0100,Y 159857,S200000,01600,0100,N 159857,S200000,01700,0100,N 159857,S200000,01800,0100,N 159857,S200000,02200,0100,N 159857,S200000,02800,0100,N 159857,S200000,02900,0100,N 159857,S200000,03000,0100,N 159857,S200000,03100,0100,N 159857,S200000,03200,0100,N 159857,S200000,04100,0100,N 159857,S200000,04200,0100,N 159857,S200000,04300,0100,N 159857,S200000,04600,0100,N 159857,S200000,04700,0100,N 159857,S200000,04700,0200,N 159857,S200000,04900,0100,N 159857,S200000,05000,0100,N 159857,S200000,05100,0100,N 159857,S200000,05200,0100,N 159858,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159858,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159858,A000000,00300,0000,0300EMPLOYEE BENEFITS 159858,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159858,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159858,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159858,A000000,00700,0000,0700HOUSEKEEPING 159858,A000000,00800,0000,0800DIETARY 159858,A000000,00900,0000,0900NURSING ADMINISTRATION 159858,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159858,A000000,01100,0000,1100PHARMACY 159858,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159858,A000000,01300,0000,1300SOCIAL SERVICE 159858,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 159858,A000000,01600,0000,1600SKILLED NURSING FACILITY 159858,A000000,02100,0000,2100RADIOLOGY 159858,A000000,02200,0000,2200LABORATORY 159858,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159858,A000000,02500,0000,2500PHYSICAL THERAPY 159858,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159858,A000000,02700,0000,2700SPEECH PATHOLOGY 159858,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159858,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159858,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 159858,A000000,05300,0000,5300INTEREST EXPENSE 159858,A81000A,00100,0100,Y 159858,A81000B,00100,0300,MANAGEMENT FEES 159858,A81000C,00100,0100,A 159858,A81000C,00100,0400,JUNIPER PARTNER 159858,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159858,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159858,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159858,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159858,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159858,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 159858,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 159858,B100000,00000,0800,0850TIME SPENT :DIETARY 159858,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 159858,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 159858,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 159858,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 159858,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 159858,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 159858,S000000,00100,0200,06/26/00 159858,S200000,00100,0100,2205 WEST 29TH AVENUE 159858,S200000,00200,0100,DENVER 159858,S200000,00200,0200,CO 159858,S200000,00200,0300,80211- 159858,S200000,00300,0100,DENVER 159858,S200000,00300,0200,2080 159858,S200000,00300,0300,U 159858,S200000,00400,0100,SPEARLY CENTER 159858,S200000,00400,0200,065327 159858,S200000,00400,0300,01/16/95 159858,S200000,00400,0500,P 159858,S200000,01500,0100,Y 159858,S200000,01600,0100,N 159858,S200000,01700,0100,N 159858,S200000,01800,0100,N 159858,S200000,02200,0100,N 159858,S200000,02800,0100,N 159858,S200000,02900,0100,N 159858,S200000,03000,0100,N 159858,S200000,03100,0100,N 159858,S200000,03200,0100,N 159858,S200000,04100,0100,N 159858,S200000,04200,0100,N 159858,S200000,04300,0100,N 159858,S200000,04600,0100,N 159858,S200000,04700,0100,N 159858,S200000,04700,0200,N 159858,S200000,04900,0100,N 159858,S200000,05000,0100,N 159858,S200000,05100,0100,N 159858,S200000,05200,0100,N 159859,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159859,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159859,A000000,00300,0000,0300EMPLOYEE BENEFITS 159859,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159859,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159859,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159859,A000000,00700,0000,0700HOUSEKEEPING 159859,A000000,00800,0000,0800DIETARY 159859,A000000,00900,0000,0900NURSING ADMINISTRATION 159859,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159859,A000000,01100,0000,1100PHARMACY 159859,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159859,A000000,01300,0000,1300SOCIAL SERVICE 159859,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 159859,A000000,01500,0000,1350ACTIVITIES 159859,A000000,01600,0000,1600SKILLED NURSING FACILITY 159859,A000000,01810,0000,1810ICF/MR 159859,A000000,02100,0000,2100RADIOLOGY 159859,A000000,02500,0000,2500PHYSICAL THERAPY 159859,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159859,A000000,02700,0000,2700SPEECH PATHOLOGY 159859,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159859,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159859,A000000,03550,0000,3550FQHC 159859,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159859,A000000,05000,0000,5000CORF 159859,A000000,05010,0000,5010CMHC 159859,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159859,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159859,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159859,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159859,A000000,05300,0000,5300INTEREST EXPENSE 159859,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 159859,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159859,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159859,A81000A,00100,0100,N 159859,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159859,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159859,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159859,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159859,B100000,00000,0600,0650DAYS :LAUNDRY & LINEN SERVICE 159859,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159859,B100000,00000,0800,0800MEALS SERVED :DIETARY 159859,B100000,00000,0900,0950FTES :NURSING ADMINISTRATION 159859,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159859,B100000,00000,1300,1330DAYS :SOCIAL SERVICE 159859,B100000,00000,1500,1350DAYS :ACTIVITIES 159859,S000000,00100,0200,07/26/00 159859,S200000,00100,0100,1855 PLAZA DRIVE 159859,S200000,00200,0100,LOUISVILLE 159859,S200000,00200,0200,CO 159859,S200000,00200,0300,80027- 159859,S200000,00300,0100,BOULDER 159859,S200000,00300,0200,1125 159859,S200000,00300,0300,U 159859,S200000,00400,0100,BALFOUR RETIREMENT COMMUNITY 159859,S200000,00400,0200,065372 159859,S200000,00400,0300,06/01/99 159859,S200000,00400,0500,P 159859,S200000,01500,0100,Y 159859,S200000,01600,0100,N 159859,S200000,01700,0100,N 159859,S200000,01800,0100,N 159859,S200000,02200,0100,N 159859,S200000,02800,0100,N 159859,S200000,02900,0100,N 159859,S200000,03000,0100,N 159859,S200000,03100,0100,N 159859,S200000,03200,0100,N 159859,S200000,04100,0100,N 159859,S200000,04200,0100,N 159859,S200000,04300,0100,N 159859,S200000,04600,0100,N 159859,S200000,04700,0100,N 159859,S200000,04700,0200,N 159859,S200000,04900,0100,N 159859,S200000,05000,0100,N 159859,S200000,05100,0100,N 159859,S200000,05200,0100,N 159860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159860,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159860,A000000,00300,0000,0300EMPLOYEE BENEFITS 159860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159860,A000000,00700,0000,0700HOUSEKEEPING 159860,A000000,00800,0000,0800DIETARY 159860,A000000,00900,0000,0900NURSING ADMINISTRATION 159860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159860,A000000,01100,0000,1100PHARMACY 159860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159860,A000000,01300,0000,1300SOCIAL SERVICE 159860,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 159860,A000000,01600,0000,1600SKILLED NURSING FACILITY 159860,A000000,01800,0000,1800NURSING FACILITY 159860,A000000,01900,0000,1900OTHER LONG TERM CARE 159860,A000000,02100,0000,2100RADIOLOGY 159860,A000000,02200,0000,2200LABORATORY 159860,A000000,02300,0000,2300INTRAVENOUS THERAPY 159860,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159860,A000000,02500,0000,2500PHYSICAL THERAPY 159860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159860,A000000,02700,0000,2700SPEECH PATHOLOGY 159860,A000000,02800,0000,2800ELECTROCARDIOLOGY 159860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159860,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 159860,A000000,03200,0000,3200SUPPORT SURFACES 159860,A000000,03400,0000,3400CLINIC 159860,A000000,03500,0000,3500RURAL HEALTH CLINIC 159860,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 159860,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 159860,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 159860,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 159860,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 159860,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 159860,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 159860,A000000,04400,0000,4400DME RENTED - HHA 159860,A000000,04500,0000,4500DME SOLD - HHA 159860,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 159860,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 159860,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 159860,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 159860,A000000,05300,0000,5300INTEREST EXPENSE 159860,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159860,A000000,05500,0000,5500HOSPICE 159860,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 159860,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159860,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 159860,A000000,06100,0000,6100NONPAID WORKERS 159860,A000000,06200,0000,6200PATIENTS LAUNDRY 159860,A81000A,00100,0100,N 159860,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159860,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159860,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159860,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159860,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 159860,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159860,B100000,00000,0800,0850PAT DAYS :DIETARY 159860,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 159860,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 159860,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 159860,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 159860,S000000,00100,0200,04/03/00 159860,S200000,00100,0100,1400 SILVER STREET 159860,S200000,00200,0100,TRUTH OR CONSEQUENCES 159860,S200000,00200,0200,NM 159860,S200000,00200,0300,87901- 159860,S200000,00300,0100,SIERRA 159860,S200000,00300,0200,32 159860,S200000,00300,0300,R 159860,S200000,00400,0100,SIERRA HEALTH CARE CENTER 159860,S200000,00400,0200,325062 159860,S200000,00400,0300,06/01/90 159860,S200000,00400,0500,P 159860,S200000,01500,0100,Y 159860,S200000,01600,0100,N 159860,S200000,01700,0100,N 159860,S200000,01800,0100,N 159860,S200000,01900,0100,501C3 NONPROFIT NURS 159860,S200000,02200,0100,N 159860,S200000,02800,0100,N 159860,S200000,02900,0100,N 159860,S200000,03000,0100,N 159860,S200000,03100,0100,N 159860,S200000,03200,0100,N 159860,S200000,04100,0100,N 159860,S200000,04200,0100,N 159860,S200000,04300,0100,Y 159860,S200000,04600,0100,N 159860,S200000,04700,0100,N 159860,S200000,04700,0200,N 159860,S200000,04900,0100,N 159860,S200000,05000,0100,N 159860,S200000,05100,0100,N 159860,S200000,05200,0100,N 159867,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159867,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159867,A000000,00300,0000,0300EMPLOYEE BENEFITS 159867,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159867,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159867,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159867,A000000,00700,0000,0700HOUSEKEEPING 159867,A000000,00800,0000,0800DIETARY 159867,A000000,00900,0000,0900NURSING ADMINISTRATION 159867,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159867,A000000,01100,0000,1100PHARMACY 159867,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159867,A000000,01300,0000,1300SOCIAL SERVICE 159867,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 159867,A000000,01600,0000,1600SKILLED NURSING FACILITY 159867,A000000,01800,0000,1800NURSING FACILITY 159867,A000000,01810,0000,1810ICF/MR 159867,A000000,02100,0000,2100RADIOLOGY 159867,A000000,02200,0000,2200LABORATORY 159867,A000000,02300,0000,2300INTRAVENOUS THERAPY 159867,A000000,02500,0000,2500PHYSICAL THERAPY 159867,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159867,A000000,02700,0000,2700SPEECH PATHOLOGY 159867,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159867,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159867,A000000,03550,0000,3550FQHC 159867,A000000,05000,0000,5000CORF 159867,A000000,05010,0000,5010CMHC 159867,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159867,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159867,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159867,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159867,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 159867,A81000A,00100,0100,Y 159867,A81000B,00100,0300,HOME OFFICE - CAPITAL 159867,A81000B,00200,0300,HOME OFFICE -NONCAPITAL 159867,A81000C,00100,0100,B 159867,A81000C,00100,0200,LLS WEST TEXAS 159867,A81000C,00100,0400,LUTHERAN SOCIAL 159867,A81000C,00100,0600,LTC / CHARITY 159867,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159867,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159867,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159867,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159867,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159867,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159867,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159867,B100000,00000,0800,0800MEALS SERVED :DIETARY 159867,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 159867,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 159867,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 159867,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 159867,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159867,S000000,00100,0200,06/02/00 159867,S200000,00100,0100,5602 WEST 4TH STREET 159867,S200000,00200,0100,LUBBOCK 159867,S200000,00200,0200,TX 159867,S200000,00200,0300,79416- 159867,S200000,00300,0100,LUBBOCK 159867,S200000,00300,0200,4600 159867,S200000,00300,0300,U 159867,S200000,00400,0100,LUTHERAN HOME OF WEST TEXAS 159867,S200000,00400,0200,675527 159867,S200000,00400,0300,11/15/95 159867,S200000,00400,0500,P 159867,S200000,01500,0100,N 159867,S200000,01600,0100,Y 159867,S200000,01700,0100,N 159867,S200000,01800,0100,N 159867,S200000,01900,0100,OTHER (SPECIFY) 159867,S200000,02200,0100,N 159867,S200000,02800,0100,N 159867,S200000,02900,0100,N 159867,S200000,03000,0100,N 159867,S200000,03100,0100,N 159867,S200000,03200,0100,N 159867,S200000,04100,0100,N 159867,S200000,04200,0100,N 159867,S200000,04300,0100,N 159867,S200000,04600,0100,N 159867,S200000,04700,0100,N 159867,S200000,04700,0200,N 159867,S200000,04900,0100,N 159867,S200000,05000,0100,N 159867,S200000,05100,0100,N 159867,S200000,05200,0100,N 159872,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 159872,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 159872,A000000,00300,0000,0300EMPLOYEE BENEFITS 159872,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159872,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 159872,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159872,A000000,00700,0000,0700HOUSEKEEPING 159872,A000000,00800,0000,0800DIETARY 159872,A000000,00900,0000,0900NURSING ADMINISTRATION 159872,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159872,A000000,01100,0000,1100PHARMACY 159872,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159872,A000000,01300,0000,1300SOCIAL SERVICE 159872,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 159872,A000000,01600,0000,1600SKILLED NURSING FACILITY 159872,A000000,01800,0000,1800NURSING FACILITY 159872,A000000,01810,0000,1810ICF/MR 159872,A000000,02100,0000,2100RADIOLOGY 159872,A000000,02200,0000,2200LABORATORY 159872,A000000,02300,0000,2300INTRAVENOUS THERAPY 159872,A000000,02500,0000,2500PHYSICAL THERAPY 159872,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159872,A000000,02700,0000,2700SPEECH PATHOLOGY 159872,A000000,02800,0000,2800ELECTROCARDIOLOGY 159872,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 159872,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159872,A000000,03550,0000,3550FQHC 159872,A000000,04801,0000,4801AMBULANCE 159872,A000000,04802,0000,4802AMBULANCE 159872,A000000,04803,0000,4803AMBULANCE 159872,A000000,05000,0000,5000CORF 159872,A000000,05010,0000,5010CMHC 159872,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159872,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159872,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159872,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159872,A81000A,00100,0100,Y 159872,A81000B,00100,0300,ADJ. HOME OFFICE COSTS 159872,A81000C,00100,0100,A 159872,A81000C,00100,0200,EMMANUEL I. BER 159872,A81000C,00100,0400,PLEASANT CARE C 159872,A81000C,00100,0600,HEALTH CARE PRO 159872,A81000C,00200,0100,A 159872,A81000C,00200,0200,EMMANUEL I. BER 159872,A81000C,00200,0400,PCC HEALTH SVCS 159872,A81000C,00200,0600,HEALTH CARE PRO 159872,A81000C,00300,0100,A 159872,A81000C,00300,0200,EMMANUEL I. BER 159872,A81000C,00300,0400,ATLAS CARE CORP 159872,A81000C,00300,0600,HEALTH CARE PRO 159872,A81000C,00400,0100,A 159872,A81000C,00400,0200,EMMANUEL I. BER 159872,A81000C,00400,0400,EMBER CARE CORP 159872,A81000C,00400,0600,HEALTH CARE PRO 159872,A81000C,00500,0100,A 159872,A81000C,00500,0200,EMMANUEL I. BER 159872,A81000C,00500,0400,SNF PROPERTIES 159872,A81000C,00500,0600,HEALTH CARE PRO 159872,B100000,00000,0100,0100SQUARE FEET 159872,B100000,00000,0200,0200SQUARE FEET 159872,B100000,00000,0300,0300GROSS SALARIES 159872,B100000,00000,0400,0400ACCUM COST 159872,B100000,00000,0500,0500SQUARE FEET 159872,B100000,00000,0600,0600POUNDS OF LAUNDRY 159872,B100000,00000,0700,0700SQUARE FEET 159872,B100000,00000,0800,0800MEALS SERVED 159872,B100000,00000,0900,0900GROSS SALARIES 159872,B100000,00000,1000,1000COSTED REQUIS 159872,B100000,00000,1100,1100COSTED REQUIS 159872,B100000,00000,1200,1200GROSS REVENUES 159872,B100000,00000,1300,1300TIME SPENT 159872,B100000,00000,1400,1400ASSIGNED TIME 159872,S000000,00100,0200,01/17/01 159872,S200000,00100,0100,2990 SOQUEL AVENUE 159872,S200000,00200,0100,SANTA CRUZ 159872,S200000,00200,0200,CA 159872,S200000,00200,0300,95062 159872,S200000,00300,0100,S 159872,S200000,00300,0200,7485 159872,S200000,00300,0300,U 159872,S200000,00400,0100,PLEASANT CARE REHAB CENTER-STA CRUZ 159872,S200000,00400,0200,055017 159872,S200000,00400,0300,07/01/98 159872,S200000,00400,0500,P 159872,S200000,00600,0200,055017 159872,S200000,00600,0300,07/01/98 159872,S200000,00600,0400,O 159872,S200000,00600,0600,O 159872,S200000,01500,0100,N 159872,S200000,01600,0100,Y 159872,S200000,01700,0100,N 159872,S200000,01800,0100,N 159872,S200000,02200,0100,N 159872,S200000,02800,0100,N 159872,S200000,02900,0100,N 159872,S200000,03000,0100,N 159872,S200000,03100,0100,N 159872,S200000,03200,0100,N 159872,S200000,03300,0100,N 159872,S200000,03300,0200,N 159872,S200000,03500,0300,N 159872,S200000,04100,0100,N 159872,S200000,04200,0100,N 159872,S200000,04300,0100,Y 159872,S200000,04600,0100,N 159872,S200000,04700,0100,N 159872,S200000,04900,0100,N 159872,S200000,05200,0100,N 159873,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 159873,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 159873,A000000,00300,0000,0300EMPLOYEE BENEFITS 159873,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159873,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 159873,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159873,A000000,00700,0000,0700HOUSEKEEPING 159873,A000000,00800,0000,0800DIETARY 159873,A000000,00900,0000,0900NURSING ADMINISTRATION 159873,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159873,A000000,01100,0000,1100PHARMACY 159873,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159873,A000000,01300,0000,1300SOCIAL SERVICE 159873,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 159873,A000000,01500,0000,1350OTHER GENERAL SERVICES 159873,A000000,01600,0000,1600SKILLED NURSING FACILITY 159873,A000000,01800,0000,1800NURSING FACILITY 159873,A000000,01810,0000,1810ICF/MR 159873,A000000,02100,0000,2100RADIOLOGY 159873,A000000,02200,0000,2200LABORATORY 159873,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159873,A000000,02500,0000,2500PHYSICAL THERAPY 159873,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159873,A000000,02700,0000,2700SPEECH PATHOLOGY 159873,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 159873,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159873,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 159873,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 159873,A000000,03500,0000,3500RURAL HEALTH CLINIC 159873,A000000,03550,0000,3550FQHC 159873,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 159873,A000000,04801,0000,4801AMBULANCE 159873,A000000,04802,0000,4802AMBULANCE 159873,A000000,04803,0000,4803AMBULANCE 159873,A000000,05000,0000,5000CORF 159873,A000000,05010,0000,5010CMHC 159873,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 159873,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 159873,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 159873,A000000,05100,0000,4750OTHER REIMBURSABLE COST 159873,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 159873,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 159873,A81000A,00100,0100,N 159873,B100000,00000,0100,0100SQUARE FEET 159873,B100000,00000,0200,0200SQUARE FEET 159873,B100000,00000,0300,0300NO STATISTICS 159873,B100000,00000,0400,0400ACCUM COST 159873,B100000,00000,0500,0500SQUARE FEET 159873,B100000,00000,0600,0600POUNDS OF LAUNDRY 159873,B100000,00000,0700,0700SQUARE FEET 159873,B100000,00000,0800,0800MEALS SERVED 159873,B100000,00000,0900,0900GROSS REVENUE 159873,B100000,00000,1000,1000NO STATISTICS 159873,B100000,00000,1100,1100NO STATISTICS 159873,B100000,00000,1200,1200TIME SPENT 159873,B100000,00000,1300,1300TIME SPENT 159873,B100000,00000,1400,1400NO STATISTICS 159873,B100000,00000,1500,1350GROSS REVENUE 159873,E10A180,00501,0300,04/04/01 159873,E10A180,00550,0100,04/04/01 159873,S000000,00100,0200,05/01/01 159873,S200000,00100,0100,1850 WALNUT STREET 159873,S200000,00200,0100,RED BLUFF 159873,S200000,00200,0200,CA 159873,S200000,00200,0300,96080 159873,S200000,00300,0100,TEHAMA 159873,S200000,00300,0200,0005 159873,S200000,00300,0300,R 159873,S200000,00400,0100,TEHAMA COUNTY HEALTH CENTER 159873,S200000,00400,0200,055546 159873,S200000,00400,0300,01/13/67 159873,S200000,00400,0500,P 159873,S200000,00600,0200,055546 159873,S200000,00600,0300,01/13/67 159873,S200000,00600,0600,O 159873,S200000,01100,0200,053980 159873,S200000,01100,0300,05/05/88 159873,S200000,01100,0500,O 159873,S200000,01500,0100,Y 159873,S200000,01600,0100,N 159873,S200000,01700,0100,N 159873,S200000,01800,0100,N 159873,S200000,02200,0100,N 159873,S200000,02800,0100,Y 159873,S200000,02900,0100,N 159873,S200000,03000,0100,N 159873,S200000,03100,0100,N 159873,S200000,03200,0100,N 159873,S200000,03300,0100,N 159873,S200000,03300,0200,N 159873,S200000,03500,0300,N 159873,S200000,04000,0200,N 159873,S200000,04100,0100,N 159873,S200000,04200,0100,N 159873,S200000,04300,0100,N 159873,S200000,04600,0100,N 159873,S200000,04700,0100,N 159873,S200000,04900,0100,N 159873,S200000,05200,0100,N 159873,S51R000,01200,0100,N 159873,S51R000,01400,0100,N 159873,S51R000,01500,0100,N 159873,S51R000,01600,0100,N 159913,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 159913,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 159913,A000000,00300,0000,0300EMPLOYEE BENEFITS 159913,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 159913,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 159913,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 159913,A000000,00700,0000,0700HOUSEKEEPING 159913,A000000,00800,0000,0800DIETARY 159913,A000000,00900,0000,0900NURSING ADMINISTRATION 159913,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 159913,A000000,01100,0000,1100PHARMACY 159913,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 159913,A000000,01300,0000,1300SOCIAL SERVICE 159913,A000000,01600,0000,1600SKILLED NURSING FACILITY 159913,A000000,01800,0000,1800NURSING FACILITY 159913,A000000,01900,0000,1900OTHER LONG TERM CARE 159913,A000000,02100,0000,2100RADIOLOGY 159913,A000000,02200,0000,2200LABORATORY 159913,A000000,02300,0000,2300INTRAVENOUS THERAPY 159913,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 159913,A000000,02500,0000,2500PHYSICAL THERAPY 159913,A000000,02600,0000,2600OCCUPATIONAL THERAPY 159913,A000000,02700,0000,2700SPEECH PATHOLOGY 159913,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 159913,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 159913,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 159913,A000000,04800,0000,4800AMBULANCE 159913,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 159913,A000000,05900,0000,5900BARBER & BEAUTY SHOP 159913,A81000A,00100,0100,Y 159913,A81000B,00100,0300,HOME OFFICE ALLOC 159913,A81000B,00200,0300,HOME OFFICE ALLOC 159913,A81000B,00300,0300,PHARMACY 159913,A81000B,00400,0300,PHYSICAL THERAPY 159913,A81000B,00500,0300,OCCUPATIONAL THERAPY 159913,A81000B,00600,0300,SPEECH THERAPY 159913,A81000C,00100,0100,A 159913,A81000C,00100,0200,COVENANT CARE INC 159913,A81000C,00100,0400,COVENANT CARE INC. 159913,A81000C,00100,0600,HEALTH CARE 159913,A81000C,00200,0100,B 159913,A81000C,00200,0200,PHARMACY 159913,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 159913,A81000C,00200,0600,PHARMACY - HEALTH CARE 159913,A81000C,00300,0100,C 159913,A81000C,00300,0200,THERAPY 159913,A81000C,00300,0400,SELECT THEREAPY 159913,A81000C,00300,0600,THERAPY SERVICES 159913,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 159913,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 159913,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 159913,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 159913,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 159913,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 159913,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 159913,B100000,00000,0800,0850PATIENT DAYS :DIETARY 159913,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 159913,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 159913,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 159913,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 159913,S000000,00100,0200,06/01/00 159913,S200000,00100,0100,8170 MURRAY AVENUE 159913,S200000,00200,0100,GILROY 159913,S200000,00200,0200,CA 159913,S200000,00200,0300,95020- 159913,S200000,00300,0100,SANTA CLARA/SAN JOSE 159913,S200000,00300,0200,7400 159913,S200000,00300,0300,U 159913,S200000,00400,0100,GILROY HEALTHCARE & REHAB. CENTER 159913,S200000,00400,0200,055797 159913,S200000,00400,0300,07/19/67 159913,S200000,00400,0500,P 159913,S200000,00600,0200,055797 159913,S200000,00600,0300,07/19/67 159913,S200000,01500,0100,N 159913,S200000,01600,0100,Y 159913,S200000,01700,0100,N 159913,S200000,01800,0100,N 159913,S200000,02200,0100,N 159913,S200000,02800,0100,N 159913,S200000,02900,0100,N 159913,S200000,03000,0100,N 159913,S200000,03100,0100,N 159913,S200000,03200,0100,N 159913,S200000,04100,0100,N 159913,S200000,04200,0100,N 159913,S200000,04300,0100,N 159913,S200000,04600,0100,N 159913,S200000,04700,0100,N 159913,S200000,04700,0200,N 159913,S200000,04900,0100,N 159913,S200000,05000,0100,N 159913,S200000,05100,0100,N 159913,S200000,05200,0100,N 160013,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160013,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160013,A000000,00300,0000,0300EMPLOYEE BENEFITS 160013,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160013,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160013,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160013,A000000,00700,0000,0700HOUSEKEEPING 160013,A000000,00800,0000,0800DIETARY 160013,A000000,00900,0000,0900NURSING ADMINISTRATION 160013,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160013,A000000,01100,0000,1100PHARMACY 160013,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160013,A000000,01300,0000,1300SOCIAL SERVICE 160013,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160013,A000000,01500,0000,1350OTHER GENERAL SERVICES 160013,A000000,01600,0000,1600SKILLED NURSING FACILITY 160013,A000000,01800,0000,1800NURSING FACILITY 160013,A000000,01810,0000,1810ICF/MR 160013,A000000,02100,0000,2100RADIOLOGY 160013,A000000,02200,0000,2200LABORATORY 160013,A000000,02500,0000,2500PHYSICAL THERAPY 160013,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160013,A000000,02700,0000,2700SPEECH PATHOLOGY 160013,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160013,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160013,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 160013,A000000,03550,0000,3550FQHC 160013,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 160013,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 160013,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 160013,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 160013,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 160013,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 160013,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 160013,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 160013,A000000,04801,0000,4801AMBULANCE 160013,A000000,04802,0000,4802AMBULANCE 160013,A000000,04803,0000,4803AMBULANCE 160013,A000000,05000,0000,5000CORF 160013,A000000,05010,0000,5010CMHC 160013,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160013,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160013,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160013,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160013,A000000,05300,0000,5300INTEREST EXPENSE 160013,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160013,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160013,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160013,A81000A,00100,0100,Y 160013,A81000B,00100,0300,MANAGEMENT FEES 160013,A81000B,00200,0300,H.O. CAPITAL BLDG 160013,A81000B,00300,0300,H.O. CAPITAL EQUIP 160013,A81000B,00400,0300,PHYSICAL THERAPY 160013,A81000B,00500,0300,OCCUPATIONAL THERAPY 160013,A81000B,00600,0300,SPEECH THERAPY 160013,A81000B,00700,0300,HOME OFFICE-HOME HEALTH 160013,A81000B,00800,0300,HOME OFFICE-HOME HEALTH 160013,A81000B,00900,0300,HOME OFFICE-HOME HEALTH 160013,A81000C,00100,0100,B 160013,A81000C,00100,0400,DEACONESS LTC OF MO INC. 160013,A81000C,00100,0600,MANAGEMENT COMPANY 160013,A81000C,00200,0100,G 160013,A81000C,00200,0400,DEACONESS ANCILLARY SVCS 160013,A81000C,00200,0600,THERAPY COMPANY 160013,B100000,00000,0100,0100SQUARE FEET 160013,B100000,00000,0200,0200SQUARE FEET 160013,B100000,00000,0300,0300GROSS SALARIES 160013,B100000,00000,0400,0400ACCUM COST 160013,B100000,00000,0500,0500SQUARE FEET 160013,B100000,00000,0600,0600POUNDS OF LAUNDRY 160013,B100000,00000,0700,0700SQUARE FEET 160013,B100000,00000,0800,0800MEALS SERVED 160013,B100000,00000,0900,0900DIRECT NRSING HRS 160013,B100000,00000,1000,1000COSTED REQUIS. 160013,B100000,00000,1100,1100COSTED REQUIS. 160013,B100000,00000,1200,1200TIME SPENT 160013,B100000,00000,1300,1300TIME SPENT 160013,B100000,00000,1400,1400ASSIGNED TIME 160013,B100000,00000,1500,1350NO STATISTICS 160013,H510100,00000,0000,3760 160013,H510100,02400,0000,3760 160013,S000000,00100,0200,05/09/00 160013,S200000,00100,0100,7001 CLEVELAND 160013,S200000,00100,0300,5159 160013,S200000,00200,0100,KANSAS CITY 160013,S200000,00200,0200,MO 160013,S200000,00200,0300,64132 160013,S200000,00300,0100,JACKSON 160013,S200000,00300,0200,3760 160013,S200000,00300,0300,U 160013,S200000,00400,0100,CLEVELAND HEALTH CARE CENTER 160013,S200000,00400,0200,265314 160013,S200000,00400,0300,07/01/87 160013,S200000,00400,0500,P 160013,S200000,00800,0200,267463 160013,S200000,00800,0300,04/01/97 160013,S200000,00800,0500,O 160013,S200000,01500,0100,N 160013,S200000,01600,0100,Y 160013,S200000,01700,0100,N 160013,S200000,01800,0100,N 160013,S200000,02200,0100,N 160013,S200000,02800,0100,N 160013,S200000,02900,0100,N 160013,S200000,03000,0100,N 160013,S200000,03100,0100,Y 160013,S200000,03200,0100,N 160013,S200000,03300,0100,N 160013,S200000,03300,0200,N 160013,S200000,03700,0100,N 160013,S200000,03700,0200,N 160013,S200000,04100,0100,N 160013,S200000,04200,0100,N 160013,S200000,04300,0100,N 160013,S200000,04600,0100,N 160013,S200000,04700,0100,N 160013,S200000,04900,0100,N 160013,S200000,05200,0100,N 160013,S410002,01700,0100,3760 160197,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160197,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160197,A000000,00300,0000,0300EMPLOYEE BENEFITS 160197,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160197,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160197,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160197,A000000,00700,0000,0700HOUSEKEEPING 160197,A000000,00800,0000,0800DIETARY 160197,A000000,00900,0000,0900NURSING ADMINISTRATION 160197,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160197,A000000,01100,0000,1100PHARMACY 160197,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160197,A000000,01300,0000,1300SOCIAL SERVICE 160197,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160197,A000000,01500,0000,1350ACTIVITIES 160197,A000000,01501,0000,1351INDIRECT CONSULTANTS 160197,A000000,01600,0000,1600SKILLED NURSING FACILITY 160197,A000000,01800,0000,1800NURSING FACILITY 160197,A000000,01810,0000,1810ICF/MR 160197,A000000,02100,0000,2100RADIOLOGY 160197,A000000,02300,0000,2300INTRAVENOUS THERAPY 160197,A000000,02500,0000,2500PHYSICAL THERAPY 160197,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160197,A000000,02700,0000,2700SPEECH PATHOLOGY 160197,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160197,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160197,A000000,03300,0000,3050DURABLE MEDICAL EQUIPMENT 160197,A000000,03550,0000,3550FQHC 160197,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 160197,A000000,05000,0000,5000CORF 160197,A000000,05010,0000,5010CMHC 160197,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160197,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160197,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160197,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160197,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160197,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 160197,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160197,A81000A,00100,0100,Y 160197,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 160197,A81000B,00500,0300,CONTRACT LABOR 160197,A81000B,00600,0300,CONTRACT LABOR 160197,A81000B,00700,0300,CONTRACT LABOR 160197,A81000C,00100,0100,F 160197,A81000C,00100,0200,FRONTIER REHAB 160197,A81000C,00100,0400,FRONTIER GROUP INC. 160197,A81000C,00100,0600,THERAPY SERVICES 160197,A81000C,00200,0100,F 160197,A81000C,00200,0200,FRONTIER MNMGT 160197,A81000C,00200,0400,FRONTIER GROUP INC. 160197,A81000C,00200,0600,MNMGT SERVICES 160197,A81000C,00300,0100,F 160197,A81000C,00300,0200,FRONTIER MNMGT 160197,A81000C,00300,0400,FRONTIER GROUP INC. 160197,A81000C,00300,0600,CAPITAL COSTS 160197,B100000,00000,0100,0100SQUARE FEET 160197,B100000,00000,0200,0200SQUARE FEET 160197,B100000,00000,0300,0300GROSS SALARIES 160197,B100000,00000,0400,0400ACCUM. COST 160197,B100000,00000,0500,0500SQUARE FEET 160197,B100000,00000,0600,0600PATIENT DAYS 160197,B100000,00000,0700,0700SQUARE FEET 160197,B100000,00000,0800,0800PATIENT DAYS 160197,B100000,00000,0900,0900TIME SPENT 160197,B100000,00000,1000,1000PATIENT DAYS 160197,B100000,00000,1100,1100PATIENT DAYS 160197,B100000,00000,1200,1200TIME SPENT 160197,B100000,00000,1300,1300TIME SPENT 160197,B100000,00000,1400,1400NO STATISTICS 160197,B100000,00000,1500,1350PATIENT DAYS 160197,B100000,00000,1501,1351NO STATISTICS 160197,S000000,00100,0200,04/05/00 160197,S200000,00100,0100,595 VALLEY STREET 160197,S200000,00200,0100,WINDHAM 160197,S200000,00200,0200,CT 160197,S200000,00300,0100,WINDHAM 160197,S200000,00300,0200,0007 160197,S200000,00300,0300,R 160197,S200000,00400,0100,COC - WINDHAM 160197,S200000,00400,0200,075068 160197,S200000,00400,0300,04/15/96 160197,S200000,00400,0500,P 160197,S200000,00400,0600,P 160197,S200000,00600,0200,075068 160197,S200000,00600,0300,04/15/96 160197,S200000,00600,0600,P 160197,S200000,01500,0100,N 160197,S200000,01600,0100,Y 160197,S200000,01700,0100,N 160197,S200000,01800,0100,N 160197,S200000,02200,0100,Y 160197,S200000,02800,0100,Y 160197,S200000,02900,0100,N 160197,S200000,03000,0100,N 160197,S200000,03100,0100,Y 160197,S200000,03200,0100,N 160197,S200000,03300,0100,N 160197,S200000,03300,0200,N 160197,S200000,03500,0300,N 160197,S200000,04100,0100,N 160197,S200000,04200,0100,N 160197,S200000,04300,0100,N 160197,S200000,04600,0100,N 160197,S200000,04700,0100,N 160197,S200000,04900,0100,N 160197,S200000,05200,0100,N 160262,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160262,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160262,A000000,00300,0000,0300EMPLOYEE BENEFITS 160262,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160262,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160262,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160262,A000000,00700,0000,0700HOUSEKEEPING 160262,A000000,00800,0000,0800DIETARY 160262,A000000,00900,0000,0900NURSING ADMINISTRATION 160262,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160262,A000000,01100,0000,1100PHARMACY 160262,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160262,A000000,01300,0000,1300SOCIAL SERVICE 160262,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160262,A000000,01500,0000,1350ACTIVITIES 160262,A000000,01501,0000,1351INDIRECT CONSULTANTS 160262,A000000,01600,0000,1600SKILLED NURSING FACILITY 160262,A000000,01800,0000,1800NURSING FACILITY 160262,A000000,01810,0000,1810ICF/MR 160262,A000000,02100,0000,2100RADIOLOGY 160262,A000000,02300,0000,2300INTRAVENOUS THERAPY 160262,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160262,A000000,02500,0000,2500PHYSICAL THERAPY 160262,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160262,A000000,02700,0000,2700SPEECH PATHOLOGY 160262,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160262,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160262,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 160262,A000000,03550,0000,3550FQHC 160262,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 160262,A000000,05000,0000,5000CORF 160262,A000000,05010,0000,5010CMHC 160262,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160262,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160262,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160262,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160262,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160262,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160262,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160262,A81000A,00100,0100,Y 160262,A81000B,00100,0300,MNMGT FEE - NON CAP. RELATED 160262,A81000B,00500,0300,CONTRACT LABOR 160262,A81000B,00600,0300,CONTRACT LABOR 160262,A81000B,00700,0300,CONTRACT LABOR 160262,A81000B,00800,0300,SALARIES - SUPR. 160262,A81000B,00900,0300,SUPPLIES - OTHER 160262,A81000C,00100,0100,F 160262,A81000C,00100,0200,FRONTIER REHAB 160262,A81000C,00100,0400,FRONTIER GROUP INC. 160262,A81000C,00100,0600,THERAPY SERVICES 160262,A81000C,00200,0100,F 160262,A81000C,00200,0200,FRONTIER MNMGT 160262,A81000C,00200,0400,FRONTIER GROUP INC. 160262,A81000C,00200,0600,MNMGT SERVICES 160262,A81000C,00300,0100,F 160262,A81000C,00300,0200,FRONTIER MNMGT 160262,A81000C,00300,0400,FRONTIER GROUP INC. 160262,A81000C,00300,0600,CAPITAL COSTS 160262,B100000,00000,0100,0100SQUARE FEET 160262,B100000,00000,0200,0200SQUARE FEET 160262,B100000,00000,0300,0300GROSS SALARIES 160262,B100000,00000,0400,0400ACCUM. COST 160262,B100000,00000,0500,0500SQUARE FEET 160262,B100000,00000,0600,0600PATIENT DAYS 160262,B100000,00000,0700,0700SQUARE FEET 160262,B100000,00000,0800,0800PATIENT DAYS 160262,B100000,00000,0900,0900DIRECT NRSING HRS 160262,B100000,00000,1000,1000PATIENT DAYS 160262,B100000,00000,1100,1100PATIENT DAYS 160262,B100000,00000,1200,1200TIME SPENT 160262,B100000,00000,1300,1300TIME SPENT 160262,B100000,00000,1400,1400ASSIGNED TIME 160262,B100000,00000,1500,1350PATIENT DAYS 160262,B100000,00000,1501,1351NO STATISTICS 160262,S000000,00100,0200,04/05/00 160262,S200000,00100,0100,111 WESTCOTT RD. 160262,S200000,00200,0100,DANIELSON 160262,S200000,00200,0200,CT 160262,S200000,00300,0100,WINDHAM 160262,S200000,00300,0200,7 160262,S200000,00300,0300,R 160262,S200000,00400,0100,COC - DANIELSON 160262,S200000,00400,0200,075223 160262,S200000,00400,0300,04/15/96 160262,S200000,00400,0500,P 160262,S200000,00400,0600,P 160262,S200000,00600,0200,075223 160262,S200000,00600,0300,04/15/96 160262,S200000,00600,0600,P 160262,S200000,01500,0100,N 160262,S200000,01600,0100,Y 160262,S200000,01700,0100,N 160262,S200000,01800,0100,N 160262,S200000,01900,0100,NON PROFIT CORP 160262,S200000,02200,0100,Y 160262,S200000,02800,0100,Y 160262,S200000,02900,0100,N 160262,S200000,03000,0100,N 160262,S200000,03100,0100,Y 160262,S200000,03200,0100,N 160262,S200000,03300,0100,N 160262,S200000,03300,0200,N 160262,S200000,03500,0300,N 160262,S200000,04100,0100,N 160262,S200000,04200,0100,N 160262,S200000,04300,0100,N 160262,S200000,04600,0100,N 160262,S200000,04700,0100,N 160262,S200000,04900,0100,N 160262,S200000,05200,0100,N 160349,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160349,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160349,A000000,00300,0000,0300EMPLOYEE BENEFITS 160349,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160349,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160349,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160349,A000000,00700,0000,0700HOUSEKEEPING 160349,A000000,00800,0000,0800DIETARY 160349,A000000,00900,0000,0900NURSING ADMINISTRATION 160349,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160349,A000000,01100,0000,1100PHARMACY 160349,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160349,A000000,01300,0000,1300SOCIAL SERVICE 160349,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160349,A000000,01600,0000,1600SKILLED NURSING FACILITY 160349,A000000,01800,0000,1800NURSING FACILITY 160349,A000000,01810,0000,1810ICF/MR 160349,A000000,02100,0000,2100RADIOLOGY 160349,A000000,02200,0000,2200LABORATORY 160349,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160349,A000000,02500,0000,2500PHYSICAL THERAPY 160349,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160349,A000000,02700,0000,2700SPEECH PATHOLOGY 160349,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 160349,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160349,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160349,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 160349,A000000,03550,0000,3550FQHC 160349,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 160349,A000000,04800,0000,4800AMBULANCE 160349,A000000,04801,0000,4801AMBULANCE 160349,A000000,04802,0000,4802AMBULANCE 160349,A000000,04803,0000,4803AMBULANCE 160349,A000000,05000,0000,5000CORF 160349,A000000,05010,0000,5010CMHC 160349,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160349,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160349,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160349,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160349,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 160349,A81000A,00100,0100,Y 160349,A81000B,00100,0300, CORPORATE OFFICE AL 160349,A81000B,00200,0300,CORPORATE OFFICE ALL 160349,A81000B,00900,0300,CORPORATE OFFICE ALLOCATION 160349,A81000C,00100,0100,C 160349,A81000C,00100,0200,NHS INC 160349,A81000C,00100,0400,NHS INC. 160349,A81000C,00100,0600,HOME OFFICE 160349,B100000,00000,0100,0100SQUARE FEET 160349,B100000,00000,0200,0200SQUARE FEET 160349,B100000,00000,0300,0300GROSS SALARIES 160349,B100000,00000,0400,0400ACCUM COST 160349,B100000,00000,0500,0500SQUARE FEET 160349,B100000,00000,0600,0600POUNDS OF LAUNDRY 160349,B100000,00000,0700,0700HOURS OF SERVICE 160349,B100000,00000,0800,0800MEALS SERVED 160349,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 160349,B100000,00000,1000,1000COSTED REQUISITIO 160349,B100000,00000,1100,1100COSTED REQUISITIO 160349,B100000,00000,1200,1200TIME SPENT 160349,B100000,00000,1300,1300TIME SPENT 160349,B100000,00000,1400,1400ASSIGNED TIME 160349,E10A180,00501,0100,07/07/00 160349,E10A180,00501,0300,07/07/00 160349,S000000,00100,0200,05/31/00 160349,S200000,00100,0100,102 N. GUTENSOHN 160349,S200000,00200,0100,SPRINGDALE 160349,S200000,00200,0200,AR 160349,S200000,00200,0300,72762 160349,S200000,00300,0100,WASHINGTON 160349,S200000,00300,0200,2580 160349,S200000,00300,0300,U 160349,S200000,00400,0100,SPRINGDALE HEALTH & REHAB CENTER 160349,S200000,00400,0200,045167 160349,S200000,00400,0300,08/01/92 160349,S200000,00400,0500,P 160349,S200000,01500,0100,N 160349,S200000,01600,0100,Y 160349,S200000,01700,0100,N 160349,S200000,01800,0100,N 160349,S200000,02200,0100,N 160349,S200000,02800,0100,N 160349,S200000,02900,0100,N 160349,S200000,03000,0100,N 160349,S200000,03100,0100,N 160349,S200000,03200,0100,N 160349,S200000,03300,0100,N 160349,S200000,03300,0200,N 160349,S200000,04100,0100,N 160349,S200000,04200,0100,N 160349,S200000,04300,0100,N 160349,S200000,04600,0100,N 160349,S200000,04700,0100,N 160349,S200000,04900,0100,N 160349,S200000,05200,0100,N 160357,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160357,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160357,A000000,00300,0000,0300EMPLOYEE BENEFITS 160357,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160357,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160357,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160357,A000000,00700,0000,0700HOUSEKEEPING 160357,A000000,00800,0000,0800DIETARY 160357,A000000,00900,0000,0900NURSING ADMINISTRATION 160357,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160357,A000000,01100,0000,1100PHARMACY 160357,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160357,A000000,01300,0000,1300SOCIAL SERVICE 160357,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160357,A000000,01600,0000,1600SKILLED NURSING FACILITY 160357,A000000,01800,0000,1800NURSING FACILITY 160357,A000000,01810,0000,1810ICF/MR 160357,A000000,02100,0000,2100RADIOLOGY 160357,A000000,02200,0000,2200LABORATORY 160357,A000000,02500,0000,2500PHYSICAL THERAPY 160357,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160357,A000000,02700,0000,2700SPEECH PATHOLOGY 160357,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160357,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160357,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 160357,A000000,03550,0000,3550FQHC 160357,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 160357,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 160357,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 160357,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 160357,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 160357,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 160357,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 160357,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 160357,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 160357,A000000,04801,0000,4801AMBULANCE 160357,A000000,04802,0000,4802AMBULANCE 160357,A000000,04803,0000,4803AMBULANCE 160357,A000000,05000,0000,5000CORF 160357,A000000,05010,0000,5010CMHC 160357,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160357,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160357,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160357,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160357,A000000,05300,0000,5300INTEREST EXPENSE 160357,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160357,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160357,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160357,A81000A,00100,0100,Y 160357,A81000B,00100,0300,MANAGEMENT FEES 160357,A81000B,00200,0300,PHYSICAL THERAPY 160357,A81000B,00300,0300,OCCUPATIONAL THERAPY 160357,A81000B,00400,0300,SPEECH THERAPY 160357,A81000B,00500,0300,MANAGEMENT FEES 160357,A81000B,00600,0300,RELATED PARTY RENT 160357,A81000C,00100,0100,B 160357,A81000C,00100,0400,DEACONESS LTC OF MO INC. 160357,A81000C,00100,0600,MANAGEMENT COMPANY 160357,A81000C,00200,0100,G 160357,A81000C,00200,0400,DEACONESS ANCILLARY SVCS 160357,A81000C,00200,0600,THERAPY COMPANY 160357,A81000C,00300,0100,G 160357,A81000C,00300,0400,GOLDEN YEARS 160357,A81000C,00300,0600,NURSING HOME 160357,B100000,00000,0100,0100SQUARE FEET 160357,B100000,00000,0200,0200SQUARE FEET 160357,B100000,00000,0300,0300GROSS SALARIES 160357,B100000,00000,0400,0400ACCUM COST 160357,B100000,00000,0500,0500SQUARE FEET 160357,B100000,00000,0600,0600POUNDS OF LAUNDRY 160357,B100000,00000,0700,0700SQUARE FEET 160357,B100000,00000,0800,0800MEALS SERVED 160357,B100000,00000,0900,0900DIRECT NRSING HRS 160357,B100000,00000,1000,1000COSTED REQS 160357,B100000,00000,1100,1100COSTED REQUIS 160357,B100000,00000,1200,1200TIME SPENT 160357,B100000,00000,1300,1300TIME SPENT 160357,B100000,00000,1400,1400ASSIGNED TIME 160357,E10A180,00550,0300,07/25/00 160357,H510100,00000,0000,3760 160357,H510100,02400,0000,3760 160357,H710000,00501,0100,07/25/00 160357,S000000,00100,0200,06/01/00 160357,S200000,00100,0100,2203 E. MECHANIC 160357,S200000,00200,0100,HARRISONVILLE 160357,S200000,00200,0200,MO 160357,S200000,00200,0300,64701 160357,S200000,00300,0100,JACKSON 160357,S200000,00300,0200,3760 160357,S200000,00300,0300,U 160357,S200000,00400,0100,CAMDEN HEALTH CENTER 160357,S200000,00400,0200,265362 160357,S200000,00400,0300,05/15/89 160357,S200000,00400,0500,P 160357,S200000,00800,0200,267540 160357,S200000,00800,0300,04/08/97 160357,S200000,00800,0500,O 160357,S200000,01500,0100,N 160357,S200000,01600,0100,Y 160357,S200000,01700,0100,N 160357,S200000,01800,0100,N 160357,S200000,02200,0100,N 160357,S200000,02800,0100,N 160357,S200000,02900,0100,N 160357,S200000,03000,0100,N 160357,S200000,03100,0100,N 160357,S200000,03200,0100,N 160357,S200000,03300,0100,N 160357,S200000,03300,0200,N 160357,S200000,03700,0100,N 160357,S200000,03700,0200,N 160357,S200000,04100,0100,N 160357,S200000,04200,0100,N 160357,S200000,04300,0100,N 160357,S200000,04600,0100,N 160357,S200000,04700,0100,N 160357,S200000,04900,0100,N 160357,S200000,05200,0100,N 160357,S410002,01700,0100,3760 160360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160360,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160360,A000000,00300,0000,0300EMPLOYEE BENEFITS 160360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160360,A000000,00700,0000,0700HOUSEKEEPING 160360,A000000,00800,0000,0800DIETARY 160360,A000000,00900,0000,0900NURSING ADMINISTRATION 160360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160360,A000000,01100,0000,1100PHARMACY 160360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160360,A000000,01300,0000,1300SOCIAL SERVICE 160360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160360,A000000,01600,0000,1600SKILLED NURSING FACILITY 160360,A000000,01800,0000,1800NURSING FACILITY 160360,A000000,01810,0000,1810ICF/MR 160360,A000000,02200,0000,2200LABORATORY 160360,A000000,02500,0000,2500PHYSICAL THERAPY 160360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160360,A000000,02700,0000,2700SPEECH PATHOLOGY 160360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160360,A000000,03250,0000,3250EQUIPMENT RENTAL 160360,A000000,03300,0000,3050BGMT/ENTERALS 160360,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENT 160360,A000000,04801,0000,4801AMBULANCE 160360,A000000,04802,0000,4802AMBULANCE 160360,A000000,04803,0000,4803AMBULANCE 160360,A000000,05000,0000,5000CORF 160360,A000000,05010,0000,5010CMHC 160360,A000000,05020,0000,5020OPT 160360,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160360,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160360,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 160360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160360,A81000A,00100,0100,Y 160360,A81000B,00100,0300,H/O CAPITAL COSTS 160360,A81000B,00200,0300,H/O OPERATING COSTS 160360,A81000C,00100,0100,A 160360,A81000C,00100,0200,JOHN L BLACK JR 160360,A81000C,00100,0400,HCM INC. 160360,A81000C,00100,0600,MANAGEMENT CO. 160360,A81000C,00200,0100,A 160360,A81000C,00200,0200,BOBBY ARNOLD 160360,A81000C,00200,0400,HCM INC. 160360,A81000C,00200,0600,MANAGEMENT CO. 160360,A81000C,00300,0100,A 160360,A81000C,00300,0200,MARK WALDROP 160360,A81000C,00300,0400,HCM INC. 160360,A81000C,00300,0600,MANAGEMENT CO. 160360,B100000,00000,0100,0100(SQUARE FEET) 160360,B100000,00000,0200,0200(SQUARE FEET) 160360,B100000,00000,0300,0300(GROSS SALARIES) 160360,B100000,00000,0400,0400ACCUM COST 160360,B100000,00000,0500,0500(SQUARE FEET) 160360,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 160360,B100000,00000,0700,0700(HOURS OF SERVICE) 160360,B100000,00000,0800,0800(MEALS SERVED) 160360,B100000,00000,0900,0900(DIR NRSG HOURS) 160360,B100000,00000,1000,1000(COSTED REQUIS) 160360,B100000,00000,1100,1100(COSTED REQUIS) 160360,B100000,00000,1200,1200(TIME SPENT) 160360,B100000,00000,1300,1300(TIME SPENT) 160360,B100000,00000,1400,1400(ASSIGNED TIME) 160360,E10A180,00501,0100,09/20/00 160360,E10A180,00501,0300,09/20/00 160360,S000000,00100,0200,08/24/01 160360,S200000,00100,0100,3301 PARK ROW 160360,S200000,00200,0100,CORSICANA 160360,S200000,00200,0200,TEXAS 160360,S200000,00200,0300,75110 160360,S200000,00300,0100,NAVARRO 160360,S200000,00300,0200,0045 160360,S200000,00300,0300,R 160360,S200000,00400,0100,HEALTHCARE & REHAB OF CORSICAN 160360,S200000,00400,0200,675251 160360,S200000,00400,0300,06/01/94 160360,S200000,00400,0500,P 160360,S200000,01500,0100,N 160360,S200000,01600,0100,Y 160360,S200000,01700,0100,N 160360,S200000,01800,0100,N 160360,S200000,01900,0100,S-CORPORATION SUBSIDIARY 160360,S200000,02200,0100,N 160360,S200000,02800,0100,N 160360,S200000,02900,0100,N 160360,S200000,03000,0100,N 160360,S200000,03100,0100,N 160360,S200000,03200,0100,N 160360,S200000,03300,0100,N 160360,S200000,03300,0200,N 160360,S200000,04100,0100,N 160360,S200000,04200,0100,N 160360,S200000,04300,0100,N 160360,S200000,04600,0100,N 160360,S200000,04700,0100,N 160360,S200000,04900,0100,N 160360,S200000,05200,0100,N 160444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160444,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160444,A000000,00300,0000,0300EMPLOYEE BENEFITS 160444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160444,A000000,00700,0000,0700HOUSEKEEPING 160444,A000000,00800,0000,0800DIETARY 160444,A000000,00900,0000,0900NURSING ADMINISTRATION 160444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160444,A000000,01100,0000,1100PHARMACY 160444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160444,A000000,01300,0000,1300SOCIAL SERVICE 160444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160444,A000000,01600,0000,1600SKILLED NURSING FACILITY 160444,A000000,01800,0000,1800NURSING FACILITY 160444,A000000,01810,0000,1810ICF/MR 160444,A000000,02100,0000,2100RADIOLOGY 160444,A000000,02200,0000,2200LABORATORY 160444,A000000,02300,0000,2300INTRAVENOUS THERAPY 160444,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160444,A000000,02500,0000,2500PHYSICAL THERAPY 160444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160444,A000000,02700,0000,2700SPEECH PATHOLOGY 160444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160444,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 160444,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 160444,A000000,03302,0000,3052MEDICAL EQUIPMENT 160444,A000000,03550,0000,3550FQHC 160444,A000000,04801,0000,4801AMBULANCE 160444,A000000,04802,0000,4802AMBULANCE 160444,A000000,04803,0000,4803AMBULANCE 160444,A000000,05000,0000,5000CORF 160444,A000000,05010,0000,5010CMHC 160444,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160444,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160444,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160444,A81000A,00100,0100,Y 160444,A81000B,00100,0300,HOME OFFICE A&G 160444,A81000B,00200,0300,HOME OFFICE CAPITAL 160444,A81000B,00300,0300,DIVISION OFFICE A&G 160444,A81000B,00400,0300,DIVISION OFFICE CAPITAL 160444,A81000B,00500,0300,INSURANCE 160444,A81000B,00600,0300,PHYSICAL THERAPY 160444,A81000B,00700,0300,OCCUPATIONAL THERAPY 160444,A81000B,00800,0300,SPEECH THERAPY 160444,A81000B,00900,0300,CLINITRON 160444,A81000C,00100,0100,B 160444,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 160444,A81000C,00200,0100,G 160444,A81000C,00200,0200,LAURIER INC. 160444,A81000C,00200,0400,EXTENDICARE INC. 160444,A81000C,00200,0600,INSURANCE 160444,A81000C,00300,0100,G 160444,A81000C,00300,0200,UNITED REHABILITATION SVS 160444,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 160444,A81000C,00300,0600,THERAPY SERVICE 160444,A81000C,00400,0100,G 160444,A81000C,00400,0200,UNITED PROFESSIONAL CO 160444,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 160444,A81000C,00400,0600,MED SUPP OTHER 160444,B100000,00000,0100,0100SQUARE FEET 160444,B100000,00000,0200,0200SQUARE FEET 160444,B100000,00000,0300,0300GROSS SALARIES 160444,B100000,00000,0400,0400ACCUM COST 160444,B100000,00000,0500,0500SQUARE FEET 160444,B100000,00000,0600,0600PATIENT DAYS 160444,B100000,00000,0700,0700SQUARE FOOTAGE 160444,B100000,00000,0800,0800PATIENT DAYS 160444,B100000,00000,0900,0900PATIENT DAYS 160444,B100000,00000,1000,1000COSTED REQUIS 160444,B100000,00000,1100,1100COSTED REQUIS 160444,B100000,00000,1200,1200GROSS REVENUE 160444,B100000,00000,1300,1300PATIENT DAYS 160444,B100000,00000,1400,1400ASSIGNED TIME 160444,S000000,00100,0200,04/09/03 160444,S200000,00100,0100,9625 MARKET STREET 160444,S200000,00200,0100,NORTH LIMA 160444,S200000,00200,0200,OH 160444,S200000,00200,0300,44452 160444,S200000,00300,0100,MAHONING 160444,S200000,00300,0200,9320 160444,S200000,00300,0300,U 160444,S200000,00400,0100,ROLLING ACRES CARE CENTER 160444,S200000,00400,0200,365708 160444,S200000,00400,0300,03/11/88 160444,S200000,00400,0500,P 160444,S200000,01500,0100,N 160444,S200000,01600,0100,Y 160444,S200000,01700,0100,N 160444,S200000,01800,0100,N 160444,S200000,02200,0100,N 160444,S200000,02800,0100,N 160444,S200000,02900,0100,N 160444,S200000,03000,0100,N 160444,S200000,03100,0100,N 160444,S200000,03200,0100,N 160444,S200000,03300,0100,N 160444,S200000,03300,0200,N 160444,S200000,04100,0100,N 160444,S200000,04200,0100,N 160444,S200000,04300,0100,N 160444,S200000,04600,0100,N 160444,S200000,04700,0100,N 160444,S200000,04700,0200,N 160444,S200000,04900,0100,N 160444,S200000,05000,0100,N 160444,S200000,05200,0100,N 160560,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160560,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 160560,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160560,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 160560,A000000,00300,0000,0300EMPLOYEE BENEFITS 160560,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160560,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160560,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160560,A000000,00700,0000,0700HOUSEKEEPING 160560,A000000,00800,0000,0800DIETARY 160560,A000000,00801,0000,0801CAFETERIA 160560,A000000,00900,0000,0900NURSING ADMINISTRATION 160560,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160560,A000000,01100,0000,1100PHARMACY 160560,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160560,A000000,01300,0000,1300SOCIAL SERVICE 160560,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160560,A000000,01500,0000,1350ACTIVITIES 160560,A000000,01600,0000,1600SKILLED NURSING FACILITY 160560,A000000,01810,0000,1810ICF/MR 160560,A000000,02100,0000,2100RADIOLOGY 160560,A000000,02200,0000,2200LABORATORY 160560,A000000,02300,0000,2300INTRAVENOUS THERAPY 160560,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160560,A000000,02500,0000,2500PHYSICAL THERAPY 160560,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160560,A000000,02700,0000,2700SPEECH PATHOLOGY 160560,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160560,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160560,A000000,03300,0000,3050PHYSICIANS 160560,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 160560,A000000,03302,0000,3052OTHER ANCILLARY III 160560,A000000,03550,0000,3550FQHC 160560,A000000,03600,0000,3450OUTPATIENT P.T. 160560,A000000,03601,0000,3451OUTPATIENT O.T. 160560,A000000,03602,0000,3452OUTPATIENT S.T. 160560,A000000,04801,0000,4801AMBULANCE 160560,A000000,04802,0000,4802AMBULANCE 160560,A000000,04803,0000,4803AMBULANCE 160560,A000000,05000,0000,5000CORF I 160560,A000000,05010,0000,5010CMHC I 160560,A000000,05020,0000,5020OPT I 160560,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160560,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160560,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160560,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 160560,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 160560,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160560,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160560,A81000A,00100,0100,Y 160560,A81000B,00100,0300,DEPREC/INTEREST/INS 160560,A81000B,00200,0300,LAUNDRY & LINEN 160560,A81000B,00300,0300,ADMIN/FISCAL SERV 160560,A81000B,00400,0300,UTILITIES/MAINT EXP 160560,A81000B,00500,0300,HOUSEKEEPING 160560,A81000C,00100,0100,A 160560,A81000C,00100,0200,NEIL M. CHUR 160560,A81000C,00100,0400,THE PARK ASSOC. 160560,A81000C,00100,0600,ADMIN FIN QA 160560,A81000C,00200,0100,F 160560,A81000C,00200,0200,BARBARA B. CHUR 160560,A81000C,00200,0400,PARK COLLECTION 160560,A81000C,00200,0600,WHOLESALE PURCH 160560,A81000C,00300,0100,A 160560,A81000C,00300,0200,NEIL M. CHUR 160560,A81000C,00300,0400,GEORGE ST PROP 160560,A81000C,00300,0600,REAL PROPERTY 160560,A81000C,00400,0100,F 160560,A81000C,00400,0200,BARBARA B. CHUR 160560,A81000C,00400,0400,GEORGE ST PROP 160560,A81000C,00400,0600,REAL PROPERTY 160560,A81000C,00500,0100,F 160560,A81000C,00500,0200,ELISABETH TEHAN 160560,A81000C,00500,0400,GEORGE ST PROP 160560,A81000C,00500,0600,REAL PROPERTY 160560,A81000C,00600,0100,F 160560,A81000C,00600,0200,NEIL M CHUR JR 160560,A81000C,00600,0400,GEORGE ST PROP 160560,A81000C,00600,0600,REAL PROPERTY 160560,B100000,00000,0100,0100(SQUARE FEET) 160560,B100000,00000,0101,0101(SQUARE FEET) 160560,B100000,00000,0200,0200(SQUARE FEET) 160560,B100000,00000,0201,0201(SQUARE FEET) 160560,B100000,00000,0300,0300(GROSS SALARIES) 160560,B100000,00000,0400,0400ACCUM COST 160560,B100000,00000,0500,0500(SQUARE FEET) 160560,B100000,00000,0600,0600(PATIENT DAYS) 160560,B100000,00000,0700,0700(HOURS OF SERVICE) 160560,B100000,00000,0800,0800(MEALS SERVED) 160560,B100000,00000,0801,0801(MEALS SERVED) 160560,B100000,00000,0900,0900(GROSS CHARGES) 160560,B100000,00000,1000,1000(COSTED REQUIS.) 160560,B100000,00000,1100,1100(COSTED REQUIS.) 160560,B100000,00000,1200,1200(TIME SPENT) 160560,B100000,00000,1300,1300(PATIENT DAYS) 160560,B100000,00000,1400,1400(ASSIGNED TIME) 160560,B100000,00000,1500,1350(PATIENT DAYS) 160560,E10A180,00301,0100,05/09/00 160560,E10A180,00350,0100,01/18/00 160560,S000000,00100,0200,06/05/00 160560,S200000,00100,0100,2806 GEORGE STREET 160560,S200000,00200,0100,EDEN 160560,S200000,00200,0200,NY 160560,S200000,00200,0300,14057 160560,S200000,00300,0100,ERIE 160560,S200000,00300,0200,1280 160560,S200000,00300,0300,U 160560,S200000,00400,0100,ARBOR PARK HEALTH CARE CENTER 160560,S200000,00400,0200,335607 160560,S200000,00400,0300,09/01/77 160560,S200000,00400,0500,P 160560,S200000,01500,0100,Y 160560,S200000,01600,0100,N 160560,S200000,01700,0100,N 160560,S200000,01800,0100,N 160560,S200000,02200,0100,N 160560,S200000,02800,0100,N 160560,S200000,02900,0100,N 160560,S200000,03000,0100,N 160560,S200000,03100,0100,N 160560,S200000,03200,0100,N 160560,S200000,03300,0100,N 160560,S200000,03300,0200,N 160560,S200000,04100,0100,N 160560,S200000,04200,0100,N 160560,S200000,04300,0100,Y 160560,S200000,04600,0100,N 160560,S200000,04700,0100,N 160560,S200000,04900,0100,N 160560,S200000,05200,0100,N 160634,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160634,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160634,A000000,00300,0000,0300EMPLOYEE BENEFITS 160634,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160634,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160634,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160634,A000000,00700,0000,0700HOUSEKEEPING 160634,A000000,00800,0000,0800DIETARY 160634,A000000,00900,0000,0900NURSING ADMINISTRATION 160634,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160634,A000000,01100,0000,1100PHARMACY 160634,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160634,A000000,01300,0000,1300SOCIAL SERVICE 160634,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160634,A000000,01500,0000,1350ACTIVITY THERAPY 160634,A000000,01600,0000,1600SKILLED NURSING FACILITY 160634,A000000,01800,0000,1800NURSING FACILITY 160634,A000000,01810,0000,1810ICF/MR 160634,A000000,02100,0000,2100RADIOLOGY 160634,A000000,02500,0000,2500PHYSICAL THERAPY 160634,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160634,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160634,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 160634,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 160634,A000000,03550,0000,3550FQHC 160634,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 160634,A000000,04801,0000,4801AMBULANCE 160634,A000000,04802,0000,4802AMBULANCE 160634,A000000,04803,0000,4803AMBULANCE 160634,A000000,05000,0000,5000CORF 160634,A000000,05010,0000,5010CMHC 160634,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160634,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160634,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160634,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160634,A000000,05300,0000,5300INTEREST EXPENSE 160634,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160634,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 160634,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160634,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160634,A81000A,00100,0100,N 160634,B100000,00000,0100,0100SQUARE FEET 160634,B100000,00000,0200,0200SQUARE FEET 160634,B100000,00000,0300,0300GROSS SALARIES 160634,B100000,00000,0400,0400ACCUM COST 160634,B100000,00000,0500,0500SQUARE FEET 160634,B100000,00000,0600,0600POUNDS OF LAUNDRY 160634,B100000,00000,0700,0700HOURS OF SERVICE 160634,B100000,00000,0800,0800MEALS SERVED 160634,B100000,00000,0900,0900DIRECT NRSING HRS 160634,B100000,00000,1000,1000COSTED REQUIS. 160634,B100000,00000,1100,1100COSTED REQUIS. 160634,B100000,00000,1200,1200TIME SPENT 160634,B100000,00000,1300,1300TIME SPENT 160634,B100000,00000,1400,1400ASSIGNED TIME 160634,B100000,00000,1500,1350PATIENT DAYS 160634,S000000,00100,0200,05/23/02 160634,S200000,00100,0100,3000 NEWPORT GAP PIKE 160634,S200000,00200,0100,WILMINGTON 160634,S200000,00200,0200,DE 160634,S200000,00200,0300,19808 160634,S200000,00300,0100,NEW CASTLE 160634,S200000,00300,0200,9160 160634,S200000,00300,0300,U 160634,S200000,00400,0100,EMILY P. BISSELL HOSPITAL 160634,S200000,00400,0200,085022 160634,S200000,00400,0300,07/01/82 160634,S200000,00400,0500,P 160634,S200000,00600,0200,085022 160634,S200000,00600,0300,07/01/82 160634,S200000,00600,0600,O 160634,S200000,01500,0100,N 160634,S200000,01600,0100,Y 160634,S200000,01700,0100,N 160634,S200000,01800,0100,N 160634,S200000,02200,0100,N 160634,S200000,02800,0100,N 160634,S200000,02900,0100,N 160634,S200000,03000,0100,N 160634,S200000,03100,0100,N 160634,S200000,03200,0100,N 160634,S200000,03300,0100,N 160634,S200000,03300,0200,N 160634,S200000,03500,0300,N 160634,S200000,04100,0100,N 160634,S200000,04200,0100,N 160634,S200000,04300,0100,N 160634,S200000,04600,0100,N 160634,S200000,04700,0100,N 160634,S200000,04700,0200,N 160634,S200000,04900,0100,N 160634,S200000,05000,0100,N 160634,S200000,05200,0100,N 160786,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160786,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160786,A000000,00300,0000,0300EMPLOYEE BENEFITS 160786,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160786,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160786,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160786,A000000,00700,0000,0700HOUSEKEEPING 160786,A000000,00800,0000,0800DIETARY 160786,A000000,00900,0000,0900NURSING ADMINISTRATION 160786,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160786,A000000,01100,0000,1100PHARMACY 160786,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160786,A000000,01300,0000,1300SOCIAL SERVICE 160786,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160786,A000000,01500,0000,1350ACTIVITIES 160786,A000000,01501,0000,1351MEDICAL STAFF SERVICES 160786,A000000,01600,0000,1600SKILLED NURSING FACILITY 160786,A000000,01810,0000,1810ICF/MR 160786,A000000,02100,0000,2100RADIOLOGY 160786,A000000,02200,0000,2200LABORATORY 160786,A000000,02500,0000,2500PHYSICAL THERAPY 160786,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160786,A000000,02700,0000,2700SPEECH PATHOLOGY 160786,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160786,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160786,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 160786,A000000,03550,0000,3550FQHC 160786,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 160786,A000000,05000,0000,5000CORF 160786,A000000,05010,0000,5010CMHC 160786,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160786,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160786,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160786,A000000,05300,0000,5300INTEREST EXPENSE 160786,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160786,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160786,A000000,06300,0000,6150DENTAL 160786,A000000,06301,0000,6151ADULT DAY CARE 160786,A000000,06302,0000,6152ACCUPUNCTURE 160786,A81000A,00100,0100,Y 160786,A81000B,00100,0300,MANAGEMENT FEE 160786,A81000B,00200,0300,MANAGEMENT FEE 160786,A81000C,00100,0100,B 160786,A81000C,00100,0400,VCNY 160786,A81000C,00100,0600,HOME OFFICE 160786,B100000,00000,0100,0100SQUARE FEET 160786,B100000,00000,0200,0200SQUARE FEET 160786,B100000,00000,0300,0300GROSS SALARIES 160786,B100000,00000,0400,0400ACCUM COST 160786,B100000,00000,0500,0500SQUARE FEET 160786,B100000,00000,0600,0600POUNDS OF LAUNDRY 160786,B100000,00000,0700,0700ASSIGNED TIME 160786,B100000,00000,0800,0800MEALS SERVED 160786,B100000,00000,0900,0900ASSIGNED TIME 160786,B100000,00000,1000,1000COSTED REQUISITIO 160786,B100000,00000,1100,1100COSTED REQUISITIO 160786,B100000,00000,1200,1200TIME SPENT 160786,B100000,00000,1300,1300TIME SPENT 160786,B100000,00000,1400,1400ASSIGNED TIME 160786,B100000,00000,1500,1350ASSIGNED TIME 160786,B100000,00000,1501,1351ASSIGNED TIME 160786,E10A180,00501,0100,07/23/01 160786,S000000,00100,0200,05/31/00 160786,S200000,00100,0100,45 RIVINGTON STREET 160786,S200000,00200,0100,NEW YORK 160786,S200000,00200,0200,NY 160786,S200000,00200,0300,10002 160786,S200000,00300,0100,NEW YORK CITY 160786,S200000,00300,0200,5600 160786,S200000,00300,0300,U 160786,S200000,00400,0100,RIVINGTON HOUSE HEALTH CARE FACILIT 160786,S200000,00400,0200,335781 160786,S200000,00400,0300,03/17/95 160786,S200000,00400,0500,P 160786,S200000,01500,0100,Y 160786,S200000,01600,0100,N 160786,S200000,01700,0100,N 160786,S200000,01800,0100,N 160786,S200000,02200,0100,N 160786,S200000,02800,0100,N 160786,S200000,02900,0100,N 160786,S200000,03000,0100,N 160786,S200000,03100,0100,N 160786,S200000,03200,0100,N 160786,S200000,03300,0100,N 160786,S200000,03300,0200,N 160786,S200000,04100,0100,N 160786,S200000,04200,0100,N 160786,S200000,04300,0100,N 160786,S200000,04600,0100,N 160786,S200000,04700,0100,N 160786,S200000,04900,0100,N 160786,S200000,05200,0100,N 160788,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160788,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 160788,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160788,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 160788,A000000,00300,0000,0300EMPLOYEE BENEFITS 160788,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160788,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160788,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160788,A000000,00700,0000,0700HOUSEKEEPING 160788,A000000,00800,0000,0800DIETARY 160788,A000000,00801,0000,0801CAFETERIA 160788,A000000,00900,0000,0900NURSING ADMINISTRATION 160788,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160788,A000000,01100,0000,1100PHARMACY 160788,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160788,A000000,01300,0000,1300SOCIAL SERVICE 160788,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160788,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 160788,A000000,01600,0000,1600SKILLED NURSING FACILITY 160788,A000000,01800,0000,1800NURSING FACILITY 160788,A000000,01810,0000,1810ICF/MR 160788,A000000,02100,0000,2100RADIOLOGY 160788,A000000,02200,0000,2200LABORATORY 160788,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160788,A000000,02500,0000,2500PHYSICAL THERAPY 160788,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160788,A000000,02700,0000,2700SPEECH PATHOLOGY 160788,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160788,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160788,A000000,03300,0000,3050PEN THERAPY 160788,A000000,03301,0000,3051FEE SCREENING 160788,A000000,03302,0000,3052OTHER ANCILLARY III 160788,A000000,03550,0000,3550FQHC 160788,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 160788,A000000,04801,0000,4801AMBULANCE 160788,A000000,04802,0000,4802AMBULANCE 160788,A000000,04803,0000,4803AMBULANCE 160788,A000000,05000,0000,5000CORF I 160788,A000000,05010,0000,5010CMHC I 160788,A000000,05020,0000,5020OPT I 160788,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160788,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160788,A000000,05100,0000,4750OTHER REIMBURSABLE COST 160788,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 160788,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 160788,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160788,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 160788,A81000A,00100,0100,Y 160788,A81000B,00100,0300,HOME OFFICE 160788,A81000B,00200,0300,HOME OFFICE CAPITAL 160788,A81000B,00300,0300,SEE ATTACHED 160788,A81000C,00100,0100,A 160788,A81000C,00100,0200,GENESIS HEALTH 160788,A81000C,00100,0600,HOME OFFICE 160788,A81000C,00200,0100,B 160788,A81000C,00200,0200,GENESIS HEALTH 160788,A81000C,00200,0600,HOME OFFICE CAP 160788,B100000,00000,0100,0100(SQUARE FEET) 160788,B100000,00000,0101,0101(SQUARE FEET) 160788,B100000,00000,0200,0200(SQUARE FEET) 160788,B100000,00000,0201,0201(SQUARE FEET) 160788,B100000,00000,0300,0300(GROSS SALARIES) 160788,B100000,00000,0400,0400ACCUM COST 160788,B100000,00000,0500,0500(SQUARE FEET) 160788,B100000,00000,0600,0600(PATIENT DAYS) 160788,B100000,00000,0700,0700(SQUARE FEET) 160788,B100000,00000,0800,0800(MEALS SERVED) 160788,B100000,00000,0801,0801(MEALS SERVED) 160788,B100000,00000,0900,0900(NURSING SALARIES) 160788,B100000,00000,1000,1000(COSTED REQUIS.) 160788,B100000,00000,1100,1100(PATIENT DAYS) 160788,B100000,00000,1200,1200(GROSS CHARGES) 160788,B100000,00000,1300,1300(PATIENT DAYS) 160788,B100000,00000,1400,1400(ASSIGNED TIME) 160788,B100000,00000,1500,1350(PATIENT DAYS) 160788,E10A180,00501,0300,03/22/00 160788,E10A180,00502,0100,11/20/00 160788,E10A180,00502,0300,11/20/00 160788,S000000,00100,0200,02/29/00 160788,S200000,00100,0100,1 EMERSON DRIVE 160788,S200000,00200,0100,WINDSOR 160788,S200000,00200,0200,CT 160788,S200000,00200,0300,06095 160788,S200000,00300,0100,HARTFORD 160788,S200000,00300,0200,3283 160788,S200000,00300,0300,U 160788,S200000,00400,0100,KIMBERLY NORTH 160788,S200000,00400,0200,075279 160788,S200000,00400,0300,07/01/85 160788,S200000,00400,0500,P 160788,S200000,01500,0100,N 160788,S200000,01600,0100,Y 160788,S200000,01700,0100,N 160788,S200000,01800,0100,N 160788,S200000,02200,0100,Y 160788,S200000,02800,0100,N 160788,S200000,02900,0100,N 160788,S200000,03000,0100,N 160788,S200000,03100,0100,N 160788,S200000,03200,0100,N 160788,S200000,03300,0100,N 160788,S200000,03300,0200,N 160788,S200000,04100,0100,N 160788,S200000,04200,0100,N 160788,S200000,04300,0100,N 160788,S200000,04600,0100,N 160788,S200000,04900,0100,N 160789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 160789,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 160789,A000000,00300,0000,0300EMPLOYEE BENEFITS 160789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 160789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160789,A000000,00700,0000,0700HOUSEKEEPING 160789,A000000,00800,0000,0800DIETARY 160789,A000000,00900,0000,0900NURSING ADMINISTRATION 160789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160789,A000000,01100,0000,1100PHARMACY 160789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160789,A000000,01300,0000,1300SOCIAL SERVICE 160789,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 160789,A000000,01600,0000,1600SKILLED NURSING FACILITY 160789,A000000,01810,0000,1810ICF/MR 160789,A000000,02100,0000,2100RADIOLOGY 160789,A000000,02200,0000,2200LABORATORY 160789,A000000,02300,0000,2300INTRAVENOUS THERAPY 160789,A000000,02500,0000,2500PHYSICAL THERAPY 160789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160789,A000000,02700,0000,2700SPEECH PATHOLOGY 160789,A000000,02770,0000,2701ENTERAL NUTRITION (PEN) 160789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 160789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160789,A000000,03200,0000,3200SUPPORT SURFACES 160789,A000000,03550,0000,3550FQHC 160789,A000000,04801,0000,4801AMBULANCE 160789,A000000,04802,0000,4802AMBULANCE 160789,A000000,04803,0000,4803AMBULANCE 160789,A000000,05000,0000,5000CORF 160789,A000000,05010,0000,5010CMHC 160789,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 160789,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 160789,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 160789,A000000,05300,0000,5300INTEREST EXPENSE 160789,A81000A,00100,0100,Y 160789,A81000C,00100,0100,A 160789,A81000C,00100,0200,MR. FRANK FELTH 160789,A81000C,00100,0400,FANE MANAGEMENT 160789,A81000C,00100,0600,MANAGEMENT COMP 160789,B100000,00000,0100,0100SQUARE FEET 160789,B100000,00000,0200,0200SQUARE FEET 160789,B100000,00000,0300,0300GROSS SALARIES 160789,B100000,00000,0400,0400ACCUM COST 160789,B100000,00000,0500,0500SQUARE FEET 160789,B100000,00000,0600,0600POUNDS OF LAUNDRY 160789,B100000,00000,0700,0700HOURS OF SERVICE 160789,B100000,00000,0800,0800MEALS SERVED 160789,B100000,00000,0900,0900DIRECT NRSG HRS 160789,B100000,00000,1000,1000COSTED REQUIS 160789,B100000,00000,1100,1100COSTED REQUIS 160789,B100000,00000,1200,1200TIME SPENT 160789,B100000,00000,1300,1300TIME SPENT 160789,B100000,00000,1400,1400ASSIGNED TIME 160789,E10A180,00301,0100,08/30/99 160789,E10A180,00301,0300,08/30/99 160789,E10A180,00550,0100,09/06/00 160789,E10A180,00550,0300,09/06/00 160789,S000000,00100,0200,04/04/00 160789,S200000,00100,0100,163 LOVE & CARE ROAD 160789,S200000,00200,0100,SIX MILE 160789,S200000,00200,0200,SC 160789,S200000,00200,0300,29682 160789,S200000,00300,0100,SIX MILE 160789,S200000,00400,0100,HARVEY S NURSING HOME 160789,S200000,00400,0200,425306 160789,S200000,00400,0300,12/29/93 160789,S200000,00400,0500,P 160789,S200000,01500,0100,Y 160789,S200000,01600,0100,N 160789,S200000,01700,0100,N 160789,S200000,01800,0100,N 160789,S200000,02200,0100,N 160789,S200000,02800,0100,N 160789,S200000,02900,0100,N 160789,S200000,03000,0100,N 160789,S200000,03100,0100,N 160789,S200000,03200,0100,N 160789,S200000,03300,0100,N 160789,S200000,03300,0200,N 160789,S200000,04100,0100,N 160789,S200000,04200,0100,N 160789,S200000,04300,0100,N 160789,S200000,04600,0100,N 160789,S200000,04700,0100,N 160789,S200000,04900,0100,N 160811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 160811,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 160811,A000000,00300,0000,0300EMPLOYEE BENEFITS 160811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 160811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 160811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 160811,A000000,00700,0000,0700HOUSEKEEPING 160811,A000000,00800,0000,0800DIETARY 160811,A000000,00900,0000,0900NURSING ADMINISTRATION 160811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 160811,A000000,01100,0000,1100PHARMACY 160811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 160811,A000000,01300,0000,1300SOCIAL SERVICE 160811,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 160811,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 160811,A000000,01600,0000,1600SKILLED NURSING FACILITY 160811,A000000,01800,0000,1800NURSING FACILITY 160811,A000000,01900,0000,1900OTHER LONG TERM CARE 160811,A000000,02100,0000,2100RADIOLOGY 160811,A000000,02200,0000,2200LABORATORY 160811,A000000,02300,0000,2300INTRAVENOUS THERAPY 160811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 160811,A000000,02500,0000,2500PHYSICAL THERAPY 160811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 160811,A000000,02700,0000,2700SPEECH PATHOLOGY 160811,A000000,02800,0000,2800ELECTROCARDIOLOGY 160811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 160811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 160811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 160811,A000000,03200,0000,3200SUPPORT SURFACES 160811,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 160811,A000000,03400,0000,3400CLINIC 160811,A000000,03500,0000,3500RURAL HEALTH CLINIC 160811,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 160811,A000000,04800,0000,4800AMBULANCE 160811,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 160811,A000000,05000,0000,5000CORF 160811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 160811,A000000,05300,0000,5300INTEREST EXPENSE 160811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 160811,A000000,05500,0000,5500HOSPICE 160811,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 160811,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 160811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 160811,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 160811,A000000,06100,0000,6100NONPAID WORKERS 160811,A000000,06200,0000,6200PATIENTS LAUNDRY 160811,A000000,06300,0000,6150ASSISTED LIVING AND EDEN PROGRAM 160811,A81000A,00100,0100,Y 160811,A81000B,00100,0300,HOME OFFICE COSTS 160811,A81000C,00100,0100,G 160811,A81000C,00100,0200,REGENT CARE CEN 160811,A81000C,00100,0400,REGENT CARE CEN 160811,A81000C,00100,0600,HEALTHCARE MGMT 160811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 160811,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 160811,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 160811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 160811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 160811,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 160811,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 160811,B100000,00000,0800,0800MEALS SERVED :DIETARY 160811,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 160811,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 160811,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 160811,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 160811,S000000,00100,0200,02/08/01 160811,S200000,00100,0100,300 ENTERPRISE AVENUE 160811,S200000,00200,0100,LEAGUE CITY 160811,S200000,00200,0200,TX 160811,S200000,00200,0300,77573- 160811,S200000,00300,0100,GALVESTON 160811,S200000,00300,0200,2920 160811,S200000,00300,0300,U 160811,S200000,00400,0100,HARBOURVIEW CARE CENTER 160811,S200000,00400,0200,455892 160811,S200000,00400,0300,09/01/91 160811,S200000,00400,0500,P 160811,S200000,01500,0100,N 160811,S200000,01600,0100,Y 160811,S200000,01700,0100,N 160811,S200000,01800,0100,N 160811,S200000,02200,0100,N 160811,S200000,02800,0100,N 160811,S200000,02900,0100,N 160811,S200000,03000,0100,N 160811,S200000,03100,0100,N 160811,S200000,03200,0100,N 160811,S200000,04100,0100,N 160811,S200000,04200,0100,N 160811,S200000,04300,0100,N 160811,S200000,04600,0100,N 160811,S200000,04700,0100,N 160811,S200000,04700,0200,N 160811,S200000,04900,0100,N 160811,S200000,05000,0100,N 160811,S200000,05100,0100,N 160811,S200000,05200,0100,N 161113,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161113,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161113,A000000,00300,0000,0300EMPLOYEE BENEFITS 161113,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161113,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161113,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161113,A000000,00700,0000,0700HOUSEKEEPING 161113,A000000,00800,0000,0800DIETARY 161113,A000000,00900,0000,0900NURSING ADMINISTRATION 161113,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161113,A000000,01100,0000,1100PHARMACY 161113,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161113,A000000,01300,0000,1300SOCIAL SERVICE 161113,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161113,A000000,01600,0000,1600SKILLED NURSING FACILITY 161113,A000000,01800,0000,1800NURSING FACILITY 161113,A000000,01810,0000,1810ICF/MR 161113,A000000,02100,0000,2100RADIOLOGY 161113,A000000,02200,0000,2200LABORATORY 161113,A000000,02300,0000,2300INTRAVENOUS THERAPY 161113,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161113,A000000,02500,0000,2500PHYSICAL THERAPY 161113,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161113,A000000,02700,0000,2700SPEECH PATHOLOGY 161113,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161113,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161113,A000000,03550,0000,3550FQHC 161113,A000000,05000,0000,5000CORF 161113,A000000,05010,0000,5010CMHC 161113,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161113,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161113,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161113,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161113,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 161113,A81000A,00100,0100,Y 161113,A81000B,00100,0300,HOME OFFICE - CAPITAL 161113,A81000B,00200,0300,HOME OFFICE - NONCAPITAL 161113,A81000C,00100,0100,A 161113,A81000C,00100,0200,LSS OF ROUND RO 161113,A81000C,00100,0400,LUTHERAN SOCIAL 161113,A81000C,00100,0600,LTC /CHARITY 161113,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161113,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161113,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161113,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161113,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161113,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161113,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161113,B100000,00000,0800,0800MEALS SERVED :DIETARY 161113,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 161113,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161113,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 161113,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161113,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161113,S000000,00100,0200,07/15/00 161113,S200000,00100,0100,1000 EAST MAIN STREET 161113,S200000,00200,0100,ROUND ROCK 161113,S200000,00200,0200,TX 161113,S200000,00200,0300,78664- 161113,S200000,00300,0100,WILLIAMSON 161113,S200000,00300,0200,0640 161113,S200000,00300,0300,U 161113,S200000,00400,0100,TRINITY LUTHERAN HOME OF ROUND ROCK 161113,S200000,00400,0200,675546 161113,S200000,00400,0300,12/01/95 161113,S200000,00400,0500,P 161113,S200000,01500,0100,N 161113,S200000,01600,0100,Y 161113,S200000,01700,0100,N 161113,S200000,01800,0100,N 161113,S200000,01900,0100,OTHER (SPECIFY) 161113,S200000,02200,0100,N 161113,S200000,02800,0100,N 161113,S200000,02900,0100,N 161113,S200000,03000,0100,N 161113,S200000,03100,0100,N 161113,S200000,03200,0100,N 161113,S200000,04100,0100,N 161113,S200000,04200,0100,N 161113,S200000,04300,0100,N 161113,S200000,04600,0100,N 161113,S200000,04700,0100,N 161113,S200000,04700,0200,N 161113,S200000,04900,0100,N 161113,S200000,05000,0100,N 161113,S200000,05100,0100,N 161113,S200000,05200,0100,N 161114,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161114,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161114,A000000,00300,0000,0300EMPLOYEE BENEFITS 161114,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161114,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161114,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161114,A000000,00700,0000,0700HOUSEKEEPING 161114,A000000,00800,0000,0800DIETARY 161114,A000000,00900,0000,0900NURSING ADMINISTRATION 161114,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161114,A000000,01100,0000,1100PHARMACY 161114,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161114,A000000,01300,0000,1300SOCIAL SERVICE 161114,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161114,A000000,01500,0000,1350OTHER GENERAL SERVICES 161114,A000000,01600,0000,1600SKILLED NURSING FACILITY 161114,A000000,01800,0000,1800NURSING FACILITY 161114,A000000,01810,0000,1810ICF/MR 161114,A000000,02200,0000,2200LABORATORY 161114,A000000,02500,0000,2500PHYSICAL THERAPY 161114,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161114,A000000,02700,0000,2700SPEECH PATHOLOGY 161114,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161114,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161114,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161114,A000000,03550,0000,3550FQHC 161114,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161114,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161114,A000000,05000,0000,5000CORF 161114,A000000,05010,0000,5010CMHC 161114,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161114,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161114,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161114,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161114,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161114,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161114,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161114,A81000A,00100,0100,Y 161114,A81000B,00100,0300,HOME OFFICE COST 161114,A81000B,00200,0300,PHYSICAL THERAPY 161114,A81000B,00300,0300,OCCUPATIONAL THERAPY 161114,A81000B,00400,0300,SPEECH THERAPY 161114,A81000B,00500,0300,INTEREST EXPENSE 161114,A81000C,00100,0100,B 161114,A81000C,00100,0200,CARE INN PROPER 161114,A81000C,00100,0400,CARE INN PROPER 161114,A81000C,00100,0600,MANAGEMENT COMP 161114,A81000C,00200,0100,B 161114,A81000C,00200,0200,BROOKHAVEN MED 161114,A81000C,00200,0400,BROOKHAVEN MED 161114,A81000C,00200,0600,THERAPY COMPANY 161114,A81000C,00300,0100,A 161114,A81000C,00300,0200,LOUIS STUMBURG 161114,A81000C,00300,0400,INDIVIDUAL 161114,A81000C,00300,0600,OWNER 161114,A81000C,00400,0100,A 161114,A81000C,00400,0200,CHARLES BURGE 161114,A81000C,00400,0400,INDIVIDUAL 161114,A81000C,00400,0600,OWNER 161114,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 161114,B100000,00000,0200,0250SQUARE FOOTAGE :CAP REL COSTS - 161114,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161114,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161114,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 161114,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161114,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 161114,B100000,00000,0800,0800MEALS SERVED :DIETARY 161114,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 161114,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161114,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 161114,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161114,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161114,S000000,00100,0200,05/17/00 161114,S200000,00100,0100,406 COTTONWOOD ST 161114,S200000,00200,0100,BRENHAM 161114,S200000,00200,0200,TX 161114,S200000,00200,0300,77833- 161114,S200000,00300,0100,WASHINGTON 161114,S200000,00300,0200,45 161114,S200000,00300,0300,R 161114,S200000,00400,0100,BRENHAM REST HOME 161114,S200000,00400,0200,675706 161114,S200000,00400,0300,08/18/97 161114,S200000,00400,0500,P 161114,S200000,01500,0100,N 161114,S200000,01600,0100,Y 161114,S200000,01700,0100,N 161114,S200000,01800,0100,N 161114,S200000,02200,0100,N 161114,S200000,02800,0100,N 161114,S200000,02900,0100,N 161114,S200000,03000,0100,N 161114,S200000,03100,0100,N 161114,S200000,03200,0100,N 161114,S200000,04100,0100,N 161114,S200000,04200,0100,N 161114,S200000,04300,0100,N 161114,S200000,04600,0100,N 161114,S200000,04700,0100,N 161114,S200000,04700,0200,N 161114,S200000,04900,0100,N 161114,S200000,05000,0100,N 161114,S200000,05100,0100,N 161114,S200000,05200,0100,N 161115,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161115,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161115,A000000,00300,0000,0300EMPLOYEE BENEFITS 161115,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161115,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161115,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161115,A000000,00700,0000,0700HOUSEKEEPING 161115,A000000,00800,0000,0800DIETARY 161115,A000000,00900,0000,0900NURSING ADMINISTRATION 161115,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161115,A000000,01100,0000,1100PHARMACY 161115,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161115,A000000,01300,0000,1300SOCIAL SERVICE 161115,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161115,A000000,01600,0000,1600SKILLED NURSING FACILITY 161115,A000000,01800,0000,1800NURSING FACILITY 161115,A000000,01810,0000,1810ICF/MR 161115,A000000,02100,0000,2100RADIOLOGY 161115,A000000,02200,0000,2200LABORATORY 161115,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161115,A000000,02500,0000,2500PHYSICAL THERAPY 161115,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161115,A000000,02700,0000,2700SPEECH PATHOLOGY 161115,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161115,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161115,A000000,03550,0000,3550FQHC 161115,A000000,05000,0000,5000CORF 161115,A000000,05010,0000,5010CMHC 161115,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161115,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161115,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161115,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161115,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 161115,A81000A,00100,0100,N 161115,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161115,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161115,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161115,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161115,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161115,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161115,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161115,B100000,00000,0800,0800MEALS SERVED :DIETARY 161115,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 161115,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161115,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 161115,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161115,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161115,S000000,00100,0200,06/01/00 161115,S200000,00100,0100,1105 SOUTH CHURCH STREET 161115,S200000,00100,0300,486 161115,S200000,00200,0100,GEORGETOWN 161115,S200000,00200,0200,TX 161115,S200000,00200,0300,78626- 161115,S200000,00300,0100,WILLIAMSON 161115,S200000,00300,0200,0640 161115,S200000,00300,0300,U 161115,S200000,00400,0100,WESLEYAN NURSING HOME 161115,S200000,00400,0200,675727 161115,S200000,00400,0300,11/01/97 161115,S200000,00400,0500,P 161115,S200000,01500,0100,N 161115,S200000,01600,0100,Y 161115,S200000,01700,0100,N 161115,S200000,01800,0100,N 161115,S200000,01900,0100,OTHER (SPECIFY) 161115,S200000,02200,0100,N 161115,S200000,02800,0100,N 161115,S200000,02900,0100,N 161115,S200000,03000,0100,N 161115,S200000,03100,0100,N 161115,S200000,03200,0100,N 161115,S200000,04100,0100,N 161115,S200000,04200,0100,N 161115,S200000,04300,0100,N 161115,S200000,04600,0100,N 161115,S200000,04700,0100,N 161115,S200000,04700,0200,N 161115,S200000,04900,0100,N 161115,S200000,05000,0100,N 161115,S200000,05100,0100,N 161115,S200000,05200,0100,N 161149,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161149,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161149,A000000,00300,0000,0300EMPLOYEE BENEFITS 161149,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161149,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161149,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161149,A000000,00700,0000,0700HOUSEKEEPING 161149,A000000,00800,0000,0800DIETARY 161149,A000000,00900,0000,0900NURSING ADMINISTRATION 161149,A000000,00901,0000,0901OTHER NURSING 161149,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161149,A000000,01100,0000,1100PHARMACY 161149,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161149,A000000,01300,0000,1300SOCIAL SERVICE 161149,A000000,01301,0000,1301ACTIVITIES 161149,A000000,01600,0000,1600SKILLED NURSING FACILITY 161149,A000000,01800,0000,1800NURSING FACILITY 161149,A000000,02100,0000,2100RADIOLOGY 161149,A000000,02200,0000,2200LABORATORY 161149,A000000,02300,0000,2300INTRAVENOUS THERAPY 161149,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161149,A000000,02500,0000,2500PHYSICAL THERAPY 161149,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161149,A000000,02700,0000,2700SPEECH PATHOLOGY 161149,A000000,02800,0000,2800ELECTROCARDIOLOGY 161149,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161149,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161149,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161149,A000000,03301,0000,3051NUTRITIONAL THERAPY 161149,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 161149,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 161149,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161149,A000000,04800,0000,4800AMBULANCE 161149,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161149,A000000,05300,0000,5300INTEREST EXPENSE 161149,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161149,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161149,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161149,A000000,06200,0000,6200PATIENTS LAUNDRY 161149,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161149,A000000,06301,0000,6151DAY CARE 161149,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 161149,A000000,06303,0000,6153DISTRICT OFFICE SPACE 161149,A81000A,00100,0100,Y 161149,A81000B,00100,0300,HOME OFFICE COSTS 161149,A81000B,00200,0300,LIABILITY INSURANCE 161149,A81000B,00500,0300,VC PHARMACY - ADMIN 161149,A81000B,00900,0300,VC PHARMACY - DIETARY 161149,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 161149,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 161149,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 161149,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 161149,A81000B,01400,0300,VC PHARMACY - IV THERAPY 161149,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 161149,A81000B,01600,0300,VENCARE REHAB - PHYS THER 161149,A81000B,01700,0300,VENCARE REHAB - OCCP THER 161149,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 161149,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 161149,A81000B,02000,0300,VC PHARMACY - LEGEND 161149,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 161149,A81000C,00100,0100,B 161149,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 161149,A81000C,00100,0400,CORNERSTONE INSURANCE CO 161149,A81000C,00100,0600,LIABILITY INSURANCE 161149,A81000C,00200,0400,VENCARE PHARMACY SERVICES 161149,A81000C,00200,0600,PHARMACY 161149,A81000C,00300,0400,VENCARE RESPIRATORY 161149,A81000C,00300,0600,RESPIRATORY THERAPY 161149,A81000C,00400,0400,THERAPY SERVICES 161149,A81000C,00500,0400,VENCARE REHAB SERVICES 161149,A81000C,00500,0600,REHAB 161149,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 161149,A81000C,00600,0600,PORTABLE X-RAY 161149,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161149,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161149,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161149,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161149,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161149,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161149,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161149,B100000,00000,0800,0850PATIENT DAYS :DIETARY 161149,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 161149,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 161149,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 161149,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 161149,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 161149,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161149,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 161149,E10A180,00301,0100,06/30/00 161149,E10A180,00350,0100,11/30/00 161149,S000000,00100,0200,12/01/00 161149,S200000,00100,0100,HIGHWAY 136 161149,S200000,00200,0100,CALHOUN 161149,S200000,00200,0200,KY 161149,S200000,00200,0300,42327- 161149,S200000,00300,0100,MCLEAN 161149,S200000,00300,0300,R 161149,S200000,00400,0100,281 - RIVERSIDE MANOR HEALTH CARE 161149,S200000,00400,0200,185209 161149,S200000,00400,0300,07/03/90 161149,S200000,00400,0500,P 161149,S200000,01500,0100,N 161149,S200000,01600,0100,Y 161149,S200000,01700,0100,N 161149,S200000,01800,0100,N 161149,S200000,02200,0100,Y 161149,S200000,02800,0100,N 161149,S200000,02900,0100,N 161149,S200000,03000,0100,N 161149,S200000,03100,0100,N 161149,S200000,03200,0100,N 161149,S200000,04100,0100,N 161149,S200000,04200,0100,N 161149,S200000,04300,0100,N 161149,S200000,04600,0100,N 161149,S200000,04700,0100,N 161149,S200000,04700,0200,N 161149,S200000,04900,0100,N 161149,S200000,05000,0100,N 161149,S200000,05100,0100,N 161149,S200000,05200,0100,N 161244,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161244,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161244,A000000,00300,0000,0300EMPLOYEE BENEFITS 161244,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161244,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161244,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161244,A000000,00700,0000,0700HOUSEKEEPING 161244,A000000,00800,0000,0800DIETARY 161244,A000000,00900,0000,0900NURSING ADMINISTRATION 161244,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161244,A000000,01100,0000,1100PHARMACY 161244,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161244,A000000,01300,0000,1300SOCIAL SERVICE 161244,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161244,A000000,01500,0000,1350ACTIVITIES 161244,A000000,01600,0000,1600SKILLED NURSING FACILITY 161244,A000000,01810,0000,1810ICF/MR 161244,A000000,02100,0000,2100RADIOLOGY 161244,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161244,A000000,02500,0000,2500PHYSICAL THERAPY 161244,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161244,A000000,02700,0000,2700SPEECH PATHOLOGY 161244,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161244,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161244,A000000,03550,0000,3550FQHC 161244,A000000,05000,0000,5000CORF 161244,A000000,05010,0000,5010CMHC 161244,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161244,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161244,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161244,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 161244,A000000,05300,0000,5300INTEREST EXPENSE 161244,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 161244,A81000A,00100,0100,N 161244,B100000,00000,0100,0100SQUARE FEET 161244,B100000,00000,0200,0200SQUARE FEET 161244,B100000,00000,0300,0300GROSS SALARIES 161244,B100000,00000,0400,0400ACCUM COST 161244,B100000,00000,0500,0500SQUARE FEET 161244,B100000,00000,0600,0600HOURS OF SERVICE 161244,B100000,00000,0700,0700HOURS OF SERVICE 161244,B100000,00000,0800,0800HOURS OF SERVICE 161244,B100000,00000,0900,0900DIRECT NRSG HRS 161244,B100000,00000,1000,1000COSTED REQUIS 161244,B100000,00000,1100,1100COSTED REQUIS 161244,B100000,00000,1200,1200TIME SPENT 161244,B100000,00000,1300,1300TIME SPENT 161244,B100000,00000,1400,1400ASSIGNED TIME 161244,B100000,00000,1500,1350HOURS OF SERVICE 161244,S000000,00100,0200,07/11/00 161244,S200000,00100,0100,5822 SOUTH LOWELL WAY 161244,S200000,00200,0100,LITTLETON 161244,S200000,00200,0200,CO 161244,S200000,00200,0300,80012 161244,S200000,00300,0100,JEFFERSON 161244,S200000,00300,0200,2080 161244,S200000,00300,0300,U 161244,S200000,00400,0100,LITTLETON MANOR 161244,S200000,00400,0200,065320 161244,S200000,00400,0300,04/01/94 161244,S200000,00400,0500,P 161244,S200000,00400,0600,O 161244,S200000,01500,0100,Y 161244,S200000,01600,0100,N 161244,S200000,01700,0100,N 161244,S200000,01800,0100,N 161244,S200000,01900,0100,501C3 161244,S200000,02200,0100,N 161244,S200000,02800,0100,N 161244,S200000,02900,0100,N 161244,S200000,03000,0100,N 161244,S200000,03100,0100,N 161244,S200000,03200,0100,N 161244,S200000,03300,0100,N 161244,S200000,03300,0200,N 161244,S200000,04100,0100,N 161244,S200000,04200,0100,N 161244,S200000,04300,0100,N 161244,S200000,04600,0100,N 161244,S200000,04700,0100,N 161244,S200000,04900,0100,N 161254,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161254,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161254,A000000,00300,0000,0300EMPLOYEE BENEFITS 161254,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161254,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161254,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161254,A000000,00700,0000,0700HOUSEKEEPING 161254,A000000,00800,0000,0800DIETARY 161254,A000000,00900,0000,0900NURSING ADMINISTRATION 161254,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161254,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161254,A000000,01300,0000,1300SOCIAL SERVICE 161254,A000000,01301,0000,1301ACTIVITES 161254,A000000,01500,0000,1350REHABILITATION 161254,A000000,01600,0000,1600SKILLED NURSING FACILITY 161254,A000000,01800,0000,1800NURSING FACILITY 161254,A000000,01900,0000,1900OTHER LONG TERM CARE 161254,A000000,02100,0000,2100RADIOLOGY 161254,A000000,02200,0000,2200LABORATORY 161254,A000000,02300,0000,2300INTRAVENOUS THERAPY 161254,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161254,A000000,02500,0000,2500PHYSICAL THERAPY 161254,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161254,A000000,02700,0000,2700SPEECH PATHOLOGY 161254,A000000,02800,0000,2800ELECTROCARDIOLOGY 161254,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161254,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161254,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161254,A000000,03200,0000,3200SUPPORT SURFACES 161254,A000000,03300,0000,3050EQUIPMENT RENTAL 161254,A000000,03301,0000,3051PEN THERAPY 161254,A000000,04800,0000,4800AMBULANCE 161254,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161254,A000000,05300,0000,5300INTEREST EXPENSE 161254,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161254,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161254,A000000,06200,0000,6200PATIENTS LAUNDRY 161254,A000000,06300,0000,6150VENDING 161254,A000000,06301,0000,6151STAND-BY 161254,A81000A,00100,0100,Y 161254,A81000B,00100,0300,HOME OFFICE COST 161254,A81000B,00200,0300,DIETARY SUPPLEMENTS 161254,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 161254,A81000B,00400,0300,PRESCRIPTION DRUGS 161254,A81000B,00500,0300,MEDICAL SUPPLIES 161254,A81000B,00600,0300,ADMIN COSTS 161254,A81000B,00700,0300,HOME OFFICE INTEREST 161254,A81000B,00800,0300,EQUIPMENT REPLACEMENT 161254,A81000B,00900,0300,IV THERAPY 161254,A81000B,01000,0300,THERAPY CONSULTING 161254,A81000B,01100,0300,PHYSICAL THERAPY 161254,A81000B,01200,0300,OCCUPATIONAL THERAPY 161254,A81000B,01300,0300,SPEECH THERAPY 161254,A81000B,01400,0300,ANC EQUIP RENTAL 161254,A81000B,01500,0300,CAPITAL 161254,A81000C,00100,0100,B 161254,A81000C,00100,0200,ALPINE 70101/10 161254,A81000C,00100,0400,MARINER PAN 161254,A81000C,00100,0600,NURSING HOMES 161254,A81000C,00200,0100,G 161254,A81000C,00200,0200,MARINER PAN 161254,A81000C,00200,0400,AMER PHARM SVCS 161254,A81000C,00200,0600,PHARMACEUTICALS 161254,A81000C,00300,0100,G 161254,A81000C,00300,0200,MARINER PAN 161254,A81000C,00300,0400,PRISM-ATS-ARS-T 161254,A81000C,00300,0600,THERAPIES 161254,A81000C,03100,0000,MARINER PAN 161254,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161254,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161254,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161254,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161254,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161254,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161254,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161254,B100000,00000,0800,0800MEALS SERVED :DIETARY 161254,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 161254,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 161254,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161254,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161254,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 161254,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 161254,S000000,00100,0200,02/29/00 161254,S200000,00100,0100,501 THORTON PARKWAY 161254,S200000,00200,0100,THORTON 161254,S200000,00200,0200,CO 161254,S200000,00200,0300,80229- 161254,S200000,00300,0100,ADAMS 161254,S200000,00300,0200,2080 161254,S200000,00300,0300,U 161254,S200000,00400,0100,ALPINE LIVING CENTER 161254,S200000,00400,0200,065193 161254,S200000,00400,0300,10/01/84 161254,S200000,00400,0500,P 161254,S200000,01500,0100,N 161254,S200000,01600,0100,Y 161254,S200000,01700,0100,N 161254,S200000,01800,0100,N 161254,S200000,02200,0100,Y 161254,S200000,02800,0100,N 161254,S200000,02900,0100,N 161254,S200000,03000,0100,N 161254,S200000,03100,0100,N 161254,S200000,03200,0100,N 161254,S200000,04100,0100,N 161254,S200000,04200,0100,N 161254,S200000,04300,0100,Y 161254,S200000,04600,0100,N 161254,S200000,04700,0100,N 161254,S200000,04700,0200,N 161254,S200000,04900,0100,N 161254,S200000,05000,0100,N 161254,S200000,05100,0100,N 161254,S200000,05200,0100,N 161291,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161291,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161291,A000000,00300,0000,0300EMPLOYEE BENEFITS 161291,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161291,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161291,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161291,A000000,00700,0000,0700HOUSEKEEPING 161291,A000000,00800,0000,0800DIETARY 161291,A000000,00900,0000,0900NURSING ADMINISTRATION 161291,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161291,A000000,01100,0000,1100PHARMACY 161291,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161291,A000000,01300,0000,1300SOCIAL SERVICE 161291,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161291,A000000,01500,0000,1350ACTIVITIES 161291,A000000,01600,0000,1600SKILLED NURSING FACILITY 161291,A000000,01800,0000,1800NURSING FACILITY 161291,A000000,01810,0000,1810ICF/MR 161291,A000000,02100,0000,2100RADIOLOGY 161291,A000000,02200,0000,2200LABORATORY 161291,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161291,A000000,02500,0000,2500PHYSICAL THERAPY 161291,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161291,A000000,02700,0000,2700SPEECH PATHOLOGY 161291,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161291,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161291,A000000,03300,0000,3050OXYGEN ANCILLARY SERVICES 161291,A000000,03550,0000,3550FQHC 161291,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161291,A000000,04800,0000,4800AMBULANCE 161291,A000000,05000,0000,5000CORF 161291,A000000,05010,0000,5010CMHC 161291,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161291,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161291,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161291,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161291,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161291,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161291,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161291,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161291,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 161291,A000000,06302,0000,6152OTHER NONREIMBURSABLE COST 161291,A81000A,00100,0100,Y 161291,A81000B,00100,0300,RENT 161291,A81000B,00200,0300,HOME OFFICE 161291,A81000B,00300,0300,HOME OFFICE 161291,A81000B,00400,0300,HOME OFFICE 161291,A81000B,00500,0300,PHYSICAL THERAPY 161291,A81000B,00600,0300,OCCUPATIONAL THERAPY 161291,A81000B,00700,0300,SPEECH THERAPY 161291,A81000B,00800,0300,RESPIRATORY THERAPY 161291,A81000B,00900,0300,CENTRAL SUPPLIES 161291,A81000B,01000,0300,OXYGEN 161291,A81000B,01100,0300,NURSING CONTRACT 161291,A81000B,01200,0300,OFFICE CONTRACT 161291,A81000B,01300,0300,MAINTENANCE 161291,A81000B,01400,0300,PAINTER 161291,A81000B,01500,0300,CENTRAL BILLING 161291,A81000C,00100,0100,A 161291,A81000C,00100,0200,R. WHELAN 161291,A81000C,00100,0400,R&R PARTNERSHIP 161291,A81000C,00100,0600,REAL ESTATE 161291,A81000C,00200,0100,A 161291,A81000C,00200,0200,J. ROBERT WILSO 161291,A81000C,00200,0400,R&R PARTNERSHIP 161291,A81000C,00200,0600,REAL ESTATE 161291,A81000C,00300,0100,A 161291,A81000C,00300,0200,J. ROBERT WILSO 161291,A81000C,00300,0400,COLUMBINE MANAG 161291,A81000C,00300,0600,MANAGEMENT COMP 161291,A81000C,00400,0100,A 161291,A81000C,00400,0200,J. ROBERT WILSO 161291,A81000C,00400,0400,FRONT RANGE THE 161291,A81000C,00400,0600,THERAPY COMPANY 161291,A81000C,00500,0100,A 161291,A81000C,00500,0200,J. ROBERT WILSO 161291,A81000C,00500,0400,COLUMBINE MEDIC 161291,A81000C,00500,0600,MEDICAL SUPPLIE 161291,A81000C,00600,0100,A 161291,A81000C,00700,0100,A 161291,A81000C,00800,0100,A 161291,A81000C,00900,0100,A 161291,A81000C,01000,0100,A 161291,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161291,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161291,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161291,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161291,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161291,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161291,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161291,B100000,00000,0800,0800MEALS SERVED :DIETARY 161291,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 161291,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 161291,B100000,00000,1100,1150GROSS CHARGES :PHARMACY 161291,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 161291,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 161291,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 161291,S000000,00100,0200,06/01/00 161291,S200000,00100,0100,1667 ST. PAUL STREET 161291,S200000,00200,0100,DENVER 161291,S200000,00200,0200,CO 161291,S200000,00200,0300,80206- 161291,S200000,00300,0100,DENVER 161291,S200000,00300,0200,2080 161291,S200000,00300,0300,U 161291,S200000,00400,0100,ST. PAUL HEALTH CENTER 161291,S200000,00400,0200,065009 161291,S200000,00400,0300,05/01/83 161291,S200000,00400,0500,P 161291,S200000,01500,0100,N 161291,S200000,01600,0100,Y 161291,S200000,01700,0100,N 161291,S200000,01800,0100,N 161291,S200000,02200,0100,N 161291,S200000,02800,0100,N 161291,S200000,02900,0100,N 161291,S200000,03000,0100,N 161291,S200000,03100,0100,N 161291,S200000,03200,0100,N 161291,S200000,04100,0100,N 161291,S200000,04200,0100,N 161291,S200000,04300,0100,N 161291,S200000,04600,0100,N 161291,S200000,04700,0100,N 161291,S200000,04700,0200,N 161291,S200000,04900,0100,N 161291,S200000,05000,0100,N 161291,S200000,05100,0100,N 161291,S200000,05200,0100,N 161292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161292,A000000,00300,0000,0300EMPLOYEE BENEFITS 161292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161292,A000000,00700,0000,0700HOUSEKEEPING 161292,A000000,00800,0000,0800DIETARY 161292,A000000,00900,0000,0900NURSING ADMINISTRATION 161292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161292,A000000,01100,0000,1100PHARMACY 161292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161292,A000000,01300,0000,1300SOCIAL SERVICE 161292,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161292,A000000,01500,0000,1350ACTIVITIES 161292,A000000,01600,0000,1600SKILLED NURSING FACILITY 161292,A000000,01800,0000,1800NURSING FACILITY 161292,A000000,01810,0000,1810ICF/MR 161292,A000000,01900,0000,1900OTHER LONG TERM CARE 161292,A000000,02100,0000,2100RADIOLOGY 161292,A000000,02200,0000,2200LABORATORY 161292,A000000,02300,0000,2300INTRAVENOUS THERAPY 161292,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161292,A000000,02500,0000,2500PHYSICAL THERAPY 161292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161292,A000000,02700,0000,2700SPEECH PATHOLOGY 161292,A000000,02800,0000,2800ELECTROCARDIOLOGY 161292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161292,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161292,A000000,03200,0000,3200SUPPORT SURFACES 161292,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161292,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161292,A000000,04800,0000,4800AMBULANCE 161292,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161292,A000000,05000,0000,5000CORF 161292,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161292,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161292,A000000,05300,0000,5300INTEREST EXPENSE 161292,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161292,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161292,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161292,A000000,06100,0000,6100NONPAID WORKERS 161292,A81000A,00100,0100,N 161292,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161292,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 161292,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161292,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161292,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161292,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161292,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 161292,B100000,00000,0800,0800MEALS SERVED :DIETARY 161292,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 161292,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161292,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 161292,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161292,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 161292,S000000,00100,0200,06/05/00 161292,S200000,00100,0100,2515 PITMAN PLACE 161292,S200000,00200,0100,PUEBLO 161292,S200000,00200,0200,CO 161292,S200000,00200,0300,81004- 161292,S200000,00300,0100,PUEBLO 161292,S200000,00300,0200,6560 161292,S200000,00300,0300,U 161292,S200000,00400,0100,WESTWIND VILLAGE 161292,S200000,00400,0200,065100 161292,S200000,00400,0300,04/01/97 161292,S200000,00400,0500,P 161292,S200000,01500,0100,N 161292,S200000,01600,0100,Y 161292,S200000,01700,0100,N 161292,S200000,01800,0100,N 161292,S200000,02200,0100,N 161292,S200000,02800,0100,N 161292,S200000,02900,0100,N 161292,S200000,03000,0100,N 161292,S200000,03100,0100,N 161292,S200000,03200,0100,N 161292,S200000,04100,0100,N 161292,S200000,04200,0100,N 161292,S200000,04300,0100,N 161292,S200000,04600,0100,N 161292,S200000,04700,0100,N 161292,S200000,04700,0200,N 161292,S200000,04900,0100,N 161292,S200000,05000,0100,N 161292,S200000,05100,0100,N 161292,S200000,05200,0100,N 161293,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161293,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161293,A000000,00300,0000,0300EMPLOYEE BENEFITS 161293,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161293,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161293,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161293,A000000,00700,0000,0700HOUSEKEEPING 161293,A000000,00800,0000,0800DIETARY 161293,A000000,00900,0000,0900NURSING ADMINISTRATION 161293,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161293,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161293,A000000,01300,0000,1300SOCIAL SERVICE 161293,A000000,01301,0000,1301ACTIVITIES 161293,A000000,01500,0000,1350REHAB 161293,A000000,01600,0000,1600SKILLED NURSING FACILITY 161293,A000000,01800,0000,1800NURSING FACILITY 161293,A000000,01900,0000,1900OTHER LONG TERM CARE 161293,A000000,02100,0000,2100RADIOLOGY 161293,A000000,02200,0000,2200LABORATORY 161293,A000000,02300,0000,2300INTRAVENOUS THERAPY 161293,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161293,A000000,02500,0000,2500PHYSICAL THERAPY 161293,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161293,A000000,02700,0000,2700SPEECH PATHOLOGY 161293,A000000,02800,0000,2800ELECTROCARDIOLOGY 161293,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161293,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161293,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161293,A000000,03200,0000,3200SUPPORT SURFACES 161293,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 161293,A000000,03400,0000,3400CLINIC 161293,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 161293,A000000,04800,0000,4800AMBULANCE 161293,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161293,A000000,05000,0000,5000CORF 161293,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161293,A000000,05300,0000,5300INTEREST EXPENSE 161293,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161293,A000000,05500,0000,5500HOSPICE 161293,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161293,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161293,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161293,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161293,A000000,06100,0000,6100NONPAID WORKERS 161293,A000000,06200,0000,6200PATIENTS LAUNDRY 161293,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 161293,A81000A,00100,0100,Y 161293,A81000B,00100,0300,HOME OFFICE ALLOCATION 161293,A81000B,00200,0300,CENTRAL SUPPLY 161293,A81000B,00300,0300,MEDICAL SUPPLIES 161293,A81000B,00400,0300,CAPITAL 161293,A81000B,00500,0300,REHAB 161293,A81000B,00600,0300,PT 161293,A81000B,00700,0300,OT 161293,A81000B,00800,0300,ST 161293,A81000C,00100,0100,B 161293,A81000C,00100,0200,CAMELLIA 10726 161293,A81000C,00100,0400,MARINER POST AC 161293,A81000C,00100,0600,NURSING HOMES 161293,A81000C,00200,0100,G 161293,A81000C,00200,0200,MARINER POST AC 161293,A81000C,00200,0400,AMERICAN PHARMA 161293,A81000C,00200,0600,PHARMACEUTICALS 161293,A81000C,00300,0100,G 161293,A81000C,00300,0200,MARINER POST AC 161293,A81000C,00300,0400,PRISM (ATS ARS 161293,A81000C,00300,0600,THERAPIES 161293,A81000C,03100,0000,MARINER POST ACUTE NETWORK 161293,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161293,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161293,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161293,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161293,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161293,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161293,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161293,B100000,00000,0800,0800MEALS SERVED :DIETARY 161293,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 161293,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161293,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161293,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161293,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 161293,B100000,00000,1500,1350UNITS OF SERVICE :REHAB 161293,S000000,00100,0200,06/01/00 161293,S200000,00100,0100,500 GENEVA ST 161293,S200000,00200,0100,AURORA 161293,S200000,00200,0200,CO 161293,S200000,00200,0300,80010- 161293,S200000,00300,0100,LITTLETON 161293,S200000,00300,0200,2080 161293,S200000,00300,0300,U 161293,S200000,00400,0100,CAMELLIA HEALTHCARE CENTER 161293,S200000,00400,0200,065176 161293,S200000,00400,0300,01/01/80 161293,S200000,00400,0500,P 161293,S200000,01500,0100,Y 161293,S200000,01600,0100,N 161293,S200000,01700,0100,N 161293,S200000,01800,0100,N 161293,S200000,02200,0100,N 161293,S200000,02800,0100,N 161293,S200000,02900,0100,N 161293,S200000,03000,0100,N 161293,S200000,03100,0100,N 161293,S200000,03200,0100,N 161293,S200000,04100,0100,N 161293,S200000,04200,0100,N 161293,S200000,04300,0100,N 161293,S200000,04600,0100,N 161293,S200000,04700,0100,N 161293,S200000,04700,0200,N 161293,S200000,04900,0100,N 161293,S200000,05000,0100,N 161293,S200000,05100,0100,N 161293,S200000,05200,0100,N 161294,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161294,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 161294,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161294,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 161294,A000000,00300,0000,0300EMPLOYEE BENEFITS 161294,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161294,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161294,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161294,A000000,00700,0000,0700HOUSEKEEPING 161294,A000000,00800,0000,0800DIETARY 161294,A000000,00801,0000,0801CAFETERIA 161294,A000000,00900,0000,0900NURSING ADMINISTRATION 161294,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161294,A000000,01100,0000,1100PHARMACY 161294,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161294,A000000,01300,0000,1300SOCIAL SERVICE 161294,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161294,A000000,01500,0000,1350ACTIVITIES 161294,A000000,01600,0000,1600SKILLED NURSING FACILITY 161294,A000000,01810,0000,1810ICF/MR 161294,A000000,02100,0000,2100RADIOLOGY 161294,A000000,02200,0000,2200LABORATORY 161294,A000000,02500,0000,2500PHYSICAL THERAPY 161294,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161294,A000000,02700,0000,2700SPEECH PATHOLOGY 161294,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161294,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161294,A000000,03200,0000,3200SUPPORT SURFACES 161294,A000000,03300,0000,3050OXYGEN 161294,A000000,03301,0000,3051OTHER ANCILLARY II 161294,A000000,03302,0000,3052OTHER ANCILLARY III 161294,A000000,03550,0000,3550FQHC 161294,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161294,A000000,05000,0000,5000CORF 161294,A000000,05010,0000,5010CMHC I 161294,A000000,05020,0000,5020OPT I 161294,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161294,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161294,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161294,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161294,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161294,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161294,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161294,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161294,A81000A,00100,0100,Y 161294,A81000B,00100,0300,MGMT FEES-A&G 161294,A81000B,00200,0300,MGMT FEES-DHC 161294,A81000B,00300,0300,BLDG LEASE-NON-FRV 161294,A81000B,00400,0300,BLDG LEASE-FRV 161294,A81000B,00500,0300,LEGAL EXPENSE 161294,A81000C,00100,0100,A 161294,A81000C,00100,0200,JAY MOSKOWITZ 161294,A81000C,00100,0400,QUAL LIFE MGMT 161294,A81000C,00100,0600, MGMT CO 161294,A81000C,00200,0100,A 161294,A81000C,00200,0200,JAY MOSKOWITZ 161294,A81000C,00200,0400,QUAL LIFE MGMT 161294,A81000C,00200,0600, MGMT CO 161294,A81000C,00300,0100,A 161294,A81000C,00300,0200,JAY MOSKOWITZ 161294,A81000C,00300,0400,WHTRDG MNR INC 161294,A81000C,00300,0600, BLDG OWNER 161294,A81000C,00400,0100,A 161294,A81000C,00400,0200,JAY MOSKOWITZ 161294,A81000C,00400,0400,WHTRDG MNR INC 161294,A81000C,00400,0600, BLDG OWNER 161294,A81000C,00500,0100,G 161294,A81000C,00500,0200,JACQUES RUDA 161294,A81000C,00500,0600, ATTORNEY 161294,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 161294,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 161294,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 161294,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161294,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 161294,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 161294,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 161294,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 161294,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 161294,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 161294,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 161294,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 161294,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 161294,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 161294,S000000,00100,0200,06/02/00 161294,S200000,00100,0100,2920 FENTON ST. 161294,S200000,00200,0100,WHEAT RIDGE 161294,S200000,00200,0200,CO 161294,S200000,00200,0300,80214- 161294,S200000,00300,0100,JEFFERSON 161294,S200000,00300,0200,2080 161294,S200000,00300,0300,U 161294,S200000,00400,0100,WHEATRIDGE MANOR 161294,S200000,00400,0200,065308 161294,S200000,00400,0300,04/01/99 161294,S200000,00400,0500,P 161294,S200000,01500,0100,Y 161294,S200000,01600,0100,N 161294,S200000,01700,0100,N 161294,S200000,01800,0100,N 161294,S200000,02200,0100,Y 161294,S200000,02800,0100,N 161294,S200000,02900,0100,N 161294,S200000,03000,0100,N 161294,S200000,03100,0100,N 161294,S200000,03200,0100,N 161294,S200000,04100,0100,N 161294,S200000,04200,0100,N 161294,S200000,04300,0100,N 161294,S200000,04600,0100,N 161294,S200000,04700,0100,N 161294,S200000,04700,0200,N 161294,S200000,04900,0100,N 161294,S200000,05000,0100,N 161294,S200000,05100,0100,N 161294,S200000,05200,0100,N 161296,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161296,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161296,A000000,00300,0000,0300EMPLOYEE BENEFITS 161296,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161296,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161296,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161296,A000000,00700,0000,0700HOUSEKEEPING 161296,A000000,00800,0000,0800DIETARY 161296,A000000,00900,0000,0900NURSING ADMINISTRATION 161296,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161296,A000000,01100,0000,1100PHARMACY 161296,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161296,A000000,01300,0000,1300SOCIAL SERVICE 161296,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 161296,A000000,01600,0000,1600SKILLED NURSING FACILITY 161296,A000000,02100,0000,2100RADIOLOGY 161296,A000000,02200,0000,2200LABORATORY 161296,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161296,A000000,02500,0000,2500PHYSICAL THERAPY 161296,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161296,A000000,02700,0000,2700SPEECH PATHOLOGY 161296,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161296,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161296,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161296,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161296,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161296,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161296,A000000,05300,0000,5300INTEREST EXPENSE 161296,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161296,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161296,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161296,A81000A,00100,0100,Y 161296,A81000B,00100,0300,MANAGEMENT FEES 161296,A81000C,00100,0100,A 161296,A81000C,00100,0200,JEFF JEREBKER 161296,A81000C,00100,0400,PINON MANAGEMEN 161296,A81000C,00100,0600,MANAGEMENT COMP 161296,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161296,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161296,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161296,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161296,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161296,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 161296,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 161296,B100000,00000,0800,0850TIME SPENT :DIETARY 161296,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 161296,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 161296,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 161296,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 161296,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 161296,S000000,00100,0200,06/22/00 161296,S200000,00100,0100,320 NORTH 8TH STREET 161296,S200000,00200,0100,HOLLY 161296,S200000,00200,0200,CO 161296,S200000,00200,0300,81047- 161296,S200000,00300,0100,PROWERS 161296,S200000,00300,0200,06 161296,S200000,00300,0300,R 161296,S200000,00400,0100,HOLLY NURSING CARE CENTER 161296,S200000,00400,0200,065351 161296,S200000,00400,0300,06/01/96 161296,S200000,00400,0500,P 161296,S200000,01500,0100,Y 161296,S200000,01600,0100,N 161296,S200000,01700,0100,N 161296,S200000,01800,0100,N 161296,S200000,02200,0100,N 161296,S200000,02800,0100,N 161296,S200000,02900,0100,N 161296,S200000,03000,0100,N 161296,S200000,03100,0100,N 161296,S200000,03200,0100,N 161296,S200000,04100,0100,N 161296,S200000,04200,0100,N 161296,S200000,04300,0100,N 161296,S200000,04600,0100,N 161296,S200000,04700,0100,N 161296,S200000,04700,0200,N 161296,S200000,04900,0100,N 161296,S200000,05000,0100,N 161296,S200000,05100,0100,N 161296,S200000,05200,0100,N 161297,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161297,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 161297,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161297,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 161297,A000000,00300,0000,0300EMPLOYEE BENEFITS 161297,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161297,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161297,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161297,A000000,00700,0000,0700HOUSEKEEPING 161297,A000000,00800,0000,0800DIETARY 161297,A000000,00801,0000,0801CAFETERIA 161297,A000000,00900,0000,0900NURSING ADMINISTRATION 161297,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161297,A000000,01100,0000,1100PHARMACY 161297,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161297,A000000,01300,0000,1300SOCIAL SERVICE 161297,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161297,A000000,01500,0000,1350ACTIVITIES 161297,A000000,01600,0000,1600SKILLED NURSING FACILITY 161297,A000000,01800,0000,1800NURSING FACILITY 161297,A000000,01900,0000,1900OTHER LONG TERM CARE 161297,A000000,02100,0000,2100RADIOLOGY 161297,A000000,02200,0000,2200LABORATORY 161297,A000000,02300,0000,2300INTRAVENOUS THERAPY 161297,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161297,A000000,02500,0000,2500PHYSICAL THERAPY 161297,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161297,A000000,02700,0000,2700SPEECH PATHOLOGY 161297,A000000,02800,0000,2800ELECTROCARDIOLOGY 161297,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161297,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161297,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161297,A000000,03200,0000,3200SUPPORT SURFACES 161297,A000000,03300,0000,3050OTHER ANCILLARY 161297,A000000,03301,0000,3051OTHER ANCILLARY II 161297,A000000,03302,0000,3052OTHER ANCILLARY III 161297,A000000,03400,0000,3400CLINIC 161297,A000000,03500,0000,3500RURAL HEALTH CLINIC 161297,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161297,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161297,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161297,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161297,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161297,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161297,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161297,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161297,A000000,04400,0000,4400DME RENTED - HHA 161297,A000000,04500,0000,4500DME SOLD - HHA 161297,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 161297,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 161297,A000000,04800,0000,4800AMBULANCE 161297,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161297,A000000,05000,0000,5000CORF 161297,A000000,05010,0000,5010CMHC I 161297,A000000,05020,0000,5020OPT I 161297,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161297,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161297,A000000,05300,0000,5300INTEREST EXPENSE 161297,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161297,A000000,05500,0000,5500HOSPICE 161297,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161297,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161297,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161297,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161297,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161297,A000000,06100,0000,6100NONPAID WORKERS 161297,A000000,06200,0000,6200PATIENTS LAUNDRY 161297,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161297,A81000A,00100,0100,Y 161297,A81000B,00100,0300,MANAGEMENT FEES 161297,A81000B,00200,0300,LEASE EXPENSE 161297,A81000C,00100,0100,A 161297,A81000C,00100,0200,CHM LLC 161297,A81000C,00100,0400,CHM LLC 161297,A81000C,00100,0600,MGMT COMPANY 161297,A81000C,00200,0100,A 161297,A81000C,00200,0200,CAA INC 161297,A81000C,00200,0400,CAA INC 161297,A81000C,00200,0600,PROPERTY MGMT 161297,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 161297,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 161297,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 161297,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161297,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 161297,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 161297,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 161297,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 161297,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 161297,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 161297,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 161297,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 161297,S000000,00100,0200,06/05/00 161297,S200000,00100,0100,1201 W ABRIENDO AVE 161297,S200000,00200,0100,PUEBLO 161297,S200000,00200,0200,CO 161297,S200000,00200,0300, - 161297,S200000,00300,0100,PUEBLO 161297,S200000,00300,0200,6560 161297,S200000,00300,0300,U 161297,S200000,00400,0100,SHARMAR VILLAGE 161297,S200000,00400,0200,065355 161297,S200000,00400,0300,01/01/97 161297,S200000,00400,0500,P 161297,S200000,01500,0100,Y 161297,S200000,01600,0100,N 161297,S200000,01700,0100,N 161297,S200000,01800,0100,N 161297,S200000,02200,0100,Y 161297,S200000,02800,0100,N 161297,S200000,02900,0100,N 161297,S200000,03000,0100,N 161297,S200000,03100,0100,N 161297,S200000,03200,0100,N 161297,S200000,04100,0100,N 161297,S200000,04200,0100,N 161297,S200000,04300,0100,N 161297,S200000,04600,0100,N 161297,S200000,04700,0100,N 161297,S200000,04700,0200,N 161297,S200000,04900,0100,N 161297,S200000,05000,0100,N 161297,S200000,05100,0100,N 161297,S200000,05200,0100,N 161307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161307,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 161307,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161307,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 161307,A000000,00300,0000,0300EMPLOYEE BENEFITS 161307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161307,A000000,00700,0000,0700HOUSEKEEPING 161307,A000000,00800,0000,0800DIETARY 161307,A000000,00801,0000,0801CAFETERIA 161307,A000000,00900,0000,0900NURSING ADMINISTRATION 161307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161307,A000000,01100,0000,1100PHARMACY 161307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161307,A000000,01300,0000,1300SOCIAL SERVICE 161307,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161307,A000000,01500,0000,1350ACTIVITIES 161307,A000000,01600,0000,1600SKILLED NURSING FACILITY 161307,A000000,01800,0000,1800NURSING FACILITY 161307,A000000,01900,0000,1900OTHER LONG TERM CARE 161307,A000000,02100,0000,2100RADIOLOGY 161307,A000000,02200,0000,2200LABORATORY 161307,A000000,02300,0000,2300INTRAVENOUS THERAPY 161307,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161307,A000000,02500,0000,2500PHYSICAL THERAPY 161307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161307,A000000,02700,0000,2700SPEECH PATHOLOGY 161307,A000000,02800,0000,2800ELECTROCARDIOLOGY 161307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161307,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161307,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161307,A000000,03200,0000,3200SUPPORT SURFACES 161307,A000000,03300,0000,3050OTHER ANCILLARY 161307,A000000,03301,0000,3051OTHER ANCILLARY II 161307,A000000,03302,0000,3052OTHER ANCILLARY III 161307,A000000,03400,0000,3400CLINIC 161307,A000000,03500,0000,3500RURAL HEALTH CLINIC 161307,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161307,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161307,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161307,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161307,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161307,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161307,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161307,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161307,A000000,04400,0000,4400DME RENTED - HHA 161307,A000000,04500,0000,4500DME SOLD - HHA 161307,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 161307,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 161307,A000000,04800,0000,4800AMBULANCE 161307,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161307,A000000,05000,0000,5000CORF 161307,A000000,05010,0000,5010CMHC I 161307,A000000,05020,0000,5020OPT I 161307,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161307,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161307,A000000,05300,0000,5300INTEREST EXPENSE 161307,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161307,A000000,05500,0000,5500HOSPICE 161307,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161307,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161307,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161307,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161307,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161307,A000000,06100,0000,6100NONPAID WORKERS 161307,A000000,06200,0000,6200PATIENTS LAUNDRY 161307,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161307,A81000A,00100,0100,N 161307,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 161307,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 161307,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161307,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 161307,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 161307,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 161307,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 161307,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 161307,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 161307,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 161307,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 161307,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 161307,S000000,00100,0200,05/10/00 161307,S200000,00100,0100,700 NORTH A STREET 161307,S200000,00100,0300,397 161307,S200000,00200,0100,CRIPPLE CREEK 161307,S200000,00200,0200,CO 161307,S200000,00200,0300,80813- 161307,S200000,00300,0100,TELLER 161307,S200000,00300,0200,9999 161307,S200000,00300,0300,R 161307,S200000,00400,0100,CRIPPLE CREEK REHAB AND WELLNESS CTR 161307,S200000,00400,0200,065333 161307,S200000,00400,0300,08/01/96 161307,S200000,00400,0500,P 161307,S200000,01500,0100,Y 161307,S200000,01600,0100,N 161307,S200000,01700,0100,N 161307,S200000,01800,0100,N 161307,S200000,02200,0100,Y 161307,S200000,02800,0100,N 161307,S200000,02900,0100,N 161307,S200000,03000,0100,N 161307,S200000,03100,0100,N 161307,S200000,03200,0100,N 161307,S200000,04100,0100,N 161307,S200000,04200,0100,N 161307,S200000,04300,0100,Y 161307,S200000,04600,0100,N 161307,S200000,04700,0100,N 161307,S200000,04700,0200,N 161307,S200000,04900,0100,N 161307,S200000,05000,0100,N 161307,S200000,05100,0100,N 161307,S200000,05200,0100,N 161310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161310,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161310,A000000,00300,0000,0300EMPLOYEE BENEFITS 161310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161310,A000000,00700,0000,0700HOUSEKEEPING 161310,A000000,00800,0000,0800DIETARY 161310,A000000,00900,0000,0900NURSING ADMINISTRATION 161310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161310,A000000,01100,0000,1100PHARMACY 161310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161310,A000000,01300,0000,1300SOCIAL SERVICE 161310,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161310,A000000,01500,0000,1350DIVERSIONAL ACTIVITIES 161310,A000000,01600,0000,1600SKILLED NURSING FACILITY 161310,A000000,01800,0000,1800NURSING FACILITY 161310,A000000,01810,0000,1810ICF/MR 161310,A000000,01900,0000,1900OTHER LONG TERM CARE 161310,A000000,02100,0000,2100RADIOLOGY 161310,A000000,02200,0000,2200LABORATORY 161310,A000000,02500,0000,2500PHYSICAL THERAPY 161310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161310,A000000,02700,0000,2700SPEECH PATHOLOGY 161310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161310,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161310,A000000,03550,0000,3550FQHC 161310,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161310,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161310,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161310,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161310,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161310,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161310,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161310,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161310,A000000,04801,0000,4801AMBULANCE 161310,A000000,04802,0000,4802AMBULANCE 161310,A000000,04803,0000,4803AMBULANCE 161310,A000000,05000,0000,5000CORF 161310,A000000,05010,0000,5010CMHC 161310,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161310,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161310,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161310,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161310,A000000,05300,0000,5300INTEREST EXPENSE 161310,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161310,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 161310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161310,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161310,A81000A,00100,0100,N 161310,B100000,00000,0100,0100SQUARE FEET 161310,B100000,00000,0200,0200SQUARE FEET 161310,B100000,00000,0300,0300GROSS SALARIES 161310,B100000,00000,0400,0400ACCUM COST 161310,B100000,00000,0500,0500SQUARE FEET 161310,B100000,00000,0600,0600POUNDS OF LAUNDRY 161310,B100000,00000,0700,0700SQUARE FEET 161310,B100000,00000,0800,0800MEALS SERVED 161310,B100000,00000,0900,0900PATIENT DAYS 161310,B100000,00000,1000,1000PATIENT DAYS 161310,B100000,00000,1100,1100PATIENT DAYS 161310,B100000,00000,1200,1200PATIENT DAYS 161310,B100000,00000,1300,1300PATIENT DAYS 161310,B100000,00000,1400,1400NO STATISTICS 161310,B100000,00000,1500,1350 161310,E10A180,00501,0300,01/11/01 161310,H510100,00000,0000,4040 161310,H510100,02400,0000,4040 161310,H710000,00501,0100,03/13/02 161310,H710000,00501,0300,01/11/01 161310,H710000,00550,0100,01/11/01 161310,H710000,00551,0100,11/28/01 161310,S000000,00100,0200,01/08/01 161310,S200000,00100,0100,2700 BURCHAM DRIVE 161310,S200000,00200,0100,EAST LANSING 161310,S200000,00200,0200,MI 161310,S200000,00200,0300,48823 161310,S200000,00300,0100,I 161310,S200000,00300,0200,4040 161310,S200000,00300,0300,U 161310,S200000,00400,0100,BURCHAM HILLS RETIREMENT CENTER II 161310,S200000,00400,0200,235236 161310,S200000,00400,0300,06/01/89 161310,S200000,00400,0500,P 161310,S200000,00600,0200,235236 161310,S200000,00600,0300,06/01/89 161310,S200000,00600,0600,O 161310,S200000,00800,0200,237254 161310,S200000,00800,0300,06/15/94 161310,S200000,00800,0500,O 161310,S200000,01500,0100,N 161310,S200000,01600,0100,Y 161310,S200000,01700,0100,N 161310,S200000,01800,0100,N 161310,S200000,01900,0100,FREE STANDING SNF 161310,S200000,02200,0100,N 161310,S200000,02800,0100,N 161310,S200000,02900,0100,N 161310,S200000,03000,0100,N 161310,S200000,03100,0100,N 161310,S200000,03200,0100,N 161310,S200000,03300,0100,N 161310,S200000,03300,0200,N 161310,S200000,03500,0300,N 161310,S200000,03600,0200,N 161310,S200000,03700,0100,N 161310,S200000,03700,0200,N 161310,S200000,04100,0100,N 161310,S200000,04200,0100,N 161310,S200000,04300,0100,N 161310,S200000,04600,0100,Y 161310,S200000,04700,0100,N 161310,S200000,04900,0100,N 161310,S200000,05200,0100,N 161310,S410002,01700,0100,4040 161340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161340,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161340,A000000,00300,0000,0300EMPLOYEE BENEFITS 161340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161340,A000000,00700,0000,0700HOUSEKEEPING 161340,A000000,00800,0000,0800DIETARY 161340,A000000,00900,0000,0900NURSING ADMINISTRATION 161340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161340,A000000,01100,0000,1100PHARMACY 161340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161340,A000000,01300,0000,1300SOCIAL SERVICE 161340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161340,A000000,01500,0000,1350PHYSICIANS 161340,A000000,01600,0000,1600SKILLED NURSING FACILITY 161340,A000000,01810,0000,1810ICF/MR 161340,A000000,02100,0000,2100RADIOLOGY 161340,A000000,02200,0000,2200LABORATORY 161340,A000000,02500,0000,2500PHYSICAL THERAPY 161340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161340,A000000,02700,0000,2700SPEECH PATHOLOGY 161340,A000000,03300,0000,3050PODIATRY 161340,A000000,03550,0000,3550FQHC 161340,A000000,03600,0000,3450ADULT DAY HEALTH CARE 161340,A000000,04801,0000,4801AMBULANCE 161340,A000000,04802,0000,4802AMBULANCE 161340,A000000,04803,0000,4803AMBULANCE 161340,A000000,05000,0000,5000CORF 161340,A000000,05010,0000,5010CMHC 161340,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161340,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161340,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161340,A81000A,00100,0100,N 161340,B100000,00000,0100,0100SQUARE FEET 161340,B100000,00000,0200,0200SQUARE FEET 161340,B100000,00000,0300,0300GROSS SALARIES 161340,B100000,00000,0400,0400ACCUM COST 161340,B100000,00000,0500,0500SQUARE FEET 161340,B100000,00000,0600,0600POUNDS OF LAUNDRY 161340,B100000,00000,0700,0700HOURS OF SERVICE 161340,B100000,00000,0800,0800MEALS SERVED 161340,B100000,00000,0900,0900DIRECT NRSG HRS 161340,B100000,00000,1000,1000COSTED REQUIS 161340,B100000,00000,1100,1100COSTED REQUIS 161340,B100000,00000,1200,1200TIME SPENT 161340,B100000,00000,1300,1300TIME SPENT 161340,B100000,00000,1400,1400ASSIGNED TIME 161340,B100000,00000,1500,1350 161340,S000000,00100,0200,12/21/00 161340,S200000,00100,0100,594 ALBANY AVENUE 161340,S200000,00200,0100,BROOKLYN 161340,S200000,00200,0200,NY 161340,S200000,00200,0300,11203 161340,S200000,00300,0100,K 161340,S200000,00300,0200,5600 161340,S200000,00300,0300,U 161340,S200000,00400,0100,DR. SUSAN SMITH MCKINNEY N&RC 161340,S200000,00400,0200,335805 161340,S200000,00400,0300,12/08/97 161340,S200000,00400,0500,P 161340,S200000,00400,0600,O 161340,S200000,01500,0100,Y 161340,S200000,01600,0100,Y 161340,S200000,01700,0100,N 161340,S200000,01800,0100,N 161340,S200000,02200,0100,N 161340,S200000,02800,0100,N 161340,S200000,02900,0100,N 161340,S200000,03000,0100,N 161340,S200000,03100,0100,N 161340,S200000,03200,0100,N 161340,S200000,03300,0100,N 161340,S200000,03300,0200,Y 161340,S200000,04100,0100,Y 161340,S200000,04200,0100,N 161340,S200000,04300,0100,N 161340,S200000,04600,0100,N 161340,S200000,04700,0100,N 161340,S200000,04900,0100,N 161443,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161443,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161443,A000000,00300,0000,0300EMPLOYEE BENEFITS 161443,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161443,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161443,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161443,A000000,00700,0000,0700HOUSEKEEPING 161443,A000000,00800,0000,0800DIETARY 161443,A000000,00900,0000,0900NURSING ADMINISTRATION 161443,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161443,A000000,01100,0000,1100PHARMACY 161443,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161443,A000000,01300,0000,1300SOCIAL SERVICE 161443,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161443,A000000,01500,0000,1350ACTIVITY THERAPY 161443,A000000,01600,0000,1600SKILLED NURSING FACILITY 161443,A000000,01800,0000,1800NURSING FACILITY 161443,A000000,01810,0000,1810ICF/MR 161443,A000000,02100,0000,2100RADIOLOGY 161443,A000000,02200,0000,2200LABORATORY 161443,A000000,02500,0000,2500PHYSICAL THERAPY 161443,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161443,A000000,02700,0000,2700SPEECH PATHOLOGY 161443,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161443,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161443,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161443,A000000,03300,0000,3050ADAPTIVE EQUIPMENT 161443,A000000,03301,0000,3051REHABILITATIVE SERVICES 161443,A000000,03550,0000,3550FQHC 161443,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161443,A000000,04801,0000,4801AMBULANCE 161443,A000000,04802,0000,4802AMBULANCE 161443,A000000,04803,0000,4803AMBULANCE 161443,A000000,05000,0000,5000CORF 161443,A000000,05010,0000,5010CMHC 161443,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161443,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161443,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161443,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161443,A000000,05300,0000,5300INTEREST EXPENSE 161443,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161443,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 161443,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161443,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161443,A000000,06300,0000,6150MEDICAL DAY CARE/CHAPLIN 161443,A000000,06301,0000,6151MEDICAL DAY CARE/CHAPLAIN 161443,A81000A,00100,0100,N 161443,B100000,00000,0100,0100SQUARE FEET 161443,B100000,00000,0200,0200SQUARE FEET 161443,B100000,00000,0300,0300GROSS SALARIES 161443,B100000,00000,0400,0400ACCUM COST 161443,B100000,00000,0500,0500SQUARE FEET 161443,B100000,00000,0600,0600POUNDS OF LAUNDRY 161443,B100000,00000,0700,0700HOURS OF SERVICE 161443,B100000,00000,0800,0800MEALS SERVED 161443,B100000,00000,0900,0900DIRECT NRSING HRS 161443,B100000,00000,1000,1000COSTED REQUIS. 161443,B100000,00000,1100,1100COSTED REQUIS. 161443,B100000,00000,1200,1200TIME SPENT 161443,B100000,00000,1300,1300TIME SPENT 161443,B100000,00000,1400,1400ASSIGNED TIME 161443,B100000,00000,1500,1350PATIENT DAYS 161443,E10A180,00550,0100,03/14/02 161443,S000000,00100,0200,03/11/02 161443,S200000,00100,0100,100 SUNNYSIDE ROAD 161443,S200000,00200,0100,SMYRNA 161443,S200000,00200,0200,DE 161443,S200000,00200,0300,19977 161443,S200000,00300,0100,KENT 161443,S200000,00300,0200,2190 161443,S200000,00300,0300,U 161443,S200000,00400,0100,DE HOSP F/T CHRONICALLY ILL 161443,S200000,00400,0200,085035 161443,S200000,00400,0300,01/01/89 161443,S200000,00400,0500,P 161443,S200000,01500,0100,N 161443,S200000,01600,0100,Y 161443,S200000,01700,0100,N 161443,S200000,01800,0100,N 161443,S200000,02200,0100,N 161443,S200000,02800,0100,N 161443,S200000,02900,0100,N 161443,S200000,03000,0100,N 161443,S200000,03100,0100,N 161443,S200000,03200,0100,N 161443,S200000,03300,0100,N 161443,S200000,03300,0200,N 161443,S200000,04100,0100,N 161443,S200000,04200,0100,N 161443,S200000,04300,0100,N 161443,S200000,04600,0100,N 161443,S200000,04700,0100,N 161443,S200000,04700,0200,N 161443,S200000,04900,0100,N 161443,S200000,05000,0100,N 161443,S200000,05200,0100,N 161464,S000000,00100,0200,01/07/03 161473,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161473,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161473,A000000,00300,0000,0300EMPLOYEE BENEFITS 161473,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161473,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161473,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161473,A000000,00700,0000,0700HOUSEKEEPING 161473,A000000,00800,0000,0800DIETARY 161473,A000000,00900,0000,0900NURSING ADMINISTRATION 161473,A000000,00901,0000,0901OTHER NURSING 161473,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161473,A000000,01100,0000,1100PHARMACY 161473,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161473,A000000,01300,0000,1300SOCIAL SERVICE 161473,A000000,01301,0000,1301ACTIVITIES 161473,A000000,01600,0000,1600SKILLED NURSING FACILITY 161473,A000000,01800,0000,1800NURSING FACILITY 161473,A000000,02100,0000,2100RADIOLOGY 161473,A000000,02200,0000,2200LABORATORY 161473,A000000,02300,0000,2300INTRAVENOUS THERAPY 161473,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161473,A000000,02500,0000,2500PHYSICAL THERAPY 161473,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161473,A000000,02700,0000,2700SPEECH PATHOLOGY 161473,A000000,02800,0000,2800ELECTROCARDIOLOGY 161473,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161473,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161473,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161473,A000000,03301,0000,3051NUTRITIONAL THERAPY 161473,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 161473,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 161473,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161473,A000000,04800,0000,4800AMBULANCE 161473,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161473,A000000,05300,0000,5300INTEREST EXPENSE 161473,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161473,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161473,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161473,A000000,06200,0000,6200PATIENTS LAUNDRY 161473,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161473,A000000,06301,0000,6151DAY CARE 161473,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 161473,A000000,06303,0000,6153DISTRICT OFFICE SPACE 161473,A81000A,00100,0100,Y 161473,A81000B,00100,0300,HOME OFFICE COSTS 161473,A81000B,00200,0300,LIABILITY INSURANCE 161473,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 161473,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 161473,A81000B,00500,0300,VC PHARMACY - ADMIN 161473,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 161473,A81000B,00700,0300,VC PHARMACY - LAUNDRY 161473,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 161473,A81000B,00900,0300,VC PHARMACY - DIETARY 161473,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 161473,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 161473,A81000B,01200,0300,VC PHARMACY - NONLEGEND 161473,A81000B,01300,0300,VC PHARMACY - MED RECORDS 161473,A81000B,01400,0300,VC PHARMACY - SOC SVCS 161473,A81000B,01500,0300,VC PHARMACY - ACTIVITY 161473,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 161473,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 161473,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 161473,A81000B,01900,0300,VC PHARMACY - LAB 161473,A81000B,02000,0300,VC PHARMACY - IV THERAPY 161473,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 161473,A81000B,02200,0300,VENCARE REHAB - PHYS THER 161473,A81000B,02300,0300,VENCARE REHAB - OCCP THER 161473,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 161473,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 161473,A81000B,02600,0300,VC PHARMACY - LEGEND 161473,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 161473,A81000B,02800,0300,VC PHARMACY - NUTR THER 161473,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 161473,A81000C,00100,0100,B 161473,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 161473,A81000C,00100,0400,CORNERSTONE INSURANCE CO 161473,A81000C,00100,0600,LIABILITY INSURANCE 161473,A81000C,00200,0400,VENCARE PHARMACY SERVICES 161473,A81000C,00200,0600,PHARMACY 161473,A81000C,00300,0400,VENCARE RESPIRATORY 161473,A81000C,00300,0600,RESPIRATORY THERAPY 161473,A81000C,00400,0400,THERAPY SERVICES 161473,A81000C,00500,0400,VENCARE REHAB SERVICES 161473,A81000C,00500,0600,REHAB 161473,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161473,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161473,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161473,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161473,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161473,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161473,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161473,B100000,00000,0800,0850PATIENT DAYS :DIETARY 161473,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 161473,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 161473,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 161473,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 161473,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 161473,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161473,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 161473,E10A180,00350,0100,06/30/00 161473,E10A180,00351,0100,11/30/00 161473,S000000,00100,0200,11/14/02 161473,S200000,00100,0100,9020 GARFIELD 161473,S200000,00200,0100,RIVERSIDE 161473,S200000,00200,0200,CA 161473,S200000,00200,0300,92503- 161473,S200000,00300,0100,RIVERSIDE 161473,S200000,00300,0300,U 161473,S200000,00400,0100,411 - ALTA VISTA HEALTHCARE CENTER 161473,S200000,00400,0200,055042 161473,S200000,00400,0300,01/01/73 161473,S200000,00400,0500,P 161473,S200000,01500,0100,Y 161473,S200000,01600,0100,N 161473,S200000,01700,0100,N 161473,S200000,01800,0100,N 161473,S200000,02200,0100,Y 161473,S200000,02800,0100,N 161473,S200000,02900,0100,N 161473,S200000,03000,0100,N 161473,S200000,03100,0100,N 161473,S200000,03200,0100,N 161473,S200000,04100,0100,N 161473,S200000,04200,0100,N 161473,S200000,04300,0100,N 161473,S200000,04600,0100,N 161473,S200000,04700,0100,N 161473,S200000,04700,0200,N 161473,S200000,04900,0100,N 161473,S200000,05000,0100,N 161473,S200000,05100,0100,N 161473,S200000,05200,0100,N 161480,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161480,A000000,00101,0000,0101CAP REL COSTS - 1986 ADDITION 161480,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161480,A000000,00300,0000,0300EMPLOYEE BENEFITS 161480,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161480,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161480,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161480,A000000,00700,0000,0700HOUSEKEEPING 161480,A000000,00800,0000,0800DIETARY 161480,A000000,00900,0000,0900NURSING ADMINISTRATION 161480,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161480,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161480,A000000,01300,0000,1300SOCIAL SERVICE 161480,A000000,01600,0000,1600SKILLED NURSING FACILITY 161480,A000000,01800,0000,1800NURSING FACILITY 161480,A000000,02200,0000,2200LABORATORY 161480,A000000,02500,0000,2500PHYSICAL THERAPY 161480,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161480,A000000,02700,0000,2700SPEECH PATHOLOGY 161480,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161480,A000000,05300,0000,5300INTEREST EXPENSE 161480,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161480,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161480,A81000A,00100,0100,N 161480,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161480,B100000,00000,0101,0101SQUARE FEET :CAP REL COSTS - 19 161480,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161480,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161480,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161480,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161480,B100000,00000,0600,0650RESIDENT DAYS :LAUNDRY & LINEN 161480,B100000,00000,0700,0750COST :HOUSEKEEPING 161480,B100000,00000,0800,0850RESIDENT DAYS :DIETARY 161480,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 161480,B100000,00000,1000,1050SUPPLIES EXPENSE :CENTRAL SERVI 161480,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 161480,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 161480,S000000,00100,0200,02/07/01 161480,S200000,00100,0100,1001 WALLACE BLVD. 161480,S200000,00200,0100,AMARILLO 161480,S200000,00200,0200,TX 161480,S200000,00200,0300,79106- 161480,S200000,00300,0100,POTTER 161480,S200000,00300,0200,0320 161480,S200000,00300,0300,U 161480,S200000,00400,0100,BIVINS MEMORIAL NURSING HOME 161480,S200000,00400,0200,455456 161480,S200000,00400,0300,01/01/80 161480,S200000,00400,0500,P 161480,S200000,00600,0200,455456 161480,S200000,00600,0300,01/01/80 161480,S200000,00600,0600,O 161480,S200000,01500,0100,N 161480,S200000,01600,0100,Y 161480,S200000,01700,0100,N 161480,S200000,01800,0100,N 161480,S200000,02200,0100,N 161480,S200000,02800,0100,N 161480,S200000,02900,0100,N 161480,S200000,03000,0100,N 161480,S200000,03100,0100,N 161480,S200000,03200,0100,N 161480,S200000,04100,0100,N 161480,S200000,04200,0100,N 161480,S200000,04300,0100,N 161480,S200000,04600,0100,N 161480,S200000,04700,0100,N 161480,S200000,04700,0200,N 161480,S200000,04900,0100,N 161480,S200000,05000,0100,N 161480,S200000,05100,0100,N 161480,S200000,05200,0100,N 161487,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161487,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161487,A000000,00300,0000,0300EMPLOYEE BENEFITS 161487,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161487,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161487,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161487,A000000,00700,0000,0700HOUSEKEEPING 161487,A000000,00800,0000,0800DIETARY 161487,A000000,00900,0000,0900NURSING ADMINISTRATION 161487,A000000,00901,0000,0901OTHER NURSING 161487,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161487,A000000,01100,0000,1100PHARMACY 161487,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161487,A000000,01300,0000,1300SOCIAL SERVICE 161487,A000000,01600,0000,1600SKILLED NURSING FACILITY 161487,A000000,01800,0000,1800NURSING FACILITY 161487,A000000,02100,0000,2100RADIOLOGY 161487,A000000,02200,0000,2200LABORATORY 161487,A000000,02300,0000,2300INTRAVENOUS THERAPY 161487,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161487,A000000,02500,0000,2500PHYSICAL THERAPY 161487,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161487,A000000,02700,0000,2700SPEECH PATHOLOGY 161487,A000000,02800,0000,2800ELECTROCARDIOLOGY 161487,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161487,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161487,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161487,A000000,03301,0000,3051NUTRITIONAL THERAPY 161487,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 161487,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 161487,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161487,A000000,04800,0000,4800AMBULANCE 161487,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161487,A000000,05300,0000,5300INTEREST EXPENSE 161487,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161487,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161487,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161487,A000000,06200,0000,6200PATIENTS LAUNDRY 161487,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161487,A000000,06301,0000,6151OUTSIDE REHAB SERVICES 161487,A000000,06302,0000,6152GUEST MEALS/M.O.W. 161487,A000000,06303,0000,6153DISTRICT OFFICE SPACE 161487,A81000A,00100,0100,Y 161487,A81000B,00100,0300,HOME OFFICE COSTS 161487,A81000B,00200,0300,LIABILITY INSURANCE 161487,A81000B,00300,0300,VC PHARMACY - CAP EQ 161487,A81000B,00400,0300,VC PHARMACY - EMPL BENEFITS 161487,A81000B,00500,0300,VC PHARMACY - ADMIN 161487,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 161487,A81000B,00700,0300,VC PHARMACY - LAUNDRY 161487,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 161487,A81000B,00900,0300,VC PHARMACY - DIETARY 161487,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 161487,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 161487,A81000B,01200,0300,VC PHARMACY - NONLEGEND 161487,A81000B,01300,0300,VC PHARMACY - MED RECORDS 161487,A81000B,01400,0300,VC PHARMACY - SOC SVCS/ACTIV 161487,A81000B,01500,0300,VC PHARMACY - ROUTINE CERT 161487,A81000B,01600,0300,VC PHARMACY - ROUTINE NONCT 161487,A81000B,01700,0300,MOBILE RADIOLOGY - XRAY 161487,A81000B,01800,0300,VC PHARMACY - LAB 161487,A81000B,01900,0300,VC PHARMACY - IV THERAPY 161487,A81000B,02000,0300,VC HOSPITAL - INHALATION THER 161487,A81000B,02100,0300,VC PHARMACY - PHYS THER 161487,A81000B,02200,0300,VC PHARMACY - OCCP THER 161487,A81000B,02300,0300,VC PHARMACY - SPEECH THER 161487,A81000B,02400,0300,VC PHARMACY - MEDICAL SUPP 161487,A81000B,02500,0300,VC PHARMACY - LEGEND 161487,A81000B,02600,0300,VC PHARMACY - OTHER MEDICAL 161487,A81000B,02700,0300,VC PHARMACY - NUTR THER 161487,A81000B,02800,0300,VC PHARMACY - COMPLEX MEDICAL 161487,A81000B,02900,0300,VC PHARMACY - PROS & ORTHOS 161487,A81000C,00100,0100,B 161487,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 161487,A81000C,00100,0400,CORNERSTONE INSURANCE CO 161487,A81000C,00100,0600,LIABILITY INSURANCE 161487,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 161487,A81000C,00200,0600,PHARMACY 161487,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 161487,A81000C,00300,0600,RESPIRATORY THERAPY 161487,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 161487,A81000C,00500,0400,HEALTHCARE RESPIRATORY 161487,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 161487,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 161487,A81000C,00800,0600,PORTABLE X-RAY SERVICES 161487,A81000C,00900,0400,RADIOLOGY 161487,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161487,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161487,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161487,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161487,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161487,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161487,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161487,B100000,00000,0800,0850PATIENT DAYS :DIETARY 161487,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 161487,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 161487,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 161487,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161487,S000000,00100,0200,08/02/00 161487,S200000,00100,0100,805 FRONT STREEET SOUTH 161487,S200000,00200,0100,ISSAQUAH 161487,S200000,00200,0200,WA 161487,S200000,00200,0300,98207- 161487,S200000,00300,0100,KING 161487,S200000,00300,0200,7600 161487,S200000,00300,0300,U 161487,S200000,00400,0100,ISSAQUAH CARE CENTER 161487,S200000,00400,0200,505004 161487,S200000,00400,0300,07/01/84 161487,S200000,00400,0500,P 161487,S200000,01500,0100,Y 161487,S200000,01600,0100,N 161487,S200000,01700,0100,N 161487,S200000,01800,0100,N 161487,S200000,02200,0100,N 161487,S200000,02800,0100,N 161487,S200000,02900,0100,N 161487,S200000,03000,0100,N 161487,S200000,03100,0100,N 161487,S200000,03200,0100,N 161487,S200000,04100,0100,N 161487,S200000,04200,0100,N 161487,S200000,04300,0100,N 161487,S200000,04600,0100,N 161487,S200000,04700,0100,N 161487,S200000,04700,0200,N 161487,S200000,04900,0100,N 161487,S200000,05000,0100,N 161487,S200000,05100,0100,N 161487,S200000,05200,0100,N 161599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161599,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161599,A000000,00300,0000,0300EMPLOYEE BENEFITS 161599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161599,A000000,00700,0000,0700HOUSEKEEPING 161599,A000000,00800,0000,0800DIETARY 161599,A000000,00900,0000,0900NURSING ADMINISTRATION 161599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161599,A000000,01100,0000,1100PHARMACY 161599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161599,A000000,01300,0000,1300SOCIAL SERVICE 161599,A000000,01500,0000,1350OTHER GENERAL - ACTIVITIES 161599,A000000,01600,0000,1600SKILLED NURSING FACILITY 161599,A000000,02200,0000,2200LABORATORY 161599,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161599,A000000,02500,0000,2500PHYSICAL THERAPY 161599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161599,A000000,02700,0000,2700SPEECH PATHOLOGY 161599,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161599,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161599,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161599,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161599,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161599,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161599,A000000,05300,0000,5300INTEREST EXPENSE 161599,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161599,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161599,A81000A,00100,0100,N 161599,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161599,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161599,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161599,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161599,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161599,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 161599,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 161599,B100000,00000,0800,0850TIME SPENT :DIETARY 161599,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 161599,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 161599,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 161599,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 161599,B100000,00000,1500,1350TIME SPENT :OTHER GENERAL - ACT 161599,S000000,00100,0200,07/03/00 161599,S200000,00100,0100,465 MAIN STREET 161599,S200000,00200,0100,AKRON 161599,S200000,00200,0200,CO 161599,S200000,00200,0300,80720- 161599,S200000,00300,0100,WASHINGTON 161599,S200000,00300,0200,06 161599,S200000,00300,0300,R 161599,S200000,00400,0100,WASHINGTON COUNTY NURSING HOME 161599,S200000,00400,0200,065309 161599,S200000,00400,0300,05/11/96 161599,S200000,00400,0500,P 161599,S200000,01500,0100,Y 161599,S200000,01600,0100,N 161599,S200000,01700,0100,N 161599,S200000,01800,0100,N 161599,S200000,02200,0100,N 161599,S200000,02800,0100,N 161599,S200000,02900,0100,N 161599,S200000,03000,0100,N 161599,S200000,03100,0100,N 161599,S200000,03200,0100,N 161599,S200000,04100,0100,N 161599,S200000,04200,0100,N 161599,S200000,04300,0100,N 161599,S200000,04600,0100,N 161599,S200000,04700,0100,N 161599,S200000,04700,0200,N 161599,S200000,04900,0100,N 161599,S200000,05000,0100,N 161599,S200000,05100,0100,N 161599,S200000,05200,0100,N 161600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161600,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161600,A000000,00300,0000,0300EMPLOYEE BENEFITS 161600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161600,A000000,00700,0000,0700HOUSEKEEPING 161600,A000000,00800,0000,0800DIETARY 161600,A000000,00900,0000,0900NURSING ADMINISTRATION 161600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161600,A000000,01100,0000,1100PHARMACY 161600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161600,A000000,01300,0000,1300SOCIAL SERVICE 161600,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161600,A000000,01500,0000,1350OTHER GENERAL SERVICES 161600,A000000,01600,0000,1600SKILLED NURSING FACILITY 161600,A000000,01800,0000,1800NURSING FACILITY 161600,A000000,01810,0000,1810ICF/MR 161600,A000000,01900,0000,1900OTHER LONG TERM CARE 161600,A000000,02100,0000,2100RADIOLOGY 161600,A000000,02200,0000,2200LABORATORY 161600,A000000,02300,0000,2300INTRAVENOUS THERAPY 161600,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161600,A000000,02500,0000,2500PHYSICAL THERAPY 161600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161600,A000000,02700,0000,2700SPEECH PATHOLOGY 161600,A000000,02800,0000,2800ELECTROCARDIOLOGY 161600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161600,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161600,A000000,03200,0000,3200SUPPORT SURFACES 161600,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161600,A000000,03400,0000,3400CLINIC 161600,A000000,03500,0000,3500RURAL HEALTH CLINIC 161600,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161600,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161600,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161600,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161600,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161600,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161600,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161600,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161600,A000000,04400,0000,4400DME RENTED - HHA 161600,A000000,04500,0000,4500DME SOLD - HHA 161600,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 161600,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 161600,A000000,04800,0000,4800AMBULANCE 161600,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161600,A000000,05000,0000,5000CORF 161600,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161600,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161600,A000000,05300,0000,5300INTEREST EXPENSE 161600,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161600,A000000,05500,0000,5500HOSPICE 161600,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161600,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161600,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161600,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161600,A000000,06100,0000,6100NONPAID WORKERS 161600,A000000,06200,0000,6200PATIENTS LAUNDRY 161600,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161600,A81000A,00100,0100,Y 161600,A81000B,00100,0300,RENT 161600,A81000B,00200,0300,DIETARY BENEFITS 161600,A81000B,00300,0300,MGMT FEES 161600,A81000B,00400,0300,HUMAN RESOURCES 161600,A81000B,00500,0300,PLANT OPERATIONS 161600,A81000B,00600,0300,LAUNDRY 161600,A81000B,00700,0300,HOUSEKEEPING 161600,A81000B,00800,0300,DIETARY 161600,A81000B,00900,0300,SPIRITUAL SERVICES 161600,A81000B,01000,0300,AUTO EXPENSE 161600,A81000C,00100,0100,B 161600,A81000C,00100,0200,ORDER OF ST FRANCIS 161600,A81000C,00100,0600,RELIGIOUS ORDER 161600,A81000C,00200,0100,B 161600,A81000C,00200,0200,ORDER OF ST FRANCIS 161600,A81000C,00200,0600,RELIGIOUS ORDER 161600,A81000C,00300,0100,B 161600,A81000C,00300,0200,ORDER OF ST FRANCIS 161600,A81000C,00300,0600,RELIGIOUS ORDER 161600,A81000C,00400,0100,B 161600,A81000C,00400,0200,ORDER OF ST FRANCIS 161600,A81000C,00400,0600,RELIGIOUS ORDER 161600,A81000C,00500,0100,B 161600,A81000C,00500,0200,ORDER OF ST FRANCIS 161600,A81000C,00500,0600,RELIGIOUS ORDER 161600,A81000C,00600,0100,B 161600,A81000C,00600,0200,ORDER OF ST FRANCIS 161600,A81000C,00600,0600,RELIGIOUS ORDER 161600,A81000C,00700,0100,B 161600,A81000C,00700,0200,ORDER OF ST FRANCIS 161600,A81000C,00700,0600,RELIGIOUS ORDER 161600,A81000C,00800,0100,B 161600,A81000C,00800,0200,ORDER OF ST FRANCIS 161600,A81000C,00800,0600,RELIGIOUS ORDER 161600,A81000C,00900,0100,B 161600,A81000C,00900,0200,ORDER OF ST FRANCIS 161600,A81000C,00900,0600,RELIGIOUS ORDER 161600,A81000C,01000,0100,B 161600,A81000C,01000,0200,ORDER OF ST FRANCIS 161600,A81000C,01000,0600,RELIGIOUS ORDER 161600,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161600,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161600,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161600,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161600,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161600,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161600,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161600,B100000,00000,0800,0800MEALS SERVED :DIETARY 161600,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 161600,B100000,00000,1000,1000COSTEDREQU UISITIONS :CENTRAL S 161600,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161600,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161600,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 161600,S000000,00100,0200,05/22/00 161600,S200000,00100,0100,7550 ASSISI HEIGHTS 161600,S200000,00200,0100,COLORADO SPRINGS 161600,S200000,00200,0200,CO 161600,S200000,00200,0300,80919- 161600,S200000,00300,0100,EL PASO 161600,S200000,00300,0200,1720 161600,S200000,00300,0300,U 161600,S200000,00400,0100,ST. FRANCIS NURSING CENTER 161600,S200000,00400,0200,065325 161600,S200000,00400,0300,07/01/94 161600,S200000,00400,0500,P 161600,S200000,01500,0100,N 161600,S200000,01600,0100,Y 161600,S200000,01700,0100,N 161600,S200000,01800,0100,N 161600,S200000,02200,0100,N 161600,S200000,02800,0100,N 161600,S200000,02900,0100,N 161600,S200000,03000,0100,N 161600,S200000,03100,0100,N 161600,S200000,03200,0100,N 161600,S200000,04100,0100,N 161600,S200000,04200,0100,N 161600,S200000,04300,0100,N 161600,S200000,04600,0100,N 161600,S200000,04700,0100,N 161600,S200000,04700,0200,N 161600,S200000,04900,0100,N 161600,S200000,05000,0100,N 161600,S200000,05100,0100,N 161600,S200000,05200,0100,N 161601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161601,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161601,A000000,00300,0000,0300EMPLOYEE BENEFITS 161601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161601,A000000,00700,0000,0700HOUSEKEEPING 161601,A000000,00800,0000,0800DIETARY 161601,A000000,00900,0000,0900NURSING ADMINISTRATION 161601,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161601,A000000,01100,0000,1100PHARMACY 161601,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161601,A000000,01300,0000,1300SOCIAL SERVICE 161601,A000000,01301,0000,1351ACTIVITIES 161601,A000000,01600,0000,1600SKILLED NURSING FACILITY 161601,A000000,01800,0000,1800NURSING FACILITY 161601,A000000,02100,0000,2100RADIOLOGY 161601,A000000,02200,0000,2200LABORATORY 161601,A000000,02300,0000,2300INTRAVENOUS THERAPY 161601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161601,A000000,02500,0000,2500PHYSICAL THERAPY 161601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161601,A000000,02700,0000,2700SPEECH PATHOLOGY 161601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161601,A000000,03301,0000,3051MEDICAL EQUIPMENT 161601,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161601,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161601,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161601,A81000A,00100,0100,Y 161601,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 161601,A81000B,00200,0300,CAPITAL - BUILDINGS 161601,A81000B,00300,0300,CAPITAL - EQUIPMENT 161601,A81000B,00400,0300,MEDICAL SUPPLIES 161601,A81000B,00500,0300,NURSING SUPPLIES 161601,A81000B,00600,0300,CENTRAL SUPPLY 161601,A81000C,00100,0100,B 161601,A81000C,00100,0200,PEAK MEDICAL CORPORATION 161601,A81000C,00100,0400,PEAK MEDICAL CORPORATION 161601,A81000C,00100,0600,HOME OFFICE SERVICES 161601,A81000C,00200,0100,B 161601,A81000C,00200,0200,PEAK MEDICAL CORPORATION 161601,A81000C,00200,0400,MEDICAL RESOURCES 161601,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 161601,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161601,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161601,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161601,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161601,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161601,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161601,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161601,B100000,00000,0800,0800MEALS SERVED :DIETARY 161601,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 161601,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 161601,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 161601,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161601,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 161601,S000000,00100,0200,06/02/00 161601,S200000,00100,0100,660 SOUTH 2ND STREET WEST 161601,S200000,00200,0100,REXBURG 161601,S200000,00200,0200,ID 161601,S200000,00200,0300,83440- 161601,S200000,00300,0100,MADISON 161601,S200000,00300,0200,13 161601,S200000,00300,0300,R 161601,S200000,00400,0100,REXBURG NURSING CENTER 161601,S200000,00400,0200,135105 161601,S200000,00400,0300,03/01/82 161601,S200000,00400,0500,P 161601,S200000,01500,0100,Y 161601,S200000,01600,0100,N 161601,S200000,01700,0100,N 161601,S200000,01800,0100,N 161601,S200000,02200,0100,N 161601,S200000,02800,0100,N 161601,S200000,02900,0100,N 161601,S200000,03000,0100,N 161601,S200000,03100,0100,N 161601,S200000,03200,0100,N 161601,S200000,04100,0100,N 161601,S200000,04200,0100,N 161601,S200000,04300,0100,N 161601,S200000,04600,0100,N 161601,S200000,04700,0100,N 161601,S200000,04700,0200,N 161601,S200000,04900,0100,N 161601,S200000,05000,0100,N 161601,S200000,05100,0100,N 161601,S200000,05200,0100,N 161645,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161645,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161645,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161645,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161645,A000000,00300,0000,0300EMPLOYEE BENEFITS 161645,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161645,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161645,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161645,A000000,00700,0000,0700HOUSEKEEPING 161645,A000000,00800,0000,0800DIETARY 161645,A000000,00801,0000,0801CAFETERIA 161645,A000000,00900,0000,0900NURSING ADMINISTRATION 161645,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161645,A000000,01100,0000,1100PHARMACY 161645,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161645,A000000,01300,0000,1300SOCIAL SERVICE 161645,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161645,A000000,01500,0000,1350ACTIVITIES 161645,A000000,01600,0000,1600SKILLED NURSING FACILITY 161645,A000000,01800,0000,1800NURSING FACILITY 161645,A000000,01810,0000,1810ICF/MR 161645,A000000,02300,0000,2300INTRAVENOUS THERAPY 161645,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161645,A000000,02500,0000,2500PHYSICAL THERAPY 161645,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161645,A000000,02700,0000,2700SPEECH PATHOLOGY 161645,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161645,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161645,A000000,03300,0000,3050PEN PART B 161645,A000000,03301,0000,3051FEE SCREENING 161645,A000000,03302,0000,3052OTHER ANCILLARY III 161645,A000000,03550,0000,3550FQHC 161645,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161645,A000000,04801,0000,4801AMBULANCE 161645,A000000,04802,0000,4802AMBULANCE 161645,A000000,04803,0000,4803AMBULANCE 161645,A000000,05000,0000,5000CORF I 161645,A000000,05010,0000,5010CMHC I 161645,A000000,05020,0000,5020OPT I 161645,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161645,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161645,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161645,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161645,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161645,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161645,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161645,A81000A,00100,0100,Y 161645,A81000B,00100,0300,HOME OFFICE ALLOC 161645,A81000B,00200,0300,HOME OFFICE CAP REL 161645,A81000B,00300,0300,PT 161645,A81000B,00400,0300,OT 161645,A81000B,00500,0300,ST 161645,A81000B,00600,0300,CENTRAL SUPPLY 161645,A81000B,00700,0300,OXYGEN/RT 161645,A81000B,00800,0300,MEDICAL SUPPLIES 161645,A81000B,00900,0300,DRUGS 161645,A81000C,00100,0100,B 161645,A81000C,00100,0200,GENESIS ELDERCA 161645,A81000C,00100,0600,MGMT CO 161645,A81000C,00200,0100,B 161645,A81000C,00200,0200,NEIGHBORCARE 161645,A81000C,00200,0600,PHARMACY 161645,A81000C,00300,0100,B 161645,A81000C,00300,0200,GENESIS SERVICE 161645,A81000C,00300,0600,THERAPY SERVICS 161645,A81000C,00400,0100,B 161645,A81000C,00400,0200,GEN.PHYS.SERV. 161645,A81000C,00400,0600,CASE MGMT 161645,A81000C,00500,0100,B 161645,A81000C,00500,0200,RESPIR. HEALTH 161645,A81000C,00500,0600,RT 161645,B100000,00000,0100,0100(SQUARE FEET) 161645,B100000,00000,0101,0101(SQUARE FEET) 161645,B100000,00000,0200,0200(SQUARE FEET) 161645,B100000,00000,0201,0201(SQUARE FEET) 161645,B100000,00000,0300,0300(GROSS SALARIES) 161645,B100000,00000,0400,0400ACCUM COST 161645,B100000,00000,0500,0500(SQUARE FEET) 161645,B100000,00000,0600,0600(PATIENT DAYS) 161645,B100000,00000,0700,0700(SQUARE FEET) 161645,B100000,00000,0800,0800(MEALS SERVED) 161645,B100000,00000,0801,0801(MEALS SERVED) 161645,B100000,00000,0900,0900(NURSING SALARIES) 161645,B100000,00000,1000,1000(COSTED REQUIS.) 161645,B100000,00000,1100,1100(COSTED REQUIS.) 161645,B100000,00000,1200,1200(GROSS CHARGES) 161645,B100000,00000,1300,1300(PATIENT DAYS) 161645,B100000,00000,1400,1400(ASSIGNED TIME) 161645,B100000,00000,1500,1350(PATIENT DAYS) 161645,E10A180,00501,0100,02/29/00 161645,E10A180,00502,0100,05/31/01 161645,E10A180,00550,0300,02/29/00 161645,E10A180,00551,0300,05/31/01 161645,S000000,00100,0200,02/29/00 161645,S200000,00100,0100,4240 LAKELAND HIGHLAND AVENUE 161645,S200000,00200,0100,LAKELAND 161645,S200000,00200,0200,FL 161645,S200000,00200,0300,33813 161645,S200000,00300,0200,3980 161645,S200000,00300,0300,U 161645,S200000,00400,0100,HIGHLANDS LAKE 161645,S200000,00400,0200,105620 161645,S200000,00400,0300,09/28/88 161645,S200000,00400,0500,P 161645,S200000,01500,0100,N 161645,S200000,01600,0100,Y 161645,S200000,01700,0100,N 161645,S200000,01800,0100,N 161645,S200000,02200,0100,Y 161645,S200000,02800,0100,N 161645,S200000,02900,0100,N 161645,S200000,03000,0100,N 161645,S200000,03100,0100,N 161645,S200000,03200,0100,N 161645,S200000,03300,0100,N 161645,S200000,03300,0200,N 161645,S200000,04100,0100,N 161645,S200000,04200,0100,N 161645,S200000,04300,0100,N 161645,S200000,04600,0100,Y 161645,S200000,04700,0100,N 161645,S200000,04900,0100,N 161645,S200000,05200,0100,N 161648,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161648,A000000,00101,0000,0101CAP REL COSTS - PCN ONLY 161648,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161648,A000000,00300,0000,0300EMPLOYEE BENEFITS 161648,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161648,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161648,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161648,A000000,00700,0000,0700HOUSEKEEPING 161648,A000000,00800,0000,0800DIETARY 161648,A000000,00900,0000,0900NURSING ADMINISTRATION 161648,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161648,A000000,01100,0000,1100PHARMACY 161648,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161648,A000000,01300,0000,1300SOCIAL SERVICE 161648,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161648,A000000,01500,0000,1350OTHER GENERAL SERVICES 161648,A000000,01600,0000,1600SKILLED NURSING FACILITY 161648,A000000,01800,0000,1800NURSING FACILITY 161648,A000000,01810,0000,1810ICF/MR 161648,A000000,01900,0000,1900OTHER LONG TERM CARE 161648,A000000,02100,0000,2100RADIOLOGY 161648,A000000,02200,0000,2200LABORATORY 161648,A000000,02300,0000,2300INTRAVENOUS THERAPY 161648,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161648,A000000,02500,0000,2500PHYSICAL THERAPY 161648,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161648,A000000,02700,0000,2700SPEECH PATHOLOGY 161648,A000000,02800,0000,2800ELECTROCARDIOLOGY 161648,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161648,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161648,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161648,A000000,03200,0000,3200SUPPORT SURFACES 161648,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161648,A000000,03400,0000,3400CLINIC 161648,A000000,03500,0000,3500RURAL HEALTH CLINIC 161648,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161648,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161648,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161648,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161648,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161648,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161648,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161648,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161648,A000000,04400,0000,4400DME RENTED - HHA 161648,A000000,04500,0000,4500DME SOLD - HHA 161648,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 161648,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 161648,A000000,04800,0000,4800AMBULANCE 161648,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161648,A000000,05000,0000,5000CORF 161648,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161648,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161648,A000000,05300,0000,5300INTEREST EXPENSE 161648,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161648,A000000,05500,0000,5500HOSPICE 161648,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 161648,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161648,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161648,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161648,A000000,06100,0000,6100NONPAID WORKERS 161648,A000000,06200,0000,6200PATIENTS LAUNDRY 161648,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161648,A000000,06301,0000,6151APARTMENT EXPENSES 161648,A000000,06302,0000,6152VENDING SUPPLIES/EXPENSE 161648,A000000,06303,0000,6153OTHER NONREIMBURSABLE COST 161648,A81000A,00100,0100,Y 161648,A81000B,00100,0300,MANAGEMENT FEES 161648,A81000B,00200,0300,MANAGEMENT FEES 161648,A81000B,00300,0300,DRUGS CHARGED TO PATIENTS 161648,A81000B,00400,0300,INTEREST EXPENSE 161648,A81000B,00500,0300,VAN LEASE 161648,A81000C,00100,0100,A 161648,A81000C,00100,0200,JOHN NEILL 161648,A81000C,00100,0400,TELESIS MANAGEMENT CORP. 161648,A81000C,00100,0600,MANAGEMENT COMPANY 161648,A81000C,00200,0100,A 161648,A81000C,00200,0200,AMY RUSH 161648,A81000C,00200,0400,TELESIS MANAGEMENT CORP. 161648,A81000C,00200,0600,MANAGEMENT COMPANY 161648,A81000C,00300,0100,A 161648,A81000C,00300,0200,JOHN NEILL 161648,A81000C,00300,0400,WALNUT PLACE PHARMACY 161648,A81000C,00300,0600,PHARMACY 161648,A81000C,00400,0100,A 161648,A81000C,00400,0200,JOHN NEILL 161648,A81000C,00400,0400,TELESIS II 161648,A81000C,00400,0600,INVESTMENT COMPANY 161648,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161648,B100000,00000,0101,0101PCN SQUARE FEE :CAP REL COSTS - 161648,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161648,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161648,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161648,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 161648,B100000,00000,0700,0750SQUARE FT CLEANED :HOUSEKEEPING 161648,B100000,00000,0800,0800MEALS SERVED :DIETARY 161648,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 161648,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 161648,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 161648,S000000,00100,0200,11/06/00 161648,S200000,00100,0100,14655 PRESTON RD 161648,S200000,00200,0100,DALLAS 161648,S200000,00200,0200,TX 161648,S200000,00200,0300,75240- 161648,S200000,00300,0100,DALLAS 161648,S200000,00300,0200,1920 161648,S200000,00300,0300,U 161648,S200000,00400,0100,SIGNATURE POINTE ON THE LAKE 161648,S200000,00400,0200,675757 161648,S200000,00400,0300,06/26/98 161648,S200000,00400,0500,P 161648,S200000,01500,0100,N 161648,S200000,01600,0100,Y 161648,S200000,01700,0100,N 161648,S200000,01800,0100,N 161648,S200000,02200,0100,N 161648,S200000,02800,0100,N 161648,S200000,02900,0100,N 161648,S200000,03000,0100,N 161648,S200000,03100,0100,N 161648,S200000,03200,0100,N 161648,S200000,04100,0100,N 161648,S200000,04200,0100,N 161648,S200000,04300,0100,N 161648,S200000,04600,0100,N 161648,S200000,04700,0100,N 161648,S200000,04700,0200,N 161648,S200000,04900,0100,N 161648,S200000,05000,0100,N 161648,S200000,05100,0100,N 161648,S200000,05200,0100,N 161662,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161662,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161662,A000000,00300,0000,0300EMPLOYEE BENEFITS 161662,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161662,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161662,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161662,A000000,00700,0000,0700HOUSEKEEPING 161662,A000000,00800,0000,0800DIETARY 161662,A000000,00801,0000,0801CAFETERIA 161662,A000000,00900,0000,0900NURSING ADMINISTRATION 161662,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161662,A000000,01100,0000,1100PHARMACY 161662,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161662,A000000,01300,0000,1300SOCIAL SERVICE 161662,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161662,A000000,01600,0000,1600SKILLED NURSING FACILITY 161662,A000000,01810,0000,1810ICF/MR 161662,A000000,01900,0000,1900OTHER LONG TERM CARE 161662,A000000,02500,0000,2500PHYSICAL THERAPY 161662,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161662,A000000,02700,0000,2700SPEECH PATHOLOGY 161662,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161662,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161662,A000000,03550,0000,3550FQHC 161662,A000000,05000,0000,5000CORF 161662,A000000,05010,0000,5010CMHC 161662,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161662,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161662,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161662,A000000,05300,0000,5300INTEREST EXPENSE 161662,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161662,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 161662,A81000A,00100,0100,N 161662,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161662,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161662,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161662,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161662,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161662,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161662,B100000,00000,0800,0800MEALS SERVED :DIETARY 161662,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 161662,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 161662,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 161662,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 161662,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161662,S000000,00100,0200,06/08/00 161662,S200000,00100,0100,199 STATE HWY 22 EAST 161662,S200000,00200,0100,HAMILTON 161662,S200000,00200,0200,TX 161662,S200000,00200,0300,76531- 161662,S200000,00300,0100,HAMILTON 161662,S200000,00300,0200,45 161662,S200000,00300,0300,R 161662,S200000,00400,0100,FORREST RIDGE CARE CENTER 161662,S200000,00400,0200,675140 161662,S200000,00400,0300,11/15/94 161662,S200000,00400,0500,P 161662,S200000,01500,0100,Y 161662,S200000,01600,0100,N 161662,S200000,01700,0100,N 161662,S200000,01800,0100,N 161662,S200000,02200,0100,N 161662,S200000,02800,0100,N 161662,S200000,02900,0100,N 161662,S200000,03000,0100,N 161662,S200000,03100,0100,N 161662,S200000,03200,0100,N 161662,S200000,04100,0100,N 161662,S200000,04200,0100,N 161662,S200000,04300,0100,N 161662,S200000,04600,0100,N 161662,S200000,04700,0100,N 161662,S200000,04700,0200,N 161662,S200000,04900,0100,N 161662,S200000,05000,0100,N 161662,S200000,05100,0100,N 161662,S200000,05200,0100,N 161663,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161663,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161663,A000000,00300,0000,0300EMPLOYEE BENEFITS 161663,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161663,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161663,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161663,A000000,00700,0000,0700HOUSEKEEPING 161663,A000000,00800,0000,0800DIETARY 161663,A000000,00900,0000,0900NURSING ADMINISTRATION 161663,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161663,A000000,01100,0000,1100PHARMACY 161663,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161663,A000000,01300,0000,1300SOCIAL SERVICE 161663,A000000,01500,0000,1350ACTIVITIES 161663,A000000,01600,0000,1600SKILLED NURSING FACILITY 161663,A000000,01800,0000,1800NURSING FACILITY 161663,A000000,02100,0000,2100RADIOLOGY 161663,A000000,02200,0000,2200LABORATORY 161663,A000000,02300,0000,2300INTRAVENOUS THERAPY 161663,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161663,A000000,02500,0000,2500PHYSICAL THERAPY 161663,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161663,A000000,02700,0000,2700SPEECH PATHOLOGY 161663,A000000,02800,0000,2800ELECTROCARDIOLOGY 161663,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161663,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161663,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 161663,A000000,03200,0000,3200SUPPORT SURFACES 161663,A000000,03400,0000,3400CLINIC 161663,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 161663,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 161663,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 161663,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 161663,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 161663,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 161663,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 161663,A000000,04400,0000,4400DME RENTED - HHA 161663,A000000,04500,0000,4500DME SOLD - HHA 161663,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 161663,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 161663,A000000,04800,0000,4800AMBULANCE 161663,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 161663,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 161663,A000000,05300,0000,5300INTEREST EXPENSE 161663,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161663,A000000,05500,0000,5500HOSPICE 161663,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161663,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161663,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 161663,A000000,06100,0000,6100NONPAID WORKERS 161663,A000000,06200,0000,6200PATIENTS LAUNDRY 161663,A000000,06300,0000,6150LEASED SPACE 161663,A81000A,00100,0100,Y 161663,A81000B,00100,0300,HOME OFFICE EXPENSE 161663,A81000B,00200,0300,HOME OFFICE EXPENSE 161663,A81000B,00300,0300,HOME OFFICE EXPENSE 161663,A81000C,00100,0100,B 161663,A81000C,00100,0400,BALLANTRAE HC 161663,A81000C,00100,0600,MANAGEMENT CO 161663,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 161663,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 161663,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161663,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 161663,B100000,00000,0600,0650PAT DAYS :LAUNDRY & LINEN SERVI 161663,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 161663,B100000,00000,0800,0800MEALS SERVED :DIETARY 161663,B100000,00000,0900,0950PAT DAYS :NURSING ADMINISTRATIO 161663,B100000,00000,1000,1000COSTED REQUIS :CENTRAL SERVICES 161663,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 161663,B100000,00000,1200,1250PAT DAYS :MEDICAL RECORDS & LIB 161663,B100000,00000,1300,1330PAT DAYS :SOCIAL SERVICE 161663,B100000,00000,1500,1350PAT DAYS :ACTIVITIES 161663,S000000,00100,0200,07/24/00 161663,S200000,00100,0100,321 N. SHILOH 161663,S200000,00200,0100,GARLAND 161663,S200000,00200,0200,TX 161663,S200000,00200,0300,75042- 161663,S200000,00300,0100,DALLAS 161663,S200000,00300,0200,1920 161663,S200000,00300,0300,U 161663,S200000,00400,0100,GARLAND CONVALESCENT CENTER 161663,S200000,00400,0200,675790 161663,S200000,00400,0300,06/10/99 161663,S200000,00400,0500,P 161663,S200000,00400,0600,O 161663,S200000,01004,0500,O 161663,S200000,01500,0100,N 161663,S200000,01600,0100,Y 161663,S200000,01700,0100,N 161663,S200000,01800,0100,N 161663,S200000,02200,0100,Y 161663,S200000,02800,0100,N 161663,S200000,02900,0100,N 161663,S200000,03000,0100,N 161663,S200000,03100,0100,N 161663,S200000,03200,0100,N 161663,S200000,04100,0100,N 161663,S200000,04200,0100,N 161663,S200000,04300,0100,Y 161663,S200000,04600,0100,N 161663,S200000,04700,0100,N 161663,S200000,04700,0200,N 161663,S200000,04900,0100,N 161663,S200000,05000,0100,N 161663,S200000,05100,0100,N 161663,S200000,05200,0100,N 161670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161670,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161670,A000000,00300,0000,0300EMPLOYEE BENEFITS 161670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161670,A000000,00700,0000,0700HOUSEKEEPING 161670,A000000,00800,0000,0800DIETARY 161670,A000000,00900,0000,0900NURSING ADMINISTRATION 161670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161670,A000000,01100,0000,1100PHARMACY 161670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161670,A000000,01300,0000,1300SOCIAL SERVICE 161670,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161670,A000000,01600,0000,1600SKILLED NURSING FACILITY 161670,A000000,01810,0000,1810ICF/MR 161670,A000000,02100,0000,2100RADIOLOGY 161670,A000000,02200,0000,2200LABORATORY 161670,A000000,02300,0000,2300INTRAVENOUS THERAPY 161670,A000000,02500,0000,2500PHYSICAL THERAPY 161670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161670,A000000,02700,0000,2700SPEECH PATHOLOGY 161670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161670,A000000,03200,0000,3200SUPPORT SURFACES 161670,A000000,03550,0000,3550FQHC 161670,A000000,04801,0000,4801AMBULANCE 161670,A000000,04802,0000,4802AMBULANCE 161670,A000000,04803,0000,4803AMBULANCE 161670,A000000,05000,0000,5000CORF 161670,A000000,05010,0000,5010CMHC 161670,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161670,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161670,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161670,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161670,A81000A,00100,0100,Y 161670,A81000B,00100,0300,MANAGEMENT FEES 161670,A81000B,00200,0300,CAP REL-BLDG 161670,A81000B,00300,0300,CAP REL-EQUIP 161670,A81000B,00400,0300,FACILITY RENT 161670,A81000C,00400,0100,B 161670,A81000C,00400,0200,J & L FRIEDMAN 161670,A81000C,00400,0400,LONGWOOD MGT 161670,A81000C,00400,0600,MANAGEMENT 161670,B100000,00000,0100,0100SQUARE FEET 161670,B100000,00000,0200,0200DOLLAR VALUE 161670,B100000,00000,0300,0300GROSS SALARIES 161670,B100000,00000,0400,0400ACCUM COST 161670,B100000,00000,0500,0500SQUARE FEET 161670,B100000,00000,0600,0600POUNDS OF LAUNDRY 161670,B100000,00000,0700,0700HOURS OF SERVICE 161670,B100000,00000,0800,0800MEALS SERVED 161670,B100000,00000,0900,0900DIRECT NRSING HRS 161670,B100000,00000,1000,1000COSTED REQUIS. 161670,B100000,00000,1100,1100COSTED REQUIS. 161670,B100000,00000,1200,1200TIME SPENT 161670,B100000,00000,1300,1300TIME SPENT 161670,B100000,00000,1400,1400ASSIGNED TIME 161670,E10A180,00301,0300,02/22/00 161670,E10A180,00501,0100, 3/14/01 161670,E10A180,00550,0300, 3/14/01 161670,S000000,00100,0200,02/21/01 161670,S200000,00100,0100,845 S. BURLINGTON AVE. 161670,S200000,00200,0100,BURLINGTON CONVALESCENT HOSP 161670,S200000,00200,0200, 056326 161670,S200000,00200,0300,90057 161670,S200000,00300,0100,L 161670,S200000,00300,0200,4480 161670,S200000,00300,0300,U 0 161670,S200000,00400,0100,BURLINGTON CONVALESCENT HOSP 161670,S200000,00400,0200,056326 161670,S200000,00400,0300,07/01/88 161670,S200000,00400,0500,P 161670,S200000,01500,0100,Y 161670,S200000,01600,0100,N 161670,S200000,01700,0100,N 161670,S200000,01800,0100,N 161670,S200000,02200,0100,N 161670,S200000,02800,0100,N 161670,S200000,02900,0100,N 161670,S200000,03000,0100,N 161670,S200000,03100,0100,N 161670,S200000,03200,0100,N 161670,S200000,03300,0100,N 161670,S200000,03300,0200,N 161670,S200000,04100,0100,N 161670,S200000,04200,0100,N 161670,S200000,04300,0100,Y 161670,S200000,04600,0100,N 161670,S200000,04700,0100,N 161670,S200000,04900,0100,N 161670,S200000,05200,0100,N 161730,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161730,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161730,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161730,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161730,A000000,00300,0000,0300EMPLOYEE BENEFITS 161730,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161730,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161730,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161730,A000000,00700,0000,0700HOUSEKEEPING 161730,A000000,00800,0000,0800DIETARY 161730,A000000,00801,0000,0801CAFETERIA 161730,A000000,00900,0000,0900NURSING ADMINISTRATION 161730,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161730,A000000,01100,0000,1100PHARMACY 161730,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161730,A000000,01300,0000,1300SOCIAL SERVICE 161730,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161730,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 161730,A000000,01600,0000,1600SKILLED NURSING FACILITY 161730,A000000,01800,0000,1800NURSING FACILITY 161730,A000000,01810,0000,1810ICF/MR 161730,A000000,02100,0000,2100RADIOLOGY 161730,A000000,02200,0000,2200LABORATORY 161730,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161730,A000000,02500,0000,2500PHYSICAL THERAPY 161730,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161730,A000000,02700,0000,2700SPEECH PATHOLOGY 161730,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161730,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161730,A000000,03300,0000,3050PEN THERAPY 161730,A000000,03301,0000,3051FEE SCREENING 161730,A000000,03302,0000,3052OTHER ANCILLARY III 161730,A000000,03550,0000,3550FQHC 161730,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161730,A000000,04800,0000,4800AMBULANCE 161730,A000000,04801,0000,4801AMBULANCE 161730,A000000,04802,0000,4802AMBULANCE 161730,A000000,04803,0000,4803AMBULANCE 161730,A000000,05000,0000,5000CORF I 161730,A000000,05010,0000,5010CMHC I 161730,A000000,05020,0000,5020OPT I 161730,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161730,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161730,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161730,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161730,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161730,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161730,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161730,A81000A,00100,0100,Y 161730,A81000B,00100,0300,HOME OFFICE 161730,A81000B,00200,0300,HOME OFFICE CAPITAL 161730,A81000B,00500,0300,SEE ATTACHED 161730,A81000C,00100,0100,B 161730,A81000C,00100,0200,GENESIS HEALTH 161730,A81000C,00100,0600,HOME OFFICE 161730,A81000C,00200,0100,B 161730,A81000C,00200,0200,GENESIS HEALTH 161730,A81000C,00200,0600,HOME OFFICE 161730,A81000C,00300,0100,G 161730,A81000C,00300,0200,GENE ELDER REH 161730,A81000C,00300,0600,PT SERVICES 161730,A81000C,00400,0100,G 161730,A81000C,00400,0200,GENE ELDER REH 161730,A81000C,00400,0600,OT SERVICES 161730,A81000C,00500,0100,G 161730,A81000C,00500,0200,GENE ELDER REH 161730,A81000C,00500,0600,ST SERVICES 161730,B100000,00000,0100,0100(SQUARE FEET) 161730,B100000,00000,0101,0101(SQUARE FEET) 161730,B100000,00000,0200,0200(SQUARE FEET) 161730,B100000,00000,0201,0201(SQUARE FEET) 161730,B100000,00000,0300,0300(GROSS SALARIES) 161730,B100000,00000,0400,0400ACCUM COST 161730,B100000,00000,0500,0500(SQUARE FEET) 161730,B100000,00000,0600,0600(PATIENT DAYS) 161730,B100000,00000,0700,0700(SQUARE FEET) 161730,B100000,00000,0800,0800(MEALS SERVED) 161730,B100000,00000,0801,0801(MEALS SERVED) 161730,B100000,00000,0900,0900(NURSING SALARIES) 161730,B100000,00000,1000,1000(COSTED REQUIS.) 161730,B100000,00000,1100,1100(PATIENT DAYS) 161730,B100000,00000,1200,1200(GROSS CHARGES) 161730,B100000,00000,1300,1300(PATIENT DAYS) 161730,B100000,00000,1400,1400(ASSIGNED TIME) 161730,B100000,00000,1500,1350(PATIENT DAYS) 161730,E10A180,00501,0100,03/17/00 161730,E10A180,00501,0300,03/08/01 161730,E10A180,00550,0100,03/08/01 161730,E10A180,00550,0300,03/17/00 161730,S000000,00100,0200,02/29/00 161730,S200000,00100,0100,1 KIMBERLY DRIVE 161730,S200000,00200,0100,WINDSOR 161730,S200000,00200,0200,CT 161730,S200000,00200,0300,06095 161730,S200000,00300,0100,HARTFORD 161730,S200000,00300,0200,3283 161730,S200000,00300,0300,U 161730,S200000,00400,0100,KIMBERLY HALL SOUTH 161730,S200000,00400,0200,075237 161730,S200000,00400,0300,07/01/85 161730,S200000,00400,0500,P 161730,S200000,01500,0100,N 161730,S200000,01600,0100,Y 161730,S200000,01700,0100,N 161730,S200000,01800,0100,N 161730,S200000,02200,0100,Y 161730,S200000,02800,0100,N 161730,S200000,02900,0100,N 161730,S200000,03000,0100,N 161730,S200000,03100,0100,N 161730,S200000,03200,0100,N 161730,S200000,03300,0100,N 161730,S200000,03300,0200,N 161730,S200000,04100,0100,N 161730,S200000,04200,0100,N 161730,S200000,04300,0100,N 161730,S200000,04600,0100,N 161730,S200000,04700,0100,Y 161730,S200000,05200,0100,N 161732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161732,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161732,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161732,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161732,A000000,00300,0000,0300EMPLOYEE BENEFITS 161732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161732,A000000,00700,0000,0700HOUSEKEEPING 161732,A000000,00800,0000,0800DIETARY 161732,A000000,00801,0000,0801CAFETERIA 161732,A000000,00900,0000,0900NURSING ADMINISTRATION 161732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161732,A000000,01100,0000,1100PHARMACY 161732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161732,A000000,01300,0000,1300SOCIAL SERVICE 161732,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161732,A000000,01500,0000,1350ACTIVITIES 161732,A000000,01600,0000,1600SKILLED NURSING FACILITY 161732,A000000,01800,0000,1800NURSING FACILITY 161732,A000000,01810,0000,1810ICF/MR 161732,A000000,02100,0000,2100RADIOLOGY 161732,A000000,02200,0000,2200LABORATORY 161732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161732,A000000,02500,0000,2500PHYSICAL THERAPY 161732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161732,A000000,02700,0000,2700SPEECH PATHOLOGY 161732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161732,A000000,03300,0000,3050PEN THERAPY 161732,A000000,03301,0000,3051FEE SCREENING 161732,A000000,03302,0000,3052OTHER ANCILLARY III 161732,A000000,03550,0000,3550FQHC 161732,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161732,A000000,04800,0000,4800AMBULANCE 161732,A000000,04801,0000,4801AMBULANCE 161732,A000000,04802,0000,4802AMBULANCE 161732,A000000,04803,0000,4803AMBULANCE 161732,A000000,05000,0000,5000CORF I 161732,A000000,05010,0000,5010CMHC I 161732,A000000,05020,0000,5020OPT I 161732,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161732,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161732,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161732,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161732,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161732,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161732,A81000A,00100,0100,Y 161732,A81000B,00100,0300,HOME OFFICE 161732,A81000B,00200,0300,HOME OFFICE 161732,A81000B,00300,0300,SEE ATTACHED 161732,A81000C,00100,0100,B 161732,A81000C,00100,0200,GENESIS HEALTH 161732,A81000C,00100,0600,HOME OFFICE 161732,A81000C,00200,0100,B 161732,A81000C,00200,0200,GENESIS HEALTH 161732,A81000C,00200,0600,HOME OFFICE 161732,A81000C,00300,0100,B 161732,A81000C,00300,0200,GENESIS REHAB 161732,A81000C,00300,0600,REHAB SERVICES 161732,A81000C,00400,0100,B 161732,A81000C,00400,0200,GENESIS REHAB 161732,A81000C,00400,0600,REHAB SERVICES 161732,A81000C,00500,0100,B 161732,A81000C,00500,0200,GENESIS REHAB 161732,A81000C,00500,0600,REHAB SERVICES 161732,B100000,00000,0100,0100(SQUARE FEET) 161732,B100000,00000,0101,0101(SQUARE FEET) 161732,B100000,00000,0200,0200(SQUARE FEET) 161732,B100000,00000,0201,0201(SQUARE FEET) 161732,B100000,00000,0300,0300(GROSS SALARIES) 161732,B100000,00000,0400,0400ACCUM COST 161732,B100000,00000,0500,0500(SQUARE FEET) 161732,B100000,00000,0600,0600(PATIENT DAYS) 161732,B100000,00000,0700,0700(SQUARE FEET) 161732,B100000,00000,0800,0800(MEALS SERVED) 161732,B100000,00000,0801,0801(MEALS SERVED) 161732,B100000,00000,0900,0900(NURSING SALARIES) 161732,B100000,00000,1000,1000(COSTED REQUIS.) 161732,B100000,00000,1100,1100(COSTED REQUIS.) 161732,B100000,00000,1200,1200(GROSS CHARGES) 161732,B100000,00000,1300,1300(PATIENT DAYS) 161732,B100000,00000,1400,1400(ASSIGNED TIME) 161732,B100000,00000,1500,1350(PATIENT DAYS) 161732,E10A180,00501,0300,02/07/01 161732,E10A180,00550,0100,02/07/01 161732,E10A180,00551,0300,04/12/00 161732,S000000,00100,0200,02/29/00 161732,S200000,00100,0100,4 HAZEL AVENUE 161732,S200000,00200,0100,NAUGATUCK 161732,S200000,00200,0200,CT 161732,S200000,00300,0100,NEW HAVEN 161732,S200000,00300,0200,5483 161732,S200000,00300,0300,U 161732,S200000,00400,0100,GLENDALE CENTER 161732,S200000,00400,0200,075240 161732,S200000,00400,0300,07/01/85 161732,S200000,00400,0500,P 161732,S200000,01500,0100,N 161732,S200000,01600,0100,Y 161732,S200000,01700,0100,N 161732,S200000,01800,0100,N 161732,S200000,02200,0100,Y 161732,S200000,02800,0100,N 161732,S200000,02900,0100,N 161732,S200000,03000,0100,N 161732,S200000,03100,0100,N 161732,S200000,03200,0100,N 161732,S200000,03300,0100,N 161732,S200000,03300,0200,N 161732,S200000,04100,0100,N 161732,S200000,04200,0100,N 161732,S200000,04300,0100,N 161732,S200000,04600,0100,N 161732,S200000,04700,0100,Y 161732,S200000,04900,0100,Y 161732,S200000,05200,0100,N 161797,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161797,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161797,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161797,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161797,A000000,00300,0000,0300EMPLOYEE BENEFITS 161797,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161797,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161797,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161797,A000000,00700,0000,0700HOUSEKEEPING 161797,A000000,00800,0000,0800DIETARY 161797,A000000,00801,0000,0801CAFETERIA 161797,A000000,00900,0000,0900NURSING ADMINISTRATION 161797,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161797,A000000,01100,0000,1100PHARMACY 161797,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161797,A000000,01300,0000,1300SOCIAL SERVICE 161797,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161797,A000000,01500,0000,1350ACTIVITIES 161797,A000000,01600,0000,1600SKILLED NURSING FACILITY 161797,A000000,01800,0000,1800NURSING FACILITY 161797,A000000,01810,0000,1810ICF/MR 161797,A000000,02200,0000,2200LABORATORY 161797,A000000,02300,0000,2300INTRAVENOUS THERAPY 161797,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161797,A000000,02500,0000,2500PHYSICAL THERAPY 161797,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161797,A000000,02700,0000,2700SPEECH PATHOLOGY 161797,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161797,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161797,A000000,03300,0000,3050PEN PART B 161797,A000000,03301,0000,3051FEE SCREENING 161797,A000000,03302,0000,3052OTHER ANCILLARY III 161797,A000000,03550,0000,3550FQHC 161797,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161797,A000000,04801,0000,4801AMBULANCE 161797,A000000,04802,0000,4802AMBULANCE 161797,A000000,04803,0000,4803AMBULANCE 161797,A000000,05000,0000,5000CORF I 161797,A000000,05010,0000,5010CMHC I 161797,A000000,05020,0000,5020OPT I 161797,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161797,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161797,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161797,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161797,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161797,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161797,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161797,A81000A,00100,0100,Y 161797,A81000B,00100,0300,HOME OFFICE ALLOC 161797,A81000B,00200,0300,HOME OFFICE CAP REL 161797,A81000B,00300,0300,PT 161797,A81000B,00400,0300,OT 161797,A81000B,00500,0300,ST 161797,A81000B,00600,0300,OXYGEN/RT 161797,A81000B,00700,0300,MEDICAL SUPPLIES 161797,A81000B,00800,0300,DRUGS 161797,A81000B,00900,0300,CLINITRON 161797,A81000C,00100,0100,B 161797,A81000C,00100,0200,GENESIS ELDERCA 161797,A81000C,00100,0600,MGMT CO 161797,A81000C,00200,0100,B 161797,A81000C,00200,0200,NEIGHBORCARE 161797,A81000C,00200,0600,CASE MGMT 161797,A81000C,00300,0100,B 161797,A81000C,00300,0200,GEN.PHYS SERV. 161797,A81000C,00300,0600,PHARMACY 161797,A81000C,00400,0100,B 161797,A81000C,00400,0200,GENESIS SERVICE 161797,A81000C,00400,0600,THERAPY SERVICS 161797,A81000C,00500,0100,B 161797,A81000C,00500,0200,RESPIR. HEALTH 161797,A81000C,00500,0600,RT 161797,B100000,00000,0100,0100(SQUARE FEET) 161797,B100000,00000,0101,0101(SQUARE FEET) 161797,B100000,00000,0200,0200(SQUARE FEET) 161797,B100000,00000,0201,0201(SQUARE FEET) 161797,B100000,00000,0300,0300(GROSS SALARIES) 161797,B100000,00000,0400,0400ACCUM COST 161797,B100000,00000,0500,0500(SQUARE FEET) 161797,B100000,00000,0600,0600(PATIENT DAYS) 161797,B100000,00000,0700,0700(SQUARE FEET) 161797,B100000,00000,0800,0800(MEALS SERVED) 161797,B100000,00000,0801,0801(MEALS SERVED) 161797,B100000,00000,0900,0900(NURSING SALARIES) 161797,B100000,00000,1000,1000(COSTED REQUIS.) 161797,B100000,00000,1100,1100(COSTED REQUIS.) 161797,B100000,00000,1200,1200(GROSS CHARGES) 161797,B100000,00000,1300,1300(PATIENT DAYS) 161797,B100000,00000,1400,1400(ASSIGNED TIME) 161797,B100000,00000,1500,1350(PATIENT DAYS) 161797,E10A180,00501,0100,03/22/00 161797,E10A180,00501,0300,03/22/00 161797,E10A180,00502,0300,07/06/01 161797,E10A180,00550,0100,07/06/01 161797,S000000,00100,0200,02/29/00 161797,S200000,00100,0100,170 NORTH CHESTER STREET 161797,S200000,00200,0100,ORMOND BEACH 161797,S200000,00200,0200,FL 161797,S200000,00200,0300,32174 161797,S200000,00300,0200,2020 161797,S200000,00300,0300,U 161797,S200000,00400,0100,COQUINA 161797,S200000,00400,0200,105589 161797,S200000,00400,0300,10/17/90 161797,S200000,00400,0500,P 161797,S200000,01500,0100,N 161797,S200000,01600,0100,Y 161797,S200000,01700,0100,N 161797,S200000,01800,0100,N 161797,S200000,02200,0100,Y 161797,S200000,02800,0100,N 161797,S200000,02900,0100,N 161797,S200000,03000,0100,N 161797,S200000,03100,0100,N 161797,S200000,03200,0100,N 161797,S200000,03300,0100,N 161797,S200000,03300,0200,N 161797,S200000,04100,0100,N 161797,S200000,04200,0100,N 161797,S200000,04300,0100,N 161797,S200000,04600,0100,Y 161797,S200000,04700,0100,N 161797,S200000,05200,0100,N 161801,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161801,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161801,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161801,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161801,A000000,00300,0000,0300EMPLOYEE BENEFITS 161801,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161801,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161801,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161801,A000000,00700,0000,0700HOUSEKEEPING 161801,A000000,00800,0000,0800DIETARY 161801,A000000,00801,0000,0801CAFETERIA 161801,A000000,00900,0000,0900NURSING ADMINISTRATION 161801,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161801,A000000,01100,0000,1100PHARMACY 161801,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161801,A000000,01300,0000,1300SOCIAL SERVICE 161801,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161801,A000000,01500,0000,1350ACTIVITIES 161801,A000000,01600,0000,1600SKILLED NURSING FACILITY 161801,A000000,01800,0000,1800NURSING FACILITY 161801,A000000,01810,0000,1810ICF/MR 161801,A000000,02100,0000,2100RADIOLOGY 161801,A000000,02200,0000,2200LABORATORY 161801,A000000,02300,0000,2300INTRAVENOUS THERAPY 161801,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161801,A000000,02500,0000,2500PHYSICAL THERAPY 161801,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161801,A000000,02700,0000,2700SPEECH PATHOLOGY 161801,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161801,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161801,A000000,03200,0000,3200SUPPORT SURFACES 161801,A000000,03300,0000,3050PEN PART B 161801,A000000,03301,0000,3051FEE SCREENING 161801,A000000,03302,0000,3052OTHER ANCILLARY III 161801,A000000,03550,0000,3550FQHC 161801,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161801,A000000,04801,0000,4801AMBULANCE 161801,A000000,04802,0000,4802AMBULANCE 161801,A000000,04803,0000,4803AMBULANCE 161801,A000000,05000,0000,5000CORF I 161801,A000000,05010,0000,5010CMHC I 161801,A000000,05020,0000,5020OPT I 161801,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161801,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161801,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161801,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161801,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161801,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161801,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161801,A81000A,00100,0100,Y 161801,A81000B,00100,0300,HOME OFFICE 161801,A81000B,00200,0300,PT 161801,A81000B,00300,0300,OT 161801,A81000B,00400,0300,ST 161801,A81000B,00500,0300,DRUGS CHARGED 161801,A81000B,00600,0300,MED SUPP 161801,A81000B,00700,0300,OXYGEN 161801,A81000B,00800,0300,CENTRAL SUPP 161801,A81000B,00900,0300,CAPITAL 161801,A81000C,00100,0100,B 161801,A81000C,00100,0200,GENESIS ELDER 161801,A81000C,00100,0600,MGMT CO 161801,A81000C,00200,0100,B 161801,A81000C,00200,0200,NEIGHBORCARE 161801,A81000C,00200,0600,PHARMACY 161801,A81000C,00300,0100,B 161801,A81000C,00300,0200,GENESIS SERVICE 161801,A81000C,00300,0600,THERAPY 161801,A81000C,00400,0100,B 161801,A81000C,00400,0200,GENE PHYS SERV 161801,A81000C,00400,0600,CASE MGMT 161801,A81000C,00500,0100,B 161801,A81000C,00500,0200,RESP HLTH SERV 161801,A81000C,00500,0600,RT 161801,B100000,00000,0100,0100(SQUARE FEET) 161801,B100000,00000,0101,0101(SQUARE FEET) 161801,B100000,00000,0200,0200(SQUARE FEET) 161801,B100000,00000,0201,0201(SQUARE FEET) 161801,B100000,00000,0300,0300(GROSS SALARIES) 161801,B100000,00000,0400,0400ACCUM COST 161801,B100000,00000,0500,0500(SQUARE FEET) 161801,B100000,00000,0600,0600(PATIENT DAYS) 161801,B100000,00000,0700,0700(SQUARE FEET) 161801,B100000,00000,0800,0800(MEALS SERVED) 161801,B100000,00000,0801,0801(MEALS SERVED) 161801,B100000,00000,0900,0900(PATIENT DAYS) 161801,B100000,00000,1000,1000(COSTED REQUIS.) 161801,B100000,00000,1100,1100(COSTED REQUIS.) 161801,B100000,00000,1200,1200(GROSS CHARGES) 161801,B100000,00000,1300,1300(PATIENT DAYS) 161801,B100000,00000,1400,1400(ASSIGNED TIME) 161801,B100000,00000,1500,1350(PATIENT DAYS) 161801,E10A180,00501,0100,03/14/00 161801,E10A180,00501,0300,03/14/00 161801,E10A180,00502,0100,04/10/01 161801,E10A180,00550,0300,04/10/01 161801,S000000,00100,0200,02/29/00 161801,S200000,00100,0100,1801 WENTWORTH RD 161801,S200000,00200,0100,BALTIMORE 161801,S200000,00200,0200,MD 161801,S200000,00200,0300,21234 161801,S200000,00300,0100,BALTIMORE 161801,S200000,00300,0200,0720 161801,S200000,00300,0300,U 161801,S200000,00400,0100,PERRING PARKWAY 161801,S200000,00400,0200,215081 161801,S200000,00400,0300,08/01/90 161801,S200000,00400,0500,P 161801,S200000,01500,0100,N 161801,S200000,01600,0100,Y 161801,S200000,01700,0100,N 161801,S200000,01800,0100,N 161801,S200000,02200,0100,Y 161801,S200000,02800,0100,N 161801,S200000,02900,0100,N 161801,S200000,03000,0100,N 161801,S200000,03100,0100,N 161801,S200000,03200,0100,N 161801,S200000,03300,0100,N 161801,S200000,03300,0200,N 161801,S200000,04100,0100,N 161801,S200000,04200,0100,N 161801,S200000,04300,0100,N 161801,S200000,04600,0100,N 161801,S200000,04700,0100,N 161801,S200000,04900,0100,N 161801,S200000,05200,0100,N 161922,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161922,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 161922,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161922,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 161922,A000000,00300,0000,0300EMPLOYEE BENEFITS 161922,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161922,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161922,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161922,A000000,00700,0000,0700HOUSEKEEPING 161922,A000000,00800,0000,0800DIETARY 161922,A000000,00801,0000,0801CAFETERIA 161922,A000000,00900,0000,0900NURSING ADMINISTRATION 161922,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161922,A000000,01100,0000,1100PHARMACY 161922,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161922,A000000,01300,0000,1300SOCIAL SERVICE 161922,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161922,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 161922,A000000,01600,0000,1600SKILLED NURSING FACILITY 161922,A000000,01800,0000,1800NURSING FACILITY 161922,A000000,01810,0000,1810ICF/MR 161922,A000000,02100,0000,2100RADIOLOGY 161922,A000000,02200,0000,2200LABORATORY 161922,A000000,02300,0000,2300INTRAVENOUS THERAPY 161922,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161922,A000000,02500,0000,2500PHYSICAL THERAPY 161922,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161922,A000000,02700,0000,2700SPEECH PATHOLOGY 161922,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161922,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161922,A000000,03200,0000,3200SUPPORT SURFACES 161922,A000000,03300,0000,3050PEN PART B 161922,A000000,03301,0000,3051FEE SCREENING 161922,A000000,03302,0000,3052OTHER ANCILLARY III 161922,A000000,03550,0000,3550FQHC 161922,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 161922,A000000,04801,0000,4801AMBULANCE 161922,A000000,04802,0000,4802AMBULANCE 161922,A000000,04803,0000,4803AMBULANCE 161922,A000000,05000,0000,5000CORF I 161922,A000000,05010,0000,5010CMHC I 161922,A000000,05020,0000,5020OPT I 161922,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161922,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161922,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161922,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 161922,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 161922,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161922,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161922,A81000A,00100,0100,Y 161922,A81000B,00100,0300,HOME OFFICE ALLOCATION 161922,A81000B,00200,0300,H.O. CAP RELATED 161922,A81000B,00300,0300,PT 161922,A81000B,00400,0300,OT 161922,A81000B,00500,0300,ST 161922,A81000B,00600,0300,MEDICAL SUPPLIES 161922,A81000B,00700,0300,OXYGEN 161922,A81000B,00800,0300,DRUGS 161922,A81000B,00900,0300,CLINITRON 161922,A81000C,00100,0100,B 161922,A81000C,00100,0200,GENEESIS HEALTS 161922,A81000C,00100,0600,MGMT CO 161922,A81000C,00200,0100,B 161922,A81000C,00200,0200,NEIGHBORCARE 161922,A81000C,00200,0600,PHARMACY 161922,A81000C,00300,0100,B 161922,A81000C,00300,0200,GENESIS SCVS 161922,A81000C,00300,0600,VARIOUS 161922,A81000C,00400,0100,B 161922,A81000C,00400,0200,GENESIS PHYS 161922,A81000C,00400,0600,CASE MGMT 161922,A81000C,00500,0100,B 161922,A81000C,00500,0200,GENESIS REHAB 161922,A81000C,00500,0600,RT 161922,B100000,00000,0100,0100(SQUARE FEET) 161922,B100000,00000,0101,0101(SQUARE FEET) 161922,B100000,00000,0200,0200(SQUARE FEET) 161922,B100000,00000,0201,0201(SQUARE FEET) 161922,B100000,00000,0300,0300(GROSS SALARIES) 161922,B100000,00000,0400,0400ACCUM COST 161922,B100000,00000,0500,0500(SQUARE FEET) 161922,B100000,00000,0600,0600(PATIENT DAYS) 161922,B100000,00000,0700,0700(SQUARE FEET) 161922,B100000,00000,0800,0800(MEALS SERVED) 161922,B100000,00000,0801,0801(MEALS SERVED) 161922,B100000,00000,0900,0900(NURSING SALARIES) 161922,B100000,00000,1000,1000(PATIENT DAYS) 161922,B100000,00000,1100,1100(PATIENT DAYS) 161922,B100000,00000,1200,1200(GROSS CHARGES) 161922,B100000,00000,1300,1300(PATIENT DAYS) 161922,B100000,00000,1400,1400(ASSIGNED TIME) 161922,B100000,00000,1500,1350(PATIENT DAYS) 161922,E10A180,00501,0100,01/05/01 161922,E10A180,00550,0300,02/29/00 161922,S000000,00100,0200,02/29/00 161922,S200000,00100,0100,115 EAST MELROSE AVE. 161922,S200000,00200,0100,BALTIMORE 161922,S200000,00200,0200,MD 161922,S200000,00200,0300,21212 161922,S200000,00300,0200,0720 161922,S200000,00300,0300,U 161922,S200000,00400,0100,LONG GREEN 161922,S200000,00400,0200,215031 161922,S200000,00400,0300,12/01/92 161922,S200000,00400,0500,P 161922,S200000,01500,0100,N 161922,S200000,01600,0100,Y 161922,S200000,01700,0100,N 161922,S200000,01800,0100,N 161922,S200000,02200,0100,Y 161922,S200000,02800,0100,N 161922,S200000,02900,0100,N 161922,S200000,03000,0100,N 161922,S200000,03100,0100,N 161922,S200000,03200,0100,N 161922,S200000,03300,0100,N 161922,S200000,03300,0200,N 161922,S200000,04100,0100,N 161922,S200000,04200,0100,N 161922,S200000,04300,0100,N 161922,S200000,04700,0100,N 161939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 161939,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 161939,A000000,00300,0000,0300EMPLOYEE BENEFITS 161939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 161939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161939,A000000,00700,0000,0700HOUSEKEEPING 161939,A000000,00800,0000,0800DIETARY 161939,A000000,00900,0000,0900NURSING ADMINISTRATION 161939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161939,A000000,01100,0000,1100PHARMACY 161939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161939,A000000,01300,0000,1300SOCIAL SERVICE 161939,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 161939,A000000,01600,0000,1600SKILLED NURSING FACILITY 161939,A000000,01810,0000,1810ICF/MR 161939,A000000,01900,0000,1900OTHER LONG TERM CARE 161939,A000000,02100,0000,2100RADIOLOGY 161939,A000000,02200,0000,2200LABORATORY 161939,A000000,02300,0000,2300INTRAVENOUS THERAPY 161939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161939,A000000,02500,0000,2500PHYSICAL THERAPY 161939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161939,A000000,02700,0000,2700SPEECH PATHOLOGY 161939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 161939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161939,A000000,03550,0000,3550FQHC 161939,A000000,04801,0000,4801AMBULANCE 161939,A000000,04802,0000,4802AMBULANCE 161939,A000000,04803,0000,4803AMBULANCE 161939,A000000,05000,0000,5000CORF 161939,A000000,05010,0000,5010CMHC 161939,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 161939,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 161939,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 161939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161939,A81000A,00100,0100,Y 161939,A81000B,00100,0300,DIETARY COSTS 161939,A81000B,00200,0300,CAPITAL RELATED DIETARY 161939,A81000B,00300,0300,LAUNDRY COSTS 161939,A81000B,00400,0300,CAPITAL RELATED LAUNDRY 161939,A81000B,00500,0300,A & G COSTS 161939,A81000B,00600,0300,CAPITAL RELATED A & G 161939,A81000B,00700,0300,EMPLOYEE BENEFITS 161939,A81000B,00800,0300,CAPITAL RELATED EMP BEN 161939,A81000C,00100,0100,B 161939,A81000C,00100,0400,COMM HOSP S.B. 161939,A81000C,00100,0600,HOSPITAL 161939,B100000,00000,0100,0100SQUARE FEET 161939,B100000,00000,0200,0200SQUARE FEET 161939,B100000,00000,0300,0300GROSS SAL 161939,B100000,00000,0400,0400ACCUM COST 161939,B100000,00000,0500,0500SQUARE FEET 161939,B100000,00000,0600,0600POUNDS OF LAUNDRY 161939,B100000,00000,0700,0700SQUARE FEET 161939,B100000,00000,0800,0800MEALS SERVED 161939,B100000,00000,0900,0900NURSING SALARIES 161939,B100000,00000,1000,1000BLANK 161939,B100000,00000,1100,1100BLANK 161939,B100000,00000,1200,1200GROSS REVENUE 161939,B100000,00000,1300,1300PATIENT DISCHARGES 161939,B100000,00000,1400,1400BLANK 161939,E10A180,00350,0300,02/09/00 161939,E10A180,00501,0100,01/26/01 161939,E10A180,00550,0100,08/16/02 161939,E10A180,00550,0300,01/26/01 161939,E10A180,00551,0300,08/16/02 161939,S000000,00100,0200,01/16/01 161939,S200000,00100,0100,1676 MEDICAL CENTER DRIVE 161939,S200000,00200,0100,SAN BERNARDINO 161939,S200000,00200,0200,CA 161939,S200000,00200,0300,92411 161939,S200000,00300,0100,S 161939,S200000,00300,0200,6780 161939,S200000,00300,0300,U 161939,S200000,00400,0100,COMMUNITY CONVALESCENT CTR OF S.B. 161939,S200000,00400,0200,056107 161939,S200000,00400,0300,07/01/66 161939,S200000,00400,0500,P 161939,S200000,01500,0100,N 161939,S200000,01600,0100,Y 161939,S200000,01700,0100,N 161939,S200000,01800,0100,N 161939,S200000,01900,0100,COMMUNITY HOSPITAL 161939,S200000,02200,0100,Y 161939,S200000,02800,0100,N 161939,S200000,02900,0100,N 161939,S200000,03000,0100,N 161939,S200000,03100,0100,N 161939,S200000,03200,0100,N 161939,S200000,03300,0100,N 161939,S200000,03300,0200,N 161939,S200000,03600,0200,N 161939,S200000,04100,0100,N 161939,S200000,04200,0100,N 161939,S200000,04300,0100,N 161939,S200000,04600,0100,N 161939,S200000,04700,0100,N 161939,S200000,04900,0100,N 161939,S200000,05200,0100,N 161976,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 161976,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 161976,A000000,00300,0000,0300EMPLOYEE BENEFITS 161976,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 161976,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 161976,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 161976,A000000,00700,0000,0700HOUSEKEEPING 161976,A000000,00800,0000,0800DIETARY 161976,A000000,00900,0000,0900NURSING ADMINISTRATION 161976,A000000,00901,0000,0901OTHER NURSING 161976,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 161976,A000000,01100,0000,1100PHARMACY 161976,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 161976,A000000,01300,0000,1300SOCIAL SERVICE 161976,A000000,01301,0000,1301ACTIVITIES 161976,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 161976,A000000,01600,0000,1600SKILLED NURSING FACILITY 161976,A000000,01800,0000,1800NURSING FACILITY 161976,A000000,02100,0000,2100RADIOLOGY 161976,A000000,02200,0000,2200LABORATORY 161976,A000000,02300,0000,2300INTRAVENOUS THERAPY 161976,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 161976,A000000,02500,0000,2500PHYSICAL THERAPY 161976,A000000,02600,0000,2600OCCUPATIONAL THERAPY 161976,A000000,02700,0000,2700SPEECH PATHOLOGY 161976,A000000,02800,0000,2800ELECTROCARDIOLOGY 161976,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 161976,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 161976,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 161976,A000000,03301,0000,3051NUTRITIONAL THERAPY 161976,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 161976,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 161976,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 161976,A000000,04800,0000,4800AMBULANCE 161976,A000000,05100,0000,4750OTHER REIMBURSABLE COST 161976,A000000,05300,0000,5300INTEREST EXPENSE 161976,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 161976,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 161976,A000000,05900,0000,5900BARBER & BEAUTY SHOP 161976,A000000,06200,0000,6200PATIENTS LAUNDRY 161976,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 161976,A000000,06301,0000,6151DAY CARE 161976,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 161976,A000000,06303,0000,6153DISTRICT OFFICE SPACE 161976,A81000A,00100,0100,Y 161976,A81000B,00100,0300,HOME OFFICE COSTS 161976,A81000B,00200,0300,LIABILITY INSURANCE 161976,A81000B,00500,0300,VC PHARMACY - ADMIN 161976,A81000B,00900,0300,VC PHARMACY - DIETARY 161976,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 161976,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 161976,A81000B,01200,0300,VC PHARMACY - ROUTINE NONCT 161976,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 161976,A81000B,01400,0300,VC PHARMACY - IV THERAPY 161976,A81000B,01500,0300,VC HOSPITAL - INHALATION THER 161976,A81000B,01600,0300,VENCARE REHAB - PHYS THER 161976,A81000B,01700,0300,VENCARE REHAB - OCCP THER 161976,A81000B,01800,0300,VENCARE REHAB - SPEECH THER 161976,A81000B,01900,0300,VC PHARMACY - MEDICAL SUPP 161976,A81000B,02000,0300,VC PHARMACY - LEGEND 161976,A81000B,02100,0300,VC PHARMACY - EMPL BENEFITS 161976,A81000C,00100,0100,B 161976,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 161976,A81000C,00100,0400,CORNERSTONE INSURANCE CO 161976,A81000C,00100,0600,LIABILITY INSURANCE 161976,A81000C,00200,0400,VENCARE PHARMACY SERVICES 161976,A81000C,00200,0600,PHARMACY 161976,A81000C,00300,0400,VENCARE RESPIRATORY 161976,A81000C,00300,0600,RESPIRATORY THERAPY 161976,A81000C,00400,0400,THERAPY SERVICES 161976,A81000C,00500,0400,VENCARE REHAB SERVICES 161976,A81000C,00500,0600,REHAB 161976,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 161976,A81000C,00600,0600,PORTABLE X-RAY 161976,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 161976,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 161976,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 161976,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 161976,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 161976,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 161976,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 161976,B100000,00000,0800,0850PATIENT DAYS :DIETARY 161976,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 161976,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 161976,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 161976,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 161976,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 161976,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 161976,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 161976,E10A180,00350,0100,11/30/00 161976,S000000,00100,0200,12/01/00 161976,S200000,00100,0100,353 WALLER AVENUE 161976,S200000,00200,0100,LEXINGTON 161976,S200000,00200,0200,KY 161976,S200000,00200,0300,40504- 161976,S200000,00300,0100,FAYETTE 161976,S200000,00300,0200,4280 161976,S200000,00300,0300,U 161976,S200000,00400,0100,783 - LEXINGTON CTR FOR HEALTH 161976,S200000,00400,0200,185116 161976,S200000,00400,0300,09/01/82 161976,S200000,00400,0500,P 161976,S200000,01500,0100,N 161976,S200000,01600,0100,Y 161976,S200000,01700,0100,N 161976,S200000,01800,0100,N 161976,S200000,02200,0100,Y 161976,S200000,02800,0100,N 161976,S200000,02900,0100,N 161976,S200000,03000,0100,N 161976,S200000,03100,0100,N 161976,S200000,03200,0100,N 161976,S200000,04100,0100,N 161976,S200000,04200,0100,N 161976,S200000,04300,0100,N 161976,S200000,04600,0100,N 161976,S200000,04700,0100,N 161976,S200000,04700,0200,N 161976,S200000,04900,0100,N 161976,S200000,05000,0100,N 161976,S200000,05100,0100,N 161976,S200000,05200,0100,N 162054,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162054,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162054,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162054,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162054,A000000,00300,0000,0300EMPLOYEE BENEFITS 162054,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162054,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162054,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162054,A000000,00700,0000,0700HOUSEKEEPING 162054,A000000,00800,0000,0800DIETARY 162054,A000000,00801,0000,0801CAFETERIA 162054,A000000,00900,0000,0900NURSING ADMINISTRATION 162054,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162054,A000000,01100,0000,1100PHARMACY 162054,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162054,A000000,01300,0000,1300SOCIAL SERVICE 162054,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162054,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 162054,A000000,01600,0000,1600SKILLED NURSING FACILITY 162054,A000000,01800,0000,1800NURSING FACILITY 162054,A000000,01810,0000,1810ICF/MR 162054,A000000,02100,0000,2100RADIOLOGY 162054,A000000,02200,0000,2200LABORATORY 162054,A000000,02300,0000,2300INTRAVENOUS THERAPY 162054,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162054,A000000,02500,0000,2500PHYSICAL THERAPY 162054,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162054,A000000,02700,0000,2700SPEECH PATHOLOGY 162054,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162054,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162054,A000000,03200,0000,3200SUPPORT SURFACES 162054,A000000,03300,0000,3050PEN PART B 162054,A000000,03301,0000,3051FEE SCREENING 162054,A000000,03302,0000,3052OTHER ANCILLARY III 162054,A000000,03550,0000,3550FQHC 162054,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162054,A000000,04801,0000,4801AMBULANCE 162054,A000000,04802,0000,4802AMBULANCE 162054,A000000,04803,0000,4803AMBULANCE 162054,A000000,05000,0000,5000CORF I 162054,A000000,05010,0000,5010CMHC I 162054,A000000,05020,0000,5020OPT I 162054,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162054,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162054,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162054,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162054,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162054,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162054,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162054,A81000A,00100,0100,Y 162054,A81000B,00100,0300,HOME OFFICE ALLOCATION 162054,A81000B,00200,0300,H.O. CAP RELATED 162054,A81000B,00300,0300,PT 162054,A81000B,00400,0300,OT 162054,A81000B,00500,0300,ST 162054,A81000B,00600,0300,OXYGEN 162054,A81000B,00700,0300,MEDICAL SUPPLIES 162054,A81000B,00800,0300,DRUGS 162054,A81000B,00900,0300,CLINITRON 162054,A81000C,00100,0100,B 162054,A81000C,00100,0200,GENEESIS HEALTS 162054,A81000C,00100,0600,MGMT CO 162054,A81000C,00200,0100,B 162054,A81000C,00200,0200,NEIGHBORCARE 162054,A81000C,00200,0600,PHARMACY 162054,A81000C,00300,0100,B 162054,A81000C,00300,0200,GENESIS SCVS 162054,A81000C,00300,0600,VARIOUS 162054,A81000C,00400,0100,B 162054,A81000C,00400,0200,GENESIS PHYS 162054,A81000C,00400,0600,CASE MGMT 162054,A81000C,00500,0100,B 162054,A81000C,00500,0200,GENESIS REHAB 162054,A81000C,00500,0600,RT 162054,B100000,00000,0100,0100(SQUARE FEET) 162054,B100000,00000,0101,0101(SQUARE FEET) 162054,B100000,00000,0200,0200(SQUARE FEET) 162054,B100000,00000,0201,0201(SQUARE FEET) 162054,B100000,00000,0300,0300(GROSS SALARIES) 162054,B100000,00000,0400,0400ACCUM COST 162054,B100000,00000,0500,0500(SQUARE FEET) 162054,B100000,00000,0600,0600(PATIENT DAYS) 162054,B100000,00000,0700,0700(SQUARE FEET) 162054,B100000,00000,0800,0800(MEALS SERVED) 162054,B100000,00000,0801,0801(MEALS SERVED) 162054,B100000,00000,0900,0900(NURSING SALARIES) 162054,B100000,00000,1000,1000(PATIENT DAYS) 162054,B100000,00000,1100,1100(PATIENT DAYS) 162054,B100000,00000,1200,1200(GROSS CHARGES) 162054,B100000,00000,1300,1300(PATIENT DAYS) 162054,B100000,00000,1400,1400(ASSIGNED TIME) 162054,B100000,00000,1500,1350(PATIENT DAYS) 162054,E10A180,00501,0100,03/17/00 162054,E10A180,00501,0300,03/17/00 162054,E10A180,00550,0100,07/30/01 162054,E10A180,00550,0300,07/30/01 162054,S000000,00100,0200,03/06/00 162054,S200000,00100,0100,155 LANDOVER PLACE 162054,S200000,00200,0100,LONGWOOD 162054,S200000,00200,0200,FL 162054,S200000,00200,0300,32750 162054,S200000,00300,0200,5960 162054,S200000,00300,0300,U 162054,S200000,00400,0100,ISLAND LAKE 162054,S200000,00400,0200,105643 162054,S200000,00400,0300,04/10/89 162054,S200000,00400,0500,P 162054,S200000,01500,0100,N 162054,S200000,01600,0100,Y 162054,S200000,01700,0100,N 162054,S200000,01800,0100,N 162054,S200000,02200,0100,Y 162054,S200000,02800,0100,N 162054,S200000,02900,0100,N 162054,S200000,03000,0100,N 162054,S200000,03100,0100,N 162054,S200000,03200,0100,N 162054,S200000,03300,0100,N 162054,S200000,03300,0200,N 162054,S200000,04100,0100,N 162054,S200000,04200,0100,N 162054,S200000,04300,0100,N 162054,S200000,04700,0100,N 162054,S200000,05200,0100,N 162057,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162057,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162057,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162057,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162057,A000000,00300,0000,0300EMPLOYEE BENEFITS 162057,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162057,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162057,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162057,A000000,00700,0000,0700HOUSEKEEPING 162057,A000000,00800,0000,0800DIETARY 162057,A000000,00801,0000,0801CAFETERIA 162057,A000000,00900,0000,0900NURSING ADMINISTRATION 162057,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162057,A000000,01100,0000,1100PHARMACY 162057,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162057,A000000,01300,0000,1300SOCIAL SERVICE 162057,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162057,A000000,01500,0000,1350ACTIVITIES 162057,A000000,01600,0000,1600SKILLED NURSING FACILITY 162057,A000000,01800,0000,1800NURSING FACILITY 162057,A000000,01810,0000,1810ICF/MR 162057,A000000,02100,0000,2100RADIOLOGY 162057,A000000,02300,0000,2300INTRAVENOUS THERAPY 162057,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162057,A000000,02500,0000,2500PHYSICAL THERAPY 162057,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162057,A000000,02700,0000,2700SPEECH PATHOLOGY 162057,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162057,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162057,A000000,03200,0000,3200SUPPORT SURFACES 162057,A000000,03300,0000,3050PEN PART B 162057,A000000,03301,0000,3051FEE SCREENING 162057,A000000,03302,0000,3052OTHER ANCILLARY III 162057,A000000,03550,0000,3550FQHC 162057,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162057,A000000,04801,0000,4801AMBULANCE 162057,A000000,04802,0000,4802AMBULANCE 162057,A000000,04803,0000,4803AMBULANCE 162057,A000000,05000,0000,5000CORF I 162057,A000000,05010,0000,5010CMHC I 162057,A000000,05020,0000,5020OPT I 162057,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162057,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162057,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162057,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162057,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162057,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162057,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162057,A81000A,00100,0100,Y 162057,A81000B,00100,0300,HOME OFFICE ALLOC 162057,A81000B,00200,0300,HOME OFFICE CAP REL 162057,A81000B,00300,0300,OT 162057,A81000B,00400,0300,ST 162057,A81000B,00500,0300,PT 162057,A81000B,00600,0300,OXYGEN/RT 162057,A81000B,00700,0300,MEDICAL SUPPLIES 162057,A81000B,00800,0300,DRUGS 162057,A81000B,00900,0300,CLINITRON 162057,A81000C,00100,0100,B 162057,A81000C,00100,0200,GENESIS ELDERC 162057,A81000C,00100,0600,MGMT CO 162057,A81000C,00200,0100,B 162057,A81000C,00200,0200,NEIGHBORCARE 162057,A81000C,00200,0600,PHARMACY 162057,A81000C,00300,0100,B 162057,A81000C,00300,0200,GENESIS SERVICE 162057,A81000C,00300,0600,THERAPY SERVICE 162057,A81000C,00400,0100,B 162057,A81000C,00400,0200,GEN.PHYS.SERV. 162057,A81000C,00400,0600,CASE MGMT 162057,A81000C,00500,0100,B 162057,A81000C,00500,0200,RESPIRATORY HEA 162057,A81000C,00500,0600,RT 162057,B100000,00000,0100,0100(SQUARE FEET) 162057,B100000,00000,0101,0101(SQUARE FEET) 162057,B100000,00000,0200,0200(SQUARE FEET) 162057,B100000,00000,0201,0201(SQUARE FEET) 162057,B100000,00000,0300,0300(GROSS SALARIES) 162057,B100000,00000,0400,0400ACCUM COST 162057,B100000,00000,0500,0500(SQUARE FEET) 162057,B100000,00000,0600,0600(PATIENT DAYS) 162057,B100000,00000,0700,0700(SQUARE FEET) 162057,B100000,00000,0800,0800(MEALS SERVED) 162057,B100000,00000,0801,0801(MEALS SERVED) 162057,B100000,00000,0900,0900(PATIENT DAYS) 162057,B100000,00000,1000,1000(COSTED REQUIS.) 162057,B100000,00000,1100,1100(COSTED REQUIS.) 162057,B100000,00000,1200,1200(GROSS CHARGES) 162057,B100000,00000,1300,1300(PATIENT DAYS) 162057,B100000,00000,1400,1400(ASSIGNED TIME) 162057,B100000,00000,1500,1350(PATIENT DAYS) 162057,E10A180,00501,0100,03/01/00 162057,E10A180,00501,0300,03/01/00 162057,E10A180,00550,0100,04/10/01 162057,E10A180,00550,0300,04/10/01 162057,S000000,00100,0200,02/29/00 162057,S200000,00100,0100,U.S. 50 AT CIVIC AVENUE 162057,S200000,00200,0100,SALISBURY 162057,S200000,00200,0200,MD 162057,S200000,00200,0300,21801 162057,S200000,00300,0200,0021 162057,S200000,00300,0300,R 162057,S200000,00400,0100,SALISBURY 162057,S200000,00400,0200,215067 162057,S200000,00400,0300,08/01/87 162057,S200000,00400,0500,P 162057,S200000,01500,0100,N 162057,S200000,01600,0100,Y 162057,S200000,01700,0100,N 162057,S200000,01800,0100,N 162057,S200000,02200,0100,Y 162057,S200000,02800,0100,N 162057,S200000,02900,0100,N 162057,S200000,03000,0100,N 162057,S200000,03100,0100,N 162057,S200000,03200,0100,N 162057,S200000,03300,0100,N 162057,S200000,03300,0200,N 162057,S200000,04100,0100,N 162057,S200000,04200,0100,N 162057,S200000,04300,0100,N 162057,S200000,04600,0100,Y 162057,S200000,04700,0100,N 162057,S200000,04900,0100,N 162057,S200000,05200,0100,N 162102,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162102,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162102,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162102,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162102,A000000,00300,0000,0300EMPLOYEE BENEFITS 162102,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162102,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162102,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162102,A000000,00700,0000,0700HOUSEKEEPING 162102,A000000,00800,0000,0800DIETARY 162102,A000000,00801,0000,0801CAFETERIA 162102,A000000,00900,0000,0900NURSING ADMINISTRATION 162102,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162102,A000000,01100,0000,1100PHARMACY 162102,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162102,A000000,01300,0000,1300SOCIAL SERVICE 162102,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162102,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 162102,A000000,01600,0000,1600SKILLED NURSING FACILITY 162102,A000000,01800,0000,1800NURSING FACILITY 162102,A000000,01810,0000,1810ICF/MR 162102,A000000,02100,0000,2100RADIOLOGY 162102,A000000,02200,0000,2200LABORATORY 162102,A000000,02300,0000,2300INTRAVENOUS THERAPY 162102,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162102,A000000,02500,0000,2500PHYSICAL THERAPY 162102,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162102,A000000,02700,0000,2700SPEECH PATHOLOGY 162102,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162102,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162102,A000000,03200,0000,3200SUPPORT SURFACES 162102,A000000,03300,0000,3050PEN PART B 162102,A000000,03301,0000,3051FEE SCREENING 162102,A000000,03302,0000,3052OTHER ANCILLARY III 162102,A000000,03550,0000,3550FQHC 162102,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162102,A000000,04801,0000,4801AMBULANCE 162102,A000000,04802,0000,4802AMBULANCE 162102,A000000,04803,0000,4803AMBULANCE 162102,A000000,05000,0000,5000CORF I 162102,A000000,05010,0000,5010CMHC I 162102,A000000,05020,0000,5020OPT I 162102,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162102,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162102,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162102,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162102,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162102,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162102,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162102,A81000A,00100,0100,Y 162102,A81000B,00100,0300,HOME OFFICE 162102,A81000B,00200,0300,HOME OFFICE 162102,A81000B,00300,0300,PT 162102,A81000B,00400,0300,OT 162102,A81000B,00500,0300,ST 162102,A81000B,00600,0300,MEDICAL SUPPLIES 162102,A81000B,00700,0300,DRUGS 162102,A81000B,00800,0300,CLINITRON 162102,A81000B,00900,0300,CASE MANAGEMENT 162102,A81000C,00100,0100,B 162102,A81000C,00100,0200,GENESIS ELDERCA 162102,A81000C,00100,0600,HOME OFFICE 162102,A81000C,00200,0100,B 162102,A81000C,00200,0200,NEIGHBORCARE 162102,A81000C,00200,0600,PHARMACY 162102,A81000C,00300,0100,B 162102,A81000C,00300,0200,GENESIS SVC 162102,A81000C,00300,0600,REHAB 162102,A81000C,00400,0100,B 162102,A81000C,00400,0200,RESPIR HLTH SVC 162102,A81000C,00400,0600,THERAPY 162102,B100000,00000,0100,0100(SQUARE FEET) 162102,B100000,00000,0101,0101(SQUARE FEET) 162102,B100000,00000,0200,0200(SQUARE FEET) 162102,B100000,00000,0201,0201(SQUARE FEET) 162102,B100000,00000,0300,0300(GROSS SALARIES) 162102,B100000,00000,0400,0400(ACCUM. COST) 162102,B100000,00000,0500,0500(SQUARE FEET) 162102,B100000,00000,0600,0600(PATIENT DAYS) 162102,B100000,00000,0700,0700(SQUARE FEET) 162102,B100000,00000,0800,0800(MEALS SERVED) 162102,B100000,00000,0801,0801(MEALS SERVED) 162102,B100000,00000,0900,0900(PATIENT DAYS) 162102,B100000,00000,1000,1000(COSTED REQUIS.) 162102,B100000,00000,1100,1100(PATIENT DAYS) 162102,B100000,00000,1200,1200(GROSS CHARGES) 162102,B100000,00000,1300,1300(PATIENT DAYS) 162102,B100000,00000,1400,1400(ASSIGNED TIME) 162102,B100000,00000,1500,1350(PATIENT DAYS) 162102,E10A180,00501,0100,03/21/00 162102,E10A180,00501,0300,03/21/00 162102,E10A180,00502,0100,12/21/00 162102,E10A180,00550,0300,12/21/00 162102,S000000,00100,0200,02/28/00 162102,S200000,00100,0100,6000 BELONA AVE 162102,S200000,00200,0100,BALTIMORE 162102,S200000,00200,0200,MD 162102,S200000,00300,0100,BALTIMORE 162102,S200000,00300,0200,0720 162102,S200000,00300,0300,U 162102,S200000,00400,0100,GENESIS HOMEWOOD 162102,S200000,00400,0200,215074 162102,S200000,00400,0300,01/01/88 162102,S200000,00400,0500,P 162102,S200000,01500,0100,N 162102,S200000,01600,0100,Y 162102,S200000,01700,0100,N 162102,S200000,01800,0100,Y 162102,S200000,02200,0100,Y 162102,S200000,02800,0100,N 162102,S200000,02900,0100,N 162102,S200000,03000,0100,N 162102,S200000,03100,0100,N 162102,S200000,03200,0100,N 162102,S200000,03300,0100,N 162102,S200000,03300,0200,N 162102,S200000,04100,0100,N 162102,S200000,04200,0100,N 162102,S200000,04300,0100,N 162102,S200000,04600,0100,N 162102,S200000,04700,0100,N 162102,S200000,05200,0100,N 162103,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162103,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162103,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162103,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162103,A000000,00300,0000,0300EMPLOYEE BENEFITS 162103,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162103,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162103,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162103,A000000,00700,0000,0700HOUSEKEEPING 162103,A000000,00800,0000,0800DIETARY 162103,A000000,00801,0000,0801CAFETERIA 162103,A000000,00900,0000,0900NURSING ADMINISTRATION 162103,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162103,A000000,01100,0000,1100PHARMACY 162103,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162103,A000000,01300,0000,1300SOCIAL SERVICE 162103,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162103,A000000,01500,0000,1350ACTIVITIES 162103,A000000,01600,0000,1600SKILLED NURSING FACILITY 162103,A000000,01800,0000,1800NURSING FACILITY 162103,A000000,01810,0000,1810ICF/MR 162103,A000000,02300,0000,2300INTRAVENOUS THERAPY 162103,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162103,A000000,02500,0000,2500PHYSICAL THERAPY 162103,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162103,A000000,02700,0000,2700SPEECH PATHOLOGY 162103,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162103,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162103,A000000,03200,0000,3200SUPPORT SURFACES 162103,A000000,03300,0000,3050PEN PART B 162103,A000000,03301,0000,3051FEE SCREENING 162103,A000000,03302,0000,3052OTHER ANCILLARY III 162103,A000000,03550,0000,3550FQHC 162103,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162103,A000000,04801,0000,4801AMBULANCE 162103,A000000,04802,0000,4802AMBULANCE 162103,A000000,04803,0000,4803AMBULANCE 162103,A000000,05000,0000,5000CORF I 162103,A000000,05010,0000,5010CMHC I 162103,A000000,05020,0000,5020OPT I 162103,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162103,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162103,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162103,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162103,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162103,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162103,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162103,A81000A,00100,0100,Y 162103,A81000B,00100,0300,HOME OFFICE ALLOC 162103,A81000B,00200,0300,HOME OFFICE CAP REL 162103,A81000B,00300,0300,OT 162103,A81000B,00400,0300,ST 162103,A81000B,00500,0300,PT 162103,A81000B,00600,0300,RT 162103,A81000B,00700,0300,MEDICAL SUPPLIES 162103,A81000B,00800,0300,DRUGS 162103,A81000B,00900,0300,CLINITRON 162103,A81000C,00100,0100,B 162103,A81000C,00100,0200,GENESIS ELDERCA 162103,A81000C,00100,0600,MGMT CO 162103,A81000C,00200,0100,B 162103,A81000C,00200,0200,GENESIS SERVICE 162103,A81000C,00200,0600,THERAPY SERVICS 162103,A81000C,00300,0100,B 162103,A81000C,00300,0200,NEIGHBORCARE 162103,A81000C,00300,0600,PHARMACY 162103,A81000C,00400,0100,B 162103,A81000C,00400,0200,GEN PHYS SERV 162103,A81000C,00400,0600,CASE MGMT 162103,A81000C,00500,0100,B 162103,A81000C,00500,0200,RESPIRATORY HEA 162103,A81000C,00500,0600,RT 162103,B100000,00000,0100,0100(SQUARE FEET) 162103,B100000,00000,0101,0101(SQUARE FEET) 162103,B100000,00000,0200,0200(SQUARE FEET) 162103,B100000,00000,0201,0201(SQUARE FEET) 162103,B100000,00000,0300,0300(GROSS SALARIES) 162103,B100000,00000,0400,0400ACCUM COST 162103,B100000,00000,0500,0500(SQUARE FEET) 162103,B100000,00000,0600,0600(PATIENT DAYS) 162103,B100000,00000,0700,0700(SQUARE FEET) 162103,B100000,00000,0800,0800(MEALS SERVED) 162103,B100000,00000,0801,0801(MEALS SERVED) 162103,B100000,00000,0900,0900(NURSING SALARIES) 162103,B100000,00000,1000,1000(COSTED REQUIS.) 162103,B100000,00000,1100,1100(COSTED REQUIS.) 162103,B100000,00000,1200,1200(GROSS CHARGES) 162103,B100000,00000,1300,1300(PATIENT DAYS) 162103,B100000,00000,1400,1400(ASSIGNED TIME) 162103,B100000,00000,1500,1350(PATIENT DAYS) 162103,E10A180,00501,0100,05/25/01 162103,E10A180,00501,0300,03/03/00 162103,E10A180,00550,0300,05/25/01 162103,S000000,00100,0200,02/29/00 162103,S200000,00100,0100,8710 EMGE ROAD 162103,S200000,00200,0100,BALTIMORE 162103,S200000,00200,0200,MD 162103,S200000,00200,0300,21234 162103,S200000,00300,0100,BALTIMORE 162103,S200000,00300,0200,0720 162103,S200000,00300,0300,U 162103,S200000,00400,0100,LOCH RAVEN 162103,S200000,00400,0200,215090 162103,S200000,00400,0300,08/01/87 162103,S200000,00400,0500,P 162103,S200000,01500,0100,N 162103,S200000,01600,0100,Y 162103,S200000,01700,0100,N 162103,S200000,01800,0100,N 162103,S200000,02200,0100,Y 162103,S200000,02800,0100,N 162103,S200000,02900,0100,N 162103,S200000,03000,0100,N 162103,S200000,03100,0100,N 162103,S200000,03200,0100,N 162103,S200000,03300,0100,N 162103,S200000,03300,0200,N 162103,S200000,04100,0100,N 162103,S200000,04200,0100,N 162103,S200000,04300,0100,N 162103,S200000,04600,0100,Y 162103,S200000,04700,0100,N 162103,S200000,04900,0100,N 162425,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162425,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162425,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162425,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162425,A000000,00300,0000,0300EMPLOYEE BENEFITS 162425,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162425,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162425,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162425,A000000,00700,0000,0700HOUSEKEEPING 162425,A000000,00800,0000,0800DIETARY 162425,A000000,00801,0000,0801CAFETERIA 162425,A000000,00900,0000,0900NURSING ADMINISTRATION 162425,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162425,A000000,01100,0000,1100PHARMACY 162425,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162425,A000000,01300,0000,1300SOCIAL SERVICE 162425,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162425,A000000,01500,0000,1350ACTIVITIES 162425,A000000,01600,0000,1600SKILLED NURSING FACILITY 162425,A000000,01800,0000,1800NURSING FACILITY 162425,A000000,01810,0000,1810ICF/MR 162425,A000000,02100,0000,2100RADIOLOGY 162425,A000000,02300,0000,2300INTRAVENOUS THERAPY 162425,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162425,A000000,02500,0000,2500PHYSICAL THERAPY 162425,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162425,A000000,02700,0000,2700SPEECH PATHOLOGY 162425,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162425,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162425,A000000,03200,0000,3200SUPPORT SURFACES 162425,A000000,03300,0000,3050PEN PART B 162425,A000000,03301,0000,3051FEE SCREENING 162425,A000000,03302,0000,3052OTHER ANCILLARY III 162425,A000000,03550,0000,3550FQHC 162425,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162425,A000000,04801,0000,4801AMBULANCE 162425,A000000,04802,0000,4802AMBULANCE 162425,A000000,04803,0000,4803AMBULANCE 162425,A000000,05000,0000,5000CORF I 162425,A000000,05010,0000,5010CMHC I 162425,A000000,05020,0000,5020OPT I 162425,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162425,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162425,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162425,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162425,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162425,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162425,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162425,A81000A,00100,0100,Y 162425,A81000B,00100,0300,HOME OFFICE ALLOCATION 162425,A81000B,00200,0300,PT 162425,A81000B,00300,0300,OT 162425,A81000B,00400,0300,ST 162425,A81000B,00500,0300,SUPPLIES 162425,A81000B,00600,0300,OXYGEN 162425,A81000B,00700,0300,MEDICAL SUPPLIES 162425,A81000B,00800,0300,PRESCRIPTION 162425,A81000B,00900,0300,HOME OFFICE CAP REL 162425,A81000C,00100,0100,B 162425,A81000C,00100,0200,GENESIS ELDERCR 162425,A81000C,00100,0600,MGMT CO 162425,A81000C,00200,0100,B 162425,A81000C,00200,0200,NEIGHBORCARE 162425,A81000C,00200,0600,PHARMACY 162425,A81000C,00300,0100,B 162425,A81000C,00300,0200,GENESIS SERVICE 162425,A81000C,00300,0600,THERAPY SVC 162425,A81000C,00400,0100,B 162425,A81000C,00400,0200,GENE PHYS SERV 162425,A81000C,00400,0600,CASE MGMT 162425,A81000C,00500,0100,B 162425,A81000C,00500,0200,RESP. HEALTH 162425,A81000C,00500,0600,RT 162425,B100000,00000,0100,0100(SQUARE FEET) 162425,B100000,00000,0101,0101(SQUARE FEET) 162425,B100000,00000,0200,0200(SQUARE FEET) 162425,B100000,00000,0201,0201(SQUARE FEET) 162425,B100000,00000,0300,0300(GROSS SALARIES) 162425,B100000,00000,0400,0400ACCUM COST 162425,B100000,00000,0500,0500(SQUARE FEET) 162425,B100000,00000,0600,0600(PATIENT DAYS) 162425,B100000,00000,0700,0700(SQUARE FEET) 162425,B100000,00000,0800,0800(MEALS SERVED) 162425,B100000,00000,0801,0801(MEALS SERVED) 162425,B100000,00000,0900,0900(NURSING SALARIES) 162425,B100000,00000,1000,1000(COSTED REQUIS.) 162425,B100000,00000,1100,1100(COSTED REQUIS.) 162425,B100000,00000,1200,1200(GROSS CHARGES) 162425,B100000,00000,1300,1300(PATIENT DAYS) 162425,B100000,00000,1400,1400(ASSIGNED TIME) 162425,B100000,00000,1500,1350(PATIENT DAYS) 162425,E10A180,00501,0100,04/25/00 162425,E10A180,00501,0300,04/25/00 162425,E10A180,00502,0100,03/29/01 162425,E10A180,00550,0300,03/29/01 162425,S000000,00100,0200,02/29/00 162425,S200000,00100,0100,1080 SILVER LAKE DRIVE 162425,S200000,00200,0100,DOVER 162425,S200000,00200,0200,DE 162425,S200000,00300,0100,KENT 162425,S200000,00300,0200,2190 162425,S200000,00300,0300,U 162425,S200000,00400,0100,SILVER LAKE 162425,S200000,00400,0200,085027 162425,S200000,00400,0300,05/16/84 162425,S200000,00400,0500,P 162425,S200000,01500,0100,N 162425,S200000,01600,0100,Y 162425,S200000,01700,0100,N 162425,S200000,01800,0100,N 162425,S200000,02200,0100,Y 162425,S200000,02800,0100,N 162425,S200000,02900,0100,N 162425,S200000,03000,0100,N 162425,S200000,03100,0100,N 162425,S200000,03200,0100,N 162425,S200000,03300,0100,N 162425,S200000,03300,0200,N 162425,S200000,04100,0100,N 162425,S200000,04200,0100,N 162425,S200000,04300,0100,N 162425,S200000,04600,0100,Y 162425,S200000,04700,0100,N 162425,S200000,04900,0100,N 162425,S200000,05200,0100,N 162434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162434,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162434,A000000,00300,0000,0300EMPLOYEE BENEFITS 162434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162434,A000000,00700,0000,0700HOUSEKEEPING 162434,A000000,00800,0000,0800DIETARY 162434,A000000,00900,0000,0900NURSING ADMINISTRATION 162434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162434,A000000,01100,0000,1100PHARMACY 162434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162434,A000000,01300,0000,1300SOCIAL SERVICE 162434,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162434,A000000,01500,0000,1350RECREATION - ACTIVITIES 162434,A000000,01600,0000,1600SKILLED NURSING FACILITY 162434,A000000,01800,0000,1800NURSING FACILITY 162434,A000000,01810,0000,1810ICF/MR 162434,A000000,02100,0000,2100RADIOLOGY 162434,A000000,02200,0000,2200LABORATORY 162434,A000000,02500,0000,2500PHYSICAL THERAPY 162434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162434,A000000,02700,0000,2700SPEECH PATHOLOGY 162434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162434,A000000,03300,0000,3050AIR BED THERAPY 162434,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CE 162434,A000000,03550,0000,3550FQHC 162434,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162434,A000000,04801,0000,4801AMBULANCE 162434,A000000,04802,0000,4802AMBULANCE 162434,A000000,04803,0000,4803AMBULANCE 162434,A000000,05000,0000,5000CORF 162434,A000000,05010,0000,5010CMHC 162434,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162434,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162434,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162434,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162434,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162434,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162434,A81000A,00100,0100,Y 162434,A81000B,00100,0300,FACILITY RENTAL 162434,A81000B,00200,0300,COLONIAL CARE HOMEOFFICE 162434,A81000B,00300,0300,COLONIAL CARE HOME OFFICE CAPI 162434,A81000B,00400,0300,PHARMACY CONSULTANT 162434,A81000B,00500,0300,FACILITY RENTAL 162434,A81000C,00100,0100,A 162434,A81000C,00100,0200,JAMES R. SMITH 162434,A81000C,00100,0400,MADISON HEALTH CARE 162434,A81000C,00100,0600,FACILITY RENTAL 162434,A81000C,00200,0100,A 162434,A81000C,00200,0200,JAMES R. SMITH 162434,A81000C,00200,0400,COLONIAL CARE 162434,A81000C,00200,0600,HOME OFFICE 162434,A81000C,00300,0100,A 162434,A81000C,00300,0200,JAMES R. SMITH 162434,A81000C,00300,0400,COLONIAL CARE 162434,A81000C,00300,0600,HOME OFFICE 162434,A81000C,00400,0100,A 162434,A81000C,00400,0200,JAMES R. SMITH 162434,A81000C,00400,0400,RX CARE 162434,A81000C,00400,0600,PHARMACY CARE 162434,A81000C,00500,0100,A 162434,A81000C,00500,0200,JAMES R. SMITH 162434,A81000C,00500,0400,MADISON HEALTH CARE 162434,A81000C,00500,0600,FACILITY RENTAL 162434,B100000,00000,0100,0100SQUARE FEET 162434,B100000,00000,0200,0200SQUARE FEET 162434,B100000,00000,0300,0300GROSS SALARIES 162434,B100000,00000,0400,0400ACCUM COST 162434,B100000,00000,0500,0500SQUARE FEET 162434,B100000,00000,0600,0600POUNDS OF LAUNDRY 162434,B100000,00000,0700,0700SQUARE FEET 162434,B100000,00000,0800,0800MEALS SERVED 162434,B100000,00000,0900,0900DIRECT NURSING HR 162434,B100000,00000,1000,1000COSTED REQUIS. 162434,B100000,00000,1100,1100COSTED REQUIS. 162434,B100000,00000,1200,1200PATIENT DAYS 162434,B100000,00000,1300,1300PATIENT DAYS 162434,B100000,00000,1400,1400TIME SPENT 162434,B100000,00000,1500,1350ADMISSIONS S 162434,E10A180,00501,0100,08/08/01 162434,E10A180,00550,0300,08/08/01 162434,S000000,00100,0200,06/01/00 162434,S200000,00100,0100,4355 PHEASANT RIDGE ROAD 162434,S200000,00100,0300,NA 162434,S200000,00200,0100,ROANOKE 162434,S200000,00200,0200,VA 162434,S200000,00200,0300,24014 162434,S200000,00300,0100,ROANOKE 162434,S200000,00300,0200,6800 162434,S200000,00300,0300,U 162434,S200000,00400,0100,PHEASANT RIDGE 162434,S200000,00400,0200,495325 162434,S200000,00400,0300,01/01/98 162434,S200000,00400,0500,P 162434,S200000,00600,0200,496583 162434,S200000,00600,0300,08/01/97 162434,S200000,01500,0100,N 162434,S200000,01600,0100,Y 162434,S200000,01700,0100,N 162434,S200000,01800,0100,N 162434,S200000,02200,0100,N 162434,S200000,02800,0100,N 162434,S200000,02900,0100,N 162434,S200000,03000,0100,N 162434,S200000,03100,0100,N 162434,S200000,03200,0100,N 162434,S200000,03300,0100,N 162434,S200000,03300,0200,N 162434,S200000,03500,0300,N 162434,S200000,04100,0100,N 162434,S200000,04200,0100,N 162434,S200000,04300,0100,N 162434,S200000,04600,0100,N 162434,S200000,04700,0100,N 162434,S200000,04900,0100,N 162434,S200000,05200,0100,N 162512,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162512,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162512,A000000,00300,0000,0300EMPLOYEE BENEFITS 162512,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162512,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162512,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162512,A000000,00700,0000,0700HOUSEKEEPING 162512,A000000,00800,0000,0800DIETARY 162512,A000000,00900,0000,0900NURSING ADMINISTRATION 162512,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162512,A000000,01100,0000,1100PHARMACY 162512,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162512,A000000,01300,0000,1300SOCIAL SERVICE 162512,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162512,A000000,01600,0000,1600SKILLED NURSING FACILITY 162512,A000000,01800,0000,1800NURSING FACILITY 162512,A000000,01810,0000,1810ICF/MR 162512,A000000,01900,0000,1900OTHER LONG TERM CARE 162512,A000000,02100,0000,2100RADIOLOGY 162512,A000000,02200,0000,2200LABORATORY 162512,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162512,A000000,02500,0000,2500PHYSICAL THERAPY 162512,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162512,A000000,02700,0000,2700SPEECH PATHOLOGY 162512,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162512,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162512,A000000,03200,0000,3200SUPPORT SURFACES 162512,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 162512,A000000,03550,0000,3550FQHC 162512,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 162512,A000000,04801,0000,4801AMBULANCE 162512,A000000,04802,0000,4802AMBULANCE 162512,A000000,04803,0000,4803AMBULANCE 162512,A000000,05000,0000,5000CORF 162512,A000000,05010,0000,5010CMHC 162512,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162512,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162512,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162512,A000000,05300,0000,5300INTEREST EXPENSE 162512,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 162512,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162512,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162512,A000000,06201,0000,6201APARTMENTS 162512,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 162512,A81000A,00100,0100,Y 162512,A81000B,00100,0300,BUILDING RENT 162512,A81000B,00200,0300,HOME OFFICE 162512,A81000B,00300,0300,HOME OFFICE 162512,A81000B,00400,0300,HOME OFFICE 162512,A81000B,00500,0300,COMMUNITY RELATIONS 162512,A81000B,00600,0300,MISCELLANEOUS EXPENSE 162512,A81000B,00700,0300,THERAPY SERVICES 162512,A81000B,00800,0300,THERAPY SERVICES 162512,A81000B,00900,0300,THERAPY SERVICES 162512,A81000B,01000,0300,MEDICAL SUPPLIES 162512,A81000B,01100,0300,DRUGS CHARGED 162512,A81000B,01200,0300,CERTIFIED 162512,A81000B,01300,0300,NON-CERTIFIED 162512,A81000C,00100,0100,B 162512,A81000C,00100,0200,RELIANT CARE MA 162512,A81000C,00100,0400,MANAGEMENT 162512,A81000C,00100,0600,MANAGEMENT 162512,A81000C,00200,0100,B 162512,A81000C,00200,0200,RC MEDICAL SERV 162512,A81000C,00200,0400,MEDICAL SUPPLIE 162512,A81000C,00200,0600,MEDICAL SUPPLIE 162512,A81000C,00300,0100,B 162512,A81000C,00300,0200,PHARMCO MISSOUR 162512,A81000C,00300,0400,PHARMACY 162512,A81000C,00300,0600,PHARMACY 162512,B100000,00000,0100,0100SQUARE FEET 162512,B100000,00000,0200,0200SQUARE FEET 162512,B100000,00000,0300,0300GROSS SALARIES 162512,B100000,00000,0400,0400ACCUM COST 162512,B100000,00000,0500,0500SQUARE FEET 162512,B100000,00000,0600,0600PATIENT DAYS 162512,B100000,00000,0700,0700SQUARE FEET 162512,B100000,00000,0800,0800MEALS SERVED 162512,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 162512,B100000,00000,1000,1000COSTED REQUISITIO 162512,B100000,00000,1100,1100COSTED REQUISITIO 162512,B100000,00000,1200,1200PATIENT DAYS 162512,B100000,00000,1300,1300PATIENT DAYS 162512,B100000,00000,1400,1400ASSIGNED TIME 162512,E10A180,00501,0100,08/03/01 162512,S000000,00100,0200,06/06/03 162512,S200000,00100,0100,2800 HYW TT 162512,S200000,00200,0100,SEDALIA 162512,S200000,00200,0200,MO 162512,S200000,00200,0300,65301 162512,S200000,00300,0100,PETTIS 162512,S200000,00300,0200,0026 162512,S200000,00300,0300,R 162512,S200000,00400,0100,FOUR SEASONS LIVING CENTER 162512,S200000,00400,0200,265149 162512,S200000,00400,0300,09/18/92 162512,S200000,00400,0500,P 162512,S200000,01500,0100,N 162512,S200000,01600,0100,N 162512,S200000,01700,0100,N 162512,S200000,01800,0100,N 162512,S200000,02200,0100,N 162512,S200000,02800,0100,N 162512,S200000,02900,0100,N 162512,S200000,03000,0100,N 162512,S200000,03100,0100,N 162512,S200000,03200,0100,N 162512,S200000,03300,0100,N 162512,S200000,03300,0200,N 162512,S200000,04100,0100,N 162512,S200000,04200,0100,N 162512,S200000,04300,0100,N 162512,S200000,04600,0100,N 162512,S200000,04700,0100,N 162512,S200000,04900,0100,N 162512,S200000,05200,0100,N 162523,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162523,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162523,A000000,00300,0000,0300EMPLOYEE BENEFITS 162523,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL-SHARED 162523,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL-NONSHA 162523,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162523,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162523,A000000,00700,0000,0700HOUSEKEEPING 162523,A000000,00800,0000,0800DIETARY 162523,A000000,00900,0000,0900NURSING ADMINISTRATION 162523,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162523,A000000,01100,0000,1100PHARMACY 162523,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162523,A000000,01300,0000,1300SOCIAL SERVICE 162523,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162523,A000000,01500,0000,1350OTHER GENERAL SERVICES 162523,A000000,01600,0000,1600SKILLED NURSING FACILITY 162523,A000000,01800,0000,1800NURSING FACILITY 162523,A000000,01810,0000,1810ICF/MR 162523,A000000,02500,0000,2500PHYSICAL THERAPY 162523,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162523,A000000,02700,0000,2700SPEECH PATHOLOGY 162523,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162523,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162523,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162523,A000000,03550,0000,3550FQHC 162523,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162523,A000000,04801,0000,4801AMBULANCE 162523,A000000,04802,0000,4802AMBULANCE 162523,A000000,04803,0000,4803AMBULANCE 162523,A000000,05000,0000,5000CORF 162523,A000000,05010,0000,5010CMHC 162523,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162523,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162523,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162523,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162523,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162523,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162523,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162523,A81000A,00100,0100,N 162523,B100000,00000,0100,0100SQUARE FEET 162523,B100000,00000,0200,0200SQUARE FEET 162523,B100000,00000,0300,0300GROSS SALARIES 162523,B100000,00000,0401,0401ACCUM COST 162523,B100000,00000,0402,0402ACCUM. COST 162523,B100000,00000,0500,0500SQUARE FEET 162523,B100000,00000,0600,0600PATIENT DAYS 162523,B100000,00000,0700,0700SQUARE FEET 162523,B100000,00000,0800,0800MEALS SERVED 162523,B100000,00000,0900,0900DIRECT NRSING HRS 162523,B100000,00000,1000,1000PATIENT DAYS 162523,B100000,00000,1100,1100PATIENT DAYS 162523,B100000,00000,1200,1200GROSS CHARGES 162523,B100000,00000,1300,1300PATIENT DAYS 162523,B100000,00000,1400,1400ASSIGNED TIME 162523,B100000,00000,1500,1350ACCUM. COST 162523,E10A180,00501,0100,07/12/00 162523,S000000,00100,0200,06/01/00 162523,S200000,00100,0100,4100 NORTH BOULEVARD 162523,S200000,00200,0100,BATON ROUGE 162523,S200000,00200,0200,LA 162523,S200000,00200,0300,70806 162523,S200000,00300,0100,EAST BATON ROUGE PARRISH 162523,S200000,00300,0200,0760 162523,S200000,00400,0100,HILLHAVEN EAST CERTIFIED UNIT 162523,S200000,00400,0200,195368 162523,S200000,00400,0300,05/01/96 162523,S200000,00400,0500,P 162523,S200000,01500,0100,N 162523,S200000,01600,0100,Y 162523,S200000,01700,0100,N 162523,S200000,01800,0100,N 162523,S200000,02200,0100,N 162523,S200000,02800,0100,N 162523,S200000,02900,0100,N 162523,S200000,03000,0100,N 162523,S200000,03100,0100,N 162523,S200000,03200,0100,N 162523,S200000,03300,0100,N 162523,S200000,03300,0200,N 162523,S200000,04100,0100,N 162523,S200000,04200,0100,N 162523,S200000,04300,0100,N 162523,S200000,04600,0100,N 162523,S200000,04700,0100,N 162523,S200000,04900,0100,N 162523,S200000,05000,0100,N 162523,S200000,05200,0100,N 162533,S000000,00100,0200,05/02/00 162542,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162542,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162542,A000000,00300,0000,0300EMPLOYEE BENEFITS 162542,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162542,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162542,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162542,A000000,00700,0000,0700HOUSEKEEPING 162542,A000000,00800,0000,0800DIETARY 162542,A000000,00900,0000,0900NURSING ADMINISTRATION 162542,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162542,A000000,01100,0000,1100PHARMACY 162542,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162542,A000000,01300,0000,1300SOCIAL SERVICE 162542,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162542,A000000,01500,0000,1350PATIENT ACTIVITIES 162542,A000000,01600,0000,1600SKILLED NURSING FACILITY 162542,A000000,01800,0000,1800NURSING FACILITY 162542,A000000,01810,0000,1810ICF/MR 162542,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162542,A000000,02500,0000,2500PHYSICAL THERAPY 162542,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162542,A000000,02700,0000,2700SPEECH PATHOLOGY 162542,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162542,A000000,02901,0000,2901CLINITRON BEDS 162542,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162542,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162542,A000000,03550,0000,3550FQHC 162542,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162542,A000000,04801,0000,4801AMBULANCE 162542,A000000,04802,0000,4802AMBULANCE 162542,A000000,04803,0000,4803AMBULANCE 162542,A000000,05000,0000,5000CORF 162542,A000000,05010,0000,5010CMHC 162542,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162542,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162542,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162542,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162542,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162542,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162542,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162542,A81000A,00100,0100,Y 162542,A81000B,00100,0300,HOME OFFICE COSTS 162542,A81000C,00100,0100,F 162542,A81000C,00100,0400,CAMELOT HEALTHCARE 162542,A81000C,00100,0600,MANAGEMENT COMPANY 162542,B100000,00000,0100,0100SQUARE FEET 162542,B100000,00000,0200,0200SQUARE FEET 162542,B100000,00000,0300,0300GROSS SALARIES 162542,B100000,00000,0400,0400ACCUM COST 162542,B100000,00000,0500,0500SQUARE FEET 162542,B100000,00000,0600,0600PATIENT DAYS 162542,B100000,00000,0700,0700SQUARE FEET 162542,B100000,00000,0800,0800MEALS SERVED 162542,B100000,00000,0900,0900PATIENT DAYS 162542,B100000,00000,1000,1000PATIENT DAYS 162542,B100000,00000,1100,1100PATIENT DAYS 162542,B100000,00000,1200,1200PATIENT DAYS 162542,B100000,00000,1300,1300PATIENT DAYS 162542,B100000,00000,1400,1400PATIENT DAYS 162542,B100000,00000,1500,1350PATIENT DAYS 162542,S000000,00100,0200,12/16/02 162542,S200000,00100,0100,1526 N AVENUE 1 162542,S200000,00200,0100,CROWLEY 162542,S200000,00200,0200,LA 162542,S200000,00200,0300,71301 162542,S200000,00300,0100,ACADIA 162542,S200000,00300,0200,3880 162542,S200000,00300,0300,U 162542,S200000,00400,0100,HERITAGE MANOR NURSING HOME 162542,S200000,00400,0200,195419 162542,S200000,00400,0300,07/01/97 162542,S200000,00400,0500,P 162542,S200000,01500,0100,N 162542,S200000,01600,0100,Y 162542,S200000,01700,0100,N 162542,S200000,01800,0100,N 162542,S200000,02200,0100,N 162542,S200000,02800,0100,N 162542,S200000,02900,0100,N 162542,S200000,03000,0100,N 162542,S200000,03100,0100,N 162542,S200000,03200,0100,N 162542,S200000,03300,0100,N 162542,S200000,03300,0200,N 162542,S200000,04100,0100,N 162542,S200000,04200,0100,N 162542,S200000,04300,0100,N 162542,S200000,04600,0100,N 162542,S200000,04700,0100,N 162542,S200000,04700,0200,N 162542,S200000,04900,0100,N 162542,S200000,05000,0100,N 162542,S200000,05200,0100,N 162553,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162553,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162553,A000000,00300,0000,0300EMPLOYEE BENEFITS 162553,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162553,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162553,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162553,A000000,00700,0000,0700HOUSEKEEPING 162553,A000000,00800,0000,0800DIETARY 162553,A000000,00900,0000,0900NURSING ADMINISTRATION 162553,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162553,A000000,01100,0000,1100PHARMACY 162553,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162553,A000000,01300,0000,1300SOCIAL SERVICE 162553,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162553,A000000,01500,0000,1350OTHER GENERAL SERVICES 162553,A000000,01600,0000,1600SKILLED NURSING FACILITY 162553,A000000,01800,0000,1800NURSING FACILITY 162553,A000000,01810,0000,1810ICF/MR 162553,A000000,02500,0000,2500PHYSICAL THERAPY 162553,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162553,A000000,02700,0000,2700SPEECH PATHOLOGY 162553,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162553,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162553,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162553,A000000,03550,0000,3550FQHC 162553,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162553,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 162553,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 162553,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 162553,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 162553,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 162553,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 162553,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 162553,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 162553,A000000,04801,0000,4801AMBULANCE 162553,A000000,04802,0000,4802AMBULANCE 162553,A000000,04803,0000,4803AMBULANCE 162553,A000000,05000,0000,5000CORF 162553,A000000,05010,0000,5010CMHC 162553,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162553,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162553,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162553,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162553,A000000,05300,0000,5300INTEREST EXPENSE 162553,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162553,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162553,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162553,A81000A,00100,0100,Y 162553,A81000B,00100,0300,LAUNDRY & LINEN SERVICES 162553,A81000C,00100,0100,B 162553,B100000,00000,0100,0100SQUARE FEET 162553,B100000,00000,0200,0200SQUARE FEET 162553,B100000,00000,0300,0300GROSS SALARIES 162553,B100000,00000,0400,0400ACCUM COST 162553,B100000,00000,0500,0500SQUARE FEET 162553,B100000,00000,0600,0600POUNDS OF LAUNDRY 162553,B100000,00000,0700,0700SQUARE FEET 162553,B100000,00000,0800,0800MEALS SERVED 162553,B100000,00000,0900,0900HOURS OF SERVICE 162553,B100000,00000,1000,1000COSTED REQUIS. 162553,B100000,00000,1100,1100COSTED REQUIS. 162553,B100000,00000,1200,1200TIME SPENT 162553,B100000,00000,1300,1300TIME SPENT 162553,B100000,00000,1400,1400ASSIGNED TIME 162553,B100000,00000,1500,1350NO STATISTICS 162553,H510100,00000,0000,7040 162553,H510100,02400,0000,7040 162553,H710000,00501,0100,07/20/00 162553,H710000,00501,0300,07/20/00 162553,S000000,00100,0200,05/30/00 162553,S200000,00100,0100,723 SOUTH LACLEDE STATION ROAD 162553,S200000,00200,0100,WEBSTER GROVES 162553,S200000,00200,0200,MO 162553,S200000,00300,0100,ST. LOUIS 162553,S200000,00300,0200,7040 162553,S200000,00300,0300,U 162553,S200000,00400,0100,LUTHERAN CONVALESCENT HOME 162553,S200000,00400,0200,265600 162553,S200000,00400,0300,01/02/95 162553,S200000,00400,0500,P 162553,S200000,00800,0200,267543 162553,S200000,00800,0300,05/01/97 162553,S200000,00800,0500,O 162553,S200000,01500,0100,N 162553,S200000,01600,0100,Y 162553,S200000,01700,0100,N 162553,S200000,01800,0100,N 162553,S200000,02200,0100,N 162553,S200000,02800,0100,N 162553,S200000,02900,0100,N 162553,S200000,03000,0100,N 162553,S200000,03100,0100,N 162553,S200000,03200,0100,N 162553,S200000,03300,0100,N 162553,S200000,03300,0200,N 162553,S200000,03700,0100,N 162553,S200000,03700,0200,N 162553,S200000,04100,0100,N 162553,S200000,04200,0100,N 162553,S200000,04300,0100,N 162553,S200000,04600,0100,N 162553,S200000,04700,0100,N 162553,S200000,04900,0100,N 162553,S200000,05200,0100,N 162553,S410002,01300,0000,NURSING ADMINISTRATION 162553,S410002,01700,0100,7040 162576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162576,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162576,A000000,00300,0000,0300EMPLOYEE BENEFITS 162576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162576,A000000,00700,0000,0700HOUSEKEEPING 162576,A000000,00800,0000,0800DIETARY 162576,A000000,00900,0000,0900NURSING ADMINISTRATION 162576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162576,A000000,01100,0000,1100PHARMACY 162576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162576,A000000,01300,0000,1300SOCIAL SERVICE 162576,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162576,A000000,01500,0000,1350OTHER GENERAL SERVICES 162576,A000000,01600,0000,1600SKILLED NURSING FACILITY 162576,A000000,01800,0000,1800NURSING FACILITY 162576,A000000,01810,0000,1810ICF/MR 162576,A000000,02100,0000,2100RADIOLOGY 162576,A000000,02200,0000,2200LABORATORY 162576,A000000,02500,0000,2500PHYSICAL THERAPY 162576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162576,A000000,02700,0000,2700SPEECH PATHOLOGY 162576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162576,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162576,A000000,03550,0000,3550FQHC 162576,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 162576,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 162576,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 162576,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 162576,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 162576,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 162576,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 162576,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 162576,A000000,04801,0000,4801AMBULANCE 162576,A000000,04802,0000,4802AMBULANCE 162576,A000000,04803,0000,4803AMBULANCE 162576,A000000,05000,0000,5000CORF 162576,A000000,05010,0000,5010CMHC 162576,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162576,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162576,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162576,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162576,A000000,05300,0000,5300INTEREST EXPENSE 162576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162576,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162576,A81000A,00100,0100,N 162576,B100000,00000,0100,0100SQUARE FEET 162576,B100000,00000,0200,0200SQUARE FEET 162576,B100000,00000,0300,0300GROSS SALARIES 162576,B100000,00000,0400,0400ACCUM COST 162576,B100000,00000,0500,0500SQUARE FEET 162576,B100000,00000,0600,0600POUNDS OF LAUNDRY 162576,B100000,00000,0700,0700SQUARE FEET 162576,B100000,00000,0800,0800MEALS SERVED 162576,B100000,00000,0900,0900DIRECT NRSING HRS 162576,B100000,00000,1000,1000COSTED REQUIS. 162576,B100000,00000,1100,1100COSTED REQUIS 162576,B100000,00000,1200,1200TIME SPENT 162576,B100000,00000,1300,1300TIME SPENT 162576,B100000,00000,1400,1400ASSIGNED TIME 162576,B100000,00000,1500,1350COSTED REQUIS. 162576,E10A180,00550,0300,06/12/00 162576,H510100,00000,0000, 26 162576,H510100,02400,0000, 26 162576,H710000,00501,0100,06/12/00 162576,S000000,00100,0200,05/10/00 162576,S200000,00100,0100,2825 BLOOMFIELD 162576,S200000,00200,0100,CAPE GIRARDEAU 162576,S200000,00200,0200,MO 162576,S200000,00200,0300,63701 162576,S200000,00300,0100,CAPE GIRARDEAU 162576,S200000,00300,0200,9926 162576,S200000,00300,0300,R 162576,S200000,00400,0100,THE LUTHERAN HOME 162576,S200000,00400,0200,265359 162576,S200000,00400,0300,04/11/89 162576,S200000,00400,0500,P 162576,S200000,00800,0200,267514 162576,S200000,00800,0300,08/07/96 162576,S200000,00800,0500,O 162576,S200000,01500,0100,N 162576,S200000,01600,0100,Y 162576,S200000,01700,0100,N 162576,S200000,01800,0100,N 162576,S200000,02200,0100,N 162576,S200000,02800,0100,N 162576,S200000,02900,0100,N 162576,S200000,03000,0100,N 162576,S200000,03100,0100,N 162576,S200000,03200,0100,N 162576,S200000,03300,0100,N 162576,S200000,03300,0200,N 162576,S200000,03700,0100,N 162576,S200000,03700,0200,N 162576,S200000,04100,0100,N 162576,S200000,04200,0100,N 162576,S200000,04300,0100,N 162576,S200000,04600,0100,N 162576,S200000,04700,0100,N 162576,S200000,04900,0100,N 162576,S200000,05200,0100,N 162576,S410002,01700,0100, 26 162594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162594,A000000,00300,0000,0300EMPLOYEE BENEFITS 162594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162594,A000000,00700,0000,0700HOUSEKEEPING 162594,A000000,00800,0000,0800DIETARY 162594,A000000,00900,0000,0900NURSING ADMINISTRATION 162594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162594,A000000,01100,0000,1100PHARMACY 162594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162594,A000000,01300,0000,1300SOCIAL SERVICE 162594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162594,A000000,01600,0000,1600SKILLED NURSING FACILITY 162594,A000000,01800,0000,1800NURSING FACILITY 162594,A000000,01810,0000,1810ICF/MR 162594,A000000,02100,0000,2100RADIOLOGY 162594,A000000,02200,0000,2200LABORATORY 162594,A000000,02500,0000,2500PHYSICAL THERAPY 162594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162594,A000000,02700,0000,2700SPEECH PATHOLOGY 162594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162594,A000000,03550,0000,3550FQHC 162594,A000000,04801,0000,4801AMBULANCE 162594,A000000,04802,0000,4802AMBULANCE 162594,A000000,04803,0000,4803AMBULANCE 162594,A000000,05000,0000,5000CORF 162594,A000000,05010,0000,5010CMHC 162594,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162594,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162594,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162594,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162594,A000000,06300,0000,6150RCF 162594,A81000A,00100,0100,Y 162594,A81000B,00100,0300,HOME OFFICE A&G 162594,A81000B,00200,0300,HOME OFFICE CRC BLDG 162594,A81000B,00300,0300,HOME OFFICE CRC MME 162594,A81000B,00400,0300,EE BENEFITS - HEALTH 162594,A81000C,00100,0100,B 162594,A81000C,00100,0200,SOUTH HAMPTON PLACE 162594,A81000C,00100,0400,CENTRAL AR NURSING CTRS 162594,A81000C,00100,0600,HOME OFFICE 162594,B100000,00000,0100,0100SQUARE FEET 162594,B100000,00000,0200,0200SQUARE FEET 162594,B100000,00000,0300,0300GROSS SALARIES 162594,B100000,00000,0400,0400ACCUM COST 162594,B100000,00000,0500,0500SQUARE FEET 162594,B100000,00000,0600,0600PATIENT DAYS 162594,B100000,00000,0700,0700SQUARE FEET 162594,B100000,00000,0800,0800MEALS SERVED 162594,B100000,00000,0900,0900HOURS SUPERVISED 162594,B100000,00000,1000,1000COSTED REQUIS. 162594,B100000,00000,1100,1100COSTED REQUIS. 162594,B100000,00000,1200,1200GROSS REVENUE 162594,B100000,00000,1300,1300PATIENT DAYS 162594,B100000,00000,1400,1400ASSIGNED TIME 162594,E10A180,00501,0100,07/05/00 162594,E10A180,00550,0300,07/05/00 162594,S000000,00100,0200,05/26/00 162594,S200000,00100,0100,4700 BRANDON WOODS 162594,S200000,00100,0300,65203 162594,S200000,00200,0100,COLUMBIA 162594,S200000,00200,0200,MO 162594,S200000,00200,0300,65203 162594,S200000,00300,0100,BOONE 162594,S200000,00300,0200,1740 162594,S200000,00300,0300,U 162594,S200000,00400,0100,SOUTH HAMPTON PLACE 162594,S200000,00400,0200,265618 162594,S200000,00400,0300,07/14/95 162594,S200000,00400,0500,P 162594,S200000,01500,0100,N 162594,S200000,01600,0100,Y 162594,S200000,01700,0100,N 162594,S200000,01800,0100,N 162594,S200000,02200,0100,N 162594,S200000,02800,0100,N 162594,S200000,02900,0100,N 162594,S200000,03000,0100,N 162594,S200000,03100,0100,N 162594,S200000,03200,0100,N 162594,S200000,03300,0100,N 162594,S200000,03300,0200,N 162594,S200000,04100,0100,N 162594,S200000,04200,0100,N 162594,S200000,04300,0100,N 162594,S200000,04600,0100,N 162594,S200000,04700,0100,N 162594,S200000,04900,0100,N 162594,S200000,05200,0100,N 162639,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162639,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162639,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162639,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162639,A000000,00300,0000,0300EMPLOYEE BENEFITS 162639,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162639,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162639,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162639,A000000,00700,0000,0700HOUSEKEEPING 162639,A000000,00800,0000,0800DIETARY 162639,A000000,00801,0000,0801CAFETERIA 162639,A000000,00900,0000,0900NURSING ADMINISTRATION 162639,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162639,A000000,01100,0000,1100PHARMACY 162639,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162639,A000000,01300,0000,1300SOCIAL SERVICE 162639,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162639,A000000,01500,0000,1350ACTIVITIES 162639,A000000,01600,0000,1600SKILLED NURSING FACILITY 162639,A000000,01800,0000,1800NURSING FACILITY 162639,A000000,01810,0000,1810ICF/MR 162639,A000000,02100,0000,2100RADIOLOGY 162639,A000000,02200,0000,2200LABORATORY 162639,A000000,02300,0000,2300INTRAVENOUS THERAPY 162639,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162639,A000000,02500,0000,2500PHYSICAL THERAPY 162639,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162639,A000000,02700,0000,2700SPEECH PATHOLOGY 162639,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162639,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162639,A000000,03300,0000,3050PEN PART B 162639,A000000,03301,0000,3051FEE SCREENING 162639,A000000,03302,0000,3052OTHER ANCILLARY III 162639,A000000,03550,0000,3550FQHC 162639,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162639,A000000,04801,0000,4801AMBULANCE 162639,A000000,04802,0000,4802AMBULANCE 162639,A000000,04803,0000,4803AMBULANCE 162639,A000000,05000,0000,5000CORF I 162639,A000000,05010,0000,5010CMHC I 162639,A000000,05020,0000,5020OPT I 162639,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162639,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162639,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162639,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162639,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162639,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162639,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162639,A81000A,00100,0100,Y 162639,A81000B,00100,0300,HOME OFFICE ALLOC 162639,A81000B,00200,0300,HOME OFFICE CAP REL 162639,A81000B,00300,0300,OT 162639,A81000B,00400,0300,ST 162639,A81000B,00500,0300,PT 162639,A81000B,00600,0300,RT/OXYGEN 162639,A81000B,00700,0300,MEDICAL SUPPLIES 162639,A81000B,00800,0300,DRUGS 162639,A81000B,00900,0300,CASE MGMT 162639,A81000C,00100,0100,B 162639,A81000C,00100,0200,GENESIS ELDERC 162639,A81000C,00100,0600,MGMT CO 162639,A81000C,00200,0100,B 162639,A81000C,00200,0200,NEIGHBORCARE 162639,A81000C,00200,0600,PHARMACY 162639,A81000C,00300,0100,B 162639,A81000C,00300,0200,GENESIS SERV 162639,A81000C,00300,0600,THERAPY 162639,A81000C,00400,0100,B 162639,A81000C,00400,0200,RESPIRATORY HEA 162639,A81000C,00400,0600,RT 162639,A81000C,00500,0100,B 162639,A81000C,00500,0200,RESPIR. HEALTH 162639,A81000C,00500,0600,RT 162639,B100000,00000,0100,0100(SQUARE FEET) 162639,B100000,00000,0101,0101(SQUARE FEET) 162639,B100000,00000,0200,0200(SQUARE FEET) 162639,B100000,00000,0201,0201(SQUARE FEET) 162639,B100000,00000,0300,0300(GROSS SALARIES) 162639,B100000,00000,0400,0400ACCUM COST 162639,B100000,00000,0500,0500(SQUARE FEET) 162639,B100000,00000,0600,0600(PATIENT DAYS) 162639,B100000,00000,0700,0700(SQUARE FEET) 162639,B100000,00000,0800,0800(MEALS SERVED) 162639,B100000,00000,0801,0801(MEALS SERVED) 162639,B100000,00000,0900,0900(PATIENT DAYS) 162639,B100000,00000,1000,1000(COSTED REQUIS.) 162639,B100000,00000,1100,1100(COSTED REQUIS.) 162639,B100000,00000,1200,1200(GROSS CHARGES) 162639,B100000,00000,1300,1300(PATIENT DAYS) 162639,B100000,00000,1400,1400(ASSIGNED TIME) 162639,B100000,00000,1500,1350(PATIENT DAYS) 162639,E10A180,00501,0100,03/06/00 162639,E10A180,00501,0300,03/06/00 162639,E10A180,00550,0100,06/18/01 162639,E10A180,00550,0300,06/18/01 162639,S000000,00100,0200,02/29/00 162639,S200000,00100,0100,610 DUTCHMANS LANE 162639,S200000,00200,0100,EASTON 162639,S200000,00200,0200,MD 162639,S200000,00200,0300,21601 162639,S200000,00300,0200,0021 162639,S200000,00300,0300,R 162639,S200000,00400,0100,PINES 162639,S200000,00400,0200,215010 162639,S200000,00400,0300,01/01/88 162639,S200000,00400,0500,P 162639,S200000,01500,0100,N 162639,S200000,01600,0100,Y 162639,S200000,01700,0100,N 162639,S200000,01800,0100,N 162639,S200000,02200,0100,Y 162639,S200000,02800,0100,N 162639,S200000,02900,0100,N 162639,S200000,03000,0100,N 162639,S200000,03100,0100,N 162639,S200000,03200,0100,N 162639,S200000,03300,0100,N 162639,S200000,03300,0200,N 162639,S200000,04100,0100,N 162639,S200000,04200,0100,N 162639,S200000,04300,0100,N 162639,S200000,04700,0100,N 162640,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162640,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162640,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162640,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162640,A000000,00300,0000,0300EMPLOYEE BENEFITS 162640,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162640,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162640,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162640,A000000,00700,0000,0700HOUSEKEEPING 162640,A000000,00800,0000,0800DIETARY 162640,A000000,00801,0000,0801CAFETERIA 162640,A000000,00900,0000,0900NURSING ADMINISTRATION 162640,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162640,A000000,01100,0000,1100PHARMACY 162640,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162640,A000000,01300,0000,1300SOCIAL SERVICE 162640,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162640,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 162640,A000000,01600,0000,1600SKILLED NURSING FACILITY 162640,A000000,01800,0000,1800NURSING FACILITY 162640,A000000,01810,0000,1810ICF/MR 162640,A000000,02100,0000,2100RADIOLOGY 162640,A000000,02200,0000,2200LABORATORY 162640,A000000,02300,0000,2300INTRAVENOUS THERAPY 162640,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162640,A000000,02500,0000,2500PHYSICAL THERAPY 162640,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162640,A000000,02700,0000,2700SPEECH PATHOLOGY 162640,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162640,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162640,A000000,03200,0000,3200SUPPORT SURFACES 162640,A000000,03300,0000,3050PEN PART B 162640,A000000,03301,0000,3051FEE SCREENING 162640,A000000,03302,0000,3052OTHER ANCILLARY III 162640,A000000,03550,0000,3550FQHC 162640,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162640,A000000,04801,0000,4801AMBULANCE 162640,A000000,04802,0000,4802AMBULANCE 162640,A000000,04803,0000,4803AMBULANCE 162640,A000000,05000,0000,5000CORF I 162640,A000000,05010,0000,5010CMHC I 162640,A000000,05020,0000,5020OPT I 162640,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162640,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162640,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162640,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 162640,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162640,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162640,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162640,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162640,A81000A,00100,0100,Y 162640,A81000B,00100,0300,HOME OFFICE ALLOCATION 162640,A81000B,00200,0300,HOME OFFICE ALLOCATION 162640,A81000B,00300,0300,PHYSICAL THERAPY 162640,A81000B,00400,0300,OCCUPATIONAL THERAPY 162640,A81000B,00500,0300,SPEECH THERAPY 162640,A81000B,00600,0300,CENTRAL SUPPLY 162640,A81000B,00700,0300,MEDICAL SUPPLIES 162640,A81000B,00800,0300,DRUGS CHARGED 162640,A81000B,00900,0300,CLINITRON 162640,A81000C,00100,0100,B 162640,A81000C,00100,0200,GENESIS HEALTHS 162640,A81000C,00100,0600,MGMT CO 162640,A81000C,00200,0100,B 162640,A81000C,00200,0200,NEIGHBORCARE 162640,A81000C,00200,0600,PHARMACY 162640,A81000C,00300,0100,B 162640,A81000C,00300,0200,GENESIS SVCS 162640,A81000C,00300,0600,VARIOUS 162640,B100000,00000,0100,0100(SQUARE FEET) 162640,B100000,00000,0101,0101(SQUARE FEET) 162640,B100000,00000,0200,0200(SQUARE FEET) 162640,B100000,00000,0201,0201(SQUARE FEET) 162640,B100000,00000,0300,0300(GROSS SALARIES) 162640,B100000,00000,0400,0400ACCUM COST 162640,B100000,00000,0500,0500(SQUARE FEET) 162640,B100000,00000,0600,0600(PATIENT DAYS) 162640,B100000,00000,0700,0700(SQUARE FEET) 162640,B100000,00000,0800,0800(MEALS SERVED) 162640,B100000,00000,0801,0801(MEALS SERVED) 162640,B100000,00000,0900,0900(PATIENT DAYS) 162640,B100000,00000,1000,1000(COSTED REQUIS.) 162640,B100000,00000,1100,1100(PATIENT DAYS) 162640,B100000,00000,1200,1200(GROSS CHARGES) 162640,B100000,00000,1300,1300(PATIENT DAYS) 162640,B100000,00000,1400,1400(ASSIGNED TIME) 162640,B100000,00000,1500,1350(PATIENT DAYS) 162640,E10A180,00501,0100,03/01/00 162640,E10A180,00501,0300,03/01/00 162640,E10A180,00502,0100,05/18/01 162640,E10A180,00550,0300,05/18/01 162640,S000000,00100,0200,03/01/00 162640,S200000,00100,0100,7201 GREENSBORO DR 162640,S200000,00200,0200,FL 162640,S200000,00200,0300,32904 162640,S200000,00300,0100,WEST MELBOURNE 162640,S200000,00300,0200,4900 162640,S200000,00300,0300,U 162640,S200000,00400,0100,INDIAN RIVER 162640,S200000,00400,0200,105673 162640,S200000,00400,0300,12/01/89 162640,S200000,00400,0500,P 162640,S200000,01500,0100,N 162640,S200000,01600,0100,Y 162640,S200000,01700,0100,N 162640,S200000,01800,0100,N 162640,S200000,02200,0100,Y 162640,S200000,02800,0100,N 162640,S200000,02900,0100,N 162640,S200000,03000,0100,N 162640,S200000,03100,0100,N 162640,S200000,03200,0100,N 162640,S200000,03300,0100,N 162640,S200000,03300,0200,N 162640,S200000,04100,0100,N 162640,S200000,04200,0100,N 162640,S200000,04300,0100,N 162640,S200000,04600,0100,Y 162640,S200000,04700,0100,N 162640,S200000,04900,0100,N 162640,S200000,05200,0100,N 162677,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162677,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162677,A000000,00300,0000,0300EMPLOYEE BENEFITS 162677,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162677,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162677,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162677,A000000,00700,0000,0700HOUSEKEEPING 162677,A000000,00800,0000,0800DIETARY 162677,A000000,00900,0000,0900NURSING ADMINISTRATION 162677,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162677,A000000,01100,0000,1100PHARMACY 162677,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162677,A000000,01300,0000,1300SOCIAL SERVICE 162677,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162677,A000000,01500,0000,1350OTHER GENERAL SERVICES 162677,A000000,01600,0000,1600SKILLED NURSING FACILITY 162677,A000000,01800,0000,1800NURSING FACILITY 162677,A000000,01810,0000,1810ICF/MR 162677,A000000,02100,0000,2100RADIOLOGY 162677,A000000,02200,0000,2200LABORATORY 162677,A000000,02300,0000,2300INTRAVENOUS THERAPY 162677,A000000,02500,0000,2500PHYSICAL THERAPY 162677,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162677,A000000,02700,0000,2700SPEECH PATHOLOGY 162677,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162677,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162677,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162677,A000000,03550,0000,3550FQHC 162677,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162677,A000000,04801,0000,4801AMBULANCE 162677,A000000,04802,0000,4802AMBULANCE 162677,A000000,04803,0000,4803AMBULANCE 162677,A000000,05000,0000,5000CORF 162677,A000000,05010,0000,5010CMHC 162677,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162677,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162677,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162677,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162677,A000000,05300,0000,5300INTEREST EXPENSE 162677,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 162677,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162677,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162677,A81000A,00100,0100,N 162677,B100000,00000,0100,0100SQUARE FEET 162677,B100000,00000,0200,0200DOLLAR VALUE 162677,B100000,00000,0300,0300GROSS SALARIES 162677,B100000,00000,0400,0400ACCUM COST 162677,B100000,00000,0500,0500SQUARE FEET 162677,B100000,00000,0600,0600POUNDS OF LAUNDRY 162677,B100000,00000,0700,0700HOURS OF SERVICE 162677,B100000,00000,0800,0800MEALS SERVED 162677,B100000,00000,0900,0900DIRECT NRSING HRS 162677,B100000,00000,1000,1000COSTED REQUIS. 162677,B100000,00000,1100,1100COSTED REQUIS. 162677,B100000,00000,1200,1200TIME SPENT 162677,B100000,00000,1300,1300TIME SPENT 162677,B100000,00000,1400,1400ASSIGNED TIME 162677,B100000,00000,1500,1350NO STATISTICS 162677,E10A180,00301,0100,02/28/00 162677,E10A180,00302,0100,11/30/99 162677,E10A180,00303,0100,08/10/99 162677,E10A180,00304,0100,04/04/00 162677,E10A180,00305,0100,10/18/99 162677,E10A180,00501,0100,07/19/00 162677,E10A180,00501,0300,07/19/00 162677,S000000,00100,0200,05/31/00 162677,S200000,00100,0100,16 HEYMAN LANE 162677,S200000,00200,0100,ALEXANDRIA 162677,S200000,00200,0200,LA 162677,S200000,00200,0300,71303 162677,S200000,00300,0100,RAPIDES PARISH 162677,S200000,00300,0200,0220 162677,S200000,00300,0300,U 162677,S200000,00400,0100,LEXINGTON HOUSE NURSING HOME 162677,S200000,00400,0200,195424 162677,S200000,00400,0300,09/01/98 162677,S200000,00400,0500,P 162677,S200000,00600,0200,195424 162677,S200000,00600,0300,09/01/98 162677,S200000,01500,0100,N 162677,S200000,01600,0100,Y 162677,S200000,01700,0100,N 162677,S200000,01800,0100,N 162677,S200000,02200,0100,N 162677,S200000,02800,0100,N 162677,S200000,02900,0100,N 162677,S200000,03000,0100,N 162677,S200000,03100,0100,N 162677,S200000,03200,0100,N 162677,S200000,03300,0100,N 162677,S200000,03300,0200,N 162677,S200000,03500,0300,N 162677,S200000,04100,0100,N 162677,S200000,04200,0100,N 162677,S200000,04300,0100,N 162677,S200000,04600,0100,N 162677,S200000,04700,0100,N 162677,S200000,04900,0100,N 162677,S200000,05200,0100,N 162826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 162826,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 162826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 162826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162826,A000000,00700,0000,0700HOUSEKEEPING 162826,A000000,00800,0000,0800DIETARY 162826,A000000,00900,0000,0900NURSING ADMINISTRATION 162826,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162826,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162826,A000000,01300,0000,1300SOCIAL SERVICE 162826,A000000,01500,0000,1350ACTIVITIES 162826,A000000,01600,0000,1600SKILLED NURSING FACILITY 162826,A000000,01800,0000,1800NURSING FACILITY 162826,A000000,02100,0000,2100RADIOLOGY 162826,A000000,02200,0000,2200LABORATORY 162826,A000000,02300,0000,2300INTRAVENOUS THERAPY 162826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162826,A000000,02500,0000,2500PHYSICAL THERAPY 162826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162826,A000000,02700,0000,2700SPEECH PATHOLOGY 162826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 162826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162826,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 162826,A000000,03400,0000,3400CLINIC 162826,A000000,03500,0000,3500RURAL HEALTH CLINIC 162826,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 162826,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 162826,A000000,03701,0000,3701ADMINISTRATIVE & GENERAL - HHA 2 162826,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 162826,A000000,03801,0000,3801SKILLED NURSING CARE - HHA 2 162826,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 162826,A000000,03901,0000,3901PHYSICAL THERAPY - HHA 2 162826,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 162826,A000000,04001,0000,4001OCCUPATIONAL THERAPY - HHA 2 162826,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 162826,A000000,04101,0000,4101SPEECH PATHOLOGY - HHA 2 162826,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 162826,A000000,04201,0000,4201MEDICAL SOCIAL SERVICES - HHA 2 162826,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 162826,A000000,04301,0000,4301HOME HEALTH AIDE - HHA 2 162826,A000000,04400,0000,4400DME RENTED - HHA 162826,A000000,04500,0000,4500DME SOLD - HHA 162826,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 162826,A000000,04701,0000,4701OTHER HOME HEALTH SERVICES - HHA 162826,A000000,04800,0000,4800AMBULANCE 162826,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162826,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 162826,A000000,05300,0000,5300INTEREST EXPENSE 162826,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 162826,A000000,05500,0000,5500HOSPICE 162826,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 162826,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 162826,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162826,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 162826,A000000,06100,0000,6100NONPAID WORKERS 162826,A000000,06200,0000,6200PATIENTS LAUNDRY 162826,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162826,A81000A,00100,0100,Y 162826,A81000B,00100,0300,MANAGEMENT FEES 162826,A81000B,00200,0300,HOME OFFICE MGT FEES 162826,A81000B,00300,0300,MANAGEMENT FEES 162826,A81000B,00400,0300,LEASE - EQUIPMENT 162826,A81000B,00500,0300,PROFESSIONAL FEES - OTHER 162826,A81000C,00100,0100,E 162826,A81000C,00100,0200,ROCKY MOUNTAIN CARE 162826,A81000C,00100,0400,ROCKY MOUNTAIN CARE 162826,A81000C,00100,0600,MANAGEMENT COMPANY 162826,A81000C,00200,0100,E 162826,A81000C,00200,0200,RMHC HOME CARE OFFICE 162826,A81000C,00200,0400,RMHC HOME CARE OFFICE 162826,A81000C,00200,0600,MANAGEMENT COMPANY 162826,A81000C,00300,0100,E 162826,A81000C,00300,0200,ROCKY MOUNTAIN CARE 162826,A81000C,00300,0400,ROCKY MOUNTAIN CARE 162826,A81000C,00300,0600,MANAGEMENT COMPANY 162826,A81000C,00400,0100,E 162826,A81000C,00400,0200,HEALTH CARE LEASING 162826,A81000C,00400,0400,HEALTH CARE LEASING 162826,A81000C,00400,0600,EQUIPMENT LEASING COMPANY 162826,A81000C,00500,0100,E 162826,A81000C,00500,0200,MANAGE IT 162826,A81000C,00500,0400,MANAGE IT 162826,A81000C,00500,0600,PAYROLL PROCESSOR 162826,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 162826,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 162826,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 162826,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 162826,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 162826,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 162826,B100000,00000,0800,0800MEALS SERVED :DIETARY 162826,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 162826,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 162826,B100000,00000,1200,1250REVENUE :MEDICAL RECORDS & LIB 162826,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 162826,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 162826,E10A180,00501,0100,07/27/00 162826,E10A180,00501,0300,10/03/03 162826,E10A180,00550,0100,10/03/03 162826,E10A180,00550,0300,07/27/00 162826,H510100,00000,0000,7911 162826,H510200,00000,0000,6790 162826,H510300,00000,0000,3876 162826,H520100,00000,0000,2592 162826,H710000,00501,0100,07/27/00 162826,H710000,00501,0300,10/02/03 162826,H710000,00550,0100,10/02/03 162826,H710000,00550,0300,07/27/00 162826,H720000,00301,0100,03/18/98 162826,H720000,00501,0100,07/27/00 162826,H720000,00501,0300,10/03/03 162826,H720000,00550,0100,10/03/03 162826,S000000,00100,0200,05/31/00 162826,S200000,00100,0100,350 EAST 400 SOUTH 162826,S200000,00200,0100,BOUNTIFUL 162826,S200000,00200,0200,UT 162826,S200000,00200,0300,87010- 162826,S200000,00300,0100,DAVIS 162826,S200000,00300,0200,7160 162826,S200000,00300,0300,U 162826,S200000,00400,0100,ROCKY MOUNTAIN CARE - BOUNTIFUL 162826,S200000,00400,0200,465068 162826,S200000,00400,0300,07/01/78 162826,S200000,00400,0500,P 162826,S200000,00800,0200,467061 162826,S200000,00800,0300,12/22/92 162826,S200000,00800,0500,O 162826,S200000,00801,0200,537302 162826,S200000,00801,0300,03/21/97 162826,S200000,00801,0500,O 162826,S200000,01200,0200,461511 162826,S200000,01200,0300,10/15/96 162826,S200000,01500,0100,N 162826,S200000,01600,0100,Y 162826,S200000,01700,0100,N 162826,S200000,01800,0100,N 162826,S200000,02200,0100,N 162826,S200000,02800,0100,Y 162826,S200000,02900,0100,N 162826,S200000,03000,0100,N 162826,S200000,03100,0100,N 162826,S200000,03200,0100,N 162826,S200000,04100,0100,N 162826,S200000,04200,0100,N 162826,S200000,04300,0100,N 162826,S200000,04600,0100,N 162826,S200000,04700,0100,N 162826,S200000,04700,0200,N 162826,S200000,04900,0100,N 162826,S200000,05000,0100,N 162826,S200000,05100,0100,N 162826,S200000,05200,0100,N 162854,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162854,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 162854,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162854,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 162854,A000000,00300,0000,0300EMPLOYEE BENEFITS 162854,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162854,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162854,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162854,A000000,00700,0000,0700HOUSEKEEPING 162854,A000000,00800,0000,0800DIETARY 162854,A000000,00801,0000,0801CAFETERIA 162854,A000000,00900,0000,0900NURSING ADMINISTRATION 162854,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162854,A000000,01100,0000,1100PHARMACY 162854,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162854,A000000,01300,0000,1300SOCIAL SERVICE 162854,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162854,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 162854,A000000,01600,0000,1600SKILLED NURSING FACILITY 162854,A000000,01800,0000,1800NURSING FACILITY 162854,A000000,01810,0000,1810ICF/MR 162854,A000000,02100,0000,2100RADIOLOGY 162854,A000000,02200,0000,2200LABORATORY 162854,A000000,02300,0000,2300INTRAVENOUS THERAPY 162854,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 162854,A000000,02500,0000,2500PHYSICAL THERAPY 162854,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162854,A000000,02700,0000,2700SPEECH PATHOLOGY 162854,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162854,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162854,A000000,03200,0000,3200SUPPORT SURFACES 162854,A000000,03300,0000,3050OTHER ANCILLARY 162854,A000000,03301,0000,3051FEE SCREENING 162854,A000000,03302,0000,3052OTHER ANCILLARY III 162854,A000000,03550,0000,3550FQHC 162854,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 162854,A000000,04801,0000,4801AMBULANCE 162854,A000000,04802,0000,4802AMBULANCE 162854,A000000,04803,0000,4803AMBULANCE 162854,A000000,05000,0000,5000CORF I 162854,A000000,05010,0000,5010CMHC I 162854,A000000,05020,0000,5020OPT I 162854,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162854,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162854,A000000,05100,0000,4750OTHER REIMBURSABLE COST 162854,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 162854,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 162854,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162854,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 162854,A81000A,00100,0100,Y 162854,A81000B,00100,0300,HOME OFFICE ALLOCATION 162854,A81000B,00200,0300,H.O. CAP RELATED 162854,A81000B,00300,0300,PT 162854,A81000B,00400,0300,OT 162854,A81000B,00500,0300,ST 162854,A81000B,00600,0300,OXYGEN 162854,A81000B,00700,0300,CASE MGMT 162854,A81000B,00800,0300,CLINITRON 162854,A81000B,00900,0300,DRUGS 162854,A81000C,00100,0100,B 162854,A81000C,00100,0200,GENEESIS HEALTS 162854,A81000C,00100,0600,MGMT CO 162854,A81000C,00200,0100,B 162854,A81000C,00200,0200,NEIGHBORCARE 162854,A81000C,00200,0600,PHARMACY 162854,A81000C,00300,0100,B 162854,A81000C,00300,0200,GENESIS SCVS 162854,A81000C,00300,0600,VARIOUS 162854,A81000C,00400,0100,B 162854,A81000C,00400,0200,GENESIS PHYS 162854,A81000C,00400,0600,CASE MGMT 162854,A81000C,00500,0100,B 162854,A81000C,00500,0200,GENESIS REHAB 162854,A81000C,00500,0600,RT 162854,B100000,00000,0100,0100(SQUARE FEET) 162854,B100000,00000,0101,0101(SQUARE FEET) 162854,B100000,00000,0200,0200(SQUARE FEET) 162854,B100000,00000,0201,0201(SQUARE FEET) 162854,B100000,00000,0300,0300(GROSS SALARIES) 162854,B100000,00000,0400,0400ACCUM COST 162854,B100000,00000,0500,0500(SQUARE FEET) 162854,B100000,00000,0600,0600(PATIENT DAYS) 162854,B100000,00000,0700,0700(SQUARE FEET) 162854,B100000,00000,0800,0800(MEALS SERVED) 162854,B100000,00000,0801,0801(MEALS SERVED) 162854,B100000,00000,0900,0900(NURSING SALARIES) 162854,B100000,00000,1000,1000(PATIENT DAYS) 162854,B100000,00000,1100,1100(PATIENT DAYS) 162854,B100000,00000,1200,1200(GROSS CHARGES) 162854,B100000,00000,1300,1300(PATIENT DAYS) 162854,B100000,00000,1400,1400(ASSIGNED TIME) 162854,B100000,00000,1500,1350(PATIENT DAYS) 162854,E10A180,00501,0100,03/20/00 162854,E10A180,00502,0100,05/25/01 162854,E10A180,00550,0300,03/20/00 162854,E10A180,00551,0300,05/25/01 162854,S000000,00100,0200,03/01/00 162854,S200000,00100,0100,7700 YORK RD. 162854,S200000,00200,0100,BALTIMORE 162854,S200000,00200,0200,MD 162854,S200000,00200,0300,21204 162854,S200000,00300,0200,0720 162854,S200000,00300,0300,U 162854,S200000,00400,0100,MULTI-MEDICAL 162854,S200000,00400,0200,215096 162854,S200000,00400,0300,12/01/93 162854,S200000,00400,0500,P 162854,S200000,01500,0100,N 162854,S200000,01600,0100,Y 162854,S200000,01700,0100,N 162854,S200000,01800,0100,N 162854,S200000,02200,0100,Y 162854,S200000,02800,0100,N 162854,S200000,02900,0100,N 162854,S200000,03000,0100,N 162854,S200000,03100,0100,N 162854,S200000,03200,0100,N 162854,S200000,03300,0100,N 162854,S200000,03300,0200,N 162854,S200000,04100,0100,N 162854,S200000,04200,0100,N 162854,S200000,04300,0100,N 162854,S200000,04700,0100,N 162854,S200000,05200,0100,N 162916,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 162916,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 162916,A000000,00300,0000,0300EMPLOYEE BENEFITS 162916,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 162916,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 162916,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 162916,A000000,00700,0000,0700HOUSEKEEPING 162916,A000000,00800,0000,0800DIETARY 162916,A000000,00900,0000,0900NURSING ADMINISTRATION 162916,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 162916,A000000,01100,0000,1100PHARMACY 162916,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 162916,A000000,01300,0000,1300SOCIAL SERVICE 162916,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 162916,A000000,01600,0000,1600SKILLED NURSING FACILITY 162916,A000000,01800,0000,1800NURSING FACILITY 162916,A000000,01810,0000,1810ICF/MR 162916,A000000,02200,0000,2200LABORATORY 162916,A000000,02500,0000,2500PHYSICAL THERAPY 162916,A000000,02600,0000,2600OCCUPATIONAL THERAPY 162916,A000000,02700,0000,2700SPEECH PATHOLOGY 162916,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 162916,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 162916,A000000,03550,0000,3550FQHC 162916,A000000,04801,0000,4801AMBULANCE 162916,A000000,04802,0000,4802AMBULANCE 162916,A000000,04803,0000,4803AMBULANCE 162916,A000000,05000,0000,5000CORF 162916,A000000,05010,0000,5010CMHC 162916,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 162916,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 162916,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 162916,A000000,05300,0000,5300INTEREST EXPENSE 162916,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 162916,A000000,05900,0000,5900BARBER & BEAUTY SHOP 162916,A81000A,00100,0100,Y 162916,A81000B,00100,0300,CPAITAL COSTS 162916,A81000B,00200,0300,ADMINISTRATIVE COSTS 162916,A81000C,00100,0100,A 162916,A81000C,00100,0200,JOHN JAMISON II 162916,A81000C,00100,0400,CARECORPS MGT C 162916,A81000C,00100,0600,CENT OFFICE 162916,B100000,00000,0100,0100SQUARE FEET 162916,B100000,00000,0200,0200SQUARE FEET 162916,B100000,00000,0300,0300GROSS SALARIES 162916,B100000,00000,0400,0400ACCUM COST 162916,B100000,00000,0500,0500SQUARE FEET 162916,B100000,00000,0600,0600PATIENT DAYS 162916,B100000,00000,0700,0700SQUARE FEET 162916,B100000,00000,0800,0800MEALS SERVED 162916,B100000,00000,0900,0900NURSING SALARIES 162916,B100000,00000,1000,1000COSTED REQUIS 162916,B100000,00000,1100,1100COSTED REQUIS 162916,B100000,00000,1200,1200PATIENT DAYS 162916,B100000,00000,1300,1300PATIENT DAYS 162916,B100000,00000,1400,1400ASSIGNED TIME 162916,E10A180,00501,0100,06/21/00 162916,E10A180,00551,0300,06/21/00 162916,S000000,00100,0200,06/01/00 162916,S200000,00100,0100,505 JACKSON SREET 162916,S200000,00200,0100,ABERDEEN 162916,S200000,00200,0200,MS 162916,S200000,00200,0300,39730 162916,S200000,00300,0100,MONROE 162916,S200000,00300,0200,0025 162916,S200000,00300,0300,R 162916,S200000,00400,0100,CARE CENTER OF ABERDEEN 162916,S200000,00400,0200,255097 162916,S200000,00400,0300,01/01/90 162916,S200000,00400,0500,P 162916,S200000,01500,0100,N 162916,S200000,01600,0100,Y 162916,S200000,01700,0100,N 162916,S200000,01800,0100,N 162916,S200000,02200,0100,N 162916,S200000,02800,0100,N 162916,S200000,02900,0100,N 162916,S200000,03000,0100,N 162916,S200000,03100,0100,N 162916,S200000,03200,0100,N 162916,S200000,03300,0100,N 162916,S200000,03300,0200,N 162916,S200000,04100,0100,N 162916,S200000,04200,0100,N 162916,S200000,04300,0100,N 162916,S200000,04600,0100,N 162916,S200000,04700,0100,N 162916,S200000,04900,0100,N 162916,S200000,05200,0100,N 163221,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163221,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163221,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163221,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163221,A000000,00300,0000,0300EMPLOYEE BENEFITS 163221,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163221,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163221,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163221,A000000,00700,0000,0700HOUSEKEEPING 163221,A000000,00800,0000,0800DIETARY 163221,A000000,00801,0000,0801CAFETERIA 163221,A000000,00900,0000,0900NURSING ADMINISTRATION 163221,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163221,A000000,01100,0000,1100PHARMACY 163221,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163221,A000000,01300,0000,1300SOCIAL SERVICE 163221,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163221,A000000,01500,0000,1350ACTIVITIES 163221,A000000,01600,0000,1600SKILLED NURSING FACILITY 163221,A000000,01800,0000,1800NURSING FACILITY 163221,A000000,01810,0000,1810ICF/MR 163221,A000000,02100,0000,2100RADIOLOGY 163221,A000000,02200,0000,2200LABORATORY 163221,A000000,02300,0000,2300INTRAVENOUS THERAPY 163221,A000000,02500,0000,2500PHYSICAL THERAPY 163221,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163221,A000000,02700,0000,2700SPEECH PATHOLOGY 163221,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163221,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163221,A000000,03300,0000,3050PEN THERAPY 163221,A000000,03301,0000,3051FEE SCREENING 163221,A000000,03302,0000,3052OTHER ANCILLARY III 163221,A000000,03550,0000,3550FQHC 163221,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163221,A000000,04800,0000,4800AMBULANCE 163221,A000000,05000,0000,5000CORF I 163221,A000000,05010,0000,5010CMHC I 163221,A000000,05020,0000,5020OPT I 163221,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163221,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163221,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163221,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163221,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163221,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163221,A81000A,00100,0100,Y 163221,A81000B,00100,0300,INTEREST PAYMENTS 163221,A81000C,00100,0100,B 163221,A81000C,00100,0400,OMEGA 163221,A81000C,00100,0600,PARENT COMPANY 163221,B100000,00000,0100,0100(SQUARE FEET) 163221,B100000,00000,0101,0101(SQUARE FEET) 163221,B100000,00000,0200,0200(SQUARE FEET) 163221,B100000,00000,0201,0201(SQUARE FEET) 163221,B100000,00000,0300,0300(GROSS SALARIES) 163221,B100000,00000,0400,0400(ACCUM. COST) 163221,B100000,00000,0500,0500(SQUARE FEET) 163221,B100000,00000,0600,0600(PATIENT DAYS) 163221,B100000,00000,0700,0700(SQUARE FEET) 163221,B100000,00000,0800,0800(MEALS SERVED) 163221,B100000,00000,0801,0801(MEALS SERVED) 163221,B100000,00000,0900,0900(NURSING SALARIES) 163221,B100000,00000,1000,1000(COSTED REQUIS.) 163221,B100000,00000,1100,1100(COSTED REQUIS.) 163221,B100000,00000,1200,1200(GROSS CHARGES) 163221,B100000,00000,1300,1300(PATIENT DAYS) 163221,B100000,00000,1400,1400(ASSIGNED TIME) 163221,B100000,00000,1500,1350(PATIENT DAYS) 163221,S000000,00100,0200,05/25/00 163221,S200000,00100,0100,ONE CARE LANE 163221,S200000,00200,0100,WEST HAVEN 163221,S200000,00200,0200,CT 163221,S200000,00200,0300,06516 163221,S200000,00300,0100,NEW HAVEN 163221,S200000,00300,0200,5483 163221,S200000,00300,0300,U 163221,S200000,00400,0100,SOUNDVIEW 163221,S200000,00400,0200,075062 163221,S200000,00400,0300,01/01/67 163221,S200000,00400,0500,P 163221,S200000,00600,0200,075062 163221,S200000,00600,0300,01/01/67 163221,S200000,00600,0600,O 163221,S200000,01500,0100,N 163221,S200000,01600,0100,Y 163221,S200000,01700,0100,N 163221,S200000,01800,0100,N 163221,S200000,01900,0100,NON PROFIT CORP 163221,S200000,02200,0100,Y 163221,S200000,02800,0100,Y 163221,S200000,02900,0100,N 163221,S200000,03000,0100,N 163221,S200000,03100,0100,N 163221,S200000,03200,0100,N 163221,S200000,03300,0100,N 163221,S200000,03300,0200,N 163221,S200000,03500,0300,N 163221,S200000,04100,0100,N 163221,S200000,04200,0100,N 163221,S200000,04300,0100,N 163221,S200000,04600,0100,N 163221,S200000,04700,0100,N 163221,S200000,04900,0100,N 163222,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163222,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163222,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163222,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163222,A000000,00300,0000,0300EMPLOYEE BENEFITS 163222,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163222,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163222,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163222,A000000,00700,0000,0700HOUSEKEEPING 163222,A000000,00800,0000,0800DIETARY 163222,A000000,00801,0000,0801CAFETERIA 163222,A000000,00900,0000,0900NURSING ADMINISTRATION 163222,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163222,A000000,01100,0000,1100PHARMACY 163222,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163222,A000000,01300,0000,1300SOCIAL SERVICE 163222,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163222,A000000,01500,0000,1350ACTIVITIES 163222,A000000,01600,0000,1600SKILLED NURSING FACILITY 163222,A000000,01810,0000,1810ICF/MR 163222,A000000,02100,0000,2100RADIOLOGY 163222,A000000,02500,0000,2500PHYSICAL THERAPY 163222,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163222,A000000,02700,0000,2700SPEECH PATHOLOGY 163222,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163222,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163222,A000000,03300,0000,3050PEN THERAPY 163222,A000000,03301,0000,3051FEE SCREENING 163222,A000000,03302,0000,3052OTHER ANCILLARY III 163222,A000000,03550,0000,3550FQHC 163222,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163222,A000000,04801,0000,4801AMBULANCE 163222,A000000,04802,0000,4802AMBULANCE 163222,A000000,04803,0000,4803AMBULANCE 163222,A000000,05000,0000,5000CORF I 163222,A000000,05010,0000,5010CMHC I 163222,A000000,05020,0000,5020OPT I 163222,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163222,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163222,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163222,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163222,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163222,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163222,A81000A,00100,0100,Y 163222,A81000B,00100,0300,INTEREST PAYMENTS 163222,A81000C,00100,0100,B 163222,A81000C,00100,0400,OMEGA 163222,A81000C,00100,0600,PARENT COMPANY 163222,B100000,00000,0100,0100(SQUARE FEET) 163222,B100000,00000,0101,0101(SQUARE FEET) 163222,B100000,00000,0200,0200(SQUARE FEET) 163222,B100000,00000,0201,0201(SQUARE FEET) 163222,B100000,00000,0300,0300(GROSS SALARIES) 163222,B100000,00000,0400,0400ACCUM COST 163222,B100000,00000,0500,0500(SQUARE FEET) 163222,B100000,00000,0600,0600(PATIENT DAYS) 163222,B100000,00000,0700,0700(SQUARE FEET) 163222,B100000,00000,0800,0800(MEALS SERVED) 163222,B100000,00000,0801,0801(MEALS SERVED) 163222,B100000,00000,0900,0900(NURSING SALARIES) 163222,B100000,00000,1000,1000(COSTED REQUIS.) 163222,B100000,00000,1100,1100(COSTED REQUIS.) 163222,B100000,00000,1200,1200(GROSS CHARGES) 163222,B100000,00000,1300,1300(PATIENT DAYS) 163222,B100000,00000,1400,1400(ASSIGNED TIME) 163222,B100000,00000,1500,1350(PATIENT DAYS) 163222,S000000,00100,0200,05/25/00 163222,S200000,00100,0100,50 MEAD STREET 163222,S200000,00200,0100,NEW HAVEN 163222,S200000,00200,0200,CT 163222,S200000,00200,0300,06511 163222,S200000,00300,0100,NEW HAVEN 163222,S200000,00300,0200,5483 163222,S200000,00300,0300,U 163222,S200000,00400,0100,ELM CITY 163222,S200000,00400,0200,075115 163222,S200000,00400,0300,07/26/79 163222,S200000,00400,0500,P 163222,S200000,01500,0100,Y 163222,S200000,01600,0100,N 163222,S200000,01700,0100,N 163222,S200000,01800,0100,N 163222,S200000,02200,0100,Y 163222,S200000,02800,0100,N 163222,S200000,02900,0100,N 163222,S200000,03000,0100,N 163222,S200000,03100,0100,N 163222,S200000,03200,0100,N 163222,S200000,03300,0100,N 163222,S200000,03300,0200,N 163222,S200000,04100,0100,N 163222,S200000,04200,0100,N 163222,S200000,04300,0100,N 163222,S200000,04600,0100,N 163222,S200000,04700,0100,N 163222,S200000,04900,0100,N 163222,S200000,05200,0100,N 163223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163223,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163223,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163223,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163223,A000000,00300,0000,0300EMPLOYEE BENEFITS 163223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163223,A000000,00700,0000,0700HOUSEKEEPING 163223,A000000,00800,0000,0800DIETARY 163223,A000000,00801,0000,0801CAFETERIA 163223,A000000,00900,0000,0900NURSING ADMINISTRATION 163223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163223,A000000,01100,0000,1100PHARMACY 163223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163223,A000000,01300,0000,1300SOCIAL SERVICE 163223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163223,A000000,01500,0000,1350ACTIVITIES 163223,A000000,01600,0000,1600SKILLED NURSING FACILITY 163223,A000000,01800,0000,1800NURSING FACILITY 163223,A000000,01810,0000,1810ICF/MR 163223,A000000,02100,0000,2100RADIOLOGY 163223,A000000,02200,0000,2200LABORATORY 163223,A000000,02300,0000,2300INTRAVENOUS THERAPY 163223,A000000,02500,0000,2500PHYSICAL THERAPY 163223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163223,A000000,02700,0000,2700SPEECH PATHOLOGY 163223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163223,A000000,03300,0000,3050OTHER ANCILLARY 163223,A000000,03301,0000,3051OTHER ANCILLARY II 163223,A000000,03302,0000,3052OTHER ANCILLARY III 163223,A000000,03550,0000,3550FQHC 163223,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163223,A000000,04801,0000,4801AMBULANCE 163223,A000000,04802,0000,4802AMBULANCE 163223,A000000,04803,0000,4803AMBULANCE 163223,A000000,05000,0000,5000CORF I 163223,A000000,05010,0000,5010CMHC I 163223,A000000,05020,0000,5020OPT I 163223,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163223,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163223,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163223,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163223,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163223,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163223,A81000A,00100,0100,Y 163223,A81000B,00100,0300,INTEREST PAYMENTS 163223,A81000C,00100,0100,B 163223,A81000C,00100,0400,OMEGA 163223,A81000C,00100,0600,OWNERSHIP 163223,B100000,00000,0100,0100(SQUARE FEET) 163223,B100000,00000,0101,0101(SQUARE FEET) 163223,B100000,00000,0200,0200(SQUARE FEET) 163223,B100000,00000,0201,0201(SQUARE FEET) 163223,B100000,00000,0300,0300(GROSS SALARIES) 163223,B100000,00000,0400,0400ACCUM COST 163223,B100000,00000,0500,0500(SQUARE FEET) 163223,B100000,00000,0600,0600(PATIENT DAYS) 163223,B100000,00000,0700,0700(SQUARE FEET) 163223,B100000,00000,0800,0800(MEALS SERVED) 163223,B100000,00000,0801,0801(MEALS SERVED) 163223,B100000,00000,0900,0900(NURSING SALARIES) 163223,B100000,00000,1000,1000(PATIENT DAYS) 163223,B100000,00000,1100,1100(PATIENT DAYS) 163223,B100000,00000,1200,1200(GROSS CHARGES) 163223,B100000,00000,1300,1300(PATIENT DAYS) 163223,B100000,00000,1400,1400(ASSIGNED TIME) 163223,B100000,00000,1500,1350(PATIENT DAYS) 163223,S000000,00100,0200,05/25/00 163223,S200000,00100,0100,2432 ALBANY AVE 163223,S200000,00200,0100,WEST HARTFORD 163223,S200000,00200,0200,CT 163223,S200000,00200,0300,06117 163223,S200000,00300,0100,HARTFORD 163223,S200000,00300,0200,3283 163223,S200000,00300,0300,U 163223,S200000,00400,0100,COC - WEST HARTFORD 163223,S200000,00400,0200,075248 163223,S200000,00400,0300,07/01/83 163223,S200000,00400,0500,P 163223,S200000,00600,0200,075248 163223,S200000,00600,0300,07/01/83 163223,S200000,00600,0600,O 163223,S200000,01500,0100,N 163223,S200000,01600,0100,Y 163223,S200000,01700,0100,N 163223,S200000,01800,0100,N 163223,S200000,01900,0100,NON PROFIT CORP 163223,S200000,02200,0100,Y 163223,S200000,02800,0100,N 163223,S200000,02900,0100,N 163223,S200000,03000,0100,N 163223,S200000,03100,0100,N 163223,S200000,03200,0100,N 163223,S200000,03300,0100,N 163223,S200000,03300,0200,N 163223,S200000,03500,0300,N 163223,S200000,04100,0100,N 163223,S200000,04200,0100,N 163223,S200000,04300,0100,N 163223,S200000,04600,0100,N 163223,S200000,04700,0100,N 163223,S200000,04900,0100,N 163223,S200000,05200,0100,N 163230,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163230,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163230,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163230,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163230,A000000,00300,0000,0300EMPLOYEE BENEFITS 163230,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163230,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163230,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163230,A000000,00700,0000,0700HOUSEKEEPING 163230,A000000,00800,0000,0800DIETARY 163230,A000000,00801,0000,0801CAFETERIA 163230,A000000,00900,0000,0900NURSING ADMINISTRATION 163230,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163230,A000000,01100,0000,1100PHARMACY 163230,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163230,A000000,01300,0000,1300SOCIAL SERVICE 163230,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163230,A000000,01500,0000,1350ACTIVITIES 163230,A000000,01600,0000,1600SKILLED NURSING FACILITY 163230,A000000,01800,0000,1800NURSING FACILITY 163230,A000000,01810,0000,1810ICF/MR 163230,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163230,A000000,02500,0000,2500PHYSICAL THERAPY 163230,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163230,A000000,02700,0000,2700SPEECH PATHOLOGY 163230,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163230,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163230,A000000,03200,0000,3200SUPPORT SURFACES 163230,A000000,03300,0000,3050PEN PART B 163230,A000000,03301,0000,3051FEE SCREENING 163230,A000000,03302,0000,3052OTHER ANCILLARY III 163230,A000000,03550,0000,3550FQHC 163230,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163230,A000000,04801,0000,4801AMBULANCE 163230,A000000,04802,0000,4802AMBULANCE 163230,A000000,04803,0000,4803AMBULANCE 163230,A000000,05000,0000,5000CORF I 163230,A000000,05010,0000,5010CMHC I 163230,A000000,05020,0000,5020OPT I 163230,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163230,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163230,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163230,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163230,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163230,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163230,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163230,A81000A,00100,0100,Y 163230,A81000B,00100,0300,HOME OFFICE ALLOCATION 163230,A81000B,00200,0300,HOME OFFICE CAP REL 163230,A81000B,00300,0300,PT 163230,A81000B,00400,0300,OT 163230,A81000B,00500,0300,ST 163230,A81000B,00600,0300,CENTRAL SUPPLY 163230,A81000B,00700,0300,MEDICAL SUPPLIES 163230,A81000B,00800,0300,DRUGS CHARGED 163230,A81000B,00900,0300,SUPPORT SERVICES 163230,A81000C,00100,0100,B 163230,A81000C,00100,0200,GENESIS HEALTHS 163230,A81000C,00100,0600,MTMT. CO. 163230,A81000C,00200,0100,B 163230,A81000C,00200,0200,NEIGHBORCARE 163230,A81000C,00200,0600,PHARMACY 163230,A81000C,00300,0100,B 163230,A81000C,00300,0200,GENESIS SVCS 163230,B100000,00000,0100,0100(SQUARE FEET) 163230,B100000,00000,0101,0101(SQUARE FEET) 163230,B100000,00000,0200,0200(SQUARE FEET) 163230,B100000,00000,0201,0201(SQUARE FEET) 163230,B100000,00000,0300,0300(GROSS SALARIES) 163230,B100000,00000,0400,0400ACCUM COST 163230,B100000,00000,0500,0500(SQUARE FEET) 163230,B100000,00000,0600,0600(PATIENT DAYS) 163230,B100000,00000,0700,0700(SQUARE FEET) 163230,B100000,00000,0800,0800(MEALS SERVED) 163230,B100000,00000,0801,0801(MEALS SERVED) 163230,B100000,00000,0900,0900(PATIENT DAYS) 163230,B100000,00000,1000,1000(COSTED REQUIS.) 163230,B100000,00000,1100,1100(PATIENT DAYS) 163230,B100000,00000,1200,1200(GROSS CHARGES) 163230,B100000,00000,1300,1300(PATIENT DAYS) 163230,B100000,00000,1400,1400(ASSIGNED TIME) 163230,B100000,00000,1500,1350(PATIENT DAYS) 163230,E10A180,00501,0300,03/20/00 163230,E10A180,00550,0100,04/12/01 163230,E10A180,00550,0300,04/12/01 163230,S000000,00100,0200,02/29/00 163230,S200000,00100,0100,1 MAGNOLIA DRIVE 163230,S200000,00200,0100,LA PLATA 163230,S200000,00200,0200,MD 163230,S200000,00200,0300,20646 163230,S200000,00300,0100,CHARLES 163230,S200000,00300,0200,8840 163230,S200000,00300,0300,U 163230,S200000,00400,0100,LA PLATA 163230,S200000,00400,0200,215151 163230,S200000,00400,0300,12/01/93 163230,S200000,00400,0500,P 163230,S200000,01500,0100,N 163230,S200000,01600,0100,Y 163230,S200000,01700,0100,N 163230,S200000,01800,0100,N 163230,S200000,02200,0100,Y 163230,S200000,02800,0100,N 163230,S200000,02900,0100,N 163230,S200000,03000,0100,N 163230,S200000,03100,0100,N 163230,S200000,03200,0100,N 163230,S200000,03300,0100,N 163230,S200000,03300,0200,N 163230,S200000,04100,0100,N 163230,S200000,04200,0100,N 163230,S200000,04300,0100,N 163230,S200000,04600,0100,Y 163230,S200000,04700,0100,N 163230,S200000,04900,0100,N 163230,S200000,05200,0100,N 163231,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163231,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163231,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163231,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163231,A000000,00300,0000,0300EMPLOYEE BENEFITS 163231,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163231,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163231,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163231,A000000,00700,0000,0700HOUSEKEEPING 163231,A000000,00800,0000,0800DIETARY 163231,A000000,00801,0000,0801CAFETERIA 163231,A000000,00900,0000,0900NURSING ADMINISTRATION 163231,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163231,A000000,01100,0000,1100PHARMACY 163231,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163231,A000000,01300,0000,1300SOCIAL SERVICE 163231,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163231,A000000,01500,0000,1350ACTIVITIES 163231,A000000,01600,0000,1600SKILLED NURSING FACILITY 163231,A000000,01800,0000,1800NURSING FACILITY 163231,A000000,01810,0000,1810ICF/MR 163231,A000000,02300,0000,2300INTRAVENOUS THERAPY 163231,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163231,A000000,02500,0000,2500PHYSICAL THERAPY 163231,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163231,A000000,02700,0000,2700SPEECH PATHOLOGY 163231,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163231,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163231,A000000,03300,0000,3050PEN PART B 163231,A000000,03301,0000,3051FEE SCREENING 163231,A000000,03302,0000,3052OTHER ANCILLARY III 163231,A000000,03550,0000,3550FQHC 163231,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163231,A000000,04801,0000,4801AMBULANCE 163231,A000000,04802,0000,4802AMBULANCE 163231,A000000,04803,0000,4803AMBULANCE 163231,A000000,05000,0000,5000CORF I 163231,A000000,05010,0000,5010CMHC I 163231,A000000,05020,0000,5020OPT I 163231,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163231,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163231,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163231,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163231,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163231,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163231,A81000A,00100,0100,Y 163231,A81000B,00100,0300,HOME OFFICE ALLOCATION 163231,A81000B,00200,0300,HOME OFFICE CAP REL 163231,A81000B,00300,0300,PT 163231,A81000B,00400,0300,OT 163231,A81000B,00500,0300,ST 163231,A81000B,00600,0300,CENTRAL SUPPLY 163231,A81000B,00700,0300,OXYGEN/RT 163231,A81000B,00800,0300,MEDICAL SUPPLIES 163231,A81000B,00900,0300,DRUGS 163231,A81000C,00100,0100,B 163231,A81000C,00100,0200,GENESIS ELDERCR 163231,A81000C,00100,0600,MGMT CO 163231,A81000C,00200,0100,B 163231,A81000C,00200,0200,NEIGHBORCARE 163231,A81000C,00200,0600,PHARMACY 163231,A81000C,00300,0100,B 163231,A81000C,00300,0200,GENESIS SERVICS 163231,A81000C,00300,0600,THERAPY SVC 163231,A81000C,00400,0100,B 163231,A81000C,00400,0200,GENESIS PHYS SV 163231,A81000C,00400,0600,CASE MGMT 163231,A81000C,00500,0100,B 163231,A81000C,00500,0200,RESP. HEALTH 163231,A81000C,00500,0600,RT 163231,B100000,00000,0100,0100(SQUARE FEET) 163231,B100000,00000,0101,0101(SQUARE FEET) 163231,B100000,00000,0200,0200(SQUARE FEET) 163231,B100000,00000,0201,0201(SQUARE FEET) 163231,B100000,00000,0300,0300(GROSS SALARIES) 163231,B100000,00000,0400,0400ACCUM COST 163231,B100000,00000,0500,0500(SQUARE FEET) 163231,B100000,00000,0600,0600(PATIENT DAYS) 163231,B100000,00000,0700,0700(SQUARE FEET) 163231,B100000,00000,0800,0800(MEALS SERVED) 163231,B100000,00000,0801,0801(MEALS SERVED) 163231,B100000,00000,0900,0900(NURSING SALARIES) 163231,B100000,00000,1000,1000(COSTED REQUIS.) 163231,B100000,00000,1100,1100(COSTED REQUIS.) 163231,B100000,00000,1200,1200(GROSS CHARGES) 163231,B100000,00000,1300,1300(PATIENT DAYS) 163231,B100000,00000,1400,1400(ASSIGNED TIME) 163231,B100000,00000,1500,1350(PATIENT DAYS) 163231,E10A180,00501,0100,05/30/01 163231,E10A180,00501,0300,03/06/00 163231,E10A180,00550,0300,05/30/01 163231,S000000,00100,0200,03/01/00 163231,S200000,00100,0100,8710 EMGE ROAD 163231,S200000,00200,0100,BALTIMORE 163231,S200000,00200,0200,MD 163231,S200000,00200,0300,21234 163231,S200000,00300,0100,BALTIMORE 163231,S200000,00300,0200,0720 163231,S200000,00300,0300,U 163231,S200000,00400,0100,CROMWELL 163231,S200000,00400,0200,215129 163231,S200000,00400,0300,12/01/93 163231,S200000,00400,0500,P 163231,S200000,01500,0100,N 163231,S200000,01600,0100,Y 163231,S200000,01700,0100,N 163231,S200000,01800,0100,Y 163231,S200000,02200,0100,Y 163231,S200000,02800,0100,N 163231,S200000,02900,0100,N 163231,S200000,03000,0100,N 163231,S200000,03100,0100,N 163231,S200000,03200,0100,N 163231,S200000,03300,0100,N 163231,S200000,03300,0200,N 163231,S200000,04100,0100,N 163231,S200000,04200,0100,N 163231,S200000,04300,0100,N 163231,S200000,04600,0100,Y 163231,S200000,04700,0100,N 163231,S200000,04900,0100,N 163231,S200000,05200,0100,N 163421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163421,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163421,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163421,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163421,A000000,00300,0000,0300EMPLOYEE BENEFITS 163421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163421,A000000,00700,0000,0700HOUSEKEEPING 163421,A000000,00800,0000,0800DIETARY 163421,A000000,00801,0000,0801CAFETERIA 163421,A000000,00900,0000,0900NURSING ADMINISTRATION 163421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163421,A000000,01100,0000,1100PHARMACY 163421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163421,A000000,01300,0000,1300SOCIAL SERVICE 163421,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163421,A000000,01500,0000,1350ACTIVITIES 163421,A000000,01600,0000,1600SKILLED NURSING FACILITY 163421,A000000,01800,0000,1800NURSING FACILITY 163421,A000000,01810,0000,1810ICF/MR 163421,A000000,02100,0000,2100RADIOLOGY 163421,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163421,A000000,02500,0000,2500PHYSICAL THERAPY 163421,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163421,A000000,02700,0000,2700SPEECH PATHOLOGY 163421,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163421,A000000,03200,0000,3200SUPPORT SURFACES 163421,A000000,03300,0000,3050PEN PART B 163421,A000000,03301,0000,3051FEE SCREENING 163421,A000000,03302,0000,3052OTHER ANCILLARY III 163421,A000000,03550,0000,3550FQHC 163421,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163421,A000000,04801,0000,4801AMBULANCE 163421,A000000,04802,0000,4802AMBULANCE 163421,A000000,04803,0000,4803AMBULANCE 163421,A000000,05000,0000,5000CORF I 163421,A000000,05010,0000,5010CMHC I 163421,A000000,05020,0000,5020OPT I 163421,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163421,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163421,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163421,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163421,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163421,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163421,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163421,A81000A,00100,0100,Y 163421,A81000B,00100,0300,HOME OFFICE ALLOCATION 163421,A81000B,00200,0300,PT 163421,A81000B,00300,0300,OT 163421,A81000B,00400,0300,ST 163421,A81000B,00500,0300,SUPPLIES 163421,A81000B,00600,0300,OXYGEN 163421,A81000B,00700,0300,MEDICAL SUPPLIES 163421,A81000B,00800,0300,PRESCRIPTION 163421,A81000B,00900,0300,HOME OFFICE CAP REL 163421,A81000C,00100,0100,B 163421,A81000C,00100,0200,GENESIS ELDERCR 163421,A81000C,00100,0600,MGMT CO 163421,A81000C,00200,0100,B 163421,A81000C,00200,0200,NEIGHBORCARE 163421,A81000C,00200,0600,PHARMACY 163421,A81000C,00300,0100,B 163421,A81000C,00300,0200,GENESIS SERVICE 163421,A81000C,00300,0600,THERAPY SVC 163421,A81000C,00400,0100,B 163421,A81000C,00400,0200,GENE PHYS SERV 163421,A81000C,00400,0600,CASE MGMT 163421,A81000C,00500,0100,B 163421,A81000C,00500,0200,RESP. HEALTH 163421,A81000C,00500,0600,RT 163421,B100000,00000,0100,0100(SQUARE FEET) 163421,B100000,00000,0101,0101(SQUARE FEET) 163421,B100000,00000,0200,0200(SQUARE FEET) 163421,B100000,00000,0201,0201(SQUARE FEET) 163421,B100000,00000,0300,0300(GROSS SALARIES) 163421,B100000,00000,0400,0400ACCUM COST 163421,B100000,00000,0500,0500(SQUARE FEET) 163421,B100000,00000,0600,0600(PATIENT DAYS) 163421,B100000,00000,0700,0700(SQUARE FEET) 163421,B100000,00000,0800,0800(MEALS SERVED) 163421,B100000,00000,0801,0801(MEALS SERVED) 163421,B100000,00000,0900,0900(PATIENT DAYS) 163421,B100000,00000,1000,1000(COSTED REQUIS.) 163421,B100000,00000,1100,1100(PATIENT DAYS) 163421,B100000,00000,1200,1200(GROSS CHARGES) 163421,B100000,00000,1300,1300(PATIENT DAYS) 163421,B100000,00000,1400,1400(ASSIGNED TIME) 163421,B100000,00000,1500,1350(PATIENT DAYS) 163421,E10A180,00501,0100,03/03/00 163421,E10A180,00501,0300,03/03/00 163421,E10A180,00550,0100,05/31/01 163421,E10A180,00550,0300,05/31/01 163421,S000000,00100,0200,02/29/00 163421,S200000,00100,0100,RT 213 & 305 163421,S200000,00200,0100,CENTERVILLE 163421,S200000,00200,0200,MD 163421,S200000,00300,0200,0720 163421,S200000,00300,0300,U 163421,S200000,00400,0100,CORSICA HILLS 163421,S200000,00400,0200,215114 163421,S200000,00400,0300,12/01/93 163421,S200000,00400,0500,P 163421,S200000,01500,0100,N 163421,S200000,01600,0100,Y 163421,S200000,01700,0100,N 163421,S200000,01800,0100,N 163421,S200000,02200,0100,Y 163421,S200000,02800,0100,N 163421,S200000,02900,0100,N 163421,S200000,03000,0100,N 163421,S200000,03100,0100,N 163421,S200000,03200,0100,N 163421,S200000,03300,0100,N 163421,S200000,03300,0200,N 163421,S200000,04100,0100,N 163421,S200000,04200,0100,N 163421,S200000,04300,0100,N 163421,S200000,04600,0100,Y 163421,S200000,04700,0100,N 163421,S200000,04900,0100,N 163421,S200000,05200,0100,N 163547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163547,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163547,A000000,00300,0000,0300EMPLOYEE BENEFITS 163547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163547,A000000,00700,0000,0700HOUSEKEEPING 163547,A000000,00800,0000,0800DIETARY 163547,A000000,00900,0000,0900NURSING ADMINISTRATION 163547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163547,A000000,01100,0000,1100PHARMACY 163547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163547,A000000,01300,0000,1300SOCIAL SERVICE 163547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163547,A000000,01500,0000,1350ACTIVITIES 163547,A000000,01600,0000,1600SKILLED NURSING FACILITY 163547,A000000,01810,0000,1810ICF/MR 163547,A000000,02100,0000,2100RADIOLOGY 163547,A000000,02200,0000,2200LABORATORY 163547,A000000,02500,0000,2500PHYSICAL THERAPY 163547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163547,A000000,02700,0000,2700SPEECH PATHOLOGY 163547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163547,A000000,03200,0000,3200SUPPORT SURFACES 163547,A000000,03550,0000,3550FQHC 163547,A000000,04800,0000,4800AMBULANCE 163547,A000000,04801,0000,4801AMBULANCE 163547,A000000,04802,0000,4802AMBULANCE 163547,A000000,04803,0000,4803AMBULANCE 163547,A000000,05000,0000,5000CORF 163547,A000000,05010,0000,5010CMHC 163547,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163547,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163547,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163547,A81000A,00100,0100,N 163547,B100000,00000,0100,0100SQUARE FEET 163547,B100000,00000,0200,0200SQUARE FEET 163547,B100000,00000,0300,0300GROSS SALARIES 163547,B100000,00000,0400,0400ACCUM COST 163547,B100000,00000,0500,0500SQUARE FEET 163547,B100000,00000,0600,0600POUNDS OF LAUNDRY 163547,B100000,00000,0700,0700HOURS OF SERVICE 163547,B100000,00000,0800,0800MEALS SERVED 163547,B100000,00000,0900,0900DIRECT NRSG HRS 163547,B100000,00000,1000,1000COSTED REQUIS 163547,B100000,00000,1100,1100COSTED REQUIS 163547,B100000,00000,1200,1200TIME SPENT 163547,B100000,00000,1300,1300TIME SPENT 163547,B100000,00000,1400,1400ASSIGNED TIME 163547,B100000,00000,1500,1350SQUARE FEE 163547,S000000,00100,0200,10/20/03 163547,S200000,00100,0100,17 SPRING PLACE 163547,S200000,00200,0100,MOORISTOWN 163547,S200000,00200,0200,NJ 163547,S200000,00200,0300,07960 163547,S200000,00300,0100,MORRIS 163547,S200000,00300,0200,5640 163547,S200000,00300,0300,U 163547,S200000,00400,0100,SPRING HILL NURSING CENTER 163547,S200000,00400,0200,315326 163547,S200000,00400,0300,05/07/93 163547,S200000,00400,0500,P 163547,S200000,01500,0100,Y 163547,S200000,01600,0100,N 163547,S200000,01700,0100,N 163547,S200000,01800,0100,N 163547,S200000,02200,0100,N 163547,S200000,02800,0100,Y 163547,S200000,02900,0100,N 163547,S200000,03000,0100,N 163547,S200000,03100,0100,N 163547,S200000,03200,0100,N 163547,S200000,03300,0100,N 163547,S200000,03300,0200,N 163547,S200000,04100,0100,N 163547,S200000,04200,0100,N 163547,S200000,04300,0100,N 163547,S200000,04600,0100,Y 163547,S200000,04700,0100,N 163547,S200000,04900,0100,N 163547,S200000,05000,0100,N 163547,S200000,05200,0100,N 163548,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163548,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163548,A000000,00300,0000,0300EMPLOYEE BENEFITS 163548,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163548,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163548,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163548,A000000,00700,0000,0700HOUSEKEEPING 163548,A000000,00800,0000,0800DIETARY 163548,A000000,00900,0000,0900NURSING ADMINISTRATION 163548,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163548,A000000,01100,0000,1100PHARMACY 163548,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163548,A000000,01300,0000,1300SOCIAL SERVICE 163548,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163548,A000000,01500,0000,1350ACTIVITIES 163548,A000000,01600,0000,1600SKILLED NURSING FACILITY 163548,A000000,01810,0000,1810ICF/MR 163548,A000000,02100,0000,2100RADIOLOGY 163548,A000000,02200,0000,2200LABORATORY 163548,A000000,02500,0000,2500PHYSICAL THERAPY 163548,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163548,A000000,02700,0000,2700SPEECH PATHOLOGY 163548,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163548,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163548,A000000,03200,0000,3200SUPPORT SURFACES 163548,A000000,03550,0000,3550FQHC 163548,A000000,04800,0000,4800AMBULANCE 163548,A000000,04801,0000,4801AMBULANCE 163548,A000000,04802,0000,4802AMBULANCE 163548,A000000,04803,0000,4803AMBULANCE 163548,A000000,05000,0000,5000CORF 163548,A000000,05010,0000,5010CMHC 163548,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163548,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163548,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163548,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163548,A81000A,00100,0100,N 163548,B100000,00000,0100,0100SQUARE FEET 163548,B100000,00000,0200,0200SQUARE FEET 163548,B100000,00000,0300,0300GROSS SALARIES 163548,B100000,00000,0400,0400ACCUM COST 163548,B100000,00000,0500,0500SQUARE FEET 163548,B100000,00000,0600,0600POUNDS OF LAUNDRY 163548,B100000,00000,0700,0700HOURS OF SERVICE 163548,B100000,00000,0800,0800MEALS SERVED 163548,B100000,00000,0900,0900DIRECT NRSG HRS 163548,B100000,00000,1000,1000COSTED REQUIS 163548,B100000,00000,1100,1100COSTED REQUIS 163548,B100000,00000,1200,1200TIME SPENT 163548,B100000,00000,1300,1300TIME SPENT 163548,B100000,00000,1400,1400ASSIGNED TIME 163548,B100000,00000,1500,1350SQUARE FEE 163548,E10A180,00501,0100,06/28/00 163548,E10A180,00502,0100,08/30/01 163548,S000000,00100,0200,10/20/03 163548,S200000,00100,0100,17 SPRING PLACE 163548,S200000,00200,0100,MOORISTOWN 163548,S200000,00200,0200,NJ 163548,S200000,00200,0300,07960 163548,S200000,00300,0100,MORRIS 163548,S200000,00300,0200,5640 163548,S200000,00300,0300,U 163548,S200000,00400,0100,SPRING HILL NURSING CENTER 163548,S200000,00400,0200,315326 163548,S200000,00400,0300,05/07/93 163548,S200000,00400,0500,P 163548,S200000,01500,0100,Y 163548,S200000,01600,0100,N 163548,S200000,01700,0100,N 163548,S200000,01800,0100,N 163548,S200000,02200,0100,N 163548,S200000,02800,0100,Y 163548,S200000,02900,0100,N 163548,S200000,03000,0100,N 163548,S200000,03100,0100,N 163548,S200000,03200,0100,N 163548,S200000,03300,0100,N 163548,S200000,03300,0200,N 163548,S200000,04100,0100,N 163548,S200000,04200,0100,N 163548,S200000,04300,0100,N 163548,S200000,04600,0100,Y 163548,S200000,04700,0100,Y 163548,S200000,04900,0100,N 163548,S200000,05000,0100,N 163548,S200000,05200,0100,N 163615,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163615,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163615,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163615,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163615,A000000,00300,0000,0300EMPLOYEE BENEFITS 163615,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163615,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163615,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163615,A000000,00700,0000,0700HOUSEKEEPING 163615,A000000,00800,0000,0800DIETARY 163615,A000000,00801,0000,0801CAFETERIA 163615,A000000,00900,0000,0900NURSING ADMINISTRATION 163615,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163615,A000000,01100,0000,1100PHARMACY 163615,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163615,A000000,01300,0000,1300SOCIAL SERVICE 163615,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163615,A000000,01500,0000,1350ACTIVITIES 163615,A000000,01600,0000,1600SKILLED NURSING FACILITY 163615,A000000,01800,0000,1800NURSING FACILITY 163615,A000000,01810,0000,1810ICF/MR 163615,A000000,02100,0000,2100RADIOLOGY 163615,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163615,A000000,02500,0000,2500PHYSICAL THERAPY 163615,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163615,A000000,02700,0000,2700SPEECH PATHOLOGY 163615,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163615,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163615,A000000,03300,0000,3050PEN THERAPY 163615,A000000,03301,0000,3051FEE SCREENING 163615,A000000,03302,0000,3052OTHER ANCILLARY III 163615,A000000,03550,0000,3550FQHC 163615,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163615,A000000,04801,0000,4801AMBULANCE 163615,A000000,04802,0000,4802AMBULANCE 163615,A000000,04803,0000,4803AMBULANCE 163615,A000000,05000,0000,5000CORF I 163615,A000000,05010,0000,5010CMHC I 163615,A000000,05020,0000,5020OPT I 163615,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163615,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163615,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163615,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163615,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163615,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163615,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163615,A81000A,00100,0100,Y 163615,A81000B,00100,0300,HOME OFFICE ADMIN 163615,A81000B,00200,0300,HOME OFFICE CAPITAL 163615,A81000B,00300,0300,SEE ATTACHED 163615,A81000C,00100,0100,A 163615,A81000C,00100,0200,GENESIS HEALTH 163615,A81000C,00100,0600,HOME OFFICE 163615,A81000C,00200,0100,B 163615,A81000C,00200,0200,GENESIS HEALTH 163615,A81000C,00200,0600,HOME OFFICE CAP 163615,B100000,00000,0100,0100(SQUARE FEET) 163615,B100000,00000,0101,0101(SQUARE FEET) 163615,B100000,00000,0200,0200(SQUARE FEET) 163615,B100000,00000,0201,0201(SQUARE FEET) 163615,B100000,00000,0300,0300(GROSS SALARIES) 163615,B100000,00000,0400,0400ACCUM COST 163615,B100000,00000,0500,0500(SQUARE FEET) 163615,B100000,00000,0600,0600(PATIENT DAYS) 163615,B100000,00000,0700,0700(SQUARE FEET) 163615,B100000,00000,0800,0800(MEALS SERVED) 163615,B100000,00000,0801,0801(MEALS SERVED) 163615,B100000,00000,0900,0900(NURSING SALARIES) 163615,B100000,00000,1000,1000(COSTED REQUIS.) 163615,B100000,00000,1100,1100(PATIENT DAYS) 163615,B100000,00000,1200,1200(GROSS CHARGES) 163615,B100000,00000,1300,1300(PATIENT DAYS) 163615,B100000,00000,1400,1400(ASSIGNED TIME) 163615,B100000,00000,1500,1350(PATIENT DAYS) 163615,E10A180,00501,0100,11/20/00 163615,E10A180,00501,0300,03/24/00 163615,E10A180,00550,0100,03/24/00 163615,E10A180,00550,0300,11/20/00 163615,S000000,00100,0200,02/29/00 163615,S200000,00100,0100,100 HARVEY JOHNSON DRIVE 163615,S200000,00200,0100,AGAWAM 163615,S200000,00200,0200,MA 163615,S200000,00200,0300,01001 163615,S200000,00300,0100,HAMPDEN 163615,S200000,00300,0200,8003 163615,S200000,00300,0300,U 163615,S200000,00400,0100,HERITAGE HALL SOUTH 163615,S200000,00400,0200,225176 163615,S200000,00400,0300,07/01/85 163615,S200000,00400,0500,P 163615,S200000,01500,0100,N 163615,S200000,01600,0100,Y 163615,S200000,01700,0100,N 163615,S200000,01800,0100,N 163615,S200000,02200,0100,Y 163615,S200000,02800,0100,N 163615,S200000,02900,0100,N 163615,S200000,03000,0100,N 163615,S200000,03100,0100,N 163615,S200000,03200,0100,N 163615,S200000,03300,0100,N 163615,S200000,03300,0200,N 163615,S200000,04100,0100,N 163615,S200000,04200,0100,N 163615,S200000,04300,0100,N 163615,S200000,04600,0100,N 163615,S200000,04700,0100,N 163615,S200000,04900,0100,N 163615,S200000,05200,0100,N 163616,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163616,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163616,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163616,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163616,A000000,00300,0000,0300EMPLOYEE BENEFITS 163616,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163616,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163616,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163616,A000000,00700,0000,0700HOUSEKEEPING 163616,A000000,00800,0000,0800DIETARY 163616,A000000,00801,0000,0801CAFETERIA 163616,A000000,00900,0000,0900NURSING ADMINISTRATION 163616,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163616,A000000,01100,0000,1100PHARMACY 163616,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163616,A000000,01300,0000,1300SOCIAL SERVICE 163616,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163616,A000000,01500,0000,1350ACTIVITIES 163616,A000000,01600,0000,1600SKILLED NURSING FACILITY 163616,A000000,01800,0000,1800NURSING FACILITY 163616,A000000,01810,0000,1810ICF/MR 163616,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163616,A000000,02500,0000,2500PHYSICAL THERAPY 163616,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163616,A000000,02700,0000,2700SPEECH PATHOLOGY 163616,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163616,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163616,A000000,03300,0000,3050PEN THERAPY 163616,A000000,03301,0000,3051FEE SCREENING 163616,A000000,03302,0000,3052OTHER ANCILLARY III 163616,A000000,03550,0000,3550FQHC 163616,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163616,A000000,04801,0000,4801AMBULANCE 163616,A000000,04802,0000,4802AMBULANCE 163616,A000000,04803,0000,4803AMBULANCE 163616,A000000,05000,0000,5000CORF I 163616,A000000,05010,0000,5010CMHC I 163616,A000000,05020,0000,5020OPT I 163616,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163616,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163616,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163616,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163616,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163616,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163616,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163616,A81000A,00100,0100,Y 163616,A81000B,00100,0300,MANAGEMENT FEES 163616,A81000C,00100,0100,B 163616,A81000C,00100,0400,AGE INST. MASS 163616,A81000C,00100,0600,PARENT CO. 163616,B100000,00000,0100,0100(SQUARE FEET) 163616,B100000,00000,0101,0101(SQUARE FEET) 163616,B100000,00000,0200,0200(SQUARE FEET) 163616,B100000,00000,0201,0201(SQUARE FEET) 163616,B100000,00000,0300,0300(GROSS SALARIES) 163616,B100000,00000,0400,0400ACCUM COST 163616,B100000,00000,0500,0500(SQUARE FEET) 163616,B100000,00000,0600,0600(PATIENT DAYS) 163616,B100000,00000,0700,0700(SQUARE FEET) 163616,B100000,00000,0800,0800(MEALS SERVED) 163616,B100000,00000,0801,0801(MEALS SERVED) 163616,B100000,00000,0900,0900(NURSING SALARIES) 163616,B100000,00000,1000,1000(COSTED REQUIS.) 163616,B100000,00000,1100,1100(COSTED REQUIS.) 163616,B100000,00000,1200,1200(GROSS CHARGES) 163616,B100000,00000,1300,1300(PATIENT DAYS) 163616,B100000,00000,1400,1400(ASSIGNED TIME) 163616,B100000,00000,1500,1350(PATIENT DAYS) 163616,E10A180,00501,0100,02/27/01 163616,E10A180,00501,0300,02/27/01 163616,S000000,00100,0200,05/25/00 163616,S200000,00100,0100,200 KENDALL ST. 163616,S200000,00200,0100,SPRINGFIELD 163616,S200000,00200,0200,MA 163616,S200000,00200,0300,01104 163616,S200000,00300,0100,HAMPDEN 163616,S200000,00300,0200,8003 163616,S200000,00300,0300,U 163616,S200000,00400,0100,CHAPIN CENTER 163616,S200000,00400,0200,225291 163616,S200000,00400,0300,11/03/86 163616,S200000,00400,0500,P 163616,S200000,01500,0100,N 163616,S200000,01600,0100,Y 163616,S200000,01700,0100,N 163616,S200000,01800,0100,N 163616,S200000,02200,0100,N 163616,S200000,02800,0100,N 163616,S200000,02900,0100,N 163616,S200000,03000,0100,N 163616,S200000,03100,0100,N 163616,S200000,03200,0100,N 163616,S200000,03300,0100,N 163616,S200000,03300,0200,N 163616,S200000,04100,0100,N 163616,S200000,04200,0100,N 163616,S200000,04300,0100,N 163616,S200000,04600,0100,N 163616,S200000,04700,0100,N 163616,S200000,04900,0100,N 163616,S200000,05200,0100,N 163618,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163618,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163618,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163618,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163618,A000000,00300,0000,0300EMPLOYEE BENEFITS 163618,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163618,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163618,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163618,A000000,00700,0000,0700HOUSEKEEPING 163618,A000000,00800,0000,0800DIETARY 163618,A000000,00801,0000,0801CAFETERIA 163618,A000000,00900,0000,0900NURSING ADMINISTRATION 163618,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163618,A000000,01100,0000,1100PHARMACY 163618,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163618,A000000,01300,0000,1300SOCIAL SERVICE 163618,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163618,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 163618,A000000,01600,0000,1600SKILLED NURSING FACILITY 163618,A000000,01800,0000,1800NURSING FACILITY 163618,A000000,01810,0000,1810ICF/MR 163618,A000000,02100,0000,2100RADIOLOGY 163618,A000000,02200,0000,2200LABORATORY 163618,A000000,02300,0000,2300INTRAVENOUS THERAPY 163618,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163618,A000000,02500,0000,2500PHYSICAL THERAPY 163618,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163618,A000000,02700,0000,2700SPEECH PATHOLOGY 163618,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163618,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163618,A000000,03200,0000,3200SUPPORT SURFACES 163618,A000000,03300,0000,3050OTHER ANCILLARY 163618,A000000,03301,0000,3051OTHER ANCILLARY II 163618,A000000,03302,0000,3052OTHER ANCILLARY III 163618,A000000,03550,0000,3550FQHC 163618,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163618,A000000,04801,0000,4801AMBULANCE 163618,A000000,04802,0000,4802AMBULANCE 163618,A000000,04803,0000,4803AMBULANCE 163618,A000000,05000,0000,5000CORF I 163618,A000000,05010,0000,5010CMHC I 163618,A000000,05020,0000,5020OPT I 163618,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163618,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163618,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163618,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163618,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163618,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163618,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163618,A81000A,00100,0100,Y 163618,A81000B,00100,0300,HOME OFFICE ALLOCATION 163618,A81000B,00200,0300,H.O. CAP RELATED 163618,A81000B,00300,0300,PT 163618,A81000B,00400,0300,OT 163618,A81000B,00500,0300,ST 163618,A81000B,00600,0300,MED SUPPLIES 163618,A81000B,00700,0300,DRUGS 163618,A81000B,00800,0300,OXYGEN 163618,A81000B,00900,0300,CASE MGMT 163618,A81000C,00100,0100,B 163618,A81000C,00100,0200,GENEESIS HEALTS 163618,A81000C,00100,0600,MGMT CO 163618,A81000C,00200,0100,B 163618,A81000C,00200,0200,NEIGHBORCARE 163618,A81000C,00200,0600,PHARMACY 163618,A81000C,00300,0100,B 163618,A81000C,00300,0200,GENESIS SCVS 163618,A81000C,00300,0600,VARIOUS 163618,A81000C,00400,0100,B 163618,A81000C,00400,0200,GENESIS PHYS 163618,A81000C,00400,0600,CASE MGMT 163618,A81000C,00500,0100,B 163618,A81000C,00500,0200,GENESIS REHAB 163618,A81000C,00500,0600,RT 163618,B100000,00000,0100,0100(SQUARE FEET) 163618,B100000,00000,0101,0101(SQUARE FEET) 163618,B100000,00000,0200,0200(SQUARE FEET) 163618,B100000,00000,0201,0201(SQUARE FEET) 163618,B100000,00000,0300,0300(GROSS SALARIES) 163618,B100000,00000,0400,0400ACCUM COST 163618,B100000,00000,0500,0500(SQUARE FEET) 163618,B100000,00000,0600,0600(PATIENT DAYS) 163618,B100000,00000,0700,0700(SQUARE FEET) 163618,B100000,00000,0800,0800(MEALS SERVED) 163618,B100000,00000,0801,0801(MEALS SERVED) 163618,B100000,00000,0900,0900(NURSING SALARIES) 163618,B100000,00000,1000,1000(PATIENT DAYS) 163618,B100000,00000,1100,1100(PATIENT DAYS) 163618,B100000,00000,1200,1200(GROSS CHARGES) 163618,B100000,00000,1300,1300(PATIENT DAYS) 163618,B100000,00000,1400,1400(ASSIGNED TIME) 163618,B100000,00000,1500,1350(PATIENT DAYS) 163618,E10A180,00501,0100,03/30/00 163618,E10A180,00501,0300,03/30/00 163618,E10A180,00550,0100,04/12/01 163618,E10A180,00550,0300,04/12/01 163618,S000000,00100,0200,02/29/00 163618,S200000,00100,0100,8200 GOOD LUCK RD. 163618,S200000,00200,0100,LANHAM 163618,S200000,00200,0200,MD 163618,S200000,00200,0300,20706 163618,S200000,00300,0100,PRINCE GEORGE 163618,S200000,00300,0200,8840 163618,S200000,00300,0300,U 163618,S200000,00400,0100,MAGNOLIA 163618,S200000,00400,0200,215108 163618,S200000,00400,0300,04/01/96 163618,S200000,00400,0500,P 163618,S200000,01500,0100,N 163618,S200000,01600,0100,Y 163618,S200000,01700,0100,N 163618,S200000,01800,0100,N 163618,S200000,02200,0100,Y 163618,S200000,02800,0100,N 163618,S200000,02900,0100,N 163618,S200000,03000,0100,N 163618,S200000,03100,0100,N 163618,S200000,03200,0100,N 163618,S200000,03300,0100,N 163618,S200000,03300,0200,N 163618,S200000,04100,0100,N 163618,S200000,04200,0100,N 163618,S200000,04300,0100,N 163618,S200000,04700,0100,N 163618,S200000,05200,0100,N 163633,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163633,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163633,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163633,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163633,A000000,00300,0000,0300EMPLOYEE BENEFITS 163633,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163633,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163633,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163633,A000000,00700,0000,0700HOUSEKEEPING 163633,A000000,00800,0000,0800DIETARY 163633,A000000,00801,0000,0801CAFETERIA 163633,A000000,00900,0000,0900NURSING ADMINISTRATION 163633,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163633,A000000,01100,0000,1100PHARMACY 163633,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163633,A000000,01300,0000,1300SOCIAL SERVICE 163633,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163633,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 163633,A000000,01600,0000,1600SKILLED NURSING FACILITY 163633,A000000,01800,0000,1800NURSING FACILITY 163633,A000000,01810,0000,1810ICF/MR 163633,A000000,02100,0000,2100RADIOLOGY 163633,A000000,02200,0000,2200LABORATORY 163633,A000000,02300,0000,2300INTRAVENOUS THERAPY 163633,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163633,A000000,02500,0000,2500PHYSICAL THERAPY 163633,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163633,A000000,02700,0000,2700SPEECH PATHOLOGY 163633,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163633,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163633,A000000,03200,0000,3200SUPPORT SURFACES 163633,A000000,03300,0000,3050PEN PART B 163633,A000000,03301,0000,3051FEE SCREENING 163633,A000000,03302,0000,3052OTHER ANCILLARY III 163633,A000000,03550,0000,3550FQHC 163633,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163633,A000000,04801,0000,4801AMBULANCE 163633,A000000,04802,0000,4802AMBULANCE 163633,A000000,04803,0000,4803AMBULANCE 163633,A000000,05000,0000,5000CORF I 163633,A000000,05010,0000,5010CMHC I 163633,A000000,05020,0000,5020OPT I 163633,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163633,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163633,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163633,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163633,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163633,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163633,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163633,A81000A,00100,0100,Y 163633,A81000B,00100,0300,HOME OFFICE 163633,A81000B,00200,0300,HOME OFFICE 163633,A81000B,00300,0300,PT 163633,A81000B,00400,0300,OT 163633,A81000B,00500,0300,ST 163633,A81000B,00600,0300,DIETARY SUPPLEMENTS 163633,A81000B,00700,0300,CENTRAL SUPPLY 163633,A81000B,00800,0300,MEDICAL SUPPLIES 163633,A81000B,00900,0300,DRUGS 163633,A81000C,00100,0100,B 163633,A81000C,00100,0200,GENESIS HEALTH 163633,A81000C,00100,0600,MGMNT CO 163633,A81000C,00200,0100,B 163633,A81000C,00200,0200,NEIGHBORCARE 163633,A81000C,00200,0600,PHARMACY CO 163633,A81000C,00300,0100,B 163633,A81000C,00300,0200,GENESIS SERVICE 163633,A81000C,00300,0600,VARIOUS 163633,A81000C,00400,0100,B 163633,A81000C,00400,0200,RESPIR HEALTH 163633,A81000C,00400,0600,THERAPY 163633,B100000,00000,0100,0100(SQUARE FEET) 163633,B100000,00000,0101,0101(SQUARE FEET) 163633,B100000,00000,0200,0200(SQUARE FEET) 163633,B100000,00000,0201,0201(SQUARE FEET) 163633,B100000,00000,0300,0300(GROSS SALARIES) 163633,B100000,00000,0400,0400ACCUM COST 163633,B100000,00000,0500,0500(SQUARE FEET) 163633,B100000,00000,0600,0600(PATIENT DAYS) 163633,B100000,00000,0700,0700(SQUARE FEET) 163633,B100000,00000,0800,0800(MEALS SERVED) 163633,B100000,00000,0801,0801(MEALS SERVED) 163633,B100000,00000,0900,0900(PATIENT DAYS) 163633,B100000,00000,1000,1000(COSTED REQUIS.) 163633,B100000,00000,1100,1100(PATIENT DAYS) 163633,B100000,00000,1200,1200(GROSS CHARGES) 163633,B100000,00000,1300,1300(PATIENT DAYS) 163633,B100000,00000,1400,1400(ASSIGNED TIME) 163633,B100000,00000,1500,1350(PATIENT DAYS) 163633,E10A180,00501,0100,01/09/01 163633,E10A180,00501,0300,03/14/00 163633,E10A180,00550,0100,03/14/00 163633,E10A180,00550,0300,01/09/01 163633,S000000,00100,0200,03/06/00 163633,S200000,00100,0100,16 FUSTING AVE 163633,S200000,00200,0100,BALTIMORE 163633,S200000,00200,0200,MD 163633,S200000,00200,0300,21228 163633,S200000,00300,0200,0720 163633,S200000,00300,0300,U 163633,S200000,00400,0100,CATONSVILLE 163633,S200000,00400,0200,215097 163633,S200000,00400,0300,12/01/93 163633,S200000,00400,0500,P 163633,S200000,01500,0100,N 163633,S200000,01600,0100,Y 163633,S200000,01700,0100,N 163633,S200000,01800,0100,N 163633,S200000,02200,0100,Y 163633,S200000,02800,0100,N 163633,S200000,02900,0100,N 163633,S200000,03000,0100,N 163633,S200000,03100,0100,N 163633,S200000,03200,0100,N 163633,S200000,03300,0100,N 163633,S200000,03300,0200,N 163633,S200000,04100,0100,N 163633,S200000,04200,0100,N 163633,S200000,04300,0100,N 163633,S200000,04700,0100,N 163633,S200000,05200,0100,N 163634,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163634,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163634,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163634,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163634,A000000,00300,0000,0300EMPLOYEE BENEFITS 163634,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163634,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163634,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163634,A000000,00700,0000,0700HOUSEKEEPING 163634,A000000,00800,0000,0800DIETARY 163634,A000000,00801,0000,0801CAFETERIA 163634,A000000,00900,0000,0900NURSING ADMINISTRATION 163634,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163634,A000000,01100,0000,1100PHARMACY 163634,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163634,A000000,01300,0000,1300SOCIAL SERVICE 163634,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163634,A000000,01500,0000,1350ACTIVITIES 163634,A000000,01600,0000,1600SKILLED NURSING FACILITY 163634,A000000,01800,0000,1800NURSING FACILITY 163634,A000000,01810,0000,1810ICF/MR 163634,A000000,02300,0000,2300INTRAVENOUS THERAPY 163634,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163634,A000000,02500,0000,2500PHYSICAL THERAPY 163634,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163634,A000000,02700,0000,2700SPEECH PATHOLOGY 163634,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163634,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163634,A000000,03200,0000,3200SUPPORT SURFACES 163634,A000000,03300,0000,3050PEN PART B 163634,A000000,03301,0000,3051FEE SCREENING 163634,A000000,03302,0000,3052OTHER ANCILLARY III 163634,A000000,03550,0000,3550FQHC 163634,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163634,A000000,04801,0000,4801AMBULANCE 163634,A000000,04802,0000,4802AMBULANCE 163634,A000000,04803,0000,4803AMBULANCE 163634,A000000,05000,0000,5000CORF I 163634,A000000,05010,0000,5010CMHC I 163634,A000000,05020,0000,5020OPT I 163634,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163634,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163634,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163634,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163634,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163634,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163634,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163634,A81000A,00100,0100,Y 163634,A81000B,00100,0300,HOME OFFICE ALLOC 163634,A81000B,00200,0300,PT 163634,A81000B,00300,0300,OT 163634,A81000B,00400,0300,ST 163634,A81000B,00500,0300,CENTRAL SUPPLY 163634,A81000B,00600,0300,OXYGEN/RT 163634,A81000B,00700,0300,MED SUPP 163634,A81000B,00800,0300,DRUGS CHARGED 163634,A81000B,00900,0300,CAPITAL 163634,A81000C,00100,0100,B 163634,A81000C,00100,0200,GENESIS ELDER 163634,A81000C,00100,0600,MGMT CO 163634,A81000C,00200,0100,B 163634,A81000C,00200,0200,NEIGHBORCARE 163634,A81000C,00200,0600,PHARMACY 163634,A81000C,00300,0100,B 163634,A81000C,00300,0200,GENESIS SERVICE 163634,A81000C,00300,0600,THERAPY 163634,A81000C,00400,0100,B 163634,A81000C,00400,0200,GENE PHYS SERV 163634,A81000C,00400,0600,CASE MGMT 163634,A81000C,00500,0100,B 163634,A81000C,00500,0200,RESP HLTH SERV 163634,A81000C,00500,0600,RT 163634,B100000,00000,0100,0100(SQUARE FEET) 163634,B100000,00000,0101,0101(SQUARE FEET) 163634,B100000,00000,0200,0200(SQUARE FEET) 163634,B100000,00000,0201,0201(SQUARE FEET) 163634,B100000,00000,0300,0300(GROSS SALARIES) 163634,B100000,00000,0400,0400ACCUM COST 163634,B100000,00000,0500,0500(SQUARE FEET) 163634,B100000,00000,0600,0600(PATIENT DAYS) 163634,B100000,00000,0700,0700(SQUARE FEET) 163634,B100000,00000,0800,0800(MEALS SERVED) 163634,B100000,00000,0801,0801(MEALS SERVED) 163634,B100000,00000,0900,0900(PATIENT DAYS) 163634,B100000,00000,1000,1000(COSTED REQUIS.) 163634,B100000,00000,1100,1100(COSTED REQUIS.) 163634,B100000,00000,1200,1200(GROSS CHARGES) 163634,B100000,00000,1300,1300(PATIENT DAYS) 163634,B100000,00000,1400,1400(ASSIGNED TIME) 163634,B100000,00000,1500,1350(PATIENT DAYS) 163634,E10A180,00501,0100,03/23/00 163634,E10A180,00501,0300,03/23/00 163634,E10A180,00550,0100,05/25/01 163634,E10A180,00550,0300,05/25/01 163634,S000000,00100,0200,02/29/00 163634,S200000,00100,0100,7232 GERMAN HILL RD 163634,S200000,00200,0100,DUNDALK 163634,S200000,00200,0200,MD 163634,S200000,00200,0300,21222 163634,S200000,00300,0100,BALTIMORE 163634,S200000,00300,0200,0720 163634,S200000,00300,0300,U 163634,S200000,00400,0100,HERITAGE CENTER 163634,S200000,00400,0200,215135 163634,S200000,00400,0300,12/01/93 163634,S200000,00400,0500,P 163634,S200000,01500,0100,N 163634,S200000,01600,0100,Y 163634,S200000,01700,0100,N 163634,S200000,01800,0100,N 163634,S200000,02200,0100,Y 163634,S200000,02800,0100,N 163634,S200000,02900,0100,N 163634,S200000,03000,0100,N 163634,S200000,03100,0100,N 163634,S200000,03200,0100,N 163634,S200000,03300,0100,N 163634,S200000,03300,0200,N 163634,S200000,04100,0100,N 163634,S200000,04200,0100,N 163634,S200000,04300,0100,N 163634,S200000,04600,0100,N 163634,S200000,04700,0100,N 163634,S200000,04900,0100,N 163634,S200000,05200,0100,N 163637,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163637,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163637,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163637,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163637,A000000,00300,0000,0300EMPLOYEE BENEFITS 163637,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163637,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163637,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163637,A000000,00700,0000,0700HOUSEKEEPING 163637,A000000,00800,0000,0800DIETARY 163637,A000000,00801,0000,0801CAFETERIA 163637,A000000,00900,0000,0900NURSING ADMINISTRATION 163637,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163637,A000000,01100,0000,1100PHARMACY 163637,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163637,A000000,01300,0000,1300SOCIAL SERVICE 163637,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163637,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 163637,A000000,01600,0000,1600SKILLED NURSING FACILITY 163637,A000000,01800,0000,1800NURSING FACILITY 163637,A000000,01810,0000,1810ICF/MR 163637,A000000,02100,0000,2100RADIOLOGY 163637,A000000,02200,0000,2200LABORATORY 163637,A000000,02300,0000,2300INTRAVENOUS THERAPY 163637,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163637,A000000,02500,0000,2500PHYSICAL THERAPY 163637,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163637,A000000,02700,0000,2700SPEECH PATHOLOGY 163637,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163637,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163637,A000000,03200,0000,3200SUPPORT SURFACES 163637,A000000,03300,0000,3050PEN PART B 163637,A000000,03301,0000,3051FEE SCREENING 163637,A000000,03302,0000,3052OTHER ANCILLARY III 163637,A000000,03550,0000,3550FQHC 163637,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163637,A000000,04801,0000,4801AMBULANCE 163637,A000000,04802,0000,4802AMBULANCE 163637,A000000,04803,0000,4803AMBULANCE 163637,A000000,05000,0000,5000CORF I 163637,A000000,05010,0000,5010CMHC I 163637,A000000,05020,0000,5020OPT I 163637,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163637,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163637,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163637,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163637,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163637,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163637,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163637,A81000A,00100,0100,Y 163637,A81000B,00100,0300,HOME OFFICE ALLOWED 163637,A81000B,00200,0300,HOME OFFICE ALLOWED 163637,A81000B,00300,0300,PHYSICAL THERAPY 163637,A81000B,00400,0300,OCCUPATIONAL THERAPY 163637,A81000B,00500,0300,SPEECH THERAPY 163637,A81000B,00600,0300,DRUGS CHARGED 163637,A81000B,00700,0300,CLINITRON 163637,A81000B,00800,0300,MEDICAL SUPPLIES 163637,A81000B,00900,0300,CASE MGMNT 163637,A81000C,00100,0100,B 163637,A81000C,00100,0200,GENESIS ELDER 163637,A81000C,00100,0600,MGMNT CO. 163637,A81000C,00200,0100,B 163637,A81000C,00200,0200,NEIGHBORCARE 163637,A81000C,00200,0600,PHARMACY 163637,A81000C,00300,0100,B 163637,A81000C,00300,0200,GENESIS SERVICE 163637,A81000C,00300,0600,THERAPY SVC 163637,B100000,00000,0100,0100(SQUARE FEET) 163637,B100000,00000,0101,0101(SQUARE FEET) 163637,B100000,00000,0200,0200(SQUARE FEET) 163637,B100000,00000,0201,0201(SQUARE FEET) 163637,B100000,00000,0300,0300(GROSS SALARIES) 163637,B100000,00000,0400,0400ACCUM COST 163637,B100000,00000,0500,0500(SQUARE FEET) 163637,B100000,00000,0600,0600(PATIENT DAYS) 163637,B100000,00000,0700,0700(SQUARE FEET) 163637,B100000,00000,0800,0800(MEALS SERVED) 163637,B100000,00000,0801,0801(MEALS SERVED) 163637,B100000,00000,0900,0900(PATIENT DAYS) 163637,B100000,00000,1000,1000(COSTED REQUIS.) 163637,B100000,00000,1100,1100(PATIENT DAYS) 163637,B100000,00000,1200,1200(GROSS CHARGES) 163637,B100000,00000,1300,1300(PATIENT DAYS) 163637,B100000,00000,1400,1400(ASSIGNED TIME) 163637,B100000,00000,1500,1350(PATIENT DAYS) 163637,E10A180,00501,0100,03/03/00 163637,E10A180,00501,0300,03/03/00 163637,E10A180,00502,0100,05/18/01 163637,E10A180,00550,0300,05/18/01 163637,S000000,00100,0200,02/29/00 163637,S200000,00100,0100,24 TRUCKHOUSE RD 163637,S200000,00200,0100,SEVERNA PARK 163637,S200000,00200,0200,MD 163637,S200000,00200,0300,21146 163637,S200000,00300,0200,0720 163637,S200000,00300,0300,U 163637,S200000,00400,0100,SEVERNA PARK 163637,S200000,00400,0200,215143 163637,S200000,00400,0300,12/01/93 163637,S200000,00400,0500,P 163637,S200000,01500,0100,N 163637,S200000,01600,0100,Y 163637,S200000,01700,0100,N 163637,S200000,01800,0100,N 163637,S200000,02200,0100,Y 163637,S200000,02800,0100,N 163637,S200000,02900,0100,N 163637,S200000,03000,0100,N 163637,S200000,03100,0100,N 163637,S200000,03200,0100,N 163637,S200000,03300,0100,N 163637,S200000,03300,0200,N 163637,S200000,04100,0100,N 163637,S200000,04200,0100,N 163637,S200000,04300,0100,N 163637,S200000,04700,0100,N 163637,S200000,05200,0100,N 163746,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163746,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163746,A000000,00300,0000,0300EMPLOYEE BENEFITS 163746,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163746,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163746,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163746,A000000,00700,0000,0700HOUSEKEEPING 163746,A000000,00800,0000,0800DIETARY 163746,A000000,00900,0000,0900NURSING ADMINISTRATION 163746,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163746,A000000,01100,0000,1100PHARMACY 163746,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163746,A000000,01300,0000,1300SOCIAL SERVICE 163746,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163746,A000000,01600,0000,1600SKILLED NURSING FACILITY 163746,A000000,01810,0000,1810ICF/MR 163746,A000000,02200,0000,2200LABORATORY 163746,A000000,02300,0000,2300INTRAVENOUS THERAPY 163746,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163746,A000000,02500,0000,2500PHYSICAL THERAPY 163746,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163746,A000000,02700,0000,2700SPEECH PATHOLOGY 163746,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163746,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163746,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 163746,A000000,03301,0000,3051AIR FLUDIZED THERAPY 163746,A000000,03550,0000,3550FQHC 163746,A000000,04800,0000,4800AMBULANCE 163746,A000000,04801,0000,4801AMBULANCE 163746,A000000,04802,0000,4802AMBULANCE 163746,A000000,04803,0000,4803AMBULANCE 163746,A000000,05000,0000,5000CORF 163746,A000000,05010,0000,5010CMHC 163746,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163746,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163746,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163746,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163746,A81000A,00100,0100,Y 163746,A81000B,00100,0300,H.O. CAP REALTED BLDG & FIXT 163746,A81000B,00200,0300,H.O. CAP RELATED MOV EQUIP 163746,A81000B,00300,0300,H.O. ADMINISTATIVE COST 163746,A81000C,00100,0100,B 163746,A81000C,00100,0200,BOND JOHNSON & BOND 163746,B100000,00000,0100,0100SQUARE FEET 163746,B100000,00000,0200,0200SQUARE FEET 163746,B100000,00000,0300,0300GROSS SALARIES 163746,B100000,00000,0400,0400ACCUM COST 163746,B100000,00000,0500,0500SQUARE FEET 163746,B100000,00000,0600,0600POUNDS OF LAUNDRY 163746,B100000,00000,0700,0700SQUARE FEET 163746,B100000,00000,0800,0800MEALS SERVED 163746,B100000,00000,0900,0900DIRECT NURSING HR 163746,B100000,00000,1000,1000COSTED REQUIS 163746,B100000,00000,1100,1100COSTED REQUIS 163746,B100000,00000,1200,1200TIME SPENT 163746,B100000,00000,1300,1300TIME SPENT 163746,B100000,00000,1400,1400ASSIGNED TIME 163746,S000000,00100,0200,05/30/00 163746,S200000,00100,0100,162 READ ROAD 163746,S200000,00200,0100,PICAYUNE 163746,S200000,00200,0200,MS 163746,S200000,00300,0100,PEARL RIVER 163746,S200000,00300,0200,0025 163746,S200000,00300,0300,R 163746,S200000,00400,0100,PICAYUNE CONVALESCENT CENTER 163746,S200000,00400,0200,255141 163746,S200000,00400,0300,03/01/95 163746,S200000,00400,0500,P 163746,S200000,01500,0100,Y 163746,S200000,01600,0100,N 163746,S200000,01700,0100,N 163746,S200000,01800,0100,N 163746,S200000,02200,0100,Y 163746,S200000,02800,0100,N 163746,S200000,02900,0100,N 163746,S200000,03000,0100,N 163746,S200000,03100,0100,N 163746,S200000,03200,0100,N 163746,S200000,03300,0100,N 163746,S200000,03300,0200,N 163746,S200000,04100,0100,N 163746,S200000,04200,0100,N 163746,S200000,04300,0100,N 163746,S200000,04600,0100,N 163746,S200000,04700,0100,N 163746,S200000,04900,0100,N 163746,S200000,05200,0100,N 163747,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163747,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163747,A000000,00300,0000,0300EMPLOYEE BENEFITS 163747,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163747,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163747,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163747,A000000,00700,0000,0700HOUSEKEEPING 163747,A000000,00800,0000,0800DIETARY 163747,A000000,00900,0000,0900NURSING ADMINISTRATION 163747,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163747,A000000,01100,0000,1100PHARMACY 163747,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163747,A000000,01300,0000,1300SOCIAL SERVICE 163747,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163747,A000000,01500,0000,1350ACTIVITIES 163747,A000000,01600,0000,1600SKILLED NURSING FACILITY 163747,A000000,01800,0000,1800NURSING FACILITY 163747,A000000,01810,0000,1810ICF/MR 163747,A000000,02300,0000,2300INTRAVENOUS THERAPY 163747,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163747,A000000,02500,0000,2500PHYSICAL THERAPY 163747,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163747,A000000,02700,0000,2700SPEECH PATHOLOGY 163747,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163747,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163747,A000000,03550,0000,3550FQHC 163747,A000000,04801,0000,4801AMBULANCE 163747,A000000,04802,0000,4802AMBULANCE 163747,A000000,04803,0000,4803AMBULANCE 163747,A000000,05000,0000,5000CORF 163747,A000000,05010,0000,5010CMHC 163747,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163747,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163747,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163747,A000000,05300,0000,5300INTEREST EXPENSE 163747,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 163747,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163747,A81000A,00100,0100,Y 163747,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 163747,A81000B,00200,0300,HOME OFFICE A&G 163747,A81000C,00100,0100,B 163747,A81000C,00100,0400,HEALTHCARE PROPERTIES IN 163747,A81000C,00100,0600,HOME OFFICE 163747,A81000C,00200,0100,B 163747,A81000C,00200,0400,HEALTHCARE PROPERTIES IN 163747,A81000C,00200,0600,HOME OFFICE 163747,B100000,00000,0100,0100SQUARE FEET 163747,B100000,00000,0200,0200DOLLAR VALUE 163747,B100000,00000,0300,0300GROSS SALARIES 163747,B100000,00000,0400,0400ACCUM COST 163747,B100000,00000,0500,0500SQUARE FEET 163747,B100000,00000,0600,0600POUNDS OF LAUNDRY 163747,B100000,00000,0700,0700SQUARE FEET M 163747,B100000,00000,0800,0800MEALS SERVED 163747,B100000,00000,0900,0900DIRECT NRSING HRS 163747,B100000,00000,1000,1000COSTED REQUIS. 163747,B100000,00000,1100,1100COSTED REQUIS. 163747,B100000,00000,1200,1200TIME SPENT 163747,B100000,00000,1300,1300TIME SPENT 163747,B100000,00000,1400,1400ASSIGNED TIME 163747,B100000,00000,1500,1350NO STATISTICS 163747,S000000,00100,0200,04/28/00 163747,S200000,00100,0100,1106 SOUTH OAK RR #3 163747,S200000,00200,0100,CALIFORNIA 163747,S200000,00200,0200,MO 163747,S200000,00200,0300,65018 163747,S200000,00300,0100,MONITEAU 163747,S200000,00300,0200,0026 163747,S200000,00300,0300,R 163747,S200000,00400,0100,CALIFORNIA CARE CENTER 163747,S200000,00400,0200,265396 163747,S200000,00400,0300,11/01/89 163747,S200000,00400,0500,P 163747,S200000,01500,0100,N 163747,S200000,01600,0100,Y 163747,S200000,01700,0100,N 163747,S200000,01800,0100,N 163747,S200000,02200,0100,N 163747,S200000,02800,0100,Y 163747,S200000,02900,0100,N 163747,S200000,03000,0100,N 163747,S200000,03100,0100,Y 163747,S200000,03200,0100,N 163747,S200000,03300,0100,N 163747,S200000,03300,0200,N 163747,S200000,04100,0100,N 163747,S200000,04200,0100,N 163747,S200000,04300,0100,N 163747,S200000,04600,0100,N 163747,S200000,04700,0100,N 163747,S200000,04900,0100,N 163750,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163750,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163750,A000000,00300,0000,0300EMPLOYEE BENEFITS 163750,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163750,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163750,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163750,A000000,00700,0000,0700HOUSEKEEPING 163750,A000000,00800,0000,0800DIETARY 163750,A000000,00900,0000,0900NURSING ADMINISTRATION 163750,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163750,A000000,01100,0000,1100PHARMACY 163750,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163750,A000000,01300,0000,1300SOCIAL SERVICE 163750,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163750,A000000,01600,0000,1600SKILLED NURSING FACILITY 163750,A000000,01800,0000,1800NURSING FACILITY 163750,A000000,01810,0000,1810ICF/MR 163750,A000000,02500,0000,2500PHYSICAL THERAPY 163750,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163750,A000000,02700,0000,2700SPEECH PATHOLOGY 163750,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163750,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163750,A000000,03550,0000,3550FQHC 163750,A000000,04801,0000,4801AMBULANCE 163750,A000000,04802,0000,4802AMBULANCE 163750,A000000,04803,0000,4803AMBULANCE 163750,A000000,05000,0000,5000CORF 163750,A000000,05010,0000,5010CMHC 163750,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163750,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163750,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163750,A000000,05300,0000,5300INTEREST EXPENSE 163750,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 163750,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163750,A81000A,00100,0100,Y 163750,A81000B,00100,0300,DEPRECIATION 163750,A81000B,00200,0300,UTILITIES 163750,A81000B,00300,0300,INSURANCE 163750,A81000B,00400,0300,MAINTENANCE 163750,A81000B,00500,0300,SALARIES 163750,A81000B,00600,0300,SUPPLIES 163750,A81000C,00100,0100,A 163750,B100000,00000,0100,0100SQUARE FEET 163750,B100000,00000,0200,0200SQUARE FEET 163750,B100000,00000,0300,0300GROSS SALARIES 163750,B100000,00000,0400,0400ACCUM COST 163750,B100000,00000,0500,0500SQUARE FEET 163750,B100000,00000,0600,0600POUNDS OF LAUNDRY 163750,B100000,00000,0700,0700SQUARE FEET 163750,B100000,00000,0800,0800MEALS SERVED 163750,B100000,00000,0900,0900DIRECT NRSING HRS 163750,B100000,00000,1000,1000COSTED REQUIS 163750,B100000,00000,1100,1100COSTED REQUIS 163750,B100000,00000,1200,1200TIME SPENT 163750,B100000,00000,1300,1300TIME SPENT 163750,B100000,00000,1400,1400ASSIGNED TIME 163750,S000000,00100,0200,11/13/00 163750,S200000,00100,0100,5700 ARSENAL ST. 163750,S200000,00200,0100,ST. LOUIS 163750,S200000,00200,0200,MO 163750,S200000,00200,0300,63139 163750,S200000,00300,0100,ST. LOUIS CITY 163750,S200000,00300,0200,7040 163750,S200000,00300,0300,U 163750,S200000,00400,0100,HARRY S TRUMAN RESTORATIVE CENTER 163750,S200000,00400,0200,265584 163750,S200000,00400,0300,12/01/94 163750,S200000,00400,0500,P 163750,S200000,01500,0100,N 163750,S200000,01600,0100,Y 163750,S200000,01700,0100,N 163750,S200000,01800,0100,N 163750,S200000,02200,0100,N 163750,S200000,02800,0100,N 163750,S200000,02900,0100,N 163750,S200000,03000,0100,N 163750,S200000,03100,0100,N 163750,S200000,03200,0100,N 163750,S200000,03300,0100,N 163750,S200000,03300,0200,N 163750,S200000,04100,0100,N 163750,S200000,04200,0100,N 163750,S200000,04300,0100,N 163750,S200000,04600,0100,N 163750,S200000,04700,0100,N 163750,S200000,04700,0200,N 163750,S200000,04900,0100,N 163833,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163833,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163833,A000000,00300,0000,0300EMPLOYEE BENEFITS 163833,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163833,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163833,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163833,A000000,00700,0000,0700HOUSEKEEPING 163833,A000000,00800,0000,0800DIETARY 163833,A000000,00900,0000,0900NURSING ADMINISTRATION 163833,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163833,A000000,01100,0000,1100PHARMACY 163833,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163833,A000000,01300,0000,1300SOCIAL SERVICE 163833,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163833,A000000,01500,0000,1350OTHER GENERAL SERVICES 163833,A000000,01600,0000,1600SKILLED NURSING FACILITY 163833,A000000,01800,0000,1800NURSING FACILITY 163833,A000000,01810,0000,1810ICF/MR 163833,A000000,02100,0000,2100RADIOLOGY 163833,A000000,02200,0000,2200LABORATORY 163833,A000000,02300,0000,2300INTRAVENOUS THERAPY 163833,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163833,A000000,02500,0000,2500PHYSICAL THERAPY 163833,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163833,A000000,02700,0000,2700SPEECH PATHOLOGY 163833,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163833,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163833,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 163833,A000000,03550,0000,3550FQHC 163833,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 163833,A000000,04801,0000,4801AMBULANCE 163833,A000000,04802,0000,4802AMBULANCE 163833,A000000,04803,0000,4803AMBULANCE 163833,A000000,05000,0000,5000CORF 163833,A000000,05010,0000,5010CMHC 163833,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163833,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163833,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163833,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163833,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 163833,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163833,A81000A,00100,0100,Y 163833,A81000B,00100,0300,MANAGEMENT FEES 163833,A81000C,00100,0100,A 163833,A81000C,00100,0200,SOUTHLAND MANAGEMENT CO 163833,A81000C,00100,0400,SOUTHLAND MANAGEMENT CO 163833,A81000C,00100,0600,MANAGEMENT COMPANY 163833,B100000,00000,0100,0100SQUARE FEET 163833,B100000,00000,0200,0200SQUARE FEET 163833,B100000,00000,0300,0300TOTAL SALARIES 163833,B100000,00000,0400,0400ACCUM COST 163833,B100000,00000,0500,0500SQUARE FEET 163833,B100000,00000,0600,0600POUNDS OF LAUNDRY 163833,B100000,00000,0700,0700SQUARE FEET 163833,B100000,00000,0800,0800MEALS SERVED 163833,B100000,00000,0900,0900DIRECT HOURS 163833,B100000,00000,1000,1000COSTED REQUIS. 163833,B100000,00000,1100,1100COSTEDREQU UISITIONS 163833,B100000,00000,1200,1200TIME SPENT 163833,B100000,00000,1300,1300TIME SPENT 163833,B100000,00000,1400,1400NO STATISTICS 163833,B100000,00000,1500,1350NO STATISTICS 163833,E10A180,00501,0100,03/01/01 163833,E10A180,00501,0300,03/01/01 163833,S000000,00100,0200,01/23/01 163833,S200000,00100,0100,6TH & 16TH STREET 163833,S200000,00100,0300,683 163833,S200000,00200,0100,OAKDALE 163833,S200000,00200,0200,LA 163833,S200000,00200,0300,71463 163833,S200000,00300,0100,A 163833,S200000,00300,0200,0019 163833,S200000,00300,0300,R 163833,S200000,00400,0100,ALLEN OAKS NURSING HOME 163833,S200000,00400,0200,195384 163833,S200000,00400,0300,09/20/96 163833,S200000,00400,0500,P 163833,S200000,01500,0100,N 163833,S200000,01600,0100,Y 163833,S200000,01700,0100,N 163833,S200000,01800,0100,N 163833,S200000,02200,0100,N 163833,S200000,02800,0100,N 163833,S200000,02900,0100,N 163833,S200000,03000,0100,N 163833,S200000,03100,0100,N 163833,S200000,03200,0100,N 163833,S200000,03300,0100,N 163833,S200000,03300,0200,N 163833,S200000,04100,0100,N 163833,S200000,04200,0100,N 163833,S200000,04300,0100,N 163833,S200000,04600,0100,N 163833,S200000,04700,0100,N 163833,S200000,04900,0100,N 163833,S200000,05200,0100,N 163837,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163837,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163837,A000000,00300,0000,0300EMPLOYEE BENEFITS 163837,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163837,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163837,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163837,A000000,00700,0000,0700HOUSEKEEPING 163837,A000000,00800,0000,0800DIETARY 163837,A000000,00900,0000,0900NURSING ADMINISTRATION 163837,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163837,A000000,01100,0000,1100PHARMACY 163837,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163837,A000000,01300,0000,1300SOCIAL SERVICE 163837,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163837,A000000,01600,0000,1600SKILLED NURSING FACILITY 163837,A000000,01800,0000,1800NURSING FACILITY 163837,A000000,01810,0000,1810ICF/MR 163837,A000000,02100,0000,2100RADIOLOGY 163837,A000000,02200,0000,2200LABORATORY 163837,A000000,02500,0000,2500PHYSICAL THERAPY 163837,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163837,A000000,02700,0000,2700SPEECH PATHOLOGY 163837,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163837,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163837,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 163837,A000000,03550,0000,3550FQHC 163837,A000000,04801,0000,4801AMBULANCE 163837,A000000,04802,0000,4802AMBULANCE 163837,A000000,04803,0000,4803AMBULANCE 163837,A000000,05000,0000,5000CORF 163837,A000000,05010,0000,5010CMHC 163837,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 163837,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163837,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163837,A81000A,00100,0100,Y 163837,A81000B,00100,0300,MANAGEMENT FEES- HOME OFFICE 163837,A81000B,00200,0300,BOARD OF DIRECTOR FEES 163837,A81000B,00300,0300,BOARD OF DIRECTOR FEES 163837,A81000C,00100,0100,A 163837,A81000C,00100,0200,ROYCE & STEVE DELANEY 163837,A81000C,00100,0400,DELCO INC. 163837,A81000C,00100,0600,MANAGEMENT COMPANY 163837,A81000C,00200,0100,A 163837,A81000C,00200,0200,ROYCE DELANEY 163837,A81000C,00200,0400,ROYCE DELANEY 163837,A81000C,00200,0600,BOARD OF DIRECTORS 163837,A81000C,00300,0100,A 163837,A81000C,00300,0200,STEVE DELANEY 163837,A81000C,00300,0400,STEVE DELANEY 163837,A81000C,00300,0600,BOARD OF DIRECTORS 163837,B100000,00000,0100,0100SQUARE FEET 163837,B100000,00000,0200,0200DOLLAR VALUE 163837,B100000,00000,0300,0300GROSS SALARIES 163837,B100000,00000,0400,0400ACCUM COST 163837,B100000,00000,0500,0500SQUARE FEET 163837,B100000,00000,0600,0600POUNDS OF LAUNDRY 163837,B100000,00000,0700,0700HOURS OF SERVICE 163837,B100000,00000,0800,0800MEALS SERVED 163837,B100000,00000,0900,0900DIRECT NRSING HRS 163837,B100000,00000,1000,1000COSTED REQUIS. 163837,B100000,00000,1100,1100COSTED REQUIS. 163837,B100000,00000,1200,1200TIME SPENT 163837,B100000,00000,1300,1300TIME SPENT 163837,B100000,00000,1400,1400ASSIGNED TIME 163837,E10A180,00501,0100,07/06/00 163837,S000000,00100,0200,05/31/00 163837,S200000,00100,0100,MCLEOD AVE 163837,S200000,00200,0100,LEAKSVILLE 163837,S200000,00200,0200,MS 163837,S200000,00200,0300,39451 163837,S200000,00300,0100,GREENE 163837,S200000,00300,0200,0025 163837,S200000,00300,0300,R 163837,S200000,00400,0100,BROOKWOOD MANOR 163837,S200000,00400,0200,255179 163837,S200000,00400,0300,09/01/94 163837,S200000,00400,0500,P 163837,S200000,01500,0100,N 163837,S200000,01600,0100,Y 163837,S200000,01700,0100,N 163837,S200000,01800,0100,N 163837,S200000,02200,0100,N 163837,S200000,02800,0100,N 163837,S200000,02900,0100,N 163837,S200000,03000,0100,N 163837,S200000,03100,0100,N 163837,S200000,03200,0100,N 163837,S200000,03300,0100,N 163837,S200000,03300,0200,N 163837,S200000,04100,0100,N 163837,S200000,04200,0100,N 163837,S200000,04300,0100,N 163837,S200000,04600,0100,N 163837,S200000,04700,0100,N 163837,S200000,04900,0100,N 163837,S200000,05200,0100,N 163844,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163844,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163844,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163844,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163844,A000000,00300,0000,0300EMPLOYEE BENEFITS 163844,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163844,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163844,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163844,A000000,00700,0000,0700HOUSEKEEPING 163844,A000000,00800,0000,0800DIETARY 163844,A000000,00801,0000,0801CAFETERIA 163844,A000000,00900,0000,0900NURSING ADMINISTRATION 163844,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163844,A000000,01100,0000,1100PHARMACY 163844,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163844,A000000,01300,0000,1300SOCIAL SERVICE 163844,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163844,A000000,01500,0000,1350ACTIVITIES 163844,A000000,01600,0000,1600SKILLED NURSING FACILITY 163844,A000000,01800,0000,1800NURSING FACILITY 163844,A000000,01810,0000,1810ICF/MR 163844,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163844,A000000,02500,0000,2500PHYSICAL THERAPY 163844,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163844,A000000,02700,0000,2700SPEECH PATHOLOGY 163844,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163844,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163844,A000000,03300,0000,3050PEN THERAPY 163844,A000000,03301,0000,3051FEE SCREENING 163844,A000000,03302,0000,3052OTHER ANCILLARY III 163844,A000000,03550,0000,3550FQHC 163844,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163844,A000000,04801,0000,4801AMBULANCE 163844,A000000,04802,0000,4802AMBULANCE 163844,A000000,04803,0000,4803AMBULANCE 163844,A000000,05000,0000,5000CORF I 163844,A000000,05010,0000,5010CMHC I 163844,A000000,05020,0000,5020OPT I 163844,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163844,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163844,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163844,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163844,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163844,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163844,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163844,A81000A,00100,0100,Y 163844,A81000B,00100,0300,MANAGEMENT FEES 163844,A81000C,00100,0100,B 163844,A81000C,00100,0400,AGE INST. MASS 163844,A81000C,00100,0600,PARENT COMPANY 163844,B100000,00000,0100,0100(SQUARE FEET) 163844,B100000,00000,0101,0101(SQUARE FEET) 163844,B100000,00000,0200,0200(SQUARE FEET) 163844,B100000,00000,0201,0201(SQUARE FEET) 163844,B100000,00000,0300,0300(GROSS SALARIES) 163844,B100000,00000,0400,0400ACCUM COST 163844,B100000,00000,0500,0500(SQUARE FEET) 163844,B100000,00000,0600,0600(PATIENT DAYS) 163844,B100000,00000,0700,0700(SQUARE FEET) 163844,B100000,00000,0800,0800(MEALS SERVED) 163844,B100000,00000,0801,0801(MEALS SERVED) 163844,B100000,00000,0900,0900(NURSING SALARIES) 163844,B100000,00000,1000,1000(COSTED REQUIS.) 163844,B100000,00000,1100,1100(COSTED REQUIS.) 163844,B100000,00000,1200,1200(GROSS CHARGES) 163844,B100000,00000,1300,1300(PATIENT DAYS) 163844,B100000,00000,1400,1400(ASSIGNED TIME) 163844,B100000,00000,1500,1350(PATIENT DAYS) 163844,E10A180,00550,0100,02/23/01 163844,E10A180,00550,0300,02/23/01 163844,S000000,00100,0200,05/26/00 163844,S200000,00100,0100,546 CHICOPEE ST. 163844,S200000,00200,0100,CHICOPEE 163844,S200000,00200,0200,MA 163844,S200000,00200,0300,01013 163844,S200000,00300,0100,HAMPDEN 163844,S200000,00300,0200,8003 163844,S200000,00300,0300,U 163844,S200000,00400,0100,WILLIMANSETT WEST 163844,S200000,00400,0200,225256 163844,S200000,00400,0300,07/01/85 163844,S200000,00400,0500,P 163844,S200000,01500,0100,N 163844,S200000,01600,0100,Y 163844,S200000,01700,0100,N 163844,S200000,01800,0100,N 163844,S200000,02200,0100,N 163844,S200000,02800,0100,N 163844,S200000,02900,0100,N 163844,S200000,03000,0100,N 163844,S200000,03100,0100,N 163844,S200000,03200,0100,N 163844,S200000,03300,0100,N 163844,S200000,03300,0200,N 163844,S200000,04100,0100,N 163844,S200000,04200,0100,N 163844,S200000,04300,0100,N 163844,S200000,04600,0100,N 163844,S200000,04700,0100,N 163844,S200000,04900,0100,N 163844,S200000,05200,0100,N 163856,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 163856,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 163856,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 163856,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 163856,A000000,00300,0000,0300EMPLOYEE BENEFITS 163856,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163856,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 163856,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163856,A000000,00700,0000,0700HOUSEKEEPING 163856,A000000,00800,0000,0800DIETARY 163856,A000000,00801,0000,0801CAFETERIA 163856,A000000,00900,0000,0900NURSING ADMINISTRATION 163856,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163856,A000000,01100,0000,1100PHARMACY 163856,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163856,A000000,01300,0000,1300SOCIAL SERVICE 163856,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 163856,A000000,01500,0000,1350ACTIVITIES 163856,A000000,01600,0000,1600SKILLED NURSING FACILITY 163856,A000000,01800,0000,1800NURSING FACILITY 163856,A000000,01810,0000,1810ICF/MR 163856,A000000,02100,0000,2100RADIOLOGY 163856,A000000,02200,0000,2200LABORATORY 163856,A000000,02300,0000,2300INTRAVENOUS THERAPY 163856,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163856,A000000,02500,0000,2500PHYSICAL THERAPY 163856,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163856,A000000,02700,0000,2700SPEECH PATHOLOGY 163856,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 163856,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163856,A000000,03300,0000,3050PEN PART B 163856,A000000,03301,0000,3051OTHER ANCILLARY II 163856,A000000,03302,0000,3052OTHER ANCILLARY III 163856,A000000,03550,0000,3550FQHC 163856,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 163856,A000000,04801,0000,4801AMBULANCE 163856,A000000,04802,0000,4802AMBULANCE 163856,A000000,04803,0000,4803AMBULANCE 163856,A000000,05000,0000,5000CORF I 163856,A000000,05010,0000,5010CMHC I 163856,A000000,05020,0000,5020OPT I 163856,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 163856,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 163856,A000000,05100,0000,4750OTHER REIMBURSABLE COST 163856,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 163856,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 163856,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163856,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 163856,A81000A,00100,0100,Y 163856,A81000B,00100,0300,HOME OFFICE ALLOC 163856,A81000B,00200,0300,PT 163856,A81000B,00300,0300,OT 163856,A81000B,00400,0300,ST 163856,A81000B,00500,0300,CAPITAL 163856,A81000B,00600,0300,CENT SUPP 163856,A81000B,00700,0300,RT 163856,A81000B,00800,0300,MED SUPP 163856,A81000B,00900,0300,DRUGS CHARGED 163856,A81000C,00100,0100,B 163856,A81000C,00100,0200,GENESIS ELDER 163856,A81000C,00100,0600,MGMT CO 163856,A81000C,00200,0100,B 163856,A81000C,00200,0200,NEIGHBORCARE 163856,A81000C,00200,0600,PHARMACY 163856,A81000C,00300,0100,B 163856,A81000C,00300,0200,GENE PHYS SERV 163856,A81000C,00300,0600,CASE MGMT 163856,A81000C,00400,0100,B 163856,A81000C,00400,0200,GENE SERVICES 163856,A81000C,00400,0600,REHAB 163856,A81000C,00500,0100,B 163856,A81000C,00500,0200,RESP HLTH SERV 163856,A81000C,00500,0600,RT 163856,B100000,00000,0100,0100(SQUARE FEET) 163856,B100000,00000,0101,0101(SQUARE FEET) 163856,B100000,00000,0200,0200(SQUARE FEET) 163856,B100000,00000,0201,0201(SQUARE FEET) 163856,B100000,00000,0300,0300(GROSS SALARIES) 163856,B100000,00000,0400,0400ACCUM COST 163856,B100000,00000,0500,0500(SQUARE FEET) 163856,B100000,00000,0600,0600(PATIENT DAYS) 163856,B100000,00000,0700,0700(SQUARE FEET) 163856,B100000,00000,0800,0800(MEALS SERVED) 163856,B100000,00000,0801,0801(MEALS SERVED) 163856,B100000,00000,0900,0900(PATIENT DAYS) 163856,B100000,00000,1000,1000(COSTED REQUIS.) 163856,B100000,00000,1100,1100(PATIENT DAYS) 163856,B100000,00000,1200,1200(GROSS CHARGES) 163856,B100000,00000,1300,1300(PATIENT DAYS) 163856,B100000,00000,1400,1400(ASSIGNED TIME) 163856,B100000,00000,1500,1350(PATIENT DAYS) 163856,E10A180,00501,0100,03/17/00 163856,E10A180,00501,0300,03/17/00 163856,E10A180,00550,0100,11/20/00 163856,E10A180,00550,0300,11/20/00 163856,S000000,00100,0200,02/29/00 163856,S200000,00100,0100,OLD ROUTE 60 163856,S200000,00200,0100,ANSTED 163856,S200000,00200,0200,WV 163856,S200000,00200,0300,25812 163856,S200000,00300,0100,FAYETTE 163856,S200000,00300,0200,0051 163856,S200000,00300,0300,R 163856,S200000,00400,0100,ANSTED CENTER 163856,S200000,00400,0200,515133 163856,S200000,00400,0300,11/08/94 163856,S200000,00400,0500,P 163856,S200000,01500,0100,N 163856,S200000,01600,0100,Y 163856,S200000,01700,0100,N 163856,S200000,01800,0100,N 163856,S200000,02200,0100,Y 163856,S200000,02800,0100,N 163856,S200000,02900,0100,N 163856,S200000,03000,0100,N 163856,S200000,03100,0100,N 163856,S200000,03200,0100,N 163856,S200000,03300,0100,N 163856,S200000,03300,0200,N 163856,S200000,04100,0100,N 163856,S200000,04200,0100,N 163856,S200000,04300,0100,N 163856,S200000,04600,0100,N 163856,S200000,04700,0100,N 163856,S200000,04900,0100,N 163856,S200000,05200,0100,N 163978,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 163978,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 163978,A000000,00300,0000,0300EMPLOYEE BENEFITS 163978,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 163978,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 163978,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 163978,A000000,00700,0000,0700HOUSEKEEPING 163978,A000000,00800,0000,0800DIETARY 163978,A000000,00900,0000,0900NURSING ADMINISTRATION 163978,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 163978,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 163978,A000000,01300,0000,1300SOCIAL SERVICE 163978,A000000,01301,0000,1301ACTIVITES 163978,A000000,01500,0000,1350REHABILITATION 163978,A000000,01600,0000,1600SKILLED NURSING FACILITY 163978,A000000,01800,0000,1800NURSING FACILITY 163978,A000000,01900,0000,1900OTHER LONG TERM CARE 163978,A000000,02100,0000,2100RADIOLOGY 163978,A000000,02200,0000,2200LABORATORY 163978,A000000,02300,0000,2300INTRAVENOUS THERAPY 163978,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 163978,A000000,02500,0000,2500PHYSICAL THERAPY 163978,A000000,02600,0000,2600OCCUPATIONAL THERAPY 163978,A000000,02700,0000,2700SPEECH PATHOLOGY 163978,A000000,02800,0000,2800ELECTROCARDIOLOGY 163978,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 163978,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 163978,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 163978,A000000,03200,0000,3200SUPPORT SURFACES 163978,A000000,03300,0000,3050EQUIPMENT RENTAL 163978,A000000,03301,0000,3051PEN THERAPY 163978,A000000,04800,0000,4800AMBULANCE 163978,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 163978,A000000,05300,0000,5300INTEREST EXPENSE 163978,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 163978,A000000,05900,0000,5900BARBER & BEAUTY SHOP 163978,A000000,06200,0000,6200PATIENTS LAUNDRY 163978,A000000,06300,0000,6150VENDING 163978,A000000,06301,0000,6151STAND-BY 163978,A81000A,00100,0100,Y 163978,A81000B,00100,0300,HOME OFFICE COST 163978,A81000B,00200,0300,DIETARY SUPPLEMENTS 163978,A81000B,00600,0300,ADMIN COSTS 163978,A81000B,00700,0300,HOME OFFICE INTEREST 163978,A81000C,00100,0100,B 163978,A81000C,00100,0200,HILLVIEW MANOR 163978,A81000C,00100,0400,MARINER PAN 163978,A81000C,00100,0600,NURSING HOMES 163978,A81000C,00200,0100,G 163978,A81000C,00200,0200,MARINER PAN 163978,A81000C,00200,0400,AMER PHARM SVCS 163978,A81000C,00200,0600,PHARMACEUTICALS 163978,A81000C,00300,0100,G 163978,A81000C,00300,0200,MARINER PAN 163978,A81000C,00300,0400,PRISM-ATS-ARS-T 163978,A81000C,00300,0600,THERAPIES 163978,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 163978,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 163978,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 163978,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 163978,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 163978,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 163978,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 163978,B100000,00000,0800,0800MEALS SERVED :DIETARY 163978,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 163978,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 163978,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 163978,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 163978,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 163978,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 163978,E10A180,00301,0100,09/29/99 163978,E10A180,00350,0100,01/19/00 163978,S000000,00100,0200,12/01/00 163978,S200000,00100,0100,1110 RICE ST. 163978,S200000,00100,0300,BOX 588 163978,S200000,00200,0100,GOLDTHWAITE 163978,S200000,00200,0200,TX 163978,S200000,00200,0300,76844- 163978,S200000,00300,0100,MILLS 163978,S200000,00300,0200,45 163978,S200000,00300,0300,R 163978,S200000,00400,0100,HILLVIEW MANOR 163978,S200000,00400,0200,675388 163978,S200000,00400,0300,08/31/94 163978,S200000,00400,0500,P 163978,S200000,01500,0100,Y 163978,S200000,01600,0100,N 163978,S200000,01700,0100,N 163978,S200000,01800,0100,N 163978,S200000,02200,0100,Y 163978,S200000,02800,0100,N 163978,S200000,02900,0100,N 163978,S200000,03000,0100,N 163978,S200000,03100,0100,N 163978,S200000,03200,0100,N 163978,S200000,04100,0100,N 163978,S200000,04200,0100,N 163978,S200000,04300,0100,Y 163978,S200000,04600,0100,N 163978,S200000,04700,0100,N 163978,S200000,04700,0200,N 163978,S200000,04900,0100,N 163978,S200000,05000,0100,N 163978,S200000,05100,0100,N 163978,S200000,05200,0100,N 164006,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164006,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164006,A000000,00300,0000,0300EMPLOYEE BENEFITS 164006,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164006,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164006,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164006,A000000,00700,0000,0700HOUSEKEEPING 164006,A000000,00800,0000,0800DIETARY 164006,A000000,00900,0000,0900NURSING ADMINISTRATION 164006,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164006,A000000,01100,0000,1100PHARMACY 164006,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164006,A000000,01300,0000,1300SOCIAL SERVICE 164006,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164006,A000000,01500,0000,1350OTHER GENERAL SERVICES 164006,A000000,01600,0000,1600SKILLED NURSING FACILITY 164006,A000000,01800,0000,1800NURSING FACILITY 164006,A000000,01810,0000,1810ICF/MR 164006,A000000,02200,0000,2200LABORATORY 164006,A000000,02500,0000,2500PHYSICAL THERAPY 164006,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164006,A000000,02700,0000,2700SPEECH PATHOLOGY 164006,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164006,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164006,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 164006,A000000,03550,0000,3550FQHC 164006,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 164006,A000000,04801,0000,4801AMBULANCE 164006,A000000,04802,0000,4802AMBULANCE 164006,A000000,04803,0000,4803AMBULANCE 164006,A000000,05000,0000,5000CORF 164006,A000000,05010,0000,5010CMHC 164006,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 164006,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164006,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164006,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164006,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 164006,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164006,A81000A,00100,0100,Y 164006,A81000B,00100,0300,DEPRECIATION 164006,A81000B,00200,0300,DEPRECIATION 164006,A81000B,00300,0300,DEPRECIATION 164006,A81000B,00400,0300,CORPORATE OFFICE EXPENSE 164006,A81000B,00500,0300,AUTO EXPENSE 164006,A81000C,00100,0100,B 164006,A81000C,00100,0400,THE REARDON COMPANY 164006,A81000C,00100,0600,CONTRACTING 164006,A81000C,00200,0100,E 164006,A81000C,00200,0200,TERRY REARDON 164006,A81000C,00300,0100,E 164006,A81000C,00300,0200, MARILYN S. REARDON 164006,A81000C,00400,0100,E 164006,A81000C,00400,0200,TERRY REARDON 164006,A81000C,00500,0100,E 164006,A81000C,00500,0200,TERRY & M. S. REARDON 164006,B100000,00000,0100,0100SQUARE FEET 164006,B100000,00000,0200,0200SQUARE FEET 164006,B100000,00000,0300,0300GROSS SALARIES 164006,B100000,00000,0400,0400ACCUM COST 164006,B100000,00000,0500,0500SQUARE FEET 164006,B100000,00000,0600,0600POUNDS OF LAUNDRY 164006,B100000,00000,0700,0700SQUARE FEET 164006,B100000,00000,0800,0800NUMBER OF MEALS 164006,B100000,00000,0900,0900DIRECT NSG. 164006,B100000,00000,1000,1000COSTEDREQU UISITIONS 164006,B100000,00000,1100,1100COSTEDREQU UISITIONS 164006,B100000,00000,1200,1200TIME SPENT 164006,B100000,00000,1300,1300TIME SPENT 164006,B100000,00000,1400,1400TIME SPENT 164006,B100000,00000,1500,1350NO STATISTICS 164006,E10A180,00501,0300,07/19/00 164006,S000000,00100,0200,05/31/00 164006,S200000,00100,0100,2201 GLENN HENDREN DR. 164006,S200000,00200,0100,LIBERTY 164006,S200000,00200,0200,MO 164006,S200000,00200,0300,63501 164006,S200000,00300,0100,CASS 164006,S200000,00300,0200,3760 164006,S200000,00300,0300,U 164006,S200000,00400,0100,LIBERTY TERRACE CARE CTR. INC. 164006,S200000,00400,0200,265490 164006,S200000,00400,0300,03/01/92 164006,S200000,00400,0500,P 164006,S200000,00600,0200,265490 164006,S200000,00600,0300,09/18/91 164006,S200000,01500,0100,N 164006,S200000,01600,0100,Y 164006,S200000,01700,0100,N 164006,S200000,01800,0100,N 164006,S200000,02200,0100,N 164006,S200000,02800,0100,N 164006,S200000,02900,0100,N 164006,S200000,03000,0100,N 164006,S200000,03100,0100,N 164006,S200000,03200,0100,N 164006,S200000,03300,0100,N 164006,S200000,03300,0200,N 164006,S200000,03500,0300,N 164006,S200000,04100,0100,N 164006,S200000,04200,0100,N 164006,S200000,04300,0100,N 164006,S200000,04600,0100,N 164006,S200000,04700,0100,N 164006,S200000,04900,0100,N 164006,S200000,05200,0100,N 164007,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164007,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164007,A000000,00300,0000,0300EMPLOYEE BENEFITS 164007,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164007,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164007,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164007,A000000,00700,0000,0700HOUSEKEEPING 164007,A000000,00800,0000,0800DIETARY 164007,A000000,00900,0000,0900NURSING ADMINISTRATION 164007,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164007,A000000,01100,0000,1100PHARMACY 164007,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164007,A000000,01300,0000,1300SOCIAL SERVICE 164007,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164007,A000000,01500,0000,1350OTHER GENERAL SERVICES 164007,A000000,01600,0000,1600SKILLED NURSING FACILITY 164007,A000000,01800,0000,1800NURSING FACILITY 164007,A000000,01810,0000,1810ICF/MR 164007,A000000,02200,0000,2200LABORATORY 164007,A000000,02500,0000,2500PHYSICAL THERAPY 164007,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164007,A000000,02700,0000,2700SPEECH PATHOLOGY 164007,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164007,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164007,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 164007,A000000,03550,0000,3550FQHC 164007,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 164007,A000000,04801,0000,4801AMBULANCE 164007,A000000,04802,0000,4802AMBULANCE 164007,A000000,04803,0000,4803AMBULANCE 164007,A000000,05000,0000,5000CORF 164007,A000000,05010,0000,5010CMHC 164007,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 164007,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164007,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164007,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164007,A000000,05300,0000,5300INTEREST EXPENSE 164007,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 164007,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 164007,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164007,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164007,A81000A,00100,0100,Y 164007,A81000B,00100,0300,TRAVEL 164007,A81000B,00200,0300,LEASE EXPENSE 164007,A81000B,00300,0300,HOME OFFICE 164007,A81000C,00100,0100,A 164007,A81000C,00100,0200,MAKHLOUF/LORRAINE SUISSA 164007,A81000C,00100,0400,NORTHVIEW VILLAGE PTNRSHP 164007,A81000C,00100,0600,LIMITED PARTNERSHIP 164007,A81000C,00200,0100,A 164007,A81000C,00200,0200,ERIC ROTHNER 164007,A81000C,00200,0400,NORTHVIEW VILLAGE PTNRSHP 164007,A81000C,00200,0600,LIMITED PARTNERSHIP 164007,A81000C,00300,0100,A 164007,A81000C,00300,0200,MAKHLOUF S./ERIC ROTHNER 164007,A81000C,00300,0400,HEALTHCARE MGMT ASSOCIATE 164007,A81000C,00300,0600,HOME OFFICE 164007,B100000,00000,0100,0100SQUARE FEET 164007,B100000,00000,0200,0200DOLLAR VALUE 164007,B100000,00000,0300,0300GROSS SALARIES 164007,B100000,00000,0400,0400ACCUM COST 164007,B100000,00000,0500,0500SQUARE FEET 164007,B100000,00000,0600,0600POUNDS OF LAUNDRY 164007,B100000,00000,0700,0700SQUARE FT CLEANED 164007,B100000,00000,0800,0800MEALS SERVED 164007,B100000,00000,0900,0900DIRECT NRSING HRS 164007,B100000,00000,1000,1000COSTED REQUIS. 164007,B100000,00000,1100,1100NO STATISTICS 164007,B100000,00000,1200,1200TIME SPENT 164007,B100000,00000,1300,1300TIME SPENT 164007,B100000,00000,1400,1400NO STATISTICS 164007,B100000,00000,1500,1350NO STATISTICS 164007,E10A180,00501,0300,08/17/00 164007,S000000,00100,0200,06/22/00 164007,S200000,00100,0100,2415 N. KINGSHIGHWAY 164007,S200000,00200,0100,ST. LOUIS 164007,S200000,00200,0200,MO 164007,S200000,00200,0300,63113 164007,S200000,00300,0100,ST. LOUIS 164007,S200000,00300,0200,7040 164007,S200000,00300,0300,U 164007,S200000,00400,0100,NORTHVIEW VILLAGE INC. 164007,S200000,00400,0200,265524 164007,S200000,00400,0300,02/04/93 164007,S200000,00400,0500,P 164007,S200000,01500,0100,N 164007,S200000,01600,0100,Y 164007,S200000,01700,0100,N 164007,S200000,01800,0100,N 164007,S200000,02200,0100,N 164007,S200000,02800,0100,N 164007,S200000,02900,0100,N 164007,S200000,03000,0100,N 164007,S200000,03100,0100,N 164007,S200000,03200,0100,N 164007,S200000,03300,0100,N 164007,S200000,03300,0200,N 164007,S200000,04100,0100,N 164007,S200000,04200,0100,N 164007,S200000,04300,0100,N 164007,S200000,04600,0100,N 164007,S200000,04700,0100,N 164007,S200000,04900,0100,N 164007,S200000,05200,0100,N 164020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164020,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 164020,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164020,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 164020,A000000,00300,0000,0300EMPLOYEE BENEFITS 164020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164020,A000000,00700,0000,0700HOUSEKEEPING 164020,A000000,00800,0000,0800DIETARY 164020,A000000,00801,0000,0801CAFETERIA 164020,A000000,00900,0000,0900NURSING ADMINISTRATION 164020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164020,A000000,01100,0000,1100PHARMACY 164020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164020,A000000,01300,0000,1300SOCIAL SERVICE 164020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164020,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 164020,A000000,01600,0000,1600SKILLED NURSING FACILITY 164020,A000000,01800,0000,1800NURSING FACILITY 164020,A000000,01810,0000,1810ICF/MR 164020,A000000,01900,0000,1900OTHER LONG TERM CARE 164020,A000000,02100,0000,2100RADIOLOGY 164020,A000000,02200,0000,2200LABORATORY 164020,A000000,02300,0000,2300INTRAVENOUS THERAPY 164020,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164020,A000000,02500,0000,2500PHYSICAL THERAPY 164020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164020,A000000,02700,0000,2700SPEECH PATHOLOGY 164020,A000000,02800,0000,2800ELECTROCARDIOLOGY 164020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164020,A000000,03200,0000,3200SUPPORT SURFACES 164020,A000000,03300,0000,3050OTHER ANCILLARY 164020,A000000,03301,0000,3051OTHER ANCILLARY II 164020,A000000,03302,0000,3052OTHER ANCILLARY III 164020,A000000,03550,0000,3550FQHC 164020,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 164020,A000000,04801,0000,4801AMBULANCE 164020,A000000,04802,0000,4802AMBULANCE 164020,A000000,04803,0000,4803AMBULANCE 164020,A000000,05000,0000,5000CORF I 164020,A000000,05010,0000,5010CMHC I 164020,A000000,05020,0000,5020OPT I 164020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164020,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164020,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 164020,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 164020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164020,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164020,A81000A,00100,0100,Y 164020,A81000B,00100,0300,HOME OFFICE ALLOCAT 164020,A81000B,00200,0300,H.O. CAP RELATED 164020,A81000B,00300,0300,PT 164020,A81000B,00400,0300,OT 164020,A81000B,00500,0300,ST 164020,A81000B,00600,0300,MEDICAL SUPPLIES 164020,A81000B,00700,0300,DRUGS 164020,A81000B,00800,0300,CASE MGMT 164020,A81000B,00900,0300,CLINITRON 164020,A81000C,00100,0100,B 164020,A81000C,00100,0200,GENESIS HEALTHT 164020,A81000C,00100,0600,MGMT CO 164020,A81000C,00200,0100,B 164020,A81000C,00200,0200,NEIGHBORCARE 164020,A81000C,00200,0600,PHARMACY CO 164020,A81000C,00300,0100,B 164020,A81000C,00300,0200,GENESIS SCVS 164020,A81000C,00300,0600,VARIOUS 164020,A81000C,00400,0100,B 164020,A81000C,00400,0200,GENESIS PHYS 164020,A81000C,00400,0600,CASE MGMT. 164020,A81000C,00500,0100,B 164020,A81000C,00500,0200,GENESIS REHAB 164020,A81000C,00500,0600,RT 164020,B100000,00000,0100,0100(SQUARE FEET) 164020,B100000,00000,0101,0101(SQUARE FEET) 164020,B100000,00000,0200,0200(SQUARE FEET) 164020,B100000,00000,0201,0201(SQUARE FEET) 164020,B100000,00000,0300,0300(GROSS SALARIES) 164020,B100000,00000,0400,0400ACCUM COST 164020,B100000,00000,0500,0500(SQUARE FEET) 164020,B100000,00000,0600,0600(PATIENT DAYS) 164020,B100000,00000,0700,0700(SQUARE FEET) 164020,B100000,00000,0800,0800(MEALS SERVED) 164020,B100000,00000,0801,0801(MEALS SERVED) 164020,B100000,00000,0900,0900(NURSING SALARIES) 164020,B100000,00000,1000,1000(PATIENT DAYS) 164020,B100000,00000,1100,1100(PATIENT DAYS) 164020,B100000,00000,1200,1200(GROSS CHARGES) 164020,B100000,00000,1300,1300(PATIENT DAYS) 164020,B100000,00000,1400,1400(ASSIGNED TIME) 164020,B100000,00000,1500,1350(PATIENT DAYS) 164020,E10A180,00501,0100,03/24/00 164020,E10A180,00501,0300,03/24/00 164020,E10A180,00502,0100,05/18/01 164020,E10A180,00550,0300,05/18/01 164020,S000000,00100,0200,02/29/00 164020,S200000,00100,0100,515 BRIGHTFIELD RD 164020,S200000,00200,0100,LUTHERVILLE 164020,S200000,00200,0200,MD 164020,S200000,00200,0300,21093 164020,S200000,00300,0200,0720 164020,S200000,00300,0300,U 164020,S200000,00400,0100,BRIGHTWOOD 164020,S200000,00400,0200,215226 164020,S200000,00400,0300,12/01/93 164020,S200000,00400,0500,P 164020,S200000,01500,0100,N 164020,S200000,01600,0100,Y 164020,S200000,01700,0100,N 164020,S200000,01800,0100,N 164020,S200000,02200,0100,Y 164020,S200000,02800,0100,N 164020,S200000,02900,0100,N 164020,S200000,03000,0100,N 164020,S200000,03100,0100,N 164020,S200000,03200,0100,N 164020,S200000,03300,0100,N 164020,S200000,03300,0200,N 164020,S200000,04100,0100,N 164020,S200000,04200,0100,N 164020,S200000,04300,0100,N 164020,S200000,04600,0100,N 164020,S200000,04700,0100,N 164020,S200000,04900,0100,N 164020,S200000,05200,0100,N 164037,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 164037,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 164037,A000000,00300,0000,0300EMPLOYEE BENEFITS 164037,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164037,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 164037,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164037,A000000,00700,0000,0700HOUSEKEEPING 164037,A000000,00800,0000,0800DIETARY 164037,A000000,00900,0000,0900NURSING ADMINISTRATION 164037,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164037,A000000,01100,0000,1100PHARMACY 164037,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164037,A000000,01300,0000,1300SOCIAL SERVICE 164037,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 164037,A000000,01500,0000,1350OTHER GENERAL SERVICES 164037,A000000,01600,0000,1600SKILLED NURSING FACILITY 164037,A000000,01800,0000,1800NURSING FACILITY 164037,A000000,01810,0000,1810ICF/MR 164037,A000000,01900,0000,1900OTHER LONG TERM CARE 164037,A000000,02100,0000,2100RADIOLOGY 164037,A000000,02200,0000,2200LABORATORY 164037,A000000,02300,0000,2300INTRAVENOUS THERAPY 164037,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164037,A000000,02500,0000,2500PHYSICAL THERAPY 164037,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164037,A000000,02700,0000,2700SPEECH PATHOLOGY 164037,A000000,02800,0000,2800ELECTROCARDIOLOGY 164037,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 164037,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164037,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 164037,A000000,03200,0000,3200SUPPORT SURFACES 164037,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 164037,A000000,03400,0000,3400CLINIC 164037,A000000,03500,0000,3500RURAL HEALTH CLINIC 164037,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 164037,A000000,04800,0000,4800AMBULANCE 164037,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 164037,A000000,05000,0000,5000CORF 164037,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164037,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 164037,A000000,05300,0000,5300INTEREST EXPENSE 164037,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 164037,A000000,05500,0000,5500HOSPICE 164037,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 164037,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 164037,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164037,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 164037,A000000,06100,0000,6100NONPAID WORKERS 164037,A000000,06200,0000,6200PATIENTS LAUNDRY 164037,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164037,A81000A,00100,0100,Y 164037,A81000B,00100,0300,MANAGEMENT FEES 164037,A81000B,00200,0300,PHYSICAL THERAPY 164037,A81000B,00300,0300,OCCUPATIONAL THERAPY 164037,A81000B,00400,0300,SPEECH THERAPY 164037,A81000C,00100,0100,B 164037,A81000C,00100,0200,PRESBYTERIAN MEDICAL SVCS 164037,A81000C,00100,0400,PRESBYTERIAN MEDICAL SERV 164037,A81000C,00100,0600,MANAGEMENT SERVICES 164037,A81000C,00200,0100,B 164037,A81000C,00200,0200,PMS HOME CARE 164037,A81000C,00200,0400,PRESBYTERIAN MEDICAL SERV 164037,A81000C,00200,0600,THERAPY SERVICES 164037,A81000C,00300,0100,B 164037,A81000C,00300,0200,PMS HOME CARE 164037,A81000C,00300,0400,PRESBYTERIAN MEDICAL SERV 164037,A81000C,00300,0600,THERAPY SERVICE 164037,A81000C,00400,0100,B 164037,A81000C,00400,0200,PMS HOME CARE 164037,A81000C,00400,0400,PRESBYTERIAN MEDICLA SERV 164037,A81000C,00400,0600,THERAPY SERVICE 164037,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 164037,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 164037,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 164037,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 164037,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 164037,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 164037,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 164037,B100000,00000,0800,0850PATIENT DAYS :DIETARY 164037,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 164037,B100000,00000,1000,1000COSTED REQUISTION :CENTRAL SERV 164037,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 164037,B100000,00000,1300,1330DISCHARGES S :SOCIAL SERVICE 164037,S000000,00100,0200,06/01/00 164037,S200000,00100,0300,2327 164037,S200000,00200,0100,SANTA FE 164037,S200000,00200,0200,NM 164037,S200000,00200,0300,87504- 164037,S200000,00300,0100,SANTA FE 164037,S200000,00300,0200,7490 164037,S200000,00300,0300,U 164037,S200000,00400,0100,LA RESIDENCIA NURSING CENTER 164037,S200000,00400,0200,325072 164037,S200000,00400,0300,01/01/93 164037,S200000,00400,0500,P 164037,S200000,00400,0600,O 164037,S200000,00600,0200,325072 164037,S200000,00600,0300,01/01/93 164037,S200000,00600,0600,O 164037,S200000,01500,0100,N 164037,S200000,01600,0100,Y 164037,S200000,01700,0100,N 164037,S200000,01800,0100,N 164037,S200000,02200,0100,N 164037,S200000,02800,0100,N 164037,S200000,02900,0100,N 164037,S200000,03000,0100,N 164037,S200000,03100,0100,N 164037,S200000,03200,0100,N 164037,S200000,04100,0100,N 164037,S200000,04200,0100,N 164037,S200000,04300,0100,N 164037,S200000,04600,0100,N 164037,S200000,04700,0100,N 164037,S200000,04700,0200,N 164037,S200000,04900,0100,N 164037,S200000,05000,0100,N 164037,S200000,05100,0100,N 164037,S200000,05200,0100,N 164371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164371,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 164371,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164371,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 164371,A000000,00300,0000,0300EMPLOYEE BENEFITS 164371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164371,A000000,00700,0000,0700HOUSEKEEPING 164371,A000000,00800,0000,0800DIETARY 164371,A000000,00801,0000,0801CAFETERIA 164371,A000000,00900,0000,0900NURSING ADMINISTRATION 164371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164371,A000000,01100,0000,1100PHARMACY 164371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164371,A000000,01300,0000,1300SOCIAL SERVICE 164371,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164371,A000000,01500,0000,1350RECREATION 164371,A000000,01600,0000,1600SKILLED NURSING FACILITY 164371,A000000,01800,0000,1800NURSING FACILITY 164371,A000000,01810,0000,1810ICF/MR 164371,A000000,02100,0000,2100RADIOLOGY 164371,A000000,02200,0000,2200LABORATORY 164371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164371,A000000,02500,0000,2500PHYSICAL THERAPY 164371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164371,A000000,02700,0000,2700SPEECH PATHOLOGY 164371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164371,A000000,03300,0000,3050PEN THERAPY 164371,A000000,03301,0000,3051FEE SCREENING 164371,A000000,03302,0000,3052OTHER ANCILLARY III 164371,A000000,03550,0000,3550FQHC 164371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 164371,A000000,04801,0000,4801AMBULANCE 164371,A000000,04802,0000,4802AMBULANCE 164371,A000000,04803,0000,4803AMBULANCE 164371,A000000,05000,0000,5000CORF I 164371,A000000,05010,0000,5010CMHC I 164371,A000000,05020,0000,5020OPT I 164371,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164371,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164371,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164371,A000000,05300,0000,5300INTEREST EXPENSE 164371,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 164371,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 164371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164371,A81000A,00100,0100,Y 164371,A81000B,00100,0300,HOME OFFICE ADM. 164371,A81000B,00200,0300,HOME OFFICE CAPITAL 164371,A81000B,00300,0300,AS ATTACHED 164371,A81000C,00100,0100,B 164371,A81000C,00100,0400,GHV 164371,A81000C,00200,0100,B 164371,A81000C,00200,0400,GHV 164371,A81000C,00300,0200,AS ATTACHED 164371,A81000C,00300,0400,AS ATTACHED 164371,A81000C,00300,0600,VARIOUS 164371,B100000,00000,0100,0100(SQUARE FEET) 164371,B100000,00000,0101,0101(SQUARE FEET) 164371,B100000,00000,0200,0200(SQUARE FEET) 164371,B100000,00000,0201,0201(SQUARE FEET) 164371,B100000,00000,0300,0300(GROSS SALARIES) 164371,B100000,00000,0400,0400ACCUM COST 164371,B100000,00000,0500,0500(SQUARE FEET) 164371,B100000,00000,0600,0600(PATIENT DAYS) 164371,B100000,00000,0700,0700(SQUARE FEET) 164371,B100000,00000,0800,0800(MEALS SERVED) 164371,B100000,00000,0801,0801(MEALS SERVED) 164371,B100000,00000,0900,0900(NURSING SALARIES) 164371,B100000,00000,1000,1000(PATIENT DAYS) 164371,B100000,00000,1100,1100(COSTED REQUIS.) 164371,B100000,00000,1200,1200(PATIENT DAYS) 164371,B100000,00000,1300,1300(PATIENT DAYS) 164371,B100000,00000,1400,1400(ASSIGNED TIME) 164371,B100000,00000,1500,1350(PATIENT DAYS) 164371,E10A180,00501,0100,03/12/01 164371,E10A180,00501,0300,03/02/00 164371,E10A180,00550,0100,03/02/00 164371,E10A180,00550,0300,03/12/01 164371,S000000,00100,0200,02/29/00 164371,S200000,00100,0100,100 EDELLA STREET 164371,S200000,00200,0100,CLARKS SUMMIT 164371,S200000,00200,0200,PA 164371,S200000,00200,0300,18411 164371,S200000,00300,0100,LACKAWANNA 164371,S200000,00300,0200,7560 164371,S200000,00300,0300,U 164371,S200000,00400,0100,ABINGTON MANOR 164371,S200000,00400,0200,395701 164371,S200000,00400,0300,07/08/85 164371,S200000,00400,0500,P 164371,S200000,01500,0100,N 164371,S200000,01600,0100,Y 164371,S200000,01700,0100,N 164371,S200000,01800,0100,N 164371,S200000,02200,0100,Y 164371,S200000,02800,0100,N 164371,S200000,02900,0100,N 164371,S200000,03000,0100,N 164371,S200000,03100,0100,N 164371,S200000,03200,0100,N 164371,S200000,03300,0100,N 164371,S200000,03300,0200,N 164371,S200000,04100,0100,N 164371,S200000,04200,0100,N 164371,S200000,04300,0100,N 164371,S200000,04600,0100,N 164371,S200000,04700,0100,N 164371,S200000,05200,0100,N 164440,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 164440,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 164440,A000000,00300,0000,0300EMPLOYEE BENEFITS 164440,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164440,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 164440,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164440,A000000,00700,0000,0700HOUSEKEEPING 164440,A000000,00800,0000,0800DIETARY 164440,A000000,00900,0000,0900NURSING ADMINISTRATION 164440,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164440,A000000,01100,0000,1100PHARMACY 164440,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164440,A000000,01300,0000,1300SOCIAL SERVICE 164440,A000000,01301,0000,1351ACTIVITIES 164440,A000000,01600,0000,1600SKILLED NURSING FACILITY 164440,A000000,01800,0000,1800NURSING FACILITY 164440,A000000,02100,0000,2100RADIOLOGY 164440,A000000,02200,0000,2200LABORATORY 164440,A000000,02300,0000,2300INTRAVENOUS THERAPY 164440,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164440,A000000,02500,0000,2500PHYSICAL THERAPY 164440,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164440,A000000,02700,0000,2700SPEECH PATHOLOGY 164440,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 164440,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164440,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 164440,A000000,03301,0000,3051MEDICAL EQUIPMENT 164440,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 164440,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164440,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164440,A81000A,00100,0100,Y 164440,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 164440,A81000B,00200,0300,CAPITAL - BUILDINGS 164440,A81000B,00300,0300,CAPITAL - EQUIPMENT 164440,A81000B,00400,0300,MEDICAL SUPPLIES - RELATED PARTY 164440,A81000B,00500,0300,NURSING SUPPLIES - RELATED PARTY 164440,A81000B,00600,0300,CENTRAL SUPPLIES - RELATED PARTY 164440,A81000C,00100,0100,B 164440,A81000C,00100,0200,PEAK MEDICAL CORPORATION 164440,A81000C,00100,0400,PEAK MEDICAL CORPORATION 164440,A81000C,00100,0600,HOME OFFICE SERVICES 164440,A81000C,00200,0100,B 164440,A81000C,00200,0200,PEAK MEDICAL CORPORATION 164440,A81000C,00200,0400,MEDICAL RESOURCES 164440,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 164440,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 164440,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 164440,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 164440,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 164440,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 164440,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 164440,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 164440,B100000,00000,0800,0800MEALS SERVED :DIETARY 164440,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 164440,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 164440,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 164440,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 164440,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 164440,S000000,00100,0200,02/21/03 164440,S200000,00100,0100,12080 BELLAIRE WAY 164440,S200000,00200,0100,THORNTON 164440,S200000,00200,0200,CO 164440,S200000,00200,0300,80241- 164440,S200000,00300,0100,ADAMS 164440,S200000,00300,0200,2080 164440,S200000,00300,0300,U 164440,S200000,00400,0100,ELMS HAVEN CARE CENTER 164440,S200000,00400,0200,065238 164440,S200000,00400,0300,08/01/92 164440,S200000,00400,0500,P 164440,S200000,01500,0100,N 164440,S200000,01600,0100,Y 164440,S200000,01700,0100,N 164440,S200000,01800,0100,N 164440,S200000,02200,0100,N 164440,S200000,02800,0100,N 164440,S200000,02900,0100,N 164440,S200000,03000,0100,N 164440,S200000,03100,0100,N 164440,S200000,03200,0100,N 164440,S200000,04100,0100,N 164440,S200000,04200,0100,N 164440,S200000,04300,0100,N 164440,S200000,04600,0100,N 164440,S200000,04700,0100,N 164440,S200000,04700,0200,N 164440,S200000,04900,0100,N 164440,S200000,05000,0100,N 164440,S200000,05100,0100,N 164440,S200000,05200,0100,N 164442,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 164442,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 164442,A000000,00300,0000,0300EMPLOYEE BENEFITS 164442,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164442,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 164442,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164442,A000000,00700,0000,0700HOUSEKEEPING 164442,A000000,00800,0000,0800DIETARY 164442,A000000,00900,0000,0900NURSING ADMINISTRATION 164442,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164442,A000000,01100,0000,1100PHARMACY 164442,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164442,A000000,01300,0000,1300SOCIAL SERVICE 164442,A000000,01500,0000,1350ACTIVITIES 164442,A000000,01600,0000,1600SKILLED NURSING FACILITY 164442,A000000,01800,0000,1800NURSING FACILITY 164442,A000000,01900,0000,1900OTHER LONG TERM CARE 164442,A000000,02100,0000,2100RADIOLOGY 164442,A000000,02200,0000,2200LABORATORY 164442,A000000,02300,0000,2300INTRAVENOUS THERAPY 164442,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164442,A000000,02500,0000,2500PHYSICAL THERAPY 164442,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164442,A000000,02700,0000,2700SPEECH PATHOLOGY 164442,A000000,02800,0000,2800ELECTROCARDIOLOGY 164442,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 164442,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164442,A000000,03200,0000,3200SUPPORT SURFACES 164442,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 164442,A000000,04800,0000,4800AMBULANCE 164442,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 164442,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 164442,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 164442,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 164442,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164442,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 164442,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 164442,A81000A,00100,0100,N 164442,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 164442,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 164442,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 164442,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 164442,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 164442,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 164442,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 164442,B100000,00000,0800,0800MEALS SERVED :DIETARY 164442,B100000,00000,0900,0950TIME SPENT :NURSING ADMINISTRAT 164442,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 164442,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 164442,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 164442,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 164442,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 164442,S000000,00100,0200,01/31/01 164442,S200000,00100,0100,2400 E CACHE LA POUDRE 164442,S200000,00200,0100,COLORADO SPRINGS 164442,S200000,00200,0200,CO 164442,S200000,00200,0300,80909- 164442,S200000,00300,0100,EL PASO 164442,S200000,00300,0200,1720 164442,S200000,00300,0300,U 164442,S200000,00400,0100,SUNNYREST HEALTH CARE FACILITY 164442,S200000,00400,0200,065254 164442,S200000,00400,0300,03/31/96 164442,S200000,00400,0500,P 164442,S200000,01500,0100,N 164442,S200000,01600,0100,Y 164442,S200000,01700,0100,N 164442,S200000,01800,0100,N 164442,S200000,02200,0100,N 164442,S200000,02800,0100,N 164442,S200000,02900,0100,N 164442,S200000,03000,0100,N 164442,S200000,03100,0100,N 164442,S200000,03200,0100,N 164442,S200000,04100,0100,N 164442,S200000,04200,0100,N 164442,S200000,04300,0100,N 164442,S200000,04600,0100,N 164442,S200000,04700,0100,N 164442,S200000,04700,0200,N 164442,S200000,04900,0100,N 164442,S200000,05000,0100,N 164442,S200000,05100,0100,N 164442,S200000,05200,0100,N 164450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 164450,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 164450,A000000,00300,0000,0300EMPLOYEE BENEFITS 164450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 164450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164450,A000000,00700,0000,0700HOUSEKEEPING 164450,A000000,00800,0000,0800DIETARY 164450,A000000,00900,0000,0900NURSING ADMINISTRATION 164450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164450,A000000,01100,0000,1100PHARMACY 164450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164450,A000000,01300,0000,1300SOCIAL SERVICE 164450,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 164450,A000000,01500,0000,1350OTHER GENL - ACTIVITIES 164450,A000000,01600,0000,1600SKILLED NURSING FACILITY 164450,A000000,01810,0000,1810ICF/MR 164450,A000000,02100,0000,2100RADIOLOGY 164450,A000000,02200,0000,2200LABORATORY 164450,A000000,02300,0000,2300INTRAVENOUS THERAPY 164450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164450,A000000,02500,0000,2500PHYSICAL THERAPY 164450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164450,A000000,02700,0000,2700SPEECH PATHOLOGY 164450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 164450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164450,A000000,03550,0000,3550FQHC 164450,A000000,05000,0000,5000CORF 164450,A000000,05010,0000,5010CMHC 164450,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 164450,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164450,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164450,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 164450,A000000,05300,0000,5300INTEREST EXPENSE 164450,A81000A,00100,0100,N 164450,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 164450,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 164450,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 164450,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 164450,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 164450,B100000,00000,0600,0650TIME SPENT :LAUNDRY & LINEN SER 164450,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 164450,B100000,00000,0800,0850TIME SPENT :DIETARY 164450,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 164450,B100000,00000,1100,1150COST OF DRUGS :PHARMACY 164450,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 164450,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 164450,B100000,00000,1500,1350TIME SPENT :OTHER GENL - ACTIV 164450,S000000,00100,0200,08/03/00 164450,S200000,00100,0100,3345 FOREST STREET 164450,S200000,00200,0100,DENVER 164450,S200000,00200,0200,CO 164450,S200000,00200,0300,80207- 164450,S200000,00300,0100,DENVER 164450,S200000,00300,0200,2080 164450,S200000,00300,0300,U 164450,S200000,00400,0100,STOVALL CARE CENTER 164450,S200000,00400,0200,065159 164450,S200000,00400,0300,02/01/81 164450,S200000,00400,0500,P 164450,S200000,00400,0600,O 164450,S200000,01500,0100,N 164450,S200000,01600,0100,Y 164450,S200000,01700,0100,N 164450,S200000,01800,0100,N 164450,S200000,02200,0100,N 164450,S200000,02800,0100,N 164450,S200000,02900,0100,N 164450,S200000,03000,0100,N 164450,S200000,03100,0100,N 164450,S200000,03200,0100,N 164450,S200000,04100,0100,N 164450,S200000,04200,0100,N 164450,S200000,04300,0100,N 164450,S200000,04600,0100,N 164450,S200000,04700,0100,N 164450,S200000,04700,0200,N 164450,S200000,04900,0100,N 164450,S200000,05000,0100,N 164450,S200000,05100,0100,N 164450,S200000,05200,0100,N 164725,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164725,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164725,A000000,00300,0000,0300EMPLOYEE BENEFITS 164725,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164725,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164725,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164725,A000000,00700,0000,0700HOUSEKEEPING 164725,A000000,00800,0000,0800DIETARY 164725,A000000,00900,0000,0900NURSING ADMINISTRATION 164725,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164725,A000000,01100,0000,1100PHARMACY 164725,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164725,A000000,01300,0000,1300SOCIAL SERVICE 164725,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164725,A000000,01500,0000,1350RECREATION THERAPY 164725,A000000,01600,0000,1600SKILLED NURSING FACILITY 164725,A000000,01800,0000,1800NURSING FACILITY 164725,A000000,01810,0000,1810ICF/MR 164725,A000000,02100,0000,2100RADIOLOGY 164725,A000000,02200,0000,2200LABORATORY 164725,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164725,A000000,02500,0000,2500PHYSICAL THERAPY 164725,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164725,A000000,02700,0000,2700SPEECH PATHOLOGY 164725,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164725,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164725,A000000,03300,0000,3050PEN THERAPY 164725,A000000,03301,0000,3051FEE SCHEDULE 164725,A000000,03550,0000,3550FQHC 164725,A000000,04801,0000,4801AMBULANCE 164725,A000000,04802,0000,4802AMBULANCE 164725,A000000,04803,0000,4803AMBULANCE 164725,A000000,05000,0000,5000CORF 164725,A000000,05010,0000,5010CMHC 164725,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 164725,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164725,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164725,A000000,05300,0000,5300INTEREST EXPENSE 164725,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164725,A000000,06300,0000,6150RESIDENTIAL CARE 164725,A81000A,00100,0100,Y 164725,A81000B,00100,0300,HOME OFFICE 164725,A81000B,00200,0300,HOME OFFICE CAPITAL 164725,A81000B,00300,0300,AS ATTACHED 164725,A81000C,00100,0100,B 164725,A81000C,00100,0200,GHV INC. 164725,A81000C,00200,0100,B 164725,A81000C,00200,0200,GHV INC. 164725,A81000C,00300,0100,B 164725,A81000C,00300,0400,AS ATTACHED 164725,A81000C,00300,0600,VARIOUS 164725,B100000,00000,0100,0100SQUARE FEET 164725,B100000,00000,0200,0200SQUARE FEET 164725,B100000,00000,0300,0300GROSS SALARIES 164725,B100000,00000,0400,0400ACCUM COST 164725,B100000,00000,0500,0500SQUARE FEET 164725,B100000,00000,0600,0600POUNDS OF LAUNDRY 164725,B100000,00000,0700,0700HOURS OF SERVICE 164725,B100000,00000,0800,0800MEALS SERVED 164725,B100000,00000,0900,0900DIRECT NRSG HRS 164725,B100000,00000,1000,1000(PATIENT CENSUS) 164725,B100000,00000,1100,1100COSTED REQUIS 164725,B100000,00000,1200,1200(PATIENT CENSUS) 164725,B100000,00000,1300,1300(PATIENT CENSUS) 164725,B100000,00000,1400,1400ASSIGNED TIME 164725,B100000,00000,1500,1350(PATIENT CENSUS) 164725,E10A180,00501,0100,03/21/00 164725,E10A180,00501,0300,03/21/00 164725,E10A180,00502,0100,04/10/01 164725,E10A180,00550,0300,04/10/01 164725,S000000,00100,0200,02/28/00 164725,S200000,00100,0100,54 SHARP STREET 164725,S200000,00200,0100,MILLVILLE 164725,S200000,00200,0200,NJ 164725,S200000,00200,0300,08332 164725,S200000,00300,0100,CUMBERLAND 164725,S200000,00300,0200,8760 164725,S200000,00300,0300,U 164725,S200000,00400,0100,MILLVILLE CENTER 164725,S200000,00400,0200,315243 164725,S200000,00400,0300,04/27/87 164725,S200000,00400,0500,P 164725,S200000,01500,0100,N 164725,S200000,01600,0100,Y 164725,S200000,01700,0100,N 164725,S200000,01800,0100,N 164725,S200000,02200,0100,Y 164725,S200000,02800,0100,N 164725,S200000,02900,0100,N 164725,S200000,03000,0100,N 164725,S200000,03100,0100,N 164725,S200000,03200,0100,N 164725,S200000,03300,0100,N 164725,S200000,03300,0200,N 164725,S200000,04100,0100,N 164725,S200000,04200,0100,N 164725,S200000,04300,0100,Y 164725,S200000,04600,0100,N 164725,S200000,04700,0100,N 164725,S200000,04900,0100,N 164725,S200000,05200,0100,N 164732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164732,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 164732,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164732,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 164732,A000000,00300,0000,0300EMPLOYEE BENEFITS 164732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164732,A000000,00700,0000,0700HOUSEKEEPING 164732,A000000,00800,0000,0800DIETARY 164732,A000000,00801,0000,0801CAFETERIA 164732,A000000,00900,0000,0900NURSING ADMINISTRATION 164732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164732,A000000,01100,0000,1100PHARMACY 164732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164732,A000000,01300,0000,1300SOCIAL SERVICE 164732,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164732,A000000,01500,0000,1350ACTIVITIES 164732,A000000,01600,0000,1600SKILLED NURSING FACILITY 164732,A000000,01800,0000,1800NURSING FACILITY 164732,A000000,01810,0000,1810ICF/MR 164732,A000000,02100,0000,2100RADIOLOGY 164732,A000000,02200,0000,2200LABORATORY 164732,A000000,02300,0000,2300INTRAVENOUS THERAPY 164732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164732,A000000,02500,0000,2500PHYSICAL THERAPY 164732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164732,A000000,02700,0000,2700SPEECH PATHOLOGY 164732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164732,A000000,03200,0000,3200SUPPORT SURFACES 164732,A000000,03300,0000,3050PEN PART B 164732,A000000,03301,0000,3051FEE SCREENING 164732,A000000,03302,0000,3052OTHER ANCILLARY III 164732,A000000,03550,0000,3550FQHC 164732,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 164732,A000000,04801,0000,4801AMBULANCE 164732,A000000,04802,0000,4802AMBULANCE 164732,A000000,04803,0000,4803AMBULANCE 164732,A000000,05000,0000,5000CORF I 164732,A000000,05010,0000,5010CMHC I 164732,A000000,05020,0000,5020OPT I 164732,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164732,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164732,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164732,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 164732,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 164732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164732,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164732,A81000A,00100,0100,Y 164732,A81000B,00100,0300,HOME OFFICE ALLOC 164732,A81000B,00200,0300,CAPITAL 164732,A81000B,00300,0300,PT 164732,A81000B,00400,0300,OT 164732,A81000B,00500,0300,ST 164732,A81000B,00600,0300,CENTRAL SUPP 164732,A81000B,00700,0300,RT 164732,A81000B,00800,0300,MED SUPP 164732,A81000B,00900,0300,DRUGS CHARGED 164732,A81000C,00100,0100,B 164732,A81000C,00100,0200,GENESIS ELDER 164732,A81000C,00100,0600,MGMT CO 164732,A81000C,00200,0100,B 164732,A81000C,00200,0200,NEIGHBORCARE 164732,A81000C,00200,0600,PHARMACY 164732,A81000C,00300,0100,B 164732,A81000C,00300,0200,GENESIS SERV 164732,A81000C,00300,0600,THERAPY 164732,A81000C,00400,0100,B 164732,A81000C,00400,0200,GEN PHYS SERV 164732,A81000C,00400,0600,CASE MGMT 164732,A81000C,00500,0100,B 164732,A81000C,00500,0200,RESP HLTH SERV 164732,A81000C,00500,0600,RT 164732,B100000,00000,0100,0100(SQUARE FEET) 164732,B100000,00000,0101,0101(SQUARE FEET) 164732,B100000,00000,0200,0200(SQUARE FEET) 164732,B100000,00000,0201,0201(SQUARE FEET) 164732,B100000,00000,0300,0300(GROSS SALARIES) 164732,B100000,00000,0400,0400ACCUM COST 164732,B100000,00000,0500,0500(SQUARE FEET) 164732,B100000,00000,0600,0600(PATIENT DAYS) 164732,B100000,00000,0700,0700(SQUARE FEET) 164732,B100000,00000,0800,0800(MEALS SERVED) 164732,B100000,00000,0801,0801(MEALS SERVED) 164732,B100000,00000,0900,0900(PATIENT DAYS) 164732,B100000,00000,1000,1000(COSTED REQUIS.) 164732,B100000,00000,1100,1100(COSTED REQUIS.) 164732,B100000,00000,1200,1200(GROSS CHARGES) 164732,B100000,00000,1300,1300(PATIENT DAYS) 164732,B100000,00000,1400,1400(ASSIGNED TIME) 164732,B100000,00000,1500,1350(PATIENT DAYS) 164732,E10A180,00501,0100,06/22/01 164732,E10A180,00501,0300,02/29/00 164732,E10A180,00550,0100,02/29/00 164732,E10A180,00550,0300,06/22/01 164732,S000000,00100,0200,02/29/00 164732,S200000,00100,0100,3227 BEL PRE ROAD 164732,S200000,00200,0100,SILVER SPRING 164732,S200000,00200,0200,MD 164732,S200000,00200,0300,20906 164732,S200000,00300,0100,MONTGOMERY 164732,S200000,00300,0200,8840 164732,S200000,00300,0300,U 164732,S200000,00400,0100,LAYHILL CENTER 164732,S200000,00400,0200,215168 164732,S200000,00400,0300,12/01/93 164732,S200000,00400,0500,P 164732,S200000,01500,0100,N 164732,S200000,01600,0100,Y 164732,S200000,01700,0100,N 164732,S200000,01800,0100,N 164732,S200000,02200,0100,Y 164732,S200000,02800,0100,N 164732,S200000,02900,0100,N 164732,S200000,03000,0100,N 164732,S200000,03100,0100,N 164732,S200000,03200,0100,N 164732,S200000,03300,0100,N 164732,S200000,03300,0200,N 164732,S200000,04100,0100,N 164732,S200000,04200,0100,N 164732,S200000,04300,0100,N 164732,S200000,04600,0100,N 164732,S200000,04700,0100,N 164732,S200000,04900,0100,N 164732,S200000,05200,0100,N 164744,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164744,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164744,A000000,00300,0000,0300EMPLOYEE BENEFITS 164744,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164744,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164744,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164744,A000000,00700,0000,0700HOUSEKEEPING 164744,A000000,00800,0000,0800DIETARY 164744,A000000,00900,0000,0900NURSING ADMINISTRATION 164744,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164744,A000000,01100,0000,1100PHARMACY 164744,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164744,A000000,01300,0000,1300SOCIAL SERVICE 164744,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164744,A000000,01600,0000,1600SKILLED NURSING FACILITY 164744,A000000,01800,0000,1800NURSING FACILITY 164744,A000000,01810,0000,1810ICF/MR 164744,A000000,01900,0000,1900OTHER LONG TERM CARE 164744,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 164744,A000000,02500,0000,2500PHYSICAL THERAPY 164744,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164744,A000000,02700,0000,2700SPEECH PATHOLOGY 164744,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164744,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164744,A000000,03550,0000,3550FQHC 164744,A000000,04801,0000,4801AMBULANCE 164744,A000000,04802,0000,4802AMBULANCE 164744,A000000,04803,0000,4803AMBULANCE 164744,A000000,05000,0000,5000CORF 164744,A000000,05010,0000,5010CMHC 164744,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 164744,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164744,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164744,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164744,A81000A,00100,0100,Y 164744,A81000B,00100,0300,ADMIN RELATED PARTY 164744,A81000C,00100,0100,B 164744,A81000C,00100,0400,OSBORN ENTERPRI 164744,A81000C,00100,0600,VARIOUS 164744,B100000,00000,0100,0100SQUARE FEET 164744,B100000,00000,0200,0200SQUARE FEET 164744,B100000,00000,0300,0300GROSS SALARIES 164744,B100000,00000,0400,0400ACCUM COST 164744,B100000,00000,0500,0500SQUARE FEET 164744,B100000,00000,0600,0600POUNDS OF LAUNDRY 164744,B100000,00000,0700,0700HOURS OF SERVICE 164744,B100000,00000,0800,0800MEALS SERVED 164744,B100000,00000,0900,0900DIRECT NRSG HRS 164744,B100000,00000,1000,1000COSTED REQUIS 164744,B100000,00000,1100,1100COSTED REQUIS 164744,B100000,00000,1200,1200TIME SPENT 164744,B100000,00000,1300,1300TIME SPENT 164744,B100000,00000,1400,1400ASSIGNED TIME 164744,E10A180,00302,0100,08/19/99 164744,E10A180,00302,0300,08/19/99 164744,E10A180,00550,0100,05/04/00 164744,E10A180,00550,0300,05/04/00 164744,S000000,00100,0200,05/04/00 164744,S200000,00100,0100,575 STONEWALL JACKSON S.W. 164744,S200000,00200,0100,ORANGEBURG 164744,S200000,00200,0200,SC 164744,S200000,00200,0300,29115 164744,S200000,00300,0100,ORANGEBURG 164744,S200000,00400,0100,EDISTO CONVALESCENT CENTER 164744,S200000,00400,0200,425116 164744,S200000,00400,0300,10/01/77 164744,S200000,00400,0500,P 164744,S200000,01500,0100,N 164744,S200000,01600,0100,Y 164744,S200000,01700,0100,N 164744,S200000,01800,0100,N 164744,S200000,02800,0100,N 164744,S200000,02900,0100,N 164744,S200000,03000,0100,N 164744,S200000,03100,0100,N 164744,S200000,03200,0100,N 164744,S200000,03300,0100,N 164744,S200000,03300,0200,N 164744,S200000,04100,0100,N 164744,S200000,04200,0100,N 164744,S200000,04300,0100,Y 164744,S200000,04600,0100,N 164744,S200000,04700,0100,N 164806,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 164806,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 164806,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 164806,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 164806,A000000,00300,0000,0300EMPLOYEE BENEFITS 164806,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 164806,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 164806,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 164806,A000000,00700,0000,0700HOUSEKEEPING 164806,A000000,00800,0000,0800DIETARY 164806,A000000,00801,0000,0801CAFETERIA 164806,A000000,00900,0000,0900NURSING ADMINISTRATION 164806,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 164806,A000000,01100,0000,1100PHARMACY 164806,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 164806,A000000,01300,0000,1300SOCIAL SERVICE 164806,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 164806,A000000,01500,0000,1350REC. THERAPY 164806,A000000,01600,0000,1600SKILLED NURSING FACILITY 164806,A000000,01800,0000,1800NURSING FACILITY 164806,A000000,01810,0000,1810ICF/MR 164806,A000000,02100,0000,2100RADIOLOGY 164806,A000000,02200,0000,2200LABORATORY 164806,A000000,02300,0000,2300INTRAVENOUS THERAPY 164806,A000000,02500,0000,2500PHYSICAL THERAPY 164806,A000000,02600,0000,2600OCCUPATIONAL THERAPY 164806,A000000,02700,0000,2700SPEECH PATHOLOGY 164806,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 164806,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 164806,A000000,03300,0000,3050PEN THERAPY 164806,A000000,03301,0000,3051FEE SCREENING 164806,A000000,03302,0000,3052AMBULANCE 164806,A000000,03550,0000,3550FQHC 164806,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 164806,A000000,04801,0000,4801AMBULANCE 164806,A000000,04802,0000,4802AMBULANCE 164806,A000000,04803,0000,4803AMBULANCE 164806,A000000,05000,0000,5000CORF I 164806,A000000,05010,0000,5010CMHC I 164806,A000000,05020,0000,5020OPT I 164806,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 164806,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 164806,A000000,05100,0000,4750OTHER REIMBURSABLE COST 164806,A000000,05300,0000,5300INTEREST EXPENSE 164806,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 164806,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 164806,A000000,05900,0000,5900BARBER & BEAUTY SHOP 164806,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 164806,A81000A,00100,0100,Y 164806,A81000B,00100,0300,W/C INTEREST 164806,A81000B,00200,0300,MEDICAL DIRECTOR 164806,A81000C,00100,0100,B 164806,A81000C,00100,0400,MAIN LINE HEALT 164806,A81000C,00100,0600,PARENT CO 164806,A81000C,00200,0100,B 164806,A81000C,00200,0400,MAIN LINE HEALT 164806,A81000C,00200,0600,PHYSICAN SERV 164806,B100000,00000,0100,0100(SQUARE FEET) 164806,B100000,00000,0101,0101(SQUARE FEET) 164806,B100000,00000,0200,0200(SQUARE FEET) 164806,B100000,00000,0201,0201(SQUARE FEET) 164806,B100000,00000,0300,0300(GROSS SALARIES) 164806,B100000,00000,0400,0400ACCUM COST 164806,B100000,00000,0500,0500(SQUARE FEET) 164806,B100000,00000,0600,0600(PATIENT DAYS) 164806,B100000,00000,0700,0700(SQUARE FEET) 164806,B100000,00000,0800,0800(MEALS SERVED) 164806,B100000,00000,0801,0801(MEALS SERVED) 164806,B100000,00000,0900,0900(NURSING SALARIES) 164806,B100000,00000,1000,1000(COSTED REQUIS.) 164806,B100000,00000,1100,1100(PATIENT DAYS) 164806,B100000,00000,1200,1200(PATIENT DAYS) 164806,B100000,00000,1300,1300(PATIENT DAYS) 164806,B100000,00000,1400,1400(ASSIGNED TIME) 164806,B100000,00000,1500,1350(PATIENT DAYS) 164806,E10A180,00501,0100,01/16/01 164806,E10A180,00501,0300,01/16/01 164806,E10A180,00550,0100,12/10/01 164806,E10A180,00550,0300,12/10/01 164806,S000000,00100,0200,11/30/00 164806,S200000,00100,0100,30 WEST AVENUE 164806,S200000,00200,0100,WAYNE 164806,S200000,00200,0200,PA 164806,S200000,00200,0300,19087 164806,S200000,00300,0100,DELAWARE 164806,S200000,00300,0200,6160 164806,S200000,00300,0300,U 164806,S200000,00400,0100,WAYNE 164806,S200000,00400,0200,395332 164806,S200000,00400,0300,07/18/84 164806,S200000,00400,0500,P 164806,S200000,01500,0100,N 164806,S200000,01600,0100,Y 164806,S200000,01700,0100,N 164806,S200000,01800,0100,N 164806,S200000,02200,0100,Y 164806,S200000,02800,0100,N 164806,S200000,02900,0100,N 164806,S200000,03000,0100,N 164806,S200000,03100,0100,N 164806,S200000,03200,0100,N 164806,S200000,03300,0100,N 164806,S200000,03300,0200,N 164806,S200000,04100,0100,N 164806,S200000,04200,0100,N 164806,S200000,04300,0100,N 164806,S200000,04600,0100,N 164806,S200000,04700,0100,N 164806,S200000,04900,0100,N 164806,S200000,05200,0100,N 165201,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165201,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165201,A000000,00300,0000,0300EMPLOYEE BENEFITS 165201,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165201,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165201,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165201,A000000,00700,0000,0700HOUSEKEEPING 165201,A000000,00800,0000,0800DIETARY 165201,A000000,00900,0000,0900NURSING ADMINISTRATION 165201,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165201,A000000,01100,0000,1100PHARMACY 165201,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165201,A000000,01300,0000,1300SOCIAL SERVICE 165201,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165201,A000000,01600,0000,1600SKILLED NURSING FACILITY 165201,A000000,01800,0000,1800NURSING FACILITY 165201,A000000,01810,0000,1810ICF/MR 165201,A000000,02100,0000,2100RADIOLOGY 165201,A000000,02200,0000,2200LABORATORY 165201,A000000,02500,0000,2500PHYSICAL THERAPY 165201,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165201,A000000,02700,0000,2700SPEECH PATHOLOGY 165201,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165201,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165201,A000000,03200,0000,3200SUPPORT SURFACES 165201,A000000,03550,0000,3550FQHC 165201,A000000,04801,0000,4801AMBULANCE 165201,A000000,04802,0000,4802AMBULANCE 165201,A000000,04803,0000,4803AMBULANCE 165201,A000000,05000,0000,5000CORF 165201,A000000,05010,0000,5010CMHC 165201,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 165201,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165201,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165201,A000000,05300,0000,5300INTEREST EXPENSE 165201,A000000,06300,0000,6150NONREIMBURSABLE 165201,A81000A,00100,0100,Y 165201,A81000B,00100,0300,MANAGEMENT FEES 165201,A81000B,00200,0300,STORAGE RENT 165201,A81000B,00300,0300,STORAGE CAPITAL 165201,A81000B,00400,0300,STORAGE 165201,A81000B,00500,0300,PUBLIC RELATIONS 165201,A81000B,00600,0300,BDE ACCOUNTING 165201,A81000C,00100,0100,A 165201,A81000C,00100,0200,BOB G. DEAN JR 165201,A81000C,00100,0400,BOB DEAN ENTERP 165201,A81000C,00100,0600,NURSING HOME MG 165201,A81000C,00200,0100,A 165201,A81000C,00200,0200,BOB G. DEAN JR 165201,A81000C,00200,0400,CHOCTAW WAREHOU 165201,A81000C,00200,0600,STORAGE 165201,A81000C,00300,0100,A 165201,A81000C,00300,0200,BILIE DEAN 165201,A81000C,00300,0400,CHOCTAW WAREHOU 165201,A81000C,00300,0600,STORAGE 165201,B100000,00000,0100,0100SQUARE FEET 165201,B100000,00000,0200,0200SQUARE FEET 165201,B100000,00000,0300,0300GROSS SALARIES 165201,B100000,00000,0400,0400ACCUM COST 165201,B100000,00000,0500,0500SQUARE FEET 165201,B100000,00000,0600,0600POUNDS OF LAUNDRY 165201,B100000,00000,0700,0700SQ FT EXCL. KIT 165201,B100000,00000,0800,0800MEALS 165201,B100000,00000,0900,0900DIRECT NRSG HRS 165201,B100000,00000,1000,1000COSTED REQUIS 165201,B100000,00000,1100,1100COSTED REQUIS 165201,B100000,00000,1200,1200PATIENT DAYS 165201,B100000,00000,1300,1300TIME SPENT 165201,B100000,00000,1400,1400ASSIGNED TIME 165201,E10A180,00301,0100,12/06/99 165201,E10A180,00302,0100,05/10/00 165201,E10A180,00501,0100,09/27/00 165201,S000000,00100,0200,08/07/00 165201,S200000,00100,0100,1020 MANHATTEN /BLVD 165201,S200000,00200,0100,HARVEY 165201,S200000,00200,0200,LA 165201,S200000,00200,0300,70058 165201,S200000,00300,0100,JEFFERSON 165201,S200000,00300,0200,5560 165201,S200000,00300,0300,U 165201,S200000,00400,0100,ST. ELIZABETH S CARING 165201,S200000,00400,0200,195251 165201,S200000,00400,0300,01/09/97 165201,S200000,00400,0500,P 165201,S200000,00400,0600,O 165201,S200000,01500,0100,N 165201,S200000,01600,0100,Y 165201,S200000,01700,0100,N 165201,S200000,01800,0100,N 165201,S200000,02200,0100,Y 165201,S200000,02800,0100,N 165201,S200000,02900,0100,N 165201,S200000,03000,0100,N 165201,S200000,03100,0100,N 165201,S200000,03200,0100,N 165201,S200000,03300,0100,N 165201,S200000,03300,0200,N 165201,S200000,04100,0100,N 165201,S200000,04200,0100,N 165201,S200000,04300,0100,N 165201,S200000,04600,0100,N 165201,S200000,04700,0100,N 165201,S200000,04900,0100,N 165201,S200000,05200,0100,N 165301,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165301,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165301,A000000,00300,0000,0300EMPLOYEE BENEFITS 165301,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165301,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165301,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165301,A000000,00700,0000,0700HOUSEKEEPING 165301,A000000,00800,0000,0800DIETARY 165301,A000000,00900,0000,0900NURSING ADMINISTRATION 165301,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165301,A000000,01100,0000,1100PHARMACY 165301,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165301,A000000,01300,0000,1300SOCIAL SERVICE 165301,A000000,01301,0000,1301ACTIVITIES 165301,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165301,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 165301,A000000,01600,0000,1600SKILLED NURSING FACILITY 165301,A000000,01810,0000,1810ICF/MR 165301,A000000,02100,0000,2100RADIOLOGY 165301,A000000,02200,0000,2200LABORATORY 165301,A000000,02300,0000,2300INTRAVENOUS THERAPY 165301,A000000,02500,0000,2500PHYSICAL THERAPY 165301,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165301,A000000,02700,0000,2700SPEECH PATHOLOGY 165301,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165301,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165301,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 165301,A000000,03301,0000,3051PENN THERAPY 165301,A000000,03550,0000,3550FQHC 165301,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 165301,A000000,04801,0000,4801AMBULANCE 165301,A000000,04802,0000,4802AMBULANCE 165301,A000000,04803,0000,4803AMBULANCE 165301,A000000,05000,0000,5000CORF 165301,A000000,05010,0000,5010CMHC 165301,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 165301,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165301,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165301,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 165301,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165301,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 165301,A81000A,00100,0100,Y 165301,A81000B,00100,0300,NURSING SUPPLIES 165301,A81000B,00200,0300,COST OF SUPPLIES - RT 165301,A81000B,00300,0300,PT SUPPLIES 165301,A81000B,00400,0300,PT 165301,A81000B,00500,0300,OT/OT SUPPLIES 165301,A81000B,00600,0300,ST/ST SUPPLIES 165301,A81000B,00700,0300,HOME OFFICE INTEREST 165301,A81000B,00800,0300,HOME OFFICE ALLOCATION 165301,A81000C,00100,0100,B 165301,A81000C,00100,0200,LAKE CITY SCRAN 165301,A81000C,00100,0400,MARINER PAN 165301,A81000C,00100,0600,NURSING HOMES 165301,A81000C,00200,0100,G 165301,A81000C,00200,0200,MARINER POST-AC 165301,A81000C,00200,0400,AMERICAN PHARMA 165301,A81000C,00200,0600,PHARMACEUTICALS 165301,A81000C,00300,0100,G 165301,A81000C,00300,0200,MARINER POST-AC 165301,A81000C,00300,0400,PRISM (ARS APS 165301,A81000C,00300,0600,THERAPIES 165301,B100000,00000,0100,0100SQUARE FEET 165301,B100000,00000,0200,0200SQUARE FEET 165301,B100000,00000,0300,0300GROSS SALARIES 165301,B100000,00000,0400,0400ACCUM COST 165301,B100000,00000,0500,0500SQUARE FEET 165301,B100000,00000,0600,0650PATIENT DAYS 165301,B100000,00000,0700,0750SQUARE FEET 165301,B100000,00000,0800,0800MEALS SERVED 165301,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 165301,B100000,00000,1000,1050PATIENT DAYS 165301,B100000,00000,1100,1100COSTED REQUIS 165301,B100000,00000,1200,1250PATIENT DAYS 165301,B100000,00000,1300,1330PATIENT DAYS 165301,B100000,00000,1301,1331(PATIENT DAYS) 165301,B100000,00000,1400,1400ASSIGNED TIME 165301,B100000,00000,1500,1350(UNITS OF SERVICE) 165301,E10A180,00501,0100,03/07/01 165301,E10A180,00501,0300,03/07/01 165301,S000000,00100,0200,06/16/00 165301,S200000,00100,0100,1940 BOYD STREET 165301,S200000,00100,0300,9 165301,S200000,00200,0100,SCRANTON 165301,S200000,00200,0200,NJ 165301,S200000,00200,0300,29591 165301,S200000,00300,0100,FLORENCE 165301,S200000,00300,0200,2655 165301,S200000,00300,0300,U 165301,S200000,00400,0100,LAKE CITY-SCRANTON HLTHCARE CENTER 165301,S200000,00400,0200,425149 165301,S200000,00400,0300,09/30/94 165301,S200000,00400,0500,P 165301,S200000,01500,0100,N 165301,S200000,01600,0100,Y 165301,S200000,01700,0100,N 165301,S200000,01800,0100,N 165301,S200000,02200,0100,N 165301,S200000,02800,0100,N 165301,S200000,02900,0100,N 165301,S200000,03000,0100,N 165301,S200000,03100,0100,N 165301,S200000,03200,0100,N 165301,S200000,03300,0100,N 165301,S200000,03300,0200,N 165301,S200000,04100,0100,N 165301,S200000,04200,0100,N 165301,S200000,04300,0100,N 165301,S200000,04600,0100,N 165301,S200000,04700,0100,N 165301,S200000,04900,0100,N 165430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165430,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 165430,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165430,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 165430,A000000,00300,0000,0300EMPLOYEE BENEFITS 165430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165430,A000000,00700,0000,0700HOUSEKEEPING 165430,A000000,00800,0000,0800DIETARY 165430,A000000,00801,0000,0801CAFETERIA 165430,A000000,00900,0000,0900NURSING ADMINISTRATION 165430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165430,A000000,01100,0000,1100PHARMACY 165430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165430,A000000,01300,0000,1300SOCIAL SERVICE 165430,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165430,A000000,01500,0000,1350REC THERAPY 165430,A000000,01600,0000,1600SKILLED NURSING FACILITY 165430,A000000,01800,0000,1800NURSING FACILITY 165430,A000000,01810,0000,1810ICF/MR 165430,A000000,02100,0000,2100RADIOLOGY 165430,A000000,02200,0000,2200LABORATORY 165430,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165430,A000000,02500,0000,2500PHYSICAL THERAPY 165430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165430,A000000,02700,0000,2700SPEECH PATHOLOGY 165430,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165430,A000000,03300,0000,3050PEN THERAPY 165430,A000000,03301,0000,3051FEE SCREENING 165430,A000000,03302,0000,3052OTHER ANCILLARY III 165430,A000000,03550,0000,3550FQHC 165430,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 165430,A000000,04801,0000,4801AMBULANCE 165430,A000000,04802,0000,4802AMBULANCE 165430,A000000,04803,0000,4803AMBULANCE 165430,A000000,05000,0000,5000CORF I 165430,A000000,05010,0000,5010CMHC I 165430,A000000,05020,0000,5020OPT I 165430,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165430,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165430,A000000,05100,0000,4750OTHER REIMBURSABLE COST 165430,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 165430,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 165430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165430,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 165430,A81000A,00100,0100,Y 165430,A81000B,00100,0300,HOME OFFICE 165430,A81000B,00200,0300,HOME OFFICE CAPITAL 165430,A81000B,00300,0300,AS ATTACHED 165430,A81000C,00100,0100,B 165430,A81000C,00100,0400,GHV INC 165430,A81000C,00100,0600,HOME OFFICE 165430,A81000C,00200,0100,B 165430,A81000C,00200,0400,GHV INC 165430,A81000C,00200,0600,HOME OFFICE 165430,A81000C,00300,0100,B 165430,A81000C,00300,0400,AS ATTACHED 165430,A81000C,00300,0600,VARIOUS 165430,B100000,00000,0100,0100(SQUARE FEET) 165430,B100000,00000,0101,0101(SQUARE FEET) 165430,B100000,00000,0200,0200(SQUARE FEET) 165430,B100000,00000,0201,0201(SQUARE FEET) 165430,B100000,00000,0300,0300(GROSS SALARIES) 165430,B100000,00000,0400,0400ACCUM COST 165430,B100000,00000,0500,0500(SQUARE FEET) 165430,B100000,00000,0600,0600(PATIENT DAYS) 165430,B100000,00000,0700,0700(SQUARE FEET) 165430,B100000,00000,0800,0800(MEALS SERVED) 165430,B100000,00000,0801,0801(MEALS SERVED) 165430,B100000,00000,0900,0900(NURSING SALARIES) 165430,B100000,00000,1000,1000(PATIENT DAYS) 165430,B100000,00000,1100,1100(PATIENT DAYS) 165430,B100000,00000,1200,1200(PATIENT DAYS) 165430,B100000,00000,1300,1300(PATIENT DAYS) 165430,B100000,00000,1400,1400PAT DAYS 165430,B100000,00000,1500,1350(PATIENT DAYS) 165430,E10A180,00501,0100,03/02/00 165430,E10A180,00502,0100,04/10/01 165430,E10A180,00550,0300,03/02/00 165430,E10A180,00551,0300,04/10/01 165430,S000000,00100,0200,02/29/00 165430,S200000,00100,0100,500 E. SHILLINGTON AVE 165430,S200000,00200,0100,SHILLINGTON 165430,S200000,00200,0200,PA 165430,S200000,00200,0300,19607 165430,S200000,00300,0100,BERKS 165430,S200000,00300,0200,6680 165430,S200000,00300,0300,U 165430,S200000,00400,0100,MIFFLIN CENTER 165430,S200000,00400,0200,395138 165430,S200000,00400,0300,01/01/67 165430,S200000,00400,0500,P 165430,S200000,01500,0100,N 165430,S200000,01600,0100,Y 165430,S200000,01700,0100,N 165430,S200000,01800,0100,N 165430,S200000,02200,0100,Y 165430,S200000,02800,0100,N 165430,S200000,02900,0100,N 165430,S200000,03000,0100,N 165430,S200000,03100,0100,N 165430,S200000,03200,0100,N 165430,S200000,03300,0100,N 165430,S200000,03300,0200,N 165430,S200000,04100,0100,N 165430,S200000,04200,0100,N 165430,S200000,04300,0100,N 165430,S200000,04600,0100,N 165430,S200000,04700,0100,N 165430,S200000,05200,0100,N 165436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165436,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 165436,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165436,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 165436,A000000,00300,0000,0300EMPLOYEE BENEFITS 165436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165436,A000000,00700,0000,0700HOUSEKEEPING 165436,A000000,00800,0000,0800DIETARY 165436,A000000,00801,0000,0801CAFETERIA 165436,A000000,00900,0000,0900NURSING ADMINISTRATION 165436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165436,A000000,01100,0000,1100PHARMACY 165436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165436,A000000,01300,0000,1300SOCIAL SERVICE 165436,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165436,A000000,01500,0000,1350ACTIVITIES 165436,A000000,01600,0000,1600SKILLED NURSING FACILITY 165436,A000000,01800,0000,1800NURSING FACILITY 165436,A000000,01810,0000,1810ICF/MR 165436,A000000,02300,0000,2300INTRAVENOUS THERAPY 165436,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165436,A000000,02500,0000,2500PHYSICAL THERAPY 165436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165436,A000000,02700,0000,2700SPEECH PATHOLOGY 165436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165436,A000000,03200,0000,3200SUPPORT SURFACES 165436,A000000,03300,0000,3050PEN PART B 165436,A000000,03301,0000,3051FEE SCREENING 165436,A000000,03302,0000,3052OTHER ANCILLARY III 165436,A000000,03550,0000,3550FQHC 165436,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 165436,A000000,04801,0000,4801AMBULANCE 165436,A000000,04802,0000,4802AMBULANCE 165436,A000000,04803,0000,4803AMBULANCE 165436,A000000,05000,0000,5000CORF I 165436,A000000,05010,0000,5010CMHC I 165436,A000000,05020,0000,5020OPT I 165436,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165436,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165436,A000000,05100,0000,4750OTHER REIMBURSABLE COST 165436,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 165436,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 165436,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 165436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165436,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 165436,A81000A,00100,0100,Y 165436,A81000B,00100,0300,HOME OFFICE ALLOC 165436,A81000B,00200,0300,HOME OFFICE CAP REL 165436,A81000B,00300,0300,OT 165436,A81000B,00400,0300,ST 165436,A81000B,00500,0300,OXYGEN/RT 165436,A81000B,00600,0300,MEDICAL SUPPLIES 165436,A81000B,00700,0300,DRUGS 165436,A81000B,00800,0300,PT 165436,A81000B,00900,0300,CASE MGMT 165436,A81000C,00100,0100,B 165436,A81000C,00100,0200,GENESIS ELDERC 165436,A81000C,00100,0600,MANAGEMENT CO 165436,A81000C,00200,0100,B 165436,A81000C,00200,0200,GENESIS SERVICE 165436,A81000C,00200,0600,THERAPY SERVICE 165436,A81000C,00300,0100,B 165436,A81000C,00300,0200,NEIGHBORCARE 165436,A81000C,00300,0600,PHARMACY SUPPLY 165436,A81000C,00400,0100,B 165436,A81000C,00400,0200,GENESIS PHYSICI 165436,A81000C,00400,0600,CASE MGMT 165436,A81000C,00500,0100,B 165436,A81000C,00500,0200,RESPIRATORY HEA 165436,A81000C,00500,0600,RT 165436,B100000,00000,0100,0100(SQUARE FEET) 165436,B100000,00000,0101,0101(SQUARE FEET) 165436,B100000,00000,0200,0200(SQUARE FEET) 165436,B100000,00000,0201,0201(SQUARE FEET) 165436,B100000,00000,0300,0300(GROSS SALARIES) 165436,B100000,00000,0400,0400ACCUM COST 165436,B100000,00000,0500,0500(SQUARE FEET) 165436,B100000,00000,0600,0600(PATIENT DAYS) 165436,B100000,00000,0700,0700(SQUARE FEET) 165436,B100000,00000,0800,0800(MEALS SERVED) 165436,B100000,00000,0801,0801(MEALS SERVED) 165436,B100000,00000,0900,0900(NURSING SALARIES) 165436,B100000,00000,1000,1000(COSTED REQUIS.) 165436,B100000,00000,1100,1100(COSTED REQUIS.) 165436,B100000,00000,1200,1200(GROSS CHARGES) 165436,B100000,00000,1300,1300(PATIENT DAYS) 165436,B100000,00000,1400,1400(ASSIGNED TIME) 165436,B100000,00000,1500,1350(PATIENT DAYS) 165436,E10A180,00501,0100,03/14/00 165436,E10A180,00501,0300,03/14/00 165436,E10A180,00550,0100,03/02/01 165436,E10A180,00550,0300,03/02/01 165436,S000000,00100,0200,02/29/00 165436,S200000,00100,0100,1785 HATES STREET 165436,S200000,00200,0100,ARLINGTON 165436,S200000,00200,0200,VA 165436,S200000,00200,0300,22202 165436,S200000,00300,0100,ARLINGTON VA 165436,S200000,00300,0200,8840 165436,S200000,00300,0300,U 165436,S200000,00400,0100,POTOMAC CENTER 165436,S200000,00400,0200,495114 165436,S200000,00400,0300,08/01/88 165436,S200000,00400,0500,P 165436,S200000,01500,0100,N 165436,S200000,01600,0100,Y 165436,S200000,01700,0100,N 165436,S200000,01800,0100,N 165436,S200000,02200,0100,Y 165436,S200000,02800,0100,N 165436,S200000,02900,0100,N 165436,S200000,03000,0100,N 165436,S200000,03100,0100,N 165436,S200000,03200,0100,N 165436,S200000,03300,0100,N 165436,S200000,03300,0200,N 165436,S200000,04100,0100,N 165436,S200000,04200,0100,N 165436,S200000,04300,0100,N 165436,S200000,04700,0100,N 165436,S200000,04900,0100,N 165436,S200000,05200,0100,N 165723,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 165723,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 165723,A000000,00300,0000,0300EMPLOYEE BENEFITS 165723,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165723,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 165723,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165723,A000000,00700,0000,0700HOUSEKEEPING 165723,A000000,00800,0000,0800DIETARY 165723,A000000,00900,0000,0900NURSING ADMINISTRATION 165723,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165723,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165723,A000000,01300,0000,1300SOCIAL SERVICE 165723,A000000,01301,0000,1301ACTIVITES 165723,A000000,01500,0000,1350REHABILITATION 165723,A000000,01600,0000,1600SKILLED NURSING FACILITY 165723,A000000,01800,0000,1800NURSING FACILITY 165723,A000000,01900,0000,1900OTHER LONG TERM CARE 165723,A000000,02100,0000,2100RADIOLOGY 165723,A000000,02200,0000,2200LABORATORY 165723,A000000,02300,0000,2300INTRAVENOUS THERAPY 165723,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165723,A000000,02500,0000,2500PHYSICAL THERAPY 165723,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165723,A000000,02700,0000,2700SPEECH PATHOLOGY 165723,A000000,02800,0000,2800ELECTROCARDIOLOGY 165723,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 165723,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165723,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 165723,A000000,03200,0000,3200SUPPORT SURFACES 165723,A000000,03300,0000,3050EQUIPMENT RENTAL 165723,A000000,03301,0000,3051PEN THERAPY 165723,A000000,04800,0000,4800AMBULANCE 165723,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 165723,A000000,05300,0000,5300INTEREST EXPENSE 165723,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 165723,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165723,A000000,06200,0000,6200PATIENTS LAUNDRY 165723,A000000,06300,0000,6150VENDING 165723,A000000,06301,0000,6151STAND-BY 165723,A81000A,00100,0100,Y 165723,A81000B,00100,0300,HOME OFFICE COST 165723,A81000B,00200,0300,DIETARY SUPPLEMENTS 165723,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 165723,A81000B,00400,0300,PRESCRIPTION DRUGS 165723,A81000B,00500,0300,MEDICAL SUPPLIES 165723,A81000B,00600,0300,ADMIN COSTS 165723,A81000B,00700,0300,HOME OFFICE INTEREST 165723,A81000B,00800,0300,EQUIPMENT REPLACEMENT 165723,A81000B,00900,0300,IV THERAPY 165723,A81000B,01000,0300,PHYSICAL THERAPY SUPPLIES 165723,A81000C,00100,0100,B 165723,A81000C,00100,0200,GREEN ACRES - C 165723,A81000C,00100,0400,MARINER PAN 165723,A81000C,00100,0600,NURSING HOMES 165723,A81000C,00200,0100,G 165723,A81000C,00200,0200,MARINER PAN 165723,A81000C,00200,0400,AMER PHARM SVCS 165723,A81000C,00200,0600,PHARMACEUTICALS 165723,A81000C,00300,0100,G 165723,A81000C,00300,0200,MARINER PAN 165723,A81000C,00300,0400,PRISM-ATS-ARS-T 165723,A81000C,00300,0600,THERAPIES 165723,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 165723,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 165723,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 165723,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 165723,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 165723,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 165723,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 165723,B100000,00000,0800,0800MEALS SERVED :DIETARY 165723,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 165723,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 165723,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 165723,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 165723,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 165723,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 165723,E10A180,00301,0100,01/05/00 165723,E10A180,00350,0100,09/15/99 165723,S000000,00100,0200,12/01/00 165723,S200000,00100,0100,501 TIMPSON 165723,S200000,00200,0100,CENTER 165723,S200000,00200,0200,TX 165723,S200000,00200,0300,75935- 165723,S200000,00300,0100,SHELBY 165723,S200000,00300,0200,67 165723,S200000,00300,0300,R 165723,S200000,00400,0100,GREEN ACRES - CENTER 165723,S200000,00400,0200,675398 165723,S200000,00400,0300,09/22/94 165723,S200000,00400,0500,P 165723,S200000,01500,0100,Y 165723,S200000,01600,0100,N 165723,S200000,01700,0100,N 165723,S200000,01800,0100,N 165723,S200000,02200,0100,Y 165723,S200000,02800,0100,N 165723,S200000,02900,0100,N 165723,S200000,03000,0100,N 165723,S200000,03100,0100,N 165723,S200000,03200,0100,N 165723,S200000,04100,0100,N 165723,S200000,04200,0100,N 165723,S200000,04300,0100,Y 165723,S200000,04600,0100,N 165723,S200000,04700,0100,N 165723,S200000,04700,0200,N 165723,S200000,04900,0100,N 165723,S200000,05000,0100,N 165723,S200000,05100,0100,N 165723,S200000,05200,0100,N 165724,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 165724,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 165724,A000000,00300,0000,0300EMPLOYEE BENEFITS 165724,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165724,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 165724,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165724,A000000,00700,0000,0700HOUSEKEEPING 165724,A000000,00800,0000,0800DIETARY 165724,A000000,00900,0000,0900NURSING ADMINISTRATION 165724,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165724,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165724,A000000,01300,0000,1300SOCIAL SERVICE 165724,A000000,01301,0000,1301ACTIVITES 165724,A000000,01500,0000,1350REHABILITATION 165724,A000000,01600,0000,1600SKILLED NURSING FACILITY 165724,A000000,01800,0000,1800NURSING FACILITY 165724,A000000,01900,0000,1900OTHER LONG TERM CARE 165724,A000000,02100,0000,2100RADIOLOGY 165724,A000000,02200,0000,2200LABORATORY 165724,A000000,02300,0000,2300INTRAVENOUS THERAPY 165724,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165724,A000000,02500,0000,2500PHYSICAL THERAPY 165724,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165724,A000000,02700,0000,2700SPEECH PATHOLOGY 165724,A000000,02800,0000,2800ELECTROCARDIOLOGY 165724,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 165724,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165724,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 165724,A000000,03200,0000,3200SUPPORT SURFACES 165724,A000000,03300,0000,3050EQUIPMENT RENTAL 165724,A000000,03301,0000,3051PEN THERAPY 165724,A000000,04800,0000,4800AMBULANCE 165724,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 165724,A000000,05300,0000,5300INTEREST EXPENSE 165724,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 165724,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165724,A000000,06200,0000,6200PATIENTS LAUNDRY 165724,A000000,06300,0000,6150VENDING 165724,A000000,06301,0000,6151STAND-BY 165724,A81000A,00100,0100,Y 165724,A81000B,00100,0300,HOME OFFICE COST 165724,A81000B,00200,0300,DIETARY SUPPLEMENTS 165724,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 165724,A81000B,00400,0300,PRESCRIPTION DRUGS 165724,A81000B,00500,0300,MEDICAL SUPPLIES 165724,A81000B,00600,0300,ADMIN COSTS 165724,A81000B,00700,0300,HOME OFFICE INTEREST 165724,A81000B,00900,0300,PT SUPPLIES 165724,A81000B,01000,0300,S-T EQUIPMENT RENTAL 165724,A81000C,00100,0100,B 165724,A81000C,00100,0200,RALLS NURSING H 165724,A81000C,00100,0400,MARINER PAN 165724,A81000C,00100,0600,NURSING HOMES 165724,A81000C,00200,0100,G 165724,A81000C,00200,0200,MARINER PAN 165724,A81000C,00200,0400,AMER PHARM SVCS 165724,A81000C,00200,0600,PHARMACEUTICALS 165724,A81000C,00300,0100,G 165724,A81000C,00300,0200,MARINER PAN 165724,A81000C,00300,0400,PRISM-ATS-ARS-T 165724,A81000C,00300,0600,THERAPIES 165724,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 165724,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 165724,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 165724,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 165724,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 165724,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 165724,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 165724,B100000,00000,0800,0800MEALS SERVED :DIETARY 165724,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 165724,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 165724,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 165724,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 165724,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 165724,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 165724,E10A180,00350,0100,10/13/99 165724,E10A180,00351,0100,11/10/99 165724,E10A180,00352,0100,01/05/00 165724,S000000,00100,0200,12/01/00 165724,S200000,00100,0100,1111 AVENUE P 165724,S200000,00200,0100,RALLS 165724,S200000,00200,0200,TX 165724,S200000,00200,0300,79357- 165724,S200000,00300,0100,CROSBY 165724,S200000,00300,0200,0067 165724,S200000,00300,0300,R 165724,S200000,00400,0100,RALLS NURSING HOME 165724,S200000,00400,0200,675407 165724,S200000,00400,0300,08/31/94 165724,S200000,00400,0500,P 165724,S200000,01500,0100,Y 165724,S200000,01600,0100,N 165724,S200000,01700,0100,N 165724,S200000,01800,0100,N 165724,S200000,02200,0100,Y 165724,S200000,02800,0100,N 165724,S200000,02900,0100,N 165724,S200000,03000,0100,N 165724,S200000,03100,0100,N 165724,S200000,03200,0100,N 165724,S200000,04100,0100,N 165724,S200000,04200,0100,N 165724,S200000,04300,0100,Y 165724,S200000,04600,0100,N 165724,S200000,04700,0100,N 165724,S200000,04700,0200,N 165724,S200000,04900,0100,N 165724,S200000,05000,0100,N 165724,S200000,05100,0100,N 165724,S200000,05200,0100,N 165726,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165726,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165726,A000000,00300,0000,0300EMPLOYEE BENEFITS 165726,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165726,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165726,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165726,A000000,00700,0000,0700HOUSEKEEPING 165726,A000000,00800,0000,0800DIETARY 165726,A000000,00900,0000,0900NURSING ADMINISTRATION 165726,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165726,A000000,01100,0000,1100PHARMACY 165726,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165726,A000000,01300,0000,1300SOCIAL SERVICE 165726,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165726,A000000,01600,0000,1600SKILLED NURSING FACILITY 165726,A000000,01800,0000,1800NURSING FACILITY 165726,A000000,01810,0000,1810ICF/MR 165726,A000000,02100,0000,2100RADIOLOGY 165726,A000000,02200,0000,2200LABORATORY 165726,A000000,02300,0000,2300INTRAVENOUS THERAPY 165726,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165726,A000000,02500,0000,2500PHYSICAL THERAPY 165726,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165726,A000000,02700,0000,2700SPEECH PATHOLOGY 165726,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 165726,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165726,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165726,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 165726,A000000,03550,0000,3550FQHC 165726,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 165726,A000000,04800,0000,4800AMBULANCE 165726,A000000,04801,0000,4801AMBULANCE 165726,A000000,04802,0000,4802AMBULANCE 165726,A000000,04803,0000,4803AMBULANCE 165726,A000000,05000,0000,5000CORF 165726,A000000,05010,0000,5010CMHC 165726,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 165726,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165726,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165726,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 165726,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165726,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 165726,A81000A,00100,0100,Y 165726,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 165726,A81000C,00100,0100,C 165726,A81000C,00100,0200,NHS INC. 165726,A81000C,00100,0400,NHS INC. 165726,A81000C,00100,0600,HOME OFFICE 165726,B100000,00000,0100,0100SQUARE FEET 165726,B100000,00000,0200,0200SQUARE FEET 165726,B100000,00000,0300,0300GROSS SALARIES 165726,B100000,00000,0400,0400ACCUM COST 165726,B100000,00000,0500,0500SQUARE FEET 165726,B100000,00000,0600,0600POUNDS OF LAUNDRY 165726,B100000,00000,0700,0700HOURS OF SERVICE 165726,B100000,00000,0800,0800MEALS SERVED 165726,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 165726,B100000,00000,1000,1000COSTED REQUISITIO 165726,B100000,00000,1100,1100COSTED REQUISITIO 165726,B100000,00000,1200,1200TIME SPENT 165726,B100000,00000,1300,1300TIME SPENT 165726,B100000,00000,1400,1400ASSIGNED TIME 165726,E10A180,00501,0100,11/14/00 165726,E10A180,00550,0300,11/14/00 165726,S000000,00100,0200,09/27/00 165726,S200000,00100,0100,3100 OLD MISSOURI ROAD 165726,S200000,00200,0100,FAYETTEVILLE 165726,S200000,00200,0200,AR 165726,S200000,00200,0300,72703 165726,S200000,00300,0100,WASHINGTON 165726,S200000,00300,0200,2580 165726,S200000,00300,0300,U 165726,S200000,00400,0100,FAYETTEVILLE HEALTH & REHAB CENTER 165726,S200000,00400,0200,045220 165726,S200000,00400,0300,12/01/93 165726,S200000,00400,0500,P 165726,S200000,01500,0100,N 165726,S200000,01600,0100,Y 165726,S200000,01700,0100,N 165726,S200000,01800,0100,N 165726,S200000,01900,0100,S-CORPORATION SUBSIDIARY 165726,S200000,02200,0100,N 165726,S200000,02800,0100,N 165726,S200000,02900,0100,N 165726,S200000,03000,0100,N 165726,S200000,03100,0100,N 165726,S200000,03200,0100,N 165726,S200000,03300,0100,N 165726,S200000,03300,0200,N 165726,S200000,04100,0100,N 165726,S200000,04200,0100,N 165726,S200000,04300,0100,N 165726,S200000,04600,0100,N 165726,S200000,04700,0100,N 165726,S200000,04900,0100,N 165726,S200000,05200,0100,N 165740,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165740,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165740,A000000,00300,0000,0300EMPLOYEE BENEFITS 165740,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165740,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165740,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165740,A000000,00700,0000,0700HOUSEKEEPING 165740,A000000,00800,0000,0800DIETARY 165740,A000000,00900,0000,0900NURSING ADMINISTRATION 165740,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165740,A000000,01100,0000,1100PHARMACY 165740,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165740,A000000,01300,0000,1300SOCIAL SERVICE 165740,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165740,A000000,01600,0000,1600SKILLED NURSING FACILITY 165740,A000000,01800,0000,1800NURSING FACILITY 165740,A000000,01810,0000,1810ICF/MR 165740,A000000,02100,0000,2100RADIOLOGY 165740,A000000,02200,0000,2200LABORATORY 165740,A000000,02500,0000,2500PHYSICAL THERAPY 165740,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165740,A000000,02700,0000,2700SPEECH PATHOLOGY 165740,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165740,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165740,A000000,03150,0000,3150BGMT/ENTERALS 165740,A000000,03300,0000,3050AMBULANCE 165740,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENT 165740,A000000,04801,0000,4801AMBULANCE 165740,A000000,04802,0000,4802AMBULANCE 165740,A000000,04803,0000,4803AMBULANCE 165740,A000000,05000,0000,5000CORF 165740,A000000,05010,0000,5010CMHC 165740,A000000,05020,0000,5020OPT 165740,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165740,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165740,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 165740,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165740,A81000A,00100,0100,Y 165740,A81000B,00100,0300,H/O CAPITAL COSTS 165740,A81000B,00200,0300,H/O OPERATING COSTS 165740,A81000C,00100,0100,F 165740,A81000C,00100,0200,JOHN L BLACK JR 165740,A81000C,00100,0400,HCM INC. 165740,A81000C,00100,0600,MANAGEMENT CO. 165740,A81000C,00200,0100,F 165740,A81000C,00200,0200,BOBBY ARNOLD 165740,A81000C,00200,0400,HCM INC. 165740,A81000C,00200,0600,MANAGEMENT CO. 165740,A81000C,00300,0100,F 165740,A81000C,00300,0200,MARK WALDROP 165740,A81000C,00300,0400,HCM INC. 165740,A81000C,00300,0600,MANAGEMENT CO. 165740,B100000,00000,0100,0100(SQUARE FEET) 165740,B100000,00000,0200,0200(SQUARE FEET) 165740,B100000,00000,0300,0300(GROSS SALARIES) 165740,B100000,00000,0400,0400ACCUM COST 165740,B100000,00000,0500,0500(SQUARE FEET) 165740,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 165740,B100000,00000,0700,0700(HOURS OF SERVICE) 165740,B100000,00000,0800,0800(MEALS SERVED) 165740,B100000,00000,0900,0900(DIR NRSG HOURS) 165740,B100000,00000,1000,1000(COSTED REQUIS) 165740,B100000,00000,1100,1100(COSTED REQUIS) 165740,B100000,00000,1200,1200(TIME SPENT) 165740,B100000,00000,1300,1300(TIME SPENT) 165740,B100000,00000,1400,1400(ASSIGNED TIME) 165740,E10A180,00501,0100,06/13/00 165740,S000000,00100,0200,05/19/00 165740,S200000,00100,0100,710 BROADRIDGE 165740,S200000,00200,0100,JACKSON 165740,S200000,00200,0200,MISSOURI 165740,S200000,00200,0300,63755 165740,S200000,00300,0100,CAPE 165740,S200000,00300,0200,0026 165740,S200000,00300,0300,R 165740,S200000,00400,0100,JACKSON MANOR 165740,S200000,00400,0200,265438 165740,S200000,00400,0300,10/01/90 165740,S200000,00400,0500,P 165740,S200000,01500,0100,N 165740,S200000,01600,0100,Y 165740,S200000,01700,0100,N 165740,S200000,01800,0100,N 165740,S200000,01900,0100,S-CORPORATION SUBSIDIARY 165740,S200000,02200,0100,N 165740,S200000,02800,0100,N 165740,S200000,02900,0100,N 165740,S200000,03000,0100,N 165740,S200000,03100,0100,N 165740,S200000,03200,0100,N 165740,S200000,03300,0100,N 165740,S200000,03300,0200,N 165740,S200000,04100,0100,N 165740,S200000,04200,0100,N 165740,S200000,04300,0100,N 165740,S200000,04600,0100,N 165740,S200000,04700,0100,N 165740,S200000,04900,0100,N 165740,S200000,05200,0100,N 165899,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165899,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165899,A000000,00300,0000,0300EMPLOYEE BENEFITS 165899,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165899,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165899,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165899,A000000,00700,0000,0700HOUSEKEEPING 165899,A000000,00800,0000,0800DIETARY 165899,A000000,00900,0000,0900NURSING ADMINISTRATION 165899,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165899,A000000,01100,0000,1100PHARMACY 165899,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165899,A000000,01300,0000,1300SOCIAL SERVICE 165899,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165899,A000000,01600,0000,1600SKILLED NURSING FACILITY 165899,A000000,01810,0000,1810ICF/MR 165899,A000000,02100,0000,2100RADIOLOGY 165899,A000000,02200,0000,2200LABORATORY 165899,A000000,02300,0000,2300INTRAVENOUS THERAPY 165899,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165899,A000000,02500,0000,2500PHYSICAL THERAPY 165899,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165899,A000000,02700,0000,2700SPEECH PATHOLOGY 165899,A000000,02800,0000,2800ELECTROCARDIOLOGY 165899,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165899,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165899,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 165899,A000000,03301,0000,3051AIR FLUIDIZED BEDS 165899,A000000,03302,0000,3052HOSPITAL 165899,A000000,03550,0000,3550FQHC 165899,A000000,04800,0000,4800AMBULANCE 165899,A000000,04801,0000,4801AMBULANCE 165899,A000000,04802,0000,4802AMBULANCE 165899,A000000,04803,0000,4803AMBULANCE 165899,A000000,05000,0000,5000CORF 165899,A000000,05010,0000,5010CMHC 165899,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 165899,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165899,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165899,A000000,05900,0000,5900BARBER & BEAUTY SHOP 165899,A81000A,00100,0100,Y 165899,A81000B,00100,0300,H.O. CAP RELATED BLDG & FIXTUR 165899,A81000B,00200,0300,H.O. CAP RELATED MOV EQUIP 165899,A81000B,00300,0300,H.O. ADMINSITRATION 165899,A81000C,00100,0100,B 165899,A81000C,00100,0200,BOND JOHNSON & BOND 165899,B100000,00000,0100,0100SQUARE FEET 165899,B100000,00000,0200,0200SQUARE FEET 165899,B100000,00000,0300,0300GROSS SALARIES 165899,B100000,00000,0400,0400ACCUM COST 165899,B100000,00000,0500,0500SQUARE FEET 165899,B100000,00000,0600,0600POUNDS OF LAUNDRY 165899,B100000,00000,0700,0700SQUARE FEET 165899,B100000,00000,0800,0800MEALS SERVED 165899,B100000,00000,0900,0900DIRECT NRSING HRS 165899,B100000,00000,1000,1000COSTED REQUIS 165899,B100000,00000,1100,1100COSTED REQUIS 165899,B100000,00000,1200,1200TIME SPENT 165899,B100000,00000,1300,1300TIME SPENT 165899,B100000,00000,1400,1400ASSIGNED TIME 165899,E10A180,00501,0100,06/21/00 165899,S000000,00100,0200,05/30/00 165899,S200000,00100,0100,2850 PORTERS CHAPEL ROAD 165899,S200000,00200,0100,VICKSBURG 165899,S200000,00200,0200,MS 165899,S200000,00200,0300,39180 165899,S200000,00300,0100,WARREN 165899,S200000,00300,0200,0025 165899,S200000,00300,0300,R 165899,S200000,00400,0100,VICKSBURG TRACE HAVEN 165899,S200000,00400,0200,255140 165899,S200000,00400,0300,03/01/95 165899,S200000,00400,0500,P 165899,S200000,01500,0100,Y 165899,S200000,01600,0100,N 165899,S200000,01700,0100,N 165899,S200000,01800,0100,N 165899,S200000,02200,0100,Y 165899,S200000,02800,0100,N 165899,S200000,02900,0100,N 165899,S200000,03000,0100,N 165899,S200000,03100,0100,N 165899,S200000,03200,0100,N 165899,S200000,03300,0100,N 165899,S200000,03300,0200,N 165899,S200000,04100,0100,N 165899,S200000,04200,0100,N 165899,S200000,04300,0100,N 165899,S200000,04600,0100,N 165899,S200000,04700,0100,N 165899,S200000,04900,0100,N 165899,S200000,05200,0100,N 165906,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 165906,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 165906,A000000,00300,0000,0300EMPLOYEE BENEFITS 165906,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 165906,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 165906,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 165906,A000000,00700,0000,0700HOUSEKEEPING 165906,A000000,00800,0000,0800DIETARY 165906,A000000,00900,0000,0900NURSING ADMINISTRATION 165906,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 165906,A000000,01100,0000,1100PHARMACY 165906,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 165906,A000000,01300,0000,1300SOCIAL SERVICE 165906,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 165906,A000000,01600,0000,1600SKILLED NURSING FACILITY 165906,A000000,01800,0000,1800NURSING FACILITY 165906,A000000,01810,0000,1810ICF/MR 165906,A000000,02100,0000,2100RADIOLOGY 165906,A000000,02200,0000,2200LABORATORY 165906,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 165906,A000000,02500,0000,2500PHYSICAL THERAPY 165906,A000000,02600,0000,2600OCCUPATIONAL THERAPY 165906,A000000,02700,0000,2700SPEECH PATHOLOGY 165906,A000000,02800,0000,2800ELECTROCARDIOLOGY 165906,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 165906,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 165906,A000000,03200,0000,3200SUPPORT SURFACES 165906,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 165906,A000000,03550,0000,3550FQHC 165906,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 165906,A000000,04801,0000,4801AMBULANCE 165906,A000000,04802,0000,4802AMBULANCE 165906,A000000,04803,0000,4803AMBULANCE 165906,A000000,05000,0000,5000CORF 165906,A000000,05010,0000,5010CMHC 165906,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 165906,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 165906,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 165906,A000000,05300,0000,5300INTEREST EXPENSE 165906,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 165906,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 165906,A81000A,00100,0100,Y 165906,A81000B,00100,0300,BUILDING RENT 165906,A81000B,00200,0300,HOME OFFICE 165906,A81000B,00300,0300,HOME OFFICE 165906,A81000B,00400,0300,HOME OFFICE 165906,A81000B,00500,0300,COMMUNITY RELATIONS 165906,A81000B,00600,0300,MISCELLANEOUS EXPENSE 165906,A81000B,00700,0300,THERAPY SERVICES-CONSULTING 165906,A81000B,00800,0300,THERAPY SERVICES-CONSULTING 165906,A81000B,00900,0300,THERAPY SERVICES-CONSULTING 165906,A81000B,01000,0300,DRUGS CHARGED 165906,A81000B,01100,0300,CERTIFIED 165906,A81000B,01200,0300,NON-CERTIFIED 165906,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 165906,A81000B,01400,0300,MEDICAL SUPPLIES 165906,A81000C,00100,0100,B 165906,A81000C,00100,0200,BERNARD ASSOCIA 165906,A81000C,00100,0400,REAL ESTATE 165906,A81000C,00100,0600,REAL ESTATE 165906,A81000C,00200,0100,B 165906,A81000C,00200,0200,RELIANT CARE MA 165906,A81000C,00200,0400,MANAGEMENT 165906,A81000C,00200,0600,MANAGEMENT 165906,A81000C,00300,0100,B 165906,A81000C,00300,0200,RC MEDICAL SERV 165906,A81000C,00300,0400,MEDICAL SUPPLIE 165906,A81000C,00300,0600,MEDICAL SUPPLIE 165906,A81000C,00400,0100,B 165906,A81000C,00400,0200,PHARMCO MISSOUR 165906,A81000C,00400,0400,PHARMACY 165906,A81000C,00400,0600,PHARMACY 165906,A81000C,00500,0100,B 165906,B100000,00000,0100,0100SQUARE FEET 165906,B100000,00000,0200,0200SQUARE FEET 165906,B100000,00000,0300,0300GROSS SALARIES 165906,B100000,00000,0400,0400ACCUM COST 165906,B100000,00000,0500,0500SQUARE FEET 165906,B100000,00000,0600,0600PATIENT DAYS 165906,B100000,00000,0700,0700SQUARE FEET 165906,B100000,00000,0800,0800MEALS SERVED 165906,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 165906,B100000,00000,1000,1000COSTED REQUISITIO 165906,B100000,00000,1100,1100COSTED REQUISITIO 165906,B100000,00000,1200,1200PATIENT DAYS 165906,B100000,00000,1300,1300PATIENT DAYS 165906,B100000,00000,1400,1400ASSIGNED TIME 165906,E10A180,00501,0100,07/12/00 165906,S000000,00100,0200,06/06/00 165906,S200000,00100,0100,4335 WEST PINE BLVD. 165906,S200000,00200,0100,ST. LOUIS 165906,S200000,00200,0200,MO 165906,S200000,00200,0300,63108 165906,S200000,00300,0100,ST. LOUIS 165906,S200000,00300,0200,7040 165906,S200000,00300,0300,U 165906,S200000,00400,0100,BERNARD CARE CENTER 165906,S200000,00400,0200,265500 165906,S200000,00400,0300,08/02/92 165906,S200000,00400,0500,P 165906,S200000,01500,0100,N 165906,S200000,01600,0100,Y 165906,S200000,01700,0100,N 165906,S200000,01800,0100,N 165906,S200000,02200,0100,N 165906,S200000,02800,0100,N 165906,S200000,02900,0100,N 165906,S200000,03000,0100,N 165906,S200000,03100,0100,N 165906,S200000,03200,0100,N 165906,S200000,03300,0100,N 165906,S200000,03300,0200,N 165906,S200000,04100,0100,N 165906,S200000,04200,0100,N 165906,S200000,04300,0100,N 165906,S200000,04600,0100,N 165906,S200000,04700,0100,N 165906,S200000,04900,0100,N 165906,S200000,05200,0100,N 166424,S000000,00100,0200,05/26/00 166424,S200000,00100,0100,238 S. WASHINGTON STREET 166424,S200000,00200,0100,GREENFIELD 166424,S200000,00200,0200,OH 166424,S200000,00200,0300,45123 166424,S200000,00300,0100,HIGHLAND 166424,S200000,00400,0100,LEIGH LANE CARE CENTER 166424,S200000,00400,0300,11/30/95 166444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 166444,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 166444,A000000,00300,0000,0300EMPLOYEE BENEFITS 166444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 166444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 166444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 166444,A000000,00700,0000,0700HOUSEKEEPING 166444,A000000,00800,0000,0800DIETARY 166444,A000000,00900,0000,0900NURSING ADMINISTRATION 166444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 166444,A000000,01100,0000,1100PHARMACY 166444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 166444,A000000,01300,0000,1300SOCIAL SERVICE 166444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 166444,A000000,01500,0000,1350OTHER GENERAL SERVICES 166444,A000000,01600,0000,1600SKILLED NURSING FACILITY 166444,A000000,01800,0000,1800NURSING FACILITY 166444,A000000,01810,0000,1810ICF/MR 166444,A000000,02500,0000,2500PHYSICAL THERAPY 166444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 166444,A000000,02700,0000,2700SPEECH PATHOLOGY 166444,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 166444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 166444,A000000,03001,0000,3001ENTERAL SUPPLIES 166444,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 166444,A000000,03550,0000,3550FQHC 166444,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 166444,A000000,05000,0000,5000CORF 166444,A000000,05010,0000,5010CMHC 166444,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 166444,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 166444,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 166444,A000000,05100,0000,4750OTHER REIMBURSABLE COST 166444,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 166444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 166444,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 166444,A81000A,00100,0100,Y 166444,A81000B,00100,0300,CENTRAL OFFICE COST 166444,A81000C,00100,0100,A 166444,A81000C,00100,0200,CARE INN PROPER 166444,A81000C,00100,0400,CARE INN PROPER 166444,A81000C,00100,0600,MANAGEMENT CO 166444,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 166444,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 166444,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 166444,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 166444,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 166444,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 166444,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 166444,B100000,00000,0800,0800MEALS SERVED :DIETARY 166444,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 166444,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 166444,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 166444,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 166444,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 166444,S000000,00100,0200,07/20/00 166444,S200000,00100,0100,210 E. 37TH STREET 166444,S200000,00200,0100,SNYDER 166444,S200000,00200,0200,TX 166444,S200000,00200,0300,79549- 166444,S200000,00300,0100,SCURRY 166444,S200000,00300,0200,45 166444,S200000,00300,0300,R 166444,S200000,00400,0100,SNYDER OAKS CARE CENTER 166444,S200000,00400,0200,675646 166444,S200000,00400,0300,12/04/96 166444,S200000,00400,0500,P 166444,S200000,01500,0100,N 166444,S200000,01600,0100,Y 166444,S200000,01700,0100,N 166444,S200000,01800,0100,N 166444,S200000,02200,0100,N 166444,S200000,02800,0100,N 166444,S200000,02900,0100,N 166444,S200000,03000,0100,N 166444,S200000,03100,0100,N 166444,S200000,03200,0100,N 166444,S200000,04100,0100,N 166444,S200000,04200,0100,N 166444,S200000,04300,0100,N 166444,S200000,04600,0100,N 166444,S200000,04700,0100,N 166444,S200000,04700,0200,N 166444,S200000,04900,0100,N 166444,S200000,05000,0100,N 166444,S200000,05100,0100,N 166444,S200000,05200,0100,N 166608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 166608,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 166608,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 166608,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 166608,A000000,00300,0000,0300EMPLOYEE BENEFITS 166608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 166608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 166608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 166608,A000000,00700,0000,0700HOUSEKEEPING 166608,A000000,00800,0000,0800DIETARY 166608,A000000,00801,0000,0801CAFETERIA 166608,A000000,00900,0000,0900NURSING ADMINISTRATION 166608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 166608,A000000,01100,0000,1100PHARMACY 166608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 166608,A000000,01300,0000,1300SOCIAL SERVICE 166608,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 166608,A000000,01500,0000,1350REC THERAPY 166608,A000000,01600,0000,1600SKILLED NURSING FACILITY 166608,A000000,01800,0000,1800NURSING FACILITY 166608,A000000,01810,0000,1810ICF/MR 166608,A000000,02100,0000,2100RADIOLOGY 166608,A000000,02200,0000,2200LABORATORY 166608,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 166608,A000000,02500,0000,2500PHYSICAL THERAPY 166608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 166608,A000000,02700,0000,2700SPEECH PATHOLOGY 166608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 166608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 166608,A000000,03300,0000,3050PEN THERAPY 166608,A000000,03301,0000,3051FEE SCREENING 166608,A000000,03302,0000,3052OTHER ANCILLARY III 166608,A000000,03550,0000,3550FQHC 166608,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 166608,A000000,04800,0000,4800AMBULANCE 166608,A000000,04801,0000,4801AMBULANCE 166608,A000000,04802,0000,4802AMBULANCE 166608,A000000,04803,0000,4803AMBULANCE 166608,A000000,05000,0000,5000CORF I 166608,A000000,05010,0000,5010CMHC I 166608,A000000,05020,0000,5020OPT I 166608,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 166608,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 166608,A000000,05100,0000,4750OTHER REIMBURSABLE COST 166608,A000000,05300,0000,5300INTEREST EXPENSE 166608,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 166608,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 166608,A000000,05900,0000,5900BARBER & BEAUTY SHOP 166608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 166608,A81000A,00100,0100,Y 166608,A81000B,00100,0300,HOME OFFICE 166608,A81000B,00200,0300,HOME OFFICE-CAPITAL 166608,A81000B,00300,0300,AS ATTACHED 166608,A81000B,00800,0300,AMBULANCE 166608,A81000C,00100,0100,B 166608,A81000C,00100,0400,GHV. INC. 166608,A81000C,00100,0600,HOME OFFICE 166608,A81000C,00200,0100,B 166608,A81000C,00200,0400,GHV. INC. 166608,A81000C,00200,0600,HOME OFFICE 166608,A81000C,00300,0100,B 166608,A81000C,00300,0400,AS ATTACHED 166608,A81000C,00300,0600,VARIOUS 166608,B100000,00000,0100,0100(SQUARE FEET) 166608,B100000,00000,0101,0101(SQUARE FEET) 166608,B100000,00000,0200,0200(SQUARE FEET) 166608,B100000,00000,0201,0201(SQUARE FEET) 166608,B100000,00000,0300,0300(GROSS SALARIES) 166608,B100000,00000,0400,0400ACCUM COST 166608,B100000,00000,0500,0500(SQUARE FEET) 166608,B100000,00000,0600,0600(PATIENT DAYS) 166608,B100000,00000,0700,0700(SQUARE FEET) 166608,B100000,00000,0800,0800(MEALS SERVED) 166608,B100000,00000,0801,0801(MEALS SERVED) 166608,B100000,00000,0900,0900(NURSING SALARIES) 166608,B100000,00000,1000,1000(PATIENT DAYS) 166608,B100000,00000,1100,1100(PATIENT DAYS) 166608,B100000,00000,1200,1200(PATIENT DAYS) 166608,B100000,00000,1300,1300(PATIENT DAYS) 166608,B100000,00000,1400,1400(ASSIGNED TIME) 166608,B100000,00000,1500,1350(PATIENT DAYS) 166608,E10A180,00501,0100,03/01/00 166608,E10A180,00501,0300,06/04/01 166608,E10A180,00550,0100,06/04/01 166608,E10A180,00550,0300,03/01/00 166608,S000000,00100,0200,02/29/00 166608,S200000,00100,0100,1113 NORTH EASTON ROAD 166608,S200000,00200,0100,WILLOW GROVE 166608,S200000,00200,0200,PA 166608,S200000,00200,0300,19090 166608,S200000,00300,0100,MONTGOMERY 166608,S200000,00300,0200,6160 166608,S200000,00300,0300,U 166608,S200000,00400,0100,GARDEN SPRING 166608,S200000,00400,0200,395077 166608,S200000,00400,0300,03/23/83 166608,S200000,00400,0500,P 166608,S200000,01500,0100,N 166608,S200000,01600,0100,Y 166608,S200000,01700,0100,N 166608,S200000,01800,0100,N 166608,S200000,02200,0100,Y 166608,S200000,02800,0100,N 166608,S200000,02900,0100,N 166608,S200000,03000,0100,N 166608,S200000,03100,0100,N 166608,S200000,03200,0100,N 166608,S200000,03300,0100,N 166608,S200000,03300,0200,N 166608,S200000,04100,0100,N 166608,S200000,04200,0100,N 166608,S200000,04300,0100,N 166608,S200000,04600,0100,N 166608,S200000,04700,0100,Y 166608,S200000,04900,0100,Y 166608,S200000,05200,0100,N 166681,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 166681,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 166681,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 166681,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 166681,A000000,00300,0000,0300EMPLOYEE BENEFITS 166681,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 166681,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 166681,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 166681,A000000,00700,0000,0700HOUSEKEEPING 166681,A000000,00800,0000,0800DIETARY 166681,A000000,00801,0000,0801CAFETERIA 166681,A000000,00900,0000,0900NURSING ADMINISTRATION 166681,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 166681,A000000,01100,0000,1100PHARMACY 166681,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 166681,A000000,01300,0000,1300SOCIAL SERVICE 166681,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 166681,A000000,01500,0000,1350ACTIVITIES 166681,A000000,01600,0000,1600SKILLED NURSING FACILITY 166681,A000000,01800,0000,1800NURSING FACILITY 166681,A000000,01810,0000,1810ICF/MR 166681,A000000,02100,0000,2100RADIOLOGY 166681,A000000,02200,0000,2200LABORATORY 166681,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 166681,A000000,02500,0000,2500PHYSICAL THERAPY 166681,A000000,02600,0000,2600OCCUPATIONAL THERAPY 166681,A000000,02700,0000,2700SPEECH PATHOLOGY 166681,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 166681,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 166681,A000000,03300,0000,3050PEN THERAPY 166681,A000000,03301,0000,3051FEE SCREENING 166681,A000000,03302,0000,3052OTHER ANCILLARY III 166681,A000000,03550,0000,3550FQHC 166681,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 166681,A000000,04800,0000,4800AMBULANCE 166681,A000000,04801,0000,4801AMBULANCE 166681,A000000,04802,0000,4802AMBULANCE 166681,A000000,04803,0000,4803AMBULANCE 166681,A000000,05000,0000,5000CORF I 166681,A000000,05010,0000,5010CMHC I 166681,A000000,05020,0000,5020OPT I 166681,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 166681,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 166681,A000000,05100,0000,4750OTHER REIMBURSABLE COST 166681,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 166681,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 166681,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 166681,A81000A,00100,0100,Y 166681,A81000B,00100,0300,HOME OFFICE ALLOCATION 166681,A81000B,00200,0300,HOME OFFICE ALLOCATION 166681,A81000B,00300,0300,SEE ATTACHED 166681,A81000C,00100,0100,B 166681,A81000C,00100,0200,GENESIS HEALTH 166681,A81000C,00100,0600,HOME OFFICE 166681,A81000C,00200,0100,B 166681,A81000C,00200,0200,GENESIS HEALTH 166681,A81000C,00200,0600,HOME OFFICE 166681,A81000C,00300,0100,B 166681,A81000C,00300,0200,REHAB SERVICES 166681,A81000C,00300,0600,REHAB SERVICES 166681,A81000C,00400,0200,REHAB SERVICES 166681,A81000C,00400,0600,REHAB SERVICES 166681,A81000C,00500,0200,REHAB SERVICES 166681,A81000C,00500,0600,REHAB SERVICES 166681,B100000,00000,0100,0100(SQUARE FEET) 166681,B100000,00000,0101,0101(SQUARE FEET) 166681,B100000,00000,0200,0200(SQUARE FEET) 166681,B100000,00000,0201,0201(SQUARE FEET) 166681,B100000,00000,0300,0300(GROSS SALARIES) 166681,B100000,00000,0400,0400ACCUM COST 166681,B100000,00000,0500,0500(SQUARE FEET) 166681,B100000,00000,0600,0600(PATIENT DAYS) 166681,B100000,00000,0700,0700(SQUARE FEET) 166681,B100000,00000,0800,0800(MEALS SERVED) 166681,B100000,00000,0801,0801(MEALS SERVED) 166681,B100000,00000,0900,0900(NURSING SALARIES) 166681,B100000,00000,1000,1000(COSTED REQUIS.) 166681,B100000,00000,1100,1100(COSTED REQUIS.) 166681,B100000,00000,1200,1200(GROSS CHARGES) 166681,B100000,00000,1300,1300(PATIENT DAYS) 166681,B100000,00000,1400,1400(ASSIGNED TIME) 166681,B100000,00000,1500,1350(PATIENT DAYS) 166681,E10A180,00501,0100,03/14/00 166681,E10A180,00501,0300,03/14/00 166681,E10A180,00502,0100,02/07/01 166681,E10A180,00550,0300,02/07/01 166681,E10A180,00551,0100,06/10/03 166681,E10A180,00551,0300,06/10/03 166681,S000000,00100,0200,02/29/00 166681,S200000,00100,0100,239 PLEASANT VIEW ST 166681,S200000,00200,0100,CONCORD 166681,S200000,00200,0200,NH 166681,S200000,00200,0300,03301 166681,S200000,00300,0100,MERRIMACK 166681,S200000,00300,0200,1123 166681,S200000,00300,0300,U 166681,S200000,00400,0100,PLEASANTVIEW CENTER 166681,S200000,00400,0200,305045 166681,S200000,00400,0300,06/01/94 166681,S200000,00400,0500,P 166681,S200000,01500,0100,N 166681,S200000,01600,0100,Y 166681,S200000,01700,0100,N 166681,S200000,01800,0100,N 166681,S200000,02200,0100,Y 166681,S200000,02800,0100,N 166681,S200000,02900,0100,N 166681,S200000,03000,0100,N 166681,S200000,03100,0100,N 166681,S200000,03200,0100,N 166681,S200000,03300,0100,N 166681,S200000,03300,0200,N 166681,S200000,04100,0100,N 166681,S200000,04200,0100,N 166681,S200000,04300,0100,N 166681,S200000,04600,0100,N 166681,S200000,04700,0100,Y 166681,S200000,04900,0100,Y 166681,S200000,05200,0100,N 167158,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167158,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 167158,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167158,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 167158,A000000,00300,0000,0300EMPLOYEE BENEFITS 167158,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167158,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167158,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167158,A000000,00700,0000,0700HOUSEKEEPING 167158,A000000,00800,0000,0800DIETARY 167158,A000000,00801,0000,0801CAFETERIA 167158,A000000,00900,0000,0900NURSING ADMINISTRATION 167158,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167158,A000000,01100,0000,1100PHARMACY 167158,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167158,A000000,01300,0000,1300SOCIAL SERVICE 167158,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167158,A000000,01500,0000,1350RECREATION 167158,A000000,01600,0000,1600SKILLED NURSING FACILITY 167158,A000000,01800,0000,1800NURSING FACILITY 167158,A000000,01810,0000,1810ICF/MR 167158,A000000,02100,0000,2100RADIOLOGY 167158,A000000,02200,0000,2200LABORATORY 167158,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167158,A000000,02500,0000,2500PHYSICAL THERAPY 167158,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167158,A000000,02700,0000,2700SPEECH PATHOLOGY 167158,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167158,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167158,A000000,03300,0000,3050PEN THERAPY 167158,A000000,03301,0000,3051FEE SCREENING 167158,A000000,03302,0000,3052OTHER ANCILLARY III 167158,A000000,03550,0000,3550FQHC 167158,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 167158,A000000,04800,0000,4800AMBULANCE 167158,A000000,04801,0000,4801AMBULANCE 167158,A000000,04802,0000,4802AMBULANCE 167158,A000000,04803,0000,4803AMBULANCE 167158,A000000,05000,0000,5000CORF I 167158,A000000,05010,0000,5010CMHC I 167158,A000000,05020,0000,5020OPT I 167158,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167158,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167158,A000000,05100,0000,4750OTHER REIMBURSABLE COST 167158,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 167158,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 167158,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167158,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 167158,A81000A,00100,0100,Y 167158,A81000B,00100,0300,HOME OFFICE ADM. 167158,A81000B,00200,0300,HOME OFFICE CAPITAL 167158,A81000B,00300,0300,AS ATTACHED 167158,A81000C,00100,0100,B 167158,A81000C,00200,0100,B 167158,A81000C,00300,0200,AS ATTACHED 167158,A81000C,00300,0400,AS ATTACHED 167158,A81000C,00300,0600,VARIOUS 167158,B100000,00000,0100,0100(SQUARE FEET) 167158,B100000,00000,0101,0101(SQUARE FEET) 167158,B100000,00000,0200,0200(SQUARE FEET) 167158,B100000,00000,0201,0201(SQUARE FEET) 167158,B100000,00000,0300,0300(GROSS SALARIES) 167158,B100000,00000,0400,0400ACCUM COST 167158,B100000,00000,0500,0500(SQUARE FEET) 167158,B100000,00000,0600,0600(PATIENT DAYS) 167158,B100000,00000,0700,0700(SQUARE FEET) 167158,B100000,00000,0800,0800(MEALS SERVED) 167158,B100000,00000,0801,0801(MEALS SERVED) 167158,B100000,00000,0900,0900(NURSING SALARIES) 167158,B100000,00000,1000,1000(PATIENT DAYS) 167158,B100000,00000,1100,1100(PATIENT DAYS) 167158,B100000,00000,1200,1200(PATIENT DAYS) 167158,B100000,00000,1300,1300(PATIENT DAYS) 167158,B100000,00000,1400,1400(ASSIGNED TIME) 167158,B100000,00000,1500,1350(PATIENT DAYS) 167158,E10A180,00501,0100,03/16/00 167158,E10A180,00501,0300,03/16/00 167158,E10A180,00550,0100,03/20/01 167158,E10A180,00550,0300,03/20/01 167158,E10A180,00551,0100,06/04/01 167158,E10A180,00551,0300,06/04/01 167158,S000000,00100,0200,02/29/00 167158,S200000,00100,0100,549 BALTIMORE PIKE 167158,S200000,00200,0100,CONCORDVILLE 167158,S200000,00200,0200,PA 167158,S200000,00200,0300,19331 167158,S200000,00300,0100,DELAWARE 167158,S200000,00300,0200,6160 167158,S200000,00300,0300,U 167158,S200000,00400,0100,BRINTON MANOR 167158,S200000,00400,0200,395917 167158,S200000,00400,0300,12/01/93 167158,S200000,00400,0500,P 167158,S200000,01500,0100,N 167158,S200000,01600,0100,Y 167158,S200000,01700,0100,N 167158,S200000,01800,0100,N 167158,S200000,02200,0100,Y 167158,S200000,02800,0100,N 167158,S200000,02900,0100,N 167158,S200000,03000,0100,N 167158,S200000,03100,0100,N 167158,S200000,03200,0100,N 167158,S200000,03300,0100,N 167158,S200000,03300,0200,N 167158,S200000,04100,0100,N 167158,S200000,04200,0100,N 167158,S200000,04300,0100,N 167158,S200000,04600,0100,N 167158,S200000,04700,0100,Y 167158,S200000,04900,0100,N 167158,S200000,05200,0100,N 167161,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167161,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 167161,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167161,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 167161,A000000,00300,0000,0300EMPLOYEE BENEFITS 167161,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167161,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167161,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167161,A000000,00700,0000,0700HOUSEKEEPING 167161,A000000,00800,0000,0800DIETARY 167161,A000000,00801,0000,0801CAFETERIA 167161,A000000,00900,0000,0900NURSING ADMINISTRATION 167161,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167161,A000000,01100,0000,1100PHARMACY 167161,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167161,A000000,01300,0000,1300SOCIAL SERVICE 167161,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167161,A000000,01500,0000,1350ACTIVITIES 167161,A000000,01600,0000,1600SKILLED NURSING FACILITY 167161,A000000,01800,0000,1800NURSING FACILITY 167161,A000000,01810,0000,1810ICF/MR 167161,A000000,02100,0000,2100RADIOLOGY 167161,A000000,02200,0000,2200LABORATORY 167161,A000000,02300,0000,2300INTRAVENOUS THERAPY 167161,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167161,A000000,02500,0000,2500PHYSICAL THERAPY 167161,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167161,A000000,02700,0000,2700SPEECH PATHOLOGY 167161,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167161,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167161,A000000,03300,0000,3050PEN PART B 167161,A000000,03301,0000,3051FEE SCREENING 167161,A000000,03302,0000,3052OTHER ANCILLARY III 167161,A000000,03550,0000,3550FQHC 167161,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 167161,A000000,04801,0000,4801AMBULANCE 167161,A000000,04802,0000,4802AMBULANCE 167161,A000000,04803,0000,4803AMBULANCE 167161,A000000,05000,0000,5000CORF I 167161,A000000,05010,0000,5010CMHC I 167161,A000000,05020,0000,5020OPT I 167161,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167161,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167161,A000000,05100,0000,4750OTHER REIMBURSABLE COST 167161,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 167161,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 167161,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 167161,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167161,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 167161,A81000A,00100,0100,Y 167161,A81000B,00100,0300,HOME OFFICE ALLOC 167161,A81000B,00200,0300,CAPITAL 167161,A81000B,00300,0300,PT 167161,A81000B,00400,0300,OT 167161,A81000B,00500,0300,ST 167161,A81000B,00600,0300,CENT SUPP 167161,A81000B,00700,0300,OXYGEN 167161,A81000B,00800,0300,MED SUPP 167161,A81000B,00900,0300,DRUGS CHARGED 167161,A81000C,00100,0100,B 167161,A81000C,00100,0200,GENESIS ELDERCA 167161,A81000C,00100,0600,MGMT CO 167161,A81000C,00200,0100,B 167161,A81000C,00200,0200,NEIGHBORCARE 167161,A81000C,00200,0600,PHARMACY 167161,A81000C,00300,0100,B 167161,A81000C,00300,0200,GENE PHYS SERV 167161,A81000C,00300,0600,CASE MGMT 167161,A81000C,00400,0100,B 167161,A81000C,00400,0200,GENESIS SERV 167161,A81000C,00400,0600,PT ST OT 167161,A81000C,00500,0100,B 167161,A81000C,00500,0200,RESP HLTH SERV 167161,A81000C,00500,0600,RT 167161,B100000,00000,0100,0100(SQUARE FEET) 167161,B100000,00000,0101,0101(SQUARE FEET) 167161,B100000,00000,0200,0200(SQUARE FEET) 167161,B100000,00000,0201,0201(SQUARE FEET) 167161,B100000,00000,0300,0300(GROSS SALARIES) 167161,B100000,00000,0400,0400ACCUM COST 167161,B100000,00000,0500,0500(SQUARE FEET) 167161,B100000,00000,0600,0600(PATIENT DAYS) 167161,B100000,00000,0700,0700(SQUARE FEET) 167161,B100000,00000,0800,0800(MEALS SERVED) 167161,B100000,00000,0801,0801(MEALS SERVED) 167161,B100000,00000,0900,0900(PATIENT DAYS) 167161,B100000,00000,1000,1000(COSTED REQUIS.) 167161,B100000,00000,1100,1100(COSTED REQUIS.) 167161,B100000,00000,1200,1200(GROSS CHARGES) 167161,B100000,00000,1300,1300(PATIENT DAYS) 167161,B100000,00000,1400,1400(ASSIGNED TIME) 167161,B100000,00000,1500,1350(PATIENT DAYS) 167161,E10A180,00501,0100,02/29/00 167161,E10A180,00501,0300,02/29/00 167161,E10A180,00550,0100,05/11/01 167161,E10A180,00550,0300,05/11/01 167161,S000000,00100,0200,02/29/00 167161,S200000,00100,0100,SADDLE SHOP ROAD 167161,S200000,00200,0100,HILLTOP 167161,S200000,00200,0200,WV 167161,S200000,00200,0300,25855 167161,S200000,00300,0100,FAYETTE 167161,S200000,00300,0200,0051 167161,S200000,00300,0300,R 167161,S200000,00400,0100,HILLTOP CENTER 167161,S200000,00400,0200,515061 167161,S200000,00400,0300,08/01/97 167161,S200000,00400,0500,P 167161,S200000,01500,0100,N 167161,S200000,01600,0100,Y 167161,S200000,01700,0100,N 167161,S200000,01800,0100,N 167161,S200000,02200,0100,Y 167161,S200000,02800,0100,N 167161,S200000,02900,0100,N 167161,S200000,03000,0100,N 167161,S200000,03100,0100,N 167161,S200000,03200,0100,N 167161,S200000,03300,0100,N 167161,S200000,03300,0200,N 167161,S200000,04100,0100,N 167161,S200000,04200,0100,N 167161,S200000,04300,0100,N 167161,S200000,04600,0100,N 167161,S200000,04700,0100,N 167161,S200000,04900,0100,N 167161,S200000,05200,0100,N 167274,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167274,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 167274,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167274,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 167274,A000000,00300,0000,0300EMPLOYEE BENEFITS 167274,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167274,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167274,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167274,A000000,00700,0000,0700HOUSEKEEPING 167274,A000000,00800,0000,0800DIETARY 167274,A000000,00801,0000,0801CAFETERIA 167274,A000000,00900,0000,0900NURSING ADMINISTRATION 167274,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167274,A000000,01100,0000,1100PHARMACY 167274,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167274,A000000,01300,0000,1300SOCIAL SERVICE 167274,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167274,A000000,01500,0000,1350ACTIVITIES 167274,A000000,01600,0000,1600SKILLED NURSING FACILITY 167274,A000000,01800,0000,1800NURSING FACILITY 167274,A000000,01810,0000,1810ICF/MR 167274,A000000,02100,0000,2100RADIOLOGY 167274,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167274,A000000,02500,0000,2500PHYSICAL THERAPY 167274,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167274,A000000,02700,0000,2700SPEECH PATHOLOGY 167274,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167274,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167274,A000000,03300,0000,3050PEN THERAPY 167274,A000000,03301,0000,3051FEE SCREENING 167274,A000000,03302,0000,3052OTHER ANCILLARY III 167274,A000000,03550,0000,3550FQHC 167274,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 167274,A000000,04801,0000,4801AMBULANCE 167274,A000000,04802,0000,4802AMBULANCE 167274,A000000,04803,0000,4803AMBULANCE 167274,A000000,05000,0000,5000CORF I 167274,A000000,05010,0000,5010CMHC I 167274,A000000,05020,0000,5020OPT I 167274,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167274,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167274,A000000,05100,0000,4750OTHER REIMBURSABLE COST 167274,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 167274,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 167274,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167274,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 167274,A81000A,00100,0100,Y 167274,A81000B,00100,0300,MANAGEMENT FEES 167274,A81000C,00100,0100,B 167274,A81000C,00100,0400,AGE INSTITUTE M 167274,A81000C,00100,0600,PARENT COMPANY 167274,B100000,00000,0100,0100(SQUARE FEET) 167274,B100000,00000,0101,0101(SQUARE FEET) 167274,B100000,00000,0200,0200(SQUARE FEET) 167274,B100000,00000,0201,0201(SQUARE FEET) 167274,B100000,00000,0300,0300(GROSS SALARIES) 167274,B100000,00000,0400,0400ACCUM COST 167274,B100000,00000,0500,0500(SQUARE FEET) 167274,B100000,00000,0600,0600(PATIENT DAYS) 167274,B100000,00000,0700,0700(SQUARE FEET) 167274,B100000,00000,0800,0800(MEALS SERVED) 167274,B100000,00000,0801,0801(MEALS SERVED) 167274,B100000,00000,0900,0900(NURSING SALARIES) 167274,B100000,00000,1000,1000(COSTED REQUIS.) 167274,B100000,00000,1100,1100(COSTED REQUIS.) 167274,B100000,00000,1200,1200(GROSS CHARGES) 167274,B100000,00000,1300,1300(PATIENT DAYS) 167274,B100000,00000,1400,1400(ASSIGNED TIME) 167274,B100000,00000,1500,1350(PATIENT DAYS) 167274,E10A180,00550,0100,12/01/00 167274,E10A180,00550,0300,12/01/00 167274,S000000,00100,0200,05/25/00 167274,S200000,00100,0100,66 BROAD STREET 167274,S200000,00200,0100,WESTFIELD 167274,S200000,00200,0200,MA 167274,S200000,00200,0300,01085 167274,S200000,00300,0100,HAMPDEN 167274,S200000,00300,0200,8003 167274,S200000,00300,0300,U 167274,S200000,00400,0100,GOVERNORS CENTER 167274,S200000,00400,0200,225313 167274,S200000,00400,0300,07/11/88 167274,S200000,00400,0500,P 167274,S200000,01500,0100,N 167274,S200000,01600,0100,Y 167274,S200000,01700,0100,N 167274,S200000,01800,0100,N 167274,S200000,02200,0100,Y 167274,S200000,02800,0100,N 167274,S200000,02900,0100,N 167274,S200000,03000,0100,N 167274,S200000,03100,0100,N 167274,S200000,03200,0100,N 167274,S200000,03300,0100,N 167274,S200000,03300,0200,N 167274,S200000,04100,0100,N 167274,S200000,04200,0100,N 167274,S200000,04300,0100,N 167274,S200000,04600,0100,N 167274,S200000,04700,0100,N 167274,S200000,04900,0100,N 167274,S200000,05200,0100,N 167277,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167277,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167277,A000000,00300,0000,0300EMPLOYEE BENEFITS 167277,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167277,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167277,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167277,A000000,00700,0000,0700HOUSEKEEPING 167277,A000000,00800,0000,0800DIETARY 167277,A000000,00900,0000,0900NURSING ADMINISTRATION 167277,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167277,A000000,01100,0000,1100PHARMACY 167277,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167277,A000000,01300,0000,1300SOCIAL SERVICE 167277,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167277,A000000,01500,0000,1350RECREATION THERAPY 167277,A000000,01600,0000,1600SKILLED NURSING FACILITY 167277,A000000,01800,0000,1800NURSING FACILITY 167277,A000000,01810,0000,1810ICF/MR 167277,A000000,02100,0000,2100RADIOLOGY 167277,A000000,02200,0000,2200LABORATORY 167277,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167277,A000000,02500,0000,2500PHYSICAL THERAPY 167277,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167277,A000000,02700,0000,2700SPEECH PATHOLOGY 167277,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167277,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167277,A000000,03300,0000,3050PEN THERAPY 167277,A000000,03301,0000,3051FEE SCHEDULE 167277,A000000,03550,0000,3550FQHC 167277,A000000,04801,0000,4801AMBULANCE 167277,A000000,04802,0000,4802AMBULANCE 167277,A000000,04803,0000,4803AMBULANCE 167277,A000000,05000,0000,5000CORF 167277,A000000,05010,0000,5010CMHC 167277,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167277,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167277,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167277,A000000,05300,0000,5300INTEREST EXPENSE 167277,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167277,A81000A,00100,0100,Y 167277,A81000B,00100,0300,HOME OFFICE 167277,A81000B,00200,0300,HOME OFFICE CAPITAL 167277,A81000B,00300,0300,AS ATTACHED 167277,A81000C,00100,0100,B 167277,A81000C,00100,0200,GHV INC 167277,A81000C,00200,0100,B 167277,A81000C,00200,0200,GHV INV. 167277,A81000C,00300,0100,B 167277,A81000C,00300,0400,AS ATTACHED 167277,A81000C,00300,0600,VARIOUS 167277,B100000,00000,0100,0100SQUARE FEET 167277,B100000,00000,0200,0200SQUARE FEET 167277,B100000,00000,0300,0300GROSS SALARIES 167277,B100000,00000,0400,0400ACCUM COST 167277,B100000,00000,0500,0500SQUARE FEET 167277,B100000,00000,0600,0600POUNDS OF LAUNDRY 167277,B100000,00000,0700,0700HOURS OF SERVICE 167277,B100000,00000,0800,0800MEALS SERVED 167277,B100000,00000,0900,0900DIRECT NRSG HRS 167277,B100000,00000,1000,1000(PATIENT CENSUS) 167277,B100000,00000,1100,1100COSTED REQUIS 167277,B100000,00000,1200,1200(PATIENT CENSUS) 167277,B100000,00000,1300,1300(PATIEENT CENSUS) 167277,B100000,00000,1400,1400ASSIGNED TIME 167277,B100000,00000,1500,1350(PATIENT CENSUS) 167277,E10A180,00501,0100,03/23/00 167277,E10A180,00501,0300,03/23/00 167277,E10A180,00550,0100,08/03/01 167277,E10A180,00550,0300,08/03/01 167277,S000000,00100,0200,02/28/00 167277,S200000,00100,0100,1515 LAMBERTS MILL ROAD 167277,S200000,00200,0100,WESTFIELD 167277,S200000,00200,0200,NJ 167277,S200000,00200,0300,07090 167277,S200000,00300,0100,UNION 167277,S200000,00300,0200,5640 167277,S200000,00300,0300,U 167277,S200000,00400,0100,WESTFIELD CENTER 167277,S200000,00400,0200,315122 167277,S200000,00400,0300,02/28/85 167277,S200000,00400,0500,P 167277,S200000,01500,0100,N 167277,S200000,01600,0100,Y 167277,S200000,01700,0100,N 167277,S200000,01800,0100,N 167277,S200000,02200,0100,Y 167277,S200000,02800,0100,N 167277,S200000,02900,0100,N 167277,S200000,03000,0100,N 167277,S200000,03100,0100,N 167277,S200000,03200,0100,N 167277,S200000,03300,0100,N 167277,S200000,03300,0200,N 167277,S200000,04100,0100,N 167277,S200000,04200,0100,N 167277,S200000,04300,0100,Y 167277,S200000,04600,0100,N 167277,S200000,04700,0100,N 167277,S200000,04900,0100,N 167277,S200000,05200,0100,N 167462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167462,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167462,A000000,00300,0000,0300EMPLOYEE BENEFITS 167462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167462,A000000,00700,0000,0700HOUSEKEEPING 167462,A000000,00800,0000,0800DIETARY 167462,A000000,00900,0000,0900NURSING ADMINISTRATION 167462,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167462,A000000,01100,0000,1100PHARMACY 167462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167462,A000000,01300,0000,1300SOCIAL SERVICE 167462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167462,A000000,01600,0000,1600SKILLED NURSING FACILITY 167462,A000000,01800,0000,1800NURSING FACILITY 167462,A000000,01810,0000,1810ICF/MR 167462,A000000,02200,0000,2200LABORATORY 167462,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167462,A000000,02500,0000,2500PHYSICAL THERAPY 167462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167462,A000000,02700,0000,2700SPEECH PATHOLOGY 167462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167462,A000000,03200,0000,3200SUPPORT SURFACES 167462,A000000,03550,0000,3550FQHC 167462,A000000,04800,0000,4800AMBULANCE 167462,A000000,04801,0000,4801AMBULANCE 167462,A000000,04802,0000,4802AMBULANCE 167462,A000000,04803,0000,4803AMBULANCE 167462,A000000,05000,0000,5000CORF 167462,A000000,05010,0000,5010CMHC 167462,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167462,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167462,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167462,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 167462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167462,A81000A,00100,0100,Y 167462,A81000B,00100,0300,HOME OFFICE CHARGES 167462,A81000B,00200,0300,HOME OFFICE ALLOCATI 167462,A81000B,00300,0300,HOME OFFICE INTEREST 167462,A81000B,00400,0300,HOME OFFICE CAPITAL 167462,A81000B,00500,0300,DRUGS 167462,A81000B,00600,0300,MEDICAL SUPPLIES 167462,A81000B,00700,0300,LABORATORY SUPPLIES 167462,A81000B,00800,0300,NOURISHMENTS 167462,A81000B,00900,0300,EQUIPMENT RENTAL 167462,A81000B,01000,0300,BUILDING MAINTENANCE 167462,A81000B,01100,0300,SMALL EQUIPMENT 167462,A81000B,01200,0300,ROUTINE SUPPLIES 167462,A81000C,00100,0100,A 167462,A81000C,00100,0200,MICHAEL E. MCEL 167462,A81000C,00100,0400,HMP MANAGEMENT 167462,A81000C,00100,0600,MANAGEMENT SERV 167462,A81000C,00200,0100,A 167462,A81000C,00200,0200,MICHAEL E. MCEL 167462,A81000C,00200,0400,UNICARERX 167462,A81000C,00200,0600,PHARMACY 167462,A81000C,00300,0100,A 167462,A81000C,00300,0200,MICHAEL E. MCEL 167462,A81000C,00300,0400,HMP NURSING SER 167462,A81000C,00300,0600,STAFFING AGENCY 167462,B100000,00000,0100,0100SQUARE FEET 167462,B100000,00000,0200,0200SQUARE FEET 167462,B100000,00000,0300,0300GROSS SALARIES 167462,B100000,00000,0400,0400ACCUM COST 167462,B100000,00000,0500,0500SQUARE FEET 167462,B100000,00000,0600,0600POUNDS OF LAUNDRY 167462,B100000,00000,0700,0700SQUARE FEET 167462,B100000,00000,0800,0800MEALS SERVED 167462,B100000,00000,0900,0900DIRECT NRSG HRS 167462,B100000,00000,1000,1000COSTED REQUIS 167462,B100000,00000,1100,1100COSTED REQUIS 167462,B100000,00000,1200,1200TIME SPENT 167462,B100000,00000,1300,1300TIME SPENT 167462,B100000,00000,1400,1400ASSIGNED TIME 167462,E10A180,00501,0100,10/20/00 167462,E10A180,00550,0300,10/20/00 167462,S000000,00100,0200,07/10/00 167462,S200000,00100,0100,298 CAHAL STREET 167462,S200000,00200,0100,HATTIESBURG 167462,S200000,00200,0200,MS 167462,S200000,00200,0300,39401 167462,S200000,00300,0100,FORREST 167462,S200000,00300,0200,3285 167462,S200000,00300,0300,U 167462,S200000,00400,0100,CONVA-REST NORTHGATE 167462,S200000,00400,0200,255152 167462,S200000,00400,0300,11/01/92 167462,S200000,00400,0500,P 167462,S200000,01500,0100,N 167462,S200000,01600,0100,Y 167462,S200000,01700,0100,N 167462,S200000,01800,0100,N 167462,S200000,02200,0100,N 167462,S200000,02800,0100,N 167462,S200000,02900,0100,N 167462,S200000,03000,0100,N 167462,S200000,03100,0100,N 167462,S200000,03200,0100,N 167462,S200000,03300,0100,N 167462,S200000,03300,0200,N 167462,S200000,04100,0100,N 167462,S200000,04200,0100,N 167462,S200000,04300,0100,N 167462,S200000,04600,0100,N 167462,S200000,04700,0100,N 167462,S200000,04900,0100,N 167462,S200000,05200,0100,N 167464,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167464,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167464,A000000,00300,0000,0300EMPLOYEE BENEFITS 167464,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167464,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167464,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167464,A000000,00700,0000,0700HOUSEKEEPING 167464,A000000,00800,0000,0800DIETARY 167464,A000000,00900,0000,0900NURSING ADMINISTRATION 167464,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167464,A000000,01100,0000,1100PHARMACY 167464,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167464,A000000,01300,0000,1300SOCIAL SERVICE 167464,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167464,A000000,01500,0000,1350OTHER GENERAL SERVICES 167464,A000000,01600,0000,1600SKILLED NURSING FACILITY 167464,A000000,01800,0000,1800NURSING FACILITY 167464,A000000,01810,0000,1810ICF/MR 167464,A000000,02100,0000,2100RADIOLOGY 167464,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167464,A000000,02500,0000,2500PHYSICAL THERAPY 167464,A000000,02501,0000,2501PHYSICAL THERAPY 167464,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167464,A000000,02700,0000,2700SPEECH PATHOLOGY 167464,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167464,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167464,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 167464,A000000,03550,0000,3550FQHC 167464,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 167464,A000000,04801,0000,4801AMBULANCE 167464,A000000,04802,0000,4802AMBULANCE 167464,A000000,04803,0000,4803AMBULANCE 167464,A000000,05000,0000,5000CORF 167464,A000000,05010,0000,5010CMHC 167464,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167464,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167464,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167464,A000000,05100,0000,4750OTHER REIMBURSABLE COST 167464,A000000,05300,0000,5300INTEREST EXPENSE 167464,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 167464,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 167464,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 167464,A81000A,00100,0100,Y 167464,A81000B,00100,0300,PHYSICAL THERAPY 167464,A81000B,00200,0300,OCCUPATIONAL THERAPY 167464,A81000B,00300,0300,SPEECH THERAPY 167464,A81000C,00100,0100,A 167464,A81000C,00100,0200,O/P REHAB OF FULTON 167464,A81000C,00100,0400,ERIC HOLLAND 167464,A81000C,00100,0600,REHAB THERAPY COMPANY 167464,A81000C,00200,0100,A 167464,A81000C,00200,0400,JAMES C HOLLAND II 167464,A81000C,00200,0600,REHAB THERAPY COMPANY 167464,B100000,00000,0100,0100SQUARE FEET 167464,B100000,00000,0200,0200DOLLAR VALUE 167464,B100000,00000,0300,0300GROSS SALARIES 167464,B100000,00000,0400,0400ACCUM COST 167464,B100000,00000,0500,0500SQUARE FEET 167464,B100000,00000,0600,0600POUNDS OF LAUNDRY 167464,B100000,00000,0700,0700HOURS OF SERVICE 167464,B100000,00000,0800,0800MEALS SERVED 167464,B100000,00000,0900,0900DIRECT NURSING HR 167464,B100000,00000,1000,1000COSTED REQUIS. 167464,B100000,00000,1100,1100COSTED REQUIS. 167464,B100000,00000,1200,1200TIME SPENT 167464,B100000,00000,1300,1300TIME SPENT 167464,B100000,00000,1400,1400ASSIGNED TIME 167464,B100000,00000,1500,1350NO STATISTICS 167464,E10A180,00501,0100,06/21/00 167464,S000000,00100,0200,05/26/00 167464,S200000,00100,0100,804 ADAMS STREET 167464,S200000,00200,0100,FULTON 167464,S200000,00200,0200,MS 167464,S200000,00200,0300,38843 167464,S200000,00300,0100,ITAWAMBA 167464,S200000,00300,0200,0025 167464,S200000,00300,0300,R 167464,S200000,00400,0100,DANIEL HEALTH CARE COMPLEX 167464,S200000,00400,0200,255160 167464,S200000,00400,0300,12/01/93 167464,S200000,00400,0500,P 167464,S200000,01500,0100,N 167464,S200000,01600,0100,Y 167464,S200000,01700,0100,N 167464,S200000,01800,0100,N 167464,S200000,02200,0100,N 167464,S200000,02800,0100,N 167464,S200000,02900,0100,N 167464,S200000,03000,0100,N 167464,S200000,03100,0100,N 167464,S200000,03200,0100,N 167464,S200000,03300,0100,N 167464,S200000,03300,0200,N 167464,S200000,04100,0100,N 167464,S200000,04200,0100,N 167464,S200000,04300,0100,N 167464,S200000,04600,0100,N 167464,S200000,04700,0100,N 167464,S200000,04900,0100,N 167464,S200000,05200,0100,N 167468,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167468,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167468,A000000,00300,0000,0300EMPLOYEE BENEFITS 167468,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167468,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167468,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167468,A000000,00700,0000,0700HOUSEKEEPING 167468,A000000,00800,0000,0800DIETARY 167468,A000000,00900,0000,0900NURSING ADMINISTRATION 167468,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167468,A000000,01100,0000,1100PHARMACY 167468,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167468,A000000,01300,0000,1300SOCIAL SERVICE 167468,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167468,A000000,01600,0000,1600SKILLED NURSING FACILITY 167468,A000000,01800,0000,1800NURSING FACILITY 167468,A000000,01810,0000,1810ICF/MR 167468,A000000,02100,0000,2100RADIOLOGY 167468,A000000,02200,0000,2200LABORATORY 167468,A000000,02500,0000,2500PHYSICAL THERAPY 167468,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167468,A000000,02700,0000,2700SPEECH PATHOLOGY 167468,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167468,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167468,A000000,03200,0000,3200SUPPORT SURFACES 167468,A000000,03550,0000,3550FQHC 167468,A000000,04801,0000,4801AMBULANCE 167468,A000000,04802,0000,4802AMBULANCE 167468,A000000,04803,0000,4803AMBULANCE 167468,A000000,05000,0000,5000CORF 167468,A000000,05010,0000,5010CMHC 167468,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167468,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167468,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167468,A000000,05300,0000,5300INTEREST EXPENSE 167468,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167468,A000000,06300,0000,6150RCF 167468,A81000A,00100,0100,Y 167468,A81000B,00100,0300,HOME OFFICE A&G 167468,A81000B,00200,0300,CRC - BLDG 167468,A81000B,00300,0300,CRC - EQUIP 167468,A81000B,00400,0300,EE BENEFITS 167468,A81000C,00100,0100,B 167468,A81000C,00100,0200,MONITEAU CARE CENTER 167468,A81000C,00100,0400,CENTRAL ARK NURSING CTRS 167468,A81000C,00100,0600,HOME OFFICE 167468,B100000,00000,0100,0100SQUARE FEET 167468,B100000,00000,0200,0200SQUARE FEET 167468,B100000,00000,0300,0300GROSS SALARIES 167468,B100000,00000,0400,0400ACCUM COST 167468,B100000,00000,0500,0500SQUARE FEET 167468,B100000,00000,0600,0600PATIENT DAYS 167468,B100000,00000,0700,0700SQUARE FEET 167468,B100000,00000,0800,0800MEALS SERVED 167468,B100000,00000,0900,0900HOURS SUPERVISED 167468,B100000,00000,1000,1000COSTED REQUIS. 167468,B100000,00000,1100,1100COSTED REQUIS. 167468,B100000,00000,1200,1200GROSS CHARGES 167468,B100000,00000,1300,1300PATIENT DAYS 167468,B100000,00000,1400,1400ASSIGNED TIME 167468,E10A180,00501,0100,06/29/00 167468,E10A180,00550,0300,06/29/00 167468,S000000,00100,0200,05/26/00 167468,S200000,00100,0100,200 S. GERHART 167468,S200000,00200,0100,CALIFORNIA 167468,S200000,00200,0200,MO 167468,S200000,00200,0300,65018 167468,S200000,00300,0100,MONITEAU 167468,S200000,00300,0200,0026 167468,S200000,00300,0300,R 167468,S200000,00400,0100,MONITEAU CARE CENTER 167468,S200000,00400,0200,265648 167468,S200000,00400,0300,05/06/96 167468,S200000,00400,0500,P 167468,S200000,00400,0600,O 167468,S200000,01500,0100,N 167468,S200000,01600,0100,Y 167468,S200000,01700,0100,N 167468,S200000,01800,0100,N 167468,S200000,02200,0100,N 167468,S200000,02800,0100,N 167468,S200000,02900,0100,N 167468,S200000,03000,0100,N 167468,S200000,03100,0100,N 167468,S200000,03200,0100,N 167468,S200000,03300,0100,N 167468,S200000,03300,0200,N 167468,S200000,04100,0100,N 167468,S200000,04200,0100,N 167468,S200000,04300,0100,N 167468,S200000,04600,0100,N 167468,S200000,04700,0100,N 167468,S200000,04900,0100,N 167468,S200000,05200,0100,N 167525,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167525,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167525,A000000,00300,0000,0300EMPLOYEE BENEFITS 167525,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167525,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167525,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167525,A000000,00700,0000,0700HOUSEKEEPING 167525,A000000,00800,0000,0800DIETARY 167525,A000000,00900,0000,0900NURSING ADMINISTRATION 167525,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167525,A000000,01100,0000,1100PHARMACY 167525,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167525,A000000,01300,0000,1300SOCIAL SERVICE 167525,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167525,A000000,01500,0000,1350RECREATION THERAPY 167525,A000000,01600,0000,1600SKILLED NURSING FACILITY 167525,A000000,01800,0000,1800NURSING FACILITY 167525,A000000,01810,0000,1810ICF/MR 167525,A000000,02100,0000,2100RADIOLOGY 167525,A000000,02200,0000,2200LABORATORY 167525,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 167525,A000000,02500,0000,2500PHYSICAL THERAPY 167525,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167525,A000000,02700,0000,2700SPEECH PATHOLOGY 167525,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167525,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167525,A000000,03300,0000,3050PEN THERAPY 167525,A000000,03301,0000,3051FEE SCREENING 167525,A000000,03550,0000,3550FQHC 167525,A000000,04801,0000,4801AMBULANCE 167525,A000000,04802,0000,4802AMBULANCE 167525,A000000,04803,0000,4803AMBULANCE 167525,A000000,05000,0000,5000CORF 167525,A000000,05010,0000,5010CMHC 167525,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167525,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167525,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167525,A000000,05300,0000,5300INTEREST EXPENSE 167525,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167525,A81000A,00100,0100,Y 167525,A81000B,00100,0300,HOME OFFICE 167525,A81000B,00200,0300,HOME OFFICE CAPITAL 167525,A81000B,00300,0300,AS ATTACHED 167525,A81000C,00100,0100,B 167525,A81000C,00100,0200,GHV INC. 167525,A81000C,00200,0100,B 167525,A81000C,00200,0200,GHV INC. 167525,A81000C,00300,0100,B 167525,A81000C,00300,0400,AS ATTACHED 167525,A81000C,00300,0600,VARIOUS 167525,B100000,00000,0100,0100SQUARE FEET 167525,B100000,00000,0200,0200SQUARE FEET 167525,B100000,00000,0300,0300GROSS SALARIES 167525,B100000,00000,0400,0400ACCUM COST 167525,B100000,00000,0500,0500SQUARE FEET 167525,B100000,00000,0600,0600POUNDS OF LAUNDRY 167525,B100000,00000,0700,0700HOURS OF SERVICE 167525,B100000,00000,0800,0800MEALS SERVED 167525,B100000,00000,0900,0900DIRECT NRSG HRS 167525,B100000,00000,1000,1000(PATIENT CENSUS) 167525,B100000,00000,1100,1100COSTED REQUIS 167525,B100000,00000,1200,1200(PATIENT CENSUS) 167525,B100000,00000,1300,1300(PATIENT CENSUS) 167525,B100000,00000,1400,1400ASSIGNED TIME 167525,B100000,00000,1500,1350(PATIENT CENSUS) 167525,E10A180,00501,0100,03/03/00 167525,E10A180,00501,0300,03/03/00 167525,E10A180,00550,0100,08/13/01 167525,E10A180,00550,0300,08/13/01 167525,S000000,00100,0200,02/28/00 167525,S200000,00100,0100,3001 EVESHAM ROAD 167525,S200000,00200,0100,VOORHEES 167525,S200000,00200,0200,NJ 167525,S200000,00200,0300,08043 167525,S200000,00300,0100,CAMDEN 167525,S200000,00300,0200,6160 167525,S200000,00300,0300,U 167525,S200000,00400,0100,VOORHEES CENTER 167525,S200000,00400,0200,315219 167525,S200000,00400,0300,02/28/86 167525,S200000,00400,0500,P 167525,S200000,01500,0100,N 167525,S200000,01600,0100,Y 167525,S200000,01700,0100,N 167525,S200000,01800,0100,N 167525,S200000,02200,0100,Y 167525,S200000,02800,0100,N 167525,S200000,02900,0100,N 167525,S200000,03000,0100,N 167525,S200000,03100,0100,N 167525,S200000,03200,0100,N 167525,S200000,03300,0100,N 167525,S200000,03300,0200,N 167525,S200000,04100,0100,N 167525,S200000,04200,0100,N 167525,S200000,04300,0100,Y 167525,S200000,04600,0100,N 167525,S200000,04700,0100,N 167525,S200000,04900,0100,N 167525,S200000,05200,0100,N 167771,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167771,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167771,A000000,00300,0000,0300EMPLOYEE BENEFITS 167771,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167771,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167771,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167771,A000000,00700,0000,0700HOUSEKEEPING 167771,A000000,00800,0000,0800DIETARY 167771,A000000,00900,0000,0900NURSING ADMINISTRATION 167771,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167771,A000000,01100,0000,1100PHARMACY 167771,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167771,A000000,01300,0000,1300SOCIAL SERVICE 167771,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167771,A000000,01600,0000,1600SKILLED NURSING FACILITY 167771,A000000,01810,0000,1810ICF/MR 167771,A000000,01900,0000,1900OTHER LONG TERM CARE 167771,A000000,02100,0000,2100RADIOLOGY 167771,A000000,02200,0000,2200LABORATORY 167771,A000000,02500,0000,2500PHYSICAL THERAPY 167771,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167771,A000000,02700,0000,2700SPEECH PATHOLOGY 167771,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167771,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167771,A000000,03550,0000,3550FQHC 167771,A000000,04800,0000,4800AMBULANCE 167771,A000000,04801,0000,4801AMBULANCE 167771,A000000,04802,0000,4802AMBULANCE 167771,A000000,04803,0000,4803AMBULANCE 167771,A000000,05000,0000,5000CORF 167771,A000000,05010,0000,5010CMHC 167771,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167771,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167771,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167771,A000000,05300,0000,5300INTEREST EXPENSE 167771,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 167771,A000000,05900,0000,5900BARBER & BEAUTY SHOP 167771,A81000A,00100,0100,Y 167771,A81000B,00100,0300,PROP INS 167771,A81000B,00200,0300,MIP EXP 167771,A81000B,00300,0300,BLDG DEPR 167771,A81000B,00400,0300,BLDG RENT 167771,A81000B,00500,0300,BLDG RENT 167771,A81000B,00600,0300,TAXES 167771,A81000B,00700,0300,PROP INS 167771,A81000B,00800,0300,MIP EXP 167771,A81000B,00900,0300,EQUIP DEPR 167771,A81000B,01000,0300,TAXES 167771,A81000B,01100,0300,INTEREST 167771,A81000B,01200,0300,INTEREST 167771,A81000B,01300,0300,ACCT FEES 167771,A81000B,01400,0300,MISC ADMIN 167771,A81000B,01500,0300,LEGAL FEES 167771,A81000B,01600,0300,AHLBORG 167771,A81000B,01700,0300,MORT INT 167771,A81000B,01800,0300,AMORT 167771,A81000B,01900,0300,AMORT 167771,A81000B,02000,0300,START UP 167771,A81000B,02100,0300,START UP 167771,A81000B,02200,0300,START UP 167771,A81000B,02300,0300,START UP 167771,A81000B,02400,0300,START UP 167771,A81000B,02500,0300,START UP 167771,A81000B,02600,0300,START UP 167771,A81000B,02700,0300,START UP 167771,A81000B,02800,0300,START UP 167771,A81000B,02900,0300,MGMT FEES 167771,A81000C,00100,0100,A 167771,A81000C,00100,0200,JOHN ORABONA 167771,A81000C,00100,0400,UND PLACE ASSOC 167771,A81000C,00100,0600,LEASED BLDG 167771,A81000C,00200,0100,B 167771,A81000C,00200,0200,O AHLBORG & SON 167771,A81000C,00200,0400,UND PLACE ASSOC 167771,A81000C,00200,0600,LEASED BLDG 167771,B100000,00000,0100,0100SQUARE FEE T 167771,B100000,00000,0200,0200SQUARE FEE T 167771,B100000,00000,0300,0300GROSS SALA RIES 167771,B100000,00000,0400,0400ACCUM COST 167771,B100000,00000,0500,0500SQUARE FEE T 167771,B100000,00000,0600,0600PATIENT DA YS 167771,B100000,00000,0700,0700PATIENT DA YS 167771,B100000,00000,0800,0800PATIENT DA YS 167771,B100000,00000,0900,0900PATIENT DA YS 167771,B100000,00000,1000,1000COSTED REQUIS 167771,B100000,00000,1100,1100COSTED REQUIS 167771,B100000,00000,1200,1200PATIENT DA YS 167771,B100000,00000,1300,1300PATIENT DA YS 167771,B100000,00000,1400,1400ASSIGNED TIME 167771,S000000,00100,0200,12/19/02 167771,S200000,00100,0100,350 TAUNTON AVE 167771,S200000,00200,0100,EAST PROVIDENCE 167771,S200000,00200,0200,RI 167771,S200000,00200,0300,02914 167771,S200000,00300,0100,PROVIDENCE 167771,S200000,00300,0200,6483 167771,S200000,00300,0300,U 167771,S200000,00400,0100,EDMUND PLACE 167771,S200000,00400,0200,415117 167771,S200000,00400,0300,01/17/95 167771,S200000,00400,0500,P 167771,S200000,01500,0100,N 167771,S200000,01600,0100,Y 167771,S200000,01700,0100,N 167771,S200000,01800,0100,N 167771,S200000,02200,0100,Y 167771,S200000,02800,0100,N 167771,S200000,02900,0100,N 167771,S200000,03000,0100,N 167771,S200000,03100,0100,N 167771,S200000,03200,0100,N 167771,S200000,03300,0100,N 167771,S200000,03300,0200,N 167771,S200000,04100,0100,N 167771,S200000,04200,0100,N 167771,S200000,04300,0100,N 167771,S200000,04600,0100,N 167771,S200000,04700,0100,N 167771,S200000,04700,0200,N 167771,S200000,04900,0100,N 167771,S200000,05000,0100,N 167771,S200000,05100,0100,N 167771,S200000,05200,0100,N 167881,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 167881,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 167881,A000000,00300,0000,0300EMPLOYEE BENEFITS 167881,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 167881,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 167881,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 167881,A000000,00700,0000,0700HOUSEKEEPING 167881,A000000,00800,0000,0800DIETARY 167881,A000000,00900,0000,0900NURSING ADMINISTRATION 167881,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 167881,A000000,01100,0000,1100PHARMACY 167881,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 167881,A000000,01300,0000,1300SOCIAL SERVICE 167881,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 167881,A000000,01500,0000,1350RECREATION 167881,A000000,01600,0000,1600SKILLED NURSING FACILITY 167881,A000000,01800,0000,1800NURSING FACILITY 167881,A000000,01810,0000,1810ICF/MR 167881,A000000,02100,0000,2100RADIOLOGY 167881,A000000,02300,0000,2300INTRAVENOUS THERAPY 167881,A000000,02500,0000,2500PHYSICAL THERAPY 167881,A000000,02600,0000,2600OCCUPATIONAL THERAPY 167881,A000000,02700,0000,2700SPEECH PATHOLOGY 167881,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 167881,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 167881,A000000,03550,0000,3550FQHC 167881,A000000,04801,0000,4801AMBULANCE 167881,A000000,04802,0000,4802AMBULANCE 167881,A000000,04803,0000,4803AMBULANCE 167881,A000000,05000,0000,5000CORF 167881,A000000,05010,0000,5010CMHC 167881,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 167881,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 167881,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 167881,A81000A,00100,0100,N 167881,B100000,00000,0100,0100SQUARE FEET 167881,B100000,00000,0200,0200SQUARE FEET 167881,B100000,00000,0300,0300GROSS SALARIES 167881,B100000,00000,0400,0400ACCUM COST 167881,B100000,00000,0500,0500SQUARE FEET 167881,B100000,00000,0600,0600PATIENT DAYS 167881,B100000,00000,0700,0700HOURS OF SERVICE 167881,B100000,00000,0800,0800PATIENT DAYS 167881,B100000,00000,0900,0900PATIENT DAYS 167881,B100000,00000,1000,1000PATIENT DAYS 167881,B100000,00000,1100,1100PATIENT DAYS 167881,B100000,00000,1200,1200PATIENT DAYS 167881,B100000,00000,1300,1300PATIENT DAYS 167881,B100000,00000,1400,1400ASSIGNED TIME 167881,B100000,00000,1500,1350PATIENT DAYS 167881,S000000,00100,0200,01/08/03 167881,S200000,00100,0100,8201 WEST BASELINE ROAD 167881,S200000,00200,0100,LAVEEN 167881,S200000,00200,0200,AZ 167881,S200000,00200,0300,85339 167881,S200000,00300,0100,MARICOPA 167881,S200000,00300,0200,6200 167881,S200000,00300,0300,U 167881,S200000,00400,0100,GILA RIVER NURSING HOME 167881,S200000,00400,0200,035216 167881,S200000,00400,0300,06/19/93 167881,S200000,00400,0500,P 167881,S200000,00600,0200,035216 167881,S200000,00600,0300,06/19/93 167881,S200000,00600,0600,O 167881,S200000,01500,0100,N 167881,S200000,01600,0100,Y 167881,S200000,01700,0100,N 167881,S200000,01800,0100,N 167881,S200000,01900,0100,INDIAN RESERVATION 167881,S200000,02200,0100,N 167881,S200000,02800,0100,N 167881,S200000,02900,0100,N 167881,S200000,03000,0100,N 167881,S200000,03100,0100,N 167881,S200000,03200,0100,N 167881,S200000,03300,0100,N 167881,S200000,03300,0200,N 167881,S200000,03500,0300,N 167881,S200000,04100,0100,N 167881,S200000,04200,0100,N 167881,S200000,04300,0100,N 167881,S200000,04600,0100,N 167881,S200000,04700,0100,N 167881,S200000,04900,0100,N 167881,S200000,05000,0100,N 167881,S200000,05200,0100,N 168239,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 168239,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 168239,A000000,00300,0000,0300EMPLOYEE BENEFITS 168239,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168239,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 168239,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168239,A000000,00700,0000,0700HOUSEKEEPING 168239,A000000,00800,0000,0800DIETARY 168239,A000000,00900,0000,0900NURSING ADMINISTRATION 168239,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168239,A000000,01100,0000,1100PHARMACY 168239,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168239,A000000,01300,0000,1300SOCIAL SERVICE 168239,A000000,01301,0000,1351ACTIVITIES 168239,A000000,01600,0000,1600SKILLED NURSING FACILITY 168239,A000000,01800,0000,1800NURSING FACILITY 168239,A000000,02100,0000,2100RADIOLOGY 168239,A000000,02200,0000,2200LABORATORY 168239,A000000,02300,0000,2300INTRAVENOUS THERAPY 168239,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168239,A000000,02500,0000,2500PHYSICAL THERAPY 168239,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168239,A000000,02700,0000,2700SPEECH PATHOLOGY 168239,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 168239,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168239,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 168239,A000000,03301,0000,3051MEDICAL EQUIPMENT 168239,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 168239,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168239,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168239,A81000A,00100,0100,Y 168239,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 168239,A81000B,00200,0300,CAPITAL - BUILDINGS 168239,A81000B,00300,0300,CAPITAL - EQUIPMENT 168239,A81000B,00400,0300,MEDICAL SUPPLIES - RELATED PARTY 168239,A81000B,00500,0300,CENTRAL SUPPLIES - RELATED PARTY 168239,A81000B,00600,0300,NURSING SUPPLIES - RELATED PARTY 168239,A81000C,00100,0100,B 168239,A81000C,00100,0200,PEAK MEDICAL CORPORATION 168239,A81000C,00100,0400,PEAK MEDICAL CORPORATION 168239,A81000C,00100,0600,HOME OFFICE SERVICES 168239,A81000C,00200,0100,B 168239,A81000C,00200,0200,PEAK MEDICAL CORPORATION 168239,A81000C,00200,0400,MEDICAL RESOURCES 168239,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 168239,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 168239,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 168239,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 168239,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 168239,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 168239,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 168239,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 168239,B100000,00000,0800,0800MEALS SERVED :DIETARY 168239,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 168239,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 168239,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 168239,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 168239,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 168239,S000000,00100,0200,11/02/00 168239,S200000,00100,0100,1305 E. SEVENTH STREET 168239,S200000,00200,0100,WHITEFISH 168239,S200000,00200,0200,MT 168239,S200000,00200,0300,59937- 168239,S200000,00300,0100,FLATHEAD 168239,S200000,00300,0300,R 168239,S200000,00400,0100,COLONIAL MANOR WHITEFISH 168239,S200000,00400,0200,275132 168239,S200000,00400,0300,01/01/92 168239,S200000,00400,0500,P 168239,S200000,01500,0100,N 168239,S200000,01600,0100,Y 168239,S200000,01700,0100,N 168239,S200000,01800,0100,N 168239,S200000,02200,0100,N 168239,S200000,02800,0100,N 168239,S200000,02900,0100,N 168239,S200000,03000,0100,N 168239,S200000,03100,0100,N 168239,S200000,03200,0100,N 168239,S200000,04100,0100,N 168239,S200000,04200,0100,N 168239,S200000,04300,0100,N 168239,S200000,04600,0100,N 168239,S200000,04700,0100,N 168239,S200000,04700,0200,N 168239,S200000,04900,0100,N 168239,S200000,05000,0100,N 168239,S200000,05100,0100,N 168239,S200000,05200,0100,N 168265,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 168265,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 168265,A000000,00300,0000,0300EMPLOYEE BENEFITS 168265,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168265,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 168265,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168265,A000000,00700,0000,0700HOUSEKEEPING 168265,A000000,00800,0000,0800DIETARY 168265,A000000,00900,0000,0900NURSING ADMINISTRATION 168265,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168265,A000000,01100,0000,1100PHARMACY 168265,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168265,A000000,01300,0000,1300SOCIAL SERVICE 168265,A000000,01301,0000,1351ACTIVITIES 168265,A000000,01600,0000,1600SKILLED NURSING FACILITY 168265,A000000,01800,0000,1800NURSING FACILITY 168265,A000000,02100,0000,2100RADIOLOGY 168265,A000000,02200,0000,2200LABORATORY 168265,A000000,02300,0000,2300INTRAVENOUS THERAPY 168265,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168265,A000000,02500,0000,2500PHYSICAL THERAPY 168265,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168265,A000000,02700,0000,2700SPEECH PATHOLOGY 168265,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 168265,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168265,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 168265,A000000,03301,0000,3051MEDICAL EQUIPMENT 168265,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 168265,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 168265,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168265,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168265,A81000A,00100,0100,Y 168265,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 168265,A81000B,00200,0300,CAPITAL - BUILDINGS 168265,A81000B,00300,0300,CAPITAL - EQUIPMENT 168265,A81000B,00400,0300,MEDICAL SUPPLIES 168265,A81000B,00500,0300,NURSING SUPPLIES 168265,A81000B,00600,0300,CENTRAL SUPPLIES 168265,A81000C,00100,0100,B 168265,A81000C,00100,0200,PEAK MEDICAL CORPORATION 168265,A81000C,00100,0400,PEAK MEDICAL CORPORATION 168265,A81000C,00100,0600,HOME OFFICE SERVICES 168265,A81000C,00200,0100,B 168265,A81000C,00200,0200,PEAK MEDICAL CORPORATION 168265,A81000C,00200,0400,MEDICAL RESOURCES 168265,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 168265,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 168265,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 168265,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 168265,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 168265,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 168265,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 168265,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 168265,B100000,00000,0800,0800MEALS SERVED :DIETARY 168265,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 168265,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 168265,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 168265,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 168265,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 168265,S000000,00100,0200,06/02/00 168265,S200000,00100,0100,207 EAST HOLLY 168265,S200000,00200,0100,SARATOGA 168265,S200000,00200,0200,WY 168265,S200000,00200,0300,82331- 168265,S200000,00300,0100,CARBON 168265,S200000,00300,0200,9953 168265,S200000,00300,0300,R 168265,S200000,00400,0100,VALLEY VIEW CARE CENTER 168265,S200000,00400,0200,535047 168265,S200000,00400,0300,11/01/94 168265,S200000,00400,0500,P 168265,S200000,01500,0100,Y 168265,S200000,01600,0100,N 168265,S200000,01700,0100,N 168265,S200000,01800,0100,N 168265,S200000,02200,0100,N 168265,S200000,02800,0100,N 168265,S200000,02900,0100,N 168265,S200000,03000,0100,N 168265,S200000,03100,0100,N 168265,S200000,03200,0100,N 168265,S200000,04100,0100,N 168265,S200000,04200,0100,N 168265,S200000,04300,0100,N 168265,S200000,04600,0100,N 168265,S200000,04700,0100,N 168265,S200000,04700,0200,N 168265,S200000,04900,0100,N 168265,S200000,05000,0100,N 168265,S200000,05100,0100,N 168265,S200000,05200,0100,N 168340,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 168340,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 168340,A000000,00201,0000,0201CAPITALIZED LEASED ASSETS 168340,A000000,00300,0000,0300EMPLOYEE BENEFITS 168340,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168340,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 168340,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168340,A000000,00700,0000,0700HOUSEKEEPING 168340,A000000,00800,0000,0800DIETARY 168340,A000000,00900,0000,0900NURSING ADMINISTRATION 168340,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168340,A000000,01100,0000,1100PHARMACY 168340,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168340,A000000,01300,0000,1300SOCIAL SERVICE 168340,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 168340,A000000,01600,0000,1600SKILLED NURSING FACILITY 168340,A000000,01810,0000,1810ICF/MR 168340,A000000,02100,0000,2100RADIOLOGY 168340,A000000,02200,0000,2200LABORATORY 168340,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168340,A000000,02500,0000,2500PHYSICAL THERAPY 168340,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168340,A000000,02700,0000,2700SPEECH PATHOLOGY 168340,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 168340,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168340,A000000,03550,0000,3550FQHC 168340,A000000,04801,0000,4801AMBULANCE 168340,A000000,04802,0000,4802AMBULANCE 168340,A000000,04803,0000,4803AMBULANCE 168340,A000000,05000,0000,5000CORF 168340,A000000,05010,0000,5010CMHC 168340,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 168340,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168340,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168340,A000000,05300,0000,5300INTEREST EXPENSE 168340,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168340,A81000A,00100,0100,Y 168340,A81000B,00100,0300,HEALTH DENTAL LIFE 168340,A81000B,00200,0300,ADMINISTRATOR S SALA 168340,A81000B,00300,0300,PT S SERVICES 168340,A81000B,00400,0300,RT SERVICES 168340,A81000B,00500,0300,UNEMPLOYMENT ASSESSM 168340,A81000B,00600,0300,EAP 168340,A81000B,00700,0300,PAYROLL 168340,A81000B,00800,0300,ADMINSTRATION 168340,A81000B,00900,0300,ADMINSTRATION 168340,A81000B,01000,0300,CORP & CASH MANAGE 168340,A81000B,01100,0300,INFORMATION CENTER 168340,A81000B,01200,0300,CORPORATE FEES 168340,A81000B,01300,0300,CORPORATE FEES 168340,A81000B,01400,0300,ADMINISTRATION 168340,A81000C,00100,0100,B 168340,A81000C,00100,0200,SSM HEALTH CARE 168340,A81000C,00100,0400,ST MARYS HOSPIT 168340,A81000C,00100,0600,MEDICAL CENTER 168340,B100000,00000,0100,0100SQUARE FEET 168340,B100000,00000,0200,0200SQUARE FEET 168340,B100000,00000,0201,0201SQUARE FEET 168340,B100000,00000,0300,0300GROSS SALARIES 168340,B100000,00000,0400,0400ACCUM COST 168340,B100000,00000,0500,0500SQUARE FEET 168340,B100000,00000,0600,0600POUNDS OF LAUNDRY 168340,B100000,00000,0700,0700SQUARE FEET 168340,B100000,00000,0800,0800MEALS SERVED 168340,B100000,00000,0900,0900DIRECT NRSG HRS 168340,B100000,00000,1000,1000COSTED REQUIS 168340,B100000,00000,1100,1100COSTED REQUIS 168340,B100000,00000,1200,1200TIME SPENT 168340,B100000,00000,1300,1300TIME SPENT 168340,B100000,00000,1400,1400ASSIGNED TIME 168340,S000000,00100,0200,06/07/00 168340,S200000,00100,0100,1347 FISH HATHERY ROAD 168340,S200000,00200,0100,MADISON 168340,S200000,00200,0200,WI 168340,S200000,00200,0300,53715 168340,S200000,00300,0100,USA 168340,S200000,00300,0200,4720 168340,S200000,00300,0300,U 168340,S200000,00400,0100,ST. MARYS CARE CENTER 168340,S200000,00400,0200,525276 168340,S200000,00400,0300,12/31/82 168340,S200000,00400,0500,P 168340,S200000,01500,0100,Y 168340,S200000,01600,0100,N 168340,S200000,01700,0100,N 168340,S200000,01800,0100,N 168340,S200000,01900,0100,AFFL. W/MERCY HOSPIT 168340,S200000,02200,0100,N 168340,S200000,02800,0100,N 168340,S200000,02900,0100,N 168340,S200000,03000,0100,N 168340,S200000,03100,0100,N 168340,S200000,03200,0100,N 168340,S200000,03300,0100,N 168340,S200000,03300,0200,N 168340,S200000,04100,0100,N 168340,S200000,04200,0100,N 168340,S200000,04300,0100,N 168340,S200000,04600,0100,N 168340,S200000,04700,0100,N 168340,S200000,04900,0100,N 168340,S200000,05200,0100,N 168555,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 168555,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 168555,A000000,00300,0000,0300EMPLOYEE BENEFITS 168555,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168555,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 168555,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168555,A000000,00700,0000,0700HOUSEKEEPING 168555,A000000,00800,0000,0800DIETARY 168555,A000000,00900,0000,0900NURSING ADMINISTRATION 168555,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168555,A000000,01100,0000,1100PHARMACY 168555,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168555,A000000,01300,0000,1300SOCIAL SERVICE 168555,A000000,01301,0000,1301ACTIVITIES 168555,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 168555,A000000,01500,0000,1350OTHER GENERAL SERVICES 168555,A000000,01600,0000,1600SKILLED NURSING FACILITY 168555,A000000,01800,0000,1800NURSING FACILITY 168555,A000000,01810,0000,1810ICF/MR 168555,A000000,02200,0000,2200LABORATORY 168555,A000000,02300,0000,2300INTRAVENOUS THERAPY 168555,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168555,A000000,02500,0000,2500PHYSICAL THERAPY 168555,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168555,A000000,02700,0000,2700SPEECH PATHOLOGY 168555,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 168555,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168555,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 168555,A000000,03550,0000,3550FQHC 168555,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 168555,A000000,04801,0000,4801AMBULANCE 168555,A000000,04802,0000,4802AMBULANCE 168555,A000000,04803,0000,4803AMBULANCE 168555,A000000,05000,0000,5000CORF 168555,A000000,05010,0000,5010CMHC 168555,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 168555,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168555,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168555,A000000,05100,0000,4750OTHER REIMBURSABLE COST 168555,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 168555,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 168555,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168555,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168555,A81000A,00100,0100,Y 168555,A81000B,00100,0300,MANAGEMENT FEES 168555,A81000C,00100,0100,A 168555,A81000C,00100,0200,COLONIAL LAND CORPORATION 168555,A81000C,00200,0100,A 168555,A81000C,00200,0200,PROVIDENCE HEALTH SERVICE 168555,A81000C,00300,0100,A 168555,A81000C,00300,0200,JAMES SMITH 168555,B100000,00000,0100,0100SQUARE FEET 168555,B100000,00000,0200,0200SQUARE FEET 168555,B100000,00000,0300,0300GROSS SALARIES 168555,B100000,00000,0400,0400ACCUM COST 168555,B100000,00000,0500,0500SQUARE FEET 168555,B100000,00000,0600,0600PATIENT DAYS 168555,B100000,00000,0700,0700SQUARE FEET 168555,B100000,00000,0800,0800PATIENT DAYS 168555,B100000,00000,0900,0900PATIENT DAYS 168555,B100000,00000,1000,1000COSTED REQUIS. 168555,B100000,00000,1100,1100COSTED REQUIS. 168555,B100000,00000,1200,1200PATIENT DAYS 168555,B100000,00000,1300,1300PATIENT DAYS 168555,B100000,00000,1301,1301PATIENT DAYS 168555,B100000,00000,1400,1400ASSIGNED TIME 168555,B100000,00000,1500,1350TIME SPENT 168555,E10A180,00550,0100,09/12/02 168555,E10A180,00550,0300,06/19/02 168555,S000000,00100,0200,06/19/02 168555,S200000,00100,0100,ROUTE 1 168555,S200000,00100,0300,105 168555,S200000,00200,0100,BASTIAN 168555,S200000,00200,0200,VA 168555,S200000,00200,0300,24314 168555,S200000,00300,0100,BLAND 168555,S200000,00300,0300,R 168555,S200000,00400,0100,KEGLEY MANOR 168555,S200000,00400,0200,495191 168555,S200000,00400,0300,05/24/89 168555,S200000,00400,0500,P 168555,S200000,01500,0100,N 168555,S200000,01600,0100,Y 168555,S200000,01700,0100,N 168555,S200000,01800,0100,N 168555,S200000,02200,0100,N 168555,S200000,02800,0100,N 168555,S200000,02900,0100,N 168555,S200000,03000,0100,N 168555,S200000,03100,0100,N 168555,S200000,03200,0100,N 168555,S200000,03300,0100,N 168555,S200000,03300,0200,N 168555,S200000,04100,0100,N 168555,S200000,04200,0100,N 168555,S200000,04300,0100,N 168555,S200000,04600,0100,N 168555,S200000,04700,0100,N 168555,S200000,04900,0100,N 168555,S200000,05200,0100,N 168666,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 168666,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 168666,A000000,00300,0000,0300EMPLOYEE BENEFITS 168666,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168666,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 168666,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168666,A000000,00700,0000,0700HOUSEKEEPING 168666,A000000,00800,0000,0800DIETARY 168666,A000000,00900,0000,0900NURSING ADMINISTRATION 168666,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168666,A000000,01100,0000,1100PHARMACY 168666,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168666,A000000,01300,0000,1300SOCIAL SERVICE 168666,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 168666,A000000,01600,0000,1600SKILLED NURSING FACILITY 168666,A000000,01800,0000,1800NURSING FACILITY 168666,A000000,01810,0000,1810ICF/MR 168666,A000000,02200,0000,2200LABORATORY 168666,A000000,02500,0000,2500PHYSICAL THERAPY 168666,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168666,A000000,02700,0000,2700SPEECH PATHOLOGY 168666,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 168666,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168666,A000000,03550,0000,3550FQHC 168666,A000000,04801,0000,4801AMBULANCE 168666,A000000,04802,0000,4802AMBULANCE 168666,A000000,04803,0000,4803AMBULANCE 168666,A000000,05000,0000,5000CORF 168666,A000000,05010,0000,5010CMHC 168666,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 168666,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168666,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168666,A000000,05300,0000,5300INTEREST EXPENSE 168666,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 168666,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168666,A81000A,00100,0100,Y 168666,A81000B,00100,0300,MANAGEMENT FEES 168666,A81000B,00200,0300,HOME OFFICE ALLOCATI 168666,A81000B,00300,0300,HOME OFFICE CAPITAL 168666,A81000B,00400,0300,RELATED PTY INTEREST 168666,A81000B,00500,0300,TEMP STAFF RELIEF 168666,A81000B,00600,0300,SUPPLIES 168666,A81000B,00700,0300,SUPPLIES 168666,A81000B,00800,0300,DRUGS 168666,A81000C,00100,0100,A 168666,A81000C,00100,0200,MICHAEL E. MCEL 168666,A81000C,00100,0400,HMP MANAGEMENT 168666,A81000C,00100,0600,HOME OFFICE 168666,A81000C,00200,0100,A 168666,A81000C,00200,0200,MICHAEL E. MCEL 168666,A81000C,00200,0400,HMP MANAGEMENT 168666,A81000C,00200,0600,HOME OFFICE 168666,A81000C,00300,0100,A 168666,A81000C,00300,0200,MICHAEL E. MCEL 168666,A81000C,00300,0400,HMP MANAGEMENT 168666,A81000C,00300,0600,HOME OFFICE 168666,A81000C,00400,0100,A 168666,A81000C,00400,0200,MICHAEL E. MCEL 168666,A81000C,00400,0400,HMP MANAGEMENT 168666,A81000C,00400,0600,HOME OFFICE 168666,A81000C,00500,0100,A 168666,A81000C,00500,0200,MICHAEL E. MCEL 168666,A81000C,00500,0400,HMP NURSING SER 168666,A81000C,00500,0600,NURSING LABOR 168666,A81000C,00600,0100,A 168666,A81000C,00600,0200,MICHAEL E. MCEL 168666,A81000C,00600,0400,UNICARERX 168666,A81000C,00600,0600,PHARMACY 168666,A81000C,00700,0100,A 168666,A81000C,00700,0200,MICHAEL E. MCEL 168666,A81000C,00700,0400,UNICARERX 168666,A81000C,00700,0600,PHARMACY 168666,A81000C,00800,0100,A 168666,A81000C,00800,0200,MICHAEL E. MCEL 168666,A81000C,00800,0400,UNICARERX 168666,A81000C,00800,0600,PHARMACY 168666,B100000,00000,0100,0100SQUARE FEET 168666,B100000,00000,0200,0200SQUARE FEET 168666,B100000,00000,0300,0300GROSS SALARIES 168666,B100000,00000,0400,0400ACCUM COST 168666,B100000,00000,0500,0500SQUARE FEET 168666,B100000,00000,0600,0600POUNDS OF LAUNDRY 168666,B100000,00000,0700,0700SQUAARE FEET 168666,B100000,00000,0800,0800MEALS SERVED 168666,B100000,00000,0900,0900DIRECT NRSG HRS 168666,B100000,00000,1000,1000COSTED REQUIS 168666,B100000,00000,1100,1100COSTED REQUIS 168666,B100000,00000,1200,1200TIME SPENT 168666,B100000,00000,1300,1300TIME SPENT 168666,B100000,00000,1400,1400ASSIGNED TIME 168666,E10A180,00550,0100,01/08/01 168666,E10A180,00550,0300,01/08/01 168666,S000000,00100,0200,12/18/00 168666,S200000,00100,0100,201 10TH AVENUE 168666,S200000,00200,0100,PETAL 168666,S200000,00200,0200,MS 168666,S200000,00200,0300,39465 168666,S200000,00300,0100,F 168666,S200000,00300,0200,0025 168666,S200000,00300,0300,R 168666,S200000,00400,0100,CONVA-REST OF PETAL 168666,S200000,00400,0200,255149 168666,S200000,00400,0300,11/01/92 168666,S200000,00400,0500,P 168666,S200000,00400,0600,O 168666,S200000,01500,0100,N 168666,S200000,01600,0100,Y 168666,S200000,01700,0100,N 168666,S200000,01800,0100,N 168666,S200000,02200,0100,N 168666,S200000,02800,0100,N 168666,S200000,02900,0100,N 168666,S200000,03000,0100,N 168666,S200000,03100,0100,N 168666,S200000,03200,0100,N 168666,S200000,03300,0100,N 168666,S200000,03300,0200,N 168666,S200000,04100,0100,N 168666,S200000,04200,0100,N 168666,S200000,04300,0100,N 168666,S200000,04600,0100,N 168666,S200000,04700,0100,N 168666,S200000,04900,0100,N 168666,S200000,05200,0100,N 168744,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 168744,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 168744,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 168744,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 168744,A000000,00300,0000,0300EMPLOYEE BENEFITS 168744,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168744,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 168744,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168744,A000000,00700,0000,0700HOUSEKEEPING 168744,A000000,00800,0000,0800DIETARY 168744,A000000,00801,0000,0801CAFETERIA 168744,A000000,00900,0000,0900NURSING ADMINISTRATION 168744,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168744,A000000,01100,0000,1100PHARMACY 168744,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168744,A000000,01300,0000,1300SOCIAL SERVICE 168744,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 168744,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 168744,A000000,01600,0000,1600SKILLED NURSING FACILITY 168744,A000000,01800,0000,1800NURSING FACILITY 168744,A000000,01810,0000,1810ICF/MR 168744,A000000,02100,0000,2100RADIOLOGY 168744,A000000,02200,0000,2200LABORATORY 168744,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168744,A000000,02500,0000,2500PHYSICAL THERAPY 168744,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168744,A000000,02700,0000,2700SPEECH PATHOLOGY 168744,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 168744,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168744,A000000,03300,0000,3050PEN THERAPY 168744,A000000,03301,0000,3051FEE SCREENING 168744,A000000,03302,0000,3052OTHER ANCILLARY III 168744,A000000,03550,0000,3550FQHC 168744,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 168744,A000000,04801,0000,4801AMBULANCE 168744,A000000,04802,0000,4802AMBULANCE 168744,A000000,04803,0000,4803AMBULANCE 168744,A000000,05000,0000,5000CORF I 168744,A000000,05010,0000,5010CMHC I 168744,A000000,05020,0000,5020OPT I 168744,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168744,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168744,A000000,05100,0000,4750OTHER REIMBURSABLE COST 168744,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 168744,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 168744,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168744,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168744,A81000A,00100,0100,Y 168744,A81000B,00100,0300,HOME OFFICE 168744,A81000B,00200,0300,HOME OFFICE CAPITAL 168744,A81000B,00500,0300,SEE ATTACHED 168744,A81000C,00100,0100,B 168744,A81000C,00100,0200,GENESIS HEALTH 168744,A81000C,00100,0600,HOME OFFICE 168744,A81000C,00200,0100,B 168744,A81000C,00200,0200,GENESIS HEALTH 168744,A81000C,00200,0600,HOME OFFICE 168744,A81000C,00300,0100,G 168744,A81000C,00300,0200,GENE ELDER REHA 168744,A81000C,00300,0600,PT SERVICES 168744,A81000C,00400,0100,G 168744,A81000C,00400,0200,GENE ELDER REHA 168744,A81000C,00400,0600,OT SERVICES 168744,A81000C,00500,0100,G 168744,A81000C,00500,0200,GENE ELDER REHA 168744,A81000C,00500,0600,ST SERVICES 168744,B100000,00000,0100,0100(SQUARE FEET) 168744,B100000,00000,0101,0101(SQUARE FEET) 168744,B100000,00000,0200,0200(SQUARE FEET) 168744,B100000,00000,0201,0201(SQUARE FEET) 168744,B100000,00000,0300,0300(GROSS SALARIES) 168744,B100000,00000,0400,0400ACCUM COST 168744,B100000,00000,0500,0500(SQUARE FEET) 168744,B100000,00000,0600,0600(PATIENT DAYS) 168744,B100000,00000,0700,0700(SQUARE FEET) 168744,B100000,00000,0800,0800(MEALS SERVED) 168744,B100000,00000,0801,0801(MEALS SERVED) 168744,B100000,00000,0900,0900(NURSING SALARIES) 168744,B100000,00000,1000,1000(COSTED REQUIS.) 168744,B100000,00000,1100,1100(PATIENT DAYS) 168744,B100000,00000,1200,1200(GROSS CHARGES) 168744,B100000,00000,1300,1300(PATIENT DAYS) 168744,B100000,00000,1400,1400(ASSIGNED TIME) 168744,B100000,00000,1500,1350(PATIENT DAYS) 168744,E10A180,00501,0100,02/27/01 168744,E10A180,00550,0100,02/29/00 168744,E10A180,00550,0300,02/29/00 168744,E10A180,00551,0100,11/04/03 168744,E10A180,00551,0300,02/27/01 168744,E10A180,00552,0300,11/04/03 168744,S000000,00100,0200,02/29/00 168744,S200000,00100,0100,299 LINCOLN ST 168744,S200000,00200,0100,WORCESTER 168744,S200000,00200,0200,MA 168744,S200000,00200,0300,01605 168744,S200000,00300,0100,WORCESTER 168744,S200000,00300,0200,1123 168744,S200000,00300,0300,U 168744,S200000,00400,0100,LINCOLN NURSING HOME 168744,S200000,00400,0200,225013 168744,S200000,00400,0300,11/06/69 168744,S200000,00400,0500,P 168744,S200000,01500,0100,N 168744,S200000,01600,0100,Y 168744,S200000,01700,0100,N 168744,S200000,01800,0100,N 168744,S200000,02200,0100,Y 168744,S200000,02800,0100,N 168744,S200000,02900,0100,N 168744,S200000,03000,0100,N 168744,S200000,03100,0100,N 168744,S200000,03200,0100,N 168744,S200000,03300,0100,N 168744,S200000,03300,0200,N 168744,S200000,04100,0100,N 168744,S200000,04200,0100,N 168744,S200000,04300,0100,N 168744,S200000,04600,0100,N 168744,S200000,04700,0100,N 168744,S200000,05200,0100,N 168745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 168745,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 168745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 168745,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 168745,A000000,00300,0000,0300EMPLOYEE BENEFITS 168745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 168745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168745,A000000,00700,0000,0700HOUSEKEEPING 168745,A000000,00800,0000,0800DIETARY 168745,A000000,00801,0000,0801CAFETERIA 168745,A000000,00900,0000,0900NURSING ADMINISTRATION 168745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168745,A000000,01100,0000,1100PHARMACY 168745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168745,A000000,01300,0000,1300SOCIAL SERVICE 168745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 168745,A000000,01500,0000,1350ACTIVITIES 168745,A000000,01600,0000,1600SKILLED NURSING FACILITY 168745,A000000,01800,0000,1800NURSING FACILITY 168745,A000000,01810,0000,1810ICF/MR 168745,A000000,02200,0000,2200LABORATORY 168745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168745,A000000,02500,0000,2500PHYSICAL THERAPY 168745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168745,A000000,02700,0000,2700SPEECH PATHOLOGY 168745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 168745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168745,A000000,03300,0000,3050PENN THERAPY 168745,A000000,03301,0000,3051FEE SCREENING 168745,A000000,03302,0000,3052OTHER ANCILLARY III 168745,A000000,03550,0000,3550FQHC 168745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 168745,A000000,04801,0000,4801AMBULANCE 168745,A000000,04802,0000,4802AMBULANCE 168745,A000000,04803,0000,4803AMBULANCE 168745,A000000,05000,0000,5000CORF I 168745,A000000,05010,0000,5010CMHC I 168745,A000000,05020,0000,5020OPT I 168745,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168745,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168745,A000000,05100,0000,4750OTHER REIMBURSABLE COST 168745,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 168745,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 168745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168745,A81000A,00100,0100,Y 168745,A81000B,00100,0300,HOME OFFICE ALLOCATION 168745,A81000B,00200,0300,REHAB SVC 168745,A81000B,00300,0300,REHAB SVC 168745,A81000B,00400,0300,REHAB SVC 168745,A81000B,00500,0300,HOME OFFICE ALLOCATION 168745,A81000C,00100,0100,G 168745,A81000C,00100,0200,GENESIS HEALTH 168745,A81000C,00100,0600,HOME OFFICE 168745,A81000C,00200,0100,B 168745,A81000C,00200,0200,REHAB SVC 168745,A81000C,00200,0600,PT SVC 168745,A81000C,00300,0100,B 168745,A81000C,00300,0200,REHAB SVC 168745,A81000C,00300,0600,OT SVC 168745,A81000C,00400,0100,B 168745,A81000C,00400,0200,REHAB SVC 168745,A81000C,00400,0600,ST SVC 168745,A81000C,00500,0100,G 168745,A81000C,00500,0200,GENESIS HEALTH 168745,A81000C,00500,0600,HOME OFFICE 168745,B100000,00000,0100,0100(SQUARE FEET) 168745,B100000,00000,0101,0101(SQUARE FEET) 168745,B100000,00000,0200,0200(SQUARE FEET) 168745,B100000,00000,0201,0201(SQUARE FEET) 168745,B100000,00000,0300,0300(GROSS SALARIES) 168745,B100000,00000,0400,0400ACCUM COST 168745,B100000,00000,0500,0500(SQUARE FEET) 168745,B100000,00000,0600,0600(PATIENT DAYS) 168745,B100000,00000,0700,0700(SQUARE FEET) 168745,B100000,00000,0800,0800(MEALS SERVED) 168745,B100000,00000,0801,0801(MEALS SERVED) 168745,B100000,00000,0900,0900(NURSING SALARIES) 168745,B100000,00000,1000,1000(PATIENT DAYS) 168745,B100000,00000,1100,1100(PATIENT DAYS) 168745,B100000,00000,1200,1200(GROSS CHARGES) 168745,B100000,00000,1300,1300(PATIENT DAYS) 168745,B100000,00000,1400,1400(ASSIGNED TIME) 168745,B100000,00000,1500,1350(PATIENT DAYS) 168745,E10A180,00501,0100,12/01/00 168745,E10A180,00501,0300,03/27/00 168745,E10A180,00550,0100,03/27/00 168745,E10A180,00550,0300,12/01/00 168745,S000000,00100,0200,02/29/00 168745,S200000,00100,0100,44 KEYSTONE DRIVE 168745,S200000,00200,0100,LEOMINSTER 168745,S200000,00200,0200,MA 168745,S200000,00200,0300,01453 168745,S200000,00300,0100,WORCESTER 168745,S200000,00300,0200,1123 168745,S200000,00300,0300,U 168745,S200000,00400,0100,KEYSTONE CENTER 168745,S200000,00400,0200,225355 168745,S200000,00400,0300,05/01/89 168745,S200000,00400,0500,P 168745,S200000,01500,0100,N 168745,S200000,01600,0100,Y 168745,S200000,01700,0100,N 168745,S200000,01800,0100,N 168745,S200000,01900,0100,OTHER 168745,S200000,02200,0100,Y 168745,S200000,02800,0100,N 168745,S200000,02900,0100,N 168745,S200000,03000,0100,N 168745,S200000,03100,0100,N 168745,S200000,03200,0100,N 168745,S200000,03300,0100,N 168745,S200000,03300,0200,N 168745,S200000,04100,0100,N 168745,S200000,04200,0100,N 168745,S200000,04300,0100,N 168745,S200000,04600,0100,N 168745,S200000,04700,0100,N 168745,S200000,04900,0100,N 168745,S200000,05200,0100,N 168814,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 168814,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 168814,A000000,00300,0000,0300EMPLOYEE BENEFITS 168814,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168814,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 168814,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168814,A000000,00700,0000,0700HOUSEKEEPING 168814,A000000,00800,0000,0800DIETARY 168814,A000000,00900,0000,0900NURSING ADMINISTRATION 168814,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168814,A000000,01100,0000,1100PHARMACY 168814,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168814,A000000,01300,0000,1300SOCIAL SERVICE 168814,A000000,01301,0000,1351ACTIVITIES 168814,A000000,01600,0000,1600SKILLED NURSING FACILITY 168814,A000000,01800,0000,1800NURSING FACILITY 168814,A000000,02100,0000,2100RADIOLOGY 168814,A000000,02200,0000,2200LABORATORY 168814,A000000,02300,0000,2300INTRAVENOUS THERAPY 168814,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168814,A000000,02500,0000,2500PHYSICAL THERAPY 168814,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168814,A000000,02700,0000,2700SPEECH PATHOLOGY 168814,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 168814,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168814,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 168814,A000000,03301,0000,3051MEDICAL EQUIPMENT 168814,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 168814,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168814,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 168814,A81000A,00100,0100,Y 168814,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 168814,A81000B,00200,0300,CAPITAL - BUILDINGS 168814,A81000B,00300,0300,CAPITAL - EQUIPMENT 168814,A81000B,00400,0300,MEDICAL SUPPLIES - RELATED PARTY 168814,A81000B,00500,0300,NURSING SUPPLIES - RELATED PARTY 168814,A81000B,00600,0300,CENTRAL SUPPLIES - RELATED PARTY 168814,A81000C,00100,0100,B 168814,A81000C,00100,0200,PEAK MEDICAL CORPORATION 168814,A81000C,00100,0400,PEAK MEDICAL CORPORATION 168814,A81000C,00100,0600,HOME OFFICE SERVICES 168814,A81000C,00200,0100,B 168814,A81000C,00200,0200,PEAK MEDICAL CORPORATION 168814,A81000C,00200,0400,MEDICAL RESOURCES 168814,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 168814,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 168814,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 168814,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 168814,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 168814,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 168814,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 168814,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 168814,B100000,00000,0800,0800MEALS SERVED :DIETARY 168814,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 168814,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 168814,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 168814,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 168814,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 168814,S000000,00100,0200,11/02/00 168814,S200000,00100,0100,1130 SEVENTEENTH AVE. SOUTH 168814,S200000,00200,0100,GREAT FALLS 168814,S200000,00200,0200,MT 168814,S200000,00200,0300,59405- 168814,S200000,00300,0100,CASCADE 168814,S200000,00300,0200,3040 168814,S200000,00300,0300,U 168814,S200000,00400,0100,MISSOURI RIVER MANOR 168814,S200000,00400,0200,275026 168814,S200000,00400,0300,01/09/93 168814,S200000,00400,0500,P 168814,S200000,01500,0100,N 168814,S200000,01600,0100,Y 168814,S200000,01700,0100,N 168814,S200000,01800,0100,N 168814,S200000,02200,0100,N 168814,S200000,02800,0100,N 168814,S200000,02900,0100,N 168814,S200000,03000,0100,N 168814,S200000,03100,0100,N 168814,S200000,03200,0100,N 168814,S200000,04100,0100,N 168814,S200000,04200,0100,N 168814,S200000,04300,0100,N 168814,S200000,04600,0100,N 168814,S200000,04700,0100,N 168814,S200000,04700,0200,N 168814,S200000,04900,0100,N 168814,S200000,05000,0100,N 168814,S200000,05100,0100,N 168814,S200000,05200,0100,N 168826,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 168826,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 168826,A000000,00300,0000,0300EMPLOYEE BENEFITS 168826,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 168826,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 168826,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 168826,A000000,00700,0000,0700HOUSEKEEPING 168826,A000000,00800,0000,0800DIETARY 168826,A000000,00900,0000,0900NURSING ADMINISTRATION 168826,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 168826,A000000,01100,0000,1100PHARMACY 168826,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 168826,A000000,01300,0000,1300SOCIAL SERVICE 168826,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 168826,A000000,01500,0000,1350ACTIVITIES 168826,A000000,01600,0000,1600SKILLED NURSING FACILITY 168826,A000000,01800,0000,1800NURSING FACILITY 168826,A000000,01810,0000,1810ICF/MR 168826,A000000,02100,0000,2100RADIOLOGY 168826,A000000,02200,0000,2200LABORATORY 168826,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 168826,A000000,02500,0000,2500PHYSICAL THERAPY 168826,A000000,02600,0000,2600OCCUPATIONAL THERAPY 168826,A000000,02700,0000,2700SPEECH PATHOLOGY 168826,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 168826,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 168826,A000000,03200,0000,3200SUPPORT SURFACES 168826,A000000,03300,0000,3050OXYGEN ANCILLARY 168826,A000000,03550,0000,3550FQHC 168826,A000000,05000,0000,5000CORF 168826,A000000,05010,0000,5010CMHC 168826,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 168826,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 168826,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 168826,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 168826,A000000,05900,0000,5900BARBER & BEAUTY SHOP 168826,A000000,06300,0000,6150MASSAGE THERAPY 168826,A81000A,00100,0100,Y 168826,A81000B,00100,0300,BUILDING RENT 168826,A81000B,00200,0300,HOME OFFICE COST 168826,A81000B,00300,0300,HOME OFFICE COST 168826,A81000B,00400,0300,HOME OFFICE COST 168826,A81000B,00500,0300,PHY THERAPY (FRONT R 168826,A81000B,00600,0300,OCP THERAPY(FRONT RA 168826,A81000B,00700,0300,SPC THERAPY(FRONT RA 168826,A81000B,00800,0300,RESP THERAPY(FRONT R 168826,A81000B,00900,0300,NURSING CONTRACT 168826,A81000B,01000,0300,MEDICAL SUPPLY(CENTR 168826,A81000B,01100,0300,OXYGEN 168826,A81000B,01200,0300,OXYGEN SUPPLIES 168826,A81000B,01300,0300,EQUIP/LEASE 168826,A81000B,01400,0300,EQUIP LEASE/P.SERVIC 168826,A81000B,01500,0300,CENTRAL BILLING 168826,A81000C,00100,0100,A 168826,A81000C,00100,0200,RICHARD WHELAN 168826,A81000C,00100,0400,SANDALWOOD PART 168826,A81000C,00100,0600,BUILDING OWNER 168826,A81000C,00200,0100,A 168826,A81000C,00200,0200,J.ROBERT WILSON 168826,A81000C,00200,0400,SANDALWOOD PART 168826,A81000C,00200,0600,BUILDING OWNER 168826,A81000C,00300,0100,A 168826,A81000C,00300,0200,J.ROBERT WILSON 168826,A81000C,00300,0400,COLUMBINE MANAG 168826,A81000C,00300,0600,MANAGEMENT COMP 168826,A81000C,00400,0100,A 168826,A81000C,00400,0200,J.ROBERT WILSON 168826,A81000C,00400,0400,FRONT RANGE THE 168826,A81000C,00400,0600,THERAPY SERVICE 168826,A81000C,00500,0100,A 168826,A81000C,00500,0200,J.ROBERT WILSON 168826,A81000C,00500,0400,COLUMBINE MEDIC 168826,A81000C,00500,0600,MEDICAL SUPPLIE 168826,A81000C,00600,0100,A 168826,A81000C,00600,0200,J.ROBERT WILSON 168826,A81000C,00600,0400,CENTRE PHARMACY 168826,A81000C,00600,0600,PHARMACY 168826,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 168826,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 168826,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 168826,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 168826,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 168826,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 168826,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 168826,B100000,00000,0800,0800MEALS SERVED :DIETARY 168826,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 168826,B100000,00000,1000,1050GROSS CHARGES :CENTRAL SERVICES 168826,B100000,00000,1100,1150GROSS CHARGES :PHARMACY 168826,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 168826,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 168826,B100000,00000,1500,1350TIME SPENT :ACTIVITIES 168826,S000000,00100,0200,06/01/00 168826,S200000,00100,0100,3835 HARLAN STREET 168826,S200000,00200,0100,WHEAT RIDGE 168826,S200000,00200,0200,CO 168826,S200000,00200,0300,80033- 168826,S200000,00300,0100,JEFFERSON 168826,S200000,00300,0200,2080 168826,S200000,00300,0300,U 168826,S200000,00400,0100,SANDALWOOD MANOR 168826,S200000,00400,0200,065292 168826,S200000,00400,0300,07/01/91 168826,S200000,00400,0500,P 168826,S200000,00600,0200,651534 168826,S200000,00600,0300,07/01/91 168826,S200000,00600,0600,O 168826,S200000,01500,0100,N 168826,S200000,01600,0100,Y 168826,S200000,01700,0100,N 168826,S200000,01800,0100,N 168826,S200000,02200,0100,N 168826,S200000,02800,0100,N 168826,S200000,02900,0100,N 168826,S200000,03000,0100,N 168826,S200000,03100,0100,N 168826,S200000,03200,0100,N 168826,S200000,04100,0100,N 168826,S200000,04200,0100,N 168826,S200000,04300,0100,N 168826,S200000,04600,0100,N 168826,S200000,04700,0100,N 168826,S200000,04700,0200,N 168826,S200000,04900,0100,N 168826,S200000,05000,0100,N 168826,S200000,05100,0100,N 168826,S200000,05200,0100,N 169473,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 169473,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 169473,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 169473,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 169473,A000000,00300,0000,0300EMPLOYEE BENEFITS 169473,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 169473,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 169473,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 169473,A000000,00700,0000,0700HOUSEKEEPING 169473,A000000,00800,0000,0800DIETARY 169473,A000000,00801,0000,0801CAFETERIA 169473,A000000,00900,0000,0900NURSING ADMINISTRATION 169473,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 169473,A000000,01100,0000,1100PHARMACY 169473,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 169473,A000000,01300,0000,1300SOCIAL SERVICE 169473,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 169473,A000000,01500,0000,1350ACTIVITIES 169473,A000000,01600,0000,1600SKILLED NURSING FACILITY 169473,A000000,01800,0000,1800NURSING FACILITY 169473,A000000,01900,0000,1900OTHER LONG TERM CARE 169473,A000000,02100,0000,2100RADIOLOGY 169473,A000000,02200,0000,2200LABORATORY 169473,A000000,02300,0000,2300INTRAVENOUS THERAPY 169473,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 169473,A000000,02500,0000,2500PHYSICAL THERAPY 169473,A000000,02600,0000,2600OCCUPATIONAL THERAPY 169473,A000000,02700,0000,2700SPEECH PATHOLOGY 169473,A000000,02800,0000,2800ELECTROCARDIOLOGY 169473,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 169473,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 169473,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 169473,A000000,03200,0000,3200SUPPORT SURFACES 169473,A000000,03300,0000,3050OTHER ANCILLARY 169473,A000000,03301,0000,3051PEN THERAPY 169473,A000000,03302,0000,3052OTHER ANCILLARY III 169473,A000000,03400,0000,3400CLINIC 169473,A000000,03500,0000,3500RURAL HEALTH CLINIC 169473,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 169473,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 169473,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 169473,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 169473,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 169473,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 169473,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 169473,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 169473,A000000,04400,0000,4400DME RENTED - HHA 169473,A000000,04500,0000,4500DME SOLD - HHA 169473,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 169473,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 169473,A000000,04800,0000,4800AMBULANCE 169473,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 169473,A000000,05000,0000,5000CORF 169473,A000000,05010,0000,5010CMHC I 169473,A000000,05020,0000,5020OPT I 169473,A000000,05100,0000,4750OTHER REIMBURSABLE COST 169473,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 169473,A000000,05300,0000,5300INTEREST EXPENSE 169473,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 169473,A000000,05500,0000,5500HOSPICE 169473,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 169473,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 169473,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 169473,A000000,05900,0000,5900BARBER & BEAUTY SHOP 169473,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 169473,A000000,06100,0000,6100NONPAID WORKERS 169473,A000000,06200,0000,6200PATIENTS LAUNDRY 169473,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 169473,A81000A,00100,0100,Y 169473,A81000B,00100,0300,BUILDING LEASE 169473,A81000B,00200,0300,WORKING CAPITAL LOAN 169473,A81000B,00300,0300,MANAGEMENT FEE 169473,A81000B,00400,0300,PHYSICAL THERAPY 169473,A81000B,00500,0300,OCCUPATIONAL THER 169473,A81000B,00600,0300,SPEECH THERAPY 169473,A81000B,00700,0300,ADMIN CONSULTING 169473,A81000B,00800,0300,NURSE CONSULTING 169473,A81000B,00900,0300,NURSING POOL 169473,A81000C,00100,0100,A 169473,A81000C,00100,0200,ARI KRAUSZ 169473,A81000C,00100,0400,CAMBRIDGE PTNRS 169473,A81000C,00100,0600,REAL ESTATE 169473,A81000C,00200,0100,A 169473,A81000C,00200,0200,DAVID SEBBAG 169473,A81000C,00200,0400,CAMBRIDGE PTNRS 169473,A81000C,00200,0600,REAL ESTATE 169473,A81000C,00300,0100,A 169473,A81000C,00300,0200,KRAUSZ/SEBBAG 169473,A81000C,00300,0400,SOLOMON HTH SVS 169473,A81000C,00300,0600,MGMT CO. 169473,A81000C,00400,0100,A 169473,A81000C,00400,0200,KRAUSZ/SEBBAG 169473,A81000C,00400,0400,SHC/PROG PROV 169473,A81000C,00400,0600,THERAPY SVCS 169473,A81000C,00500,0100,A 169473,A81000C,00500,0200,KRAUSZ/SEBBAG 169473,A81000C,00500,0400,SHC/PROG PROV 169473,A81000C,00500,0600,THERAPY SVCS 169473,A81000C,00600,0100,A 169473,A81000C,00600,0200,KRAUSZ/SEBBAG 169473,A81000C,00600,0400,SHC/PROG PROV 169473,A81000C,00600,0600,THERAPY SVCS 169473,A81000C,00700,0100,A 169473,A81000C,00700,0200,KRAUSZ/SEBBAG 169473,A81000C,00700,0400,SOLOMON HC CONS 169473,A81000C,00700,0600,HC CONSULT 169473,A81000C,00800,0100,A 169473,A81000C,00800,0200,KRAUSZ/SEBBAG 169473,A81000C,00800,0400,SOLOMON HC CONS 169473,A81000C,00800,0600,HC CONSULT 169473,A81000C,00900,0100,A 169473,A81000C,00900,0200,KRAUSZ/SEBBAG 169473,A81000C,00900,0400,PREMIER TEMPS 169473,A81000C,00900,0600,POOL NURSING 169473,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 169473,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 169473,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 169473,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 169473,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 169473,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 169473,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 169473,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 169473,B100000,00000,0900,0950(PATIENT DAYS) :NURSING ADMINIS 169473,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 169473,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 169473,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 169473,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 169473,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 169473,S000000,00100,0200,06/07/00 169473,S200000,00100,0100,1685 EATON ST. 169473,S200000,00200,0100,LAKEWOOD 169473,S200000,00200,0200,CO 169473,S200000,00200,0300,80214- 169473,S200000,00300,0100,JEFFERSON 169473,S200000,00300,0200,2080 169473,S200000,00300,0300,U 169473,S200000,00400,0100,CAMBRIDGE CARE CENTER 169473,S200000,00400,0200,065296 169473,S200000,00400,0300,12/01/91 169473,S200000,00400,0500,P 169473,S200000,01500,0100,Y 169473,S200000,01600,0100,N 169473,S200000,01700,0100,N 169473,S200000,01800,0100,N 169473,S200000,02200,0100,Y 169473,S200000,02800,0100,N 169473,S200000,02900,0100,N 169473,S200000,03000,0100,N 169473,S200000,03100,0100,N 169473,S200000,03200,0100,N 169473,S200000,04100,0100,N 169473,S200000,04200,0100,N 169473,S200000,04300,0100,Y 169473,S200000,04600,0100,N 169473,S200000,04700,0100,N 169473,S200000,04700,0200,N 169473,S200000,04900,0100,N 169473,S200000,05000,0100,N 169473,S200000,05100,0100,N 169473,S200000,05200,0100,N 169601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 169601,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 169601,A000000,00300,0000,0300EMPLOYEE BENEFITS 169601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 169601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 169601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 169601,A000000,00700,0000,0700HOUSEKEEPING 169601,A000000,00800,0000,0800DIETARY 169601,A000000,00900,0000,0900NURSING ADMINISTRATION 169601,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 169601,A000000,01100,0000,1100PHARMACY 169601,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 169601,A000000,01300,0000,1300SOCIAL SERVICE 169601,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 169601,A000000,01600,0000,1600SKILLED NURSING FACILITY 169601,A000000,01800,0000,1800NURSING FACILITY 169601,A000000,01810,0000,1810ICF/MR 169601,A000000,02100,0000,2100RADIOLOGY 169601,A000000,02200,0000,2200LABORATORY 169601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 169601,A000000,02500,0000,2500PHYSICAL THERAPY 169601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 169601,A000000,02700,0000,2700SPEECH PATHOLOGY 169601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 169601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 169601,A000000,03200,0000,3200SUPPORT SURFACES 169601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 169601,A000000,03550,0000,3550FQHC 169601,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 169601,A000000,04800,0000,4800AMBULANCE 169601,A000000,04801,0000,4801AMBULANCE 169601,A000000,04802,0000,4802AMBULANCE 169601,A000000,04803,0000,4803AMBULANCE 169601,A000000,05000,0000,5000CORF 169601,A000000,05010,0000,5010CMHC 169601,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 169601,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 169601,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 169601,A81000A,00100,0100,Y 169601,A81000B,00100,0300,BOARD OF DIRECTOR FEES 169601,A81000B,00200,0300,BOARD OF DIRECTOR FEES 169601,A81000B,00300,0300,MANAGEMENT FEES- HOME OFFICE 169601,A81000C,00100,0100,A 169601,A81000C,00100,0200,ROYCE DELANEY 169601,A81000C,00100,0400,ROYCE DELANEY 169601,A81000C,00100,0600,BOARD MEMBER 169601,A81000C,00200,0100,A 169601,A81000C,00200,0200,STEVE DELANEY 169601,A81000C,00200,0400,STEVE DELANEY 169601,A81000C,00200,0600,BOARD MEMBER 169601,A81000C,00300,0100,A 169601,A81000C,00300,0200,ROYCE & STEVE DELANEY 169601,A81000C,00300,0400,DELCO INC. 169601,A81000C,00300,0600,HOME OFFICE MANAGEMENT 169601,B100000,00000,0100,0100SQUARE FEET 169601,B100000,00000,0200,0200DOLLAR VALUE 169601,B100000,00000,0300,0300GROSS SALARIES 169601,B100000,00000,0400,0400ACCUM COST 169601,B100000,00000,0500,0500SQUARE FEET 169601,B100000,00000,0600,0600POUNDS OF LAUNDRY 169601,B100000,00000,0700,0700HOURS OF SERVICE 169601,B100000,00000,0800,0800MEALS SERVED 169601,B100000,00000,0900,0900DIRECT NRSING HRS 169601,B100000,00000,1000,1000COSTED REQUIS. 169601,B100000,00000,1100,1100COSTED REQUIS. 169601,B100000,00000,1200,1200TIME SPENT 169601,B100000,00000,1300,1300TIME SPENT 169601,B100000,00000,1400,1400ASSIGNED TIME 169601,E10A180,00501,0100,06/29/00 169601,E10A180,00501,0300,06/29/00 169601,E10A180,00551,0100,06/26/00 169601,E10A180,00551,0300,06/26/00 169601,S000000,00100,0200,05/31/00 169601,S200000,00100,0100,220 GLEN OAKS DRIVE 169601,S200000,00200,0100,LUCEDALE 169601,S200000,00200,0200,MS 169601,S200000,00200,0300,39452 169601,S200000,00300,0100,GEORGE 169601,S200000,00300,0200,0025 169601,S200000,00300,0300,R 169601,S200000,00400,0100,GLEN OAKS NURSING CENTER 169601,S200000,00400,0200,255181 169601,S200000,00400,0300,09/01/94 169601,S200000,00400,0500,P 169601,S200000,01500,0100,N 169601,S200000,01600,0100,Y 169601,S200000,01700,0100,N 169601,S200000,01800,0100,N 169601,S200000,02200,0100,N 169601,S200000,02800,0100,N 169601,S200000,02900,0100,N 169601,S200000,03000,0100,N 169601,S200000,03100,0100,N 169601,S200000,03200,0100,N 169601,S200000,03300,0100,N 169601,S200000,03300,0200,N 169601,S200000,04100,0100,N 169601,S200000,04200,0100,N 169601,S200000,04300,0100,N 169601,S200000,04600,0100,N 169601,S200000,04700,0100,N 169601,S200000,04900,0100,N 169601,S200000,05200,0100,N 169822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 169822,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 169822,A000000,00300,0000,0300EMPLOYEE BENEFITS 169822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 169822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 169822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 169822,A000000,00700,0000,0700HOUSEKEEPING 169822,A000000,00800,0000,0800DIETARY 169822,A000000,00900,0000,0900NURSING ADMINISTRATION 169822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 169822,A000000,01100,0000,1100PHARMACY 169822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 169822,A000000,01300,0000,1300SOCIAL SERVICE 169822,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 169822,A000000,01600,0000,1600SKILLED NURSING FACILITY 169822,A000000,01810,0000,1810ICF/MR 169822,A000000,02100,0000,2100RADIOLOGY 169822,A000000,02200,0000,2200LABORATORY 169822,A000000,02500,0000,2500PHYSICAL THERAPY 169822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 169822,A000000,02700,0000,2700SPEECH PATHOLOGY 169822,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 169822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 169822,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 169822,A000000,03550,0000,3550FQHC 169822,A000000,04801,0000,4801AMBULANCE 169822,A000000,04802,0000,4802AMBULANCE 169822,A000000,04803,0000,4803AMBULANCE 169822,A000000,05000,0000,5000CORF 169822,A000000,05010,0000,5010CMHC 169822,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 169822,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 169822,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 169822,A000000,05300,0000,5300INTEREST EXPENSE 169822,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 169822,A000000,05900,0000,5900BARBER & BEAUTY SHOP 169822,A000000,06300,0000,6150PODIATRY 169822,A81000A,00100,0100,N 169822,B100000,00000,0100,0100SQUARE FEET 169822,B100000,00000,0200,0200SQUARE FEET 169822,B100000,00000,0300,0300GROSS SALARIES 169822,B100000,00000,0400,0400ACCUM COST 169822,B100000,00000,0500,0500SQUARE FEET 169822,B100000,00000,0600,0600POUNDS OF LAUNDRY 169822,B100000,00000,0700,0700HOURS OF SERVICE 169822,B100000,00000,0800,0800MEALS SERVED 169822,B100000,00000,0900,0900DIRECT NRSG HRS 169822,B100000,00000,1000,1000COSTED REQUIS 169822,B100000,00000,1100,1100COSTED REQUIS 169822,B100000,00000,1200,1200TIME SPENT 169822,B100000,00000,1300,1300TIME SPENT 169822,B100000,00000,1400,1400ASSIGNED TIME 169822,E10A180,00301,0300,05/10/00 169822,S000000,00100,0200,06/02/00 169822,S200000,00100,0100,1 ELSIE STREET 169822,S200000,00200,0100,ROME 169822,S200000,00200,0200,NY 169822,S200000,00200,0300,13440 169822,S200000,00300,0100,ONEIDA 169822,S200000,00300,0200,8680 169822,S200000,00300,0300,U 169822,S200000,00400,0100,BETSY ROSS 169822,S200000,00400,0200,335727 169822,S200000,00400,0300,05/21/98 169822,S200000,00400,0500,P 169822,S200000,01500,0100,Y 169822,S200000,01600,0100,N 169822,S200000,01700,0100,N 169822,S200000,01800,0100,N 169822,S200000,02200,0100,N 169822,S200000,02800,0100,N 169822,S200000,02900,0100,N 169822,S200000,03000,0100,N 169822,S200000,03100,0100,N 169822,S200000,03200,0100,N 169822,S200000,03300,0100,N 169822,S200000,03300,0200,N 169822,S200000,04100,0100,N 169822,S200000,04200,0100,N 169822,S200000,04300,0100,N 169822,S200000,04600,0100,N 169822,S200000,04700,0100,N 169822,S200000,04900,0100,N 169822,S200000,05200,0100,N 169834,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 169834,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 169834,A000000,00300,0000,0300EMPLOYEE BENEFITS 169834,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 169834,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 169834,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 169834,A000000,00700,0000,0700HOUSEKEEPING 169834,A000000,00800,0000,0800DIETARY 169834,A000000,00900,0000,0900NURSING ADMINISTRATION 169834,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 169834,A000000,01100,0000,1100PHARMACY 169834,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 169834,A000000,01300,0000,1300SOCIAL SERVICE 169834,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 169834,A000000,01500,0000,1350ACTIVITIES 169834,A000000,01600,0000,1600SKILLED NURSING FACILITY 169834,A000000,01800,0000,1800NURSING FACILITY 169834,A000000,01900,0000,1900OTHER LONG TERM CARE 169834,A000000,02100,0000,2100RADIOLOGY 169834,A000000,02200,0000,2200LABORATORY 169834,A000000,02300,0000,2300INTRAVENOUS THERAPY 169834,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 169834,A000000,02500,0000,2500PHYSICAL THERAPY 169834,A000000,02600,0000,2600OCCUPATIONAL THERAPY 169834,A000000,02700,0000,2700SPEECH PATHOLOGY 169834,A000000,02800,0000,2800ELECTROCARDIOLOGY 169834,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 169834,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 169834,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 169834,A000000,03200,0000,3200SUPPORT SURFACES 169834,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 169834,A000000,03400,0000,3400CLINIC 169834,A000000,03500,0000,3500RURAL HEALTH CLINIC 169834,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 169834,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 169834,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 169834,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 169834,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 169834,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 169834,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 169834,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 169834,A000000,04400,0000,4400DME RENTED - HHA 169834,A000000,04500,0000,4500DME SOLD - HHA 169834,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 169834,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 169834,A000000,04800,0000,4800AMBULANCE 169834,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 169834,A000000,05000,0000,5000CORF 169834,A000000,05100,0000,4750OTHER REIMBURSABLE COST 169834,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 169834,A000000,05300,0000,5300INTEREST EXPENSE 169834,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 169834,A000000,05500,0000,5500HOSPICE 169834,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 169834,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 169834,A000000,05900,0000,5900BARBER & BEAUTY SHOP 169834,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 169834,A000000,06100,0000,6100NONPAID WORKERS 169834,A000000,06200,0000,6200PATIENTS LAUNDRY 169834,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 169834,A81000A,00100,0100,Y 169834,A81000B,00100,0300,HOME OFFICE COSTS 169834,A81000C,00100,0100,B 169834,A81000C,00100,0200,MERCY FRANCISICAN 169834,A81000C,00100,0400,MERCY HEALTH SYSTEMS 169834,A81000C,00100,0600,HOME OFFICE 169834,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 169834,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 169834,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 169834,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 169834,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 169834,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 169834,B100000,00000,0700,0750PATIENT DAYS :HOUSEKEEPING 169834,B100000,00000,0800,0800MEALS SERVED :DIETARY 169834,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 169834,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 169834,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 169834,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 169834,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 169834,S000000,00100,0200,05/31/00 169834,S200000,00100,0100,100 COMPTON ROAD 169834,S200000,00200,0100,CINCINNATI 169834,S200000,00200,0200,OH 169834,S200000,00200,0300,45215- 169834,S200000,00300,0100,HAMILTON 169834,S200000,00300,0200,1640 169834,S200000,00300,0300,U 169834,S200000,00400,0100,MERCY FRANCISCAN AT TERRACE 169834,S200000,00400,0200,365909 169834,S200000,00400,0300,02/19/93 169834,S200000,00400,0500,P 169834,S200000,01500,0100,N 169834,S200000,01600,0100,Y 169834,S200000,01700,0100,N 169834,S200000,01800,0100,N 169834,S200000,02200,0100,N 169834,S200000,02800,0100,N 169834,S200000,02900,0100,N 169834,S200000,03000,0100,N 169834,S200000,03100,0100,N 169834,S200000,03200,0100,N 169834,S200000,04100,0100,N 169834,S200000,04200,0100,N 169834,S200000,04300,0100,Y 169834,S200000,04600,0100,N 169834,S200000,04700,0100,N 169834,S200000,04700,0200,N 169834,S200000,04900,0100,N 169834,S200000,05000,0100,N 169834,S200000,05100,0100,N 169834,S200000,05200,0100,N 171119,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 171119,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 171119,A000000,00300,0000,0300EMPLOYEE BENEFITS 171119,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171119,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 171119,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171119,A000000,00700,0000,0700HOUSEKEEPING 171119,A000000,00800,0000,0800DIETARY 171119,A000000,00900,0000,0900NURSING ADMINISTRATION 171119,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171119,A000000,01100,0000,1100PHARMACY 171119,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171119,A000000,01300,0000,1300SOCIAL SERVICE 171119,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 171119,A000000,01500,0000,1350OTHER GENERAL SERVICES 171119,A000000,01600,0000,1600SKILLED NURSING FACILITY 171119,A000000,01800,0000,1800NURSING FACILITY 171119,A000000,01810,0000,1810ICF/MR 171119,A000000,02100,0000,2100RADIOLOGY 171119,A000000,02200,0000,2200LABORATORY 171119,A000000,02500,0000,2500PHYSICAL THERAPY 171119,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171119,A000000,02700,0000,2700SPEECH PATHOLOGY 171119,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 171119,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171119,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 171119,A000000,03550,0000,3550FQHC 171119,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 171119,A000000,04801,0000,4801AMBULANCE 171119,A000000,04802,0000,4802AMBULANCE 171119,A000000,04803,0000,4803AMBULANCE 171119,A000000,05000,0000,5000CORF 171119,A000000,05010,0000,5010CMHC 171119,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 171119,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 171119,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 171119,A000000,05100,0000,4750OTHER REIMBURSABLE COST 171119,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 171119,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 171119,A000000,05900,0000,5900BARBER & BEAUTY SHOP 171119,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 171119,A81000A,00100,0100,Y 171119,A81000B,00100,0300,MANAGEMENT FEES 171119,A81000C,00100,0100,B 171119,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 171119,A81000C,00100,0600,MANAGEMENT COMPANY 171119,B100000,00000,0100,0100SQUARE FEET 171119,B100000,00000,0200,0200SQUARE FEET 171119,B100000,00000,0300,0300GROSS SALARIES 171119,B100000,00000,0400,0400ACCUM COST 171119,B100000,00000,0500,0500SQUARE FEET 171119,B100000,00000,0600,0600POUNDS OF LAUNDRY 171119,B100000,00000,0700,0700SQUARE FEET 171119,B100000,00000,0800,0800MEALS SERVED 171119,B100000,00000,0900,0900DIRECT NRSING HRS 171119,B100000,00000,1000,1000COSTED REQUIS. 171119,B100000,00000,1100,1100COSTED REQUIS. 171119,B100000,00000,1200,1200TIME SPENT 171119,B100000,00000,1300,1300TIME SPENT 171119,B100000,00000,1400,1400ASSIGNED TIME 171119,B100000,00000,1500,1350NO STATISTICS 171119,E10A180,00301,0100,05/05/00 171119,E10A180,00302,0100,05/26/99 171119,E10A180,00501,0100,07/05/00 171119,E10A180,00501,0300,07/05/00 171119,S000000,00100,0200,05/30/00 171119,S200000,00100,0100,9111 LINWOOD AVENUE 171119,S200000,00200,0100,SHREVEPORT 171119,S200000,00200,0200,LA 171119,S200000,00200,0300,71106 171119,S200000,00300,0100,CADDO 171119,S200000,00300,0200,7680 171119,S200000,00300,0300,U 171119,S200000,00400,0100,GARDEN PARK NURSING HOME 171119,S200000,00400,0200,195248 171119,S200000,00400,0300,12/06/89 171119,S200000,00400,0500,P 171119,S200000,01500,0100,N 171119,S200000,01600,0100,Y 171119,S200000,01700,0100,N 171119,S200000,01800,0100,N 171119,S200000,02200,0100,N 171119,S200000,02800,0100,N 171119,S200000,02900,0100,N 171119,S200000,03000,0100,N 171119,S200000,03100,0100,N 171119,S200000,03200,0100,N 171119,S200000,03300,0100,N 171119,S200000,03300,0200,N 171119,S200000,04100,0100,N 171119,S200000,04200,0100,N 171119,S200000,04300,0100,Y 171119,S200000,04600,0100,N 171119,S200000,04700,0100,N 171119,S200000,04900,0100,N 171119,S200000,05200,0100,N 171261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 171261,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 171261,A000000,00300,0000,0300EMPLOYEE BENEFITS 171261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 171261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171261,A000000,00700,0000,0700HOUSEKEEPING 171261,A000000,00800,0000,0800DIETARY 171261,A000000,00900,0000,0900NURSING ADMINISTRATION 171261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171261,A000000,01100,0000,1100PHARMACY 171261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171261,A000000,01300,0000,1300SOCIAL SERVICE 171261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 171261,A000000,01600,0000,1600SKILLED NURSING FACILITY 171261,A000000,01800,0000,1800NURSING FACILITY 171261,A000000,01810,0000,1810ICF/MR 171261,A000000,02300,0000,2300INTRAVENOUS THERAPY 171261,A000000,02500,0000,2500PHYSICAL THERAPY 171261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171261,A000000,02700,0000,2700SPEECH PATHOLOGY 171261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 171261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171261,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENT 171261,A000000,04801,0000,4801AMBULANCE 171261,A000000,04802,0000,4802AMBULANCE 171261,A000000,04803,0000,4803AMBULANCE 171261,A000000,05000,0000,5000CORF 171261,A000000,05010,0000,5010CMHC 171261,A000000,05020,0000,5020OPT 171261,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 171261,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 171261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 171261,A81000A,00100,0100,Y 171261,A81000B,00100,0300,H/O CAPITAL COST 171261,A81000B,00200,0300,MANAGEMENT FEES 171261,A81000C,00100,0100,F 171261,A81000C,00100,0200,JOHN BLACK JR 171261,A81000C,00100,0400,HCM INC. 171261,A81000C,00100,0600,MANAGEMENT CO. 171261,A81000C,00200,0100,F 171261,A81000C,00200,0200,BOBBY ARNOLD 171261,A81000C,00200,0400,HCM INC. 171261,A81000C,00200,0600,MANAGEMENT CO. 171261,A81000C,00300,0100,F 171261,A81000C,00300,0200,MARK WALDROP 171261,A81000C,00300,0400,HCM INC. 171261,A81000C,00300,0600,MANAGEMENT CO. 171261,B100000,00000,0100,0100(SQUARE FEET) 171261,B100000,00000,0200,0200(SQUARE FEET) 171261,B100000,00000,0300,0300(GROSS SALARIES) 171261,B100000,00000,0400,0400ACCUM COST 171261,B100000,00000,0500,0500(SQUARE FEET) 171261,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 171261,B100000,00000,0700,0700(HOURS OF SERVICE) 171261,B100000,00000,0800,0800(MEALS SERVED) 171261,B100000,00000,0900,0900(DIR NRSG HOURS) 171261,B100000,00000,1000,1000(COSTED REQUIS) 171261,B100000,00000,1100,1100(COSTED REQUIS) 171261,B100000,00000,1200,1200(TIME SPENT) 171261,B100000,00000,1300,1300(TIME SPENT) 171261,B100000,00000,1400,1400(ASSIGNED TIME) 171261,E10A180,00501,0100,07/05/00 171261,S000000,00100,0200,05/30/00 171261,S200000,00100,0100,610 SOUTH AVALON 171261,S200000,00200,0100,WEST MEMPHIS 171261,S200000,00200,0200,ARKANSAS 171261,S200000,00200,0300,72301 171261,S200000,00300,0100,CRITTENDEN 171261,S200000,00300,0200,4920 171261,S200000,00300,0300,U 171261,S200000,00400,0100,GER NURSING CTR OF WEST MEMPHS 171261,S200000,00400,0200,045217 171261,S200000,00400,0300,11/01/93 171261,S200000,00400,0500,P 171261,S200000,01500,0100,N 171261,S200000,01600,0100,Y 171261,S200000,01700,0100,N 171261,S200000,01800,0100,N 171261,S200000,01900,0100,S-CORPORATION SUBSIDIARY 171261,S200000,02200,0100,N 171261,S200000,02800,0100,N 171261,S200000,02900,0100,N 171261,S200000,03000,0100,N 171261,S200000,03100,0100,N 171261,S200000,03200,0100,N 171261,S200000,03300,0100,N 171261,S200000,03300,0200,N 171261,S200000,04100,0100,N 171261,S200000,04200,0100,N 171261,S200000,04300,0100,N 171261,S200000,04600,0100,N 171261,S200000,04700,0100,N 171261,S200000,04900,0100,N 171261,S200000,05200,0100,N 171622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 171622,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 171622,A000000,00300,0000,0300EMPLOYEE BENEFITS 171622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 171622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171622,A000000,00700,0000,0700HOUSEKEEPING 171622,A000000,00800,0000,0800DIETARY 171622,A000000,00900,0000,0900NURSING ADMINISTRATION 171622,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171622,A000000,01100,0000,1100PHARMACY 171622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171622,A000000,01300,0000,1300SOCIAL SERVICE 171622,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 171622,A000000,01600,0000,1600SKILLED NURSING FACILITY 171622,A000000,01800,0000,1800NURSING FACILITY 171622,A000000,01810,0000,1810ICF/MR 171622,A000000,02200,0000,2200LABORATORY 171622,A000000,02500,0000,2500PHYSICAL THERAPY 171622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171622,A000000,02700,0000,2700SPEECH PATHOLOGY 171622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 171622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171622,A000000,03550,0000,3550FQHC 171622,A000000,04801,0000,4801AMBULANCE 171622,A000000,04802,0000,4802AMBULANCE 171622,A000000,04803,0000,4803AMBULANCE 171622,A000000,05000,0000,5000CORF 171622,A000000,05010,0000,5010CMHC 171622,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 171622,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 171622,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 171622,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 171622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 171622,A81000A,00100,0100,Y 171622,A81000B,00100,0300,LEASED EQUIPMENT 171622,A81000B,00200,0300,MANAGEMENT FEES 171622,A81000B,00300,0300,HOME OFFICE CAPITAL 171622,A81000B,00400,0300,CONTRACT NURSES 171622,A81000B,00500,0300,CNA TRAINING EXPENSE 171622,A81000B,00600,0300,ROUTINE NURSING SUPP 171622,A81000B,00700,0300,LABORATORY SUPPLIES 171622,A81000B,00800,0300,CHARGABLE SUPPLIES 171622,A81000B,00900,0300,DRUGS & VACCINES 171622,A81000C,00100,0100,A 171622,A81000C,00100,0200,MICHAEL E. MCEL 171622,A81000C,00100,0400,UNICARERX 171622,A81000C,00100,0600,INSTITUTIONAL P 171622,A81000C,00200,0100,A 171622,A81000C,00200,0200,MICHAEL E. MCEL 171622,A81000C,00200,0400,HMP MANAGEMENT 171622,A81000C,00200,0600,HOME OFFICE 171622,A81000C,00300,0100,A 171622,A81000C,00300,0200,MICHAEL E. MCEL 171622,A81000C,00300,0400,HMP MANAGEMENT 171622,A81000C,00300,0600,HOME OFFICE 171622,A81000C,00400,0100,A 171622,A81000C,00400,0200,MICHAEL E. MCEL 171622,A81000C,00400,0400,HMP NURSING SER 171622,A81000C,00400,0600,STAFF RELIEF 171622,A81000C,00500,0100,A 171622,A81000C,00500,0200,MICHAEL E. MCEL 171622,A81000C,00500,0400,HOME OFFICE 171622,A81000C,00500,0600,HOME OFFICE 171622,A81000C,00600,0100,A 171622,A81000C,00600,0200,MICHAEL E. MCEL 171622,A81000C,00600,0400,UNICARERX 171622,A81000C,00600,0600,INSTITUTIONAL P 171622,A81000C,00700,0100,A 171622,A81000C,00700,0200,MICHAEL E. MCEL 171622,A81000C,00700,0400,UNICARERX 171622,A81000C,00700,0600,INSTITUTIONAL P 171622,A81000C,00800,0100,A 171622,A81000C,00800,0200,MICHAEL E. MCEL 171622,A81000C,00800,0400,UNICARERX 171622,A81000C,00800,0600,INSTITUTIONAL P 171622,A81000C,00900,0100,A 171622,A81000C,00900,0200,MICHAEL E. MCEL 171622,A81000C,00900,0400,UNICARERX 171622,A81000C,00900,0600,INSTITUTIONAL P 171622,B100000,00000,0100,0100SQUARE FEET 171622,B100000,00000,0200,0200SQUARE FEET 171622,B100000,00000,0300,0300GROSS SALARIES 171622,B100000,00000,0400,0400ACCUM COST 171622,B100000,00000,0500,0500SQUARE FEET 171622,B100000,00000,0600,0600POUNDS OF LAUNDRY 171622,B100000,00000,0700,0700TIME SPENT 171622,B100000,00000,0800,0800MEALS SERVED 171622,B100000,00000,0900,0900DIRECT NRSG HRS 171622,B100000,00000,1000,1000COSTED REQUIS 171622,B100000,00000,1100,1100COSTED REQUIS 171622,B100000,00000,1200,1200TIME SPENT 171622,B100000,00000,1300,1300TIME SPENT 171622,B100000,00000,1400,1400ASSIGNED TIME 171622,E10A180,00550,0100,01/08/01 171622,E10A180,00550,0300,01/08/01 171622,S000000,00100,0200,12/18/00 171622,S200000,00100,0100,10MEDICAL BLVD 171622,S200000,00200,0100,HATTIESBURG 171622,S200000,00200,0200,MS 171622,S200000,00200,0300,39401 171622,S200000,00300,0100,FORREST 171622,S200000,00300,0200,3285 171622,S200000,00300,0300,U 171622,S200000,00400,0100,CONVA REST OF HATTIESBURG 171622,S200000,00400,0200,255158 171622,S200000,00400,0300,11/01/92 171622,S200000,00400,0500,P 171622,S200000,00400,0600,O 171622,S200000,01500,0100,N 171622,S200000,01600,0100,Y 171622,S200000,01700,0100,N 171622,S200000,01800,0100,N 171622,S200000,02200,0100,N 171622,S200000,02800,0100,N 171622,S200000,02900,0100,N 171622,S200000,03000,0100,N 171622,S200000,03100,0100,N 171622,S200000,03200,0100,N 171622,S200000,03300,0100,N 171622,S200000,03300,0200,N 171622,S200000,04100,0100,N 171622,S200000,04200,0100,N 171622,S200000,04300,0100,N 171622,S200000,04600,0100,N 171622,S200000,04700,0100,N 171622,S200000,04900,0100,N 171622,S200000,05200,0100,N 171634,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 171634,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 171634,A000000,00300,0000,0300EMPLOYEE BENEFITS 171634,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171634,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 171634,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171634,A000000,00700,0000,0700HOUSEKEEPING 171634,A000000,00800,0000,0800DIETARY 171634,A000000,00900,0000,0900NURSING ADMINISTRATION 171634,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171634,A000000,01100,0000,1100PHARMACY 171634,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171634,A000000,01300,0000,1300SOCIAL SERVICE 171634,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 171634,A000000,01600,0000,1600SKILLED NURSING FACILITY 171634,A000000,01800,0000,1800NURSING FACILITY 171634,A000000,01810,0000,1810ICF/MR 171634,A000000,02200,0000,2200LABORATORY 171634,A000000,02500,0000,2500PHYSICAL THERAPY 171634,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171634,A000000,02700,0000,2700SPEECH PATHOLOGY 171634,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 171634,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171634,A000000,03550,0000,3550FQHC 171634,A000000,04801,0000,4801AMBULANCE 171634,A000000,04802,0000,4802AMBULANCE 171634,A000000,04803,0000,4803AMBULANCE 171634,A000000,05000,0000,5000CORF 171634,A000000,05010,0000,5010CMHC 171634,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 171634,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 171634,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 171634,A81000A,00100,0100,Y 171634,A81000B,00100,0300,NURSING FACILITY ACCOUNTING SE 171634,A81000B,00300,0300,SALARY 171634,A81000B,00400,0300,BOARD OF DIRECTOR FEES 171634,A81000B,00500,0300,SALARY 171634,A81000B,00600,0300,BOARD OF DIRECTOR FEES 171634,A81000C,00100,0100,A 171634,A81000C,00100,0200,HUGH FRANKLIN 171634,A81000C,00100,0400,NUR. FAC. ACCT. SERVICE 171634,A81000C,00100,0600,ACCOUNTING SERVICES 171634,A81000C,00200,0100,D 171634,A81000C,00200,0200,DEBBIE PLUMLEE 171634,A81000C,00200,0400,NUR. FAC. ACCT. SERVICE 171634,A81000C,00200,0600,ACCOUNTING SERVICES 171634,A81000C,00300,0100,A 171634,A81000C,00300,0200,HUGH FRANKLIN 171634,A81000C,00300,0400,HUGH FRANKLIN 171634,A81000C,00300,0600,CHIEF EXEC. OFFICER 171634,A81000C,00400,0100,A 171634,A81000C,00400,0200,HUGH FRANKLIN 171634,A81000C,00400,0400,HUGH FRANKLIN 171634,A81000C,00400,0600,MEMBER BOARD OF DIRECTORS 171634,A81000C,00500,0100,D 171634,A81000C,00500,0200,CHRIS PLUMLEE 171634,A81000C,00500,0400,CHRIS PLUMLEE 171634,A81000C,00500,0600,ADMINISTRATOR 171634,A81000C,00600,0100,F 171634,A81000C,00600,0200,LINDA FRANKLIN 171634,A81000C,00600,0400,LINDA FRANKLIN 171634,A81000C,00600,0600,MEMBER BOARD OF DIRECTORS 171634,B100000,00000,0100,0100SQUARE FEET 171634,B100000,00000,0200,0200DOLLAR VALUE 171634,B100000,00000,0300,0300GROSS SALARIES 171634,B100000,00000,0400,0400ACCUM COST 171634,B100000,00000,0500,0500SQUARE FEET 171634,B100000,00000,0600,0600POUNDS OF LAUNDRY 171634,B100000,00000,0700,0700HOURS OF SERVICE 171634,B100000,00000,0800,0800MEALS SERVED 171634,B100000,00000,0900,0900DIRECT NRSING HRS 171634,B100000,00000,1000,1000COSTED REQUIS 171634,B100000,00000,1100,1100COSTED REQUIS 171634,B100000,00000,1200,1200TIME SPENT 171634,B100000,00000,1300,1300TIME SPENT 171634,B100000,00000,1400,1400ASSIGNED TIME 171634,E10A180,00501,0100,08/11/00 171634,E10A180,00501,0300,08/11/00 171634,S000000,00100,0200,06/23/00 171634,S200000,00100,0100,625 NORTH STREET 171634,S200000,00200,0100,JACKSON 171634,S200000,00200,0200,MS 171634,S200000,00200,0300,39216 171634,S200000,00300,0100,HINDS 171634,S200000,00300,0200,0025 171634,S200000,00300,0300,U 171634,S200000,00400,0100,COMPRERE S NSG CTR 171634,S200000,00400,0200,255249 171634,S200000,00400,0300,01/11/99 171634,S200000,00400,0500,P 171634,S200000,01500,0100,N 171634,S200000,01600,0100,Y 171634,S200000,01700,0100,N 171634,S200000,01800,0100,N 171634,S200000,02200,0100,N 171634,S200000,02800,0100,N 171634,S200000,02900,0100,N 171634,S200000,03000,0100,N 171634,S200000,03100,0100,N 171634,S200000,03200,0100,N 171634,S200000,03300,0100,N 171634,S200000,03300,0200,N 171634,S200000,04100,0100,N 171634,S200000,04200,0100,N 171634,S200000,04300,0100,Y 171634,S200000,04600,0100,N 171634,S200000,04700,0100,N 171634,S200000,04900,0100,N 171634,S200000,05200,0100,N 171640,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 171640,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 171640,A000000,00300,0000,0300EMPLOYEE BENEFITS 171640,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171640,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 171640,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171640,A000000,00700,0000,0700HOUSEKEEPING 171640,A000000,00800,0000,0800DIETARY 171640,A000000,00900,0000,0900NURSING ADMINISTRATION 171640,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171640,A000000,01100,0000,1100PHARMACY 171640,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171640,A000000,01300,0000,1300SOCIAL SERVICE 171640,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 171640,A000000,01500,0000,1350OTHER GENERAL SERVICES 171640,A000000,01600,0000,1600SKILLED NURSING FACILITY 171640,A000000,01800,0000,1800NURSING FACILITY 171640,A000000,01810,0000,1810ICF/MR 171640,A000000,01900,0000,1900OTHER LONG TERM CARE 171640,A000000,02100,0000,2100RADIOLOGY 171640,A000000,02200,0000,2200LABORATORY 171640,A000000,02300,0000,2300INTRAVENOUS THERAPY 171640,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 171640,A000000,02500,0000,2500PHYSICAL THERAPY 171640,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171640,A000000,02700,0000,2700SPEECH PATHOLOGY 171640,A000000,02800,0000,2800ELECTROCARDIOLOGY 171640,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 171640,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171640,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 171640,A000000,03200,0000,3200SUPPORT SURFACES 171640,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 171640,A000000,03400,0000,3400CLINIC 171640,A000000,03500,0000,3500RURAL HEALTH CLINIC 171640,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 171640,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 171640,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 171640,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 171640,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 171640,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 171640,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 171640,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 171640,A000000,04400,0000,4400DME RENTED - HHA 171640,A000000,04500,0000,4500DME SOLD - HHA 171640,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 171640,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 171640,A000000,04800,0000,4800AMBULANCE 171640,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 171640,A000000,05000,0000,5000CORF 171640,A000000,05100,0000,4750OTHER REIMBURSABLE COST 171640,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 171640,A000000,05300,0000,5300INTEREST EXPENSE 171640,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 171640,A000000,05500,0000,5500HOSPICE 171640,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 171640,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 171640,A000000,05900,0000,5900BARBER & BEAUTY SHOP 171640,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 171640,A000000,06100,0000,6100NONPAID WORKERS 171640,A000000,06200,0000,6200PATIENTS LAUNDRY 171640,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 171640,A81000A,00100,0100,N 171640,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 171640,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 171640,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 171640,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 171640,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 171640,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 171640,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 171640,B100000,00000,0800,0800MEALS SERVED :DIETARY 171640,B100000,00000,0900,0900HOURS WORKED :NURSING ADMINISTR 171640,B100000,00000,1000,1000COSTEDREQU UISITIONS :CENTRAL S 171640,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 171640,B100000,00000,1200,1250HOURS WORKED :MEDICAL RECORDS & 171640,B100000,00000,1300,1330HOURS WORKED :SOCIAL SERVICE 171640,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 171640,E10A180,00501,0300,04/22/02 171640,E10A180,00550,0100,04/22/02 171640,S000000,00100,0200,10/03/00 171640,S200000,00100,0100,200 PLEASANT STREET 171640,S200000,00200,0100,CONCORD 171640,S200000,00200,0200,NH 171640,S200000,00200,0300,03301- 171640,S200000,00300,0100,MERRIMACK 171640,S200000,00300,0200,1123 171640,S200000,00300,0300,U 171640,S200000,00400,0100,NEW HAMSPHIRE ODD FELLOWS HOME 171640,S200000,00400,0200,305063 171640,S200000,00400,0300,05/01/96 171640,S200000,00400,0500,P 171640,S200000,00600,0200,305063 171640,S200000,00600,0300,05/01/96 171640,S200000,00600,0600,O 171640,S200000,01500,0100,N 171640,S200000,01600,0100,Y 171640,S200000,01700,0100,N 171640,S200000,01800,0100,N 171640,S200000,02200,0100,N 171640,S200000,02800,0100,N 171640,S200000,02900,0100,N 171640,S200000,03000,0100,N 171640,S200000,03100,0100,N 171640,S200000,03200,0100,N 171640,S200000,04100,0100,N 171640,S200000,04200,0100,N 171640,S200000,04300,0100,N 171640,S200000,04600,0100,N 171640,S200000,04700,0100,N 171640,S200000,04700,0200,N 171640,S200000,04900,0100,N 171640,S200000,05000,0100,N 171640,S200000,05100,0100,N 171640,S200000,05200,0100,N 171789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 171789,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 171789,A000000,00300,0000,0300EMPLOYEE BENEFITS 171789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 171789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 171789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 171789,A000000,00700,0000,0700HOUSEKEEPING 171789,A000000,00800,0000,0800DIETARY 171789,A000000,00900,0000,0900NURSING ADMINISTRATION 171789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 171789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 171789,A000000,01300,0000,1300SOCIAL SERVICE 171789,A000000,01301,0000,1301ACTIVITES 171789,A000000,01500,0000,1350REHABILITATION 171789,A000000,01600,0000,1600SKILLED NURSING FACILITY 171789,A000000,01800,0000,1800NURSING FACILITY 171789,A000000,01900,0000,1900OTHER LONG TERM CARE 171789,A000000,02100,0000,2100RADIOLOGY 171789,A000000,02200,0000,2200LABORATORY 171789,A000000,02300,0000,2300INTRAVENOUS THERAPY 171789,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 171789,A000000,02500,0000,2500PHYSICAL THERAPY 171789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 171789,A000000,02700,0000,2700SPEECH PATHOLOGY 171789,A000000,02800,0000,2800ELECTROCARDIOLOGY 171789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 171789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 171789,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 171789,A000000,03200,0000,3200SUPPORT SURFACES 171789,A000000,03300,0000,3050EQUIPMENT RENTAL 171789,A000000,03301,0000,3051PEN THERAPY 171789,A000000,04800,0000,4800AMBULANCE 171789,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 171789,A000000,05300,0000,5300INTEREST EXPENSE 171789,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 171789,A000000,05900,0000,5900BARBER & BEAUTY SHOP 171789,A000000,06200,0000,6200PATIENTS LAUNDRY 171789,A000000,06300,0000,6150VENDING 171789,A000000,06301,0000,6151STAND-BY 171789,A81000A,00100,0100,Y 171789,A81000B,00100,0300,HOME OFFICE COST 171789,A81000B,00200,0300,DIETARY SUPPLEMENTS 171789,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 171789,A81000B,00400,0300,PRESCRIPTION DRUGS 171789,A81000B,00500,0300,MEDICAL SUPPLIES 171789,A81000B,00600,0300,EQUIPMENT RENTAL 171789,A81000B,00700,0300,HOME OFFICE INTEREST 171789,A81000B,00800,0300,PEN 171789,A81000B,00900,0300,IV THERAPY 171789,A81000C,00100,0100,B 171789,A81000C,00100,0200,GOLDEN YEARS 171789,A81000C,00100,0400,MARINER PAN 171789,A81000C,00100,0600,NURSING HOMES 171789,A81000C,00200,0100,G 171789,A81000C,00200,0200,MARINER PAN 171789,A81000C,00200,0400,AMER PHARM SVCS 171789,A81000C,00200,0600,PHARMACEUTICALS 171789,A81000C,00300,0100,G 171789,A81000C,00300,0200,MARINER PAN 171789,A81000C,00300,0400,PRISM-ATS-ARS-T 171789,A81000C,00300,0600,THERAPIES 171789,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 171789,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 171789,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 171789,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 171789,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 171789,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 171789,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 171789,B100000,00000,0800,0800MEALS SERVED :DIETARY 171789,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 171789,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 171789,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 171789,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 171789,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 171789,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 171789,E10A180,00301,0100,01/19/00 171789,E10A180,00350,0100,09/15/99 171789,S000000,00100,0200,12/01/00 171789,S200000,00100,0100,318 CHAMBERS 171789,S200000,00200,0100,MARLIN 171789,S200000,00200,0200,TX 171789,S200000,00200,0300,76661- 171789,S200000,00300,0100,FALLS 171789,S200000,00300,0200,0067 171789,S200000,00300,0300,R 171789,S200000,00400,0100,GOLDEN YEARS 171789,S200000,00400,0200,675406 171789,S200000,00400,0300,10/10/94 171789,S200000,00400,0500,P 171789,S200000,01500,0100,N 171789,S200000,01600,0100,Y 171789,S200000,01700,0100,N 171789,S200000,01800,0100,N 171789,S200000,02200,0100,Y 171789,S200000,02800,0100,N 171789,S200000,02900,0100,N 171789,S200000,03000,0100,N 171789,S200000,03100,0100,N 171789,S200000,03200,0100,N 171789,S200000,04100,0100,N 171789,S200000,04200,0100,N 171789,S200000,04300,0100,Y 171789,S200000,04600,0100,N 171789,S200000,04700,0100,N 171789,S200000,04700,0200,N 171789,S200000,04900,0100,N 171789,S200000,05000,0100,N 171789,S200000,05100,0100,N 171789,S200000,05200,0100,N 172234,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 172234,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 172234,A000000,00300,0000,0300EMPLOYEE BENEFITS 172234,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 172234,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 172234,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 172234,A000000,00700,0000,0700HOUSEKEEPING 172234,A000000,00800,0000,0800DIETARY 172234,A000000,00900,0000,0900NURSING ADMINISTRATION 172234,A000000,00901,0000,0901OTHER NURSING 172234,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 172234,A000000,01100,0000,1100PHARMACY 172234,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 172234,A000000,01300,0000,1300SOCIAL SERVICE 172234,A000000,01301,0000,1301ACTIVITIES 172234,A000000,01600,0000,1600SKILLED NURSING FACILITY 172234,A000000,01800,0000,1800NURSING FACILITY 172234,A000000,02100,0000,2100RADIOLOGY 172234,A000000,02200,0000,2200LABORATORY 172234,A000000,02300,0000,2300INTRAVENOUS THERAPY 172234,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 172234,A000000,02500,0000,2500PHYSICAL THERAPY 172234,A000000,02600,0000,2600OCCUPATIONAL THERAPY 172234,A000000,02700,0000,2700SPEECH PATHOLOGY 172234,A000000,02800,0000,2800ELECTROCARDIOLOGY 172234,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 172234,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 172234,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 172234,A000000,03301,0000,3051NUTRITIONAL THERAPY 172234,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 172234,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 172234,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 172234,A000000,04800,0000,4800AMBULANCE 172234,A000000,05100,0000,4750OTHER REIMBURSABLE COST 172234,A000000,05300,0000,5300INTEREST EXPENSE 172234,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 172234,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 172234,A000000,05900,0000,5900BARBER & BEAUTY SHOP 172234,A000000,06200,0000,6200PATIENTS LAUNDRY 172234,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 172234,A000000,06301,0000,6151DAY CARE 172234,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 172234,A000000,06303,0000,6153DISTRICT OFFICE SPACE 172234,A81000A,00100,0100,Y 172234,A81000B,00100,0300,HOME OFFICE COSTS 172234,A81000B,00200,0300,LIABILITY INSURANCE 172234,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 172234,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 172234,A81000B,00500,0300,VC PHARMACY - ADMIN 172234,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 172234,A81000B,00700,0300,VC PHARMACY - LAUNDRY 172234,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 172234,A81000B,00900,0300,VC PHARMACY - DIETARY 172234,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 172234,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 172234,A81000B,01200,0300,VC PHARMACY - NONLEGEND 172234,A81000B,01300,0300,VC PHARMACY - MED RECORDS 172234,A81000B,01400,0300,VC PHARMACY - SOC SVCS 172234,A81000B,01500,0300,VC PHARMACY - ACTIVITY 172234,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 172234,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 172234,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 172234,A81000B,01900,0300,VC PHARMACY - LAB 172234,A81000B,02000,0300,VC PHARMACY - IV THERAPY 172234,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 172234,A81000B,02200,0300,VENCARE REHAB - PHYS THER 172234,A81000B,02300,0300,VENCARE REHAB - OCCP THER 172234,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 172234,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 172234,A81000B,02600,0300,VC PHARMACY - LEGEND 172234,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 172234,A81000B,02800,0300,VC PHARMACY - NUTR THER 172234,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 172234,A81000C,00100,0100,B 172234,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 172234,A81000C,00100,0400,CORNERSTONE INSURANCE CO 172234,A81000C,00100,0600,LIABILITY INSURANCE 172234,A81000C,00200,0400,VENCARE PHARMACY SERVICES 172234,A81000C,00200,0600,PHARMACY 172234,A81000C,00300,0400,VENCARE RESPIRATORY 172234,A81000C,00300,0600,RESPIRATORY THERAPY 172234,A81000C,00400,0400,THERAPY SERVICES 172234,A81000C,00500,0400,VENCARE REHAB SERVICES 172234,A81000C,00500,0600,REHAB 172234,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 172234,A81000C,00600,0600,PORTABLE X-RAY 172234,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 172234,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 172234,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 172234,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 172234,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 172234,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 172234,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 172234,B100000,00000,0800,0850PATIENT DAYS :DIETARY 172234,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 172234,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 172234,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 172234,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 172234,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 172234,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 172234,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 172234,E10A180,00301,0100,06/30/00 172234,S000000,00100,0200,12/01/00 172234,S200000,00100,0100,2025 EAST EGBERT STREET 172234,S200000,00200,0100,BRIGHTON 172234,S200000,00200,0200,CO 172234,S200000,00200,0300,80601- 172234,S200000,00300,0100,ADAMS 172234,S200000,00300,0300,U 172234,S200000,00400,0100,873 - BRIGHTON CARE CENTER 172234,S200000,00400,0200,065240 172234,S200000,00400,0300,06/01/88 172234,S200000,00400,0500,P 172234,S200000,01500,0100,Y 172234,S200000,01600,0100,N 172234,S200000,01700,0100,N 172234,S200000,01800,0100,N 172234,S200000,02200,0100,Y 172234,S200000,02800,0100,N 172234,S200000,02900,0100,N 172234,S200000,03000,0100,N 172234,S200000,03100,0100,N 172234,S200000,03200,0100,N 172234,S200000,04100,0100,N 172234,S200000,04200,0100,N 172234,S200000,04300,0100,N 172234,S200000,04600,0100,N 172234,S200000,04700,0100,N 172234,S200000,04700,0200,N 172234,S200000,04900,0100,N 172234,S200000,05000,0100,N 172234,S200000,05100,0100,N 172234,S200000,05200,0100,N 172236,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 172236,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 172236,A000000,00300,0000,0300EMPLOYEE BENEFITS 172236,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 172236,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 172236,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 172236,A000000,00700,0000,0700HOUSEKEEPING 172236,A000000,00800,0000,0800DIETARY 172236,A000000,00900,0000,0900NURSING ADMINISTRATION 172236,A000000,00901,0000,0901OTHER NURSING 172236,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 172236,A000000,01100,0000,1100PHARMACY 172236,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 172236,A000000,01300,0000,1300SOCIAL SERVICE 172236,A000000,01301,0000,1301ACTIVITIES 172236,A000000,01600,0000,1600SKILLED NURSING FACILITY 172236,A000000,01800,0000,1800NURSING FACILITY 172236,A000000,02100,0000,2100RADIOLOGY 172236,A000000,02200,0000,2200LABORATORY 172236,A000000,02300,0000,2300INTRAVENOUS THERAPY 172236,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 172236,A000000,02500,0000,2500PHYSICAL THERAPY 172236,A000000,02600,0000,2600OCCUPATIONAL THERAPY 172236,A000000,02700,0000,2700SPEECH PATHOLOGY 172236,A000000,02800,0000,2800ELECTROCARDIOLOGY 172236,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 172236,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 172236,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 172236,A000000,03301,0000,3051NUTRITIONAL THERAPY 172236,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 172236,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 172236,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 172236,A000000,04800,0000,4800AMBULANCE 172236,A000000,05100,0000,4750OTHER REIMBURSABLE COST 172236,A000000,05300,0000,5300INTEREST EXPENSE 172236,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 172236,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 172236,A000000,05900,0000,5900BARBER & BEAUTY SHOP 172236,A000000,06200,0000,6200PATIENTS LAUNDRY 172236,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 172236,A000000,06301,0000,6151DAY CARE 172236,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 172236,A000000,06303,0000,6153DISTRICT OFFICE SPACE 172236,A81000A,00100,0100,Y 172236,A81000B,00100,0300,HOME OFFICE COSTS 172236,A81000B,00200,0300,LIABILITY INSURANCE 172236,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 172236,A81000B,00500,0300,VC PHARMACY - ADMIN 172236,A81000B,00900,0300,VC PHARMACY - DIETARY 172236,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 172236,A81000B,01100,0300,VC PHARMACY - ROUTINE CERT 172236,A81000B,01200,0300,VC PHARMACY - IV THERAPY 172236,A81000B,01300,0300,VENCARE REHAB - PHYS THER 172236,A81000B,01400,0300,VENCARE REHAB - OCCP THER 172236,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 172236,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 172236,A81000B,01700,0300,VC PHARMACY - LEGEND 172236,A81000B,01800,0300,VC PHARMACY - COMPLEX MEDICAL 172236,A81000C,00100,0100,B 172236,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 172236,A81000C,00100,0400,CORNERSTONE INSURANCE CO 172236,A81000C,00100,0600,LIABILITY INSURANCE 172236,A81000C,00200,0400,VENCARE PHARMACY SERVICES 172236,A81000C,00200,0600,PHARMACY 172236,A81000C,00300,0400,VENCARE RESPIRATORY 172236,A81000C,00300,0600,RESPIRATORY THERAPY 172236,A81000C,00400,0400,THERAPY SERVICES 172236,A81000C,00500,0400,VENCARE REHAB SERVICES 172236,A81000C,00500,0600,REHAB 172236,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 172236,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 172236,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 172236,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 172236,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 172236,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 172236,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 172236,B100000,00000,0800,0850PATIENT DAYS :DIETARY 172236,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 172236,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 172236,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 172236,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 172236,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 172236,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 172236,E10A180,00301,0100,06/30/00 172236,E10A180,00350,0100,06/30/00 172236,S000000,00100,0200,12/01/00 172236,S200000,00100,0100,1701 SOUTH TORREY PINES DRIVE 172236,S200000,00200,0100,LAS VEGAS 172236,S200000,00200,0200,NV 172236,S200000,00200,0300,89102- 172236,S200000,00300,0100,CLARK 172236,S200000,00300,0300,U 172236,S200000,00400,0100,#641 TORREY PINES CC 172236,S200000,00400,0200,295045 172236,S200000,00400,0300,12/19/88 172236,S200000,00400,0500,P 172236,S200000,01500,0100,Y 172236,S200000,01600,0100,N 172236,S200000,01700,0100,N 172236,S200000,01800,0100,N 172236,S200000,02200,0100,Y 172236,S200000,02800,0100,N 172236,S200000,02900,0100,N 172236,S200000,03000,0100,N 172236,S200000,03100,0100,N 172236,S200000,03200,0100,N 172236,S200000,04100,0100,N 172236,S200000,04200,0100,N 172236,S200000,04300,0100,N 172236,S200000,04600,0100,N 172236,S200000,04700,0100,N 172236,S200000,04700,0200,N 172236,S200000,04900,0100,N 172236,S200000,05000,0100,N 172236,S200000,05100,0100,N 172236,S200000,05200,0100,N 172237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 172237,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 172237,A000000,00300,0000,0300EMPLOYEE BENEFITS 172237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 172237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 172237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 172237,A000000,00700,0000,0700HOUSEKEEPING 172237,A000000,00800,0000,0800DIETARY 172237,A000000,00900,0000,0900NURSING ADMINISTRATION 172237,A000000,00901,0000,0901OTHER NURSING 172237,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 172237,A000000,01100,0000,1100PHARMACY 172237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 172237,A000000,01300,0000,1300SOCIAL SERVICE 172237,A000000,01301,0000,1301ACTIVITIES 172237,A000000,01600,0000,1600SKILLED NURSING FACILITY 172237,A000000,01800,0000,1800NURSING FACILITY 172237,A000000,02100,0000,2100RADIOLOGY 172237,A000000,02200,0000,2200LABORATORY 172237,A000000,02300,0000,2300INTRAVENOUS THERAPY 172237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 172237,A000000,02500,0000,2500PHYSICAL THERAPY 172237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 172237,A000000,02700,0000,2700SPEECH PATHOLOGY 172237,A000000,02800,0000,2800ELECTROCARDIOLOGY 172237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 172237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 172237,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 172237,A000000,03301,0000,3051NUTRITIONAL THERAPY 172237,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 172237,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 172237,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 172237,A000000,04800,0000,4800AMBULANCE 172237,A000000,05100,0000,4750OTHER REIMBURSABLE COST 172237,A000000,05300,0000,5300INTEREST EXPENSE 172237,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 172237,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 172237,A000000,05900,0000,5900BARBER & BEAUTY SHOP 172237,A000000,06200,0000,6200PATIENTS LAUNDRY 172237,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 172237,A000000,06301,0000,6151DAY CARE 172237,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 172237,A000000,06303,0000,6153DISTRICT OFFICE SPACE 172237,A81000A,00100,0100,Y 172237,A81000B,00100,0300,HOME OFFICE COSTS 172237,A81000B,00200,0300,LIABILITY INSURANCE 172237,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 172237,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 172237,A81000B,00500,0300,VC PHARMACY - ADMIN 172237,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 172237,A81000B,00700,0300,VC PHARMACY - LAUNDRY 172237,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 172237,A81000B,00900,0300,VC PHARMACY - DIETARY 172237,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 172237,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 172237,A81000B,01200,0300,VC PHARMACY - NONLEGEND 172237,A81000B,01300,0300,VC PHARMACY - MED RECORDS 172237,A81000B,01400,0300,VC PHARMACY - SOC SVCS 172237,A81000B,01500,0300,VC PHARMACY - ACTIVITY 172237,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 172237,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 172237,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 172237,A81000B,01900,0300,VC PHARMACY - LAB 172237,A81000B,02000,0300,VC PHARMACY - IV THERAPY 172237,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 172237,A81000B,02200,0300,VENCARE REHAB - PHYS THER 172237,A81000B,02300,0300,VENCARE REHAB - OCCP THER 172237,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 172237,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 172237,A81000B,02600,0300,VC PHARMACY - LEGEND 172237,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 172237,A81000B,02800,0300,VC PHARMACY - NUTR THER 172237,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 172237,A81000C,00100,0100,B 172237,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 172237,A81000C,00100,0400,CORNERSTONE INSURANCE CO 172237,A81000C,00100,0600,LIABILITY INSURANCE 172237,A81000C,00200,0400,VENCARE PHARMACY SERVICES 172237,A81000C,00200,0600,PHARMACY 172237,A81000C,00300,0400,VENCARE RESPIRATORY 172237,A81000C,00300,0600,RESPIRATORY THERAPY 172237,A81000C,00400,0400,THERAPY SERVICES 172237,A81000C,00500,0400,VENCARE REHAB SERVICES 172237,A81000C,00500,0600,REHAB 172237,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 172237,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 172237,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 172237,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 172237,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 172237,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 172237,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 172237,B100000,00000,0800,0850PATIENT DAYS :DIETARY 172237,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 172237,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 172237,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 172237,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 172237,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 172237,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 172237,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 172237,E10A180,00301,0100,06/30/00 172237,E10A180,00350,0100,11/30/00 172237,S000000,00100,0200,12/01/00 172237,S200000,00100,0100,2200 EAST 3300 SOUTH 172237,S200000,00200,0100,SALT LAKE CITY 172237,S200000,00200,0200,UT 172237,S200000,00200,0300,84109- 172237,S200000,00300,0100,SALT LAKE 172237,S200000,00300,0300,U 172237,S200000,00400,0100,690 - WASATCH VALLEY REHAB 172237,S200000,00400,0200,465006 172237,S200000,00400,0300,01/01/67 172237,S200000,00400,0500,P 172237,S200000,01500,0100,Y 172237,S200000,01600,0100,N 172237,S200000,01700,0100,N 172237,S200000,01800,0100,N 172237,S200000,02200,0100,Y 172237,S200000,02800,0100,Y 172237,S200000,02900,0100,N 172237,S200000,03000,0100,N 172237,S200000,03100,0100,N 172237,S200000,03200,0100,N 172237,S200000,04100,0100,N 172237,S200000,04200,0100,N 172237,S200000,04300,0100,N 172237,S200000,04600,0100,N 172237,S200000,04700,0100,N 172237,S200000,04700,0200,N 172237,S200000,04900,0100,N 172237,S200000,05000,0100,N 172237,S200000,05100,0100,N 172237,S200000,05200,0100,N 172762,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 172762,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 172762,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 172762,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 172762,A000000,00300,0000,0300EMPLOYEE BENEFITS 172762,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 172762,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 172762,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 172762,A000000,00700,0000,0700HOUSEKEEPING 172762,A000000,00800,0000,0800DIETARY 172762,A000000,00801,0000,0801CAFETERIA 172762,A000000,00900,0000,0900NURSING ADMINISTRATION 172762,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 172762,A000000,01100,0000,1100PHARMACY 172762,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 172762,A000000,01300,0000,1300SOCIAL SERVICE 172762,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 172762,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 172762,A000000,01600,0000,1600SKILLED NURSING FACILITY 172762,A000000,01800,0000,1800NURSING FACILITY 172762,A000000,01810,0000,1810ICF/MR 172762,A000000,02100,0000,2100RADIOLOGY 172762,A000000,02300,0000,2300INTRAVENOUS THERAPY 172762,A000000,02500,0000,2500PHYSICAL THERAPY 172762,A000000,02600,0000,2600OCCUPATIONAL THERAPY 172762,A000000,02700,0000,2700SPEECH PATHOLOGY 172762,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 172762,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 172762,A000000,03300,0000,3050OTHER ANCILLARY 172762,A000000,03301,0000,3051OTHER ANCILLARY II 172762,A000000,03302,0000,3052OTHER ANCILLARY III 172762,A000000,03550,0000,3550FQHC 172762,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 172762,A000000,04800,0000,4800AMBULANCE 172762,A000000,04801,0000,4801AMBULANCE 172762,A000000,04802,0000,4802AMBULANCE 172762,A000000,04803,0000,4803AMBULANCE 172762,A000000,05000,0000,5000CORF I 172762,A000000,05010,0000,5010CMHC I 172762,A000000,05020,0000,5020OPT I 172762,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 172762,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 172762,A000000,05100,0000,4750OTHER REIMBURSABLE COST 172762,A000000,05300,0000,5300INTEREST EXPENSE 172762,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 172762,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 172762,A000000,06300,0000,6150UNUSED SPACE 172762,A81000A,00100,0100,Y 172762,A81000B,00100,0300,MGMT FEES 172762,A81000B,00200,0300,HOME OFF. DEP. BLDG. 172762,A81000B,00300,0300,HOME OFF. M/M DEPR 172762,A81000B,00400,0300,WORKING CAP. INT. 172762,A81000C,00100,0100,B 172762,A81000C,00100,0200,COVENANT HEALTH 172762,A81000C,00100,0400,COVENANT 172762,A81000C,00100,0600,RELIGIOUS 172762,A81000C,00200,0100,B 172762,A81000C,00200,0200,COVENANT HEALTH 172762,A81000C,00200,0400,COVENANT 172762,A81000C,00200,0600,RELIGIOUS 172762,A81000C,00300,0100,B 172762,A81000C,00300,0200,COVENANT HEALTH 172762,A81000C,00300,0400,COVENANT 172762,A81000C,00300,0600,RELIGIOUS 172762,A81000C,00400,0100,B 172762,A81000C,00400,0200,COVENANT HEALTH 172762,A81000C,00400,0400,COVENANT 172762,A81000C,00400,0600,RELIGIOUS 172762,B100000,00000,0100,0100(SQUARE FEET) 172762,B100000,00000,0101,0101(SQUARE FEET) 172762,B100000,00000,0200,0200(SQUARE FEET) 172762,B100000,00000,0201,0201(SQUARE FEET) 172762,B100000,00000,0300,0300(GROSS SALARIES) 172762,B100000,00000,0400,0400ACCUM COST 172762,B100000,00000,0500,0500(SQUARE FEET) 172762,B100000,00000,0600,0600(PATIENT DAYS) 172762,B100000,00000,0700,0700(SQUARE FEET) 172762,B100000,00000,0800,0800(MEALS SERVED) 172762,B100000,00000,0801,0801(MEALS SERVED) 172762,B100000,00000,0900,0900(NURSING SALARIES) 172762,B100000,00000,1000,1000(PATIENT DAYS) 172762,B100000,00000,1100,1100(COSTED REQUIS.) 172762,B100000,00000,1200,1200(TIME SPENT) 172762,B100000,00000,1300,1300(TIME SPENT) 172762,B100000,00000,1400,1400(ASSIGNED TIME) 172762,B100000,00000,1500,1350NO STATISTICS 172762,E10A180,00350,0100,02/14/00 172762,E10A180,00550,0100,06/29/00 172762,S000000,00100,0200,07/27/00 172762,S200000,00100,0100,39 QUEEN STREET 172762,S200000,00200,0100,WORCESTER 172762,S200000,00200,0200,MA 172762,S200000,00200,0300,01610 172762,S200000,00300,0100,WORCESTER 172762,S200000,00300,0200,1123 172762,S200000,00300,0300,U 172762,S200000,00400,0100,ST. MARY HEALTH CARE CENTER 172762,S200000,00400,0200,225305 172762,S200000,00400,0300,01/01/93 172762,S200000,00400,0500,P 172762,S200000,01500,0100,N 172762,S200000,01600,0100,Y 172762,S200000,01700,0100,N 172762,S200000,01800,0100,N 172762,S200000,02200,0100,N 172762,S200000,02800,0100,N 172762,S200000,02900,0100,N 172762,S200000,03000,0100,N 172762,S200000,03100,0100,N 172762,S200000,03200,0100,N 172762,S200000,03300,0100,N 172762,S200000,03300,0200,N 172762,S200000,04100,0100,N 172762,S200000,04200,0100,N 172762,S200000,04300,0100,N 172762,S200000,04600,0100,N 172762,S200000,04700,0100,Y 172762,S200000,04700,0200,Y 172762,S200000,04900,0100,N 172762,S200000,05200,0100,N 172770,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 172770,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 172770,A000000,00300,0000,0300EMPLOYEE BENEFITS 172770,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 172770,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 172770,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 172770,A000000,00700,0000,0700HOUSEKEEPING 172770,A000000,00800,0000,0800DIETARY 172770,A000000,00900,0000,0900NURSING ADMINISTRATION 172770,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 172770,A000000,01100,0000,1100PHARMACY 172770,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 172770,A000000,01300,0000,1300SOCIAL SERVICE 172770,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 172770,A000000,01600,0000,1600SKILLED NURSING FACILITY 172770,A000000,01800,0000,1800NURSING FACILITY 172770,A000000,01810,0000,1810ICF/MR 172770,A000000,02100,0000,2100RADIOLOGY 172770,A000000,02200,0000,2200LABORATORY 172770,A000000,02500,0000,2500PHYSICAL THERAPY 172770,A000000,02600,0000,2600OCCUPATIONAL THERAPY 172770,A000000,02700,0000,2700SPEECH PATHOLOGY 172770,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 172770,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 172770,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 172770,A000000,03550,0000,3550FQHC 172770,A000000,04801,0000,4801AMBULANCE 172770,A000000,04802,0000,4802AMBULANCE 172770,A000000,04803,0000,4803AMBULANCE 172770,A000000,05000,0000,5000CORF 172770,A000000,05010,0000,5010CMHC 172770,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 172770,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 172770,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 172770,A000000,05900,0000,5900BARBER & BEAUTY SHOP 172770,A81000A,00100,0100,N 172770,B100000,00000,0100,0100SQUARE FEET 172770,B100000,00000,0200,0200SQUARE FEET 172770,B100000,00000,0300,0300GROSS SALARIES 172770,B100000,00000,0400,0400ACCUM COST 172770,B100000,00000,0500,0500SQUARE FEET 172770,B100000,00000,0600,0600POUNDS OF LAUNDRY 172770,B100000,00000,0700,0700HOURS OF SERVICE 172770,B100000,00000,0800,0800MEALS SERVED 172770,B100000,00000,0900,0900DIRECT NRSG HRS 172770,B100000,00000,1000,1000COSTED REQUIS 172770,B100000,00000,1100,1100COSTED REQUIS 172770,B100000,00000,1200,1200TIME SPENT 172770,B100000,00000,1300,1300TIME SPENT 172770,B100000,00000,1400,1400ASSIGNED TIME 172770,E10A180,00501,0100,06/13/00 172770,E10A180,00501,0300,06/13/00 172770,S000000,00100,0200,04/03/00 172770,S200000,00100,0100,1038 MCGILL STREET 172770,S200000,00100,0300,1108 172770,S200000,00200,0100,ST STEPHEN 172770,S200000,00200,0200,SC 172770,S200000,00200,0300,29479 172770,S200000,00300,0100,BERKELEY 172770,S200000,00300,0200,1440 172770,S200000,00300,0300,U 172770,S200000,00400,0100,LAKE MOULTRIE NURSING FAC 172770,S200000,00400,0200,425341 172770,S200000,00400,0300,05/01/95 172770,S200000,00400,0500,P 172770,S200000,00600,0200,425341 172770,S200000,00600,0300,05/01/95 172770,S200000,00600,0600,O 172770,S200000,01500,0100,N 172770,S200000,01600,0100,Y 172770,S200000,01700,0100,N 172770,S200000,01800,0100,N 172770,S200000,01900,0100,HOSPITAL OWNED 172770,S200000,02200,0100,Y 172770,S200000,02800,0100,N 172770,S200000,02900,0100,N 172770,S200000,03000,0100,N 172770,S200000,03100,0100,Y 172770,S200000,03200,0100,N 172770,S200000,03300,0100,N 172770,S200000,03300,0200,N 172770,S200000,03500,0300,N 172770,S200000,04100,0100,N 172770,S200000,04200,0100,N 172770,S200000,04300,0100,Y 172770,S200000,04600,0100,N 172770,S200000,04700,0100,N 172770,S200000,04900,0100,N 173669,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 173669,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 173669,A000000,00300,0000,0300EMPLOYEE BENEFITS 173669,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 173669,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 173669,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 173669,A000000,00700,0000,0700HOUSEKEEPING 173669,A000000,00800,0000,0800DIETARY 173669,A000000,00900,0000,0900NURSING ADMINISTRATION 173669,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 173669,A000000,01100,0000,1100PHARMACY 173669,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 173669,A000000,01300,0000,1300SOCIAL SERVICE 173669,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 173669,A000000,01500,0000,1350OTHER GENERAL SERVICES 173669,A000000,01600,0000,1600SKILLED NURSING FACILITY 173669,A000000,01800,0000,1800NURSING FACILITY 173669,A000000,01810,0000,1810ICF/MR 173669,A000000,01900,0000,1900OTHER LONG TERM CARE 173669,A000000,02500,0000,2500PHYSICAL THERAPY 173669,A000000,02600,0000,2600OCCUPATIONAL THERAPY 173669,A000000,02700,0000,2700SPEECH PATHOLOGY 173669,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 173669,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 173669,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 173669,A000000,03550,0000,3550FQHC 173669,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 173669,A000000,04801,0000,4801AMBULANCE 173669,A000000,04802,0000,4802AMBULANCE 173669,A000000,04803,0000,4803AMBULANCE 173669,A000000,05000,0000,5000CORF 173669,A000000,05010,0000,5010CMHC 173669,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 173669,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 173669,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 173669,A000000,05100,0000,4750OTHER REIMBURSABLE COST 173669,A000000,05300,0000,5300INTEREST EXPENSE 173669,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 173669,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 173669,A81000A,00100,0100,Y 173669,A81000B,00100,0300,OWNERS COMPENSATION 173669,A81000B,00200,0300,OWNERS BOARD FEES 173669,A81000B,00300,0300,OWNERS COMPENSATION 173669,A81000B,00400,0300,OWNERS BOARD FEES 173669,A81000B,00500,0300,OWNERS BOARD FEES 173669,A81000B,00600,0300,OWNERS BOARD FEES 173669,A81000B,00700,0300,MANAGEMENT COMPANY FEES 173669,A81000B,00800,0300,HOME OFFICE SOCIAL SERVICE 173669,A81000B,00900,0300,HOME OFFICE MEDICAL RECORDS 173669,A81000B,01000,0300,HOME OFFICE DIETARY 173669,A81000C,00100,0100,A 173669,A81000C,00100,0200,C BRUCE KELLY 173669,A81000C,00100,0400,SELF 173669,A81000C,00100,0600,ASST ADMINISTRATOR 173669,A81000C,00200,0100,A 173669,A81000C,00200,0200,C BRUCE KELLY 173669,A81000C,00200,0400,SELF 173669,A81000C,00200,0600,BOARD MEMBER 173669,A81000C,00300,0100,A 173669,A81000C,00300,0200,C. R. TILLMAN MD 173669,A81000C,00300,0400,SELF 173669,A81000C,00300,0600,MEDICAL DIRECTOR 173669,A81000C,00400,0100,A 173669,A81000C,00400,0200,C. R. TILLMAN MD 173669,A81000C,00400,0400,SELF 173669,A81000C,00400,0600,BOARD MEMBER 173669,A81000C,00500,0100,D 173669,A81000C,00500,0200,RITA KELLY 173669,A81000C,00500,0400,C. BRUCE KELLY 173669,A81000C,00500,0600,BOARDMEMBER 173669,A81000C,00600,0100,D 173669,A81000C,00600,0200,ANN TILLMAN 173669,A81000C,00600,0400,C. R. TILLMAN MC 173669,A81000C,00600,0600,BOARD MEMBER 173669,A81000C,00700,0100,A 173669,A81000C,00700,0200,C BRUCE KELLY 173669,A81000C,00700,0400,SENIOR LIVING CENTERS LL 173669,A81000C,00700,0600,MANAGEMENT COMPANY 173669,A81000C,00800,0100,A 173669,A81000C,00800,0200,C. R. TILLMAN 173669,A81000C,00800,0400,SENIOR LIVING CENTERS LL 173669,A81000C,00800,0600,MANAGEMENT COMPANY 173669,B100000,00000,0100,0100SQUARE FEET 173669,B100000,00000,0200,0200SQUARE FEET 173669,B100000,00000,0300,0300GROSS SALARIES 173669,B100000,00000,0400,0400ACCUM COST 173669,B100000,00000,0500,0500SQUARE FEET 173669,B100000,00000,0600,0600POUNDS OF LAUNDRY 173669,B100000,00000,0700,0700HOURS OF SERVICE 173669,B100000,00000,0800,0800MEALS SERVED 173669,B100000,00000,0900,0900DIRECT NRSING HRS 173669,B100000,00000,1000,1000COSTED REQUIS. 173669,B100000,00000,1100,1100COSTED REQUIS 173669,B100000,00000,1200,1200TIME SPENT 173669,B100000,00000,1300,1300TIME SPENT 173669,B100000,00000,1400,1400ASSIGNED TIME 173669,B100000,00000,1500,1350NO STATISTICS 173669,E10A180,00501,0100,06/20/00 173669,E10A180,00501,0300,06/20/00 173669,S000000,00100,0200,05/31/00 173669,S200000,00100,0100,314 ENOCHS STREET 173669,S200000,00200,0100,TYLERTOWN 173669,S200000,00200,0200,MS 173669,S200000,00300,0100, WALTHALL 173669,S200000,00300,0200,0025 173669,S200000,00300,0300,R 173669,S200000,00400,0100,BILLDORA NURSING HOME 173669,S200000,00400,0200,255243 173669,S200000,00400,0300,02/01/97 173669,S200000,00400,0500,P 173669,S200000,01500,0100,N 173669,S200000,01600,0100,Y 173669,S200000,01700,0100,N 173669,S200000,01800,0100,N 173669,S200000,02200,0100,N 173669,S200000,02800,0100,N 173669,S200000,02900,0100,N 173669,S200000,03000,0100,N 173669,S200000,03100,0100,N 173669,S200000,03200,0100,N 173669,S200000,03300,0100,N 173669,S200000,03300,0200,N 173669,S200000,04100,0100,N 173669,S200000,04200,0100,N 173669,S200000,04300,0100,N 173669,S200000,04600,0100,N 173669,S200000,04700,0100,N 173669,S200000,04900,0100,N 173669,S200000,05200,0100,N 173706,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 173706,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 173706,A000000,00300,0000,0300EMPLOYEE BENEFITS 173706,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 173706,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 173706,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 173706,A000000,00700,0000,0700HOUSEKEEPING 173706,A000000,00800,0000,0800DIETARY 173706,A000000,00900,0000,0900NURSING ADMINISTRATION 173706,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 173706,A000000,01100,0000,1100PHARMACY 173706,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 173706,A000000,01300,0000,1300SOCIAL SERVICE 173706,A000000,01600,0000,1600SKILLED NURSING FACILITY 173706,A000000,01800,0000,1800NURSING FACILITY 173706,A000000,01900,0000,1900OTHER LONG TERM CARE 173706,A000000,02100,0000,2100RADIOLOGY 173706,A000000,02200,0000,2200LABORATORY 173706,A000000,02300,0000,2300INTRAVENOUS THERAPY 173706,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 173706,A000000,02500,0000,2500PHYSICAL THERAPY 173706,A000000,02600,0000,2600OCCUPATIONAL THERAPY 173706,A000000,02700,0000,2700SPEECH PATHOLOGY 173706,A000000,02800,0000,2800ELECTROCARDIOLOGY 173706,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 173706,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 173706,A000000,03200,0000,3200SUPPORT SURFACES 173706,A000000,04800,0000,4800AMBULANCE 173706,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 173706,A000000,05300,0000,5300INTEREST EXPENSE 173706,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 173706,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 173706,A000000,05900,0000,5900BARBER & BEAUTY SHOP 173706,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 173706,A81000A,00100,0100,Y 173706,A81000B,00100,0300,EMP BEN & TAXES 173706,A81000B,00200,0300,WAGES 173706,A81000B,00300,0300,WAGES 173706,A81000B,00400,0300,WAGES 173706,A81000B,00500,0300,WAGES 173706,A81000B,00600,0300,WAGES 173706,A81000B,00700,0300,WAGES 173706,A81000B,00800,0300,WAGES 173706,A81000B,00900,0300,WAGES 173706,A81000B,01000,0300,WAGES 173706,A81000B,01100,0300,WAGES 173706,A81000B,01200,0300,WAGES 173706,A81000B,01300,0300,WAGES 173706,A81000B,01400,0300,WAGES 173706,A81000B,01500,0300,WAGES 173706,A81000B,01600,0300,OTC DRUGS 173706,A81000B,01700,0300,PRESCRIPTION RX 173706,A81000C,00100,0100,B 173706,A81000C,00100,0200,D K PRINCE 173706,A81000C,00100,0400,D & P MGMT 173706,A81000C,00100,0600,PR PROCESS CO 173706,A81000C,00200,0100,B 173706,A81000C,00200,0200,D K PRINCE 173706,A81000C,00200,0400,ALBUQ MNR RX 173706,A81000C,00200,0600,RETAIL RX 173706,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 173706,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 173706,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 173706,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 173706,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 173706,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 173706,B100000,00000,0800,0800MEALS SERVED :DIETARY 173706,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 173706,B100000,00000,1000,1000COSTED REQUISITIO :CENTRAL SERV 173706,B100000,00000,1100,1100COSTED REQUISITIO :PHARMACY 173706,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 173706,B100000,00000,1300,1330GROSS REVENUES :SOCIAL SERVICE 173706,S000000,00100,0200,06/01/00 173706,S200000,00100,0100,500 LOUISANA BLVD NE 173706,S200000,00200,0100,ALBUQUERQUE 173706,S200000,00200,0200,NM 173706,S200000,00200,0300,87108- 173706,S200000,00300,0100,BERNALILLO 173706,S200000,00300,0200,0200 173706,S200000,00300,0300,U 173706,S200000,00400,0100,ALBUQUERQUE MANOR 173706,S200000,00400,0200,325045 173706,S200000,00400,0300,03/05/86 173706,S200000,00400,0500,P 173706,S200000,01500,0100,N 173706,S200000,01600,0100,Y 173706,S200000,01700,0100,N 173706,S200000,01800,0100,N 173706,S200000,02200,0100,N 173706,S200000,02800,0100,N 173706,S200000,02900,0100,N 173706,S200000,03000,0100,N 173706,S200000,03100,0100,N 173706,S200000,03200,0100,N 173706,S200000,04100,0100,N 173706,S200000,04200,0100,N 173706,S200000,04300,0100,N 173706,S200000,04600,0100,N 173706,S200000,04700,0100,N 173706,S200000,04700,0200,N 173706,S200000,04900,0100,N 173706,S200000,05000,0100,N 173706,S200000,05100,0100,N 173706,S200000,05200,0100,N 174334,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 174334,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 174334,A000000,00300,0000,0300EMPLOYEE BENEFITS 174334,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 174334,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 174334,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 174334,A000000,00700,0000,0700HOUSEKEEPING 174334,A000000,00800,0000,0800DIETARY 174334,A000000,00900,0000,0900NURSING ADMINISTRATION 174334,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 174334,A000000,01100,0000,1100PHARMACY 174334,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 174334,A000000,01300,0000,1300SOCIAL SERVICE 174334,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 174334,A000000,01600,0000,1600SKILLED NURSING FACILITY 174334,A000000,01800,0000,1800NURSING FACILITY 174334,A000000,01810,0000,1810ICF/MR 174334,A000000,02200,0000,2200LABORATORY 174334,A000000,02500,0000,2500PHYSICAL THERAPY 174334,A000000,02600,0000,2600OCCUPATIONAL THERAPY 174334,A000000,02700,0000,2700SPEECH PATHOLOGY 174334,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 174334,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 174334,A000000,03300,0000,3050AIR FLOATATION 174334,A000000,03550,0000,3550FQHC 174334,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 174334,A000000,04801,0000,4801AMBULANCE 174334,A000000,04802,0000,4802AMBULANCE 174334,A000000,04803,0000,4803AMBULANCE 174334,A000000,05000,0000,5000CORF 174334,A000000,05010,0000,5010CMHC 174334,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 174334,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 174334,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 174334,A000000,05100,0000,4750OTHER REIMBURSABLE COST 174334,A000000,05300,0000,5300INTEREST EXPENSE 174334,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 174334,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 174334,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 174334,A81000A,00100,0100,Y 174334,A81000B,00100,0300,HOME OFFICE COST ALLOCATIONS 174334,A81000C,00100,0100,A 174334,A81000C,00100,0200,HENRY BURCH 174334,A81000C,00100,0400,BURCH ASSOCIATES 174334,A81000C,00100,0600,HOME OFFICE 174334,B100000,00000,0100,0100SQUARE FEET 174334,B100000,00000,0200,0200DOLLAR VALUE 174334,B100000,00000,0300,0300GROSS SALARIES 174334,B100000,00000,0400,0400ACCUM COST 174334,B100000,00000,0500,0500SQUARE FEET 174334,B100000,00000,0600,0600POUNDS OF LAUNDRY 174334,B100000,00000,0700,0700HOURS OF SERVICE 174334,B100000,00000,0800,0800MEALS SERVED 174334,B100000,00000,0900,0900DIRECT NRSING HRS 174334,B100000,00000,1000,1000COSTED REQUIS. 174334,B100000,00000,1100,1100COSTED REQUIS. 174334,B100000,00000,1200,1200TIME SPENT 174334,B100000,00000,1300,1300TIME SPENT 174334,B100000,00000,1400,1400ASSIGNED TIME 174334,E10A180,00301,0100,11/30/99 174334,E10A180,00302,0100,02/01/00 174334,E10A180,00501,0100, 6/28/00 174334,E10A180,00550,0300, 6/28/00 174334,S000000,00100,0200,05/23/00 174334,S200000,00100,0100,506 WEST 5TH STREET 174334,S200000,00200,0100,LA PLACE 174334,S200000,00200,0200,LA 174334,S200000,00200,0300,70068 174334,S200000,00300,0100,ST JOHN THE BAPTIST 174334,S200000,00300,0200,0019 174334,S200000,00300,0300,R 174334,S200000,00400,0100,TWIN OAKS NURSING HOME 174334,S200000,00400,0200,195303 174334,S200000,00400,0300,11/01/94 174334,S200000,00400,0500,P 174334,S200000,01500,0100,N 174334,S200000,01600,0100,Y 174334,S200000,01700,0100,N 174334,S200000,01800,0100,N 174334,S200000,02200,0100,N 174334,S200000,02800,0100,Y 174334,S200000,02900,0100,N 174334,S200000,03000,0100,N 174334,S200000,03100,0100,N 174334,S200000,03200,0100,N 174334,S200000,03300,0100,N 174334,S200000,03300,0200,N 174334,S200000,04100,0100,N 174334,S200000,04200,0100,N 174334,S200000,04300,0100,N 174334,S200000,04600,0100,N 174334,S200000,04700,0100,N 174334,S200000,04900,0100,N 174334,S200000,05200,0100,N 175074,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 175074,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 175074,A000000,00300,0000,0300EMPLOYEE BENEFITS 175074,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 175074,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 175074,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 175074,A000000,00700,0000,0700HOUSEKEEPING 175074,A000000,00800,0000,0800DIETARY 175074,A000000,00900,0000,0900NURSING ADMINISTRATION 175074,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 175074,A000000,01100,0000,1100PHARMACY 175074,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 175074,A000000,01300,0000,1300SOCIAL SERVICE 175074,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 175074,A000000,01500,0000,1350LEISURE TIME ACTIVITIES 175074,A000000,01600,0000,1600SKILLED NURSING FACILITY 175074,A000000,01810,0000,1810ICF/MR 175074,A000000,01900,0000,1900OTHER LONG TERM CARE 175074,A000000,02500,0000,2500PHYSICAL THERAPY 175074,A000000,02600,0000,2600OCCUPATIONAL THERAPY 175074,A000000,02700,0000,2700SPEECH PATHOLOGY 175074,A000000,03550,0000,3550FQHC 175074,A000000,04801,0000,4801AMBULANCE 175074,A000000,04802,0000,4802AMBULANCE 175074,A000000,04803,0000,4803AMBULANCE 175074,A000000,05000,0000,5000CORF 175074,A000000,05010,0000,5010CMHC 175074,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 175074,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 175074,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 175074,A000000,05300,0000,5300INTEREST EXPENSE 175074,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 175074,A000000,05900,0000,5900BARBER & BEAUTY SHOP 175074,A000000,06200,0000,6200PATIENTS LAUNDRY 175074,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 175074,A81000A,00100,0100,N 175074,B100000,00000,0100,0100SQUARE FEET 175074,B100000,00000,0200,0200SQUARE FEET 175074,B100000,00000,0300,0300GROSS SALARIES 175074,B100000,00000,0400,0400ACCUM COST 175074,B100000,00000,0500,0500SQUARE FEET 175074,B100000,00000,0600,0600POUNDS OF LAUNDRY 175074,B100000,00000,0700,0700HOURS OF SERVICE 175074,B100000,00000,0800,0800MEALS SERVED 175074,B100000,00000,0900,0900DIRECT NRSG HRS 175074,B100000,00000,1000,1000COSTED REQUIS 175074,B100000,00000,1100,1100COSTED REQUIS 175074,B100000,00000,1200,1200TIME SPENT 175074,B100000,00000,1300,1300TIME SPENT 175074,B100000,00000,1400,1400ASSIGNED TIME 175074,B100000,00000,1500,1350PARTICIPAN 175074,S000000,00100,0200,06/29/01 175074,S200000,00100,0100,3200 BAYCHESTER AVENUE 175074,S200000,00100,0300,1002 175074,S200000,00200,0100,BRONX 175074,S200000,00200,0200,NY 175074,S200000,00200,0300,10465-0602 175074,S200000,00300,0100,BRONX 175074,S200000,00300,0200,5600 175074,S200000,00300,0300,U 175074,S200000,00400,0100,JEANNE JUGAN RESIDENCE 175074,S200000,00400,0200,335605 175074,S200000,00400,0300,03/01/77 175074,S200000,00400,0500,P 175074,S200000,01500,0100,Y 175074,S200000,01600,0100,N 175074,S200000,01700,0100,Y 175074,S200000,01800,0100,N 175074,S200000,02200,0100,N 175074,S200000,02800,0100,Y 175074,S200000,02900,0100,N 175074,S200000,03000,0100,N 175074,S200000,03100,0100,N 175074,S200000,03200,0100,N 175074,S200000,03300,0100,N 175074,S200000,03300,0200,N 175074,S200000,04100,0100,N 175074,S200000,04200,0100,N 175074,S200000,04300,0100,Y 175074,S200000,04600,0100,N 175074,S200000,04700,0100,N 175074,S200000,04900,0100,N 175074,S200000,05200,0100,N 175635,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 175635,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 175635,A000000,00300,0000,0300EMPLOYEE BENEFITS 175635,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 175635,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 175635,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 175635,A000000,00700,0000,0700HOUSEKEEPING 175635,A000000,00800,0000,0800DIETARY 175635,A000000,00900,0000,0900NURSING ADMINISTRATION 175635,A000000,00901,0000,0901OTHER NURSING 175635,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 175635,A000000,01100,0000,1100PHARMACY 175635,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 175635,A000000,01300,0000,1300SOCIAL SERVICE 175635,A000000,01301,0000,1301ACTIVITIES 175635,A000000,01600,0000,1600SKILLED NURSING FACILITY 175635,A000000,01800,0000,1800NURSING FACILITY 175635,A000000,02100,0000,2100RADIOLOGY 175635,A000000,02200,0000,2200LABORATORY 175635,A000000,02300,0000,2300INTRAVENOUS THERAPY 175635,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 175635,A000000,02500,0000,2500PHYSICAL THERAPY 175635,A000000,02600,0000,2600OCCUPATIONAL THERAPY 175635,A000000,02700,0000,2700SPEECH PATHOLOGY 175635,A000000,02800,0000,2800ELECTROCARDIOLOGY 175635,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 175635,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 175635,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 175635,A000000,03301,0000,3051NUTRITIONAL THERAPY 175635,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 175635,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 175635,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 175635,A000000,04800,0000,4800AMBULANCE 175635,A000000,05100,0000,4750OTHER REIMBURSABLE COST 175635,A000000,05300,0000,5300INTEREST EXPENSE 175635,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 175635,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 175635,A000000,05900,0000,5900BARBER & BEAUTY SHOP 175635,A000000,06200,0000,6200PATIENTS LAUNDRY 175635,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 175635,A000000,06301,0000,6151DAY CARE 175635,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 175635,A000000,06303,0000,6153DISTRICT OFFICE SPACE 175635,A81000A,00100,0100,Y 175635,A81000B,00100,0300,HOME OFFICE COSTS 175635,A81000B,00200,0300,LIABILITY INSURANCE 175635,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 175635,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 175635,A81000B,00500,0300,VC PHARMACY - ADMIN 175635,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 175635,A81000B,00700,0300,VC PHARMACY - LAUNDRY 175635,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 175635,A81000B,00900,0300,VC PHARMACY - DIETARY 175635,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 175635,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 175635,A81000B,01200,0300,VC PHARMACY - NONLEGEND 175635,A81000B,01300,0300,VC PHARMACY - MED RECORDS 175635,A81000B,01400,0300,VC PHARMACY - SOC SVCS 175635,A81000B,01500,0300,VC PHARMACY - ACTIVITY 175635,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 175635,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 175635,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 175635,A81000B,01900,0300,VC PHARMACY - LAB 175635,A81000B,02000,0300,VC PHARMACY - IV THERAPY 175635,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 175635,A81000B,02200,0300,VENCARE REHAB - PHYS THER 175635,A81000B,02300,0300,VENCARE REHAB - OCCP THER 175635,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 175635,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 175635,A81000B,02600,0300,VC PHARMACY - LEGEND 175635,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 175635,A81000B,02800,0300,VC PHARMACY - NUTR THER 175635,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 175635,A81000C,00100,0100,B 175635,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 175635,A81000C,00100,0400,CORNERSTONE INSURANCE CO 175635,A81000C,00100,0600,LIABILITY INSURANCE 175635,A81000C,00200,0400,VENCARE PHARMACY SERVICES 175635,A81000C,00200,0600,PHARMACY 175635,A81000C,00300,0400,VENCARE RESPIRATORY 175635,A81000C,00300,0600,RESPIRATORY THERAPY 175635,A81000C,00400,0400,THERAPY SERVICES 175635,A81000C,00500,0400,VENCARE REHAB SERVICES 175635,A81000C,00500,0600,REHAB 175635,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 175635,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 175635,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 175635,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 175635,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 175635,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 175635,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 175635,B100000,00000,0800,0850PATIENT DAYS :DIETARY 175635,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 175635,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 175635,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 175635,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 175635,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 175635,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 175635,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 175635,E10A180,00302,0100,11/30/00 175635,S000000,00100,0200,12/11/00 175635,S200000,00100,0100,11800 ABERCORN STREET 175635,S200000,00200,0100,SAVANNAH 175635,S200000,00200,0200,GA 175635,S200000,00200,0300,31499- 175635,S200000,00300,0100,CHATHAM 175635,S200000,00300,0200,7520 175635,S200000,00300,0300,U 175635,S200000,00400,0100,660 SAVANNAH SPECIALTY CARE CTR 175635,S200000,00400,0200,115132 175635,S200000,00400,0300,05/13/72 175635,S200000,00400,0500,P 175635,S200000,01500,0100,N 175635,S200000,01600,0100,Y 175635,S200000,01700,0100,N 175635,S200000,01800,0100,N 175635,S200000,02200,0100,Y 175635,S200000,02800,0100,N 175635,S200000,02900,0100,N 175635,S200000,03000,0100,N 175635,S200000,03100,0100,N 175635,S200000,03200,0100,N 175635,S200000,04100,0100,N 175635,S200000,04200,0100,N 175635,S200000,04300,0100,N 175635,S200000,04600,0100,N 175635,S200000,04700,0100,N 175635,S200000,04700,0200,N 175635,S200000,04900,0100,N 175635,S200000,05000,0100,N 175635,S200000,05100,0100,N 175635,S200000,05200,0100,N 175636,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 175636,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 175636,A000000,00300,0000,0300EMPLOYEE BENEFITS 175636,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 175636,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 175636,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 175636,A000000,00700,0000,0700HOUSEKEEPING 175636,A000000,00800,0000,0800DIETARY 175636,A000000,00900,0000,0900NURSING ADMINISTRATION 175636,A000000,00901,0000,0901OTHER NURSING 175636,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 175636,A000000,01100,0000,1100PHARMACY 175636,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 175636,A000000,01300,0000,1300SOCIAL SERVICE 175636,A000000,01301,0000,1301ACTIVITIES 175636,A000000,01600,0000,1600SKILLED NURSING FACILITY 175636,A000000,01800,0000,1800NURSING FACILITY 175636,A000000,02100,0000,2100RADIOLOGY 175636,A000000,02200,0000,2200LABORATORY 175636,A000000,02300,0000,2300INTRAVENOUS THERAPY 175636,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 175636,A000000,02500,0000,2500PHYSICAL THERAPY 175636,A000000,02600,0000,2600OCCUPATIONAL THERAPY 175636,A000000,02700,0000,2700SPEECH PATHOLOGY 175636,A000000,02800,0000,2800ELECTROCARDIOLOGY 175636,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 175636,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 175636,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 175636,A000000,03301,0000,3051NUTRITIONAL THERAPY 175636,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 175636,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 175636,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 175636,A000000,04800,0000,4800AMBULANCE 175636,A000000,05100,0000,4750OTHER REIMBURSABLE COST 175636,A000000,05300,0000,5300INTEREST EXPENSE 175636,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 175636,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 175636,A000000,05900,0000,5900BARBER & BEAUTY SHOP 175636,A000000,06200,0000,6200PATIENTS LAUNDRY 175636,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 175636,A000000,06301,0000,6151DAY CARE 175636,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 175636,A000000,06303,0000,6153DISTRICT OFFICE SPACE 175636,A81000A,00100,0100,Y 175636,A81000B,00100,0300,HOME OFFICE COSTS 175636,A81000B,00200,0300,LIABILITY INSURANCE 175636,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 175636,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 175636,A81000B,00500,0300,VC PHARMACY - ADMIN 175636,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 175636,A81000B,00700,0300,VC PHARMACY - LAUNDRY 175636,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 175636,A81000B,00900,0300,VC PHARMACY - DIETARY 175636,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 175636,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 175636,A81000B,01200,0300,VC PHARMACY - NONLEGEND 175636,A81000B,01300,0300,VC PHARMACY - MED RECORDS 175636,A81000B,01400,0300,VC PHARMACY - SOC SVCS 175636,A81000B,01500,0300,VC PHARMACY - ACTIVITY 175636,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 175636,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 175636,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 175636,A81000B,01900,0300,VC PHARMACY - LAB 175636,A81000B,02000,0300,VC PHARMACY - IV THERAPY 175636,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 175636,A81000B,02200,0300,VENCARE REHAB - PHYS THER 175636,A81000B,02300,0300,VENCARE REHAB - OCCP THER 175636,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 175636,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 175636,A81000B,02600,0300,VC PHARMACY - LEGEND 175636,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 175636,A81000B,02800,0300,VC PHARMACY - NUTR THER 175636,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 175636,A81000C,00100,0100,B 175636,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 175636,A81000C,00100,0400,CORNERSTONE INSURANCE CO 175636,A81000C,00100,0600,LIABILITY INSURANCE 175636,A81000C,00300,0400,VENCARE RESPIRATORY 175636,A81000C,00300,0600,RESPIRATORY THERAPY 175636,A81000C,00400,0400,THERAPY SERVICES 175636,A81000C,00500,0400,VENCARE REHAB SERVICES 175636,A81000C,00500,0600,REHAB 175636,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 175636,A81000C,00600,0600,PORTABLE X-RAY 175636,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 175636,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 175636,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 175636,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 175636,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 175636,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 175636,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 175636,B100000,00000,0800,0850PATIENT DAYS :DIETARY 175636,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 175636,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 175636,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 175636,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 175636,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 175636,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 175636,E10A180,00302,0100,11/30/00 175636,S000000,00100,0200,12/04/00 175636,S200000,00100,0100,2055 REX ROAD 175636,S200000,00200,0100,LAKE CITY 175636,S200000,00200,0200,GA 175636,S200000,00200,0300,30260- 175636,S200000,00300,0100,CLAYTON 175636,S200000,00300,0200,0520 175636,S200000,00300,0300,U 175636,S200000,00400,0100,1219 PERSONACARE OF CLAYTON 175636,S200000,00400,0200,115535 175636,S200000,00400,0300,01/03/93 175636,S200000,00400,0500,P 175636,S200000,01500,0100,Y 175636,S200000,01600,0100,N 175636,S200000,01700,0100,N 175636,S200000,01800,0100,N 175636,S200000,02200,0100,Y 175636,S200000,02800,0100,N 175636,S200000,02900,0100,N 175636,S200000,03000,0100,N 175636,S200000,03100,0100,N 175636,S200000,03200,0100,N 175636,S200000,04100,0100,N 175636,S200000,04200,0100,N 175636,S200000,04300,0100,N 175636,S200000,04600,0100,N 175636,S200000,04700,0100,N 175636,S200000,04700,0200,N 175636,S200000,04900,0100,N 175636,S200000,05000,0100,N 175636,S200000,05100,0100,N 175636,S200000,05200,0100,N 175985,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 175985,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 175985,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 175985,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 175985,A000000,00300,0000,0300EMPLOYEE BENEFITS 175985,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 175985,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 175985,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 175985,A000000,00700,0000,0700HOUSEKEEPING 175985,A000000,00800,0000,0800DIETARY 175985,A000000,00801,0000,0801CAFETERIA 175985,A000000,00900,0000,0900NURSING ADMINISTRATION 175985,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 175985,A000000,01100,0000,1100PHARMACY 175985,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 175985,A000000,01300,0000,1300SOCIAL SERVICE 175985,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 175985,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 175985,A000000,01600,0000,1600SKILLED NURSING FACILITY 175985,A000000,01810,0000,1810ICF/MR 175985,A000000,01900,0000,1900OTHER LONG TERM CARE 175985,A000000,02100,0000,2100RADIOLOGY 175985,A000000,02200,0000,2200LABORATORY 175985,A000000,02500,0000,2500PHYSICAL THERAPY 175985,A000000,02600,0000,2600OCCUPATIONAL THERAPY 175985,A000000,02700,0000,2700SPEECH PATHOLOGY 175985,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 175985,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 175985,A000000,03300,0000,3050OTHER ANCILLARY 175985,A000000,03301,0000,3051OTHER ANCILLARY II 175985,A000000,03302,0000,3052OTHER ANCILLARY III 175985,A000000,03550,0000,3550FQHC 175985,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 175985,A000000,05000,0000,5000CORF I 175985,A000000,05010,0000,5010CMHC I 175985,A000000,05020,0000,5020OPT I 175985,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 175985,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 175985,A000000,05100,0000,4750OTHER REIMBURSABLE COST 175985,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 175985,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 175985,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 175985,A000000,05900,0000,5900BARBER & BEAUTY SHOP 175985,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 175985,A81000A,00100,0100,Y 175985,A81000B,00100,0300,MANAGEMENT EXPENSE 175985,A81000B,00200,0300,DIRECT MANAGEMENT EXP 175985,A81000C,00100,0100,A 175985,A81000C,00100,0200,CHOICE HEALTH 175985,A81000C,00100,0400,CHOICE HEALTH 175985,A81000C,00100,0600,MANAGEMENT 175985,B100000,00000,0100,0100(SQUARE FEET) 175985,B100000,00000,0101,0101(SQUARE FEET) 175985,B100000,00000,0200,0200(SQUARE FEET) 175985,B100000,00000,0201,0201(SQUARE FEET) 175985,B100000,00000,0300,0300(GROSS SALARIES) 175985,B100000,00000,0400,0400ACCUM COST 175985,B100000,00000,0500,0500(SQUARE FEET) 175985,B100000,00000,0600,0600PATIENT DA 175985,B100000,00000,0700,0700(SQUARE FEET) 175985,B100000,00000,0800,0800(MEALS SERVED) 175985,B100000,00000,0801,0801(MEALS SERVED) 175985,B100000,00000,0900,0900(DIRECT NRSING HRS 175985,B100000,00000,1000,1000PATIENT DA 175985,B100000,00000,1100,1100PATIENT DA 175985,B100000,00000,1200,1200PATIENT DA 175985,B100000,00000,1300,1300PATIENT DA 175985,B100000,00000,1400,1400(ASSIGNED TIME) 175985,B100000,00000,1500,1350PATIENT DA 175985,E10A180,00501,0100,07/02/01 175985,E10A180,00501,0300,12/10/02 175985,E10A180,00502,0100,08/23/01 175985,E10A180,00550,0100,12/10/02 175985,S000000,00100,0200,07/31/01 175985,S200000,00100,0100,415 SUNSET DRIVE 175985,S200000,00200,0100,FUQUAY-VARINA 175985,S200000,00200,0200,NC 175985,S200000,00200,0300,27526 175985,S200000,00300,0100,WAKE 175985,S200000,00300,0200,6640 175985,S200000,00300,0300,U 175985,S200000,00400,0100,BRIGHTON MANOR 175985,S200000,00400,0200,345382 175985,S200000,00400,0300,06/12/91 175985,S200000,00400,0500,P 175985,S200000,01500,0100,N 175985,S200000,01600,0100,Y 175985,S200000,01700,0100,N 175985,S200000,01800,0100,N 175985,S200000,02200,0100,N 175985,S200000,02800,0100,N 175985,S200000,02900,0100,N 175985,S200000,03000,0100,N 175985,S200000,03100,0100,N 175985,S200000,03200,0100,N 175985,S200000,03300,0100,N 175985,S200000,03300,0200,N 175985,S200000,04100,0100,N 175985,S200000,04200,0100,N 175985,S200000,04300,0100,N 175985,S200000,04600,0100,N 175985,S200000,04700,0100,N 175985,S200000,04900,0100,N 175985,S200000,05200,0100,N 176188,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 176188,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 176188,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 176188,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 176188,A000000,00300,0000,0300EMPLOYEE BENEFITS 176188,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 176188,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 176188,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 176188,A000000,00700,0000,0700HOUSEKEEPING 176188,A000000,00800,0000,0800DIETARY 176188,A000000,00801,0000,0801CAFETERIA 176188,A000000,00900,0000,0900NURSING ADMINISTRATION 176188,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 176188,A000000,01100,0000,1100PHARMACY 176188,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 176188,A000000,01300,0000,1300SOCIAL SERVICE 176188,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 176188,A000000,01500,0000,1350ACTIVITIES 176188,A000000,01600,0000,1600SKILLED NURSING FACILITY 176188,A000000,01800,0000,1800NURSING FACILITY 176188,A000000,01900,0000,1900OTHER LONG TERM CARE 176188,A000000,02100,0000,2100RADIOLOGY 176188,A000000,02200,0000,2200LABORATORY 176188,A000000,02300,0000,2300INTRAVENOUS THERAPY 176188,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 176188,A000000,02500,0000,2500PHYSICAL THERAPY 176188,A000000,02600,0000,2600OCCUPATIONAL THERAPY 176188,A000000,02700,0000,2700SPEECH PATHOLOGY 176188,A000000,02800,0000,2800ELECTROCARDIOLOGY 176188,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 176188,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 176188,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 176188,A000000,03200,0000,3200SUPPORT SURFACES 176188,A000000,03300,0000,3050OTHER ANCILLARY 176188,A000000,03301,0000,3051PEN THERAPY 176188,A000000,03302,0000,3052OTHER ANCILLARY III 176188,A000000,03400,0000,3400CLINIC 176188,A000000,03500,0000,3500RURAL HEALTH CLINIC 176188,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 176188,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 176188,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 176188,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 176188,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 176188,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 176188,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 176188,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 176188,A000000,04400,0000,4400DME RENTED - HHA 176188,A000000,04500,0000,4500DME SOLD - HHA 176188,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 176188,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 176188,A000000,04800,0000,4800AMBULANCE 176188,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 176188,A000000,05000,0000,5000CORF 176188,A000000,05010,0000,5010CMHC I 176188,A000000,05020,0000,5020OPT I 176188,A000000,05100,0000,4750OTHER REIMBURSABLE COST 176188,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 176188,A000000,05300,0000,5300INTEREST EXPENSE 176188,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 176188,A000000,05500,0000,5500HOSPICE 176188,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 176188,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 176188,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 176188,A000000,05900,0000,5900BARBER & BEAUTY SHOP 176188,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 176188,A000000,06100,0000,6100NONPAID WORKERS 176188,A000000,06200,0000,6200PATIENTS LAUNDRY 176188,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 176188,A81000A,00100,0100,Y 176188,A81000B,00100,0300,MANAGEMENT FEES 176188,A81000B,00200,0300,THERAPY SERVICES 176188,A81000B,00300,0300,THERAPY SERVICES 176188,A81000B,00400,0300,THERAPY SERVICES 176188,A81000B,00500,0300,NURSE CONSULTING 176188,A81000B,00600,0300,THERAPY SERVICES 176188,A81000B,00700,0300,THERAPY SERVICES 176188,A81000B,00800,0300,THERAPY SERVICES 176188,A81000B,00900,0300,POOL NURSING 176188,A81000C,00100,0100,A 176188,A81000C,00100,0200,KRAUSZ/SEBBAG 176188,A81000C,00100,0400,SOLOMON HLT SVC 176188,A81000C,00100,0600,HC MANAGEMENT 176188,A81000C,00200,0100,A 176188,A81000C,00200,0200,KRAUSZ/SEBBAG 176188,A81000C,00200,0400,SOLOMON HC CONS 176188,A81000C,00200,0600,THERAPY SVCS 176188,A81000C,00300,0100,A 176188,A81000C,00300,0200,KRAUSZ/SEBBAG 176188,A81000C,00300,0400,SOLOMON HC CONS 176188,A81000C,00300,0600,THERAPY SVCS 176188,A81000C,00400,0100,A 176188,A81000C,00400,0200,KRAUSZ/SEBBAG 176188,A81000C,00400,0400,SOLOMON HC CONS 176188,A81000C,00400,0600,THERAPY SVCS 176188,A81000C,00500,0100,A 176188,A81000C,00500,0200,KRAUSZ/SEBBAG 176188,A81000C,00500,0400,SOLOMON HC CONS 176188,A81000C,00500,0600,HC CONSULTING 176188,A81000C,00600,0100,A 176188,A81000C,00600,0200,KRAUSZ/SEBBAG 176188,A81000C,00600,0400,PROG PROV SVCS 176188,A81000C,00600,0600,THERAPY SVCS 176188,A81000C,00700,0100,A 176188,A81000C,00700,0200,KRAUSZ/SEBBAG 176188,A81000C,00700,0400,PROG PROV SVCS 176188,A81000C,00700,0600,THERAPY SVCS 176188,A81000C,00800,0100,A 176188,A81000C,00800,0200,KRAUSZ/SEBBAG 176188,A81000C,00800,0400,PROG PROV SVCS 176188,A81000C,00800,0600,THERAPY SVCS 176188,A81000C,00900,0100,A 176188,A81000C,00900,0200,KRAUSZ/SEBBAG 176188,A81000C,00900,0400,PREMIER TEMPS 176188,A81000C,00900,0600,NURSING POOL 176188,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 176188,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 176188,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 176188,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 176188,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 176188,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 176188,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 176188,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 176188,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 176188,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 176188,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 176188,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 176188,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 176188,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 176188,S000000,00100,0200,06/06/00 176188,S200000,00100,0100,1655 YARROW ST. 176188,S200000,00200,0100,LAKEWOOD 176188,S200000,00200,0200,CO 176188,S200000,00200,0300, - 176188,S200000,00300,0100,JEFFERSON 176188,S200000,00300,0200,2080 176188,S200000,00300,0300,U 176188,S200000,00400,0100,LAKERIDGE VILLAGE CARE CENTER 176188,S200000,00400,0200,065298 176188,S200000,00400,0300,12/01/91 176188,S200000,00400,0500,P 176188,S200000,01500,0100,Y 176188,S200000,01600,0100,N 176188,S200000,01700,0100,N 176188,S200000,01800,0100,N 176188,S200000,02200,0100,Y 176188,S200000,02800,0100,N 176188,S200000,02900,0100,N 176188,S200000,03000,0100,N 176188,S200000,03100,0100,N 176188,S200000,03200,0100,N 176188,S200000,04100,0100,N 176188,S200000,04200,0100,N 176188,S200000,04300,0100,Y 176188,S200000,04600,0100,N 176188,S200000,04700,0100,N 176188,S200000,04700,0200,N 176188,S200000,04900,0100,N 176188,S200000,05000,0100,N 176188,S200000,05100,0100,N 176188,S200000,05200,0100,N 176822,S000000,00100,0200,04/15/04 176822,S200000,00200,0100,DEKALB 176822,S200000,00200,0200,MS 176822,S200000,00200,0300,393280246 176822,S200000,00300,0100,KEMPER 176822,S200000,00400,0100,KEMPER COMM HOSP NURSING FAC 176822,S200000,00400,0300,02/06/99 177895,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 177895,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 177895,A000000,00300,0000,0300EMPLOYEE BENEFITS 177895,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 177895,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 177895,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 177895,A000000,00700,0000,0700HOUSEKEEPING 177895,A000000,00800,0000,0800DIETARY 177895,A000000,00900,0000,0900NURSING ADMINISTRATION 177895,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 177895,A000000,01100,0000,1100PHARMACY 177895,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 177895,A000000,01300,0000,1300SOCIAL SERVICE 177895,A000000,01500,0000,1350ACTIVITIES 177895,A000000,01600,0000,1600SKILLED NURSING FACILITY 177895,A000000,01800,0000,1800NURSING FACILITY 177895,A000000,01810,0000,1810ICF/MR 177895,A000000,01900,0000,1900OTHER LONG TERM CARE 177895,A000000,02100,0000,2100RADIOLOGY 177895,A000000,02200,0000,2200LABORATORY 177895,A000000,02300,0000,2300INTRAVENOUS THERAPY 177895,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 177895,A000000,02500,0000,2500PHYSICAL THERAPY 177895,A000000,02600,0000,2600OCCUPATIONAL THERAPY 177895,A000000,02700,0000,2700SPEECH PATHOLOGY 177895,A000000,02800,0000,2800ELECTROCARDIOLOGY 177895,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 177895,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 177895,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 177895,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 177895,A000000,04800,0000,4800AMBULANCE 177895,A000000,05000,0000,5000CORF 177895,A000000,05100,0000,4750OTHER REIMBURSABLE COST 177895,A000000,05300,0000,5300INTEREST EXPENSE 177895,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 177895,A000000,05500,0000,5500HOSPICE 177895,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 177895,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 177895,A000000,05900,0000,5900BARBER & BEAUTY SHOP 177895,A000000,06300,0000,6150GENERAL STORE 177895,A000000,06301,0000,6151MARKETING 177895,A000000,06302,0000,6152ASSTED LVG RES.SVC & APTS 177895,A81000A,00100,0100,N 177895,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 177895,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 177895,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 177895,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 177895,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 177895,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 177895,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 177895,B100000,00000,0800,0800MEALS SERVED :DIETARY 177895,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 177895,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 177895,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 177895,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 177895,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 177895,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 177895,S000000,00100,0200,11/21/00 177895,S200000,00100,0100,10501 LAGRIMA DE ORO NE 177895,S200000,00200,0100,ALBUQUERQUE 177895,S200000,00200,0200,NM 177895,S200000,00200,0300,87111- 177895,S200000,00300,0100,BERNALILLO 177895,S200000,00300,0200,0200 177895,S200000,00300,0300,U 177895,S200000,00400,0100,LA VIDA LLENA CONVALESCENT CENTER 177895,S200000,00400,0200,325035 177895,S200000,00400,0300,03/18/83 177895,S200000,00400,0500,P 177895,S200000,01500,0100,N 177895,S200000,01600,0100,Y 177895,S200000,01700,0100,N 177895,S200000,01800,0100,N 177895,S200000,02200,0100,N 177895,S200000,02800,0100,N 177895,S200000,02900,0100,N 177895,S200000,03000,0100,N 177895,S200000,03100,0100,N 177895,S200000,03200,0100,N 177895,S200000,04100,0100,N 177895,S200000,04200,0100,N 177895,S200000,04300,0100,N 177895,S200000,04600,0100,N 177895,S200000,04700,0100,N 177895,S200000,04700,0200,N 177895,S200000,04900,0100,N 177895,S200000,05000,0100,N 177895,S200000,05100,0100,N 177895,S200000,05200,0100,N 178239,S000000,00100,0200,05/09/00 178239,S200000,00100,0100,711 WEST CORNERVIEW ROAD 178239,S200000,00200,0100,GONZALEZ 178239,S200000,00200,0200,LA 178239,S200000,00200,0300,70737 178239,S200000,00300,0100,ASCENSION 178239,S200000,00400,0100,ACENSION LIVING CENTER 178239,S200000,00400,0300,03/01/97 178249,S000000,00100,0200,10/25/00 178249,S200000,00100,0100,809 SOUTH MAIN STREET 178249,S200000,00200,0100,FAYETTE 178249,S200000,00200,0200,MS 178249,S200000,00200,0300,39069 178249,S200000,00300,0100,JEFFERSON 178249,S200000,00400,0100,JEFFERSON CO NURSING HOME 178249,S200000,00400,0300,04/13/93 178659,S000000,00100,0200,05/26/00 178659,S200000,00200,0100,RAYVILLE 178659,S200000,00200,0200,LA 178659,S200000,00200,0300,71269 178659,S200000,00300,0100,RICHLAND 178659,S200000,00400,0100,RAYVILLE GUEST HOUSE 178659,S200000,00400,0300,06/01/96 179092,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 179092,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 179092,A000000,00300,0000,0300EMPLOYEE BENEFITS 179092,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 179092,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 179092,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 179092,A000000,00700,0000,0700HOUSEKEEPING 179092,A000000,00800,0000,0800DIETARY 179092,A000000,00801,0000,0801CAFETERIA 179092,A000000,00900,0000,0900NURSING ADMINISTRATION 179092,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 179092,A000000,01100,0000,1100PHARMACY 179092,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 179092,A000000,01300,0000,1300SOCIAL SERVICE 179092,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 179092,A000000,01401,0000,1401SUPERVISING PHYSICIANS 179092,A000000,01600,0000,1600SKILLED NURSING FACILITY 179092,A000000,01810,0000,1810ICF/MR 179092,A000000,02100,0000,2100RADIOLOGY 179092,A000000,02200,0000,2200LABORATORY 179092,A000000,02300,0000,2300INTRAVENOUS THERAPY 179092,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 179092,A000000,02500,0000,2500PHYSICAL THERAPY 179092,A000000,02600,0000,2600OCCUPATIONAL THERAPY 179092,A000000,02610,0000,2601ACTIVITY THERAPY 179092,A000000,02700,0000,2700SPEECH PATHOLOGY 179092,A000000,02800,0000,2800ELECTROCARDIOLOGY 179092,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 179092,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 179092,A000000,03400,0000,3400CLINIC 179092,A000000,03401,0000,3401WOMEN INFANT AND CHILDREN 179092,A000000,03402,0000,3402HIV CLINICS 179092,A000000,03550,0000,3550FQHC 179092,A000000,03600,0000,3450MENTAL HEALTH CLINIC 179092,A000000,03601,0000,3451MENTAL HEALTH CONTINUING TRMT 179092,A000000,03602,0000,3452ALL OTHER OMH PROGRAMS O/P 179092,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 179092,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 179092,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 179092,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 179092,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 179092,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 179092,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 179092,A000000,04801,0000,4801AMBULANCE 179092,A000000,04802,0000,4802AMBULANCE 179092,A000000,04803,0000,4803AMBULANCE 179092,A000000,05000,0000,5000CORF 179092,A000000,05010,0000,5010CMHC 179092,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 179092,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 179092,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 179092,A81000A,00100,0100,N 179092,B100000,00000,0100,0100SQUARE FEET 179092,B100000,00000,0200,0200SQUARE FEET 179092,B100000,00000,0300,0300GROSS SALARIES 179092,B100000,00000,0400,0400ACCUM COST 179092,B100000,00000,0500,0500SQUARE FEET 179092,B100000,00000,0600,0600POUNDS OF LAUNDRY 179092,B100000,00000,0700,0700HOURS OF SERVICE 179092,B100000,00000,0800,0800MEALS SERVED 179092,B100000,00000,0801,0801AVG NO. OF EMPLOYEES 179092,B100000,00000,0900,0900DIRECT NRSG HRS 179092,B100000,00000,1000,1000COSTED REQUIS 179092,B100000,00000,1100,1100COSTED REQUIS 179092,B100000,00000,1200,1200TIME SPENT 179092,B100000,00000,1300,1300TIME SPENT 179092,B100000,00000,1400,1400ASSIGNED TIME 179092,B100000,00000,1401,1401HRS OF SER 179092,H510100,00000,0000,5600 179092,H510100,02400,0000,5600 179092,H710000,00350,0100,07/17/00 179092,S000000,00100,0200,02/16/01 179092,S200000,00100,0100,227 MADISON AVENUE 179092,S200000,00200,0100,NEW YORK 179092,S200000,00200,0200,NY 179092,S200000,00200,0300,10002 179092,S200000,00300,0100,NEW YORK CITY 179092,S200000,00300,0200,5600 179092,S200000,00300,0300,U 179092,S200000,00400,0100,GOUVERNEUR HOSPITAL 179092,S200000,00400,0200,335461 179092,S200000,00400,0300,06/02/76 179092,S200000,00400,0500,P 179092,S200000,00800,0200,337169 179092,S200000,00800,0300,02/07/73 179092,S200000,00800,0500,O 179092,S200000,01500,0100,N 179092,S200000,01600,0100,N 179092,S200000,01700,0100,N 179092,S200000,01800,0100,N 179092,S200000,02200,0100,N 179092,S200000,02800,0100,N 179092,S200000,02900,0100,N 179092,S200000,03000,0100,N 179092,S200000,03100,0100,N 179092,S200000,03200,0100,N 179092,S200000,03300,0100,N 179092,S200000,03300,0200,N 179092,S200000,03700,0100,N 179092,S200000,03700,0200,N 179092,S200000,04100,0100,N 179092,S200000,04200,0100,N 179092,S200000,04300,0100,Y 179092,S200000,04600,0100,N 179092,S200000,04700,0100,N 179092,S200000,04900,0100,N 179092,S200000,05000,0100,N 179092,S200000,05200,0100,N 179092,S410002,01700,0100,5600 179186,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 179186,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 179186,A000000,00300,0000,0300EMPLOYEE BENEFITS 179186,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 179186,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 179186,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 179186,A000000,00700,0000,0700HOUSEKEEPING 179186,A000000,00800,0000,0800DIETARY 179186,A000000,00900,0000,0900NURSING ADMINISTRATION 179186,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 179186,A000000,01100,0000,1100PHARMACY 179186,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 179186,A000000,01300,0000,1300SOCIAL SERVICE 179186,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 179186,A000000,01500,0000,1350ACTIVITIES 179186,A000000,01600,0000,1600SKILLED NURSING FACILITY 179186,A000000,01800,0000,1800NURSING FACILITY 179186,A000000,01810,0000,1810ICF/MR 179186,A000000,02100,0000,2100RADIOLOGY 179186,A000000,02200,0000,2200LABORATORY 179186,A000000,02300,0000,2300INTRAVENOUS THERAPY 179186,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 179186,A000000,02500,0000,2500PHYSICAL THERAPY 179186,A000000,02600,0000,2600OCCUPATIONAL THERAPY 179186,A000000,02700,0000,2700SPEECH PATHOLOGY 179186,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 179186,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 179186,A000000,03300,0000,3050PEN THERAPY 179186,A000000,03550,0000,3550FQHC 179186,A000000,05000,0000,5000CORF 179186,A000000,05010,0000,5010CMHC 179186,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 179186,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 179186,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 179186,A000000,05300,0000,5300INTEREST EXPENSE 179186,A81000A,00100,0100,Y 179186,A81000B,00100,0300,FACILITY LEASE 179186,A81000C,00100,0100,A 179186,A81000C,00100,0200,FE DEERE 179186,A81000C,00200,0100,A 179186,A81000C,00200,0200,BETSY DEERE 179186,B100000,00000,0100,0100SQ FT :CAP REL COSTS - BLDGS & 179186,B100000,00000,0200,0250SQ FT :CAP REL COSTS - MOVABLE 179186,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 179186,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 179186,B100000,00000,0500,0500SQ FT :PLANT OPERATION MAINT. 179186,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 179186,B100000,00000,0700,0750SQ FT :HOUSEKEEPING 179186,B100000,00000,0800,0800MEALS SERVED :DIETARY 179186,B100000,00000,0900,0950TIME SPENT -NUR :NURSING ADMINIS 179186,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 179186,B100000,00000,1200,1200TIME SPENT -MED :MEDICAL RECORDS 179186,B100000,00000,1300,1300TIME SPENT -SOC :SOCIAL SERVICE 179186,B100000,00000,1500,1350TIME SPENT -ACT :ACTIVITIES 179186,S000000,00100,0200,06/01/00 179186,S200000,00100,0100,801 CANTWELL 179186,S200000,00200,0100,CORPUS CHRISTI 179186,S200000,00200,0200,TX 179186,S200000,00200,0300,78408- 179186,S200000,00300,0100,NUECES 179186,S200000,00300,0200,1880 179186,S200000,00300,0300,U 179186,S200000,00400,0100,WESTWOOD MANOR 179186,S200000,00400,0200,675670 179186,S200000,00400,0300,04/01/97 179186,S200000,00400,0500,P 179186,S200000,01500,0100,N 179186,S200000,01600,0100,Y 179186,S200000,01700,0100,N 179186,S200000,01800,0100,N 179186,S200000,02200,0100,N 179186,S200000,02800,0100,N 179186,S200000,02900,0100,N 179186,S200000,03000,0100,N 179186,S200000,03100,0100,N 179186,S200000,03200,0100,N 179186,S200000,04100,0100,N 179186,S200000,04200,0100,N 179186,S200000,04300,0100,Y 179186,S200000,04600,0100,N 179186,S200000,04700,0100,N 179186,S200000,04700,0200,N 179186,S200000,04900,0100,N 179186,S200000,05000,0100,N 179186,S200000,05100,0100,N 179186,S200000,05200,0100,N 179221,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 179221,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 179221,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 179221,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 179221,A000000,00300,0000,0300EMPLOYEE BENEFITS 179221,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 179221,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 179221,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 179221,A000000,00700,0000,0700HOUSEKEEPING 179221,A000000,00800,0000,0800DIETARY 179221,A000000,00801,0000,0801CAFETERIA 179221,A000000,00900,0000,0900NURSING ADMINISTRATION 179221,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 179221,A000000,01100,0000,1100PHARMACY 179221,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 179221,A000000,01300,0000,1300SOCIAL SERVICE 179221,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 179221,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 179221,A000000,01600,0000,1600SKILLED NURSING FACILITY 179221,A000000,01900,0000,1900OTHER LONG TERM CARE 179221,A000000,02100,0000,2100RADIOLOGY 179221,A000000,02200,0000,2200LABORATORY 179221,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 179221,A000000,02500,0000,2500PHYSICAL THERAPY 179221,A000000,02600,0000,2600OCCUPATIONAL THERAPY 179221,A000000,02700,0000,2700SPEECH PATHOLOGY 179221,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 179221,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 179221,A000000,03300,0000,3050OTHER ANCILLARY 179221,A000000,03301,0000,3051OTHER ANCILLARY II 179221,A000000,03302,0000,3052OTHER ANCILLARY III 179221,A000000,03550,0000,3550FQHC 179221,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 179221,A000000,05000,0000,5000CORF I 179221,A000000,05010,0000,5010CMHC I 179221,A000000,05020,0000,5020OPT I 179221,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 179221,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 179221,A000000,05100,0000,4750OTHER REIMBURSABLE COST 179221,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 179221,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 179221,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 179221,A000000,05900,0000,5900BARBER & BEAUTY SHOP 179221,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 179221,A000000,06301,0000,6151INDEPENDENT LIVING UNITS 179221,A000000,06302,0000,6152SPECIAL SERVICES 179221,A81000A,00100,0100,Y 179221,A81000B,00100,0300,DIRECT EXP ALLOC 179221,A81000B,00200,0300,INDIRECT HO ALLOC 179221,A81000B,00300,0300,INDIRECT HO ALLOC 179221,A81000C,00100,0100,G 179221,A81000C,00100,0200,CHOICE HEALTH 179221,A81000C,00100,0400,CHOICE HEALTH 179221,A81000C,00100,0600,MNGT COMPANY 179221,A81000C,00200,0100,G 179221,A81000C,00200,0200,CHOICE HEALTH 179221,A81000C,00200,0400,CHOICE HEALTH 179221,A81000C,00200,0600,MNGT COMPANY 179221,B100000,00000,0100,0100(SQUARE FEET) 179221,B100000,00000,0101,0101(SQUARE FEET) 179221,B100000,00000,0200,0200(SQUARE FEET) 179221,B100000,00000,0201,0201(SQUARE FEET) 179221,B100000,00000,0300,0300(GROSS SALARIES) 179221,B100000,00000,0400,0400(ACCUM. COST) 179221,B100000,00000,0500,0500(SQUARE FEET) 179221,B100000,00000,0600,0600PATIENT DA 179221,B100000,00000,0700,0700(SQUARE FEET) 179221,B100000,00000,0800,0800(MEALS SERVED) 179221,B100000,00000,0801,0801(MEALS SERVED) 179221,B100000,00000,0900,0900(DIRECT NRSING HRS 179221,B100000,00000,1000,1000PATIENT DA 179221,B100000,00000,1100,1100PATIENT DA 179221,B100000,00000,1200,1200PATIENT DA 179221,B100000,00000,1300,1300PATIENT DA 179221,B100000,00000,1400,1400(ASSIGNED TIME) 179221,B100000,00000,1500,1350PATIENT DA 179221,E10A180,00550,0100,08/14/01 179221,S000000,00100,0200,08/22/01 179221,S200000,00100,0100,1022 EASTON AVENUE 179221,S200000,00200,0100,NASHVILLE 179221,S200000,00200,0200,NC 179221,S200000,00200,0300,27856 179221,S200000,00300,0100,NASH 179221,S200000,00300,0200,6895 179221,S200000,00300,0300,U 179221,S200000,00400,0100,NASH GROVE MANOR 179221,S200000,00400,0200,345374 179221,S200000,00400,0300,06/12/91 179221,S200000,00400,0500,P 179221,S200000,01500,0100,N 179221,S200000,01600,0100,Y 179221,S200000,01700,0100,N 179221,S200000,01800,0100,N 179221,S200000,02200,0100,N 179221,S200000,02800,0100,N 179221,S200000,02900,0100,N 179221,S200000,03000,0100,N 179221,S200000,03100,0100,N 179221,S200000,03200,0100,N 179221,S200000,03300,0100,N 179221,S200000,03300,0200,N 179221,S200000,04100,0100,N 179221,S200000,04200,0100,N 179221,S200000,04300,0100,N 179221,S200000,04600,0100,N 179221,S200000,04700,0100,N 179221,S200000,04900,0100,N 179221,S200000,05200,0100,N 179256,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 179256,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 179256,A000000,00300,0000,0300EMPLOYEE BENEFITS 179256,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 179256,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 179256,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 179256,A000000,00700,0000,0700HOUSEKEEPING 179256,A000000,00800,0000,0800DIETARY 179256,A000000,00900,0000,0900NURSING ADMINISTRATION 179256,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 179256,A000000,01100,0000,1100PHARMACY 179256,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 179256,A000000,01300,0000,1300SOCIAL SERVICE 179256,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 179256,A000000,01600,0000,1600SKILLED NURSING FACILITY 179256,A000000,01800,0000,1800NURSING FACILITY 179256,A000000,01900,0000,1900OTHER LONG TERM CARE 179256,A000000,02100,0000,2100RADIOLOGY 179256,A000000,02200,0000,2200LABORATORY 179256,A000000,02300,0000,2300INTRAVENOUS THERAPY 179256,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 179256,A000000,02500,0000,2500PHYSICAL THERAPY 179256,A000000,02600,0000,2600OCCUPATIONAL THERAPY 179256,A000000,02700,0000,2700SPEECH PATHOLOGY 179256,A000000,02800,0000,2800ELECTROCARDIOLOGY 179256,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 179256,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 179256,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 179256,A000000,03200,0000,3200SUPPORT SURFACES 179256,A000000,03400,0000,3400CLINIC 179256,A000000,03500,0000,3500RURAL HEALTH CLINIC 179256,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 179256,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 179256,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 179256,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 179256,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 179256,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 179256,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 179256,A000000,04400,0000,4400DME RENTED - HHA 179256,A000000,04500,0000,4500DME SOLD - HHA 179256,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 179256,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 179256,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 179256,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 179256,A000000,05300,0000,5300INTEREST EXPENSE 179256,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 179256,A000000,05500,0000,5500HOSPICE 179256,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 179256,A000000,05900,0000,5900BARBER & BEAUTY SHOP 179256,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 179256,A000000,06100,0000,6100NONPAID WORKERS 179256,A000000,06200,0000,6200PATIENTS LAUNDRY 179256,A81000A,00100,0100,Y 179256,A81000B,00100,0300,MANAGEMENT FEES 179256,A81000B,00200,0300,HEALTH INSURANCE 179256,A81000B,00300,0300,EQUIPMENT LEASE 179256,A81000C,00100,0100,A 179256,A81000C,00100,0200,HELEN STOUT 179256,A81000C,00100,0400,ROYAL CARE INC 179256,A81000C,00100,0600,MANAGEMENT CO. 179256,S000000,00100,0200,12/01/00 179256,S200000,00100,0100,2600 OLD PARISH HIGHWAY 179256,S200000,00200,0100,JASPER 179256,S200000,00200,0200,AL 179256,S200000,00200,0300,35501 179256,S200000,00300,0100,WALKER 179256,S200000,00300,0200,0003 179256,S200000,00300,0300,R 179256,S200000,00400,0100,SHADESCREST HEALTH CARE CENTER 179256,S200000,00400,0200,015114 179256,S200000,00400,0300,07/01/90 179256,S200000,00400,0500,P 179256,S200000,01500,0100,N 179256,S200000,01600,0100,Y 179256,S200000,01700,0100,N 179256,S200000,01800,0100,N 179256,S200000,02200,0100,N 179256,S200000,02800,0100,N 179256,S200000,02900,0100,N 179256,S200000,03000,0100,N 179256,S200000,03100,0100,N 179256,S200000,03200,0100,N 179256,S200000,03300,0100,N 179256,S200000,03300,0200,N 179256,S200000,03500,0300,N 179256,S200000,04100,0100,N 179256,S200000,04200,0100,N 179256,S200000,04300,0100,Y 179256,S200000,04600,0100,N 179256,S200000,04700,0100,N 179256,S200000,04900,0100,N 179256,S700003,00000,0200,X 180619,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 180619,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 180619,A000000,00300,0000,0300EMPLOYEE BENEFITS 180619,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 180619,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 180619,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 180619,A000000,00700,0000,0700HOUSEKEEPING 180619,A000000,00800,0000,0800DIETARY 180619,A000000,00900,0000,0900NURSING ADMINISTRATION 180619,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 180619,A000000,01100,0000,1100PHARMACY 180619,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 180619,A000000,01300,0000,1300SOCIAL SERVICE 180619,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 180619,A000000,01600,0000,1600SKILLED NURSING FACILITY 180619,A000000,02100,0000,2100RADIOLOGY 180619,A000000,02200,0000,2200LABORATORY 180619,A000000,02500,0000,2500PHYSICAL THERAPY 180619,A000000,02600,0000,2600OCCUPATIONAL THERAPY 180619,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 180619,A81000A,00100,0100,Y 180619,A81000B,00100,0300,CAP RELCOSTS-BLDGS & FIXT 180619,A81000B,00200,0300,CAP RELCOSTS-BLDGS & FIXT 180619,A81000B,00300,0300,CAP RELCOSTS-BLDGS & FIXT 180619,A81000C,00300,0100,A 180619,A81000C,00300,0200,HENRY PAGKALIN 180619,A81000C,00300,0400,WASHINGTON E 180619,A81000C,00300,0600,REALTY 180619,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 180619,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 180619,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 180619,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 180619,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 180619,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 180619,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 180619,B100000,00000,0800,0800MEALS SERVED :DIETARY 180619,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 180619,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 180619,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 180619,S000000,00100,0200,10/06/03 180619,S200000,00100,0100,2350 WASHINGTON BLVD. 180619,S200000,00200,0100,LOS ANGELES 180619,S200000,00200,0200,CA 180619,S200000,00200,0300, - 180619,S200000,00300,0100,LOS ANGELES 180619,S200000,00300,0200,4480 180619,S200000,00300,0300,U 180619,S200000,00400,0100,WASHINGTON NURSING & CONV. HOME 180619,S200000,00400,0200,555218 180619,S200000,00400,0300,09/01/81 180619,S200000,00400,0500,P 180619,S200000,00400,0600,O 180619,S200000,01500,0100,Y 180619,S200000,01600,0100,N 180619,S200000,01700,0100,N 180619,S200000,01800,0100,N 180619,S200000,02200,0100,N 180619,S200000,02800,0100,N 180619,S200000,02900,0100,N 180619,S200000,03000,0100,N 180619,S200000,03100,0100,Y 180619,S200000,03200,0100,N 180619,S200000,04100,0100,N 180619,S200000,04200,0100,N 180619,S200000,04300,0100,N 180619,S200000,04600,0100,N 180619,S200000,04700,0100,N 180619,S200000,04700,0200,N 180619,S200000,04900,0100,N 180619,S200000,05000,0100,N 180619,S200000,05100,0100,N 180619,S200000,05200,0100,N 180754,S000000,00100,0200,04/21/04 180754,S200000,00100,0100,809 MARTIN LUTHER KING JR. DR. 180754,S200000,00200,0100,LAFAYETTE 180754,S200000,00200,0200,LA 180754,S200000,00200,0300,70501 180754,S200000,00300,0100,LAFAYETTE 180754,S200000,00400,0100,LAFAYETTE GUEST HOUSE WEST 180754,S200000,00400,0300,08/19/97 181592,S000000,00100,0200,12/01/00 181592,S200000,00100,0100,939 EAST BIRCH 181592,S200000,00200,0100,CHILLICOTHE 181592,S200000,00200,0200,MO 181592,S200000,00200,0300,64601 181592,S200000,00300,0100,LIVINGSTON 181592,S200000,00400,0100,LIVINGSTON MANOR CARE CTR 181592,S200000,00400,0300,07/01/95 182451,S000000,00100,0200,04/28/00 182451,S200000,00100,0100,4009 GENE FIELD ROAD 182451,S200000,00200,0100,ST. JOSEPH 182451,S200000,00200,0200,MO 182451,S200000,00200,0300,645061899 182451,S200000,00300,0100,BUCHANAN 182451,S200000,00400,0100,CARRIAGE SQUARE HEALTH CARE CENTER 182451,S200000,00400,0300,01/01/89 182453,S000000,00100,0200,02/23/01 182453,S200000,00100,0100,400 WEST PARK AVENUE 182453,S200000,00200,0100,UNION 182453,S200000,00200,0200,MO 182453,S200000,00200,0300,63084 182453,S200000,00300,0100,FRANKLIN 182453,S200000,00400,0100,SUNSET NURSING & RETIREMENT 182453,S200000,00400,0300,08/09/89 182458,S000000,00100,0200,04/20/00 182458,S200000,00200,0100,MARSHALL 182458,S200000,00200,0200,MO 182458,S200000,00200,0300,65340 182458,S200000,00300,0100,N\A 182458,S200000,00400,0100,MAR-SALINE MANOR CARE CENTER 182458,S200000,00400,0300,09/03/92 182463,S000000,00100,0200,10/19/00 182463,S200000,00100,0100,426 SOUTH JEFFERSON 182463,S200000,00200,0100,SPRINGFIELD 182463,S200000,00200,0200,MO 182463,S200000,00200,0300,65806 182463,S200000,00300,0100,TEXAS 182463,S200000,00400,0100,LICKING PARK MANOR 182463,S200000,00400,0300,04/03/96 182468,S000000,00100,0200,06/01/00 182468,S200000,00100,0100,ROUTE 1 HIGHWAY 36 WEST 182468,S200000,00200,0100,MARYVILLE 182468,S200000,00200,0200,MO 182468,S200000,00200,0300,64468 182468,S200000,00300,0100,NODAWAY 182468,S200000,00400,0100,NODAWAY NURSING HOME 182468,S200000,00400,0300,08/01/96 182469,S000000,00100,0200,05/05/00 182469,S200000,00100,0100,18TH AND JEFFERSON 182469,S200000,00200,0100,HERMANN 182469,S200000,00200,0200,MO 182469,S200000,00200,0300,65041 182469,S200000,00300,0100,GASCONADE 182469,S200000,00400,0100,FRENE VALLEY GERIATRIC 182469,S200000,00400,0300,03/24/97 182470,S000000,00100,0200,09/25/00 182470,S200000,00100,0100,5301 HARRY TRUMAN DRIVE 182470,S200000,00200,0100,GRANDVIEW 182470,S200000,00200,0200,MO 182470,S200000,00200,0300,64030 182470,S200000,00300,0100,JACKSON 182470,S200000,00400,0100,GRANDVIEW MANOR CARE CENTER 182470,S200000,00400,0300,11/01/97 183188,S000000,00100,0200,09/27/00 183188,S200000,00100,0100,2506 LINDEN 183188,S200000,00200,0100,MARSHALL 183188,S200000,00200,0200,MO 183188,S200000,00200,0300,65340 183188,S200000,00300,0100,SALINE 183188,S200000,00400,0100,THE LIVING CENTER 183188,S200000,00400,0300,11/25/97 183199,S000000,00100,0200,08/13/01 183199,S200000,00100,0100,1155 STERLINGTON HIGHWAY 183199,S200000,00200,0100,FARMERVILLE 183199,S200000,00200,0200,LA 183199,S200000,00200,0300,71241 183199,S200000,00300,0100,UNION PARISH 183199,S200000,00400,0100,TIMBERLAKE HEALTH CARE 183199,S200000,00400,0300,03/01/98 183212,S000000,00100,0200,08/13/01 183212,S200000,00100,0100,1155 STERLINGTON HWY 183212,S200000,00200,0100,FARMERSVILLE 183212,S200000,00200,0200,LA 183212,S200000,00200,0300,71241 183212,S200000,00300,0100,UNION PARISH 183212,S200000,00400,0100,LAKEVIEW NURSING HOME 183212,S200000,00400,0300,03/01/98 183218,S000000,00100,0200,05/30/00 183218,S200000,00100,0100,200 SOUTH STREET 183218,S200000,00200,0100,PARIS 183218,S200000,00200,0200,MO 183218,S200000,00200,0300,65275 183218,S200000,00300,0100,MONROE 183218,S200000,00400,0100,MONORE MANOR 183218,S200000,00400,0300,11/01/94 183219,S000000,00100,0200,01/29/01 183219,S200000,00100,0100,HIGHWAY 6 WEST 183219,S200000,00200,0100,LABELLE 183219,S200000,00200,0200,MO 183219,S200000,00200,0300,63447 183219,S200000,00300,0100,LEWIS 183219,S200000,00400,0100,LABELLE MANOR CARE CENTER 183219,S200000,00400,0300,07/01/96 183221,S000000,00100,0200,06/09/00 183221,S200000,00200,0100,SARCOXIE 183221,S200000,00200,0200,MO 183221,S200000,00200,0300,64862 183221,S200000,00300,0100,JASPER 183221,S200000,00400,0100,SARCOXIE NRG CTR 183221,S200000,00400,0300,06/01/96 184352,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 184352,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 184352,A000000,00300,0000,0300EMPLOYEE BENEFITS 184352,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 184352,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 184352,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 184352,A000000,00700,0000,0700HOUSEKEEPING 184352,A000000,00800,0000,0800DIETARY 184352,A000000,00900,0000,0900NURSING ADMINISTRATION 184352,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 184352,A000000,01100,0000,1100PHARMACY 184352,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 184352,A000000,01300,0000,1300SOCIAL SERVICE 184352,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 184352,A000000,01500,0000,1350OTHER GENERAL SERVICES 184352,A000000,01600,0000,1600SKILLED NURSING FACILITY 184352,A000000,01800,0000,1800NURSING FACILITY 184352,A000000,01810,0000,1810ICF/MR 184352,A000000,01900,0000,1900OTHER LONG TERM CARE 184352,A000000,02200,0000,2200LABORATORY 184352,A000000,02500,0000,2500PHYSICAL THERAPY 184352,A000000,02600,0000,2600OCCUPATIONAL THERAPY 184352,A000000,02700,0000,2700SPEECH PATHOLOGY 184352,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 184352,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 184352,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 184352,A000000,03550,0000,3550FQHC 184352,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 184352,A000000,04801,0000,4801AMBULANCE 184352,A000000,04802,0000,4802AMBULANCE 184352,A000000,04803,0000,4803AMBULANCE 184352,A000000,05000,0000,5000CORF 184352,A000000,05010,0000,5010CMHC 184352,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 184352,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 184352,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 184352,A000000,05100,0000,4750OTHER REIMBURSABLE COST 184352,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 184352,A000000,05900,0000,5900BARBER & BEAUTY SHOP 184352,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 184352,A81000A,00100,0100,Y 184352,A81000B,00100,0300,MANAGEMENT 184352,A81000C,00100,0100,A 184352,A81000C,00100,0200,JOHN M. SELLS 184352,A81000C,00100,0400,JOHN M. SELLS INC. 184352,A81000C,00100,0600,ADMINISTRATIVE SERVICES 184352,B100000,00000,0100,0100(SQUARE FEET 184352,B100000,00000,0200,0200(SQUARE FEET 184352,B100000,00000,0300,0300(GROSS SALARIES) 184352,B100000,00000,0400,0400ACCUM COST 184352,B100000,00000,0500,0500(SQUARE FEET 184352,B100000,00000,0600,0600(PAT DAYS) 184352,B100000,00000,0700,0700(SQUARE FEET 184352,B100000,00000,0800,0800(PAT DAYS) 184352,B100000,00000,0900,0900(PAT DAYS) 184352,B100000,00000,1000,1000(PAT DAYS) 184352,B100000,00000,1100,1100(PAT DAYS) 184352,B100000,00000,1200,1200(PAT DAYS) 184352,B100000,00000,1300,1300(PAT DAYS) 184352,B100000,00000,1400,1400(PAT DAYS) 184352,B100000,00000,1500,1350NO STATISTICS 184352,S000000,00100,0200,09/23/99 184352,S200000,00100,0100,609 S. RAILROAD ST. 184352,S200000,00200,0100,MATTHEWS 184352,S200000,00200,0200,MO 184352,S200000,00200,0300,63867 184352,S200000,00300,0100,NEW MADRID 184352,S200000,00300,0200,0026 184352,S200000,00300,0300,R 184352,S200000,00400,0100,SELLS REST HOME INC. 184352,S200000,00400,0200,265397 184352,S200000,00400,0300,09/21/89 184352,S200000,00400,0500,P 184352,S200000,01500,0100,N 184352,S200000,01600,0100,Y 184352,S200000,01700,0100,N 184352,S200000,01800,0100,N 184352,S200000,02200,0100,Y 184352,S200000,02800,0100,N 184352,S200000,02900,0100,N 184352,S200000,03000,0100,N 184352,S200000,03100,0100,N 184352,S200000,03200,0100,N 184352,S200000,03300,0100,N 184352,S200000,03300,0200,N 184352,S200000,04100,0100,N 184352,S200000,04200,0100,N 184352,S200000,04300,0100,Y 184352,S200000,04600,0100,N 184352,S200000,04700,0100,N 184352,S200000,04900,0100,N 184352,S200000,05200,0100,N 184787,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 184787,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 184787,A000000,00201,0000,0201CAP REL- ADMIN BLDG 184787,A000000,00401,0000,0401NONPATIENT PHONES 184787,A000000,00402,0000,0402DATA PROCESSING 184787,A000000,00403,0000,0403ADMITTING 184787,A000000,00404,0000,0404CASHIERING/ACC REC 184787,A000000,00405,0000,0405OTHER ADMIN & GENERAL 184787,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 184787,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 184787,A000000,00700,0000,0700HOUSEKEEPING 184787,A000000,00800,0000,0800DIETARY 184787,A000000,00900,0000,0900NURSING ADMINISTRATION 184787,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 184787,A000000,01100,0000,1100PHARMACY 184787,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 184787,A000000,01300,0000,1300SOCIAL SERVICE 184787,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 184787,A000000,01600,0000,1600SKILLED NURSING FACILITY 184787,A000000,01800,0000,1800NURSING FACILITY 184787,A000000,01900,0000,1900OTHER LONG TERM CARE 184787,A000000,02100,0000,2100RADIOLOGY 184787,A000000,02200,0000,2200LABORATORY 184787,A000000,02300,0000,2300INTRAVENOUS THERAPY 184787,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 184787,A000000,02500,0000,2500PHYSICAL THERAPY 184787,A000000,02600,0000,2600OCCUPATIONAL THERAPY 184787,A000000,02700,0000,2700SPEECH PATHOLOGY 184787,A000000,02800,0000,2800ELECTROCARDIOLOGY 184787,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 184787,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 184787,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 184787,A000000,03200,0000,3200SUPPORT SURFACES 184787,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 184787,A000000,03400,0000,3400CLINIC 184787,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 184787,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 184787,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 184787,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 184787,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 184787,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 184787,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 184787,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 184787,A000000,04400,0000,4400DME RENTED - HHA 184787,A000000,04500,0000,4500DME SOLD - HHA 184787,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 184787,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 184787,A000000,04800,0000,4800AMBULANCE 184787,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 184787,A000000,05000,0000,5000CORF 184787,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 184787,A000000,05300,0000,5300INTEREST EXPENSE 184787,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 184787,A000000,05500,0000,5500HOSPICE 184787,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 184787,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 184787,A000000,05900,0000,5900BARBER & BEAUTY SHOP 184787,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 184787,A000000,06100,0000,6100NONPAID WORKERS 184787,A000000,06200,0000,6200PATIENTS LAUNDRY 184787,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 184787,A000000,06301,0000,6151MERCY MEDICAL REIMBURSABLE 184787,A81000A,00100,0100,Y 184787,A81000B,00100,0300,HOME OFFICE COSTS 184787,A81000B,00200,0300,HOME OFFICE COSTS-CAP 184787,A81000C,00100,0100,G 184787,A81000C,00100,0200,CATHOLIC HEALTH 184787,A81000C,00100,0400,MERCY MEDICAL 184787,A81000C,00100,0600,HOME OFFICE 184787,A81000C,00200,0100,G 184787,A81000C,00200,0200,CATHOLIC HEALTH 184787,A81000C,00200,0400,MERCY MEDICAL 184787,A81000C,00200,0600,HOME OFFICE 184787,A81000C,03100,0000,CATHOLIC HEALTH EAST 184787,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 184787,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 184787,B100000,00000,0201,0251SQUARE FEET :CAP REL- ADMIN BLD 184787,B100000,00000,0401,0451NONPATIENT PHONES :NONPATIENT P 184787,B100000,00000,0402,0452TIME SPENT :DATA PROCESSING 184787,B100000,00000,0403,0453I/P REVENU :ADMITTING 184787,B100000,00000,0404,0454GROSS PATI REVENUES :CASHIERING/ 184787,B100000,00000,0405,0405 ACCUM. COST :OTHER ADMIN & GENE 184787,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 184787,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 184787,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 184787,B100000,00000,0800,0800MEALS SERVED :DIETARY 184787,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 184787,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 184787,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 184787,S000000,00100,0200,06/02/00 184787,S200000,00100,0100,3712 DAUPHIN STREET 184787,S200000,00200,0100,MOBILE 184787,S200000,00200,0200,AL 184787,S200000,00200,0300,36608- 184787,S200000,00300,0100,MOBILE 184787,S200000,00300,0200,5160 184787,S200000,00300,0300,U 184787,S200000,00400,0100,MERCY MEDICAL SNF-MOBILE 184787,S200000,00400,0200,015426 184787,S200000,00400,0300,02/02/97 184787,S200000,00400,0500,P 184787,S200000,01500,0100,Y 184787,S200000,01600,0100,N 184787,S200000,01700,0100,N 184787,S200000,01800,0100,N 184787,S200000,02200,0100,N 184787,S200000,02800,0100,N 184787,S200000,02900,0100,N 184787,S200000,03000,0100,N 184787,S200000,03100,0100,N 184787,S200000,03200,0100,N 184787,S200000,04100,0100,N 184787,S200000,04200,0100,N 184787,S200000,04300,0100,N 184787,S200000,04600,0100,N 184787,S200000,04700,0100,N 184787,S200000,04700,0200,N 184787,S200000,04900,0100,N 184787,S200000,05000,0100,N 184787,S200000,05100,0100,N 184787,S200000,05200,0100,N 186534,S000000,00100,0200,04/21/04 186534,S200000,00100,0100,HWY 79-NORTH 186534,S200000,00200,0100,HOMER 186534,S200000,00200,0200,LA 186534,S200000,00200,0300,710400307 186534,S200000,00300,0100,CLAIBORNE PARISH 186534,S200000,00400,0100,CLAIBORN MANOR-SNF 186534,S200000,00400,0300,12/02/97 186540,S000000,00100,0200,05/30/00 186540,S200000,00100,0100,3625 MAGNOLIA AVE 186540,S200000,00200,0100,ST. LOUIS 186540,S200000,00200,0200,MO 186540,S200000,00200,0300,63110 186540,S200000,00300,0100,ST. LOUIS 186540,S200000,00400,0100,BEAUVAIS MANOR 186540,S200000,00400,0300,02/16/99 186756,S000000,00100,0200,04/09/01 186756,S200000,00100,0100,18TH & WEIN 186756,S200000,00200,0100,HERMANN 186756,S200000,00200,0200,MO 186756,S200000,00200,0300,65041 186756,S200000,00300,0100,GASCONADE 186756,S200000,00400,0100,FRENE VALLEY HEALTH CENTER 186756,S200000,00400,0300,07/10/96 187421,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187421,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187421,A000000,00300,0000,0300EMPLOYEE BENEFITS 187421,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187421,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187421,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187421,A000000,00700,0000,0700HOUSEKEEPING 187421,A000000,00800,0000,0800DIETARY 187421,A000000,00900,0000,0900NURSING ADMINISTRATION 187421,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187421,A000000,01100,0000,1100PHARMACY 187421,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187421,A000000,01300,0000,1300SOCIAL SERVICE 187421,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 187421,A000000,01500,0000,1350ACTIVITIES 187421,A000000,01600,0000,1600SKILLED NURSING FACILITY 187421,A000000,01800,0000,1800NURSING FACILITY 187421,A000000,01810,0000,1810ICF/MR 187421,A000000,02500,0000,2500PHYSICAL THERAPY 187421,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187421,A000000,02700,0000,2700SPEECH PATHOLOGY 187421,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187421,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187421,A000000,03200,0000,3200SUPPORT SURFACES 187421,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 187421,A000000,03550,0000,3550FQHC 187421,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 187421,A000000,05000,0000,5000CORF 187421,A000000,05010,0000,5010CMHC 187421,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 187421,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 187421,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 187421,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 187421,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 187421,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187421,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 187421,A81000A,00100,0100,Y 187421,A81000B,00100,0300,CAPITAL 187421,A81000B,00200,0300,WORKING CAPITAL INTEREST 187421,A81000B,00300,0300,DIETARY 187421,A81000B,00400,0300,MED SUPPLIES 187421,A81000B,00500,0300,MANAGEMENT FEES 187421,A81000B,00600,0300,ACCOUNTING FEES 187421,A81000C,00100,0100,A 187421,A81000C,00100,0200,DOUG MITTLEIDER 187421,A81000C,00200,0100,A 187421,A81000C,00200,0200,MIKE FOXWORTHY 187421,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187421,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187421,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 187421,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187421,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187421,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187421,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 187421,B100000,00000,0800,0800MEALS SERVED :DIETARY 187421,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187421,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187421,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 187421,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 187421,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187421,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 187421,S000000,00100,0200,12/14/00 187421,S200000,00100,0100,600 BACON STREET 187421,S200000,00200,0100,MADISONVILLE 187421,S200000,00200,0200,TX 187421,S200000,00200,0300,77864- 187421,S200000,00300,0100,MADISON 187421,S200000,00300,0300,R 187421,S200000,00400,0100,RIVERWOOD HEALTHCARE & REHAB 187421,S200000,00400,0200,675481 187421,S200000,00400,0300,07/01/95 187421,S200000,00400,0500,P 187421,S200000,01500,0100,N 187421,S200000,01600,0100,Y 187421,S200000,01700,0100,N 187421,S200000,01800,0100,N 187421,S200000,02200,0100,N 187421,S200000,02800,0100,N 187421,S200000,02900,0100,N 187421,S200000,03000,0100,N 187421,S200000,03100,0100,N 187421,S200000,03200,0100,N 187421,S200000,04100,0100,N 187421,S200000,04200,0100,N 187421,S200000,04300,0100,N 187421,S200000,04600,0100,N 187421,S200000,04700,0100,N 187421,S200000,04700,0200,N 187421,S200000,04900,0100,N 187421,S200000,05000,0100,N 187421,S200000,05100,0100,N 187421,S200000,05200,0100,N 187541,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 187541,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 187541,A000000,00300,0000,0300EMPLOYEE BENEFITS 187541,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187541,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 187541,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187541,A000000,00700,0000,0700HOUSEKEEPING 187541,A000000,00800,0000,0800DIETARY 187541,A000000,00900,0000,0900NURSING ADMINISTRATION 187541,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187541,A000000,01100,0000,1100PHARMACY 187541,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187541,A000000,01300,0000,1300SOCIAL SERVICE 187541,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 187541,A000000,01600,0000,1600SKILLED NURSING FACILITY 187541,A000000,01800,0000,1800NURSING FACILITY 187541,A000000,01810,0000,1810ICF/MR 187541,A000000,02100,0000,2100RADIOLOGY 187541,A000000,02200,0000,2200LABORATORY 187541,A000000,02300,0000,2300INTRAVENOUS THERAPY 187541,A000000,02500,0000,2500PHYSICAL THERAPY 187541,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187541,A000000,02700,0000,2700SPEECH PATHOLOGY 187541,A000000,02801,0000,2801COMPLEX MEDICAL EQUIPMENT 187541,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 187541,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187541,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 187541,A000000,03550,0000,3550FQHC 187541,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 187541,A000000,04800,0000,4800AMBULANCE 187541,A000000,04801,0000,4801AMBULANCE 187541,A000000,04802,0000,4802AMBULANCE 187541,A000000,04803,0000,4803AMBULANCE 187541,A000000,05000,0000,5000CORF 187541,A000000,05010,0000,5010CMHC 187541,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 187541,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 187541,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 187541,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 187541,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 187541,A81000A,00100,0100,Y 187541,A81000B,00100,0300,CORPORATE OFFICE ALLOCATION 187541,A81000C,00100,0100,C 187541,A81000C,00100,0200,NHS INC. 187541,A81000C,00100,0400,NHS INC. 187541,A81000C,00100,0600,HOME OFFICE 187541,B100000,00000,0100,0100SQUARE FEET 187541,B100000,00000,0200,0200SQUARE FEET 187541,B100000,00000,0300,0300GROSS SALARIES 187541,B100000,00000,0400,0400ACCUM COST 187541,B100000,00000,0500,0500SQUARE FEET 187541,B100000,00000,0600,0600POUNDS OF LAUNDRY 187541,B100000,00000,0700,0700HOURS OF SERVICE 187541,B100000,00000,0800,0800MEALS SERVED 187541,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 187541,B100000,00000,1000,1000COSTED REQUISITIO 187541,B100000,00000,1100,1100COSTED REQUISITIO 187541,B100000,00000,1200,1200TIME SPENT 187541,B100000,00000,1300,1300TIME SPENT 187541,B100000,00000,1400,1400ASSIGNED TIME 187541,E10A180,00501,0100,07/07/00 187541,E10A180,00501,0300,07/07/00 187541,S000000,00100,0200,05/31/00 187541,S200000,00100,0100,1414 SOUTH ELM 187541,S200000,00200,0100,PARIS 187541,S200000,00200,0200,AR 187541,S200000,00200,0300,72855 187541,S200000,00300,0100,LOGAN 187541,S200000,00300,0200,0004 187541,S200000,00300,0300,U 187541,S200000,00400,0100,PARIS HEALTH & REHAB CENTER 187541,S200000,00400,0200,045300 187541,S200000,00400,0300,12/01/97 187541,S200000,00400,0500,P 187541,S200000,01500,0100,N 187541,S200000,01600,0100,Y 187541,S200000,01700,0100,N 187541,S200000,01800,0100,N 187541,S200000,02200,0100,N 187541,S200000,02800,0100,N 187541,S200000,02900,0100,N 187541,S200000,03000,0100,N 187541,S200000,03100,0100,N 187541,S200000,03200,0100,N 187541,S200000,03300,0100,N 187541,S200000,03300,0200,N 187541,S200000,04100,0100,N 187541,S200000,04200,0100,N 187541,S200000,04300,0100,N 187541,S200000,04600,0100,N 187541,S200000,04700,0100,N 187541,S200000,04900,0100,N 187541,S200000,05200,0100,N 187561,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187561,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187561,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187561,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187561,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187561,A000000,00700,0000,0700HOUSEKEEPING 187561,A000000,00800,0000,0800DIETARY 187561,A000000,00900,0000,0900NURSING ADMINISTRATION 187561,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187561,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187561,A000000,01300,0000,1300SOCIAL SERVICE 187561,A000000,01600,0000,1600SKILLED NURSING FACILITY 187561,A000000,01800,0000,1800NURSING FACILITY 187561,A000000,02100,0000,2100RADIOLOGY 187561,A000000,02200,0000,2200LABORATORY 187561,A000000,02300,0000,2300INTRAVENOUS THERAPY 187561,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187561,A000000,02500,0000,2500PHYSICAL THERAPY 187561,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187561,A000000,02700,0000,2700SPEECH PATHOLOGY 187561,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187561,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187561,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 187561,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 187561,A000000,03302,0000,3052MEDICAL EQUIPMENT 187561,A000000,04800,0000,4800AMBULANCE 187561,A000000,05300,0000,5300INTEREST EXPENSE 187561,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187561,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187561,A000000,06200,0000,6200PATIENTS LAUNDRY 187561,A81000A,00100,0100,Y 187561,A81000B,00100,0300,HOME OFFICE A&G 187561,A81000B,00200,0300,HOME OFFICE CAPITAL 187561,A81000B,00300,0300,DIVISION OFFICE A&G 187561,A81000B,00400,0300,DIVISION OFFICE CAPITAL 187561,A81000B,00500,0300,INSURANCE 187561,A81000C,00100,0100,B 187561,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 187561,A81000C,00200,0100,G 187561,A81000C,00200,0200,LAURIER INC. 187561,A81000C,00200,0400,EXTENDICARE INC. 187561,A81000C,00200,0600,INSURANCE 187561,A81000C,00300,0100,G 187561,A81000C,00300,0200,UNITED REHABILITATION SVS 187561,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 187561,A81000C,00300,0600,THERAPY SERVICE 187561,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187561,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187561,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187561,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187561,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187561,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 187561,B100000,00000,0800,0850PATIENT DAYS :DIETARY 187561,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187561,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187561,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 187561,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187561,E10A180,00301,0100,06/22/98 187561,E10A180,00301,0300,06/22/98 187561,E10A180,00350,0100,06/22/98 187561,E10A180,00350,0300,06/22/98 187561,S000000,00100,0200,06/02/00 187561,S200000,00100,0100,701 VICTORIA STREET 187561,S200000,00200,0100,BRANDON 187561,S200000,00200,0200,FL 187561,S200000,00200,0300,33510- 187561,S200000,00300,0100,HILLSBOROUGH 187561,S200000,00300,0200,8280 187561,S200000,00300,0300,U 187561,S200000,00400,0100,ARBORS AT BRANDON 187561,S200000,00400,0200,105520 187561,S200000,00400,0300,09/04/85 187561,S200000,00400,0500,P 187561,S200000,01500,0100,N 187561,S200000,01600,0100,Y 187561,S200000,01700,0100,N 187561,S200000,01800,0100,N 187561,S200000,02200,0100,N 187561,S200000,02800,0100,N 187561,S200000,02900,0100,N 187561,S200000,03000,0100,N 187561,S200000,03100,0100,N 187561,S200000,03200,0100,N 187561,S200000,04100,0100,N 187561,S200000,04200,0100,N 187561,S200000,04300,0100,N 187561,S200000,04600,0100,N 187561,S200000,04700,0100,N 187561,S200000,04700,0200,N 187561,S200000,04900,0100,N 187561,S200000,05000,0100,N 187561,S200000,05100,0100,N 187561,S200000,05200,0100,N 187562,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187562,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187562,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187562,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187562,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187562,A000000,00700,0000,0700HOUSEKEEPING 187562,A000000,00800,0000,0800DIETARY 187562,A000000,00900,0000,0900NURSING ADMINISTRATION 187562,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187562,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187562,A000000,01300,0000,1300SOCIAL SERVICE 187562,A000000,01600,0000,1600SKILLED NURSING FACILITY 187562,A000000,01800,0000,1800NURSING FACILITY 187562,A000000,02100,0000,2100RADIOLOGY 187562,A000000,02200,0000,2200LABORATORY 187562,A000000,02300,0000,2300INTRAVENOUS THERAPY 187562,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187562,A000000,02500,0000,2500PHYSICAL THERAPY 187562,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187562,A000000,02700,0000,2700SPEECH PATHOLOGY 187562,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187562,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187562,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 187562,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 187562,A000000,03302,0000,3052MEDICAL EQUIPMENT 187562,A000000,04800,0000,4800AMBULANCE 187562,A000000,05300,0000,5300INTEREST EXPENSE 187562,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187562,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187562,A000000,06200,0000,6200PATIENTS LAUNDRY 187562,A81000A,00100,0100,Y 187562,A81000B,00100,0300,HOME OFFICE A&G 187562,A81000B,00200,0300,HOME OFFICE CAPITAL 187562,A81000B,00300,0300,DIVISION OFFICE A&G 187562,A81000B,00400,0300,DIVISION OFFICE CAPITAL 187562,A81000B,00500,0300,INSURANCE 187562,A81000C,00100,0100,B 187562,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 187562,A81000C,00200,0100,G 187562,A81000C,00200,0200,LAURIER INC. 187562,A81000C,00200,0400,EXTENDICARE INC. 187562,A81000C,00200,0600,INSURANCE 187562,A81000C,00300,0100,G 187562,A81000C,00300,0200,UNITED REHABILITATION SVS 187562,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 187562,A81000C,00300,0600,THERAPY SERVICE 187562,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187562,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187562,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187562,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187562,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187562,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 187562,B100000,00000,0800,0850PATIENT DAYS :DIETARY 187562,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187562,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187562,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 187562,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187562,E10A180,00301,0100,06/22/98 187562,E10A180,00301,0300,06/22/98 187562,E10A180,00350,0100,06/22/98 187562,E10A180,00350,0300,06/22/98 187562,S000000,00100,0200,06/02/00 187562,S200000,00100,0100,2020 WEST LAKE PARKER 187562,S200000,00200,0100,LAKELAND 187562,S200000,00200,0200,FL 187562,S200000,00200,0300,33805- 187562,S200000,00300,0100,POLK 187562,S200000,00300,0200,3980 187562,S200000,00300,0300,U 187562,S200000,00400,0100,ARBORS AT LAKELAND 187562,S200000,00400,0200,105693 187562,S200000,00400,0300,05/14/90 187562,S200000,00400,0500,P 187562,S200000,01500,0100,N 187562,S200000,01600,0100,Y 187562,S200000,01700,0100,N 187562,S200000,01800,0100,N 187562,S200000,02200,0100,N 187562,S200000,02800,0100,N 187562,S200000,02900,0100,N 187562,S200000,03000,0100,N 187562,S200000,03100,0100,N 187562,S200000,03200,0100,N 187562,S200000,04100,0100,N 187562,S200000,04200,0100,N 187562,S200000,04300,0100,N 187562,S200000,04600,0100,N 187562,S200000,04700,0100,N 187562,S200000,04700,0200,N 187562,S200000,04900,0100,N 187562,S200000,05000,0100,N 187562,S200000,05100,0100,N 187562,S200000,05200,0100,N 187563,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187563,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187563,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187563,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187563,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187563,A000000,00700,0000,0700HOUSEKEEPING 187563,A000000,00800,0000,0800DIETARY 187563,A000000,00900,0000,0900NURSING ADMINISTRATION 187563,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187563,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187563,A000000,01300,0000,1300SOCIAL SERVICE 187563,A000000,01600,0000,1600SKILLED NURSING FACILITY 187563,A000000,01800,0000,1800NURSING FACILITY 187563,A000000,02100,0000,2100RADIOLOGY 187563,A000000,02200,0000,2200LABORATORY 187563,A000000,02300,0000,2300INTRAVENOUS THERAPY 187563,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187563,A000000,02500,0000,2500PHYSICAL THERAPY 187563,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187563,A000000,02700,0000,2700SPEECH PATHOLOGY 187563,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187563,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187563,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 187563,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 187563,A000000,03302,0000,3052MEDICAL EQUIPMENT 187563,A000000,04800,0000,4800AMBULANCE 187563,A000000,05300,0000,5300INTEREST EXPENSE 187563,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187563,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187563,A000000,06200,0000,6200PATIENTS LAUNDRY 187563,A81000A,00100,0100,Y 187563,A81000B,00100,0300,HOME OFFICE A&G 187563,A81000B,00200,0300,HOME OFFICE CAPITAL 187563,A81000B,00300,0300,DIVISION OFFICE A&G 187563,A81000B,00400,0300,DIVISION OFFICE CAPITAL 187563,A81000B,00500,0300,INSURANCE 187563,A81000C,00100,0100,B 187563,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 187563,A81000C,00200,0100,G 187563,A81000C,00200,0200,LAURIER INC. 187563,A81000C,00200,0400,EXTENDICARE INC. 187563,A81000C,00200,0600,INSURANCE 187563,A81000C,00300,0100,G 187563,A81000C,00300,0200,UNITED REHABILITATION SVS 187563,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 187563,A81000C,00300,0600,THERAPY SERVICE 187563,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187563,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187563,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187563,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187563,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187563,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 187563,B100000,00000,0800,0850PATIENT DAYS :DIETARY 187563,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187563,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187563,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 187563,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187563,E10A180,00301,0100,06/22/98 187563,E10A180,00301,0300,06/22/98 187563,E10A180,00350,0100,06/22/98 187563,E10A180,00350,0300,06/22/98 187563,S000000,00100,0200,06/02/00 187563,S200000,00100,0100,1099 MAGNOLIA AVE 187563,S200000,00200,0100,ALTAMONTE SPRINGS 187563,S200000,00200,0200,FL 187563,S200000,00200,0300,32714- 187563,S200000,00300,0100,ORANGE 187563,S200000,00300,0200,5960 187563,S200000,00300,0300,U 187563,S200000,00400,0100,ARBORS AT ORLANDO 187563,S200000,00400,0200,105843 187563,S200000,00400,0300,02/17/94 187563,S200000,00400,0500,P 187563,S200000,01500,0100,N 187563,S200000,01600,0100,Y 187563,S200000,01700,0100,N 187563,S200000,01800,0100,N 187563,S200000,02200,0100,N 187563,S200000,02800,0100,N 187563,S200000,02900,0100,N 187563,S200000,03000,0100,N 187563,S200000,03100,0100,N 187563,S200000,03200,0100,N 187563,S200000,04100,0100,N 187563,S200000,04200,0100,N 187563,S200000,04300,0100,N 187563,S200000,04600,0100,N 187563,S200000,04700,0100,N 187563,S200000,04700,0200,N 187563,S200000,04900,0100,N 187563,S200000,05000,0100,N 187563,S200000,05100,0100,N 187563,S200000,05200,0100,N 187564,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187564,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187564,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187564,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187564,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187564,A000000,00700,0000,0700HOUSEKEEPING 187564,A000000,00800,0000,0800DIETARY 187564,A000000,00900,0000,0900NURSING ADMINISTRATION 187564,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187564,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187564,A000000,01300,0000,1300SOCIAL SERVICE 187564,A000000,01600,0000,1600SKILLED NURSING FACILITY 187564,A000000,01800,0000,1800NURSING FACILITY 187564,A000000,02100,0000,2100RADIOLOGY 187564,A000000,02200,0000,2200LABORATORY 187564,A000000,02300,0000,2300INTRAVENOUS THERAPY 187564,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187564,A000000,02500,0000,2500PHYSICAL THERAPY 187564,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187564,A000000,02700,0000,2700SPEECH PATHOLOGY 187564,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187564,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187564,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 187564,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 187564,A000000,03302,0000,3052MEDICAL EQUIPMENT 187564,A000000,04800,0000,4800AMBULANCE 187564,A000000,05300,0000,5300INTEREST EXPENSE 187564,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187564,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187564,A000000,06200,0000,6200PATIENTS LAUNDRY 187564,A81000A,00100,0100,Y 187564,A81000B,00100,0300,HOME OFFICE A&G 187564,A81000B,00200,0300,HOME OFFICE CAPITAL 187564,A81000B,00300,0300,DIVISION OFFICE A&G 187564,A81000B,00400,0300,DIVISION OFFICE CAPITAL 187564,A81000B,00500,0300,INSURANCE 187564,A81000C,00100,0100,B 187564,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 187564,A81000C,00200,0100,G 187564,A81000C,00200,0200,LAURIER INC. 187564,A81000C,00200,0400,EXTENDICARE INC. 187564,A81000C,00200,0600,INSURANCE 187564,A81000C,00300,0100,G 187564,A81000C,00300,0200,UNITED REHABILITATION SVS 187564,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 187564,A81000C,00300,0600,THERAPY SERVICE 187564,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187564,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187564,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187564,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187564,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187564,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 187564,B100000,00000,0800,0850PATIENT DAYS :DIETARY 187564,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187564,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187564,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 187564,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187564,E10A180,00301,0100,06/22/98 187564,E10A180,00301,0300,06/22/98 187564,E10A180,00350,0100,06/22/98 187564,E10A180,00350,0300,06/22/98 187564,S000000,00100,0200,06/02/00 187564,S200000,00100,0100,3033 SARNO ROAD 187564,S200000,00200,0100,MELBOURNE 187564,S200000,00200,0200,FL 187564,S200000,00200,0300,32934- 187564,S200000,00300,0100,BREVARD 187564,S200000,00300,0200,4900 187564,S200000,00300,0300,U 187564,S200000,00400,0100,ARBORS AT MELBOURNE 187564,S200000,00400,0200,105861 187564,S200000,00400,0300,08/19/94 187564,S200000,00400,0500,P 187564,S200000,01500,0100,N 187564,S200000,01600,0100,Y 187564,S200000,01700,0100,N 187564,S200000,01800,0100,N 187564,S200000,02200,0100,N 187564,S200000,02800,0100,N 187564,S200000,02900,0100,N 187564,S200000,03000,0100,N 187564,S200000,03100,0100,N 187564,S200000,03200,0100,N 187564,S200000,04100,0100,N 187564,S200000,04200,0100,N 187564,S200000,04300,0100,N 187564,S200000,04600,0100,N 187564,S200000,04700,0100,N 187564,S200000,04700,0200,N 187564,S200000,04900,0100,N 187564,S200000,05000,0100,N 187564,S200000,05100,0100,N 187564,S200000,05200,0100,N 187566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187566,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187566,A000000,00700,0000,0700HOUSEKEEPING 187566,A000000,00800,0000,0800DIETARY 187566,A000000,00900,0000,0900NURSING ADMINISTRATION 187566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187566,A000000,01300,0000,1300SOCIAL SERVICE 187566,A000000,01600,0000,1600SKILLED NURSING FACILITY 187566,A000000,01800,0000,1800NURSING FACILITY 187566,A000000,02100,0000,2100RADIOLOGY 187566,A000000,02200,0000,2200LABORATORY 187566,A000000,02300,0000,2300INTRAVENOUS THERAPY 187566,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187566,A000000,02500,0000,2500PHYSICAL THERAPY 187566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187566,A000000,02700,0000,2700SPEECH PATHOLOGY 187566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187566,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 187566,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 187566,A000000,03302,0000,3052MEDICAL EQUIPMENT 187566,A000000,04800,0000,4800AMBULANCE 187566,A000000,05300,0000,5300INTEREST EXPENSE 187566,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187566,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187566,A000000,06200,0000,6200PATIENTS LAUNDRY 187566,A81000A,00100,0100,Y 187566,A81000B,00100,0300,HOME OFFICE A&G 187566,A81000B,00200,0300,HOME OFFICE CAPITAL 187566,A81000B,00300,0300,DIVISION OFFICE A&G 187566,A81000B,00400,0300,DIVISION OFFICE CAPITAL 187566,A81000B,00500,0300,INSURANCE 187566,A81000C,00100,0100,B 187566,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 187566,A81000C,00200,0100,G 187566,A81000C,00200,0200,LAURIER INC. 187566,A81000C,00200,0400,EXTENDICARE INC. 187566,A81000C,00200,0600,INSURANCE 187566,A81000C,00300,0100,G 187566,A81000C,00300,0200,UNITED REHABILITATION SVS 187566,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 187566,A81000C,00300,0600,THERAPY SERVICE 187566,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 187566,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 187566,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187566,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 187566,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 187566,B100000,00000,0700,0750ALTERNATE SQUARE FEE :HOUSEKEEPI 187566,B100000,00000,0800,0850PATIENT DAYS :DIETARY 187566,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 187566,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 187566,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 187566,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 187566,E10A180,00301,0100,06/22/98 187566,E10A180,00301,0300,06/22/98 187566,E10A180,00350,0100,06/22/98 187566,E10A180,00350,0300,06/22/98 187566,S000000,00100,0200,06/02/00 187566,S200000,00100,0100,235 WEST AIRPORT BOULEVARD 187566,S200000,00200,0100,PENSACOLA 187566,S200000,00200,0200,FL 187566,S200000,00200,0300,32505- 187566,S200000,00300,0100,ESCAMBIA 187566,S200000,00300,0200,6080 187566,S200000,00300,0300,U 187566,S200000,00400,0100,ARBORS AT PENSACOLA 187566,S200000,00400,0200,105935 187566,S200000,00400,0300,01/08/97 187566,S200000,00400,0500,P 187566,S200000,01500,0100,N 187566,S200000,01600,0100,Y 187566,S200000,01700,0100,N 187566,S200000,01800,0100,N 187566,S200000,02200,0100,N 187566,S200000,02800,0100,N 187566,S200000,02900,0100,N 187566,S200000,03000,0100,N 187566,S200000,03100,0100,N 187566,S200000,03200,0100,N 187566,S200000,04100,0100,N 187566,S200000,04200,0100,N 187566,S200000,04300,0100,N 187566,S200000,04600,0100,N 187566,S200000,04700,0100,N 187566,S200000,04700,0200,N 187566,S200000,04900,0100,N 187566,S200000,05000,0100,N 187566,S200000,05100,0100,N 187566,S200000,05200,0100,N 187595,S000000,00100,0200,02/02/01 187595,S200000,00100,0100,1630 - 43RD AVENUE E 187595,S200000,00200,0100,SEATTLE 187595,S200000,00200,0200,WV 187595,S200000,00200,0300,98112 187595,S200000,00300,0100,KING 187595,S200000,00400,0100,PARK SHORE 187595,S200000,00400,0300,09/01/95 187949,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 187949,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 187949,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 187949,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 187949,A000000,00300,0000,0300EMPLOYEE BENEFITS 187949,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 187949,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 187949,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 187949,A000000,00700,0000,0700HOUSEKEEPING 187949,A000000,00800,0000,0800DIETARY 187949,A000000,00801,0000,0801CAFETERIA 187949,A000000,00900,0000,0900NURSING ADMINISTRATION 187949,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 187949,A000000,01100,0000,1100PHARMACY 187949,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 187949,A000000,01300,0000,1300SOCIAL SERVICE 187949,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 187949,A000000,01500,0000,1350ACTIVITIES 187949,A000000,01600,0000,1600SKILLED NURSING FACILITY 187949,A000000,01800,0000,1800NURSING FACILITY 187949,A000000,01900,0000,1900OTHER LONG TERM CARE 187949,A000000,02100,0000,2100RADIOLOGY 187949,A000000,02200,0000,2200LABORATORY 187949,A000000,02300,0000,2300INTRAVENOUS THERAPY 187949,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 187949,A000000,02500,0000,2500PHYSICAL THERAPY 187949,A000000,02600,0000,2600OCCUPATIONAL THERAPY 187949,A000000,02700,0000,2700SPEECH PATHOLOGY 187949,A000000,02800,0000,2800ELECTROCARDIOLOGY 187949,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 187949,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 187949,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 187949,A000000,03200,0000,3200SUPPORT SURFACES 187949,A000000,03300,0000,3050OXYGEN 187949,A000000,03301,0000,3051OTHER ANCILLARY II 187949,A000000,03302,0000,3052OTHER ANCILLARY III 187949,A000000,03400,0000,3400CLINIC 187949,A000000,03500,0000,3500RURAL HEALTH CLINIC 187949,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 187949,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 187949,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 187949,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 187949,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 187949,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 187949,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 187949,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 187949,A000000,04400,0000,4400DME RENTED - HHA 187949,A000000,04500,0000,4500DME SOLD - HHA 187949,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 187949,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 187949,A000000,04800,0000,4800AMBULANCE 187949,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 187949,A000000,05000,0000,5000CORF 187949,A000000,05010,0000,5010CMHC I 187949,A000000,05020,0000,5020OPT I 187949,A000000,05100,0000,4750OTHER REIMBURSABLE COST 187949,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 187949,A000000,05300,0000,5300INTEREST EXPENSE 187949,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 187949,A000000,05500,0000,5500HOSPICE 187949,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 187949,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 187949,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 187949,A000000,05900,0000,5900BARBER & BEAUTY SHOP 187949,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 187949,A000000,06100,0000,6100NONPAID WORKERS 187949,A000000,06200,0000,6200PATIENTS LAUNDRY 187949,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 187949,A81000A,00100,0100,Y 187949,A81000B,00100,0300,BUILDING LEASE 187949,A81000B,00200,0300,ADMINISTRATIVE 187949,A81000B,00300,0300,ORGAN/LOAN AMORT 187949,A81000B,00400,0300,CONSULTING 187949,A81000B,00500,0300,INTEREST 187949,A81000B,00600,0300,LOSS ON DISPOSAL 187949,A81000B,00700,0300,TRAVEL 187949,A81000B,00800,0300,MKT / PR 187949,A81000C,00100,0100,A 187949,A81000C,00100,0200,M. J. J. JILES 187949,A81000C,00100,0400,JHS LLC 187949,A81000C,00100,0600,BUILDING LEASE 187949,A81000C,00200,0100,A 187949,A81000C,00200,0200,M. J. J. JILES 187949,A81000C,00200,0400,JHS LLC 187949,A81000C,00200,0600,ADMINISTRATIVE 187949,A81000C,00300,0100,A 187949,A81000C,00300,0200,M. J. J. JILES 187949,A81000C,00300,0400,JHS LLC 187949,A81000C,00300,0600,AMORTIZATION 187949,A81000C,00400,0100,G 187949,A81000C,00400,0200,JON JILES 187949,A81000C,00400,0600,CONSULTING 187949,A81000C,00500,0100,G 187949,A81000C,00500,0200,MAX JILES 187949,A81000C,00500,0600,INTEREST 187949,A81000C,00600,0100,A 187949,A81000C,00600,0200,M. J. J. JILES 187949,A81000C,00600,0400,JHS LLC 187949,A81000C,00600,0600,LOSS - DISPOSAL 187949,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 187949,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 187949,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 187949,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 187949,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 187949,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 187949,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 187949,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 187949,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 187949,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 187949,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 187949,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 187949,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 187949,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 187949,S000000,00100,0200,05/18/00 187949,S200000,00100,0100,2845 N. 15TH ST. 187949,S200000,00200,0100,GRAND JUNCTION 187949,S200000,00200,0200,CO 187949,S200000,00200,0300,81506- 187949,S200000,00300,0100,MESA 187949,S200000,00300,0200,2995 187949,S200000,00300,0300,U 187949,S200000,00400,0100,LARCHWOOD INNS INC. 187949,S200000,00400,0200,065331 187949,S200000,00400,0300,09/22/94 187949,S200000,00400,0500,P 187949,S200000,01500,0100,N 187949,S200000,01600,0100,Y 187949,S200000,01700,0100,N 187949,S200000,01800,0100,N 187949,S200000,02200,0100,Y 187949,S200000,02800,0100,N 187949,S200000,02900,0100,N 187949,S200000,03000,0100,N 187949,S200000,03100,0100,N 187949,S200000,03200,0100,N 187949,S200000,04100,0100,N 187949,S200000,04200,0100,N 187949,S200000,04300,0100,Y 187949,S200000,04600,0100,N 187949,S200000,04700,0100,N 187949,S200000,04700,0200,N 187949,S200000,04900,0100,N 187949,S200000,05000,0100,N 187949,S200000,05100,0100,N 187949,S200000,05200,0100,N 188161,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 188161,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 188161,A000000,00300,0000,0300EMPLOYEE BENEFITS 188161,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 188161,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 188161,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 188161,A000000,00700,0000,0700HOUSEKEEPING 188161,A000000,00800,0000,0800DIETARY 188161,A000000,00900,0000,0900NURSING ADMINISTRATION 188161,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 188161,A000000,01100,0000,1100PHARMACY 188161,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 188161,A000000,01300,0000,1300SOCIAL SERVICE 188161,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 188161,A000000,01600,0000,1600SKILLED NURSING FACILITY 188161,A000000,01800,0000,1800NURSING FACILITY 188161,A000000,01810,0000,1810ICF/MR 188161,A000000,01900,0000,1900OTHER LONG TERM CARE 188161,A000000,02100,0000,2100RADIOLOGY 188161,A000000,02200,0000,2200LABORATORY 188161,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 188161,A000000,02500,0000,2500PHYSICAL THERAPY 188161,A000000,02600,0000,2600OCCUPATIONAL THERAPY 188161,A000000,02700,0000,2700SPEECH PATHOLOGY 188161,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 188161,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 188161,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 188161,A000000,03550,0000,3550FQHC 188161,A000000,04800,0000,4800AMBULANCE 188161,A000000,04801,0000,4801AMBULANCE 188161,A000000,04802,0000,4802AMBULANCE 188161,A000000,04803,0000,4803AMBULANCE 188161,A000000,05000,0000,5000CORF 188161,A000000,05010,0000,5010CMHC 188161,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 188161,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 188161,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 188161,A000000,05100,0000,4750OTHER REIMBURSABLE COST 188161,A000000,05300,0000,5300INTEREST EXPENSE 188161,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 188161,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 188161,A000000,05900,0000,5900BARBER & BEAUTY SHOP 188161,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 188161,A81000A,00100,0100,Y 188161,A81000B,00100,0300,INTEREST EXPENSE 188161,A81000C,00100,0100,B 188161,A81000C,00100,0400,TOURO INFIRMARY/REHAB 188161,B100000,00000,0100,0100SQUARE FEET 188161,B100000,00000,0200,0200SQUARE FEET 188161,B100000,00000,0300,0300GROSS SALARIES 188161,B100000,00000,0400,0400ACCUM COST 188161,B100000,00000,0500,0500SQUARE FEET 188161,B100000,00000,0600,0600POUNDS OF LAUNDRY 188161,B100000,00000,0700,0700SQUARE FEET 188161,B100000,00000,0800,0800MEALS SERVED 188161,B100000,00000,0900,0900DIRECT NRSING HRS 188161,B100000,00000,1000,1000COSTED REQUIS. 188161,B100000,00000,1100,1100COSTED REQUIS. 188161,B100000,00000,1200,1200TIME SPENT 188161,B100000,00000,1300,1300TIME SPENT 188161,B100000,00000,1400,1400ASSIGNED TIME 188161,E10A180,00501,0100,08/09/00 188161,S000000,00100,0200,06/12/00 188161,S200000,00100,0100,3701 BEHRMAN PLACE 188161,S200000,00200,0100,NEW ORLEANS 188161,S200000,00200,0200,LA 188161,S200000,00200,0300,70114 188161,S200000,00300,0100,NEW ORLEANS PARISH 188161,S200000,00300,0200,5560 188161,S200000,00300,0300,U 188161,S200000,00400,0100,THE LIVING CENTER OF WOLDENBERG VILL 188161,S200000,00400,0200,195156 188161,S200000,00400,0300,12/11/80 188161,S200000,00400,0500,P 188161,S200000,01500,0100,N 188161,S200000,01600,0100,Y 188161,S200000,01700,0100,Y 188161,S200000,01800,0100,N 188161,S200000,02200,0100,N 188161,S200000,02800,0100,Y 188161,S200000,02900,0100,Y 188161,S200000,03000,0100,Y 188161,S200000,03100,0100,N 188161,S200000,03200,0100,N 188161,S200000,03300,0100,N 188161,S200000,03300,0200,N 188161,S200000,04100,0100,N 188161,S200000,04200,0100,N 188161,S200000,04300,0100,Y 188161,S200000,04600,0100,N 188161,S200000,04700,0100,N 188161,S200000,04900,0100,N 188161,S200000,05200,0100,N 188498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 188498,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 188498,A000000,00300,0000,0300EMPLOYEE BENEFITS 188498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 188498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 188498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 188498,A000000,00700,0000,0700HOUSEKEEPING 188498,A000000,00800,0000,0800DIETARY 188498,A000000,00900,0000,0900NURSING ADMINISTRATION 188498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 188498,A000000,01100,0000,1100PHARMACY 188498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 188498,A000000,01300,0000,1300SOCIAL SERVICE 188498,A000000,01600,0000,1600SKILLED NURSING FACILITY 188498,A000000,01800,0000,1800NURSING FACILITY 188498,A000000,02100,0000,2100RADIOLOGY 188498,A000000,02200,0000,2200LABORATORY 188498,A000000,02300,0000,2300INTRAVENOUS THERAPY 188498,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 188498,A000000,02500,0000,2500PHYSICAL THERAPY 188498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 188498,A000000,02700,0000,2700SPEECH PATHOLOGY 188498,A000000,02800,0000,2800ELECTROCARDIOLOGY 188498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 188498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 188498,A000000,03200,0000,3200SUPPORT SURFACES 188498,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 188498,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 188498,A000000,05100,0000,4750OTHER REIMBURSABLE COST 188498,A000000,05300,0000,5300INTEREST EXPENSE 188498,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 188498,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 188498,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 188498,A000000,05900,0000,5900BARBER & BEAUTY SHOP 188498,A000000,06200,0000,6200PATIENTS LAUNDRY 188498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 188498,A81000A,00100,0100,Y 188498,A81000B,00100,0300,HOME OFFICE PROPERTY 188498,A81000B,00200,0300,HOME OFFICE ADMINISTRATION 188498,A81000C,00100,0100,B 188498,A81000C,00100,0200,CATHOLIC HEALTH INITIATIV 188498,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 188498,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 188498,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 188498,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 188498,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 188498,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 188498,B100000,00000,0800,0850PATIENT DAYS :DIETARY 188498,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 188498,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 188498,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 188498,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 188498,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 188498,E10A180,00550,0100,05/01/00 188498,S000000,00100,0200,03/03/00 188498,S200000,00100,0100,220 SOUTH DIVISION STREET 188498,S200000,00200,0100,SANDPOINT 188498,S200000,00200,0200,ID 188498,S200000,00200,0300,83864- 188498,S200000,00300,0100,BONNER 188498,S200000,00300,0200,13 188498,S200000,00300,0300,R 188498,S200000,00400,0100,MOUNTAINSIDE CARE CENTER 188498,S200000,00400,0200,135055 188498,S200000,00400,0300,07/01/73 188498,S200000,00400,0500,P 188498,S200000,01500,0100,N 188498,S200000,01600,0100,Y 188498,S200000,01700,0100,N 188498,S200000,01800,0100,N 188498,S200000,02200,0100,N 188498,S200000,02800,0100,N 188498,S200000,02900,0100,N 188498,S200000,03000,0100,N 188498,S200000,03100,0100,N 188498,S200000,03200,0100,N 188498,S200000,04100,0100,N 188498,S200000,04200,0100,N 188498,S200000,04300,0100,N 188498,S200000,04600,0100,N 188498,S200000,04700,0100,N 188498,S200000,04700,0200,N 188498,S200000,04900,0100,N 188498,S200000,05000,0100,N 188498,S200000,05100,0100,N 188498,S200000,05200,0100,N 188719,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 188719,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 188719,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 188719,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 188719,A000000,00300,0000,0300EMPLOYEE BENEFITS 188719,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 188719,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 188719,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 188719,A000000,00700,0000,0700HOUSEKEEPING 188719,A000000,00800,0000,0800DIETARY 188719,A000000,00801,0000,0801CAFETERIA 188719,A000000,00900,0000,0900NURSING ADMINISTRATION 188719,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 188719,A000000,01100,0000,1100PHARMACY 188719,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 188719,A000000,01300,0000,1300SOCIAL SERVICE 188719,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 188719,A000000,01500,0000,1350ACTIVITIES 188719,A000000,01600,0000,1600SKILLED NURSING FACILITY 188719,A000000,01800,0000,1800NURSING FACILITY 188719,A000000,01900,0000,1900OTHER LONG TERM CARE 188719,A000000,02100,0000,2100RADIOLOGY 188719,A000000,02200,0000,2200LABORATORY 188719,A000000,02300,0000,2300INTRAVENOUS THERAPY 188719,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 188719,A000000,02500,0000,2500PHYSICAL THERAPY 188719,A000000,02600,0000,2600OCCUPATIONAL THERAPY 188719,A000000,02700,0000,2700SPEECH PATHOLOGY 188719,A000000,02800,0000,2800ELECTROCARDIOLOGY 188719,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 188719,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 188719,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 188719,A000000,03200,0000,3200SUPPORT SURFACES 188719,A000000,03300,0000,3050OXYGEN 188719,A000000,03301,0000,3051PEN THERAPY 188719,A000000,03302,0000,3052ACCUCHECK 188719,A000000,03400,0000,3400CLINIC 188719,A000000,03500,0000,3500RURAL HEALTH CLINIC 188719,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 188719,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 188719,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 188719,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 188719,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 188719,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 188719,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 188719,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 188719,A000000,04400,0000,4400DME RENTED - HHA 188719,A000000,04500,0000,4500DME SOLD - HHA 188719,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 188719,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 188719,A000000,04800,0000,4800AMBULANCE 188719,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 188719,A000000,05000,0000,5000CORF 188719,A000000,05010,0000,5010CMHC I 188719,A000000,05020,0000,5020OPT I 188719,A000000,05100,0000,4750OTHER REIMBURSABLE COST 188719,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 188719,A000000,05300,0000,5300INTEREST EXPENSE 188719,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 188719,A000000,05500,0000,5500HOSPICE 188719,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 188719,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 188719,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 188719,A000000,05900,0000,5900BARBER & BEAUTY SHOP 188719,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 188719,A000000,06100,0000,6100NONPAID WORKERS 188719,A000000,06200,0000,6200PATIENTS LAUNDRY 188719,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 188719,A81000A,00100,0100,Y 188719,A81000B,00100,0300,MANAGEMENT FEES 188719,A81000B,00200,0300,MORTGAGE & DEPREC 188719,A81000B,00300,0300,WORKING CAPITAL LOAN 188719,A81000B,00400,0300,POOL NURSING 188719,A81000B,00500,0300,THERAPY CONSULTING 188719,A81000B,00600,0300,THERAPY CONSULTING 188719,A81000B,00700,0300,THERAPY CONSULTING 188719,A81000B,00800,0300,NURSING CONSULTING 188719,A81000B,00900,0300,ADMIN CONSULTING 188719,A81000C,00100,0100,A 188719,A81000C,00100,0200,SEBBAG & KRAUSZ 188719,A81000C,00100,0400,SOLOMON HTH SVC 188719,A81000C,00100,0600,MGMT SVCS 188719,A81000C,00200,0100,A 188719,A81000C,00200,0200,SEBBAG & KRAUSZ 188719,A81000C,00200,0400,O HARA PTNRSHP 188719,A81000C,00200,0600,REAL ESTATE 188719,A81000C,00300,0100,A 188719,A81000C,00300,0200,SEBBAG & KRAUSZ 188719,A81000C,00300,0400,O HARA PTNRSHP 188719,A81000C,00300,0600,REAL ESTATE 188719,A81000C,00400,0100,A 188719,A81000C,00400,0200,SEBBAG & KRAUSZ 188719,A81000C,00400,0400,PREMIER TEMPS 188719,A81000C,00400,0600,TEMP NURSING 188719,A81000C,00500,0100,A 188719,A81000C,00500,0200,SEBBAG & KRAUSZ 188719,A81000C,00500,0400,PROG PROV SVC 188719,A81000C,00500,0600,THERAPY CONSULT 188719,A81000C,00600,0100,A 188719,A81000C,00600,0200,SEBBAG & KRAUSZ 188719,A81000C,00600,0400,PROG PROV SVC 188719,A81000C,00600,0600,THERAPY CONSULT 188719,A81000C,00700,0100,A 188719,A81000C,00700,0200,SEBBAG & KRAUSZ 188719,A81000C,00700,0400,PROG PROV SVC 188719,A81000C,00700,0600,THERAPY CONSULT 188719,A81000C,00800,0100,A 188719,A81000C,00800,0200,SEBBAG & KRAUSZ 188719,A81000C,00800,0400,SOLOMON HC CONS 188719,A81000C,00800,0600,HC CONSULT 188719,A81000C,00900,0100,A 188719,A81000C,00900,0200,SEBBAG & KRAUSZ 188719,A81000C,00900,0400,SOLOMON HC CONS 188719,A81000C,00900,0600,HC CONSULT 188719,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 188719,B100000,00000,0200,0250(SQUARE FEET) :CAP REL COSTS - 188719,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 188719,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 188719,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 188719,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 188719,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 188719,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 188719,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 188719,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 188719,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 188719,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 188719,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 188719,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 188719,S000000,00100,0200,06/06/00 188719,S200000,00100,0100,1500 HOOKER ST. 188719,S200000,00200,0100,DENVER 188719,S200000,00200,0200,CO 188719,S200000,00200,0300,80204- 188719,S200000,00300,0100,DENVER 188719,S200000,00300,0200,2080 188719,S200000,00300,0300,U 188719,S200000,00400,0100,O HARA REGIONAL CTR FOR REHAB 188719,S200000,00400,0200,065295 188719,S200000,00400,0300,12/01/91 188719,S200000,00400,0500,P 188719,S200000,01500,0100,Y 188719,S200000,01600,0100,N 188719,S200000,01700,0100,N 188719,S200000,01800,0100,N 188719,S200000,02200,0100,Y 188719,S200000,02800,0100,N 188719,S200000,02900,0100,N 188719,S200000,03000,0100,N 188719,S200000,03100,0100,N 188719,S200000,03200,0100,N 188719,S200000,04100,0100,N 188719,S200000,04200,0100,N 188719,S200000,04300,0100,Y 188719,S200000,04600,0100,N 188719,S200000,04700,0100,N 188719,S200000,04700,0200,N 188719,S200000,04900,0100,N 188719,S200000,05000,0100,N 188719,S200000,05100,0100,N 188719,S200000,05200,0100,N 188879,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 188879,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 188879,A000000,00300,0000,0300EMPLOYEE BENEFITS 188879,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 188879,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 188879,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 188879,A000000,00700,0000,0700HOUSEKEEPING 188879,A000000,00800,0000,0800DIETARY 188879,A000000,00900,0000,0900NURSING ADMINISTRATION 188879,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 188879,A000000,01100,0000,1100PHARMACY 188879,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 188879,A000000,01300,0000,1300SOCIAL SERVICE 188879,A000000,01301,0000,1301ACTIVITIES 188879,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 188879,A000000,01500,0000,1350OTHER GENERAL SERVICES 188879,A000000,01600,0000,1600SKILLED NURSING FACILITY 188879,A000000,01800,0000,1800NURSING FACILITY 188879,A000000,01810,0000,1810ICF/MR 188879,A000000,02200,0000,2200LABORATORY 188879,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 188879,A000000,02500,0000,2500PHYSICAL THERAPY 188879,A000000,02600,0000,2600OCCUPATIONAL THERAPY 188879,A000000,02700,0000,2700SPEECH PATHOLOGY 188879,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 188879,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 188879,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 188879,A000000,03550,0000,3550FQHC 188879,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 188879,A000000,05000,0000,5000CORF 188879,A000000,05010,0000,5010CMHC 188879,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 188879,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 188879,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 188879,A000000,05100,0000,4750OTHER REIMBURSABLE COST 188879,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 188879,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 188879,A000000,05900,0000,5900BARBER & BEAUTY SHOP 188879,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 188879,A81000A,00100,0100,Y 188879,A81000B,00100,0300,MANAGEMENT FEES 188879,A81000B,00200,0300,CAPITAL 188879,A81000C,00100,0100,A 188879,A81000C,00100,0200,CLONIAL LAND CORPORATION 188879,A81000C,00200,0100,A 188879,A81000C,00200,0200,PROVIDENCE HEALTH SERVICE 188879,A81000C,00300,0100,A 188879,A81000C,00300,0200,JAMES R. SMITH 188879,B100000,00000,0100,0100SQUARE FEET 188879,B100000,00000,0200,0200SQUARE FEET 188879,B100000,00000,0300,0300GROSS SALARIES 188879,B100000,00000,0400,0400ACCUM COST 188879,B100000,00000,0500,0500SQUARE FEET 188879,B100000,00000,0600,0600PATIENT DAYS 188879,B100000,00000,0700,0700SQUARE FEET 188879,B100000,00000,0800,0800PATIENT DAYS 188879,B100000,00000,0900,0900PATIENT DAYS 188879,B100000,00000,1000,1000COSTED REQUIS. 188879,B100000,00000,1100,1100COSTED REQUIS. 188879,B100000,00000,1200,1200PATIENT DAYS 188879,B100000,00000,1300,1300PATIENT DAYS 188879,B100000,00000,1301,1301PATIENT DAYS 188879,B100000,00000,1400,1400ASSIGNED TIME 188879,B100000,00000,1500,1350TIME SPENT 188879,E10A180,00501,0300,07/19/02 188879,E10A180,00550,0100,07/19/02 188879,E10A180,00550,0300,06/17/02 188879,S000000,00100,0200,06/17/02 188879,S200000,00100,0100,ARCH LANE 188879,S200000,00100,0300,200 188879,S200000,00200,0100,LOW MOOR 188879,S200000,00200,0200,VA 188879,S200000,00200,0300,24457 188879,S200000,00300,0100,ALLEGHENY 188879,S200000,00300,0300,R 188879,S200000,00400,0100,BRIAN CENTER/ALLEGHENY 188879,S200000,00400,0200,495221 188879,S200000,00400,0300,10/26/90 188879,S200000,00400,0500,P 188879,S200000,01500,0100,N 188879,S200000,01600,0100,Y 188879,S200000,01700,0100,N 188879,S200000,01800,0100,N 188879,S200000,02200,0100,N 188879,S200000,02800,0100,N 188879,S200000,02900,0100,N 188879,S200000,03000,0100,N 188879,S200000,03100,0100,N 188879,S200000,03200,0100,N 188879,S200000,03300,0100,N 188879,S200000,03300,0200,N 188879,S200000,04100,0100,N 188879,S200000,04200,0100,N 188879,S200000,04300,0100,N 188879,S200000,04600,0100,N 188879,S200000,04700,0100,N 188879,S200000,04900,0100,N 188879,S200000,05200,0100,N 189187,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 189187,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 189187,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 189187,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 189187,A000000,00300,0000,0300EMPLOYEE BENEFITS 189187,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 189187,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 189187,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 189187,A000000,00700,0000,0700HOUSEKEEPING 189187,A000000,00800,0000,0800DIETARY 189187,A000000,00801,0000,0801CAFETERIA 189187,A000000,00900,0000,0900NURSING ADMINISTRATION 189187,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 189187,A000000,01100,0000,1100PHARMACY 189187,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 189187,A000000,01300,0000,1300SOCIAL SERVICE 189187,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 189187,A000000,01500,0000,1350ACTIVITIES 189187,A000000,01600,0000,1600SKILLED NURSING FACILITY 189187,A000000,01800,0000,1800NURSING FACILITY 189187,A000000,01810,0000,1810ICF/MR 189187,A000000,02100,0000,2100RADIOLOGY 189187,A000000,02200,0000,2200LABORATORY 189187,A000000,02300,0000,2300INTRAVENOUS THERAPY 189187,A000000,02500,0000,2500PHYSICAL THERAPY 189187,A000000,02600,0000,2600OCCUPATIONAL THERAPY 189187,A000000,02700,0000,2700SPEECH PATHOLOGY 189187,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 189187,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 189187,A000000,03300,0000,3050PENN THERAPY 189187,A000000,03301,0000,3051FEE SCREENING 189187,A000000,03302,0000,3052OTHER ANCILLARY III 189187,A000000,03550,0000,3550FQHC 189187,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 189187,A000000,04800,0000,4800AMBULANCE 189187,A000000,04801,0000,4801AMBULANCE 189187,A000000,04802,0000,4802AMBULANCE 189187,A000000,04803,0000,4803AMBULANCE 189187,A000000,05000,0000,5000CORF I 189187,A000000,05010,0000,5010CMHC I 189187,A000000,05020,0000,5020OPT I 189187,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 189187,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 189187,A000000,05100,0000,4750OTHER REIMBURSABLE COST 189187,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 189187,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 189187,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 189187,A81000A,00100,0100,Y 189187,A81000B,00100,0300,INTEREST PAYMENTS 189187,A81000C,00100,0100,B 189187,A81000C,00100,0400,OMEGA 189187,A81000C,00100,0600,OWNERSHIP 189187,B100000,00000,0100,0100(SQUARE FEET) 189187,B100000,00000,0101,0101(SQUARE FEET) 189187,B100000,00000,0200,0200(SQUARE FEET) 189187,B100000,00000,0201,0201(SQUARE FEET) 189187,B100000,00000,0300,0300(GROSS SALARIES) 189187,B100000,00000,0400,0400ACCUM COST 189187,B100000,00000,0500,0500(SQUARE FEET) 189187,B100000,00000,0600,0600(PATIENT DAYS) 189187,B100000,00000,0700,0700(SQUARE FEET) 189187,B100000,00000,0800,0800(MEALS SERVED) 189187,B100000,00000,0801,0801(MEALS SERVED) 189187,B100000,00000,0900,0900(NURSING SALARIES) 189187,B100000,00000,1000,1000(PATIENT DAYS) 189187,B100000,00000,1100,1100(PATIENT DAYS) 189187,B100000,00000,1200,1200(GROSS CHARGES) 189187,B100000,00000,1300,1300(PATIENT DAYS) 189187,B100000,00000,1400,1400(ASSIGNED TIME) 189187,B100000,00000,1500,1350(PATIENT DAYS) 189187,S000000,00100,0200,05/25/00 189187,S200000,00100,0100,915 ELLA T. GRASSO BLVD. 189187,S200000,00100,0300,06519 189187,S200000,00200,0100,NEW HAVEN 189187,S200000,00200,0200,CT 189187,S200000,00200,0300,06511 189187,S200000,00300,0100,NEW HAVEN 189187,S200000,00300,0200,5483 189187,S200000,00300,0300,U 189187,S200000,00400,0100,COC - NEW HAVEN 189187,S200000,00400,0200,075179 189187,S200000,00400,0300,03/21/67 189187,S200000,00400,0500,P 189187,S200000,00600,0200,075179 189187,S200000,00600,0300,03/21/67 189187,S200000,00600,0600,O 189187,S200000,01500,0100,N 189187,S200000,01600,0100,Y 189187,S200000,01700,0100,N 189187,S200000,01800,0100,N 189187,S200000,01900,0100,NON PROFIT CORP 189187,S200000,02200,0100,Y 189187,S200000,02800,0100,N 189187,S200000,02900,0100,N 189187,S200000,03000,0100,N 189187,S200000,03100,0100,N 189187,S200000,03200,0100,N 189187,S200000,03300,0100,N 189187,S200000,03300,0200,N 189187,S200000,03500,0300,N 189187,S200000,04100,0100,N 189187,S200000,04200,0100,N 189187,S200000,04300,0100,N 189187,S200000,04600,0100,N 189187,S200000,04700,0100,N 189187,S200000,04900,0100,N 189187,S200000,05200,0100,N 189311,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 189311,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 189311,A000000,00300,0000,0300EMPLOYEE BENEFITS 189311,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 189311,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 189311,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 189311,A000000,00700,0000,0700HOUSEKEEPING 189311,A000000,00800,0000,0800DIETARY 189311,A000000,00900,0000,0900NURSING ADMINISTRATION 189311,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 189311,A000000,01100,0000,1100PHARMACY 189311,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 189311,A000000,01300,0000,1300SOCIAL SERVICE 189311,A000000,01600,0000,1600SKILLED NURSING FACILITY 189311,A000000,01800,0000,1800NURSING FACILITY 189311,A000000,01900,0000,1900OTHER LONG TERM CARE 189311,A000000,02100,0000,2100RADIOLOGY 189311,A000000,02200,0000,2200LABORATORY 189311,A000000,02300,0000,2300INTRAVENOUS THERAPY 189311,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 189311,A000000,02500,0000,2500PHYSICAL THERAPY 189311,A000000,02600,0000,2600OCCUPATIONAL THERAPY 189311,A000000,02700,0000,2700SPEECH PATHOLOGY 189311,A000000,02800,0000,2800ELECTROCARDIOLOGY 189311,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 189311,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 189311,A000000,03200,0000,3200SUPPORT SURFACES 189311,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 189311,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 189311,A000000,03301,0000,3051NUTRITIONAL THERAPY 189311,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 189311,A000000,03303,0000,3053PHYSICIAN SERVICES 189311,A000000,03304,0000,3054MEDICAL SERVICES 189311,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 189311,A000000,04800,0000,4800AMBULANCE 189311,A000000,05300,0000,5300INTEREST EXPENSE 189311,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 189311,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 189311,A000000,05900,0000,5900BARBER & BEAUTY SHOP 189311,A000000,06200,0000,6200PATIENTS LAUNDRY 189311,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 189311,A81000A,00100,0100,Y 189311,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 189311,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 189311,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 189311,A81000B,00400,0300,PHYSICAL THERAPY 189311,A81000B,00500,0300,OCCUPATIONAL THERAPY 189311,A81000B,00600,0300,SPEECH THERAPY 189311,A81000B,00700,0300,REGIONAL ALLOCATION 189311,A81000B,00800,0300,SEE ATTACHED 189311,A81000C,00100,0100,B 189311,A81000C,00100,0200,SUNRISE HEALTHCARE CORP. 189311,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 189311,A81000C,00100,0600,HEALTH CARE 189311,A81000C,00200,0100,G 189311,A81000C,00200,0200,ANDREW TURNER 189311,A81000C,00200,0600,HEALTH CARE 189311,A81000C,00300,0100,G 189311,A81000C,00300,0200,SEE ATTACHED WORKPAPER 189311,A81000C,00300,0600,HEALTH CARE 189311,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 189311,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 189311,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 189311,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 189311,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 189311,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 189311,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 189311,B100000,00000,0800,0850PATIENT DAYS :DIETARY 189311,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 189311,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 189311,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 189311,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 189311,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 189311,S000000,00100,0200,03/14/00 189311,S200000,00100,0100,161 FRIENDSHIP ROAD 189311,S200000,00200,0100,CLEVELAND 189311,S200000,00200,0200,GA 189311,S200000,00200,0300,30528-0000 189311,S200000,00300,0100,WHITE 189311,S200000,00300,0200,11 189311,S200000,00300,0300,R 189311,S200000,00400,0100,SUNRISE CARE AND REHAB OF CLEVELAND 189311,S200000,00400,0200,115559 189311,S200000,00400,0300,11/01/93 189311,S200000,00400,0500,P 189311,S200000,01500,0100,Y 189311,S200000,01600,0100,N 189311,S200000,01700,0100,N 189311,S200000,01800,0100,N 189311,S200000,02200,0100,N 189311,S200000,02800,0100,N 189311,S200000,02900,0100,N 189311,S200000,03000,0100,N 189311,S200000,03100,0100,N 189311,S200000,03200,0100,N 189311,S200000,04100,0100,N 189311,S200000,04200,0100,N 189311,S200000,04300,0100,N 189311,S200000,04600,0100,N 189311,S200000,04700,0100,N 189311,S200000,04700,0200,N 189311,S200000,04900,0100,N 189311,S200000,05000,0100,N 189311,S200000,05100,0100,N 189311,S200000,05200,0100,N 190972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 190972,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 190972,A000000,00300,0000,0300EMPLOYEE BENEFITS 190972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 190972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 190972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 190972,A000000,00700,0000,0700HOUSEKEEPING 190972,A000000,00800,0000,0800DIETARY 190972,A000000,00900,0000,0900NURSING ADMINISTRATION 190972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 190972,A000000,01100,0000,1100PHARMACY 190972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 190972,A000000,01300,0000,1300SOCIAL SERVICE 190972,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 190972,A000000,01500,0000,1350ACTIVITIES 190972,A000000,01600,0000,1600SKILLED NURSING FACILITY 190972,A000000,01800,0000,1800NURSING FACILITY 190972,A000000,01810,0000,1810ICF/MR 190972,A000000,02100,0000,2100RADIOLOGY 190972,A000000,02200,0000,2200LABORATORY 190972,A000000,02300,0000,2300INTRAVENOUS THERAPY 190972,A000000,02500,0000,2500PHYSICAL THERAPY 190972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 190972,A000000,02700,0000,2700SPEECH PATHOLOGY 190972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 190972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 190972,A000000,03200,0000,3200SUPPORT SURFACES 190972,A000000,03550,0000,3550FQHC 190972,A000000,04800,0000,4800AMBULANCE 190972,A000000,04801,0000,4801AMBULANCE 190972,A000000,04802,0000,4802AMBULANCE 190972,A000000,04803,0000,4803AMBULANCE 190972,A000000,05000,0000,5000CORF 190972,A000000,05010,0000,5010CMHC 190972,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 190972,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 190972,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 190972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 190972,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 190972,A81000A,00100,0100,Y 190972,A81000B,00100,0300,MANAGEMENT & CONSULTING FEE 190972,A81000B,00200,0300,DEPRECIATION - MME 190972,A81000B,00300,0300,INTEREST EXPENSE 190972,A81000B,00400,0300,PAYROLL TAXES 190972,A81000B,00500,0300,ASSISTANT ADMINISTRATOR PAYROL 190972,A81000C,00100,0100,B 190972,A81000C,00100,0200,TIMOTHY CASSIDY 190972,A81000C,00100,0400,ELDER CARE MANA 190972,A81000C,00100,0600,MANAGEMENT FEE 190972,B100000,00000,0100,0100SQUARE FEET 190972,B100000,00000,0200,0200SQUARE FEET 190972,B100000,00000,0300,0300GROSS SALARIES 190972,B100000,00000,0400,0400ACCUM COST 190972,B100000,00000,0500,0500SQUARE FEET 190972,B100000,00000,0600,0600PATIENT DAYS 190972,B100000,00000,0700,0700SQUARE FEET 190972,B100000,00000,0800,0800MEALS SERVED 190972,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 190972,B100000,00000,1000,1000PATIENT DAYS 190972,B100000,00000,1100,1100PATIENT DAYS 190972,B100000,00000,1200,1200PATIENT DAYS 190972,B100000,00000,1300,1300PATIENT DAYS 190972,B100000,00000,1400,1400ASSIGNED TIME 190972,B100000,00000,1500,1350PATIENT DAYS 190972,S000000,00100,0200,07/06/00 190972,S200000,00100,0100,901 ERNSTON ROAD 190972,S200000,00200,0100,SOUTH AMBOY 190972,S200000,00200,0200,NJ 190972,S200000,00200,0300,08879 190972,S200000,00300,0100,MIDDLESEX 190972,S200000,00300,0200,5015 190972,S200000,00300,0300,U 190972,S200000,00400,0100,CARRIAGE HOUSE MANOR 190972,S200000,00400,0200,315188 190972,S200000,00400,0300,01/19/86 190972,S200000,00400,0500,P 190972,S200000,01500,0100,N 190972,S200000,01600,0100,Y 190972,S200000,01700,0100,N 190972,S200000,01800,0100,N 190972,S200000,02200,0100,N 190972,S200000,02800,0100,N 190972,S200000,02900,0100,N 190972,S200000,03000,0100,N 190972,S200000,03100,0100,N 190972,S200000,03200,0100,N 190972,S200000,03300,0100,N 190972,S200000,03300,0200,N 190972,S200000,04100,0100,N 190972,S200000,04200,0100,N 190972,S200000,04300,0100,N 190972,S200000,04600,0100,N 190972,S200000,04700,0100,Y 190972,S200000,04700,0200,Y 190972,S200000,04900,0100,N 191228,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 191228,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 191228,A000000,00300,0000,0300EMPLOYEE BENEFITS 191228,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 191228,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 191228,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 191228,A000000,00700,0000,0700HOUSEKEEPING 191228,A000000,00800,0000,0800DIETARY 191228,A000000,00900,0000,0900NURSING ADMINISTRATION 191228,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 191228,A000000,01100,0000,1100PHARMACY 191228,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 191228,A000000,01300,0000,1300SOCIAL SERVICE 191228,A000000,01301,0000,1301ACTIVITIES 191228,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 191228,A000000,01600,0000,1600SKILLED NURSING FACILITY 191228,A000000,01800,0000,1800NURSING FACILITY 191228,A000000,01810,0000,1810ICF/MR 191228,A000000,02100,0000,2100RADIOLOGY 191228,A000000,02200,0000,2200LABORATORY 191228,A000000,02500,0000,2500PHYSICAL THERAPY 191228,A000000,02600,0000,2600OCCUPATIONAL THERAPY 191228,A000000,02700,0000,2700SPEECH PATHOLOGY 191228,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 191228,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 191228,A000000,03550,0000,3550FQHC 191228,A000000,05000,0000,5000CORF 191228,A000000,05010,0000,5010CMHC 191228,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 191228,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 191228,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 191228,A000000,05900,0000,5900BARBER & BEAUTY SHOP 191228,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 191228,A81000A,00100,0100,Y 191228,A81000B,00100,0300,HOME OFFICE COST 191228,A81000B,00500,0300,HOME OFFICE COST 191228,A81000B,00600,0300,HOME OFFICE COST 191228,A81000B,00700,0300,HOME OFFICE COST 191228,A81000C,00100,0100,B 191228,A81000C,00100,0200,BEVERLY ENTERPR 191228,B100000,00000,0100,0100(SQUARE FEET) 191228,B100000,00000,0200,0200(SQUARE FEET) 191228,B100000,00000,0300,0300(ADJUSTED SALARIES) 191228,B100000,00000,0400,0400(ACCUM. COST) 191228,B100000,00000,0500,0500(SQUARE FEET) 191228,B100000,00000,0600,0600(PATIENT DAYS) 191228,B100000,00000,0700,0700(SQUARE FEET) 191228,B100000,00000,0800,0800(MEALS SERVED) 191228,B100000,00000,0900,0900(ADJUSTED SALARIES) 191228,B100000,00000,1000,1000(PATIENT DAYS) 191228,B100000,00000,1100,1100(COSTED REQUIS) 191228,B100000,00000,1200,1200(TOTAL CHARGES) 191228,B100000,00000,1300,1300(PATIENT DAYS) 191228,B100000,00000,1301,1301(PATIENT DAYS) 191228,B100000,00000,1400,1400(ASSIGNED TIME) 191228,E10A180,00301,0100,06/14/99 191228,E10A180,00302,0100,10/08/99 191228,E10A180,00303,0100,02/14/00 191228,E10A180,00350,0100,01/27/99 191228,E10A180,00351,0100,12/09/99 191228,E10A180,00352,0100,05/26/00 191228,S000000,00100,0200,07/06/00 191228,S200000,00100,0100,1010 VENTURA BOULEVARD 191228,S200000,00200,0100,CHOWCHILLA 191228,S200000,00200,0200,CA 191228,S200000,00200,0300,93610 191228,S200000,00300,0100,MADERA 191228,S200000,00300,0200,2840 191228,S200000,00300,0300,U 191228,S200000,00400,0100,CHOWCHILLA CONV. CENTER 191228,S200000,00400,0200,055047 191228,S200000,00400,0300,01/01/67 191228,S200000,00400,0500,P 191228,S200000,00600,0200,055047 191228,S200000,00600,0300,01/01/67 191228,S200000,00600,0600,O 191228,S200000,01500,0100,N 191228,S200000,01600,0100,Y 191228,S200000,01700,0100,N 191228,S200000,01800,0100,N 191228,S200000,02200,0100,N 191228,S200000,02800,0100,N 191228,S200000,02900,0100,N 191228,S200000,03000,0100,N 191228,S200000,03100,0100,N 191228,S200000,03200,0100,N 191228,S200000,03300,0100,N 191228,S200000,03300,0200,N 191228,S200000,03500,0300,N 191228,S200000,04100,0100,N 191228,S200000,04200,0100,N 191228,S200000,04300,0100,N 191228,S200000,04600,0100,N 191228,S200000,04700,0100,N 191228,S200000,04900,0100,N 191229,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 191229,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 191229,A000000,00300,0000,0300EMPLOYEE BENEFITS 191229,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 191229,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 191229,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 191229,A000000,00700,0000,0700HOUSEKEEPING 191229,A000000,00800,0000,0800DIETARY 191229,A000000,00900,0000,0900NURSING ADMINISTRATION 191229,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 191229,A000000,01100,0000,1100PHARMACY 191229,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 191229,A000000,01300,0000,1300SOCIAL SERVICE 191229,A000000,01301,0000,1301ACTIVITIES 191229,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 191229,A000000,01600,0000,1600SKILLED NURSING FACILITY 191229,A000000,01800,0000,1800NURSING FACILITY 191229,A000000,01810,0000,1810ICF/MR 191229,A000000,02100,0000,2100RADIOLOGY 191229,A000000,02200,0000,2200LABORATORY 191229,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 191229,A000000,02500,0000,2500PHYSICAL THERAPY 191229,A000000,02600,0000,2600OCCUPATIONAL THERAPY 191229,A000000,02700,0000,2700SPEECH PATHOLOGY 191229,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 191229,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 191229,A000000,03550,0000,3550FQHC 191229,A000000,05000,0000,5000CORF 191229,A000000,05010,0000,5010CMHC 191229,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 191229,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 191229,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 191229,A000000,05900,0000,5900BARBER & BEAUTY SHOP 191229,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 191229,A81000A,00100,0100,Y 191229,A81000B,00100,0300,HOME OFFICE COST 191229,A81000B,00500,0300,HOME OFFICE COST 191229,A81000B,00600,0300,HOME OFFICE COST 191229,A81000B,00700,0300,HOME OFFICE COST 191229,A81000C,00100,0100,B 191229,A81000C,00100,0200,BEVERLY ENTERPR 191229,B100000,00000,0100,0100(SQUARE FEET) 191229,B100000,00000,0200,0200(SQUARE FEET) 191229,B100000,00000,0300,0300(ADJUSTED SALARIES) 191229,B100000,00000,0400,0400(ACCUM. COST) 191229,B100000,00000,0500,0500(SQUARE FEET) 191229,B100000,00000,0600,0600(PATIENT DAYS) 191229,B100000,00000,0700,0700(SQUARE FEET) 191229,B100000,00000,0800,0800(MEALS SERVED) 191229,B100000,00000,0900,0900(ADJUSTED SALARIES) 191229,B100000,00000,1000,1000(PATIENT DAYS) 191229,B100000,00000,1100,1100(COSTED REQUIS) 191229,B100000,00000,1200,1200(TOTAL CHARGES) 191229,B100000,00000,1300,1300(PATIENT DAYS) 191229,B100000,00000,1301,1301(PATIENT DAYS) 191229,B100000,00000,1400,1400(ASSIGNED TIME) 191229,E10A180,00301,0100,01/27/99 191229,E10A180,00350,0100,06/14/99 191229,E10A180,00351,0100,10/08/99 191229,E10A180,00352,0100,12/09/99 191229,E10A180,00353,0100,02/14/00 191229,E10A180,00354,0100,05/26/00 191229,S000000,00100,0200,07/06/00 191229,S200000,00100,0100,350 DESOTO DRIVE 191229,S200000,00200,0100,LOS GATOS 191229,S200000,00200,0200,CA 191229,S200000,00200,0300,95030 191229,S200000,00300,0100,SANTA CRUZ 191229,S200000,00300,0200,7485 191229,S200000,00300,0300,U 191229,S200000,00400,0100,OAK MEADOWS (3888) 191229,S200000,00400,0200,055800 191229,S200000,00400,0300,10/18/91 191229,S200000,00400,0500,P 191229,S200000,00600,0200,055800 191229,S200000,00600,0300,10/18/91 191229,S200000,00600,0600,O 191229,S200000,01500,0100,N 191229,S200000,01600,0100,Y 191229,S200000,01700,0100,N 191229,S200000,01800,0100,N 191229,S200000,02200,0100,N 191229,S200000,02800,0100,N 191229,S200000,02900,0100,N 191229,S200000,03000,0100,N 191229,S200000,03100,0100,N 191229,S200000,03200,0100,N 191229,S200000,03300,0100,N 191229,S200000,03300,0200,N 191229,S200000,03500,0300,N 191229,S200000,04100,0100,N 191229,S200000,04200,0100,N 191229,S200000,04300,0100,N 191229,S200000,04600,0100,N 191229,S200000,04700,0100,N 191229,S200000,04900,0100,N 191230,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 191230,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 191230,A000000,00300,0000,0300EMPLOYEE BENEFITS 191230,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 191230,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 191230,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 191230,A000000,00700,0000,0700HOUSEKEEPING 191230,A000000,00800,0000,0800DIETARY 191230,A000000,00900,0000,0900NURSING ADMINISTRATION 191230,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 191230,A000000,01100,0000,1100PHARMACY 191230,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 191230,A000000,01300,0000,1300SOCIAL SERVICE 191230,A000000,01301,0000,1301ACTIVITIES 191230,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 191230,A000000,01600,0000,1600SKILLED NURSING FACILITY 191230,A000000,01800,0000,1800NURSING FACILITY 191230,A000000,01810,0000,1810ICF/MR 191230,A000000,02100,0000,2100RADIOLOGY 191230,A000000,02200,0000,2200LABORATORY 191230,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 191230,A000000,02500,0000,2500PHYSICAL THERAPY 191230,A000000,02600,0000,2600OCCUPATIONAL THERAPY 191230,A000000,02700,0000,2700SPEECH PATHOLOGY 191230,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 191230,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 191230,A000000,03300,0000,3050OTHER ANCILLIARY-CONSOLIDATED B 191230,A000000,03550,0000,3550FQHC 191230,A000000,05000,0000,5000CORF 191230,A000000,05010,0000,5010CMHC 191230,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 191230,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 191230,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 191230,A000000,05900,0000,5900BARBER & BEAUTY SHOP 191230,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 191230,A81000A,00100,0100,Y 191230,A81000B,00100,0300,HOME OFFICE COST 191230,A81000B,00500,0300,HOME OFFICE COST 191230,A81000B,00600,0300,HOME OFFICE COST 191230,A81000B,00700,0300,HOME OFFICE COST 191230,A81000C,00100,0100,B 191230,A81000C,00100,0200,BEVERLY ENTERPR 191230,B100000,00000,0100,0100(SQUARE FEET) 191230,B100000,00000,0200,0200(SQUARE FEET) 191230,B100000,00000,0300,0300(ADJUSTED SALARIES) 191230,B100000,00000,0400,0400(ACCUM. COST) 191230,B100000,00000,0500,0500(SQUARE FEET) 191230,B100000,00000,0600,0600(PATIENT DAYS) 191230,B100000,00000,0700,0700(SQUARE FEET) 191230,B100000,00000,0800,0800(MEALS SERVED) 191230,B100000,00000,0900,0900(ADJUSTED SALARIES) 191230,B100000,00000,1000,1000(PATIENT DAYS) 191230,B100000,00000,1100,1100(COSTED REQUIS) 191230,B100000,00000,1200,1200(TOTAL CHARGES) 191230,B100000,00000,1300,1300(PATIENT DAYS) 191230,B100000,00000,1301,1301(PATIENT DAYS) 191230,B100000,00000,1400,1400(ASSIGNED TIME) 191230,E10A180,00301,0100,01/27/99 191230,E10A180,00302,0100,05/26/00 191230,E10A180,00350,0100,06/14/99 191230,E10A180,00351,0100,10/08/99 191230,E10A180,00352,0100,12/09/99 191230,E10A180,00353,0100,02/14/00 191230,S000000,00100,0200,07/06/00 191230,S200000,00100,0100,797 E FREMONT AVENUE 191230,S200000,00200,0100,SUNNYVALE 191230,S200000,00200,0200,CA 191230,S200000,00200,0300,94087 191230,S200000,00300,0100,SANTA CLARA 191230,S200000,00300,0200,7400 191230,S200000,00300,0300,U 191230,S200000,00400,0100,HY-LOND CONV HOSP (571) 191230,S200000,00400,0200,055920 191230,S200000,00400,0300,01/01/82 191230,S200000,00400,0500,P 191230,S200000,00600,0200,055920 191230,S200000,00600,0300,01/01/82 191230,S200000,00600,0600,O 191230,S200000,01500,0100,N 191230,S200000,01600,0100,Y 191230,S200000,01700,0100,N 191230,S200000,01800,0100,N 191230,S200000,02200,0100,N 191230,S200000,02800,0100,N 191230,S200000,02900,0100,N 191230,S200000,03000,0100,N 191230,S200000,03100,0100,N 191230,S200000,03200,0100,N 191230,S200000,03300,0100,N 191230,S200000,03300,0200,N 191230,S200000,03500,0300,N 191230,S200000,04100,0100,N 191230,S200000,04200,0100,N 191230,S200000,04300,0100,N 191230,S200000,04600,0100,N 191230,S200000,04700,0100,N 191230,S200000,04900,0100,N 191763,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 191763,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 191763,A000000,00300,0000,0300EMPLOYEE BENEFITS 191763,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 191763,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 191763,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 191763,A000000,00700,0000,0700HOUSEKEEPING 191763,A000000,00800,0000,0800DIETARY 191763,A000000,00900,0000,0900NURSING ADMINISTRATION 191763,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 191763,A000000,01100,0000,1100PHARMACY 191763,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 191763,A000000,01300,0000,1300SOCIAL SERVICE 191763,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 191763,A000000,01500,0000,1350ACTIVITIES 191763,A000000,01600,0000,1600SKILLED NURSING FACILITY 191763,A000000,01800,0000,1800NURSING FACILITY 191763,A000000,01810,0000,1810ICF/MR 191763,A000000,02100,0000,2100RADIOLOGY 191763,A000000,02200,0000,2200LABORATORY 191763,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 191763,A000000,02500,0000,2500PHYSICAL THERAPY 191763,A000000,02600,0000,2600OCCUPATIONAL THERAPY 191763,A000000,02700,0000,2700SPEECH PATHOLOGY 191763,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 191763,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 191763,A000000,03300,0000,3050SPECIALIZED BEDS 191763,A000000,03550,0000,3550FQHC 191763,A000000,04800,0000,4800AMBULANCE 191763,A000000,04801,0000,4801AMBULANCE 191763,A000000,04802,0000,4802AMBULANCE 191763,A000000,04803,0000,4803AMBULANCE 191763,A000000,05000,0000,5000CORF 191763,A000000,05010,0000,5010CMHC 191763,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 191763,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 191763,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 191763,A000000,05300,0000,5300INTEREST EXPENSE 191763,A000000,05900,0000,5900BARBER & BEAUTY SHOP 191763,A81000A,00100,0100,N 191763,B100000,00000,0100,0100SQUARE FEET 191763,B100000,00000,0200,0200NO STATISTICS 191763,B100000,00000,0300,0300GROSS SALARIES 191763,B100000,00000,0400,0400ACCUM COST 191763,B100000,00000,0500,0500SQUARE FEET 191763,B100000,00000,0600,0600POUNDS OF LAUNDRY 191763,B100000,00000,0700,0700SQUARE FT MODIFIED 191763,B100000,00000,0800,0800MEALS SERVED 191763,B100000,00000,0900,0900DIRECT NRSING HRS 191763,B100000,00000,1000,1000COSTED REQUIS. 191763,B100000,00000,1100,1100NO STATISTICS 191763,B100000,00000,1200,1200TIME SPENT 191763,B100000,00000,1300,1300TIME SPENT 191763,B100000,00000,1400,1400NO STATISTICS 191763,B100000,00000,1500,1350TIME SPENT 191763,E10A180,00501,0100,06/29/00 191763,S000000,00100,0200,05/31/00 191763,S200000,00100,0100,60 SHADY LAWN PLACE 191763,S200000,00200,0100,VICKSBURG 191763,S200000,00200,0200,MS 191763,S200000,00200,0300,39180 191763,S200000,00300,0100,WARREN 191763,S200000,00300,0200,0025 191763,S200000,00300,0300,R 191763,S200000,00400,0100,SHADY LAWN NURSING CENTER 191763,S200000,00400,0200,255234 191763,S200000,00400,0300,08/01/96 191763,S200000,00400,0500,P 191763,S200000,01500,0100,N 191763,S200000,01600,0100,Y 191763,S200000,01700,0100,N 191763,S200000,01800,0100,N 191763,S200000,02200,0100,N 191763,S200000,02800,0100,N 191763,S200000,02900,0100,N 191763,S200000,03000,0100,N 191763,S200000,03100,0100,N 191763,S200000,03200,0100,N 191763,S200000,03300,0100,N 191763,S200000,03300,0200,N 191763,S200000,04100,0100,N 191763,S200000,04200,0100,N 191763,S200000,04300,0100,N 191763,S200000,04600,0100,N 191763,S200000,04700,0100,N 191763,S200000,04900,0100,N 191763,S200000,05200,0100,N 191764,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 191764,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 191764,A000000,00300,0000,0300EMPLOYEE BENEFITS 191764,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 191764,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 191764,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 191764,A000000,00700,0000,0700HOUSEKEEPING 191764,A000000,00800,0000,0800DIETARY 191764,A000000,00900,0000,0900NURSING ADMINISTRATION 191764,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 191764,A000000,01100,0000,1100PHARMACY 191764,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 191764,A000000,01300,0000,1300SOCIAL SERVICE 191764,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 191764,A000000,01600,0000,1600SKILLED NURSING FACILITY 191764,A000000,01800,0000,1800NURSING FACILITY 191764,A000000,01810,0000,1810ICF/MR 191764,A000000,02500,0000,2500PHYSICAL THERAPY 191764,A000000,02600,0000,2600OCCUPATIONAL THERAPY 191764,A000000,02700,0000,2700SPEECH PATHOLOGY 191764,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 191764,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 191764,A000000,03550,0000,3550FQHC 191764,A000000,04801,0000,4801AMBULANCE 191764,A000000,04802,0000,4802AMBULANCE 191764,A000000,04803,0000,4803AMBULANCE 191764,A000000,05000,0000,5000CORF 191764,A000000,05010,0000,5010CMHC 191764,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 191764,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 191764,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 191764,A000000,05900,0000,5900BARBER & BEAUTY SHOP 191764,A81000A,00100,0100,Y 191764,A81000C,00100,0100,A 191764,A81000C,00100,0200,MICHAEL H. OVERSTREET 191764,A81000C,00100,0400,OXFORD MANAGEMENT COMPANY 191764,A81000C,00100,0600,MANAGEMENT COMPANY 191764,B100000,00000,0100,0100SQUARE FEET 191764,B100000,00000,0200,0200SQUARE FEET 191764,B100000,00000,0300,0300GROSS SALARIES 191764,B100000,00000,0400,0400ACCUM COST 191764,B100000,00000,0500,0500SQUARE FEET 191764,B100000,00000,0600,0600PATIENT DAYS 191764,B100000,00000,0700,0700SQUARE FEET 191764,B100000,00000,0800,0800MEALS SERVED 191764,B100000,00000,0900,0900PATIENT DAYS 191764,B100000,00000,1000,1000PATIENT DAYS 191764,B100000,00000,1100,1100COSTED REQUIS 191764,B100000,00000,1200,1200PATIENT DAYS 191764,B100000,00000,1300,1300PATIENT DAYS 191764,B100000,00000,1400,1400ASSIGNED TIME 191764,E10A180,00501,0100,07/27/00 191764,E10A180,00501,0300,07/27/00 191764,S000000,00100,0200,06/05/00 191764,S200000,00100,0100,WILLOW STREET 191764,S200000,00100,0300,577 191764,S200000,00200,0100,DEKALB 191764,S200000,00200,0200,MS 191764,S200000,00200,0300,39328 191764,S200000,00300,0100,KEMPER 191764,S200000,00300,0200,0025 191764,S200000,00300,0300,R 191764,S200000,00400,0100,MS CARE CENTER OF DEKALB LLC 191764,S200000,00400,0200,255251 191764,S200000,00400,0300,11/01/97 191764,S200000,00400,0500,P 191764,S200000,01500,0100,N 191764,S200000,01600,0100,Y 191764,S200000,01700,0100,N 191764,S200000,01800,0100,N 191764,S200000,02200,0100,N 191764,S200000,02800,0100,N 191764,S200000,02900,0100,N 191764,S200000,03000,0100,N 191764,S200000,03100,0100,N 191764,S200000,03200,0100,N 191764,S200000,03300,0100,N 191764,S200000,03300,0200,N 191764,S200000,04100,0100,N 191764,S200000,04200,0100,N 191764,S200000,04300,0100,N 191764,S200000,04600,0100,N 191764,S200000,04700,0100,N 191764,S200000,04900,0100,N 191764,S200000,05200,0100,N 192025,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 192025,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 192025,A000000,00300,0000,0300EMPLOYEE BENEFITS 192025,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192025,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 192025,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192025,A000000,00700,0000,0700HOUSEKEEPING 192025,A000000,00800,0000,0800DIETARY 192025,A000000,00900,0000,0900NURSING ADMINISTRATION 192025,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192025,A000000,01100,0000,1100PHARMACY 192025,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192025,A000000,01300,0000,1300SOCIAL SERVICE 192025,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 192025,A000000,01600,0000,1600SKILLED NURSING FACILITY 192025,A000000,01800,0000,1800NURSING FACILITY 192025,A000000,01810,0000,1810ICF/MR 192025,A000000,02100,0000,2100RADIOLOGY 192025,A000000,02110,0000,2110CLINITRON BED 192025,A000000,02200,0000,2200LABORATORY 192025,A000000,02300,0000,2300INTRAVENOUS THERAPY 192025,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192025,A000000,02500,0000,2500PHYSICAL THERAPY 192025,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192025,A000000,02700,0000,2700SPEECH PATHOLOGY 192025,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 192025,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192025,A000000,03550,0000,3550FQHC 192025,A000000,04801,0000,4801AMBULANCE 192025,A000000,04802,0000,4802AMBULANCE 192025,A000000,04803,0000,4803AMBULANCE 192025,A000000,05000,0000,5000CORF 192025,A000000,05010,0000,5010CMHC 192025,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 192025,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 192025,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 192025,A000000,05300,0000,5300INTEREST EXPENSE 192025,A81000A,00100,0100,Y 192025,A81000B,00100,0300,RENT 192025,A81000B,00200,0300,STORAGE 192025,A81000B,00300,0300,STORAGE - CAPITAL 192025,A81000B,00400,0300,HO MGMT FEE 192025,A81000B,00500,0300,THERAPY SPACE RENTAL 192025,A81000B,00600,0300,THERAPY SPACE RENTAL 192025,A81000B,00700,0300,THERAPY SPACE RENTAL 192025,A81000B,00800,0300,THERAPY SPACE RENTAL 192025,A81000B,00900,0300,PROMOTIONAL ADVERTIS 192025,A81000C,00100,0100,A 192025,A81000C,00100,0200,BOB G. DEAN JR 192025,A81000C,00100,0400,BOB DEAN ENTERP 192025,A81000C,00100,0600,NSG HOME MANAGE 192025,A81000C,00200,0100,A 192025,A81000C,00200,0200,BOB G. DEAN JR 192025,A81000C,00200,0400,CHOCTAW WAREHO 192025,A81000C,00200,0600,STORAGE 192025,A81000C,00300,0100,A 192025,A81000C,00300,0200,BOB G. DEAN JR 192025,A81000C,00300,0400,ARABI HOUSE 192025,A81000C,00300,0600,ADMINISTRATION 192025,A81000C,00400,0100,A 192025,A81000C,00400,0200,BILLIE F. DEAN 192025,A81000C,00400,0400,CHOCTAW WAREHOU 192025,A81000C,00400,0600,STORAGE 192025,A81000C,00500,0100,A 192025,A81000C,00500,0200,BILLIE F. DEAN 192025,A81000C,00500,0400,ARABI HOUSE 192025,A81000C,00500,0600,ADMINISTRATION 192025,A81000C,00600,0100,A 192025,A81000C,00600,0200,DEBRA D. COOK 192025,A81000C,00600,0400,ARABI HOUSE 192025,A81000C,00600,0600,ADMINISTRATION 192025,B100000,00000,0100,0100SQUARE FEET 192025,B100000,00000,0200,0200SQUARE FEET 192025,B100000,00000,0300,0300GROSS SALARIES 192025,B100000,00000,0400,0400ACCUM COST 192025,B100000,00000,0500,0500SQUARE FEET 192025,B100000,00000,0600,0600PATIENT DAYS 192025,B100000,00000,0700,0700HOURS OF SERVICE 192025,B100000,00000,0800,0800MEALS SERVED 192025,B100000,00000,0900,0900DIRECT NRSG HRS 192025,B100000,00000,1000,1000COSTED REQUIS 192025,B100000,00000,1100,1100COSTED REQUIS 192025,B100000,00000,1200,1200TIME SPENT 192025,B100000,00000,1300,1300TIME SPENT 192025,B100000,00000,1400,1400ASSIGNED TIME 192025,E10A180,00301,0100,05/10/00 192025,E10A180,00302,0100,10/06/99 192025,E10A180,00550,0100,10/02/00 192025,S000000,00100,0200,08/07/00 192025,S200000,00100,0100,2310 MEHLE AVENUE 192025,S200000,00200,0100,ARABI 192025,S200000,00200,0200,LA 192025,S200000,00200,0300,70032 192025,S200000,00300,0100,ST. BERNARD 192025,S200000,00300,0200,5560 192025,S200000,00300,0300,U 192025,S200000,00400,0100,MAISON ORLEANS NURSING HOME 192025,S200000,00400,0200,195308 192025,S200000,00400,0300,01/01/95 192025,S200000,00400,0500,P 192025,S200000,00400,0600,O 192025,S200000,01500,0100,N 192025,S200000,01600,0100,Y 192025,S200000,01700,0100,N 192025,S200000,01800,0100,N 192025,S200000,02200,0100,Y 192025,S200000,02800,0100,N 192025,S200000,02900,0100,N 192025,S200000,03000,0100,N 192025,S200000,03100,0100,N 192025,S200000,03200,0100,N 192025,S200000,03300,0100,N 192025,S200000,03300,0200,N 192025,S200000,04100,0100,N 192025,S200000,04200,0100,N 192025,S200000,04300,0100,N 192025,S200000,04600,0100,N 192025,S200000,04700,0100,N 192025,S200000,04900,0100,N 192025,S200000,05200,0100,N 192026,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 192026,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 192026,A000000,00300,0000,0300EMPLOYEE BENEFITS 192026,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192026,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 192026,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192026,A000000,00700,0000,0700HOUSEKEEPING 192026,A000000,00800,0000,0800DIETARY 192026,A000000,00900,0000,0900NURSING ADMINISTRATION 192026,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192026,A000000,01100,0000,1100PHARMACY 192026,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192026,A000000,01300,0000,1300SOCIAL SERVICE 192026,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 192026,A000000,01600,0000,1600SKILLED NURSING FACILITY 192026,A000000,01800,0000,1800NURSING FACILITY 192026,A000000,01810,0000,1810ICF/MR 192026,A000000,02100,0000,2100RADIOLOGY 192026,A000000,02200,0000,2200LABORATORY 192026,A000000,02300,0000,2300INTRAVENOUS THERAPY 192026,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192026,A000000,02500,0000,2500PHYSICAL THERAPY 192026,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192026,A000000,02700,0000,2700SPEECH PATHOLOGY 192026,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 192026,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192026,A000000,03550,0000,3550FQHC 192026,A000000,04801,0000,4801AMBULANCE 192026,A000000,04802,0000,4802AMBULANCE 192026,A000000,04803,0000,4803AMBULANCE 192026,A000000,05000,0000,5000CORF 192026,A000000,05010,0000,5010CMHC 192026,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 192026,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 192026,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 192026,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192026,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 192026,A81000A,00100,0100,Y 192026,A81000B,00100,0300,HOME OFFICE - CAPITAL 192026,A81000B,00200,0300,HOME OFFICE - NON-CAPITAL 192026,A81000C,00100,0100,B 192026,A81000C,00100,0200,LSS NEW ORLEANS 192026,A81000C,00100,0400,LUTHERAN SOCIAL 192026,A81000C,00100,0600,LTC / CHARITY 192026,B100000,00000,0100,0100SQUARE FEET 192026,B100000,00000,0200,0200SQUARE FEET 192026,B100000,00000,0300,0300GROSS SALARIES 192026,B100000,00000,0400,0400ACCUM COST 192026,B100000,00000,0500,0500SQUARE FEET 192026,B100000,00000,0600,0600PATIENT DAYS 192026,B100000,00000,0700,0700SQUARE FEET 192026,B100000,00000,0800,0800MEALS SERVED 192026,B100000,00000,0900,0900PATIENT DAYS 192026,B100000,00000,1000,1000PATIENT DAYS 192026,B100000,00000,1100,1100PATIENT DAYS 192026,B100000,00000,1200,1200PATIENT DAYS 192026,B100000,00000,1300,1300PATIENT DAYS 192026,B100000,00000,1400,1400ASSIGNED TIME 192026,E10A180,00501,0100,07/19/00 192026,S000000,00100,0200,06/02/00 192026,S200000,00100,0100,6400 HAYNE BOULEVARD 192026,S200000,00200,0100,NEW ORLEANS 192026,S200000,00200,0200,LA 192026,S200000,00200,0300,70126 192026,S200000,00300,0100,NEW ORLEANS 192026,S200000,00300,0200,5560 192026,S200000,00300,0300,U 192026,S200000,00400,0100,LUTHERAN HOME OF NEW ORLEANS 192026,S200000,00400,0200,195356 192026,S200000,00400,0300,01/18/96 192026,S200000,00400,0500,P 192026,S200000,01500,0100,N 192026,S200000,01600,0100,Y 192026,S200000,01700,0100,N 192026,S200000,01800,0100,N 192026,S200000,01900,0100,OTHER (SPECIFY) 192026,S200000,02200,0100,N 192026,S200000,02800,0100,N 192026,S200000,02900,0100,N 192026,S200000,03000,0100,N 192026,S200000,03100,0100,N 192026,S200000,03200,0100,N 192026,S200000,03300,0100,N 192026,S200000,03300,0200,N 192026,S200000,04100,0100,N 192026,S200000,04200,0100,N 192026,S200000,04300,0100,N 192026,S200000,04600,0100,N 192026,S200000,04700,0100,N 192026,S200000,04900,0100,N 192026,S200000,05200,0100,N 192118,S000000,00100,0200,02/23/04 192118,S200000,00100,0100,260 MILNERS CHAPEL ROAD 192118,S200000,00100,0300,999 192118,S200000,00200,0100,KILLEN 192118,S200000,00200,0200,AL 192118,S200000,00200,0300,35645 192118,S200000,00300,0100,LAUDERDALE 192118,S200000,00400,0100,EL REPOSO 192118,S200000,00400,0300,03/16/89 192125,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 192125,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 192125,A000000,00300,0000,0300EMPLOYEE BENEFITS 192125,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192125,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 192125,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192125,A000000,00700,0000,0700HOUSEKEEPING 192125,A000000,00800,0000,0800DIETARY 192125,A000000,00900,0000,0900NURSING ADMINISTRATION 192125,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192125,A000000,01100,0000,1100PHARMACY 192125,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192125,A000000,01300,0000,1300SOCIAL SERVICE 192125,A000000,01500,0000,1350OTHER GENERAL SERVICES 192125,A000000,01600,0000,1600SKILLED NURSING FACILITY 192125,A000000,01800,0000,1800NURSING FACILITY 192125,A000000,01900,0000,1900OTHER LONG TERM CARE 192125,A000000,02100,0000,2100RADIOLOGY 192125,A000000,02200,0000,2200LABORATORY 192125,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192125,A000000,02500,0000,2500PHYSICAL THERAPY 192125,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192125,A000000,02700,0000,2700SPEECH PATHOLOGY 192125,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 192125,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 192125,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192125,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 192125,A000000,04800,0000,4800AMBULANCE 192125,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 192125,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 192125,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 192125,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192125,A81000A,00100,0100,Y 192125,A81000B,00100,0300,MANAGEMENT FEE 192125,A81000B,00200,0300,CAPITAL 192125,A81000B,00300,0300,DATA PROCESSING FEE 192125,A81000B,00400,0300,RESPIRATORY THERAPY 192125,A81000B,00500,0300,PHYSICAL THERAPY 192125,A81000B,00600,0300,OCCUPTIONAL THERAPY 192125,A81000B,00700,0300,SPEECH THERAPY 192125,A81000C,00100,0100,A 192125,A81000C,00100,0200,CVHS CORP 192125,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 192125,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 192125,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 192125,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 192125,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 192125,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 192125,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 192125,B100000,00000,0800,0850PATIENT DAYS :DIETARY 192125,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 192125,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 192125,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 192125,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 192125,S000000,00100,0200,05/26/00 192125,S200000,00100,0100,9655 SEPULVEDA BOULEVARD 192125,S200000,00200,0100,NORTH HILLS 192125,S200000,00200,0200,CA 192125,S200000,00200,0300,91343- 192125,S200000,00300,0100,LOS ANGELES 192125,S200000,00300,0200,4480 192125,S200000,00300,0300,U 192125,S200000,00400,0100,COUNTRY VILLA SHERATON 192125,S200000,00400,0200,056367 192125,S200000,00400,0300,01/15/87 192125,S200000,00400,0500,P 192125,S200000,01500,0100,N 192125,S200000,01600,0100,Y 192125,S200000,01700,0100,N 192125,S200000,01800,0100,N 192125,S200000,02200,0100,Y 192125,S200000,02800,0100,N 192125,S200000,02900,0100,N 192125,S200000,03000,0100,N 192125,S200000,03100,0100,N 192125,S200000,03200,0100,N 192125,S200000,04100,0100,N 192125,S200000,04200,0100,N 192125,S200000,04300,0100,N 192125,S200000,04600,0100,N 192125,S200000,04700,0100,N 192125,S200000,04700,0200,N 192125,S200000,04900,0100,N 192125,S200000,05000,0100,N 192125,S200000,05100,0100,N 192125,S200000,05200,0100,N 192135,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 192135,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 192135,A000000,00300,0000,0300EMPLOYEE BENEFITS 192135,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192135,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 192135,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192135,A000000,00700,0000,0700HOUSEKEEPING 192135,A000000,00800,0000,0800DIETARY 192135,A000000,00900,0000,0900NURSING ADMINISTRATION 192135,A000000,00901,0000,0901OTHER NURSING 192135,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192135,A000000,01100,0000,1100PHARMACY 192135,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192135,A000000,01300,0000,1300SOCIAL SERVICE 192135,A000000,01301,0000,1301ACTIVITIES 192135,A000000,01600,0000,1600SKILLED NURSING FACILITY 192135,A000000,01800,0000,1800NURSING FACILITY 192135,A000000,02100,0000,2100RADIOLOGY 192135,A000000,02200,0000,2200LABORATORY 192135,A000000,02300,0000,2300INTRAVENOUS THERAPY 192135,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192135,A000000,02500,0000,2500PHYSICAL THERAPY 192135,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192135,A000000,02700,0000,2700SPEECH PATHOLOGY 192135,A000000,02800,0000,2800ELECTROCARDIOLOGY 192135,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 192135,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192135,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 192135,A000000,03301,0000,3051NUTRITIONAL THERAPY 192135,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 192135,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 192135,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 192135,A000000,04800,0000,4800AMBULANCE 192135,A000000,05100,0000,4750OTHER REIMBURSABLE COST 192135,A000000,05300,0000,5300INTEREST EXPENSE 192135,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 192135,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 192135,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192135,A000000,06200,0000,6200PATIENTS LAUNDRY 192135,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 192135,A000000,06301,0000,6151DAY CARE 192135,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 192135,A000000,06303,0000,6153DISTRICT OFFICE SPACE 192135,A81000A,00100,0100,Y 192135,A81000B,00100,0300,HOME OFFICE COSTS 192135,A81000B,00200,0300,LIABILITY INSURANCE 192135,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 192135,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 192135,A81000B,00500,0300,VC PHARMACY - ADMIN 192135,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 192135,A81000B,00700,0300,VC PHARMACY - LAUNDRY 192135,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 192135,A81000B,00900,0300,VC PHARMACY - DIETARY 192135,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 192135,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 192135,A81000B,01200,0300,VC PHARMACY - NONLEGEND 192135,A81000B,01300,0300,VC PHARMACY - MED RECORDS 192135,A81000B,01400,0300,VC PHARMACY - SOC SVCS 192135,A81000B,01500,0300,VC PHARMACY - ACTIVITY 192135,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 192135,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 192135,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 192135,A81000B,01900,0300,VC PHARMACY - LAB 192135,A81000B,02000,0300,VC PHARMACY - IV THERAPY 192135,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 192135,A81000B,02200,0300,VENCARE REHAB - PHYS THER 192135,A81000B,02300,0300,VENCARE REHAB - OCCP THER 192135,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 192135,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 192135,A81000B,02600,0300,VC PHARMACY - LEGEND 192135,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 192135,A81000B,02800,0300,VC PHARMACY - NUTR THER 192135,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 192135,A81000C,00100,0100,B 192135,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 192135,A81000C,00100,0400,CORNERSTONE INSURANCE CO 192135,A81000C,00100,0600,LIABILITY INSURANCE 192135,A81000C,00200,0400,VENCARE PHARMACY SERVICES 192135,A81000C,00200,0600,PHARMACY 192135,A81000C,00300,0400,VENCARE RESPIRATORY 192135,A81000C,00300,0600,RESPIRATORY THERAPY 192135,A81000C,00400,0400,THERAPY SERVICES 192135,A81000C,00500,0400,VENCARE REHAB SERVICES 192135,A81000C,00500,0600,REHAB 192135,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 192135,A81000C,00600,0600,PORTABLE X-RAY 192135,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 192135,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 192135,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 192135,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 192135,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 192135,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 192135,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 192135,B100000,00000,0800,0850PATIENT DAYS :DIETARY 192135,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 192135,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 192135,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 192135,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 192135,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 192135,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 192135,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 192135,S000000,00100,0200,12/11/00 192135,S200000,00100,0100,305 14TH STREET 192135,S200000,00200,0100,ROANOKE RAPIDS 192135,S200000,00200,0200,NC 192135,S200000,00200,0300,27870- 192135,S200000,00300,0100,HALIFAX 192135,S200000,00300,0200,34 192135,S200000,00300,0300,R 192135,S200000,00400,0100,704 - GUARDIAN CARE OF ROANOKE RAPID 192135,S200000,00400,0200,345336 192135,S200000,00400,0300,12/05/90 192135,S200000,00400,0500,P 192135,S200000,01500,0100,N 192135,S200000,01600,0100,Y 192135,S200000,01700,0100,N 192135,S200000,01800,0100,N 192135,S200000,02200,0100,Y 192135,S200000,02800,0100,N 192135,S200000,02900,0100,N 192135,S200000,03000,0100,N 192135,S200000,03100,0100,N 192135,S200000,03200,0100,N 192135,S200000,04100,0100,N 192135,S200000,04200,0100,N 192135,S200000,04300,0100,N 192135,S200000,04600,0100,N 192135,S200000,04700,0100,N 192135,S200000,04700,0200,N 192135,S200000,04900,0100,N 192135,S200000,05000,0100,N 192135,S200000,05100,0100,N 192135,S200000,05200,0100,N 192147,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 192147,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 192147,A000000,00300,0000,0300EMPLOYEE BENEFITS 192147,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192147,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 192147,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192147,A000000,00700,0000,0700HOUSEKEEPING 192147,A000000,00800,0000,0800DIETARY 192147,A000000,00900,0000,0900NURSING ADMINISTRATION 192147,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192147,A000000,01100,0000,1100PHARMACY 192147,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192147,A000000,01300,0000,1300SOCIAL SERVICE 192147,A000000,01500,0000,1350OTHER GENERAL SERVICES 192147,A000000,01600,0000,1600SKILLED NURSING FACILITY 192147,A000000,01800,0000,1800NURSING FACILITY 192147,A000000,01900,0000,1900OTHER LONG TERM CARE 192147,A000000,02100,0000,2100RADIOLOGY 192147,A000000,02200,0000,2200LABORATORY 192147,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192147,A000000,02500,0000,2500PHYSICAL THERAPY 192147,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192147,A000000,02700,0000,2700SPEECH PATHOLOGY 192147,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 192147,A000000,02901,0000,2901COMPLEX MEDICAL EQUIPMENT 192147,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192147,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 192147,A000000,04800,0000,4800AMBULANCE 192147,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 192147,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 192147,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 192147,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192147,A81000A,00100,0100,Y 192147,A81000B,00100,0300,MANAGEMENT FEE 192147,A81000B,00200,0300,CAPITAL 192147,A81000B,00300,0300,DATA PROCESSING FEE 192147,A81000B,00400,0300,RESPIRATORY THERAPY 192147,A81000B,00500,0300,PHYSICAL THERAPY 192147,A81000B,00600,0300,OCCUPATIONAL THERAPY 192147,A81000B,00700,0300,SPEECH THERAPY 192147,A81000C,00100,0100,A 192147,A81000C,00100,0200,CVHS CORP 192147,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 192147,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 192147,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 192147,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 192147,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 192147,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 192147,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 192147,B100000,00000,0800,0850PATIENT DAYS :DIETARY 192147,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 192147,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 192147,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 192147,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 192147,S000000,00100,0200,05/26/00 192147,S200000,00100,0100,340 SOUTH ALVARADO STREET 192147,S200000,00200,0100,LOS ANGELES 192147,S200000,00200,0200,CA 192147,S200000,00200,0300,90057- 192147,S200000,00300,0100,LOS ANGELES 192147,S200000,00300,0200,4480 192147,S200000,00300,0300,U 192147,S200000,00400,0100,COUNTRY VILLA REHAB 192147,S200000,00400,0200,555397 192147,S200000,00400,0300,09/15/89 192147,S200000,00400,0500,P 192147,S200000,01500,0100,N 192147,S200000,01600,0100,Y 192147,S200000,01700,0100,N 192147,S200000,01800,0100,N 192147,S200000,02200,0100,Y 192147,S200000,02800,0100,Y 192147,S200000,02900,0100,N 192147,S200000,03000,0100,N 192147,S200000,03100,0100,N 192147,S200000,03200,0100,N 192147,S200000,04100,0100,N 192147,S200000,04200,0100,N 192147,S200000,04300,0100,N 192147,S200000,04600,0100,N 192147,S200000,04700,0100,N 192147,S200000,04700,0200,N 192147,S200000,04900,0100,N 192147,S200000,05000,0100,N 192147,S200000,05100,0100,N 192147,S200000,05200,0100,N 192360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 192360,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 192360,A000000,00300,0000,0300EMPLOYEE BENEFITS 192360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 192360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192360,A000000,00700,0000,0700HOUSEKEEPING 192360,A000000,00800,0000,0800DIETARY 192360,A000000,00900,0000,0900NURSING ADMINISTRATION 192360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192360,A000000,01100,0000,1100PHARMACY 192360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192360,A000000,01300,0000,1300SOCIAL SERVICE 192360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 192360,A000000,01600,0000,1600SKILLED NURSING FACILITY 192360,A000000,01800,0000,1800NURSING FACILITY 192360,A000000,01900,0000,1900OTHER LONG TERM CARE 192360,A000000,02100,0000,2100RADIOLOGY 192360,A000000,02200,0000,2200LABORATORY 192360,A000000,02300,0000,2300INTRAVENOUS THERAPY 192360,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192360,A000000,02500,0000,2500PHYSICAL THERAPY 192360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192360,A000000,02700,0000,2700SPEECH PATHOLOGY 192360,A000000,02800,0000,2800ELECTROCARDIOLOGY 192360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 192360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192360,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 192360,A000000,03200,0000,3200SUPPORT SURFACES 192360,A000000,03400,0000,3400CLINIC 192360,A000000,04800,0000,4800AMBULANCE 192360,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 192360,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 192360,A000000,05300,0000,5300INTEREST EXPENSE 192360,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 192360,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 192360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192360,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 192360,A000000,06100,0000,6100NONPAID WORKERS 192360,A000000,06200,0000,6200PATIENTS LAUNDRY 192360,A000000,06300,0000,6150OTHER NONREIMBURSABLE 192360,A81000A,00100,0100,N 192360,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 192360,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 192360,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 192360,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 192360,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 192360,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 192360,B100000,00000,0800,0800MEALS SERVED :DIETARY 192360,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 192360,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 192360,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 192360,S000000,00100,0200,12/14/00 192360,S200000,00100,0100,8500 ROYAL PALM BOULEVARD 192360,S200000,00200,0100,CORAL SPRINGS 192360,S200000,00200,0200,FL 192360,S200000,00200,0300,33065- 192360,S200000,00300,0100,BROWARD 192360,S200000,00300,0200,2680 192360,S200000,00300,0300,U 192360,S200000,00400,0100,THE PARK SUMMIT AT CORAL SPRINGS 192360,S200000,00400,0200,105503 192360,S200000,00400,0300,04/10/95 192360,S200000,00400,0500,P 192360,S200000,01500,0100,Y 192360,S200000,01600,0100,N 192360,S200000,01700,0100,N 192360,S200000,01800,0100,N 192360,S200000,02200,0100,N 192360,S200000,02800,0100,N 192360,S200000,02900,0100,N 192360,S200000,03000,0100,N 192360,S200000,03100,0100,Y 192360,S200000,03200,0100,N 192360,S200000,04100,0100,N 192360,S200000,04200,0100,N 192360,S200000,04300,0100,N 192360,S200000,04600,0100,N 192360,S200000,04700,0100,N 192360,S200000,04700,0200,N 192360,S200000,04900,0100,N 192360,S200000,05000,0100,N 192360,S200000,05100,0100,N 192360,S200000,05200,0100,N 192686,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 192686,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 192686,A000000,00300,0000,0300EMPLOYEE BENEFITS 192686,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192686,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 192686,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192686,A000000,00700,0000,0700HOUSEKEEPING 192686,A000000,00800,0000,0800DIETARY 192686,A000000,00900,0000,0900NURSING ADMINISTRATION 192686,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192686,A000000,01100,0000,1100PHARMACY 192686,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192686,A000000,01300,0000,1300SOCIAL SERVICE 192686,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 192686,A000000,01600,0000,1600SKILLED NURSING FACILITY 192686,A000000,01810,0000,1810ICF/MR 192686,A000000,02100,0000,2100RADIOLOGY 192686,A000000,02200,0000,2200LABORATORY 192686,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192686,A000000,02500,0000,2500PHYSICAL THERAPY 192686,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192686,A000000,02700,0000,2700SPEECH PATHOLOGY 192686,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 192686,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192686,A000000,03200,0000,3200SUPPORT SURFACES 192686,A000000,03550,0000,3550FQHC 192686,A000000,04801,0000,4801AMBULANCE 192686,A000000,04802,0000,4802AMBULANCE 192686,A000000,04803,0000,4803AMBULANCE 192686,A000000,05000,0000,5000CORF 192686,A000000,05010,0000,5010CMHC 192686,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 192686,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 192686,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 192686,A81000A,00100,0100,Y 192686,A81000B,00100,0300,A & G 192686,A81000C,00100,0100,A 192686,A81000C,00100,0200,NATAN DIENER 192686,B100000,00000,0100,0100SQUARE FEET 192686,B100000,00000,0200,0200SQUARE FEET 192686,B100000,00000,0300,0300GROSS SALARIES 192686,B100000,00000,0400,0400ACCUM COST 192686,B100000,00000,0500,0500SQUARE FEET 192686,B100000,00000,0600,0600POUNDS OF LAUNDRY 192686,B100000,00000,0700,0700SQUARE FEET 192686,B100000,00000,0800,0800MEALS SERVED 192686,B100000,00000,0900,0900DIRECT NRSING HRS 192686,B100000,00000,1000,1000PATIENT DAYS 192686,B100000,00000,1100,1100PATIENT DAYS 192686,B100000,00000,1200,1200GROSS CHARGES 192686,B100000,00000,1300,1300PATIENT DAYS 192686,B100000,00000,1400,1400ASSIGNED TIME 192686,E10A180,00501,0100,09/29/00 192686,E10A180,00551,0300,09/29/00 192686,S000000,00100,0200,09/14/99 192686,S200000,00100,0100,7760 PARKWAY DRIVE 192686,S200000,00200,0100,LA MESA 192686,S200000,00200,0200,CA 192686,S200000,00200,0300,92041 192686,S200000,00300,0100,SAN DIEGO 192686,S200000,00300,0200,7320 192686,S200000,00300,0300,U 0 192686,S200000,00400,0100,HACIENDA DE LA MESA 192686,S200000,00400,0200,055078 192686,S200000,00400,0300,01/01/80 192686,S200000,00400,0500,P 192686,S200000,01500,0100,Y 192686,S200000,01600,0100,N 192686,S200000,01700,0100,N 192686,S200000,01800,0100,N 192686,S200000,02200,0100,N 192686,S200000,02800,0100,N 192686,S200000,02900,0100,N 192686,S200000,03000,0100,N 192686,S200000,03100,0100,N 192686,S200000,03200,0100,N 192686,S200000,03300,0100,N 192686,S200000,03300,0200,N 192686,S200000,04100,0100,N 192686,S200000,04200,0100,N 192686,S200000,04300,0100,N 192686,S200000,04600,0100,N 192686,S200000,04700,0100,N 192686,S200000,04900,0100,N 192686,S200000,05200,0100,N 192744,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 192744,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 192744,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 192744,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 192744,A000000,00300,0000,0300EMPLOYEE BENEFITS 192744,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192744,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 192744,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192744,A000000,00700,0000,0700HOUSEKEEPING 192744,A000000,00800,0000,0800DIETARY 192744,A000000,00801,0000,0801CAFETERIA 192744,A000000,00900,0000,0900NURSING ADMINISTRATION 192744,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192744,A000000,01100,0000,1100PHARMACY 192744,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192744,A000000,01300,0000,1300SOCIAL SERVICE 192744,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 192744,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 192744,A000000,01600,0000,1600SKILLED NURSING FACILITY 192744,A000000,01810,0000,1810ICF/MR 192744,A000000,01900,0000,1900OTHER LONG TERM CARE 192744,A000000,02100,0000,2100RADIOLOGY 192744,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192744,A000000,02500,0000,2500PHYSICAL THERAPY 192744,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192744,A000000,02700,0000,2700SPEECH PATHOLOGY 192744,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 192744,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192744,A000000,03300,0000,3050OTHER ANCILLARY 192744,A000000,03301,0000,3051OTHER ANCILLARY II 192744,A000000,03302,0000,3052OTHER ANCILLARY III 192744,A000000,03550,0000,3550FQHC 192744,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 192744,A000000,05000,0000,5000CORF I 192744,A000000,05010,0000,5010CMHC I 192744,A000000,05020,0000,5020OPT I 192744,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 192744,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 192744,A000000,05100,0000,4750OTHER REIMBURSABLE COST 192744,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 192744,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 192744,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 192744,A000000,05900,0000,5900BARBER & BEAUTY SHOP 192744,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 192744,A81000A,00100,0100,Y 192744,A81000B,00100,0300,DIRECT HOME OFFICE EXPENSES 192744,A81000B,00200,0300,MANAGEMENT FEES 192744,A81000C,00100,0100,A 192744,A81000C,00100,0200,CHOICE MANAGEMT 192744,A81000C,00100,0400,CHOICE MANAGEMT 192744,A81000C,00100,0600,MANAGEMENT 192744,B100000,00000,0100,0100(SQUARE FEET) 192744,B100000,00000,0101,0101(SQUARE FEET) 192744,B100000,00000,0200,0200(SQUARE FEET) 192744,B100000,00000,0201,0201(SQUARE FEET) 192744,B100000,00000,0300,0300(GROSS SALARIES) 192744,B100000,00000,0400,0400ACCUM COST 192744,B100000,00000,0500,0500(SQUARE FEET) 192744,B100000,00000,0600,0600PATIENT DA 192744,B100000,00000,0700,0700(SQUARE FEET) 192744,B100000,00000,0800,0800(MEALS SERVED) 192744,B100000,00000,0801,0801(MEALS SERVED) 192744,B100000,00000,0900,0900(DIRECT NRSING HRS 192744,B100000,00000,1000,1000PATIENT DA 192744,B100000,00000,1100,1100PATIENT DA 192744,B100000,00000,1200,1200PATIENT DA 192744,B100000,00000,1300,1300PATIENT DA 192744,B100000,00000,1400,1400(ASSIGNED TIME) 192744,B100000,00000,1500,1350PATIENT DA 192744,E10A180,00501,0100,07/17/01 192744,E10A180,00502,0100,08/23/01 192744,E10A180,00550,0100,12/10/02 192744,S000000,00100,0200,07/31/01 192744,S200000,00100,0100,2221 RALEIGH ROAD 192744,S200000,00200,0100,ROCKY MOUNT 192744,S200000,00200,0200,NC 192744,S200000,00200,0300,27803 192744,S200000,00300,0100,NASH 192744,S200000,00300,0300,U 192744,S200000,00400,0100,SOUTH VILLAGE 192744,S200000,00400,0200,345137 192744,S200000,00400,0300,06/01/75 192744,S200000,00400,0500,P 192744,S200000,01500,0100,N 192744,S200000,01600,0100,Y 192744,S200000,01700,0100,N 192744,S200000,01800,0100,N 192744,S200000,02200,0100,N 192744,S200000,02800,0100,N 192744,S200000,02900,0100,N 192744,S200000,03000,0100,N 192744,S200000,03100,0100,N 192744,S200000,03200,0100,N 192744,S200000,03300,0100,N 192744,S200000,03300,0200,N 192744,S200000,04100,0100,N 192744,S200000,04200,0100,N 192744,S200000,04300,0100,N 192744,S200000,04600,0100,N 192744,S200000,04700,0100,N 192744,S200000,04900,0100,N 192744,S200000,05200,0100,N 192867,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 192867,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 192867,A000000,00300,0000,0300EMPLOYEE BENEFITS 192867,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 192867,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 192867,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 192867,A000000,00700,0000,0700HOUSEKEEPING 192867,A000000,00800,0000,0800DIETARY 192867,A000000,00900,0000,0900NURSING ADMINISTRATION 192867,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 192867,A000000,01100,0000,1100PHARMACY 192867,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 192867,A000000,01300,0000,1300SOCIAL SERVICE 192867,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 192867,A000000,01500,0000,1350OTHER GENERAL SERVICES 192867,A000000,01600,0000,1600SKILLED NURSING FACILITY 192867,A000000,01800,0000,1800NURSING FACILITY 192867,A000000,01810,0000,1810ICF/MR 192867,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 192867,A000000,02500,0000,2500PHYSICAL THERAPY 192867,A000000,02600,0000,2600OCCUPATIONAL THERAPY 192867,A000000,02700,0000,2700SPEECH PATHOLOGY 192867,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 192867,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 192867,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 192867,A000000,03550,0000,3550FQHC 192867,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 192867,A000000,04801,0000,4801AMBULANCE 192867,A000000,04802,0000,4802AMBULANCE 192867,A000000,04803,0000,4803AMBULANCE 192867,A000000,05000,0000,5000CORF 192867,A000000,05010,0000,5010CMHC 192867,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 192867,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 192867,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 192867,A000000,05100,0000,4750OTHER REIMBURSABLE COST 192867,A000000,05300,0000,5300INTEREST EXPENSE 192867,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 192867,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 192867,A81000A,00100,0100,Y 192867,A81000B,00100,0300,ADMINISTRATOR SALARY 192867,A81000B,00200,0300,BOARD OF DIRECTOR FEES 192867,A81000B,00300,0300,MEDICAL DIRECTOR 192867,A81000B,00400,0300,BOARD OF DIRECTORS FEES 192867,A81000B,00500,0300,BOARD OF DIRECTORS FEES 192867,A81000B,00600,0300,BOARD OF DIRECTORS FEES 192867,A81000B,00700,0300,BOARD OF DIRECTORS FEES 192867,A81000B,00800,0300,MANAGEMENT FEES 192867,A81000B,00900,0300,DEPRECIATION VEHICLE 192867,A81000B,01000,0300,HOME OFFICE SOCIAL WORKER 192867,A81000B,01100,0300,HOME OFFICE PHARMACY 192867,A81000B,01200,0300,HOME OFFICE MEDICAL RECORDS 192867,A81000B,01300,0300,HOME OFFICE DIETITIAN 192867,A81000C,00100,0100,A 192867,A81000C,00100,0200,BRUCE KELLY 192867,A81000C,00100,0400,BRUCE KELLY 192867,A81000C,00100,0600,ADMINISTRATOR & BOARD MEM 192867,A81000C,00200,0100,A 192867,A81000C,00200,0200,BRUCE KELLY 192867,A81000C,00200,0400,BRUCE KELLY 192867,A81000C,00200,0600,ADMINISTRATOR & BOARD MEM 192867,A81000C,00300,0100,A 192867,A81000C,00300,0200,C. R. TILLMAN MD 192867,A81000C,00300,0400,C.R. TILLMAN 192867,A81000C,00300,0600,MEDICAL DIRECTOR & BOARD 192867,A81000C,00400,0100,A 192867,A81000C,00400,0200,C. R. TILLMAN MD 192867,A81000C,00400,0400,C.R. TILLMAN 192867,A81000C,00400,0600,MEDICAL DIRECTOR & BOARD 192867,A81000C,00500,0100,F 192867,A81000C,00500,0200,RITA KELLY 192867,A81000C,00500,0600,BOARD MEMBER 192867,A81000C,00600,0100,F 192867,A81000C,00600,0200,CLIFFORD TILLMAN JR 192867,A81000C,00600,0600,BOARD MEMBER 192867,A81000C,00700,0100,F 192867,A81000C,00700,0200,CATHERINE WHALEN 192867,A81000C,00700,0600,BOARD MEMBER 192867,A81000C,00800,0100,A 192867,A81000C,00800,0200,BRUCE KELLY 192867,A81000C,00800,0400,SENIOR LIVING CENTERS 192867,A81000C,00800,0600,MANAGEMENT COMPANY 192867,A81000C,00900,0100,A 192867,A81000C,00900,0200,C.R. TILLMAN MD 192867,A81000C,00900,0400,SENIOR LIVING CENTERS 192867,A81000C,00900,0600,MANAGEMENT COMPANY 192867,A81000C,01000,0100,F 192867,A81000C,01000,0200,ANN TILLMAN 192867,A81000C,01000,0400,GREAT RIVER OLDS 192867,A81000C,01000,0600,CAR DELIVERSHIP 192867,B100000,00000,0100,0100SQUARE FOOT 192867,B100000,00000,0200,0200SQUARE FOOT 192867,B100000,00000,0300,0300GROSS SALARIES 192867,B100000,00000,0400,0400ACCUM COST 192867,B100000,00000,0500,0500SQUARE FEET 192867,B100000,00000,0600,0600POUNDS OF LAUNDRY 192867,B100000,00000,0700,0700HOURS OF SERVICE 192867,B100000,00000,0800,0800MEALS SERVED 192867,B100000,00000,0900,0900DIRECTNURS SING HOUR 192867,B100000,00000,1000,1000COSTED REQUISTION 192867,B100000,00000,1100,1100NO STATISTICS 192867,B100000,00000,1200,1200TIME SPENT 192867,B100000,00000,1300,1300TIME SPENT 192867,B100000,00000,1400,1400ASSIGNED TIME 192867,B100000,00000,1500,1350NO STATISTICS 192867,E10A180,00550,0100,06/21/00 192867,S000000,00100,0200,05/31/00 192867,S200000,00100,0300,1018 192867,S200000,00200,0100,PORT GIBSON 192867,S200000,00200,0200,MS 192867,S200000,00300,0100,CLAIBORNE 192867,S200000,00300,0200,0025 192867,S200000,00300,0300,R 192867,S200000,00400,0100,CLAIBORNE CO. NURSING CENTER INC 192867,S200000,00400,0200,255192 192867,S200000,00400,0300,12/01/94 192867,S200000,00400,0500,P 192867,S200000,01500,0100,N 192867,S200000,01600,0100,Y 192867,S200000,01700,0100,N 192867,S200000,01800,0100,N 192867,S200000,02200,0100,N 192867,S200000,02800,0100,Y 192867,S200000,02900,0100,N 192867,S200000,03000,0100,N 192867,S200000,03100,0100,N 192867,S200000,03200,0100,N 192867,S200000,03300,0100,N 192867,S200000,03300,0200,N 192867,S200000,04100,0100,N 192867,S200000,04200,0100,N 192867,S200000,04300,0100,N 192867,S200000,04600,0100,N 192867,S200000,04700,0100,N 192867,S200000,04700,0200,N 192867,S200000,04900,0100,N 193486,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 193486,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 193486,A000000,00300,0000,0300EMPLOYEE BENEFITS 193486,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 193486,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 193486,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 193486,A000000,00700,0000,0700HOUSEKEEPING 193486,A000000,00800,0000,0800DIETARY 193486,A000000,00900,0000,0900NURSING ADMINISTRATION 193486,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 193486,A000000,01100,0000,1100PHARMACY 193486,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 193486,A000000,01300,0000,1300SOCIAL SERVICE 193486,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 193486,A000000,01500,0000,1350OTHER GENERAL SERVICES 193486,A000000,01600,0000,1600SKILLED NURSING FACILITY 193486,A000000,01800,0000,1800NURSING FACILITY 193486,A000000,01810,0000,1810ICF/MR 193486,A000000,02100,0000,2100RADIOLOGY 193486,A000000,02500,0000,2500PHYSICAL THERAPY 193486,A000000,02600,0000,2600OCCUPATIONAL THERAPY 193486,A000000,02700,0000,2700SPEECH PATHOLOGY 193486,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 193486,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 193486,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 193486,A000000,03550,0000,3550FQHC 193486,A000000,04801,0000,4801AMBULANCE 193486,A000000,04802,0000,4802AMBULANCE 193486,A000000,04803,0000,4803AMBULANCE 193486,A000000,05000,0000,5000CORF 193486,A000000,05010,0000,5010CMHC 193486,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 193486,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 193486,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 193486,A000000,05100,0000,4750OTHER REIMBURSABLE COST 193486,A000000,05300,0000,5300INTEREST EXPENSE 193486,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 193486,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 193486,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 193486,A81000A,00100,0100,Y 193486,A81000B,00100,0300,CAPITAL 193486,A81000B,00200,0300,MANAGEMENT FEES 193486,A81000B,00300,0300,THERAPY EXPENSE 193486,A81000B,00400,0300,THERAPY EXPENSE 193486,A81000B,00500,0300,THERAPY EXPENSE 193486,A81000C,00100,0100,B 193486,A81000C,00100,0200,TED CAIN 193486,A81000C,00100,0400,HEALTH CARE SERVICES 193486,A81000C,00100,0600,HOME OFFICE 193486,B100000,00000,0100,0100SQUARE FEET 193486,B100000,00000,0200,0200SQUARE FEET 193486,B100000,00000,0300,0300GROSS SALARIES 193486,B100000,00000,0400,0400ACCUM COST 193486,B100000,00000,0500,0500SQUARE FEET 193486,B100000,00000,0600,0600POUNDS OF LAUNDRY 193486,B100000,00000,0700,0700HOURS OF SERVICE 193486,B100000,00000,0800,0800MEALS SERVED 193486,B100000,00000,0900,0900GROSS SAL 193486,B100000,00000,1000,1000COSTED REQUIS. 193486,B100000,00000,1100,1100COSTED REQUIS. 193486,B100000,00000,1200,1200TIME SPENT 193486,B100000,00000,1300,1300TIME SPENT 193486,B100000,00000,1400,1400ASSIGNED TIME 193486,B100000,00000,1500,1350NO STATISTICS 193486,E10A180,00302,0100,10/12/99 193486,E10A180,00551,0100,07/27/00 193486,E10A180,00551,0300,07/27/00 193486,S000000,00100,0200,06/02/00 193486,S200000,00100,0100,5427 GEX ROAD 193486,S200000,00200,0100,BAY ST LOUIS 193486,S200000,00200,0200,MS 193486,S200000,00200,0300,39520 193486,S200000,00300,0100,HANCOCK 193486,S200000,00300,0200,0920 193486,S200000,00300,0300,U 193486,S200000,00400,0100,WOODLAND VILLAGE NURSING CENTER 193486,S200000,00400,0200,255163 193486,S200000,00400,0300,03/15/93 193486,S200000,00400,0500,P 193486,S200000,00600,0200,255163 193486,S200000,00600,0300,03/15/93 193486,S200000,01500,0100,N 193486,S200000,01600,0100,Y 193486,S200000,01700,0100,N 193486,S200000,01800,0100,N 193486,S200000,02200,0100,N 193486,S200000,02800,0100,N 193486,S200000,02900,0100,N 193486,S200000,03000,0100,N 193486,S200000,03100,0100,N 193486,S200000,03200,0100,N 193486,S200000,03300,0100,N 193486,S200000,03300,0200,N 193486,S200000,03500,0300,N 193486,S200000,04100,0100,N 193486,S200000,04200,0100,N 193486,S200000,04300,0100,N 193486,S200000,04600,0100,N 193486,S200000,04700,0100,N 193486,S200000,04900,0100,N 193486,S200000,05200,0100,N 193488,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 193488,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 193488,A000000,00300,0000,0300EMPLOYEE BENEFITS 193488,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 193488,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 193488,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 193488,A000000,00700,0000,0700HOUSEKEEPING 193488,A000000,00800,0000,0800DIETARY 193488,A000000,00900,0000,0900NURSING ADMINISTRATION 193488,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 193488,A000000,01100,0000,1100PHARMACY 193488,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 193488,A000000,01300,0000,1300SOCIAL SERVICE 193488,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 193488,A000000,01500,0000,1350ACTIVITIES 193488,A000000,01600,0000,1600SKILLED NURSING FACILITY 193488,A000000,01810,0000,1810ICF/MR 193488,A000000,02100,0000,2100RADIOLOGY 193488,A000000,02200,0000,2200LABORATORY 193488,A000000,02500,0000,2500PHYSICAL THERAPY 193488,A000000,02600,0000,2600OCCUPATIONAL THERAPY 193488,A000000,02700,0000,2700SPEECH PATHOLOGY 193488,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 193488,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 193488,A000000,03200,0000,3200SUPPORT SURFACES 193488,A000000,03550,0000,3550FQHC 193488,A000000,04801,0000,4801AMBULANCE 193488,A000000,04802,0000,4802AMBULANCE 193488,A000000,04803,0000,4803AMBULANCE 193488,A000000,05000,0000,5000CORF 193488,A000000,05010,0000,5010CMHC 193488,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 193488,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 193488,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 193488,A000000,05300,0000,5300INTEREST EXPENSE 193488,A81000A,00100,0100,Y 193488,A81000B,00100,0300,MANAGEMENT FEE - SEE DISCLOSUR 193488,A81000C,00100,0100,B 193488,A81000C,00100,0200,UNITED METH 193488,A81000C,00100,0400,UNITED METH 193488,A81000C,00100,0600,MGT COMPANYT 193488,A81000C,03100,0000,UNITED METHODIST SENIOR SERVICES 193488,B100000,00000,0100,0100SQ FT 193488,B100000,00000,0200,0200SQ FT 193488,B100000,00000,0300,0300GROSS SAL 193488,B100000,00000,0400,0400ACCUM COST 193488,B100000,00000,0500,0500SQ FT 193488,B100000,00000,0600,0600LBS OF LAUNDRY 193488,B100000,00000,0700,0700SQ FT 193488,B100000,00000,0800,0800MEALS SERVED 193488,B100000,00000,0900,0900HOURS SUPERVISED 193488,B100000,00000,1000,1000COSTED REQ CENTR 193488,B100000,00000,1100,1100COSTED REQ PHARM 193488,B100000,00000,1200,1200GROSS REVENUE 193488,B100000,00000,1300,1300TIME SPENT -SOC 193488,B100000,00000,1400,1400BLANK 193488,B100000,00000,1500,1350TIME SPENT -ACT 193488,S000000,00100,0200,06/02/00 193488,S200000,00100,0100,230 AIRLINE ROAD 193488,S200000,00200,0100,COLUMBUS 193488,S200000,00200,0200,MS 193488,S200000,00200,0300,39702 193488,S200000,00300,0100,LOWNDES 193488,S200000,00300,0200,0025 193488,S200000,00300,0300,R 193488,S200000,00400,0100,TRINITY HEALTHCARE CENTER 193488,S200000,00400,0200,255222 193488,S200000,00400,0300,12/14/96 193488,S200000,00400,0500,P 193488,S200000,01500,0100,Y 193488,S200000,01600,0100,N 193488,S200000,01700,0100,N 193488,S200000,01800,0100,N 193488,S200000,02200,0100,N 193488,S200000,02800,0100,N 193488,S200000,02900,0100,N 193488,S200000,03000,0100,N 193488,S200000,03100,0100,N 193488,S200000,03200,0100,N 193488,S200000,03300,0100,N 193488,S200000,03300,0200,N 193488,S200000,04100,0100,Y 193488,S200000,04200,0100,N 193488,S200000,04300,0100,N 193488,S200000,04600,0100,N 193488,S200000,04700,0100,N 193488,S200000,04900,0100,N 193488,S200000,05200,0100,N 193589,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 193589,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 193589,A000000,00300,0000,0300EMPLOYEE BENEFITS 193589,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 193589,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 193589,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 193589,A000000,00700,0000,0700HOUSEKEEPING 193589,A000000,00800,0000,0800DIETARY 193589,A000000,00900,0000,0900NURSING ADMINISTRATION 193589,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 193589,A000000,01100,0000,1100PHARMACY 193589,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 193589,A000000,01300,0000,1300SOCIAL SERVICE 193589,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 193589,A000000,01600,0000,1600SKILLED NURSING FACILITY 193589,A000000,01810,0000,1810ICF/MR 193589,A000000,02200,0000,2200LABORATORY 193589,A000000,02500,0000,2500PHYSICAL THERAPY 193589,A000000,02600,0000,2600OCCUPATIONAL THERAPY 193589,A000000,02700,0000,2700SPEECH PATHOLOGY 193589,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 193589,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 193589,A000000,03550,0000,3550FQHC 193589,A000000,04801,0000,4801AMBULANCE 193589,A000000,04802,0000,4802AMBULANCE 193589,A000000,04803,0000,4803AMBULANCE 193589,A000000,05000,0000,5000CORF 193589,A000000,05010,0000,5010CMHC 193589,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 193589,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 193589,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 193589,A000000,05300,0000,5300INTEREST EXPENSE 193589,A81000A,00100,0100,Y 193589,A81000B,00100,0300,RENT EXPENSE 193589,A81000C,00100,0100,A 193589,A81000C,00100,0200,STEVE NICHOLAS 193589,A81000C,00100,0400,NICHOLAS REAL E 193589,A81000C,00100,0600,REAL ESTATE 193589,B100000,00000,0100,0100SQUARE FEET 193589,B100000,00000,0200,0200SQUARE FEET 193589,B100000,00000,0300,0300GROSS SALARIES 193589,B100000,00000,0400,0400ACCUM COST 193589,B100000,00000,0500,0500SQUARE FEET 193589,B100000,00000,0600,0600POUNDS OF LAUNDRY 193589,B100000,00000,0700,0700HOURS OF SERVICE 193589,B100000,00000,0800,0800MEALS SERVED 193589,B100000,00000,0900,0900DIRECT NRSG HRS 193589,B100000,00000,1000,1000COSTED REQUIS 193589,B100000,00000,1100,1100COSTED REQUIS 193589,B100000,00000,1200,1200TIME SPENT 193589,B100000,00000,1300,1300TIME SPENT 193589,B100000,00000,1400,1400ASSIGNED TIME 193589,S000000,00100,0200,08/10/00 193589,S200000,00100,0100,7 KEELER AVENUE 193589,S200000,00200,0100,MORAVIA 193589,S200000,00200,0200,NY 193589,S200000,00200,0300,13118 193589,S200000,00300,0100,CAYUGA 193589,S200000,00300,0200,8160 193589,S200000,00300,0300,U 193589,S200000,00400,0100,HOWD NURSING HOME 193589,S200000,00400,0200,335077 193589,S200000,00400,0300,07/01/76 193589,S200000,00400,0500,P 193589,S200000,01500,0100,Y 193589,S200000,01600,0100,N 193589,S200000,01700,0100,N 193589,S200000,01800,0100,N 193589,S200000,02200,0100,N 193589,S200000,02800,0100,N 193589,S200000,02900,0100,N 193589,S200000,03000,0100,N 193589,S200000,03100,0100,N 193589,S200000,03200,0100,N 193589,S200000,03300,0100,N 193589,S200000,03300,0200,N 193589,S200000,04100,0100,N 193589,S200000,04200,0100,N 193589,S200000,04300,0100,N 193589,S200000,04600,0100,N 193589,S200000,04700,0100,N 193589,S200000,04900,0100,N 193589,S200000,05200,0100,N 193590,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 193590,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 193590,A000000,00300,0000,0300EMPLOYEE BENEFITS 193590,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 193590,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 193590,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 193590,A000000,00700,0000,0700HOUSEKEEPING 193590,A000000,00800,0000,0800DIETARY 193590,A000000,00900,0000,0900NURSING ADMINISTRATION 193590,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 193590,A000000,01100,0000,1100PHARMACY 193590,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 193590,A000000,01300,0000,1300SOCIAL SERVICE 193590,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 193590,A000000,01500,0000,1350ACTIVITIES 193590,A000000,01600,0000,1600SKILLED NURSING FACILITY 193590,A000000,01810,0000,1810ICF/MR 193590,A000000,02100,0000,2100RADIOLOGY 193590,A000000,02200,0000,2200LABORATORY 193590,A000000,02300,0000,2300INTRAVENOUS THERAPY 193590,A000000,02500,0000,2500PHYSICAL THERAPY 193590,A000000,02600,0000,2600OCCUPATIONAL THERAPY 193590,A000000,02700,0000,2700SPEECH PATHOLOGY 193590,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 193590,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 193590,A000000,03550,0000,3550FQHC 193590,A000000,04800,0000,4800AMBULANCE 193590,A000000,04801,0000,4801AMBULANCE 193590,A000000,04802,0000,4802AMBULANCE 193590,A000000,04803,0000,4803AMBULANCE 193590,A000000,05000,0000,5000CORF 193590,A000000,05010,0000,5010CMHC 193590,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 193590,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 193590,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 193590,A000000,05300,0000,5300INTEREST EXPENSE 193590,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 193590,A000000,05900,0000,5900BARBER & BEAUTY SHOP 193590,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST CENT 193590,A000000,06301,0000,6151PUBLIC RELATIONS 193590,A000000,06302,0000,6152DENTAL 193590,A81000A,00100,0100,Y 193590,A81000B,00100,0300,COMTRACTED MANAGEMENT 193590,A81000B,00200,0300,CONTRACTED MANAGEMENT 193590,A81000B,00300,0300,CONTRACTED MANAGEMENT 193590,A81000B,00400,0300,CONTRACTED MANAGEMENT 193590,A81000B,00500,0300,CONTRACTED MANAGEMENT 193590,A81000B,00600,0300,CONTRACTED MANAGEMENT 193590,A81000B,00700,0300,CONTRACTED MANAGEMENT 193590,A81000C,00100,0100,G 193590,A81000C,00100,0200,GHRC 193590,A81000C,00100,0400,NIA. LUTHERAN 193590,A81000C,00100,0600,MANAGEMENT 193590,A81000C,03100,0000,NIAGARA LUTHERAN HEALTH SYSTEM INC. 193590,B100000,00000,0100,0100SQUARE FOOTAGE 1 193590,B100000,00000,0200,0200SQUARE FOOTAGE 2 193590,B100000,00000,0300,0300GROSS SAL 193590,B100000,00000,0400,0400ACCUM COST 193590,B100000,00000,0500,0500SQUARE FOOTQGE 3 193590,B100000,00000,0600,0600LBS OF LAUNDRY 193590,B100000,00000,0700,0700HOUSEKEEPI HRS 193590,B100000,00000,0800,0800MEALS SERVED 193590,B100000,00000,0900,0900DIR OF NUSR ADM H 193590,B100000,00000,1000,1000CMS REQUISITIO 193590,B100000,00000,1100,1100DRUG REQUISITIO 193590,B100000,00000,1200,1200MEDICAL RECORDS HR 193590,B100000,00000,1300,1300SOC SERVICE HR 193590,B100000,00000,1400,1400ASSIGNED TIME 193590,B100000,00000,1500,1350BEDS 193590,E10A180,00301,0100,05/09/00 193590,S000000,00100,0200,05/31/00 193590,S200000,00100,0100,5949 BROADWAY 193590,S200000,00200,0100,BUFFALO 193590,S200000,00200,0200,NY 193590,S200000,00200,0300,14086 193590,S200000,00300,0100,ERIE 193590,S200000,00300,0200,1280 193590,S200000,00300,0300,U 193590,S200000,00400,0100,GREENFIELD HEALTH & REHABILITATION 193590,S200000,00400,0200,335182 193590,S200000,00400,0300,01/01/67 193590,S200000,00400,0500,P 193590,S200000,01500,0100,Y 193590,S200000,01600,0100,N 193590,S200000,01700,0100,N 193590,S200000,01800,0100,N 193590,S200000,01900,0100,SKILLED NURSING FACILITY 193590,S200000,02200,0100,Y 193590,S200000,02800,0100,N 193590,S200000,02900,0100,N 193590,S200000,03000,0100,N 193590,S200000,03100,0100,N 193590,S200000,03200,0100,N 193590,S200000,03300,0100,N 193590,S200000,03300,0200,N 193590,S200000,04100,0100,N 193590,S200000,04200,0100,N 193590,S200000,04300,0100,Y 193590,S200000,04600,0100,N 193590,S200000,04700,0100,Y 193590,S200000,04700,0200,Y 193590,S200000,04900,0100,N 193590,S200000,05200,0100,N 194342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194342,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194342,A000000,00300,0000,0300EMPLOYEE BENEFITS 194342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194342,A000000,00700,0000,0700HOUSEKEEPING 194342,A000000,00800,0000,0800DIETARY 194342,A000000,00900,0000,0900NURSING ADMINISTRATION 194342,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194342,A000000,01100,0000,1100PHARMACY 194342,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194342,A000000,01300,0000,1300SOCIAL SERVICE 194342,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194342,A000000,01600,0000,1600SKILLED NURSING FACILITY 194342,A000000,01810,0000,1810ICF/MR 194342,A000000,02100,0000,2100RADIOLOGY 194342,A000000,02200,0000,2200LABORATORY 194342,A000000,02500,0000,2500PHYSICAL THERAPY 194342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194342,A000000,02700,0000,2700SPEECH PATHOLOGY 194342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194342,A000000,03550,0000,3550FQHC 194342,A000000,04800,0000,4800AMBULANCE 194342,A000000,04801,0000,4801AMBULANCE 194342,A000000,04802,0000,4802AMBULANCE 194342,A000000,04803,0000,4803AMBULANCE 194342,A000000,05000,0000,5000CORF 194342,A000000,05010,0000,5010CMHC 194342,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194342,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194342,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194342,A000000,05300,0000,5300INTEREST EXPENSE 194342,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194342,A81000A,00100,0100,Y 194342,A81000B,00100,0300,RENT 194342,A81000B,00200,0300,MGMT FEE 194342,A81000B,00300,0300,SERVICE INCOME 194342,A81000B,00400,0300,OTHER SERVICE INCOME 194342,A81000B,00500,0300,RE TAX INS DEP-FIX 194342,A81000B,00600,0300,INS INT DEP-MOVE 194342,A81000C,00100,0100,F 194342,A81000C,00100,0200,ROBERT W. HURLB 194342,A81000C,00100,0400,CONVALARIUMS 194342,A81000C,00100,0600,REAL ESTATE MGM 194342,A81000C,00200,0100,F 194342,A81000C,00200,0200,CHRISTINE BEAN 194342,A81000C,00200,0400,CONVALARIUMS 194342,A81000C,00200,0600,REAL ESTATE MGM 194342,A81000C,00300,0100,D 194342,A81000C,00300,0200,ROBERT H. HURLB 194342,A81000C,00300,0400,CONVALARIUMS 194342,A81000C,00300,0600,REAL ESTATE MGM 194342,A81000C,00400,0100,F 194342,A81000C,00400,0200,ROBERT W. HURLB 194342,A81000C,00400,0400,ROHM SERVICES 194342,A81000C,00400,0600,ADMIN SERVICES 194342,A81000C,00500,0100,F 194342,A81000C,00500,0200,CHRISTINE BEAN 194342,A81000C,00500,0400,ROHM SERVICES 194342,A81000C,00500,0600,ADMIN SERVICES 194342,A81000C,00600,0100,D 194342,A81000C,00600,0200,ROBERT H. HURLB 194342,A81000C,00600,0400,ROHM SERVICES 194342,A81000C,00600,0600,ADMIN SERVICES 194342,B100000,00000,0100,0100SQUARE FEET 194342,B100000,00000,0200,0200SQUARE FEET 194342,B100000,00000,0300,0300GROSS SALARIES 194342,B100000,00000,0400,0400ACCUM COST 194342,B100000,00000,0500,0500SQUARE FEET 194342,B100000,00000,0600,0600POUNDS OF LAUNDRY 194342,B100000,00000,0700,0700HOURS OF SERVICE 194342,B100000,00000,0800,0800MEALS SERVED 194342,B100000,00000,0900,0900DIRECT NRSG HRS 194342,B100000,00000,1000,1000COSTED REQUIS 194342,B100000,00000,1100,1100COSTED REQUIS 194342,B100000,00000,1200,1200TIME SPENT 194342,B100000,00000,1300,1300TIME SPENT 194342,B100000,00000,1400,1400ASSIGNED TIME 194342,E10A180,00301,0100,05/09/00 194342,S000000,00100,0200,06/02/00 194342,S200000,00100,0100,1919 ELMWOOD AVENUE 194342,S200000,00200,0100,ROCHESTER 194342,S200000,00200,0200,NY 194342,S200000,00200,0300,14620 194342,S200000,00300,0100,MONROE 194342,S200000,00300,0200,6840 194342,S200000,00300,0300,U 194342,S200000,00400,0100,THE BRIGHTONIAN INC. 194342,S200000,00400,0200,335554 194342,S200000,00400,0300,10/01/76 194342,S200000,00400,0500,P 194342,S200000,01500,0100,Y 194342,S200000,01600,0100,N 194342,S200000,01700,0100,N 194342,S200000,01800,0100,N 194342,S200000,02200,0100,N 194342,S200000,02800,0100,N 194342,S200000,02900,0100,N 194342,S200000,03000,0100,N 194342,S200000,03100,0100,N 194342,S200000,03200,0100,N 194342,S200000,03300,0100,N 194342,S200000,03300,0200,N 194342,S200000,04100,0100,N 194342,S200000,04200,0100,N 194342,S200000,04300,0100,N 194342,S200000,04600,0100,N 194342,S200000,04700,0100,N 194342,S200000,04900,0100,N 194342,S200000,05200,0100,N 194371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 194371,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 194371,A000000,00300,0000,0300EMPLOYEE BENEFITS 194371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 194371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194371,A000000,00700,0000,0700HOUSEKEEPING 194371,A000000,00800,0000,0800DIETARY 194371,A000000,00900,0000,0900NURSING ADMINISTRATION 194371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194371,A000000,01100,0000,1100PHARMACY 194371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194371,A000000,01300,0000,1300SOCIAL SERVICE 194371,A000000,01600,0000,1600SKILLED NURSING FACILITY 194371,A000000,01800,0000,1800NURSING FACILITY 194371,A000000,01900,0000,1900OTHER LONG TERM CARE 194371,A000000,02100,0000,2100RADIOLOGY 194371,A000000,02200,0000,2200LABORATORY 194371,A000000,02300,0000,2300INTRAVENOUS THERAPY 194371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194371,A000000,02500,0000,2500PHYSICAL THERAPY 194371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194371,A000000,02700,0000,2700SPEECH PATHOLOGY 194371,A000000,02800,0000,2800ELECTROCARDIOLOGY 194371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 194371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194371,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 194371,A000000,03200,0000,3200SUPPORT SURFACES 194371,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 194371,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 194371,A000000,03301,0000,3051NUTRITIONAL THERAPY 194371,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 194371,A000000,03303,0000,3053PHYSICIAN SERVICES 194371,A000000,03304,0000,3054MEDICAL SERVICES 194371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 194371,A000000,04800,0000,4800AMBULANCE 194371,A000000,05300,0000,5300INTEREST EXPENSE 194371,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 194371,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 194371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194371,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 194371,A000000,06100,0000,6100NONPAID WORKERS 194371,A000000,06200,0000,6200PATIENTS LAUNDRY 194371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 194371,A81000A,00100,0100,Y 194371,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 194371,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 194371,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 194371,A81000B,00400,0300,REGIONAL ALLOCATION 194371,A81000B,00500,0300,SEE ATTACHED SCHEDULE 194371,A81000C,00100,0100,B 194371,A81000C,00100,0200,SUNRISE HEALTHCARE CORP 194371,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 194371,A81000C,00100,0600,HEALTH CARE 194371,A81000C,00200,0100,G 194371,A81000C,00200,0200,ANDREW TURNER 194371,A81000C,00200,0600,CEO/CHAIRMAN OF BOARD 194371,A81000C,00300,0100,G 194371,A81000C,00300,0200,SEE ATTACHED SCHEDULE 194371,A81000C,00300,0600,HEALTH CARE 194371,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 194371,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 194371,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 194371,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 194371,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 194371,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 194371,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 194371,B100000,00000,0800,0850PATIENT DAYS :DIETARY 194371,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 194371,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 194371,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 194371,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 194371,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 194371,S000000,00100,0200,03/14/00 194371,S200000,00100,0100,801 ELBERTA ROAD 194371,S200000,00200,0100,WARNER ROBBINS 194371,S200000,00200,0200,GA 194371,S200000,00200,0300,31093- 194371,S200000,00300,0100,BIBB 194371,S200000,00300,0300,U 194371,S200000,00400,0100,PEACHBELT HEALTH & REHAB CTR 194371,S200000,00400,0200,115552 194371,S200000,00400,0300,08/01/93 194371,S200000,00400,0500,P 194371,S200000,01500,0100,N 194371,S200000,01600,0100,Y 194371,S200000,01700,0100,N 194371,S200000,01800,0100,N 194371,S200000,02200,0100,N 194371,S200000,02800,0100,N 194371,S200000,02900,0100,N 194371,S200000,03000,0100,N 194371,S200000,03100,0100,N 194371,S200000,03200,0100,N 194371,S200000,04100,0100,N 194371,S200000,04200,0100,N 194371,S200000,04300,0100,N 194371,S200000,04600,0100,N 194371,S200000,04700,0100,N 194371,S200000,04700,0200,N 194371,S200000,04900,0100,N 194371,S200000,05000,0100,N 194371,S200000,05100,0100,N 194371,S200000,05200,0100,N 194429,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194429,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194429,A000000,00300,0000,0300EMPLOYEE BENEFITS 194429,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194429,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194429,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194429,A000000,00700,0000,0700HOUSEKEEPING 194429,A000000,00800,0000,0800DIETARY 194429,A000000,00900,0000,0900NURSING ADMINISTRATION 194429,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194429,A000000,01100,0000,1100PHARMACY 194429,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194429,A000000,01300,0000,1300SOCIAL SERVICE 194429,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194429,A000000,01500,0000,1350OTHER GENERAL SERVICES 194429,A000000,01600,0000,1600SKILLED NURSING FACILITY 194429,A000000,01810,0000,1810ICF/MR 194429,A000000,01900,0000,1900OTHER LONG TERM CARE 194429,A000000,02100,0000,2100RADIOLOGY 194429,A000000,02200,0000,2200LABORATORY 194429,A000000,02300,0000,2300INTRAVENOUS THERAPY 194429,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194429,A000000,02500,0000,2500PHYSICAL THERAPY 194429,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194429,A000000,02700,0000,2700SPEECH PATHOLOGY 194429,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194429,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194429,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 194429,A000000,03550,0000,3550FQHC 194429,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 194429,A000000,04801,0000,4801AMBULANCE 194429,A000000,04802,0000,4802AMBULANCE 194429,A000000,04803,0000,4803AMBULANCE 194429,A000000,05000,0000,5000CORF 194429,A000000,05010,0000,5010CMHC 194429,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194429,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194429,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194429,A000000,05100,0000,4750OTHER REIMBURSABLE COST 194429,A000000,05300,0000,5300INTEREST EXPENSE 194429,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 194429,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194429,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 194429,A81000A,00100,0100,Y 194429,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 194429,A81000B,00200,0300,PLANT OPERATION & MAINTENANCE 194429,A81000B,00300,0300,SOCIAL SERVICE 194429,A81000B,00400,0300,OTHER LONG TERM CARE 194429,A81000C,00100,0100,B 194429,A81000C,00100,0400,SUGAR CREEK REST INC. 194429,A81000C,00100,0600,MANAGEMENT SERVICES 194429,A81000C,00200,0100,A 194429,A81000C,00200,0200,KENNETH R. TACK JR. 194429,A81000C,00300,0100,A 194429,A81000C,00300,0200,PHILIP E. TACK 194429,A81000C,00400,0100,A 194429,A81000C,00400,0200,STEVEN D. TACK 194429,A81000C,00500,0100,A 194429,A81000C,00500,0200,MATTHEW P. TACK 194429,B100000,00000,0100,0100SQUARE FEET 194429,B100000,00000,0200,0200SQUARE FEET 194429,B100000,00000,0300,0300GROSS SALARIES 194429,B100000,00000,0400,0400ACCUM COST 194429,B100000,00000,0500,0500SQUARE FEET 194429,B100000,00000,0600,0600POUNDS OF LAUNDRY 194429,B100000,00000,0700,0700HOURS OF SERVICE 194429,B100000,00000,0800,0800MEALS SERVED 194429,B100000,00000,0900,0900DIRECT NRSING HRS 194429,B100000,00000,1000,1000COSTED REQUIS. 194429,B100000,00000,1100,1100COSTED REQUIS. 194429,B100000,00000,1200,1200TIME SPENT 194429,B100000,00000,1300,1300TIME SPENT 194429,B100000,00000,1400,1400ASSIGNED TIME 194429,B100000,00000,1500,1350NO STATISTICS 194429,E10A180,00501,0100,11/30/00 194429,E10A180,00501,0300,11/30/00 194429,S000000,00100,0200,11/28/00 194429,S200000,00100,0100,160 MEDICAL CENTER ROAD 194429,S200000,00200,0100,CHICORA 194429,S200000,00200,0200,PA 194429,S200000,00200,0300,16025 194429,S200000,00300,0200,6280 194429,S200000,00300,0300,U 194429,S200000,00400,0100,CHICORA MEDICAL CENTER 194429,S200000,00400,0200,395118 194429,S200000,00400,0300,07/01/67 194429,S200000,00400,0500,P 194429,S200000,01500,0100,N 194429,S200000,01600,0100,Y 194429,S200000,01700,0100,N 194429,S200000,01800,0100,N 194429,S200000,02200,0100,N 194429,S200000,02800,0100,N 194429,S200000,02900,0100,N 194429,S200000,03000,0100,N 194429,S200000,03100,0100,N 194429,S200000,03200,0100,N 194429,S200000,03300,0100,N 194429,S200000,03300,0200,N 194429,S200000,04100,0100,N 194429,S200000,04200,0100,N 194429,S200000,04300,0100,N 194429,S200000,04600,0100,N 194429,S200000,04700,0100,N 194429,S200000,04700,0200,N 194429,S200000,04900,0100,N 194572,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194572,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194572,A000000,00300,0000,0300EMPLOYEE BENEFITS 194572,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194572,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194572,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194572,A000000,00700,0000,0700HOUSEKEEPING 194572,A000000,00800,0000,0800DIETARY 194572,A000000,00900,0000,0900NURSING ADMINISTRATION 194572,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194572,A000000,01100,0000,1100PHARMACY 194572,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194572,A000000,01300,0000,1300SOCIAL SERVICE 194572,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194572,A000000,01600,0000,1600SKILLED NURSING FACILITY 194572,A000000,01800,0000,1800NURSING FACILITY 194572,A000000,01810,0000,1810ICF/MR 194572,A000000,02100,0000,2100RADIOLOGY 194572,A000000,02200,0000,2200LABORATORY 194572,A000000,02500,0000,2500PHYSICAL THERAPY 194572,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194572,A000000,02700,0000,2700SPEECH PATHOLOGY 194572,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194572,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194572,A000000,03200,0000,3200SUPPORT SURFACES 194572,A000000,03550,0000,3550FQHC 194572,A000000,04801,0000,4801AMBULANCE 194572,A000000,04802,0000,4802AMBULANCE 194572,A000000,04803,0000,4803AMBULANCE 194572,A000000,05000,0000,5000CORF 194572,A000000,05010,0000,5010CMHC 194572,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194572,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194572,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194572,A000000,05300,0000,5300INTEREST EXPENSE 194572,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194572,A81000A,00100,0100,Y 194572,A81000B,00100,0300,RENT 194572,A81000B,00200,0300,STORAGE 194572,A81000B,00300,0300,STOR- CAPITAL COSTS 194572,A81000B,00400,0300,HOME OFFICE MGMT FEE 194572,A81000B,00500,0300,HOME OFFICE CAP COST 194572,A81000B,00600,0300,PUB REL & BDE ACCT 194572,A81000C,00100,0100,A 194572,A81000C,00100,0200,BOB G DEAN JR 194572,A81000C,00100,0400,BOB DEAN ENTRPR 194572,A81000C,00100,0600,NURS HOME MGMT 194572,A81000C,00200,0100,A 194572,A81000C,00200,0200,BOB G DEAN JR 194572,A81000C,00200,0400,CHOCTAW WAREHOU 194572,A81000C,00200,0600,STORAGE 194572,A81000C,00300,0100,A 194572,A81000C,00300,0200,BILLIE F DEAN 194572,A81000C,00300,0400,CHOCTAW WAREHOU 194572,A81000C,00300,0600,STORAGE 194572,B100000,00000,0100,0100SQUARE FEET 194572,B100000,00000,0200,0200SQUARE FEET 194572,B100000,00000,0300,0300GROSS SALARIES 194572,B100000,00000,0400,0400ACCUM COST 194572,B100000,00000,0500,0500SQUARE FEET 194572,B100000,00000,0600,0600PATIENT DAYS 194572,B100000,00000,0700,0700SQUARE FEET 194572,B100000,00000,0800,0800MEALS SERVED 194572,B100000,00000,0900,0900DIRECT NRSG HRS 194572,B100000,00000,1000,1000COSTED REQUIS 194572,B100000,00000,1100,1100COSTED REQUIS 194572,B100000,00000,1200,1200PATIENT DAYS 194572,B100000,00000,1300,1300PATIENT DAYS 194572,B100000,00000,1400,1400ASSIGNED TIME 194572,E10A180,00301,0100,10/06/99 194572,E10A180,00302,0100,05/10/00 194572,E10A180,00550,0100,10/02/00 194572,S000000,00100,0200,08/07/00 194572,S200000,00100,0100,107 S. HOLLYWOOD RD. 194572,S200000,00200,0100,HOUMA 194572,S200000,00200,0200,LA 194572,S200000,00200,0300,70360 194572,S200000,00300,0100,TERREBONNE 194572,S200000,00300,0200,3350 194572,S200000,00300,0300,U 194572,S200000,00400,0100,MAISON DE VILLE OF HOUMA 194572,S200000,00400,0200,195307 194572,S200000,00400,0300,02/13/95 194572,S200000,00400,0500,P 194572,S200000,00400,0600,O 194572,S200000,01500,0100,N 194572,S200000,01600,0100,Y 194572,S200000,01700,0100,N 194572,S200000,01800,0100,N 194572,S200000,02200,0100,Y 194572,S200000,02800,0100,N 194572,S200000,02900,0100,N 194572,S200000,03000,0100,N 194572,S200000,03100,0100,N 194572,S200000,03200,0100,N 194572,S200000,03300,0100,N 194572,S200000,03300,0200,N 194572,S200000,04100,0100,N 194572,S200000,04200,0100,N 194572,S200000,04300,0100,N 194572,S200000,04600,0100,N 194572,S200000,04700,0100,N 194572,S200000,04900,0100,N 194572,S200000,05200,0100,N 194573,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194573,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194573,A000000,00300,0000,0300EMPLOYEE BENEFITS 194573,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194573,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194573,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194573,A000000,00700,0000,0700HOUSEKEEPING 194573,A000000,00800,0000,0800DIETARY 194573,A000000,00900,0000,0900NURSING ADMINISTRATION 194573,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194573,A000000,01100,0000,1100PHARMACY 194573,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194573,A000000,01300,0000,1300SOCIAL SERVICE 194573,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194573,A000000,01500,0000,1350OTHER GENERAL SERVICES 194573,A000000,01600,0000,1600SKILLED NURSING FACILITY 194573,A000000,01800,0000,1800NURSING FACILITY 194573,A000000,01810,0000,1810ICF/MR 194573,A000000,02200,0000,2200LABORATORY 194573,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194573,A000000,02500,0000,2500PHYSICAL THERAPY 194573,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194573,A000000,02700,0000,2700SPEECH PATHOLOGY 194573,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194573,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194573,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 194573,A000000,03550,0000,3550FQHC 194573,A000000,04801,0000,4801AMBULANCE 194573,A000000,04802,0000,4802AMBULANCE 194573,A000000,04803,0000,4803AMBULANCE 194573,A000000,05000,0000,5000CORF 194573,A000000,05010,0000,5010CMHC 194573,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194573,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194573,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194573,A000000,05100,0000,4750OTHER REIMBURSABLE COST 194573,A000000,05300,0000,5300INTEREST EXPENSE 194573,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 194573,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 194573,A81000A,00100,0100,N 194573,B100000,00000,0100,0100SQUARE FEET 194573,B100000,00000,0200,0200DOLLAR VALUE 194573,B100000,00000,0300,0300GROSS SALARIES 194573,B100000,00000,0400,0400ACCUM COST 194573,B100000,00000,0500,0500SQUARE FEET 194573,B100000,00000,0600,0600POUNDS OF LAUNDRY 194573,B100000,00000,0700,0700HOURS OF SERVICE 194573,B100000,00000,0800,0800MEALS SERVED 194573,B100000,00000,0900,0900DIRECT NRSING HRS 194573,B100000,00000,1000,1000COSTED REQUIS. 194573,B100000,00000,1100,1100COSTED REQUIS. 194573,B100000,00000,1200,1200TIME SPENT 194573,B100000,00000,1300,1300TIME SPENT 194573,B100000,00000,1400,1400ASSIGNED TIME 194573,B100000,00000,1500,1350NO STATISTICS 194573,E10A180,00301,0100,08/10/99 194573,E10A180,00302,0100,09/16/99 194573,E10A180,00303,0100,01/09/00 194573,E10A180,00304,0100,02/16/00 194573,E10A180,00305,0100,04/05/00 194573,E10A180,00501,0100,06/14/00 194573,E10A180,00501,0300,06/14/00 194573,E10A180,00550,0100,08/04/00 194573,S000000,00100,0200,06/07/00 194573,S200000,00100,0100,405 FOLSE DRIVE 194573,S200000,00200,0100,HARAHAN 194573,S200000,00200,0200,LA 194573,S200000,00200,0300,70123 194573,S200000,00300,0100,JEFFERSON 194573,S200000,00300,0200,5560 194573,S200000,00300,0300,U 194573,S200000,00400,0100,HARAHAN GUEST HOUSE 194573,S200000,00400,0200,195374 194573,S200000,00400,0300,07/01/96 194573,S200000,00400,0500,P 194573,S200000,00600,0200,195374 194573,S200000,00600,0300,07/01/96 194573,S200000,01500,0100,N 194573,S200000,01600,0100,Y 194573,S200000,01700,0100,N 194573,S200000,01800,0100,N 194573,S200000,02200,0100,N 194573,S200000,02800,0100,N 194573,S200000,02900,0100,N 194573,S200000,03000,0100,N 194573,S200000,03100,0100,N 194573,S200000,03200,0100,N 194573,S200000,03300,0100,N 194573,S200000,03300,0200,N 194573,S200000,03500,0300,N 194573,S200000,04100,0100,N 194573,S200000,04200,0100,N 194573,S200000,04300,0100,N 194573,S200000,04600,0100,N 194573,S200000,04700,0100,N 194573,S200000,04900,0100,N 194573,S200000,05200,0100,N 194574,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194574,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194574,A000000,00300,0000,0300EMPLOYEE BENEFITS 194574,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194574,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194574,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194574,A000000,00700,0000,0700HOUSEKEEPING 194574,A000000,00800,0000,0800DIETARY 194574,A000000,00900,0000,0900NURSING ADMINISTRATION 194574,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194574,A000000,01100,0000,1100PHARMACY 194574,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194574,A000000,01300,0000,1300SOCIAL SERVICE 194574,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194574,A000000,01600,0000,1600SKILLED NURSING FACILITY 194574,A000000,01800,0000,1800NURSING FACILITY 194574,A000000,01810,0000,1810ICF/MR 194574,A000000,02100,0000,2100RADIOLOGY 194574,A000000,02200,0000,2200LABORATORY 194574,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194574,A000000,02500,0000,2500PHYSICAL THERAPY 194574,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194574,A000000,02700,0000,2700SPEECH PATHOLOGY 194574,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194574,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194574,A000000,03550,0000,3550FQHC 194574,A000000,04801,0000,4801AMBULANCE 194574,A000000,04802,0000,4802AMBULANCE 194574,A000000,04803,0000,4803AMBULANCE 194574,A000000,05000,0000,5000CORF 194574,A000000,05010,0000,5010CMHC 194574,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194574,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194574,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194574,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194574,A81000A,00100,0100,Y 194574,A81000B,00100,0300,ADMIN & GENERAL-MNGMT FEE 194574,A81000B,00200,0300,HOME OFFICE-CRC BLDNG 194574,A81000B,00300,0300,HOME OFFICE-CRC MOVEABLE 194574,A81000C,00100,0100,C 194574,A81000C,00100,0200,THE GUEST HOUSE 194574,A81000C,00100,0400,GAMBLE GUEST CARE CORP 194574,A81000C,00100,0600,HOME OFFICE MANAGEMENT 194574,A81000C,00200,0100,G 194574,A81000C,00200,0200,KEVIN GAMBLE JR 194574,A81000C,00200,0400,SON OF OWNER 194574,A81000C,00200,0600,CONSTR/MAINTENANCE 194574,B100000,00000,0100,0100SQUARE FEET 194574,B100000,00000,0200,0200SQUARE FEET 194574,B100000,00000,0300,0300GROSS SALARIES 194574,B100000,00000,0400,0400ACCUM COST 194574,B100000,00000,0500,0500SQUARE FEET 194574,B100000,00000,0600,0600PATIENT DAYS 194574,B100000,00000,0700,0700SQUARE FEET 194574,B100000,00000,0800,0800MEALS SERVED 194574,B100000,00000,0900,0900NURSING/TH HR HOUR 194574,B100000,00000,1000,1000COST REQUISIT 194574,B100000,00000,1100,1100COST REQUISIT 194574,B100000,00000,1200,1200PATIENT DAYS 194574,B100000,00000,1300,1300PATIENT DAYS 194574,B100000,00000,1400,1400ASSIGNED TIME 194574,E10A180,00501,0100,07/19/00 194574,E10A180,00501,0300,07/19/00 194574,S000000,00100,0200,06/01/00 194574,S200000,00100,0100,9225 NORMANDIE DRIVE 194574,S200000,00100,0300,P.O. BOX 52389 194574,S200000,00200,0100,SHREVEPORT 194574,S200000,00200,0200,LA 194574,S200000,00200,0300,71118 194574,S200000,00300,0100,CADDO PARISH 194574,S200000,00300,0200,7680 194574,S200000,00300,0300,U 194574,S200000,00400,0100,THE GUEST HOUSE 194574,S200000,00400,0200,195380 194574,S200000,00400,0300,07/01/96 194574,S200000,00400,0500,P 194574,S200000,01500,0100,N 194574,S200000,01600,0100,Y 194574,S200000,01700,0100,N 194574,S200000,01800,0100,N 194574,S200000,02200,0100,N 194574,S200000,02800,0100,N 194574,S200000,02900,0100,N 194574,S200000,03000,0100,N 194574,S200000,03100,0100,N 194574,S200000,03200,0100,N 194574,S200000,03300,0100,N 194574,S200000,03300,0200,N 194574,S200000,04100,0100,N 194574,S200000,04200,0100,N 194574,S200000,04300,0100,N 194574,S200000,04600,0100,N 194574,S200000,04700,0100,N 194574,S200000,04900,0100,N 194574,S200000,05200,0100,N 194581,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 194581,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 194581,A000000,00300,0000,0300EMPLOYEE BENEFITS 194581,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194581,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 194581,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194581,A000000,00700,0000,0700HOUSEKEEPING 194581,A000000,00800,0000,0800DIETARY 194581,A000000,00900,0000,0900NURSING ADMINISTRATION 194581,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194581,A000000,01100,0000,1100PHARMACY 194581,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194581,A000000,01300,0000,1300SOCIAL SERVICE 194581,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 194581,A000000,01500,0000,1350PATIENT ACTIVITIES 194581,A000000,01600,0000,1600SKILLED NURSING FACILITY 194581,A000000,01800,0000,1800NURSING FACILITY 194581,A000000,01810,0000,1810ICF/MR 194581,A000000,02200,0000,2200LABORATORY 194581,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194581,A000000,02500,0000,2500PHYSICAL THERAPY 194581,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194581,A000000,02700,0000,2700SPEECH PATHOLOGY 194581,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 194581,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194581,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 194581,A000000,03550,0000,3550FQHC 194581,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 194581,A000000,04801,0000,4801AMBULANCE 194581,A000000,04802,0000,4802AMBULANCE 194581,A000000,04803,0000,4803AMBULANCE 194581,A000000,05000,0000,5000CORF 194581,A000000,05010,0000,5010CMHC 194581,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 194581,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 194581,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 194581,A000000,05100,0000,4750OTHER REIMBURSABLE COST 194581,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 194581,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 194581,A81000A,00100,0100,Y 194581,A81000B,00100,0300,HOME OFFICE 194581,A81000B,00200,0300,HOME OFFICE CAPITAL 194581,A81000B,00300,0300,HOME OFFICE 194581,A81000B,00400,0300,ANCILLARY MGMT FEE 194581,A81000B,00500,0300,ANCILLARY MGMT FEE 194581,A81000B,00600,0300,ANCILLARY MGMT FEE 194581,A81000C,00100,0100,B 194581,A81000C,00100,0200,FHS INC 194581,A81000C,00100,0400,FHS INC 194581,A81000C,00100,0600,HOME OFFICE 194581,A81000C,00200,0100,B 194581,A81000C,00200,0200,FAS INC 194581,A81000C,00200,0400,FAS INC 194581,A81000C,00200,0600,ANCILLARY MGMT 194581,B100000,00000,0100,0100SQUARE FEET 194581,B100000,00000,0200,0200NO STATISTICS 194581,B100000,00000,0300,0300GROSS SALARIES 194581,B100000,00000,0400,0400ACCUM COST 194581,B100000,00000,0500,0500SQUARE FEET 194581,B100000,00000,0600,0600PATIENT DAYS 194581,B100000,00000,0700,0700SQ FT EXCL DIET 194581,B100000,00000,0800,0800MEALS SERVED 194581,B100000,00000,0900,0900NO STATISTICS 194581,B100000,00000,1000,1000NO STATISTICS 194581,B100000,00000,1100,1100PATIENT DAYS 194581,B100000,00000,1200,1200NO STATISTICS 194581,B100000,00000,1300,1300NO STATISTICS 194581,B100000,00000,1400,1400NO STATISTICS 194581,B100000,00000,1500,1350PATIENT DAYS 194581,E10A180,00550,0100,07/12/00 194581,S000000,00100,0200,06/01/00 194581,S200000,00100,0100,101 MILL STREET 194581,S200000,00100,0300,848 194581,S200000,00200,0100,BROOKHAVEN 194581,S200000,00200,0200,MS 194581,S200000,00200,0300,39601 194581,S200000,00300,0100,LINCOLN 194581,S200000,00300,0200,0025 194581,S200000,00300,0300,R 194581,S200000,00400,0100,HAVEN HALL NURSING CENTER 194581,S200000,00400,0200,255221 194581,S200000,00400,0300,01/01/96 194581,S200000,00400,0500,P 194581,S200000,01500,0100,N 194581,S200000,01600,0100,Y 194581,S200000,01700,0100,N 194581,S200000,01800,0100,N 194581,S200000,02200,0100,N 194581,S200000,02800,0100,N 194581,S200000,02900,0100,N 194581,S200000,03000,0100,N 194581,S200000,03100,0100,N 194581,S200000,03200,0100,N 194581,S200000,03300,0100,N 194581,S200000,03300,0200,N 194581,S200000,04100,0100,N 194581,S200000,04200,0100,N 194581,S200000,04300,0100,N 194581,S200000,04600,0100,N 194581,S200000,04700,0100,N 194581,S200000,04700,0200,N 194581,S200000,04900,0100,N 194789,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 194789,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 194789,A000000,00300,0000,0300EMPLOYEE BENEFITS 194789,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194789,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 194789,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194789,A000000,00700,0000,0700HOUSEKEEPING 194789,A000000,00800,0000,0800DIETARY 194789,A000000,00900,0000,0900NURSING ADMINISTRATION 194789,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194789,A000000,01100,0000,1100PHARMACY 194789,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194789,A000000,01300,0000,1300SOCIAL SERVICE 194789,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 194789,A000000,01500,0000,1350ACTIVITY THERAPY 194789,A000000,01600,0000,1600SKILLED NURSING FACILITY 194789,A000000,01800,0000,1800NURSING FACILITY 194789,A000000,01810,0000,1810ICF/MR 194789,A000000,01900,0000,1900OTHER LONG TERM CARE 194789,A000000,02100,0000,2100RADIOLOGY 194789,A000000,02200,0000,2200LABORATORY 194789,A000000,02300,0000,2300INTRAVENOUS THERAPY 194789,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194789,A000000,02500,0000,2500PHYSICAL THERAPY 194789,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194789,A000000,02700,0000,2700SPEECH PATHOLOGY 194789,A000000,02800,0000,2800ELECTROCARDIOLOGY 194789,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 194789,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194789,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 194789,A000000,03200,0000,3200SUPPORT SURFACES 194789,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 194789,A000000,03400,0000,3400CLINIC 194789,A000000,03500,0000,3500RURAL HEALTH CLINIC 194789,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 194789,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 194789,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 194789,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 194789,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 194789,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 194789,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 194789,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 194789,A000000,04400,0000,4400DME RENTED - HHA 194789,A000000,04500,0000,4500DME SOLD - HHA 194789,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 194789,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 194789,A000000,04800,0000,4800AMBULANCE 194789,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 194789,A000000,05000,0000,5000CORF 194789,A000000,05100,0000,4750OTHER REIMBURSABLE COST 194789,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 194789,A000000,05300,0000,5300INTEREST EXPENSE 194789,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 194789,A000000,05500,0000,5500HOSPICE 194789,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 194789,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 194789,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194789,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 194789,A000000,06100,0000,6100NONPAID WORKERS 194789,A000000,06200,0000,6200PATIENTS LAUNDRY 194789,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 194789,A81000A,00100,0100,Y 194789,A81000B,00100,0300,STATE OF NM ADMIN COSTS 194789,A81000C,00100,0100,G 194789,A81000C,00100,0200,FORT BAYARD MED CENTER 194789,A81000C,00100,0400,NEW MEXICO DEPT OF HEALTH 194789,A81000C,00100,0600,STATE GOVERNMENT 194789,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 194789,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 194789,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 194789,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 194789,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 194789,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 194789,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 194789,B100000,00000,0800,0800MEALS SERVED :DIETARY 194789,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 194789,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 194789,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 194789,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 194789,B100000,00000,1500,1350TIME :ACTIVITY THERAPY 194789,S000000,00100,0200,12/14/00 194789,S200000,00100,0100,100 MAIN STREET 194789,S200000,00200,0100,FORT BAYARD 194789,S200000,00200,0200,NM 194789,S200000,00200,0300,88036- 194789,S200000,00300,0100,GRANT 194789,S200000,00300,0200,32 194789,S200000,00300,0300,R 194789,S200000,00400,0100,FORT BAYARD MEDICAL CENTER 194789,S200000,00400,0200,325007 194789,S200000,00400,0300,07/01/66 194789,S200000,00400,0500,P 194789,S200000,00600,0200,325007 194789,S200000,00600,0300,07/01/66 194789,S200000,00600,0600,O 194789,S200000,01500,0100,N 194789,S200000,01600,0100,Y 194789,S200000,01700,0100,N 194789,S200000,01800,0100,N 194789,S200000,02200,0100,N 194789,S200000,02800,0100,N 194789,S200000,02900,0100,N 194789,S200000,03000,0100,N 194789,S200000,03100,0100,N 194789,S200000,03200,0100,N 194789,S200000,04100,0100,N 194789,S200000,04200,0100,N 194789,S200000,04300,0100,N 194789,S200000,04600,0100,N 194789,S200000,04700,0100,N 194789,S200000,04700,0200,N 194789,S200000,04900,0100,Y 194789,S200000,05000,0100,N 194789,S200000,05100,0100,N 194789,S200000,05200,0100,N 194920,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 194920,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 194920,A000000,00300,0000,0300EMPLOYEE BENEFITS 194920,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 194920,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 194920,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 194920,A000000,00700,0000,0700HOUSEKEEPING 194920,A000000,00800,0000,0800DIETARY 194920,A000000,00900,0000,0900NURSING ADMINISTRATION 194920,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 194920,A000000,01100,0000,1100PHARMACY 194920,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 194920,A000000,01300,0000,1300SOCIAL SERVICE 194920,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 194920,A000000,01600,0000,1600SKILLED NURSING FACILITY 194920,A000000,01800,0000,1800NURSING FACILITY 194920,A000000,01900,0000,1900OTHER LONG TERM CARE 194920,A000000,02100,0000,2100RADIOLOGY 194920,A000000,02200,0000,2200LABORATORY 194920,A000000,02300,0000,2300INTRAVENOUS THERAPY 194920,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 194920,A000000,02500,0000,2500PHYSICAL THERAPY 194920,A000000,02600,0000,2600OCCUPATIONAL THERAPY 194920,A000000,02700,0000,2700SPEECH PATHOLOGY 194920,A000000,02800,0000,2800ELECTROCARDIOLOGY 194920,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 194920,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 194920,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 194920,A000000,03200,0000,3200SUPPORT SURFACES 194920,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 194920,A000000,03400,0000,3400CLINIC 194920,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 194920,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 194920,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 194920,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 194920,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 194920,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 194920,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 194920,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 194920,A000000,04400,0000,4400DME RENTED - HHA 194920,A000000,04500,0000,4500DME SOLD - HHA 194920,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 194920,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 194920,A000000,04800,0000,4800AMBULANCE 194920,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 194920,A000000,05000,0000,5000CORF 194920,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 194920,A000000,05300,0000,5300INTEREST EXPENSE 194920,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 194920,A000000,05500,0000,5500HOSPICE 194920,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 194920,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 194920,A000000,05900,0000,5900BARBER & BEAUTY SHOP 194920,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 194920,A000000,06100,0000,6100NONPAID WORKERS 194920,A000000,06200,0000,6200PATIENTS LAUNDRY 194920,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 194920,A000000,06301,0000,6151SHARED EMPLOYEE SERVICES 194920,A000000,06302,0000,6152RESOURCE DEVELOPMENT 194920,A81000A,00100,0100,Y 194920,A81000B,00100,0300,UNEMPLOYMENT 194920,A81000B,00200,0300,WORKERS COMP 194920,A81000B,00300,0300,PROPERTY INS. 194920,A81000B,00400,0300,VEHICLE INS. 194920,A81000B,00500,0300,ADMIN & ACCTG 194920,A81000B,00600,0300,SHARED EMPL. EH&W 194920,A81000B,00700,0300,SHARED EMPL. ADM 194920,A81000B,00800,0300,MEDICAL SUPPLIES 194920,A81000B,00900,0300,NURSING SUPPLIES 194920,A81000B,00901,0300,INCONTINENT SUPPLIES 194920,A81000B,00902,0300,HOUSEKEEPING SUPPLIES 194920,A81000B,00903,0300,DIETARY SUPPLEMENT 194920,A81000C,00100,0100,B 194920,A81000C,00100,0400,EV. LUTH GOOD S 194920,A81000C,00100,0600,HEALTH CARE 194920,E10A180,00301,0100,10/20/99 194920,E10A180,00501,0100,09/24/01 194920,E10A180,00501,0300,09/24/01 194920,S000000,00100,0200,03/03/00 194920,S200000,00300,0200,7760 194920,S200000,00300,0300,U 194920,S200000,00400,0100,SIOUX FALLS GOOD SAMARITAN CENTER 194920,S200000,00400,0200,435046 194920,S200000,00400,0300,07/01/90 194920,S200000,00400,0500,P 194920,S200000,00400,0600,N 194920,S200000,00600,0200,435046 194920,S200000,00600,0300,07/01/90 194920,S200000,00600,0600,N 194920,S200000,00800,0500,N 194920,S200000,00800,0600,N 194920,S200000,01000,0500,N 194920,S200000,01000,0600,N 194920,S200000,01500,0100,N 194920,S200000,01600,0100,N 194920,S200000,01700,0100,N 194920,S200000,01800,0100,N 194920,S200000,02200,0100,N 194920,S200000,02800,0100,N 194920,S200000,02900,0100,N 194920,S200000,03000,0100,N 194920,S200000,03100,0100,N 194920,S200000,03200,0100,N 194920,S200000,03300,0100,N 194920,S200000,03300,0200,N 194920,S200000,03500,0300,N 194920,S200000,03600,0100,N 194920,S200000,03600,0200,N 194920,S200000,03700,0100,N 194920,S200000,03700,0200,N 194920,S200000,03900,0200,N 194920,S200000,04100,0100,N 194920,S200000,04200,0100,N 194920,S200000,04300,0100,N 194920,S200000,04600,0100,N 194920,S200000,04700,0100,N 194920,S200000,04900,0100,N 194920,S700003,00000,0100,X 195144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 195144,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 195144,A000000,00300,0000,0300EMPLOYEE BENEFITS 195144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 195144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 195144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 195144,A000000,00700,0000,0700HOUSEKEEPING 195144,A000000,00800,0000,0800DIETARY 195144,A000000,00900,0000,0900NURSING ADMINISTRATION 195144,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 195144,A000000,01100,0000,1100PHARMACY 195144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 195144,A000000,01300,0000,1300SOCIAL SERVICE 195144,A000000,01301,0000,1301ACTIVITIES 195144,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 195144,A000000,01500,0000,1350OTHER GENERAL SERVICES 195144,A000000,01600,0000,1600SKILLED NURSING FACILITY 195144,A000000,01800,0000,1800NURSING FACILITY 195144,A000000,01810,0000,1810ICF/MR 195144,A000000,02500,0000,2500PHYSICAL THERAPY 195144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 195144,A000000,02700,0000,2700SPEECH PATHOLOGY 195144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 195144,A000000,02901,0000,2901ENTERAL FEEDING 195144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 195144,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 195144,A000000,03550,0000,3550FQHC 195144,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 195144,A000000,04801,0000,4801AMBULANCE 195144,A000000,04802,0000,4802AMBULANCE 195144,A000000,04803,0000,4803AMBULANCE 195144,A000000,05000,0000,5000CORF 195144,A000000,05010,0000,5010CMHC 195144,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 195144,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 195144,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 195144,A000000,05100,0000,4750OSP 195144,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 195144,A000000,05900,0000,5900BARBER & BEAUTY SHOP 195144,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 195144,A81000A,00100,0100,Y 195144,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 195144,A81000B,00200,0300,HOME OFFICE A & G COSTS 195144,A81000B,00300,0300,RENT/OWNERSHIP COSTS 195144,A81000C,00100,0100,A 195144,A81000C,00100,0200,WOODBRIDGE 195144,A81000C,00200,0100,A 195144,A81000C,00200,0200,DUFFIELD ASSIST 195144,A81000C,00200,0600,ASSISTED LIVING 195144,A81000C,00300,0100,A 195144,A81000C,00300,0200,DUFFIELD NURSNG 195144,A81000C,00300,0600,NURSING HOME 195144,B100000,00000,0100,0100SQUARE FEET 195144,B100000,00000,0200,0200SQUARE FEET 195144,B100000,00000,0300,0300GROSS SAL 195144,B100000,00000,0400,0400ACCUM COST 195144,B100000,00000,0500,0500SQUARE FEET 195144,B100000,00000,0600,0600PAT DAYS 195144,B100000,00000,0700,0700SQUARE FEET 195144,B100000,00000,0800,0800PAT DAYS 195144,B100000,00000,0900,0900TIME SPENT 195144,B100000,00000,1000,1000TIME SPENT 195144,B100000,00000,1100,1100PAT DAYS 195144,B100000,00000,1200,1200PAT DAYS 195144,B100000,00000,1300,1300TIME- SPENT 195144,B100000,00000,1301,1301TIME/SPENT 195144,B100000,00000,1400,1400ASSIGNED TIME 195144,B100000,00000,1500,1350ACCUM COST 195144,E10A180,00301,0100,09/14/04 195144,S000000,00100,0200,08/12/99 195144,S200000,00100,0100,14906 JEFFERSON DAVIS HIGHWAY 195144,S200000,00100,0300,4227 195144,S200000,00200,0100,WOODBRIDGE 195144,S200000,00200,0200,VA 195144,S200000,00200,0300,22191 195144,S200000,00300,0100,PRINCE WILLIAM 195144,S200000,00300,0200,8840 195144,S200000,00300,0300,U 195144,S200000,00400,0100,WOODBRIDGE NURSING CENTER 195144,S200000,00400,0200,495251 195144,S200000,00400,0300,05/01/92 195144,S200000,00400,0500,P 195144,S200000,01500,0100,N 195144,S200000,01600,0100,Y 195144,S200000,01700,0100,N 195144,S200000,01800,0100,N 195144,S200000,02100,0100,A 195144,S200000,02200,0100,N 195144,S200000,02800,0100,Y 195144,S200000,02900,0100,N 195144,S200000,03000,0100,N 195144,S200000,03100,0100,N 195144,S200000,03200,0100,N 195144,S200000,03300,0100,N 195144,S200000,03300,0200,N 195144,S200000,04100,0100,N 195144,S200000,04200,0100,N 195144,S200000,04300,0100,N 195144,S200000,04600,0100,N 195144,S200000,04700,0100,N 195144,S200000,04900,0100,N 195144,S200000,05200,0100,N 195432,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 195432,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 195432,A000000,00300,0000,0300EMPLOYEE BENEFITS 195432,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 195432,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 195432,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 195432,A000000,00700,0000,0700HOUSEKEEPING 195432,A000000,00800,0000,0800DIETARY 195432,A000000,00900,0000,0900NURSING ADMINISTRATION 195432,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 195432,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 195432,A000000,01300,0000,1300SOCIAL SERVICE 195432,A000000,01301,0000,1301ACTIVITES 195432,A000000,01500,0000,1350REHABILITATION 195432,A000000,01600,0000,1600SKILLED NURSING FACILITY 195432,A000000,01800,0000,1800NURSING FACILITY 195432,A000000,01900,0000,1900OTHER LONG TERM CARE 195432,A000000,02100,0000,2100RADIOLOGY 195432,A000000,02200,0000,2200LABORATORY 195432,A000000,02300,0000,2300INTRAVENOUS THERAPY 195432,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 195432,A000000,02500,0000,2500PHYSICAL THERAPY 195432,A000000,02600,0000,2600OCCUPATIONAL THERAPY 195432,A000000,02700,0000,2700SPEECH PATHOLOGY 195432,A000000,02800,0000,2800ELECTROCARDIOLOGY 195432,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 195432,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 195432,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 195432,A000000,03200,0000,3200SUPPORT SURFACES 195432,A000000,03300,0000,3050EQUIPMENT RENTAL 195432,A000000,03301,0000,3051PEN THERAPY 195432,A000000,04800,0000,4800AMBULANCE 195432,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 195432,A000000,05300,0000,5300INTEREST EXPENSE 195432,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 195432,A000000,05900,0000,5900BARBER & BEAUTY SHOP 195432,A000000,06200,0000,6200PATIENTS LAUNDRY 195432,A000000,06300,0000,6150VENDING 195432,A000000,06301,0000,6151STAND-BY 195432,A81000A,00100,0100,Y 195432,A81000B,00100,0300,HOME OFFICE COST 195432,A81000B,00200,0300,DIETARY SUPPLEMENTS 195432,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 195432,A81000B,00400,0300,PRESCRIPTION DRUGS 195432,A81000B,00500,0300,MEDICAL SUPPLIES 195432,A81000B,00600,0300,EQUIPMENT RENTAL 195432,A81000B,00700,0300,HOME OFFICE INTEREST 195432,A81000B,00800,0300,PT SUPPLIES 195432,A81000B,01000,0300,PHYSICAL THERAPY 195432,A81000B,01100,0300,OCCUPATIONAL THERAPY 195432,A81000B,01200,0300,SPEECH THERAPY 195432,A81000C,00100,0100,B 195432,A81000C,00100,0200,CARE INN - ABIL 195432,A81000C,00100,0400,MARINER PAN 195432,A81000C,00100,0600,NURSING HOMES 195432,A81000C,00200,0100,G 195432,A81000C,00200,0200,MARINER PAN 195432,A81000C,00200,0400,AMER PHARM SVCS 195432,A81000C,00200,0600,PHARMACEUTICALS 195432,A81000C,00300,0100,G 195432,A81000C,00300,0200,MARINER PAN 195432,A81000C,00300,0400,PRISM-ATS-ARS-T 195432,A81000C,00300,0600,THERAPIES 195432,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 195432,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 195432,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 195432,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 195432,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 195432,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 195432,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 195432,B100000,00000,0800,0800MEALS SERVED :DIETARY 195432,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 195432,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 195432,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 195432,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 195432,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 195432,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 195432,E10A180,00350,0100,10/13/99 195432,E10A180,00351,0100,01/19/00 195432,S000000,00100,0200,12/01/00 195432,S200000,00100,0100,4934 SOUTH 7TH ST 195432,S200000,00200,0100,ABILENE 195432,S200000,00200,0200,TX 195432,S200000,00200,0300,79604- 195432,S200000,00300,0100,TAYLOR 195432,S200000,00300,0200,0040 195432,S200000,00300,0300,U 195432,S200000,00400,0100,CARE INN - ABILENE 195432,S200000,00400,0200,675350 195432,S200000,00400,0300,05/20/94 195432,S200000,00400,0500,P 195432,S200000,01500,0100,Y 195432,S200000,01600,0100,N 195432,S200000,01700,0100,N 195432,S200000,01800,0100,N 195432,S200000,02200,0100,Y 195432,S200000,02800,0100,N 195432,S200000,02900,0100,N 195432,S200000,03000,0100,N 195432,S200000,03100,0100,N 195432,S200000,03200,0100,N 195432,S200000,04100,0100,N 195432,S200000,04200,0100,N 195432,S200000,04300,0100,Y 195432,S200000,04600,0100,N 195432,S200000,04700,0100,N 195432,S200000,04700,0200,N 195432,S200000,04900,0100,N 195432,S200000,05000,0100,N 195432,S200000,05100,0100,N 195432,S200000,05200,0100,N 195657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 195657,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 195657,A000000,00300,0000,0300EMPLOYEE BENEFITS 195657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 195657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 195657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 195657,A000000,00700,0000,0700HOUSEKEEPING 195657,A000000,00800,0000,0800DIETARY 195657,A000000,00900,0000,0900NURSING ADMINISTRATION 195657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 195657,A000000,01100,0000,1100PHARMACY 195657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 195657,A000000,01300,0000,1300SOCIAL SERVICE 195657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 195657,A000000,01600,0000,1600SKILLED NURSING FACILITY 195657,A000000,01800,0000,1800NURSING FACILITY 195657,A000000,01810,0000,1810ICF/MR 195657,A000000,01900,0000,1900OTHER LONG TERM CARE 195657,A000000,02100,0000,2100RADIOLOGY 195657,A000000,02200,0000,2200LABORATORY 195657,A000000,02500,0000,2500PHYSICAL THERAPY 195657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 195657,A000000,02700,0000,2700SPEECH PATHOLOGY 195657,A000000,02800,0000,2800ELECTROCARDIOLOGY 195657,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 195657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 195657,A000000,03200,0000,3200SUPPORT SURFACES 195657,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 195657,A000000,03550,0000,3550FQHC 195657,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 195657,A000000,04801,0000,4801AMBULANCE 195657,A000000,04802,0000,4802AMBULANCE 195657,A000000,04803,0000,4803AMBULANCE 195657,A000000,05000,0000,5000CORF 195657,A000000,05010,0000,5010CMHC 195657,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 195657,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 195657,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 195657,A000000,05300,0000,5300INTEREST EXPENSE 195657,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 195657,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 195657,A000000,05900,0000,5900BARBER & BEAUTY SHOP 195657,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 195657,A81000A,00100,0100,Y 195657,A81000B,00100,0300,BUILDING RENT 195657,A81000B,00200,0300,HOME OFFICE 195657,A81000B,00300,0300,HOME OFFICE 195657,A81000B,00400,0300,HOME OFFICE 195657,A81000B,00500,0300,MISCELLANEOUS EXPENSE 195657,A81000B,00600,0300,THERAPY SERVICES 195657,A81000B,00700,0300,THERAPY SERVICES 195657,A81000B,00800,0300,THERAPY SERVICES 195657,A81000B,00900,0300,MEDICAL SUPPLIES 195657,A81000B,01000,0300,DRUGS CHARGED 195657,A81000B,01100,0300,CERTIFIED 195657,A81000B,01200,0300,NON-CERTIFIED 195657,A81000C,00100,0100,B 195657,A81000C,00100,0200,LEVERING ASSOCI 195657,A81000C,00100,0400,REAL ESTATE 195657,A81000C,00100,0600,REAL ESTATE 195657,A81000C,00200,0100,B 195657,A81000C,00200,0200,RELIANT CARE MA 195657,A81000C,00200,0400,MANAGEMENT 195657,A81000C,00200,0600,MANAGEMENT 195657,A81000C,00300,0100,B 195657,A81000C,00300,0200,RC MEDICAL SERV 195657,A81000C,00300,0400,MEDICAL SUPPLIE 195657,A81000C,00300,0600,MEDICAL SUPPLIE 195657,A81000C,00400,0100,B 195657,A81000C,00400,0200,PHARMCO MISSOUR 195657,A81000C,00400,0400,PHARMACY 195657,A81000C,00400,0600,PHARMACY 195657,B100000,00000,0100,0100SQUARE FEET 195657,B100000,00000,0200,0200SQUARE FEET 195657,B100000,00000,0300,0300GROSS SALARIES 195657,B100000,00000,0400,0400ACCUM COST 195657,B100000,00000,0500,0500SQUARE FEET 195657,B100000,00000,0600,0600PATIENT DAYS 195657,B100000,00000,0700,0700PATIENT DAYS 195657,B100000,00000,0800,0800MEALS SERVED 195657,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 195657,B100000,00000,1000,1000COSTED REQUISITIO 195657,B100000,00000,1100,1100COSTED REQUISITIO 195657,B100000,00000,1200,1200PATIENT DAYS 195657,B100000,00000,1300,1300PATIENT DAYS 195657,B100000,00000,1400,1400ASSIGNED TIME 195657,S000000,00100,0200,12/31/99 195657,S200000,00100,0100,1734 MARKET STREET 195657,S200000,00200,0100,HANNIBAL 195657,S200000,00200,0200,MO 195657,S200000,00200,0300,63401 195657,S200000,00300,0100,RALLS 195657,S200000,00300,0200,0026 195657,S200000,00300,0300,R 195657,S200000,00400,0100,LEVERING REGIONAL HEALTH CARE CTR. 195657,S200000,00400,0200,265469 195657,S200000,00400,0300,05/01/95 195657,S200000,00400,0500,P 195657,S200000,01500,0100,N 195657,S200000,01600,0100,Y 195657,S200000,01700,0100,N 195657,S200000,01800,0100,N 195657,S200000,02200,0100,N 195657,S200000,02800,0100,N 195657,S200000,02900,0100,N 195657,S200000,03000,0100,N 195657,S200000,03100,0100,N 195657,S200000,03200,0100,N 195657,S200000,03300,0100,N 195657,S200000,03300,0200,N 195657,S200000,04100,0100,N 195657,S200000,04200,0100,N 195657,S200000,04300,0100,N 195657,S200000,04600,0100,N 195657,S200000,04700,0100,N 195657,S200000,04900,0100,N 195657,S200000,05200,0100,N 195850,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 195850,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 195850,A000000,00300,0000,0300EMPLOYEE BENEFITS 195850,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 195850,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 195850,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 195850,A000000,00700,0000,0700HOUSEKEEPING 195850,A000000,00800,0000,0800DIETARY 195850,A000000,00900,0000,0900NURSING ADMINISTRATION 195850,A000000,00901,0000,0901OTHER NURSING 195850,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 195850,A000000,01100,0000,1100PHARMACY 195850,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 195850,A000000,01300,0000,1300SOCIAL SERVICE 195850,A000000,01301,0000,1301ACTIVITIES 195850,A000000,01600,0000,1600SKILLED NURSING FACILITY 195850,A000000,01800,0000,1800NURSING FACILITY 195850,A000000,02100,0000,2100RADIOLOGY 195850,A000000,02200,0000,2200LABORATORY 195850,A000000,02300,0000,2300INTRAVENOUS THERAPY 195850,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 195850,A000000,02500,0000,2500PHYSICAL THERAPY 195850,A000000,02600,0000,2600OCCUPATIONAL THERAPY 195850,A000000,02700,0000,2700SPEECH PATHOLOGY 195850,A000000,02800,0000,2800ELECTROCARDIOLOGY 195850,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 195850,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 195850,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 195850,A000000,03301,0000,3051NUTRITIONAL THERAPY 195850,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 195850,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 195850,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 195850,A000000,04800,0000,4800AMBULANCE 195850,A000000,05100,0000,4750OTHER REIMBURSABLE COST 195850,A000000,05300,0000,5300INTEREST EXPENSE 195850,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 195850,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 195850,A000000,05900,0000,5900BARBER & BEAUTY SHOP 195850,A000000,06200,0000,6200PATIENTS LAUNDRY 195850,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 195850,A000000,06301,0000,6151DAY CARE 195850,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 195850,A000000,06303,0000,6153DISTRICT OFFICE SPACE 195850,A81000A,00100,0100,Y 195850,A81000B,00100,0300,HOME OFFICE COSTS 195850,A81000B,00200,0300,LIABILITY INSURANCE 195850,A81000B,00500,0300,VC PHARMACY - ADMIN 195850,A81000B,00900,0300,VC PHARMACY - DIETARY 195850,A81000B,01000,0300,VC PHARMACY - CENTRAL SUPP 195850,A81000B,01100,0300,MOBILE RADIOLOGY - XRAY 195850,A81000B,01200,0300,VC PHARMACY - IV THERAPY 195850,A81000B,01300,0300,VENCARE REHAB - PHYS THER 195850,A81000B,01400,0300,VENCARE REHAB - OCCP THER 195850,A81000B,01500,0300,VENCARE REHAB - SPEECH THER 195850,A81000B,01600,0300,VC PHARMACY - MEDICAL SUPP 195850,A81000B,01700,0300,VC PHARMACY - LEGEND 195850,A81000C,00100,0100,B 195850,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 195850,A81000C,00100,0400,CORNERSTONE INSURANCE CO 195850,A81000C,00100,0600,LIABILITY INSURANCE 195850,A81000C,00200,0400,VENCARE PHARMACY SERVICES 195850,A81000C,00200,0600,PHARMACY 195850,A81000C,00300,0400,VENCARE RESPIRATORY 195850,A81000C,00300,0600,RESPIRATORY THERAPY 195850,A81000C,00400,0400,VENCARE REHAB SERIVCES 195850,A81000C,00400,0600,THERAPY SERVICES 195850,A81000C,00600,0400,VENCARE MOBILE RADIOLOGY 195850,A81000C,00600,0600,PORTABLE X-RAY 195850,A81000C,00700,0100,B 195850,A81000C,00700,0200,FOXHILL VILLAGE PARTNRSHP 195850,A81000C,00700,0400,FOXHILL VILLAGE PARTNRSHP 195850,A81000C,00700,0600,REAL ESTATE DEVELOPMENT 195850,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 195850,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 195850,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 195850,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 195850,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 195850,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 195850,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 195850,B100000,00000,0800,0850PATIENT DAYS :DIETARY 195850,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 195850,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 195850,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 195850,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 195850,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 195850,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 195850,S000000,00100,0200,12/11/00 195850,S200000,00100,0100,30 LONGWOOD DRIVE 195850,S200000,00200,0100,WESTWOOD 195850,S200000,00200,0200,MA 195850,S200000,00200,0300,02090- 195850,S200000,00300,0100,NORFOLK 195850,S200000,00300,0300,U 195850,S200000,00400,0100,CLARK HOUSE @ FOX HILL 195850,S200000,00400,0200,225528 195850,S200000,00400,0300,10/01/90 195850,S200000,00400,0500,P 195850,S200000,01500,0100,N 195850,S200000,01600,0100,Y 195850,S200000,01700,0100,N 195850,S200000,01800,0100,N 195850,S200000,02200,0100,Y 195850,S200000,02800,0100,N 195850,S200000,02900,0100,N 195850,S200000,03000,0100,N 195850,S200000,03100,0100,N 195850,S200000,03200,0100,N 195850,S200000,04100,0100,N 195850,S200000,04200,0100,N 195850,S200000,04300,0100,N 195850,S200000,04600,0100,N 195850,S200000,04700,0100,N 195850,S200000,04700,0200,N 195850,S200000,04900,0100,N 195850,S200000,05000,0100,N 195850,S200000,05100,0100,N 195850,S200000,05200,0100,N 196432,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196432,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196432,A000000,00300,0000,0300EMPLOYEE BENEFITS 196432,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196432,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196432,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196432,A000000,00700,0000,0700HOUSEKEEPING 196432,A000000,00800,0000,0800DIETARY 196432,A000000,00900,0000,0900NURSING ADMINISTRATION 196432,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196432,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196432,A000000,01300,0000,1300SOCIAL SERVICE 196432,A000000,01301,0000,1301ACTIVITES 196432,A000000,01500,0000,1350REHABILITATION 196432,A000000,01600,0000,1600SKILLED NURSING FACILITY 196432,A000000,01800,0000,1800NURSING FACILITY 196432,A000000,01900,0000,1900OTHER LONG TERM CARE 196432,A000000,02100,0000,2100RADIOLOGY 196432,A000000,02200,0000,2200LABORATORY 196432,A000000,02300,0000,2300INTRAVENOUS THERAPY 196432,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196432,A000000,02500,0000,2500PHYSICAL THERAPY 196432,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196432,A000000,02700,0000,2700SPEECH PATHOLOGY 196432,A000000,02800,0000,2800ELECTROCARDIOLOGY 196432,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196432,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196432,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196432,A000000,03200,0000,3200SUPPORT SURFACES 196432,A000000,03300,0000,3050EQUIPMENT RENTAL 196432,A000000,03301,0000,3051PEN THERAPY 196432,A000000,04800,0000,4800AMBULANCE 196432,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196432,A000000,05300,0000,5300INTEREST EXPENSE 196432,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196432,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196432,A000000,06200,0000,6200PATIENTS LAUNDRY 196432,A000000,06300,0000,6150VENDING 196432,A000000,06301,0000,6151STAND-BY 196432,A81000A,00100,0100,Y 196432,A81000B,00100,0300,HOME OFFICE COST 196432,A81000B,00200,0300,DIETARY SUPPLEMENTS 196432,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196432,A81000B,00400,0300,PRESCRIPTION DRUGS 196432,A81000B,00500,0300,MEDICAL SUPPLIES 196432,A81000B,00600,0300,ADMIN COSTS 196432,A81000B,00700,0300,HOME OFFICE INTEREST 196432,A81000B,00800,0300,EQUIPMENT REPLACEMENT 196432,A81000B,00900,0300,IV THERAPY 196432,A81000B,01000,0300,EQUIPMENT RENTAL 196432,A81000C,00100,0100,B 196432,A81000C,00100,0200,RETAMA MANOR ED 196432,A81000C,00100,0400,MARINER PAN 196432,A81000C,00100,0600,NURSING HOMES 196432,A81000C,00200,0100,G 196432,A81000C,00200,0200,MARINER PAN 196432,A81000C,00200,0400,AMER PHARM SVCS 196432,A81000C,00200,0600,PHARMACEUTICALS 196432,A81000C,00300,0100,G 196432,A81000C,00300,0200,MARINER PAN 196432,A81000C,00300,0400,PRISM-ATS-ARS-T 196432,A81000C,00300,0600,THERAPIES 196432,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196432,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196432,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196432,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196432,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196432,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196432,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196432,B100000,00000,0800,0800MEALS SERVED :DIETARY 196432,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196432,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196432,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196432,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196432,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196432,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196432,E10A180,00301,0100,01/19/00 196432,E10A180,00350,0100,10/13/99 196432,S000000,00100,0200,12/01/00 196432,S200000,00100,0100,1505 SOUTH CLOSNER 196432,S200000,00200,0100,EDINBURG 196432,S200000,00200,0200,TX 196432,S200000,00200,0300,78539- 196432,S200000,00300,0100,HIDALGO 196432,S200000,00300,0200,4880 196432,S200000,00300,0300,U 196432,S200000,00400,0100,RETAMA MANOR - EDINBURG 196432,S200000,00400,0200,675414 196432,S200000,00400,0300,10/27/94 196432,S200000,00400,0500,P 196432,S200000,01500,0100,N 196432,S200000,01600,0100,Y 196432,S200000,01700,0100,N 196432,S200000,01800,0100,N 196432,S200000,02200,0100,Y 196432,S200000,02800,0100,N 196432,S200000,02900,0100,N 196432,S200000,03000,0100,N 196432,S200000,03100,0100,N 196432,S200000,03200,0100,N 196432,S200000,04100,0100,N 196432,S200000,04200,0100,N 196432,S200000,04300,0100,Y 196432,S200000,04600,0100,N 196432,S200000,04700,0100,N 196432,S200000,04700,0200,N 196432,S200000,04900,0100,N 196432,S200000,05000,0100,N 196432,S200000,05100,0100,N 196432,S200000,05200,0100,N 196466,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196466,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196466,A000000,00300,0000,0300EMPLOYEE BENEFITS 196466,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196466,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196466,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196466,A000000,00700,0000,0700HOUSEKEEPING 196466,A000000,00800,0000,0800DIETARY 196466,A000000,00900,0000,0900NURSING ADMINISTRATION 196466,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196466,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196466,A000000,01300,0000,1300SOCIAL SERVICE 196466,A000000,01600,0000,1600SKILLED NURSING FACILITY 196466,A000000,01800,0000,1800NURSING FACILITY 196466,A000000,01900,0000,1900OTHER LONG TERM CARE 196466,A000000,02100,0000,2100RADIOLOGY 196466,A000000,02200,0000,2200LABORATORY 196466,A000000,02500,0000,2500PHYSICAL THERAPY 196466,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196466,A000000,02700,0000,2700SPEECH PATHOLOGY 196466,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196466,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196466,A000000,03200,0000,3200SUPPORT SURFACES 196466,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 196466,A000000,04800,0000,4800AMBULANCE 196466,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196466,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196466,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 196466,A81000A,00100,0100,Y 196466,A81000B,00100,0300,PROPERTY INSURANCE 196466,A81000B,00200,0300,OTHER INSURANCE 196466,A81000B,00300,0300,UNEMPLOYMENT CHARGED 196466,A81000B,00400,0300,WORKERS COMPENSATION 196466,A81000B,00500,0300,ACCTG & ADMINISTRATION 196466,A81000B,00600,0300,MEDICAL SUPPLIES 196466,A81000C,00100,0100,B 196466,A81000C,00100,0200,EV. LUTHERAN G. 196466,A81000C,00100,0600,ACCTG & MGMT 196466,A81000C,00200,0100,B 196466,A81000C,00200,0200,OMNIBILL 196466,A81000C,00200,0600,SUPPLIES 196466,E10A180,00501,0100,07/25/01 196466,E10A180,00501,0300,03/22/00 196466,E10A180,00502,0300,07/25/01 196466,E10A180,00550,0100,03/22/00 196466,S000000,00100,0200,02/28/00 196466,S200000,00100,0100,1022 NORTH DAKOTA STREET 196466,S200000,00200,0100,CANTON 196466,S200000,00200,0200,SD 196466,S200000,00200,0300,57013-1004 196466,S200000,00300,0100,LINCOLN 196466,S200000,00300,0200,7760 196466,S200000,00300,0300,U 196466,S200000,00400,0100,CANTON GOOD SAMARITAN CENTER 196466,S200000,00400,0200,435101 196466,S200000,00400,0300,04/01/97 196466,S200000,00400,0500,P 196466,S200000,00400,0600,N 196466,S200000,01500,0100,Y 196466,S200000,01600,0100,N 196466,S200000,01700,0100,N 196466,S200000,01800,0100,N 196466,S200000,02200,0100,N 196466,S200000,02800,0100,N 196466,S200000,02900,0100,N 196466,S200000,03000,0100,N 196466,S200000,03100,0100,N 196466,S200000,03200,0100,N 196466,S200000,03300,0100,N 196466,S200000,03300,0200,N 196466,S200000,04100,0100,N 196466,S200000,04200,0100,N 196466,S200000,04300,0100,N 196466,S200000,04600,0100,N 196466,S200000,04700,0100,N 196466,S200000,04900,0100,N 196466,S200000,05000,0100,N 196466,S200000,05100,0100,N 196466,S200000,05200,0100,N 196466,S700003,00000,0400,X 196544,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196544,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196544,A000000,00300,0000,0300EMPLOYEE BENEFITS 196544,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196544,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196544,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196544,A000000,00700,0000,0700HOUSEKEEPING 196544,A000000,00800,0000,0800DIETARY 196544,A000000,00900,0000,0900NURSING ADMINISTRATION 196544,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196544,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196544,A000000,01300,0000,1300SOCIAL SERVICE 196544,A000000,01301,0000,1301ACTIVITIES 196544,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 196544,A000000,01600,0000,1600SKILLED NURSING FACILITY 196544,A000000,01800,0000,1800NURSING FACILITY 196544,A000000,01810,0000,1810ICF/MR 196544,A000000,01900,0000,1900OTHER LONG TERM CARE 196544,A000000,02100,0000,2100RADIOLOGY 196544,A000000,02200,0000,2200LABORATORY 196544,A000000,02300,0000,2300INTRAVENOUS THERAPY 196544,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196544,A000000,02500,0000,2500PHYSICAL THERAPY 196544,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196544,A000000,02700,0000,2700SPEECH PATHOLOGY 196544,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196544,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196544,A000000,03200,0000,3200SUPPORT SURFACES 196544,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 196544,A000000,03301,0000,3051PEN THERAPY 196544,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 196544,A000000,04800,0000,4800AMBULANCE 196544,A000000,05000,0000,5000CORF 196544,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196544,A000000,05300,0000,5300INTEREST EXPENSE 196544,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196544,A000000,05500,0000,5500HOSPICE 196544,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 196544,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 196544,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196544,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 196544,A000000,06100,0000,6100NONPAID WORKERS 196544,A000000,06200,0000,6200PATIENTS LAUNDRY 196544,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 196544,A81000A,00100,0100,Y 196544,A81000B,00100,0300,HOME OFFICE ALLOCATION 196544,A81000B,00200,0300,CENTRAL SUPPLY 196544,A81000B,00300,0300,MEDICAL SUPPLIES 196544,A81000C,00100,0100,B 196544,A81000C,00100,0200,MISSION CARMICH 196544,A81000C,00100,0400,MPAN 196544,A81000C,00100,0600,NURSING HOMES 196544,A81000C,00200,0100,G 196544,A81000C,00200,0200,MPAN 196544,A81000C,00200,0400,AMERICAN PHARMA 196544,A81000C,00200,0600,PHARMACEUTICALS 196544,A81000C,00300,0100,G 196544,A81000C,00300,0200,MPAN 196544,A81000C,00300,0400,PRISM (ATS ARS 196544,A81000C,00300,0600,THERAPIES 196544,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196544,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196544,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196544,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196544,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196544,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196544,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196544,B100000,00000,0800,0800MEALS SERVED :DIETARY 196544,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196544,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196544,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196544,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196544,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 196544,B100000,00000,1500,1350UNITS OF SERVICE :OTHER GENERAL 196544,S000000,00100,0200,01/18/01 196544,S200000,00100,0100,3630 MISSION AVENUE 196544,S200000,00200,0100,CARMICHAEL 196544,S200000,00200,0200,CA 196544,S200000,00200,0300,95816- 196544,S200000,00300,0100,SACRAMENTO 196544,S200000,00300,0200,6920 196544,S200000,00300,0300,U 196544,S200000,00400,0100,MISSION CARMICHAEL 196544,S200000,00400,0200,056304 196544,S200000,00400,0300,10/10/86 196544,S200000,00400,0500,P 196544,S200000,01500,0100,N 196544,S200000,01600,0100,N 196544,S200000,01700,0100,N 196544,S200000,01800,0100,N 196544,S200000,02200,0100,N 196544,S200000,02800,0100,N 196544,S200000,02900,0100,N 196544,S200000,03000,0100,N 196544,S200000,03100,0100,N 196544,S200000,03200,0100,N 196544,S200000,04100,0100,N 196544,S200000,04200,0100,N 196544,S200000,04300,0100,N 196544,S200000,04600,0100,N 196544,S200000,04700,0100,N 196544,S200000,04700,0200,N 196544,S200000,04900,0100,N 196544,S200000,05000,0100,N 196544,S200000,05100,0100,N 196544,S200000,05200,0100,N 196562,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196562,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196562,A000000,00300,0000,0300EMPLOYEE BENEFITS 196562,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196562,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196562,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196562,A000000,00700,0000,0700HOUSEKEEPING 196562,A000000,00800,0000,0800DIETARY 196562,A000000,00900,0000,0900NURSING ADMINISTRATION 196562,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196562,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196562,A000000,01300,0000,1300SOCIAL SERVICE 196562,A000000,01301,0000,1301ACTIVITIES 196562,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 196562,A000000,01600,0000,1600SKILLED NURSING FACILITY 196562,A000000,01800,0000,1800NURSING FACILITY 196562,A000000,01810,0000,1810ICF/MR 196562,A000000,01900,0000,1900OTHER LONG TERM CARE 196562,A000000,02100,0000,2100RADIOLOGY 196562,A000000,02200,0000,2200LABORATORY 196562,A000000,02300,0000,2300INTRAVENOUS THERAPY 196562,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196562,A000000,02500,0000,2500PHYSICAL THERAPY 196562,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196562,A000000,02700,0000,2700SPEECH PATHOLOGY 196562,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196562,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196562,A000000,03200,0000,3200SUPPORT SURFACES 196562,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 196562,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 196562,A000000,04800,0000,4800AMBULANCE 196562,A000000,05000,0000,5000CORF 196562,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196562,A000000,05300,0000,5300INTEREST EXPENSE 196562,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196562,A000000,05500,0000,5500HOSPICE 196562,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 196562,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 196562,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196562,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 196562,A000000,06100,0000,6100NONPAID WORKERS 196562,A000000,06200,0000,6200PATIENTS LAUNDRY 196562,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 196562,A81000A,00100,0100,Y 196562,A81000B,00100,0300,HOME OFFICE ALLOCATION 196562,A81000B,00200,0300,CENTRAL SUPPLY 196562,A81000C,00100,0100,B 196562,A81000C,00100,0200,SUTTER OAKS NOR 196562,A81000C,00100,0400,MPAN 196562,A81000C,00100,0600,NURSING HOMES 196562,A81000C,00200,0100,G 196562,A81000C,00200,0200,MPAN 196562,A81000C,00200,0400,AMERICAN PHARMA 196562,A81000C,00200,0600,PHARMACEUTICALS 196562,A81000C,00300,0100,G 196562,A81000C,00300,0200,MPAN 196562,A81000C,00300,0400,PRISM (ATS ARS 196562,A81000C,00300,0600,THERAPIES 196562,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196562,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196562,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196562,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196562,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196562,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196562,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196562,B100000,00000,0800,0800MEALS SERVED :DIETARY 196562,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196562,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196562,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196562,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196562,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 196562,B100000,00000,1500,1350UNITS OF SERVICE :OTHER GENERAL 196562,S000000,00100,0200,01/18/01 196562,S200000,00100,0100,500 JESSIE STREET 196562,S200000,00200,0100,SACRAMENTO 196562,S200000,00200,0200,CA 196562,S200000,00200,0300,95838- 196562,S200000,00300,0100,SACRAMENTO 196562,S200000,00300,0200,6920 196562,S200000,00300,0300,U 196562,S200000,00400,0100,NORWOOD PINES 196562,S200000,00400,0200,555400 196562,S200000,00400,0300,01/01/90 196562,S200000,00400,0500,P 196562,S200000,01500,0100,N 196562,S200000,01600,0100,N 196562,S200000,01700,0100,N 196562,S200000,01800,0100,N 196562,S200000,02200,0100,N 196562,S200000,02800,0100,N 196562,S200000,02900,0100,N 196562,S200000,03000,0100,N 196562,S200000,03100,0100,N 196562,S200000,03200,0100,N 196562,S200000,04100,0100,N 196562,S200000,04200,0100,N 196562,S200000,04300,0100,N 196562,S200000,04600,0100,N 196562,S200000,04700,0100,N 196562,S200000,04700,0200,N 196562,S200000,04900,0100,N 196562,S200000,05000,0100,N 196562,S200000,05100,0100,N 196562,S200000,05200,0100,N 196737,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196737,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196737,A000000,00300,0000,0300EMPLOYEE BENEFITS 196737,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196737,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196737,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196737,A000000,00700,0000,0700HOUSEKEEPING 196737,A000000,00800,0000,0800DIETARY 196737,A000000,00900,0000,0900NURSING ADMINISTRATION 196737,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196737,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196737,A000000,01300,0000,1300SOCIAL SERVICE 196737,A000000,01301,0000,1301ACTIVITIES 196737,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 196737,A000000,01600,0000,1600SKILLED NURSING FACILITY 196737,A000000,01800,0000,1800NURSING FACILITY 196737,A000000,01810,0000,1810ICF/MR 196737,A000000,01900,0000,1900OTHER LONG TERM CARE 196737,A000000,02100,0000,2100RADIOLOGY 196737,A000000,02200,0000,2200LABORATORY 196737,A000000,02300,0000,2300INTRAVENOUS THERAPY 196737,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196737,A000000,02500,0000,2500PHYSICAL THERAPY 196737,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196737,A000000,02700,0000,2700SPEECH PATHOLOGY 196737,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196737,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196737,A000000,03200,0000,3200SUPPORT SURFACES 196737,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 196737,A000000,03301,0000,3051PEN THERAPY 196737,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 196737,A000000,04800,0000,4800AMBULANCE 196737,A000000,05000,0000,5000CORF 196737,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196737,A000000,05300,0000,5300INTEREST EXPENSE 196737,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196737,A000000,05500,0000,5500HOSPICE 196737,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 196737,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 196737,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196737,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 196737,A000000,06100,0000,6100NONPAID WORKERS 196737,A000000,06200,0000,6200PATIENTS LAUNDRY 196737,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 196737,A81000A,00100,0100,Y 196737,A81000B,00100,0300,HOME OFFICE ALLOCATION 196737,A81000B,00200,0300,MEDICAL SUPPLIES 196737,A81000C,00100,0100,B 196737,A81000C,00100,0200,ARDEN REHAB 104 196737,A81000C,00100,0400,MPAN 196737,A81000C,00100,0600,NURSING HOMES 196737,A81000C,00200,0100,G 196737,A81000C,00200,0200,MPAN 196737,A81000C,00200,0400,AMERICAN PHARMA 196737,A81000C,00200,0600,PHARMACEUTICALS 196737,A81000C,00300,0100,G 196737,A81000C,00300,0200,MPAN 196737,A81000C,00300,0400,PRISM (ATS ARS 196737,A81000C,00300,0600,THERAPIES 196737,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196737,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196737,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196737,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196737,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196737,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196737,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196737,B100000,00000,0800,0800MEALS SERVED :DIETARY 196737,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196737,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196737,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196737,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196737,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 196737,B100000,00000,1500,1350UNITS OF SERVICE :OTHER GENERAL 196737,S000000,00100,0200,01/18/01 196737,S200000,00100,0100,3400 ALTA ARDEN EXPWY 196737,S200000,00200,0100,SACRAMENTO 196737,S200000,00200,0200,CA 196737,S200000,00200,0300,95825- 196737,S200000,00300,0100,SACRAMENTO 196737,S200000,00300,0200,6920 196737,S200000,00300,0300,U 196737,S200000,00400,0100,SUTTER OAKS - ARDEN 196737,S200000,00400,0200,055855 196737,S200000,00400,0300,07/01/86 196737,S200000,00400,0500,P 196737,S200000,01500,0100,N 196737,S200000,01600,0100,N 196737,S200000,01700,0100,N 196737,S200000,01800,0100,N 196737,S200000,02200,0100,N 196737,S200000,02800,0100,N 196737,S200000,02900,0100,N 196737,S200000,03000,0100,N 196737,S200000,03100,0100,N 196737,S200000,03200,0100,N 196737,S200000,04100,0100,N 196737,S200000,04200,0100,N 196737,S200000,04300,0100,N 196737,S200000,04600,0100,N 196737,S200000,04700,0100,N 196737,S200000,04700,0200,N 196737,S200000,04900,0100,N 196737,S200000,05000,0100,N 196737,S200000,05100,0100,N 196737,S200000,05200,0100,N 196756,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196756,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196756,A000000,00300,0000,0300EMPLOYEE BENEFITS 196756,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196756,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196756,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196756,A000000,00700,0000,0700HOUSEKEEPING 196756,A000000,00800,0000,0800DIETARY 196756,A000000,00900,0000,0900NURSING ADMINISTRATION 196756,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196756,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196756,A000000,01300,0000,1300SOCIAL SERVICE 196756,A000000,01301,0000,1301ACTIVITES 196756,A000000,01500,0000,1350REHABILITATION 196756,A000000,01600,0000,1600SKILLED NURSING FACILITY 196756,A000000,01800,0000,1800NURSING FACILITY 196756,A000000,01900,0000,1900OTHER LONG TERM CARE 196756,A000000,02100,0000,2100RADIOLOGY 196756,A000000,02200,0000,2200LABORATORY 196756,A000000,02300,0000,2300INTRAVENOUS THERAPY 196756,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196756,A000000,02500,0000,2500PHYSICAL THERAPY 196756,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196756,A000000,02700,0000,2700SPEECH PATHOLOGY 196756,A000000,02800,0000,2800ELECTROCARDIOLOGY 196756,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196756,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196756,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196756,A000000,03200,0000,3200SUPPORT SURFACES 196756,A000000,03300,0000,3050EQUIPMENT RENTAL 196756,A000000,03301,0000,3051PEN THERAPY 196756,A000000,04800,0000,4800AMBULANCE 196756,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196756,A000000,05300,0000,5300INTEREST EXPENSE 196756,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196756,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196756,A000000,06200,0000,6200PATIENTS LAUNDRY 196756,A000000,06300,0000,6150VENDING 196756,A000000,06301,0000,6151STAND-BY 196756,A81000A,00100,0100,Y 196756,A81000B,00100,0300,HOME OFFICE COST 196756,A81000B,00200,0300,DIETARY SUPPLEMENTS 196756,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196756,A81000B,00400,0300,PRESCRIPTION DRUGS 196756,A81000B,00500,0300,MEDICAL SUPPLIES 196756,A81000B,00600,0300,EMPLOYEE RELATIONS 196756,A81000B,00700,0300,HOME OFFICE INTEREST 196756,A81000B,00900,0300,IV THERAPY 196756,A81000C,00100,0100,B 196756,A81000C,00100,0200,PINE ARBOR 196756,A81000C,00100,0400,MARINER PAN 196756,A81000C,00100,0600,NURSING HOMES 196756,A81000C,00200,0100,G 196756,A81000C,00200,0200,MARINER PAN 196756,A81000C,00200,0400,AMER PHARM SVCS 196756,A81000C,00200,0600,PHARMACEUTICALS 196756,A81000C,00300,0100,G 196756,A81000C,00300,0200,MARINER PAN 196756,A81000C,00300,0400,PRISM-ATS-ARS-T 196756,A81000C,00300,0600,THERAPIES 196756,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196756,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196756,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196756,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196756,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196756,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196756,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196756,B100000,00000,0800,0800MEALS SERVED :DIETARY 196756,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196756,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196756,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196756,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196756,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196756,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196756,E10A180,00301,0100,01/19/00 196756,E10A180,00350,0100,10/13/99 196756,S000000,00100,0200,12/01/00 196756,S200000,00100,0100,705 FM 1418 W 196756,S200000,00200,0100,SILSBEE 196756,S200000,00200,0200,TX 196756,S200000,00200,0300,77656- 196756,S200000,00300,0100,HARDIN 196756,S200000,00300,0200,0840 196756,S200000,00300,0300,U 196756,S200000,00400,0100,PINE ARBOR 196756,S200000,00400,0200,675391 196756,S200000,00400,0300,09/06/94 196756,S200000,00400,0500,P 196756,S200000,01500,0100,Y 196756,S200000,01600,0100,N 196756,S200000,01700,0100,N 196756,S200000,01800,0100,N 196756,S200000,02200,0100,Y 196756,S200000,02800,0100,N 196756,S200000,02900,0100,N 196756,S200000,03000,0100,N 196756,S200000,03100,0100,N 196756,S200000,03200,0100,N 196756,S200000,04100,0100,N 196756,S200000,04200,0100,N 196756,S200000,04300,0100,Y 196756,S200000,04600,0100,N 196756,S200000,04700,0100,N 196756,S200000,04700,0200,N 196756,S200000,04900,0100,N 196756,S200000,05000,0100,N 196756,S200000,05100,0100,N 196756,S200000,05200,0100,N 196808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196808,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196808,A000000,00300,0000,0300EMPLOYEE BENEFITS 196808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196808,A000000,00700,0000,0700HOUSEKEEPING 196808,A000000,00800,0000,0800DIETARY 196808,A000000,00900,0000,0900NURSING ADMINISTRATION 196808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196808,A000000,01300,0000,1300SOCIAL SERVICE 196808,A000000,01301,0000,1301ACTIVITES 196808,A000000,01500,0000,1350REHABILITATION 196808,A000000,01600,0000,1600SKILLED NURSING FACILITY 196808,A000000,01800,0000,1800NURSING FACILITY 196808,A000000,01900,0000,1900OTHER LONG TERM CARE 196808,A000000,02100,0000,2100RADIOLOGY 196808,A000000,02200,0000,2200LABORATORY 196808,A000000,02300,0000,2300INTRAVENOUS THERAPY 196808,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196808,A000000,02500,0000,2500PHYSICAL THERAPY 196808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196808,A000000,02700,0000,2700SPEECH PATHOLOGY 196808,A000000,02800,0000,2800ELECTROCARDIOLOGY 196808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196808,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196808,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196808,A000000,03200,0000,3200SUPPORT SURFACES 196808,A000000,03300,0000,3050EQUIPMENT RENTAL 196808,A000000,03301,0000,3051PEN THERAPY 196808,A000000,04800,0000,4800AMBULANCE 196808,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196808,A000000,05300,0000,5300INTEREST EXPENSE 196808,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196808,A000000,06200,0000,6200PATIENTS LAUNDRY 196808,A000000,06300,0000,6150VENDING 196808,A000000,06301,0000,6151STAND-BY 196808,A81000A,00100,0100,Y 196808,A81000B,00100,0300,HOME OFFICE COST 196808,A81000B,00200,0300,DIETARY SUPPLEMENTS 196808,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196808,A81000B,00400,0300,PRESCRIPTION DRUGS 196808,A81000B,00500,0300,MEDICAL SUPPLIES 196808,A81000B,00600,0300,ADMIN COSTS 196808,A81000B,00700,0300,HOME OFFICE INTEREST 196808,A81000B,00800,0300,EQUIPMENT RENTAL 196808,A81000C,00100,0100,B 196808,A81000C,00100,0200,CARE INN OF SEG 196808,A81000C,00100,0400,MARINER PAN 196808,A81000C,00100,0600,NURSING HOMES 196808,A81000C,00200,0100,G 196808,A81000C,00200,0200,MARINER PAN 196808,A81000C,00200,0400,AMER PHARM SVCS 196808,A81000C,00200,0600,PHARMACEUTICALS 196808,A81000C,00300,0100,G 196808,A81000C,00300,0200,MARINER PAN 196808,A81000C,00300,0400,PRISM-ATS-ARS-T 196808,A81000C,00300,0600,THERAPIES 196808,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196808,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196808,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196808,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196808,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196808,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196808,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196808,B100000,00000,0800,0800MEALS SERVED :DIETARY 196808,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196808,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196808,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196808,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196808,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196808,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196808,E10A180,00350,0100,10/13/99 196808,E10A180,00351,0100,01/19/00 196808,S000000,00100,0200,12/01/00 196808,S200000,00100,0100,1219 EASTWOOD DRIVE 196808,S200000,00200,0100,SEGUIN 196808,S200000,00200,0200,TX 196808,S200000,00200,0300,78155- 196808,S200000,00300,0100,GUADALUPE 196808,S200000,00300,0200,7240 196808,S200000,00300,0300,U 196808,S200000,00400,0100,CARE INN - SEGUIN 196808,S200000,00400,0200,675380 196808,S200000,00400,0300,08/10/94 196808,S200000,00400,0500,P 196808,S200000,01500,0100,N 196808,S200000,01600,0100,Y 196808,S200000,01700,0100,N 196808,S200000,01800,0100,N 196808,S200000,02200,0100,Y 196808,S200000,02800,0100,N 196808,S200000,02900,0100,N 196808,S200000,03000,0100,N 196808,S200000,03100,0100,N 196808,S200000,03200,0100,N 196808,S200000,04100,0100,N 196808,S200000,04200,0100,N 196808,S200000,04300,0100,Y 196808,S200000,04600,0100,N 196808,S200000,04700,0100,N 196808,S200000,04700,0200,N 196808,S200000,04900,0100,N 196808,S200000,05000,0100,N 196808,S200000,05100,0100,N 196808,S200000,05200,0100,N 196809,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196809,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196809,A000000,00300,0000,0300EMPLOYEE BENEFITS 196809,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196809,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196809,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196809,A000000,00700,0000,0700HOUSEKEEPING 196809,A000000,00800,0000,0800DIETARY 196809,A000000,00900,0000,0900NURSING ADMINISTRATION 196809,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196809,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196809,A000000,01300,0000,1300SOCIAL SERVICE 196809,A000000,01301,0000,1301ACTIVITES 196809,A000000,01500,0000,1350REHABILITATION 196809,A000000,01600,0000,1600SKILLED NURSING FACILITY 196809,A000000,01800,0000,1800NURSING FACILITY 196809,A000000,01900,0000,1900OTHER LONG TERM CARE 196809,A000000,02100,0000,2100RADIOLOGY 196809,A000000,02200,0000,2200LABORATORY 196809,A000000,02300,0000,2300INTRAVENOUS THERAPY 196809,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196809,A000000,02500,0000,2500PHYSICAL THERAPY 196809,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196809,A000000,02700,0000,2700SPEECH PATHOLOGY 196809,A000000,02800,0000,2800ELECTROCARDIOLOGY 196809,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196809,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196809,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196809,A000000,03200,0000,3200SUPPORT SURFACES 196809,A000000,03300,0000,3050EQUIPMENT RENTAL 196809,A000000,03301,0000,3051PEN THERAPY 196809,A000000,04800,0000,4800AMBULANCE 196809,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196809,A000000,05300,0000,5300INTEREST EXPENSE 196809,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196809,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196809,A000000,06200,0000,6200PATIENTS LAUNDRY 196809,A000000,06300,0000,6150VENDING 196809,A000000,06301,0000,6151STAND-BY 196809,A81000A,00100,0100,Y 196809,A81000B,00100,0300,HOME OFFICE COST 196809,A81000B,00200,0300,DIETARY SUPPLEMENTS 196809,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196809,A81000B,00400,0300,PRESCRIPTION DRUGS 196809,A81000B,00500,0300,MEDICAL SUPPLIES 196809,A81000B,00600,0300,EQUIPMENT RENTAL 196809,A81000B,00700,0300,HOME OFFICE INTEREST 196809,A81000B,00900,0300,IV THERAPY 196809,A81000C,00100,0100,B 196809,A81000C,00100,0200,CARE INN - GLAD 196809,A81000C,00100,0400,MARINER PAN 196809,A81000C,00100,0600,NURSING HOMES 196809,A81000C,00200,0100,G 196809,A81000C,00200,0200,MARINER PAN 196809,A81000C,00200,0400,AMER PHARM SVCS 196809,A81000C,00200,0600,PHARMACEUTICALS 196809,A81000C,00300,0100,G 196809,A81000C,00300,0200,MARINER PAN 196809,A81000C,00300,0400,PRISM-ATS-ARS-T 196809,A81000C,00300,0600,THERAPIES 196809,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196809,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196809,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196809,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196809,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196809,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196809,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196809,B100000,00000,0800,0800MEALS SERVED :DIETARY 196809,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196809,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196809,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196809,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196809,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196809,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196809,E10A180,00301,0100,01/05/00 196809,E10A180,00350,0100,10/13/99 196809,S000000,00100,0200,12/01/00 196809,S200000,00100,0100,300 N. MONEY ST 196809,S200000,00200,0100,GLADEWATER 196809,S200000,00200,0200,TX 196809,S200000,00200,0300,75647- 196809,S200000,00300,0100,GREGG 196809,S200000,00300,0200,4420 196809,S200000,00300,0300,U 196809,S200000,00400,0100,CARE INN - GLADEWATER 196809,S200000,00400,0200,675385 196809,S200000,00400,0300,09/30/94 196809,S200000,00400,0500,P 196809,S200000,01500,0100,Y 196809,S200000,01600,0100,N 196809,S200000,01700,0100,N 196809,S200000,01800,0100,N 196809,S200000,02200,0100,Y 196809,S200000,02800,0100,N 196809,S200000,02900,0100,N 196809,S200000,03000,0100,N 196809,S200000,03100,0100,N 196809,S200000,03200,0100,N 196809,S200000,04100,0100,N 196809,S200000,04200,0100,N 196809,S200000,04300,0100,Y 196809,S200000,04600,0100,N 196809,S200000,04700,0100,N 196809,S200000,04700,0200,N 196809,S200000,04900,0100,N 196809,S200000,05000,0100,N 196809,S200000,05100,0100,N 196809,S200000,05200,0100,N 196811,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196811,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196811,A000000,00300,0000,0300EMPLOYEE BENEFITS 196811,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196811,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196811,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196811,A000000,00700,0000,0700HOUSEKEEPING 196811,A000000,00800,0000,0800DIETARY 196811,A000000,00900,0000,0900NURSING ADMINISTRATION 196811,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196811,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196811,A000000,01300,0000,1300SOCIAL SERVICE 196811,A000000,01301,0000,1301ACTIVITES 196811,A000000,01500,0000,1350REHABILITATION 196811,A000000,01600,0000,1600SKILLED NURSING FACILITY 196811,A000000,01800,0000,1800NURSING FACILITY 196811,A000000,01900,0000,1900OTHER LONG TERM CARE 196811,A000000,02100,0000,2100RADIOLOGY 196811,A000000,02200,0000,2200LABORATORY 196811,A000000,02300,0000,2300INTRAVENOUS THERAPY 196811,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196811,A000000,02500,0000,2500PHYSICAL THERAPY 196811,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196811,A000000,02700,0000,2700SPEECH PATHOLOGY 196811,A000000,02800,0000,2800ELECTROCARDIOLOGY 196811,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196811,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196811,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196811,A000000,03200,0000,3200SUPPORT SURFACES 196811,A000000,03300,0000,3050EQUIPMENT RENTAL 196811,A000000,03301,0000,3051PEN THERAPY 196811,A000000,04800,0000,4800AMBULANCE 196811,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196811,A000000,05300,0000,5300INTEREST EXPENSE 196811,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196811,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196811,A000000,06200,0000,6200PATIENTS LAUNDRY 196811,A000000,06300,0000,6150VENDING 196811,A000000,06301,0000,6151STAND-BY 196811,A81000A,00100,0100,Y 196811,A81000B,00100,0300,HOME OFFICE COST 196811,A81000B,00200,0300,DIETARY SUPPLEMENTS 196811,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196811,A81000B,00400,0300,PRESCRIPTION DRUGS 196811,A81000B,00500,0300,MEDICAL SUPPLIES 196811,A81000B,00600,0300,EQUIPMENT RENTAL 196811,A81000B,00700,0300,HOME OFFICE INTEREST 196811,A81000C,00100,0100,B 196811,A81000C,00100,0200,RETAMA MANOR DE 196811,A81000C,00100,0400,MARINER PAN 196811,A81000C,00100,0600,NURSING HOMES 196811,A81000C,00200,0100,G 196811,A81000C,00200,0200,MARINER PAN 196811,A81000C,00200,0400,AMER PHARM SVCS 196811,A81000C,00200,0600,PHARMACEUTICALS 196811,A81000C,00300,0100,G 196811,A81000C,00300,0200,MARINER PAN 196811,A81000C,00300,0400,PRISM-ATS-ARS-T 196811,A81000C,00300,0600,THERAPIES 196811,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196811,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196811,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196811,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196811,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196811,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196811,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196811,B100000,00000,0800,0800MEALS SERVED :DIETARY 196811,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196811,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196811,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196811,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196811,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196811,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196811,E10A180,00301,0100,01/19/00 196811,E10A180,00350,0100,09/15/99 196811,S000000,00100,0200,12/01/00 196811,S200000,00100,0100,100 HERRMANN DRIVE 196811,S200000,00200,0100,DEL RIO 196811,S200000,00200,0200,TX 196811,S200000,00200,0300,78840- 196811,S200000,00300,0100,VALVERDE 196811,S200000,00300,0200,45 196811,S200000,00300,0300,R 196811,S200000,00400,0100,RETAMA MANOR - DEL RIO 196811,S200000,00400,0200,675395 196811,S200000,00400,0300,10/27/94 196811,S200000,00400,0500,P 196811,S200000,01500,0100,N 196811,S200000,01600,0100,Y 196811,S200000,01700,0100,N 196811,S200000,01800,0100,N 196811,S200000,02200,0100,Y 196811,S200000,02800,0100,N 196811,S200000,02900,0100,N 196811,S200000,03000,0100,N 196811,S200000,03100,0100,N 196811,S200000,03200,0100,N 196811,S200000,04100,0100,N 196811,S200000,04200,0100,N 196811,S200000,04300,0100,Y 196811,S200000,04600,0100,N 196811,S200000,04700,0100,N 196811,S200000,04700,0200,N 196811,S200000,04900,0100,N 196811,S200000,05000,0100,N 196811,S200000,05100,0100,N 196811,S200000,05200,0100,N 196814,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 196814,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 196814,A000000,00300,0000,0300EMPLOYEE BENEFITS 196814,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196814,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 196814,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196814,A000000,00700,0000,0700HOUSEKEEPING 196814,A000000,00800,0000,0800DIETARY 196814,A000000,00900,0000,0900NURSING ADMINISTRATION 196814,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196814,A000000,01100,0000,1100PHARMACY 196814,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196814,A000000,01300,0000,1300SOCIAL SERVICE 196814,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 196814,A000000,01500,0000,1350RECREATION 196814,A000000,01600,0000,1600SKILLED NURSING FACILITY 196814,A000000,01810,0000,1810ICF/MR 196814,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196814,A000000,02500,0000,2500PHYSICAL THERAPY 196814,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196814,A000000,02700,0000,2700SPEECH PATHOLOGY 196814,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 196814,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196814,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENT 196814,A000000,04801,0000,4801AMBULANCE 196814,A000000,04802,0000,4802AMBULANCE 196814,A000000,04803,0000,4803AMBULANCE 196814,A000000,05000,0000,5000CORF 196814,A000000,05010,0000,5010CMHC 196814,A000000,05020,0000,5020OPT 196814,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 196814,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 196814,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196814,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196814,A81000A,00100,0100,Y 196814,A81000B,00100,0300,RENT 196814,A81000B,00200,0300,REAL ESTATE TAX 196814,A81000B,00300,0300,DEPRECIATION 196814,A81000B,00400,0300,LEGAL & PROFESS. 196814,A81000B,00500,0300,MORTGAGE INTEREST 196814,A81000B,00600,0300,BANK FEES 196814,A81000C,00100,0100,F 196814,A81000C,00100,0200,M. LOU CATALDO 196814,A81000C,00100,0400,TEN PENNY REALTY 196814,A81000C,00100,0600,REAL ESTATE TRUST 196814,B100000,00000,0100,0100(SQUARE FEET) 196814,B100000,00000,0200,0200(SQUARE FEET) 196814,B100000,00000,0300,0300(GROSS SALARIES) 196814,B100000,00000,0400,0400ACCUM COST 196814,B100000,00000,0500,0500(SQUARE FEET) 196814,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 196814,B100000,00000,0700,0700(SQUARE FEET) 196814,B100000,00000,0800,0800(MEALS SERVED) 196814,B100000,00000,0900,0900(DIR NRSG HOURS) 196814,B100000,00000,1000,1000(COSTED REQUIS) 196814,B100000,00000,1100,1100(COSTED REQUIS) 196814,B100000,00000,1200,1200(PATIENT DAYS) 196814,B100000,00000,1300,1300(PATIENT DAYS) 196814,B100000,00000,1400,1400(ASSIGNED TIME) 196814,B100000,00000,1500,1350(PATIENT DAYS) 196814,S000000,00100,0200,05/30/00 196814,S200000,00100,0100,30 WATERTOWN 196814,S200000,00200,0100,LEXINGTON 196814,S200000,00200,0200,MA 196814,S200000,00200,0300,02173 196814,S200000,00300,0100,MIDDLESEX 196814,S200000,00300,0200,1123 196814,S200000,00300,0300,U 196814,S200000,00400,0100,PINE KNOLL N.H. INC. 196814,S200000,00400,0200,225049 196814,S200000,00400,0300,01/01/67 196814,S200000,00400,0500,P 196814,S200000,01500,0100,Y 196814,S200000,01600,0100,N 196814,S200000,01700,0100,N 196814,S200000,01800,0100,N 196814,S200000,02200,0100,N 196814,S200000,02800,0100,N 196814,S200000,02900,0100,N 196814,S200000,03000,0100,N 196814,S200000,03100,0100,N 196814,S200000,03200,0100,N 196814,S200000,03300,0100,N 196814,S200000,03300,0200,N 196814,S200000,04100,0100,N 196814,S200000,04200,0100,N 196814,S200000,04300,0100,N 196814,S200000,04600,0100,N 196814,S200000,04700,0100,N 196814,S200000,04700,0200,N 196814,S200000,04900,0100,N 196963,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196963,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196963,A000000,00300,0000,0300EMPLOYEE BENEFITS 196963,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196963,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196963,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196963,A000000,00700,0000,0700HOUSEKEEPING 196963,A000000,00800,0000,0800DIETARY 196963,A000000,00900,0000,0900NURSING ADMINISTRATION 196963,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196963,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196963,A000000,01300,0000,1300SOCIAL SERVICE 196963,A000000,01301,0000,1301ACTIVITES 196963,A000000,01500,0000,1350REHABILITATION 196963,A000000,01600,0000,1600SKILLED NURSING FACILITY 196963,A000000,01800,0000,1800NURSING FACILITY 196963,A000000,01900,0000,1900OTHER LONG TERM CARE 196963,A000000,02100,0000,2100RADIOLOGY 196963,A000000,02200,0000,2200LABORATORY 196963,A000000,02300,0000,2300INTRAVENOUS THERAPY 196963,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196963,A000000,02500,0000,2500PHYSICAL THERAPY 196963,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196963,A000000,02700,0000,2700SPEECH PATHOLOGY 196963,A000000,02800,0000,2800ELECTROCARDIOLOGY 196963,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196963,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196963,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196963,A000000,03200,0000,3200SUPPORT SURFACES 196963,A000000,03300,0000,3050EQUIPMENT RENTAL 196963,A000000,03301,0000,3051PEN THERAPY 196963,A000000,04800,0000,4800AMBULANCE 196963,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196963,A000000,05300,0000,5300INTEREST EXPENSE 196963,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196963,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196963,A000000,06200,0000,6200PATIENTS LAUNDRY 196963,A000000,06300,0000,6150VENDING 196963,A000000,06301,0000,6151STAND-BY 196963,A81000A,00100,0100,Y 196963,A81000B,00100,0300,HOME OFFICE COST 196963,A81000B,00200,0300,DIETARY SUPPLEMENTS 196963,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196963,A81000B,00400,0300,PRESCRIPTION DRUGS 196963,A81000B,00500,0300,MEDICAL SUPPLIES 196963,A81000B,00600,0300,DME 196963,A81000B,00700,0300,HOME OFFICE INTEREST 196963,A81000B,00800,0300,EQUIPMENT REPLACEMENT 196963,A81000B,00900,0300,IV THERAPY 196963,A81000B,01000,0300,PHYSICAL THERAPY 196963,A81000B,01100,0300,OCCUPATIONAL THERAPY 196963,A81000B,01200,0300,SPEECH THERAPY 196963,A81000C,00100,0100,B 196963,A81000C,00100,0200,LYNN LODGE 196963,A81000C,00100,0400,MARINER PAN 196963,A81000C,00100,0600,NURSING HOMES 196963,A81000C,00200,0100,G 196963,A81000C,00200,0200,MARINER PAN 196963,A81000C,00200,0400,AMER PHARM SVCS 196963,A81000C,00200,0600,PHARMACEUTICALS 196963,A81000C,00300,0100,G 196963,A81000C,00300,0200,MARINER PAN 196963,A81000C,00300,0400,PRISM-ATS-ARS-T 196963,A81000C,00300,0600,THERAPIES 196963,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196963,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196963,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196963,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196963,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196963,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196963,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196963,B100000,00000,0800,0800MEALS SERVED :DIETARY 196963,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196963,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196963,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196963,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196963,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196963,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196963,E10A180,00350,0100,10/13/99 196963,E10A180,00351,0100,01/05/00 196963,S000000,00100,0200,12/01/00 196963,S200000,00100,0100,111 RUTHLYNN DRIVE 196963,S200000,00200,0100,LONGVIEW 196963,S200000,00200,0200,TX 196963,S200000,00200,0300,75601- 196963,S200000,00300,0100,GREGG 196963,S200000,00300,0200,4420 196963,S200000,00300,0300,U 196963,S200000,00400,0100,LYNN LODGE 196963,S200000,00400,0200,675379 196963,S200000,00400,0300,09/01/94 196963,S200000,00400,0500,P 196963,S200000,01500,0100,Y 196963,S200000,01600,0100,N 196963,S200000,01700,0100,N 196963,S200000,01800,0100,N 196963,S200000,02200,0100,Y 196963,S200000,02800,0100,N 196963,S200000,02900,0100,N 196963,S200000,03000,0100,N 196963,S200000,03100,0100,N 196963,S200000,03200,0100,N 196963,S200000,04100,0100,N 196963,S200000,04200,0100,N 196963,S200000,04300,0100,Y 196963,S200000,04600,0100,N 196963,S200000,04700,0100,N 196963,S200000,04700,0200,N 196963,S200000,04900,0100,N 196963,S200000,05000,0100,N 196963,S200000,05100,0100,N 196963,S200000,05200,0100,N 196964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196964,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196964,A000000,00300,0000,0300EMPLOYEE BENEFITS 196964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196964,A000000,00700,0000,0700HOUSEKEEPING 196964,A000000,00800,0000,0800DIETARY 196964,A000000,00900,0000,0900NURSING ADMINISTRATION 196964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196964,A000000,01300,0000,1300SOCIAL SERVICE 196964,A000000,01301,0000,1301ACTIVITES 196964,A000000,01500,0000,1350REHABILITATION 196964,A000000,01600,0000,1600SKILLED NURSING FACILITY 196964,A000000,01800,0000,1800NURSING FACILITY 196964,A000000,01900,0000,1900OTHER LONG TERM CARE 196964,A000000,02100,0000,2100RADIOLOGY 196964,A000000,02200,0000,2200LABORATORY 196964,A000000,02300,0000,2300INTRAVENOUS THERAPY 196964,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196964,A000000,02500,0000,2500PHYSICAL THERAPY 196964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196964,A000000,02700,0000,2700SPEECH PATHOLOGY 196964,A000000,02800,0000,2800ELECTROCARDIOLOGY 196964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196964,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196964,A000000,03200,0000,3200SUPPORT SURFACES 196964,A000000,03300,0000,3050EQUIPMENT RENTAL 196964,A000000,03301,0000,3051PEN THERAPY 196964,A000000,04800,0000,4800AMBULANCE 196964,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196964,A000000,05300,0000,5300INTEREST EXPENSE 196964,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196964,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196964,A000000,06200,0000,6200PATIENTS LAUNDRY 196964,A000000,06300,0000,6150VENDING 196964,A000000,06301,0000,6151STAND-BY 196964,A81000A,00100,0100,Y 196964,A81000B,00100,0300,HOME OFFICE COST 196964,A81000B,00200,0300,DIETARY SUPPLEMENTS 196964,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196964,A81000B,00400,0300,PRESCRIPTION DRUGS 196964,A81000B,00500,0300,MEDICAL SUPPLIES 196964,A81000B,00700,0300,HOME OFFICE INTEREST 196964,A81000B,00800,0300,EQUIPMENT RENTAL 196964,A81000B,00900,0300,IV THERAPY 196964,A81000C,00100,0100,B 196964,A81000C,00100,0200,RETAMA MANOR LA 196964,A81000C,00100,0400,MARINER PAN 196964,A81000C,00100,0600,NURSING HOMES 196964,A81000C,00200,0100,G 196964,A81000C,00200,0200,MARINER PAN 196964,A81000C,00200,0400,AMER PHARM SVCS 196964,A81000C,00200,0600,PHARMACEUTICALS 196964,A81000C,00300,0100,G 196964,A81000C,00300,0200,MARINER PAN 196964,A81000C,00300,0400,PRISM-ATS-ARS-T 196964,A81000C,00300,0600,THERAPIES 196964,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196964,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196964,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196964,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196964,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196964,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196964,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196964,B100000,00000,0800,0800MEALS SERVED :DIETARY 196964,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196964,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196964,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196964,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196964,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196964,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196964,E10A180,00301,0100,02/02/00 196964,E10A180,00350,0100,10/13/99 196964,S000000,00100,0200,12/01/00 196964,S200000,00100,0100,1100 GALVESTON 196964,S200000,00200,0100,LAREDO 196964,S200000,00200,0200,TX 196964,S200000,00200,0300,78040- 196964,S200000,00300,0100,WEBB 196964,S200000,00300,0200,4080 196964,S200000,00300,0300,U 196964,S200000,00400,0100,RETAMA MANOR - LAREDO SOUTH 196964,S200000,00400,0200,675396 196964,S200000,00400,0300,09/16/94 196964,S200000,00400,0500,P 196964,S200000,01500,0100,N 196964,S200000,01600,0100,Y 196964,S200000,01700,0100,N 196964,S200000,01800,0100,N 196964,S200000,02200,0100,Y 196964,S200000,02800,0100,N 196964,S200000,02900,0100,N 196964,S200000,03000,0100,N 196964,S200000,03100,0100,N 196964,S200000,03200,0100,N 196964,S200000,04100,0100,N 196964,S200000,04200,0100,N 196964,S200000,04300,0100,Y 196964,S200000,04600,0100,N 196964,S200000,04700,0100,N 196964,S200000,04700,0200,N 196964,S200000,04900,0100,N 196964,S200000,05000,0100,N 196964,S200000,05100,0100,N 196964,S200000,05200,0100,N 196966,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 196966,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 196966,A000000,00300,0000,0300EMPLOYEE BENEFITS 196966,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 196966,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 196966,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 196966,A000000,00700,0000,0700HOUSEKEEPING 196966,A000000,00800,0000,0800DIETARY 196966,A000000,00900,0000,0900NURSING ADMINISTRATION 196966,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 196966,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 196966,A000000,01300,0000,1300SOCIAL SERVICE 196966,A000000,01301,0000,1301ACTIVITES 196966,A000000,01500,0000,1350REHABILITATION 196966,A000000,01600,0000,1600SKILLED NURSING FACILITY 196966,A000000,01800,0000,1800NURSING FACILITY 196966,A000000,01900,0000,1900OTHER LONG TERM CARE 196966,A000000,02100,0000,2100RADIOLOGY 196966,A000000,02200,0000,2200LABORATORY 196966,A000000,02300,0000,2300INTRAVENOUS THERAPY 196966,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 196966,A000000,02500,0000,2500PHYSICAL THERAPY 196966,A000000,02600,0000,2600OCCUPATIONAL THERAPY 196966,A000000,02700,0000,2700SPEECH PATHOLOGY 196966,A000000,02800,0000,2800ELECTROCARDIOLOGY 196966,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 196966,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 196966,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 196966,A000000,03200,0000,3200SUPPORT SURFACES 196966,A000000,03300,0000,3050EQUIPMENT RENTAL 196966,A000000,03301,0000,3051PEN THERAPY 196966,A000000,04800,0000,4800AMBULANCE 196966,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 196966,A000000,05300,0000,5300INTEREST EXPENSE 196966,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 196966,A000000,05900,0000,5900BARBER & BEAUTY SHOP 196966,A000000,06200,0000,6200PATIENTS LAUNDRY 196966,A000000,06300,0000,6150VENDING 196966,A000000,06301,0000,6151STAND-BY 196966,A81000A,00100,0100,Y 196966,A81000B,00100,0300,HOME OFFICE COST 196966,A81000B,00200,0300,DIETARY SUPPLEMENTS 196966,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 196966,A81000B,00400,0300,PRESCRIPTION DRUGS 196966,A81000B,00500,0300,MEDICAL SUPPLIES 196966,A81000B,00600,0300,DME 196966,A81000B,00700,0300,HOME OFFICE INTEREST 196966,A81000B,00800,0300,PEN 196966,A81000B,00900,0300,IV THERAPY 196966,A81000B,01000,0300,PT SUPPLIES 196966,A81000B,01100,0300,ANC EQUIP RENTAL 196966,A81000C,00100,0100,B 196966,A81000C,00100,0200,BRAZOSVIEW 196966,A81000C,00100,0400,MARINER PAN 196966,A81000C,00100,0600,NURSING HOMES 196966,A81000C,00200,0100,G 196966,A81000C,00200,0200,MARINER PAN 196966,A81000C,00200,0400,AMER PHARM SVCS 196966,A81000C,00200,0600,PHARMACEUTICALS 196966,A81000C,00300,0100,G 196966,A81000C,00300,0200,MARINER PAN 196966,A81000C,00300,0400,PRISM-ATS-ARS-T 196966,A81000C,00300,0600,THERAPIES 196966,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 196966,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 196966,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 196966,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 196966,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 196966,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 196966,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 196966,B100000,00000,0800,0800MEALS SERVED :DIETARY 196966,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 196966,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 196966,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 196966,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 196966,B100000,00000,1301,1331PATIENT DAYS :ACTIVITES 196966,B100000,00000,1500,1350UNITS OF SERVICE :REHABILITATION 196966,E10A180,00301,0100,10/13/99 196966,E10A180,00350,0100,01/19/00 196966,S000000,00100,0200,12/01/00 196966,S200000,00100,0100,2127 PRESTON 196966,S200000,00200,0100,RICHMOND 196966,S200000,00200,0200,TX 196966,S200000,00200,0300,77469- 196966,S200000,00300,0100,FORT BEND 196966,S200000,00300,0200,3360 196966,S200000,00300,0300,U 196966,S200000,00400,0100,BRAZOSVIEW HEALTHCARE CENTER 196966,S200000,00400,0200,675420 196966,S200000,00400,0300,08/30/94 196966,S200000,00400,0500,P 196966,S200000,01500,0100,Y 196966,S200000,01600,0100,N 196966,S200000,01700,0100,N 196966,S200000,01800,0100,N 196966,S200000,02200,0100,Y 196966,S200000,02800,0100,N 196966,S200000,02900,0100,N 196966,S200000,03000,0100,N 196966,S200000,03100,0100,N 196966,S200000,03200,0100,N 196966,S200000,04100,0100,N 196966,S200000,04200,0100,N 196966,S200000,04300,0100,Y 196966,S200000,04600,0100,N 196966,S200000,04700,0100,N 196966,S200000,04700,0200,N 196966,S200000,04900,0100,N 196966,S200000,05000,0100,N 196966,S200000,05100,0100,N 196966,S200000,05200,0100,N 197158,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197158,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197158,A000000,00300,0000,0300EMPLOYEE BENEFITS 197158,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197158,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197158,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197158,A000000,00700,0000,0700HOUSEKEEPING 197158,A000000,00800,0000,0800DIETARY 197158,A000000,00900,0000,0900NURSING ADMINISTRATION 197158,A000000,01100,0000,1100PHARMACY 197158,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197158,A000000,01300,0000,1300SOCIAL SERVICE 197158,A000000,01600,0000,1600SKILLED NURSING FACILITY 197158,A000000,01800,0000,1800NURSING FACILITY 197158,A000000,02100,0000,2100RADIOLOGY 197158,A000000,02200,0000,2200LABORATORY 197158,A000000,02300,0000,2300INTRAVENOUS THERAPY 197158,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197158,A000000,02500,0000,2500PHYSICAL THERAPY 197158,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197158,A000000,02700,0000,2700SPEECH PATHOLOGY 197158,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197158,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197158,A81000A,00100,0100,N 197158,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 197158,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 197158,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 197158,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197158,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 197158,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 197158,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 197158,B100000,00000,0800,0800MEALS SERVED :DIETARY 197158,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 197158,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 197158,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 197158,S000000,00100,0200,08/01/00 197158,S200000,00100,0100,410 SOUTH 4TH STREET 197158,S200000,00100,0300,PO BOX 649 197158,S200000,00200,0100,CYRIL 197158,S200000,00200,0200,OK 197158,S200000,00200,0300,73029- 197158,S200000,00300,0100,CADDO 197158,S200000,00300,0200,0037 197158,S200000,00300,0300,R 197158,S200000,00400,0100,CYRIL NURSING CENTER 197158,S200000,00400,0200,375228 197158,S200000,00400,0300,05/01/95 197158,S200000,00400,0500,P 197158,S200000,01500,0100,N 197158,S200000,01600,0100,Y 197158,S200000,01700,0100,N 197158,S200000,01800,0100,N 197158,S200000,02200,0100,N 197158,S200000,02800,0100,N 197158,S200000,02900,0100,N 197158,S200000,03000,0100,N 197158,S200000,03100,0100,N 197158,S200000,03200,0100,N 197158,S200000,04100,0100,N 197158,S200000,04200,0100,N 197158,S200000,04300,0100,N 197158,S200000,04600,0100,N 197158,S200000,04700,0100,N 197158,S200000,04700,0200,N 197158,S200000,04900,0100,N 197158,S200000,05000,0100,N 197158,S200000,05100,0100,N 197158,S200000,05200,0100,N 197171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197171,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197171,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197171,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197171,A000000,00300,0000,0300EMPLOYEE BENEFITS 197171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197171,A000000,00700,0000,0700HOUSEKEEPING 197171,A000000,00800,0000,0800DIETARY 197171,A000000,00801,0000,0801CAFETERIA 197171,A000000,00900,0000,0900NURSING ADMINISTRATION 197171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197171,A000000,01100,0000,1100PHARMACY 197171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197171,A000000,01300,0000,1300SOCIAL SERVICE 197171,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197171,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197171,A000000,01600,0000,1600SKILLED NURSING FACILITY 197171,A000000,01800,0000,1800NURSING FACILITY 197171,A000000,01900,0000,1900OTHER LONG TERM CARE 197171,A000000,02100,0000,2100RADIOLOGY 197171,A000000,02200,0000,2200LABORATORY 197171,A000000,02300,0000,2300INTRAVENOUS THERAPY 197171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197171,A000000,02500,0000,2500PHYSICAL THERAPY 197171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197171,A000000,02700,0000,2700SPEECH PATHOLOGY 197171,A000000,02800,0000,2800ELECTROCARDIOLOGY 197171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197171,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197171,A000000,03200,0000,3200SUPPORT SURFACES 197171,A000000,03300,0000,3050OTHER ANCILLARY 197171,A000000,03301,0000,3051OTHER ANCILLARY II 197171,A000000,03302,0000,3052OTHER ANCILLARY III 197171,A000000,03400,0000,3400CLINIC 197171,A000000,03500,0000,3500RURAL HEALTH CLINIC 197171,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197171,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197171,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197171,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197171,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197171,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197171,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197171,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197171,A000000,04400,0000,4400DME RENTED - HHA 197171,A000000,04500,0000,4500DME SOLD - HHA 197171,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197171,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197171,A000000,04800,0000,4800AMBULANCE 197171,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197171,A000000,05000,0000,5000CORF 197171,A000000,05010,0000,5010CMHC I 197171,A000000,05020,0000,5020OPT I 197171,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197171,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197171,A000000,05300,0000,5300INTEREST EXPENSE 197171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197171,A000000,05500,0000,5500HOSPICE 197171,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197171,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197171,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197171,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197171,A000000,06100,0000,6100NONPAID WORKERS 197171,A000000,06200,0000,6200PATIENTS LAUNDRY 197171,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197171,A81000A,00100,0100,Y 197171,A81000B,00100,0300,PAYROLL PROCESS FEE 197171,A81000B,00200,0300,MANAGEMENT FEE 197171,A81000B,00400,0300,DIETARY SUPPLIES 197171,A81000B,00500,0300,CENTRAL SUPPLY 197171,A81000B,00600,0300,PHYSICAL THERAPY 197171,A81000B,00700,0300,OCCUPATIONAL THERAPY 197171,A81000B,00800,0300,SPEECH THERAPY 197171,A81000B,00900,0300,BUILDING LEASE 197171,A81000C,00100,0100,G 197171,A81000C,00100,0200,CENT HC CORP 197171,A81000C,00100,0400,CENT HC CORP 197171,A81000C,00100,0600,HOME OFFICE 197171,A81000C,00200,0100,G 197171,A81000C,00200,0200,CENT HC CORP 197171,A81000C,00200,0400,CENT HC CORP 197171,A81000C,00200,0600,HOME OFFICE 197171,A81000C,00400,0100,G 197171,A81000C,00400,0200,CENTENNIAL PTS 197171,A81000C,00400,0400,CENT HC CORP 197171,A81000C,00400,0600,SUPPLIES 197171,A81000C,00500,0100,G 197171,A81000C,00500,0200,CENTENNIAL PTS 197171,A81000C,00500,0400,CENT HC CORP 197171,A81000C,00500,0600,SUPPLIES 197171,A81000C,00600,0100,G 197171,A81000C,00600,0200,PARAGON 197171,A81000C,00600,0400,CENT HC CORP 197171,A81000C,00600,0600,THERAPY 197171,A81000C,00700,0100,G 197171,A81000C,00700,0200,PARAGON 197171,A81000C,00700,0400,CENT HC CORP 197171,A81000C,00700,0600,THERAPY 197171,A81000C,00800,0100,G 197171,A81000C,00800,0200,PARAGON 197171,A81000C,00800,0400,CENT HC CORP 197171,A81000C,00800,0600,THERAPY 197171,A81000C,00900,0100,B 197171,A81000C,00900,0200,DAHL & EATON 197171,A81000C,00900,0400,SE HEALTHCARE 197171,A81000C,00900,0600,BUILDING OWNER 197171,A81000C,03100,0000,THERAPY 197171,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197171,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197171,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197171,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197171,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197171,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197171,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197171,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197171,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197171,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197171,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197171,S000000,00100,0200,09/21/00 197171,S200000,00100,0100,1110 SERIO BLVD 197171,S200000,00200,0100,FERRIDAY 197171,S200000,00200,0200,LA 197171,S200000,00200,0300,71334- 197171,S200000,00300,0100,CONCORDIA 197171,S200000,00300,0200,0019 197171,S200000,00300,0300,R 197171,S200000,00400,0100,HERITAGE MANOR FERRIDAY 197171,S200000,00400,0200,195291 197171,S200000,00400,0300,06/14/94 197171,S200000,00400,0500,P 197171,S200000,01500,0100,Y 197171,S200000,01600,0100,N 197171,S200000,01700,0100,N 197171,S200000,01800,0100,N 197171,S200000,02200,0100,Y 197171,S200000,02800,0100,N 197171,S200000,02900,0100,N 197171,S200000,03000,0100,N 197171,S200000,03100,0100,N 197171,S200000,03200,0100,N 197171,S200000,04100,0100,N 197171,S200000,04200,0100,N 197171,S200000,04300,0100,N 197171,S200000,04600,0100,N 197171,S200000,04700,0100,N 197171,S200000,04700,0200,N 197171,S200000,04900,0100,N 197171,S200000,05000,0100,N 197171,S200000,05100,0100,N 197171,S200000,05200,0100,N 197172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197172,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197172,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197172,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197172,A000000,00300,0000,0300EMPLOYEE BENEFITS 197172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197172,A000000,00700,0000,0700HOUSEKEEPING 197172,A000000,00800,0000,0800DIETARY 197172,A000000,00801,0000,0801CAFETERIA 197172,A000000,00900,0000,0900NURSING ADMINISTRATION 197172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197172,A000000,01100,0000,1100PHARMACY 197172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197172,A000000,01300,0000,1300SOCIAL SERVICE 197172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197172,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197172,A000000,01600,0000,1600SKILLED NURSING FACILITY 197172,A000000,01800,0000,1800NURSING FACILITY 197172,A000000,01900,0000,1900OTHER LONG TERM CARE 197172,A000000,02100,0000,2100RADIOLOGY 197172,A000000,02200,0000,2200LABORATORY 197172,A000000,02300,0000,2300INTRAVENOUS THERAPY 197172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197172,A000000,02500,0000,2500PHYSICAL THERAPY 197172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197172,A000000,02700,0000,2700SPEECH PATHOLOGY 197172,A000000,02800,0000,2800ELECTROCARDIOLOGY 197172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197172,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197172,A000000,03200,0000,3200SUPPORT SURFACES 197172,A000000,03300,0000,3050OTHER ANCILLARY 197172,A000000,03301,0000,3051OTHER ANCILLARY II 197172,A000000,03302,0000,3052OTHER ANCILLARY III 197172,A000000,03400,0000,3400CLINIC 197172,A000000,03500,0000,3500RURAL HEALTH CLINIC 197172,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197172,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197172,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197172,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197172,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197172,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197172,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197172,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197172,A000000,04400,0000,4400DME RENTED - HHA 197172,A000000,04500,0000,4500DME SOLD - HHA 197172,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197172,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197172,A000000,04800,0000,4800AMBULANCE 197172,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197172,A000000,05000,0000,5000CORF 197172,A000000,05010,0000,5010CMHC I 197172,A000000,05020,0000,5020OPT I 197172,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197172,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197172,A000000,05300,0000,5300INTEREST EXPENSE 197172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197172,A000000,05500,0000,5500HOSPICE 197172,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197172,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197172,A000000,06100,0000,6100NONPAID WORKERS 197172,A000000,06200,0000,6200PATIENTS LAUNDRY 197172,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197172,A81000A,00100,0100,Y 197172,A81000B,00100,0300,EMPLOYEE BENEFITS 197172,A81000B,00200,0300,MANAGEMENT FEE 197172,A81000B,00300,0300,PAYROLL PROCESSING FEE 197172,A81000B,00400,0300,HOUSEKEEPING SUPP 197172,A81000B,00500,0300,DIETARY 197172,A81000B,00600,0300,NONCHG. MED SUPP 197172,A81000B,00700,0300,SPEECH THERAPY 197172,A81000B,00800,0300,PHYSICAL THERAPY 197172,A81000B,00900,0300,OCCUPATIONAL THERAPY 197172,A81000C,00100,0100,B 197172,A81000C,00100,0200,CENTENNIAL PTS 197172,A81000C,00100,0400,CENTENNIAL HC 197172,A81000C,00100,0600,SUPPLIES 197172,A81000C,00200,0100,G 197172,A81000C,00200,0200,CENTENNIAL HC 197172,A81000C,00200,0400,CENTENNIAL HC 197172,A81000C,00200,0600,HOME OFFICE 197172,A81000C,00300,0100,G 197172,A81000C,00300,0200,CENTENNIAL HC 197172,A81000C,00300,0400,CENTENNIAL HC 197172,A81000C,00300,0600,HOME OFFICE 197172,A81000C,00400,0100,B 197172,A81000C,00400,0200,CENNTENNIAL PTS 197172,A81000C,00400,0400,CENTENNIAL HC 197172,A81000C,00400,0600,SUPPLIES 197172,A81000C,00500,0100,B 197172,A81000C,00500,0200,CENTENNIAL PTS 197172,A81000C,00500,0400,CENTENNIAL HC 197172,A81000C,00500,0600,SUPPLIES 197172,A81000C,00600,0100,B 197172,A81000C,00600,0200,CENTENNIAL PTS 197172,A81000C,00600,0400,CENTENNIAL HC 197172,A81000C,00600,0600,MED SUPPLIES 197172,A81000C,00700,0100,B 197172,A81000C,00700,0200,CENTENNIAL PTS 197172,A81000C,00700,0400,CENTENNIAL HC 197172,A81000C,00700,0600,MED SUPPLIES 197172,A81000C,00800,0100,B 197172,A81000C,00800,0200,PARAGON REHAB 197172,A81000C,00800,0400,CENTENNIAL HC 197172,A81000C,00800,0600,THERAPY 197172,A81000C,00900,0100,B 197172,A81000C,00900,0200,PARAGON REHAB 197172,A81000C,00900,0400,CENTENNIAL HC 197172,A81000C,00900,0600,THERAPY 197172,A81000C,03100,0000,MGMT 197172,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197172,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197172,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197172,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197172,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197172,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197172,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197172,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197172,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197172,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197172,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197172,S000000,00100,0200,09/21/00 197172,S200000,00100,0100,1810 CONCORD LAKE ROAD 197172,S200000,00200,0100,KANNAPOLIS. 197172,S200000,00200,0200,NC 197172,S200000,00200,0300,28083- 197172,S200000,00300,0100,CABARRUS 197172,S200000,00300,0200,1520 197172,S200000,00300,0300,U 197172,S200000,00400,0100,THS OF KANNAPOLIS 197172,S200000,00400,0200,345258 197172,S200000,00400,0300,08/01/91 197172,S200000,00400,0500,P 197172,S200000,01500,0100,N 197172,S200000,01600,0100,Y 197172,S200000,01700,0100,N 197172,S200000,01800,0100,N 197172,S200000,02200,0100,Y 197172,S200000,02800,0100,Y 197172,S200000,02900,0100,Y 197172,S200000,03000,0100,N 197172,S200000,03100,0100,N 197172,S200000,03200,0100,N 197172,S200000,04100,0100,N 197172,S200000,04200,0100,N 197172,S200000,04300,0100,N 197172,S200000,04600,0100,N 197172,S200000,04700,0100,N 197172,S200000,04700,0200,N 197172,S200000,04900,0100,N 197172,S200000,05000,0100,N 197172,S200000,05100,0100,N 197172,S200000,05200,0100,N 197185,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197185,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197185,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197185,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197185,A000000,00300,0000,0300EMPLOYEE BENEFITS 197185,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197185,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197185,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197185,A000000,00700,0000,0700HOUSEKEEPING 197185,A000000,00800,0000,0800DIETARY 197185,A000000,00801,0000,0801CAFETERIA 197185,A000000,00900,0000,0900NURSING ADMINISTRATION 197185,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197185,A000000,01100,0000,1100PHARMACY 197185,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197185,A000000,01300,0000,1300SOCIAL SERVICE 197185,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197185,A000000,01500,0000,1350ACTIVITIES 197185,A000000,01600,0000,1600SKILLED NURSING FACILITY 197185,A000000,01800,0000,1800NURSING FACILITY 197185,A000000,01810,0000,1810ICF/MR 197185,A000000,02100,0000,2100RADIOLOGY 197185,A000000,02200,0000,2200LABORATORY 197185,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197185,A000000,02500,0000,2500PHYSICAL THERAPY 197185,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197185,A000000,02700,0000,2700SPEECH PATHOLOGY 197185,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197185,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197185,A000000,03200,0000,3200SUPPORT SURFACES 197185,A000000,03300,0000,3050OXYGEN 197185,A000000,03301,0000,3051PEN THERAPY 197185,A000000,03302,0000,3052ACCUCHECK 197185,A000000,03550,0000,3550FQHC 197185,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197185,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197185,A000000,05000,0000,5000CORF 197185,A000000,05010,0000,5010CMHC I 197185,A000000,05020,0000,5020OPT I 197185,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 197185,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 197185,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197185,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197185,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197185,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197185,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197185,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197185,A81000A,00100,0100,Y 197185,A81000B,00100,0300,MANAGEMENT FEES 197185,A81000B,00200,0300,THERAPY SERVICES 197185,A81000B,00300,0300,THERAPY SERVCIES 197185,A81000B,00400,0300,THERAPY SERVICES 197185,A81000B,00500,0300,THERAPY SERVICES 197185,A81000B,00600,0300,THERAPY SERVICES 197185,A81000B,00700,0300,THERAPY SERVICES 197185,A81000B,00800,0300,THERAPY SERVICES 197185,A81000B,00900,0300,LEASE EXPENSE 197185,A81000C,00100,0100,A 197185,A81000C,00100,0200,KRAUSZ ET AL 197185,A81000C,00100,0400,SOLOMON HEALTH 197185,A81000C,00100,0600,MGMT SERVICES 197185,A81000C,00200,0100,A 197185,A81000C,00200,0200,KRAUSZ ET AL 197185,A81000C,00200,0400,INTERLINK REHAB 197185,A81000C,00200,0600,THERAPY SVCS 197185,A81000C,00500,0100,A 197185,A81000C,00500,0200,KRAUSZ ET AL 197185,A81000C,00500,0400,SOLOMON HC CON/ 197185,A81000C,00500,0600,THERAPY SVCS 197185,A81000C,00600,0400, (PPS INC) 197185,A81000C,00800,0100,A 197185,A81000C,00800,0200,KRAUSZ ET AL 197185,A81000C,00800,0400,SOLOMON HC CONS 197185,A81000C,00800,0600,HC CONSULT 197185,A81000C,01000,0100,A 197185,A81000C,01000,0200,KRAUSZ ET AL 197185,A81000C,01000,0400,UPTOWN REALTY 197185,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197185,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197185,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197185,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197185,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197185,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197185,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197185,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197185,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 197185,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 197185,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 197185,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 197185,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197185,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 197185,S000000,00100,0200,03/07/00 197185,S200000,00100,0100,745 EAST 18TH AVENUE 197185,S200000,00200,0100,DENVER 197185,S200000,00200,0200,CO 197185,S200000,00200,0300,80203- 197185,S200000,00300,0100,DENVER 197185,S200000,00300,0200,2080 197185,S200000,00300,0300,U 197185,S200000,00400,0100,UPTOWN HEALTH CARE CENTER 197185,S200000,00400,0200,065311 197185,S200000,00400,0300,07/01/93 197185,S200000,00400,0500,P 197185,S200000,01500,0100,Y 197185,S200000,01600,0100,N 197185,S200000,01700,0100,N 197185,S200000,01800,0100,N 197185,S200000,02200,0100,Y 197185,S200000,02800,0100,N 197185,S200000,02900,0100,N 197185,S200000,03000,0100,N 197185,S200000,03100,0100,N 197185,S200000,03200,0100,N 197185,S200000,04100,0100,N 197185,S200000,04200,0100,N 197185,S200000,04300,0100,Y 197185,S200000,04600,0100,N 197185,S200000,04700,0100,N 197185,S200000,04700,0200,N 197185,S200000,04900,0100,N 197185,S200000,05000,0100,N 197185,S200000,05100,0100,N 197185,S200000,05200,0100,N 197205,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197205,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197205,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197205,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197205,A000000,00300,0000,0300EMPLOYEE BENEFITS 197205,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197205,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197205,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197205,A000000,00700,0000,0700HOUSEKEEPING 197205,A000000,00800,0000,0800DIETARY 197205,A000000,00801,0000,0801CAFETERIA 197205,A000000,00900,0000,0900NURSING ADMINISTRATION 197205,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197205,A000000,01100,0000,1100PHARMACY 197205,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197205,A000000,01300,0000,1300SOCIAL SERVICE 197205,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197205,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197205,A000000,01600,0000,1600SKILLED NURSING FACILITY 197205,A000000,01800,0000,1800NURSING FACILITY 197205,A000000,01900,0000,1900OTHER LONG TERM CARE 197205,A000000,02100,0000,2100RADIOLOGY 197205,A000000,02200,0000,2200LABORATORY 197205,A000000,02300,0000,2300INTRAVENOUS THERAPY 197205,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197205,A000000,02500,0000,2500PHYSICAL THERAPY 197205,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197205,A000000,02700,0000,2700SPEECH PATHOLOGY 197205,A000000,02800,0000,2800ELECTROCARDIOLOGY 197205,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197205,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197205,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197205,A000000,03200,0000,3200SUPPORT SURFACES 197205,A000000,03300,0000,3050OTHER ANCILLARY 197205,A000000,03301,0000,3051OTHER ANCILLARY II 197205,A000000,03302,0000,3052OTHER ANCILLARY III 197205,A000000,03400,0000,3400CLINIC 197205,A000000,03500,0000,3500RURAL HEALTH CLINIC 197205,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197205,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197205,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197205,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197205,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197205,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197205,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197205,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197205,A000000,04400,0000,4400DME RENTED - HHA 197205,A000000,04500,0000,4500DME SOLD - HHA 197205,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197205,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197205,A000000,04800,0000,4800AMBULANCE 197205,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197205,A000000,05000,0000,5000CORF 197205,A000000,05010,0000,5010CMHC I 197205,A000000,05020,0000,5020OPT I 197205,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197205,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197205,A000000,05300,0000,5300INTEREST EXPENSE 197205,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197205,A000000,05500,0000,5500HOSPICE 197205,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197205,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197205,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197205,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197205,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197205,A000000,06100,0000,6100NONPAID WORKERS 197205,A000000,06200,0000,6200PATIENTS LAUNDRY 197205,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197205,A81000A,00100,0100,N 197205,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197205,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197205,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197205,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197205,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197205,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197205,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197205,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197205,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197205,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197205,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197205,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197205,S000000,00100,0200,09/21/00 197205,S200000,00100,0100,309 MAIN STREET 197205,S200000,00200,0100,RED BOILING SPRINGS 197205,S200000,00200,0200,TN 197205,S200000,00200,0300,37150- 197205,S200000,00300,0100,MACON 197205,S200000,00300,0300,R 197205,S200000,00400,0100,THE PALACE 197205,S200000,00400,0200,445329 197205,S200000,00400,0300,06/01/94 197205,S200000,00400,0500,P 197205,S200000,01500,0100,Y 197205,S200000,01600,0100,N 197205,S200000,01700,0100,N 197205,S200000,01800,0100,N 197205,S200000,02200,0100,Y 197205,S200000,02800,0100,N 197205,S200000,02900,0100,N 197205,S200000,03000,0100,N 197205,S200000,03100,0100,N 197205,S200000,03200,0100,N 197205,S200000,04100,0100,N 197205,S200000,04200,0100,N 197205,S200000,04300,0100,N 197205,S200000,04600,0100,N 197205,S200000,04700,0100,N 197205,S200000,04700,0200,N 197205,S200000,04900,0100,N 197205,S200000,05000,0100,N 197205,S200000,05100,0100,N 197205,S200000,05200,0100,N 197206,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197206,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197206,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197206,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197206,A000000,00300,0000,0300EMPLOYEE BENEFITS 197206,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197206,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197206,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197206,A000000,00700,0000,0700HOUSEKEEPING 197206,A000000,00800,0000,0800DIETARY 197206,A000000,00801,0000,0801CAFETERIA 197206,A000000,00900,0000,0900NURSING ADMINISTRATION 197206,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197206,A000000,01100,0000,1100PHARMACY 197206,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197206,A000000,01300,0000,1300SOCIAL SERVICE 197206,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197206,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197206,A000000,01600,0000,1600SKILLED NURSING FACILITY 197206,A000000,01800,0000,1800NURSING FACILITY 197206,A000000,01900,0000,1900OTHER LONG TERM CARE 197206,A000000,02100,0000,2100RADIOLOGY 197206,A000000,02200,0000,2200LABORATORY 197206,A000000,02300,0000,2300INTRAVENOUS THERAPY 197206,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197206,A000000,02500,0000,2500PHYSICAL THERAPY 197206,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197206,A000000,02700,0000,2700SPEECH PATHOLOGY 197206,A000000,02800,0000,2800ELECTROCARDIOLOGY 197206,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197206,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197206,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197206,A000000,03200,0000,3200SUPPORT SURFACES 197206,A000000,03300,0000,3050OTHER ANCILLARY 197206,A000000,03301,0000,3051OTHER ANCILLARY II 197206,A000000,03302,0000,3052OTHER ANCILLARY III 197206,A000000,03400,0000,3400CLINIC 197206,A000000,03500,0000,3500RURAL HEALTH CLINIC 197206,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197206,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197206,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197206,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197206,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197206,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197206,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197206,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197206,A000000,04400,0000,4400DME RENTED - HHA 197206,A000000,04500,0000,4500DME SOLD - HHA 197206,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197206,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197206,A000000,04800,0000,4800AMBULANCE 197206,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197206,A000000,05000,0000,5000CORF 197206,A000000,05010,0000,5010CMHC I 197206,A000000,05020,0000,5020OPT I 197206,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197206,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197206,A000000,05300,0000,5300INTEREST EXPENSE 197206,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197206,A000000,05500,0000,5500HOSPICE 197206,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197206,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197206,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197206,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197206,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197206,A000000,06100,0000,6100NONPAID WORKERS 197206,A000000,06200,0000,6200PATIENTS LAUNDRY 197206,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197206,A81000A,00100,0100,Y 197206,A81000B,00100,0300,MANAGEMENT FEE 197206,A81000B,00200,0300,PAYROLL PROCESSING 197206,A81000B,00300,0300,PHYSICAL THERAPY 197206,A81000B,00400,0300,OCCUPATION THERAPY 197206,A81000B,00500,0300,SPEECH THERAPY 197206,A81000B,00600,0300,DIETARY 197206,A81000B,00700,0300,CENTRAL SUPPLY 197206,A81000B,00800,0300,MEDICAL SUPPLIES 197206,A81000B,00900,0300,MED EQUIP RENTAL 197206,A81000C,00100,0100,G 197206,A81000C,00100,0200,CENT HC CORP 197206,A81000C,00100,0400,CENT HC CORP 197206,A81000C,00100,0600,HOME OFFICE 197206,A81000C,00200,0100,G 197206,A81000C,00200,0200,CENT HC CORP 197206,A81000C,00200,0400,CENT HC CORP 197206,A81000C,00200,0600,HOME OFFICE 197206,A81000C,00300,0100,G 197206,A81000C,00300,0200,PARAGON 197206,A81000C,00300,0400,CENT HC CORP 197206,A81000C,00300,0600,THERAPY 197206,A81000C,00400,0100,G 197206,A81000C,00400,0200,PARAGON 197206,A81000C,00400,0400,CENT HC CORP 197206,A81000C,00400,0600,THERAPY 197206,A81000C,00500,0100,G 197206,A81000C,00500,0200,PARAGON 197206,A81000C,00500,0400,CENT HC CORP 197206,A81000C,00500,0600,THERAPY 197206,A81000C,00600,0100,G 197206,A81000C,00600,0200,CENTENNIAL PTS 197206,A81000C,00600,0400,CENT HC CORP 197206,A81000C,00600,0600,SUPPLIES 197206,A81000C,00700,0100,G 197206,A81000C,00700,0200,CENTENNIAL PTS 197206,A81000C,00700,0400,CENT HC CORP 197206,A81000C,00700,0600,MED SUPPLIES 197206,A81000C,00800,0100,G 197206,A81000C,00800,0200,CENTENNIAL PTS 197206,A81000C,00800,0400,CENT HC CORP 197206,A81000C,00800,0600,MED SUPPLIES 197206,A81000C,00900,0100,G 197206,A81000C,00900,0200,CENTENNIAL PTS 197206,A81000C,00900,0400,CENT HC CORP 197206,A81000C,00900,0600,SUPPLIES 197206,A81000C,03100,0000,EQUIPMENT 197206,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197206,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197206,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197206,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197206,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197206,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197206,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197206,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197206,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197206,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197206,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197206,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197206,S000000,00100,0200,09/21/00 197206,S200000,00100,0100,3535 ASHTON WOODS DRIVE NE 197206,S200000,00200,0100,ATLANTA 197206,S200000,00200,0200,GA 197206,S200000,00200,0300,30319- 197206,S200000,00300,0100,DEKALB 197206,S200000,00300,0200,0520 197206,S200000,00300,0300,U 197206,S200000,00400,0100,ASHTON WOODS REHAB 197206,S200000,00400,0200,115313 197206,S200000,00400,0300,07/01/92 197206,S200000,00400,0500,P 197206,S200000,01500,0100,Y 197206,S200000,01600,0100,N 197206,S200000,01700,0100,N 197206,S200000,01800,0100,N 197206,S200000,02200,0100,Y 197206,S200000,02800,0100,N 197206,S200000,02900,0100,N 197206,S200000,03000,0100,N 197206,S200000,03100,0100,N 197206,S200000,03200,0100,N 197206,S200000,04100,0100,N 197206,S200000,04200,0100,N 197206,S200000,04300,0100,N 197206,S200000,04600,0100,N 197206,S200000,04700,0100,N 197206,S200000,04700,0200,N 197206,S200000,04900,0100,N 197206,S200000,05000,0100,N 197206,S200000,05100,0100,N 197206,S200000,05200,0100,N 197208,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197208,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197208,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197208,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197208,A000000,00300,0000,0300EMPLOYEE BENEFITS 197208,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197208,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197208,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197208,A000000,00700,0000,0700HOUSEKEEPING 197208,A000000,00800,0000,0800DIETARY 197208,A000000,00801,0000,0801CAFETERIA 197208,A000000,00900,0000,0900NURSING ADMINISTRATION 197208,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197208,A000000,01100,0000,1100PHARMACY 197208,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197208,A000000,01300,0000,1300SOCIAL SERVICE 197208,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197208,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197208,A000000,01600,0000,1600SKILLED NURSING FACILITY 197208,A000000,01800,0000,1800NURSING FACILITY 197208,A000000,01900,0000,1900OTHER LONG TERM CARE 197208,A000000,02100,0000,2100RADIOLOGY 197208,A000000,02200,0000,2200LABORATORY 197208,A000000,02300,0000,2300INTRAVENOUS THERAPY 197208,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197208,A000000,02500,0000,2500PHYSICAL THERAPY 197208,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197208,A000000,02700,0000,2700SPEECH PATHOLOGY 197208,A000000,02800,0000,2800ELECTROCARDIOLOGY 197208,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197208,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197208,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197208,A000000,03200,0000,3200SUPPORT SURFACES 197208,A000000,03300,0000,3050OTHER ANCILLARY 197208,A000000,03301,0000,3051OTHER ANCILLARY II 197208,A000000,03302,0000,3052OTHER ANCILLARY III 197208,A000000,03400,0000,3400CLINIC 197208,A000000,03500,0000,3500RURAL HEALTH CLINIC 197208,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197208,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197208,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197208,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197208,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197208,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197208,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197208,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197208,A000000,04400,0000,4400DME RENTED - HHA 197208,A000000,04500,0000,4500DME SOLD - HHA 197208,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197208,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197208,A000000,04800,0000,4800AMBULANCE 197208,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197208,A000000,05000,0000,5000CORF 197208,A000000,05010,0000,5010CMHC I 197208,A000000,05020,0000,5020OPT I 197208,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197208,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197208,A000000,05300,0000,5300INTEREST EXPENSE 197208,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197208,A000000,05500,0000,5500HOSPICE 197208,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197208,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197208,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197208,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197208,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197208,A000000,06100,0000,6100NONPAID WORKERS 197208,A000000,06200,0000,6200PATIENTS LAUNDRY 197208,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197208,A81000A,00100,0100,Y 197208,A81000B,00100,0300,MANAGEMENT FEE 197208,A81000B,00200,0300,PAYROLL PROCESSING 197208,A81000B,00300,0300,PHYSICAL THERAPY 197208,A81000B,00400,0300,OCCUPATIONAL THERAPY 197208,A81000B,00500,0300,SPEECH THERAPY 197208,A81000B,00600,0300,DIETARY 197208,A81000B,00700,0300,CENTRAL SUPPLY 197208,A81000B,00800,0300,BUILDING LEASE 197208,A81000C,00100,0100,G 197208,A81000C,00100,0200,CENT HC CORP 197208,A81000C,00100,0400,CENT HC CORP 197208,A81000C,00100,0600,HOME OFFICE 197208,A81000C,00200,0100,G 197208,A81000C,00200,0200,CENT HC CORP 197208,A81000C,00200,0400,CENT HC CORP 197208,A81000C,00200,0600,HOME OFFICE 197208,A81000C,00300,0100,G 197208,A81000C,00300,0200,PARAGON 197208,A81000C,00300,0400,CENT HC CORP 197208,A81000C,00300,0600,THERAPY 197208,A81000C,00400,0100,G 197208,A81000C,00400,0200,PARAGON 197208,A81000C,00400,0400,CENT HC CORP 197208,A81000C,00400,0600,THERAPY 197208,A81000C,00500,0100,G 197208,A81000C,00500,0200,PARAGON 197208,A81000C,00500,0400,CENT HC CORP 197208,A81000C,00500,0600,THERAPY 197208,A81000C,00600,0100,G 197208,A81000C,00600,0200,CENTENNIAL PTS 197208,A81000C,00600,0400,CENT HC CORP 197208,A81000C,00600,0600,SUPPLIES 197208,A81000C,00700,0100,G 197208,A81000C,00700,0200,CENTENNIAL PTS 197208,A81000C,00700,0400,CENT HC CORP 197208,A81000C,00700,0600,MED SUPPLIES 197208,A81000C,00800,0100,B 197208,A81000C,00800,0200,DAHL & EATON 197208,A81000C,00800,0400,SE HEALTHCARE 197208,A81000C,00800,0600,BUILDING OWNER 197208,A81000C,03100,0000,SUPPLIES 197208,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197208,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197208,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197208,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197208,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197208,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197208,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197208,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197208,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197208,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197208,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197208,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197208,S000000,00100,0200,09/21/00 197208,S200000,00100,0100,2000 MAIN STREET 197208,S200000,00200,0100,FRANKLINTON 197208,S200000,00200,0200,LA 197208,S200000,00200,0300,70438- 197208,S200000,00300,0100,WASHINGTON 197208,S200000,00300,0200,19 197208,S200000,00300,0300,R 197208,S200000,00400,0100,HERITAGE MANOR - FRANKLINTON 197208,S200000,00400,0200,195324 197208,S200000,00400,0300,03/01/95 197208,S200000,00400,0500,P 197208,S200000,01500,0100,Y 197208,S200000,01600,0100,N 197208,S200000,01700,0100,N 197208,S200000,01800,0100,N 197208,S200000,02200,0100,Y 197208,S200000,02800,0100,Y 197208,S200000,02900,0100,N 197208,S200000,03000,0100,N 197208,S200000,03100,0100,N 197208,S200000,03200,0100,N 197208,S200000,04100,0100,N 197208,S200000,04200,0100,N 197208,S200000,04300,0100,N 197208,S200000,04600,0100,N 197208,S200000,04700,0100,N 197208,S200000,04700,0200,N 197208,S200000,04900,0100,N 197208,S200000,05000,0100,N 197208,S200000,05100,0100,N 197208,S200000,05200,0100,N 197216,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197216,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 197216,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197216,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 197216,A000000,00300,0000,0300EMPLOYEE BENEFITS 197216,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197216,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197216,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197216,A000000,00700,0000,0700HOUSEKEEPING 197216,A000000,00800,0000,0800DIETARY 197216,A000000,00801,0000,0801CAFETERIA 197216,A000000,00900,0000,0900NURSING ADMINISTRATION 197216,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197216,A000000,01100,0000,1100PHARMACY 197216,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197216,A000000,01300,0000,1300SOCIAL SERVICE 197216,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197216,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 197216,A000000,01600,0000,1600SKILLED NURSING FACILITY 197216,A000000,01800,0000,1800NURSING FACILITY 197216,A000000,01900,0000,1900OTHER LONG TERM CARE 197216,A000000,02100,0000,2100RADIOLOGY 197216,A000000,02200,0000,2200LABORATORY 197216,A000000,02300,0000,2300INTRAVENOUS THERAPY 197216,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197216,A000000,02500,0000,2500PHYSICAL THERAPY 197216,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197216,A000000,02700,0000,2700SPEECH PATHOLOGY 197216,A000000,02800,0000,2800ELECTROCARDIOLOGY 197216,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197216,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197216,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197216,A000000,03200,0000,3200SUPPORT SURFACES 197216,A000000,03300,0000,3050OTHER ANCILLARY 197216,A000000,03301,0000,3051OTHER ANCILLARY II 197216,A000000,03302,0000,3052OTHER ANCILLARY III 197216,A000000,03400,0000,3400CLINIC 197216,A000000,03500,0000,3500RURAL HEALTH CLINIC 197216,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 197216,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197216,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197216,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197216,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197216,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197216,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197216,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197216,A000000,04400,0000,4400DME RENTED - HHA 197216,A000000,04500,0000,4500DME SOLD - HHA 197216,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197216,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197216,A000000,04800,0000,4800AMBULANCE 197216,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 197216,A000000,05000,0000,5000CORF 197216,A000000,05010,0000,5010CMHC I 197216,A000000,05020,0000,5020OPT I 197216,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197216,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197216,A000000,05300,0000,5300INTEREST EXPENSE 197216,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197216,A000000,05500,0000,5500HOSPICE 197216,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 197216,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 197216,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197216,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197216,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197216,A000000,06100,0000,6100NONPAID WORKERS 197216,A000000,06200,0000,6200PATIENTS LAUNDRY 197216,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197216,A81000A,00100,0100,Y 197216,A81000B,00100,0300,PAYROLL PROCESSING FEE 197216,A81000B,00200,0300,MANAGEMENT FEES 197216,A81000B,00300,0300,DIETARY 197216,A81000B,00400,0300,MEDICAL SUPPLIES 197216,A81000B,00500,0300,THERAPY 197216,A81000B,00600,0300,CHARGEABLE MED.SUPPLIES 197216,A81000B,00700,0300,MED.EQUIP. RENTAL 197216,A81000B,00800,0300,THERAPY 197216,A81000B,00900,0300,THERAPY 197216,A81000C,00100,0100,G 197216,A81000C,00100,0200,CENTENNIAL MGMT 197216,A81000C,00100,0400,CENT HC CORP 197216,A81000C,00100,0600,HOME OFFICE 197216,A81000C,00200,0100,G 197216,A81000C,00200,0200,CENTENNIAL MGMT 197216,A81000C,00200,0400,CENT HC CORP 197216,A81000C,00200,0600,HOME OFFICE 197216,A81000C,00300,0100,G 197216,A81000C,00300,0200,CENTENNIAL PTS 197216,A81000C,00300,0400,CENT HC CORP 197216,A81000C,00300,0600,GPO 197216,A81000C,00400,0100,G 197216,A81000C,00400,0200,CENTENNIAL PTS 197216,A81000C,00400,0400,CENT HC CORP 197216,A81000C,00400,0600,GPO 197216,A81000C,00500,0100,G 197216,A81000C,00500,0200,PARAGON REHAB 197216,A81000C,00500,0400,CENT HC CORP 197216,A81000C,00500,0600,THERAPY 197216,A81000C,00600,0100,G 197216,A81000C,00600,0200,CENTENNIAL PTS 197216,A81000C,00600,0400,CENT HC CORP 197216,A81000C,00600,0600,GPO 197216,A81000C,00700,0100,G 197216,A81000C,00700,0200,CENTENNIAL PTS 197216,A81000C,00700,0400,CENT HC CORP 197216,A81000C,00700,0600,GPO 197216,A81000C,00800,0100,G 197216,A81000C,00800,0200,PARAGON REHAB 197216,A81000C,00800,0400,CENT HC CORP 197216,A81000C,00800,0600,THERAPY 197216,A81000C,00900,0100,G 197216,A81000C,00900,0200,PARAGON REHAB 197216,A81000C,00900,0400,CENT HC CORP 197216,A81000C,00900,0600,THERAPY 197216,A81000C,03100,0000,THERAPY 197216,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 197216,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 197216,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 197216,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197216,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 197216,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 197216,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 197216,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 197216,B100000,00000,0900,0950(DIRECT NRSING HRS :NURSING ADMI 197216,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 197216,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 197216,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 197216,S000000,00100,0200,09/21/00 197216,S200000,00100,0100,6001 WILORA LAKE ROAD 197216,S200000,00200,0100,CHARLOTTE 197216,S200000,00200,0200,NC 197216,S200000,00200,0300,28212- 197216,S200000,00300,0100,MECKLENBURG 197216,S200000,00300,0200,1520 197216,S200000,00300,0300,U 197216,S200000,00400,0100,WILORA LAKE HEALTHCARE 197216,S200000,00400,0200,345473 197216,S200000,00400,0300,09/26/95 197216,S200000,00400,0500,P 197216,S200000,01500,0100,N 197216,S200000,01600,0100,Y 197216,S200000,01700,0100,N 197216,S200000,01800,0100,N 197216,S200000,02200,0100,Y 197216,S200000,02800,0100,Y 197216,S200000,02900,0100,N 197216,S200000,03000,0100,N 197216,S200000,03100,0100,N 197216,S200000,03200,0100,N 197216,S200000,04100,0100,N 197216,S200000,04200,0100,N 197216,S200000,04300,0100,N 197216,S200000,04600,0100,N 197216,S200000,04700,0100,N 197216,S200000,04700,0200,N 197216,S200000,04900,0100,N 197216,S200000,05000,0100,N 197216,S200000,05100,0100,N 197216,S200000,05200,0100,N 197322,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 197322,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 197322,A000000,00300,0000,0300EMPLOYEE BENEFITS 197322,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197322,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 197322,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197322,A000000,00700,0000,0700HOUSEKEEPING 197322,A000000,00800,0000,0800DIETARY 197322,A000000,00900,0000,0900NURSING ADMINISTRATION 197322,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197322,A000000,01100,0000,1100PHARMACY 197322,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197322,A000000,01300,0000,1300SOCIAL SERVICE 197322,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 197322,A000000,01500,0000,1350ACTIVITIES 197322,A000000,01600,0000,1600SKILLED NURSING FACILITY 197322,A000000,01800,0000,1800NURSING FACILITY 197322,A000000,01810,0000,1810ICF/MR 197322,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197322,A000000,02500,0000,2500PHYSICAL THERAPY 197322,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197322,A000000,02700,0000,2700SPEECH PATHOLOGY 197322,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 197322,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197322,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 197322,A000000,03550,0000,3550FQHC 197322,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 197322,A000000,04801,0000,4801AMBULANCE 197322,A000000,04802,0000,4802AMBULANCE 197322,A000000,04803,0000,4803AMBULANCE 197322,A000000,05000,0000,5000CORF 197322,A000000,05010,0000,5010CMHC 197322,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 197322,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 197322,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 197322,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197322,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 197322,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197322,A81000A,00100,0100,Y 197322,A81000B,00100,0300,HOME OFFICE - CAPITAL 197322,A81000B,00200,0300,HOME OFFICE - ADMINISTRATIVE 197322,A81000B,00300,0300,LEGAL FEES 197322,A81000C,00100,0100,B 197322,A81000C,00100,0200,WELLNESS CONCEPTS INC. 197322,A81000C,00100,0400,WELLNESS CONCEPTS INC. 197322,A81000C,00100,0600,HOME OFFICE 197322,B100000,00000,0100,0100SQUARE FEET 197322,B100000,00000,0200,0200DOLLAR VALUE 197322,B100000,00000,0300,0300GROSS SALARIES 197322,B100000,00000,0400,0400ACCUM COST 197322,B100000,00000,0500,0500SQUARE FEET 197322,B100000,00000,0600,0600PATIENT DAYS 197322,B100000,00000,0700,0700SQ FEET(EX DI 197322,B100000,00000,0800,0800MEALS SERVED 197322,B100000,00000,0900,0900HOURS WORKED 197322,B100000,00000,1000,1000PATIENT DAYS 197322,B100000,00000,1100,1100PATIENT DAYS 197322,B100000,00000,1200,1200PATIENT DAYS 197322,B100000,00000,1300,1300PATIENT DAYS 197322,B100000,00000,1400,1400ASSIGNED TIME 197322,B100000,00000,1500,1350PATIENT DAYS 197322,E10A180,00501,0100,07/12/00 197322,E10A180,00502,0300,07/12/01 197322,S000000,00100,0200,05/31/00 197322,S200000,00100,0100,412 S. YORK ROAD 197322,S200000,00200,0100,HATBORO 197322,S200000,00200,0200,PA 197322,S200000,00200,0300,19040 197322,S200000,00300,0100,MONTGOMERY 197322,S200000,00300,0200,6160 197322,S200000,00300,0300,U 197322,S200000,00400,0100,WHITE BILLET NURSING HOME 197322,S200000,00400,0200,395835 197322,S200000,00400,0300,05/04/90 197322,S200000,00400,0500,P 197322,S200000,01500,0100,N 197322,S200000,01600,0100,Y 197322,S200000,01700,0100,N 197322,S200000,01800,0100,N 197322,S200000,02200,0100,N 197322,S200000,02800,0100,N 197322,S200000,02900,0100,N 197322,S200000,03000,0100,N 197322,S200000,03100,0100,N 197322,S200000,03200,0100,N 197322,S200000,03300,0100,N 197322,S200000,03300,0200,N 197322,S200000,04100,0100,N 197322,S200000,04200,0100,N 197322,S200000,04300,0100,N 197322,S200000,04600,0100,N 197322,S200000,04700,0100,N 197322,S200000,04700,0200,N 197322,S200000,04900,0100,N 197472,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 197472,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 197472,A000000,00300,0000,0300EMPLOYEE BENEFITS 197472,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197472,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 197472,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197472,A000000,00700,0000,0700HOUSEKEEPING 197472,A000000,00800,0000,0800DIETARY 197472,A000000,00900,0000,0900NURSING ADMINISTRATION 197472,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197472,A000000,01100,0000,1100PHARMACY 197472,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197472,A000000,01300,0000,1300SOCIAL SERVICE 197472,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 197472,A000000,01500,0000,1350ACTIVITIES 197472,A000000,01600,0000,1600SKILLED NURSING FACILITY 197472,A000000,01810,0000,1810ICF/MR 197472,A000000,02100,0000,2100RADIOLOGY 197472,A000000,02200,0000,2200LABORATORY 197472,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197472,A000000,02500,0000,2500PHYSICAL THERAPY 197472,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197472,A000000,02700,0000,2700SPEECH PATHOLOGY 197472,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 197472,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197472,A000000,03200,0000,3200SUPPORT SURFACES 197472,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 197472,A000000,03550,0000,3550FQHC 197472,A000000,04801,0000,4801AMBULANCE 197472,A000000,04802,0000,4802AMBULANCE 197472,A000000,04803,0000,4803AMBULANCE 197472,A000000,05000,0000,5000CORF 197472,A000000,05010,0000,5010CMHC 197472,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 197472,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 197472,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 197472,A000000,05300,0000,5300INTEREST EXPENSE 197472,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 197472,A81000A,00100,0100,Y 197472,A81000B,00100,0300,MANAGEMENT SERVICES 197472,A81000C,00100,0100,B 197472,A81000C,00100,0200,COVENANT HEALTH 197472,A81000C,00100,0600,HEALTHCARE 197472,B100000,00000,0100,0100SQUARE FEET 197472,B100000,00000,0200,0200SQUARE FEET 197472,B100000,00000,0300,0300GROSS SALARIES 197472,B100000,00000,0400,0400ACCUM COST 197472,B100000,00000,0500,0500SQUARE FEET 197472,B100000,00000,0600,0600PATIENT DAYS 197472,B100000,00000,0700,0700SQUARE FEET 197472,B100000,00000,0800,0800MEALS SERVED 197472,B100000,00000,0900,0900PATIENT DAYS 197472,B100000,00000,1000,1000COSTED REQUISITIO 197472,B100000,00000,1100,1100COSTED REQUISITIO 197472,B100000,00000,1200,1200TIME SPENT 197472,B100000,00000,1300,1300PATIENT DAYS 197472,B100000,00000,1400,1400ASSIGNED TIME 197472,B100000,00000,1500,1350PATIENT DAYS 197472,E10A180,00501,0100,12/28/01 197472,E10A180,00501,0300,03/05/01 197472,E10A180,00502,0300,12/28/01 197472,S000000,00100,0200,01/04/01 197472,S200000,00100,0100,19525 W NORTH AVE 197472,S200000,00200,0100,BROOKFIELD 197472,S200000,00200,0200,WI 197472,S200000,00200,0300,53045 197472,S200000,00300,0100,W 197472,S200000,00300,0200,5080 197472,S200000,00300,0300,U 197472,S200000,00400,0100,FRANCISCAN WOODS 197472,S200000,00400,0200,525528 197472,S200000,00400,0300,12/30/93 197472,S200000,00400,0500,P 197472,S200000,01500,0100,Y 197472,S200000,01600,0100,N 197472,S200000,01700,0100,N 197472,S200000,01800,0100,N 197472,S200000,02200,0100,N 197472,S200000,02800,0100,N 197472,S200000,02900,0100,N 197472,S200000,03000,0100,N 197472,S200000,03100,0100,N 197472,S200000,03200,0100,N 197472,S200000,03300,0100,N 197472,S200000,03300,0200,N 197472,S200000,04100,0100,N 197472,S200000,04200,0100,N 197472,S200000,04300,0100,N 197472,S200000,04600,0100,N 197472,S200000,04700,0100,N 197472,S200000,04900,0100,N 197472,S200000,05200,0100,N 197545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197545,A000000,00300,0000,0300EMPLOYEE BENEFITS 197545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197545,A000000,00700,0000,0700HOUSEKEEPING 197545,A000000,00800,0000,0800DIETARY 197545,A000000,00900,0000,0900NURSING ADMINISTRATION 197545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197545,A000000,01300,0000,1300SOCIAL SERVICE 197545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 197545,A000000,01500,0000,1350OTHER GENERAL SERVICES 197545,A000000,01600,0000,1600SKILLED NURSING FACILITY 197545,A000000,01800,0000,1800NURSING FACILITY 197545,A000000,01801,0000,1810ICF/MR 197545,A000000,01900,0000,1900OTHER LONG TERM CARE 197545,A000000,02100,0000,2100RADIOLOGY 197545,A000000,02200,0000,2200LABORATORY 197545,A000000,02300,0000,2300INTRAVENOUS THERAPY 197545,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197545,A000000,02500,0000,2500PHYSICAL THERAPY 197545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197545,A000000,02700,0000,2700SPEECH PATHOLOGY 197545,A000000,02800,0000,2800ELECTROCARDIOLOGY 197545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197545,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 197545,A000000,03200,0000,3200SUPPORT SURFACES 197545,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 197545,A000000,03400,0000,3400CLINIC 197545,A000000,03500,0000,3500RURAL HEALTH CLINIC 197545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 197545,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 197545,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 197545,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 197545,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 197545,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 197545,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 197545,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 197545,A000000,04400,0000,4400DME RENTED - HHA 197545,A000000,04500,0000,4500DME SOLD - HHA 197545,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 197545,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 197545,A000000,04800,0000,4800AMBULANCE 197545,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPRVD) 197545,A000000,05000,0000,5000CORF 197545,A000000,05100,0000,4750OSP 197545,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 197545,A000000,05300,0000,5300INTEREST EXPENSE 197545,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197545,A000000,05500,0000,5500HOSPICE 197545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 197545,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197545,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 197545,A000000,06100,0000,6100NONPAID WORKERS 197545,A000000,06200,0000,6200PATIENTS LAUNDRY 197545,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197545,A81000A,00100,0100,Y 197545,A81000B,00100,0300,PROPERTY INSURANCE 197545,A81000B,00200,0300,OTHER INSURANCE 197545,A81000B,00300,0300,UNEMPLOYMENT 197545,A81000B,00400,0300,WORKERS COMP 197545,A81000B,00500,0300,ADMIN/ACCOUNTING 197545,A81000B,00600,0300,MED SUPPLIES 197545,A81000B,00700,0300,DISPOSABLE BRIEFS 197545,A81000B,00800,0300,EQUIPMENT 197545,A81000C,00100,0100,B 197545,A81000C,00100,0400,EV. LUTHERAN GO 197545,A81000C,00100,0600,ACCOUNTING AND 197545,A81000C,00200,0100,B 197545,A81000C,00200,0400,GOOD SAM SUPPLY 197545,A81000C,00200,0600,SUPPLIES 197545,E10A180,00501,0100,04/18/00 197545,E10A180,00501,0300,04/18/00 197545,E10A180,00502,0300,07/27/01 197545,E10A180,00550,0100,07/27/01 197545,S000000,00100,0200,02/18/00 197545,S200000,00100,0100,130 SIXTH STREET 197545,S200000,00200,0100,SCOTLAND 197545,S200000,00200,0200,SD 197545,S200000,00200,0300,57059-0428 197545,S200000,00300,0100,BON HOMME 197545,S200000,00300,0200,9943 197545,S200000,00300,0300,R 197545,S200000,00400,0100,SCOTLAND GOOD SAMARITAN CENTER 197545,S200000,00400,0200,435095 197545,S200000,00400,0300,03/01/96 197545,S200000,00400,0500,P 197545,S200000,00400,0600,N 197545,S200000,01500,0100,Y 197545,S200000,01600,0100,N 197545,S200000,01700,0100,N 197545,S200000,01800,0100,N 197545,S200000,02200,0100,N 197545,S200000,02800,0100,N 197545,S200000,02900,0100,N 197545,S200000,03000,0100,N 197545,S200000,03100,0100,N 197545,S200000,03200,0100,N 197545,S200000,03300,0100,N 197545,S200000,03300,0200,N 197545,S200000,03500,0300,N 197545,S200000,03600,0100,N 197545,S200000,03600,0200,N 197545,S200000,03700,0100,N 197545,S200000,03700,0200,N 197545,S200000,03900,0200,N 197545,S200000,04000,0200,N 197545,S200000,04100,0100,N 197545,S200000,04200,0100,N 197545,S200000,04300,0100,N 197545,S200000,04600,0100,N 197545,S200000,04700,0100,N 197545,S200000,04900,0100,N 197545,S200000,05000,0100,N 197545,S200000,05100,0100,N 197545,S200000,05200,0100,N 197545,S700003,00000,0400,X 197979,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 197979,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 197979,A000000,00300,0000,0300EMPLOYEE BENEFITS 197979,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 197979,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 197979,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 197979,A000000,00700,0000,0700HOUSEKEEPING 197979,A000000,00800,0000,0800DIETARY 197979,A000000,00900,0000,0900NURSING ADMINISTRATION 197979,A000000,00901,0000,0901OTHER NURSING 197979,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 197979,A000000,01100,0000,1100PHARMACY 197979,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 197979,A000000,01300,0000,1300SOCIAL SERVICE 197979,A000000,01301,0000,1301ACTIVITIES 197979,A000000,01600,0000,1600SKILLED NURSING FACILITY 197979,A000000,01800,0000,1800NURSING FACILITY 197979,A000000,02100,0000,2100RADIOLOGY 197979,A000000,02200,0000,2200LABORATORY 197979,A000000,02300,0000,2300INTRAVENOUS THERAPY 197979,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 197979,A000000,02500,0000,2500PHYSICAL THERAPY 197979,A000000,02600,0000,2600OCCUPATIONAL THERAPY 197979,A000000,02700,0000,2700SPEECH PATHOLOGY 197979,A000000,02800,0000,2800ELECTROCARDIOLOGY 197979,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 197979,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 197979,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 197979,A000000,03301,0000,3051NUTRITIONAL THERAPY 197979,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 197979,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 197979,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 197979,A000000,04800,0000,4800AMBULANCE 197979,A000000,05100,0000,4750OTHER REIMBURSABLE COST 197979,A000000,05300,0000,5300INTEREST EXPENSE 197979,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 197979,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 197979,A000000,05900,0000,5900BARBER & BEAUTY SHOP 197979,A000000,06200,0000,6200PATIENTS LAUNDRY 197979,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 197979,A000000,06301,0000,6151DAY CARE 197979,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 197979,A000000,06303,0000,6153DISTRICT OFFICE SPACE 197979,A81000A,00100,0100,Y 197979,A81000B,00100,0300,HOME OFFICE COSTS 197979,A81000B,00200,0300,LIABILITY INSURANCE 197979,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 197979,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 197979,A81000B,00500,0300,VC PHARMACY - ADMIN 197979,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 197979,A81000B,00700,0300,VC PHARMACY - LAUNDRY 197979,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 197979,A81000B,00900,0300,VC PHARMACY - DIETARY 197979,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 197979,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 197979,A81000B,01200,0300,VC PHARMACY - NONLEGEND 197979,A81000B,01300,0300,VC PHARMACY - MED RECORDS 197979,A81000B,01400,0300,VC PHARMACY - SOC SVCS 197979,A81000B,01500,0300,VC PHARMACY - ACTIVITY 197979,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 197979,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 197979,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 197979,A81000B,01900,0300,VC PHARMACY - LAB 197979,A81000B,02000,0300,VC PHARMACY - IV THERAPY 197979,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 197979,A81000B,02200,0300,VENCARE REHAB - PHYS THER 197979,A81000B,02300,0300,VENCARE REHAB - OCCP THER 197979,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 197979,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 197979,A81000B,02600,0300,VC PHARMACY - LEGEND 197979,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 197979,A81000B,02800,0300,VC PHARMACY - NUTR THER 197979,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 197979,A81000C,00100,0100,B 197979,A81000C,00100,0200,TENET HEALTHCARE CORP 197979,A81000C,00100,0400,TENET HEALTHCARE CORP 197979,A81000C,00100,0600,HEALTHCARE 197979,A81000C,00200,0400,HOSPITAL UNDERWRITERS GRP 197979,A81000C,00200,0600,INSURANCE 197979,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 197979,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 197979,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 197979,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 197979,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 197979,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 197979,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 197979,B100000,00000,0800,0850PATIENT DAYS :DIETARY 197979,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 197979,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 197979,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 197979,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 197979,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 197979,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 197979,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 197979,S000000,00100,0200,12/11/00 197979,S200000,00100,0100,106 MEDICAL CENTER DRIVE 197979,S200000,00200,0100,SLIDELL 197979,S200000,00200,0200,LA 197979,S200000,00200,0300,70461- 197979,S200000,00300,0100,ST. TAMMANY 197979,S200000,00300,0300,U 197979,S200000,00400,0100,978-NORTH SHORE LIVING CENTER 197979,S200000,00400,0200,195220 197979,S200000,00400,0300,03/08/88 197979,S200000,00400,0500,P 197979,S200000,01500,0100,N 197979,S200000,01600,0100,Y 197979,S200000,01700,0100,N 197979,S200000,01800,0100,N 197979,S200000,02200,0100,Y 197979,S200000,02800,0100,N 197979,S200000,02900,0100,N 197979,S200000,03000,0100,N 197979,S200000,03100,0100,N 197979,S200000,03200,0100,N 197979,S200000,04100,0100,N 197979,S200000,04200,0100,N 197979,S200000,04300,0100,N 197979,S200000,04600,0100,N 197979,S200000,04700,0100,N 197979,S200000,04700,0200,N 197979,S200000,04900,0100,N 197979,S200000,05000,0100,N 197979,S200000,05100,0100,N 197979,S200000,05200,0100,N 198100,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198100,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198100,A000000,00300,0000,0300EMPLOYEE BENEFITS 198100,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198100,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198100,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198100,A000000,00700,0000,0700HOUSEKEEPING 198100,A000000,00800,0000,0800DIETARY 198100,A000000,00900,0000,0900NURSING ADMINISTRATION 198100,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198100,A000000,01100,0000,1100PHARMACY 198100,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198100,A000000,01300,0000,1300SOCIAL SERVICE 198100,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 198100,A000000,01500,0000,1350ACTIVITIES 198100,A000000,01600,0000,1600SKILLED NURSING FACILITY 198100,A000000,01810,0000,1810ICF/MR 198100,A000000,02100,0000,2100RADIOLOGY 198100,A000000,02200,0000,2200LABORATORY 198100,A000000,02500,0000,2500PHYSICAL THERAPY 198100,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198100,A000000,02700,0000,2700SPEECH PATHOLOGY 198100,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198100,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198100,A000000,03550,0000,3550FQHC 198100,A000000,05000,0000,5000CORF 198100,A000000,05010,0000,5010CMHC 198100,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 198100,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 198100,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 198100,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198100,A000000,05901,0000,5901FITNESS CENTER 198100,A81000A,00100,0100,N 198100,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198100,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 198100,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198100,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 198100,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198100,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 198100,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 198100,B100000,00000,0800,0800MEALS SERVED :DIETARY 198100,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 198100,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 198100,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 198100,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 198100,E10A180,00301,0100,03/11/98 198100,S000000,00100,0200,08/31/00 198100,S200000,00100,0100,401 IDAHO AVENUE 198100,S200000,00200,0100,ORDWAY 198100,S200000,00200,0200,CO 198100,S200000,00200,0300,81063- 198100,S200000,00300,0100,CROWLEY 198100,S200000,00300,0200,2080 198100,S200000,00300,0300,U 198100,S200000,00400,0100,CROWLEY COUNTY NURSING CENTER 198100,S200000,00400,0200,065312 198100,S200000,00400,0300,05/01/93 198100,S200000,00400,0500,P 198100,S200000,01500,0100,Y 198100,S200000,01600,0100,N 198100,S200000,01700,0100,N 198100,S200000,01800,0100,N 198100,S200000,02200,0100,Y 198100,S200000,02800,0100,N 198100,S200000,02900,0100,N 198100,S200000,03000,0100,N 198100,S200000,03100,0100,N 198100,S200000,03200,0100,N 198100,S200000,04100,0100,N 198100,S200000,04200,0100,N 198100,S200000,04300,0100,Y 198100,S200000,04600,0100,N 198100,S200000,04700,0100,N 198100,S200000,04700,0200,N 198100,S200000,04900,0100,N 198100,S200000,05000,0100,N 198100,S200000,05100,0100,N 198100,S200000,05200,0100,N 198111,S000000,00100,0200,12/28/00 198111,S200000,00100,0100,P.O.BOX 927 198111,S200000,00200,0100,TRUTH OR CONSEQUENCES 198111,S200000,00200,0200,NM 198111,S200000,00200,0300,87901 198111,S200000,00300,0100,SIERRA 198111,S200000,00400,0100,NEW MEXICO VETERN S 198111,S200000,00400,0300,01/25/94 198144,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198144,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198144,A000000,00300,0000,0300EMPLOYEE BENEFITS 198144,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198144,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198144,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198144,A000000,00700,0000,0700HOUSEKEEPING 198144,A000000,00800,0000,0800DIETARY 198144,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198144,A000000,01300,0000,1300SOCIAL SERVICE 198144,A000000,01600,0000,1600SKILLED NURSING FACILITY 198144,A000000,02500,0000,2500PHYSICAL THERAPY 198144,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198144,A000000,02700,0000,2700SPEECH PATHOLOGY 198144,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198144,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198144,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 198144,A81000A,00100,0100,Y 198144,A81000B,00100,0300,RENT 198144,A81000B,00200,0300,DEPRECIATION 198144,A81000B,00300,0300,INTEREST 198144,A81000B,00400,0300,SALARY 198144,A81000B,00500,0300,SALARY 198144,A81000B,00600,0300,SALARY 198144,A81000C,00100,0100,A 198144,A81000C,00100,0200,FISHER PARTNERSHIP 198144,A81000C,00100,0400,S. & B. FISHER 198144,A81000C,00100,0600,INDIVIDUALS 198144,A81000C,00200,0100,A 198144,A81000C,00200,0200,FISHER PARTNERSHIP 198144,A81000C,00200,0400,S. & B. FISHER 198144,A81000C,00200,0600,INDIVIDUALS 198144,A81000C,00300,0100,A 198144,A81000C,00300,0200,FISHER PARTNERSHIP 198144,A81000C,00300,0400,S. & B. FISHER 198144,A81000C,00300,0600,INDIVIDUALS 198144,A81000C,00400,0100,A 198144,A81000C,00400,0200,S. FISHER 198144,A81000C,00400,0400,INDIVIDUAL 198144,A81000C,00500,0100,A 198144,A81000C,00500,0200,B. FISHER 198144,A81000C,00500,0400,INDIVIDUAL 198144,A81000C,00600,0100,F 198144,A81000C,00600,0200,J. FISHER 198144,A81000C,00600,0400,INDIVIDUAL 198144,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198144,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 198144,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198144,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 198144,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198144,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 198144,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 198144,B100000,00000,0800,0800MEALS SERVED :DIETARY 198144,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 198144,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 198144,S000000,00100,0200,03/27/00 198144,S200000,00100,0100,815 FRANKLIN STREET 198144,S200000,00100,0300,276 198144,S200000,00200,0100,WRAY 198144,S200000,00200,0200,CO 198144,S200000,00200,0300,81758- 198144,S200000,00300,0100,YUMA 198144,S200000,00300,0200,06 198144,S200000,00300,0300,R 198144,S200000,00400,0100,RENOTTA HEALTH CARE CENTER 198144,S200000,00400,0200,065316 198144,S200000,00400,0300,01/01/94 198144,S200000,00400,0500,P 198144,S200000,01500,0100,Y 198144,S200000,01600,0100,N 198144,S200000,01700,0100,N 198144,S200000,01800,0100,N 198144,S200000,02200,0100,N 198144,S200000,02800,0100,N 198144,S200000,02900,0100,N 198144,S200000,03000,0100,N 198144,S200000,03100,0100,N 198144,S200000,03200,0100,N 198144,S200000,04100,0100,N 198144,S200000,04200,0100,N 198144,S200000,04300,0100,N 198144,S200000,04600,0100,N 198144,S200000,04700,0100,N 198144,S200000,04700,0200,N 198144,S200000,04900,0100,N 198144,S200000,05000,0100,N 198144,S200000,05100,0100,N 198144,S200000,05200,0100,N 198145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198145,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXTURES 198145,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198145,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIPMEN 198145,A000000,00300,0000,0300EMPLOYEE BENEFITS 198145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198145,A000000,00700,0000,0700HOUSEKEEPING 198145,A000000,00800,0000,0800DIETARY 198145,A000000,00900,0000,0900NURSING ADMINISTRATION 198145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198145,A000000,01100,0000,1100PHARMACY 198145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198145,A000000,01300,0000,1300SOCIAL SERVICE 198145,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 198145,A000000,01500,0000,1350ACTIVITIES 198145,A000000,01600,0000,1600SKILLED NURSING FACILITY 198145,A000000,01800,0000,1800NURSING FACILITY 198145,A000000,01810,0000,1810ICF/MR 198145,A000000,01900,0000,1900OTHER LONG TERM CARE 198145,A000000,02100,0000,2100RADIOLOGY 198145,A000000,02200,0000,2200LABORATORY 198145,A000000,02300,0000,2300INTRAVENOUS THERAPY 198145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 198145,A000000,02500,0000,2500PHYSICAL THERAPY 198145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198145,A000000,02700,0000,2700SPEECH PATHOLOGY 198145,A000000,02800,0000,2800ELECTROCARDIOLOGY 198145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198145,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 198145,A000000,03200,0000,3200SUPPORT SURFACES 198145,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 198145,A000000,03400,0000,3400CLINIC 198145,A000000,03500,0000,3500RURAL HEALTH CLINIC 198145,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 198145,A000000,04800,0000,4800AMBULANCE 198145,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 198145,A000000,05000,0000,5000CORF 198145,A000000,05100,0000,4750OTHER REIMBURSABLE COST 198145,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 198145,A000000,05300,0000,5300INTEREST EXPENSE 198145,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 198145,A000000,05500,0000,5500HOSPICE 198145,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 198145,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 198145,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198145,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 198145,A000000,06100,0000,6100NONPAID WORKERS 198145,A000000,06200,0000,6200PATIENTS LAUNDRY 198145,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 198145,A81000A,00100,0100,Y 198145,A81000B,00100,0300,BUILDING LEASE 198145,A81000B,00200,0300,BUILDING INTEREST EXPENSE 198145,A81000B,00300,0300,BUILDING AMORTIZATION 198145,A81000B,00400,0300,BUILDING EQUIPMENT DEPRN 198145,A81000B,00500,0300,ADMIN & GENERAL - MGMT 198145,A81000B,00600,0300,SUPPLIES MISCELLANEOUS 198145,A81000B,00700,0300,MANAGEMENT 198145,A81000C,00100,0100,A 198145,A81000C,00100,0200,DR. FRED SCHUMANN 198145,A81000C,00100,0400,DCHI 198145,A81000C,00100,0600,BUILDING LEASE 198145,A81000C,00200,0100,A 198145,A81000C,00200,0200,DR. FRED SHCUMANN 198145,A81000C,00200,0400,DCHI 198145,A81000C,00200,0600,MANAGEMENT 198145,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198145,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 198145,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198145,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 198145,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198145,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 198145,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 198145,B100000,00000,0800,0800MEALS SERVED :DIETARY 198145,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 198145,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 198145,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 198145,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 198145,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 198145,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 198145,S000000,00100,0200,06/01/00 198145,S200000,00100,0100,1297 SOUTH BRISCOE STREET 198145,S200000,00200,0100,CASTLE ROCK 198145,S200000,00200,0200,CO 198145,S200000,00200,0300,80104- 198145,S200000,00300,0100,DOUGLAS 198145,S200000,00300,0200,2080 198145,S200000,00300,0300,U 198145,S200000,00400,0100,BROOKSIDE INN 198145,S200000,00400,0200,065361 198145,S200000,00400,0300,09/05/97 198145,S200000,00400,0500,P 198145,S200000,01500,0100,N 198145,S200000,01600,0100,Y 198145,S200000,01700,0100,N 198145,S200000,01800,0100,N 198145,S200000,02200,0100,N 198145,S200000,02800,0100,N 198145,S200000,02900,0100,N 198145,S200000,03000,0100,N 198145,S200000,03100,0100,N 198145,S200000,03200,0100,N 198145,S200000,04100,0100,N 198145,S200000,04200,0100,N 198145,S200000,04300,0100,N 198145,S200000,04600,0100,N 198145,S200000,04700,0100,N 198145,S200000,04700,0200,N 198145,S200000,04900,0100,N 198145,S200000,05000,0100,N 198145,S200000,05100,0100,N 198145,S200000,05200,0100,N 198146,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198146,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198146,A000000,00300,0000,0300EMPLOYEE BENEFITS 198146,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL 198146,A000000,00402,0000,0402BUSINESS OFFICE 198146,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198146,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198146,A000000,00700,0000,0700HOUSEKEEPING 198146,A000000,00800,0000,0800DIETARY 198146,A000000,00900,0000,0900NURSING ADMINISTRATION 198146,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198146,A000000,01100,0000,1100PHARMACY 198146,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198146,A000000,01300,0000,1300SOCIAL SERVICE 198146,A000000,01500,0000,1350CHAPLAINCY 198146,A000000,01600,0000,1600SKILLED NURSING FACILITY 198146,A000000,01800,0000,1800NURSING FACILITY 198146,A000000,02100,0000,2100RADIOLOGY 198146,A000000,02200,0000,2200LABORATORY 198146,A000000,02300,0000,2300INTRAVENOUS THERAPY 198146,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 198146,A000000,02500,0000,2500PHYSICAL THERAPY 198146,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198146,A000000,02700,0000,2700SPEECH PATHOLOGY 198146,A000000,02800,0000,2800ELECTROCARDIOLOGY 198146,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198146,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198146,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 198146,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 198146,A000000,04800,0000,4800AMBULANCE 198146,A000000,05100,0000,4750OTHER REIMBURSABLE COST 198146,A000000,05300,0000,5300INTEREST EXPENSE 198146,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 198146,A000000,05500,0000,5500HOSPICE 198146,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 198146,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 198146,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198146,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 198146,A000000,06001,0000,6001PHYSICIAN BILLING 198146,A000000,06200,0000,6200PATIENTS LAUNDRY 198146,A000000,06300,0000,6150SENIOR SERVICES 198146,A000000,06301,0000,6151MEALS ON WHEELS 198146,A81000A,00100,0100,Y 198146,A81000B,00100,0300,HOME OFFICE ALLOCATION 198146,A81000B,00200,0300,HOME OFFICE ALLOCATION 198146,A81000B,00300,0300,HOME OFFICE ALLOCATION 198146,A81000B,00400,0300,REGIONAL HOME OFFICE ALLOC 198146,A81000B,00500,0300,REGIONAL HOME OFFICE ALLOC 198146,A81000B,00600,0300,REGIONAL HOME OFFICE ALLOC 198146,A81000B,00700,0300,HOME OFFICE ALLOCATION 198146,A81000B,00800,0300,PRES HOSPITAL ALLOCATION 198146,A81000B,00900,0300,PRES HOSPITAL ALLOCATION 198146,A81000B,01000,0300,PRES HOPSITAL ALLOCATION 198146,A81000C,00100,0100,B 198146,A81000C,00100,0200,PHS 198146,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198146,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 198146,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198146,B100000,00000,0401,0401 ACCUM. COST :ADMINISTRATIVE & G 198146,B100000,00000,0402,0452GROSS CHARGES :BUSINESS OFFICE 198146,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198146,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 198146,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 198146,B100000,00000,0800,0800MEALS SERVED :DIETARY 198146,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 198146,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 198146,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 198146,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 198146,B100000,00000,1500,1350TIME SPENT :CHAPLAINCY 198146,S000000,00100,0200,05/31/00 198146,S200000,00100,0100,5900 HARPER NE 198146,S200000,00200,0100,ALBUQUERQUE 198146,S200000,00200,0200,NM 198146,S200000,00200,0300,87109- 198146,S200000,00300,0100,BERNALILLO 198146,S200000,00300,0200,0200 198146,S200000,00300,0300,U 198146,S200000,00400,0100,PRESBYTERIAN PICKARD CONVALESCENT 198146,S200000,00400,0200,325034 198146,S200000,00400,0300,04/06/83 198146,S200000,00400,0500,P 198146,S200000,01500,0100,N 198146,S200000,01600,0100,Y 198146,S200000,01700,0100,N 198146,S200000,01800,0100,N 198146,S200000,02200,0100,N 198146,S200000,02800,0100,N 198146,S200000,02900,0100,N 198146,S200000,03000,0100,N 198146,S200000,03100,0100,N 198146,S200000,03200,0100,N 198146,S200000,04100,0100,N 198146,S200000,04200,0100,N 198146,S200000,04300,0100,N 198146,S200000,04600,0100,N 198146,S200000,04700,0100,N 198146,S200000,04700,0200,N 198146,S200000,04900,0100,N 198146,S200000,05000,0100,N 198146,S200000,05100,0100,N 198146,S200000,05200,0100,N 198751,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 198751,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 198751,A000000,00300,0000,0300EMPLOYEE BENEFITS 198751,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198751,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 198751,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198751,A000000,00700,0000,0700HOUSEKEEPING 198751,A000000,00800,0000,0800DIETARY 198751,A000000,00900,0000,0900NURSING ADMINISTRATION 198751,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198751,A000000,01100,0000,1100PHARMACY 198751,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198751,A000000,01300,0000,1300SOCIAL SERVICE 198751,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 198751,A000000,01500,0000,1350OTHER GENERAL SERVICES 198751,A000000,01600,0000,1600SKILLED NURSING FACILITY 198751,A000000,01800,0000,1800NURSING FACILITY 198751,A000000,01810,0000,1810ICF/MR 198751,A000000,02100,0000,2100RADIOLOGY 198751,A000000,02200,0000,2200LABORATORY 198751,A000000,02500,0000,2500PHYSICAL THERAPY 198751,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198751,A000000,02700,0000,2700SPEECH PATHOLOGY 198751,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 198751,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198751,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 198751,A000000,03550,0000,3550FQHC 198751,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 198751,A000000,04801,0000,4801AMBULANCE 198751,A000000,04802,0000,4802AMBULANCE 198751,A000000,04803,0000,4803AMBULANCE 198751,A000000,05000,0000,5000CORF 198751,A000000,05010,0000,5010CMHC 198751,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 198751,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 198751,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 198751,A000000,05100,0000,4750OTHER REIMBURSABLE COST 198751,A000000,05300,0000,5300INTEREST EXPENSE 198751,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 198751,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 198751,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198751,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 198751,A81000A,00100,0100,N 198751,B100000,00000,0100,0100SQUARE FEET 198751,B100000,00000,0200,0200SQUARE FEET 198751,B100000,00000,0300,0300GROSS SALARIES 198751,B100000,00000,0400,0400ACCUM COST 198751,B100000,00000,0500,0500SQUARE FEET 198751,B100000,00000,0600,0600POUNDS OF LAUNDRY 198751,B100000,00000,0700,0700SQUARE FEET 198751,B100000,00000,0800,0800MEALS SERVED 198751,B100000,00000,0900,0900DIRECT NRSING HRS 198751,B100000,00000,1000,1000PATIENT DAYS 198751,B100000,00000,1100,1100PATIENT DAYS 198751,B100000,00000,1200,1200TIME SPENT 198751,B100000,00000,1300,1300TIME SPENT 198751,B100000,00000,1400,1400ASSIGNED TIME 198751,B100000,00000,1500,1350 198751,E10A180,00501,0100,08/30/00 198751,S000000,00100,0200,06/02/00 198751,S200000,00100,0100,16411 ROBINSON ROAD 198751,S200000,00200,0100,GULFPORT 198751,S200000,00200,0200,MS 198751,S200000,00200,0300,39503 198751,S200000,00300,0100,HARRISON 198751,S200000,00300,0200,0920 198751,S200000,00300,0300,U 198751,S200000,00400,0100,LAKEVIEW NURSING CENTER 198751,S200000,00400,0200,255182 198751,S200000,00400,0300,06/26/94 198751,S200000,00400,0500,P 198751,S200000,01500,0100,N 198751,S200000,01600,0100,Y 198751,S200000,01700,0100,N 198751,S200000,01800,0100,N 198751,S200000,01900,0100,S-CORPORATION SUBSIDIARY 198751,S200000,02200,0100,N 198751,S200000,02800,0100,N 198751,S200000,02900,0100,N 198751,S200000,03000,0100,N 198751,S200000,03100,0100,N 198751,S200000,03200,0100,N 198751,S200000,03300,0100,N 198751,S200000,03300,0200,N 198751,S200000,04100,0100,N 198751,S200000,04200,0100,N 198751,S200000,04300,0100,N 198751,S200000,04600,0100,N 198751,S200000,04700,0100,N 198751,S200000,04900,0100,N 198751,S200000,05200,0100,N 198830,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198830,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198830,A000000,00300,0000,0300EMPLOYEE BENEFITS 198830,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198830,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198830,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198830,A000000,00700,0000,0700HOUSEKEEPING 198830,A000000,00800,0000,0800DIETARY 198830,A000000,00900,0000,0900NURSING ADMINISTRATION 198830,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198830,A000000,01100,0000,1100PHARMACY 198830,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198830,A000000,01300,0000,1300SOCIAL SERVICE 198830,A000000,01301,0000,1351ACTIVITIES 198830,A000000,01600,0000,1600SKILLED NURSING FACILITY 198830,A000000,01800,0000,1800NURSING FACILITY 198830,A000000,02100,0000,2100RADIOLOGY 198830,A000000,02200,0000,2200LABORATORY 198830,A000000,02300,0000,2300INTRAVENOUS THERAPY 198830,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 198830,A000000,02500,0000,2500PHYSICAL THERAPY 198830,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198830,A000000,02700,0000,2700SPEECH PATHOLOGY 198830,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198830,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198830,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 198830,A000000,03301,0000,3051MEDICAL EQUIPMENT 198830,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 198830,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 198830,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198830,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 198830,A81000A,00100,0100,Y 198830,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 198830,A81000B,00200,0300,CAPITAL - BUILDINGS 198830,A81000B,00300,0300,CAPITAL - EQUIPMENT 198830,A81000B,00400,0300,MEDICAL SUPPLIES 198830,A81000B,00500,0300,CENTRAL SUPPLIES 198830,A81000B,00600,0300,NURSING SUPPLIES 198830,A81000C,00100,0100,B 198830,A81000C,00100,0200,PEAK MEDICAL CORPORATION 198830,A81000C,00100,0400,PEAK MEDICAL CORPORATION 198830,A81000C,00100,0600,HOME OFFICE SERVICES 198830,A81000C,00200,0100,B 198830,A81000C,00200,0200,PEAK MEDICAL CORPORATION 198830,A81000C,00200,0400,MEDICAL RESOURCES 198830,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 198830,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198830,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 198830,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198830,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 198830,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198830,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 198830,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 198830,B100000,00000,0800,0800MEALS SERVED :DIETARY 198830,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 198830,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 198830,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 198830,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 198830,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 198830,E10A180,00301,0100,10/28/99 198830,E10A180,00302,0100,11/24/99 198830,E10A180,00350,0100,07/24/00 198830,S000000,00100,0200,10/03/00 198830,S200000,00100,0100,8211 USTICK ROAD 198830,S200000,00200,0100,BOISE 198830,S200000,00200,0200,ID 198830,S200000,00200,0300,83704- 198830,S200000,00300,0100,ADA 198830,S200000,00300,0200,1080 198830,S200000,00300,0300,U 198830,S200000,00400,0100,CAPITOL CARE CENTER 198830,S200000,00400,0200,135079 198830,S200000,00400,0300,12/08/80 198830,S200000,00400,0500,P 198830,S200000,01500,0100,N 198830,S200000,01600,0100,Y 198830,S200000,01700,0100,N 198830,S200000,01800,0100,N 198830,S200000,02200,0100,N 198830,S200000,02800,0100,N 198830,S200000,02900,0100,N 198830,S200000,03000,0100,N 198830,S200000,03100,0100,N 198830,S200000,03200,0100,N 198830,S200000,04100,0100,N 198830,S200000,04200,0100,N 198830,S200000,04300,0100,N 198830,S200000,04600,0100,N 198830,S200000,04700,0100,N 198830,S200000,04700,0200,N 198830,S200000,04900,0100,N 198830,S200000,05000,0100,N 198830,S200000,05100,0100,N 198830,S200000,05200,0100,N 198863,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 198863,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 198863,A000000,00300,0000,0300EMPLOYEE BENEFITS 198863,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 198863,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 198863,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 198863,A000000,00700,0000,0700HOUSEKEEPING 198863,A000000,00800,0000,0800DIETARY 198863,A000000,00900,0000,0900NURSING ADMINISTRATION 198863,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 198863,A000000,01100,0000,1100PHARMACY 198863,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 198863,A000000,01300,0000,1300SOCIAL SERVICE 198863,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 198863,A000000,01500,0000,1350OTHER GENERAL SERVICES 198863,A000000,01600,0000,1600SKILLED NURSING FACILITY 198863,A000000,01800,0000,1800NURSING FACILITY 198863,A000000,01810,0000,1810ICF/MR 198863,A000000,02100,0000,2100RADIOLOGY 198863,A000000,02200,0000,2200LABORATORY 198863,A000000,02300,0000,2300INTRAVENOUS THERAPY 198863,A000000,02500,0000,2500PHYSICAL THERAPY 198863,A000000,02600,0000,2600OCCUPATIONAL THERAPY 198863,A000000,02700,0000,2700SPEECH PATHOLOGY 198863,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 198863,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 198863,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 198863,A000000,03550,0000,3550FQHC 198863,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 198863,A000000,05000,0000,5000CORF 198863,A000000,05010,0000,5010CMHC 198863,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 198863,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 198863,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 198863,A000000,05100,0000,4750OTHER REIMBURSABLE COST 198863,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 198863,A000000,05900,0000,5900BARBER & BEAUTY SHOP 198863,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 198863,A81000A,00100,0100,N 198863,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 198863,B100000,00000,0200,0200DOLLAR VALUE :CAP REL COSTS - M 198863,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 198863,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 198863,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 198863,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 198863,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 198863,B100000,00000,0800,0800MEALS SERVED :DIETARY 198863,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 198863,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 198863,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 198863,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 198863,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 198863,S000000,00100,0200,06/15/00 198863,S200000,00100,0100,13500 BRANCH PLACE 198863,S200000,00200,0100,OKLAHOMA CITY 198863,S200000,00200,0200,OK 198863,S200000,00200,0300,73142- 198863,S200000,00300,0100,OKLAHOMA 198863,S200000,00300,0200,5880 198863,S200000,00300,0300,U 198863,S200000,00400,0100,WESTLAKE NURSING CENTER 198863,S200000,00400,0200,375119 198863,S200000,00400,0300,06/24/92 198863,S200000,00400,0500,P 198863,S200000,01500,0100,N 198863,S200000,01600,0100,Y 198863,S200000,01700,0100,N 198863,S200000,01800,0100,N 198863,S200000,02200,0100,N 198863,S200000,02800,0100,N 198863,S200000,02900,0100,N 198863,S200000,03000,0100,N 198863,S200000,03100,0100,N 198863,S200000,03200,0100,N 198863,S200000,04100,0100,N 198863,S200000,04200,0100,N 198863,S200000,04300,0100,N 198863,S200000,04600,0100,N 198863,S200000,04700,0100,N 198863,S200000,04700,0200,N 198863,S200000,04900,0100,N 198863,S200000,05000,0100,N 198863,S200000,05100,0100,N 198863,S200000,05200,0100,N 199267,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199267,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199267,A000000,00300,0000,0300EMPLOYEE BENEFITS 199267,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199267,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199267,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199267,A000000,00700,0000,0700HOUSEKEEPING 199267,A000000,00800,0000,0800DIETARY 199267,A000000,00900,0000,0900NURSING ADMINISTRATION 199267,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199267,A000000,01100,0000,1100PHARMACY 199267,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199267,A000000,01300,0000,1300SOCIAL SERVICE 199267,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199267,A000000,01600,0000,1600SKILLED NURSING FACILITY 199267,A000000,01800,0000,1800NURSING FACILITY 199267,A000000,01810,0000,1810ICF/MR 199267,A000000,01900,0000,1900OTHER LONG TERM CARE 199267,A000000,02100,0000,2100RADIOLOGY 199267,A000000,02200,0000,2200LABORATORY 199267,A000000,02500,0000,2500PHYSICAL THERAPY 199267,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199267,A000000,02700,0000,2700SPEECH PATHOLOGY 199267,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199267,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199267,A000000,03550,0000,3550FQHC 199267,A000000,04801,0000,4801AMBULANCE 199267,A000000,04802,0000,4802AMBULANCE 199267,A000000,04803,0000,4803AMBULANCE 199267,A000000,05000,0000,5000CORF 199267,A000000,05010,0000,5010CMHC 199267,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 199267,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199267,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199267,A000000,05300,0000,5300INTEREST EXPENSE 199267,A000000,05900,0000,5900BARBER & BEAUTY SHOP 199267,A81000A,00100,0100,Y 199267,A81000B,00100,0300,MANAGEMENT FEES 199267,A81000B,00200,0300,PHYSICAL THERAPY 199267,A81000B,00300,0300,OCCUPTATIONAL THERAP 199267,A81000B,00400,0300,SPEECH THERAPY 199267,A81000C,00100,0100,B 199267,A81000C,00100,0200,DEACONESS LTC OF MO 199267,A81000C,00100,0400,DEACONESS 199267,A81000C,00100,0600,MANAGEMENT COMPANY 199267,A81000C,00200,0100,G 199267,A81000C,00200,0200,DEACONESS ANCILLARY 199267,A81000C,00200,0400,DEACONESS 199267,A81000C,00200,0600,THERAPY COMPANY 199267,B100000,00000,0100,0100SQUARE FEET 199267,B100000,00000,0200,0200SQUARE FEET 199267,B100000,00000,0300,0300GROSS SALARIES 199267,B100000,00000,0400,0400ACCUM COST 199267,B100000,00000,0500,0500SQUARE FEET 199267,B100000,00000,0600,0600POUNDS OF LAUNDRY 199267,B100000,00000,0700,0700HOURS OF SERVICE 199267,B100000,00000,0800,0800MEALS SERVED 199267,B100000,00000,0900,0900DIRECT NRSG HRS 199267,B100000,00000,1000,1000COSTED REQUIS 199267,B100000,00000,1100,1100COSTED REQUIS 199267,B100000,00000,1200,1200TIME SPENT 199267,B100000,00000,1300,1300TIME SPENT 199267,B100000,00000,1400,1400ASSIGNED TIME 199267,E10A180,00501,0300,06/29/00 199267,S000000,00100,0200,05/26/00 199267,S200000,00100,0100,1190 JESSICA LANE 199267,S200000,00200,0100,RAYTOWN 199267,S200000,00200,0200,MO 199267,S200000,00200,0300,64138 199267,S200000,00300,0100,JACKSON COUNTY 199267,S200000,00300,0200,3760 199267,S200000,00300,0300,U 199267,S200000,00400,0100,EDGEWOOD MANOR 199267,S200000,00400,0200,265425 199267,S200000,00400,0300,04/12/90 199267,S200000,00400,0500,P 199267,S200000,01500,0100,N 199267,S200000,01600,0100,Y 199267,S200000,01700,0100,N 199267,S200000,01800,0100,N 199267,S200000,02200,0100,N 199267,S200000,02800,0100,N 199267,S200000,02900,0100,N 199267,S200000,03000,0100,N 199267,S200000,03100,0100,N 199267,S200000,03200,0100,Y 199267,S200000,03300,0100,N 199267,S200000,03300,0200,N 199267,S200000,04300,0100,N 199267,S200000,04700,0100,N 199267,S200000,04900,0100,N 199267,S200000,05200,0100,N 199583,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199583,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 199583,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199583,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 199583,A000000,00300,0000,0300EMPLOYEE BENEFITS 199583,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199583,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199583,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199583,A000000,00700,0000,0700HOUSEKEEPING 199583,A000000,00800,0000,0800DIETARY 199583,A000000,00801,0000,0801CAFETERIA 199583,A000000,00900,0000,0900NURSING ADMINISTRATION 199583,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199583,A000000,01100,0000,1100PHARMACY 199583,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199583,A000000,01300,0000,1300SOCIAL SERVICE 199583,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199583,A000000,01500,0000,1350ACTIVITIES 199583,A000000,01600,0000,1600SKILLED NURSING FACILITY 199583,A000000,01800,0000,1800NURSING FACILITY 199583,A000000,01810,0000,1810ICF/MR 199583,A000000,02100,0000,2100RADIOLOGY 199583,A000000,02200,0000,2200LABORATORY 199583,A000000,02300,0000,2300INTRAVENOUS THERAPY 199583,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 199583,A000000,02500,0000,2500PHYSICAL THERAPY 199583,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199583,A000000,02700,0000,2700SPEECH PATHOLOGY 199583,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199583,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199583,A000000,03300,0000,3050PEN THERAPY 199583,A000000,03301,0000,3051FEE SCREENING 199583,A000000,03302,0000,3052OTHER ANCILLARY III 199583,A000000,03550,0000,3550FQHC 199583,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 199583,A000000,04800,0000,4800AMBULANCE 199583,A000000,04801,0000,4801AMBULANCE 199583,A000000,04802,0000,4802AMBULANCE 199583,A000000,04803,0000,4803AMBULANCE 199583,A000000,05000,0000,5000CORF I 199583,A000000,05010,0000,5010CMHC I 199583,A000000,05020,0000,5020OPT I 199583,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199583,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199583,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199583,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 199583,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 199583,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 199583,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199583,A81000A,00100,0100,Y 199583,A81000B,00100,0300,HOME OFFICE ALLOCATION 199583,A81000B,00200,0300,HOME OFFICE ALLOCATION 199583,A81000B,00300,0300,CAPITAL INTEREST 199583,A81000B,00400,0300,SEE ATTACHED 199583,A81000C,00100,0100,B 199583,A81000C,00100,0400,GENESIS HEALTH 199583,A81000C,00100,0600,HOME OFFICE 199583,A81000C,00200,0100,B 199583,A81000C,00200,0400,GENESIS HEALTH 199583,A81000C,00200,0600,HOME OFFICE 199583,A81000C,00300,0100,B 199583,A81000C,00300,0400,GENESIS HEALTH 199583,A81000C,00300,0600,HOME OFFICE 199583,A81000C,00400,0100,B 199583,A81000C,00400,0400,SEE ATTACHED 199583,A81000C,00400,0600,VARIOUS 199583,A81000C,03100,0000,LEGAL 199583,B100000,00000,0100,0100(SQUARE FEET) 199583,B100000,00000,0101,0101(SQUARE FEET) 199583,B100000,00000,0200,0200(SQUARE FEET) 199583,B100000,00000,0201,0201(SQUARE FEET) 199583,B100000,00000,0300,0300(GROSS SALARIES) 199583,B100000,00000,0400,0400ACCUM COST 199583,B100000,00000,0500,0500(SQUARE FEET) 199583,B100000,00000,0600,0600(PATIENT DAYS) 199583,B100000,00000,0700,0700(SQUARE FEET) 199583,B100000,00000,0800,0800(MEALS SERVED) 199583,B100000,00000,0801,0801(MEALS SERVED) 199583,B100000,00000,0900,0900(NURSING SALARIES) 199583,B100000,00000,1000,1000(COSTED REQUIS.) 199583,B100000,00000,1100,1100(COSTED REQUIS.) 199583,B100000,00000,1200,1200(GROSS CHARGES) 199583,B100000,00000,1300,1300(PATIENT DAYS) 199583,B100000,00000,1400,1400(ASSIGNED TIME) 199583,B100000,00000,1500,1350(PATIENT DAYS) 199583,S000000,00100,0200,05/26/00 199583,S200000,00100,0100,89 MORTON STREET 199583,S200000,00200,0100,ANDOVER 199583,S200000,00200,0200,MA 199583,S200000,00200,0300,01810 199583,S200000,00300,0100,ESSEX 199583,S200000,00300,0200,1123 199583,S200000,00300,0300,U 199583,S200000,00400,0100,ACADEMY MANOR NURSING HOM 199583,S200000,00400,0200,225294 199583,S200000,00400,0300,02/20/87 199583,S200000,00400,0500,P 199583,S200000,01500,0100,N 199583,S200000,01600,0100,Y 199583,S200000,01700,0100,N 199583,S200000,01800,0100,N 199583,S200000,02200,0100,N 199583,S200000,02800,0100,N 199583,S200000,02900,0100,N 199583,S200000,03000,0100,N 199583,S200000,03100,0100,N 199583,S200000,03200,0100,N 199583,S200000,03300,0100,N 199583,S200000,03300,0200,N 199583,S200000,04100,0100,N 199583,S200000,04200,0100,N 199583,S200000,04300,0100,N 199583,S200000,04600,0100,N 199583,S200000,04700,0100,N 199583,S200000,04900,0100,N 199583,S200000,05200,0100,N 199584,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199584,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 199584,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199584,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 199584,A000000,00300,0000,0300EMPLOYEE BENEFITS 199584,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199584,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199584,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199584,A000000,00700,0000,0700HOUSEKEEPING 199584,A000000,00800,0000,0800DIETARY 199584,A000000,00801,0000,0801CAFETERIA 199584,A000000,00900,0000,0900NURSING ADMINISTRATION 199584,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199584,A000000,01100,0000,1100PHARMACY 199584,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199584,A000000,01300,0000,1300SOCIAL SERVICE 199584,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199584,A000000,01500,0000,1350ACTIVITIES 199584,A000000,01600,0000,1600SKILLED NURSING FACILITY 199584,A000000,01800,0000,1800NURSING FACILITY 199584,A000000,01810,0000,1810ICF/MR 199584,A000000,02100,0000,2100RADIOLOGY 199584,A000000,02200,0000,2200LABORATORY 199584,A000000,02300,0000,2300INTRAVENOUS THERAPY 199584,A000000,02500,0000,2500PHYSICAL THERAPY 199584,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199584,A000000,02700,0000,2700SPEECH PATHOLOGY 199584,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199584,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199584,A000000,03300,0000,3050PENN THERAPY 199584,A000000,03301,0000,3051FEE SCREENING 199584,A000000,03302,0000,3052OTHER ANCILLARY III 199584,A000000,03550,0000,3550FQHC 199584,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 199584,A000000,04800,0000,4800AMBULANCE 199584,A000000,04801,0000,4801AMBULANCE 199584,A000000,04802,0000,4802AMBULANCE 199584,A000000,04803,0000,4803AMBULANCE 199584,A000000,05000,0000,5000CORF I 199584,A000000,05010,0000,5010CMHC I 199584,A000000,05020,0000,5020OPT I 199584,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199584,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199584,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199584,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 199584,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 199584,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199584,A81000A,00100,0100,Y 199584,A81000B,00100,0300,MGT FEE 199584,A81000C,00100,0100,B 199584,A81000C,00100,0400,GENESIS HEALTH 199584,A81000C,00100,0600,MANAGEMENT FEE 199584,A81000C,03100,0000,LEGAL 199584,B100000,00000,0100,0100(SQUARE FEET) 199584,B100000,00000,0101,0101(SQUARE FEET) 199584,B100000,00000,0200,0200(SQUARE FEET) 199584,B100000,00000,0201,0201(SQUARE FEET) 199584,B100000,00000,0300,0300(GROSS SALARIES) 199584,B100000,00000,0400,0400ACCUM COST 199584,B100000,00000,0500,0500(SQUARE FEET) 199584,B100000,00000,0600,0600(PATIENT DAYS) 199584,B100000,00000,0700,0700(SQUARE FEET) 199584,B100000,00000,0800,0800(MEALS SERVED) 199584,B100000,00000,0801,0801(MEALS SERVED) 199584,B100000,00000,0900,0900(NURSING SALARIES) 199584,B100000,00000,1000,1000(COSTED REQUIS.) 199584,B100000,00000,1100,1100(PATIENT DAYS) 199584,B100000,00000,1200,1200(GROSS CHARGES) 199584,B100000,00000,1300,1300(PATIENT DAYS) 199584,B100000,00000,1400,1400(ASSIGNED TIME) 199584,B100000,00000,1500,1350(PATIENT DAYS) 199584,S000000,00100,0200,05/26/00 199584,S200000,00100,0100,400 GROTON ROAD 199584,S200000,00200,0100,AYER 199584,S200000,00200,0200,MA 199584,S200000,00200,0300,01432 199584,S200000,00300,0100,MIDDLESEX 199584,S200000,00300,0200,1123 199584,S200000,00300,0300,U 199584,S200000,00400,0100,APPLE VALLEY N.H 199584,S200000,00400,0200,225421 199584,S200000,00400,0300,07/01/90 199584,S200000,00400,0500,P 199584,S200000,01500,0100,N 199584,S200000,01600,0100,Y 199584,S200000,01700,0100,N 199584,S200000,01800,0100,N 199584,S200000,02200,0100,N 199584,S200000,02800,0100,N 199584,S200000,02900,0100,N 199584,S200000,03000,0100,N 199584,S200000,03100,0100,N 199584,S200000,03200,0100,N 199584,S200000,03300,0100,N 199584,S200000,03300,0200,N 199584,S200000,04100,0100,N 199584,S200000,04200,0100,N 199584,S200000,04300,0100,N 199584,S200000,04600,0100,N 199584,S200000,04700,0100,N 199584,S200000,04900,0100,N 199584,S200000,05200,0100,N 199586,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199586,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 199586,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199586,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 199586,A000000,00300,0000,0300EMPLOYEE BENEFITS 199586,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199586,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199586,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199586,A000000,00700,0000,0700HOUSEKEEPING 199586,A000000,00800,0000,0800DIETARY 199586,A000000,00801,0000,0801CAFETERIA 199586,A000000,00900,0000,0900NURSING ADMINISTRATION 199586,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199586,A000000,01100,0000,1100PHARMACY 199586,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199586,A000000,01300,0000,1300SOCIAL SERVICE 199586,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199586,A000000,01500,0000,1350ACTIVITIES 199586,A000000,01600,0000,1600SKILLED NURSING FACILITY 199586,A000000,01800,0000,1800NURSING FACILITY 199586,A000000,01810,0000,1810ICF/MR 199586,A000000,02100,0000,2100RADIOLOGY 199586,A000000,02200,0000,2200LABORATORY 199586,A000000,02300,0000,2300INTRAVENOUS THERAPY 199586,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 199586,A000000,02500,0000,2500PHYSICAL THERAPY 199586,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199586,A000000,02700,0000,2700SPEECH PATHOLOGY 199586,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199586,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199586,A000000,03300,0000,3050PENN THERAPY 199586,A000000,03301,0000,3051FEE SCREENING 199586,A000000,03302,0000,3052OTHER ANCILLARY III 199586,A000000,03550,0000,3550FQHC 199586,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 199586,A000000,04800,0000,4800AMBULANCE 199586,A000000,04801,0000,4801AMBULANCE 199586,A000000,04802,0000,4802AMBULANCE 199586,A000000,04803,0000,4803AMBULANCE 199586,A000000,05000,0000,5000CORF I 199586,A000000,05010,0000,5010CMHC I 199586,A000000,05020,0000,5020OPT I 199586,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199586,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199586,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199586,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 199586,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 199586,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199586,A81000A,00100,0100,Y 199586,A81000B,00100,0300,HOME OFFICE ALLOCATION 199586,A81000B,00200,0300,HOME OFFICE ALLOCATION 199586,A81000B,00300,0300,INTEREST ALLOCATION 199586,A81000B,00400,0300,SEE ATTACHED 199586,A81000C,00100,0100,B 199586,A81000C,00100,0400,GENESIS HEALTH 199586,A81000C,00100,0600,HOME OFFICE 199586,A81000C,00200,0100,B 199586,A81000C,00200,0400,GENESIS HEALTH 199586,A81000C,00200,0600,HOME OFFICE 199586,A81000C,00300,0100,B 199586,A81000C,00300,0400,GENESIS HEALTH 199586,A81000C,00300,0600,HOME OFFICE 199586,A81000C,00400,0100,B 199586,A81000C,00400,0400,SEE ATTACHED 199586,A81000C,00400,0600,VARIOUS 199586,A81000C,03100,0000,LEGAL 199586,B100000,00000,0100,0100(SQUARE FEET) 199586,B100000,00000,0101,0101(SQUARE FEET) 199586,B100000,00000,0200,0200(SQUARE FEET) 199586,B100000,00000,0201,0201(SQUARE FEET) 199586,B100000,00000,0300,0300(GROSS SALARIES) 199586,B100000,00000,0400,0400ACCUM COST 199586,B100000,00000,0500,0500(SQUARE FEET) 199586,B100000,00000,0600,0600(PATIENT DAYS) 199586,B100000,00000,0700,0700(SQUARE FEET) 199586,B100000,00000,0800,0800(MEALS SERVED) 199586,B100000,00000,0801,0801(MEALS SERVED) 199586,B100000,00000,0900,0900(NURSING SALARIES) 199586,B100000,00000,1000,1000(COSTED REQUIS.) 199586,B100000,00000,1100,1100(PATIENT DAYS) 199586,B100000,00000,1200,1200(GROSS CHARGES) 199586,B100000,00000,1300,1300(PATIENT DAYS) 199586,B100000,00000,1400,1400(ASSIGNED TIME) 199586,B100000,00000,1500,1350(PATIENT DAYS) 199586,S000000,00100,0200,05/26/00 199586,S200000,00100,0100,32 HOSPITAL HILL ROAD 199586,S200000,00200,0100,GARDNER 199586,S200000,00200,0200,MA 199586,S200000,00200,0300,01440 199586,S200000,00300,0100,WORCHESTER 199586,S200000,00300,0200,1123 199586,S200000,00300,0300,U 199586,S200000,00400,0100,WACHUSETT MANOR NURSING HOME 199586,S200000,00400,0200,225533 199586,S200000,00400,0300,09/17/97 199586,S200000,00400,0500,P 199586,S200000,01500,0100,N 199586,S200000,01600,0100,Y 199586,S200000,01700,0100,N 199586,S200000,01800,0100,N 199586,S200000,02200,0100,Y 199586,S200000,02800,0100,N 199586,S200000,02900,0100,N 199586,S200000,03000,0100,N 199586,S200000,03100,0100,N 199586,S200000,03200,0100,N 199586,S200000,03300,0100,N 199586,S200000,03300,0200,N 199586,S200000,04100,0100,N 199586,S200000,04200,0100,N 199586,S200000,04300,0100,N 199586,S200000,04600,0100,N 199586,S200000,04700,0100,N 199586,S200000,04900,0100,N 199586,S200000,05200,0100,N 199630,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199630,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199630,A000000,00300,0000,0300EMPLOYEE BENEFITS 199630,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199630,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199630,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199630,A000000,00700,0000,0700HOUSEKEEPING 199630,A000000,00800,0000,0800DIETARY 199630,A000000,00900,0000,0900NURSING ADMINISTRATION 199630,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199630,A000000,01100,0000,1100PHARMACY 199630,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199630,A000000,01300,0000,1300SOCIAL SERVICE 199630,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199630,A000000,01500,0000,1350PATIENT ACTIVITIES 199630,A000000,01600,0000,1600SKILLED NURSING FACILITY 199630,A000000,01800,0000,1800NURSING FACILITY 199630,A000000,01810,0000,1810ICF/MR 199630,A000000,02100,0000,2100RADIOLOGY 199630,A000000,02200,0000,2200LABORATORY 199630,A000000,02300,0000,2300INTRAVENOUS THERAPY 199630,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 199630,A000000,02500,0000,2500PHYSICAL THERAPY 199630,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199630,A000000,02700,0000,2700SPEECH PATHOLOGY 199630,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199630,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199630,A000000,03001,0000,3001AIR FLUIDIZED BEDS 199630,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 199630,A000000,03550,0000,3550FQHC 199630,A000000,04801,0000,4801AMBULANCE 199630,A000000,04802,0000,4802AMBULANCE 199630,A000000,04803,0000,4803AMBULANCE 199630,A000000,05000,0000,5000CORF 199630,A000000,05010,0000,5010CMHC 199630,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 199630,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199630,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199630,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199630,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 199630,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199630,A81000A,00100,0100,Y 199630,A81000B,00100,0300,MANAGEMENT FEES 199630,A81000C,00100,0100,F 199630,A81000C,00100,0200,HARRIS MANAGEMENT INC 199630,A81000C,00100,0400,HARRIS MANAGEMENT INC 199630,A81000C,00100,0600,MANAGEMENT COMPANY 199630,B100000,00000,0100,0100SQUARE FEET 199630,B100000,00000,0200,0200SQUARE FEET 199630,B100000,00000,0300,0300GROSS SALARIES 199630,B100000,00000,0400,0400ACCUM COST 199630,B100000,00000,0500,0500SQUARE FEET 199630,B100000,00000,0600,0600PATIENT DAYS 199630,B100000,00000,0700,0700SQUARE FEET 199630,B100000,00000,0800,0800MEALS SERVED 199630,B100000,00000,0900,0900DIRECT NRSING HRS 199630,B100000,00000,1000,1000COSTED REQUIS 199630,B100000,00000,1100,1100COSTED REQUIS 199630,B100000,00000,1200,1200PATIENT DAYS 199630,B100000,00000,1300,1300PATIENT DAYS 199630,B100000,00000,1400,1400ASSIGNED TIME 199630,B100000,00000,1500,1350PATIENT DAYS 199630,E10A180,00501,0100,06/28/00 199630,E10A180,00501,0300,06/28/00 199630,S000000,00100,0200,06/01/00 199630,S200000,00100,0100,400 HOSPITAL ROAD 199630,S200000,00100,0300,320 199630,S200000,00200,0100,NEW ROADS 199630,S200000,00200,0200,LA 199630,S200000,00200,0300,70760 199630,S200000,00300,0100,POINT COUPEE 199630,S200000,00300,0200,0019 199630,S200000,00300,0300,R 199630,S200000,00400,0100,LAKEVIEW MANOR 199630,S200000,00400,0200,195446 199630,S200000,00400,0300,11/01/97 199630,S200000,00400,0500,P 199630,S200000,01500,0100,N 199630,S200000,01600,0100,Y 199630,S200000,01700,0100,N 199630,S200000,01800,0100,N 199630,S200000,02200,0100,N 199630,S200000,02800,0100,N 199630,S200000,02900,0100,N 199630,S200000,03000,0100,N 199630,S200000,03100,0100,N 199630,S200000,03200,0100,N 199630,S200000,03300,0100,N 199630,S200000,03300,0200,N 199630,S200000,04100,0100,N 199630,S200000,04200,0100,N 199630,S200000,04300,0100,N 199630,S200000,04600,0100,N 199630,S200000,04700,0100,N 199630,S200000,04900,0100,N 199630,S200000,05200,0100,N 199635,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199635,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199635,A000000,00300,0000,0300EMPLOYEE BENEFITS 199635,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199635,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199635,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199635,A000000,00700,0000,0700HOUSEKEEPING 199635,A000000,00800,0000,0800DIETARY 199635,A000000,00900,0000,0900NURSING ADMINISTRATION 199635,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199635,A000000,01100,0000,1100PHARMACY 199635,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199635,A000000,01300,0000,1300SOCIAL SERVICE 199635,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199635,A000000,01500,0000,1350OTHER GENERAL SERVICES 199635,A000000,01600,0000,1600SKILLED NURSING FACILITY 199635,A000000,01800,0000,1800NURSING FACILITY 199635,A000000,01810,0000,1810ICF/MR 199635,A000000,02100,0000,2100RADIOLOGY 199635,A000000,02200,0000,2200LABORATORY 199635,A000000,02300,0000,2300INTRAVENOUS THERAPY 199635,A000000,02500,0000,2500PHYSICAL THERAPY 199635,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199635,A000000,02700,0000,2700SPEECH PATHOLOGY 199635,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199635,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199635,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 199635,A000000,03550,0000,3550FQHC 199635,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 199635,A000000,04801,0000,4801AMBULANCE 199635,A000000,04802,0000,4802AMBULANCE 199635,A000000,04803,0000,4803AMBULANCE 199635,A000000,05000,0000,5000CORF 199635,A000000,05010,0000,5010CMHC 199635,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 199635,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199635,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199635,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199635,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 199635,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 199635,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199635,A81000A,00100,0100,N 199635,B100000,00000,0100,0100SQUARE FEET 199635,B100000,00000,0200,0200SQUARE FEET 199635,B100000,00000,0300,0300GROSS SALARIES 199635,B100000,00000,0400,0400ACCUM COST 199635,B100000,00000,0500,0500SQUARE FEET 199635,B100000,00000,0600,0600POUNDS OF LAUNDRY 199635,B100000,00000,0700,0700SQUARE FEET 199635,B100000,00000,0800,0800MEALS SERVED 199635,B100000,00000,0900,0900DIRECT NRSING HRS 199635,B100000,00000,1000,1000COSTED REQUIS. 199635,B100000,00000,1100,1100COSTED REQUIS. 199635,B100000,00000,1200,1200TIME SPENT 199635,B100000,00000,1300,1300TIME SPENT 199635,B100000,00000,1400,1400ASSIGNED TIME 199635,B100000,00000,1500,1350NO STATISTICS 199635,E10A180,00501,0100, 7/06/00 199635,S000000,00100,0200,05/25/00 199635,S200000,00100,0100,333 LEE DR 199635,S200000,00100,0300,70808 199635,S200000,00200,0100,BATON ROUGE 199635,S200000,00200,0200,LA 199635,S200000,00200,0300,70808 199635,S200000,00300,0100,EAST BATON ROUGE 199635,S200000,00300,0200,0760 199635,S200000,00300,0300,U 199635,S200000,00400,0100,ST JAMES PLACE OF BATON ROUGE INC 199635,S200000,00400,0200,195410 199635,S200000,00400,0300,04/28/97 199635,S200000,00400,0500,P 199635,S200000,01500,0100,N 199635,S200000,01600,0100,Y 199635,S200000,01700,0100,N 199635,S200000,01800,0100,N 199635,S200000,02200,0100,N 199635,S200000,02800,0100,N 199635,S200000,02900,0100,N 199635,S200000,03000,0100,N 199635,S200000,03100,0100,N 199635,S200000,03200,0100,N 199635,S200000,03300,0100,N 199635,S200000,03300,0200,N 199635,S200000,04100,0100,N 199635,S200000,04200,0100,N 199635,S200000,04300,0100,Y 199635,S200000,04600,0100,N 199635,S200000,04700,0100,N 199635,S200000,04700,0200,N 199635,S200000,04900,0100,N 199742,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 199742,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 199742,A000000,00300,0000,0300EMPLOYEE BENEFITS 199742,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199742,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 199742,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199742,A000000,00700,0000,0700HOUSEKEEPING 199742,A000000,00800,0000,0800DIETARY 199742,A000000,00900,0000,0900NURSING ADMINISTRATION 199742,A000000,00901,0000,0901OTHER NURSING 199742,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199742,A000000,01100,0000,1100PHARMACY 199742,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199742,A000000,01300,0000,1300SOCIAL SERVICE 199742,A000000,01301,0000,1301ACTIVITIES 199742,A000000,01600,0000,1600SKILLED NURSING FACILITY 199742,A000000,01800,0000,1800NURSING FACILITY 199742,A000000,02100,0000,2100RADIOLOGY 199742,A000000,02200,0000,2200LABORATORY 199742,A000000,02300,0000,2300INTRAVENOUS THERAPY 199742,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 199742,A000000,02500,0000,2500PHYSICAL THERAPY 199742,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199742,A000000,02700,0000,2700SPEECH PATHOLOGY 199742,A000000,02800,0000,2800ELECTROCARDIOLOGY 199742,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 199742,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199742,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 199742,A000000,03301,0000,3051NUTRITIONAL THERAPY 199742,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 199742,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 199742,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 199742,A000000,04800,0000,4800AMBULANCE 199742,A000000,05100,0000,4750OTHER REIMBURSABLE COST 199742,A000000,05300,0000,5300INTEREST EXPENSE 199742,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 199742,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 199742,A000000,05900,0000,5900BARBER & BEAUTY SHOP 199742,A000000,06200,0000,6200PATIENTS LAUNDRY 199742,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 199742,A000000,06301,0000,6151DAY CARE 199742,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 199742,A000000,06303,0000,6153DISTRICT OFFICE SPACE 199742,A81000A,00100,0100,Y 199742,A81000B,00100,0300,HOME OFFICE COSTS 199742,A81000B,00200,0300,LIABILITY INSURANCE 199742,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 199742,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 199742,A81000B,00500,0300,VC PHARMACY - ADMIN 199742,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 199742,A81000B,00700,0300,VC PHARMACY - LAUNDRY 199742,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 199742,A81000B,00900,0300,VC PHARMACY - DIETARY 199742,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 199742,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 199742,A81000B,01200,0300,VC PHARMACY - NONLEGEND 199742,A81000B,01300,0300,VC PHARMACY - MED RECORDS 199742,A81000B,01400,0300,VC PHARMACY - SOC SVCS 199742,A81000B,01500,0300,VC PHARMACY - ACTIVITY 199742,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 199742,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 199742,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 199742,A81000B,01900,0300,VC PHARMACY - LAB 199742,A81000B,02000,0300,VC PHARMACY - IV THERAPY 199742,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 199742,A81000B,02200,0300,VENCARE REHAB - PHYS THER 199742,A81000B,02300,0300,VENCARE REHAB - OCCP THER 199742,A81000B,02400,0300,VENCARE REHAB - SPEECH THER 199742,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 199742,A81000B,02600,0300,VC PHARMACY - LEGEND 199742,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 199742,A81000B,02800,0300,VC PHARMACY - NUTR THER 199742,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 199742,A81000C,00100,0100,B 199742,A81000C,00100,0200,TENET HEALTHCARE CORP 199742,A81000C,00100,0400,TENET HEALTHCARE CORP 199742,A81000C,00100,0600,HEALTHCARE 199742,A81000C,00200,0400,HOSPITAL UNDERWRITERS GRP 199742,A81000C,00200,0600,INSURANCE 199742,A81000C,00300,0400,MEADOWCREST HOSPITAL 199742,A81000C,00300,0600,RESPIRATORY THERAPY 199742,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 199742,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 199742,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 199742,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 199742,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 199742,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 199742,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 199742,B100000,00000,0800,0850PATIENT DAYS :DIETARY 199742,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 199742,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 199742,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 199742,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 199742,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 199742,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 199742,S000000,00100,0200,12/11/00 199742,S200000,00100,0100,4502 GENERAL MEYER AVENUE 199742,S200000,00200,0100,NEW ORLEANS 199742,S200000,00200,0200,LA 199742,S200000,00200,0300,70014- 199742,S200000,00300,0100,ORLEANS 199742,S200000,00300,0300,U 199742,S200000,00400,0100,990 - JO ELLEN SMITH CONV CENTER 199742,S200000,00400,0200,195204 199742,S200000,00400,0300,08/19/86 199742,S200000,00400,0500,P 199742,S200000,01500,0100,N 199742,S200000,01600,0100,Y 199742,S200000,01700,0100,N 199742,S200000,01800,0100,N 199742,S200000,02200,0100,Y 199742,S200000,02800,0100,N 199742,S200000,02900,0100,N 199742,S200000,03000,0100,N 199742,S200000,03100,0100,N 199742,S200000,03200,0100,N 199742,S200000,04100,0100,N 199742,S200000,04200,0100,N 199742,S200000,04300,0100,N 199742,S200000,04600,0100,N 199742,S200000,04700,0100,N 199742,S200000,04700,0200,N 199742,S200000,04900,0100,N 199742,S200000,05000,0100,N 199742,S200000,05100,0100,N 199742,S200000,05200,0100,N 199860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 199860,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 199860,A000000,00300,0000,0300EMPLOYEE BENEFITS 199860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 199860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199860,A000000,00700,0000,0700HOUSEKEEPING 199860,A000000,00800,0000,0800DIETARY 199860,A000000,00900,0000,0900NURSING ADMINISTRATION 199860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199860,A000000,01100,0000,1100PHARMACY 199860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199860,A000000,01300,0000,1300SOCIAL SERVICE 199860,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 199860,A000000,01600,0000,1600SKILLED NURSING FACILITY 199860,A000000,01800,0000,1800NURSING FACILITY 199860,A000000,01810,0000,1810ICF/MR 199860,A000000,02100,0000,2100RADIOLOGY 199860,A000000,02200,0000,2200LABORATORY 199860,A000000,02500,0000,2500PHYSICAL THERAPY 199860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199860,A000000,02700,0000,2700SPEECH PATHOLOGY 199860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 199860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199860,A000000,03550,0000,3550FQHC 199860,A000000,04801,0000,4801AMBULANCE 199860,A000000,04802,0000,4802AMBULANCE 199860,A000000,04803,0000,4803AMBULANCE 199860,A000000,05000,0000,5000CORF 199860,A000000,05010,0000,5010CMHC 199860,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 199860,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 199860,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 199860,A000000,05300,0000,5300INTEREST EXPENSE 199860,A81000A,00100,0100,Y 199860,A81000B,00100,0300,RENT 199860,A81000B,00200,0300,STORAGE 199860,A81000B,00300,0300,STORAGE CAPITAL COST 199860,A81000B,00400,0300,BDE ACCT & PUB REL 199860,A81000B,00500,0300,HOME OFF MGMT FEE 199860,A81000B,00600,0300,HOME OFF MGMT FEE 199860,A81000C,00100,0100,A 199860,A81000C,00100,0600,NURSING HOME MG 199860,A81000C,00200,0100,A 199860,A81000C,00200,0400,CHOCTAW WAREHOU 199860,A81000C,00200,0600,STORAGE 199860,B100000,00000,0100,0100SQUARE FEET 199860,B100000,00000,0200,0200SQUARE FEET 199860,B100000,00000,0300,0300GROSS SALARIES 199860,B100000,00000,0400,0400ACCUM COST 199860,B100000,00000,0500,0500SQUARE FEET 199860,B100000,00000,0600,0600PATIENT DAYS 199860,B100000,00000,0700,0700SQUARE FEET 199860,B100000,00000,0800,0800MEALS SERVED 199860,B100000,00000,0900,0900PATIENT DAYS 199860,B100000,00000,1000,1000COSTED REQUIS 199860,B100000,00000,1100,1100COSTED REQUIS 199860,B100000,00000,1200,1200PATIENT DAYS 199860,B100000,00000,1300,1300PATIENT DAYS 199860,B100000,00000,1400,1400ASSIGNED TIME 199860,E10A180,00301,0100,05/09/00 199860,E10A180,00501,0100,09/20/00 199860,E10A180,00550,0300,09/20/00 199860,S000000,00100,0200,08/07/00 199860,S200000,00100,0100,328 WEST GROLEE STREET 199860,S200000,00200,0100,OPELOUSAS 199860,S200000,00200,0200,LA 199860,S200000,00200,0300,70570 199860,S200000,00300,0100,ST. LANDRY 199860,S200000,00300,0200,3880 199860,S200000,00300,0300,U 199860,S200000,00400,0100,MAISON DE VILLE OF OPELOUSAS 199860,S200000,00400,0200,195321 199860,S200000,00400,0300,02/01/95 199860,S200000,00400,0500,P 199860,S200000,00400,0600,O 199860,S200000,01500,0100,N 199860,S200000,01600,0100,Y 199860,S200000,01700,0100,N 199860,S200000,01800,0100,N 199860,S200000,02200,0100,Y 199860,S200000,02800,0100,N 199860,S200000,02900,0100,N 199860,S200000,03000,0100,N 199860,S200000,03100,0100,N 199860,S200000,03200,0100,N 199860,S200000,03300,0100,N 199860,S200000,03300,0200,N 199860,S200000,04100,0100,N 199860,S200000,04200,0100,N 199860,S200000,04300,0100,N 199860,S200000,04600,0100,N 199860,S200000,04700,0100,N 199860,S200000,04900,0100,N 199860,S200000,05200,0100,N 199872,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 199872,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 199872,A000000,00300,0000,0300EMPLOYEE BENEFITS 199872,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 199872,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 199872,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 199872,A000000,00700,0000,0700HOUSEKEEPING 199872,A000000,00800,0000,0800DIETARY 199872,A000000,00900,0000,0900NURSING ADMINISTRATION 199872,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 199872,A000000,01100,0000,1100PHARMACY 199872,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 199872,A000000,01300,0000,1300SOCIAL SERVICE 199872,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 199872,A000000,01500,0000,1350ACTIVITIES 199872,A000000,01600,0000,1600SKILLED NURSING FACILITY 199872,A000000,01800,0000,1800NURSING FACILITY 199872,A000000,01900,0000,1900OTHER LONG TERM CARE 199872,A000000,02100,0000,2100RADIOLOGY 199872,A000000,02200,0000,2200LABORATORY 199872,A000000,02300,0000,2300INTRAVENOUS THERAPY 199872,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 199872,A000000,02500,0000,2500PHYSICAL THERAPY 199872,A000000,02600,0000,2600OCCUPATIONAL THERAPY 199872,A000000,02700,0000,2700SPEECH PATHOLOGY 199872,A000000,02800,0000,2800ELECTROCARDIOLOGY 199872,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 199872,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 199872,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 199872,A000000,03200,0000,3200SUPPORT SURFACES 199872,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 199872,A000000,03400,0000,3400CLINIC 199872,A000000,03500,0000,3500RURAL HEALTH CLINIC 199872,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 199872,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 199872,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 199872,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 199872,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 199872,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 199872,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 199872,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 199872,A000000,04400,0000,4400DME RENTED - HHA 199872,A000000,04500,0000,4500DME SOLD - HHA 199872,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 199872,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 199872,A000000,04800,0000,4800AMBULANCE 199872,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 199872,A000000,05000,0000,5000CORF 199872,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 199872,A000000,05300,0000,5300INTEREST EXPENSE 199872,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 199872,A000000,05500,0000,5500HOSPICE 199872,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 199872,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 199872,A000000,05900,0000,5900BARBER & BEAUTY SHOP 199872,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 199872,A000000,06100,0000,6100NONPAID WORKERS 199872,A000000,06200,0000,6200PATIENTS LAUNDRY 199872,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 199872,A81000A,00100,0100,Y 199872,A81000B,00100,0300,ADMIN & GEN 199872,A81000C,00100,0100,B 199872,A81000C,00100,0200,RHA INC 199872,A81000C,00100,0600,LTC 199872,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 199872,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 199872,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 199872,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 199872,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 199872,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 199872,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 199872,B100000,00000,0800,0850PATIENT DAYS :DIETARY 199872,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 199872,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 199872,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 199872,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 199872,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 199872,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 199872,S000000,00100,0200,12/04/00 199872,S200000,00100,0100,900 S 12TH STREET 199872,S200000,00200,0100,ROCKY FORD 199872,S200000,00200,0200,CO 199872,S200000,00200,0300,81067- 199872,S200000,00300,0100,OTERO 199872,S200000,00300,0200,06 199872,S200000,00300,0300,R 199872,S200000,00400,0100,PIONEER HEALTH CARE CENTER 199872,S200000,00400,0200,065235 199872,S200000,00400,0300,11/30/94 199872,S200000,00400,0500,P 199872,S200000,01500,0100,N 199872,S200000,01600,0100,Y 199872,S200000,01700,0100,N 199872,S200000,01800,0100,N 199872,S200000,02200,0100,N 199872,S200000,02800,0100,N 199872,S200000,02900,0100,N 199872,S200000,03000,0100,N 199872,S200000,03100,0100,N 199872,S200000,03200,0100,N 199872,S200000,04100,0100,N 199872,S200000,04200,0100,N 199872,S200000,04300,0100,N 199872,S200000,04600,0100,N 199872,S200000,04700,0100,N 199872,S200000,04700,0200,N 199872,S200000,04900,0100,N 199872,S200000,05000,0100,N 199872,S200000,05100,0100,N 199872,S200000,05200,0100,N 200024,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200024,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200024,A000000,00300,0000,0300EMPLOYEE BENEFITS 200024,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200024,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200024,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200024,A000000,00700,0000,0700HOUSEKEEPING 200024,A000000,00800,0000,0800DIETARY 200024,A000000,00900,0000,0900NURSING ADMINISTRATION 200024,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200024,A000000,01100,0000,1100PHARMACY 200024,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200024,A000000,01300,0000,1300SOCIAL SERVICE 200024,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200024,A000000,01600,0000,1600SKILLED NURSING FACILITY 200024,A000000,01800,0000,1800NURSING FACILITY 200024,A000000,01810,0000,1810ICF/MR 200024,A000000,02100,0000,2100RADIOLOGY 200024,A000000,02200,0000,2200LABORATORY 200024,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200024,A000000,02500,0000,2500PHYSICAL THERAPY 200024,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200024,A000000,02700,0000,2700SPEECH PATHOLOGY 200024,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200024,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200024,A000000,03550,0000,3550FQHC 200024,A000000,04801,0000,4801AMBULANCE 200024,A000000,04802,0000,4802AMBULANCE 200024,A000000,04803,0000,4803AMBULANCE 200024,A000000,05000,0000,5000CORF 200024,A000000,05010,0000,5010CMHC 200024,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200024,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200024,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200024,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200024,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200024,A81000A,00100,0100,Y 200024,A81000B,00100,0300,BUILDING LEASE 200024,A81000B,00200,0300,BUILDING DEPRECIATION 200024,A81000B,00300,0300,BUILDING INTEREST 200024,A81000C,00100,0100,B 200024,A81000C,00100,0200,QUEEN CITY NURSING HOME 200024,A81000C,00100,0400,MICHAEL HOWARD 200024,A81000C,00100,0600,INDIVIDUAL 200024,B100000,00000,0100,0100SQUARE FEET 200024,B100000,00000,0200,0200SQUARE FEET 200024,B100000,00000,0300,0300GROSS SALARIES 200024,B100000,00000,0400,0400ACCUM COST 200024,B100000,00000,0500,0500SQUARE FEET 200024,B100000,00000,0600,0600PATIENT DAYS 200024,B100000,00000,0700,0700SQUARE FEET 200024,B100000,00000,0800,0800MEALS SERVED 200024,B100000,00000,0900,0900DIRECT NRSING HRS 200024,B100000,00000,1000,1000COSTED REQUIS. 200024,B100000,00000,1100,1100COSTED REQUIS. 200024,B100000,00000,1200,1200GROSS REVENUE 200024,B100000,00000,1300,1300PATIENT DAYS 200024,B100000,00000,1400,1400ASSIGNED TIME 200024,E10A180,00501,0100,06/27/00 200024,E10A180,00501,0300,06/27/00 200024,S000000,00100,0200,06/01/00 200024,S200000,00100,0100,1201 28TH AVENUE 200024,S200000,00200,0100,MERIDIAN 200024,S200000,00200,0200,MS 200024,S200000,00200,0300,39301 200024,S200000,00300,0100,LAUDERDALE 200024,S200000,00300,0200,0025 200024,S200000,00300,0300,R 200024,S200000,00400,0100,QUEEN CITY NURSING CENTER 200024,S200000,00400,0200,255166 200024,S200000,00400,0300,10/01/93 200024,S200000,00400,0500,P 200024,S200000,01500,0100,N 200024,S200000,01600,0100,Y 200024,S200000,01700,0100,N 200024,S200000,01800,0100,N 200024,S200000,02200,0100,N 200024,S200000,02800,0100,N 200024,S200000,02900,0100,N 200024,S200000,03000,0100,N 200024,S200000,03100,0100,N 200024,S200000,03200,0100,N 200024,S200000,03300,0100,N 200024,S200000,03300,0200,N 200024,S200000,04100,0100,N 200024,S200000,04200,0100,N 200024,S200000,04300,0100,N 200024,S200000,04600,0100,N 200024,S200000,04700,0100,N 200024,S200000,04900,0100,N 200024,S200000,05200,0100,N 200034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200034,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200034,A000000,00300,0000,0300EMPLOYEE BENEFITS 200034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200034,A000000,00700,0000,0700HOUSEKEEPING 200034,A000000,00800,0000,0800DIETARY 200034,A000000,00900,0000,0900NURSING ADMINISTRATION 200034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200034,A000000,01100,0000,1100PHARMACY 200034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200034,A000000,01300,0000,1300SOCIAL SERVICE 200034,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200034,A000000,01500,0000,1350OTHER GENERAL SERVICES 200034,A000000,01600,0000,1600SKILLED NURSING FACILITY 200034,A000000,01800,0000,1800NURSING FACILITY 200034,A000000,01810,0000,1810ICF/MR 200034,A000000,02200,0000,2200LABORATORY 200034,A000000,02300,0000,2300INTRAVENOUS THERAPY 200034,A000000,02500,0000,2500PHYSICAL THERAPY 200034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200034,A000000,02700,0000,2700SPEECH PATHOLOGY 200034,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200034,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200034,A000000,03550,0000,3550FQHC 200034,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200034,A000000,04801,0000,4801AMBULANCE 200034,A000000,04802,0000,4802AMBULANCE 200034,A000000,04803,0000,4803AMBULANCE 200034,A000000,05000,0000,5000CORF 200034,A000000,05010,0000,5010CMHC 200034,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200034,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200034,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200034,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200034,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200034,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200034,A81000A,00100,0100,Y 200034,A81000B,00100,0300,FACILITY LEASE 200034,A81000C,00100,0100,A 200034,A81000C,00100,0200,CHERYL PARSONS 200034,A81000C,00100,0400,NEW VISION CARE ASSOC II 200034,A81000C,00100,0600,FACILITY LESSOR 200034,A81000C,00200,0100,A 200034,A81000C,00200,0200,GEORGE MATHES 200034,A81000C,00200,0400,NEW VISION CARE ASSOC II 200034,A81000C,00200,0600,FACILITY LESSOR 200034,B100000,00000,0100,0100NO STATISTICS 200034,B100000,00000,0200,0200NO STATISTICS 200034,B100000,00000,0300,0300NO STATISTICS 200034,B100000,00000,0400,0400ACCUM COST 200034,B100000,00000,0500,0500NO STATISTICS 200034,B100000,00000,0600,0600NO STATISTICS 200034,B100000,00000,0700,0700NO STATISTICS 200034,B100000,00000,0800,0800NO STATISTICS 200034,B100000,00000,0900,0900NO STATISTICS 200034,B100000,00000,1000,1000NO STATISTICS 200034,B100000,00000,1100,1100NO STATISTICS 200034,B100000,00000,1200,1200NO STATISTICS 200034,B100000,00000,1300,1300NO STATISTICS 200034,B100000,00000,1400,1400NO STATISTICS 200034,B100000,00000,1500,1350NO STATISTICS 200034,E10A180,00501,0100,07/31/00 200034,E10A180,00501,0300,07/31/00 200034,S000000,00100,0200,06/15/00 200034,S200000,00100,0100,3111 HIGHWAY A 200034,S200000,00200,0100,MANSFIELD 200034,S200000,00200,0200,MO 200034,S200000,00200,0300,65704 200034,S200000,00300,0100,WRIGHT 200034,S200000,00300,0200,0026 200034,S200000,00300,0300,R 200034,S200000,00400,0100,ROCKY RIDGE MANOR 200034,S200000,00400,0200,265494 200034,S200000,00400,0300,01/01/93 200034,S200000,00400,0500,P 200034,S200000,00400,0600,P 200034,S200000,01500,0100,N 200034,S200000,01600,0100,Y 200034,S200000,01700,0100,N 200034,S200000,01800,0100,N 200034,S200000,02200,0100,N 200034,S200000,02800,0100,N 200034,S200000,02900,0100,N 200034,S200000,03000,0100,N 200034,S200000,03100,0100,N 200034,S200000,03200,0100,N 200034,S200000,03300,0100,N 200034,S200000,03300,0200,N 200034,S200000,04100,0100,N 200034,S200000,04200,0100,N 200034,S200000,04300,0100,N 200034,S200000,04600,0100,N 200034,S200000,04700,0100,N 200034,S200000,04900,0100,N 200034,S200000,05200,0100,N 200036,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200036,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200036,A000000,00300,0000,0300EMPLOYEE BENEFITS 200036,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200036,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200036,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200036,A000000,00700,0000,0700HOUSEKEEPING 200036,A000000,00800,0000,0800DIETARY 200036,A000000,00900,0000,0900NURSING ADMINISTRATION 200036,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200036,A000000,01100,0000,1100PHARMACY 200036,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200036,A000000,01300,0000,1300SOCIAL SERVICE 200036,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200036,A000000,01500,0000,1350OTHER GENERAL SERVICES 200036,A000000,01600,0000,1600SKILLED NURSING FACILITY 200036,A000000,01800,0000,1800NURSING FACILITY 200036,A000000,01810,0000,1810ICF/MR 200036,A000000,01900,0000,1900OTHER LONG TERM CARE 200036,A000000,02100,0000,2100RADIOLOGY 200036,A000000,02200,0000,2200LABORATORY 200036,A000000,02500,0000,2500PHYSICAL THERAPY 200036,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200036,A000000,02700,0000,2700SPEECH PATHOLOGY 200036,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200036,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200036,A000000,03200,0000,3200SUPPORT SURFACES 200036,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200036,A000000,03550,0000,3550FQHC 200036,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200036,A000000,04801,0000,4801AMBULANCE 200036,A000000,04802,0000,4802AMBULANCE 200036,A000000,04803,0000,4803AMBULANCE 200036,A000000,05000,0000,5000CORF 200036,A000000,05010,0000,5010CMHC 200036,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200036,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200036,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200036,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200036,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200036,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200036,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200036,A81000A,00100,0100,N 200036,B100000,00000,0100,0100SQUARE FEET 200036,B100000,00000,0200,0200NO STATISTICS 200036,B100000,00000,0300,0300GROSS SALARIES 200036,B100000,00000,0400,0400ACCUM COST 200036,B100000,00000,0500,0500SQUARE FEET 200036,B100000,00000,0600,0600POUNDS OF LAUNDRY 200036,B100000,00000,0700,0700SQUARE FEET C 200036,B100000,00000,0800,0800MEALS SERVED 200036,B100000,00000,0900,0900DIRECT NRSING HRS 200036,B100000,00000,1000,1000COSTED REQUIS 200036,B100000,00000,1100,1100NO STATISTICS 200036,B100000,00000,1200,1200NO STATISTICS 200036,B100000,00000,1300,1300NO STATISTICS 200036,B100000,00000,1400,1400NO STATISTICS 200036,B100000,00000,1500,1350NO STATISTICS 200036,E10A180,00301,0100,05/10/00 200036,E10A180,00550,0300,01/08/01 200036,S000000,00100,0200,11/27/00 200036,S200000,00100,0100,1687 W WASHINGTON 200036,S200000,00200,0100,MARSHFIELD 200036,S200000,00200,0200,MO 200036,S200000,00200,0300,65706 200036,S200000,00300,0100,WEBSTER 200036,S200000,00300,0200,7920 200036,S200000,00300,0300,U 200036,S200000,00400,0100,WEBCO MANOR 200036,S200000,00400,0200,265520 200036,S200000,00400,0300,01/01/93 200036,S200000,00400,0500,P 200036,S200000,01500,0100,N 200036,S200000,01600,0100,Y 200036,S200000,01700,0100,N 200036,S200000,01800,0100,N 200036,S200000,02200,0100,N 200036,S200000,02800,0100,Y 200036,S200000,02900,0100,N 200036,S200000,03000,0100,N 200036,S200000,03100,0100,N 200036,S200000,03200,0100,N 200036,S200000,03300,0100,N 200036,S200000,03300,0200,N 200036,S200000,04100,0100,N 200036,S200000,04200,0100,N 200036,S200000,04300,0100,N 200036,S200000,04600,0100,N 200036,S200000,04700,0100,N 200036,S200000,04900,0100,N 200036,S200000,05200,0100,N 200037,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200037,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200037,A000000,00300,0000,0300EMPLOYEE BENEFITS 200037,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200037,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200037,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200037,A000000,00700,0000,0700HOUSEKEEPING 200037,A000000,00800,0000,0800DIETARY 200037,A000000,00900,0000,0900NURSING ADMINISTRATION 200037,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200037,A000000,01100,0000,1100PHARMACY 200037,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200037,A000000,01300,0000,1300SOCIAL SERVICE 200037,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200037,A000000,01500,0000,1350OTHER GENERAL SERVICES 200037,A000000,01600,0000,1600SKILLED NURSING FACILITY 200037,A000000,01800,0000,1800NURSING FACILITY 200037,A000000,01810,0000,1810ICF/MR 200037,A000000,02100,0000,2100RADIOLOGY 200037,A000000,02200,0000,2200LABORATORY 200037,A000000,02500,0000,2500PHYSICAL THERAPY 200037,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200037,A000000,02700,0000,2700SPEECH PATHOLOGY 200037,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200037,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200037,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200037,A000000,03550,0000,3550FQHC 200037,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200037,A000000,04801,0000,4801AMBULANCE 200037,A000000,04802,0000,4802AMBULANCE 200037,A000000,04803,0000,4803AMBULANCE 200037,A000000,05000,0000,5000CORF 200037,A000000,05010,0000,5010CMHC 200037,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200037,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200037,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200037,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200037,A000000,05300,0000,5300INTEREST EXPENSE 200037,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200037,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200037,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200037,A81000A,00100,0100,Y 200037,A81000B,00100,0300,HOME OFFICE MGT FEES 200037,A81000B,00200,0300,HOME OFFICE CAP COST 200037,A81000B,00300,0300,INTEREST 200037,A81000C,00100,0100,A 200037,A81000C,00100,0200,JAMES & JUDY LINCOLN 200037,A81000C,00100,0400,HEALTH SYSTEMS INC. 200037,A81000C,00100,0600,HOME OFFICE 200037,B100000,00000,0100,0100SQUARE FEET 200037,B100000,00000,0200,0200SQUARE FEET 200037,B100000,00000,0300,0300GROSS SALARIES 200037,B100000,00000,0400,0400ACCUM COST 200037,B100000,00000,0500,0500SQUARE FEET 200037,B100000,00000,0600,0600POUNDS OF LAUNDRY 200037,B100000,00000,0700,0700SQUARE FEET 200037,B100000,00000,0800,0800MEALS SERVED 200037,B100000,00000,0900,0900DIRECT NRSG 200037,B100000,00000,1000,1000COSTED REQUES. 200037,B100000,00000,1100,1100NO STATISTICS 200037,B100000,00000,1200,1200TIME SPENT 200037,B100000,00000,1300,1300TIME SPENT 200037,B100000,00000,1400,1400NO STATISTICS 200037,B100000,00000,1500,1350NO STATISTICS 200037,E10A180,00501,0100,06/30/00 200037,E10A180,00501,0300,06/30/00 200037,S000000,00100,0200,06/05/00 200037,S200000,00100,0100,SYCAMORE STREET 200037,S200000,00100,0300,108 200037,S200000,00200,0100,GREENVILLE 200037,S200000,00200,0200,MO 200037,S200000,00200,0300,63944 200037,S200000,00300,0100,WAYNE 200037,S200000,00300,0200,0026 200037,S200000,00300,0300,R 200037,S200000,00400,0100,GREENVILLE HEALTH CARE 200037,S200000,00400,0200,265547 200037,S200000,00400,0300,11/01/93 200037,S200000,00400,0500,P 200037,S200000,01500,0100,N 200037,S200000,01600,0100,Y 200037,S200000,01700,0100,N 200037,S200000,01800,0100,N 200037,S200000,02200,0100,Y 200037,S200000,02800,0100,Y 200037,S200000,02900,0100,N 200037,S200000,03000,0100,N 200037,S200000,03100,0100,N 200037,S200000,03200,0100,N 200037,S200000,03300,0100,N 200037,S200000,03300,0200,N 200037,S200000,04100,0100,N 200037,S200000,04200,0100,N 200037,S200000,04300,0100,N 200037,S200000,04600,0100,N 200037,S200000,04700,0100,N 200037,S200000,04900,0100,N 200037,S200000,05200,0100,N 200253,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200253,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200253,A000000,00300,0000,0300EMPLOYEE BENEFITS 200253,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200253,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200253,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200253,A000000,00700,0000,0700HOUSEKEEPING 200253,A000000,00800,0000,0800DIETARY 200253,A000000,00900,0000,0900NURSING ADMINISTRATION 200253,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200253,A000000,01100,0000,1100PHARMACY 200253,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200253,A000000,01300,0000,1300SOCIAL SERVICE 200253,A000000,01600,0000,1600SKILLED NURSING FACILITY 200253,A000000,01800,0000,1800NURSING FACILITY 200253,A000000,01900,0000,1900OTHER LONG TERM CARE 200253,A000000,02100,0000,2100RADIOLOGY 200253,A000000,02200,0000,2200LABORATORY 200253,A000000,02300,0000,2300INTRAVENOUS THERAPY 200253,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200253,A000000,02500,0000,2500PHYSICAL THERAPY 200253,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200253,A000000,02700,0000,2700SPEECH PATHOLOGY 200253,A000000,02800,0000,2800ELECTROCARDIOLOGY 200253,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200253,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200253,A000000,03200,0000,3200SUPPORT SURFACES 200253,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 200253,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200253,A000000,03301,0000,3051NUTRITIONAL THERAPY 200253,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 200253,A000000,03303,0000,3053PHYSICIAN SERVICES 200253,A000000,03304,0000,3054MEDICAL SERVICES 200253,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200253,A000000,04800,0000,4800AMBULANCE 200253,A000000,05300,0000,5300INTEREST EXPENSE 200253,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200253,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200253,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200253,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200253,A81000A,00100,0100,Y 200253,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 200253,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 200253,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 200253,A81000B,00400,0300,PHYSICAL THERAPY 200253,A81000B,00500,0300,OCCUPATIONAL THERAPY 200253,A81000B,00600,0300,SPEECH THERAPY 200253,A81000B,00700,0300,REGIONAL ALLOCATION 200253,A81000C,00100,0100,B 200253,A81000C,00100,0200,SUNRISE HEALTHCARE CORP 200253,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 200253,A81000C,00100,0600,HEALTH CARE 200253,A81000C,00200,0100,G 200253,A81000C,00200,0200,ANDREW TURNER 200253,A81000C,00200,0600,CEO/CHAIRMAN OF BOARD 200253,A81000C,00300,0100,G 200253,A81000C,00300,0200,SEE ATTACHMENT A-8-1 200253,A81000C,00300,0600,HEALTH CARE 200253,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200253,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200253,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200253,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200253,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200253,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200253,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200253,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200253,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200253,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200253,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200253,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200253,S000000,00100,0200,03/14/00 200253,S200000,00100,0100,1170 CHULIO ROAD 200253,S200000,00200,0100,ROME 200253,S200000,00200,0200,GA 200253,S200000,00200,0300,30161-0000 200253,S200000,00300,0100,FLOYD 200253,S200000,00300,0200,11 200253,S200000,00300,0300,R 200253,S200000,00400,0100,SUNRISE CARE & REHAB CHULIO HILLS 200253,S200000,00400,0200,115287 200253,S200000,00400,0300,05/01/93 200253,S200000,00400,0500,P 200253,S200000,01500,0100,N 200253,S200000,01600,0100,Y 200253,S200000,01700,0100,N 200253,S200000,01800,0100,N 200253,S200000,02200,0100,N 200253,S200000,02800,0100,N 200253,S200000,02900,0100,N 200253,S200000,03000,0100,N 200253,S200000,03100,0100,N 200253,S200000,03200,0100,N 200253,S200000,04100,0100,N 200253,S200000,04200,0100,N 200253,S200000,04300,0100,N 200253,S200000,04600,0100,N 200253,S200000,04700,0100,N 200253,S200000,04700,0200,N 200253,S200000,04900,0100,N 200253,S200000,05000,0100,N 200253,S200000,05100,0100,N 200253,S200000,05200,0100,N 200422,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200422,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200422,A000000,00300,0000,0300EMPLOYEE BENEFITS 200422,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200422,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200422,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200422,A000000,00700,0000,0700HOUSEKEEPING 200422,A000000,00800,0000,0800DIETARY 200422,A000000,00900,0000,0900NURSING ADMINISTRATION 200422,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200422,A000000,01100,0000,1100PHARMACY 200422,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200422,A000000,01300,0000,1300SOCIAL SERVICE 200422,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 200422,A000000,01500,0000,1350OTHER GENERAL SERVICES 200422,A000000,01600,0000,1600SKILLED NURSING FACILITY 200422,A000000,01800,0000,1800NURSING FACILITY 200422,A000000,01810,0000,1810ICF/MR 200422,A000000,01900,0000,1900OTHER LONG TERM CARE 200422,A000000,02100,0000,2100RADIOLOGY 200422,A000000,02200,0000,2200LABORATORY 200422,A000000,02300,0000,2300INTRAVENOUS THERAPY 200422,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200422,A000000,02500,0000,2500PHYSICAL THERAPY 200422,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200422,A000000,02700,0000,2700SPEECH PATHOLOGY 200422,A000000,02800,0000,2800ELECTROCARDIOLOGY 200422,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200422,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200422,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 200422,A000000,03200,0000,3200SUPPORT SURFACES 200422,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200422,A000000,03400,0000,3400CLINIC 200422,A000000,03500,0000,3500RURAL HEALTH CLINIC 200422,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200422,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 200422,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 200422,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 200422,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 200422,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 200422,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 200422,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 200422,A000000,04400,0000,4400DME RENTED - HHA 200422,A000000,04500,0000,4500DME SOLD - HHA 200422,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 200422,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 200422,A000000,04800,0000,4800AMBULANCE 200422,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 200422,A000000,05000,0000,5000CORF 200422,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200422,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 200422,A000000,05300,0000,5300INTEREST EXPENSE 200422,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200422,A000000,05500,0000,5500HOSPICE 200422,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200422,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200422,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200422,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 200422,A000000,06100,0000,6100NONPAID WORKERS 200422,A000000,06200,0000,6200PATIENTS LAUNDRY 200422,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200422,A81000A,00100,0100,Y 200422,A81000B,00100,0300,CAPITAL H/O - BUILDING 200422,A81000B,00200,0300,CAPITAL H/O - EQUIPMENT 200422,A81000B,00300,0300,RELATED PARTY DEPRECIATION 200422,A81000B,00400,0300,HOME OFFICE 200422,A81000B,00500,0300,REGIONAL OFFICE COST 200422,A81000B,00600,0300,SEE ATTACHED 200422,A81000C,00100,0200,PLEASE SEE ATTACHED SCH 200422,A81000C,00200,0200,A-8-1 200422,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 200422,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 200422,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200422,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200422,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 200422,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200422,B100000,00000,0700,0750SQR FEET :HOUSEKEEPING 200422,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200422,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200422,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200422,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200422,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200422,S000000,00100,0200,07/14/00 200422,S200000,00100,0100,239 ARROWHEAD BLVD 200422,S200000,00200,0100,JONESBORO 200422,S200000,00200,0200,GA 200422,S200000,00200,0300,30236- 200422,S200000,00300,0100,CLAYTON 200422,S200000,00300,0200,0520 200422,S200000,00300,0300,U 200422,S200000,00400,0100,SUNBRIDGE CARE/ REHAB FOR JONESBORO 200422,S200000,00400,0200,115539 200422,S200000,00400,0300,12/31/91 200422,S200000,00400,0500,P 200422,S200000,01500,0100,N 200422,S200000,01600,0100,Y 200422,S200000,01700,0100,N 200422,S200000,01800,0100,N 200422,S200000,02200,0100,Y 200422,S200000,02800,0100,N 200422,S200000,02900,0100,N 200422,S200000,03000,0100,N 200422,S200000,03100,0100,N 200422,S200000,03200,0100,N 200422,S200000,04100,0100,N 200422,S200000,04200,0100,N 200422,S200000,04300,0100,N 200422,S200000,04600,0100,N 200422,S200000,04700,0100,N 200422,S200000,04700,0200,N 200422,S200000,04900,0100,N 200422,S200000,05000,0100,N 200422,S200000,05100,0100,N 200422,S200000,05200,0100,N 200423,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200423,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200423,A000000,00300,0000,0300EMPLOYEE BENEFITS 200423,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200423,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200423,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200423,A000000,00700,0000,0700HOUSEKEEPING 200423,A000000,00800,0000,0800DIETARY 200423,A000000,00900,0000,0900NURSING ADMINISTRATION 200423,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200423,A000000,01100,0000,1100PHARMACY 200423,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200423,A000000,01300,0000,1300SOCIAL SERVICE 200423,A000000,01600,0000,1600SKILLED NURSING FACILITY 200423,A000000,01800,0000,1800NURSING FACILITY 200423,A000000,01900,0000,1900OTHER LONG TERM CARE 200423,A000000,02100,0000,2100RADIOLOGY 200423,A000000,02200,0000,2200LABORATORY 200423,A000000,02300,0000,2300INTRAVENOUS THERAPY 200423,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200423,A000000,02500,0000,2500PHYSICAL THERAPY 200423,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200423,A000000,02700,0000,2700SPEECH PATHOLOGY 200423,A000000,02800,0000,2800ELECTROCARDIOLOGY 200423,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200423,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200423,A000000,03200,0000,3200SUPPORT SURFACES 200423,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 200423,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200423,A000000,03301,0000,3051NUTRITIONAL THERAPY 200423,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 200423,A000000,03303,0000,3053PHYSICIAN SERVICES 200423,A000000,03304,0000,3054MEDICAL SERVICES 200423,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200423,A000000,04800,0000,4800AMBULANCE 200423,A000000,05300,0000,5300INTEREST EXPENSE 200423,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200423,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200423,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200423,A81000A,00100,0100,Y 200423,A81000B,00100,0300,CAP REL - BLDG 200423,A81000B,00200,0300,CAP REL - EQUIP 200423,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 200423,A81000B,00400,0300,REGIONAL ALLOCATION 200423,A81000B,00500,0300,SEE ATTACHMENT TO A-8-1 200423,A81000C,00100,0100,B 200423,A81000C,00100,0200,SUNRISE HEALTHCARE CORP 200423,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 200423,A81000C,00100,0600,HEALTH CARE 200423,A81000C,00200,0100,G 200423,A81000C,00200,0200,ANDREW TURNER 200423,A81000C,00200,0600,CEO CHAIRMAN OF BOARD 200423,A81000C,00300,0100,G 200423,A81000C,00300,0200,SEE ATTACHMENT TO A-8-1 200423,A81000C,00300,0600,HEALTH CARE 200423,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200423,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200423,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200423,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200423,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200423,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200423,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200423,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200423,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200423,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200423,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 200423,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200423,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200423,S000000,00100,0200,03/14/00 200423,S200000,00100,0100,1000 DORSET ROAD 200423,S200000,00200,0100,PORT WENTWORTH 200423,S200000,00200,0200,GA 200423,S200000,00200,0300,31407- 200423,S200000,00300,0100,CHATHAM 200423,S200000,00300,0200,7520 200423,S200000,00300,0300,U 200423,S200000,00400,0100,SUNRISE CARE REHAB PORT WENTWORTH 200423,S200000,00400,0200,115547 200423,S200000,00400,0300,07/01/93 200423,S200000,00400,0500,P 200423,S200000,01500,0100,Y 200423,S200000,01600,0100,N 200423,S200000,01700,0100,N 200423,S200000,01800,0100,N 200423,S200000,02200,0100,N 200423,S200000,02800,0100,Y 200423,S200000,02900,0100,N 200423,S200000,03000,0100,N 200423,S200000,03100,0100,N 200423,S200000,03200,0100,N 200423,S200000,04100,0100,N 200423,S200000,04200,0100,N 200423,S200000,04300,0100,N 200423,S200000,04600,0100,N 200423,S200000,04700,0100,N 200423,S200000,04700,0200,N 200423,S200000,04900,0100,N 200423,S200000,05000,0100,N 200423,S200000,05100,0100,N 200423,S200000,05200,0100,N 200450,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200450,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200450,A000000,00300,0000,0300EMPLOYEE BENEFITS 200450,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200450,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200450,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200450,A000000,00700,0000,0700HOUSEKEEPING 200450,A000000,00800,0000,0800DIETARY 200450,A000000,00900,0000,0900NURSING ADMINISTRATION 200450,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200450,A000000,01100,0000,1100PHARMACY 200450,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200450,A000000,01300,0000,1300SOCIAL SERVICE 200450,A000000,01600,0000,1600SKILLED NURSING FACILITY 200450,A000000,01800,0000,1800NURSING FACILITY 200450,A000000,01900,0000,1900OTHER LONG TERM CARE 200450,A000000,02100,0000,2100RADIOLOGY 200450,A000000,02200,0000,2200LABORATORY 200450,A000000,02300,0000,2300INTRAVENOUS THERAPY 200450,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200450,A000000,02500,0000,2500PHYSICAL THERAPY 200450,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200450,A000000,02700,0000,2700SPEECH PATHOLOGY 200450,A000000,02800,0000,2800ELECTROCARDIOLOGY 200450,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200450,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200450,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 200450,A000000,03200,0000,3200SUPPORT SURFACES 200450,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 200450,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200450,A000000,03301,0000,3051NUTRITIONAL THERAPY 200450,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 200450,A000000,03303,0000,3053PHYSICIAN SERVICES 200450,A000000,03304,0000,3054MEDICAL SERVICES 200450,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200450,A000000,04800,0000,4800AMBULANCE 200450,A000000,05300,0000,5300INTEREST EXPENSE 200450,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200450,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200450,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200450,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 200450,A000000,06100,0000,6100NONPAID WORKERS 200450,A000000,06200,0000,6200PATIENTS LAUNDRY 200450,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200450,A81000A,00100,0100,Y 200450,A81000B,00100,0300,CAP REL COSTS-BLDGS & FIX 200450,A81000B,00200,0300,CAP REL COSTS-MOVABLE EQUIP 200450,A81000B,00300,0300,ADMINISTRATIVE AND GENERAL 200450,A81000B,00400,0300,SEE ATTACHED 200450,A81000B,00500,0300,CAP REL COSTS-MOVABLE EQ DEP 200450,A81000B,01000,0300,N/A FOR MEMO ADJUSTMENT 200450,A81000C,00100,0200,PLEASE SEE A81 ATTACHEMEN 200450,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200450,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200450,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200450,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200450,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200450,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200450,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200450,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200450,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200450,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200450,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 200450,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 200450,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200450,S000000,00100,0200,06/02/00 200450,S200000,00100,0100,2575 W 5TH STREET 200450,S200000,00200,0100,GREENVILLE 200450,S200000,00200,0200,NC 200450,S200000,00200,0300,27834- 200450,S200000,00300,0100,PITT 200450,S200000,00300,0200,3150 200450,S200000,00300,0300,U 200450,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR GREENVILL 200450,S200000,00400,0200,345377 200450,S200000,00400,0300,04/01/97 200450,S200000,00400,0500,P 200450,S200000,01500,0100,N 200450,S200000,01600,0100,Y 200450,S200000,01700,0100,N 200450,S200000,01800,0100,N 200450,S200000,02200,0100,N 200450,S200000,02800,0100,N 200450,S200000,02900,0100,N 200450,S200000,03000,0100,N 200450,S200000,03100,0100,N 200450,S200000,03200,0100,N 200450,S200000,04100,0100,N 200450,S200000,04200,0100,N 200450,S200000,04300,0100,N 200450,S200000,04600,0100,N 200450,S200000,04700,0100,N 200450,S200000,04700,0200,N 200450,S200000,04900,0100,N 200450,S200000,05000,0100,N 200450,S200000,05100,0100,N 200450,S200000,05200,0100,N 200453,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200453,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200453,A000000,00300,0000,0300EMPLOYEE BENEFITS 200453,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200453,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200453,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200453,A000000,00700,0000,0700HOUSEKEEPING 200453,A000000,00800,0000,0800DIETARY 200453,A000000,00900,0000,0900NURSING ADMINISTRATION 200453,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200453,A000000,01100,0000,1100PHARMACY 200453,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200453,A000000,01300,0000,1300SOCIAL SERVICE 200453,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 200453,A000000,01500,0000,1350OTHER GENERAL SERVICES 200453,A000000,01600,0000,1600SKILLED NURSING FACILITY 200453,A000000,01800,0000,1800NURSING FACILITY 200453,A000000,01810,0000,1810ICF/MR 200453,A000000,01900,0000,1900OTHER LONG TERM CARE 200453,A000000,02100,0000,2100RADIOLOGY 200453,A000000,02200,0000,2200LABORATORY 200453,A000000,02300,0000,2300INTRAVENOUS THERAPY 200453,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200453,A000000,02500,0000,2500PHYSICAL THERAPY 200453,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200453,A000000,02700,0000,2700SPEECH PATHOLOGY 200453,A000000,02800,0000,2800ELECTROCARDIOLOGY 200453,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200453,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200453,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 200453,A000000,03200,0000,3200SUPPORT SURFACES 200453,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200453,A000000,03400,0000,3400CLINIC 200453,A000000,03500,0000,3500RURAL HEALTH CLINIC 200453,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200453,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 200453,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 200453,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 200453,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 200453,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 200453,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 200453,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 200453,A000000,04400,0000,4400DME RENTED - HHA 200453,A000000,04500,0000,4500DME SOLD - HHA 200453,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 200453,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 200453,A000000,04800,0000,4800AMBULANCE 200453,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 200453,A000000,05000,0000,5000CORF 200453,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200453,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 200453,A000000,05300,0000,5300INTEREST EXPENSE 200453,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200453,A000000,05500,0000,5500HOSPICE 200453,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200453,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200453,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200453,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 200453,A000000,06100,0000,6100NONPAID WORKERS 200453,A000000,06200,0000,6200PATIENTS LAUNDRY 200453,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200453,A81000A,00100,0100,Y 200453,A81000B,00100,0300,CAPITAL REL COST - BLDG 200453,A81000B,00200,0300,CAPITAL REL COST - EQUIP 200453,A81000B,00300,0300,CAPITAL REL COST - EQUIP 200453,A81000B,00400,0300,ADMIN & GENERAL 200453,A81000B,00500,0300,REGIONAL ALLOCATIONS 200453,A81000B,00600,0300,SEE ATTACHED 200453,A81000C,00100,0100,A 200453,A81000C,00100,0200,SEE ATTACHED DETAIL 200453,A81000C,00100,0400,SUN HEALTH 200453,A81000C,00100,0600,HEALTHCARE 200453,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 200453,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 200453,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200453,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200453,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 200453,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200453,B100000,00000,0700,0700SQUARE FEETHOUSEK :HOUSEKEEPING 200453,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200453,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200453,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200453,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200453,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200453,S000000,00100,0200,06/20/00 200453,S200000,00100,0100,8060 STINSON RD 200453,S200000,00200,0100,MILAN 200453,S200000,00200,0200,TN 200453,S200000,00200,0300,38358- 200453,S200000,00300,0100,GIBSON 200453,S200000,00300,0200,44 200453,S200000,00300,0300,R 200453,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR MILAN 200453,S200000,00400,0200,445349 200453,S200000,00400,0300,07/01/96 200453,S200000,00400,0500,P 200453,S200000,01500,0100,Y 200453,S200000,01600,0100,N 200453,S200000,01700,0100,N 200453,S200000,01800,0100,N 200453,S200000,02200,0100,N 200453,S200000,02800,0100,N 200453,S200000,02900,0100,N 200453,S200000,03000,0100,N 200453,S200000,03100,0100,N 200453,S200000,03200,0100,N 200453,S200000,04100,0100,N 200453,S200000,04200,0100,N 200453,S200000,04300,0100,N 200453,S200000,04600,0100,N 200453,S200000,04700,0100,N 200453,S200000,04700,0200,N 200453,S200000,04900,0100,N 200453,S200000,05000,0100,N 200453,S200000,05100,0100,N 200453,S200000,05200,0100,N 200538,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200538,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 200538,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200538,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 200538,A000000,00300,0000,0300EMPLOYEE BENEFITS 200538,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200538,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200538,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200538,A000000,00700,0000,0700HOUSEKEEPING 200538,A000000,00800,0000,0800DIETARY 200538,A000000,00801,0000,0801CAFETERIA 200538,A000000,00900,0000,0900NURSING ADMINISTRATION 200538,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200538,A000000,01100,0000,1100PHARMACY 200538,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200538,A000000,01300,0000,1300SOCIAL SERVICE 200538,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200538,A000000,01500,0000,1350ACTIVITIES 200538,A000000,01600,0000,1600SKILLED NURSING FACILITY 200538,A000000,01800,0000,1800NURSING FACILITY 200538,A000000,01810,0000,1810ICF/MR 200538,A000000,02200,0000,2200LABORATORY 200538,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200538,A000000,02500,0000,2500PHYSICAL THERAPY 200538,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200538,A000000,02700,0000,2700SPEECH PATHOLOGY 200538,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200538,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200538,A000000,03300,0000,3050OTHER ANCILLARY 200538,A000000,03301,0000,3051OTHER ANCILLARY II 200538,A000000,03302,0000,3052OTHER ANCILLARY III 200538,A000000,03550,0000,3550FQHC 200538,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 200538,A000000,04801,0000,4801AMBULANCE 200538,A000000,04802,0000,4802AMBULANCE 200538,A000000,04803,0000,4803AMBULANCE 200538,A000000,05000,0000,5000CORF I 200538,A000000,05010,0000,5010CMHC I 200538,A000000,05020,0000,5020OPT I 200538,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200538,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200538,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200538,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200538,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 200538,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 200538,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200538,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200538,A81000A,00100,0100,N 200538,B100000,00000,0100,0100(SQUARE FEET) 200538,B100000,00000,0101,0101(SQUARE FEET) 200538,B100000,00000,0200,0200(SQUARE FEET) 200538,B100000,00000,0201,0201(SQUARE FEET) 200538,B100000,00000,0300,0300(GROSS SALARIES) 200538,B100000,00000,0400,0400ACCUM COST 200538,B100000,00000,0500,0500(SQUARE FEET) 200538,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 200538,B100000,00000,0700,0700(SQUARE FEET) 200538,B100000,00000,0800,0800(MEALS SERVED) 200538,B100000,00000,0801,0801(MEALS SERVED) 200538,B100000,00000,0900,0900TIME SPENT 200538,B100000,00000,1000,1000(GROSS CHARGES) 200538,B100000,00000,1100,1100(PATIENT DAYS) 200538,B100000,00000,1200,1200(TIME SPENT) 200538,B100000,00000,1300,1300(TIME SPENT) 200538,B100000,00000,1400,1400(ASSIGNED TIME) 200538,B100000,00000,1500,1350(PATIENT DAYS) 200538,E10A180,00501,0100,06/28/00 200538,E10A180,00550,0300,06/28/00 200538,S000000,00100,0200,06/01/00 200538,S200000,00100,0100,6428 U.S. HIGHWAY 11 200538,S200000,00200,0100,LUMBERTON 200538,S200000,00200,0200,MS 200538,S200000,00200,0300,39455 200538,S200000,00300,0100,LAMAR 200538,S200000,00300,0200,0025 200538,S200000,00300,0300,R 200538,S200000,00400,0100,ADVENTIST HEALTH CARE CTR 200538,S200000,00400,0200,255157 200538,S200000,00400,0300,09/01/92 200538,S200000,00400,0500,P 200538,S200000,01500,0100,N 200538,S200000,01600,0100,Y 200538,S200000,01700,0100,N 200538,S200000,01800,0100,N 200538,S200000,02200,0100,Y 200538,S200000,02800,0100,Y 200538,S200000,02900,0100,N 200538,S200000,03000,0100,N 200538,S200000,03100,0100,N 200538,S200000,03200,0100,N 200538,S200000,03300,0100,N 200538,S200000,03300,0200,N 200538,S200000,04100,0100,N 200538,S200000,04200,0100,N 200538,S200000,04300,0100,Y 200538,S200000,04600,0100,N 200538,S200000,04700,0100,N 200538,S200000,04900,0100,N 200538,S200000,05200,0100,N 200543,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200543,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200543,A000000,00300,0000,0300EMPLOYEE BENEFITS 200543,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200543,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200543,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200543,A000000,00700,0000,0700HOUSEKEEPING 200543,A000000,00800,0000,0800DIETARY 200543,A000000,00900,0000,0900NURSING ADMINISTRATION 200543,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200543,A000000,01100,0000,1100PHARMACY 200543,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200543,A000000,01300,0000,1300SOCIAL SERVICE 200543,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200543,A000000,01500,0000,1350OTHER GENERAL SERVICES 200543,A000000,01600,0000,1600SKILLED NURSING FACILITY 200543,A000000,01800,0000,1800NURSING FACILITY 200543,A000000,01810,0000,1810ICF/MR 200543,A000000,01900,0000,1900OTHER LONG TERM CARE 200543,A000000,02100,0000,2100RADIOLOGY 200543,A000000,02200,0000,2200LABORATORY 200543,A000000,02500,0000,2500PHYSICAL THERAPY 200543,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200543,A000000,02700,0000,2700SPEECH PATHOLOGY 200543,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200543,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200543,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200543,A000000,03550,0000,3550FQHC 200543,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200543,A000000,04801,0000,4801AMBULANCE 200543,A000000,04802,0000,4802AMBULANCE 200543,A000000,04803,0000,4803AMBULANCE 200543,A000000,05000,0000,5000CORF 200543,A000000,05010,0000,5010CMHC 200543,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200543,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200543,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200543,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200543,A000000,05300,0000,5300INTEREST EXPENSE 200543,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200543,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200543,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200543,A81000A,00100,0100,Y 200543,A81000B,00100,0300,MANAGEMENT FEES 200543,A81000C,00100,0100,A 200543,A81000C,00100,0200,THOMAS KENNY 200543,A81000C,00100,0400,KENNY MANAGEMENT 200543,A81000C,00100,0600,MANAGEMENT COMPANY 200543,B100000,00000,0100,0100SQUARE FEET 200543,B100000,00000,0200,0200SQUARE FEET 200543,B100000,00000,0300,0300GROSS SALARIES 200543,B100000,00000,0400,0400ACCUM COST 200543,B100000,00000,0500,0500SQUARE FEET 200543,B100000,00000,0600,0600POUNDS OF LAUNDRY 200543,B100000,00000,0700,0700SQUARE FEET 200543,B100000,00000,0800,0800MEALS SERVED 200543,B100000,00000,0900,0900DIRECT NRSING HRS 200543,B100000,00000,1000,1000COSTED REQUIS. 200543,B100000,00000,1100,1100COSTED REQUIS. 200543,B100000,00000,1200,1200PATIENT DAYS 200543,B100000,00000,1300,1300TIME SPENT 200543,B100000,00000,1400,1400ASSIGNED TIME 200543,B100000,00000,1500,1350NO STATISTICS 200543,E10A180,00550,0300,08/01/00 200543,S000000,00100,0200,06/12/00 200543,S200000,00100,0100,2401 E. GRAND 200543,S200000,00200,0100,SPRINGFIELD 200543,S200000,00200,0200,MO 200543,S200000,00200,0300,65802 200543,S200000,00300,0100,GREENE 200543,S200000,00300,0200,7920 200543,S200000,00300,0300,U 200543,S200000,00400,0100,SPRINGFIELD RESIDENTIAL & SKILLED CA 200543,S200000,00400,0200,265477 200543,S200000,00400,0300,11/15/91 200543,S200000,00400,0500,P 200543,S200000,01500,0100,N 200543,S200000,01600,0100,Y 200543,S200000,01700,0100,N 200543,S200000,01800,0100,N 200543,S200000,02200,0100,N 200543,S200000,02800,0100,N 200543,S200000,02900,0100,N 200543,S200000,03000,0100,N 200543,S200000,03100,0100,N 200543,S200000,03200,0100,N 200543,S200000,03300,0100,N 200543,S200000,03300,0200,N 200543,S200000,04100,0100,N 200543,S200000,04200,0100,N 200543,S200000,04300,0100,N 200543,S200000,04600,0100,N 200543,S200000,04700,0100,N 200543,S200000,04900,0100,N 200543,S200000,05200,0100,N 200545,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 200545,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 200545,A000000,00300,0000,0300EMPLOYEE BENEFITS 200545,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200545,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 200545,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200545,A000000,00700,0000,0700HOUSEKEEPING 200545,A000000,00800,0000,0800DIETARY 200545,A000000,00900,0000,0900NURSING ADMINISTRATION 200545,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200545,A000000,01100,0000,1100PHARMACY 200545,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200545,A000000,01300,0000,1300SOCIAL SERVICE 200545,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 200545,A000000,01500,0000,1350OTHER GENERAL SERVICES 200545,A000000,01600,0000,1600SKILLED NURSING FACILITY 200545,A000000,01800,0000,1800NURSING FACILITY 200545,A000000,01810,0000,1810ICF/MR 200545,A000000,02100,0000,2100RADIOLOGY 200545,A000000,02200,0000,2200LABORATORY 200545,A000000,02500,0000,2500PHYSICAL THERAPY 200545,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200545,A000000,02700,0000,2700SPEECH PATHOLOGY 200545,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 200545,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200545,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200545,A000000,03550,0000,3550FQHC 200545,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200545,A000000,04801,0000,4801AMBULANCE 200545,A000000,04802,0000,4802AMBULANCE 200545,A000000,04803,0000,4803AMBULANCE 200545,A000000,05000,0000,5000CORF 200545,A000000,05010,0000,5010CMHC 200545,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200545,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200545,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200545,A000000,05100,0000,4750OTHER REIMBURSABLE COST 200545,A000000,05300,0000,5300INTEREST EXPENSE 200545,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200545,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200545,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200545,A81000A,00100,0100,Y 200545,A81000B,00100,0300,HOME OFFICE MGMT FEES 200545,A81000B,00200,0300,HOME OFFICE CAP COST 200545,A81000C,00100,0100,A 200545,A81000C,00100,0200,JAMES & JUDY LINCOLN 200545,A81000C,00100,0400,HEALTH SYSTEMS INC. 200545,A81000C,00100,0600,HOME OFFICE 200545,B100000,00000,0100,0100SQUARE FEET 200545,B100000,00000,0200,0200SQUARE FEET 200545,B100000,00000,0300,0300GROSS SALARIES 200545,B100000,00000,0400,0400ACCUM COST 200545,B100000,00000,0500,0500SQUARE FEET 200545,B100000,00000,0600,0600POUNDS OF LAUNDRY 200545,B100000,00000,0700,0700SQUARE FEET 200545,B100000,00000,0800,0800MEALS SERVED 200545,B100000,00000,0900,0900DIRECT NRSG 200545,B100000,00000,1000,1000NO STATISTICS 200545,B100000,00000,1100,1100NO STATISTICS 200545,B100000,00000,1200,1200TIME SPENT 200545,B100000,00000,1300,1300TIME SPENT 200545,B100000,00000,1400,1400NO STATISTICS 200545,B100000,00000,1500,1350NO STATISTICS 200545,E10A180,00501,0100,07/24/00 200545,E10A180,00501,0300,07/24/00 200545,S000000,00100,0200,06/05/00 200545,S200000,00100,0100,410 H ROAD 200545,S200000,00100,0300,430 200545,S200000,00200,0100,SIKESTON 200545,S200000,00200,0200,MO 200545,S200000,00200,0300,63801 200545,S200000,00300,0100,SCOTT 200545,S200000,00300,0200,0026 200545,S200000,00300,0300,R 200545,S200000,00400,0100,MINER NURSING CENTER 200545,S200000,00400,0200,265548 200545,S200000,00400,0300,11/01/93 200545,S200000,00400,0500,P 200545,S200000,01500,0100,N 200545,S200000,01600,0100,Y 200545,S200000,01700,0100,N 200545,S200000,01800,0100,N 200545,S200000,02200,0100,N 200545,S200000,02800,0100,Y 200545,S200000,02900,0100,N 200545,S200000,03000,0100,N 200545,S200000,03100,0100,N 200545,S200000,03200,0100,N 200545,S200000,03300,0100,N 200545,S200000,03300,0200,N 200545,S200000,04100,0100,N 200545,S200000,04200,0100,N 200545,S200000,04300,0100,N 200545,S200000,04600,0100,N 200545,S200000,04700,0100,N 200545,S200000,04900,0100,N 200545,S200000,05200,0100,N 200643,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200643,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200643,A000000,00300,0000,0300EMPLOYEE BENEFITS 200643,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200643,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200643,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200643,A000000,00700,0000,0700HOUSEKEEPING 200643,A000000,00800,0000,0800DIETARY 200643,A000000,00900,0000,0900NURSING ADMINISTRATION 200643,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200643,A000000,01100,0000,1100PHARMACY 200643,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200643,A000000,01300,0000,1300SOCIAL SERVICE 200643,A000000,01301,0000,1301ACTIVITIES 200643,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 200643,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 200643,A000000,01600,0000,1600SKILLED NURSING FACILITY 200643,A000000,01800,0000,1800NURSING FACILITY 200643,A000000,01810,0000,1810ICF/MR 200643,A000000,02100,0000,2100RADIOLOGY 200643,A000000,02200,0000,2200LABORATORY 200643,A000000,02300,0000,2300INTRAVENOUS THERAPY 200643,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200643,A000000,02500,0000,2500PHYSICAL THERAPY 200643,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200643,A000000,02700,0000,2700SPEECH PATHOLOGY 200643,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200643,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200643,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 200643,A000000,03301,0000,3051PEN THERAPY 200643,A000000,03550,0000,3550FQHC 200643,A000000,05000,0000,5000CORF 200643,A000000,05010,0000,5010CMHC 200643,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200643,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200643,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200643,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200643,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 200643,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200643,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 200643,A81000A,00100,0100,Y 200643,A81000B,00100,0300,HOME OFFICE ALLOCATION 200643,A81000B,00200,0300,CENTRAL SUPPLY 200643,A81000B,00300,0300,MEDICAL SUPPLY 200643,A81000B,00400,0300,ADMIN 200643,A81000B,00500,0300,DIETARY 200643,A81000B,00600,0300,CAPITAL 200643,A81000B,00700,0300,DRUGS 200643,A81000B,00800,0300,IV 200643,A81000B,00900,0300,PT 200643,A81000B,01000,0300,OT 200643,A81000B,01100,0300,ST 200643,A81000C,00100,0100,B 200643,A81000C,00100,0200,WINDSOR 10707 200643,A81000C,00100,0400,MPAN 200643,A81000C,00100,0600,NURSING HOMES 200643,A81000C,00200,0100,G 200643,A81000C,00200,0200,MPAN 200643,A81000C,00200,0400,AMERICAN PHARMA 200643,A81000C,00200,0600,PHARMACEUTICALS 200643,A81000C,00300,0100,G 200643,A81000C,00300,0200,MPAN 200643,A81000C,00300,0400,PRISM (ATS ARS 200643,A81000C,00300,0600,THERAPIES 200643,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200643,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200643,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200643,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200643,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200643,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200643,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200643,B100000,00000,0800,0800MEALS SERVED :DIETARY 200643,B100000,00000,0900,0950DIR NURSIN HRS OF:NURSING ADMINI 200643,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200643,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200643,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200643,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 200643,B100000,00000,1500,1350UNITS OF SERVICE :OTHER GENERAL 200643,S000000,00100,0200,08/31/00 200643,S200000,00100,0100,710 3RD STREET 200643,S200000,00200,0100,WINDSOR 200643,S200000,00200,0200,CO 200643,S200000,00200,0300,80550- 200643,S200000,00300,0100,WELD 200643,S200000,00300,0200,3060 200643,S200000,00300,0300,U 200643,S200000,00400,0100,WINDSOR HEALTHCARE CENTER 200643,S200000,00400,0200,065278 200643,S200000,00400,0300,06/01/90 200643,S200000,00400,0500,P 200643,S200000,01500,0100,N 200643,S200000,01600,0100,N 200643,S200000,01700,0100,N 200643,S200000,01800,0100,N 200643,S200000,02200,0100,N 200643,S200000,02800,0100,N 200643,S200000,02900,0100,N 200643,S200000,03000,0100,N 200643,S200000,03100,0100,N 200643,S200000,03200,0100,N 200643,S200000,04100,0100,N 200643,S200000,04200,0100,N 200643,S200000,04300,0100,N 200643,S200000,04600,0100,N 200643,S200000,04700,0100,N 200643,S200000,04700,0200,N 200643,S200000,04900,0100,N 200643,S200000,05000,0100,N 200643,S200000,05100,0100,N 200643,S200000,05200,0100,N 200654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200654,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200654,A000000,00300,0000,0300EMPLOYEE BENEFITS 200654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200654,A000000,00700,0000,0700HOUSEKEEPING 200654,A000000,00800,0000,0800DIETARY 200654,A000000,00900,0000,0900NURSING ADMINISTRATION 200654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200654,A000000,01100,0000,1100PHARMACY 200654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200654,A000000,01300,0000,1300SOCIAL SERVICE 200654,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 200654,A000000,01600,0000,1600SKILLED NURSING FACILITY 200654,A000000,01800,0000,1800NURSING FACILITY 200654,A000000,01810,0000,1810ICF/MR 200654,A000000,01900,0000,1900OTHER LONG TERM CARE 200654,A000000,02500,0000,2500PHYSICAL THERAPY 200654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200654,A000000,02700,0000,2700SPEECH PATHOLOGY 200654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200654,A000000,03550,0000,3550FQHC 200654,A000000,05000,0000,5000CORF 200654,A000000,05010,0000,5010CMHC 200654,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 200654,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 200654,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 200654,A000000,05300,0000,5300INTEREST EXPENSE 200654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200654,A81000A,00100,0100,Y 200654,A81000B,00100,0300,BLDG & FIXT 200654,A81000B,00200,0300,MVBLE EQUPT 200654,A81000B,00300,0300,ADMIN & GEN 200654,A81000C,00100,0100,G 200654,A81000C,00100,0400,C & G HEALTH CA 200654,A81000C,00100,0600,HOME OFFICE 200654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200654,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 200654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200654,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200654,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200654,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200654,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200654,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200654,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200654,S000000,00100,0200,06/05/00 200654,S200000,00100,0100,119 BASTILLE DRIVE 200654,S200000,00200,0100,PAGOSA SPRINGS 200654,S200000,00200,0200,CO 200654,S200000,00200,0300,81147- 200654,S200000,00300,0100,ARCHULETA 200654,S200000,00300,0200,06 200654,S200000,00300,0300,R 200654,S200000,00400,0100,PINE RIDGE EXTENDED CARE CENTER 200654,S200000,00400,0200,065366 200654,S200000,00400,0300,11/01/97 200654,S200000,00400,0500,P 200654,S200000,00600,0200,065366 200654,S200000,00600,0300,11/01/97 200654,S200000,00600,0600,O 200654,S200000,01500,0100,N 200654,S200000,01600,0100,Y 200654,S200000,01700,0100,N 200654,S200000,01800,0100,N 200654,S200000,02200,0100,N 200654,S200000,02800,0100,N 200654,S200000,02900,0100,N 200654,S200000,03000,0100,N 200654,S200000,03100,0100,N 200654,S200000,03200,0100,N 200654,S200000,04100,0100,N 200654,S200000,04200,0100,N 200654,S200000,04300,0100,N 200654,S200000,04600,0100,N 200654,S200000,04700,0100,N 200654,S200000,04700,0200,N 200654,S200000,04900,0100,N 200654,S200000,05000,0100,N 200654,S200000,05100,0100,N 200654,S200000,05200,0100,N 200988,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200988,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200988,A000000,00300,0000,0300EMPLOYEE BENEFITS 200988,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200988,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200988,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200988,A000000,00700,0000,0700HOUSEKEEPING 200988,A000000,00800,0000,0800DIETARY 200988,A000000,00900,0000,0900NURSING ADMINISTRATION 200988,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200988,A000000,01100,0000,1100PHARMACY 200988,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200988,A000000,01300,0000,1300SOCIAL SERVICE 200988,A000000,01600,0000,1600SKILLED NURSING FACILITY 200988,A000000,01800,0000,1800NURSING FACILITY 200988,A000000,01900,0000,1900OTHER LONG TERM CARE 200988,A000000,02100,0000,2100RADIOLOGY 200988,A000000,02200,0000,2200LABORATORY 200988,A000000,02300,0000,2300INTRAVENOUS THERAPY 200988,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200988,A000000,02500,0000,2500PHYSICAL THERAPY 200988,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200988,A000000,02700,0000,2700SPEECH PATHOLOGY 200988,A000000,02800,0000,2800ELECTROCARDIOLOGY 200988,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200988,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200988,A000000,03200,0000,3200SUPPORT SURFACES 200988,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 200988,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200988,A000000,03301,0000,3051NUTRITIONAL THERAPY 200988,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 200988,A000000,03303,0000,3053PHYSICIAN SERVICES 200988,A000000,03304,0000,3054MEDICAL SERVICES 200988,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200988,A000000,04800,0000,4800AMBULANCE 200988,A000000,05300,0000,5300INTEREST EXPENSE 200988,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200988,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200988,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200988,A000000,06200,0000,6200PATIENTS LAUNDRY 200988,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200988,A81000A,00100,0100,Y 200988,A81000B,00100,0300,HOME OFFICE CAP. - BUILDING 200988,A81000B,00200,0300,HOME OFFICE CAP. - EQUIPMENT 200988,A81000B,00300,0300,HOME OFFICE ADMIN. & GENERAL 200988,A81000B,00400,0300,PHYSICAL THERAPY 200988,A81000B,00500,0300,OCCUPATIONAL THERAPY 200988,A81000B,00600,0300,SPEECH THERAPY 200988,A81000B,00800,0300,REGIONAL ALLOCATION 200988,A81000B,00900,0300,SEE ATTACHED SCHEDULE 200988,A81000C,00100,0100,B 200988,A81000C,00100,0200,SUNRISE HEALTHCARE CORP. 200988,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 200988,A81000C,00100,0600,HEALTH CARE INDUSTRY 200988,A81000C,00200,0100,G 200988,A81000C,00200,0200,ANDREW L. TURNER 200988,A81000C,00200,0600,CEO / CHAIRMAN OF BOARD 200988,A81000C,00300,0100,G 200988,A81000C,00300,0200,SEE ATTACHED WORKPAPER 200988,A81000C,00300,0600,HEALTH CARE INDUSTRY 200988,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200988,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200988,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200988,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200988,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200988,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200988,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200988,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200988,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200988,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200988,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200988,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200988,S000000,00100,0200,03/14/00 200988,S200000,00100,0100,222 MOORE S DRIVE 200988,S200000,00200,0100,DAHLONEGA 200988,S200000,00200,0200,GA 200988,S200000,00200,0300,30533-0000 200988,S200000,00300,0100,LUMPKIN 200988,S200000,00300,0200,11 200988,S200000,00300,0300,R 200988,S200000,00400,0100,SUNRISE CARE & REHAB FOR DAHLONEGA 200988,S200000,00400,0200,115386 200988,S200000,00400,0300,01/01/93 200988,S200000,00400,0500,P 200988,S200000,01500,0100,Y 200988,S200000,01600,0100,N 200988,S200000,01700,0100,N 200988,S200000,01800,0100,N 200988,S200000,02200,0100,N 200988,S200000,02800,0100,N 200988,S200000,02900,0100,N 200988,S200000,03000,0100,N 200988,S200000,03100,0100,N 200988,S200000,03200,0100,N 200988,S200000,04100,0100,N 200988,S200000,04200,0100,N 200988,S200000,04300,0100,N 200988,S200000,04600,0100,N 200988,S200000,04700,0100,N 200988,S200000,04700,0200,N 200988,S200000,04900,0100,N 200988,S200000,05000,0100,N 200988,S200000,05100,0100,N 200988,S200000,05200,0100,N 200990,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 200990,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 200990,A000000,00300,0000,0300EMPLOYEE BENEFITS 200990,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 200990,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 200990,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 200990,A000000,00700,0000,0700HOUSEKEEPING 200990,A000000,00800,0000,0800DIETARY 200990,A000000,00900,0000,0900NURSING ADMINISTRATION 200990,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 200990,A000000,01100,0000,1100PHARMACY 200990,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 200990,A000000,01300,0000,1300SOCIAL SERVICE 200990,A000000,01600,0000,1600SKILLED NURSING FACILITY 200990,A000000,01800,0000,1800NURSING FACILITY 200990,A000000,01900,0000,1900OTHER LONG TERM CARE 200990,A000000,02100,0000,2100RADIOLOGY 200990,A000000,02200,0000,2200LABORATORY 200990,A000000,02300,0000,2300INTRAVENOUS THERAPY 200990,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 200990,A000000,02500,0000,2500PHYSICAL THERAPY 200990,A000000,02600,0000,2600OCCUPATIONAL THERAPY 200990,A000000,02700,0000,2700SPEECH PATHOLOGY 200990,A000000,02800,0000,2800ELECTROCARDIOLOGY 200990,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 200990,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 200990,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 200990,A000000,03200,0000,3200SUPPORT SURFACES 200990,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 200990,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 200990,A000000,03301,0000,3051NUTRITIONAL THERAPY 200990,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 200990,A000000,03303,0000,3053PHYSICIAN SERVICES 200990,A000000,03304,0000,3054MEDICAL SERVICES 200990,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 200990,A000000,04800,0000,4800AMBULANCE 200990,A000000,05300,0000,5300INTEREST EXPENSE 200990,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 200990,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 200990,A000000,05900,0000,5900BARBER & BEAUTY SHOP 200990,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 200990,A000000,06100,0000,6100NONPAID WORKERS 200990,A000000,06200,0000,6200PATIENTS LAUNDRY 200990,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 200990,A81000A,00100,0100,Y 200990,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 200990,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 200990,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 200990,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 200990,A81000B,00600,0300,REGIONAL OFFICE COST 200990,A81000B,00700,0300,SEE ATTACHED 200990,A81000C,00100,0100,B 200990,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 200990,A81000C,00200,0200,A-8-1. 200990,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 200990,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 200990,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 200990,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 200990,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 200990,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 200990,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 200990,B100000,00000,0800,0850PATIENT DAYS :DIETARY 200990,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 200990,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 200990,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 200990,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 200990,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 200990,S000000,00100,0200,03/24/00 200990,S200000,00100,0100,HIGHWAY 80 200990,S200000,00200,0100,TWIN CITY 200990,S200000,00200,0200,GA 200990,S200000,00200,0300,30471- 200990,S200000,00300,0100,EMANUAL 200990,S200000,00300,0200,11 200990,S200000,00300,0300,R 200990,S200000,00400,0100,TWIN VIEW HEALTHCARE CENTER 200990,S200000,00400,0200,115540 200990,S200000,00400,0300,05/01/93 200990,S200000,00400,0500,P 200990,S200000,01500,0100,Y 200990,S200000,01600,0100,N 200990,S200000,01700,0100,N 200990,S200000,01800,0100,N 200990,S200000,02200,0100,N 200990,S200000,02800,0100,N 200990,S200000,02900,0100,N 200990,S200000,03000,0100,N 200990,S200000,03100,0100,N 200990,S200000,03200,0100,N 200990,S200000,04100,0100,N 200990,S200000,04200,0100,N 200990,S200000,04300,0100,N 200990,S200000,04600,0100,N 200990,S200000,04700,0100,N 200990,S200000,04700,0200,N 200990,S200000,04900,0100,N 200990,S200000,05000,0100,N 200990,S200000,05100,0100,N 200990,S200000,05200,0100,N 201012,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201012,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201012,A000000,00300,0000,0300EMPLOYEE BENEFITS 201012,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201012,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201012,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201012,A000000,00700,0000,0700HOUSEKEEPING 201012,A000000,00800,0000,0800DIETARY 201012,A000000,00900,0000,0900NURSING ADMINISTRATION 201012,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201012,A000000,01100,0000,1100PHARMACY 201012,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201012,A000000,01300,0000,1300SOCIAL SERVICE 201012,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 201012,A000000,01500,0000,1350OTHER GENERAL SERVICES 201012,A000000,01600,0000,1600SKILLED NURSING FACILITY 201012,A000000,01800,0000,1800NURSING FACILITY 201012,A000000,01900,0000,1900OTHER LONG TERM CARE 201012,A000000,02100,0000,2100RADIOLOGY 201012,A000000,02200,0000,2200LABORATORY 201012,A000000,02300,0000,2300INTRAVENOUS THERAPY 201012,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201012,A000000,02500,0000,2500PHYSICAL THERAPY 201012,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201012,A000000,02700,0000,2700SPEECH PATHOLOGY 201012,A000000,02800,0000,2800ELECTROCARDIOLOGY 201012,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201012,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201012,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201012,A000000,03200,0000,3200SUPPORT SURFACES 201012,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201012,A000000,03400,0000,3400CLINIC 201012,A000000,03500,0000,3500RURAL HEALTH CLINIC 201012,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201012,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 201012,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 201012,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 201012,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 201012,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 201012,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 201012,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 201012,A000000,04400,0000,4400DME RENTED - HHA 201012,A000000,04500,0000,4500DME SOLD - HHA 201012,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 201012,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 201012,A000000,04800,0000,4800AMBULANCE 201012,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 201012,A000000,05000,0000,5000CORF 201012,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201012,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 201012,A000000,05300,0000,5300INTEREST EXPENSE 201012,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201012,A000000,05500,0000,5500HOSPICE 201012,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201012,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201012,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201012,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201012,A000000,06100,0000,6100NONPAID WORKERS 201012,A000000,06200,0000,6200PATIENTS LAUNDRY 201012,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201012,A81000A,00100,0100,Y 201012,A81000B,00100,0300,CAPITAL H/O - BUILDING 201012,A81000B,00200,0300,CAPITAL H/O - EQUIPMENT 201012,A81000B,00300,0300,CAPITAL H/O - EQUIPMENT 201012,A81000B,00400,0300,HOME OFFICE MANAGMENT FEE 201012,A81000B,00500,0300,REGIONAL ALLOCATIONS 201012,A81000B,00600,0300,SEE ATTACHED 201012,A81000C,00100,0200,SEE ATTACHED 201012,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 201012,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 201012,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201012,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201012,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 201012,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201012,B100000,00000,0700,0700SQUARE FEETHOUSEK :HOUSEKEEPING 201012,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201012,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201012,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201012,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201012,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201012,S000000,00100,0200,06/20/00 201012,S200000,00100,0100,150 OAK MANOR RD 201012,S200000,00200,0100,MCKENZIE 201012,S200000,00200,0200,TN 201012,S200000,00200,0300,38201- 201012,S200000,00300,0100,CARROLL 201012,S200000,00300,0300,R 201012,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR MCKENZIE 201012,S200000,00400,0200,445357 201012,S200000,00400,0300,07/01/95 201012,S200000,00400,0500,P 201012,S200000,01500,0100,N 201012,S200000,01600,0100,Y 201012,S200000,01700,0100,N 201012,S200000,01800,0100,N 201012,S200000,02200,0100,N 201012,S200000,02800,0100,N 201012,S200000,02900,0100,N 201012,S200000,03000,0100,N 201012,S200000,03100,0100,N 201012,S200000,03200,0100,N 201012,S200000,04100,0100,N 201012,S200000,04200,0100,N 201012,S200000,04300,0100,N 201012,S200000,04600,0100,N 201012,S200000,04700,0100,N 201012,S200000,04700,0200,N 201012,S200000,04900,0100,N 201012,S200000,05000,0100,N 201012,S200000,05100,0100,N 201012,S200000,05200,0100,N 201053,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201053,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201053,A000000,00300,0000,0300EMPLOYEE BENEFITS 201053,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201053,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201053,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201053,A000000,00700,0000,0700HOUSEKEEPING 201053,A000000,00800,0000,0800DIETARY 201053,A000000,00900,0000,0900NURSING ADMINISTRATION 201053,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201053,A000000,01100,0000,1100PHARMACY 201053,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201053,A000000,01300,0000,1300SOCIAL SERVICE 201053,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201053,A000000,01500,0000,1350OTHER GENERAL SERVICES 201053,A000000,01600,0000,1600SKILLED NURSING FACILITY 201053,A000000,01800,0000,1800NURSING FACILITY 201053,A000000,01810,0000,1810ICF/MR 201053,A000000,02100,0000,2100RADIOLOGY 201053,A000000,02200,0000,2200LABORATORY 201053,A000000,02300,0000,2300INTRAVENOUS THERAPY 201053,A000000,02500,0000,2500PHYSICAL THERAPY 201053,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201053,A000000,02700,0000,2700SPEECH PATHOLOGY 201053,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201053,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201053,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201053,A000000,03550,0000,3550FQHC 201053,A000000,04801,0000,4801AMBULANCE 201053,A000000,04802,0000,4802AMBULANCE 201053,A000000,04803,0000,4803AMBULANCE 201053,A000000,05000,0000,5000CORF 201053,A000000,05010,0000,5010CMHC 201053,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201053,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201053,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201053,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201053,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201053,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201053,A81000A,00100,0100,N 201053,B100000,00000,0100,0100SQUARE FEET 201053,B100000,00000,0200,0200DOLLAR VALUE 201053,B100000,00000,0300,0300GROSS SALARIES 201053,B100000,00000,0400,0400ACCUM COST 201053,B100000,00000,0500,0500SQUARE FEET 201053,B100000,00000,0600,0600POUNDS OF LAUNDRY 201053,B100000,00000,0700,0700HOURS OF SERVICE 201053,B100000,00000,0800,0800MEALS SERVED 201053,B100000,00000,0900,0900DIRECT NRSING HRS 201053,B100000,00000,1000,1000COSTED REQUIS. 201053,B100000,00000,1100,1100COSTED REQUIS. 201053,B100000,00000,1200,1200TIME SPENT 201053,B100000,00000,1300,1300TIME SPENT 201053,B100000,00000,1400,1400ASSIGNED TIME 201053,B100000,00000,1500,1350NO STATISTICS 201053,E10A180,00301,0100,11/30/99 201053,E10A180,00501,0100,06/27/00 201053,E10A180,00501,0300,06/27/00 201053,S000000,00100,0200,05/18/00 201053,S200000,00100,0100,307 N CASTLEMAN 201053,S200000,00100,0300,788 201053,S200000,00200,0100,OAK GROVE 201053,S200000,00200,0200,LA 201053,S200000,00200,0300,71263 201053,S200000,00300,0100,WEST CARROLL 201053,S200000,00300,0200,0019 201053,S200000,00300,0300,R 201053,S200000,00400,0100,CARROLL NURSING HOME 201053,S200000,00400,0200,195423 201053,S200000,00400,0300,08/01/97 201053,S200000,00400,0500,P 201053,S200000,01500,0100,N 201053,S200000,01600,0100,Y 201053,S200000,01700,0100,N 201053,S200000,01800,0100,N 201053,S200000,02200,0100,N 201053,S200000,02800,0100,N 201053,S200000,02900,0100,N 201053,S200000,03000,0100,N 201053,S200000,03100,0100,N 201053,S200000,03200,0100,N 201053,S200000,03300,0100,N 201053,S200000,03300,0200,N 201053,S200000,04100,0100,N 201053,S200000,04200,0100,N 201053,S200000,04300,0100,N 201053,S200000,04600,0100,N 201053,S200000,04700,0100,N 201053,S200000,04900,0100,N 201053,S200000,05200,0100,N 201054,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201054,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201054,A000000,00300,0000,0300EMPLOYEE BENEFITS 201054,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201054,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201054,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201054,A000000,00700,0000,0700HOUSEKEEPING 201054,A000000,00800,0000,0800DIETARY 201054,A000000,00900,0000,0900NURSING ADMINISTRATION 201054,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201054,A000000,01100,0000,1100PHARMACY 201054,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201054,A000000,01300,0000,1300SOCIAL SERVICE 201054,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201054,A000000,01600,0000,1600SKILLED NURSING FACILITY 201054,A000000,01810,0000,1810ICF/MR 201054,A000000,02200,0000,2200LABORATORY 201054,A000000,02500,0000,2500PHYSICAL THERAPY 201054,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201054,A000000,02700,0000,2700SPEECH PATHOLOGY 201054,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201054,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201054,A000000,03550,0000,3550FQHC 201054,A000000,04801,0000,4801AMBULANCE 201054,A000000,04802,0000,4802AMBULANCE 201054,A000000,04803,0000,4803AMBULANCE 201054,A000000,05000,0000,5000CORF 201054,A000000,05010,0000,5010CMHC 201054,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201054,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201054,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201054,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201054,A81000A,00100,0100,N 201054,B100000,00000,0100,0100SQUARE FEET 201054,B100000,00000,0200,0200SQUARE FEET 201054,B100000,00000,0300,0300GROSS SALARIES 201054,B100000,00000,0400,0400ACCUM COST 201054,B100000,00000,0500,0500SQUARE FEET 201054,B100000,00000,0600,0600POUNDS OF LAUNDRY 201054,B100000,00000,0700,0700SQUARE FOOTAGE 201054,B100000,00000,0800,0800MEALS SERVED 201054,B100000,00000,0900,0900DIRECT NRSG HRS 201054,B100000,00000,1000,1000COSTED REQUIS 201054,B100000,00000,1100,1100COSTED REQUIS 201054,B100000,00000,1200,1200TIME SPENT 201054,B100000,00000,1300,1300TIME SPENT 201054,B100000,00000,1400,1400ASSIGNED TIME 201054,E10A180,00301,0100,06/16/99 201054,E10A180,00501,0100,07/07/00 201054,E10A180,00501,0300,07/07/00 201054,S000000,00100,0200,05/31/00 201054,S200000,00100,0100,308 AMELIA STREET 201054,S200000,00200,0100,RAYNE 201054,S200000,00200,0200,LA 201054,S200000,00200,0300,70578 201054,S200000,00300,0100,ACADIA 201054,S200000,00300,0200,3880 201054,S200000,00300,0300,U 201054,S200000,00400,0100,RAYNE GUEST HOME 201054,S200000,00400,0200,195464 201054,S200000,00400,0300,06/01/98 201054,S200000,00400,0500,P 201054,S200000,01500,0100,N 201054,S200000,01600,0100,Y 201054,S200000,01700,0100,N 201054,S200000,01800,0100,N 201054,S200000,02200,0100,N 201054,S200000,02800,0100,N 201054,S200000,02900,0100,N 201054,S200000,03000,0100,N 201054,S200000,03100,0100,N 201054,S200000,03200,0100,N 201054,S200000,03300,0100,N 201054,S200000,03300,0200,N 201054,S200000,04100,0100,N 201054,S200000,04200,0100,N 201054,S200000,04300,0100,Y 201054,S200000,04600,0100,N 201054,S200000,04700,0100,N 201054,S200000,04900,0100,N 201054,S200000,05200,0100,N 201067,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201067,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201067,A000000,00300,0000,0300EMPLOYEE BENEFITS 201067,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201067,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201067,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201067,A000000,00700,0000,0700HOUSEKEEPING 201067,A000000,00800,0000,0800DIETARY 201067,A000000,00900,0000,0900NURSING ADMINISTRATION 201067,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201067,A000000,01100,0000,1100PHARMACY 201067,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201067,A000000,01300,0000,1300SOCIAL SERVICE 201067,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201067,A000000,01500,0000,1350OTHER GENERAL SERVICES 201067,A000000,01600,0000,1600SKILLED NURSING FACILITY 201067,A000000,01800,0000,1800NURSING FACILITY 201067,A000000,01810,0000,1810ICF/MR 201067,A000000,02100,0000,2100RADIOLOGY 201067,A000000,02500,0000,2500PHYSICAL THERAPY 201067,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201067,A000000,02700,0000,2700SPEECH PATHOLOGY 201067,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201067,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201067,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201067,A000000,03550,0000,3550FQHC 201067,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201067,A000000,04801,0000,4801AMBULANCE 201067,A000000,04802,0000,4802AMBULANCE 201067,A000000,04803,0000,4803AMBULANCE 201067,A000000,05000,0000,5000CORF 201067,A000000,05010,0000,5010CMHC 201067,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201067,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201067,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201067,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201067,A000000,05300,0000,5300INTEREST EXPENSE 201067,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201067,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201067,A81000A,00100,0100,Y 201067,A81000B,00100,0300,CAPITAL 201067,A81000B,00200,0300,MANAGEMENT FEES 201067,A81000B,00300,0300,PHYSICAL THERAPY 201067,A81000B,00400,0300,OCCUPATIONAL THERAPY 201067,A81000B,00500,0300,SPEECH THERAPY 201067,A81000C,00100,0100,B 201067,A81000C,00100,0200,TED CAIN 201067,A81000C,00100,0400,HEALTH CARE SERVICES 201067,A81000C,00100,0600,HOME OFFICE 201067,A81000C,00200,0100,B 201067,A81000C,00200,0200,TED CAIN 201067,A81000C,00200,0400,QUEST REHAB 201067,A81000C,00200,0600,REHAB 201067,B100000,00000,0100,0100SQUARE FEET 201067,B100000,00000,0200,0200DOLLAR VALUE 201067,B100000,00000,0300,0300GROSS SALARIES 201067,B100000,00000,0400,0400ACCUM COST 201067,B100000,00000,0500,0500SQUARE FEET 201067,B100000,00000,0600,0600POUNDS OF LAUNDRY 201067,B100000,00000,0700,0700HOURS OF SERVICE 201067,B100000,00000,0800,0800MEALS SERVED 201067,B100000,00000,0900,0900COSTED REQUIS. 201067,B100000,00000,1000,1000COSTED REQUIS. 201067,B100000,00000,1100,1100COSTED REQUIS 201067,B100000,00000,1200,1200TIME SPENT 201067,B100000,00000,1300,1300ASSIGNED TIME 201067,B100000,00000,1400,1400ASSIGNED TIME 201067,B100000,00000,1500,1350NO STATISTICS 201067,E10A180,00301,0100,10/13/99 201067,E10A180,00550,0100,07/27/00 201067,E10A180,00550,0300,07/27/00 201067,S000000,00100,0200,06/02/00 201067,S200000,00100,0100,400 NORTH BLVD 201067,S200000,00200,0100,BAY ST. LOUIS 201067,S200000,00200,0200,MS 201067,S200000,00200,0300,36520 201067,S200000,00300,0100,HANCOCK 201067,S200000,00300,0200,0920 201067,S200000,00300,0300,U 201067,S200000,00400,0100,HOTEL REED NURSING CENTER 201067,S200000,00400,0200,255203 201067,S200000,00400,0300,10/01/95 201067,S200000,00400,0500,P 201067,S200000,00600,0200,255203 201067,S200000,00600,0300,10/01/95 201067,S200000,01500,0100,N 201067,S200000,01600,0100,Y 201067,S200000,01700,0100,N 201067,S200000,01800,0100,N 201067,S200000,02200,0100,N 201067,S200000,02800,0100,N 201067,S200000,02900,0100,N 201067,S200000,03000,0100,N 201067,S200000,03100,0100,N 201067,S200000,03200,0100,N 201067,S200000,03300,0100,N 201067,S200000,03300,0200,N 201067,S200000,03500,0300,N 201067,S200000,04100,0100,N 201067,S200000,04200,0100,N 201067,S200000,04300,0100,N 201067,S200000,04600,0100,N 201067,S200000,04700,0100,N 201067,S200000,04900,0100,N 201067,S200000,05200,0100,N 201080,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201080,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201080,A000000,00300,0000,0300EMPLOYEE BENEFITS 201080,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201080,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201080,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201080,A000000,00700,0000,0700HOUSEKEEPING 201080,A000000,00800,0000,0800DIETARY 201080,A000000,00900,0000,0900NURSING ADMINISTRATION 201080,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201080,A000000,01100,0000,1100PHARMACY 201080,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201080,A000000,01300,0000,1300SOCIAL SERVICE 201080,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201080,A000000,01500,0000,1350OTHER GENERAL SERVICES 201080,A000000,01600,0000,1600SKILLED NURSING FACILITY 201080,A000000,01810,0000,1810ICF/MR 201080,A000000,02100,0000,2100RADIOLOGY 201080,A000000,02200,0000,2200LABORATORY 201080,A000000,02500,0000,2500PHYSICAL THERAPY 201080,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201080,A000000,02700,0000,2700SPEECH PATHOLOGY 201080,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201080,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201080,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201080,A000000,03550,0000,3550FQHC 201080,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201080,A000000,04801,0000,4801AMBULANCE 201080,A000000,04802,0000,4802AMBULANCE 201080,A000000,04803,0000,4803AMBULANCE 201080,A000000,05000,0000,5000CORF 201080,A000000,05010,0000,5010CMHC 201080,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201080,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201080,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201080,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201080,A000000,05300,0000,5300INTEREST EXPENSE 201080,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201080,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201080,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201080,A81000A,00100,0100,Y 201080,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 201080,A81000B,00200,0300,AUTO EXPENSE 201080,A81000B,00300,0300,MANAGEMENT FEES 201080,A81000B,00400,0300,CONSULTANT 201080,A81000B,00500,0300,WAGE RELATED EXPENSES 201080,A81000B,00600,0300,CONSULTANT 201080,A81000B,00700,0300,CONSULTANT 201080,A81000B,00800,0300,CONSULTANT 201080,A81000B,00900,0300,CONSULTANT 201080,A81000B,01000,0300,CONSULTANT 201080,A81000C,00100,0100,B 201080,A81000C,00100,0200,ROSE CARE INC. 201080,A81000C,00100,0400,ROSE CARE INC. 201080,A81000C,00100,0600,RELATED MANAGEMENT CO. 201080,A81000C,00200,0100,B 201080,A81000C,00200,0200,ROSE CARE INC. 201080,A81000C,00200,0400,ROSE CARE INC. 201080,A81000C,00200,0600,RELATED MANAGEMENT CO. 201080,A81000C,00300,0100,B 201080,A81000C,00300,0200,ROSE CARE INC. 201080,A81000C,00300,0400,ROSE CARE INC. 201080,A81000C,00300,0600,RELATED MANAGEMENT CO. 201080,A81000C,00400,0100,B 201080,A81000C,00400,0200,ROSE CARE INC. 201080,A81000C,00400,0400,ROSE CARE INC. 201080,A81000C,00400,0600,RELATED MANAGEMENT CO. 201080,A81000C,00500,0100,B 201080,A81000C,00500,0200,ROSE CARE INC. 201080,A81000C,00500,0400,ROSE CARE INC. 201080,A81000C,00500,0600,RELATED MANAGEMENT CO. 201080,A81000C,00600,0100,B 201080,A81000C,00600,0200,ROSE CARE INC. 201080,A81000C,00600,0400,ROSE CARE INC. 201080,A81000C,00600,0600,RELATED MANAGEMENT CO. 201080,A81000C,00700,0100,B 201080,A81000C,00700,0200,ROSE CARE INC. 201080,A81000C,00700,0400,ROSE CARE INC. 201080,A81000C,00700,0600,RELATED MANAGEMENT CO. 201080,A81000C,00800,0100,B 201080,A81000C,00800,0200,ROSE CARE INC. 201080,A81000C,00800,0400,ROSE CARE INC. 201080,A81000C,00800,0600,RELATED MANAGEMENT CO. 201080,A81000C,00900,0100,B 201080,A81000C,00900,0200,ROSE CARE INC. 201080,A81000C,00900,0400,ROSE CARE INC. 201080,A81000C,00900,0600,RELATED MANAGEMENT CO. 201080,A81000C,01000,0100,B 201080,A81000C,01000,0200,ROSE CARE INC. 201080,A81000C,01000,0400,ROSE CARE INC. 201080,A81000C,01000,0600,RELATED MANAGEMENT CO. 201080,B100000,00000,0100,0100SQUARE FEET 201080,B100000,00000,0200,0200DOLLAR VALUE 201080,B100000,00000,0300,0300GROSSSALAR RIES 201080,B100000,00000,0400,0400ACCUM COST 201080,B100000,00000,0500,0500SQUARE FEET 201080,B100000,00000,0600,0600POUNDS OF LAUNDRY 201080,B100000,00000,0700,0700SQUARE FEET 201080,B100000,00000,0800,0800MEALS SERVED 201080,B100000,00000,0900,0900DIRECT NURSING HR 201080,B100000,00000,1000,1000COSTED REQUIS. 201080,B100000,00000,1100,1100COSTED REQUIS. 201080,B100000,00000,1200,1200TIME SPENT 201080,B100000,00000,1300,1300TIME SPENT 201080,B100000,00000,1400,1400ASSIGNED TIME 201080,B100000,00000,1500,1350NO STATISTICS 201080,E10A180,00501,0100,07/19/00 201080,E10A180,00550,0300,07/19/00 201080,S000000,00100,0200,06/09/00 201080,S200000,00100,0100,RT. 1 OLD EXETER ROAD 201080,S200000,00200,0100,CASSVILLE 201080,S200000,00200,0200,MO 201080,S200000,00200,0300,65625-1704 201080,S200000,00300,0100,BARRY 201080,S200000,00300,0200,0026 201080,S200000,00300,0300,R 201080,S200000,00400,0100,RED ROSE INN OF CASSVILLE 201080,S200000,00400,0200,265538 201080,S200000,00400,0300,08/01/93 201080,S200000,00400,0500,P 201080,S200000,01500,0100,Y 201080,S200000,01600,0100,N 201080,S200000,01700,0100,N 201080,S200000,01800,0100,N 201080,S200000,02200,0100,N 201080,S200000,02800,0100,N 201080,S200000,02900,0100,N 201080,S200000,03000,0100,N 201080,S200000,03100,0100,N 201080,S200000,03200,0100,N 201080,S200000,03300,0100,N 201080,S200000,03300,0200,N 201080,S200000,04100,0100,N 201080,S200000,04200,0100,N 201080,S200000,04300,0100,N 201080,S200000,04600,0100,N 201080,S200000,04700,0100,N 201080,S200000,04900,0100,N 201080,S200000,05200,0100,N 201082,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201082,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201082,A000000,00300,0000,0300EMPLOYEE BENEFITS 201082,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201082,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201082,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201082,A000000,00700,0000,0700HOUSEKEEPING 201082,A000000,00800,0000,0800DIETARY 201082,A000000,00900,0000,0900NURSING ADMINISTRATION 201082,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201082,A000000,01100,0000,1100PHARMACY 201082,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201082,A000000,01300,0000,1300SOCIAL SERVICE 201082,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201082,A000000,01500,0000,1350OTHER GENERAL SERVICES 201082,A000000,01600,0000,1600SKILLED NURSING FACILITY 201082,A000000,01800,0000,1800NURSING FACILITY 201082,A000000,01810,0000,1810ICF/MR 201082,A000000,01900,0000,1900OTHER LONG TERM CARE 201082,A000000,02100,0000,2100RADIOLOGY 201082,A000000,02200,0000,2200LABORATORY 201082,A000000,02500,0000,2500PHYSICAL THERAPY 201082,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201082,A000000,02700,0000,2700SPEECH PATHOLOGY 201082,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201082,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201082,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201082,A000000,03550,0000,3550FQHC 201082,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201082,A000000,04801,0000,4801AMBULANCE 201082,A000000,04802,0000,4802AMBULANCE 201082,A000000,04803,0000,4803AMBULANCE 201082,A000000,05000,0000,5000CORF 201082,A000000,05010,0000,5010CMHC 201082,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201082,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201082,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201082,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201082,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201082,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201082,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201082,A81000A,00100,0100,Y 201082,A81000B,00100,0300,HOME OFFICE COSTS 201082,A81000B,00200,0300,HOME OFFICE COSTS 201082,A81000B,00300,0300,RELATED PARTY LEASE 201082,A81000B,00400,0300,RELATED PARTY PT 201082,A81000B,00500,0300,RELATED PARTY OT 201082,A81000C,00100,0100,A 201082,A81000C,00100,0200,JEFFREY E. SMITH 201082,A81000C,00100,0400,CAPITAL HEALTH MGT INC 201082,A81000C,00100,0600,MANAGEMENT COMPANY 201082,A81000C,00200,0100,A 201082,A81000C,00200,0200,PAT BESS 201082,A81000C,00200,0400,CAPITAL HEALTH MGT INC. 201082,A81000C,00200,0600,MANAGEMENT COMPANY 201082,A81000C,00300,0100,A 201082,A81000C,00300,0200,JEFFREY E. SMITH 201082,A81000C,00300,0400,COUNTRY CLUB PROPERTIES 201082,A81000C,00300,0600,LEASING COMPANY 201082,A81000C,00400,0100,A 201082,A81000C,00400,0200,PAT BESS 201082,A81000C,00400,0400,COUNTRY CLUB PROPERTIES 201082,A81000C,00400,0600,LEASING COMPANY 201082,A81000C,00500,0100,A 201082,A81000C,00500,0200,JEFFREY E. SMITH 201082,A81000C,00500,0400,WILSHIRE AT LAKEWOOD 201082,A81000C,00500,0600,NURSING FACILITY 201082,A81000C,00600,0100,A 201082,A81000C,00600,0200,PAT BESS 201082,A81000C,00600,0400,WILSHIRE AT LAKEWOOD 201082,A81000C,00600,0600,NURSING FACILITY 201082,A81000C,00700,0100,A 201082,A81000C,00700,0200,JEFFREY E. SMITH 201082,A81000C,00700,0400,WILSHIRE AT LAKEWOOD 201082,A81000C,00700,0600,NURSING FACILITY 201082,A81000C,00800,0100,A 201082,A81000C,00800,0200,PAT BESS 201082,A81000C,00800,0400,WILSHIRE AT LAKEWOOD 201082,A81000C,00800,0600,NURSING FACILITY 201082,B100000,00000,0100,0100SQUARE FEET 201082,B100000,00000,0200,0200DOLLAR VALUE 201082,B100000,00000,0300,0300GROSS SALARIES 201082,B100000,00000,0400,0400ACCUM COST 201082,B100000,00000,0500,0500SQUARE FEET 201082,B100000,00000,0600,0600POUNDS OF LAUNDRY 201082,B100000,00000,0700,0700SQUARE FEET 201082,B100000,00000,0800,0800MEALS SERVED 201082,B100000,00000,0900,0900DIRECT NRSING HRS 201082,B100000,00000,1000,1000COSTED REQUIS. 201082,B100000,00000,1100,1100COSTED REQUIS. 201082,B100000,00000,1200,1200TIME SPENT 201082,B100000,00000,1300,1300TIME SPENT 201082,B100000,00000,1400,1400ASSIGNED TIME 201082,B100000,00000,1500,1350NO STATISTICS 201082,E10A180,00550,0300,08/01/00 201082,S000000,00100,0200,06/12/00 201082,S200000,00100,0100,503 REGENT DRIVE 201082,S200000,00200,0100,WARRENSBURG 201082,S200000,00200,0200,MO 201082,S200000,00200,0300,64093 201082,S200000,00300,0100,JOHNSON 201082,S200000,00300,0200,0026 201082,S200000,00300,0300,R 201082,S200000,00400,0100,COUNTRY CLUB CARE CTR OF WARRENSBURG 201082,S200000,00400,0200,265645 201082,S200000,00400,0300,05/09/96 201082,S200000,00400,0500,P 201082,S200000,01500,0100,N 201082,S200000,01600,0100,Y 201082,S200000,01700,0100,N 201082,S200000,01800,0100,N 201082,S200000,02200,0100,N 201082,S200000,02800,0100,N 201082,S200000,02900,0100,N 201082,S200000,03000,0100,N 201082,S200000,03100,0100,N 201082,S200000,03200,0100,N 201082,S200000,03300,0100,N 201082,S200000,03300,0200,N 201082,S200000,04100,0100,N 201082,S200000,04200,0100,N 201082,S200000,04300,0100,N 201082,S200000,04600,0100,N 201082,S200000,04700,0100,N 201082,S200000,04900,0100,N 201082,S200000,05200,0100,N 201168,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201168,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201168,A000000,00300,0000,0300EMPLOYEE BENEFITS 201168,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201168,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201168,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201168,A000000,00700,0000,0700HOUSEKEEPING 201168,A000000,00800,0000,0800DIETARY 201168,A000000,00900,0000,0900NURSING ADMINISTRATION 201168,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201168,A000000,01100,0000,1100PHARMACY 201168,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201168,A000000,01300,0000,1300SOCIAL SERVICE 201168,A000000,01600,0000,1600SKILLED NURSING FACILITY 201168,A000000,01800,0000,1800NURSING FACILITY 201168,A000000,01900,0000,1900OTHER LONG TERM CARE 201168,A000000,02100,0000,2100RADIOLOGY 201168,A000000,02200,0000,2200LABORATORY 201168,A000000,02300,0000,2300INTRAVENOUS THERAPY 201168,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201168,A000000,02500,0000,2500PHYSICAL THERAPY 201168,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201168,A000000,02700,0000,2700SPEECH PATHOLOGY 201168,A000000,02800,0000,2800ELECTROCARDIOLOGY 201168,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201168,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201168,A000000,03200,0000,3200SUPPORT SURFACES 201168,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201168,A000000,04800,0000,4800AMBULANCE 201168,A000000,05300,0000,5300INTEREST EXPENSE 201168,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201168,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201168,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201168,A81000A,00100,0100,Y 201168,A81000B,00100,0300,CAPITAL CST-BLD-FIX 201168,A81000B,00200,0300,CAPITAL CST-MVBL EQUP 201168,A81000B,00300,0300,ADMIN & GENERAL 201168,A81000B,00400,0300,REGIONAL ALLOCATION 201168,A81000B,00500,0300,CONTRACT PTERAPYKPAPER 201168,A81000B,00600,0300,CONTRACT OTL THERAPY 201168,A81000B,00700,0300,CONTRACT STAPY 201168,A81000B,00800,0300,DRUGS CHARGED TO PATIENTS 201168,A81000B,00900,0300,NON LEDGEND DRUGS 201168,A81000B,01000,0300,ANCILLARY CONSULTING FEES 201168,A81000B,01100,0300,PLANT OPERATIONS 201168,A81000C,00100,0100,G 201168,A81000C,00100,0200,ANDREW L. TURNER 201168,A81000C,00100,0400,SHG INC. 201168,A81000C,00100,0600,CEO CHAIRMAN OF BOARD 201168,A81000C,00200,0100,B 201168,A81000C,00200,0200,SUNRISE HEALTHCARE 201168,A81000C,00200,0400,SHG INC. 201168,A81000C,00200,0600,HEALTH CARE 201168,A81000C,00300,0100,G 201168,A81000C,00300,0200,SEE ATTACHMENT TO A-8-1 201168,A81000C,00300,0400,SHG INC. 201168,A81000C,00300,0600,HEALTH CARE 201168,A81000C,03100,0000,OTHER (SPECIFY) 201168,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 201168,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 201168,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201168,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201168,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 201168,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201168,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 201168,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201168,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201168,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201168,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 201168,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201168,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201168,S000000,00100,0200,03/27/00 201168,S200000,00100,0100,3201 WESTMORELAND 201168,S200000,00200,0100,CLEVELAND 201168,S200000,00200,0200,GA 201168,S200000,00200,0300,30528- 201168,S200000,00300,0100,WHITE 201168,S200000,00300,0200,11 201168,S200000,00300,0300,R 201168,S200000,00400,0100,GATEWAY HEALTHCARE CENTER 201168,S200000,00400,0200,115560 201168,S200000,00400,0300,11/01/93 201168,S200000,00400,0500,P 201168,S200000,01500,0100,Y 201168,S200000,01600,0100,N 201168,S200000,01700,0100,N 201168,S200000,01800,0100,N 201168,S200000,02200,0100,N 201168,S200000,02800,0100,N 201168,S200000,02900,0100,N 201168,S200000,03000,0100,N 201168,S200000,03100,0100,N 201168,S200000,03200,0100,N 201168,S200000,04100,0100,N 201168,S200000,04200,0100,N 201168,S200000,04300,0100,N 201168,S200000,04600,0100,N 201168,S200000,04700,0100,N 201168,S200000,04700,0200,N 201168,S200000,04900,0100,N 201168,S200000,05000,0100,N 201168,S200000,05100,0100,N 201168,S200000,05200,0100,N 201290,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201290,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201290,A000000,00300,0000,0300EMPLOYEE BENEFITS 201290,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201290,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201290,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201290,A000000,00700,0000,0700HOUSEKEEPING 201290,A000000,00800,0000,0800DIETARY 201290,A000000,00900,0000,0900NURSING ADMINISTRATION 201290,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201290,A000000,01100,0000,1100PHARMACY 201290,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201290,A000000,01300,0000,1300SOCIAL SERVICE 201290,A000000,01600,0000,1600SKILLED NURSING FACILITY 201290,A000000,01800,0000,1800NURSING FACILITY 201290,A000000,01900,0000,1900OTHER LONG TERM CARE 201290,A000000,02100,0000,2100RADIOLOGY 201290,A000000,02200,0000,2200LABORATORY 201290,A000000,02300,0000,2300INTRAVENOUS THERAPY 201290,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201290,A000000,02500,0000,2500PHYSICAL THERAPY 201290,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201290,A000000,02700,0000,2700SPEECH PATHOLOGY 201290,A000000,02800,0000,2800ELECTROCARDIOLOGY 201290,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201290,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201290,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201290,A000000,03200,0000,3200SUPPORT SURFACES 201290,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 201290,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201290,A000000,03301,0000,3051NUTRITIONAL THERAPY 201290,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 201290,A000000,03303,0000,3053PHYSICIAN SERVICES 201290,A000000,03304,0000,3054MEDICAL SERVICES 201290,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201290,A000000,04800,0000,4800AMBULANCE 201290,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 201290,A000000,05300,0000,5300INTEREST EXPENSE 201290,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201290,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201290,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201290,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201290,A000000,06100,0000,6100NONPAID WORKERS 201290,A000000,06200,0000,6200PATIENTS LAUNDRY 201290,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201290,A81000A,00100,0100,Y 201290,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 201290,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 201290,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 201290,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 201290,A81000C,00100,0100,B 201290,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 201290,A81000C,00200,0200,A-8-1. 201290,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 201290,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 201290,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201290,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201290,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 201290,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201290,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 201290,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201290,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201290,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201290,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 201290,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201290,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201290,S000000,00100,0200,06/02/00 201290,S200000,00100,0100,1001 MAR-WALT DRIVE 201290,S200000,00200,0100,FT. WALTON BEACH 201290,S200000,00200,0200,FL 201290,S200000,00200,0300,32547- 201290,S200000,00300,0100,OKALOOSA 201290,S200000,00300,0200,2750 201290,S200000,00300,0300,U 201290,S200000,00400,0100,SUNBRIDGE CARE & REH FT WALTON BEACH 201290,S200000,00400,0200,105395 201290,S200000,00400,0300,01/01/86 201290,S200000,00400,0500,P 201290,S200000,01500,0100,N 201290,S200000,01600,0100,Y 201290,S200000,01700,0100,N 201290,S200000,01800,0100,N 201290,S200000,02200,0100,Y 201290,S200000,02800,0100,N 201290,S200000,02900,0100,N 201290,S200000,03000,0100,N 201290,S200000,03100,0100,N 201290,S200000,03200,0100,N 201290,S200000,04100,0100,N 201290,S200000,04200,0100,N 201290,S200000,04300,0100,N 201290,S200000,04600,0100,N 201290,S200000,04700,0100,N 201290,S200000,04700,0200,N 201290,S200000,04900,0100,N 201290,S200000,05000,0100,N 201290,S200000,05100,0100,N 201290,S200000,05200,0100,N 201300,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201300,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201300,A000000,00300,0000,0300EMPLOYEE BENEFITS 201300,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201300,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201300,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201300,A000000,00700,0000,0700HOUSEKEEPING 201300,A000000,00800,0000,0800DIETARY 201300,A000000,00900,0000,0900NURSING ADMINISTRATION 201300,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201300,A000000,01100,0000,1100PHARMACY 201300,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201300,A000000,01300,0000,1300SOCIAL SERVICE 201300,A000000,01600,0000,1600SKILLED NURSING FACILITY 201300,A000000,01800,0000,1800NURSING FACILITY 201300,A000000,01900,0000,1900OTHER LONG TERM CARE 201300,A000000,02100,0000,2100RADIOLOGY 201300,A000000,02200,0000,2200LABORATORY 201300,A000000,02300,0000,2300INTRAVENOUS THERAPY 201300,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201300,A000000,02500,0000,2500PHYSICAL THERAPY 201300,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201300,A000000,02700,0000,2700SPEECH PATHOLOGY 201300,A000000,02800,0000,2800ELECTROCARDIOLOGY 201300,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201300,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201300,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201300,A000000,03200,0000,3200SUPPORT SURFACES 201300,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 201300,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201300,A000000,03301,0000,3051NUTRITIONAL THERAPY 201300,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 201300,A000000,03303,0000,3053PHYSICIAN SERVICES 201300,A000000,03304,0000,3054MEDICAL SERVICES 201300,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201300,A000000,04800,0000,4800AMBULANCE 201300,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 201300,A000000,05300,0000,5300INTEREST EXPENSE 201300,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201300,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201300,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201300,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201300,A000000,06100,0000,6100NONPAID WORKERS 201300,A000000,06200,0000,6200PATIENTS LAUNDRY 201300,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201300,A81000A,00100,0100,Y 201300,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 201300,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 201300,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 201300,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 201300,A81000B,00500,0300,REGIONAL ALLOCATION 201300,A81000B,00600,0300,SEE ATTACHED 201300,A81000C,00100,0100,B 201300,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 201300,A81000C,00200,0200,A-8-1. 201300,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 201300,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 201300,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201300,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201300,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 201300,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201300,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 201300,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201300,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201300,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201300,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 201300,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201300,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201300,S000000,00100,0200,08/10/00 201300,S200000,00100,0100,SEAGLER ROAD 201300,S200000,00100,0300,146 201300,S200000,00200,0100,ROBERTA 201300,S200000,00200,0200,GA 201300,S200000,00200,0300,31078- 201300,S200000,00300,0100,CRAWFORD 201300,S200000,00300,0200,11 201300,S200000,00300,0300,R 201300,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR ROBERTA 201300,S200000,00400,0200,115523 201300,S200000,00400,0300,06/01/93 201300,S200000,00400,0500,P 201300,S200000,01500,0100,N 201300,S200000,01600,0100,Y 201300,S200000,01700,0100,N 201300,S200000,01800,0100,N 201300,S200000,02200,0100,Y 201300,S200000,02800,0100,N 201300,S200000,02900,0100,N 201300,S200000,03000,0100,N 201300,S200000,03100,0100,N 201300,S200000,03200,0100,N 201300,S200000,04100,0100,N 201300,S200000,04200,0100,N 201300,S200000,04300,0100,N 201300,S200000,04600,0100,N 201300,S200000,04700,0100,N 201300,S200000,04700,0200,N 201300,S200000,04900,0100,N 201300,S200000,05000,0100,N 201300,S200000,05100,0100,N 201300,S200000,05200,0100,N 201303,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201303,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201303,A000000,00300,0000,0300EMPLOYEE BENEFITS 201303,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201303,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201303,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201303,A000000,00700,0000,0700HOUSEKEEPING 201303,A000000,00800,0000,0800DIETARY 201303,A000000,00900,0000,0900NURSING ADMINISTRATION 201303,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201303,A000000,01100,0000,1100PHARMACY 201303,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201303,A000000,01300,0000,1300SOCIAL SERVICE 201303,A000000,01600,0000,1600SKILLED NURSING FACILITY 201303,A000000,01800,0000,1800NURSING FACILITY 201303,A000000,01900,0000,1900OTHER LONG TERM CARE 201303,A000000,02100,0000,2100RADIOLOGY 201303,A000000,02200,0000,2200LABORATORY 201303,A000000,02300,0000,2300INTRAVENOUS THERAPY 201303,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201303,A000000,02500,0000,2500PHYSICAL THERAPY 201303,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201303,A000000,02700,0000,2700SPEECH PATHOLOGY 201303,A000000,02800,0000,2800ELECTROCARDIOLOGY 201303,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201303,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201303,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201303,A000000,03200,0000,3200SUPPORT SURFACES 201303,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 201303,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201303,A000000,03301,0000,3051NUTRITIONAL THERAPY 201303,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 201303,A000000,03303,0000,3053PHYSICIAN SERVICES 201303,A000000,03304,0000,3054MEDICAL SERVICES 201303,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201303,A000000,04800,0000,4800AMBULANCE 201303,A000000,05300,0000,5300INTEREST EXPENSE 201303,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201303,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201303,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201303,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201303,A000000,06100,0000,6100NONPAID WORKERS 201303,A000000,06200,0000,6200PATIENTS LAUNDRY 201303,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201303,A81000A,00100,0100,Y 201303,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 201303,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 201303,A81000B,00300,0300,ADMIN & GENERAL 201303,A81000B,00400,0300,ADMIN & GENERAL 201303,A81000B,00500,0300,PHYSICAL THERAPY 201303,A81000B,00600,0300,OCCUPATIONAL THERAPY 201303,A81000B,00700,0300,SPEECH THERAPY 201303,A81000B,00800,0300,DRUGS CHARGED TO PATIENTS 201303,A81000B,00900,0300,ADMIN & GENERAL 201303,A81000B,01000,0300,ADMIN & GENERAL 201303,A81000B,01100,0300,MEDICAL SUPPLIES CHARGED 201303,A81000B,01200,0300,MEDICAL SUPPLIES CHARGED 201303,A81000C,00100,0100,B 201303,A81000C,00100,0200,SUNRISE HEALTHCARE CORP 201303,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 201303,A81000C,00100,0600,HEALTH CARE 201303,A81000C,00200,0100,G 201303,A81000C,00200,0200,ANDREW TURNER 201303,A81000C,00200,0600,CEO CHAIRMAN OF BOARD 201303,A81000C,00300,0100,G 201303,A81000C,00300,0200,SEE ATTACHED WORKPAPER 201303,A81000C,00300,0600,HEALTHCARE 201303,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 201303,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 201303,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201303,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201303,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 201303,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201303,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 201303,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201303,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201303,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201303,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 201303,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201303,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201303,S000000,00100,0200,03/27/00 201303,S200000,00100,0100,547 WARWOMAN ROAD 201303,S200000,00200,0100,CLAYTON 201303,S200000,00200,0200,GA 201303,S200000,00200,0300,30525- 201303,S200000,00300,0100,RABUN 201303,S200000,00300,0200,11 201303,S200000,00300,0300,R 201303,S200000,00400,0100,SUNRISE CARE & RAHAB FOR CLAYTON 201303,S200000,00400,0200,115557 201303,S200000,00400,0300,11/01/93 201303,S200000,00400,0500,P 201303,S200000,01500,0100,N 201303,S200000,01600,0100,Y 201303,S200000,01700,0100,N 201303,S200000,01800,0100,N 201303,S200000,02200,0100,N 201303,S200000,02800,0100,N 201303,S200000,02900,0100,N 201303,S200000,03000,0100,N 201303,S200000,03100,0100,N 201303,S200000,03200,0100,N 201303,S200000,04100,0100,N 201303,S200000,04200,0100,N 201303,S200000,04300,0100,N 201303,S200000,04600,0100,N 201303,S200000,04700,0100,N 201303,S200000,04700,0200,N 201303,S200000,04900,0100,N 201303,S200000,05000,0100,N 201303,S200000,05100,0100,N 201303,S200000,05200,0100,N 201342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201342,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201342,A000000,00300,0000,0300EMPLOYEE BENEFITS 201342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201342,A000000,00700,0000,0700HOUSEKEEPING 201342,A000000,00800,0000,0800DIETARY 201342,A000000,00900,0000,0900NURSING ADMINISTRATION 201342,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201342,A000000,01100,0000,1100PHARMACY 201342,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201342,A000000,01300,0000,1300SOCIAL SERVICE 201342,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 201342,A000000,01500,0000,1350OTHER GENERAL SERVICES 201342,A000000,01600,0000,1600SKILLED NURSING FACILITY 201342,A000000,01800,0000,1800NURSING FACILITY 201342,A000000,01810,0000,1810ICF/MR 201342,A000000,01900,0000,1900OTHER LONG TERM CARE 201342,A000000,02100,0000,2100RADIOLOGY 201342,A000000,02200,0000,2200LABORATORY 201342,A000000,02300,0000,2300INTRAVENOUS THERAPY 201342,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201342,A000000,02500,0000,2500PHYSICAL THERAPY 201342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201342,A000000,02700,0000,2700SPEECH PATHOLOGY 201342,A000000,02800,0000,2800ELECTROCARDIOLOGY 201342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201342,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201342,A000000,03200,0000,3200SUPPORT SURFACES 201342,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201342,A000000,03400,0000,3400CLINIC 201342,A000000,03500,0000,3500RURAL HEALTH CLINIC 201342,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201342,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 201342,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 201342,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 201342,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 201342,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 201342,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 201342,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 201342,A000000,04400,0000,4400DME RENTED - HHA 201342,A000000,04500,0000,4500DME SOLD - HHA 201342,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 201342,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 201342,A000000,04800,0000,4800AMBULANCE 201342,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 201342,A000000,05000,0000,5000CORF 201342,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201342,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 201342,A000000,05300,0000,5300INTEREST EXPENSE 201342,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201342,A000000,05500,0000,5500HOSPICE 201342,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201342,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201342,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201342,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201342,A000000,06100,0000,6100NONPAID WORKERS 201342,A000000,06200,0000,6200PATIENTS LAUNDRY 201342,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201342,A81000A,00100,0100,Y 201342,A81000B,00100,0300,CAPITAL H/O COST -BUILDING 201342,A81000B,00200,0300,CAPITAL H/O COST - EQUIPMENT 201342,A81000B,00300,0300,RELATED PARTY DEPRECIATION 201342,A81000B,00400,0300,HOME OFFICE COST 201342,A81000B,00500,0300,REGIONAL OFFICE COST 201342,A81000B,00600,0300,SEE ATTACHED SCHEDULE 201342,A81000C,00100,0100,A 201342,A81000C,00100,0200,REELFOOT 201342,A81000C,00100,0400,SUN HEALTHCARE 201342,A81000C,00100,0600,HEALTHCARE 201342,A81000C,00200,0200,A-8-1 201342,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 201342,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 201342,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201342,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201342,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 201342,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201342,B100000,00000,0700,0750SQR FEET :HOUSEKEEPING 201342,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201342,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201342,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201342,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201342,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201342,S000000,00100,0200,07/17/00 201342,S200000,00100,0100,1034 REELFOOT DRIVE 201342,S200000,00200,0100,TIPTONVILLE 201342,S200000,00200,0200,TN 201342,S200000,00200,0300,38079- 201342,S200000,00300,0100,LAKE 201342,S200000,00300,0200,44 201342,S200000,00300,0300,R 201342,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR REELFOOT 201342,S200000,00400,0200,445285 201342,S200000,00400,0300,06/01/96 201342,S200000,00400,0500,P 201342,S200000,01500,0100,N 201342,S200000,01600,0100,Y 201342,S200000,01700,0100,N 201342,S200000,01800,0100,N 201342,S200000,02200,0100,Y 201342,S200000,02800,0100,N 201342,S200000,02900,0100,N 201342,S200000,03000,0100,N 201342,S200000,03100,0100,N 201342,S200000,03200,0100,N 201342,S200000,04100,0100,N 201342,S200000,04200,0100,N 201342,S200000,04300,0100,N 201342,S200000,04600,0100,N 201342,S200000,04700,0100,N 201342,S200000,04700,0200,N 201342,S200000,04900,0100,N 201342,S200000,05000,0100,N 201342,S200000,05100,0100,N 201342,S200000,05200,0100,N 201343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201343,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201343,A000000,00300,0000,0300EMPLOYEE BENEFITS 201343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201343,A000000,00700,0000,0700HOUSEKEEPING 201343,A000000,00800,0000,0800DIETARY 201343,A000000,00900,0000,0900NURSING ADMINISTRATION 201343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201343,A000000,01100,0000,1100PHARMACY 201343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201343,A000000,01300,0000,1300SOCIAL SERVICE 201343,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 201343,A000000,01500,0000,1350OTHER GENERAL SERVICES 201343,A000000,01600,0000,1600SKILLED NURSING FACILITY 201343,A000000,01800,0000,1800NURSING FACILITY 201343,A000000,01810,0000,1810ICF/MR 201343,A000000,01900,0000,1900OTHER LONG TERM CARE 201343,A000000,02100,0000,2100RADIOLOGY 201343,A000000,02200,0000,2200LABORATORY 201343,A000000,02300,0000,2300INTRAVENOUS THERAPY 201343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201343,A000000,02500,0000,2500PHYSICAL THERAPY 201343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201343,A000000,02700,0000,2700SPEECH PATHOLOGY 201343,A000000,02800,0000,2800ELECTROCARDIOLOGY 201343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201343,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 201343,A000000,03200,0000,3200SUPPORT SURFACES 201343,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201343,A000000,03400,0000,3400CLINIC 201343,A000000,03500,0000,3500RURAL HEALTH CLINIC 201343,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201343,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 201343,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 201343,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 201343,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 201343,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 201343,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 201343,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 201343,A000000,04400,0000,4400DME RENTED - HHA 201343,A000000,04500,0000,4500DME SOLD - HHA 201343,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 201343,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 201343,A000000,04800,0000,4800AMBULANCE 201343,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 201343,A000000,05000,0000,5000CORF 201343,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201343,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 201343,A000000,05300,0000,5300INTEREST EXPENSE 201343,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201343,A000000,05500,0000,5500HOSPICE 201343,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201343,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 201343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201343,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 201343,A000000,06100,0000,6100NONPAID WORKERS 201343,A000000,06200,0000,6200PATIENTS LAUNDRY 201343,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201343,A81000A,00100,0100,Y 201343,A81000B,00100,0300,CAPITAL H/O - BUILDING 201343,A81000B,00200,0300,CAPITAL H/O - EQUIPMENT 201343,A81000B,00300,0300,RELATED PARTY DEPRECIATION 201343,A81000B,00400,0300,HOME OFFICE COST 201343,A81000B,00500,0300,REGIONAL ALLOCATION 201343,A81000B,00600,0300,SEE ATTACHED 201343,A81000C,00100,0100,A 201343,A81000C,00100,0200,PLEASANTVIEW 201343,A81000C,00100,0400,SUN HEALTH 201343,A81000C,00100,0600,HEALTHCARE 201343,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 201343,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 201343,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201343,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201343,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 201343,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201343,B100000,00000,0700,0750SQR FEET :HOUSEKEEPING 201343,B100000,00000,0800,0850PATIENT DAYS :DIETARY 201343,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201343,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201343,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 201343,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201343,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201343,S000000,00100,0200,06/20/00 201343,S200000,00100,0100,214 NORTH WATER STREET 201343,S200000,00200,0100,BOLIVAR 201343,S200000,00200,0200,TN 201343,S200000,00200,0300,38008- 201343,S200000,00300,0100,HARDEMAN 201343,S200000,00300,0200,44 201343,S200000,00300,0300,R 201343,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR BOLIVAR 201343,S200000,00400,0200,445352 201343,S200000,00400,0300,07/01/95 201343,S200000,00400,0500,P 201343,S200000,01500,0100,N 201343,S200000,01600,0100,Y 201343,S200000,01700,0100,N 201343,S200000,01800,0100,N 201343,S200000,02200,0100,Y 201343,S200000,02800,0100,N 201343,S200000,02900,0100,N 201343,S200000,03000,0100,N 201343,S200000,03100,0100,N 201343,S200000,03200,0100,N 201343,S200000,04100,0100,N 201343,S200000,04200,0100,N 201343,S200000,04300,0100,N 201343,S200000,04600,0100,N 201343,S200000,04700,0100,N 201343,S200000,04700,0200,N 201343,S200000,04900,0100,N 201343,S200000,05000,0100,N 201343,S200000,05100,0100,N 201343,S200000,05200,0100,N 201392,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201392,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201392,A000000,00300,0000,0300EMPLOYEE BENEFITS 201392,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201392,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201392,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201392,A000000,00700,0000,0700HOUSEKEEPING 201392,A000000,00800,0000,0800DIETARY 201392,A000000,00900,0000,0900NURSING ADMINISTRATION 201392,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201392,A000000,01100,0000,1100PHARMACY 201392,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201392,A000000,01300,0000,1300SOCIAL SERVICE 201392,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201392,A000000,01500,0000,1350OTHER GENERAL SERVICES 201392,A000000,01600,0000,1600SKILLED NURSING FACILITY 201392,A000000,01800,0000,1800NURSING FACILITY 201392,A000000,01810,0000,1810ICF/MR 201392,A000000,02100,0000,2100RADIOLOGY 201392,A000000,02200,0000,2200LABORATORY 201392,A000000,02500,0000,2500PHYSICAL THERAPY 201392,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201392,A000000,02700,0000,2700SPEECH PATHOLOGY 201392,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201392,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201392,A000000,03300,0000,3050OHTER ANCILLARY SERVICES 201392,A000000,03550,0000,3550FQHC 201392,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201392,A000000,04801,0000,4801AMBULANCE 201392,A000000,04802,0000,4802AMBULANCE 201392,A000000,04803,0000,4803AMBULANCE 201392,A000000,05000,0000,5000CORF 201392,A000000,05010,0000,5010CMHC 201392,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201392,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201392,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201392,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201392,A000000,05300,0000,5300INTEREST EXPENSE 201392,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201392,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 201392,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201392,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201392,A81000A,00100,0100,Y 201392,A81000B,00100,0300,RENT 201392,A81000B,00200,0300,DEPRECIATION-BUILDING 201392,A81000B,00300,0300,DEPRECIATION-IMPROVEMENTS 201392,A81000B,00400,0300,MORTGAGE INTEREST 201392,A81000B,00500,0300,MORTGAGE INSURANCE 201392,A81000C,00100,0100,E 201392,A81000C,00100,0200,RICHARD & DARLENE PAULS 201392,A81000C,00100,0400,INDIVIDUAL OWNERS 201392,A81000C,00100,0600,BUILDING OWNERSHIP 201392,B100000,00000,0100,0100SQUARE FEET 201392,B100000,00000,0200,0200SQUARE FEET 201392,B100000,00000,0300,0300GROSS SALARIES 201392,B100000,00000,0400,0400ACCUM COST 201392,B100000,00000,0500,0500SQUARE FEET 201392,B100000,00000,0600,0600POUNDS OF LAUNDRY 201392,B100000,00000,0700,0700SQ FT CLEANED 201392,B100000,00000,0800,0800MEALS SERVED 201392,B100000,00000,0900,0900DIRECT NRSING HRS 201392,B100000,00000,1000,1000COSTED REQUIS. 201392,B100000,00000,1100,1100COSTED REQUIS 201392,B100000,00000,1200,1200TIME SPENT 201392,B100000,00000,1300,1300TIME SPENT 201392,B100000,00000,1400,1400ASSIGNED TIME 201392,B100000,00000,1500,1350NO STATISTICS 201392,E10A180,00501,0100,07/05/00 201392,E10A180,00550,0300,07/05/00 201392,S000000,00100,0200,05/22/00 201392,S200000,00100,0100,4960 LACLEDE AVE 201392,S200000,00200,0100,ST LOUIS 201392,S200000,00200,0200,MO 201392,S200000,00200,0300,63108 201392,S200000,00300,0100,ST LOUIS CITY 201392,S200000,00300,0200,7040 201392,S200000,00300,0300,U 201392,S200000,00400,0100,MERITORIOUS CARE-PARKSIDE TOWERS 201392,S200000,00400,0200,265378 201392,S200000,00400,0300,08/01/89 201392,S200000,00400,0500,P 201392,S200000,01500,0100,N 201392,S200000,01600,0100,Y 201392,S200000,01700,0100,N 201392,S200000,01800,0100,N 201392,S200000,02200,0100,Y 201392,S200000,02800,0100,Y 201392,S200000,02900,0100,N 201392,S200000,03000,0100,N 201392,S200000,03100,0100,N 201392,S200000,03200,0100,N 201392,S200000,03300,0100,N 201392,S200000,03300,0200,N 201392,S200000,04100,0100,N 201392,S200000,04200,0100,N 201392,S200000,04300,0100,N 201392,S200000,04600,0100,N 201392,S200000,04700,0100,N 201392,S200000,04900,0100,N 201392,S200000,05200,0100,N 201397,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201397,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201397,A000000,00300,0000,0300EMPLOYEE BENEFITS 201397,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201397,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201397,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201397,A000000,00700,0000,0700HOUSEKEEPING 201397,A000000,00800,0000,0800DIETARY 201397,A000000,00900,0000,0900NURSING ADMINISTRATION 201397,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201397,A000000,01100,0000,1100PHARMACY 201397,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201397,A000000,01300,0000,1300SOCIAL SERVICE 201397,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201397,A000000,01500,0000,1350OTHER GENERAL SERVICES 201397,A000000,01600,0000,1600SKILLED NURSING FACILITY 201397,A000000,01800,0000,1800NURSING FACILITY 201397,A000000,01810,0000,1810ICF/MR 201397,A000000,02100,0000,2100RADIOLOGY 201397,A000000,02200,0000,2200LABORATORY 201397,A000000,02500,0000,2500PHYSICAL THERAPY 201397,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201397,A000000,02700,0000,2700SPEECH PATHOLOGY 201397,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201397,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201397,A000000,03200,0000,3200SUPPORT SURFACES 201397,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201397,A000000,03550,0000,3550FQHC 201397,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201397,A000000,04801,0000,4801AMBULANCE 201397,A000000,04802,0000,4802AMBULANCE 201397,A000000,04803,0000,4803AMBULANCE 201397,A000000,05000,0000,5000CORF 201397,A000000,05010,0000,5010CMHC 201397,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201397,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201397,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201397,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201397,A000000,05300,0000,5300INTEREST EXPENSE 201397,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201397,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201397,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201397,A81000A,00100,0100,N 201397,B100000,00000,0100,0100SQUARE FEET 201397,B100000,00000,0200,0200DOLLAR VALUE 201397,B100000,00000,0300,0300GROSS SALARIES 201397,B100000,00000,0400,0400ACCUM COST 201397,B100000,00000,0500,0500SQUARE FEET 201397,B100000,00000,0600,0600POUNDS OF LAUNDRY 201397,B100000,00000,0700,0700SQUARE FEET 201397,B100000,00000,0800,0800MEALS SERVED 201397,B100000,00000,0900,0900DIRECT NRSING HRS 201397,B100000,00000,1000,1000COSTED REQUIS. 201397,B100000,00000,1100,1100COSTED REQUIS. 201397,B100000,00000,1200,1200TIME SPENT 201397,B100000,00000,1300,1300TIME SPENT 201397,B100000,00000,1400,1400ASSIGNED TIME 201397,B100000,00000,1500,1350NO STATISTICS 201397,E10A180,00550,0300,05/19/00 201397,S000000,00100,0200,04/02/01 201397,S200000,00100,0100,OWEN MILL ROAD DRAWER W 201397,S200000,00200,0100,STOCKTON 201397,S200000,00200,0200,MO 201397,S200000,00200,0300,65785 201397,S200000,00300,0100,CEDAR 201397,S200000,00300,0200,0026 201397,S200000,00300,0300,R 201397,S200000,00400,0100,STOCKTON NURSING HOME 201397,S200000,00400,0200,265466 201397,S200000,00400,0300,10/01/91 201397,S200000,00400,0500,P 201397,S200000,01500,0100,N 201397,S200000,01600,0100,Y 201397,S200000,01700,0100,N 201397,S200000,01800,0100,N 201397,S200000,02200,0100,N 201397,S200000,02800,0100,N 201397,S200000,02900,0100,N 201397,S200000,03000,0100,N 201397,S200000,03100,0100,N 201397,S200000,03200,0100,N 201397,S200000,03300,0100,N 201397,S200000,03300,0200,N 201397,S200000,04100,0100,N 201397,S200000,04200,0100,N 201397,S200000,04300,0100,N 201397,S200000,04600,0100,N 201397,S200000,04700,0100,N 201397,S200000,04900,0100,N 201397,S200000,05200,0100,N 201574,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 201574,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 201574,A000000,00300,0000,0300EMPLOYEE BENEFITS 201574,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201574,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 201574,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201574,A000000,00700,0000,0700HOUSEKEEPING 201574,A000000,00800,0000,0800DIETARY 201574,A000000,00900,0000,0900NURSING ADMINISTRATION 201574,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201574,A000000,01100,0000,1100PHARMACY 201574,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201574,A000000,01300,0000,1300SOCIAL SERVICE 201574,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 201574,A000000,01500,0000,1350OTHER GENERAL SERVICES 201574,A000000,01600,0000,1600SKILLED NURSING FACILITY 201574,A000000,01800,0000,1800NURSING FACILITY 201574,A000000,01810,0000,1810ICF/MR 201574,A000000,02200,0000,2200LABORATORY 201574,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 201574,A000000,02500,0000,2500PHYSICAL THERAPY 201574,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201574,A000000,02700,0000,2700SPEECH PATHOLOGY 201574,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 201574,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201574,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201574,A000000,03550,0000,3550FQHC 201574,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201574,A000000,05000,0000,5000CORF 201574,A000000,05010,0000,5010CMHC 201574,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201574,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201574,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201574,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201574,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201574,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201574,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201574,A81000A,00100,0100,Y 201574,A81000B,00100,0300,HOME OFFICE EXPENSES 201574,A81000B,00200,0300,PT CONTRACT SVCS 201574,A81000B,00300,0300,OT CONTRACT SVCS 201574,A81000B,00400,0300,ST CONTRACT SVCS 201574,A81000B,00500,0300,RESTORATIVE THERAPY SVCS 201574,A81000C,00100,0100,B 201574,A81000C,00100,0200,CARE INN PROPER 201574,A81000C,00100,0400,CARE INN PROPER 201574,A81000C,00100,0600,MANAGEMENT COMP 201574,A81000C,00200,0100,D 201574,A81000C,00200,0200,BROOKHAVEN MEDI 201574,A81000C,00200,0400,BROOKHAVEN MEDI 201574,A81000C,00200,0600,THERAPY COMPANY 201574,B100000,00000,0100,0100SQUARE FOOTAGE :CAP REL COSTS - 201574,B100000,00000,0200,0250HISTORICAL L EQUIP C:CAP REL COS 201574,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 201574,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 201574,B100000,00000,0500,0500SQUARE FOOTAGE :PLANT OPERATION 201574,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 201574,B100000,00000,0700,0750SQUARE FOOTAGE :HOUSEKEEPING 201574,B100000,00000,0800,0800MEALS SERVED :DIETARY 201574,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 201574,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 201574,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 201574,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 201574,S000000,00100,0200,05/17/00 201574,S200000,00100,0100,310 W. MARTIN STREET 201574,S200000,00200,0100,DEL RIO 201574,S200000,00200,0200,TX 201574,S200000,00200,0300,78840- 201574,S200000,00300,0100,VAL VERDE 201574,S200000,00300,0200,45 201574,S200000,00300,0300,R 201574,S200000,00400,0100,DEL RIO NURSING HOME 201574,S200000,00400,0200,675677 201574,S200000,00400,0300,08/01/97 201574,S200000,00400,0500,P 201574,S200000,01500,0100,N 201574,S200000,01600,0100,Y 201574,S200000,01700,0100,N 201574,S200000,01800,0100,N 201574,S200000,02200,0100,N 201574,S200000,02800,0100,N 201574,S200000,02900,0100,N 201574,S200000,03000,0100,N 201574,S200000,03100,0100,N 201574,S200000,03200,0100,N 201574,S200000,04100,0100,N 201574,S200000,04200,0100,N 201574,S200000,04300,0100,N 201574,S200000,04600,0100,N 201574,S200000,04700,0100,N 201574,S200000,04700,0200,N 201574,S200000,04900,0100,N 201574,S200000,05000,0100,N 201574,S200000,05100,0100,N 201574,S200000,05200,0100,N 201852,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201852,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201852,A000000,00300,0000,0300EMPLOYEE BENEFITS 201852,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201852,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201852,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201852,A000000,00700,0000,0700HOUSEKEEPING 201852,A000000,00800,0000,0800DIETARY 201852,A000000,00900,0000,0900NURSING ADMINISTRATION 201852,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201852,A000000,01100,0000,1100PHARMACY 201852,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201852,A000000,01300,0000,1300SOCIAL SERVICE 201852,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201852,A000000,01500,0000,1350OTHER GENERAL SERVICES 201852,A000000,01600,0000,1600SKILLED NURSING FACILITY 201852,A000000,01800,0000,1800NURSING FACILITY 201852,A000000,01810,0000,1810ICF/MR 201852,A000000,02100,0000,2100RADIOLOGY 201852,A000000,02200,0000,2200LABORATORY 201852,A000000,02500,0000,2500PHYSICAL THERAPY 201852,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201852,A000000,02700,0000,2700SPEECH PATHOLOGY 201852,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201852,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201852,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201852,A000000,03550,0000,3550FQHC 201852,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201852,A000000,04801,0000,4801AMBULANCE 201852,A000000,04802,0000,4802AMBULANCE 201852,A000000,04803,0000,4803AMBULANCE 201852,A000000,05000,0000,5000CORF 201852,A000000,05010,0000,5010CMHC 201852,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201852,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201852,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201852,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201852,A000000,05300,0000,5300INTEREST EXPENSE 201852,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201852,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201852,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201852,A81000A,00100,0100,Y 201852,A81000B,00100,0300,MANAGEMENT FEES 201852,A81000B,00200,0300,PHYSICAL THERAPY 201852,A81000B,00300,0300,OCCUPATIONAL THERAPY 201852,A81000B,00400,0300,SPEECH THERAPY 201852,A81000C,00100,0100,B 201852,A81000C,00100,0400,DEACONESS LTC OF MO INC. 201852,A81000C,00100,0600,MANAGEMENT COMPANY 201852,A81000C,00200,0100,G 201852,A81000C,00200,0400,DEACONESS ANCILLARY SVCSC 201852,A81000C,00200,0600,THERAPY COMPANY 201852,B100000,00000,0100,0100SQUARE FEET 201852,B100000,00000,0200,0200NO STATISTICS 201852,B100000,00000,0300,0300GROSS SALARIES 201852,B100000,00000,0400,0400ACCUM COST 201852,B100000,00000,0500,0500SQUARE FEET 201852,B100000,00000,0600,0600POUNDS OF LAUNDRY 201852,B100000,00000,0700,0700SQUARE FEET 201852,B100000,00000,0800,0800MEALS SERVED 201852,B100000,00000,0900,0900DIRECT NRSG HOURS 201852,B100000,00000,1000,1000COSTEDREQU UISITIONS 201852,B100000,00000,1100,1100NO STATISTICS 201852,B100000,00000,1200,1200TIME SPENT 201852,B100000,00000,1300,1300TIME SPENT 201852,B100000,00000,1400,1400NO STATISTICS 201852,B100000,00000,1500,1350NO STATISTICS 201852,E10A180,00501,0300,07/05/00 201852,S000000,00100,0200,05/26/00 201852,S200000,00100,0100,6124 RAYTOWN ROAD 201852,S200000,00200,0100,RAYTOWN 201852,S200000,00200,0200,MO 201852,S200000,00200,0300,64133 201852,S200000,00300,0100,JACKSON 201852,S200000,00300,0200,3760 201852,S200000,00300,0300,U 201852,S200000,00400,0100,CEDAR VALLEY HEALTH CENTER 201852,S200000,00400,0200,265339 201852,S200000,00400,0300,12/02/88 201852,S200000,00400,0500,P 201852,S200000,01500,0100,N 201852,S200000,01600,0100,Y 201852,S200000,01700,0100,N 201852,S200000,01800,0100,N 201852,S200000,02200,0100,N 201852,S200000,02800,0100,N 201852,S200000,02900,0100,N 201852,S200000,03000,0100,N 201852,S200000,03100,0100,N 201852,S200000,03200,0100,N 201852,S200000,03300,0100,N 201852,S200000,03300,0200,N 201852,S200000,04100,0100,N 201852,S200000,04200,0100,N 201852,S200000,04300,0100,N 201852,S200000,04600,0100,N 201852,S200000,04700,0100,N 201852,S200000,04900,0100,N 201852,S200000,05200,0100,N 201861,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 201861,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 201861,A000000,00300,0000,0300EMPLOYEE BENEFITS 201861,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 201861,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 201861,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 201861,A000000,00700,0000,0700HOUSEKEEPING 201861,A000000,00800,0000,0800DIETARY 201861,A000000,00900,0000,0900NURSING ADMINISTRATION 201861,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 201861,A000000,01100,0000,1100PHARMACY 201861,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 201861,A000000,01300,0000,1300SOCIAL SERVICE 201861,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 201861,A000000,01500,0000,1350OTHER GENERAL SERVICES 201861,A000000,01600,0000,1600SKILLED NURSING FACILITY 201861,A000000,01800,0000,1800NURSING FACILITY 201861,A000000,01810,0000,1810ICF/MR 201861,A000000,02100,0000,2100RADIOLOGY 201861,A000000,02200,0000,2200LABORATORY 201861,A000000,02500,0000,2500PHYSICAL THERAPY 201861,A000000,02600,0000,2600OCCUPATIONAL THERAPY 201861,A000000,02700,0000,2700SPEECH PATHOLOGY 201861,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 201861,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 201861,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 201861,A000000,03550,0000,3550FQHC 201861,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 201861,A000000,04801,0000,4801AMBULANCE 201861,A000000,04802,0000,4802AMBULANCE 201861,A000000,04803,0000,4803AMBULANCE 201861,A000000,05000,0000,5000CORF 201861,A000000,05010,0000,5010CMHC 201861,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 201861,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 201861,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 201861,A000000,05100,0000,4750OTHER REIMBURSABLE COST 201861,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 201861,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 201861,A000000,05900,0000,5900BARBER & BEAUTY SHOP 201861,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 201861,A81000A,00100,0100,Y 201861,A81000B,00100,0300,MGMT FEES 201861,A81000C,00100,0100,A 201861,A81000C,00100,0200,ROBERT WACHTER 201861,A81000C,00100,0400,AMERICAN HEALTHCARE MGMT 201861,A81000C,00100,0600,MGMT CO. 201861,B100000,00000,0100,0100SQUARE FEET 201861,B100000,00000,0200,0200SQUARE FEET 201861,B100000,00000,0300,0300GROSS SALARI 201861,B100000,00000,0400,0400ACCUM COST 201861,B100000,00000,0500,0500SQUARE FEET 201861,B100000,00000,0600,0600POUNDS OF LA 201861,B100000,00000,0700,0700SQUARE FEET 201861,B100000,00000,0800,0800MEALS SERVED 201861,B100000,00000,0900,0900HOURS OF SER 201861,B100000,00000,1000,1000COSTED REQUIS 201861,B100000,00000,1100,1100COSTED REQUIS 201861,B100000,00000,1200,1200TIME SPENT 201861,B100000,00000,1300,1300TIME SPENT 201861,B100000,00000,1400,1400NO STATISTICS 201861,B100000,00000,1500,1350NO STATISTICS 201861,E10A180,00501,0100,07/19/00 201861,E10A180,00501,0300,07/19/00 201861,S000000,00100,0200,05/22/00 201861,S200000,00100,0100,1265 MCLARAN 201861,S200000,00200,0100,SAINT LOUIS 201861,S200000,00200,0200,MO 201861,S200000,00200,0300,63147 201861,S200000,00300,0100,SAINT LOUIS 201861,S200000,00300,0200,7040 201861,S200000,00300,0300,U 201861,S200000,00400,0100,LUTHERAN CARE CENTER 201861,S200000,00400,0200,265585 201861,S200000,00400,0300,08/01/94 201861,S200000,00400,0500,P 201861,S200000,01500,0100,N 201861,S200000,01600,0100,Y 201861,S200000,01700,0100,N 201861,S200000,01800,0100,N 201861,S200000,02200,0100,Y 201861,S200000,02800,0100,N 201861,S200000,02900,0100,N 201861,S200000,03000,0100,N 201861,S200000,03100,0100,N 201861,S200000,03200,0100,N 201861,S200000,03300,0100,N 201861,S200000,03300,0200,N 201861,S200000,04100,0100,N 201861,S200000,04200,0100,N 201861,S200000,04300,0100,N 201861,S200000,04600,0100,N 201861,S200000,04700,0100,N 201861,S200000,04900,0100,N 202504,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202504,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202504,A000000,00300,0000,0300EMPLOYEE BENEFITS 202504,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202504,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202504,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202504,A000000,00700,0000,0700HOUSEKEEPING 202504,A000000,00800,0000,0800DIETARY 202504,A000000,00900,0000,0900NURSING ADMINISTRATION 202504,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202504,A000000,01100,0000,1100PHARMACY 202504,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202504,A000000,01300,0000,1300SOCIAL SERVICE 202504,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202504,A000000,01600,0000,1600SKILLED NURSING FACILITY 202504,A000000,01800,0000,1800NURSING FACILITY 202504,A000000,01810,0000,1810ICF/MR 202504,A000000,02100,0000,2100RADIOLOGY 202504,A000000,02200,0000,2200LABORATORY 202504,A000000,02501,0000,2501THERAPY DEPARTMENT 202504,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202504,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202504,A000000,03200,0000,3200SUPPORT SURFACES 202504,A000000,03550,0000,3550FQHC 202504,A000000,04801,0000,4801AMBULANCE 202504,A000000,04802,0000,4802AMBULANCE 202504,A000000,04803,0000,4803AMBULANCE 202504,A000000,05000,0000,5000CORF 202504,A000000,05010,0000,5010CMHC 202504,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202504,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202504,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202504,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202504,A000000,06300,0000,6150VENDING 202504,A81000A,00100,0100,Y 202504,A81000B,00100,0300,BLDG DEPREACIATION 202504,A81000B,00200,0300,BLDG INTEREST 202504,A81000B,00300,0300,BLDG AMORTIZATION 202504,A81000C,00100,0100,B 202504,A81000C,00100,0200,J. MICHAEL MORROW NURSING 202504,A81000C,00100,0400,TECHE MANOR PROPERTIES 202504,A81000C,00100,0600,PARTNERSHIP 202504,B100000,00000,0100,0100SQUARE FEET 202504,B100000,00000,0200,0200SQUARE FEET 202504,B100000,00000,0300,0300GROSS SALARIES 202504,B100000,00000,0400,0400ACCUM COST 202504,B100000,00000,0500,0500SQUARE FEET 202504,B100000,00000,0600,0600PATIENT DAYS 202504,B100000,00000,0700,0700SQUARE FEET 202504,B100000,00000,0800,0800MEALS SERVED 202504,B100000,00000,0900,0900DIRECT NRSING HRS 202504,B100000,00000,1000,1000COSTED REQUIS. 202504,B100000,00000,1100,1100COSTED REQUIS. 202504,B100000,00000,1200,1200GROSS REVENUE 202504,B100000,00000,1300,1300TIME SPENT 202504,B100000,00000,1400,1400ASSIGNED TIME 202504,E10A180,00501,0100, 7/12/00 202504,S000000,00100,0200,05/22/00 202504,S200000,00100,0100,883 MAIN STREET HWY 740 NORTH 202504,S200000,00100,0300,670 202504,S200000,00200,0100,ARNAUDVILLE 202504,S200000,00200,0200,LA 202504,S200000,00200,0300,70512 202504,S200000,00300,0100,ST. LANDRY 202504,S200000,00300,0200,3880 202504,S200000,00300,0300,U 202504,S200000,00400,0100,J. MICHAEL MORROW NURSING HOME 202504,S200000,00400,0200,195385 202504,S200000,00400,0300,12/02/96 202504,S200000,00400,0500,P 202504,S200000,01500,0100,N 202504,S200000,01600,0100,Y 202504,S200000,01700,0100,N 202504,S200000,01800,0100,N 202504,S200000,02200,0100,N 202504,S200000,02800,0100,N 202504,S200000,02900,0100,N 202504,S200000,03000,0100,N 202504,S200000,03100,0100,N 202504,S200000,03200,0100,N 202504,S200000,03300,0100,N 202504,S200000,03300,0200,N 202504,S200000,04100,0100,N 202504,S200000,04200,0100,N 202504,S200000,04300,0100,N 202504,S200000,04600,0100,N 202504,S200000,04700,0100,N 202504,S200000,04900,0100,N 202504,S200000,05200,0100,N 202536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202536,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202536,A000000,00300,0000,0300EMPLOYEE BENEFITS 202536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202536,A000000,00700,0000,0700HOUSEKEEPING 202536,A000000,00800,0000,0800DIETARY 202536,A000000,00900,0000,0900NURSING ADMINISTRATION 202536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202536,A000000,01100,0000,1100PHARMACY 202536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202536,A000000,01300,0000,1300SOCIAL SERVICE 202536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202536,A000000,01600,0000,1600SKILLED NURSING FACILITY 202536,A000000,01810,0000,1810ICF/MR 202536,A000000,02500,0000,2500PHYSICAL THERAPY 202536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202536,A000000,02700,0000,2700SPEECH PATHOLOGY 202536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202536,A000000,03550,0000,3550FQHC 202536,A000000,03600,0000,3450ADULT DAYCARE 202536,A000000,04801,0000,4801AMBULANCE 202536,A000000,04802,0000,4802AMBULANCE 202536,A000000,04803,0000,4803AMBULANCE 202536,A000000,05000,0000,5000CORF 202536,A000000,05010,0000,5010CMHC 202536,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202536,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202536,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202536,A000000,05300,0000,5300INTEREST EXPENSE 202536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 202536,A000000,06301,0000,6151DENTAL 202536,A81000A,00100,0100,N 202536,B100000,00000,0100,0100SQUARE FEET 202536,B100000,00000,0200,0200SQUARE FEET 202536,B100000,00000,0300,0300GROSS SALARIES 202536,B100000,00000,0400,0400ACCUM COST 202536,B100000,00000,0500,0500SQUARE FEET 202536,B100000,00000,0600,0600POUND OF LAUNDRY 202536,B100000,00000,0700,0700SQUARE FEET 202536,B100000,00000,0800,0800MEALS SERVED 202536,B100000,00000,0900,0900NURSING HOURS 202536,B100000,00000,1000,1000COSTED REQUIS. 202536,B100000,00000,1100,1100COSTED REQUIS. 202536,B100000,00000,1200,1200TIME SPENT 202536,B100000,00000,1300,1300TIME SPENT 202536,B100000,00000,1400,1400ASSIGNED TIME 202536,E10A180,00301,0100,05/09/00 202536,S000000,00100,0200,08/07/00 202536,S200000,00100,0100,116 EAST CASTLE STREET 202536,S200000,00200,0100,SYRACUSE 202536,S200000,00200,0200,NY 202536,S200000,00200,0300,13205 202536,S200000,00300,0100,ONONDAGA 202536,S200000,00300,0200,8160 202536,S200000,00300,0300,U 202536,S200000,00400,0100,CASTLE REST RHCF 202536,S200000,00400,0200,335253 202536,S200000,00400,0300,11/05/97 202536,S200000,00400,0500,P 202536,S200000,01500,0100,Y 202536,S200000,01600,0100,N 202536,S200000,01700,0100,N 202536,S200000,01800,0100,N 202536,S200000,02200,0100,N 202536,S200000,02800,0100,N 202536,S200000,02900,0100,N 202536,S200000,03000,0100,N 202536,S200000,03100,0100,N 202536,S200000,03200,0100,N 202536,S200000,03300,0100,N 202536,S200000,03300,0200,N 202536,S200000,04100,0100,N 202536,S200000,04200,0100,N 202536,S200000,04300,0100,N 202536,S200000,04600,0100,N 202536,S200000,04700,0100,N 202536,S200000,04900,0100,N 202536,S200000,05200,0100,N 202685,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202685,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202685,A000000,00300,0000,0300EMPLOYEE BENEFITS 202685,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202685,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202685,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202685,A000000,00700,0000,0700HOUSEKEEPING 202685,A000000,00800,0000,0800DIETARY 202685,A000000,00900,0000,0900NURSING ADMINISTRATION 202685,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202685,A000000,01100,0000,1100PHARMACY 202685,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202685,A000000,01300,0000,1300SOCIAL SERVICE 202685,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202685,A000000,01600,0000,1600SKILLED NURSING FACILITY 202685,A000000,01800,0000,1800NURSING FACILITY 202685,A000000,01810,0000,1810ICF/MR 202685,A000000,02100,0000,2100RADIOLOGY 202685,A000000,02200,0000,2200LABORATORY 202685,A000000,02300,0000,2300INTRAVENOUS THERAPY 202685,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 202685,A000000,02500,0000,2500PHYSICAL THERAPY 202685,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202685,A000000,02700,0000,2700SPEECH PATHOLOGY 202685,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202685,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202685,A000000,03200,0000,3200SUPPORT SURFACES 202685,A000000,03550,0000,3550FQHC 202685,A000000,05000,0000,5000CORF 202685,A000000,05010,0000,5010CMHC 202685,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202685,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202685,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202685,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202685,A81000A,00100,0100,Y 202685,A81000B,00100,0300,HOME OFFICE COSTS 202685,A81000B,00200,0300,SUPPLIES 202685,A81000B,00300,0300,M/S SUPPLIES 202685,A81000B,00400,0300,M/S SUPPLIES 202685,A81000B,00500,0300,PRESCRIPTION DRUGS 202685,A81000C,00100,0100,B 202685,A81000C,00100,0200,DVCR LEASING CO 202685,A81000C,00100,0400,ADVOCAT INC. 202685,A81000C,00100,0600,L/T CARE MGT CO 202685,A81000C,00200,0100,B 202685,A81000C,00200,0200,ADVOCAT DIST SE 202685,A81000C,00200,0400,ADVOCAT INC. 202685,A81000C,00200,0600,M/S SUPPLY COMP 202685,A81000C,00300,0100,B 202685,A81000C,00300,0200,ADVOCAT DIST SE 202685,A81000C,00300,0400,ADVOCAT INC. 202685,A81000C,00300,0600,M/S SUPPLY COMP 202685,A81000C,00400,0100,B 202685,A81000C,00400,0200,ADVOCAT DIST SE 202685,A81000C,00400,0400,ADVOCAT INC. 202685,A81000C,00400,0600,M/S SUPPLY COMP 202685,A81000C,00500,0100,B 202685,A81000C,00500,0200,ADVOCAT DIST SE 202685,A81000C,00500,0400,ADVOCAT INC. 202685,A81000C,00500,0600,M/S SUPPLY COMP 202685,B100000,00000,0100,0100SQUARE FEET 202685,B100000,00000,0200,0200SQUARE FEET 202685,B100000,00000,0300,0300GROSS SALARIES 202685,B100000,00000,0400,0400ACCUM COST 202685,B100000,00000,0500,0500SQUARE FEET 202685,B100000,00000,0600,0600PATIENT DAYS 202685,B100000,00000,0700,0700SQUARE FEET 202685,B100000,00000,0800,0800PATIENT DAYS 202685,B100000,00000,0900,0900TOTAL HRS SUPRVSD 202685,B100000,00000,1000,1000COSTED REQUIS 202685,B100000,00000,1100,1100COSTED REQUIS 202685,B100000,00000,1200,1200PATIENT REVENUES 202685,B100000,00000,1300,1300PATIENT DAYS 202685,B100000,00000,1400,1400ASSIGNED TIME 202685,E10A180,00501,0100,09/19/00 202685,E10A180,00502,0100,04/29/02 202685,E10A180,00550,0100,09/25/01 202685,E10A180,00550,0300,09/19/00 202685,E10A180,00551,0300,09/25/01 202685,S000000,00100,0200,07/24/00 202685,S200000,00100,0100,100 ELMHURST DRIVE 202685,S200000,00200,0100,OAK RIDGE 202685,S200000,00200,0200,TN 202685,S200000,00200,0300,37830 202685,S200000,00300,0100,ANDERSON 202685,S200000,00300,0200,3840 202685,S200000,00300,0300,U 202685,S200000,00400,0100,BRIARCLIFF HEALTH CARE CENTER 202685,S200000,00400,0200,445260 202685,S200000,00400,0300,11/01/90 202685,S200000,00400,0500,P 202685,S200000,01500,0100,N 202685,S200000,01600,0100,Y 202685,S200000,01700,0100,N 202685,S200000,01800,0100,N 202685,S200000,02200,0100,Y 202685,S200000,02800,0100,N 202685,S200000,02900,0100,N 202685,S200000,03000,0100,N 202685,S200000,03100,0100,N 202685,S200000,03200,0100,N 202685,S200000,03300,0100,N 202685,S200000,03300,0200,N 202685,S200000,04100,0100,N 202685,S200000,04200,0100,N 202685,S200000,04300,0100,N 202685,S200000,04600,0100,N 202685,S200000,04700,0100,N 202685,S200000,04900,0100,N 202824,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202824,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202824,A000000,00300,0000,0300EMPLOYEE BENEFITS 202824,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202824,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202824,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202824,A000000,00700,0000,0700HOUSEKEEPING 202824,A000000,00800,0000,0800DIETARY 202824,A000000,00900,0000,0900NURSING ADMINISTRATION 202824,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202824,A000000,01100,0000,1100PHARMACY 202824,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202824,A000000,01300,0000,1300SOCIAL SERVICE 202824,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202824,A000000,01600,0000,1600SKILLED NURSING FACILITY 202824,A000000,01800,0000,1800NURSING FACILITY 202824,A000000,01810,0000,1810ICF/MR 202824,A000000,02100,0000,2100RADIOLOGY 202824,A000000,02200,0000,2200LABORATORY 202824,A000000,02500,0000,2500PHYSICAL THERAPY 202824,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202824,A000000,02700,0000,2700SPEECH PATHOLOGY 202824,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202824,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202824,A000000,03550,0000,3550FQHC 202824,A000000,04801,0000,4801AMBULANCE 202824,A000000,04802,0000,4802AMBULANCE 202824,A000000,04803,0000,4803AMBULANCE 202824,A000000,05000,0000,5000CORF 202824,A000000,05010,0000,5010CMHC 202824,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202824,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202824,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202824,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202824,A81000A,00100,0100,Y 202824,A81000B,00100,0300,ADMIN & GENERAL-MNGMT FEE 202824,A81000B,00200,0300,HOME OFFICE-CRC BLDNG 202824,A81000B,00300,0300,HOME OFFICE-CRC MOVEABLE 202824,A81000C,00100,0100,C 202824,A81000C,00100,0200,GGC AT SPRING LAKE 202824,A81000C,00100,0400,GAMBLE GUEST CARE CORP 202824,A81000C,00100,0600,HOME OFFICE MANAGEMENT 202824,A81000C,00200,0100,G 202824,A81000C,00200,0200,KEVIN GAMBLE JR 202824,A81000C,00200,0400,SON OF OWNER 202824,A81000C,00200,0600,CONSTR/MAINTENANCE 202824,B100000,00000,0100,0100SQUARE FEET 202824,B100000,00000,0200,0200SQUARE FEET 202824,B100000,00000,0300,0300GROSS SALARIES 202824,B100000,00000,0400,0400ACCUM COST 202824,B100000,00000,0500,0500SQUARE FEET 202824,B100000,00000,0600,0600PATIENT DAYS 202824,B100000,00000,0700,0700SQUARE FEET 202824,B100000,00000,0800,0800MEALS SERVED 202824,B100000,00000,0900,0900NURSING/TH HR HOUR 202824,B100000,00000,1000,1000COST REQUISIT 202824,B100000,00000,1100,1100COST REQUISIT 202824,B100000,00000,1200,1200PATIENT DAYS 202824,B100000,00000,1300,1300PATIENT DAYS 202824,B100000,00000,1400,1400ASSIGNED TIME 202824,E10A180,00501,0100,07/12/00 202824,E10A180,00501,0300,07/12/00 202824,S000000,00100,0200,06/01/00 202824,S200000,00100,0100,8622 LINE AVENUE 202824,S200000,00100,0300,P.O. BOX 52389 202824,S200000,00200,0100,SHREVEPORT 202824,S200000,00200,0200,LA 202824,S200000,00200,0300,71135 202824,S200000,00300,0100,CADDO PARISH 202824,S200000,00300,0200,7680 202824,S200000,00300,0300,U 202824,S200000,00400,0100,GUEST CARE CENTER AT SPRING LAKE 202824,S200000,00400,0200,195344 202824,S200000,00400,0300,07/01/95 202824,S200000,00400,0500,P 202824,S200000,01500,0100,N 202824,S200000,01600,0100,Y 202824,S200000,01700,0100,N 202824,S200000,01800,0100,N 202824,S200000,02200,0100,N 202824,S200000,02800,0100,N 202824,S200000,02900,0100,N 202824,S200000,03000,0100,N 202824,S200000,03100,0100,N 202824,S200000,03200,0100,N 202824,S200000,03300,0100,N 202824,S200000,03300,0200,N 202824,S200000,04100,0100,N 202824,S200000,04200,0100,N 202824,S200000,04300,0100,N 202824,S200000,04600,0100,N 202824,S200000,04700,0100,N 202824,S200000,04900,0100,N 202824,S200000,05200,0100,N 202827,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202827,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202827,A000000,00300,0000,0300EMPLOYEE BENEFITS 202827,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202827,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202827,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202827,A000000,00700,0000,0700HOUSEKEEPING 202827,A000000,00800,0000,0800DIETARY 202827,A000000,00900,0000,0900NURSING ADMINISTRATION 202827,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202827,A000000,01100,0000,1100PHARMACY 202827,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202827,A000000,01300,0000,1300SOCIAL SERVICE 202827,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202827,A000000,01500,0000,1350OTHER GENERAL SERVICES 202827,A000000,01600,0000,1600SKILLED NURSING FACILITY 202827,A000000,01800,0000,1800NURSING FACILITY 202827,A000000,01810,0000,1810ICF/MR 202827,A000000,02200,0000,2200LABORATORY 202827,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 202827,A000000,02500,0000,2500PHYSICAL THERAPY 202827,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202827,A000000,02700,0000,2700SPEECH PATHOLOGY 202827,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202827,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202827,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 202827,A000000,03550,0000,3550FQHC 202827,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 202827,A000000,04801,0000,4801AMBULANCE 202827,A000000,04802,0000,4802AMBULANCE 202827,A000000,04803,0000,4803AMBULANCE 202827,A000000,05000,0000,5000CORF 202827,A000000,05010,0000,5010CMHC 202827,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202827,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202827,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202827,A000000,05100,0000,4750OTHER REIMBURSABLE COST 202827,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 202827,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 202827,A81000A,00100,0100,Y 202827,A81000B,00100,0300,DIETARY SUPPLEMENT 202827,A81000B,00200,0300,TUBE FEEDING SUPPLIES 202827,A81000C,00100,0100,A 202827,A81000C,00100,0200,TOMMY & LYN BANKSTON 202827,A81000C,00100,0400,WINN MEDICAL 202827,A81000C,00100,0600,SUPPLY COMPANY 202827,A81000C,00200,0100,A 202827,A81000C,00300,0100,A 202827,A81000C,00400,0100,A 202827,B100000,00000,0100,0100SQUARE FOOTAGE 202827,B100000,00000,0200,0200SQUARE FOOTAGE 202827,B100000,00000,0300,0300GROSS SALARIES 202827,B100000,00000,0400,0400ACCUM COST 202827,B100000,00000,0500,0500SQUARE FOOTAGE 202827,B100000,00000,0600,0600POUNDS OF LAUNDRY 202827,B100000,00000,0700,0700SQUARE FOOTAGE 202827,B100000,00000,0800,0800MEALS SERVED 202827,B100000,00000,0900,0900DIRECT NURSING HR 202827,B100000,00000,1000,1000COSTED REQUIS 202827,B100000,00000,1100,1100COSTED REQUIS 202827,B100000,00000,1200,1200TIME SPENT 202827,B100000,00000,1300,1300TIME SPENT 202827,B100000,00000,1400,1400NO STATISTICS 202827,B100000,00000,1500,1350NO STATISTICS 202827,E10A180,00501,0100,07/05/00 202827,S000000,00100,0200,05/26/00 202827,S200000,00100,0100,101 REEVES STREET 202827,S200000,00100,0300,596 202827,S200000,00200,0100,BERNICE 202827,S200000,00200,0200,LA 202827,S200000,00200,0300,70126 202827,S200000,00300,0100,UNION 202827,S200000,00300,0200,0019 202827,S200000,00300,0300,R 202827,S200000,00400,0100,PINECREST MANOR NURSING HOME 202827,S200000,00400,0200,195396 202827,S200000,00400,0300,01/01/97 202827,S200000,00400,0500,P 202827,S200000,01500,0100,N 202827,S200000,01600,0100,Y 202827,S200000,01700,0100,N 202827,S200000,01800,0100,N 202827,S200000,02200,0100,N 202827,S200000,02800,0100,N 202827,S200000,02900,0100,N 202827,S200000,03000,0100,N 202827,S200000,03100,0100,N 202827,S200000,03200,0100,N 202827,S200000,03300,0100,N 202827,S200000,03300,0200,N 202827,S200000,04100,0100,N 202827,S200000,04200,0100,N 202827,S200000,04300,0100,Y 202827,S200000,04600,0100,N 202827,S200000,04700,0100,N 202827,S200000,04900,0100,N 202827,S200000,05200,0100,N 202829,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202829,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202829,A000000,00300,0000,0300EMPLOYEE BENEFITS 202829,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202829,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202829,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202829,A000000,00700,0000,0700HOUSEKEEPING 202829,A000000,00800,0000,0800DIETARY 202829,A000000,00900,0000,0900NURSING ADMINISTRATION 202829,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202829,A000000,01100,0000,1100PHARMACY 202829,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202829,A000000,01300,0000,1300SOCIAL SERVICE 202829,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202829,A000000,01500,0000,1350OTHER GENERAL SERVICES 202829,A000000,01600,0000,1600SKILLED NURSING FACILITY 202829,A000000,01800,0000,1800NURSING FACILITY 202829,A000000,01810,0000,1810ICF/MR 202829,A000000,02200,0000,2200LABORATORY 202829,A000000,02500,0000,2500PHYSICAL THERAPY 202829,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202829,A000000,02700,0000,2700SPEECH PATHOLOGY 202829,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202829,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202829,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 202829,A000000,03550,0000,3550FQHC 202829,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 202829,A000000,04801,0000,4801AMBULANCE 202829,A000000,04802,0000,4802AMBULANCE 202829,A000000,04803,0000,4803AMBULANCE 202829,A000000,05000,0000,5000CORF 202829,A000000,05010,0000,5010CMHC 202829,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202829,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202829,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202829,A000000,05100,0000,4750OTHER REIMBURSABLE COST 202829,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 202829,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 202829,A81000A,00100,0100,Y 202829,A81000C,00100,0100,A 202829,A81000C,00100,0200,L. BANKSTON 202829,A81000C,00100,0400,NURSING HOME MANAGEMENT 202829,A81000C,00100,0600,MANAGEMENT COMPANY 202829,A81000C,00200,0100,A 202829,A81000C,00200,0200,T. BANKSTON 202829,A81000C,00200,0400,NURSING HOME MANAGEMENT 202829,A81000C,00200,0600,MANAGEMENT COMPANY 202829,A81000C,00300,0100,A 202829,A81000C,00300,0200,W. T. LEE 202829,A81000C,00300,0400,NURSING HOME MANAGEMENT 202829,A81000C,00300,0600,MANAGEMENT COMPANY 202829,A81000C,00400,0100,A 202829,A81000C,00400,0200,F. SWAYZE 202829,A81000C,00400,0400,NURSING HOME MANAGEMENT 202829,A81000C,00400,0600,MANAGEMENT COMPANY 202829,A81000C,00500,0100,A 202829,A81000C,00500,0200,TOMMY & LYN BANKSTON 202829,A81000C,00500,0400,WINN MEDICAL 202829,A81000C,00500,0600,SUPPLY COMPANY 202829,B100000,00000,0100,0100SQUARE FEET 202829,B100000,00000,0200,0200SQUARE FEET 202829,B100000,00000,0300,0300GROSS SALARIES 202829,B100000,00000,0400,0400ACCUM COST 202829,B100000,00000,0500,0500SQUARE FEET 202829,B100000,00000,0600,0600POUNDS OF LAUNDRY 202829,B100000,00000,0700,0700SQUARE FEET 202829,B100000,00000,0800,0800MEALS SERVED 202829,B100000,00000,0900,0900DIRECT NRSING HRS 202829,B100000,00000,1000,1000COSTED REQUIS. 202829,B100000,00000,1100,1100COSTED REQUIS. 202829,B100000,00000,1200,1200TIME SPENT 202829,B100000,00000,1300,1300TIME SPENT 202829,B100000,00000,1400,1400ASSIGNED TIME 202829,B100000,00000,1500,1350NO STATISTICS 202829,E10A180,00501,0100,06/30/00 202829,E10A180,00501,0300,06/30/00 202829,S000000,00100,0200,05/26/00 202829,S200000,00100,0100,813 NORTH MAIN STREET 202829,S200000,00100,0300,733 202829,S200000,00200,0100,FARMERVILLE 202829,S200000,00200,0200,LA 202829,S200000,00200,0300,70121 202829,S200000,00300,0100,UNION 202829,S200000,00300,0200,0019 202829,S200000,00300,0300,R 202829,S200000,00400,0100,CHATEAU D ARBONNE NURSE CARE CENTER 202829,S200000,00400,0200,195439 202829,S200000,00400,0300,10/01/97 202829,S200000,00400,0500,P 202829,S200000,01500,0100,N 202829,S200000,01600,0100,Y 202829,S200000,01700,0100,N 202829,S200000,01800,0100,N 202829,S200000,02200,0100,N 202829,S200000,02800,0100,N 202829,S200000,02900,0100,N 202829,S200000,03000,0100,N 202829,S200000,03100,0100,N 202829,S200000,03200,0100,N 202829,S200000,03300,0100,N 202829,S200000,03300,0200,N 202829,S200000,04100,0100,N 202829,S200000,04200,0100,N 202829,S200000,04300,0100,Y 202829,S200000,04600,0100,N 202829,S200000,04700,0100,N 202829,S200000,04900,0100,N 202829,S200000,05200,0100,N 202831,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202831,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202831,A000000,00300,0000,0300EMPLOYEE BENEFITS 202831,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202831,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202831,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202831,A000000,00700,0000,0700HOUSEKEEPING 202831,A000000,00800,0000,0800DIETARY 202831,A000000,00900,0000,0900NURSING ADMINISTRATION 202831,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202831,A000000,01100,0000,1100PHARMACY 202831,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202831,A000000,01300,0000,1300SOCIAL SERVICE 202831,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202831,A000000,01600,0000,1600SKILLED NURSING FACILITY 202831,A000000,01800,0000,1800NURSING FACILITY 202831,A000000,01810,0000,1810ICF/MR 202831,A000000,02500,0000,2500PHYSICAL THERAPY 202831,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202831,A000000,02700,0000,2700SPEECH PATHOLOGY 202831,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202831,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202831,A000000,03550,0000,3550FQHC 202831,A000000,04801,0000,4801AMBULANCE 202831,A000000,04802,0000,4802AMBULANCE 202831,A000000,04803,0000,4803AMBULANCE 202831,A000000,05000,0000,5000CORF 202831,A000000,05010,0000,5010CMHC 202831,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202831,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202831,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202831,A81000A,00100,0100,N 202831,B100000,00000,0100,0100SQUARE FEET 202831,B100000,00000,0200,0200SQUARE FEET 202831,B100000,00000,0300,0300GROSS SALARIES 202831,B100000,00000,0400,0400ACCUM COST 202831,B100000,00000,0500,0500SQUARE FEET 202831,B100000,00000,0600,0600PATIENT DAYS 202831,B100000,00000,0700,0700SQUARE FEET 202831,B100000,00000,0800,0800MEALS SERVED 202831,B100000,00000,0900,0900DIRECT NRSG HRS 202831,B100000,00000,1000,1000COSTED REQUIS 202831,B100000,00000,1100,1100COSTED REQUIS 202831,B100000,00000,1200,1200GROSS REVENUES 202831,B100000,00000,1300,1300TIME SPENT 202831,B100000,00000,1400,1400ASSIGNED TIME 202831,E10A180,00501,0100,07/05/00 202831,E10A180,00501,0300,07/05/00 202831,S000000,00100,0200,05/31/00 202831,S200000,00100,0100,1422 EAST LOUISIANA HIGHWAY # 46 202831,S200000,00200,0100,ST. BERNARD 202831,S200000,00200,0200,LA 202831,S200000,00200,0300,40085 202831,S200000,00300,0100,ST. BERNARD 202831,S200000,00300,0200,5560 202831,S200000,00300,0300,U 202831,S200000,00400,0100,ST. RITA S NURSING HOME 202831,S200000,00400,0200,195456 202831,S200000,00400,0300,03/02/98 202831,S200000,00400,0500,P 202831,S200000,00600,0200,051655 202831,S200000,00600,0300,03/02/98 202831,S200000,00600,0600,O 202831,S200000,01500,0100,N 202831,S200000,01600,0100,Y 202831,S200000,01700,0100,N 202831,S200000,01800,0100,N 202831,S200000,02200,0100,N 202831,S200000,02800,0100,N 202831,S200000,02900,0100,N 202831,S200000,03000,0100,N 202831,S200000,03100,0100,N 202831,S200000,03200,0100,N 202831,S200000,03300,0100,N 202831,S200000,03300,0200,N 202831,S200000,03500,0300,N 202831,S200000,04100,0100,N 202831,S200000,04200,0100,N 202831,S200000,04300,0100,N 202831,S200000,04600,0100,N 202831,S200000,04700,0100,N 202831,S200000,04900,0100,Y 202834,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202834,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202834,A000000,00300,0000,0300EMPLOYEE BENEFITS 202834,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202834,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202834,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202834,A000000,00700,0000,0700HOUSEKEEPING 202834,A000000,00800,0000,0800DIETARY 202834,A000000,00900,0000,0900NURSING ADMINISTRATION 202834,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202834,A000000,01100,0000,1100PHARMACY 202834,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202834,A000000,01300,0000,1300SOCIAL SERVICE 202834,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202834,A000000,01500,0000,1350OTHER GENERAL SERVICES 202834,A000000,01600,0000,1600SKILLED NURSING FACILITY 202834,A000000,01800,0000,1800NURSING FACILITY 202834,A000000,01810,0000,1810ICF/MR 202834,A000000,02100,0000,2100RADIOLOGY 202834,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 202834,A000000,02500,0000,2500PHYSICAL THERAPY 202834,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202834,A000000,02700,0000,2700SPEECH PATHOLOGY 202834,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202834,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202834,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 202834,A000000,03550,0000,3550FQHC 202834,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 202834,A000000,04801,0000,4801AMBULANCE 202834,A000000,04802,0000,4802AMBULANCE 202834,A000000,04803,0000,4803AMBULANCE 202834,A000000,05000,0000,5000CORF 202834,A000000,05010,0000,5010CMHC 202834,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202834,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202834,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202834,A000000,05100,0000,4750OTHER REIMBURSABLE COST 202834,A000000,05300,0000,5300INTEREST EXPENSE 202834,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 202834,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202834,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 202834,A81000A,00100,0100,Y 202834,A81000B,00100,0300,MANAGEMENT FEES 202834,A81000B,00200,0300,MANAGEMENT FEES 202834,A81000C,00100,0100,B 202834,A81000C,00100,0200,RILEY SPENCE & ASSOCIATES 202834,A81000C,00100,0400,MANAGEMENT COMPANY 202834,A81000C,00100,0600,NURSING HOMES 202834,A81000C,00200,0100,B 202834,A81000C,00200,0200,RILEY SPENCE & ASSOCIATES 202834,A81000C,00200,0400,MANAGEMENT COMPANY 202834,A81000C,00200,0600,NURSING HOMES 202834,B100000,00000,0100,0100SQUARE FEET 202834,B100000,00000,0200,0200SQUARE FEET 202834,B100000,00000,0300,0300GROSS SALARIES 202834,B100000,00000,0400,0400ACCUM COST 202834,B100000,00000,0500,0500SQUARE FEET 202834,B100000,00000,0600,0600POUNDS OF LAUNDRY 202834,B100000,00000,0700,0700SQUARE FEET 202834,B100000,00000,0800,0800MEALS SERVED 202834,B100000,00000,0900,0900NURSING HOURS 202834,B100000,00000,1000,1000COSTED REQUIS. 202834,B100000,00000,1100,1100NO STATISTICS 202834,B100000,00000,1200,1200TIME SPENT 202834,B100000,00000,1300,1300TIME SPENT 202834,B100000,00000,1400,1400NO STATISTICS 202834,B100000,00000,1500,1350NO STATISTICS 202834,E10A180,00501,0300,07/12/00 202834,S000000,00100,0200,06/06/00 202834,S200000,00100,0100,100 WOODLAND MANOR NURSING CENTER 202834,S200000,00200,0100,ARNOLD 202834,S200000,00200,0200,MO 202834,S200000,00200,0300,63010 202834,S200000,00300,0100,JEFFERSON 202834,S200000,00300,0200,7040 202834,S200000,00300,0300,U 202834,S200000,00400,0100,WOODLAND MANOR NURSING CENTER 202834,S200000,00400,0200,265324 202834,S200000,00400,0300,03/31/88 202834,S200000,00400,0500,P 202834,S200000,01500,0100,N 202834,S200000,01600,0100,Y 202834,S200000,01700,0100,N 202834,S200000,01800,0100,N 202834,S200000,02200,0100,N 202834,S200000,02800,0100,N 202834,S200000,02900,0100,N 202834,S200000,03000,0100,N 202834,S200000,03100,0100,N 202834,S200000,03200,0100,N 202834,S200000,03300,0100,N 202834,S200000,03300,0200,N 202834,S200000,04100,0100,N 202834,S200000,04200,0100,N 202834,S200000,04300,0100,N 202834,S200000,04600,0100,N 202834,S200000,04700,0100,N 202834,S200000,04900,0100,N 202834,S200000,05200,0100,N 202835,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202835,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202835,A000000,00300,0000,0300EMPLOYEE BENEFITS 202835,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202835,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202835,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202835,A000000,00700,0000,0700HOUSEKEEPING 202835,A000000,00800,0000,0800DIETARY 202835,A000000,00900,0000,0900NURSING ADMINISTRATION 202835,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202835,A000000,01100,0000,1100PHARMACY 202835,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202835,A000000,01300,0000,1300SOCIAL SERVICE 202835,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202835,A000000,01600,0000,1600SKILLED NURSING FACILITY 202835,A000000,01800,0000,1800NURSING FACILITY 202835,A000000,01810,0000,1810ICF/MR 202835,A000000,02100,0000,2100RADIOLOGY 202835,A000000,02200,0000,2200LABORATORY 202835,A000000,02500,0000,2500PHYSICAL THERAPY 202835,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202835,A000000,02700,0000,2700SPEECH PATHOLOGY 202835,A000000,02800,0000,2800ELECTROCARDIOLOGY 202835,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202835,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202835,A000000,03200,0000,3200SUPPORT SURFACES 202835,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 202835,A000000,03550,0000,3550FQHC 202835,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 202835,A000000,04801,0000,4801AMBULANCE 202835,A000000,04802,0000,4802AMBULANCE 202835,A000000,04803,0000,4803AMBULANCE 202835,A000000,05000,0000,5000CORF 202835,A000000,05010,0000,5010CMHC 202835,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202835,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202835,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202835,A000000,05300,0000,5300INTEREST EXPENSE 202835,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 202835,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 202835,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202835,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 202835,A81000A,00100,0100,Y 202835,A81000B,00100,0300,BUILDING RENT 202835,A81000B,00200,0300,HOME OFFICE 202835,A81000B,00300,0300,HOME OFFICE 202835,A81000B,00400,0300,HOME OFFICE 202835,A81000B,00500,0300,COMMUNITY RELATIONS 202835,A81000B,00600,0300,MISCELLANEOUS EXPENSE 202835,A81000B,00700,0300,THERAPY SERVICES 202835,A81000B,00800,0300,THERAPY SERVICES 202835,A81000B,00900,0300,THERAPY SERVICES 202835,A81000B,01000,0300,MEDICAL SUPPLIES 202835,A81000B,01100,0300,DRUGS CHARGED 202835,A81000B,01200,0300,CERTIFIED 202835,A81000B,01300,0300,NON-CERTIFIED 202835,B100000,00000,0100,0100SQUARE FEET 202835,B100000,00000,0200,0200SQUARE FEET 202835,B100000,00000,0300,0300GROSS SALARIES 202835,B100000,00000,0400,0400ACCUM COST 202835,B100000,00000,0500,0500SQUARE FEET 202835,B100000,00000,0600,0600PATIENT DAYS 202835,B100000,00000,0700,0700PATIENT DAYS 202835,B100000,00000,0800,0800MEALS SERVED 202835,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 202835,B100000,00000,1000,1000COSTED REQUISITIO 202835,B100000,00000,1100,1100COSTED REQUISITIO 202835,B100000,00000,1200,1200PATIENT DAYS 202835,B100000,00000,1300,1300PATIENT DAYS 202835,B100000,00000,1400,1400ASSIGNED TIME 202835,E10A180,00350,0100,09/01/99 202835,E10A180,00351,0100,12/14/99 202835,E10A180,00501,0100,07/26/00 202835,S000000,00100,0200,06/06/02 202835,S200000,00100,0100,2041 SILVA LANE 202835,S200000,00200,0100,MOBERLY 202835,S200000,00200,0200,MO 202835,S200000,00200,0300,65270 202835,S200000,00300,0100,RANDOLPH 202835,S200000,00300,0200,0026 202835,S200000,00300,0300,R 202835,S200000,00400,0100,NORTH VILLAGE PARK 202835,S200000,00400,0200,265330 202835,S200000,00400,0300,11/01/89 202835,S200000,00400,0500,P 202835,S200000,01500,0100,N 202835,S200000,01600,0100,Y 202835,S200000,01700,0100,N 202835,S200000,01800,0100,N 202835,S200000,02200,0100,N 202835,S200000,02800,0100,N 202835,S200000,02900,0100,N 202835,S200000,03000,0100,N 202835,S200000,03100,0100,N 202835,S200000,03200,0100,N 202835,S200000,03300,0100,N 202835,S200000,03300,0200,N 202835,S200000,04100,0100,N 202835,S200000,04200,0100,N 202835,S200000,04300,0100,N 202835,S200000,04600,0100,N 202835,S200000,04700,0100,N 202835,S200000,04900,0100,N 202835,S200000,05200,0100,N 202836,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 202836,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 202836,A000000,00300,0000,0300EMPLOYEE BENEFITS 202836,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 202836,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 202836,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 202836,A000000,00700,0000,0700HOUSEKEEPING 202836,A000000,00800,0000,0800DIETARY 202836,A000000,00900,0000,0900NURSING ADMINISTRATION 202836,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 202836,A000000,01100,0000,1100PHARMACY 202836,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 202836,A000000,01300,0000,1300SOCIAL SERVICE 202836,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 202836,A000000,01500,0000,1350OTHER GENERAL SERVICES 202836,A000000,01600,0000,1600SKILLED NURSING FACILITY 202836,A000000,01800,0000,1800NURSING FACILITY 202836,A000000,01810,0000,1810ICF/MR 202836,A000000,02100,0000,2100RADIOLOGY 202836,A000000,02200,0000,2200LABORATORY 202836,A000000,02500,0000,2500PHYSICAL THERAPY 202836,A000000,02600,0000,2600OCCUPATIONAL THERAPY 202836,A000000,02700,0000,2700SPEECH PATHOLOGY 202836,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 202836,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 202836,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 202836,A000000,03550,0000,3550FQHC 202836,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 202836,A000000,04801,0000,4801AMBULANCE 202836,A000000,04802,0000,4802AMBULANCE 202836,A000000,04803,0000,4803AMBULANCE 202836,A000000,05000,0000,5000CORF 202836,A000000,05010,0000,5010CMHC 202836,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 202836,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 202836,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 202836,A000000,05100,0000,4750OTHER REIMBURSABLE COST 202836,A000000,05300,0000,5300INTEREST EXPENSE 202836,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 202836,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 202836,A000000,05900,0000,5900BARBER & BEAUTY SHOP 202836,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 202836,A81000A,00100,0100,Y 202836,A81000B,00100,0300,DIRECTORS FEES 202836,A81000B,00200,0300,INTEREST EXPENSE 202836,A81000B,00300,0300,LAWN SERVICE 202836,A81000C,00100,0100,F 202836,A81000C,00100,0200,JOSEPH DAILEY 202836,A81000C,00200,0100,F 202836,A81000C,00200,0200,OLIVER PREISS 202836,A81000C,00300,0100,F 202836,A81000C,00300,0200,ROBERT SCHMIDT 202836,A81000C,00400,0100,D 202836,A81000C,00400,0200,ROB SCHMIDT 202836,A81000C,00400,0400,J.A.R LAWN SERVICE 202836,A81000C,00400,0600,LAWN SERVICE 202836,B100000,00000,0100,0100SQUARE FEET 202836,B100000,00000,0200,0200SQ FEET 202836,B100000,00000,0300,0300GROSS SALARIES 202836,B100000,00000,0400,0400ACCUM COST 202836,B100000,00000,0500,0500SQUARE FEET 202836,B100000,00000,0600,0600POUNDS OF LAUNDRY 202836,B100000,00000,0700,0700SQUARE FEET 202836,B100000,00000,0800,0800MEALS SERVED 202836,B100000,00000,0900,0900DIRECT NRSING HRS 202836,B100000,00000,1000,1000COSTED REQUIS. 202836,B100000,00000,1100,1100COSTED REQUIS. 202836,B100000,00000,1200,1200TIME SPENT 202836,B100000,00000,1300,1300TIME SPENT 202836,B100000,00000,1400,1400ASSIGNED TIME 202836,B100000,00000,1500,1350NO STATISTICS 202836,E10A180,00501,0100,07/24/00 202836,E10A180,00550,0300,07/24/00 202836,S000000,00100,0200,06/02/00 202836,S200000,00100,0100,105 SOUTH SIXTH 202836,S200000,00200,0100,PACIFIC 202836,S200000,00200,0200,MO 202836,S200000,00200,0300,63069 202836,S200000,00300,0100,FRANKLIN 202836,S200000,00300,0200,7040 202836,S200000,00300,0300,U 202836,S200000,00400,0100,PACIFIC CARE CENTER 202836,S200000,00400,0200,265337 202836,S200000,00400,0300,12/01/88 202836,S200000,00400,0500,P 202836,S200000,01500,0100,N 202836,S200000,01600,0100,Y 202836,S200000,01700,0100,N 202836,S200000,01800,0100,N 202836,S200000,02200,0100,N 202836,S200000,02800,0100,Y 202836,S200000,02900,0100,N 202836,S200000,03000,0100,N 202836,S200000,03100,0100,N 202836,S200000,03200,0100,N 202836,S200000,03300,0100,N 202836,S200000,03300,0200,N 202836,S200000,04100,0100,N 202836,S200000,04200,0100,N 202836,S200000,04300,0100,N 202836,S200000,04600,0100,N 202836,S200000,04700,0100,N 202836,S200000,04900,0100,N 202836,S200000,05200,0100,N 203033,S000000,00100,0200,09/10/04 203033,S200000,00100,0100,2500 EAST SIMCOE ST 203033,S200000,00200,0100,LAYFAYETTE 203033,S200000,00200,0200,LA 203033,S200000,00200,0300,70501 203033,S200000,00300,0100,LAFAYETTE 203033,S200000,00400,0100,OAKWOOD VILLAGE 203033,S200000,00400,0300,04/01/97 203034,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203034,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203034,A000000,00300,0000,0300EMPLOYEE BENEFITS 203034,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203034,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203034,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203034,A000000,00700,0000,0700HOUSEKEEPING 203034,A000000,00800,0000,0800DIETARY 203034,A000000,00900,0000,0900NURSING ADMINISTRATION 203034,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203034,A000000,01100,0000,1100PHARMACY 203034,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203034,A000000,01300,0000,1300SOCIAL SERVICE 203034,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203034,A000000,01600,0000,1600SKILLED NURSING FACILITY 203034,A000000,01800,0000,1800NURSING FACILITY 203034,A000000,01810,0000,1810ICF/MR 203034,A000000,02200,0000,2200LABORATORY 203034,A000000,02500,0000,2500PHYSICAL THERAPY 203034,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203034,A000000,02700,0000,2700SPEECH PATHOLOGY 203034,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203034,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203034,A000000,03550,0000,3550FQHC 203034,A000000,04801,0000,4801AMBULANCE 203034,A000000,04802,0000,4802AMBULANCE 203034,A000000,04803,0000,4803AMBULANCE 203034,A000000,05000,0000,5000CORF 203034,A000000,05010,0000,5010CMHC 203034,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203034,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203034,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203034,A000000,05300,0000,5300INTEREST EXPENSE 203034,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203034,A81000A,00100,0100,Y 203034,A81000B,00100,0300,RENT 203034,A81000B,00200,0300,STORAGE 203034,A81000B,00300,0300,STORAGE - CAP. COST 203034,A81000B,00400,0300,HOME OFFICE COST 203034,A81000B,00500,0300,PUBLIC RELATIONS 203034,A81000B,00600,0300,BDE ACCOUNTING 203034,A81000C,00100,0100,A 203034,A81000C,00100,0200,BOB G. DEAN JR 203034,A81000C,00100,0400,BOB DEAN ENT. 203034,A81000C,00100,0600,NURSING HOME MG 203034,A81000C,00200,0100,A 203034,A81000C,00200,0200,BOB G. DEAN JR 203034,A81000C,00200,0400,BOB DEAN ENT. 203034,A81000C,00200,0600,STORAGE FACILIT 203034,B100000,00000,0100,0100SQUARE FEET 203034,B100000,00000,0200,0200SQUARE FEET 203034,B100000,00000,0300,0300GROSS SALARIES 203034,B100000,00000,0400,0400ACCUM COST 203034,B100000,00000,0500,0500SQUARE FEET 203034,B100000,00000,0600,0600POUNDS OF LAUNDRY 203034,B100000,00000,0700,0700HOURS OF SERVICE 203034,B100000,00000,0800,0800MEALS SERVED 203034,B100000,00000,0900,0900NURSING SALARY 203034,B100000,00000,1000,1000COSTED REQUIS 203034,B100000,00000,1100,1100COSTED REQUIS 203034,B100000,00000,1200,1200TIME SPENT 203034,B100000,00000,1300,1300TIME SPENT 203034,B100000,00000,1400,1400ASSIGNED TIME 203034,E10A180,00302,0100,05/10/00 203034,E10A180,00501,0100,10/04/00 203034,S000000,00100,0200,08/07/00 203034,S200000,00100,0100,2233 8TH STREET 203034,S200000,00200,0100,HARVEY 203034,S200000,00200,0200,LA 203034,S200000,00200,0300,70058 203034,S200000,00300,0100,JEFFERSON 203034,S200000,00300,0200,5560 203034,S200000,00300,0300,U 203034,S200000,00400,0100,MAISON DE VILLE OF HARVEY 203034,S200000,00400,0200,195403 203034,S200000,00400,0300,01/09/97 203034,S200000,00400,0500,P 203034,S200000,00400,0600,O 203034,S200000,01500,0100,N 203034,S200000,01600,0100,Y 203034,S200000,01700,0100,N 203034,S200000,01800,0100,N 203034,S200000,02200,0100,Y 203034,S200000,02800,0100,N 203034,S200000,02900,0100,N 203034,S200000,03000,0100,N 203034,S200000,03100,0100,N 203034,S200000,03200,0100,N 203034,S200000,03300,0100,N 203034,S200000,03300,0200,N 203034,S200000,04100,0100,N 203034,S200000,04200,0100,N 203034,S200000,04300,0100,N 203034,S200000,04600,0100,N 203034,S200000,04700,0100,N 203034,S200000,04900,0100,N 203034,S200000,05200,0100,N 203131,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203131,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203131,A000000,00300,0000,0300EMPLOYEE BENEFITS 203131,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203131,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203131,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203131,A000000,00700,0000,0700HOUSEKEEPING 203131,A000000,00800,0000,0800DIETARY 203131,A000000,00900,0000,0900NURSING ADMINISTRATION 203131,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203131,A000000,01100,0000,1100PHARMACY 203131,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203131,A000000,01300,0000,1300SOCIAL SERVICE 203131,A000000,01301,0000,1301LEISURE TIME ACTIVITIES 203131,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203131,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 203131,A000000,01600,0000,1600SKILLED NURSING FACILITY 203131,A000000,01810,0000,1810ICF/MR 203131,A000000,02200,0000,2200LABORATORY 203131,A000000,02500,0000,2500PHYSICAL THERAPY 203131,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203131,A000000,02700,0000,2700SPEECH PATHOLOGY 203131,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203131,A000000,03550,0000,3550FQHC 203131,A000000,04801,0000,4801AMBULANCE 203131,A000000,04802,0000,4802AMBULANCE 203131,A000000,04803,0000,4803AMBULANCE 203131,A000000,05000,0000,5000CORF 203131,A000000,05010,0000,5010CMHC 203131,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203131,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203131,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203131,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203131,A000000,06201,0000,6201DENTAL 203131,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 203131,A81000A,00100,0100,N 203131,B100000,00000,0100,0100SQUARE FEET 203131,B100000,00000,0200,0200SQUARE FEET 203131,B100000,00000,0300,0300GROSS SALARIES 203131,B100000,00000,0400,0400ACCUM COST 203131,B100000,00000,0500,0500SQUARE FEET 203131,B100000,00000,0600,0600POUNDS OF LAUNDRY 203131,B100000,00000,0700,0700HOURS OF SERVICE 203131,B100000,00000,0800,0800MEALS SERVED 203131,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 203131,B100000,00000,1000,1000COSTED REQUISITIO 203131,B100000,00000,1100,1100COSTED REQUISITIO 203131,B100000,00000,1200,1200TIME SPENT 203131,B100000,00000,1300,1300TIME SPENT 203131,B100000,00000,1301,1301PARTICIPAN 203131,B100000,00000,1400,1400ASSIGNED TIME 203131,B100000,00000,1500,1350 203131,E10A180,00301,0100,05/10/00 203131,E10A180,00350,0100,01/18/00 203131,S000000,00100,0200,06/27/00 203131,S200000,00100,0100,168 WEST MAIN STREET 203131,S200000,00200,0100,SPRINGVILLE 203131,S200000,00200,0200,NY 203131,S200000,00200,0300,14141 203131,S200000,00300,0100,ERIE 203131,S200000,00300,0200,1280 203131,S200000,00300,0300,U 203131,S200000,00400,0100,FIDDLERS GREEN MANOR 203131,S200000,00400,0200,335457 203131,S200000,00400,0300,05/01/98 203131,S200000,00400,0500,P 203131,S200000,01500,0100,Y 203131,S200000,01600,0100,N 203131,S200000,01700,0100,N 203131,S200000,01800,0100,N 203131,S200000,02200,0100,N 203131,S200000,02800,0100,N 203131,S200000,02900,0100,N 203131,S200000,03000,0100,N 203131,S200000,03100,0100,N 203131,S200000,03200,0100,N 203131,S200000,03300,0100,N 203131,S200000,03300,0200,N 203131,S200000,04100,0100,N 203131,S200000,04200,0100,N 203131,S200000,04300,0100,N 203131,S200000,04600,0100,N 203131,S200000,04700,0100,N 203131,S200000,04900,0100,N 203131,S200000,05200,0100,N 203253,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203253,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203253,A000000,00300,0000,0300EMPLOYEE BENEFITS 203253,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203253,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203253,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203253,A000000,00700,0000,0700HOUSEKEEPING 203253,A000000,00800,0000,0800DIETARY 203253,A000000,00900,0000,0900NURSING ADMINISTRATION 203253,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203253,A000000,01100,0000,1100PHARMACY 203253,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203253,A000000,01300,0000,1300SOCIAL SERVICE 203253,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203253,A000000,01500,0000,1350OTHER GENERAL SERVICES 203253,A000000,01600,0000,1600SKILLED NURSING FACILITY 203253,A000000,01800,0000,1800NURSING FACILITY 203253,A000000,01810,0000,1810ICF/MR 203253,A000000,02200,0000,2200LABORATORY 203253,A000000,02300,0000,2300INTRAVENOUS THERAPY 203253,A000000,02500,0000,2500PHYSICAL THERAPY 203253,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203253,A000000,02700,0000,2700SPEECH PATHOLOGY 203253,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203253,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203253,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203253,A000000,03550,0000,3550FQHC 203253,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203253,A000000,04801,0000,4801AMBULANCE 203253,A000000,04802,0000,4802AMBULANCE 203253,A000000,04803,0000,4803AMBULANCE 203253,A000000,05000,0000,5000CORF 203253,A000000,05010,0000,5010CMHC 203253,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203253,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203253,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203253,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203253,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203253,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203253,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203253,A81000A,00100,0100,Y 203253,A81000B,00100,0300,MANAGEMENT FEES 203253,A81000B,00200,0300,DIETARY SUPPLEMENT 203253,A81000B,00300,0300,TUBE FEEDING SUPPLIES 203253,A81000C,00100,0100,A 203253,A81000C,00100,0200,L BANKSTON 203253,A81000C,00100,0400,NURSING HOMES MGMT INC 203253,A81000C,00100,0600,MANAGEMENT COMPANY 203253,A81000C,00200,0100,A 203253,A81000C,00200,0200,T BANKSTON 203253,A81000C,00200,0400,NURSING HOMES MGMT INC 203253,A81000C,00200,0600,MANAGEMENT COMPANY 203253,A81000C,00300,0100,A 203253,A81000C,00300,0200,F. SWAYZE 203253,A81000C,00300,0400,NURSING HOMES MGMT INC 203253,A81000C,00300,0600,MANAGEMENT COMPANY 203253,A81000C,00400,0100,A 203253,A81000C,00400,0200,W.T. LEE 203253,A81000C,00400,0400,NURSING HOMES MGMT INC 203253,A81000C,00400,0600,MANAGEMENT COMPANY 203253,A81000C,00500,0100,A 203253,A81000C,00500,0200,TOMMY & LYN BANKSTON 203253,A81000C,00500,0400,WINN MEDICAL 203253,A81000C,00500,0600,MEDICAL SUPPLY 203253,B100000,00000,0100,0100SQUARE FEET 203253,B100000,00000,0200,0200SQUARE FEET 203253,B100000,00000,0300,0300GROSS SALARIES 203253,B100000,00000,0400,0400ACCUM COST 203253,B100000,00000,0500,0500SQUARE FEET 203253,B100000,00000,0600,0600POUNDS OF LAUNDRY 203253,B100000,00000,0700,0700SQUARE FEET 203253,B100000,00000,0800,0800MEALS SERVED 203253,B100000,00000,0900,0900DIRECT NRSING HRS 203253,B100000,00000,1000,1000COSTED REQUIS. 203253,B100000,00000,1100,1100COSTED REQUIS. 203253,B100000,00000,1200,1200TIME SPENT 203253,B100000,00000,1300,1300TIME SPENT 203253,B100000,00000,1400,1400ASSIGNED TIME 203253,B100000,00000,1500,1350NO STATISTICS 203253,E10A180,00501,0100,07/05/00 203253,E10A180,00501,0300,07/05/00 203253,S000000,00100,0200,05/26/00 203253,S200000,00100,0100,2501 KENNETH STREET 203253,S200000,00100,0300,828 203253,S200000,00200,0100,RINGGOLD 203253,S200000,00200,0200,LA 203253,S200000,00200,0300,71068 203253,S200000,00300,0100,BIENVILLE 203253,S200000,00300,0200,0019 203253,S200000,00300,0300,R 203253,S200000,00400,0100,RINGGOLD NURSE CARE CENTER INC 203253,S200000,00400,0200,195407 203253,S200000,00400,0300,04/01/97 203253,S200000,00400,0500,P 203253,S200000,01500,0100,N 203253,S200000,01600,0100,Y 203253,S200000,01700,0100,N 203253,S200000,01800,0100,N 203253,S200000,02200,0100,N 203253,S200000,02800,0100,N 203253,S200000,02900,0100,N 203253,S200000,03000,0100,N 203253,S200000,03100,0100,N 203253,S200000,03200,0100,N 203253,S200000,03300,0100,N 203253,S200000,03300,0200,N 203253,S200000,04100,0100,N 203253,S200000,04200,0100,N 203253,S200000,04300,0100,Y 203253,S200000,04600,0100,N 203253,S200000,04700,0100,N 203253,S200000,04900,0100,N 203253,S200000,05200,0100,N 203255,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203255,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203255,A000000,00300,0000,0300EMPLOYEE BENEFITS 203255,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203255,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203255,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203255,A000000,00700,0000,0700HOUSEKEEPING 203255,A000000,00800,0000,0800DIETARY 203255,A000000,00900,0000,0900NURSING ADMINISTRATION 203255,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203255,A000000,01100,0000,1100PHARMACY 203255,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203255,A000000,01300,0000,1300SOCIAL SERVICE 203255,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203255,A000000,01500,0000,1350OTHER GENERAL SERVICES 203255,A000000,01600,0000,1600SKILLED NURSING FACILITY 203255,A000000,01800,0000,1800NURSING FACILITY 203255,A000000,01810,0000,1810ICF/MR 203255,A000000,01900,0000,1900OTHER LONG TERM CARE 203255,A000000,02100,0000,2100RADIOLOGY 203255,A000000,02200,0000,2200LABORATORY 203255,A000000,02500,0000,2500PHYSICAL THERAPY 203255,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203255,A000000,02700,0000,2700SPEECH PATHOLOGY 203255,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203255,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203255,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203255,A000000,03550,0000,3550FQHC 203255,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203255,A000000,04801,0000,4801AMBULANCE 203255,A000000,04802,0000,4802AMBULANCE 203255,A000000,04803,0000,4803AMBULANCE 203255,A000000,05000,0000,5000CORF 203255,A000000,05010,0000,5010CMHC 203255,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203255,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203255,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203255,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203255,A000000,05300,0000,5300INTEREST EXPENSE 203255,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203255,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203255,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203255,A81000A,00100,0100,Y 203255,A81000B,00100,0300,HOME OFFICE MGMT FEE 203255,A81000B,00200,0300,HOME OFFICE CAP COST 203255,A81000B,00300,0300,INTEREST 203255,A81000C,00100,0100,A 203255,A81000C,00100,0200,JAMES & JUDY LINCOLN 203255,A81000C,00100,0400,HEALTH SYSTEMS INC. 203255,A81000C,00100,0600,HOME OFFICE 203255,B100000,00000,0100,0100SQUARE FEET 203255,B100000,00000,0200,0200SQUARE FEET 203255,B100000,00000,0300,0300GROSS SALARIES 203255,B100000,00000,0400,0400ACCUM COST 203255,B100000,00000,0500,0500SQUARE FEET 203255,B100000,00000,0600,0600POUNDS OF LAUNDRY 203255,B100000,00000,0700,0700SQUARE FEET 203255,B100000,00000,0800,0800MEALS SERVED 203255,B100000,00000,0900,0900DIRECT NRSG 203255,B100000,00000,1000,1000COSTED REQU. 203255,B100000,00000,1100,1100NO STATISTICS 203255,B100000,00000,1200,1200TIME SPENT 203255,B100000,00000,1300,1300TIME SPENT 203255,B100000,00000,1400,1400NO STATISTICS 203255,B100000,00000,1500,1350NO STATISTICS 203255,E10A180,00501,0100,07/19/00 203255,E10A180,00501,0300,07/19/00 203255,S000000,00100,0200,06/05/00 203255,S200000,00100,0100,430 SALCEDO ROAD 203255,S200000,00100,0300,707 203255,S200000,00200,0100,SIKESTON 203255,S200000,00200,0200,MO 203255,S200000,00200,0300,63801 203255,S200000,00300,0100,SCOTT 203255,S200000,00300,0200,0026 203255,S200000,00300,0300,R 203255,S200000,00400,0100,CLEARVIEW NURSING CENTER 203255,S200000,00400,0200,265614 203255,S200000,00400,0300,05/17/95 203255,S200000,00400,0500,P 203255,S200000,01500,0100,N 203255,S200000,01600,0100,Y 203255,S200000,01700,0100,N 203255,S200000,01800,0100,N 203255,S200000,02200,0100,Y 203255,S200000,02800,0100,Y 203255,S200000,02900,0100,N 203255,S200000,03000,0100,N 203255,S200000,03100,0100,N 203255,S200000,03200,0100,N 203255,S200000,03300,0100,N 203255,S200000,03300,0200,N 203255,S200000,04100,0100,N 203255,S200000,04200,0100,N 203255,S200000,04300,0100,N 203255,S200000,04600,0100,N 203255,S200000,04700,0100,N 203255,S200000,04900,0100,N 203255,S200000,05200,0100,N 203287,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203287,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203287,A000000,00300,0000,0300EMPLOYEE BENEFITS 203287,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203287,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203287,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203287,A000000,00700,0000,0700HOUSEKEEPING 203287,A000000,00800,0000,0800DIETARY 203287,A000000,00900,0000,0900NURSING ADMINISTRATION 203287,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203287,A000000,01100,0000,1100PHARMACY 203287,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203287,A000000,01300,0000,1300SOCIAL SERVICE 203287,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203287,A000000,01500,0000,1350RECREAITON 203287,A000000,01600,0000,1600SKILLED NURSING FACILITY 203287,A000000,01800,0000,1800NURSING FACILITY 203287,A000000,01810,0000,1810ICF/MR 203287,A000000,02200,0000,2200LABORATORY 203287,A000000,02500,0000,2500PHYSICAL THERAPY 203287,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203287,A000000,02700,0000,2700SPEECH PATHOLOGY 203287,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203287,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203287,A000000,03200,0000,3200SUPPORT SURFACES 203287,A000000,03550,0000,3550FQHC 203287,A000000,04801,0000,4801AMBULANCE 203287,A000000,04802,0000,4802AMBULANCE 203287,A000000,04803,0000,4803AMBULANCE 203287,A000000,05000,0000,5000CORF 203287,A000000,05010,0000,5010CMHC 203287,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203287,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203287,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203287,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203287,A81000A,00100,0100,Y 203287,A81000B,00100,0300,HOME OFFICE ADMIN 203287,A81000B,00200,0300,HOME OFFICE CAPTIAL 203287,A81000C,00100,0100,B 203287,A81000C,00100,0200,TUTERA HEALTH C 203287,B100000,00000,0100,0100SQUARE FEET 203287,B100000,00000,0200,0200SQUARE FEET 203287,B100000,00000,0300,0300GROSS SALARIES 203287,B100000,00000,0400,0400ACCUM COST 203287,B100000,00000,0500,0500SQUARE FEET 203287,B100000,00000,0600,0600PATIENT DAYS 203287,B100000,00000,0700,0700SQUARE FOOTAGE 203287,B100000,00000,0800,0800PATIENT DAYS 203287,B100000,00000,0900,0900DIRECT NRSG HRS 203287,B100000,00000,1000,1000COSTED REQUIS 203287,B100000,00000,1100,1100COSTED REQUIS 203287,B100000,00000,1200,1200PATIENT DAYS 203287,B100000,00000,1300,1300PATIENT DAYS 203287,B100000,00000,1400,1400ASSIGNED TIME 203287,B100000,00000,1500,1350PATIENT DAYS 203287,S000000,00100,0200,06/01/00 203287,S200000,00100,0100,904 E. 68TH STREET 203287,S200000,00200,0100,KANSAS CITY 203287,S200000,00200,0200,MO 203287,S200000,00200,0300,64131 203287,S200000,00300,0100,JACKSON 203287,S200000,00300,0200,3760 203287,S200000,00300,0300,U 203287,S200000,00400,0100,SOUTH PARK PARTNERS L.P. 203287,S200000,00400,0200,265167 203287,S200000,00400,0300,01/01/86 203287,S200000,00400,0500,P 203287,S200000,01500,0100,N 203287,S200000,01600,0100,Y 203287,S200000,01700,0100,N 203287,S200000,01800,0100,N 203287,S200000,02200,0100,N 203287,S200000,02800,0100,N 203287,S200000,02900,0100,N 203287,S200000,03000,0100,N 203287,S200000,03100,0100,N 203287,S200000,03200,0100,N 203287,S200000,03300,0100,N 203287,S200000,03300,0200,N 203287,S200000,04100,0100,N 203287,S200000,04200,0100,N 203287,S200000,04300,0100,N 203287,S200000,04600,0100,N 203287,S200000,04700,0100,N 203287,S200000,04900,0100,N 203287,S200000,05200,0100,N 203291,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203291,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203291,A000000,00300,0000,0300EMPLOYEE BENEFITS 203291,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203291,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203291,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203291,A000000,00700,0000,0700HOUSEKEEPING 203291,A000000,00800,0000,0800DIETARY 203291,A000000,00900,0000,0900NURSING ADMINISTRATION 203291,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203291,A000000,01100,0000,1100PHARMACY 203291,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203291,A000000,01300,0000,1300SOCIAL SERVICE 203291,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203291,A000000,01500,0000,1350OTHER GENERAL SERVICES 203291,A000000,01600,0000,1600SKILLED NURSING FACILITY 203291,A000000,01800,0000,1800NURSING FACILITY 203291,A000000,01810,0000,1810ICF/MR 203291,A000000,02200,0000,2200LABORATORY 203291,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 203291,A000000,02500,0000,2500PHYSICAL THERAPY 203291,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203291,A000000,02700,0000,2700SPEECH PATHOLOGY 203291,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203291,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203291,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203291,A000000,03550,0000,3550FQHC 203291,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203291,A000000,04801,0000,4801AMBULANCE 203291,A000000,04802,0000,4802AMBULANCE 203291,A000000,04803,0000,4803AMBULANCE 203291,A000000,05000,0000,5000CORF 203291,A000000,05010,0000,5010CMHC 203291,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203291,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203291,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203291,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203291,A000000,05300,0000,5300INTEREST EXPENSE 203291,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203291,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203291,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203291,A81000A,00100,0100,Y 203291,A81000B,00100,0300,HOME OFFICE MGMT FEE 203291,A81000B,00200,0300,HOME OFFICE CAP COST 203291,A81000B,00300,0300,INTEREST 203291,A81000C,00100,0100,A 203291,A81000C,00100,0200,JAMES & JUDY LINCOLN 203291,A81000C,00100,0400,HEALTH SYSTEMS INC. 203291,A81000C,00100,0600,HOME OFFICE 203291,B100000,00000,0100,0100SQUARE FEET 203291,B100000,00000,0200,0200SQUARE FEET 203291,B100000,00000,0300,0300GROSS SALARIES 203291,B100000,00000,0400,0400ACCUM COST 203291,B100000,00000,0500,0500SQUARE FEET 203291,B100000,00000,0600,0600POUNDS OF LAUNDRY 203291,B100000,00000,0700,0700SQUARE FEET 203291,B100000,00000,0800,0800MEALS SERVED 203291,B100000,00000,0900,0900DIRECT NRSG 203291,B100000,00000,1000,1000COSTED REQUI 203291,B100000,00000,1100,1100NO STATISTICS 203291,B100000,00000,1200,1200TIME SPENT 203291,B100000,00000,1300,1300TIME SPENT 203291,B100000,00000,1400,1400NO STATISTICS 203291,B100000,00000,1500,1350NO STATISTICS 203291,E10A180,00501,0100,07/12/00 203291,E10A180,00501,0300,07/12/00 203291,S000000,00100,0200,06/05/00 203291,S200000,00100,0100,HWY 412 SOUTH 203291,S200000,00100,0300,940 203291,S200000,00200,0100,SENATH 203291,S200000,00200,0200,MO 203291,S200000,00200,0300,63876 203291,S200000,00300,0100,PEMISCOT 203291,S200000,00300,0200,0025 203291,S200000,00300,0300,R 203291,S200000,00400,0100,SENATH NURSING HOME INC. 203291,S200000,00400,0200,265388 203291,S200000,00400,0300,08/21/89 203291,S200000,00400,0500,P 203291,S200000,01500,0100,N 203291,S200000,01600,0100,Y 203291,S200000,01700,0100,N 203291,S200000,01800,0100,N 203291,S200000,02200,0100,Y 203291,S200000,02800,0100,Y 203291,S200000,02900,0100,N 203291,S200000,03000,0100,N 203291,S200000,03100,0100,N 203291,S200000,03200,0100,N 203291,S200000,03300,0100,N 203291,S200000,03300,0200,N 203291,S200000,04100,0100,N 203291,S200000,04200,0100,N 203291,S200000,04300,0100,N 203291,S200000,04600,0100,N 203291,S200000,04700,0100,N 203291,S200000,04900,0100,N 203291,S200000,05200,0100,N 203292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203292,A000000,00300,0000,0300EMPLOYEE BENEFITS 203292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203292,A000000,00700,0000,0700HOUSEKEEPING 203292,A000000,00800,0000,0800DIETARY 203292,A000000,00900,0000,0900NURSING ADMINISTRATION 203292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203292,A000000,01100,0000,1100PHARMACY 203292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203292,A000000,01300,0000,1300SOCIAL SERVICE 203292,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203292,A000000,01401,0000,1401INTERNS & RESIDENTS (APPRVD PRO 203292,A000000,01500,0000,1350OTHER GENERAL SERVICES 203292,A000000,01600,0000,1600SKILLED NURSING FACILITY 203292,A000000,01800,0000,1800NURSING FACILITY 203292,A000000,01810,0000,1810ICF/MR 203292,A000000,02200,0000,2200LABORATORY 203292,A000000,02500,0000,2500PHYSICAL THERAPY 203292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203292,A000000,02700,0000,2700SPEECH PATHOLOGY 203292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203292,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203292,A000000,03550,0000,3550FQHC 203292,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203292,A000000,04801,0000,4801AMBULANCE 203292,A000000,04802,0000,4802AMBULANCE 203292,A000000,04803,0000,4803AMBULANCE 203292,A000000,05000,0000,5000CORF 203292,A000000,05010,0000,5010CMHC 203292,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203292,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203292,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203292,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203292,A000000,05300,0000,5300INTEREST EXPENSE 203292,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203292,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203292,A81000A,00100,0100,Y 203292,A81000B,00100,0300,MANAGEMENT FEES 203292,A81000B,00200,0300,RN SALARY-NA TRAINING 203292,A81000B,00300,0300,NA TRAINING EMP BENEFITS 203292,A81000C,00100,0100,B 203292,A81000C,00100,0400,DEACONESS LTC OF MO INC. 203292,A81000C,00100,0600,MANAGEMENT COMPANY 203292,A81000C,00200,0100,G 203292,A81000C,00200,0400,BELLEVIEW VALLEY N.H. 203292,A81000C,00200,0600,NURSING HOME 203292,B100000,00000,0100,0100SQUARE FEET 203292,B100000,00000,0200,0200SQUARE FEET 203292,B100000,00000,0300,0300GROSS SALARIES 203292,B100000,00000,0400,0400ACCUM COST 203292,B100000,00000,0500,0500SQUARE FEET 203292,B100000,00000,0600,0600POUNDS OF LAUNDRY 203292,B100000,00000,0700,0700SQUARE FEET 203292,B100000,00000,0800,0800MEALS SERVED 203292,B100000,00000,0900,0900DIRECT NSG HOURS 203292,B100000,00000,1000,1000COSTED REQUIS. 203292,B100000,00000,1100,1100COSTED REQUIS. 203292,B100000,00000,1200,1200TIME SPENT 203292,B100000,00000,1300,1300SPENT 203292,B100000,00000,1400,1400TIME SPENT 203292,B100000,00000,1401,1401TIME SPENT 203292,B100000,00000,1500,1350NO STATISTICS 203292,E10A180,00501,0100,07/12/00 203292,E10A180,00550,0300,07/12/00 203292,S000000,00100,0200,05/31/00 203292,S200000,00100,0100,#1 GEORGIAN GARDENS DRIVE 203292,S200000,00200,0100,POTOSI 203292,S200000,00200,0200,MO 203292,S200000,00200,0300,63664 203292,S200000,00300,0100,WASHINGTON 203292,S200000,00300,0200,0026 203292,S200000,00300,0300,R 203292,S200000,00400,0100,GEORGIAN GARDENS 203292,S200000,00400,0200,265516 203292,S200000,00400,0300,11/20/92 203292,S200000,00400,0500,P 203292,S200000,01500,0100,N 203292,S200000,01600,0100,Y 203292,S200000,01700,0100,N 203292,S200000,01800,0100,N 203292,S200000,02200,0100,N 203292,S200000,02800,0100,N 203292,S200000,02900,0100,N 203292,S200000,03000,0100,N 203292,S200000,03100,0100,N 203292,S200000,03200,0100,N 203292,S200000,03300,0100,N 203292,S200000,03300,0200,N 203292,S200000,04100,0100,N 203292,S200000,04200,0100,N 203292,S200000,04300,0100,N 203292,S200000,04600,0100,N 203292,S200000,04700,0100,N 203292,S200000,04900,0100,N 203292,S200000,05200,0100,N 203378,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 203378,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 203378,A000000,00300,0000,0300EMPLOYEE BENEFITS 203378,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203378,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 203378,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203378,A000000,00700,0000,0700HOUSEKEEPING 203378,A000000,00800,0000,0800DIETARY 203378,A000000,00900,0000,0900NURSING ADMINISTRATION 203378,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203378,A000000,01100,0000,1100PHARMACY 203378,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203378,A000000,01300,0000,1300SOCIAL SERVICE 203378,A000000,01600,0000,1600SKILLED NURSING FACILITY 203378,A000000,01800,0000,1800NURSING FACILITY 203378,A000000,01900,0000,1900OTHER LONG TERM CARE 203378,A000000,02100,0000,2100RADIOLOGY 203378,A000000,02200,0000,2200LABORATORY 203378,A000000,02300,0000,2300INTRAVENOUS THERAPY 203378,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 203378,A000000,02500,0000,2500PHYSICAL THERAPY 203378,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203378,A000000,02700,0000,2700SPEECH PATHOLOGY 203378,A000000,02800,0000,2800ELECTROCARDIOLOGY 203378,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 203378,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203378,A000000,03200,0000,3200SUPPORT SURFACES 203378,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 203378,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203378,A000000,03301,0000,3051NUTRITIONAL THERAPY 203378,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 203378,A000000,03303,0000,3053PHYSICIAN SERVICES 203378,A000000,03304,0000,3054MEDICAL SERVICES 203378,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203378,A000000,05300,0000,5300INTEREST EXPENSE 203378,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 203378,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 203378,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203378,A000000,06200,0000,6200PATIENTS LAUNDRY 203378,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203378,A81000A,00100,0100,Y 203378,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 203378,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 203378,A81000B,00300,0300,ADMINISTRATIVE & GENERAL 203378,A81000B,00400,0300,PHYSICAL THERAPY 203378,A81000B,00500,0300,OCCUPATIONAL THERAPY 203378,A81000B,00600,0300,SPEECH THERAPY 203378,A81000B,00700,0300,REGIONAL ALLOCATION 203378,A81000B,00800,0300,SEE ATTACHED 203378,A81000C,00100,0100,B 203378,A81000C,00100,0200,SUNRISE HEALTHCARE CORP. 203378,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 203378,A81000C,00100,0600,HEALTH CARE 203378,A81000C,00200,0100,G 203378,A81000C,00200,0200,ANDREW TURNER 203378,A81000C,00200,0600,CEO/CHAIRMAN OF BOARD 203378,A81000C,00300,0100,G 203378,A81000C,00300,0200,SEE ATTACHED WORKPAPER 203378,A81000C,00300,0600,HEALTH CARE 203378,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 203378,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 203378,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 203378,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 203378,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 203378,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 203378,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 203378,B100000,00000,0800,0850PATIENT DAYS :DIETARY 203378,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 203378,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 203378,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 203378,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 203378,S000000,00100,0200,03/14/00 203378,S200000,00100,0100,1234 HIGHWAY #301 203378,S200000,00200,0100,TRENTON 203378,S200000,00200,0200,GA 203378,S200000,00200,0300,30752- 203378,S200000,00300,0100,DADE 203378,S200000,00300,0200,1560 203378,S200000,00300,0300,U 203378,S200000,00400,0100,SUNRISE CARE & REHAB FOR DADE 203378,S200000,00400,0200,115558 203378,S200000,00400,0300,11/01/93 203378,S200000,00400,0500,P 203378,S200000,01500,0100,Y 203378,S200000,01600,0100,N 203378,S200000,01700,0100,N 203378,S200000,01800,0100,N 203378,S200000,02200,0100,N 203378,S200000,02800,0100,N 203378,S200000,02900,0100,N 203378,S200000,03000,0100,N 203378,S200000,03100,0100,N 203378,S200000,03200,0100,N 203378,S200000,04100,0100,N 203378,S200000,04200,0100,N 203378,S200000,04300,0100,N 203378,S200000,04600,0100,N 203378,S200000,04700,0100,N 203378,S200000,04700,0200,N 203378,S200000,04900,0100,N 203378,S200000,05000,0100,N 203378,S200000,05100,0100,N 203378,S200000,05200,0100,N 203833,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203833,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203833,A000000,00300,0000,0300EMPLOYEE BENEFITS 203833,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203833,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203833,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203833,A000000,00700,0000,0700HOUSEKEEPING 203833,A000000,00800,0000,0800DIETARY 203833,A000000,00900,0000,0900NURSING ADMINISTRATION 203833,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203833,A000000,01100,0000,1100PHARMACY 203833,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203833,A000000,01300,0000,1300SOCIAL SERVICE 203833,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203833,A000000,01500,0000,1350PATIENT ACTIVITIES 203833,A000000,01600,0000,1600SKILLED NURSING FACILITY 203833,A000000,01800,0000,1800NURSING FACILITY 203833,A000000,01810,0000,1810ICF/MR 203833,A000000,02200,0000,2200LABORATORY 203833,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 203833,A000000,02500,0000,2500PHYSICAL THERAPY 203833,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203833,A000000,02700,0000,2700SPEECH PATHOLOGY 203833,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203833,A000000,02901,0000,2901AIR FLUIDIZED BEDS 203833,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203833,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203833,A000000,03550,0000,3550FQHC 203833,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203833,A000000,04801,0000,4801AMBULANCE 203833,A000000,04802,0000,4802AMBULANCE 203833,A000000,04803,0000,4803AMBULANCE 203833,A000000,05000,0000,5000CORF 203833,A000000,05010,0000,5010CMHC 203833,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203833,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203833,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203833,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203833,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203833,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203833,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203833,A81000A,00100,0100,Y 203833,A81000B,00100,0300,LEGAL FEES 203833,A81000C,00100,0100,G 203833,A81000C,00100,0200,JOHN JOUBERT 203833,A81000C,00100,0400,LEONARD CARDENAS II 203833,A81000C,00100,0600,LAW FIRM 203833,A81000C,03100,0000,NON-FANANCIAL 203833,B100000,00000,0100,0100SQUARE FEET 203833,B100000,00000,0200,0200SQUARE FEET 203833,B100000,00000,0300,0300GROSS SALARIES 203833,B100000,00000,0400,0400ACCUM COST 203833,B100000,00000,0500,0500SQUARE FEET 203833,B100000,00000,0600,0600PATIENT DAYS 203833,B100000,00000,0700,0700SQUARE FEET 203833,B100000,00000,0800,0800MEALS SERVED 203833,B100000,00000,0900,0900GROSS NRSING SAL 203833,B100000,00000,1000,1000COSTED REQUIS 203833,B100000,00000,1100,1100COSTED REQUIS 203833,B100000,00000,1200,1200PATIENT DAYS 203833,B100000,00000,1300,1300PATIENT DAYS 203833,B100000,00000,1400,1400ASSIGNED TIME 203833,B100000,00000,1500,1350PATIENT DAYS 203833,E10A180,00501,0100,07/25/00 203833,E10A180,00501,0300,07/25/00 203833,S000000,00100,0200,06/05/00 203833,S200000,00100,0100,AIMWELL 203833,S200000,00100,0300,1366 203833,S200000,00200,0100,JENA 203833,S200000,00200,0200,LA 203833,S200000,00200,0300,71342 203833,S200000,00300,0100,LA SALLE 203833,S200000,00300,0200,0019 203833,S200000,00300,0300,R 203833,S200000,00400,0100,GOLDEN AGE NURSING CENTER 203833,S200000,00400,0200,195399 203833,S200000,00400,0300,01/01/97 203833,S200000,00400,0500,P 203833,S200000,00600,0200,195399 203833,S200000,00600,0300,01/01/97 203833,S200000,01500,0100,N 203833,S200000,01600,0100,Y 203833,S200000,01700,0100,N 203833,S200000,01800,0100,N 203833,S200000,02200,0100,N 203833,S200000,02800,0100,N 203833,S200000,02900,0100,N 203833,S200000,03000,0100,N 203833,S200000,03100,0100,N 203833,S200000,03200,0100,N 203833,S200000,03300,0100,N 203833,S200000,03300,0200,N 203833,S200000,03500,0300,N 203833,S200000,04100,0100,N 203833,S200000,04200,0100,N 203833,S200000,04300,0100,N 203833,S200000,04600,0100,N 203833,S200000,04700,0100,N 203833,S200000,04700,0200,N 203833,S200000,04900,0100,N 203834,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 203834,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 203834,A000000,00300,0000,0300EMPLOYEE BENEFITS 203834,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203834,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 203834,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203834,A000000,00700,0000,0700HOUSEKEEPING 203834,A000000,00800,0000,0800DIETARY 203834,A000000,00900,0000,0900NURSING ADMINISTRATION 203834,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203834,A000000,01100,0000,1100PHARMACY 203834,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203834,A000000,01300,0000,1300SOCIAL SERVICE 203834,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 203834,A000000,01500,0000,1350OTHER GENERAL SERVICES 203834,A000000,01600,0000,1600SKILLED NURSING FACILITY 203834,A000000,01800,0000,1800NURSING FACILITY 203834,A000000,01801,0000,1810ICF/MR 203834,A000000,02100,0000,2100RADIOLOGY 203834,A000000,02200,0000,2200LABORATORY 203834,A000000,02500,0000,2500PHYSICAL THERAPY 203834,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203834,A000000,02700,0000,2700SPEECH PATHOLOGY 203834,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 203834,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203834,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 203834,A000000,03550,0000,3550FQHC 203834,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 203834,A000000,04801,0000,4801AMBULANCE 203834,A000000,04802,0000,4802AMBULANCE 203834,A000000,04803,0000,4803AMBULANCE 203834,A000000,05000,0000,5000CORF 203834,A000000,05010,0000,5010CMHC 203834,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 203834,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 203834,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 203834,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203834,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 203834,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203834,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203834,A81000A,00100,0100,Y 203834,A81000B,00100,0300,MANAGEMENT FEES 203834,A81000C,00100,0100,B 203834,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 203834,A81000C,00100,0600,MANAGEMENT COMPANY 203834,B100000,00000,0100,0100SQUARE FEET 203834,B100000,00000,0200,0200SQUARE FEET 203834,B100000,00000,0300,0300GROSS SALARIES 203834,B100000,00000,0400,0400ACCUM COST 203834,B100000,00000,0500,0500SQUARE FEET 203834,B100000,00000,0600,0600POUNDS OF LAUNDRY 203834,B100000,00000,0700,0700SQUARE FEET 203834,B100000,00000,0800,0800MEALS SERVED 203834,B100000,00000,0900,0900DIRECT NRSING HRS 203834,B100000,00000,1000,1000COSTED REQUIS. 203834,B100000,00000,1100,1100COSTED REQUIS. 203834,B100000,00000,1200,1200TIME SPENT 203834,B100000,00000,1300,1300TIME SPENT 203834,B100000,00000,1400,1400ASSIGNED TIME 203834,B100000,00000,1500,1350NO STATISTICS 203834,E10A180,00301,0100,04/04/00 203834,E10A180,00501,0100,10/20/00 203834,E10A180,00501,0300,10/20/00 203834,S000000,00100,0200,08/31/00 203834,S200000,00100,0100,1411 CLAIBORNE 203834,S200000,00100,0300,38270 203834,S200000,00200,0100,SHREVEPORT 203834,S200000,00200,0200,LA 203834,S200000,00200,0300,71103 203834,S200000,00300,0100,CADDO 203834,S200000,00300,0200,7680 203834,S200000,00300,0300,U 203834,S200000,00400,0100,MAGNOLIA MANOR NURSING HOME 203834,S200000,00400,0200,195406 203834,S200000,00400,0300,04/01/97 203834,S200000,00400,0500,P 203834,S200000,01500,0100,N 203834,S200000,01600,0100,Y 203834,S200000,01700,0100,N 203834,S200000,01800,0100,N 203834,S200000,02200,0100,N 203834,S200000,02800,0100,N 203834,S200000,02900,0100,N 203834,S200000,03000,0100,N 203834,S200000,03100,0100,N 203834,S200000,03200,0100,N 203834,S200000,03300,0100,N 203834,S200000,03300,0200,N 203834,S200000,04100,0100,N 203834,S200000,04200,0100,N 203834,S200000,04300,0100,Y 203834,S200000,04600,0100,N 203834,S200000,04700,0100,N 203834,S200000,04900,0100,N 203918,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 203918,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 203918,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 203918,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 203918,A000000,00300,0000,0300EMPLOYEE BENEFITS 203918,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 203918,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 203918,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 203918,A000000,00700,0000,0700HOUSEKEEPING 203918,A000000,00800,0000,0800DIETARY 203918,A000000,00801,0000,0801CAFETERIA 203918,A000000,00900,0000,0900NURSING ADMINISTRATION 203918,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 203918,A000000,01100,0000,1100PHARMACY 203918,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 203918,A000000,01300,0000,1300SOCIAL SERVICE 203918,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 203918,A000000,01500,0000,1350ACTIVITIES 203918,A000000,01600,0000,1600SKILLED NURSING FACILITY 203918,A000000,01800,0000,1800NURSING FACILITY 203918,A000000,01900,0000,1900OTHER LONG TERM CARE 203918,A000000,02100,0000,2100RADIOLOGY 203918,A000000,02200,0000,2200LABORATORY 203918,A000000,02300,0000,2300INTRAVENOUS THERAPY 203918,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 203918,A000000,02500,0000,2500PHYSICAL THERAPY 203918,A000000,02600,0000,2600OCCUPATIONAL THERAPY 203918,A000000,02700,0000,2700SPEECH PATHOLOGY 203918,A000000,02800,0000,2800ELECTROCARDIOLOGY 203918,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 203918,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 203918,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 203918,A000000,03200,0000,3200SUPPORT SURFACES 203918,A000000,03300,0000,3050OTHER ANCILLARY 203918,A000000,03301,0000,3051PEN THERAPY 203918,A000000,03302,0000,3052OTHER ANCILLARY III 203918,A000000,03400,0000,3400CLINIC 203918,A000000,03500,0000,3500RURAL HEALTH CLINIC 203918,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 203918,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 203918,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 203918,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 203918,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 203918,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 203918,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 203918,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 203918,A000000,04400,0000,4400DME RENTED - HHA 203918,A000000,04500,0000,4500DME SOLD - HHA 203918,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 203918,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 203918,A000000,04800,0000,4800AMBULANCE 203918,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 203918,A000000,05000,0000,5000CORF 203918,A000000,05010,0000,5010CMHC I 203918,A000000,05020,0000,5020OPT I 203918,A000000,05100,0000,4750OTHER REIMBURSABLE COST 203918,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 203918,A000000,05300,0000,5300INTEREST EXPENSE 203918,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 203918,A000000,05500,0000,5500HOSPICE 203918,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 203918,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 203918,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 203918,A000000,05900,0000,5900BARBER & BEAUTY SHOP 203918,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 203918,A000000,06100,0000,6100NONPAID WORKERS 203918,A000000,06200,0000,6200PATIENTS LAUNDRY 203918,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 203918,A81000A,00100,0100,Y 203918,A81000B,00100,0300,MANAGEMENT FEES 203918,A81000B,00200,0300,PHYSICAL THERAPY 203918,A81000B,00300,0300,OCCUPATION THERAPY 203918,A81000B,00400,0300,ADMIN CONSULTING 203918,A81000B,00500,0300,NURSE CONSULTING 203918,A81000B,00600,0300,SPEECH THERAPY 203918,A81000B,00700,0300,PHYSICAL THERAPY 203918,A81000B,00800,0300,OCCUPATION THERAPY 203918,A81000B,00900,0300,NURSING POOL 203918,A81000C,00100,0100,A 203918,A81000C,00100,0200,KRAUSZ/SEBBAG 203918,A81000C,00100,0400,SOLOMON HTH SVS 203918,A81000C,00100,0600,MANAGEMENT 203918,A81000C,00200,0100,A 203918,A81000C,00200,0200,KRAUSZ/SEBBAG 203918,A81000C,00200,0400,SOLOMON HC CONS 203918,A81000C,00200,0600,THERAPY SVCS 203918,A81000C,00300,0100,A 203918,A81000C,00300,0200,KRAUSZ/SEBBAG 203918,A81000C,00300,0400,SOLOMON HC CONS 203918,A81000C,00300,0600,THERAPY SVCS 203918,A81000C,00400,0100,A 203918,A81000C,00400,0200,KRAUSZ/SEBBAG 203918,A81000C,00400,0400,SOLOMON HC CONS 203918,A81000C,00400,0600,HLTH CARE CONS 203918,A81000C,00500,0100,A 203918,A81000C,00500,0200,KRAUSZ/SEBBAG 203918,A81000C,00500,0400,SOLOMON HC CONS 203918,A81000C,00500,0600,HLTH CARE CONS 203918,A81000C,00600,0100,A 203918,A81000C,00600,0200,KRAUSZ/SEBBAG 203918,A81000C,00600,0400,SHC/PROG PROV 203918,A81000C,00600,0600,THERAPY SVCS 203918,A81000C,00700,0100,A 203918,A81000C,00700,0200,KRAUSZ/SEBBAG 203918,A81000C,00700,0400,PROG PROV SVC 203918,A81000C,00700,0600,THERAPY SVCS 203918,A81000C,00800,0100,A 203918,A81000C,00800,0200,KRAUSZ/SEBBAG 203918,A81000C,00800,0400,PROG PROV SVC 203918,A81000C,00800,0600,THERAPY SVCS 203918,A81000C,00900,0100,A 203918,A81000C,00900,0200,KRAUSZ/SEBBAG 203918,A81000C,00900,0400,PREMIER TEMPS 203918,A81000C,00900,0600,NURSING POOL 203918,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 203918,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 203918,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 203918,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 203918,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 203918,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 203918,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 203918,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 203918,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 203918,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 203918,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 203918,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 203918,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 203918,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 203918,S000000,00100,0200,06/07/00 203918,S200000,00100,0100,2201 S. DOWNING STREET 203918,S200000,00200,0100,DENVER 203918,S200000,00200,0200,CO 203918,S200000,00200,0300, - 203918,S200000,00300,0100,DENVER 203918,S200000,00300,0200,2080 203918,S200000,00300,0300,U 203918,S200000,00400,0100,ROCKY MOUNTAIN HEALTH CARE CENTER 203918,S200000,00400,0200,065323 203918,S200000,00400,0300,04/15/94 203918,S200000,00400,0500,P 203918,S200000,01500,0100,Y 203918,S200000,01600,0100,N 203918,S200000,01700,0100,N 203918,S200000,01800,0100,N 203918,S200000,02200,0100,Y 203918,S200000,02800,0100,N 203918,S200000,02900,0100,N 203918,S200000,03000,0100,N 203918,S200000,03100,0100,N 203918,S200000,03200,0100,N 203918,S200000,04100,0100,N 203918,S200000,04200,0100,N 203918,S200000,04300,0100,Y 203918,S200000,04600,0100,N 203918,S200000,04700,0100,N 203918,S200000,04700,0200,N 203918,S200000,04900,0100,N 203918,S200000,05000,0100,N 203918,S200000,05100,0100,N 203918,S200000,05200,0100,N 204249,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 204249,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 204249,A000000,00300,0000,0300EMPLOYEE BENEFITS 204249,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204249,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 204249,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204249,A000000,00700,0000,0700HOUSEKEEPING 204249,A000000,00800,0000,0800DIETARY 204249,A000000,00900,0000,0900NURSING ADMINISTRATION 204249,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 204249,A000000,01100,0000,1100PHARMACY 204249,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 204249,A000000,01300,0000,1300SOCIAL SERVICE 204249,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 204249,A000000,01500,0000,1350PATIENT ACTIVITIES 204249,A000000,01600,0000,1600SKILLED NURSING FACILITY 204249,A000000,01801,0000,1810ICF/MR 204249,A000000,02100,0000,2100RADIOLOGY 204249,A000000,02200,0000,2200LABORATORY 204249,A000000,02300,0000,2300INTRAVENOUS THERAPY 204249,A000000,02500,0000,2500PHYSICAL THERAPY 204249,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204249,A000000,02700,0000,2700SPEECH PATHOLOGY 204249,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 204249,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204249,A000000,03001,0000,3001AIR FLUIDIZED BEDS 204249,A000000,03550,0000,3550FQHC 204249,A000000,04801,0000,4801AMBULANCE 204249,A000000,04802,0000,4802AMBULANCE 204249,A000000,04803,0000,4803AMBULANCE 204249,A000000,05000,0000,5000CORF 204249,A000000,05010,0000,5010CMHC 204249,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 204249,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 204249,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 204249,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 204249,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 204249,A81000A,00100,0100,Y 204249,A81000B,00100,0300,MANAGEMENT FEES 204249,A81000C,00100,0100,F 204249,A81000C,00100,0200,HARRIS MANAGEMENT INC. 204249,A81000C,00100,0400,HARRIS MANAGEMENT INC. 204249,A81000C,00100,0600,MANAGEMENT COMPANY 204249,B100000,00000,0100,0100SQUARE FEET 204249,B100000,00000,0200,0200SQUARE FEET 204249,B100000,00000,0300,0300GROSS SALARIES 204249,B100000,00000,0400,0400ACCUM COST 204249,B100000,00000,0500,0500SQUARE FEET 204249,B100000,00000,0600,0600PATIENT DAYS 204249,B100000,00000,0700,0700SQUARE FEET 204249,B100000,00000,0800,0800MEALS SERVED 204249,B100000,00000,0900,0900DIRECT NRSING HRS 204249,B100000,00000,1000,1000COSTED REQUIS 204249,B100000,00000,1100,1100COSTED REQUIS 204249,B100000,00000,1200,1200PATIENT DAYS 204249,B100000,00000,1300,1300PATIENT DAYS 204249,B100000,00000,1400,1400ASSIGNED TIME 204249,B100000,00000,1500,1350PATIENT DAYS 204249,E10A180,00501,0100,07/19/00 204249,E10A180,00550,0300,07/19/00 204249,S000000,00100,0200,06/01/00 204249,S200000,00100,0100,426 N. WASHINGTON STREET 204249,S200000,00200,0100,MARKSVILLE 204249,S200000,00200,0200,LA 204249,S200000,00200,0300,71351 204249,S200000,00300,0100,AVOYELLES 204249,S200000,00300,0200,0019 204249,S200000,00300,0300,R 204249,S200000,00400,0100,COLONIAL NURSING HOME 204249,S200000,00400,0200,195445 204249,S200000,00400,0300,11/01/98 204249,S200000,00400,0500,P 204249,S200000,01500,0100,N 204249,S200000,01600,0100,Y 204249,S200000,01700,0100,N 204249,S200000,01800,0100,N 204249,S200000,02200,0100,N 204249,S200000,02800,0100,N 204249,S200000,02900,0100,N 204249,S200000,03000,0100,N 204249,S200000,03100,0100,N 204249,S200000,03200,0100,N 204249,S200000,03300,0100,N 204249,S200000,03300,0200,N 204249,S200000,04100,0100,N 204249,S200000,04200,0100,N 204249,S200000,04300,0100,N 204249,S200000,04600,0100,N 204249,S200000,04700,0100,N 204249,S200000,04900,0100,N 204249,S200000,05200,0100,N 204270,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 204270,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 204270,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 204270,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 204270,A000000,00300,0000,0300EMPLOYEE BENEFITS 204270,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204270,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 204270,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204270,A000000,00700,0000,0700HOUSEKEEPING 204270,A000000,00800,0000,0800DIETARY 204270,A000000,00801,0000,0801CAFETERIA 204270,A000000,00900,0000,0900NURSING ADMINISTRATION 204270,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 204270,A000000,01100,0000,1100PHARMACY 204270,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 204270,A000000,01300,0000,1300SOCIAL SERVICE 204270,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 204270,A000000,01500,0000,1350ACTIVITIES 204270,A000000,01600,0000,1600SKILLED NURSING FACILITY 204270,A000000,01800,0000,1800NURSING FACILITY 204270,A000000,01900,0000,1900OTHER LONG TERM CARE 204270,A000000,02100,0000,2100RADIOLOGY 204270,A000000,02200,0000,2200LABORATORY 204270,A000000,02300,0000,2300INTRAVENOUS THERAPY 204270,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 204270,A000000,02500,0000,2500PHYSICAL THERAPY 204270,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204270,A000000,02700,0000,2700SPEECH PATHOLOGY 204270,A000000,02800,0000,2800ELECTROCARDIOLOGY 204270,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 204270,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204270,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 204270,A000000,03200,0000,3200SUPPORT SURFACES 204270,A000000,03300,0000,3050OTHER ANCILLARY 204270,A000000,03301,0000,3051PEN THERAPY 204270,A000000,03302,0000,3052OTHER ANCILLARY III 204270,A000000,03400,0000,3400CLINIC 204270,A000000,03500,0000,3500RURAL HEALTH CLINIC 204270,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 204270,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 204270,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 204270,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 204270,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 204270,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 204270,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 204270,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 204270,A000000,04400,0000,4400DME RENTED - HHA 204270,A000000,04500,0000,4500DME SOLD - HHA 204270,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 204270,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 204270,A000000,04800,0000,4800AMBULANCE 204270,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 204270,A000000,05000,0000,5000CORF 204270,A000000,05010,0000,5010CMHC I 204270,A000000,05020,0000,5020OPT I 204270,A000000,05100,0000,4750OTHER REIMBURSABLE COST 204270,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 204270,A000000,05300,0000,5300INTEREST EXPENSE 204270,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 204270,A000000,05500,0000,5500HOSPICE 204270,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 204270,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 204270,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 204270,A000000,05900,0000,5900BARBER & BEAUTY SHOP 204270,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 204270,A000000,06100,0000,6100NONPAID WORKERS 204270,A000000,06200,0000,6200PATIENTS LAUNDRY 204270,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 204270,A81000A,00100,0100,Y 204270,A81000B,00100,0300,MANAGEMENT FEE 204270,A81000B,00200,0300,BUILDING LEASE 204270,A81000B,00300,0300,PARKING LOT LEASE 204270,A81000B,00400,0300,PHYSICAL THERAPY 204270,A81000B,00500,0300,OCCUPATION THERAPY 204270,A81000B,00600,0300,SPEECH THERAPY 204270,A81000B,00700,0300,ADMIN CONSULTING 204270,A81000B,00800,0300,NURSE CONSULTING 204270,A81000B,00900,0300,POOL NURSING 204270,A81000C,00100,0100,A 204270,A81000C,00100,0200,KRAUSZ ET AL 204270,A81000C,00100,0400,SOLOMON HTH SVS 204270,A81000C,00100,0600,HC MANAGEMENT 204270,A81000C,00200,0100,A 204270,A81000C,00200,0200,KRAUSZ ET AL 204270,A81000C,00200,0400,BRENTW D REALTY 204270,A81000C,00200,0600,REAL ESTATE 204270,A81000C,00300,0100,A 204270,A81000C,00300,0200,KRAUSZ ET AL 204270,A81000C,00300,0400,BRENTW D REALTY 204270,A81000C,00300,0600,REAL ESTATE 204270,A81000C,00400,0100,A 204270,A81000C,00400,0200,KRAUSZ ET AL 204270,A81000C,00400,0400,SHC/PROG PROV 204270,A81000C,00400,0600,THERAPY SVCS 204270,A81000C,00500,0100,A 204270,A81000C,00500,0200,KRAUSZ ET AL 204270,A81000C,00500,0400,SHC/PROG PROV 204270,A81000C,00500,0600,THERAPY SVCS 204270,A81000C,00600,0100,A 204270,A81000C,00600,0200,KRAUSZ ET AL 204270,A81000C,00600,0400,SHC/PROG PROV 204270,A81000C,00600,0600,THERAPY SVCS 204270,A81000C,00700,0100,A 204270,A81000C,00700,0200,KRAUSZ ET AL 204270,A81000C,00700,0400,SOLOMON HC CONS 204270,A81000C,00700,0600,HC CONSULTING 204270,A81000C,00800,0100,A 204270,A81000C,00800,0200,KRAUSZ ET AL 204270,A81000C,00800,0400,SOLOMON HC CONS 204270,A81000C,00800,0600,HC CONSULTING 204270,A81000C,00900,0100,A 204270,A81000C,00900,0200,KRAUSZ ET AL 204270,A81000C,00900,0400,PREMIER TEMPS 204270,A81000C,00900,0600,POOL NURSING 204270,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 204270,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 204270,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 204270,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 204270,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 204270,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 204270,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 204270,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 204270,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 204270,B100000,00000,1000,1050(GROSS CHARGES) :CENTRAL SERVIC 204270,B100000,00000,1100,1150(GROSS CHARGES) :PHARMACY 204270,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 204270,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 204270,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 204270,S000000,00100,0200,06/06/00 204270,S200000,00100,0100,1825 S. FEDERAL BOULEVARD 204270,S200000,00200,0100,DENVER 204270,S200000,00200,0200,CO 204270,S200000,00200,0300, - 204270,S200000,00300,0100,DENVER 204270,S200000,00300,0200,2080 204270,S200000,00300,0300,U 204270,S200000,00400,0100,BRENTWOOD HEALTH CENTER LLC 204270,S200000,00400,0200,065348 204270,S200000,00400,0300,05/01/96 204270,S200000,00400,0500,P 204270,S200000,01500,0100,Y 204270,S200000,01600,0100,N 204270,S200000,01700,0100,N 204270,S200000,01800,0100,N 204270,S200000,01900,0100, OTHER - LLC 204270,S200000,02200,0100,Y 204270,S200000,02800,0100,N 204270,S200000,02900,0100,N 204270,S200000,03000,0100,N 204270,S200000,03100,0100,N 204270,S200000,03200,0100,N 204270,S200000,04100,0100,N 204270,S200000,04200,0100,N 204270,S200000,04300,0100,Y 204270,S200000,04600,0100,N 204270,S200000,04700,0100,N 204270,S200000,04700,0200,N 204270,S200000,04900,0100,N 204270,S200000,05000,0100,N 204270,S200000,05100,0100,N 204270,S200000,05200,0100,N 204357,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 204357,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 204357,A000000,00300,0000,0300EMPLOYEE BENEFITS 204357,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204357,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 204357,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204357,A000000,00700,0000,0700HOUSEKEEPING 204357,A000000,00800,0000,0800DIETARY 204357,A000000,00900,0000,0900NURSING ADMINISTRATION 204357,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 204357,A000000,01100,0000,1100PHARMACY 204357,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 204357,A000000,01300,0000,1300SOCIAL SERVICE 204357,A000000,01301,0000,1301ACTIVITES 204357,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 204357,A000000,01500,0000,1350REHAB 204357,A000000,01600,0000,1600SKILLED NURSING FACILITY 204357,A000000,01800,0000,1800NURSING FACILITY 204357,A000000,01810,0000,1810ICF/MR 204357,A000000,02100,0000,2100RADIOLOGY 204357,A000000,02200,0000,2200LABORATORY 204357,A000000,02300,0000,2300INTRAVENOUS THERAPY 204357,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 204357,A000000,02500,0000,2500PHYSICAL THERAPY 204357,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204357,A000000,02700,0000,2700SPEECH PATHOLOGY 204357,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 204357,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204357,A000000,03300,0000,3050EQUIPMENT RENTAL 204357,A000000,03550,0000,3550FQHC 204357,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 204357,A000000,04801,0000,4801AMBULANCE 204357,A000000,04802,0000,4802AMBULANCE 204357,A000000,04803,0000,4803AMBULANCE 204357,A000000,05000,0000,5000CORF 204357,A000000,05010,0000,5010CMHC 204357,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 204357,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 204357,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 204357,A000000,05300,0000,5300INTEREST EXPENSE 204357,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 204357,A000000,05900,0000,5900BARBER & BEAUTY SHOP 204357,A000000,06300,0000,6150VENDING 204357,A81000A,00100,0100,Y 204357,A81000B,00100,0300,CENTRAL SUPPLY 204357,A81000B,00200,0300,MEDICAL SUPPLIES 204357,A81000B,00300,0300,ADMINSTRATIVE 204357,A81000B,00400,0300,DRUGS 204357,A81000B,00500,0300,EQUIPMENT RENTAL 204357,A81000B,00600,0300,IV 204357,A81000B,00700,0300,HOME OFFICE CAPITAL 204357,A81000B,00800,0300,HOME OFFICE COST ALLOCATION 204357,A81000C,00100,0100,B 204357,A81000C,00100,0200,MH BONIFAY PS#1 204357,A81000C,00100,0400,MARINER PAN 204357,A81000C,00100,0600,NURSING HOMES 204357,A81000C,00200,0100,G 204357,A81000C,00200,0200,MARINER PAN 204357,A81000C,00200,0400,AMERICAN PHARMA 204357,A81000C,00200,0600,PHARMACEUTICALS 204357,A81000C,00300,0100,G 204357,A81000C,00300,0200,MARINER PAN 204357,A81000C,00300,0400,PRISM (ATS ARS 204357,A81000C,00300,0600,THERAPIES 204357,B100000,00000,0100,0100SQUARE FEET 204357,B100000,00000,0200,0200SQUARE FEET 204357,B100000,00000,0300,0300GROSS SALARIES 204357,B100000,00000,0400,0400ACCUM COST 204357,B100000,00000,0500,0500SQUARE FEET 204357,B100000,00000,0600,0600PATIENT DAYS 204357,B100000,00000,0700,0700SQUARE FEET 204357,B100000,00000,0800,0800MEALS SERVED 204357,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 204357,B100000,00000,1000,1000PATIENT DAYS 204357,B100000,00000,1100,1100COSTED REQUIS 204357,B100000,00000,1200,1200PATIENT DAYS 204357,B100000,00000,1300,1300PATIENT DAYS 204357,B100000,00000,1301,1301PATIENT DAYS 204357,B100000,00000,1400,1400ASSIGNED TIME 204357,B100000,00000,1500,1350UNITS SERVICES 204357,S000000,00100,0200,11/08/00 204357,S200000,00100,0100,306 WEST BROOK AVENUE 204357,S200000,00200,0100,BONIFAY 204357,S200000,00200,0200,FL 204357,S200000,00200,0300,32425 204357,S200000,00300,0100,HOLMES 204357,S200000,00300,0200,0010 204357,S200000,00300,0300,R 204357,S200000,00400,0100,MARINER HEALTH OF BONIFAY 204357,S200000,00400,0200,105624 204357,S200000,00400,0300,05/01/96 204357,S200000,00400,0500,P 204357,S200000,00600,0200,105624 204357,S200000,00600,0300,05/01/96 204357,S200000,00600,0600,O 204357,S200000,01500,0100,N 204357,S200000,01600,0100,Y 204357,S200000,01700,0100,N 204357,S200000,01800,0100,N 204357,S200000,02200,0100,N 204357,S200000,02800,0100,N 204357,S200000,02900,0100,N 204357,S200000,03000,0100,N 204357,S200000,03100,0100,N 204357,S200000,03200,0100,N 204357,S200000,03300,0100,N 204357,S200000,03300,0200,N 204357,S200000,03500,0300,N 204357,S200000,04100,0100,N 204357,S200000,04200,0100,N 204357,S200000,04300,0100,N 204357,S200000,04600,0100,N 204357,S200000,04700,0100,N 204357,S200000,04900,0100,N 204357,S200000,05200,0100,N 204402,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 204402,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 204402,A000000,00300,0000,0300EMPLOYEE BENEFITS 204402,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204402,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 204402,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204402,A000000,00700,0000,0700HOUSEKEEPING 204402,A000000,00800,0000,0800DIETARY 204402,A000000,00900,0000,0900NURSING ADMINISTRATION 204402,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 204402,A000000,01100,0000,1100PHARMACY 204402,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 204402,A000000,01300,0000,1300SOCIAL SERVICE 204402,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 204402,A000000,01600,0000,1600SKILLED NURSING FACILITY 204402,A000000,01800,0000,1800NURSING FACILITY 204402,A000000,01810,0000,1810ICF/MR 204402,A000000,02100,0000,2100RADIOLOGY 204402,A000000,02500,0000,2500PHYSICAL THERAPY 204402,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204402,A000000,02700,0000,2700SPEECH PATHOLOGY 204402,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204402,A000000,03550,0000,3550FQHC 204402,A000000,04800,0000,4800AMBULANCE 204402,A000000,04801,0000,4801AMBULANCE 204402,A000000,04802,0000,4802AMBULANCE 204402,A000000,04803,0000,4803AMBULANCE 204402,A000000,05000,0000,5000CORF 204402,A000000,05010,0000,5010CMHC 204402,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 204402,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 204402,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 204402,A000000,05900,0000,5900BARBER & BEAUTY SHOP 204402,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 204402,A81000A,00100,0100,Y 204402,A81000B,00100,0300,INTEREST PAID TO OWNERS 204402,A81000C,00100,0100,A 204402,A81000C,00100,0200,JAMES BANKSTON 204402,A81000C,00100,0400,OWNER 204402,A81000C,00200,0100,A 204402,A81000C,00200,0200,A. MIXON BANKSTON 204402,A81000C,00200,0400,OWNER 204402,A81000C,00300,0100,A 204402,A81000C,00300,0200,PAUL HARDY 204402,A81000C,00300,0400,OWNER 204402,B100000,00000,0100,0100SQUARE FEET 204402,B100000,00000,0200,0200SQUARE FEET 204402,B100000,00000,0300,0300GROSS SALARIES 204402,B100000,00000,0400,0400ACCUM COST 204402,B100000,00000,0500,0500SQUARE FEET 204402,B100000,00000,0600,0600PATIENT DAYS 204402,B100000,00000,0700,0700SQUARE FEET 204402,B100000,00000,0800,0800PATIENT DAYS 204402,B100000,00000,0900,0900DIRECT NRSING HRS 204402,B100000,00000,1000,1000COSTED REQUIS 204402,B100000,00000,1100,1100COSTED REQUIS 204402,B100000,00000,1200,1200TIME SPENT 204402,B100000,00000,1300,1300TIME SPENT 204402,B100000,00000,1400,1400ASSIGNED TIME 204402,E10A180,00501,0100,06/20/00 204402,S000000,00100,0200,05/22/00 204402,S200000,00100,0100,366 WEBB SMITH DRIVE 204402,S200000,00200,0100,COLFAX 204402,S200000,00200,0200,LA 204402,S200000,00200,0300,71417 204402,S200000,00300,0100,GRANT 204402,S200000,00300,0200,0019 204402,S200000,00300,0300,R 204402,S200000,00400,0100,GRANT MANOR NURSING CENTER 204402,S200000,00400,0200,195430 204402,S200000,00400,0300,10/01/97 204402,S200000,00400,0500,P 204402,S200000,01500,0100,N 204402,S200000,01600,0100,Y 204402,S200000,01700,0100,N 204402,S200000,01800,0100,N 204402,S200000,02200,0100,N 204402,S200000,02800,0100,N 204402,S200000,02900,0100,N 204402,S200000,03000,0100,N 204402,S200000,03100,0100,N 204402,S200000,03200,0100,N 204402,S200000,03300,0100,N 204402,S200000,03300,0200,N 204402,S200000,04100,0100,N 204402,S200000,04200,0100,N 204402,S200000,04300,0100,N 204402,S200000,04600,0100,N 204402,S200000,04700,0100,N 204402,S200000,04900,0100,N 204402,S200000,05200,0100,N 204626,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 204626,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 204626,A000000,00300,0000,0300EMPLOYEE BENEFITS 204626,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204626,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 204626,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204626,A000000,00700,0000,0700HOUSEKEEPING 204626,A000000,00800,0000,0800DIETARY 204626,A000000,00900,0000,0900NURSING ADMINISTRATION 204626,A000000,01600,0000,1600SKILLED NURSING FACILITY 204626,A000000,01800,0000,1800NURSING FACILITY 204626,A000000,02100,0000,2100RADIOLOGY 204626,A000000,02200,0000,2200LABORATORY 204626,A000000,02500,0000,2500PHYSICAL THERAPY 204626,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204626,A000000,02700,0000,2700SPEECH PATHOLOGY 204626,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 204626,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204626,A000000,04801,0000,4801AMBULANCE 204626,A000000,04802,0000,4802AMBULANCE 204626,A000000,04803,0000,4803AMBULANCE 204626,A000000,05900,0000,5900BARBER & BEAUTY SHOP 204626,A81000A,00100,0100,Y 204626,A81000B,00100,0300,ADMINISTRATIVE & GEN 204626,A81000B,00200,0300,CRC - BLDG & FIX 204626,A81000B,00300,0300,PHYSICAL THERAPY 204626,A81000B,00400,0300,OCCUPATIONAL THERAPY 204626,A81000B,00500,0300,SPEECH THERAPY 204626,A81000C,00100,0100,B 204626,A81000C,00100,0400,DEACONESS LTC OF MO 204626,A81000C,00100,0600,MGT CO 204626,A81000C,00200,0100,G 204626,A81000C,00200,0400,DEACONESS ANCILLARY 204626,A81000C,00200,0600,THERAPY COMPANY 204626,A81000C,03100,0000,FINANCIAL 204626,B100000,00000,0100,0100 (SQUARE FEET) 204626,B100000,00000,0200,0200 (DOLLAR VALUE) 204626,B100000,00000,0300,0300 (GROSS SALARIES) 204626,B100000,00000,0400,0400 (ACCUM COST) 204626,B100000,00000,0500,0500 (SQUARE FEET) 204626,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 204626,B100000,00000,0700,0700 (HOURS OF SERVICE) 204626,B100000,00000,0800,0800 (MEALS SERVED) 204626,B100000,00000,0900,0900(DIR NURS HOURS) 204626,E10A180,00501,0300,06/12/00 204626,S000000,00100,0200,05/15/00 204626,S200000,00100,0100,1501 SW THIRD STREET 204626,S200000,00200,0100,LEE S SUMMIT 204626,S200000,00200,0200,MO 204626,S200000,00200,0300,64081 204626,S200000,00300,0100,JACKSON 204626,S200000,00300,0200,3760 204626,S200000,00300,0300,U 204626,S200000,00400,0100,WHITE RIDGE HEALTH CENTER 204626,S200000,00400,0200,265512 204626,S200000,00400,0300,11/05/92 204626,S200000,00400,0500,P 204626,S200000,01500,0100,Y 204626,S200000,01600,0100,N 204626,S200000,01700,0100,N 204626,S200000,01800,0100,N 204626,S200000,02200,0100,N 204626,S200000,02800,0100,N 204626,S200000,02900,0100,N 204626,S200000,03000,0100,N 204626,S200000,03100,0100,N 204626,S200000,03200,0100,N 204626,S200000,03300,0100,N 204626,S200000,03300,0200,N 204626,S200000,04100,0100,N 204626,S200000,04200,0100,N 204626,S200000,04300,0100,N 204626,S200000,04600,0100,N 204626,S200000,04700,0100,N 204626,S200000,04900,0100,N 204626,S200000,05000,0100,Y 204626,S200000,05100,0100,Y 204626,S200000,05200,0100,Y 204896,S000000,00100,0200,12/16/04 204896,S200000,00100,0100,103 CUNNINGHAM DR 204896,S200000,00200,0100,RIPLEY 204896,S200000,00200,0200,MS 204896,S200000,00200,0300,38663 204896,S200000,00300,0100,TIPPAH 204896,S200000,00400,0100,REST HAVEN SNF 204896,S200000,00400,0300,06/01/97 204897,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 204897,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 204897,A000000,00300,0000,0300EMPLOYEE BENEFITS 204897,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 204897,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 204897,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 204897,A000000,00700,0000,0700HOUSEKEEPING 204897,A000000,00800,0000,0800DIETARY 204897,A000000,00900,0000,0900NURSING ADMINISTRATION 204897,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 204897,A000000,01100,0000,1100PHARMACY 204897,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 204897,A000000,01300,0000,1300SOCIAL SERVICE 204897,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 204897,A000000,01500,0000,1350ACTIVITIES 204897,A000000,01600,0000,1600SKILLED NURSING FACILITY 204897,A000000,01800,0000,1800NURSING FACILITY 204897,A000000,01810,0000,1810ICF/MR 204897,A000000,02100,0000,2100RADIOLOGY 204897,A000000,02200,0000,2200LABORATORY 204897,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 204897,A000000,02500,0000,2500PHYSICAL THERAPY 204897,A000000,02600,0000,2600OCCUPATIONAL THERAPY 204897,A000000,02700,0000,2700SPEECH PATHOLOGY 204897,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 204897,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 204897,A000000,03300,0000,3050SPECIALIZED BEDS 204897,A000000,03550,0000,3550FQHC 204897,A000000,04800,0000,4800AMBULANCE 204897,A000000,04801,0000,4801AMBULANCE 204897,A000000,04802,0000,4802AMBULANCE 204897,A000000,04803,0000,4803AMBULANCE 204897,A000000,05000,0000,5000CORF 204897,A000000,05010,0000,5010CMHC 204897,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 204897,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 204897,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 204897,A000000,05300,0000,5300INTEREST EXPENSE 204897,A000000,05900,0000,5900BARBER & BEAUTY SHOP 204897,A81000A,00100,0100,N 204897,B100000,00000,0100,0100SQUARE FEET 204897,B100000,00000,0200,0200NO STATISTICS 204897,B100000,00000,0300,0300GROSS SALARIES 204897,B100000,00000,0400,0400ACCUM COST 204897,B100000,00000,0500,0500SQUARE FEET 204897,B100000,00000,0600,0600POUNDS OF LAUNDRY 204897,B100000,00000,0700,0700SQ FEET MODIFIED 204897,B100000,00000,0800,0800MEALS SERVED 204897,B100000,00000,0900,0900DIRECT NRSING HRS 204897,B100000,00000,1000,1000COSTED REQUIS. 204897,B100000,00000,1100,1100NO STATISTICS 204897,B100000,00000,1200,1200TIME SPENT 204897,B100000,00000,1300,1300TIME SPENT 204897,B100000,00000,1400,1400NO STATISTICS 204897,B100000,00000,1500,1350TIME SPENT 204897,E10A180,00501,0100, 7/13/00 204897,S000000,00100,0200,06/01/00 204897,S200000,00100,0100,1708 CHERRY STREET 204897,S200000,00200,0100,VICKSBURG 204897,S200000,00200,0200,MS 204897,S200000,00200,0300,39180 204897,S200000,00300,0100,WARREN 204897,S200000,00300,0200,0025 204897,S200000,00300,0300,R 204897,S200000,00400,0100,VICKSBURG CONVALESCENT HOME 204897,S200000,00400,0200,255253 204897,S200000,00400,0300,01/01/98 204897,S200000,00400,0500,P 204897,S200000,01500,0100,N 204897,S200000,01600,0100,Y 204897,S200000,01700,0100,N 204897,S200000,01800,0100,N 204897,S200000,02200,0100,N 204897,S200000,02800,0100,N 204897,S200000,02900,0100,N 204897,S200000,03000,0100,N 204897,S200000,03100,0100,N 204897,S200000,03200,0100,N 204897,S200000,03300,0100,N 204897,S200000,03300,0200,N 204897,S200000,04100,0100,N 204897,S200000,04200,0100,N 204897,S200000,04300,0100,N 204897,S200000,04600,0100,N 204897,S200000,04700,0100,N 204897,S200000,04900,0100,N 204897,S200000,05200,0100,N 205478,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 205478,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 205478,A000000,00300,0000,0300EMPLOYEE BENEFITS 205478,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 205478,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 205478,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 205478,A000000,00700,0000,0700HOUSEKEEPING 205478,A000000,00800,0000,0800DIETARY 205478,A000000,00900,0000,0900NURSING ADMINISTRATION 205478,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 205478,A000000,01100,0000,1100PHARMACY 205478,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 205478,A000000,01300,0000,1300SOCIAL SERVICE 205478,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 205478,A000000,01500,0000,1350ACTIVITIES 205478,A000000,01600,0000,1600SKILLED NURSING FACILITY 205478,A000000,01800,0000,1800NURSING FACILITY 205478,A000000,01900,0000,1900OTHER LONG TERM CARE 205478,A000000,02100,0000,2100RADIOLOGY 205478,A000000,02200,0000,2200LABORATORY 205478,A000000,02300,0000,2300INTRAVENOUS THERAPY 205478,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 205478,A000000,02500,0000,2500PHYSICAL THERAPY 205478,A000000,02600,0000,2600OCCUPATIONAL THERAPY 205478,A000000,02700,0000,2700SPEECH PATHOLOGY 205478,A000000,02800,0000,2800ELECTROCARDIOLOGY 205478,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 205478,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 205478,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 205478,A000000,03200,0000,3200SUPPORT SURFACES 205478,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 205478,A000000,03400,0000,3400CLINIC 205478,A000000,03500,0000,3500RURAL HEALTH CLINIC 205478,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 205478,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 205478,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 205478,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 205478,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 205478,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 205478,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 205478,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 205478,A000000,04400,0000,4400DME RENTED - HHA 205478,A000000,04500,0000,4500DME SOLD - HHA 205478,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 205478,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 205478,A000000,04800,0000,4800AMBULANCE 205478,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 205478,A000000,05000,0000,5000CORF 205478,A000000,05100,0000,4750OTHER REIMBURSABLE COST 205478,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 205478,A000000,05300,0000,5300INTEREST EXPENSE 205478,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 205478,A000000,05500,0000,5500HOSPICE 205478,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 205478,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 205478,A000000,05900,0000,5900BARBER & BEAUTY SHOP 205478,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 205478,A000000,06100,0000,6100NONPAID WORKERS 205478,A000000,06200,0000,6200PATIENTS LAUNDRY 205478,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 205478,A81000A,00100,0100,Y 205478,A81000B,00100,0300,CAPITAL RELATED 205478,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 205478,A81000B,00300,0300,MANAGEMENT FEES 205478,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 205478,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 205478,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 205478,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 205478,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 205478,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 205478,B100000,00000,0800,0800MEALS SERVED :DIETARY 205478,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 205478,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 205478,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 205478,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 205478,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 205478,S000000,00100,0200,07/23/99 205478,S200000,00100,0100,2050 CHESTER BLVD. 205478,S200000,00200,0100,RICHMOND 205478,S200000,00200,0200,IN 205478,S200000,00200,0300,47374- 205478,S200000,00300,0100,WAYNE 205478,S200000,00300,0200,15 205478,S200000,00300,0300,U 205478,S200000,00400,0100,HERITAGE REGENCY 205478,S200000,00400,0200,155230 205478,S200000,00400,0300,10/01/94 205478,S200000,00400,0500,P 205478,S200000,01500,0100,N 205478,S200000,01600,0100,Y 205478,S200000,01700,0100,N 205478,S200000,01800,0100,N 205478,S200000,02200,0100,N 205478,S200000,02800,0100,N 205478,S200000,02900,0100,N 205478,S200000,03000,0100,N 205478,S200000,03100,0100,N 205478,S200000,03200,0100,N 205478,S200000,04100,0100,N 205478,S200000,04200,0100,N 205478,S200000,04300,0100,N 205478,S200000,04600,0100,N 205478,S200000,04700,0100,N 205478,S200000,04700,0200,N 205478,S200000,04900,0100,N 205478,S200000,05000,0100,N 205478,S200000,05100,0100,N 205478,S200000,05200,0100,N 206337,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206337,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206337,A000000,00300,0000,0300EMPLOYEE BENEFITS 206337,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206337,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206337,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206337,A000000,00700,0000,0700HOUSEKEEPING 206337,A000000,00800,0000,0800DIETARY 206337,A000000,00900,0000,0900NURSING ADMINISTRATION 206337,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206337,A000000,01100,0000,1100PHARMACY 206337,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206337,A000000,01300,0000,1300SOCIAL SERVICE 206337,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206337,A000000,01600,0000,1600SKILLED NURSING FACILITY 206337,A000000,01800,0000,1800NURSING FACILITY 206337,A000000,01810,0000,1810ICF/MR 206337,A000000,02100,0000,2100RADIOLOGY 206337,A000000,02200,0000,2200LABORATORY 206337,A000000,02500,0000,2500PHYSICAL THERAPY 206337,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206337,A000000,02700,0000,2700SPEECH PATHOLOGY 206337,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206337,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206337,A000000,03250,0000,3250EQUIPMENT RENTAL 206337,A000000,03300,0000,3050BGMT INTER 206337,A000000,03550,0000,3550FEDERALLY QUALIFIED HEALTH CENT 206337,A000000,04801,0000,4801AMBULANCE 206337,A000000,04802,0000,4802AMBULANCE 206337,A000000,04803,0000,4803AMBULANCE 206337,A000000,05000,0000,5000CORF 206337,A000000,05010,0000,5010CMHC 206337,A000000,05020,0000,5020OPT 206337,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206337,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206337,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 206337,A000000,05900,0000,5900BARBER & BEAUTY SHOP 206337,A81000A,00100,0100,Y 206337,A81000B,00100,0300,H/O CAPITAL COSTS 206337,A81000B,00200,0300,MANAGEMENT FEES 206337,A81000C,00100,0100,F 206337,A81000C,00100,0200,BOBBY ARNOLD 206337,A81000C,00100,0400,HCM INC. 206337,A81000C,00100,0600,MANAGEMENT CO. 206337,A81000C,00200,0100,F 206337,A81000C,00200,0200,JOHN L BLACK JR 206337,A81000C,00200,0400,HCM INC. 206337,A81000C,00200,0600,MANAGEMENT CO. 206337,A81000C,00300,0100,F 206337,A81000C,00300,0200,MARK WALDROP 206337,A81000C,00300,0400,HCM INC. 206337,A81000C,00300,0600,MANAGEMENT CO. 206337,B100000,00000,0100,0100(SQUARE FEET) 206337,B100000,00000,0200,0200(SQUARE FEET) 206337,B100000,00000,0300,0300(GROSS SALARIES) 206337,B100000,00000,0400,0400ACCUM COST 206337,B100000,00000,0500,0500(SQUARE FEET) 206337,B100000,00000,0600,0600(POUNDS OF LAUNDRY) 206337,B100000,00000,0700,0700(HOURS OF SERVICE) 206337,B100000,00000,0800,0800(MEALS SERVED) 206337,B100000,00000,0900,0900(DIR NRSG HOURS) 206337,B100000,00000,1000,1000(COSTED REQUIS) 206337,B100000,00000,1100,1100(COSTED REQUIS) 206337,B100000,00000,1200,1200(TIME SPENT) 206337,B100000,00000,1300,1300(TIME SPENT) 206337,B100000,00000,1400,1400(ASSIGNED TIME) 206337,E10A180,00501,0100,09/27/00 206337,E10A180,00550,0300,09/27/00 206337,S000000,00100,0200,08/07/00 206337,S200000,00100,0100,2425 TELLER AVENUE 206337,S200000,00200,0100,GRAND JUNCTION 206337,S200000,00200,0200,CO 206337,S200000,00200,0300,81501 206337,S200000,00300,0100,MESA 206337,S200000,00300,0200,2995 206337,S200000,00300,0300,U 206337,S200000,00400,0100,GRAND JUNCTION 206337,S200000,00400,0200,065286 206337,S200000,00400,0300,12/10/90 206337,S200000,00400,0500,P 206337,S200000,01500,0100,N 206337,S200000,01600,0100,Y 206337,S200000,01700,0100,N 206337,S200000,01800,0100,N 206337,S200000,01900,0100,S-CORPORATION SUBSIDIARY 206337,S200000,02200,0100,N 206337,S200000,02800,0100,N 206337,S200000,02900,0100,N 206337,S200000,03000,0100,N 206337,S200000,03100,0100,N 206337,S200000,03200,0100,N 206337,S200000,03300,0100,N 206337,S200000,03300,0200,N 206337,S200000,04100,0100,N 206337,S200000,04200,0100,N 206337,S200000,04300,0100,N 206337,S200000,04600,0100,N 206337,S200000,04700,0100,N 206337,S200000,04900,0100,N 206337,S200000,05200,0100,N 206342,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206342,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206342,A000000,00300,0000,0300EMPLOYEE BENEFITS 206342,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206342,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206342,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206342,A000000,00700,0000,0700HOUSEKEEPING 206342,A000000,00800,0000,0800DIETARY 206342,A000000,00900,0000,0900NURSING ADMINISTRATION 206342,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206342,A000000,01100,0000,1100PHARMACY 206342,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206342,A000000,01300,0000,1300SOCIAL SERVICE 206342,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206342,A000000,01500,0000,1350OTHER GENERAL COST CENTER 206342,A000000,01600,0000,1600SKILLED NURSING FACILITY 206342,A000000,01800,0000,1800NURSING FACILITY 206342,A000000,01810,0000,1810ICF/MR 206342,A000000,02100,0000,2100RADIOLOGY 206342,A000000,02200,0000,2200LABORATORY 206342,A000000,02300,0000,2300INTRAVENOUS THERAPY 206342,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 206342,A000000,02500,0000,2500PHYSICAL THERAPY 206342,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206342,A000000,02700,0000,2700SPEECH PATHOLOGY 206342,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206342,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206342,A000000,03550,0000,3550FQHC 206342,A000000,04801,0000,4801AMBULANCE 206342,A000000,04802,0000,4802AMBULANCE 206342,A000000,04803,0000,4803AMBULANCE 206342,A000000,05000,0000,5000CORF 206342,A000000,05010,0000,5010CMHC 206342,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206342,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206342,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206342,A000000,06300,0000,6150NONREIMBURSABLE COST CENTER 206342,A81000A,00100,0100,Y 206342,A81000B,00100,0300,MANAGEMENT FEE 206342,A81000B,00200,0300,INTEREST 206342,A81000C,00100,0100,A 206342,A81000C,00100,0200,MIKE JENKINS 206342,A81000C,00100,0400,JENKINS FINANCI 206342,B100000,00000,0100,0100SQUARE FEET 206342,B100000,00000,0200,0200SQUARE FEET 206342,B100000,00000,0300,0300GROSS SALARIES 206342,B100000,00000,0400,0400ACCUM COST 206342,B100000,00000,0500,0500SQUARE FEET 206342,B100000,00000,0600,0600POUNDS OF LAUNDRY 206342,B100000,00000,0700,0700SQUARE FEET 206342,B100000,00000,0800,0800MEALS SERVED 206342,B100000,00000,0900,0900DIRECT NRSG HRS 206342,B100000,00000,1000,1000COSTED REQUIS 206342,B100000,00000,1100,1100COSTED REQUIS 206342,B100000,00000,1200,1200TIME SPENT 206342,B100000,00000,1300,1300PATIENT DAYS 206342,B100000,00000,1400,1400ASSIGNED TIME 206342,B100000,00000,1500,1350 206342,E10A180,00501,0100,07/05/00 206342,E10A180,00501,0300,07/05/00 206342,S000000,00100,0200,06/01/00 206342,S200000,00100,0100,1864 CENTAL AVENUE 206342,S200000,00200,0100,ROSEPINE 206342,S200000,00200,0200,LA 206342,S200000,00200,0300,70659 206342,S200000,00300,0100,VERNON 206342,S200000,00300,0200,0019 206342,S200000,00300,0300,R 206342,S200000,00400,0100,PINE HAVEN NRSG. HOME INC. 206342,S200000,00400,0200,195416 206342,S200000,00400,0300,07/01/97 206342,S200000,00400,0500,P 206342,S200000,01500,0100,N 206342,S200000,01600,0100,Y 206342,S200000,01700,0100,N 206342,S200000,01800,0100,N 206342,S200000,02200,0100,N 206342,S200000,02800,0100,N 206342,S200000,02900,0100,N 206342,S200000,03000,0100,N 206342,S200000,03100,0100,N 206342,S200000,03200,0100,N 206342,S200000,03300,0100,N 206342,S200000,03300,0200,N 206342,S200000,04100,0100,N 206342,S200000,04200,0100,N 206342,S200000,04300,0100,N 206342,S200000,04600,0100,N 206342,S200000,04700,0100,N 206342,S200000,04900,0100,N 206343,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206343,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206343,A000000,00300,0000,0300EMPLOYEE BENEFITS 206343,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206343,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206343,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206343,A000000,00700,0000,0700HOUSEKEEPING 206343,A000000,00800,0000,0800DIETARY 206343,A000000,00900,0000,0900NURSING ADMINISTRATION 206343,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206343,A000000,01100,0000,1100PHARMACY 206343,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206343,A000000,01300,0000,1300SOCIAL SERVICE 206343,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206343,A000000,01600,0000,1600SKILLED NURSING FACILITY 206343,A000000,01810,0000,1810ICF/MR 206343,A000000,02100,0000,2100RADIOLOGY 206343,A000000,02200,0000,2200LABORATORY 206343,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 206343,A000000,02500,0000,2500PHYSICAL THERAPY 206343,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206343,A000000,02700,0000,2700SPEECH PATHOLOGY 206343,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206343,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206343,A000000,03550,0000,3550FQHC 206343,A000000,04801,0000,4801AMBULANCE 206343,A000000,04802,0000,4802AMBULANCE 206343,A000000,04803,0000,4803AMBULANCE 206343,A000000,05000,0000,5000CORF 206343,A000000,05010,0000,5010CMHC 206343,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206343,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206343,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206343,A000000,05900,0000,5900BARBER & BEAUTY SHOP 206343,A81000A,00100,0100,N 206343,B100000,00000,0100,0100SQUARE FEET 206343,B100000,00000,0200,0200SQUARE FEET 206343,B100000,00000,0300,0300GROSS SALARIES 206343,B100000,00000,0400,0400ACCUM COST 206343,B100000,00000,0500,0500SQUARE FEET 206343,B100000,00000,0600,0600POUNDS OF LAUNDRY 206343,B100000,00000,0700,0700SQUARE FEET 206343,B100000,00000,0800,0800MEALS SERVED 206343,B100000,00000,0900,0900DIRECT NRSING HRS 206343,B100000,00000,1000,1000COSTED REQUIS 206343,B100000,00000,1100,1100COSTED REQUIS 206343,B100000,00000,1200,1200TIME SPENT 206343,B100000,00000,1300,1300TIME SPENT 206343,B100000,00000,1400,1400ASSIGNED TIME 206343,E10A180,00501,0100,06/14/00 206343,S000000,00100,0200,05/19/00 206343,S200000,00100,0100,2421 E. TEXAS AVENUE 206343,S200000,00200,0100,ALEXANDRIA 206343,S200000,00200,0200,LA 206343,S200000,00200,0300,71301 206343,S200000,00300,0100,RAPIDES 206343,S200000,00300,0200,0220 206343,S200000,00300,0300,U 206343,S200000,00400,0100,NAOMI HEIGHTS NURSING HOME 206343,S200000,00400,0200,195420 206343,S200000,00400,0300,06/01/97 206343,S200000,00400,0500,P 206343,S200000,01500,0100,Y 206343,S200000,01600,0100,N 206343,S200000,01700,0100,N 206343,S200000,01800,0100,N 206343,S200000,02200,0100,N 206343,S200000,02800,0100,N 206343,S200000,02900,0100,N 206343,S200000,03000,0100,N 206343,S200000,03100,0100,N 206343,S200000,03200,0100,N 206343,S200000,03300,0100,N 206343,S200000,03300,0200,N 206343,S200000,04100,0100,N 206343,S200000,04200,0100,N 206343,S200000,04300,0100,N 206343,S200000,04600,0100,N 206343,S200000,04700,0100,N 206343,S200000,04900,0100,N 206343,S200000,05200,0100,N 206642,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206642,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206642,A000000,00300,0000,0300EMPLOYEE BENEFITS 206642,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206642,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206642,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206642,A000000,00700,0000,0700HOUSEKEEPING 206642,A000000,00800,0000,0800DIETARY 206642,A000000,00900,0000,0900NURSING ADMINISTRATION 206642,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206642,A000000,01100,0000,1100PHARMACY 206642,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206642,A000000,01300,0000,1300SOCIAL SERVICE 206642,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206642,A000000,01600,0000,1600SKILLED NURSING FACILITY 206642,A000000,01810,0000,1810ICF/MR 206642,A000000,02100,0000,2100RADIOLOGY 206642,A000000,02200,0000,2200LABORATORY 206642,A000000,02500,0000,2500PHYSICAL THERAPY 206642,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206642,A000000,02700,0000,2700SPEECH PATHOLOGY 206642,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206642,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206642,A000000,03550,0000,3550FQHC 206642,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 206642,A000000,05000,0000,5000CORF 206642,A000000,05010,0000,5010CMHC 206642,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206642,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206642,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206642,A000000,05300,0000,5300INTEREST EXPENSE 206642,A000000,05900,0000,5900BARBER & BEAUTY SHOP 206642,A81000A,00100,0100,Y 206642,A81000B,00100,0300,RENT 206642,A81000B,00200,0300,MANAGEMENT FEES 206642,A81000B,00300,0300,REAL ESTATE TAXES 206642,A81000B,00400,0300,AMORTIZATION 206642,A81000B,00500,0300,DEPREC-BLDG&FIXED 206642,A81000B,00600,0300,DEPREC-MOVABLE 206642,A81000B,00700,0300,INTEREST 206642,A81000B,00800,0300,PROFESSIONAL FEES 206642,A81000B,00900,0300,ADMIN EXPENSES 206642,A81000C,00100,0100,A 206642,A81000C,00100,0200,A. J. BARTHOLOM 206642,A81000C,00100,0400,ABCOM SERVICES 206642,A81000C,00100,0600,P/R & COMPUTER 206642,A81000C,00200,0100,A 206642,A81000C,00200,0200,A. J. BARTHOLOM 206642,A81000C,00200,0400,BARCO 206642,A81000C,00200,0600,REAL ESTATE 206642,B100000,00000,0100,0100SQUARE FEET 206642,B100000,00000,0200,0200SQUARE FEET 206642,B100000,00000,0300,0300GROSS SALARIES 206642,B100000,00000,0400,0400ACCUM COST 206642,B100000,00000,0500,0500SQUARE FEET 206642,B100000,00000,0600,0600POUNDS OF LAUNDRY 206642,B100000,00000,0700,0700HOURS OF SERVICE 206642,B100000,00000,0800,0800MEALS SERVED 206642,B100000,00000,0900,0900DIRECT NRSG HRS 206642,B100000,00000,1000,1000COSTED REQUIS 206642,B100000,00000,1100,1100COSTED REQUIS 206642,B100000,00000,1200,1200TIME SPENT 206642,B100000,00000,1300,1300TIME SPENT 206642,B100000,00000,1400,1400ASSIGNED TIME 206642,E10A180,00301,0100,05/10/00 206642,E10A180,00501,0100,04/30/01 206642,S000000,00100,0200,05/26/00 206642,S200000,00100,0100,62 PROSPECT STREET 206642,S200000,00200,0100,WARSAW 206642,S200000,00200,0200,NY 206642,S200000,00200,0300,14569 206642,S200000,00300,0100,WYOMING 206642,S200000,00300,0200,0033 206642,S200000,00300,0300,R 206642,S200000,00400,0100,EASTSIDE NURSING HOME 206642,S200000,00400,0200,335511 206642,S200000,00400,0300,06/01/76 206642,S200000,00400,0500,P 206642,S200000,01500,0100,Y 206642,S200000,01600,0100,N 206642,S200000,01700,0100,N 206642,S200000,01800,0100,N 206642,S200000,02200,0100,N 206642,S200000,02800,0100,N 206642,S200000,02900,0100,N 206642,S200000,03000,0100,N 206642,S200000,03100,0100,N 206642,S200000,03200,0100,N 206642,S200000,03300,0100,N 206642,S200000,03300,0200,N 206642,S200000,04100,0100,N 206642,S200000,04200,0100,N 206642,S200000,04300,0100,N 206642,S200000,04600,0100,N 206642,S200000,04700,0100,N 206642,S200000,04900,0100,N 206642,S200000,05200,0100,N 206643,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206643,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206643,A000000,00300,0000,0300EMPLOYEE BENEFITS 206643,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206643,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206643,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206643,A000000,00700,0000,0700HOUSEKEEPING 206643,A000000,00800,0000,0800DIETARY 206643,A000000,00900,0000,0900NURSING ADMINISTRATION 206643,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206643,A000000,01100,0000,1100PHARMACY 206643,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206643,A000000,01300,0000,1300SOCIAL SERVICE 206643,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206643,A000000,01600,0000,1600SKILLED NURSING FACILITY 206643,A000000,01810,0000,1810ICF/MR 206643,A000000,02100,0000,2100RADIOLOGY 206643,A000000,02200,0000,2200LABORATORY 206643,A000000,02500,0000,2500PHYSICAL THERAPY 206643,A000000,02700,0000,2700SPEECH PATHOLOGY 206643,A000000,02800,0000,2800ELECTROCARDIOLOGY 206643,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206643,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206643,A000000,03550,0000,3550FQHC 206643,A000000,05000,0000,5000CORF 206643,A000000,05010,0000,5010CMHC 206643,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206643,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206643,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206643,A000000,05300,0000,5300INTEREST EXPENSE 206643,A81000A,00100,0100,Y 206643,A81000B,00100,0300,RENT LOCH MANOR 206643,A81000B,00200,0300,MGMT FEES LOCH MANOR 206643,A81000B,00300,0300,DEPRECIATION - BLDG 206643,A81000B,00400,0300,INTEREST - MTG 206643,A81000B,00500,0300,PROFESSIONAL FEES 206643,A81000B,00600,0300,AMIN EXPENSES 206643,A81000B,00700,0300,INTEREST - WORK CAP 206643,A81000C,00100,0100,A 206643,A81000C,00100,0200,ALL PARTNERS 206643,A81000C,00100,0400,LOCH MANOR 206643,A81000C,00100,0600,MGMT & REAL EST 206643,A81000C,00200,0100,A 206643,A81000C,00200,0200,JOHN BARTHOLOME 206643,A81000C,00200,0400,ABCOM SERVICES 206643,A81000C,00200,0600,P/R PROCESSING 206643,B100000,00000,0100,0100SQUARE FEET 206643,B100000,00000,0200,0200SQUARE FEET 206643,B100000,00000,0300,0300GROSS SALARIES 206643,B100000,00000,0400,0400ACCUM COST 206643,B100000,00000,0500,0500SQUARE FEET 206643,B100000,00000,0600,0600POUNDS OF LAUNDRY 206643,B100000,00000,0700,0700HOURS OF SERVICE 206643,B100000,00000,0800,0800MEALS SERVED 206643,B100000,00000,0900,0900DIRECT NRSG HRS 206643,B100000,00000,1000,1000COSTED REQUIS 206643,B100000,00000,1100,1100COSTED REQUIS 206643,B100000,00000,1200,1200TIME SPENT 206643,B100000,00000,1300,1300TIME SPENT 206643,B100000,00000,1400,1400ASSIGNED TIME 206643,E10A180,00302,0100,01/18/00 206643,E10A180,00303,0100,05/09/00 206643,E10A180,00550,0100,04/27/01 206643,S000000,00100,0200,05/25/00 206643,S200000,00100,0100,1140 NORTON STREET 206643,S200000,00200,0100,ROCHESTER 206643,S200000,00200,0200,NY 206643,S200000,00200,0300,14621 206643,S200000,00300,0100,MONROE 206643,S200000,00300,0200,6840 206643,S200000,00300,0300,U 206643,S200000,00400,0100,NOR LOCH MANOR 206643,S200000,00400,0200,335535 206643,S200000,00400,0300,08/01/76 206643,S200000,00400,0500,P 206643,S200000,01500,0100,Y 206643,S200000,01600,0100,N 206643,S200000,01700,0100,N 206643,S200000,01800,0100,N 206643,S200000,02200,0100,N 206643,S200000,02800,0100,N 206643,S200000,02900,0100,N 206643,S200000,03000,0100,N 206643,S200000,03100,0100,N 206643,S200000,03200,0100,N 206643,S200000,03300,0100,N 206643,S200000,03300,0200,N 206643,S200000,04100,0100,N 206643,S200000,04200,0100,N 206643,S200000,04300,0100,N 206643,S200000,04600,0100,N 206643,S200000,04700,0100,N 206643,S200000,04900,0100,N 206643,S200000,05200,0100,N 206908,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206908,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206908,A000000,00300,0000,0300EMPLOYEE BENEFITS 206908,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206908,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206908,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206908,A000000,00700,0000,0700HOUSEKEEPING 206908,A000000,00800,0000,0800DIETARY 206908,A000000,00900,0000,0900NURSING ADMINISTRATION 206908,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206908,A000000,01100,0000,1100PHARMACY 206908,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206908,A000000,01300,0000,1300SOCIAL SERVICE 206908,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206908,A000000,01600,0000,1600SKILLED NURSING FACILITY 206908,A000000,01800,0000,1800NURSING FACILITY 206908,A000000,01810,0000,1810ICF/MR 206908,A000000,02100,0000,2100RADIOLOGY 206908,A000000,02200,0000,2200LABORATORY 206908,A000000,02500,0000,2500PHYSICAL THERAPY 206908,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206908,A000000,02700,0000,2700SPEECH PATHOLOGY 206908,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206908,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206908,A000000,03550,0000,3550FQHC 206908,A000000,04801,0000,4801AMBULANCE 206908,A000000,04802,0000,4802AMBULANCE 206908,A000000,04803,0000,4803AMBULANCE 206908,A000000,05000,0000,5000CORF 206908,A000000,05010,0000,5010CMHC 206908,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206908,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206908,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206908,A000000,05900,0000,5900BARBER & BEAUTY SHOP 206908,A81000A,00100,0100,Y 206908,A81000B,00100,0300,MANAGEMENT FEES 206908,A81000B,00200,0300,HOME OFFICE CRC - BLDG 206908,A81000B,00300,0300,HOME OFFICE CRC - MME 206908,A81000B,00400,0300,HEALTH INSURANCE 206908,A81000B,00500,0300,CRC BLDG 206908,A81000B,00600,0300,CRC MME 206908,A81000B,00700,0300,A&G 206908,A81000C,00100,0100,D 206908,A81000C,00100,0200,DEAN MORTON STITES 206908,A81000C,00100,0400,SOUTHERN MO. HEALTHCARE 206908,A81000C,00100,0600,LEASE COMPANY 206908,A81000C,00200,0100,D 206908,A81000C,00200,0200,WILLARD CARE CENTER 206908,A81000C,00200,0400,CENTRAL AR NURSING CTRS 206908,A81000C,00200,0600,HOME OFFICE 206908,B100000,00000,0100,0100SQUARE FEET 206908,B100000,00000,0200,0200SQUARE FEET 206908,B100000,00000,0300,0300GROSS SALARIES 206908,B100000,00000,0400,0400ACCUM COST 206908,B100000,00000,0500,0500SQUARE FEET 206908,B100000,00000,0600,0600PATIENT DAYS 206908,B100000,00000,0700,0700SQUARE FEET 206908,B100000,00000,0800,0800MEALS SERVED 206908,B100000,00000,0900,0900HOURS SUPERVISED 206908,B100000,00000,1000,1000COSTED REQUIS. 206908,B100000,00000,1100,1100COSTED REQUIS. 206908,B100000,00000,1200,1200GROSS REVENUE 206908,B100000,00000,1300,1300PATIENT DAYS 206908,B100000,00000,1400,1400ASSIGNED TIME 206908,E10A180,00501,0100,07/05/00 206908,E10A180,00501,0300,07/05/00 206908,S000000,00100,0200,05/26/00 206908,S200000,00100,0100,400 WALNUT 206908,S200000,00200,0100,WILLARD 206908,S200000,00200,0200,MO 206908,S200000,00200,0300,65781 206908,S200000,00300,0100,GREENE 206908,S200000,00300,0200,7920 206908,S200000,00300,0300,U 206908,S200000,00400,0100,WILLARD CARE CENTER 206908,S200000,00400,0200,265455 206908,S200000,00400,0300,06/06/91 206908,S200000,00400,0500,P 206908,S200000,01500,0100,N 206908,S200000,01600,0100,Y 206908,S200000,01700,0100,N 206908,S200000,01800,0100,N 206908,S200000,02200,0100,N 206908,S200000,02800,0100,N 206908,S200000,02900,0100,N 206908,S200000,03000,0100,N 206908,S200000,03100,0100,N 206908,S200000,03200,0100,N 206908,S200000,03300,0100,N 206908,S200000,03300,0200,N 206908,S200000,04100,0100,N 206908,S200000,04200,0100,N 206908,S200000,04300,0100,N 206908,S200000,04600,0100,N 206908,S200000,04700,0100,N 206908,S200000,04900,0100,N 206908,S200000,05200,0100,N 206972,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 206972,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 206972,A000000,00300,0000,0300EMPLOYEE BENEFITS 206972,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 206972,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 206972,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 206972,A000000,00700,0000,0700HOUSEKEEPING 206972,A000000,00800,0000,0800DIETARY 206972,A000000,00900,0000,0900NURSING ADMINISTRATION 206972,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 206972,A000000,01100,0000,1100PHARMACY 206972,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 206972,A000000,01300,0000,1300SOCIAL SERVICE 206972,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 206972,A000000,01600,0000,1600SKILLED NURSING FACILITY 206972,A000000,01800,0000,1800NURSING FACILITY 206972,A000000,01810,0000,1810ICF/MR 206972,A000000,02200,0000,2200LABORATORY 206972,A000000,02500,0000,2500PHYSICAL THERAPY 206972,A000000,02600,0000,2600OCCUPATIONAL THERAPY 206972,A000000,02700,0000,2700SPEECH PATHOLOGY 206972,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 206972,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 206972,A000000,03550,0000,3550FQHC 206972,A000000,04801,0000,4801AMBULANCE 206972,A000000,04802,0000,4802AMBULANCE 206972,A000000,04803,0000,4803AMBULANCE 206972,A000000,05000,0000,5000CORF 206972,A000000,05010,0000,5010CMHC 206972,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 206972,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 206972,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 206972,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 206972,A000000,05900,0000,5900BARBER & BEAUTY SHOP 206972,A81000A,00100,0100,Y 206972,A81000B,00100,0300,HOME OFFICE CHARGES 206972,A81000B,00200,0300,HOME OFFICE ALLOCATI 206972,A81000B,00300,0300,HOME OFFICE CAPITAL 206972,A81000B,00400,0300,HOME OFFICE INTEREST 206972,A81000B,00500,0300,EXCESS CHG OVER COST 206972,A81000B,00600,0300,MEDICAL SUPPLIES 206972,A81000B,00700,0300,LAB SUPPLIES 206972,A81000B,00800,0300,ROUTINE SUPPLIES 206972,A81000B,00900,0300,CONTRACT NURSING 206972,A81000C,00100,0100,A 206972,A81000C,00100,0200,MICHAEL E. MCEL 206972,A81000C,00100,0400,HMP MANAGEMENT 206972,A81000C,00100,0600,MANAGEMENT SERV 206972,A81000C,00200,0100,A 206972,A81000C,00200,0200,MICHAEL E. MCEL 206972,A81000C,00200,0400,UNICARERX 206972,A81000C,00200,0600,PHARMACY 206972,A81000C,00300,0100,A 206972,A81000C,00300,0200,MICHAEL E. MCEL 206972,A81000C,00300,0400,HMP NURSING SER 206972,A81000C,00300,0600,STAFF RELIEF 206972,B100000,00000,0100,0100SQUARE FEET 206972,B100000,00000,0200,0200SQUARE FEET 206972,B100000,00000,0300,0300GROSS SALARIES 206972,B100000,00000,0400,0400ACCUM COST 206972,B100000,00000,0500,0500SQUARE FEET 206972,B100000,00000,0600,0600POUNDS OF LAUNDRY 206972,B100000,00000,0700,0700SQUARE FEET 206972,B100000,00000,0800,0800MEALS SERVED 206972,B100000,00000,0900,0900DIRECT NRSG HRS 206972,B100000,00000,1000,1000COSTED REQUIS 206972,B100000,00000,1100,1100COSTED REQUIS 206972,B100000,00000,1200,1200TIME SPENT 206972,B100000,00000,1300,1300TIME SPENT 206972,B100000,00000,1400,1400ASSIGNED TIME 206972,E10A180,00501,0100,10/20/00 206972,E10A180,00550,0300,10/20/00 206972,S000000,00100,0200,07/10/00 206972,S200000,00100,0100,925 W. MANGUM STREET 206972,S200000,00200,0100,MENDENHALL 206972,S200000,00200,0200,MS 206972,S200000,00200,0300,39114 206972,S200000,00300,0100,SIMPSON 206972,S200000,00300,0200,0025 206972,S200000,00300,0300,R 206972,S200000,00400,0100,CONVA-REST OF MENDENHALL 206972,S200000,00400,0200,255150 206972,S200000,00400,0300,11/01/92 206972,S200000,00400,0500,P 206972,S200000,01500,0100,N 206972,S200000,01600,0100,N 206972,S200000,01700,0100,N 206972,S200000,01800,0100,N 206972,S200000,02200,0100,N 206972,S200000,02800,0100,N 206972,S200000,02900,0100,N 206972,S200000,03000,0100,N 206972,S200000,03100,0100,N 206972,S200000,03200,0100,N 206972,S200000,03300,0100,N 206972,S200000,03300,0200,N 206972,S200000,04100,0100,N 206972,S200000,04200,0100,N 206972,S200000,04300,0100,N 206972,S200000,04600,0100,N 206972,S200000,04700,0100,N 206972,S200000,04900,0100,N 206972,S200000,05200,0100,N 207392,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207392,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207392,A000000,00300,0000,0300EMPLOYEE BENEFITS 207392,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207392,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207392,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207392,A000000,00700,0000,0700HOUSEKEEPING 207392,A000000,00800,0000,0800DIETARY 207392,A000000,00900,0000,0900NURSING ADMINISTRATION 207392,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207392,A000000,01100,0000,1100PHARMACY 207392,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207392,A000000,01300,0000,1300SOCIAL SERVICE 207392,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207392,A000000,01600,0000,1600SKILLED NURSING FACILITY 207392,A000000,01800,0000,1800NURSING FACILITY 207392,A000000,01810,0000,1810ICF/MR 207392,A000000,02100,0000,2100RADIOLOGY 207392,A000000,02200,0000,2200LABORATORY 207392,A000000,02500,0000,2500PHYSICAL THERAPY 207392,A000000,02700,0000,2700SPEECH PATHOLOGY 207392,A000000,02800,0000,2800ELECTROCARDIOLOGY 207392,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207392,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207392,A000000,03400,0000,3400CLINIC 207392,A000000,03550,0000,3550FQHC 207392,A000000,04800,0000,4800AMBULANCE 207392,A000000,05000,0000,5000CORF 207392,A000000,05010,0000,5010CMHC 207392,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207392,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207392,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207392,A000000,05300,0000,5300INTEREST EXPENSE 207392,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 207392,A000000,06201,0000,6201NON-REIMBURSABLE 207392,A81000A,00100,0100,Y 207392,A81000B,00100,0300,RENT - LOCH MANOR 207392,A81000B,00200,0300,MGMT FEES - LOCH MAN 207392,A81000B,00300,0300,DEPR - BLDG 207392,A81000B,00400,0300,INTEREST - MTG 207392,A81000B,00500,0300,PROF FEES 207392,A81000B,00600,0300,FINANCE CHARGES 207392,A81000B,00700,0300,INTEREST WORK CAP 207392,A81000C,00100,0100,A 207392,A81000C,00100,0200,STOCK HOLDER 207392,A81000C,00100,0400,LOCH MANOR ASSO 207392,A81000C,00100,0600,GMT. & PROPERTY 207392,A81000C,00200,0100,A 207392,A81000C,00200,0200,JOHN BARTHOLOME 207392,A81000C,00200,0400,ABCOM SERVICES 207392,B100000,00000,0100,0100SQUARE FEET 207392,B100000,00000,0200,0200SQUARE FEET 207392,B100000,00000,0300,0300GROSS SALARIES 207392,B100000,00000,0400,0400ACCUM COST 207392,B100000,00000,0500,0500SQUARE FEET 207392,B100000,00000,0600,0600POUNDS OF LAUNDRY 207392,B100000,00000,0700,0700HOURS OF SERVICE 207392,B100000,00000,0800,0800MEALS SERVED 207392,B100000,00000,0900,0900DIRECT NRSG HRS 207392,B100000,00000,1000,1000COSTED REQUIS 207392,B100000,00000,1100,1100COSTED REQUIS 207392,B100000,00000,1200,1200TIME SPENT 207392,B100000,00000,1300,1300TIME SPENT 207392,B100000,00000,1400,1400ASSIGNED TIME 207392,E10A180,00301,0100,05/09/00 207392,E10A180,00350,0100,01/18/00 207392,E10A180,00550,0100,04/27/01 207392,S000000,00100,0200,05/26/00 207392,S200000,00100,0100,1290 LAKE AVE 207392,S200000,00200,0100,ROCHESTER 207392,S200000,00200,0200,NY 207392,S200000,00200,0300,14613 207392,S200000,00300,0100,MONROE 207392,S200000,00300,0200,6840 207392,S200000,00300,0300,U 207392,S200000,00400,0100,BRAE LOCH MANOR 207392,S200000,00400,0200,335532 207392,S200000,00400,0300,08/01/76 207392,S200000,00400,0500,P 207392,S200000,01500,0100,Y 207392,S200000,01600,0100,N 207392,S200000,01700,0100,N 207392,S200000,01800,0100,N 207392,S200000,01900,0100,PROPRIETARY PARTNERSHIP 207392,S200000,02200,0100,N 207392,S200000,02800,0100,N 207392,S200000,02900,0100,N 207392,S200000,03000,0100,N 207392,S200000,03100,0100,N 207392,S200000,03200,0100,N 207392,S200000,03300,0100,N 207392,S200000,03300,0200,N 207392,S200000,04100,0100,N 207392,S200000,04200,0100,N 207392,S200000,04300,0100,N 207392,S200000,04600,0100,N 207392,S200000,04700,0100,N 207392,S200000,04900,0100,N 207392,S200000,05200,0100,N 207393,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207393,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207393,A000000,00300,0000,0300EMPLOYEE BENEFITS 207393,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207393,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207393,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207393,A000000,00700,0000,0700HOUSEKEEPING 207393,A000000,00800,0000,0800DIETARY 207393,A000000,00900,0000,0900NURSING ADMINISTRATION 207393,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207393,A000000,01100,0000,1100PHARMACY 207393,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207393,A000000,01300,0000,1300SOCIAL SERVICE 207393,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207393,A000000,01500,0000,1350ACTIVITIES 207393,A000000,01600,0000,1600SKILLED NURSING FACILITY 207393,A000000,01810,0000,1810ICF/MR 207393,A000000,02100,0000,2100RADIOLOGY 207393,A000000,02200,0000,2200LABORATORY 207393,A000000,02500,0000,2500PHYSICAL THERAPY 207393,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207393,A000000,02700,0000,2700SPEECH PATHOLOGY 207393,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207393,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207393,A000000,03550,0000,3550FQHC 207393,A000000,05000,0000,5000CORF 207393,A000000,05010,0000,5010CMHC 207393,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207393,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207393,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207393,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207393,A000000,06300,0000,6150DENTAL 207393,A81000A,00100,0100,Y 207393,A81000B,00100,0300,WORKERS COMPENSATION 207393,A81000B,00200,0300,BENEFITS ADVISOR 207393,A81000B,00300,0300,COMPUTER SERVICES 207393,A81000C,00100,0100,G 207393,A81000C,00100,0200,DELAWARE COUNTY 207393,A81000C,00200,0100,G 207393,A81000C,00200,0200,DELAWARE COUNTY 207393,A81000C,00300,0100,G 207393,A81000C,00300,0200,DELAWARE COUNTY 207393,B100000,00000,0100,0100SQUARE FEET 207393,B100000,00000,0200,0200SQUARE FEET 207393,B100000,00000,0300,0300GROSS SALARIES 207393,B100000,00000,0400,0400ACCUM COST 207393,B100000,00000,0500,0500SQUARE FEET 207393,B100000,00000,0600,0600POUNDS OF LAUNDRY 207393,B100000,00000,0700,0700HOURS OF SERVICE 207393,B100000,00000,0800,0800MEALS SERVED 207393,B100000,00000,0900,0900DIRECT NRSG HRS 207393,B100000,00000,1000,1000COSTED REQUIS 207393,B100000,00000,1100,1100COSTED REQUIS 207393,B100000,00000,1200,1200TIME SPENT 207393,B100000,00000,1300,1300TIME SPENT 207393,B100000,00000,1400,1400ASSIGNED TIME 207393,B100000,00000,1500,1350NUMBER OF PARTICIPAN 207393,E10A180,00301,0100,04/07/00 207393,E10A180,00302,0100,04/17/00 207393,E10A180,00501,0100,04/27/01 207393,E10A180,00501,0300,04/27/01 207393,S000000,00100,0200,06/01/00 207393,S200000,00100,0100,RD #1 BOX 417 207393,S200000,00200,0100,DELHI 207393,S200000,00200,0200,NY 207393,S200000,00200,0300,13753 207393,S200000,00300,0100,DELAWARE 207393,S200000,00300,0200,0033 207393,S200000,00300,0300,R 207393,S200000,00400,0100,DELAWARE CTY COUNTRYSIDE CARE CTR. 207393,S200000,00400,0200,335544 207393,S200000,00400,0300,10/01/76 207393,S200000,00400,0500,P 207393,S200000,01500,0100,Y 207393,S200000,01600,0100,N 207393,S200000,01700,0100,N 207393,S200000,01800,0100,N 207393,S200000,02200,0100,N 207393,S200000,02800,0100,Y 207393,S200000,02900,0100,N 207393,S200000,03000,0100,N 207393,S200000,03100,0100,N 207393,S200000,03200,0100,N 207393,S200000,03300,0100,N 207393,S200000,03300,0200,N 207393,S200000,04100,0100,N 207393,S200000,04200,0100,N 207393,S200000,04300,0100,N 207393,S200000,04600,0100,Y 207393,S200000,04700,0100,N 207393,S200000,04900,0100,N 207393,S200000,05200,0100,N 207394,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207394,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207394,A000000,00300,0000,0300EMPLOYEE BENEFITS 207394,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207394,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207394,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207394,A000000,00700,0000,0700HOUSEKEEPING 207394,A000000,00800,0000,0800DIETARY 207394,A000000,00900,0000,0900NURSING ADMINISTRATION 207394,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207394,A000000,01100,0000,1100PHARMACY 207394,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207394,A000000,01300,0000,1300SOCIAL SERVICE 207394,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207394,A000000,01600,0000,1600SKILLED NURSING FACILITY 207394,A000000,01810,0000,1810ICF/MR 207394,A000000,02100,0000,2100RADIOLOGY 207394,A000000,02200,0000,2200LABORATORY 207394,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 207394,A000000,02500,0000,2500PHYSICAL THERAPY 207394,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207394,A000000,02700,0000,2700SPEECH PATHOLOGY 207394,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207394,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207394,A000000,03550,0000,3550FQHC 207394,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 207394,A000000,05000,0000,5000CORF 207394,A000000,05010,0000,5010CMHC 207394,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207394,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207394,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207394,A000000,05300,0000,5300INTEREST EXPENSE 207394,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207394,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 207394,A81000A,00100,0100,Y 207394,A81000B,00100,0300,MLS OUTSIDE LAUNDRY 207394,A81000C,00100,0100,A 207394,A81000C,00100,0200,CHARLES GLESSIN 207394,A81000C,00100,0400,MEDICAL LINEN S 207394,A81000C,00100,0600,LAUNDRY SERVICE 207394,A81000C,00200,0100,A 207394,A81000C,00200,0200,JEROME BRITTON 207394,A81000C,00200,0400,SUNSET NURSING 207394,A81000C,00200,0600,SNF - RELATED P 207394,B100000,00000,0100,0100SQUARE FEET 207394,B100000,00000,0200,0200SQUARE FEET 207394,B100000,00000,0300,0300GROSS SALARIES 207394,B100000,00000,0400,0400ACCUM COST 207394,B100000,00000,0500,0500SQUARE FEET 207394,B100000,00000,0600,0600POUNDS OF LAUNDRY 207394,B100000,00000,0700,0700HOURS OF SERVICE 207394,B100000,00000,0800,0800MEALS SERVED 207394,B100000,00000,0900,0900DIRECT NRSG HRS 207394,B100000,00000,1000,1000COSTED REQUIS 207394,B100000,00000,1100,1100COSTED REQUIS 207394,B100000,00000,1200,1200TIME SPENT 207394,B100000,00000,1300,1300TIME SPENT 207394,B100000,00000,1400,1400ASSIGNED TIME 207394,E10A180,00301,0100,05/10/00 207394,E10A180,00501,0300,03/02/01 207394,E10A180,00550,0100,03/02/01 207394,S000000,00100,0200,05/30/00 207394,S200000,00100,0100,7 TIMMERMAN AVENUE 207394,S200000,00200,0100,ST. JOHNSVILLE 207394,S200000,00200,0200,NY 207394,S200000,00200,0300,13452 207394,S200000,00300,0100,MONTGOMERY 207394,S200000,00300,0200,0160 207394,S200000,00300,0300,U 207394,S200000,00400,0100,ST. JOHNSVILLE NURSING HOME 207394,S200000,00400,0200,335704 207394,S200000,00400,0300,07/01/96 207394,S200000,00400,0500,P 207394,S200000,01500,0100,Y 207394,S200000,01600,0100,N 207394,S200000,01700,0100,N 207394,S200000,01800,0100,N 207394,S200000,02200,0100,N 207394,S200000,02800,0100,N 207394,S200000,02900,0100,N 207394,S200000,03000,0100,N 207394,S200000,03100,0100,N 207394,S200000,03200,0100,N 207394,S200000,03300,0100,N 207394,S200000,03300,0200,N 207394,S200000,04100,0100,N 207394,S200000,04200,0100,N 207394,S200000,04300,0100,N 207394,S200000,04600,0100,N 207394,S200000,04700,0100,N 207394,S200000,04900,0100,N 207394,S200000,05200,0100,N 207430,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207430,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207430,A000000,00300,0000,0300EMPLOYEE BENEFITS 207430,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207430,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207430,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207430,A000000,00700,0000,0700HOUSEKEEPING 207430,A000000,00800,0000,0800DIETARY 207430,A000000,00900,0000,0900NURSING ADMINISTRATION 207430,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207430,A000000,01100,0000,1100PHARMACY 207430,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207430,A000000,01300,0000,1300SOCIAL SERVICE 207430,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207430,A000000,01600,0000,1600SKILLED NURSING FACILITY 207430,A000000,01810,0000,1810ICF/MR 207430,A000000,02100,0000,2100RADIOLOGY 207430,A000000,02200,0000,2200LABORATORY 207430,A000000,02500,0000,2500PHYSICAL THERAPY 207430,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207430,A000000,02700,0000,2700SPEECH PATHOLOGY 207430,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207430,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207430,A000000,03550,0000,3550FQHC 207430,A000000,04800,0000,4800AMBULANCE 207430,A000000,05000,0000,5000CORF 207430,A000000,05010,0000,5010CMHC 207430,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207430,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207430,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207430,A000000,05300,0000,5300INTEREST EXPENSE 207430,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207430,A81000A,00100,0100,Y 207430,A81000B,00100,0300,ADMIN & ACCOUNTING 207430,A81000B,00200,0300,OTHER SERVICE INCOME 207430,A81000B,00300,0300,CAP REL COSTS- BLDG 207430,A81000B,00400,0300,CAP REL COSTS - MOVA 207430,A81000C,00100,0100,A 207430,A81000C,00100,0200,ROBERT H HURLBU 207430,A81000C,00100,0400,ROHM SERVICES 207430,A81000C,00100,0600,ADMIN SERVICES 207430,B100000,00000,0100,0100SQUARE FEET 207430,B100000,00000,0200,0200SQUARE FEET 207430,B100000,00000,0300,0300GROSS SALARIES 207430,B100000,00000,0400,0400ACCUM COST 207430,B100000,00000,0500,0500SQUARE FEET 207430,B100000,00000,0600,0600POUNDS OF LAUNDRY 207430,B100000,00000,0700,0700HOURS OF SERVICE 207430,B100000,00000,0800,0800MEALS SERVED 207430,B100000,00000,0900,0900DIRECT NRSG HRS 207430,B100000,00000,1000,1000COSTED REQUIS 207430,B100000,00000,1100,1100COSTED REQUIS 207430,B100000,00000,1200,1200TIME SPENT 207430,B100000,00000,1300,1300TIME SPENT 207430,B100000,00000,1400,1400ASSIGNED TIME 207430,E10A180,00301,0100,05/09/00 207430,E10A180,00351,0100,09/09/99 207430,E10A180,00550,0100,03/19/01 207430,S000000,00100,0200,05/30/00 207430,S200000,00100,0100,ROUTES 15 & 20 A 207430,S200000,00100,0300,BOX F 207430,S200000,00200,0100,LIVONIA 207430,S200000,00200,0200,NY 207430,S200000,00200,0300,14487 207430,S200000,00300,0100,LIVINGSTON 207430,S200000,00300,0200,6840 207430,S200000,00300,0300,U 207430,S200000,00400,0100,CONESUS LAKE NURSING HOME 207430,S200000,00400,0200,335069 207430,S200000,00400,0300,05/16/68 207430,S200000,00400,0500,P 207430,S200000,01500,0100,Y 207430,S200000,01600,0100,N 207430,S200000,01700,0100,N 207430,S200000,01800,0100,N 207430,S200000,02200,0100,N 207430,S200000,02800,0100,N 207430,S200000,02900,0100,N 207430,S200000,03000,0100,N 207430,S200000,03100,0100,N 207430,S200000,03200,0100,N 207430,S200000,03300,0100,N 207430,S200000,03300,0200,N 207430,S200000,04100,0100,N 207430,S200000,04200,0100,N 207430,S200000,04300,0100,N 207430,S200000,04600,0100,N 207430,S200000,04700,0100,N 207430,S200000,04900,0100,N 207430,S200000,05200,0100,N 207431,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207431,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207431,A000000,00300,0000,0300EMPLOYEE BENEFITS 207431,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207431,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207431,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207431,A000000,00700,0000,0700HOUSEKEEPING 207431,A000000,00800,0000,0800DIETARY 207431,A000000,00900,0000,0900NURSING ADMINISTRATION 207431,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207431,A000000,01100,0000,1100PHARMACY 207431,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207431,A000000,01300,0000,1300SOCIAL SERVICE 207431,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207431,A000000,01600,0000,1600SKILLED NURSING FACILITY 207431,A000000,01810,0000,1810ICF/MR 207431,A000000,02100,0000,2100RADIOLOGY 207431,A000000,02200,0000,2200LABORATORY 207431,A000000,02500,0000,2500PHYSICAL THERAPY 207431,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207431,A000000,02700,0000,2700SPEECH PATHOLOGY 207431,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207431,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207431,A000000,03550,0000,3550FQHC 207431,A000000,05000,0000,5000CORF 207431,A000000,05010,0000,5010CMHC 207431,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207431,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207431,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207431,A000000,05300,0000,5300INTEREST EXPENSE 207431,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207431,A81000A,00100,0100,Y 207431,A81000B,00100,0300,ADMIN & ACCOUNTING 207431,A81000B,00200,0300,CAP REL BLDG & FIX 207431,A81000B,00300,0300,CAP REL MOVABLE 207431,A81000B,00400,0300,OTHER SERVICE INCOME 207431,A81000C,00100,0100,A 207431,A81000C,00100,0200,ROBERT H HURLBU 207431,A81000C,00100,0400,ROHM SERVICES C 207431,A81000C,00100,0600,ADMIN SERVICES 207431,B100000,00000,0100,0100SQUARE FEET 207431,B100000,00000,0200,0200SQUARE FEET 207431,B100000,00000,0300,0300GROSS SALARIES 207431,B100000,00000,0400,0400ACCUM COST 207431,B100000,00000,0500,0500SQUARE FEET 207431,B100000,00000,0600,0600POUNDS OF LAUNDRY 207431,B100000,00000,0700,0700HOURS OF SERVICE 207431,B100000,00000,0800,0800MEALS SERVED 207431,B100000,00000,0900,0900DIRECT NRSG HRS 207431,B100000,00000,1000,1000COSTED REQUIS 207431,B100000,00000,1100,1100COSTED REQUIS 207431,B100000,00000,1200,1200TIME SPENT 207431,B100000,00000,1300,1300TIME SPENT 207431,B100000,00000,1400,1400ASSIGNED TIME 207431,E10A180,00301,0100,09/20/99 207431,E10A180,00302,0100,05/09/00 207431,E10A180,00550,0100,03/16/01 207431,E10A180,00550,0300,03/16/01 207431,S000000,00100,0200,05/30/00 207431,S200000,00100,0100,425 BEACH AVENUE 207431,S200000,00200,0100,ROCHESTER 207431,S200000,00200,0200,NY 207431,S200000,00200,0300,14612 207431,S200000,00300,0100,MONROE 207431,S200000,00300,0200,6840 207431,S200000,00300,0300,U 207431,S200000,00400,0100,LAKESHORE NURSING HOME 207431,S200000,00400,0200,335082 207431,S200000,00400,0300,06/01/72 207431,S200000,00400,0500,P 207431,S200000,01500,0100,Y 207431,S200000,01600,0100,N 207431,S200000,01700,0100,N 207431,S200000,01800,0100,N 207431,S200000,02200,0100,N 207431,S200000,02800,0100,N 207431,S200000,02900,0100,N 207431,S200000,03000,0100,N 207431,S200000,03100,0100,N 207431,S200000,03200,0100,N 207431,S200000,03300,0100,N 207431,S200000,03300,0200,N 207431,S200000,04100,0100,N 207431,S200000,04200,0100,N 207431,S200000,04300,0100,N 207431,S200000,04600,0100,N 207431,S200000,04700,0100,N 207431,S200000,04900,0100,N 207431,S200000,05200,0100,N 207433,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207433,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207433,A000000,00300,0000,0300EMPLOYEE BENEFITS 207433,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207433,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207433,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207433,A000000,00700,0000,0700HOUSEKEEPING 207433,A000000,00800,0000,0800DIETARY 207433,A000000,00900,0000,0900NURSING ADMINISTRATION 207433,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207433,A000000,01100,0000,1100PHARMACY 207433,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207433,A000000,01300,0000,1300SOCIAL SERVICE 207433,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207433,A000000,01600,0000,1600SKILLED NURSING FACILITY 207433,A000000,01810,0000,1810ICF/MR 207433,A000000,02100,0000,2100RADIOLOGY 207433,A000000,02200,0000,2200LABORATORY 207433,A000000,02500,0000,2500PHYSICAL THERAPY 207433,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207433,A000000,02700,0000,2700SPEECH PATHOLOGY 207433,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207433,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207433,A000000,03550,0000,3550FQHC 207433,A000000,05000,0000,5000CORF 207433,A000000,05010,0000,5010CMHC 207433,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207433,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207433,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207433,A000000,05300,0000,5300INTEREST EXPENSE 207433,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207433,A81000A,00100,0100,Y 207433,A81000B,00100,0300,ADMIN & ACCOUNTING 207433,A81000B,00200,0300,OTHER SERVICE INCOME 207433,A81000B,00300,0300,CAP & REL BLDG & FIX 207433,A81000B,00400,0300,CAP & REL MOVABLE 207433,A81000B,00500,0300,ADMIN & GENERAL 207433,A81000B,00600,0300,RENT 207433,A81000C,00100,0100,A 207433,A81000C,00100,0200,ROBERT H HURLBU 207433,A81000C,00100,0400,ROHM SERVICES C 207433,A81000C,00100,0600,ADMIN SERVICES 207433,A81000C,00200,0100,A 207433,A81000C,00200,0200,ROBERT H HURLBU 207433,A81000C,00200,0400,AVON PROPERTIES 207433,A81000C,00200,0600,REAL ESTATE MGM 207433,B100000,00000,0100,0100SQUARE FEET 207433,B100000,00000,0200,0200SQUARE FEET 207433,B100000,00000,0300,0300GROSS SALARIES 207433,B100000,00000,0400,0400ACCUM COST 207433,B100000,00000,0500,0500SQUARE FEET 207433,B100000,00000,0600,0600POUNDS OF LAUNDRY 207433,B100000,00000,0700,0700HOURS OF SERVICE 207433,B100000,00000,0800,0800MEALS SERVED 207433,B100000,00000,0900,0900DIRECT NRSG HRS 207433,B100000,00000,1000,1000COSTED REQUIS 207433,B100000,00000,1100,1100COSTED REQUIS 207433,B100000,00000,1200,1200TIME SPENT 207433,B100000,00000,1300,1300TIME SPENT 207433,B100000,00000,1400,1400ASSIGNED TIME 207433,E10A180,00301,0100,05/10/00 207433,E10A180,00350,0100,09/02/99 207433,E10A180,00550,0100,02/28/01 207433,E10A180,00550,0300,02/28/01 207433,S000000,00100,0200,05/30/00 207433,S200000,00100,0100,CLINTON STREET EXTENSION 207433,S200000,00200,0100,AVON 207433,S200000,00200,0200,NY 207433,S200000,00200,0300,14414 207433,S200000,00300,0100,LIVINGSTON 207433,S200000,00300,0200,6840 207433,S200000,00300,0300,U 207433,S200000,00400,0100,AVON NURSING HOME 207433,S200000,00400,0200,335216 207433,S200000,00400,0300,01/01/67 207433,S200000,00400,0500,P 207433,S200000,01500,0100,Y 207433,S200000,01600,0100,N 207433,S200000,01700,0100,N 207433,S200000,01800,0100,N 207433,S200000,02200,0100,N 207433,S200000,02800,0100,Y 207433,S200000,02900,0100,N 207433,S200000,03000,0100,N 207433,S200000,03100,0100,N 207433,S200000,03200,0100,N 207433,S200000,03300,0100,N 207433,S200000,03300,0200,N 207433,S200000,04100,0100,N 207433,S200000,04200,0100,N 207433,S200000,04300,0100,N 207433,S200000,04600,0100,N 207433,S200000,04700,0100,N 207433,S200000,04900,0100,N 207433,S200000,05200,0100,N 207434,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207434,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207434,A000000,00300,0000,0300EMPLOYEE BENEFITS 207434,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207434,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207434,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207434,A000000,00700,0000,0700HOUSEKEEPING 207434,A000000,00800,0000,0800DIETARY 207434,A000000,00900,0000,0900NURSING ADMINISTRATION 207434,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207434,A000000,01100,0000,1100PHARMACY 207434,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207434,A000000,01300,0000,1300SOCIAL SERVICE 207434,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207434,A000000,01600,0000,1600SKILLED NURSING FACILITY 207434,A000000,01810,0000,1810ICF/MR 207434,A000000,02100,0000,2100RADIOLOGY 207434,A000000,02200,0000,2200LABORATORY 207434,A000000,02500,0000,2500PHYSICAL THERAPY 207434,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207434,A000000,02700,0000,2700SPEECH PATHOLOGY 207434,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207434,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207434,A000000,03550,0000,3550FQHC 207434,A000000,05000,0000,5000CORF 207434,A000000,05010,0000,5010CMHC 207434,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207434,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207434,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207434,A000000,05300,0000,5300INTEREST EXPENSE 207434,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 207434,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207434,A81000A,00100,0100,Y 207434,A81000B,00100,0300,ADMIN & ACCTG 207434,A81000B,00200,0300,OTHER INCOME 207434,A81000B,00300,0300,RENT 207434,A81000B,00400,0300,CAP REL-BLDG & FIX 207434,A81000B,00500,0300,CAP REL-MOVABLE 207434,A81000B,00600,0300,ADMIN & ACCTG 207434,A81000C,00100,0100,A 207434,A81000C,00100,0200,ROBERT H HURLBU 207434,A81000C,00100,0400,ROHM SERVICE CO 207434,A81000C,00100,0600,ADMIN SERVICES 207434,A81000C,00200,0100,A 207434,A81000C,00200,0200,ROBERT W HURLBU 207434,A81000C,00200,0400,NEWARK PROPERTI 207434,A81000C,00200,0600,REAL ESTATE MGM 207434,A81000C,00300,0100,A 207434,A81000C,00300,0200,CHRISTINE BEAN 207434,A81000C,00300,0400,NEWARK PROPERTI 207434,A81000C,00300,0600,REAL ESTATE MGM 207434,B100000,00000,0100,0100SQUARE FEET 207434,B100000,00000,0200,0200SQUARE FEET 207434,B100000,00000,0300,0300GROSS SALARIES 207434,B100000,00000,0400,0400ACCUM COST 207434,B100000,00000,0500,0500SQUARE FEET 207434,B100000,00000,0600,0600POUNDS OF LAUNDRY 207434,B100000,00000,0700,0700HOURS OF SERVICE 207434,B100000,00000,0800,0800MEALS SERVED 207434,B100000,00000,0900,0900DIRECT NRSG HRS 207434,B100000,00000,1000,1000COSTED REQUIS 207434,B100000,00000,1100,1100COSTED REQUIS 207434,B100000,00000,1200,1200TIME SPENT 207434,B100000,00000,1300,1300TIME SPENT 207434,B100000,00000,1400,1400ASSIGNED TIME 207434,E10A180,00301,0100,05/10/00 207434,E10A180,00350,0100,09/03/99 207434,E10A180,00550,0100,03/02/01 207434,S000000,00100,0200,05/30/00 207434,S200000,00100,0100,222 WEST PEARL STREET 207434,S200000,00200,0100,NEWARK 207434,S200000,00200,0200,NY 207434,S200000,00200,0300,14513 207434,S200000,00300,0100,WAYNE 207434,S200000,00300,0200,6840 207434,S200000,00300,0300,U 207434,S200000,00400,0100,NEWARK MANOR NURSING HOME 207434,S200000,00400,0200,335219 207434,S200000,00400,0300,07/01/98 207434,S200000,00400,0500,P 207434,S200000,01500,0100,Y 207434,S200000,01600,0100,N 207434,S200000,01700,0100,N 207434,S200000,01800,0100,N 207434,S200000,02200,0100,N 207434,S200000,02800,0100,N 207434,S200000,02900,0100,N 207434,S200000,03000,0100,N 207434,S200000,03100,0100,N 207434,S200000,03200,0100,N 207434,S200000,03300,0100,N 207434,S200000,03300,0200,N 207434,S200000,04100,0100,N 207434,S200000,04200,0100,N 207434,S200000,04300,0100,N 207434,S200000,04600,0100,N 207434,S200000,04700,0100,N 207434,S200000,04900,0100,N 207434,S200000,05200,0100,N 207435,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207435,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207435,A000000,00300,0000,0300EMPLOYEE BENEFITS 207435,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207435,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207435,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207435,A000000,00700,0000,0700HOUSEKEEPING 207435,A000000,00800,0000,0800DIETARY 207435,A000000,00900,0000,0900NURSING ADMINISTRATION 207435,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207435,A000000,01100,0000,1100PHARMACY 207435,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207435,A000000,01300,0000,1300SOCIAL SERVICE 207435,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207435,A000000,01600,0000,1600SKILLED NURSING FACILITY 207435,A000000,01810,0000,1810ICF/MR 207435,A000000,02100,0000,2100RADIOLOGY 207435,A000000,02200,0000,2200LABORATORY 207435,A000000,02500,0000,2500PHYSICAL THERAPY 207435,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207435,A000000,02700,0000,2700SPEECH PATHOLOGY 207435,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207435,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207435,A000000,03550,0000,3550FQHC 207435,A000000,04800,0000,4800AMBULANCE 207435,A000000,05000,0000,5000CORF 207435,A000000,05010,0000,5010CMHC 207435,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207435,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207435,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207435,A000000,05300,0000,5300INTEREST EXPENSE 207435,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207435,A81000A,00100,0100,Y 207435,A81000B,00100,0300,ADMIN SERVICES 207435,A81000B,00200,0300,OTHER INCOME 207435,A81000B,00300,0300,CAP REL - BLDG & FIX 207435,A81000B,00400,0300,CAP REL - MOVEABLE 207435,A81000B,00500,0300,RENT 207435,A81000B,00600,0300,OFFICE & PROFESS 207435,A81000B,00700,0300,CAP REL - BLDG & FIX 207435,A81000C,00100,0100,A 207435,A81000C,00100,0200,ROBERT W HURLBU 207435,A81000C,00100,0400,H & B LAND COMP 207435,A81000C,00100,0600,REAL ESTATE MGM 207435,A81000C,00200,0100,A 207435,A81000C,00200,0200,JAY BIRNBAUM 207435,A81000C,00200,0400,H & B LAND COMP 207435,A81000C,00200,0600,REAL ESTATE MGM 207435,A81000C,00300,0100,D 207435,A81000C,00300,0200,ROBERT H HURLBU 207435,A81000C,00300,0400,ROHM SERVICES 207435,A81000C,00300,0600,ADMIN SERVICES 207435,A81000C,00400,0100,F 207435,A81000C,00400,0200,ROBERT W HURLBU 207435,A81000C,00400,0400,ROHM SERVICES 207435,A81000C,00400,0600,ADMIN SERVICES 207435,B100000,00000,0100,0100SQUARE FEET 207435,B100000,00000,0200,0200SQUARE FEET 207435,B100000,00000,0300,0300GROSS SALARIES 207435,B100000,00000,0400,0400ACCUM COST 207435,B100000,00000,0500,0500SQUARE FEET 207435,B100000,00000,0600,0600POUNDS OF LAUNDRY 207435,B100000,00000,0700,0700HOURS OF SERVICE 207435,B100000,00000,0800,0800MEALS SERVED 207435,B100000,00000,0900,0900DIRECT NRSG HRS 207435,B100000,00000,1000,1000COSTED REQUIS 207435,B100000,00000,1100,1100COSTED REQUIS 207435,B100000,00000,1200,1200TIME SPENT 207435,B100000,00000,1300,1300TIME SPENT 207435,B100000,00000,1400,1400ASSIGNED TIME 207435,E10A180,00301,0100,09/03/99 207435,E10A180,00302,0100,05/10/00 207435,E10A180,00550,0100,05/31/01 207435,E10A180,00550,0300,05/31/01 207435,S000000,00100,0200,05/30/00 207435,S200000,00100,0100,210 NORTH MAIN STREET 207435,S200000,00200,0100,CANANDAIGUA 207435,S200000,00200,0200,NY 207435,S200000,00200,0300,14424 207435,S200000,00300,0100,ONTARIO 207435,S200000,00300,0200,6840 207435,S200000,00300,0300,U 207435,S200000,00400,0100,ELM MANOR NURSING HOME 207435,S200000,00400,0200,335255 207435,S200000,00400,0300,01/01/77 207435,S200000,00400,0500,P 207435,S200000,01500,0100,Y 207435,S200000,01600,0100,N 207435,S200000,01700,0100,N 207435,S200000,01800,0100,N 207435,S200000,02200,0100,N 207435,S200000,02800,0100,N 207435,S200000,02900,0100,N 207435,S200000,03000,0100,N 207435,S200000,03100,0100,N 207435,S200000,03200,0100,N 207435,S200000,03300,0100,N 207435,S200000,03300,0200,N 207435,S200000,04100,0100,N 207435,S200000,04200,0100,N 207435,S200000,04300,0100,N 207435,S200000,04600,0100,N 207435,S200000,04700,0100,N 207435,S200000,04900,0100,N 207435,S200000,05200,0100,N 207436,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207436,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207436,A000000,00300,0000,0300EMPLOYEE BENEFITS 207436,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207436,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207436,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207436,A000000,00700,0000,0700HOUSEKEEPING 207436,A000000,00800,0000,0800DIETARY 207436,A000000,00900,0000,0900NURSING ADMINISTRATION 207436,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207436,A000000,01100,0000,1100PHARMACY 207436,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207436,A000000,01300,0000,1300SOCIAL SERVICE 207436,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207436,A000000,01600,0000,1600SKILLED NURSING FACILITY 207436,A000000,01810,0000,1810ICF/MR 207436,A000000,02200,0000,2200LABORATORY 207436,A000000,02500,0000,2500PHYSICAL THERAPY 207436,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207436,A000000,02700,0000,2700SPEECH PATHOLOGY 207436,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207436,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207436,A000000,03550,0000,3550FQHC 207436,A000000,04800,0000,4800AMBULANCE 207436,A000000,04801,0000,4801AMBULANCE 207436,A000000,04802,0000,4802AMBULANCE 207436,A000000,04803,0000,4803AMBULANCE 207436,A000000,05000,0000,5000CORF 207436,A000000,05010,0000,5010CMHC 207436,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207436,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207436,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207436,A000000,05300,0000,5300INTEREST EXPENSE 207436,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207436,A81000A,00100,0100,Y 207436,A81000B,00100,0300,RENT 207436,A81000B,00200,0300,ADMIN & ACCOUNTING 207436,A81000B,00300,0300,OTHER SERVICE INCOME 207436,A81000B,00400,0300,CAP REL BLDG & FIXED 207436,A81000B,00500,0300,CAP REL MOVABLE 207436,A81000B,00600,0300,AMORTIZATION 207436,A81000B,00700,0300,DEPR - BLDG & FIXED 207436,A81000B,00800,0300,INTEREST MTG 207436,A81000B,00900,0300,ADMIN & GENERAL 207436,A81000C,00100,0100,A 207436,A81000C,00100,0200,ROBERT H HURLBU 207436,A81000C,00100,0400,ROHM SERVICES 207436,A81000C,00100,0600,ADMIN SERVICES 207436,A81000C,00200,0100,A 207436,A81000C,00200,0200,ROBERT H HULBUT 207436,A81000C,00200,0400,RHH PROPERTIES 207436,A81000C,00200,0600,REAL ESTATE 207436,B100000,00000,0100,0100SQUARE FEET 207436,B100000,00000,0200,0200SQUARE FEET 207436,B100000,00000,0300,0300GROSS SALARIES 207436,B100000,00000,0400,0400ACCUM COST 207436,B100000,00000,0500,0500SQUARE FEET 207436,B100000,00000,0600,0600POUNDS OF LAUNDRY 207436,B100000,00000,0700,0700HOURS OF SERVICE 207436,B100000,00000,0800,0800MEALS SERVED 207436,B100000,00000,0900,0900DIRECT NRSG HRS 207436,B100000,00000,1000,1000COSTED REQUIS 207436,B100000,00000,1100,1100COSTED REQUIS 207436,B100000,00000,1200,1200TIME SPENT 207436,B100000,00000,1300,1300TIME SPENT 207436,B100000,00000,1400,1400ASSIGNED TIME 207436,E10A180,00301,0100,09/07/99 207436,E10A180,00302,0100,05/10/00 207436,E10A180,00550,0100,05/11/01 207436,E10A180,00550,0300,05/11/01 207436,S000000,00100,0200,05/30/00 207436,S200000,00100,0100,434 MONROE AVENUE 207436,S200000,00200,0100,HORNELL 207436,S200000,00200,0200,NY 207436,S200000,00200,0300,14843 207436,S200000,00300,0100,STEUBEN 207436,S200000,00300,0200,0033 207436,S200000,00300,0300,R 207436,S200000,00400,0100,HORNELL GARDENS 207436,S200000,00400,0200,335322 207436,S200000,00400,0300,03/18/71 207436,S200000,00400,0500,P 207436,S200000,01500,0100,Y 207436,S200000,01600,0100,N 207436,S200000,01700,0100,N 207436,S200000,01800,0100,N 207436,S200000,02200,0100,N 207436,S200000,02800,0100,N 207436,S200000,02900,0100,N 207436,S200000,03000,0100,N 207436,S200000,03100,0100,N 207436,S200000,03200,0100,N 207436,S200000,03300,0100,N 207436,S200000,03300,0200,N 207436,S200000,04100,0100,N 207436,S200000,04200,0100,N 207436,S200000,04300,0100,N 207436,S200000,04600,0100,N 207436,S200000,04700,0100,N 207436,S200000,04900,0100,N 207436,S200000,05200,0100,N 207437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207437,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207437,A000000,00300,0000,0300EMPLOYEE BENEFITS 207437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207437,A000000,00700,0000,0700HOUSEKEEPING 207437,A000000,00800,0000,0800DIETARY 207437,A000000,00900,0000,0900NURSING ADMINISTRATION 207437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207437,A000000,01100,0000,1100PHARMACY 207437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207437,A000000,01300,0000,1300SOCIAL SERVICE 207437,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207437,A000000,01600,0000,1600SKILLED NURSING FACILITY 207437,A000000,01810,0000,1810ICF/MR 207437,A000000,02100,0000,2100RADIOLOGY 207437,A000000,02200,0000,2200LABORATORY 207437,A000000,02500,0000,2500PHYSICAL THERAPY 207437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207437,A000000,02700,0000,2700SPEECH PATHOLOGY 207437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207437,A000000,03550,0000,3550FQHC 207437,A000000,04800,0000,4800AMBULANCE 207437,A000000,05000,0000,5000CORF 207437,A000000,05010,0000,5010CMHC 207437,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207437,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207437,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207437,A000000,05300,0000,5300INTEREST EXPENSE 207437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207437,A81000A,00100,0100,Y 207437,A81000B,00100,0300,ADMIN & ACCOUNTING 207437,A81000B,00200,0300,OTHER SERVICE INCOME 207437,A81000B,00300,0300,CAP REL - FIXED 207437,A81000B,00400,0300,CAP REL - MOVABLE 207437,A81000C,00100,0100,A 207437,A81000C,00100,0200,ROBERT H HURLBU 207437,A81000C,00100,0400,ROHM SERVICES 207437,A81000C,00100,0600,ADMIN SERVICES 207437,B100000,00000,0100,0100SQUARE FEET 207437,B100000,00000,0200,0200SQUARE FEET 207437,B100000,00000,0300,0300GROSS SALARIES 207437,B100000,00000,0400,0400ACCUM COST 207437,B100000,00000,0500,0500SQUARE FEET 207437,B100000,00000,0600,0600POUNDS OF LAUNDRY 207437,B100000,00000,0700,0700HOURS OF SERVICE 207437,B100000,00000,0800,0800MEALS SERVED 207437,B100000,00000,0900,0900DIRECT NRSG HRS 207437,B100000,00000,1000,1000COSTED REQUIS 207437,B100000,00000,1100,1100COSTED REQUIS 207437,B100000,00000,1200,1200TIME SPENT 207437,B100000,00000,1300,1300TIME SPENT 207437,B100000,00000,1400,1400ASSIGNED TIME 207437,E10A180,00301,0100,05/10/00 207437,E10A180,00350,0100,09/13/99 207437,E10A180,00550,0100,05/07/01 207437,E10A180,00550,0300,05/07/01 207437,S000000,00100,0200,05/30/00 207437,S200000,00100,0100,1177 EAST HENTRIETTA ROAD 207437,S200000,00200,0100,ROCHESTER 207437,S200000,00200,0200,NY 207437,S200000,00200,0300,14623 207437,S200000,00300,0100,MONROE 207437,S200000,00300,0300,U 207437,S200000,00400,0100,THE HURLBUT 207437,S200000,00400,0200,335341 207437,S200000,00400,0300,02/14/72 207437,S200000,00400,0500,P 207437,S200000,01500,0100,Y 207437,S200000,01600,0100,N 207437,S200000,01700,0100,N 207437,S200000,01800,0100,N 207437,S200000,02200,0100,N 207437,S200000,02800,0100,N 207437,S200000,02900,0100,N 207437,S200000,03000,0100,N 207437,S200000,03100,0100,N 207437,S200000,03200,0100,N 207437,S200000,03300,0100,N 207437,S200000,03300,0200,N 207437,S200000,04100,0100,N 207437,S200000,04200,0100,N 207437,S200000,04300,0100,N 207437,S200000,04600,0100,N 207437,S200000,04700,0100,N 207437,S200000,04900,0100,N 207437,S200000,05200,0100,N 207438,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207438,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207438,A000000,00300,0000,0300EMPLOYEE BENEFITS 207438,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207438,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207438,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207438,A000000,00700,0000,0700HOUSEKEEPING 207438,A000000,00800,0000,0800DIETARY 207438,A000000,00900,0000,0900NURSING ADMINISTRATION 207438,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207438,A000000,01100,0000,1100PHARMACY 207438,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207438,A000000,01300,0000,1300SOCIAL SERVICE 207438,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207438,A000000,01600,0000,1600SKILLED NURSING FACILITY 207438,A000000,01810,0000,1810ICF/MR 207438,A000000,02100,0000,2100RADIOLOGY 207438,A000000,02200,0000,2200LABORATORY 207438,A000000,02500,0000,2500PHYSICAL THERAPY 207438,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207438,A000000,02700,0000,2700SPEECH PATHOLOGY 207438,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207438,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207438,A000000,03550,0000,3550FQHC 207438,A000000,05000,0000,5000CORF 207438,A000000,05010,0000,5010CMHC 207438,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207438,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207438,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207438,A000000,05300,0000,5300INTEREST EXPENSE 207438,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207438,A81000A,00100,0100,Y 207438,A81000B,00100,0300,ADMIN & ACCOUNTING 207438,A81000B,00200,0300,OTHER SERVICE INCOME 207438,A81000B,00300,0300,CAP REL BLDG & FIXED 207438,A81000B,00400,0300,CAP & REL MOVABLE 207438,A81000B,00500,0300,RENT 207438,A81000C,00100,0100,A 207438,A81000C,00100,0200,ROBERT H HURLBU 207438,A81000C,00100,0400,ROHM SERVICES 207438,A81000C,00100,0600,ADMIN SERVICES 207438,A81000C,00200,0100,A 207438,A81000C,00200,0200,ROBERT H HURLBU 207438,A81000C,00200,0400,HURLBUT REAL ES 207438,A81000C,00200,0600,REAL ESTATE COR 207438,B100000,00000,0100,0100SQUARE FEET 207438,B100000,00000,0200,0200SQUARE FEET 207438,B100000,00000,0300,0300GROSS SALARIES 207438,B100000,00000,0400,0400ACCUM COST 207438,B100000,00000,0500,0500SQUARE FEET 207438,B100000,00000,0600,0600POUNDS OF LAUNDRY 207438,B100000,00000,0700,0700HOURS OF SERVICE 207438,B100000,00000,0800,0800MEALS SERVED 207438,B100000,00000,0900,0900DIRECT NRSG HRS 207438,B100000,00000,1000,1000COSTED REQUIS 207438,B100000,00000,1100,1100COSTED REQUIS 207438,B100000,00000,1200,1200TIME SPENT 207438,B100000,00000,1300,1300TIME SPENT 207438,B100000,00000,1400,1400ASSIGNED TIME 207438,E10A180,00301,0100,05/10/00 207438,E10A180,00350,0100,09/13/99 207438,E10A180,00550,0100,04/30/01 207438,E10A180,00550,0300,04/30/01 207438,S000000,00100,0200,05/30/00 207438,S200000,00100,0100,2425 S. CLINTON AVE. 207438,S200000,00200,0100,ROCHESTER 207438,S200000,00200,0200,NY 207438,S200000,00200,0300,14618 207438,S200000,00300,0100,MONROE 207438,S200000,00300,0200,6840 207438,S200000,00300,0300,U 207438,S200000,00400,0100,WOODSIDE MANOR NURSING HOME 207438,S200000,00400,0200,335366 207438,S200000,00400,0300,11/01/76 207438,S200000,00400,0500,P 207438,S200000,01500,0100,Y 207438,S200000,01600,0100,N 207438,S200000,01700,0100,N 207438,S200000,01800,0100,N 207438,S200000,02200,0100,N 207438,S200000,02800,0100,N 207438,S200000,02900,0100,N 207438,S200000,03000,0100,N 207438,S200000,03100,0100,N 207438,S200000,03200,0100,N 207438,S200000,03300,0100,N 207438,S200000,03300,0200,N 207438,S200000,04100,0100,N 207438,S200000,04200,0100,N 207438,S200000,04300,0100,N 207438,S200000,04600,0100,N 207438,S200000,04700,0100,N 207438,S200000,04900,0100,N 207438,S200000,05200,0100,N 207439,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207439,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207439,A000000,00300,0000,0300EMPLOYEE BENEFITS 207439,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207439,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207439,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207439,A000000,00700,0000,0700HOUSEKEEPING 207439,A000000,00800,0000,0800DIETARY 207439,A000000,00900,0000,0900NURSING ADMINISTRATION 207439,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207439,A000000,01100,0000,1100PHARMACY 207439,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207439,A000000,01300,0000,1300SOCIAL SERVICE 207439,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207439,A000000,01600,0000,1600SKILLED NURSING FACILITY 207439,A000000,01810,0000,1810ICF/MR 207439,A000000,02100,0000,2100RADIOLOGY 207439,A000000,02200,0000,2200LABORATORY 207439,A000000,02500,0000,2500PHYSICAL THERAPY 207439,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207439,A000000,02700,0000,2700SPEECH PATHOLOGY 207439,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207439,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207439,A000000,03550,0000,3550FQHC 207439,A000000,05000,0000,5000CORF 207439,A000000,05010,0000,5010CMHC 207439,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207439,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207439,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207439,A000000,05300,0000,5300INTEREST EXPENSE 207439,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207439,A81000A,00100,0100,Y 207439,A81000B,00100,0300,RENT 207439,A81000B,00200,0300,MGMT FEES 207439,A81000B,00300,0300,AMORTIZATION 207439,A81000B,00500,0300,DEPRECIATION - BLDG 207439,A81000B,00600,0300,DEPRECIATION - MOVE 207439,A81000B,00700,0300,INTEREST MORTGAGE 207439,A81000B,00800,0300,PROFESSIONAL FEES 207439,A81000B,00900,0300,OFFICE 207439,A81000C,00100,0100,A 207439,A81000C,00100,0200,LOUIS ATTOMA 207439,A81000C,00100,0400,ATTOMA GROUP 207439,A81000C,00100,0600,ADMIN SERVICES 207439,A81000C,00200,0100,A 207439,A81000C,00200,0200,JOHN R. HANSON 207439,A81000C,00200,0400,ATTOMA GROUP 207439,A81000C,00200,0600,ADMIN SERVICES 207439,A81000C,00300,0100,A 207439,A81000C,00300,0200,JOHN HANSON 207439,A81000C,00300,0400,SODUS MAPLE LAN 207439,A81000C,00300,0600,REAL ESTATE 207439,A81000C,00400,0100,A 207439,A81000C,00400,0200,LOUIS ATTOMA 207439,A81000C,00400,0400,SODUS MAPLE LAN 207439,A81000C,00400,0600,REAL ESTATE 207439,A81000C,00500,0100,A 207439,A81000C,00500,0200,JOHN GHERTNER 207439,A81000C,00500,0400,SODUS MAPLE LAN 207439,A81000C,00500,0600,REAL ESTATE 207439,A81000C,00600,0100,A 207439,A81000C,00600,0200,SODUS MAPLE LAN 207439,A81000C,00600,0400,SODUS MAPLE LAN 207439,A81000C,00600,0600,REAL ESTATE 207439,B100000,00000,0100,0100SQUARE FEET 207439,B100000,00000,0200,0200SQUARE FEET 207439,B100000,00000,0300,0300GROSS SALARIES 207439,B100000,00000,0400,0400ACCUM COST 207439,B100000,00000,0500,0500SQUARE FEET 207439,B100000,00000,0600,0600POUNDS OF LAUNDRY 207439,B100000,00000,0700,0700HOURS OF SERVICE 207439,B100000,00000,0800,0800MEALS SERVED 207439,B100000,00000,0900,0900DIRECT NRSG HRS 207439,B100000,00000,1000,1000COSTED REQUIS 207439,B100000,00000,1100,1100COSTED REQUIS 207439,B100000,00000,1200,1200TIME SPENT 207439,B100000,00000,1300,1300TIME SPENT 207439,B100000,00000,1400,1400ASSIGNED TIME 207439,E10A180,00301,0100,05/10/00 207439,E10A180,00350,0100,01/18/00 207439,E10A180,00501,0300,08/27/01 207439,E10A180,00550,0100,08/27/01 207439,S000000,00100,0200,05/18/00 207439,S200000,00100,0100,6884 MAPLE AVENUE 207439,S200000,00200,0100,SODUS 207439,S200000,00200,0200,NY 207439,S200000,00200,0300,14551 207439,S200000,00300,0100,WAYNE 207439,S200000,00300,0200,6840 207439,S200000,00300,0300,U 207439,S200000,00400,0100,BLOSSOM VIEW NURSING HOME INC. 207439,S200000,00400,0200,335378 207439,S200000,00400,0300,01/08/73 207439,S200000,00400,0500,P 207439,S200000,01500,0100,Y 207439,S200000,01600,0100,N 207439,S200000,01700,0100,N 207439,S200000,01800,0100,N 207439,S200000,01900,0100,NONPROFIT NURSING HOME 207439,S200000,02200,0100,N 207439,S200000,02800,0100,N 207439,S200000,02900,0100,N 207439,S200000,03000,0100,N 207439,S200000,03100,0100,N 207439,S200000,03200,0100,N 207439,S200000,03300,0100,N 207439,S200000,03300,0200,N 207439,S200000,04100,0100,N 207439,S200000,04200,0100,N 207439,S200000,04300,0100,N 207439,S200000,04600,0100,Y 207439,S200000,04700,0100,N 207439,S200000,04900,0100,N 207439,S200000,05200,0100,N 207440,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207440,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207440,A000000,00300,0000,0300EMPLOYEE BENEFITS 207440,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207440,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207440,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207440,A000000,00700,0000,0700HOUSEKEEPING 207440,A000000,00800,0000,0800DIETARY 207440,A000000,00900,0000,0900NURSING ADMINISTRATION 207440,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207440,A000000,01100,0000,1100PHARMACY 207440,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207440,A000000,01300,0000,1300SOCIAL SERVICE 207440,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207440,A000000,01600,0000,1600SKILLED NURSING FACILITY 207440,A000000,01810,0000,1810ICF/MR 207440,A000000,02100,0000,2100RADIOLOGY 207440,A000000,02200,0000,2200LABORATORY 207440,A000000,02500,0000,2500PHYSICAL THERAPY 207440,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207440,A000000,02700,0000,2700SPEECH PATHOLOGY 207440,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207440,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207440,A000000,03550,0000,3550FQHC 207440,A000000,03600,0000,3450ADULT DAYCARE 207440,A000000,03650,0000,3451OUTPATIENT PHYSICAL THERAPY 207440,A000000,03660,0000,3452OUTPATIENT OCCUPATIONAL THERAPY 207440,A000000,03670,0000,3453OUTPATIENT SPEECH THERAPY 207440,A000000,05000,0000,5000CORF 207440,A000000,05010,0000,5010CMHC 207440,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207440,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207440,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207440,A000000,05300,0000,5300INTEREST EXPENSE 207440,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207440,A000000,06300,0000,6150ADULT DAYCARE 207440,A000000,06310,0000,6151MEDI-TRANS 207440,A81000A,00100,0100,Y 207440,A81000B,00100,0300,ADMIN & GENERAL 207440,A81000B,00200,0300,OTHER SERVICE INCOME 207440,A81000B,00300,0300,CAP REL - BLDG & FIX 207440,A81000B,00400,0300,CAP REL - MOVABLE 207440,A81000C,00100,0100,A 207440,A81000C,00100,0200,ROBERT H HURLBU 207440,A81000C,00100,0400,ROHM SERVICES C 207440,A81000C,00100,0600,ADMIN SERVICES 207440,B100000,00000,0100,0100SQUARE FEET 207440,B100000,00000,0200,0200SQUARE FEET 207440,B100000,00000,0300,0300GROSS SALARIES 207440,B100000,00000,0400,0400ACCUM COST 207440,B100000,00000,0500,0500SQUARE FEET 207440,B100000,00000,0600,0600POUNDS OF LAUNDRY 207440,B100000,00000,0700,0700HOURS OF SERVICE 207440,B100000,00000,0800,0800MEALS SERVED 207440,B100000,00000,0900,0900DIRECT NRSG HRS 207440,B100000,00000,1000,1000COSTED REQUIS 207440,B100000,00000,1100,1100COSTED REQUIS 207440,B100000,00000,1200,1200TIME SPENT 207440,B100000,00000,1300,1300TIME SPENT 207440,B100000,00000,1400,1400ASSIGNED TIME 207440,E10A180,00301,0100,09/03/99 207440,E10A180,00302,0100,05/10/00 207440,E10A180,00550,0100,05/10/01 207440,E10A180,00550,0300,05/10/01 207440,S000000,00100,0200,05/30/00 207440,S200000,00100,0100,200 DOUGLAS DRIVE 207440,S200000,00200,0100,WATERLOO 207440,S200000,00200,0200,NY 207440,S200000,00200,0300,13165 207440,S200000,00300,0100,SENECA 207440,S200000,00300,0200,0033 207440,S200000,00300,0300,R 207440,S200000,00400,0100,SENECA NURSING HOME 207440,S200000,00400,0200,335400 207440,S200000,00400,0300,10/08/73 207440,S200000,00400,0500,P 207440,S200000,01500,0100,Y 207440,S200000,01600,0100,N 207440,S200000,01700,0100,N 207440,S200000,01800,0100,N 207440,S200000,02200,0100,N 207440,S200000,02800,0100,N 207440,S200000,02900,0100,N 207440,S200000,03000,0100,N 207440,S200000,03100,0100,N 207440,S200000,03200,0100,N 207440,S200000,03300,0100,N 207440,S200000,03300,0200,N 207440,S200000,04100,0100,N 207440,S200000,04200,0100,N 207440,S200000,04300,0100,N 207440,S200000,04600,0100,N 207440,S200000,04700,0100,N 207440,S200000,04900,0100,N 207440,S200000,05200,0100,N 207441,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207441,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207441,A000000,00300,0000,0300EMPLOYEE BENEFITS 207441,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207441,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207441,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207441,A000000,00700,0000,0700HOUSEKEEPING 207441,A000000,00800,0000,0800DIETARY 207441,A000000,00900,0000,0900NURSING ADMINISTRATION 207441,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207441,A000000,01100,0000,1100PHARMACY 207441,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207441,A000000,01300,0000,1300SOCIAL SERVICE 207441,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207441,A000000,01600,0000,1600SKILLED NURSING FACILITY 207441,A000000,01810,0000,1810ICF/MR 207441,A000000,02100,0000,2100RADIOLOGY 207441,A000000,02200,0000,2200LABORATORY 207441,A000000,02500,0000,2500PHYSICAL THERAPY 207441,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207441,A000000,02700,0000,2700SPEECH PATHOLOGY 207441,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207441,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207441,A000000,03550,0000,3550FQHC 207441,A000000,05000,0000,5000CORF 207441,A000000,05010,0000,5010CMHC 207441,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207441,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207441,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207441,A000000,05300,0000,5300INTEREST EXPENSE 207441,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207441,A81000A,00100,0100,Y 207441,A81000B,00100,0300,ADMIN & ACCOUNTING 207441,A81000B,00200,0300,OTHER SERVICE INCOME 207441,A81000B,00300,0300,CAP REL BLDGS & FIX 207441,A81000B,00400,0300,CAP REL MOVEABLE 207441,A81000C,00100,0100,A 207441,A81000C,00100,0200,ROBERT H HURLBU 207441,A81000C,00100,0400,ROHM SERVICES C 207441,A81000C,00100,0600,ADMIN SERVICES 207441,B100000,00000,0100,0100SQUARE FEET 207441,B100000,00000,0200,0200SQUARE FEET 207441,B100000,00000,0300,0300GROSS SALARIES 207441,B100000,00000,0400,0400ACCUM COST 207441,B100000,00000,0500,0500SQUARE FEET 207441,B100000,00000,0600,0600POUNDS OF LAUNDRY 207441,B100000,00000,0700,0700HOURS OF SERVICE 207441,B100000,00000,0800,0800MEALS SERVED 207441,B100000,00000,0900,0900DIRECT NRSG HRS 207441,B100000,00000,1000,1000COSTED REQUIS 207441,B100000,00000,1100,1100COSTED REQUIS 207441,B100000,00000,1200,1200TIME SPENT 207441,B100000,00000,1300,1300TIME SPENT 207441,B100000,00000,1400,1400ASSIGNED TIME 207441,E10A180,00301,0100,05/10/00 207441,E10A180,00350,0100,01/18/00 207441,E10A180,00550,0100,08/21/01 207441,S000000,00100,0200,05/30/00 207441,S200000,00100,0100,1700 PENFIELD ROAD 207441,S200000,00200,0100,PENFIELD 207441,S200000,00200,0200,NY 207441,S200000,00200,0300,14526 207441,S200000,00300,0100,MONROE 207441,S200000,00300,0200,6840 207441,S200000,00300,0300,U 207441,S200000,00400,0100,PENFIELD PLACE 207441,S200000,00400,0200,335407 207441,S200000,00400,0300,02/01/74 207441,S200000,00400,0500,P 207441,S200000,01500,0100,Y 207441,S200000,01600,0100,N 207441,S200000,01700,0100,N 207441,S200000,01800,0100,N 207441,S200000,02200,0100,N 207441,S200000,02800,0100,N 207441,S200000,02900,0100,N 207441,S200000,03000,0100,N 207441,S200000,03100,0100,N 207441,S200000,03200,0100,N 207441,S200000,03300,0100,N 207441,S200000,03300,0200,N 207441,S200000,04100,0100,N 207441,S200000,04200,0100,N 207441,S200000,04300,0100,N 207441,S200000,04600,0100,N 207441,S200000,04700,0100,N 207441,S200000,04900,0100,N 207441,S200000,05200,0100,N 207442,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207442,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207442,A000000,00300,0000,0300EMPLOYEE BENEFITS 207442,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207442,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207442,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207442,A000000,00700,0000,0700HOUSEKEEPING 207442,A000000,00800,0000,0800DIETARY 207442,A000000,00900,0000,0900NURSING ADMINISTRATION 207442,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207442,A000000,01100,0000,1100PHARMACY 207442,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207442,A000000,01300,0000,1300SOCIAL SERVICE 207442,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207442,A000000,01600,0000,1600SKILLED NURSING FACILITY 207442,A000000,01810,0000,1810ICF/MR 207442,A000000,02100,0000,2100RADIOLOGY 207442,A000000,02200,0000,2200LABORATORY 207442,A000000,02500,0000,2500PHYSICAL THERAPY 207442,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207442,A000000,02700,0000,2700SPEECH PATHOLOGY 207442,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 207442,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207442,A000000,03550,0000,3550FQHC 207442,A000000,05000,0000,5000CORF 207442,A000000,05010,0000,5010CMHC 207442,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207442,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207442,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207442,A000000,05300,0000,5300INTEREST EXPENSE 207442,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207442,A81000A,00100,0100,Y 207442,A81000B,00400,0300,CAP REL - BLDG & FIX 207442,A81000B,00500,0300,CAP REL - BLDG & FIX 207442,A81000B,00600,0300,CAP REL - MOVEABLE 207442,A81000B,00700,0300,CAP REL - MOVEABLE 207442,A81000B,00800,0300,ADMIN/GENERAL 207442,A81000B,00900,0300,RENT 207442,A81000B,01000,0300,ADMIN/GENERAL 207442,A81000C,00100,0100,A 207442,A81000C,00100,0200,ROBERT W HURLBU 207442,A81000C,00100,0400,H&B LAND 207442,A81000C,00100,0600,REAL ESTATE MGM 207442,A81000C,00200,0100,A 207442,A81000C,00200,0200,JAY BIRNBAUM 207442,A81000C,00200,0400,H&B LAND 207442,A81000C,00200,0600,REAL ESTATE MGM 207442,A81000C,00300,0100,D 207442,A81000C,00300,0200,ROBERT H HURLBU 207442,A81000C,00300,0400,ROHM SERVICES 207442,A81000C,00300,0600,ADMIN SERVICES 207442,A81000C,00400,0100,F 207442,A81000C,00400,0200,ROBERT W HURLBU 207442,A81000C,00400,0400,ROHM SERVICES 207442,A81000C,00400,0600,ADMIN SERVICES 207442,B100000,00000,0100,0100SQUARE FEET 207442,B100000,00000,0200,0200SQUARE FEET 207442,B100000,00000,0300,0300GROSS SALARIES 207442,B100000,00000,0400,0400ACCUM COST 207442,B100000,00000,0500,0500SQUARE FEET 207442,B100000,00000,0600,0600POUNDS OF LAUNDRY 207442,B100000,00000,0700,0700HOURS OF SERVICE 207442,B100000,00000,0800,0800MEALS SERVED 207442,B100000,00000,0900,0900DIRECT NRSG HRS 207442,B100000,00000,1000,1000COSTED REQUIS 207442,B100000,00000,1100,1100COSTED REQUIS 207442,B100000,00000,1200,1200TIME SPENT 207442,B100000,00000,1300,1300TIME SPENT 207442,B100000,00000,1400,1400ASSIGNED TIME 207442,E10A180,00301,0100,05/10/00 207442,E10A180,00350,0100,09/15/99 207442,E10A180,00550,0100,07/26/01 207442,S000000,00100,0200,05/30/00 207442,S200000,00100,0100,5 CHURCH STREET 207442,S200000,00200,0100,SPENCERPORT 207442,S200000,00200,0200,NY 207442,S200000,00200,0300,14559 207442,S200000,00300,0100,MONROE 207442,S200000,00300,0200,6840 207442,S200000,00300,0300,U 207442,S200000,00400,0100,WEDGEWOOD NURSING HOME 207442,S200000,00400,0200,335408 207442,S200000,00400,0300,01/01/74 207442,S200000,00400,0500,P 207442,S200000,01500,0100,Y 207442,S200000,01600,0100,N 207442,S200000,01700,0100,N 207442,S200000,01800,0100,N 207442,S200000,02200,0100,N 207442,S200000,02800,0100,N 207442,S200000,02900,0100,N 207442,S200000,03000,0100,N 207442,S200000,03100,0100,N 207442,S200000,03200,0100,N 207442,S200000,03300,0100,N 207442,S200000,03300,0200,N 207442,S200000,04100,0100,N 207442,S200000,04200,0100,N 207442,S200000,04300,0100,N 207442,S200000,04600,0100,N 207442,S200000,04700,0100,N 207442,S200000,04900,0100,N 207442,S200000,05200,0100,N 207444,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 207444,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 207444,A000000,00300,0000,0300EMPLOYEE BENEFITS 207444,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 207444,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 207444,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 207444,A000000,00700,0000,0700HOUSEKEEPING 207444,A000000,00800,0000,0800DIETARY 207444,A000000,00900,0000,0900NURSING ADMINISTRATION 207444,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 207444,A000000,01100,0000,1100PHARMACY 207444,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 207444,A000000,01300,0000,1300SOCIAL SERVICE 207444,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 207444,A000000,01600,0000,1600SKILLED NURSING FACILITY 207444,A000000,01810,0000,1810ICF/MR 207444,A000000,02100,0000,2100RADIOLOGY 207444,A000000,02200,0000,2200LABORATORY 207444,A000000,02500,0000,2500PHYSICAL THERAPY 207444,A000000,02600,0000,2600OCCUPATIONAL THERAPY 207444,A000000,02700,0000,2700SPEECH PATHOLOGY 207444,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 207444,A000000,03550,0000,3550FQHC 207444,A000000,05000,0000,5000CORF 207444,A000000,05010,0000,5010CMHC 207444,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 207444,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 207444,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 207444,A000000,05300,0000,5300INTEREST EXPENSE 207444,A000000,05900,0000,5900BARBER & BEAUTY SHOP 207444,A81000A,00100,0100,Y 207444,A81000B,00100,0300,RENT 207444,A81000B,00200,0300,MANAGEMENT FEES 207444,A81000B,00300,0300,INTEREST 207444,A81000B,00400,0300,P/R PROCESSING 207444,A81000B,00500,0300,EXEC. DIR. TRAVEL 207444,A81000B,00600,0300,AMORTIZATION 207444,A81000B,00700,0300,DEPREC-BLDG & FIXED 207444,A81000B,00800,0300,DEPREC-MOVABLE 207444,A81000B,00900,0300,INTEREST-MORTGAGE 207444,A81000B,01000,0300,INTEREST-MOVABLE 207444,A81000B,01100,0300,PROFESSIONAL FEES 207444,A81000B,01200,0300,ADMIN EXPENSES 207444,A81000B,01300,0300,AUTO INSURANCE 207444,A81000C,00100,0100,A 207444,A81000C,00100,0200,A.J. BARTHOLOME 207444,A81000C,00100,0400,ABCOM SERVICES 207444,A81000C,00100,0600,P/R & COMPUTER 207444,A81000C,00200,0100,A 207444,A81000C,00200,0200,A.J. BARTHOLOME 207444,A81000C,00200,0400,BARCO 207444,A81000C,00200,0600,REAL ESTATE 207444,B100000,00000,0100,0100SQUARE FEET 207444,B100000,00000,0200,0200SQUARE FEET 207444,B100000,00000,0300,0300GROSS SALARIES 207444,B100000,00000,0400,0400ACCUM COST 207444,B100000,00000,0500,0500SQUARE FEET 207444,B100000,00000,0600,0600POUNDS OF LAUNDRY 207444,B100000,00000,0700,0700HOURS OF SERVICE 207444,B100000,00000,0800,0800MEALS SERVED 207444,B100000,00000,0900,0900DIRECT NRSG HRS 207444,B100000,00000,1000,1000COSTED REQUIS 207444,B100000,00000,1100,1100COSTED REQUIS 207444,B100000,00000,1200,1200TIME SPENT 207444,B100000,00000,1300,1300TIME SPENT 207444,B100000,00000,1400,1400ASSIGNED TIME 207444,E10A180,00301,0100,05/10/00 207444,E10A180,00501,0300,05/23/02 207444,E10A180,00550,0100,05/23/02 207444,S000000,00100,0200,06/01/00 207444,S200000,00100,0100,6745 PITTSFORD-PALMYRA ROAD 207444,S200000,00200,0100,FAIRPORT 207444,S200000,00200,0200,NY 207444,S200000,00200,0300,14450 207444,S200000,00300,0100,MONROE 207444,S200000,00300,0200,6840 207444,S200000,00300,0300,U 207444,S200000,00400,0100,CREST MANOR NURSING HOME 207444,S200000,00400,0200,335467 207444,S200000,00400,0300,01/01/76 207444,S200000,00400,0500,P 207444,S200000,01500,0100,Y 207444,S200000,01600,0100,N 207444,S200000,01700,0100,N 207444,S200000,01800,0100,N 207444,S200000,02200,0100,N 207444,S200000,02800,0100,N 207444,S200000,02900,0100,N 207444,S200000,03000,0100,N 207444,S200000,03100,0100,N 207444,S200000,03200,0100,N 207444,S200000,03300,0100,N 207444,S200000,03300,0200,N 207444,S200000,04100,0100,N 207444,S200000,04200,0100,N 207444,S200000,04300,0100,N 207444,S200000,04600,0100,N 207444,S200000,04700,0100,N 207444,S200000,04900,0100,N 207444,S200000,05200,0100,N 207702,S000000,00100,0200,12/06/04 207702,S200000,00100,0200,490 207702,S200000,00200,0100,ASHLAND 207702,S200000,00200,0200,MS 207702,S200000,00200,0300,386030490 207702,S200000,00300,0100,BENTON 207702,S200000,00400,0100,BRIARCREST EXTENDED CARE 207702,S200000,00400,0300,06/11/91 208307,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 208307,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 208307,A000000,00300,0000,0300EMPLOYEE BENEFITS 208307,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 208307,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 208307,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 208307,A000000,00700,0000,0700HOUSEKEEPING 208307,A000000,00800,0000,0800DIETARY 208307,A000000,00900,0000,0900NURSING ADMINISTRATION 208307,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 208307,A000000,01100,0000,1100PHARMACY 208307,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 208307,A000000,01300,0000,1300SOCIAL SERVICE 208307,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 208307,A000000,01500,0000,1350OTHER GENERAL SERVICES 208307,A000000,01600,0000,1600SKILLED NURSING FACILITY 208307,A000000,01800,0000,1800NURSING FACILITY 208307,A000000,01810,0000,1810ICF/MR 208307,A000000,01900,0000,1900OTHER LONG TERM CARE 208307,A000000,02500,0000,2500PHYSICAL THERAPY 208307,A000000,02600,0000,2600OCCUPATIONAL THERAPY 208307,A000000,02700,0000,2700SPEECH PATHOLOGY 208307,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 208307,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 208307,A000000,03550,0000,3550FQHC 208307,A000000,04801,0000,4801AMBULANCE 208307,A000000,04802,0000,4802AMBULANCE 208307,A000000,04803,0000,4803AMBULANCE 208307,A000000,05000,0000,5000CORF 208307,A000000,05010,0000,5010CMHC 208307,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 208307,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 208307,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 208307,A000000,05300,0000,5300INTEREST EXPENSE 208307,A000000,05900,0000,5900BARBER & BEAUTY SHOP 208307,A81000A,00100,0100,N 208307,B100000,00000,0100,0100SQUARE FEET 208307,B100000,00000,0200,0200SQUARE FEET 208307,B100000,00000,0300,0300GROSS SALARIES 208307,B100000,00000,0400,0400ACCUM COST 208307,B100000,00000,0500,0500SQUARE FEET 208307,B100000,00000,0600,0600POUNDS OF LAUNDRY 208307,B100000,00000,0700,0700SQUARE FEET 208307,B100000,00000,0800,0800MEALS SERVED 208307,B100000,00000,0900,0900DIRECT NRSING HRS 208307,B100000,00000,1000,1000COSTED REQUIS. 208307,B100000,00000,1100,1100COSTED REQUIS. 208307,B100000,00000,1200,1200TIME SPENT 208307,B100000,00000,1300,1300TIME SPENT 208307,B100000,00000,1400,1400ASSIGNED TIME 208307,B100000,00000,1500,1350COSTED REQUIS. 208307,E10A180,00550,0100,11/23/04 208307,S000000,00100,0200,06/02/00 208307,S200000,00100,0100,560 CORISANDE HILL 208307,S200000,00200,0100,FENTON 208307,S200000,00200,0200,MO 208307,S200000,00200,0300,63056 208307,S200000,00300,0100,SAINT LOUIS 208307,S200000,00300,0200,7040 208307,S200000,00300,0300,U 208307,S200000,00400,0100,CORI MANOR NURSING HOME 208307,S200000,00400,0200,265395 208307,S200000,00400,0300,08/25/89 208307,S200000,00400,0500,P 208307,S200000,01500,0100,N 208307,S200000,01600,0100,Y 208307,S200000,01700,0100,N 208307,S200000,01800,0100,N 208307,S200000,02200,0100,N 208307,S200000,02800,0100,N 208307,S200000,02900,0100,N 208307,S200000,03000,0100,N 208307,S200000,03100,0100,N 208307,S200000,03200,0100,N 208307,S200000,03300,0100,N 208307,S200000,03300,0200,N 208307,S200000,04100,0100,N 208307,S200000,04200,0100,N 208307,S200000,04300,0100,N 208307,S200000,04600,0100,N 208307,S200000,04700,0100,N 208307,S200000,04900,0100,N 208307,S200000,05200,0100,N 208662,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 208662,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 208662,A000000,00300,0000,0300EMPLOYEE BENEFITS 208662,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 208662,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 208662,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 208662,A000000,00700,0000,0700HOUSEKEEPING 208662,A000000,00800,0000,0800DIETARY 208662,A000000,00900,0000,0900NURSING ADMINISTRATION 208662,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 208662,A000000,01100,0000,1100PHARMACY 208662,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 208662,A000000,01300,0000,1300SOCIAL SERVICE 208662,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 208662,A000000,01500,0000,1350OTHER GENERAL SERVICES 208662,A000000,01600,0000,1600SKILLED NURSING FACILITY 208662,A000000,01800,0000,1800NURSING FACILITY 208662,A000000,01810,0000,1810ICF/MR 208662,A000000,02300,0000,2300INTRAVENOUS THERAPY 208662,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 208662,A000000,02500,0000,2500PHYSICAL THERAPY 208662,A000000,02600,0000,2600OCCUPATIONAL THERAPY 208662,A000000,02700,0000,2700SPEECH PATHOLOGY 208662,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 208662,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 208662,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 208662,A000000,03550,0000,3550FQHC 208662,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 208662,A000000,04801,0000,4801AMBULANCE 208662,A000000,04802,0000,4802AMBULANCE 208662,A000000,04803,0000,4803AMBULANCE 208662,A000000,05000,0000,5000CORF 208662,A000000,05010,0000,5010CMHC 208662,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 208662,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 208662,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 208662,A000000,05100,0000,4750OTHER REIMBURSABLE COST 208662,A000000,05300,0000,5300INTEREST EXPENSE 208662,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 208662,A000000,05900,0000,5900BARBER & BEAUTY SHOP 208662,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 208662,A000000,06301,0000,6151ROUNDING 208662,A81000A,00100,0100,N 208662,B100000,00000,0100,0100SQUARE FOOTAGE 208662,B100000,00000,0200,0200SQUARE FOOTAGE 208662,B100000,00000,0300,0300GROSS SALARIES 208662,B100000,00000,0400,0400ACCUM COST 208662,B100000,00000,0500,0500SQUARE FOOTAGE 208662,B100000,00000,0600,0600POUNDS OF LAUNDRY 208662,B100000,00000,0700,0700HOURS OF SERVICE 208662,B100000,00000,0800,0800MEALS SERVED 208662,B100000,00000,0900,0900DIRECT NRSING HRS 208662,B100000,00000,1000,1000COSTED REQUIS. 208662,B100000,00000,1100,1100PATIENT DAYS 208662,B100000,00000,1200,1200HOURS OF SERVICE 208662,B100000,00000,1300,1300HOURS OF SERVICE 208662,B100000,00000,1400,1400ASSIGNED TIME 208662,B100000,00000,1500,1350NO STATISTICS 208662,E10A180,00301,0100,09/07/99 208662,E10A180,00302,0100,09/14/99 208662,E10A180,00303,0100,01/25/00 208662,E10A180,00501,0100,09/28/00 208662,E10A180,00550,0300,09/28/00 208662,S000000,00100,0200,08/01/00 208662,S200000,00100,0100,59215 RIVER WEST DRIVE 208662,S200000,00200,0100,PLAQUEMINE 208662,S200000,00200,0200,LA 208662,S200000,00200,0300,70764 208662,S200000,00300,0100,IBERVILLE 208662,S200000,00300,0200,0019 208662,S200000,00300,0300,R 208662,S200000,00400,0100,PLAQUEMINE CARING LLC 208662,S200000,00400,0200,195343 208662,S200000,00400,0300,05/01/95 208662,S200000,00400,0500,P 208662,S200000,01500,0100,N 208662,S200000,01600,0100,Y 208662,S200000,01700,0100,N 208662,S200000,01800,0100,N 208662,S200000,02200,0100,N 208662,S200000,02800,0100,N 208662,S200000,02900,0100,N 208662,S200000,03000,0100,N 208662,S200000,03100,0100,N 208662,S200000,03200,0100,N 208662,S200000,03300,0100,N 208662,S200000,03300,0200,N 208662,S200000,04100,0100,N 208662,S200000,04200,0100,N 208662,S200000,04300,0100,N 208662,S200000,04600,0100,N 208662,S200000,04700,0100,N 208662,S200000,04900,0100,N 208662,S200000,05200,0100,N 209313,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 209313,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 209313,A000000,00300,0000,0300EMPLOYEE BENEFITS 209313,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209313,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 209313,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209313,A000000,00700,0000,0700HOUSEKEEPING 209313,A000000,00800,0000,0800DIETARY 209313,A000000,00900,0000,0900NURSING ADMINISTRATION 209313,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209313,A000000,01100,0000,1100PHARMACY 209313,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209313,A000000,01300,0000,1300SOCIAL SERVICE 209313,A000000,01301,0000,1301ACTIVITES 209313,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 209313,A000000,01500,0000,1350REHAB 209313,A000000,01600,0000,1600SKILLED NURSING FACILITY 209313,A000000,01800,0000,1800NURSING FACILITY 209313,A000000,01810,0000,1810ICF/MR 209313,A000000,02100,0000,2100RADIOLOGY 209313,A000000,02200,0000,2200LABORATORY 209313,A000000,02300,0000,2300INTRAVENOUS THERAPY 209313,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 209313,A000000,02500,0000,2500PHYSICAL THERAPY 209313,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209313,A000000,02700,0000,2700SPEECH PATHOLOGY 209313,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 209313,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209313,A000000,03300,0000,3050EQUIPMENT RENTAL 209313,A000000,03301,0000,3051P.E.N. THERAPY 209313,A000000,03550,0000,3550FQHC 209313,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 209313,A000000,04801,0000,4801AMBULANCE 209313,A000000,04802,0000,4802AMBULANCE 209313,A000000,04803,0000,4803AMBULANCE 209313,A000000,05000,0000,5000CORF 209313,A000000,05010,0000,5010CMHC 209313,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 209313,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 209313,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 209313,A000000,05300,0000,5300INTEREST EXPENSE 209313,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 209313,A000000,05900,0000,5900BARBER & BEAUTY SHOP 209313,A000000,06300,0000,6150VENDING 209313,A81000A,00100,0100,Y 209313,A81000B,00100,0300,CENTRAL SUPPLY 209313,A81000B,00200,0300,MEDICAL SUPPLIER 209313,A81000B,00300,0300,DRUGS 209313,A81000B,00400,0300,NURSING ADMIN 209313,A81000B,00500,0300,IV 209313,A81000B,00600,0300,HOME OFFICE CAPITAL 209313,A81000B,00700,0300,HOME OFFICE COST ALLOCATION 209313,A81000B,00800,0300,DIETARY 209313,A81000C,00100,0100,B 209313,A81000C,00100,0200,MH PALMETTO PS# 209313,A81000C,00100,0400,MARINER PAN 209313,A81000C,00100,0600,NURSING HOMES 209313,A81000C,00200,0100,G 209313,A81000C,00200,0200,MARINER PAN 209313,A81000C,00200,0400,AMERICAN PHARMA 209313,A81000C,00200,0600,PHARMACEUTICALS 209313,A81000C,00300,0100,G 209313,A81000C,00300,0200,MARINER PAN 209313,A81000C,00300,0400,PRISM (ATS ARS. 209313,A81000C,00300,0600,THERAPIES 209313,B100000,00000,0100,0100SQUARE FEET 209313,B100000,00000,0200,0200SQUARE FEET 209313,B100000,00000,0300,0300GROSS SALARIES 209313,B100000,00000,0400,0400ACCUM COST 209313,B100000,00000,0500,0500SQUARE FEET 209313,B100000,00000,0600,0600PATIENT DAYS 209313,B100000,00000,0700,0700SQUARE FEET 209313,B100000,00000,0800,0800MEALS SERVED 209313,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 209313,B100000,00000,1000,1000PATIENT DAYS 209313,B100000,00000,1100,1100COSTED REQUIS 209313,B100000,00000,1200,1200PATIENT DAYS 209313,B100000,00000,1300,1300PATIENT DAYS 209313,B100000,00000,1301,1301PATIENT DAYS 209313,B100000,00000,1400,1400ASSIGNED TIME 209313,B100000,00000,1500,1350UNIT SERVICES 209313,E10A180,00550,0100,01/07/05 209313,E10A180,00550,0300,01/07/05 209313,S000000,00100,0200,11/08/00 209313,S200000,00100,0100,926 HABEN BLVD 209313,S200000,00200,0100,PALMETTO 209313,S200000,00200,0200,FL 209313,S200000,00200,0300,34221 209313,S200000,00300,0100,MANATEE 209313,S200000,00300,0200,7510 209313,S200000,00300,0300,U 209313,S200000,00400,0100,MARINER HEALTH OF PALMETTO 209313,S200000,00400,0200,105603 209313,S200000,00400,0300,05/01/96 209313,S200000,00400,0500,P 209313,S200000,01500,0100,N 209313,S200000,01600,0100,Y 209313,S200000,01700,0100,N 209313,S200000,01800,0100,N 209313,S200000,02200,0100,N 209313,S200000,02800,0100,N 209313,S200000,02900,0100,N 209313,S200000,03000,0100,N 209313,S200000,03100,0100,N 209313,S200000,03200,0100,N 209313,S200000,03300,0100,N 209313,S200000,03300,0200,N 209313,S200000,04100,0100,N 209313,S200000,04200,0100,N 209313,S200000,04300,0100,N 209313,S200000,04600,0100,N 209313,S200000,04700,0100,N 209313,S200000,04900,0100,N 209313,S200000,05200,0100,N 209347,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 209347,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 209347,A000000,00300,0000,0300EMPLOYEE BENEFITS 209347,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209347,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 209347,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209347,A000000,00700,0000,0700HOUSEKEEPING 209347,A000000,00800,0000,0800DIETARY 209347,A000000,00900,0000,0900NURSING ADMINISTRATION 209347,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209347,A000000,01100,0000,1100PHARMACY 209347,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209347,A000000,01300,0000,1300SOCIAL SERVICE 209347,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 209347,A000000,01500,0000,1350ACTIVITIES 209347,A000000,01600,0000,1600SKILLED NURSING FACILITY 209347,A000000,01810,0000,1810ICF/MR 209347,A000000,02100,0000,2100RADIOLOGY 209347,A000000,02200,0000,2200LABORATORY 209347,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 209347,A000000,02500,0000,2500PHYSICAL THERAPY 209347,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209347,A000000,02700,0000,2700SPEECH PATHOLOGY 209347,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 209347,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209347,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 209347,A000000,03550,0000,3550FQHC 209347,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 209347,A000000,04801,0000,4801AMBULANCE 209347,A000000,04802,0000,4802AMBULANCE 209347,A000000,04803,0000,4803AMBULANCE 209347,A000000,05000,0000,5000CORF 209347,A000000,05010,0000,5010CMHC 209347,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 209347,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 209347,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 209347,A000000,05100,0000,4750OTHER REIMBURSABLE COST 209347,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 209347,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 209347,A81000A,00100,0100,Y 209347,A81000B,00100,0300,ADMIN & GENERAL - REL CO 209347,A81000B,00200,0300,ADMIN & GENERAL - REL CO 209347,A81000B,00300,0300,ADMIN & GENERAL - REL CO 209347,A81000B,00400,0300,ADMIN & GENERAL - REL CO 209347,A81000C,00100,0100,B 209347,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 209347,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 209347,A81000C,00100,0600,REALTY & MANAGEMENT 209347,B100000,00000,0100,0100SQUARE FEET 209347,B100000,00000,0200,0200SQUARE FEET 209347,B100000,00000,0300,0300GROSS SALARIES 209347,B100000,00000,0400,0400ACCUM COST 209347,B100000,00000,0500,0500SQUARE FEET 209347,B100000,00000,0600,0600POUNDS OF LAUNDRY 209347,B100000,00000,0700,0700HOURS OF SERVICE 209347,B100000,00000,0800,0800MEALS SERVED 209347,B100000,00000,0900,0900DIRECT NRSING HRS 209347,B100000,00000,1000,1000COSTED REQUIS. 209347,B100000,00000,1100,1100COSTED REQUIS. 209347,B100000,00000,1200,1200TIME SPENT 209347,B100000,00000,1300,1300TIME SPENT 209347,B100000,00000,1400,1400ASSIGNED TIME 209347,B100000,00000,1500,1350NO. OF PARTIC 209347,E10A180,00301,0100,05/08/00 209347,E10A180,00501,0100,12/28/00 209347,E10A180,00501,0300,06/28/00 209347,E10A180,00550,0100,06/28/00 209347,S000000,00100,0200,11/15/00 209347,S200000,00100,0100,154 JEFFERSON HEIGHTS 209347,S200000,00200,0100,CATSKILL 209347,S200000,00200,0200,NY 209347,S200000,00200,0300,12414 209347,S200000,00300,0100,GREENE 209347,S200000,00300,0200,0033 209347,S200000,00300,0300,R 209347,S200000,00400,0100,EDEN PARK HEALTHCARE CTR-CATSKILL 209347,S200000,00400,0200,335256 209347,S200000,00400,0300,01/01/72 209347,S200000,00400,0500,P 209347,S200000,01500,0100,Y 209347,S200000,01600,0100,N 209347,S200000,01700,0100,N 209347,S200000,01800,0100,N 209347,S200000,02200,0100,N 209347,S200000,02800,0100,N 209347,S200000,02900,0100,N 209347,S200000,03000,0100,N 209347,S200000,03100,0100,N 209347,S200000,03200,0100,N 209347,S200000,03300,0100,N 209347,S200000,03300,0200,N 209347,S200000,04100,0100,N 209347,S200000,04200,0100,N 209347,S200000,04300,0100,Y 209347,S200000,04600,0100,N 209347,S200000,04700,0100,N 209347,S200000,04700,0200,N 209347,S200000,04900,0100,N 209347,S200000,05200,0100,N 209551,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 209551,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 209551,A000000,00300,0000,0300EMPLOYEE BENEFITS 209551,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209551,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 209551,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209551,A000000,00700,0000,0700HOUSEKEEPING 209551,A000000,00800,0000,0800DIETARY 209551,A000000,00900,0000,0900NURSING ADMINISTRATION 209551,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209551,A000000,01100,0000,1100PHARMACY 209551,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209551,A000000,01300,0000,1300SOCIAL SERVICE 209551,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 209551,A000000,01500,0000,1350ACTIVITIES 209551,A000000,01600,0000,1600SKILLED NURSING FACILITY 209551,A000000,01800,0000,1800NURSING FACILITY 209551,A000000,01810,0000,1810ICF/MR 209551,A000000,02300,0000,2300INTRAVENOUS THERAPY 209551,A000000,02500,0000,2500PHYSICAL THERAPY 209551,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209551,A000000,02700,0000,2700SPEECH PATHOLOGY 209551,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209551,A000000,03550,0000,3550FQHC 209551,A000000,04801,0000,4801AMBULANCE 209551,A000000,04802,0000,4802AMBULANCE 209551,A000000,04803,0000,4803AMBULANCE 209551,A000000,05000,0000,5000CORF 209551,A000000,05010,0000,5010CMHC 209551,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 209551,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 209551,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 209551,A000000,05300,0000,5300INTEREST EXPENSE 209551,A81000A,00100,0100,Y 209551,A81000B,00100,0300,FACILITY LEASE 209551,A81000B,00200,0300,DIETARY SUPPLEMENTS 209551,A81000C,00100,0100,F 209551,A81000C,00100,0200,JB SARVER 209551,A81000C,00100,0400,MIMS SARVER 209551,A81000C,00100,0600,PARTNERSHIP 209551,A81000C,00200,0100,D 209551,A81000C,00200,0200,GREG SARVER 209551,A81000C,00200,0400,ACADIANA MEDICA 209551,A81000C,00200,0600,MEDICAL SUPPLY 209551,B100000,00000,0100,0100SQ FT 209551,B100000,00000,0200,0200SQ FT 209551,B100000,00000,0300,0300GROSS SAL 209551,B100000,00000,0400,0400ACCUM COST 209551,B100000,00000,0500,0500SQ FT 209551,B100000,00000,0600,0600POUNDS OF LAUNDRY 209551,B100000,00000,0700,0700SQ FT 209551,B100000,00000,0800,0800MEALS SERVED 209551,B100000,00000,0900,0900NURSING DIRECT HRS 209551,B100000,00000,1000,1000C. S. COSTED REQ 209551,B100000,00000,1100,1100BLANK 209551,B100000,00000,1200,1200MED REC TIME SPENT 209551,B100000,00000,1300,1300SOC SERV TIME SPENT 209551,B100000,00000,1400,1400BLANK 209551,B100000,00000,1500,1350ACTIV TIME SPENT 209551,E10A180,00501,0100,07/26/00 209551,S000000,00100,0200,06/05/00 209551,S200000,00100,0100,903 CENTER ST 209551,S200000,00200,0100,LAFAYETTE 209551,S200000,00200,0200,LA 209551,S200000,00200,0300,70501 209551,S200000,00300,0100,LAFAYETTE 209551,S200000,00300,0200,3880 209551,S200000,00300,0300,U 209551,S200000,00400,0100,AMELIA MANOR 209551,S200000,00400,0200,195469 209551,S200000,00400,0300,04/01/98 209551,S200000,00400,0500,P 209551,S200000,00600,0200,151405 209551,S200000,00600,0300,04/01/98 209551,S200000,00600,0600,O 209551,S200000,01500,0100,N 209551,S200000,01600,0100,Y 209551,S200000,01700,0100,N 209551,S200000,01800,0100,N 209551,S200000,02200,0100,N 209551,S200000,02800,0100,N 209551,S200000,02900,0100,N 209551,S200000,03000,0100,N 209551,S200000,03100,0100,N 209551,S200000,03200,0100,N 209551,S200000,03300,0100,N 209551,S200000,03300,0200,N 209551,S200000,03500,0300,N 209551,S200000,04100,0100,N 209551,S200000,04200,0100,N 209551,S200000,04300,0100,N 209551,S200000,04600,0100,N 209551,S200000,04700,0100,N 209551,S200000,04900,0100,N 209551,S200000,05200,0100,N 209796,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 209796,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 209796,A000000,00300,0000,0300EMPLOYEE BENEFITS 209796,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209796,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 209796,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209796,A000000,00700,0000,0700HOUSEKEEPING 209796,A000000,00800,0000,0800DIETARY 209796,A000000,00900,0000,0900NURSING ADMINISTRATION 209796,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209796,A000000,01100,0000,1100PHARMACY 209796,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209796,A000000,01300,0000,1300SOCIAL SERVICE 209796,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 209796,A000000,01500,0000,1350PATIENT ACTIVITIES 209796,A000000,01600,0000,1600SKILLED NURSING FACILITY 209796,A000000,01800,0000,1800NURSING FACILITY 209796,A000000,01810,0000,1810ICF/MR 209796,A000000,01900,0000,1900OTHER LONG TERM CARE 209796,A000000,02100,0000,2100RADIOLOGY 209796,A000000,02200,0000,2200LABORATORY 209796,A000000,02300,0000,2300INTRAVENOUS THERAPY 209796,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 209796,A000000,02500,0000,2500PHYSICAL THERAPY 209796,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209796,A000000,02700,0000,2700SPEECH PATHOLOGY 209796,A000000,02800,0000,2800ELECTROCARDIOLOGY 209796,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 209796,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209796,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 209796,A000000,03200,0000,3200SUPPORT SURFACES 209796,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 209796,A000000,03400,0000,3400CLINIC 209796,A000000,03500,0000,3500RURAL HEALTH CLINIC 209796,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 209796,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 209796,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 209796,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 209796,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 209796,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 209796,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 209796,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 209796,A000000,04400,0000,4400DME RENTED - HHA 209796,A000000,04500,0000,4500DME SOLD - HHA 209796,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 209796,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 209796,A000000,04800,0000,4800AMBULANCE 209796,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 209796,A000000,05000,0000,5000CORF 209796,A000000,05100,0000,4750OTHER REIMBURSABLE COST 209796,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 209796,A000000,05300,0000,5300INTEREST EXPENSE 209796,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 209796,A000000,05500,0000,5500HOSPICE 209796,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 209796,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 209796,A000000,05900,0000,5900BARBER & BEAUTY SHOP 209796,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 209796,A000000,06100,0000,6100NONPAID WORKERS 209796,A000000,06200,0000,6200PATIENTS LAUNDRY 209796,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 209796,A81000A,00100,0100,N 209796,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 209796,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 209796,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 209796,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 209796,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 209796,B100000,00000,0700,0750SQU FT EXCL D:HOUSEKEEPING 209796,B100000,00000,0800,0850PATIENT DAYS :DIETARY 209796,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 209796,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 209796,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 209796,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 209796,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 209796,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 209796,E10A180,00501,0100,03/13/01 209796,E10A180,00502,0100,09/02/04 209796,E10A180,00550,0300,03/13/01 209796,S000000,00100,0200,06/01/00 209796,S200000,00100,0100,200 WYANT ROAD 209796,S200000,00200,0100,FAIRLAWN 209796,S200000,00200,0200,OH 209796,S200000,00200,0300,44313- 209796,S200000,00300,0100,SUMMIT 209796,S200000,00300,0200,0080 209796,S200000,00300,0300,U 209796,S200000,00400,0100,WYANT WOODS CARE CENTER 209796,S200000,00400,0200,365779 209796,S200000,00400,0300,12/28/89 209796,S200000,00400,0500,P 209796,S200000,01500,0100,N 209796,S200000,01600,0100,Y 209796,S200000,01700,0100,N 209796,S200000,01800,0100,N 209796,S200000,02200,0100,N 209796,S200000,02800,0100,N 209796,S200000,02900,0100,N 209796,S200000,03000,0100,N 209796,S200000,03100,0100,N 209796,S200000,03200,0100,N 209796,S200000,04100,0100,N 209796,S200000,04200,0100,N 209796,S200000,04300,0100,N 209796,S200000,04600,0100,N 209796,S200000,04700,0100,N 209796,S200000,04700,0200,N 209796,S200000,04900,0100,N 209796,S200000,05000,0100,N 209796,S200000,05100,0100,N 209796,S200000,05200,0100,N 209895,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 209895,A000000,00101,0000,0101CAP RELATED COSTS - S-1 209895,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 209895,A000000,00300,0000,0300EMPLOYEE BENEFITS 209895,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209895,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 209895,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209895,A000000,00700,0000,0700HOUSEKEEPING 209895,A000000,00800,0000,0800DIETARY 209895,A000000,00801,0000,0801CAFETERIA 209895,A000000,00900,0000,0900NURSING ADMINISTRATION 209895,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209895,A000000,01100,0000,1100PHARMACY 209895,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209895,A000000,01300,0000,1300SOCIAL SERVICE 209895,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 209895,A000000,01500,0000,1350OTHER GENERAL SERVICES 209895,A000000,01600,0000,1600SKILLED NURSING FACILITY 209895,A000000,01810,0000,1810ICF/MR 209895,A000000,02100,0000,2100RADIOLOGY 209895,A000000,02200,0000,2200LABORATORY 209895,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 209895,A000000,02500,0000,2500PHYSICAL THERAPY 209895,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209895,A000000,02700,0000,2700SPEECH PATHOLOGY 209895,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209895,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 209895,A000000,03400,0000,3400CLINIC 209895,A000000,03550,0000,3550FQHC 209895,A000000,04801,0000,4801AMBULANCE 209895,A000000,04802,0000,4802AMBULANCE 209895,A000000,04803,0000,4803AMBULANCE 209895,A000000,05000,0000,5000CORF 209895,A000000,05010,0000,5010CMHC 209895,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 209895,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 209895,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 209895,A000000,05300,0000,5300INTEREST EXPENSE 209895,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 209895,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 209895,A000000,05900,0000,5900BARBER & BEAUTY SHOP 209895,A000000,06103,0000,6101UNUSED SPACE 209895,A000000,06300,0000,6150PODIATRY 209895,A000000,06301,0000,6151DENTAL 209895,A81000A,00100,0100,Y 209895,A81000B,00100,0300,COUNTY SERVICES 209895,A81000B,00200,0300,INSURANCE 209895,A81000C,00100,0100,A 209895,A81000C,00100,0200,VAN DUYN HOME & 209895,A81000C,00100,0400,ONONDAGA COUNTY 209895,A81000C,00100,0600,PUBLIC/GOVERNME 209895,B100000,00000,0100,0100SQUARE FEET 209895,B100000,00000,0101,0101SQUARE FEET 209895,B100000,00000,0200,0200SQUARE FEET 209895,B100000,00000,0300,0300GROSS SALARIES 209895,B100000,00000,0400,0400ACCUM COST 209895,B100000,00000,0500,0500SQUARE FEET 209895,B100000,00000,0600,0600POUNDS OF LAUNDRY 209895,B100000,00000,0700,0700HOURS OF SERVICE 209895,B100000,00000,0800,0800MEALS SERVED 209895,B100000,00000,0801,0801 209895,B100000,00000,0900,0900DIRECT NRSG HRS 209895,B100000,00000,1000,1000COSTED REQUIS 209895,B100000,00000,1100,1100COSTED REQUIS 209895,B100000,00000,1200,1200TIME SPENT 209895,B100000,00000,1300,1300TIME SPENT 209895,B100000,00000,1400,1400ASSIGNED TIME 209895,B100000,00000,1500,1350 209895,E10A180,00301,0100,05/09/00 209895,E10A180,00350,0100,01/18/00 209895,E10A180,00550,0100,08/27/01 209895,E10A180,00550,0300,08/27/01 209895,S000000,00100,0200,06/12/00 209895,S200000,00100,0100,5075 WEST SENECA TURNPIKE 209895,S200000,00200,0100,SYRACUSE 209895,S200000,00200,0200,NY 209895,S200000,00200,0300,13215 209895,S200000,00300,0100,ONONDAGA 209895,S200000,00300,0200,8160 209895,S200000,00300,0300,U 209895,S200000,00400,0100,VAN DUYN HOME & HOSPITAL 209895,S200000,00400,0200,335184 209895,S200000,00400,0300,01/01/67 209895,S200000,00400,0500,P 209895,S200000,01500,0100,Y 209895,S200000,01600,0100,N 209895,S200000,01700,0100,N 209895,S200000,01800,0100,N 209895,S200000,02100,0100,E 209895,S200000,02200,0100,N 209895,S200000,02800,0100,N 209895,S200000,02900,0100,N 209895,S200000,03000,0100,N 209895,S200000,03100,0100,N 209895,S200000,03200,0100,N 209895,S200000,03300,0100,N 209895,S200000,03300,0200,N 209895,S200000,04100,0100,N 209895,S200000,04200,0100,N 209895,S200000,04300,0100,Y 209895,S200000,04600,0100,N 209895,S200000,04700,0100,N 209895,S200000,04900,0100,N 209895,S200000,05200,0100,N 209896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 209896,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 209896,A000000,00300,0000,0300EMPLOYEE BENEFITS 209896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 209896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 209896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 209896,A000000,00700,0000,0700HOUSEKEEPING 209896,A000000,00800,0000,0800DIETARY 209896,A000000,00900,0000,0900NURSING ADMINISTRATION 209896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 209896,A000000,01100,0000,1100PHARMACY 209896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 209896,A000000,01300,0000,1300SOCIAL SERVICE 209896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 209896,A000000,01500,0000,1350ACTIVITIES 209896,A000000,01600,0000,1600SKILLED NURSING FACILITY 209896,A000000,01810,0000,1810ICF/MR 209896,A000000,02100,0000,2100RADIOLOGY 209896,A000000,02200,0000,2200LABORATORY 209896,A000000,02500,0000,2500PHYSICAL THERAPY 209896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 209896,A000000,02700,0000,2700SPEECH PATHOLOGY 209896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 209896,A000000,03300,0000,3050STAFF PHYSISION 209896,A000000,03550,0000,3550FQHC 209896,A000000,04800,0000,4800AMBULANCE 209896,A000000,04801,0000,4801AMBULANCE 209896,A000000,04802,0000,4802AMBULANCE 209896,A000000,04803,0000,4803AMBULANCE 209896,A000000,05000,0000,5000CORF 209896,A000000,05010,0000,5010CMHC 209896,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 209896,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 209896,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 209896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 209896,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 209896,A000000,06100,0000,6100NONPAID WORKERS 209896,A000000,06300,0000,6150ADULT DAY CARE 209896,A81000A,00100,0100,N 209896,B100000,00000,0100,0100SQUARE FEET 209896,B100000,00000,0200,0200SQUARE FEET 209896,B100000,00000,0300,0300GROSS SALARIES 209896,B100000,00000,0400,0400ACCUM COST 209896,B100000,00000,0500,0500SQUARE FEET 209896,B100000,00000,0600,0600POUNDS OF LAUNDRY 209896,B100000,00000,0700,0700HOURS OF SERVICE 209896,B100000,00000,0800,0800MEALS SERVED 209896,B100000,00000,0900,0900DIRECT NRSG HRS 209896,B100000,00000,1000,1000COSTED REQUIS 209896,B100000,00000,1100,1100COSTED REQUIS 209896,B100000,00000,1200,1200TIME SPENT 209896,B100000,00000,1300,1300TIME SPENT 209896,B100000,00000,1400,1400ASSIGNED TIME 209896,B100000,00000,1500,1350TIME SPENT 209896,E10A180,00301,0100,05/10/00 209896,E10A180,00501,0100,07/23/01 209896,E10A180,00501,0300,07/23/01 209896,S000000,00100,0200,06/23/00 209896,S200000,00100,0100,278 BANK STREET 209896,S200000,00200,0100,BATAVIA 209896,S200000,00200,0200,NY 209896,S200000,00200,0300,14020 209896,S200000,00300,0100,GENESEE 209896,S200000,00300,0200,6840 209896,S200000,00300,0300,U 209896,S200000,00400,0100,GENESEE COUNTY NURSING HOME 209896,S200000,00400,0200,335423 209896,S200000,00400,0300,03/01/74 209896,S200000,00400,0500,P 209896,S200000,00600,0200,801304 209896,S200000,00600,0300,03/01/74 209896,S200000,00600,0600,P 209896,S200000,01500,0100,N 209896,S200000,01600,0100,N 209896,S200000,01700,0100,N 209896,S200000,01800,0100,N 209896,S200000,02100,0100,E 209896,S200000,02200,0100,N 209896,S200000,02800,0100,N 209896,S200000,02900,0100,N 209896,S200000,03000,0100,N 209896,S200000,03100,0100,N 209896,S200000,03200,0100,N 209896,S200000,03300,0100,N 209896,S200000,03300,0200,N 209896,S200000,03500,0300,N 209896,S200000,04100,0100,N 209896,S200000,04200,0100,N 209896,S200000,04300,0100,N 209896,S200000,04600,0100,N 209896,S200000,04700,0100,Y 209896,S200000,04700,0200,N 209896,S200000,04900,0100,N 209896,S200000,05200,0100,N 210509,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 210509,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 210509,A000000,00300,0000,0300EMPLOYEE BENEFITS 210509,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 210509,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 210509,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 210509,A000000,00700,0000,0700HOUSEKEEPING 210509,A000000,00800,0000,0800DIETARY 210509,A000000,00900,0000,0900NURSING ADMINISTRATION 210509,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 210509,A000000,01100,0000,1100PHARMACY 210509,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 210509,A000000,01300,0000,1300SOCIAL SERVICE 210509,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 210509,A000000,01600,0000,1600SKILLED NURSING FACILITY 210509,A000000,01800,0000,1800NURSING FACILITY 210509,A000000,01810,0000,1810ICF/MR 210509,A000000,02100,0000,2100RADIOLOGY 210509,A000000,02200,0000,2200LABORATORY 210509,A000000,02500,0000,2500PHYSICAL THERAPY 210509,A000000,02600,0000,2600OCCUPATIONAL THERAPY 210509,A000000,02700,0000,2700SPEECH PATHOLOGY 210509,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 210509,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 210509,A000000,03550,0000,3550FQHC 210509,A000000,04801,0000,4801AMBULANCE 210509,A000000,04802,0000,4802AMBULANCE 210509,A000000,04803,0000,4803AMBULANCE 210509,A000000,05000,0000,5000CORF 210509,A000000,05010,0000,5010CMHC 210509,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 210509,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 210509,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 210509,A000000,05900,0000,5900BARBER & BEAUTY SHOP 210509,A81000A,00100,0100,Y 210509,A81000B,00100,0300,MANAGEMENT FEES 210509,A81000C,00100,0100,A 210509,A81000C,00100,0200,MICHAEL H. OVERSTREET 210509,A81000C,00100,0400,OXFORD MANAGEMENT COMPANY 210509,A81000C,00100,0600,MANAGEMENT COMPANY 210509,B100000,00000,0100,0100SQUARE FEET 210509,B100000,00000,0200,0200SQUARE FEET 210509,B100000,00000,0300,0300GROSS SALARIES 210509,B100000,00000,0400,0400ACCUM COST 210509,B100000,00000,0500,0500SQUARE FEET 210509,B100000,00000,0600,0600PATIENT DAYS 210509,B100000,00000,0700,0700SQUARE FEET 210509,B100000,00000,0800,0800MEALS SERVED 210509,B100000,00000,0900,0900PATIENT DAYS 210509,B100000,00000,1000,1000PATIENT DAYS 210509,B100000,00000,1100,1100COSTED REQUIS 210509,B100000,00000,1200,1200PATIENT DAYS 210509,B100000,00000,1300,1300PATIENT DAYS 210509,B100000,00000,1400,1400ASSIGNED TIME 210509,E10A180,00501,0100,07/27/00 210509,S000000,00100,0200,06/05/00 210509,S200000,00100,0100,1221 EAST UNION STREET 210509,S200000,00100,0300,4767 210509,S200000,00200,0100,GREENVILLE 210509,S200000,00200,0200,MS 210509,S200000,00200,0300,38704 210509,S200000,00300,0100,WASHINGTON 210509,S200000,00300,0200,0025 210509,S200000,00300,0300,R 210509,S200000,00400,0100,MS CARE CENTER OF GREENVILLE LLC 210509,S200000,00400,0200,255252 210509,S200000,00400,0300,11/01/97 210509,S200000,00400,0500,P 210509,S200000,01500,0100,N 210509,S200000,01600,0100,Y 210509,S200000,01700,0100,N 210509,S200000,01800,0100,N 210509,S200000,02200,0100,N 210509,S200000,02800,0100,N 210509,S200000,02900,0100,N 210509,S200000,03000,0100,N 210509,S200000,03100,0100,N 210509,S200000,03200,0100,N 210509,S200000,03300,0100,N 210509,S200000,03300,0200,N 210509,S200000,04100,0100,N 210509,S200000,04200,0100,N 210509,S200000,04300,0100,N 210509,S200000,04600,0100,N 210509,S200000,04700,0100,N 210509,S200000,04900,0100,N 210509,S200000,05200,0100,N 210608,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 210608,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 210608,A000000,00300,0000,0300EMPLOYEE BENEFITS 210608,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 210608,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 210608,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 210608,A000000,00700,0000,0700HOUSEKEEPING 210608,A000000,00800,0000,0800DIETARY 210608,A000000,00900,0000,0900NURSING ADMINISTRATION 210608,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 210608,A000000,01100,0000,1100PHARMACY 210608,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 210608,A000000,01300,0000,1300SOCIAL SERVICE 210608,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 210608,A000000,01500,0000,1350OTHER GENERAL SERVICES 210608,A000000,01600,0000,1600SKILLED NURSING FACILITY 210608,A000000,01800,0000,1800NURSING FACILITY 210608,A000000,01810,0000,1810ICF/MR 210608,A000000,01900,0000,1900OTHER LONG TERM CARE 210608,A000000,02100,0000,2100RADIOLOGY 210608,A000000,02200,0000,2200LABORATORY 210608,A000000,02500,0000,2500PHYSICAL THERAPY 210608,A000000,02600,0000,2600OCCUPATIONAL THERAPY 210608,A000000,02700,0000,2700SPEECH PATHOLOGY 210608,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 210608,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 210608,A000000,03200,0000,3200SUPPORT SURFACES 210608,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 210608,A000000,03550,0000,3550FQHC 210608,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 210608,A000000,05000,0000,5000CORF 210608,A000000,05010,0000,5010CMHC 210608,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 210608,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 210608,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 210608,A000000,05100,0000,4750OTHER REIMBURSABLE COST 210608,A000000,05300,0000,5300INTEREST EXPENSE 210608,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 210608,A000000,05900,0000,5900BARBER & BEAUTY SHOP 210608,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 210608,A81000A,00100,0100,Y 210608,A81000B,00100,0300,CERT CONTR NURSING PARADIGM 210608,A81000B,00200,0300,NC CONTRACT NURSING PARADIGM 210608,A81000B,00300,0300,MANAGEMENT FEES 210608,A81000B,00400,0300,MANAGEMENT FEES 210608,A81000C,00100,0100,A 210608,A81000C,00100,0200,JOHN NEILL 210608,A81000C,00100,0400,TELESIS MANAGEM 210608,A81000C,00100,0600,MANAGEMENT COMP 210608,A81000C,00200,0100,A 210608,A81000C,00200,0200,STEVE RUSH 210608,A81000C,00200,0400,TELESIS MANAGEM 210608,A81000C,00200,0600,MANAGEMENT COMP 210608,A81000C,00300,0100,A 210608,A81000C,00300,0200,JOHN NEILL 210608,A81000C,00300,0400,PARADIGM NURSIN 210608,A81000C,00300,0600,CONTRACT NURSIN 210608,A81000C,00400,0100,A 210608,A81000C,00400,0200,STEVE RUSH 210608,A81000C,00400,0400,PARADIGM NURSIN 210608,A81000C,00400,0600,CONTRACT NURSIN 210608,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 210608,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 210608,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 210608,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 210608,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 210608,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 210608,B100000,00000,0800,0800MEALS SERVED :DIETARY 210608,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 210608,B100000,00000,1000,1000COSTEDREQU UISITIONS :CENTRAL S 210608,B100000,00000,1100,1150TOTAL SALES :PHARMACY 210608,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 210608,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 210608,S000000,00100,0200,06/01/00 210608,S200000,00100,0100,5515 GLEN LAKES DRIVE 210608,S200000,00200,0100,DALLAS 210608,S200000,00200,0200,TX 210608,S200000,00200,0300,75231- 210608,S200000,00300,0100,DALLAS 210608,S200000,00300,0200,1920 210608,S200000,00300,0300,U 210608,S200000,00400,0100,WALNUT PLACE NURSING HOME 210608,S200000,00400,0200,675765 210608,S200000,00400,0300,10/02/98 210608,S200000,00400,0500,P 210608,S200000,01500,0100,N 210608,S200000,01600,0100,Y 210608,S200000,01700,0100,N 210608,S200000,01800,0100,N 210608,S200000,02200,0100,N 210608,S200000,02800,0100,N 210608,S200000,02900,0100,N 210608,S200000,03000,0100,N 210608,S200000,03100,0100,N 210608,S200000,03200,0100,N 210608,S200000,04100,0100,N 210608,S200000,04200,0100,N 210608,S200000,04300,0100,N 210608,S200000,04600,0100,N 210608,S200000,04700,0100,N 210608,S200000,04700,0200,N 210608,S200000,04900,0100,N 210608,S200000,05000,0100,N 210608,S200000,05100,0100,N 210608,S200000,05200,0100,N 211866,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 211866,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 211866,A000000,00300,0000,0300EMPLOYEE BENEFITS 211866,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 211866,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 211866,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 211866,A000000,00700,0000,0700HOUSEKEEPING 211866,A000000,00800,0000,0800DIETARY 211866,A000000,00900,0000,0900NURSING ADMINISTRATION 211866,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 211866,A000000,01100,0000,1100PHARMACY 211866,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 211866,A000000,01300,0000,1300SOCIAL SERVICE 211866,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 211866,A000000,01500,0000,1350PATIENT ACTIVITIES 211866,A000000,01600,0000,1600SKILLED NURSING FACILITY 211866,A000000,01810,0000,1810ICF/MR 211866,A000000,02500,0000,2500PHYSICAL THERAPY 211866,A000000,02600,0000,2600OCCUPATIONAL THERAPY 211866,A000000,02700,0000,2700SPEECH PATHOLOGY 211866,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 211866,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 211866,A000000,03001,0000,3001AIR FLUIDIZED BEDS 211866,A000000,03550,0000,3550FQHC 211866,A000000,04801,0000,4801AMBULANCE 211866,A000000,04802,0000,4802AMBULANCE 211866,A000000,04803,0000,4803AMBULANCE 211866,A000000,05000,0000,5000CORF 211866,A000000,05010,0000,5010CMHC 211866,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 211866,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 211866,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 211866,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 211866,A000000,05900,0000,5900BARBER & BEAUTY SHOP 211866,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 211866,A81000A,00100,0100,Y 211866,A81000B,00100,0300,LEASE EXPENSE 211866,A81000C,00100,0100,B 211866,A81000C,00100,0200,GOLDEN DOORS LIMITED PART 211866,A81000C,00100,0400,GOLDEN DOORS LIMITED 211866,A81000C,00100,0600,REAL ESTATE LESSOR 211866,B100000,00000,0100,0100SQUARE FEET 211866,B100000,00000,0200,0200SQUARE FEET 211866,B100000,00000,0300,0300GROSS SALARIES 211866,B100000,00000,0400,0400ACCUM COST 211866,B100000,00000,0500,0500SQUARE FEET 211866,B100000,00000,0600,0600PATIENT DAYS 211866,B100000,00000,0700,0700SQUARE FEET 211866,B100000,00000,0800,0800MEALS SERVED 211866,B100000,00000,0900,0900DIRECT NRSING HRS 211866,B100000,00000,1000,1000COSTED REQUIS 211866,B100000,00000,1100,1100COSTED REQUIS 211866,B100000,00000,1200,1200PATIENT DAYS 211866,B100000,00000,1300,1300PATIENT DAYS 211866,B100000,00000,1400,1400ASSIGNED TIME 211866,B100000,00000,1500,1350PATIENT DAYS 211866,S000000,00100,0200,06/01/00 211866,S200000,00100,0100,804 POLK STREET 211866,S200000,00200,0100,WINNSBORO 211866,S200000,00200,0200,LA 211866,S200000,00200,0300,71295 211866,S200000,00300,0100,FRANKLIN 211866,S200000,00300,0200,0019 211866,S200000,00300,0300,R 211866,S200000,00400,0100,GOLDEN DOORS OF FRANKLIN PARISH 211866,S200000,00400,0200,195392 211866,S200000,00400,0300,11/01/96 211866,S200000,00400,0500,P 211866,S200000,01500,0100,N 211866,S200000,01600,0100,Y 211866,S200000,01700,0100,N 211866,S200000,01800,0100,N 211866,S200000,02200,0100,N 211866,S200000,02800,0100,N 211866,S200000,02900,0100,N 211866,S200000,03000,0100,N 211866,S200000,03100,0100,N 211866,S200000,03200,0100,N 211866,S200000,03300,0100,N 211866,S200000,03300,0200,N 211866,S200000,04100,0100,N 211866,S200000,04200,0100,N 211866,S200000,04300,0100,N 211866,S200000,04600,0100,N 211866,S200000,04700,0100,N 211866,S200000,04900,0100,N 211866,S200000,05200,0100,N 211867,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 211867,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 211867,A000000,00300,0000,0300EMPLOYEE BENEFITS 211867,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 211867,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 211867,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 211867,A000000,00700,0000,0700HOUSEKEEPING 211867,A000000,00800,0000,0800DIETARY 211867,A000000,00900,0000,0900NURSING ADMINISTRATION 211867,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 211867,A000000,01100,0000,1100PHARMACY 211867,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 211867,A000000,01300,0000,1300SOCIAL SERVICE 211867,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 211867,A000000,01500,0000,1350OTHER GENERAL SERVICES 211867,A000000,01600,0000,1600SKILLED NURSING FACILITY 211867,A000000,01800,0000,1800NURSING FACILITY 211867,A000000,01810,0000,1810ICF/MR 211867,A000000,02100,0000,2100RADIOLOGY 211867,A000000,02200,0000,2200LABORATORY 211867,A000000,02500,0000,2500PHYSICAL THERAPY 211867,A000000,02600,0000,2600OCCUPATIONAL THERAPY 211867,A000000,02700,0000,2700SPEECH PATHOLOGY 211867,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 211867,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 211867,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 211867,A000000,03550,0000,3550FQHC 211867,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 211867,A000000,04801,0000,4801AMBULANCE 211867,A000000,04802,0000,4802AMBULANCE 211867,A000000,04803,0000,4803AMBULANCE 211867,A000000,05000,0000,5000CORF 211867,A000000,05010,0000,5010CMHC 211867,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 211867,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 211867,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 211867,A000000,05100,0000,4750OTHER REIMBURSABLE COST 211867,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 211867,A000000,05900,0000,5900BARBER & BEAUTY SHOP 211867,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 211867,A81000A,00100,0100,Y 211867,A81000B,00100,0300,MANAGEMENT FEES 211867,A81000C,00100,0100,B 211867,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 211867,A81000C,00100,0600,MANAGEMENT COMPANY 211867,B100000,00000,0100,0100SQUARE FEET 211867,B100000,00000,0200,0200SQUARE FEET 211867,B100000,00000,0300,0300GROSS SALARIES 211867,B100000,00000,0400,0400ACCUM COST 211867,B100000,00000,0500,0500SQUARE FEET 211867,B100000,00000,0600,0600POUNDS OF LAUNDRY 211867,B100000,00000,0700,0700SQUARE FEET 211867,B100000,00000,0800,0800MEALS SERVED 211867,B100000,00000,0900,0900DIRECT NRSING HRS 211867,B100000,00000,1000,1000COSTED REQUIS. 211867,B100000,00000,1100,1100COSTED REQUIS. 211867,B100000,00000,1200,1200TIME SPENT 211867,B100000,00000,1300,1300TIME SPENT 211867,B100000,00000,1400,1400ASSIGNED TIME 211867,B100000,00000,1500,1350NO STATISTICS 211867,E10A180,00301,0100,03/31/00 211867,E10A180,00501,0100,10/11/00 211867,S000000,00100,0200,08/31/00 211867,S200000,00100,0100,4532 SALE LANE 211867,S200000,00200,0100,LAKE CHARLES 211867,S200000,00200,0200,LA 211867,S200000,00200,0300,70605 211867,S200000,00300,0100,CALCASIEU 211867,S200000,00300,0200,3960 211867,S200000,00300,0300,U 211867,S200000,00400,0100,RESTHAVEN NURSING CENTER 211867,S200000,00400,0200,195414 211867,S200000,00400,0300,06/01/97 211867,S200000,00400,0500,P 211867,S200000,01500,0100,N 211867,S200000,01600,0100,Y 211867,S200000,01700,0100,N 211867,S200000,01800,0100,N 211867,S200000,01900,0100,NON PROFIT 211867,S200000,02200,0100,N 211867,S200000,02800,0100,N 211867,S200000,02900,0100,N 211867,S200000,03000,0100,N 211867,S200000,03100,0100,N 211867,S200000,03200,0100,N 211867,S200000,03300,0100,N 211867,S200000,03300,0200,N 211867,S200000,04100,0100,N 211867,S200000,04200,0100,N 211867,S200000,04300,0100,Y 211867,S200000,04600,0100,N 211867,S200000,04700,0100,N 211867,S200000,04900,0100,N 211867,S200000,05200,0100,N 212265,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 212265,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 212265,A000000,00300,0000,0300EMPLOYEE BENEFITS 212265,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 212265,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 212265,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 212265,A000000,00700,0000,0700HOUSEKEEPING 212265,A000000,00800,0000,0800DIETARY 212265,A000000,00900,0000,0900NURSING ADMINISTRATION 212265,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 212265,A000000,01100,0000,1100PHARMACY 212265,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 212265,A000000,01300,0000,1300SOCIAL SERVICE 212265,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 212265,A000000,01500,0000,1350PATIENT ACTIVITIES 212265,A000000,01600,0000,1600SKILLED NURSING FACILITY 212265,A000000,01810,0000,1810ICF/MR 212265,A000000,02200,0000,2200LABORATORY 212265,A000000,02500,0000,2500PHYSICAL THERAPY 212265,A000000,02600,0000,2600OCCUPATIONAL THERAPY 212265,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 212265,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 212265,A000000,03001,0000,3001AIR FLUIDIZED BEDS 212265,A000000,03550,0000,3550FQHC 212265,A000000,04801,0000,4801AMBULANCE 212265,A000000,04802,0000,4802AMBULANCE 212265,A000000,04803,0000,4803AMBULANCE 212265,A000000,05000,0000,5000CORF 212265,A000000,05010,0000,5010CMHC 212265,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 212265,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 212265,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 212265,A000000,05900,0000,5900BARBER & BEAUTY SHOP 212265,A81000A,00100,0100,N 212265,B100000,00000,0100,0100SQUARE FEET 212265,B100000,00000,0200,0200SQUARE FEET 212265,B100000,00000,0300,0300GROSS SALARIES 212265,B100000,00000,0400,0400ACCUM COST 212265,B100000,00000,0500,0500SQUARE FEET 212265,B100000,00000,0600,0600PATIENT DAYS 212265,B100000,00000,0700,0700SQUARE FEET 212265,B100000,00000,0800,0800MEALS SERVED 212265,B100000,00000,0900,0900DIRECT NRSING HRS 212265,B100000,00000,1000,1000COSTED REQUIS 212265,B100000,00000,1100,1100COSTED REQUIS 212265,B100000,00000,1200,1200TIME SPENT 212265,B100000,00000,1300,1300PATIENT DAYS 212265,B100000,00000,1400,1400ASSIGNED TIME 212265,B100000,00000,1500,1350PATIENT DAYS 212265,E10A180,00501,0100, 3/07/01 212265,E10A180,00501,0300, 3/07/01 212265,S000000,00100,0200,01/31/01 212265,S200000,00100,0100,1002 TIGER DRIVE 212265,S200000,00200,0100,THIBODAUX 212265,S200000,00200,0200,LA 212265,S200000,00200,0300,70301 212265,S200000,00300,0100,L 212265,S200000,00300,0200,3350 212265,S200000,00300,0300,U 212265,S200000,00400,0100,LAFOURCHE HOME FOR THE AGED 212265,S200000,00400,0200,195449 212265,S200000,00400,0300,12/01/97 212265,S200000,00400,0500,P 212265,S200000,01500,0100,N 212265,S200000,01600,0100,Y 212265,S200000,01700,0100,N 212265,S200000,01800,0100,N 212265,S200000,02200,0100,N 212265,S200000,02800,0100,N 212265,S200000,02900,0100,N 212265,S200000,03000,0100,N 212265,S200000,03100,0100,N 212265,S200000,03200,0100,N 212265,S200000,03300,0100,N 212265,S200000,03300,0200,N 212265,S200000,04100,0100,N 212265,S200000,04200,0100,N 212265,S200000,04300,0100,N 212265,S200000,04600,0100,N 212265,S200000,04700,0100,N 212265,S200000,04900,0100,N 212265,S200000,05200,0100,N 212498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 212498,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 212498,A000000,00300,0000,0300EMPLOYEE BENEFITS 212498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 212498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 212498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 212498,A000000,00700,0000,0700HOUSEKEEPING 212498,A000000,00800,0000,0800DIETARY 212498,A000000,00900,0000,0900NURSING ADMINISTRATION 212498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 212498,A000000,01100,0000,1100PHARMACY 212498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 212498,A000000,01300,0000,1300SOCIAL SERVICE 212498,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 212498,A000000,01500,0000,1350OTHER GENERAL SERVICES 212498,A000000,01600,0000,1600SKILLED NURSING FACILITY 212498,A000000,01810,0000,1810ICF/MR 212498,A000000,02100,0000,2100RADIOLOGY 212498,A000000,02500,0000,2500PHYSICAL THERAPY 212498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 212498,A000000,02700,0000,2700SPEECH PATHOLOGY 212498,A000000,02800,0000,2800ELECTROCARDIOLOGY 212498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 212498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 212498,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 212498,A000000,03301,0000,3051CLINITRON THERAPY 212498,A000000,03550,0000,3550FQHC 212498,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 212498,A000000,04801,0000,4801AMBULANCE 212498,A000000,04802,0000,4802AMBULANCE 212498,A000000,04803,0000,4803AMBULANCE 212498,A000000,05000,0000,5000CORF 212498,A000000,05010,0000,5010CMHC 212498,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 212498,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 212498,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 212498,A000000,05100,0000,4750OTHER REIMBURSABLE COST 212498,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 212498,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 212498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 212498,A81000A,00100,0100,N 212498,B100000,00000,0100,0100SQUARE FEET 212498,B100000,00000,0200,0200NO STATISTICS 212498,B100000,00000,0300,0300GROSS SALARIES 212498,B100000,00000,0400,0400ACCUM COST 212498,B100000,00000,0500,0500SQUARE FEET 212498,B100000,00000,0600,0600LAUNDRY DISTRIBUTE 212498,B100000,00000,0700,0700HOURS WORKED 212498,B100000,00000,0800,0800MEALS SERVED 212498,B100000,00000,0900,0900NO STATISTICS 212498,B100000,00000,1000,1000NO STATISTICS 212498,B100000,00000,1100,1100NO STATISTICS 212498,B100000,00000,1200,1200NO STATISTICS 212498,B100000,00000,1300,1300NO STATISTICS 212498,B100000,00000,1400,1400NO STATISTICS 212498,B100000,00000,1500,1350NO STATISTICS 212498,E10A180,00301,0100,05/10/00 212498,S000000,00100,0200,06/02/00 212498,S200000,00100,0100,1010 UNDERHILL AVENUE 212498,S200000,00200,0100,BRONX 212498,S200000,00200,0200,NY 212498,S200000,00200,0300,10472 212498,S200000,00300,0100,BRONX 212498,S200000,00300,0200,5600 212498,S200000,00300,0300,U 212498,S200000,00400,0100,BRONX CENTER FOR REHAB & H.C. 212498,S200000,00400,0200,335506 212498,S200000,00400,0300,10/21/98 212498,S200000,00400,0500,P 212498,S200000,01500,0100,Y 212498,S200000,01600,0100,N 212498,S200000,01700,0100,N 212498,S200000,01800,0100,N 212498,S200000,02200,0100,N 212498,S200000,02800,0100,N 212498,S200000,02900,0100,N 212498,S200000,03000,0100,N 212498,S200000,03100,0100,N 212498,S200000,03200,0100,N 212498,S200000,03300,0100,N 212498,S200000,03300,0200,N 212498,S200000,04100,0100,N 212498,S200000,04200,0100,N 212498,S200000,04300,0100,N 212498,S200000,04600,0100,N 212498,S200000,04700,0100,N 212498,S200000,04900,0100,N 212498,S200000,05200,0100,N 212499,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 212499,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 212499,A000000,00300,0000,0300EMPLOYEE BENEFITS 212499,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 212499,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 212499,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 212499,A000000,00700,0000,0700HOUSEKEEPING 212499,A000000,00800,0000,0800DIETARY 212499,A000000,00900,0000,0900NURSING ADMINISTRATION 212499,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 212499,A000000,01100,0000,1100PHARMACY 212499,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 212499,A000000,01300,0000,1300SOCIAL SERVICE 212499,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 212499,A000000,01600,0000,1600SKILLED NURSING FACILITY 212499,A000000,01810,0000,1810ICF/MR 212499,A000000,02100,0000,2100RADIOLOGY 212499,A000000,02200,0000,2200LABORATORY 212499,A000000,02500,0000,2500PHYSICAL THERAPY 212499,A000000,02600,0000,2600OCCUPATIONAL THERAPY 212499,A000000,02700,0000,2700SPEECH PATHOLOGY 212499,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 212499,A000000,03550,0000,3550FQHC 212499,A000000,04801,0000,4801AMBULANCE 212499,A000000,04802,0000,4802AMBULANCE 212499,A000000,04803,0000,4803AMBULANCE 212499,A000000,05000,0000,5000CORF 212499,A000000,05010,0000,5010CMHC 212499,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 212499,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 212499,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 212499,A000000,05900,0000,5900BARBER & BEAUTY SHOP 212499,A81000A,00100,0100,Y 212499,A81000B,00100,0300,RENT 212499,A81000B,00200,0300,DEPRECIATION - BLDG 212499,A81000B,00300,0300,PROF FEES 212499,A81000B,00400,0300,REAL ESTATE TAX 212499,A81000B,00500,0300,INSURANCE - BLDG 212499,A81000C,00100,0100,A 212499,A81000C,00100,0200,MORRIS E. RICHA 212499,A81000C,00100,0400,ME & EE RICHARD 212499,A81000C,00100,0600,REAL ESTATE 212499,A81000C,00200,0100,A 212499,A81000C,00200,0200,MORRIS E. RICHA 212499,A81000C,00200,0400,LATTA RD A 212499,A81000C,00200,0600,SKILLED NURSING 212499,B100000,00000,0100,0100SQUARE FEET 212499,B100000,00000,0200,0200SQUARE FEET 212499,B100000,00000,0300,0300GROSS SALARIES 212499,B100000,00000,0400,0400ACCUM COST 212499,B100000,00000,0500,0500SQUARE FEET 212499,B100000,00000,0600,0600POUNDS OF LAUNDRY 212499,B100000,00000,0700,0700HOURS OF SERVICE 212499,B100000,00000,0800,0800MEALS SERVED 212499,B100000,00000,0900,0900DIRECT NRSG HRS 212499,B100000,00000,1000,1000COSTED REQUIS 212499,B100000,00000,1100,1100COSTED REQUIS 212499,B100000,00000,1200,1200TIME SPENT 212499,B100000,00000,1300,1300TIME SPENT 212499,B100000,00000,1400,1400ASSIGNED TIME 212499,S000000,00100,0200,09/06/01 212499,S200000,00100,0100,2100 LATTA ROAD 212499,S200000,00200,0100,ROCHESTER 212499,S200000,00200,0200,NY 212499,S200000,00200,0300,14612 212499,S200000,00300,0100,MONROE 212499,S200000,00300,0200,6840 212499,S200000,00300,0300,U 212499,S200000,00400,0100,LATTA ROAD NRSG. HOME 212499,S200000,00400,0200,335617 212499,S200000,00400,0300,01/01/78 212499,S200000,00400,0500,P 212499,S200000,01500,0100,Y 212499,S200000,01600,0100,N 212499,S200000,01700,0100,N 212499,S200000,01800,0100,N 212499,S200000,02200,0100,N 212499,S200000,02800,0100,Y 212499,S200000,02900,0100,N 212499,S200000,03000,0100,N 212499,S200000,03100,0100,N 212499,S200000,03200,0100,N 212499,S200000,03300,0100,N 212499,S200000,03300,0200,N 212499,S200000,04100,0100,N 212499,S200000,04200,0100,N 212499,S200000,04300,0100,N 212499,S200000,04600,0100,N 212499,S200000,04700,0100,N 212499,S200000,04900,0100,N 212499,S200000,05200,0100,N 212500,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 212500,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 212500,A000000,00300,0000,0300EMPLOYEE BENEFITS 212500,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 212500,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 212500,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 212500,A000000,00700,0000,0700HOUSEKEEPING 212500,A000000,00800,0000,0800DIETARY 212500,A000000,00900,0000,0900NURSING ADMINISTRATION 212500,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 212500,A000000,01100,0000,1100PHARMACY 212500,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 212500,A000000,01300,0000,1300SOCIAL SERVICE 212500,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 212500,A000000,01600,0000,1600SKILLED NURSING FACILITY 212500,A000000,01810,0000,1810ICF/MR 212500,A000000,02100,0000,2100RADIOLOGY 212500,A000000,02200,0000,2200LABORATORY 212500,A000000,02500,0000,2500PHYSICAL THERAPY 212500,A000000,02600,0000,2600OCCUPATIONAL THERAPY 212500,A000000,02700,0000,2700SPEECH PATHOLOGY 212500,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 212500,A000000,03550,0000,3550FQHC 212500,A000000,04801,0000,4801AMBULANCE 212500,A000000,04802,0000,4802AMBULANCE 212500,A000000,04803,0000,4803AMBULANCE 212500,A000000,05000,0000,5000CORF 212500,A000000,05010,0000,5010CMHC 212500,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 212500,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 212500,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 212500,A000000,05900,0000,5900BARBER & BEAUTY SHOP 212500,A81000A,00100,0100,Y 212500,A81000B,00100,0300,RENT 212500,A81000B,00200,0300,DEPR - BLDG 212500,A81000B,00300,0300,PROF FEES 212500,A81000B,00400,0300,REAL ESTATE TAXES 212500,A81000B,00500,0300,INSURANCE - BLDG 212500,A81000C,00100,0100,A 212500,A81000C,00100,0200,MORRIS E RICHAR 212500,A81000C,00100,0400,ME&EE RICHARDSO 212500,A81000C,00100,0600,REAL ESTATE MGM 212500,A81000C,00200,0100,A 212500,A81000C,00200,0200,MORRIS E RICHAR 212500,A81000C,00200,0400,LATTA ROAD NURS 212500,A81000C,00200,0600,SNF 212500,B100000,00000,0100,0100SQUARE FEET 212500,B100000,00000,0200,0200SQUARE FEET 212500,B100000,00000,0300,0300GROSS SALARIES 212500,B100000,00000,0400,0400ACCUM COST 212500,B100000,00000,0500,0500SQUARE FEET 212500,B100000,00000,0600,0600POUNDS OF LAUNDRY 212500,B100000,00000,0700,0700HOURS OF SERVICE 212500,B100000,00000,0800,0800MEALS SERVED 212500,B100000,00000,0900,0900DIRECT NRSG HRS 212500,B100000,00000,1000,1000COSTED REQUIS 212500,B100000,00000,1100,1100COSTED REQUIS 212500,B100000,00000,1200,1200TIME SPENT 212500,B100000,00000,1300,1300TIME SPENT 212500,B100000,00000,1400,1400ASSIGNED TIME 212500,S000000,00100,0200,09/06/01 212500,S200000,00100,0100,2102 LATTA ROAD 212500,S200000,00200,0100,ROCHESTER 212500,S200000,00200,0200,NY 212500,S200000,00200,0300,14612 212500,S200000,00300,0100,MONROE 212500,S200000,00300,0200,6840 212500,S200000,00300,0300,U 212500,S200000,00400,0100,LATTA ROAD NRSG. HOME A 212500,S200000,00400,0200,335618 212500,S200000,00400,0300,01/01/78 212500,S200000,00400,0500,P 212500,S200000,01500,0100,Y 212500,S200000,01600,0100,N 212500,S200000,01700,0100,N 212500,S200000,01800,0100,N 212500,S200000,02100,0100,A 212500,S200000,02200,0100,N 212500,S200000,02800,0100,N 212500,S200000,02900,0100,N 212500,S200000,03000,0100,N 212500,S200000,03100,0100,N 212500,S200000,03200,0100,N 212500,S200000,03300,0100,N 212500,S200000,03300,0200,N 212500,S200000,04100,0100,N 212500,S200000,04200,0100,N 212500,S200000,04300,0100,N 212500,S200000,04600,0100,N 212500,S200000,04700,0100,N 212500,S200000,04900,0100,N 212500,S200000,05200,0100,N 212808,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 212808,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 212808,A000000,00300,0000,0300EMPLOYEE BENEFITS 212808,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 212808,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 212808,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 212808,A000000,00700,0000,0700HOUSEKEEPING 212808,A000000,00800,0000,0800DIETARY 212808,A000000,00900,0000,0900NURSING ADMINISTRATION 212808,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 212808,A000000,01100,0000,1100PHARMACY 212808,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 212808,A000000,01300,0000,1300SOCIAL SERVICE 212808,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 212808,A000000,01500,0000,1350OTHER GENERAL SERVICES 212808,A000000,01600,0000,1600SKILLED NURSING FACILITY 212808,A000000,01800,0000,1800NURSING FACILITY 212808,A000000,01810,0000,1810ICF/MR 212808,A000000,01900,0000,1900OTHER LONG TERM CARE 212808,A000000,02100,0000,2100RADIOLOGY 212808,A000000,02200,0000,2200LABORATORY 212808,A000000,02300,0000,2300INTRAVENOUS THERAPY 212808,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 212808,A000000,02500,0000,2500PHYSICAL THERAPY 212808,A000000,02600,0000,2600OCCUPATIONAL THERAPY 212808,A000000,02700,0000,2700SPEECH PATHOLOGY 212808,A000000,02800,0000,2800ELECTROCARDIOLOGY 212808,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 212808,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 212808,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 212808,A000000,03200,0000,3200SUPPORT SURFACES 212808,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 212808,A000000,03400,0000,3400CLINIC 212808,A000000,03500,0000,3500RURAL HEALTH CLINIC 212808,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 212808,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 212808,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 212808,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 212808,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 212808,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 212808,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 212808,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 212808,A000000,04400,0000,4400DME RENTED - HHA 212808,A000000,04500,0000,4500DME SOLD - HHA 212808,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 212808,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 212808,A000000,04800,0000,4800AMBULANCE 212808,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 212808,A000000,05000,0000,5000CORF 212808,A000000,05100,0000,4750OTHER REIMBURSABLE COST 212808,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 212808,A000000,05300,0000,5300INTEREST EXPENSE 212808,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 212808,A000000,05500,0000,5500HOSPICE 212808,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 212808,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 212808,A000000,05900,0000,5900BARBER & BEAUTY SHOP 212808,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 212808,A000000,06100,0000,6100NONPAID WORKERS 212808,A000000,06200,0000,6200PATIENTS LAUNDRY 212808,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 212808,A81000A,00100,0100,N 212808,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 212808,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 212808,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 212808,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 212808,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 212808,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 212808,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 212808,B100000,00000,0800,0800MEALS SERVED :DIETARY 212808,B100000,00000,0900,0950DIR NRSG LABOR COST:NURSING ADMI 212808,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 212808,S000000,00100,0200,12/05/00 212808,S200000,00100,0100,2150 PYRAMID DRIVE 212808,S200000,00200,0100,RICHMOND 212808,S200000,00200,0200,CA 212808,S200000,00200,0300,94803- 212808,S200000,00300,0100,CONTRA COSTA 212808,S200000,00300,0200,5775 212808,S200000,00300,0300,U 212808,S200000,00400,0100,LIVE OAK LIVING CENTER 212808,S200000,00400,0200,056457 212808,S200000,00400,0300,05/09/86 212808,S200000,00400,0500,P 212808,S200000,01500,0100,Y 212808,S200000,01600,0100,N 212808,S200000,01700,0100,N 212808,S200000,01800,0100,N 212808,S200000,02200,0100,N 212808,S200000,02800,0100,Y 212808,S200000,02900,0100,N 212808,S200000,03000,0100,N 212808,S200000,03100,0100,N 212808,S200000,03200,0100,N 212808,S200000,04100,0100,N 212808,S200000,04200,0100,N 212808,S200000,04300,0100,N 212808,S200000,04600,0100,N 212808,S200000,04700,0100,N 212808,S200000,04700,0200,N 212808,S200000,04900,0100,N 212808,S200000,05000,0100,N 212808,S200000,05100,0100,N 212808,S200000,05200,0100,N 213096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213096,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213096,A000000,00300,0000,0300EMPLOYEE BENEFITS 213096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213096,A000000,00700,0000,0700HOUSEKEEPING 213096,A000000,00800,0000,0800DIETARY 213096,A000000,00900,0000,0900NURSING ADMINISTRATION 213096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213096,A000000,01100,0000,1100PHARMACY 213096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213096,A000000,01300,0000,1300SOCIAL SERVICE 213096,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213096,A000000,01500,0000,1350RECREATION 213096,A000000,01600,0000,1600SKILLED NURSING FACILITY 213096,A000000,01800,0000,1800NURSING FACILITY 213096,A000000,01810,0000,1810ICF/MR 213096,A000000,02200,0000,2200LABORATORY 213096,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213096,A000000,02500,0000,2500PHYSICAL THERAPY 213096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213096,A000000,02700,0000,2700SPEECH PATHOLOGY 213096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213096,A000000,03300,0000,3050PEN 213096,A000000,03310,0000,3051EQUIPMENT RENTAL 213096,A000000,03550,0000,3550FQHC 213096,A000000,04801,0000,4801AMBULANCE 213096,A000000,04802,0000,4802AMBULANCE 213096,A000000,04803,0000,4803AMBULANCE 213096,A000000,05000,0000,5000CORF 213096,A000000,05010,0000,5010CMHC 213096,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213096,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213096,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213096,A81000A,00100,0100,N 213096,B100000,00000,0100,0100SQUARE FEET 213096,B100000,00000,0200,0200SQUARE FEET 213096,B100000,00000,0300,0300GROSS SALARIES 213096,B100000,00000,0400,0400ACCUM COST 213096,B100000,00000,0500,0500SQUARE FEET 213096,B100000,00000,0600,0600PATIENT DAYS 213096,B100000,00000,0700,0700SQUARE FEET 213096,B100000,00000,0800,0800MEALS SERVED 213096,B100000,00000,0900,0900PATIENT DAYS 213096,B100000,00000,1000,1000COSTED REQUIS 213096,B100000,00000,1100,1100COSTED REQUIS 213096,B100000,00000,1200,1200PATIENT DAYS 213096,B100000,00000,1300,1300PATIENT DAYS 213096,B100000,00000,1400,1400ASSIGNED TIME 213096,B100000,00000,1500,1350PATIENT DAYS 213096,S000000,00100,0200,01/16/01 213096,S200000,00100,0100,100 KINGSTON ROAD 213096,S200000,00200,0100,SULPHUR 213096,S200000,00200,0200,LA 213096,S200000,00200,0300,70663 213096,S200000,00300,0100,C 213096,S200000,00300,0200,3960 213096,S200000,00300,0300,U 213096,S200000,00400,0100,HOLLY HILL HOUSE INC 213096,S200000,00400,0200,195431 213096,S200000,00400,0300,09/01/97 213096,S200000,00400,0500,P 213096,S200000,01500,0100,N 213096,S200000,01600,0100,Y 213096,S200000,01700,0100,N 213096,S200000,01800,0100,N 213096,S200000,02200,0100,N 213096,S200000,02800,0100,N 213096,S200000,02900,0100,N 213096,S200000,03000,0100,N 213096,S200000,03100,0100,N 213096,S200000,03200,0100,N 213096,S200000,03300,0100,N 213096,S200000,03300,0200,N 213096,S200000,04100,0100,N 213096,S200000,04200,0100,N 213096,S200000,04300,0100,N 213096,S200000,04600,0100,N 213096,S200000,04700,0100,N 213096,S200000,04900,0100,N 213096,S200000,05200,0100,N 213385,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213385,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213385,A000000,00300,0000,0300EMPLOYEE BENEFITS 213385,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213385,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213385,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213385,A000000,00700,0000,0700HOUSEKEEPING 213385,A000000,00800,0000,0800DIETARY 213385,A000000,00900,0000,0900NURSING ADMINISTRATION 213385,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213385,A000000,01100,0000,1100PHARMACY 213385,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213385,A000000,01300,0000,1300SOCIAL SERVICE 213385,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213385,A000000,01500,0000,1350OTHER GENERAL SERVICES 213385,A000000,01600,0000,1600SKILLED NURSING FACILITY 213385,A000000,01800,0000,1800NURSING FACILITY 213385,A000000,01810,0000,1810ICF/MR 213385,A000000,02200,0000,2200LABORATORY 213385,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213385,A000000,02500,0000,2500PHYSICAL THERAPY 213385,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213385,A000000,02700,0000,2700SPEECH PATHOLOGY 213385,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213385,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213385,A000000,03550,0000,3550FQHC 213385,A000000,04801,0000,4801AMBULANCE 213385,A000000,04802,0000,4802AMBULANCE 213385,A000000,04803,0000,4803AMBULANCE 213385,A000000,05000,0000,5000CORF 213385,A000000,05010,0000,5010CMHC 213385,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213385,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213385,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213385,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213385,A81000A,00100,0100,Y 213385,A81000B,00100,0300,LEASE EXPENSE 213385,A81000C,00100,0100,G 213385,A81000C,00100,0200,ST. LUKE S NURSING CENTER 213385,A81000C,00100,0400,ST. LUKE S NURSING CENTER 213385,A81000C,00100,0600,NON-PROFIT LANDLORD 213385,B100000,00000,0100,0100SQUARE FEET 213385,B100000,00000,0200,0200SQUARE FEET 213385,B100000,00000,0300,0300GROSS SALARIES 213385,B100000,00000,0400,0400ACCUM COST 213385,B100000,00000,0500,0500SQUARE FEET 213385,B100000,00000,0600,0600POUNDS OF LAUNDRY 213385,B100000,00000,0700,0700RESIDENT DAYS 213385,B100000,00000,0800,0800MEALS SERVED 213385,B100000,00000,0900,0900RESIDENT DAYS 213385,B100000,00000,1000,1000COSTED REQUIS 213385,B100000,00000,1100,1100COSTED REQUIS 213385,B100000,00000,1200,1200RESIDENT DAYS 213385,B100000,00000,1300,1300RESIDENT DAYS 213385,B100000,00000,1400,1400ASSIGNED TIME 213385,B100000,00000,1500,1350RESIDENT DAYS 213385,E10A180,00550,0300,04/06/01 213385,S000000,00100,0200,03/02/01 213385,S200000,00100,0100,1220 EASE FAIRVIEW 213385,S200000,00200,0100,CARTHAGE 213385,S200000,00200,0200,MO 213385,S200000,00200,0300,64836 213385,S200000,00300,0100,J 213385,S200000,00300,0200,3710 213385,S200000,00300,0300,R 213385,S200000,00400,0100,ST. LUKE S MANAGEMENT CO. INC. 213385,S200000,00400,0200,265661 213385,S200000,00400,0300,01/01/97 213385,S200000,00400,0500,P 213385,S200000,01500,0100,N 213385,S200000,01600,0100,Y 213385,S200000,01700,0100,N 213385,S200000,01800,0100,N 213385,S200000,02200,0100,N 213385,S200000,02800,0100,N 213385,S200000,02900,0100,N 213385,S200000,03000,0100,N 213385,S200000,03100,0100,N 213385,S200000,03200,0100,N 213385,S200000,03300,0100,N 213385,S200000,03300,0200,N 213385,S200000,04100,0100,N 213385,S200000,04200,0100,N 213385,S200000,04300,0100,N 213385,S200000,04600,0100,N 213385,S200000,04700,0100,N 213385,S200000,04900,0100,N 213385,S200000,05200,0100,N 213462,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213462,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213462,A000000,00300,0000,0300EMPLOYEE BENEFITS 213462,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213462,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213462,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213462,A000000,00700,0000,0700HOUSEKEEPING 213462,A000000,00800,0000,0800DIETARY 213462,A000000,00900,0000,0900NURSING ADMINISTRATION 213462,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213462,A000000,01100,0000,1100PHARMACY 213462,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213462,A000000,01300,0000,1300SOCIAL SERVICE 213462,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213462,A000000,01500,0000,1350OTHER GENERAL SERVICES 213462,A000000,01501,0000,1351TRANSPORTATION 213462,A000000,01600,0000,1600SKILLED NURSING FACILITY 213462,A000000,01800,0000,1800NURSING FACILITY 213462,A000000,01810,0000,1810ICF/MR 213462,A000000,01900,0000,1900OTHER LONG TERM CARE 213462,A000000,02200,0000,2200LABORATORY 213462,A000000,02500,0000,2500PHYSICAL THERAPY 213462,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213462,A000000,02700,0000,2700SPEECH PATHOLOGY 213462,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213462,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213462,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 213462,A000000,03550,0000,3550FQHC 213462,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 213462,A000000,04801,0000,4801AMBULANCE 213462,A000000,04802,0000,4802AMBULANCE 213462,A000000,04803,0000,4803AMBULANCE 213462,A000000,05000,0000,5000CORF 213462,A000000,05010,0000,5010CMHC 213462,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213462,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213462,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213462,A000000,05100,0000,4750OTHER REIMBURSABLE COST 213462,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 213462,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213462,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213462,A000000,06301,0000,6151INDEPENDENT LIVING UNITS 213462,A81000A,00100,0100,N 213462,B100000,00000,0100,0100SQUARE FEET 213462,B100000,00000,0200,0200SQUARE FEET 213462,B100000,00000,0300,0300GROSS SALARIES 213462,B100000,00000,0400,0400ACCUM COST 213462,B100000,00000,0500,0500SQUARE FEET 213462,B100000,00000,0600,0600POUNDS OF LAUNDRY 213462,B100000,00000,0700,0700SQUARE FEET 213462,B100000,00000,0800,0800MEALS SERVED 213462,B100000,00000,0900,0900DIRECT NRSING HRS 213462,B100000,00000,1000,1000COSTED REQUIS. 213462,B100000,00000,1100,1100COSTED REQUIS. 213462,B100000,00000,1200,1200TIME SPENT 213462,B100000,00000,1300,1300TIME SPENT 213462,B100000,00000,1400,1400ASSIGNED TIME 213462,B100000,00000,1500,1350NO STATISTICS 213462,B100000,00000,1501,1351TIME SPENT 213462,S000000,00100,0200,06/09/00 213462,S200000,00100,0100,2150 RANDOLPH STREET 213462,S200000,00200,0100,ST. CHARLES 213462,S200000,00200,0200,MO 213462,S200000,00200,0300,63301 213462,S200000,00300,0100,ST. CHARLES 213462,S200000,00300,0200,7040 213462,S200000,00300,0300,U 213462,S200000,00400,0100,PARKSIDE MEADOWS INC. 213462,S200000,00400,0200,265518 213462,S200000,00400,0300,12/03/92 213462,S200000,00400,0500,P 213462,S200000,00400,0600,O 213462,S200000,00600,0200,101492 213462,S200000,00600,0300,03/04/77 213462,S200000,01500,0100,N 213462,S200000,01600,0100,Y 213462,S200000,01700,0100,N 213462,S200000,01800,0100,N 213462,S200000,02200,0100,N 213462,S200000,02800,0100,N 213462,S200000,02900,0100,N 213462,S200000,03000,0100,N 213462,S200000,03100,0100,N 213462,S200000,03200,0100,N 213462,S200000,03300,0100,N 213462,S200000,03300,0200,N 213462,S200000,03500,0300,N 213462,S200000,04100,0100,N 213462,S200000,04200,0100,N 213462,S200000,04300,0100,N 213462,S200000,04600,0100,N 213462,S200000,04700,0100,N 213462,S200000,04900,0100,N 213462,S200000,05200,0100,N 213463,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213463,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213463,A000000,00300,0000,0300EMPLOYEE BENEFITS 213463,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213463,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213463,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213463,A000000,00700,0000,0700HOUSEKEEPING 213463,A000000,00800,0000,0800DIETARY 213463,A000000,00900,0000,0900NURSING ADMINISTRATION 213463,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213463,A000000,01100,0000,1100PHARMACY 213463,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213463,A000000,01300,0000,1300SOCIAL SERVICE 213463,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213463,A000000,01500,0000,1350OTHER GENERAL SERVICES 213463,A000000,01600,0000,1600SKILLED NURSING FACILITY 213463,A000000,01800,0000,1800NURSING FACILITY 213463,A000000,01810,0000,1810ICF/MR 213463,A000000,01900,0000,1900OTHER LONG TERM CARE 213463,A000000,02500,0000,2500PHYSICAL THERAPY 213463,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213463,A000000,02700,0000,2700SPEECH PATHOLOGY 213463,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213463,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213463,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 213463,A000000,03550,0000,3550FQHC 213463,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 213463,A000000,04801,0000,4801AMBULANCE 213463,A000000,04802,0000,4802AMBULANCE 213463,A000000,04803,0000,4803AMBULANCE 213463,A000000,05000,0000,5000CORF 213463,A000000,05010,0000,5010CMHC 213463,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213463,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213463,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213463,A000000,05100,0000,4750OTHER REIMBURSABLE COST 213463,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 213463,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213463,A81000A,00100,0100,Y 213463,A81000B,00100,0300,CAP REL COSTS - BLDGS & F RENT 213463,A81000C,00100,0100,C 213463,A81000C,00100,0200,GMG PROPERTIES LLC 213463,B100000,00000,0100,0100FEET 213463,B100000,00000,0200,0200FEET 213463,B100000,00000,0300,0300GROSS SALARIES 213463,B100000,00000,0400,0400ACCUM COST 213463,B100000,00000,0500,0500FEET 213463,B100000,00000,0600,0600PATIENT DAYS 213463,B100000,00000,0700,0700FEET 213463,B100000,00000,0800,0800PATIENT DAYS 213463,B100000,00000,0900,0900PATIENT DAYS 213463,B100000,00000,1000,1000DIRECT NRSNG HRS 213463,B100000,00000,1100,1100COSTED REQUIS. 213463,B100000,00000,1200,1200PATIENT DAYS 213463,B100000,00000,1300,1300PATIENT DAYS 213463,B100000,00000,1400,1400ASSIGNED TIME 213463,B100000,00000,1500,1350NO STATISTICS 213463,S000000,00100,0200,05/18/00 213463,S200000,00100,0100,500 NORTH BROADWAY 213463,S200000,00200,0100,ST. LOUIS 213463,S200000,00200,0200,MO 213463,S200000,00200,0300,63111 213463,S200000,00300,0100,ST. LOUIS 213463,S200000,00300,0200,7040 213463,S200000,00300,0300,U 213463,S200000,00400,0100,CARRIE ELLINGSON GIETNER HOME 213463,S200000,00400,0200,265668 213463,S200000,00400,0300,03/12/97 213463,S200000,00400,0500,P 213463,S200000,01500,0100,N 213463,S200000,01600,0100,Y 213463,S200000,01700,0100,N 213463,S200000,01800,0100,N 213463,S200000,02200,0100,N 213463,S200000,02800,0100,N 213463,S200000,02900,0100,N 213463,S200000,03000,0100,N 213463,S200000,03100,0100,N 213463,S200000,03200,0100,N 213463,S200000,03300,0100,N 213463,S200000,03300,0200,N 213463,S200000,04100,0100,N 213463,S200000,04200,0100,N 213463,S200000,04300,0100,N 213463,S200000,04600,0100,N 213463,S200000,04700,0100,N 213463,S200000,04900,0100,N 213463,S200000,05200,0100,N 213566,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213566,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213566,A000000,00300,0000,0300EMPLOYEE BENEFITS 213566,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213566,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213566,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213566,A000000,00700,0000,0700HOUSEKEEPING 213566,A000000,00800,0000,0800DIETARY 213566,A000000,00900,0000,0900NURSING ADMINISTRATION 213566,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213566,A000000,01100,0000,1100PHARMACY 213566,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213566,A000000,01300,0000,1300SOCIAL SERVICE 213566,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213566,A000000,01500,0000,1350ACTIVITIES 213566,A000000,01600,0000,1600SKILLED NURSING FACILITY 213566,A000000,01800,0000,1800NURSING FACILITY 213566,A000000,01900,0000,1900OTHER LONG TERM CARE 213566,A000000,02100,0000,2100RADIOLOGY 213566,A000000,02200,0000,2200LABORATORY 213566,A000000,02300,0000,2300INTRAVENOUS THERAPY 213566,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213566,A000000,02500,0000,2500PHYSICAL THERAPY 213566,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213566,A000000,02700,0000,2700SPEECH PATHOLOGY 213566,A000000,02800,0000,2800ELECTROCARDIOLOGY 213566,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213566,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213566,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213566,A000000,03200,0000,3200SUPPORT SURFACES 213566,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213566,A000000,04800,0000,4800AMBULANCE 213566,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213566,A000000,05300,0000,5300INTEREST EXPENSE 213566,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213566,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213566,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213566,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213566,A000000,06100,0000,6100NONPAID WORKERS 213566,A000000,06200,0000,6200PATIENTS LAUNDRY 213566,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213566,A81000A,00100,0100,Y 213566,A81000B,00100,0300,HOME OFFICE COST 213566,A81000B,00200,0300,PT ADMIN FEES 213566,A81000B,00300,0300,OT ADMIN FEES 213566,A81000B,00400,0300,ST ADMIN FEES 213566,A81000C,00100,0100,B 213566,A81000C,00100,0200,MCHS - SARASOTA 213566,A81000C,00100,0400,HCR MANORCARE INC. 213566,A81000C,00100,0600,LONG TERM CARE FACILITIES 213566,A81000C,00200,0100,B 213566,A81000C,00200,0200,MCHS - SARASOTA 213566,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 213566,A81000C,00200,0600, THERAPY MANAGEMENT 213566,A81000C,00300,0100,B 213566,A81000C,00300,0200,MCHS - SARASOTA 213566,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 213566,A81000C,00300,0600, THERAPY MANAGEMENT 213566,A81000C,00400,0100,B 213566,A81000C,00400,0200,MCHS - SARASOTA 213566,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 213566,A81000C,00400,0600, THERAPY MANAGEMENT 213566,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213566,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213566,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213566,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213566,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213566,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213566,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213566,B100000,00000,0800,0800MEALS SERVED :DIETARY 213566,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213566,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213566,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213566,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213566,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213566,S000000,00100,0200,10/31/00 213566,S200000,00100,0100,5511 SWIFT ROAD 213566,S200000,00200,0100,SARASOTA 213566,S200000,00200,0200,FL 213566,S200000,00200,0300,34231- 213566,S200000,00300,0100,SARASOTA 213566,S200000,00300,0200,7510 213566,S200000,00300,0300,U 213566,S200000,00400,0100,MCHS - SARASOTA 213566,S200000,00400,0200,105454 213566,S200000,00400,0300,01/05/84 213566,S200000,00400,0500,P 213566,S200000,00400,0600,P 213566,S200000,01004,0500,O 213566,S200000,01500,0100,N 213566,S200000,01600,0100,Y 213566,S200000,01700,0100,N 213566,S200000,01800,0100,N 213566,S200000,02200,0100,N 213566,S200000,02800,0100,N 213566,S200000,02900,0100,N 213566,S200000,03000,0100,N 213566,S200000,03100,0100,N 213566,S200000,03200,0100,N 213566,S200000,04100,0100,N 213566,S200000,04200,0100,N 213566,S200000,04300,0100,N 213566,S200000,04600,0100,N 213566,S200000,04700,0100,N 213566,S200000,04700,0200,N 213566,S200000,04900,0100,N 213566,S200000,05000,0100,N 213566,S200000,05100,0100,N 213566,S200000,05200,0100,N 213579,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213579,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213579,A000000,00300,0000,0300EMPLOYEE BENEFITS 213579,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213579,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213579,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213579,A000000,00700,0000,0700HOUSEKEEPING 213579,A000000,00800,0000,0800DIETARY 213579,A000000,00900,0000,0900NURSING ADMINISTRATION 213579,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213579,A000000,01100,0000,1100PHARMACY 213579,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213579,A000000,01300,0000,1300SOCIAL SERVICE 213579,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213579,A000000,01500,0000,1350ACTIVITIES 213579,A000000,01600,0000,1600SKILLED NURSING FACILITY 213579,A000000,01800,0000,1800NURSING FACILITY 213579,A000000,01900,0000,1900OTHER LONG TERM CARE 213579,A000000,02100,0000,2100RADIOLOGY 213579,A000000,02200,0000,2200LABORATORY 213579,A000000,02300,0000,2300INTRAVENOUS THERAPY 213579,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213579,A000000,02500,0000,2500PHYSICAL THERAPY 213579,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213579,A000000,02700,0000,2700SPEECH PATHOLOGY 213579,A000000,02800,0000,2800ELECTROCARDIOLOGY 213579,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213579,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213579,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213579,A000000,03200,0000,3200SUPPORT SURFACES 213579,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213579,A000000,04800,0000,4800AMBULANCE 213579,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213579,A000000,05300,0000,5300INTEREST EXPENSE 213579,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213579,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213579,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213579,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213579,A000000,06100,0000,6100NONPAID WORKERS 213579,A000000,06200,0000,6200PATIENTS LAUNDRY 213579,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213579,A81000A,00100,0100,Y 213579,A81000B,00100,0300,HOME OFFICE COST 213579,A81000B,00200,0300,PT ADMIN FEES 213579,A81000B,00300,0300,OT ADMIN FEES 213579,A81000B,00400,0300,ST ADMIN FEES 213579,A81000B,00500,0300,DIRECT INTEREST 213579,A81000C,00100,0100,B 213579,A81000C,00100,0200,MCHS - WHEATON 213579,A81000C,00100,0400,HCR MANORCARE INC. 213579,A81000C,00100,0600,LONG TERM CARE FACILITIES 213579,A81000C,00200,0100,B 213579,A81000C,00200,0200,MCHS - WHEATON 213579,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 213579,A81000C,00200,0600,THERAPY MANAGEMENT 213579,A81000C,00300,0100,B 213579,A81000C,00300,0200,MCHS - WHEATON 213579,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 213579,A81000C,00300,0600,THERAPY MANAGEMENT 213579,A81000C,00400,0100,B 213579,A81000C,00400,0200,MCHS - WHEATON 213579,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 213579,A81000C,00400,0600,THERAPY MANAGEMENT 213579,A81000C,00500,0100,B 213579,A81000C,00500,0200,MCHS - WHEATON 213579,A81000C,00500,0400,HCR MANORCARE INC. 213579,A81000C,00500,0600,LONG TERM CARE FACILITIES 213579,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213579,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213579,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213579,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213579,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213579,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213579,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213579,B100000,00000,0800,0800MEALS SERVED :DIETARY 213579,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213579,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213579,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213579,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213579,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213579,S000000,00100,0200,10/27/00 213579,S200000,00100,0100,11901 GEORGIA AVE 213579,S200000,00200,0100,WHEATON 213579,S200000,00200,0200,MD 213579,S200000,00200,0300,20902- 213579,S200000,00300,0100,MONTGOMERY 213579,S200000,00300,0200,8840 213579,S200000,00300,0300,U 213579,S200000,00400,0100,MCHS - WHEATON 213579,S200000,00400,0200,215048 213579,S200000,00400,0300,01/01/66 213579,S200000,00400,0500,P 213579,S200000,00400,0600,P 213579,S200000,01004,0500,O 213579,S200000,01500,0100,N 213579,S200000,01600,0100,Y 213579,S200000,01700,0100,N 213579,S200000,01800,0100,N 213579,S200000,02200,0100,N 213579,S200000,02800,0100,N 213579,S200000,02900,0100,N 213579,S200000,03000,0100,N 213579,S200000,03100,0100,N 213579,S200000,03200,0100,N 213579,S200000,04100,0100,N 213579,S200000,04200,0100,N 213579,S200000,04300,0100,Y 213579,S200000,04600,0100,N 213579,S200000,04700,0100,N 213579,S200000,04700,0200,N 213579,S200000,04900,0100,N 213579,S200000,05000,0100,N 213579,S200000,05100,0100,N 213579,S200000,05200,0100,N 213590,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213590,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213590,A000000,00300,0000,0300EMPLOYEE BENEFITS 213590,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213590,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213590,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213590,A000000,00700,0000,0700HOUSEKEEPING 213590,A000000,00800,0000,0800DIETARY 213590,A000000,00900,0000,0900NURSING ADMINISTRATION 213590,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213590,A000000,01100,0000,1100PHARMACY 213590,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213590,A000000,01300,0000,1300SOCIAL SERVICE 213590,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213590,A000000,01500,0000,1350ACTIVITIES 213590,A000000,01600,0000,1600SKILLED NURSING FACILITY 213590,A000000,01800,0000,1800NURSING FACILITY 213590,A000000,01900,0000,1900OTHER LONG TERM CARE 213590,A000000,02100,0000,2100RADIOLOGY 213590,A000000,02200,0000,2200LABORATORY 213590,A000000,02300,0000,2300INTRAVENOUS THERAPY 213590,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213590,A000000,02500,0000,2500PHYSICAL THERAPY 213590,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213590,A000000,02700,0000,2700SPEECH PATHOLOGY 213590,A000000,02800,0000,2800ELECTROCARDIOLOGY 213590,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213590,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213590,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213590,A000000,03200,0000,3200SUPPORT SURFACES 213590,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213590,A000000,04800,0000,4800AMBULANCE 213590,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213590,A000000,05300,0000,5300INTEREST EXPENSE 213590,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213590,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213590,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213590,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213590,A000000,06100,0000,6100NONPAID WORKERS 213590,A000000,06200,0000,6200PATIENTS LAUNDRY 213590,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213590,A81000A,00100,0100,Y 213590,A81000B,00100,0300,HOME OFFICE COST 213590,A81000B,00200,0300,PT ADMINISTRATION FEE 213590,A81000B,00300,0300,OT ADMINISTRATION FEE 213590,A81000B,00400,0300,ST ADMINISTRATION FEE 213590,A81000C,00100,0100,B 213590,A81000C,00100,0200,MCHS AKRON 213590,A81000C,00100,0400,MANORCARE INC. 213590,A81000C,00100,0600,LONG TERM CARE FACILITIES 213590,A81000C,00200,0100,B 213590,A81000C,00200,0200,MCHS AKRON 213590,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 213590,A81000C,00200,0600,THERAPY MANAGEMENT 213590,A81000C,00300,0100,B 213590,A81000C,00300,0200,MCHS AKRON 213590,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 213590,A81000C,00300,0600,THERAPY MANAGEMENT 213590,A81000C,00400,0100,B 213590,A81000C,00400,0200,MCHS AKRON 213590,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 213590,A81000C,00400,0600,THERAPY MANAGEMENT 213590,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213590,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213590,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213590,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213590,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213590,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213590,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213590,B100000,00000,0800,0800MEALS SERVED :DIETARY 213590,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213590,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213590,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213590,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213590,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213590,E10A180,00501,0100,11/19/01 213590,E10A180,00501,0300,11/19/01 213590,S000000,00100,0200,10/27/00 213590,S200000,00100,0100,1211 W. MARKET STREET 213590,S200000,00200,0100,AKRON 213590,S200000,00200,0200,OH 213590,S200000,00200,0300,44313- 213590,S200000,00300,0100,SUMMIT 213590,S200000,00300,0200,0080 213590,S200000,00300,0300,U 213590,S200000,00400,0100,MCHS AKRON 213590,S200000,00400,0200,365316 213590,S200000,00400,0300,01/01/66 213590,S200000,00400,0500,P 213590,S200000,00400,0600,P 213590,S200000,01004,0500,O 213590,S200000,01500,0100,N 213590,S200000,01600,0100,Y 213590,S200000,01700,0100,N 213590,S200000,01800,0100,N 213590,S200000,02200,0100,Y 213590,S200000,02800,0100,N 213590,S200000,02900,0100,N 213590,S200000,03000,0100,N 213590,S200000,03100,0100,N 213590,S200000,03200,0100,N 213590,S200000,04100,0100,N 213590,S200000,04200,0100,N 213590,S200000,04300,0100,N 213590,S200000,04600,0100,N 213590,S200000,04700,0100,N 213590,S200000,04700,0200,N 213590,S200000,04900,0100,N 213590,S200000,05000,0100,N 213590,S200000,05100,0100,N 213590,S200000,05200,0100,N 213592,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213592,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213592,A000000,00300,0000,0300EMPLOYEE BENEFITS 213592,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213592,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213592,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213592,A000000,00700,0000,0700HOUSEKEEPING 213592,A000000,00800,0000,0800DIETARY 213592,A000000,00900,0000,0900NURSING ADMINISTRATION 213592,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213592,A000000,01100,0000,1100PHARMACY 213592,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213592,A000000,01300,0000,1300SOCIAL SERVICE 213592,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213592,A000000,01500,0000,1350ACTIVITIES 213592,A000000,01600,0000,1600SKILLED NURSING FACILITY 213592,A000000,01800,0000,1800NURSING FACILITY 213592,A000000,01900,0000,1900OTHER LONG TERM CARE 213592,A000000,02100,0000,2100RADIOLOGY 213592,A000000,02200,0000,2200LABORATORY 213592,A000000,02300,0000,2300INTRAVENOUS THERAPY 213592,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213592,A000000,02500,0000,2500PHYSICAL THERAPY 213592,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213592,A000000,02700,0000,2700SPEECH PATHOLOGY 213592,A000000,02800,0000,2800ELECTROCARDIOLOGY 213592,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213592,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213592,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213592,A000000,03200,0000,3200SUPPORT SURFACES 213592,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213592,A000000,04800,0000,4800AMBULANCE 213592,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213592,A000000,05300,0000,5300INTEREST EXPENSE 213592,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213592,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213592,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213592,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213592,A000000,06100,0000,6100NONPAID WORKERS 213592,A000000,06200,0000,6200PATIENTS LAUNDRY 213592,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213592,A81000A,00100,0100,Y 213592,A81000B,00100,0300,HOME OFFICE COST 213592,A81000B,00200,0300,PHYSICAL THERAPY 213592,A81000B,00300,0300,OCCUPATIONAL THERAPY 213592,A81000B,00400,0300,SPEECH THERAPY 213592,A81000C,00100,0100,B 213592,A81000C,00100,0200,MCHS SYCAMORE GLEN 213592,A81000C,00100,0400,HCR MANORCARE INC. 213592,A81000C,00100,0600,LONG TERM CARE FACILITIES 213592,A81000C,00200,0100,B 213592,A81000C,00200,0200,MCHS SYCAMORE GLEN 213592,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 213592,A81000C,00200,0600,THERAPY MANAGEMENT 213592,A81000C,00300,0100,B 213592,A81000C,00300,0200,MCHS SYCAMORE GLEN 213592,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 213592,A81000C,00300,0600,THERAPY MANAGEMENT 213592,A81000C,00400,0100,B 213592,A81000C,00400,0200,MCHS SYCAMORE GLEN 213592,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 213592,A81000C,00400,0600,THERAPY MANAGEMENT 213592,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213592,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213592,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213592,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213592,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213592,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213592,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213592,B100000,00000,0800,0800MEALS SERVED :DIETARY 213592,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213592,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213592,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213592,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213592,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213592,S000000,00100,0200,10/24/00 213592,S200000,00100,0100,2175 LEITER ROAD 213592,S200000,00200,0100,MIAMISBURG 213592,S200000,00200,0200,OH 213592,S200000,00200,0300,45342- 213592,S200000,00300,0100,MONTGOMERY 213592,S200000,00300,0200,2000 213592,S200000,00300,0300,U 213592,S200000,00400,0100,MCHS SYCAMORE GLEN #612 213592,S200000,00400,0200,366000 213592,S200000,00400,0300,03/09/95 213592,S200000,00400,0500,P 213592,S200000,00400,0600,P 213592,S200000,01004,0500,O 213592,S200000,01500,0100,N 213592,S200000,01600,0100,Y 213592,S200000,01700,0100,N 213592,S200000,01800,0100,N 213592,S200000,02200,0100,Y 213592,S200000,02800,0100,N 213592,S200000,02900,0100,N 213592,S200000,03000,0100,N 213592,S200000,03100,0100,N 213592,S200000,03200,0100,N 213592,S200000,04100,0100,N 213592,S200000,04200,0100,N 213592,S200000,04300,0100,N 213592,S200000,04600,0100,N 213592,S200000,04700,0100,N 213592,S200000,04700,0200,N 213592,S200000,04900,0100,N 213592,S200000,05000,0100,N 213592,S200000,05100,0100,N 213592,S200000,05200,0100,N 213596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213596,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213596,A000000,00300,0000,0300EMPLOYEE BENEFITS 213596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213596,A000000,00700,0000,0700HOUSEKEEPING 213596,A000000,00800,0000,0800DIETARY 213596,A000000,00900,0000,0900NURSING ADMINISTRATION 213596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213596,A000000,01100,0000,1100PHARMACY 213596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213596,A000000,01300,0000,1300SOCIAL SERVICE 213596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213596,A000000,01500,0000,1350ACTIVITIES 213596,A000000,01600,0000,1600SKILLED NURSING FACILITY 213596,A000000,01800,0000,1800NURSING FACILITY 213596,A000000,01900,0000,1900OTHER LONG TERM CARE 213596,A000000,02100,0000,2100RADIOLOGY 213596,A000000,02200,0000,2200LABORATORY 213596,A000000,02300,0000,2300INTRAVENOUS THERAPY 213596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213596,A000000,02500,0000,2500PHYSICAL THERAPY 213596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213596,A000000,02700,0000,2700SPEECH PATHOLOGY 213596,A000000,02800,0000,2800ELECTROCARDIOLOGY 213596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213596,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213596,A000000,03200,0000,3200SUPPORT SURFACES 213596,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213596,A000000,04800,0000,4800AMBULANCE 213596,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213596,A000000,05300,0000,5300INTEREST EXPENSE 213596,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213596,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213596,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213596,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213596,A000000,06100,0000,6100NONPAID WORKERS 213596,A000000,06200,0000,6200PATIENTS LAUNDRY 213596,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213596,A81000A,00100,0100,Y 213596,A81000B,00100,0300,HOME OFFICE COST 213596,A81000B,00200,0300,DIRECT INTEREST 213596,A81000B,00300,0300,PT ADMINISTRATIVE SERVICES 213596,A81000B,00400,0300,OT ADMINISTRATIVE SERVICES 213596,A81000B,00500,0300,ST ADMINISTRATIVE SERVICES 213596,A81000C,00100,0100,B 213596,A81000C,00100,0200,MCHS ABERDEEN 213596,A81000C,00100,0400,HCR MANORCARE INC. 213596,A81000C,00100,0600,LONG TERM CARE FACILITIES 213596,A81000C,00200,0100,B 213596,A81000C,00200,0200,MCHS ABERDEEN 213596,A81000C,00200,0400,HCR MANORCARE INC. 213596,A81000C,00200,0600,LONG TERM CARE FACILITIES 213596,A81000C,00300,0100,B 213596,A81000C,00300,0200,MCHS ABERDEEN 213596,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 213596,A81000C,00300,0600,THERAPY MANAGEMENT 213596,A81000C,00400,0100,B 213596,A81000C,00400,0200,MCHS ABERDEEN 213596,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 213596,A81000C,00400,0600,THERAPY MANAGEMENT 213596,A81000C,00500,0100,B 213596,A81000C,00500,0200,MCHS ABERDEEN 213596,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 213596,A81000C,00500,0600,THERAPY MANAGEMENT 213596,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213596,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213596,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213596,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213596,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213596,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213596,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213596,B100000,00000,0800,0800MEALS SERVED :DIETARY 213596,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213596,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213596,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213596,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213596,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213596,E10A180,00501,0100,01/10/02 213596,E10A180,00501,0300,01/10/02 213596,S000000,00100,0200,10/20/00 213596,S200000,00100,0100,400 8TH AVENUE N.W. 213596,S200000,00200,0100,ABERDEEN 213596,S200000,00200,0200,SD 213596,S200000,00200,0300,57401- 213596,S200000,00300,0100,BROWN 213596,S200000,00300,0200,0043 213596,S200000,00300,0300,R 213596,S200000,00400,0100,MCHS ABERDEEN 213596,S200000,00400,0200,435004 213596,S200000,00400,0300,01/01/67 213596,S200000,00400,0500,P 213596,S200000,00400,0600,P 213596,S200000,01004,0500,O 213596,S200000,01500,0100,N 213596,S200000,01600,0100,Y 213596,S200000,01700,0100,N 213596,S200000,01800,0100,N 213596,S200000,02200,0100,Y 213596,S200000,02800,0100,N 213596,S200000,02900,0100,N 213596,S200000,03000,0100,N 213596,S200000,03100,0100,N 213596,S200000,03200,0100,N 213596,S200000,04100,0100,N 213596,S200000,04200,0100,N 213596,S200000,04300,0100,N 213596,S200000,04600,0100,N 213596,S200000,04700,0100,N 213596,S200000,04700,0200,N 213596,S200000,04900,0100,N 213596,S200000,05000,0100,N 213596,S200000,05100,0100,N 213596,S200000,05200,0100,N 213609,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213609,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213609,A000000,00300,0000,0300EMPLOYEE BENEFITS 213609,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213609,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213609,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213609,A000000,00700,0000,0700HOUSEKEEPING 213609,A000000,00800,0000,0800DIETARY 213609,A000000,00900,0000,0900NURSING ADMINISTRATION 213609,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213609,A000000,01100,0000,1100PHARMACY 213609,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213609,A000000,01300,0000,1300SOCIAL SERVICE 213609,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213609,A000000,01500,0000,1350ACTIVITIES 213609,A000000,01600,0000,1600SKILLED NURSING FACILITY 213609,A000000,01800,0000,1800NURSING FACILITY 213609,A000000,01900,0000,1900OTHER LONG TERM CARE 213609,A000000,02100,0000,2100RADIOLOGY 213609,A000000,02200,0000,2200LABORATORY 213609,A000000,02300,0000,2300INTRAVENOUS THERAPY 213609,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213609,A000000,02500,0000,2500PHYSICAL THERAPY 213609,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213609,A000000,02700,0000,2700SPEECH PATHOLOGY 213609,A000000,02800,0000,2800ELECTROCARDIOLOGY 213609,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213609,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213609,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213609,A000000,03200,0000,3200SUPPORT SURFACES 213609,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213609,A000000,04800,0000,4800AMBULANCE 213609,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213609,A000000,05300,0000,5300INTEREST EXPENSE 213609,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213609,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213609,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213609,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213609,A000000,06100,0000,6100NONPAID WORKERS 213609,A000000,06200,0000,6200PATIENTS LAUNDRY 213609,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213609,A81000A,00100,0100,Y 213609,A81000B,00100,0300,HOME OFFICE COST 213609,A81000B,00200,0300,PT ADMNINISTRATIVE FEES 213609,A81000B,00300,0300,OT ADMINISTRATIVE FEES 213609,A81000B,00400,0300,ST ADMINISTRATIVE FEES 213609,A81000C,00100,0100,B 213609,A81000C,00100,0200,WEST READING 213609,A81000C,00100,0400,HCR MANORCARE INC. 213609,A81000C,00100,0600,LONG TERM CARE FACILITIES 213609,A81000C,00200,0100,B 213609,A81000C,00200,0200,WEST READING 213609,A81000C,00200,0400,HEARTLAND MGMT SERVICES 213609,A81000C,00200,0600,THERAPY MGMT SERVICES 213609,A81000C,00300,0100,B 213609,A81000C,00300,0200,WEST READING 213609,A81000C,00300,0400,HEARTLAND MGMT SERVICES 213609,A81000C,00300,0600,THERAPY MGMT SERVICES 213609,A81000C,00400,0100,B 213609,A81000C,00400,0200,WEST READING 213609,A81000C,00400,0400,HEARTLAND MGMT SERVICES 213609,A81000C,00400,0600,THERAPY MGMT SERVICES 213609,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213609,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213609,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213609,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213609,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213609,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213609,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213609,B100000,00000,0800,0800MEALS SERVED :DIETARY 213609,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213609,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213609,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213609,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213609,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213609,E10A180,00501,0300,11/09/01 213609,S000000,00100,0200,10/20/00 213609,S200000,00100,0100,425 BUTTONWOOD STREET 213609,S200000,00200,0100,WEST READING 213609,S200000,00200,0200,PA 213609,S200000,00200,0300,19611- 213609,S200000,00300,0100,BERKES 213609,S200000,00300,0200,6680 213609,S200000,00300,0300,U 213609,S200000,00400,0100,WEST READING - #568 213609,S200000,00400,0200,395351 213609,S200000,00400,0300,10/10/76 213609,S200000,00400,0500,P 213609,S200000,00400,0600,P 213609,S200000,01500,0100,N 213609,S200000,01600,0100,Y 213609,S200000,01700,0100,N 213609,S200000,01800,0100,N 213609,S200000,02200,0100,Y 213609,S200000,02800,0100,N 213609,S200000,02900,0100,N 213609,S200000,03000,0100,N 213609,S200000,03100,0100,N 213609,S200000,03200,0100,N 213609,S200000,04100,0100,N 213609,S200000,04200,0100,N 213609,S200000,04300,0100,N 213609,S200000,04600,0100,N 213609,S200000,04700,0100,N 213609,S200000,04700,0200,N 213609,S200000,04900,0100,N 213609,S200000,05000,0100,N 213609,S200000,05100,0100,N 213609,S200000,05200,0100,N 213613,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213613,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213613,A000000,00300,0000,0300EMPLOYEE BENEFITS 213613,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213613,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213613,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213613,A000000,00700,0000,0700HOUSEKEEPING 213613,A000000,00800,0000,0800DIETARY 213613,A000000,00900,0000,0900NURSING ADMINISTRATION 213613,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213613,A000000,01100,0000,1100PHARMACY 213613,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213613,A000000,01300,0000,1300SOCIAL SERVICE 213613,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213613,A000000,01500,0000,1350ACTIVITIES 213613,A000000,01600,0000,1600SKILLED NURSING FACILITY 213613,A000000,01800,0000,1800NURSING FACILITY 213613,A000000,01900,0000,1900OTHER LONG TERM CARE 213613,A000000,02100,0000,2100RADIOLOGY 213613,A000000,02200,0000,2200LABORATORY 213613,A000000,02300,0000,2300INTRAVENOUS THERAPY 213613,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213613,A000000,02500,0000,2500PHYSICAL THERAPY 213613,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213613,A000000,02700,0000,2700SPEECH PATHOLOGY 213613,A000000,02800,0000,2800ELECTROCARDIOLOGY 213613,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213613,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213613,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213613,A000000,03200,0000,3200SUPPORT SURFACES 213613,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213613,A000000,04800,0000,4800AMBULANCE 213613,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213613,A000000,05300,0000,5300INTEREST EXPENSE 213613,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213613,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213613,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213613,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213613,A000000,06100,0000,6100NONPAID WORKERS 213613,A000000,06200,0000,6200PATIENTS LAUNDRY 213613,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213613,A81000A,00100,0100,Y 213613,A81000B,00100,0300,HOME OFFICE COST 213613,A81000B,00200,0300,PT ADMINISTRATIVE FEES 213613,A81000B,00300,0300,OT ADMINISTRATIVE FEES 213613,A81000B,00400,0300,ST ADMINISTRATIVE FEES 213613,A81000B,00500,0300,DIRECT CORPORATE INTEREST 213613,A81000C,00100,0100,B 213613,A81000C,00100,0200,WILLLIAMSPORT SOUTH 213613,A81000C,00100,0400,HCR MANORCARE INC. 213613,A81000C,00100,0600,LONG TERM CARE FACILITIES 213613,A81000C,00200,0100,B 213613,A81000C,00200,0200,WILLIAMSPORT SOUTH 213613,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 213613,A81000C,00200,0600,THERAPY MANAGEMENT 213613,A81000C,00300,0100,B 213613,A81000C,00300,0200,WILLIAMSPORT SOUTH 213613,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 213613,A81000C,00300,0600,THERAPY MANAGEMENT 213613,A81000C,00400,0100,B 213613,A81000C,00400,0200,WILLIAMSPORT SOUTH 213613,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 213613,A81000C,00400,0600,THERAPY MANAGEMENT 213613,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213613,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213613,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213613,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213613,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213613,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213613,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213613,B100000,00000,0800,0800MEALS SERVED :DIETARY 213613,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213613,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213613,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213613,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213613,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213613,E10A180,00501,0100,01/15/02 213613,E10A180,00501,0300,01/15/02 213613,S000000,00100,0200,10/20/00 213613,S200000,00100,0100,101 LEADER DRIVE 213613,S200000,00200,0100,WILLIAMSPORT 213613,S200000,00200,0200,PA 213613,S200000,00200,0300,17701- 213613,S200000,00300,0100,LYCOMING 213613,S200000,00300,0200,9140 213613,S200000,00300,0300,U 213613,S200000,00400,0100,WILLIAMSPORT SOUTH 213613,S200000,00400,0200,395396 213613,S200000,00400,0300,11/01/81 213613,S200000,00400,0500,P 213613,S200000,00400,0600,P 213613,S200000,01500,0100,N 213613,S200000,01600,0100,Y 213613,S200000,01700,0100,N 213613,S200000,01800,0100,N 213613,S200000,02200,0100,N 213613,S200000,02800,0100,N 213613,S200000,02900,0100,N 213613,S200000,03000,0100,N 213613,S200000,03100,0100,N 213613,S200000,03200,0100,N 213613,S200000,04100,0100,N 213613,S200000,04200,0100,N 213613,S200000,04300,0100,N 213613,S200000,04600,0100,N 213613,S200000,04700,0100,N 213613,S200000,04700,0200,N 213613,S200000,04900,0100,N 213613,S200000,05000,0100,N 213613,S200000,05100,0100,N 213613,S200000,05200,0100,N 213624,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 213624,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 213624,A000000,00300,0000,0300EMPLOYEE BENEFITS 213624,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213624,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 213624,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213624,A000000,00700,0000,0700HOUSEKEEPING 213624,A000000,00800,0000,0800DIETARY 213624,A000000,00900,0000,0900NURSING ADMINISTRATION 213624,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213624,A000000,01100,0000,1100PHARMACY 213624,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213624,A000000,01300,0000,1300SOCIAL SERVICE 213624,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 213624,A000000,01500,0000,1350ACTIVITIES 213624,A000000,01600,0000,1600SKILLED NURSING FACILITY 213624,A000000,01800,0000,1800NURSING FACILITY 213624,A000000,01900,0000,1900OTHER LONG TERM CARE 213624,A000000,02100,0000,2100RADIOLOGY 213624,A000000,02200,0000,2200LABORATORY 213624,A000000,02300,0000,2300INTRAVENOUS THERAPY 213624,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213624,A000000,02500,0000,2500PHYSICAL THERAPY 213624,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213624,A000000,02700,0000,2700SPEECH PATHOLOGY 213624,A000000,02800,0000,2800ELECTROCARDIOLOGY 213624,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 213624,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213624,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 213624,A000000,03200,0000,3200SUPPORT SURFACES 213624,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 213624,A000000,04800,0000,4800AMBULANCE 213624,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 213624,A000000,05300,0000,5300INTEREST EXPENSE 213624,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 213624,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 213624,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 213624,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213624,A000000,06100,0000,6100NONPAID WORKERS 213624,A000000,06200,0000,6200PATIENTS LAUNDRY 213624,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213624,A81000A,00100,0100,Y 213624,A81000B,00100,0300,HOME OFFICE COST 213624,A81000B,00200,0300,DIRECT CORPORATE INTEREST 213624,A81000B,00300,0300,PT ADMINISTRATIVE FEES 213624,A81000B,00400,0300,OT ADMINISTRATIVE FEES 213624,A81000B,00500,0300,ST ADMINISTRATIVE FEES 213624,A81000C,00100,0100,B 213624,A81000C,00100,0200,GREENTREE 213624,A81000C,00100,0400,HCR MANORCARE INC. 213624,A81000C,00100,0600,LONG TERM CARE FACILITIES 213624,A81000C,00200,0100,B 213624,A81000C,00200,0200,GREENTREE 213624,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 213624,A81000C,00200,0600,THERAPY MANAGEMENT 213624,A81000C,00300,0100,B 213624,A81000C,00300,0200,GREENTREE 213624,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 213624,A81000C,00300,0600,THERAPY MANAGEMENT 213624,A81000C,00400,0100,B 213624,A81000C,00400,0200,GREENTREE 213624,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 213624,A81000C,00400,0600,THERAPY MANAGEMENT 213624,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 213624,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 213624,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 213624,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 213624,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 213624,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 213624,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 213624,B100000,00000,0800,0800MEALS SERVED :DIETARY 213624,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 213624,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 213624,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 213624,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 213624,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 213624,E10A180,00501,0100,01/09/02 213624,S000000,00100,0200,10/30/00 213624,S200000,00100,0100,1848 GREENTREE ROAD 213624,S200000,00200,0100,PITTSBURGH 213624,S200000,00200,0200,PA 213624,S200000,00200,0300,15317- 213624,S200000,00300,0100,ALLEGHENY 213624,S200000,00300,0200,6280 213624,S200000,00300,0300,U 213624,S200000,00400,0100,GREENTREE 213624,S200000,00400,0200,395743 213624,S200000,00400,0300,10/07/87 213624,S200000,00400,0500,P 213624,S200000,00400,0600,P 213624,S200000,01500,0100,N 213624,S200000,01600,0100,Y 213624,S200000,01700,0100,N 213624,S200000,01800,0100,N 213624,S200000,02200,0100,N 213624,S200000,02800,0100,N 213624,S200000,02900,0100,N 213624,S200000,03000,0100,N 213624,S200000,03100,0100,N 213624,S200000,03200,0100,N 213624,S200000,04100,0100,N 213624,S200000,04200,0100,N 213624,S200000,04300,0100,N 213624,S200000,04600,0100,N 213624,S200000,04700,0100,N 213624,S200000,04700,0200,N 213624,S200000,04900,0100,N 213624,S200000,05000,0100,N 213624,S200000,05100,0100,N 213624,S200000,05200,0100,N 213893,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213893,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213893,A000000,00300,0000,0300EMPLOYEE BENEFITS 213893,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213893,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213893,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213893,A000000,00700,0000,0700HOUSEKEEPING 213893,A000000,00800,0000,0800DIETARY 213893,A000000,00900,0000,0900NURSING ADMINISTRATION 213893,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213893,A000000,01100,0000,1100PHARMACY 213893,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213893,A000000,01300,0000,1300SOCIAL SERVICE 213893,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213893,A000000,01500,0000,1350OTHER GENERAL SERVICES 213893,A000000,01600,0000,1600SKILLED NURSING FACILITY 213893,A000000,01800,0000,1800NURSING FACILITY 213893,A000000,01810,0000,1810ICF/MR 213893,A000000,01900,0000,1900OTHER LONG TERM CARE 213893,A000000,02100,0000,2100RADIOLOGY 213893,A000000,02200,0000,2200LABORATORY 213893,A000000,02500,0000,2500PHYSICAL THERAPY 213893,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213893,A000000,02700,0000,2700SPEECH PATHOLOGY 213893,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213893,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213893,A000000,03200,0000,3200SUPPORT SURFACES 213893,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 213893,A000000,03550,0000,3550FQHC 213893,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 213893,A000000,04801,0000,4801AMBULANCE 213893,A000000,04802,0000,4802AMBULANCE 213893,A000000,04803,0000,4803AMBULANCE 213893,A000000,05000,0000,5000CORF 213893,A000000,05010,0000,5010CMHC 213893,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213893,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213893,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213893,A000000,05100,0000,4750OTHER REIMBURSABLE COST 213893,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 213893,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213893,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213893,A81000A,00100,0100,Y 213893,A81000B,00100,0300,HOME OFFICE EXPENSE 213893,A81000B,00200,0300,RELATED PARTY LEASE 213893,A81000B,00300,0300,HOME OFFICE EXPENSE 213893,A81000B,00400,0300,CORPORATE NURSE 213893,A81000B,00500,0300,CONTRACT THERAPY 213893,A81000B,00600,0300,CONTRACT THERAPY 213893,A81000B,00700,0300,CONTRACT THERAPY 213893,A81000C,00100,0100,A 213893,A81000C,00100,0200,JEFFREY E SMITH 213893,A81000C,00100,0400,CAPITAL HEALTH MGMT. INC 213893,A81000C,00100,0600,MANAGEMENT COMPANY 213893,A81000C,00200,0100,A 213893,A81000C,00200,0200,JEFFREY E SMITH 213893,A81000C,00200,0400,CROWN PROPERTIES 213893,A81000C,00200,0600,LEASING COMPANY 213893,A81000C,00300,0100,A 213893,A81000C,00300,0200,JEFFREY E SMITH 213893,A81000C,00300,0400,WILSHIRE AT LAKEWOOD 213893,A81000C,00300,0600,NURSING FACILITY 213893,B100000,00000,0100,0100SQUARE FEET 213893,B100000,00000,0200,0200NO STATISTICS 213893,B100000,00000,0300,0300GROSS SALARIES 213893,B100000,00000,0400,0400ACCUM COST 213893,B100000,00000,0500,0500SQUARE FEET 213893,B100000,00000,0600,0600POUNDS OF LAUNDRY 213893,B100000,00000,0700,0700SNF SQUARE FEE 213893,B100000,00000,0800,0800MEALS SERVED 213893,B100000,00000,0900,0900DIRECT NRSING HRS 213893,B100000,00000,1000,1000COST REQUIS 213893,B100000,00000,1100,1100NO STATISTICS 213893,B100000,00000,1200,1200TIME SPENT 213893,B100000,00000,1300,1300TIME SPENT 213893,B100000,00000,1400,1400NO STATISTICS 213893,B100000,00000,1500,1350NO STATISTICS 213893,E10A180,00550,0300,07/31/00 213893,S000000,00100,0200,06/15/00 213893,S200000,00100,0100,3001 EAST ELM STREET 213893,S200000,00200,0100,HARRISONVILLE 213893,S200000,00200,0200,MO 213893,S200000,00200,0300,64701 213893,S200000,00300,0100,JACKSON 213893,S200000,00300,0200,3760 213893,S200000,00300,0300,U 213893,S200000,00400,0100,CROWN CARE CENTER OF HARRISONVILLE 213893,S200000,00400,0200,265647 213893,S200000,00400,0300,06/12/96 213893,S200000,00400,0500,P 213893,S200000,01500,0100,N 213893,S200000,01600,0100,Y 213893,S200000,01700,0100,N 213893,S200000,01800,0100,N 213893,S200000,02200,0100,N 213893,S200000,02800,0100,N 213893,S200000,02900,0100,N 213893,S200000,03000,0100,N 213893,S200000,03100,0100,N 213893,S200000,03200,0100,N 213893,S200000,03300,0100,N 213893,S200000,03300,0200,N 213893,S200000,04100,0100,N 213893,S200000,04200,0100,N 213893,S200000,04300,0100,N 213893,S200000,04600,0100,N 213893,S200000,04700,0100,N 213893,S200000,04900,0100,N 213893,S200000,05200,0100,N 213939,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 213939,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 213939,A000000,00300,0000,0300EMPLOYEE BENEFITS 213939,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 213939,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 213939,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 213939,A000000,00700,0000,0700HOUSEKEEPING 213939,A000000,00800,0000,0800DIETARY 213939,A000000,00900,0000,0900NURSING ADMINISTRATION 213939,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 213939,A000000,01100,0000,1100PHARMACY 213939,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 213939,A000000,01300,0000,1300SOCIAL SERVICE 213939,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 213939,A000000,01500,0000,1350ACTIVITIES 213939,A000000,01600,0000,1600SKILLED NURSING FACILITY 213939,A000000,01810,0000,1810ICF/MR 213939,A000000,02100,0000,2100RADIOLOGY 213939,A000000,02200,0000,2200LABORATORY 213939,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 213939,A000000,02500,0000,2500PHYSICAL THERAPY 213939,A000000,02600,0000,2600OCCUPATIONAL THERAPY 213939,A000000,02700,0000,2700SPEECH PATHOLOGY 213939,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 213939,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 213939,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 213939,A000000,03550,0000,3550FQHC 213939,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 213939,A000000,04801,0000,4801AMBULANCE 213939,A000000,04802,0000,4802AMBULANCE 213939,A000000,04803,0000,4803AMBULANCE 213939,A000000,05000,0000,5000CORF 213939,A000000,05010,0000,5010CMHC 213939,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 213939,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 213939,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 213939,A000000,05100,0000,4750OTHER REIMBURSABLE COST 213939,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 213939,A000000,05900,0000,5900BARBER & BEAUTY SHOP 213939,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 213939,A81000A,00100,0100,Y 213939,A81000B,00100,0300,ADMIN & GENERAL - REL CO 213939,A81000B,00200,0300,ADMIN & GENERAL - REL CO 213939,A81000B,00300,0300,ADMIN & GENERAL - REL CO 213939,A81000B,00400,0300,ADMIN & GENERAL - REL CO 213939,A81000C,00100,0100,B 213939,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 213939,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 213939,A81000C,00100,0600,REALTY & MANAGEMENT 213939,B100000,00000,0100,0100SQUARE FEET 213939,B100000,00000,0200,0200SQUARE FEET 213939,B100000,00000,0300,0300GROSS SALARIES 213939,B100000,00000,0400,0400ACCUM COST 213939,B100000,00000,0500,0500SQUARE FEET 213939,B100000,00000,0600,0600POUNDS OF LAUNDRY 213939,B100000,00000,0700,0700HOURS OF SERVICE 213939,B100000,00000,0800,0800MEALS SERVED 213939,B100000,00000,0900,0900DIRECT NRSING HRS 213939,B100000,00000,1000,1000COSTED REQUIS. 213939,B100000,00000,1100,1100COSTED REQUIS. 213939,B100000,00000,1200,1200TIME SPENT 213939,B100000,00000,1300,1300TIME SPENT 213939,B100000,00000,1400,1400ASSIGNED TIME 213939,B100000,00000,1500,1350NO. OF PARTIC 213939,E10A180,00301,0100,05/08/00 213939,E10A180,00550,0100,06/28/00 213939,S000000,00100,0200,05/30/00 213939,S200000,00100,0100,1070 LUTHER RD. 213939,S200000,00200,0100,EAST GREENBUSH 213939,S200000,00200,0200,NY 213939,S200000,00200,0300,12061 213939,S200000,00300,0100,RENSSELAER 213939,S200000,00300,0200,0160 213939,S200000,00300,0300,U 213939,S200000,00400,0100,EDEN PARK HEALTHCARE CTR - EAST GREE 213939,S200000,00400,0200,335110 213939,S200000,00400,0300,01/01/72 213939,S200000,00400,0500,P 213939,S200000,01500,0100,Y 213939,S200000,01600,0100,N 213939,S200000,01700,0100,N 213939,S200000,01800,0100,N 213939,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 213939,S200000,02200,0100,N 213939,S200000,02800,0100,N 213939,S200000,02900,0100,N 213939,S200000,03000,0100,N 213939,S200000,03100,0100,N 213939,S200000,03200,0100,N 213939,S200000,03300,0100,N 213939,S200000,03300,0200,N 213939,S200000,04100,0100,N 213939,S200000,04200,0100,N 213939,S200000,04300,0100,Y 213939,S200000,04600,0100,N 213939,S200000,04700,0100,N 213939,S200000,04900,0100,N 213939,S200000,05200,0100,N 214077,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 214077,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 214077,A000000,00300,0000,0300EMPLOYEE BENEFITS 214077,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 214077,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 214077,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 214077,A000000,00700,0000,0700HOUSEKEEPING 214077,A000000,00800,0000,0800DIETARY 214077,A000000,00900,0000,0900NURSING ADMINISTRATION 214077,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 214077,A000000,01100,0000,1100PHARMACY 214077,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 214077,A000000,01300,0000,1300SOCIAL SERVICE 214077,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 214077,A000000,01500,0000,1350RECREATION 214077,A000000,01600,0000,1600SKILLED NURSING FACILITY 214077,A000000,01800,0000,1800NURSING FACILITY 214077,A000000,01810,0000,1810ICF/MR 214077,A000000,02200,0000,2200LABORATORY 214077,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 214077,A000000,02500,0000,2500PHYSICAL THERAPY 214077,A000000,02600,0000,2600OCCUPATIONAL THERAPY 214077,A000000,02700,0000,2700SPEECH PATHOLOGY 214077,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 214077,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 214077,A000000,03300,0000,3050PEN 214077,A000000,03310,0000,3051EQUIPMENT RENTAL 214077,A000000,03550,0000,3550FQHC 214077,A000000,04801,0000,4801AMBULANCE 214077,A000000,04802,0000,4802AMBULANCE 214077,A000000,04803,0000,4803AMBULANCE 214077,A000000,05000,0000,5000CORF 214077,A000000,05010,0000,5010CMHC 214077,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 214077,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 214077,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 214077,A000000,05900,0000,5900BARBER & BEAUTY SHOP 214077,A81000A,00100,0100,N 214077,B100000,00000,0100,0100SQUARE FEET 214077,B100000,00000,0200,0200SQUARE FEET 214077,B100000,00000,0300,0300GROSS SALARIES 214077,B100000,00000,0400,0400ACCUM COST 214077,B100000,00000,0500,0500SQUARE FEET 214077,B100000,00000,0600,0600PATIENT DAYS 214077,B100000,00000,0700,0700SQUARE FEET 214077,B100000,00000,0800,0800MEALS SERVED 214077,B100000,00000,0900,0900PATIENT DAYS 214077,B100000,00000,1000,1000COSTED REQUIS 214077,B100000,00000,1100,1100COSTED REQUIS 214077,B100000,00000,1200,1200PATIENT DAYS 214077,B100000,00000,1300,1300PATIENT DAYS 214077,B100000,00000,1400,1400ASSIGNED TIME 214077,B100000,00000,1500,1350PATIENT DAYS 214077,S000000,00100,0200,01/16/01 214077,S200000,00100,0100,534 15TH 214077,S200000,00200,0100,LAKE CHARLES 214077,S200000,00200,0200,LA 214077,S200000,00200,0300,70601 214077,S200000,00300,0100,C 214077,S200000,00300,0200,3960 214077,S200000,00300,0300,U 214077,S200000,00400,0100,ROSEWOOD NURSING CENTER 214077,S200000,00400,0200,195422 214077,S200000,00400,0300,07/01/97 214077,S200000,00400,0500,P 214077,S200000,01500,0100,N 214077,S200000,01600,0100,Y 214077,S200000,01700,0100,N 214077,S200000,01800,0100,N 214077,S200000,02200,0100,N 214077,S200000,02800,0100,N 214077,S200000,02900,0100,N 214077,S200000,03000,0100,N 214077,S200000,03100,0100,N 214077,S200000,03200,0100,N 214077,S200000,03300,0100,N 214077,S200000,03300,0200,N 214077,S200000,04100,0100,N 214077,S200000,04200,0100,N 214077,S200000,04300,0100,N 214077,S200000,04600,0100,N 214077,S200000,04700,0100,N 214077,S200000,04900,0100,N 214077,S200000,05200,0100,N 214128,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 214128,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 214128,A000000,00300,0000,0300EMPLOYEE BENEFITS 214128,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 214128,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 214128,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 214128,A000000,00700,0000,0700HOUSEKEEPING 214128,A000000,00800,0000,0800DIETARY 214128,A000000,00900,0000,0900NURSING ADMINISTRATION 214128,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 214128,A000000,01100,0000,1100PHARMACY 214128,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 214128,A000000,01300,0000,1300SOCIAL SERVICE 214128,A000000,01301,0000,1301ACTIVITES 214128,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 214128,A000000,01500,0000,1350REHEB 214128,A000000,01600,0000,1600SKILLED NURSING FACILITY 214128,A000000,01800,0000,1800NURSING FACILITY 214128,A000000,01810,0000,1810ICF/MR 214128,A000000,02100,0000,2100RADIOLOGY 214128,A000000,02200,0000,2200LABORATORY 214128,A000000,02300,0000,2300INTRAVENOUS THERAPY 214128,A000000,02500,0000,2500PHYSICAL THERAPY 214128,A000000,02600,0000,2600OCCUPATIONAL THERAPY 214128,A000000,02700,0000,2700SPEECH PATHOLOGY 214128,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 214128,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 214128,A000000,03300,0000,3050EQUIPMENT RENTAL 214128,A000000,03301,0000,3051P.E.N. THERAPY 214128,A000000,03550,0000,3550FQHC 214128,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 214128,A000000,04801,0000,4801AMBULANCE 214128,A000000,04802,0000,4802AMBULANCE 214128,A000000,04803,0000,4803AMBULANCE 214128,A000000,05000,0000,5000CORF 214128,A000000,05010,0000,5010CMHC 214128,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 214128,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 214128,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 214128,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 214128,A000000,06300,0000,6150VENDING 214128,A81000A,00100,0100,Y 214128,A81000B,00100,0300,CENTRAL SUPPLIES 214128,A81000B,00200,0300,MEDICAL SUPPLIES 214128,A81000B,00300,0300,ADMINSTRATIVE 214128,A81000B,00400,0300,BENEFITS 214128,A81000B,00500,0300,DRUGS 214128,A81000B,00600,0300,EQUIPMENT RENTAL 214128,A81000B,00700,0300,ACTIVITES 214128,A81000B,00800,0300,IV 214128,A81000B,00900,0300,HOME OFFICE CAPITAL 214128,A81000B,01000,0300,HOME OFFICE COST ALLOCATION 214128,A81000C,00100,0100,B 214128,A81000C,00100,0200,MH AUGUSTINE PS 214128,A81000C,00100,0400,MARINER PAN 214128,A81000C,00100,0600,NURSING HOMES 214128,A81000C,00200,0100,G 214128,A81000C,00200,0200,MARINER PAN 214128,A81000C,00200,0400,AMERICAN PHARMA 214128,A81000C,00200,0600,PHARMACEUTICALS 214128,A81000C,00300,0100,G 214128,A81000C,00300,0200,MARINER PAN 214128,A81000C,00300,0400,PRISM( ATS ARS 214128,A81000C,00300,0600,THERAPIES 214128,B100000,00000,0100,0100SQUARE FEET 214128,B100000,00000,0200,0200SQUARE FEET 214128,B100000,00000,0300,0300GROSS SALARIES 214128,B100000,00000,0400,0400ACCUM COST 214128,B100000,00000,0500,0500SQUARE FEET 214128,B100000,00000,0600,0600PATIENT DAYS 214128,B100000,00000,0700,0700SQUARE FEET 214128,B100000,00000,0800,0800MEALS SERVED 214128,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 214128,B100000,00000,1000,1000PATIENT DAYS 214128,B100000,00000,1100,1100COSTED REQUIS 214128,B100000,00000,1200,1200PATIENT DAYS 214128,B100000,00000,1300,1300PATIENT DAYS 214128,B100000,00000,1301,1301PATIENT DAYS 214128,B100000,00000,1400,1400ASSIGNED TIME 214128,B100000,00000,1500,1350UNIT SERVICES 214128,E10A180,00550,0100,12/14/00 214128,S000000,00100,0200,11/08/00 214128,S200000,00100,0100,200 MARINER HEALTH WAY 214128,S200000,00200,0100,ST. AUGUSTINE 214128,S200000,00200,0200,FL 214128,S200000,00200,0300,32086 214128,S200000,00300,0100,ST. JOHN 214128,S200000,00300,0200,3600 214128,S200000,00300,0300,U 214128,S200000,00400,0100,MARINER HEALTH OF ST. AUGUSTINE 214128,S200000,00400,0200,105548 214128,S200000,00400,0300,05/01/96 214128,S200000,00400,0500,P 214128,S200000,01500,0100,N 214128,S200000,01600,0100,Y 214128,S200000,01700,0100,N 214128,S200000,01800,0100,N 214128,S200000,02200,0100,N 214128,S200000,02800,0100,N 214128,S200000,02900,0100,N 214128,S200000,03000,0100,N 214128,S200000,03100,0100,N 214128,S200000,03200,0100,N 214128,S200000,03300,0100,N 214128,S200000,03300,0200,N 214128,S200000,04100,0100,N 214128,S200000,04200,0100,N 214128,S200000,04300,0100,N 214128,S200000,04600,0100,N 214128,S200000,04700,0100,N 214128,S200000,04900,0100,N 214128,S200000,05200,0100,N 214657,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 214657,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 214657,A000000,00300,0000,0300EMPLOYEE BENEFITS 214657,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 214657,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 214657,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 214657,A000000,00700,0000,0700HOUSEKEEPING 214657,A000000,00800,0000,0800DIETARY 214657,A000000,00900,0000,0900NURSING ADMINISTRATION 214657,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 214657,A000000,01100,0000,1100PHARMACY 214657,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 214657,A000000,01300,0000,1300SOCIAL SERVICE 214657,A000000,01301,0000,1301ACTIVITIES 214657,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 214657,A000000,01500,0000,1350REHAB 214657,A000000,01600,0000,1600SKILLED NURSING FACILITY 214657,A000000,01800,0000,1800NURSING FACILITY 214657,A000000,01810,0000,1810ICF/MR 214657,A000000,02100,0000,2100RADIOLOGY 214657,A000000,02200,0000,2200LABORATORY 214657,A000000,02300,0000,2300INTRAVENOUS THERAPY 214657,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 214657,A000000,02500,0000,2500PHYSICAL THERAPY 214657,A000000,02600,0000,2600OCCUPATIONAL THERAPY 214657,A000000,02700,0000,2700SPEECH PATHOLOGY 214657,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 214657,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 214657,A000000,03300,0000,3050EQUIPMENT RENTAL 214657,A000000,03550,0000,3550FQHC 214657,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 214657,A000000,04801,0000,4801AMBULANCE 214657,A000000,04802,0000,4802AMBULANCE 214657,A000000,04803,0000,4803AMBULANCE 214657,A000000,05000,0000,5000CORF 214657,A000000,05010,0000,5010CMHC 214657,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 214657,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 214657,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 214657,A000000,05300,0000,5300INTEREST EXPENSE 214657,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 214657,A000000,05900,0000,5900BARBER & BEAUTY SHOP 214657,A000000,06300,0000,6150VENDING 214657,A81000A,00100,0100,Y 214657,A81000B,00100,0300,CENTRAL SUPLY 214657,A81000B,00200,0300,MEDICAL SUPPLIES 214657,A81000B,00300,0300,ADMINSTRATIVE 214657,A81000B,00400,0300,PLANT 214657,A81000B,00500,0300,BENEFITS 214657,A81000B,00600,0300,CAPITAL 214657,A81000B,00700,0300,EQUIPMENT 214657,A81000B,00800,0300,IV 214657,A81000B,00900,0300,HOME OFFICE CAPITAL 214657,A81000B,01000,0300,HOMES OFFICE COST ALLOCATION 214657,A81000B,01100,0300,DRUGS 214657,A81000C,00100,0100,B 214657,A81000C,00100,0200,MH NASHVILLE PS 214657,A81000C,00100,0400,MARINER POST-AC 214657,A81000C,00100,0600,NURSING HOMES 214657,A81000C,00200,0100,G 214657,A81000C,00200,0200,MARINER POST-AC 214657,A81000C,00200,0400,AMERICAN PHARMA 214657,A81000C,00200,0600,PHARMACEUTICALS 214657,A81000C,00300,0100,G 214657,A81000C,00300,0200,MARINER POST-AC 214657,A81000C,00300,0400,PRISM (ATS ARS 214657,A81000C,00300,0600,THERAPIES 214657,B100000,00000,0100,0100SQUARE FEET 214657,B100000,00000,0200,0200SQUARE FEET 214657,B100000,00000,0300,0300GROSS SALARIES 214657,B100000,00000,0400,0400ACCUM COST 214657,B100000,00000,0500,0500SQUARE FEET 214657,B100000,00000,0600,0600PATIENT DAYS 214657,B100000,00000,0700,0700SQUARE FEET 214657,B100000,00000,0800,0800MEALS SERVED 214657,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 214657,B100000,00000,1000,1000PATIENT DAYS 214657,B100000,00000,1100,1100COSTED REQUIS 214657,B100000,00000,1200,1200PATIENT DAYS 214657,B100000,00000,1300,1300PATIENT DAYS 214657,B100000,00000,1301,1301PATIENT DAYS 214657,B100000,00000,1400,1400ASSIGNED TIME 214657,B100000,00000,1500,1350UNIT SERVICES 214657,S000000,00100,0200,11/27/00 214657,S200000,00100,0100,3939 HILLSBORO CIRCLE 214657,S200000,00200,0100,NASHVILLE 214657,S200000,00200,0200,TN 214657,S200000,00200,0300,37216 214657,S200000,00300,0100,DAVIDSON 214657,S200000,00300,0200,5360 214657,S200000,00300,0300,U 214657,S200000,00400,0100,MARINER HEALTH OF NASHVILLE 214657,S200000,00400,0200,445267 214657,S200000,00400,0300,05/31/95 214657,S200000,00400,0500,P 214657,S200000,01500,0100,N 214657,S200000,01600,0100,Y 214657,S200000,01700,0100,N 214657,S200000,01800,0100,N 214657,S200000,02200,0100,N 214657,S200000,02800,0100,N 214657,S200000,02900,0100,N 214657,S200000,03000,0100,N 214657,S200000,03100,0100,N 214657,S200000,03200,0100,N 214657,S200000,03300,0100,N 214657,S200000,03300,0200,N 214657,S200000,04100,0100,N 214657,S200000,04200,0100,N 214657,S200000,04300,0100,N 214657,S200000,04600,0100,N 214657,S200000,04700,0100,N 214657,S200000,04900,0100,N 214657,S200000,05200,0100,N 214793,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 214793,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 214793,A000000,00300,0000,0300EMPLOYEE BENEFITS 214793,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 214793,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 214793,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 214793,A000000,00700,0000,0700HOUSEKEEPING 214793,A000000,00800,0000,0800DIETARY 214793,A000000,00900,0000,0900NURSING ADMINISTRATION 214793,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 214793,A000000,01100,0000,1100PHARMACY 214793,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 214793,A000000,01300,0000,1300SOCIAL SERVICE 214793,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 214793,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENT 214793,A000000,01600,0000,1600SKILLED NURSING FACILITY 214793,A000000,01800,0000,1800NURSING FACILITY 214793,A000000,01810,0000,1810ICF/MR 214793,A000000,01900,0000,1900OTHER LONG TERM CARE 214793,A000000,02100,0000,2100RADIOLOGY 214793,A000000,02200,0000,2200LABORATORY 214793,A000000,02500,0000,2500PHYSICAL THERAPY 214793,A000000,02600,0000,2600OCCUPATIONAL THERAPY 214793,A000000,02700,0000,2700SPEECH PATHOLOGY 214793,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 214793,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 214793,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 214793,A000000,03550,0000,3550FQHC 214793,A000000,04801,0000,4801AMBULANCE 214793,A000000,04802,0000,4802AMBULANCE 214793,A000000,04803,0000,4803AMBULANCE 214793,A000000,05000,0000,5000CORF 214793,A000000,05010,0000,5010CMHC 214793,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 214793,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 214793,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 214793,A000000,05100,0000,4750OTHER REIMBURSABLE COST 214793,A000000,05300,0000,5300INTEREST EXPENSE 214793,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 214793,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 214793,A000000,05900,0000,5900BARBER & BEAUTY SHOP 214793,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 214793,A81000A,00100,0100,N 214793,B100000,00000,0100,0100SQUARE FEET 214793,B100000,00000,0200,0200SQUARE FEET 214793,B100000,00000,0300,0300GROSS SALARIES 214793,B100000,00000,0400,0400ACCUM COST 214793,B100000,00000,0500,0500SQUARE FEET 214793,B100000,00000,0600,0600POUNDS OF LAUNDRY 214793,B100000,00000,0700,0700SQUARE FEET 214793,B100000,00000,0800,0800MEALS SERVED 214793,B100000,00000,0900,0900HOURS OF SERVICE 214793,B100000,00000,1000,1000COSTED REQUIS 214793,B100000,00000,1100,1100COSTED REQUIS 214793,B100000,00000,1200,1200TIME SPENT 214793,B100000,00000,1300,1300TIME SPENT 214793,B100000,00000,1400,1400ASSIGNED TIME 214793,B100000,00000,1500,1350NO STATISTICS 214793,E10A180,00501,0100,07/19/00 214793,E10A180,00501,0300,07/19/00 214793,S000000,00100,0200,06/05/00 214793,S200000,00100,0100,ROUTE 1 214793,S200000,00100,0300,30 214793,S200000,00200,0100,NEW FLORENCE 214793,S200000,00200,0200,MO 214793,S200000,00200,0300,63363 214793,S200000,00300,0100,MONTGOMERY 214793,S200000,00300,0200,0026 214793,S200000,00300,0300,R 214793,S200000,00400,0100,NEW FLORENCE NURSING HOME 214793,S200000,00400,0200,265625 214793,S200000,00400,0300,10/05/95 214793,S200000,00400,0500,P 214793,S200000,01500,0100,N 214793,S200000,01600,0100,Y 214793,S200000,01700,0100,N 214793,S200000,01800,0100,N 214793,S200000,02200,0100,N 214793,S200000,02800,0100,N 214793,S200000,02900,0100,N 214793,S200000,03000,0100,N 214793,S200000,03100,0100,N 214793,S200000,03200,0100,N 214793,S200000,03300,0100,N 214793,S200000,03300,0200,N 214793,S200000,04100,0100,N 214793,S200000,04200,0100,N 214793,S200000,04300,0100,N 214793,S200000,04600,0100,N 214793,S200000,04700,0100,N 214793,S200000,04900,0100,N 214793,S200000,05200,0100,N 215097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 215097,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 215097,A000000,00300,0000,0300EMPLOYEE BENEFITS 215097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 215097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 215097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 215097,A000000,00700,0000,0700HOUSEKEEPING 215097,A000000,00800,0000,0800DIETARY 215097,A000000,00900,0000,0900NURSING ADMINISTRATION 215097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 215097,A000000,01100,0000,1100PHARMACY 215097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 215097,A000000,01300,0000,1300SOCIAL SERVICE 215097,A000000,01301,0000,1301ACTIVITES 215097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 215097,A000000,01500,0000,1350REHABILITATION 215097,A000000,01600,0000,1600SKILLED NURSING FACILITY 215097,A000000,01800,0000,1800NURSING FACILITY 215097,A000000,01810,0000,1810ICF/MR 215097,A000000,02100,0000,2100RADIOLOGY 215097,A000000,02200,0000,2200LABORATORY 215097,A000000,02300,0000,2300INTRAVENOUS THERAPY 215097,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 215097,A000000,02500,0000,2500PHYSICAL THERAPY 215097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 215097,A000000,02700,0000,2700SPEECH PATHOLOGY 215097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 215097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 215097,A000000,03300,0000,3050EQUIPMENT RENTAL 215097,A000000,03301,0000,3051PEN THERAPY 215097,A000000,03550,0000,3550FQHC 215097,A000000,04801,0000,4801AMBULANCE 215097,A000000,04802,0000,4802AMBULANCE 215097,A000000,04803,0000,4803AMBULANCE 215097,A000000,05000,0000,5000CORF 215097,A000000,05010,0000,5010CMHC 215097,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 215097,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 215097,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 215097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 215097,A000000,06300,0000,6150VENDING 215097,A000000,06301,0000,6151STAND-BY 215097,A81000A,00100,0100,Y 215097,A81000B,00100,0300,NURSING ADMINISTRATION 215097,A81000B,00200,0300,PT OTHER 215097,A81000B,00300,0300,MEDICAL SUPPLIES 215097,A81000B,00400,0300,ADMIN COSTS 215097,A81000B,00500,0300,BLDG CAPITAL 215097,A81000C,00100,0100,B 215097,A81000C,00100,0200,MH OF PINEALLAS 215097,A81000C,00100,0400,MARINER PAN 215097,A81000C,00100,0600,NURSING HOMES 215097,A81000C,00200,0100,G 215097,A81000C,00200,0200,MARINER PAN 215097,A81000C,00200,0400,AMER PHARM SVCS 215097,A81000C,00200,0600,PHARMACEUTICALS 215097,A81000C,00300,0100,G 215097,A81000C,00300,0200,MARINER PAN 215097,A81000C,00300,0400,PRISM-ATS-ARS-T 215097,A81000C,00300,0600,THERAPIES 215097,B100000,00000,0100,0100SQUARE FEET 215097,B100000,00000,0200,0200SQUARE FEET 215097,B100000,00000,0300,0300GROSS SALARIES 215097,B100000,00000,0400,0400ACCUM COST 215097,B100000,00000,0500,0500SQUARE FEET 215097,B100000,00000,0600,0600PATIENT DAYS 215097,B100000,00000,0700,0700SQUARE FEET 215097,B100000,00000,0800,0800MEALS SERVED 215097,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 215097,B100000,00000,1000,1000PATIENT DAYS 215097,B100000,00000,1100,1100COSTED REQUIS 215097,B100000,00000,1200,1200PATIENT DAYS 215097,B100000,00000,1300,1300PATIENT DAYS 215097,B100000,00000,1301,1301PATIENT DAYS 215097,B100000,00000,1400,1400ASSIGNED TIME 215097,B100000,00000,1500,1350UNITS OF SERVICE 215097,S000000,00100,0200,08/30/00 215097,S200000,00100,0100,5601 31ST STREET SOUTH 215097,S200000,00200,0100,ST. PETERSBURG 215097,S200000,00200,0200,FL 215097,S200000,00200,0300,33712 215097,S200000,00300,0100,PINELLAS 215097,S200000,00300,0200,8280 215097,S200000,00300,0300,U 215097,S200000,00400,0100,MARINER HEALTH CARE OF PINEALLAS PT. 215097,S200000,00400,0200,105878 215097,S200000,00400,0300,03/08/95 215097,S200000,00400,0500,P 215097,S200000,01500,0100,N 215097,S200000,01600,0100,Y 215097,S200000,01700,0100,N 215097,S200000,01800,0100,N 215097,S200000,02200,0100,Y 215097,S200000,02800,0100,N 215097,S200000,02900,0100,N 215097,S200000,03000,0100,N 215097,S200000,03100,0100,N 215097,S200000,03200,0100,N 215097,S200000,03300,0100,N 215097,S200000,03300,0200,N 215097,S200000,04100,0100,N 215097,S200000,04200,0100,N 215097,S200000,04300,0100,N 215097,S200000,04600,0100,N 215097,S200000,04700,0100,N 215097,S200000,04900,0100,N 215097,S200000,05200,0100,N 215630,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 215630,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 215630,A000000,00300,0000,0300EMPLOYEE BENEFITS 215630,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 215630,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 215630,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 215630,A000000,00700,0000,0700HOUSEKEEPING 215630,A000000,00800,0000,0800DIETARY 215630,A000000,00900,0000,0900NURSING ADMINISTRATION 215630,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 215630,A000000,01100,0000,1100PHARMACY 215630,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 215630,A000000,01300,0000,1300SOCIAL SERVICE 215630,A000000,01301,0000,1301ACTIVITIES 215630,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 215630,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 215630,A000000,01600,0000,1600SKILLED NURSING FACILITY 215630,A000000,01800,0000,1800NURSING FACILITY 215630,A000000,01810,0000,1810ICF/MR 215630,A000000,02100,0000,2100RADIOLOGY 215630,A000000,02200,0000,2200LABORATORY 215630,A000000,02300,0000,2300INTRAVENOUS THERAPY 215630,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 215630,A000000,02500,0000,2500PHYSICAL THERAPY 215630,A000000,02600,0000,2600OCCUPATIONAL THERAPY 215630,A000000,02700,0000,2700SPEECH PATHOLOGY 215630,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 215630,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 215630,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 215630,A000000,03301,0000,3051PEN THERAPY 215630,A000000,03550,0000,3550FQHC 215630,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 215630,A000000,04801,0000,4801AMBULANCE 215630,A000000,04802,0000,4802AMBULANCE 215630,A000000,04803,0000,4803AMBULANCE 215630,A000000,05000,0000,5000CORF 215630,A000000,05010,0000,5010CMHC 215630,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 215630,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 215630,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 215630,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 215630,A000000,05900,0000,5900BARBER & BEAUTY SHOP 215630,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 215630,A81000A,00100,0100,Y 215630,A81000B,00100,0300,HOME OFFICE ALLOCATION 215630,A81000B,00200,0300,CENTRAL SUPPLY 215630,A81000B,00300,0300,MEDICAL SUPPLIES 215630,A81000C,00100,0100,B 215630,A81000C,00100,0200,MH WEST HILLS 1 215630,A81000C,00100,0400,MPAN 215630,A81000C,00100,0600,NURSING HOMES 215630,A81000C,00200,0100,G 215630,A81000C,00200,0200,MPAN 215630,A81000C,00200,0400,AMERICAN PHARMA 215630,A81000C,00200,0600,PHARMACEUTICALS 215630,A81000C,00300,0100,G 215630,A81000C,00300,0200,MPAN 215630,A81000C,00300,0400,PRISM (ATS ARS 215630,A81000C,00300,0600,THERAPIES 215630,B100000,00000,0100,0100SQUARE FEET 215630,B100000,00000,0200,0200SQUARE FEET 215630,B100000,00000,0300,0300GROSS SALARIES 215630,B100000,00000,0400,0400ACCUM COST 215630,B100000,00000,0500,0500SQUARE FEET 215630,B100000,00000,0600,0600PATIENT DAYS 215630,B100000,00000,0700,0700SQUARE FEET 215630,B100000,00000,0800,0800MEALS SERVED 215630,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 215630,B100000,00000,1000,1000PATIENT DAYS 215630,B100000,00000,1100,1100COSTED REQUIS 215630,B100000,00000,1200,1200PATIENT DAYS 215630,B100000,00000,1300,1300PATIENT DAYS 215630,B100000,00000,1301,1301PATIENT DAYS 215630,B100000,00000,1400,1400ASSIGNED TIME 215630,B100000,00000,1500,1350UNITS OF SERVICE 215630,E10A180,00350,0300,12/14/00 215630,S000000,00100,0200,12/01/00 215630,S200000,00100,0100,951 BRODHEAD RD 215630,S200000,00200,0100,CORAOPOLIS 215630,S200000,00200,0200,PA 215630,S200000,00200,0300,15108 215630,S200000,00300,0100,A 215630,S200000,00300,0200,6280 215630,S200000,00300,0300,U 215630,S200000,00400,0100,MH OF WEST HILLS 215630,S200000,00400,0200,395620 215630,S200000,00400,0300,07/01/94 215630,S200000,00400,0500,P 215630,S200000,01500,0100,N 215630,S200000,01600,0100,N 215630,S200000,01700,0100,N 215630,S200000,01800,0100,N 215630,S200000,02200,0100,N 215630,S200000,02800,0100,N 215630,S200000,02900,0100,N 215630,S200000,03000,0100,N 215630,S200000,03100,0100,N 215630,S200000,03200,0100,N 215630,S200000,03300,0100,N 215630,S200000,03300,0200,N 215630,S200000,04100,0100,N 215630,S200000,04200,0100,N 215630,S200000,04300,0100,N 215630,S200000,04600,0100,N 215630,S200000,04700,0100,N 215630,S200000,04900,0100,N 215630,S200000,05200,0100,N 216228,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 216228,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 216228,A000000,00300,0000,0300EMPLOYEE BENEFITS 216228,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216228,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 216228,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216228,A000000,00700,0000,0700HOUSEKEEPING 216228,A000000,00800,0000,0800DIETARY 216228,A000000,00900,0000,0900NURSING ADMINISTRATION 216228,A000000,00901,0000,0901OTHER NURSING 216228,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216228,A000000,01100,0000,1100PHARMACY 216228,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216228,A000000,01300,0000,1300SOCIAL SERVICE 216228,A000000,01600,0000,1600SKILLED NURSING FACILITY 216228,A000000,01800,0000,1800NURSING FACILITY 216228,A000000,02100,0000,2100RADIOLOGY 216228,A000000,02200,0000,2200LABORATORY 216228,A000000,02300,0000,2300INTRAVENOUS THERAPY 216228,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 216228,A000000,02500,0000,2500PHYSICAL THERAPY 216228,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216228,A000000,02700,0000,2700SPEECH PATHOLOGY 216228,A000000,02800,0000,2800ELECTROCARDIOLOGY 216228,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 216228,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216228,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 216228,A000000,03301,0000,3051NUTRITIONAL THERAPY 216228,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 216228,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 216228,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 216228,A000000,04800,0000,4800AMBULANCE 216228,A000000,05100,0000,4750OTHER REIMBURSABLE COST 216228,A000000,05300,0000,5300INTEREST EXPENSE 216228,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 216228,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 216228,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216228,A000000,06200,0000,6200PATIENTS LAUNDRY 216228,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 216228,A000000,06301,0000,6151OUTSIDE REHAB SERVICES 216228,A000000,06302,0000,6152GUEST MEALS/M.O.W. 216228,A000000,06303,0000,6153DISTRICT OFFICE SPACE 216228,A81000A,00100,0100,Y 216228,A81000B,00100,0300,HOME OFFICE COSTS 216228,A81000B,00200,0300,LIABILITY INSURANCE 216228,A81000B,00300,0300,VC PHARMACY - CAP EQ 216228,A81000B,00400,0300,VC PHARMACY - EMPL BENEFITS 216228,A81000B,00500,0300,VC PHARMACY - ADMIN 216228,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 216228,A81000B,00700,0300,VC PHARMACY - LAUNDRY 216228,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 216228,A81000B,00900,0300,VC PHARMACY - DIETARY 216228,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 216228,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 216228,A81000B,01200,0300,VC PHARMACY - NONLEGEND 216228,A81000B,01300,0300,VC PHARMACY - MED RECORDS 216228,A81000B,01400,0300,VC PHARMACY - SOC SVCS/ACTIV 216228,A81000B,01500,0300,VC PHARMACY - ROUTINE CERT 216228,A81000B,01600,0300,VC PHARMACY - ROUTINE NONCT 216228,A81000B,01700,0300,MOBILE RADIOLOGY - XRAY 216228,A81000B,01800,0300,VC PHARMACY - LAB 216228,A81000B,01900,0300,VC PHARMACY - IV THERAPY 216228,A81000B,02000,0300,VC HOSPITAL - INHALATION THER 216228,A81000B,02100,0300,VC PHARMACY - PHYS THER 216228,A81000B,02200,0300,VC PHARMACY - OCCP THER 216228,A81000B,02300,0300,VC PHARMACY - SPEECH THER 216228,A81000B,02400,0300,VC PHARMACY - MEDICAL SUPP 216228,A81000B,02500,0300,VC PHARMACY - LEGEND 216228,A81000B,02600,0300,VC PHARMACY - OTHER MEDICAL 216228,A81000B,02700,0300,VC PHARMACY - NUTR THER 216228,A81000B,02800,0300,VC PHARMACY - COMPLEX MEDICAL 216228,A81000B,02900,0300,VC PHARMACY - PROS & ORTHOS 216228,A81000C,00100,0100,B 216228,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 216228,A81000C,00100,0400,CORNERSTONE INSURANCE CO 216228,A81000C,00100,0600,LIABILITY INSURANCE 216228,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 216228,A81000C,00200,0600,PHARMACY 216228,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 216228,A81000C,00300,0600,RESPIRATORY THERAPY 216228,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 216228,A81000C,00500,0400,HEALTHCARE RESPIRATORY 216228,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 216228,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 216228,A81000C,00800,0600,PORTABLE X-RAY SERVICES 216228,A81000C,00900,0400,RADIOLOGY 216228,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 216228,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 216228,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 216228,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 216228,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 216228,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 216228,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 216228,B100000,00000,0800,0850PATIENT DAYS :DIETARY 216228,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 216228,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 216228,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 216228,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 216228,S000000,00100,0200,08/02/00 216228,S200000,00100,0100,1710 PLAZA WAY 216228,S200000,00200,0100,WALLA WALLA 216228,S200000,00200,0200,WA 216228,S200000,00200,0300,99362- 216228,S200000,00300,0100,WALLA WALLA 216228,S200000,00300,0200,50 216228,S200000,00300,0300,R 216228,S200000,00400,0100,PARK MANOR REHABILITATION CTR #186 216228,S200000,00400,0200,505074 216228,S200000,00400,0300,01/01/85 216228,S200000,00400,0500,P 216228,S200000,01500,0100,Y 216228,S200000,01600,0100,N 216228,S200000,01700,0100,N 216228,S200000,01800,0100,N 216228,S200000,02200,0100,N 216228,S200000,02800,0100,N 216228,S200000,02900,0100,N 216228,S200000,03000,0100,N 216228,S200000,03100,0100,N 216228,S200000,03200,0100,N 216228,S200000,04100,0100,N 216228,S200000,04200,0100,N 216228,S200000,04300,0100,N 216228,S200000,04600,0100,N 216228,S200000,04700,0100,N 216228,S200000,04700,0200,N 216228,S200000,04900,0100,N 216228,S200000,05000,0100,N 216228,S200000,05100,0100,N 216228,S200000,05200,0100,N 216331,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 216331,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 216331,A000000,00300,0000,0300EMPLOYEE BENEFITS 216331,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216331,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 216331,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216331,A000000,00700,0000,0700HOUSEKEEPING 216331,A000000,00800,0000,0800DIETARY 216331,A000000,00900,0000,0900NURSING ADMINISTRATION 216331,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216331,A000000,01100,0000,1100PHARMACY 216331,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216331,A000000,01300,0000,1300SOCIAL SERVICE 216331,A000000,01301,0000,1301ACTIVITES 216331,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 216331,A000000,01500,0000,1350REHABILITATION 216331,A000000,01600,0000,1600SKILLED NURSING FACILITY 216331,A000000,01800,0000,1800NURSING FACILITY 216331,A000000,01810,0000,1810ICF/MR 216331,A000000,02100,0000,2100RADIOLOGY 216331,A000000,02200,0000,2200LABORATORY 216331,A000000,02300,0000,2300INTRAVENOUS THERAPY 216331,A000000,02500,0000,2500PHYSICAL THERAPY 216331,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216331,A000000,02700,0000,2700SPEECH PATHOLOGY 216331,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 216331,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216331,A000000,03300,0000,3050EQUIPMENT RENTAL 216331,A000000,03301,0000,3051PEN THERAPY 216331,A000000,03550,0000,3550FQHC 216331,A000000,04800,0000,4800AMBULANCE 216331,A000000,04801,0000,4801AMBULANCE 216331,A000000,04802,0000,4802AMBULANCE 216331,A000000,04803,0000,4803AMBULANCE 216331,A000000,05000,0000,5000CORF 216331,A000000,05010,0000,5010CMHC 216331,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 216331,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 216331,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 216331,A000000,05300,0000,5300INTEREST EXPENSE 216331,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216331,A000000,06300,0000,6150VENDING 216331,A000000,06301,0000,6151STAND-BY 216331,A81000A,00100,0100,Y 216331,A81000B,00100,0300,HOME OFFICE COST 216331,A81000B,00200,0300,DIETARY SUPPLEMENTS 216331,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 216331,A81000B,00400,0300,PRESCRIPTION DRUGS 216331,A81000B,00500,0300,MEDICAL SUPPLIES 216331,A81000B,00600,0300,ADMIN COSTS 216331,A81000B,00700,0300,HOME OFFICE INTEREST 216331,A81000B,00800,0300,OT SUPPLIES 216331,A81000B,00900,0300,DME 216331,A81000B,01400,0300,ANC EQUIP RENTAL 216331,A81000C,00100,0100,B 216331,A81000C,00100,0200,WESTBURY PLACE 216331,A81000C,00100,0400,MARINER PAN 216331,A81000C,00100,0600,NURSING HOMES 216331,A81000C,00200,0100,G 216331,A81000C,00200,0200,MARINER PAN 216331,A81000C,00200,0400,AMER PHARM SVCS 216331,A81000C,00200,0600,PHARMACEUTICALS 216331,A81000C,00300,0100,G 216331,A81000C,00300,0200,MARINER PAN 216331,A81000C,00300,0400,PRISM-ATS-ARS-T 216331,A81000C,00300,0600,THERAPIES 216331,B100000,00000,0100,0100SQUARE FEET 216331,B100000,00000,0200,0200SQUARE FEET 216331,B100000,00000,0300,0300GROSS SALARIES 216331,B100000,00000,0400,0400ACCUM COST 216331,B100000,00000,0500,0500SQUARE FEET 216331,B100000,00000,0600,0600PATIENT DAYS 216331,B100000,00000,0700,0700SQUARE FEET 216331,B100000,00000,0800,0800MEALS SERVED 216331,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 216331,B100000,00000,1000,1000PATIENT DAYS 216331,B100000,00000,1100,1100COSTED REQUIS 216331,B100000,00000,1200,1200PATIENT DAYS 216331,B100000,00000,1300,1300PATIENT DAYS 216331,B100000,00000,1301,1301PATIENT DAYS 216331,B100000,00000,1400,1400ASSIGNED TIME 216331,B100000,00000,1500,1350UNITS OF SERVICE 216331,S000000,00100,0200,10/04/00 216331,S200000,00100,0100,5201 SOUTH WILLOW DRIVE 216331,S200000,00200,0100,HOUSTON 216331,S200000,00200,0200,TX 216331,S200000,00200,0300,77035 216331,S200000,00300,0100,HARRIS 216331,S200000,00300,0200,3360 216331,S200000,00300,0300,U 216331,S200000,00400,0100,THE WESTBURY PLACE 216331,S200000,00400,0200,675612 216331,S200000,00400,0300,07/09/96 216331,S200000,00400,0500,P 216331,S200000,01500,0100,N 216331,S200000,01600,0100,Y 216331,S200000,01700,0100,N 216331,S200000,01800,0100,N 216331,S200000,02200,0100,Y 216331,S200000,02800,0100,N 216331,S200000,02900,0100,N 216331,S200000,03000,0100,N 216331,S200000,03100,0100,N 216331,S200000,03200,0100,N 216331,S200000,03300,0100,N 216331,S200000,03300,0200,N 216331,S200000,04100,0100,N 216331,S200000,04200,0100,N 216331,S200000,04300,0100,Y 216331,S200000,04600,0100,N 216331,S200000,04700,0100,N 216331,S200000,04900,0100,N 216331,S200000,05200,0100,N 216496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 216496,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 216496,A000000,00300,0000,0300EMPLOYEE BENEFITS 216496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 216496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216496,A000000,00700,0000,0700HOUSEKEEPING 216496,A000000,00800,0000,0800DIETARY 216496,A000000,00900,0000,0900NURSING ADMINISTRATION 216496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216496,A000000,01100,0000,1100PHARMACY 216496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216496,A000000,01300,0000,1300SOCIAL SERVICE 216496,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 216496,A000000,01500,0000,1350RECREATION 216496,A000000,01600,0000,1600SKILLED NURSING FACILITY 216496,A000000,01810,0000,1810ICF/MR 216496,A000000,02100,0000,2100RADIOLOGY 216496,A000000,02200,0000,2200LABORATORY 216496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 216496,A000000,02500,0000,2500PHYSICAL THERAPY 216496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216496,A000000,02700,0000,2700SPEECH PATHOLOGY 216496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 216496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216496,A000000,03300,0000,3050CLINITRON BEDS 216496,A000000,03550,0000,3550FQHC 216496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 216496,A000000,04801,0000,4801AMBULANCE 216496,A000000,04802,0000,4802AMBULANCE 216496,A000000,04803,0000,4803AMBULANCE 216496,A000000,05000,0000,5000CORF 216496,A000000,05010,0000,5010CMHC 216496,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 216496,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 216496,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 216496,A000000,05100,0000,4750OTHER REIMBURSABLE COST 216496,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 216496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216496,A000000,05901,0000,5901VAN OFFICE 216496,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 216496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 216496,A81000A,00100,0100,Y 216496,A81000B,00100,0300,RENT 216496,A81000B,00200,0300,INTEREST 216496,A81000B,00300,0300,DEPRECIATION 216496,A81000B,00400,0300,INTEREST EXPENSE 216496,A81000B,00500,0300,MANAGEMENT FEES 216496,A81000B,00600,0300,PATIENT TRANSPORATION 216496,A81000C,00100,0100,A 216496,A81000C,00100,0200,FAROOQ KHAN 216496,A81000C,00100,0400,MONTOWESE ASSOC 216496,A81000C,00100,0600,REALTY 216496,A81000C,00200,0100,A 216496,A81000C,00200,0200,EILEEN KHAN 216496,A81000C,00200,0400,MONTOWESE ASSOC 216496,A81000C,00200,0600,REALTY 216496,A81000C,00300,0100,A 216496,A81000C,00300,0200,GENA TANNOIA 216496,A81000C,00300,0400,MONTOWESE ASSOC 216496,A81000C,00300,0600,REALTY 216496,A81000C,00400,0100,A 216496,A81000C,00400,0200,FAROOQ KHAN 216496,A81000C,00400,0400,MONTOWESE HC MGMT 216496,A81000C,00400,0600,MGMT SERVICES 216496,A81000C,00500,0100,A 216496,A81000C,00500,0200,EILEEN KHAN 216496,A81000C,00500,0400,MONTOWESE HC MGMT 216496,A81000C,00500,0600,MGMT SERVICES 216496,A81000C,00600,0100,A 216496,A81000C,00600,0200,GENA TANNOIA 216496,A81000C,00600,0400,MONTOWESE HC MGMT 216496,A81000C,00600,0600,MGMT SERVICES 216496,A81000C,00700,0100,A 216496,A81000C,00700,0200,FAROOQ KHAN 216496,A81000C,00700,0400,CT HANDIVAN 216496,A81000C,00700,0600,PATIENT TRANS 216496,A81000C,00800,0100,A 216496,A81000C,00800,0200,MARK PANICO 216496,A81000C,00800,0400,CT HANDIVAN 216496,A81000C,00800,0600,PATIENT TRANS 216496,A81000C,00900,0100,A 216496,A81000C,00900,0200,SALEEM KHAM 216496,A81000C,00900,0400,CT HANDIVAN 216496,A81000C,00900,0600,PATIENT TRANS 216496,A81000C,01000,0100,A 216496,A81000C,01000,0200,MARK PANICO 216496,A81000C,01000,0400,NELSON AMBULANCE 216496,A81000C,01000,0600,AMBULANCE SERVICE 216496,A81000C,01100,0100,A 216496,A81000C,01100,0200,SALEEM KHAN 216496,A81000C,01100,0400,NELSON AMBULANCE 216496,A81000C,01100,0600,AMBULANCE SERVICE 216496,B100000,00000,0100,0100SQUARE FEET 216496,B100000,00000,0200,0200SQUARE FEET 216496,B100000,00000,0300,0300GROSS SALARIES 216496,B100000,00000,0400,0400ACCUM COST 216496,B100000,00000,0500,0500SQUARE FEET 216496,B100000,00000,0600,0600POUNDS OF LAUNDRY 216496,B100000,00000,0700,0700SQUARE FEET 216496,B100000,00000,0800,0800MEALS SERVED 216496,B100000,00000,0900,0900TIME SPENT 216496,B100000,00000,1000,1000PATIENT DAYS 216496,B100000,00000,1100,1100PATIENT DAYS 216496,B100000,00000,1200,1200TIME SPENT 216496,B100000,00000,1300,1300TIME SPENT 216496,B100000,00000,1400,1400NO STATISTICS 216496,B100000,00000,1500,1350PATIENT DAYS 216496,E10A180,00501,0100,06/28/00 216496,E10A180,00550,0300,06/28/00 216496,S000000,00100,0200,05/31/00 216496,S200000,00100,0100,163 QUINNIPIAC AVE 216496,S200000,00200,0100,NORTH HAVEN 216496,S200000,00200,0200,CT 216496,S200000,00200,0300,11111 216496,S200000,00300,0100,NEW HAVEN 216496,S200000,00300,0200,5483 216496,S200000,00300,0300,U 216496,S200000,00400,0100,MONTOWESE HEALTH & REHAB CENTER 216496,S200000,00400,0200,075017 216496,S200000,00400,0300,05/01/82 216496,S200000,00400,0500,P 216496,S200000,01500,0100,Y 216496,S200000,01600,0100,N 216496,S200000,01700,0100,N 216496,S200000,01800,0100,N 216496,S200000,02200,0100,N 216496,S200000,02800,0100,N 216496,S200000,02900,0100,N 216496,S200000,03000,0100,N 216496,S200000,03100,0100,N 216496,S200000,03200,0100,N 216496,S200000,03300,0100,N 216496,S200000,03300,0200,N 216496,S200000,04100,0100,N 216496,S200000,04200,0100,N 216496,S200000,04300,0100,N 216496,S200000,04600,0100,N 216496,S200000,04700,0100,N 216496,S200000,04900,0100,N 216496,S200000,05200,0100,N 216699,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 216699,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 216699,A000000,00300,0000,0300EMPLOYEE BENEFITS 216699,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216699,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 216699,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216699,A000000,00700,0000,0700HOUSEKEEPING 216699,A000000,00800,0000,0800DIETARY 216699,A000000,00900,0000,0900NURSING ADMINISTRATION 216699,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216699,A000000,01100,0000,1100PHARMACY 216699,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216699,A000000,01300,0000,1300SOCIAL SERVICE 216699,A000000,01301,0000,1301ACTIVITIES 216699,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 216699,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 216699,A000000,01600,0000,1600SKILLED NURSING FACILITY 216699,A000000,01800,0000,1800NURSING FACILITY 216699,A000000,01810,0000,1810ICF/MR 216699,A000000,02100,0000,2100RADIOLOGY 216699,A000000,02200,0000,2200LABORATORY 216699,A000000,02300,0000,2300INTRAVENOUS THERAPY 216699,A000000,02500,0000,2500PHYSICAL THERAPY 216699,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216699,A000000,02700,0000,2700SPEECH PATHOLOGY 216699,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 216699,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216699,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 216699,A000000,03550,0000,3550FQHC 216699,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 216699,A000000,04801,0000,4801AMBULANCE 216699,A000000,04802,0000,4802AMBULANCE 216699,A000000,04803,0000,4803AMBULANCE 216699,A000000,05000,0000,5000CORF 216699,A000000,05010,0000,5010CMHC 216699,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 216699,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 216699,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 216699,A000000,05300,0000,5300INTEREST EXPENSE 216699,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 216699,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216699,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 216699,A81000A,00100,0100,Y 216699,A81000B,00100,0300,HOME OFFICE ALLOCATION 216699,A81000B,00200,0300,MEDICAL SUPPLIES 216699,A81000C,00100,0100,B 216699,A81000C,00100,0200,MN NORTH HILLS 216699,A81000C,00100,0400,MPAN 216699,A81000C,00100,0600,NURSING HOMES 216699,A81000C,00200,0100,G 216699,A81000C,00200,0200,MPAN 216699,A81000C,00200,0400,AMERICAN PHARMA 216699,A81000C,00200,0600,PHARMACEUTICALS 216699,A81000C,00300,0100,G 216699,A81000C,00300,0200,MPAN 216699,A81000C,00300,0400,PRISM (ATS ARS 216699,A81000C,00300,0600,THERAPIES 216699,B100000,00000,0100,0100SQUARE FEET 216699,B100000,00000,0200,0200SQUARE FEET 216699,B100000,00000,0300,0300GROSS SALARIES 216699,B100000,00000,0400,0400ACCUM COST 216699,B100000,00000,0500,0500SQUARE FEET 216699,B100000,00000,0600,0600PATIENT DAYS 216699,B100000,00000,0700,0700SQUARE FEET 216699,B100000,00000,0800,0800MEALS SERVED 216699,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 216699,B100000,00000,1000,1000PATIENT DAYS 216699,B100000,00000,1100,1100COSTED REQUIS 216699,B100000,00000,1200,1200PATIENT DAYS 216699,B100000,00000,1300,1300PATIENT DAYS 216699,B100000,00000,1301,1301PATIENT DAYS 216699,B100000,00000,1400,1400ASSIGNED TIME 216699,B100000,00000,1500,1350UNITS OF SERVICE 216699,S000000,00100,0200,11/06/00 216699,S200000,00100,0100,194 SWINDERMAN ROAD 216699,S200000,00200,0100,WEXFORD 216699,S200000,00200,0200,PA 216699,S200000,00200,0300,15090 216699,S200000,00300,0100,ALLEGHANY 216699,S200000,00300,0200,6280 216699,S200000,00300,0300,U 216699,S200000,00400,0100,MARINER HEALTH OF NORTH HILLS 216699,S200000,00400,0200,395903 216699,S200000,00400,0300,05/01/94 216699,S200000,00400,0500,P 216699,S200000,01500,0100,N 216699,S200000,01600,0100,N 216699,S200000,01700,0100,N 216699,S200000,01800,0100,N 216699,S200000,02200,0100,N 216699,S200000,02800,0100,N 216699,S200000,02900,0100,N 216699,S200000,03000,0100,N 216699,S200000,03100,0100,N 216699,S200000,03200,0100,N 216699,S200000,03300,0100,N 216699,S200000,03300,0200,N 216699,S200000,04100,0100,N 216699,S200000,04200,0100,N 216699,S200000,04300,0100,N 216699,S200000,04600,0100,N 216699,S200000,04700,0100,N 216699,S200000,04900,0100,N 216699,S200000,05200,0100,N 216701,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 216701,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 216701,A000000,00300,0000,0300EMPLOYEE BENEFITS 216701,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216701,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 216701,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216701,A000000,00700,0000,0700HOUSEKEEPING 216701,A000000,00800,0000,0800DIETARY 216701,A000000,00900,0000,0900NURSING ADMINISTRATION 216701,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216701,A000000,01100,0000,1100PHARMACY 216701,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216701,A000000,01300,0000,1300SOCIAL SERVICE 216701,A000000,01301,0000,1301ACTIVITES 216701,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 216701,A000000,01500,0000,1350REHAB 216701,A000000,01600,0000,1600SKILLED NURSING FACILITY 216701,A000000,01800,0000,1800NURSING FACILITY 216701,A000000,01810,0000,1810ICF/MR 216701,A000000,02100,0000,2100RADIOLOGY 216701,A000000,02200,0000,2200LABORATORY 216701,A000000,02300,0000,2300INTRAVENOUS THERAPY 216701,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 216701,A000000,02500,0000,2500PHYSICAL THERAPY 216701,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216701,A000000,02700,0000,2700SPEECH PATHOLOGY 216701,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 216701,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216701,A000000,03300,0000,3050EQUIPMENT RENTSL 216701,A000000,03301,0000,3051P.E.N. THERAPY 216701,A000000,03550,0000,3550FQHC 216701,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 216701,A000000,04801,0000,4801AMBULANCE 216701,A000000,04802,0000,4802AMBULANCE 216701,A000000,04803,0000,4803AMBULANCE 216701,A000000,05000,0000,5000CORF 216701,A000000,05010,0000,5010CMHC 216701,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 216701,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 216701,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 216701,A000000,05300,0000,5300INTEREST EXPENSE 216701,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 216701,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216701,A000000,06300,0000,6150VENDING 216701,A81000A,00100,0100,Y 216701,A81000B,00100,0300,CENTRAL SUPPLY 216701,A81000B,00200,0300,MEDICAL SUPPLIES 216701,A81000B,00300,0300,BENEFITS 216701,A81000B,00400,0300,CAPITAL 216701,A81000B,00500,0300,DRUGS 216701,A81000B,00600,0300,P.E.N. 216701,A81000B,00700,0300,IV 216701,A81000B,00800,0300,HOME OFFICE CAPITAL 216701,A81000B,00900,0300,HOME OFFICE COST ALLOCATION 216701,A81000C,00100,0100,B 216701,A81000C,00100,0200,MH NEWPORT PS#1 216701,A81000C,00100,0400,MARINER PAN 216701,A81000C,00100,0600,NURSING HOMES 216701,A81000C,00200,0100,G 216701,A81000C,00200,0200,MARINER PAN 216701,A81000C,00200,0400,AMERICANB PHARM 216701,A81000C,00200,0600,PHARMACEUTICALS 216701,A81000C,00300,0100,G 216701,A81000C,00300,0200,MARINER PAN 216701,A81000C,00300,0400,PRISM (ATS ARS 216701,A81000C,00300,0600,THERAPIES 216701,B100000,00000,0100,0100SQUARE FEET 216701,B100000,00000,0200,0200SQUARE FEET 216701,B100000,00000,0300,0300GROSS SALARIES 216701,B100000,00000,0400,0400ACCUM COST 216701,B100000,00000,0500,0500SQUARE FEET 216701,B100000,00000,0600,0600PATIENT DAYS 216701,B100000,00000,0700,0700SQUARE FEET 216701,B100000,00000,0800,0800MEALS SERVED 216701,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 216701,B100000,00000,1000,1000PATIENT DAYS 216701,B100000,00000,1100,1100COSTED REQUIS 216701,B100000,00000,1200,1200PATIENT DAYS 216701,B100000,00000,1300,1300PATIENT DAYS 216701,B100000,00000,1301,1301PATIENT DAYS 216701,B100000,00000,1400,1400ASSIGNED TIME 216701,B100000,00000,1500,1350UNITS OF SERVICE 216701,S000000,00100,0200,11/08/00 216701,S200000,00100,0100,135 REGENCY DRIVE 216701,S200000,00200,0100,NEWPORT 216701,S200000,00200,0200,TN 216701,S200000,00200,0300,37821 216701,S200000,00300,0100,COCKE 216701,S200000,00300,0200,0044 216701,S200000,00300,0300,R 216701,S200000,00400,0100,MARINER HEALTH OF NEWPORT 216701,S200000,00400,0200,445176 216701,S200000,00400,0300,05/01/96 216701,S200000,00400,0500,P 216701,S200000,01500,0100,N 216701,S200000,01600,0100,Y 216701,S200000,01700,0100,N 216701,S200000,01800,0100,N 216701,S200000,02200,0100,N 216701,S200000,02800,0100,N 216701,S200000,02900,0100,N 216701,S200000,03000,0100,N 216701,S200000,03100,0100,N 216701,S200000,03200,0100,N 216701,S200000,03300,0100,N 216701,S200000,03300,0200,N 216701,S200000,04100,0100,N 216701,S200000,04200,0100,N 216701,S200000,04300,0100,N 216701,S200000,04600,0100,N 216701,S200000,04700,0100,N 216701,S200000,04900,0100,N 216701,S200000,05200,0100,N 216702,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 216702,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 216702,A000000,00300,0000,0300EMPLOYEE BENEFITS 216702,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 216702,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 216702,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 216702,A000000,00700,0000,0700HOUSEKEEPING 216702,A000000,00800,0000,0800DIETARY 216702,A000000,00900,0000,0900NURSING ADMINISTRATION 216702,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 216702,A000000,01100,0000,1100PHARMACY 216702,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 216702,A000000,01300,0000,1300SOCIAL SERVICE 216702,A000000,01301,0000,1301ACTIVITIES 216702,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 216702,A000000,01500,0000,1350REHAB 216702,A000000,01600,0000,1600SKILLED NURSING FACILITY 216702,A000000,01800,0000,1800NURSING FACILITY 216702,A000000,01810,0000,1810ICF/MR 216702,A000000,02100,0000,2100RADIOLOGY 216702,A000000,02200,0000,2200LABORATORY 216702,A000000,02300,0000,2300INTRAVENOUS THERAPY 216702,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 216702,A000000,02500,0000,2500PHYSICAL THERAPY 216702,A000000,02600,0000,2600OCCUPATIONAL THERAPY 216702,A000000,02700,0000,2700SPEECH PATHOLOGY 216702,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 216702,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 216702,A000000,03300,0000,3050EQUIPMENT RENTAL 216702,A000000,03550,0000,3550FQHC 216702,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 216702,A000000,04801,0000,4801AMBULANCE 216702,A000000,04802,0000,4802AMBULANCE 216702,A000000,04803,0000,4803AMBULANCE 216702,A000000,05000,0000,5000CORF 216702,A000000,05010,0000,5010CMHC 216702,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 216702,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 216702,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 216702,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 216702,A000000,05900,0000,5900BARBER & BEAUTY SHOP 216702,A000000,06300,0000,6150VENDING 216702,A81000A,00100,0100,Y 216702,A81000B,00100,0300,CENTRAL SUPPLY 216702,A81000B,00200,0300,MEDICAL SUPPLIES 216702,A81000B,00300,0300,ADMIN 216702,A81000B,00400,0300,CAPITAL 216702,A81000B,00500,0300,DRUGS 216702,A81000B,00600,0300,EQUIPMENT RENTAL 216702,A81000B,00700,0300,NURSING ADMIN 216702,A81000B,00800,0300,IV 216702,A81000B,00900,0300,REHAB 216702,A81000B,01000,0300,PT 216702,A81000B,01100,0300,OT 216702,A81000B,01200,0300,ST 216702,A81000B,01300,0300,HOME OFFICE CAPITAL 216702,A81000B,01400,0300,HOME OFFICE COST ALLOCATION 216702,A81000C,00100,0100,B 216702,A81000C,00100,0200,MH NORRIS PS#13 216702,A81000C,00100,0400,MARINER PAN 216702,A81000C,00100,0600,NURSING HOMES 216702,A81000C,00200,0100,G 216702,A81000C,00200,0200,MARINER PAN 216702,A81000C,00200,0400,AMERICAN PHARMA 216702,A81000C,00200,0600,PHARMACEUTICALS 216702,A81000C,00300,0100,G 216702,A81000C,00300,0200,MARINER PAN 216702,A81000C,00300,0400,PRISM (ARS ARS 216702,A81000C,00300,0600,THERAPIES 216702,B100000,00000,0100,0100SQUARE FEET 216702,B100000,00000,0200,0200SQUARE FEET 216702,B100000,00000,0300,0300GROSS SALARIES 216702,B100000,00000,0400,0400ACCUM COST 216702,B100000,00000,0500,0500SQUARE FEET 216702,B100000,00000,0600,0600PATIENT DAYS 216702,B100000,00000,0700,0700SQUARE FEET 216702,B100000,00000,0800,0800MEALS SERVED 216702,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 216702,B100000,00000,1000,1000PATIENT DAYS 216702,B100000,00000,1100,1100COSTED REQUIS 216702,B100000,00000,1200,1200PATIENT DAYS 216702,B100000,00000,1300,1300PATIENT DAYS 216702,B100000,00000,1301,1301PATIENT DAYS 216702,B100000,00000,1400,1400ASSIGNED TIME 216702,B100000,00000,1500,1350UNIT SERVICES 216702,S000000,00100,0200,11/08/00 216702,S200000,00100,0100,3382 ANDERSONVILLE HIGHWAY 216702,S200000,00200,0100,ANDERSONVILLE 216702,S200000,00200,0200,TN 216702,S200000,00200,0300,37705 216702,S200000,00300,0100,ANDERSVILLE 216702,S200000,00300,0200,3840 216702,S200000,00300,0300,U 216702,S200000,00400,0100,MARINER HEALTH OF NORRIS 216702,S200000,00400,0200,445303 216702,S200000,00400,0300,05/01/96 216702,S200000,00400,0500,P 216702,S200000,01500,0100,N 216702,S200000,01600,0100,Y 216702,S200000,01700,0100,N 216702,S200000,01800,0100,N 216702,S200000,02200,0100,N 216702,S200000,02800,0100,N 216702,S200000,02900,0100,N 216702,S200000,03000,0100,N 216702,S200000,03100,0100,N 216702,S200000,03200,0100,N 216702,S200000,03300,0100,N 216702,S200000,03300,0200,N 216702,S200000,04100,0100,N 216702,S200000,04200,0100,N 216702,S200000,04300,0100,N 216702,S200000,04600,0100,N 216702,S200000,04700,0100,N 216702,S200000,04900,0100,N 216702,S200000,05200,0100,N 217017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 217017,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 217017,A000000,00300,0000,0300EMPLOYEE BENEFITS 217017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 217017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 217017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 217017,A000000,00700,0000,0700HOUSEKEEPING 217017,A000000,00800,0000,0800DIETARY 217017,A000000,00900,0000,0900NURSING ADMINISTRATION 217017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 217017,A000000,01100,0000,1100PHARMACY 217017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 217017,A000000,01300,0000,1300SOCIAL SERVICE 217017,A000000,01301,0000,1301SOCIAL SERVICE 217017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 217017,A000000,01600,0000,1600SKILLED NURSING FACILITY 217017,A000000,01800,0000,1800NURSING FACILITY 217017,A000000,01810,0000,1810ICF/MR 217017,A000000,02100,0000,2100RADIOLOGY 217017,A000000,02200,0000,2200LABORATORY 217017,A000000,02300,0000,2300INTRAVENOUS THERAPY 217017,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 217017,A000000,02500,0000,2500PHYSICAL THERAPY 217017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 217017,A000000,02700,0000,2700SPEECH PATHOLOGY 217017,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 217017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 217017,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 217017,A000000,03301,0000,3051MEDICAL EQUIPMENT 217017,A000000,03550,0000,3550FQHC 217017,A000000,05000,0000,5000CORF 217017,A000000,05010,0000,5010CMHC 217017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 217017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 217017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 217017,A000000,05900,0000,5900BARBER & BEAUTY SHOP 217017,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 217017,A81000A,00100,0100,Y 217017,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 217017,A81000B,00200,0300,CAPITAL - BUILDINGS 217017,A81000B,00300,0300,CAPITAL - EQUIPMENT 217017,A81000B,00400,0300,MEDICAL SUPPLIES 217017,A81000B,00500,0300,NURSING SUPPLIES 217017,A81000B,00600,0300,CENTRAL SUPPLIES 217017,A81000C,00100,0100,B 217017,A81000C,00100,0200,PEAK MEDICAL CO 217017,A81000C,00100,0400,PEAK MEDICAL CO 217017,A81000C,00100,0600,HOME OFFICE SER 217017,A81000C,00200,0100,B 217017,A81000C,00200,0200,PEAK MEDICAL CO 217017,A81000C,00200,0400,MEDICAL RESOURC 217017,A81000C,00200,0600,MEDICAL SUPPLY 217017,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 217017,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 217017,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 217017,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 217017,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 217017,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 217017,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 217017,B100000,00000,0800,0800MEALS SERVED :DIETARY 217017,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 217017,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 217017,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 217017,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 217017,B100000,00000,1301,1301TIME SPENT :SOCIAL SERVICE 217017,E10A180,00301,0100,11/24/99 217017,S000000,00100,0200,06/02/00 217017,S200000,00100,0100,7525 SOUTH ROSS 217017,S200000,00200,0100,OKLAHOMA CITY 217017,S200000,00200,0200,OK 217017,S200000,00200,0300,74058- 217017,S200000,00300,0100,OKLAHOMA 217017,S200000,00300,0200,5880 217017,S200000,00300,0300,U 217017,S200000,00400,0100,SOUTH PARK HEALTH CARE CENTER 217017,S200000,00400,0200,375365 217017,S200000,00400,0300,03/01/99 217017,S200000,00400,0500,P 217017,S200000,01500,0100,Y 217017,S200000,01600,0100,N 217017,S200000,01700,0100,N 217017,S200000,01800,0100,N 217017,S200000,02200,0100,N 217017,S200000,02800,0100,N 217017,S200000,02900,0100,N 217017,S200000,03000,0100,N 217017,S200000,03100,0100,N 217017,S200000,03200,0100,N 217017,S200000,04100,0100,N 217017,S200000,04200,0100,N 217017,S200000,04300,0100,N 217017,S200000,04600,0100,N 217017,S200000,04700,0100,N 217017,S200000,04700,0200,N 217017,S200000,04900,0100,N 217017,S200000,05000,0100,N 217017,S200000,05100,0100,N 217017,S200000,05200,0100,N 217515,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 217515,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 217515,A000000,00300,0000,0300EMPLOYEE BENEFITS 217515,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 217515,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 217515,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 217515,A000000,00700,0000,0700HOUSEKEEPING 217515,A000000,00800,0000,0800DIETARY 217515,A000000,00900,0000,0900NURSING ADMINISTRATION 217515,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 217515,A000000,01100,0000,1100PHARMACY 217515,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 217515,A000000,01300,0000,1300SOCIAL SERVICE 217515,A000000,01301,0000,1301ACTIVITIES 217515,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 217515,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 217515,A000000,01600,0000,1600SKILLED NURSING FACILITY 217515,A000000,01800,0000,1800NURSING FACILITY 217515,A000000,01810,0000,1810ICF/MR 217515,A000000,02100,0000,2100RADIOLOGY 217515,A000000,02200,0000,2200LABORATORY 217515,A000000,02300,0000,2300INTRAVENOUS THERAPY 217515,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 217515,A000000,02500,0000,2500PHYSICAL THERAPY 217515,A000000,02600,0000,2600OCCUPATIONAL THERAPY 217515,A000000,02700,0000,2700SPEECH PATHOLOGY 217515,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 217515,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 217515,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 217515,A000000,03550,0000,3550FQHC 217515,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 217515,A000000,04800,0000,4800AMBULANCE 217515,A000000,04801,0000,4801AMBULANCE 217515,A000000,04802,0000,4802AMBULANCE 217515,A000000,04803,0000,4803AMBULANCE 217515,A000000,05000,0000,5000CORF 217515,A000000,05010,0000,5010CMHC 217515,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 217515,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 217515,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 217515,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 217515,A000000,05900,0000,5900BARBER & BEAUTY SHOP 217515,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 217515,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 217515,A81000A,00100,0100,Y 217515,A81000B,00100,0300,HOME OFFICE ALLOCATION 217515,A81000C,00100,0100,B 217515,A81000C,00100,0200,MH TOLEDO 13064 217515,A81000C,00100,0400,MARINER POST AC 217515,A81000C,00100,0600,NURSING HOMES 217515,A81000C,00200,0100,G 217515,A81000C,00200,0200,MARINER POST AC 217515,A81000C,00200,0400,AMERICAN PHARMA 217515,A81000C,00200,0600,PHARMACEUTICALS 217515,A81000C,00300,0100,G 217515,A81000C,00300,0200,MARINER POST AC 217515,A81000C,00300,0400,PRISM(ATS ARS 217515,A81000C,00300,0600,THERAPIES 217515,B100000,00000,0100,0100SQUARE FEET 217515,B100000,00000,0200,0200SQUARE FEET 217515,B100000,00000,0300,0300GROSS SALARIES 217515,B100000,00000,0400,0400ACCUM COST 217515,B100000,00000,0500,0500SQUARE FEET 217515,B100000,00000,0600,0600PATIENT DAYS 217515,B100000,00000,0700,0700SQUARE FEET 217515,B100000,00000,0800,0800MEALS SERVED 217515,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 217515,B100000,00000,1000,1000PATIENT DAYS 217515,B100000,00000,1100,1100COSTED REQUIS 217515,B100000,00000,1200,1200PATIENT DAYS 217515,B100000,00000,1300,1300PATIENT DAYS 217515,B100000,00000,1301,1301PATIENT DAYS 217515,B100000,00000,1400,1400ASSIGNED TIME 217515,B100000,00000,1500,1350UNITS OF SERVICE 217515,S000000,00100,0200,12/01/00 217515,S200000,00100,0100,1011 NORTH BYRNE RD 217515,S200000,00200,0100,TOLEDO 217515,S200000,00200,0200,OH 217515,S200000,00200,0300,43607 217515,S200000,00300,0100,L 217515,S200000,00300,0200,8400 217515,S200000,00300,0300,U 217515,S200000,00400,0100,MH OF TOLEDO 217515,S200000,00400,0200,365070 217515,S200000,00400,0300,07/01/94 217515,S200000,00400,0500,P 217515,S200000,01500,0100,N 217515,S200000,01600,0100,N 217515,S200000,01700,0100,N 217515,S200000,01800,0100,N 217515,S200000,02200,0100,N 217515,S200000,02800,0100,N 217515,S200000,02900,0100,N 217515,S200000,03000,0100,N 217515,S200000,03100,0100,N 217515,S200000,03200,0100,N 217515,S200000,03300,0100,N 217515,S200000,03300,0200,N 217515,S200000,04100,0100,N 217515,S200000,04200,0100,N 217515,S200000,04300,0100,N 217515,S200000,04600,0100,N 217515,S200000,04700,0100,N 217515,S200000,04900,0100,N 217515,S200000,05200,0100,N 217896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 217896,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 217896,A000000,00300,0000,0300EMPLOYEE BENEFITS 217896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 217896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 217896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 217896,A000000,00700,0000,0700HOUSEKEEPING 217896,A000000,00800,0000,0800DIETARY 217896,A000000,00900,0000,0900NURSING ADMINISTRATION 217896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 217896,A000000,01100,0000,1100PHARMACY 217896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 217896,A000000,01300,0000,1300SOCIAL SERVICE 217896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 217896,A000000,01500,0000,1350OTHER GENERAL SERVICES 217896,A000000,01600,0000,1600SKILLED NURSING FACILITY 217896,A000000,01800,0000,1800NURSING FACILITY 217896,A000000,01810,0000,1810ICF/MR 217896,A000000,02100,0000,2100RADIOLOGY 217896,A000000,02200,0000,2200LABORATORY 217896,A000000,02300,0000,2300INTRAVENOUS THERAPY 217896,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 217896,A000000,02500,0000,2500PHYSICAL THERAPY 217896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 217896,A000000,02700,0000,2700SPEECH PATHOLOGY 217896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 217896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 217896,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 217896,A000000,03550,0000,3550FQHC 217896,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 217896,A000000,04800,0000,4800AMBULANCE 217896,A000000,04801,0000,4801AMBULANCE 217896,A000000,04802,0000,4802AMBULANCE 217896,A000000,04803,0000,4803AMBULANCE 217896,A000000,05000,0000,5000CORF 217896,A000000,05010,0000,5010CMHC 217896,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 217896,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 217896,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 217896,A000000,05100,0000,4750OTHER REIMBURSABLE COST 217896,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 217896,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 217896,A81000A,00100,0100,Y 217896,A81000B,00100,0300,MANAGEMENT FEES 217896,A81000B,00200,0300,TUBE FEEDING SUPPLEMENT 217896,A81000B,00300,0300,TUBE FEEDING SUPPLEMENT 217896,A81000C,00100,0100,A 217896,A81000C,00100,0200,TOMMY & LYN BANKSTON 217896,A81000C,00100,0400,NURSING HOME MANAGEMENT 217896,A81000C,00100,0600,MANAGEMENT COMPANY 217896,A81000C,00200,0100,A 217896,A81000C,00200,0200,TOMMY & LYN BANKSTON 217896,A81000C,00200,0400,WINN MEDICAL 217896,A81000C,00200,0600,MEDICAL SUPPLY COMPANY 217896,B100000,00000,0100,0100SQUARE FEET 217896,B100000,00000,0200,0200SQUARE FEET 217896,B100000,00000,0300,0300GROSS SALAR 217896,B100000,00000,0400,0400ACCUM COST 217896,B100000,00000,0500,0500SQUARE FEET 217896,B100000,00000,0600,0600POUNDS OF LAUNDRY 217896,B100000,00000,0700,0700SQUARE FEET 217896,B100000,00000,0800,0800MEALS SERVED 217896,B100000,00000,0900,0900DIRECT NRSG 217896,B100000,00000,1000,1000COSTEDREQU UISITIONS 217896,B100000,00000,1100,1100COSTED REQUIS. 217896,B100000,00000,1200,1200TIME SPENT 217896,B100000,00000,1300,1300TIME SPENT 217896,B100000,00000,1400,1400NO STATISTICS 217896,B100000,00000,1500,1350NO STATISTICS 217896,E10A180,00301,0100,04/04/00 217896,E10A180,00501,0100,06/28/00 217896,E10A180,00501,0300,06/28/00 217896,S000000,00100,0200,05/26/00 217896,S200000,00100,0100,915 FIRST STREET 217896,S200000,00100,0300,1353 217896,S200000,00200,0100,WINNFIELD 217896,S200000,00200,0200,LA 217896,S200000,00200,0300,71483 217896,S200000,00300,0100,WINN 217896,S200000,00300,0200,0019 217896,S200000,00300,0300,R 217896,S200000,00400,0100,PARKVIEW CARE CENTER 217896,S200000,00400,0200,195454 217896,S200000,00400,0300,01/15/98 217896,S200000,00400,0500,P 217896,S200000,01500,0100,N 217896,S200000,01600,0100,Y 217896,S200000,01700,0100,N 217896,S200000,01800,0100,N 217896,S200000,02200,0100,N 217896,S200000,02800,0100,N 217896,S200000,02900,0100,N 217896,S200000,03000,0100,N 217896,S200000,03100,0100,N 217896,S200000,03200,0100,N 217896,S200000,03300,0100,N 217896,S200000,03300,0200,N 217896,S200000,04100,0100,N 217896,S200000,04200,0100,N 217896,S200000,04300,0100,Y 217896,S200000,04600,0100,N 217896,S200000,04700,0100,N 217896,S200000,04900,0100,N 217896,S200000,05200,0100,N 218822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 218822,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 218822,A000000,00300,0000,0300EMPLOYEE BENEFITS 218822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 218822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 218822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 218822,A000000,00700,0000,0700HOUSEKEEPING 218822,A000000,00800,0000,0800DIETARY 218822,A000000,00900,0000,0900NURSING ADMINISTRATION 218822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 218822,A000000,01100,0000,1100PHARMACY 218822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 218822,A000000,01300,0000,1300SOCIAL SERVICE 218822,A000000,01600,0000,1600SKILLED NURSING FACILITY 218822,A000000,01800,0000,1800NURSING FACILITY 218822,A000000,01900,0000,1900OTHER LONG TERM CARE 218822,A000000,02100,0000,2100RADIOLOGY 218822,A000000,02200,0000,2200LABORATORY 218822,A000000,02300,0000,2300INTRAVENOUS THERAPY 218822,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 218822,A000000,02500,0000,2500PHYSICAL THERAPY 218822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 218822,A000000,02700,0000,2700SPEECH PATHOLOGY 218822,A000000,02800,0000,2800ELECTROCARDIOLOGY 218822,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 218822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 218822,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 218822,A000000,03200,0000,3200SUPPORT SURFACES 218822,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 218822,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 218822,A000000,03301,0000,3051NUTRITIONAL THERAPY 218822,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 218822,A000000,03303,0000,3053PHYSICIAN SERVICES 218822,A000000,03304,0000,3054MEDICAL SERVICES 218822,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 218822,A000000,04800,0000,4800AMBULANCE 218822,A000000,05300,0000,5300INTEREST EXPENSE 218822,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 218822,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 218822,A000000,05900,0000,5900BARBER & BEAUTY SHOP 218822,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 218822,A000000,06100,0000,6100NONPAID WORKERS 218822,A000000,06200,0000,6200PATIENTS LAUNDRY 218822,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 218822,A81000A,00100,0100,Y 218822,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 218822,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 218822,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 218822,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 218822,A81000B,00500,0300,REGIONAL ALLOCATION REALTED PARTY 218822,A81000B,00600,0300,PLEASE SEE ATTACHED TOTAL 218822,A81000C,00100,0100,B 218822,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 218822,A81000C,00200,0200,A-8-1. 218822,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 218822,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 218822,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 218822,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 218822,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 218822,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 218822,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 218822,B100000,00000,0800,0850PATIENT DAYS :DIETARY 218822,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 218822,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 218822,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 218822,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 218822,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 218822,S000000,00100,0200,10/22/02 218822,S200000,00100,0100,201 PENNY LANE 218822,S200000,00200,0100,MOREHEAD CITY 218822,S200000,00200,0200,NC 218822,S200000,00200,0300,28557- 218822,S200000,00300,0100,CARTERET 218822,S200000,00300,0200,0034 218822,S200000,00300,0300,U 218822,S200000,00400,0100,SUNBRIDGE CARE & REHAB CRYSTAL COAST 218822,S200000,00400,0200,345170 218822,S200000,00400,0300,08/15/77 218822,S200000,00400,0500,P 218822,S200000,01500,0100,N 218822,S200000,01600,0100,Y 218822,S200000,01700,0100,N 218822,S200000,01800,0100,N 218822,S200000,02200,0100,Y 218822,S200000,02800,0100,N 218822,S200000,02900,0100,N 218822,S200000,03000,0100,N 218822,S200000,03100,0100,N 218822,S200000,03200,0100,N 218822,S200000,04100,0100,N 218822,S200000,04200,0100,N 218822,S200000,04300,0100,N 218822,S200000,04600,0100,N 218822,S200000,04700,0100,N 218822,S200000,04700,0200,N 218822,S200000,04900,0100,N 218822,S200000,05000,0100,N 218822,S200000,05100,0100,N 218822,S200000,05200,0100,N 219806,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 219806,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 219806,A000000,00300,0000,0300EMPLOYEE BENEFITS 219806,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 219806,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 219806,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 219806,A000000,00700,0000,0700HOUSEKEEPING 219806,A000000,00800,0000,0800DIETARY 219806,A000000,00900,0000,0900NURSING ADMINISTRATION 219806,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 219806,A000000,01100,0000,1100PHARMACY 219806,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 219806,A000000,01300,0000,1300SOCIAL SERVICE 219806,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 219806,A000000,01600,0000,1600SKILLED NURSING FACILITY 219806,A000000,01810,0000,1810ICF/MR 219806,A000000,01900,0000,1900OTHER LONG TERM CARE 219806,A000000,02500,0000,2500PHYSICAL THERAPY 219806,A000000,02600,0000,2600OCCUPATIONAL THERAPY 219806,A000000,02700,0000,2700SPEECH PATHOLOGY 219806,A000000,03550,0000,3550FQHC 219806,A000000,04801,0000,4801AMBULANCE 219806,A000000,04802,0000,4802AMBULANCE 219806,A000000,04803,0000,4803AMBULANCE 219806,A000000,05000,0000,5000CORF 219806,A000000,05010,0000,5010CMHC 219806,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 219806,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 219806,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 219806,A000000,05300,0000,5300INTEREST EXPENSE 219806,A81000A,00100,0100,Y 219806,A81000B,00100,0300,WORKERS COMP. 219806,A81000C,00100,0100,B 219806,A81000C,00100,0200,PINE HAVEN HOME 219806,A81000C,00100,0400,COLUMBIA COUNTY 219806,A81000C,00100,0600,COUNTY GOV T 219806,B100000,00000,0100,0100SQUARE FEET 219806,B100000,00000,0200,0200SQUARE FEET 219806,B100000,00000,0300,0300GROSS SALARIES 219806,B100000,00000,0400,0400ACCUM COST 219806,B100000,00000,0500,0500SQUARE FEET 219806,B100000,00000,0600,0600POUNDS OF LAUNDRY 219806,B100000,00000,0700,0700HOURS OF SERVICE 219806,B100000,00000,0800,0800MEALS SERVED 219806,B100000,00000,0900,0900DIRECT NRSG HRS 219806,B100000,00000,1000,1000COSTED REQUIS 219806,B100000,00000,1100,1100COSTED REQUIS 219806,B100000,00000,1200,1200TIME SPENT 219806,B100000,00000,1300,1300TIME SPENT 219806,B100000,00000,1400,1400ASSIGNED TIME 219806,S000000,00100,0200,10/09/00 219806,S200000,00100,0100,ROUTE 217 219806,S200000,00200,0100,PHILMONT 219806,S200000,00200,0200,NY 219806,S200000,00200,0300,12565 219806,S200000,00300,0100,COLUMBIA 219806,S200000,00300,0200,0033 219806,S200000,00300,0300,R 219806,S200000,00400,0100,PINE HAVEN HOME 219806,S200000,00400,0200,335632 219806,S200000,00400,0300,02/01/79 219806,S200000,00400,0500,P 219806,S200000,01500,0100,Y 219806,S200000,01600,0100,N 219806,S200000,01700,0100,N 219806,S200000,01800,0100,N 219806,S200000,02200,0100,N 219806,S200000,02800,0100,N 219806,S200000,02900,0100,N 219806,S200000,03000,0100,N 219806,S200000,03100,0100,N 219806,S200000,03200,0100,N 219806,S200000,03300,0100,N 219806,S200000,03300,0200,N 219806,S200000,04100,0100,N 219806,S200000,04200,0100,N 219806,S200000,04300,0100,N 219806,S200000,04600,0100,N 219806,S200000,04700,0100,N 219806,S200000,04900,0100,N 219806,S200000,05000,0100,Y 219806,S200000,05100,0100,N 219806,S200000,05200,0100,N 220062,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 220062,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 220062,A000000,00300,0000,0300EMPLOYEE BENEFITS 220062,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 220062,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 220062,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 220062,A000000,00700,0000,0700HOUSEKEEPING 220062,A000000,00800,0000,0800DIETARY 220062,A000000,00900,0000,0900NURSING ADMINISTRATION 220062,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 220062,A000000,01100,0000,1100PHARMACY 220062,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 220062,A000000,01300,0000,1300SOCIAL SERVICE 220062,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 220062,A000000,01500,0000,1350OTHER GENERAL SERVICES 220062,A000000,01600,0000,1600SKILLED NURSING FACILITY 220062,A000000,01800,0000,1800NURSING FACILITY 220062,A000000,01900,0000,1900OTHER LONG TERM CARE 220062,A000000,02100,0000,2100RADIOLOGY 220062,A000000,02200,0000,2200LABORATORY 220062,A000000,02300,0000,2300INTRAVENOUS THERAPY 220062,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 220062,A000000,02500,0000,2500PHYSICAL THERAPY 220062,A000000,02600,0000,2600OCCUPATIONAL THERAPY 220062,A000000,02700,0000,2700SPEECH PATHOLOGY 220062,A000000,02800,0000,2800ELECTROCARDIOLOGY 220062,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 220062,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 220062,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 220062,A000000,03200,0000,3200SUPPORT SURFACES 220062,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 220062,A000000,03400,0000,3400CLINIC 220062,A000000,03500,0000,3500RURAL HEALTH CLINIC 220062,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 220062,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 220062,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 220062,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 220062,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 220062,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 220062,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 220062,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 220062,A000000,04400,0000,4400DME RENTED - HHA 220062,A000000,04500,0000,4500DME SOLD - HHA 220062,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 220062,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 220062,A000000,04800,0000,4800AMBULANCE 220062,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 220062,A000000,05000,0000,5000CORF 220062,A000000,05100,0000,4750OTHER REIMBURSABLE COST 220062,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 220062,A000000,05300,0000,5300INTEREST EXPENSE 220062,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 220062,A000000,05500,0000,5500HOSPICE 220062,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 220062,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 220062,A000000,05900,0000,5900BARBER & BEAUTY SHOP 220062,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 220062,A000000,06100,0000,6100NONPAID WORKERS 220062,A000000,06200,0000,6200PATIENTS LAUNDRY 220062,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 220062,A81000A,00100,0100,Y 220062,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 220062,A81000C,00100,0100,A 220062,A81000C,00100,0200,PEOPLES NURSING FACILITY 220062,A81000C,00100,0600,MGMNT SERVICES 220062,A81000C,00200,0100,A 220062,A81000C,00200,0200,ERWIN CARE CENTERS 220062,A81000C,00200,0600,MGMNT SERVICES 220062,A81000C,00300,0100,A 220062,A81000C,00300,0200,PEOPLES HEALTH SERVICES 220062,A81000C,00300,0600,HOME OFFICE 220062,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 220062,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 220062,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 220062,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 220062,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 220062,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 220062,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 220062,B100000,00000,0800,0850PATIENT DAYS :DIETARY 220062,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 220062,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 220062,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 220062,S000000,00100,0200,07/19/00 220062,S200000,00100,0100,1004 YOUNG 220062,S200000,00200,0100,ROCKPORT 220062,S200000,00200,0200,TX 220062,S200000,00200,0300,78382- 220062,S200000,00300,0100,ARANSAS 220062,S200000,00300,0200,45 220062,S200000,00300,0300,R 220062,S200000,00400,0100,PEOPLES NURSING CENTER OF ROCKPORT 220062,S200000,00400,0200,675149 220062,S200000,00400,0300,06/04/93 220062,S200000,00400,0500,P 220062,S200000,01500,0100,N 220062,S200000,01600,0100,Y 220062,S200000,01700,0100,N 220062,S200000,01800,0100,N 220062,S200000,02200,0100,N 220062,S200000,02800,0100,N 220062,S200000,02900,0100,N 220062,S200000,03000,0100,N 220062,S200000,03100,0100,N 220062,S200000,03200,0100,N 220062,S200000,03300,0100,N 220062,S200000,03300,0200,N 220062,S200000,04100,0100,N 220062,S200000,04200,0100,N 220062,S200000,04300,0100,N 220062,S200000,04600,0100,N 220062,S200000,04700,0100,N 220062,S200000,04700,0200,N 220062,S200000,04900,0100,N 220062,S200000,05000,0100,N 220062,S200000,05100,0100,N 220062,S200000,05200,0100,N 221504,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221504,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221504,A000000,00300,0000,0300EMPLOYEE BENEFITS 221504,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221504,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221504,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221504,A000000,00700,0000,0700HOUSEKEEPING 221504,A000000,00800,0000,0800DIETARY 221504,A000000,00900,0000,0900NURSING ADMINISTRATION 221504,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221504,A000000,01100,0000,1100PHARMACY 221504,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221504,A000000,01300,0000,1300SOCIAL SERVICE 221504,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221504,A000000,01500,0000,1350PATIENT ACTIVITIES 221504,A000000,01600,0000,1600SKILLED NURSING FACILITY 221504,A000000,01800,0000,1800NURSING FACILITY 221504,A000000,01900,0000,1900OTHER LONG TERM CARE 221504,A000000,02100,0000,2100RADIOLOGY 221504,A000000,02200,0000,2200LABORATORY 221504,A000000,02300,0000,2300INTRAVENOUS THERAPY 221504,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221504,A000000,02500,0000,2500PHYSICAL THERAPY 221504,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221504,A000000,02700,0000,2700SPEECH PATHOLOGY 221504,A000000,02800,0000,2800ELECTROCARDIOLOGY 221504,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221504,A000000,02901,0000,2901CLINITRONS BEDS 221504,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221504,A000000,04800,0000,4800AMBULANCE 221504,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221504,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221504,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 221504,A000000,06100,0000,6100NONPAID WORKERS 221504,A000000,06200,0000,6200PATIENTS LAUNDRY 221504,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221504,A81000A,00100,0100,Y 221504,A81000B,00100,0300,H.O. COST - OPERATING 221504,A81000B,00200,0300,H.O. COST - CAPITAL 221504,A81000B,00300,0300,RADIOLOGY 221504,A81000B,00400,0300,MOVEABLE EQUIPMENT 221504,A81000B,00500,0300,EMPLOYEE BENEFITS 221504,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 221504,A81000B,00700,0300,HOUSEKEEPING 221504,A81000B,00800,0300,DIETARY 221504,A81000B,00900,0300,CENTRAL SERVICES 221504,A81000B,01000,0300,PHARMACY 221504,A81000B,01100,0300,PHYSICAL THERAPY 221504,A81000B,01200,0300,MEDICAL SUPPLIES 221504,A81000B,01300,0300,COMPLEX MEDICAL EQUIPMENT 221504,A81000B,01400,0300,DRUGS 221504,A81000C,00100,0100,B 221504,A81000C,00100,0400,HCF INC. 221504,A81000C,00100,0600,HOME OFFICE 221504,A81000C,00200,0100,B 221504,A81000C,00200,0400,HCF INC. 221504,A81000C,00200,0600,HOME OFFICE 221504,A81000C,00300,0100,D 221504,A81000C,00300,0200,UNVERFERTH SONS 221504,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 221504,A81000C,00300,0600,PORTABLE RADIOLOGY 221504,A81000C,00400,0100,A 221504,A81000C,00400,0200,UNVERFERTH FAMILY 221504,A81000C,00400,0400,ICP INC. 221504,A81000C,00400,0600,INSTITUTIONAL PHARMACY 221504,A81000C,00500,0100,A 221504,A81000C,00500,0200,UNVERFERTH FAMILY 221504,A81000C,00500,0400,ICP INC. 221504,A81000C,00500,0600,INSTITUTIONAL PHARMACY 221504,A81000C,00600,0100,A 221504,A81000C,00600,0200,UNVERFERTH FAMILY 221504,A81000C,00600,0400,ICP INC. 221504,A81000C,00600,0600,INSTITUTIONAL PHARMACY 221504,A81000C,00700,0100,A 221504,A81000C,00700,0200,UNVERFERTH FAMILY 221504,A81000C,00700,0400,ICP INC. 221504,A81000C,00700,0600,INSTITUTIONAL PHARMACY 221504,A81000C,00800,0100,A 221504,A81000C,00800,0200,UNVERFERTH FAMILY 221504,A81000C,00800,0400,ICP INC. 221504,A81000C,00800,0600,INSTITUTIONAL PHARMACY 221504,A81000C,00900,0100,A 221504,A81000C,00900,0200,UNVERFERTH FAMILY 221504,A81000C,00900,0400,ICP INC. 221504,A81000C,00900,0600,INSTITUTIONAL PHARMACY 221504,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221504,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221504,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221504,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221504,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221504,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 221504,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 221504,B100000,00000,0800,0800MEALS SERVED :DIETARY 221504,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 221504,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 221504,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 221504,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 221504,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 221504,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 221504,E10A180,00501,0100,06/15/00 221504,E10A180,00501,0300,01/31/01 221504,E10A180,00550,0100,01/31/01 221504,E10A180,00550,0300,06/15/00 221504,S000000,00100,0200,05/22/00 221504,S200000,00100,0100,2535 FORT AMANDA ROAD 221504,S200000,00200,0100,LIMA 221504,S200000,00200,0200,OH 221504,S200000,00200,0300,45804- 221504,S200000,00300,0100,ALLEN 221504,S200000,00300,0200,4320 221504,S200000,00300,0300,U 221504,S200000,00400,0100,SHAWNEE MANOR 221504,S200000,00400,0200,365361 221504,S200000,00400,0300,09/01/77 221504,S200000,00400,0500,P 221504,S200000,01500,0100,Y 221504,S200000,01600,0100,N 221504,S200000,01700,0100,N 221504,S200000,01800,0100,N 221504,S200000,02200,0100,N 221504,S200000,02800,0100,N 221504,S200000,02900,0100,N 221504,S200000,03000,0100,N 221504,S200000,03100,0100,N 221504,S200000,03200,0100,N 221504,S200000,03300,0100,N 221504,S200000,03300,0200,N 221504,S200000,04100,0100,N 221504,S200000,04200,0100,N 221504,S200000,04300,0100,N 221504,S200000,04600,0100,N 221504,S200000,04700,0100,N 221504,S200000,04700,0200,N 221504,S200000,04900,0100,N 221504,S200000,05000,0100,N 221504,S200000,05100,0100,N 221504,S200000,05200,0100,N 221617,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 221617,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 221617,A000000,00300,0000,0300EMPLOYEE BENEFITS 221617,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221617,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 221617,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221617,A000000,00700,0000,0700HOUSEKEEPING 221617,A000000,00800,0000,0800DIETARY 221617,A000000,00900,0000,0900NURSING ADMINISTRATION 221617,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221617,A000000,01100,0000,1100PHARMACY 221617,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221617,A000000,01300,0000,1300SOCIAL SERVICE 221617,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 221617,A000000,01500,0000,1350ACTIVITIES 221617,A000000,01600,0000,1600SKILLED NURSING FACILITY 221617,A000000,01810,0000,1810ICF/MR 221617,A000000,02100,0000,2100RADIOLOGY 221617,A000000,02200,0000,2200LABORATORY 221617,A000000,02500,0000,2500PHYSICAL THERAPY 221617,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221617,A000000,02700,0000,2700SPEECH PATHOLOGY 221617,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 221617,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221617,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 221617,A000000,03550,0000,3550FQHC 221617,A000000,04801,0000,4801AMBULANCE 221617,A000000,04802,0000,4802AMBULANCE 221617,A000000,04803,0000,4803AMBULANCE 221617,A000000,05000,0000,5000CORF 221617,A000000,05010,0000,5010CMHC 221617,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 221617,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 221617,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 221617,A000000,05100,0000,4750OTHER REIMBURSABLE COST 221617,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 221617,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221617,A81000A,00100,0100,Y 221617,A81000B,00100,0300,ADMINISTRATIVE & GENERAL-REL. 221617,A81000B,00200,0300,ADMINISTRATIVE & GENERAL-REL. 221617,A81000B,00300,0300,ADMINISTRATIVE & GENERAL-REL. 221617,A81000B,00400,0300,ADMINISTRATIVE & GENERAL-REL. 221617,A81000C,00100,0100,B 221617,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 221617,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 221617,A81000C,00100,0600,MANAGEMENT & REALTY 221617,B100000,00000,0100,0100SQUARE FEET 221617,B100000,00000,0200,0200SQUARE FEET 221617,B100000,00000,0300,0300GROSS SALARIES 221617,B100000,00000,0400,0400ACCUM COST 221617,B100000,00000,0500,0500SQUARE FEET 221617,B100000,00000,0600,0600POUNDS OF LAUNDRY 221617,B100000,00000,0700,0700HOURS OF SERVICE 221617,B100000,00000,0800,0800MEALS SERVED 221617,B100000,00000,0900,0900DIRECT NRSING HRS 221617,B100000,00000,1000,1000COSTED REQUIS. 221617,B100000,00000,1100,1100COSTED REQUIS. 221617,B100000,00000,1200,1200TIME SPENT 221617,B100000,00000,1300,1300TIME SPENT 221617,B100000,00000,1400,1400ASSIGNED TIME 221617,B100000,00000,1500,1350NO. OF PARTIC 221617,E10A180,00301,0300,05/08/00 221617,S000000,00100,0200,05/30/00 221617,S200000,00100,0100,22 HOLLAND AVE. 221617,S200000,00200,0100,ALBANY 221617,S200000,00200,0200,NY 221617,S200000,00200,0300,12209 221617,S200000,00300,0100,ALBANY 221617,S200000,00300,0200,0160 221617,S200000,00300,0300,U 221617,S200000,00400,0100,EDEN PARK HEALTHCARE CTR-ALBANY 221617,S200000,00400,0200,335307 221617,S200000,00400,0300,01/01/75 221617,S200000,00400,0500,P 221617,S200000,01500,0100,Y 221617,S200000,01600,0100,N 221617,S200000,01700,0100,N 221617,S200000,01800,0100,N 221617,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 221617,S200000,02200,0100,N 221617,S200000,02800,0100,N 221617,S200000,02900,0100,N 221617,S200000,03000,0100,N 221617,S200000,03100,0100,N 221617,S200000,03200,0100,N 221617,S200000,03300,0100,N 221617,S200000,03300,0200,N 221617,S200000,04100,0100,N 221617,S200000,04200,0100,N 221617,S200000,04300,0100,Y 221617,S200000,04600,0100,N 221617,S200000,04700,0100,N 221617,S200000,04900,0100,N 221617,S200000,05200,0100,N 221903,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221903,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221903,A000000,00300,0000,0300EMPLOYEE BENEFITS 221903,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221903,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221903,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221903,A000000,00700,0000,0700HOUSEKEEPING 221903,A000000,00800,0000,0800DIETARY 221903,A000000,00900,0000,0900NURSING ADMINISTRATION 221903,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221903,A000000,01100,0000,1100PHARMACY 221903,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221903,A000000,01300,0000,1300SOCIAL SERVICE 221903,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221903,A000000,01500,0000,1350ACTIVITIES 221903,A000000,01600,0000,1600SKILLED NURSING FACILITY 221903,A000000,01800,0000,1800NURSING FACILITY 221903,A000000,01900,0000,1900OTHER LONG TERM CARE 221903,A000000,02100,0000,2100RADIOLOGY 221903,A000000,02200,0000,2200LABORATORY 221903,A000000,02300,0000,2300INTRAVENOUS THERAPY 221903,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221903,A000000,02500,0000,2500PHYSICAL THERAPY 221903,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221903,A000000,02700,0000,2700SPEECH PATHOLOGY 221903,A000000,02800,0000,2800ELECTROCARDIOLOGY 221903,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221903,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221903,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 221903,A000000,03200,0000,3200SUPPORT SURFACES 221903,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 221903,A000000,04800,0000,4800AMBULANCE 221903,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 221903,A000000,05300,0000,5300INTEREST EXPENSE 221903,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 221903,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 221903,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221903,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221903,A000000,06100,0000,6100NONPAID WORKERS 221903,A000000,06200,0000,6200PATIENTS LAUNDRY 221903,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221903,A81000A,00100,0100,Y 221903,A81000B,00100,0300,HOME OFFICE COST 221903,A81000B,00200,0300,PT ADMIN FEES 221903,A81000B,00300,0300,OT ADMIN FEES 221903,A81000B,00400,0300,ST ADMIN FEES 221903,A81000C,00100,0100,B 221903,A81000C,00100,0200,MCHS-TEMPLE FOUR SEASONS 221903,A81000C,00100,0400,HCR MANORCARE INC. 221903,A81000C,00100,0600,LONG TERM CARE FACILITIES 221903,A81000C,00200,0100,B 221903,A81000C,00200,0200,MCHS-TEMPLE FOUR SEASONS 221903,A81000C,00200,0400,HEARTLAND MGMT SERV 221903,A81000C,00200,0600,THERAPY MGMT 221903,A81000C,00300,0100,B 221903,A81000C,00300,0200,MCHS-TEMPLE FOUR SEASONS 221903,A81000C,00300,0400,HEARTLAND MGMT SERV 221903,A81000C,00300,0600,THERAPY MGMT 221903,A81000C,00400,0100,B 221903,A81000C,00400,0200,MCHS-TEMPLE FOUR SEASONS 221903,A81000C,00400,0400,HEARTLAND MGMT SERV 221903,A81000C,00400,0600,THERAPY MGMT 221903,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221903,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221903,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221903,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221903,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221903,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 221903,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 221903,B100000,00000,0800,0800MEALS SERVED :DIETARY 221903,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 221903,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 221903,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 221903,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 221903,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 221903,E10A180,00501,0100,02/05/02 221903,E10A180,00550,0300,02/05/02 221903,S000000,00100,0200,11/30/00 221903,S200000,00100,0100,1700 MARLAND WOOD ROAD 221903,S200000,00200,0100,TEMPLE 221903,S200000,00200,0200,TX 221903,S200000,00200,0300,76502-2842 221903,S200000,00300,0100,BELL 221903,S200000,00300,0200,3810 221903,S200000,00300,0300,U 221903,S200000,00400,0100,MCHS-TEMPLE FOUR SEASONS 221903,S200000,00400,0200,455522 221903,S200000,00400,0300,11/01/81 221903,S200000,00400,0500,P 221903,S200000,00400,0600,P 221903,S200000,01004,0500,O 221903,S200000,01500,0100,N 221903,S200000,01600,0100,Y 221903,S200000,01700,0100,N 221903,S200000,01800,0100,N 221903,S200000,02200,0100,Y 221903,S200000,02800,0100,N 221903,S200000,02900,0100,N 221903,S200000,03000,0100,N 221903,S200000,03100,0100,N 221903,S200000,03200,0100,N 221903,S200000,03300,0100,N 221903,S200000,03300,0200,N 221903,S200000,04100,0100,N 221903,S200000,04200,0100,N 221903,S200000,04300,0100,N 221903,S200000,04600,0100,N 221903,S200000,04700,0100,N 221903,S200000,04700,0200,N 221903,S200000,04900,0100,N 221903,S200000,05000,0100,N 221903,S200000,05100,0100,N 221903,S200000,05200,0100,N 221907,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221907,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221907,A000000,00300,0000,0300EMPLOYEE BENEFITS 221907,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221907,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221907,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221907,A000000,00700,0000,0700HOUSEKEEPING 221907,A000000,00800,0000,0800DIETARY 221907,A000000,00900,0000,0900NURSING ADMINISTRATION 221907,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221907,A000000,01100,0000,1100PHARMACY 221907,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221907,A000000,01300,0000,1300SOCIAL SERVICE 221907,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221907,A000000,01500,0000,1350ACTIVITIES 221907,A000000,01600,0000,1600SKILLED NURSING FACILITY 221907,A000000,01800,0000,1800NURSING FACILITY 221907,A000000,01900,0000,1900OTHER LONG TERM CARE 221907,A000000,02100,0000,2100RADIOLOGY 221907,A000000,02200,0000,2200LABORATORY 221907,A000000,02300,0000,2300INTRAVENOUS THERAPY 221907,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221907,A000000,02500,0000,2500PHYSICAL THERAPY 221907,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221907,A000000,02700,0000,2700SPEECH PATHOLOGY 221907,A000000,02800,0000,2800ELECTROCARDIOLOGY 221907,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221907,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221907,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 221907,A000000,03200,0000,3200SUPPORT SURFACES 221907,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 221907,A000000,04800,0000,4800AMBULANCE 221907,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 221907,A000000,05300,0000,5300INTEREST EXPENSE 221907,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 221907,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 221907,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221907,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221907,A000000,06100,0000,6100NONPAID WORKERS 221907,A000000,06200,0000,6200PATIENTS LAUNDRY 221907,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221907,A81000A,00100,0100,Y 221907,A81000B,00100,0300,HOME OFFICE COST 221907,A81000B,00200,0300,PT ADMIN FEES 221907,A81000B,00300,0300,OT ADMIN FEES 221907,A81000B,00400,0300,ST ADMIN FEES 221907,A81000C,00100,0100,B 221907,A81000C,00100,0200,MCHS-SAN ANTONIO NW 221907,A81000C,00100,0400,HCR MANORCARE INC. 221907,A81000C,00100,0600,LONG TERM CARE FACILITIES 221907,A81000C,00200,0100,B 221907,A81000C,00200,0200,MCHS-SAN ANTONIO NW 221907,A81000C,00200,0400,HEARTLAND MGMT SERV 221907,A81000C,00200,0600,THERAPY MGMT 221907,A81000C,00300,0100,B 221907,A81000C,00300,0200,MCHS-SAN ANTONIO NW 221907,A81000C,00300,0400,HEARTLAND MGMT SERV 221907,A81000C,00300,0600,THERAPY MGMT 221907,A81000C,00400,0100,B 221907,A81000C,00400,0200,MCHS-SAN ANTONIO NW 221907,A81000C,00400,0400,HEARTLAND MGMT SERV 221907,A81000C,00400,0600,THERAPY MGMT 221907,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221907,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221907,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221907,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221907,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221907,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 221907,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 221907,B100000,00000,0800,0800MEALS SERVED :DIETARY 221907,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 221907,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 221907,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 221907,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 221907,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 221907,E10A180,00501,0100,06/14/02 221907,S000000,00100,0200,12/01/00 221907,S200000,00100,0100,8300 WURZBACH ROAD 221907,S200000,00200,0100,SAN ANTONIO 221907,S200000,00200,0200,TX 221907,S200000,00200,0300,78229- 221907,S200000,00300,0100,BEXAR 221907,S200000,00300,0200,7240 221907,S200000,00300,0300,U 221907,S200000,00400,0100,MCHS-SAN ANTONIO NW 221907,S200000,00400,0200,455824 221907,S200000,00400,0300,06/02/89 221907,S200000,00400,0500,P 221907,S200000,00400,0600,P 221907,S200000,01004,0500,O 221907,S200000,01500,0100,N 221907,S200000,01600,0100,Y 221907,S200000,01700,0100,N 221907,S200000,01800,0100,N 221907,S200000,02200,0100,Y 221907,S200000,02800,0100,N 221907,S200000,02900,0100,N 221907,S200000,03000,0100,N 221907,S200000,03100,0100,N 221907,S200000,03200,0100,N 221907,S200000,03300,0100,N 221907,S200000,03300,0200,N 221907,S200000,04100,0100,N 221907,S200000,04200,0100,N 221907,S200000,04300,0100,N 221907,S200000,04600,0100,N 221907,S200000,04700,0100,N 221907,S200000,04700,0200,N 221907,S200000,04900,0100,N 221907,S200000,05000,0100,N 221907,S200000,05100,0100,N 221907,S200000,05200,0100,N 221915,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221915,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221915,A000000,00300,0000,0300EMPLOYEE BENEFITS 221915,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221915,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221915,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221915,A000000,00700,0000,0700HOUSEKEEPING 221915,A000000,00800,0000,0800DIETARY 221915,A000000,00900,0000,0900NURSING ADMINISTRATION 221915,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221915,A000000,01100,0000,1100PHARMACY 221915,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221915,A000000,01300,0000,1300SOCIAL SERVICE 221915,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221915,A000000,01500,0000,1350ACTIVITIES 221915,A000000,01600,0000,1600SKILLED NURSING FACILITY 221915,A000000,01800,0000,1800NURSING FACILITY 221915,A000000,01900,0000,1900OTHER LONG TERM CARE 221915,A000000,02100,0000,2100RADIOLOGY 221915,A000000,02200,0000,2200LABORATORY 221915,A000000,02300,0000,2300INTRAVENOUS THERAPY 221915,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221915,A000000,02500,0000,2500PHYSICAL THERAPY 221915,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221915,A000000,02700,0000,2700SPEECH PATHOLOGY 221915,A000000,02800,0000,2800ELECTROCARDIOLOGY 221915,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221915,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221915,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 221915,A000000,03200,0000,3200SUPPORT SURFACES 221915,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 221915,A000000,04800,0000,4800AMBULANCE 221915,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 221915,A000000,05300,0000,5300INTEREST EXPENSE 221915,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 221915,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 221915,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221915,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221915,A000000,06100,0000,6100NONPAID WORKERS 221915,A000000,06200,0000,6200PATIENTS LAUNDRY 221915,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221915,A81000A,00100,0100,Y 221915,A81000B,00100,0300,HOME OFFICE COST 221915,A81000B,00200,0300,PT ADMIN FEE 221915,A81000B,00300,0300,OT ADMIN FEE 221915,A81000B,00400,0300,ST ADMIN FEE 221915,A81000C,00100,0100,B 221915,A81000C,00100,0200,MCHS-WEBSTER 221915,A81000C,00100,0400,HCR MANORCARE INC. 221915,A81000C,00100,0600,LONG TERM CARE FACILITIES 221915,A81000C,00200,0100,B 221915,A81000C,00200,0200,MCHS-WEBSTER 221915,A81000C,00200,0400,HEARTLAND MGMT SERVICES 221915,A81000C,00200,0600,THERAPY MGMT 221915,A81000C,00300,0100,B 221915,A81000C,00300,0200,MCHS-WEBSTER 221915,A81000C,00300,0400,HEARTLAND MGMT SERVICES 221915,A81000C,00300,0600,THERAPY MGMT 221915,A81000C,00400,0100,B 221915,A81000C,00400,0200,MCHS-WEBSTER 221915,A81000C,00400,0400,HEARTLAND MGMT SERVICES 221915,A81000C,00400,0600,THERAPY MGMT 221915,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221915,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221915,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221915,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221915,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221915,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 221915,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 221915,B100000,00000,0800,0800MEALS SERVED :DIETARY 221915,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 221915,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 221915,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 221915,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 221915,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 221915,E10A180,00501,0100,01/10/02 221915,S000000,00100,0200,11/30/00 221915,S200000,00100,0100,750 WEST TEXAS AVENUE 221915,S200000,00200,0100,WEBSTER 221915,S200000,00200,0200,TX 221915,S200000,00200,0300,77598-4934 221915,S200000,00300,0100,HARRIS 221915,S200000,00300,0200,3360 221915,S200000,00300,0300,U 221915,S200000,00400,0100,MCHS-WEBSTER 221915,S200000,00400,0200,455472 221915,S200000,00400,0300,07/01/67 221915,S200000,00400,0500,P 221915,S200000,00400,0600,P 221915,S200000,01004,0500,O 221915,S200000,01500,0100,N 221915,S200000,01600,0100,Y 221915,S200000,01700,0100,N 221915,S200000,01800,0100,N 221915,S200000,02200,0100,Y 221915,S200000,02800,0100,N 221915,S200000,02900,0100,N 221915,S200000,03000,0100,N 221915,S200000,03100,0100,N 221915,S200000,03200,0100,N 221915,S200000,03300,0100,N 221915,S200000,03300,0200,N 221915,S200000,04100,0100,N 221915,S200000,04200,0100,N 221915,S200000,04300,0100,N 221915,S200000,04600,0100,N 221915,S200000,04700,0100,N 221915,S200000,04700,0200,N 221915,S200000,04900,0100,N 221915,S200000,05000,0100,N 221915,S200000,05100,0100,N 221915,S200000,05200,0100,N 221916,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221916,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221916,A000000,00300,0000,0300EMPLOYEE BENEFITS 221916,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221916,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221916,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221916,A000000,00700,0000,0700HOUSEKEEPING 221916,A000000,00800,0000,0800DIETARY 221916,A000000,00900,0000,0900NURSING ADMINISTRATION 221916,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221916,A000000,01100,0000,1100PHARMACY 221916,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221916,A000000,01300,0000,1300SOCIAL SERVICE 221916,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221916,A000000,01500,0000,1350ACTIVITIES 221916,A000000,01600,0000,1600SKILLED NURSING FACILITY 221916,A000000,01800,0000,1800NURSING FACILITY 221916,A000000,01900,0000,1900OTHER LONG TERM CARE 221916,A000000,02100,0000,2100RADIOLOGY 221916,A000000,02200,0000,2200LABORATORY 221916,A000000,02300,0000,2300INTRAVENOUS THERAPY 221916,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221916,A000000,02500,0000,2500PHYSICAL THERAPY 221916,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221916,A000000,02700,0000,2700SPEECH PATHOLOGY 221916,A000000,02800,0000,2800ELECTROCARDIOLOGY 221916,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221916,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221916,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 221916,A000000,03200,0000,3200SUPPORT SURFACES 221916,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 221916,A000000,04800,0000,4800AMBULANCE 221916,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 221916,A000000,05300,0000,5300INTEREST EXPENSE 221916,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 221916,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 221916,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221916,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221916,A000000,06100,0000,6100NONPAID WORKERS 221916,A000000,06200,0000,6200PATIENTS LAUNDRY 221916,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221916,A81000A,00100,0100,Y 221916,A81000B,00100,0300,HOME OFFICE COST 221916,A81000B,00200,0300,PT ADMIN FEE 221916,A81000B,00300,0300,OT ADMIN FEE 221916,A81000B,00400,0300,ST ADMIN FEE 221916,A81000C,00100,0100,B 221916,A81000C,00100,0200,MCHS-WINDCREST 221916,A81000C,00100,0400,HCR MANORCARE INC. 221916,A81000C,00100,0600,LONG TERM CARE FACILITIES 221916,A81000C,00200,0100,B 221916,A81000C,00200,0200,MCHS-WINDCREST 221916,A81000C,00200,0400,HEARTLAND MGMT SERV 221916,A81000C,00200,0600,THERAPY MGMT 221916,A81000C,00300,0100,B 221916,A81000C,00300,0200,MCHS-WINDCREST 221916,A81000C,00300,0400,HEARTLAND MGMT SERV 221916,A81000C,00300,0600,THERAPY MGMT 221916,A81000C,00400,0100,B 221916,A81000C,00400,0200,MCHS-WINDCREST 221916,A81000C,00400,0400,HEARTLAND MGMT SERV 221916,A81000C,00400,0600,THERAPY MGMT 221916,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221916,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221916,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221916,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221916,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221916,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 221916,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 221916,B100000,00000,0800,0800MEALS SERVED :DIETARY 221916,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 221916,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 221916,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 221916,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 221916,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 221916,E10A180,00501,0100,02/05/02 221916,S000000,00100,0200,12/01/00 221916,S200000,00100,0100,8800 FOURWINDS 221916,S200000,00200,0100,SAN ANTONIO 221916,S200000,00200,0200,TX 221916,S200000,00200,0300,78239-1918 221916,S200000,00300,0100,BEXAR 221916,S200000,00300,0200,7240 221916,S200000,00300,0300,U 221916,S200000,00400,0100,MCHS-WINDCREST 221916,S200000,00400,0200,455533 221916,S200000,00400,0300,07/01/85 221916,S200000,00400,0500,P 221916,S200000,00400,0600,P 221916,S200000,01004,0500,O 221916,S200000,01500,0100,N 221916,S200000,01600,0100,Y 221916,S200000,01700,0100,N 221916,S200000,01800,0100,N 221916,S200000,02200,0100,Y 221916,S200000,02800,0100,N 221916,S200000,02900,0100,N 221916,S200000,03000,0100,N 221916,S200000,03100,0100,N 221916,S200000,03200,0100,N 221916,S200000,03300,0100,N 221916,S200000,03300,0200,N 221916,S200000,04100,0100,N 221916,S200000,04200,0100,N 221916,S200000,04300,0100,N 221916,S200000,04600,0100,N 221916,S200000,04700,0100,N 221916,S200000,04700,0200,N 221916,S200000,04900,0100,N 221916,S200000,05000,0100,N 221916,S200000,05100,0100,N 221916,S200000,05200,0100,N 221918,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 221918,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 221918,A000000,00300,0000,0300EMPLOYEE BENEFITS 221918,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 221918,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 221918,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 221918,A000000,00700,0000,0700HOUSEKEEPING 221918,A000000,00800,0000,0800DIETARY 221918,A000000,00900,0000,0900NURSING ADMINISTRATION 221918,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 221918,A000000,01100,0000,1100PHARMACY 221918,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 221918,A000000,01300,0000,1300SOCIAL SERVICE 221918,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 221918,A000000,01500,0000,1350ACTIVITIES 221918,A000000,01600,0000,1600SKILLED NURSING FACILITY 221918,A000000,01800,0000,1800NURSING FACILITY 221918,A000000,01900,0000,1900OTHER LONG TERM CARE 221918,A000000,02100,0000,2100RADIOLOGY 221918,A000000,02200,0000,2200LABORATORY 221918,A000000,02300,0000,2300INTRAVENOUS THERAPY 221918,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 221918,A000000,02500,0000,2500PHYSICAL THERAPY 221918,A000000,02600,0000,2600OCCUPATIONAL THERAPY 221918,A000000,02700,0000,2700SPEECH PATHOLOGY 221918,A000000,02800,0000,2800ELECTROCARDIOLOGY 221918,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 221918,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 221918,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 221918,A000000,03200,0000,3200SUPPORT SURFACES 221918,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 221918,A000000,04800,0000,4800AMBULANCE 221918,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 221918,A000000,05300,0000,5300INTEREST EXPENSE 221918,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 221918,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 221918,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 221918,A000000,05900,0000,5900BARBER & BEAUTY SHOP 221918,A000000,06100,0000,6100NONPAID WORKERS 221918,A000000,06200,0000,6200PATIENTS LAUNDRY 221918,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 221918,A81000A,00100,0100,Y 221918,A81000B,00100,0300,HOME OFFICE COST 221918,A81000B,00200,0300,PT ADMIN FEES 221918,A81000B,00300,0300,OT ADMIN FEES 221918,A81000B,00400,0300,ST ADMIN FEES 221918,A81000C,00100,0100,B 221918,A81000C,00100,0200,MCHS-SAN ANTONIO NORTH 221918,A81000C,00100,0400,HCR MANORCARE INC. 221918,A81000C,00100,0600,LONG TERM CARE FACILITIES 221918,A81000C,00200,0100,B 221918,A81000C,00200,0200,MCHS-SAN ANTONIO NORTH 221918,A81000C,00200,0400,HEARTLAND MGMT SERVICES 221918,A81000C,00200,0600,THERAPY MANAGEMENT 221918,A81000C,00300,0100,B 221918,A81000C,00300,0200,MCHS-SAN ANTONIO NORTH 221918,A81000C,00300,0400,HEARTLAND MGMT SERVICES 221918,A81000C,00300,0600,THERAPY MANAGEMENT 221918,A81000C,00400,0100,B 221918,A81000C,00400,0200,MCHS-SAN ANTONIO NORTH 221918,A81000C,00400,0400,HEARTLAND MGMT SERVICES 221918,A81000C,00400,0600,THERAPY MANAGEMENT 221918,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 221918,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 221918,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 221918,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 221918,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 221918,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 221918,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 221918,B100000,00000,0800,0800MEALS SERVED :DIETARY 221918,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 221918,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 221918,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 221918,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 221918,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 221918,E10A180,00501,0100,01/15/02 221918,S000000,00100,0200,11/30/00 221918,S200000,00100,0100,7703 BRIARIDGE 221918,S200000,00200,0100,SAN ANTONIO 221918,S200000,00200,0200,TX 221918,S200000,00200,0300,78230- 221918,S200000,00300,0100,BEXAR 221918,S200000,00300,0200,7240 221918,S200000,00300,0300,U 221918,S200000,00400,0100,MCHS-SAN ANTONIO NORTH 221918,S200000,00400,0200,455742 221918,S200000,00400,0300,04/01/88 221918,S200000,00400,0500,P 221918,S200000,00400,0600,P 221918,S200000,01004,0500,O 221918,S200000,01500,0100,N 221918,S200000,01600,0100,Y 221918,S200000,01700,0100,N 221918,S200000,01800,0100,N 221918,S200000,02200,0100,Y 221918,S200000,02800,0100,N 221918,S200000,02900,0100,N 221918,S200000,03000,0100,N 221918,S200000,03100,0100,N 221918,S200000,03200,0100,N 221918,S200000,03300,0100,N 221918,S200000,03300,0200,N 221918,S200000,04100,0100,N 221918,S200000,04200,0100,N 221918,S200000,04300,0100,N 221918,S200000,04600,0100,N 221918,S200000,04700,0100,N 221918,S200000,04700,0200,N 221918,S200000,04900,0100,N 221918,S200000,05000,0100,N 221918,S200000,05100,0100,N 221918,S200000,05200,0100,N 222200,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 222200,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 222200,A000000,00300,0000,0300EMPLOYEE BENEFITS 222200,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 222200,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 222200,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 222200,A000000,00700,0000,0700HOUSEKEEPING 222200,A000000,00800,0000,0800DIETARY 222200,A000000,00900,0000,0900NURSING ADMINISTRATION 222200,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 222200,A000000,01100,0000,1100PHARMACY 222200,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 222200,A000000,01300,0000,1300SOCIAL SERVICE 222200,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 222200,A000000,01500,0000,1350OTHER GENERAL SERVICES 222200,A000000,01600,0000,1600SKILLED NURSING FACILITY 222200,A000000,01800,0000,1800NURSING FACILITY 222200,A000000,01810,0000,1810ICF/MR 222200,A000000,02100,0000,2100RADIOLOGY 222200,A000000,02200,0000,2200LABORATORY 222200,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 222200,A000000,02500,0000,2500PHYSICAL THERAPY 222200,A000000,02600,0000,2600OCCUPATIONAL THERAPY 222200,A000000,02700,0000,2700SPEECH PATHOLOGY 222200,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 222200,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 222200,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 222200,A000000,03550,0000,3550FQHC 222200,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 222200,A000000,05000,0000,5000CORF 222200,A000000,05010,0000,5010CMHC 222200,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 222200,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 222200,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 222200,A000000,05100,0000,4750OTHER REIMBURSABLE COST 222200,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 222200,A000000,05900,0000,5900BARBER & BEAUTY SHOP 222200,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 222200,A81000A,00100,0100,N 222200,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 222200,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 222200,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 222200,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 222200,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 222200,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 222200,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 222200,B100000,00000,0800,0800MEALS SERVED :DIETARY 222200,B100000,00000,0900,0950DIR NRSG LABOR COST:NURSING ADMI 222200,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 222200,S000000,00100,0200,06/26/00 222200,S200000,00100,0100,2501 ALVIN AVENUE 222200,S200000,00200,0100,SAN JOSE 222200,S200000,00200,0200,CA 222200,S200000,00200,0300,95121- 222200,S200000,00300,0100,SANTA CLARA 222200,S200000,00300,0200,7400 222200,S200000,00300,0300,U 222200,S200000,00400,0100,MISSION DE LA CASA 222200,S200000,00400,0200,555487 222200,S200000,00400,0300,01/05/98 222200,S200000,00400,0500,P 222200,S200000,01500,0100,N 222200,S200000,01600,0100,Y 222200,S200000,01700,0100,N 222200,S200000,01800,0100,N 222200,S200000,02200,0100,N 222200,S200000,02800,0100,Y 222200,S200000,02900,0100,N 222200,S200000,03000,0100,N 222200,S200000,03100,0100,N 222200,S200000,03200,0100,N 222200,S200000,04100,0100,N 222200,S200000,04200,0100,N 222200,S200000,04300,0100,N 222200,S200000,04600,0100,N 222200,S200000,04700,0100,N 222200,S200000,04700,0200,N 222200,S200000,04900,0100,N 222200,S200000,05000,0100,N 222200,S200000,05100,0100,N 222200,S200000,05200,0100,N 222324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 222324,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 222324,A000000,00300,0000,0300EMPLOYEE BENEFITS 222324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 222324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 222324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 222324,A000000,00700,0000,0700HOUSEKEEPING 222324,A000000,00800,0000,0800DIETARY 222324,A000000,00900,0000,0900NURSING ADMINISTRATION 222324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 222324,A000000,01100,0000,1100PHARMACY 222324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 222324,A000000,01300,0000,1300SOCIAL SERVICE 222324,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 222324,A000000,01500,0000,1350OTHER GENERAL SERVICES 222324,A000000,01600,0000,1600SKILLED NURSING FACILITY 222324,A000000,01800,0000,1800NURSING FACILITY 222324,A000000,01810,0000,1810ICF/MR 222324,A000000,02100,0000,2100RADIOLOGY 222324,A000000,02200,0000,2200LABORATORY 222324,A000000,02500,0000,2500PHYSICAL THERAPY 222324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 222324,A000000,02700,0000,2700SPEECH PATHOLOGY 222324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 222324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 222324,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 222324,A000000,03550,0000,3550FQHC 222324,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 222324,A000000,04801,0000,4801AMBULANCE 222324,A000000,04802,0000,4802AMBULANCE 222324,A000000,04803,0000,4803AMBULANCE 222324,A000000,05000,0000,5000CORF 222324,A000000,05010,0000,5010CMHC 222324,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 222324,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 222324,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 222324,A000000,05100,0000,4750OTHER REIMBURSABLE COST 222324,A000000,05300,0000,5300INTEREST EXPENSE 222324,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 222324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 222324,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 222324,A81000A,00100,0100,Y 222324,A81000B,00100,0300,DIETARY CONSULTANT 222324,A81000B,00200,0300,HOME OFFICE MGMT FEE 222324,A81000B,00300,0300,HOME OFFICE CAP COST 222324,A81000C,00100,0100,A 222324,A81000C,00100,0200,JAMES & JUDY LINCOLN 222324,A81000C,00100,0400,HEALTH SYSTEMS INC. 222324,A81000C,00100,0600,HOME OFFICE 222324,B100000,00000,0100,0100SQUARE FEET 222324,B100000,00000,0200,0200SQUARE FEET 222324,B100000,00000,0300,0300GROSS SALARIES 222324,B100000,00000,0400,0400ACCUM COST 222324,B100000,00000,0500,0500SQUARE FEET 222324,B100000,00000,0600,0600POUNDS OF LAUNDRY 222324,B100000,00000,0700,0700SQUARE FEET 222324,B100000,00000,0800,0800MEALS SERVED 222324,B100000,00000,0900,0900DIRECT NRSG 222324,B100000,00000,1000,1000NO STATISTICS 222324,B100000,00000,1100,1100NO STATISTICS 222324,B100000,00000,1200,1200TIME SPENT 222324,B100000,00000,1300,1300TIME SPENT 222324,B100000,00000,1400,1400NO STATISTICS 222324,B100000,00000,1500,1350NO STATISTICS 222324,E10A180,00501,0100,07/07/00 222324,E10A180,00501,0300,07/07/00 222324,S000000,00100,0200,06/05/00 222324,S200000,00100,0100,315 S. TILLEY 222324,S200000,00100,0300,530 222324,S200000,00200,0100,ADVANCE 222324,S200000,00200,0200,MO 222324,S200000,00200,0300,63730 222324,S200000,00300,0100,STODDARD 222324,S200000,00300,0200,0026 222324,S200000,00300,0300,R 222324,S200000,00400,0100,ADVANCE NURSING CENTER 222324,S200000,00400,0200,265550 222324,S200000,00400,0300,11/01/93 222324,S200000,00400,0500,P 222324,S200000,01500,0100,N 222324,S200000,01600,0100,Y 222324,S200000,01700,0100,N 222324,S200000,01800,0100,N 222324,S200000,02200,0100,Y 222324,S200000,02800,0100,Y 222324,S200000,02900,0100,N 222324,S200000,03000,0100,N 222324,S200000,03100,0100,N 222324,S200000,03200,0100,N 222324,S200000,03300,0100,N 222324,S200000,03300,0200,N 222324,S200000,04100,0100,N 222324,S200000,04200,0100,N 222324,S200000,04300,0100,N 222324,S200000,04600,0100,N 222324,S200000,04700,0100,N 222324,S200000,04900,0100,N 222324,S200000,05200,0100,N 223487,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 223487,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 223487,A000000,00300,0000,0300EMPLOYEE BENEFITS 223487,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 223487,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 223487,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 223487,A000000,00700,0000,0700HOUSEKEEPING 223487,A000000,00800,0000,0800DIETARY 223487,A000000,00900,0000,0900NURSING ADMINISTRATION 223487,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 223487,A000000,01100,0000,1100PHARMACY 223487,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 223487,A000000,01300,0000,1300SOCIAL SERVICE 223487,A000000,01600,0000,1600SKILLED NURSING FACILITY 223487,A000000,01800,0000,1800NURSING FACILITY 223487,A000000,01900,0000,1900OTHER LONG TERM CARE 223487,A000000,02100,0000,2100RADIOLOGY 223487,A000000,02200,0000,2200LABORATORY 223487,A000000,02300,0000,2300INTRAVENOUS THERAPY 223487,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 223487,A000000,02500,0000,2500PHYSICAL THERAPY 223487,A000000,02600,0000,2600OCCUPATIONAL THERAPY 223487,A000000,02700,0000,2700SPEECH PATHOLOGY 223487,A000000,02800,0000,2800ELECTROCARDIOLOGY 223487,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 223487,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 223487,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 223487,A000000,03200,0000,3200SUPPORT SURFACES 223487,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 223487,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 223487,A000000,03301,0000,3051NUTRITIONAL THERAPY 223487,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 223487,A000000,03303,0000,3053PHYSICIAN SERVICES 223487,A000000,03304,0000,3054MEDICAL SERVICES 223487,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 223487,A000000,04800,0000,4800AMBULANCE 223487,A000000,05300,0000,5300INTEREST EXPENSE 223487,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 223487,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 223487,A000000,05900,0000,5900BARBER & BEAUTY SHOP 223487,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 223487,A000000,06100,0000,6100NONPAID WORKERS 223487,A000000,06200,0000,6200PATIENTS LAUNDRY 223487,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 223487,A81000A,00100,0100,Y 223487,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 223487,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 223487,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 223487,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 223487,A81000B,00500,0300,SEE ATTACHED 223487,A81000B,00600,0300,REGIONAL ALLOCATION 223487,A81000C,00100,0100,B 223487,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 223487,A81000C,00200,0200,A-8-1. 223487,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 223487,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 223487,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 223487,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 223487,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 223487,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 223487,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 223487,B100000,00000,0800,0850PATIENT DAYS :DIETARY 223487,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 223487,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 223487,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 223487,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 223487,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 223487,S000000,00100,0200,06/30/00 223487,S200000,00100,0100,700 SELF STREET 223487,S200000,00200,0100,CHERRYVILLE 223487,S200000,00200,0200,NC 223487,S200000,00200,0300,28021- 223487,S200000,00300,0100,GASTON 223487,S200000,00300,0300,U 223487,S200000,00400,0100,SUNRISE CARE & REHAB FOR CHERRYVILLE 223487,S200000,00400,0200,345395 223487,S200000,00400,0300,08/01/91 223487,S200000,00400,0500,P 223487,S200000,01500,0100,N 223487,S200000,01600,0100,Y 223487,S200000,01700,0100,N 223487,S200000,01800,0100,N 223487,S200000,02200,0100,Y 223487,S200000,02800,0100,N 223487,S200000,02900,0100,N 223487,S200000,03000,0100,N 223487,S200000,03100,0100,N 223487,S200000,03200,0100,N 223487,S200000,04100,0100,N 223487,S200000,04200,0100,N 223487,S200000,04300,0100,N 223487,S200000,04600,0100,N 223487,S200000,04700,0100,N 223487,S200000,04700,0200,N 223487,S200000,04900,0100,N 223487,S200000,05000,0100,N 223487,S200000,05100,0100,N 223487,S200000,05200,0100,N 224498,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 224498,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 224498,A000000,00300,0000,0300EMPLOYEE BENEFITS 224498,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 224498,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 224498,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 224498,A000000,00700,0000,0700HOUSEKEEPING 224498,A000000,00800,0000,0800DIETARY 224498,A000000,00900,0000,0900NURSING ADMINISTRATION 224498,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 224498,A000000,01100,0000,1100PHARMACY 224498,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 224498,A000000,01300,0000,1300SOCIAL SERVICE 224498,A000000,01600,0000,1600SKILLED NURSING FACILITY 224498,A000000,01800,0000,1800NURSING FACILITY 224498,A000000,01900,0000,1900OTHER LONG TERM CARE 224498,A000000,02100,0000,2100RADIOLOGY 224498,A000000,02200,0000,2200LABORATORY 224498,A000000,02300,0000,2300INTRAVENOUS THERAPY 224498,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 224498,A000000,02500,0000,2500PHYSICAL THERAPY 224498,A000000,02600,0000,2600OCCUPATIONAL THERAPY 224498,A000000,02700,0000,2700SPEECH PATHOLOGY 224498,A000000,02800,0000,2800ELECTROCARDIOLOGY 224498,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 224498,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 224498,A000000,03200,0000,3200SUPPORT SURFACES 224498,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 224498,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 224498,A000000,03301,0000,3051NUTRITIONAL THERAPY 224498,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 224498,A000000,03303,0000,3053PHYSICIAN SERVICES 224498,A000000,03304,0000,3054MEDICAL SERVICES 224498,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 224498,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 224498,A000000,04800,0000,4800AMBULANCE 224498,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 224498,A000000,05300,0000,5300INTEREST EXPENSE 224498,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 224498,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 224498,A000000,05900,0000,5900BARBER & BEAUTY SHOP 224498,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 224498,A000000,06100,0000,6100NONPAID WORKERS 224498,A000000,06200,0000,6200PATIENTS LAUNDRY 224498,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 224498,A81000A,00100,0100,N 224498,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 224498,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 224498,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 224498,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 224498,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 224498,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 224498,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 224498,B100000,00000,0800,0850PATIENT DAYS :DIETARY 224498,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 224498,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 224498,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 224498,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 224498,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 224498,S000000,00100,0200,08/02/99 224498,S200000,00100,0100,13333 GREENWOOD AVENUE - NORTH 224498,S200000,00200,0100,SEATTLE 224498,S200000,00200,0200,WA 224498,S200000,00200,0300,98133- 224498,S200000,00300,0100,KING 224498,S200000,00300,0200,7600 224498,S200000,00300,0300,U 224498,S200000,00400,0100,GREENWOOD PARK CARE CENTER 224498,S200000,00400,0200,505278 224498,S200000,00400,0300,01/01/84 224498,S200000,00400,0500,P 224498,S200000,01500,0100,N 224498,S200000,01600,0100,Y 224498,S200000,01700,0100,N 224498,S200000,01800,0100,N 224498,S200000,02200,0100,Y 224498,S200000,02800,0100,N 224498,S200000,02900,0100,N 224498,S200000,03000,0100,N 224498,S200000,03100,0100,N 224498,S200000,03200,0100,N 224498,S200000,03300,0100,N 224498,S200000,03300,0200,N 224498,S200000,04100,0100,N 224498,S200000,04200,0100,N 224498,S200000,04300,0100,N 224498,S200000,04600,0100,N 224498,S200000,04700,0100,N 224498,S200000,04700,0200,N 224498,S200000,04900,0100,N 224498,S200000,05000,0100,N 224498,S200000,05100,0100,N 224498,S200000,05200,0100,N 224637,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 224637,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 224637,A000000,00300,0000,0300EMPLOYEE BENEFITS 224637,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 224637,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 224637,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 224637,A000000,00700,0000,0700HOUSEKEEPING 224637,A000000,00800,0000,0800DIETARY 224637,A000000,00900,0000,0900NURSING ADMINISTRATION 224637,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 224637,A000000,01100,0000,1100PHARMACY 224637,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 224637,A000000,01300,0000,1300SOCIAL SERVICE 224637,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 224637,A000000,01500,0000,1350PATIENT ACTIVITIES 224637,A000000,01600,0000,1600SKILLED NURSING FACILITY 224637,A000000,01800,0000,1800NURSING FACILITY 224637,A000000,01810,0000,1810ICF/MR 224637,A000000,01900,0000,1900OTHER LONG TERM CARE 224637,A000000,02100,0000,2100RADIOLOGY 224637,A000000,02200,0000,2200LABORATORY 224637,A000000,02300,0000,2300INTRAVENOUS THERAPY 224637,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 224637,A000000,02500,0000,2500PHYSICAL THERAPY 224637,A000000,02600,0000,2600OCCUPATIONAL THERAPY 224637,A000000,02700,0000,2700SPEECH PATHOLOGY 224637,A000000,02800,0000,2800ELECTROCARDIOLOGY 224637,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 224637,A000000,02901,0000,2901CLINITRON BEDS 224637,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 224637,A000000,04800,0000,4800AMBULANCE 224637,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 224637,A000000,05900,0000,5900BARBER & BEAUTY SHOP 224637,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 224637,A000000,06100,0000,6100NONPAID WORKERS 224637,A000000,06200,0000,6200PATIENTS LAUNDRY 224637,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 224637,A81000A,00100,0100,Y 224637,A81000B,00100,0300,H.O. COSTS - OPERATING 224637,A81000B,00200,0300,H.O. COSTS - CAPITAL 224637,A81000B,00300,0300,X-RAY 224637,A81000B,00400,0300,ICP COSTS 224637,A81000B,00500,0300,ICP COSTS 224637,A81000B,00600,0300,ICP COSTS 224637,A81000B,00700,0300,ICP COSTS 224637,A81000B,00800,0300,ICP COSTS 224637,A81000B,00900,0300,ICP COSTS 224637,A81000B,01000,0300,ICP COSTS 224637,A81000B,01100,0300,ICP COSTS 224637,A81000B,01200,0300,ICP COSTS 224637,A81000B,01300,0300,ICP COSTS 224637,A81000B,01400,0300,ICP COSTS 224637,A81000B,01500,0300,ICP COSTS 224637,A81000C,00100,0100,B 224637,A81000C,00100,0400,HCF INC 224637,A81000C,00100,0600,HOME OFFICE 224637,A81000C,00200,0100,B 224637,A81000C,00200,0400,HCF INC 224637,A81000C,00200,0600,HOME OFFICE 224637,A81000C,00300,0100,D 224637,A81000C,00300,0200,UNVERFERTH SONS 224637,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 224637,A81000C,00300,0600,PORTABLE RADIOLOGY 224637,A81000C,00400,0100,A 224637,A81000C,00400,0200,UNVERFERTH FAMILY 224637,A81000C,00400,0400,ICP INC. 224637,A81000C,00400,0600,INSTITUTIONAL PHARMACY 224637,A81000C,00500,0100,A 224637,A81000C,00500,0200,UNVERFERTH FAMILY 224637,A81000C,00500,0400,ICP INC. 224637,A81000C,00500,0600,INSTITUTIONAL PHARMACY 224637,A81000C,00600,0100,A 224637,A81000C,00600,0200,UNVERFERTH FAMILY 224637,A81000C,00600,0400,ICP INC. 224637,A81000C,00600,0600,INSTITUTIONAL PHARMACY 224637,A81000C,00700,0100,A 224637,A81000C,00700,0200,UNVERFERTH FAMILY 224637,A81000C,00700,0400,ICP INC. 224637,A81000C,00700,0600,INSTITUTIONAL PHARMACY 224637,A81000C,00800,0100,A 224637,A81000C,00800,0200,UNVERFERTH FAMILY 224637,A81000C,00800,0400,ICP INC. 224637,A81000C,00800,0600,INSTITUTIONAL PHARMACY 224637,A81000C,00900,0100,A 224637,A81000C,00900,0200,UNVERFERTH FAMILY 224637,A81000C,00900,0400,ICP INC. 224637,A81000C,00900,0600,INSTITUTIONAL PHARMACY 224637,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 224637,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 224637,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 224637,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 224637,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 224637,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 224637,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 224637,B100000,00000,0800,0800MEALS SERVED :DIETARY 224637,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 224637,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 224637,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 224637,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 224637,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 224637,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 224637,E10A180,00501,0100,06/15/00 224637,E10A180,00550,0300,06/15/00 224637,E10A180,00551,0100,03/21/01 224637,E10A180,00551,0300,03/21/01 224637,S000000,00100,0200,05/22/00 224637,S200000,00100,0100,750 BROWER ROAD 224637,S200000,00200,0100,LIMA 224637,S200000,00200,0200,OH 224637,S200000,00200,0300,45801- 224637,S200000,00300,0100,ALLEN 224637,S200000,00300,0200,4320 224637,S200000,00300,0300,U 224637,S200000,00400,0100,LIMA MANOR 224637,S200000,00400,0200,365303 224637,S200000,00400,0300,04/01/74 224637,S200000,00400,0500,P 224637,S200000,01500,0100,Y 224637,S200000,01600,0100,N 224637,S200000,01700,0100,N 224637,S200000,01800,0100,N 224637,S200000,02200,0100,N 224637,S200000,02800,0100,N 224637,S200000,02900,0100,N 224637,S200000,03000,0100,N 224637,S200000,03100,0100,N 224637,S200000,03200,0100,N 224637,S200000,03300,0100,N 224637,S200000,03300,0200,N 224637,S200000,04100,0100,N 224637,S200000,04200,0100,N 224637,S200000,04300,0100,N 224637,S200000,04600,0100,N 224637,S200000,04700,0100,N 224637,S200000,04700,0200,N 224637,S200000,04900,0100,N 224637,S200000,05000,0100,N 224637,S200000,05100,0100,N 224637,S200000,05200,0100,N 225575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 225575,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 225575,A000000,00300,0000,0300EMPLOYEE BENEFITS 225575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 225575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 225575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 225575,A000000,00700,0000,0700HOUSEKEEPING 225575,A000000,00800,0000,0800DIETARY 225575,A000000,00900,0000,0900NURSING ADMINISTRATION 225575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 225575,A000000,01100,0000,1100PHARMACY 225575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 225575,A000000,01300,0000,1300SOCIAL SERVICE 225575,A000000,01301,0000,1301ACTIVITES 225575,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 225575,A000000,01500,0000,1350REHAB 225575,A000000,01600,0000,1600SKILLED NURSING FACILITY 225575,A000000,01800,0000,1800NURSING FACILITY 225575,A000000,01810,0000,1810ICF/MR 225575,A000000,02100,0000,2100RADIOLOGY 225575,A000000,02200,0000,2200LABORATORY 225575,A000000,02300,0000,2300INTRAVENOUS THERAPY 225575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 225575,A000000,02500,0000,2500PHYSICAL THERAPY 225575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 225575,A000000,02700,0000,2700SPEECH PATHOLOGY 225575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 225575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 225575,A000000,03300,0000,3050EQUIPMENT RENTAL 225575,A000000,03550,0000,3550FQHC 225575,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 225575,A000000,04801,0000,4801AMBULANCE 225575,A000000,04802,0000,4802AMBULANCE 225575,A000000,04803,0000,4803AMBULANCE 225575,A000000,05000,0000,5000CORF 225575,A000000,05010,0000,5010CMHC 225575,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 225575,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 225575,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 225575,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 225575,A000000,06300,0000,6150VENDING 225575,A81000A,00100,0100,Y 225575,A81000B,00100,0300,CENTRAL SUPPLY 225575,A81000B,00200,0300,MEDICAL SUPPLIES 225575,A81000B,00300,0300,ADMINSTRATIVE 225575,A81000B,00400,0300,DIETARY 225575,A81000B,00500,0300,DRUGS 225575,A81000B,00600,0300,EQUIPMENT RENTAL 225575,A81000B,00700,0300,NURSING ADMINSTRATIVE 225575,A81000B,00800,0300,IV 225575,A81000B,00900,0300,PT 225575,A81000B,01000,0300,OT 225575,A81000B,01100,0300,HOME OFFICE CAPITAL 225575,A81000B,01200,0300,HOME OFFIE COST ALLOCATION 225575,A81000C,00100,0100,B 225575,A81000C,00100,0200,MH HUNTER CREEK 225575,A81000C,00100,0400,MARINER PAN 225575,A81000C,00100,0600,NURSIN HOMES 225575,A81000C,00200,0100,G 225575,A81000C,00200,0200,MARINER PAN 225575,A81000C,00200,0400,AMERICAN PHARMA 225575,A81000C,00200,0600,PHARMACEUTICALS 225575,A81000C,00300,0100,G 225575,A81000C,00300,0200,MARINER PAN 225575,A81000C,00300,0400,PRISM (ATS ARS 225575,A81000C,00300,0600,THERAOIES 225575,B100000,00000,0100,0100SQUARE FEET 225575,B100000,00000,0200,0200SQUARE FEET 225575,B100000,00000,0300,0300GROSS SALARIES 225575,B100000,00000,0400,0400ACCUM COST 225575,B100000,00000,0500,0500SQUARE FEET 225575,B100000,00000,0600,0600PATIENT DAYS 225575,B100000,00000,0700,0700SQUARE FEET 225575,B100000,00000,0800,0800MEALS SERVED 225575,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 225575,B100000,00000,1000,1000PATIENT DAYS 225575,B100000,00000,1100,1100COSTED REQUIS 225575,B100000,00000,1200,1200PATIENT DAYS 225575,B100000,00000,1300,1300PATIENT DAYS 225575,B100000,00000,1301,1301PATIENT DAYS 225575,B100000,00000,1400,1400ASSIGNED TIME 225575,B100000,00000,1500,1350UNIT SERVICES 225575,E10A180,00501,0100,12/14/00 225575,E10A180,00505,0300,12/14/00 225575,S000000,00100,0200,11/08/00 225575,S200000,00100,0100,14155 TOWN LOOP BOULEVARD 225575,S200000,00200,0100,ORLANDA 225575,S200000,00200,0200,FL 225575,S200000,00200,0300,32837 225575,S200000,00300,0100,ORANGE 225575,S200000,00300,0200,5960 225575,S200000,00300,0300,U 225575,S200000,00400,0100,MARINER HEALTH OF HUNTER S CREEK 225575,S200000,00400,0200,105987 225575,S200000,00400,0300,05/29/98 225575,S200000,00400,0500,P 225575,S200000,01500,0100,N 225575,S200000,01600,0100,Y 225575,S200000,01700,0100,N 225575,S200000,01800,0100,N 225575,S200000,02200,0100,N 225575,S200000,02800,0100,N 225575,S200000,02900,0100,N 225575,S200000,03000,0100,N 225575,S200000,03100,0100,N 225575,S200000,03200,0100,N 225575,S200000,03300,0100,N 225575,S200000,03300,0200,N 225575,S200000,04100,0100,N 225575,S200000,04200,0100,N 225575,S200000,04300,0100,N 225575,S200000,04600,0100,N 225575,S200000,04700,0100,N 225575,S200000,04900,0100,N 225575,S200000,05200,0100,N 226237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226237,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226237,A000000,00300,0000,0300EMPLOYEE BENEFITS 226237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226237,A000000,00700,0000,0700HOUSEKEEPING 226237,A000000,00800,0000,0800DIETARY 226237,A000000,00900,0000,0900NURSING ADMINISTRATION 226237,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226237,A000000,01100,0000,1100PHARMACY 226237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226237,A000000,01300,0000,1300SOCIAL SERVICE 226237,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226237,A000000,01500,0000,1350PATIENT ACTIVITIES 226237,A000000,01600,0000,1600SKILLED NURSING FACILITY 226237,A000000,01800,0000,1800NURSING FACILITY 226237,A000000,01810,0000,1810ICF/MR 226237,A000000,01900,0000,1900OTHER LONG TERM CARE 226237,A000000,02100,0000,2100RADIOLOGY 226237,A000000,02200,0000,2200LABORATORY 226237,A000000,02300,0000,2300INTRAVENOUS THERAPY 226237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226237,A000000,02500,0000,2500PHYSICAL THERAPY 226237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226237,A000000,02700,0000,2700SPEECH PATHOLOGY 226237,A000000,02800,0000,2800ELECTROCARDIOLOGY 226237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226237,A000000,02901,0000,2901CLINITRON BEDS 226237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226237,A000000,04800,0000,4800AMBULANCE 226237,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226237,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226237,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226237,A000000,06100,0000,6100NONPAID WORKERS 226237,A000000,06200,0000,6200PATIENTS LAUNDRY 226237,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226237,A81000A,00100,0100,Y 226237,A81000B,00100,0300,H.O. COSTS - OPERATING 226237,A81000B,00200,0300,H.O. COSTS - CAPITAL 226237,A81000B,00300,0300,PROFESSIONAL FEES 226237,A81000B,00400,0300,MIDWEST RADIOLOGY COSTS 226237,A81000B,00500,0300,MOVEABLE EQUIPMENT 226237,A81000B,00600,0300,EMPLOYEE BENEFITS 226237,A81000B,00700,0300,GENERAL & ADMINISTRATIVE 226237,A81000B,00800,0300,HOUSEKEEPING 226237,A81000B,00900,0300,DIETARY 226237,A81000B,01000,0300,CENTRAL SERVICES 226237,A81000B,01100,0300,PHARMACY 226237,A81000B,01200,0300,MEDICAL RECORDS 226237,A81000B,01300,0300,SKILLED NURSING FACILITY 226237,A81000B,01400,0300,PHYSICAL THERAPY 226237,A81000B,01500,0300,MEDICAL SUPPLIES 226237,A81000B,01600,0300,COMPLEX MEDICAL EQUIPMENT 226237,A81000B,01700,0300,DRUGS 226237,A81000C,00100,0100,B 226237,A81000C,00100,0400,HCF INC. 226237,A81000C,00100,0600,HOME OFFICE 226237,A81000C,00200,0100,B 226237,A81000C,00200,0400,HCF INC. 226237,A81000C,00200,0600,HOME OFFICE 226237,A81000C,00300,0100,A 226237,A81000C,00300,0200,JEFFREY L. UNVERFERTH 226237,A81000C,00300,0400,UNVERFERTH INTERIORS 226237,A81000C,00300,0600,INTERIOR DESIGN 226237,A81000C,00400,0100,A 226237,A81000C,00400,0200,UNVERFERTH SONS 226237,A81000C,00400,0400,MIDWEST RADIOLOGY OF OHIO 226237,A81000C,00400,0600,PORTABLE RADIOLOGY 226237,A81000C,00500,0100,A 226237,A81000C,00500,0200,UNVERFERTH FAMILY 226237,A81000C,00500,0400,ICP INC. 226237,A81000C,00500,0600,INSTITUTIONAL PHARMACY 226237,A81000C,00600,0100,A 226237,A81000C,00600,0200,UNVERFERTH FAMILY 226237,A81000C,00600,0400,ICP INC. 226237,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226237,A81000C,00700,0100,A 226237,A81000C,00700,0200,UNVERFERTH FAMILY 226237,A81000C,00700,0400,ICP INC. 226237,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226237,A81000C,00800,0100,A 226237,A81000C,00800,0200,UNVERFERTH FAMILY 226237,A81000C,00800,0400,ICP INC. 226237,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226237,A81000C,00900,0100,A 226237,A81000C,00900,0200,UNVERFERTH FAMILY 226237,A81000C,00900,0400,ICP INC. 226237,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226237,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226237,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226237,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226237,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226237,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226237,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226237,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 226237,B100000,00000,0800,0800MEALS SERVED :DIETARY 226237,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226237,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226237,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226237,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226237,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226237,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 226237,E10A180,00501,0100,06/06/00 226237,E10A180,00550,0300,06/06/00 226237,E10A180,00551,0100,01/31/01 226237,E10A180,00551,0300,01/31/01 226237,S000000,00100,0200,05/22/00 226237,S200000,00100,0100,ROUTE 501M 226237,S200000,00200,0100,WAPAKONETA 226237,S200000,00200,0200,OH 226237,S200000,00200,0300,45895- 226237,S200000,00300,0100,AUGLAIZE 226237,S200000,00300,0200,4320 226237,S200000,00300,0300,U 226237,S200000,00400,0100,WAPAKONETA MANOR 226237,S200000,00400,0200,365238 226237,S200000,00400,0300,02/18/70 226237,S200000,00400,0500,P 226237,S200000,01500,0100,Y 226237,S200000,01600,0100,N 226237,S200000,01700,0100,N 226237,S200000,01800,0100,N 226237,S200000,02200,0100,N 226237,S200000,02800,0100,N 226237,S200000,02900,0100,N 226237,S200000,03000,0100,N 226237,S200000,03100,0100,N 226237,S200000,03200,0100,N 226237,S200000,03300,0100,N 226237,S200000,03300,0200,N 226237,S200000,04100,0100,N 226237,S200000,04200,0100,N 226237,S200000,04300,0100,N 226237,S200000,04600,0100,N 226237,S200000,04700,0100,N 226237,S200000,04700,0200,N 226237,S200000,04900,0100,N 226237,S200000,05000,0100,N 226237,S200000,05100,0100,N 226237,S200000,05200,0100,N 226238,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226238,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226238,A000000,00300,0000,0300EMPLOYEE BENEFITS 226238,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226238,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226238,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226238,A000000,00700,0000,0700HOUSEKEEPING 226238,A000000,00800,0000,0800DIETARY 226238,A000000,00900,0000,0900NURSING ADMINISTRATION 226238,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226238,A000000,01100,0000,1100PHARMACY 226238,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226238,A000000,01300,0000,1300SOCIAL SERVICE 226238,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226238,A000000,01500,0000,1350PATIENT ACTIVITIES 226238,A000000,01600,0000,1600SKILLED NURSING FACILITY 226238,A000000,01800,0000,1800NURSING FACILITY 226238,A000000,01900,0000,1900OTHER LONG TERM CARE 226238,A000000,02100,0000,2100RADIOLOGY 226238,A000000,02200,0000,2200LABORATORY 226238,A000000,02300,0000,2300INTRAVENOUS THERAPY 226238,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226238,A000000,02500,0000,2500PHYSICAL THERAPY 226238,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226238,A000000,02700,0000,2700SPEECH PATHOLOGY 226238,A000000,02800,0000,2800ELECTROCARDIOLOGY 226238,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226238,A000000,02901,0000,2901CLINITRON BEDS 226238,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226238,A000000,04800,0000,4800AMBULANCE 226238,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226238,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226238,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226238,A000000,06100,0000,6100NONPAID WORKERS 226238,A000000,06200,0000,6200PATIENTS LAUNDRY 226238,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226238,A81000A,00100,0100,Y 226238,A81000B,00100,0300,H.O. COSTS - OPERATING 226238,A81000B,00200,0300,H.O. COSTS - CAPITAL 226238,A81000B,00300,0300,RADIOLOGY 226238,A81000B,00400,0300,MOVEABLE EQUIPMENT 226238,A81000B,00500,0300,EMPLOYEE BENEFITS 226238,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 226238,A81000B,00700,0300,HOUSEKEEPING 226238,A81000B,00800,0300,DIETARY 226238,A81000B,00900,0300,CENTRAL SERVICES 226238,A81000B,01000,0300,PHARMACY 226238,A81000B,01100,0300,PHYSICAL THERAPY 226238,A81000B,01200,0300,MEDICAL SUPPLIES 226238,A81000B,01300,0300,COMPLEX MEDICAL EQUIPMENT 226238,A81000B,01400,0300,DRUGS 226238,A81000C,00100,0100,B 226238,A81000C,00100,0400,HCF INC. 226238,A81000C,00100,0600,HOME OFFICE 226238,A81000C,00200,0100,B 226238,A81000C,00200,0400,HCF INC. 226238,A81000C,00200,0600,HOME OFFICE 226238,A81000C,00300,0100,A 226238,A81000C,00300,0200,UNVERFERTH SONS 226238,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 226238,A81000C,00300,0600,PORTABLE RADIOLOGY 226238,A81000C,00400,0100,A 226238,A81000C,00400,0200,UNVERFERTH FAMILY 226238,A81000C,00400,0400,ICP INC. 226238,A81000C,00400,0600,INSTITUTIONAL PHARMACY 226238,A81000C,00500,0100,A 226238,A81000C,00500,0200,UNVERFERTH FAMILY 226238,A81000C,00500,0400,ICP INC. 226238,A81000C,00500,0600,INSTITUTIONAL PHARMACY 226238,A81000C,00600,0100,A 226238,A81000C,00600,0200,UNVERFERTH FAMILY 226238,A81000C,00600,0400,ICP INC. 226238,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226238,A81000C,00700,0100,A 226238,A81000C,00700,0200,UNVERFERTH FAMILY 226238,A81000C,00700,0400,ICP INC. 226238,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226238,A81000C,00800,0100,A 226238,A81000C,00800,0200,UNVERFERTH FAMILY 226238,A81000C,00800,0400,ICP INC. 226238,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226238,A81000C,00900,0100,A 226238,A81000C,00900,0200,UNVERFERTH FAMILY 226238,A81000C,00900,0400,ICP INC. 226238,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226238,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226238,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226238,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226238,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226238,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226238,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226238,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 226238,B100000,00000,0800,0800MEALS SERVED :DIETARY 226238,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226238,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226238,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226238,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226238,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226238,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 226238,E10A180,00501,0100,06/06/00 226238,E10A180,00550,0300,06/06/00 226238,E10A180,00551,0100,03/14/01 226238,E10A180,00551,0300,03/14/01 226238,S000000,00100,0200,05/22/00 226238,S200000,00200,0100,VAN WERT 226238,S200000,00200,0200,OH 226238,S200000,00200,0300,45891- 226238,S200000,00300,0100,VAN WERT 226238,S200000,00300,0200,36 226238,S200000,00300,0300,R 226238,S200000,00400,0100,VAN WERT MANOR 226238,S200000,00400,0200,365246 226238,S200000,00400,0300,07/01/70 226238,S200000,00400,0500,P 226238,S200000,01500,0100,Y 226238,S200000,01600,0100,N 226238,S200000,01700,0100,N 226238,S200000,01800,0100,N 226238,S200000,02200,0100,N 226238,S200000,02800,0100,N 226238,S200000,02900,0100,N 226238,S200000,03000,0100,N 226238,S200000,03100,0100,N 226238,S200000,03200,0100,N 226238,S200000,03300,0100,N 226238,S200000,03300,0200,N 226238,S200000,04100,0100,N 226238,S200000,04200,0100,N 226238,S200000,04300,0100,N 226238,S200000,04600,0100,N 226238,S200000,04700,0100,N 226238,S200000,04700,0200,N 226238,S200000,04900,0100,N 226238,S200000,05000,0100,N 226238,S200000,05100,0100,N 226238,S200000,05200,0100,N 226239,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226239,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226239,A000000,00300,0000,0300EMPLOYEE BENEFITS 226239,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226239,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226239,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226239,A000000,00700,0000,0700HOUSEKEEPING 226239,A000000,00800,0000,0800DIETARY 226239,A000000,00900,0000,0900NURSING ADMINISTRATION 226239,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226239,A000000,01100,0000,1100PHARMACY 226239,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226239,A000000,01300,0000,1300SOCIAL SERVICE 226239,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226239,A000000,01500,0000,1350PATIENT ACTIVITIES 226239,A000000,01600,0000,1600SKILLED NURSING FACILITY 226239,A000000,01800,0000,1800NURSING FACILITY 226239,A000000,01810,0000,1810ICF/MR 226239,A000000,01900,0000,1900OTHER LONG TERM CARE 226239,A000000,02100,0000,2100RADIOLOGY 226239,A000000,02200,0000,2200LABORATORY 226239,A000000,02300,0000,2300INTRAVENOUS THERAPY 226239,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226239,A000000,02500,0000,2500PHYSICAL THERAPY 226239,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226239,A000000,02700,0000,2700SPEECH PATHOLOGY 226239,A000000,02800,0000,2800ELECTROCARDIOLOGY 226239,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226239,A000000,02901,0000,2901CLINITRON BEDS 226239,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226239,A000000,04800,0000,4800AMBULANCE 226239,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226239,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226239,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226239,A000000,06100,0000,6100NONPAID WORKERS 226239,A000000,06200,0000,6200PATIENTS LAUNDRY 226239,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226239,A81000A,00100,0100,Y 226239,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 226239,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 226239,A81000B,00300,0300,RADIOLOGY 226239,A81000B,00400,0300,MOVEABLE EQUIPMENT 226239,A81000B,00500,0300,EMPLOYEE BENEFITS 226239,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 226239,A81000B,00700,0300,HOUSEKEEPING 226239,A81000B,00800,0300,DIETARY 226239,A81000B,00900,0300,CENTRAL SERVICES 226239,A81000B,01000,0300,PHARMACY 226239,A81000B,01100,0300,MEDICAL RECORDS 226239,A81000B,01200,0300,PHYSICAL THERAPY 226239,A81000B,01300,0300,MEDICAL SUPPLIES 226239,A81000B,01400,0300,COMPLEX MEDICAL EQUIPMENT 226239,A81000B,01500,0300,DRUGS 226239,A81000C,00100,0100,B 226239,A81000C,00100,0400,HCF INC. 226239,A81000C,00100,0600,HOME OFFICE 226239,A81000C,00200,0100,B 226239,A81000C,00200,0400,HCF INC. 226239,A81000C,00200,0600,HOME OFFICE 226239,A81000C,00300,0100,D 226239,A81000C,00300,0200,UNVERFERTH SONS 226239,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 226239,A81000C,00300,0600,PORTABLE RADIOLOGY 226239,A81000C,00400,0100,A 226239,A81000C,00400,0200,UNVERFERTH FAMILY 226239,A81000C,00400,0400,ICP INC. 226239,A81000C,00400,0600,INSTITUTIONAL PHARMACY 226239,A81000C,00500,0100,A 226239,A81000C,00500,0200,UNVERFERTH FAMILY 226239,A81000C,00500,0400,ICP INC. 226239,A81000C,00500,0600,INSTITUTIONAL PHARMACY 226239,A81000C,00600,0100,A 226239,A81000C,00600,0200,UNVERFERTH FAMILY 226239,A81000C,00600,0400,ICP INC. 226239,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226239,A81000C,00700,0100,A 226239,A81000C,00700,0200,UNVERFERTH FAMILY 226239,A81000C,00700,0400,ICP INC. 226239,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226239,A81000C,00800,0100,A 226239,A81000C,00800,0200,UNVERFERTH FAMILY 226239,A81000C,00800,0400,ICP INC. 226239,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226239,A81000C,00900,0100,A 226239,A81000C,00900,0200,UNVERFERTH FAMILY 226239,A81000C,00900,0400,ICP INC. 226239,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226239,A81000C,01000,0100,A 226239,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226239,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226239,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226239,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226239,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226239,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226239,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 226239,B100000,00000,0800,0800MEALS SERVED :DIETARY 226239,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226239,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226239,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226239,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226239,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226239,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 226239,E10A180,00501,0100,12/18/00 226239,E10A180,00550,0100,06/07/00 226239,E10A180,00550,0300,06/07/00 226239,E10A180,00551,0300,12/18/00 226239,S000000,00100,0200,05/22/00 226239,S200000,00100,0100,1840 WEST HIGH STREET 226239,S200000,00200,0100,PIQUA 226239,S200000,00200,0200,OH 226239,S200000,00200,0300,46356- 226239,S200000,00300,0100,MIAMI 226239,S200000,00300,0200,2000 226239,S200000,00300,0300,U 226239,S200000,00400,0100,PIQUA MANOR 226239,S200000,00400,0200,365265 226239,S200000,00400,0300,06/01/72 226239,S200000,00400,0500,P 226239,S200000,01500,0100,Y 226239,S200000,01600,0100,N 226239,S200000,01700,0100,N 226239,S200000,01800,0100,N 226239,S200000,02200,0100,N 226239,S200000,02800,0100,N 226239,S200000,02900,0100,N 226239,S200000,03000,0100,N 226239,S200000,03100,0100,N 226239,S200000,03200,0100,N 226239,S200000,03300,0100,N 226239,S200000,03300,0200,N 226239,S200000,04100,0100,N 226239,S200000,04200,0100,N 226239,S200000,04300,0100,N 226239,S200000,04600,0100,N 226239,S200000,04700,0100,N 226239,S200000,04700,0200,N 226239,S200000,04900,0100,N 226239,S200000,05000,0100,N 226239,S200000,05100,0100,N 226239,S200000,05200,0100,N 226240,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226240,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226240,A000000,00300,0000,0300EMPLOYEE BENEFITS 226240,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226240,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226240,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226240,A000000,00700,0000,0700HOUSEKEEPING 226240,A000000,00800,0000,0800DIETARY 226240,A000000,00900,0000,0900NURSING ADMINISTRATION 226240,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226240,A000000,01100,0000,1100PHARMACY 226240,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226240,A000000,01300,0000,1300SOCIAL SERVICE 226240,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226240,A000000,01500,0000,1350PATIENT ACTIVITIES 226240,A000000,01600,0000,1600SKILLED NURSING FACILITY 226240,A000000,01800,0000,1800NURSING FACILITY 226240,A000000,01810,0000,1810ICF/MR 226240,A000000,01900,0000,1900OTHER LONG TERM CARE 226240,A000000,02100,0000,2100RADIOLOGY 226240,A000000,02200,0000,2200LABORATORY 226240,A000000,02300,0000,2300INTRAVENOUS THERAPY 226240,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226240,A000000,02500,0000,2500PHYSICAL THERAPY 226240,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226240,A000000,02700,0000,2700SPEECH PATHOLOGY 226240,A000000,02800,0000,2800ELECTROCARDIOLOGY 226240,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226240,A000000,02901,0000,2901CLINITRON BEDS 226240,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226240,A000000,04800,0000,4800AMBULANCE 226240,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226240,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226240,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226240,A000000,06100,0000,6100NONPAID WORKERS 226240,A000000,06200,0000,6200PATIENTS LAUNDRY 226240,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226240,A81000A,00100,0100,Y 226240,A81000B,00100,0300,H.O. COSTS - OPERATING 226240,A81000B,00200,0300,H.O. COSTS - CAPITAL 226240,A81000B,00300,0300,X-RAY 226240,A81000B,00400,0300,ADMINISTRATIVE MINOR 226240,A81000B,00500,0300,PROFESSIONAL FEES 226240,A81000B,00600,0300,MOVEABLE EQUIPMENT 226240,A81000B,00700,0300,EMPLOYEE BENEFITS 226240,A81000B,00800,0300,ADMINISTRATIVE & GENERAL 226240,A81000B,00900,0300,HOUSEKEEPING 226240,A81000B,01000,0300,DIETARY 226240,A81000B,01100,0300,CENTRAL SERVICES 226240,A81000B,01200,0300,PHARMACY 226240,A81000B,01300,0300,PHYSICAL THERAPY 226240,A81000B,01400,0300,MEDICAL SUPPLIES 226240,A81000B,01500,0300,DRUGS 226240,A81000C,00100,0100,B 226240,A81000C,00100,0400,HCF INC. 226240,A81000C,00100,0600,HOME OFFICE 226240,A81000C,00200,0100,B 226240,A81000C,00200,0400,HCF INC. 226240,A81000C,00200,0600,HOME OFFICE 226240,A81000C,00300,0100,D 226240,A81000C,00300,0200,UNVERFERTH SONS 226240,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 226240,A81000C,00300,0600,PORTABLE RADIOLOGY 226240,A81000C,00400,0100,A 226240,A81000C,00400,0200,JEFFREY L. UNVERFERTH 226240,A81000C,00400,0400,UNVERFERTH INTERIORS 226240,A81000C,00400,0600,INTERIOR DESIGN 226240,A81000C,00500,0100,A 226240,A81000C,00500,0200,JEFFREY L. UNVERFERTH 226240,A81000C,00500,0400,UNVERFERTH INTERIORS 226240,A81000C,00500,0600,INTERIOR DESIGN 226240,A81000C,00600,0100,A 226240,A81000C,00600,0200,UNVERFERTH FAMILY 226240,A81000C,00600,0400,ICP INC. 226240,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226240,A81000C,00700,0100,A 226240,A81000C,00700,0200,UNVERFERTH FAMILY 226240,A81000C,00700,0400,ICP INC. 226240,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226240,A81000C,00800,0100,A 226240,A81000C,00800,0200,UNVERFERTH FAMILY 226240,A81000C,00800,0400,ICP INC. 226240,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226240,A81000C,00900,0100,A 226240,A81000C,00900,0200,UNVERFERTH FAMILY 226240,A81000C,00900,0400,ICP INC. 226240,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226240,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226240,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226240,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226240,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226240,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226240,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226240,B100000,00000,0700,0750SQFT EXCLDIETAR :HOUSEKEEPING 226240,B100000,00000,0800,0800MEALS SERVED :DIETARY 226240,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226240,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226240,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226240,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226240,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226240,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 226240,E10A180,00501,0100,06/15/00 226240,E10A180,00550,0300,06/15/00 226240,E10A180,00551,0100,02/27/01 226240,E10A180,00551,0300,02/27/01 226240,S000000,00100,0200,05/22/00 226240,S200000,00100,0100,800 MISSION DRIVE 226240,S200000,00200,0100,UPPER SANDUSKY 226240,S200000,00200,0200,OH 226240,S200000,00200,0300,43351- 226240,S200000,00300,0100,WYANDOT 226240,S200000,00300,0200,36 226240,S200000,00300,0300,R 226240,S200000,00400,0100,WYANDOT MANOR 226240,S200000,00400,0200,365274 226240,S200000,00400,0300,07/01/74 226240,S200000,00400,0500,P 226240,S200000,01500,0100,Y 226240,S200000,01600,0100,N 226240,S200000,01700,0100,N 226240,S200000,01800,0100,N 226240,S200000,02200,0100,N 226240,S200000,02800,0100,N 226240,S200000,02900,0100,N 226240,S200000,03000,0100,N 226240,S200000,03100,0100,N 226240,S200000,03200,0100,N 226240,S200000,03300,0100,N 226240,S200000,03300,0200,N 226240,S200000,04100,0100,N 226240,S200000,04200,0100,N 226240,S200000,04300,0100,N 226240,S200000,04600,0100,N 226240,S200000,04700,0100,Y 226240,S200000,04700,0200,Y 226240,S200000,04900,0100,N 226240,S200000,05000,0100,N 226240,S200000,05100,0100,N 226240,S200000,05200,0100,N 226241,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226241,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226241,A000000,00300,0000,0300EMPLOYEE BENEFITS 226241,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226241,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226241,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226241,A000000,00700,0000,0700HOUSEKEEPING 226241,A000000,00800,0000,0800DIETARY 226241,A000000,00900,0000,0900NURSING ADMINISTRATION 226241,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226241,A000000,01100,0000,1100PHARMACY 226241,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226241,A000000,01300,0000,1300SOCIAL SERVICE 226241,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226241,A000000,01500,0000,1350PATIENT DAYS 226241,A000000,01600,0000,1600SKILLED NURSING FACILITY 226241,A000000,01800,0000,1800NURSING FACILITY 226241,A000000,01900,0000,1900OTHER LONG TERM CARE 226241,A000000,02100,0000,2100RADIOLOGY 226241,A000000,02200,0000,2200LABORATORY 226241,A000000,02300,0000,2300INTRAVENOUS THERAPY 226241,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226241,A000000,02500,0000,2500PHYSICAL THERAPY 226241,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226241,A000000,02700,0000,2700SPEECH PATHOLOGY 226241,A000000,02800,0000,2800ELECTROCARDIOLOGY 226241,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226241,A000000,02901,0000,2901CLINITRON BEDS 226241,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226241,A000000,04800,0000,4800AMBULANCE 226241,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226241,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226241,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226241,A000000,06100,0000,6100NONPAID WORKERS 226241,A000000,06200,0000,6200PATIENTS LAUNDRY 226241,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226241,A81000A,00100,0100,Y 226241,A81000B,00100,0300,H.O. COSTS - OPERATING 226241,A81000B,00200,0300,H.O. COSTS - CAPITAL 226241,A81000B,00300,0300,RADIOLOGY 226241,A81000B,00400,0300,MOVEABLE EQUIPMENT 226241,A81000B,00500,0300,EMPLOYEE BENEFITS 226241,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 226241,A81000B,00700,0300,PLANT OPER MAINT AND REPAIRS 226241,A81000B,00800,0300,HOUSEKEEPING 226241,A81000B,00900,0300,DIETARY 226241,A81000B,01000,0300,CENTRAL SERVICES 226241,A81000B,01100,0300,PHARMACY 226241,A81000B,01200,0300,MEDICAL RECORDS 226241,A81000B,01300,0300,OXYGEN 226241,A81000B,01400,0300,PHYSICAL THERAPY 226241,A81000B,01500,0300,MEDICAL SUPPLIES 226241,A81000B,01600,0300,COMPLEX MEDICAL EQUIPMENT 226241,A81000B,01700,0300,DRUGS 226241,A81000C,00100,0100,B 226241,A81000C,00100,0400,HCF INC. 226241,A81000C,00100,0600,HOME OFFICE 226241,A81000C,00200,0100,B 226241,A81000C,00200,0400,HCF INC. 226241,A81000C,00200,0600,HOME OFFICE 226241,A81000C,00300,0100,A 226241,A81000C,00300,0200,UNVERFERTH SONS 226241,A81000C,00300,0400,MIDWEST RADIOLOGY OF OHIO 226241,A81000C,00300,0600,PORTABLE RADIOLOGY 226241,A81000C,00400,0100,A 226241,A81000C,00400,0200,UNVERFERTH FAMILY 226241,A81000C,00400,0400,ICP INC. 226241,A81000C,00400,0600,INSTITUTIONAL PHARMACY 226241,A81000C,00500,0100,A 226241,A81000C,00500,0200,UNVERFERTH FAMILY 226241,A81000C,00500,0400,ICP INC. 226241,A81000C,00500,0600,INSTITUTIONAL PHARMACY 226241,A81000C,00600,0100,A 226241,A81000C,00600,0200,UNVERFERTH FAMILY 226241,A81000C,00600,0400,ICP INC. 226241,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226241,A81000C,00700,0100,A 226241,A81000C,00700,0200,UNVERFERTH FAMILY 226241,A81000C,00700,0400,ICP INC. 226241,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226241,A81000C,00800,0100,A 226241,A81000C,00800,0200,UNVERFERTH FAMILY 226241,A81000C,00800,0400,ICP INC. 226241,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226241,A81000C,00900,0100,A 226241,A81000C,00900,0200,UNVERFERTH FAMILY 226241,A81000C,00900,0400,ICP INC. 226241,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226241,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226241,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226241,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226241,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226241,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226241,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226241,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 226241,B100000,00000,0800,0800MEALS SERVED :DIETARY 226241,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226241,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226241,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226241,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226241,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226241,B100000,00000,1500,1350TIME SPENT :PATIENT DAYS 226241,E10A180,00501,0100,03/12/01 226241,E10A180,00550,0100,06/15/00 226241,E10A180,00550,0300,06/15/00 226241,E10A180,00551,0300,03/12/01 226241,S000000,00100,0200,05/22/00 226241,S200000,00100,0100,2101 GREENDALE BOULEVARD 226241,S200000,00200,0100,FINDLAY 226241,S200000,00200,0200,OH 226241,S200000,00200,0300,45847- 226241,S200000,00300,0100,HANCOCK 226241,S200000,00300,0200,36 226241,S200000,00300,0300,R 226241,S200000,00400,0100,FOX RUN MANOR 226241,S200000,00400,0200,365337 226241,S200000,00400,0300,11/01/76 226241,S200000,00400,0500,P 226241,S200000,01500,0100,Y 226241,S200000,01600,0100,N 226241,S200000,01700,0100,N 226241,S200000,01800,0100,N 226241,S200000,02200,0100,N 226241,S200000,02800,0100,N 226241,S200000,02900,0100,N 226241,S200000,03000,0100,N 226241,S200000,03100,0100,N 226241,S200000,03200,0100,N 226241,S200000,03300,0100,N 226241,S200000,03300,0200,N 226241,S200000,04100,0100,N 226241,S200000,04200,0100,N 226241,S200000,04300,0100,N 226241,S200000,04600,0100,N 226241,S200000,04700,0100,N 226241,S200000,04700,0200,N 226241,S200000,04900,0100,N 226241,S200000,05000,0100,N 226241,S200000,05100,0100,N 226241,S200000,05200,0100,N 226242,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226242,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226242,A000000,00300,0000,0300EMPLOYEE BENEFITS 226242,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226242,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226242,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226242,A000000,00700,0000,0700HOUSEKEEPING 226242,A000000,00800,0000,0800DIETARY 226242,A000000,00900,0000,0900NURSING ADMINISTRATION 226242,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226242,A000000,01100,0000,1100PHARMACY 226242,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226242,A000000,01300,0000,1300SOCIAL SERVICE 226242,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226242,A000000,01500,0000,1350PATIENT ACTIVITIES 226242,A000000,01600,0000,1600SKILLED NURSING FACILITY 226242,A000000,01800,0000,1800NURSING FACILITY 226242,A000000,01810,0000,1810ICF/MR 226242,A000000,01900,0000,1900OTHER LONG TERM CARE 226242,A000000,02100,0000,2100RADIOLOGY 226242,A000000,02200,0000,2200LABORATORY 226242,A000000,02300,0000,2300INTRAVENOUS THERAPY 226242,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226242,A000000,02500,0000,2500PHYSICAL THERAPY 226242,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226242,A000000,02700,0000,2700SPEECH PATHOLOGY 226242,A000000,02800,0000,2800ELECTROCARDIOLOGY 226242,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226242,A000000,02901,0000,2901CLINITRON BEDS 226242,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226242,A000000,04800,0000,4800AMBULANCE 226242,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226242,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226242,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 226242,A000000,06100,0000,6100NONPAID WORKERS 226242,A000000,06200,0000,6200PATIENTS LAUNDRY 226242,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226242,A000000,06301,0000,6151GUEST MEALS 226242,A81000A,00100,0100,Y 226242,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 226242,A81000B,00200,0300,ADMINISTRATIVE & GENERAL 226242,A81000B,00300,0300,MOVEABLE EQUIPMENT 226242,A81000B,00400,0300,EMPLOYEE BENEFITS 226242,A81000B,00500,0300,ADMINISTRATIVE & GENERAL 226242,A81000B,00600,0300,PLANT OPERATION MAINT. & REPAIR 226242,A81000B,00700,0300,HOUSEKEEPING 226242,A81000B,00800,0300,DIETARY 226242,A81000B,00900,0300,CENTRAL SERVICES 226242,A81000B,01000,0300,PHARMACY 226242,A81000B,01100,0300,MEDICAL RECORDS 226242,A81000B,01200,0300,PHYSICAL THERAPY 226242,A81000B,01300,0300,MEDICAL SUPPLIES 226242,A81000B,01400,0300,DRUGS 226242,A81000C,00100,0100,B 226242,A81000C,00100,0400,HCF INC. 226242,A81000C,00100,0600,HOME OFFICE 226242,A81000C,00200,0100,B 226242,A81000C,00200,0400,HCF INC. 226242,A81000C,00200,0600,HOME OFFICE 226242,A81000C,00300,0100,A 226242,A81000C,00300,0200,UNVERFERTH FAMILY 226242,A81000C,00300,0400,ICP INC. 226242,A81000C,00300,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00400,0100,A 226242,A81000C,00400,0200,UNVERFERTH FAMILY 226242,A81000C,00400,0400,ICP INC. 226242,A81000C,00400,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00500,0100,A 226242,A81000C,00500,0200,UNVERFERTH FAMILY 226242,A81000C,00500,0400,ICP INC. 226242,A81000C,00500,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00600,0100,A 226242,A81000C,00600,0200,UNVERFERTH FAMILY 226242,A81000C,00600,0400,ICP INC. 226242,A81000C,00600,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00700,0100,A 226242,A81000C,00700,0200,UNVERFERTH FAMILY 226242,A81000C,00700,0400,ICP INC. 226242,A81000C,00700,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00800,0100,A 226242,A81000C,00800,0200,UNVERFERTH FAMILY 226242,A81000C,00800,0400,ICP INC. 226242,A81000C,00800,0600,INSTITUTIONAL PHARMACY 226242,A81000C,00900,0100,A 226242,A81000C,00900,0200,UNVERFERTH FAMILY 226242,A81000C,00900,0400,ICP INC. 226242,A81000C,00900,0600,INSTITUTIONAL PHARMACY 226242,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226242,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226242,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226242,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226242,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226242,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 226242,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 226242,B100000,00000,0800,0800MEALS SERVED :DIETARY 226242,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 226242,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 226242,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 226242,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 226242,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 226242,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 226242,E10A180,00501,0100,06/15/00 226242,E10A180,00502,0100,05/14/01 226242,E10A180,00502,0300,05/14/01 226242,E10A180,00550,0300,06/15/00 226242,S000000,00100,0200,05/22/00 226242,S200000,00100,0100,7143 US ROUTE 23 SOUTH 226242,S200000,00200,0100,PIKETON 226242,S200000,00200,0200,OH 226242,S200000,00200,0300,45661- 226242,S200000,00300,0100,PIKE 226242,S200000,00300,0200,36 226242,S200000,00300,0300,R 226242,S200000,00400,0100,PLEASANT HILL MANOR 226242,S200000,00400,0200,365446 226242,S200000,00400,0300,02/08/80 226242,S200000,00400,0500,P 226242,S200000,01500,0100,Y 226242,S200000,01600,0100,N 226242,S200000,01700,0100,N 226242,S200000,01800,0100,N 226242,S200000,02200,0100,N 226242,S200000,02800,0100,N 226242,S200000,02900,0100,N 226242,S200000,03000,0100,N 226242,S200000,03100,0100,N 226242,S200000,03200,0100,N 226242,S200000,03300,0100,N 226242,S200000,03300,0200,N 226242,S200000,04100,0100,N 226242,S200000,04200,0100,N 226242,S200000,04300,0100,N 226242,S200000,04600,0100,N 226242,S200000,04700,0100,N 226242,S200000,04700,0200,N 226242,S200000,04900,0100,N 226242,S200000,05000,0100,N 226242,S200000,05100,0100,N 226242,S200000,05200,0100,N 226364,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 226364,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 226364,A000000,00300,0000,0300EMPLOYEE BENEFITS 226364,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226364,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 226364,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226364,A000000,00700,0000,0700HOUSEKEEPING 226364,A000000,00800,0000,0800DIETARY 226364,A000000,00900,0000,0900NURSING ADMINISTRATION 226364,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226364,A000000,01100,0000,1100PHARMACY 226364,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226364,A000000,01300,0000,1300SOCIAL SERVICE 226364,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 226364,A000000,01500,0000,1350ACTIVITIES 226364,A000000,01600,0000,1600SKILLED NURSING FACILITY 226364,A000000,01800,0000,1800NURSING FACILITY 226364,A000000,01900,0000,1900OTHER LONG TERM CARE 226364,A000000,02100,0000,2100RADIOLOGY 226364,A000000,02200,0000,2200LABORATORY 226364,A000000,02300,0000,2300INTRAVENOUS THERAPY 226364,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 226364,A000000,02500,0000,2500PHYSICAL THERAPY 226364,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226364,A000000,02700,0000,2700SPEECH PATHOLOGY 226364,A000000,02800,0000,2800ELECTROCARDIOLOGY 226364,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 226364,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226364,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 226364,A000000,03200,0000,3200SUPPORT SURFACES 226364,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CEN 226364,A000000,04800,0000,4800AMBULANCE 226364,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 226364,A000000,05300,0000,5300INTEREST EXPENSE 226364,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 226364,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENTE 226364,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 226364,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226364,A000000,06100,0000,6100NONPAID WORKERS 226364,A000000,06200,0000,6200PATIENTS LAUNDRY 226364,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 226364,A81000A,00100,0100,Y 226364,A81000B,00100,0300,HOME OFFICE COST 226364,A81000B,00200,0300,PT ADMIN FEES 226364,A81000B,00300,0300,OT ADMIN FEES 226364,A81000B,00400,0300,ST ADMIN FEES 226364,A81000C,00100,0100,B 226364,A81000C,00100,0200,MCHS-BABCOCK 226364,A81000C,00100,0400,HCR MANORCARE INC. 226364,A81000C,00100,0600,LONG TERM CARE FACILITIES 226364,A81000C,00200,0100,B 226364,A81000C,00200,0200,MCHS-BABCOCK 226364,A81000C,00200,0400,HEARTLAND MGMT SERV 226364,A81000C,00200,0600,THERAPY ADMIN 226364,A81000C,00300,0100,B 226364,A81000C,00300,0200,MCHS-BABCOCK 226364,A81000C,00300,0400,HEARTLAND MGMT SERV 226364,A81000C,00300,0600,THERAPY ADMIN 226364,A81000C,00400,0100,B 226364,A81000C,00400,0200,MCHS-BABCOCK 226364,A81000C,00400,0400,HEARTLAND MGMT SERV 226364,A81000C,00400,0600,THERAPY ADMIN 226364,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 226364,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 226364,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 226364,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 226364,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 226364,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 226364,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 226364,B100000,00000,0800,0800MEALS SERVED :DIETARY 226364,B100000,00000,0900,0950NURSING WAGES :NURSING ADMINIST 226364,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 226364,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 226364,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 226364,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 226364,E10A180,00501,0100,02/11/02 226364,E10A180,00550,0300,02/11/02 226364,S000000,00100,0200,12/01/00 226364,S200000,00100,0100,1975 BABCOCK 226364,S200000,00200,0100,SAN ANTONIO 226364,S200000,00200,0200,TX 226364,S200000,00200,0300,78229- 226364,S200000,00300,0100,BEXAR 226364,S200000,00300,0200,7240 226364,S200000,00300,0300,U 226364,S200000,00400,0100,MCHS-BABCOCK 226364,S200000,00400,0200,455444 226364,S200000,00400,0300,01/07/77 226364,S200000,00400,0500,P 226364,S200000,00400,0600,P 226364,S200000,01004,0500,O 226364,S200000,01500,0100,N 226364,S200000,01600,0100,Y 226364,S200000,01700,0100,N 226364,S200000,01800,0100,N 226364,S200000,02200,0100,Y 226364,S200000,02800,0100,N 226364,S200000,02900,0100,N 226364,S200000,03000,0100,N 226364,S200000,03100,0100,N 226364,S200000,03200,0100,N 226364,S200000,03300,0100,N 226364,S200000,03300,0200,N 226364,S200000,04100,0100,N 226364,S200000,04200,0100,N 226364,S200000,04300,0100,N 226364,S200000,04600,0100,N 226364,S200000,04700,0100,N 226364,S200000,04700,0200,N 226364,S200000,04900,0100,N 226364,S200000,05000,0100,N 226364,S200000,05100,0100,N 226364,S200000,05200,0100,N 226896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 226896,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 226896,A000000,00300,0000,0300EMPLOYEE BENEFITS 226896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 226896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 226896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 226896,A000000,00700,0000,0700HOUSEKEEPING 226896,A000000,00800,0000,0800DIETARY 226896,A000000,00900,0000,0900NURSING ADMINISTRATION 226896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 226896,A000000,01100,0000,1100PHARMACY 226896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 226896,A000000,01300,0000,1300SOCIAL SERVICE 226896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 226896,A000000,01500,0000,1350ACTIVITIES 226896,A000000,01600,0000,1600SKILLED NURSING FACILITY 226896,A000000,01800,0000,1800NURSING FACILITY 226896,A000000,01810,0000,1810ICF/MR 226896,A000000,02100,0000,2100RADIOLOGY 226896,A000000,02200,0000,2200LABORATORY 226896,A000000,02500,0000,2500PHYSICAL THERAPY 226896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 226896,A000000,02700,0000,2700SPEECH PATHOLOGY 226896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 226896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 226896,A000000,03300,0000,3050AMBULANCE 226896,A000000,03550,0000,3550FQHC 226896,A000000,04801,0000,4801AMBULANCE 226896,A000000,04802,0000,4802AMBULANCE 226896,A000000,04803,0000,4803AMBULANCE 226896,A000000,05000,0000,5000CORF 226896,A000000,05010,0000,5010CMHC 226896,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 226896,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 226896,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 226896,A000000,05300,0000,5300INTEREST EXPENSE 226896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 226896,A81000A,00100,0100,Y 226896,A81000B,00100,0300,DEPR EXP-BLDGS REAL ESTATE COM 226896,A81000B,00200,0300,DEPR EXP-EQUIP REAL ESTATE COM 226896,A81000B,00300,0300,INTEREST EXPENSE-REAL ESTATE C 226896,A81000B,00400,0300,OWNERS COMP OFFICE SUPPLIES 226896,A81000B,00500,0300,RENT-REAL ESTATE COMPANY 226896,A81000B,00600,0300,INTEREST EXPENSE-AFFILIATES 226896,A81000B,00700,0300,MANAGEMENT FEES-HSM MANAGEMENT 226896,A81000B,00800,0300,HOME OFFICE DIRECT COSTS-HSM M 226896,A81000B,00900,0300,HOME OFFICE POOLED COSTS-HSM M 226896,A81000B,00901,0300,SPEECH THERAPY-ROSEWOOD THERAP 226896,A81000B,00902,0300,PAYROLL TAXES - REAL ESTATE CO 226896,A81000B,01000,0300,HOME OFFICE DIRECT CAP-EQUIP-H 226896,A81000B,01100,0300,HOME OFFICE POOLED CAP-BLDG-HS 226896,A81000B,01200,0300,HOME OFFICE POOLED CAP-EQUIP-H 226896,A81000B,01300,0300,INTEREST INCOME-ELGIN 226896,A81000B,01400,0300,INTEREST INCOME-SWANSEA 226896,A81000B,01500,0300,INTEREST INCOME-JOLIET 226896,A81000B,01600,0300,INTEREST INCOME-EDWARDSVILLE 226896,A81000B,01700,0300,INTEREST INCOME-HOLDING COMPAN 226896,A81000B,01800,0300,INTEREST INCOME-ST. LOUIS 226896,A81000B,01900,0300,INTEREST INCOME-ROCKFORD 226896,A81000B,02000,0300,INTEREST INCOME-ST. CHARLES 226896,A81000B,02100,0300,INTEREST INCOME-PEORIA 226896,A81000B,02200,0300,INTEREST INCOME-NORTHBROOK 226896,A81000B,02300,0300,INTEREST INCOME-MOLINE 226896,A81000B,02400,0300,INTEREST INCOME-INVERNESS 226896,A81000B,02500,0300,INTEREST INCOME-EAST PEORIA 226896,A81000B,02600,0300,INTEREST INCOME-GALESBURG 226896,A81000B,02700,0300,INTEREST INCOME-ALTON 226896,A81000B,02800,0300,PHYSICAL THERAPY-ROSEWOOD THER 226896,A81000B,02900,0300,OCCUPATIONAL THERAPY-ROSEWOOD 226896,A81000C,00100,0100,A 226896,A81000C,00100,0200,VANDER MATEN 226896,A81000C,00100,0400,HSM MANAGEMENT 226896,A81000C,00100,0600,MANAGEMENT 226896,A81000C,00200,0100,A 226896,A81000C,00200,0200,HOEFLING 226896,A81000C,00200,0400,HSM MANAGEMENT 226896,A81000C,00200,0600,MANAGEMENT 226896,A81000C,00300,0100,A 226896,A81000C,00300,0200,VANDER MATEN 226896,A81000C,00300,0400,ST CHARLES R.E. 226896,A81000C,00300,0600,REAL ESTATE 226896,A81000C,00400,0100,A 226896,A81000C,00400,0200,HOEFLING 226896,A81000C,00400,0400,ST CHARLES R.E. 226896,A81000C,00400,0600,REAL ESTATE 226896,A81000C,00500,0100,A 226896,A81000C,00500,0200,VANDER MATEN 226896,A81000C,00500,0400,HSM DEVELOPMENT 226896,A81000C,00500,0600,DEVELOPMENT 226896,A81000C,00600,0100,A 226896,A81000C,00600,0200,HOEFLING 226896,A81000C,00600,0400,HSM DEVELOPMENT 226896,A81000C,00600,0600,DEVELOPMENT 226896,A81000C,00700,0100,A 226896,A81000C,00700,0200,VANDER MATEN 226896,A81000C,00700,0400,RCC HOLDING CO 226896,A81000C,00700,0600,HOLDING CO 226896,A81000C,00800,0100,A 226896,A81000C,00800,0200,HOEFLING 226896,A81000C,00800,0400,RCC HOLDING CO 226896,A81000C,00800,0600,HOLDING CO 226896,A81000C,00900,0100,A 226896,A81000C,00900,0200,VANDER MATEN 226896,A81000C,00900,0400,ROSEWOOD HOME 226896,A81000C,00900,0600,HOME HEALTH 226896,A81000C,01000,0100,A 226896,A81000C,01000,0200,HOEFLING 226896,A81000C,01000,0400,ROSEWOOD HOME 226896,A81000C,01000,0600,HOME HEALTH 226896,B100000,00000,0100,0100SQUARE FEET 226896,B100000,00000,0200,0200SQUARE FEET 226896,B100000,00000,0300,0300GROSS SALARIES 226896,B100000,00000,0400,0400ACCUM COST 226896,B100000,00000,0500,0500SQUARE FEET 226896,B100000,00000,0600,0600PATIENT DAYS 226896,B100000,00000,0700,0700SQUARE FEET 226896,B100000,00000,0800,0800MEALS SERVED 226896,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 226896,B100000,00000,1000,1000PATIENT DAYS 226896,B100000,00000,1100,1100COSTED REQUIS 226896,B100000,00000,1200,1200TIME SPENT 226896,B100000,00000,1300,1300TIME SPENT 226896,B100000,00000,1400,1400ASSIGNED TIME 226896,B100000,00000,1500,1350PATIENT DAYS 226896,E10A180,00501,0100,01/29/01 226896,S000000,00100,0200,12/01/00 226896,S200000,00100,0100,850 DUNHAM ROAD 226896,S200000,00200,0100,ST. CHARLES 226896,S200000,00200,0200,IL 226896,S200000,00200,0300,60174 226896,S200000,00300,0100,KANE 226896,S200000,00300,0200,1600 226896,S200000,00300,0300,U 226896,S200000,00400,0100,ROSEWOOD CARE CTR INC OF ST. CHARLES 226896,S200000,00400,0200,145980 226896,S200000,00400,0300,06/28/99 226896,S200000,00400,0500,P 226896,S200000,01500,0100,N 226896,S200000,01600,0100,Y 226896,S200000,01700,0100,N 226896,S200000,01800,0100,N 226896,S200000,02200,0100,N 226896,S200000,02800,0100,N 226896,S200000,02900,0100,N 226896,S200000,03000,0100,N 226896,S200000,03100,0100,N 226896,S200000,03200,0100,N 226896,S200000,03300,0100,N 226896,S200000,03300,0200,N 226896,S200000,04100,0100,N 226896,S200000,04200,0100,N 226896,S200000,04300,0100,N 226896,S200000,04600,0100,N 226896,S200000,04700,0100,N 226896,S200000,04900,0100,N 226896,S200000,05200,0100,N 227171,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227171,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227171,A000000,00300,0000,0300EMPLOYEE BENEFITS 227171,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227171,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227171,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227171,A000000,00700,0000,0700HOUSEKEEPING 227171,A000000,00800,0000,0800DIETARY 227171,A000000,00900,0000,0900NURSING ADMINISTRATION 227171,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 227171,A000000,01100,0000,1100PHARMACY 227171,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227171,A000000,01300,0000,1300SOCIAL SERVICE 227171,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 227171,A000000,01500,0000,1350PATIENT ACTIVITIES 227171,A000000,01600,0000,1600SKILLED NURSING FACILITY 227171,A000000,01800,0000,1800NURSING FACILITY 227171,A000000,01810,0000,1810ICF/MR 227171,A000000,01900,0000,1900OTHER LONG TERM CARE 227171,A000000,02100,0000,2100RADIOLOGY 227171,A000000,02200,0000,2200LABORATORY 227171,A000000,02300,0000,2300INTRAVENOUS THERAPY 227171,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227171,A000000,02500,0000,2500PHYSICAL THERAPY 227171,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227171,A000000,02700,0000,2700SPEECH PATHOLOGY 227171,A000000,02800,0000,2800ELECTROCARDIOLOGY 227171,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227171,A000000,02901,0000,2901CLINITRON BEDS 227171,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227171,A000000,04800,0000,4800AMBULANCE 227171,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227171,A000000,05000,0000,5000CORF 227171,A000000,05100,0000,4750OTHER REIMBURSABLE COST 227171,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 227171,A000000,05300,0000,5300INTEREST EXPENSE 227171,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 227171,A000000,05500,0000,5500HOSPICE 227171,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 227171,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227171,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227171,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227171,A000000,06100,0000,6100NONPAID WORKERS 227171,A000000,06200,0000,6200PATIENTS LAUNDRY 227171,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 227171,A81000A,00100,0100,Y 227171,A81000B,00100,0300,H.O. COSTS - OPERATING 227171,A81000B,00200,0300,H.O. COSTS - CAPITAL 227171,A81000B,00300,0300,ADMIN MINOR EQUIPMENT 227171,A81000B,00400,0300,PROFESSIONAL FEES 227171,A81000B,00500,0300,ICP COSTS 227171,A81000B,00600,0300,ICP COSTS 227171,A81000B,00700,0300,ICP COSTS 227171,A81000B,00800,0300,ICP COSTS 227171,A81000B,00900,0300,ICP COSTS 227171,A81000B,01000,0300,ICP COSTS 227171,A81000B,01100,0300,ICP COSTS 227171,A81000B,01200,0300,ICP COSTS 227171,A81000B,01300,0300,ICP COSTS 227171,A81000B,01400,0300,ICP COSTS 227171,A81000B,01500,0300,ICP COSTS 227171,A81000B,01600,0300,ICP COSTS 227171,A81000B,01700,0300,ICP COSTS 227171,A81000C,00100,0100,B 227171,A81000C,00100,0400,HCF INC. 227171,A81000C,00100,0600,HOME OFFICE 227171,A81000C,00200,0100,B 227171,A81000C,00200,0400,HCF INC. 227171,A81000C,00200,0600,HOME OFFICE 227171,A81000C,00300,0100,A 227171,A81000C,00300,0200,JEFFREY L. UNVERFERTH 227171,A81000C,00300,0400,UNVERFERTH INTERIORS 227171,A81000C,00300,0600,INTERIOR DESIGN 227171,A81000C,00400,0100,A 227171,A81000C,00400,0200,JEFFREY L. UNVERFERTH 227171,A81000C,00400,0400,UNVERFERTH INTERIORS 227171,A81000C,00400,0600,INTERIOR DESIGN 227171,A81000C,00500,0100,A 227171,A81000C,00500,0200,UNVERFERTH FAMILY 227171,A81000C,00500,0400,ICP INC. 227171,A81000C,00500,0600,INSTITUTIONAL PHARMACY 227171,A81000C,00600,0100,A 227171,A81000C,00600,0200,UNVERFERTH FAMILY 227171,A81000C,00600,0400,ICP INC. 227171,A81000C,00600,0600,INSTITUTIONAL PHARMACY 227171,A81000C,00700,0100,A 227171,A81000C,00700,0200,UNVERFERTH FAMILY 227171,A81000C,00700,0400,ICP INC. 227171,A81000C,00700,0600,INSTITUTIONAL PHARMACY 227171,A81000C,00800,0100,A 227171,A81000C,00800,0200,UNVERFERTH FAMILY 227171,A81000C,00800,0400,ICP INC. 227171,A81000C,00800,0600,INSTITUTIONAL PHARMACY 227171,A81000C,00900,0100,A 227171,A81000C,00900,0200,UNVERFERTH FAMILY 227171,A81000C,00900,0400,ICP INC. 227171,A81000C,00900,0600,INSTITUTIONAL PHARMACY 227171,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 227171,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 227171,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 227171,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227171,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 227171,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 227171,B100000,00000,0700,0750SQUARE FEET EXCL :HOUSEKEEPING 227171,B100000,00000,0800,0850PATIENT DAYS :DIETARY 227171,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 227171,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 227171,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 227171,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 227171,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 227171,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 227171,E10A180,00501,0100,03/12/01 227171,E10A180,00501,0300,03/12/01 227171,S000000,00100,0200,05/22/00 227171,S200000,00100,0100,250 GLENN AVENUE 227171,S200000,00200,0100,WASHINGTON 227171,S200000,00200,0200,OH 227171,S200000,00200,0300,43160- 227171,S200000,00300,0100,FAYETTE 227171,S200000,00300,0200,36 227171,S200000,00300,0300,R 227171,S200000,00400,0100,COURT HOUSE MANOR 227171,S200000,00400,0200,365318 227171,S200000,00400,0300,04/14/74 227171,S200000,00400,0500,P 227171,S200000,01500,0100,Y 227171,S200000,01600,0100,N 227171,S200000,01700,0100,N 227171,S200000,01800,0100,N 227171,S200000,02200,0100,N 227171,S200000,02800,0100,N 227171,S200000,02900,0100,N 227171,S200000,03000,0100,N 227171,S200000,03100,0100,N 227171,S200000,03200,0100,N 227171,S200000,03300,0100,N 227171,S200000,03300,0200,N 227171,S200000,04100,0100,N 227171,S200000,04200,0100,N 227171,S200000,04300,0100,N 227171,S200000,04600,0100,N 227171,S200000,04700,0100,N 227171,S200000,04700,0200,N 227171,S200000,04900,0100,N 227171,S200000,05000,0100,N 227171,S200000,05100,0100,N 227171,S200000,05200,0100,N 227172,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227172,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227172,A000000,00300,0000,0300EMPLOYEE BENEFITS 227172,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227172,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227172,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227172,A000000,00700,0000,0700HOUSEKEEPING 227172,A000000,00800,0000,0800DIETARY 227172,A000000,00900,0000,0900NURSING ADMINISTRATION 227172,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 227172,A000000,01100,0000,1100PHARMACY 227172,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227172,A000000,01300,0000,1300SOCIAL SERVICE 227172,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 227172,A000000,01500,0000,1350PATIENT ACTIVITIES 227172,A000000,01600,0000,1600SKILLED NURSING FACILITY 227172,A000000,01800,0000,1800NURSING FACILITY 227172,A000000,01810,0000,1810ICF/MR 227172,A000000,01900,0000,1900OTHER LONG TERM CARE 227172,A000000,02100,0000,2100RADIOLOGY 227172,A000000,02200,0000,2200LABORATORY 227172,A000000,02300,0000,2300INTRAVENOUS THERAPY 227172,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227172,A000000,02500,0000,2500PHYSICAL THERAPY 227172,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227172,A000000,02700,0000,2700SPEECH PATHOLOGY 227172,A000000,02800,0000,2800ELECTROCARDIOLOGY 227172,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227172,A000000,02901,0000,2901CLINITRON BEDS 227172,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227172,A000000,04800,0000,4800AMBULANCE 227172,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227172,A000000,05000,0000,5000CORF 227172,A000000,05100,0000,4750OTHER REIMBURSABLE COST 227172,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 227172,A000000,05300,0000,5300INTEREST EXPENSE 227172,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 227172,A000000,05500,0000,5500HOSPICE 227172,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 227172,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227172,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227172,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227172,A000000,06100,0000,6100NONPAID WORKERS 227172,A000000,06200,0000,6200PATIENTS LAUNDRY 227172,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 227172,A81000A,00100,0100,Y 227172,A81000B,00100,0300,H.O. COSTS - OPERATING 227172,A81000B,00200,0300,H.O. COSTS - CAPITAL 227172,A81000B,00300,0300,ICP COSTS 227172,A81000B,00400,0300,ICP COSTS 227172,A81000B,00500,0300,ICP COSTS 227172,A81000B,00600,0300,ICP COSTS 227172,A81000B,00700,0300,ICP COSTS 227172,A81000B,00800,0300,ICP COSTS 227172,A81000B,00900,0300,ICP COSTS 227172,A81000B,01000,0300,ICP COSTS 227172,A81000B,01100,0300,ICP COSTS 227172,A81000B,01200,0300,ICP COSTS 227172,A81000B,01300,0300,ICP COSTS 227172,A81000B,01400,0300,ICP COSTS 227172,A81000C,00100,0100,B 227172,A81000C,00100,0400,HCF INC. 227172,A81000C,00100,0600,HOME OFFICE 227172,A81000C,00200,0100,B 227172,A81000C,00200,0400,HCF INC. 227172,A81000C,00200,0600,HOME OFFICE 227172,A81000C,00300,0100,A 227172,A81000C,00300,0200,UNVERFERTH FAMILY 227172,A81000C,00300,0400,ICP INC. 227172,A81000C,00300,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00400,0100,A 227172,A81000C,00400,0200,UNVERFERTH FAMILY 227172,A81000C,00400,0400,ICP INC. 227172,A81000C,00400,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00500,0100,A 227172,A81000C,00500,0200,UNVERFERTH FAMILY 227172,A81000C,00500,0400,ICP INC. 227172,A81000C,00500,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00600,0100,A 227172,A81000C,00600,0200,UNVERFERTH FAMILY 227172,A81000C,00600,0400,ICP INC. 227172,A81000C,00600,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00700,0100,A 227172,A81000C,00700,0200,UNVERFERTH FAMILY 227172,A81000C,00700,0400,ICP INC. 227172,A81000C,00700,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00800,0100,A 227172,A81000C,00800,0200,UNVERFERTH FAMILY 227172,A81000C,00800,0400,ICP INC. 227172,A81000C,00800,0600,INSTITUTIONAL PHARMACY 227172,A81000C,00900,0100,A 227172,A81000C,00900,0200,UNVERFERTH FAMILY 227172,A81000C,00900,0400,ICP INC. 227172,A81000C,00900,0600,INSTITUTIONAL PHARMACY 227172,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 227172,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 227172,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 227172,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227172,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 227172,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 227172,B100000,00000,0700,0750SQUARE FEET EXCL :HOUSEKEEPING 227172,B100000,00000,0800,0800MEALS SERVED :DIETARY 227172,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 227172,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 227172,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 227172,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 227172,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 227172,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 227172,E10A180,00501,0100,01/25/01 227172,E10A180,00501,0300,01/25/01 227172,S000000,00100,0200,05/22/00 227172,S200000,00100,0100,1021 WEST POE ROAD 227172,S200000,00200,0100,BOWLING GREEN 227172,S200000,00200,0200,OH 227172,S200000,00200,0300,43402- 227172,S200000,00300,0100,WOOD 227172,S200000,00300,0200,8400 227172,S200000,00300,0300,U 227172,S200000,00400,0100,BOWLING GREEN MANOR 227172,S200000,00400,0200,365333 227172,S200000,00400,0300,08/01/76 227172,S200000,00400,0500,P 227172,S200000,01500,0100,Y 227172,S200000,01600,0100,N 227172,S200000,01700,0100,N 227172,S200000,01800,0100,N 227172,S200000,02200,0100,N 227172,S200000,02800,0100,N 227172,S200000,02900,0100,N 227172,S200000,03000,0100,N 227172,S200000,03100,0100,N 227172,S200000,03200,0100,N 227172,S200000,03300,0100,N 227172,S200000,03300,0200,N 227172,S200000,04100,0100,N 227172,S200000,04200,0100,N 227172,S200000,04300,0100,N 227172,S200000,04600,0100,N 227172,S200000,04700,0100,N 227172,S200000,04700,0200,N 227172,S200000,04900,0100,N 227172,S200000,05000,0100,N 227172,S200000,05100,0100,N 227172,S200000,05200,0100,N 227173,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227173,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227173,A000000,00300,0000,0300EMPLOYEE BENEFITS 227173,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227173,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227173,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227173,A000000,00700,0000,0700HOUSEKEEPING 227173,A000000,00800,0000,0800DIETARY 227173,A000000,00900,0000,0900NURSING ADMINISTRATION 227173,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 227173,A000000,01100,0000,1100PHARMACY 227173,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227173,A000000,01300,0000,1300SOCIAL SERVICE 227173,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 227173,A000000,01500,0000,1350PATIENT ACTIVITIES 227173,A000000,01600,0000,1600SKILLED NURSING FACILITY 227173,A000000,01800,0000,1800NURSING FACILITY 227173,A000000,01810,0000,1810ICF/MR 227173,A000000,01900,0000,1900OTHER LONG TERM CARE 227173,A000000,02100,0000,2100RADIOLOGY 227173,A000000,02200,0000,2200LABORATORY 227173,A000000,02300,0000,2300INTRAVENOUS THERAPY 227173,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227173,A000000,02500,0000,2500PHYSICAL THERAPY 227173,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227173,A000000,02700,0000,2700SPEECH PATHOLOGY 227173,A000000,02800,0000,2800ELECTROCARDIOLOGY 227173,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227173,A000000,02901,0000,2901CLINITRON BEDS 227173,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227173,A000000,04800,0000,4800AMBULANCE 227173,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227173,A000000,05000,0000,5000CORF 227173,A000000,05100,0000,4750OTHER REIMBURSABLE COST 227173,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 227173,A000000,05300,0000,5300INTEREST EXPENSE 227173,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 227173,A000000,05500,0000,5500HOSPICE 227173,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 227173,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227173,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227173,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227173,A000000,06100,0000,6100NONPAID WORKERS 227173,A000000,06200,0000,6200PATIENTS LAUNDRY 227173,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 227173,A81000A,00100,0100,Y 227173,A81000B,00100,0300,H.O. COSTS - OPERATING 227173,A81000B,00200,0300,H.O. COSTS - CAPITAL 227173,A81000B,00300,0300,ICP COSTS 227173,A81000B,00400,0300,ICP COSTS 227173,A81000B,00500,0300,ICP COSTS 227173,A81000B,00600,0300,ICP COSTS 227173,A81000B,00700,0300,ICP COSTS 227173,A81000B,00800,0300,ICP COSTS 227173,A81000B,00900,0300,ICP COSTS 227173,A81000B,01000,0300,ICP COSTS 227173,A81000B,01100,0300,ICP COSTS 227173,A81000B,01200,0300,ICP COSTS 227173,A81000B,01300,0300,ICP COSTS 227173,A81000B,01400,0300,ICP COSTS 227173,A81000C,00100,0100,B 227173,A81000C,00100,0400,HCF INC. 227173,A81000C,00100,0600,HOME OFFICE 227173,A81000C,00200,0100,B 227173,A81000C,00200,0400,HCF INC. 227173,A81000C,00200,0600,HOME OFFICE 227173,A81000C,00300,0100,A 227173,A81000C,00300,0200,UNVERFERTH FAMILY 227173,A81000C,00300,0400,ICP INC. 227173,A81000C,00300,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00400,0100,A 227173,A81000C,00400,0200,UNVERFERTH FAMILY 227173,A81000C,00400,0400,ICP INC. 227173,A81000C,00400,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00500,0100,A 227173,A81000C,00500,0200,UNVERFERTH FAMILY 227173,A81000C,00500,0400,ICP INC. 227173,A81000C,00500,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00600,0100,A 227173,A81000C,00600,0200,UNVERFERTH FAMILY 227173,A81000C,00600,0400,ICP INC. 227173,A81000C,00600,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00700,0100,A 227173,A81000C,00700,0200,UNVERFERTH FAMILY 227173,A81000C,00700,0400,ICP INC. 227173,A81000C,00700,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00800,0100,A 227173,A81000C,00800,0200,UNVERFERTH FAMILY 227173,A81000C,00800,0400,ICP INC. 227173,A81000C,00800,0600,INSTITUTIONAL PHARMACY 227173,A81000C,00900,0100,A 227173,A81000C,00900,0200,UNVERFERTH FAMILY 227173,A81000C,00900,0400,ICP INC. 227173,A81000C,00900,0600,INSTITUTIONAL PHARMACY 227173,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 227173,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 227173,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 227173,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227173,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 227173,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 227173,B100000,00000,0700,0750SQUARE FEET EXCL :HOUSEKEEPING 227173,B100000,00000,0800,0800MEALS SERVED :DIETARY 227173,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 227173,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 227173,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 227173,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 227173,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 227173,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 227173,E10A180,00501,0300,01/31/01 227173,E10A180,00550,0100,01/31/01 227173,S000000,00100,0200,05/22/00 227173,S200000,00100,0100,4381 TONAWANDA TRAIL 227173,S200000,00200,0100,DAYTON 227173,S200000,00200,0200,OH 227173,S200000,00200,0300,45430- 227173,S200000,00300,0100,GREENE 227173,S200000,00300,0200,2000 227173,S200000,00300,0300,U 227173,S200000,00400,0100,CRESTVIEW MANOR 227173,S200000,00400,0200,365497 227173,S200000,00400,0300,01/01/79 227173,S200000,00400,0500,P 227173,S200000,01500,0100,Y 227173,S200000,01600,0100,N 227173,S200000,01700,0100,N 227173,S200000,01800,0100,N 227173,S200000,02200,0100,N 227173,S200000,02800,0100,N 227173,S200000,02900,0100,N 227173,S200000,03000,0100,N 227173,S200000,03100,0100,N 227173,S200000,03200,0100,N 227173,S200000,03300,0100,N 227173,S200000,03300,0200,N 227173,S200000,04100,0100,N 227173,S200000,04200,0100,N 227173,S200000,04300,0100,N 227173,S200000,04600,0100,N 227173,S200000,04700,0100,N 227173,S200000,04700,0200,N 227173,S200000,04900,0100,N 227173,S200000,05000,0100,N 227173,S200000,05100,0100,N 227173,S200000,05200,0100,N 227281,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227281,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227281,A000000,00300,0000,0300EMPLOYEE BENEFITS 227281,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227281,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227281,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227281,A000000,00700,0000,0700HOUSEKEEPING 227281,A000000,00800,0000,0800DIETARY 227281,A000000,00900,0000,0900NURSING ADMINISTRATION 227281,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 227281,A000000,01100,0000,1100PHARMACY 227281,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227281,A000000,01300,0000,1300SOCIAL SERVICE 227281,A000000,01600,0000,1600SKILLED NURSING FACILITY 227281,A000000,01800,0000,1800NURSING FACILITY 227281,A000000,01900,0000,1900OTHER LONG TERM CARE 227281,A000000,02100,0000,2100RADIOLOGY 227281,A000000,02200,0000,2200LABORATORY 227281,A000000,02300,0000,2300INTRAVENOUS THERAPY 227281,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227281,A000000,02500,0000,2500PHYSICAL THERAPY 227281,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227281,A000000,02700,0000,2700SPEECH PATHOLOGY 227281,A000000,02800,0000,2800ELECTROCARDIOLOGY 227281,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227281,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227281,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 227281,A000000,03200,0000,3200SUPPORT SURFACES 227281,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 227281,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 227281,A000000,03301,0000,3051NUTRITIONAL THERAPY 227281,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 227281,A000000,03303,0000,3053PHYSICIAN SERVICES 227281,A000000,03304,0000,3054MEDICAL SERVICES 227281,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 227281,A000000,04800,0000,4800AMBULANCE 227281,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227281,A000000,05300,0000,5300INTEREST EXPENSE 227281,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 227281,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227281,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227281,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227281,A000000,06100,0000,6100NONPAID WORKERS 227281,A000000,06200,0000,6200PATIENTS LAUNDRY 227281,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 227281,A81000A,00100,0100,Y 227281,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 227281,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 227281,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 227281,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 227281,A81000B,00500,0300,PLEASE SEE ATTACHMENT 227281,A81000B,00600,0300,REGIONAL ALLOCATION RELATED PARTY 227281,A81000C,00100,0100,B 227281,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 227281,A81000C,00200,0200,A-8-1. 227281,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 227281,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 227281,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 227281,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227281,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 227281,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 227281,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 227281,B100000,00000,0800,0850PATIENT DAYS :DIETARY 227281,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 227281,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 227281,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 227281,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 227281,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 227281,S000000,00100,0200,08/11/00 227281,S200000,00100,0100,1014 BURRELL 227281,S200000,00200,0100,LEWISTON 227281,S200000,00200,0200,ID 227281,S200000,00200,0300,83501- 227281,S200000,00300,0100,NEZ PIERCE 227281,S200000,00300,0200,13 227281,S200000,00300,0300,R 227281,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR LEWISTON 227281,S200000,00400,0200,135103 227281,S200000,00400,0300,12/01/96 227281,S200000,00400,0500,P 227281,S200000,01500,0100,N 227281,S200000,01600,0100,Y 227281,S200000,01700,0100,N 227281,S200000,01800,0100,N 227281,S200000,02200,0100,Y 227281,S200000,02800,0100,N 227281,S200000,02900,0100,N 227281,S200000,03000,0100,N 227281,S200000,03100,0100,N 227281,S200000,03200,0100,N 227281,S200000,03300,0100,N 227281,S200000,03300,0200,N 227281,S200000,04100,0100,N 227281,S200000,04200,0100,N 227281,S200000,04300,0100,N 227281,S200000,04600,0100,N 227281,S200000,04700,0100,N 227281,S200000,04700,0200,N 227281,S200000,04900,0100,N 227281,S200000,05000,0100,N 227281,S200000,05100,0100,N 227281,S200000,05200,0100,N 227290,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227290,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227290,A000000,00300,0000,0300EMPLOYEE BENEFITS 227290,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227290,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227290,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227290,A000000,00700,0000,0700HOUSEKEEPING 227290,A000000,00800,0000,0800DIETARY 227290,A000000,00900,0000,0900NURSING ADMINISTRATION 227290,A000000,01100,0000,1100PHARMACY 227290,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227290,A000000,01300,0000,1300SOCIAL SERVICE 227290,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 227290,A000000,01500,0000,1350ACTIVITIES 227290,A000000,01600,0000,1600SKILLED NURSING FACILITY 227290,A000000,01800,0000,1800NURSING FACILITY 227290,A000000,01900,0000,1900OTHER LONG TERM CARE 227290,A000000,02100,0000,2100RADIOLOGY 227290,A000000,02200,0000,2200LABORATORY 227290,A000000,02300,0000,2300INTRAVENOUS THERAPY 227290,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227290,A000000,02500,0000,2500PHYSICAL THERAPY 227290,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227290,A000000,02700,0000,2700SPEECH PATHOLOGY 227290,A000000,02800,0000,2800ELECTROCARDIOLOGY 227290,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227290,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227290,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 227290,A000000,03200,0000,3200SUPPORT SURFACES 227290,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 227290,A000000,03400,0000,3400CLINIC 227290,A000000,03500,0000,3500RURAL HEALTH CLINIC 227290,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 227290,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 227290,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 227290,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 227290,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 227290,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 227290,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 227290,A000000,04400,0000,4400DME RENTED - HHA 227290,A000000,04500,0000,4500DME SOLD - HHA 227290,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 227290,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 227290,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227290,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 227290,A000000,05300,0000,5300INTEREST EXPENSE 227290,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 227290,A000000,05500,0000,5500HOSPICE 227290,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227290,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227290,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227290,A000000,06100,0000,6100NONPAID WORKERS 227290,A000000,06200,0000,6200PATIENTS LAUNDRY 227290,A81000A,00100,0100,Y 227290,A81000B,00100,0300,BUILDING LEASE EXPENSE 227290,A81000B,00200,0300,VAN LEASE 227290,A81000B,00300,0300,EQUIPMENT LEASE 227290,A81000C,00100,0100,D 227290,A81000C,00100,0200,HELEN TYLER 227290,A81000C,00100,0400,LTD PARTNERSHIP 227290,A81000C,00100,0600,LTD PARTNERSHIP 227290,A81000C,00200,0100,E 227290,A81000C,00200,0200,HELEN TYLER 227290,A81000C,00200,0400,BATJET TRUST 227290,A81000C,00200,0600,TRUST 227290,A81000C,00300,0100,D 227290,A81000C,00300,0200,HELEN TYLER 227290,A81000C,00300,0400,NTERPRISES LLC 227290,A81000C,00300,0600,NGLE MEMBER LLC 227290,B100000,00000,0100,0100SQ FEET :CAP REL COSTS - BLDGS 227290,B100000,00000,0200,0200SQ FEET :CAP REL COSTS - MOVABL 227290,B100000,00000,0300,0300GROSS SALA RIES :EMPLOYEE BENEFI 227290,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227290,B100000,00000,0500,0500SQ FEET :PLANT OPERATION MAINT 227290,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 227290,B100000,00000,0700,0750SQ FEET :HOUSEKEEPING 227290,B100000,00000,0800,0850PAT DAYS :DIETARY 227290,B100000,00000,0900,0950TIME SPENT- NUR :NURSING ADMINIS 227290,B100000,00000,1200,1200TIME SPENT- MED :MEDICAL RECORDS 227290,B100000,00000,1300,1300TIME SPENT- SOC :SOCIAL SERVICE 227290,B100000,00000,1500,1350TIME SPENT- ACT :ACTIVITIES 227290,S000000,00100,0200,12/31/02 227290,S200000,00100,0100,1501 WEST 29TH STREET 227290,S200000,00200,0100,TYLER 227290,S200000,00200,0200,TX 227290,S200000,00200,0300,75702- 227290,S200000,00300,0100,SMITH 227290,S200000,00300,0200,8640 227290,S200000,00300,0300,U 227290,S200000,00400,0100,MELROSE NURSING CENTER 227290,S200000,00400,0200,675724 227290,S200000,00400,0300,10/01/97 227290,S200000,00400,0500,P 227290,S200000,01500,0100,Y 227290,S200000,01600,0100,N 227290,S200000,01700,0100,N 227290,S200000,01800,0100,N 227290,S200000,02200,0100,N 227290,S200000,02800,0100,N 227290,S200000,02900,0100,N 227290,S200000,03000,0100,N 227290,S200000,03100,0100,N 227290,S200000,03200,0100,N 227290,S200000,04100,0100,N 227290,S200000,04200,0100,N 227290,S200000,04300,0100,Y 227290,S200000,04600,0100,N 227290,S200000,04700,0100,N 227290,S200000,04700,0200,N 227290,S200000,04900,0100,N 227290,S200000,05000,0100,N 227290,S200000,05100,0100,N 227290,S200000,05200,0100,N 227860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 227860,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 227860,A000000,00300,0000,0300EMPLOYEE BENEFITS 227860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 227860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 227860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 227860,A000000,00700,0000,0700HOUSEKEEPING 227860,A000000,00800,0000,0800DIETARY 227860,A000000,00900,0000,0900NURSING ADMINISTRATION 227860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 227860,A000000,01100,0000,1100PHARMACY 227860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 227860,A000000,01300,0000,1300SOCIAL SERVICE 227860,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 227860,A000000,01500,0000,1350PATIENT ACTIVITIES 227860,A000000,01600,0000,1600SKILLED NURSING FACILITY 227860,A000000,01800,0000,1800NURSING FACILITY 227860,A000000,01900,0000,1900OTHER LONG TERM CARE 227860,A000000,02100,0000,2100RADIOLOGY 227860,A000000,02200,0000,2200LABORATORY 227860,A000000,02300,0000,2300INTRAVENOUS THERAPY 227860,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 227860,A000000,02500,0000,2500PHYSICAL THERAPY 227860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 227860,A000000,02700,0000,2700SPEECH PATHOLOGY 227860,A000000,02800,0000,2800ELECTROCARDIOLOGY 227860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 227860,A000000,02901,0000,2901CLINITRON BEDS 227860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 227860,A000000,04800,0000,4800AMBULANCE 227860,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 227860,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 227860,A000000,05900,0000,5900BARBER & BEAUTY SHOP 227860,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 227860,A000000,06100,0000,6100NONPAID WORKERS 227860,A000000,06200,0000,6200PATIENTS LAUNDRY 227860,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 227860,A81000A,00100,0100,Y 227860,A81000B,00100,0300,H.O. COSTS - OPERATING 227860,A81000B,00200,0300,H.O. COSTS - COST 227860,A81000B,00300,0300,PROFESSIONAL FEES 227860,A81000B,00400,0300,RADIOLOGY 227860,A81000B,00500,0300,MOVEABLE EQUIPMENT 227860,A81000B,00600,0300,GENERAL & ADMINISTRATIVE 227860,A81000B,00700,0300,HOUSEKEEPING 227860,A81000B,00800,0300,DIETARY 227860,A81000B,00900,0300,CENTRAL SERVICES 227860,A81000B,01000,0300,PHYSICAL THERAPY 227860,A81000B,01100,0300,MEDICAL SUPPLIES 227860,A81000B,01200,0300,COMPLEX MEDICAL SUPPLIES 227860,A81000B,01300,0300,DRUGS 227860,A81000C,00100,0100,B 227860,A81000C,00100,0400,HCF INC. 227860,A81000C,00100,0600,HOME OFFICE 227860,A81000C,00200,0100,B 227860,A81000C,00200,0400,HCF INC. 227860,A81000C,00200,0600,HOME OFFICE 227860,A81000C,00300,0100,A 227860,A81000C,00300,0200,JEFFREY L. UNVERFERTH 227860,A81000C,00300,0400,UNVERFERTH INTERIORS 227860,A81000C,00300,0600,INTERIOR DESIGN 227860,A81000C,00400,0100,D 227860,A81000C,00400,0200,UNVERFERTH SONS 227860,A81000C,00400,0400,MIDWEST RADIOLOGY OF OHIO 227860,A81000C,00400,0600,PORTABLE RADIOLOGY SVCS 227860,A81000C,00500,0100,A 227860,A81000C,00500,0200,UNVERFERTH FAMILY 227860,A81000C,00500,0400,ICP INC. 227860,A81000C,00500,0600,INSTITUTIONAL PHARMACY 227860,A81000C,00600,0100,A 227860,A81000C,00600,0200,UNVERFERTH FAMILY 227860,A81000C,00600,0400,ICP INC. 227860,A81000C,00600,0600,INSTITUTIONAL PHARMACY 227860,A81000C,00700,0100,A 227860,A81000C,00700,0200,UNVERFERTH FAMILY 227860,A81000C,00700,0400,ICP INC. 227860,A81000C,00700,0600,INSTITUTIONAL PHARMACY 227860,A81000C,00800,0100,A 227860,A81000C,00800,0200,UNVERFERTH FAMILY 227860,A81000C,00800,0400,ICP INC. 227860,A81000C,00800,0600,INSTITUTIONAL PHARMACY 227860,A81000C,00900,0100,A 227860,A81000C,00900,0200,UNVERFERTH FAMILY 227860,A81000C,00900,0400,ICP INC. 227860,A81000C,00900,0600,INSTITUTIONAL PHARMACY 227860,A81000C,01000,0100,A 227860,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 227860,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 227860,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 227860,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 227860,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 227860,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 227860,B100000,00000,0700,0750SQFT EXCL DIETARY :HOUSEKEEPING 227860,B100000,00000,0800,0800MEALS SERVED :DIETARY 227860,B100000,00000,0900,0950NURSING SALARIES :NURSING ADMIN 227860,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 227860,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 227860,B100000,00000,1200,1250GROSS REVENUES :MEDICAL RECORDS 227860,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 227860,B100000,00000,1500,1350TIME SPENT :PATIENT ACTIVITIES 227860,E10A180,00501,0100,02/20/01 227860,E10A180,00550,0100,06/15/00 227860,E10A180,00550,0300,06/15/00 227860,E10A180,00551,0300,02/20/01 227860,S000000,00100,0200,05/22/00 227860,S200000,00100,0100,1001 MEYERS ROAD 227860,S200000,00200,0100,CELINA 227860,S200000,00200,0200,OH 227860,S200000,00200,0300,45822- 227860,S200000,00300,0100,MERCER 227860,S200000,00300,0200,36 227860,S200000,00300,0300,R 227860,S200000,00400,0100,CELINA MANOR 227860,S200000,00400,0200,365377 227860,S200000,00400,0300,07/01/78 227860,S200000,00400,0500,P 227860,S200000,01500,0100,Y 227860,S200000,01600,0100,N 227860,S200000,01700,0100,N 227860,S200000,01800,0100,N 227860,S200000,02200,0100,N 227860,S200000,02800,0100,N 227860,S200000,02900,0100,N 227860,S200000,03000,0100,N 227860,S200000,03100,0100,N 227860,S200000,03200,0100,N 227860,S200000,03300,0100,N 227860,S200000,03300,0200,N 227860,S200000,04100,0100,N 227860,S200000,04200,0100,N 227860,S200000,04300,0100,N 227860,S200000,04600,0100,N 227860,S200000,04700,0100,N 227860,S200000,04700,0200,N 227860,S200000,04900,0100,N 227860,S200000,05000,0100,N 227860,S200000,05100,0100,N 227860,S200000,05200,0100,N 229334,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 229334,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 229334,A000000,00300,0000,0300EMPLOYEE BENEFITS 229334,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 229334,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 229334,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 229334,A000000,00700,0000,0700HOUSEKEEPING 229334,A000000,00800,0000,0800DIETARY 229334,A000000,00900,0000,0900NURSING ADMINISTRATION 229334,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 229334,A000000,01100,0000,1100PHARMACY 229334,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 229334,A000000,01300,0000,1300SOCIAL SERVICE 229334,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 229334,A000000,01500,0000,1350OTHER GENERAL SERVICES 229334,A000000,01600,0000,1600SKILLED NURSING FACILITY 229334,A000000,01800,0000,1800NURSING FACILITY 229334,A000000,01810,0000,1810ICF/MR 229334,A000000,02200,0000,2200LABORATORY 229334,A000000,02500,0000,2500PHYSICAL THERAPY 229334,A000000,02600,0000,2600OCCUPATIONAL THERAPY 229334,A000000,02700,0000,2700SPEECH PATHOLOGY 229334,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 229334,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 229334,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 229334,A000000,03550,0000,3550FQHC 229334,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 229334,A000000,04801,0000,4801AMBULANCE 229334,A000000,04802,0000,4802AMBULANCE 229334,A000000,04803,0000,4803AMBULANCE 229334,A000000,05000,0000,5000CORF 229334,A000000,05010,0000,5010CMHC 229334,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 229334,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 229334,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 229334,A000000,05100,0000,4750OTHER REIMBURSABLE COST 229334,A000000,05300,0000,5300INTEREST EXPENSE 229334,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 229334,A000000,05900,0000,5900BARBER & BEAUTY SHOP 229334,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 229334,A81000A,00100,0100,Y 229334,A81000B,00100,0300,RENT 229334,A81000B,00200,0300,PT THERAPY SERVICES 229334,A81000B,00300,0300,OT THERAPY SERVICES 229334,A81000B,00400,0300,ST THERAPY SERVICES 229334,A81000C,00100,0100,G 229334,A81000C,00100,0400,GASCONADE TERRACE RCF 229334,A81000C,00100,0600,RCF 229334,A81000C,00200,0100,G 229334,A81000C,00200,0400,OUTPATIENT REHAB & SPORTS 229334,A81000C,00200,0600,O/P REHAB CLINIC 229334,A81000C,00300,0100,G 229334,A81000C,00300,0400,OUTPATIENT REHAB & SPORTS 229334,A81000C,00300,0600,O/P REHAB CLINIC 229334,A81000C,00400,0100,G 229334,A81000C,00400,0400,OUTPATIENT REHAB & SPORTS 229334,A81000C,00400,0600,O/P REHAB CLINIC 229334,A81000C,03100,0000,DISTRICT ENTITIES 229334,B100000,00000,0100,0100SQUARE FEET 229334,B100000,00000,0200,0200NO STATISTICS 229334,B100000,00000,0300,0300SALARIES 229334,B100000,00000,0400,0400ACCUM COST 229334,B100000,00000,0500,0500SQUARE FEET 229334,B100000,00000,0600,0600PATIENT DAYS 229334,B100000,00000,0700,0700SQUARE FEET 229334,B100000,00000,0800,0800PATIENT DAYS 229334,B100000,00000,0900,0900PATIENT DAYS 229334,B100000,00000,1000,1000NO STATISTICS 229334,B100000,00000,1100,1100PATIENT DAYS 229334,B100000,00000,1200,1200NO STATISTICS 229334,B100000,00000,1300,1300PATIENT DAYS 229334,B100000,00000,1400,1400NO STATISTICS 229334,B100000,00000,1500,1350NO STATISTICS 229334,E10A180,00550,0100,06/20/00 229334,S000000,00100,0200,06/05/00 229334,S200000,00100,0100,1910 NURSING HOME ROAD 229334,S200000,00100,0300,520 229334,S200000,00200,0100,OWENSVILLE 229334,S200000,00200,0200,MO 229334,S200000,00200,0300,65066 229334,S200000,00300,0100,GASCONADE 229334,S200000,00300,0200,0026 229334,S200000,00300,0300,R 229334,S200000,00400,0100,GASCONADE MANOR NURSING HOME 229334,S200000,00400,0200,265546 229334,S200000,00400,0300,10/01/93 229334,S200000,00400,0500,P 229334,S200000,01500,0100,N 229334,S200000,01600,0100,Y 229334,S200000,01700,0100,N 229334,S200000,01800,0100,N 229334,S200000,02200,0100,N 229334,S200000,02800,0100,N 229334,S200000,02900,0100,N 229334,S200000,03000,0100,N 229334,S200000,03100,0100,N 229334,S200000,03200,0100,N 229334,S200000,03300,0100,N 229334,S200000,03300,0200,N 229334,S200000,04100,0100,N 229334,S200000,04200,0100,N 229334,S200000,04300,0100,N 229334,S200000,04600,0100,N 229334,S200000,04700,0100,N 229334,S200000,04900,0100,N 229334,S200000,05200,0100,N 229472,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 229472,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 229472,A000000,00300,0000,0300EMPLOYEE BENEFITS 229472,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 229472,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 229472,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 229472,A000000,00700,0000,0700HOUSEKEEPING 229472,A000000,00800,0000,0800DIETARY 229472,A000000,00900,0000,0900NURSING ADMINISTRATION 229472,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 229472,A000000,01100,0000,1100PHARMACY 229472,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 229472,A000000,01300,0000,1300SOCIAL SERVICE 229472,A000000,01301,0000,1351ACTIVITIES 229472,A000000,01600,0000,1600SKILLED NURSING FACILITY 229472,A000000,01800,0000,1800NURSING FACILITY 229472,A000000,02100,0000,2100RADIOLOGY 229472,A000000,02200,0000,2200LABORATORY 229472,A000000,02300,0000,2300INTRAVENOUS THERAPY 229472,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 229472,A000000,02500,0000,2500PHYSICAL THERAPY 229472,A000000,02600,0000,2600OCCUPATIONAL THERAPY 229472,A000000,02700,0000,2700SPEECH PATHOLOGY 229472,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 229472,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 229472,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 229472,A000000,03301,0000,3051MEDICAL EQUIPMENT 229472,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 229472,A000000,05900,0000,5900BARBER & BEAUTY SHOP 229472,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 229472,A81000A,00100,0100,Y 229472,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 229472,A81000B,00200,0300,CAPITAL - BUILDINGS 229472,A81000B,00300,0300,CAPITAL - EQUIPMENT 229472,A81000B,00400,0300,MEDICAL SUPPLIES RELATED PARTY 229472,A81000B,00500,0300,CENTRAL SUPPLIES RELATED PARTY 229472,A81000B,00600,0300,NURSING SUPPLIES RELATED PARTY 229472,A81000C,00100,0100,B 229472,A81000C,00100,0200,PEAK MEDICAL CORPORATION 229472,A81000C,00100,0400,PEAK MEDICAL CORPORATION 229472,A81000C,00100,0600,HOME OFFICE SERVICES 229472,A81000C,00200,0100,B 229472,A81000C,00200,0200,PEAK MEDICAL CORPORATION 229472,A81000C,00200,0400,MEDICAL RESOURCES 229472,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 229472,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 229472,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 229472,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 229472,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 229472,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 229472,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 229472,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 229472,B100000,00000,0800,0800MEALS SERVED :DIETARY 229472,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 229472,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 229472,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 229472,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 229472,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 229472,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 229472,S000000,00100,0200,11/02/00 229472,S200000,00100,0100,3111 CHANNING WAY 229472,S200000,00200,0100,IDAHO FALLS 229472,S200000,00200,0200,ID 229472,S200000,00200,0300,83404- 229472,S200000,00300,0100,BONNEVILLE 229472,S200000,00300,0200,13 229472,S200000,00300,0300,R 229472,S200000,00400,0100,IDAHO FALLS CARE CENTER 229472,S200000,00400,0200,135107 229472,S200000,00400,0300,12/06/88 229472,S200000,00400,0500,P 229472,S200000,01500,0100,N 229472,S200000,01600,0100,Y 229472,S200000,01700,0100,N 229472,S200000,01800,0100,N 229472,S200000,02200,0100,N 229472,S200000,02800,0100,N 229472,S200000,02900,0100,N 229472,S200000,03000,0100,N 229472,S200000,03100,0100,N 229472,S200000,03200,0100,N 229472,S200000,03300,0100,N 229472,S200000,03300,0200,N 229472,S200000,04100,0100,N 229472,S200000,04200,0100,N 229472,S200000,04300,0100,N 229472,S200000,04600,0100,N 229472,S200000,04700,0100,N 229472,S200000,04700,0200,N 229472,S200000,04900,0100,N 229472,S200000,05000,0100,N 229472,S200000,05100,0100,N 229472,S200000,05200,0100,N 229550,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 229550,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 229550,A000000,00300,0000,0300EMPLOYEE BENEFITS 229550,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 229550,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 229550,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 229550,A000000,00700,0000,0700HOUSEKEEPING 229550,A000000,00800,0000,0800DIETARY 229550,A000000,00900,0000,0900NURSING ADMINISTRATION 229550,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 229550,A000000,01100,0000,1100PHARMACY 229550,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 229550,A000000,01300,0000,1300SOCIAL SERVICE 229550,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 229550,A000000,01500,0000,1350OTHER GENERAL SERVICES 229550,A000000,01600,0000,1600SKILLED NURSING FACILITY 229550,A000000,01800,0000,1800NURSING FACILITY 229550,A000000,01810,0000,1810ICF/MR 229550,A000000,02200,0000,2200LABORATORY 229550,A000000,02500,0000,2500PHYSICAL THERAPY 229550,A000000,02600,0000,2600OCCUPATIONAL THERAPY 229550,A000000,02700,0000,2700SPEECH PATHOLOGY 229550,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 229550,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 229550,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 229550,A000000,03550,0000,3550FQHC 229550,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 229550,A000000,04801,0000,4801AMBULANCE 229550,A000000,04802,0000,4802AMBULANCE 229550,A000000,04803,0000,4803AMBULANCE 229550,A000000,05000,0000,5000CORF 229550,A000000,05010,0000,5010CMHC 229550,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 229550,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 229550,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 229550,A000000,05100,0000,4750OTHER REIMBURSABLE COST 229550,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 229550,A000000,05900,0000,5900BARBER & BEAUTY SHOP 229550,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 229550,A81000A,00100,0100,Y 229550,A81000B,00100,0300,HOME OFFICE MGMT FEE 229550,A81000B,00200,0300,HOME OFFICE CAP COST 229550,A81000C,00100,0100,A 229550,A81000C,00100,0200,JAMES & JUDY LINCOLN 229550,A81000C,00100,0400,HEALTH SYSTEMS INC. 229550,A81000C,00100,0600,HOME OFFICE 229550,B100000,00000,0100,0100SQUARE FEET 229550,B100000,00000,0200,0200SQUARE FEET 229550,B100000,00000,0300,0300GROSS SALARIES 229550,B100000,00000,0400,0400ACCUM COST 229550,B100000,00000,0500,0500SQUARE FEET 229550,B100000,00000,0600,0600POUNDS OF LAUNDRY 229550,B100000,00000,0700,0700SQUARE FEET 229550,B100000,00000,0800,0800MEALS SERVED 229550,B100000,00000,0900,0900DIRECT NRSG 229550,B100000,00000,1000,1000NO STATISTICS 229550,B100000,00000,1100,1100NO STATISTICS 229550,B100000,00000,1200,1200TIME SPENT 229550,B100000,00000,1300,1300TIME SPENT 229550,B100000,00000,1400,1400NO STATISTICS 229550,B100000,00000,1500,1350NO STATISTICS 229550,E10A180,00501,0100,07/20/00 229550,E10A180,00501,0300,07/20/00 229550,S000000,00100,0200,06/05/00 229550,S200000,00100,0100,186 MILLAR RD. 229550,S200000,00100,0300,299 229550,S200000,00200,0100,EAST PRAIRIE 229550,S200000,00200,0200,MO 229550,S200000,00200,0300,63845 229550,S200000,00300,0100,MISSISSIPPI 229550,S200000,00300,0200,0026 229550,S200000,00300,0300,R 229550,S200000,00400,0100,EAST PRAIRIE NURSING CENTER 229550,S200000,00400,0200,265551 229550,S200000,00400,0300,11/01/93 229550,S200000,00400,0500,P 229550,S200000,01500,0100,N 229550,S200000,01600,0100,Y 229550,S200000,01700,0100,N 229550,S200000,01800,0100,N 229550,S200000,02200,0100,Y 229550,S200000,02800,0100,Y 229550,S200000,02900,0100,N 229550,S200000,03000,0100,N 229550,S200000,03100,0100,N 229550,S200000,03200,0100,N 229550,S200000,03300,0100,N 229550,S200000,03300,0200,N 229550,S200000,04100,0100,N 229550,S200000,04200,0100,N 229550,S200000,04300,0100,N 229550,S200000,04600,0100,N 229550,S200000,04700,0100,N 229550,S200000,04700,0200,N 229550,S200000,04900,0100,N 229550,S200000,05200,0100,N 229551,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 229551,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 229551,A000000,00300,0000,0300EMPLOYEE BENEFITS 229551,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 229551,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 229551,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 229551,A000000,00700,0000,0700HOUSEKEEPING 229551,A000000,00800,0000,0800DIETARY 229551,A000000,00900,0000,0900NURSING ADMINISTRATION 229551,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 229551,A000000,01100,0000,1100PHARMACY 229551,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 229551,A000000,01300,0000,1300SOCIAL SERVICE 229551,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 229551,A000000,01500,0000,1350OTHER GENERAL SERVICES 229551,A000000,01600,0000,1600SKILLED NURSING FACILITY 229551,A000000,01810,0000,1810ICF/MR 229551,A000000,02200,0000,2200LABORATORY 229551,A000000,02500,0000,2500PHYSICAL THERAPY 229551,A000000,02600,0000,2600OCCUPATIONAL THERAPY 229551,A000000,02700,0000,2700SPEECH PATHOLOGY 229551,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 229551,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 229551,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 229551,A000000,03550,0000,3550FQHC 229551,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 229551,A000000,04801,0000,4801AMBULANCE 229551,A000000,04802,0000,4802AMBULANCE 229551,A000000,04803,0000,4803AMBULANCE 229551,A000000,05000,0000,5000CORF 229551,A000000,05010,0000,5010CMHC 229551,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 229551,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 229551,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 229551,A000000,05100,0000,4750OTHER REIMBURSABLE COST 229551,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 229551,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 229551,A81000A,00100,0100,N 229551,B100000,00000,0100,0100SQUARE FEET 229551,B100000,00000,0200,0200SQUARE FEET 229551,B100000,00000,0300,0300GROSS SALARIES 229551,B100000,00000,0400,0400ACCUM COST 229551,B100000,00000,0500,0500SQUARE FEET 229551,B100000,00000,0600,0600POUNDS OF LAUNDRY 229551,B100000,00000,0700,0700SQUARE FEET 229551,B100000,00000,0800,0800MEALS SERVED 229551,B100000,00000,0900,0900NURSING HOURS 229551,B100000,00000,1000,1000NURSING HOURS 229551,B100000,00000,1100,1100COSTEDREQU UISITIONS 229551,B100000,00000,1200,1200HOURS WORKED 229551,B100000,00000,1300,1300HOURS WORKED 229551,B100000,00000,1400,1400HOURS WORKED 229551,B100000,00000,1500,1350NO STATISTICS 229551,E10A180,00501,0300, 7/28/00 229551,S000000,00100,0200,05/22/00 229551,S200000,00100,0100,P.O BOX 236 229551,S200000,00100,0300,OOO236 229551,S200000,00200,0100,MONROE CITY 229551,S200000,00200,0200,MO 229551,S200000,00200,0300,63456 229551,S200000,00300,0100,MONROE 229551,S200000,00300,0200,0026 229551,S200000,00300,0300,R 229551,S200000,00400,0100,MONROE CITY MANOR CARE CTR. 229551,S200000,00400,0200,265574 229551,S200000,00400,0300,07/31/94 229551,S200000,00400,0500,P 229551,S200000,01500,0100,Y 229551,S200000,01600,0100,N 229551,S200000,01700,0100,N 229551,S200000,01800,0100,N 229551,S200000,02200,0100,N 229551,S200000,02800,0100,N 229551,S200000,02900,0100,N 229551,S200000,03000,0100,N 229551,S200000,03100,0100,N 229551,S200000,03200,0100,N 229551,S200000,03300,0100,N 229551,S200000,03300,0200,N 229551,S200000,04100,0100,N 229551,S200000,04200,0100,N 229551,S200000,04300,0100,N 229551,S200000,04600,0100,N 229551,S200000,04700,0100,N 229551,S200000,04700,0200,N 229551,S200000,04900,0100,N 229551,S200000,05200,0100,N 230256,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230256,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230256,A000000,00300,0000,0300EMPLOYEE BENEFITS 230256,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230256,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230256,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230256,A000000,00700,0000,0700HOUSEKEEPING 230256,A000000,00800,0000,0800DIETARY 230256,A000000,00900,0000,0900NURSING ADMINISTRATION 230256,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230256,A000000,01100,0000,1100PHARMACY 230256,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230256,A000000,01300,0000,1300SOCIAL SERVICE 230256,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230256,A000000,01500,0000,1350OTHER GENERAL SERVICES 230256,A000000,01600,0000,1600SKILLED NURSING FACILITY 230256,A000000,01800,0000,1800NURSING FACILITY 230256,A000000,01810,0000,1810ICF/MR 230256,A000000,01900,0000,1900OTHER LONG TERM CARE 230256,A000000,02100,0000,2100RADIOLOGY 230256,A000000,02200,0000,2200LABORATORY 230256,A000000,02500,0000,2500PHYSICAL THERAPY 230256,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230256,A000000,02700,0000,2700SPEECH PATHOLOGY 230256,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230256,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230256,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 230256,A000000,03550,0000,3550FQHC 230256,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 230256,A000000,04801,0000,4801AMBULANCE 230256,A000000,04802,0000,4802AMBULANCE 230256,A000000,04803,0000,4803AMBULANCE 230256,A000000,05000,0000,5000CORF 230256,A000000,05010,0000,5010CMHC 230256,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230256,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230256,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230256,A000000,05100,0000,4750OTHER REIMBURSABLE COST 230256,A000000,05300,0000,5300INTEREST EXPENSE 230256,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 230256,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230256,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 230256,A81000A,00100,0100,Y 230256,A81000B,00100,0300,HOME OFFICE MGMT FEE 230256,A81000B,00200,0300,HOME OFFICE CAP COST 230256,A81000C,00100,0100,A 230256,A81000C,00100,0200,JAMES & JUDY LINCOLN 230256,A81000C,00100,0400,HEALTH SYSTEMS INC. 230256,A81000C,00100,0600,HOME OFFICE 230256,B100000,00000,0100,0100SQUARE FEET 230256,B100000,00000,0200,0200SQUARE FEET 230256,B100000,00000,0300,0300GROSS SALARIES 230256,B100000,00000,0400,0400ACCUM COST 230256,B100000,00000,0500,0500SQUARE FEET 230256,B100000,00000,0600,0600POUNDS OF LAUNDRY 230256,B100000,00000,0700,0700SQUARE FEET 230256,B100000,00000,0800,0800MEALS SERVED 230256,B100000,00000,0900,0900DIRECT NRSG 230256,B100000,00000,1000,1000NO STATISTICS 230256,B100000,00000,1100,1100NO STATISTICS 230256,B100000,00000,1200,1200TIME SPENT 230256,B100000,00000,1300,1300TIME SPENT 230256,B100000,00000,1400,1400NO STATISTICS 230256,B100000,00000,1500,1350NO STATISTICS 230256,E10A180,00501,0300,07/20/00 230256,E10A180,00550,0100,07/20/00 230256,S000000,00100,0200,06/05/00 230256,S200000,00100,0100,HWY 60 WEST 230256,S200000,00100,0300,668 230256,S200000,00200,0100,DEXTER 230256,S200000,00200,0200,MO 230256,S200000,00200,0300,63841 230256,S200000,00300,0100,STODDARD 230256,S200000,00300,0200,0026 230256,S200000,00300,0300,R 230256,S200000,00400,0100,CROWLEY RIDGE CARE CENTER 230256,S200000,00400,0200,265552 230256,S200000,00400,0300,11/01/93 230256,S200000,00400,0500,P 230256,S200000,01500,0100,N 230256,S200000,01600,0100,Y 230256,S200000,01700,0100,N 230256,S200000,01800,0100,N 230256,S200000,02200,0100,N 230256,S200000,02800,0100,N 230256,S200000,02900,0100,N 230256,S200000,03000,0100,N 230256,S200000,03100,0100,N 230256,S200000,03200,0100,N 230256,S200000,03300,0100,N 230256,S200000,03300,0200,N 230256,S200000,04100,0100,N 230256,S200000,04200,0100,N 230256,S200000,04300,0100,N 230256,S200000,04600,0100,N 230256,S200000,04700,0100,N 230256,S200000,04700,0200,N 230256,S200000,04900,0100,N 230256,S200000,05200,0100,N 230440,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230440,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230440,A000000,00300,0000,0300EMPLOYEE BENEFITS 230440,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230440,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230440,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230440,A000000,00700,0000,0700HOUSEKEEPING 230440,A000000,00800,0000,0800DIETARY 230440,A000000,00900,0000,0900NURSING ADMINISTRATION 230440,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230440,A000000,01100,0000,1100PHARMACY 230440,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230440,A000000,01300,0000,1300SOCIAL SERVICE 230440,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230440,A000000,01500,0000,1350OTHER GENERAL SERVICES 230440,A000000,01600,0000,1600SKILLED NURSING FACILITY 230440,A000000,01800,0000,1800NURSING FACILITY 230440,A000000,01810,0000,1810ICF/MR 230440,A000000,02200,0000,2200LABORATORY 230440,A000000,02500,0000,2500PHYSICAL THERAPY 230440,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230440,A000000,02700,0000,2700SPEECH PATHOLOGY 230440,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230440,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 230440,A000000,03550,0000,3550FQHC 230440,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 230440,A000000,04801,0000,4801AMBULANCE 230440,A000000,04802,0000,4802AMBULANCE 230440,A000000,04803,0000,4803AMBULANCE 230440,A000000,05000,0000,5000CORF 230440,A000000,05010,0000,5010CMHC 230440,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230440,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230440,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230440,A000000,05100,0000,4750OTHER REIMBURSABLE COST 230440,A000000,05300,0000,5300INTEREST EXPENSE 230440,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 230440,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230440,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 230440,A81000A,00100,0100,Y 230440,A81000B,00100,0300,INTEREST EXPENSE 230440,A81000C,00100,0100,A 230440,A81000C,00100,0200,ROBERT & NORMA LLOYD 230440,A81000C,00100,0400,LLOYD HEALTHCARE MGT SYST 230440,B100000,00000,0100,0100SQUARE FEET 230440,B100000,00000,0200,0200NO STATISTICS 230440,B100000,00000,0300,0300GROSS SALARIES 230440,B100000,00000,0400,0400ACCUM COST 230440,B100000,00000,0500,0500SQUARE FEET 230440,B100000,00000,0600,0600POUNDS OF LAUNDRY 230440,B100000,00000,0700,0700SQUARE FEET 230440,B100000,00000,0800,0800MEALS SERVED 230440,B100000,00000,0900,0900DIRECT NURSING HR 230440,B100000,00000,1000,1000COSTED REQUIS. 230440,B100000,00000,1100,1100NO STATISTICS 230440,B100000,00000,1200,1200TIME SPENT 230440,B100000,00000,1300,1300TIME SPENT 230440,B100000,00000,1400,1400NO STATISTICS 230440,B100000,00000,1500,1350 230440,E10A180,00501,0100,06/06/00 230440,E10A180,00501,0300,06/06/00 230440,S000000,00100,0200,05/02/00 230440,S200000,00100,0300,548 230440,S200000,00200,0100,OWENSVILLE 230440,S200000,00200,0200,MO 230440,S200000,00200,0300,65066 230440,S200000,00300,0100,GASCONADE 230440,S200000,00300,0200,0026 230440,S200000,00300,0300,R 230440,S200000,00400,0100,FRENE VALLEY HEALTHCARE SOUTH 230440,S200000,00400,0200,265670 230440,S200000,00400,0300,03/11/97 230440,S200000,00400,0500,P 230440,S200000,01500,0100,N 230440,S200000,01600,0100,Y 230440,S200000,01700,0100,N 230440,S200000,01800,0100,N 230440,S200000,02200,0100,N 230440,S200000,02800,0100,N 230440,S200000,02900,0100,N 230440,S200000,03000,0100,N 230440,S200000,03100,0100,N 230440,S200000,03200,0100,N 230440,S200000,03300,0100,N 230440,S200000,03300,0200,N 230440,S200000,04100,0100,N 230440,S200000,04200,0100,N 230440,S200000,04300,0100,N 230440,S200000,04600,0100,N 230440,S200000,04700,0100,N 230440,S200000,04900,0100,N 230440,S200000,05200,0100,N 230482,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 230482,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 230482,A000000,00300,0000,0300EMPLOYEE BENEFITS 230482,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230482,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 230482,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230482,A000000,00700,0000,0700HOUSEKEEPING 230482,A000000,00800,0000,0800DIETARY 230482,A000000,00900,0000,0900NURSING ADMINISTRATION 230482,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230482,A000000,01100,0000,1100PHARMACY 230482,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230482,A000000,01300,0000,1300SOCIAL SERVICE 230482,A000000,01600,0000,1600SKILLED NURSING FACILITY 230482,A000000,01800,0000,1800NURSING FACILITY 230482,A000000,01900,0000,1900OTHER LONG TERM CARE 230482,A000000,02100,0000,2100RADIOLOGY 230482,A000000,02200,0000,2200LABORATORY 230482,A000000,02300,0000,2300INTRAVENOUS THERAPY 230482,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230482,A000000,02500,0000,2500PHYSICAL THERAPY 230482,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230482,A000000,02700,0000,2700SPEECH PATHOLOGY 230482,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 230482,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230482,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 230482,A000000,04800,0000,4800AMBULANCE 230482,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230482,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230482,A81000A,00100,0100,Y 230482,A81000B,00100,0300,HOME OFFICE ALLOC 230482,A81000B,00200,0300,HOME OFFICE ALLOC 230482,A81000B,00300,0300,PHARMACY 230482,A81000B,00400,0300,PHYSICAL THERAPY 230482,A81000B,00500,0300,OCCUPATIONAL THERAPY 230482,A81000B,00600,0300,SPEECH THERAPY 230482,A81000C,00100,0100,A 230482,A81000C,00100,0200,COVENANT CARE INC 230482,A81000C,00100,0400,COVENANT CARE INC. 230482,A81000C,00100,0600,HEALTH CARE 230482,A81000C,00200,0100,B 230482,A81000C,00200,0200,PHARMACY 230482,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 230482,A81000C,00200,0600,PHARMACY - HEALTH CARE 230482,A81000C,00300,0100,C 230482,A81000C,00300,0200,THERAPY 230482,A81000C,00300,0400,SELECT THEREAPY 230482,A81000C,00300,0600,THERAPY SERVICES 230482,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 230482,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 230482,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 230482,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 230482,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 230482,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 230482,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 230482,B100000,00000,0800,0850PATIENT DAYS :DIETARY 230482,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 230482,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 230482,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 230482,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 230482,S000000,00100,0200,06/01/00 230482,S200000,00100,0100,5225 SOUTH J STREET 230482,S200000,00200,0100,OXNARD 230482,S200000,00200,0200,CA 230482,S200000,00200,0300,93033- 230482,S200000,00300,0100,VENTURA 230482,S200000,00300,0200,01 230482,S200000,00300,0300,R 230482,S200000,00400,0100,SHORELINE CARE CENTER 230482,S200000,00400,0200,555163 230482,S200000,00400,0300,06/30/84 230482,S200000,00400,0500,P 230482,S200000,01500,0100,N 230482,S200000,01600,0100,Y 230482,S200000,01700,0100,N 230482,S200000,01800,0100,N 230482,S200000,02200,0100,N 230482,S200000,02800,0100,N 230482,S200000,02900,0100,N 230482,S200000,03000,0100,N 230482,S200000,03100,0100,N 230482,S200000,03200,0100,N 230482,S200000,03300,0100,N 230482,S200000,03300,0200,N 230482,S200000,04100,0100,N 230482,S200000,04200,0100,N 230482,S200000,04300,0100,N 230482,S200000,04600,0100,N 230482,S200000,04700,0100,N 230482,S200000,04700,0200,N 230482,S200000,04900,0100,N 230482,S200000,05000,0100,N 230482,S200000,05100,0100,N 230482,S200000,05200,0100,N 230594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230594,A000000,00300,0000,0300EMPLOYEE BENEFITS 230594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230594,A000000,00700,0000,0700HOUSEKEEPING 230594,A000000,00800,0000,0800DIETARY 230594,A000000,00900,0000,0900NURSING ADMINISTRATION 230594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230594,A000000,01100,0000,1100PHARMACY 230594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230594,A000000,01300,0000,1300SOCIAL SERVICE 230594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230594,A000000,01600,0000,1600SKILLED NURSING FACILITY 230594,A000000,01800,0000,1800NURSING FACILITY 230594,A000000,01810,0000,1810ICF/MR 230594,A000000,02100,0000,2100RADIOLOGY 230594,A000000,02200,0000,2200LABORATORY 230594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230594,A000000,02500,0000,2500PHYSICAL THERAPY 230594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230594,A000000,02700,0000,2700SPEECH PATHOLOGY 230594,A000000,02800,0000,2800ELECTROCARDIOLOGY 230594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230594,A000000,03200,0000,3200SUPPORT SURFACES 230594,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 230594,A000000,03550,0000,3550FQHC 230594,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 230594,A000000,04801,0000,4801AMBULANCE 230594,A000000,04802,0000,4802AMBULANCE 230594,A000000,04803,0000,4803AMBULANCE 230594,A000000,05000,0000,5000CORF 230594,A000000,05010,0000,5010CMHC 230594,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230594,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230594,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230594,A000000,05300,0000,5300INTEREST EXPENSE 230594,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 230594,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230594,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 230594,A81000A,00100,0100,Y 230594,A81000B,00100,0300,BUILDING RENT 230594,A81000B,00200,0300,HOME OFFICE 230594,A81000B,00300,0300,HOME OFFICE 230594,A81000B,00400,0300,HOME OFFICE 230594,A81000B,00500,0300,COMMUNITY RELATIONS 230594,A81000B,00600,0300,MISCELLANEOUS EXPENSE 230594,A81000B,00700,0300,THERAPY SERVICES-CONSULTING 230594,A81000B,00800,0300,THERAPY SERVICES-CONSULTING 230594,A81000B,00900,0300,THERAPY SERVICES-CONSULTING 230594,A81000B,01000,0300,DRUGS CHARGED 230594,A81000B,01100,0300,CERTIFIED 230594,A81000B,01200,0300,NON-CERTIFIED 230594,A81000B,01300,0300,ADMINISTRATIVE & GENERAL 230594,A81000B,01400,0300,MEDICAL SUPPLIES CHGD 230594,A81000C,00100,0100,B 230594,A81000C,00100,0200,HERITAGE PARK A 230594,A81000C,00100,0400,REAL ESTATE 230594,A81000C,00100,0600,REAL ESTATE 230594,A81000C,00200,0100,B 230594,A81000C,00200,0200,RELIANT CARE MA 230594,A81000C,00200,0400,MANAGEMENT 230594,A81000C,00200,0600,MANAGEMENT 230594,A81000C,00300,0100,B 230594,A81000C,00300,0200,RC MEDICAL SERV 230594,A81000C,00300,0400,MEDICAL SUPPLY 230594,A81000C,00300,0600,MEDICAL SUPPLY 230594,A81000C,00400,0100,B 230594,A81000C,00400,0200,PHARMCO MISSOUI 230594,A81000C,00400,0400,PHARMACY 230594,A81000C,00400,0600,PHARMACY 230594,B100000,00000,0100,0100SQUARE FEET 230594,B100000,00000,0200,0200SQUARE FEET 230594,B100000,00000,0300,0300GROSS SALARIES 230594,B100000,00000,0400,0400ACCUM COST 230594,B100000,00000,0500,0500SQUARE FEET 230594,B100000,00000,0600,0600PATIENT DAYS 230594,B100000,00000,0700,0700SQUARE FEET 230594,B100000,00000,0800,0800MEALS SERVED 230594,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 230594,B100000,00000,1000,1000COSTED REQUISITIO 230594,B100000,00000,1100,1100COSTED REQUISITIO 230594,B100000,00000,1200,1200PATIENT DAYS 230594,B100000,00000,1300,1300PATIENT DAYS 230594,B100000,00000,1400,1400ASSIGNED TIME 230594,E10A180,00550,0100, 7/12/00 230594,S000000,00100,0200,06/06/00 230594,S200000,00100,0100,4401 NORTH HANLEY ROAD 230594,S200000,00200,0100,ST. LOUIS 230594,S200000,00200,0200,MO 230594,S200000,00200,0300,63134 230594,S200000,00300,0100,ST. LOUIS 230594,S200000,00300,0200,7040 230594,S200000,00300,0300,U 230594,S200000,00400,0100,HERITAGE CARE CENTER 230594,S200000,00400,0200,265534 230594,S200000,00400,0300,06/21/93 230594,S200000,00400,0500,P 230594,S200000,01500,0100,N 230594,S200000,01600,0100,Y 230594,S200000,01700,0100,N 230594,S200000,01800,0100,N 230594,S200000,02200,0100,N 230594,S200000,02800,0100,N 230594,S200000,02900,0100,N 230594,S200000,03000,0100,N 230594,S200000,03100,0100,N 230594,S200000,03200,0100,N 230594,S200000,03300,0100,N 230594,S200000,03300,0200,N 230594,S200000,04100,0100,N 230594,S200000,04200,0100,N 230594,S200000,04300,0100,N 230594,S200000,04600,0100,N 230594,S200000,04700,0100,N 230594,S200000,04900,0100,N 230594,S200000,05200,0100,N 230623,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 230623,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 230623,A000000,00300,0000,0300EMPLOYEE BENEFITS 230623,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230623,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 230623,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230623,A000000,00700,0000,0700HOUSEKEEPING 230623,A000000,00800,0000,0800DIETARY 230623,A000000,00900,0000,0900NURSING ADMINISTRATION 230623,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230623,A000000,01100,0000,1100PHARMACY 230623,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230623,A000000,01300,0000,1300SOCIAL SERVICE 230623,A000000,01600,0000,1600SKILLED NURSING FACILITY 230623,A000000,01800,0000,1800NURSING FACILITY 230623,A000000,01900,0000,1900OTHER LONG TERM CARE 230623,A000000,02100,0000,2100RADIOLOGY 230623,A000000,02200,0000,2200LABORATORY 230623,A000000,02300,0000,2300INTRAVENOUS THERAPY 230623,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230623,A000000,02500,0000,2500PHYSICAL THERAPY 230623,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230623,A000000,02700,0000,2700SPEECH PATHOLOGY 230623,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 230623,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230623,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 230623,A000000,04800,0000,4800AMBULANCE 230623,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230623,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230623,A81000A,00100,0100,Y 230623,A81000B,00100,0300,HOME OFFICE ALLOC 230623,A81000B,00200,0300,HOME OFFICE ALLOC 230623,A81000B,00300,0300,PHARMACY 230623,A81000B,00400,0300,PHYSICAL THERAPY 230623,A81000B,00500,0300,OCCUPATIONAL THERAPY 230623,A81000B,00600,0300,SPEECH THERAPY 230623,A81000C,00100,0100,A 230623,A81000C,00100,0200,COVENANT CARE INC 230623,A81000C,00100,0400,COVENANT CARE INC. 230623,A81000C,00100,0600,HEALTH CARE 230623,A81000C,00200,0100,B 230623,A81000C,00200,0200,PHARMACY 230623,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 230623,A81000C,00200,0600,PHARMACY - HEALTH CARE 230623,A81000C,00300,0100,C 230623,A81000C,00300,0200,THERAPY 230623,A81000C,00300,0400,SELECT THEREAPY 230623,A81000C,00300,0600,THERAPY SERVICES 230623,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 230623,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 230623,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 230623,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 230623,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 230623,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 230623,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 230623,B100000,00000,0800,0850PATIENT DAYS :DIETARY 230623,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 230623,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 230623,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 230623,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 230623,S000000,00100,0200,06/01/00 230623,S200000,00100,0100,1949 GRANT ROAD 230623,S200000,00200,0100,MOUNTAINVIEW 230623,S200000,00200,0200,CA 230623,S200000,00200,0300,94035- 230623,S200000,00300,0100,SANTA CLARA 230623,S200000,00300,0200,7400 230623,S200000,00300,0300,U 230623,S200000,00400,0100,GRANT CUESTA NURSING & REHAB CENTER 230623,S200000,00400,0200,055315 230623,S200000,00400,0300,01/13/95 230623,S200000,00400,0500,P 230623,S200000,00600,0200,055315 230623,S200000,00600,0300,01/13/95 230623,S200000,01500,0100,N 230623,S200000,01600,0100,Y 230623,S200000,01700,0100,N 230623,S200000,01800,0100,N 230623,S200000,02200,0100,N 230623,S200000,02800,0100,N 230623,S200000,02900,0100,N 230623,S200000,03000,0100,N 230623,S200000,03100,0100,N 230623,S200000,03200,0100,N 230623,S200000,03300,0100,N 230623,S200000,03300,0200,N 230623,S200000,03500,0300,N 230623,S200000,04100,0100,N 230623,S200000,04200,0100,N 230623,S200000,04300,0100,N 230623,S200000,04600,0100,N 230623,S200000,04700,0100,N 230623,S200000,04700,0200,N 230623,S200000,04900,0100,N 230623,S200000,05000,0100,N 230623,S200000,05100,0100,N 230623,S200000,05200,0100,N 230822,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 230822,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 230822,A000000,00300,0000,0300EMPLOYEE BENEFITS 230822,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230822,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 230822,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230822,A000000,00700,0000,0700HOUSEKEEPING 230822,A000000,00800,0000,0800DIETARY 230822,A000000,00900,0000,0900NURSING ADMINISTRATION 230822,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230822,A000000,01100,0000,1100PHARMACY 230822,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230822,A000000,01300,0000,1300SOCIAL SERVICE 230822,A000000,01600,0000,1600SKILLED NURSING FACILITY 230822,A000000,01800,0000,1800NURSING FACILITY 230822,A000000,01900,0000,1900OTHER LONG TERM CARE 230822,A000000,02100,0000,2100RADIOLOGY 230822,A000000,02200,0000,2200LABORATORY 230822,A000000,02300,0000,2300INTRAVENOUS THERAPY 230822,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230822,A000000,02500,0000,2500PHYSICAL THERAPY 230822,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230822,A000000,02700,0000,2700SPEECH PATHOLOGY 230822,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 230822,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230822,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 230822,A000000,04800,0000,4800AMBULANCE 230822,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230822,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230822,A81000A,00100,0100,Y 230822,A81000B,00100,0300,HOME OFFICE ALLOC 230822,A81000B,00200,0300,HOME OFFICE ALLOC 230822,A81000B,00300,0300,PHARMACY 230822,A81000B,00400,0300,PHYSICAL THERAPY 230822,A81000B,00500,0300,OCCUPATIONAL THERAPY 230822,A81000B,00600,0300,SPEECH THERAPY 230822,A81000C,00100,0100,A 230822,A81000C,00100,0200,COVENANT CARE INC 230822,A81000C,00100,0400,COVENANT CARE INC. 230822,A81000C,00100,0600,HEALTH CARE 230822,A81000C,00200,0100,B 230822,A81000C,00200,0200,PHARMACY 230822,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 230822,A81000C,00200,0600,PHARMACY - HEALTH CARE 230822,A81000C,00300,0100,C 230822,A81000C,00300,0200,THERAPY 230822,A81000C,00300,0400,SELECT THEREAPY 230822,A81000C,00300,0600,THERAPY SERVICES 230822,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 230822,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 230822,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 230822,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 230822,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 230822,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 230822,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 230822,B100000,00000,0800,0850PATIENT DAYS :DIETARY 230822,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 230822,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 230822,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 230822,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 230822,S000000,00100,0200,06/01/00 230822,S200000,00100,0100,911 BRYANT STREET 230822,S200000,00200,0100,PALO ALTO 230822,S200000,00200,0200,CA 230822,S200000,00200,0300,94301- 230822,S200000,00300,0100,SANTA CLARA 230822,S200000,00300,0200,7400 230822,S200000,00300,0300,U 230822,S200000,00400,0100,PALO ALTO NURSING CENTER 230822,S200000,00400,0200,055646 230822,S200000,00400,0300,01/01/95 230822,S200000,00400,0500,P 230822,S200000,00600,0200,055646 230822,S200000,00600,0300,01/01/95 230822,S200000,00600,0600,O 230822,S200000,01500,0100,N 230822,S200000,01600,0100,Y 230822,S200000,01700,0100,N 230822,S200000,01800,0100,N 230822,S200000,02200,0100,N 230822,S200000,02800,0100,N 230822,S200000,02900,0100,N 230822,S200000,03000,0100,N 230822,S200000,03100,0100,N 230822,S200000,03200,0100,N 230822,S200000,03300,0100,N 230822,S200000,03300,0200,N 230822,S200000,03500,0300,N 230822,S200000,04100,0100,N 230822,S200000,04200,0100,N 230822,S200000,04300,0100,N 230822,S200000,04600,0100,N 230822,S200000,04700,0100,N 230822,S200000,04700,0200,N 230822,S200000,04900,0100,N 230822,S200000,05000,0100,N 230822,S200000,05100,0100,N 230822,S200000,05200,0100,N 230824,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 230824,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 230824,A000000,00300,0000,0300EMPLOYEE BENEFITS 230824,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230824,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 230824,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230824,A000000,00700,0000,0700HOUSEKEEPING 230824,A000000,00800,0000,0800DIETARY 230824,A000000,00900,0000,0900NURSING ADMINISTRATION 230824,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230824,A000000,01100,0000,1100PHARMACY 230824,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230824,A000000,01300,0000,1300SOCIAL SERVICE 230824,A000000,01600,0000,1600SKILLED NURSING FACILITY 230824,A000000,01800,0000,1800NURSING FACILITY 230824,A000000,01900,0000,1900OTHER LONG TERM CARE 230824,A000000,02100,0000,2100RADIOLOGY 230824,A000000,02200,0000,2200LABORATORY 230824,A000000,02300,0000,2300INTRAVENOUS THERAPY 230824,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230824,A000000,02500,0000,2500PHYSICAL THERAPY 230824,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230824,A000000,02700,0000,2700SPEECH PATHOLOGY 230824,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 230824,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230824,A000000,03001,0000,3050COMPLEX MEDICAL EQUIPMENT 230824,A000000,04800,0000,4800AMBULANCE 230824,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230824,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230824,A81000A,00100,0100,Y 230824,A81000B,00100,0300,HOME OFFICE ALLOC 230824,A81000B,00200,0300,HOME OFFICE ALLOC 230824,A81000B,00300,0300,PHARMACY 230824,A81000B,00400,0300,PHYSICAL THERAPY 230824,A81000B,00500,0300,OCCUPATIONAL THERAPY 230824,A81000B,00600,0300,SPEECH THERAPY 230824,A81000C,00100,0100,A 230824,A81000C,00100,0200,COVENANT CARE INC 230824,A81000C,00100,0400,COVENANT CARE INC. 230824,A81000C,00100,0600,HEALTH CARE 230824,A81000C,00200,0100,B 230824,A81000C,00200,0200,PHARMACY 230824,A81000C,00200,0400,PHARMACY SUPPORT SERVICES 230824,A81000C,00200,0600,PHARMACY - HEALTH CARE 230824,A81000C,00300,0100,C 230824,A81000C,00300,0200,THERAPY 230824,A81000C,00300,0400,SELECT THEREAPY 230824,A81000C,00300,0600,THERAPY SERVICES 230824,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 230824,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 230824,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 230824,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 230824,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 230824,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 230824,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 230824,B100000,00000,0800,0850PATIENT DAYS :DIETARY 230824,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 230824,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 230824,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 230824,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 230824,S000000,00100,0200,06/01/00 230824,S200000,00100,0100,2124 57TH AVENUE 230824,S200000,00200,0100,OAKLAND 230824,S200000,00200,0200,CA 230824,S200000,00200,0300,94621- 230824,S200000,00300,0100,ALAMEDA 230824,S200000,00300,0200,5775 230824,S200000,00300,0300,U 230824,S200000,00400,0100,WILLOW TREE NURSING & REHAB CENTER 230824,S200000,00400,0200,055876 230824,S200000,00400,0300,10/01/73 230824,S200000,00400,0500,P 230824,S200000,00600,0200,055876 230824,S200000,00600,0300,10/01/73 230824,S200000,00600,0600,O 230824,S200000,01500,0100,N 230824,S200000,01600,0100,Y 230824,S200000,01700,0100,N 230824,S200000,01800,0100,N 230824,S200000,02200,0100,N 230824,S200000,02800,0100,N 230824,S200000,02900,0100,N 230824,S200000,03000,0100,N 230824,S200000,03100,0100,N 230824,S200000,03200,0100,N 230824,S200000,03300,0100,N 230824,S200000,03300,0200,N 230824,S200000,03500,0300,N 230824,S200000,04100,0100,N 230824,S200000,04200,0100,N 230824,S200000,04300,0100,N 230824,S200000,04600,0100,N 230824,S200000,04700,0100,N 230824,S200000,04700,0200,N 230824,S200000,04900,0100,N 230824,S200000,05000,0100,N 230824,S200000,05100,0100,N 230824,S200000,05200,0100,N 230894,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 230894,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 230894,A000000,00300,0000,0300EMPLOYEE BENEFITS 230894,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230894,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 230894,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230894,A000000,00700,0000,0700HOUSEKEEPING 230894,A000000,00800,0000,0800DIETARY 230894,A000000,00900,0000,0900NURSING ADMINISTRATION 230894,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230894,A000000,01100,0000,1100PHARMACY 230894,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230894,A000000,01300,0000,1300SOCIAL SERVICE 230894,A000000,01301,0000,1351ACTIVITIES 230894,A000000,01600,0000,1600SKILLED NURSING FACILITY 230894,A000000,01800,0000,1800NURSING FACILITY 230894,A000000,02100,0000,2100RADIOLOGY 230894,A000000,02200,0000,2200LABORATORY 230894,A000000,02300,0000,2300INTRAVENOUS THERAPY 230894,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230894,A000000,02500,0000,2500PHYSICAL THERAPY 230894,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230894,A000000,02700,0000,2700SPEECH PATHOLOGY 230894,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 230894,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230894,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 230894,A000000,03301,0000,3051MEDICAL EQUIPMENT 230894,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230894,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230894,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 230894,A81000A,00100,0100,Y 230894,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 230894,A81000B,00200,0300,CAPITAL - BUILDINGS 230894,A81000B,00300,0300,CAPITAL - EQUIPMENT 230894,A81000B,00400,0300,MEDICAL SUPPLIES RELATED PARTY 230894,A81000B,00500,0300,NURSING SUPPLIES RELATED PARTY 230894,A81000B,00600,0300,CENTRAL SUPPLIES RELATED PARTY 230894,A81000C,00100,0100,B 230894,A81000C,00100,0200,PEAK MEDICAL CORPORATION 230894,A81000C,00100,0400,PEAK MEDICAL CORPORATION 230894,A81000C,00100,0600,HOME OFFICE SERVICES 230894,A81000C,00200,0100,B 230894,A81000C,00200,0200,PEAK MEDICAL CORPORATION 230894,A81000C,00200,0400,MEDICAL RESOURCES 230894,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 230894,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 230894,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 230894,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 230894,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 230894,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 230894,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 230894,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 230894,B100000,00000,0800,0800MEALS SERVED :DIETARY 230894,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 230894,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 230894,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 230894,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 230894,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 230894,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 230894,S000000,00100,0200,11/02/00 230894,S200000,00100,0100,2400 CONTINENTAL DRIVE 230894,S200000,00200,0100,BUTTE 230894,S200000,00200,0200,MT 230894,S200000,00200,0300,59701- 230894,S200000,00300,0100,SILVERTON 230894,S200000,00300,0200,27 230894,S200000,00300,0300,R 230894,S200000,00400,0100,BUTTE CONVALESCENT CENTER 230894,S200000,00400,0200,275103 230894,S200000,00400,0300,03/01/87 230894,S200000,00400,0500,P 230894,S200000,01500,0100,N 230894,S200000,01600,0100,Y 230894,S200000,01700,0100,N 230894,S200000,01800,0100,N 230894,S200000,02200,0100,N 230894,S200000,02800,0100,N 230894,S200000,02900,0100,N 230894,S200000,03000,0100,N 230894,S200000,03100,0100,N 230894,S200000,03200,0100,N 230894,S200000,04100,0100,N 230894,S200000,04200,0100,N 230894,S200000,04300,0100,N 230894,S200000,04600,0100,N 230894,S200000,04700,0100,N 230894,S200000,04700,0200,N 230894,S200000,04900,0100,N 230894,S200000,05000,0100,N 230894,S200000,05100,0100,N 230894,S200000,05200,0100,N 230935,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230935,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230935,A000000,00300,0000,0300EMPLOYEE BENEFITS 230935,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230935,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230935,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230935,A000000,00700,0000,0700HOUSEKEEPING 230935,A000000,00800,0000,0800DIETARY 230935,A000000,00900,0000,0900NURSING ADMINISTRATION 230935,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230935,A000000,01100,0000,1100PHARMACY 230935,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230935,A000000,01300,0000,1300SOCIAL SERVICE 230935,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230935,A000000,01500,0000,1350RECREATION 230935,A000000,01600,0000,1600SKILLED NURSING FACILITY 230935,A000000,01800,0000,1800NURSING FACILITY 230935,A000000,01810,0000,1810ICF/MR 230935,A000000,02200,0000,2200LABORATORY 230935,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230935,A000000,02500,0000,2500PHYSICAL THERAPY 230935,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230935,A000000,02700,0000,2700SPEECH PATHOLOGY 230935,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230935,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230935,A000000,03200,0000,3200SUPPORT SURFACES 230935,A000000,03550,0000,3550FQHC 230935,A000000,04801,0000,4801AMBULANCE 230935,A000000,04802,0000,4802AMBULANCE 230935,A000000,04803,0000,4803AMBULANCE 230935,A000000,05000,0000,5000CORF 230935,A000000,05010,0000,5010CMHC 230935,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230935,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230935,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230935,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230935,A81000A,00100,0100,N 230935,B100000,00000,0100,0100SQUARE FEET 230935,B100000,00000,0200,0200SQUARE FEET 230935,B100000,00000,0300,0300GROSS SALARIES 230935,B100000,00000,0400,0400ACCUM COST 230935,B100000,00000,0500,0500SQUARE FEET 230935,B100000,00000,0600,0600PATIENT DAYS 230935,B100000,00000,0700,0700SQUARE FOOTAGE 230935,B100000,00000,0800,0800PATIENT DAYS 230935,B100000,00000,0900,0900DIRECT NRSG HRS 230935,B100000,00000,1000,1000COSTED REQUIS 230935,B100000,00000,1100,1100COSTED REQUIS 230935,B100000,00000,1200,1200PATIENT DAYS 230935,B100000,00000,1300,1300PATIENT DAYS 230935,B100000,00000,1400,1400ASSIGNED TIME 230935,B100000,00000,1500,1350PATIENT DAYS 230935,S000000,00100,0200,06/01/00 230935,S200000,00100,0100,709 EAST NORTH PLACE 230935,S200000,00200,0100,AMITE 230935,S200000,00200,0200,LA 230935,S200000,00200,0300,70422 230935,S200000,00300,0100,TANGIPAHOA 230935,S200000,00300,0200,0019 230935,S200000,00300,0300,R 230935,S200000,00400,0100,AMITE NURSING HOME 230935,S200000,00400,0200,195349 230935,S200000,00400,0300,10/01/95 230935,S200000,00400,0500,P 230935,S200000,01500,0100,N 230935,S200000,01600,0100,Y 230935,S200000,01700,0100,N 230935,S200000,01800,0100,N 230935,S200000,02200,0100,N 230935,S200000,02800,0100,N 230935,S200000,02900,0100,N 230935,S200000,03000,0100,N 230935,S200000,03100,0100,N 230935,S200000,03200,0100,N 230935,S200000,03300,0100,N 230935,S200000,03300,0200,N 230935,S200000,04100,0100,N 230935,S200000,04200,0100,N 230935,S200000,04300,0100,N 230935,S200000,04600,0100,N 230935,S200000,04700,0100,N 230935,S200000,04900,0100,N 230935,S200000,05200,0100,N 230949,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230949,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230949,A000000,00300,0000,0300EMPLOYEE BENEFITS 230949,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230949,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230949,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230949,A000000,00700,0000,0700HOUSEKEEPING 230949,A000000,00800,0000,0800DIETARY 230949,A000000,00900,0000,0900NURSING ADMINISTRATION 230949,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230949,A000000,01100,0000,1100PHARMACY 230949,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230949,A000000,01300,0000,1300SOCIAL SERVICE 230949,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230949,A000000,01500,0000,1350OTHER GENERAL SERVICES 230949,A000000,01600,0000,1600SKILLED NURSING FACILITY 230949,A000000,01800,0000,1800NURSING FACILITY 230949,A000000,01801,0000,1810ICF/MR 230949,A000000,02100,0000,2100RADIOLOGY 230949,A000000,02200,0000,2200LABORATORY 230949,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230949,A000000,02500,0000,2500PHYSICAL THERAPY 230949,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230949,A000000,02700,0000,2700SPEECH PATHOLOGY 230949,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230949,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230949,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 230949,A000000,03550,0000,3550FQHC 230949,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 230949,A000000,04801,0000,4801AMBULANCE 230949,A000000,04802,0000,4802AMBULANCE 230949,A000000,04803,0000,4803AMBULANCE 230949,A000000,05000,0000,5000CORF 230949,A000000,05010,0000,5010CMHC 230949,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230949,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230949,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230949,A000000,05100,0000,4750OTHER REIMBURSABLE COST 230949,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 230949,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230949,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 230949,A81000A,00100,0100,Y 230949,A81000B,00100,0300,FACILITY LEASE 230949,A81000C,00100,0100,A 230949,A81000C,00100,0200,SHAEL SIEGEL 230949,A81000C,00100,0400,CREATIVE HC SERVICES 230949,A81000C,00200,0100,A 230949,A81000C,00200,0200,MORRIS ESFORMES 230949,A81000C,00200,0400,CREATIVE HC SERVICES 230949,B100000,00000,0100,0100SQUARE FEET 230949,B100000,00000,0200,0200NO STATISTICS 230949,B100000,00000,0300,0300GROSS SALARIES 230949,B100000,00000,0400,0400ACCUM COST 230949,B100000,00000,0500,0500SQUARE FEET 230949,B100000,00000,0600,0600POUNDS OF LAUNDRY 230949,B100000,00000,0700,0700SQUARE FEET 230949,B100000,00000,0800,0800MEALS SERVED 230949,B100000,00000,0900,0900DIRECT NURSING HR 230949,B100000,00000,1000,1000COSTED REQUIS. 230949,B100000,00000,1100,1100NO STATISTICS 230949,B100000,00000,1200,1200TIME SPENT 230949,B100000,00000,1300,1300TIME SPENT 230949,B100000,00000,1400,1400NO STATISTICS 230949,B100000,00000,1500,1350NO STATISTICS 230949,E10A180,00501,0100,05/31/00 230949,S000000,00100,0200,04/28/00 230949,S200000,00100,0100,7301 ST CHARLES ROCK ROAD 230949,S200000,00200,0100,NORMANDY 230949,S200000,00200,0200,MO 230949,S200000,00200,0300,63133 230949,S200000,00300,0100,ST LOUIS 230949,S200000,00300,0200,7040 230949,S200000,00300,0300,U 230949,S200000,00400,0100,NORMANDY NURSING CENTER 230949,S200000,00400,0200,265578 230949,S200000,00400,0300,10/24/96 230949,S200000,00400,0500,P 230949,S200000,01500,0100,N 230949,S200000,01600,0100,Y 230949,S200000,01700,0100,N 230949,S200000,01800,0100,N 230949,S200000,02200,0100,N 230949,S200000,02800,0100,N 230949,S200000,02900,0100,N 230949,S200000,03000,0100,N 230949,S200000,03100,0100,N 230949,S200000,03200,0100,N 230949,S200000,03300,0100,N 230949,S200000,03300,0200,N 230949,S200000,04100,0100,N 230949,S200000,04200,0100,N 230949,S200000,04300,0100,N 230949,S200000,04600,0100,N 230949,S200000,04700,0100,N 230949,S200000,04900,0100,N 230949,S200000,05200,0100,N 230952,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230952,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230952,A000000,00300,0000,0300EMPLOYEE BENEFITS 230952,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230952,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230952,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230952,A000000,00700,0000,0700HOUSEKEEPING 230952,A000000,00800,0000,0800DIETARY 230952,A000000,00900,0000,0900NURSING ADMINISTRATION 230952,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230952,A000000,01100,0000,1100PHARMACY 230952,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230952,A000000,01300,0000,1300SOCIAL SERVICE 230952,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230952,A000000,01600,0000,1600SKILLED NURSING FACILITY 230952,A000000,01800,0000,1800NURSING FACILITY 230952,A000000,01810,0000,1810ICF/MR 230952,A000000,01900,0000,1900OTHER LONG TERM CARE 230952,A000000,02500,0000,2500PHYSICAL THERAPY 230952,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230952,A000000,02700,0000,2700SPEECH PATHOLOGY 230952,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230952,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230952,A000000,03550,0000,3550FQHC 230952,A000000,04801,0000,4801AMBULANCE 230952,A000000,04802,0000,4802AMBULANCE 230952,A000000,04803,0000,4803AMBULANCE 230952,A000000,05000,0000,5000CORF 230952,A000000,05010,0000,5010CMHC 230952,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230952,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230952,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230952,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 230952,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230952,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 230952,A81000A,00100,0100,N 230952,B100000,00000,0100,0100SQUARE FEET 230952,B100000,00000,0200,0200SQUARE FEET 230952,B100000,00000,0300,0300GROSS SALARIES 230952,B100000,00000,0400,0400ACCUM COST 230952,B100000,00000,0500,0500SQUARE FEET 230952,B100000,00000,0600,0600TOTAL PAT- IENT DAYS 230952,B100000,00000,0700,0700SQUARE FEET 230952,B100000,00000,0800,0800MEALS SERVED 230952,B100000,00000,0900,0900HOURS OF SERVICE 230952,B100000,00000,1000,1000COSTED REQUIS 230952,B100000,00000,1100,1100COSTED REQUIS 230952,B100000,00000,1200,1200TOTAL PAT- IENT DAYS 230952,B100000,00000,1300,1300TOTAL PAT- IENT DAYS 230952,B100000,00000,1400,1400ASSIGNED TIME 230952,S000000,00100,0200,05/30/00 230952,S200000,00100,0100,1180 OLD JACKSON ROAD 230952,S200000,00200,0100,FARMINGTON 230952,S200000,00200,0200,MO 230952,S200000,00200,0300,63640 230952,S200000,00300,0100,ST. FRANCOIS 230952,S200000,00300,0200,0026 230952,S200000,00300,0300,R 230952,S200000,00400,0100,ST. FRANCOIS MANOR INC. 230952,S200000,00400,0200,265674 230952,S200000,00400,0300,06/05/97 230952,S200000,00400,0500,P 230952,S200000,01500,0100,N 230952,S200000,01600,0100,Y 230952,S200000,01700,0100,N 230952,S200000,01800,0100,N 230952,S200000,02200,0100,N 230952,S200000,02800,0100,N 230952,S200000,02900,0100,N 230952,S200000,03000,0100,N 230952,S200000,03100,0100,N 230952,S200000,03200,0100,N 230952,S200000,03300,0100,N 230952,S200000,03300,0200,N 230952,S200000,04100,0100,N 230952,S200000,04200,0100,N 230952,S200000,04300,0100,N 230952,S200000,04600,0100,N 230952,S200000,04700,0100,N 230952,S200000,04700,0200,N 230952,S200000,04900,0100,N 230952,S200000,05200,0100,N 230960,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 230960,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 230960,A000000,00300,0000,0300EMPLOYEE BENEFITS 230960,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 230960,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 230960,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 230960,A000000,00700,0000,0700HOUSEKEEPING 230960,A000000,00800,0000,0800DIETARY 230960,A000000,00900,0000,0900NURSING ADMINISTRATION 230960,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 230960,A000000,01100,0000,1100PHARMACY 230960,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 230960,A000000,01300,0000,1300SOCIAL SERVICE 230960,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 230960,A000000,01500,0000,1350PATIENT ACTIVITIES 230960,A000000,01600,0000,1600SKILLED NURSING FACILITY 230960,A000000,01800,0000,1800NURSING FACILITY 230960,A000000,01810,0000,1810ICF/MR 230960,A000000,02200,0000,2200LABORATORY 230960,A000000,02300,0000,2300INTRAVENOUS THERAPY 230960,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 230960,A000000,02500,0000,2500PHYSICAL THERAPY 230960,A000000,02600,0000,2600OCCUPATIONAL THERAPY 230960,A000000,02700,0000,2700SPEECH PATHOLOGY 230960,A000000,02800,0000,2800ELECTROCARDIOLOGY 230960,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 230960,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 230960,A000000,03550,0000,3550FQHC 230960,A000000,03600,0000,3450ADMIN & GENERL-HHA 230960,A000000,04800,0000,4800AMBULANCE 230960,A000000,04801,0000,4801AMBULANCE 230960,A000000,04802,0000,4802AMBULANCE 230960,A000000,04803,0000,4803AMBULANCE 230960,A000000,05000,0000,5000MALPRACTICE PREM & PAID LOSSES 230960,A000000,05010,0000,5010CMHC 230960,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 230960,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 230960,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 230960,A000000,05100,0000,4750INTEREST EXPENSE 230960,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 230960,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 230960,A000000,05890,0000,5801RESIDENTIAL 230960,A000000,05900,0000,5900BARBER & BEAUTY SHOP 230960,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 230960,A000000,06300,0000,6150TOTAL 230960,A81000A,00100,0100,N 230960,B100000,00000,0100,0100(SQUARE FEET) 230960,B100000,00000,0200,0200(SQUARE FEET) 230960,B100000,00000,0300,0300(GROSS SALARIES) 230960,B100000,00000,0400,0400(ACCUM COST) 230960,B100000,00000,0500,0500(SQUARE FEET) 230960,B100000,00000,0600,0600PATIENT DAYS 230960,B100000,00000,0700,0700SQUARE FEET 230960,B100000,00000,0800,0800PATIENT DAYS 230960,B100000,00000,0900,0900PATIENT DAYS 230960,B100000,00000,1000,1000(COSTED REQUIS) 230960,B100000,00000,1100,1100PATIENT DAYS 230960,B100000,00000,1200,1200PATIENT DAYS 230960,B100000,00000,1300,1300PATIENT DAYS 230960,B100000,00000,1400,1400(ASSIGNED TIME) 230960,B100000,00000,1500,1350PATIENT DAYS 230960,S000000,00100,0200,02/22/01 230960,S200000,00100,0100,120 NOYES DRIVE 230960,S200000,00200,0100,PARK RIDGE 230960,S200000,00200,0200,NJ 230960,S200000,00200,0300,07656 230960,S200000,00300,0100,B 230960,S200000,00300,0200,0875 230960,S200000,00300,0300,U 230960,S200000,00400,0100,PARK RIDGE REHAB & SKILLED NSG 230960,S200000,00400,0200,315438 230960,S200000,00400,0300,06/30/98 230960,S200000,00400,0500,P 230960,S200000,00600,0200,315438 230960,S200000,00600,0300,06/30/98 230960,S200000,00600,0600,O 230960,S200000,01500,0100,N 230960,S200000,01600,0100,Y 230960,S200000,01700,0100,N 230960,S200000,01800,0100,N 230960,S200000,02200,0100,N 230960,S200000,02800,0100,N 230960,S200000,02900,0100,N 230960,S200000,03000,0100,N 230960,S200000,03100,0100,N 230960,S200000,03200,0100,N 230960,S200000,03300,0100,N 230960,S200000,03300,0200,N 230960,S200000,04100,0100,N 230960,S200000,04200,0100,N 230960,S200000,04300,0100,N 230960,S200000,04600,0100,N 230960,S200000,04700,0100,N 230960,S200000,04900,0100,N 230960,S200000,05200,0100,N 231063,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 231063,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 231063,A000000,00300,0000,0300EMPLOYEE BENEFITS 231063,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231063,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 231063,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231063,A000000,00700,0000,0700HOUSEKEEPING 231063,A000000,00800,0000,0800DIETARY 231063,A000000,00900,0000,0900NURSING ADMINISTRATION 231063,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231063,A000000,01500,0000,1350OTHER GENERAL SERVICE COST CENTE 231063,A000000,01600,0000,1600SKILLED NURSING FACILITY 231063,A000000,02100,0000,2100RADIOLOGY 231063,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 231063,A000000,02500,0000,2500PHYSICAL THERAPY 231063,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231063,A000000,02700,0000,2700SPEECH PATHOLOGY 231063,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 231063,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231063,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 231063,A000000,05900,0000,5900BARBER & BEAUTY SHOP 231063,A81000A,00100,0100,N 231063,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 231063,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 231063,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 231063,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 231063,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 231063,B100000,00000,0600,0600(POUNDS OF LAUNDRY) :LAUNDRY & L 231063,B100000,00000,0700,0750SQ. FEET SERVICE) :HOUSEKEEPING 231063,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 231063,B100000,00000,0900,0900(DIR NRSG HOURS) :NURSING ADMINI 231063,B100000,00000,1200,1200(TIME SPENT) :MEDICAL RECORDS & 231063,B100000,00000,1500,1350(TIME SPENT) :OTHER GENERAL SER 231063,S000000,00100,0200,04/15/02 231063,S200000,00100,0100,1401 PHAY AVE. 231063,S200000,00200,0100,CANON CITY 231063,S200000,00200,0200,CO 231063,S200000,00200,0300,81212- 231063,S200000,00300,0100,FREMONT 231063,S200000,00300,0200,999 231063,S200000,00300,0300,R 231063,S200000,00400,0100,HILDEBRAND CARE CENTER 231063,S200000,00400,0200,065179 231063,S200000,00400,0300,01/01/70 231063,S200000,00400,0500,P 231063,S200000,01500,0100,Y 231063,S200000,01600,0100,N 231063,S200000,01700,0100,N 231063,S200000,01800,0100,N 231063,S200000,02200,0100,N 231063,S200000,02800,0100,N 231063,S200000,02900,0100,N 231063,S200000,03000,0100,N 231063,S200000,03100,0100,N 231063,S200000,03200,0100,N 231063,S200000,03300,0100,N 231063,S200000,03300,0200,N 231063,S200000,04100,0100,N 231063,S200000,04200,0100,N 231063,S200000,04300,0100,N 231063,S200000,04600,0100,N 231063,S200000,04700,0100,N 231063,S200000,04700,0200,N 231063,S200000,04900,0100,N 231063,S200000,05000,0100,N 231063,S200000,05100,0100,N 231063,S200000,05200,0100,N 231170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 231170,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 231170,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 231170,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 231170,A000000,00300,0000,0300EMPLOYEE BENEFITS 231170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 231170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231170,A000000,00700,0000,0700HOUSEKEEPING 231170,A000000,00800,0000,0800DIETARY 231170,A000000,00801,0000,0801CAFETERIA 231170,A000000,00900,0000,0900NURSING ADMINISTRATION 231170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 231170,A000000,01100,0000,1100PHARMACY 231170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231170,A000000,01300,0000,1300SOCIAL SERVICE 231170,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 231170,A000000,01500,0000,1350ACTIVITIES 231170,A000000,01600,0000,1600SKILLED NURSING FACILITY 231170,A000000,01800,0000,1800NURSING FACILITY 231170,A000000,01900,0000,1900OTHER LONG TERM CARE 231170,A000000,02100,0000,2100RADIOLOGY 231170,A000000,02200,0000,2200LABORATORY 231170,A000000,02300,0000,2300INTRAVENOUS THERAPY 231170,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 231170,A000000,02500,0000,2500PHYSICAL THERAPY 231170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231170,A000000,02700,0000,2700SPEECH PATHOLOGY 231170,A000000,02800,0000,2800ELECTROCARDIOLOGY 231170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 231170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231170,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 231170,A000000,03200,0000,3200SUPPORT SURFACES 231170,A000000,03300,0000,3050OXYGEN 231170,A000000,03301,0000,3051OTHER ANCILLARY II 231170,A000000,03302,0000,3052OTHER ANCILLARY III 231170,A000000,03400,0000,3400CLINIC 231170,A000000,03500,0000,3500RURAL HEALTH CLINIC 231170,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 231170,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 231170,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 231170,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 231170,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 231170,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 231170,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 231170,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 231170,A000000,04400,0000,4400DME RENTED - HHA 231170,A000000,04500,0000,4500DME SOLD - HHA 231170,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 231170,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 231170,A000000,04800,0000,4800AMBULANCE 231170,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 231170,A000000,05000,0000,5000CORF 231170,A000000,05010,0000,5010CMHC I 231170,A000000,05020,0000,5020OPT I 231170,A000000,05100,0000,4750OTHER REIMBURSABLE COST 231170,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 231170,A000000,05300,0000,5300INTEREST EXPENSE 231170,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 231170,A000000,05500,0000,5500HOSPICE 231170,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 231170,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 231170,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 231170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 231170,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 231170,A000000,06100,0000,6100NONPAID WORKERS 231170,A000000,06200,0000,6200PATIENTS LAUNDRY 231170,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 231170,A81000A,00100,0100,Y 231170,A81000B,00100,0300,PHYSICAL THERAPY 231170,A81000B,00200,0300,OCCUPATIONAL THERAPY 231170,A81000B,00300,0300,SPEECH THERAPY 231170,A81000B,00400,0300,PHYSICAL THERAPY 231170,A81000B,00500,0300,OCCUPATIONAL THERAPY 231170,A81000B,00600,0300,SPEECH THERAPY 231170,A81000C,00100,0100,D 231170,A81000C,00100,0200,KRAUSZ ET AL 231170,A81000C,00100,0400,SOLOMON HC CONS 231170,A81000C,00100,0600,THERAPY SVCS 231170,A81000C,00200,0100,D 231170,A81000C,00200,0200,KRAUSZ ET AL 231170,A81000C,00200,0400,SOLOMON HC CONS 231170,A81000C,00200,0600,THERAPY SVCS 231170,A81000C,00300,0100,D 231170,A81000C,00300,0200,KRAUSZ ET AL 231170,A81000C,00300,0400,SOLOMON HC CONS 231170,A81000C,00300,0600,THERAPY SVCS 231170,A81000C,00400,0100,D 231170,A81000C,00400,0200,KRAUSZ ET AL 231170,A81000C,00400,0400,PROG PROV SVC 231170,A81000C,00400,0600,THERAPY SVCS 231170,A81000C,00500,0100,D 231170,A81000C,00500,0200,KRAUSZ ET AL 231170,A81000C,00500,0400,PROG PROV SVC 231170,A81000C,00500,0600,THERAPY SVCS 231170,A81000C,00600,0100,D 231170,A81000C,00600,0200,KRAUSZ ET AL 231170,A81000C,00600,0400,PROG PROV SVC 231170,A81000C,00600,0600,THERAPY SVCS 231170,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 231170,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 231170,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 231170,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 231170,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 231170,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 231170,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 231170,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 231170,B100000,00000,0801,0851(FTES) :CAFETERIA 231170,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 231170,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 231170,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 231170,B100000,00000,1200,1250(GROSS CHARGES) :MEDICAL RECORD 231170,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 231170,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 231170,S000000,00100,0200,08/07/00 231170,S200000,00100,0100,1 ROOSEVELT DR. 231170,S200000,00200,0100,EDISON 231170,S200000,00200,0200,NJ 231170,S200000,00200,0300,08837- 231170,S200000,00300,0100,MIDDLESEX 231170,S200000,00300,0200,5015 231170,S200000,00300,0300,U 231170,S200000,00400,0100,ROOSEVELT CARE 231170,S200000,00400,0200,315039 231170,S200000,00400,0300,01/01/67 231170,S200000,00400,0500,P 231170,S200000,01200,0200,311525 231170,S200000,01200,0300,05/22/89 231170,S200000,01500,0100,N 231170,S200000,01600,0100,Y 231170,S200000,01700,0100,N 231170,S200000,01800,0100,N 231170,S200000,02200,0100,Y 231170,S200000,02800,0100,N 231170,S200000,02900,0100,N 231170,S200000,03000,0100,N 231170,S200000,03100,0100,N 231170,S200000,03200,0100,N 231170,S200000,03300,0100,N 231170,S200000,03300,0200,N 231170,S200000,04100,0100,N 231170,S200000,04200,0100,N 231170,S200000,04300,0100,Y 231170,S200000,04600,0100,N 231170,S200000,04700,0100,N 231170,S200000,04700,0200,N 231170,S200000,04900,0100,N 231170,S200000,05000,0100,N 231170,S200000,05100,0100,N 231170,S200000,05200,0100,N 231409,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 231409,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 231409,A000000,00300,0000,0300EMPLOYEE BENEFITS 231409,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231409,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 231409,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231409,A000000,00700,0000,0700HOUSEKEEPING 231409,A000000,00800,0000,0800DIETARY 231409,A000000,00900,0000,0900NURSING ADMINISTRATION 231409,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 231409,A000000,01100,0000,1100PHARMACY 231409,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231409,A000000,01300,0000,1300SOCIAL SERVICE 231409,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 231409,A000000,01500,0000,1350ACTIVITIES 231409,A000000,01600,0000,1600SKILLED NURSING FACILITY 231409,A000000,01810,0000,1810ICF/MR 231409,A000000,02100,0000,2100RADIOLOGY 231409,A000000,02200,0000,2200LABORATORY 231409,A000000,02500,0000,2500PHYSICAL THERAPY 231409,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231409,A000000,02700,0000,2700SPEECH PATHOLOGY 231409,A000000,02710,0000,2701AUDIOLOGY 231409,A000000,02800,0000,2800ELECTROCARDIOLOGY 231409,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 231409,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231409,A000000,03300,0000,3050RESPIRATORY THERAPY 231409,A000000,03550,0000,3550FQHC 231409,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 231409,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 231409,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 231409,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 231409,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 231409,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 231409,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 231409,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 231409,A000000,04801,0000,4801AMBULANCE 231409,A000000,04802,0000,4802AMBULANCE 231409,A000000,04803,0000,4803AMBULANCE 231409,A000000,05000,0000,5000CORF 231409,A000000,05010,0000,5010CMHC 231409,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 231409,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 231409,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 231409,A000000,05300,0000,5300INTEREST EXPENSE 231409,A000000,05600,0000,5350STAFF PHYSICIANS 231409,A000000,05610,0000,5351PSYCHIATRISTS 231409,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 231409,A000000,05900,0000,5900BARBER & BEAUTY SHOP 231409,A000000,05910,0000,5901DENTAL 231409,A000000,05920,0000,5902CHILD DAY CARE 231409,A000000,05930,0000,5903INDEPENDENT LIVING 231409,A81000A,00100,0100,N 231409,B100000,00000,0100,0100SQUARE FEET 231409,B100000,00000,0200,0200SQUARE FEET 231409,B100000,00000,0300,0300GROSS SALARIES 231409,B100000,00000,0400,0400ACCUM COST 231409,B100000,00000,0500,0500SQUARE FEET 231409,B100000,00000,0600,0600POUNDS OF LAUNDRY 231409,B100000,00000,0700,0700HOURS OF SERVICE 231409,B100000,00000,0800,0800MEALS SERVED 231409,B100000,00000,0900,0900DIRECT NRSG HRS 231409,B100000,00000,1000,1000COSTED REQUIS 231409,B100000,00000,1100,1100COSTED REQUIS 231409,B100000,00000,1200,1200TIME SPENT 231409,B100000,00000,1300,1300TIME SPENT 231409,B100000,00000,1400,1400ASSIGNED TIME 231409,B100000,00000,1500,1350# OF PAR- TICIPANTS 231409,E10A180,00301,0100,05/09/00 231409,E10A180,00302,0100,05/10/00 231409,E10A180,00350,0100,09/03/99 231409,H510100,00000,0000,5600 231409,H510100,02400,0000,5600 231409,H710000,00350,0100,08/23/99 231409,H710000,00550,0100,07/24/00 231409,S000000,00100,0200,06/01/00 231409,S200000,00100,0100,515 AUDUBON AVENUE 231409,S200000,00200,0100,NEW YORK 231409,S200000,00200,0200,NY 231409,S200000,00200,0300,10040 231409,S200000,00300,0100,NEW YORK 231409,S200000,00300,0200,5600 231409,S200000,00300,0300,U 231409,S200000,00400,0100,ISABELLA GERIATRIC CENTER INC. 231409,S200000,00400,0200,335100 231409,S200000,00400,0300,01/01/67 231409,S200000,00400,0500,P 231409,S200000,00800,0200,337263 231409,S200000,00800,0300,01/01/91 231409,S200000,00800,0500,O 231409,S200000,01500,0100,Y 231409,S200000,01600,0100,N 231409,S200000,01700,0100,N 231409,S200000,01800,0100,N 231409,S200000,01900,0100,NON-SECTARIAN 231409,S200000,02200,0100,N 231409,S200000,02800,0100,N 231409,S200000,02900,0100,N 231409,S200000,03000,0100,N 231409,S200000,03100,0100,N 231409,S200000,03200,0100,N 231409,S200000,03300,0100,N 231409,S200000,03300,0200,N 231409,S200000,03700,0100,N 231409,S200000,03700,0200,N 231409,S200000,04100,0100,N 231409,S200000,04200,0100,N 231409,S200000,04300,0100,N 231409,S200000,04600,0100,N 231409,S200000,04700,0100,N 231409,S200000,04900,0100,N 231409,S200000,05200,0100,N 231409,S410002,01300,0000,NUTRITIONISTS 231409,S410002,01700,0100,5600 231493,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 231493,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 231493,A000000,00300,0000,0300EMPLOYEE BENEFITS 231493,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231493,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 231493,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231493,A000000,00700,0000,0700HOUSEKEEPING 231493,A000000,00800,0000,0800DIETARY 231493,A000000,00900,0000,0900NURSING ADMINISTRATION 231493,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 231493,A000000,01100,0000,1100PHARMACY 231493,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231493,A000000,01300,0000,1300SOCIAL SERVICE 231493,A000000,01500,0000,1350OTHER GENL-ACTIVITIES 231493,A000000,01600,0000,1600SKILLED NURSING FACILITY 231493,A000000,02100,0000,2100RADIOLOGY 231493,A000000,02200,0000,2200LABORATORY 231493,A000000,02300,0000,2300INTRAVENOUS THERAPY 231493,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 231493,A000000,02500,0000,2500PHYSICAL THERAPY 231493,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231493,A000000,02700,0000,2700SPEECH PATHOLOGY 231493,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 231493,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231493,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 231493,A000000,05300,0000,5300INTEREST EXPENSE 231493,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 231493,A000000,05900,0000,5900BARBER & BEAUTY SHOP 231493,A81000A,00100,0100,N 231493,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 231493,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 231493,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 231493,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 231493,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 231493,B100000,00000,0600,0650HOURS OF SERVICE :LAUNDRY & LINE 231493,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 231493,B100000,00000,0800,0850HOURS OF SERVICE :DIETARY 231493,B100000,00000,0900,0950DIRECT NRSG HRS :NURSING ADMINIS 231493,B100000,00000,1100,1100COSTED REQUIS :PHARMACY 231493,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 231493,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 231493,B100000,00000,1500,1350HOURS OF SERVICE :OTHER GENL-AC 231493,S000000,00100,0200,10/03/00 231493,S200000,00100,0100,3401 SOUTH LAFAYETTE STREET 231493,S200000,00200,0100,ENGLEWOOD 231493,S200000,00200,0200,CO 231493,S200000,00200,0300,80110- 231493,S200000,00300,0100,ARAPAHOE 231493,S200000,00300,0200,2080 231493,S200000,00300,0300,U 231493,S200000,00400,0100,JULIA TEMPLE 231493,S200000,00400,0200,065322 231493,S200000,00400,0300,04/15/94 231493,S200000,00400,0500,P 231493,S200000,00400,0600,O 231493,S200000,01500,0100,Y 231493,S200000,01600,0100,N 231493,S200000,01700,0100,N 231493,S200000,01800,0100,N 231493,S200000,01900,0100,501C3 231493,S200000,02200,0100,N 231493,S200000,02800,0100,N 231493,S200000,02900,0100,N 231493,S200000,03000,0100,N 231493,S200000,03100,0100,N 231493,S200000,03200,0100,N 231493,S200000,04100,0100,N 231493,S200000,04200,0100,N 231493,S200000,04300,0100,N 231493,S200000,04600,0100,N 231493,S200000,04700,0100,N 231493,S200000,04700,0200,N 231493,S200000,04900,0100,N 231493,S200000,05000,0100,N 231493,S200000,05100,0100,N 231493,S200000,05200,0100,N 231512,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 231512,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 231512,A000000,00300,0000,0300EMPLOYEE BENEFITS 231512,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231512,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 231512,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231512,A000000,00700,0000,0700HOUSEKEEPING 231512,A000000,00800,0000,0800DIETARY 231512,A000000,00900,0000,0900NURSING ADMINISTRATION 231512,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 231512,A000000,01100,0000,1100PHARMACY 231512,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231512,A000000,01300,0000,1300SOCIAL SERVICE 231512,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 231512,A000000,01600,0000,1600SKILLED NURSING FACILITY 231512,A000000,01800,0000,1800NURSING FACILITY 231512,A000000,01810,0000,1810ICF/MR 231512,A000000,02100,0000,2100RADIOLOGY 231512,A000000,02200,0000,2200LABORATORY 231512,A000000,02300,0000,2300INTRAVENOUS THERAPY 231512,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 231512,A000000,02500,0000,2500PHYSICAL THERAPY 231512,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231512,A000000,02700,0000,2700SPEECH PATHOLOGY 231512,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 231512,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231512,A000000,03200,0000,3200SUPPORT SURFACES 231512,A000000,03550,0000,3550FQHC 231512,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 231512,A000000,05000,0000,5000CORF 231512,A000000,05010,0000,5010CMHC 231512,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 231512,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 231512,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 231512,A000000,05900,0000,5900BARBER & BEAUTY SHOP 231512,A000000,06200,0000,6200PATIENTS LAUNDRY 231512,A81000A,00100,0100,Y 231512,A81000B,00100,0300,A & G 231512,A81000B,00200,0300,PT 231512,A81000B,00300,0300,OT 231512,A81000B,00400,0300,ST 231512,A81000C,00100,0100,D 231512,A81000C,00100,0200,ANDY MARTINI 231512,A81000C,00100,0400,EVERGREEN HEALT 231512,A81000C,00100,0600,MANAGEMENT SERV 231512,A81000C,00200,0100,B 231512,A81000C,00200,0200,EVERGREEN HEALT 231512,A81000C,00200,0400,EVERGREEN ANCIL 231512,A81000C,00200,0600,THERAPY SERVICE 231512,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 231512,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 231512,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 231512,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 231512,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 231512,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 231512,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 231512,B100000,00000,0800,0800MEALS SERVED :DIETARY 231512,B100000,00000,0900,0950DIRECT NRSG :NURSING ADMINISTRA 231512,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 231512,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 231512,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 231512,S000000,00100,0200,06/06/00 231512,S200000,00100,0100,13333 GREENWOOD AVE N. 231512,S200000,00200,0100,SEATTLE 231512,S200000,00200,0200,WA 231512,S200000,00200,0300,98133- 231512,S200000,00300,0100,KING 231512,S200000,00300,0200,7600 231512,S200000,00300,0300,U 231512,S200000,00400,0100,GREENWOOD PARK CARE CENTER 231512,S200000,00400,0200,505278 231512,S200000,00400,0300,01/01/84 231512,S200000,00400,0500,P 231512,S200000,01500,0100,N 231512,S200000,01600,0100,Y 231512,S200000,01700,0100,N 231512,S200000,01800,0100,N 231512,S200000,02200,0100,N 231512,S200000,02800,0100,N 231512,S200000,02900,0100,N 231512,S200000,03000,0100,N 231512,S200000,03100,0100,N 231512,S200000,03200,0100,N 231512,S200000,03300,0100,N 231512,S200000,03300,0200,N 231512,S200000,04100,0100,N 231512,S200000,04200,0100,N 231512,S200000,04300,0100,N 231512,S200000,04600,0100,N 231512,S200000,04700,0100,N 231512,S200000,04700,0200,N 231512,S200000,04900,0100,N 231512,S200000,05000,0100,N 231512,S200000,05100,0100,N 231512,S200000,05200,0100,N 231775,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 231775,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 231775,A000000,00300,0000,0300EMPLOYEE BENEFITS 231775,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 231775,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 231775,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 231775,A000000,00700,0000,0700HOUSEKEEPING 231775,A000000,00800,0000,0800DIETARY 231775,A000000,00900,0000,0900NURSING ADMINISTRATION 231775,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 231775,A000000,01100,0000,1100PHARMACY 231775,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 231775,A000000,01300,0000,1300SOCIAL SERVICE 231775,A000000,01301,0000,1301SOCIAL SERVICE 231775,A000000,01600,0000,1600SKILLED NURSING FACILITY 231775,A000000,01800,0000,1800NURSING FACILITY 231775,A000000,02100,0000,2100RADIOLOGY 231775,A000000,02200,0000,2200LABORATORY 231775,A000000,02300,0000,2300INTRAVENOUS THERAPY 231775,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 231775,A000000,02500,0000,2500PHYSICAL THERAPY 231775,A000000,02600,0000,2600OCCUPATIONAL THERAPY 231775,A000000,02700,0000,2700SPEECH PATHOLOGY 231775,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 231775,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 231775,A000000,03200,0000,3200SUPPORT SURFACES 231775,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 231775,A000000,03301,0000,3051NUTRITIONAL THERAPY 231775,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 231775,A000000,03303,0000,3053PHYSICIAN SERVICES 231775,A000000,03304,0000,3054MEDICAL SERVICES 231775,A000000,03550,0000,3550FQHC 231775,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 231775,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 231775,A000000,05000,0000,5000CORF 231775,A000000,05010,0000,5010CMHC 231775,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 231775,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 231775,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 231775,A000000,05300,0000,5300INTEREST EXPENSE 231775,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 231775,A81000A,00100,0100,Y 231775,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 231775,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 231775,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 231775,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 231775,A81000B,00500,0300,REGIONAL ALLOC. RELATED P 231775,A81000C,00100,0100,B 231775,A81000C,00100,0200,PLEASE SEE ATTA 231775,A81000C,00200,0200,A-8-1. 231775,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 231775,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 231775,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 231775,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 231775,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 231775,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 231775,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 231775,B100000,00000,0800,0850PATIENT DAYS :DIETARY 231775,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 231775,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 231775,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 231775,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 231775,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 231775,B100000,00000,1301,1331PATIENT DAYS :SOCIAL SERVICE 231775,S000000,00100,0200,10/18/00 231775,S200000,00100,0100,1115 B STREET 231775,S200000,00200,0100,PETALUMA 231775,S200000,00200,0200,CA 231775,S200000,00200,0300,94952- 231775,S200000,00300,0100,SONOMA 231775,S200000,00300,0200,7500 231775,S200000,00300,0300,U 231775,S200000,00400,0100,PETALUMA CARE & REHAB 231775,S200000,00400,0200,056072 231775,S200000,00400,0300,05/22/69 231775,S200000,00400,0500,P 231775,S200000,01500,0100,N 231775,S200000,01600,0100,Y 231775,S200000,01700,0100,N 231775,S200000,01800,0100,N 231775,S200000,02200,0100,N 231775,S200000,02800,0100,N 231775,S200000,02900,0100,N 231775,S200000,03000,0100,N 231775,S200000,03100,0100,N 231775,S200000,03200,0100,N 231775,S200000,03300,0100,N 231775,S200000,03300,0200,N 231775,S200000,04100,0100,N 231775,S200000,04200,0100,N 231775,S200000,04300,0100,N 231775,S200000,04600,0100,N 231775,S200000,04700,0100,N 231775,S200000,04700,0200,N 231775,S200000,04900,0100,N 231775,S200000,05000,0100,N 231775,S200000,05100,0100,N 231775,S200000,05200,0100,N 232189,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232189,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232189,A000000,00300,0000,0300EMPLOYEE BENEFITS 232189,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232189,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232189,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232189,A000000,00700,0000,0700HOUSEKEEPING 232189,A000000,00800,0000,0800DIETARY 232189,A000000,00900,0000,0900NURSING ADMINISTRATION 232189,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232189,A000000,01100,0000,1100PHARMACY 232189,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232189,A000000,01300,0000,1300SOCIAL SERVICE 232189,A000000,01301,0000,1351ACTIVITIES 232189,A000000,01600,0000,1600SKILLED NURSING FACILITY 232189,A000000,01800,0000,1800NURSING FACILITY 232189,A000000,02100,0000,2100RADIOLOGY 232189,A000000,02200,0000,2200LABORATORY 232189,A000000,02300,0000,2300INTRAVENOUS THERAPY 232189,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232189,A000000,02500,0000,2500PHYSICAL THERAPY 232189,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232189,A000000,02700,0000,2700SPEECH PATHOLOGY 232189,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232189,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232189,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232189,A000000,03301,0000,3051MEDICAL EQUIPMENT 232189,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232189,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232189,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232189,A81000A,00100,0100,Y 232189,A81000B,00100,0300,NON CAPITAL - MANAGEMENT FEES 232189,A81000B,00200,0300,CAPITAL - BUILDINGS 232189,A81000B,00300,0300,CAPITAL - EQUIPMENT 232189,A81000B,00400,0300,MEDICAL SUPPLIES - RELATED PARTY 232189,A81000B,00500,0300,NURSING SUPPLIES - RELATED PARTY 232189,A81000B,00600,0300,CENTRAL SUPPLIES - RELATED PARTY 232189,A81000C,00100,0100,B 232189,A81000C,00100,0200,PEAK MEDICAL CORPORATION 232189,A81000C,00100,0400,PEAK MEDICAL CORPORATION 232189,A81000C,00100,0600,HOME OFFICE SERVICES 232189,A81000C,00200,0100,B 232189,A81000C,00200,0200,PEAK MEDICAL CORPORATION 232189,A81000C,00200,0400,MEDICAL RESOURCES 232189,A81000C,00200,0600,MEDICAL SUPPLY VENDOR 232189,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232189,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232189,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232189,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232189,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232189,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232189,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 232189,B100000,00000,0800,0800MEALS SERVED :DIETARY 232189,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 232189,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232189,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232189,B100000,00000,1200,1250GROSS CHARGES :MEDICAL RECORDS 232189,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232189,B100000,00000,1301,1351PATIENT DAYS :ACTIVITIES 232189,S000000,00100,0200,11/02/00 232189,S200000,00100,0100,656 DILLION WAY 232189,S200000,00200,0100,AURORA 232189,S200000,00200,0200,CO 232189,S200000,00200,0300,80011- 232189,S200000,00300,0100,ARAPAHOE 232189,S200000,00300,0200,2080 232189,S200000,00300,0300,U 232189,S200000,00400,0100,SABLE CARE CENTER 232189,S200000,00400,0200,065337 232189,S200000,00400,0300,03/01/95 232189,S200000,00400,0500,P 232189,S200000,01500,0100,N 232189,S200000,01600,0100,Y 232189,S200000,01700,0100,N 232189,S200000,01800,0100,N 232189,S200000,02200,0100,N 232189,S200000,02800,0100,N 232189,S200000,02900,0100,N 232189,S200000,03000,0100,N 232189,S200000,03100,0100,N 232189,S200000,03200,0100,N 232189,S200000,03300,0100,N 232189,S200000,03300,0200,N 232189,S200000,04100,0100,N 232189,S200000,04200,0100,N 232189,S200000,04300,0100,N 232189,S200000,04600,0100,N 232189,S200000,04700,0100,N 232189,S200000,04700,0200,N 232189,S200000,04900,0100,N 232189,S200000,05000,0100,N 232189,S200000,05100,0100,N 232189,S200000,05200,0100,N 232339,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 232339,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 232339,A000000,00300,0000,0300EMPLOYEE BENEFITS 232339,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232339,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 232339,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232339,A000000,00700,0000,0700HOUSEKEEPING 232339,A000000,00800,0000,0800DIETARY 232339,A000000,00900,0000,0900NURSING ADMINISTRATION 232339,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232339,A000000,01100,0000,1100PHARMACY 232339,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232339,A000000,01300,0000,1300SOCIAL SERVICE 232339,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 232339,A000000,01600,0000,1600SKILLED NURSING FACILITY 232339,A000000,01800,0000,1800NURSING FACILITY 232339,A000000,01810,0000,1810ICF/MR 232339,A000000,01900,0000,1900OTHER LONG TERM CARE 232339,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232339,A000000,02500,0000,2500PHYSICAL THERAPY 232339,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232339,A000000,02700,0000,2700SPEECH PATHOLOGY 232339,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 232339,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232339,A000000,03550,0000,3550FQHC 232339,A000000,04801,0000,4801AMBULANCE 232339,A000000,04802,0000,4802AMBULANCE 232339,A000000,04803,0000,4803AMBULANCE 232339,A000000,05000,0000,5000CORF 232339,A000000,05010,0000,5010CMHC 232339,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 232339,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 232339,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 232339,A000000,05300,0000,5300INTEREST EXPENSE 232339,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232339,A81000A,00100,0100,N 232339,A81000C,03100,0000,DISTRICT ENTITIES 232339,B100000,00000,0100,0100SQUARE FEET 232339,B100000,00000,0200,0200SQUARE FEET 232339,B100000,00000,0300,0300GROSS SALARIES 232339,B100000,00000,0400,0400ACCUM COST 232339,B100000,00000,0500,0500SQUARE FEET 232339,B100000,00000,0600,0600PATIENT DAYS 232339,B100000,00000,0700,0700SQUARE FEET 232339,B100000,00000,0800,0800MEALS SERVED 232339,B100000,00000,0900,0900NURSING HOURS 232339,B100000,00000,1000,1000COSTED REQUIS 232339,B100000,00000,1100,1100COSTED REQUIS 232339,B100000,00000,1200,1200TIME SPENT 232339,B100000,00000,1300,1300PATIENT DAYS 232339,B100000,00000,1400,1400ASSIGNED TIME 232339,S000000,00100,0200,06/05/00 232339,S200000,00100,0100,ROUTE 2 BOX 590 232339,S200000,00200,0100,STEELVILLE 232339,S200000,00200,0200,MO 232339,S200000,00200,0300,65565 232339,S200000,00300,0100,CRAWFORD 232339,S200000,00300,0200,0026 232339,S200000,00300,0300,R 232339,S200000,00400,0100,GIBBS CARE CENTER 232339,S200000,00400,0200,265673 232339,S200000,00400,0300,06/01/97 232339,S200000,00400,0500,P 232339,S200000,01500,0100,N 232339,S200000,01600,0100,Y 232339,S200000,01700,0100,N 232339,S200000,01800,0100,N 232339,S200000,02200,0100,N 232339,S200000,02800,0100,N 232339,S200000,02900,0100,N 232339,S200000,03000,0100,N 232339,S200000,03100,0100,N 232339,S200000,03200,0100,N 232339,S200000,03300,0100,N 232339,S200000,03300,0200,N 232339,S200000,04100,0100,N 232339,S200000,04200,0100,N 232339,S200000,04300,0100,N 232339,S200000,04600,0100,N 232339,S200000,04700,0100,N 232339,S200000,04700,0200,N 232339,S200000,04900,0100,N 232339,S200000,05200,0100,N 232619,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232619,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232619,A000000,00300,0000,0300EMPLOYEE BENEFITS 232619,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232619,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232619,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232619,A000000,00700,0000,0700HOUSEKEEPING 232619,A000000,00800,0000,0800DIETARY 232619,A000000,00900,0000,0900NURSING ADMINISTRATION 232619,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232619,A000000,01100,0000,1100PHARMACY 232619,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232619,A000000,01300,0000,1300SOCIAL SERVICE 232619,A000000,01600,0000,1600SKILLED NURSING FACILITY 232619,A000000,01800,0000,1800NURSING FACILITY 232619,A000000,01900,0000,1900OTHER LONG TERM CARE 232619,A000000,02100,0000,2100RADIOLOGY 232619,A000000,02200,0000,2200LABORATORY 232619,A000000,02300,0000,2300INTRAVENOUS THERAPY 232619,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232619,A000000,02500,0000,2500PHYSICAL THERAPY 232619,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232619,A000000,02700,0000,2700SPEECH PATHOLOGY 232619,A000000,02800,0000,2800ELECTROCARDIOLOGY 232619,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232619,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232619,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232619,A000000,03200,0000,3200SUPPORT SURFACES 232619,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 232619,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232619,A000000,03301,0000,3051NUTRITIONAL THERAPY 232619,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 232619,A000000,03303,0000,3053PHYSICIAN SERVICES 232619,A000000,03304,0000,3054MEDICAL SERVICES 232619,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232619,A000000,04800,0000,4800AMBULANCE 232619,A000000,05300,0000,5300INTEREST EXPENSE 232619,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232619,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232619,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232619,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232619,A000000,06100,0000,6100NONPAID WORKERS 232619,A000000,06200,0000,6200PATIENTS LAUNDRY 232619,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232619,A81000A,00100,0100,Y 232619,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 232619,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 232619,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 232619,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 232619,A81000B,00500,0300,REGIONAL ALLOCATION 232619,A81000B,00600,0300,SEE ATTACHMENT A-8-1 232619,A81000C,00100,0100,B 232619,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 232619,A81000C,00200,0200,A-8-1. 232619,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232619,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232619,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232619,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232619,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232619,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232619,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 232619,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232619,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 232619,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232619,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232619,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 232619,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232619,S000000,00100,0200,06/02/00 232619,S200000,00100,0100,9960 REGENCYSQUARE BLVD NORTH 232619,S200000,00200,0100,JACKSONVILLE 232619,S200000,00200,0200,FL 232619,S200000,00200,0300,32225- 232619,S200000,00300,0100,DUVAL 232619,S200000,00300,0300,U 232619,S200000,00400,0100,SUNBRIDGE ATRIUM CARE & REHAB 232619,S200000,00400,0200,105927 232619,S200000,00400,0300,09/13/96 232619,S200000,00400,0500,P 232619,S200000,01500,0100,N 232619,S200000,01600,0100,Y 232619,S200000,01700,0100,N 232619,S200000,01800,0100,N 232619,S200000,02200,0100,Y 232619,S200000,02800,0100,N 232619,S200000,02900,0100,N 232619,S200000,03000,0100,N 232619,S200000,03100,0100,N 232619,S200000,03200,0100,N 232619,S200000,03300,0100,N 232619,S200000,03300,0200,N 232619,S200000,04100,0100,N 232619,S200000,04200,0100,N 232619,S200000,04300,0100,N 232619,S200000,04600,0100,N 232619,S200000,04700,0100,N 232619,S200000,04700,0200,N 232619,S200000,04900,0100,N 232619,S200000,05000,0100,N 232619,S200000,05100,0100,N 232619,S200000,05200,0100,N 232626,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232626,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232626,A000000,00300,0000,0300EMPLOYEE BENEFITS 232626,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232626,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232626,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232626,A000000,00700,0000,0700HOUSEKEEPING 232626,A000000,00800,0000,0800DIETARY 232626,A000000,00900,0000,0900NURSING ADMINISTRATION 232626,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232626,A000000,01100,0000,1100PHARMACY 232626,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232626,A000000,01300,0000,1300SOCIAL SERVICE 232626,A000000,01301,0000,1301ACTIVITIES 232626,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 232626,A000000,01500,0000,1350OTHER GENERAL SERVICES 232626,A000000,01600,0000,1600SKILLED NURSING FACILITY 232626,A000000,01800,0000,1800NURSING FACILITY 232626,A000000,01900,0000,1900OTHER LONG TERM CARE 232626,A000000,02100,0000,2100RADIOLOGY 232626,A000000,02200,0000,2200LABORATORY 232626,A000000,02300,0000,2300INTRAVENOUS THERAPY 232626,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232626,A000000,02500,0000,2500PHYSICAL THERAPY 232626,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232626,A000000,02700,0000,2700SPEECH PATHOLOGY 232626,A000000,02800,0000,2800ELECTROCARDIOLOGY 232626,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232626,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232626,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232626,A000000,03200,0000,3200SUPPORT SURFACES 232626,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232626,A000000,03400,0000,3400CLINIC 232626,A000000,03500,0000,3500RURAL HEALTH CLINIC 232626,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232626,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 232626,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 232626,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 232626,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 232626,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 232626,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 232626,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 232626,A000000,04400,0000,4400DME RENTED - HHA 232626,A000000,04500,0000,4500DME SOLD - HHA 232626,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 232626,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 232626,A000000,04800,0000,4800AMBULANCE 232626,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232626,A000000,05000,0000,5000CORF 232626,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232626,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 232626,A000000,05300,0000,5300INTEREST EXPENSE 232626,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232626,A000000,05500,0000,5500HOSPICE 232626,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232626,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232626,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232626,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232626,A000000,06100,0000,6100NONPAID WORKERS 232626,A000000,06200,0000,6200PATIENTS LAUNDRY 232626,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232626,A81000A,00100,0100,Y 232626,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 232626,A81000B,00200,0300,CAPITAL 232626,A81000C,00100,0100,A 232626,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 232626,A81000C,00100,0400,LENOX HEALTHCARE INC 232626,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232626,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232626,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232626,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232626,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232626,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 232626,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 232626,B100000,00000,0800,0800MEALS SERVED :DIETARY 232626,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 232626,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 232626,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 232626,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 232626,S000000,00100,0200,03/09/00 232626,S200000,00100,0100,127 NORTHWEST BOULEVARD 232626,S200000,00200,0100,CRANE 232626,S200000,00200,0200,MO 232626,S200000,00200,0300,65633- 232626,S200000,00300,0100,STONE 232626,S200000,00300,0200,26 232626,S200000,00300,0300,R 232626,S200000,00400,0100,OZARK MOUNTAIN REGIONAL HEALTHCARE 232626,S200000,00400,0200,265230 232626,S200000,00400,0300,11/18/85 232626,S200000,00400,0500,P 232626,S200000,01500,0100,N 232626,S200000,01600,0100,Y 232626,S200000,01700,0100,N 232626,S200000,01800,0100,N 232626,S200000,02200,0100,N 232626,S200000,02800,0100,N 232626,S200000,02900,0100,N 232626,S200000,03000,0100,N 232626,S200000,03100,0100,N 232626,S200000,03200,0100,N 232626,S200000,03300,0100,N 232626,S200000,03300,0200,N 232626,S200000,04100,0100,N 232626,S200000,04200,0100,N 232626,S200000,04300,0100,N 232626,S200000,04600,0100,N 232626,S200000,04700,0100,N 232626,S200000,04700,0200,N 232626,S200000,04900,0100,N 232626,S200000,05000,0100,N 232626,S200000,05100,0100,N 232626,S200000,05200,0100,N 232627,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232627,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232627,A000000,00300,0000,0300EMPLOYEE BENEFITS 232627,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232627,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232627,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232627,A000000,00700,0000,0700HOUSEKEEPING 232627,A000000,00800,0000,0800DIETARY 232627,A000000,00900,0000,0900NURSING ADMINISTRATION 232627,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232627,A000000,01100,0000,1100PHARMACY 232627,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232627,A000000,01300,0000,1300SOCIAL SERVICE 232627,A000000,01301,0000,1301ACTIVITIES 232627,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 232627,A000000,01500,0000,1350OTHER GENERAL SERVICES 232627,A000000,01600,0000,1600SKILLED NURSING FACILITY 232627,A000000,01800,0000,1800NURSING FACILITY 232627,A000000,01900,0000,1900OTHER LONG TERM CARE 232627,A000000,02100,0000,2100RADIOLOGY 232627,A000000,02200,0000,2200LABORATORY 232627,A000000,02300,0000,2300INTRAVENOUS THERAPY 232627,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232627,A000000,02500,0000,2500PHYSICAL THERAPY 232627,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232627,A000000,02700,0000,2700SPEECH PATHOLOGY 232627,A000000,02800,0000,2800ELECTROCARDIOLOGY 232627,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232627,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232627,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232627,A000000,03200,0000,3200SUPPORT SURFACES 232627,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232627,A000000,03400,0000,3400CLINIC 232627,A000000,03500,0000,3500RURAL HEALTH CLINIC 232627,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232627,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 232627,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 232627,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 232627,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 232627,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 232627,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 232627,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 232627,A000000,04400,0000,4400DME RENTED - HHA 232627,A000000,04500,0000,4500DME SOLD - HHA 232627,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 232627,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 232627,A000000,04800,0000,4800AMBULANCE 232627,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232627,A000000,05000,0000,5000CORF 232627,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232627,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 232627,A000000,05300,0000,5300INTEREST EXPENSE 232627,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232627,A000000,05500,0000,5500HOSPICE 232627,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232627,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232627,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232627,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232627,A000000,06100,0000,6100NONPAID WORKERS 232627,A000000,06200,0000,6200PATIENTS LAUNDRY 232627,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232627,A81000A,00100,0100,Y 232627,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 232627,A81000B,00200,0300,CAPITAL 232627,A81000C,00100,0100,A 232627,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 232627,A81000C,00100,0400,LENOX HEALTHCARE INC. 232627,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232627,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232627,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232627,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232627,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232627,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 232627,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 232627,B100000,00000,0800,0800MEALS SERVED :DIETARY 232627,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 232627,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 232627,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 232627,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 232627,S000000,00100,0200,03/02/00 232627,S200000,00100,0100,ROUTE 3 232627,S200000,00100,0300,BOX 116 232627,S200000,00200,0100,KIMBERLING CITY 232627,S200000,00200,0200,MO 232627,S200000,00200,0300,65686- 232627,S200000,00300,0100,STONE 232627,S200000,00300,0200,26 232627,S200000,00300,0300,R 232627,S200000,00400,0100,TABLEROCK RETIREMENT VILLAGE 232627,S200000,00400,0200,265288 232627,S200000,00400,0300,01/01/82 232627,S200000,00400,0500,P 232627,S200000,01500,0100,N 232627,S200000,01600,0100,Y 232627,S200000,01700,0100,N 232627,S200000,01800,0100,N 232627,S200000,02200,0100,N 232627,S200000,02800,0100,N 232627,S200000,02900,0100,N 232627,S200000,03000,0100,N 232627,S200000,03100,0100,N 232627,S200000,03200,0100,N 232627,S200000,03300,0100,N 232627,S200000,03300,0200,N 232627,S200000,04100,0100,N 232627,S200000,04200,0100,N 232627,S200000,04300,0100,N 232627,S200000,04600,0100,N 232627,S200000,04700,0100,N 232627,S200000,04700,0200,N 232627,S200000,04900,0100,N 232627,S200000,05000,0100,N 232627,S200000,05100,0100,N 232627,S200000,05200,0100,N 232792,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232792,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232792,A000000,00300,0000,0300EMPLOYEE BENEFITS 232792,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232792,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232792,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232792,A000000,00700,0000,0700HOUSEKEEPING 232792,A000000,00800,0000,0800DIETARY 232792,A000000,00900,0000,0900NURSING ADMINISTRATION 232792,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232792,A000000,01100,0000,1100PHARMACY 232792,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232792,A000000,01300,0000,1300SOCIAL SERVICE 232792,A000000,01600,0000,1600SKILLED NURSING FACILITY 232792,A000000,01800,0000,1800NURSING FACILITY 232792,A000000,01900,0000,1900OTHER LONG TERM CARE 232792,A000000,02100,0000,2100RADIOLOGY 232792,A000000,02200,0000,2200LABORATORY 232792,A000000,02300,0000,2300INTRAVENOUS THERAPY 232792,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232792,A000000,02500,0000,2500PHYSICAL THERAPY 232792,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232792,A000000,02700,0000,2700SPEECH PATHOLOGY 232792,A000000,02800,0000,2800ELECTROCARDIOLOGY 232792,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232792,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232792,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232792,A000000,03200,0000,3200SUPPORT SURFACES 232792,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 232792,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232792,A000000,03301,0000,3051NUTRITIONAL THERAPY 232792,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 232792,A000000,03303,0000,3053PHYSICIAN SERVICES 232792,A000000,03304,0000,3054MEDICAL SERVICES 232792,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232792,A000000,04800,0000,4800AMBULANCE 232792,A000000,05300,0000,5300INTEREST EXPENSE 232792,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232792,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232792,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232792,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232792,A000000,06100,0000,6100NONPAID WORKERS 232792,A000000,06200,0000,6200PATIENTS LAUNDRY 232792,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232792,A81000A,00100,0100,Y 232792,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 232792,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 232792,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 232792,A81000B,00400,0300,HOME OFFICE COST 232792,A81000B,00500,0300,REG. ALLOC. RELATED PARTY 232792,A81000B,00600,0300,PLEASE SEE ATTACHED 232792,A81000C,00100,0100,B 232792,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 232792,A81000C,00200,0200,A-8-1. 232792,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232792,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232792,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232792,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232792,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232792,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232792,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 232792,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232792,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 232792,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232792,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232792,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 232792,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232792,S000000,00100,0200,05/30/00 232792,S200000,00100,0100,5872 HANKS AVENUE 232792,S200000,00200,0100,DUBLIN 232792,S200000,00200,0200,VA 232792,S200000,00200,0300,24084- 232792,S200000,00300,0100,PULASKI 232792,S200000,00300,0200,49 232792,S200000,00300,0300,R 232792,S200000,00400,0100,SB CARE & REHAB - NEW RIVER VALLEY 232792,S200000,00400,0200,495333 232792,S200000,00400,0300,01/21/99 232792,S200000,00400,0500,P 232792,S200000,01500,0100,N 232792,S200000,01600,0100,Y 232792,S200000,01700,0100,N 232792,S200000,01800,0100,N 232792,S200000,02200,0100,Y 232792,S200000,02800,0100,N 232792,S200000,02900,0100,N 232792,S200000,03000,0100,N 232792,S200000,03100,0100,N 232792,S200000,03200,0100,N 232792,S200000,03300,0100,N 232792,S200000,03300,0200,N 232792,S200000,04100,0100,N 232792,S200000,04200,0100,N 232792,S200000,04300,0100,N 232792,S200000,04600,0100,N 232792,S200000,04700,0100,N 232792,S200000,04700,0200,N 232792,S200000,04900,0100,N 232792,S200000,05000,0100,N 232792,S200000,05100,0100,N 232792,S200000,05200,0100,N 232825,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232825,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232825,A000000,00300,0000,0300EMPLOYEE BENEFITS 232825,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232825,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232825,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232825,A000000,00700,0000,0700HOUSEKEEPING 232825,A000000,00800,0000,0800DIETARY 232825,A000000,00900,0000,0900NURSING ADMINISTRATION 232825,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232825,A000000,01100,0000,1100PHARMACY 232825,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232825,A000000,01300,0000,1300SOCIAL SERVICE 232825,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 232825,A000000,01500,0000,1350ACTIVITIES 232825,A000000,01600,0000,1600SKILLED NURSING FACILITY 232825,A000000,01800,0000,1800NURSING FACILITY 232825,A000000,01810,0000,1810ICF/MR 232825,A000000,01900,0000,1900OTHER LONG TERM CARE 232825,A000000,02100,0000,2100RADIOLOGY 232825,A000000,02200,0000,2200LABORATORY 232825,A000000,02300,0000,2300INTRAVENOUS THERAPY 232825,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232825,A000000,02500,0000,2500PHYSICAL THERAPY 232825,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232825,A000000,02700,0000,2700SPEECH PATHOLOGY 232825,A000000,02800,0000,2800ELECTROCARDIOLOGY 232825,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232825,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232825,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232825,A000000,03200,0000,3200SUPPORT SURFACES 232825,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232825,A000000,03400,0000,3400CLINIC 232825,A000000,03500,0000,3500RURAL HEALTH CLINIC 232825,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232825,A000000,04800,0000,4800AMBULANCE 232825,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232825,A000000,05000,0000,5000CORF 232825,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232825,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 232825,A000000,05300,0000,5300INTEREST EXPENSE 232825,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232825,A000000,05500,0000,5500HOSPICE 232825,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232825,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232825,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232825,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232825,A000000,06100,0000,6100NONPAID WORKERS 232825,A000000,06200,0000,6200PATIENTS LAUNDRY 232825,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232825,A81000A,00100,0100,Y 232825,A81000B,00100,0300,HOME OFFICE CAPITAL 232825,A81000B,00200,0300,HOME OFFICE A & G 232825,A81000C,00100,0100,B 232825,A81000C,00100,0400,SENIOR CARE PROP. INC. 232825,A81000C,00100,0600,HOME OFFICE 232825,A81000C,00200,0100,B 232825,A81000C,00200,0400,SENIOR CARE PROP. INC. 232825,A81000C,00200,0600,HOME OFFICE 232825,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232825,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232825,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232825,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232825,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232825,B100000,00000,0700,0750MODIFIED SQ. FEET :HOUSEKEEPING 232825,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232825,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232825,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 232825,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232825,B100000,00000,1500,1350PATIENT DAYS :ACTIVITIES 232825,S000000,00100,0200,09/05/00 232825,S200000,00100,0100,US HWY 98 & BEGONIA ST. 232825,S200000,00200,0100,EASTPOINT 232825,S200000,00200,0200,FL 232825,S200000,00200,0300,32328- 232825,S200000,00300,0100,FRANKLIN 232825,S200000,00300,0300,R 232825,S200000,00400,0100,BAY ST. GEORGE CARE CENTER 232825,S200000,00400,0200,105569 232825,S200000,00400,0300,01/04/91 232825,S200000,00400,0500,P 232825,S200000,01500,0100,Y 232825,S200000,01600,0100,N 232825,S200000,01700,0100,N 232825,S200000,01800,0100,N 232825,S200000,02200,0100,N 232825,S200000,02800,0100,N 232825,S200000,02900,0100,N 232825,S200000,03000,0100,N 232825,S200000,03100,0100,N 232825,S200000,03200,0100,N 232825,S200000,03300,0100,N 232825,S200000,03300,0200,N 232825,S200000,04100,0100,N 232825,S200000,04200,0100,N 232825,S200000,04300,0100,N 232825,S200000,04600,0100,N 232825,S200000,04700,0100,N 232825,S200000,04700,0200,N 232825,S200000,04900,0100,N 232825,S200000,05000,0100,N 232825,S200000,05100,0100,N 232825,S200000,05200,0100,N 232840,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232840,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232840,A000000,00300,0000,0300EMPLOYEE BENEFITS 232840,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232840,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232840,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232840,A000000,00700,0000,0700HOUSEKEEPING 232840,A000000,00800,0000,0800DIETARY 232840,A000000,00900,0000,0900NURSING ADMINISTRATION 232840,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232840,A000000,01100,0000,1100PHARMACY 232840,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232840,A000000,01300,0000,1300SOCIAL SERVICE 232840,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 232840,A000000,01500,0000,1350OTHER GENERAL SERVICES 232840,A000000,01600,0000,1600SKILLED NURSING FACILITY 232840,A000000,01800,0000,1800NURSING FACILITY 232840,A000000,01810,0000,1810ICF/MR 232840,A000000,01900,0000,1900OTHER LONG TERM CARE 232840,A000000,02100,0000,2100RADIOLOGY 232840,A000000,02200,0000,2200LABORATORY 232840,A000000,02300,0000,2300INTRAVENOUS THERAPY 232840,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232840,A000000,02500,0000,2500PHYSICAL THERAPY 232840,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232840,A000000,02700,0000,2700SPEECH PATHOLOGY 232840,A000000,02800,0000,2800ELECTROCARDIOLOGY 232840,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232840,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232840,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232840,A000000,03200,0000,3200SUPPORT SURFACES 232840,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232840,A000000,03400,0000,3400CLINIC 232840,A000000,03500,0000,3500RURAL HEALTH CLINIC 232840,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232840,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 232840,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 232840,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 232840,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 232840,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 232840,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 232840,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 232840,A000000,04400,0000,4400DME RENTED - HHA 232840,A000000,04500,0000,4500DME SOLD - HHA 232840,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 232840,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 232840,A000000,04800,0000,4800AMBULANCE 232840,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232840,A000000,05000,0000,5000CORF 232840,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232840,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 232840,A000000,05300,0000,5300INTEREST EXPENSE 232840,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232840,A000000,05500,0000,5500HOSPICE 232840,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232840,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232840,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232840,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232840,A000000,06100,0000,6100NONPAID WORKERS 232840,A000000,06200,0000,6200PATIENTS LAUNDRY 232840,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232840,A81000A,00100,0100,Y 232840,A81000B,00100,0300,CAPITAL RELATED H/O - BLDG 232840,A81000B,00200,0300,CAPITAL RELATED H/O - EQUIP 232840,A81000B,00300,0300,RELATED PARTY DEPRECIATION 232840,A81000B,00400,0300,HOME OFFICE COST 232840,A81000B,00500,0300,CONTRACTED THERAPY 232840,A81000B,00600,0300,CONTRACTED THERAPY 232840,A81000B,00700,0300,CONTRACTED THERAPY 232840,A81000B,00800,0300,REGIONAL OFFICE COST 232840,A81000B,00900,0300,SEE ATTACHED 232840,A81000C,00100,0100,A 232840,A81000C,00100,0200,PLEASE SEE ATTACHED W/P 232840,A81000C,00200,0200,A-8-1 232840,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 232840,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 232840,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232840,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232840,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 232840,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232840,B100000,00000,0700,0750SQR FEET :HOUSEKEEPING 232840,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232840,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 232840,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232840,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232840,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 232840,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232840,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 232840,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 232840,S000000,00100,0200,07/12/00 232840,S200000,00100,0100,100 CHERRYWOOD PLACE 232840,S200000,00200,0100,JACKSON 232840,S200000,00200,0200,TN 232840,S200000,00200,0300,38305- 232840,S200000,00300,0100,MADISON 232840,S200000,00300,0200,3580 232840,S200000,00300,0300,U 232840,S200000,00400,0100,MAPLEWOOD HEALTH CARE CENTER 232840,S200000,00400,0200,445412 232840,S200000,00400,0300,04/04/97 232840,S200000,00400,0500,P 232840,S200000,01500,0100,Y 232840,S200000,01600,0100,N 232840,S200000,01700,0100,N 232840,S200000,01800,0100,N 232840,S200000,02200,0100,Y 232840,S200000,02800,0100,N 232840,S200000,02900,0100,N 232840,S200000,03000,0100,N 232840,S200000,03100,0100,N 232840,S200000,03200,0100,N 232840,S200000,03300,0100,N 232840,S200000,03300,0200,N 232840,S200000,04100,0100,N 232840,S200000,04200,0100,N 232840,S200000,04300,0100,N 232840,S200000,04600,0100,N 232840,S200000,04700,0100,N 232840,S200000,04700,0200,N 232840,S200000,04900,0100,N 232840,S200000,05000,0100,N 232840,S200000,05100,0100,N 232840,S200000,05200,0100,N 232841,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232841,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232841,A000000,00300,0000,0300EMPLOYEE BENEFITS 232841,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232841,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232841,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232841,A000000,00700,0000,0700HOUSEKEEPING 232841,A000000,00800,0000,0800DIETARY 232841,A000000,00900,0000,0900NURSING ADMINISTRATION 232841,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232841,A000000,01100,0000,1100PHARMACY 232841,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232841,A000000,01300,0000,1300SOCIAL SERVICE 232841,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 232841,A000000,01500,0000,1350OTHER GENERAL SERVICES 232841,A000000,01600,0000,1600SKILLED NURSING FACILITY 232841,A000000,01800,0000,1800NURSING FACILITY 232841,A000000,01810,0000,1810ICF/MR 232841,A000000,01900,0000,1900OTHER LONG TERM CARE 232841,A000000,02100,0000,2100RADIOLOGY 232841,A000000,02200,0000,2200LABORATORY 232841,A000000,02300,0000,2300INTRAVENOUS THERAPY 232841,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232841,A000000,02500,0000,2500PHYSICAL THERAPY 232841,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232841,A000000,02700,0000,2700SPEECH PATHOLOGY 232841,A000000,02800,0000,2800ELECTROCARDIOLOGY 232841,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232841,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232841,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232841,A000000,03200,0000,3200SUPPORT SURFACES 232841,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232841,A000000,03400,0000,3400CLINIC 232841,A000000,03500,0000,3500RURAL HEALTH CLINIC 232841,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232841,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 232841,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 232841,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 232841,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 232841,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 232841,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 232841,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 232841,A000000,04400,0000,4400DME RENTED - HHA 232841,A000000,04500,0000,4500DME SOLD - HHA 232841,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 232841,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 232841,A000000,04800,0000,4800AMBULANCE 232841,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232841,A000000,05000,0000,5000CORF 232841,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232841,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 232841,A000000,05300,0000,5300INTEREST EXPENSE 232841,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232841,A000000,05500,0000,5500HOSPICE 232841,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232841,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232841,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232841,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232841,A000000,06100,0000,6100NONPAID WORKERS 232841,A000000,06200,0000,6200PATIENTS LAUNDRY 232841,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232841,A81000A,00100,0100,Y 232841,A81000B,00100,0300,CAPITAL H/O COST - BUILDING 232841,A81000B,00200,0300,CAPITAL H/O COST - EQUIPMENT 232841,A81000B,00300,0300,RELATED PARTY DEPRECIATION 232841,A81000B,00400,0300,HOME OFFICE COST 232841,A81000B,00500,0300,REGIONAL ALLOCATION 232841,A81000B,00600,0300,SEE ATTACHED 232841,A81000C,00100,0100,A 232841,A81000C,00100,0200,LAURELWOOD HCC 232841,A81000C,00100,0400,SUN HEALTH 232841,A81000C,00100,0600,HEALTHCARE 232841,A81000C,00200,0200,A-8-1 232841,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 232841,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 232841,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232841,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232841,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 232841,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232841,B100000,00000,0700,0750SQR FEET :HOUSEKEEPING 232841,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232841,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 232841,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232841,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232841,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 232841,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232841,B100000,00000,1400,1450PATIENT DAYS :INTERNS & RESIDEN 232841,S000000,00100,0200,07/12/00 232841,S200000,00100,0100,200 BIRCH STREET 232841,S200000,00200,0100,JACKSON 232841,S200000,00200,0200,TN 232841,S200000,00200,0300,38303- 232841,S200000,00300,0100,MADISON 232841,S200000,00300,0200,3580 232841,S200000,00300,0300,U 232841,S200000,00400,0100,LAURELWOOD HEALTH CARE 232841,S200000,00400,0200,445413 232841,S200000,00400,0300,04/01/97 232841,S200000,00400,0500,P 232841,S200000,01500,0100,Y 232841,S200000,01600,0100,N 232841,S200000,01700,0100,N 232841,S200000,01800,0100,N 232841,S200000,02200,0100,Y 232841,S200000,02800,0100,N 232841,S200000,02900,0100,N 232841,S200000,03000,0100,N 232841,S200000,03100,0100,N 232841,S200000,03200,0100,N 232841,S200000,03300,0100,N 232841,S200000,03300,0200,N 232841,S200000,04100,0100,N 232841,S200000,04200,0100,N 232841,S200000,04300,0100,N 232841,S200000,04600,0100,N 232841,S200000,04700,0100,N 232841,S200000,04700,0200,N 232841,S200000,04900,0100,N 232841,S200000,05000,0100,N 232841,S200000,05100,0100,N 232841,S200000,05200,0100,N 232843,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 232843,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 232843,A000000,00300,0000,0300EMPLOYEE BENEFITS 232843,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232843,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 232843,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232843,A000000,00700,0000,0700HOUSEKEEPING 232843,A000000,00800,0000,0800DIETARY 232843,A000000,00900,0000,0900NURSING ADMINISTRATION 232843,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232843,A000000,01100,0000,1100PHARMACY 232843,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232843,A000000,01300,0000,1300SOCIAL SERVICE 232843,A000000,01600,0000,1600SKILLED NURSING FACILITY 232843,A000000,01800,0000,1800NURSING FACILITY 232843,A000000,01900,0000,1900OTHER LONG TERM CARE 232843,A000000,02100,0000,2100RADIOLOGY 232843,A000000,02200,0000,2200LABORATORY 232843,A000000,02300,0000,2300INTRAVENOUS THERAPY 232843,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232843,A000000,02500,0000,2500PHYSICAL THERAPY 232843,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232843,A000000,02700,0000,2700SPEECH PATHOLOGY 232843,A000000,02800,0000,2800ELECTROCARDIOLOGY 232843,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 232843,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232843,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 232843,A000000,03200,0000,3200SUPPORT SURFACES 232843,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 232843,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232843,A000000,03301,0000,3051NUTRITIONAL THERAPY 232843,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 232843,A000000,03303,0000,3053PHYSICIAN SERVICES 232843,A000000,03304,0000,3054MEDICAL SERVICES 232843,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232843,A000000,04800,0000,4800AMBULANCE 232843,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 232843,A000000,05300,0000,5300INTEREST EXPENSE 232843,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232843,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 232843,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232843,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 232843,A000000,06100,0000,6100NONPAID WORKERS 232843,A000000,06200,0000,6200PATIENTS LAUNDRY 232843,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232843,A81000A,00100,0100,Y 232843,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 232843,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 232843,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 232843,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 232843,A81000B,00500,0300,REGIONAL ALLOCATION 232843,A81000B,00600,0300,CONTRACT PHYSICAL THERAPY 232843,A81000B,00700,0300,CONTRACT OCCUPATIONAL THERAPY 232843,A81000B,00800,0300,CONTRACT SPEECH THERAPY 232843,A81000B,00900,0300,SEE ATTACHED 232843,A81000C,00100,0100,B 232843,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 232843,A81000C,00200,0200,A-8-1. 232843,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 232843,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 232843,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 232843,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 232843,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 232843,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 232843,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 232843,B100000,00000,0800,0850PATIENT DAYS :DIETARY 232843,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 232843,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 232843,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 232843,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 232843,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 232843,S000000,00100,0200,09/06/01 232843,S200000,00100,0100,MARSH STREET 232843,S200000,00100,0300,1488 232843,S200000,00200,0100,TAPPAHANNOCK 232843,S200000,00200,0200,VA 232843,S200000,00200,0300,22560- 232843,S200000,00300,0100,ESSEX 232843,S200000,00300,0200,49 232843,S200000,00300,0300,R 232843,S200000,00400,0100,SUNBRIDGE CARE & REHAB-TAPPAHANNOCK 232843,S200000,00400,0200,495328 232843,S200000,00400,0300,05/01/98 232843,S200000,00400,0500,P 232843,S200000,01500,0100,N 232843,S200000,01600,0100,Y 232843,S200000,01700,0100,N 232843,S200000,01800,0100,N 232843,S200000,02200,0100,Y 232843,S200000,02800,0100,N 232843,S200000,02900,0100,N 232843,S200000,03000,0100,N 232843,S200000,03100,0100,N 232843,S200000,03200,0100,N 232843,S200000,03300,0100,N 232843,S200000,03300,0200,N 232843,S200000,04100,0100,N 232843,S200000,04200,0100,N 232843,S200000,04300,0100,N 232843,S200000,04600,0100,N 232843,S200000,04700,0100,N 232843,S200000,04700,0200,N 232843,S200000,04900,0100,N 232843,S200000,05000,0100,N 232843,S200000,05100,0100,N 232843,S200000,05200,0100,N 232860,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 232860,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 232860,A000000,00300,0000,0300EMPLOYEE BENEFITS 232860,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232860,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 232860,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232860,A000000,00700,0000,0700HOUSEKEEPING 232860,A000000,00800,0000,0800DIETARY 232860,A000000,00900,0000,0900NURSING ADMINISTRATION 232860,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232860,A000000,01100,0000,1100PHARMACY 232860,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232860,A000000,01300,0000,1300SOCIAL SERVICE 232860,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 232860,A000000,01500,0000,1350PATIENT ACTIVITIES 232860,A000000,01600,0000,1600SKILLED NURSING FACILITY 232860,A000000,01800,0000,1800NURSING FACILITY 232860,A000000,01810,0000,1810ICF/MR 232860,A000000,02300,0000,2300INTRAVENOUS THERAPY 232860,A000000,02500,0000,2500PHYSICAL THERAPY 232860,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232860,A000000,02700,0000,2700SPEECH PATHOLOGY 232860,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 232860,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232860,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232860,A000000,03550,0000,3550FQHC 232860,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232860,A000000,04801,0000,4801AMBULANCE 232860,A000000,04802,0000,4802AMBULANCE 232860,A000000,04803,0000,4803AMBULANCE 232860,A000000,05000,0000,5000CORF 232860,A000000,05010,0000,5010CMHC 232860,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 232860,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 232860,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 232860,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232860,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232860,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232860,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232860,A81000A,00100,0100,N 232860,B100000,00000,0100,0100SQUARE FEET 232860,B100000,00000,0200,0200SQUARE FEET 232860,B100000,00000,0300,0300GROSS SALARIES 232860,B100000,00000,0400,0400ACCUM COST 232860,B100000,00000,0500,0500SQUARE FEET 232860,B100000,00000,0600,0600PATIENT DAYS 232860,B100000,00000,0700,0700SQUARE FEET 232860,B100000,00000,0800,0800MEALS SERVED 232860,B100000,00000,0900,0900PATIENT DAYS 232860,B100000,00000,1000,1000PATIENT DAYS 232860,B100000,00000,1100,1100PATIENT DAYS 232860,B100000,00000,1200,1200PATIENT DAYS 232860,B100000,00000,1300,1300PATIENT DAYS 232860,B100000,00000,1400,1400ASSIGNED TIME 232860,B100000,00000,1500,1350PATIENT DAYS 232860,S000000,00100,0200,10/26/01 232860,S200000,00100,0100,1120 WEST HUTCHINSON 232860,S200000,00200,0100,CROWLEY 232860,S200000,00200,0200,LA 232860,S200000,00200,0300,70527 232860,S200000,00300,0100,ACADIA 232860,S200000,00300,0200,0100 232860,S200000,00300,0300,R 232860,S200000,00400,0100,CHRISTIAN VILLA NURSING HOME 232860,S200000,00400,0200,195426 232860,S200000,00400,0300,07/01/97 232860,S200000,00400,0500,P 232860,S200000,01500,0100,N 232860,S200000,01600,0100,Y 232860,S200000,01700,0100,N 232860,S200000,01800,0100,N 232860,S200000,02200,0100,N 232860,S200000,02800,0100,N 232860,S200000,02900,0100,N 232860,S200000,03000,0100,N 232860,S200000,03100,0100,N 232860,S200000,03200,0100,N 232860,S200000,03300,0100,N 232860,S200000,03300,0200,N 232860,S200000,04100,0100,N 232860,S200000,04200,0100,N 232860,S200000,04300,0100,N 232860,S200000,04600,0100,N 232860,S200000,04700,0100,N 232860,S200000,04700,0200,N 232860,S200000,04900,0100,N 232860,S200000,05200,0100,N 232887,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 232887,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 232887,A000000,00300,0000,0300EMPLOYEE BENEFITS 232887,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232887,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 232887,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232887,A000000,00700,0000,0700HOUSEKEEPING 232887,A000000,00800,0000,0800DIETARY 232887,A000000,00900,0000,0900NURSING ADMINISTRATION 232887,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232887,A000000,01100,0000,1100PHARMACY 232887,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232887,A000000,01300,0000,1300SOCIAL SERVICE 232887,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 232887,A000000,01600,0000,1600SKILLED NURSING FACILITY 232887,A000000,01800,0000,1800NURSING FACILITY 232887,A000000,01810,0000,1810ICF/MR 232887,A000000,01900,0000,1900OTHER LONG TERM CARE 232887,A000000,02100,0000,2100RADIOLOGY 232887,A000000,02200,0000,2200LABORATORY 232887,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 232887,A000000,02500,0000,2500PHYSICAL THERAPY 232887,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232887,A000000,02700,0000,2700SPEECH PATHOLOGY 232887,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 232887,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232887,A000000,03200,0000,3200SUPPORT SURFACES 232887,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 232887,A000000,03550,0000,3550FQHC 232887,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 232887,A000000,04801,0000,4801AMBULANCE 232887,A000000,04802,0000,4802AMBULANCE 232887,A000000,04803,0000,4803AMBULANCE 232887,A000000,05000,0000,5000CORF 232887,A000000,05010,0000,5010CMHC 232887,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 232887,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 232887,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 232887,A000000,05300,0000,5300INTEREST EXPENSE 232887,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 232887,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232887,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232887,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 232887,A81000A,00100,0100,Y 232887,A81000B,00100,0300,BUILDING RENT 232887,A81000B,00200,0300,HOME OFFICE 232887,A81000B,00300,0300,HOME OFFICE 232887,A81000B,00400,0300,HOME OFFICE 232887,A81000B,00700,0300,THERAPY SERVICES 232887,A81000B,00800,0300,THERAPY SERVICES 232887,A81000B,00900,0300,THERAPY SERVICES 232887,A81000B,01000,0300,DRUGS 232887,A81000B,01100,0300,MEDIAL SUPPLIES 232887,A81000B,01200,0300,CERTIFIED 232887,A81000B,01300,0300,NON-CERTIFIED 232887,A81000B,01400,0300,MEDICAL SUPPLIES 232887,A81000C,00100,0100,B 232887,A81000C,00100,0200,M-S ASSOCIATES 232887,A81000C,00100,0400,REAL ESTATE 232887,A81000C,00100,0600,REAL ESTATE 232887,A81000C,00200,0100,B 232887,A81000C,00200,0200,RELIANT CARE MA 232887,A81000C,00200,0400,MANAGEMENT 232887,A81000C,00200,0600,MANAGEMENT 232887,A81000C,00300,0100,B 232887,A81000C,00300,0200,RC MEDICAL SERV 232887,A81000C,00300,0400,MEDICAL SUPPLIE 232887,A81000C,00300,0600,MEDICAL SUPPLIE 232887,A81000C,00400,0100,B 232887,A81000C,00400,0200,PHARMCO MISSOUR 232887,A81000C,00400,0400,PHARMACY 232887,A81000C,00400,0600,PHARMACY 232887,B100000,00000,0100,0100SQUARE FEET 232887,B100000,00000,0200,0200SQUARE FEET 232887,B100000,00000,0300,0300GROSS SALARIES 232887,B100000,00000,0400,0400ACCUM COST 232887,B100000,00000,0500,0500SQUARE FEET 232887,B100000,00000,0600,0600PATIENT DAYS 232887,B100000,00000,0700,0700SQUARE FEET 232887,B100000,00000,0800,0800MEALS SERVED 232887,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 232887,B100000,00000,1000,1000COSTED REQUISITIO 232887,B100000,00000,1100,1100COSTED REQUISITIO 232887,B100000,00000,1200,1200PATIENT DAYS 232887,B100000,00000,1300,1300PATIENT DAYS 232887,B100000,00000,1400,1400ASSIGNED TIME 232887,E10A180,00501,0300,07/31/00 232887,S000000,00100,0200,05/31/00 232887,S200000,00100,0100,902 MANOR DRIVE 232887,S200000,00200,0100,SALISBURY 232887,S200000,00200,0200,MO 232887,S200000,00200,0300,65281 232887,S200000,00300,0100,CHARITON 232887,S200000,00300,0200,0026 232887,S200000,00300,0300,R 232887,S200000,00400,0100,CHARITON PARK 232887,S200000,00400,0200,265526 232887,S200000,00400,0300,03/01/93 232887,S200000,00400,0500,P 232887,S200000,01500,0100,N 232887,S200000,01600,0100,Y 232887,S200000,01700,0100,N 232887,S200000,01800,0100,N 232887,S200000,02200,0100,N 232887,S200000,02800,0100,N 232887,S200000,02900,0100,N 232887,S200000,03000,0100,N 232887,S200000,03100,0100,N 232887,S200000,03200,0100,N 232887,S200000,03300,0100,N 232887,S200000,03300,0200,N 232887,S200000,04100,0100,N 232887,S200000,04200,0100,N 232887,S200000,04300,0100,N 232887,S200000,04600,0100,N 232887,S200000,04700,0100,N 232887,S200000,04900,0100,N 232887,S200000,05200,0100,N 232895,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 232895,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 232895,A000000,00300,0000,0300EMPLOYEE BENEFITS 232895,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232895,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 232895,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232895,A000000,00700,0000,0700HOUSEKEEPING 232895,A000000,00800,0000,0800DIETARY 232895,A000000,00900,0000,0900NURSING ADMINISTRATION 232895,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232895,A000000,01100,0000,1100PHARMACY 232895,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232895,A000000,01300,0000,1300SOCIAL SERVICE 232895,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 232895,A000000,01500,0000,1350OTHER GENERAL SERVICES 232895,A000000,01600,0000,1600SKILLED NURSING FACILITY 232895,A000000,01800,0000,1800NURSING FACILITY 232895,A000000,01810,0000,1810ICF/MR 232895,A000000,02100,0000,2100RADIOLOGY 232895,A000000,02200,0000,2200LABORATORY 232895,A000000,02500,0000,2500PHYSICAL THERAPY 232895,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232895,A000000,02700,0000,2700SPEECH PATHOLOGY 232895,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 232895,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232895,A000000,03001,0000,3001AIR FLUIDIZED BEDS 232895,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232895,A000000,03550,0000,3550FQHC 232895,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232895,A000000,04801,0000,4801AMBULANCE 232895,A000000,04802,0000,4802AMBULANCE 232895,A000000,04803,0000,4803AMBULANCE 232895,A000000,05000,0000,5000CORF 232895,A000000,05010,0000,5010CMHC 232895,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 232895,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 232895,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 232895,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232895,A000000,05300,0000,5300INTEREST EXPENSE 232895,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232895,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232895,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232895,A81000A,00100,0100,Y 232895,A81000B,00100,0300,HOME OFFICE CAPITAL COSTS 232895,A81000B,00200,0300,MANAGEMENT FEES 232895,A81000C,00100,0100,B 232895,A81000C,00100,0200,LIGHTNING CREEK INV GROUP 232895,A81000C,00100,0400,LIGHTNING CREEK INV GROUP 232895,A81000C,00100,0600,RELATED MANAGEMENT CO. 232895,A81000C,00200,0100,B 232895,A81000C,00200,0200,LIGHTNING CREEK INV GROUP 232895,A81000C,00200,0400,LIGHTNING CREEK INV GROUP 232895,A81000C,00200,0600,RELATED MANAGEMENT CO. 232895,B100000,00000,0100,0100SQUARE FEET 232895,B100000,00000,0200,0200DOLLAR VALUE 232895,B100000,00000,0300,0300GROSS SALARIES 232895,B100000,00000,0400,0400ACCUM COST 232895,B100000,00000,0500,0500SQUARE FEET 232895,B100000,00000,0600,0600POUNDS OF LAUNDRY 232895,B100000,00000,0700,0700SQUARE FEET 232895,B100000,00000,0800,0800MEALS SERVED 232895,B100000,00000,0900,0900DIRECT NRSING HRS 232895,B100000,00000,1000,1000COSTED REQUIS. 232895,B100000,00000,1100,1100COSTED REQUIS. 232895,B100000,00000,1200,1200TIME SPENT 232895,B100000,00000,1300,1300TIME SPENT 232895,B100000,00000,1400,1400ASSIGNED TIME 232895,B100000,00000,1500,1350NO STATISTICS 232895,E10A180,00501,0100,07/13/00 232895,E10A180,00501,0300,11/08/00 232895,E10A180,00550,0300,07/13/00 232895,S000000,00100,0200,08/10/00 232895,S200000,00100,0100,721 W. FILMORE 232895,S200000,00200,0100,BRUNSWICK 232895,S200000,00200,0200,MO 232895,S200000,00200,0300,65236 232895,S200000,00300,0100,CHARITON 232895,S200000,00300,0200,9926 232895,S200000,00300,0300,R 232895,S200000,00400,0100,BRUNSWICK NURSING HOME 232895,S200000,00400,0200,265598 232895,S200000,00400,0300,01/01/95 232895,S200000,00400,0500,P 232895,S200000,01500,0100,N 232895,S200000,01600,0100,Y 232895,S200000,01700,0100,N 232895,S200000,01800,0100,N 232895,S200000,02200,0100,N 232895,S200000,02800,0100,N 232895,S200000,02900,0100,N 232895,S200000,03000,0100,N 232895,S200000,03100,0100,N 232895,S200000,03200,0100,N 232895,S200000,03300,0100,N 232895,S200000,03300,0200,N 232895,S200000,04100,0100,N 232895,S200000,04200,0100,N 232895,S200000,04300,0100,N 232895,S200000,04600,0100,N 232895,S200000,04700,0100,N 232895,S200000,04700,0200,N 232895,S200000,04900,0100,N 232895,S200000,05200,0100,N 232896,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 232896,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 232896,A000000,00300,0000,0300EMPLOYEE BENEFITS 232896,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 232896,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 232896,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 232896,A000000,00700,0000,0700HOUSEKEEPING 232896,A000000,00800,0000,0800DIETARY 232896,A000000,00900,0000,0900NURSING ADMINISTRATION 232896,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 232896,A000000,01100,0000,1100PHARMACY 232896,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 232896,A000000,01300,0000,1300SOCIAL SERVICE 232896,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 232896,A000000,01500,0000,1350OTHER GENERAL SERVICES 232896,A000000,01600,0000,1600SKILLED NURSING FACILITY 232896,A000000,01800,0000,1800NURSING FACILITY 232896,A000000,01810,0000,1810ICF/MR 232896,A000000,02200,0000,2200LABORATORY 232896,A000000,02500,0000,2500PHYSICAL THERAPY 232896,A000000,02600,0000,2600OCCUPATIONAL THERAPY 232896,A000000,02700,0000,2700SPEECH PATHOLOGY 232896,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 232896,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 232896,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 232896,A000000,03550,0000,3550FQHC 232896,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 232896,A000000,04801,0000,4801AMBULANCE 232896,A000000,04802,0000,4802AMBULANCE 232896,A000000,04803,0000,4803AMBULANCE 232896,A000000,05000,0000,5000CORF 232896,A000000,05010,0000,5010CMHC 232896,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 232896,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 232896,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 232896,A000000,05100,0000,4750OTHER REIMBURSABLE COST 232896,A000000,05300,0000,5300INTEREST EXPENSE 232896,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 232896,A000000,05900,0000,5900BARBER & BEAUTY SHOP 232896,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 232896,A81000A,00100,0100,Y 232896,A81000B,00100,0300,HOME OFFICE FEES 232896,A81000B,00200,0300,HOME OFFICE FEES 232896,A81000C,00100,0100,A 232896,A81000C,00100,0200,JAMES & JUDY LINCOLN 232896,A81000C,00100,0400,HEALTH SYSTEMS INC. 232896,A81000C,00100,0600,HOME OFFICE 232896,B100000,00000,0100,0100SQUARE FEET 232896,B100000,00000,0200,0200SQUARE FEET 232896,B100000,00000,0300,0300GROSS SALARIES 232896,B100000,00000,0400,0400ACCUM COST 232896,B100000,00000,0500,0500SQUARE FEET 232896,B100000,00000,0600,0600POUNDS OF LAUNDRY 232896,B100000,00000,0700,0700SQUARE FEET 232896,B100000,00000,0800,0800MEALS SERVED 232896,B100000,00000,0900,0900DIRECT NRSING HRS 232896,B100000,00000,1000,1000COSTED REQUIS. 232896,B100000,00000,1100,1100COSTED REQUIS. 232896,B100000,00000,1200,1200TIME SPENT 232896,B100000,00000,1300,1300TIME SPENT 232896,B100000,00000,1400,1400ASSIGNED TIME 232896,B100000,00000,1500,1350NO STATISTICS 232896,S000000,00100,0200,05/09/00 232896,S200000,00100,0100,477 COY BOULEVARD 232896,S200000,00100,0300,640 232896,S200000,00200,0100,FORSYTH 232896,S200000,00200,0200,MO 232896,S200000,00200,0300,65653 232896,S200000,00300,0100,TANEY 232896,S200000,00300,0200,0026 232896,S200000,00300,0300,R 232896,S200000,00400,0100,FORSYTH CARE CENTER 232896,S200000,00400,0200,265605 232896,S200000,00400,0300,05/01/95 232896,S200000,00400,0500,P 232896,S200000,01500,0100,N 232896,S200000,01600,0100,Y 232896,S200000,01700,0100,N 232896,S200000,01800,0100,N 232896,S200000,02200,0100,N 232896,S200000,02800,0100,N 232896,S200000,02900,0100,N 232896,S200000,03000,0100,N 232896,S200000,03100,0100,N 232896,S200000,03200,0100,N 232896,S200000,03300,0100,N 232896,S200000,03300,0200,N 232896,S200000,04100,0100,N 232896,S200000,04200,0100,N 232896,S200000,04300,0100,N 232896,S200000,04600,0100,N 232896,S200000,04700,0100,N 232896,S200000,04900,0100,N 232896,S200000,05200,0100,N 233026,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 233026,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 233026,A000000,00300,0000,0300EMPLOYEE BENEFITS 233026,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233026,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 233026,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233026,A000000,00700,0000,0700HOUSEKEEPING 233026,A000000,00800,0000,0800DIETARY 233026,A000000,00900,0000,0900NURSING ADMINISTRATION 233026,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233026,A000000,01100,0000,1100PHARMACY 233026,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233026,A000000,01300,0000,1300SOCIAL SERVICE 233026,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 233026,A000000,01500,0000,1350OTHER GENERAL SERVICES 233026,A000000,01600,0000,1600SKILLED NURSING FACILITY 233026,A000000,01800,0000,1800NURSING FACILITY 233026,A000000,01810,0000,1810ICF/MR 233026,A000000,02100,0000,2100RADIOLOGY 233026,A000000,02200,0000,2200LABORATORY 233026,A000000,02500,0000,2500PHYSICAL THERAPY 233026,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233026,A000000,02700,0000,2700SPEECH PATHOLOGY 233026,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 233026,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233026,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233026,A000000,03550,0000,3550FQHC 233026,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233026,A000000,04801,0000,4801AMBULANCE 233026,A000000,04802,0000,4802AMBULANCE 233026,A000000,04803,0000,4803AMBULANCE 233026,A000000,05000,0000,5000CORF 233026,A000000,05010,0000,5010CMHC 233026,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233026,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233026,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233026,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233026,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233026,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233026,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233026,A81000A,00100,0100,Y 233026,A81000B,00100,0300,MANAGEMENT FEES 233026,A81000C,00100,0100,B 233026,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 233026,A81000C,00100,0600,MANAGEMENT COMPANY 233026,B100000,00000,0100,0100SQUARE FEET 233026,B100000,00000,0200,0200SQUARE FEET 233026,B100000,00000,0300,0300GROSS SALARIES 233026,B100000,00000,0400,0400ACCUM COST 233026,B100000,00000,0500,0500SQUARE FEET 233026,B100000,00000,0600,0600POUNDS OF LAUNDRY 233026,B100000,00000,0700,0700SQUARE FEET 233026,B100000,00000,0800,0800MEALS SERVED 233026,B100000,00000,0900,0900DIRECT NRSING HRS 233026,B100000,00000,1000,1000COSTED REQUIS. 233026,B100000,00000,1100,1100COSTED REQUIS. 233026,B100000,00000,1200,1200TIME SPENT 233026,B100000,00000,1300,1300TIME SPENT 233026,B100000,00000,1400,1400ASSIGNED TIME 233026,B100000,00000,1500,1350NO STATISTICS 233026,E10A180,00301,0100,04/04/00 233026,E10A180,00501,0100,10/11/00 233026,S000000,00100,0200,08/31/00 233026,S200000,00100,0100,1825 LAUREL STREET 233026,S200000,00100,0300,37573 233026,S200000,00200,0100,SHREVEPORT 233026,S200000,00200,0200,LA 233026,S200000,00200,0300,71103 233026,S200000,00300,0100,CADDO 233026,S200000,00300,0200,7680 233026,S200000,00300,0300,U 233026,S200000,00400,0100,HARMONY HOUSE NURSING HOME 233026,S200000,00400,0200,195404 233026,S200000,00400,0300,04/01/97 233026,S200000,00400,0500,P 233026,S200000,01500,0100,N 233026,S200000,01600,0100,Y 233026,S200000,01700,0100,N 233026,S200000,01800,0100,N 233026,S200000,01900,0100,NON PROFIT 233026,S200000,02200,0100,N 233026,S200000,02800,0100,N 233026,S200000,02900,0100,N 233026,S200000,03000,0100,N 233026,S200000,03100,0100,N 233026,S200000,03200,0100,N 233026,S200000,03300,0100,N 233026,S200000,03300,0200,N 233026,S200000,04100,0100,N 233026,S200000,04200,0100,N 233026,S200000,04300,0100,Y 233026,S200000,04600,0100,N 233026,S200000,04700,0100,N 233026,S200000,04700,0200,N 233026,S200000,04900,0100,N 233026,S200000,05200,0100,N 233033,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 233033,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 233033,A000000,00300,0000,0300EMPLOYEE BENEFITS 233033,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233033,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 233033,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233033,A000000,00700,0000,0700HOUSEKEEPING 233033,A000000,00701,0000,0701HOUSEKEEPING 233033,A000000,00800,0000,0800DIETARY 233033,A000000,00900,0000,0900NURSING ADMINISTRATION 233033,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233033,A000000,01100,0000,1100PHARMACY 233033,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233033,A000000,01300,0000,1300SOCIAL SERVICE 233033,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 233033,A000000,01500,0000,1350OTHER GENERAL SERVICES 233033,A000000,01600,0000,1600SKILLED NURSING FACILITY 233033,A000000,01800,0000,1800NURSING FACILITY 233033,A000000,01810,0000,1810ICF/MR 233033,A000000,02100,0000,2100RADIOLOGY 233033,A000000,02200,0000,2200LABORATORY 233033,A000000,02500,0000,2500PHYSICAL THERAPY 233033,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233033,A000000,02700,0000,2700SPEECH PATHOLOGY 233033,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 233033,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233033,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233033,A000000,03550,0000,3550FQHC 233033,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233033,A000000,04801,0000,4801AMBULANCE 233033,A000000,04802,0000,4802AMBULANCE 233033,A000000,04803,0000,4803AMBULANCE 233033,A000000,05000,0000,5000CORF 233033,A000000,05010,0000,5010CMHC 233033,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233033,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233033,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233033,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233033,A000000,05300,0000,5300INTEREST EXPENSE 233033,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233033,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233033,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233033,A81000A,00100,0100,N 233033,B100000,00000,0100,0100SQUARE FEET 233033,B100000,00000,0200,0200DOLLAR VALUE 233033,B100000,00000,0300,0300GROSS SALARIES 233033,B100000,00000,0400,0400ACCUM COST 233033,B100000,00000,0500,0500SQUARE FEET 233033,B100000,00000,0600,0600POUNDS OF LAUNDRY 233033,B100000,00000,0700,0700SQUARE FEET 233033,B100000,00000,0701,0701SQUARE FEET 233033,B100000,00000,0800,0800MEALS SERVED 233033,B100000,00000,0900,0900DIRECT NRSING HRS 233033,B100000,00000,1000,1000COSTED REQUIS. 233033,B100000,00000,1100,1100COSTED REQUIS. 233033,B100000,00000,1200,1200TIME SPENT 233033,B100000,00000,1300,1300TIME SPENT 233033,B100000,00000,1400,1400ASSIGNED TIME 233033,B100000,00000,1500,1350NO STATISTICS 233033,E10A180,00501,0100,06/09/00 233033,E10A180,00550,0300,06/09/00 233033,S000000,00100,0200,05/09/00 233033,S200000,00100,0100,1600 EAST ROLLINS STREET 233033,S200000,00200,0100,MOBERLY 233033,S200000,00200,0200,MO 233033,S200000,00200,0300,65270 233033,S200000,00300,0100,RANDOLPH 233033,S200000,00300,0200,0026 233033,S200000,00300,0300,R 233033,S200000,00400,0100,LOMA LINDA HEALTH CARE INC. 233033,S200000,00400,0200,265536 233033,S200000,00400,0300,08/01/93 233033,S200000,00400,0500,P 233033,S200000,01500,0100,N 233033,S200000,01600,0100,Y 233033,S200000,01700,0100,N 233033,S200000,01800,0100,N 233033,S200000,02200,0100,N 233033,S200000,02800,0100,Y 233033,S200000,02900,0100,N 233033,S200000,03000,0100,N 233033,S200000,03100,0100,N 233033,S200000,03200,0100,N 233033,S200000,03300,0100,N 233033,S200000,03300,0200,N 233033,S200000,04100,0100,N 233033,S200000,04200,0100,N 233033,S200000,04300,0100,N 233033,S200000,04600,0100,N 233033,S200000,04700,0100,N 233033,S200000,04700,0200,N 233033,S200000,04900,0100,N 233033,S200000,05200,0100,N 233269,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233269,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233269,A000000,00300,0000,0300EMPLOYEE BENEFITS 233269,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233269,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233269,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233269,A000000,00700,0000,0700HOUSEKEEPING 233269,A000000,00800,0000,0800DIETARY 233269,A000000,00900,0000,0900NURSING ADMINISTRATION 233269,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233269,A000000,01100,0000,1100PHARMACY 233269,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233269,A000000,01300,0000,1300SOCIAL SERVICE 233269,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 233269,A000000,01500,0000,1350OTHER GENERAL SERVICES 233269,A000000,01600,0000,1600SKILLED NURSING FACILITY 233269,A000000,01800,0000,1800NURSING FACILITY 233269,A000000,01900,0000,1900OTHER LONG TERM CARE 233269,A000000,02100,0000,2100RADIOLOGY 233269,A000000,02200,0000,2200LABORATORY 233269,A000000,02300,0000,2300INTRAVENOUS THERAPY 233269,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233269,A000000,02500,0000,2500PHYSICAL THERAPY 233269,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233269,A000000,02700,0000,2700SPEECH PATHOLOGY 233269,A000000,02800,0000,2800ELECTROCARDIOLOGY 233269,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233269,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233269,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233269,A000000,03200,0000,3200SUPPORT SURFACES 233269,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233269,A000000,03400,0000,3400CLINIC 233269,A000000,03500,0000,3500RURAL HEALTH CLINIC 233269,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233269,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 233269,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 233269,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 233269,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 233269,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 233269,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 233269,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 233269,A000000,04400,0000,4400DME RENTED - HHA 233269,A000000,04500,0000,4500DME SOLD - HHA 233269,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 233269,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 233269,A000000,04800,0000,4800AMBULANCE 233269,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 233269,A000000,05000,0000,5000CORF 233269,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233269,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 233269,A000000,05300,0000,5300INTEREST EXPENSE 233269,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233269,A000000,05500,0000,5500HOSPICE 233269,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233269,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233269,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233269,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233269,A000000,06100,0000,6100NONPAID WORKERS 233269,A000000,06200,0000,6200PATIENTS LAUNDRY 233269,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233269,A81000A,00100,0100,Y 233269,A81000B,00100,0300,ADMINISTRATIVE AND GENERAL 233269,A81000C,00100,0100,B 233269,A81000C,00100,0200,PEOPLES NURSING FACILTY 233269,A81000C,00100,0600,MGMNT SERVICES 233269,A81000C,00200,0100,B 233269,A81000C,00200,0200,ERWIN CARE CENTERS 233269,A81000C,00200,0600,MGMNT SERVICES 233269,A81000C,00300,0100,B 233269,A81000C,00300,0200,PEOPLES HEALTH SERVICES 233269,A81000C,00300,0600,HOME OFFICE 233269,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233269,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233269,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233269,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233269,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233269,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233269,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 233269,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233269,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233269,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233269,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 233269,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233269,S000000,00100,0200,07/19/00 233269,S200000,00100,0100,725 MEDICAL DRIVE 233269,S200000,00200,0100,ABILENE 233269,S200000,00200,0200,TX 233269,S200000,00200,0300,79601- 233269,S200000,00300,0100,TAYLOR 233269,S200000,00300,0200,0040 233269,S200000,00300,0300,U 233269,S200000,00400,0100,RADFORD HILLS CONVALESCENT CENTER 233269,S200000,00400,0200,675330 233269,S200000,00400,0300,05/06/94 233269,S200000,00400,0500,P 233269,S200000,01500,0100,N 233269,S200000,01600,0100,Y 233269,S200000,01700,0100,N 233269,S200000,01800,0100,N 233269,S200000,02200,0100,N 233269,S200000,02800,0100,N 233269,S200000,02900,0100,N 233269,S200000,03000,0100,N 233269,S200000,03100,0100,N 233269,S200000,03200,0100,N 233269,S200000,03300,0100,N 233269,S200000,03300,0200,N 233269,S200000,04100,0100,N 233269,S200000,04200,0100,N 233269,S200000,04300,0100,N 233269,S200000,04600,0100,N 233269,S200000,04700,0100,N 233269,S200000,04700,0200,N 233269,S200000,04900,0100,N 233269,S200000,05000,0100,N 233269,S200000,05100,0100,N 233269,S200000,05200,0100,N 233490,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233490,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233490,A000000,00300,0000,0300EMPLOYEE BENEFITS 233490,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233490,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233490,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233490,A000000,00700,0000,0700HOUSEKEEPING 233490,A000000,00800,0000,0800DIETARY 233490,A000000,00900,0000,0900NURSING ADMINISTRATION 233490,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233490,A000000,01100,0000,1100PHARMACY 233490,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233490,A000000,01300,0000,1300SOCIAL SERVICE 233490,A000000,01600,0000,1600SKILLED NURSING FACILITY 233490,A000000,01800,0000,1800NURSING FACILITY 233490,A000000,01900,0000,1900OTHER LONG TERM CARE 233490,A000000,02100,0000,2100RADIOLOGY 233490,A000000,02200,0000,2200LABORATORY 233490,A000000,02300,0000,2300INTRAVENOUS THERAPY 233490,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233490,A000000,02500,0000,2500PHYSICAL THERAPY 233490,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233490,A000000,02700,0000,2700SPEECH PATHOLOGY 233490,A000000,02800,0000,2800ELECTROCARDIOLOGY 233490,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233490,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233490,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233490,A000000,03200,0000,3200SUPPORT SURFACES 233490,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233490,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233490,A000000,03301,0000,3051NUTRITIONAL THERAPY 233490,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233490,A000000,03303,0000,3053PHYSICIAN SERVICES 233490,A000000,03304,0000,3054MEDICAL SERVICES 233490,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233490,A000000,04800,0000,4800AMBULANCE 233490,A000000,05300,0000,5300INTEREST EXPENSE 233490,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233490,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233490,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233490,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233490,A000000,06100,0000,6100NONPAID WORKERS 233490,A000000,06200,0000,6200PATIENTS LAUNDRY 233490,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233490,A81000A,00100,0100,N 233490,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233490,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233490,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233490,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233490,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233490,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233490,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233490,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233490,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233490,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233490,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233490,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233490,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233490,S000000,00100,0200,10/31/00 233490,S200000,00100,0100,22 HOSPITAL AVENUE 233490,S200000,00200,0100,DANBURY 233490,S200000,00200,0200,CT 233490,S200000,00200,0300,06810- 233490,S200000,00300,0100,FAIRFIELD 233490,S200000,00300,0300,U 233490,S200000,00400,0100,HERITAGE HEIGHTS CARE CENTER 233490,S200000,00400,0200,075191 233490,S200000,00400,0300,01/01/88 233490,S200000,00400,0500,P 233490,S200000,01500,0100,N 233490,S200000,01600,0100,Y 233490,S200000,01700,0100,N 233490,S200000,01800,0100,N 233490,S200000,02200,0100,N 233490,S200000,02800,0100,N 233490,S200000,02900,0100,N 233490,S200000,03000,0100,N 233490,S200000,03100,0100,N 233490,S200000,03200,0100,N 233490,S200000,03300,0100,N 233490,S200000,03300,0200,N 233490,S200000,04100,0100,N 233490,S200000,04200,0100,N 233490,S200000,04300,0100,N 233490,S200000,04600,0100,N 233490,S200000,04700,0100,N 233490,S200000,04700,0200,N 233490,S200000,04900,0100,N 233490,S200000,05000,0100,N 233490,S200000,05100,0100,N 233490,S200000,05200,0100,N 233496,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233496,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233496,A000000,00300,0000,0300EMPLOYEE BENEFITS 233496,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233496,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233496,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233496,A000000,00700,0000,0700HOUSEKEEPING 233496,A000000,00800,0000,0800DIETARY 233496,A000000,00900,0000,0900NURSING ADMINISTRATION 233496,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233496,A000000,01100,0000,1100PHARMACY 233496,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233496,A000000,01300,0000,1300SOCIAL SERVICE 233496,A000000,01600,0000,1600SKILLED NURSING FACILITY 233496,A000000,01800,0000,1800NURSING FACILITY 233496,A000000,01900,0000,1900OTHER LONG TERM CARE 233496,A000000,02100,0000,2100RADIOLOGY 233496,A000000,02200,0000,2200LABORATORY 233496,A000000,02300,0000,2300INTRAVENOUS THERAPY 233496,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233496,A000000,02500,0000,2500PHYSICAL THERAPY 233496,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233496,A000000,02700,0000,2700SPEECH PATHOLOGY 233496,A000000,02800,0000,2800ELECTROCARDIOLOGY 233496,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233496,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233496,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233496,A000000,03200,0000,3200SUPPORT SURFACES 233496,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233496,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233496,A000000,03301,0000,3051NUTRITIONAL THERAPY 233496,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233496,A000000,03303,0000,3053PHYSICIAN SERVICES 233496,A000000,03304,0000,3054MEDICAL SERVICES 233496,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233496,A000000,04800,0000,4800AMBULANCE 233496,A000000,05300,0000,5300INTEREST EXPENSE 233496,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233496,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233496,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233496,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233496,A000000,06100,0000,6100NONPAID WORKERS 233496,A000000,06200,0000,6200PATIENTS LAUNDRY 233496,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233496,A81000A,00100,0100,Y 233496,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 233496,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 233496,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 233496,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 233496,A81000B,00500,0300,SEE ATTACHED 233496,A81000B,00600,0300,REGIONAL ALLOCATION 233496,A81000C,00100,0100,B 233496,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 233496,A81000C,00200,0200,A-8-1. 233496,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233496,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233496,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233496,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233496,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233496,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233496,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233496,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233496,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233496,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233496,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233496,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233496,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233496,S000000,00100,0200,06/30/00 233496,S200000,00100,0100,1101 NORTH MORGAN STREET 233496,S200000,00200,0100,SHELBY 233496,S200000,00200,0200,NC 233496,S200000,00200,0300,28150- 233496,S200000,00300,0100,CLEVELAND 233496,S200000,00300,0200,34 233496,S200000,00300,0300,R 233496,S200000,00400,0100,SUNRISE OF SHELBY 233496,S200000,00400,0200,345229 233496,S200000,00400,0300,02/01/96 233496,S200000,00400,0500,P 233496,S200000,01500,0100,N 233496,S200000,01600,0100,Y 233496,S200000,01700,0100,N 233496,S200000,01800,0100,N 233496,S200000,02200,0100,Y 233496,S200000,02800,0100,N 233496,S200000,02900,0100,N 233496,S200000,03000,0100,N 233496,S200000,03100,0100,N 233496,S200000,03200,0100,N 233496,S200000,03300,0100,N 233496,S200000,03300,0200,N 233496,S200000,04100,0100,N 233496,S200000,04200,0100,N 233496,S200000,04300,0100,N 233496,S200000,04600,0100,N 233496,S200000,04700,0100,N 233496,S200000,04700,0200,N 233496,S200000,04900,0100,N 233496,S200000,05000,0100,N 233496,S200000,05100,0100,N 233496,S200000,05200,0100,N 233499,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233499,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233499,A000000,00300,0000,0300EMPLOYEE BENEFITS 233499,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233499,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233499,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233499,A000000,00700,0000,0700HOUSEKEEPING 233499,A000000,00800,0000,0800DIETARY 233499,A000000,00900,0000,0900NURSING ADMINISTRATION 233499,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233499,A000000,01100,0000,1100PHARMACY 233499,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233499,A000000,01300,0000,1300SOCIAL SERVICE 233499,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 233499,A000000,01500,0000,1350OTHER GENERAL SERVICES 233499,A000000,01600,0000,1600SKILLED NURSING FACILITY 233499,A000000,01800,0000,1800NURSING FACILITY 233499,A000000,01900,0000,1900OTHER LONG TERM CARE 233499,A000000,02100,0000,2100RADIOLOGY 233499,A000000,02200,0000,2200LABORATORY 233499,A000000,02300,0000,2300INTRAVENOUS THERAPY 233499,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233499,A000000,02500,0000,2500PHYSICAL THERAPY 233499,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233499,A000000,02700,0000,2700SPEECH PATHOLOGY 233499,A000000,02800,0000,2800ELECTROCARDIOLOGY 233499,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233499,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233499,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233499,A000000,03200,0000,3200SUPPORT SURFACES 233499,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233499,A000000,03400,0000,3400CLINIC 233499,A000000,03500,0000,3500RURAL HEALTH CLINIC 233499,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233499,A000000,04800,0000,4800AMBULANCE 233499,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 233499,A000000,05000,0000,5000CORF 233499,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233499,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 233499,A000000,05300,0000,5300INTEREST EXPENSE 233499,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233499,A000000,05500,0000,5500HOSPICE 233499,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233499,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233499,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233499,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233499,A000000,06100,0000,6100NONPAID WORKERS 233499,A000000,06200,0000,6200PATIENTS LAUNDRY 233499,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233499,A81000A,00100,0100,Y 233499,A81000B,00100,0300,CAP REL COSTS - BLDGS & FIXED EQUIP 233499,A81000B,00200,0300,CAP REL COSTS - MOVEABLE EQUIP 233499,A81000B,00300,0300,CAP REL COSTS - MOVEABLE EQUIP 233499,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 233499,A81000B,00500,0300,CONTRACTED THERAPY 233499,A81000B,00600,0300,CONTRACTED THERAPY 233499,A81000B,00700,0300,CONTRACTED THERAPY 233499,A81000B,00800,0300,REGIONAL ALLOCATION 233499,A81000B,00900,0300,SEE ATTACHED 233499,A81000C,00100,0100,B 233499,A81000C,00100,0200,SUNBRIDGE CARE & REHAB-SO 233499,B100000,00000,0100,0100SQR FEET :CAP REL COSTS - BLDGS 233499,B100000,00000,0200,0200SQR FEET :CAP REL COSTS - MOVAB 233499,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233499,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233499,B100000,00000,0500,0500SQR FEET :PLANT OPERATION MAIN 233499,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233499,B100000,00000,0700,0750HSKING SQ FT :HOUSEKEEPING 233499,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233499,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233499,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233499,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233499,B100000,00000,1200,1250GROSS REV :MEDICAL RECORDS & LI 233499,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233499,S000000,00100,0200,06/06/00 233499,S200000,00100,0100,261 SUMMIT STREET 233499,S200000,00200,0100,PLANTSVILLE 233499,S200000,00200,0200,CT 233499,S200000,00200,0300,06479- 233499,S200000,00300,0100,HARTFORD 233499,S200000,00300,0200,3283 233499,S200000,00300,0300,U 233499,S200000,00400,0100,SUNBRIDGE CARE & REHAB - SOUTHINGTON 233499,S200000,00400,0200,075247 233499,S200000,00400,0300,09/27/75 233499,S200000,00400,0500,P 233499,S200000,01500,0100,N 233499,S200000,01600,0100,Y 233499,S200000,01700,0100,N 233499,S200000,01800,0100,N 233499,S200000,02200,0100,Y 233499,S200000,02800,0100,N 233499,S200000,02900,0100,N 233499,S200000,03000,0100,N 233499,S200000,03100,0100,N 233499,S200000,03200,0100,N 233499,S200000,03300,0100,N 233499,S200000,03300,0200,N 233499,S200000,04100,0100,N 233499,S200000,04200,0100,N 233499,S200000,04300,0100,N 233499,S200000,04600,0100,N 233499,S200000,04700,0100,N 233499,S200000,04700,0200,N 233499,S200000,04900,0100,N 233499,S200000,05000,0100,N 233499,S200000,05100,0100,N 233499,S200000,05200,0100,N 233503,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233503,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233503,A000000,00300,0000,0300EMPLOYEE BENEFITS 233503,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233503,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233503,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233503,A000000,00700,0000,0700HOUSEKEEPING 233503,A000000,00800,0000,0800DIETARY 233503,A000000,00900,0000,0900NURSING ADMINISTRATION 233503,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233503,A000000,01100,0000,1100PHARMACY 233503,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233503,A000000,01300,0000,1300SOCIAL SERVICE 233503,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 233503,A000000,01500,0000,1350OTHER GENERAL SERVICES 233503,A000000,01600,0000,1600SKILLED NURSING FACILITY 233503,A000000,01800,0000,1800NURSING FACILITY 233503,A000000,01810,0000,1810ICF/MR 233503,A000000,02100,0000,2100RADIOLOGY 233503,A000000,02200,0000,2200LABORATORY 233503,A000000,02500,0000,2500PHYSICAL THERAPY 233503,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233503,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233503,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233503,A000000,03550,0000,3550FQHC 233503,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233503,A000000,05000,0000,5000CORF 233503,A000000,05010,0000,5010CMHC 233503,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233503,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233503,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233503,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233503,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233503,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233503,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233503,A81000A,00100,0100,Y 233503,A81000B,00100,0300,A&G MANAGEMENT FEE 233503,A81000B,00200,0300,A&G BENFITS 233503,A81000B,00300,0300,PHYSICAL THERAPY 233503,A81000B,00400,0300,MEDICAL SUPPLIES CHR 233503,A81000C,00100,0100,G 233503,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233503,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233503,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233503,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233503,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233503,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 233503,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233503,B100000,00000,0900,0900NURSING HOURS :NURSING ADMINIST 233503,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233503,B100000,00000,1500,1350NURSING HOURS :OTHER GENERAL SE 233503,S000000,00100,0200,03/10/00 233503,S200000,00100,0100,1400 EIGHTH AVENUE 233503,S200000,00200,0100,FORT WORTH 233503,S200000,00200,0200,TX 233503,S200000,00200,0300, - 233503,S200000,00300,0100,TARRANT 233503,S200000,00300,0200,2800 233503,S200000,00300,0300,U 233503,S200000,00400,0100,BISHOP DAVIES CENTER 233503,S200000,00400,0200,455626 233503,S200000,00400,0300,01/01/89 233503,S200000,00400,0500,P 233503,S200000,00400,0600,O 233503,S200000,01500,0100,N 233503,S200000,01600,0100,N 233503,S200000,01700,0100,N 233503,S200000,01800,0100,N 233503,S200000,02200,0100,Y 233503,S200000,02800,0100,Y 233503,S200000,02900,0100,N 233503,S200000,03000,0100,N 233503,S200000,03100,0100,N 233503,S200000,03200,0100,N 233503,S200000,03300,0100,N 233503,S200000,03300,0200,N 233503,S200000,04100,0100,N 233503,S200000,04200,0100,N 233503,S200000,04300,0100,N 233503,S200000,04600,0100,N 233503,S200000,04700,0100,N 233503,S200000,04700,0200,N 233503,S200000,04900,0100,N 233503,S200000,05000,0100,N 233503,S200000,05100,0100,N 233503,S200000,05200,0100,N 233505,S000000,00100,0200,05/22/00 233505,S200000,00100,0100,703 NORTH TITUS 233505,S200000,00200,0100,GILMER 233505,S200000,00200,0200,TX 233505,S200000,00200,0300,75644 233505,S200000,00300,0100,UPSHUR 233505,S200000,00400,0100,GILMER CARE CENTER 233505,S200000,00400,0300,11/01/99 233506,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233506,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233506,A000000,00300,0000,0300EMPLOYEE BENEFITS 233506,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233506,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233506,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233506,A000000,00700,0000,0700HOUSEKEEPING 233506,A000000,00800,0000,0800DIETARY 233506,A000000,00900,0000,0900NURSING ADMINISTRATION 233506,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233506,A000000,01100,0000,1100PHARMACY 233506,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233506,A000000,01300,0000,1300SOCIAL SERVICE 233506,A000000,01600,0000,1600SKILLED NURSING FACILITY 233506,A000000,01800,0000,1800NURSING FACILITY 233506,A000000,01900,0000,1900OTHER LONG TERM CARE 233506,A000000,02100,0000,2100RADIOLOGY 233506,A000000,02200,0000,2200LABORATORY 233506,A000000,02300,0000,2300INTRAVENOUS THERAPY 233506,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233506,A000000,02500,0000,2500PHYSICAL THERAPY 233506,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233506,A000000,02700,0000,2700SPEECH PATHOLOGY 233506,A000000,02800,0000,2800ELECTROCARDIOLOGY 233506,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233506,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233506,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233506,A000000,03200,0000,3200SUPPORT SURFACES 233506,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233506,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233506,A000000,03301,0000,3051NUTRITIONAL THERAPY 233506,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233506,A000000,03303,0000,3053PHYSICIAN SERVICES 233506,A000000,03304,0000,3054MEDICAL SERVICES 233506,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233506,A000000,04800,0000,4800AMBULANCE 233506,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 233506,A000000,05300,0000,5300INTEREST EXPENSE 233506,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233506,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233506,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233506,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233506,A000000,06100,0000,6100NONPAID WORKERS 233506,A000000,06200,0000,6200PATIENTS LAUNDRY 233506,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233506,A81000A,00100,0100,Y 233506,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 233506,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 233506,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 233506,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 233506,A81000B,00500,0300,PLEASE SEE ATTACHMENT 233506,A81000C,00100,0100,B 233506,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 233506,A81000C,00200,0200,A-8-1. 233506,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233506,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233506,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233506,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233506,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233506,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233506,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233506,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233506,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233506,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233506,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233506,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233506,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233506,S000000,00100,0200,06/02/00 233506,S200000,00100,0100,1036 EAST VICTORIA AVENUE 233506,S200000,00200,0100,BURLINGTON 233506,S200000,00200,0200,WA 233506,S200000,00200,0300,98233- 233506,S200000,00300,0100,SKAGIT 233506,S200000,00300,0200,50 233506,S200000,00300,0300,R 233506,S200000,00400,0100,SUNBRIDGE CARE & REHAB BURLINGTON 233506,S200000,00400,0200,505378 233506,S200000,00400,0300,05/01/91 233506,S200000,00400,0500,P 233506,S200000,01500,0100,N 233506,S200000,01600,0100,Y 233506,S200000,01700,0100,N 233506,S200000,01800,0100,N 233506,S200000,02200,0100,Y 233506,S200000,02800,0100,N 233506,S200000,02900,0100,N 233506,S200000,03000,0100,N 233506,S200000,03100,0100,N 233506,S200000,03200,0100,N 233506,S200000,03300,0100,N 233506,S200000,03300,0200,N 233506,S200000,04100,0100,N 233506,S200000,04200,0100,N 233506,S200000,04300,0100,N 233506,S200000,04600,0100,N 233506,S200000,04700,0100,N 233506,S200000,04700,0200,N 233506,S200000,04900,0100,N 233506,S200000,05000,0100,N 233506,S200000,05100,0100,N 233506,S200000,05200,0100,N 233575,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233575,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233575,A000000,00300,0000,0300EMPLOYEE BENEFITS 233575,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233575,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233575,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233575,A000000,00700,0000,0700HOUSEKEEPING 233575,A000000,00800,0000,0800DIETARY 233575,A000000,00900,0000,0900NURSING ADMINISTRATION 233575,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233575,A000000,01100,0000,1100PHARMACY 233575,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233575,A000000,01300,0000,1300SOCIAL SERVICE 233575,A000000,01600,0000,1600SKILLED NURSING FACILITY 233575,A000000,01800,0000,1800NURSING FACILITY 233575,A000000,01900,0000,1900OTHER LONG TERM CARE 233575,A000000,02100,0000,2100RADIOLOGY 233575,A000000,02200,0000,2200LABORATORY 233575,A000000,02300,0000,2300INTRAVENOUS THERAPY 233575,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233575,A000000,02500,0000,2500PHYSICAL THERAPY 233575,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233575,A000000,02700,0000,2700SPEECH PATHOLOGY 233575,A000000,02800,0000,2800ELECTROCARDIOLOGY 233575,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233575,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233575,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233575,A000000,03200,0000,3200SUPPORT SURFACES 233575,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233575,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233575,A000000,03301,0000,3051NUTRITIONAL THERAPY 233575,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233575,A000000,03303,0000,3053PHYSICIAN SERVICES 233575,A000000,03304,0000,3054MEDICAL SERVICES 233575,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233575,A000000,04800,0000,4800AMBULANCE 233575,A000000,05300,0000,5300INTEREST EXPENSE 233575,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233575,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233575,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233575,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233575,A000000,06100,0000,6100NONPAID WORKERS 233575,A000000,06200,0000,6200PATIENTS LAUNDRY 233575,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233575,A81000A,00100,0100,Y 233575,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 233575,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 233575,A81000B,00300,0300,RELATED PARTY DEPRECIATION 233575,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 233575,A81000B,00500,0300,REGIONAL ALLOCATION/REL PARTY 233575,A81000B,00600,0300,PLEASE SEE ATTACHED 233575,A81000C,00100,0100,B 233575,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 233575,A81000C,00200,0200,A-8-1. 233575,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233575,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233575,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233575,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233575,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233575,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233575,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233575,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233575,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233575,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233575,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233575,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233575,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233575,S000000,00100,0200,05/31/00 233575,S200000,00100,0100,NO. 1 POPLAR DRIVE 233575,S200000,00200,0100,SUMNER 233575,S200000,00200,0200,IL 233575,S200000,00200,0300,62466- 233575,S200000,00300,0100,LAWRENCE 233575,S200000,00300,0200,14 233575,S200000,00300,0300,R 233575,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR RED HILLS 233575,S200000,00400,0200,145407 233575,S200000,00400,0300,05/01/80 233575,S200000,00400,0500,P 233575,S200000,01500,0100,N 233575,S200000,01600,0100,Y 233575,S200000,01700,0100,N 233575,S200000,01800,0100,N 233575,S200000,02200,0100,Y 233575,S200000,02800,0100,N 233575,S200000,02900,0100,N 233575,S200000,03000,0100,N 233575,S200000,03100,0100,N 233575,S200000,03200,0100,N 233575,S200000,03300,0100,N 233575,S200000,03300,0200,N 233575,S200000,04100,0100,N 233575,S200000,04200,0100,N 233575,S200000,04300,0100,N 233575,S200000,04600,0100,N 233575,S200000,04700,0100,N 233575,S200000,04700,0200,N 233575,S200000,04900,0100,N 233575,S200000,05000,0100,N 233575,S200000,05100,0100,N 233575,S200000,05200,0100,N 233576,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233576,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233576,A000000,00300,0000,0300EMPLOYEE BENEFITS 233576,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233576,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233576,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233576,A000000,00700,0000,0700HOUSEKEEPING 233576,A000000,00800,0000,0800DIETARY 233576,A000000,00900,0000,0900NURSING ADMINISTRATION 233576,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233576,A000000,01100,0000,1100PHARMACY 233576,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233576,A000000,01300,0000,1300SOCIAL SERVICE 233576,A000000,01600,0000,1600SKILLED NURSING FACILITY 233576,A000000,01800,0000,1800NURSING FACILITY 233576,A000000,01900,0000,1900OTHER LONG TERM CARE 233576,A000000,02100,0000,2100RADIOLOGY 233576,A000000,02200,0000,2200LABORATORY 233576,A000000,02300,0000,2300INTRAVENOUS THERAPY 233576,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233576,A000000,02500,0000,2500PHYSICAL THERAPY 233576,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233576,A000000,02700,0000,2700SPEECH PATHOLOGY 233576,A000000,02800,0000,2800ELECTROCARDIOLOGY 233576,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233576,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233576,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233576,A000000,03200,0000,3200SUPPORT SURFACES 233576,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233576,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233576,A000000,03301,0000,3051NUTRITIONAL THERAPY 233576,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233576,A000000,03303,0000,3053PHYSICIAN SERVICES 233576,A000000,03304,0000,3054MEDICAL SERVICES 233576,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233576,A000000,04800,0000,4800AMBULANCE 233576,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 233576,A000000,05300,0000,5300INTEREST EXPENSE 233576,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233576,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233576,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233576,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233576,A000000,06100,0000,6100NONPAID WORKERS 233576,A000000,06200,0000,6200PATIENTS LAUNDRY 233576,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233576,A81000A,00100,0100,Y 233576,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 233576,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 233576,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 233576,A81000B,00400,0300,HOME OFFICE COST 233576,A81000B,00500,0300,REG. ALLOCATION RELATED PARTY 233576,A81000B,00600,0300,PLEASE SEE ATTACHED 233576,A81000C,00100,0100,B 233576,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 233576,A81000C,00200,0200,A-8-1. 233576,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233576,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233576,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233576,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233576,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233576,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233576,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233576,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233576,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233576,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233576,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233576,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233576,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233576,S000000,00100,0200,05/31/00 233576,S200000,00100,0100,RR #3 BOX 81C 233576,S200000,00200,0100,CARLINVILLE 233576,S200000,00200,0200,IL 233576,S200000,00200,0300,62626- 233576,S200000,00300,0100,MCCOUPIN 233576,S200000,00300,0200,14 233576,S200000,00300,0300,R 233576,S200000,00400,0100,SUNBRIDGE CARE/ REHAB CARLINVILLE 233576,S200000,00400,0200,145812 233576,S200000,00400,0300,07/08/94 233576,S200000,00400,0500,P 233576,S200000,01500,0100,N 233576,S200000,01600,0100,Y 233576,S200000,01700,0100,N 233576,S200000,01800,0100,N 233576,S200000,02200,0100,Y 233576,S200000,02800,0100,N 233576,S200000,02900,0100,N 233576,S200000,03000,0100,N 233576,S200000,03100,0100,N 233576,S200000,03200,0100,N 233576,S200000,03300,0100,N 233576,S200000,03300,0200,N 233576,S200000,04100,0100,N 233576,S200000,04200,0100,N 233576,S200000,04300,0100,N 233576,S200000,04600,0100,N 233576,S200000,04700,0100,N 233576,S200000,04700,0200,N 233576,S200000,04900,0100,N 233576,S200000,05000,0100,N 233576,S200000,05100,0100,N 233576,S200000,05200,0100,N 233577,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233577,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233577,A000000,00300,0000,0300EMPLOYEE BENEFITS 233577,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233577,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233577,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233577,A000000,00700,0000,0700HOUSEKEEPING 233577,A000000,00800,0000,0800DIETARY 233577,A000000,00900,0000,0900NURSING ADMINISTRATION 233577,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233577,A000000,01100,0000,1100PHARMACY 233577,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233577,A000000,01300,0000,1300SOCIAL SERVICE 233577,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 233577,A000000,01500,0000,1350ACTIVITIES 233577,A000000,01600,0000,1600SKILLED NURSING FACILITY 233577,A000000,01800,0000,1800NURSING FACILITY 233577,A000000,01900,0000,1900OTHER LONG TERM CARE 233577,A000000,02100,0000,2100RADIOLOGY 233577,A000000,02200,0000,2200LABORATORY 233577,A000000,02300,0000,2300INTRAVENOUS THERAPY 233577,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233577,A000000,02500,0000,2500PHYSICAL THERAPY 233577,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233577,A000000,02700,0000,2700SPEECH PATHOLOGY 233577,A000000,02800,0000,2800ELECTROCARDIOLOGY 233577,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233577,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233577,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233577,A000000,03200,0000,3200SUPPORT SURFACES 233577,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 233577,A000000,03400,0000,3400CLINIC 233577,A000000,03500,0000,3500RURAL HEALTH CLINIC 233577,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 233577,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 233577,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 233577,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 233577,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 233577,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 233577,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 233577,A000000,04400,0000,4400DME RENTED - HHA 233577,A000000,04500,0000,4500DME SOLD - HHA 233577,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 233577,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 233577,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 233577,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 233577,A000000,05300,0000,5300INTEREST EXPENSE 233577,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233577,A000000,05500,0000,5500HOSPICE 233577,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233577,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233577,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233577,A000000,06100,0000,6100NONPAID WORKERS 233577,A000000,06200,0000,6200PATIENTS LAUNDRY 233577,A81000A,00100,0100,Y 233577,A81000B,00100,0300,FACILITY LEASE 233577,A81000B,00200,0300,EQUIPMENT LEASE 233577,A81000C,00100,0100,F 233577,A81000C,00100,0200,HELEN TYLER 233577,A81000C,00100,0400,MNC FAM LTD PAR 233577,A81000C,00100,0600,FAM LTD PARTNER 233577,A81000C,00200,0100,F 233577,A81000C,00200,0200,HELEN TYLER 233577,A81000C,00200,0400,INVEST MKT LLC 233577,A81000C,00200,0600,LIM LIAB COMP 233577,B100000,00000,0100,0100SQ FEET :CAP REL COSTS - BLDGS 233577,B100000,00000,0200,0200SQ FEET :CAP REL COSTS - MOVABL 233577,B100000,00000,0300,0300GROSS SAL :EMPLOYEE BENEFITS 233577,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233577,B100000,00000,0500,0500SQ FEET :PLANT OPERATION MAINT 233577,B100000,00000,0600,0650LBS OF LAUNDRY :LAUNDRY & LINEN 233577,B100000,00000,0700,0750SQ FEET :HOUSEKEEPING 233577,B100000,00000,0800,0850PAT DAYS :DIETARY 233577,B100000,00000,0900,0950TIME SPENT- NUR :NURSING ADMINIS 233577,B100000,00000,1000,1050PAT DAYS :CENTRAL SERVICES & SU 233577,B100000,00000,1200,1200TIME SPENT- MED :MEDICAL RECORDS 233577,B100000,00000,1300,1300TIME SPENT- SOC :SOCIAL SERVICE 233577,B100000,00000,1500,1350TIME SPENT- ACT :ACTIVITIES 233577,S000000,00100,0200,06/09/00 233577,S200000,00100,0100,1501 WEST 29TH STREET 233577,S200000,00200,0100,TYLER 233577,S200000,00200,0200,TX 233577,S200000,00200,0300,75702- 233577,S200000,00300,0200,8640 233577,S200000,00300,0300,U 233577,S200000,00400,0100,MELROSE NURSING CENTER 233577,S200000,00400,0200,675724 233577,S200000,00400,0300,10/01/97 233577,S200000,00400,0500,P 233577,S200000,00600,0200,450606 233577,S200000,00600,0300,10/01/97 233577,S200000,00600,0600,O 233577,S200000,01500,0100,N 233577,S200000,01600,0100,Y 233577,S200000,01700,0100,N 233577,S200000,01800,0100,N 233577,S200000,02200,0100,N 233577,S200000,02800,0100,N 233577,S200000,02900,0100,N 233577,S200000,03000,0100,N 233577,S200000,03100,0100,N 233577,S200000,03200,0100,N 233577,S200000,03300,0100,N 233577,S200000,03300,0200,N 233577,S200000,03500,0300,N 233577,S200000,04100,0100,N 233577,S200000,04200,0100,N 233577,S200000,04300,0100,Y 233577,S200000,04600,0100,N 233577,S200000,04700,0100,N 233577,S200000,04700,0200,N 233577,S200000,04900,0100,N 233577,S200000,05000,0100,N 233577,S200000,05100,0100,N 233577,S200000,05200,0100,N 233654,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233654,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233654,A000000,00300,0000,0300EMPLOYEE BENEFITS 233654,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233654,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233654,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233654,A000000,00700,0000,0700HOUSEKEEPING 233654,A000000,00800,0000,0800DIETARY 233654,A000000,00900,0000,0900NURSING ADMINISTRATION 233654,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233654,A000000,01100,0000,1100PHARMACY 233654,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233654,A000000,01300,0000,1300SOCIAL SERVICE 233654,A000000,01600,0000,1600SKILLED NURSING FACILITY 233654,A000000,01800,0000,1800NURSING FACILITY 233654,A000000,01900,0000,1900OTHER LONG TERM CARE 233654,A000000,02100,0000,2100RADIOLOGY 233654,A000000,02200,0000,2200LABORATORY 233654,A000000,02300,0000,2300INTRAVENOUS THERAPY 233654,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 233654,A000000,02500,0000,2500PHYSICAL THERAPY 233654,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233654,A000000,02700,0000,2700SPEECH PATHOLOGY 233654,A000000,02800,0000,2800ELECTROCARDIOLOGY 233654,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233654,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233654,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 233654,A000000,03200,0000,3200SUPPORT SURFACES 233654,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 233654,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233654,A000000,03301,0000,3051NUTRITIONAL THERAPY 233654,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 233654,A000000,03303,0000,3053PHYSICIAN SERVICES 233654,A000000,03304,0000,3054MEDICAL SERVICES 233654,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233654,A000000,04800,0000,4800AMBULANCE 233654,A000000,05300,0000,5300INTEREST EXPENSE 233654,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 233654,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 233654,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233654,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 233654,A000000,06100,0000,6100NONPAID WORKERS 233654,A000000,06200,0000,6200PATIENTS LAUNDRY 233654,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233654,A81000A,00100,0100,Y 233654,A81000B,00100,0300,CAPITAL H/O COST - BUILDING 233654,A81000B,00200,0300,CAPITAL H/O COST - EQUIPMENT 233654,A81000B,00300,0300,RELATED PARTY DEPRECIATION 233654,A81000B,00400,0300,HOME OFFICE COST 233654,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,00600,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,00700,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,00800,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,00900,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,01000,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,01100,0300,REGIONAL ALLOCATION RELATED PARTY 233654,A81000B,01200,0300,SUNDANCE 233654,A81000B,01300,0300,SUNDANCE 233654,A81000B,01400,0300,SUNDANCE 233654,A81000B,01500,0300,SUNSCRIPT 233654,A81000B,01600,0300,SUNSCRIPT 233654,A81000B,01700,0300,SUNSCRIPT 233654,A81000C,00100,0100,B 233654,A81000C,00100,0200,SUNBRIDGE HEALTHCARE INC. 233654,A81000C,00100,0400,SUN HEALTHCARE GROUP 233654,A81000C,00100,0600,HEALTHCARE 233654,A81000C,00200,0100,G 233654,A81000C,00200,0200,SUNSCRIPT PHARMACY CORP 233654,A81000C,00200,0400,SUN HEALTHCARE GROUP 233654,A81000C,00200,0600,HEALTHCARE 233654,A81000C,00300,0100,G 233654,A81000C,00300,0200,SUNCARE RESP SERVICES 233654,A81000C,00300,0400,SUN HEALTHCARE GROUP 233654,A81000C,00300,0600,HEALTHCARE 233654,A81000C,00400,0100,G 233654,A81000C,00400,0200,SUNDANCE REHAB CORP 233654,A81000C,00400,0400,SUN HEALTHCARE GROUP 233654,A81000C,00400,0600,HEALTHCARE 233654,A81000C,00500,0100,G 233654,A81000C,00500,0200,SUNCHOICE MEDICAL SUPPLY 233654,A81000C,00500,0400,SUN HEALTHCARE GROUP 233654,A81000C,00500,0600,HEALTHCARE 233654,A81000C,00600,0100,G 233654,A81000C,00600,0200,MEDLINE 233654,A81000C,00600,0400,SUNCHOICE 233654,A81000C,00600,0600,HEALTHCARE 233654,A81000C,00700,0100,G 233654,A81000C,00700,0200,SHARED HEALTHCARE SYSTEM 233654,A81000C,00700,0400,SUN HELATHCARE GROUP 233654,A81000C,00700,0600,HEALTHCARE 233654,A81000C,00800,0100,G 233654,A81000C,00800,0200,SUNALLIANCE 233654,A81000C,00800,0400,SUN HEALTHCARE GROUP 233654,A81000C,00800,0600,HEALTHCARE 233654,A81000C,00900,0100,G 233654,A81000C,00900,0200,THERAPIST UNLIMITED 233654,A81000C,00900,0400,SUN HEALTHCARE GROUP 233654,A81000C,00900,0600,HEALTHCARE 233654,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233654,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233654,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233654,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233654,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233654,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 233654,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 233654,B100000,00000,0800,0850PATIENT DAYS :DIETARY 233654,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 233654,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 233654,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 233654,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 233654,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 233654,S000000,00100,0200,08/25/05 233654,S200000,00100,0100,214 LANEFIELD ROAD 233654,S200000,00200,0100,WARSAW 233654,S200000,00200,0200,NC 233654,S200000,00200,0300,28398- 233654,S200000,00300,0100,DEPLIN 233654,S200000,00300,0200,34 233654,S200000,00300,0300,R 233654,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR DUPLIN 233654,S200000,00400,0200,345252 233654,S200000,00400,0300,10/23/86 233654,S200000,00400,0500,P 233654,S200000,01500,0100,N 233654,S200000,01600,0100,Y 233654,S200000,01700,0100,N 233654,S200000,01800,0100,N 233654,S200000,02200,0100,N 233654,S200000,02800,0100,N 233654,S200000,02900,0100,N 233654,S200000,03000,0100,N 233654,S200000,03100,0100,N 233654,S200000,03200,0100,N 233654,S200000,03300,0100,N 233654,S200000,03300,0200,N 233654,S200000,04100,0100,N 233654,S200000,04200,0100,N 233654,S200000,04300,0100,N 233654,S200000,04600,0100,N 233654,S200000,04700,0100,N 233654,S200000,04700,0200,N 233654,S200000,04900,0100,N 233654,S200000,05000,0100,N 233654,S200000,05100,0100,N 233654,S200000,05200,0100,N 233655,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 233655,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 233655,A000000,00300,0000,0300EMPLOYEE BENEFITS 233655,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233655,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 233655,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233655,A000000,00700,0000,0700HOUSEKEEPING 233655,A000000,00800,0000,0800DIETARY 233655,A000000,00900,0000,0900NURSING ADMINISTRATION 233655,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233655,A000000,01100,0000,1100PHARMACY 233655,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233655,A000000,01300,0000,1300SOCIAL SERVICE 233655,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 233655,A000000,01500,0000,1350OTHER GENERAL SERVICES 233655,A000000,01600,0000,1600SKILLED NURSING FACILITY 233655,A000000,01800,0000,1800NURSING FACILITY 233655,A000000,01810,0000,1810ICF/MR 233655,A000000,02100,0000,2100RADIOLOGY 233655,A000000,02200,0000,2200LABORATORY 233655,A000000,02300,0000,2300INTRAVENOUS THERAPY 233655,A000000,02500,0000,2500PHYSICAL THERAPY 233655,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233655,A000000,02700,0000,2700SPEECH PATHOLOGY 233655,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 233655,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233655,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233655,A000000,03550,0000,3550FQHC 233655,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233655,A000000,04800,0000,4800AMBULANCE 233655,A000000,05000,0000,5000CORF 233655,A000000,05010,0000,5010CMHC 233655,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233655,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233655,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233655,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233655,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233655,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233655,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233655,A81000A,00100,0100,N 233655,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 233655,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 233655,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 233655,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 233655,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 233655,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 233655,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 233655,B100000,00000,0800,0800MEALS SERVED :DIETARY 233655,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 233655,B100000,00000,1000,1000COSTED REQUIS. :CENTRAL SERVICE 233655,B100000,00000,1100,1100COSTED REQUIS. :PHARMACY 233655,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 233655,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 233655,S000000,00100,0200,03/29/00 233655,S200000,00100,0100,227 RUSSELL BLVD 233655,S200000,00200,0100,NACOGDOCHES 233655,S200000,00200,0200,TX 233655,S200000,00200,0300, - 233655,S200000,00300,0100,NACOGDOCHES 233655,S200000,00300,0200,45 233655,S200000,00300,0300,R 233655,S200000,00400,0100,NORTH PLACE NURSINC CENTER 233655,S200000,00400,0200,455700 233655,S200000,00400,0300,11/01/94 233655,S200000,00400,0500,P 233655,S200000,01500,0100,N 233655,S200000,01600,0100,Y 233655,S200000,01700,0100,N 233655,S200000,01800,0100,N 233655,S200000,02200,0100,N 233655,S200000,02800,0100,N 233655,S200000,02900,0100,N 233655,S200000,03000,0100,N 233655,S200000,03100,0100,N 233655,S200000,03200,0100,N 233655,S200000,03300,0100,N 233655,S200000,03300,0200,N 233655,S200000,04100,0100,N 233655,S200000,04200,0100,N 233655,S200000,04300,0100,Y 233655,S200000,04600,0100,N 233655,S200000,04700,0100,N 233655,S200000,04700,0200,N 233655,S200000,04900,0100,N 233655,S200000,05000,0100,N 233655,S200000,05100,0100,N 233655,S200000,05200,0100,N 233800,S000000,00100,0200,12/28/99 233800,S200000,00100,0100,2193 EAST CHERRY STREET 233800,S200000,00200,0100,PARIS 233800,S200000,00200,0200,TX 233800,S200000,00200,0300,75460 233800,S200000,00300,0100,LAMAR 233800,S200000,00400,0100,CHERRY STREET MANOR 233800,S200000,00400,0300,03/15/98 233842,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 233842,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 233842,A000000,00300,0000,0300EMPLOYEE BENEFITS 233842,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233842,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 233842,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233842,A000000,00700,0000,0700HOUSEKEEPING 233842,A000000,00800,0000,0800DIETARY 233842,A000000,00900,0000,0900NURSING ADMINISTRATION 233842,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233842,A000000,01100,0000,1100PHARMACY 233842,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233842,A000000,01300,0000,1300SOCIAL SERVICE 233842,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 233842,A000000,01500,0000,1350OTHER GENERAL SERVICES 233842,A000000,01600,0000,1600SKILLED NURSING FACILITY 233842,A000000,01800,0000,1800NURSING FACILITY 233842,A000000,01810,0000,1810ICF/MR 233842,A000000,02100,0000,2100RADIOLOGY 233842,A000000,02200,0000,2200LABORATORY 233842,A000000,02500,0000,2500PHYSICAL THERAPY 233842,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233842,A000000,02700,0000,2700SPEECH PATHOLOGY 233842,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 233842,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233842,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 233842,A000000,03550,0000,3550FQHC 233842,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 233842,A000000,04801,0000,4801AMBULANCE 233842,A000000,04802,0000,4802AMBULANCE 233842,A000000,04803,0000,4803AMBULANCE 233842,A000000,05000,0000,5000CORF 233842,A000000,05010,0000,5010CMHC 233842,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233842,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233842,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233842,A000000,05100,0000,4750OTHER REIMBURSABLE COST 233842,A000000,05300,0000,5300INTEREST EXPENSE 233842,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 233842,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233842,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 233842,A81000A,00100,0100,Y 233842,A81000B,00100,0300,HOME OFFICE MGMT FEES 233842,A81000B,00200,0300,HOME OFFICE CAP COST 233842,A81000B,00300,0300,INTEREST 233842,A81000C,00100,0100,A 233842,A81000C,00100,0200,JAMES & JUDY LINCOLN 233842,A81000C,00100,0400,HEALTH SYSTEMS INC. 233842,A81000C,00100,0600,HOME OFFICE 233842,B100000,00000,0100,0100SQUARE FEET 233842,B100000,00000,0200,0200SQUARE FEET 233842,B100000,00000,0300,0300GROSS SALARIES 233842,B100000,00000,0400,0400ACCUM COST 233842,B100000,00000,0500,0500SQUARE FEET 233842,B100000,00000,0600,0600POUNDS OF LAUNDRY 233842,B100000,00000,0700,0700SQUARE FEET 233842,B100000,00000,0800,0800MEALS SERVED 233842,B100000,00000,0900,0900DIRECT NRSG 233842,B100000,00000,1000,1000NO STATISTICS 233842,B100000,00000,1100,1100NO STATISTICS 233842,B100000,00000,1200,1200TIME SPENT 233842,B100000,00000,1300,1300TIME SPENT 233842,B100000,00000,1400,1400NO STATISTICS 233842,B100000,00000,1500,1350NO STATISTICS 233842,E10A180,00501,0100,06/30/00 233842,E10A180,00501,0300,06/30/00 233842,S000000,00100,0200,06/05/00 233842,S200000,00100,0100,HWY 60 WEST 233842,S200000,00100,0300,489 233842,S200000,00200,0100,SIKESTON 233842,S200000,00200,0200,MO 233842,S200000,00200,0300,63801 233842,S200000,00300,0100,NEW MADRID 233842,S200000,00300,0200,0026 233842,S200000,00300,0300,R 233842,S200000,00400,0100,SIKESTON HEALTH CARE 233842,S200000,00400,0200,265557 233842,S200000,00400,0300,11/01/93 233842,S200000,00400,0500,P 233842,S200000,01500,0100,N 233842,S200000,01600,0100,Y 233842,S200000,01700,0100,N 233842,S200000,01800,0100,N 233842,S200000,02200,0100,Y 233842,S200000,02800,0100,Y 233842,S200000,02900,0100,N 233842,S200000,03000,0100,N 233842,S200000,03100,0100,N 233842,S200000,03200,0100,N 233842,S200000,03300,0100,N 233842,S200000,03300,0200,N 233842,S200000,04100,0100,N 233842,S200000,04200,0100,N 233842,S200000,04300,0100,N 233842,S200000,04600,0100,N 233842,S200000,04700,0100,N 233842,S200000,04900,0100,N 233842,S200000,05200,0100,N 233930,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 233930,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 233930,A000000,00300,0000,0300EMPLOYEE BENEFITS 233930,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 233930,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 233930,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 233930,A000000,00700,0000,0700HOUSEKEEPING 233930,A000000,00800,0000,0800DIETARY 233930,A000000,00900,0000,0900NURSING ADMINISTRATION 233930,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 233930,A000000,01100,0000,1100PHARMACY 233930,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 233930,A000000,01300,0000,1300SOCIAL SERVICE 233930,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 233930,A000000,01600,0000,1600SKILLED NURSING FACILITY 233930,A000000,01800,0000,1800NURSING FACILITY 233930,A000000,01810,0000,1810ICF/MR 233930,A000000,02100,0000,2100RADIOLOGY 233930,A000000,02200,0000,2200LABORATORY 233930,A000000,02500,0000,2500PHYSICAL THERAPY 233930,A000000,02600,0000,2600OCCUPATIONAL THERAPY 233930,A000000,02700,0000,2700SPEECH PATHOLOGY 233930,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 233930,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 233930,A000000,03550,0000,3550FQHC 233930,A000000,04801,0000,4801AMBULANCE 233930,A000000,04802,0000,4802AMBULANCE 233930,A000000,04803,0000,4803AMBULANCE 233930,A000000,05000,0000,5000CORF 233930,A000000,05010,0000,5010CMHC 233930,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 233930,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 233930,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 233930,A000000,05300,0000,5300INTEREST EXPENSE 233930,A000000,05900,0000,5900BARBER & BEAUTY SHOP 233930,A81000A,00100,0100,Y 233930,A81000B,00100,0300,ADMINISTRATIVE & GENERAL 233930,A81000B,00200,0300,CAP REL COSTS - BLDGS & FIXTUR 233930,A81000B,00300,0300,CAP REL COSTS - MOVEABLE EQUIP 233930,A81000B,00400,0300,EMPLOYEE BENEFITS 233930,A81000C,00100,0100,B 233930,A81000C,00100,0200,HARTVILLE CARE CENTER 233930,A81000C,00100,0400,CENTRAL AR NURSING CTRS 233930,A81000C,00100,0600,HOME OFFICE 233930,A81000C,00200,0100,B 233930,B100000,00000,0100,0100SQUARE FEET 233930,B100000,00000,0200,0200SQUARE FEET 233930,B100000,00000,0300,0300GROSS SALARIES 233930,B100000,00000,0400,0400ACCUM COST 233930,B100000,00000,0500,0500SQUARE FEET 233930,B100000,00000,0600,0600PATIENT DAYS 233930,B100000,00000,0700,0700SQUARE FEET 233930,B100000,00000,0800,0800MEALS SERVED 233930,B100000,00000,0900,0900HOURS SUPERVISED 233930,B100000,00000,1000,1000COSTEDREQU UISITIONS 233930,B100000,00000,1100,1100COSTED REQUIS. 233930,B100000,00000,1200,1200GROSS REVENUE 233930,B100000,00000,1300,1300PATIENT DAYS 233930,B100000,00000,1400,1400ASSIGNED TIME 233930,E10A180,00501,0100,07/05/00 233930,E10A180,00550,0300,07/05/00 233930,S000000,00100,0200,05/26/00 233930,S200000,00100,0100,HIGHWAY 38 ROUTE 2 BOX 18A 233930,S200000,00200,0100,HARTVILLE 233930,S200000,00200,0200,MO 233930,S200000,00200,0300,65667 233930,S200000,00300,0100,WRIGHT 233930,S200000,00300,0200,0026 233930,S200000,00300,0300,R 233930,S200000,00400,0100,HARTVILLE CARE CENTER 233930,S200000,00400,0200,265593 233930,S200000,00400,0300,10/24/94 233930,S200000,00400,0500,P 233930,S200000,01500,0100,N 233930,S200000,01600,0100,Y 233930,S200000,01700,0100,N 233930,S200000,01800,0100,N 233930,S200000,02200,0100,N 233930,S200000,02800,0100,N 233930,S200000,02900,0100,N 233930,S200000,03000,0100,N 233930,S200000,03100,0100,N 233930,S200000,03200,0100,N 233930,S200000,03300,0100,N 233930,S200000,03300,0200,N 233930,S200000,04100,0100,N 233930,S200000,04200,0100,N 233930,S200000,04300,0100,N 233930,S200000,04600,0100,N 233930,S200000,04700,0100,N 233930,S200000,04700,0200,N 233930,S200000,04900,0100,N 233930,S200000,05200,0100,N 234403,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 234403,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 234403,A000000,00300,0000,0300EMPLOYEE BENEFITS 234403,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 234403,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 234403,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 234403,A000000,00700,0000,0700HOUSEKEEPING 234403,A000000,00800,0000,0800DIETARY 234403,A000000,00900,0000,0900NURSING ADMINISTRATION 234403,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 234403,A000000,01100,0000,1100PHARMACY 234403,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 234403,A000000,01300,0000,1300SOCIAL SERVICE 234403,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 234403,A000000,01500,0000,1350OTHER GENERAL SERVICES 234403,A000000,01600,0000,1600SKILLED NURSING FACILITY 234403,A000000,01800,0000,1800NURSING FACILITY 234403,A000000,01810,0000,1810ICF/MR 234403,A000000,02100,0000,2100RADIOLOGY 234403,A000000,02200,0000,2200LABORATORY 234403,A000000,02500,0000,2500PHYSICAL THERAPY 234403,A000000,02600,0000,2600OCCUPATIONAL THERAPY 234403,A000000,02700,0000,2700SPEECH PATHOLOGY 234403,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 234403,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 234403,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 234403,A000000,03550,0000,3550FQHC 234403,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 234403,A000000,04801,0000,4801AMBULANCE 234403,A000000,04802,0000,4802AMBULANCE 234403,A000000,04803,0000,4803AMBULANCE 234403,A000000,05000,0000,5000CORF 234403,A000000,05010,0000,5010CMHC 234403,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 234403,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 234403,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 234403,A000000,05100,0000,4750OTHER REIMBURSABLE COST 234403,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 234403,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 234403,A000000,05900,0000,5900BARBER & BEAUTY SHOP 234403,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 234403,A81000A,00100,0100,Y 234403,A81000B,00100,0300,RELATED PARTY - LEAS 234403,B100000,00000,0100,0100SQUARE FEET 234403,B100000,00000,0200,0200SQUARE FEET 234403,B100000,00000,0300,0300GROSS SALARIES 234403,B100000,00000,0400,0400ACCUM COST 234403,B100000,00000,0500,0500SQUARE FEET 234403,B100000,00000,0600,0600POUNDS OF LAUNDRY 234403,B100000,00000,0700,0700SQUARE FEET 234403,B100000,00000,0800,0800MEALS SERVED 234403,B100000,00000,0900,0900DIRECT NRSING HRS 234403,B100000,00000,1000,1000COSTED REQUIS. 234403,B100000,00000,1100,1100COSTED REQUIS. 234403,B100000,00000,1200,1200TIME SPENT 234403,B100000,00000,1300,1300TIME SPENT 234403,B100000,00000,1400,1400ASSIGNED TIME 234403,B100000,00000,1500,1350NO STATISTICS 234403,E10A180,00501,0100,06/08/00 234403,E10A180,00550,0100, 9/21/04 234403,E10A180,00550,0300,06/08/00 234403,E10A180,00551,0300, 9/21/04 234403,S000000,00100,0200,05/04/00 234403,S200000,00100,0100,1186 STATE HIGHWAY V 234403,S200000,00200,0100,HOLLISTER 234403,S200000,00200,0200,MO 234403,S200000,00200,0300,65672 234403,S200000,00300,0100,TANEY 234403,S200000,00300,0200,0026 234403,S200000,00300,0300,R 234403,S200000,00400,0100,POINT LOOKOUT VILLAGE HEALTH CARE CTR 234403,S200000,00400,0200,265411 234403,S200000,00400,0300,02/02/90 234403,S200000,00400,0500,P 234403,S200000,01500,0100,N 234403,S200000,01600,0100,Y 234403,S200000,01700,0100,N 234403,S200000,01800,0100,N 234403,S200000,02200,0100,N 234403,S200000,02800,0100,Y 234403,S200000,02900,0100,N 234403,S200000,03000,0100,N 234403,S200000,03100,0100,N 234403,S200000,03200,0100,N 234403,S200000,03300,0100,N 234403,S200000,03300,0200,N 234403,S200000,04100,0100,N 234403,S200000,04200,0100,N 234403,S200000,04300,0100,N 234403,S200000,04600,0100,N 234403,S200000,04700,0100,N 234403,S200000,04700,0200,N 234403,S200000,04900,0100,N 234403,S200000,05200,0100,N 234817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 234817,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 234817,A000000,00300,0000,0300EMPLOYEE BENEFITS 234817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 234817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 234817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 234817,A000000,00700,0000,0700HOUSEKEEPING 234817,A000000,00800,0000,0800DIETARY 234817,A000000,00900,0000,0900NURSING ADMINISTRATION 234817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 234817,A000000,01100,0000,1100PHARMACY 234817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 234817,A000000,01300,0000,1300SOCIAL SERVICE 234817,A000000,01301,0000,1301ACTIVITIES 234817,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 234817,A000000,01600,0000,1600SKILLED NURSING FACILITY 234817,A000000,01810,0000,1810ICF/MR 234817,A000000,02100,0000,2100RADIOLOGY 234817,A000000,02200,0000,2200LABORATORY 234817,A000000,02500,0000,2500PHYSICAL THERAPY 234817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 234817,A000000,02700,0000,2700SPEECH PATHOLOGY 234817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 234817,A000000,03550,0000,3550FQHC 234817,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 234817,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 234817,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 234817,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 234817,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 234817,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 234817,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 234817,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 234817,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HH 234817,A000000,04801,0000,4801AMBULANCE 234817,A000000,04802,0000,4802AMBULANCE 234817,A000000,04803,0000,4803AMBULANCE 234817,A000000,05000,0000,5000CORF 234817,A000000,05010,0000,5010CMHC 234817,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 234817,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 234817,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 234817,A000000,06300,0000,6150DENTAL 234817,A000000,06301,0000,6151ADULT MEDICAL DAYCARE 234817,A81000A,00100,0100,Y 234817,A81000B,00100,0300,LTC (EDDY) MGMT FEE 234817,A81000B,00200,0300,SAMARITAN HOSPITAL 234817,A81000C,00100,0100,G 234817,A81000C,00100,0400,LTC (EDDY) INC 234817,A81000C,00100,0600,SOLE MEMBER 234817,A81000C,00200,0100,G 234817,A81000C,00200,0400,SAMARITAN HOSPI 234817,A81000C,00200,0600,AFFILIATE 234817,B100000,00000,0100,0100SQUARE FEET 234817,B100000,00000,0200,0200SQUARE FEET 234817,B100000,00000,0300,0300GROSS SALARIES 234817,B100000,00000,0400,0400ACCUM COST 234817,B100000,00000,0500,0500SQUARE FEET 234817,B100000,00000,0600,0600POUNDS OF LAUNDRY 234817,B100000,00000,0700,0700HOURS OF SERVICE 234817,B100000,00000,0800,0800MEALS SERVED 234817,B100000,00000,0900,0900DIRECT NRSG HRS 234817,B100000,00000,1000,1000COSTED REQUIS 234817,B100000,00000,1100,1100COSTED REQUIS 234817,B100000,00000,1200,1200TIME SPENT 234817,B100000,00000,1300,1300TIME SPENT 234817,B100000,00000,1301,1301TIME STUDY 234817,B100000,00000,1400,1400ASSIGNED TIME 234817,E10A180,00301,0100,05/10/00 234817,E10A180,00350,0100,01/18/00 234817,H510100,00000,0000, 016 234817,H510100,02400,0000, 016 234817,S000000,00100,0200,06/19/00 234817,S200000,00100,0100,2920 UPPER TIBBITS AVENUE 234817,S200000,00200,0100,TROY 234817,S200000,00200,0200,NY 234817,S200000,00200,0300,12180 234817,S200000,00300,0100,RENSSALAER 234817,S200000,00300,0200,0160 234817,S200000,00300,0300,U 234817,S200000,00400,0100,EDDY HERITAGE HOUSE NRSG. CTR. 234817,S200000,00400,0200,335760 234817,S200000,00400,0300,11/12/92 234817,S200000,00400,0500,P 234817,S200000,00800,0200,337411 234817,S200000,00800,0300,12/18/96 234817,S200000,00800,0500,O 234817,S200000,01500,0100,Y 234817,S200000,01600,0100,N 234817,S200000,01700,0100,N 234817,S200000,01800,0100,N 234817,S200000,01900,0100,NYS MEMBERSHIP CORP 234817,S200000,02200,0100,Y 234817,S200000,02800,0100,Y 234817,S200000,02900,0100,N 234817,S200000,03000,0100,N 234817,S200000,03100,0100,N 234817,S200000,03200,0100,N 234817,S200000,03300,0100,N 234817,S200000,03300,0200,N 234817,S200000,03700,0100,N 234817,S200000,03700,0200,N 234817,S200000,04100,0100,N 234817,S200000,04200,0100,N 234817,S200000,04300,0100,Y 234817,S200000,04600,0100,N 234817,S200000,04700,0100,N 234817,S200000,04900,0100,N 234817,S200000,05200,0100,N 234817,S410002,01300,0000,NURSING MANAGEMENT 234817,S410002,01400,0000,DIETICIAN 234817,S410002,01700,0100, 016 235109,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235109,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235109,A000000,00300,0000,0300EMPLOYEE BENEFITS 235109,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235109,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235109,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235109,A000000,00700,0000,0700HOUSEKEEPING 235109,A000000,00800,0000,0800DIETARY 235109,A000000,00900,0000,0900NURSING ADMINISTRATION 235109,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235109,A000000,01100,0000,1100PHARMACY 235109,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235109,A000000,01300,0000,1300SOCIAL SERVICE 235109,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 235109,A000000,01500,0000,1350OTHER GENERAL SERVICES 235109,A000000,01600,0000,1600SKILLED NURSING FACILITY 235109,A000000,01800,0000,1800NURSING FACILITY 235109,A000000,01810,0000,1810ICF/MR 235109,A000000,01900,0000,1900OTHER LONG TERM CARE 235109,A000000,02100,0000,2100RADIOLOGY 235109,A000000,02200,0000,2200LABORATORY 235109,A000000,02300,0000,2300INTRAVENOUS THERAPY 235109,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235109,A000000,02500,0000,2500PHYSICAL THERAPY 235109,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235109,A000000,02700,0000,2700SPEECH PATHOLOGY 235109,A000000,02800,0000,2800ELECTROCARDIOLOGY 235109,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235109,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235109,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235109,A000000,03200,0000,3200SUPPORT SURFACES 235109,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235109,A000000,03301,0000,3051NUTRITIONAL THERAPY 235109,A000000,03302,0000,3052PROSTHETICS/ORTHODICS 235109,A000000,03400,0000,3400CLINIC 235109,A000000,03500,0000,3500RURAL HEALTH CLINIC 235109,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 235109,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 235109,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 235109,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 235109,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 235109,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 235109,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 235109,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 235109,A000000,04400,0000,4400DME RENTED - HHA 235109,A000000,04500,0000,4500DME SOLD - HHA 235109,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 235109,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 235109,A000000,04710,0000,4710TELEMEDICINE 235109,A000000,04800,0000,4800AMBULANCE 235109,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 235109,A000000,05000,0000,5000CORF 235109,A000000,05100,0000,4750OTHER REIMBURSABLE COST 235109,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 235109,A000000,05300,0000,5300INTEREST EXPENSE 235109,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235109,A000000,05500,0000,5500HOSPICE 235109,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 235109,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 235109,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235109,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 235109,A000000,06100,0000,6100NONPAID WORKERS 235109,A000000,06200,0000,6200PATIENTS LAUNDRY 235109,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235109,A81000A,00100,0100,Y 235109,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 235109,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUIP 235109,A81000B,00300,0300,CAP REL CST- MVBL EQ DEP 235109,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 235109,A81000B,00500,0300,PLEASE SEE ATTACHED 235109,A81000B,00600,0300,RECLASS REGIONAL 235109,A81000C,00100,0100,B 235109,A81000C,00100,0200,PLEASE SEE ATTACHMENT TO 235109,A81000C,00200,0200,A-8-1 235109,B100000,00000,0100,0100 SQUARE FEET :CAP REL COSTS - BL 235109,B100000,00000,0200,0200 SQUARE FEET :CAP REL COSTS - MO 235109,B100000,00000,0300,0300 GROSS SALARIES :EMPLOYEE BENEFI 235109,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235109,B100000,00000,0500,0500 SQUARE FEET :PLANT OPERATION M 235109,B100000,00000,0600,0600 POUNDS OF LAUNDRY:LAUNDRY & LIN 235109,B100000,00000,0700,0700 HOURS OF SERVICE:HOUSEKEEPING 235109,B100000,00000,0800,0800 MEALS SERVED :DIETARY 235109,B100000,00000,0900,0950 DIRECT NRSING HRS:NURSING ADMIN 235109,B100000,00000,1000,1000 COSTED REQUIS. :CENTRAL SERVICE 235109,B100000,00000,1100,1100 COSTED REQUIS. :PHARMACY 235109,B100000,00000,1200,1200 TIME SPENT :MEDICAL RECORDS & L 235109,B100000,00000,1300,1300 TIME SPENT :SOCIAL SERVICE 235109,S000000,00100,0200,07/12/00 235109,S200000,00100,0100,745 NE 122ND AVENUE 235109,S200000,00200,0100,PORTLAND 235109,S200000,00200,0200,OR 235109,S200000,00200,0300,97230- 235109,S200000,00300,0100,MULTONOMAH 235109,S200000,00300,0200,6440 235109,S200000,00300,0300,U 235109,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR PORTLAND 235109,S200000,00400,0200,385044 235109,S200000,00400,0300,12/01/91 235109,S200000,00400,0500,P 235109,S200000,01500,0100,N 235109,S200000,01600,0100,Y 235109,S200000,01700,0100,N 235109,S200000,01800,0100,N 235109,S200000,02200,0100,Y 235109,S200000,02800,0100,N 235109,S200000,02900,0100,N 235109,S200000,03000,0100,N 235109,S200000,03100,0100,N 235109,S200000,03200,0100,N 235109,S200000,03300,0100,N 235109,S200000,03300,0200,N 235109,S200000,04100,0100,N 235109,S200000,04200,0100,N 235109,S200000,04300,0100,N 235109,S200000,04600,0100,N 235109,S200000,04700,0100,N 235109,S200000,04700,0200,N 235109,S200000,04900,0100,N 235109,S200000,05000,0100,N 235109,S200000,05100,0100,N 235109,S200000,05200,0100,N 235110,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235110,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235110,A000000,00300,0000,0300EMPLOYEE BENEFITS 235110,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235110,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235110,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235110,A000000,00700,0000,0700HOUSEKEEPING 235110,A000000,00800,0000,0800DIETARY 235110,A000000,00900,0000,0900NURSING ADMINISTRATION 235110,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235110,A000000,01100,0000,1100PHARMACY 235110,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235110,A000000,01300,0000,1300SOCIAL SERVICE 235110,A000000,01600,0000,1600SKILLED NURSING FACILITY 235110,A000000,01800,0000,1800NURSING FACILITY 235110,A000000,01900,0000,1900OTHER LONG TERM CARE 235110,A000000,02100,0000,2100RADIOLOGY 235110,A000000,02200,0000,2200LABORATORY 235110,A000000,02300,0000,2300INTRAVENOUS THERAPY 235110,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235110,A000000,02500,0000,2500PHYSICAL THERAPY 235110,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235110,A000000,02700,0000,2700SPEECH PATHOLOGY 235110,A000000,02800,0000,2800ELECTROCARDIOLOGY 235110,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235110,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235110,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235110,A000000,03200,0000,3200SUPPORT SURFACES 235110,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 235110,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235110,A000000,03301,0000,3051NUTRITIONAL THERAPY 235110,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 235110,A000000,03303,0000,3053PHYSICIAN SERVICES 235110,A000000,03304,0000,3054MEDICAL SERVICES 235110,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 235110,A000000,04800,0000,4800AMBULANCE 235110,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 235110,A000000,05300,0000,5300INTEREST EXPENSE 235110,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235110,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 235110,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235110,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 235110,A000000,06100,0000,6100NONPAID WORKERS 235110,A000000,06200,0000,6200PATIENTS LAUNDRY 235110,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235110,A81000A,00100,0100,Y 235110,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 235110,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 235110,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 235110,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 235110,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 235110,A81000B,00600,0300,PLEASE SEE ATTACHMENT 235110,A81000C,00100,0100,B 235110,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 235110,A81000C,00200,0200,A-8-1. 235110,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 235110,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 235110,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 235110,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235110,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 235110,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 235110,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 235110,B100000,00000,0800,0850PATIENT DAYS :DIETARY 235110,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 235110,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 235110,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 235110,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 235110,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 235110,S000000,00100,0200,06/02/00 235110,S200000,00100,0100,1530 JAMES STREET 235110,S200000,00200,0100,BELLINGHAM 235110,S200000,00200,0200,WA 235110,S200000,00200,0300,98225- 235110,S200000,00300,0100,WHATCOM 235110,S200000,00300,0200,0860 235110,S200000,00300,0300,U 235110,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR SHUKSAN 235110,S200000,00400,0200,505098 235110,S200000,00400,0300,02/01/84 235110,S200000,00400,0500,P 235110,S200000,01500,0100,N 235110,S200000,01600,0100,Y 235110,S200000,01700,0100,N 235110,S200000,01800,0100,N 235110,S200000,02200,0100,Y 235110,S200000,02800,0100,N 235110,S200000,02900,0100,N 235110,S200000,03000,0100,N 235110,S200000,03100,0100,N 235110,S200000,03200,0100,N 235110,S200000,03300,0100,N 235110,S200000,03300,0200,N 235110,S200000,04100,0100,N 235110,S200000,04200,0100,N 235110,S200000,04300,0100,N 235110,S200000,04600,0100,N 235110,S200000,04700,0100,N 235110,S200000,04700,0200,N 235110,S200000,04900,0100,N 235110,S200000,05000,0100,N 235110,S200000,05100,0100,N 235110,S200000,05200,0100,N 235111,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235111,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235111,A000000,00300,0000,0300EMPLOYEE BENEFITS 235111,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235111,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235111,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235111,A000000,00700,0000,0700HOUSEKEEPING 235111,A000000,00800,0000,0800DIETARY 235111,A000000,00900,0000,0900NURSING ADMINISTRATION 235111,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235111,A000000,01100,0000,1100PHARMACY 235111,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235111,A000000,01300,0000,1300SOCIAL SERVICE 235111,A000000,01600,0000,1600SKILLED NURSING FACILITY 235111,A000000,01800,0000,1800NURSING FACILITY 235111,A000000,01900,0000,1900OTHER LONG TERM CARE 235111,A000000,02100,0000,2100RADIOLOGY 235111,A000000,02200,0000,2200LABORATORY 235111,A000000,02300,0000,2300INTRAVENOUS THERAPY 235111,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235111,A000000,02500,0000,2500PHYSICAL THERAPY 235111,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235111,A000000,02700,0000,2700SPEECH PATHOLOGY 235111,A000000,02800,0000,2800ELECTROCARDIOLOGY 235111,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235111,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235111,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235111,A000000,03200,0000,3200SUPPORT SURFACES 235111,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 235111,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235111,A000000,03301,0000,3051NUTRITIONAL THERAPY 235111,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 235111,A000000,03303,0000,3053PHYSICIAN SERVICES 235111,A000000,03304,0000,3054MEDICAL SERVICES 235111,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 235111,A000000,04800,0000,4800AMBULANCE 235111,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 235111,A000000,05300,0000,5300INTEREST EXPENSE 235111,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235111,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 235111,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235111,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 235111,A000000,06100,0000,6100NONPAID WORKERS 235111,A000000,06200,0000,6200PATIENTS LAUNDRY 235111,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235111,A81000A,00100,0100,Y 235111,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 235111,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 235111,A81000B,00300,0300,CAP REL CST - MVBL EQ DEP 235111,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 235111,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 235111,A81000B,00600,0300,PLEASE SEE ATTACHED 235111,A81000C,00100,0100,B 235111,A81000C,00100,0200,PLEASE SEE ATTACHEMENT TO 235111,A81000C,00200,0200,A-8-1. 235111,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 235111,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 235111,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 235111,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235111,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 235111,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 235111,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 235111,B100000,00000,0800,0850PATIENT DAYS :DIETARY 235111,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 235111,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 235111,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 235111,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 235111,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 235111,S000000,00100,0200,06/02/00 235111,S200000,00100,0100,911 21ST STREET 235111,S200000,00200,0100,ANACORTES 235111,S200000,00200,0200,WA 235111,S200000,00200,0300,98221- 235111,S200000,00300,0100,SKAGIT 235111,S200000,00300,0200,9950 235111,S200000,00300,0300,R 235111,S200000,00400,0100,SUNBRIDGE CARE & REHAB FOR ANACORTES 235111,S200000,00400,0200,505381 235111,S200000,00400,0300,05/01/91 235111,S200000,00400,0500,P 235111,S200000,01500,0100,N 235111,S200000,01600,0100,Y 235111,S200000,01700,0100,N 235111,S200000,01800,0100,N 235111,S200000,02200,0100,Y 235111,S200000,02800,0100,N 235111,S200000,02900,0100,N 235111,S200000,03000,0100,N 235111,S200000,03100,0100,N 235111,S200000,03200,0100,N 235111,S200000,03300,0100,N 235111,S200000,03300,0200,N 235111,S200000,04100,0100,N 235111,S200000,04200,0100,N 235111,S200000,04300,0100,N 235111,S200000,04600,0100,N 235111,S200000,04700,0100,N 235111,S200000,04700,0200,N 235111,S200000,04900,0100,N 235111,S200000,05000,0100,N 235111,S200000,05100,0100,N 235111,S200000,05200,0100,N 235309,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 235309,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 235309,A000000,00300,0000,0300EMPLOYEE BENEFITS 235309,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235309,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 235309,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235309,A000000,00700,0000,0700HOUSEKEEPING 235309,A000000,00800,0000,0800DIETARY 235309,A000000,00900,0000,0900NURSING ADMINISTRATION 235309,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235309,A000000,01100,0000,1100PHARMACY 235309,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235309,A000000,01300,0000,1300SOCIAL SERVICE 235309,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 235309,A000000,01500,0000,1350OTHER GENERAL SERVICES 235309,A000000,01600,0000,1600SKILLED NURSING FACILITY 235309,A000000,01800,0000,1800NURSING FACILITY 235309,A000000,01810,0000,1810ICF/MR 235309,A000000,01900,0000,1900OTHER LONG TERM CARE 235309,A000000,02100,0000,2100RADIOLOGY 235309,A000000,02200,0000,2200LABORATORY 235309,A000000,02300,0000,2300INTRAVENOUS THERAPY 235309,A000000,02500,0000,2500PHYSICAL THERAPY 235309,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235309,A000000,02700,0000,2700SPEECH PATHOLOGY 235309,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 235309,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235309,A000000,03200,0000,3200SUPPORT SURFACES 235309,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235309,A000000,03550,0000,3550FQHC 235309,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 235309,A000000,04801,0000,4801AMBULANCE 235309,A000000,04802,0000,4802AMBULANCE 235309,A000000,04803,0000,4803AMBULANCE 235309,A000000,05000,0000,5000CORF 235309,A000000,05010,0000,5010CMHC 235309,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 235309,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 235309,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 235309,A000000,05100,0000,4750OTHER REIMBURSABLE COST 235309,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 235309,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235309,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235309,A81000A,00100,0100,Y 235309,A81000B,00100,0300,HOME OFFICE COSTS 235309,A81000B,00200,0300,HOME OFFICE COSTS 235309,A81000B,00300,0300,LEASE 235309,A81000C,00100,0100,A 235309,A81000C,00100,0200,JEFFREY E. SMITH 235309,A81000C,00100,0400,CAPITAL HEALTH MGT INC 235309,A81000C,00100,0600,MANAGEMENT COMPANY 235309,A81000C,00200,0100,A 235309,A81000C,00200,0200,PAT BESS 235309,A81000C,00200,0400,CAPITAL HEALTH MGT INC 235309,A81000C,00200,0600,MANAGEMENT COMPANY 235309,A81000C,00300,0100,A 235309,A81000C,00300,0200,JEFFREY E. SMITH 235309,A81000C,00300,0400,LAKEWOOD PROPERTIES 235309,A81000C,00300,0600,LEASING COMPANY 235309,A81000C,00400,0100,A 235309,A81000C,00400,0200,PAT BESS 235309,A81000C,00400,0400,LAKEWOOD PROPERTIES 235309,A81000C,00400,0600,LEASING COMPANY 235309,B100000,00000,0100,0100SQUARE FEET 235309,B100000,00000,0200,0200DOLLAR VALUE 235309,B100000,00000,0300,0300GROSS SALARIES 235309,B100000,00000,0400,0400ACCUM COST 235309,B100000,00000,0500,0500SQUARE FEET 235309,B100000,00000,0600,0600POUNDS OF LAUNDRY 235309,B100000,00000,0700,0700SQUARE FEET 235309,B100000,00000,0800,0800MEALS SERVED 235309,B100000,00000,0900,0900DIRECT NRSING HRS 235309,B100000,00000,1000,1000COSTED REQUIS. 235309,B100000,00000,1100,1100COSTED REQUIS. 235309,B100000,00000,1200,1200TIME SPENT 235309,B100000,00000,1300,1300TIME SPENT 235309,B100000,00000,1400,1400ASSIGNED TIME 235309,B100000,00000,1500,1350NO STATISTICS 235309,E10A180,00550,0300,07/31/00 235309,S000000,00100,0200,06/19/00 235309,S200000,00100,0100,600 NE MEADOWVIEW DRIVE 235309,S200000,00200,0100,LEE S SUMMIT 235309,S200000,00200,0200,MO 235309,S200000,00200,0300,64064 235309,S200000,00300,0100,JACKSON 235309,S200000,00300,0200,3760 235309,S200000,00300,0300,U 235309,S200000,00400,0100,LAKEWOOD CARE CENTER OF LEE S SUMMIT 235309,S200000,00400,0200,265700 235309,S200000,00400,0300,09/08/99 235309,S200000,00400,0500,P 235309,S200000,01500,0100,N 235309,S200000,01600,0100,Y 235309,S200000,01700,0100,N 235309,S200000,01800,0100,N 235309,S200000,02200,0100,N 235309,S200000,02800,0100,N 235309,S200000,02900,0100,N 235309,S200000,03000,0100,N 235309,S200000,03100,0100,N 235309,S200000,03200,0100,N 235309,S200000,03300,0100,N 235309,S200000,03300,0200,N 235309,S200000,04100,0100,N 235309,S200000,04200,0100,N 235309,S200000,04300,0100,N 235309,S200000,04600,0100,N 235309,S200000,04700,0100,N 235309,S200000,04700,0200,N 235309,S200000,04900,0100,N 235309,S200000,05200,0100,N 235371,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235371,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235371,A000000,00300,0000,0300EMPLOYEE BENEFITS 235371,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235371,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235371,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235371,A000000,00700,0000,0700HOUSEKEEPING 235371,A000000,00800,0000,0800DIETARY 235371,A000000,00900,0000,0900NURSING ADMINISTRATION 235371,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235371,A000000,01100,0000,1100PHARMACY 235371,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235371,A000000,01300,0000,1300SOCIAL SERVICE 235371,A000000,01600,0000,1600SKILLED NURSING FACILITY 235371,A000000,01800,0000,1800NURSING FACILITY 235371,A000000,01900,0000,1900OTHER LONG TERM CARE 235371,A000000,02100,0000,2100RADIOLOGY 235371,A000000,02200,0000,2200LABORATORY 235371,A000000,02300,0000,2300INTRAVENOUS THERAPY 235371,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235371,A000000,02500,0000,2500PHYSICAL THERAPY 235371,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235371,A000000,02700,0000,2700SPEECH PATHOLOGY 235371,A000000,02800,0000,2800ELECTROCARDIOLOGY 235371,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235371,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235371,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235371,A000000,03200,0000,3200SUPPORT SURFACES 235371,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 235371,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235371,A000000,03301,0000,3051NUTRITIONAL THERAPY 235371,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 235371,A000000,03303,0000,3053PHYSICIAN SERVICES 235371,A000000,03304,0000,3054MEDICAL SERVICES 235371,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 235371,A000000,04800,0000,4800AMBULANCE 235371,A000000,05300,0000,5300INTEREST EXPENSE 235371,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235371,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 235371,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235371,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 235371,A000000,06100,0000,6100NONPAID WORKERS 235371,A000000,06200,0000,6200PATIENTS LAUNDRY 235371,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235371,A81000A,00100,0100,Y 235371,A81000B,00100,0300,CAPITAL H/O COST - BUILDING 235371,A81000B,00200,0300,CAPITAL H/O COST - EQUIPMENT 235371,A81000B,00300,0300,RELATED PARTY DEPRECIATION 235371,A81000B,00400,0300,HOME OFFICE COST 235371,A81000B,00500,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,00600,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,00700,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,00800,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,00900,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,01000,0300,REGIONAL ALLOCATION RELATED PARTY 235371,A81000B,01100,0300,SUNDANCE REHAB CORP 235371,A81000B,01200,0300,SUNDANCE REHAB CORP 235371,A81000B,01300,0300,SUNDANCE REHAB CORP 235371,A81000B,01400,0300,SUNCHOICE MEDICAL SUPPLY 235371,A81000B,01500,0300,SUNCHOICE MEDICAL SUPPLY 235371,A81000B,01600,0300,SUNCARE RESP SERVICES 235371,A81000B,01700,0300,SUNCHOICE MEDICAL SUPPLY 235371,A81000B,01800,0300,SUNCARE RESP SERVICES 235371,A81000B,01900,0300,SUNCHOICE MEDICAL SUPPLY 235371,A81000B,02000,0300,SUNSOLUTIONS 235371,A81000B,02100,0300,SHARED HEALTHCARE SYSTEMS INC. 235371,A81000C,00100,0100,B 235371,A81000C,00100,0200,SUNBRIDGE HEALTHCARE INC. 235371,A81000C,00100,0400,SUN HEATHCARE GROUP 235371,A81000C,00100,0600,HEALTHCARE 235371,A81000C,00200,0100,G 235371,A81000C,00200,0200,SUNSCRIPT PHARMACY CORP 235371,A81000C,00200,0400,SUN HEALTHCARE GROUP 235371,A81000C,00200,0600,HEALTHCARE 235371,A81000C,00300,0100,G 235371,A81000C,00300,0200,SUNCARE RESP SERVICES 235371,A81000C,00300,0400,SUN HEALTHCARE GROUP 235371,A81000C,00300,0600,HEALTHCARE 235371,A81000C,00400,0100,G 235371,A81000C,00400,0200,SUNDANCE REHAB CORP 235371,A81000C,00400,0400,SUN HEALTHCARE GROUP 235371,A81000C,00400,0600,HEALTHCARE 235371,A81000C,00500,0100,G 235371,A81000C,00500,0200,SUNCHOICE MEDICAL SUPPLY 235371,A81000C,00500,0400,SUN HEALTHCARE GROUP 235371,A81000C,00500,0600,HEALTHCARE 235371,A81000C,00600,0100,G 235371,A81000C,00600,0200,CONTOUR 235371,A81000C,00600,0400,SUN HEALTHCARE GROUP 235371,A81000C,00600,0600,HEALTHCARE 235371,A81000C,00700,0100,G 235371,A81000C,00700,0200,SUNSOLUTIONS 235371,A81000C,00700,0400,SUN HELATHCARE GROUP 235371,A81000C,00700,0600,HEALTHCARE 235371,A81000C,00800,0100,G 235371,A81000C,00800,0200,THERAPISTS UNLIMITED INC. 235371,A81000C,00800,0400,SUN HEALTHCARE GROUP 235371,A81000C,00800,0600,HEALTHCARE 235371,A81000C,00900,0100,G 235371,A81000C,00900,0200,SHARED HEALTHCARE SYSTEMS 235371,A81000C,00900,0400,SUNHEALTHCARE GROUP 235371,A81000C,00900,0600,HEALTHCARE 235371,A81000C,01000,0100,G 235371,A81000C,01000,0200,ANDY TURNER 235371,A81000C,01000,0400,SUNHEALTHCARE GROUP 235371,A81000C,01000,0600,HEALTHCARE 235371,A81000C,01001,0100,G 235371,A81000C,01001,0200,GOLAN HELATHCARE GROUP 235371,A81000C,01001,0400,SUNHEALTHCARE GROUP 235371,A81000C,01001,0600,HEALTHCARE 235371,A81000C,01002,0100,G 235371,A81000C,01002,0200,SUNALLIANCE 235371,A81000C,01002,0400,SUNHEALTHCARE GROUP 235371,A81000C,01002,0600,HEALTHCARE 235371,A81000C,01003,0100,G 235371,A81000C,01003,0200,SUNQUEST CONSULTING INC 235371,A81000C,01003,0400,SUNHEALTHCARE GROUP 235371,A81000C,01003,0600,HEALTHCARE 235371,A81000C,01004,0100,G 235371,A81000C,01004,0200,ACP 235371,A81000C,01004,0400,SUNDANCE 235371,A81000C,01004,0600,HEALTHCARE 235371,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 235371,B100000,00000,0200,0250SQUARE FEET :CAP REL COSTS - MO 235371,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 235371,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235371,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 235371,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 235371,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 235371,B100000,00000,0800,0850PATIENT DAYS :DIETARY 235371,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 235371,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 235371,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 235371,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 235371,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 235371,S000000,00100,0200,09/17/03 235371,S200000,00100,0100,222 SOUTH PIERCE AVE 235371,S200000,00200,0100,MASON CITY 235371,S200000,00200,0200,IA 235371,S200000,00200,0300,50401- 235371,S200000,00300,0100,CERRO GRANDE 235371,S200000,00300,0200,16 235371,S200000,00300,0300,R 235371,S200000,00400,0100,SUNBRIDGE CARE & REHAB - MASON CITY 235371,S200000,00400,0200,165139 235371,S200000,00400,0300,11/04/86 235371,S200000,00400,0500,P 235371,S200000,01500,0100,N 235371,S200000,01600,0100,Y 235371,S200000,01700,0100,N 235371,S200000,01800,0100,N 235371,S200000,02200,0100,N 235371,S200000,02800,0100,N 235371,S200000,02900,0100,N 235371,S200000,03000,0100,N 235371,S200000,03100,0100,N 235371,S200000,03200,0100,N 235371,S200000,04100,0100,N 235371,S200000,04200,0100,N 235371,S200000,04300,0100,N 235371,S200000,04600,0100,N 235371,S200000,04700,0100,N 235371,S200000,04700,0200,N 235371,S200000,04900,0100,N 235371,S200000,05000,0100,N 235371,S200000,05100,0100,N 235371,S200000,05200,0100,N 235688,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235688,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235688,A000000,00300,0000,0300EMPLOYEE BENEFITS 235688,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235688,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235688,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235688,A000000,00700,0000,0700HOUSEKEEPING 235688,A000000,00800,0000,0800DIETARY 235688,A000000,00900,0000,0900NURSING ADMINISTRATION 235688,A000000,01300,0000,1300SOCIAL SERVICE 235688,A000000,01500,0000,1350ACTIVITIES 235688,A000000,01600,0000,1600SKILLED NURSING FACILITY 235688,A000000,02100,0000,2100RADIOLOGY 235688,A000000,02200,0000,2200LABORATORY 235688,A000000,02300,0000,2300INTRAVENOUS THERAPY 235688,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235688,A000000,02500,0000,2500PHYSICAL THERAPY 235688,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235688,A000000,02700,0000,2700SPEECH PATHOLOGY 235688,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235688,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235688,A000000,03200,0000,3200SUPPORT SURFACES 235688,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235688,A000000,03301,0000,3051OTHER ANCILLARY SERVICE COST CEN 235688,A81000A,00100,0100,Y 235688,A81000B,00100,0300,START-UP AMORT. EXP 235688,A81000B,00200,0300,PARK ASSOC CONSULT 235688,A81000B,00300,0300,PARK COLL-PURCHASES 235688,A81000B,00400,0300,BBC - AUTO LEASE 235688,A81000C,00100,0100,A 235688,A81000C,00100,0200,NEIL M. CHUR 235688,A81000C,00100,0400,THE PARK ASSOC 235688,A81000C,00100,0600,ADMIN FIN QA 235688,A81000C,00200,0100,F 235688,A81000C,00200,0200,BARBARA B. CHUR 235688,A81000C,00200,0400,PARK COLLECTION 235688,A81000C,00200,0600,WHOLESALE PURCH 235688,A81000C,00300,0100,F 235688,A81000C,00300,0200,BARBARA B. CHUR 235688,A81000C,00300,0400,BBC HEALTHENTR 235688,A81000C,00300,0600,LEASED VEHICLES 235688,B100000,00000,0100,0100 SQUARE FEET :CAP REL COSTS - BL 235688,B100000,00000,0200,0200 SQUARE FEET :CAP REL COSTS - MO 235688,B100000,00000,0300,0300 GROSS SALARIES :EMPLOYEE BENEFI 235688,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235688,B100000,00000,0500,0500 SQUARE FEET :PLANT OPERATION M 235688,B100000,00000,0600,0650 PATIENT DAYS :LAUNDRY & LINEN S 235688,B100000,00000,0700,0750 SQUARE FEET :HOUSEKEEPING 235688,B100000,00000,0800,0800 MEALS SERVED :DIETARY 235688,B100000,00000,0900,0950 GROSS CHARGES :NURSING ADMINIST 235688,B100000,00000,1300,1330 PATIENT DAYS :SOCIAL SERVICE 235688,B100000,00000,1500,1350 PATIENT DAYS :ACTIVITIES 235688,S000000,00100,0200,06/06/00 235688,S200000,00100,0100,1020 WEST VINE ST. 235688,S200000,00200,0100,PRINCETON 235688,S200000,00200,0200,IN 235688,S200000,00200,0300,47670- 235688,S200000,00300,0100,GIBSON 235688,S200000,00300,0300,R 235688,S200000,00400,0100,FOREST DEL HEALTH & REHAB 235688,S200000,00400,0200,155275 235688,S200000,00400,0300,11/08/85 235688,S200000,00400,0500,P 235688,S200000,01500,0100,Y 235688,S200000,01600,0100,N 235688,S200000,01700,0100,N 235688,S200000,01800,0100,N 235688,S200000,02200,0100,N 235688,S200000,02800,0100,N 235688,S200000,02900,0100,N 235688,S200000,03000,0100,N 235688,S200000,03100,0100,N 235688,S200000,03200,0100,N 235688,S200000,03300,0100,N 235688,S200000,03300,0200,N 235688,S200000,04100,0100,N 235688,S200000,04200,0100,N 235688,S200000,04300,0100,N 235688,S200000,04600,0100,N 235688,S200000,04700,0100,N 235688,S200000,04700,0200,N 235688,S200000,04900,0100,N 235688,S200000,05000,0100,N 235688,S200000,05100,0100,N 235688,S200000,05200,0100,N 235712,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235712,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235712,A000000,00300,0000,0300EMPLOYEE BENEFITS 235712,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235712,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235712,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235712,A000000,00700,0000,0700HOUSEKEEPING 235712,A000000,00800,0000,0800DIETARY 235712,A000000,00900,0000,0900NURSING ADMINISTRATION 235712,A000000,01500,0000,1350OTHER GENERAL SERVICES 235712,A000000,01600,0000,1600SKILLED NURSING FACILITY 235712,A000000,01800,0000,1800NURSING FACILITY 235712,A000000,01810,0000,1810ICF/MR 235712,A000000,01900,0000,1900OTHER LONG TERM CARE 235712,A000000,02100,0000,2100RADIOLOGY 235712,A000000,02200,0000,2200LABORATORY 235712,A000000,02300,0000,2300INTRAVENOUS THERAPY 235712,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235712,A000000,02500,0000,2500PHYSICAL THERAPY 235712,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235712,A000000,02700,0000,2700SPEECH PATHOLOGY 235712,A000000,02800,0000,2800ELECTROCARDIOLOGY 235712,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235712,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235712,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235712,A000000,03200,0000,3200SUPPORT SURFACES 235712,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 235712,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235712,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 235712,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235712,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235712,A81000A,00100,0100,Y 235712,A81000B,00100,0300,MGMT FEES 235712,A81000C,00100,0100,A 235712,A81000C,00100,0200,PEOPLES NURSING 235712,A81000C,00100,0400,PEOPLES HEALTH 235712,A81000C,00100,0600,HOME OFFICE 235712,S000000,00100,0200,06/18/02 235712,S200000,00100,0100,3526 WEST ERWIN 235712,S200000,00200,0100,TYLER 235712,S200000,00200,0200,TX 235712,S200000,00200,0300,75702-6519 235712,S200000,00300,0100,SMITH 235712,S200000,00300,0200,8640 235712,S200000,00300,0300,U 235712,S200000,00400,0100,PEOPLES NURSING CENTER OF TYLER 235712,S200000,00400,0200,675267 235712,S200000,00400,0300,12/01/98 235712,S200000,00400,0500,P 235712,S200000,01500,0100,Y 235712,S200000,01600,0100,N 235712,S200000,01700,0100,N 235712,S200000,01800,0100,N 235712,S200000,02200,0100,N 235712,S200000,02800,0100,N 235712,S200000,02900,0100,N 235712,S200000,03000,0100,N 235712,S200000,03100,0100,N 235712,S200000,03200,0100,N 235712,S200000,03300,0100,N 235712,S200000,03300,0200,N 235712,S200000,04100,0100,N 235712,S200000,04200,0100,N 235712,S200000,04300,0100,N 235712,S200000,04600,0100,N 235712,S200000,04700,0100,N 235712,S200000,04700,0200,N 235712,S200000,04900,0100,N 235712,S200000,05000,0100,Y 235712,S200000,05100,0100,Y 235712,S200000,05200,0100,Y 235732,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 235732,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 235732,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 235732,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 235732,A000000,00300,0000,0300EMPLOYEE BENEFITS 235732,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 235732,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 235732,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 235732,A000000,00700,0000,0700HOUSEKEEPING 235732,A000000,00800,0000,0800DIETARY 235732,A000000,00801,0000,0801CAFETERIA 235732,A000000,00900,0000,0900NURSING ADMINISTRATION 235732,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 235732,A000000,01100,0000,1100PHARMACY 235732,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 235732,A000000,01300,0000,1300SOCIAL SERVICE 235732,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 235732,A000000,01500,0000,1350ACTIVITIES 235732,A000000,01600,0000,1600SKILLED NURSING FACILITY 235732,A000000,01800,0000,1800NURSING FACILITY 235732,A000000,01900,0000,1900OTHER LONG TERM CARE 235732,A000000,02100,0000,2100RADIOLOGY 235732,A000000,02200,0000,2200LABORATORY 235732,A000000,02300,0000,2300INTRAVENOUS THERAPY 235732,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 235732,A000000,02500,0000,2500PHYSICAL THERAPY 235732,A000000,02600,0000,2600OCCUPATIONAL THERAPY 235732,A000000,02700,0000,2700SPEECH PATHOLOGY 235732,A000000,02800,0000,2800ELECTROCARDIOLOGY 235732,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 235732,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 235732,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 235732,A000000,03200,0000,3200SUPPORT SURFACES 235732,A000000,03300,0000,3050PHYSICIAN FEES 235732,A000000,03301,0000,3051PART B ENTERALS 235732,A000000,03302,0000,3052OTHER ANCILLARY III 235732,A000000,03600,0000,3450OUTPATIENT P.T. 235732,A000000,03601,0000,3451OUTPATIENT O.T. 235732,A000000,03602,0000,3452OUTPATIENT S.T. 235732,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 235732,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 235732,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 235732,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 235732,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 235732,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 235732,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 235732,A000000,04400,0000,4400DME RENTED - HHA 235732,A000000,04500,0000,4500DME SOLD - HHA 235732,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 235732,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 235732,A000000,04800,0000,4800AMBULANCE 235732,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 235732,A000000,05000,0000,5000CORF 235732,A000000,05010,0000,5010CMHC I 235732,A000000,05020,0000,5020OPT I 235732,A000000,05100,0000,4750OTHER REIMBURSABLE COST 235732,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 235732,A000000,05300,0000,5300INTEREST EXPENSE 235732,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 235732,A000000,05500,0000,5500HOSPICE 235732,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 235732,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 235732,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 235732,A000000,05900,0000,5900BARBER & BEAUTY SHOP 235732,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 235732,A000000,06100,0000,6100NONPAID WORKERS 235732,A000000,06200,0000,6200PATIENTS LAUNDRY 235732,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 235732,A81000A,00100,0100,Y 235732,A81000B,00100,0300,STARTUP AMORT EXP 235732,A81000B,00200,0300,PARK ASSOC CONSULT 235732,A81000B,00300,0300,PARK COLL-PURCHASES 235732,A81000C,00100,0100,A 235732,A81000C,00100,0200,NEIL M CHUR 235732,A81000C,00100,0400,THE PARK ASSOC 235732,A81000C,00100,0600,ADMIN FIN QA 235732,A81000C,00200,0100,F 235732,A81000C,00200,0200,BARBARA B CHUR 235732,A81000C,00200,0400,PARK COLLECTION 235732,A81000C,00200,0600,WHOLESALE PURCH 235732,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 235732,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 235732,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 235732,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 235732,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 235732,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 235732,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 235732,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 235732,B100000,00000,0900,0950GROSS CHARGES :NURSING ADMINIST 235732,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 235732,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 235732,E10A180,00501,0100,07/12/00 235732,S000000,00100,0200,06/05/00 235732,S200000,00100,0100,958 EAST HIGHWAY 46 235732,S200000,00200,0100,BATESVILLE 235732,S200000,00200,0200,IN 235732,S200000,00200,0300,47006- 235732,S200000,00300,0100,RIPLEY 235732,S200000,00300,0200,0015 235732,S200000,00300,0300,R 235732,S200000,00400,0100,DREYERHAUS 235732,S200000,00400,0200,155233 235732,S200000,00400,0300,05/30/84 235732,S200000,00400,0500,P 235732,S200000,01500,0100,Y 235732,S200000,01600,0100,N 235732,S200000,01700,0100,N 235732,S200000,01800,0100,N 235732,S200000,02200,0100,N 235732,S200000,02800,0100,N 235732,S200000,02900,0100,N 235732,S200000,03000,0100,N 235732,S200000,03100,0100,N 235732,S200000,03200,0100,N 235732,S200000,03300,0100,N 235732,S200000,03300,0200,N 235732,S200000,04100,0100,N 235732,S200000,04200,0100,N 235732,S200000,04300,0100,N 235732,S200000,04600,0100,N 235732,S200000,04700,0100,N 235732,S200000,04700,0200,Y 235732,S200000,04900,0100,Y 235732,S200000,05000,0100,N 235732,S200000,05100,0100,N 235732,S200000,05200,0100,N 236017,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 236017,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 236017,A000000,00300,0000,0300EMPLOYEE BENEFITS 236017,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236017,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 236017,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236017,A000000,00700,0000,0700HOUSEKEEPING 236017,A000000,00800,0000,0800DIETARY 236017,A000000,00900,0000,0900NURSING ADMINISTRATION 236017,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236017,A000000,01100,0000,1100PHARMACY 236017,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236017,A000000,01300,0000,1300SOCIAL SERVICE 236017,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 236017,A000000,01500,0000,1350RECREATION ACTIVITIES 236017,A000000,01600,0000,1600SKILLED NURSING FACILITY 236017,A000000,01800,0000,1800NURSING FACILITY 236017,A000000,01810,0000,1810ICF/MR 236017,A000000,02100,0000,2100RADIOLOGY 236017,A000000,02200,0000,2200LABORATORY 236017,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 236017,A000000,02500,0000,2500PHYSICAL THERAPY 236017,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236017,A000000,02700,0000,2700SPEECH PATHOLOGY 236017,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 236017,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236017,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 236017,A000000,03301,0000,3051ENTERAL FEEDING 236017,A000000,03550,0000,3550FQHC 236017,A000000,05000,0000,5000CORF 236017,A000000,05010,0000,5010CMHC 236017,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236017,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236017,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236017,A000000,05900,0000,5900BARBER & BEAUTY SHOP 236017,A000000,06300,0000,6150ENTERSTOMAL THERAPY 236017,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 236017,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 236017,A000000,06312,0000,6153DIALYSIS 236017,A000000,06320,0000,6154APARTMENTS 236017,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 236017,A000000,06340,0000,6156CLOSED PATIENT AREAS 236017,A000000,06350,0000,6157O/P ADULT DAYCARE 236017,A81000A,00100,0100,Y 236017,A81000B,00100,0300,HOME OFFICE CAPITAL COST 236017,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 236017,A81000B,00400,0300,SYMPHONY REHAB 236017,A81000B,00500,0300,SYMPHONY REHAB 236017,A81000B,00600,0300,SYMPHONY REHAB 236017,A81000B,00700,0300,REHAB ALLOCATION 236017,A81000B,00800,0300,REHAB ALLOCATION 236017,A81000B,00900,0300,REHAB ALLOCATION 236017,A81000B,01000,0300,CLINICAL ALLOCATION 236017,A81000B,01100,0300,SYMPHONY MOBILEX 236017,A81000C,00100,0100,B 236017,A81000C,00100,0400,IHS INC. 236017,A81000C,00100,0600,NURSING HOMES 236017,A81000C,00200,0100,B 236017,A81000C,00200,0400,LYRIC 236017,A81000C,00200,0600,NURSING HOMES 236017,A81000C,00300,0100,G 236017,A81000C,00300,0400,SYMPHONY 236017,A81000C,00300,0600,LAB 236017,A81000C,00400,0100,G 236017,A81000C,00400,0400,LTC 236017,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 236017,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 236017,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 236017,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 236017,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 236017,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 236017,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 236017,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 236017,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 236017,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 236017,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 236017,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 236017,E10A180,00301,0100,12/03/99 236017,E10A180,00302,0100,05/18/00 236017,E10A180,00350,0100,03/18/99 236017,E10A180,00501,0300,06/01/00 236017,E10A180,00502,0300,08/15/01 236017,E10A180,00550,0100,06/01/00 236017,E10A180,00551,0100,07/28/00 236017,E10A180,00551,0300,07/28/00 236017,E10A180,00552,0100,08/15/01 236017,S000000,00100,0200,06/01/00 236017,S200000,00100,0100,4000 S.W. 20TH AVENUE 236017,S200000,00200,0100,GAINESVILLE 236017,S200000,00200,0200,FL 236017,S200000,00200,0300,32607- 236017,S200000,00300,0100,ALACHUA 236017,S200000,00300,0200,2900 236017,S200000,00300,0300,U 236017,S200000,00400,0100,IHS-GAINESVILLE 236017,S200000,00400,0200,105664 236017,S200000,00400,0300,03/15/91 236017,S200000,00400,0500,P 236017,S200000,00600,0200,105664 236017,S200000,00600,0300,03/15/91 236017,S200000,00600,0600,O 236017,S200000,01500,0100,N 236017,S200000,01600,0100,Y 236017,S200000,01700,0100,N 236017,S200000,01800,0100,N 236017,S200000,02200,0100,Y 236017,S200000,02800,0100,N 236017,S200000,02900,0100,N 236017,S200000,03000,0100,N 236017,S200000,03100,0100,N 236017,S200000,03200,0100,N 236017,S200000,03300,0100,N 236017,S200000,03300,0200,N 236017,S200000,03500,0300,N 236017,S200000,04100,0100,N 236017,S200000,04200,0100,N 236017,S200000,04300,0100,N 236017,S200000,04600,0100,N 236017,S200000,04700,0100,N 236017,S200000,04700,0200,N 236017,S200000,04900,0100,N 236017,S200000,05000,0100,N 236017,S200000,05100,0100,N 236017,S200000,05200,0100,N 236391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 236391,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 236391,A000000,00300,0000,0300EMPLOYEE BENEFITS 236391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 236391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236391,A000000,00700,0000,0700HOUSEKEEPING 236391,A000000,00800,0000,0800DIETARY 236391,A000000,00900,0000,0900NURSING ADMINISTRATION 236391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236391,A000000,01100,0000,1100PHARMACY 236391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236391,A000000,01300,0000,1300SOCIAL SERVICE 236391,A000000,01600,0000,1600SKILLED NURSING FACILITY 236391,A000000,01800,0000,1800NURSING FACILITY 236391,A000000,01900,0000,1900OTHER LONG TERM CARE 236391,A000000,02100,0000,2100RADIOLOGY 236391,A000000,02200,0000,2200LABORATORY 236391,A000000,02300,0000,2300INTRAVENOUS THERAPY 236391,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 236391,A000000,02500,0000,2500PHYSICAL THERAPY 236391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236391,A000000,02700,0000,2700SPEECH PATHOLOGY 236391,A000000,02800,0000,2800ELECTROCARDIOLOGY 236391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 236391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236391,A000000,03200,0000,3200SUPPORT SURFACES 236391,A000000,03500,0000,3500RURAL HEALTH CLINIC 236391,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 236391,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 236391,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 236391,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 236391,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 236391,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 236391,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 236391,A000000,04400,0000,4400DME RENTED - HHA 236391,A000000,04500,0000,4500DME SOLD - HHA 236391,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 236391,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 236391,A000000,05300,0000,5300INTEREST EXPENSE 236391,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 236391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 236391,A81000A,00100,0100,N 236391,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 236391,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 236391,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 236391,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 236391,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 236391,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 236391,B100000,00000,0800,0800MEALS SERVED :DIETARY 236391,B100000,00000,0900,0950GROSS SALARIES :NURSING ADMINIS 236391,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 236391,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 236391,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 236391,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 236391,H510100,00000,0000,45 236391,H510100,02400,0000,45 236391,S000000,00100,0200,01/02/01 236391,S200000,00100,0100,HIGHWAY 55 236391,S200000,00100,0300,310 236391,S200000,00200,0100,CAMPWOOD 236391,S200000,00200,0200,TX 236391,S200000,00200,0300, - 236391,S200000,00300,0100,REAL 236391,S200000,00300,0200,0045 236391,S200000,00300,0300,R 236391,S200000,00400,0100,CAMP WOOD CONVALESCENT CTR LLC 236391,S200000,00400,0200,455814 236391,S200000,00400,0300,01/01/96 236391,S200000,00400,0500,P 236391,S200000,00800,0200,677730 236391,S200000,00800,0300,12/23/93 236391,S200000,00800,0500,O 236391,S200000,01500,0100,N 236391,S200000,01600,0100,N 236391,S200000,01700,0100,N 236391,S200000,01800,0100,N 236391,S200000,02200,0100,N 236391,S200000,02800,0100,N 236391,S200000,02900,0100,N 236391,S200000,03000,0100,N 236391,S200000,03100,0100,N 236391,S200000,03200,0100,N 236391,S200000,03300,0100,N 236391,S200000,03300,0200,N 236391,S200000,03700,0100,N 236391,S200000,03700,0200,N 236391,S200000,04100,0100,N 236391,S200000,04200,0100,N 236391,S200000,04300,0100,N 236391,S200000,04600,0100,N 236391,S200000,04700,0100,N 236391,S200000,04700,0200,N 236391,S200000,04900,0100,N 236391,S200000,05000,0100,N 236391,S200000,05100,0100,N 236391,S200000,05200,0100,N 236391,S410002,01700,0100,45 236447,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236447,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236447,A000000,00300,0000,0300EMPLOYEE BENEFITS 236447,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236447,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236447,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236447,A000000,00700,0000,0700HOUSEKEEPING 236447,A000000,00800,0000,0800DIETARY 236447,A000000,00900,0000,0900NURSING ADMINISTRATION 236447,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236447,A000000,01100,0000,1100PHARMACY 236447,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236447,A000000,01300,0000,1300SOCIAL SERVICE 236447,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236447,A000000,01500,0000,1350ACTIVITIES 236447,A000000,01600,0000,1600SKILLED NURSING FACILITY 236447,A000000,01810,0000,1810ICF/MR 236447,A000000,02100,0000,2100RADIOLOGY 236447,A000000,02200,0000,2200LABORATORY 236447,A000000,02500,0000,2500PHYSICAL THERAPY 236447,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236447,A000000,02700,0000,2700SPEECH PATHOLOGY 236447,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236447,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236447,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236447,A000000,03550,0000,3550FQHC 236447,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236447,A000000,04801,0000,4801AMBULANCE 236447,A000000,04802,0000,4802AMBULANCE 236447,A000000,04803,0000,4803AMBULANCE 236447,A000000,05000,0000,5000CORF 236447,A000000,05010,0000,5010CMHC 236447,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236447,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236447,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236447,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236447,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236447,A000000,05900,0000,5900BARBER & BEAUTY SHOP 236447,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236447,A81000A,00100,0100,Y 236447,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236447,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236447,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236447,A81000C,00100,0100,B 236447,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236447,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 236447,A81000C,00100,0600,REALTY & MANAGEMENT 236447,B100000,00000,0100,0100SQUARE FEET 236447,B100000,00000,0200,0200SQUARE FEET 236447,B100000,00000,0300,0300GROSS SALARIES 236447,B100000,00000,0400,0400ACCUM COST 236447,B100000,00000,0500,0500SQUARE FEET 236447,B100000,00000,0600,0600POUNDS OF LAUNDRY 236447,B100000,00000,0700,0700HOURS OF SERVICE 236447,B100000,00000,0800,0800MEALS SERVED 236447,B100000,00000,0900,0900DIRECT NRSING HRS 236447,B100000,00000,1000,1000COSTED REQUIS. 236447,B100000,00000,1100,1100COSTED REQUIS. 236447,B100000,00000,1200,1200TIME SPENT 236447,B100000,00000,1300,1300TIME SPENT 236447,B100000,00000,1400,1400ASSIGNED TIME 236447,B100000,00000,1500,1350NO. OF PARTIC 236447,E10A180,00550,0100,06/28/00 236447,S000000,00100,0200,05/30/00 236447,S200000,00100,0100,19 POPLAR ST. 236447,S200000,00200,0100,NEW MILFORD 236447,S200000,00200,0200,CT 236447,S200000,00200,0300,06776 236447,S200000,00300,0100,LITCHFIELD 236447,S200000,00300,0200,3283 236447,S200000,00300,0300,U 236447,S200000,00400,0100,NEW MILFORD NURSING HOME 236447,S200000,00400,0200,075208 236447,S200000,00400,0300,09/02/71 236447,S200000,00400,0500,P 236447,S200000,01500,0100,Y 236447,S200000,01600,0100,N 236447,S200000,01700,0100,N 236447,S200000,01800,0100,N 236447,S200000,01900,0100,NON PROFIT CORP 236447,S200000,02200,0100,N 236447,S200000,02800,0100,N 236447,S200000,02900,0100,N 236447,S200000,03000,0100,N 236447,S200000,03100,0100,N 236447,S200000,03200,0100,N 236447,S200000,03300,0100,N 236447,S200000,03300,0200,N 236447,S200000,04100,0100,N 236447,S200000,04200,0100,N 236447,S200000,04300,0100,N 236447,S200000,04600,0100,N 236447,S200000,04700,0100,N 236447,S200000,04900,0100,N 236447,S200000,05200,0100,N 236448,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236448,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236448,A000000,00300,0000,0300EMPLOYEE BENEFITS 236448,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236448,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236448,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236448,A000000,00700,0000,0700HOUSEKEEPING 236448,A000000,00800,0000,0800DIETARY 236448,A000000,00900,0000,0900NURSING ADMINISTRATION 236448,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236448,A000000,01100,0000,1100PHARMACY 236448,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236448,A000000,01300,0000,1300SOCIAL SERVICE 236448,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236448,A000000,01500,0000,1350ACTIVITIES 236448,A000000,01600,0000,1600SKILLED NURSING FACILITY 236448,A000000,01810,0000,1810ICF/MR 236448,A000000,02100,0000,2100RADIOLOGY 236448,A000000,02200,0000,2200LABORATORY 236448,A000000,02500,0000,2500PHYSICAL THERAPY 236448,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236448,A000000,02700,0000,2700SPEECH PATHOLOGY 236448,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236448,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236448,A000000,03550,0000,3550FQHC 236448,A000000,04801,0000,4801AMBULANCE 236448,A000000,04802,0000,4802AMBULANCE 236448,A000000,04803,0000,4803AMBULANCE 236448,A000000,05000,0000,5000CORF 236448,A000000,05010,0000,5010CMHC 236448,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236448,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236448,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236448,A81000A,00100,0100,Y 236448,A81000B,00100,0300,A&G- REL CO 236448,A81000B,00200,0300,A&G -REL CO 236448,A81000B,00300,0300,A&G - REL CO 236448,A81000B,00400,0300,A&G - REL CO 236448,A81000C,00100,0100,B 236448,A81000C,00100,0200,ECEN PARK HEALTH SVC 236448,A81000C,00100,0400,EDEN PARK MGMT INC 236448,A81000C,00100,0600,REALTY MANAGEMENT 236448,B100000,00000,0100,0100SQUARE FEET 236448,B100000,00000,0200,0200SQUARE FEET 236448,B100000,00000,0300,0300GROSS SALARIES 236448,B100000,00000,0400,0400ACCUM COST 236448,B100000,00000,0500,0500SQUARE FEET 236448,B100000,00000,0600,0600POUNDS OF LAUNDRY 236448,B100000,00000,0700,0700HOURS OF SERVICE 236448,B100000,00000,0800,0800MEALS SERVED 236448,B100000,00000,0900,0900DIRECT NRSG HRS 236448,B100000,00000,1000,1000COSTED REQUIS 236448,B100000,00000,1100,1100COSTED REQUIS 236448,B100000,00000,1200,1200TIME SPENT 236448,B100000,00000,1300,1300TIME SPENT 236448,B100000,00000,1400,1400ASSIGNED TIME 236448,B100000,00000,1500,1350 236448,E10A180,00501,0100,05/08/00 236448,S000000,00100,0200,05/30/00 236448,S200000,00100,0100,30 PROSPECT STREET 236448,S200000,00200,0100,HUDSON 236448,S200000,00200,0200,NY 236448,S200000,00200,0300,12534 236448,S200000,00300,0100,COLUMBIA 236448,S200000,00300,0200,0033 236448,S200000,00300,0300,R 236448,S200000,00400,0100,EDEN PARK HEALTHCARE CTR - HUDSON 236448,S200000,00400,0200,335095 236448,S200000,00400,0300,01/01/72 236448,S200000,00400,0500,P 236448,S200000,01500,0100,Y 236448,S200000,01600,0100,N 236448,S200000,01700,0100,N 236448,S200000,01800,0100,N 236448,S200000,02200,0100,N 236448,S200000,02800,0100,N 236448,S200000,02900,0100,N 236448,S200000,03000,0100,N 236448,S200000,03100,0100,N 236448,S200000,03200,0100,N 236448,S200000,03300,0100,N 236448,S200000,03300,0200,N 236448,S200000,04100,0100,N 236448,S200000,04200,0100,N 236448,S200000,04300,0100,Y 236448,S200000,04600,0100,N 236448,S200000,04700,0100,N 236448,S200000,04900,0100,N 236448,S200000,05000,0100,N 236448,S200000,05100,0100,N 236448,S200000,05200,0100,N 236449,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236449,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236449,A000000,00300,0000,0300EMPLOYEE BENEFITS 236449,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236449,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236449,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236449,A000000,00700,0000,0700HOUSEKEEPING 236449,A000000,00800,0000,0800DIETARY 236449,A000000,00900,0000,0900NURSING ADMINISTRATION 236449,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236449,A000000,01100,0000,1100PHARMACY 236449,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236449,A000000,01300,0000,1300SOCIAL SERVICE 236449,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236449,A000000,01500,0000,1350ACTIVITIES 236449,A000000,01600,0000,1600SKILLED NURSING FACILITY 236449,A000000,01810,0000,1810ICF/MR 236449,A000000,02100,0000,2100RADIOLOGY 236449,A000000,02200,0000,2200LABORATORY 236449,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 236449,A000000,02500,0000,2500PHYSICAL THERAPY 236449,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236449,A000000,02700,0000,2700SPEECH PATHOLOGY 236449,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236449,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236449,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236449,A000000,03550,0000,3550FQHC 236449,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236449,A000000,04801,0000,4801AMBULANCE 236449,A000000,04802,0000,4802AMBULANCE 236449,A000000,04803,0000,4803AMBULANCE 236449,A000000,05000,0000,5000CORF 236449,A000000,05010,0000,5010CMHC 236449,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236449,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236449,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236449,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236449,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236449,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236449,A81000A,00100,0100,Y 236449,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236449,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236449,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236449,A81000B,00400,0300,ADMIN & GENERAL - REL CO 236449,A81000C,00100,0100,B 236449,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236449,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 236449,A81000C,00100,0600,REALTY & MANAGEMENT 236449,B100000,00000,0100,0100SQUARE FEET 236449,B100000,00000,0200,0200SQUARE FEET 236449,B100000,00000,0300,0300GROSS SALARIES 236449,B100000,00000,0400,0400ACCUM COST 236449,B100000,00000,0500,0500SQUARE FEET 236449,B100000,00000,0600,0600POUNDS OF LAUNDRY 236449,B100000,00000,0700,0700HOURS OF SERVICE 236449,B100000,00000,0800,0800MEALS SERVED 236449,B100000,00000,0900,0900DIRECT NRSING HRS 236449,B100000,00000,1000,1000COSTED REQUIS. 236449,B100000,00000,1100,1100COSTED REQUIS. 236449,B100000,00000,1200,1200TIME SPENT 236449,B100000,00000,1300,1300TIME SPENT 236449,B100000,00000,1400,1400ASSIGNED TIME 236449,B100000,00000,1500,1350NO. OF PARTIC 236449,E10A180,00501,0100,05/08/00 236449,S000000,00100,0200,05/30/00 236449,S200000,00100,0100,PARKWAY DRIVE 236449,S200000,00200,0100,COBLESKILL 236449,S200000,00200,0200,NY 236449,S200000,00200,0300,12043 236449,S200000,00300,0100,SCHOHARIE 236449,S200000,00300,0200,0160 236449,S200000,00300,0300,U 236449,S200000,00400,0100,EDEN PARK HEALTHCARE CTR-COBLESKILL 236449,S200000,00400,0200,335206 236449,S200000,00400,0300,01/01/72 236449,S200000,00400,0500,P 236449,S200000,01500,0100,Y 236449,S200000,01600,0100,N 236449,S200000,01700,0100,N 236449,S200000,01800,0100,N 236449,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 236449,S200000,02200,0100,N 236449,S200000,02800,0100,N 236449,S200000,02900,0100,N 236449,S200000,03000,0100,N 236449,S200000,03100,0100,N 236449,S200000,03200,0100,N 236449,S200000,03300,0100,N 236449,S200000,03300,0200,N 236449,S200000,04100,0100,N 236449,S200000,04200,0100,N 236449,S200000,04300,0100,Y 236449,S200000,04600,0100,N 236449,S200000,04700,0100,N 236449,S200000,04900,0100,N 236449,S200000,05200,0100,N 236557,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236557,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236557,A000000,00300,0000,0300EMPLOYEE BENEFITS 236557,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236557,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236557,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236557,A000000,00700,0000,0700HOUSEKEEPING 236557,A000000,00800,0000,0800DIETARY 236557,A000000,00900,0000,0900NURSING ADMINISTRATION 236557,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236557,A000000,01100,0000,1100PHARMACY 236557,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236557,A000000,01300,0000,1300SOCIAL SERVICE 236557,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236557,A000000,01500,0000,1350OTHER GENERAL SERVICES 236557,A000000,01600,0000,1600SKILLED NURSING FACILITY 236557,A000000,01800,0000,1800NURSING FACILITY 236557,A000000,01810,0000,1810ICF/MR 236557,A000000,01900,0000,1900OTHER LONG TERM CARE 236557,A000000,02100,0000,2100RADIOLOGY 236557,A000000,02200,0000,2200LABORATORY 236557,A000000,02500,0000,2500PHYSICAL THERAPY 236557,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236557,A000000,02700,0000,2700SPEECH PATHOLOGY 236557,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236557,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236557,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236557,A000000,03550,0000,3550FQHC 236557,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 236557,A000000,04801,0000,4801AMBULANCE 236557,A000000,04802,0000,4802AMBULANCE 236557,A000000,04803,0000,4803AMBULANCE 236557,A000000,05000,0000,5000CORF 236557,A000000,05010,0000,5010CMHC 236557,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236557,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236557,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236557,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236557,A000000,05300,0000,5300INTEREST EXPENSE 236557,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236557,A000000,05900,0000,5900BARBER & BEAUTY SHOP 236557,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236557,A81000A,00100,0100,Y 236557,A81000B,00100,0300,HOME OFFICE COSTS 236557,A81000B,00200,0300,HOME OFFICE COSTS 236557,A81000B,00300,0300,RELATED PARTY LEASE 236557,A81000B,00400,0300,RELATED PARTY PT 236557,A81000B,00500,0300,RELATED PARTY OT 236557,A81000B,00600,0300,RELATED PARTY ST 236557,A81000C,00100,0100,A 236557,A81000C,00100,0200,JEFFREY E. SMITH 236557,A81000C,00100,0400,CAPITAL HEALTH MGMT INC. 236557,A81000C,00100,0600,MANAGEMENT COMPANY 236557,A81000C,00200,0100,A 236557,A81000C,00200,0200,JEFFREY E. SMITH 236557,A81000C,00200,0400,REGENCY PROPERTIES 236557,A81000C,00200,0600,LEASING COMPANY 236557,A81000C,00300,0100,A 236557,A81000C,00300,0200,JEFFREY E. SMITH 236557,A81000C,00300,0400,WILSHIRE AT LAKEWOOD 236557,A81000C,00300,0600,NURSING FACILITY 236557,A81000C,00400,0100,A 236557,A81000C,00400,0200,PAT BESS 236557,A81000C,00400,0400,CAPITAL HEALTH MGMT INC 236557,A81000C,00400,0600,MANAGEMENT COMPANY 236557,A81000C,00500,0100,A 236557,A81000C,00500,0200,PAT BESS 236557,A81000C,00500,0400,REGENCY PROPERTIES 236557,A81000C,00500,0600,LEASING COMPANY 236557,A81000C,00600,0100,A 236557,A81000C,00600,0200,PAT BESS 236557,A81000C,00600,0400,WILSHIRE AT LAKEWOOD 236557,A81000C,00600,0600,NURSING FACILITY 236557,B100000,00000,0100,0100SQUARE FEET 236557,B100000,00000,0200,0200DOLLAR VALUE 236557,B100000,00000,0300,0300GROSS SALARIES 236557,B100000,00000,0400,0400ACCUM COST 236557,B100000,00000,0500,0500SQUARE FEET 236557,B100000,00000,0600,0600POUNDS OF LAUNDRY 236557,B100000,00000,0700,0700SQUARE FEET 236557,B100000,00000,0800,0800MEALS SERVED 236557,B100000,00000,0900,0900DIRECT NRSING HRS 236557,B100000,00000,1000,1000COSTED REQUIS. 236557,B100000,00000,1100,1100COSTED REQUIS. 236557,B100000,00000,1200,1200TIME SPENT 236557,B100000,00000,1300,1300TIME SPENT 236557,B100000,00000,1400,1400ASSIGNED TIME 236557,B100000,00000,1500,1350NO STATISTICS 236557,E10A180,00350,0300,08/01/00 236557,E10A180,00550,0100,08/01/00 236557,E10A180,00550,0300,08/01/00 236557,S000000,00100,0200,06/12/00 236557,S200000,00100,0100,1800 SWOPE DRIVE 236557,S200000,00200,0100,INDEPENDENCE 236557,S200000,00200,0200,MO 236557,S200000,00200,0300,64057 236557,S200000,00300,0100,JACKSON 236557,S200000,00300,0200,3760 236557,S200000,00300,0300,U 236557,S200000,00400,0100,REGENCY CARE CENTER OF INDEPENDENCE 236557,S200000,00400,0200,265693 236557,S200000,00400,0300,07/09/98 236557,S200000,00400,0500,P 236557,S200000,01500,0100,N 236557,S200000,01600,0100,Y 236557,S200000,01700,0100,N 236557,S200000,01800,0100,N 236557,S200000,02200,0100,N 236557,S200000,02800,0100,N 236557,S200000,02900,0100,N 236557,S200000,03000,0100,N 236557,S200000,03100,0100,N 236557,S200000,03200,0100,N 236557,S200000,03300,0100,N 236557,S200000,03300,0200,N 236557,S200000,04100,0100,N 236557,S200000,04200,0100,N 236557,S200000,04300,0100,N 236557,S200000,04600,0100,N 236557,S200000,04700,0100,N 236557,S200000,04700,0200,N 236557,S200000,04900,0100,N 236557,S200000,05200,0100,N 236855,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236855,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236855,A000000,00300,0000,0300EMPLOYEE BENEFITS 236855,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236855,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236855,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236855,A000000,00700,0000,0700HOUSEKEEPING 236855,A000000,00800,0000,0800DIETARY 236855,A000000,00900,0000,0900NURSING ADMINISTRATION 236855,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236855,A000000,01100,0000,1100PHARMACY 236855,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236855,A000000,01300,0000,1300SOCIAL SERVICE 236855,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236855,A000000,01500,0000,1350ACTIVITIES 236855,A000000,01600,0000,1600SKILLED NURSING FACILITY 236855,A000000,01810,0000,1810ICF/MR 236855,A000000,02100,0000,2100RADIOLOGY 236855,A000000,02200,0000,2200LABORATORY 236855,A000000,02500,0000,2500PHYSICAL THERAPY 236855,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236855,A000000,02700,0000,2700SPEECH PATHOLOGY 236855,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236855,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236855,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236855,A000000,03550,0000,3550FQHC 236855,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236855,A000000,04801,0000,4801AMBULANCE 236855,A000000,04802,0000,4802AMBULANCE 236855,A000000,04803,0000,4803AMBULANCE 236855,A000000,05000,0000,5000CORF 236855,A000000,05010,0000,5010CMHC 236855,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236855,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236855,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236855,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236855,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236855,A000000,05900,0000,5900BARBER & BEAUTY SHOP 236855,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236855,A81000A,00100,0100,Y 236855,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236855,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236855,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236855,A81000C,00100,0100,B 236855,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236855,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 236855,A81000C,00100,0600,REALTY & MANAGEMENT 236855,B100000,00000,0100,0100SQUARE FEET 236855,B100000,00000,0200,0200SQUARE FEET 236855,B100000,00000,0300,0300GROSS SALARIES 236855,B100000,00000,0400,0400ACCUM COST 236855,B100000,00000,0500,0500SQUARE FEET 236855,B100000,00000,0600,0600POUNDS OF LAUNDRY 236855,B100000,00000,0700,0700HOURS OF SERVICE 236855,B100000,00000,0800,0800MEALS SERVED 236855,B100000,00000,0900,0900DIRECT NRSING HRS 236855,B100000,00000,1000,1000COSTED REQUIS. 236855,B100000,00000,1100,1100COSTED REQUIS. 236855,B100000,00000,1200,1200TIME SPENT 236855,B100000,00000,1300,1300TIME SPENT 236855,B100000,00000,1400,1400ASSIGNED TIME 236855,B100000,00000,1500,1350NO. OF PARTIC 236855,S000000,00100,0200,05/30/00 236855,S200000,00100,0100,61 BELLEVUE AVE. 236855,S200000,00200,0100,BRISTOL 236855,S200000,00200,0200,CT 236855,S200000,00200,0300,06010 236855,S200000,00300,0100,HARTFORD 236855,S200000,00300,0200,3283 236855,S200000,00300,0300,U 236855,S200000,00400,0100,NURSING CARE CENTER OF BRISTOL 236855,S200000,00400,0200,075221 236855,S200000,00400,0300,09/01/72 236855,S200000,00400,0500,P 236855,S200000,01500,0100,Y 236855,S200000,01600,0100,N 236855,S200000,01700,0100,N 236855,S200000,01800,0100,N 236855,S200000,01900,0100,NON PROFIT CORP 236855,S200000,02200,0100,N 236855,S200000,02800,0100,N 236855,S200000,02900,0100,N 236855,S200000,03000,0100,N 236855,S200000,03100,0100,N 236855,S200000,03200,0100,N 236855,S200000,03300,0100,N 236855,S200000,03300,0200,N 236855,S200000,04100,0100,N 236855,S200000,04200,0100,N 236855,S200000,04300,0100,N 236855,S200000,04600,0100,N 236855,S200000,04700,0100,N 236855,S200000,04900,0100,N 236855,S200000,05200,0100,N 236857,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236857,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236857,A000000,00300,0000,0300EMPLOYEE BENEFITS 236857,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236857,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236857,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236857,A000000,00700,0000,0700HOUSEKEEPING 236857,A000000,00800,0000,0800DIETARY 236857,A000000,00900,0000,0900NURSING ADMINISTRATION 236857,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236857,A000000,01100,0000,1100PHARMACY 236857,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236857,A000000,01300,0000,1300SOCIAL SERVICE 236857,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236857,A000000,01500,0000,1350ACTIVITIES 236857,A000000,01600,0000,1600SKILLED NURSING FACILITY 236857,A000000,01810,0000,1810ICF/MR 236857,A000000,02100,0000,2100RADIOLOGY 236857,A000000,02200,0000,2200LABORATORY 236857,A000000,02500,0000,2500PHYSICAL THERAPY 236857,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236857,A000000,02700,0000,2700SPEECH PATHOLOGY 236857,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236857,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236857,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236857,A000000,03550,0000,3550FQHC 236857,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236857,A000000,04801,0000,4801AMBULANCE 236857,A000000,04802,0000,4802AMBULANCE 236857,A000000,04803,0000,4803AMBULANCE 236857,A000000,05000,0000,5000CORF 236857,A000000,05010,0000,5010CMHC 236857,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236857,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236857,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236857,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236857,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236857,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236857,A81000A,00100,0100,Y 236857,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236857,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236857,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236857,A81000B,00400,0300,ADMIN & GENERAL - REL CO 236857,A81000C,00100,0100,B 236857,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236857,A81000C,00100,0400,EDEN PARK MANAGMENT INC 236857,A81000C,00100,0600,REALTY & MANAGEMENT 236857,B100000,00000,0100,0100SQUARE FEET 236857,B100000,00000,0200,0200SQUARE FEET 236857,B100000,00000,0300,0300GROSS SALARIES 236857,B100000,00000,0400,0400ACCUM COST 236857,B100000,00000,0500,0500SQUARE FEET 236857,B100000,00000,0600,0600POUNDS OF LAUNDRY 236857,B100000,00000,0700,0700HOURS OF SERVICE 236857,B100000,00000,0800,0800MEALS SERVED 236857,B100000,00000,0900,0900DIRECT NRSING HRS 236857,B100000,00000,1000,1000COSTED REQUIS. 236857,B100000,00000,1100,1100COSTED REQUIS. 236857,B100000,00000,1200,1200TIME SPENT 236857,B100000,00000,1300,1300TIME SPENT 236857,B100000,00000,1400,1400ASSIGNED TIME 236857,B100000,00000,1500,1350NO. OF PARTIC 236857,E10A180,00501,0100,05/08/00 236857,E10A180,00550,0100,06/28/00 236857,E10A180,00550,0300,06/28/00 236857,S000000,00100,0200,05/30/00 236857,S200000,00100,0100,170 WARREN ST. 236857,S200000,00200,0100,GLENS FALLS 236857,S200000,00200,0200,NY 236857,S200000,00200,0300,12801 236857,S200000,00300,0100,WARREN 236857,S200000,00300,0200,2975 236857,S200000,00300,0300,U 236857,S200000,00400,0100,EDEN PARK HEALTHCARE CTR-GLENS FALLS 236857,S200000,00400,0200,335325 236857,S200000,00400,0300,05/01/71 236857,S200000,00400,0500,P 236857,S200000,01500,0100,Y 236857,S200000,01600,0100,N 236857,S200000,01700,0100,N 236857,S200000,01800,0100,N 236857,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 236857,S200000,02200,0100,N 236857,S200000,02800,0100,N 236857,S200000,02900,0100,N 236857,S200000,03000,0100,N 236857,S200000,03100,0100,N 236857,S200000,03200,0100,N 236857,S200000,03300,0100,N 236857,S200000,03300,0200,N 236857,S200000,04100,0100,N 236857,S200000,04200,0100,N 236857,S200000,04300,0100,Y 236857,S200000,04600,0100,N 236857,S200000,04700,0100,N 236857,S200000,04900,0100,N 236857,S200000,05200,0100,N 236858,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236858,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236858,A000000,00300,0000,0300EMPLOYEE BENEFITS 236858,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236858,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236858,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236858,A000000,00700,0000,0700HOUSEKEEPING 236858,A000000,00800,0000,0800DIETARY 236858,A000000,00900,0000,0900NURSING ADMINISTRATION 236858,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236858,A000000,01100,0000,1100PHARMACY 236858,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236858,A000000,01300,0000,1300SOCIAL SERVICE 236858,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236858,A000000,01500,0000,1350ACTIVITIES 236858,A000000,01600,0000,1600SKILLED NURSING FACILITY 236858,A000000,01810,0000,1810ICF/MR 236858,A000000,02100,0000,2100RADIOLOGY 236858,A000000,02200,0000,2200LABORATORY 236858,A000000,02500,0000,2500PHYSICAL THERAPY 236858,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236858,A000000,02700,0000,2700SPEECH PATHOLOGY 236858,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236858,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236858,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236858,A000000,03550,0000,3550FQHC 236858,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236858,A000000,04801,0000,4801AMBULANCE 236858,A000000,04802,0000,4802AMBULANCE 236858,A000000,04803,0000,4803AMBULANCE 236858,A000000,05000,0000,5000CORF 236858,A000000,05010,0000,5010CMHC 236858,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236858,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236858,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236858,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236858,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236858,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236858,A81000A,00100,0100,Y 236858,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236858,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236858,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236858,A81000B,00400,0300,ADMIN & GENERAL - REL CO 236858,A81000C,00100,0100,B 236858,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236858,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 236858,A81000C,00100,0600,REALTY & MANAGEMENT 236858,B100000,00000,0100,0100SQUARE FEET 236858,B100000,00000,0200,0200SQUARE FEET 236858,B100000,00000,0300,0300GROSS SALARIES 236858,B100000,00000,0400,0400ACCUM COST 236858,B100000,00000,0500,0500SQUARE FEET 236858,B100000,00000,0600,0600POUNDS OF LAUNDRY 236858,B100000,00000,0700,0700HOURS OF SERVICE 236858,B100000,00000,0800,0800MEALS SERVED 236858,B100000,00000,0900,0900DIRECT NRSING HRS 236858,B100000,00000,1000,1000COSTED REQUIS. 236858,B100000,00000,1100,1100COSTED REQUIS. 236858,B100000,00000,1200,1200TIME SPENT 236858,B100000,00000,1300,1300TIME SPENT 236858,B100000,00000,1400,1400ASSIGNED TIME 236858,B100000,00000,1500,1350NO. OF PARTIC 236858,E10A180,00501,0100,05/08/00 236858,S000000,00100,0200,05/30/00 236858,S200000,00100,0100,1800 BUTTERFIELD AVE. 236858,S200000,00200,0100,UTICA 236858,S200000,00200,0200,NY 236858,S200000,00200,0300,13501 236858,S200000,00300,0100,ONEIDA 236858,S200000,00300,0200,8680 236858,S200000,00300,0300,U 236858,S200000,00400,0100,EDEN PARK HEALTHCARE CTT. - UTICA 236858,S200000,00400,0200,335374 236858,S200000,00400,0300,01/14/73 236858,S200000,00400,0500,P 236858,S200000,01500,0100,Y 236858,S200000,01600,0100,N 236858,S200000,01700,0100,N 236858,S200000,01800,0100,N 236858,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 236858,S200000,02200,0100,N 236858,S200000,02800,0100,N 236858,S200000,02900,0100,N 236858,S200000,03000,0100,N 236858,S200000,03100,0100,N 236858,S200000,03200,0100,N 236858,S200000,03300,0100,N 236858,S200000,03300,0200,N 236858,S200000,04100,0100,N 236858,S200000,04200,0100,N 236858,S200000,04300,0100,Y 236858,S200000,04600,0100,N 236858,S200000,04700,0100,N 236858,S200000,04900,0100,N 236858,S200000,05200,0100,N 236859,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 236859,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 236859,A000000,00300,0000,0300EMPLOYEE BENEFITS 236859,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 236859,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 236859,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 236859,A000000,00700,0000,0700HOUSEKEEPING 236859,A000000,00800,0000,0800DIETARY 236859,A000000,00900,0000,0900NURSING ADMINISTRATION 236859,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 236859,A000000,01100,0000,1100PHARMACY 236859,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 236859,A000000,01300,0000,1300SOCIAL SERVICE 236859,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 236859,A000000,01500,0000,1350ACTIVITIES 236859,A000000,01600,0000,1600SKILLED NURSING FACILITY 236859,A000000,01810,0000,1810ICF/MR 236859,A000000,02100,0000,2100RADIOLOGY 236859,A000000,02200,0000,2200LABORATORY 236859,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 236859,A000000,02500,0000,2500PHYSICAL THERAPY 236859,A000000,02600,0000,2600OCCUPATIONAL THERAPY 236859,A000000,02700,0000,2700SPEECH PATHOLOGY 236859,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 236859,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 236859,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 236859,A000000,03550,0000,3550FQHC 236859,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST C 236859,A000000,04801,0000,4801AMBULANCE 236859,A000000,04802,0000,4802AMBULANCE 236859,A000000,04803,0000,4803AMBULANCE 236859,A000000,05000,0000,5000CORF 236859,A000000,05010,0000,5010CMHC 236859,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 236859,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 236859,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 236859,A000000,05100,0000,4750OTHER REIMBURSABLE COST 236859,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 236859,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 236859,A81000A,00100,0100,Y 236859,A81000B,00100,0300,ADMIN & GENERAL - REL CO 236859,A81000B,00200,0300,ADMIN & GENERAL - REL CO 236859,A81000B,00300,0300,ADMIN & GENERAL - REL CO 236859,A81000B,00400,0300,ADMIN & GENERAL - REL CO 236859,A81000C,00100,0100,B 236859,A81000C,00100,0200,EDEN PARK HEALTH SVC INC 236859,A81000C,00100,0400,EDEN PARK MANAGEMENT INC 236859,A81000C,00100,0600,REALTY & MANAGEMENT 236859,B100000,00000,0100,0100SQUARE FEET 236859,B100000,00000,0200,0200SQUARE FEET 236859,B100000,00000,0300,0300GROSS SALARIES 236859,B100000,00000,0400,0400ACCUM COST 236859,B100000,00000,0500,0500SQUARE FEET 236859,B100000,00000,0600,0600POUNDS OF LAUNDRY 236859,B100000,00000,0700,0700HOURS OF SERVICE 236859,B100000,00000,0800,0800MEALS SERVED 236859,B100000,00000,0900,0900DIRECT NRSING HRS 236859,B100000,00000,1000,1000COSTED REQUIS. 236859,B100000,00000,1100,1100COSTED REQUIS. 236859,B100000,00000,1200,1200TIME SPENT 236859,B100000,00000,1300,1300TIME SPENT 236859,B100000,00000,1400,1400ASSIGNED TIME 236859,B100000,00000,1500,1350NO. OF PARTIC 236859,E10A180,00501,0100,05/08/00 236859,S000000,00100,0200,05/30/00 236859,S200000,00100,0100,100 FRANKLIN ST. 236859,S200000,00200,0100,POUGHKEEPSIE 236859,S200000,00200,0200,NY 236859,S200000,00200,0300,12601 236859,S200000,00300,0100,DUTCHESS 236859,S200000,00300,0200,2281 236859,S200000,00300,0300,U 236859,S200000,00400,0100,EDEN PARK HEALTHCARE CTR-POUGHKEEPSI 236859,S200000,00400,0200,335440 236859,S200000,00400,0300,05/01/75 236859,S200000,00400,0500,P 236859,S200000,01500,0100,Y 236859,S200000,01600,0100,N 236859,S200000,01700,0100,N 236859,S200000,01800,0100,N 236859,S200000,01900,0100,NON-PROFIT SKILLED NURSING FACILITY 236859,S200000,02200,0100,N 236859,S200000,02800,0100,N 236859,S200000,02900,0100,N 236859,S200000,03000,0100,N 236859,S200000,03100,0100,N 236859,S200000,03200,0100,N 236859,S200000,03300,0100,N 236859,S200000,03300,0200,N 236859,S200000,04100,0100,N 236859,S200000,04200,0100,N 236859,S200000,04300,0100,Y 236859,S200000,04600,0100,N 236859,S200000,04700,0100,N 236859,S200000,04900,0100,N 236859,S200000,05200,0100,N 237489,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 237489,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 237489,A000000,00300,0000,0300EMPLOYEE BENEFITS 237489,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 237489,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 237489,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 237489,A000000,00700,0000,0700HOUSEKEEPING 237489,A000000,00800,0000,0800DIETARY 237489,A000000,00900,0000,0900NURSING ADMINISTRATION 237489,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 237489,A000000,01100,0000,1100PHARMACY 237489,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 237489,A000000,01300,0000,1300SOCIAL SERVICE 237489,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 237489,A000000,01500,0000,1350OTHER GENERAL SERVICES 237489,A000000,01600,0000,1600SKILLED NURSING FACILITY 237489,A000000,01810,0000,1810ICF/MR 237489,A000000,02100,0000,2100RADIOLOGY 237489,A000000,02200,0000,2200LABORATORY 237489,A000000,02500,0000,2500PHYSICAL THERAPY 237489,A000000,02600,0000,2600OCCUPATIONAL THERAPY 237489,A000000,02700,0000,2700SPEECH PATHOLOGY 237489,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 237489,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 237489,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 237489,A000000,03550,0000,3550FQHC 237489,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 237489,A000000,04801,0000,4801AMBULANCE 237489,A000000,04802,0000,4802AMBULANCE 237489,A000000,04803,0000,4803AMBULANCE 237489,A000000,05000,0000,5000CORF 237489,A000000,05010,0000,5010CMHC 237489,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 237489,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 237489,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 237489,A000000,05100,0000,4750OTHER REIMBURSABLE COST 237489,A000000,05300,0000,5300INTEREST EXPENSE 237489,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 237489,A000000,05900,0000,5900BARBER & BEAUTY SHOP 237489,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 237489,A81000A,00100,0100,N 237489,B100000,00000,0100,0100SQUARE FEET 237489,B100000,00000,0200,0200NO STATISTICS 237489,B100000,00000,0300,0300GROSS SALARIES 237489,B100000,00000,0400,0400ACCUM COST 237489,B100000,00000,0500,0500SQUARE FEET 237489,B100000,00000,0600,0600LBS OF LAUNDRY 237489,B100000,00000,0700,0700SQUARE FEET 237489,B100000,00000,0800,0800MEALS SERVED 237489,B100000,00000,0900,0900DIRECT NRSG 237489,B100000,00000,1000,1000COSTED REQUIS. 237489,B100000,00000,1100,1100NO STATISTICS 237489,B100000,00000,1200,1200NO STATISTICS 237489,B100000,00000,1300,1300TIME SPENT 237489,B100000,00000,1400,1400NO STATISTICS 237489,B100000,00000,1500,1350NO STATISTICS 237489,S000000,00100,0200,06/01/00 237489,S200000,00100,0100,809 W. BENTON 237489,S200000,00100,0300,5 237489,S200000,00200,0100,WINDSOR 237489,S200000,00200,0200,MO 237489,S200000,00200,0300,65360 237489,S200000,00300,0100,HENRY 237489,S200000,00300,0300,R 237489,S200000,00400,0100,WINDSOR HEALTH CARE & REHAB CENTER 237489,S200000,00400,0200,265683 237489,S200000,00400,0300,09/04/97 237489,S200000,00400,0500,P 237489,S200000,01500,0100,Y 237489,S200000,01600,0100,N 237489,S200000,01700,0100,N 237489,S200000,01800,0100,N 237489,S200000,02200,0100,N 237489,S200000,02800,0100,N 237489,S200000,02900,0100,N 237489,S200000,03000,0100,N 237489,S200000,03100,0100,N 237489,S200000,03200,0100,N 237489,S200000,03300,0100,N 237489,S200000,03300,0200,N 237489,S200000,04100,0100,N 237489,S200000,04200,0100,N 237489,S200000,04300,0100,N 237489,S200000,04600,0100,N 237489,S200000,04700,0100,N 237489,S200000,04700,0200,N 237489,S200000,04900,0100,N 237489,S200000,05200,0100,N 237599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 237599,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 237599,A000000,00300,0000,0300EMPLOYEE BENEFITS 237599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 237599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 237599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 237599,A000000,00700,0000,0700HOUSEKEEPING 237599,A000000,00800,0000,0800DIETARY 237599,A000000,00900,0000,0900NURSING ADMINISTRATION 237599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 237599,A000000,01100,0000,1100PHARMACY 237599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 237599,A000000,01300,0000,1300SOCIAL SERVICE 237599,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 237599,A000000,01401,0000,1401SUPERVISING PHYSICIANS 237599,A000000,01500,0000,1350SUPERVISING PHYSICIANS 237599,A000000,01600,0000,1600SKILLED NURSING FACILITY 237599,A000000,01810,0000,1810ICF/MR 237599,A000000,02100,0000,2100RADIOLOGY 237599,A000000,02200,0000,2200LABORATORY 237599,A000000,02500,0000,2500PHYSICAL THERAPY 237599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 237599,A000000,02700,0000,2700SPEECH PATHOLOGY 237599,A000000,02800,0000,2800ELECTROCARDIOLOGY 237599,A000000,03300,0000,3050ACTIVITIES 237599,A000000,03550,0000,3550FQHC 237599,A000000,03600,0000,3450ADULT DAY HEALTH CARE 237599,A000000,04801,0000,4801AMBULANCE 237599,A000000,04802,0000,4802AMBULANCE 237599,A000000,04803,0000,4803AMBULANCE 237599,A000000,05000,0000,5000CORF 237599,A000000,05010,0000,5010CMHC 237599,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 237599,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 237599,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 237599,A000000,06300,0000,6150COUNTY MORTUARY 237599,A000000,06301,0000,6151EMERGENCY MEDICAL SERVICES 237599,A000000,06302,0000,6152S V AUXILIARY 237599,A81000A,00100,0100,N 237599,B100000,00000,0100,0100SQUARE FEET 237599,B100000,00000,0200,0200SQUARE FEET 237599,B100000,00000,0300,0300GROSS SALARIES 237599,B100000,00000,0400,0400ACCUM COST 237599,B100000,00000,0500,0500SQUARE FEET 237599,B100000,00000,0600,0600POUNDS OF LAUNDRY 237599,B100000,00000,0700,0700HOURS OF SERVICE 237599,B100000,00000,0800,0800MEALS SERVED 237599,B100000,00000,0900,0900DIRECT NRSG HRS 237599,B100000,00000,1000,1000COSTED REQUIS 237599,B100000,00000,1100,1100COSTED REQUIS 237599,B100000,00000,1200,1200TIME SPENT 237599,B100000,00000,1300,1300TIME SPENT 237599,B100000,00000,1400,1400ASSIGNED TIME 237599,B100000,00000,1401,1401ASSIGNED TIME 237599,B100000,00000,1500,1350 237599,E10A180,00301,0100,05/09/00 237599,S000000,00100,0200,12/21/00 237599,S200000,00100,0100,460 BRIELLE AVENUE 237599,S200000,00200,0100,STATEN ISLAND 237599,S200000,00200,0200,NY 237599,S200000,00200,0300,10314 237599,S200000,00300,0100,RICHMOND 237599,S200000,00300,0200,5600 237599,S200000,00300,0300,U 237599,S200000,00400,0100,SEA VIEW HOSP REHAB CENTER & HOME 237599,S200000,00400,0200,335108 237599,S200000,00400,0300,07/01/70 237599,S200000,00400,0500,P 237599,S200000,00400,0600,O 237599,S200000,01500,0100,Y 237599,S200000,01600,0100,N 237599,S200000,01700,0100,N 237599,S200000,01800,0100,N 237599,S200000,02200,0100,N 237599,S200000,02800,0100,Y 237599,S200000,02900,0100,N 237599,S200000,03000,0100,N 237599,S200000,03100,0100,N 237599,S200000,03200,0100,N 237599,S200000,03300,0100,N 237599,S200000,03300,0200,N 237599,S200000,04100,0100,N 237599,S200000,04200,0100,N 237599,S200000,04300,0100,Y 237599,S200000,04600,0100,N 237599,S200000,04700,0100,N 237599,S200000,04900,0100,N 237599,S200000,05200,0100,N 238468,S000000,00100,0200,06/04/02 238468,S200000,00100,0100,60 GROUCH AVENUE 238468,S200000,00200,0100,NORWICH 238468,S200000,00200,0200,CT 238468,S200000,00200,0300,06360 238468,S200000,00300,0100,NEW LONDON 238468,S200000,00400,0100,LAUREL ROSE 238468,S200000,00400,0300,02/21/79 238599,S000000,00100,0200,06/29/00 238599,S200000,00100,0100,ONE JANSEN ROAD 238599,S200000,00200,0100,NEW PALTZ 238599,S200000,00200,0200,NY 238599,S200000,00200,0300,12561 238599,S200000,00300,0100,ULSTER 238599,S200000,00400,0100,NEW PALTZ NURSING HOME 238599,S200000,00400,0300,01/01/67 239341,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 239341,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 239341,A000000,00300,0000,0300EMPLOYEE BENEFITS 239341,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 239341,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 239341,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 239341,A000000,00700,0000,0700HOUSEKEEPING 239341,A000000,00800,0000,0800DIETARY 239341,A000000,00900,0000,0900NURSING ADMINISTRATION 239341,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 239341,A000000,01100,0000,1100PHARMACY 239341,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 239341,A000000,01300,0000,1300SOCIAL SERVICE 239341,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 239341,A000000,01500,0000,1350OTHER GENERAL SERVICES 239341,A000000,01600,0000,1600SKILLED NURSING FACILITY 239341,A000000,01800,0000,1800NURSING FACILITY 239341,A000000,01810,0000,1810ICF/MR 239341,A000000,02100,0000,2100RADIOLOGY 239341,A000000,02200,0000,2200LABORATORY 239341,A000000,02500,0000,2500PHYSICAL THERAPY 239341,A000000,02600,0000,2600OCCUPATIONAL THERAPY 239341,A000000,02700,0000,2700SPEECH PATHOLOGY 239341,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 239341,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 239341,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 239341,A000000,03550,0000,3550FQHC 239341,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 239341,A000000,04801,0000,4801AMBULANCE 239341,A000000,04802,0000,4802AMBULANCE 239341,A000000,04803,0000,4803AMBULANCE 239341,A000000,05000,0000,5000CORF 239341,A000000,05010,0000,5010CMHC 239341,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 239341,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 239341,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 239341,A000000,05100,0000,4750OTHER REIMBURSABLE COST 239341,A000000,05300,0000,5300INTEREST EXPENSE 239341,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 239341,A000000,05900,0000,5900BARBER & BEAUTY SHOP 239341,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 239341,A81000A,00100,0100,Y 239341,A81000B,00100,0300,FOUNDATION ADMIN COSTS 239341,A81000B,00200,0300,RIVERSIDE HOME OFFICE 239341,A81000B,00300,0300,RIVERSIDE HOME OFFICE 239341,A81000B,00400,0300,RIVERSIDE REHAB PT 239341,A81000B,00500,0300,RIVERSIDE REHAB OT 239341,A81000B,00600,0300,RIVERSIDE REHAB ST 239341,A81000B,00700,0300,LAUNDRY 239341,A81000B,00800,0300,MAINTENANCE SERVICES 239341,A81000B,00900,0300,ACTIVITIES SERVICES 239341,A81000B,01000,0300,CLERICAL SERVICES 239341,A81000B,01100,0300,MAINTENANCE SERVICES 239341,A81000B,01200,0300,NURSING SERVICES 239341,A81000B,01300,0300,NURSING SERVICES 239341,A81000C,00100,0100,E 239341,A81000C,00100,0200,COMMON BOARD MEMBERS 239341,A81000C,00100,0400,CITIZENS MEMORIAL HOSP. 239341,A81000C,00100,0600,HOSPITAL 239341,A81000C,00200,0100,E 239341,A81000C,00200,0200,COMMON BOARD MEMBERS 239341,A81000C,00200,0400,RIVERSIDE MGT AND REHAB 239341,A81000C,00200,0600,MANAGEMENT AND REHAB CO. 239341,B100000,00000,0100,0100SQUARE FEET 239341,B100000,00000,0200,0200SQUARE FEET 239341,B100000,00000,0300,0300GROSS SALARIES 239341,B100000,00000,0400,0400ACCUM COST 239341,B100000,00000,0500,0500SQUARE FEET 239341,B100000,00000,0600,0600POUNDS OF LAUNDRY 239341,B100000,00000,0700,0700SQUARE FEET 239341,B100000,00000,0800,0800MEALS SERVED 239341,B100000,00000,0900,0900DIRECT NRSING HRS 239341,B100000,00000,1000,1000COSTED REQUIS. 239341,B100000,00000,1100,1100COSTED REQUIS. 239341,B100000,00000,1200,1200TIME SPENT 239341,B100000,00000,1300,1300TIME SPENT 239341,B100000,00000,1400,1400ASSIGNED TIME 239341,B100000,00000,1500,1350NO STATISTICS 239341,E10A180,00301,0100,07/12/00 239341,E10A180,00501,0300,11/01/00 239341,E10A180,00550,0100,11/01/00 239341,S000000,00100,0200,10/31/00 239341,S200000,00100,0100,400 NORTH MEADOWVIEW 239341,S200000,00200,0100,ASH GROVE 239341,S200000,00200,0200,MO 239341,S200000,00200,0300,65604 239341,S200000,00300,0100,GREENE 239341,S200000,00300,0200,7920 239341,S200000,00300,0300,U 239341,S200000,00400,0100,ASH GROVE HEALTHCARE FACILITY 239341,S200000,00400,0200,265571 239341,S200000,00400,0300,05/24/94 239341,S200000,00400,0500,P 239341,S200000,01500,0100,N 239341,S200000,01600,0100,Y 239341,S200000,01700,0100,N 239341,S200000,01800,0100,N 239341,S200000,02200,0100,N 239341,S200000,02800,0100,N 239341,S200000,02900,0100,N 239341,S200000,03000,0100,N 239341,S200000,03100,0100,N 239341,S200000,03200,0100,N 239341,S200000,03300,0100,N 239341,S200000,03300,0200,N 239341,S200000,04100,0100,N 239341,S200000,04200,0100,N 239341,S200000,04300,0100,N 239341,S200000,04600,0100,N 239341,S200000,04700,0100,N 239341,S200000,04700,0200,N 239341,S200000,04900,0100,N 239341,S200000,05200,0100,N 239350,S000000,00100,0200,12/17/04 239350,S200000,00100,0100,627 EAST NORTH H STREET 239350,S200000,00200,0100,GAS CITY 239350,S200000,00200,0200,IN 239350,S200000,00200,0300,46933 239350,S200000,00300,0100,GRANT 239350,S200000,00400,0100,TWIN CITY HEALTH CARE 239350,S200000,00400,0300,04/13/84 239718,S000000,00100,0200,10/26/05 239718,S200000,00100,0100,400 NORTH MEADOWVIEW 239718,S200000,00200,0100,ASH GROVE 239718,S200000,00200,0200,MO 239718,S200000,00200,0300,65604 239718,S200000,00300,0100,GREENE 239718,S200000,00400,0100,ASH GROVE 239718,S200000,00400,0300,04/28/99 239853,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 239853,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 239853,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 239853,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 239853,A000000,00300,0000,0300EMPLOYEE BENEFITS 239853,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 239853,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 239853,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 239853,A000000,00700,0000,0700HOUSEKEEPING 239853,A000000,00800,0000,0800DIETARY 239853,A000000,00801,0000,0801CAFETERIA 239853,A000000,00900,0000,0900NURSING ADMINISTRATION 239853,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 239853,A000000,01100,0000,1100PHARMACY 239853,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 239853,A000000,01300,0000,1300SOCIAL SERVICE 239853,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 239853,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 239853,A000000,01600,0000,1600SKILLED NURSING FACILITY 239853,A000000,01810,0000,1810ICF/MR 239853,A000000,01900,0000,1900OTHER LONG TERM CARE 239853,A000000,02100,0000,2100RADIOLOGY 239853,A000000,02200,0000,2200LABORATORY 239853,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 239853,A000000,02500,0000,2500PHYSICAL THERAPY 239853,A000000,02600,0000,2600OCCUPATIONAL THERAPY 239853,A000000,02700,0000,2700SPEECH PATHOLOGY 239853,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 239853,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 239853,A000000,03300,0000,3050OTHER ANCILLARY 239853,A000000,03301,0000,3051OTHER ANCILLARY II 239853,A000000,03302,0000,3052OTHER ANCILLARY III 239853,A000000,03550,0000,3550FQHC 239853,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 239853,A000000,05000,0000,5000CORF I 239853,A000000,05010,0000,5010CMHC I 239853,A000000,05020,0000,5020OPT I 239853,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 239853,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 239853,A000000,05100,0000,4750OTHER REIMBURSABLE COST 239853,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 239853,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 239853,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 239853,A000000,05900,0000,5900BARBER & BEAUTY SHOP 239853,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 239853,A81000A,00100,0100,Y 239853,A81000B,00100,0300,MANAGEMENT SERVICES 239853,A81000B,00200,0300,DIRECT MANG. EXP 239853,A81000C,00100,0100,A 239853,A81000C,00100,0200,CHOICE MANAGEMT 239853,A81000C,00100,0400,CHOICE MANAGEMT 239853,A81000C,00100,0600,MANAGEMENT 239853,B100000,00000,0100,0100(SQUARE FEET) 239853,B100000,00000,0101,0101(SQUARE FEET) 239853,B100000,00000,0200,0200(SQUARE FEET) 239853,B100000,00000,0201,0201(SQUARE FEET) 239853,B100000,00000,0300,0300(GROSS SALARIES) 239853,B100000,00000,0400,0400(ACCUM. COST) 239853,B100000,00000,0500,0500(SQUARE FEET) 239853,B100000,00000,0600,0600(PAT.DAYS) 239853,B100000,00000,0700,0700(SQUARE FEET) 239853,B100000,00000,0800,0800(MEALS SERVED) 239853,B100000,00000,0801,0801(MEALS SERVED) 239853,B100000,00000,0900,0900(DIRECT NRSING HRS 239853,B100000,00000,1000,1000(PAT.DAYS) 239853,B100000,00000,1100,1100(PAT.DAYS) 239853,B100000,00000,1200,1200(PAT.DAYS) 239853,B100000,00000,1300,1300(PAT.DAYS) 239853,B100000,00000,1400,1400(ASSIGNED TIME) 239853,B100000,00000,1500,1350(PAT.DAYS) 239853,E10A180,00501,0100,08/23/01 239853,E10A180,00550,0100,07/02/01 239853,S000000,00100,0200,07/31/01 239853,S200000,00100,0100,500 PROSPECT AVE 239853,S200000,00200,0100,OXFORD 239853,S200000,00200,0200,NC 239853,S200000,00200,0300,27565 239853,S200000,00300,0100,GRANVILLE 239853,S200000,00300,0300,R 239853,S200000,00400,0100,OXFORD MANOR 239853,S200000,00400,0200,345291 239853,S200000,00400,0300,12/15/88 239853,S200000,00400,0500,P 239853,S200000,01500,0100,N 239853,S200000,01600,0100,Y 239853,S200000,01700,0100,N 239853,S200000,01800,0100,N 239853,S200000,02200,0100,N 239853,S200000,02800,0100,N 239853,S200000,02900,0100,N 239853,S200000,03000,0100,N 239853,S200000,03100,0100,N 239853,S200000,03200,0100,N 239853,S200000,03300,0100,N 239853,S200000,03300,0200,N 239853,S200000,04100,0100,N 239853,S200000,04200,0100,N 239853,S200000,04300,0100,N 239853,S200000,04600,0100,N 239853,S200000,04700,0100,N 239853,S200000,04900,0100,N 239853,S200000,05200,0100,N 240022,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 240022,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 240022,A000000,00300,0000,0300EMPLOYEE BENEFITS 240022,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 240022,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 240022,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 240022,A000000,00700,0000,0700HOUSEKEEPING 240022,A000000,00800,0000,0800DIETARY 240022,A000000,00900,0000,0900NURSING ADMINISTRATION 240022,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 240022,A000000,01100,0000,1100PHARMACY 240022,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 240022,A000000,01600,0000,1600SKILLED NURSING FACILITY 240022,A000000,01800,0000,1800NURSING FACILITY 240022,A000000,02100,0000,2100RADIOLOGY 240022,A000000,02200,0000,2200LABORATORY 240022,A000000,02300,0000,2300INTRAVENOUS THERAPY 240022,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 240022,A000000,02500,0000,2500PHYSICAL THERAPY 240022,A000000,02600,0000,2600OCCUPATIONAL THERAPY 240022,A000000,02700,0000,2700SPEECH PATHOLOGY 240022,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 240022,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 240022,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 240022,A000000,05900,0000,5900BARBER & BEAUTY SHOP 240022,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 240022,A81000A,00100,0100,Y 240022,A81000B,00100,0300,MANAGMENT FEES 240022,A81000C,00100,0100,A 240022,A81000C,00100,0200,PEOPLES HCC OF 240022,A81000C,00100,0400,PEOPLES HEALTH 240022,A81000C,00100,0600,MGT / LTC 240022,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 240022,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 240022,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 240022,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 240022,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 240022,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 240022,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 240022,B100000,00000,0800,0800MEALS SERVED :DIETARY 240022,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 240022,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 240022,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 240022,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 240022,S000000,00100,0200,09/13/02 240022,S200000,00100,0100,4901 NORTH SAINT MARY S 240022,S200000,00200,0100,BEEVILLE 240022,S200000,00200,0200,TX 240022,S200000,00200,0300,78102- 240022,S200000,00300,0100,BEE 240022,S200000,00300,0200,45 240022,S200000,00300,0300,R 240022,S200000,00400,0100,SPRING SEASON OF BEEVILLE 240022,S200000,00400,0200,455608 240022,S200000,00400,0300,01/01/90 240022,S200000,00400,0500,P 240022,S200000,01500,0100,Y 240022,S200000,01600,0100,N 240022,S200000,01700,0100,N 240022,S200000,01800,0100,N 240022,S200000,02200,0100,N 240022,S200000,02800,0100,N 240022,S200000,02900,0100,N 240022,S200000,03000,0100,N 240022,S200000,03100,0100,N 240022,S200000,03200,0100,N 240022,S200000,03300,0100,N 240022,S200000,03300,0200,N 240022,S200000,04100,0100,N 240022,S200000,04200,0100,N 240022,S200000,04300,0100,N 240022,S200000,04600,0100,N 240022,S200000,04700,0100,N 240022,S200000,04700,0200,N 240022,S200000,04900,0100,N 240022,S200000,05000,0100,N 240022,S200000,05100,0100,N 240022,S200000,05200,0100,N 240237,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 240237,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 240237,A000000,00300,0000,0300EMPLOYEE BENEFITS 240237,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 240237,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 240237,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 240237,A000000,00700,0000,0700HOUSEKEEPING 240237,A000000,00800,0000,0800DIETARY 240237,A000000,00900,0000,0900NURSING ADMINISTRATION 240237,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 240237,A000000,01100,0000,1100PHARMACY 240237,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 240237,A000000,01300,0000,1300SOCIAL SERVICE 240237,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 240237,A000000,01600,0000,1600SKILLED NURSING FACILITY 240237,A000000,01810,0000,1810ICF/MR 240237,A000000,02300,0000,2300INTRAVENOUS THERAPY 240237,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 240237,A000000,02500,0000,2500PHYSICAL THERAPY 240237,A000000,02600,0000,2600OCCUPATIONAL THERAPY 240237,A000000,02700,0000,2700SPEECH PATHOLOGY 240237,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 240237,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 240237,A000000,03300,0000,3050PSYCHIATRIC SERVICES 240237,A000000,03550,0000,3550FQHC 240237,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 240237,A000000,04801,0000,4801AMBULANCE 240237,A000000,04802,0000,4802AMBULANCE 240237,A000000,04803,0000,4803AMBULANCE 240237,A000000,05000,0000,5000CORF 240237,A000000,05010,0000,5010CMHC 240237,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 240237,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 240237,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 240237,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOS 240237,A000000,05300,0000,5300INTEREST EXPENSE 240237,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 240237,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 240237,A81000A,00100,0100,N 240237,B100000,00000,0100,0100SQUARE FEET 240237,B100000,00000,0200,0200SQUARE FEET 240237,B100000,00000,0300,0300GROSS SALARIES 240237,B100000,00000,0400,0400ACCUM COST 240237,B100000,00000,0500,0500SQUARE FEET 240237,B100000,00000,0600,0600POUNDS OF LAUNDRY 240237,B100000,00000,0700,0700HOURS OF SERVICE 240237,B100000,00000,0800,0800MEALS SERVED 240237,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 240237,B100000,00000,1000,1000COSTED REQUISITIO 240237,B100000,00000,1100,1100COSTED REQUISITIO 240237,B100000,00000,1200,1200TIME SPENT 240237,B100000,00000,1300,1300TIME SPENT 240237,B100000,00000,1400,1400ASSIGNED TIME 240237,S000000,00100,0200,06/18/01 240237,S200000,00100,0100,900 CULVER RD 240237,S200000,00200,0100,ROCHESTER 240237,S200000,00200,0200,NY 240237,S200000,00200,0300,14609 240237,S200000,00300,0100,MONROE 240237,S200000,00300,0200,6840 240237,S200000,00300,0300,U 240237,S200000,00400,0100,BEECHWOOD SANITARIUM 240237,S200000,00400,0200,335542 240237,S200000,00400,0300,07/01/76 240237,S200000,00400,0500,P 240237,S200000,01500,0100,Y 240237,S200000,01600,0100,N 240237,S200000,01700,0100,N 240237,S200000,01800,0100,N 240237,S200000,02200,0100,N 240237,S200000,02800,0100,N 240237,S200000,02900,0100,N 240237,S200000,03000,0100,N 240237,S200000,03100,0100,N 240237,S200000,03200,0100,N 240237,S200000,03300,0100,N 240237,S200000,03300,0200,N 240237,S200000,04100,0100,N 240237,S200000,04200,0100,N 240237,S200000,04300,0100,N 240237,S200000,04600,0100,N 240237,S200000,04700,0100,N 240237,S200000,04900,0100,N 240237,S200000,05200,0100,N 240238,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 240238,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 240238,A000000,00300,0000,0300EMPLOYEE BENEFITS 240238,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 240238,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 240238,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 240238,A000000,00700,0000,0700HOUSEKEEPING 240238,A000000,00800,0000,0800DIETARY 240238,A000000,00900,0000,0900NURSING ADMINISTRATION 240238,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 240238,A000000,01100,0000,1100PHARMACY 240238,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 240238,A000000,01201,0000,1201MEDICAL STAFF SERVICE 240238,A000000,01300,0000,1300SOCIAL SERVICE 240238,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 240238,A000000,01500,0000,1350OTHER GENERAL SERVICES 240238,A000000,01501,0000,1351ACTIVITIES 240238,A000000,01600,0000,1600SKILLED NURSING FACILITY 240238,A000000,01810,0000,1810ICF/MR 240238,A000000,02100,0000,2100RADIOLOGY 240238,A000000,02200,0000,2200LABORATORY 240238,A000000,02500,0000,2500PHYSICAL THERAPY 240238,A000000,02600,0000,2600OCCUPATIONAL THERAPY 240238,A000000,02700,0000,2700SPEECH PATHOLOGY 240238,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 240238,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 240238,A000000,03550,0000,3550FQHC 240238,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 240238,A000000,04801,0000,4801AMBULANCE 240238,A000000,04802,0000,4802AMBULANCE 240238,A000000,04803,0000,4803AMBULANCE 240238,A000000,05000,0000,5000CORF 240238,A000000,05010,0000,5010CMHC 240238,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 240238,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 240238,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 240238,A000000,05100,0000,4750OTHER REIMBURSABLE COST 240238,A000000,05300,0000,5300INTEREST EXPENSE 240238,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 240238,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 240238,A000000,06301,0000,6151DAY TREATMENT 240238,A000000,06302,0000,6152DENTAL 240238,A81000A,00100,0100,N 240238,B100000,00000,0100,0100SQUARE FEET 240238,B100000,00000,0200,0200DOLLAR VALUE 240238,B100000,00000,0300,0300GROSS SALARIES 240238,B100000,00000,0400,0400ACCUM COST 240238,B100000,00000,0500,0500SQUARE FEET 240238,B100000,00000,0600,0600POUNDS OF LAUNDRY 240238,B100000,00000,0700,0700HOURS OF SERVICE 240238,B100000,00000,0800,0800MEALS SERVED 240238,B100000,00000,0900,0900DIRECT NRSING HRS 240238,B100000,00000,1000,1000COSTED REQUIS. 240238,B100000,00000,1100,1100COSTED REQUIS. 240238,B100000,00000,1200,1200TIME SPENT 240238,B100000,00000,1201,1201TIME SPENT 240238,B100000,00000,1300,1300TIME SPENT 240238,B100000,00000,1400,1400ASSIGNED TIME 240238,B100000,00000,1500,1350TIME SPENT 240238,B100000,00000,1501,1351TIME SPENT 240238,S000000,00100,0200,04/13/01 240238,S200000,00100,0100,516 WEST 126TH STREET 240238,S200000,00200,0100,NEW YORK 240238,S200000,00200,0200,NY 240238,S200000,00200,0300,10027 240238,S200000,00300,0100,NEW YORK 240238,S200000,00300,0200,5600 240238,S200000,00300,0300,U 240238,S200000,00400,0100,ST. MARY S CENTER INC 240238,S200000,00400,0200,335762 240238,S200000,00400,0300,08/31/92 240238,S200000,00400,0500,P 240238,S200000,00400,0600,P 240238,S200000,01500,0100,Y 240238,S200000,01600,0100,N 240238,S200000,01700,0100,N 240238,S200000,01800,0100,N 240238,S200000,02200,0100,N 240238,S200000,02800,0100,N 240238,S200000,02900,0100,N 240238,S200000,03000,0100,N 240238,S200000,03100,0100,N 240238,S200000,03200,0100,N 240238,S200000,03300,0100,N 240238,S200000,03300,0200,N 240238,S200000,04100,0100,N 240238,S200000,04200,0100,N 240238,S200000,04300,0100,N 240238,S200000,04600,0100,N 240238,S200000,04700,0100,N 240238,S200000,04900,0100,N 240238,S200000,05200,0100,N 240261,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 240261,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 240261,A000000,00300,0000,0300EMPLOYEE BENEFITS 240261,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 240261,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 240261,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 240261,A000000,00700,0000,0700HOUSEKEEPING 240261,A000000,00800,0000,0800DIETARY 240261,A000000,00900,0000,0900NURSING ADMINISTRATION 240261,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 240261,A000000,01100,0000,1100PHARMACY 240261,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 240261,A000000,01300,0000,1300SOCIAL SERVICE 240261,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 240261,A000000,01600,0000,1600SKILLED NURSING FACILITY 240261,A000000,01800,0000,1800NURSING FACILITY 240261,A000000,01810,0000,1810ICF/MR 240261,A000000,02100,0000,2100RADIOLOGY 240261,A000000,02200,0000,2200LABORATORY 240261,A000000,02300,0000,2300INTRAVENOUS THERAPY 240261,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 240261,A000000,02500,0000,2500PHYSICAL THERAPY 240261,A000000,02600,0000,2600OCCUPATIONAL THERAPY 240261,A000000,02700,0000,2700SPEECH PATHOLOGY 240261,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 240261,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 240261,A000000,03200,0000,3200SUPPORT SURFACES 240261,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 240261,A000000,03550,0000,3550FQHC 240261,A000000,04801,0000,4801AMBULANCE 240261,A000000,04802,0000,4802AMBULANCE 240261,A000000,04803,0000,4803AMBULANCE 240261,A000000,05000,0000,5000CORF 240261,A000000,05010,0000,5010CMHC 240261,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 240261,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 240261,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 240261,A000000,05900,0000,5900BARBER & BEAUTY SHOP 240261,A81000A,00100,0100,Y 240261,A81000B,00100,0300,MANAGEMENT FEES 240261,A81000C,00100,0100,A 240261,A81000C,00100,0200,STILES AND SAMUEL KELLETT 240261,A81000C,00100,0400,MARINER P.A. NETWORK INC 240261,A81000C,00100,0600,HOME OFFICE 240261,B100000,00000,0100,0100SQUARE FEET 240261,B100000,00000,0200,0200SQUARE FEET 240261,B100000,00000,0300,0300GROSS SALARIES 240261,B100000,00000,0400,0400ACCUM COST 240261,B100000,00000,0500,0500SQUARE FEET 240261,B100000,00000,0600,0600RESIDENT DAYS 240261,B100000,00000,0700,0700SQUARE FEET 240261,B100000,00000,0800,0800RESIDENT DAYS 240261,B100000,00000,0900,0900DIRECT NRSING HRS 240261,B100000,00000,1000,1000RESIDENT DAYS 240261,B100000,00000,1100,1100COSTED REQUIS 240261,B100000,00000,1200,1200RESIDENT DAYS 240261,B100000,00000,1300,1300RESIDENT DAYS 240261,B100000,00000,1400,1400ASSIGNED TIME 240261,E10A180,00501,0100,12/17/01 240261,S000000,00100,0200,06/02/00 240261,S200000,00100,0100,101 TRINITY LAKES DRIVE 240261,S200000,00200,0100,SUN CITY CENTER 240261,S200000,00200,0200,FL 240261,S200000,00200,0300,33573 240261,S200000,00300,0100,HILLSBOROUGH 240261,S200000,00300,0200,8280 240261,S200000,00300,0300,U 240261,S200000,00400,0100,SUN TERRACE HEALTHCARE 240261,S200000,00400,0200,105319 240261,S200000,00400,0300,03/01/96 240261,S200000,00400,0500,P 240261,S200000,00400,0600,P 240261,S200000,01500,0100,N 240261,S200000,01600,0100,Y 240261,S200000,01700,0100,N 240261,S200000,01800,0100,N 240261,S200000,02200,0100,Y 240261,S200000,02800,0100,N 240261,S200000,02900,0100,N 240261,S200000,03000,0100,N 240261,S200000,03100,0100,N 240261,S200000,03200,0100,N 240261,S200000,03300,0100,N 240261,S200000,03300,0200,N 240261,S200000,04100,0100,N 240261,S200000,04200,0100,N 240261,S200000,04300,0100,N 240261,S200000,04600,0100,N 240261,S200000,04700,0100,N 240261,S200000,04700,0200,N 240261,S200000,04900,0100,N 240261,S200000,05200,0100,N 240292,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 240292,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 240292,A000000,00300,0000,0300EMPLOYEE BENEFITS 240292,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 240292,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 240292,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 240292,A000000,00700,0000,0700HOUSEKEEPING 240292,A000000,00800,0000,0800DIETARY 240292,A000000,00900,0000,0900NURSING ADMINISTRATION 240292,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 240292,A000000,01100,0000,1100PHARMACY 240292,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 240292,A000000,01300,0000,1300SOCIAL SERVICE 240292,A000000,01301,0000,1301ACTIVITIES 240292,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 240292,A000000,01500,0000,1350OTHER GENERAL SERVICE COST 240292,A000000,01600,0000,1600SKILLED NURSING FACILITY 240292,A000000,01800,0000,1800NURSING FACILITY 240292,A000000,01810,0000,1810ICF/MR 240292,A000000,02100,0000,2100RADIOLOGY 240292,A000000,02200,0000,2200LABORATORY 240292,A000000,02300,0000,2300INTRAVENOUS THERAPY 240292,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 240292,A000000,02500,0000,2500PHYSICAL THERAPY 240292,A000000,02600,0000,2600OCCUPATIONAL THERAPY 240292,A000000,02700,0000,2700SPEECH PATHOLOGY 240292,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 240292,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 240292,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 240292,A000000,03550,0000,3550FQHC 240292,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE COST 240292,A000000,04801,0000,4801AMBULANCE 240292,A000000,04802,0000,4802AMBULANCE 240292,A000000,04803,0000,4803AMBULANCE 240292,A000000,05000,0000,5000CORF 240292,A000000,05010,0000,5010CMHC 240292,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 240292,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 240292,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 240292,A000000,05300,0000,5300INTEREST EXPENSE 240292,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 240292,A000000,05900,0000,5900BARBER & BEAUTY SHOP 240292,A000000,06300,0000,6150OTHER NON REIMBURSABLE COST 240292,A81000A,00100,0100,Y 240292,A81000B,00100,0300,HOME OFFICE ALLOCATION 240292,A81000C,00100,0100,B 240292,A81000C,00100,0200,MH HUNTINGTON 240292,A81000C,00100,0400,MPAN 240292,A81000C,00100,0600,NURSING HOMES 240292,A81000C,00200,0100,G 240292,A81000C,00200,0200,MPAN 240292,A81000C,00200,0400,AMERICAN PHARMA 240292,A81000C,00200,0600,PHARMACEUTICALS 240292,A81000C,00300,0100,G 240292,A81000C,00300,0200,MPAN 240292,A81000C,00300,0400,PRISM (ATS ARS 240292,A81000C,00300,0600,THERAPIES 240292,B100000,00000,0100,0100SQUARE FEET 240292,B100000,00000,0200,0200SQUARE FEET 240292,B100000,00000,0300,0300GROSS SALARIES 240292,B100000,00000,0400,0400ACCUM COST 240292,B100000,00000,0500,0500SQUARE FEET 240292,B100000,00000,0600,0600PATIENT DAYS 240292,B100000,00000,0700,0700SQUARE FEET 240292,B100000,00000,0800,0800MEALS SERVED 240292,B100000,00000,0900,0900DIRECT NUR 240292,B100000,00000,1000,1000PATIENT DAYS 240292,B100000,00000,1100,1100COSTED REQUIS 240292,B100000,00000,1200,1200PATIENT DAYS 240292,B100000,00000,1300,1300PATIENT DAYS 240292,B100000,00000,1301,1301PATIENT DAYS 240292,B100000,00000,1400,1400ASSIGNED TIME 240292,B100000,00000,1500,1350UNITS OF SERVICE 240292,E10A180,00550,0300,12/14/00 240292,S000000,00100,0200,08/06/02 240292,S200000,00100,0100,1720 17TH STREET 240292,S200000,00200,0100,HUNTINGTON 240292,S200000,00200,0200,WV 240292,S200000,00200,0300,25701 240292,S200000,00300,0100,CABELL 240292,S200000,00300,0200,3400 240292,S200000,00300,0300,U 240292,S200000,00400,0100,MH OF HUNTINGTON 240292,S200000,00400,0200,515007 240292,S200000,00400,0300,01/01/89 240292,S200000,00400,0500,P 240292,S200000,01500,0100,N 240292,S200000,01600,0100,N 240292,S200000,01700,0100,N 240292,S200000,01800,0100,N 240292,S200000,02200,0100,N 240292,S200000,02800,0100,N 240292,S200000,02900,0100,N 240292,S200000,03000,0100,N 240292,S200000,03100,0100,N 240292,S200000,03200,0100,N 240292,S200000,03300,0100,N 240292,S200000,03300,0200,N 240292,S200000,04100,0100,N 240292,S200000,04200,0100,N 240292,S200000,04300,0100,N 240292,S200000,04600,0100,N 240292,S200000,04700,0100,N 240292,S200000,04900,0100,N 240292,S200000,05000,0100,N 240292,S200000,05100,0100,N 240292,S200000,05200,0100,N 241708,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 241708,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 241708,A000000,00300,0000,0300EMPLOYEE BENEFITS 241708,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 241708,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 241708,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 241708,A000000,00700,0000,0700HOUSEKEEPING 241708,A000000,00800,0000,0800DIETARY 241708,A000000,00900,0000,0900NURSING ADMINISTRATION 241708,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 241708,A000000,01100,0000,1100PHARMACY 241708,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 241708,A000000,01300,0000,1300SOCIAL SERVICE 241708,A000000,01600,0000,1600SKILLED NURSING FACILITY 241708,A000000,01800,0000,1800NURSING FACILITY 241708,A000000,01900,0000,1900OTHER LONG TERM CARE 241708,A000000,02100,0000,2100RADIOLOGY 241708,A000000,02200,0000,2200LABORATORY 241708,A000000,02300,0000,2300INTRAVENOUS THERAPY 241708,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 241708,A000000,02500,0000,2500PHYSICAL THERAPY 241708,A000000,02600,0000,2600OCCUPATIONAL THERAPY 241708,A000000,02700,0000,2700SPEECH PATHOLOGY 241708,A000000,02800,0000,2800ELECTROCARDIOLOGY 241708,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 241708,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 241708,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 241708,A000000,03200,0000,3200SUPPORT SURFACES 241708,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 241708,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 241708,A000000,03301,0000,3051NUTRITIONAL THERAPY 241708,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 241708,A000000,03303,0000,3053PHYSICIAN SERVICES 241708,A000000,03304,0000,3054MEDICAL SERVICES 241708,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 241708,A000000,04800,0000,4800AMBULANCE 241708,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 241708,A000000,05300,0000,5300INTEREST EXPENSE 241708,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 241708,A000000,05900,0000,5900BARBER & BEAUTY SHOP 241708,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 241708,A81000A,00100,0100,Y 241708,A81000B,00100,0300,CAPITAL REL CST-BLD-FIX 241708,A81000B,00200,0300,CAPITAL REL CST-MVBL EQUP 241708,A81000B,00300,0300,ADMINISTRATIVE & GENERA 241708,A81000B,00400,0300,ADMINISTRATIVE & GENERAL 241708,A81000B,00500,0300,PHYSICAL THERAPY 241708,A81000B,00600,0300,OCCUPATIONAL THERAPY 241708,A81000B,00700,0300,SPEECH THERAPY 241708,A81000B,00800,0300,ADMINISTRATIVE & GENERAL 241708,A81000B,00900,0300,MEDICAL SUPPLIES 241708,A81000B,01000,0300,DRUGS 241708,A81000B,01100,0300,ADMINISTRATIVE & GENERAL 241708,A81000C,00100,0100,B 241708,A81000C,00100,0200,SUNRISE HEALTHCARE CORP 241708,A81000C,00100,0400,SUN HEALTHCARE GROUP INC 241708,A81000C,00100,0600,HEALTHCARE 241708,A81000C,00200,0100,G 241708,A81000C,00200,0200,ANDREW TURNER 241708,A81000C,00200,0600,CEO CHAIRMAN OF BOARD 241708,A81000C,00300,0100,G 241708,A81000C,00300,0200,SEE ATTACHMENT 241708,A81000C,00300,0600,HEALTHCARE 241708,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 241708,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 241708,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 241708,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 241708,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 241708,B100000,00000,0600,0650PATEINT DAYS :LAUNDRY & LINEN S 241708,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 241708,B100000,00000,0800,0850PATEINT DAYS :DIETARY 241708,B100000,00000,0900,0950PATEINT DAYS :NURSING ADMINISTR 241708,B100000,00000,1000,1050PATEINT DAYS :CENTRAL SERVICES 241708,B100000,00000,1100,1150PATEINT DAYS :PHARMACY 241708,B100000,00000,1200,1250PATEINT DAYS :MEDICAL RECORDS & 241708,B100000,00000,1300,1330PATEINT DAYS :SOCIAL SERVICE 241708,S000000,00100,0200,03/27/00 241708,S200000,00100,0100,148 CASON ROAD 241708,S200000,00200,0100,CEDARTOWN 241708,S200000,00200,0200,GA 241708,S200000,00200,0300,30125- 241708,S200000,00300,0100,POLK 241708,S200000,00300,0200,11 241708,S200000,00300,0300,R 241708,S200000,00400,0100,SUNRISE CARE REHAB CEDARTOWN 241708,S200000,00400,0200,115381 241708,S200000,00400,0300,06/30/93 241708,S200000,00400,0500,P 241708,S200000,01500,0100,N 241708,S200000,01600,0100,Y 241708,S200000,01700,0100,N 241708,S200000,01800,0100,N 241708,S200000,02200,0100,N 241708,S200000,02800,0100,N 241708,S200000,02900,0100,N 241708,S200000,03000,0100,N 241708,S200000,03100,0100,N 241708,S200000,03200,0100,N 241708,S200000,03300,0100,N 241708,S200000,03300,0200,N 241708,S200000,04100,0100,N 241708,S200000,04200,0100,N 241708,S200000,04300,0100,N 241708,S200000,04600,0100,N 241708,S200000,04700,0100,N 241708,S200000,04700,0200,N 241708,S200000,04900,0100,N 241708,S200000,05000,0100,N 241708,S200000,05100,0100,N 241708,S200000,05200,0100,N 241861,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 241861,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 241861,A000000,00300,0000,0300EMPLOYEE BENEFITS 241861,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 241861,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 241861,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 241861,A000000,00700,0000,0700HOUSEKEEPING 241861,A000000,00800,0000,0800DIETARY 241861,A000000,00900,0000,0900NURSING ADMINISTRATION 241861,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 241861,A000000,01100,0000,1100PHARMACY 241861,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 241861,A000000,01300,0000,1300SOCIAL SERVICE 241861,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 241861,A000000,01600,0000,1600SKILLED NURSING FACILITY 241861,A000000,01810,0000,1810ICF/MR 241861,A000000,02100,0000,2100RADIOLOGY 241861,A000000,02200,0000,2200LABORATORY 241861,A000000,02500,0000,2500PHYSICAL THERAPY 241861,A000000,02600,0000,2600OCCUPATIONAL THERAPY 241861,A000000,02700,0000,2700SPEECH PATHOLOGY 241861,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 241861,A000000,03550,0000,3550FQHC 241861,A000000,04801,0000,4801AMBULANCE 241861,A000000,04802,0000,4802AMBULANCE 241861,A000000,04803,0000,4803AMBULANCE 241861,A000000,05000,0000,5000CORF 241861,A000000,05010,0000,5010CMHC 241861,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 241861,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 241861,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 241861,A000000,05900,0000,5900BARBER & BEAUTY SHOP 241861,A81000A,00100,0100,Y 241861,A81000B,00100,0300,RENT 241861,A81000B,00200,0300,DEPRECIATION 241861,A81000B,00300,0300,PROFESSIONAL FEES 241861,A81000B,00400,0300,REAL ESTATE TAXES 241861,A81000B,00500,0300,INSURANCE 241861,A81000C,00100,0100,A 241861,A81000C,00100,0200,ESTATE E. RICHA 241861,A81000C,00100,0400,1172LONGPOND RD 241861,A81000C,00100,0600,REAL ESTATE 241861,A81000C,00200,0200,MORRIS RICHARDS 241861,A81000C,00200,0400,1172LONGPOND RD 241861,A81000C,00200,0600,REAL ESTATE 241861,A81000C,00300,0200,MORRIS RICHARDS 241861,A81000C,00300,0400,LATTA ROAD A NR 241861,A81000C,00300,0600,SNF 241861,A81000C,00400,0200,MORRIS RICHARDS 241861,A81000C,00400,0400,LATTA ROAD NURS 241861,A81000C,00400,0600,SNF 241861,B100000,00000,0100,0100SQUARE FEET 241861,B100000,00000,0200,0200SQUARE FEET 241861,B100000,00000,0300,0300GROSS SALARIES 241861,B100000,00000,0400,0400ACCUM COST 241861,B100000,00000,0500,0500SQUARE FEET 241861,B100000,00000,0600,0600POUNDS OF LAUNDRY 241861,B100000,00000,0700,0700HOURS OF SERVICE 241861,B100000,00000,0800,0800MEALS SERVED 241861,B100000,00000,0900,0900DIRECT NRSG HRS 241861,B100000,00000,1000,1000COSTED REQUIS 241861,B100000,00000,1100,1100COSTED REQUIS 241861,B100000,00000,1200,1200TIME SPENT 241861,B100000,00000,1300,1300TIME SPENT 241861,B100000,00000,1400,1400ASSIGNED TIME 241861,E10A180,00551,0100,07/26/02 241861,S000000,00100,0200,07/22/02 241861,S200000,00100,0100,1172 LONG POND ROAD 241861,S200000,00200,0100,ROCHESTER 241861,S200000,00200,0200,NY 241861,S200000,00200,0300,14626 241861,S200000,00300,0100,MONROE 241861,S200000,00300,0200,6840 241861,S200000,00300,0300,U 241861,S200000,00400,0100,HAMILTON MANOR 241861,S200000,00400,0200,335615 241861,S200000,00400,0300,01/01/78 241861,S200000,00400,0500,P 241861,S200000,01500,0100,Y 241861,S200000,01600,0100,N 241861,S200000,01700,0100,N 241861,S200000,01800,0100,N 241861,S200000,01900,0100,VOLUNTARY NONPROFIT 241861,S200000,02200,0100,N 241861,S200000,02800,0100,Y 241861,S200000,02900,0100,N 241861,S200000,03000,0100,N 241861,S200000,03100,0100,N 241861,S200000,03200,0100,N 241861,S200000,03300,0100,N 241861,S200000,03300,0200,N 241861,S200000,04100,0100,N 241861,S200000,04200,0100,N 241861,S200000,04300,0100,N 241861,S200000,04600,0100,N 241861,S200000,04700,0100,N 241861,S200000,04900,0100,N 241861,S200000,05200,0100,N 242101,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 242101,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 242101,A000000,00300,0000,0300EMPLOYEE BENEFITS 242101,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 242101,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 242101,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 242101,A000000,00700,0000,0700HOUSEKEEPING 242101,A000000,00800,0000,0800DIETARY 242101,A000000,00900,0000,0900NURSING ADMINISTRATION 242101,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 242101,A000000,01100,0000,1100PHARMACY 242101,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 242101,A000000,01300,0000,1300SOCIAL SERVICE 242101,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 242101,A000000,01500,0000,1350OTHER GENERAL SERVICES 242101,A000000,01600,0000,1600SKILLED NURSING FACILITY 242101,A000000,01800,0000,1800NURSING FACILITY 242101,A000000,01810,0000,1810ICF/MR 242101,A000000,01900,0000,1900OTHER LONG TERM CARE 242101,A000000,02100,0000,2100RADIOLOGY 242101,A000000,02200,0000,2200LABORATORY 242101,A000000,02300,0000,2300INTRAVENOUS THERAPY 242101,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 242101,A000000,02500,0000,2500PHYSICAL THERAPY 242101,A000000,02600,0000,2600OCCUPATIONAL THERAPY 242101,A000000,02700,0000,2700SPEECH PATHOLOGY 242101,A000000,02800,0000,2800ELECTROCARDIOLOGY 242101,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 242101,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 242101,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 242101,A000000,03200,0000,3200SUPPORT SURFACES 242101,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 242101,A000000,03400,0000,3400CLINIC 242101,A000000,03500,0000,3500RURAL HEALTH CLINIC 242101,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 242101,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 242101,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 242101,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 242101,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 242101,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 242101,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 242101,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 242101,A000000,04400,0000,4400DME RENTED - HHA 242101,A000000,04500,0000,4500DME SOLD - HHA 242101,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 242101,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 242101,A000000,04710,0000,4710TELEMEDICINE 242101,A000000,04800,0000,4800AMBULANCE 242101,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 242101,A000000,05000,0000,5000CORF 242101,A000000,05100,0000,4750OTHER REIMBURSABLE COST 242101,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 242101,A000000,05300,0000,5300INTEREST EXPENSE 242101,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 242101,A000000,05500,0000,5500HOSPICE 242101,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 242101,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 242101,A000000,05900,0000,5900BARBER & BEAUTY SHOP 242101,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 242101,A000000,06100,0000,6100NONPAID WORKERS 242101,A000000,06200,0000,6200PATIENTS LAUNDRY 242101,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 242101,A81000A,00100,0100,Y 242101,A81000B,00100,0300,HOME OFFICE MANAGEMENT FE 242101,A81000C,00100,0100,A 242101,A81000C,00100,0200,LONG TERM CARE 242101,A81000C,00100,0600,MANAGEMENT COMP 242101,B100000,00000,0100,0100 SQUARE FEET :CAP REL COSTS - BL 242101,B100000,00000,0300,0300 GROSS SALARIES :EMPLOYEE BENEFI 242101,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 242101,B100000,00000,0500,0500 SQUARE FEET :PLANT OPERATION M 242101,B100000,00000,0600,0600 POUNDS OF LAUNDRY:LAUNDRY & LIN 242101,B100000,00000,0700,0700 HOURS OF SERVICE:HOUSEKEEPING 242101,B100000,00000,0800,0800 MEALS SERVED :DIETARY 242101,B100000,00000,0900,0950 DIRECT NRSING HRS:NURSING ADMIN 242101,B100000,00000,1000,1000 COSTED REQUIS. :CENTRAL SERVICE 242101,B100000,00000,1200,1200 TIME SPENT :MEDICAL RECORDS & L 242101,B100000,00000,1300,1300 TIME SPENT :SOCIAL SERVICE 242101,S000000,00100,0200,05/23/00 242101,S200000,00100,0100,830 WEST 29TH STREET 242101,S200000,00200,0100,ORLANDO 242101,S200000,00200,0200,FL 242101,S200000,00200,0300, - 242101,S200000,00300,0100,ORANGE 242101,S200000,00300,0200,5960 242101,S200000,00300,0300,U 242101,S200000,00400,0100,VERANDA NURSING & REHAB CENTER 242101,S200000,00400,0200,105728 242101,S200000,00400,0300,09/06/90 242101,S200000,00400,0500,P 242101,S200000,01500,0100,N 242101,S200000,01600,0100,Y 242101,S200000,01700,0100,N 242101,S200000,01800,0100,N 242101,S200000,02200,0100,N 242101,S200000,02800,0100,N 242101,S200000,02900,0100,N 242101,S200000,03000,0100,N 242101,S200000,03100,0100,N 242101,S200000,03200,0100,N 242101,S200000,03300,0100,N 242101,S200000,03300,0200,N 242101,S200000,04100,0100,N 242101,S200000,04200,0100,N 242101,S200000,04300,0100,N 242101,S200000,04600,0100,N 242101,S200000,04700,0100,N 242101,S200000,04700,0200,N 242101,S200000,04900,0100,N 242101,S200000,05000,0100,N 242101,S200000,05100,0100,N 242101,S200000,05200,0100,N 242664,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 242664,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 242664,A000000,00300,0000,0300EMPLOYEE BENEFITS 242664,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 242664,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 242664,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 242664,A000000,00700,0000,0700HOUSEKEEPING 242664,A000000,00800,0000,0800DIETARY 242664,A000000,00900,0000,0900NURSING ADMINISTRATION 242664,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 242664,A000000,01100,0000,1100PHARMACY 242664,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 242664,A000000,01300,0000,1300SOCIAL SERVICE 242664,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 242664,A000000,01500,0000,1350OTHER GENERAL SERVICES 242664,A000000,01600,0000,1600SKILLED NURSING FACILITY 242664,A000000,01800,0000,1800NURSING FACILITY 242664,A000000,01810,0000,1810ICF/MR 242664,A000000,02100,0000,2100RADIOLOGY 242664,A000000,02200,0000,2200LABORATORY 242664,A000000,02500,0000,2500PHYSICAL THERAPY 242664,A000000,02600,0000,2600OCCUPATIONAL THERAPY 242664,A000000,02700,0000,2700SPEECH PATHOLOGY 242664,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 242664,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 242664,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 242664,A000000,03550,0000,3550FQHC 242664,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 242664,A000000,04801,0000,4801AMBULANCE 242664,A000000,04802,0000,4802AMBULANCE 242664,A000000,04803,0000,4803AMBULANCE 242664,A000000,05000,0000,5000CORF 242664,A000000,05010,0000,5010CMHC 242664,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 242664,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 242664,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 242664,A000000,05100,0000,4750OTHER REIMBURSABLE COST 242664,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 242664,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 242664,A000000,05900,0000,5900BARBER & BEAUTY SHOP 242664,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 242664,A81000A,00100,0100,Y 242664,A81000B,00100,0300,MANAGEMENT FEES 242664,A81000B,00200,0300,ACCOUNTING FEES 242664,A81000B,00300,0300,ACCOUNTING FEES 242664,A81000C,00100,0100,A 242664,A81000C,00100,0200,VARIOUS OWNERS 242664,A81000C,00100,0400,JUCKETTE MGMT SERVICES 242664,A81000C,00100,0600,MANAGEMENT COMPANY 242664,A81000C,00200,0100,A 242664,A81000C,00200,0200,VARIOUS OWNERS 242664,A81000C,00200,0400,HARD. CUMMINS MOSS MILLER 242664,A81000C,00200,0600,ACCOUNTING FIRM 242664,B100000,00000,0100,0100SQUARE FEET 242664,B100000,00000,0200,0200SQUARE FEET 242664,B100000,00000,0300,0300GROSS SALARIES 242664,B100000,00000,0400,0400ACCUM COST 242664,B100000,00000,0500,0500SQUARE FEET 242664,B100000,00000,0600,0600POUNDS OF LAUNDRY 242664,B100000,00000,0700,0700SQ FEET CLEANED 242664,B100000,00000,0800,0800MEALS SERVED 242664,B100000,00000,0900,0900DIRECT NRSING HRS 242664,B100000,00000,1000,1000COSTED REQUIS. 242664,B100000,00000,1100,1100COSTED REQUIS. 242664,B100000,00000,1200,1200TIME SPENT 242664,B100000,00000,1300,1300TIME SPENT 242664,B100000,00000,1400,1400ASSIGNED TIME 242664,B100000,00000,1500,1350NO STATISTICS 242664,E10A180,00501,0100,01/29/01 242664,E10A180,00550,0300,01/29/01 242664,S000000,00100,0200,12/01/00 242664,S200000,00100,0100,400 CARE CENTER DRIVE 242664,S200000,00200,0100,WARRENSBURG 242664,S200000,00200,0200,MO 242664,S200000,00200,0300,64093 242664,S200000,00300,0100,JOHNSON 242664,S200000,00300,0200,0026 242664,S200000,00300,0300,R 242664,S200000,00400,0100,WARRENSBURG MANOR CARE CENTER 242664,S200000,00400,0200,265669 242664,S200000,00400,0300,03/18/97 242664,S200000,00400,0500,P 242664,S200000,01500,0100,N 242664,S200000,01600,0100,Y 242664,S200000,01700,0100,N 242664,S200000,01800,0100,N 242664,S200000,02200,0100,N 242664,S200000,02800,0100,N 242664,S200000,02900,0100,N 242664,S200000,03000,0100,N 242664,S200000,03100,0100,N 242664,S200000,03200,0100,N 242664,S200000,03300,0100,N 242664,S200000,03300,0200,N 242664,S200000,04100,0100,N 242664,S200000,04200,0100,N 242664,S200000,04300,0100,N 242664,S200000,04600,0100,N 242664,S200000,04700,0100,N 242664,S200000,04700,0200,N 242664,S200000,04900,0100,N 242664,S200000,05200,0100,N 244076,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 244076,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 244076,A000000,00300,0000,0300EMPLOYEE BENEFITS 244076,A000000,00401,0000,0401ADMINISTRATIVE & GENERAL 244076,A000000,00402,0000,0402ADMINISTRATIVE & GENERAL 244076,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 244076,A000000,00501,0000,0501PLANT OPERATION MAINT. & REPAIR 244076,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 244076,A000000,00700,0000,0700HOUSEKEEPING 244076,A000000,00800,0000,0800DIETARY 244076,A000000,00900,0000,0900NURSING ADMINISTRATION 244076,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 244076,A000000,01100,0000,1100PHARMACY 244076,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 244076,A000000,01300,0000,1300SOCIAL SERVICE 244076,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 244076,A000000,01500,0000,1350OTHER GENERAL SERVICES 244076,A000000,01600,0000,1600SKILLED NURSING FACILITY 244076,A000000,01800,0000,1800NURSING FACILITY 244076,A000000,01810,0000,1810ICF/MR 244076,A000000,01900,0000,1900OTHER LONG TERM CARE 244076,A000000,02100,0000,2100RADIOLOGY 244076,A000000,02200,0000,2200LABORATORY 244076,A000000,02300,0000,2300INTRAVENOUS THERAPY 244076,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 244076,A000000,02500,0000,2500PHYSICAL THERAPY 244076,A000000,02600,0000,2600OCCUPATIONAL THERAPY 244076,A000000,02700,0000,2700SPEECH PATHOLOGY 244076,A000000,02800,0000,2800ELECTROCARDIOLOGY 244076,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 244076,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 244076,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 244076,A000000,03200,0000,3200SUPPORT SURFACES 244076,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 244076,A000000,03400,0000,3400CLINIC 244076,A000000,03500,0000,3500RURAL HEALTH CLINIC 244076,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 244076,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 244076,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 244076,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 244076,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 244076,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 244076,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 244076,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 244076,A000000,04400,0000,4400DME RENTED - HHA 244076,A000000,04500,0000,4500DME SOLD - HHA 244076,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 244076,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 244076,A000000,04710,0000,4710TELEMEDICINE 244076,A000000,04800,0000,4800AMBULANCE 244076,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 244076,A000000,05000,0000,5000CORF 244076,A000000,05100,0000,4750OTHER REIMBURSABLE COST 244076,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 244076,A000000,05300,0000,5300INTEREST EXPENSE 244076,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 244076,A000000,05500,0000,5500HOSPICE 244076,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 244076,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 244076,A000000,05900,0000,5900BARBER & BEAUTY SHOP 244076,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 244076,A000000,06100,0000,6100NONPAID WORKERS 244076,A000000,06200,0000,6200PATIENTS LAUNDRY 244076,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 244076,A000000,06301,0000,6151OTHER NONREIMBURSABLE COST 244076,A81000A,00100,0100,Y 244076,A81000B,00100,0300,TELEPHONE 244076,A81000B,00200,0300,CABLE TELEVISION 244076,A81000B,00300,0300,FACILITY LEGAL FEES 244076,A81000C,00100,0100,E 244076,A81000C,00100,0200,JOHN M. BARNES 244076,A81000C,00100,0400,ROCK HILL TELEPHONE CO 244076,A81000C,00100,0600,TELEPHONE SVC PROVIDER 244076,A81000C,00200,0100,E 244076,A81000C,00200,0200,JOHN M BARNES 244076,A81000C,00200,0400,CATAWBA SERVICES 244076,A81000C,00200,0600,CABLE CO. 244076,A81000C,00300,0100,E 244076,A81000C,00300,0200,R. WESLEY HAYES 244076,A81000C,00300,0400,HARRELSON HAYES & GUYTON 244076,A81000C,00300,0600,LAW FIRM 244076,B100000,00000,0100,0100 SQUARE FEET :CAP REL COSTS - BL 244076,B100000,00000,0300,0300 GROSS SALARIES :EMPLOYEE BENEFI 244076,B100000,00000,0401,0401 ACCUM. COST :ADMINISTRATIVE & G 244076,B100000,00000,0402,0402ACCUM COST :ADMINISTRATIVE & GE 244076,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 244076,B100000,00000,0501,0501SQUARE FEET :PLANT OPERATION M 244076,B100000,00000,0600,0600 POUNDS OF LAUNDRY:LAUNDRY & LIN 244076,B100000,00000,0700,0700 HOURS OF SERVICE:HOUSEKEEPING 244076,B100000,00000,0800,0800 MEALS SERVED :DIETARY 244076,B100000,00000,0900,0950 DIRECT NRSING HRS:NURSING ADMIN 244076,B100000,00000,1000,1000 COSTED REQUIS. :CENTRAL SERVICE 244076,S000000,00100,0200,10/26/05 244076,S200000,00100,0100,1330 INDIA HOOK ROAD 244076,S200000,00200,0100,ROCK HILL 244076,S200000,00200,0200,SC 244076,S200000,00200,0300,29732- 244076,S200000,00300,0100,YORK 244076,S200000,00300,0200,1520 244076,S200000,00300,0300,U 244076,S200000,00400,0100,WESTMINSTER TOWERS 244076,S200000,00400,0200,425291 244076,S200000,00400,0300,04/05/90 244076,S200000,00400,0500,P 244076,S200000,01500,0100,N 244076,S200000,01600,0100,Y 244076,S200000,01700,0100,Y 244076,S200000,01800,0100,N 244076,S200000,02200,0100,Y 244076,S200000,02800,0100,N 244076,S200000,02900,0100,N 244076,S200000,03000,0100,N 244076,S200000,03100,0100,N 244076,S200000,03200,0100,N 244076,S200000,03300,0100,N 244076,S200000,03300,0200,N 244076,S200000,04100,0100,N 244076,S200000,04200,0100,N 244076,S200000,04300,0100,N 244076,S200000,04600,0100,N 244076,S200000,04700,0100,N 244076,S200000,04700,0200,N 244076,S200000,04900,0100,N 244076,S200000,05000,0100,N 244076,S200000,05100,0100,N 244076,S200000,05200,0100,N 245338,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 245338,A000000,00210,0000,0201CAPITAL RELATED - INTEREST 245338,A000000,00220,0000,0202INTEREST EXPENSE 245338,A000000,00300,0000,0300EMPLOYEE BENEFITS 245338,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 245338,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 245338,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 245338,A000000,00700,0000,0700HOUSEKEEPING 245338,A000000,00800,0000,0800DIETARY 245338,A000000,00900,0000,0900NURSING ADMINISTRATION 245338,A000000,01600,0000,1600SKILLED NURSING FACILITY 245338,A000000,01800,0000,1800NURSING FACILITY 245338,A000000,02100,0000,2100RADIOLOGY 245338,A000000,02200,0000,2200LABORATORY 245338,A000000,02500,0000,2500PHYSICAL THERAPY 245338,A000000,02600,0000,2600OCCUPATIONAL THERAPY 245338,A000000,02700,0000,2700SPEECH PATHOLOGY 245338,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 245338,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 245338,A000000,04801,0000,4801AMBULANCE 245338,A000000,04802,0000,4802AMBULANCE 245338,A000000,04803,0000,4803AMBULANCE 245338,A000000,05900,0000,5900BARBER & BEAUTY SHOP 245338,A81000A,00100,0100,Y 245338,A81000B,00100,0300,MANAGEMENT FEES 245338,A81000B,00200,0300,PT 245338,A81000B,00300,0300,OT 245338,A81000B,00400,0300,SP 245338,A81000C,00100,0100,B 245338,A81000C,00100,0400,DEACONESS LTC OF MO 245338,A81000C,00100,0600,MANAGEMENT COMPANY 245338,A81000C,00200,0100,G 245338,A81000C,00200,0400,DEACONESS ANCILLARY 245338,A81000C,00200,0600,THERAPY COMPANY 245338,B100000,00000,0100,0100(SQUARE FEET) 245338,B100000,00000,0200,0200(GROSS SALARIES) 245338,B100000,00000,0300,0300(PATIENT DAYS) 245338,B100000,00000,0400,0400(ACCUM COST) 245338,E10A180,00501,0100,07/07/00 245338,E10A180,00550,0300,07/07/00 245338,S000000,00100,0200,05/31/00 245338,S200000,00100,0100,2323 SWOPE PARKWAY 245338,S200000,00200,0100,KANSAS CITY 245338,S200000,00200,0200,MO 245338,S200000,00200,0300,64130 245338,S200000,00300,0100,JACKSON 245338,S200000,00300,0200,3760 245338,S200000,00300,0300,U 245338,S200000,00400,0100,SENIOR ESTATES OF K.C. 245338,S200000,00400,0200,265532 245338,S200000,00400,0300,04/01/99 245338,S200000,00400,0500,P 245338,S200000,01500,0100,N 245338,S200000,01600,0100,Y 245338,S200000,01700,0100,N 245338,S200000,01800,0100,N 245338,S200000,02200,0100,N 245338,S200000,02800,0100,N 245338,S200000,02900,0100,N 245338,S200000,03000,0100,N 245338,S200000,03100,0100,N 245338,S200000,03200,0100,N 245338,S200000,03300,0100,N 245338,S200000,03300,0200,N 245338,S200000,04100,0100,N 245338,S200000,04200,0100,N 245338,S200000,04300,0100,N 245338,S200000,04600,0100,N 245338,S200000,04700,0100,N 245338,S200000,04900,0100,N 245338,S200000,05000,0100,Y 245338,S200000,05100,0100,Y 245338,S200000,05200,0100,Y 246439,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 246439,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 246439,A000000,00300,0000,0300EMPLOYEE BENEFITS 246439,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 246439,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 246439,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 246439,A000000,00700,0000,0700HOUSEKEEPING 246439,A000000,00800,0000,0800DIETARY 246439,A000000,00900,0000,0900NURSING ADMINISTRATION 246439,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 246439,A000000,01100,0000,1100PHARMACY 246439,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 246439,A000000,01300,0000,1300SOCIAL SERVICE 246439,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 246439,A000000,01500,0000,1350OTHER GENERAL SERVICES 246439,A000000,01600,0000,1600SKILLED NURSING FACILITY 246439,A000000,01810,0000,1810ICF/MR 246439,A000000,02500,0000,2500PHYSICAL THERAPY 246439,A000000,02600,0000,2600OCCUPATIONAL THERAPY 246439,A000000,02700,0000,2700SPEECH PATHOLOGY 246439,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 246439,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 246439,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 246439,A000000,03301,0000,3051CLINITRON THERAPY 246439,A000000,03550,0000,3550FQHC 246439,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 246439,A000000,04801,0000,4801AMBULANCE 246439,A000000,04802,0000,4802AMBULANCE 246439,A000000,04803,0000,4803AMBULANCE 246439,A000000,05000,0000,5000CORF 246439,A000000,05010,0000,5010CMHC 246439,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 246439,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 246439,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 246439,A000000,05100,0000,4750OTHER REIMBURSABLE COST 246439,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 246439,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 246439,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 246439,A81000A,00100,0100,N 246439,B100000,00000,0100,0100SQUARE FEET 246439,B100000,00000,0200,0200NO STATISTICS 246439,B100000,00000,0300,0300GROSS SALARIES 246439,B100000,00000,0400,0400ACCUM COST 246439,B100000,00000,0500,0500SQUARE FEET 246439,B100000,00000,0600,0600LAUNDRY DISTRIBUTE 246439,B100000,00000,0700,0700HOURS WORKED 246439,B100000,00000,0800,0800MEALS SERVED 246439,B100000,00000,0900,0900NO STATISTICS 246439,B100000,00000,1000,1000NO STATISTICS 246439,B100000,00000,1100,1100NO STATISTICS 246439,B100000,00000,1200,1200NO STATISTICS 246439,B100000,00000,1300,1300NO STATISTICS 246439,B100000,00000,1400,1400NO STATISTICS 246439,B100000,00000,1500,1350NO STATISTICS 246439,S000000,00100,0200,07/06/99 246439,S200000,00100,0100,1010 UNDERHILL AVENUE 246439,S200000,00200,0100,BRONX 246439,S200000,00200,0200,NY 246439,S200000,00200,0300,10472 246439,S200000,00300,0100,BRONX 246439,S200000,00300,0200,5600 246439,S200000,00300,0300,U 246439,S200000,00400,0100,BRONX CENTER FOR REHAB & H.C. 246439,S200000,00400,0200,335506 246439,S200000,00400,0300,10/21/98 246439,S200000,00400,0500,P 246439,S200000,01500,0100,Y 246439,S200000,01600,0100,N 246439,S200000,01700,0100,N 246439,S200000,01800,0100,N 246439,S200000,02200,0100,N 246439,S200000,02800,0100,N 246439,S200000,02900,0100,N 246439,S200000,03000,0100,N 246439,S200000,03100,0100,N 246439,S200000,03200,0100,N 246439,S200000,03300,0100,N 246439,S200000,03300,0200,N 246439,S200000,04100,0100,Y 246439,S200000,04200,0100,N 246439,S200000,04300,0100,N 246439,S200000,04600,0100,N 246439,S200000,04700,0100,N 246439,S200000,04700,0200,N 246439,S200000,04900,0100,N 246439,S200000,05200,0100,N 249989,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 249989,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 249989,A000000,00300,0000,0300EMPLOYEE BENEFITS 249989,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 249989,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 249989,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 249989,A000000,00700,0000,0700HOUSEKEEPING 249989,A000000,00800,0000,0800DIETARY 249989,A000000,00900,0000,0900NURSING ADMINISTRATION 249989,A000000,00901,0000,0901OTHER NURSING 249989,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 249989,A000000,01100,0000,1100PHARMACY 249989,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 249989,A000000,01300,0000,1300SOCIAL SERVICE 249989,A000000,01600,0000,1600SKILLED NURSING FACILITY 249989,A000000,01800,0000,1800NURSING FACILITY 249989,A000000,02100,0000,2100RADIOLOGY 249989,A000000,02200,0000,2200LABORATORY 249989,A000000,02300,0000,2300INTRAVENOUS THERAPY 249989,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 249989,A000000,02500,0000,2500PHYSICAL THERAPY 249989,A000000,02600,0000,2600OCCUPATIONAL THERAPY 249989,A000000,02700,0000,2700SPEECH PATHOLOGY 249989,A000000,02800,0000,2800ELECTROCARDIOLOGY 249989,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 249989,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 249989,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 249989,A000000,03301,0000,3051NUTRITIONAL THERAPY 249989,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 249989,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 249989,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 249989,A000000,04800,0000,4800AMBULANCE 249989,A000000,05100,0000,4750OTHER REIMBURSABLE COST 249989,A000000,05300,0000,5300INTEREST EXPENSE 249989,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 249989,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 249989,A000000,05900,0000,5900BARBER & BEAUTY SHOP 249989,A000000,06200,0000,6200PATIENTS LAUNDRY 249989,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 249989,A000000,06301,0000,6151OUTSIDE REHAB SERVICES 249989,A000000,06302,0000,6152GUEST MEALS/M.O.W. 249989,A000000,06303,0000,6153DISTRICT OFFICE SPACE 249989,A81000A,00100,0100,Y 249989,A81000B,00100,0300,HOME OFFICE COSTS 249989,A81000B,00200,0300,LIABILITY INSURANCE 249989,A81000B,00300,0300,VC PHARMACY - CAP EQ 249989,A81000B,00400,0300,VC PHARMACY-EMP BENEFITS 249989,A81000B,00500,0300,VENCOR 249989,A81000B,00900,0300,VC PHARMACY - DIETARY 249989,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 249989,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 249989,A81000B,01200,0300,VC PHARMACY - NONLEGEND 249989,A81000B,01300,0300,MOBILE RADIOLOGY - XRAY 249989,A81000B,01400,0300,VC HOSPITAL - INHALATION THER 249989,A81000B,01500,0300,VENCARE ANCILLARY-PT 249989,A81000B,01600,0300,VENCARE ANCILLARY-OT 249989,A81000B,01700,0300,VENCARE ANCILLARY-ST 249989,A81000B,01800,0300,VC PHARMACY - MEDICAL SUPP 249989,A81000B,01900,0300,VC PHARMACY - LEGEND 249989,A81000B,02100,0300,VC PHARMACY - COMPLEX MEDICAL 249989,A81000B,02200,0300,VENCOR 249989,A81000B,02300,0300,VC MOBILE DIAG 249989,A81000B,02400,0300,VENCARE 249989,A81000C,00100,0100,B 249989,A81000C,00100,0200,VENCOR INC-NURSING CTR DV 249989,A81000C,00100,0400,CORNERSTONE INSURANCE CO 249989,A81000C,00100,0600,LIABILITY INSURANCE 249989,A81000C,00200,0400,VENCOR HOSPITAL PHARMACY 249989,A81000C,00200,0600,PHARMACY 249989,A81000C,00300,0400,VENCOR HOSP & HOSPS WHOSE 249989,A81000C,00300,0600,RESPIRATORY THERAPY 249989,A81000C,00400,0400,RT DEPTS ARE MANAGED BY 249989,A81000C,00500,0400,HEALTHCARE RESPIRATORY 249989,A81000C,00600,0400,THERAPY INC. ARE EXEMPT. 249989,A81000C,00800,0400,VENCOR HOSPITAL/MOBILE 249989,A81000C,00800,0600,PORTABLE X-RAY SERVICES 249989,A81000C,00900,0400,RADIOLOGY 249989,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 249989,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 249989,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 249989,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 249989,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 249989,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 249989,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 249989,B100000,00000,0800,0850PATIENT DAYS :DIETARY 249989,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 249989,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 249989,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 249989,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 249989,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 249989,E10A180,00350,0100,05/11/99 249989,E10A180,00351,0100,04/04/00 249989,S000000,00100,0200,06/01/00 249989,S200000,00100,0100,4782 S. HOLLADAY BLVD. 249989,S200000,00200,0100,SALT LAKE CITY 249989,S200000,00200,0200,UT 249989,S200000,00200,0300,84117- 249989,S200000,00300,0100,SALT LAKE 249989,S200000,00300,0200,7160 249989,S200000,00300,0300,U 249989,S200000,00400,0100,HOLLADAY HEALTHCARE CENTER 249989,S200000,00400,0200,465109 249989,S200000,00400,0300,04/08/87 249989,S200000,00400,0500,P 249989,S200000,01500,0100,Y 249989,S200000,01600,0100,N 249989,S200000,01700,0100,N 249989,S200000,01800,0100,N 249989,S200000,02200,0100,N 249989,S200000,02800,0100,N 249989,S200000,02900,0100,N 249989,S200000,03000,0100,N 249989,S200000,03100,0100,N 249989,S200000,03200,0100,N 249989,S200000,03300,0100,N 249989,S200000,03300,0200,N 249989,S200000,04100,0100,N 249989,S200000,04200,0100,N 249989,S200000,04300,0100,N 249989,S200000,04600,0100,N 249989,S200000,04700,0100,N 249989,S200000,04700,0200,N 249989,S200000,04900,0100,N 249989,S200000,05000,0100,N 249989,S200000,05100,0100,N 249989,S200000,05200,0100,N 250145,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 250145,A000000,00300,0000,0300EMPLOYEE BENEFITS 250145,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 250145,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 250145,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 250145,A000000,00700,0000,0700HOUSEKEEPING 250145,A000000,00800,0000,0800DIETARY 250145,A000000,00900,0000,0900NURSING ADMINISTRATION 250145,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 250145,A000000,01100,0000,1100PHARMACY 250145,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 250145,A000000,01300,0000,1300SOCIAL SERVICE 250145,A000000,01500,0000,1350PATIENT ACTIVITIES 250145,A000000,01600,0000,1600SKILLED NURSING FACILITY 250145,A000000,01800,0000,1800NURSING FACILITY 250145,A000000,01900,0000,1900OTHER LONG TERM CARE 250145,A000000,02100,0000,2100RADIOLOGY 250145,A000000,02200,0000,2200LABORATORY 250145,A000000,02300,0000,2300INTRAVENOUS THERAPY 250145,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 250145,A000000,02500,0000,2500PHYSICAL THERAPY 250145,A000000,02600,0000,2600OCCUPATIONAL THERAPY 250145,A000000,02700,0000,2700SPEECH PATHOLOGY 250145,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 250145,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 250145,A000000,03200,0000,3200SUPPORT SURFACES 250145,A000000,04800,0000,4800AMBULANCE 250145,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 250145,A000000,05900,0000,5900BARBER & BEAUTY SHOP 250145,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 250145,A000000,06100,0000,6100NONPAID WORKERS 250145,A000000,06200,0000,6200PATIENTS LAUNDRY 250145,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 250145,A81000A,00100,0100,Y 250145,A81000B,00100,0300,HOME OFFICE 250145,A81000B,00200,0300,HOME OFFICE 250145,A81000B,00300,0300,INSURANCE EXPENSE 250145,A81000B,00400,0300,PROPERTY INSURANCE 250145,A81000B,00500,0300,WORKMENS COMP 250145,A81000C,00100,0100,B 250145,A81000C,00100,0200,GERI CARE INC. 250145,A81000C,00100,0400,GERI CARE INC 250145,A81000C,00100,0600,HOME OFFICE 250145,A81000C,00200,0100,B 250145,A81000C,00200,0200,SAUL WOLF 250145,A81000C,00200,0400,HIRSCH WOLF & CO. 250145,A81000C,00200,0600,INSURANCE 250145,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 250145,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 250145,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 250145,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 250145,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 250145,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 250145,B100000,00000,0800,0850PATIENT DAYS :DIETARY 250145,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 250145,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 250145,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 250145,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 250145,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 250145,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 250145,E10A180,00301,0100,07/27/99 250145,S000000,00100,0200,06/06/00 250145,S200000,00100,0100,69 MAPLE ROAD 250145,S200000,00200,0100,WEST MILFORD 250145,S200000,00200,0200,NJ 250145,S200000,00200,0300,07480- 250145,S200000,00300,0100,PASSAIC 250145,S200000,00300,0200,0875 250145,S200000,00300,0300,U 250145,S200000,00400,0100,MILFORD MANOR NURSING HOME 250145,S200000,00400,0200,315276 250145,S200000,00400,0300,08/01/94 250145,S200000,00400,0500,P 250145,S200000,01500,0100,N 250145,S200000,01600,0100,Y 250145,S200000,01700,0100,N 250145,S200000,01800,0100,N 250145,S200000,02200,0100,N 250145,S200000,02800,0100,N 250145,S200000,02900,0100,N 250145,S200000,03000,0100,N 250145,S200000,03100,0100,N 250145,S200000,03200,0100,N 250145,S200000,03300,0100,N 250145,S200000,03300,0200,N 250145,S200000,04100,0100,N 250145,S200000,04200,0100,N 250145,S200000,04300,0100,N 250145,S200000,04600,0100,N 250145,S200000,04700,0100,N 250145,S200000,04700,0200,N 250145,S200000,04900,0100,N 250145,S200000,05000,0100,N 250145,S200000,05100,0100,N 250145,S200000,05200,0100,N 250680,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 250680,A000000,00300,0000,0300EMPLOYEE BENEFITS 250680,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 250680,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 250680,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 250680,A000000,00700,0000,0700HOUSEKEEPING 250680,A000000,00800,0000,0800DIETARY 250680,A000000,00900,0000,0900NURSING ADMINISTRATION 250680,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 250680,A000000,01100,0000,1100PHARMACY 250680,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 250680,A000000,01300,0000,1300SOCIAL SERVICE 250680,A000000,01500,0000,1350PATIENT ACTIVITIES 250680,A000000,01600,0000,1600SKILLED NURSING FACILITY 250680,A000000,01800,0000,1800NURSING FACILITY 250680,A000000,01900,0000,1900OTHER LONG TERM CARE 250680,A000000,02100,0000,2100RADIOLOGY 250680,A000000,02200,0000,2200LABORATORY 250680,A000000,02300,0000,2300INTRAVENOUS THERAPY 250680,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 250680,A000000,02500,0000,2500PHYSICAL THERAPY 250680,A000000,02600,0000,2600OCCUPATIONAL THERAPY 250680,A000000,02700,0000,2700SPEECH PATHOLOGY 250680,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 250680,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 250680,A000000,03200,0000,3200SUPPORT SURFACES 250680,A000000,04800,0000,4800AMBULANCE 250680,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 250680,A000000,05900,0000,5900BARBER & BEAUTY SHOP 250680,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 250680,A000000,06100,0000,6100NONPAID WORKERS 250680,A000000,06200,0000,6200PATIENTS LAUNDRY 250680,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 250680,A81000A,00100,0100,Y 250680,A81000B,00100,0300,HOME OFFICE COSTS 250680,A81000B,00200,0300,HOME OFFICE COSTS 250680,A81000B,00300,0300,INSURANCE 250680,A81000B,00400,0300,WORKMEN S COMP INS. 250680,A81000B,00500,0300,PROPERTY INS. 250680,A81000C,00100,0100,A 250680,A81000C,00100,0200,SAUL WOLF 250680,A81000C,00100,0400,HIRSCH WOLF & CO. 250680,A81000C,00100,0600,INSURANCE 250680,A81000C,00200,0100,A 250680,A81000C,00200,0200,GERICARE INC. 250680,A81000C,00200,0400,GERICARE INC. 250680,A81000C,00200,0600,HOME OFFICE 250680,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 250680,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 250680,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 250680,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 250680,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 250680,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 250680,B100000,00000,0800,0850PATIENT DAYS :DIETARY 250680,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 250680,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 250680,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 250680,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 250680,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 250680,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 250680,E10A180,00301,0100,07/27/99 250680,S000000,00100,0200,05/31/00 250680,S200000,00100,0100,281 BATH ROAD 250680,S200000,00200,0100,LONG BRANCH 250680,S200000,00200,0200,NJ 250680,S200000,00200,0300,07740- 250680,S200000,00300,0100,MONMOUTH 250680,S200000,00300,0200,5190 250680,S200000,00300,0300,U 250680,S200000,00400,0100,WESTWOOD HALL 250680,S200000,00400,0200,315100 250680,S200000,00400,0300,04/03/69 250680,S200000,00400,0500,P 250680,S200000,01500,0100,N 250680,S200000,01600,0100,Y 250680,S200000,01700,0100,N 250680,S200000,01800,0100,N 250680,S200000,02200,0100,N 250680,S200000,02800,0100,N 250680,S200000,02900,0100,N 250680,S200000,03000,0100,N 250680,S200000,03100,0100,N 250680,S200000,03200,0100,N 250680,S200000,03300,0100,N 250680,S200000,03300,0200,N 250680,S200000,04100,0100,N 250680,S200000,04200,0100,N 250680,S200000,04300,0100,N 250680,S200000,04600,0100,N 250680,S200000,04700,0100,N 250680,S200000,04700,0200,N 250680,S200000,04900,0100,N 250680,S200000,05000,0100,N 250680,S200000,05100,0100,N 250680,S200000,05200,0100,N 250729,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 250729,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 250729,A000000,00300,0000,0300EMPLOYEE BENEFITS 250729,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 250729,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 250729,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 250729,A000000,00700,0000,0700HOUSEKEEPING 250729,A000000,00800,0000,0800DIETARY 250729,A000000,00900,0000,0900NURSING ADMINISTRATION 250729,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 250729,A000000,01100,0000,1100PHARMACY 250729,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 250729,A000000,01300,0000,1300SOCIAL SERVICE 250729,A000000,01301,0000,1301ACTIVITIES 250729,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 250729,A000000,01500,0000,1350OTHER GENERAL SERVICES 250729,A000000,01600,0000,1600SKILLED NURSING FACILITY 250729,A000000,01800,0000,1800NURSING FACILITY 250729,A000000,01900,0000,1900OTHER LONG TERM CARE 250729,A000000,02100,0000,2100RADIOLOGY 250729,A000000,02200,0000,2200LABORATORY 250729,A000000,02300,0000,2300INTRAVENOUS THERAPY 250729,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 250729,A000000,02500,0000,2500PHYSICAL THERAPY 250729,A000000,02600,0000,2600OCCUPATIONAL THERAPY 250729,A000000,02700,0000,2700SPEECH PATHOLOGY 250729,A000000,02800,0000,2800ELECTROCARDIOLOGY 250729,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 250729,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 250729,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 250729,A000000,03200,0000,3200SUPPORT SURFACES 250729,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 250729,A000000,03400,0000,3400CLINIC 250729,A000000,03500,0000,3500RURAL HEALTH CLINIC 250729,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 250729,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 250729,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 250729,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 250729,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 250729,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 250729,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 250729,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 250729,A000000,04400,0000,4400DME RENTED - HHA 250729,A000000,04500,0000,4500DME SOLD - HHA 250729,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 250729,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 250729,A000000,04800,0000,4800AMBULANCE 250729,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 250729,A000000,05000,0000,5000CORF 250729,A000000,05100,0000,4750OTHER REIMBURSABLE COST 250729,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 250729,A000000,05300,0000,5300INTEREST EXPENSE 250729,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 250729,A000000,05500,0000,5500HOSPICE 250729,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 250729,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 250729,A000000,05900,0000,5900BARBER & BEAUTY SHOP 250729,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 250729,A000000,06100,0000,6100NONPAID WORKERS 250729,A000000,06200,0000,6200PATIENTS LAUNDRY 250729,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 250729,A81000A,00100,0100,Y 250729,A81000B,00100,0300,ADMINISTRAIVE & GENERAL 250729,A81000B,00200,0300,CAPITAL 250729,A81000C,00100,0100,A 250729,A81000C,00100,0200,THOMAS M & LINDA M CLARKE 250729,A81000C,00100,0400,LENOX HEALTHCARE INC 250729,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 250729,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 250729,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 250729,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 250729,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 250729,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 250729,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 250729,B100000,00000,0800,0850PATIENT DAYS :DIETARY 250729,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 250729,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 250729,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 250729,B100000,00000,1301,1301TIME SPENT :ACTIVITIES 250729,S000000,00100,0200,09/22/00 250729,S200000,00100,0100,711 SW GARFIELD 250729,S200000,00200,0100,TOPEKA 250729,S200000,00200,0200,KS 250729,S200000,00200,0300,66606- 250729,S200000,00300,0100,SHAWNEE 250729,S200000,00300,0200,8440 250729,S200000,00300,0300,U 250729,S200000,00400,0100,TOPEKA HEALTHCARE CENTER 250729,S200000,00400,0200,175102 250729,S200000,00400,0300,04/01/78 250729,S200000,00400,0500,P 250729,S200000,01500,0100,N 250729,S200000,01600,0100,Y 250729,S200000,01700,0100,N 250729,S200000,01800,0100,N 250729,S200000,02200,0100,N 250729,S200000,02800,0100,N 250729,S200000,02900,0100,N 250729,S200000,03000,0100,N 250729,S200000,03100,0100,N 250729,S200000,03200,0100,N 250729,S200000,03300,0100,N 250729,S200000,03300,0200,N 250729,S200000,04100,0100,N 250729,S200000,04200,0100,N 250729,S200000,04300,0100,N 250729,S200000,04600,0100,N 250729,S200000,04700,0100,N 250729,S200000,04700,0200,N 250729,S200000,04900,0100,N 250729,S200000,05000,0100,N 250729,S200000,05100,0100,N 250729,S200000,05200,0100,N 254622,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 254622,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 254622,A000000,00300,0000,0300EMPLOYEE BENEFITS 254622,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 254622,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 254622,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 254622,A000000,00700,0000,0700HOUSEKEEPING 254622,A000000,00800,0000,0800DIETARY 254622,A000000,00900,0000,0900NURSING ADMINISTRATION 254622,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 254622,A000000,01100,0000,1100PHARMACY 254622,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 254622,A000000,01300,0000,1300SOCIAL SERVICE 254622,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 254622,A000000,01500,0000,1350PATIENT ACTIVITIES 254622,A000000,01600,0000,1600SKILLED NURSING FACILITY 254622,A000000,01810,0000,1810ICF/MR 254622,A000000,02200,0000,2200LABORATORY 254622,A000000,02300,0000,2300INTRAVENOUS THERAPY 254622,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 254622,A000000,02500,0000,2500PHYSICAL THERAPY 254622,A000000,02600,0000,2600OCCUPATIONAL THERAPY 254622,A000000,02700,0000,2700SPEECH PATHOLOGY 254622,A000000,02800,0000,2800ELECTROCARDIOLOGY 254622,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 254622,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 254622,A000000,03550,0000,3550FQHC 254622,A000000,04800,0000,4800AMBULANCE 254622,A000000,04801,0000,4801AMBULANCE 254622,A000000,04802,0000,4802AMBULANCE 254622,A000000,04803,0000,4803AMBULANCE 254622,A000000,05000,0000,5000MALPRACTICE PREM & PAID LOSSES 254622,A000000,05010,0000,5010CMHC 254622,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 254622,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 254622,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 254622,A000000,05300,0000,5300INTEREST EXPENSE 254622,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 254622,A000000,05900,0000,5900BARBER & BEAUTY SHOP 254622,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 254622,A81000A,00100,0100,Y 254622,A81000B,00100,0300,MANAGEMENT FEES 254622,A81000C,00100,0100,A 254622,A81000C,00100,0200,HERITAGE HEALTH 254622,A81000C,00100,0400,ATHENA HEALTH 254622,A81000C,00100,0600,MANAGEMENT CO 254622,A81000C,00200,0100,A 254622,A81000C,00200,0200,HERITAGE HEALTH 254622,A81000C,00200,0400,HERITAGE FURN 254622,A81000C,00200,0600,FURNITURE 254622,B100000,00000,0100,0100(SQUARE FEET) 254622,B100000,00000,0200,0200(SQUARE FEET) 254622,B100000,00000,0300,0300(GROSS SALARIES) 254622,B100000,00000,0400,0400ACCUM COST 254622,B100000,00000,0500,0500(SQUARE FEET) 254622,B100000,00000,0600,0600PATIENT DAYS 254622,B100000,00000,0700,0700SQUARE FEET 254622,B100000,00000,0800,0800PATIENT DAYS 254622,B100000,00000,0900,0900PATIENT DAYS 254622,B100000,00000,1000,1000(COSTED REQUIS) 254622,B100000,00000,1100,1100(COSTED REQUIS) 254622,B100000,00000,1200,1200PATIENT DAYS 254622,B100000,00000,1300,1300PATIENT DAYS 254622,B100000,00000,1400,1400(ASSIGNED TIME) 254622,B100000,00000,1500,1350PATIENT DAYS 254622,E10A180,00550,0300,06/29/00 254622,S000000,00100,0200,05/31/00 254622,S200000,00100,0100,560 CUMBERLAND HILL ROAD 254622,S200000,00200,0100,WOONSOCKET 254622,S200000,00200,0200,RI 254622,S200000,00200,0300,02895 254622,S200000,00300,0100,PROVIDENCE 254622,S200000,00300,0200,6483 254622,S200000,00300,0300,U 254622,S200000,00400,0100,OAKLAND GROVE HEALTH CARE CTR 254622,S200000,00400,0200,415110 254622,S200000,00400,0300,10/01/95 254622,S200000,00400,0500,P 254622,S200000,00400,0600,O 254622,S200000,01500,0100,N 254622,S200000,01600,0100,Y 254622,S200000,01700,0100,N 254622,S200000,01800,0100,N 254622,S200000,01900,0100,NON PROFIT CORP 254622,S200000,02200,0100,N 254622,S200000,02800,0100,N 254622,S200000,02900,0100,N 254622,S200000,03000,0100,N 254622,S200000,03100,0100,N 254622,S200000,03200,0100,N 254622,S200000,03300,0100,N 254622,S200000,03300,0200,N 254622,S200000,04100,0100,N 254622,S200000,04200,0100,N 254622,S200000,04300,0100,N 254622,S200000,04600,0100,N 254622,S200000,04700,0100,N 254622,S200000,04900,0100,Y 254622,S200000,05200,0100,N 259345,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 259345,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 259345,A000000,00300,0000,0300EMPLOYEE BENEFITS 259345,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 259345,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 259345,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 259345,A000000,00700,0000,0700HOUSEKEEPING 259345,A000000,00800,0000,0800DIETARY 259345,A000000,00900,0000,0900NURSING ADMINISTRATION 259345,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 259345,A000000,01100,0000,1100PHARMACY 259345,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 259345,A000000,01300,0000,1300SOCIAL SERVICE 259345,A000000,01600,0000,1600SKILLED NURSING FACILITY 259345,A000000,01800,0000,1800NURSING FACILITY 259345,A000000,01900,0000,1900OTHER LONG TERM CARE 259345,A000000,02100,0000,2100RADIOLOGY 259345,A000000,02200,0000,2200LABORATORY 259345,A000000,02300,0000,2300INTRAVENOUS THERAPY 259345,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 259345,A000000,02500,0000,2500PHYSICAL THERAPY 259345,A000000,02600,0000,2600OCCUPATIONAL THERAPY 259345,A000000,02700,0000,2700SPEECH PATHOLOGY 259345,A000000,02800,0000,2800ELECTROCARDIOLOGY 259345,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 259345,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 259345,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 259345,A000000,03200,0000,3200SUPPORT SURFACES 259345,A000000,03201,0000,3055OTHER ANCILLARY SERVICE COST CEN 259345,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 259345,A000000,03301,0000,3051NUTRITIONAL THERAPY 259345,A000000,03302,0000,3052PROSTHETIC/ORTHOTICS 259345,A000000,03303,0000,3053PHYSICIAN SERVICES 259345,A000000,03304,0000,3054MEDICAL SERVICES 259345,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 259345,A000000,04800,0000,4800AMBULANCE 259345,A000000,05300,0000,5300INTEREST EXPENSE 259345,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 259345,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 259345,A000000,05900,0000,5900BARBER & BEAUTY SHOP 259345,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 259345,A000000,06100,0000,6100NONPAID WORKERS 259345,A000000,06200,0000,6200PATIENTS LAUNDRY 259345,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 259345,A81000A,00100,0100,N 259345,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 259345,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 259345,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 259345,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 259345,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 259345,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 259345,B100000,00000,0700,0750HSKP SQUARE :HOUSEKEEPING 259345,B100000,00000,0800,0850PATIENT DAYS :DIETARY 259345,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 259345,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 259345,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 259345,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 259345,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 259345,S000000,00100,0200,10/31/00 259345,S200000,00100,0100,80 FERN DRIVE 259345,S200000,00200,0100,TORRINGTON 259345,S200000,00200,0200,CT 259345,S200000,00200,0300,06790- 259345,S200000,00300,0100,LITCHFIELD 259345,S200000,00300,0200,3283 259345,S200000,00300,0300,U 259345,S200000,00400,0100,ADAMS HOUSE 259345,S200000,00400,0200,075105 259345,S200000,00400,0300,10/01/92 259345,S200000,00400,0500,P 259345,S200000,01500,0100,N 259345,S200000,01600,0100,Y 259345,S200000,01700,0100,N 259345,S200000,01800,0100,N 259345,S200000,02200,0100,Y 259345,S200000,02800,0100,N 259345,S200000,02900,0100,N 259345,S200000,03000,0100,N 259345,S200000,03100,0100,N 259345,S200000,03200,0100,N 259345,S200000,03300,0100,N 259345,S200000,03300,0200,N 259345,S200000,04100,0100,N 259345,S200000,04200,0100,N 259345,S200000,04300,0100,N 259345,S200000,04600,0100,N 259345,S200000,04700,0100,N 259345,S200000,04700,0200,N 259345,S200000,04900,0100,N 259345,S200000,05000,0100,N 259345,S200000,05100,0100,N 259345,S200000,05200,0100,N 259779,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 259779,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 259779,A000000,00300,0000,0300EMPLOYEE BENEFITS 259779,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 259779,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 259779,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 259779,A000000,00700,0000,0700HOUSEKEEPING 259779,A000000,00800,0000,0800DIETARY 259779,A000000,00900,0000,0900NURSING ADMINISTRATION 259779,A000000,00901,0000,0901OTHER NURSING 259779,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 259779,A000000,01100,0000,1100PHARMACY 259779,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 259779,A000000,01300,0000,1300SOCIAL SERVICE 259779,A000000,01301,0000,1301ACTIVITIES 259779,A000000,01600,0000,1600SKILLED NURSING FACILITY 259779,A000000,01800,0000,1800NURSING FACILITY 259779,A000000,02100,0000,2100RADIOLOGY 259779,A000000,02200,0000,2200LABORATORY 259779,A000000,02300,0000,2300INTRAVENOUS THERAPY 259779,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 259779,A000000,02500,0000,2500PHYSICAL THERAPY 259779,A000000,02600,0000,2600OCCUPATIONAL THERAPY 259779,A000000,02700,0000,2700SPEECH PATHOLOGY 259779,A000000,02800,0000,2800ELECTROCARDIOLOGY 259779,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 259779,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 259779,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 259779,A000000,03301,0000,3051NUTRITIONAL THERAPY 259779,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 259779,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 259779,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 259779,A000000,04800,0000,4800AMBULANCE 259779,A000000,05100,0000,4750OTHER REIMBURSABLE COST 259779,A000000,05300,0000,5300INTEREST EXPENSE 259779,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 259779,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 259779,A000000,05900,0000,5900BARBER & BEAUTY SHOP 259779,A000000,06200,0000,6200PATIENTS LAUNDRY 259779,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 259779,A000000,06301,0000,6151DAY CARE 259779,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 259779,A000000,06303,0000,6153DISTRICT OFFICE SPACE 259779,A81000A,00100,0100,Y 259779,A81000B,00100,0300,HOME OFFICE COSTS 259779,A81000B,00200,0300,LIABILITY INSURANCE 259779,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 259779,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 259779,A81000B,00500,0300,VC PHARMACY - ADMIN 259779,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 259779,A81000B,00700,0300,VC PHARMACY - LAUNDRY 259779,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 259779,A81000B,00900,0300,VC PHARMACY - DIETARY 259779,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 259779,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 259779,A81000B,01200,0300,VC PHARMACY - NONLEGEND 259779,A81000B,01300,0300,VC PHARMACY - MED RECORDS 259779,A81000B,01400,0300,VC PHARMACY - SOC SVCS 259779,A81000B,01500,0300,VC PHARMACY - ACTIVITY 259779,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 259779,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 259779,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 259779,A81000B,01900,0300,DELRAY MEDICAL CENTER 259779,A81000B,02000,0300,VC PHARMACY - IV THERAPY 259779,A81000B,02100,0300,DELRAY MEDICAL CENTER 259779,A81000B,02200,0300,PINECREST HOSPITAL 259779,A81000B,02300,0300,PINECREST HOSPITAL 259779,A81000B,02400,0300,PINECREST HOSPITAL 259779,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 259779,A81000B,02600,0300,VC PHARMACY - LEGEND 259779,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 259779,A81000B,02800,0300,VC PHARMACY - NUTR THER 259779,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 259779,A81000C,00100,0100,B 259779,A81000C,00100,0200,TENET HEALTHCARE 259779,A81000C,00100,0400,TENET HEALTHCARE 259779,A81000C,00100,0600,HEALTHCARE 259779,A81000C,00200,0400,HOSP UNDERWRITER S GROUP 259779,A81000C,00200,0600,LIABILITY INSURANCE 259779,A81000C,00300,0400,DELRAY MEDICAL CENTER 259779,A81000C,00300,0600,RESPIRATORY THERAPY 259779,A81000C,00400,0400,DELRAY MEDICAL CENTER 259779,A81000C,00400,0600,LABORATORY 259779,A81000C,00500,0400,PINECREST HOSPITAL 259779,A81000C,00500,0600,THERAPY SERVICES 259779,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 259779,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 259779,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 259779,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 259779,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 259779,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 259779,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 259779,B100000,00000,0800,0850PATIENT DAYS :DIETARY 259779,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 259779,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 259779,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 259779,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 259779,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 259779,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 259779,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 259779,E10A180,00301,0100,09/27/00 259779,S000000,00100,0200,12/11/00 259779,S200000,00100,0100,5430 LINTON BOULEVARD 259779,S200000,00200,0100,DELRAY BEACH 259779,S200000,00200,0200,FL 259779,S200000,00200,0300,33484- 259779,S200000,00300,0100,PALM BEACH 259779,S200000,00300,0300,U 259779,S200000,00400,0100,#815 - LAGO VISTA CARE CENTER 259779,S200000,00400,0200,105475 259779,S200000,00400,0300,09/06/84 259779,S200000,00400,0500,P 259779,S200000,01500,0100,N 259779,S200000,01600,0100,Y 259779,S200000,01700,0100,N 259779,S200000,01800,0100,N 259779,S200000,02200,0100,Y 259779,S200000,02800,0100,N 259779,S200000,02900,0100,N 259779,S200000,03000,0100,N 259779,S200000,03100,0100,N 259779,S200000,03200,0100,N 259779,S200000,03300,0100,N 259779,S200000,03300,0200,N 259779,S200000,04100,0100,N 259779,S200000,04200,0100,N 259779,S200000,04300,0100,N 259779,S200000,04600,0100,N 259779,S200000,04700,0100,N 259779,S200000,04700,0200,N 259779,S200000,04900,0100,N 259779,S200000,05000,0100,N 259779,S200000,05100,0100,N 259779,S200000,05200,0100,N 261670,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 261670,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 261670,A000000,00300,0000,0300EMPLOYEE BENEFITS 261670,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 261670,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 261670,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 261670,A000000,00700,0000,0700HOUSEKEEPING 261670,A000000,00800,0000,0800DIETARY 261670,A000000,00900,0000,0900NURSING ADMINISTRATION 261670,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 261670,A000000,01100,0000,1100PHARMACY 261670,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 261670,A000000,01300,0000,1300SOCIAL SERVICE 261670,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 261670,A000000,01500,0000,1350OTHER GENERAL SERVICES 261670,A000000,01600,0000,1600SKILLED NURSING FACILITY 261670,A000000,01800,0000,1800NURSING FACILITY 261670,A000000,01810,0000,1810ICF/MR 261670,A000000,02100,0000,2100RADIOLOGY 261670,A000000,02200,0000,2200LABORATORY 261670,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 261670,A000000,02500,0000,2500PHYSICAL THERAPY 261670,A000000,02600,0000,2600OCCUPATIONAL THERAPY 261670,A000000,02700,0000,2700SPEECH PATHOLOGY 261670,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 261670,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 261670,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 261670,A000000,03550,0000,3550FQHC 261670,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 261670,A000000,04801,0000,4801AMBULANCE 261670,A000000,04802,0000,4802AMBULANCE 261670,A000000,04803,0000,4803AMBULANCE 261670,A000000,05000,0000,5000CORF 261670,A000000,05010,0000,5010CMHC 261670,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 261670,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 261670,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 261670,A000000,05100,0000,4750OTHER REIMBURSABLE COST 261670,A000000,05300,0000,5300INTEREST EXPENSE 261670,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 261670,A000000,05900,0000,5900BARBER & BEAUTY SHOP 261670,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 261670,A81000A,00100,0100,Y 261670,A81000B,00100,0300,DIETARY CONSULTANT 261670,A81000B,00200,0300,HOME OFFICE MGMT FEE 261670,A81000B,00300,0300,HOME OFFICE CAPITAL COSTS 261670,A81000C,00100,0100,A 261670,A81000C,00100,0200,JAMES & JUDY LINCOLN 261670,A81000C,00100,0400,HEALTH SYSTEMS INC. 261670,A81000C,00100,0600,HOME OFFICE 261670,B100000,00000,0100,0100SQUARE FOOTAGE 261670,B100000,00000,0200,0200SQUARE FOOTAGE 261670,B100000,00000,0300,0300GROSS SALARIES 261670,B100000,00000,0400,0400ACCUM COST 261670,B100000,00000,0500,0500SQUARE FOOTAGE 261670,B100000,00000,0600,0600POUNDS OF LAUNDRY 261670,B100000,00000,0700,0700SQUARE FOOTAGE 261670,B100000,00000,0800,0800MEALS SERVED 261670,B100000,00000,0900,0900DIRECT NRSING HOU 261670,B100000,00000,1000,1000NO STATISTICS 261670,B100000,00000,1100,1100SQUARE FOOTAGE 261670,B100000,00000,1200,1200TIME SPENT 261670,B100000,00000,1300,1300TIME SPENT 261670,B100000,00000,1400,1400NO STATISTICS 261670,B100000,00000,1500,1350NO STATISTICS 261670,E10A180,00501,0100,07/19/00 261670,E10A180,00501,0300,07/19/00 261670,S000000,00100,0200,06/05/00 261670,S200000,00100,0100,603 WEST HIGHWAY 62 261670,S200000,00200,0100,BERTRAND 261670,S200000,00200,0200,MO 261670,S200000,00200,0300,63823 261670,S200000,00300,0100,MISSISSIPPI 261670,S200000,00300,0300,R 261670,S200000,00400,0100,BERTRAND NURSING CENTER 261670,S200000,00400,0200,265678 261670,S200000,00400,0300,07/30/97 261670,S200000,00400,0500,P 261670,S200000,01500,0100,N 261670,S200000,01600,0100,Y 261670,S200000,01700,0100,N 261670,S200000,01800,0100,N 261670,S200000,02200,0100,Y 261670,S200000,02800,0100,N 261670,S200000,02900,0100,N 261670,S200000,03000,0100,N 261670,S200000,03100,0100,N 261670,S200000,03200,0100,N 261670,S200000,03300,0100,N 261670,S200000,03300,0200,N 261670,S200000,04100,0100,N 261670,S200000,04200,0100,N 261670,S200000,04300,0100,N 261670,S200000,04600,0100,N 261670,S200000,04700,0100,N 261670,S200000,04700,0200,N 261670,S200000,04900,0100,N 261670,S200000,05200,0100,N 262350,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 262350,A000000,00300,0000,0300EMPLOYEE BENEFITS 262350,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 262350,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 262350,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 262350,A000000,00700,0000,0700HOUSEKEEPING 262350,A000000,00800,0000,0800DIETARY 262350,A000000,00900,0000,0900NURSING ADMINISTRATION 262350,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 262350,A000000,01100,0000,1100PHARMACY 262350,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 262350,A000000,01300,0000,1300SOCIAL SERVICE 262350,A000000,01500,0000,1350PATIENT ACTIVITIES 262350,A000000,01600,0000,1600SKILLED NURSING FACILITY 262350,A000000,01800,0000,1800NURSING FACILITY 262350,A000000,01900,0000,1900OTHER LONG TERM CARE 262350,A000000,02100,0000,2100RADIOLOGY 262350,A000000,02200,0000,2200LABORATORY 262350,A000000,02300,0000,2300INTRAVENOUS THERAPY 262350,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 262350,A000000,02500,0000,2500PHYSICAL THERAPY 262350,A000000,02600,0000,2600OCCUPATIONAL THERAPY 262350,A000000,02700,0000,2700SPEECH PATHOLOGY 262350,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 262350,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 262350,A000000,03200,0000,3200SUPPORT SURFACES 262350,A000000,04800,0000,4800AMBULANCE 262350,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 262350,A000000,05900,0000,5900BARBER & BEAUTY SHOP 262350,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 262350,A000000,06100,0000,6100NONPAID WORKERS 262350,A000000,06200,0000,6200PATIENTS LAUNDRY 262350,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 262350,A81000A,00100,0100,Y 262350,A81000B,00100,0300,HOME OFFICE COSTS 262350,A81000B,00200,0300,HOME OFFICE COSTS 262350,A81000C,00100,0100,B 262350,A81000C,00100,0200,GERI CARE INC 262350,A81000C,00100,0400,GERI CARE INC 262350,A81000C,00100,0600,HOME OFFICE/ADM. SERV 262350,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 262350,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 262350,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 262350,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 262350,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 262350,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 262350,B100000,00000,0800,0850PATIENT DAYS :DIETARY 262350,B100000,00000,0900,0950PATIENT DAYS :NURSING ADMINISTR 262350,B100000,00000,1000,1050PATIENT DAYS :CENTRAL SERVICES 262350,B100000,00000,1100,1150PATIENT DAYS :PHARMACY 262350,B100000,00000,1200,1250PATIENT DAYS :MEDICAL RECORDS & 262350,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 262350,B100000,00000,1500,1350PATIENT DAYS :PATIENT ACTIVITIE 262350,E10A180,00301,0100,07/27/99 262350,S000000,00100,0200,05/19/00 262350,S200000,00100,0100,29-33 NORTH VERMONT AVENUE 262350,S200000,00200,0100,ATLANTIC CITY 262350,S200000,00200,0200,NJ 262350,S200000,00200,0300,08401- 262350,S200000,00300,0100,ATLANTIC 262350,S200000,00300,0200,0560 262350,S200000,00300,0300,U 262350,S200000,00400,0100,EASTERN PINES CONV. CENTER 262350,S200000,00400,0200,315317 262350,S200000,00400,0300,12/24/94 262350,S200000,00400,0500,P 262350,S200000,01500,0100,N 262350,S200000,01600,0100,Y 262350,S200000,01700,0100,N 262350,S200000,01800,0100,N 262350,S200000,02200,0100,N 262350,S200000,02800,0100,N 262350,S200000,02900,0100,N 262350,S200000,03000,0100,N 262350,S200000,03100,0100,N 262350,S200000,03200,0100,N 262350,S200000,03300,0100,N 262350,S200000,03300,0200,N 262350,S200000,04100,0100,N 262350,S200000,04200,0100,N 262350,S200000,04300,0100,N 262350,S200000,04600,0100,N 262350,S200000,04700,0100,N 262350,S200000,04700,0200,N 262350,S200000,04900,0100,N 262350,S200000,05000,0100,N 262350,S200000,05100,0100,N 262350,S200000,05200,0100,N 263106,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 263106,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 263106,A000000,00300,0000,0300EMPLOYEE BENEFITS 263106,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 263106,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 263106,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 263106,A000000,00700,0000,0700HOUSEKEEPING 263106,A000000,00800,0000,0800DIETARY 263106,A000000,00900,0000,0900NURSING ADMINISTRATION 263106,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 263106,A000000,01100,0000,1100PHARMACY 263106,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 263106,A000000,01300,0000,1300SOCIAL SERVICE 263106,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 263106,A000000,01500,0000,1350OTHER GENERAL SERVICES 263106,A000000,01600,0000,1600SKILLED NURSING FACILITY 263106,A000000,01800,0000,1800NURSING FACILITY 263106,A000000,01810,0000,1810ICF/MR 263106,A000000,02100,0000,2100RADIOLOGY 263106,A000000,02200,0000,2200LABORATORY 263106,A000000,02500,0000,2500PHYSICAL THERAPY 263106,A000000,02600,0000,2600OCCUPATIONAL THERAPY 263106,A000000,02700,0000,2700SPEECH PATHOLOGY 263106,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 263106,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 263106,A000000,03200,0000,3200SUPPORT SURFACES 263106,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 263106,A000000,03550,0000,3550FQHC 263106,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 263106,A000000,04801,0000,4801AMBULANCE 263106,A000000,04802,0000,4802AMBULANCE 263106,A000000,04803,0000,4803AMBULANCE 263106,A000000,05000,0000,5000CORF 263106,A000000,05010,0000,5010CMHC 263106,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 263106,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 263106,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 263106,A000000,05100,0000,4750OTHER REIMBURSABLE COST 263106,A000000,05300,0000,5300INTEREST EXPENSE 263106,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 263106,A000000,05900,0000,5900BARBER & BEAUTY SHOP 263106,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 263106,A81000A,00100,0100,Y 263106,A81000B,00100,0300,MANAGEMENT FEES 263106,A81000B,00200,0300,MANAGEMENT FEES 263106,A81000C,00100,0100,A 263106,A81000C,00100,0200,ROBERT CLAUSEN 263106,A81000C,00100,0400,MID AMER LNG TRM CARE 263106,A81000C,00100,0600,MANAGEMENT COMPANY 263106,A81000C,00200,0100,A 263106,A81000C,00200,0200,JAMES LLOYD 263106,A81000C,00200,0400,MID AMER LNG TRM CARE 263106,A81000C,00200,0600,MANAGEMENT COMPANY 263106,B100000,00000,0100,0100SQUARE FEET 263106,B100000,00000,0200,0200DOLLAR VALUE 263106,B100000,00000,0300,0300GROSS SALARIES 263106,B100000,00000,0400,0400ACCUM COST 263106,B100000,00000,0500,0500SQUARE FEET 263106,B100000,00000,0600,0600POUNDS OF LAUNDRY 263106,B100000,00000,0700,0700SQUARE FEET 263106,B100000,00000,0800,0800MEALS SERVED 263106,B100000,00000,0900,0900DIRECT NRSING HRS 263106,B100000,00000,1000,1000COSTED REQUIS. 263106,B100000,00000,1100,1100COSTED REQUIS. 263106,B100000,00000,1200,1200TIME SPENT 263106,B100000,00000,1300,1300TIME SPENT 263106,B100000,00000,1400,1400ASSIGNED TIME 263106,B100000,00000,1500,1350NO STATISTICS 263106,E10A180,00550,0300,07/12/00 263106,S000000,00100,0200,06/01/00 263106,S200000,00100,0100,801 EUCLID 263106,S200000,00200,0100,CAMERON 263106,S200000,00200,0200,MO 263106,S200000,00200,0300,64429 263106,S200000,00300,0100,CLINTON 263106,S200000,00300,0200,3760 263106,S200000,00300,0300,U 263106,S200000,00400,0100,CAMERON MANOR 263106,S200000,00400,0200,265633 263106,S200000,00400,0300,03/01/96 263106,S200000,00400,0500,P 263106,S200000,01500,0100,N 263106,S200000,01600,0100,Y 263106,S200000,01700,0100,N 263106,S200000,01800,0100,N 263106,S200000,02200,0100,N 263106,S200000,02800,0100,N 263106,S200000,02900,0100,N 263106,S200000,03000,0100,N 263106,S200000,03100,0100,N 263106,S200000,03200,0100,N 263106,S200000,03300,0100,N 263106,S200000,03300,0200,N 263106,S200000,04100,0100,N 263106,S200000,04200,0100,N 263106,S200000,04300,0100,N 263106,S200000,04600,0100,N 263106,S200000,04700,0100,N 263106,S200000,04700,0200,N 263106,S200000,04900,0100,N 263106,S200000,05200,0100,N 263442,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 263442,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 263442,A000000,00300,0000,0300EMPLOYEE BENEFITS 263442,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 263442,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 263442,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 263442,A000000,00700,0000,0700HOUSEKEEPING 263442,A000000,00800,0000,0800DIETARY 263442,A000000,00900,0000,0900NURSING ADMINISTRATION 263442,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 263442,A000000,01100,0000,1100PHARMACY 263442,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 263442,A000000,01300,0000,1300SOCIAL SERVICE 263442,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 263442,A000000,01500,0000,1350OTHER GENERAL SERVICES 263442,A000000,01600,0000,1600SKILLED NURSING FACILITY 263442,A000000,01800,0000,1800NURSING FACILITY 263442,A000000,01810,0000,1810ICF/MR 263442,A000000,02100,0000,2100RADIOLOGY 263442,A000000,02200,0000,2200LABORATORY 263442,A000000,02500,0000,2500PHYSICAL THERAPY 263442,A000000,02600,0000,2600OCCUPATIONAL THERAPY 263442,A000000,02700,0000,2700SPEECH PATHOLOGY 263442,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 263442,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 263442,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 263442,A000000,03550,0000,3550FQHC 263442,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 263442,A000000,04801,0000,4801AMBULANCE 263442,A000000,04802,0000,4802AMBULANCE 263442,A000000,04803,0000,4803AMBULANCE 263442,A000000,05000,0000,5000CORF 263442,A000000,05010,0000,5010CMHC 263442,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 263442,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 263442,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 263442,A000000,05100,0000,4750OTHER REIMBURSABLE COST 263442,A000000,05300,0000,5300INTEREST EXPENSE 263442,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 263442,A000000,05900,0000,5900BARBER & BEAUTY SHOP 263442,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 263442,A81000A,00100,0100,Y 263442,A81000B,00100,0300,HOME OFFICE COSTS 263442,A81000B,00200,0300,HOME OFFICE COSTS 263442,A81000C,00100,0100,A 263442,A81000C,00100,0200,JAMES & JUDY LINCOLN 263442,A81000C,00100,0400,HEALTH SYSTEMS INC. 263442,A81000C,00100,0600,HOME OFFICE 263442,B100000,00000,0100,0100SQUARE FEET 263442,B100000,00000,0200,0200NO STATISTICS 263442,B100000,00000,0300,0300GROSS SALARIES 263442,B100000,00000,0400,0400ACCUM COST 263442,B100000,00000,0500,0500SQUARE FEET 263442,B100000,00000,0600,0600POUNDS OF LAUNDRY 263442,B100000,00000,0700,0700SQUARE FEET 263442,B100000,00000,0800,0800MEALS SERVED 263442,B100000,00000,0900,0900DIRECT NRSING HRS 263442,B100000,00000,1000,1000COSTED REQUIS. 263442,B100000,00000,1100,1100NO STATISTICS 263442,B100000,00000,1200,1200GROSS REVENUE 263442,B100000,00000,1300,1300TIME SPENT 263442,B100000,00000,1400,1400NO STATISTICS 263442,B100000,00000,1500,1350NO STATISTICS 263442,S000000,00100,0200,06/01/00 263442,S200000,00100,0100,13277 STATE ROUTE 263442,S200000,00200,0100,SAVANNAH 263442,S200000,00200,0200,MO 263442,S200000,00200,0300,64485 263442,S200000,00300,0100,ANDREW 263442,S200000,00300,0200,7000 263442,S200000,00300,0300,U 263442,S200000,00400,0100,SHADY LAWN NURSING HOME 263442,S200000,00400,0200,265684 263442,S200000,00400,0300,09/26/97 263442,S200000,00400,0500,P 263442,S200000,01500,0100,N 263442,S200000,01600,0100,Y 263442,S200000,01700,0100,N 263442,S200000,01800,0100,N 263442,S200000,02200,0100,N 263442,S200000,02800,0100,N 263442,S200000,02900,0100,N 263442,S200000,03000,0100,N 263442,S200000,03100,0100,N 263442,S200000,03200,0100,N 263442,S200000,03300,0100,N 263442,S200000,03300,0200,N 263442,S200000,04100,0100,N 263442,S200000,04200,0100,N 263442,S200000,04300,0100,N 263442,S200000,04600,0100,N 263442,S200000,04700,0100,N 263442,S200000,04700,0200,N 263442,S200000,04900,0100,N 263442,S200000,05200,0100,N 263921,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 263921,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 263921,A000000,00300,0000,0300EMPLOYEE BENEFITS 263921,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 263921,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 263921,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 263921,A000000,00700,0000,0700HOUSEKEEPING 263921,A000000,00800,0000,0800DIETARY 263921,A000000,00900,0000,0900NURSING ADMINISTRATION 263921,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 263921,A000000,01100,0000,1100PHARMACY 263921,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 263921,A000000,01300,0000,1300SOCIAL SERVICE 263921,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 263921,A000000,01600,0000,1600SKILLED NURSING FACILITY 263921,A000000,01800,0000,1800NURSING FACILITY 263921,A000000,01810,0000,1810ICF/MR 263921,A000000,02100,0000,2100RADIOLOGY 263921,A000000,02200,0000,2200LABORATORY 263921,A000000,02500,0000,2500PHYSICAL THERAPY 263921,A000000,02600,0000,2600OCCUPATIONAL THERAPY 263921,A000000,02700,0000,2700SPEECH PATHOLOGY 263921,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 263921,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 263921,A000000,03550,0000,3550FQHC 263921,A000000,04801,0000,4801AMBULANCE 263921,A000000,04802,0000,4802AMBULANCE 263921,A000000,04803,0000,4803AMBULANCE 263921,A000000,05000,0000,5000CORF 263921,A000000,05010,0000,5010CMHC 263921,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 263921,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 263921,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 263921,A000000,05900,0000,5900BARBER & BEAUTY SHOP 263921,A000000,06300,0000,6150RCF 263921,A000000,06301,0000,6151VENDING 263921,A81000A,00100,0100,Y 263921,A81000B,00100,0300,CRC - BLDG 263921,A81000B,00200,0300,CRC - MME 263921,A81000B,00300,0300,HOME OFFICE - A & G 263921,A81000B,00400,0300,EMPLOYEE BENEFITS 263921,A81000C,00100,0100,B 263921,A81000C,00100,0200,JAMES RIVER CARE CENTER 263921,A81000C,00100,0400,CENTRAL ARK NURSING CTRS 263921,A81000C,00100,0600,HOME OFFICE 263921,B100000,00000,0100,0100SQUARE FEET 263921,B100000,00000,0200,0200SQUARE FEET 263921,B100000,00000,0300,0300GROSS SALARIES 263921,B100000,00000,0400,0400ACCUM COST 263921,B100000,00000,0500,0500SQUARE FEET 263921,B100000,00000,0600,0600PATIENT DAYS 263921,B100000,00000,0700,0700SQUARE FEET 263921,B100000,00000,0800,0800MEALS SERVED 263921,B100000,00000,0900,0900HOURS SUPERVISED 263921,B100000,00000,1000,1000COSTED REQUIS. 263921,B100000,00000,1100,1100COSTED REQUIS. 263921,B100000,00000,1200,1200GROSS REVENUE 263921,B100000,00000,1300,1300PATIENT DAYS 263921,B100000,00000,1400,1400ASSIGNED TIME 263921,E10A180,00501,0100,06/28/00 263921,E10A180,00550,0300,06/28/00 263921,S000000,00100,0200,05/26/00 263921,S200000,00100,0100,3550 EAST BATTLEFIELD 263921,S200000,00200,0100,SPRINGFIELD 263921,S200000,00200,0200,MO 263921,S200000,00200,0300,65809 263921,S200000,00300,0100,GREENE 263921,S200000,00300,0200,7920 263921,S200000,00300,0300,U 263921,S200000,00400,0100,JAMES RIVER CARE CENTER 263921,S200000,00400,0200,265664 263921,S200000,00400,0300,01/17/97 263921,S200000,00400,0500,P 263921,S200000,01500,0100,N 263921,S200000,01600,0100,Y 263921,S200000,01700,0100,N 263921,S200000,01800,0100,N 263921,S200000,02200,0100,N 263921,S200000,02800,0100,N 263921,S200000,02900,0100,N 263921,S200000,03000,0100,N 263921,S200000,03100,0100,N 263921,S200000,03200,0100,N 263921,S200000,03300,0100,N 263921,S200000,03300,0200,N 263921,S200000,04100,0100,N 263921,S200000,04200,0100,N 263921,S200000,04300,0100,N 263921,S200000,04600,0100,N 263921,S200000,04700,0100,N 263921,S200000,04700,0200,N 263921,S200000,04900,0100,N 263921,S200000,05200,0100,N 264310,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264310,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264310,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264310,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264310,A000000,00300,0000,0300EMPLOYEE BENEFITS 264310,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264310,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264310,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264310,A000000,00700,0000,0700HOUSEKEEPING 264310,A000000,00800,0000,0800DIETARY 264310,A000000,00801,0000,0801CAFETERIA 264310,A000000,00900,0000,0900NURSING ADMINISTRATION 264310,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264310,A000000,01100,0000,1100PHARMACY 264310,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264310,A000000,01300,0000,1300SOCIAL SERVICE 264310,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264310,A000000,01500,0000,1350ACTIVITIES 264310,A000000,01600,0000,1600SKILLED NURSING FACILITY 264310,A000000,01800,0000,1800NURSING FACILITY 264310,A000000,01900,0000,1900OTHER LONG TERM CARE 264310,A000000,02100,0000,2100RADIOLOGY 264310,A000000,02200,0000,2200LABORATORY 264310,A000000,02300,0000,2300INTRAVENOUS THERAPY 264310,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264310,A000000,02500,0000,2500PHYSICAL THERAPY 264310,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264310,A000000,02700,0000,2700SPEECH PATHOLOGY 264310,A000000,02800,0000,2800ELECTROCARDIOLOGY 264310,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264310,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264310,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264310,A000000,03200,0000,3200SUPPORT SURFACES 264310,A000000,03300,0000,3050DME 264310,A000000,03301,0000,3051ORTHOTICS 264310,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264310,A000000,03400,0000,3400CLINIC 264310,A000000,03500,0000,3500RURAL HEALTH CLINIC 264310,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264310,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264310,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264310,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264310,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264310,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264310,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264310,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264310,A000000,04400,0000,4400DME RENTED - HHA 264310,A000000,04500,0000,4500DME SOLD - HHA 264310,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264310,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264310,A000000,04800,0000,4800AMBULANCE 264310,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264310,A000000,05000,0000,5000CORF 264310,A000000,05010,0000,5010CMHC I 264310,A000000,05020,0000,5020OPT I 264310,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264310,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264310,A000000,05300,0000,5300INTEREST EXPENSE 264310,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264310,A000000,05500,0000,5500HOSPICE 264310,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264310,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264310,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264310,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264310,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264310,A000000,06100,0000,6100NONPAID WORKERS 264310,A000000,06200,0000,6200PATIENTS LAUNDRY 264310,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264310,A81000A,00100,0100,Y 264310,A81000B,00100,0300,HOME OFFICE ALLOCATION 264310,A81000B,00200,0300,THERACOR ACTUAL COSTS 264310,A81000B,00300,0300,THERACOR ACTUAL COSTS 264310,A81000B,00400,0300,THERACOR ACTUAL COSTS 264310,A81000C,00100,0100,B 264310,A81000C,00100,0200,HARBORSIDE 264310,A81000C,00200,0200,HEALTHCARE 264310,A81000C,00300,0200,LIMITED P SHIP 264310,A81000C,00300,0600,MANAGEMENT CO 264310,A81000C,00500,0100,B 264310,A81000C,00500,0200,HARBORSIDE 264310,A81000C,00600,0200,REHABILITITAION 264310,A81000C,00700,0200,LIMITED P SHIP 264310,A81000C,00700,0600,THERAPY 264310,A81000C,00800,0600,SERVICE AND 264310,A81000C,00900,0600,MANAGEMENT CO 264310,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264310,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264310,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264310,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264310,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264310,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264310,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264310,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264310,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264310,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264310,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264310,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264310,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264310,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264310,S000000,00100,0200,06/01/00 264310,S200000,00100,0100,1240 PINEBROOK ROAD 264310,S200000,00200,0100,VENICE 264310,S200000,00200,0200,FL 264310,S200000,00200,0300,34292- 264310,S200000,00300,0100,SARASOTA 264310,S200000,00300,0200,7510 264310,S200000,00300,0300,U 264310,S200000,00400,0100,HHC - PINEBROOK 264310,S200000,00400,0200,105497 264310,S200000,00400,0300,03/01/89 264310,S200000,00400,0500,P 264310,S200000,01500,0100,N 264310,S200000,01600,0100,Y 264310,S200000,01700,0100,N 264310,S200000,01800,0100,N 264310,S200000,02200,0100,Y 264310,S200000,02800,0100,N 264310,S200000,02900,0100,N 264310,S200000,03000,0100,N 264310,S200000,03100,0100,N 264310,S200000,03200,0100,N 264310,S200000,03300,0100,N 264310,S200000,03300,0200,N 264310,S200000,04100,0100,N 264310,S200000,04200,0100,N 264310,S200000,04300,0100,N 264310,S200000,04600,0100,N 264310,S200000,04700,0100,Y 264310,S200000,04700,0200,Y 264310,S200000,04900,0100,Y 264310,S200000,05000,0100,N 264310,S200000,05100,0100,N 264310,S200000,05200,0100,N 264323,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264323,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264323,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264323,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264323,A000000,00300,0000,0300EMPLOYEE BENEFITS 264323,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264323,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264323,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264323,A000000,00700,0000,0700HOUSEKEEPING 264323,A000000,00800,0000,0800DIETARY 264323,A000000,00801,0000,0801CAFETERIA 264323,A000000,00900,0000,0900NURSING ADMINISTRATION 264323,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264323,A000000,01100,0000,1100PHARMACY 264323,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264323,A000000,01300,0000,1300SOCIAL SERVICE 264323,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264323,A000000,01500,0000,1350ACTIVITIES 264323,A000000,01600,0000,1600SKILLED NURSING FACILITY 264323,A000000,01800,0000,1800NURSING FACILITY 264323,A000000,01900,0000,1900OTHER LONG TERM CARE 264323,A000000,02100,0000,2100RADIOLOGY 264323,A000000,02200,0000,2200LABORATORY 264323,A000000,02300,0000,2300INTRAVENOUS THERAPY 264323,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264323,A000000,02500,0000,2500PHYSICAL THERAPY 264323,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264323,A000000,02700,0000,2700SPEECH PATHOLOGY 264323,A000000,02800,0000,2800ELECTROCARDIOLOGY 264323,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264323,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264323,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264323,A000000,03200,0000,3200SUPPORT SURFACES 264323,A000000,03300,0000,3050DME 264323,A000000,03301,0000,3051ORTHOTICS 264323,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264323,A000000,03400,0000,3400CLINIC 264323,A000000,03500,0000,3500RURAL HEALTH CLINIC 264323,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264323,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264323,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264323,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264323,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264323,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264323,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264323,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264323,A000000,04400,0000,4400DME RENTED - HHA 264323,A000000,04500,0000,4500DME SOLD - HHA 264323,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264323,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264323,A000000,04800,0000,4800AMBULANCE 264323,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264323,A000000,05000,0000,5000CORF 264323,A000000,05010,0000,5010CMHC I 264323,A000000,05020,0000,5020OPT I 264323,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264323,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264323,A000000,05300,0000,5300INTEREST EXPENSE 264323,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264323,A000000,05500,0000,5500HOSPICE 264323,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264323,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264323,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264323,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264323,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264323,A000000,06100,0000,6100NONPAID WORKERS 264323,A000000,06200,0000,6200PATIENTS LAUNDRY 264323,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264323,A81000A,00100,0100,Y 264323,A81000B,00100,0300,HOME OFFICE ALLOCATION 264323,A81000B,00200,0300,THERACOR ACTUAL COSTS 264323,A81000B,00300,0300,THERACOR ACTUAL COSTS 264323,A81000B,00400,0300,THERACOR ACTUAL COSTS 264323,A81000C,00100,0100,B 264323,A81000C,00100,0200,HARBORSIDE 264323,A81000C,00200,0200,HEALTHCARE 264323,A81000C,00300,0200,LIMITED P SHIP 264323,A81000C,00300,0600,MANAGEMENT CO 264323,A81000C,00500,0100,B 264323,A81000C,00500,0200,HARBORSIDE 264323,A81000C,00600,0200,REHABILITITAION 264323,A81000C,00700,0200,LIMITED P SHIP 264323,A81000C,00700,0600,THERAPY 264323,A81000C,00800,0600,SERVICE AND 264323,A81000C,00900,0600,MANAGEMENT CO 264323,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264323,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264323,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264323,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264323,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264323,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264323,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264323,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264323,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264323,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264323,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264323,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264323,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264323,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264323,S000000,00100,0200,05/31/00 264323,S200000,00100,0100,1775 HUNTINGTON LANE 264323,S200000,00200,0100,ROCKLEDGE 264323,S200000,00200,0200,FL 264323,S200000,00200,0300,32955- 264323,S200000,00300,0100,BREVARD 264323,S200000,00300,0200,4900 264323,S200000,00300,0300,U 264323,S200000,00400,0100,HHC - BREVARD 264323,S200000,00400,0200,105250 264323,S200000,00400,0300,10/01/94 264323,S200000,00400,0500,P 264323,S200000,01500,0100,N 264323,S200000,01600,0100,Y 264323,S200000,01700,0100,N 264323,S200000,01800,0100,N 264323,S200000,02200,0100,Y 264323,S200000,02800,0100,N 264323,S200000,02900,0100,N 264323,S200000,03000,0100,N 264323,S200000,03100,0100,N 264323,S200000,03200,0100,N 264323,S200000,03300,0100,N 264323,S200000,03300,0200,N 264323,S200000,04100,0100,N 264323,S200000,04200,0100,N 264323,S200000,04300,0100,N 264323,S200000,04600,0100,N 264323,S200000,04700,0100,Y 264323,S200000,04700,0200,Y 264323,S200000,04900,0100,N 264323,S200000,05000,0100,N 264323,S200000,05100,0100,N 264323,S200000,05200,0100,N 264324,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264324,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264324,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264324,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264324,A000000,00300,0000,0300EMPLOYEE BENEFITS 264324,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264324,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264324,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264324,A000000,00700,0000,0700HOUSEKEEPING 264324,A000000,00800,0000,0800DIETARY 264324,A000000,00801,0000,0801CAFETERIA 264324,A000000,00900,0000,0900NURSING ADMINISTRATION 264324,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264324,A000000,01100,0000,1100PHARMACY 264324,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264324,A000000,01300,0000,1300SOCIAL SERVICE 264324,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264324,A000000,01500,0000,1350ACTIVITIES 264324,A000000,01600,0000,1600SKILLED NURSING FACILITY 264324,A000000,01800,0000,1800NURSING FACILITY 264324,A000000,01900,0000,1900OTHER LONG TERM CARE 264324,A000000,02100,0000,2100RADIOLOGY 264324,A000000,02200,0000,2200LABORATORY 264324,A000000,02300,0000,2300INTRAVENOUS THERAPY 264324,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264324,A000000,02500,0000,2500PHYSICAL THERAPY 264324,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264324,A000000,02700,0000,2700SPEECH PATHOLOGY 264324,A000000,02800,0000,2800ELECTROCARDIOLOGY 264324,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264324,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264324,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264324,A000000,03200,0000,3200SUPPORT SURFACES 264324,A000000,03300,0000,3050DME 264324,A000000,03301,0000,3051ORTHOTICS 264324,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264324,A000000,03400,0000,3400CLINIC 264324,A000000,03500,0000,3500RURAL HEALTH CLINIC 264324,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264324,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264324,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264324,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264324,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264324,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264324,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264324,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264324,A000000,04400,0000,4400DME RENTED - HHA 264324,A000000,04500,0000,4500DME SOLD - HHA 264324,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264324,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264324,A000000,04800,0000,4800AMBULANCE 264324,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264324,A000000,05000,0000,5000CORF 264324,A000000,05010,0000,5010CMHC I 264324,A000000,05020,0000,5020OPT I 264324,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264324,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264324,A000000,05300,0000,5300INTEREST EXPENSE 264324,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264324,A000000,05500,0000,5500HOSPICE 264324,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264324,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264324,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264324,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264324,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264324,A000000,06100,0000,6100NONPAID WORKERS 264324,A000000,06200,0000,6200PATIENTS LAUNDRY 264324,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264324,A81000A,00100,0100,Y 264324,A81000B,00100,0300,HOME OFFICE ALLOCATION 264324,A81000B,00200,0300,THERACOR ACTUAL COSTS 264324,A81000B,00300,0300,THERACOR ACTUAL COSTS 264324,A81000B,00400,0300,THERACOR ACTUAL COSTS 264324,A81000C,00100,0100,B 264324,A81000C,00100,0200,HARBORSIDE 264324,A81000C,00200,0200,HEALTHCARE 264324,A81000C,00300,0200,LIMITED P SHIP 264324,A81000C,00300,0600,MANAGEMENT CO 264324,A81000C,00500,0100,B 264324,A81000C,00500,0200,HARBORSIDE 264324,A81000C,00600,0200,REHABILITITAION 264324,A81000C,00700,0200,LIMITED P SHIP 264324,A81000C,00700,0600,THERAPY 264324,A81000C,00800,0600,SERVICE AND 264324,A81000C,00900,0600,MANAGEMENT CO 264324,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264324,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264324,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264324,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264324,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264324,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264324,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264324,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264324,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264324,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264324,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264324,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264324,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264324,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264324,S000000,00100,0200,06/01/00 264324,S200000,00100,0100,1980 SUNSET POINT ROAD 264324,S200000,00200,0100,CLEARWATER 264324,S200000,00200,0200,FL 264324,S200000,00200,0300,33765- 264324,S200000,00300,0100,PINELLAS 264324,S200000,00300,0200,8280 264324,S200000,00300,0300,U 264324,S200000,00400,0100,HHC - CLEARWATER 264324,S200000,00400,0200,105373 264324,S200000,00400,0300,03/06/90 264324,S200000,00400,0500,P 264324,S200000,01500,0100,N 264324,S200000,01600,0100,Y 264324,S200000,01700,0100,N 264324,S200000,01800,0100,N 264324,S200000,02200,0100,Y 264324,S200000,02800,0100,N 264324,S200000,02900,0100,N 264324,S200000,03000,0100,N 264324,S200000,03100,0100,N 264324,S200000,03200,0100,N 264324,S200000,03300,0100,N 264324,S200000,03300,0200,N 264324,S200000,04100,0100,N 264324,S200000,04200,0100,N 264324,S200000,04300,0100,N 264324,S200000,04600,0100,N 264324,S200000,04700,0100,Y 264324,S200000,04700,0200,Y 264324,S200000,04900,0100,Y 264324,S200000,05000,0100,N 264324,S200000,05100,0100,N 264324,S200000,05200,0100,N 264325,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264325,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264325,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264325,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264325,A000000,00300,0000,0300EMPLOYEE BENEFITS 264325,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264325,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264325,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264325,A000000,00700,0000,0700HOUSEKEEPING 264325,A000000,00800,0000,0800DIETARY 264325,A000000,00801,0000,0801CAFETERIA 264325,A000000,00900,0000,0900NURSING ADMINISTRATION 264325,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264325,A000000,01100,0000,1100PHARMACY 264325,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264325,A000000,01300,0000,1300SOCIAL SERVICE 264325,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264325,A000000,01500,0000,1350ACTIVITIES 264325,A000000,01600,0000,1600SKILLED NURSING FACILITY 264325,A000000,01800,0000,1800NURSING FACILITY 264325,A000000,01900,0000,1900OTHER LONG TERM CARE 264325,A000000,02100,0000,2100RADIOLOGY 264325,A000000,02200,0000,2200LABORATORY 264325,A000000,02300,0000,2300INTRAVENOUS THERAPY 264325,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264325,A000000,02500,0000,2500PHYSICAL THERAPY 264325,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264325,A000000,02700,0000,2700SPEECH PATHOLOGY 264325,A000000,02800,0000,2800ELECTROCARDIOLOGY 264325,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264325,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264325,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264325,A000000,03200,0000,3200SUPPORT SURFACES 264325,A000000,03300,0000,3050DME 264325,A000000,03301,0000,3051ORTHOTICS 264325,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264325,A000000,03400,0000,3400CLINIC 264325,A000000,03500,0000,3500RURAL HEALTH CLINIC 264325,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264325,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264325,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264325,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264325,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264325,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264325,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264325,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264325,A000000,04400,0000,4400DME RENTED - HHA 264325,A000000,04500,0000,4500DME SOLD - HHA 264325,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264325,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264325,A000000,04800,0000,4800AMBULANCE 264325,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264325,A000000,05000,0000,5000CORF 264325,A000000,05010,0000,5010CMHC I 264325,A000000,05020,0000,5020OPT I 264325,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264325,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264325,A000000,05300,0000,5300INTEREST EXPENSE 264325,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264325,A000000,05500,0000,5500HOSPICE 264325,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264325,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264325,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264325,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264325,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264325,A000000,06100,0000,6100NONPAID WORKERS 264325,A000000,06200,0000,6200PATIENTS LAUNDRY 264325,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264325,A81000A,00100,0100,Y 264325,A81000B,00100,0300,HOME OFFICE ALLOCATION 264325,A81000B,00200,0300,THERACOR ACTUAL COSTS 264325,A81000B,00300,0300,THERACOR ACTUAL COSTS 264325,A81000B,00400,0300,THERACOR ACTUAL COSTS 264325,A81000C,00100,0100,B 264325,A81000C,00100,0200,HARBORSIDE 264325,A81000C,00200,0200,HEALTHCARE 264325,A81000C,00300,0200,LIMITED P SHIP 264325,A81000C,00300,0600,MANAGEMENT CO 264325,A81000C,00500,0100,B 264325,A81000C,00500,0200,HARBORSIDE 264325,A81000C,00600,0200,REHABILITITAION 264325,A81000C,00700,0200,LIMITED P SHIP 264325,A81000C,00700,0600,THERAPY 264325,A81000C,00800,0600,SERVICE AND 264325,A81000C,00900,0600,MANAGEMENT CO 264325,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264325,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264325,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264325,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264325,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264325,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264325,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264325,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264325,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264325,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264325,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264325,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264325,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264325,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264325,S000000,00100,0200,06/01/00 264325,S200000,00100,0100,2600 HIGHLANDS BOULEVARD NORTH 264325,S200000,00200,0100,PALM HARBOR 264325,S200000,00200,0200,FL 264325,S200000,00200,0300,34684- 264325,S200000,00300,0100,PINELLAS 264325,S200000,00300,0200,8280 264325,S200000,00300,0300,U 264325,S200000,00400,0100,HHC - PALM HARBOR 264325,S200000,00400,0200,105394 264325,S200000,00400,0300,03/06/90 264325,S200000,00400,0500,P 264325,S200000,01500,0100,N 264325,S200000,01600,0100,Y 264325,S200000,01700,0100,N 264325,S200000,01800,0100,N 264325,S200000,02200,0100,Y 264325,S200000,02800,0100,N 264325,S200000,02900,0100,N 264325,S200000,03000,0100,N 264325,S200000,03100,0100,N 264325,S200000,03200,0100,N 264325,S200000,03300,0100,N 264325,S200000,03300,0200,N 264325,S200000,04100,0100,N 264325,S200000,04200,0100,N 264325,S200000,04300,0100,N 264325,S200000,04600,0100,N 264325,S200000,04700,0100,Y 264325,S200000,04700,0200,Y 264325,S200000,04900,0100,N 264325,S200000,05000,0100,N 264325,S200000,05100,0100,N 264325,S200000,05200,0100,N 264326,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264326,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264326,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264326,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264326,A000000,00300,0000,0300EMPLOYEE BENEFITS 264326,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264326,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264326,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264326,A000000,00700,0000,0700HOUSEKEEPING 264326,A000000,00800,0000,0800DIETARY 264326,A000000,00801,0000,0801CAFETERIA 264326,A000000,00900,0000,0900NURSING ADMINISTRATION 264326,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264326,A000000,01100,0000,1100PHARMACY 264326,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264326,A000000,01300,0000,1300SOCIAL SERVICE 264326,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264326,A000000,01500,0000,1350ACTIVITIES 264326,A000000,01600,0000,1600SKILLED NURSING FACILITY 264326,A000000,01800,0000,1800NURSING FACILITY 264326,A000000,01900,0000,1900OTHER LONG TERM CARE 264326,A000000,02100,0000,2100RADIOLOGY 264326,A000000,02200,0000,2200LABORATORY 264326,A000000,02300,0000,2300INTRAVENOUS THERAPY 264326,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264326,A000000,02500,0000,2500PHYSICAL THERAPY 264326,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264326,A000000,02700,0000,2700SPEECH PATHOLOGY 264326,A000000,02800,0000,2800ELECTROCARDIOLOGY 264326,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264326,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264326,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264326,A000000,03200,0000,3200SUPPORT SURFACES 264326,A000000,03300,0000,3050DME 264326,A000000,03301,0000,3051ORTHOTICS 264326,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264326,A000000,03400,0000,3400CLINIC 264326,A000000,03500,0000,3500RURAL HEALTH CLINIC 264326,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264326,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264326,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264326,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264326,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264326,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264326,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264326,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264326,A000000,04400,0000,4400DME RENTED - HHA 264326,A000000,04500,0000,4500DME SOLD - HHA 264326,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264326,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264326,A000000,04800,0000,4800AMBULANCE 264326,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264326,A000000,05000,0000,5000CORF 264326,A000000,05010,0000,5010CMHC I 264326,A000000,05020,0000,5020OPT I 264326,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264326,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264326,A000000,05300,0000,5300INTEREST EXPENSE 264326,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264326,A000000,05500,0000,5500HOSPICE 264326,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264326,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264326,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264326,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264326,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264326,A000000,06100,0000,6100NONPAID WORKERS 264326,A000000,06200,0000,6200PATIENTS LAUNDRY 264326,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264326,A81000A,00100,0100,Y 264326,A81000B,00100,0300,HOME OFFICE ALLOCATION 264326,A81000B,00200,0300,THERACOR ACTUAL COSTS 264326,A81000B,00300,0300,THERACOR ACTUAL COSTS 264326,A81000B,00400,0300,THERACOR ACTUAL COSTS 264326,A81000C,00100,0100,B 264326,A81000C,00100,0200,HARBORSIDE 264326,A81000C,00200,0200,HEALTHCARE 264326,A81000C,00300,0200,LIMITED P SHIP 264326,A81000C,00300,0600,MANAGEMENT CO 264326,A81000C,00500,0100,B 264326,A81000C,00500,0200,HARBORSIDE 264326,A81000C,00600,0200,REHABILITITAION 264326,A81000C,00700,0200,LIMITED P SHIP 264326,A81000C,00700,0600,THERAPY 264326,A81000C,00800,0600,SERVICE AND 264326,A81000C,00900,0600,MANAGEMENT CO 264326,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264326,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264326,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264326,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264326,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264326,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264326,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264326,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264326,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264326,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264326,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264326,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264326,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264326,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264326,S000000,00100,0200,06/01/00 264326,S200000,00100,0100,4602 NORTHGATE COURT 264326,S200000,00200,0100,SARASOTA 264326,S200000,00200,0200,FL 264326,S200000,00200,0300,34234- 264326,S200000,00300,0100,SARASOTA 264326,S200000,00300,0200,7510 264326,S200000,00300,0300,U 264326,S200000,00400,0100,HHC - SARASOTA 264326,S200000,00400,0200,105407 264326,S200000,00400,0300,03/06/90 264326,S200000,00400,0500,P 264326,S200000,01500,0100,N 264326,S200000,01600,0100,Y 264326,S200000,01700,0100,N 264326,S200000,01800,0100,N 264326,S200000,02200,0100,Y 264326,S200000,02800,0100,N 264326,S200000,02900,0100,N 264326,S200000,03000,0100,N 264326,S200000,03100,0100,N 264326,S200000,03200,0100,N 264326,S200000,03300,0100,N 264326,S200000,03300,0200,N 264326,S200000,04100,0100,N 264326,S200000,04200,0100,N 264326,S200000,04300,0100,N 264326,S200000,04600,0100,N 264326,S200000,04700,0100,Y 264326,S200000,04700,0200,Y 264326,S200000,04900,0100,Y 264326,S200000,05000,0100,N 264326,S200000,05100,0100,N 264326,S200000,05200,0100,N 264327,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264327,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264327,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264327,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264327,A000000,00300,0000,0300EMPLOYEE BENEFITS 264327,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264327,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264327,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264327,A000000,00700,0000,0700HOUSEKEEPING 264327,A000000,00800,0000,0800DIETARY 264327,A000000,00801,0000,0801CAFETERIA 264327,A000000,00900,0000,0900NURSING ADMINISTRATION 264327,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264327,A000000,01100,0000,1100PHARMACY 264327,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264327,A000000,01300,0000,1300SOCIAL SERVICE 264327,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264327,A000000,01500,0000,1350ACTIVITIES 264327,A000000,01600,0000,1600SKILLED NURSING FACILITY 264327,A000000,01800,0000,1800NURSING FACILITY 264327,A000000,01900,0000,1900OTHER LONG TERM CARE 264327,A000000,02100,0000,2100RADIOLOGY 264327,A000000,02200,0000,2200LABORATORY 264327,A000000,02300,0000,2300INTRAVENOUS THERAPY 264327,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264327,A000000,02500,0000,2500PHYSICAL THERAPY 264327,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264327,A000000,02700,0000,2700SPEECH PATHOLOGY 264327,A000000,02800,0000,2800ELECTROCARDIOLOGY 264327,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264327,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264327,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264327,A000000,03200,0000,3200SUPPORT SURFACES 264327,A000000,03300,0000,3050DME 264327,A000000,03301,0000,3051ORTHOTICS 264327,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264327,A000000,03400,0000,3400CLINIC 264327,A000000,03500,0000,3500RURAL HEALTH CLINIC 264327,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264327,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264327,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264327,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264327,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264327,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264327,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264327,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264327,A000000,04400,0000,4400DME RENTED - HHA 264327,A000000,04500,0000,4500DME SOLD - HHA 264327,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264327,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264327,A000000,04800,0000,4800AMBULANCE 264327,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264327,A000000,05000,0000,5000CORF 264327,A000000,05010,0000,5010CMHC I 264327,A000000,05020,0000,5020OPT I 264327,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264327,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264327,A000000,05300,0000,5300INTEREST EXPENSE 264327,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264327,A000000,05500,0000,5500HOSPICE 264327,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264327,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264327,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264327,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264327,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264327,A000000,06100,0000,6100NONPAID WORKERS 264327,A000000,06200,0000,6200PATIENTS LAUNDRY 264327,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264327,A81000A,00100,0100,Y 264327,A81000B,00100,0300,HOME OFFICE ALLOCATION 264327,A81000B,00200,0300,THERACOR ACTUAL COSTS 264327,A81000B,00300,0300,THERACOR ACTUAL COSTS 264327,A81000B,00400,0300,THERACOR ACTUAL COSTS 264327,A81000C,00100,0100,B 264327,A81000C,00100,0200,HARBORSIDE 264327,A81000C,00200,0200,HEALTHCARE 264327,A81000C,00300,0200,LIMITED P SHIP 264327,A81000C,00300,0600,MANAGEMENT CO 264327,A81000C,00500,0100,B 264327,A81000C,00500,0200,HARBORSIDE 264327,A81000C,00600,0200,REHABILITITAION 264327,A81000C,00700,0200,LIMITED P SHIP 264327,A81000C,00700,0600,THERAPY 264327,A81000C,00800,0600,SERVICE AND 264327,A81000C,00900,0600,MANAGEMENT CO 264327,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264327,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264327,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264327,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264327,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264327,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264327,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264327,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264327,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264327,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264327,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264327,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264327,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264327,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264327,S000000,00100,0200,06/01/00 264327,S200000,00100,0100,3865 TAMPA ROAD 264327,S200000,00200,0100,OLDSMAR 264327,S200000,00200,0200,FL 264327,S200000,00200,0300,34677- 264327,S200000,00300,0100,PINELLAS 264327,S200000,00300,0200,8280 264327,S200000,00300,0300,U 264327,S200000,00400,0100,HHC TAMPA BAY 264327,S200000,00400,0200,105419 264327,S200000,00400,0300,03/06/90 264327,S200000,00400,0500,P 264327,S200000,01500,0100,N 264327,S200000,01600,0100,Y 264327,S200000,01700,0100,N 264327,S200000,01800,0100,N 264327,S200000,02200,0100,Y 264327,S200000,02800,0100,N 264327,S200000,02900,0100,N 264327,S200000,03000,0100,N 264327,S200000,03100,0100,N 264327,S200000,03200,0100,N 264327,S200000,03300,0100,N 264327,S200000,03300,0200,N 264327,S200000,04100,0100,N 264327,S200000,04200,0100,N 264327,S200000,04300,0100,N 264327,S200000,04600,0100,N 264327,S200000,04700,0100,Y 264327,S200000,04700,0200,Y 264327,S200000,04900,0100,N 264327,S200000,05000,0100,N 264327,S200000,05100,0100,N 264327,S200000,05200,0100,N 264328,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264328,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264328,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264328,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264328,A000000,00300,0000,0300EMPLOYEE BENEFITS 264328,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264328,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264328,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264328,A000000,00700,0000,0700HOUSEKEEPING 264328,A000000,00800,0000,0800DIETARY 264328,A000000,00801,0000,0801CAFETERIA 264328,A000000,00900,0000,0900NURSING ADMINISTRATION 264328,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264328,A000000,01100,0000,1100PHARMACY 264328,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264328,A000000,01300,0000,1300SOCIAL SERVICE 264328,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264328,A000000,01500,0000,1350ACTIVITIES 264328,A000000,01600,0000,1600SKILLED NURSING FACILITY 264328,A000000,01800,0000,1800NURSING FACILITY 264328,A000000,01900,0000,1900OTHER LONG TERM CARE 264328,A000000,02100,0000,2100RADIOLOGY 264328,A000000,02200,0000,2200LABORATORY 264328,A000000,02300,0000,2300INTRAVENOUS THERAPY 264328,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264328,A000000,02500,0000,2500PHYSICAL THERAPY 264328,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264328,A000000,02700,0000,2700SPEECH PATHOLOGY 264328,A000000,02800,0000,2800ELECTROCARDIOLOGY 264328,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264328,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264328,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264328,A000000,03200,0000,3200SUPPORT SURFACES 264328,A000000,03300,0000,3050DME 264328,A000000,03301,0000,3051OTHER ANCILLARY II 264328,A000000,03302,0000,3052OTHER ANCILLARY III 264328,A000000,03400,0000,3400CLINIC 264328,A000000,03500,0000,3500RURAL HEALTH CLINIC 264328,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264328,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264328,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264328,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264328,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264328,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264328,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264328,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264328,A000000,04400,0000,4400DME RENTED - HHA 264328,A000000,04500,0000,4500DME SOLD - HHA 264328,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264328,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264328,A000000,04800,0000,4800AMBULANCE 264328,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264328,A000000,05000,0000,5000CORF 264328,A000000,05010,0000,5010CMHC I 264328,A000000,05020,0000,5020OPT I 264328,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264328,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264328,A000000,05300,0000,5300INTEREST EXPENSE 264328,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264328,A000000,05500,0000,5500HOSPICE 264328,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264328,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264328,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264328,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264328,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264328,A000000,06100,0000,6100NONPAID WORKERS 264328,A000000,06200,0000,6200PATIENTS LAUNDRY 264328,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264328,A81000A,00100,0100,Y 264328,A81000B,00100,0300,HOME OFFICE ALLOCATION 264328,A81000B,00200,0300,THERACOR ACTUAL COSTS 264328,A81000B,00300,0300,THERACOR ACTUAL COSTS 264328,A81000B,00400,0300,THERACOR ACTUAL COSTS 264328,A81000C,00100,0100,B 264328,A81000C,00100,0200,HARBORSIDE 264328,A81000C,00200,0200,HEALTHCARE 264328,A81000C,00300,0200,LIMITED P SHIP 264328,A81000C,00300,0600,MANAGEMENT CO 264328,A81000C,00500,0100,B 264328,A81000C,00500,0200,HARBORSIDE 264328,A81000C,00600,0200,REHABILITITAION 264328,A81000C,00700,0200,LIMITED P SHIP 264328,A81000C,00700,0600,THERAPY 264328,A81000C,00800,0600,SERVICE AND 264328,A81000C,00900,0600,MANAGEMENT CO 264328,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264328,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264328,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264328,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264328,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264328,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264328,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264328,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264328,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264328,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264328,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264328,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264328,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264328,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264328,S000000,00100,0200,06/01/00 264328,S200000,00100,0100,2900 TWELFTH STREET 264328,S200000,00200,0100,NAPLES 264328,S200000,00200,0200,FL 264328,S200000,00200,0300,34103- 264328,S200000,00300,0100,COLLIER 264328,S200000,00300,0200,5345 264328,S200000,00300,0300,U 264328,S200000,00400,0100,HHC - NAPLES 264328,S200000,00400,0200,105439 264328,S200000,00400,0300,03/01/89 264328,S200000,00400,0500,P 264328,S200000,01500,0100,N 264328,S200000,01600,0100,Y 264328,S200000,01700,0100,N 264328,S200000,01800,0100,N 264328,S200000,02200,0100,Y 264328,S200000,02800,0100,N 264328,S200000,02900,0100,N 264328,S200000,03000,0100,N 264328,S200000,03100,0100,N 264328,S200000,03200,0100,N 264328,S200000,03300,0100,N 264328,S200000,03300,0200,N 264328,S200000,04100,0100,N 264328,S200000,04200,0100,N 264328,S200000,04300,0100,N 264328,S200000,04600,0100,N 264328,S200000,04700,0100,N 264328,S200000,04700,0200,N 264328,S200000,04900,0100,N 264328,S200000,05000,0100,N 264328,S200000,05100,0100,N 264328,S200000,05200,0100,N 264329,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 264329,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. #2 264329,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 264329,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. # 264329,A000000,00300,0000,0300EMPLOYEE BENEFITS 264329,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 264329,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 264329,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 264329,A000000,00700,0000,0700HOUSEKEEPING 264329,A000000,00800,0000,0800DIETARY 264329,A000000,00801,0000,0801CAFETERIA 264329,A000000,00900,0000,0900NURSING ADMINISTRATION 264329,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 264329,A000000,01100,0000,1100PHARMACY 264329,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 264329,A000000,01300,0000,1300SOCIAL SERVICE 264329,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 264329,A000000,01500,0000,1350ACTIVITIES 264329,A000000,01600,0000,1600SKILLED NURSING FACILITY 264329,A000000,01800,0000,1800NURSING FACILITY 264329,A000000,01900,0000,1900OTHER LONG TERM CARE 264329,A000000,02100,0000,2100RADIOLOGY 264329,A000000,02200,0000,2200LABORATORY 264329,A000000,02300,0000,2300INTRAVENOUS THERAPY 264329,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 264329,A000000,02500,0000,2500PHYSICAL THERAPY 264329,A000000,02600,0000,2600OCCUPATIONAL THERAPY 264329,A000000,02700,0000,2700SPEECH PATHOLOGY 264329,A000000,02800,0000,2800ELECTROCARDIOLOGY 264329,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 264329,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 264329,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 264329,A000000,03200,0000,3200SUPPORT SURFACES 264329,A000000,03300,0000,3050DME 264329,A000000,03301,0000,3051ORTHOTICS 264329,A000000,03302,0000,3052PSYCH/NON-PHYSICIAN DIAG 264329,A000000,03400,0000,3400CLINIC 264329,A000000,03500,0000,3500RURAL HEALTH CLINIC 264329,A000000,03600,0000,3450OTHER OUTPATIENT SERVICE 264329,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 264329,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 264329,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 264329,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 264329,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 264329,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 264329,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 264329,A000000,04400,0000,4400DME RENTED - HHA 264329,A000000,04500,0000,4500DME SOLD - HHA 264329,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 264329,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 264329,A000000,04800,0000,4800AMBULANCE 264329,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 264329,A000000,05000,0000,5000CORF 264329,A000000,05010,0000,5010CMHC I 264329,A000000,05020,0000,5020OPT I 264329,A000000,05100,0000,4750OTHER REIMBURSABLE COST 264329,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 264329,A000000,05300,0000,5300INTEREST EXPENSE 264329,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 264329,A000000,05500,0000,5500HOSPICE 264329,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 264329,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 264329,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 264329,A000000,05900,0000,5900BARBER & BEAUTY SHOP 264329,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 264329,A000000,06100,0000,6100NONPAID WORKERS 264329,A000000,06200,0000,6200PATIENTS LAUNDRY 264329,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 264329,A81000A,00100,0100,Y 264329,A81000B,00100,0300,HOME OFFICE ALLOCATION 264329,A81000B,00200,0300,THERACOR ACTUAL COSTS 264329,A81000B,00300,0300,THERACOR ACTUAL COSTS 264329,A81000B,00400,0300,THERACOR ACTUAL COSTS 264329,A81000C,00100,0100,B 264329,A81000C,00100,0200,HARBORSIDE 264329,A81000C,00200,0200,HEALTHCARE 264329,A81000C,00300,0200,LIMITED P SHIP 264329,A81000C,00300,0600,MANAGEMENT CO 264329,A81000C,00500,0100,B 264329,A81000C,00500,0200,HARBORSIDE 264329,A81000C,00600,0200,REHABILITITAION 264329,A81000C,00700,0200,LIMITED P SHIP 264329,A81000C,00700,0600,THERAPY 264329,A81000C,00800,0600,SERVICE AND 264329,A81000C,00900,0600,MANAGEMENT CO 264329,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 264329,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 264329,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 264329,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 264329,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 264329,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 264329,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 264329,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 264329,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 264329,B100000,00000,1000,1050(PATIENT DAYS) :CENTRAL SERVICE 264329,B100000,00000,1100,1150(PATIENT DAYS) :PHARMACY 264329,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 264329,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 264329,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 264329,S000000,00100,0200,06/01/00 264329,S200000,00100,0100,1501 SE 24TH ROAD 264329,S200000,00200,0100,OCALA 264329,S200000,00200,0200,FL 264329,S200000,00200,0300,34471- 264329,S200000,00300,0100,MARION 264329,S200000,00300,0200,5790 264329,S200000,00300,0300,U 264329,S200000,00400,0100,HHC - OCALA 264329,S200000,00400,0200,105465 264329,S200000,00400,0300,03/06/90 264329,S200000,00400,0500,P 264329,S200000,01500,0100,N 264329,S200000,01600,0100,Y 264329,S200000,01700,0100,N 264329,S200000,01800,0100,N 264329,S200000,02200,0100,Y 264329,S200000,02800,0100,N 264329,S200000,02900,0100,N 264329,S200000,03000,0100,N 264329,S200000,03100,0100,N 264329,S200000,03200,0100,N 264329,S200000,03300,0100,N 264329,S200000,03300,0200,N 264329,S200000,04100,0100,N 264329,S200000,04200,0100,N 264329,S200000,04300,0100,N 264329,S200000,04600,0100,N 264329,S200000,04700,0100,Y 264329,S200000,04700,0200,Y 264329,S200000,04900,0100,Y 264329,S200000,05000,0100,N 264329,S200000,05100,0100,N 264329,S200000,05200,0100,N 265804,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 265804,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 265804,A000000,00300,0000,0300EMPLOYEE BENEFITS 265804,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 265804,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 265804,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 265804,A000000,00700,0000,0700HOUSEKEEPING 265804,A000000,00800,0000,0800DIETARY 265804,A000000,00900,0000,0900NURSING ADMINISTRATION 265804,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 265804,A000000,01100,0000,1100PHARMACY 265804,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 265804,A000000,01300,0000,1300SOCIAL SERVICE 265804,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 265804,A000000,01500,0000,1350OTHER GENERAL SERVICES 265804,A000000,01600,0000,1600SKILLED NURSING FACILITY 265804,A000000,01810,0000,1810ICF/MR 265804,A000000,02100,0000,2100RADIOLOGY 265804,A000000,02200,0000,2200LABORATORY 265804,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 265804,A000000,02500,0000,2500PHYSICAL THERAPY 265804,A000000,02600,0000,2600OCCUPATIONAL THERAPY 265804,A000000,02700,0000,2700SPEECH PATHOLOGY 265804,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 265804,A000000,03201,0000,3201CLINITRON THERAPY 265804,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 265804,A000000,03550,0000,3550FQHC 265804,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 265804,A000000,04800,0000,4800AMBULANCE 265804,A000000,04801,0000,4801AMBULANCE 265804,A000000,04802,0000,4802AMBULANCE 265804,A000000,04803,0000,4803AMBULANCE 265804,A000000,05000,0000,5000CORF 265804,A000000,05010,0000,5010CMHC 265804,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 265804,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 265804,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 265804,A000000,05100,0000,4750OTHER REIMBURSABLE COST 265804,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 265804,A000000,05900,0000,5900BARBER & BEAUTY SHOP 265804,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 265804,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 265804,A81000A,00100,0100,N 265804,B100000,00000,0100,0100SQUARE FEET 265804,B100000,00000,0200,0200DOLLAR VALUE 265804,B100000,00000,0300,0300GROSS SALARIES 265804,B100000,00000,0400,0400ACCUM COST 265804,B100000,00000,0500,0500SQUARE FEET 265804,B100000,00000,0600,0600POUNDS OF LAUNDRY 265804,B100000,00000,0700,0700HOURS OF SERVICE 265804,B100000,00000,0800,0800MEALS SERVED 265804,B100000,00000,0900,0900HOURS OF SERVICE 265804,B100000,00000,1000,1000COSTED REQUIS. 265804,B100000,00000,1100,1100COSTED REQUIS. 265804,B100000,00000,1200,1200TIME SPENT 265804,B100000,00000,1300,1300TIME SPENT 265804,B100000,00000,1400,1400TIME SPENT 265804,B100000,00000,1500,1350NO STATISTICS 265804,S000000,00100,0200,06/12/00 265804,S200000,00100,0100,2401 LACONIA AVENUE 265804,S200000,00200,0100,BRONX 265804,S200000,00200,0200,NY 265804,S200000,00200,0300,10469 265804,S200000,00300,0100,BRONX 265804,S200000,00300,0200,5600 265804,S200000,00300,0300,U 265804,S200000,00400,0100,PELHAM PARKWAY NURSING HOME 265804,S200000,00400,0200,335486 265804,S200000,00400,0300,04/01/76 265804,S200000,00400,0500,P 265804,S200000,01500,0100,Y 265804,S200000,01600,0100,N 265804,S200000,01700,0100,N 265804,S200000,01800,0100,N 265804,S200000,02200,0100,N 265804,S200000,02800,0100,N 265804,S200000,02900,0100,N 265804,S200000,03000,0100,N 265804,S200000,03100,0100,N 265804,S200000,03200,0100,N 265804,S200000,03300,0100,N 265804,S200000,03300,0200,N 265804,S200000,04100,0100,N 265804,S200000,04200,0100,N 265804,S200000,04300,0100,N 265804,S200000,04600,0100,N 265804,S200000,04700,0100,N 265804,S200000,04700,0200,N 265804,S200000,04900,0100,N 265804,S200000,05200,0100,N 265806,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 265806,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 265806,A000000,00300,0000,0300EMPLOYEE BENEFITS 265806,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 265806,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 265806,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 265806,A000000,00700,0000,0700HOUSEKEEPING 265806,A000000,00800,0000,0800DIETARY 265806,A000000,00900,0000,0900NURSING ADMINISTRATION 265806,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 265806,A000000,01100,0000,1100PHARMACY 265806,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 265806,A000000,01300,0000,1300SOCIAL SERVICE 265806,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 265806,A000000,01500,0000,1350OTHER GENERAL SERVICES 265806,A000000,01600,0000,1600SKILLED NURSING FACILITY 265806,A000000,01810,0000,1810ICF/MR 265806,A000000,02100,0000,2100RADIOLOGY 265806,A000000,02200,0000,2200LABORATORY 265806,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 265806,A000000,02500,0000,2500PHYSICAL THERAPY 265806,A000000,02600,0000,2600OCCUPATIONAL THERAPY 265806,A000000,02700,0000,2700SPEECH PATHOLOGY 265806,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 265806,A000000,03201,0000,3201CLINITRON THERAPY 265806,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 265806,A000000,03550,0000,3550FQHC 265806,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 265806,A000000,04801,0000,4801AMBULANCE 265806,A000000,04802,0000,4802AMBULANCE 265806,A000000,04803,0000,4803AMBULANCE 265806,A000000,05000,0000,5000CORF 265806,A000000,05010,0000,5010CMHC 265806,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 265806,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 265806,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 265806,A000000,05100,0000,4750OTHER REIMBURSABLE COST 265806,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 265806,A000000,05900,0000,5900BARBER & BEAUTY SHOP 265806,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 265806,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 265806,A81000A,00100,0100,N 265806,B100000,00000,0100,0100SQUARE FEET 265806,B100000,00000,0200,0200DOLLAR VALUE 265806,B100000,00000,0300,0300GROSS SALARIES 265806,B100000,00000,0400,0400ACCUM COST 265806,B100000,00000,0500,0500SQUARE FEET 265806,B100000,00000,0600,0600POUNDS OF LAUNDRY 265806,B100000,00000,0700,0700HOURS OF SERVICE 265806,B100000,00000,0800,0800MEALS SERVED 265806,B100000,00000,0900,0900HOURS OF SERVICE 265806,B100000,00000,1000,1000COSTED REQUIS. 265806,B100000,00000,1100,1100COSTED REQUIS. 265806,B100000,00000,1200,1200TIME SPENT 265806,B100000,00000,1300,1300TIME SPENT 265806,B100000,00000,1400,1400TIME SPENT 265806,B100000,00000,1500,1350NO STATISTICS 265806,E10A180,00301,0100,05/10/00 265806,S000000,00100,0200,06/12/00 265806,S200000,00100,0100,2401 LACONIA AVENUE 265806,S200000,00200,0100,BRONX 265806,S200000,00200,0200,NY 265806,S200000,00200,0300,10469 265806,S200000,00300,0100,BRONX 265806,S200000,00300,0200,5600 265806,S200000,00300,0300,U 265806,S200000,00400,0100,PELHAM PARKWAY NURSING HOME 265806,S200000,00400,0200,335486 265806,S200000,00400,0300,04/01/76 265806,S200000,00400,0500,P 265806,S200000,01500,0100,Y 265806,S200000,01600,0100,N 265806,S200000,01700,0100,N 265806,S200000,01800,0100,N 265806,S200000,02200,0100,N 265806,S200000,02800,0100,N 265806,S200000,02900,0100,N 265806,S200000,03000,0100,N 265806,S200000,03100,0100,N 265806,S200000,03200,0100,N 265806,S200000,03300,0100,N 265806,S200000,03300,0200,N 265806,S200000,04100,0100,N 265806,S200000,04200,0100,N 265806,S200000,04300,0100,N 265806,S200000,04600,0100,N 265806,S200000,04700,0100,N 265806,S200000,04900,0100,N 265806,S200000,05200,0100,N 266738,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 266738,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 266738,A000000,00300,0000,0300EMPLOYEE BENEFITS 266738,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 266738,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 266738,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 266738,A000000,00700,0000,0700HOUSEKEEPING 266738,A000000,00800,0000,0800DIETARY 266738,A000000,00900,0000,0900NURSING ADMINISTRATION 266738,A000000,00901,0000,0901OTHER NURSING 266738,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 266738,A000000,01100,0000,1100PHARMACY 266738,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 266738,A000000,01300,0000,1300SOCIAL SERVICE 266738,A000000,01301,0000,1301ACTIVITIES 266738,A000000,01600,0000,1600SKILLED NURSING FACILITY 266738,A000000,01800,0000,1800NURSING FACILITY 266738,A000000,02100,0000,2100RADIOLOGY 266738,A000000,02200,0000,2200LABORATORY 266738,A000000,02300,0000,2300INTRAVENOUS THERAPY 266738,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 266738,A000000,02500,0000,2500PHYSICAL THERAPY 266738,A000000,02600,0000,2600OCCUPATIONAL THERAPY 266738,A000000,02700,0000,2700SPEECH PATHOLOGY 266738,A000000,02800,0000,2800ELECTROCARDIOLOGY 266738,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 266738,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 266738,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 266738,A000000,03301,0000,3051NUTRITIONAL THERAPY 266738,A000000,03302,0000,3052COMPLEX MEDICAL EQUIPMENT 266738,A000000,03303,0000,3053PROSTHETICS & ORTHOTICS 266738,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 266738,A000000,04800,0000,4800AMBULANCE 266738,A000000,05100,0000,4750OTHER REIMBURSABLE COST 266738,A000000,05300,0000,5300INTEREST EXPENSE 266738,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 266738,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 266738,A000000,05900,0000,5900BARBER & BEAUTY SHOP 266738,A000000,06200,0000,6200PATIENTS LAUNDRY 266738,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 266738,A000000,06301,0000,6151DAY CARE 266738,A000000,06302,0000,6152REVIEW AND ANALYZE ACCOUNTS 266738,A000000,06303,0000,6153DISTRICT OFFICE SPACE 266738,A81000A,00100,0100,Y 266738,A81000B,00100,0300,HOME OFFICE COSTS 266738,A81000B,00200,0300,LIABILITY INSURANCE 266738,A81000B,00300,0300,VC PHARMACY - CAP REL-BLDG 266738,A81000B,00400,0300,VC PHARMACY - CAP REL-EQUIPMT 266738,A81000B,00500,0300,VC PHARMACY - ADMIN 266738,A81000B,00600,0300,VC PHARMACY - MAINTENANCE 266738,A81000B,00700,0300,VC PHARMACY - LAUNDRY 266738,A81000B,00800,0300,VC PHARMACY - HOUSEKEEPING 266738,A81000B,00900,0300,VC PHARMACY - DIETARY 266738,A81000B,01000,0300,VC PHARMACY - NURSING ADMIN 266738,A81000B,01100,0300,VC PHARMACY - CENTRAL SUPP 266738,A81000B,01200,0300,VC PHARMACY - NONLEGEND 266738,A81000B,01300,0300,VC PHARMACY - MED RECORDS 266738,A81000B,01400,0300,VC PHARMACY - SOC SVCS 266738,A81000B,01500,0300,VC PHARMACY - ACTIVITY 266738,A81000B,01600,0300,VC PHARMACY - ROUTINE CERT 266738,A81000B,01700,0300,VC PHARMACY - ROUTINE NONCT 266738,A81000B,01800,0300,MOBILE RADIOLOGY - XRAY 266738,A81000B,01900,0300,VC PHARMACY - LAB 266738,A81000B,02000,0300,VC PHARMACY - IV THERAPY 266738,A81000B,02100,0300,VC HOSPITAL - INHALATION THER 266738,A81000B,02200,0300,PINECREST HOSPITAL 266738,A81000B,02300,0300,PINECREST HOSPITAL 266738,A81000B,02400,0300,PINECREST HOSPITAL 266738,A81000B,02500,0300,VC PHARMACY - MEDICAL SUPP 266738,A81000B,02600,0300,VC PHARMACY - LEGEND 266738,A81000B,02700,0300,VC PHARMACY - OTHER MEDICAL 266738,A81000B,02800,0300,VC PHARMACY - NUTR THER 266738,A81000B,02900,0300,VC PHARMACY - COMPLEX MEDICAL 266738,A81000C,00100,0100,B 266738,A81000C,00100,0200,TENET HEALTHCARE 266738,A81000C,00100,0400,TENET HEALTHCARE 266738,A81000C,00100,0600,HEALTHCARE 266738,A81000C,00200,0400,HOSP UNDERWRITER S GROUP 266738,A81000C,00200,0600,LIABILITY INSURANCE 266738,A81000C,00300,0400,PINECREST HOSPITAL 266738,A81000C,00300,0600,THERAPY 266738,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 266738,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 266738,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 266738,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 266738,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 266738,B100000,00000,0600,0650PATIENT DAYS :LAUNDRY & LINEN S 266738,B100000,00000,0700,0750SQUARE FEET :HOUSEKEEPING 266738,B100000,00000,0800,0850PATIENT DAYS :DIETARY 266738,B100000,00000,0900,0950NURSES SALARIES :NURSING ADMINI 266738,B100000,00000,0901,0901HOURS OF SERVICE :OTHER NURSING 266738,B100000,00000,1000,1050GROSS REVENUE :CENTRAL SERVICES 266738,B100000,00000,1100,1150GROSS REVENUE :PHARMACY 266738,B100000,00000,1200,1250GROSS REVENUE :MEDICAL RECORDS 266738,B100000,00000,1300,1330PATIENT DAYS :SOCIAL SERVICE 266738,B100000,00000,1301,1331PATIENT DAYS :ACTIVITIES 266738,E10A180,00350,0100,08/17/99 266738,S000000,00100,0200,12/11/00 266738,S200000,00100,0100,9945 CENTRAL PARK BOULEVARD 266738,S200000,00200,0100,BOCA RATON 266738,S200000,00200,0200,FL 266738,S200000,00200,0300,33428- 266738,S200000,00300,0100,PALM BEACH 266738,S200000,00300,0300,U 266738,S200000,00400,0100,#169 - MENORAH HOUSE 266738,S200000,00400,0200,105685 266738,S200000,00400,0300,01/31/90 266738,S200000,00400,0500,P 266738,S200000,01500,0100,N 266738,S200000,01600,0100,Y 266738,S200000,01700,0100,N 266738,S200000,01800,0100,N 266738,S200000,02200,0100,Y 266738,S200000,02800,0100,N 266738,S200000,02900,0100,N 266738,S200000,03000,0100,N 266738,S200000,03100,0100,N 266738,S200000,03200,0100,N 266738,S200000,03300,0100,N 266738,S200000,03300,0200,N 266738,S200000,04100,0100,N 266738,S200000,04200,0100,N 266738,S200000,04300,0100,N 266738,S200000,04600,0100,N 266738,S200000,04700,0100,N 266738,S200000,04700,0200,N 266738,S200000,04900,0100,N 266738,S200000,05000,0100,N 266738,S200000,05100,0100,N 266738,S200000,05200,0100,N 271293,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 271293,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 271293,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 271293,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 271293,A000000,00300,0000,0300EMPLOYEE BENEFITS 271293,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 271293,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 271293,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 271293,A000000,00700,0000,0700HOUSEKEEPING 271293,A000000,00800,0000,0800DIETARY 271293,A000000,00801,0000,0801CAFETERIA 271293,A000000,00900,0000,0900NURSING ADMINISTRATION 271293,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 271293,A000000,01100,0000,1100PHARMACY 271293,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 271293,A000000,01300,0000,1300SOCIAL SERVICE 271293,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 271293,A000000,01500,0000,1350ACTIVITIES 271293,A000000,01600,0000,1600SKILLED NURSING FACILITY 271293,A000000,01810,0000,1810ICF/MR 271293,A000000,02100,0000,2100RADIOLOGY 271293,A000000,02200,0000,2200LABORATORY 271293,A000000,02300,0000,2300INTRAVENOUS THERAPY 271293,A000000,02500,0000,2500PHYSICAL THERAPY 271293,A000000,02600,0000,2600OCCUPATIONAL THERAPY 271293,A000000,02700,0000,2700SPEECH PATHOLOGY 271293,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 271293,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 271293,A000000,03200,0000,3200SUPPORT SURFACES 271293,A000000,03300,0000,3050PHYSICIANS 271293,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 271293,A000000,03302,0000,3052OTHER ANCILLARY III 271293,A000000,03550,0000,3550FQHC 271293,A000000,03600,0000,3450OUTPATIENT P.T. 271293,A000000,03601,0000,3451OUTPATIENT O.T. 271293,A000000,03602,0000,3452OUTPATIENT S.T. 271293,A000000,04800,0000,4800AMBULANCE 271293,A000000,04801,0000,4801AMBULANCE 271293,A000000,04802,0000,4802AMBULANCE 271293,A000000,04803,0000,4803AMBULANCE 271293,A000000,05000,0000,5000CORF I 271293,A000000,05010,0000,5010CMHC I 271293,A000000,05020,0000,5020OPT I 271293,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 271293,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 271293,A000000,05100,0000,4750OTHER REIMBURSABLE COST 271293,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 271293,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 271293,A000000,05900,0000,5900BARBER & BEAUTY SHOP 271293,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 271293,A81000A,00100,0100,Y 271293,A81000B,00100,0300,DEPREC/INTEREST/INS 271293,A81000B,00300,0300,ADMIN/FISCAL SERV 271293,A81000B,00400,0300,UTILITIES/MAINT EXP 271293,A81000C,00100,0100,F 271293,A81000C,00100,0200,NEIL M. CHUR 271293,A81000C,00100,0400,THE PARK ASSOC. 271293,A81000C,00100,0600,ADMIN FIN QA 271293,A81000C,00200,0100,F 271293,A81000C,00200,0200,BARBARA B. CHUR 271293,A81000C,00200,0400,PARK COLLECTION 271293,A81000C,00200,0600,WHOLESALE PURCH 271293,A81000C,00300,0100,F 271293,A81000C,00300,0200,NEIL M. CHUR 271293,A81000C,00300,0400,HILL HAVEN 271293,A81000C,00300,0600,REAL PROPERTY 271293,B100000,00000,0100,0100(SQUARE FEET) 271293,B100000,00000,0101,0101(SQUARE FEET) 271293,B100000,00000,0200,0200(SQUARE FEET) 271293,B100000,00000,0201,0201(SQUARE FEET) 271293,B100000,00000,0300,0300(GROSS SALARIES) 271293,B100000,00000,0400,0400ACCUM COST 271293,B100000,00000,0500,0500(SQUARE FEET) 271293,B100000,00000,0600,0600(PATIENT DAYS) 271293,B100000,00000,0700,0700(HOURS OF SERVICE) 271293,B100000,00000,0800,0800(MEALS SERVED) 271293,B100000,00000,0801,0801(MEALS SERVED) 271293,B100000,00000,0900,0900(GROSS CHARGES) 271293,B100000,00000,1000,1000(COSTED REQUIS.) 271293,B100000,00000,1100,1100(COSTED REQUIS.) 271293,B100000,00000,1200,1200(TIME SPENT) 271293,B100000,00000,1300,1300(PATIENT DAYS) 271293,B100000,00000,1400,1400(ASSIGNED TIME) 271293,B100000,00000,1500,1350(PATIENT DAYS) 271293,E10A180,00301,0100,05/09/00 271293,E10A180,00350,0100,09/28/99 271293,E10A180,00501,0100,08/23/02 271293,E10A180,00501,0300,08/23/02 271293,S000000,00100,0200,06/05/00 271293,S200000,00100,0100,4001 EAST GENESEE STREET 271293,S200000,00200,0100,SYRACUSE 271293,S200000,00200,0200,NY 271293,S200000,00200,0300,13214 271293,S200000,00300,0100,ONONDAGA 271293,S200000,00300,0200,8160 271293,S200000,00300,0300,U 271293,S200000,00400,0100,HILL PARK HEALTH CARE CENTER 271293,S200000,00400,0200,335181 271293,S200000,00400,0300,08/01/97 271293,S200000,00400,0500,P 271293,S200000,01500,0100,Y 271293,S200000,01600,0100,N 271293,S200000,01700,0100,N 271293,S200000,01800,0100,N 271293,S200000,02200,0100,N 271293,S200000,02800,0100,Y 271293,S200000,02900,0100,N 271293,S200000,03000,0100,N 271293,S200000,03100,0100,N 271293,S200000,03200,0100,N 271293,S200000,03300,0100,N 271293,S200000,03300,0200,N 271293,S200000,04100,0100,N 271293,S200000,04200,0100,N 271293,S200000,04300,0100,Y 271293,S200000,04600,0100,N 271293,S200000,04700,0100,N 271293,S200000,04900,0100,N 271293,S200000,05200,0100,N 272810,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 272810,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. # 272810,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 272810,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. 272810,A000000,00300,0000,0300EMPLOYEE BENEFITS 272810,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 272810,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 272810,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 272810,A000000,00700,0000,0700HOUSEKEEPING 272810,A000000,00800,0000,0800DIETARY 272810,A000000,00801,0000,0801CAFETERIA 272810,A000000,00900,0000,0900NURSING ADMINISTRATION 272810,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 272810,A000000,01100,0000,1100PHARMACY 272810,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 272810,A000000,01300,0000,1300SOCIAL SERVICE 272810,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 272810,A000000,01500,0000,1350ACTIVITIES 272810,A000000,01600,0000,1600SKILLED NURSING FACILITY 272810,A000000,01810,0000,1810ICF/MR 272810,A000000,02100,0000,2100RADIOLOGY 272810,A000000,02200,0000,2200LABORATORY 272810,A000000,02300,0000,2300INTRAVENOUS THERAPY 272810,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 272810,A000000,02500,0000,2500PHYSICAL THERAPY 272810,A000000,02600,0000,2600OCCUPATIONAL THERAPY 272810,A000000,02700,0000,2700SPEECH PATHOLOGY 272810,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 272810,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 272810,A000000,03200,0000,3200SUPPORT SURFACES 272810,A000000,03300,0000,3050PHYSICIANS 272810,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 272810,A000000,03302,0000,3052OTHER ANCILLARY III 272810,A000000,03550,0000,3550FQHC 272810,A000000,03600,0000,3450OUTPATIENT P.T. 272810,A000000,03601,0000,3451OUTPATIENT O.T. 272810,A000000,03602,0000,3452OUTPATIENT S.T. 272810,A000000,05000,0000,5000CORF I 272810,A000000,05010,0000,5010CMHC I 272810,A000000,05020,0000,5020OPT I 272810,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 272810,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 272810,A000000,05100,0000,4750OTHER REIMBURSABLE COST 272810,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 272810,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 272810,A000000,05900,0000,5900BARBER & BEAUTY SHOP 272810,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 272810,A81000A,00100,0100,Y 272810,A81000B,00100,0300,DEPREC/INTEREST/INS 272810,A81000B,00300,0300,ADMIN/FISCAL SERV 272810,A81000B,00400,0300,UTILITIES/MAINT EXP 272810,A81000C,00100,0100,A 272810,A81000C,00100,0200,NEIL M. CHUR 272810,A81000C,00100,0400,THE PARK ASSOC. 272810,A81000C,00100,0600,ADMIN FIN QA 272810,A81000C,00200,0100,F 272810,A81000C,00200,0200,BARBARA B. CHUR 272810,A81000C,00200,0400,PARK COLLECTION 272810,A81000C,00200,0600,WHOLESALE PURCH 272810,A81000C,00300,0100,A 272810,A81000C,00300,0200,NEIL M. CHUR 272810,A81000C,00300,0400,WILLINK PROP 272810,A81000C,00300,0600,REAL PROPERTY 272810,A81000C,00400,0100,F 272810,A81000C,00400,0200,BARBARA B. CHUR 272810,A81000C,00400,0400,WILLINK PROP 272810,A81000C,00400,0600,REAL PROPERTY 272810,A81000C,00500,0100,F 272810,A81000C,00500,0200,ELISABETH TEHAN 272810,A81000C,00500,0400,WILLINK PROP 272810,A81000C,00500,0600,REAL PROPERTY 272810,A81000C,00600,0100,F 272810,A81000C,00600,0200,NEIL M. CHUR JR 272810,A81000C,00600,0400,WILLINK PROP 272810,A81000C,00600,0600,REAL PROPERTY 272810,B100000,00000,0100,0100(SQUARE FEET) 272810,B100000,00000,0101,0101(SQUARE FEET) 272810,B100000,00000,0200,0200(SQUARE FEET) 272810,B100000,00000,0201,0201(SQUARE FEET) 272810,B100000,00000,0300,0300(GROSS SALARIES) 272810,B100000,00000,0400,0400(ACCUM. COST) 272810,B100000,00000,0500,0500(SQUARE FEET) 272810,B100000,00000,0600,0600(PATIENT DAYS) 272810,B100000,00000,0700,0700(HOURS OF SERVICE) 272810,B100000,00000,0800,0800(MEALS SERVED) 272810,B100000,00000,0801,0801(MEALS SERVED) 272810,B100000,00000,0900,0900(GROSS CHARGES) 272810,B100000,00000,1000,1000(COSTED REQUIS.) 272810,B100000,00000,1100,1100(COSTED REQUIS.) 272810,B100000,00000,1200,1200(TIME SPENT) 272810,B100000,00000,1300,1300(PATIENT DAYS) 272810,B100000,00000,1400,1400(ASSIGNED TIME) 272810,B100000,00000,1500,1350(PATIENT DAYS) 272810,E10A180,00301,0100,05/10/00 272810,E10A180,00350,0100,01/18/00 272810,E10A180,00501,0300,08/22/02 272810,E10A180,00550,0100,08/22/02 272810,S000000,00100,0200,06/05/00 272810,S200000,00100,0100,292 MAIN STREET 272810,S200000,00200,0100,EAST AURORA 272810,S200000,00200,0200,NY 272810,S200000,00200,0300,14052 272810,S200000,00300,0100,ERIE 272810,S200000,00300,0200,1280 272810,S200000,00300,0300,U 272810,S200000,00400,0100,AURORA PARK HEALTH CARE CENTER 272810,S200000,00400,0200,335281 272810,S200000,00400,0300,03/13/69 272810,S200000,00400,0500,P 272810,S200000,01500,0100,Y 272810,S200000,01600,0100,N 272810,S200000,01700,0100,N 272810,S200000,01800,0100,N 272810,S200000,02200,0100,N 272810,S200000,02800,0100,N 272810,S200000,02900,0100,N 272810,S200000,03000,0100,N 272810,S200000,03100,0100,N 272810,S200000,03200,0100,N 272810,S200000,03300,0100,N 272810,S200000,03300,0200,N 272810,S200000,04100,0100,N 272810,S200000,04200,0100,N 272810,S200000,04300,0100,Y 272810,S200000,04600,0100,N 272810,S200000,04700,0100,N 272810,S200000,04900,0100,N 272810,S200000,05200,0100,N 273762,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 273762,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 273762,A000000,00300,0000,0300EMPLOYEE BENEFITS 273762,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 273762,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 273762,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 273762,A000000,00700,0000,0700HOUSEKEEPING 273762,A000000,00800,0000,0800DIETARY 273762,A000000,00900,0000,0900NURSING ADMINISTRATION 273762,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 273762,A000000,01100,0000,1100PHARMACY 273762,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 273762,A000000,01300,0000,1300SOCIAL SERVICE 273762,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 273762,A000000,01500,0000,1350ACTIVITIES 273762,A000000,01600,0000,1600SKILLED NURSING FACILITY 273762,A000000,01800,0000,1800NURSING FACILITY 273762,A000000,01810,0000,1810ICF/MR 273762,A000000,02100,0000,2100RADIOLOGY 273762,A000000,02200,0000,2200LABORATORY 273762,A000000,02300,0000,2300INTRAVENOUS THERAPY 273762,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 273762,A000000,02500,0000,2500PHYSICAL THERAPY 273762,A000000,02600,0000,2600OCCUPATIONAL THERAPY 273762,A000000,02700,0000,2700SPEECH PATHOLOGY 273762,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 273762,A000000,02901,0000,2901PEN THERAPY 273762,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 273762,A000000,03300,0000,3050OTHER ANCILLARY 273762,A000000,03301,0000,3051OTHER ANCILLARY 273762,A000000,03550,0000,3550FQHC 273762,A000000,05000,0000,5000CORF 273762,A000000,05010,0000,5010CMHC 273762,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 273762,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 273762,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 273762,A000000,05900,0000,5900BARBER & BEAUTY SHOP 273762,A81000A,00100,0100,Y 273762,A81000B,00100,0300,HOME OFFICE COSTS 273762,A81000B,00200,0300,REHAB ALLOCATION 273762,A81000B,00300,0300,REL PARTY INTEREST 273762,A81000B,00400,0300,REHAB ALLOCATION 273762,A81000B,00500,0300,REHAB ALLOCATION 273762,A81000B,00600,0300,HCE LEASING 273762,A81000B,00700,0300,HCE INTEREST 273762,A81000C,00100,0100,A 273762,A81000C,00100,0200,FORREST PRESTON 273762,A81000C,00100,0400,LCCA 273762,A81000C,00100,0600,NSG HOME MANAG 273762,A81000C,00200,0100,A 273762,A81000C,00200,0200,FORREST PRESTON 273762,A81000C,00200,0400,LCCA 273762,A81000C,00200,0600,NSG HOME MANAG 273762,A81000C,00300,0100,A 273762,A81000C,00300,0200,FORREST PRESTON 273762,A81000C,00300,0400,LCCA 273762,A81000C,00300,0600,NSG HOME MANAG 273762,A81000C,00400,0100,A 273762,A81000C,00400,0200,FORREST PRESTON 273762,A81000C,00400,0400,LCCA 273762,A81000C,00400,0600,NSG HOME MANAG 273762,A81000C,00500,0100,A 273762,A81000C,00500,0200,FORREST PRESTON 273762,A81000C,00500,0400,LCCA 273762,A81000C,00500,0600,NSG HOME MANAG 273762,A81000C,00600,0100,A 273762,A81000C,00600,0200,FORREST PRESTON 273762,A81000C,00600,0400,HCE LEASING 273762,A81000C,00600,0600,EQUIPMENT LEASI 273762,A81000C,00700,0100,A 273762,A81000C,00700,0200,FORREST PRESTON 273762,A81000C,00700,0400,HCE LEASING 273762,A81000C,00700,0600,EQUIPMENT LEASI 273762,B100000,00000,0100,0100(SQUARE FEET) 273762,B100000,00000,0200,0200(SQUARE FEET) 273762,B100000,00000,0300,0300(GROSS SALARIES) 273762,B100000,00000,0400,0400ACCUM COST 273762,B100000,00000,0500,0500(SQUARE FEET) 273762,B100000,00000,0600,0600PATIENT DAYS 273762,B100000,00000,0700,0700(SQUARE FEET) 273762,B100000,00000,0800,0800(MEALS SERVED) 273762,B100000,00000,0900,0900HOURS OF SERVICE 273762,B100000,00000,1000,1000(COSTED REQUIS) 273762,B100000,00000,1100,1100(COSTED REQUIS) 273762,B100000,00000,1200,1200GROSS REVENUES 273762,B100000,00000,1300,1300PATIENT DAYS 273762,B100000,00000,1400,1400(ASSIGNED TIME) 273762,B100000,00000,1500,1350PATIENTS DAYS 273762,E10A180,00501,0100,03/06/00 273762,E10A180,00550,0300,03/06/00 273762,E10A180,00551,0100,04/27/01 273762,E10A180,00551,0300,04/27/01 273762,S000000,00100,0200,02/29/00 273762,S200000,00100,0100,989 ORIENTA AVENUE 273762,S200000,00200,0100,ALTAMONTE SPRINGS 273762,S200000,00200,0200,FL 273762,S200000,00200,0300,32701 273762,S200000,00300,0100,SEMINOLE 273762,S200000,00300,0300,U 273762,S200000,00400,0100,LCC OF ALTAMONTE SPRINGS 273762,S200000,00400,0200,105365 273762,S200000,00400,0300,12/21/87 273762,S200000,00400,0500,P 273762,S200000,00600,0200,105365 273762,S200000,00600,0300,12/21/87 273762,S200000,00600,0600,O 273762,S200000,01500,0100,N 273762,S200000,01600,0100,Y 273762,S200000,01700,0100,N 273762,S200000,01800,0100,N 273762,S200000,02200,0100,Y 273762,S200000,02800,0100,N 273762,S200000,02900,0100,N 273762,S200000,03000,0100,N 273762,S200000,03100,0100,N 273762,S200000,03200,0100,N 273762,S200000,03300,0100,N 273762,S200000,03300,0200,N 273762,S200000,04100,0100,N 273762,S200000,04200,0100,N 273762,S200000,04300,0100,N 273762,S200000,04600,0100,N 273762,S200000,04700,0100,N 273762,S200000,04900,0100,N 273762,S200000,05200,0100,N 273763,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 273763,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 273763,A000000,00300,0000,0300EMPLOYEE BENEFITS 273763,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 273763,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 273763,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 273763,A000000,00700,0000,0700HOUSEKEEPING 273763,A000000,00800,0000,0800DIETARY 273763,A000000,00900,0000,0900NURSING ADMINISTRATION 273763,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 273763,A000000,01100,0000,1100PHARMACY 273763,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 273763,A000000,01300,0000,1300SOCIAL SERVICE 273763,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 273763,A000000,01500,0000,1350ACTIVITIES 273763,A000000,01600,0000,1600SKILLED NURSING FACILITY 273763,A000000,01800,0000,1800NURSING FACILITY 273763,A000000,01810,0000,1810ICF/MR 273763,A000000,01900,0000,1900OTHER LONG TERM CARE 273763,A000000,02100,0000,2100RADIOLOGY 273763,A000000,02200,0000,2200LABORATORY 273763,A000000,02300,0000,2300INTRAVENOUS THERAPY 273763,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 273763,A000000,02500,0000,2500PHYSICAL THERAPY 273763,A000000,02600,0000,2600OCCUPATIONAL THERAPY 273763,A000000,02700,0000,2700SPEECH PATHOLOGY 273763,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 273763,A000000,02901,0000,2901PEN THERAPY 273763,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 273763,A000000,03300,0000,3050OTHER ANCILLARY 273763,A000000,03301,0000,3051OTHER ANCILLARY 273763,A000000,03550,0000,3550FQHC 273763,A000000,05000,0000,5000CORF 273763,A000000,05010,0000,5010CMHC 273763,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 273763,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 273763,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 273763,A000000,05900,0000,5900BARBER & BEAUTY SHOP 273763,A81000A,00100,0100,Y 273763,A81000B,00100,0300,HOME OFFICE COSTS 273763,A81000B,00200,0300,REL PARTY INTEREST 273763,A81000B,00300,0300,REL PARTY INTEREST 273763,A81000B,00400,0300,REHAB ALLOCATION 273763,A81000B,00500,0300,REHAB ALLOCATION 273763,A81000B,00600,0300,REHAB ALLOCATION 273763,A81000B,00700,0300,INTERIOR DESIGN 273763,A81000B,00800,0300,BLDG DEPRECIATION 273763,A81000B,00900,0300,EQUIP DEPRECIATION 273763,A81000B,01000,0300,DEVELOPMENT COSTS 273763,A81000B,01100,0300,SUPPLIES 273763,A81000B,01200,0300,SUPPLIES 273763,A81000B,01300,0300,SUPPLIES 273763,A81000B,01400,0300,HCE LEASING 273763,A81000B,01500,0300,HCE LEASING 273763,A81000B,01600,0300,PLANNING & DEVELOPME 273763,A81000C,00100,0100,A 273763,A81000C,00100,0200,FORREST PRESTON 273763,A81000C,00100,0400,LCCA 273763,A81000C,00100,0600,NSG HOME MANAG 273763,A81000C,00200,0100,A 273763,A81000C,00200,0200,FORREST PRESTON 273763,A81000C,00200,0400,LCCA 273763,A81000C,00200,0600,NSG HOME MANAG 273763,A81000C,00300,0100,A 273763,A81000C,00300,0200,FORREST PRESTON 273763,A81000C,00300,0400,LCCA 273763,A81000C,00300,0600,NSG HOME MANAG 273763,A81000C,00400,0100,A 273763,A81000C,00400,0200,FORREST PRESTON 273763,A81000C,00400,0400,LCCA 273763,A81000C,00400,0600,NSG HOME MANAG 273763,A81000C,00500,0100,A 273763,A81000C,00500,0200,FORREST PRESTON 273763,A81000C,00500,0400,LCCA 273763,A81000C,00500,0600,NSG HOME MANAG 273763,A81000C,00600,0100,A 273763,A81000C,00600,0200,FORREST PRESTON 273763,A81000C,00600,0400,LCCA 273763,A81000C,00600,0600,NSG HOME MANAG 273763,A81000C,00700,0100,A 273763,A81000C,00700,0200,FORREST PRESTON 273763,A81000C,00700,0400,LIFE CARE DESIG 273763,A81000C,00700,0600,INTERIOR DESIGN 273763,A81000C,00800,0100,A 273763,A81000C,00800,0200,FORREST PRESTON 273763,A81000C,00800,0400,LIFE CARE CONST 273763,A81000C,00800,0600,CONSTRUCTION CO 273763,A81000C,00900,0100,A 273763,A81000C,00900,0200,FORREST PRESTON 273763,A81000C,00900,0400,LIFE CARE CONST 273763,A81000C,00900,0600,CONSTRUCTION CO 273763,A81000C,01000,0100,A 273763,A81000C,01000,0200,FORREST PRESTON 273763,A81000C,01000,0400,DEVELOPMENT ENT 273763,A81000C,01000,0600,DEVELOPMENT 273763,A81000C,01100,0100,A 273763,A81000C,01100,0200,FORREST PRESTON 273763,A81000C,01100,0400,MEDILIFE 273763,A81000C,01100,0600,PHARMACY 273763,A81000C,01200,0100,A 273763,A81000C,01200,0200,FORREST PRESTON 273763,A81000C,01200,0400,MEDILIFE 273763,A81000C,01200,0600,PHARMACY 273763,A81000C,01300,0100,A 273763,A81000C,01300,0200,FORREST PRESTON 273763,A81000C,01300,0400,MEDILIFE 273763,A81000C,01300,0600,PHARMACY 273763,A81000C,01400,0100,A 273763,A81000C,01400,0200,FORREST PRESTON 273763,A81000C,01400,0400,HCE LEASING 273763,A81000C,01400,0600,EQUIPMENT LEASI 273763,A81000C,01500,0100,A 273763,A81000C,01500,0200,FORREST PRESTON 273763,A81000C,01500,0400,HCE LEASING 273763,A81000C,01500,0600,EQUIPMENT LEASI 273763,B100000,00000,0100,0100(SQUARE FEET) 273763,B100000,00000,0200,0200(SQUARE FEET) 273763,B100000,00000,0300,0300(GROSS SALARIES) 273763,B100000,00000,0400,0400ACCUM COST 273763,B100000,00000,0500,0500(SQUARE FEET) 273763,B100000,00000,0600,0600PATIENT DAYS 273763,B100000,00000,0700,0700(SQUARE FEET) 273763,B100000,00000,0800,0800(MEALS SERVED) 273763,B100000,00000,0900,0900HOURS OF SERVICE 273763,B100000,00000,1000,1000(COSTED REQUIS) 273763,B100000,00000,1100,1100(COSTED REQUIS) 273763,B100000,00000,1200,1200GROSS REVENUES 273763,B100000,00000,1300,1300PATIENT DAYS 273763,B100000,00000,1400,1400(ASSIGNED TIME) 273763,B100000,00000,1500,1350PATIENT DAYS 273763,E10A180,00501,0100,05/30/01 273763,E10A180,00501,0300,05/30/01 273763,S000000,00100,0200,03/28/00 273763,S200000,00100,0100,3325 WEST JERWAYNE LANE 273763,S200000,00200,0100,LECANTO 273763,S200000,00200,0200,FL 273763,S200000,00200,0300,34461 273763,S200000,00300,0100,CITRUS 273763,S200000,00400,0100,LCC OF CITRUS COUNTY 273763,S200000,00400,0200,105870 273763,S200000,00400,0300,11/15/94 273763,S200000,00400,0500,P 273763,S200000,00600,0200,105870 273763,S200000,00600,0300,11/15/94 273763,S200000,00600,0600,O 273763,S200000,01500,0100,N 273763,S200000,01600,0100,Y 273763,S200000,01700,0100,N 273763,S200000,01800,0100,N 273763,S200000,01900,0100,NON PROFIT 501C 273763,S200000,02200,0100,Y 273763,S200000,02800,0100,N 273763,S200000,02900,0100,N 273763,S200000,03000,0100,N 273763,S200000,03100,0100,N 273763,S200000,03200,0100,N 273763,S200000,03300,0100,N 273763,S200000,03300,0200,N 273763,S200000,04100,0100,N 273763,S200000,04200,0100,N 273763,S200000,04300,0100,N 273763,S200000,04600,0100,N 273763,S200000,04700,0100,Y 273763,S200000,04900,0100,Y 273763,S200000,05200,0100,N 273764,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 273764,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 273764,A000000,00300,0000,0300EMPLOYEE BENEFITS 273764,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 273764,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 273764,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 273764,A000000,00700,0000,0700HOUSEKEEPING 273764,A000000,00800,0000,0800DIETARY 273764,A000000,00900,0000,0900NURSING ADMINISTRATION 273764,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 273764,A000000,01100,0000,1100PHARMACY 273764,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 273764,A000000,01300,0000,1300SOCIAL SERVICE 273764,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 273764,A000000,01500,0000,1350ACTIVITIES 273764,A000000,01600,0000,1600SKILLED NURSING FACILITY 273764,A000000,01800,0000,1800NURSING FACILITY 273764,A000000,01810,0000,1810ICF/MR 273764,A000000,02100,0000,2100RADIOLOGY 273764,A000000,02200,0000,2200LABORATORY 273764,A000000,02300,0000,2300INTRAVENOUS THERAPY 273764,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 273764,A000000,02500,0000,2500PHYSICAL THERAPY 273764,A000000,02600,0000,2600OCCUPATIONAL THERAPY 273764,A000000,02700,0000,2700SPEECH PATHOLOGY 273764,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 273764,A000000,02901,0000,2901PEN THERAPY 273764,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 273764,A000000,03300,0000,3050OTHER ANCILLARY-AMBUL. SERVICES 273764,A000000,03550,0000,3550FQHC 273764,A000000,05000,0000,5000CORF 273764,A000000,05010,0000,5010CMHC 273764,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 273764,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 273764,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 273764,A000000,05900,0000,5900BARBER & BEAUTY SHOP 273764,A81000A,00100,0100,Y 273764,A81000B,00100,0300,POOLED CAPITAL 273764,A81000B,00200,0300,A & G 273764,A81000B,00300,0300,METLIFE #1 INTEREST 273764,A81000B,00400,0300,METLIFE #2 3 273764,A81000B,00500,0300,LCCA INTEREST 273764,A81000B,00600,0300,INTEREST-PRTNSHIP 273764,A81000B,00700,0300,INTEREST-FLP 273764,A81000B,00800,0300,DEPREC BLDG-RELATED 273764,A81000B,00900,0300,CAP. INT-RELATED 273764,A81000B,01000,0300,DEPREC. EQUIP-RELATE 273764,A81000B,01100,0300,REHAB ALLOC 273764,A81000B,01200,0300,REHAB ALLOC 273764,A81000B,01300,0300,REHAB ALLOC 273764,A81000B,01400,0300,MEDILIFE 273764,A81000B,01500,0300,PROJECT 2000 INSTALL 273764,A81000C,00100,0100,A 273764,A81000C,00100,0200,FORREST PRESTON 273764,A81000C,00100,0400,LCCA 273764,A81000C,00100,0600,MGMT CO 273764,A81000C,00200,0100,A 273764,A81000C,00200,0200,FORREST PRESTON 273764,A81000C,00200,0400,LCCA 273764,A81000C,00200,0600,MGMT CO 273764,A81000C,00300,0100,A 273764,A81000C,00300,0200,FORREST PRESTON 273764,A81000C,00300,0400,LCCA 273764,A81000C,00300,0600,MGMT CO 273764,A81000C,00400,0100,A 273764,A81000C,00400,0200,FORREST PRESTON 273764,A81000C,00400,0400,LCCA 273764,A81000C,00400,0600,MGMT CO 273764,A81000C,00500,0100,A 273764,A81000C,00500,0200,FORREST PRESTON 273764,A81000C,00500,0400,LCCA 273764,A81000C,00500,0600,MGMT CO 273764,A81000C,00600,0100,A 273764,A81000C,00600,0200,FORREST PRESTON 273764,A81000C,00600,0400,LCCA 273764,A81000C,00600,0600,MGMT CO 273764,A81000C,00700,0100,A 273764,A81000C,00700,0200,FORREST PRESTON 273764,A81000C,00700,0400,LIFE CARE CONST 273764,A81000C,00700,0600,CONSTR CO-CARRY 273764,A81000C,00800,0100,A 273764,A81000C,00800,0200,FORREST PRESTON 273764,A81000C,00800,0400,LIFE CARE CONST 273764,A81000C,00800,0600,CONSTR CO-CARRY 273764,A81000C,00900,0100,A 273764,A81000C,00900,0200,FORREST PRESTON 273764,A81000C,00900,0400,LIFE CARE CONST 273764,A81000C,00900,0600,CONSTR CO-CARRY 273764,A81000C,01000,0100,A 273764,A81000C,01000,0200,FORREST PRESTON 273764,A81000C,01000,0400,LCCA 273764,A81000C,01000,0600,MGMT CO 273764,A81000C,01100,0100,A 273764,A81000C,01100,0200,FORREST PRESTON 273764,A81000C,01100,0400,LCCA 273764,A81000C,01100,0600,MGMT CO 273764,A81000C,01200,0100,A 273764,A81000C,01200,0200,FORREST PRESTON 273764,A81000C,01200,0400,LCCA 273764,A81000C,01200,0600,MGMT CO 273764,A81000C,01300,0100,A 273764,A81000C,01300,0200,FORREST PRESTON 273764,A81000C,01300,0400,MEDILIFE 273764,A81000C,01300,0600,PHARMACY 273764,A81000C,01400,0100,A 273764,A81000C,01400,0200,FORREST PRESTON 273764,A81000C,01400,0400,LCCA 273764,A81000C,01400,0600,MGMT CO 273764,B100000,00000,0100,0100(SQUARE FEET) 273764,B100000,00000,0200,0200(SQUARE FEET) 273764,B100000,00000,0300,0300(GROSS SALARIES) 273764,B100000,00000,0400,0400ACCUM COST 273764,B100000,00000,0500,0500(SQUARE FEET) 273764,B100000,00000,0600,0600PATIENT DAYS 273764,B100000,00000,0700,0700(SQUARE FEET) 273764,B100000,00000,0800,0800(MEALS SERVED) 273764,B100000,00000,0900,0900DIRECT HOURS 273764,B100000,00000,1000,1000(COSTED REQUIS) 273764,B100000,00000,1100,1100(COSTED REQUIS) 273764,B100000,00000,1200,1200GROSS REVENUES 273764,B100000,00000,1300,1300PATIENT DAYS 273764,B100000,00000,1400,1400(ASSIGNED TIME) 273764,B100000,00000,1500,1350PATIENT DAYS 273764,E10A180,00501,0100,04/24/01 273764,E10A180,00550,0300,04/24/01 273764,S000000,00100,0200,05/01/00 273764,S200000,00100,0100,2399 BOSTON ROAD 273764,S200000,00200,0100,WILBRAHAM 273764,S200000,00200,0200,MA 273764,S200000,00200,0300,01095 273764,S200000,00300,0100,HAMPDEN 273764,S200000,00300,0300,U 273764,S200000,00400,0100,LCC OF WILBRAHAM 273764,S200000,00400,0200,225543 273764,S200000,00400,0300,12/31/91 273764,S200000,00400,0500,P 273764,S200000,00400,0600,O 273764,S200000,01500,0100,N 273764,S200000,01600,0100,Y 273764,S200000,01700,0100,N 273764,S200000,01800,0100,N 273764,S200000,02200,0100,Y 273764,S200000,02800,0100,N 273764,S200000,02900,0100,N 273764,S200000,03000,0100,N 273764,S200000,03100,0100,N 273764,S200000,03200,0100,N 273764,S200000,03300,0100,N 273764,S200000,03300,0200,N 273764,S200000,04100,0100,N 273764,S200000,04200,0100,N 273764,S200000,04300,0100,Y 273764,S200000,04600,0100,N 273764,S200000,04700,0100,N 273764,S200000,04900,0100,N 273764,S200000,05200,0100,N 273768,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 273768,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 273768,A000000,00300,0000,0300EMPLOYEE BENEFITS 273768,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 273768,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 273768,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 273768,A000000,00700,0000,0700HOUSEKEEPING 273768,A000000,00800,0000,0800DIETARY 273768,A000000,00900,0000,0900NURSING ADMINISTRATION 273768,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 273768,A000000,01100,0000,1100PHARMACY 273768,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 273768,A000000,01300,0000,1300SOCIAL SERVICE 273768,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 273768,A000000,01500,0000,1350ACTIVITIES 273768,A000000,01600,0000,1600SKILLED NURSING FACILITY 273768,A000000,01800,0000,1800NURSING FACILITY 273768,A000000,01810,0000,1810ICF/MR 273768,A000000,02100,0000,2100RADIOLOGY 273768,A000000,02200,0000,2200LABORATORY 273768,A000000,02300,0000,2300INTRAVENOUS THERAPY 273768,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 273768,A000000,02500,0000,2500PHYSICAL THERAPY 273768,A000000,02600,0000,2600OCCUPATIONAL THERAPY 273768,A000000,02700,0000,2700SPEECH PATHOLOGY 273768,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 273768,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 273768,A000000,03300,0000,3050AMBULANCE SERVICES 273768,A000000,03550,0000,3550FQHC 273768,A000000,05000,0000,5000CORF 273768,A000000,05010,0000,5010CMHC 273768,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 273768,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 273768,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 273768,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 273768,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 273768,A000000,05900,0000,5900BARBER & BEAUTY SHOP 273768,A81000A,00100,0100,Y 273768,A81000B,00100,0300,HOME OFFICE COSTS 273768,A81000B,00200,0300,REL. PARTY INTEREST 273768,A81000B,00300,0300,PT ALLOCATION 273768,A81000B,00400,0300,OT ALLOCATION 273768,A81000B,00500,0300,ST ALLOCATION 273768,A81000B,00600,0300,EQUIPMENT LEASE 273768,A81000B,00700,0300,DRUGS 273768,A81000C,00100,0100,A 273768,A81000C,00100,0200,FORREST PRESTON 273768,A81000C,00100,0400,LIFE CARE CENTE 273768,A81000C,00100,0600,NURSING HOME MG 273768,A81000C,00200,0100,A 273768,A81000C,00200,0200,FORREST PRESTON 273768,A81000C,00200,0400,HCE LEASING 273768,A81000C,00200,0600,VEH/COMP LEASIN 273768,A81000C,00300,0100,A 273768,A81000C,00300,0200,FORREST PRESTON 273768,A81000C,00300,0400,MEDILIFE PHARMA 273768,A81000C,00300,0600,PHARMACY 273768,B100000,00000,0100,0100SQUARE FEET 273768,B100000,00000,0200,0200SQUARE FEET 273768,B100000,00000,0300,0300GROSS SALARIES 273768,B100000,00000,0400,0400ACCUM COST 273768,B100000,00000,0500,0500SQUARE FEET 273768,B100000,00000,0600,0600PATIENT DAYS 273768,B100000,00000,0700,0700SQUARE FEET 273768,B100000,00000,0800,0800MEALS SERVED 273768,B100000,00000,0900,0900DIRECT NRSG HRS 273768,B100000,00000,1000,1000COSTED REQUIS 273768,B100000,00000,1100,1100COSTED REQUIS 273768,B100000,00000,1200,1200GROSS REVENUE 273768,B100000,00000,1300,1300PATIENT DAYS 273768,B100000,00000,1400,1400ASSIGNED TIME 273768,B100000,00000,1500,1350PATIENT DAYS 273768,E10A180,00301,0100,08/17/99 273768,E10A180,00501,0100,04/17/00 273768,E10A180,00501,0300,04/17/00 273768,E10A180,00502,0300,07/25/01 273768,E10A180,00550,0100,07/25/01 273768,S000000,00100,0200,02/25/00 273768,S200000,00100,0100,44 GOETHALS DRIVE 273768,S200000,00200,0100,RICHLAND 273768,S200000,00200,0200,WA 273768,S200000,00200,0300,99352 273768,S200000,00300,0100,BENTON 273768,S200000,00300,0200,6740 273768,S200000,00400,0100,LIFE CARE CENTER OF RICHLAND 273768,S200000,00400,0200,505070 273768,S200000,00400,0300,10/01/79 273768,S200000,00400,0500,P 273768,S200000,00600,0200,505070 273768,S200000,00600,0300,10/01/79 273768,S200000,00600,0600,P 273768,S200000,01500,0100,N 273768,S200000,01600,0100,Y 273768,S200000,01700,0100,N 273768,S200000,01800,0100,N 273768,S200000,02200,0100,N 273768,S200000,02800,0100,N 273768,S200000,02900,0100,N 273768,S200000,03000,0100,N 273768,S200000,03100,0100,N 273768,S200000,03200,0100,N 273768,S200000,03300,0100,N 273768,S200000,03300,0200,N 273768,S200000,04100,0100,N 273768,S200000,04200,0100,N 273768,S200000,04300,0100,Y 273768,S200000,04600,0100,N 273768,S200000,04700,0100,Y 273768,S200000,04900,0100,Y 273768,S200000,05200,0100,N 274409,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274409,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274409,A000000,00300,0000,0300EMPLOYEE BENEFITS 274409,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274409,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274409,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274409,A000000,00700,0000,0700HOUSEKEEPING 274409,A000000,00800,0000,0800DIETARY 274409,A000000,00900,0000,0900NURSING ADMINISTRATION 274409,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274409,A000000,01100,0000,1100PHARMACY 274409,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274409,A000000,01300,0000,1300SOCIAL SERVICE 274409,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274409,A000000,01600,0000,1600SKILLED NURSING FACILITY 274409,A000000,01800,0000,1800NURSING FACILITY 274409,A000000,01810,0000,1810ICF/MR 274409,A000000,02100,0000,2100RADIOLOGY 274409,A000000,02200,0000,2200LABORATORY 274409,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274409,A000000,02500,0000,2500PHYSICAL THERAPY 274409,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274409,A000000,02700,0000,2700SPEECH PATHOLOGY 274409,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274409,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274409,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 274409,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 274409,A000000,03302,0000,3052MEDICAL EQUIPMENT 274409,A000000,03550,0000,3550FQHC 274409,A000000,04801,0000,4801AMBULANCE 274409,A000000,04802,0000,4802AMBULANCE 274409,A000000,04803,0000,4803AMBULANCE 274409,A000000,05000,0000,5000CORF 274409,A000000,05010,0000,5010CMHC 274409,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274409,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274409,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274409,A81000A,00100,0100,Y 274409,A81000B,00100,0300,HOME OFFICE A&G 274409,A81000B,00200,0300,HOME OFFICE CAPITAL 274409,A81000B,00300,0300,DIVISION OFFICE A&G 274409,A81000B,00500,0300,INSURANCE 274409,A81000C,00100,0100,B 274409,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 274409,A81000C,00200,0100,G 274409,A81000C,00200,0200,LAURIER INC. 274409,A81000C,00200,0400,EXTENDICARE INC. 274409,A81000C,00200,0600,INSURANCE 274409,A81000C,00300,0100,G 274409,A81000C,00300,0200,UNITED REHABILITATION SVS 274409,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 274409,A81000C,00300,0600,THERAPY SERVICE 274409,A81000C,00400,0100,G 274409,A81000C,00400,0200,UPC 274409,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 274409,A81000C,00400,0600,PHARMACY THERAPY 274409,B100000,00000,0100,0100SQUARE FEET 274409,B100000,00000,0200,0200SQUARE FEET 274409,B100000,00000,0300,0300GROSS SALARIES 274409,B100000,00000,0400,0400ACCUM COST 274409,B100000,00000,0500,0500SQUARE FEET 274409,B100000,00000,0600,0600PATIENT DAYS 274409,B100000,00000,0700,0700ALTERNATE SQUARE FEE 274409,B100000,00000,0800,0800PATIENT DAYS 274409,B100000,00000,0900,0900PATIENT DAYS 274409,B100000,00000,1000,1000COSTED REQUIS 274409,B100000,00000,1100,1100COSTED REQUIS 274409,B100000,00000,1200,1200GROSS REVENUE 274409,B100000,00000,1300,1300PATIENT DAYS 274409,B100000,00000,1400,1400ASSIGNED TIME 274409,E10A180,00301,0100,01/24/00 274409,E10A180,00301,0300,06/22/98 274409,E10A180,00302,0100,05/31/00 274409,E10A180,00302,0300,05/31/00 274409,E10A180,00350,0100,05/31/00 274409,E10A180,00350,0300,05/31/00 274409,E10A180,00501,0300,06/09/00 274409,E10A180,00550,0100,06/09/00 274409,E10A180,00550,0300,02/12/01 274409,E10A180,00551,0100,09/20/01 274409,E10A180,00551,0300,09/20/01 274409,S000000,00100,0200,06/19/00 274409,S200000,00100,0100,1267 SOUTH HILL ROAD 274409,S200000,00200,0100,ERIE 274409,S200000,00200,0200,PA 274409,S200000,00200,0300,16509 274409,S200000,00300,0100,ERIE 274409,S200000,00300,0200,2360 274409,S200000,00300,0300,U 274409,S200000,00400,0100,ABINGTON CREST 274409,S200000,00400,0200,395174 274409,S200000,00400,0300,09/01/81 274409,S200000,00400,0500,P 274409,S200000,01500,0100,N 274409,S200000,01600,0100,Y 274409,S200000,01700,0100,N 274409,S200000,01800,0100,N 274409,S200000,02200,0100,N 274409,S200000,02800,0100,N 274409,S200000,02900,0100,N 274409,S200000,03000,0100,N 274409,S200000,03100,0100,N 274409,S200000,03200,0100,N 274409,S200000,03300,0100,N 274409,S200000,03300,0200,N 274409,S200000,04100,0100,N 274409,S200000,04200,0100,N 274409,S200000,04300,0100,N 274409,S200000,04600,0100,N 274409,S200000,04700,0100,N 274409,S200000,04900,0100,N 274409,S200000,05200,0100,N 274410,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274410,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274410,A000000,00300,0000,0300EMPLOYEE BENEFITS 274410,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274410,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274410,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274410,A000000,00700,0000,0700HOUSEKEEPING 274410,A000000,00800,0000,0800DIETARY 274410,A000000,00900,0000,0900NURSING ADMINISTRATION 274410,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274410,A000000,01100,0000,1100PHARMACY 274410,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274410,A000000,01300,0000,1300SOCIAL SERVICE 274410,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274410,A000000,01600,0000,1600SKILLED NURSING FACILITY 274410,A000000,01800,0000,1800NURSING FACILITY 274410,A000000,01810,0000,1810ICF/MR 274410,A000000,02100,0000,2100RADIOLOGY 274410,A000000,02200,0000,2200LABORATORY 274410,A000000,02300,0000,2300INTRAVENOUS THERAPY 274410,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274410,A000000,02500,0000,2500PHYSICAL THERAPY 274410,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274410,A000000,02700,0000,2700SPEECH PATHOLOGY 274410,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274410,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274410,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 274410,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 274410,A000000,03302,0000,3052MEDICAL EQUIPMENT 274410,A000000,03550,0000,3550FQHC 274410,A000000,04801,0000,4801AMBULANCE 274410,A000000,04802,0000,4802AMBULANCE 274410,A000000,04803,0000,4803AMBULANCE 274410,A000000,05000,0000,5000CORF 274410,A000000,05010,0000,5010CMHC 274410,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274410,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274410,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274410,A81000A,00100,0100,Y 274410,A81000B,00100,0300,HOME OFFICE A&G 274410,A81000B,00200,0300,HOME OFFICE CAPITAL 274410,A81000B,00300,0300,DIVISION OFFICE A&G 274410,A81000B,00500,0300,INSURANCE 274410,A81000C,00100,0100,B 274410,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 274410,A81000C,00200,0100,G 274410,A81000C,00200,0200,LAURIER INC. 274410,A81000C,00200,0400,EXTENDICARE INC. 274410,A81000C,00200,0600,INSURANCE 274410,A81000C,00300,0100,G 274410,A81000C,00300,0200,UNITED REHABILITATION SVS 274410,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 274410,A81000C,00300,0600,THERAPY SERVICE 274410,A81000C,00400,0100,G 274410,A81000C,00400,0200,UPC 274410,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 274410,A81000C,00400,0600,PHARMACY THEREPY 274410,B100000,00000,0100,0100SQUARE FEET 274410,B100000,00000,0200,0200SQUARE FEET 274410,B100000,00000,0300,0300GROSS SALARIES 274410,B100000,00000,0400,0400ACCUM COST 274410,B100000,00000,0500,0500SQUARE FEET 274410,B100000,00000,0600,0600PATIENT DAYS 274410,B100000,00000,0700,0700ALTERNATE SQUARE FEE 274410,B100000,00000,0800,0800PATIENT DAYS 274410,B100000,00000,0900,0900PATIENT DAYS 274410,B100000,00000,1000,1000COSTED REQUIS 274410,B100000,00000,1100,1100COSTED REQUIS 274410,B100000,00000,1200,1200GROSS REVENUE 274410,B100000,00000,1300,1300PATIENT DAYS 274410,B100000,00000,1400,1400ASSIGNED TIME 274410,E10A180,00301,0100,01/24/00 274410,E10A180,00301,0300,06/22/98 274410,E10A180,00302,0100,05/31/00 274410,E10A180,00302,0300,05/31/00 274410,E10A180,00350,0100,05/31/00 274410,E10A180,00350,0300,05/31/00 274410,E10A180,00501,0100,02/12/01 274410,E10A180,00501,0300,02/12/01 274410,E10A180,00550,0100,09/24/01 274410,E10A180,00550,0300,09/24/01 274410,S000000,00100,0200,06/19/00 274410,S200000,00100,0100,100 LITTLE ROAD 274410,S200000,00200,0100,LOWER BURRELL 274410,S200000,00200,0200,PA 274410,S200000,00200,0300,15068 274410,S200000,00300,0100,WESTMORELAND 274410,S200000,00300,0200,6280 274410,S200000,00300,0300,U 274410,S200000,00400,0100,BELAIR HEALTH & REHABILITATION 274410,S200000,00400,0200,395208 274410,S200000,00400,0300,07/01/67 274410,S200000,00400,0500,P 274410,S200000,01500,0100,N 274410,S200000,01600,0100,Y 274410,S200000,01700,0100,N 274410,S200000,01800,0100,N 274410,S200000,02200,0100,N 274410,S200000,02800,0100,N 274410,S200000,02900,0100,N 274410,S200000,03000,0100,N 274410,S200000,03100,0100,N 274410,S200000,03200,0100,N 274410,S200000,03300,0100,N 274410,S200000,03300,0200,N 274410,S200000,04100,0100,N 274410,S200000,04200,0100,N 274410,S200000,04300,0100,N 274410,S200000,04600,0100,N 274410,S200000,04700,0100,N 274410,S200000,04900,0100,N 274410,S200000,05200,0100,N 274411,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274411,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274411,A000000,00300,0000,0300EMPLOYEE BENEFITS 274411,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274411,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274411,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274411,A000000,00700,0000,0700HOUSEKEEPING 274411,A000000,00800,0000,0800DIETARY 274411,A000000,00900,0000,0900NURSING ADMINISTRATION 274411,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274411,A000000,01100,0000,1100PHARMACY 274411,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274411,A000000,01300,0000,1300SOCIAL SERVICE 274411,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274411,A000000,01600,0000,1600SKILLED NURSING FACILITY 274411,A000000,01800,0000,1800NURSING FACILITY 274411,A000000,01810,0000,1810ICF/MR 274411,A000000,02100,0000,2100RADIOLOGY 274411,A000000,02200,0000,2200LABORATORY 274411,A000000,02300,0000,2300INTRAVENOUS THERAPY 274411,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274411,A000000,02500,0000,2500PHYSICAL THERAPY 274411,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274411,A000000,02700,0000,2700SPEECH PATHOLOGY 274411,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274411,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274411,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 274411,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 274411,A000000,03302,0000,3052MEDICAL EQUIPMENT 274411,A000000,03550,0000,3550FQHC 274411,A000000,04801,0000,4801AMBULANCE 274411,A000000,04802,0000,4802AMBULANCE 274411,A000000,04803,0000,4803AMBULANCE 274411,A000000,05000,0000,5000CORF 274411,A000000,05010,0000,5010CMHC 274411,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274411,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274411,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274411,A81000A,00100,0100,Y 274411,A81000B,00100,0300,HOME OFFICE A&G 274411,A81000B,00200,0300,HOME OFFICE CAPITAL 274411,A81000B,00300,0300,DIVISION OFFICE A&G 274411,A81000B,00500,0300,INSURANCE 274411,A81000C,00100,0100,B 274411,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 274411,A81000C,00200,0100,G 274411,A81000C,00200,0200,LAURIER INC. 274411,A81000C,00200,0400,EXTENDICARE INC. 274411,A81000C,00200,0600,INSURANCE 274411,A81000C,00300,0100,G 274411,A81000C,00300,0200,UNITED REHABILITATION SVS 274411,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 274411,A81000C,00300,0600,THERAPY SERVICE 274411,A81000C,00400,0100,G 274411,A81000C,00400,0200,UPC 274411,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 274411,A81000C,00400,0600,PHARMACY THERAPY 274411,B100000,00000,0100,0100SQUARE FEET 274411,B100000,00000,0200,0200SQUARE FEET 274411,B100000,00000,0300,0300GROSS SALARIES 274411,B100000,00000,0400,0400ACCUM COST 274411,B100000,00000,0500,0500SQUARE FEET 274411,B100000,00000,0600,0600PATIENT DAYS 274411,B100000,00000,0700,0700ALTERNATE SQUARE FEE 274411,B100000,00000,0800,0800PATIENT DAYS 274411,B100000,00000,0900,0900PATIENT DAYS 274411,B100000,00000,1000,1000COSTED REQUIS 274411,B100000,00000,1100,1100COSTED REQUIS 274411,B100000,00000,1200,1200GROSS REVENUE 274411,B100000,00000,1300,1300PATIENT DAYS 274411,B100000,00000,1400,1400ASSIGNED TIME 274411,E10A180,00301,0100,01/24/00 274411,E10A180,00301,0300,06/22/98 274411,E10A180,00302,0100,05/31/00 274411,E10A180,00302,0300,05/31/00 274411,E10A180,00350,0100,05/31/00 274411,E10A180,00350,0300,05/31/00 274411,E10A180,00501,0300,09/24/01 274411,E10A180,00550,0100,06/09/00 274411,E10A180,00550,0300,06/09/00 274411,E10A180,00551,0100,09/24/01 274411,E10A180,00551,0300,02/12/01 274411,S000000,00100,0200,06/19/00 274411,S200000,00100,0100,2571 GEORGETOWN ROAD 274411,S200000,00200,0100,BEAVER FALLS 274411,S200000,00200,0200,PA 274411,S200000,00200,0300,15010 274411,S200000,00300,0100,BEAVER 274411,S200000,00300,0200,6280 274411,S200000,00300,0300,U 274411,S200000,00400,0100,BEAVER VALLEY NURSING & REHAB CENTER 274411,S200000,00400,0200,395266 274411,S200000,00400,0300,08/01/78 274411,S200000,00400,0500,P 274411,S200000,01500,0100,N 274411,S200000,01600,0100,Y 274411,S200000,01700,0100,N 274411,S200000,01800,0100,N 274411,S200000,02200,0100,N 274411,S200000,02800,0100,N 274411,S200000,02900,0100,N 274411,S200000,03000,0100,N 274411,S200000,03100,0100,N 274411,S200000,03200,0100,N 274411,S200000,03300,0100,N 274411,S200000,03300,0200,N 274411,S200000,04100,0100,N 274411,S200000,04200,0100,N 274411,S200000,04300,0100,N 274411,S200000,04600,0100,N 274411,S200000,04700,0100,N 274411,S200000,04900,0100,N 274411,S200000,05200,0100,N 274412,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274412,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274412,A000000,00300,0000,0300EMPLOYEE BENEFITS 274412,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274412,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274412,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274412,A000000,00700,0000,0700HOUSEKEEPING 274412,A000000,00800,0000,0800DIETARY 274412,A000000,00900,0000,0900NURSING ADMINISTRATION 274412,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274412,A000000,01100,0000,1100PHARMACY 274412,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274412,A000000,01300,0000,1300SOCIAL SERVICE 274412,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274412,A000000,01600,0000,1600SKILLED NURSING FACILITY 274412,A000000,01800,0000,1800NURSING FACILITY 274412,A000000,01810,0000,1810ICF/MR 274412,A000000,02300,0000,2300INTRAVENOUS THERAPY 274412,A000000,02500,0000,2500PHYSICAL THERAPY 274412,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274412,A000000,02700,0000,2700SPEECH PATHOLOGY 274412,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274412,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274412,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 274412,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 274412,A000000,03302,0000,3052MEDICAL EQUIPMENT 274412,A000000,03550,0000,3550FQHC 274412,A000000,04801,0000,4801AMBULANCE 274412,A000000,04802,0000,4802AMBULANCE 274412,A000000,04803,0000,4803AMBULANCE 274412,A000000,05000,0000,5000CORF 274412,A000000,05010,0000,5010CMHC 274412,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274412,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274412,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274412,A81000A,00100,0100,Y 274412,A81000B,00100,0300,HOME OFFICE A&G 274412,A81000B,00200,0300,HOME OFFICE CAPITAL 274412,A81000B,00300,0300,DIVISION OFFICE A&G 274412,A81000B,00500,0300,INSURANCE 274412,A81000C,00100,0100,B 274412,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 274412,A81000C,00200,0100,G 274412,A81000C,00200,0200,LAURIER INC. 274412,A81000C,00200,0400,EXTENDICARE INC. 274412,A81000C,00200,0600,INSURANCE 274412,A81000C,00300,0100,G 274412,A81000C,00300,0200,UNITED REHABILITATION SVS 274412,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 274412,A81000C,00300,0600,THERAPY SERVICE 274412,A81000C,00400,0100,G 274412,A81000C,00400,0200,UPC 274412,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 274412,A81000C,00400,0600,PHARMACY THERAPY 274412,B100000,00000,0100,0100SQUARE FEET 274412,B100000,00000,0200,0200SQUARE FEET 274412,B100000,00000,0300,0300GROSS SALARIES 274412,B100000,00000,0400,0400ACCUM COST 274412,B100000,00000,0500,0500SQUARE FEET 274412,B100000,00000,0600,0600PATIENT DAYS 274412,B100000,00000,0700,0700ALTERNATE SQUARE FEE 274412,B100000,00000,0800,0800PATIENT DAYS 274412,B100000,00000,0900,0900PATIENT DAYS 274412,B100000,00000,1000,1000COSTED REQUIS 274412,B100000,00000,1100,1100COSTED REQUIS 274412,B100000,00000,1200,1200GROSS REVENUE 274412,B100000,00000,1300,1300PATIENT DAYS 274412,B100000,00000,1400,1400ASSIGNED TIME 274412,E10A180,00301,0100,01/24/00 274412,E10A180,00301,0300,06/22/98 274412,E10A180,00350,0100,06/22/98 274412,E10A180,00350,0300,06/22/98 274412,E10A180,00501,0100,02/12/01 274412,E10A180,00501,0300,02/12/01 274412,S000000,00100,0200,06/19/00 274412,S200000,00100,0100,1050 EAST MOUNTAIN VIEW 274412,S200000,00200,0100,ELLENSBURG 274412,S200000,00200,0200,WA 274412,S200000,00200,0300,98926 274412,S200000,00300,0100,KITTITAS 274412,S200000,00300,0200,9950 274412,S200000,00300,0300,R 274412,S200000,00400,0100,KITTITAS VALLEY 274412,S200000,00400,0200,505263 274412,S200000,00400,0300,07/01/87 274412,S200000,00400,0500,P 274412,S200000,01500,0100,N 274412,S200000,01600,0100,Y 274412,S200000,01700,0100,N 274412,S200000,01800,0100,N 274412,S200000,02200,0100,N 274412,S200000,02800,0100,N 274412,S200000,02900,0100,N 274412,S200000,03000,0100,N 274412,S200000,03100,0100,N 274412,S200000,03200,0100,N 274412,S200000,03300,0100,N 274412,S200000,03300,0200,N 274412,S200000,04100,0100,N 274412,S200000,04200,0100,N 274412,S200000,04300,0100,N 274412,S200000,04600,0100,N 274412,S200000,04700,0100,N 274412,S200000,04900,0100,N 274412,S200000,05200,0100,N 274724,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274724,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274724,A000000,00300,0000,0300EMPLOYEE BENEFITS 274724,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274724,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274724,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274724,A000000,00700,0000,0700HOUSEKEEPING 274724,A000000,00800,0000,0800DIETARY 274724,A000000,00900,0000,0900NURSING ADMINISTRATION 274724,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274724,A000000,01100,0000,1100PHARMACY 274724,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274724,A000000,01300,0000,1300SOCIAL SERVICE 274724,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274724,A000000,01500,0000,1350ACTIVITIES 274724,A000000,01600,0000,1600SKILLED NURSING FACILITY 274724,A000000,01800,0000,1800NURSING FACILITY 274724,A000000,01810,0000,1810ICF/MR 274724,A000000,02100,0000,2100RADIOLOGY 274724,A000000,02200,0000,2200LABORATORY 274724,A000000,02300,0000,2300INTRAVENOUS THERAPY 274724,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274724,A000000,02500,0000,2500PHYSICAL THERAPY 274724,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274724,A000000,02700,0000,2700SPEECH PATHOLOGY 274724,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274724,A000000,02901,0000,2901PEN THERAPY 274724,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274724,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 274724,A000000,03301,0000,3051OTHER ANCILLARY (SPECIFY) 274724,A000000,03550,0000,3550FQHC 274724,A000000,05000,0000,5000CORF 274724,A000000,05010,0000,5010CMHC 274724,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274724,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274724,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274724,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274724,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274724,A81000A,00100,0100,Y 274724,A81000B,00100,0300,MANAGEMENT FEES 274724,A81000B,00200,0300,MEDIA RESOURCE GROUP 274724,A81000B,00300,0300,PT ALLOCATION 274724,A81000B,00400,0300,OT ALLOCATION 274724,A81000B,00500,0300,ST ALLOCATION 274724,A81000B,00600,0300,RELATED INTEREST 274724,A81000B,00700,0300,RELATED RX LSPCI 274724,A81000B,00800,0300,RELATED RX LSPCI 274724,A81000B,00900,0300,RELATED MEDILIFE 274724,A81000B,01000,0300,RELATED MEDILIFE 274724,A81000B,01100,0300,RELATED MEDILIFE 274724,A81000C,00100,0100,A 274724,A81000C,00100,0200,FORREST PRESTON 274724,A81000C,00100,0400,LIFE CARE CENTE 274724,A81000C,00100,0600,NRSG HOME MGMT 274724,A81000C,00200,0100,A 274724,A81000C,00200,0200,FORREST PRESTON 274724,A81000C,00200,0400,LIFE CARE DESIG 274724,A81000C,00200,0600,INTERIOR DESIGN 274724,A81000C,00300,0100,A 274724,A81000C,00300,0200,FORREST PRESTON 274724,A81000C,00300,0400,LCPSI 274724,A81000C,00300,0600,PHARMACY 274724,A81000C,00400,0100,A 274724,A81000C,00400,0200,FORREST PRESTON 274724,A81000C,00400,0400,MEDILIFE 274724,A81000C,00400,0600,PHARMACY 274724,A81000C,00500,0100,A 274724,A81000C,00500,0200,FORREST PRESTON 274724,A81000C,00500,0400,MEDIA RESOURCE 274724,A81000C,00500,0600,MEDIA PRODUCTIO 274724,B100000,00000,0100,0100(SQUARE FEET) 274724,B100000,00000,0200,0200(SQUARE FEET) 274724,B100000,00000,0300,0300(GROSS SALARIES) 274724,B100000,00000,0400,0400ACCUM COST 274724,B100000,00000,0500,0500(SQUARE FEET) 274724,B100000,00000,0600,0600PATIENT DAYS 274724,B100000,00000,0700,0700(SQUARE FEET) 274724,B100000,00000,0800,0800(MEALS SERVED) 274724,B100000,00000,0900,0900NURSING HOURS 274724,B100000,00000,1000,1000(COSTED REQUIS) 274724,B100000,00000,1100,1100(COSTED REQUIS) 274724,B100000,00000,1200,1200GROSS REVENUES 274724,B100000,00000,1300,1300PATIENT DAYS 274724,B100000,00000,1400,1400ASSIGNED TIME 274724,B100000,00000,1500,1350PATIENT DAYS 274724,E10A180,00301,0100,08/16/99 274724,E10A180,00501,0300,04/25/01 274724,E10A180,00550,0100,04/25/01 274724,S000000,00100,0200,02/25/00 274724,S200000,00100,0100,3339 NORTH CIVIC CENTER BOULEVARD 274724,S200000,00200,0100,SCOTTSDALE 274724,S200000,00200,0200,AZ 274724,S200000,00200,0300,85251 274724,S200000,00300,0100,MARICOPA 274724,S200000,00400,0100,SCOTTSDALE HERITAGE COURT-MINI 274724,S200000,00400,0200,035083 274724,S200000,00400,0300,10/01/92 274724,S200000,00400,0500,P 274724,S200000,01500,0100,N 274724,S200000,01600,0100,Y 274724,S200000,01700,0100,N 274724,S200000,01800,0100,N 274724,S200000,02200,0100,Y 274724,S200000,02800,0100,N 274724,S200000,02900,0100,N 274724,S200000,03000,0100,N 274724,S200000,03100,0100,N 274724,S200000,03200,0100,N 274724,S200000,03300,0100,N 274724,S200000,03300,0200,N 274724,S200000,04100,0100,N 274724,S200000,04200,0100,N 274724,S200000,04300,0100,N 274724,S200000,04600,0100,N 274724,S200000,04700,0100,N 274724,S200000,04900,0100,N 274724,S200000,05200,0100,N 274726,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274726,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274726,A000000,00300,0000,0300EMPLOYEE BENEFITS 274726,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274726,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274726,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274726,A000000,00700,0000,0700HOUSEKEEPING 274726,A000000,00800,0000,0800DIETARY 274726,A000000,00900,0000,0900NURSING ADMINISTRATION 274726,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274726,A000000,01100,0000,1100PHARMACY 274726,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274726,A000000,01300,0000,1300SOCIAL SERVICE 274726,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274726,A000000,01500,0000,1350ACTIVITIES 274726,A000000,01600,0000,1600SKILLED NURSING FACILITY 274726,A000000,01800,0000,1800NURSING FACILITY 274726,A000000,01810,0000,1810ICF/MR 274726,A000000,02100,0000,2100RADIOLOGY 274726,A000000,02200,0000,2200LABORATORY 274726,A000000,02300,0000,2300INTRAVENOUS THERAPY 274726,A000000,02500,0000,2500PHYSICAL THERAPY 274726,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274726,A000000,02700,0000,2700SPEECH PATHOLOGY 274726,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274726,A000000,02901,0000,2901PEN THERAPY 274726,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274726,A000000,03550,0000,3550FQHC 274726,A000000,05000,0000,5000CORF 274726,A000000,05010,0000,5010CMHC 274726,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274726,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274726,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274726,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274726,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274726,A000000,06300,0000,6150ADULT DAY CARE 274726,A81000A,00100,0100,Y 274726,A81000B,00100,0300,HOME OFFICE COSTS 274726,A81000B,00200,0300,H.O. COSTS - CAPITAL 274726,A81000B,00300,0300,CONSTRUCTION COSTS 274726,A81000B,00400,0300,EQUIPMENT COSTS 274726,A81000B,00500,0300,INTERIOR DESIGN 274726,A81000B,00600,0300,REHAB SERVICES - PT 274726,A81000B,00700,0300,REHAB SERVICES - OT 274726,A81000B,00800,0300,REHAB SERVICES - ST 274726,A81000B,00900,0300,PHARMACY CONT. SRVS. 274726,A81000B,01000,0300,LEGEND DRUGS 274726,A81000B,01100,0300,ROUTINE SUPPLIES 274726,A81000B,01200,0300,IV THERAPY SUPPLIES 274726,A81000C,00100,0100,A 274726,A81000C,00100,0200,FORREST PRESTON 274726,A81000C,00100,0400,LIFE CARE CENTE 274726,A81000C,00100,0600,NRSG HOME MGMT 274726,A81000C,00200,0100,A 274726,A81000C,00200,0200,FORREST PRESTON 274726,A81000C,00200,0400,LIFE CARE CENTE 274726,A81000C,00200,0600,NRSG HOME MGMT 274726,A81000C,00300,0100,A 274726,A81000C,00300,0200,FORREST PRESTON 274726,A81000C,00300,0400,LC CONSTRUCTION 274726,A81000C,00300,0600,CONSTRUCTION CO 274726,A81000C,00400,0100,A 274726,A81000C,00400,0200,FORREST PRESTON 274726,A81000C,00400,0400,LIFE CARE DESIG 274726,A81000C,00400,0600,INTERIOR DESIGN 274726,A81000C,00500,0100,A 274726,A81000C,00500,0200,FORREST PRESTON 274726,A81000C,00500,0400,LIFE CARE DESIG 274726,A81000C,00500,0600,INTERIOR DESIGN 274726,A81000C,00600,0100,A 274726,A81000C,00600,0200,FORREST PRESTON 274726,A81000C,00600,0400,REHAB SUPPORT S 274726,A81000C,00600,0600,REHAB SERVICES 274726,A81000C,00700,0100,A 274726,A81000C,00700,0200,FORREST PRESTON 274726,A81000C,00700,0400,REHAB SUPPORT S 274726,A81000C,00700,0600,REHAB SERVICES 274726,A81000C,00800,0100,A 274726,A81000C,00800,0200,FORREST PRESTON 274726,A81000C,00800,0400,REHAB SUPPORT S 274726,A81000C,00800,0600,REHAB SERVICES 274726,A81000C,00900,0100,A 274726,A81000C,00900,0200,FORREST PRESTON 274726,A81000C,00900,0400,MEDILIFE PHARMA 274726,A81000C,00900,0600,PHARMACY COMPAN 274726,A81000C,01000,0100,A 274726,A81000C,01000,0200,FORREST PRESTON 274726,A81000C,01000,0400,MEDILIFE PHARMA 274726,A81000C,01000,0600,PHARMACY COMPAN 274726,A81000C,01100,0100,A 274726,A81000C,01100,0200,FORREST PRESTON 274726,A81000C,01100,0400,MEDILIFE PHARMA 274726,A81000C,01100,0600,PHARMACY COMPAN 274726,A81000C,01200,0100,A 274726,A81000C,01200,0200,FORREST PRESTON 274726,A81000C,01200,0400,MEDILIFE PHARMA 274726,A81000C,01200,0600,PHARMACY COMPAN 274726,B100000,00000,0100,0100(SQUARE FEET) 274726,B100000,00000,0200,0200(SQUARE FEET) 274726,B100000,00000,0300,0300(GROSS SALARIES) 274726,B100000,00000,0400,0400ACCUM COST 274726,B100000,00000,0500,0500(SQUARE FEET) 274726,B100000,00000,0600,0600PATIENT DAYS 274726,B100000,00000,0700,0700(SQUARE FEET) 274726,B100000,00000,0800,0800(MEALS SERVED) 274726,B100000,00000,0900,0900DIR NRSG HOURS 274726,B100000,00000,1000,1000(COSTED REQUIS) 274726,B100000,00000,1100,1100COSTED REQUIS 274726,B100000,00000,1200,1200GROSS REVENUES 274726,B100000,00000,1300,1300PATIENT DAYS 274726,B100000,00000,1400,1400ASSIGNED TIME 274726,B100000,00000,1500,1350PATIENT DAYS 274726,E10A180,00501,0100,07/25/01 274726,E10A180,00550,0300,07/25/01 274726,S000000,00100,0200,02/08/00 274726,S200000,00100,0100,1600 SOUTH POTOMAC STREET 274726,S200000,00200,0100,AURORA 274726,S200000,00200,0200,CO 274726,S200000,00200,0300,80012 274726,S200000,00300,0100,ARAPAHOE 274726,S200000,00300,0300,U 274726,S200000,00400,0100,GARDEN TERRACE COLORADO 274726,S200000,00400,0200,065266 274726,S200000,00400,0300,10/12/89 274726,S200000,00400,0500,P 274726,S200000,00600,0200,065266 274726,S200000,00600,0300,10/12/89 274726,S200000,00600,0600,O 274726,S200000,01500,0100,N 274726,S200000,01600,0100,Y 274726,S200000,01700,0100,N 274726,S200000,01800,0100,N 274726,S200000,02200,0100,Y 274726,S200000,02800,0100,Y 274726,S200000,02900,0100,N 274726,S200000,03000,0100,N 274726,S200000,03100,0100,N 274726,S200000,03200,0100,N 274726,S200000,03300,0100,N 274726,S200000,03300,0200,N 274726,S200000,04100,0100,N 274726,S200000,04200,0100,N 274726,S200000,04300,0100,N 274726,S200000,04600,0100,N 274726,S200000,04700,0100,N 274726,S200000,04900,0100,N 274726,S200000,05200,0100,N 274727,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274727,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274727,A000000,00300,0000,0300EMPLOYEE BENEFITS 274727,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274727,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274727,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274727,A000000,00700,0000,0700HOUSEKEEPING 274727,A000000,00800,0000,0800DIETARY 274727,A000000,00900,0000,0900NURSING ADMINISTRATION 274727,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274727,A000000,01100,0000,1100PHARMACY 274727,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274727,A000000,01300,0000,1300SOCIAL SERVICE 274727,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274727,A000000,01500,0000,1350ACTIVITIES 274727,A000000,01600,0000,1600SKILLED NURSING FACILITY 274727,A000000,01800,0000,1800NURSING FACILITY 274727,A000000,01810,0000,1810ICF/MR 274727,A000000,02100,0000,2100RADIOLOGY 274727,A000000,02200,0000,2200LABORATORY 274727,A000000,02300,0000,2300INTRAVENOUS THERAPY 274727,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274727,A000000,02500,0000,2500PHYSICAL THERAPY 274727,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274727,A000000,02700,0000,2700SPEECH PATHOLOGY 274727,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274727,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274727,A000000,03300,0000,3050OTHER ANCILLARY 274727,A000000,03550,0000,3550FQHC 274727,A000000,05000,0000,5000CORF 274727,A000000,05010,0000,5010CMHC 274727,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274727,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274727,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274727,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274727,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 274727,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274727,A000000,06300,0000,6150ICE CREAM PARLOR 274727,A81000A,00100,0100,Y 274727,A81000B,00100,0300,HOME OFFICE COSTS 274727,A81000B,00200,0300,H.O. COSTS - CAPITAL 274727,A81000B,00300,0300,METLIFE INTEREST 274727,A81000B,00400,0300,HCE INTEREST 274727,A81000B,00500,0300,METLIFE DEPREC. 274727,A81000B,00600,0300,HCE DEPRECIATION 274727,A81000B,00700,0300,LCC CONSTRUCTION 274727,A81000B,00800,0300,TOTAL DESIGNS 274727,A81000B,00900,0300,TOTAL DESIGNS 274727,A81000B,01000,0300,REHAB SERVICES 274727,A81000B,01100,0300,REHAB SERVICES 274727,A81000B,01200,0300,REHAB SERVICES 274727,A81000B,01300,0300,REHAB SERVICES 274727,A81000B,01400,0300,MEDILIFE - PHARMACY 274727,A81000B,01500,0300,MEDILIFE - CONTR SRV 274727,A81000B,01600,0300,MEDILIFE - ROUTINE 274727,A81000B,01700,0300,MEDILIFE - IV SUPP. 274727,A81000B,01800,0300,HOME OFFICE COSTS 274727,A81000C,00100,0100,A 274727,A81000C,00100,0200,FORREST PRESTON 274727,A81000C,00100,0400,LIFE CARE CENTE 274727,A81000C,00100,0600,NRSG HOME MGMT 274727,A81000C,00200,0100,A 274727,A81000C,00200,0200,FORREST PRESTON 274727,A81000C,00200,0400,LIFE CARE CENTE 274727,A81000C,00200,0600,NRSG HOME MGMT 274727,A81000C,00300,0100,A 274727,A81000C,00300,0200,FORREST PRESTON 274727,A81000C,00300,0400,METLIFE 274727,A81000C,00300,0600,FINANCING COMPA 274727,A81000C,00400,0100,A 274727,A81000C,00400,0200,FORREST PRESTON 274727,A81000C,00400,0400,HCE 274727,A81000C,00400,0600,LEASING COMPANY 274727,A81000C,00500,0100,A 274727,A81000C,00500,0200,FORREST PRESTON 274727,A81000C,00500,0400,METLIFE 274727,A81000C,00500,0600,FINANCING COMPA 274727,A81000C,00600,0100,A 274727,A81000C,00600,0200,FORREST PRESTON 274727,A81000C,00600,0400,HCE 274727,A81000C,00600,0600,LEASING COMPANY 274727,A81000C,00700,0100,A 274727,A81000C,00700,0200,FORREST PRESTON 274727,A81000C,00700,0400,LC CONSTRUCTION 274727,A81000C,00700,0600,CONSTRUCTION CO 274727,A81000C,00800,0100,A 274727,A81000C,00800,0200,FORREST PRESTON 274727,A81000C,00800,0400,TOTAL DESIGNS 274727,A81000C,00800,0600,INTERIOR DESIGN 274727,A81000C,00900,0100,A 274727,A81000C,00900,0200,FORREST PRESTON 274727,A81000C,00900,0400,TOTAL DESIGNS 274727,A81000C,00900,0600,INTERIOR DESIGN 274727,A81000C,01000,0100,A 274727,A81000C,01000,0200,FORREST PRESTON 274727,A81000C,01000,0400,REHAB SUPPORT S 274727,A81000C,01000,0600,REHAB SERVICES 274727,A81000C,01100,0100,A 274727,A81000C,01100,0200,FORREST PRESTON 274727,A81000C,01100,0400,REHAB SUPPORT S 274727,A81000C,01100,0600,REHAB SERVICES 274727,A81000C,01200,0100,A 274727,A81000C,01200,0200,FORREST PRESTON 274727,A81000C,01200,0400,REHAB SUPPORT S 274727,A81000C,01200,0600,REHAB SERVICES 274727,A81000C,01300,0100,A 274727,A81000C,01300,0200,FORREST PRESTON 274727,A81000C,01300,0400,REHAB SUPPORT S 274727,A81000C,01300,0600,REHAB SERVICES 274727,A81000C,01400,0100,A 274727,A81000C,01400,0200,FORREST PRESTON 274727,A81000C,01400,0400,MEDILIFE 274727,A81000C,01400,0600,PHARMACY 274727,A81000C,01500,0100,A 274727,A81000C,01500,0200,FORREST PRESTON 274727,A81000C,01500,0400,MEDILIFE 274727,A81000C,01500,0600,PHARMACY 274727,A81000C,01600,0100,A 274727,A81000C,01600,0200,FORREST PRESTON 274727,A81000C,01600,0400,MEDILIFE 274727,A81000C,01600,0600,PHARMACY 274727,A81000C,01700,0100,A 274727,A81000C,01700,0200,FORREST PRESTON 274727,A81000C,01700,0400,MEDILIFE 274727,A81000C,01700,0600,PHARAMCY 274727,B100000,00000,0100,0100(SQUARE FEET) 274727,B100000,00000,0200,0200(SQUARE FEET) 274727,B100000,00000,0300,0300(GROSS SALARIES) 274727,B100000,00000,0400,0400ACCUM COST 274727,B100000,00000,0500,0500(SQUARE FEET) 274727,B100000,00000,0600,0600PATIENT DAYS 274727,B100000,00000,0700,0700(SQUARE FEET) 274727,B100000,00000,0800,0800(MEALS SERVED) 274727,B100000,00000,0900,0900DIR NRSG HOURS 274727,B100000,00000,1000,1000(COSTED REQUIS) 274727,B100000,00000,1100,1100COSTED REQUIS 274727,B100000,00000,1200,1200GROSS REVENUES 274727,B100000,00000,1300,1300PATIENT DAYS 274727,B100000,00000,1400,1400ASSIGNED TIME 274727,B100000,00000,1500,1350PATIENT DAYS 274727,E10A180,00301,0100,08/17/99 274727,E10A180,00501,0100,01/17/01 274727,E10A180,00501,0300,01/17/01 274727,S000000,00100,0200,02/08/00 274727,S200000,00100,0100,2118 CHATALET LANE 274727,S200000,00200,0100,PUEBLO 274727,S200000,00200,0200,CO 274727,S200000,00200,0300,81005 274727,S200000,00300,0100,PUEBLO 274727,S200000,00300,0300,U 274727,S200000,00400,0100,LIFE CARE CENTER OF PUEBLO 274727,S200000,00400,0200,065269 274727,S200000,00400,0300,11/21/89 274727,S200000,00400,0500,P 274727,S200000,00600,0200,065269 274727,S200000,00600,0300,11/21/89 274727,S200000,00600,0600,O 274727,S200000,01500,0100,N 274727,S200000,01600,0100,Y 274727,S200000,01700,0100,N 274727,S200000,01800,0100,N 274727,S200000,02200,0100,Y 274727,S200000,02800,0100,N 274727,S200000,02900,0100,N 274727,S200000,03000,0100,N 274727,S200000,03100,0100,N 274727,S200000,03200,0100,N 274727,S200000,03300,0100,N 274727,S200000,03300,0200,N 274727,S200000,04100,0100,N 274727,S200000,04200,0100,N 274727,S200000,04300,0100,N 274727,S200000,04600,0100,N 274727,S200000,04700,0100,N 274727,S200000,04900,0100,N 274727,S200000,05200,0100,N 274736,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274736,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274736,A000000,00300,0000,0300EMPLOYEE BENEFITS 274736,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274736,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274736,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274736,A000000,00700,0000,0700HOUSEKEEPING 274736,A000000,00800,0000,0800DIETARY 274736,A000000,00900,0000,0900NURSING ADMINISTRATION 274736,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274736,A000000,01100,0000,1100PHARMACY 274736,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274736,A000000,01300,0000,1300SOCIAL SERVICE 274736,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274736,A000000,01500,0000,1350ACTIVITIES 274736,A000000,01600,0000,1600SKILLED NURSING FACILITY 274736,A000000,01800,0000,1800NURSING FACILITY 274736,A000000,01810,0000,1810ICF/MR 274736,A000000,02100,0000,2100RADIOLOGY 274736,A000000,02200,0000,2200LABORATORY 274736,A000000,02300,0000,2300INTRAVENOUS THERAPY 274736,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274736,A000000,02500,0000,2500PHYSICAL THERAPY 274736,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274736,A000000,02700,0000,2700SPEECH PATHOLOGY 274736,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274736,A000000,02901,0000,2901PEN THERAPY 274736,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274736,A000000,03300,0000,3050OTHER ANCILLARY 274736,A000000,03301,0000,3051AMBULANCE 274736,A000000,03550,0000,3550FQHC 274736,A000000,05000,0000,5000CORF 274736,A000000,05010,0000,5010CMHC 274736,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274736,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274736,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274736,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274736,A81000A,00100,0100,Y 274736,A81000B,00100,0300,HOME OFFICE COSTS 274736,A81000B,00200,0300,ALLOCATED COSTS - PT 274736,A81000B,00300,0300,ALLOCATED COSTS - OT 274736,A81000B,00400,0300,ALLOCATED COSTS - ST 274736,A81000B,00500,0300,ALLOCATED COSTS - RT 274736,A81000B,00600,0300,MEDILIFE 274736,A81000B,00700,0300,MEDILIFE 274736,A81000B,00800,0300,MEDILIFE 274736,A81000B,00900,0300,MEDILIFE 274736,A81000B,01000,0300,REL PARTY INTEREST 274736,A81000B,01100,0300,LIFE CARE DESIGNS 274736,A81000C,00100,0100,A 274736,A81000C,00100,0200,FORREST PRESTON 274736,A81000C,00100,0400,LIFE CARE CENTE 274736,A81000C,00100,0600,MANAGEMENT COMP 274736,A81000C,00200,0100,A 274736,A81000C,00200,0200,FORREST PRESTON 274736,A81000C,00200,0400,MEDILIFE 274736,A81000C,00200,0600,PHARMACY 274736,A81000C,00300,0100,A 274736,A81000C,00300,0200,FORREST PRESTON 274736,A81000C,00300,0400,LIFE CARE DESIG 274736,A81000C,00300,0600,INTERIOR DESIGN 274736,B100000,00000,0100,0100(SQUARE FEET) 274736,B100000,00000,0200,0200(SQUARE FEET) 274736,B100000,00000,0300,0300(GROSS SALARIES) 274736,B100000,00000,0400,0400ACCUM COST 274736,B100000,00000,0500,0500(SQUARE FEET) 274736,B100000,00000,0600,0600PATIENT DAYS 274736,B100000,00000,0700,0700(SQUARE FEET) 274736,B100000,00000,0800,0800(MEALS SERVED) 274736,B100000,00000,0900,0900DIRECT HRS SUPERVISED 274736,B100000,00000,1000,1000(COSTED REQUIS) 274736,B100000,00000,1100,1100(COSTED REQUIS) 274736,B100000,00000,1200,1200GROSS REVENUES 274736,B100000,00000,1300,1300PATIENT DAYS 274736,B100000,00000,1400,1400(ASSIGNED TIME) 274736,B100000,00000,1500,1350PATIENT DAYS 274736,E10A180,00301,0100,08/17/99 274736,E10A180,00501,0300,03/01/00 274736,E10A180,00502,0100,07/18/01 274736,E10A180,00502,0300,07/18/01 274736,E10A180,00550,0100,03/01/00 274736,S000000,00100,0200,02/25/00 274736,S200000,00100,0100,3231 NORTH 61ST STREET 274736,S200000,00200,0100,KANSAS CITY 274736,S200000,00200,0200,KS 274736,S200000,00200,0300,66104 274736,S200000,00300,0100,WYANDOTTE 274736,S200000,00400,0100,MANOR OF KANSAS CITY 274736,S200000,00400,0200,175281 274736,S200000,00400,0300,12/14/93 274736,S200000,00400,0500,P 274736,S200000,00400,0600,O 274736,S200000,00600,0200,175281 274736,S200000,00600,0300,12/14/93 274736,S200000,00600,0600,O 274736,S200000,01500,0100,N 274736,S200000,01600,0100,Y 274736,S200000,01700,0100,N 274736,S200000,01800,0100,N 274736,S200000,02200,0100,Y 274736,S200000,02800,0100,N 274736,S200000,02900,0100,N 274736,S200000,03000,0100,N 274736,S200000,03100,0100,N 274736,S200000,03200,0100,N 274736,S200000,03300,0100,N 274736,S200000,03300,0200,N 274736,S200000,04100,0100,N 274736,S200000,04200,0100,N 274736,S200000,04300,0100,Y 274736,S200000,04600,0100,N 274736,S200000,04700,0100,Y 274736,S200000,04900,0100,Y 274736,S200000,05200,0100,N 274745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274745,A000000,00300,0000,0300EMPLOYEE BENEFITS 274745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274745,A000000,00700,0000,0700HOUSEKEEPING 274745,A000000,00800,0000,0800DIETARY 274745,A000000,00900,0000,0900NURSING ADMINISTRATION 274745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274745,A000000,01100,0000,1100PHARMACY 274745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274745,A000000,01300,0000,1300SOCIAL SERVICE 274745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274745,A000000,01500,0000,1350ACTIVITIES 274745,A000000,01600,0000,1600SKILLED NURSING FACILITY 274745,A000000,01800,0000,1800NURSING FACILITY 274745,A000000,01810,0000,1810ICF/MR 274745,A000000,01900,0000,1900OTHER LONG TERM CARE 274745,A000000,02100,0000,2100RADIOLOGY 274745,A000000,02200,0000,2200LABORATORY 274745,A000000,02300,0000,2300INTRAVENOUS THERAPY 274745,A000000,02500,0000,2500PHYSICAL THERAPY 274745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274745,A000000,02700,0000,2700SPEECH PATHOLOGY 274745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274745,A000000,02901,0000,2901PEN THERAPY 274745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274745,A000000,03300,0000,3050OTHER ANCILL-AMBULANCE SERVICES 274745,A000000,03550,0000,3550FQHC 274745,A000000,05000,0000,5000CORF 274745,A000000,05010,0000,5010CMHC 274745,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274745,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274745,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274745,A81000A,00100,0100,Y 274745,A81000B,00100,0300,HO POOLED CAPITAL 274745,A81000B,00200,0300,HO POOLED OPERATING 274745,A81000B,00300,0300,INTEREST-LCCA 274745,A81000B,00400,0300,PROJECT 2000 INSTALL 274745,A81000B,00500,0300,LC DESIGN - F&F 274745,A81000B,00600,0300,LCCA-REHAB ALLOC 274745,A81000B,00700,0300,LCCA-REHAB ALLOC 274745,A81000B,00800,0300,LCCA-REHAB ALLOC 274745,A81000B,00900,0300,HOME OFFICE COSTS 274745,A81000C,00100,0100,A 274745,A81000C,00100,0200,FORREST PRESTON 274745,A81000C,00100,0400,LCCA 274745,A81000C,00100,0600,MGMT CO 274745,A81000C,00200,0100,A 274745,A81000C,00200,0200,FORREST PRESTON 274745,A81000C,00200,0400,LCCA 274745,A81000C,00200,0600,MGMT CO 274745,A81000C,00300,0100,A 274745,A81000C,00300,0200,FORREST PRESTON 274745,A81000C,00300,0400,LCCA 274745,A81000C,00300,0600,MGMT CO 274745,A81000C,00400,0100,A 274745,A81000C,00400,0200,FORREST PRSETON 274745,A81000C,00400,0400,LCCA 274745,A81000C,00400,0600,MGMT CO 274745,A81000C,00500,0100,A 274745,A81000C,00500,0200,FORREST PRESTON 274745,A81000C,00500,0400,LC DESIGNS 274745,A81000C,00500,0600,INTERIOR DESIGN 274745,A81000C,00600,0100,A 274745,A81000C,00600,0200,FORREST PRESTON 274745,A81000C,00600,0400,LCCA 274745,A81000C,00600,0600,MGMT CO-REHAB A 274745,A81000C,00700,0100,A 274745,A81000C,00700,0200,FORREST PRESTON 274745,A81000C,00700,0400,LCCA 274745,A81000C,00700,0600,MGMT CO-REHAB A 274745,B100000,00000,0100,0100(SQUARE FEET) 274745,B100000,00000,0200,0200(SQUARE FEET) 274745,B100000,00000,0300,0300(GROSS SALARIES) 274745,B100000,00000,0400,0400ACCUM COST 274745,B100000,00000,0500,0500(SQUARE FEET) 274745,B100000,00000,0600,0600PATIENT DAYS 274745,B100000,00000,0700,0700(SQUARE FEET) 274745,B100000,00000,0800,0800(MEALS SERVED) 274745,B100000,00000,0900,0900DIRECT HOURS 274745,B100000,00000,1000,1000(COSTED REQUIS) 274745,B100000,00000,1100,1100(COSTED REQUIS) 274745,B100000,00000,1200,1200GROSS REVENUES 274745,B100000,00000,1300,1300PATIENT DAYS 274745,B100000,00000,1400,1400(ASSIGNED TIME) 274745,B100000,00000,1500,1350PATIENT DAYS 274745,E10A180,00501,0100,05/25/01 274745,E10A180,00501,0300,04/04/00 274745,E10A180,00550,0100,04/04/00 274745,E10A180,00550,0300,05/25/01 274745,S000000,00100,0200,03/31/00 274745,S200000,00100,0100,2 CHERRY HILL MANOR 274745,S200000,00200,0100,JOHNSTON 274745,S200000,00200,0200,RI 274745,S200000,00200,0300,02919 274745,S200000,00300,0100,PROVIDENCE 274745,S200000,00300,0200,0004 274745,S200000,00400,0100,CHERRY HILL MANOR 274745,S200000,00400,0200,415053 274745,S200000,00400,0300,10/01/96 274745,S200000,00400,0500,P 274745,S200000,00400,0600,O 274745,S200000,01500,0100,N 274745,S200000,01600,0100,Y 274745,S200000,01700,0100,N 274745,S200000,01800,0100,N 274745,S200000,02200,0100,Y 274745,S200000,02800,0100,N 274745,S200000,02900,0100,N 274745,S200000,03000,0100,N 274745,S200000,03100,0100,N 274745,S200000,03200,0100,N 274745,S200000,03300,0100,N 274745,S200000,03300,0200,N 274745,S200000,04100,0100,N 274745,S200000,04200,0100,N 274745,S200000,04300,0100,Y 274745,S200000,04600,0100,N 274745,S200000,04700,0100,Y 274745,S200000,04900,0100,Y 274745,S200000,05200,0100,N 274751,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274751,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274751,A000000,00300,0000,0300EMPLOYEE BENEFITS 274751,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274751,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274751,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274751,A000000,00700,0000,0700HOUSEKEEPING 274751,A000000,00800,0000,0800DIETARY 274751,A000000,00900,0000,0900NURSING ADMINISTRATION 274751,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274751,A000000,01100,0000,1100PHARMACY 274751,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274751,A000000,01300,0000,1300SOCIAL SERVICE 274751,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274751,A000000,01500,0000,1350ACTIVITIES 274751,A000000,01600,0000,1600SKILLED NURSING FACILITY 274751,A000000,01800,0000,1800NURSING FACILITY 274751,A000000,01810,0000,1810ICF/MR 274751,A000000,02100,0000,2100RADIOLOGY 274751,A000000,02200,0000,2200LABORATORY 274751,A000000,02300,0000,2300INTRAVENOUS THERAPY 274751,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274751,A000000,02500,0000,2500PHYSICAL THERAPY 274751,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274751,A000000,02700,0000,2700SPEECH PATHOLOGY 274751,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274751,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274751,A000000,03300,0000,3050AMBULANCE SERVICES 274751,A000000,03550,0000,3550FQHC 274751,A000000,05000,0000,5000CORF 274751,A000000,05010,0000,5010CMHC 274751,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274751,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274751,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274751,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274751,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274751,A81000A,00100,0100,Y 274751,A81000B,00100,0300,HOME OFFICE COSTS 274751,A81000B,00200,0300,RELATED PARTY INT 274751,A81000B,00300,0300,PT ALLOCATION 274751,A81000B,00400,0300,OT ALLOCATION 274751,A81000B,00500,0300,ST ALLOCATION 274751,A81000B,00600,0300,ROUTINE MEDICAL SUPP 274751,A81000C,00100,0100,A 274751,A81000C,00100,0200,FORREST PRESTON 274751,A81000C,00100,0400,LIFE CARE CENTE 274751,A81000C,00100,0600,NURSING HOME MG 274751,A81000C,00200,0100,A 274751,A81000C,00200,0200,FORREST PRESTON 274751,A81000C,00200,0400,MEDILIFE PHARMA 274751,A81000C,00200,0600,PHARMACY 274751,B100000,00000,0100,0100SQUARE FEET 274751,B100000,00000,0200,0200SQUARE FEET 274751,B100000,00000,0300,0300GROSS SALARIES 274751,B100000,00000,0400,0400ACCUM COST 274751,B100000,00000,0500,0500SQUARE FEET 274751,B100000,00000,0600,0600PATIENT DAYS 274751,B100000,00000,0700,0700SQUARE FEET 274751,B100000,00000,0800,0800MEALS SERVED 274751,B100000,00000,0900,0900DIRECT NRSG HRS 274751,B100000,00000,1000,1000COSTED REQUIS 274751,B100000,00000,1100,1100COSTED REQUIS 274751,B100000,00000,1200,1200GROSS REVENUES 274751,B100000,00000,1300,1300PATIENT DAYS 274751,B100000,00000,1400,1400ASSIGNED TIME 274751,B100000,00000,1500,1350PATIENT DAYS 274751,E10A180,00301,0100,08/17/99 274751,E10A180,00501,0100,04/24/00 274751,E10A180,00501,0300,04/24/00 274751,E10A180,00502,0100,06/20/01 274751,E10A180,00502,0300,06/20/01 274751,S000000,00100,0200,02/29/00 274751,S200000,00100,0100,1508 WEST SEVENTH AVENUE 274751,S200000,00200,0100,KENNEWICK 274751,S200000,00200,0200,WA 274751,S200000,00200,0300,99336 274751,S200000,00300,0100,BENTON 274751,S200000,00400,0100,LIFE CARE CENTER OF KENNEWICK 274751,S200000,00400,0200,505080 274751,S200000,00400,0300,05/30/82 274751,S200000,00400,0500,P 274751,S200000,01500,0100,N 274751,S200000,01600,0100,Y 274751,S200000,01700,0100,N 274751,S200000,01800,0100,N 274751,S200000,02200,0100,N 274751,S200000,02800,0100,N 274751,S200000,02900,0100,N 274751,S200000,03000,0100,N 274751,S200000,03100,0100,N 274751,S200000,03200,0100,N 274751,S200000,03300,0100,N 274751,S200000,03300,0200,N 274751,S200000,04100,0100,N 274751,S200000,04200,0100,N 274751,S200000,04300,0100,Y 274751,S200000,04600,0100,N 274751,S200000,04700,0100,Y 274751,S200000,04900,0100,Y 274751,S200000,05200,0100,N 274752,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274752,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274752,A000000,00300,0000,0300EMPLOYEE BENEFITS 274752,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274752,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274752,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274752,A000000,00700,0000,0700HOUSEKEEPING 274752,A000000,00800,0000,0800DIETARY 274752,A000000,00900,0000,0900NURSING ADMINISTRATION 274752,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274752,A000000,01100,0000,1100PHARMACY 274752,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274752,A000000,01300,0000,1300SOCIAL SERVICE 274752,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274752,A000000,01500,0000,1350ACTIVITIES 274752,A000000,01600,0000,1600SKILLED NURSING FACILITY 274752,A000000,01800,0000,1800NURSING FACILITY 274752,A000000,01810,0000,1810ICF/MR 274752,A000000,02100,0000,2100RADIOLOGY 274752,A000000,02200,0000,2200LABORATORY 274752,A000000,02300,0000,2300INTRAVENOUS THERAPY 274752,A000000,02500,0000,2500PHYSICAL THERAPY 274752,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274752,A000000,02700,0000,2700SPEECH PATHOLOGY 274752,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274752,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274752,A000000,03550,0000,3550FQHC 274752,A000000,05000,0000,5000CORF 274752,A000000,05010,0000,5010CMHC 274752,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274752,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274752,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274752,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274752,A81000A,00100,0100,Y 274752,A81000B,00100,0300,HOME OFFICE COSTS 274752,A81000B,00200,0300,REL. PARTY INTEREST 274752,A81000B,00300,0300,PT ALLOCATION 274752,A81000B,00400,0300,OT ALLOCATION 274752,A81000B,00500,0300,ST ALLOCATION 274752,A81000B,00600,0300,HCE LEASING 274752,A81000C,00100,0100,A 274752,A81000C,00100,0200,FORREST PRESTON 274752,A81000C,00100,0400,LIFE CARE CENTE 274752,A81000C,00100,0600,NURSING HOME MG 274752,A81000C,00200,0100,A 274752,A81000C,00200,0200,FORREST PRESTON 274752,A81000C,00200,0400,HCE LEASING 274752,A81000C,00200,0600,VEHICLE/COMP LE 274752,B100000,00000,0100,0100SQUARE FEET 274752,B100000,00000,0200,0200SQUARE FEET 274752,B100000,00000,0300,0300GROSS SALARIES 274752,B100000,00000,0400,0400ACCUM COST 274752,B100000,00000,0500,0500SQUARE FEET 274752,B100000,00000,0600,0600PATIENT DAYS 274752,B100000,00000,0700,0700SQUARE FEET 274752,B100000,00000,0800,0800MEALS SERVED 274752,B100000,00000,0900,0900DIRECT NRSG HRS 274752,B100000,00000,1000,1000COSTED REQUIS 274752,B100000,00000,1100,1100COSTED REQUIS 274752,B100000,00000,1200,1200GROSS REVENUE 274752,B100000,00000,1300,1300PATIENT DAYS 274752,B100000,00000,1400,1400ASSIGNED TIME 274752,B100000,00000,1500,1350PATIENT DAYS 274752,E10A180,00501,0100,07/26/01 274752,E10A180,00501,0300,07/26/01 274752,S000000,00100,0200,02/21/00 274752,S200000,00100,0100,506 SOUTH JACKSON 274752,S200000,00200,0100,RITZVILLE 274752,S200000,00200,0200,WA 274752,S200000,00200,0300,99169 274752,S200000,00300,0100,ADAMS 274752,S200000,00400,0100,LIFE CARE CENTER OF RITZVILLE 274752,S200000,00400,0200,505282 274752,S200000,00400,0300,01/01/78 274752,S200000,00400,0500,P 274752,S200000,01500,0100,N 274752,S200000,01600,0100,Y 274752,S200000,01700,0100,N 274752,S200000,01800,0100,N 274752,S200000,02200,0100,N 274752,S200000,02800,0100,N 274752,S200000,02900,0100,N 274752,S200000,03000,0100,N 274752,S200000,03100,0100,N 274752,S200000,03200,0100,N 274752,S200000,03300,0100,N 274752,S200000,03300,0200,N 274752,S200000,04100,0100,N 274752,S200000,04200,0100,N 274752,S200000,04300,0100,Y 274752,S200000,04600,0100,N 274752,S200000,04700,0100,N 274752,S200000,04900,0100,N 274752,S200000,05200,0100,N 274753,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274753,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274753,A000000,00300,0000,0300EMPLOYEE BENEFITS 274753,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274753,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274753,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274753,A000000,00700,0000,0700HOUSEKEEPING 274753,A000000,00800,0000,0800DIETARY 274753,A000000,00900,0000,0900NURSING ADMINISTRATION 274753,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274753,A000000,01100,0000,1100PHARMACY 274753,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274753,A000000,01300,0000,1300SOCIAL SERVICE 274753,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274753,A000000,01500,0000,1350ACTIVITIES 274753,A000000,01600,0000,1600SKILLED NURSING FACILITY 274753,A000000,01800,0000,1800NURSING FACILITY 274753,A000000,01810,0000,1810ICF/MR 274753,A000000,02100,0000,2100RADIOLOGY 274753,A000000,02200,0000,2200LABORATORY 274753,A000000,02300,0000,2300INTRAVENOUS THERAPY 274753,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274753,A000000,02500,0000,2500PHYSICAL THERAPY 274753,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274753,A000000,02700,0000,2700SPEECH PATHOLOGY 274753,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274753,A000000,02901,0000,2901PEN THERAPY 274753,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274753,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 274753,A000000,03301,0000,3051AMBULANCE 274753,A000000,03550,0000,3550FQHC 274753,A000000,05000,0000,5000CORF 274753,A000000,05010,0000,5010CMHC 274753,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274753,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274753,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274753,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274753,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274753,A81000A,00100,0100,Y 274753,A81000B,00100,0300,MANAGEMENT FEES 274753,A81000B,00200,0300,MEDIA RESOURCE 274753,A81000B,00300,0300,PT ALLOCATION 274753,A81000B,00400,0300,OT ALLOCATION 274753,A81000B,00500,0300,ST ALLOCATION 274753,A81000B,00600,0300,RELATED PARTY INTER 274753,A81000B,00700,0300,MEDI LIFE 274753,A81000B,00800,0300,MEDI LIFE 274753,A81000B,00900,0300,MEDI LIFE 274753,A81000B,01000,0300,ESCONDIDO INTEREST 274753,A81000C,00100,0100,A 274753,A81000C,00100,0200,FORREST PRESTON 274753,A81000C,00100,0400,LIFE CARE CENTE 274753,A81000C,00100,0600,NRSG HOME MGMT 274753,A81000C,00200,0100,A 274753,A81000C,00200,0200,FORREST PRESTON 274753,A81000C,00200,0400,LIFE CARE DESIG 274753,A81000C,00200,0600,FURNITURE/FIXTU 274753,A81000C,00300,0100,A 274753,A81000C,00300,0200,FORREST PRESTON 274753,A81000C,00300,0400,MEDILIFE PHARMA 274753,A81000C,00300,0600,PHARMACY 274753,A81000C,00400,0100,A 274753,A81000C,00400,0200,FORREST PRESTON 274753,A81000C,00400,0400,MEDIA RESOURCE 274753,A81000C,00400,0600,MEDIA PRODUCTIO 274753,B100000,00000,0100,0100(SQUARE FEET) 274753,B100000,00000,0200,0200(SQUARE FEET) 274753,B100000,00000,0300,0300(GROSS SALARIES) 274753,B100000,00000,0400,0400ACCUM COST 274753,B100000,00000,0500,0500(SQUARE FEET) 274753,B100000,00000,0600,0600PATIENT DAYS 274753,B100000,00000,0700,0700(SQUARE FEET) 274753,B100000,00000,0800,0800(MEALS SERVED) 274753,B100000,00000,0900,0900DIRECT NRSG HOURS 274753,B100000,00000,1000,1000(COSTED REQUIS) 274753,B100000,00000,1100,1100(COSTED REQUIS) 274753,B100000,00000,1200,1200GROSS REVENUES 274753,B100000,00000,1300,1300PATIENT DAYS 274753,B100000,00000,1400,1400(ASSIGNED TIME) 274753,B100000,00000,1500,1350PATIENT DAYS 274753,E10A180,00301,0100,08/16/99 274753,E10A180,00501,0100,04/16/01 274753,E10A180,00501,0300,04/16/01 274753,S000000,00100,0200,02/28/00 274753,S200000,00100,0100,25652 OLD TRABUCO ROAD 274753,S200000,00200,0100,LAKE FOREST 274753,S200000,00200,0200,CA 274753,S200000,00200,0300,92630 274753,S200000,00300,0100,ORANGE 274753,S200000,00400,0100,LAKE FOREST NURSING CENTER 274753,S200000,00400,0200,555308 274753,S200000,00400,0300,06/28/88 274753,S200000,00400,0500,P 274753,S200000,01500,0100,N 274753,S200000,01600,0100,Y 274753,S200000,01700,0100,N 274753,S200000,01800,0100,N 274753,S200000,02200,0100,N 274753,S200000,02800,0100,N 274753,S200000,02900,0100,N 274753,S200000,03000,0100,N 274753,S200000,03100,0100,N 274753,S200000,03200,0100,N 274753,S200000,03300,0100,N 274753,S200000,03300,0200,N 274753,S200000,04100,0100,N 274753,S200000,04200,0100,N 274753,S200000,04300,0100,N 274753,S200000,04600,0100,N 274753,S200000,04700,0100,Y 274753,S200000,04900,0100,Y 274753,S200000,05200,0100,N 274754,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 274754,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 274754,A000000,00300,0000,0300EMPLOYEE BENEFITS 274754,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 274754,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 274754,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 274754,A000000,00700,0000,0700HOUSEKEEPING 274754,A000000,00800,0000,0800DIETARY 274754,A000000,00900,0000,0900NURSING ADMINISTRATION 274754,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 274754,A000000,01100,0000,1100PHARMACY 274754,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 274754,A000000,01300,0000,1300SOCIAL SERVICE 274754,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 274754,A000000,01500,0000,1350ACTIVITIES 274754,A000000,01600,0000,1600SKILLED NURSING FACILITY 274754,A000000,01800,0000,1800NURSING FACILITY 274754,A000000,01810,0000,1810ICF/MR 274754,A000000,02100,0000,2100RADIOLOGY 274754,A000000,02200,0000,2200LABORATORY 274754,A000000,02300,0000,2300INTRAVENOUS THERAPY 274754,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 274754,A000000,02500,0000,2500PHYSICAL THERAPY 274754,A000000,02600,0000,2600OCCUPATIONAL THERAPY 274754,A000000,02700,0000,2700SPEECH PATHOLOGY 274754,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 274754,A000000,02901,0000,2901PEN THERAPY 274754,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 274754,A000000,03301,0000,3051OTHER ANCILLARY (SPECIFY) 274754,A000000,03550,0000,3550FQHC 274754,A000000,05000,0000,5000CORF 274754,A000000,05010,0000,5010CMHC 274754,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 274754,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 274754,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 274754,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 274754,A000000,05900,0000,5900BARBER & BEAUTY SHOP 274754,A81000A,00100,0100,Y 274754,A81000B,00100,0300,MANAGEMENT FEES 274754,A81000B,00200,0300,RELATED PARTY INT 274754,A81000B,00300,0300,INTERIOR DESIGN 274754,A81000B,00400,0300,MEDIA RESOURCES 274754,A81000B,00500,0300,PT ALLOCATION 274754,A81000B,00600,0300,OT ALLOCATION 274754,A81000B,00700,0300,ST ALLOCATION 274754,A81000B,00800,0300,MEDILIFE PHARMACY 274754,A81000B,00900,0300,MEDILIFE PHARMACY 274754,A81000B,01000,0300,MEDILIFE PHARMACY 274754,A81000C,00100,0100,A 274754,A81000C,00100,0200,FORREST PRESTON 274754,A81000C,00100,0400,LIFE CARE CNTRS 274754,A81000C,00100,0600,NRSG HOME MGMT 274754,A81000C,00200,0100,A 274754,A81000C,00200,0200,FORREST PRESTON 274754,A81000C,00200,0400,LIFE CARE DESIG 274754,A81000C,00200,0600,INTERIOR DESIGN 274754,A81000C,00300,0100,A 274754,A81000C,00300,0200,FORREST PRESTON 274754,A81000C,00300,0400,MEDILIFE 274754,A81000C,00300,0600,PHARMACY 274754,A81000C,00400,0100,A 274754,A81000C,00400,0200,FORREST PRESTON 274754,A81000C,00400,0400,MEDIA RESOURCE 274754,A81000C,00400,0600,MEDIA PRESENTAT 274754,B100000,00000,0100,0100(SQUARE FEET) 274754,B100000,00000,0200,0200(SQUARE FEET) 274754,B100000,00000,0300,0300(GROSS SALARIES) 274754,B100000,00000,0400,0400ACCUM COST 274754,B100000,00000,0500,0500(SQUARE FEET) 274754,B100000,00000,0600,0600PATIENT DAYS 274754,B100000,00000,0700,0700(SQUARE FEET) 274754,B100000,00000,0800,0800(MEALS SERVED) 274754,B100000,00000,0900,0900NURSING HOURS 274754,B100000,00000,1000,1000(COSTED REQUIS) 274754,B100000,00000,1100,1100(COSTED REQUIS) 274754,B100000,00000,1200,1200GROSS REVENUES 274754,B100000,00000,1300,1300PATIENT DAYS 274754,B100000,00000,1400,1400(ASSIGNED TIME) 274754,B100000,00000,1500,1350PATIENT DAYS 274754,E10A180,00501,0100,09/25/01 274754,E10A180,00501,0300,09/25/01 274754,S000000,00100,0200,02/28/00 274754,S200000,00100,0100,1980 FELICITA ROAD 274754,S200000,00200,0100,ESCONDIDO 274754,S200000,00200,0200,CA 274754,S200000,00200,0300,92025 274754,S200000,00300,0100,SAN DIEGO 274754,S200000,00400,0100,LIFE CARE CENTER OF ESCONDIDO 274754,S200000,00400,0200,555427 274754,S200000,00400,0300,01/15/86 274754,S200000,00400,0500,P 274754,S200000,01500,0100,N 274754,S200000,01600,0100,Y 274754,S200000,01700,0100,N 274754,S200000,01800,0100,N 274754,S200000,01900,0100,NON PROFIT 501C 274754,S200000,02200,0100,Y 274754,S200000,02800,0100,N 274754,S200000,02900,0100,N 274754,S200000,03000,0100,N 274754,S200000,03100,0100,N 274754,S200000,03200,0100,N 274754,S200000,03300,0100,N 274754,S200000,03300,0200,N 274754,S200000,04100,0100,N 274754,S200000,04200,0100,N 274754,S200000,04300,0100,N 274754,S200000,04600,0100,N 274754,S200000,04700,0100,N 274754,S200000,04900,0100,N 274754,S200000,05200,0100,N 276588,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276588,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276588,A000000,00300,0000,0300EMPLOYEE BENEFITS 276588,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276588,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276588,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276588,A000000,00700,0000,0700HOUSEKEEPING 276588,A000000,00800,0000,0800DIETARY 276588,A000000,00900,0000,0900NURSING ADMINISTRATION 276588,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276588,A000000,01100,0000,1100PHARMACY 276588,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276588,A000000,01300,0000,1300SOCIAL SERVICE 276588,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276588,A000000,01600,0000,1600SKILLED NURSING FACILITY 276588,A000000,01800,0000,1800NURSING FACILITY 276588,A000000,01810,0000,1810ICF/MR 276588,A000000,02100,0000,2100RADIOLOGY 276588,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276588,A000000,02500,0000,2500PHYSICAL THERAPY 276588,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276588,A000000,02700,0000,2700SPEECH PATHOLOGY 276588,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276588,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276588,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276588,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276588,A000000,03302,0000,3052MEDICAL EQUIPMENT 276588,A000000,03550,0000,3550FQHC 276588,A000000,04801,0000,4801AMBULANCE 276588,A000000,04802,0000,4802AMBULANCE 276588,A000000,04803,0000,4803AMBULANCE 276588,A000000,05000,0000,5000CORF 276588,A000000,05010,0000,5010CMHC 276588,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276588,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276588,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276588,A81000A,00100,0100,Y 276588,A81000B,00100,0300,HOME OFFICE A&G 276588,A81000B,00200,0300,HOME OFFICE CAPITAL 276588,A81000B,00300,0300,DIVISION OFFICE A&G 276588,A81000B,00500,0300,INSURANCE 276588,A81000C,00100,0100,B 276588,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276588,A81000C,00200,0100,G 276588,A81000C,00200,0200,LAURIER INC. 276588,A81000C,00200,0400,EXTENDICARE INC. 276588,A81000C,00200,0600,INSURANCE 276588,A81000C,00300,0100,G 276588,A81000C,00300,0200,UNITED REHABILITATION SVS 276588,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276588,A81000C,00300,0600,THERAPY SERVICE 276588,A81000C,00400,0100,G 276588,A81000C,00400,0200,UPC 276588,A81000C,00400,0400,EXTENDICARE HEALTH SERV 276588,A81000C,00400,0600,PHARMACY THERAPY 276588,A81000C,03100,0000,COMMON CONTROL 276588,B100000,00000,0100,0100SQUARE FEET 276588,B100000,00000,0200,0200SQUARE FEET 276588,B100000,00000,0300,0300GROSS SALARIES 276588,B100000,00000,0400,0400ACCUM COST 276588,B100000,00000,0500,0500SQUARE FEET 276588,B100000,00000,0600,0600PATIENT DAYS 276588,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276588,B100000,00000,0800,0800PATIENT DAYS 276588,B100000,00000,0900,0900PATIENT DAYS 276588,B100000,00000,1000,1000COSTED REQUIS 276588,B100000,00000,1100,1100COSTED REQUIS 276588,B100000,00000,1200,1200GROSS REVENUE 276588,B100000,00000,1300,1300PATIENT DAYS 276588,B100000,00000,1400,1400ASSIGNED TIME 276588,E10A180,00301,0100,01/24/00 276588,E10A180,00501,0100,02/12/01 276588,E10A180,00501,0300,02/12/01 276588,E10A180,00502,0300,10/03/01 276588,E10A180,00550,0100,10/03/01 276588,S000000,00100,0200,06/20/00 276588,S200000,00100,0100,3250 S.W. 41ST PLACE 276588,S200000,00200,0100,GAINESVILLE 276588,S200000,00200,0200,FL 276588,S200000,00200,0300,32608 276588,S200000,00300,0100,ALACHUA 276588,S200000,00300,0200,2900 276588,S200000,00300,0300,U 276588,S200000,00400,0100,THE OAKS RESIDENTIAL & REHAB. CENTER 276588,S200000,00400,0200,105193 276588,S200000,00400,0300,01/13/84 276588,S200000,00400,0500,P 276588,S200000,01500,0100,N 276588,S200000,01600,0100,Y 276588,S200000,01700,0100,N 276588,S200000,01800,0100,N 276588,S200000,01900,0100,PRIVATE 276588,S200000,02200,0100,N 276588,S200000,02800,0100,N 276588,S200000,02900,0100,N 276588,S200000,03000,0100,N 276588,S200000,03100,0100,N 276588,S200000,03200,0100,N 276588,S200000,03300,0100,N 276588,S200000,03300,0200,N 276588,S200000,04100,0100,N 276588,S200000,04200,0100,N 276588,S200000,04300,0100,N 276588,S200000,04600,0100,N 276588,S200000,04700,0100,N 276588,S200000,04700,0200,N 276588,S200000,04900,0100,N 276588,S200000,05200,0100,N 276589,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276589,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276589,A000000,00300,0000,0300EMPLOYEE BENEFITS 276589,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276589,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276589,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276589,A000000,00700,0000,0700HOUSEKEEPING 276589,A000000,00800,0000,0800DIETARY 276589,A000000,00900,0000,0900NURSING ADMINISTRATION 276589,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276589,A000000,01100,0000,1100PHARMACY 276589,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276589,A000000,01300,0000,1300SOCIAL SERVICE 276589,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276589,A000000,01600,0000,1600SKILLED NURSING FACILITY 276589,A000000,01800,0000,1800NURSING FACILITY 276589,A000000,01810,0000,1810ICF/MR 276589,A000000,02100,0000,2100RADIOLOGY 276589,A000000,02200,0000,2200LABORATORY 276589,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276589,A000000,02500,0000,2500PHYSICAL THERAPY 276589,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276589,A000000,02700,0000,2700SPEECH PATHOLOGY 276589,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276589,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276589,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276589,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276589,A000000,03302,0000,3052MEDICAL EQUIPMENT 276589,A000000,03550,0000,3550FQHC 276589,A000000,04801,0000,4801AMBULANCE 276589,A000000,04802,0000,4802AMBULANCE 276589,A000000,04803,0000,4803AMBULANCE 276589,A000000,05000,0000,5000CORF 276589,A000000,05010,0000,5010CMHC 276589,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276589,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276589,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276589,A81000A,00100,0100,Y 276589,A81000B,00100,0300,HOME OFFICE A&G 276589,A81000B,00200,0300,HOME OFFICE CAPITAL 276589,A81000B,00300,0300,DIVISION OFFICE A&G 276589,A81000B,00500,0300,INSURANCE 276589,A81000C,00100,0100,B 276589,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276589,A81000C,00200,0100,G 276589,A81000C,00200,0200,LAURIER INC. 276589,A81000C,00200,0400,EXTENDICARE INC. 276589,A81000C,00200,0600,INSURANCE 276589,A81000C,00300,0100,G 276589,A81000C,00300,0200,UNITED REHABILITATION SVS 276589,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276589,A81000C,00300,0600,THERAPY SERVICE 276589,A81000C,00400,0100,G 276589,A81000C,00400,0200,UPC 276589,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276589,A81000C,00400,0600,PHARMACY THERAPY 276589,B100000,00000,0100,0100SQUARE FEET 276589,B100000,00000,0200,0200SQUARE FEET 276589,B100000,00000,0300,0300GROSS SALARIES 276589,B100000,00000,0400,0400ACCUM COST 276589,B100000,00000,0500,0500SQUARE FEET 276589,B100000,00000,0600,0600PATIENT DAYS 276589,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276589,B100000,00000,0800,0800PATIENT DAYS 276589,B100000,00000,0900,0900PATIENT DAYS 276589,B100000,00000,1000,1000COSTED REQUIS 276589,B100000,00000,1100,1100COSTED REQUIS 276589,B100000,00000,1200,1200GROSS REVENUE 276589,B100000,00000,1300,1300PATIENT DAYS 276589,B100000,00000,1400,1400ASSIGNED TIME 276589,E10A180,00301,0100,01/24/00 276589,E10A180,00301,0300,06/22/98 276589,E10A180,00302,0100,05/31/00 276589,E10A180,00302,0300,05/31/00 276589,E10A180,00350,0100,05/31/00 276589,E10A180,00350,0300,05/31/00 276589,E10A180,00501,0100,02/12/01 276589,E10A180,00501,0300,02/12/01 276589,E10A180,00550,0100,09/28/01 276589,E10A180,00550,0300,09/28/01 276589,S000000,00100,0200,06/19/00 276589,S200000,00100,0100,ROUTE 309 276589,S200000,00200,0100,COOPERSBURG 276589,S200000,00200,0200,PA 276589,S200000,00200,0300,18036 276589,S200000,00300,0100,LEHIGH 276589,S200000,00300,0200,0240 276589,S200000,00300,0300,U 276589,S200000,00400,0100,VALLEY MANOR 276589,S200000,00400,0200,395167 276589,S200000,00400,0300,06/01/92 276589,S200000,00400,0500,P 276589,S200000,01500,0100,N 276589,S200000,01600,0100,Y 276589,S200000,01700,0100,N 276589,S200000,01800,0100,N 276589,S200000,02200,0100,N 276589,S200000,02800,0100,N 276589,S200000,02900,0100,N 276589,S200000,03000,0100,N 276589,S200000,03100,0100,N 276589,S200000,03200,0100,N 276589,S200000,03300,0100,N 276589,S200000,03300,0200,N 276589,S200000,04100,0100,N 276589,S200000,04200,0100,N 276589,S200000,04300,0100,N 276589,S200000,04600,0100,N 276589,S200000,04700,0100,N 276589,S200000,04900,0100,N 276589,S200000,05200,0100,N 276590,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276590,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276590,A000000,00300,0000,0300EMPLOYEE BENEFITS 276590,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276590,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276590,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276590,A000000,00700,0000,0700HOUSEKEEPING 276590,A000000,00800,0000,0800DIETARY 276590,A000000,00900,0000,0900NURSING ADMINISTRATION 276590,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276590,A000000,01100,0000,1100PHARMACY 276590,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276590,A000000,01300,0000,1300SOCIAL SERVICE 276590,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276590,A000000,01600,0000,1600SKILLED NURSING FACILITY 276590,A000000,01800,0000,1800NURSING FACILITY 276590,A000000,01810,0000,1810ICF/MR 276590,A000000,02100,0000,2100RADIOLOGY 276590,A000000,02200,0000,2200LABORATORY 276590,A000000,02300,0000,2300INTRAVENOUS THERAPY 276590,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276590,A000000,02500,0000,2500PHYSICAL THERAPY 276590,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276590,A000000,02700,0000,2700SPEECH PATHOLOGY 276590,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276590,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276590,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276590,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276590,A000000,03302,0000,3052MEDICAL EQUIPMENT 276590,A000000,03550,0000,3550FQHC 276590,A000000,04801,0000,4801AMBULANCE 276590,A000000,04802,0000,4802AMBULANCE 276590,A000000,04803,0000,4803AMBULANCE 276590,A000000,05000,0000,5000CORF 276590,A000000,05010,0000,5010CMHC 276590,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276590,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276590,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276590,A81000A,00100,0100,Y 276590,A81000B,00100,0300,HOME OFFICE A&G 276590,A81000B,00200,0300,HOME OFFICE CAPITAL 276590,A81000B,00300,0300,DIVISION OFFICE A&G 276590,A81000B,00500,0300,INSURANCE 276590,A81000C,00100,0100,B 276590,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276590,A81000C,00200,0100,G 276590,A81000C,00200,0200,LAURIER INC. 276590,A81000C,00200,0400,EXTENDICARE INC. 276590,A81000C,00200,0600,INSURANCE 276590,A81000C,00300,0100,G 276590,A81000C,00300,0200,UNITED REHABILITATION SVS 276590,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276590,A81000C,00300,0600,THERAPY SERVICE 276590,A81000C,00400,0100,G 276590,A81000C,00400,0200,UPC 276590,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276590,A81000C,00400,0600,PHARMACY THERAPY 276590,B100000,00000,0100,0100SQUARE FEET 276590,B100000,00000,0200,0200SQUARE FEET 276590,B100000,00000,0300,0300GROSS SALARIES 276590,B100000,00000,0400,0400ACCUM COST 276590,B100000,00000,0500,0500SQUARE FEET 276590,B100000,00000,0600,0600PATIENT DAYS 276590,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276590,B100000,00000,0800,0800PATIENT DAYS 276590,B100000,00000,0900,0900PATIENT DAYS 276590,B100000,00000,1000,1000COSTED REQUIS 276590,B100000,00000,1100,1100COSTED REQUIS 276590,B100000,00000,1200,1200GROSS REVENUE 276590,B100000,00000,1300,1300PATIENT DAYS 276590,B100000,00000,1400,1400ASSIGNED TIME 276590,E10A180,00301,0100,01/24/00 276590,E10A180,00301,0300,01/24/00 276590,E10A180,00302,0100,05/31/00 276590,E10A180,00302,0300,05/31/00 276590,E10A180,00350,0100,05/31/00 276590,E10A180,00350,0300,05/31/00 276590,E10A180,00501,0100,02/12/01 276590,E10A180,00501,0300,02/12/01 276590,E10A180,00550,0100, 9/28/01 276590,E10A180,00550,0300, 9/28/01 276590,S000000,00100,0200,06/19/00 276590,S200000,00100,0100,500 WEST LAUREL STREET 276590,S200000,00200,0100,FRACKVILLE 276590,S200000,00200,0200,PA 276590,S200000,00200,0300,17931 276590,S200000,00300,0100,SCHUYLKILL 276590,S200000,00300,0200,9939 276590,S200000,00300,0300,R 276590,S200000,00400,0100,BROAD MOUNTAIN 276590,S200000,00400,0200,395286 276590,S200000,00400,0300,06/01/82 276590,S200000,00400,0500,P 276590,S200000,01500,0100,N 276590,S200000,01600,0100,Y 276590,S200000,01700,0100,N 276590,S200000,01800,0100,N 276590,S200000,02200,0100,N 276590,S200000,02800,0100,N 276590,S200000,02900,0100,N 276590,S200000,03000,0100,N 276590,S200000,03100,0100,N 276590,S200000,03200,0100,N 276590,S200000,03300,0100,N 276590,S200000,03300,0200,N 276590,S200000,04100,0100,N 276590,S200000,04200,0100,N 276590,S200000,04300,0100,N 276590,S200000,04600,0100,N 276590,S200000,04700,0100,N 276590,S200000,04900,0100,N 276590,S200000,05200,0100,N 276591,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276591,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276591,A000000,00300,0000,0300EMPLOYEE BENEFITS 276591,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276591,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276591,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276591,A000000,00700,0000,0700HOUSEKEEPING 276591,A000000,00800,0000,0800DIETARY 276591,A000000,00900,0000,0900NURSING ADMINISTRATION 276591,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276591,A000000,01100,0000,1100PHARMACY 276591,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276591,A000000,01300,0000,1300SOCIAL SERVICE 276591,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276591,A000000,01600,0000,1600SKILLED NURSING FACILITY 276591,A000000,01800,0000,1800NURSING FACILITY 276591,A000000,01810,0000,1810ICF/MR 276591,A000000,02100,0000,2100RADIOLOGY 276591,A000000,02200,0000,2200LABORATORY 276591,A000000,02300,0000,2300INTRAVENOUS THERAPY 276591,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276591,A000000,02500,0000,2500PHYSICAL THERAPY 276591,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276591,A000000,02700,0000,2700SPEECH PATHOLOGY 276591,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276591,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276591,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276591,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276591,A000000,03302,0000,3052MEDICAL EQUIPMENT 276591,A000000,03550,0000,3550FQHC 276591,A000000,04801,0000,4801AMBULANCE 276591,A000000,04802,0000,4802AMBULANCE 276591,A000000,04803,0000,4803AMBULANCE 276591,A000000,05000,0000,5000CORF 276591,A000000,05010,0000,5010CMHC 276591,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276591,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276591,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276591,A81000A,00100,0100,Y 276591,A81000B,00100,0300,HOME OFFICE A&G 276591,A81000B,00200,0300,HOME OFFICE CAPITAL 276591,A81000B,00300,0300,DIVISION OFFICE A&G 276591,A81000B,00500,0300,INSURANCE 276591,A81000B,00600,0300,PHYSICAL THERAPY 276591,A81000B,00700,0300,OCCUPATIONAL THERAPY 276591,A81000B,00800,0300,SPEECH THERAPY 276591,A81000C,00100,0100,B 276591,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276591,A81000C,00200,0100,G 276591,A81000C,00200,0200,LAURIER INC. 276591,A81000C,00200,0400,EXTENDICARE INC. 276591,A81000C,00200,0600,INSURANCE 276591,A81000C,00300,0100,G 276591,A81000C,00300,0200,UNITED REHABILITATION SVS 276591,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276591,A81000C,00300,0600,THERAPY SERVICE 276591,A81000C,00400,0100,G 276591,A81000C,00400,0200,UPC 276591,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276591,A81000C,00400,0600,PHARMACY THERAPY 276591,B100000,00000,0100,0100SQUARE FEET 276591,B100000,00000,0200,0200SQUARE FEET 276591,B100000,00000,0300,0300GROSS SALARIES 276591,B100000,00000,0400,0400ACCUM COST 276591,B100000,00000,0500,0500SQUARE FEET 276591,B100000,00000,0600,0600PATIENT DAYS 276591,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276591,B100000,00000,0800,0800PATIENT DAYS 276591,B100000,00000,0900,0900PATIENT DAYS 276591,B100000,00000,1000,1000COSTED REQUIS 276591,B100000,00000,1100,1100COSTED REQUIS 276591,B100000,00000,1200,1200GROSS REVENUE 276591,B100000,00000,1300,1300PATIENT DAYS 276591,B100000,00000,1400,1400ASSIGNED TIME 276591,E10A180,00301,0100,01/24/00 276591,E10A180,00301,0300,06/22/98 276591,E10A180,00302,0100,01/24/00 276591,E10A180,00302,0300,05/31/00 276591,E10A180,00350,0100,05/31/00 276591,E10A180,00350,0300,05/31/00 276591,E10A180,00550,0100,06/09/00 276591,E10A180,00550,0300,06/09/00 276591,E10A180,00551,0100,09/26/01 276591,E10A180,00551,0300,02/12/01 276591,E10A180,00552,0300,09/26/01 276591,S000000,00100,0200,06/19/00 276591,S200000,00100,0100,700 LEONARD STREET 276591,S200000,00200,0100,CLEARFIELD 276591,S200000,00200,0200,PA 276591,S200000,00200,0300,16830 276591,S200000,00300,0100,CLEARFIELD 276591,S200000,00300,0200,9939 276591,S200000,00300,0300,R 276591,S200000,00400,0100,MOUNTAIN LAUREL NURSING & REHAB. CTR 276591,S200000,00400,0200,395331 276591,S200000,00400,0300,05/02/75 276591,S200000,00400,0500,P 276591,S200000,01500,0100,N 276591,S200000,01600,0100,Y 276591,S200000,01700,0100,N 276591,S200000,01800,0100,N 276591,S200000,02200,0100,N 276591,S200000,02800,0100,N 276591,S200000,02900,0100,N 276591,S200000,03000,0100,N 276591,S200000,03100,0100,N 276591,S200000,03200,0100,N 276591,S200000,03300,0100,N 276591,S200000,03300,0200,N 276591,S200000,04100,0100,N 276591,S200000,04200,0100,N 276591,S200000,04300,0100,N 276591,S200000,04600,0100,N 276591,S200000,04700,0100,N 276591,S200000,04900,0100,N 276591,S200000,05200,0100,N 276592,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276592,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276592,A000000,00300,0000,0300EMPLOYEE BENEFITS 276592,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276592,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276592,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276592,A000000,00700,0000,0700HOUSEKEEPING 276592,A000000,00800,0000,0800DIETARY 276592,A000000,00900,0000,0900NURSING ADMINISTRATION 276592,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276592,A000000,01100,0000,1100PHARMACY 276592,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276592,A000000,01300,0000,1300SOCIAL SERVICE 276592,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276592,A000000,01600,0000,1600SKILLED NURSING FACILITY 276592,A000000,01800,0000,1800NURSING FACILITY 276592,A000000,01810,0000,1810ICF/MR 276592,A000000,02100,0000,2100RADIOLOGY 276592,A000000,02200,0000,2200LABORATORY 276592,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276592,A000000,02500,0000,2500PHYSICAL THERAPY 276592,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276592,A000000,02700,0000,2700SPEECH PATHOLOGY 276592,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276592,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276592,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276592,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276592,A000000,03302,0000,3052MEDICAL EQUIPMENT 276592,A000000,03550,0000,3550FQHC 276592,A000000,04801,0000,4801AMBULANCE 276592,A000000,04802,0000,4802AMBULANCE 276592,A000000,04803,0000,4803AMBULANCE 276592,A000000,05000,0000,5000CORF 276592,A000000,05010,0000,5010CMHC 276592,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276592,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276592,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276592,A000000,06300,0000,6150ALF DIETARY SERVICES 276592,A81000A,00100,0100,N 276592,B100000,00000,0100,0100SQUARE FEET 276592,B100000,00000,0200,0200SQUARE FEET 276592,B100000,00000,0300,0300GROSS SALARIES 276592,B100000,00000,0400,0400ACCUM COST 276592,B100000,00000,0500,0500SQUARE FEET 276592,B100000,00000,0600,0600PATIENT DAYS 276592,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276592,B100000,00000,0800,0800PATIENT DAYS 276592,B100000,00000,0900,0900PATIENT DAYS 276592,B100000,00000,1000,1000COSTED REQUIS 276592,B100000,00000,1100,1100COSTED REQUIS 276592,B100000,00000,1200,1200GROSS REVENUE 276592,B100000,00000,1300,1300PATIENT DAYS 276592,B100000,00000,1400,1400ASSIGNED TIME 276592,E10A180,00301,0100,01/24/00 276592,E10A180,00301,0300,06/22/98 276592,E10A180,00302,0300,05/31/00 276592,E10A180,00350,0100,05/31/00 276592,E10A180,00350,0300,05/31/00 276592,E10A180,00501,0100,09/29/01 276592,E10A180,00501,0300,02/12/01 276592,E10A180,00550,0100,02/12/01 276592,E10A180,00550,0300,09/29/01 276592,S000000,00100,0200,06/19/00 276592,S200000,00100,0100,ROUTE 255 276592,S200000,00200,0100,ST. MARY S 276592,S200000,00200,0200,PA 276592,S200000,00200,0300,15857 276592,S200000,00300,0100,ELK 276592,S200000,00300,0200,9939 276592,S200000,00300,0300,R 276592,S200000,00400,0100,ELK HAVEN NURSING HOME ASSOCIATION 276592,S200000,00400,0200,395341 276592,S200000,00400,0300,08/13/75 276592,S200000,00400,0500,P 276592,S200000,01500,0100,N 276592,S200000,01600,0100,Y 276592,S200000,01700,0100,N 276592,S200000,01800,0100,N 276592,S200000,02200,0100,N 276592,S200000,02800,0100,N 276592,S200000,02900,0100,N 276592,S200000,03000,0100,N 276592,S200000,03100,0100,N 276592,S200000,03200,0100,N 276592,S200000,03300,0100,N 276592,S200000,03300,0200,N 276592,S200000,04100,0100,N 276592,S200000,04200,0100,N 276592,S200000,04300,0100,N 276592,S200000,04600,0100,N 276592,S200000,04700,0100,N 276592,S200000,04900,0100,N 276592,S200000,05200,0100,N 276593,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276593,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276593,A000000,00300,0000,0300EMPLOYEE BENEFITS 276593,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276593,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276593,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276593,A000000,00700,0000,0700HOUSEKEEPING 276593,A000000,00800,0000,0800DIETARY 276593,A000000,00900,0000,0900NURSING ADMINISTRATION 276593,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276593,A000000,01100,0000,1100PHARMACY 276593,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276593,A000000,01300,0000,1300SOCIAL SERVICE 276593,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276593,A000000,01600,0000,1600SKILLED NURSING FACILITY 276593,A000000,01800,0000,1800NURSING FACILITY 276593,A000000,01810,0000,1810ICF/MR 276593,A000000,02100,0000,2100RADIOLOGY 276593,A000000,02200,0000,2200LABORATORY 276593,A000000,02300,0000,2300INTRAVENOUS THERAPY 276593,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276593,A000000,02500,0000,2500PHYSICAL THERAPY 276593,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276593,A000000,02700,0000,2700SPEECH PATHOLOGY 276593,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276593,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276593,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276593,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276593,A000000,03302,0000,3052MEDICAL EQUIPMENT 276593,A000000,03550,0000,3550FQHC 276593,A000000,04801,0000,4801AMBULANCE 276593,A000000,04802,0000,4802AMBULANCE 276593,A000000,04803,0000,4803AMBULANCE 276593,A000000,05000,0000,5000CORF 276593,A000000,05010,0000,5010CMHC 276593,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276593,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276593,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276593,A81000A,00100,0100,Y 276593,A81000B,00100,0300,HOME OFFICE A&G 276593,A81000B,00200,0300,HOME OFFICE CAPITAL 276593,A81000B,00300,0300,DIVISION OFFICE A&G 276593,A81000B,00500,0300,INSURANCE 276593,A81000C,00100,0100,B 276593,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276593,A81000C,00200,0100,G 276593,A81000C,00200,0200,LAURIER INC. 276593,A81000C,00200,0400,EXTENDICARE INC. 276593,A81000C,00200,0600,INSURANCE 276593,A81000C,00300,0100,G 276593,A81000C,00300,0200,UNITED REHABILITATION SVS 276593,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276593,A81000C,00300,0600,THERAPY SERVICE 276593,A81000C,00400,0100,G 276593,A81000C,00400,0200,UPC 276593,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276593,A81000C,00400,0600,PHARMACY THERAPY 276593,B100000,00000,0100,0100SQUARE FEET 276593,B100000,00000,0200,0200SQUARE FEET 276593,B100000,00000,0300,0300GROSS SALARIES 276593,B100000,00000,0400,0400ACCUM COST 276593,B100000,00000,0500,0500SQUARE FEET 276593,B100000,00000,0600,0600PATIENT DAYS 276593,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276593,B100000,00000,0800,0800PATIENT DAYS 276593,B100000,00000,0900,0900PATIENT DAYS 276593,B100000,00000,1000,1000COSTED REQUIS 276593,B100000,00000,1100,1100COSTED REQUIS 276593,B100000,00000,1200,1200GROSS REVENUE 276593,B100000,00000,1300,1300PATIENT DAYS 276593,B100000,00000,1400,1400ASSIGNED TIME 276593,E10A180,00301,0100,01/24/00 276593,E10A180,00301,0300,06/22/98 276593,E10A180,00302,0100,05/31/00 276593,E10A180,00302,0300,05/31/00 276593,E10A180,00350,0100,05/31/00 276593,E10A180,00350,0300,05/31/00 276593,E10A180,00501,0100,02/12/01 276593,E10A180,00501,0300,02/12/01 276593,S000000,00100,0200,06/19/00 276593,S200000,00100,0100,44 DONALDSON ROAD 276593,S200000,00200,0100,TREMONT 276593,S200000,00200,0200,PA 276593,S200000,00200,0300,17981 276593,S200000,00300,0100,SCHUYKILL 276593,S200000,00300,0200,9939 276593,S200000,00300,0300,R 276593,S200000,00400,0100,TREMONT HEALTH & REHABILITATION 276593,S200000,00400,0200,395499 276593,S200000,00400,0300,06/04/82 276593,S200000,00400,0500,P 276593,S200000,01500,0100,N 276593,S200000,01600,0100,Y 276593,S200000,01700,0100,N 276593,S200000,01800,0100,N 276593,S200000,02200,0100,N 276593,S200000,02800,0100,N 276593,S200000,02900,0100,N 276593,S200000,03000,0100,N 276593,S200000,03100,0100,N 276593,S200000,03200,0100,N 276593,S200000,03300,0100,N 276593,S200000,03300,0200,N 276593,S200000,04100,0100,N 276593,S200000,04200,0100,N 276593,S200000,04300,0100,N 276593,S200000,04600,0100,N 276593,S200000,04700,0100,N 276593,S200000,04900,0100,N 276593,S200000,05200,0100,N 276594,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276594,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276594,A000000,00300,0000,0300EMPLOYEE BENEFITS 276594,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276594,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276594,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276594,A000000,00700,0000,0700HOUSEKEEPING 276594,A000000,00800,0000,0800DIETARY 276594,A000000,00900,0000,0900NURSING ADMINISTRATION 276594,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276594,A000000,01100,0000,1100PHARMACY 276594,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276594,A000000,01300,0000,1300SOCIAL SERVICE 276594,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276594,A000000,01600,0000,1600SKILLED NURSING FACILITY 276594,A000000,01800,0000,1800NURSING FACILITY 276594,A000000,01810,0000,1810ICF/MR 276594,A000000,02100,0000,2100RADIOLOGY 276594,A000000,02200,0000,2200LABORATORY 276594,A000000,02300,0000,2300INTRAVENOUS THERAPY 276594,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276594,A000000,02500,0000,2500PHYSICAL THERAPY 276594,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276594,A000000,02700,0000,2700SPEECH PATHOLOGY 276594,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276594,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276594,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276594,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276594,A000000,03302,0000,3052MEDICAL EQUIPMENT 276594,A000000,03550,0000,3550FQHC 276594,A000000,04801,0000,4801AMBULANCE 276594,A000000,04802,0000,4802AMBULANCE 276594,A000000,04803,0000,4803AMBULANCE 276594,A000000,05000,0000,5000CORF 276594,A000000,05010,0000,5010CMHC 276594,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276594,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276594,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276594,A81000A,00100,0100,Y 276594,A81000B,00100,0300,HOME OFFICE A&G 276594,A81000B,00200,0300,HOME OFFICE CAPITAL 276594,A81000B,00300,0300,DIVISION OFFICE A&G 276594,A81000B,00500,0300,INSURANCE 276594,A81000B,00900,0300,AIR FLUIDIZED THERAPY 276594,A81000C,00100,0100,B 276594,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276594,A81000C,00200,0100,G 276594,A81000C,00200,0200,LAURIER INC. 276594,A81000C,00200,0400,EXTENDICARE INC. 276594,A81000C,00200,0600,INSURANCE 276594,A81000C,00300,0100,G 276594,A81000C,00300,0200,UNITED REHABILITATION SVS 276594,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276594,A81000C,00300,0600,THERAPY SERVICE 276594,A81000C,00400,0100,G 276594,A81000C,00400,0200,UPC 276594,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276594,A81000C,00400,0600,PHARMACY THERAPY 276594,B100000,00000,0100,0100SQUARE FEET 276594,B100000,00000,0200,0200SQUARE FEET 276594,B100000,00000,0300,0300GROSS SALARIES 276594,B100000,00000,0400,0400ACCUM COST 276594,B100000,00000,0500,0500SQUARE FEET 276594,B100000,00000,0600,0600PATIENT DAYS 276594,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276594,B100000,00000,0800,0800PATIENT DAYS 276594,B100000,00000,0900,0900PATIENT DAYS 276594,B100000,00000,1000,1000COSTED REQUIS 276594,B100000,00000,1100,1100COSTED REQUIS 276594,B100000,00000,1200,1200GROSS REVENUE 276594,B100000,00000,1300,1300PATIENT DAYS 276594,B100000,00000,1400,1400ASSIGNED TIME 276594,E10A180,00301,0100,01/24/00 276594,E10A180,00301,0300,06/22/98 276594,E10A180,00302,0100,05/31/00 276594,E10A180,00302,0300,05/31/00 276594,E10A180,00350,0100,05/31/00 276594,E10A180,00350,0300,05/31/00 276594,E10A180,00501,0100,02/12/01 276594,E10A180,00501,0300,02/12/01 276594,E10A180,00551,0100,09/14/01 276594,E10A180,00551,0300,09/14/01 276594,S000000,00100,0200,06/19/00 276594,S200000,00100,0100,1390 CAMP HILL ROAD 276594,S200000,00200,0100,DRESHER 276594,S200000,00200,0200,PA 276594,S200000,00200,0300,19034 276594,S200000,00300,0100,MONTGOMERY 276594,S200000,00300,0200,6160 276594,S200000,00300,0300,U 276594,S200000,00400,0100,DRESHER HILL HEALTH & REHABILITATION 276594,S200000,00400,0200,395509 276594,S200000,00400,0300,04/15/81 276594,S200000,00400,0500,P 276594,S200000,01500,0100,N 276594,S200000,01600,0100,Y 276594,S200000,01700,0100,N 276594,S200000,01800,0100,N 276594,S200000,02200,0100,N 276594,S200000,02800,0100,N 276594,S200000,02900,0100,N 276594,S200000,03000,0100,N 276594,S200000,03100,0100,N 276594,S200000,03200,0100,N 276594,S200000,03300,0100,N 276594,S200000,03300,0200,N 276594,S200000,04100,0100,N 276594,S200000,04200,0100,N 276594,S200000,04300,0100,N 276594,S200000,04600,0100,N 276594,S200000,04700,0100,N 276594,S200000,04900,0100,N 276594,S200000,05200,0100,N 276596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276596,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276596,A000000,00300,0000,0300EMPLOYEE BENEFITS 276596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276596,A000000,00700,0000,0700HOUSEKEEPING 276596,A000000,00800,0000,0800DIETARY 276596,A000000,00900,0000,0900NURSING ADMINISTRATION 276596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276596,A000000,01100,0000,1100PHARMACY 276596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276596,A000000,01300,0000,1300SOCIAL SERVICE 276596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276596,A000000,01600,0000,1600SKILLED NURSING FACILITY 276596,A000000,01800,0000,1800NURSING FACILITY 276596,A000000,01810,0000,1810ICF/MR 276596,A000000,02100,0000,2100RADIOLOGY 276596,A000000,02300,0000,2300INTRAVENOUS THERAPY 276596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276596,A000000,02500,0000,2500PHYSICAL THERAPY 276596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276596,A000000,02700,0000,2700SPEECH PATHOLOGY 276596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276596,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276596,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276596,A000000,03302,0000,3052MEDICAL EQUIPMENT 276596,A000000,03550,0000,3550FQHC 276596,A000000,04801,0000,4801AMBULANCE 276596,A000000,04802,0000,4802AMBULANCE 276596,A000000,04803,0000,4803AMBULANCE 276596,A000000,05000,0000,5000CORF 276596,A000000,05010,0000,5010CMHC 276596,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276596,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276596,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276596,A81000A,00100,0100,Y 276596,A81000B,00100,0300,HOME OFFICE A&G 276596,A81000B,00200,0300,HOME OFFICE CAPITAL 276596,A81000B,00300,0300,DIVISION OFFICE A&G 276596,A81000B,00500,0300,INSURANCE 276596,A81000C,00100,0100,B 276596,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276596,A81000C,00200,0100,G 276596,A81000C,00200,0200,LAURIER INC. 276596,A81000C,00200,0400,EXTENDICARE INC. 276596,A81000C,00200,0600,INSURANCE 276596,A81000C,00300,0100,G 276596,A81000C,00300,0200,UNITED REHABILITATION SVS 276596,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276596,A81000C,00300,0600,THERAPY SERVICE 276596,A81000C,00400,0100,G 276596,A81000C,00400,0200,UPC 276596,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276596,A81000C,00400,0600,PHARMACY THERAPY 276596,B100000,00000,0100,0100SQUARE FEET 276596,B100000,00000,0200,0200SQUARE FEET 276596,B100000,00000,0300,0300GROSS SALARIES 276596,B100000,00000,0400,0400ACCUM COST 276596,B100000,00000,0500,0500SQUARE FEET 276596,B100000,00000,0600,0600PATIENT DAYS 276596,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276596,B100000,00000,0800,0800PATIENT DAYS 276596,B100000,00000,0900,0900PATIENT DAYS 276596,B100000,00000,1000,1000COSTED REQUIS 276596,B100000,00000,1100,1100COSTED REQUIS 276596,B100000,00000,1200,1200GROSS REVENUE 276596,B100000,00000,1300,1300PATIENT DAYS 276596,B100000,00000,1400,1400ASSIGNED TIME 276596,E10A180,00301,0100,01/24/00 276596,E10A180,00301,0300,01/24/00 276596,E10A180,00350,0100,05/31/00 276596,E10A180,00350,0300,05/31/00 276596,E10A180,00501,0300,06/09/00 276596,E10A180,00550,0100,06/09/00 276596,E10A180,00551,0100,09/21/01 276596,E10A180,00551,0300,09/21/01 276596,S000000,00100,0200,06/19/00 276596,S200000,00100,0100,1200 BRAUN ROAD 276596,S200000,00200,0100,BETHEL PARK 276596,S200000,00200,0200,PA 276596,S200000,00200,0300,15102 276596,S200000,00300,0100,ALLEGHENY 276596,S200000,00300,0200,6280 276596,S200000,00300,0300,U 276596,S200000,00400,0100,MEADOWCREST NURSING CENTER 276596,S200000,00400,0200,395698 276596,S200000,00400,0300,05/01/85 276596,S200000,00400,0500,P 276596,S200000,01500,0100,N 276596,S200000,01600,0100,Y 276596,S200000,01700,0100,N 276596,S200000,01800,0100,N 276596,S200000,02200,0100,N 276596,S200000,02800,0100,N 276596,S200000,02900,0100,N 276596,S200000,03000,0100,N 276596,S200000,03100,0100,N 276596,S200000,03200,0100,N 276596,S200000,03300,0100,N 276596,S200000,03300,0200,N 276596,S200000,04100,0100,N 276596,S200000,04200,0100,N 276596,S200000,04300,0100,N 276596,S200000,04600,0100,N 276596,S200000,04700,0100,N 276596,S200000,04900,0100,N 276596,S200000,05200,0100,N 276597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276597,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276597,A000000,00300,0000,0300EMPLOYEE BENEFITS 276597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276597,A000000,00700,0000,0700HOUSEKEEPING 276597,A000000,00800,0000,0800DIETARY 276597,A000000,00900,0000,0900NURSING ADMINISTRATION 276597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276597,A000000,01100,0000,1100PHARMACY 276597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276597,A000000,01300,0000,1300SOCIAL SERVICE 276597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276597,A000000,01600,0000,1600SKILLED NURSING FACILITY 276597,A000000,01800,0000,1800NURSING FACILITY 276597,A000000,01810,0000,1810ICF/MR 276597,A000000,02100,0000,2100RADIOLOGY 276597,A000000,02500,0000,2500PHYSICAL THERAPY 276597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276597,A000000,02700,0000,2700SPEECH PATHOLOGY 276597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276597,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276597,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276597,A000000,03302,0000,3052MEDICAL EQUIPMENT 276597,A000000,03550,0000,3550FQHC 276597,A000000,04801,0000,4801AMBULANCE 276597,A000000,04802,0000,4802AMBULANCE 276597,A000000,04803,0000,4803AMBULANCE 276597,A000000,05000,0000,5000CORF 276597,A000000,05010,0000,5010CMHC 276597,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276597,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276597,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276597,A81000A,00100,0100,Y 276597,A81000B,00100,0300,HOME OFFICE A&G 276597,A81000B,00200,0300,HOME OFFICE CAPITAL 276597,A81000B,00300,0300,DIVISION OFFICE A&G 276597,A81000B,00500,0300,INSURANCE 276597,A81000C,00100,0100,B 276597,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276597,A81000C,00200,0100,G 276597,A81000C,00200,0200,LAURIER INC. 276597,A81000C,00200,0400,EXTENDICARE INC. 276597,A81000C,00200,0600,INSURANCE 276597,A81000C,00300,0100,G 276597,A81000C,00300,0200,UNITED REHABILITATION SVS 276597,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276597,A81000C,00300,0600,THERAPY SERVICE 276597,A81000C,00400,0100,G 276597,A81000C,00400,0200,UPC 276597,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276597,A81000C,00400,0600,PHARMACY THERAPY 276597,B100000,00000,0100,0100SQUARE FEET 276597,B100000,00000,0200,0200SQUARE FEET 276597,B100000,00000,0300,0300GROSS SALARIES 276597,B100000,00000,0400,0400ACCUM COST 276597,B100000,00000,0500,0500SQUARE FEET 276597,B100000,00000,0600,0600PATIENT DAYS 276597,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276597,B100000,00000,0800,0800PATIENT DAYS 276597,B100000,00000,0900,0900PATIENT DAYS 276597,B100000,00000,1000,1000COSTED REQUIS 276597,B100000,00000,1100,1100COSTED REQUIS 276597,B100000,00000,1200,1200GROSS REVENUE 276597,B100000,00000,1300,1300PATIENT DAYS 276597,B100000,00000,1400,1400ASSIGNED TIME 276597,E10A180,00301,0100,01/24/00 276597,E10A180,00301,0300,06/22/98 276597,E10A180,00302,0300,05/31/00 276597,E10A180,00350,0100,05/31/00 276597,E10A180,00350,0300,05/31/00 276597,E10A180,00501,0300,02/12/01 276597,E10A180,00502,0300,09/28/01 276597,E10A180,00550,0100,02/12/01 276597,E10A180,00551,0100,09/28/01 276597,S000000,00100,0200,06/19/00 276597,S200000,00100,0100,102 CHANDRA DRIVE 276597,S200000,00200,0100,DUNCANNON 276597,S200000,00200,0200,PA 276597,S200000,00200,0300,17020 276597,S200000,00300,0100,PERRY 276597,S200000,00300,0200,3240 276597,S200000,00300,0300,U 276597,S200000,00400,0100,STONEBRIDGE 276597,S200000,00400,0200,395785 276597,S200000,00400,0300,03/01/89 276597,S200000,00400,0500,P 276597,S200000,01500,0100,N 276597,S200000,01600,0100,Y 276597,S200000,01700,0100,N 276597,S200000,01800,0100,N 276597,S200000,02200,0100,N 276597,S200000,02800,0100,N 276597,S200000,02900,0100,N 276597,S200000,03000,0100,N 276597,S200000,03100,0100,N 276597,S200000,03200,0100,N 276597,S200000,03300,0100,N 276597,S200000,03300,0200,N 276597,S200000,04100,0100,N 276597,S200000,04200,0100,N 276597,S200000,04300,0100,N 276597,S200000,04600,0100,N 276597,S200000,04700,0100,N 276597,S200000,04900,0100,N 276597,S200000,05200,0100,N 276598,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276598,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276598,A000000,00300,0000,0300EMPLOYEE BENEFITS 276598,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276598,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276598,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276598,A000000,00700,0000,0700HOUSEKEEPING 276598,A000000,00800,0000,0800DIETARY 276598,A000000,00900,0000,0900NURSING ADMINISTRATION 276598,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276598,A000000,01100,0000,1100PHARMACY 276598,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276598,A000000,01300,0000,1300SOCIAL SERVICE 276598,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276598,A000000,01600,0000,1600SKILLED NURSING FACILITY 276598,A000000,01800,0000,1800NURSING FACILITY 276598,A000000,01810,0000,1810ICF/MR 276598,A000000,02100,0000,2100RADIOLOGY 276598,A000000,02200,0000,2200LABORATORY 276598,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276598,A000000,02500,0000,2500PHYSICAL THERAPY 276598,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276598,A000000,02700,0000,2700SPEECH PATHOLOGY 276598,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276598,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276598,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276598,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276598,A000000,03302,0000,3052MEDICAL EQUIPMENT 276598,A000000,03550,0000,3550FQHC 276598,A000000,04801,0000,4801AMBULANCE 276598,A000000,04802,0000,4802AMBULANCE 276598,A000000,04803,0000,4803AMBULANCE 276598,A000000,05000,0000,5000CORF 276598,A000000,05010,0000,5010CMHC 276598,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276598,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276598,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276598,A81000A,00100,0100,Y 276598,A81000B,00100,0300,HOME OFFICE A&G 276598,A81000B,00200,0300,HOME OFFICE CAPITAL 276598,A81000B,00300,0300,DIVISION OFFICE A&G 276598,A81000B,00500,0300,INSURANCE 276598,A81000C,00100,0100,B 276598,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276598,A81000C,00200,0100,G 276598,A81000C,00200,0200,LAURIER INC. 276598,A81000C,00200,0400,EXTENDICARE INC. 276598,A81000C,00200,0600,INSURANCE 276598,A81000C,00300,0100,G 276598,A81000C,00300,0200,UNITED REHABILITATION SVS 276598,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276598,A81000C,00300,0600,THERAPY SERVICE 276598,A81000C,00400,0100,G 276598,A81000C,00400,0200,UPC 276598,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276598,A81000C,00400,0600,PHARMACY THERAPY 276598,B100000,00000,0100,0100SQUARE FEET 276598,B100000,00000,0200,0200SQUARE FEET 276598,B100000,00000,0300,0300GROSS SALARIES 276598,B100000,00000,0400,0400ACCUM COST 276598,B100000,00000,0500,0500SQUARE FEET 276598,B100000,00000,0600,0600PATIENT DAYS 276598,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276598,B100000,00000,0800,0800PATIENT DAYS 276598,B100000,00000,0900,0900PATIENT DAYS 276598,B100000,00000,1000,1000COSTED REQUIS 276598,B100000,00000,1100,1100COSTED REQUIS 276598,B100000,00000,1200,1200GROSS REVENUE 276598,B100000,00000,1300,1300PATIENT DAYS 276598,B100000,00000,1400,1400ASSIGNED TIME 276598,E10A180,00301,0100,01/24/00 276598,E10A180,00301,0300,01/24/00 276598,E10A180,00302,0100,05/31/00 276598,E10A180,00302,0300,05/31/00 276598,E10A180,00350,0100,05/31/00 276598,E10A180,00350,0300,05/31/00 276598,E10A180,00501,0300,02/12/01 276598,E10A180,00550,0100,02/12/01 276598,E10A180,00551,0100,10/03/01 276598,E10A180,00552,0300,10/03/01 276598,S000000,00100,0200,06/19/00 276598,S200000,00100,0100,EAST MAIN STREET 276598,S200000,00100,0300,277 276598,S200000,00200,0100,YOUNGSTOWN 276598,S200000,00200,0200,PA 276598,S200000,00200,0300,15650 276598,S200000,00300,0100,WESTMORELAND 276598,S200000,00300,0200,6280 276598,S200000,00300,0300,U 276598,S200000,00400,0100,EDGEWOOD NURSING CENTER 276598,S200000,00400,0200,395892 276598,S200000,00400,0300,04/01/93 276598,S200000,00400,0500,P 276598,S200000,01500,0100,N 276598,S200000,01600,0100,Y 276598,S200000,01700,0100,N 276598,S200000,01800,0100,N 276598,S200000,02200,0100,N 276598,S200000,02800,0100,N 276598,S200000,02900,0100,N 276598,S200000,03000,0100,N 276598,S200000,03100,0100,N 276598,S200000,03200,0100,N 276598,S200000,03300,0100,N 276598,S200000,03300,0200,N 276598,S200000,04100,0100,N 276598,S200000,04200,0100,N 276598,S200000,04300,0100,N 276598,S200000,04600,0100,N 276598,S200000,04700,0100,N 276598,S200000,04900,0100,N 276598,S200000,05200,0100,N 276599,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276599,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276599,A000000,00300,0000,0300EMPLOYEE BENEFITS 276599,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276599,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276599,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276599,A000000,00700,0000,0700HOUSEKEEPING 276599,A000000,00800,0000,0800DIETARY 276599,A000000,00900,0000,0900NURSING ADMINISTRATION 276599,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276599,A000000,01100,0000,1100PHARMACY 276599,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276599,A000000,01300,0000,1300SOCIAL SERVICE 276599,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276599,A000000,01600,0000,1600SKILLED NURSING FACILITY 276599,A000000,01800,0000,1800NURSING FACILITY 276599,A000000,01810,0000,1810ICF/MR 276599,A000000,02100,0000,2100RADIOLOGY 276599,A000000,02200,0000,2200LABORATORY 276599,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276599,A000000,02500,0000,2500PHYSICAL THERAPY 276599,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276599,A000000,02700,0000,2700SPEECH PATHOLOGY 276599,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276599,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276599,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276599,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276599,A000000,03302,0000,3052MEDICAL EQUIPMENT 276599,A000000,03550,0000,3550FQHC 276599,A000000,04801,0000,4801AMBULANCE 276599,A000000,04802,0000,4802AMBULANCE 276599,A000000,04803,0000,4803AMBULANCE 276599,A000000,05000,0000,5000CORF 276599,A000000,05010,0000,5010CMHC 276599,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276599,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276599,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276599,A81000A,00100,0100,Y 276599,A81000B,00100,0300,HOME OFFICE A&G 276599,A81000B,00200,0300,HOME OFFICE CAPITAL 276599,A81000B,00300,0300,DIVISION OFFICE A&G 276599,A81000B,00500,0300,INSURANCE 276599,A81000C,00100,0100,B 276599,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276599,A81000C,00200,0100,G 276599,A81000C,00200,0200,LAURIER INC. 276599,A81000C,00200,0400,EXTENDICARE INC. 276599,A81000C,00200,0600,INSURANCE 276599,A81000C,00300,0100,G 276599,A81000C,00300,0200,UNITED REHABILITATION SVS 276599,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276599,A81000C,00300,0600,THERAPY SERVICE 276599,A81000C,00400,0100,G 276599,A81000C,00400,0200,UPC 276599,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276599,A81000C,00400,0600,PHARMACY & THERAPY 276599,B100000,00000,0100,0100SQUARE FEET 276599,B100000,00000,0200,0200SQUARE FEET 276599,B100000,00000,0300,0300GROSS SALARIES 276599,B100000,00000,0400,0400ACCUM COST 276599,B100000,00000,0500,0500SQUARE FEET 276599,B100000,00000,0600,0600PATIENT DAYS 276599,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276599,B100000,00000,0800,0800PATIENT DAYS 276599,B100000,00000,0900,0900PATIENT DAYS 276599,B100000,00000,1000,1000COSTED REQUIS 276599,B100000,00000,1100,1100COSTED REQUIS 276599,B100000,00000,1200,1200GROSS REVENUE 276599,B100000,00000,1300,1300PATIENT DAYS 276599,B100000,00000,1400,1400ASSIGNED TIME 276599,E10A180,00301,0100,01/24/00 276599,E10A180,00301,0300,06/22/98 276599,E10A180,00350,0100,06/22/98 276599,E10A180,00350,0300,06/22/98 276599,E10A180,00501,0300,02/12/01 276599,E10A180,00550,0100,02/12/01 276599,E10A180,00551,0100,08/28/01 276599,E10A180,00551,0300,08/28/01 276599,S000000,00100,0200,06/19/00 276599,S200000,00100,0100,405 DUNCAN PERRY ROAD 276599,S200000,00200,0100,ARLINGTON 276599,S200000,00200,0200,TX 276599,S200000,00200,0300,17011 276599,S200000,00300,0100,TARRANT 276599,S200000,00300,0200,2800 276599,S200000,00300,0300,U 276599,S200000,00400,0100,DALWORTH NURSING AND REHAB CENTER 276599,S200000,00400,0200,455872 276599,S200000,00400,0300,04/05/90 276599,S200000,00400,0500,P 276599,S200000,01500,0100,N 276599,S200000,01600,0100,Y 276599,S200000,01700,0100,N 276599,S200000,01800,0100,N 276599,S200000,02200,0100,N 276599,S200000,02800,0100,N 276599,S200000,02900,0100,N 276599,S200000,03000,0100,N 276599,S200000,03100,0100,N 276599,S200000,03200,0100,N 276599,S200000,03300,0100,N 276599,S200000,03300,0200,N 276599,S200000,04100,0100,N 276599,S200000,04200,0100,N 276599,S200000,04300,0100,N 276599,S200000,04600,0100,N 276599,S200000,04700,0100,N 276599,S200000,04900,0100,N 276599,S200000,05200,0100,N 276600,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276600,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276600,A000000,00300,0000,0300EMPLOYEE BENEFITS 276600,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276600,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276600,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276600,A000000,00700,0000,0700HOUSEKEEPING 276600,A000000,00800,0000,0800DIETARY 276600,A000000,00900,0000,0900NURSING ADMINISTRATION 276600,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276600,A000000,01100,0000,1100PHARMACY 276600,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276600,A000000,01300,0000,1300SOCIAL SERVICE 276600,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276600,A000000,01600,0000,1600SKILLED NURSING FACILITY 276600,A000000,01800,0000,1800NURSING FACILITY 276600,A000000,01810,0000,1810ICF/MR 276600,A000000,02100,0000,2100RADIOLOGY 276600,A000000,02200,0000,2200LABORATORY 276600,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276600,A000000,02500,0000,2500PHYSICAL THERAPY 276600,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276600,A000000,02700,0000,2700SPEECH PATHOLOGY 276600,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276600,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276600,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276600,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276600,A000000,03302,0000,3052MEDICAL EQUIPMENT 276600,A000000,03550,0000,3550FQHC 276600,A000000,04801,0000,4801AMBULANCE 276600,A000000,04802,0000,4802AMBULANCE 276600,A000000,04803,0000,4803AMBULANCE 276600,A000000,05000,0000,5000CORF 276600,A000000,05010,0000,5010CMHC 276600,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276600,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276600,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276600,A81000A,00100,0100,Y 276600,A81000B,00100,0300,HOME OFFICE A&G 276600,A81000B,00200,0300,HOME OFFICE CAPITAL 276600,A81000B,00300,0300,DIVISION OFFICE A&G 276600,A81000B,00500,0300,INSURANCE 276600,A81000C,00100,0100,B 276600,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276600,A81000C,00200,0100,G 276600,A81000C,00200,0200,LAURIER INC. 276600,A81000C,00200,0400,EXTENDICARE INC. 276600,A81000C,00200,0600,INSURANCE 276600,A81000C,00300,0100,G 276600,A81000C,00300,0200,UNITED REHABILITATION SVS 276600,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276600,A81000C,00300,0600,THERAPY SERVICE 276600,A81000C,00400,0100,G 276600,A81000C,00400,0200,UPC 276600,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276600,A81000C,00400,0600,PHARMACY THERAPY 276600,B100000,00000,0100,0100SQUARE FEET 276600,B100000,00000,0200,0200SQUARE FEET 276600,B100000,00000,0300,0300GROSS SALARIES 276600,B100000,00000,0400,0400ACCUM COST 276600,B100000,00000,0500,0500SQUARE FEET 276600,B100000,00000,0600,0600PATIENT DAYS 276600,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276600,B100000,00000,0800,0800PATIENT DAYS 276600,B100000,00000,0900,0900PATIENT DAYS 276600,B100000,00000,1000,1000COSTED REQUIS 276600,B100000,00000,1100,1100COSTED REQUIS 276600,B100000,00000,1200,1200GROSS REVENUE 276600,B100000,00000,1300,1300PATIENT DAYS 276600,B100000,00000,1400,1400ASSIGNED TIME 276600,E10A180,00301,0100,01/24/00 276600,E10A180,00301,0300,06/22/98 276600,E10A180,00350,0100,06/22/98 276600,E10A180,00350,0300,06/22/98 276600,E10A180,00501,0300,02/12/01 276600,E10A180,00550,0100,02/12/01 276600,E10A180,00551,0100,09/27/01 276600,E10A180,00551,0300,09/27/01 276600,S000000,00100,0200,06/19/00 276600,S200000,00100,0100,6021 NORTH LIDGERWOOD 276600,S200000,00200,0100,SPOKANE 276600,S200000,00200,0200,WA 276600,S200000,00200,0300,99207 276600,S200000,00300,0100,SPOKANE 276600,S200000,00300,0200,7840 276600,S200000,00300,0300,U 276600,S200000,00400,0100,FRANKLIN HILLS HEALTH & REHAB CENTER 276600,S200000,00400,0200,505024 276600,S200000,00400,0300,01/01/87 276600,S200000,00400,0500,P 276600,S200000,01500,0100,N 276600,S200000,01600,0100,Y 276600,S200000,01700,0100,N 276600,S200000,01800,0100,N 276600,S200000,02200,0100,N 276600,S200000,02800,0100,N 276600,S200000,02900,0100,N 276600,S200000,03000,0100,N 276600,S200000,03100,0100,N 276600,S200000,03200,0100,N 276600,S200000,03300,0100,N 276600,S200000,03300,0200,N 276600,S200000,04100,0100,N 276600,S200000,04200,0100,N 276600,S200000,04300,0100,N 276600,S200000,04600,0100,N 276600,S200000,04700,0100,N 276600,S200000,04900,0100,N 276600,S200000,05200,0100,N 276601,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276601,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276601,A000000,00300,0000,0300EMPLOYEE BENEFITS 276601,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276601,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276601,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276601,A000000,00700,0000,0700HOUSEKEEPING 276601,A000000,00800,0000,0800DIETARY 276601,A000000,00900,0000,0900NURSING ADMINISTRATION 276601,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276601,A000000,01100,0000,1100PHARMACY 276601,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276601,A000000,01300,0000,1300SOCIAL SERVICE 276601,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276601,A000000,01600,0000,1600SKILLED NURSING FACILITY 276601,A000000,01800,0000,1800NURSING FACILITY 276601,A000000,01810,0000,1810ICF/MR 276601,A000000,02100,0000,2100RADIOLOGY 276601,A000000,02200,0000,2200LABORATORY 276601,A000000,02300,0000,2300INTRAVENOUS THERAPY 276601,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276601,A000000,02500,0000,2500PHYSICAL THERAPY 276601,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276601,A000000,02700,0000,2700SPEECH PATHOLOGY 276601,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276601,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276601,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276601,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276601,A000000,03302,0000,3052MEDICAL EQUIPMENT 276601,A000000,03550,0000,3550FQHC 276601,A000000,04801,0000,4801AMBULANCE 276601,A000000,04802,0000,4802AMBULANCE 276601,A000000,04803,0000,4803AMBULANCE 276601,A000000,05000,0000,5000CORF 276601,A000000,05010,0000,5010CMHC 276601,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276601,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276601,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276601,A81000A,00100,0100,Y 276601,A81000B,00100,0300,HOME OFFICE A&G 276601,A81000B,00200,0300,HOME OFFICE CAPITAL 276601,A81000B,00300,0300,DIVISION OFFICE A&G 276601,A81000B,00500,0300,INSURANCE 276601,A81000C,00100,0100,B 276601,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276601,A81000C,00200,0100,G 276601,A81000C,00200,0200,LAURIER INC. 276601,A81000C,00200,0400,EXTENDICARE INC. 276601,A81000C,00200,0600,INSURANCE 276601,A81000C,00300,0100,G 276601,A81000C,00300,0200,UNITED REHABILITATION SVS 276601,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276601,A81000C,00300,0600,THERAPY SERVICE 276601,A81000C,00400,0100,G 276601,A81000C,00400,0200,UPC 276601,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276601,A81000C,00400,0600,PHARMACY THERAPY 276601,B100000,00000,0100,0100SQUARE FEET 276601,B100000,00000,0200,0200SQUARE FEET 276601,B100000,00000,0300,0300GROSS SALARIES 276601,B100000,00000,0400,0400ACCUM COST 276601,B100000,00000,0500,0500SQUARE FEET 276601,B100000,00000,0600,0600PATIENT DAYS 276601,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276601,B100000,00000,0800,0800PATIENT DAYS 276601,B100000,00000,0900,0900PATIENT DAYS 276601,B100000,00000,1000,1000COSTED REQUIS 276601,B100000,00000,1100,1100COSTED REQUIS 276601,B100000,00000,1200,1200GROSS REVENUE 276601,B100000,00000,1300,1300PATIENT DAYS 276601,B100000,00000,1400,1400ASSIGNED TIME 276601,E10A180,00301,0100,01/24/00 276601,E10A180,00301,0300,06/22/98 276601,E10A180,00350,0100,06/22/98 276601,E10A180,00350,0300,06/22/98 276601,E10A180,00501,0300,06/09/00 276601,E10A180,00502,0300,09/25/01 276601,E10A180,00550,0100,06/09/00 276601,E10A180,00551,0100,09/25/01 276601,S000000,00100,0200,06/19/00 276601,S200000,00100,0100,430 NORTH LILLY ROAD 276601,S200000,00200,0100,OLYMPIA 276601,S200000,00200,0200,WA 276601,S200000,00200,0300,98506 276601,S200000,00300,0100,THURSTON 276601,S200000,00300,0200,5910 276601,S200000,00300,0300,U 276601,S200000,00400,0100,EVERGREEN NURSING AND REHABILITATION 276601,S200000,00400,0200,505243 276601,S200000,00400,0300,01/01/97 276601,S200000,00400,0500,P 276601,S200000,01500,0100,N 276601,S200000,01600,0100,Y 276601,S200000,01700,0100,N 276601,S200000,01800,0100,N 276601,S200000,02200,0100,N 276601,S200000,02800,0100,N 276601,S200000,02900,0100,N 276601,S200000,03000,0100,N 276601,S200000,03100,0100,N 276601,S200000,03200,0100,N 276601,S200000,03300,0100,N 276601,S200000,03300,0200,N 276601,S200000,04100,0100,N 276601,S200000,04200,0100,N 276601,S200000,04300,0100,N 276601,S200000,04600,0100,N 276601,S200000,04700,0100,N 276601,S200000,04900,0100,N 276601,S200000,05200,0100,N 276602,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 276602,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 276602,A000000,00300,0000,0300EMPLOYEE BENEFITS 276602,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 276602,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 276602,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 276602,A000000,00700,0000,0700HOUSEKEEPING 276602,A000000,00800,0000,0800DIETARY 276602,A000000,00900,0000,0900NURSING ADMINISTRATION 276602,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 276602,A000000,01100,0000,1100PHARMACY 276602,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 276602,A000000,01300,0000,1300SOCIAL SERVICE 276602,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 276602,A000000,01600,0000,1600SKILLED NURSING FACILITY 276602,A000000,01800,0000,1800NURSING FACILITY 276602,A000000,01810,0000,1810ICF/MR 276602,A000000,02100,0000,2100RADIOLOGY 276602,A000000,02200,0000,2200LABORATORY 276602,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 276602,A000000,02500,0000,2500PHYSICAL THERAPY 276602,A000000,02600,0000,2600OCCUPATIONAL THERAPY 276602,A000000,02700,0000,2700SPEECH PATHOLOGY 276602,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 276602,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 276602,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 276602,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 276602,A000000,03302,0000,3052MEDICAL EQUIPMENT 276602,A000000,03550,0000,3550FQHC 276602,A000000,04801,0000,4801AMBULANCE 276602,A000000,04802,0000,4802AMBULANCE 276602,A000000,04803,0000,4803AMBULANCE 276602,A000000,05000,0000,5000CORF 276602,A000000,05010,0000,5010CMHC 276602,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 276602,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 276602,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 276602,A81000A,00100,0100,Y 276602,A81000B,00100,0300,HOME OFFICE A&G 276602,A81000B,00200,0300,HOME OFFICE CAPITAL 276602,A81000B,00300,0300,DIVISION OFFICE A&G 276602,A81000B,00500,0300,INSURANCE 276602,A81000C,00100,0100,B 276602,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 276602,A81000C,00200,0100,G 276602,A81000C,00200,0200,LAURIER INC. 276602,A81000C,00200,0400,EXTENDICARE INC. 276602,A81000C,00200,0600,INSURANCE 276602,A81000C,00300,0100,G 276602,A81000C,00300,0200,UNITED REHABILITATION SVS 276602,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 276602,A81000C,00300,0600,THERAPY SERVICE 276602,A81000C,00400,0100,G 276602,A81000C,00400,0200,UPC 276602,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 276602,A81000C,00400,0600,PHARMACY THERAPY 276602,B100000,00000,0100,0100SQUARE FEET 276602,B100000,00000,0200,0200SQUARE FEET 276602,B100000,00000,0300,0300GROSS SALARIES 276602,B100000,00000,0400,0400ACCUM COST 276602,B100000,00000,0500,0500SQUARE FEET 276602,B100000,00000,0600,0600PATIENT DAYS 276602,B100000,00000,0700,0700ALTERNATE SQUARE FEE 276602,B100000,00000,0800,0800PATIENT DAYS 276602,B100000,00000,0900,0900PATIENT DAYS 276602,B100000,00000,1000,1000COSTED REQUIS 276602,B100000,00000,1100,1100COSTED REQUIS 276602,B100000,00000,1200,1200GROSS REVENUE 276602,B100000,00000,1300,1300PATIENT DAYS 276602,B100000,00000,1400,1400ASSIGNED TIME 276602,E10A180,00301,0100,01/24/00 276602,E10A180,00301,0300,06/22/98 276602,E10A180,00350,0100,06/22/98 276602,E10A180,00350,0300,06/22/98 276602,E10A180,00501,0100,02/12/01 276602,E10A180,00501,0300,02/12/01 276602,E10A180,00550,0100,09/25/01 276602,E10A180,00550,0300,09/25/01 276602,S000000,00100,0200,06/19/00 276602,S200000,00100,0100,1015 NORTH GARRISON ROAD 276602,S200000,00200,0100,VANCOUVER 276602,S200000,00200,0200,WA 276602,S200000,00200,0300,98664 276602,S200000,00300,0100,CLARK 276602,S200000,00300,0200,6440 276602,S200000,00300,0300,U 276602,S200000,00400,0100,PACIFIC SPECIALTY AND REHAB 276602,S200000,00400,0200,505269 276602,S200000,00400,0300,02/01/89 276602,S200000,00400,0500,P 276602,S200000,01500,0100,N 276602,S200000,01600,0100,Y 276602,S200000,01700,0100,N 276602,S200000,01800,0100,N 276602,S200000,02200,0100,N 276602,S200000,02800,0100,N 276602,S200000,02900,0100,N 276602,S200000,03000,0100,N 276602,S200000,03100,0100,N 276602,S200000,03200,0100,N 276602,S200000,03300,0100,N 276602,S200000,03300,0200,N 276602,S200000,04100,0100,N 276602,S200000,04200,0100,N 276602,S200000,04300,0100,N 276602,S200000,04600,0100,N 276602,S200000,04700,0100,N 276602,S200000,04900,0100,N 276602,S200000,05200,0100,N 277132,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 277132,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 277132,A000000,00300,0000,0300EMPLOYEE BENEFITS 277132,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 277132,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 277132,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 277132,A000000,00700,0000,0700HOUSEKEEPING 277132,A000000,00800,0000,0800DIETARY 277132,A000000,00900,0000,0900NURSING ADMINISTRATION 277132,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 277132,A000000,01100,0000,1100PHARMACY 277132,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 277132,A000000,01300,0000,1300SOCIAL SERVICE 277132,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 277132,A000000,01500,0000,1350OTHER GENERAL SERVICES 277132,A000000,01600,0000,1600SKILLED NURSING FACILITY 277132,A000000,01800,0000,1800NURSING FACILITY 277132,A000000,01810,0000,1810ICF/MR 277132,A000000,02100,0000,2100RADIOLOGY 277132,A000000,02200,0000,2200LABORATORY 277132,A000000,02500,0000,2500PHYSICAL THERAPY 277132,A000000,02600,0000,2600OCCUPATIONAL THERAPY 277132,A000000,02700,0000,2700SPEECH PATHOLOGY 277132,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 277132,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 277132,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 277132,A000000,03550,0000,3550FQHC 277132,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 277132,A000000,05000,0000,5000CORF 277132,A000000,05010,0000,5010CMHC 277132,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 277132,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 277132,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 277132,A000000,05100,0000,4750OTHER REIMBURSABLE COST 277132,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 277132,A000000,05900,0000,5900BARBER & BEAUTY SHOP 277132,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 277132,A81000A,00100,0100,Y 277132,A81000B,00100,0300,MANAGEMENT FEES 277132,A81000C,00100,0100,B 277132,A81000C,00100,0400,CENTRAL MANAGEMENT CO INC 277132,A81000C,00100,0600,MANAGEMENT COMPANY 277132,B100000,00000,0100,0100SQUARE FEET 277132,B100000,00000,0200,0200SQUARE FEET 277132,B100000,00000,0300,0300GROSS SALARIES 277132,B100000,00000,0400,0400ACCUM. COST 277132,B100000,00000,0500,0500SQUARE FEET 277132,B100000,00000,0600,0600POUNDS OF LAUNDRY 277132,B100000,00000,0700,0700SQUARE FEET 277132,B100000,00000,0800,0800MEALS SERVED 277132,B100000,00000,0900,0900DIRECT NRSING HRS 277132,B100000,00000,1000,1000COSTED REQUIS. 277132,B100000,00000,1100,1100COSTED REQUIS. 277132,B100000,00000,1200,1200TIME SPENT 277132,B100000,00000,1300,1300TIME SPENT 277132,B100000,00000,1400,1400ASSIGNED TIME 277132,B100000,00000,1500,1350NO STATISTICS 277132,E10A180,00301,0100,04/05/00 277132,E10A180,00501,0100,10/25/00 277132,E10A180,00501,0300,10/25/00 277132,S000000,00100,0200,08/31/00 277132,S200000,00100,0100,370 WEST HICKORY AVENUE 277132,S200000,00200,0100,BASTROP 277132,S200000,00200,0200,LA 277132,S200000,00200,0300,71221 277132,S200000,00300,0100,MOREHOUSE 277132,S200000,00300,0200,1900 277132,S200000,00300,0300,R 277132,S200000,00400,0100,HICKORY MANOR NURSING HOME 277132,S200000,00400,0200,195461 277132,S200000,00400,0300,04/01/98 277132,S200000,00400,0500,P 277132,S200000,01500,0100,N 277132,S200000,01600,0100,Y 277132,S200000,01700,0100,N 277132,S200000,01800,0100,N 277132,S200000,02200,0100,N 277132,S200000,02800,0100,N 277132,S200000,02900,0100,N 277132,S200000,03000,0100,N 277132,S200000,03100,0100,N 277132,S200000,03200,0100,N 277132,S200000,03300,0100,N 277132,S200000,03300,0200,N 277132,S200000,04100,0100,N 277132,S200000,04200,0100,N 277132,S200000,04300,0100,Y 277132,S200000,04600,0100,N 277132,S200000,04700,0100,N 277132,S200000,04700,0200,N 277132,S200000,04900,0100,N 277132,S200000,05200,0100,N 278776,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 278776,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 278776,A000000,00300,0000,0300EMPLOYEE BENEFITS 278776,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 278776,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 278776,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 278776,A000000,00700,0000,0700HOUSEKEEPING 278776,A000000,00800,0000,0800DIETARY 278776,A000000,00900,0000,0900NURSING ADMINISTRATION 278776,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 278776,A000000,01100,0000,1100PHARMACY 278776,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 278776,A000000,01300,0000,1300SOCIAL SERVICE 278776,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 278776,A000000,01500,0000,1350ACTIVITIES 278776,A000000,01600,0000,1600SKILLED NURSING FACILITY 278776,A000000,01800,0000,1800NURSING FACILITY 278776,A000000,01810,0000,1810ICF/MR 278776,A000000,02200,0000,2200LABORATORY 278776,A000000,02300,0000,2300INTRAVENOUS THERAPY 278776,A000000,02500,0000,2500PHYSICAL THERAPY 278776,A000000,02600,0000,2600OCCUPATIONAL THERAPY 278776,A000000,02700,0000,2700SPEECH PATHOLOGY 278776,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 278776,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 278776,A000000,03550,0000,3550FQHC 278776,A000000,05000,0000,5000CORF 278776,A000000,05010,0000,5010CMHC 278776,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 278776,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 278776,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 278776,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CA 278776,A000000,05900,0000,5900BARBER & BEAUTY SHOP 278776,A000000,06300,0000,6150MARKETING 278776,A81000A,00100,0100,Y 278776,A81000B,00100,0300,HOME OFFICE COSTS 278776,A81000B,00200,0300,RELATED PARTY INT 278776,A81000B,00300,0300,PT ALLOCATION 278776,A81000B,00400,0300,OT ALLOCATION 278776,A81000B,00500,0300,ST ALLOCATION 278776,A81000B,00600,0300,ROUTINE SUPPLIES 278776,A81000C,00100,0100,A 278776,A81000C,00100,0200,FORREST PRESTON 278776,A81000C,00100,0400,LIFE CARE CENTE 278776,A81000C,00100,0600,NURSING HOME MN 278776,A81000C,00200,0100,A 278776,A81000C,00200,0200,FORREST PRESTON 278776,A81000C,00200,0400,MEDILIFE PHARMA 278776,A81000C,00200,0600,PHARMACY 278776,B100000,00000,0100,0100SQUARE FEET 278776,B100000,00000,0200,0200SQUARE FEET 278776,B100000,00000,0300,0300GROSS SALARIES 278776,B100000,00000,0400,0400ACCUM COST 278776,B100000,00000,0500,0500SQUARE FEET 278776,B100000,00000,0600,0600PATIENT DAYS 278776,B100000,00000,0700,0700SQUARE FEET 278776,B100000,00000,0800,0800MEALS SERVED 278776,B100000,00000,0900,0900DIRECT NRSG HRS 278776,B100000,00000,1000,1000COSTED REQUIS 278776,B100000,00000,1100,1100COSTED REQUIS 278776,B100000,00000,1200,1200GROSS REVENUE 278776,B100000,00000,1300,1300PATIENT DAYS 278776,B100000,00000,1400,1400ASSIGNED TIME 278776,B100000,00000,1500,1350PATIENT DAYS 278776,E10A180,00301,0100,08/17/99 278776,E10A180,00302,0100,03/25/99 278776,E10A180,00501,0300,03/01/00 278776,E10A180,00502,0100,07/27/01 278776,E10A180,00502,0300,07/27/01 278776,E10A180,00550,0100,03/01/00 278776,S000000,00100,0200,02/25/00 278776,S200000,00100,0100,2890 OCEAN BOULEVARD 278776,S200000,00200,0100,COOS BAY 278776,S200000,00200,0200,OR 278776,S200000,00200,0300,97420 278776,S200000,00300,0100,COOS 278776,S200000,00300,0300,R 278776,S200000,00400,0100,LIFE CARE CENTER OF COOS BAY 278776,S200000,00400,0200,385157 278776,S200000,00400,0300,01/01/78 278776,S200000,00400,0500,P 278776,S200000,00600,0200,385157 278776,S200000,00600,0300,01/01/78 278776,S200000,00600,0600,P 278776,S200000,01500,0100,N 278776,S200000,01600,0100,Y 278776,S200000,01700,0100,N 278776,S200000,01800,0100,N 278776,S200000,02200,0100,N 278776,S200000,02800,0100,N 278776,S200000,02900,0100,N 278776,S200000,03000,0100,N 278776,S200000,03100,0100,N 278776,S200000,03200,0100,N 278776,S200000,03300,0100,N 278776,S200000,03300,0200,N 278776,S200000,04100,0100,N 278776,S200000,04200,0100,N 278776,S200000,04300,0100,Y 278776,S200000,04600,0100,N 278776,S200000,04700,0100,N 278776,S200000,04900,0100,N 278776,S200000,05200,0100,N 278777,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 278777,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 278777,A000000,00300,0000,0300EMPLOYEE BENEFITS 278777,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 278777,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 278777,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 278777,A000000,00700,0000,0700HOUSEKEEPING 278777,A000000,00800,0000,0800DIETARY 278777,A000000,00900,0000,0900NURSING ADMINISTRATION 278777,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 278777,A000000,01100,0000,1100PHARMACY 278777,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 278777,A000000,01300,0000,1300SOCIAL SERVICE 278777,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 278777,A000000,01500,0000,1350ACTIVITIES 278777,A000000,01600,0000,1600SKILLED NURSING FACILITY 278777,A000000,01800,0000,1800NURSING FACILITY 278777,A000000,01810,0000,1810ICF/MR 278777,A000000,02100,0000,2100RADIOLOGY 278777,A000000,02200,0000,2200LABORATORY 278777,A000000,02300,0000,2300INTRAVENOUS THERAPY 278777,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 278777,A000000,02500,0000,2500PHYSICAL THERAPY 278777,A000000,02600,0000,2600OCCUPATIONAL THERAPY 278777,A000000,02700,0000,2700SPEECH PATHOLOGY 278777,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 278777,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 278777,A000000,03300,0000,3050OTHER ANCILLARY (SPECIFY) 278777,A000000,03301,0000,3051AMBULANCE 278777,A000000,03550,0000,3550FQHC 278777,A000000,05000,0000,5000CORF 278777,A000000,05010,0000,5010CMHC 278777,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 278777,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 278777,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 278777,A000000,05900,0000,5900BARBER & BEAUTY SHOP 278777,A81000A,00100,0100,Y 278777,A81000B,00100,0300,HOME OFFICE COSTS 278777,A81000B,00200,0300,H.O. COSTS - CAPITAL 278777,A81000B,00300,0300,RELATED PARTY INT 278777,A81000B,00400,0300,COMPUTER INTEREST 278777,A81000B,00500,0300,COMPUTER DEPREC 278777,A81000B,00600,0300,REHAB SERVICES 278777,A81000B,00700,0300,REHAB SERVICES 278777,A81000B,00800,0300,REHAB SERVICES 278777,A81000B,00900,0300,REHAB SERVICES 278777,A81000B,01000,0300,MED/SURG SUPPLIES 278777,A81000C,00100,0100,A 278777,A81000C,00100,0200,FORREST PRESTON 278777,A81000C,00100,0400,LIFE CARE CENTE 278777,A81000C,00100,0600,NRSG HOME MGMT 278777,A81000C,00200,0100,A 278777,A81000C,00200,0200,FORREST PRESTON 278777,A81000C,00200,0400,LIFE CARE CENTE 278777,A81000C,00200,0600,NRSG HOME MGMT 278777,A81000C,00300,0100,A 278777,A81000C,00300,0200,FORREST PRESTON 278777,A81000C,00300,0400,LIFE CARE CENTE 278777,A81000C,00300,0600,NRSG HOME MGMT 278777,A81000C,00400,0100,A 278777,A81000C,00400,0200,FORREST PRESTON 278777,A81000C,00400,0400,METLIFE 278777,A81000C,00400,0600,LEASING COMPANY 278777,A81000C,00500,0100,A 278777,A81000C,00500,0200,FORREST PRESTON 278777,A81000C,00500,0400,METLIFE 278777,A81000C,00500,0600,LEASING COMPANY 278777,A81000C,00600,0100,A 278777,A81000C,00600,0200,FORREST PRESTON 278777,A81000C,00600,0400,REHAB SUPPORT S 278777,A81000C,00600,0600,REHAB SERVICES 278777,A81000C,00700,0100,A 278777,A81000C,00700,0200,FORREST PRESTON 278777,A81000C,00700,0400,REHAB SUPPORT S 278777,A81000C,00700,0600,REHAB SERVICES 278777,A81000C,00800,0100,A 278777,A81000C,00800,0200,FORREST PRESTON 278777,A81000C,00800,0400,REHAB SUPPORT S 278777,A81000C,00800,0600,REHAB SERVICES 278777,A81000C,00900,0100,A 278777,A81000C,00900,0200,FORREST PRESTON 278777,A81000C,00900,0400,REHAB SUPPORT S 278777,A81000C,00900,0600,REHAB SERVICES 278777,A81000C,01000,0100,A 278777,A81000C,01000,0200,FORREST PRESTON 278777,A81000C,01000,0400,MEDILIFE PHARMA 278777,A81000C,01000,0600,PHARMACY SRVS 278777,B100000,00000,0100,0100(SQUARE FEET) 278777,B100000,00000,0200,0200(SQUARE FEET) 278777,B100000,00000,0300,0300(GROSS SALARIES) 278777,B100000,00000,0400,0400ACCUM COST 278777,B100000,00000,0500,0500(SQUARE FEET) 278777,B100000,00000,0600,0600PATIENT DAYS 278777,B100000,00000,0700,0700(SQUARE FEET) 278777,B100000,00000,0800,0800(MEALS SERVED) 278777,B100000,00000,0900,0900DIR. NRSG HOURS 278777,B100000,00000,1000,1000(COSTED REQUIS) 278777,B100000,00000,1100,1100(COSTED REQUIS) 278777,B100000,00000,1200,1200GROSS REVENUES 278777,B100000,00000,1300,1300PATIENT DAYS 278777,B100000,00000,1400,1400ASSIGNED TIME 278777,B100000,00000,1500,1350PATIENT DAYS 278777,E10A180,00301,0100,08/17/99 278777,E10A180,00501,0300,09/17/01 278777,E10A180,00550,0100,02/23/00 278777,E10A180,00551,0100,09/17/01 278777,E10A180,00551,0300,02/23/00 278777,S000000,00100,0200,02/21/00 278777,S200000,00100,0100,1101 SOUTH ALAMEDA 278777,S200000,00200,0100,CORPUS CHRISTI 278777,S200000,00200,0200,TX 278777,S200000,00200,0300,78404 278777,S200000,00300,0100,NUECES 278777,S200000,00300,0300,U 278777,S200000,00400,0100,ALAMEDA OAKS 278777,S200000,00400,0200,455687 278777,S200000,00400,0300,03/23/87 278777,S200000,00400,0500,P 278777,S200000,00600,0200,455687 278777,S200000,00600,0300,03/23/87 278777,S200000,00600,0600,O 278777,S200000,01500,0100,N 278777,S200000,01600,0100,Y 278777,S200000,01700,0100,N 278777,S200000,01800,0100,N 278777,S200000,02200,0100,Y 278777,S200000,02800,0100,N 278777,S200000,02900,0100,N 278777,S200000,03000,0100,N 278777,S200000,03100,0100,N 278777,S200000,03200,0100,N 278777,S200000,03300,0100,N 278777,S200000,03300,0200,N 278777,S200000,04100,0100,N 278777,S200000,04200,0100,N 278777,S200000,04300,0100,N 278777,S200000,04600,0100,N 278777,S200000,04700,0100,N 278777,S200000,04900,0100,N 278777,S200000,05200,0100,N 280595,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 280595,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 280595,A000000,00300,0000,0300EMPLOYEE BENEFITS 280595,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 280595,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 280595,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 280595,A000000,00700,0000,0700HOUSEKEEPING 280595,A000000,00800,0000,0800DIETARY 280595,A000000,00900,0000,0900NURSING ADMINISTRATION 280595,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 280595,A000000,01100,0000,1100PHARMACY 280595,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 280595,A000000,01300,0000,1300SOCIAL SERVICE 280595,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 280595,A000000,01600,0000,1600SKILLED NURSING FACILITY 280595,A000000,01800,0000,1800NURSING FACILITY 280595,A000000,01810,0000,1810ICF/MR 280595,A000000,02100,0000,2100RADIOLOGY 280595,A000000,02200,0000,2200LABORATORY 280595,A000000,02300,0000,2300INTRAVENOUS THERAPY 280595,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 280595,A000000,02500,0000,2500PHYSICAL THERAPY 280595,A000000,02600,0000,2600OCCUPATIONAL THERAPY 280595,A000000,02700,0000,2700SPEECH PATHOLOGY 280595,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 280595,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 280595,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 280595,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 280595,A000000,03302,0000,3052MEDICAL EQUIPMENT 280595,A000000,03550,0000,3550FQHC 280595,A000000,04801,0000,4801AMBULANCE 280595,A000000,04802,0000,4802AMBULANCE 280595,A000000,04803,0000,4803AMBULANCE 280595,A000000,05000,0000,5000CORF 280595,A000000,05010,0000,5010CMHC 280595,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 280595,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 280595,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 280595,A000000,06300,0000,6150ALF DIETARY SERVICES 280595,A81000A,00100,0100,N 280595,B100000,00000,0100,0100SQUARE FEET 280595,B100000,00000,0200,0200SQUARE FEET 280595,B100000,00000,0300,0300GROSS SALARIES 280595,B100000,00000,0400,0400ACCUM COST 280595,B100000,00000,0500,0500SQUARE FEET 280595,B100000,00000,0600,0600PATIENT DAYS 280595,B100000,00000,0700,0700ALTERNATE SQUARE FEE 280595,B100000,00000,0800,0800PATIENT DAYS 280595,B100000,00000,0900,0900PATIENT DAYS 280595,B100000,00000,1000,1000COSTED REQUIS 280595,B100000,00000,1100,1100COSTED REQUIS 280595,B100000,00000,1200,1200GROSS REVENUE 280595,B100000,00000,1300,1300PATIENT DAYS 280595,B100000,00000,1400,1400ASSIGNED TIME 280595,E10A180,00301,0100,01/24/00 280595,E10A180,00301,0300,01/24/00 280595,E10A180,00302,0100,05/31/00 280595,E10A180,00302,0300,05/31/00 280595,E10A180,00350,0100,05/31/00 280595,E10A180,00350,0300,05/31/00 280595,E10A180,00501,0100,02/12/01 280595,E10A180,00501,0300,02/12/01 280595,E10A180,00550,0100,09/27/01 280595,E10A180,00551,0300,09/27/01 280595,S000000,00100,0200,06/19/00 280595,S200000,00100,0100,R.D. #1 280595,S200000,00200,0100,SLIGO 280595,S200000,00200,0200,PA 280595,S200000,00200,0300,16255 280595,S200000,00300,0100,CLARION 280595,S200000,00300,0200,9939 280595,S200000,00300,0300,R 280595,S200000,00400,0100,CLARVIEW NURSING & REHABILITATION 280595,S200000,00400,0200,395458 280595,S200000,00400,0300,10/01/79 280595,S200000,00400,0500,P 280595,S200000,01500,0100,N 280595,S200000,01600,0100,Y 280595,S200000,01700,0100,N 280595,S200000,01800,0100,N 280595,S200000,02200,0100,N 280595,S200000,02800,0100,N 280595,S200000,02900,0100,N 280595,S200000,03000,0100,N 280595,S200000,03100,0100,N 280595,S200000,03200,0100,N 280595,S200000,03300,0100,N 280595,S200000,03300,0200,N 280595,S200000,04100,0100,N 280595,S200000,04200,0100,N 280595,S200000,04300,0100,N 280595,S200000,04600,0100,N 280595,S200000,04700,0100,N 280595,S200000,04900,0100,N 280595,S200000,05200,0100,N 280596,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 280596,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 280596,A000000,00300,0000,0300EMPLOYEE BENEFITS 280596,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 280596,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 280596,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 280596,A000000,00700,0000,0700HOUSEKEEPING 280596,A000000,00800,0000,0800DIETARY 280596,A000000,00900,0000,0900NURSING ADMINISTRATION 280596,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 280596,A000000,01100,0000,1100PHARMACY 280596,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 280596,A000000,01300,0000,1300SOCIAL SERVICE 280596,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 280596,A000000,01600,0000,1600SKILLED NURSING FACILITY 280596,A000000,01800,0000,1800NURSING FACILITY 280596,A000000,01810,0000,1810ICF/MR 280596,A000000,02100,0000,2100RADIOLOGY 280596,A000000,02200,0000,2200LABORATORY 280596,A000000,02300,0000,2300INTRAVENOUS THERAPY 280596,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 280596,A000000,02500,0000,2500PHYSICAL THERAPY 280596,A000000,02600,0000,2600OCCUPATIONAL THERAPY 280596,A000000,02700,0000,2700SPEECH PATHOLOGY 280596,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 280596,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 280596,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 280596,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 280596,A000000,03302,0000,3052MEDICAL EQUIPMENT 280596,A000000,03550,0000,3550FQHC 280596,A000000,04801,0000,4801AMBULANCE 280596,A000000,04802,0000,4802AMBULANCE 280596,A000000,04803,0000,4803AMBULANCE 280596,A000000,05000,0000,5000CORF 280596,A000000,05010,0000,5010CMHC 280596,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 280596,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 280596,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 280596,A81000A,00100,0100,Y 280596,A81000B,00100,0300,HOME OFFICE A&G 280596,A81000B,00200,0300,HOME OFFICE CAPITAL 280596,A81000B,00300,0300,DIVISION OFFICE A&G 280596,A81000B,00500,0300,INSURANCE 280596,A81000C,00100,0100,B 280596,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 280596,A81000C,00200,0100,G 280596,A81000C,00200,0200,LAURIER INC. 280596,A81000C,00200,0400,EXTENDICARE INC. 280596,A81000C,00200,0600,INSURANCE 280596,A81000C,00300,0100,G 280596,A81000C,00300,0200,UNITED REHABILITATION SVS 280596,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 280596,A81000C,00300,0600,THERAPY SERVICE 280596,A81000C,00400,0100,G 280596,A81000C,00400,0200,UPC 280596,A81000C,00400,0400,EXTENDICARE HEALTH SERV. 280596,A81000C,00400,0600,PHARMACY THERAPY 280596,B100000,00000,0100,0100SQUARE FEET 280596,B100000,00000,0200,0200SQUARE FEET 280596,B100000,00000,0300,0300GROSS SALARIES 280596,B100000,00000,0400,0400ACCUM COST 280596,B100000,00000,0500,0500SQUARE FEET 280596,B100000,00000,0600,0600PATIENT DAYS 280596,B100000,00000,0700,0700ALTERNATE SQUARE FEE 280596,B100000,00000,0800,0800PATIENT DAYS 280596,B100000,00000,0900,0900PATIENT DAYS 280596,B100000,00000,1000,1000COSTED REQUIS 280596,B100000,00000,1100,1100COSTED REQUIS 280596,B100000,00000,1200,1200GROSS REVENUE 280596,B100000,00000,1300,1300PATIENT DAYS 280596,B100000,00000,1400,1400ASSIGNED TIME 280596,E10A180,00301,0100,01/24/00 280596,E10A180,00301,0300,06/22/98 280596,E10A180,00302,0100,05/31/00 280596,E10A180,00302,0300,05/31/00 280596,E10A180,00350,0100,05/31/00 280596,E10A180,00350,0300,05/31/00 280596,E10A180,00501,0100,02/12/01 280596,E10A180,00501,0300,02/12/01 280596,E10A180,00550,0100,09/27/01 280596,E10A180,00550,0300,09/27/01 280596,S000000,00100,0200,06/19/00 280596,S200000,00100,0100,1277 COUNTRY CLUB ROAD 280596,S200000,00200,0100,MONONGAHELA 280596,S200000,00200,0200,PA 280596,S200000,00200,0300,15063 280596,S200000,00300,0100,WASHINGTON 280596,S200000,00300,0200,6280 280596,S200000,00300,0300,U 280596,S200000,00400,0100,HAVENCREST NURSING CENTER 280596,S200000,00400,0200,395633 280596,S200000,00400,0300,02/18/84 280596,S200000,00400,0500,P 280596,S200000,01500,0100,N 280596,S200000,01600,0100,Y 280596,S200000,01700,0100,N 280596,S200000,01800,0100,N 280596,S200000,02200,0100,N 280596,S200000,02800,0100,N 280596,S200000,02900,0100,N 280596,S200000,03000,0100,N 280596,S200000,03100,0100,N 280596,S200000,03200,0100,N 280596,S200000,03300,0100,N 280596,S200000,03300,0200,N 280596,S200000,04100,0100,N 280596,S200000,04200,0100,N 280596,S200000,04300,0100,N 280596,S200000,04600,0100,N 280596,S200000,04700,0100,N 280596,S200000,04900,0100,N 280596,S200000,05200,0100,N 280597,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 280597,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 280597,A000000,00300,0000,0300EMPLOYEE BENEFITS 280597,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 280597,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 280597,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 280597,A000000,00700,0000,0700HOUSEKEEPING 280597,A000000,00800,0000,0800DIETARY 280597,A000000,00900,0000,0900NURSING ADMINISTRATION 280597,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 280597,A000000,01100,0000,1100PHARMACY 280597,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 280597,A000000,01300,0000,1300SOCIAL SERVICE 280597,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 280597,A000000,01600,0000,1600SKILLED NURSING FACILITY 280597,A000000,01800,0000,1800NURSING FACILITY 280597,A000000,01810,0000,1810ICF/MR 280597,A000000,02100,0000,2100RADIOLOGY 280597,A000000,02200,0000,2200LABORATORY 280597,A000000,02300,0000,2300INTRAVENOUS THERAPY 280597,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 280597,A000000,02500,0000,2500PHYSICAL THERAPY 280597,A000000,02600,0000,2600OCCUPATIONAL THERAPY 280597,A000000,02700,0000,2700SPEECH PATHOLOGY 280597,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 280597,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 280597,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 280597,A000000,03301,0000,3051AIR FLUIDIZED THERAPY 280597,A000000,03302,0000,3052MEDICAL EQUIPMENT 280597,A000000,03550,0000,3550FQHC 280597,A000000,04801,0000,4801AMBULANCE 280597,A000000,04802,0000,4802AMBULANCE 280597,A000000,04803,0000,4803AMBULANCE 280597,A000000,05000,0000,5000CORF 280597,A000000,05010,0000,5010CMHC 280597,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 280597,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 280597,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 280597,A81000A,00100,0100,Y 280597,A81000B,00100,0300,HOME OFFICE A&G 280597,A81000B,00200,0300,HOME OFFICE CAPITAL 280597,A81000B,00300,0300,DIVISION OFFICE A&G 280597,A81000B,00500,0300,INSURANCE 280597,A81000C,00100,0100,B 280597,A81000C,00100,0200,EXTENDICARE HEALTH SERV. 280597,A81000C,00200,0100,G 280597,A81000C,00200,0200,LAURIER INC. 280597,A81000C,00200,0400,EXTENDICARE INC. 280597,A81000C,00200,0600,INSURANCE 280597,A81000C,00300,0100,G 280597,A81000C,00300,0200,UNITED REHABILITATION SVS 280597,A81000C,00300,0400,EXTENDICARE HEALTH SERV. 280597,A81000C,00300,0600,THERAPY SERVICE 280597,B100000,00000,0100,0100SQUARE FEET 280597,B100000,00000,0200,0200SQUARE FEET 280597,B100000,00000,0300,0300GROSS SALARIES 280597,B100000,00000,0400,0400ACCUM COST 280597,B100000,00000,0500,0500SQUARE FEET 280597,B100000,00000,0600,0600PATIENT DAYS 280597,B100000,00000,0700,0700ALTERNATE SQUARE FEE 280597,B100000,00000,0800,0800PATIENT DAYS 280597,B100000,00000,0900,0900PATIENT DAYS 280597,B100000,00000,1000,1000COSTED REQUIS 280597,B100000,00000,1100,1100COSTED REQUIS 280597,B100000,00000,1200,1200GROSS REVENUE 280597,B100000,00000,1300,1300PATIENT DAYS 280597,B100000,00000,1400,1400ASSIGNED TIME 280597,E10A180,00301,0100,01/24/00 280597,E10A180,00301,0300,06/22/98 280597,E10A180,00350,0100,06/22/98 280597,E10A180,00350,0300,06/22/98 280597,E10A180,00501,0300,05/05/00 280597,E10A180,00502,0300,02/12/01 280597,E10A180,00550,0100,05/05/00 280597,E10A180,00550,0300,09/27/01 280597,E10A180,00551,0100,09/27/01 280597,S000000,00100,0200,05/16/00 280597,S200000,00100,0100,110 WEST CLIFF DRIVE 280597,S200000,00200,0100,SPOKANE 280597,S200000,00200,0200,WA 280597,S200000,00200,0300,99204 280597,S200000,00300,0100,SPOKANE 280597,S200000,00300,0200,7840 280597,S200000,00300,0300,U 280597,S200000,00400,0100,SOUTHCREST SUBACUTE & SPECIALTY CARE 280597,S200000,00400,0200,505207 280597,S200000,00400,0300,05/01/84 280597,S200000,00400,0500,P 280597,S200000,01500,0100,N 280597,S200000,01600,0100,Y 280597,S200000,01700,0100,N 280597,S200000,01800,0100,N 280597,S200000,02200,0100,N 280597,S200000,02800,0100,N 280597,S200000,02900,0100,N 280597,S200000,03000,0100,N 280597,S200000,03100,0100,Y 280597,S200000,03200,0100,N 280597,S200000,03300,0100,N 280597,S200000,03300,0200,N 280597,S200000,04100,0100,N 280597,S200000,04200,0100,N 280597,S200000,04300,0100,N 280597,S200000,04600,0100,N 280597,S200000,04700,0100,N 280597,S200000,04700,0200,N 280597,S200000,04900,0100,N 280597,S200000,05200,0100,N 293752,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 293752,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 293752,A000000,00300,0000,0300EMPLOYEE BENEFITS 293752,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 293752,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 293752,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 293752,A000000,00700,0000,0700HOUSEKEEPING 293752,A000000,00800,0000,0800DIETARY 293752,A000000,00900,0000,0900NURSING ADMINISTRATION 293752,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 293752,A000000,01100,0000,1100PHARMACY 293752,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 293752,A000000,01300,0000,1300SOCIAL SERVICE 293752,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 293752,A000000,01500,0000,1350OTHER GENERAL SERVICES 293752,A000000,01600,0000,1600SKILLED NURSING FACILITY 293752,A000000,01800,0000,1800NURSING FACILITY 293752,A000000,01810,0000,1810ICF/MR 293752,A000000,01900,0000,1900OTHER LONG TERM CARE 293752,A000000,02200,0000,2200LABORATORY 293752,A000000,02500,0000,2500PHYSICAL THERAPY 293752,A000000,02600,0000,2600OCCUPATIONAL THERAPY 293752,A000000,02700,0000,2700SPEECH PATHOLOGY 293752,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 293752,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 293752,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 293752,A000000,03550,0000,3550FQHC 293752,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 293752,A000000,04801,0000,4801AMBULANCE 293752,A000000,04802,0000,4802AMBULANCE 293752,A000000,04803,0000,4803AMBULANCE 293752,A000000,05000,0000,5000CORF 293752,A000000,05010,0000,5010CMHC 293752,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 293752,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 293752,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 293752,A000000,05100,0000,4750OTHER REIMBURSABLE COST 293752,A000000,05300,0000,5300INTEREST EXPENSE 293752,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 293752,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 293752,A000000,05900,0000,5900BARBER & BEAUTY SHOP 293752,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 293752,A81000A,00100,0100,Y 293752,A81000B,00100,0300,MANAGEMENT FEES 293752,A81000C,00100,0100,A 293752,A81000C,00100,0200,GUY HOWARD 293752,A81000C,00100,0400,BENCHMARK MANAGEMENT & IN 293752,A81000C,00100,0600,MANAGEMENT COMPANY 293752,B100000,00000,0100,0100SQUARE FEET 293752,B100000,00000,0200,0200SQUARE FEET 293752,B100000,00000,0300,0300GROSS SALARY 293752,B100000,00000,0400,0400ACCUM COST 293752,B100000,00000,0500,0500SQUARE FEET 293752,B100000,00000,0600,0600PATIENT DAYS 293752,B100000,00000,0700,0700SQUARE FEET 293752,B100000,00000,0800,0800PATIENT DAYS 293752,B100000,00000,0900,0900TIME SPENT 293752,B100000,00000,1000,1000PATIENT DAYS 293752,B100000,00000,1100,1100PATIENT DAYS 293752,B100000,00000,1200,1200TIME SPENT 293752,B100000,00000,1300,1300TIME SPENT 293752,B100000,00000,1400,1400NO STATISTICS 293752,B100000,00000,1500,1350NO STATISTICS 293752,E10A180,00501,0100,07/31/00 293752,E10A180,00501,0300,07/31/00 293752,E10A180,00550,0100,06/27/00 293752,E10A180,00550,0300,06/27/00 293752,S000000,00100,0200,05/26/00 293752,S200000,00100,0100,6434 DALE DRIVE 293752,S200000,00200,0100,MARION 293752,S200000,00200,0200,MS 293752,S200000,00200,0300,39342 293752,S200000,00300,0100,LAUDERDALE 293752,S200000,00300,0200,0025 293752,S200000,00300,0300,R 293752,S200000,00400,0100,BENCHMARK HEALTHCARE INC 293752,S200000,00400,0200,255245 293752,S200000,00400,0300,05/01/97 293752,S200000,00400,0500,P 293752,S200000,00600,0200,255245 293752,S200000,00600,0300,05/01/97 293752,S200000,00600,0600,O 293752,S200000,01500,0100,N 293752,S200000,01600,0100,Y 293752,S200000,01700,0100,N 293752,S200000,01800,0100,N 293752,S200000,02200,0100,Y 293752,S200000,02800,0100,N 293752,S200000,02900,0100,N 293752,S200000,03000,0100,N 293752,S200000,03100,0100,N 293752,S200000,03200,0100,N 293752,S200000,03300,0100,N 293752,S200000,03300,0200,N 293752,S200000,04100,0100,N 293752,S200000,04200,0100,N 293752,S200000,04300,0100,N 293752,S200000,04600,0100,N 293752,S200000,04700,0100,N 293752,S200000,04700,0200,N 293752,S200000,04900,0100,N 293752,S200000,05200,0100,N 293817,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 293817,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 293817,A000000,00300,0000,0300EMPLOYEE BENEFITS 293817,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 293817,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 293817,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 293817,A000000,00700,0000,0700HOUSEKEEPING 293817,A000000,00800,0000,0800DIETARY 293817,A000000,00900,0000,0900NURSING ADMINISTRATION 293817,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 293817,A000000,01001,0000,1001CS&S HOUSESTOCK 293817,A000000,01100,0000,1100PHARMACY 293817,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 293817,A000000,01300,0000,1300SOCIAL SERVICE 293817,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 293817,A000000,01500,0000,1350ADMISSIONS 293817,A000000,01600,0000,1600SKILLED NURSING FACILITY 293817,A000000,01800,0000,1800NURSING FACILITY 293817,A000000,01810,0000,1810ICF/MR 293817,A000000,01900,0000,1900OTHER LONG TERM CARE 293817,A000000,02100,0000,2100RADIOLOGY 293817,A000000,02200,0000,2200LABORATORY 293817,A000000,02300,0000,2300INTRAVENOUS THERAPY 293817,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 293817,A000000,02500,0000,2500PHYSICAL THERAPY 293817,A000000,02600,0000,2600OCCUPATIONAL THERAPY 293817,A000000,02700,0000,2700SPEECH PATHOLOGY 293817,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 293817,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 293817,A000000,03300,0000,3050AIR FLUIDIZED BEDS 293817,A000000,03550,0000,3550FQHC 293817,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 293817,A000000,04801,0000,4801AMBULANCE 293817,A000000,04802,0000,4802AMBULANCE 293817,A000000,04803,0000,4803AMBULANCE 293817,A000000,05000,0000,5000CORF 293817,A000000,05010,0000,5010CMHC 293817,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 293817,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 293817,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 293817,A000000,05100,0000,4750OTHER REIMBURSABLE COST 293817,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 293817,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 293817,A81000A,00100,0100,Y 293817,A81000B,00100,0300,HOME OFFICE CAPITAL 293817,A81000B,00200,0300,HOME OFFICE INTEREST 293817,A81000B,00300,0300,HOME OFFICE A&G 293817,A81000B,00400,0300,PHARMACY CONSULTANT 293817,A81000B,00500,0300,OTC DRUGS 293817,A81000B,00600,0300,MEDICAL SUPPLIES 293817,A81000B,00700,0300,DRUGS 293817,A81000B,00800,0300,IV 293817,A81000C,00100,0100,B 293817,A81000C,00100,0200,MARINER P-A NETWORK INC. 293817,A81000C,00100,0600,HOME OFFICE 293817,A81000C,00200,0100,B 293817,A81000C,00200,0200,MARINER P-A NETWORK INC. 293817,A81000C,00200,0600,HOME OFFICE 293817,A81000C,00300,0100,B 293817,A81000C,00300,0200,MARINER P-A NETWORK INC. 293817,A81000C,00300,0600,HOME OFFICE 293817,A81000C,00400,0100,B 293817,A81000C,00400,0200,MARINER P-A NETWORK INC. 293817,A81000C,00400,0400,MARINER MED SERVICES (MMS 293817,A81000C,00400,0600,PHARMACY RX 293817,A81000C,00500,0100,B 293817,A81000C,00500,0200,MARINER P-A NETWORK INC. 293817,A81000C,00500,0400,MMS 293817,A81000C,00500,0600,RX 293817,A81000C,00600,0100,B 293817,A81000C,00600,0200,MARINER P-A NETWORK INC. 293817,A81000C,00600,0400,MMS 293817,A81000C,00600,0600,RX 293817,A81000C,00700,0100,B 293817,A81000C,00700,0200,MARINER P-A NETWORK INC. 293817,A81000C,00700,0400,MMS 293817,A81000C,00700,0600,RX 293817,A81000C,00800,0100,B 293817,A81000C,00800,0200,MARINER P-A NETWORK INC. 293817,A81000C,00800,0400,MMS 293817,A81000C,00800,0600,RX 293817,B100000,00000,0100,0100SQUARE FEET 293817,B100000,00000,0200,0200DOLLAR VALUE 293817,B100000,00000,0300,0300GROSS SALARIES 293817,B100000,00000,0400,0400ACCUM COST 293817,B100000,00000,0500,0500SQUARE FEET 293817,B100000,00000,0600,0600PATIENT DAYS 293817,B100000,00000,0700,0700SQUARE FEET MO 293817,B100000,00000,0800,0800PATIENT DAYS 293817,B100000,00000,0900,0900NURSING SALARIES 293817,B100000,00000,1000,1000COSTED REQUIS. 293817,B100000,00000,1001,1001COSTED REQUIS. 293817,B100000,00000,1100,1100COSTED REQUIS. 293817,B100000,00000,1200,1200GROSS REVENUE 293817,B100000,00000,1300,1300TIME SPENT 293817,B100000,00000,1400,1400ASSIGNED TIME 293817,B100000,00000,1500,1350NUMBER OF ADMISSIONS 293817,E10A180,00550,0300,10/06/99 293817,S000000,00100,0200,10/01/99 293817,S200000,00100,0100,1217 WEST FAYETTE STREET 293817,S200000,00200,0100,BALTIMORE 293817,S200000,00200,0200,MD 293817,S200000,00200,0300,21223 293817,S200000,00300,0100,BALTIMORE CITY 293817,S200000,00300,0200,0720 293817,S200000,00300,0300,U 293817,S200000,00400,0100,MARINER HEALTH OF MOUNT CLARE 293817,S200000,00400,0200,215183 293817,S200000,00400,0300,02/01/89 293817,S200000,00400,0500,P 293817,S200000,00600,0200,215183 293817,S200000,00600,0300,02/01/89 293817,S200000,00600,0600,O 293817,S200000,01500,0100,N 293817,S200000,01600,0100,Y 293817,S200000,01700,0100,N 293817,S200000,01800,0100,N 293817,S200000,02200,0100,N 293817,S200000,02800,0100,Y 293817,S200000,02900,0100,N 293817,S200000,03000,0100,N 293817,S200000,03100,0100,Y 293817,S200000,03200,0100,N 293817,S200000,03300,0100,N 293817,S200000,03300,0200,N 293817,S200000,04100,0100,N 293817,S200000,04200,0100,N 293817,S200000,04300,0100,N 293817,S200000,04600,0100,N 293817,S200000,04700,0100,N 293817,S200000,04900,0100,N 293817,S200000,05200,0100,N 294295,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 294295,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 294295,A000000,00300,0000,0300EMPLOYEE BENEFITS 294295,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 294295,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 294295,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 294295,A000000,00700,0000,0700HOUSEKEEPING 294295,A000000,00800,0000,0800DIETARY 294295,A000000,00900,0000,0900NURSING ADMINISTRATION 294295,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 294295,A000000,01100,0000,1100PHARMACY 294295,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 294295,A000000,01300,0000,1300SOCIAL SERVICE 294295,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 294295,A000000,01500,0000,1350OTHER GENERAL SERVICES 294295,A000000,01600,0000,1600SKILLED NURSING FACILITY 294295,A000000,01800,0000,1800NURSING FACILITY 294295,A000000,01810,0000,1810ICF/MR 294295,A000000,01900,0000,1900OTHER LONG TERM CARE 294295,A000000,02100,0000,2100RADIOLOGY 294295,A000000,02200,0000,2200LABORATORY 294295,A000000,02500,0000,2500PHYSICAL THERAPY 294295,A000000,02600,0000,2600OCCUPATIONAL THERAPY 294295,A000000,02700,0000,2700SPEECH PATHOLOGY 294295,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 294295,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 294295,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 294295,A000000,03550,0000,3550FQHC 294295,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 294295,A000000,04801,0000,4801AMBULANCE 294295,A000000,04802,0000,4802AMBULANCE 294295,A000000,04803,0000,4803AMBULANCE 294295,A000000,05000,0000,5000CORF 294295,A000000,05010,0000,5010CMHC 294295,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 294295,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 294295,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 294295,A000000,05100,0000,4750OTHER REIMBURSABLE COST 294295,A000000,05300,0000,5300INTEREST EXPENSE 294295,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 294295,A000000,05900,0000,5900BARBER & BEAUTY SHOP 294295,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 294295,A81000A,00100,0100,Y 294295,A81000B,00100,0300,MANAGEMENT FEES 294295,A81000B,00200,0300,OCCUPATIONAL THERAPY 294295,A81000B,00300,0300,PHYSICAL THERAPY 294295,A81000B,00400,0300,SPEECH THERAPY 294295,A81000C,00100,0100,B 294295,A81000C,00100,0400,DEACONESS LTC OF MO INC. 294295,A81000C,00100,0600,MANAGEMENT COMPANY 294295,A81000C,00200,0100,G 294295,A81000C,00200,0400,DECONESS ANCILLARY SVCS 294295,A81000C,00200,0600,THERAPY COMPANY 294295,B100000,00000,0100,0100SQUARE FEET 294295,B100000,00000,0200,0200DOLLAR VALUE 294295,B100000,00000,0300,0300GROSS SALARIES 294295,B100000,00000,0400,0400ACCUM COST 294295,B100000,00000,0500,0500SQUARE FEET 294295,B100000,00000,0600,0600POUNDS OF LAUNDRY 294295,B100000,00000,0700,0700SQUARE FEET 294295,B100000,00000,0800,0800MEALS SERVED 294295,B100000,00000,0900,0900DIRECT NRSING HRS 294295,B100000,00000,1000,1000COSTED REQUIS. 294295,B100000,00000,1100,1100COSTED REQUIS. 294295,B100000,00000,1200,1200TIME SPENT 294295,B100000,00000,1300,1300TIME SPENT 294295,B100000,00000,1400,1400ASSIGNED TIME 294295,B100000,00000,1500,1350NO STATISTICS 294295,E10A180,00501,0300,06/14/00 294295,S000000,00100,0200,05/22/00 294295,S200000,00100,0100,11901 JESSICA LANE 294295,S200000,00200,0100,RAYTOWN 294295,S200000,00200,0200,MO 294295,S200000,00200,0300,64138 294295,S200000,00300,0100,JACKSON 294295,S200000,00300,0200,3760 294295,S200000,00300,0300,U 294295,S200000,00400,0100,PARK PLACE CARE CENTER 294295,S200000,00400,0200,265444 294295,S200000,00400,0300,01/01/91 294295,S200000,00400,0500,P 294295,S200000,01500,0100,N 294295,S200000,01600,0100,Y 294295,S200000,01700,0100,N 294295,S200000,01800,0100,N 294295,S200000,02200,0100,N 294295,S200000,02800,0100,N 294295,S200000,02900,0100,N 294295,S200000,03000,0100,N 294295,S200000,03100,0100,N 294295,S200000,03200,0100,N 294295,S200000,03300,0100,N 294295,S200000,03300,0200,N 294295,S200000,04100,0100,N 294295,S200000,04200,0100,N 294295,S200000,04300,0100,N 294295,S200000,04600,0100,N 294295,S200000,04700,0100,N 294295,S200000,04900,0100,N 294295,S200000,05200,0100,N 294437,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 294437,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 294437,A000000,00300,0000,0300EMPLOYEE BENEFITS 294437,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 294437,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 294437,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 294437,A000000,00700,0000,0700HOUSEKEEPING 294437,A000000,00800,0000,0800DIETARY 294437,A000000,00900,0000,0900NURSING ADMINISTRATION 294437,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 294437,A000000,01100,0000,1100PHARMACY 294437,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 294437,A000000,01300,0000,1300SOCIAL SERVICE 294437,A000000,01301,0000,1301ACTIVITES 294437,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 294437,A000000,01500,0000,1350REHABILITATION 294437,A000000,01600,0000,1600SKILLED NURSING FACILITY 294437,A000000,01800,0000,1800NURSING FACILITY 294437,A000000,01810,0000,1810ICF/MR 294437,A000000,02200,0000,2200LABORATORY 294437,A000000,02500,0000,2500PHYSICAL THERAPY 294437,A000000,02600,0000,2600OCCUPATIONAL THERAPY 294437,A000000,02700,0000,2700SPEECH PATHOLOGY 294437,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 294437,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 294437,A000000,03300,0000,3050EQUIPMENT RENTAL 294437,A000000,03301,0000,3051PEN THERAPY 294437,A000000,03550,0000,3550FQHC 294437,A000000,04801,0000,4801AMBULANCE 294437,A000000,04802,0000,4802AMBULANCE 294437,A000000,04803,0000,4803AMBULANCE 294437,A000000,05000,0000,5000CORF 294437,A000000,05010,0000,5010CMHC 294437,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 294437,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 294437,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 294437,A000000,05900,0000,5900BARBER & BEAUTY SHOP 294437,A000000,06300,0000,6150VENDING 294437,A000000,06301,0000,6151STAND-BY 294437,A81000A,00100,0100,Y 294437,A81000B,00100,0300,HOME OFFICE COST 294437,A81000B,00200,0300,DIETARY SUPPLEMENTS 294437,A81000B,00300,0300,NSG SUPPL/OSHA SUPP 294437,A81000B,00500,0300,MEDICAL SUPPLIES 294437,A81000B,00700,0300,HOME OFFICE INTEREST 294437,A81000B,01100,0300,PHYSICAL THERAPY 294437,A81000B,01200,0300,OCCUPATIONAL THERAPY 294437,A81000B,01300,0300,SPEECH THERAPY 294437,A81000B,01400,0300,PEN 294437,A81000C,00100,0100,B 294437,A81000C,00100,0200,COUNTRY BROOK 294437,A81000C,00100,0400,MARINER PAN 294437,A81000C,00100,0600,NURSING HOMES 294437,A81000C,00200,0100,G 294437,A81000C,00200,0200,MARINER PAN 294437,A81000C,00200,0400,AMER PHARM SVCS 294437,A81000C,00200,0600,PHARMACEUTICALS 294437,A81000C,00300,0100,G 294437,A81000C,00300,0200,MARINER PAN 294437,A81000C,00300,0400,PRISM-ATS-ARS-T 294437,A81000C,00300,0600,THERAPIES 294437,B100000,00000,0100,0100SQUARE FEET 294437,B100000,00000,0200,0200SQUARE FEET 294437,B100000,00000,0300,0300GROSS SALARIES 294437,B100000,00000,0400,0400ACCUM COST 294437,B100000,00000,0500,0500SQUARE FEET 294437,B100000,00000,0600,0600PATIENT DAYS 294437,B100000,00000,0700,0700SQUARE FEET 294437,B100000,00000,0800,0800MEALS SERVED 294437,B100000,00000,0900,0900DIR NURSIN HRS OF SVC 294437,B100000,00000,1000,1000PATIENT DAYS 294437,B100000,00000,1100,1100COSTED REQUIS 294437,B100000,00000,1200,1200PATIENT DAYS 294437,B100000,00000,1300,1300PATIENT DAYS 294437,B100000,00000,1301,1301PATIENT DAYS 294437,B100000,00000,1400,1400ASSIGNED TIME 294437,B100000,00000,1500,1350UNITS OF SERVICE 294437,S000000,00100,0200,08/31/00 294437,S200000,00100,0100,525 BROOKMAN DRIVE 294437,S200000,00200,0100,BROOKHAVEN 294437,S200000,00200,0200,MS 294437,S200000,00200,0300,39601 294437,S200000,00300,0100,LINCOLN 294437,S200000,00300,0200,0025 294437,S200000,00300,0300,R 294437,S200000,00400,0100,COUNTRY BROOK LIVING CENTER 294437,S200000,00400,0200,255162 294437,S200000,00400,0300,04/01/93 294437,S200000,00400,0500,P 294437,S200000,01500,0100,N 294437,S200000,01600,0100,Y 294437,S200000,01700,0100,N 294437,S200000,01800,0100,N 294437,S200000,02200,0100,Y 294437,S200000,02800,0100,N 294437,S200000,02900,0100,N 294437,S200000,03000,0100,N 294437,S200000,03100,0100,N 294437,S200000,03200,0100,N 294437,S200000,03300,0100,N 294437,S200000,03300,0200,N 294437,S200000,04100,0100,N 294437,S200000,04200,0100,N 294437,S200000,04300,0100,Y 294437,S200000,04600,0100,N 294437,S200000,04700,0100,N 294437,S200000,04900,0100,N 294437,S200000,05200,0100,N 305547,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 305547,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 305547,A000000,00300,0000,0300EMPLOYEE BENEFITS 305547,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 305547,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 305547,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 305547,A000000,00700,0000,0700HOUSEKEEPING 305547,A000000,00800,0000,0800DIETARY 305547,A000000,00900,0000,0900NURSING ADMINISTRATION 305547,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 305547,A000000,01100,0000,1100PHARMACY 305547,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 305547,A000000,01300,0000,1300SOCIAL SERVICE 305547,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 305547,A000000,01500,0000,1350RECREATION ACTIVITIES 305547,A000000,01600,0000,1600SKILLED NURSING FACILITY 305547,A000000,01800,0000,1800NURSING FACILITY 305547,A000000,01810,0000,1810ICF/MR 305547,A000000,02100,0000,2100RADIOLOGY 305547,A000000,02200,0000,2200LABORATORY 305547,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 305547,A000000,02500,0000,2500PHYSICAL THERAPY 305547,A000000,02600,0000,2600OCCUPATIONAL THERAPY 305547,A000000,02700,0000,2700SPEECH PATHOLOGY 305547,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 305547,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 305547,A000000,03300,0000,3050COMPLEX MEDICAL EQUIPMENT 305547,A000000,03301,0000,3051ENTERAL FEEDING 305547,A000000,03550,0000,3550FQHC 305547,A000000,05000,0000,5000CORF 305547,A000000,05010,0000,5010CMHC 305547,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 305547,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 305547,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 305547,A000000,05900,0000,5900BARBER & BEAUTY SHOP 305547,A000000,06300,0000,6150ENTERSTOMAL THERAPY 305547,A000000,06310,0000,6151ENTERAL FEE SCHEDULE 305547,A000000,06311,0000,6152HYPERBARIC OXYGEN THERAPY 305547,A000000,06312,0000,6153DIALYSIS 305547,A000000,06320,0000,6154APARTMENTS 305547,A000000,06330,0000,6155O/P RESPIRATORY THERAPY 305547,A000000,06340,0000,6156CLOSED PATIENT AREAS 305547,A000000,06350,0000,6157O/P ADULT DAYCARE 305547,A81000A,00100,0100,Y 305547,A81000B,00100,0300,HOME OFFICE CAPITAL COST 305547,A81000B,00200,0300,HOME OFFICE ADMIN & GEN 305547,A81000B,00300,0300,CLINICAL ALLOCATION 305547,A81000B,00400,0300,SYMPHONY REHAB 305547,A81000B,00500,0300,REHAB ALLOCATION 305547,A81000B,00600,0300,REHAB ALLOCATION 305547,A81000B,00700,0300,REHAB ALLOCATION 305547,A81000B,00800,0300,SYMPHONY MOBILE 305547,A81000C,00100,0100,B 305547,A81000C,00100,0400,IHS INC. 305547,A81000C,00100,0600,NURSING HOMES 305547,A81000C,00200,0100,G 305547,A81000C,00200,0400,SYMPHONY REHAB 305547,A81000C,00200,0600,REHAB SERVICES 305547,A81000C,00300,0100,G 305547,A81000C,00300,0400,LTC MED LAB 305547,A81000C,00300,0600,LABORATORY 305547,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 305547,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 305547,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 305547,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 305547,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 305547,B100000,00000,0700,0750(SQUARE FEET) :HOUSEKEEPING 305547,B100000,00000,0800,0850(PATIENT DAYS) :DIETARY 305547,B100000,00000,0900,0950(NURSING SALARIES) :NURSING ADM 305547,B100000,00000,1000,1000(COSTED REQUIS) :CENTRAL SERVIC 305547,B100000,00000,1200,1250(PATIENT DAYS) :MEDICAL RECORDS 305547,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 305547,B100000,00000,1500,1350(PATIENT DAYS) :RECREATION ACTI 305547,E10A180,00301,0100,09/18/00 305547,E10A180,00350,0100,01/03/00 305547,E10A180,00501,0100,12/26/00 305547,E10A180,00501,0300,10/30/00 305547,E10A180,00502,0100,11/27/01 305547,E10A180,00502,0300,11/27/01 305547,E10A180,00550,0100,10/30/00 305547,E10A180,00550,0300,12/26/00 305547,S000000,00100,0200,10/31/00 305547,S200000,00100,0100,1350 S. NOVA ROAD 305547,S200000,00200,0100,DAYTON BEACH 305547,S200000,00200,0200,FL 305547,S200000,00200,0300,32114- 305547,S200000,00300,0100,VOLUSIA 305547,S200000,00300,0200,2020 305547,S200000,00300,0300,U 305547,S200000,00400,0100,HORIZON HLTHCARE & SPECIALTY 305547,S200000,00400,0200,105580 305547,S200000,00400,0300,06/01/87 305547,S200000,00400,0500,P 305547,S200000,00600,0200,105580 305547,S200000,00600,0300,06/01/87 305547,S200000,00600,0600,O 305547,S200000,01500,0100,N 305547,S200000,01600,0100,Y 305547,S200000,01700,0100,N 305547,S200000,01800,0100,N 305547,S200000,02200,0100,Y 305547,S200000,02800,0100,N 305547,S200000,02900,0100,N 305547,S200000,03000,0100,N 305547,S200000,03100,0100,N 305547,S200000,03200,0100,N 305547,S200000,03300,0100,N 305547,S200000,03300,0200,N 305547,S200000,03500,0300,N 305547,S200000,04100,0100,N 305547,S200000,04200,0100,N 305547,S200000,04300,0100,N 305547,S200000,04600,0100,N 305547,S200000,04700,0100,N 305547,S200000,04700,0200,N 305547,S200000,04900,0100,N 305547,S200000,05000,0100,N 305547,S200000,05100,0100,N 305547,S200000,05200,0100,N 351209,S000000,00100,0200,08/21/01 351209,S200000,00100,0100,14333 OLD HAMMOND HWY 351209,S200000,00200,0100,BATON ROUGE 351209,S200000,00200,0200,LA 351209,S200000,00200,0300,70816 351209,S200000,00300,0100,EAST BATON ROUGE 351209,S200000,00400,0100,REGENCY PLACE CARE CENTER 351209,S200000,00400,0300,02/01/98 356641,S000000,00100,0200,04/02/01 356641,S200000,00100,0100,10145 FLORIDA BLVD 356641,S200000,00200,0100,BATON ROUGE 356641,S200000,00200,0200,LA 356641,S200000,00200,0300,70815 356641,S200000,00300,0100,E BATON ROUGE 356641,S200000,00400,0100,THE GUEST HOUSE 356641,S200000,00400,0300,02/01/98 356743,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 356743,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 356743,A000000,00300,0000,0300EMPLOYEE BENEFITS 356743,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 356743,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 356743,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 356743,A000000,00700,0000,0700HOUSEKEEPING 356743,A000000,00800,0000,0800DIETARY 356743,A000000,00900,0000,0900NURSING ADMINISTRATION 356743,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 356743,A000000,01100,0000,1100PHARMACY 356743,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 356743,A000000,01300,0000,1300SOCIAL SERVICE 356743,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 356743,A000000,01500,0000,1350DIVERSIONAL THERAPY 356743,A000000,01600,0000,1600SKILLED NURSING FACILITY 356743,A000000,01810,0000,1810ICF/MR 356743,A000000,02100,0000,2100RADIOLOGY 356743,A000000,02200,0000,2200LABORATORY 356743,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 356743,A000000,02500,0000,2500PHYSICAL THERAPY 356743,A000000,02600,0000,2600OCCUPATIONAL THERAPY 356743,A000000,02700,0000,2700SPEECH PATHOLOGY 356743,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 356743,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 356743,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 356743,A000000,03550,0000,3550FQHC 356743,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 356743,A000000,05000,0000,5000CORF 356743,A000000,05010,0000,5010CMHC 356743,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 356743,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 356743,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 356743,A000000,05100,0000,4750OTHER REIMBURSABLE COST 356743,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 356743,A000000,05900,0000,5900BARBER & BEAUTY SHOP 356743,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 356743,A81000A,00100,0100,Y 356743,A81000B,00100,0300,SUPPORT OVERHEAD COSTS 356743,A81000B,00200,0300,CORP SUPPORT - INTEREST 356743,A81000C,00100,0100,B 356743,A81000C,00100,0200,MLMH INC 356743,A81000C,00100,0400,MLMH 356743,A81000C,00100,0600,HOME OFFICE 356743,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 356743,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 356743,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 356743,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 356743,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 356743,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 356743,B100000,00000,0700,0700DIRECT HOURS :HOUSEKEEPING 356743,B100000,00000,0800,0800MEALS SERVED :DIETARY 356743,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 356743,B100000,00000,1200,1200TIME SPENT :MEDICAL RECORDS & L 356743,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 356743,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 356743,S000000,00100,0200,05/30/00 356743,S200000,00100,0100,700 REYNOLD SWEET PARK 356743,S200000,00200,0100,SOUTH LYON 356743,S200000,00200,0200,MI 356743,S200000,00200,0300,48178 356743,S200000,00300,0100,OAKLAND 356743,S200000,00300,0200,2160 356743,S200000,00300,0300,U 356743,S200000,00400,0100,SOUTH LYON 356743,S200000,00400,0200,235065 356743,S200000,00400,0300,01/01/98 356743,S200000,00400,0500,P 356743,S200000,01500,0100,Y 356743,S200000,01600,0100,N 356743,S200000,01700,0100,N 356743,S200000,01800,0100,N 356743,S200000,01900,0100,CORPORATION 356743,S200000,02200,0100,N 356743,S200000,02800,0100,N 356743,S200000,02900,0100,N 356743,S200000,03000,0100,N 356743,S200000,03100,0100,N 356743,S200000,03200,0100,N 356743,S200000,03300,0100,N 356743,S200000,03300,0200,N 356743,S200000,03600,0100,N 356743,S200000,03600,0200,N 356743,S200000,04100,0100,N 356743,S200000,04200,0100,N 356743,S200000,04300,0100,N 356743,S200000,04600,0100,N 356743,S200000,04700,0100,N 356743,S200000,04700,0200,N 356743,S200000,04900,0100,N 356743,S200000,05000,0100,N 356743,S200000,05100,0100,N 356743,S200000,05200,0100,N 356745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 356745,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 356745,A000000,00300,0000,0300EMPLOYEE BENEFITS 356745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 356745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 356745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 356745,A000000,00700,0000,0700HOUSEKEEPING 356745,A000000,00800,0000,0800DIETARY 356745,A000000,00900,0000,0900NURSING ADMINISTRATION 356745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 356745,A000000,01100,0000,1100PHARMACY 356745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 356745,A000000,01300,0000,1300SOCIAL SERVICE 356745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 356745,A000000,01500,0000,1350DIVERSIONAL THERAPY 356745,A000000,01600,0000,1600SKILLED NURSING FACILITY 356745,A000000,01810,0000,1810ICF/MR 356745,A000000,02100,0000,2100RADIOLOGY 356745,A000000,02200,0000,2200LABORATORY 356745,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 356745,A000000,02500,0000,2500PHYSICAL THERAPY 356745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 356745,A000000,02700,0000,2700SPEECH PATHOLOGY 356745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 356745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 356745,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 356745,A000000,03550,0000,3550FQHC 356745,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 356745,A000000,05000,0000,5000CORF 356745,A000000,05010,0000,5010CMHC 356745,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 356745,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 356745,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 356745,A000000,05100,0000,4750OTHER REIMBURSABLE COST 356745,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 356745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 356745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 356745,A81000A,00100,0100,Y 356745,A81000B,00100,0300,SUPPORT OVERHEAD COSTS 356745,A81000B,00200,0300,CORP SUPPORT - INTEREST 356745,A81000C,00100,0100,B 356745,A81000C,00100,0200,MLMH INC. 356745,A81000C,00100,0400,MLMH INC. 356745,A81000C,00100,0600,HOME OFFICE 356745,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 356745,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 356745,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 356745,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 356745,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 356745,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 356745,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 356745,B100000,00000,0800,0800MEALS SERVED :DIETARY 356745,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 356745,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 356745,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 356745,S000000,00100,0200,05/30/00 356745,S200000,00100,0100,4322 MACKINAW RD 356745,S200000,00200,0100,SAGINAW 356745,S200000,00200,0200,MI 356745,S200000,00200,0300,48603 356745,S200000,00300,0100,SAGINAW 356745,S200000,00300,0200,6960 356745,S200000,00300,0300,U 356745,S200000,00400,0100,SAGINAW 356745,S200000,00400,0200,235113 356745,S200000,00400,0300,01/01/98 356745,S200000,00400,0500,P 356745,S200000,01500,0100,N 356745,S200000,01600,0100,N 356745,S200000,01700,0100,N 356745,S200000,01800,0100,N 356745,S200000,01900,0100,HEALTH CARE 356745,S200000,02200,0100,N 356745,S200000,02800,0100,N 356745,S200000,02900,0100,N 356745,S200000,03000,0100,N 356745,S200000,03100,0100,N 356745,S200000,03200,0100,N 356745,S200000,03300,0100,N 356745,S200000,03300,0200,N 356745,S200000,03600,0100,N 356745,S200000,03600,0200,N 356745,S200000,04100,0100,N 356745,S200000,04200,0100,N 356745,S200000,04300,0100,N 356745,S200000,04600,0100,N 356745,S200000,04700,0100,N 356745,S200000,04700,0200,N 356745,S200000,04900,0100,N 356745,S200000,05000,0100,N 356745,S200000,05100,0100,N 356745,S200000,05200,0100,N 357538,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 357538,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPMEN 357538,A000000,00300,0000,0300EMPLOYEE BENEFITS 357538,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 357538,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 357538,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 357538,A000000,00700,0000,0700HOUSEKEEPING 357538,A000000,00800,0000,0800DIETARY 357538,A000000,00900,0000,0900NURSING ADMINISTRATION 357538,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 357538,A000000,01100,0000,1100PHARMACY 357538,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 357538,A000000,01300,0000,1300SOCIAL SERVICE 357538,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 357538,A000000,01500,0000,1350DIVERSIONAL THERAPY 357538,A000000,01600,0000,1600SKILLED NURSING FACILITY 357538,A000000,01810,0000,1810ICF/MR 357538,A000000,02100,0000,2100RADIOLOGY 357538,A000000,02200,0000,2200LABORATORY 357538,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 357538,A000000,02500,0000,2500PHYSICAL THERAPY 357538,A000000,02600,0000,2600OCCUPATIONAL THERAPY 357538,A000000,02700,0000,2700SPEECH PATHOLOGY 357538,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 357538,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 357538,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 357538,A000000,03550,0000,3550FQHC 357538,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 357538,A000000,05000,0000,5000CORF 357538,A000000,05010,0000,5010CMHC 357538,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 357538,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 357538,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 357538,A000000,05100,0000,4750OTHER REIMBURSABLE COST 357538,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 357538,A000000,05900,0000,5900BARBER & BEAUTY SHOP 357538,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 357538,A81000A,00100,0100,Y 357538,A81000B,00100,0300,SUPPORT OVERHEAD COSTS 357538,A81000B,00200,0300,CORP SUPPORT - INTEREST 357538,A81000C,00100,0100,B 357538,A81000C,00100,0200,MLMH INC 357538,A81000C,00100,0400,MLMH 357538,A81000C,00100,0600,HOME OFFICE 357538,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 357538,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 357538,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 357538,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 357538,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 357538,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 357538,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 357538,B100000,00000,0800,0800MEALS SERVED :DIETARY 357538,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 357538,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 357538,B100000,00000,1500,1350TIME SPENT :DIVERSIONAL THERAPY 357538,S000000,00100,0200,05/30/00 357538,S200000,00100,0100,5091 WILLOGHBY RD. 357538,S200000,00200,0100,HOLT 357538,S200000,00200,0200,MI 357538,S200000,00200,0300,48842 357538,S200000,00300,0100,INGHAM 357538,S200000,00300,0200,4040 357538,S200000,00300,0300,U 357538,S200000,00400,0100,HOLT 357538,S200000,00400,0200,235279 357538,S200000,00400,0300,01/01/98 357538,S200000,00400,0500,P 357538,S200000,01500,0100,N 357538,S200000,01600,0100,N 357538,S200000,01700,0100,N 357538,S200000,01800,0100,N 357538,S200000,01900,0100,501 (C) (3) 357538,S200000,02200,0100,N 357538,S200000,02800,0100,N 357538,S200000,02900,0100,N 357538,S200000,03000,0100,N 357538,S200000,03100,0100,N 357538,S200000,03200,0100,N 357538,S200000,03300,0100,N 357538,S200000,03300,0200,N 357538,S200000,03600,0100,N 357538,S200000,03600,0200,N 357538,S200000,04100,0100,N 357538,S200000,04200,0100,N 357538,S200000,04300,0100,N 357538,S200000,04600,0100,N 357538,S200000,04700,0100,N 357538,S200000,04700,0200,N 357538,S200000,04900,0100,N 357538,S200000,05000,0100,N 357538,S200000,05100,0100,N 357538,S200000,05200,0100,N 387433,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 387433,A000000,00200,0000,0200CAP REL COSTS - MOVABLE EQUIPME 387433,A000000,00201,0000,0201CAP REL COSTS - INTEREST 387433,A000000,00300,0000,0300EMPLOYEE BENEFITS 387433,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 387433,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 387433,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 387433,A000000,00700,0000,0700HOUSEKEEPING 387433,A000000,00800,0000,0800DIETARY 387433,A000000,00900,0000,0900NURSING ADMINISTRATION 387433,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 387433,A000000,01100,0000,1100PHARMACY 387433,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 387433,A000000,01300,0000,1300SOCIAL SERVICE 387433,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 387433,A000000,01500,0000,1350OTHER GENERAL SERVICES 387433,A000000,01600,0000,1600SKILLED NURSING FACILITY 387433,A000000,01800,0000,1800NURSING FACILITY 387433,A000000,01810,0000,1810ICF/MR 387433,A000000,02500,0000,2500PHYSICAL THERAPY 387433,A000000,02600,0000,2600OCCUPATIONAL THERAPY 387433,A000000,02700,0000,2700SPEECH PATHOLOGY 387433,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 387433,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 387433,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 387433,A000000,03550,0000,3550FQHC 387433,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 387433,A000000,04801,0000,4801AMBULANCE 387433,A000000,04802,0000,4802AMBULANCE 387433,A000000,04803,0000,4803AMBULANCE 387433,A000000,05000,0000,5000CORF 387433,A000000,05010,0000,5010CMHC 387433,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 387433,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 387433,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 387433,A000000,05100,0000,4750OTHER REIMBURSABLE COST 387433,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 387433,A000000,05900,0000,5900BARBER & BEAUTY SHOP 387433,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 387433,A81000A,00100,0100,N 387433,B100000,00000,0100,0100SQUARE FEET 387433,B100000,00000,0200,0200SQUARE FEET 387433,B100000,00000,0201,0201SQUARE FEET 387433,B100000,00000,0300,0300GROSS SALARIES 387433,B100000,00000,0400,0400ACCUM COST 387433,B100000,00000,0500,0500RESIDENT DAYS 387433,B100000,00000,0600,0600RESIDENT DAYS 387433,B100000,00000,0700,0700RESIDENT DAYS 387433,B100000,00000,0800,0800MEALS SERVED 387433,B100000,00000,0900,0900RESIDENT DAYS 387433,B100000,00000,1000,1000COSTED REQUIS. 387433,B100000,00000,1100,1100COSTED REQUIS. 387433,B100000,00000,1200,1200RESIDENT DAYS 387433,B100000,00000,1300,1300RESIDENT DAYS 387433,B100000,00000,1400,1400ASSIGNED TIME 387433,B100000,00000,1500,1350DOLLAR VALUE 387433,S000000,00100,0200,05/23/00 387433,S200000,00100,0100,1410 WEST LINE STREET 387433,S200000,00100,0300,232 387433,S200000,00200,0100,PALMYRA 387433,S200000,00200,0200,MO 387433,S200000,00200,0300,63461 387433,S200000,00300,0100,MARION 387433,S200000,00300,0200,0026 387433,S200000,00300,0300,R 387433,S200000,00400,0100,MAPLE LAWN NURSING HOME 387433,S200000,00400,0200,265237 387433,S200000,00400,0300,05/09/94 387433,S200000,00400,0500,P 387433,S200000,01500,0100,N 387433,S200000,01600,0100,Y 387433,S200000,01700,0100,N 387433,S200000,01800,0100,N 387433,S200000,02200,0100,N 387433,S200000,02800,0100,N 387433,S200000,02900,0100,N 387433,S200000,03000,0100,N 387433,S200000,03100,0100,N 387433,S200000,03200,0100,N 387433,S200000,03300,0100,N 387433,S200000,03300,0200,N 387433,S200000,04100,0100,N 387433,S200000,04200,0100,N 387433,S200000,04300,0100,N 387433,S200000,04600,0100,N 387433,S200000,04700,0100,N 387433,S200000,04900,0100,N 387433,S200000,05200,0100,N 394739,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394739,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394739,A000000,00300,0000,0300EMPLOYEE BENEFITS 394739,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394739,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394739,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394739,A000000,00700,0000,0700HOUSEKEEPING 394739,A000000,00800,0000,0800DIETARY 394739,A000000,00900,0000,0900NURSING ADMINISTRATION 394739,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394739,A000000,01100,0000,1100PHARMACY 394739,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394739,A000000,01300,0000,1300SOCIAL SERVICE 394739,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394739,A000000,01500,0000,1350ACTIVITIES 394739,A000000,01600,0000,1600SKILLED NURSING FACILITY 394739,A000000,01800,0000,1800NURSING FACILITY 394739,A000000,01810,0000,1810ICF/MR 394739,A000000,01900,0000,1900OTHER LONG TERM CARE 394739,A000000,02200,0000,2200LABORATORY 394739,A000000,02300,0000,2300INTRAVENOUS THERAPY 394739,A000000,02500,0000,2500PHYSICAL THERAPY 394739,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394739,A000000,02700,0000,2700SPEECH PATHOLOGY 394739,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394739,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394739,A000000,03200,0000,3200SUPPORT SURFACES 394739,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394739,A000000,03550,0000,3550FQHC 394739,A000000,04801,0000,4801AMBULANCE 394739,A000000,04802,0000,4802AMBULANCE 394739,A000000,04803,0000,4803AMBULANCE 394739,A000000,05000,0000,5000CORF 394739,A000000,05010,0000,5010CMHC 394739,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394739,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394739,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394739,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394739,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394739,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394739,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394739,A81000A,00100,0100,Y 394739,A81000B,00100,0300,HOME OFFICE COST 394739,A81000B,00200,0300,PT ADMIN FEES 394739,A81000B,00300,0300,OT ADMIN FEES 394739,A81000B,00400,0300,ST ADMIN FEES 394739,A81000B,00500,0300,DIRECT INTEREST 394739,A81000C,00100,0100,B 394739,A81000C,00100,0200,MANOR CARE MOUNTAINSIDE 394739,A81000C,00100,0400,HCR MANORCARE INC. 394739,A81000C,00100,0600,LONG TERM CARE FACILITIES 394739,A81000C,00200,0100,B 394739,A81000C,00200,0200,MANOR CARE MOUNTAINSIDE 394739,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 394739,A81000C,00200,0600,THERAPY MANAGEMENT 394739,A81000C,00300,0100,B 394739,A81000C,00300,0200,MANOR CARE MOUNTAINSIDE 394739,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 394739,A81000C,00300,0600,THERAPY MANAGEMENT 394739,A81000C,00400,0100,B 394739,A81000C,00400,0200,MANOR CARE MOUNTAINSIDE 394739,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 394739,A81000C,00400,0600,THERAPY MANAGEMENT 394739,A81000C,00500,0100,B 394739,A81000C,00500,0200,MANOR CARE MOUNTAINSIDE 394739,A81000C,00500,0400,HCR MANORCARE INC. 394739,A81000C,00500,0600,LONG TERM CARE FACILITIES 394739,B100000,00000,0100,0100SQUARE FEET 394739,B100000,00000,0200,0200SQUARE FEET 394739,B100000,00000,0300,0300GROSS SALARIES 394739,B100000,00000,0400,0400ACCUM COST 394739,B100000,00000,0500,0500SQUARE FEET 394739,B100000,00000,0600,0600PATIENT DAYS 394739,B100000,00000,0700,0700SQUARE FEET 394739,B100000,00000,0800,0800MEALS SERVED 394739,B100000,00000,0900,0900NURSING WAGES 394739,B100000,00000,1000,1000PATIENT DAYS 394739,B100000,00000,1100,1100PATIENT DAYS 394739,B100000,00000,1200,1200PATIENT DAYS 394739,B100000,00000,1300,1300PATIENT DAYS 394739,B100000,00000,1400,1400PATIENT DAYS 394739,B100000,00000,1500,1350PATIENT DAYS 394739,E10A180,00501,0100,11/17/00 394739,E10A180,00501,0300,04/01/05 394739,E10A180,00502,0300,11/17/00 394739,E10A180,00550,0100,04/01/05 394739,S000000,00100,0200,10/30/00 394739,S200000,00100,0100,1180 ROUTE 22 WEST 394739,S200000,00200,0100,MOUNTAINSIDE 394739,S200000,00200,0200,NJ 394739,S200000,00200,0300,07092 394739,S200000,00300,0100,UNION 394739,S200000,00300,0200,5640 394739,S200000,00300,0300,U 394739,S200000,00400,0100,MANOR CARE MOUNTAINSIDE 394739,S200000,00400,0200,315259 394739,S200000,00400,0300,01/01/66 394739,S200000,00400,0500,P 394739,S200000,00400,0600,P 394739,S200000,01500,0100,N 394739,S200000,01600,0100,Y 394739,S200000,01700,0100,N 394739,S200000,01800,0100,N 394739,S200000,02200,0100,Y 394739,S200000,02800,0100,N 394739,S200000,02900,0100,N 394739,S200000,03000,0100,N 394739,S200000,03100,0100,N 394739,S200000,03200,0100,N 394739,S200000,03300,0100,N 394739,S200000,03300,0200,N 394739,S200000,04200,0100,N 394739,S200000,04300,0100,N 394739,S200000,04600,0100,N 394739,S200000,04700,0100,N 394739,S200000,04700,0200,N 394739,S200000,04900,0100,N 394739,S200000,05000,0100,N 394739,S200000,05200,0100,N 394745,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394745,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394745,A000000,00300,0000,0300EMPLOYEE BENEFITS 394745,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394745,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394745,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394745,A000000,00700,0000,0700HOUSEKEEPING 394745,A000000,00800,0000,0800DIETARY 394745,A000000,00900,0000,0900NURSING ADMINISTRATION 394745,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394745,A000000,01100,0000,1100PHARMACY 394745,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394745,A000000,01300,0000,1300SOCIAL SERVICE 394745,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394745,A000000,01500,0000,1350ACTIVITIES 394745,A000000,01600,0000,1600SKILLED NURSING FACILITY 394745,A000000,01800,0000,1800NURSING FACILITY 394745,A000000,01810,0000,1810ICF/MR 394745,A000000,02100,0000,2100RADIOLOGY 394745,A000000,02200,0000,2200LABORATORY 394745,A000000,02300,0000,2300INTRAVENOUS THERAPY 394745,A000000,02500,0000,2500PHYSICAL THERAPY 394745,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394745,A000000,02700,0000,2700SPEECH PATHOLOGY 394745,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394745,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394745,A000000,03200,0000,3200SUPPORT SURFACES 394745,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394745,A000000,03550,0000,3550FQHC 394745,A000000,04801,0000,4801AMBULANCE 394745,A000000,04802,0000,4802AMBULANCE 394745,A000000,04803,0000,4803AMBULANCE 394745,A000000,05000,0000,5000CORF 394745,A000000,05010,0000,5010CMHC 394745,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394745,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394745,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394745,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394745,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394745,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394745,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394745,A81000A,00100,0100,Y 394745,A81000B,00100,0300,HOME OFFICE COST 394745,A81000B,00200,0300,DIRECT INTEREST 394745,A81000B,00300,0300,PHYSICAL THERAPY 394745,A81000B,00400,0300,OCCUPATIONAL THERAPY 394745,A81000B,00500,0300,SPEECH THERAPY 394745,A81000C,00100,0100,B 394745,A81000C,00100,0200,MCHS MAYFIELD HEIGHTS 394745,A81000C,00100,0400,HCR MANORCARE INC. 394745,A81000C,00100,0600,LONG TERM CARE FACILITIES 394745,A81000C,00200,0100,B 394745,A81000C,00200,0200,MCHS MAYFIELD HEIGHTS 394745,A81000C,00200,0400,HCR MANORCARE INC. 394745,A81000C,00200,0600,LONG TERM CARE FACILITIES 394745,A81000C,00300,0100,B 394745,A81000C,00300,0200,MCHS MAYFIELD HEIGHTS 394745,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 394745,A81000C,00300,0600,THERAPY MANAGEMENT 394745,A81000C,00400,0100,B 394745,A81000C,00400,0200,MCHS MAYFIELD HEIGHTS 394745,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 394745,A81000C,00400,0600,THERAPY MANAGEMENT 394745,A81000C,00500,0100,B 394745,A81000C,00500,0200,MCHS MAYFIELD HEIGHTS 394745,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 394745,A81000C,00500,0600,THERAPY MANAGEMENT 394745,B100000,00000,0100,0100SQUARE FEET 394745,B100000,00000,0200,0200SQUARE FEET 394745,B100000,00000,0300,0300GROSS SALARIES 394745,B100000,00000,0400,0400ACCUM COST 394745,B100000,00000,0500,0500SQUARE FEET 394745,B100000,00000,0600,0600PATIENT DAYS 394745,B100000,00000,0700,0700SQUARE FEET 394745,B100000,00000,0800,0800MEALS SERVED 394745,B100000,00000,0900,0900NURSING WAGES 394745,B100000,00000,1000,1000PATIENT DAYS 394745,B100000,00000,1100,1100PATIENT DAYS 394745,B100000,00000,1200,1200PATIENT DAYS 394745,B100000,00000,1300,1300PATIENT DAYS 394745,B100000,00000,1400,1400PATIENT DAYS 394745,B100000,00000,1500,1350PATIENT DAYS 394745,E10A180,00501,0300,04/01/05 394745,E10A180,00502,0100,11/17/00 394745,E10A180,00502,0300,11/17/00 394745,E10A180,00550,0100,04/01/05 394745,S000000,00100,0200,10/20/00 394745,S200000,00100,0100,6757 MAYFIELD ROAD 394745,S200000,00200,0100,MAYFIELD HEIGHTS 394745,S200000,00200,0200,OH 394745,S200000,00200,0300,44124 394745,S200000,00300,0100,CUYAHOGA 394745,S200000,00300,0200,1680 394745,S200000,00300,0300,U 394745,S200000,00400,0100,MCHS MAYFIELD HEIGHTS 394745,S200000,00400,0200,365355 394745,S200000,00400,0300,01/01/66 394745,S200000,00400,0500,P 394745,S200000,00400,0600,P 394745,S200000,01500,0100,N 394745,S200000,01600,0100,Y 394745,S200000,01700,0100,N 394745,S200000,01800,0100,N 394745,S200000,02200,0100,Y 394745,S200000,02800,0100,N 394745,S200000,02900,0100,N 394745,S200000,03000,0100,N 394745,S200000,03100,0100,N 394745,S200000,03200,0100,N 394745,S200000,03300,0100,N 394745,S200000,03300,0200,N 394745,S200000,04200,0100,N 394745,S200000,04300,0100,N 394745,S200000,04600,0100,N 394745,S200000,04700,0100,N 394745,S200000,04700,0200,N 394745,S200000,04900,0100,N 394745,S200000,05000,0100,N 394745,S200000,05200,0100,N 394875,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394875,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394875,A000000,00300,0000,0300EMPLOYEE BENEFITS 394875,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394875,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394875,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394875,A000000,00700,0000,0700HOUSEKEEPING 394875,A000000,00800,0000,0800DIETARY 394875,A000000,00900,0000,0900NURSING ADMINISTRATION 394875,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394875,A000000,01100,0000,1100PHARMACY 394875,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394875,A000000,01300,0000,1300SOCIAL SERVICE 394875,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394875,A000000,01500,0000,1350ACTIVITIES 394875,A000000,01600,0000,1600SKILLED NURSING FACILITY 394875,A000000,01800,0000,1800NURSING FACILITY 394875,A000000,01810,0000,1810ICF/MR 394875,A000000,02200,0000,2200LABORATORY 394875,A000000,02300,0000,2300INTRAVENOUS THERAPY 394875,A000000,02500,0000,2500PHYSICAL THERAPY 394875,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394875,A000000,02700,0000,2700SPEECH PATHOLOGY 394875,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394875,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394875,A000000,03200,0000,3200SUPPORT SURFACES 394875,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394875,A000000,03550,0000,3550FQHC 394875,A000000,04801,0000,4801AMBULANCE 394875,A000000,04802,0000,4802AMBULANCE 394875,A000000,04803,0000,4803AMBULANCE 394875,A000000,05000,0000,5000CORF 394875,A000000,05010,0000,5010CMHC 394875,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394875,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394875,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394875,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394875,A000000,05300,0000,5300INTEREST EXPENSE 394875,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 394875,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394875,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394875,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394875,A81000A,00100,0100,Y 394875,A81000B,00100,0300,HOME OFFICE COST 394875,A81000B,00200,0300,PT ADMINISTRATION FEE 394875,A81000B,00300,0300,OT ADMINISTRATION FEE 394875,A81000B,00400,0300,ST ADMINISTRATION FEE 394875,A81000C,00100,0100,B 394875,A81000C,00100,0200,MCHS - SOUTH HOLLAND 394875,A81000C,00100,0400,HCR MANORCARE INC. 394875,A81000C,00100,0600,LONG TERM CARE FACILITIES 394875,A81000C,00200,0100,B 394875,A81000C,00200,0200,MCHS - SOUTH HOLLAND 394875,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 394875,A81000C,00200,0600,THERAPY MANAGEMENT 394875,A81000C,00300,0100,B 394875,A81000C,00300,0200,MCHS - SOUTH HOLLAND 394875,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 394875,A81000C,00300,0600,THERAPY MANAGEMENT 394875,A81000C,00400,0100,B 394875,A81000C,00400,0200,MCHS - SOUTH HOLLAND 394875,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 394875,A81000C,00400,0600,THERAPY MANAGEMENT 394875,A81000C,00500,0100,B 394875,B100000,00000,0100,0100SQUARE FEET 394875,B100000,00000,0200,0200SQUARE FEET 394875,B100000,00000,0300,0300GROSS SALARIES 394875,B100000,00000,0400,0400ACCUM COST 394875,B100000,00000,0500,0500SQUARE FEET 394875,B100000,00000,0600,0600PATIENT DAYS 394875,B100000,00000,0700,0700SQUARE FEET 394875,B100000,00000,0800,0800MEALS SERVED 394875,B100000,00000,0900,0900NURSING WAGES 394875,B100000,00000,1000,1000PATIENT DAYS 394875,B100000,00000,1100,1100PATIENT DAYS 394875,B100000,00000,1200,1200PATIENT DAYS 394875,B100000,00000,1300,1300PATIENT DAYS 394875,B100000,00000,1400,1400PATIENT DAYS 394875,B100000,00000,1500,1350PATIENT DAYS 394875,E10A180,00501,0100,11/17/00 394875,E10A180,00501,0300,04/01/05 394875,E10A180,00502,0300,11/17/00 394875,E10A180,00550,0100,04/01/05 394875,S000000,00100,0200,10/31/00 394875,S200000,00100,0100,2145 E. 170TH STREET 394875,S200000,00200,0100,SOUTH HOLLAND 394875,S200000,00200,0200,IL 394875,S200000,00200,0300,60473 394875,S200000,00300,0100,COOK 394875,S200000,00300,0200,1600 394875,S200000,00300,0300,U 394875,S200000,00400,0100,MCHS - SOUTH HOLLAND 394875,S200000,00400,0200,145608 394875,S200000,00400,0300,02/23/89 394875,S200000,00400,0500,P 394875,S200000,00400,0600,P 394875,S200000,01500,0100,N 394875,S200000,01600,0100,Y 394875,S200000,01700,0100,N 394875,S200000,01800,0100,N 394875,S200000,02200,0100,Y 394875,S200000,02800,0100,N 394875,S200000,02900,0100,N 394875,S200000,03000,0100,N 394875,S200000,03100,0100,N 394875,S200000,03200,0100,N 394875,S200000,03300,0100,N 394875,S200000,03300,0200,N 394875,S200000,04200,0100,N 394875,S200000,04300,0100,N 394875,S200000,04600,0100,N 394875,S200000,04700,0100,N 394875,S200000,04700,0200,N 394875,S200000,04900,0100,N 394875,S200000,05000,0100,N 394875,S200000,05200,0100,N 394876,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394876,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394876,A000000,00300,0000,0300EMPLOYEE BENEFITS 394876,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394876,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394876,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394876,A000000,00700,0000,0700HOUSEKEEPING 394876,A000000,00800,0000,0800DIETARY 394876,A000000,00900,0000,0900NURSING ADMINISTRATION 394876,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394876,A000000,01100,0000,1100PHARMACY 394876,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394876,A000000,01300,0000,1300SOCIAL SERVICE 394876,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394876,A000000,01500,0000,1350ACTIVITIES 394876,A000000,01600,0000,1600SKILLED NURSING FACILITY 394876,A000000,01800,0000,1800NURSING FACILITY 394876,A000000,01810,0000,1810ICF/MR 394876,A000000,02200,0000,2200LABORATORY 394876,A000000,02300,0000,2300INTRAVENOUS THERAPY 394876,A000000,02500,0000,2500PHYSICAL THERAPY 394876,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394876,A000000,02700,0000,2700SPEECH PATHOLOGY 394876,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394876,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394876,A000000,03200,0000,3200SUPPORT SURFACES 394876,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394876,A000000,03550,0000,3550FQHC 394876,A000000,04801,0000,4801AMBULANCE 394876,A000000,04802,0000,4802AMBULANCE 394876,A000000,04803,0000,4803AMBULANCE 394876,A000000,05000,0000,5000CORF 394876,A000000,05010,0000,5010CMHC 394876,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394876,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394876,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394876,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394876,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 394876,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394876,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394876,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394876,A81000A,00100,0100,Y 394876,A81000B,00100,0300,HOME OFFICE COST 394876,A81000B,00200,0300,DIRECT INTEREST 394876,A81000B,00300,0300,PT ADMINISTRATIVE SERVICES 394876,A81000B,00400,0300,OT ADMINISTRATIVE SERVICES 394876,A81000B,00500,0300,ST ADMINISTRATIVE SERVICES 394876,A81000C,00100,0100,B 394876,A81000C,00100,0200,MCHS DAVENPORT 394876,A81000C,00100,0400,HCR MANORCARE INC. 394876,A81000C,00100,0600,LONG TERM CARE FACILITIES 394876,A81000C,00200,0100,B 394876,A81000C,00200,0200,MCHS DAVENPORT 394876,A81000C,00200,0400,HCR MANORCARE INC. 394876,A81000C,00200,0600,LONG TERM CARE FACILITIES 394876,A81000C,00300,0100,B 394876,A81000C,00300,0200,MCHS DAVENPORT 394876,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 394876,A81000C,00300,0600,THERAPY MANAGEMENT 394876,A81000C,00400,0100,B 394876,A81000C,00400,0200,MCHS DAVENPORT 394876,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 394876,A81000C,00400,0600,THERAPY MANAGEMENT 394876,A81000C,00500,0100,B 394876,A81000C,00500,0200,MCHS DAVENPORT 394876,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 394876,A81000C,00500,0600,THERAPY MANAGEMENT 394876,B100000,00000,0100,0100SQUARE FEET 394876,B100000,00000,0200,0200SQUARE FEET 394876,B100000,00000,0300,0300GROSS SALARIES 394876,B100000,00000,0400,0400ACCUM COST 394876,B100000,00000,0500,0500SQUARE FEET 394876,B100000,00000,0600,0600PATIENT DAYS 394876,B100000,00000,0700,0700SQUARE FEET 394876,B100000,00000,0800,0800MEALS SERVED 394876,B100000,00000,0900,0900NURSING WAGES 394876,B100000,00000,1000,1000PATIENT DAYS 394876,B100000,00000,1100,1100PATIENT DAYS 394876,B100000,00000,1200,1200PATIENT DAYS 394876,B100000,00000,1300,1300PATIENT DAYS 394876,B100000,00000,1400,1400PATIENT DAYS 394876,B100000,00000,1500,1350PATIENT DAYS 394876,E10A180,00501,0100,11/17/00 394876,E10A180,00501,0300,04/01/05 394876,E10A180,00502,0300,11/17/00 394876,E10A180,00550,0100,04/01/05 394876,S000000,00100,0200,10/27/00 394876,S200000,00100,0100,815 E. LOCUST STREET 394876,S200000,00200,0100,DAVENPORT 394876,S200000,00200,0200,IA 394876,S200000,00200,0300,52803 394876,S200000,00300,0100,SCOTT 394876,S200000,00300,0200,1960 394876,S200000,00300,0300,U 394876,S200000,00400,0100,MCHS DAVENPORT 394876,S200000,00400,0200,165033 394876,S200000,00400,0300,01/01/67 394876,S200000,00400,0500,P 394876,S200000,00400,0600,P 394876,S200000,01500,0100,N 394876,S200000,01600,0100,Y 394876,S200000,01700,0100,N 394876,S200000,01800,0100,N 394876,S200000,02200,0100,Y 394876,S200000,02800,0100,N 394876,S200000,02900,0100,N 394876,S200000,03000,0100,N 394876,S200000,03100,0100,N 394876,S200000,03200,0100,N 394876,S200000,03300,0100,N 394876,S200000,03300,0200,N 394876,S200000,04200,0100,N 394876,S200000,04300,0100,N 394876,S200000,04600,0100,N 394876,S200000,04700,0100,N 394876,S200000,04700,0200,N 394876,S200000,04900,0100,N 394876,S200000,05000,0100,N 394876,S200000,05200,0100,N 394884,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394884,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394884,A000000,00300,0000,0300EMPLOYEE BENEFITS 394884,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394884,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394884,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394884,A000000,00700,0000,0700HOUSEKEEPING 394884,A000000,00800,0000,0800DIETARY 394884,A000000,00900,0000,0900NURSING ADMINISTRATION 394884,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394884,A000000,01100,0000,1100PHARMACY 394884,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394884,A000000,01300,0000,1300SOCIAL SERVICE 394884,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394884,A000000,01500,0000,1350ACTIVITIES 394884,A000000,01600,0000,1600SKILLED NURSING FACILITY 394884,A000000,01800,0000,1800NURSING FACILITY 394884,A000000,01810,0000,1810ICF/MR 394884,A000000,02200,0000,2200LABORATORY 394884,A000000,02300,0000,2300INTRAVENOUS THERAPY 394884,A000000,02500,0000,2500PHYSICAL THERAPY 394884,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394884,A000000,02700,0000,2700SPEECH PATHOLOGY 394884,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394884,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394884,A000000,03200,0000,3200SUPPORT SURFACES 394884,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394884,A000000,03550,0000,3550FQHC 394884,A000000,04801,0000,4801AMBULANCE 394884,A000000,04802,0000,4802AMBULANCE 394884,A000000,04803,0000,4803AMBULANCE 394884,A000000,05000,0000,5000CORF 394884,A000000,05010,0000,5010CMHC 394884,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394884,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394884,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394884,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394884,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394884,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394884,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394884,A81000A,00100,0100,Y 394884,A81000B,00100,0300,HOME OFFICE COST 394884,A81000B,00200,0300,ADMIN FEES PT 394884,A81000B,00300,0300,ADMIN FEES OT 394884,A81000B,00400,0300,ADMIN FEES ST 394884,A81000C,00100,0100,B 394884,A81000C,00100,0200,HCR MANORCARE 394884,A81000C,00100,0400,HCR MANORCARE INC. 394884,A81000C,00100,0600,LONG TERM CARE FACILITIES 394884,A81000C,00200,0100,B 394884,A81000C,00200,0200,MCHS FARGO 394884,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 394884,A81000C,00200,0600,THERAPY MANAGEMENT 394884,A81000C,00300,0100,B 394884,A81000C,00300,0200,MCHS FARGO 394884,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 394884,A81000C,00300,0600,THERAPY MANAGEMENT 394884,A81000C,00400,0100,B 394884,A81000C,00400,0200,MCHS FARGO 394884,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 394884,A81000C,00400,0600,THERAPY MANAGEMENT 394884,B100000,00000,0100,0100SQUARE FEET 394884,B100000,00000,0200,0200SQUARE FEET 394884,B100000,00000,0300,0300GROSS SALARIES 394884,B100000,00000,0400,0400ACCUM COST 394884,B100000,00000,0500,0500SQUARE FEET 394884,B100000,00000,0600,0600PATIENT DAYS 394884,B100000,00000,0700,0700SQUARE FEET 394884,B100000,00000,0800,0800MEALS SERVED 394884,B100000,00000,0900,0900NURSING WAGES 394884,B100000,00000,1000,1000PATIENT DAYS 394884,B100000,00000,1100,1100PATIENT DAYS 394884,B100000,00000,1200,1200PATIENT DAYS 394884,B100000,00000,1300,1300PATIENT DAYS 394884,B100000,00000,1400,1400PATIENT DAYS 394884,B100000,00000,1500,1350PATIENT DAYS 394884,E10A180,00501,0100,11/17/00 394884,E10A180,00501,0300,04/01/05 394884,E10A180,00502,0300,11/17/00 394884,E10A180,00550,0100,04/01/05 394884,S000000,00100,0200,10/31/00 394884,S200000,00100,0100,1315 S. UNIVERSITY DRIVE 394884,S200000,00200,0100,FARGO 394884,S200000,00200,0200,ND 394884,S200000,00200,0300,58103 394884,S200000,00300,0100,CASS 394884,S200000,00300,0200,2520 394884,S200000,00300,0300,U 394884,S200000,00400,0100,MCHS - FARGO 394884,S200000,00400,0200,355024 394884,S200000,00400,0300,03/01/67 394884,S200000,00400,0500,P 394884,S200000,00400,0600,P 394884,S200000,01500,0100,N 394884,S200000,01600,0100,Y 394884,S200000,01700,0100,N 394884,S200000,01800,0100,N 394884,S200000,02200,0100,N 394884,S200000,02800,0100,N 394884,S200000,02900,0100,N 394884,S200000,03000,0100,N 394884,S200000,03100,0100,N 394884,S200000,03200,0100,N 394884,S200000,03300,0100,N 394884,S200000,03300,0200,N 394884,S200000,04200,0100,N 394884,S200000,04300,0100,N 394884,S200000,04600,0100,N 394884,S200000,04700,0100,N 394884,S200000,04700,0200,N 394884,S200000,04900,0100,N 394884,S200000,05000,0100,N 394884,S200000,05200,0100,N 394886,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394886,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394886,A000000,00300,0000,0300EMPLOYEE BENEFITS 394886,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394886,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394886,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394886,A000000,00700,0000,0700HOUSEKEEPING 394886,A000000,00800,0000,0800DIETARY 394886,A000000,00900,0000,0900NURSING ADMINISTRATION 394886,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394886,A000000,01100,0000,1100PHARMACY 394886,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394886,A000000,01300,0000,1300SOCIAL SERVICE 394886,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394886,A000000,01500,0000,1350ACTIVITIES 394886,A000000,01600,0000,1600SKILLED NURSING FACILITY 394886,A000000,01800,0000,1800NURSING FACILITY 394886,A000000,01810,0000,1810ICF/MR 394886,A000000,02200,0000,2200LABORATORY 394886,A000000,02300,0000,2300INTRAVENOUS THERAPY 394886,A000000,02500,0000,2500PHYSICAL THERAPY 394886,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394886,A000000,02700,0000,2700SPEECH PATHOLOGY 394886,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394886,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394886,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394886,A000000,03550,0000,3550FQHC 394886,A000000,04801,0000,4801AMBULANCE 394886,A000000,04802,0000,4802AMBULANCE 394886,A000000,04803,0000,4803AMBULANCE 394886,A000000,05000,0000,5000CORF 394886,A000000,05010,0000,5010CMHC 394886,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394886,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394886,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394886,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394886,A000000,05300,0000,5300INTEREST EXPENSE 394886,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394886,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394886,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394886,A81000A,00100,0100,Y 394886,A81000B,00100,0300,HOME OFFICE COST 394886,A81000B,00200,0300,PT ADMINISTRATION FEES 394886,A81000B,00300,0300,OT ADMINISTRATION FEES 394886,A81000B,00400,0300,ST ADMINISTRATION FEES 394886,A81000C,00100,0100,B 394886,A81000C,00100,0200,MCHS - MIDWEST CITY 394886,A81000C,00100,0400,HCR MANORCARE INC. 394886,A81000C,00100,0600,LONG TERM CARE FACILITIES 394886,A81000C,00200,0100,B 394886,A81000C,00200,0200,MCHS - MIDWEST CITY 394886,A81000C,00200,0400,HEARTLAND HEALTHCARE SERV 394886,A81000C,00200,0600,THERAPY MANAGEMENT 394886,A81000C,00300,0100,B 394886,A81000C,00300,0200,MCHS - MIDWEST CITY 394886,A81000C,00300,0400,HEARTLAND HEALTHCARE SERV 394886,A81000C,00300,0600,THERAPY MANAGEMENT 394886,A81000C,00400,0100,B 394886,A81000C,00400,0200,MCHS - MIDWEST CITY 394886,A81000C,00400,0400,HEARTLAND HEALTHCARE SERV 394886,A81000C,00400,0600,THERAPY MANAGEMENT 394886,B100000,00000,0100,0100SQUARE FEET 394886,B100000,00000,0200,0200SQUARE FEET 394886,B100000,00000,0300,0300GROSS SALARIES 394886,B100000,00000,0400,0400ACCUM COST 394886,B100000,00000,0500,0500SQUARE FEET 394886,B100000,00000,0600,0600PATIENT DAYS 394886,B100000,00000,0700,0700SQUARE FEET 394886,B100000,00000,0800,0800MEALS SERVED 394886,B100000,00000,0900,0900NURSING WAGES 394886,B100000,00000,1000,1000PATIENT DAYS 394886,B100000,00000,1100,1100PATIENT DAYS 394886,B100000,00000,1200,1200PATIENT DAYS 394886,B100000,00000,1300,1300PATIENT DAYS 394886,B100000,00000,1400,1400PATIENT DAYS 394886,B100000,00000,1500,1350PATIENT DAYS 394886,E10A180,00501,0100,11/17/00 394886,E10A180,00501,0300,04/01/05 394886,E10A180,00502,0300,11/17/00 394886,E10A180,00550,0100,04/01/05 394886,S000000,00100,0200,10/31/00 394886,S200000,00100,0100,2900 PARKLAWN DRIVE 394886,S200000,00200,0100,OKLAHOMA CITY 394886,S200000,00200,0200,OK 394886,S200000,00200,0300,73110 394886,S200000,00300,0100,OKLAHOMA 394886,S200000,00300,0200,5880 394886,S200000,00300,0300,U 394886,S200000,00400,0100,FOUR SEASONS MIDWEST CITY 394886,S200000,00400,0200,375098 394886,S200000,00400,0300,06/02/90 394886,S200000,00400,0500,P 394886,S200000,00400,0600,P 394886,S200000,01500,0100,N 394886,S200000,01600,0100,Y 394886,S200000,01700,0100,N 394886,S200000,01800,0100,N 394886,S200000,02200,0100,Y 394886,S200000,02800,0100,N 394886,S200000,02900,0100,N 394886,S200000,03000,0100,N 394886,S200000,03100,0100,N 394886,S200000,03200,0100,N 394886,S200000,03300,0100,N 394886,S200000,03300,0200,N 394886,S200000,04200,0100,N 394886,S200000,04300,0100,N 394886,S200000,04600,0100,N 394886,S200000,04700,0100,N 394886,S200000,04700,0200,N 394886,S200000,04900,0100,N 394886,S200000,05000,0100,N 394886,S200000,05200,0100,N 394888,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394888,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394888,A000000,00300,0000,0300EMPLOYEE BENEFITS 394888,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394888,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394888,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394888,A000000,00700,0000,0700HOUSEKEEPING 394888,A000000,00800,0000,0800DIETARY 394888,A000000,00900,0000,0900NURSING ADMINISTRATION 394888,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394888,A000000,01100,0000,1100PHARMACY 394888,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394888,A000000,01300,0000,1300SOCIAL SERVICE 394888,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394888,A000000,01500,0000,1350ACTIVITIES 394888,A000000,01600,0000,1600SKILLED NURSING FACILITY 394888,A000000,01800,0000,1800NURSING FACILITY 394888,A000000,01810,0000,1810ICF/MR 394888,A000000,02200,0000,2200LABORATORY 394888,A000000,02300,0000,2300INTRAVENOUS THERAPY 394888,A000000,02500,0000,2500PHYSICAL THERAPY 394888,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394888,A000000,02700,0000,2700SPEECH PATHOLOGY 394888,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394888,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394888,A000000,03200,0000,3200SUPPORT SURFACES 394888,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394888,A000000,03550,0000,3550FQHC 394888,A000000,04801,0000,4801AMBULANCE 394888,A000000,04802,0000,4802AMBULANCE 394888,A000000,04803,0000,4803AMBULANCE 394888,A000000,05000,0000,5000CORF 394888,A000000,05010,0000,5010CMHC 394888,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394888,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394888,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394888,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394888,A000000,05300,0000,5300INTEREST EXPENSE 394888,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394888,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394888,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394888,A81000A,00100,0100,Y 394888,A81000B,00100,0300,HOME OFFICE COST 394888,A81000B,00200,0300,PT ADMINISTRATIVE FEES 394888,A81000B,00300,0300,OT ADMINISTRATIVE FEES 394888,A81000B,00400,0300,ST ADMINISTRATIVE FEES 394888,A81000B,00500,0300,DIRECT CORPORATE INTEREST 394888,A81000C,00100,0100,B 394888,A81000C,00100,0200,CHAMBERSBURG 394888,A81000C,00100,0400,HCR MANORCARE INC. 394888,A81000C,00100,0600,LONG TERM CARE FACILITIES 394888,A81000C,00200,0100,B 394888,A81000C,00200,0200,CHAMBERSBURG 394888,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 394888,A81000C,00200,0600,THERAPY MANAGEMENT 394888,A81000C,00300,0100,B 394888,A81000C,00300,0200,CHAMBERSBURG 394888,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 394888,A81000C,00300,0600,THERAPY MANAGEMENT 394888,A81000C,00400,0100,B 394888,A81000C,00400,0200,CHAMBERSBURG 394888,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 394888,A81000C,00400,0600,THERAPY MANAGEMENT 394888,B100000,00000,0100,0100SQUARE FEET 394888,B100000,00000,0200,0200SQUARE FEET 394888,B100000,00000,0300,0300GROSS SALARIES 394888,B100000,00000,0400,0400ACCUM COST 394888,B100000,00000,0500,0500SQUARE FEET 394888,B100000,00000,0600,0600PATIENT DAYS 394888,B100000,00000,0700,0700SQUARE FEET 394888,B100000,00000,0800,0800MEALS SERVED 394888,B100000,00000,0900,0900NURSING WAGES 394888,B100000,00000,1000,1000PATIENT DAYS 394888,B100000,00000,1100,1100PATIENT DAYS 394888,B100000,00000,1200,1200PATIENT DAYS 394888,B100000,00000,1300,1300PATIENT DAYS 394888,B100000,00000,1400,1400PATIENT DAYS 394888,B100000,00000,1500,1350PATIENT DAYS 394888,E10A180,00501,0100,04/01/05 394888,E10A180,00501,0300,04/01/05 394888,E10A180,00502,0100,11/17/00 394888,E10A180,00502,0300,11/17/00 394888,S000000,00100,0200,10/30/00 394888,S200000,00100,0100,1070 STOUFFER AVENUE 394888,S200000,00200,0100,CHAMBERSBURG 394888,S200000,00200,0200,PA 394888,S200000,00200,0300,17201 394888,S200000,00300,0100,FRANKLIN 394888,S200000,00300,0200,0039 394888,S200000,00300,0300,R 394888,S200000,00400,0100,CHAMBERSBURG 394888,S200000,00400,0200,395348 394888,S200000,00400,0300,01/01/77 394888,S200000,00400,0500,P 394888,S200000,00400,0600,P 394888,S200000,01500,0100,N 394888,S200000,01600,0100,Y 394888,S200000,01700,0100,N 394888,S200000,01800,0100,N 394888,S200000,02200,0100,Y 394888,S200000,02800,0100,N 394888,S200000,02900,0100,N 394888,S200000,03000,0100,N 394888,S200000,03100,0100,N 394888,S200000,03200,0100,N 394888,S200000,03300,0100,N 394888,S200000,03300,0200,N 394888,S200000,04200,0100,N 394888,S200000,04300,0100,N 394888,S200000,04600,0100,N 394888,S200000,04700,0100,N 394888,S200000,04700,0200,N 394888,S200000,04900,0100,N 394888,S200000,05000,0100,N 394888,S200000,05200,0100,N 394890,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394890,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394890,A000000,00300,0000,0300EMPLOYEE BENEFITS 394890,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394890,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394890,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394890,A000000,00700,0000,0700HOUSEKEEPING 394890,A000000,00800,0000,0800DIETARY 394890,A000000,00900,0000,0900NURSING ADMINISTRATION 394890,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394890,A000000,01100,0000,1100PHARMACY 394890,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394890,A000000,01300,0000,1300SOCIAL SERVICE 394890,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394890,A000000,01500,0000,1350ACTIVITIES 394890,A000000,01600,0000,1600SKILLED NURSING FACILITY 394890,A000000,01800,0000,1800NURSING FACILITY 394890,A000000,01810,0000,1810ICF/MR 394890,A000000,02200,0000,2200LABORATORY 394890,A000000,02300,0000,2300INTRAVENOUS THERAPY 394890,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 394890,A000000,02500,0000,2500PHYSICAL THERAPY 394890,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394890,A000000,02700,0000,2700SPEECH PATHOLOGY 394890,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394890,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394890,A000000,03200,0000,3200SUPPORT SURFACES 394890,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394890,A000000,03550,0000,3550FQHC 394890,A000000,04801,0000,4801AMBULANCE 394890,A000000,04802,0000,4802AMBULANCE 394890,A000000,04803,0000,4803AMBULANCE 394890,A000000,05000,0000,5000CORF 394890,A000000,05010,0000,5010CMHC 394890,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394890,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394890,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394890,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394890,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394890,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394890,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394890,A81000A,00100,0100,Y 394890,A81000B,00100,0300,HOME OFFICE COST 394890,A81000B,00200,0300,PT ADMINISTRATIVE FEES 394890,A81000B,00300,0300,OT ADMINISTRATIVE FEES 394890,A81000B,00400,0300,ST ADMINISTRATIVE FEES 394890,A81000B,00500,0300,DIRECT CORPORATE INTEREST 394890,A81000C,00100,0100,B 394890,A81000C,00100,0200,MCHS - KINGSTON EAST 394890,A81000C,00100,0400,HCR MANORCARE INC. 394890,A81000C,00100,0600,LONG TERM CARE FACILITIES 394890,A81000C,00200,0100,B 394890,A81000C,00200,0200,MCHS - KINGSTON EAST 394890,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 394890,A81000C,00200,0600,THERAPY MANAGEMENT 394890,A81000C,00300,0100,B 394890,A81000C,00300,0200,MCHS - KINGSTON EAST 394890,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 394890,A81000C,00300,0600,THERAPY MANAGEMENT 394890,A81000C,00400,0100,B 394890,A81000C,00400,0200,MCHS - KINGSTON EAST 394890,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 394890,A81000C,00400,0600,THERAPY MANAGEMENT 394890,B100000,00000,0100,0100SQUARE FEET 394890,B100000,00000,0200,0200SQUARE FEET 394890,B100000,00000,0300,0300GROSS SALARIES 394890,B100000,00000,0400,0400ACCUM COST 394890,B100000,00000,0500,0500SQUARE FEET 394890,B100000,00000,0600,0600PATIENT DAYS 394890,B100000,00000,0700,0700SQUARE FEET 394890,B100000,00000,0800,0800MEALS SERVED 394890,B100000,00000,0900,0900NURSING WAGES 394890,B100000,00000,1000,1000PATIENT DAYS 394890,B100000,00000,1100,1100PATIENT DAYS 394890,B100000,00000,1200,1200PATIENT DAYS 394890,B100000,00000,1300,1300PATIENT DAYS 394890,B100000,00000,1400,1400PATIENT DAYS 394890,B100000,00000,1500,1350PATIENT DAYS 394890,E10A180,00501,0100,11/17/00 394890,E10A180,00501,0300,04/01/05 394890,E10A180,00502,0300,11/17/00 394890,E10A180,00550,0100,04/01/05 394890,S000000,00100,0200,10/25/00 394890,S200000,00100,0100,200 SECOND AVENUE 394890,S200000,00200,0100,KINGSTON 394890,S200000,00200,0200,PA 394890,S200000,00200,0300,18704 394890,S200000,00300,0100,LUZERNE 394890,S200000,00300,0200,7560 394890,S200000,00300,0300,U 394890,S200000,00400,0100,LEADER KINGSTON EAST - #559 394890,S200000,00400,0200,395397 394890,S200000,00400,0300,02/21/78 394890,S200000,00400,0500,P 394890,S200000,00400,0600,P 394890,S200000,01500,0100,N 394890,S200000,01600,0100,Y 394890,S200000,01700,0100,N 394890,S200000,01800,0100,N 394890,S200000,02200,0100,Y 394890,S200000,02800,0100,N 394890,S200000,02900,0100,N 394890,S200000,03000,0100,N 394890,S200000,03100,0100,N 394890,S200000,03200,0100,N 394890,S200000,03300,0100,N 394890,S200000,03300,0200,N 394890,S200000,04200,0100,N 394890,S200000,04300,0100,N 394890,S200000,04600,0100,N 394890,S200000,04700,0100,N 394890,S200000,04700,0200,N 394890,S200000,04900,0100,N 394890,S200000,05000,0100,N 394890,S200000,05200,0100,N 394892,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394892,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394892,A000000,00300,0000,0300EMPLOYEE BENEFITS 394892,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394892,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394892,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394892,A000000,00700,0000,0700HOUSEKEEPING 394892,A000000,00800,0000,0800DIETARY 394892,A000000,00900,0000,0900NURSING ADMINISTRATION 394892,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394892,A000000,01100,0000,1100PHARMACY 394892,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394892,A000000,01300,0000,1300SOCIAL SERVICE 394892,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394892,A000000,01500,0000,1350ACTIVITIES 394892,A000000,01600,0000,1600SKILLED NURSING FACILITY 394892,A000000,01800,0000,1800NURSING FACILITY 394892,A000000,01810,0000,1810ICF/MR 394892,A000000,02200,0000,2200LABORATORY 394892,A000000,02300,0000,2300INTRAVENOUS THERAPY 394892,A000000,02500,0000,2500PHYSICAL THERAPY 394892,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394892,A000000,02700,0000,2700SPEECH PATHOLOGY 394892,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394892,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394892,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394892,A000000,03550,0000,3550FQHC 394892,A000000,04801,0000,4801AMBULANCE 394892,A000000,04802,0000,4802AMBULANCE 394892,A000000,04803,0000,4803AMBULANCE 394892,A000000,05000,0000,5000CORF 394892,A000000,05010,0000,5010CMHC 394892,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394892,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394892,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394892,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394892,A000000,05300,0000,5300INTEREST EXPENSE 394892,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394892,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394892,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394892,A81000A,00100,0100,Y 394892,A81000B,00100,0300,HOME OFFICE COST 394892,A81000B,00200,0300,PT ADMIN FEES 394892,A81000B,00300,0300,OT ADMIN FEES 394892,A81000B,00400,0300,ST ADMIN FEES 394892,A81000B,00500,0300,DIRECT INTEREST 394892,A81000C,00100,0100,B 394892,A81000C,00100,0200,LAURELDALE 394892,A81000C,00100,0400,HCR MANORCARE INC. 394892,A81000C,00100,0600,LONG TERM CARE FACILITIES 394892,A81000C,00200,0100,B 394892,A81000C,00200,0200,LAURELDALE 394892,A81000C,00200,0400,HEARTLAND MGMT SERVICES 394892,A81000C,00200,0600,THERAPY MGMT SERVICES 394892,A81000C,00300,0100,B 394892,A81000C,00300,0200,LAURELDALE 394892,A81000C,00300,0400,HEARTLAND MGMT SERVICES 394892,A81000C,00300,0600,THERAPY MGMT SERVICES 394892,A81000C,00400,0100,B 394892,A81000C,00400,0200,LAURELDALE 394892,A81000C,00400,0400,HEARTLAND MGMT SERVICES 394892,A81000C,00400,0600,THERAPY MGMT SERVICES 394892,B100000,00000,0100,0100SQUARE FEET 394892,B100000,00000,0200,0200SQUARE FEET 394892,B100000,00000,0300,0300GROSS SALARIES 394892,B100000,00000,0400,0400ACCUM COST 394892,B100000,00000,0500,0500SQUARE FEET 394892,B100000,00000,0600,0600PATIENT DAYS 394892,B100000,00000,0700,0700SQUARE FEET 394892,B100000,00000,0800,0800MEALS SERVED 394892,B100000,00000,0900,0900NURSING WAGES 394892,B100000,00000,1000,1000PATIENT DAYS 394892,B100000,00000,1100,1100PATIENT DAYS 394892,B100000,00000,1200,1200PATIENT DAYS 394892,B100000,00000,1300,1300PATIENT DAYS 394892,B100000,00000,1400,1400PATIENT DAYS 394892,B100000,00000,1500,1350PATIENT DAYS 394892,E10A180,00501,0100,11/17/00 394892,E10A180,00501,0300,04/01/05 394892,E10A180,00502,0300,11/17/00 394892,E10A180,00550,0100,04/01/05 394892,S000000,00100,0200,10/30/00 394892,S200000,00100,0100,2125 ELIZABETH AVENUE 394892,S200000,00200,0100,LAURELDALE 394892,S200000,00200,0200,PA 394892,S200000,00200,0300,19605 394892,S200000,00300,0100,BERKS 394892,S200000,00300,0200,6680 394892,S200000,00300,0300,U 394892,S200000,00400,0100,LAURELDALE 394892,S200000,00400,0200,395477 394892,S200000,00400,0300,08/11/80 394892,S200000,00400,0500,P 394892,S200000,00400,0600,P 394892,S200000,01500,0100,N 394892,S200000,01600,0100,Y 394892,S200000,01700,0100,N 394892,S200000,01800,0100,N 394892,S200000,02200,0100,Y 394892,S200000,02800,0100,N 394892,S200000,02900,0100,N 394892,S200000,03000,0100,N 394892,S200000,03100,0100,N 394892,S200000,03200,0100,N 394892,S200000,03300,0100,N 394892,S200000,03300,0200,N 394892,S200000,04200,0100,N 394892,S200000,04300,0100,N 394892,S200000,04600,0100,N 394892,S200000,04700,0100,N 394892,S200000,04700,0200,N 394892,S200000,04900,0100,N 394892,S200000,05000,0100,N 394892,S200000,05200,0100,N 394894,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394894,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394894,A000000,00300,0000,0300EMPLOYEE BENEFITS 394894,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394894,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394894,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394894,A000000,00700,0000,0700HOUSEKEEPING 394894,A000000,00800,0000,0800DIETARY 394894,A000000,00900,0000,0900NURSING ADMINISTRATION 394894,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394894,A000000,01100,0000,1100PHARMACY 394894,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394894,A000000,01300,0000,1300SOCIAL SERVICE 394894,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394894,A000000,01500,0000,1350ACTIVITIES 394894,A000000,01600,0000,1600SKILLED NURSING FACILITY 394894,A000000,01800,0000,1800NURSING FACILITY 394894,A000000,01810,0000,1810ICF/MR 394894,A000000,02200,0000,2200LABORATORY 394894,A000000,02300,0000,2300INTRAVENOUS THERAPY 394894,A000000,02500,0000,2500PHYSICAL THERAPY 394894,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394894,A000000,02700,0000,2700SPEECH PATHOLOGY 394894,A000000,02800,0000,2800ELECTROCARDIOLOGY 394894,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394894,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394894,A000000,03200,0000,3200SUPPORT SURFACES 394894,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394894,A000000,03550,0000,3550FQHC 394894,A000000,04801,0000,4801AMBULANCE 394894,A000000,04802,0000,4802AMBULANCE 394894,A000000,04803,0000,4803AMBULANCE 394894,A000000,05000,0000,5000CORF 394894,A000000,05010,0000,5010CMHC 394894,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394894,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394894,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394894,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394894,A000000,05300,0000,5300INTEREST EXPENSE 394894,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394894,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394894,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394894,A81000A,00100,0100,Y 394894,A81000B,00100,0300,HOME OFFICE COST 394894,A81000B,00200,0300,PT ADMINISTRATIVE FEE 394894,A81000B,00300,0300,OT ADMINISTRATIVE FEE 394894,A81000B,00400,0300,ST ADMINISTRATIVE FEE 394894,A81000B,00500,0300,DIRECT CORPORATE INTEREST 394894,A81000C,00100,0100,B 394894,A81000C,00100,0200,MCHS - CARLISLE 394894,A81000C,00100,0400,HCR MANORCARE INC. 394894,A81000C,00100,0600,LONG TERM CARE FACILITIES 394894,A81000C,00200,0100,B 394894,A81000C,00200,0200,MCHS - CARLISLE 394894,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 394894,A81000C,00200,0600,THERAPY MANAGEMENT 394894,A81000C,00300,0100,B 394894,A81000C,00300,0200,MCHS - CARLISLE 394894,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 394894,A81000C,00300,0600,THERAPY MANAGEMENT 394894,A81000C,00400,0100,B 394894,A81000C,00400,0200,MCHS - CARLISLE 394894,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 394894,A81000C,00400,0600,THERAPY MANAGEMENT 394894,B100000,00000,0100,0100SQUARE FEET 394894,B100000,00000,0200,0200SQUARE FEET 394894,B100000,00000,0300,0300GROSS SALARIES 394894,B100000,00000,0400,0400ACCUM COST 394894,B100000,00000,0500,0500SQUARE FEET 394894,B100000,00000,0600,0600PATIENT DAYS 394894,B100000,00000,0700,0700SQUARE FEET 394894,B100000,00000,0800,0800MEALS SERVED 394894,B100000,00000,0900,0900NURSING WAGES 394894,B100000,00000,1000,1000PATIENT DAYS 394894,B100000,00000,1100,1100PATIENT DAYS 394894,B100000,00000,1200,1200PATIENT DAYS 394894,B100000,00000,1300,1300PATIENT DAYS 394894,B100000,00000,1400,1400PATIENT DAYS 394894,B100000,00000,1500,1350PATIENT DAYS 394894,E10A180,00501,0100,11/17/00 394894,E10A180,00501,0300,04/01/05 394894,E10A180,00502,0300,11/17/00 394894,E10A180,00550,0100,04/01/05 394894,S000000,00100,0200,10/20/00 394894,S200000,00100,0100,940 WALNUT BOTTOM ROAD 394894,S200000,00200,0100,CARLISLE 394894,S200000,00200,0200,PA 394894,S200000,00200,0300,17013 394894,S200000,00300,0100,CUMBERLAND 394894,S200000,00300,0200,3240 394894,S200000,00300,0300,U 394894,S200000,00400,0100,CARLISLE 394894,S200000,00400,0200,395746 394894,S200000,00400,0300,10/29/87 394894,S200000,00400,0500,P 394894,S200000,00400,0600,P 394894,S200000,01500,0100,N 394894,S200000,01600,0100,Y 394894,S200000,01700,0100,N 394894,S200000,01800,0100,N 394894,S200000,02200,0100,Y 394894,S200000,02800,0100,N 394894,S200000,02900,0100,N 394894,S200000,03000,0100,N 394894,S200000,03100,0100,N 394894,S200000,03200,0100,N 394894,S200000,03300,0100,N 394894,S200000,03300,0200,N 394894,S200000,04200,0100,N 394894,S200000,04300,0100,N 394894,S200000,04600,0100,N 394894,S200000,04700,0100,N 394894,S200000,04700,0200,N 394894,S200000,04900,0100,N 394894,S200000,05000,0100,N 394894,S200000,05200,0100,N 394898,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 394898,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 394898,A000000,00300,0000,0300EMPLOYEE BENEFITS 394898,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 394898,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 394898,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 394898,A000000,00700,0000,0700HOUSEKEEPING 394898,A000000,00800,0000,0800DIETARY 394898,A000000,00900,0000,0900NURSING ADMINISTRATION 394898,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 394898,A000000,01100,0000,1100PHARMACY 394898,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 394898,A000000,01300,0000,1300SOCIAL SERVICE 394898,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 394898,A000000,01500,0000,1350ACTIVITIES 394898,A000000,01600,0000,1600SKILLED NURSING FACILITY 394898,A000000,01800,0000,1800NURSING FACILITY 394898,A000000,01810,0000,1810ICF/MR 394898,A000000,02200,0000,2200LABORATORY 394898,A000000,02300,0000,2300INTRAVENOUS THERAPY 394898,A000000,02500,0000,2500PHYSICAL THERAPY 394898,A000000,02600,0000,2600OCCUPATIONAL THERAPY 394898,A000000,02700,0000,2700SPEECH PATHOLOGY 394898,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 394898,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 394898,A000000,03200,0000,3200SUPPORT SURFACES 394898,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 394898,A000000,03550,0000,3550FQHC 394898,A000000,04801,0000,4801AMBULANCE 394898,A000000,04802,0000,4802AMBULANCE 394898,A000000,04803,0000,4803AMBULANCE 394898,A000000,05000,0000,5000CORF 394898,A000000,05010,0000,5010CMHC 394898,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 394898,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 394898,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 394898,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 394898,A000000,05300,0000,5300INTEREST EXPENSE 394898,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 394898,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 394898,A000000,05900,0000,5900BARBER & BEAUTY SHOP 394898,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 394898,A81000A,00100,0100,Y 394898,A81000B,00100,0300,HOME OFFICE COST 394898,A81000B,00200,0300,PT ADMIN FEES 394898,A81000B,00300,0300,OT ADMIN FEES 394898,A81000B,00400,0300,ST ADMIN FEES 394898,A81000C,00100,0100,B 394898,A81000C,00100,0200,MCHS-LYNNWOOD 394898,A81000C,00100,0400,HCR MANORCARE INC. 394898,A81000C,00100,0600,LONG TERM CARE FACILITIES 394898,A81000C,00200,0100,B 394898,A81000C,00200,0200,MCHS-LYNNWOOD 394898,A81000C,00200,0400,HEARTLAND MGMT SERVICES 394898,A81000C,00200,0600,THERAPY ADMIN 394898,A81000C,00300,0100,B 394898,A81000C,00300,0200,MCHS-LYNNWOOD 394898,A81000C,00300,0400,HEARTLAND MGMT SERVICES 394898,A81000C,00300,0600,THERAPY ADMIN 394898,A81000C,00400,0100,B 394898,A81000C,00400,0200,MCHS-LYNNWOOD 394898,A81000C,00400,0400,HEARTLAND MGMT SERVICES 394898,A81000C,00400,0600,THERAPY ADMIN 394898,B100000,00000,0100,0100SQUARE FEET 394898,B100000,00000,0200,0200SQUARE FEET 394898,B100000,00000,0300,0300GROSS SALARIES 394898,B100000,00000,0400,0400ACCUM COST 394898,B100000,00000,0500,0500SQUARE FEET 394898,B100000,00000,0600,0600PATIENT DAYS 394898,B100000,00000,0700,0700SQUARE FEET 394898,B100000,00000,0800,0800MEALS SERVED 394898,B100000,00000,0900,0900NURSING WAGES 394898,B100000,00000,1000,1000PATIENT DAYS 394898,B100000,00000,1100,1100PATIENT DAYS 394898,B100000,00000,1200,1200PATIENT DAYS 394898,B100000,00000,1300,1300PATIENT DAYS 394898,B100000,00000,1400,1400PATIENT DAYS 394898,B100000,00000,1500,1350PATIENT DAYS 394898,E10A180,00501,0100,11/17/00 394898,E10A180,00501,0300,04/01/05 394898,E10A180,00502,0300,11/17/00 394898,E10A180,00550,0100,04/01/05 394898,S000000,00100,0200,11/01/00 394898,S200000,00100,0100,3701 188TH STREET SW 394898,S200000,00200,0100,LYNNWOOD 394898,S200000,00200,0200,WA 394898,S200000,00200,0300,98037 394898,S200000,00300,0100,SNOHOMISH 394898,S200000,00300,0200,7600 394898,S200000,00300,0300,U 394898,S200000,00400,0100,MCHS-LYNNWOOD 394898,S200000,00400,0200,505319 394898,S200000,00400,0300,05/04/88 394898,S200000,00400,0500,P 394898,S200000,00400,0600,P 394898,S200000,01500,0100,N 394898,S200000,01600,0100,Y 394898,S200000,01700,0100,N 394898,S200000,01800,0100,N 394898,S200000,02200,0100,Y 394898,S200000,02800,0100,N 394898,S200000,02900,0100,N 394898,S200000,03000,0100,N 394898,S200000,03100,0100,N 394898,S200000,03200,0100,N 394898,S200000,03300,0100,N 394898,S200000,03300,0200,N 394898,S200000,04200,0100,N 394898,S200000,04300,0100,N 394898,S200000,04600,0100,N 394898,S200000,04700,0100,N 394898,S200000,04700,0200,N 394898,S200000,04900,0100,N 394898,S200000,05000,0100,N 394898,S200000,05200,0100,N 395090,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395090,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395090,A000000,00300,0000,0300EMPLOYEE BENEFITS 395090,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395090,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395090,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395090,A000000,00700,0000,0700HOUSEKEEPING 395090,A000000,00800,0000,0800DIETARY 395090,A000000,00900,0000,0900NURSING ADMINISTRATION 395090,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395090,A000000,01100,0000,1100PHARMACY 395090,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395090,A000000,01300,0000,1300SOCIAL SERVICE 395090,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395090,A000000,01500,0000,1350ACTIVITIES 395090,A000000,01600,0000,1600SKILLED NURSING FACILITY 395090,A000000,01800,0000,1800NURSING FACILITY 395090,A000000,01810,0000,1810ICF/MR 395090,A000000,02200,0000,2200LABORATORY 395090,A000000,02300,0000,2300INTRAVENOUS THERAPY 395090,A000000,02500,0000,2500PHYSICAL THERAPY 395090,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395090,A000000,02700,0000,2700SPEECH PATHOLOGY 395090,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395090,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395090,A000000,03200,0000,3200SUPPORT SURFACES 395090,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395090,A000000,03550,0000,3550FQHC 395090,A000000,04801,0000,4801AMBULANCE 395090,A000000,04802,0000,4802AMBULANCE 395090,A000000,04803,0000,4803AMBULANCE 395090,A000000,05000,0000,5000CORF 395090,A000000,05010,0000,5010CMHC 395090,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395090,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395090,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395090,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395090,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395090,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395090,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395090,A81000A,00100,0100,Y 395090,A81000B,00100,0300,HOME OFFICE COST 395090,A81000B,00200,0300,PT ADMIN FEE 395090,A81000B,00300,0300,OT ADMIN FEE 395090,A81000B,00400,0300,ST ADMIN FEE 395090,A81000B,00500,0300,PURCH SERV PHARMACY 395090,A81000B,00600,0300,IV THERAPY SUPPLIES 395090,A81000B,00700,0300,LEG DRUGS PHARMACY 395090,A81000B,00800,0300,NL DRUGS PHARMACY 395090,A81000B,00900,0300,IV THERAPY DRUGS 395090,A81000C,00100,0100,B 395090,A81000C,00100,0200,HCR MANORCARE 395090,A81000C,00100,0400,HCR MANORCARE INC. 395090,A81000C,00100,0600,LONG TERM CARE FACILITIES 395090,A81000C,00200,0100,B 395090,A81000C,00200,0200,MCHS NAPLES 395090,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395090,A81000C,00200,0600,THERAPY MANAGEMENT 395090,A81000C,00300,0100,B 395090,A81000C,00300,0200,MCHS NAPLES 395090,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395090,A81000C,00300,0600,THERAPY MANAGEMENT 395090,A81000C,00400,0100,B 395090,A81000C,00400,0200,MCHS NAPLES 395090,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395090,A81000C,00400,0600,THERAPY MANAGEMENT 395090,A81000C,00500,0100,B 395090,A81000C,00500,0200,MCHS NAPLES 395090,A81000C,00500,0400,HEARTLAND HEALTH CARE 395090,A81000C,00500,0600,PHARMACY 395090,A81000C,00600,0100,B 395090,A81000C,00600,0200,MCHS NAPLES 395090,A81000C,00600,0400,HEARTLAND HEALTH CARE 395090,A81000C,00600,0600,PHARMACY 395090,A81000C,00700,0100,B 395090,A81000C,00700,0200,MCHS NAPLES 395090,A81000C,00700,0400,HEARTLAND HEALTH CARE 395090,A81000C,00700,0600,PHARMACY 395090,A81000C,00800,0100,B 395090,A81000C,00800,0200,MCHS NAPLES 395090,A81000C,00800,0400,HEARTLAND HEALTH CARE 395090,A81000C,00800,0600,PHARMACY 395090,A81000C,00900,0100,B 395090,A81000C,00900,0200,MCHS NAPLES 395090,A81000C,00900,0400,HEARTLAND HEALTH CARE 395090,A81000C,00900,0600,PHARMACY 395090,B100000,00000,0100,0100SQUARE FEET 395090,B100000,00000,0200,0200SQUARE FEET 395090,B100000,00000,0300,0300GROSS SALARIES 395090,B100000,00000,0400,0400ACCUM COST 395090,B100000,00000,0500,0500SQUARE FEET 395090,B100000,00000,0600,0600PATIENT DAYS 395090,B100000,00000,0700,0700SQUARE FEET 395090,B100000,00000,0800,0800MEALS SERVED 395090,B100000,00000,0900,0900NURSING WAGES 395090,B100000,00000,1000,1000PATIENT DAYS 395090,B100000,00000,1100,1100PATIENT DAYS 395090,B100000,00000,1200,1200PATIENT DAYS 395090,B100000,00000,1300,1300PATIENT DAYS 395090,B100000,00000,1400,1400PATIENT DAYS 395090,B100000,00000,1500,1350PATIENT DAYS 395090,E10A180,00501,0300,04/01/05 395090,E10A180,00502,0100,11/17/00 395090,E10A180,00502,0300,11/17/00 395090,E10A180,00550,0100,04/01/05 395090,S000000,00100,0200,10/31/00 395090,S200000,00100,0100,3601 LAKEWOOD BLVD. 395090,S200000,00200,0100,NAPLES 395090,S200000,00200,0200,FL 395090,S200000,00200,0300,33962 395090,S200000,00300,0100,COLLIER 395090,S200000,00300,0200,5345 395090,S200000,00300,0300,U 395090,S200000,00400,0100,MCHS - NAPLES 395090,S200000,00400,0200,105421 395090,S200000,00400,0300,01/01/96 395090,S200000,00400,0500,P 395090,S200000,00400,0600,P 395090,S200000,01500,0100,N 395090,S200000,01600,0100,Y 395090,S200000,01700,0100,N 395090,S200000,01800,0100,N 395090,S200000,02200,0100,N 395090,S200000,02800,0100,N 395090,S200000,02900,0100,N 395090,S200000,03000,0100,N 395090,S200000,03100,0100,N 395090,S200000,03200,0100,N 395090,S200000,03300,0100,N 395090,S200000,03300,0200,N 395090,S200000,04200,0100,N 395090,S200000,04300,0100,N 395090,S200000,04600,0100,N 395090,S200000,04700,0100,N 395090,S200000,04700,0200,N 395090,S200000,04900,0100,N 395090,S200000,05000,0100,N 395090,S200000,05200,0100,N 395093,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395093,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395093,A000000,00300,0000,0300EMPLOYEE BENEFITS 395093,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395093,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395093,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395093,A000000,00700,0000,0700HOUSEKEEPING 395093,A000000,00800,0000,0800DIETARY 395093,A000000,00900,0000,0900NURSING ADMINISTRATION 395093,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395093,A000000,01100,0000,1100PHARMACY 395093,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395093,A000000,01300,0000,1300SOCIAL SERVICE 395093,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395093,A000000,01500,0000,1350ACTIVITIES 395093,A000000,01600,0000,1600SKILLED NURSING FACILITY 395093,A000000,01800,0000,1800NURSING FACILITY 395093,A000000,01810,0000,1810ICF/MR 395093,A000000,01900,0000,1900OTHER LONG TERM CARE 395093,A000000,02200,0000,2200LABORATORY 395093,A000000,02300,0000,2300INTRAVENOUS THERAPY 395093,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 395093,A000000,02500,0000,2500PHYSICAL THERAPY 395093,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395093,A000000,02700,0000,2700SPEECH PATHOLOGY 395093,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395093,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395093,A000000,03200,0000,3200SUPPORT SURFACES 395093,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395093,A000000,03550,0000,3550FQHC 395093,A000000,04801,0000,4801AMBULANCE 395093,A000000,04802,0000,4802AMBULANCE 395093,A000000,04803,0000,4803AMBULANCE 395093,A000000,05000,0000,5000CORF 395093,A000000,05010,0000,5010CMHC 395093,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395093,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395093,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395093,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395093,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395093,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395093,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395093,A81000A,00100,0100,Y 395093,A81000B,00100,0300,HOME OFFICE COST 395093,A81000B,00200,0300,PT ADMIN FEES 395093,A81000B,00300,0300,OT ADMIN FEES 395093,A81000B,00400,0300,ST ADMIN FEES 395093,A81000B,00500,0300,DIRECT INTEREST 395093,A81000C,00100,0100,B 395093,A81000C,00100,0200,MCHS WEST DEPTFORD 395093,A81000C,00100,0400,HCR MANORCARE INC. 395093,A81000C,00100,0600,LONG TERM CARE FACILITIES 395093,A81000C,00200,0100,B 395093,A81000C,00200,0200,MCHS WEST DEPTFORD 395093,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 395093,A81000C,00200,0600,THERAPY MANAGEMENT 395093,A81000C,00300,0100,B 395093,A81000C,00300,0200,MCHS WEST DEPTFORD 395093,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395093,A81000C,00300,0600,THERAPY MANAGEMENT 395093,A81000C,00400,0100,B 395093,A81000C,00400,0200,MCHS WEST DEPTFORD 395093,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395093,A81000C,00400,0600,THERAPY MANAGEMENT 395093,A81000C,00500,0100,B 395093,A81000C,00500,0200,MCHS WEST DEPTFORD 395093,A81000C,00500,0400,HCR MANORCARE INC. 395093,A81000C,00500,0600,LONG TERM CARE FACILITIES 395093,B100000,00000,0100,0100SQUARE FEET 395093,B100000,00000,0200,0200SQUARE FEET 395093,B100000,00000,0300,0300GROSS SALARIES 395093,B100000,00000,0400,0400ACCUM COST 395093,B100000,00000,0500,0500SQUARE FEET 395093,B100000,00000,0600,0600PATIENT DAYS 395093,B100000,00000,0700,0700SQUARE FEET 395093,B100000,00000,0800,0800MEALS SERVED 395093,B100000,00000,0900,0900NURSING WAGES 395093,B100000,00000,1000,1000PATIENT DAYS 395093,B100000,00000,1100,1100PATIENT DAYS 395093,B100000,00000,1200,1200PATIENT DAYS 395093,B100000,00000,1300,1300PATIENT DAYS 395093,B100000,00000,1400,1400PATIENT DAYS 395093,B100000,00000,1500,1350PATIENT DAYS 395093,E10A180,00501,0100,11/17/00 395093,E10A180,00501,0300,11/17/00 395093,E10A180,00502,0300,04/01/05 395093,E10A180,00550,0100,04/01/05 395093,S000000,00100,0200,10/27/00 395093,S200000,00100,0100,550 JESSUP ROAD 395093,S200000,00200,0100,WEST DEPTFORD 395093,S200000,00200,0200,NJ 395093,S200000,00200,0300,08066 395093,S200000,00300,0100,GLOUCESTER 395093,S200000,00300,0200,6160 395093,S200000,00300,0300,U 395093,S200000,00400,0100,MCHS WEST DEPTFORD 395093,S200000,00400,0200,315246 395093,S200000,00400,0300,01/01/67 395093,S200000,00400,0500,P 395093,S200000,00400,0600,P 395093,S200000,01500,0100,N 395093,S200000,01600,0100,Y 395093,S200000,01700,0100,N 395093,S200000,01800,0100,N 395093,S200000,02200,0100,Y 395093,S200000,02800,0100,N 395093,S200000,02900,0100,N 395093,S200000,03000,0100,N 395093,S200000,03100,0100,N 395093,S200000,03200,0100,N 395093,S200000,03300,0100,N 395093,S200000,03300,0200,N 395093,S200000,04200,0100,N 395093,S200000,04300,0100,N 395093,S200000,04600,0100,N 395093,S200000,04700,0100,N 395093,S200000,04700,0200,N 395093,S200000,04900,0100,N 395093,S200000,05000,0100,N 395093,S200000,05200,0100,N 395094,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395094,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395094,A000000,00300,0000,0300EMPLOYEE BENEFITS 395094,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395094,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395094,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395094,A000000,00700,0000,0700HOUSEKEEPING 395094,A000000,00800,0000,0800DIETARY 395094,A000000,00900,0000,0900NURSING ADMINISTRATION 395094,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395094,A000000,01100,0000,1100PHARMACY 395094,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395094,A000000,01300,0000,1300SOCIAL SERVICE 395094,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395094,A000000,01500,0000,1350ACTIVITIES 395094,A000000,01600,0000,1600SKILLED NURSING FACILITY 395094,A000000,01800,0000,1800NURSING FACILITY 395094,A000000,01810,0000,1810ICF/MR 395094,A000000,02100,0000,2100RADIOLOGY 395094,A000000,02200,0000,2200LABORATORY 395094,A000000,02300,0000,2300INTRAVENOUS THERAPY 395094,A000000,02500,0000,2500PHYSICAL THERAPY 395094,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395094,A000000,02700,0000,2700SPEECH PATHOLOGY 395094,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395094,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395094,A000000,03200,0000,3200SUPPORT SURFACES 395094,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395094,A000000,03550,0000,3550FQHC 395094,A000000,04801,0000,4801AMBULANCE 395094,A000000,04802,0000,4802AMBULANCE 395094,A000000,04803,0000,4803AMBULANCE 395094,A000000,05000,0000,5000CORF 395094,A000000,05010,0000,5010CMHC 395094,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395094,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395094,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395094,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395094,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395094,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395094,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395094,A81000A,00100,0100,Y 395094,A81000B,00100,0300,HOME OFFICE COST 395094,A81000B,00200,0300,PHYSICAL THERAPY 395094,A81000B,00300,0300,OCCUPATIONAL THERAPY 395094,A81000B,00400,0300,SPEECH THERAPY 395094,A81000C,00100,0100,B 395094,A81000C,00100,0200,MCHS NORTH OLMSTED 395094,A81000C,00100,0400,HCR MANORCARE INC. 395094,A81000C,00100,0600,LONG TERM CARE FACILITIES 395094,A81000C,00200,0100,B 395094,A81000C,00200,0200,MCHS NORTH OLMSTED 395094,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 395094,A81000C,00200,0600,THERAPY MANAGEMENT 395094,A81000C,00300,0100,B 395094,A81000C,00300,0200,MCHS NORTH OLMSTED 395094,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395094,A81000C,00300,0600,THERAPY MANAGEMENT 395094,A81000C,00400,0100,B 395094,A81000C,00400,0200,MCHS NORTH OLMSTED 395094,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395094,A81000C,00400,0600,THERAPY MANAGEMENT 395094,B100000,00000,0100,0100SQUARE FEET 395094,B100000,00000,0200,0200SQUARE FEET 395094,B100000,00000,0300,0300GROSS SALARIES 395094,B100000,00000,0400,0400ACCUM COST 395094,B100000,00000,0500,0500SQUARE FEET 395094,B100000,00000,0600,0600PATIENT DAYS 395094,B100000,00000,0700,0700SQUARE FEET 395094,B100000,00000,0800,0800MEALS SERVED 395094,B100000,00000,0900,0900NURSING WAGES 395094,B100000,00000,1000,1000PATIENT DAYS 395094,B100000,00000,1100,1100PATIENT DAYS 395094,B100000,00000,1200,1200PATIENT DAYS 395094,B100000,00000,1300,1300PATIENT DAYS 395094,B100000,00000,1400,1400PATIENT DAYS 395094,B100000,00000,1500,1350PATIENT DAYS 395094,E10A180,00501,0100,11/17/00 395094,E10A180,00501,0300,11/17/00 395094,E10A180,00502,0300,04/01/05 395094,E10A180,00550,0100,04/01/05 395094,S000000,00100,0200,10/23/00 395094,S200000,00100,0100,23225 LORAIN ROAD 395094,S200000,00200,0100,NORTH OLMSTED 395094,S200000,00200,0200,OH 395094,S200000,00200,0300,44070 395094,S200000,00300,0100,CUYAHOGA 395094,S200000,00300,0200,1680 395094,S200000,00300,0300,U 395094,S200000,00400,0100,MCHS NORTH OLMSTED - #514 395094,S200000,00400,0200,365310 395094,S200000,00400,0300,01/01/66 395094,S200000,00400,0500,P 395094,S200000,00400,0600,P 395094,S200000,01500,0100,N 395094,S200000,01600,0100,Y 395094,S200000,01700,0100,N 395094,S200000,01800,0100,N 395094,S200000,02200,0100,Y 395094,S200000,02800,0100,N 395094,S200000,02900,0100,N 395094,S200000,03000,0100,N 395094,S200000,03100,0100,N 395094,S200000,03200,0100,N 395094,S200000,03300,0100,N 395094,S200000,03300,0200,N 395094,S200000,04200,0100,N 395094,S200000,04300,0100,N 395094,S200000,04600,0100,N 395094,S200000,04700,0100,N 395094,S200000,04700,0200,N 395094,S200000,04900,0100,N 395094,S200000,05000,0100,N 395094,S200000,05200,0100,N 395096,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395096,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395096,A000000,00300,0000,0300EMPLOYEE BENEFITS 395096,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395096,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395096,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395096,A000000,00700,0000,0700HOUSEKEEPING 395096,A000000,00800,0000,0800DIETARY 395096,A000000,00900,0000,0900NURSING ADMINISTRATION 395096,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395096,A000000,01100,0000,1100PHARMACY 395096,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395096,A000000,01300,0000,1300SOCIAL SERVICE 395096,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395096,A000000,01500,0000,1350ACTIVITIES 395096,A000000,01600,0000,1600SKILLED NURSING FACILITY 395096,A000000,01800,0000,1800NURSING FACILITY 395096,A000000,01810,0000,1810ICF/MR 395096,A000000,02200,0000,2200LABORATORY 395096,A000000,02300,0000,2300INTRAVENOUS THERAPY 395096,A000000,02500,0000,2500PHYSICAL THERAPY 395096,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395096,A000000,02700,0000,2700SPEECH PATHOLOGY 395096,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395096,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395096,A000000,03200,0000,3200SUPPORT SURFACES 395096,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395096,A000000,03550,0000,3550FQHC 395096,A000000,04801,0000,4801AMBULANCE 395096,A000000,04802,0000,4802AMBULANCE 395096,A000000,04803,0000,4803AMBULANCE 395096,A000000,05000,0000,5000CORF 395096,A000000,05010,0000,5010CMHC 395096,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395096,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395096,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395096,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395096,A000000,05300,0000,5300INTEREST EXPENSE 395096,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395096,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395096,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395096,A81000A,00100,0100,Y 395096,A81000B,00100,0300,HOME OFFICE COST 395096,A81000B,00200,0300,PT ADMINISTRATIVE FEES 395096,A81000B,00300,0300,OT ADMINISTRATIVE FEES 395096,A81000B,00400,0300,ST ADMINISTRATIVE FEES 395096,A81000B,00500,0300,DIRECT CORPORATE INTEREST 395096,A81000C,00100,0100,B 395096,A81000C,00100,0200,MCHS - HARRISBURG 395096,A81000C,00100,0400,HCR MANORCARE INC. 395096,A81000C,00100,0600,LONG TERM CARE FACILITIES 395096,A81000C,00200,0100,B 395096,A81000C,00200,0200,MCHS - HARRISBURG 395096,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395096,A81000C,00200,0600,THERAPY MANAGEMENT 395096,A81000C,00300,0100,B 395096,A81000C,00300,0200,MCHS - HARRISBURG 395096,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395096,A81000C,00300,0600,THERAPY MANAGEMENT 395096,A81000C,00400,0100,B 395096,A81000C,00400,0200,MCHS - HARRISBURG 395096,A81000C,00400,0400,HEARTLAND MANAGEMENTSERV 395096,A81000C,00400,0600,THERAPY MANAGEMENT 395096,B100000,00000,0100,0100SQUARE FEET 395096,B100000,00000,0200,0200SQUARE FEET 395096,B100000,00000,0300,0300GROSS SALARIES 395096,B100000,00000,0400,0400ACCUM COST 395096,B100000,00000,0500,0500SQUARE FEET 395096,B100000,00000,0600,0600PATIENT DAYS 395096,B100000,00000,0700,0700SQUARE FEET 395096,B100000,00000,0800,0800MEALS SERVED 395096,B100000,00000,0900,0900NURSING WAGES 395096,B100000,00000,1000,1000PATIENT DAYS 395096,B100000,00000,1100,1100PATIENT DAYS 395096,B100000,00000,1200,1200PATIENT DAYS 395096,B100000,00000,1300,1300PATIENT DAYS 395096,B100000,00000,1400,1400PATIENT DAYS 395096,B100000,00000,1500,1350PATIENT DAYS 395096,E10A180,00501,0100,04/01/05 395096,E10A180,00501,0300,04/01/05 395096,E10A180,00502,0100,11/17/00 395096,E10A180,00502,0300,11/17/00 395096,S000000,00100,0200,10/17/00 395096,S200000,00100,0100,800 KING RUSS ROAD 395096,S200000,00200,0100,HARRISBURG 395096,S200000,00200,0200,PA 395096,S200000,00200,0300,17109 395096,S200000,00300,0100,DAUPHIN 395096,S200000,00300,0200,3240 395096,S200000,00300,0300,U 395096,S200000,00400,0100,HARRISBURG 395096,S200000,00400,0200,395395 395096,S200000,00400,0300,12/01/77 395096,S200000,00400,0500,P 395096,S200000,00400,0600,P 395096,S200000,01500,0100,N 395096,S200000,01600,0100,Y 395096,S200000,01700,0100,N 395096,S200000,01800,0100,N 395096,S200000,02200,0100,N 395096,S200000,02800,0100,N 395096,S200000,02900,0100,N 395096,S200000,03000,0100,N 395096,S200000,03100,0100,N 395096,S200000,03200,0100,N 395096,S200000,03300,0100,N 395096,S200000,03300,0200,N 395096,S200000,04200,0100,N 395096,S200000,04300,0100,N 395096,S200000,04600,0100,N 395096,S200000,04700,0100,N 395096,S200000,04700,0200,N 395096,S200000,04900,0100,N 395096,S200000,05000,0100,N 395096,S200000,05200,0100,N 395097,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395097,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395097,A000000,00300,0000,0300EMPLOYEE BENEFITS 395097,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395097,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395097,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395097,A000000,00700,0000,0700HOUSEKEEPING 395097,A000000,00800,0000,0800DIETARY 395097,A000000,00900,0000,0900NURSING ADMINISTRATION 395097,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395097,A000000,01100,0000,1100PHARMACY 395097,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395097,A000000,01300,0000,1300SOCIAL SERVICE 395097,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395097,A000000,01500,0000,1350ACTIVITIES 395097,A000000,01600,0000,1600SKILLED NURSING FACILITY 395097,A000000,01800,0000,1800NURSING FACILITY 395097,A000000,01810,0000,1810ICF/MR 395097,A000000,02200,0000,2200LABORATORY 395097,A000000,02300,0000,2300INTRAVENOUS THERAPY 395097,A000000,02500,0000,2500PHYSICAL THERAPY 395097,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395097,A000000,02700,0000,2700SPEECH PATHOLOGY 395097,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395097,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395097,A000000,03200,0000,3200SUPPORT SURFACES 395097,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395097,A000000,03550,0000,3550FQHC 395097,A000000,04801,0000,4801AMBULANCE 395097,A000000,04802,0000,4802AMBULANCE 395097,A000000,04803,0000,4803AMBULANCE 395097,A000000,05000,0000,5000CORF 395097,A000000,05010,0000,5010CMHC 395097,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395097,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395097,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395097,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395097,A000000,05300,0000,5300INTEREST EXPENSE 395097,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395097,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395097,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395097,A81000A,00100,0100,Y 395097,A81000B,00100,0300,HOME OFFICE COST 395097,A81000B,00200,0300,PT ADMIN FEES 395097,A81000B,00300,0300,OT ADMIN FEES 395097,A81000B,00400,0300,ST ADMIN FEES 395097,A81000B,00500,0300,DIRECT INTEREST 395097,A81000C,00100,0100,B 395097,A81000C,00100,0200,SINKING SPRING 395097,A81000C,00100,0400,HCR MANORCARE INC. 395097,A81000C,00100,0600,LONG TERM CARE FACILITIES 395097,A81000C,00200,0100,B 395097,A81000C,00200,0200,SINKING SPRING 395097,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 395097,A81000C,00200,0600,THERAPY MGMT 395097,A81000C,00300,0100,B 395097,A81000C,00300,0200,SINKING SPRING 395097,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 395097,A81000C,00300,0600,THERAPY MGMT 395097,A81000C,00400,0100,B 395097,A81000C,00400,0200,SINKING SPRING 395097,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 395097,A81000C,00400,0600,THERAPY MGMT 395097,B100000,00000,0100,0100SQUARE FEET 395097,B100000,00000,0200,0200SQUARE FEET 395097,B100000,00000,0300,0300GROSS SALARIES 395097,B100000,00000,0400,0400ACCUM COST 395097,B100000,00000,0500,0500SQUARE FEET 395097,B100000,00000,0600,0600PATIENT DAYS 395097,B100000,00000,0700,0700SQUARE FEET 395097,B100000,00000,0800,0800MEALS SERVED 395097,B100000,00000,0900,0900NURSING WAGES 395097,B100000,00000,1000,1000PATIENT DAYS 395097,B100000,00000,1100,1100PATIENT DAYS 395097,B100000,00000,1200,1200PATIENT DAYS 395097,B100000,00000,1300,1300PATIENT DAYS 395097,B100000,00000,1400,1400PATIENT DAYS 395097,B100000,00000,1500,1350PATIENT DAYS 395097,E10A180,00501,0100,11/17/00 395097,E10A180,00501,0300,11/17/00 395097,E10A180,00502,0300,04/01/05 395097,E10A180,00550,0100,04/01/05 395097,S000000,00100,0200,10/25/00 395097,S200000,00100,0100,3000 WINDMILL ROAD 395097,S200000,00200,0100,SINKING SPRING 395097,S200000,00200,0200,PA 395097,S200000,00200,0300,19608 395097,S200000,00300,0100,BERKS 395097,S200000,00300,0200,6680 395097,S200000,00300,0300,U 395097,S200000,00400,0100,SINKING SPRING 395097,S200000,00400,0200,395541 395097,S200000,00400,0300,09/13/82 395097,S200000,00400,0500,P 395097,S200000,00400,0600,P 395097,S200000,01500,0100,N 395097,S200000,01600,0100,Y 395097,S200000,01700,0100,N 395097,S200000,01800,0100,N 395097,S200000,02200,0100,Y 395097,S200000,02800,0100,N 395097,S200000,02900,0100,N 395097,S200000,03000,0100,N 395097,S200000,03100,0100,N 395097,S200000,03200,0100,N 395097,S200000,03300,0100,N 395097,S200000,03300,0200,N 395097,S200000,04200,0100,N 395097,S200000,04300,0100,N 395097,S200000,04600,0100,N 395097,S200000,04700,0100,N 395097,S200000,04700,0200,N 395097,S200000,04900,0100,N 395097,S200000,05000,0100,N 395097,S200000,05200,0100,N 395161,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395161,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395161,A000000,00300,0000,0300EMPLOYEE BENEFITS 395161,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395161,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395161,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395161,A000000,00700,0000,0700HOUSEKEEPING 395161,A000000,00800,0000,0800DIETARY 395161,A000000,00900,0000,0900NURSING ADMINISTRATION 395161,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395161,A000000,01100,0000,1100PHARMACY 395161,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395161,A000000,01300,0000,1300SOCIAL SERVICE 395161,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395161,A000000,01500,0000,1350ACTIVITIES 395161,A000000,01600,0000,1600SKILLED NURSING FACILITY 395161,A000000,01800,0000,1800NURSING FACILITY 395161,A000000,01810,0000,1810ICF/MR 395161,A000000,02100,0000,2100RADIOLOGY 395161,A000000,02200,0000,2200LABORATORY 395161,A000000,02300,0000,2300INTRAVENOUS THERAPY 395161,A000000,02500,0000,2500PHYSICAL THERAPY 395161,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395161,A000000,02700,0000,2700SPEECH PATHOLOGY 395161,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395161,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395161,A000000,03200,0000,3200SUPPORT SURFACES 395161,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395161,A000000,03550,0000,3550FQHC 395161,A000000,04801,0000,4801AMBULANCE 395161,A000000,04802,0000,4802AMBULANCE 395161,A000000,04803,0000,4803AMBULANCE 395161,A000000,05000,0000,5000CORF 395161,A000000,05010,0000,5010CMHC 395161,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395161,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395161,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395161,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395161,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395161,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395161,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395161,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395161,A81000A,00100,0100,Y 395161,A81000B,00100,0300,HOME OFFICE COST 395161,A81000B,00200,0300,DIRECT INTEREST 395161,A81000B,00300,0300,PT ADMINISTRATIVE FEES 395161,A81000B,00400,0300,OT ADMINISTRATIVE FEES 395161,A81000B,00500,0300,ST ADMINISTRATIVE FEES 395161,A81000C,00100,0100,B 395161,A81000C,00100,0200,MCHS CEDAR RAPIDS 395161,A81000C,00100,0400,HCR MANORCARE INC. 395161,A81000C,00100,0600,LONG TERM CARE FACILITIES 395161,A81000C,00200,0100,B 395161,A81000C,00200,0200,MCHS CEDAR RAPIDS 395161,A81000C,00200,0400,HCR MANORCARE INC. 395161,A81000C,00200,0600,LONG TERM CARE FACILITIES 395161,A81000C,00300,0100,B 395161,A81000C,00300,0200,MCHS CEDAR RAPIDS 395161,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395161,A81000C,00300,0600,THERAPY MANAGEMENT 395161,A81000C,00400,0100,B 395161,A81000C,00400,0200,MCHS CEDAR RAPIDS 395161,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395161,A81000C,00400,0600,THERAPY MANAGEMENT 395161,A81000C,00500,0100,B 395161,A81000C,00500,0200,MCHS CEDAR RAPIDS 395161,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 395161,A81000C,00500,0600,THERAPY MANAGEMENT 395161,B100000,00000,0100,0100SQUARE FEET 395161,B100000,00000,0200,0200SQUARE FEET 395161,B100000,00000,0300,0300GROSS SALARIES 395161,B100000,00000,0400,0400ACCUM COST 395161,B100000,00000,0500,0500SQUARE FEET 395161,B100000,00000,0600,0600PATIENT DAYS 395161,B100000,00000,0700,0700SQUARE FEET 395161,B100000,00000,0800,0800MEALS SERVED 395161,B100000,00000,0900,0900NURSING WAGES 395161,B100000,00000,1000,1000PATIENT DAYS 395161,B100000,00000,1100,1100PATIENT DAYS 395161,B100000,00000,1200,1200PATIENT DAYS 395161,B100000,00000,1300,1300PATIENT DAYS 395161,B100000,00000,1400,1400PATIENT DAYS 395161,B100000,00000,1500,1350PATIENT DAYS 395161,E10A180,00502,0100,11/17/00 395161,E10A180,00502,0300,11/17/00 395161,E10A180,00550,0100,04/01/05 395161,E10A180,00550,0300,04/01/05 395161,S000000,00100,0200,10/27/00 395161,S200000,00100,0100,1940 1ST AVENUE N.E. 395161,S200000,00200,0100,CEDAR RAPIDS 395161,S200000,00200,0200,IA 395161,S200000,00200,0300,52402 395161,S200000,00300,0100,LINN 395161,S200000,00300,0200,1360 395161,S200000,00300,0300,U 395161,S200000,00400,0100,MCHS CEDAR RAPIDS 395161,S200000,00400,0200,165017 395161,S200000,00400,0300,01/01/66 395161,S200000,00400,0500,P 395161,S200000,00400,0600,P 395161,S200000,01500,0100,N 395161,S200000,01600,0100,Y 395161,S200000,01700,0100,N 395161,S200000,01800,0100,N 395161,S200000,02200,0100,Y 395161,S200000,02800,0100,N 395161,S200000,02900,0100,N 395161,S200000,03000,0100,N 395161,S200000,03100,0100,N 395161,S200000,03200,0100,N 395161,S200000,03300,0100,N 395161,S200000,03300,0200,N 395161,S200000,04200,0100,N 395161,S200000,04300,0100,N 395161,S200000,04600,0100,N 395161,S200000,04700,0100,N 395161,S200000,04700,0200,N 395161,S200000,04900,0100,N 395161,S200000,05000,0100,N 395161,S200000,05200,0100,N 395162,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395162,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395162,A000000,00300,0000,0300EMPLOYEE BENEFITS 395162,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395162,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395162,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395162,A000000,00700,0000,0700HOUSEKEEPING 395162,A000000,00800,0000,0800DIETARY 395162,A000000,00900,0000,0900NURSING ADMINISTRATION 395162,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395162,A000000,01100,0000,1100PHARMACY 395162,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395162,A000000,01300,0000,1300SOCIAL SERVICE 395162,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395162,A000000,01500,0000,1350ACTIVITIES 395162,A000000,01600,0000,1600SKILLED NURSING FACILITY 395162,A000000,01800,0000,1800NURSING FACILITY 395162,A000000,01810,0000,1810ICF/MR 395162,A000000,02100,0000,2100RADIOLOGY 395162,A000000,02200,0000,2200LABORATORY 395162,A000000,02300,0000,2300INTRAVENOUS THERAPY 395162,A000000,02500,0000,2500PHYSICAL THERAPY 395162,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395162,A000000,02700,0000,2700SPEECH PATHOLOGY 395162,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395162,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395162,A000000,03200,0000,3200SUPPORT SURFACES 395162,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395162,A000000,03550,0000,3550FQHC 395162,A000000,04801,0000,4801AMBULANCE 395162,A000000,04802,0000,4802AMBULANCE 395162,A000000,04803,0000,4803AMBULANCE 395162,A000000,05000,0000,5000CORF 395162,A000000,05010,0000,5010CMHC 395162,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395162,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395162,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395162,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395162,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395162,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395162,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395162,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395162,A81000A,00100,0100,Y 395162,A81000B,00100,0300,HOME OFFICE COST 395162,A81000B,00200,0300,PT ADMINISTRATION FEES 395162,A81000B,00300,0300,OT ADMINISTRATION FEES 395162,A81000B,00400,0300,ST ADMINSTRATION FEES 395162,A81000C,00100,0100,B 395162,A81000C,00100,0200,MCHS WATERLOO 395162,A81000C,00100,0400,HCR MANORCARE INC. 395162,A81000C,00100,0600,LONG TERM CARE FACILITIES 395162,A81000C,00200,0100,B 395162,A81000C,00200,0200,MCHS WATERLOO 395162,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 395162,A81000C,00200,0600,THERAPY MANAGEMENT 395162,A81000C,00300,0100,B 395162,A81000C,00300,0200,MCHS WATERLOO 395162,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395162,A81000C,00300,0600,THERAPY MANAGEMENT 395162,A81000C,00400,0100,B 395162,A81000C,00400,0200,MCHS WATERLOO 395162,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395162,A81000C,00400,0600,THERAPY MANAGEMENT 395162,B100000,00000,0100,0100SQUARE FEET 395162,B100000,00000,0200,0200SQUARE FEET 395162,B100000,00000,0300,0300GROSS SALARIES 395162,B100000,00000,0400,0400ACCUM COST 395162,B100000,00000,0500,0500SQUARE FEET 395162,B100000,00000,0600,0600PATIENT DAYS 395162,B100000,00000,0700,0700SQUARE FEET 395162,B100000,00000,0800,0800MEALS SERVED 395162,B100000,00000,0900,0900NURSING WAGES 395162,B100000,00000,1000,1000PATIENT DAYS 395162,B100000,00000,1100,1100PATIENT DAYS 395162,B100000,00000,1200,1200PATIENT DAYS 395162,B100000,00000,1300,1300PATIENT DAYS 395162,B100000,00000,1400,1400PATIENT DAYS 395162,B100000,00000,1500,1350PATIENT DAYS 395162,E10A180,00501,0100,11/17/00 395162,E10A180,00501,0300,11/17/00 395162,E10A180,00550,0100,04/01/05 395162,E10A180,00550,0300,04/01/05 395162,S000000,00100,0200,10/27/00 395162,S200000,00100,0100,201 W. RIDGEWAY AVENUE 395162,S200000,00200,0100,WATERLOO 395162,S200000,00200,0200,IA 395162,S200000,00200,0300,50701 395162,S200000,00300,0100,BLACK HAWK 395162,S200000,00300,0200,8920 395162,S200000,00300,0300,U 395162,S200000,00400,0100,MCHS WATERLOO 395162,S200000,00400,0200,165034 395162,S200000,00400,0300,01/19/67 395162,S200000,00400,0500,P 395162,S200000,00400,0600,P 395162,S200000,01500,0100,N 395162,S200000,01600,0100,Y 395162,S200000,01700,0100,N 395162,S200000,01800,0100,N 395162,S200000,02200,0100,Y 395162,S200000,02800,0100,N 395162,S200000,02900,0100,N 395162,S200000,03000,0100,N 395162,S200000,03100,0100,N 395162,S200000,03200,0100,N 395162,S200000,03300,0100,N 395162,S200000,03300,0200,N 395162,S200000,04200,0100,N 395162,S200000,04300,0100,N 395162,S200000,04600,0100,N 395162,S200000,04700,0100,N 395162,S200000,04700,0200,N 395162,S200000,04900,0100,N 395162,S200000,05000,0100,N 395162,S200000,05200,0100,N 395170,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395170,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395170,A000000,00300,0000,0300EMPLOYEE BENEFITS 395170,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395170,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395170,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395170,A000000,00700,0000,0700HOUSEKEEPING 395170,A000000,00800,0000,0800DIETARY 395170,A000000,00900,0000,0900NURSING ADMINISTRATION 395170,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395170,A000000,01100,0000,1100PHARMACY 395170,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395170,A000000,01300,0000,1300SOCIAL SERVICE 395170,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395170,A000000,01500,0000,1350ACTIVITIES 395170,A000000,01600,0000,1600SKILLED NURSING FACILITY 395170,A000000,01800,0000,1800NURSING FACILITY 395170,A000000,01810,0000,1810ICF/MR 395170,A000000,02100,0000,2100RADIOLOGY 395170,A000000,02200,0000,2200LABORATORY 395170,A000000,02300,0000,2300INTRAVENOUS THERAPY 395170,A000000,02500,0000,2500PHYSICAL THERAPY 395170,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395170,A000000,02700,0000,2700SPEECH PATHOLOGY 395170,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395170,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395170,A000000,03200,0000,3200SUPPORT SURFACES 395170,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395170,A000000,03550,0000,3550FQHC 395170,A000000,04801,0000,4801AMBULANCE 395170,A000000,04802,0000,4802AMBULANCE 395170,A000000,04803,0000,4803AMBULANCE 395170,A000000,05000,0000,5000CORF 395170,A000000,05010,0000,5010CMHC 395170,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395170,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395170,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395170,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395170,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395170,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395170,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395170,A81000A,00100,0100,Y 395170,A81000B,00100,0300,HOME OFFICE COST 395170,A81000B,00200,0300,DIRECT INTEREST 395170,A81000B,00300,0300,PHYSICAL THERAPY 395170,A81000B,00400,0300,OCCUPATIONAL THERAPY 395170,A81000B,00500,0300,SPEECH THERAPY 395170,A81000C,00100,0100,B 395170,A81000C,00100,0200,MCHS WILLOUGHBY - #516 395170,A81000C,00100,0400,HCR MANORCARE INC. 395170,A81000C,00100,0600,LONG TERM CARE FACILITIES 395170,A81000C,00200,0100,B 395170,A81000C,00200,0200,MCHS WILLOUGHBY - #516 395170,A81000C,00200,0400,HCR MANORCARE INC. 395170,A81000C,00200,0600,LONG TERM CARE FACILITIES 395170,A81000C,00300,0100,B 395170,A81000C,00300,0200,MCHS WILLOUGHBY - #516 395170,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395170,A81000C,00300,0600,THERAPY MANAGEMENT 395170,A81000C,00400,0100,B 395170,A81000C,00400,0200,MCHS WILLOUGHBY - #516 395170,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395170,A81000C,00400,0600,THERAPY MANAGEMENT 395170,A81000C,00500,0100,B 395170,A81000C,00500,0200,MCHS WILLOUGHBY - #516 395170,A81000C,00500,0400,HTLD MANAGEMENT SERVICES 395170,A81000C,00500,0600,THERAPY MANAGEMENT 395170,B100000,00000,0100,0100SQUARE FEET 395170,B100000,00000,0200,0200SQUARE FEET 395170,B100000,00000,0300,0300GROSS SALARIES 395170,B100000,00000,0400,0400ACCUM COST 395170,B100000,00000,0500,0500SQUARE FEET 395170,B100000,00000,0600,0600PATIENT DAYS 395170,B100000,00000,0700,0700SQUARE FEET 395170,B100000,00000,0800,0800MEALS SERVED 395170,B100000,00000,0900,0900NURSING WAGES 395170,B100000,00000,1000,1000PATIENT DAYS 395170,B100000,00000,1100,1100PATIENT DAYS 395170,B100000,00000,1200,1200PATIENT DAYS 395170,B100000,00000,1300,1300PATIENT DAYS 395170,B100000,00000,1400,1400PATIENT DAYS 395170,B100000,00000,1500,1350PATIENT DAYS 395170,E10A180,00501,0300,04/01/05 395170,E10A180,00502,0100,11/17/00 395170,E10A180,00502,0300,11/17/00 395170,E10A180,00550,0100,04/01/05 395170,S000000,00100,0200,10/23/00 395170,S200000,00100,0100,37603 EUCLID AVENUE 395170,S200000,00200,0100,WILLOUGHBY 395170,S200000,00200,0200,OH 395170,S200000,00200,0300,44094 395170,S200000,00300,0100,LAKE 395170,S200000,00300,0200,1680 395170,S200000,00300,0300,U 395170,S200000,00400,0100,MCHS WILLOUGHBY - #516 395170,S200000,00400,0200,365305 395170,S200000,00400,0300,01/01/66 395170,S200000,00400,0500,P 395170,S200000,00400,0600,P 395170,S200000,01500,0100,N 395170,S200000,01600,0100,Y 395170,S200000,01700,0100,N 395170,S200000,01800,0100,N 395170,S200000,02200,0100,Y 395170,S200000,02800,0100,N 395170,S200000,02900,0100,N 395170,S200000,03000,0100,N 395170,S200000,03100,0100,N 395170,S200000,03200,0100,N 395170,S200000,03300,0100,N 395170,S200000,03300,0200,N 395170,S200000,04200,0100,N 395170,S200000,04300,0100,N 395170,S200000,04600,0100,N 395170,S200000,04700,0100,N 395170,S200000,04700,0200,N 395170,S200000,04900,0100,N 395170,S200000,05000,0100,N 395170,S200000,05200,0100,N 395174,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395174,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395174,A000000,00300,0000,0300EMPLOYEE BENEFITS 395174,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395174,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395174,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395174,A000000,00700,0000,0700HOUSEKEEPING 395174,A000000,00800,0000,0800DIETARY 395174,A000000,00900,0000,0900NURSING ADMINISTRATION 395174,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395174,A000000,01100,0000,1100PHARMACY 395174,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395174,A000000,01300,0000,1300SOCIAL SERVICE 395174,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395174,A000000,01500,0000,1350ACTIVITIES 395174,A000000,01600,0000,1600SKILLED NURSING FACILITY 395174,A000000,01800,0000,1800NURSING FACILITY 395174,A000000,01810,0000,1810ICF/MR 395174,A000000,02200,0000,2200LABORATORY 395174,A000000,02300,0000,2300INTRAVENOUS THERAPY 395174,A000000,02500,0000,2500PHYSICAL THERAPY 395174,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395174,A000000,02700,0000,2700SPEECH PATHOLOGY 395174,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395174,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395174,A000000,03200,0000,3200SUPPORT SURFACES 395174,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395174,A000000,03550,0000,3550FQHC 395174,A000000,04801,0000,4801AMBULANCE 395174,A000000,04802,0000,4802AMBULANCE 395174,A000000,04803,0000,4803AMBULANCE 395174,A000000,05000,0000,5000CORF 395174,A000000,05010,0000,5010CMHC 395174,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395174,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395174,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395174,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395174,A000000,05300,0000,5300INTEREST EXPENSE 395174,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395174,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395174,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395174,A81000A,00100,0100,Y 395174,A81000B,00100,0300,HOME OFFICE COST 395174,A81000B,00200,0300,DIRECT CORPORATE INTEREST 395174,A81000B,00300,0300,PT ADMINISTRATIVE FEES 395174,A81000B,00400,0300,OT ADMINISTRATIVE FEES 395174,A81000B,00500,0300,ST ADMINISTRATIVE FEES 395174,A81000C,00100,0100,B 395174,A81000C,00100,0200,DALLASTOWN 395174,A81000C,00100,0400,HCR MANORCARE INC. 395174,A81000C,00100,0600,LONG TERM CARE FACILITIES 395174,A81000C,00200,0100,B 395174,A81000C,00200,0200,DALLASTOWN 395174,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 395174,A81000C,00200,0600,THERAPY MANAGEMENT 395174,A81000C,00300,0100,B 395174,A81000C,00300,0200,DALLASTOWN 395174,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 395174,A81000C,00300,0600,THERAPY MANAGEMENT 395174,A81000C,00400,0100,B 395174,A81000C,00400,0200,DALLASTOWN 395174,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 395174,A81000C,00400,0600,THERAPY MANAGEMENT 395174,B100000,00000,0100,0100SQUARE FEET 395174,B100000,00000,0200,0200SQUARE FEET 395174,B100000,00000,0300,0300GROSS SALARIES 395174,B100000,00000,0400,0400ACCUM COST 395174,B100000,00000,0500,0500SQUARE FEET 395174,B100000,00000,0600,0600PATIENT DAYS 395174,B100000,00000,0700,0700SQUARE FEET 395174,B100000,00000,0800,0800MEALS SERVED 395174,B100000,00000,0900,0900NURSING WAGES 395174,B100000,00000,1000,1000PATIENT DAYS 395174,B100000,00000,1100,1100PATIENT DAYS 395174,B100000,00000,1200,1200PATIENT DAYS 395174,B100000,00000,1300,1300PATIENT DAYS 395174,B100000,00000,1400,1400PATIENT DAYS 395174,B100000,00000,1500,1350PATIENT DAYS 395174,E10A180,00501,0300,04/01/05 395174,E10A180,00502,0100,11/17/00 395174,E10A180,00502,0300,11/17/00 395174,E10A180,00550,0100,04/01/05 395174,S000000,00100,0200,10/25/00 395174,S200000,00100,0100,100 W. QUEEN STREET 395174,S200000,00200,0100,DALLASTOWN 395174,S200000,00200,0200,PA 395174,S200000,00200,0300,17313 395174,S200000,00300,0100,YORK 395174,S200000,00300,0200,9280 395174,S200000,00300,0300,U 395174,S200000,00400,0100,DALLASTOWN 395174,S200000,00400,0200,395451 395174,S200000,00400,0300,10/17/79 395174,S200000,00400,0500,P 395174,S200000,00400,0600,P 395174,S200000,01500,0100,N 395174,S200000,01600,0100,Y 395174,S200000,01700,0100,N 395174,S200000,01800,0100,N 395174,S200000,02200,0100,N 395174,S200000,02800,0100,N 395174,S200000,02900,0100,N 395174,S200000,03000,0100,N 395174,S200000,03100,0100,Y 395174,S200000,03200,0100,N 395174,S200000,03300,0100,N 395174,S200000,03300,0200,N 395174,S200000,04200,0100,N 395174,S200000,04300,0100,N 395174,S200000,04600,0100,N 395174,S200000,04700,0100,N 395174,S200000,04700,0200,N 395174,S200000,04900,0100,N 395174,S200000,05000,0100,N 395174,S200000,05200,0100,N 395175,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395175,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395175,A000000,00300,0000,0300EMPLOYEE BENEFITS 395175,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395175,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395175,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395175,A000000,00700,0000,0700HOUSEKEEPING 395175,A000000,00800,0000,0800DIETARY 395175,A000000,00900,0000,0900NURSING ADMINISTRATION 395175,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395175,A000000,01100,0000,1100PHARMACY 395175,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395175,A000000,01300,0000,1300SOCIAL SERVICE 395175,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395175,A000000,01500,0000,1350ACTIVITIES 395175,A000000,01600,0000,1600SKILLED NURSING FACILITY 395175,A000000,01800,0000,1800NURSING FACILITY 395175,A000000,01810,0000,1810ICF/MR 395175,A000000,02200,0000,2200LABORATORY 395175,A000000,02300,0000,2300INTRAVENOUS THERAPY 395175,A000000,02500,0000,2500PHYSICAL THERAPY 395175,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395175,A000000,02700,0000,2700SPEECH PATHOLOGY 395175,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395175,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395175,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395175,A000000,03550,0000,3550FQHC 395175,A000000,04801,0000,4801AMBULANCE 395175,A000000,04802,0000,4802AMBULANCE 395175,A000000,04803,0000,4803AMBULANCE 395175,A000000,05000,0000,5000CORF 395175,A000000,05010,0000,5010CMHC 395175,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395175,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395175,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395175,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395175,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395175,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395175,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395175,A81000A,00100,0100,Y 395175,A81000B,00100,0300,HOME OFFICE COST 395175,A81000B,00200,0300,ADMIN FEES PT 395175,A81000B,00300,0300,ADMIN FEES OT 395175,A81000B,00400,0300,ADMIN FEES ST 395175,A81000C,00100,0100,B 395175,A81000C,00100,0200,HCR MANORCARE 395175,A81000C,00100,0400,HCR MANORCARE INC. 395175,A81000C,00100,0600,LONG TERM CARE FACILITIES 395175,A81000C,00200,0100,B 395175,A81000C,00200,0200,MCHS MCMURRAY 395175,A81000C,00200,0400,HEARTLAND MGMT SERVICES 395175,A81000C,00200,0600,THERAPY MANAGEMENT 395175,A81000C,00300,0100,B 395175,A81000C,00300,0200,MCHS MCMURRAY 395175,A81000C,00300,0400,HEARTLAND MGMT SERVICES 395175,A81000C,00300,0600,THERAPY MANAGEMENT 395175,A81000C,00400,0100,B 395175,A81000C,00400,0200,MCHS MCMURRAY 395175,A81000C,00400,0400,HEARTLAND MGMT SERVICES 395175,A81000C,00400,0600,THERAPY MANAGEMENT 395175,B100000,00000,0100,0100SQUARE FEET 395175,B100000,00000,0200,0200SQUARE FEET 395175,B100000,00000,0300,0300GROSS SALARIES 395175,B100000,00000,0400,0400ACCUM COST 395175,B100000,00000,0500,0500SQUARE FEET 395175,B100000,00000,0600,0600PATIENT DAYS 395175,B100000,00000,0700,0700SQUARE FEET 395175,B100000,00000,0800,0800MEALS SERVED 395175,B100000,00000,0900,0900NURSING WAGES 395175,B100000,00000,1000,1000PATIENT DAYS 395175,B100000,00000,1100,1100PATIENT DAYS 395175,B100000,00000,1200,1200PATIENT DAYS 395175,B100000,00000,1300,1300PATIENT DAYS 395175,B100000,00000,1400,1400PATIENT DAYS 395175,B100000,00000,1500,1350PATIENT DAYS 395175,E10A180,00501,0100,11/17/00 395175,E10A180,00501,0300,11/17/00 395175,E10A180,00550,0100,04/01/05 395175,E10A180,00550,0300,04/01/05 395175,S000000,00100,0200,10/27/00 395175,S200000,00100,0100,113 W. MCMURRAY ROAD 395175,S200000,00200,0100,MCMURRAY 395175,S200000,00200,0200,PA 395175,S200000,00200,0300,15317 395175,S200000,00300,0100,WASHINGTON 395175,S200000,00300,0200,6280 395175,S200000,00300,0300,U 395175,S200000,00400,0100,MCMURRAY 395175,S200000,00400,0200,395783 395175,S200000,00400,0300,02/28/89 395175,S200000,00400,0500,P 395175,S200000,00400,0600,P 395175,S200000,01500,0100,N 395175,S200000,01600,0100,Y 395175,S200000,01700,0100,N 395175,S200000,01800,0100,N 395175,S200000,02200,0100,N 395175,S200000,02800,0100,N 395175,S200000,02900,0100,N 395175,S200000,03000,0100,N 395175,S200000,03100,0100,N 395175,S200000,03200,0100,N 395175,S200000,03300,0100,N 395175,S200000,03300,0200,N 395175,S200000,04200,0100,N 395175,S200000,04300,0100,N 395175,S200000,04600,0100,N 395175,S200000,04700,0100,N 395175,S200000,04700,0200,N 395175,S200000,04900,0100,N 395175,S200000,05000,0100,N 395175,S200000,05200,0100,N 395222,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395222,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395222,A000000,00300,0000,0300EMPLOYEE BENEFITS 395222,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395222,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395222,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395222,A000000,00700,0000,0700HOUSEKEEPING 395222,A000000,00800,0000,0800DIETARY 395222,A000000,00900,0000,0900NURSING ADMINISTRATION 395222,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395222,A000000,01100,0000,1100PHARMACY 395222,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395222,A000000,01300,0000,1300SOCIAL SERVICE 395222,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395222,A000000,01500,0000,1350ACTIVITIES 395222,A000000,01600,0000,1600SKILLED NURSING FACILITY 395222,A000000,01800,0000,1800NURSING FACILITY 395222,A000000,01810,0000,1810ICF/MR 395222,A000000,02200,0000,2200LABORATORY 395222,A000000,02300,0000,2300INTRAVENOUS THERAPY 395222,A000000,02500,0000,2500PHYSICAL THERAPY 395222,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395222,A000000,02700,0000,2700SPEECH PATHOLOGY 395222,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395222,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395222,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395222,A000000,03550,0000,3550FQHC 395222,A000000,04801,0000,4801AMBULANCE 395222,A000000,04802,0000,4802AMBULANCE 395222,A000000,04803,0000,4803AMBULANCE 395222,A000000,05000,0000,5000CORF 395222,A000000,05010,0000,5010CMHC 395222,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395222,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395222,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395222,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395222,A000000,05300,0000,5300INTEREST EXPENSE 395222,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395222,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395222,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395222,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395222,A81000A,00100,0100,Y 395222,A81000B,00100,0300,HOME OFFICE COST 395222,A81000B,00200,0300,PHYSICAL THERAPY 395222,A81000B,00300,0300,OCCUPATIONAL THERAPY 395222,A81000B,00400,0300,SPEECH THERAPY 395222,A81000B,00500,0300,INTEREST EXPENSE 395222,A81000C,00100,0100,B 395222,A81000C,00100,0200,MCHS - KANKAKEE 395222,A81000C,00100,0400,HCR MANORCARE INC. 395222,A81000C,00100,0600,LONG TERM CARE FACILITIES 395222,A81000C,00200,0100,B 395222,A81000C,00200,0200,MCHS - KANKAKEE 395222,A81000C,00200,0400,HEARTLAND MANAGEMENT 395222,A81000C,00200,0600,THERAPY MANAGEMENT 395222,A81000C,00300,0100,B 395222,A81000C,00300,0200,MCHS - KANKAKEE 395222,A81000C,00300,0400,HEARTLAND MANAGEMENT 395222,A81000C,00300,0600,THERAPY MANAGEMENT 395222,A81000C,00400,0100,B 395222,A81000C,00400,0200,MCHS - KANKAKEE 395222,A81000C,00400,0400,HEARTLAND MANAGEMENT 395222,A81000C,00400,0600,THERAPY MANAGEMENT 395222,A81000C,00500,0100,B 395222,A81000C,00500,0200,MCHS - KANKAKEE 395222,A81000C,00500,0400,HEARTLAND MANAGEMENT 395222,A81000C,00500,0600,THERAPY MANAGEMENT 395222,B100000,00000,0100,0100SQUARE FEET 395222,B100000,00000,0200,0200SQUARE FEET 395222,B100000,00000,0300,0300GROSS SALARIES 395222,B100000,00000,0400,0400ACCUM COST 395222,B100000,00000,0500,0500SQUARE FEET 395222,B100000,00000,0600,0600PATIENT DAYS 395222,B100000,00000,0700,0700SQUARE FEET 395222,B100000,00000,0800,0800MEALS SERVED 395222,B100000,00000,0900,0900NURSING WAGES 395222,B100000,00000,1000,1000PATIENT DAYS 395222,B100000,00000,1100,1100PATIENT DAYS 395222,B100000,00000,1200,1200PATIENT DAYS 395222,B100000,00000,1300,1300PATIENT DAYS 395222,B100000,00000,1400,1400PATIENT DAYS 395222,B100000,00000,1500,1350PATIENT DAYS 395222,E10A180,00501,0100,11/17/00 395222,E10A180,00501,0300,11/17/00 395222,E10A180,00550,0100,04/01/05 395222,E10A180,00550,0300,04/01/05 395222,S000000,00100,0200,10/13/00 395222,S200000,00100,0100,900 WEST RIVER PLACE 395222,S200000,00200,0100,KANKAKEE 395222,S200000,00200,0200,IL 395222,S200000,00200,0300,60901 395222,S200000,00300,0100,KANKAKEE 395222,S200000,00300,0200,3740 395222,S200000,00300,0300,U 395222,S200000,00400,0100,MCHS - KANKAKEE 395222,S200000,00400,0200,145043 395222,S200000,00400,0300,01/01/67 395222,S200000,00400,0500,P 395222,S200000,00400,0600,P 395222,S200000,01500,0100,N 395222,S200000,01600,0100,Y 395222,S200000,01700,0100,N 395222,S200000,01800,0100,N 395222,S200000,02200,0100,N 395222,S200000,02800,0100,N 395222,S200000,02900,0100,N 395222,S200000,03000,0100,N 395222,S200000,03100,0100,N 395222,S200000,03200,0100,N 395222,S200000,03300,0100,N 395222,S200000,03300,0200,N 395222,S200000,04200,0100,N 395222,S200000,04300,0100,Y 395222,S200000,04600,0100,N 395222,S200000,04700,0100,N 395222,S200000,04700,0200,N 395222,S200000,04900,0100,N 395222,S200000,05000,0100,N 395222,S200000,05200,0100,N 395223,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395223,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395223,A000000,00300,0000,0300EMPLOYEE BENEFITS 395223,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395223,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395223,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395223,A000000,00700,0000,0700HOUSEKEEPING 395223,A000000,00800,0000,0800DIETARY 395223,A000000,00900,0000,0900NURSING ADMINISTRATION 395223,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395223,A000000,01100,0000,1100PHARMACY 395223,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395223,A000000,01300,0000,1300SOCIAL SERVICE 395223,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395223,A000000,01500,0000,1350ACTIVITIES 395223,A000000,01600,0000,1600SKILLED NURSING FACILITY 395223,A000000,01800,0000,1800NURSING FACILITY 395223,A000000,01810,0000,1810ICF/MR 395223,A000000,02200,0000,2200LABORATORY 395223,A000000,02300,0000,2300INTRAVENOUS THERAPY 395223,A000000,02500,0000,2500PHYSICAL THERAPY 395223,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395223,A000000,02700,0000,2700SPEECH PATHOLOGY 395223,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395223,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395223,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395223,A000000,03550,0000,3550FQHC 395223,A000000,04801,0000,4801AMBULANCE 395223,A000000,04802,0000,4802AMBULANCE 395223,A000000,04803,0000,4803AMBULANCE 395223,A000000,05000,0000,5000CORF 395223,A000000,05010,0000,5010CMHC 395223,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395223,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395223,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395223,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395223,A000000,05300,0000,5300INTEREST EXPENSE 395223,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395223,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395223,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395223,A81000A,00100,0100,Y 395223,A81000B,00100,0300,HOME OFFICE COST 395223,A81000B,00200,0300,PT ADMINISTRATIVE FEES 395223,A81000B,00300,0300,OT ADMINISTRATIVE FEES 395223,A81000B,00400,0300,ST ADMINISTRATIVE FEES 395223,A81000B,00500,0300,DIRECT CORPORATE INTEREST 395223,A81000C,00100,0100,B 395223,A81000C,00100,0200,MCHS - POTTSVILLE 395223,A81000C,00100,0400,HCR MANORCARE INC. 395223,A81000C,00100,0600,LONG TERM CARE FACILITIES 395223,A81000C,00200,0100,B 395223,A81000C,00200,0200,MCHS - POTTSVILLE 395223,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395223,A81000C,00200,0600,THERAPY MANAGEMENT 395223,A81000C,00300,0100,B 395223,A81000C,00300,0200,MCHS - POTTSVILLE 395223,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395223,A81000C,00300,0600,THERAPY MANAGEMENT 395223,A81000C,00400,0100,B 395223,A81000C,00400,0200,MCHS - POTTSVILLE 395223,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395223,A81000C,00400,0600,THERAPY MANAGEMENT 395223,B100000,00000,0100,0100SQUARE FEET 395223,B100000,00000,0200,0200SQUARE FEET 395223,B100000,00000,0300,0300GROSS SALARIES 395223,B100000,00000,0400,0400ACCUM COST 395223,B100000,00000,0500,0500SQUARE FEET 395223,B100000,00000,0600,0600PATIENT DAYS 395223,B100000,00000,0700,0700SQUARE FEET 395223,B100000,00000,0800,0800MEALS SERVED 395223,B100000,00000,0900,0900NURSING WAGES 395223,B100000,00000,1000,1000PATIENT DAYS 395223,B100000,00000,1100,1100PATIENT DAYS 395223,B100000,00000,1200,1200PATIENT DAYS 395223,B100000,00000,1300,1300PATIENT DAYS 395223,B100000,00000,1400,1400PATIENT DAYS 395223,B100000,00000,1500,1350PATIENT DAYS 395223,E10A180,00501,0300,04/01/05 395223,E10A180,00502,0100,11/17/00 395223,E10A180,00502,0300,11/17/00 395223,E10A180,00550,0100,04/01/05 395223,S000000,00100,0200,10/20/00 395223,S200000,00100,0100,PULASKI & LEADER DRIVE 395223,S200000,00200,0100,POTTSVILLE 395223,S200000,00200,0200,PA 395223,S200000,00200,0300,17901 395223,S200000,00300,0100,SCHUYKILL 395223,S200000,00300,0300,R 395223,S200000,00400,0100,POTTSVILLE 395223,S200000,00400,0200,395344 395223,S200000,00400,0300,09/13/76 395223,S200000,00400,0500,P 395223,S200000,00400,0600,P 395223,S200000,01500,0100,N 395223,S200000,01600,0100,Y 395223,S200000,01700,0100,N 395223,S200000,01800,0100,N 395223,S200000,02200,0100,Y 395223,S200000,02800,0100,N 395223,S200000,02900,0100,N 395223,S200000,03000,0100,N 395223,S200000,03100,0100,N 395223,S200000,03200,0100,N 395223,S200000,03300,0100,N 395223,S200000,03300,0200,N 395223,S200000,04200,0100,N 395223,S200000,04300,0100,N 395223,S200000,04600,0100,N 395223,S200000,04700,0100,N 395223,S200000,04700,0200,N 395223,S200000,04900,0100,N 395223,S200000,05000,0100,N 395223,S200000,05200,0100,N 395224,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395224,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395224,A000000,00300,0000,0300EMPLOYEE BENEFITS 395224,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395224,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395224,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395224,A000000,00700,0000,0700HOUSEKEEPING 395224,A000000,00800,0000,0800DIETARY 395224,A000000,00900,0000,0900NURSING ADMINISTRATION 395224,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395224,A000000,01100,0000,1100PHARMACY 395224,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395224,A000000,01300,0000,1300SOCIAL SERVICE 395224,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395224,A000000,01500,0000,1350ACTIVITIES 395224,A000000,01600,0000,1600SKILLED NURSING FACILITY 395224,A000000,01800,0000,1800NURSING FACILITY 395224,A000000,01810,0000,1810ICF/MR 395224,A000000,02200,0000,2200LABORATORY 395224,A000000,02300,0000,2300INTRAVENOUS THERAPY 395224,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 395224,A000000,02500,0000,2500PHYSICAL THERAPY 395224,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395224,A000000,02700,0000,2700SPEECH PATHOLOGY 395224,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395224,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395224,A000000,03200,0000,3200SUPPORT SURFACES 395224,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395224,A000000,03550,0000,3550FQHC 395224,A000000,04801,0000,4801AMBULANCE 395224,A000000,04802,0000,4802AMBULANCE 395224,A000000,04803,0000,4803AMBULANCE 395224,A000000,05000,0000,5000CORF 395224,A000000,05010,0000,5010CMHC 395224,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395224,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395224,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395224,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395224,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395224,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395224,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395224,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395224,A81000A,00100,0100,Y 395224,A81000B,00100,0300,HOME OFFICE COST 395224,A81000B,00200,0300,PT ADMIN FEES 395224,A81000B,00300,0300,OT ADMIN FEES 395224,A81000B,00400,0300,ST ADMIN FEES 395224,A81000C,00100,0100,B 395224,A81000C,00100,0200,HCR MANORCARE 395224,A81000C,00100,0400,HCR MANORCARE INC. 395224,A81000C,00100,0600,LONG TERM CARE FACILITIES 395224,A81000C,00200,0100,B 395224,A81000C,00200,0200,MCHS SUNBURY 395224,A81000C,00200,0400,HEARTLAND MGMT SERV 395224,A81000C,00200,0600,THERAPY MANAGEMENT 395224,A81000C,00300,0100,B 395224,A81000C,00300,0200,MCHS SUNBURY 395224,A81000C,00300,0400,HEARTLAND MGMT SERV 395224,A81000C,00300,0600,THERAPY MANAGEMENT 395224,A81000C,00400,0100,B 395224,A81000C,00400,0200,MCHS SUNBURY 395224,A81000C,00400,0400,HEARTLAND MGMT SERV 395224,A81000C,00400,0600,THERAPY MANAGEMENT 395224,B100000,00000,0100,0100SQUARE FEET 395224,B100000,00000,0200,0200SQUARE FEET 395224,B100000,00000,0300,0300GROSS SALARIES 395224,B100000,00000,0400,0400ACCUM COST 395224,B100000,00000,0500,0500SQUARE FEET 395224,B100000,00000,0600,0600PATIENT DAYS 395224,B100000,00000,0700,0700SQUARE FEET 395224,B100000,00000,0800,0800MEALS SERVED 395224,B100000,00000,0900,0900NURSING WAGES 395224,B100000,00000,1000,1000PATIENT DAYS 395224,B100000,00000,1100,1100PATIENT DAYS 395224,B100000,00000,1200,1200PATIENT DAYS 395224,B100000,00000,1300,1300PATIENT DAYS 395224,B100000,00000,1400,1400PATIENT DAYS 395224,B100000,00000,1500,1350PATIENT DAYS 395224,E10A180,00501,0300,04/01/05 395224,E10A180,00502,0100,11/17/00 395224,E10A180,00502,0300,11/17/00 395224,E10A180,00550,0100,04/01/05 395224,S000000,00100,0200,10/20/00 395224,S200000,00100,0100,800 COURT STREET - CIRCLE DRIVE 395224,S200000,00200,0100,SUNBURY 395224,S200000,00200,0200,PA 395224,S200000,00200,0300,17801 395224,S200000,00300,0100,NORTHUMBER 395224,S200000,00300,0300,R 395224,S200000,00400,0100,SUNBURY 395224,S200000,00400,0200,395512 395224,S200000,00400,0300,09/15/80 395224,S200000,00400,0500,P 395224,S200000,00400,0600,P 395224,S200000,01500,0100,N 395224,S200000,01600,0100,Y 395224,S200000,01700,0100,N 395224,S200000,01800,0100,N 395224,S200000,02200,0100,Y 395224,S200000,02800,0100,N 395224,S200000,02900,0100,N 395224,S200000,03000,0100,N 395224,S200000,03100,0100,N 395224,S200000,03200,0100,N 395224,S200000,03300,0100,N 395224,S200000,03300,0200,N 395224,S200000,04200,0100,N 395224,S200000,04300,0100,N 395224,S200000,04600,0100,N 395224,S200000,04700,0100,N 395224,S200000,04700,0200,N 395224,S200000,04900,0100,N 395224,S200000,05000,0100,N 395224,S200000,05200,0100,N 395225,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395225,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395225,A000000,00300,0000,0300EMPLOYEE BENEFITS 395225,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395225,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395225,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395225,A000000,00700,0000,0700HOUSEKEEPING 395225,A000000,00800,0000,0800DIETARY 395225,A000000,00900,0000,0900NURSING ADMINISTRATION 395225,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395225,A000000,01100,0000,1100PHARMACY 395225,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395225,A000000,01300,0000,1300SOCIAL SERVICE 395225,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395225,A000000,01500,0000,1350ACTIVITIES 395225,A000000,01600,0000,1600SKILLED NURSING FACILITY 395225,A000000,01800,0000,1800NURSING FACILITY 395225,A000000,01810,0000,1810ICF/MR 395225,A000000,02200,0000,2200LABORATORY 395225,A000000,02300,0000,2300INTRAVENOUS THERAPY 395225,A000000,02500,0000,2500PHYSICAL THERAPY 395225,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395225,A000000,02700,0000,2700SPEECH PATHOLOGY 395225,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395225,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395225,A000000,03200,0000,3200SUPPORT SURFACES 395225,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395225,A000000,03550,0000,3550FQHC 395225,A000000,04801,0000,4801AMBULANCE 395225,A000000,04802,0000,4802AMBULANCE 395225,A000000,04803,0000,4803AMBULANCE 395225,A000000,05000,0000,5000CORF 395225,A000000,05010,0000,5010CMHC 395225,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395225,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395225,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395225,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395225,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395225,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395225,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395225,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395225,A81000A,00100,0100,Y 395225,A81000B,00100,0300,HOME OFFICE COST 395225,A81000B,00200,0300,PT ADMIN FEES 395225,A81000B,00300,0300,OT ADMIN FEES 395225,A81000B,00400,0300,ST ADMIN FEES 395225,A81000C,00100,0100,B 395225,A81000C,00100,0200,FOUR SEASONS - SPOKANE 395225,A81000C,00100,0400,HCR MANORCARE INC. 395225,A81000C,00100,0600,LONG TERM CARE FACILITIES 395225,A81000C,00200,0100,B 395225,A81000C,00200,0200,FOUR SEASONS - SPOKANE 395225,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 395225,A81000C,00200,0600,THERAPY MANAGEMENT 395225,A81000C,00300,0100,B 395225,A81000C,00300,0200,FOUR SEASONS - SPOKANE 395225,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395225,A81000C,00300,0600,THERAPY MANAGEMENT 395225,A81000C,00400,0100,B 395225,A81000C,00400,0200,FOUR SEASONS - SPOKANE 395225,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395225,A81000C,00400,0600,THERAPY MANAGEMENT 395225,B100000,00000,0100,0100SQUARE FEET 395225,B100000,00000,0200,0200SQUARE FEET 395225,B100000,00000,0300,0300GROSS SALARIES 395225,B100000,00000,0400,0400ACCUM COST 395225,B100000,00000,0500,0500SQUARE FEET 395225,B100000,00000,0600,0600PATIENT DAYS 395225,B100000,00000,0700,0700SQUARE FEET 395225,B100000,00000,0800,0800MEALS SERVED 395225,B100000,00000,0900,0900NURSING WAGES 395225,B100000,00000,1000,1000PATIENT DAYS 395225,B100000,00000,1100,1100PATIENT DAYS 395225,B100000,00000,1200,1200PATIENT DAYS 395225,B100000,00000,1300,1300PATIENT DAYS 395225,B100000,00000,1400,1400PATIENT DAYS 395225,B100000,00000,1500,1350PATIENT DAYS 395225,E10A180,00501,0100,11/17/00 395225,E10A180,00501,0300,11/17/00 395225,E10A180,00502,0300,04/01/05 395225,E10A180,00550,0100,04/01/05 395225,S000000,00100,0200,10/31/00 395225,S200000,00100,0100,6025 NORTH ASSEMBLY 395225,S200000,00200,0100,SPOKANE 395225,S200000,00200,0200,WA 395225,S200000,00200,0300,99205 395225,S200000,00300,0100,SPOKANE 395225,S200000,00300,0200,7840 395225,S200000,00300,0300,U 395225,S200000,00400,0100,FOUR SEASONS - SPOKANE 395225,S200000,00400,0200,505322 395225,S200000,00400,0300,01/01/66 395225,S200000,00400,0500,P 395225,S200000,00400,0600,P 395225,S200000,01500,0100,N 395225,S200000,01600,0100,Y 395225,S200000,01700,0100,N 395225,S200000,01800,0100,N 395225,S200000,02200,0100,Y 395225,S200000,02800,0100,N 395225,S200000,02900,0100,N 395225,S200000,03000,0100,N 395225,S200000,03100,0100,N 395225,S200000,03200,0100,N 395225,S200000,03300,0100,N 395225,S200000,03300,0200,N 395225,S200000,04200,0100,N 395225,S200000,04300,0100,N 395225,S200000,04600,0100,N 395225,S200000,04700,0100,N 395225,S200000,04700,0200,N 395225,S200000,04900,0100,N 395225,S200000,05000,0100,N 395225,S200000,05200,0100,N 395226,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395226,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395226,A000000,00300,0000,0300EMPLOYEE BENEFITS 395226,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395226,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395226,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395226,A000000,00700,0000,0700HOUSEKEEPING 395226,A000000,00800,0000,0800DIETARY 395226,A000000,00900,0000,0900NURSING ADMINISTRATION 395226,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395226,A000000,01100,0000,1100PHARMACY 395226,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395226,A000000,01300,0000,1300SOCIAL SERVICE 395226,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395226,A000000,01500,0000,1350ACTIVITIES 395226,A000000,01600,0000,1600SKILLED NURSING FACILITY 395226,A000000,01800,0000,1800NURSING FACILITY 395226,A000000,01810,0000,1810ICF/MR 395226,A000000,02200,0000,2200LABORATORY 395226,A000000,02300,0000,2300INTRAVENOUS THERAPY 395226,A000000,02500,0000,2500PHYSICAL THERAPY 395226,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395226,A000000,02700,0000,2700SPEECH PATHOLOGY 395226,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395226,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395226,A000000,03200,0000,3200SUPPORT SURFACES 395226,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395226,A000000,03550,0000,3550FQHC 395226,A000000,04801,0000,4801AMBULANCE 395226,A000000,04802,0000,4802AMBULANCE 395226,A000000,04803,0000,4803AMBULANCE 395226,A000000,05000,0000,5000CORF 395226,A000000,05010,0000,5010CMHC 395226,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395226,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395226,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395226,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395226,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395226,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395226,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395226,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395226,A81000A,00100,0100,Y 395226,A81000B,00100,0300,HOME OFFICE COST 395226,A81000B,00200,0300,PT ADMIN FEES 395226,A81000B,00300,0300,OT ADMIN FEES 395226,A81000B,00400,0300,ST ADMIN FEES 395226,A81000C,00100,0100,B 395226,A81000C,00100,0200,MCHS - PINEHURST 395226,A81000C,00100,0400,HCR MANORCARE INC. 395226,A81000C,00100,0600,LONG TERM CARE FACILITIES 395226,A81000C,00200,0100,B 395226,A81000C,00200,0200,MCHS - PINEHURST 395226,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 395226,A81000C,00200,0600,THERAPY MANAGEMENT 395226,A81000C,00300,0100,B 395226,A81000C,00300,0200,MCHS - PINEHURST 395226,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 395226,A81000C,00300,0600,THERAPY MANAGEMENT 395226,A81000C,00400,0100,B 395226,A81000C,00400,0200,MCHS - PINEHURST 395226,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 395226,A81000C,00400,0600,THERAPY MANAGEMENT 395226,B100000,00000,0100,0100SQUARE FEET 395226,B100000,00000,0200,0200SQUARE FEET 395226,B100000,00000,0300,0300GROSS SALARIES 395226,B100000,00000,0400,0400ACCUM COST 395226,B100000,00000,0500,0500SQUARE FEET 395226,B100000,00000,0600,0600PATIENT DAYS 395226,B100000,00000,0700,0700SQUARE FEET 395226,B100000,00000,0800,0800MEALS SERVED 395226,B100000,00000,0900,0900NURSING WAGES 395226,B100000,00000,1000,1000PATIENT DAYS 395226,B100000,00000,1100,1100PATIENT DAYS 395226,B100000,00000,1200,1200PATIENT DAYS 395226,B100000,00000,1300,1300PATIENT DAYS 395226,B100000,00000,1400,1400PATIENT DAYS 395226,B100000,00000,1500,1350PATIENT DAYS 395226,E10A180,00502,0100,11/17/00 395226,E10A180,00502,0300,11/17/00 395226,E10A180,00503,0300,04/01/05 395226,E10A180,00550,0100,04/01/05 395226,S000000,00100,0200,10/13/00 395226,S200000,00100,0100,P.O. BOX 1167 395226,S200000,00200,0100,PINEHURST 395226,S200000,00200,0200,NC 395226,S200000,00200,0300,28374 395226,S200000,00300,0100,MOORE 395226,S200000,00300,0300,R 395226,S200000,00400,0100,MCHS - PINEHURST 395226,S200000,00400,0200,345177 395226,S200000,00400,0300,09/19/77 395226,S200000,00400,0500,P 395226,S200000,00400,0600,P 395226,S200000,01500,0100,N 395226,S200000,01600,0100,Y 395226,S200000,01700,0100,N 395226,S200000,01800,0100,N 395226,S200000,02200,0100,N 395226,S200000,02800,0100,N 395226,S200000,02900,0100,N 395226,S200000,03000,0100,N 395226,S200000,03100,0100,N 395226,S200000,03200,0100,N 395226,S200000,03300,0100,N 395226,S200000,03300,0200,N 395226,S200000,04200,0100,N 395226,S200000,04300,0100,Y 395226,S200000,04600,0100,N 395226,S200000,04700,0100,N 395226,S200000,04700,0200,N 395226,S200000,04900,0100,N 395226,S200000,05000,0100,N 395226,S200000,05200,0100,N 395227,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395227,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395227,A000000,00300,0000,0300EMPLOYEE BENEFITS 395227,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395227,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395227,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395227,A000000,00700,0000,0700HOUSEKEEPING 395227,A000000,00800,0000,0800DIETARY 395227,A000000,00900,0000,0900NURSING ADMINISTRATION 395227,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395227,A000000,01100,0000,1100PHARMACY 395227,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395227,A000000,01300,0000,1300SOCIAL SERVICE 395227,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395227,A000000,01500,0000,1350ACTIVITIES 395227,A000000,01600,0000,1600SKILLED NURSING FACILITY 395227,A000000,01800,0000,1800NURSING FACILITY 395227,A000000,01810,0000,1810ICF/MR 395227,A000000,02200,0000,2200LABORATORY 395227,A000000,02300,0000,2300INTRAVENOUS THERAPY 395227,A000000,02500,0000,2500PHYSICAL THERAPY 395227,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395227,A000000,02700,0000,2700SPEECH PATHOLOGY 395227,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395227,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395227,A000000,03200,0000,3200SUPPORT SURFACES 395227,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395227,A000000,03550,0000,3550FQHC 395227,A000000,04801,0000,4801AMBULANCE 395227,A000000,04802,0000,4802AMBULANCE 395227,A000000,04803,0000,4803AMBULANCE 395227,A000000,05000,0000,5000CORF 395227,A000000,05010,0000,5010CMHC 395227,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395227,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395227,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395227,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395227,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395227,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395227,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395227,A81000A,00100,0100,Y 395227,A81000B,00100,0300,HOME OFFICE COST 395227,A81000B,00200,0300,PT ADMIN FEES 395227,A81000B,00300,0300,OT ADMIN FEES 395227,A81000B,00400,0300,ST ADMIN FEES 395227,A81000C,00100,0100,B 395227,A81000C,00100,0200,MCHS - DUNEDIN 395227,A81000C,00100,0400,HCR MANORCARE INC. 395227,A81000C,00100,0600,LONG TERM CARE FACILITIES 395227,A81000C,00200,0100,B 395227,A81000C,00200,0200,MCHS - DUNEDIN 395227,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395227,A81000C,00200,0600,THERAPY MANAGEMENT 395227,A81000C,00300,0100,B 395227,A81000C,00300,0200,MCHS - DUNEDIN 395227,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395227,A81000C,00300,0600,THERAPY MANAGEMENT 395227,A81000C,00400,0100,B 395227,A81000C,00400,0200,MCHS - DUNEDIN 395227,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395227,A81000C,00400,0600,THERAPY MANAGEMENT 395227,B100000,00000,0100,0100SQUARE FEET 395227,B100000,00000,0200,0200SQUARE FEET 395227,B100000,00000,0300,0300GROSS SALARIES 395227,B100000,00000,0400,0400ACCUM COST 395227,B100000,00000,0500,0500SQUARE FEET 395227,B100000,00000,0600,0600PATIENT DAYS 395227,B100000,00000,0700,0700SQUARE FEET 395227,B100000,00000,0800,0800MEALS SERVED 395227,B100000,00000,0900,0900NURSING WAGES 395227,B100000,00000,1000,1000PATIENT DAYS 395227,B100000,00000,1100,1100PATIENT DAYS 395227,B100000,00000,1200,1200PATIENT DAYS 395227,B100000,00000,1300,1300PATIENT DAYS 395227,B100000,00000,1400,1400PATIENT DAYS 395227,B100000,00000,1500,1350PATIENT DAYS 395227,E10A180,00501,0100,11/17/00 395227,E10A180,00501,0300,04/01/05 395227,E10A180,00502,0300,11/17/00 395227,E10A180,00550,0100,04/01/05 395227,S000000,00100,0200,10/31/00 395227,S200000,00100,0100,870 PATRICIA AVE. 395227,S200000,00200,0100,DUNEDIN 395227,S200000,00200,0200,FL 395227,S200000,00200,0300,34698 395227,S200000,00300,0100,PINELLAS 395227,S200000,00300,0200,8280 395227,S200000,00300,0300,U 395227,S200000,00400,0100,MCHS - DUNEDIN 395227,S200000,00400,0200,105436 395227,S200000,00400,0300,12/01/83 395227,S200000,00400,0500,P 395227,S200000,00400,0600,P 395227,S200000,01500,0100,N 395227,S200000,01600,0100,Y 395227,S200000,01700,0100,N 395227,S200000,01800,0100,N 395227,S200000,02200,0100,N 395227,S200000,02800,0100,N 395227,S200000,02900,0100,N 395227,S200000,03000,0100,N 395227,S200000,03100,0100,N 395227,S200000,03200,0100,N 395227,S200000,03300,0100,N 395227,S200000,03300,0200,N 395227,S200000,04200,0100,N 395227,S200000,04300,0100,N 395227,S200000,04600,0100,N 395227,S200000,04700,0100,N 395227,S200000,04700,0200,N 395227,S200000,04900,0100,N 395227,S200000,05000,0100,N 395227,S200000,05200,0100,N 395356,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395356,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395356,A000000,00300,0000,0300EMPLOYEE BENEFITS 395356,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395356,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395356,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395356,A000000,00700,0000,0700HOUSEKEEPING 395356,A000000,00800,0000,0800DIETARY 395356,A000000,00900,0000,0900NURSING ADMINISTRATION 395356,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395356,A000000,01100,0000,1100PHARMACY 395356,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395356,A000000,01300,0000,1300SOCIAL SERVICE 395356,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395356,A000000,01500,0000,1350ACTIVITIES 395356,A000000,01600,0000,1600SKILLED NURSING FACILITY 395356,A000000,01800,0000,1800NURSING FACILITY 395356,A000000,01810,0000,1810ICF/MR 395356,A000000,02200,0000,2200LABORATORY 395356,A000000,02500,0000,2500PHYSICAL THERAPY 395356,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395356,A000000,02700,0000,2700SPEECH PATHOLOGY 395356,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395356,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395356,A000000,03200,0000,3200SUPPORT SURFACES 395356,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395356,A000000,03550,0000,3550FQHC 395356,A000000,04801,0000,4801AMBULANCE 395356,A000000,04802,0000,4802AMBULANCE 395356,A000000,04803,0000,4803AMBULANCE 395356,A000000,05000,0000,5000CORF 395356,A000000,05010,0000,5010CMHC 395356,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395356,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395356,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395356,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395356,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395356,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395356,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395356,A81000A,00100,0100,Y 395356,A81000B,00100,0300,HOME OFFICE COST 395356,A81000B,00200,0300,PT ADMINISTRATIVE SERVICE 395356,A81000B,00300,0300,OT ADMINISTRATIVE SERVICE 395356,A81000B,00400,0300,ST ADMINISTRATIVE SERVICE 395356,A81000C,00100,0100,B 395356,A81000C,00100,0200,FOUR SEASONS SANDIA 395356,A81000C,00100,0400,HCR MANORCARE INC. 395356,A81000C,00100,0600,LONG TERM CARE FACILITIES 395356,A81000C,00200,0100,B 395356,A81000C,00200,0200,FOUR SEASONS SANDIA 395356,A81000C,00200,0400,HTLD MANAGEMENT SERVICES 395356,A81000C,00200,0600,THERAPY MANAGEMENT 395356,A81000C,00300,0100,B 395356,A81000C,00300,0200,FOUR SEASONS SANDIA 395356,A81000C,00300,0400,HTLD MANAGEMENT SERVICES 395356,A81000C,00300,0600,THERAPY MANAGEMENT 395356,A81000C,00400,0100,B 395356,A81000C,00400,0200,FOUR SEASONS SANDIA 395356,A81000C,00400,0400,HTLD MANAGEMENT SERVICES 395356,A81000C,00400,0600,THERAPY MANAGEMENT 395356,B100000,00000,0100,0100SQUARE FEET 395356,B100000,00000,0200,0200SQUARE FEET 395356,B100000,00000,0300,0300GROSS SALARIES 395356,B100000,00000,0400,0400ACCUM COST 395356,B100000,00000,0500,0500SQUARE FEET 395356,B100000,00000,0600,0600PATIENT DAYS 395356,B100000,00000,0700,0700SQUARE FEET 395356,B100000,00000,0800,0800MEALS SERVED 395356,B100000,00000,0900,0900NURSING WAGES 395356,B100000,00000,1000,1000PATIENT DAYS 395356,B100000,00000,1100,1100PATIENT DAYS 395356,B100000,00000,1200,1200PATIENT DAYS 395356,B100000,00000,1300,1300PATIENT DAYS 395356,B100000,00000,1400,1400PATIENT DAYS 395356,B100000,00000,1500,1350PATIENT DAYS 395356,E10A180,00501,0300,04/01/05 395356,E10A180,00502,0100,11/17/00 395356,E10A180,00502,0300,11/17/00 395356,E10A180,00550,0100,04/01/05 395356,S000000,00100,0200,10/31/00 395356,S200000,00100,0100,5123 JUAN TABO NE 395356,S200000,00200,0100,ALBUQUERQUE 395356,S200000,00200,0200,NM 395356,S200000,00200,0300,87111 395356,S200000,00300,0100,BERNALILLO 395356,S200000,00300,0200,0200 395356,S200000,00300,0300,U 395356,S200000,00400,0100,FOUR SEASONS SANDIA 395356,S200000,00400,0200,325041 395356,S200000,00400,0300,11/01/81 395356,S200000,00400,0500,P 395356,S200000,00400,0600,P 395356,S200000,01500,0100,N 395356,S200000,01600,0100,Y 395356,S200000,01700,0100,N 395356,S200000,01800,0100,N 395356,S200000,02200,0100,Y 395356,S200000,02800,0100,N 395356,S200000,02900,0100,N 395356,S200000,03000,0100,N 395356,S200000,03100,0100,N 395356,S200000,03200,0100,N 395356,S200000,03300,0100,N 395356,S200000,03300,0200,N 395356,S200000,04200,0100,N 395356,S200000,04300,0100,N 395356,S200000,04600,0100,N 395356,S200000,04700,0100,N 395356,S200000,04700,0200,N 395356,S200000,04900,0100,N 395356,S200000,05000,0100,N 395356,S200000,05200,0100,N 395358,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395358,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395358,A000000,00300,0000,0300EMPLOYEE BENEFITS 395358,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395358,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395358,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395358,A000000,00700,0000,0700HOUSEKEEPING 395358,A000000,00800,0000,0800DIETARY 395358,A000000,00900,0000,0900NURSING ADMINISTRATION 395358,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395358,A000000,01100,0000,1100PHARMACY 395358,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395358,A000000,01300,0000,1300SOCIAL SERVICE 395358,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395358,A000000,01500,0000,1350ACTIVITIES 395358,A000000,01600,0000,1600SKILLED NURSING FACILITY 395358,A000000,01800,0000,1800NURSING FACILITY 395358,A000000,01810,0000,1810ICF/MR 395358,A000000,02200,0000,2200LABORATORY 395358,A000000,02300,0000,2300INTRAVENOUS THERAPY 395358,A000000,02500,0000,2500PHYSICAL THERAPY 395358,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395358,A000000,02700,0000,2700SPEECH PATHOLOGY 395358,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395358,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395358,A000000,03200,0000,3200SUPPORT SURFACES 395358,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395358,A000000,03550,0000,3550FQHC 395358,A000000,04801,0000,4801AMBULANCE 395358,A000000,04802,0000,4802AMBULANCE 395358,A000000,04803,0000,4803AMBULANCE 395358,A000000,05000,0000,5000CORF 395358,A000000,05010,0000,5010CMHC 395358,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395358,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395358,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395358,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395358,A000000,05300,0000,5300INTEREST EXPENSE 395358,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395358,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395358,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395358,A81000A,00100,0100,Y 395358,A81000B,00100,0300,HOME OFFICE COST 395358,A81000B,00200,0300,PT ADMINISTRATIVE FEES 395358,A81000B,00300,0300,OT ADMINISTRATAIVE FEES 395358,A81000B,00400,0300,ST ADMINISTRATIVE FEES 395358,A81000C,00100,0100,B 395358,A81000C,00100,0200,MCHS - KINGSTON COURT 395358,A81000C,00100,0400,HCR MANORCARE INC. 395358,A81000C,00100,0600,LONG TERM CARE FACILITIES 395358,A81000C,00200,0100,B 395358,A81000C,00200,0200,MCHS - KINGSTON COURT 395358,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395358,A81000C,00200,0600,THERAPY MANAGMENT 395358,A81000C,00300,0100,B 395358,A81000C,00300,0200,MCHS - KINGSTON COURT 395358,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395358,A81000C,00300,0600,THERAPY MANAGEMENT 395358,A81000C,00400,0100,B 395358,A81000C,00400,0200,MCHS - KINGSTON COURT 395358,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395358,A81000C,00400,0600,THERAPY MANAGEMENT 395358,B100000,00000,0100,0100SQUARE FEET 395358,B100000,00000,0200,0200SQUARE FEET 395358,B100000,00000,0300,0300GROSS SALARIES 395358,B100000,00000,0400,0400ACCUM COST 395358,B100000,00000,0500,0500SQUARE FEET 395358,B100000,00000,0600,0600PATIENT DAYS 395358,B100000,00000,0700,0700SQUARE FEET 395358,B100000,00000,0800,0800MEALS SERVED 395358,B100000,00000,0900,0900NURSING WAGES 395358,B100000,00000,1000,1000PATIENT DAYS 395358,B100000,00000,1100,1100PATIENT DAYS 395358,B100000,00000,1200,1200PATIENT DAYS 395358,B100000,00000,1300,1300PATIENT DAYS 395358,B100000,00000,1400,1400PATIENT DAYS 395358,B100000,00000,1500,1350PATIENT DAYS 395358,E10A180,00501,0300,04/01/05 395358,E10A180,00502,0100,11/17/00 395358,E10A180,00502,0300,11/17/00 395358,E10A180,00550,0100,04/01/05 395358,S000000,00100,0200,10/17/00 395358,S200000,00100,0100,2400 KINGSTON COURT 395358,S200000,00200,0100,YORK 395358,S200000,00200,0200,PA 395358,S200000,00200,0300,17402 395358,S200000,00300,0100,YORK 395358,S200000,00300,0200,9280 395358,S200000,00300,0300,U 395358,S200000,00400,0100,KINGSTON COURT 395358,S200000,00400,0200,395037 395358,S200000,00400,0300,11/01/81 395358,S200000,00400,0500,P 395358,S200000,00400,0600,P 395358,S200000,01500,0100,N 395358,S200000,01600,0100,Y 395358,S200000,01700,0100,N 395358,S200000,01800,0100,N 395358,S200000,02200,0100,N 395358,S200000,02800,0100,N 395358,S200000,02900,0100,N 395358,S200000,03000,0100,N 395358,S200000,03100,0100,N 395358,S200000,03200,0100,N 395358,S200000,03300,0100,N 395358,S200000,03300,0200,N 395358,S200000,04200,0100,N 395358,S200000,04300,0100,N 395358,S200000,04600,0100,N 395358,S200000,04700,0100,N 395358,S200000,04700,0200,N 395358,S200000,04900,0100,N 395358,S200000,05000,0100,N 395358,S200000,05200,0100,N 395360,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395360,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395360,A000000,00300,0000,0300EMPLOYEE BENEFITS 395360,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395360,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395360,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395360,A000000,00700,0000,0700HOUSEKEEPING 395360,A000000,00800,0000,0800DIETARY 395360,A000000,00900,0000,0900NURSING ADMINISTRATION 395360,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395360,A000000,01100,0000,1100PHARMACY 395360,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395360,A000000,01300,0000,1300SOCIAL SERVICE 395360,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395360,A000000,01500,0000,1350ACTIVITIES 395360,A000000,01600,0000,1600SKILLED NURSING FACILITY 395360,A000000,01800,0000,1800NURSING FACILITY 395360,A000000,01810,0000,1810ICF/MR 395360,A000000,02200,0000,2200LABORATORY 395360,A000000,02300,0000,2300INTRAVENOUS THERAPY 395360,A000000,02500,0000,2500PHYSICAL THERAPY 395360,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395360,A000000,02700,0000,2700SPEECH PATHOLOGY 395360,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395360,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395360,A000000,03200,0000,3200SUPPORT SURFACES 395360,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395360,A000000,03550,0000,3550FQHC 395360,A000000,04801,0000,4801AMBULANCE 395360,A000000,04802,0000,4802AMBULANCE 395360,A000000,04803,0000,4803AMBULANCE 395360,A000000,05000,0000,5000CORF 395360,A000000,05010,0000,5010CMHC 395360,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395360,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395360,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395360,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395360,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395360,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395360,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395360,A81000A,00100,0100,Y 395360,A81000B,00100,0300,HOME OFFICE COST 395360,A81000B,00200,0300,DIRECT CORPORATE INTEREST 395360,A81000B,00300,0300,PT ADMINISTRATIVE FEES 395360,A81000B,00400,0300,OT ADMINISTRATIVE FEES 395360,A81000B,00500,0300,ST ADMINISTRATIVE FEES 395360,A81000C,00100,0100,B 395360,A81000C,00100,0200,WILLIAMSPORT NORTH 395360,A81000C,00100,0400,HCR MANORCARE INC. 395360,A81000C,00100,0600,LONG TERM CARE FACILITIES 395360,A81000C,00200,0100,B 395360,A81000C,00200,0200,WILLIAMSPORT NORTH 395360,A81000C,00200,0400,THERAPY MANAGEMENT SVS 395360,A81000C,00200,0600,THERAPY MANAGEMENT 395360,A81000C,00300,0100,B 395360,A81000C,00300,0200,WILLIAMSPORT NORTH 395360,A81000C,00300,0400,THERAPY MANAGEMENT SVS 395360,A81000C,00300,0600,THERAPY MANAGEMENT 395360,A81000C,00400,0100,B 395360,A81000C,00400,0200,WILLIAMSPORT NORTH 395360,A81000C,00400,0400,THERAPY MANAGEMENT SVS 395360,A81000C,00400,0600,THERAPY MANAGEMENT 395360,B100000,00000,0100,0100SQUARE FEET 395360,B100000,00000,0200,0200SQUARE FEET 395360,B100000,00000,0300,0300GROSS SALARIES 395360,B100000,00000,0400,0400ACCUM COST 395360,B100000,00000,0500,0500SQUARE FEET 395360,B100000,00000,0600,0600PATIENT DAYS 395360,B100000,00000,0700,0700SQUARE FEET 395360,B100000,00000,0800,0800MEALS SERVED 395360,B100000,00000,0900,0900NURSING WAGES 395360,B100000,00000,1000,1000PATIENT DAYS 395360,B100000,00000,1100,1100PATIENT DAYS 395360,B100000,00000,1200,1200PATIENT DAYS 395360,B100000,00000,1300,1300PATIENT DAYS 395360,B100000,00000,1400,1400PATIENT DAYS 395360,B100000,00000,1500,1350PATIENT DAYS 395360,E10A180,00501,0100,04/01/05 395360,E10A180,00501,0300,04/01/05 395360,E10A180,00502,0100,11/17/00 395360,E10A180,00502,0300,11/17/00 395360,S000000,00100,0200,10/25/00 395360,S200000,00100,0100,300 LEADER DRIVE 395360,S200000,00200,0100,WILLIAMSPORT 395360,S200000,00200,0200,PA 395360,S200000,00200,0300,17710 395360,S200000,00300,0100,LYCOMING 395360,S200000,00300,0200,9140 395360,S200000,00300,0300,U 395360,S200000,00400,0100,WILLIAMSPORT NORTH 395360,S200000,00400,0200,395364 395360,S200000,00400,0300,04/01/77 395360,S200000,00400,0500,P 395360,S200000,00400,0600,P 395360,S200000,01500,0100,N 395360,S200000,01600,0100,Y 395360,S200000,01700,0100,N 395360,S200000,01800,0100,N 395360,S200000,02200,0100,Y 395360,S200000,02800,0100,N 395360,S200000,02900,0100,N 395360,S200000,03000,0100,N 395360,S200000,03100,0100,N 395360,S200000,03200,0100,N 395360,S200000,03300,0100,N 395360,S200000,03300,0200,N 395360,S200000,04200,0100,N 395360,S200000,04300,0100,N 395360,S200000,04600,0100,N 395360,S200000,04700,0100,N 395360,S200000,04700,0200,N 395360,S200000,04900,0100,N 395360,S200000,05000,0100,N 395360,S200000,05200,0100,N 395361,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395361,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395361,A000000,00300,0000,0300EMPLOYEE BENEFITS 395361,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395361,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395361,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395361,A000000,00700,0000,0700HOUSEKEEPING 395361,A000000,00800,0000,0800DIETARY 395361,A000000,00900,0000,0900NURSING ADMINISTRATION 395361,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395361,A000000,01100,0000,1100PHARMACY 395361,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395361,A000000,01300,0000,1300SOCIAL SERVICE 395361,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395361,A000000,01500,0000,1350ACTIVITIES 395361,A000000,01600,0000,1600SKILLED NURSING FACILITY 395361,A000000,01800,0000,1800NURSING FACILITY 395361,A000000,01810,0000,1810ICF/MR 395361,A000000,02200,0000,2200LABORATORY 395361,A000000,02300,0000,2300INTRAVENOUS THERAPY 395361,A000000,02500,0000,2500PHYSICAL THERAPY 395361,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395361,A000000,02700,0000,2700SPEECH PATHOLOGY 395361,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395361,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395361,A000000,03200,0000,3200SUPPORT SURFACES 395361,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395361,A000000,03550,0000,3550FQHC 395361,A000000,04801,0000,4801AMBULANCE 395361,A000000,04802,0000,4802AMBULANCE 395361,A000000,04803,0000,4803AMBULANCE 395361,A000000,05000,0000,5000CORF 395361,A000000,05010,0000,5010CMHC 395361,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395361,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395361,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395361,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395361,A000000,05300,0000,5300INTEREST EXPENSE 395361,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395361,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395361,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395361,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395361,A81000A,00100,0100,Y 395361,A81000B,00100,0300,HOME OFFICE COST 395361,A81000B,00200,0300,DIRECT CORPORATE INTEREST 395361,A81000B,00300,0300,PT ADMINISTRATIVE FEES 395361,A81000B,00400,0300,OT ADMINISTRATIVE FEES 395361,A81000B,00500,0300,ST ADMINISTRATIVE FEES 395361,A81000C,00100,0100,B 395361,A81000C,00100,0200,EASTON 395361,A81000C,00100,0400,HCR MANORCARE INC. 395361,A81000C,00100,0600,LONG TERM CARE FACILITIES 395361,A81000C,00200,0100,B 395361,A81000C,00200,0200,EASTON 395361,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 395361,A81000C,00200,0600,THERAPY MANAGEMENT 395361,A81000C,00300,0100,B 395361,A81000C,00300,0200,EASTON 395361,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 395361,A81000C,00300,0600,THERAPY MANAGEMENT 395361,A81000C,00400,0100,B 395361,A81000C,00400,0200,EASTON 395361,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 395361,A81000C,00400,0600,THERAPY MANAGEMENT 395361,B100000,00000,0100,0100SQUARE FEET 395361,B100000,00000,0200,0200SQUARE FEET 395361,B100000,00000,0300,0300GROSS SALARIES 395361,B100000,00000,0400,0400ACCUM COST 395361,B100000,00000,0500,0500SQUARE FEET 395361,B100000,00000,0600,0600PATIENT DAYS 395361,B100000,00000,0700,0700SQUARE FEET 395361,B100000,00000,0800,0800MEALS SERVED 395361,B100000,00000,0900,0900NURSING WAGES 395361,B100000,00000,1000,1000PATIENT DAYS 395361,B100000,00000,1100,1100PATIENT DAYS 395361,B100000,00000,1200,1200PATIENT DAYS 395361,B100000,00000,1300,1300PATIENT DAYS 395361,B100000,00000,1400,1400PATIENT DAYS 395361,B100000,00000,1500,1350PATIENT DAYS 395361,E10A180,00501,0100,04/01/05 395361,E10A180,00501,0300,04/01/05 395361,E10A180,00502,0100,11/17/00 395361,E10A180,00502,0300,11/17/00 395361,S000000,00100,0200,10/27/00 395361,S200000,00100,0100,2600 NORTH HAMPTON STREET 395361,S200000,00200,0100,EASTON 395361,S200000,00200,0200,PA 395361,S200000,00200,0300,18042 395361,S200000,00300,0100,N HAMPTON 395361,S200000,00300,0200,0240 395361,S200000,00300,0300,U 395361,S200000,00400,0100,EASTON 395361,S200000,00400,0200,395540 395361,S200000,00400,0300,07/19/82 395361,S200000,00400,0500,P 395361,S200000,00400,0600,P 395361,S200000,01500,0100,N 395361,S200000,01600,0100,Y 395361,S200000,01700,0100,N 395361,S200000,01800,0100,N 395361,S200000,02200,0100,Y 395361,S200000,02800,0100,N 395361,S200000,02900,0100,N 395361,S200000,03000,0100,N 395361,S200000,03100,0100,N 395361,S200000,03200,0100,N 395361,S200000,03300,0100,N 395361,S200000,03300,0200,N 395361,S200000,04200,0100,N 395361,S200000,04300,0100,N 395361,S200000,04600,0100,N 395361,S200000,04700,0100,N 395361,S200000,04700,0200,N 395361,S200000,04900,0100,N 395361,S200000,05000,0100,N 395361,S200000,05200,0100,N 395364,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395364,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395364,A000000,00300,0000,0300EMPLOYEE BENEFITS 395364,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395364,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395364,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395364,A000000,00700,0000,0700HOUSEKEEPING 395364,A000000,00800,0000,0800DIETARY 395364,A000000,00900,0000,0900NURSING ADMINISTRATION 395364,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395364,A000000,01100,0000,1100PHARMACY 395364,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395364,A000000,01300,0000,1300SOCIAL SERVICE 395364,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395364,A000000,01500,0000,1350ACTIVITIES 395364,A000000,01600,0000,1600SKILLED NURSING FACILITY 395364,A000000,01800,0000,1800NURSING FACILITY 395364,A000000,01810,0000,1810ICF/MR 395364,A000000,02200,0000,2200LABORATORY 395364,A000000,02300,0000,2300INTRAVENOUS THERAPY 395364,A000000,02500,0000,2500PHYSICAL THERAPY 395364,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395364,A000000,02700,0000,2700SPEECH PATHOLOGY 395364,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395364,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395364,A000000,03200,0000,3200SUPPORT SURFACES 395364,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395364,A000000,03550,0000,3550FQHC 395364,A000000,04801,0000,4801AMBULANCE 395364,A000000,04802,0000,4802AMBULANCE 395364,A000000,04803,0000,4803AMBULANCE 395364,A000000,05000,0000,5000CORF 395364,A000000,05010,0000,5010CMHC 395364,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395364,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395364,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395364,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395364,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395364,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395364,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395364,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395364,A81000A,00100,0100,Y 395364,A81000B,00100,0300,HOME OFFICE COST 395364,A81000B,00200,0300,CAP REL COSTS-BLDG & FX 395364,A81000B,00300,0300,PT ADMINISTRATION FEE 395364,A81000B,00400,0300,OT ADMINISTRATION FEE 395364,A81000B,00500,0300,ST ADMINISTRATION FEE 395364,A81000C,00100,0100,B 395364,A81000C,00100,0200,FOND DU LAC HCC 395364,A81000C,00100,0400,HCR MANORCARE INC. 395364,A81000C,00100,0600,LONG TERM CARE FACILITIES 395364,A81000C,00200,0100,B 395364,A81000C,00200,0200,MANOR CARE HEALTH SERVICE 395364,A81000C,00200,0400,MCHA FOUD DU LAC 395364,A81000C,00200,0600,LONG TERM CARE FACILITIES 395364,A81000C,00300,0100,B 395364,A81000C,00300,0200,MCHA FOND DU LAC 395364,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395364,A81000C,00300,0600,THERAPY MANAGEMENT SERV 395364,A81000C,00400,0100,B 395364,A81000C,00400,0200,MCHA FOND DU LAC 395364,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395364,A81000C,00400,0600,THERAPY MANAGEMENT SERV 395364,A81000C,00500,0100,B 395364,A81000C,00500,0200,MCHA FOND DU LAC 395364,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 395364,A81000C,00500,0600,THERAPY MANAGEMENT SERV 395364,B100000,00000,0100,0100SQUARE FEET 395364,B100000,00000,0200,0200SQUARE FEET 395364,B100000,00000,0300,0300GROSS SALARIES 395364,B100000,00000,0400,0400ACCUM COST 395364,B100000,00000,0500,0500SQUARE FEET 395364,B100000,00000,0600,0600PATIENT DAYS 395364,B100000,00000,0700,0700SQUARE FEET 395364,B100000,00000,0800,0800MEALS SERVED 395364,B100000,00000,0900,0900NURSING WAGES 395364,B100000,00000,1000,1000PATIENT DAYS 395364,B100000,00000,1100,1100PATIENT DAYS 395364,B100000,00000,1200,1200PATIENT DAYS 395364,B100000,00000,1300,1300PATIENT DAYS 395364,B100000,00000,1400,1400PATIENT DAYS 395364,B100000,00000,1500,1350PATIENT DAYS 395364,E10A180,00501,0300,04/01/05 395364,E10A180,00502,0100,11/17/00 395364,E10A180,00502,0300,11/17/00 395364,E10A180,00550,0100,04/01/05 395364,S000000,00100,0200,10/31/00 395364,S200000,00100,0100,265 SOUTH NATIONAL AVENUE 395364,S200000,00200,0100,FOND DU LAC 395364,S200000,00200,0200,WI 395364,S200000,00200,0300,54935 395364,S200000,00300,0100,FOND DU LAC 395364,S200000,00300,0200,0052 395364,S200000,00300,0300,R 395364,S200000,00400,0100,MCHA FOND DU LAC 395364,S200000,00400,0200,525274 395364,S200000,00400,0300,02/01/77 395364,S200000,00400,0500,P 395364,S200000,00400,0600,P 395364,S200000,01500,0100,N 395364,S200000,01600,0100,Y 395364,S200000,01700,0100,N 395364,S200000,01800,0100,N 395364,S200000,02200,0100,Y 395364,S200000,02800,0100,N 395364,S200000,02900,0100,N 395364,S200000,03000,0100,N 395364,S200000,03100,0100,N 395364,S200000,03200,0100,N 395364,S200000,03300,0100,N 395364,S200000,03300,0200,N 395364,S200000,04200,0100,N 395364,S200000,04300,0100,N 395364,S200000,04600,0100,N 395364,S200000,04700,0100,N 395364,S200000,04700,0200,N 395364,S200000,04900,0100,N 395364,S200000,05000,0100,N 395364,S200000,05200,0100,N 395412,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395412,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395412,A000000,00300,0000,0300EMPLOYEE BENEFITS 395412,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395412,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395412,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395412,A000000,00700,0000,0700HOUSEKEEPING 395412,A000000,00800,0000,0800DIETARY 395412,A000000,00900,0000,0900NURSING ADMINISTRATION 395412,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395412,A000000,01100,0000,1100PHARMACY 395412,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395412,A000000,01300,0000,1300SOCIAL SERVICE 395412,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395412,A000000,01500,0000,1350ACTIVITIES 395412,A000000,01600,0000,1600SKILLED NURSING FACILITY 395412,A000000,01800,0000,1800NURSING FACILITY 395412,A000000,01810,0000,1810ICF/MR 395412,A000000,02200,0000,2200LABORATORY 395412,A000000,02300,0000,2300INTRAVENOUS THERAPY 395412,A000000,02500,0000,2500PHYSICAL THERAPY 395412,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395412,A000000,02700,0000,2700SPEECH PATHOLOGY 395412,A000000,02800,0000,2800ELECTROCARDIOLOGY 395412,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395412,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395412,A000000,03200,0000,3200SUPPORT SURFACES 395412,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395412,A000000,03550,0000,3550FQHC 395412,A000000,04801,0000,4801AMBULANCE 395412,A000000,04802,0000,4802AMBULANCE 395412,A000000,04803,0000,4803AMBULANCE 395412,A000000,05000,0000,5000CORF 395412,A000000,05010,0000,5010CMHC 395412,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395412,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395412,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395412,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395412,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395412,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395412,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395412,A81000A,00100,0100,Y 395412,A81000B,00100,0300,HOME OFFICE COST 395412,A81000B,00200,0300,PT ADMINISTRATION FEE 395412,A81000B,00300,0300,OT ADMINISTRATION FEE 395412,A81000B,00400,0300,ST ADMINISTRATION FEE 395412,A81000C,00100,0100,B 395412,A81000C,00100,0200,FOUR SEASONS CAMINO VISTA 395412,A81000C,00100,0400,HCR MANORCARE INC. 395412,A81000C,00100,0600,LONG TERM CARE FACILITIES 395412,A81000C,00200,0100,B 395412,A81000C,00200,0200,FOUR SEASONS CAMINO VISTA 395412,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395412,A81000C,00200,0600,THERAPY MANAGEMENT 395412,A81000C,00300,0100,B 395412,A81000C,00300,0200,FOUR SEASONS CAMINO VISTA 395412,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395412,A81000C,00300,0600,THERAPY MANAGEMENT 395412,A81000C,00400,0100,B 395412,A81000C,00400,0200,FOUR SEASONS CAMINO VISTA 395412,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395412,A81000C,00400,0600,THERAPY MANAGEMENT 395412,B100000,00000,0100,0100SQUARE FEET 395412,B100000,00000,0200,0200SQUARE FEET 395412,B100000,00000,0300,0300GROSS SALARIES 395412,B100000,00000,0400,0400ACCUM COST 395412,B100000,00000,0500,0500SQUARE FEET 395412,B100000,00000,0600,0600PATIENT DAYS 395412,B100000,00000,0700,0700SQUARE FEET 395412,B100000,00000,0800,0800MEALS SERVED 395412,B100000,00000,0900,0900NURSING WAGES 395412,B100000,00000,1000,1000PATIENT DAYS 395412,B100000,00000,1100,1100PATIENT DAYS 395412,B100000,00000,1200,1200PATIENT DAYS 395412,B100000,00000,1300,1300PATIENT DAYS 395412,B100000,00000,1400,1400PATIENT DAYS 395412,B100000,00000,1500,1350PATIENT DAYS 395412,E10A180,00501,0300,04/01/05 395412,E10A180,00502,0100,11/17/00 395412,E10A180,00502,0300,11/17/00 395412,E10A180,00550,0100,04/01/05 395412,S000000,00100,0200,10/31/00 395412,S200000,00100,0100,7900 CONSTITUTION NE 395412,S200000,00200,0100,ALBUQUERQUE 395412,S200000,00200,0200,NM 395412,S200000,00200,0300,87110 395412,S200000,00300,0100,BERNALILLO 395412,S200000,00300,0200,0200 395412,S200000,00300,0300,U 395412,S200000,00400,0100,FOUR SEASONS CAMINO VISTA 395412,S200000,00400,0200,325042 395412,S200000,00400,0300,08/30/85 395412,S200000,00400,0500,P 395412,S200000,00400,0600,P 395412,S200000,01500,0100,N 395412,S200000,01600,0100,Y 395412,S200000,01700,0100,N 395412,S200000,01800,0100,N 395412,S200000,02200,0100,Y 395412,S200000,02800,0100,N 395412,S200000,02900,0100,N 395412,S200000,03000,0100,N 395412,S200000,03100,0100,N 395412,S200000,03200,0100,N 395412,S200000,03300,0100,N 395412,S200000,03300,0200,N 395412,S200000,04200,0100,N 395412,S200000,04300,0100,N 395412,S200000,04600,0100,N 395412,S200000,04700,0100,N 395412,S200000,04700,0200,N 395412,S200000,04900,0100,N 395412,S200000,05000,0100,N 395412,S200000,05200,0100,N 395416,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395416,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395416,A000000,00300,0000,0300EMPLOYEE BENEFITS 395416,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395416,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395416,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395416,A000000,00700,0000,0700HOUSEKEEPING 395416,A000000,00800,0000,0800DIETARY 395416,A000000,00900,0000,0900NURSING ADMINISTRATION 395416,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395416,A000000,01100,0000,1100PHARMACY 395416,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395416,A000000,01300,0000,1300SOCIAL SERVICE 395416,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395416,A000000,01500,0000,1350ACTIVITIES 395416,A000000,01600,0000,1600SKILLED NURSING FACILITY 395416,A000000,01800,0000,1800NURSING FACILITY 395416,A000000,01810,0000,1810ICF/MR 395416,A000000,02200,0000,2200LABORATORY 395416,A000000,02300,0000,2300INTRAVENOUS THERAPY 395416,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 395416,A000000,02500,0000,2500PHYSICAL THERAPY 395416,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395416,A000000,02700,0000,2700SPEECH PATHOLOGY 395416,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395416,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395416,A000000,03200,0000,3200SUPPORT SURFACES 395416,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395416,A000000,03550,0000,3550FQHC 395416,A000000,04801,0000,4801AMBULANCE 395416,A000000,04802,0000,4802AMBULANCE 395416,A000000,04803,0000,4803AMBULANCE 395416,A000000,05000,0000,5000CORF 395416,A000000,05010,0000,5010CMHC 395416,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395416,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395416,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395416,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395416,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395416,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395416,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395416,A81000A,00100,0100,Y 395416,A81000B,00100,0300,HOME OFFICE COST 395416,A81000B,00200,0300,DIRECT CORPORATE INTEREST 395416,A81000B,00300,0300,PT ADMINISTRATIVE FEES 395416,A81000B,00400,0300,OT ADMINISTRATIVE FEES 395416,A81000B,00500,0300,ST ADMINISTRATIVE FEES 395416,A81000C,00100,0100,B 395416,A81000C,00100,0200,BETHLEHEM II 395416,A81000C,00100,0400,HCR MANORCARE INC. 395416,A81000C,00100,0600,LONG TERM CARE FACILITIES 395416,A81000C,00200,0100,B 395416,A81000C,00200,0200,BETHLEHEM II 395416,A81000C,00200,0400,HEARTLAND MANAGEMENT SVS 395416,A81000C,00200,0600,THERAPY MANAGEMENT 395416,A81000C,00300,0100,B 395416,A81000C,00300,0200,BETHLEHEM II 395416,A81000C,00300,0400,HEARTLAND MANAGEMENT SVS 395416,A81000C,00300,0600,THERAPY MANAGEMENT 395416,A81000C,00400,0100,B 395416,A81000C,00400,0200,BETHLEHEM II 395416,A81000C,00400,0400,HEARTLAND MANAGEMENT SVS 395416,A81000C,00400,0600,THERAPY MANAGEMENT 395416,B100000,00000,0100,0100SQUARE FEET 395416,B100000,00000,0200,0200SQUARE FEET 395416,B100000,00000,0300,0300GROSS SALARIES 395416,B100000,00000,0400,0400ACCUM COST 395416,B100000,00000,0500,0500SQUARE FEET 395416,B100000,00000,0600,0600PATIENT DAYS 395416,B100000,00000,0700,0700SQUARE FEET 395416,B100000,00000,0800,0800MEALS SERVED 395416,B100000,00000,0900,0900NURSING WAGES 395416,B100000,00000,1000,1000PATIENT DAYS 395416,B100000,00000,1100,1100PATIENT DAYS 395416,B100000,00000,1200,1200PATIENT DAYS 395416,B100000,00000,1300,1300PATIENT DAYS 395416,B100000,00000,1400,1400PATIENT DAYS 395416,B100000,00000,1500,1350PATIENT DAYS 395416,E10A180,00501,0100,04/01/05 395416,E10A180,00501,0300,04/01/05 395416,E10A180,00502,0100,11/17/00 395416,E10A180,00502,0300,11/17/00 395416,S000000,00100,0200,10/25/00 395416,S200000,00100,0100,2029 WESTGATE DRIVE 395416,S200000,00200,0100,BETHLEHEM 395416,S200000,00200,0200,PA 395416,S200000,00200,0300,18017 395416,S200000,00300,0100,LEHIGH 395416,S200000,00300,0200,0240 395416,S200000,00300,0300,U 395416,S200000,00400,0100,BETHLEHEM II - 573 395416,S200000,00400,0200,395527 395416,S200000,00400,0300,05/24/82 395416,S200000,00400,0500,P 395416,S200000,00400,0600,P 395416,S200000,01500,0100,N 395416,S200000,01600,0100,Y 395416,S200000,01700,0100,N 395416,S200000,01800,0100,N 395416,S200000,02200,0100,Y 395416,S200000,02800,0100,N 395416,S200000,02900,0100,N 395416,S200000,03000,0100,N 395416,S200000,03100,0100,N 395416,S200000,03200,0100,N 395416,S200000,03300,0100,N 395416,S200000,03300,0200,N 395416,S200000,04200,0100,N 395416,S200000,04300,0100,N 395416,S200000,04600,0100,N 395416,S200000,04700,0100,N 395416,S200000,04700,0200,N 395416,S200000,04900,0100,N 395416,S200000,05000,0100,N 395416,S200000,05200,0100,N 395420,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395420,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395420,A000000,00300,0000,0300EMPLOYEE BENEFITS 395420,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395420,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395420,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395420,A000000,00700,0000,0700HOUSEKEEPING 395420,A000000,00800,0000,0800DIETARY 395420,A000000,00900,0000,0900NURSING ADMINISTRATION 395420,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395420,A000000,01100,0000,1100PHARMACY 395420,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395420,A000000,01300,0000,1300SOCIAL SERVICE 395420,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395420,A000000,01500,0000,1350ACTIVITIES 395420,A000000,01600,0000,1600SKILLED NURSING FACILITY 395420,A000000,01800,0000,1800NURSING FACILITY 395420,A000000,01810,0000,1810ICF/MR 395420,A000000,02200,0000,2200LABORATORY 395420,A000000,02300,0000,2300INTRAVENOUS THERAPY 395420,A000000,02500,0000,2500PHYSICAL THERAPY 395420,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395420,A000000,02700,0000,2700SPEECH PATHOLOGY 395420,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395420,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395420,A000000,03200,0000,3200SUPPORT SURFACES 395420,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395420,A000000,03550,0000,3550FQHC 395420,A000000,04801,0000,4801AMBULANCE 395420,A000000,04802,0000,4802AMBULANCE 395420,A000000,04803,0000,4803AMBULANCE 395420,A000000,05000,0000,5000CORF 395420,A000000,05010,0000,5010CMHC 395420,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395420,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395420,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395420,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395420,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395420,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395420,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395420,A81000A,00100,0100,Y 395420,A81000B,00100,0300,HOME OFFICE COST 395420,A81000B,00200,0300,CAP REL COSTS BLDG & FX 395420,A81000B,00300,0300,PT ADMINISTRATIVE FEE 395420,A81000B,00400,0300,OT ADMINISTRATIVE FEE 395420,A81000B,00500,0300,ST ADMINISTRATIVE FEE 395420,A81000C,00100,0100,B 395420,A81000C,00100,0200,MCHA GREEN BAY WEST 395420,A81000C,00100,0400,HCR MANORCARE INC. 395420,A81000C,00100,0600,LONG TERM CARE FACILITIES 395420,A81000C,00200,0100,B 395420,A81000C,00200,0200,MANOR CARE HEALTH SERVICE 395420,A81000C,00200,0400,MCHA GREEN BAY WEST 395420,A81000C,00200,0600,LONG TERM CAAREFACILITIES 395420,A81000C,00300,0100,B 395420,A81000C,00300,0200,MCHA GREEN BAY WEST 395420,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395420,A81000C,00300,0600,THERAPY MANAGEMENT SERVIC 395420,A81000C,00400,0100,B 395420,A81000C,00400,0200,MCHA GREEN BAY WEST 395420,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395420,A81000C,00400,0600,THERAPY MANAGEMENT SERVIC 395420,A81000C,00500,0100,B 395420,A81000C,00500,0200,MCHA GREEN BAY WEST 395420,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 395420,A81000C,00500,0600,THERAPY MANAGEMENT SERVIC 395420,B100000,00000,0100,0100SQUARE FEET 395420,B100000,00000,0200,0200SQUARE FEET 395420,B100000,00000,0300,0300GROSS SALARIES 395420,B100000,00000,0400,0400ACCUM COST 395420,B100000,00000,0500,0500SQUARE FEET 395420,B100000,00000,0600,0600PATIENT DAYS 395420,B100000,00000,0700,0700SQUARE FEET 395420,B100000,00000,0800,0800MEALS SERVED 395420,B100000,00000,0900,0900NURSING WAGES 395420,B100000,00000,1000,1000PATIENT DAYS 395420,B100000,00000,1100,1100PATIENT DAYS 395420,B100000,00000,1200,1200PATIENT DAYS 395420,B100000,00000,1300,1300PATIENT DAYS 395420,B100000,00000,1400,1400PATIENT DAYS 395420,B100000,00000,1500,1350PATIENT DAYS 395420,E10A180,00501,0300,04/01/05 395420,E10A180,00502,0100,11/17/00 395420,E10A180,00502,0300,11/17/00 395420,E10A180,00550,0100,04/01/05 395420,S000000,00100,0200,10/31/00 395420,S200000,00100,0100,1760 SHAWANO AVENUE 395420,S200000,00200,0100,GREEN BAY 395420,S200000,00200,0200,WI 395420,S200000,00200,0300,54303 395420,S200000,00300,0100,BROWN 395420,S200000,00300,0200,3080 395420,S200000,00300,0300,U 395420,S200000,00400,0100,MCHS - GREEN BAY WEST 395420,S200000,00400,0200,525232 395420,S200000,00400,0300,06/16/70 395420,S200000,00400,0500,P 395420,S200000,00400,0600,P 395420,S200000,01500,0100,N 395420,S200000,01600,0100,Y 395420,S200000,01700,0100,N 395420,S200000,01800,0100,N 395420,S200000,02200,0100,N 395420,S200000,02800,0100,N 395420,S200000,02900,0100,N 395420,S200000,03000,0100,N 395420,S200000,03100,0100,N 395420,S200000,03200,0100,N 395420,S200000,03300,0100,N 395420,S200000,03300,0200,N 395420,S200000,04200,0100,N 395420,S200000,04300,0100,Y 395420,S200000,04600,0100,N 395420,S200000,04700,0100,N 395420,S200000,04700,0200,N 395420,S200000,04900,0100,N 395420,S200000,05000,0100,N 395420,S200000,05200,0100,N 395471,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395471,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395471,A000000,00300,0000,0300EMPLOYEE BENEFITS 395471,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395471,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395471,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395471,A000000,00700,0000,0700HOUSEKEEPING 395471,A000000,00800,0000,0800DIETARY 395471,A000000,00900,0000,0900NURSING ADMINISTRATION 395471,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395471,A000000,01100,0000,1100PHARMACY 395471,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395471,A000000,01300,0000,1300SOCIAL SERVICE 395471,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395471,A000000,01500,0000,1350ACTIVITIES 395471,A000000,01600,0000,1600SKILLED NURSING FACILITY 395471,A000000,01800,0000,1800NURSING FACILITY 395471,A000000,01810,0000,1810ICF/MR 395471,A000000,02200,0000,2200LABORATORY 395471,A000000,02300,0000,2300INTRAVENOUS THERAPY 395471,A000000,02500,0000,2500PHYSICAL THERAPY 395471,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395471,A000000,02700,0000,2700SPEECH PATHOLOGY 395471,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395471,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395471,A000000,03200,0000,3200SUPPORT SURFACES 395471,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395471,A000000,03550,0000,3550FQHC 395471,A000000,04801,0000,4801AMBULANCE 395471,A000000,04802,0000,4802AMBULANCE 395471,A000000,04803,0000,4803AMBULANCE 395471,A000000,05000,0000,5000CORF 395471,A000000,05010,0000,5010CMHC 395471,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395471,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395471,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395471,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395471,A000000,05300,0000,5300INTEREST EXPENSE 395471,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395471,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395471,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395471,A81000A,00100,0100,Y 395471,A81000B,00100,0300,HOME OFFICE COST 395471,A81000B,00200,0300,CORPORATE DIRECT INTEREST 395471,A81000B,00300,0300,PHYSICAL THERAPY 395471,A81000B,00400,0300,OCCUPATIONAL THERAPY 395471,A81000B,00500,0300,SPEECH THERAPY 395471,A81000C,00100,0100,B 395471,A81000C,00100,0200,MCHS - NORMAL 395471,A81000C,00100,0400,HCR MANORCARE INC. 395471,A81000C,00100,0600,LONG TERM CARE FACILITIES 395471,A81000C,00200,0100,B 395471,A81000C,00200,0200,MCHS - NORMAL 395471,A81000C,00200,0400,HCR MANORCARE INC. 395471,A81000C,00200,0600,HEALTHCARE 395471,A81000C,00300,0100,B 395471,A81000C,00300,0200,MCHS - NORMAL 395471,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395471,A81000C,00300,0600,THERAPY MANAGEMENT 395471,A81000C,00400,0100,B 395471,A81000C,00400,0200,MCHS - NORMAL 395471,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395471,A81000C,00400,0600,THERAPY MANAGEMENT 395471,A81000C,00500,0100,B 395471,A81000C,00500,0200,MCHS - NORMAL 395471,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 395471,A81000C,00500,0600,THERAPY MANAGEMENT 395471,B100000,00000,0100,0100SQUARE FEET 395471,B100000,00000,0200,0200SQUARE FEET 395471,B100000,00000,0300,0300GROSS SALARIES 395471,B100000,00000,0400,0400ACCUM COST 395471,B100000,00000,0500,0500SQUARE FEET 395471,B100000,00000,0600,0600PATIENT DAYS 395471,B100000,00000,0700,0700SQUARE FEET 395471,B100000,00000,0800,0800MEALS SERVED 395471,B100000,00000,0900,0900NURSING WAGES 395471,B100000,00000,1000,1000PATIENT DAYS 395471,B100000,00000,1100,1100PATIENT DAYS 395471,B100000,00000,1200,1200PATIENT DAYS 395471,B100000,00000,1300,1300PATIENT DAYS 395471,B100000,00000,1400,1400PATIENT DAYS 395471,B100000,00000,1500,1350PATIENT DAYS 395471,E10A180,00501,0300,04/01/05 395471,E10A180,00502,0100,11/17/00 395471,E10A180,00502,0300,11/17/00 395471,E10A180,00550,0100,04/01/05 395471,S000000,00100,0200,10/10/00 395471,S200000,00100,0100,510 BROADWAY 395471,S200000,00200,0100,NORMAL 395471,S200000,00200,0200,IL 395471,S200000,00200,0300,61761 395471,S200000,00300,0100,MCLEAN 395471,S200000,00300,0200,1040 395471,S200000,00300,0300,U 395471,S200000,00400,0100,MCHS - NORMAL 395471,S200000,00400,0200,145031 395471,S200000,00400,0300,01/01/67 395471,S200000,00400,0500,P 395471,S200000,00400,0600,P 395471,S200000,01500,0100,N 395471,S200000,01600,0100,Y 395471,S200000,01700,0100,N 395471,S200000,01800,0100,N 395471,S200000,02200,0100,Y 395471,S200000,02800,0100,N 395471,S200000,02900,0100,N 395471,S200000,03000,0100,N 395471,S200000,03100,0100,N 395471,S200000,03200,0100,N 395471,S200000,03300,0100,N 395471,S200000,03300,0200,N 395471,S200000,04200,0100,N 395471,S200000,04300,0100,Y 395471,S200000,04600,0100,N 395471,S200000,04700,0100,N 395471,S200000,04700,0200,N 395471,S200000,04900,0100,N 395471,S200000,05000,0100,N 395471,S200000,05200,0100,N 395475,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395475,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395475,A000000,00300,0000,0300EMPLOYEE BENEFITS 395475,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395475,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395475,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395475,A000000,00700,0000,0700HOUSEKEEPING 395475,A000000,00800,0000,0800DIETARY 395475,A000000,00900,0000,0900NURSING ADMINISTRATION 395475,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395475,A000000,01100,0000,1100PHARMACY 395475,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395475,A000000,01300,0000,1300SOCIAL SERVICE 395475,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395475,A000000,01500,0000,1350ACTIVITIES 395475,A000000,01600,0000,1600SKILLED NURSING FACILITY 395475,A000000,01800,0000,1800NURSING FACILITY 395475,A000000,01810,0000,1810ICF/MR 395475,A000000,02200,0000,2200LABORATORY 395475,A000000,02300,0000,2300INTRAVENOUS THERAPY 395475,A000000,02500,0000,2500PHYSICAL THERAPY 395475,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395475,A000000,02700,0000,2700SPEECH PATHOLOGY 395475,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395475,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395475,A000000,03200,0000,3200SUPPORT SURFACES 395475,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395475,A000000,03550,0000,3550FQHC 395475,A000000,04801,0000,4801AMBULANCE 395475,A000000,04802,0000,4802AMBULANCE 395475,A000000,04803,0000,4803AMBULANCE 395475,A000000,05000,0000,5000CORF 395475,A000000,05010,0000,5010CMHC 395475,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395475,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395475,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395475,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395475,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395475,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395475,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395475,A81000A,00100,0100,Y 395475,A81000B,00100,0300,HOME OFFICE COST 395475,A81000B,00200,0300,PT ADMIN FEE 395475,A81000B,00300,0300,OT ADMIN FEE 395475,A81000B,00400,0300,ST ADMIN FEE 395475,A81000B,00500,0300,DIRECT INTEREST 395475,A81000C,00100,0100,B 395475,A81000C,00100,0200,POTTSTOWN 395475,A81000C,00100,0400,HCR MANORCARE INC. 395475,A81000C,00100,0600,LONG TERM CARE FACILITIES 395475,A81000C,00200,0100,B 395475,A81000C,00200,0200,POTTSTOWN 395475,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 395475,A81000C,00200,0600,THERAPY MGMT 395475,A81000C,00300,0100,B 395475,A81000C,00300,0200,POTTSTOWN 395475,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 395475,A81000C,00300,0600,THERAPY MGMT 395475,A81000C,00400,0100,B 395475,A81000C,00400,0200,POTTSTOWN 395475,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 395475,A81000C,00400,0600,THERAPY MGMT 395475,B100000,00000,0100,0100SQUARE FEET 395475,B100000,00000,0200,0200SQUARE FEET 395475,B100000,00000,0300,0300GROSS SALARIES 395475,B100000,00000,0400,0400ACCUM COST 395475,B100000,00000,0500,0500SQUARE FEET 395475,B100000,00000,0600,0600PATIENT DAYS 395475,B100000,00000,0700,0700SQUARE FEET 395475,B100000,00000,0800,0800MEALS SERVED 395475,B100000,00000,0900,0900NURSING WAGES 395475,B100000,00000,1000,1000PATIENT DAYS 395475,B100000,00000,1100,1100PATIENT DAYS 395475,B100000,00000,1200,1200PATIENT DAYS 395475,B100000,00000,1300,1300PATIENT DAYS 395475,B100000,00000,1400,1400PATIENT DAYS 395475,B100000,00000,1500,1350PATIENT DAYS 395475,E10A180,00501,0100,04/01/05 395475,E10A180,00501,0300,04/01/05 395475,E10A180,00502,0100,11/17/00 395475,E10A180,00502,0300,11/17/00 395475,S000000,00100,0200,10/25/00 395475,S200000,00100,0100,724 NORTH CHARLOTTE STREET 395475,S200000,00200,0100,POTTSTOWN 395475,S200000,00200,0200,PA 395475,S200000,00200,0300,19464 395475,S200000,00300,0100,MONTGOMERY 395475,S200000,00300,0200,6160 395475,S200000,00300,0300,U 395475,S200000,00400,0100,POTTSTOWN 395475,S200000,00400,0200,395402 395475,S200000,00400,0300,07/15/78 395475,S200000,00400,0500,P 395475,S200000,00400,0600,P 395475,S200000,01500,0100,N 395475,S200000,01600,0100,Y 395475,S200000,01700,0100,N 395475,S200000,01800,0100,N 395475,S200000,02200,0100,Y 395475,S200000,02800,0100,N 395475,S200000,02900,0100,N 395475,S200000,03000,0100,N 395475,S200000,03100,0100,N 395475,S200000,03200,0100,N 395475,S200000,03300,0100,N 395475,S200000,03300,0200,N 395475,S200000,04200,0100,N 395475,S200000,04300,0100,N 395475,S200000,04600,0100,N 395475,S200000,04700,0100,N 395475,S200000,04700,0200,N 395475,S200000,04900,0100,N 395475,S200000,05000,0100,N 395475,S200000,05200,0100,N 395535,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395535,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395535,A000000,00300,0000,0300EMPLOYEE BENEFITS 395535,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395535,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395535,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395535,A000000,00700,0000,0700HOUSEKEEPING 395535,A000000,00800,0000,0800DIETARY 395535,A000000,00900,0000,0900NURSING ADMINISTRATION 395535,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395535,A000000,01100,0000,1100PHARMACY 395535,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395535,A000000,01300,0000,1300SOCIAL SERVICE 395535,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395535,A000000,01500,0000,1350ACTIVITIES 395535,A000000,01600,0000,1600SKILLED NURSING FACILITY 395535,A000000,01800,0000,1800NURSING FACILITY 395535,A000000,01810,0000,1810ICF/MR 395535,A000000,02300,0000,2300INTRAVENOUS THERAPY 395535,A000000,02500,0000,2500PHYSICAL THERAPY 395535,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395535,A000000,02700,0000,2700SPEECH PATHOLOGY 395535,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395535,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395535,A000000,03200,0000,3200SUPPORT SURFACES 395535,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395535,A000000,03550,0000,3550FQHC 395535,A000000,04801,0000,4801AMBULANCE 395535,A000000,04802,0000,4802AMBULANCE 395535,A000000,04803,0000,4803AMBULANCE 395535,A000000,05000,0000,5000CORF 395535,A000000,05010,0000,5010CMHC 395535,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395535,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395535,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395535,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395535,A000000,05300,0000,5300INTEREST EXPENSE 395535,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395535,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395535,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395535,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395535,A81000A,00100,0100,Y 395535,A81000B,00100,0300,HOME OFFICE COST 395535,A81000B,00200,0300,PT ADMIN FEES 395535,A81000B,00300,0300,OT ADMIN FEES 395535,A81000B,00400,0300,ST ADMIN FEES 395535,A81000B,00500,0300,INTEREST EXPENSE 395535,A81000C,00100,0100,B 395535,A81000C,00100,0200,MCHS - URBANA 395535,A81000C,00100,0400,HCR MANORCARE INC. 395535,A81000C,00100,0600,LONG TERM CARE FACILITIES 395535,A81000C,00200,0100,B 395535,A81000C,00200,0200,MCHS - URBANA 395535,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 395535,A81000C,00200,0600,THERAPY MANAGEMENT 395535,A81000C,00300,0100,B 395535,A81000C,00300,0200,MCHS - URBANA 395535,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 395535,A81000C,00300,0600,THERAPY MANAGEMENT 395535,A81000C,00400,0100,B 395535,A81000C,00400,0200,MCHS - URBANA 395535,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 395535,A81000C,00400,0600,THERAPY MANAGEMENT 395535,A81000C,00500,0100,B 395535,A81000C,00500,0200,MCHS - URBANA 395535,A81000C,00500,0400,HEARTLAND MANAGEMENT SVCS 395535,A81000C,00500,0600,THERAPY MANAGEMENT 395535,B100000,00000,0100,0100SQUARE FEET 395535,B100000,00000,0200,0200SQUARE FEET 395535,B100000,00000,0300,0300GROSS SALARIES 395535,B100000,00000,0400,0400ACCUM COST 395535,B100000,00000,0500,0500SQUARE FEET 395535,B100000,00000,0600,0600PATIENT DAYS 395535,B100000,00000,0700,0700SQUARE FEET 395535,B100000,00000,0800,0800MEALS SERVED 395535,B100000,00000,0900,0900NURSING WAGES 395535,B100000,00000,1000,1000PATIENT DAYS 395535,B100000,00000,1100,1100PATIENT DAYS 395535,B100000,00000,1200,1200PATIENT DAYS 395535,B100000,00000,1300,1300PATIENT DAYS 395535,B100000,00000,1400,1400PATIENT DAYS 395535,B100000,00000,1500,1350PATIENT DAYS 395535,E10A180,00501,0100,11/17/00 395535,E10A180,00501,0300,11/17/00 395535,E10A180,00502,0300,04/01/05 395535,E10A180,00550,0100,04/01/05 395535,S000000,00100,0200,10/13/00 395535,S200000,00100,0100,600 N COLER AVENUE 395535,S200000,00200,0100,URBANA 395535,S200000,00200,0200,IL 395535,S200000,00200,0300,61801 395535,S200000,00300,0100,CHAMPAIGN 395535,S200000,00300,0200,1400 395535,S200000,00300,0300,U 395535,S200000,00400,0100,MCHS - URBANA 395535,S200000,00400,0200,145287 395535,S200000,00400,0300,01/01/67 395535,S200000,00400,0500,P 395535,S200000,00400,0600,P 395535,S200000,01500,0100,N 395535,S200000,01600,0100,Y 395535,S200000,01700,0100,N 395535,S200000,01800,0100,N 395535,S200000,02200,0100,N 395535,S200000,02800,0100,N 395535,S200000,02900,0100,N 395535,S200000,03000,0100,N 395535,S200000,03100,0100,N 395535,S200000,03200,0100,N 395535,S200000,03300,0100,N 395535,S200000,03300,0200,N 395535,S200000,04200,0100,N 395535,S200000,04300,0100,Y 395535,S200000,04600,0100,N 395535,S200000,04700,0100,N 395535,S200000,04700,0200,N 395535,S200000,04900,0100,N 395535,S200000,05000,0100,N 395535,S200000,05200,0100,N 395536,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395536,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395536,A000000,00300,0000,0300EMPLOYEE BENEFITS 395536,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395536,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395536,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395536,A000000,00700,0000,0700HOUSEKEEPING 395536,A000000,00800,0000,0800DIETARY 395536,A000000,00900,0000,0900NURSING ADMINISTRATION 395536,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395536,A000000,01100,0000,1100PHARMACY 395536,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395536,A000000,01300,0000,1300SOCIAL SERVICE 395536,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395536,A000000,01500,0000,1350ACTIVITIES 395536,A000000,01600,0000,1600SKILLED NURSING FACILITY 395536,A000000,01800,0000,1800NURSING FACILITY 395536,A000000,01810,0000,1810ICF/MR 395536,A000000,02200,0000,2200LABORATORY 395536,A000000,02300,0000,2300INTRAVENOUS THERAPY 395536,A000000,02500,0000,2500PHYSICAL THERAPY 395536,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395536,A000000,02700,0000,2700SPEECH PATHOLOGY 395536,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395536,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395536,A000000,03200,0000,3200SUPPORT SURFACES 395536,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395536,A000000,03550,0000,3550FQHC 395536,A000000,04801,0000,4801AMBULANCE 395536,A000000,04802,0000,4802AMBULANCE 395536,A000000,04803,0000,4803AMBULANCE 395536,A000000,05000,0000,5000CORF 395536,A000000,05010,0000,5010CMHC 395536,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395536,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395536,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395536,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395536,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395536,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395536,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395536,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395536,A81000A,00100,0100,Y 395536,A81000B,00100,0300,HOME OFFICE COST 395536,A81000B,00200,0300,PHYSICAL THERAPY 395536,A81000B,00300,0300,OCCUPATIONAL THERAPY 395536,A81000B,00400,0300,SPEECH THERAPY 395536,A81000B,00500,0300,INTEREST EXPENSE 395536,A81000C,00100,0100,B 395536,A81000C,00100,0200,MANOR CARE-ANDERSON 395536,A81000C,00100,0400,HCR MANORCARE INC. 395536,A81000C,00100,0600,LONG TERM CARE FACILITIES 395536,A81000C,00200,0100,B 395536,A81000C,00200,0200,MANOR CARE -ANDERSON 395536,A81000C,00200,0400,HEARTLAND MANAGEMENT 395536,A81000C,00200,0600,THERAPY MANAGEMENT 395536,B100000,00000,0100,0100SQUARE FEET 395536,B100000,00000,0200,0200SQUARE FEET 395536,B100000,00000,0300,0300GROSS SALARIES 395536,B100000,00000,0400,0400ACCUM COST 395536,B100000,00000,0500,0500SQUARE FEET 395536,B100000,00000,0600,0600PATIENT DAYS 395536,B100000,00000,0700,0700SQUARE FEET 395536,B100000,00000,0800,0800MEALS SERVED 395536,B100000,00000,0900,0900NURSING WAGES 395536,B100000,00000,1000,1000PATIENT DAYS 395536,B100000,00000,1100,1100PATIENT DAYS 395536,B100000,00000,1200,1200PATIENT DAYS 395536,B100000,00000,1300,1300PATIENT DAYS 395536,B100000,00000,1400,1400PATIENT DAYS 395536,B100000,00000,1500,1350PATIENT DAYS 395536,E10A180,00501,0300,04/01/05 395536,E10A180,00502,0100,11/17/00 395536,E10A180,00502,0300,11/17/00 395536,E10A180,00550,0100,04/01/05 395536,S000000,00100,0200,10/10/00 395536,S200000,00100,0100,1345 NORTH MADISON 395536,S200000,00200,0100,ANDERSON 395536,S200000,00200,0200,IN 395536,S200000,00200,0300,46011 395536,S200000,00300,0100,MADISON 395536,S200000,00300,0200,3480 395536,S200000,00300,0300,U 395536,S200000,00400,0100,MANOR CARE - ANDERSON 395536,S200000,00400,0200,155005 395536,S200000,00400,0300,01/01/66 395536,S200000,00400,0500,P 395536,S200000,00400,0600,P 395536,S200000,01500,0100,N 395536,S200000,01600,0100,Y 395536,S200000,01700,0100,N 395536,S200000,01800,0100,N 395536,S200000,02200,0100,Y 395536,S200000,02800,0100,N 395536,S200000,02900,0100,N 395536,S200000,03000,0100,N 395536,S200000,03100,0100,N 395536,S200000,03200,0100,N 395536,S200000,03300,0100,N 395536,S200000,03300,0200,N 395536,S200000,04200,0100,N 395536,S200000,04300,0100,Y 395536,S200000,04600,0100,N 395536,S200000,04700,0100,N 395536,S200000,04700,0200,N 395536,S200000,04900,0100,N 395536,S200000,05000,0100,N 395536,S200000,05200,0100,N 395537,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395537,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395537,A000000,00300,0000,0300EMPLOYEE BENEFITS 395537,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395537,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395537,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395537,A000000,00700,0000,0700HOUSEKEEPING 395537,A000000,00800,0000,0800DIETARY 395537,A000000,00900,0000,0900NURSING ADMINISTRATION 395537,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395537,A000000,01100,0000,1100PHARMACY 395537,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395537,A000000,01300,0000,1300SOCIAL SERVICE 395537,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395537,A000000,01500,0000,1350ACTIVITIES 395537,A000000,01600,0000,1600SKILLED NURSING FACILITY 395537,A000000,01800,0000,1800NURSING FACILITY 395537,A000000,01810,0000,1810ICF/MR 395537,A000000,02200,0000,2200LABORATORY 395537,A000000,02300,0000,2300INTRAVENOUS THERAPY 395537,A000000,02500,0000,2500PHYSICAL THERAPY 395537,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395537,A000000,02700,0000,2700SPEECH PATHOLOGY 395537,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395537,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395537,A000000,03200,0000,3200SUPPORT SURFACES 395537,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395537,A000000,03550,0000,3550FQHC 395537,A000000,04801,0000,4801AMBULANCE 395537,A000000,04802,0000,4802AMBULANCE 395537,A000000,04803,0000,4803AMBULANCE 395537,A000000,05000,0000,5000CORF 395537,A000000,05010,0000,5010CMHC 395537,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395537,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395537,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395537,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395537,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395537,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395537,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395537,A81000A,00100,0100,Y 395537,A81000B,00100,0300,HOME OFFICE COST 395537,A81000B,00200,0300,OTHER CAPITAL COSTS 395537,A81000B,00300,0300,PT ADMIN FEES 395537,A81000B,00400,0300,OT ADMIN FEES 395537,A81000B,00500,0300,ST ADMIN FEES 395537,A81000B,00600,0300,DIRECT INTEREST 395537,A81000C,00100,0100,B 395537,A81000C,00100,0200,MCHS-RENO 395537,A81000C,00100,0400,HCR MANORCARE INC. 395537,A81000C,00100,0600,LONG TERM CARE FACILITIES 395537,A81000C,00200,0100,B 395537,A81000C,00200,0200,MCHS-RENO 395537,A81000C,00200,0400,HCR MANORCARE INC. 395537,A81000C,00200,0600,LONG TERM CARE FACILITIES 395537,A81000C,00300,0100,B 395537,A81000C,00300,0200,MCHS-RENO 395537,A81000C,00300,0400,HEARTLAND MGMT SERV 395537,A81000C,00300,0600,THERAPY ADMIN 395537,A81000C,00400,0100,B 395537,A81000C,00400,0200,MCHS-RENO 395537,A81000C,00400,0400,HEARTLAND MGMT SERV 395537,A81000C,00400,0600,THERAPY ADMIN 395537,A81000C,00500,0100,B 395537,A81000C,00500,0200,MCHS-RENO 395537,A81000C,00500,0400,HEARTLAND MGMT SERV 395537,A81000C,00500,0600,THERAPY ADMIN 395537,A81000C,00600,0100,B 395537,A81000C,00600,0200,MCHS-RENO 395537,A81000C,00600,0400,HCR MANORCARE INC. 395537,A81000C,00600,0600,LONG TERM CARE FACILITIES 395537,B100000,00000,0100,0100SQUARE FEET 395537,B100000,00000,0200,0200SQUARE FEET 395537,B100000,00000,0300,0300GROSS SALARIES 395537,B100000,00000,0400,0400ACCUM COST 395537,B100000,00000,0500,0500SQUARE FEET 395537,B100000,00000,0600,0600PATIENT DAYS 395537,B100000,00000,0700,0700SQUARE FEET 395537,B100000,00000,0800,0800MEALS SERVED 395537,B100000,00000,0900,0900NURSING WAGES 395537,B100000,00000,1000,1000PATIENT DAYS 395537,B100000,00000,1100,1100PATIENT DAYS 395537,B100000,00000,1200,1200PATIENT DAYS 395537,B100000,00000,1300,1300PATIENT DAYS 395537,B100000,00000,1400,1400PATIENT DAYS 395537,B100000,00000,1500,1350PATIENT DAYS 395537,E10A180,00501,0100,11/17/00 395537,E10A180,00501,0300,11/17/00 395537,E10A180,00502,0300,04/01/05 395537,E10A180,00550,0100,04/01/05 395537,S000000,00100,0200,11/01/00 395537,S200000,00100,0100,3101 PLUMAS STREET 395537,S200000,00200,0100,RENO 395537,S200000,00200,0200,NV 395537,S200000,00200,0300,89509 395537,S200000,00300,0100,WASHUE 395537,S200000,00300,0200,6720 395537,S200000,00300,0300,U 395537,S200000,00400,0100,MCHS-RENO 395537,S200000,00400,0200,295043 395537,S200000,00400,0300,01/01/66 395537,S200000,00400,0500,P 395537,S200000,00400,0600,P 395537,S200000,01500,0100,N 395537,S200000,01600,0100,Y 395537,S200000,01700,0100,N 395537,S200000,01800,0100,N 395537,S200000,02200,0100,Y 395537,S200000,02800,0100,N 395537,S200000,02900,0100,N 395537,S200000,03000,0100,N 395537,S200000,03100,0100,N 395537,S200000,03200,0100,N 395537,S200000,03300,0100,N 395537,S200000,03300,0200,N 395537,S200000,04200,0100,N 395537,S200000,04300,0100,N 395537,S200000,04600,0100,N 395537,S200000,04700,0100,N 395537,S200000,04700,0200,N 395537,S200000,04900,0100,N 395537,S200000,05000,0100,N 395537,S200000,05200,0100,N 395539,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395539,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395539,A000000,00300,0000,0300EMPLOYEE BENEFITS 395539,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395539,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395539,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395539,A000000,00700,0000,0700HOUSEKEEPING 395539,A000000,00800,0000,0800DIETARY 395539,A000000,00900,0000,0900NURSING ADMINISTRATION 395539,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395539,A000000,01100,0000,1100PHARMACY 395539,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395539,A000000,01300,0000,1300SOCIAL SERVICE 395539,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395539,A000000,01500,0000,1350ACTIVITIES 395539,A000000,01600,0000,1600SKILLED NURSING FACILITY 395539,A000000,01800,0000,1800NURSING FACILITY 395539,A000000,01810,0000,1810ICF/MR 395539,A000000,02100,0000,2100RADIOLOGY 395539,A000000,02200,0000,2200LABORATORY 395539,A000000,02300,0000,2300INTRAVENOUS THERAPY 395539,A000000,02500,0000,2500PHYSICAL THERAPY 395539,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395539,A000000,02700,0000,2700SPEECH PATHOLOGY 395539,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395539,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395539,A000000,03200,0000,3200SUPPORT SURFACES 395539,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395539,A000000,03550,0000,3550FQHC 395539,A000000,04801,0000,4801AMBULANCE 395539,A000000,04802,0000,4802AMBULANCE 395539,A000000,04803,0000,4803AMBULANCE 395539,A000000,05000,0000,5000CORF 395539,A000000,05010,0000,5010CMHC 395539,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395539,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395539,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395539,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395539,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395539,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395539,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395539,A81000A,00100,0100,Y 395539,A81000B,00100,0300,HOME OFFICE COST 395539,A81000B,00200,0300,PT ADMIN FEES 395539,A81000B,00300,0300,OT ADMIN FEES 395539,A81000B,00400,0300,ST ADMIN FEES 395539,A81000B,00500,0300,INTEREST EXPENSE 395539,A81000C,00100,0100,B 395539,A81000C,00100,0200,MCHS - WOODSIDE 395539,A81000C,00100,0400,HCR MANORCARE INC. 395539,A81000C,00100,0600,LONG TERM CARE FACILITIES 395539,A81000C,00200,0100,B 395539,A81000C,00200,0200,MCHS - WOODSIDE 395539,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 395539,A81000C,00200,0600,THERAPY MANAGEMENT 395539,A81000C,00300,0100,B 395539,A81000C,00300,0200,MCHS - WOODSIDE 395539,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 395539,A81000C,00300,0600,THERAPY MANAGEMENT 395539,A81000C,00400,0100,B 395539,A81000C,00400,0200,MCHS - WOODSIDE 395539,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 395539,A81000C,00400,0600,THERAPY MANAGEMENT 395539,A81000C,00500,0100,B 395539,A81000C,00500,0200,MCHS - WOODSIDE 395539,A81000C,00500,0400,HCR MANORCARE INC. 395539,A81000C,00500,0600,LONG TERM CARE FACILITIES 395539,B100000,00000,0100,0100SQUARE FEET 395539,B100000,00000,0200,0200SQUARE FEET 395539,B100000,00000,0300,0300GROSS SALARIES 395539,B100000,00000,0400,0400ACCUM COST 395539,B100000,00000,0500,0500SQUARE FEET 395539,B100000,00000,0600,0600PATIENT DAYS 395539,B100000,00000,0700,0700SQUARE FEET 395539,B100000,00000,0800,0800MEALS SERVED 395539,B100000,00000,0900,0900NURSING WAGES 395539,B100000,00000,1000,1000PATIENT DAYS 395539,B100000,00000,1100,1100PATIENT DAYS 395539,B100000,00000,1200,1200PATIENT DAYS 395539,B100000,00000,1300,1300PATIENT DAYS 395539,B100000,00000,1400,1400PATIENT DAYS 395539,B100000,00000,1500,1350PATIENT DAYS 395539,E10A180,00501,0100,04/01/05 395539,E10A180,00501,0300,04/01/05 395539,E10A180,00502,0100,11/17/00 395539,E10A180,00502,0300,11/17/00 395539,S000000,00100,0200,10/27/00 395539,S200000,00100,0100,5970 KENDWOOD RD 395539,S200000,00200,0100,MADEIRA 395539,S200000,00200,0200,OH 395539,S200000,00200,0300,45243 395539,S200000,00300,0100,1640 395539,S200000,00300,0200,1640 395539,S200000,00300,0300,U 395539,S200000,00400,0100,MCHS - WOODSIDE 395539,S200000,00400,0200,365186 395539,S200000,00400,0300,01/01/66 395539,S200000,00400,0500,P 395539,S200000,00400,0600,P 395539,S200000,01500,0100,N 395539,S200000,01600,0100,Y 395539,S200000,01700,0100,N 395539,S200000,01800,0100,N 395539,S200000,02200,0100,N 395539,S200000,02800,0100,N 395539,S200000,02900,0100,N 395539,S200000,03000,0100,N 395539,S200000,03100,0100,N 395539,S200000,03200,0100,N 395539,S200000,03300,0100,N 395539,S200000,03300,0200,N 395539,S200000,04200,0100,N 395539,S200000,04300,0100,Y 395539,S200000,04600,0100,N 395539,S200000,04700,0100,N 395539,S200000,04700,0200,N 395539,S200000,04900,0100,N 395539,S200000,05000,0100,N 395539,S200000,05200,0100,N 395540,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395540,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395540,A000000,00300,0000,0300EMPLOYEE BENEFITS 395540,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395540,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395540,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395540,A000000,00700,0000,0700HOUSEKEEPING 395540,A000000,00800,0000,0800DIETARY 395540,A000000,00900,0000,0900NURSING ADMINISTRATION 395540,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395540,A000000,01100,0000,1100PHARMACY 395540,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395540,A000000,01300,0000,1300SOCIAL SERVICE 395540,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395540,A000000,01500,0000,1350ACTIVITIES 395540,A000000,01600,0000,1600SKILLED NURSING FACILITY 395540,A000000,01800,0000,1800NURSING FACILITY 395540,A000000,01810,0000,1810ICF/MR 395540,A000000,02200,0000,2200LABORATORY 395540,A000000,02300,0000,2300INTRAVENOUS THERAPY 395540,A000000,02500,0000,2500PHYSICAL THERAPY 395540,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395540,A000000,02700,0000,2700SPEECH PATHOLOGY 395540,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395540,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395540,A000000,03200,0000,3200SUPPORT SURFACES 395540,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395540,A000000,03550,0000,3550FQHC 395540,A000000,04801,0000,4801AMBULANCE 395540,A000000,04802,0000,4802AMBULANCE 395540,A000000,04803,0000,4803AMBULANCE 395540,A000000,05000,0000,5000CORF 395540,A000000,05010,0000,5010CMHC 395540,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395540,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395540,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395540,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395540,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395540,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395540,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395540,A81000A,00100,0100,Y 395540,A81000B,00100,0300,HOME OFFICE COST 395540,A81000B,00200,0300,PT ADMIN FEES 395540,A81000B,00300,0300,OT ADMIN FEES 395540,A81000B,00400,0300,ST ADMIN FEES 395540,A81000B,00500,0300,DIRECT INTEREST 395540,A81000C,00100,0100,B 395540,A81000C,00100,0200,YEADON 395540,A81000C,00100,0400,HCR MANORCARE INC. 395540,A81000C,00100,0600,LONG TERM CARE FACILITIES 395540,A81000C,00200,0100,B 395540,A81000C,00200,0200,YEADON 395540,A81000C,00200,0400,MANOR CARE HEALTH SERVICE 395540,A81000C,00200,0600,THERAPY MGMT 395540,A81000C,00300,0100,B 395540,A81000C,00300,0200,YEADON 395540,A81000C,00300,0400,MANOR CARE HEALTH SERVICE 395540,A81000C,00300,0600,THERAPY MGMT 395540,A81000C,00400,0100,B 395540,A81000C,00400,0200,YEADON 395540,A81000C,00400,0400,MANOR CARE HEALTH SERVICE 395540,A81000C,00400,0600,THERAPY MGMT 395540,B100000,00000,0100,0100SQUARE FEET 395540,B100000,00000,0200,0200SQUARE FEET 395540,B100000,00000,0300,0300GROSS SALARIES 395540,B100000,00000,0400,0400ACCUM COST 395540,B100000,00000,0500,0500SQUARE FEET 395540,B100000,00000,0600,0600PATIENT DAYS 395540,B100000,00000,0700,0700SQUARE FEET 395540,B100000,00000,0800,0800MEALS SERVED 395540,B100000,00000,0900,0900NURSING WAGES 395540,B100000,00000,1000,1000PATIENT DAYS 395540,B100000,00000,1100,1100PATIENT DAYS 395540,B100000,00000,1200,1200PATIENT DAYS 395540,B100000,00000,1300,1300PATIENT DAYS 395540,B100000,00000,1400,1400PATIENT DAYS 395540,B100000,00000,1500,1350PATIENT DAYS 395540,E10A180,00501,0100,04/01/05 395540,E10A180,00502,0100,11/17/00 395540,E10A180,00502,0300,11/17/00 395540,E10A180,00550,0300,04/01/05 395540,S000000,00100,0200,10/27/00 395540,S200000,00100,0100,14 LINCOLN STREET 395540,S200000,00200,0100,YEADON 395540,S200000,00200,0200,PA 395540,S200000,00200,0300,19050 395540,S200000,00300,0100,DELAWARE 395540,S200000,00300,0200,6160 395540,S200000,00300,0300,U 395540,S200000,00400,0100,YEADON 395540,S200000,00400,0200,395374 395540,S200000,00400,0300,07/01/74 395540,S200000,00400,0500,P 395540,S200000,00400,0600,P 395540,S200000,01500,0100,N 395540,S200000,01600,0100,Y 395540,S200000,01700,0100,N 395540,S200000,01800,0100,N 395540,S200000,02200,0100,Y 395540,S200000,02800,0100,N 395540,S200000,02900,0100,N 395540,S200000,03000,0100,N 395540,S200000,03100,0100,N 395540,S200000,03200,0100,N 395540,S200000,03300,0100,N 395540,S200000,03300,0200,N 395540,S200000,04200,0100,N 395540,S200000,04300,0100,N 395540,S200000,04600,0100,N 395540,S200000,04700,0100,N 395540,S200000,04700,0200,N 395540,S200000,04900,0100,N 395540,S200000,05000,0100,N 395540,S200000,05200,0100,N 395675,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395675,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395675,A000000,00300,0000,0300EMPLOYEE BENEFITS 395675,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395675,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395675,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395675,A000000,00700,0000,0700HOUSEKEEPING 395675,A000000,00800,0000,0800DIETARY 395675,A000000,00900,0000,0900NURSING ADMINISTRATION 395675,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395675,A000000,01100,0000,1100PHARMACY 395675,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395675,A000000,01300,0000,1300SOCIAL SERVICE 395675,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395675,A000000,01500,0000,1350ACTIVITIES 395675,A000000,01600,0000,1600SKILLED NURSING FACILITY 395675,A000000,01800,0000,1800NURSING FACILITY 395675,A000000,01810,0000,1810ICF/MR 395675,A000000,02200,0000,2200LABORATORY 395675,A000000,02300,0000,2300INTRAVENOUS THERAPY 395675,A000000,02500,0000,2500PHYSICAL THERAPY 395675,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395675,A000000,02700,0000,2700SPEECH PATHOLOGY 395675,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395675,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395675,A000000,03200,0000,3200SUPPORT SURFACES 395675,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395675,A000000,03550,0000,3550FQHC 395675,A000000,04801,0000,4801AMBULANCE 395675,A000000,04802,0000,4802AMBULANCE 395675,A000000,04803,0000,4803AMBULANCE 395675,A000000,05000,0000,5000CORF 395675,A000000,05010,0000,5010CMHC 395675,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395675,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395675,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395675,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395675,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395675,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395675,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395675,A81000A,00100,0100,Y 395675,A81000B,00100,0300,HOME OFFICE COST 395675,A81000B,00200,0300,PT ADMIN FEE 395675,A81000B,00300,0300,OT ADMIN FEE 395675,A81000B,00400,0300,ST ADMIN FEE 395675,A81000B,00500,0300,DRUGS 395675,A81000B,00600,0300,IV DRUGS & SUPPLIES 395675,A81000B,00700,0300,PURCH SERV PHARMACIST 395675,A81000C,00100,0100,B 395675,A81000C,00100,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00100,0400,HCR MANORCARE INC. 395675,A81000C,00100,0600,LONG TERM CARE FACILITIES 395675,A81000C,00200,0100,B 395675,A81000C,00200,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00200,0400,HRTLND MANAGEMENT SERV 395675,A81000C,00200,0600,THERAPY MANAGEMENT 395675,A81000C,00300,0100,B 395675,A81000C,00300,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00300,0400,HRTLND MANAGEMENT SERV 395675,A81000C,00300,0600,THERAPY MANAGEMENT 395675,A81000C,00400,0100,B 395675,A81000C,00400,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00400,0400,HRTLND MANAGEMENT SERV 395675,A81000C,00400,0600,THERAPY MANAGEMENT 395675,A81000C,00500,0100,B 395675,A81000C,00500,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00500,0400,HRTLND HEALTHCARE SERV 395675,A81000C,00500,0600,PHARMACY 395675,A81000C,00600,0100,B 395675,A81000C,00600,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00600,0400,HRTLND HEALTHCARE SERV 395675,A81000C,00600,0600,PHARMACY 395675,A81000C,00700,0100,B 395675,A81000C,00700,0200,HRTLND OF S. JACKSONVILLE 395675,A81000C,00700,0400,HRTLND HEALTHCARE SERV 395675,A81000C,00700,0600,PHARMACY 395675,B100000,00000,0100,0100SQUARE FEET 395675,B100000,00000,0200,0200SQUARE FEET 395675,B100000,00000,0300,0300GROSS SALARIES 395675,B100000,00000,0400,0400ACCUM COST 395675,B100000,00000,0500,0500SQUARE FEET 395675,B100000,00000,0600,0600PATIENT DAYS 395675,B100000,00000,0700,0700SQUARE FEET 395675,B100000,00000,0800,0800MEALS SERVED 395675,B100000,00000,0900,0900NURSING WAGES 395675,B100000,00000,1000,1000PATIENT DAYS 395675,B100000,00000,1100,1100PATIENT DAYS 395675,B100000,00000,1200,1200PATIENT DAYS 395675,B100000,00000,1300,1300PATIENT DAYS 395675,B100000,00000,1400,1400PATIENT DAYS 395675,B100000,00000,1500,1350PATIENT DAYS 395675,E10A180,00501,0300,04/01/05 395675,E10A180,00502,0100,11/17/00 395675,E10A180,00502,0300,11/17/00 395675,E10A180,00550,0100,04/01/05 395675,S000000,00100,0200,10/31/00 395675,S200000,00100,0100,3648 ULNIVERSITY BLVD. 395675,S200000,00200,0100,JACKSONVILLE 395675,S200000,00200,0200,FL 395675,S200000,00200,0300,32216 395675,S200000,00300,0100,DUVAL 395675,S200000,00300,0200,3600 395675,S200000,00300,0300,U 395675,S200000,00400,0100,HEARTLAND OF SOUTH JACKSONVILLE 395675,S200000,00400,0200,105366 395675,S200000,00400,0300,07/01/80 395675,S200000,00400,0500,P 395675,S200000,00400,0600,P 395675,S200000,01500,0100,N 395675,S200000,01600,0100,Y 395675,S200000,01700,0100,N 395675,S200000,01800,0100,N 395675,S200000,02200,0100,Y 395675,S200000,02800,0100,N 395675,S200000,02900,0100,N 395675,S200000,03000,0100,N 395675,S200000,03100,0100,N 395675,S200000,03200,0100,N 395675,S200000,03300,0100,N 395675,S200000,03300,0200,N 395675,S200000,04200,0100,N 395675,S200000,04300,0100,N 395675,S200000,04600,0100,N 395675,S200000,04700,0100,N 395675,S200000,04700,0200,N 395675,S200000,04900,0100,N 395675,S200000,05000,0100,N 395675,S200000,05200,0100,N 395865,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395865,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395865,A000000,00300,0000,0300EMPLOYEE BENEFITS 395865,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395865,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395865,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395865,A000000,00700,0000,0700HOUSEKEEPING 395865,A000000,00800,0000,0800DIETARY 395865,A000000,00900,0000,0900NURSING ADMINISTRATION 395865,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395865,A000000,01100,0000,1100PHARMACY 395865,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395865,A000000,01300,0000,1300SOCIAL SERVICE 395865,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395865,A000000,01500,0000,1350ACTIVITIES 395865,A000000,01600,0000,1600SKILLED NURSING FACILITY 395865,A000000,01800,0000,1800NURSING FACILITY 395865,A000000,01810,0000,1810ICF/MR 395865,A000000,02200,0000,2200LABORATORY 395865,A000000,02300,0000,2300INTRAVENOUS THERAPY 395865,A000000,02500,0000,2500PHYSICAL THERAPY 395865,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395865,A000000,02700,0000,2700SPEECH PATHOLOGY 395865,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395865,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395865,A000000,03200,0000,3200SUPPORT SURFACES 395865,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395865,A000000,03550,0000,3550FQHC 395865,A000000,04801,0000,4801AMBULANCE 395865,A000000,04802,0000,4802AMBULANCE 395865,A000000,04803,0000,4803AMBULANCE 395865,A000000,05000,0000,5000CORF 395865,A000000,05010,0000,5010CMHC 395865,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395865,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395865,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395865,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395865,A000000,05300,0000,5300INTEREST EXPENSE 395865,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395865,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395865,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395865,A81000A,00100,0100,Y 395865,A81000B,00100,0300,HOME OFFICE COST 395865,A81000B,00200,0300,CORPORATE DIRECT INTEREST 395865,A81000B,00300,0300,PHYSICAL THERAPY 395865,A81000B,00400,0300,OCCUPATIONAL THERAPY 395865,A81000B,00500,0300,SPEECH THERAPY 395865,A81000C,00100,0100,B 395865,A81000C,00100,0200,MCHS - PEORIA 395865,A81000C,00100,0400,HCR MANORCARE INC. 395865,A81000C,00100,0600,LONG TERM CARE FACILITIES 395865,A81000C,00200,0100,B 395865,A81000C,00200,0200,MCHS - PEORIA 395865,A81000C,00200,0400,HCR MANORCARE INC. 395865,A81000C,00200,0600,HEALTHCARE 395865,A81000C,00300,0100,B 395865,A81000C,00300,0200,MCHS - PEORIA 395865,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395865,A81000C,00300,0600,THERAPY MANAGEMENT 395865,A81000C,00400,0100,B 395865,A81000C,00400,0200,MCHS - PEORIA 395865,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395865,A81000C,00400,0600,THERAPY MANAGEMENT 395865,A81000C,00500,0100,B 395865,A81000C,00500,0200,MCHS - PEORIA 395865,A81000C,00500,0400,HEARTLAND MANAGEMENT SERV 395865,A81000C,00500,0600,THERAPY MANAGEMENT 395865,B100000,00000,0100,0100SQUARE FEET 395865,B100000,00000,0200,0200SQUARE FEET 395865,B100000,00000,0300,0300GROSS SALARIES 395865,B100000,00000,0400,0400ACCUM COST 395865,B100000,00000,0500,0500SQUARE FEET 395865,B100000,00000,0600,0600PATIENT DAYS 395865,B100000,00000,0700,0700SQUARE FEET 395865,B100000,00000,0800,0800MEALS SERVED 395865,B100000,00000,0900,0900NURSING WAGES 395865,B100000,00000,1000,1000PATIENT DAYS 395865,B100000,00000,1100,1100PATIENT DAYS 395865,B100000,00000,1200,1200PATIENT DAYS 395865,B100000,00000,1300,1300PATIENT DAYS 395865,B100000,00000,1400,1400PATIENT DAYS 395865,B100000,00000,1500,1350PATIENT DAYS 395865,E10A180,00501,0300,04/01/05 395865,E10A180,00502,0100,11/17/00 395865,E10A180,00502,0300,11/17/00 395865,E10A180,00550,0100,04/01/05 395865,S000000,00100,0200,10/10/00 395865,S200000,00100,0100,5600 GLEN ELM DRIVE 395865,S200000,00200,0100,PEORIA 395865,S200000,00200,0200,IL 395865,S200000,00200,0300,61614 395865,S200000,00300,0100,PEORIA 395865,S200000,00300,0200,6120 395865,S200000,00300,0300,U 395865,S200000,00400,0100,MCHS - PEORIA 395865,S200000,00400,0200,145039 395865,S200000,00400,0300,01/01/67 395865,S200000,00400,0500,P 395865,S200000,00400,0600,P 395865,S200000,01500,0100,N 395865,S200000,01600,0100,Y 395865,S200000,01700,0100,N 395865,S200000,01800,0100,N 395865,S200000,02200,0100,N 395865,S200000,02800,0100,N 395865,S200000,02900,0100,N 395865,S200000,03000,0100,N 395865,S200000,03100,0100,N 395865,S200000,03200,0100,N 395865,S200000,03300,0100,N 395865,S200000,03300,0200,N 395865,S200000,04200,0100,N 395865,S200000,04300,0100,Y 395865,S200000,04600,0100,N 395865,S200000,04700,0100,N 395865,S200000,04700,0200,N 395865,S200000,04900,0100,N 395865,S200000,05000,0100,N 395865,S200000,05200,0100,N 395866,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395866,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395866,A000000,00300,0000,0300EMPLOYEE BENEFITS 395866,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395866,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395866,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395866,A000000,00700,0000,0700HOUSEKEEPING 395866,A000000,00800,0000,0800DIETARY 395866,A000000,00900,0000,0900NURSING ADMINISTRATION 395866,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395866,A000000,01100,0000,1100PHARMACY 395866,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395866,A000000,01300,0000,1300SOCIAL SERVICE 395866,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395866,A000000,01500,0000,1350ACTIVITIES 395866,A000000,01600,0000,1600SKILLED NURSING FACILITY 395866,A000000,01800,0000,1800NURSING FACILITY 395866,A000000,01810,0000,1810ICF/MR 395866,A000000,02200,0000,2200LABORATORY 395866,A000000,02300,0000,2300INTRAVENOUS THERAPY 395866,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 395866,A000000,02500,0000,2500PHYSICAL THERAPY 395866,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395866,A000000,02700,0000,2700SPEECH PATHOLOGY 395866,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395866,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395866,A000000,03200,0000,3200SUPPORT SURFACES 395866,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395866,A000000,03550,0000,3550FQHC 395866,A000000,04801,0000,4801AMBULANCE 395866,A000000,04802,0000,4802AMBULANCE 395866,A000000,04803,0000,4803AMBULANCE 395866,A000000,05000,0000,5000CORF 395866,A000000,05010,0000,5010CMHC 395866,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395866,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395866,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395866,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395866,A000000,05300,0000,5300INTEREST EXPENSE 395866,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395866,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395866,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395866,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395866,A81000A,00100,0100,Y 395866,A81000B,00100,0300,HOME OFFICE COST 395866,A81000B,00200,0300,PT ADMINISTRATION FEE 395866,A81000B,00300,0300,OT ADMINISTRATION FEE 395866,A81000B,00400,0300,ST ADMINISTRATION FEE 395866,A81000C,00100,0100,B 395866,A81000C,00100,0200,MCHS-HINSDALE 395866,A81000C,00100,0400,MANORCARE INC. 395866,A81000C,00100,0600,LONG TERM CARE FACILITIES 395866,A81000C,00200,0100,B 395866,A81000C,00200,0200,MCHS-HINSDALE 395866,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395866,A81000C,00200,0600,THERAPY MANAGEMENT 395866,A81000C,00300,0100,B 395866,A81000C,00300,0200,MCHS-HINSDALE 395866,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395866,A81000C,00300,0600,THERAPY MANAGEMENT 395866,A81000C,00400,0100,B 395866,A81000C,00400,0200,MCHS-HINSDALE 395866,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395866,A81000C,00400,0600,THERAPY MANAGEMENT 395866,B100000,00000,0100,0100SQUARE FEET 395866,B100000,00000,0200,0200SQUARE FEET 395866,B100000,00000,0300,0300GROSS SALARIES 395866,B100000,00000,0400,0400ACCUM COST 395866,B100000,00000,0500,0500SQUARE FEET 395866,B100000,00000,0600,0600PATIENT DAYS 395866,B100000,00000,0700,0700SQUARE FEET 395866,B100000,00000,0800,0800MEALS SERVED 395866,B100000,00000,0900,0900NURSING WAGES 395866,B100000,00000,1000,1000PATIENT DAYS 395866,B100000,00000,1100,1100PATIENT DAYS 395866,B100000,00000,1200,1200PATIENT DAYS 395866,B100000,00000,1300,1300PATIENT DAYS 395866,B100000,00000,1400,1400PATIENT DAYS 395866,B100000,00000,1500,1350PATIENT DAYS 395866,E10A180,00501,0300,04/01/05 395866,E10A180,00550,0100,04/01/05 395866,S000000,00100,0200,10/27/00 395866,S200000,00100,0100,600 WEST OGDEN AVENUE 395866,S200000,00200,0100,HINSDALE 395866,S200000,00200,0200,IL 395866,S200000,00200,0300,60521 395866,S200000,00300,0100,DUPAGE 395866,S200000,00300,0200,1600 395866,S200000,00300,0300,U 395866,S200000,00400,0100,MCHS-HINSDALE 395866,S200000,00400,0200,145246 395866,S200000,00400,0300,01/01/66 395866,S200000,00400,0500,P 395866,S200000,00400,0600,P 395866,S200000,01500,0100,N 395866,S200000,01600,0100,Y 395866,S200000,01700,0100,N 395866,S200000,01800,0100,N 395866,S200000,02200,0100,Y 395866,S200000,02800,0100,N 395866,S200000,02900,0100,N 395866,S200000,03000,0100,N 395866,S200000,03100,0100,N 395866,S200000,03200,0100,N 395866,S200000,03300,0100,N 395866,S200000,03300,0200,N 395866,S200000,04200,0100,N 395866,S200000,04300,0100,N 395866,S200000,04600,0100,N 395866,S200000,04700,0100,N 395866,S200000,04700,0200,N 395866,S200000,04900,0100,N 395866,S200000,05000,0100,N 395866,S200000,05200,0100,N 395874,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395874,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395874,A000000,00300,0000,0300EMPLOYEE BENEFITS 395874,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395874,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395874,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395874,A000000,00700,0000,0700HOUSEKEEPING 395874,A000000,00800,0000,0800DIETARY 395874,A000000,00900,0000,0900NURSING ADMINISTRATION 395874,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395874,A000000,01100,0000,1100PHARMACY 395874,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395874,A000000,01300,0000,1300SOCIAL SERVICE 395874,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395874,A000000,01500,0000,1350ACTIVITIES 395874,A000000,01600,0000,1600SKILLED NURSING FACILITY 395874,A000000,01800,0000,1800NURSING FACILITY 395874,A000000,01810,0000,1810ICF/MR 395874,A000000,02200,0000,2200LABORATORY 395874,A000000,02300,0000,2300INTRAVENOUS THERAPY 395874,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 395874,A000000,02500,0000,2500PHYSICAL THERAPY 395874,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395874,A000000,02700,0000,2700SPEECH PATHOLOGY 395874,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395874,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395874,A000000,03200,0000,3200SUPPORT SURFACES 395874,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395874,A000000,03550,0000,3550FQHC 395874,A000000,04801,0000,4801AMBULANCE 395874,A000000,04802,0000,4802AMBULANCE 395874,A000000,04803,0000,4803AMBULANCE 395874,A000000,05000,0000,5000CORF 395874,A000000,05010,0000,5010CMHC 395874,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395874,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395874,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395874,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395874,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395874,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395874,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395874,A81000A,00100,0100,Y 395874,A81000B,00100,0300,HOME OFFICE COST 395874,A81000B,00200,0300,PHYSICAL THERAPY 395874,A81000B,00300,0300,OCCUPATIONAL THERAPY 395874,A81000B,00400,0300,SPEECH THERAPY 395874,A81000C,00100,0100,B 395874,A81000C,00100,0200,MANOR CARE-INDY SOUTH 395874,A81000C,00100,0400,HCR MANORCARE INC. 395874,A81000C,00100,0600,LONG TERM CARE FACILITIES 395874,A81000C,00200,0100,B 395874,A81000C,00200,0200,MANOR CARE-INDY SOUTH 395874,A81000C,00200,0400,HEARTLAND MANAGEMENT 395874,A81000C,00200,0600,THERAPY MANAGEMENT 395874,B100000,00000,0100,0100SQUARE FEET 395874,B100000,00000,0200,0200SQUARE FEET 395874,B100000,00000,0300,0300GROSS SALARIES 395874,B100000,00000,0400,0400ACCUM COST 395874,B100000,00000,0500,0500SQUARE FEET 395874,B100000,00000,0600,0600PATIENT DAYS 395874,B100000,00000,0700,0700SQUARE FEET 395874,B100000,00000,0800,0800MEALS SERVED 395874,B100000,00000,0900,0900NURSING WAGES 395874,B100000,00000,1000,1000PATIENT DAYS 395874,B100000,00000,1100,1100PATIENT DAYS 395874,B100000,00000,1200,1200PATIENT DAYS 395874,B100000,00000,1300,1300PATIENT DAYS 395874,B100000,00000,1400,1400PATIENT DAYS 395874,B100000,00000,1500,1350PATIENT DAYS 395874,E10A180,00501,0300,04/01/05 395874,E10A180,00502,0100,11/17/00 395874,E10A180,00502,0300,11/17/00 395874,E10A180,00550,0100,04/01/05 395874,S000000,00100,0200,10/10/00 395874,S200000,00100,0100,8549 S MADISON AVE 395874,S200000,00200,0100,INDIANAPOLIS 395874,S200000,00200,0200,IN 395874,S200000,00200,0300,46227 395874,S200000,00300,0100,MARION 395874,S200000,00300,0200,3480 395874,S200000,00300,0300,U 395874,S200000,00400,0100,MANOR CARE-INDIANAPOLIS SOUTH 395874,S200000,00400,0200,155247 395874,S200000,00400,0300,01/01/66 395874,S200000,00400,0500,P 395874,S200000,00400,0600,P 395874,S200000,01500,0100,N 395874,S200000,01600,0100,Y 395874,S200000,01700,0100,N 395874,S200000,01800,0100,N 395874,S200000,02200,0100,N 395874,S200000,02800,0100,N 395874,S200000,02900,0100,N 395874,S200000,03000,0100,N 395874,S200000,03100,0100,N 395874,S200000,03200,0100,N 395874,S200000,03300,0100,N 395874,S200000,03300,0200,N 395874,S200000,04200,0100,N 395874,S200000,04300,0100,N 395874,S200000,04600,0100,N 395874,S200000,04700,0100,N 395874,S200000,04700,0200,N 395874,S200000,04900,0100,N 395874,S200000,05000,0100,N 395874,S200000,05200,0100,N 395964,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 395964,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 395964,A000000,00300,0000,0300EMPLOYEE BENEFITS 395964,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 395964,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 395964,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 395964,A000000,00700,0000,0700HOUSEKEEPING 395964,A000000,00800,0000,0800DIETARY 395964,A000000,00900,0000,0900NURSING ADMINISTRATION 395964,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 395964,A000000,01100,0000,1100PHARMACY 395964,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 395964,A000000,01300,0000,1300SOCIAL SERVICE 395964,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 395964,A000000,01500,0000,1350ACTIVITIES 395964,A000000,01600,0000,1600SKILLED NURSING FACILITY 395964,A000000,01800,0000,1800NURSING FACILITY 395964,A000000,01810,0000,1810ICF/MR 395964,A000000,02200,0000,2200LABORATORY 395964,A000000,02300,0000,2300INTRAVENOUS THERAPY 395964,A000000,02500,0000,2500PHYSICAL THERAPY 395964,A000000,02600,0000,2600OCCUPATIONAL THERAPY 395964,A000000,02700,0000,2700SPEECH PATHOLOGY 395964,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 395964,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 395964,A000000,03200,0000,3200SUPPORT SURFACES 395964,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 395964,A000000,03550,0000,3550FQHC 395964,A000000,04801,0000,4801AMBULANCE 395964,A000000,04802,0000,4802AMBULANCE 395964,A000000,04803,0000,4803AMBULANCE 395964,A000000,05000,0000,5000CORF 395964,A000000,05010,0000,5010CMHC 395964,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 395964,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 395964,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 395964,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 395964,A000000,05300,0000,5300INTEREST EXPENSE 395964,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 395964,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 395964,A000000,05900,0000,5900BARBER & BEAUTY SHOP 395964,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 395964,A81000A,00100,0100,Y 395964,A81000B,00100,0300,HOME OFFICE COST 395964,A81000B,00200,0300,PT ADMINISTRATIVE FEES 395964,A81000B,00300,0300,OT ADMINISTRATIVE FEES 395964,A81000B,00400,0300,ST ADMINISTRATIVE FEES 395964,A81000C,00100,0100,B 395964,A81000C,00100,0200,MCHS - YORK SOUTH 395964,A81000C,00100,0400,HCR MANORCARE INC 395964,A81000C,00100,0600,LONG TERM CARE FACILITIES 395964,A81000C,00200,0100,B 395964,A81000C,00200,0200,MCHS - YORK SOUTH 395964,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 395964,A81000C,00200,0600,THERAPY MANAGEMENT 395964,A81000C,00300,0100,B 395964,A81000C,00300,0200,MCHS - YORK SOUTH 395964,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 395964,A81000C,00300,0600,THERAPY MANAGEMENT 395964,A81000C,00400,0100,B 395964,A81000C,00400,0200,MCHS - YORK SOUTH 395964,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 395964,A81000C,00400,0600,THERAPY MANAGEMENT 395964,B100000,00000,0100,0100SQUARE FEET 395964,B100000,00000,0200,0200SQUARE FEET 395964,B100000,00000,0300,0300GROSS SALARIES 395964,B100000,00000,0400,0400ACCUM COST 395964,B100000,00000,0500,0500SQUARE FEET 395964,B100000,00000,0600,0600PATIENT DAYS 395964,B100000,00000,0700,0700SQUARE FEET 395964,B100000,00000,0800,0800MEALS SERVED 395964,B100000,00000,0900,0900NURSING WAGES 395964,B100000,00000,1000,1000PATIENT DAYS 395964,B100000,00000,1100,1100PATIENT DAYS 395964,B100000,00000,1200,1200PATIENT DAYS 395964,B100000,00000,1300,1300PATIENT DAYS 395964,B100000,00000,1400,1400PATIENT DAYS 395964,B100000,00000,1500,1350PATIENT DAYS 395964,E10A180,00501,0300,04/01/05 395964,E10A180,00550,0100,04/01/05 395964,S000000,00100,0200,10/17/00 395964,S200000,00100,0100,200 PAULINE DRIVE 395964,S200000,00200,0100,YORK 395964,S200000,00200,0200,PA 395964,S200000,00200,0300,17402 395964,S200000,00300,0100,YORK 395964,S200000,00300,0200,9280 395964,S200000,00300,0300,U 395964,S200000,00400,0100,YORK SOUTH 395964,S200000,00400,0200,395309 395964,S200000,00400,0300,11/01/81 395964,S200000,00400,0500,P 395964,S200000,00400,0600,P 395964,S200000,01500,0100,N 395964,S200000,01600,0100,Y 395964,S200000,01700,0100,N 395964,S200000,01800,0100,N 395964,S200000,02200,0100,N 395964,S200000,02800,0100,N 395964,S200000,02900,0100,N 395964,S200000,03000,0100,N 395964,S200000,03100,0100,N 395964,S200000,03200,0100,N 395964,S200000,03300,0100,N 395964,S200000,03300,0200,N 395964,S200000,04200,0100,N 395964,S200000,04300,0100,N 395964,S200000,04600,0100,N 395964,S200000,04700,0100,N 395964,S200000,04700,0200,N 395964,S200000,04900,0100,N 395964,S200000,05000,0100,N 395964,S200000,05200,0100,N 396020,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 396020,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 396020,A000000,00300,0000,0300EMPLOYEE BENEFITS 396020,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 396020,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 396020,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 396020,A000000,00700,0000,0700HOUSEKEEPING 396020,A000000,00800,0000,0800DIETARY 396020,A000000,00900,0000,0900NURSING ADMINISTRATION 396020,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 396020,A000000,01100,0000,1100PHARMACY 396020,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 396020,A000000,01300,0000,1300SOCIAL SERVICE 396020,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 396020,A000000,01500,0000,1350ACTIVITIES 396020,A000000,01600,0000,1600SKILLED NURSING FACILITY 396020,A000000,01800,0000,1800NURSING FACILITY 396020,A000000,01810,0000,1810ICF/MR 396020,A000000,02300,0000,2300INTRAVENOUS THERAPY 396020,A000000,02500,0000,2500PHYSICAL THERAPY 396020,A000000,02600,0000,2600OCCUPATIONAL THERAPY 396020,A000000,02700,0000,2700SPEECH PATHOLOGY 396020,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 396020,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 396020,A000000,03200,0000,3200SUPPORT SURFACES 396020,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 396020,A000000,03550,0000,3550FQHC 396020,A000000,04801,0000,4801AMBULANCE 396020,A000000,04802,0000,4802AMBULANCE 396020,A000000,04803,0000,4803AMBULANCE 396020,A000000,05000,0000,5000CORF 396020,A000000,05010,0000,5010CMHC 396020,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 396020,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 396020,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 396020,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 396020,A000000,05300,0000,5300INTEREST EXPENSE 396020,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 396020,A000000,05900,0000,5900BARBER & BEAUTY SHOP 396020,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 396020,A81000A,00100,0100,Y 396020,A81000B,00100,0300,HOME OFFICE COST 396020,A81000B,00200,0300,PHYSICAL THERAPY 396020,A81000B,00300,0300,OCCUPATIONAL THERAPY 396020,A81000B,00400,0300,SPEECH THERAPY 396020,A81000B,00500,0300,INTEREST EXPENSE 396020,A81000C,00100,0100,B 396020,A81000C,00100,0200,MCHS-CHAMPAIGN 396020,A81000C,00100,0400,HCR MANORCARE INC. 396020,A81000C,00100,0600,LONG TERM CARE FACILITIES 396020,A81000C,00200,0100,B 396020,A81000C,00200,0200,MCHS-CHAMPAIGN 396020,A81000C,00200,0400,HEARTLAND MANAGEMENT SRV 396020,A81000C,00200,0600,THERAPY MANAGEMENT 396020,A81000C,00300,0100,B 396020,A81000C,00300,0200,MCHS-CHAMPAIGN 396020,A81000C,00300,0400,HEARTLAND MANAGEMENT SRV 396020,A81000C,00300,0600,THERAPY MANAGEMENT 396020,A81000C,00400,0100,B 396020,A81000C,00400,0200,MCHS-CHAMPAIGN 396020,A81000C,00400,0400,HEARTLAND MANAGEMENT SRV 396020,A81000C,00400,0600,THERAPY MANAGEMENT 396020,A81000C,00500,0100,B 396020,A81000C,00500,0200,MCHS-CHAMPAIGN 396020,A81000C,00500,0400,HEARTLAND MANAGEMENT SRV 396020,A81000C,00500,0600,THERAPY MANAGEMENT 396020,B100000,00000,0100,0100SQUARE FEET 396020,B100000,00000,0200,0200SQUARE FEET 396020,B100000,00000,0300,0300GROSS SALARIES 396020,B100000,00000,0400,0400ACCUM COST 396020,B100000,00000,0500,0500SQUARE FEET 396020,B100000,00000,0600,0600PATIENT DAYS 396020,B100000,00000,0700,0700SQUARE FEET 396020,B100000,00000,0800,0800MEALS SERVED 396020,B100000,00000,0900,0900NURSING WAGES 396020,B100000,00000,1000,1000PATIENT DAYS 396020,B100000,00000,1100,1100PATIENT DAYS 396020,B100000,00000,1200,1200PATIENT DAYS 396020,B100000,00000,1300,1300PATIENT DAYS 396020,B100000,00000,1400,1400PATIENT DAYS 396020,B100000,00000,1500,1350PATIENT DAYS 396020,E10A180,00501,0100,11/17/00 396020,E10A180,00501,0300,04/01/05 396020,E10A180,00502,0300,11/17/00 396020,E10A180,00550,0100,04/01/05 396020,S000000,00100,0200,10/10/00 396020,S200000,00100,0100,309 E. SPRINGFIELD AVE 396020,S200000,00200,0100,CHAMPAIGN 396020,S200000,00200,0200,IL 396020,S200000,00200,0300,61820 396020,S200000,00300,0100,CHAMPAIGN 396020,S200000,00300,0200,1400 396020,S200000,00300,0300,U 396020,S200000,00400,0100,MCHS-CHAMPAIGN 396020,S200000,00400,0200,145190 396020,S200000,00400,0300,09/11/68 396020,S200000,00400,0500,P 396020,S200000,00400,0600,P 396020,S200000,01500,0100,N 396020,S200000,01600,0100,Y 396020,S200000,01700,0100,N 396020,S200000,01800,0100,N 396020,S200000,02200,0100,N 396020,S200000,02800,0100,N 396020,S200000,02900,0100,N 396020,S200000,03000,0100,N 396020,S200000,03100,0100,N 396020,S200000,03200,0100,N 396020,S200000,03300,0100,N 396020,S200000,03300,0200,N 396020,S200000,04200,0100,N 396020,S200000,04300,0100,Y 396020,S200000,04600,0100,N 396020,S200000,04700,0100,N 396020,S200000,04700,0200,N 396020,S200000,04900,0100,N 396020,S200000,05000,0100,N 396020,S200000,05200,0100,N 396357,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 396357,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 396357,A000000,00300,0000,0300EMPLOYEE BENEFITS 396357,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 396357,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 396357,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 396357,A000000,00700,0000,0700HOUSEKEEPING 396357,A000000,00800,0000,0800DIETARY 396357,A000000,00900,0000,0900NURSING ADMINISTRATION 396357,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 396357,A000000,01100,0000,1100PHARMACY 396357,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 396357,A000000,01300,0000,1300SOCIAL SERVICE 396357,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 396357,A000000,01500,0000,1350ACTIVITIES 396357,A000000,01600,0000,1600SKILLED NURSING FACILITY 396357,A000000,01800,0000,1800NURSING FACILITY 396357,A000000,01810,0000,1810ICF/MR 396357,A000000,02200,0000,2200LABORATORY 396357,A000000,02300,0000,2300INTRAVENOUS THERAPY 396357,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 396357,A000000,02500,0000,2500PHYSICAL THERAPY 396357,A000000,02600,0000,2600OCCUPATIONAL THERAPY 396357,A000000,02700,0000,2700SPEECH PATHOLOGY 396357,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 396357,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 396357,A000000,03200,0000,3200SUPPORT SURFACES 396357,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 396357,A000000,03550,0000,3550FQHC 396357,A000000,04801,0000,4801AMBULANCE 396357,A000000,04802,0000,4802AMBULANCE 396357,A000000,04803,0000,4803AMBULANCE 396357,A000000,05000,0000,5000CORF 396357,A000000,05010,0000,5010CMHC 396357,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 396357,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 396357,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 396357,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 396357,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 396357,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 396357,A000000,05900,0000,5900BARBER & BEAUTY SHOP 396357,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 396357,A81000A,00100,0100,Y 396357,A81000B,00100,0300,HOME OFFICE COST 396357,A81000B,00200,0300,DIRECT CORP INTEREST 396357,A81000B,00300,0300,PHYSICAL THERAPY 396357,A81000B,00400,0300,OCCUPATIONAL THERAPY 396357,A81000B,00500,0300,SPEECH PATHOLOGY 396357,A81000C,00100,0100,B 396357,A81000C,00100,0200,MCHS - BETHLEHEM I 396357,A81000C,00100,0400,HCR MANORCARE INC. 396357,A81000C,00100,0600,LONG TERM CARE FACILITIES 396357,A81000C,00200,0100,B 396357,A81000C,00200,0200,MCHS - BETHLEHEM I 396357,A81000C,00200,0400,HEARTLAND MANAGEMENT SERV 396357,A81000C,00200,0600,THERAPY MANAGEMENT 396357,A81000C,00300,0100,B 396357,A81000C,00300,0200,MCHS - BETHLEHEM I 396357,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 396357,A81000C,00300,0600,THERAPY MANAGEMENT 396357,A81000C,00400,0100,B 396357,A81000C,00400,0200,MCHS - BETHLEHEM I 396357,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 396357,A81000C,00400,0600,THERAPY MANAGEMENT 396357,B100000,00000,0100,0100SQUARE FEET 396357,B100000,00000,0200,0200SQUARE FEET 396357,B100000,00000,0300,0300GROSS SALARIES 396357,B100000,00000,0400,0400ACCUM COST 396357,B100000,00000,0500,0500SQUARE FEET 396357,B100000,00000,0600,0600PATIENT DAYS 396357,B100000,00000,0700,0700SQUARE FEET 396357,B100000,00000,0800,0800MEALS SERVED 396357,B100000,00000,0900,0900NURSING WAGES 396357,B100000,00000,1000,1000PATIENT DAYS 396357,B100000,00000,1100,1100PATIENT DAYS 396357,B100000,00000,1200,1200PATIENT DAYS 396357,B100000,00000,1300,1300PATIENT DAYS 396357,B100000,00000,1400,1400PATIENT DAYS 396357,B100000,00000,1500,1350PATIENT DAYS 396357,E10A180,00501,0100,04/01/05 396357,E10A180,00501,0300,04/01/05 396357,E10A180,00502,0100,11/17/00 396357,E10A180,00502,0300,11/17/00 396357,S000000,00100,0200,10/27/00 396357,S200000,00100,0100,2021 WESTGATE DRIVE 396357,S200000,00200,0100,BETHLEHEM 396357,S200000,00200,0200,PA 396357,S200000,00200,0300,18017 396357,S200000,00300,0100,LEHIGH 396357,S200000,00300,0200,0240 396357,S200000,00300,0300,U 396357,S200000,00400,0100,LEADER BETHLEHEM I - 555 396357,S200000,00400,0200,395429 396357,S200000,00400,0300,12/26/78 396357,S200000,00400,0500,P 396357,S200000,00400,0600,P 396357,S200000,01500,0100,N 396357,S200000,01600,0100,Y 396357,S200000,01700,0100,N 396357,S200000,01800,0100,N 396357,S200000,02200,0100,Y 396357,S200000,02800,0100,N 396357,S200000,02900,0100,N 396357,S200000,03000,0100,N 396357,S200000,03100,0100,N 396357,S200000,03200,0100,N 396357,S200000,03300,0100,N 396357,S200000,03300,0200,N 396357,S200000,04200,0100,N 396357,S200000,04300,0100,N 396357,S200000,04600,0100,N 396357,S200000,04700,0100,N 396357,S200000,04700,0200,N 396357,S200000,04900,0100,N 396357,S200000,05000,0100,N 396357,S200000,05200,0100,N 396382,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 396382,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 396382,A000000,00300,0000,0300EMPLOYEE BENEFITS 396382,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 396382,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 396382,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 396382,A000000,00700,0000,0700HOUSEKEEPING 396382,A000000,00800,0000,0800DIETARY 396382,A000000,00900,0000,0900NURSING ADMINISTRATION 396382,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 396382,A000000,01100,0000,1100PHARMACY 396382,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 396382,A000000,01300,0000,1300SOCIAL SERVICE 396382,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 396382,A000000,01500,0000,1350ACTIVITIES 396382,A000000,01600,0000,1600SKILLED NURSING FACILITY 396382,A000000,01800,0000,1800NURSING FACILITY 396382,A000000,01810,0000,1810ICF/MR 396382,A000000,02200,0000,2200LABORATORY 396382,A000000,02300,0000,2300INTRAVENOUS THERAPY 396382,A000000,02500,0000,2500PHYSICAL THERAPY 396382,A000000,02600,0000,2600OCCUPATIONAL THERAPY 396382,A000000,02700,0000,2700SPEECH PATHOLOGY 396382,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 396382,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 396382,A000000,03200,0000,3200SUPPORT SURFACES 396382,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 396382,A000000,03550,0000,3550FQHC 396382,A000000,04801,0000,4801AMBULANCE 396382,A000000,04802,0000,4802AMBULANCE 396382,A000000,04803,0000,4803AMBULANCE 396382,A000000,05000,0000,5000CORF 396382,A000000,05010,0000,5010CMHC 396382,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 396382,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 396382,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 396382,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 396382,A000000,05300,0000,5300INTEREST EXPENSE 396382,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 396382,A000000,05900,0000,5900BARBER & BEAUTY SHOP 396382,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 396382,A81000A,00100,0100,Y 396382,A81000B,00100,0300,HOME OFFICE COST 396382,A81000B,00200,0300,PT ADMINISTRATIVE FEES 396382,A81000B,00300,0300,OT ADMINISTRATIVE FEES 396382,A81000B,00400,0300,ST ADMINISTRATIVE FEES 396382,A81000B,00500,0300,DIRECT CORPORATE INTEREST 396382,A81000C,00100,0100,B 396382,A81000C,00100,0200,MCHS - YORK NORTH 396382,A81000C,00100,0400,HCR MANORCARE INC. 396382,A81000C,00100,0600,LONG TERM CARE FACILITIES 396382,A81000C,00200,0100,B 396382,A81000C,00200,0200,MCHS - YORK NORTH 396382,A81000C,00200,0400,HEARLTAND MANAGEMENT SERV 396382,A81000C,00200,0600,THERAPY MANAGEMENT 396382,A81000C,00300,0100,B 396382,A81000C,00300,0200,MCHS - YORK NORTH 396382,A81000C,00300,0400,HEARTLAND MANAGEMENT SERV 396382,A81000C,00300,0600,THERAPY MANAGEMENT 396382,A81000C,00400,0100,B 396382,A81000C,00400,0200,MCHS - YORK NORTH 396382,A81000C,00400,0400,HEARTLAND MANAGEMENT SERV 396382,A81000C,00400,0600,THERAPY MANAGEMENT 396382,B100000,00000,0100,0100SQUARE FEET 396382,B100000,00000,0200,0200SQUARE FEET 396382,B100000,00000,0300,0300GROSS SALARIES 396382,B100000,00000,0400,0400ACCUM COST 396382,B100000,00000,0500,0500SQUARE FEET 396382,B100000,00000,0600,0600PATIENT DAYS 396382,B100000,00000,0700,0700SQUARE FEET 396382,B100000,00000,0800,0800MEALS SERVED 396382,B100000,00000,0900,0900NURSING WAGES 396382,B100000,00000,1000,1000PATIENT DAYS 396382,B100000,00000,1100,1100PATIENT DAYS 396382,B100000,00000,1200,1200PATIENT DAYS 396382,B100000,00000,1300,1300PATIENT DAYS 396382,B100000,00000,1400,1400PATIENT DAYS 396382,B100000,00000,1500,1350PATIENT DAYS 396382,E10A180,00501,0300,04/01/05 396382,E10A180,00502,0100,11/17/00 396382,E10A180,00502,0300,11/17/00 396382,E10A180,00550,0100,04/01/05 396382,S000000,00100,0200,10/17/00 396382,S200000,00100,0100,1770 BARLEY ROAD 396382,S200000,00200,0100,YORK 396382,S200000,00200,0200,PA 396382,S200000,00200,0300,17404 396382,S200000,00300,0100,YORK 396382,S200000,00300,0200,9280 396382,S200000,00300,0300,U 396382,S200000,00400,0100,MCHS - YORK NORTH 396382,S200000,00400,0200,395442 396382,S200000,00400,0300,12/02/83 396382,S200000,00400,0500,P 396382,S200000,00400,0600,P 396382,S200000,01500,0100,N 396382,S200000,01600,0100,Y 396382,S200000,01700,0100,N 396382,S200000,01800,0100,N 396382,S200000,02200,0100,N 396382,S200000,02800,0100,N 396382,S200000,02900,0100,N 396382,S200000,03000,0100,N 396382,S200000,03100,0100,N 396382,S200000,03200,0100,N 396382,S200000,03300,0100,N 396382,S200000,03300,0200,N 396382,S200000,04200,0100,N 396382,S200000,04300,0100,N 396382,S200000,04600,0100,N 396382,S200000,04700,0100,N 396382,S200000,04700,0200,N 396382,S200000,04900,0100,N 396382,S200000,05000,0100,N 396382,S200000,05200,0100,N 396391,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURE 396391,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPM 396391,A000000,00300,0000,0300EMPLOYEE BENEFITS 396391,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 396391,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAI 396391,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 396391,A000000,00700,0000,0700HOUSEKEEPING 396391,A000000,00800,0000,0800DIETARY 396391,A000000,00900,0000,0900NURSING ADMINISTRATION 396391,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 396391,A000000,01100,0000,1100PHARMACY 396391,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 396391,A000000,01300,0000,1300SOCIAL SERVICE 396391,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PRO 396391,A000000,01500,0000,1350ACTIVITIES 396391,A000000,01600,0000,1600SKILLED NURSING FACILITY 396391,A000000,01800,0000,1800NURSING FACILITY 396391,A000000,01810,0000,1810ICF/MR 396391,A000000,02200,0000,2200LABORATORY 396391,A000000,02300,0000,2300INTRAVENOUS THERAPY 396391,A000000,02500,0000,2500PHYSICAL THERAPY 396391,A000000,02600,0000,2600OCCUPATIONAL THERAPY 396391,A000000,02700,0000,2700SPEECH PATHOLOGY 396391,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PAT 396391,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 396391,A000000,03200,0000,3200SUPPORT SURFACES 396391,A000000,03300,0000,3050OTHER ANCILLARY SERVICE COST CE 396391,A000000,03550,0000,3550FQHC 396391,A000000,04801,0000,4801AMBULANCE 396391,A000000,04802,0000,4802AMBULANCE 396391,A000000,04803,0000,4803AMBULANCE 396391,A000000,05000,0000,5000CORF 396391,A000000,05010,0000,5010CMHC 396391,A000000,05020,0000,5020OUTPATIENT PHYSICAL THERAPY 396391,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 396391,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 396391,A000000,05100,0000,4750OTHER REIMBURSABLE COST CENTERS 396391,A000000,05300,0000,5300INTEREST EXPENSE 396391,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST CENT 396391,A000000,05900,0000,5900BARBER & BEAUTY SHOP 396391,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 396391,A81000A,00100,0100,Y 396391,A81000B,00100,0300,HOME OFFICE COST 396391,A81000B,00200,0300,PT ADMIN FEES 396391,A81000B,00300,0300,OT ADMIN FEES 396391,A81000B,00400,0300,ST ADMIN FEES 396391,A81000C,00100,0100,B 396391,A81000C,00100,0200,MCHS - LEXINGTON 396391,A81000C,00100,0400,HCR MANORCARE INC. 396391,A81000C,00100,0600,LONG TERM CARE FACILITIES 396391,A81000C,00200,0100,B 396391,A81000C,00200,0200,MCHS - LEXINGTON 396391,A81000C,00200,0400,HEARTLAND MANAGEMENT SVCS 396391,A81000C,00200,0600,THERAPY MANAGEMENT 396391,A81000C,00300,0100,B 396391,A81000C,00300,0200,MCHS - LEXINGTON 396391,A81000C,00300,0400,HEARTLAND MANAGEMENT SVCS 396391,A81000C,00300,0600,THERAPY MANAGEMENT 396391,A81000C,00400,0100,B 396391,A81000C,00400,0200,MCHS - LEXINGTON 396391,A81000C,00400,0400,HEARTLAND MANAGEMENT SVCS 396391,A81000C,00400,0600,THERAPY MANAGEMENT 396391,B100000,00000,0100,0100SQUARE FEET 396391,B100000,00000,0200,0200SQUARE FEET 396391,B100000,00000,0300,0300GROSS SALARIES 396391,B100000,00000,0400,0400ACCUM COST 396391,B100000,00000,0500,0500SQUARE FEET 396391,B100000,00000,0600,0600PATIENT DAYS 396391,B100000,00000,0700,0700SQUARE FEET 396391,B100000,00000,0800,0800MEALS SERVED 396391,B100000,00000,0900,0900NURSING WAGES 396391,B100000,00000,1000,1000PATIENT DAYS 396391,B100000,00000,1100,1100PATIENT DAYS 396391,B100000,00000,1200,1200PATIENT DAYS 396391,B100000,00000,1300,1300PATIENT DAYS 396391,B100000,00000,1400,1400PATIENT DAYS 396391,B100000,00000,1500,1350PATIENT DAYS 396391,E10A180,00501,0300,04/01/05 396391,E10A180,00502,0100,11/17/00 396391,E10A180,00502,0300,11/17/00 396391,E10A180,00550,0100,04/01/05 396391,S000000,00100,0200,10/10/00 396391,S200000,00100,0100,2416 SUNSET BLVD 396391,S200000,00200,0100,W COLUMBIA 396391,S200000,00200,0200,SC 396391,S200000,00200,0300,29169 396391,S200000,00300,0100,LEXINGTON 396391,S200000,00300,0200,1760 396391,S200000,00300,0300,U 396391,S200000,00400,0100,MCHS - LEXINGTON 396391,S200000,00400,0200,425105 396391,S200000,00400,0300,01/01/66 396391,S200000,00400,0500,P 396391,S200000,00400,0600,P 396391,S200000,01500,0100,N 396391,S200000,01600,0100,Y 396391,S200000,01700,0100,N 396391,S200000,01800,0100,N 396391,S200000,02200,0100,N 396391,S200000,02800,0100,N 396391,S200000,02900,0100,N 396391,S200000,03000,0100,N 396391,S200000,03100,0100,N 396391,S200000,03200,0100,N 396391,S200000,03300,0100,N 396391,S200000,03300,0200,N 396391,S200000,04200,0100,N 396391,S200000,04300,0100,Y 396391,S200000,04600,0100,N 396391,S200000,04700,0100,N 396391,S200000,04700,0200,N 396391,S200000,04900,0100,N 396391,S200000,05000,0100,N 396391,S200000,05200,0100,N 426163,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426163,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. %2 426163,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426163,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. % 426163,A000000,00300,0000,0300EMPLOYEE BENEFITS 426163,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426163,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426163,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426163,A000000,00700,0000,0700HOUSEKEEPING 426163,A000000,00800,0000,0800DIETARY 426163,A000000,00801,0000,0801CAFETERIA 426163,A000000,00900,0000,0900NURSING ADMINISTRATION 426163,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426163,A000000,01100,0000,1100PHARMACY 426163,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426163,A000000,01300,0000,1300SOCIAL SERVICE 426163,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426163,A000000,01500,0000,1350ACTIVITIES 426163,A000000,01600,0000,1600SKILLED NURSING FACILITY 426163,A000000,01800,0000,1800NURSING FACILITY 426163,A000000,01810,0000,1810ICF/MR 426163,A000000,01900,0000,1900OTHER LONG TERM CARE 426163,A000000,02100,0000,2100RADIOLOGY 426163,A000000,02200,0000,2200LABORATORY 426163,A000000,02300,0000,2300INTRAVENOUS THERAPY 426163,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426163,A000000,02500,0000,2500PHYSICAL THERAPY 426163,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426163,A000000,02700,0000,2700SPEECH PATHOLOGY 426163,A000000,02800,0000,2800ELECTROCARDIOLOGY 426163,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426163,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426163,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426163,A000000,03200,0000,3200SUPPORT SURFACES 426163,A000000,03300,0000,3050PHYSICIANS 426163,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 426163,A000000,03302,0000,3052OTHER ANCILLARY III 426163,A000000,03400,0000,3400CLINIC 426163,A000000,03500,0000,3500RURAL HEALTH CLINIC 426163,A000000,03550,0000,3550FQHC 426163,A000000,03600,0000,3450OUTPATIENT P.T. 426163,A000000,03601,0000,3451OUTPATIENT O.T. 426163,A000000,03602,0000,3452OUTPATIENT S.T. 426163,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426163,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426163,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426163,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426163,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426163,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426163,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426163,A000000,04400,0000,4400DME RENTED - HHA 426163,A000000,04500,0000,4500DME SOLD - HHA 426163,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426163,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426163,A000000,04710,0000,4710TELEMEDICINE 426163,A000000,04800,0000,4800AMBULANCE 426163,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426163,A000000,05000,0000,5000CORF 426163,A000000,05010,0000,5010CMHC I 426163,A000000,05020,0000,5020OPT I 426163,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426163,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426163,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426163,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426163,A000000,05300,0000,5300INTEREST EXPENSE 426163,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426163,A000000,05500,0000,5500HOSPICE 426163,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 426163,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 426163,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426163,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426163,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426163,A000000,06100,0000,6100NONPAID WORKERS 426163,A000000,06200,0000,6200PATIENTS LAUNDRY 426163,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426163,A81000A,00100,0100,Y 426163,A81000B,00100,0300,DEPREC/INTEREST/INS 426163,A81000B,00300,0300,ADMIN/FISCAL SERV 426163,A81000B,00400,0300,UTILITIES/MAINT EXP 426163,A81000C,00100,0100,A 426163,A81000C,00100,0200,NEIL M. CHUR 426163,A81000C,00100,0400,THE PARK ASSOC. 426163,A81000C,00100,0600,ADMIN FIN QA 426163,A81000C,00200,0100,F 426163,A81000C,00200,0200,BARBARA B. CHUR 426163,A81000C,00200,0400,PARK COLLECTION 426163,A81000C,00200,0600,WHOLESALE PURCH 426163,A81000C,00300,0100,A 426163,A81000C,00300,0200,NEIL M. CHUR 426163,A81000C,00300,0400,ARMOR RD PROP 426163,A81000C,00300,0600,REAL PROPERTY 426163,A81000C,00400,0100,F 426163,A81000C,00400,0200,BARBARA B. CHUR 426163,A81000C,00400,0400,ARMOR RD PROP 426163,A81000C,00400,0600,REAL PROPERTY 426163,A81000C,00500,0100,F 426163,A81000C,00500,0200,ELISABETH TEHAN 426163,A81000C,00500,0400,ARMOR RD PROP 426163,A81000C,00500,0600,REAL PROPERTY 426163,A81000C,00600,0100,F 426163,A81000C,00600,0200,NEIL M. CHUR JR 426163,A81000C,00600,0400,ARMOR RD PROP 426163,A81000C,00600,0600,REAL PROPERTY 426163,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426163,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426163,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426163,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426163,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426163,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 426163,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 426163,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 426163,B100000,00000,0900,0950(GROSS CHARGES) :NURSING ADMINI 426163,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 426163,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 426163,E10A180,00301,0100,05/10/00 426163,E10A180,00350,0100,01/18/00 426163,E10A180,00501,0300,07/25/02 426163,E10A180,00550,0100,07/25/02 426163,G300000,02500,0000,BEAUTY INTEREST SOLD SERVICES 426163,S000000,00100,0200,05/31/00 426163,S200000,00100,0100,6060 ARMOR ROAD 426163,S200000,00200,0100,ORCHARD PARK 426163,S200000,00200,0200,NY 426163,S200000,00200,0300,14127 426163,S200000,00300,0100,ERIE 426163,S200000,00300,0200,1280 426163,S200000,00300,0300,U 426163,S200000,00400,0100,ORCHARD PARK HEALTH CARE CENTER 426163,S200000,00400,0200,335507 426163,S200000,00400,0300,05/01/76 426163,S200000,00400,0500,P 426163,S200000,01500,0100,Y 426163,S200000,01600,0100,N 426163,S200000,01700,0100,N 426163,S200000,01800,0100,N 426163,S200000,02200,0100,N 426163,S200000,02800,0100,N 426163,S200000,02900,0100,N 426163,S200000,03000,0100,N 426163,S200000,03100,0100,N 426163,S200000,03200,0100,N 426163,S200000,03300,0100,N 426163,S200000,03300,0200,N 426163,S200000,04100,0100,N 426163,S200000,04200,0100,N 426163,S200000,04300,0100,Y 426163,S200000,04600,0100,N 426163,S200000,04700,0100,N 426163,S200000,04700,0200,N 426163,S200000,04900,0100,N 426163,S200000,05000,0100,N 426163,S200000,05100,0100,N 426163,S200000,05200,0100,N 426166,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426166,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. %2 426166,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426166,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. % 426166,A000000,00300,0000,0300EMPLOYEE BENEFITS 426166,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426166,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426166,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426166,A000000,00700,0000,0700HOUSEKEEPING 426166,A000000,00800,0000,0800DIETARY 426166,A000000,00801,0000,0801CAFETERIA 426166,A000000,00900,0000,0900NURSING ADMINISTRATION 426166,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426166,A000000,01100,0000,1100PHARMACY 426166,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426166,A000000,01300,0000,1300SOCIAL SERVICE 426166,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426166,A000000,01500,0000,1350ACTIVITIES 426166,A000000,01600,0000,1600SKILLED NURSING FACILITY 426166,A000000,01800,0000,1800NURSING FACILITY 426166,A000000,01810,0000,1810ICF/MR 426166,A000000,01900,0000,1900OTHER LONG TERM CARE 426166,A000000,02100,0000,2100RADIOLOGY 426166,A000000,02200,0000,2200LABORATORY 426166,A000000,02300,0000,2300INTRAVENOUS THERAPY 426166,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426166,A000000,02500,0000,2500PHYSICAL THERAPY 426166,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426166,A000000,02700,0000,2700SPEECH PATHOLOGY 426166,A000000,02800,0000,2800ELECTROCARDIOLOGY 426166,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426166,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426166,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426166,A000000,03200,0000,3200SUPPORT SURFACES 426166,A000000,03300,0000,3050PHYSICIANS 426166,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 426166,A000000,03302,0000,3052OTHER ANCILLARY III 426166,A000000,03400,0000,3400CLINIC 426166,A000000,03500,0000,3500RURAL HEALTH CLINIC 426166,A000000,03550,0000,3550FQHC 426166,A000000,03600,0000,3450OUTPATIENT P.T. 426166,A000000,03601,0000,3451OUTPATIENT O.T. 426166,A000000,03602,0000,3452OUTPATIENT S.T. 426166,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426166,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426166,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426166,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426166,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426166,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426166,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426166,A000000,04400,0000,4400DME RENTED - HHA 426166,A000000,04500,0000,4500DME SOLD - HHA 426166,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426166,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426166,A000000,04710,0000,4710TELEMEDICINE 426166,A000000,04800,0000,4800AMBULANCE 426166,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426166,A000000,05000,0000,5000CORF 426166,A000000,05010,0000,5010CMHC I 426166,A000000,05020,0000,5020OPT I 426166,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426166,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426166,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426166,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426166,A000000,05300,0000,5300INTEREST EXPENSE 426166,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426166,A000000,05500,0000,5500HOSPICE 426166,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 426166,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 426166,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426166,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426166,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426166,A000000,06100,0000,6100NONPAID WORKERS 426166,A000000,06200,0000,6200PATIENTS LAUNDRY 426166,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426166,A81000A,00100,0100,Y 426166,A81000B,00100,0300,DEPREC/INTEREST/INS 426166,A81000B,00300,0300,ADMIN/FISCAL SERV 426166,A81000B,00400,0300,UTILITIES/MAINT EXP 426166,A81000C,00100,0100,F 426166,A81000C,00100,0200,NEIL M. CHUR 426166,A81000C,00100,0400,THE PARK ASSOC. 426166,A81000C,00100,0600,ADMIN FIN QA 426166,A81000C,00200,0100,A 426166,A81000C,00200,0200,BARBARA B. CHUR 426166,A81000C,00200,0400,PARK COLLECTION 426166,A81000C,00200,0600,WHOLESALE PURCH 426166,A81000C,00300,0100,F 426166,A81000C,00300,0200,NEIL M. CHUR 426166,A81000C,00300,0400,CHUR PROPERTIES 426166,A81000C,00300,0600,REAL PROPERTY 426166,A81000C,00400,0100,F 426166,A81000C,00400,0200,ELISABETH TEHAN 426166,A81000C,00400,0400,CHUR PROPERTIES 426166,A81000C,00400,0600,REAL PROPERTY 426166,A81000C,00500,0100,F 426166,A81000C,00500,0200,NEIL M CHUR JR 426166,A81000C,00500,0400,CHUR PROPERTIES 426166,A81000C,00500,0600,REAL PROPERTY 426166,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426166,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426166,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426166,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426166,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426166,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 426166,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 426166,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 426166,B100000,00000,0900,0950(GROSS CHARGES) :NURSING ADMINI 426166,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 426166,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 426166,E10A180,00301,0100,05/09/00 426166,E10A180,00352,0100,01/18/00 426166,E10A180,00550,0100,07/26/02 426166,G300000,02500,0000,BEAUTY INT A/R SOLD SERVICES 426166,S000000,00100,0200,05/31/00 426166,S200000,00100,0100,4540 LINCOLN DRIVE 426166,S200000,00200,0100,GASPORT 426166,S200000,00200,0200,NY 426166,S200000,00200,0300,14067 426166,S200000,00300,0100,NIAGARA 426166,S200000,00300,0200,1280 426166,S200000,00300,0300,U 426166,S200000,00400,0100,VILLAGE PARK HEALTH CARE CENTER 426166,S200000,00400,0200,335533 426166,S200000,00400,0300,11/22/94 426166,S200000,00400,0500,P 426166,S200000,01500,0100,Y 426166,S200000,01600,0100,N 426166,S200000,01700,0100,N 426166,S200000,01800,0100,N 426166,S200000,02200,0100,N 426166,S200000,02800,0100,N 426166,S200000,02900,0100,N 426166,S200000,03000,0100,N 426166,S200000,03100,0100,N 426166,S200000,03200,0100,N 426166,S200000,03300,0100,N 426166,S200000,03300,0200,N 426166,S200000,04100,0100,N 426166,S200000,04200,0100,N 426166,S200000,04300,0100,Y 426166,S200000,04600,0100,N 426166,S200000,04700,0100,N 426166,S200000,04700,0200,N 426166,S200000,04900,0100,N 426166,S200000,05000,0100,N 426166,S200000,05100,0100,N 426166,S200000,05200,0100,N 426167,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426167,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426167,A000000,00300,0000,0300EMPLOYEE BENEFITS 426167,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426167,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426167,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426167,A000000,00700,0000,0700HOUSEKEEPING 426167,A000000,00800,0000,0800DIETARY 426167,A000000,00900,0000,0900NURSING ADMINISTRATION 426167,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426167,A000000,01100,0000,1100PHARMACY 426167,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426167,A000000,01300,0000,1300SOCIAL SERVICE 426167,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426167,A000000,01500,0000,1350OTHER GENERAL SERVICES 426167,A000000,01600,0000,1600SKILLED NURSING FACILITY 426167,A000000,01800,0000,1800NURSING FACILITY 426167,A000000,01810,0000,1810ICF/MR 426167,A000000,01900,0000,1900OTHER LONG TERM CARE 426167,A000000,02100,0000,2100RADIOLOGY 426167,A000000,02200,0000,2200LABORATORY 426167,A000000,02300,0000,2300INTRAVENOUS THERAPY 426167,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426167,A000000,02500,0000,2500PHYSICAL THERAPY 426167,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426167,A000000,02700,0000,2700SPEECH PATHOLOGY 426167,A000000,02800,0000,2800ELECTROCARDIOLOGY 426167,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426167,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426167,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426167,A000000,03200,0000,3200SUPPORT SURFACES 426167,A000000,03300,0000,3050OTHER ANCILLARY SERVICES 426167,A000000,03400,0000,3400CLINIC 426167,A000000,03500,0000,3500RURAL HEALTH CLINIC 426167,A000000,03600,0000,3450OTHER OUTPATIENT SERVICES 426167,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426167,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426167,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426167,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426167,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426167,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426167,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426167,A000000,04400,0000,4400DME RENTED - HHA 426167,A000000,04500,0000,4500DME SOLD - HHA 426167,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426167,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426167,A000000,04710,0000,4710TELEMEDICINE 426167,A000000,04800,0000,4800AMBULANCE 426167,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426167,A000000,05000,0000,5000CORF 426167,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426167,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426167,A000000,05300,0000,5300INTEREST EXPENSE 426167,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426167,A000000,05500,0000,5500HOSPICE 426167,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST 426167,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426167,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426167,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426167,A000000,06100,0000,6100NONPAID WORKERS 426167,A000000,06200,0000,6200PATIENTS LAUNDRY 426167,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426167,A81000A,00100,0100,Y 426167,A81000B,00100,0300,DEPREC/INTEREST/INS 426167,A81000B,00300,0300,ADMIN/FISCAL SERV 426167,A81000B,00400,0300,UTILITIES/MAINT EXP 426167,A81000C,00100,0100,F 426167,A81000C,00100,0200,NEIL M. CHUR 426167,A81000C,00100,0400,THE PARK ASSOC. 426167,A81000C,00100,0600,ADMIN FIN QA 426167,A81000C,00200,0100,F 426167,A81000C,00200,0200,BARBARA B. CHUR 426167,A81000C,00200,0400,PARK COLLECTION 426167,A81000C,00200,0600,WHOLESALE PURCH 426167,A81000C,00300,0100,F 426167,A81000C,00300,0200,NEIL M. CHUR 426167,A81000C,00300,0400,BROAD ST PROP 426167,A81000C,00300,0600,REAL PROPERTY 426167,A81000C,00400,0100,F 426167,A81000C,00400,0200,BARBARA B. CHUR 426167,A81000C,00400,0400,BROAD ST PROP 426167,A81000C,00400,0600,REAL PROPERTY 426167,A81000C,00500,0100,A 426167,A81000C,00500,0200,ELISABETH TEHAN 426167,A81000C,00500,0400,BROAD ST PROP 426167,A81000C,00500,0600,REAL PROPERTY 426167,A81000C,00600,0100,F 426167,A81000C,00600,0200,NEIL M. CHUR JR 426167,A81000C,00600,0400,BROAD ST PROP 426167,A81000C,00600,0600,REAL PROPERTY 426167,B100000,00000,0100,0100SQUARE FEET :CAP REL COSTS - BL 426167,B100000,00000,0200,0200SQUARE FEET :CAP REL COSTS - MO 426167,B100000,00000,0300,0300GROSS SALARIES :EMPLOYEE BENEFI 426167,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426167,B100000,00000,0500,0500SQUARE FEET :PLANT OPERATION M 426167,B100000,00000,0600,0600POUNDS OF LAUNDRY :LAUNDRY & LIN 426167,B100000,00000,0700,0700HOURS OF SERVICE :HOUSEKEEPING 426167,B100000,00000,0800,0800MEALS SERVED :DIETARY 426167,B100000,00000,0900,0950DIRECT NRSING HRS :NURSING ADMIN 426167,B100000,00000,1300,1300TIME SPENT :SOCIAL SERVICE 426167,B100000,00000,1500,1350PATIENT DAYS :OTHER GENERAL SER 426167,E10A180,00301,0100,05/09/00 426167,E10A180,00350,0100,01/18/00 426167,E10A180,00501,0300,07/25/02 426167,E10A180,00550,0100,07/25/02 426167,G300000,02500,0000,BEAUTY INT ON AR CHG SOLD SERVICE 426167,S000000,00100,0200,06/05/00 426167,S200000,00100,0100,451 BROAD STREET 426167,S200000,00200,0100,SALAMANCA 426167,S200000,00200,0200,NY 426167,S200000,00200,0300,14779 426167,S200000,00300,0100,CATTARAUGUS 426167,S200000,00300,0200,33 426167,S200000,00300,0300,R 426167,S200000,00400,0100,WOODLAND PARK HEALTH CARE CENTER 426167,S200000,00400,0200,335534 426167,S200000,00400,0300,01/16/97 426167,S200000,00400,0500,P 426167,S200000,01500,0100,Y 426167,S200000,01600,0100,N 426167,S200000,01700,0100,N 426167,S200000,01800,0100,N 426167,S200000,02200,0100,N 426167,S200000,02800,0100,N 426167,S200000,02900,0100,N 426167,S200000,03000,0100,N 426167,S200000,03100,0100,N 426167,S200000,03200,0100,N 426167,S200000,03300,0100,N 426167,S200000,03300,0200,N 426167,S200000,03600,0100,N 426167,S200000,03600,0200,N 426167,S200000,04100,0100,N 426167,S200000,04200,0100,N 426167,S200000,04300,0100,Y 426167,S200000,04600,0100,N 426167,S200000,04700,0100,N 426167,S200000,04700,0200,N 426167,S200000,04900,0100,N 426167,S200000,05000,0100,N 426167,S200000,05100,0100,N 426167,S200000,05200,0100,N 426638,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 426638,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. %2 426638,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 426638,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. % 426638,A000000,00300,0000,0300EMPLOYEE BENEFITS 426638,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 426638,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 426638,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 426638,A000000,00700,0000,0700HOUSEKEEPING 426638,A000000,00800,0000,0800DIETARY 426638,A000000,00801,0000,0801CAFETERIA 426638,A000000,00900,0000,0900NURSING ADMINISTRATION 426638,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 426638,A000000,01100,0000,1100PHARMACY 426638,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 426638,A000000,01300,0000,1300SOCIAL SERVICE 426638,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 426638,A000000,01500,0000,1350ACTIVITIES 426638,A000000,01600,0000,1600SKILLED NURSING FACILITY 426638,A000000,01800,0000,1800NURSING FACILITY 426638,A000000,01810,0000,1810ICF/MR 426638,A000000,01900,0000,1900OTHER LONG TERM CARE 426638,A000000,02100,0000,2100RADIOLOGY 426638,A000000,02200,0000,2200LABORATORY 426638,A000000,02300,0000,2300INTRAVENOUS THERAPY 426638,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 426638,A000000,02500,0000,2500PHYSICAL THERAPY 426638,A000000,02600,0000,2600OCCUPATIONAL THERAPY 426638,A000000,02700,0000,2700SPEECH PATHOLOGY 426638,A000000,02800,0000,2800ELECTROCARDIOLOGY 426638,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 426638,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 426638,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 426638,A000000,03200,0000,3200SUPPORT SURFACES 426638,A000000,03300,0000,3050PHYSICIANS 426638,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 426638,A000000,03302,0000,3052OTHER ANCILLARY III 426638,A000000,03400,0000,3400CLINIC 426638,A000000,03500,0000,3500RURAL HEALTH CLINIC 426638,A000000,03550,0000,3550FQHC 426638,A000000,03600,0000,3450OUTPATIENT P.T. 426638,A000000,03601,0000,3451OUTPATIENT O.T. 426638,A000000,03602,0000,3452OUTPATIENT S.T. 426638,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 426638,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 426638,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 426638,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 426638,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 426638,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 426638,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 426638,A000000,04400,0000,4400DME RENTED - HHA 426638,A000000,04500,0000,4500DME SOLD - HHA 426638,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 426638,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 426638,A000000,04710,0000,4710TELEMEDICINE 426638,A000000,04800,0000,4800AMBULANCE 426638,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 426638,A000000,05000,0000,5000CORF 426638,A000000,05010,0000,5010CMHC I 426638,A000000,05020,0000,5020OPT I 426638,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 426638,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 426638,A000000,05100,0000,4750OTHER REIMBURSABLE COST 426638,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 426638,A000000,05300,0000,5300INTEREST EXPENSE 426638,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 426638,A000000,05500,0000,5500HOSPICE 426638,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 426638,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 426638,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 426638,A000000,05900,0000,5900BARBER & BEAUTY SHOP 426638,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 426638,A000000,06100,0000,6100NONPAID WORKERS 426638,A000000,06200,0000,6200PATIENTS LAUNDRY 426638,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 426638,A81000A,00100,0100,Y 426638,A81000B,00100,0300,DEPREC/INTEREST/INS 426638,A81000B,00300,0300,ADMIN/FISCAL SERV 426638,A81000B,00400,0300,UTILITIES/MAINT EXP 426638,A81000B,00500,0300,AUTO LEASE 426638,A81000C,00100,0100,F 426638,A81000C,00100,0200,NEIL M. CHUR 426638,A81000C,00100,0400,THE PARK ASSOC. 426638,A81000C,00100,0600,ADMIN FIN QA 426638,A81000C,00200,0100,A 426638,A81000C,00200,0200,BARBARA B. CHUR 426638,A81000C,00200,0400,PARK COLLECTION 426638,A81000C,00200,0600,WHOLESALE PURCH 426638,A81000C,00300,0100,F 426638,A81000C,00300,0200,NEIL M. CHUR 426638,A81000C,00300,0400,LUCKEY DR PROP 426638,A81000C,00300,0600,REAL PROPERTY 426638,A81000C,00400,0100,A 426638,A81000C,00400,0200,BARBARA B. CHUR 426638,A81000C,00400,0400,LUCKEY DR PROP 426638,A81000C,00400,0600,REAL PROPERTY 426638,A81000C,00500,0100,F 426638,A81000C,00500,0200,ELISABETH TEHAN 426638,A81000C,00500,0400,LUCKEY DR PROP 426638,A81000C,00500,0600,REAL PROPERTY 426638,A81000C,00600,0100,F 426638,A81000C,00600,0200,NEIL M CHUR JR 426638,A81000C,00600,0400,LUCKEY DR PROP 426638,A81000C,00600,0600,REAL PROPERTY 426638,A81000C,00700,0100,A 426638,A81000C,00700,0200,BARBARA B. CHUR 426638,A81000C,00700,0400,BBC HC ENT.INC 426638,A81000C,00700,0600,LEASED VEHICLES 426638,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 426638,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 426638,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 426638,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 426638,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 426638,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 426638,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 426638,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 426638,B100000,00000,0900,0950(GROSS CHARGES) :NURSING ADMINI 426638,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 426638,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 426638,E10A180,00301,0100,05/10/00 426638,E10A180,00501,0100,09/25/03 426638,E10A180,00501,0300,06/15/00 426638,E10A180,00550,0100,06/15/00 426638,E10A180,00550,0300,09/25/03 426638,G300000,02500,0000,BEAUTY SOLD SERV INTEREST INCOME 426638,S000000,00100,0200,05/31/00 426638,S200000,00100,0100,9876 LUCKEY DRIVE 426638,S200000,00200,0100,HOUGHTON 426638,S200000,00200,0200,NY 426638,S200000,00200,0300,14744 426638,S200000,00300,0100,ALLEGANY 426638,S200000,00300,0200,0033 426638,S200000,00300,0300,R 426638,S200000,00400,0100,COLLEGE PARK HEALTH CARE CENTER 426638,S200000,00400,0200,335641 426638,S200000,00400,0300,08/04/95 426638,S200000,00400,0500,P 426638,S200000,01500,0100,Y 426638,S200000,01600,0100,N 426638,S200000,01700,0100,N 426638,S200000,01800,0100,N 426638,S200000,02200,0100,N 426638,S200000,02800,0100,N 426638,S200000,02900,0100,N 426638,S200000,03000,0100,N 426638,S200000,03100,0100,N 426638,S200000,03200,0100,N 426638,S200000,03300,0100,N 426638,S200000,03300,0200,N 426638,S200000,04100,0100,N 426638,S200000,04200,0100,N 426638,S200000,04300,0100,Y 426638,S200000,04600,0100,N 426638,S200000,04700,0100,N 426638,S200000,04700,0200,N 426638,S200000,04900,0100,N 426638,S200000,05000,0100,N 426638,S200000,05100,0100,N 426638,S200000,05200,0100,N 428861,A000000,00100,0000,0100CAP REL COSTS - BLDGS & FIXTURES 428861,A000000,00101,0000,0101CAP REL COSTS - BLDGS & FIXT. %2 428861,A000000,00200,0000,0200CAP REL COSTS - MOVEABLE EQUIPME 428861,A000000,00201,0000,0201CAP REL COSTS - MOVABLE EQUIP. % 428861,A000000,00300,0000,0300EMPLOYEE BENEFITS 428861,A000000,00400,0000,0400ADMINISTRATIVE & GENERAL 428861,A000000,00500,0000,0500PLANT OPERATION MAINT. & REPAIR 428861,A000000,00600,0000,0600LAUNDRY & LINEN SERVICE 428861,A000000,00700,0000,0700HOUSEKEEPING 428861,A000000,00800,0000,0800DIETARY 428861,A000000,00801,0000,0801CAFETERIA 428861,A000000,00900,0000,0900NURSING ADMINISTRATION 428861,A000000,01000,0000,1000CENTRAL SERVICES & SUPPLY 428861,A000000,01100,0000,1100PHARMACY 428861,A000000,01200,0000,1200MEDICAL RECORDS & LIBRARY 428861,A000000,01300,0000,1300SOCIAL SERVICE 428861,A000000,01400,0000,1400INTERNS & RESIDENTS (APPRVD PROG 428861,A000000,01500,0000,1350ACTIVITIES 428861,A000000,01600,0000,1600SKILLED NURSING FACILITY 428861,A000000,01800,0000,1800NURSING FACILITY 428861,A000000,01810,0000,1810ICF/MR 428861,A000000,01900,0000,1900OTHER LONG TERM CARE 428861,A000000,02100,0000,2100RADIOLOGY 428861,A000000,02200,0000,2200LABORATORY 428861,A000000,02300,0000,2300INTRAVENOUS THERAPY 428861,A000000,02400,0000,2400OXYGEN (INHALATION) THERAPY 428861,A000000,02500,0000,2500PHYSICAL THERAPY 428861,A000000,02600,0000,2600OCCUPATIONAL THERAPY 428861,A000000,02700,0000,2700SPEECH PATHOLOGY 428861,A000000,02800,0000,2800ELECTROCARDIOLOGY 428861,A000000,02900,0000,2900MEDICAL SUPPLIES CHARGED TO PATI 428861,A000000,03000,0000,3000DRUGS CHARGED TO PATIENTS 428861,A000000,03100,0000,3100DENTAL CARE - TITLE XIX ONLY 428861,A000000,03200,0000,3200SUPPORT SURFACES 428861,A000000,03300,0000,3050PHYSICIANS 428861,A000000,03301,0000,3051PART B ENTERAL SUPPLIES 428861,A000000,03302,0000,3052OTHER ANCILLARY III 428861,A000000,03400,0000,3400CLINIC 428861,A000000,03500,0000,3500RURAL HEALTH CLINIC 428861,A000000,03550,0000,3550FQHC 428861,A000000,03600,0000,3450OUTPATIENT P.T. 428861,A000000,03601,0000,3451OUTPATIENT O.T. 428861,A000000,03602,0000,3452OUTPATIENT S.T. 428861,A000000,03700,0000,3700ADMINISTRATIVE & GENERAL - HHA 428861,A000000,03800,0000,3800SKILLED NURSING CARE - HHA 428861,A000000,03900,0000,3900PHYSICAL THERAPY - HHA 428861,A000000,04000,0000,4000OCCUPATIONAL THERAPY - HHA 428861,A000000,04100,0000,4100SPEECH PATHOLOGY - HHA 428861,A000000,04200,0000,4200MEDICAL SOCIAL SERVICES - HHA 428861,A000000,04300,0000,4300HOME HEALTH AIDE - HHA 428861,A000000,04400,0000,4400DME RENTED - HHA 428861,A000000,04500,0000,4500DME SOLD - HHA 428861,A000000,04600,0000,4600HOME DELIVERED MEALS - HHA 428861,A000000,04700,0000,4700OTHER HOME HEALTH SERVICES - HHA 428861,A000000,04710,0000,4710TELEMEDICINE 428861,A000000,04800,0000,4800AMBULANCE 428861,A000000,04900,0000,4900INTERNS & RESIDENTS (NOT APPROVE 428861,A000000,05000,0000,5000CORF 428861,A000000,05010,0000,5010CMHC I 428861,A000000,05020,0000,5020OPT I 428861,A000000,05030,0000,5030OUTPATIENT OCCUPATIONAL THERAPY 428861,A000000,05040,0000,5040OUTPATIENT SPEECH THERAPY 428861,A000000,05100,0000,4750OTHER REIMBURSABLE COST 428861,A000000,05200,0000,5200MALPRACTICE PREMIUMS & PAID LOSS 428861,A000000,05300,0000,5300INTEREST EXPENSE 428861,A000000,05400,0000,5400UTILIZATION REVIEW - SNF 428861,A000000,05500,0000,5500HOSPICE 428861,A000000,05600,0000,5350OTHER SPECIAL PURPOSE COST I 428861,A000000,05601,0000,5351OTHER SPECIAL PURPOSE COST II 428861,A000000,05800,0000,5800GIFT FLOWER COFFEE SHOPS & CAN 428861,A000000,05900,0000,5900BARBER & BEAUTY SHOP 428861,A000000,06000,0000,6000PHYSICIANS PRIVATE OFFICES 428861,A000000,06100,0000,6100NONPAID WORKERS 428861,A000000,06200,0000,6200PATIENTS LAUNDRY 428861,A000000,06300,0000,6150OTHER NONREIMBURSABLE COST 428861,A81000A,00100,0100,Y 428861,A81000B,00100,0300,DEPREC/INTEREST/INS 428861,A81000B,00200,0300,ADMIN/FISCAL SERV 428861,A81000B,00300,0300,UTILITIES/MAINT EXP 428861,A81000C,00100,0100,A 428861,A81000C,00100,0200,NEIL M. CHUR 428861,A81000C,00100,0400,THE PARK ASSOC. 428861,A81000C,00100,0600,ADMIN FIN QA 428861,A81000C,00200,0100,F 428861,A81000C,00200,0200,BARBARA B. CHUR 428861,A81000C,00200,0400,PARK COLLECTION 428861,A81000C,00200,0600,WHOLESALE PURCH 428861,A81000C,00300,0100,A 428861,A81000C,00300,0200,NEIL M. CHUR 428861,A81000C,00300,0400,NANTUCKET DRIVE 428861,A81000C,00300,0600,REAL PROPERTY 428861,A81000C,00400,0100,F 428861,A81000C,00400,0200,BARBARA B. CHUR 428861,A81000C,00400,0400,NANTUCKET DRIVE 428861,A81000C,00400,0600,REAL PROPERTY 428861,A81000C,00500,0100,F 428861,A81000C,00500,0200,ELISABETH TEHAN 428861,A81000C,00500,0400,NANTUCKET DRIVE 428861,A81000C,00500,0600,REAL PROPERTY 428861,A81000C,00600,0100,F 428861,A81000C,00600,0200,NEIL M CHUR JR 428861,A81000C,00600,0400,NANTUCKET DRIVE 428861,A81000C,00600,0600,REAL PROPERTY 428861,B100000,00000,0100,0100(SQUARE FEET) :CAP REL COSTS - 428861,B100000,00000,0200,0200(SQUARE FEET) :CAP REL COSTS - 428861,B100000,00000,0300,0300(GROSS SALARIES) :EMPLOYEE BENE 428861,B100000,00000,0400,0400 ACCUM. COST :ADMINISTRATIVE & G 428861,B100000,00000,0500,0500(SQUARE FEET) :PLANT OPERATION 428861,B100000,00000,0600,0650(PATIENT DAYS) :LAUNDRY & LINEN 428861,B100000,00000,0700,0700(HOURS OF SERVICE) :HOUSEKEEPING 428861,B100000,00000,0800,0800(MEALS SERVED) :DIETARY 428861,B100000,00000,0900,0950(GROSS CHARGES) :NURSING ADMINI 428861,B100000,00000,1300,1330(PATIENT DAYS) :SOCIAL SERVICE 428861,B100000,00000,1500,1350(PATIENT DAYS) :ACTIVITIES 428861,E10A180,00301,0100,05/10/00 428861,E10A180,00350,0100,01/18/00 428861,E10A180,00501,0100,07/26/02 428861,E10A180,00501,0300,07/26/02 428861,E10A180,00502,0100,03/14/12 428861,G300000,02500,0000,OTHER-BTYP SOLDSVCE INTINC 428861,S000000,00100,0200,06/05/00 428861,S200000,00100,0100,301 NANTUCKET DRIVE 428861,S200000,00200,0100,ENDICOTT 428861,S200000,00200,0200,NY 428861,S200000,00200,0300,13760 428861,S200000,00300,0100,BROOME 428861,S200000,00300,0200,0960 428861,S200000,00300,0300,U 428861,S200000,00400,0100,SULLIVAN PARK HEALTH CARE CENTER 428861,S200000,00400,0200,335371 428861,S200000,00400,0300,07/01/72 428861,S200000,00400,0500,P 428861,S200000,01500,0100,Y 428861,S200000,01600,0100,N 428861,S200000,01700,0100,N 428861,S200000,01800,0100,N 428861,S200000,02200,0100,N 428861,S200000,02800,0100,N 428861,S200000,02900,0100,N 428861,S200000,03000,0100,N 428861,S200000,03100,0100,N 428861,S200000,03200,0100,N 428861,S200000,03300,0100,N 428861,S200000,03300,0200,N 428861,S200000,04100,0100,N 428861,S200000,04200,0100,N 428861,S200000,04300,0100,Y 428861,S200000,04600,0100,N 428861,S200000,04700,0100,N 428861,S200000,04700,0200,N 428861,S200000,04900,0100,Y 428861,S200000,05000,0100,N 428861,S200000,05100,0100,N 428861,S200000,05200,0100,N